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The Premed Years

609: From Puerto Rico to MD/PhD: Owning Your Path

The Premed Years

Ryan Gray

Education, Science, Health & Fitness, Medicine, How To

4.81.3K Ratings

🗓️ 14 January 2026

⏱️ 48 minutes

🧾️ Download transcript

Summary

(00:00) — Welcome and setup: Dr. Gray frames a conversation about medicine, premed, and medical school.

(00:38) — Puerto Rico at the center: Alysa names her roots and early love of learning from teacher parents.

(02:26) — A stroke changes everything: Her father's hospitalization turns biology facts into real patient stakes.

(04:12) — Choosing the path: Curiosity plus connection points her toward medicine and a biology degree.

(05:11) — Puerto Rico med schools are US schools: Clarifying admissions and acknowledging resource gaps.

(05:55) — Undergrad in Puerto Rico: No neuroscience major, so she pieces interests through research.

(06:44) — Hurricanes, surgery, and support: Irma, Maria, hernia recovery, and scholarships shape college choice.

(10:40) — First research doors: Finding neurobiology at UPR School of Medicine without formal premed advising.

(13:35) — MIT summer opens horizons: STEP-UP and a mentor normalize the MD/PhD dream and provide resources.

(16:07) — Doubts and stereotypes: Hearing MCAT myths, considering transfer, and choosing to stay.

(19:54) — The hardest part: Navigating premed blindly without a true advising office.

(22:04) — Finding guidance: Yale PATHS, MSRP-Bio at MIT, and relentless outreach to faculty.

(27:58) — If DEI programs vanish: How to build community, start with accessible voices, and ask for help.

(33:38) — MCAT pivot and gap year: A 502 score, ADHD-aware study changes, and group question sessions.

(35:27) — The acceptance: The email, calling mom, and celebrating at a favorite Mexican spot.

(39:00) — Instant family in med school: A tight MD/PhD cohort, Puerto Rican community, and Bad Bunny parties.

(42:24) — Final takeaways: Honesty, introspection, intentionality, and nurturing community.

Raised in Puerto Rico by teacher parents, Alysa learned early to love learning—and to lead with curiosity. A family health crisis in 12th grade turned textbook biology into lived experience when her dad had a stroke, pushing her toward medicine. As an undergrad in Puerto Rico, limited coursework and advising meant no neuroscience classes and little formal premed guidance, so she created her own path: seeking research at the UPR School of Medicine, leaning on student societies, and knocking on doors.

Summer research programs and a mentor at MIT helped her see the MD/PhD route as possible and gave her access to resources she hadn’t had before. Along the way she faced stereotypes about MCAT scores, earned a 502 on her first attempt, and chose a gap year to rethink prep—designing ADHD-friendly strategies, studying with friends, and turning accountability into momentum.


We talk about building community when DEI programs are shrinking, using public platforms like this one to find mentors, and why collaboration beats competition. Alysa shares her acceptance moment, how her MD/PhD cohort became instant family, and the intentional, introspective work behind a compelling application.


What You'll Learn:

- How a family health crisis clarified her path to medicine

- Navigating premed without a dedicated advising office

- Finding research and mentors through cold outreach

- Rethinking MCAT prep after a 502 and choosing a gap year

- Building community and rejecting zero-sum premed thinking

Transcript

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0:00.0

The Pre-Mid Years session number 6009.

0:08.8

Hello and welcome to the pre-med years, where we believe that collaboration, not competition, is key to your success.

0:16.4

I'm your host, Dr. Ryan Gray, and in this podcast we share with you stories, encouragement, and information that you need to know to help guide you on your path to becoming a physician.

0:27.6

Welcome to the prima dears.

0:29.1

Thank you so much for joining me today.

0:31.7

Before we jump into our amazing guest, I want to talk about the MCAT minutes brought to you by medical school headquarters.

0:38.2

Did you know we have tutoring and test prep now for the MCATs and for your basic science

0:43.1

classes or even your med school classes? We're doing some med school tutoring as well.

0:48.7

To schedule a free consult to learn how we can help you with your test prep or course needs,

0:57.5

go to MSHQ consult..com as we're recording this it's mid-January the mcat for 2026 has started and if you aren't

1:04.3

getting ready to prepare for your test what are you waiting for go ahead and get started today

1:09.6

go to mshq consult.com.

1:11.8

Schedule that free consult with our test prep or even our advising team for that matter.

1:17.0

Today I'm joined by Alyssa, an MD PhD student from Puerto Rico,

1:22.0

from Hurricanes and her dad's stroke to a 502 MCAT that pushed a gap year.

1:26.6

She built community, found mentors with cold

1:28.9

emails, and made studying work with ADHD. We'll talk intentionality, collaboration over competition,

1:37.0

and creating access when resources are scarce. Let's go ahead and say hello to Alyssa.

1:43.3

Alisa, welcome to the premed years. Thanks for joining me.

1:47.6

Thank you for having me. I'm excited to chat. So excited. Let's chat about being a doctor, being a

1:56.1

pre-med student, being a med student, all of that good stuff. I want to go back to early Alisa's life.

2:05.7

And when did you first realize that you were born to be this crazy pre-med medical student

...

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