Confetto

Updated November 3, 2026

In-state vs out-of-state odds by school

At public medical schools, residents usually do several times better than non-residents. By ETSU's own numbers for 2025, its last full cycle, 22% of Tennessee applicants got an offer against 0.9% from out of state, about 24.1 times the rate. At Hawaii's JABSOM in 2026, 23.5% of Hawaii applicants enrolled against 0.3% of everyone else. Pick your state to see each school that publishes its numbers by residency. The rates are our math from each school's page.

2 schools in Tennessee, 21 elsewhere.

In Tennessee: you apply as a resident

Everywhere else: you apply from out of state

Schools with the largest share of their class from out of state first.

Every number is from the school's own class profile, statistics page or admissions rules, with its year, read November 3, 2026. Rates, shares and advantages are our math. We do not use AAMC tables. Nothing you type leaves this page. Confetto is not affiliated with the AAMC or any medical school.

How much does being in-state help?

These schools print both residents' and non-residents' numbers, so we can divide one rate by the other. Where the outcome is enrolling, a resident's rate ran from 7.9 to 79.2 times a non-resident's, by our math.

From each school's own page. The rate is the share of each group that got the outcome shown, our math.
SchoolOutcomeResidentsNon-residentsAdvantage
Hawaii (JABSOM) (2026)Enrolled23.5%0.3%79.2x
ETSU Quillen (2025)Offer22%0.9%24.1x
UT Health Science Center (2026 cycle)Enrolled25.7%1.2%21.7x
Toledo (2026)Enrolled9%1.1%7.9x
UVA (Class of 2030)Interview14.1%7.7%1.8x

Read each row by its outcome. An enrollment rate runs lower than an offer rate, since some admitted applicants go elsewhere, and UVA's numbers are interviews, not offers. Ohio State shows why applicant counts alone mislead: by our math Ohio residents sent 12.5% of its applications, yet they made up 56% of the 2026 class.

How much of each class comes from the state?

Many schools print only the split of the entering class. Here is the share from the school's own state, highest first.

The private schools in the list, Rush, Miami and Rosalind Franklin, sit near the bottom or the middle. Pittsburgh took 32% of its Class of 2029 from Pennsylvania, and UVA 54% of its Class of 2030 from Virginia.

Schools that limit non-residents by rule

  • Mercer requires Georgia domicile by the time you apply.
  • UAMS can accept at most 50 non-residents under Arkansas law.
  • Oklahoma limits non-residents to 25% of each class.
  • South Alabama says more than 90% of its students are from Alabama.

AMCAS does not check whether you meet a school's residency rule, and it cannot refund a school you were never eligible for, per the 2027 AMCAS Applicant Guide. Read each school's rule before you add it.

How to use this

  • Apply to every public MD school in your own state where you meet the requirements. Those are usually your best odds.
  • Out of state, favor private schools and public schools that take a real share of their class from elsewhere.
  • Skip schools that take residents only, unless you have a qualifying tie the school names.
  • For the size of your list, see how many medical schools to apply to. For one school at a time, see every MD school's acceptance rate.

Schools are added when they publish residency numbers on their own site. If a school is missing, it did not print them on a page we could read.

Questions people ask

Is it easier to get into medical school in state?

At most public schools, yes. At the three schools that print applicants and new students by residency, a resident's rate of enrolling ran from 7.9 to 79.2 times a non-resident's, by our math. ETSU's 2025 numbers give 22% for Tennessee applicants and 0.9% for everyone else.

Which medical schools accept out-of-state students?

Most do, but in very different numbers. Private schools like Rush and Miami took most of their recent classes from other states, by their own numbers. Some public schools take very few: Mercer requires Georgia domicile and the Medical College of Georgia's Class of 2029 had 4 non-Georgians out of 304.

Where do these numbers come from?

Only from each school's own class profile, statistics page or admissions rules, with the year shown. We do not use the AAMC's tables. Schools that do not publish residency numbers are not listed.

Can I claim residency in two states?

The AMCAS Applicant Guide says it may be possible to qualify for more than one state of legal residency, but you can select only one in the application. Each state sets its own rules.

Do I get a refund if I apply to a school that only takes residents?

No. AMCAS cannot refund fees for schools whose admission requirements you do not meet, including state residency requirements. Check each school's rule before you add it.

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