DO · San Antonio, Texas · private
University of the Incarnate Word School of Osteopathic Medicine prerequisites
What Incarnate Word asks for in the 2026-27 cycle, as read from the school's own admissions page. 5 lines differ from the standard medical school set, marked below.
Coursework
- Biology with labrequired
2 semesters · 8 credits · lab
Two semesters with lab. The single most universal prerequisite: essentially every MD and DO program asks for it, and it is the foundation the MCAT assumes.
- General chemistry with labrequired
2 semesters · 8 credits · lab
Two semesters with lab. Take it early: organic chemistry, biochemistry, and most upper-division biology all sit behind it, so a late start pushes the whole sequence past your MCAT date.
- Organic chemistry with labrequired
2 semesters · 8 credits · lab
Two semesters with lab at most schools. A meaningful and growing minority accept one semester of organic plus one of biochemistry. Do not drop the second semester on that assumption until you have checked the schools you actually want.
- Biochemistryrequired
1 semester · 3 credits
One semester, lab rarely required. Roughly two thirds of schools require it outright and the MCAT tests it heavily, so treat it as required even where it technically is not, and take it before you sit the exam.
- Physics with labrequired
2 semesters · 8 credits · lab
Two semesters with lab. Algebra-based is accepted almost everywhere; take the calculus-based sequence only if your major needs it or a target school names it.
- English or writing-intensiverequired
2 semesters · 6 credits
Two semesters of English or writing-intensive coursework. Many schools accept writing-intensive courses from any department, but a few name English specifically. If your writing credits come from elsewhere, confirm before you count them.
- Statisticsrequired
1 semester · 3 credits
One semester. Most schools with a math requirement accept statistics or calculus; statistics is the more widely accepted of the two and the more useful for reading clinical research, so the baseline tracks it here. If a target school names calculus, its own requirements will say so.
- Calculusrecommended
1 semester · 3 credits
One semester. Required outright at a minority of schools (several of them highly selective) and accepted in place of statistics at most of the rest. Take it if calculus is already in your major's path.
- Psychologyrecommended
1 semester · 3 credits
One semester. A minority of schools require it, but a quarter of the MCAT is psychological and social foundations: this is the cheapest points on the exam.
- Sociologyrecommended
1 semester · 3 credits
One semester. Same reasoning as psychology: required by fewer schools, tested directly on the MCAT.
- Geneticsrecommended
1 semester · 3 credits
One semester. Required by a small number of schools and a common way to fill the upper-division science coursework that strengthens a science GPA.
Experience hours
- Clinical experiencerecommended
150+ hours
No hours minimum. UIWSOM lists "Significant employment opportunities" and healthcare employment among the factors it weighs, and treats paid clinical work as an equal path to exposure to the profession alongside shadowing.
- Physician shadowingrecommended
50+ hours
No hours are published. Under "Other Factors" UIWSOM says it gives careful consideration to "Exposure to the DO profession, either through healthcare employment or a shadow program". Note that employment in healthcare counts as exposure here, so shadowing is not the only route. One of the three required letters must come from "a physician (preferably DO)."
- Non-clinical volunteeringrecommended
150+ hours
"Substantial volunteer and community service" is named among the factors UIWSOM considers, with no hours figure. The word doing the work is "substantial": depth over a scattering of short commitments.
- Researchrecommended
100+ hours
Effectively expected at research-heavy MD programs and genuinely optional at many DO and community-focused schools. If research is not your path, put those hours into clinical work and say so clearly rather than padding a semester in a lab.
Letters
- Committee letterrequiredextra here
No published minimum
"One from a pre-med advisor or health professions admissions committee (HPAC)." Unusually, this is a third required letter rather than an alternative to the faculty letter: read it alongside the science faculty line, not instead of it.
- Science faculty letterrequiredextra here
No published minimum
"One from a science faculty member", required alongside (not instead of) the HPAC or pre-med advisor letter.
- Physician letterrequiredextra here
No published minimum
"Three letters of recommendation: one from a physician (preferably DO), one from a pre-med advisor or health professions admissions committee (HPAC), and one from a science faculty member." All three are required. UIWSOM does not offer the committee-letter substitution most DO schools do. Letters must be on the official letterhead of the university or business the recommender is affiliated with.
- Osteopathic physician letterrecommendedextra here
No published minimum
"Preferably DO" qualifies the required physician letter, so an MD's letter still satisfies it. UIWSOM also weighs "exposure to the DO profession, either through healthcare employment or a shadow program". Employment counts, so shadowing is not the only route to the relationship.
- Supervisor letterrecommendedextra here
No published minimum
"Non-traditional students can substitute one faculty or HPAC letter with a more recent reference (employer, volunteer/community service supervisor, etc.)": a route open only to non-traditional applicants, and it swaps out one academic letter, not the physician letter.
Also on the school’s page
Experience requirements only: this school's prerequisite coursework has not been sourced, so it falls back to the Core Baseline.
School
uiw.eduCheck your transcript against this list
Cyclios keeps this list beside your coursework and tells you what Incarnate Word still needs from you.
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