- Pre-med attrition is the loss of students participating in academic pre-medical programs over time. Attrition in medical school has been the subject of many studies, but pre-med attrition is less researched, despite its relevance to the emergence and performance of future medical professionals. Interviewing former pre-med students who chose other paths and viewing their experiences through the lens of oral history facilitates the analysis of factors that play various roles in encouraging undergraduate students to both enter and exit the pre-med track. Changed and shaped by the perceptions of individual students, these factors range from social pressure and uncertainty about the future to intra-track competition and disillusionment with the realities of medical practice. Examining them from the perspective of pre-med students could provide knowledge on how to streamline the pre-med track, potentially improving the quality of health professional produced by medical schools.