The courses you take in middle school set the foundation for high school science, which sets the foundation for college pre-med, which sets the foundation for medical school. That chain starts now. You do not need to be a straight-A student to pursue medicine, but you do need to build a strong base in science and math.

Science courses by grade

Most middle schools follow a sequence like this. Your school may vary, but the goal is the same: build a foundation in life science, physical science, and earth science before high school biology.

6th grade

Earth Science or General Science is typical. Pay attention to the scientific method, data collection, and how to read graphs and charts. These skills show up on every science test you will ever take, including the MCAT years from now.

7th grade

Life Science or Biology Introduction. This is where you first learn about cells, genetics, body systems, and ecosystems. If you find this interesting, that is a good sign. If you find it hard, that is normal. The goal is exposure, not mastery.

8th grade

Physical Science (introductory physics and chemistry). This connects to high school chemistry and physics, which connect to college courses required for medical school.

Tip
If your school offers honors or advanced science tracks, ask your counselor how to enroll. You do not need to be “gifted” to take honors science. You just need to be willing to work a little harder.

Math matters more than you think

Medical schools require college-level math (statistics, calculus). That path starts with your middle school math placement. Here is the typical track:

If you are in pre-algebra in 7th grade and algebra in 8th grade, you are on a strong path. If you are in general math, you are not behind, but talk to your counselor about moving up when you are ready. The goal is to reach Algebra I by the end of 8th grade, which puts you on track for AP Calculus or AP Statistics in high school.

Info
You do not need to be a math genius to become a doctor. You need to be comfortable with algebra, statistics, and basic calculations. That comfort starts with practice now.

Electives that help

If your school offers elective choices, consider health sciences or anatomy (some middle schools offer introductory courses), computer science or coding (medical research increasingly uses data analysis), public speaking or debate (doctors communicate complex information every day), and a foreign language, especially Spanish (useful in clinical settings across the United States).

How to talk to your guidance counselor

Your guidance counselor can help you choose the right courses, but they need to know what you are interested in. Here is how to start that conversation:

Walk into the counseling office and say something like: “I am interested in healthcare careers and want to make sure I am taking classes that prepare me for a strong high school science track. Can you help me plan my courses for next year?”

Expert Advice
Counselors talk to hundreds of students. The ones who come in with a clear question get the best help. You do not need to know exactly what you want to be. Just say you are interested in science and medicine.

Ask these specific questions: What science and math courses are available for my grade next year? Is there an honors or advanced track I can join? What electives relate to health or science? Are there any prerequisites I should take now to keep my options open?

For Parents
Parents: you can also email the counselor directly. A short message saying “My child is interested in healthcare careers and we want to make sure they are in the right course track” goes a long way.

What if I am not in the advanced track?

This is normal and it is not a problem. Many successful doctors were in regular classes in middle school. What matters is that you are learning the material, building good study habits, and staying curious. You can move into advanced courses in high school. The door is never closed.

Last verified: April 2026