Medical school applicants are often nervous to talk about poor grades they may have received during college. They don’t want to “make excuses” or “blame someone” for their performance. So, what is the best way to frame your discussion when talking about poor grades? First of all, explain the scenario. Was this a difficult time in your life, was the subject matter especially difficult, were you bored, did you question your commitment to medicine, or were you adjusting to college? Many applicants have less than stellar academic performances, especially early in college, because they lack the time management and study skills to do well. During your interview, after talking about why you earned poor grades, also give an explanation for your academic improvement. Did you become more mature, realize your passion for medicine, or improve your study and time management skills? Don’t only speak about the poor grades; segue into a discussion about the steps you took to improve.