This post is a perfect representation of how this process can fuck with u mentally, and a perfect example of what NOT to do. This process amplifies scarcity anxiety and comparison. The entire post was framed as an ethical dilemma but just came off as a selfish, anxiety-ridden, desperate attempt to put oneself ahead. Medical schools know that 70–80% of students change specialties. Saying you’re passionate about primary care is not a binding contract. People evolve and schools expect that. They would not give TWO SHITS if some random anonymous person emailed and accused someone of misrepresenting their passion. They don't accept people based on this, and they would not rescind an application based on this. Adcoms know people exaggerate and overrepresent experiences and passion. Additionally, OP already told her she'd report her unless she withdrew from a school where OP is waitlisted. She'll know its u. What do u think she's gonna do? If she screenshots that and forwards it? At that point, anonymity is lost, everyone knows who did what. That becomes a professionalism issue. Medicine is small and adcoms talk. If u get labeled as someone who threatened to report a peer, acts vindictively, and tries to manipulate outcomes, good luck to u. That'll follow u forever. To anyone who thinks reporting this behavior is the "right thing to do", zoom out. Focus on strengthening ur own position instead of trying to destroy someone else's. This vindictive behavior is equally as concerning for someone entering the medical field, but frankly I don't blame OP. I blame stuff like PREview for misrepresenting the realities of situations like this, and I blame the process for making people act out of anxiety like this.