What are my chances for getting into BSMD programs in the US?

Your profile is already quite strong for BSMD programs, especially given your high GPA (3.95 unweighted) and a satisfactory SAT score (1540). Those stats put you in a competitive academic bracket for these programs, which are known to be some of the most selective undergraduate tracks in the US.

Academics are the baseline for BSMD applicants—pretty much everyone in this pool will have outstanding grades and test scores. What sets applicants apart is the depth and uniqueness of their medical experiences, leadership roles, and commitment to service.

You’ve listed very solid extracurriculars: a hospital internship, volunteering at a free clinic, leadership in HOSA, and science research. The breadth here, especially real experience in clinical settings and the commitment to volunteering, matches what these programs want to see. Leadership is also critical, and your HOSA role demonstrates that well. BSMD admissions teams look for evidence that you’ll be proactive and mature enough to succeed in the intense, accelerated environment of a combined program.

If there’s an area to build on, focus on the depth or uniqueness of your experiences. For example, if your hospital internship led to a particular project or you helped start a new initiative at the clinic, highlight that in your application and essays. These personal touches and stories of impact are often what resonate most. Realistically, while some applicants have even more specialized research or shadowing, what matters more is genuine commitment and reflection, not just racking up hours. That said, if you can find a mentor-physician to shadow or conduct an independent research project, that could provide standout material for your essays and interviews.

BSMD programs do value leadership a lot; they want future physician leaders, not just great students. Keep finding ways to expand your impact or take initiative, even in small ways—such as organizing a health fair, mentoring younger HOSA students, or initiating a new project at your clinic.

In summary, you are on the right track. Focus on making your application as personal and specific as possible, especially your essays and interviews. Remember, the competition is fierce, so apply broadly to several BSMDs and have a parallel plan for traditional pre-med as well. It's natural to feel stressed, but your profile is absolutely competitive. Just be sure your essays demonstrate what makes your passion for medicine truly yours!