The Program in Liberal Medical Education, or PLME, is an eight-year combined baccalaureate-M.D. medical program offered by Brown University. Members of the program are simultaneously accepted into both the undergraduate College of Brown University as well as the Warren Alpert Medical School, allowing them to receive a Bachelor's degree and an M.D. as part of a single eight-year continuum. The PLME is the only combined medical program in the Ivy League, as well as one of only approximately 120 in the nation. The program is extremely selective, admitting only 90 applicants nationwide and internationally each year, with an acceptance rate of 2.19% for the class of 2026. The PLME is widely considered to be one of the most competitive and prestigious combined medical programs in the country. History The 8-year Program in Liberal Medical Education, was inaugurated in 1984. Since 1963, the university had offered a 6-year combined undergraduate/Master of Medical Science program. The PLME program was originally the primary route of admission to the Alpert Medical School, until the medical school began accepting pre-medical students through the standard AMCAS admission route in 2004. According to the university, the goal of the program is to combine the Open Curriculum of the College and the competency-based curriculum concept of the Alpert Medical School to encourage students of medicine to pursue in depth their interests in the humanities, social sciences, and natural sciences through a liberal education philosophy as they prepare for their careers as physicians. Julianne Ip, M.D., Associate Dean of Medicine for PLME, described the program as a way to "accept the 'best' high school students who would utilize Brown, and the College’s unique Open Curriculum to craft their own educational paths. These individualized educational plans would allow students to pursue their passions be they in science or liberal arts but always with the view of medicine as a humanitarian pursuit, not a “trade” to be learned." Admissions Because the PLME draws applicants from around the U.S. and internationally, its applicant pool is significantly larger than those of most other medical programs, which receive primarily in-state applications. With large numbers of applicants competing for very few spots, the program consistently reports an extremely low acceptance rate. For the undergraduate class of 2020, 2,447 high school students applied and 90 were admitted, yielding an acceptance rate of 3.7%. For the class of 2019, 2,290 applicants applied for the same 90 spots,