<p>Arcadia and Urbanslaughter - I would be really shocked if the Midd faculty (or the faculty at any other LAC) does things like withhold recommendations for aspiring med students. What I think actually happens is that the prerequisite science classes for med school (things like organic chemistry courses and the like) at most LACs are so demanding that the unqualified candidate is weeded out way before the applying to medical school stage of the process is reached.</p>