@really123, I am only speculating, but it might come down to BMAT/interview performance. I seem to recall that most courses routinely interview 3-4x the number of students that they will make offers to. If the hard cap on international medics is 12 per year, I could see them taking the top international 30-40 performers on the BMAT as their shortlisting process. That seems like a pretty high bar to me. Then it becomes a question on how well you perform on the interview. I have to admit that in my son’s year and in the class starting this fall, I was shocked by the number of kids who did extremely well on the MAT (math is my frame of reference given my son) who did not receive offers. Some of the unsuccessful applicants who posted their admissions feedback over on The Student Room didn’t totally crash and burn on the interviews either (6+ to 7 out of 9 interview score). So I could see that if there were a bunch of mediocre interview scores among the international pool that they don’t use their full quota each year. My impression is that the AP/SAT scores are more of a screen than a real difference maker in the overall candidate evaluation.