BS/MD programs differ in eligibility, length, testing, financial aid, and the conditions students must meet before entering medical school. This evidence review compares official rules at ten institutions and explains what those differences mean when hiring specialized admissions support. It also examines Drexel’s published admissions funnel, Brown’s missing admissions denominator, early decision commitments, and the distinction between high-school expectations and undergraduate continuation requirements. Families receive practical questions, six proposed counseling deliverables, and hypothetical decision examples. The review uses 20 external primary sources and clearly separates institutional policies, original planning advice, provider marketing, and a limited internal process example.