Also a fourth year med student and very involved with my fraternity.
1) pre-med isn't as time consuming as you think it is...if it ends up being that way, then you're doing it wrong and you need to study smarter not harder.
2) make sure you look for chapters that have a history of academic success. A house that has a lot of pre-meds and pre-law students is going to be more understanding than a chapter in which everyone's looking for their MRS degree.
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"I address the haters and underestimaters, then ride up on 'em like they escalators"
- Abraham Lincoln
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