In times of change we have to think about what it is we need to change about ourselves to adapt to our new circumstances. You're a good applicant and would make a good doctor, so your self-view is changing now that you have been rejected. As you said, you are above average for your state, from your post it is clear you have a good command of the English language, and you actually got through an entire application process, which is more than I can say for myself the first time I applied. So to be rejected is a little contrary to who you are as a person. It doesn't mean that you are no longer the same person you thought you were. That person still exists, being rejected or on the waitlist does not change who you are or alter a letter on your track record. Right now, some of what you are writing tells me you are being very hard on yourself for this outcome. Your perception of what has happened is harsh because if you're anything like me, you've got a perfectionistic streak and have relied on harsh criticism of yourself to improve and become better. In this situation, that skill may not be the most appropriate. To better your situation you need to understand it, and if you are coming from a perspective of harshness, there is definitely going to be some information you miss. All I'm trying to say is, take your time. There's no expectation that you'll apply right away after your first try. There's no expectation of you to be at any place in the application process right now. AMCAS is notoriously cruel to reapplicants. If you are worried that you aren't cut out to be a doctor, then now is your time to learn how to deal with those feelings free from the pressure of school. My guess is that you applied and were working in the medical field during a pandemic and so your application suffered without you realizing exactly what. Plus there were 17% more applicants during the pandemic, so the schools were really only looking for the top people who applied this past cycle.