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Doing 4 A-levels can be a lot, as it will mean that you will have a much busier time table compared to others in your year and will have to do more work at home. I remember only having 2 free periods a week compared to my friends who had around 4-5. You will get more workload during the week too which can take some adjusting to do but is manageable if you can organise yourself.
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If you are applying to do medicine, you will need to do an earlier application on UCAS and dedictate a good amount of time to revise for the UCAT, which might fall around the time of your mocks, so organisation is key. You will need to do an interview for any medical profession and so this is another to consider if you are planning to do 4 A-levels, as you will need to be able to prioritise your time accordingly.
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If you are doing A-level Chemistry and Biology, then you might not need to do psychology and can do English Literature. I would check on UCAS, as for medicine you typically need Chemistry and another science, which may be psychology or biology. So this might mean that English Literature will be accepted. Each uni is different though and so it would be good to read the specifications.
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If you do 4 A-levels and struggle to balance this, then you can always drop one and still have enough to get into Uni. I ended up dropping Chemistry, which meant I couldn't do medicine. But, because I had done 4, I still had enough after dropping one to get me into a uni and do physiotherapy. If you drop one a subject that is not Chemistry and meet the requirements to get in then you can still go into the medical field.
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I would have a dicussion with your school career advisor if you have one to explore this in more depth as they can give you an honest overview of what the expectation of workload is and what their advise in based on your GCSE grades (well done on these btw)
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