I believe that many students opt to attend other schools, which is why there is significant movement on the alternate list. I visited NEOMED, and it's a great school, but it is costly compared to other schools in Ohio, except CASE, and it lacks its own hospital. Additionally, it doesn't receive substantial funding and has the worst reputation among Ohio schools. They can't risk not having a full class, so I am guessing that is why they are anticipating having to interview more people. This is all a guess from a pre-med lol