When you talk to doctors from my generation, we all had backup plans. I was talking to a colleague, and her plan was to get a PhD in neuroscience. My plan was to work in pharmaceutical development. I was even looking at jobs with a few pharmaceutical corporations, back when my med school app process wasn't going so well. A friend of mine actually got a Pharm D. Another friend pondered social work.
The thing we all appreciated is that being a physician is a privilege and an honor. It's not something you deserve. There was no 'game' or 'trick' to getting into medical school. The entirety of medical school admission can be summed up in one question: why should we let you be a doctor?