Most people treat the Most Meaningful section like overflow space for their activity description. More context, more detail, more explanation of what they did. That's the wrong instinct, and it's why most of these essays read as flat.
The 700-character entry already covers what you did. The Most Meaningful essay is asking something different: how did you grow because of it? That's a harder question, and a lot of applicants sidestep it without realizing they're doing it.
What actually works
Strong Most Meaningful essays don't try to capture an entire year of an experience. They find one moment, or a short stretch of time, where something shifted. A mistake that revealed a gap in their thinking. A patient interaction that complicated what they assumed about medicine. A point where things didn't go as planned and they had to figure out what to do.
That friction is usually where the real growth lives. Not in the smooth parts of an experience. And the reflection at the end doesn't need to be long. If the story is told clearly, one or two grounded sentences of insight is enough. The reader can see what changed. You don't need to walk them through it.
Where most people go wrong
The most common problem is scope. Someone tries to summarize 300 hours of clinical volunteering in 1325 characters, so nothing gets specific. "I developed a deeper understanding of patient care." That sentence could be in 10,000 applications. It tells the reader nothing about you.
The second problem is familiar framing with no texture. The blank stares during tutoring. The inspiring attending during shadowing. The difficult patient who changed how you view suffering. Those aren't bad topics. They become bad when they're generic. The specifics are what make an essay readable rather than forgettable.
I've worked with students who had genuinely strong experiences but wrote about them in ways that made them sound interchangeable with every other applicant. The fix was almost always the same: stop describing the experience and start writing about one very memorable or important thing that actually happened.
A quick check you can do right now
Pull up one of your Most Meaningful essays and read it through once. Then ask: if you had to cut it to one paragraph, what would you keep?
If the answer is still a summary, you haven't found the story yet. Go back to the experience and look for the moment where something went wrong, surprised you, or forced you to reconsider something you thought you understood. That's almost always where the essay is hiding.
A Most Meaningful essay that reads like a longer activity description is complete. One that shows how you changed is doing its job. Most people submit the first version.