The preliminary admission examination is administered in each prefecture, and the second examination is administered at Jichi Medical University. Two or three students from each prefecture are admitted to Jichi Medical University depending on their results from these examinations.

In the past, enrollment for the school of medicine was 100 students. However, in 2008 ten additional students were accepted due to a governmental policy, in 2009 three additional students were allocated to Tochigi prefecture and, in 2012 ten additional students were admitted as part of a new governmental growth strategy. As a result, the total enrollment is currently 123 students.