Is medicine realistic with these GCSE results?

[HamaTime]

6As and 4Bs?

Not my dd, but my niece and she is coming over this afternoon and I know she will ask what I think.
What I actually think is given the quality of her education (really good school) and how hard she worked (very) she probably won't get the grades she needs in her A levels to get a place but I'm not sure if I am being overly harsh. I think she's done really well and she should be proud of herself but her 1st choice uni wants A*AA at A level.

How about thinking laterally and looking at health related areas such as:

Educational Psychologist
Occupational Therapy
Physiotherapy
Optician
Drama/Play therapist
Pharmacist

All highly respected specialist areas, some of which lend themselves very well to self employment and owning independent practices. You never know, she could end up with a PhD as well and able to thumb her nose at her parents, have a less stressful existence and enjoy herself a bit more.

My dd is going into a hot house competitive indy 6th form with 4A*, 5A and 1B. I am worried that she will find it too competitive intellectually. I also think she was offered a place because one of her subjects is not traditionally academic and I said to the subject head in front of the head of 6th form that if they couldn't follow their dream at 16 when on earth could they and both said they would have happier and more well balanced young people on their hands if more parents thought that.

I hope someone just lets your niece be and that she find what she wants in her heart. I think it was someone like Winston Churchill who said that true wealth only came to those who loved what they did with a passion.

OP, if she is at an academic girls school, they will know what calibre students need to be to have a realistic chance and the school will help to manage expectations.
If she hasn't had a chance to attend a session for those interested in medicine already, she will early on in the L6th and it will be made very clear then what GCSEs are necessary. If she is at a successful academic school, they won't be encouraging her towards something that is unrealistic, but should be able to advise about what else might appeal to her.
Unfortunately it is often the less academic schools which seem unable to advise their students effectively and then students waste their applications applying for courses they have no chance of getting onto - perhaps because they haven't been advised about the right combinations of subjects needed or the academic requirements.

I cannot speak about Sheffield, but it is important for students to know that when universities list their minimum grade requirements on their websites, they need to get in contact and ask how many people were actually admitted with those grades - usually for competitive courses the predictions and actual grades achieved are far in excess of those minimum grades. It is one of the things schools should know and be advising their pupils about so they don't waste applications, but actually it seems a number of schools don't seem to give that advice.

If she is still seeming really interested, perhaps you could research and find some websites about applying to do medicine and point her towards them - these will make it clear what is needed.