Uh oh... What do you mean by "hands on"? If you mean things like suturing and taking part in procedures, you can piss off ADCOMs and kill your chances since you will be viewed as being unethical.
As for me, I sympathize with people who do this because it's due to the pressure to get "clinical experience" as pre-meds. If they did these same things at a free clinic, it would be viewed in a totally different light.
Sorry, this is just what I'm assuming based on what you wrote. If you did end up doing things beyond your scope of practice, they will hurt and not help you. I would recommend never mentioning them ever again. Not sure how much an additional trip to a different place will help. Going back to the same place will show commitment.
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Medical Mission Trip: More than one?
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