Do Letters of Intent Have Any Impact on the Residency Match Ranking Process?

There are no stats that letters of intent (LOI) do or don’t work. (Programs do not tend to be transparent about how their ranking processes are handled.) However, because many programs do not want to go far down their rank list (mostly for reasons related to ego), they are eager to highly rank candidates who want to be at their programs. So I advise my clients to do whatever they can, including a LOI, to let a program know it is their first.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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Listen to Dr. Finkel’s interview on the White Coat Investor podcast:

Listen to Dr. Finkel’s interview on the FeminEm podcast: