Blog Archives

No One Wants to be your Second Choice for the High School Prom

Imagine you’re back in high school, planning to ask a fellow classmate out to the prom. You approach your potential date, “Would you be interested in going with me to the dance? You’re one of my top choices.”

Not very compelling…The same is true for letters of interest: I’ve had several applicants ask me if it’s okay to say that an institution is “one of my top” picks.

Avoid that type of language. Instead you can say something like “I would be thrilled to be at your institution,” or ” I’m confident I can make a positive contribution.” In other words, you can stay honest while not shooting yourself in the foot.

edit letters of interest and have been busy with them of late. Let me know if you need assistance.

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Be Honest about Your First Choice

A few applicants have asked me whether it’s wise during the interview, in thank you notes, or in letters of interest to tell an institution that it’s your first choice. My response: Yes, if it’s true. It’s not wise or ethical to tell all institutions that they’re your first choice. I can assure you from experience that faculty across the country speak to one another. And you may see these selection committee members again.

I remember an applicant who told our institution that we were his first choice. He was ranked to match but didn’t because he had ranked another residency over us. After that, my colleagues were pretty clear that they wouldn’t forget this deceptive behavior if they interacted with him professionally in the future (seeking a job, seeking a national committee position). (I felt less frustrated: It’s possible he simply changed his mind at the last minute!)

Medicine is a small world; make sure to demonstrate integrity and collegiality.

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Read the Fine Print

Several years ago, a medical school applicant told me the following story:

This pre-med decided to write follow up notes to all the schools at which he had interviewed, usually a very good idea. However, he was upset to receive a brusque note from one of the institutions telling him that a) he should have read their policies; they do not allow post-interview contact and b) he was rejected from the school.

I found the school’s note pretty severe, and I strongly suspect the post-interview contact was not related to his rejection. (As an aside, he successfully and happily matriculated at another school.) But this story is a reminder that it’s important to read institutions’ policies about post-interview contact. Most places welcome written updates, but it’s essential to confirm before you send.

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Love Letters

Letters of interest (LOI) – or what some applicants jokingly call “love letters” – can be used in several types of situations:

1) Residency applicants who want to make an impression post-interview before program directors (PD) submit their rank lists
2) Medical school applicants who have been interviewed but have not yet been accepted or rejected
3) Medical school and residency applicants who have not yet been invited to interview
4) Medical school applicants who have been wait listed  

When writing your letters of interest, you should have the following goals:

1) Restating your strong interest in the institution
2) Positioning yourself as a distinctive candidate who can contribute fully to the institution

The biggest errors I see in LOIs are:
1) Too much content about a specific institution’s advantages. There is no reason to spend a paragraph or more telling a PD or medical school admissions member what makes their institutions special. Using your precious space this way is an opportunity cost, keeping you from fully showcasing what makes you a compelling applicant.
2) Writing about how the program or school will help you. The focus should be on how you will be a contributor to their institution. (It’s the “What have you done for me lately?” principle.)

Finally, let me say that I am coming to think that the term “letter of interest” might be better than “letter of intent” because, generally, I don’t recommend you let institutions know what your intent is since it might change. Note that you can create one general letter that you modify and send to different institutions with different goals (i.e. requesting an interview or demonstrating your interest post-interview). You can also modify the letter and send it to your top choices because, if you are not making commitments, then you can honestly use it for multiple institutions. 

For those of you interested in LOI assistance for medical school or residency applicants, please contact me.

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No One Wants to be your Second (or Third) Choice for the High School Prom

Imagine you’re back in high school, planning to ask out a fellow classmate to the prom. You approach your potential date, “Would you be interested in going with me to the dance? You’re my second or third choice.”

Not very compelling…The same is true for letters of intent: I’ve had several applicants this cycle (and in past years) ask me if it’s okay to say that an institution is their “second or third choice” or “one of my top” picks.

Avoid that type of language. Instead you can say something like “I would be thrilled to be at your institution,” or ” I’m confident I can make a positive contribution.” In other words, you can stay honest while not shooting yourself in the foot.

I do edit letters of intent and have been busy with them of late. Let me know if you need assistance.

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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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