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What is a letter of intent?

A letter of intent (LOI) is a supplemental note applicants write to medical schools, residencies, and other medical programs to let faculty know of their interest in an institution and the distinctiveness of their candidacies. Letters of intent can be written early in an effort to obtain an interview, after the interview to show enthusiasm and remind the faculty of the candidate’s worthiness, or after a wait list notification (for medical and dental students who don’t participate in the Match).

The letter should be written in a timely fashion. In other words, there’s no reason for a residency applicant to write a letter of intent in late February. The letter should avoid restating the strengths of the institution. Instead the applicant should express his/her interest and then move onto his/her strengths. An LOI should be a page or less.

For help writing a professional, expert LOI, contact me.

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Medical School Wait List Advice

Waitlisted for medical school? What can you do?

First, remember that the number of medical school applicants has been increasing yearly, so don’t feel insecure. Medical school admissions have become increasingly competitive, and being on the wait list is better than being rejected, despite the anxiety you feel.

Here are a few things you can do:

1. Send a letter of intent. Let the school know of your continued interest and any new accomplishments. Ensure the letter is well written and brief. In the letter, don’t make the mistake of dwelling on the school’s strengths when you should be highlighting yours.
2. Ask the school if you can set up a second look: Show them you are serious, and provide yourself with more data if you are later offered a spot.
3. Don’t neglect other options or opportunities, focusing all of your attention on this institution to the exclusion of others.
4. Plan for last minute notice. I’ve heard of acceptances being offered to applicants off the wait list the day before medical school was to begin!

Above all, try to keep your chin up despite the expected stress.

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Letters of intent

medical school application and residency application I receive a lot of inquiries this time of year about how to distinguish one’s self after the interview process.

One option is the letter of intent. This is a formal note to program directors and medical school deans that a) states your interest in the institution and b) restates the strengths of your candidacy. As I tell my clients, what you do not want to do in the letter of intent is wax poetic about the program’s good qualities. The reader is already familiar with them.

Getting into residency and medical school is never clear cut, so I’ll end by saying that the weight that a letter of intent carries is variable. It depends on the reader, the institution, the timing, and the program’s interest in you. But in this competitive game of residency and medical school admissions, taking a little time to make yourself distinctive before decisions are made won’t hurt.

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What Would Your Mother Say?

I had a sweet client recently tell me that, although she will feel uncomfortable showcasing her accomplishments throughout her upcoming application process, she thinks her mom might be able to help her learn to speak about them fluidly.

If you have a supportive mother (father, grandparent), and you are having trouble highlighting your achievements in your personal statement, application, interview, even letter of intent, consider channeling your inner mother.

Remember: You must distinguish yourself from the other competitive candidates, and the best way to do that is with explicit examples of your accomplishments.

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The Medical Residency Interview: What if You Haven’t Received an Invitation?

Once your ERAS has been submitted, getting into residency kicks into high gear with the interview season. But what if you’ve completed your residency application and yet haven’t been invited to interview?

First of all, realize that residency admissions have become increasingly competitive of late. This is especially true for “lifestyle” specialties like Radiology, Opthalmology, Anesthesia and Dermatology (often termed the “ROAD”). The number of applicants in those fields and others is generally increasing, as the number of medical students continues to increase. Thus, the lack of an invite may just represent overloaded admissions offices. Read more ›

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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:

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