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Your Medical School or Residency Application: What is a Letter of Interest/Intent?

A letter of interest or intent (LOI) is a supplemental note applicants write to medical schools, residencies, and other medical programs to let faculty know of their enthusiasm for an institution and the distinctiveness of their candidacies. LOIs can be written early in an effort to obtain an interview, after the interview to show enthusiasm and to 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.

Please note that some schools and residency programs do not allow post-interview contact, in which case an LOI is not recommended.

For help writing a professional, expert LOI, hire me here.

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Being the Squeaky Wheel

medical school application

Several years ago I helped a strong applicant who had been rejected by a top medical school. He thought he was a very good fit for this particular institution, so he called the school to make his case. Surprisingly, after the applicant’s phone call, the school granted him an interview, reversing their original rejection.

It was at this time when I met the applicant; we conducted a mock interview, so he would be well-prepared.

Ultimately, after being initially rejected, this applicant was admitted to that top school.

Of course, this is an exceedingly rare occurrence. (Just to clarify: In seven and a half years as a professional coach, I’ve only seen this happen once!) But to me, the moral of this story is that it is worth being assertive (not aggressive) in the medical school and residency admissions processes: Send an update letter, call institutions (politely) to inquire about your status (if they do not expressly prohibit phone calls), and be proactive during your interviews.

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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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