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Getting Strong Medical School and Residency Letters of Recommendation, Continued

This is my second blog entry  regarding actions you can take immediately to help you obtain strong  letters of recommendation (LORs). The first entry describes two initial strategies for improving your medical school letter of recommendation process. (Much of the guidance in both blog entries is critical for residency applicants as well, so feel free to read on if you are a medical student.)  Today I’ll pursue the LOR topic further, specifically advising you how to positively influence the content of your LORs.

As a Harvard Assistant Residency Director, I bore witness to how weak – or even mediocre – LORs had the potential to bomb an otherwise competitive candidacy. Once you’ve  followed directions and asked the right people (see my previous entry), it’s time to influence the content of your letters by making the job of letter writing easy.medical school application and residency application

Let’s Give Them Something to Talk About -Bonnie Raitt

When pre-meds, residents, nurses, and physician colleagues asked me to write them LORs when I was Assistant Residency Director, the first thing I requested was that they send me background information to make my letter robust…and my job easier. Accordingly, I strongly recommend you create a “LOR packet,” which can include the following:

1. A brief, well-written cover letter defining all of your important accomplishments
2. Your curriculum vitae (CV)
3. Your personal statement in its final form
4. Your transcripts.

With regard to the cover letter, keep it streamlined. No one will skip the beach or her two-year old’s birthday party to read your exhaustive biography, so you want to thank the writer and highlight your pre-professional achievements in one page. The point of the cover letter is to supplement a letter writer’s knowledge of your candidacy and offer flattering content for inclusion. A professor may know that you made the only A in an organic chemistry class, but her LOR will be more complete, and she will demonstrate a more intimate familiarity with you if she knows enough to write that you volunteer regularly at a homeless shelter.

With regard to the CV and personal statement, these make useful supplements to the LOR packet only if they are in professional and final form. Don’t include rough drafts, as poorly organized background information leaves your writer the impression that you are a disorganized person. Also, only include the transcript if it bolsters your candidacy, demonstrating academic achievement. Don’t shoot yourself in the foot if you have some bad grades or an incomplete you’d rather not showcase.

Bottom line: An applicant who offered me a list of her accomplishments in a tidy, accessible package was more likely to get a strong, comprehensive letter that was submitted promptly. She also distinguished herself from the majority of candidates who requested letters without demonstrating a comparably sophisticated understanding of the demands this process made on my time. If you can make a letter writer’s job easier, your forethought is likely to pay dividends in the letter your receive. This is not a court of law, so the savvy applicant can take subtle advantage of her ability to “lead the witness.”

Signed, Sealed, Delivered – I’m Yours – Stevie Wonder

In addition to making your writer’s life easier with a LOR packet, you can improve your writer’s attitude and speed by making the process of submitting your letter easy: Ensure that you don’t leave your letter writer to figure out where to send the completed LOR.

Your medical school recommenders have several options for submitting their letters to the American Medical College Application Service (AMCAS). You want to make the process as convenient as possible for the writers, and different faculty members may have different preferences, so offer each writer all feasible alternatives. If your letter writer plans to send the letter by postal service, provide her with a pre-addressed, stamped envelope. There is no worse party foul than asking someone to pick up the tab for the letter she is writing you as a favor.

Below are the options. Note that your AAMC ID and AMCAS Letter ID (found on your Letter Request Form) are required, regardless of the means of submission:

1. AMCAS Letter Writer Application: This site enables letter writers to upload documents to AMCAS securely.

2. Interfolio: AMCAS can receive letters sent to Interfolio if the applicant is an Interfolio user or if the faculty member’s institution/organization uses the program.

3. Traditional post (i.e. snail mail):
AMCAS, attn: AMCAS Letters
AAMC Medical School Application Services
P.O. Box 18958
Washington, DC 20036

4. VirtualEvals (VE): VE is available to members of the National Association of Advisors for the Health Professions (NAAHP).

A savvy applicant recognizes that even the way in which one asks for a LOR has the potential to leave a favorable impression on the writer if performed tactfully. The candidate who submits organized materials, provides supplementary information about her extracurriculars (“I knew she was a star in my chemistry class; I had no idea she also captained the tennis team and coordinated medical interpreters at the community clinic, too!”), and demonstrates the foresight to provide a stamped, pre-addressed envelope or explicit directions on how to submit a letter online can turn even the most overburdened professor into an enthusiastic supporter.

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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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Getting into Medical School – Prove You Can Handle the Heat

Getting into medical school has gotten so competitive that it’s important to have a strong candidacy with excellent grades and robust extracurricular activities starting freshman year. There is no time to waste.medical school application and medical school admissions

One mistake I see pre-meds make is that they are so focused on leadership and research that they forget a critical component – clinical experience. No one wants to hire a cook who hasn’t worked in the kitchen. If you want to prove that you want to be a doctor, it’s essential that you obtain clinical experience for a significant period of time – not just a health fair or two. Working as an EMT, in a good clinical care extender program, or in a low-income clinic are just some ideas for obtaining excellent clinical exposure.

To create a plan for your medical school candidacy, secure a Strategy Session with me here.

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Expert (Goofy) Writing Tips

This entertaining list of writing don’ts offers a comic break for applicants who are working feverishly on their medical school personal statements. The rules are based on the wit and wisdom of the late New York Times’ William Safire and the copywriter Frank LaPosta Visco. Enjoy!
  1. A writer must not shift your point of view.
  2. Always pick on the correct idiom.
  3. Analogies in writing are like feathers on a snake.
  4. Always be sure to finish what
  5. Avoid alliteration. Always.
  6. Avoid archaeic spellings.
  7. Avoid clichés like the plague. (They’re old hat.)
  8. Avoid trendy locutions that sound flaky.
  9. Be more or less specific.
  10. Comparisons are as bad as clichés.
  11. Contractions aren’t necessary.
  12. Do not use hyperbole; not one in a million can do it effectively.
  13. Don’t indulge in sesquipedalian lexicological constructions.
  14. Don’t never use no double negatives.
  15. Don’t overuse exclamation marks!!
  16. Don’t repeat yourself, or say again what you have said before.
  17. Don’t use commas, that, are not, necessary.
  18. Don’t be redundant; don’t use more words than necessary; it’s highly superfluous.
  19. Eliminate quotations. As Ralph Waldo Emerson once said, “I hate quotations. Tell me what you know.”
  20. Employ the vernacular.
  21. Eschew ampersands & abbreviations, etc.
  22. Eschew obfuscation.
  23. Even if a mixed metaphor sings, it should be derailed.
  24. Everyone should be careful to use a singular pronoun with singular nouns in their writing.
  25. Exaggeration is a billion times worse than understatement.
  26. Foreign words and phrases are not apropos.
  27. Go around the barn at high noon to avoid colloquialisms.
  28. Hopefully, you will use words correctly, irregardless of how others use them.
  29. If any word is improper at the end of a sentence, a linking verb is.
  30. If you reread your work, you can find on rereading a great deal of repetition can be avoided by rereading and editing.
  31. It behooves you to avoid archaic expressions.
  32. It is wrong to ever split an infinitive.
  33. Never use a big word when a diminutive alternative would suffice.
  34. No sentence fragments.
  35. One should never generalize.
  36. One-word sentences? Eliminate.
  37. Parenthetical remarks (however relevant) are unnecessary.
  38. Parenthetical words however must be enclosed in commas.
  39. Place pronouns as close as possible, especially in long sentences, as of ten or more words, to their antecedents.
  40. Placing a comma between subject and predicate, is not correct.
  41. Proofread carefully to see if you any words out.
  42. Prepositions are not words to end sentences with.
  43. Profanity sucks.
  44. Subject and verb always has to agree.
  45. Take the bull by the hand and avoid mixing metaphors.
  46. The adverb always follows the verb.
  47. The passive voice is to be avoided.
  48. Understatement is always best.
  49. Use the apostrophe in it’s proper place and omit it when its not needed.
  50. Use youre spell chekker to avoid mispeling and to catch typograhpical errers.
  51. Who needs rhetorical questions?
  52. Writing carefully, dangling participles must be avoided.
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When Your Debts Affect Your Dates

A recent article in the NY Times highlights how individual debt taken on as a student has the power to adversely affect one’s subsequent relationships. You can link to the article here.

You are feeling less anxious and more comfortable with the whole medical school applications game. The interviews keep rolling in. Finally, you start to receive acceptance letters from multiple schools. Suddenly you find yourself in the enviable position of having a choice between a reputable state school, where tuition is relatively low, and a reputable private school, where you will go deeply into debt. You visit the private school and see stars: the buildings are made of marble, the admissions officials wear designer suits, and the alumni network, everyone assures you, will give you a leg up in residency applications. Should financial considerations play into your decision? Should you ignore finances and follow your heart, assuming that as a future physician you’ll comfortably be able to pay off any educational debt? 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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