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No One Wants to be your Second 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 choice.”

Not very compelling…The same is true for letters of interest or, really, any outreach to medical schools or residency programs: Over the years, I’ve edited many letters in which applicants mention 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 am confident I can make a positive contribution.” In other words, you can stay honest while not shooting yourself in the foot.

Let me know if you need assistance with a letter of interest.

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Make Sure to Read the Fine Print

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

The student sent follow up notes to all schools where he had interviewed, usually a strategic move. However, he was very 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 extremely severe – almost cruel – 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 and post-waitlist contact. Most places welcome written updates, but make sure to confirm before you reach out.

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Congratulations and Congratulations

I’ve heard from several clients who have already been accepted to medical school this cycle. Congratulations! I’ve also heard from several clients who have been waitlisted. Congratulations! The waitlist can feel like a disappointment, but it’s important to see it for what it is – a potential acceptance.

One of the hard parts of being on a waitlist is the uncertainty. We humans like to be in control! One way to alleviate this discomfort is to do something. Assuming the school you’re waitlisted at allows communication through their portal, email, or snail mail, I recommend sending a letter of interest (LOI).

When writing your LOI, you should have the following goals:

  1. Restating your strong enthusiasm for the institution
  2. Positioning yourself as a distinctive candidate who can contribute fully to the school
  3. Showcasing any updates to your candidacy. (If you don’t have updates, you should still write the LOI.)

LOI errors to avoid:

  1. Don’t include generic content about the institution’s advantages, meaning don’t waste valuable “geography” telling a medical school admissions officer what makes his/her institution special. Using precious space this way is an opportunity cost, keeping you from fully showcasing what makes you a compelling applicant. Instead, a good technique is to link one of your particular accomplishments with a distinctive opportunity at the institution. For example if you’ve done cancer research, make sure to showcase it and point out that you’ll contribute to the renowned oncology center the institution is associated with.
  2. Don’t focus on how the school will help you. (“Your medical school will assist me in reaching my career goals.”) Your angle instead, should be on how you will be a contributor to their institution. For example, you can detail how one of your leadership experiences has given you the tools to make you a future leader at this institution. (It’s the “What have you done for me lately?” Janet Jackson principle.)

Finally, let me say that I find the term “letter of interest” to be better than the old jargon “letter of intent” because, generally, I don’t recommend you let institutions know what your intent is (since it might change). Note that with a letter of interest you can create one general letter that you modify and send to multiple institutions with different goals (i.e. if you are placed on another waitlist, to request an interview, or to demonstrate your interest post-interview at another medical school). You can also modify the letter and send it to your top choices because, if you are not making a commitment to one school, then you can honestly use it for multiple institutions. 

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

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Love Letters and Janet Jackson

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

1) Residency and medical school applicants who want to make an impression post-interview before decisions are made about their candidacies.
2) Medical school and residency applicants who have not yet been invited to interview.
3) Medical school applicants who have been waitlisted.

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

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

Errors to avoid in LOIs are:

1) Don’t include generic 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 his/her institution special. (“Your faculty is strong and your trainees are collegial” or “You are a world-renowned institution.”) Using your precious space this way is an opportunity cost, keeping you from fully showcasing what makes you a compelling applicant. Having said that, it is very reasonable to link a particular interest of yours with a specific opportunity at an institution. For example if you have done cancer research, make sure to mention how you will contribute to the renowned oncology program the institution is associated with.

2) Don’t write about how the program or school will help you. (“I know your residency will make me into a great doctor.”) The focus should, instead, be on how you will be a contributor to their institution. For example, you can detail how a specific leadership experience of yours has given you the skills to make you a future leader at this institution. (It’s the “What have you done for me lately?” Janet Jackson principle.)

Finally, let me say that I find the term “letter of interest” to 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 with a letter of interest 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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Flight of the Conchords’ “The Most Beautiful Girl (in the Room)”

I’m a huge fan of Flight of the Conchords – both the show and the comedy duo themselves. Bret McKenzie and Jemaine Clement sing a hilarious tune called “The Most Beautiful Girl in the Room” whose lyrics include

…Looking ’round the room
I can tell that you
Are the most beautiful girl in the… room
In the whole wide room (ooh)
And when you’re on the street
Depending on the street
I bet you are definitely in the top three
Good lookin’ girls on the street, yeah
Depending on the street, ooh…

The lyrics proceed from there, consistently qualifying Jemaine’s crush’s beauty:

…You’re so beautiful
Mm, you could be a part-time model
But you’d probably still have to keep your normal job

I thought of this song recently when a wonderful client asked if he should let a residency program know it was one of his top two choices. While very well-meaning, that type of endorsement can fall flat. I would also avoid phrases like “one of my top” picks.

Instead, you can say (or write) 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.

Here’s the “Most Beautiful Girl” video. It’s hilarious.

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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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