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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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The Medical School Waitlist: Can Anything Be Done?

Just when you’ve completed your interviews and feel that you can finally sit back and relax a little because – after all – the rest is out of your hands, you may be surprised by a medical school waitlist notification. What can you do?

1. Realize that getting into medical school has become increasingly competitive year by year. Being waitlisted is infinitely better than being rejected, and thus a positive, despite the anxiety it causes.

2. Send a letter of interest. Let the school know of your continued enthusiasm and your new accomplishments. Ensure the letter is well written, streamlined, and brief. If the school is absolutely, positively your first choice, let the admissions committee know that. Feel free to send more than one letter if you are on a medical school wait list for months.

3. Ask the school if you can set up a second look. A supplementary visit indicates to the institution that you are serious, and it offers you more data in making your decision if you’re later offered a spot.

4. Do not neglect your other options. Don’t focus all of your attention on this institution to the exclusion of others: Ensure you are well-prepared for any late interview invites at other medical schools.

5. Ask a well-positioned faculty member who knows your work to make a call or send an email on your behalf. This tactic is especially helpful if the supervisor has a connection to the institution. (I do not recommend that a family friend who hasn’t worked with you contacts the school.)

6. Plan for last minute notice. At some institutions, applicants are offered slots off the medical school wait list throughout the summer. I’ve even heard of acceptances being offered the day before school was to begin. Would you be able to change your living situation, move your personal belongings, and uproot if this were to happen? Be prepared. 

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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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The Medical School Wait List: Can Anything Be Done?

Just when you’ve completed your interviews and feel that you can finally sit back and relax a little because – after all – the rest is out of your hands, you may be surprised by a medical school wait list notification. What can you do?

1. Realize that getting into medical school has become increasingly competitive year by year. Being wait listed is infinitely better than being rejected, and thus a positive, despite the anxiety is causes.
2. Send a letter of interest. Let the school know of your continued enthusiasm and your new accomplishments. Ensure the letter is well written, streamlined, and brief. If the school is absolutely, positively your first choice, let the admissions committee know that. Feel free to send more than one letter if you are on a medical school wait list for months.
3. Ask the school if you can set up a second look. A supplementary visit indicates to the institution that you are serious, and it offers you more data in making your decision if you’re later offered a spot.
4. Do not neglect your other options. Don’t focus all of your attention on this institution to the exclusion of others: Ensure you are well-prepared for any late interview invites at other medical schools.
5. Ask a well-positioned faculty member who knows your work to make a call or send an email on your behalf. This tactic is especially helpful if the supervisor has a connection to the institution. (I do not recommend that a family friend who hasn’t worked with you contacts the school.)
6. Plan for last minute notice. At some institutions, applicants are offered slots off the medical school wait list throughout the summer. I’ve even heard of acceptances being offered the day before school was to begin. Would you be able to change your living situation, move your personal belongings, and uproot if this were to happen? Be prepared. 

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Talented Pre-Meds: Leverage your Money

Recently I’ve heard from a few fortunate Insider medical school applicant clients who were not only accepted to several medical schools, but also were offered scholarship money to attend. They’ve asked me this: Is there a way to leverage the money I’ve been granted at one medical school to get funding at another?

Well, it’s worth a try.

As long as you’re diplomatic, contacting other medical schools, advising them of your scholarship, and requesting a match might help, although I’d suggest having low expectations. Still, if done politely, it cannot hurt.

In a different vein, a sometimes-successful technique I’ve encountered is to use the scholarship award as a means of obtaining an interview or trying to get off the wait list at another school. Send a note to your wait listed schools to let them know of your promised funds. After all, if you’re competitive enough to earn a scholarship at one place, you should be competitive enough to be accepted at another.

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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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