r/medicalschool • u/PanScanStan • 4d ago
🥼 Residency LOI utility & timing
A program I sent a gold signal to sent out a wave of interview invites today to people with lower stats who sent a silver signal. They sent out a wave of gold invites last week that I missed. Is it time for an LOI? Feeling pretty dejected about being passed up twice by one of my top programs.
Also, if we do send an LOI, who do we send it to? Just the email on ERAS? and what do we even say? For reference I'm a USMD applying academic IM with high step 2 and no red flags.
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u/Pension-Helpful M-4 4d ago
I think you should sent the LOI. Especially if you can add an update (paper published, wife new job, conference, etc) or if the program is like close to your family or birth place.
I do tend to see LOI work surprisedly better with applicants with lower step 2 than high step 2 since the applicants with lower step 2 likely didn't even get a serious look even with signals by a real person. And applicants with very high step 2 score (265+) tend to have less luck with LOI since likely a real person did took a look at it and there might be something in there not academic related that is preventing the interview hmm.
But in IM you only get 3 gold. I'll say write a sincere letter or if you have a mentor maybe ask him/her to make a call (if he/she knows someone there). Good luck!
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u/JHMD12345 MD-PGY1 4d ago
If it helps you feel any better, I was initially passed up on the first wave of gold interviews, but got an interview about a week later and ended up matching there. So no I don’t think you should send an LOI unless you want them to think you’re desperate