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Residency USMLE

How to Ask for a Letter of Recommendation?

You’ll probably be applying for a residency in the US soon(even if you will be applying later this post is relevant to you). One of the most important supporting documents that you need as part of your application will be Letters of Recommendation.

It can be quite tricky understanding how and when to approach a letter writer to write you a recommendation. But, here are a few basic guidelines.

Work Hard, Show Interest.

Before you even think of asking someone to write you a letter of recommendation, they should be convinced that you are someone who is worth putting their reputation on the line for.

Be genuinely interested and work hard wherever you are. Not just so to impress people but because you want to learn. People will notice you.

If you seem to be passionate and hardworking, people will be more than happy to write you a letter of recommendation.

Let your actions speak for you.

When should I ask for a letter?

Although there is no right time, I think it is best to ask for a letter at the end of your time working with the faculty member. Electives/Observerships/ Research positions are a great way to connect with faculty and you can ask them for a letter at the end of your rotation.

If you have already finished your rotation, ask as early as possible. Once they agree to write you a letter, send them the letter request through ERAS as soon as the ERAS token becomes available in June of the application cycle.

In-person or via email?

Although it can be intimidating for some to ask for a letter of recommendation, you have to do it if you want to get a residency position. The people in the US know the system and it is not something they will be hearing for the first time. Its okay!

It is always best to ask for a letter in person. If you are an international medical student, ask for the letter before you head back to your home country. Request an appointment with your mentor by email or through their secretary and go meet them.

If you are not able to meet them in person and if you have come back home, it is okay to ask for a letter of recommendation via email. It is preferable not to ask over text/Whatsapp. Email is a more professional way to communicate.

In person meetings are always the best when asking for a letter of recommendation.

What should I say?

Remember, you don’t want just a “Letter of Recommendation”, you want a “Letter of Recommendation that gets you a residency spot”.

So, make that clear when you ask for a letter. You want them to talk positively about your academics, clinical skills, patient interactions but most importantly, how you are as a person. Trust me this last point can sway a residency spot in your favor.

Also be very clear. There is no right way to ask for it. But here’s what you can do.

  • Start off by telling them thank you for the opportunity to do the elective and tell them what you really liked. Be genuine. Do not try to butter things up. The can read right through it.
  • Let them know you will be applying for a residency position this year.
  • Tell them that since you have worked closely with them, it will really help your application if they can write you a “strong letter to support your application”
  • Carry a copy of your CV and other supporting documents with you and also tell them you will email them a copy.
  • Thank them.

Rejected?

Although most people agree to write you a letter, they are not obligated to do so just because yo have rotated with them.

If the letter writer feels that they have not had the opportunity to get to know you in that period to write you a letter, that is completely okay.

Thank them anyway and think of it as a blessing that they told you upfront rather than write you a generic letter.

Remind them.

Physicians are busy people. They will sometimes forget about your letter. Send them a reminder if they haven’t uploaded your letter. However wait at least 2-3 weeks before doing so. Do not badger anyone to write you a letter.

Send a “gentle reminder” :p

If you found this post helpful, don’t forget to share it with someone who may benefit from it. Also, remember to pay it forward. Submit your experiences or posts that will help other IMGs at theindianmedicalstudent@gmail.com

Read other posts about USMLE here.


If you have any questions, use the comments section below. For personalized consultation and help with your timeline, resources and strategies, fill out the consult request form and I will get back to you.

This article has been written by Dr. Rohit Nathani who is a medical graduate from Seth GS Medical College. Ask your questions in the comments section below.

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