Good news! No one who hates you will agree to write you a Letter of Recommendation. It's too annoying of a task to bother with if you don't have nice things to say about someone. Still, some letters can be lackluster, especially if they're rushed. There are ways to make sure that recommenders are talking you up.
Depending on the school, you'll need four to 10 LORs. But if a school asks for a minimum of four, honestly, that is too few to submit. Eight is great. The more quality endorsements of your candidacy, the stronger your application. And having people from different arenas saying that you're someone they respect proves that you are just crushing it.
When to Ask:
Decide who to ask for a recommendation letter six to eight months before your applications are due, so you're requesting them in January or February at the latest. If you're choosing the right people, they're successful and busy. Give them the maximum time to consider what they want to say about you.
Who to Ask:
The schools will let you know who they want to hear from here, we share why they want those recommenders and why you should go a step beyond a school's expectations. Aim for:
At least two science professors. Medical schools want to know: Do you have a dedication to and talent for scientific study? A school might request one or two science professors as recommenders. You should use two as references even if the school doesn't require two. Have three? Even better. A science TA who knows you well can write one of these letters—if the professor cosigns it.
At least one non-science professor. Having this in your packet shows you're well-rounded. Doing notably well in a literature, social science, or math course shows a school that broader learning is important to you. A reference from a liberal art or language professor can emphasize different strengths than those you've shown in your science courses or a consistent strength across subject matters.
Medical professionals. If you have had a clinical, shadowing, or lab experience where you connected with a medical professional, they're a terrific option for a LOR. You don't have to stick to M.D.s; osteopathic physicians, nurse practitioners, EMTs, medical students—anyone who supervised you is gold. If you're applying to osteopathic medical school, you need an osteopathic physician as a reference.
You want these letters to be personal, so it's better to choose someone who was a true mentor and/or saw you in action over a chief of surgery or research lead who barely knows you. Personal beats prestige here.
Supervisors. Supervisors at your job, volunteer posts, and extracurricular activities are strong options. These people have seen you dedicate yourself to something. They've also likely seen you collaborate and work under pressure. Unlike your science professors and medical professionals, these individuals may have never written a recommendation letter for medical school before. In addition to refreshing their memory of your achievements, tell them what qualities medical schools are looking for so that they can highlight those.
Attributes they might touch on: Leadership, compassion and sensitivity, strong communication skills, critical, creative thinking ability, work ethic, and professionalism.
How to Ask:
Individualize your approach. What do you know about your potential recommender? Are they someone who will want a face-to-face conversation about this? Or are they someone who will be open to an email with an updated CV attached?
Remind them of your accomplishments. You're not telling them what to write—and they may well choose to highlight some of your other victories or qualities—but offering them a refresher to reference will make your request less of a burden. Science professors know the drill of writing medical school references, but they have a lot of other students, so a reminder of what you've done is still appreciated. Ex. "It was a privilege to be in a graduate course as an undergraduate. Attending office hours deepened my understanding of the material. I'm proud to have earned an A on both the midterm and final exam. And leading my final group presentation improved my research skills and made me a better collaborator."
You want to tell a superior at a clinical experience what it meant to you to be there and how you thrived in that job. Ex. "Your recommendation would mean so much to me because this job reinforced my goal to become a physician. Working on the COVID-19 clinical research study made me feel like a part of the hospital team and taught me how medicine approaches novel diseases. Interacting with dozens of patients improved my communication skills." OR "Working as a scribe in the ER enhanced my ability to focus in a hectic environment. Serving as senior medical scribe has meant serving as a mentor for the first time. Since my promotion in June, I have led weekly meetings and made myself available to newer staff over email and text."
And again, if you're asking for a recommendation from someone who has never written one, loop them in on the qualities that medical schools are looking for and how you've exemplified them. Ex. "The schools that I am applying to emphasize leadership and collaboration. I believe that my final group project on the early work of Chaucer showed my abilities in those areas."
Go beyond the ask. After someone agrees to be your recommender, you're going to send them a "game plan" that gets into the experiences you had and your accomplishments in greater depth than you did in your initial request. For example, the student who highlighted the Chaucer project can remind their professor what aspects of the presentation they worked on and reiterate that they organized the group's study sessions. The applicant who was a medical scribe should list their daily duties and talk about some of their most poignant or analytical learning experiences. You get the gist. If you're not sure what to include, an Apply Point advisor can help you pull specific details from your experiences.
Say thank you in a unique way. Once someone has agreed to write your recommendation, do something nice for them. Send a memorable note, maybe even a small gift (a bottle of wine or some candy is nice, if you know they partake) or offer to take them to lunch. This is common courtesy, but it's also going to remind them to submit their letter on time.
A Note for Reapplicants:
If you're reapplying to medical school, you can use the same letters of recommendation, but you'll need to resubmit them. AMCAS does not keep old letters on file.
A Tip for the Early Birds:
If you're a college sophomore and there's a current professor who you'd love to support your candidacy for medical school, ask for the letter of recommendation right after the course ends. The pre-health office will hold the letter until you are ready to apply. If your school doesn't have a pre-health office, you can request an advisor from the National Association of Advisors for the Health Professions (NAAHP). You can also use a letter service such as Interfolio or VirtualEvals. They can deliver your reference when it's time to submit. If your ideal recommender says, "I'll write it the year you apply," stay in touch and keep them updated on your accomplishments.
When to Get a Letter of Support:
You might know someone who has a connection to a particular school. Instead of a letter of recommendation to all your schools, they can send a "letter of support" to the school that especially values them. A letter of support is sent entirely separately from your application. They'll just pop it in the mail or send an email. The most influential writers will be tenured professors, someone on the board of trustees, or a significant donor.