Your Medical School Application: Win the Waiting Game

After you’ve submitted your medical school application and/or completed your interview, you’ll want to be proactive as you wait for a school's decision. In the weeks after your interview, for example—say, two to three weeks in—you should send a letter reiterating your interest to keep the admissions office thinking about you. 

Here are your choices:

The Update Letter. 

We're going to go ahead and say that you should send an update letter to every school where you’ve interviewed, unless you absolutely hated one or two and are confident that you'll get in elsewhere. You should also be writing to schools you’ve yet to hear from to remind them that you’re eager to connect. 

You want to send a maximum of two Update Letters over a six to 10-week period that reiterate your interest in each school with program-specific details. And only send letters that include a substantive accomplishment. If you don’t think you have one—you do! You just have to find it. We like these examples of accomplishments that one might include in an Update Letter: 

• "Since submitting my application, I have increased my overall GPA to 3.8, earning an A+ in Biochemistry." 

• "As I mentioned during my interview, I began an internship doing clinical research at My Local Hospital in October. In the ensuing weeks, I have pre-screened 75 potential study subjects, gaining valuable research and patient-facing experience." 

• "Since applying, I gave a poster presentation on a novel postpartum hemorrhage treatment at The Very Cool National Conference." 

The Letter of Intent.

If a school is a top contender for you, go a step beyond an Update Letter, and send a Letter of Intent. Send a Letter of Intent one or two weeks after your interview or the instant you have been waitlisted. Your letter should include relevant updates since you submitted your application (what you'd put in an Update Letter). Plus, a reiteration of your interest in the program with shoutouts to favorite offerings. Be specific about why you are interested in the medical school and try to relate those interests to your background, accomplishments, and goals. Have you worked on a study that relates to something happening in one of their labs? Do you want to be a pediatric surgeon and they are affiliated with one of the best children's hospitals in the country? Tell them. 

And finally—and this is what makes a Letter of Intent different from an Update Letter—include the yield protection statement: "If admitted I will attend." Keep it tight. No more than one page. Three paragraphs, max. 

Medical schools have several reasons for wanting to accept people whom they know will attend. First, they want enthusiastic students who will add to the morale of the student body. They also like to know, especially as the date of matriculation nears, that the applicant they accept will attend because no medical school wants an open seat on the first day of classes. Finally, medical schools like the percentage of accepted applicants who matriculate to be as high as possible since this reflects the desirability of the medical school. (That's their "yield percentage" stat.)

The Quasi-Letter of Intent. 

Along with your updates, you can also tell up to two schools: "I will likely attend" or "X school is one of my top choices." But ensure that your language is tight. You can only send an "I will attend" letter to your top choice school.

Waitlisted? Here’s What to Expect.

News you have been waitlisted at one of the medical schools on your list is disappointing. But the game isn’t over. 

You can influence your chance of being selected from the waitlist of any school by continuing to showcase your interest in their program through update letters, visits, and meetings with professors, admissions directors, and current students. You can also craft a letter of intent to your first-choice program. This letter will be similar in content to an update letter, but it will include the key yield protection statement: “Medical School X is my first choice and, if admitted, I would attend.” If you can make such a statement, it will be impactful. Keep in mind, however, that you should only make this promise to one school. For other programs, you may send an update letter that expresses your continued interest without this level of commitment.

As the waiting game continues, keep in mind that the number of students who are admitted each year from the waitlist depends on the school. Competitive programs typically admit fewer because they have a higher yield (acceptances resulting from initial admissions offers). But other schools will admit up to half of the class from the waitlist. It is also important to note that many schools do not use “rolling waitlists.” Instead, they often delay until they have received final admissions decisions from prospective students on April 30th. After this date, you will only be able to hold a seat at one medical school. While you can withdraw from a school if you are accepted from the waitlist into a preferred school up to the point of matriculation, you cannot hold a seat at both schools. Familiarize yourself with school-specific waitlist policies via the AAMC website. 

Good luck!    

Related: The Medical School Application: Sending an Update Letter

Waitlisted? Don’t Give Up Hope. Write a Letter of Intent.

News you have been waitlisted at one of your top-choice medical schools can bring a range of emotions. It’s not the desired outcome, of course, but the game isn’t over. Their admissions committee still sees you as a worthy applicant, capable of handling the rigors of the program.

The number of students who are admitted each year from the waitlist varies based on the school. Highly ranked and competitive programs will typically admit fewer from the waitlist than those further down in the rankings, as they will have a higher yield (acceptances resulting from initial admissions offers).

You can influence your chance of being selected from the waitlist of any school by continuing to showcase your interest in their program. Just as it is critical for medical schools not to overfill their incoming class, they do not want to have empty seats when the school year begins. Therefore, if you can show that you will improve their yield, a key component in medical school rankings, they will be more likely to send to you a letter of acceptance. Engagement with the program through visits and meetings with professors, admissions directors, and current students is an effective way to show interest. But don’t forget to craft a compelling letter of intent too. It should include the following:

• Meaningful updates since you’ve submitted your application. Did your research study finally get published? What have been the key takeaways in that internship you began in August?
• Reiterate your interest in the school by citing specific courses, experiential learning opportunities, professors, etc. that make sense given where you’ve been in your life and career so far and where you want to go. Why do you believe you are a good fit?  What will you bring to the incoming class? How will their program help you achieve your goals?
• Mention any experiences you’ve had on a campus visit/tour or during your interview that increased your commitment to the school.
• The Yield Protection Statement: “Medical School X is my first choice and, if admitted, I would absolutely attend.” If you can make such a statement, this will be the most impactful component of your letter.

As the waiting game continues, keep in mind that many schools do not use “rolling waitlists.” Instead, they often wait until they have received final admissions decisions from prospective students on May 15th. After this date, prospective students will only be able to hold a seat at one medical school. While prospective students can withdraw from a school if they are accepted from the waitlist into a preferred school up to the point of matriculation, students cannot hold a seat at both schools.

Good luck!