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If at first you don’t succeed, write an update letter! | SDN
The Student Doctor Network provides free tools, resources, and advising services to help students become health professionals.

Sort of confusing because adcoms here seem to denounce the value of letters of interest/update letters, yet this is featured on the front page of SDN
"However, I can give you my personal experience: when I found myself in your seat two years ago, I decided to send out nine update letters. I scored myself four “last-minute” interviews at medical schools that had not corresponded with me at all up to that point. What’s more, I turned three of those interviews into acceptances! So yes, while the time commitment is big, the payoff can be huge as well!"