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Disclaimer: This post was not written by me, it has been passed down through the ages over a campfire.
This thread is for 2025-2026 applicants (those who will be entering medical school in 2026) to ask questions about letters of recommendation.
Any separate threads in Pre-Allo dealing with this topic will be merged into this thread.
Before asking a question, PLEASE READ THE FAQ, both here in this thread AND on the AMCAS website! It is quite possible that your question will have already been answered. If you think that you have a different take on a question in the FAQ, acknowledge this in your question; everyone in pre-allo will be much more likely to help you out if they think you've done due diligence.
LINK TO LAST YEAR'S THREAD
Also, each thread has a search function. Please use it before asking your question by clicking the "Search this Thread" button near the top of the page.
This thread is brought to you by the Pre-Allopathic Volunteer Staff. Ask away, and good luck!!
Frequently Asked Questions
1. What kinds of letters do I need to apply to medical school?
For most schools, you need a MINIMUM of two letters from science professors, and 1 letter from a non-science professor. If you have done research, a letter from your PI is also recommended, especially at research-intensive schools. (If you know of any exceptions to this rule, feel free to post in this thread with citations and I will add them). Other letters that may be helpful: a letter from an employer who knows your skills well, a letter from a physician you shadowed/worked with who knows your skills well, a letter from a volunteer coordinator who knows your skills well. The key is that the letters be exceptional. A detailed letter that can give clear examples of why you are an excellent candidate for medical school will generally trump a tepid letter from a famous person. Every school is different. Please check each school's individual letter requirements by visiting their website.A copy of an XLS spreadsheet from 2010 is attached to this post. The accuracy of this spreadsheet is unknown so be sure to check individual school websites! Keep in mind that a committee letter usually overrides any specific school requirements listed on the spreadsheet.
1a. But doesn't every school have different letter requirements?
Yes, they do. Do your homework, buy an MSAR (I hear from this thread that the way to go is to buy online access because the hard copy is not as useful:http://forums.studentdoctor.net/showthread.php?t=811023), and look at the school websites. Also, AMCAS has a link to every school; use it and figure out what you need for the schools you're applying to. https://www.aamc.org/students/applyi...ating_schools/You can get a rough idea from the attached XLS spreadsheet but check school websites to confirm.
1b. But do I really really have to get X type of letter? (2 non-science, 1 science, a letter from my PI)
The short answer: yes. The long answer: Maybe...it depends on the school. No one on SDN can answer this for you. But the general rule in medical school admissions is do what you are told. Get the two science letters. If you can't...call the schools you're applying to and see if they will make an exception. But be aware that the answer may be no.
2. I am a non-traditional student and have been out of school for awhile. Can I get around the letter requirements?
The simple answer is probably no. If you are a non-traditional student, this doesn't mean that you have an easier time getting into medical school; the same hoops still need to be jumped through. Being out of school for awhile is likely a problem in itself; schools want to see recent evidence that you can handle the coursework necessary to get through medical school. Take some classes, form relationships, and get the letters you need to. If you must, you can contact each school individually to see if they would be ok with you submitting alternate letters, but be aware that the answer may be "no".
3. My school has a medical school admissions committee, and they produce a committee letter. But the letter won't be released until really LATE! (August, September, October). Can I just skip the committee and collect my own letters?
The general wisdom on this topic is that if your school has a committee, USE IT! If you don't, you will be asked why and will need a very good reason. You are circumventing the committee at your own risk.
4. How/when can I submit letters of req to AMCAS?
Once the application opens in May, you may begin submitting letters to AMCAS. Before you can mail a letter in, you must "create' the letter in your AMCAS application. This involves you telling AMCAS who the letter writer is and naming the letter in AMCAS. AMCAS will then give this letter an ID number. It is important for you to give your letter writer both your AMCAS ID number and the Letter ID number to avoid any snafus with lost letters. Your letter writer can then mail the letter into AMCAS with these two pieces of information, and the letter will be uploaded to your file and will be available to assign to any school you wish. I am told that while AMCAS will accept documents without your AMCAS ID on them, you MUST have the Letter ID or AMCAS will not accept it. I don't have firsthand knowledge of whether or not this is true.
You can create and submit letters at any time, including after you submit your application and after you are verified. This is one of the few parts of the application you can edit after submission.
5. Do I have to know which letters are going to which school when I first submit my AMCAS application?
NO! You can submit your application without assigning letters. Again, this is one of the few parts of the application that can be altered later. HOWEVER, once you assign a letter to a school, you CANNOT un-assign it. If the letter is present in AMCAS, and you assign it to a school, it WILL go to that school. However, if you "create" the letter in AMCAS, assign it to a school, but your letter writer never sends the letter in, you can notify AMCAS (and the school, through the AMCAS application) that the letter will no longer be sent.
6. Is it in my best interest to have my letter writers write different letters for each school?
Probably not. AMCAS can only hold a maximum of 10 letters for you. If you need a minimum of 3 letters for each school, these slots will be used up rather quickly.
7. What are letter services such as Interfolio, and why do people use them?
Interfolio and other companies provide secure online letter holding services. You can have your letters uploaded to these services at any time so that you're not scrambling at the last minute (or during the summer!) to get letters into your application. This can be especially beneficial when you are 9 months or so out from your planned application cycle, but know the professor you have NOW will write you a great letter. You can have them write the letter, upload it to a letter service, and then many months later have the letter sent to AMCAS once the application opens. When you do this, you have the ability to add on both your AMCAS ID and the Letter ID to the letter. All your letter writer needs to do is upload the letter (or mail it in) on letterhead and with a signature. These sites are secure and they do not allow you to read the letter beforehand.
8. What else about letters do I need to know?
Your letter must be SIGNED, and should be on OFFICIAL LETTERHEAD whenever possible. This is something that holds people up every year. Some schools will even hold up your application because of this. Also, AMCAS has a beautiful FAQ dealing with letters here: https://www.aamc.org/students/applyi...ding_page.html
9. How should I ask someone for a letter of req?
On this one, I will give my own experience. For each letter writer, I prepared a packet. In the packet I had:
A list of all of my science grades (or non-science grades for a non-science prof)
A copy of my resume
A rough draft of my personal statement
The AAMC Guidelines for letter writers, a reminder that the letter needed to be signed and on letterhead.
Before handing them this (because who wants all that before they even say yes!) I asked them point blank if they "would feel comfortable writing me a strong letter of recommendation for medical school". Always do this in person!!! If they hesitate...walk away. Seriously. You don't want this person writing your letter.
When they enthusiastically said yes, I pulled the packet out of my backpack and gave it to them.
Because I used Interfolio, I did not need to provide them with my AMCAS ID or Letter ID, but instead told them that they would get an email from Interfolio that evening with instructions on how to upload the letter. Give them a FIRM deadline (2-4 weeks seems to work best) for when you need the letter. Don't ask at the last minute. Don't ask when you think a billion other people will be asking. Do offer to provide them with any other supplementary information they would like. And do give them a thank-you note (and maybe a Starbucks card) when they submit the letter.
10. OMG! My letter writer has not written my letter!!! It has been minutes/hours/days/weeks/months and I'm freaking out!! What do I do!?
First, stop by or email and gently remind them that you need the letter by X date. If this doesn't work, I have given them a premature Thank-You note with a small token, and this seems to light a fire. I recommended this method to someone on SDN last year and it apparently worked like a charm.
If this isn't working....you do the same thing you do whenever something goes awry - find a plan B. Ask someone else...two other people even, just in case this person does not come through. You can't have too many letters. But you can have too few.
11. Do I have to waive my right to see the letters?
No. But if you don't schools might not see them as letters that carry much weight. Waive your right. If you know the person well enough, you should have a pretty good idea of what they are going to write.
12. If I apply this June, and I have given every school my 5 chosen LOR's with committee letter through AMCAS virtual evals upload by my prehealth office, and then I get anther LOR over the summer/fall and want to send it to all schools in December, do I have to have the prof mail it to all 25 schools or will AMCAS distribute it?
or, tl;dr: Can I submit my application without the letters?
You can add a letter at ANY time in AMCAS, have it sent to AMCAS, and AMCAS will distribute it.
You may want to shoot an email to each school letting them know to expect another letter just in case. They should be updating your file continuously (they will want your current contact info, and often people change their addresses mid cycle) but they may not always do it in a timely manner.
Please send me a PM if you know of additional questions suitable for the FAQ.
This thread is for 2025-2026 applicants (those who will be entering medical school in 2026) to ask questions about letters of recommendation.
Any separate threads in Pre-Allo dealing with this topic will be merged into this thread.
Before asking a question, PLEASE READ THE FAQ, both here in this thread AND on the AMCAS website! It is quite possible that your question will have already been answered. If you think that you have a different take on a question in the FAQ, acknowledge this in your question; everyone in pre-allo will be much more likely to help you out if they think you've done due diligence.
LINK TO LAST YEAR'S THREAD
Also, each thread has a search function. Please use it before asking your question by clicking the "Search this Thread" button near the top of the page.
This thread is brought to you by the Pre-Allopathic Volunteer Staff. Ask away, and good luck!!
Frequently Asked Questions
1. What kinds of letters do I need to apply to medical school?
For most schools, you need a MINIMUM of two letters from science professors, and 1 letter from a non-science professor. If you have done research, a letter from your PI is also recommended, especially at research-intensive schools. (If you know of any exceptions to this rule, feel free to post in this thread with citations and I will add them). Other letters that may be helpful: a letter from an employer who knows your skills well, a letter from a physician you shadowed/worked with who knows your skills well, a letter from a volunteer coordinator who knows your skills well. The key is that the letters be exceptional. A detailed letter that can give clear examples of why you are an excellent candidate for medical school will generally trump a tepid letter from a famous person. Every school is different. Please check each school's individual letter requirements by visiting their website.A copy of an XLS spreadsheet from 2010 is attached to this post. The accuracy of this spreadsheet is unknown so be sure to check individual school websites! Keep in mind that a committee letter usually overrides any specific school requirements listed on the spreadsheet.
1a. But doesn't every school have different letter requirements?
Yes, they do. Do your homework, buy an MSAR (I hear from this thread that the way to go is to buy online access because the hard copy is not as useful:http://forums.studentdoctor.net/showthread.php?t=811023), and look at the school websites. Also, AMCAS has a link to every school; use it and figure out what you need for the schools you're applying to. https://www.aamc.org/students/applyi...ating_schools/You can get a rough idea from the attached XLS spreadsheet but check school websites to confirm.
1b. But do I really really have to get X type of letter? (2 non-science, 1 science, a letter from my PI)
The short answer: yes. The long answer: Maybe...it depends on the school. No one on SDN can answer this for you. But the general rule in medical school admissions is do what you are told. Get the two science letters. If you can't...call the schools you're applying to and see if they will make an exception. But be aware that the answer may be no.
2. I am a non-traditional student and have been out of school for awhile. Can I get around the letter requirements?
The simple answer is probably no. If you are a non-traditional student, this doesn't mean that you have an easier time getting into medical school; the same hoops still need to be jumped through. Being out of school for awhile is likely a problem in itself; schools want to see recent evidence that you can handle the coursework necessary to get through medical school. Take some classes, form relationships, and get the letters you need to. If you must, you can contact each school individually to see if they would be ok with you submitting alternate letters, but be aware that the answer may be "no".
3. My school has a medical school admissions committee, and they produce a committee letter. But the letter won't be released until really LATE! (August, September, October). Can I just skip the committee and collect my own letters?
The general wisdom on this topic is that if your school has a committee, USE IT! If you don't, you will be asked why and will need a very good reason. You are circumventing the committee at your own risk.
4. How/when can I submit letters of req to AMCAS?
Once the application opens in May, you may begin submitting letters to AMCAS. Before you can mail a letter in, you must "create' the letter in your AMCAS application. This involves you telling AMCAS who the letter writer is and naming the letter in AMCAS. AMCAS will then give this letter an ID number. It is important for you to give your letter writer both your AMCAS ID number and the Letter ID number to avoid any snafus with lost letters. Your letter writer can then mail the letter into AMCAS with these two pieces of information, and the letter will be uploaded to your file and will be available to assign to any school you wish. I am told that while AMCAS will accept documents without your AMCAS ID on them, you MUST have the Letter ID or AMCAS will not accept it. I don't have firsthand knowledge of whether or not this is true.
You can create and submit letters at any time, including after you submit your application and after you are verified. This is one of the few parts of the application you can edit after submission.
5. Do I have to know which letters are going to which school when I first submit my AMCAS application?
NO! You can submit your application without assigning letters. Again, this is one of the few parts of the application that can be altered later. HOWEVER, once you assign a letter to a school, you CANNOT un-assign it. If the letter is present in AMCAS, and you assign it to a school, it WILL go to that school. However, if you "create" the letter in AMCAS, assign it to a school, but your letter writer never sends the letter in, you can notify AMCAS (and the school, through the AMCAS application) that the letter will no longer be sent.
6. Is it in my best interest to have my letter writers write different letters for each school?
Probably not. AMCAS can only hold a maximum of 10 letters for you. If you need a minimum of 3 letters for each school, these slots will be used up rather quickly.
7. What are letter services such as Interfolio, and why do people use them?
Interfolio and other companies provide secure online letter holding services. You can have your letters uploaded to these services at any time so that you're not scrambling at the last minute (or during the summer!) to get letters into your application. This can be especially beneficial when you are 9 months or so out from your planned application cycle, but know the professor you have NOW will write you a great letter. You can have them write the letter, upload it to a letter service, and then many months later have the letter sent to AMCAS once the application opens. When you do this, you have the ability to add on both your AMCAS ID and the Letter ID to the letter. All your letter writer needs to do is upload the letter (or mail it in) on letterhead and with a signature. These sites are secure and they do not allow you to read the letter beforehand.
8. What else about letters do I need to know?
Your letter must be SIGNED, and should be on OFFICIAL LETTERHEAD whenever possible. This is something that holds people up every year. Some schools will even hold up your application because of this. Also, AMCAS has a beautiful FAQ dealing with letters here: https://www.aamc.org/students/applyi...ding_page.html
9. How should I ask someone for a letter of req?
On this one, I will give my own experience. For each letter writer, I prepared a packet. In the packet I had:
A list of all of my science grades (or non-science grades for a non-science prof)
A copy of my resume
A rough draft of my personal statement
The AAMC Guidelines for letter writers, a reminder that the letter needed to be signed and on letterhead.
Before handing them this (because who wants all that before they even say yes!) I asked them point blank if they "would feel comfortable writing me a strong letter of recommendation for medical school". Always do this in person!!! If they hesitate...walk away. Seriously. You don't want this person writing your letter.
When they enthusiastically said yes, I pulled the packet out of my backpack and gave it to them.
Because I used Interfolio, I did not need to provide them with my AMCAS ID or Letter ID, but instead told them that they would get an email from Interfolio that evening with instructions on how to upload the letter. Give them a FIRM deadline (2-4 weeks seems to work best) for when you need the letter. Don't ask at the last minute. Don't ask when you think a billion other people will be asking. Do offer to provide them with any other supplementary information they would like. And do give them a thank-you note (and maybe a Starbucks card) when they submit the letter.
10. OMG! My letter writer has not written my letter!!! It has been minutes/hours/days/weeks/months and I'm freaking out!! What do I do!?
First, stop by or email and gently remind them that you need the letter by X date. If this doesn't work, I have given them a premature Thank-You note with a small token, and this seems to light a fire. I recommended this method to someone on SDN last year and it apparently worked like a charm.
If this isn't working....you do the same thing you do whenever something goes awry - find a plan B. Ask someone else...two other people even, just in case this person does not come through. You can't have too many letters. But you can have too few.
11. Do I have to waive my right to see the letters?
No. But if you don't schools might not see them as letters that carry much weight. Waive your right. If you know the person well enough, you should have a pretty good idea of what they are going to write.
12. If I apply this June, and I have given every school my 5 chosen LOR's with committee letter through AMCAS virtual evals upload by my prehealth office, and then I get anther LOR over the summer/fall and want to send it to all schools in December, do I have to have the prof mail it to all 25 schools or will AMCAS distribute it?
or, tl;dr: Can I submit my application without the letters?
You can add a letter at ANY time in AMCAS, have it sent to AMCAS, and AMCAS will distribute it.
You may want to shoot an email to each school letting them know to expect another letter just in case. They should be updating your file continuously (they will want your current contact info, and often people change their addresses mid cycle) but they may not always do it in a timely manner.
Please send me a PM if you know of additional questions suitable for the FAQ.
