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Pretty straight forward. I've searched SDN and answers range anywhere from August to sometime after Fall grades.
MedPr, sorry I don't have an answer, but can you aware me on what exactly is an update letter? thanks
Update letter?
Are these mandatory or is it just icing on the cake?
PER-INTERVIEW
Once your secondaries are out, send one every 1.5-2 months to schools you haven't heard back from yet. This lets the schools know that you are proactive about your pursuit of a career in medicine and your efforts show an interest in their institution. Also, only send out the letter if there is something new. Don't send an update letter saying something like, "I'm still volunteering at [insert institution name]".
POST-INTERVIEW
If you get interviews and get wait listed, send update letters about 1-1.5 months post-wait list status and also send a "letter of intent" to the school you most want to get into. The reason why you should keep sending the updates is that it forces the school to keep pulling your file as well as the reasons I explained above. This should improve your chances of getting accepted off the wait list unless the school ranks you on their wait list right away.