Letters of recommendations are a key component of any health professional application process. In order to enter college, graduate school, professional school or obtain employment, someone else’s words can be required to help you reach your intended goals.
Sometimes, this can seem unfair. How can a professor or previous employer really know who you are and display that on paper? Is he even a good writer? Does she even remember me? These are common thoughts that run through the average applicants mind.
The letter of recommendation is a part of the health professional school application process that is not entirely within your control. As such, it is a source of significant anxiety among students. Your admission to your desired program will be based, at least in part, on the words of others.
This article attempts to quell your fears and arm you with tactics on approaching that unsuspecting potential letter of recommendation writer!
Of those who write letters of recommendation on your behalf, often the most important is your premedical or pre-health advisor. Even at large universities, this responsibility usually falls on a single person. You should get to know this person fairly well, and more importantly, you should allow this person to get to know you. Everyone applying to medical, dental, veterinary or other health professional school should have a formal meeting with their college pre-health advisor at least once, but the best motivated students will meet with them on several occasions.
You should treat each meeting with your pre-health advisor as a mini-interview for health professional school—they are forming an opinion of you at each meeting. You do not want to make a bad impression, but you also must make them aware of your intentions. Go over your statistics and your extracurricular activities with this advisor. Oftentimes, they will have a list of former pre-health students (now health professional students) who share your qualifications. They can then show you what schools they successfully entered and give you a rough idea on your chances of successful professional school admissions.
In most cases, it is appropriate to meet your pre-health advisor once during freshman year or soon after you have decided to apply to health professional school. After the first meeting, you should see them at least twice per school year. These “meetings” do not necessarily need to be during formal meetings at all—you may just stop over and say hello at pre-health functions or social gatherings. You want to make your face familiar, but not give yourself a chance to commit a faux pas.
While your pre-health advisor can be an excellent source of information, you should have most of the information you want them to know about you already in hand at your first formal meeting. This time should be an information sharing experience. You share the things you have accomplished and are planning to do and then ask them what they would recommend to improve your preparation for medical school. Incidentally, it is best to frame your questions as “What can I do to prepare for health professional school?” even if you really mean “What do I need to do to get into health professional school?”
For schools that use a pre-health committee, when you apply to a health professional school, your application will include a packet of information from the committee that is constructed in large part, by your pre-health advisor. By the time that this document is prepared, you should have developed a reasonable, professional relationship with your advisor. You should have accomplished all of the tasks that were laid out for you in previous meetings. The words of your pre-health committee are weighted fairly heavily in the selection process, at least for medical school.
It is important to note that many but not all universities offer a premedical or pre-health committee. Sometimes, you will be collecting letters of recommendation independently. It depends on your undergraduate institution.
In addition to the letter from your pre-health advisor, letters of recommendation from faculty and other professionals are very important. In most cases, you will only be able to include three letters of recommendation, but you should ask for a letter from anyone that you feel is appropriate.
The problem is, who do you know who to ask? The ideal person to ask is a faculty member who is respected at your university or in his field. This person should be able to write good and specific things about you, about your character, and about your potential. It makes little sense to ask your general chemistry professor if you were in a freshman class of 400. What can that person possibly say about you? Now if you performed research with that professor, then by all means, ask for a letter.
In fact, the best rule of thumb is to ask people that can reasonably say good things about you. As you plan your college experience, you should pursue interests that will allow you to develop close working relationships with faculty members. Small group lectures, special seminars, laboratory work, organizations outside of class frequented by faculty, brown bags, and journal clubs…all of these venues should put you in a good position to interact personally with a few faculty members
Your volunteer sites are also fertile ground for letters of recommendation. The person that writes your letter does not need to sign as “professor” or “Ph.D.” Other professionals can be excellent resources—especially if you were highly visible, active and your time was well spent. If their job title is regional director of the Red Cross, director of a free dental clinic in inner city Detroit, or lead veterinarian at a major zoo, these letters will carry weight with admissions committees.
The following are brief examples of poor vs. stellar letters of recommendation:
Poor Letter of Recommendation
Jared Smith is a very diligent student who will make a great pharmacist. He studies well and is involved with the track team. I recommend him for pharmacy school because he knows how to be a good student.
Bad Letter
I was Jared’s freshman chemistry professor and he always sat in the front row. He was very attentive and taking notes well. He performed well on my exams— achieving a B+ on the first general chemistry exam and an A on my final exam. I would want him to be my pharmacist in the future……
This is considered a poor letter because it is obviously a professor who does not know Jared as an individual. He only knows Jared in the classroom.
Stellar Letter of Recommendation
Anna Kline is a delight to have in my class. I have taught her organic chemistry, molecular cell biology and served as her mentor with various biology research projects involving the human immunodeficiency virus since her freshman year at State University. We have co-authored papers jointly and she is a very diligent premedical student who puts her all into her work. She spent her weekends working in the lab, devising techniques and developing ideas that I, myself, never thought possible. I see Anna as being an individual at the forefront of medicine, never backing down when challenges arise.
Stellar Letter
Anna also volunteers at the local free clinic. She frequently tells me and the other lab staff about her various touching patient stories. For instance, a man presented with trouble breathing, chest pain and sweating and Anna tells the story of entering the scene calmly, giving this man aspirin and seeking the help of those around her. Anna is intelligent but is also very humanistic. I highly recommend her for admission into medical school. She will become the ideal physician who takes care of people just like she takes care of her family members……
This is a strong letter because this professor knows Anna inside and outside the classroom. He knows of her specific characteristics and can describe them concretely.
In summary, here are the things you will need to obtain a stellar letter of recommendation:
- Confidence: Don’t be afraid to ask!
- Information about yourself: Resume, Curriculum Vitae, and ideally your Personal Statement
- Logistics: Self-addressed stamped envelopes.
- A good attitude and a smile!
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Dr. Divita:
Great article, you hit all the significant aspects of a meaningful letter of recommendation to the tee. You make some references to contacting the professor of interest via email and other times you mention to smile with a good attitude as if in person. My question entails whether it’s better to ask a professor via email or in person because in email you can provide much more detailed information in a serial manner but in person one’s tone carries his or her words along with body language. I believe asking someone in person may put that ‘pressure’ on the professor to answer on the spot which may make them uncomfortable. What do you think?
@ Patris
I’m glad you found this article helpful! Yes, another common question. When I was in your shoes, I asked in person but then 1-2 days later followed up my request w/ a detailed email w/ attached documents or sometimes, I dropped buy w/ all my documents in a manilla envelope..labeled w/ your name, deadline and “medical school recommendation request” or the like—this is probably the best and most convenient since profs don’t actually have to take the step of printing out all the documents which can be a pain….I say make their life easy! 🙂 Organization and presentation of the documents is really impt although it seems minor. Profs will be impressed!
I agree, it is true that professors may feel “on the spot”. I think you should ask “in person” only if you worked really close w/ that professor and have very good rapport. If your interaction w/ the prof is so-so, then it might be better to email the request and documents. If you don’t hear anything, then you can approach him later in a non-threatening way…remember good attitude and smile! lol. yep, I really like my #4 tip. lol
Dr. D
Hi thanks for these useful tips!
I’m doing an observership…..right now I’m a Resident in my home country, but got this great opportunity to be here, learning leading medicine. The “problem” I think is that as an observer I cannot show my abilites…… so the thinks I’m doing right now is showing interest in the conferences, asking questions just when I have them, I mean I’m not trying to get their attention, also I think is kind of annoying asking irrelevant questions…..
My biggest “fear” is…. Ok, I can communicate in english, but sometimes I get nervous, and I’m afraid to say things that don’t make sense, and that could be counterproductive?
I just have 3 weeks left
What can I do to improve my chances to get a LOR
Many thanks
Hi thanks for these useful tips! Actually…I’m doing an observership…..right now I’m a Resident in my home country, but got this great opportunity to be here, learning leading medicine. The “problem” I think is that as an observer I cannot show my abilites…… so the thinks I’m doing right now is showing interest in the conferences, asking questions just when I have them, I mean I’m not trying to get their attention, also I think is kind of annoying asking irrelevant questions…..
My biggest “fear” is…. Ok, I can communicate in english, but sometimes I get nervous, and I’m afraid to say things that don’t make sense, and that could be counterproductive?
@ Isabella
that’s awesome you’re doing an observership to get experience training within the US. That’s great you’re asking q’s during conference and becoming active in that respect!
Did you try suggesting giving a powerpoint slide lecture on something relevant to what you’re observing. If you’re not directly involved in patient care—an informative and dynamic lecture can make you really impressive…throwing in a patient case, pictures, media etc. If you put a lot of effort into this presentation, doctors do take notice. Hope this helps! 🙂
Dr. D
I found this article really helpful! I just had a question regarding where you said “When you are finishing a research fellowship, ask for a letter within a few weeks after it is complete.”
I am currently working and my boss can write me a really good recommendation letter. However, I am quitting to go to graduate school soon — so after graduate school, I know that I will need recommendation letters to get a new job (in a slightly different field). Will it make sense still to ask my boss for a recommendation letter after I’m done with my current job?
Thanks!