Introducing Letter of Recommendation (LOR) Drafting Service

Get captivating, personalized and well-balanced letters of recommendation for your U.S. clinical preceptors, on-demand by Dr. Mizani.

72% of U.S. residency program directors cited letters of recommendation in the specialty as a top 10 post-interview factor (#6/10) for ranking an applicant, with an importance rating that was equivalent to USMLE or COMLEX scores (4.1/5).

2018 NRMP Program Director Survey Results. (2018). NRMP, 4-4. Retrieve here

As United States struggles to implement a truly workable and ‘affordable healthcare’ for its people, attending physicians are being demanded to do far more, for less. How does a residency candidate mitigate the risks of a physician not having the time to write an LOR? Most will make the mistake of drafting their own LORs, and presenting it to the clinical preceptors who may make minimal changes (if any, regardless of errors) prior to sending it to all potential medical schools, medical residencies and fellowships.

Non-US medical students should not make the mistake of waiving their rights to see traditional LORs: There are conflicting reports on whether waiving of FERPA rights to see an LOR will actually make a statistically significant difference in how a writer assesses a medical student. Additionally most writers incorrectly recommend that an LOR be waived to improve chances of an interview, where in fact the purpose of waiving FERPA on an LOR is to help the writer speak more truthfully, and based on over 2000 LORs analyzed by AmeriClerkships, waived LORs are no less or more positive, since they are written in prose and are therefore highly subjective. Waived (or unwaived) LORs can actually decrease chances of securing interviews, if they’re fundamentally problematic (see below).

Since AmeriClerkships serves residency candidates with more complicated personal or academic histories (e.g. unmatched US and international medical graduates, and visiting international medical students vs. traditional US medical student), the traditional LORs (versus Standardized Letter of Evaluation used by ER programs) they seek carry a much higher purpose as well as risks, as the traditional LORs can be used:

  • For residency candidates to learn from, and improve upon deficiencies
  • For Advisors to use for acculturation and improvement, similar to post-clinical evaluations
  • To immediately send their entire residency application package to residency programs that do not participate in ERAS or NRMP, or those with off-cycle or last minute vacancies requiring up to date LORs
  • To increase writer accountability and transparency by lessening the chance of writer delays or temptation of copy/pasting from a previously written LOR
  • To decrease errors (grammatical, wrong person uploads, wrong names, incorrect dates or specialty of interest, just to name a few)
  • To show respect for the writer’s time by not constantly calling them to send their LOR to various offices

The above is typically not the case for US medical school seniors, who’s LORs are typically written by their clinical clerkship supervisors who have been US residency trained, are in the same parent institution as their medical school, written within months of the end date of an experience, and typically by GME faculty or teaching hospital attending physicians and academicians. So AmeriClerkships recommends that its Members:

  1. Only ask US practicing MDs or DOs who supervised them during US clinical experiences to write US medical residency LORs
  2. Begin earning their LOR, and requesting that the writer train and evaluated based on ACGME core competencies
  3. Ask for LORs only towards the end of a clinical block
  4. If the writer agrees, ask if you asking for a copy will change the way he/she was planning on writing your LOR; if the answer is “No”, then ask for a copy. If “Yes”, then ask them to “please explain so you can learn from the process”.
  5. Do not keep asking if the writer does not want to share a copy of your LOR with you; simply accept his/her decision, but ask them to educate you on why, outside the common misconception that ‘waived LORs alone’ increase chances of securing interviews.

In our experience, physicians write positive character reference letters regardless of the waived status of an LOR; however character references are typically generic, so most need training on making LORs less subjective by instead evaluating your clinical performance based on ACGME core competencies – which most-all writers welcome, and will agree that it is a good idea for you to see your LOR and provide feedback. Therefore we strongly recommend that you not waive your right to your LORs.

See our full analysis of pros and cons of waiving your rights to see your LORs.

Physicians are incredibly busy, but they still want to do the right thing by providing deserving residency candidates with LORs that are reflective of their true capabilities (both good and not so good). So to not risk missing timelines or inaccuracies, physicians, and even US medical schools, may be open to hearing your points of view on what you gained from your clinical rotation by asking your personal statement, your CV, a photo, possibly a post-clinical evaluation, and even a one page statement about your clinical experience. So ask them if they’d appreciate getting a 1-page summary of your clinical experience with them.

Once confirmed, you may then enroll online by selecting from the options available on this page. On-demand writing with Dr. Mizani typically requires a short video conference with him followed by a completed draft within 2-4 business days.

Going at writing an LOR alone can be risky; LOR’s from specialty are one of the leading ways a program will evaluate your candidacy, and any mistakes will be highly scrutinized. Yet there is a silver lining! By controlling the first draft of the LOR before it reaches the recommender, you can maximize the strength of your LOR by highlighting valuable experiences from your clinical rotations and emphasizing your understanding of the ACGME Core Competencies.

LOR Drafting Service is personally curated by Dr. Mizani during 1-2 video chat sessions, and will help residency candidates:

  • Compile their actual clinical experiences into a familiar, ACGME-formatted LOR, maximizing the quality of this extremely important “Program Director Interview Factor”; AND
  • Effectively and professionally deal with the uncomfortable scenario of being asked to write their own LOR.

It will NOT:

  • Fabricate a LOR for an experience that did not happen or happened at a different time or place
  • Create a LOR that will later be falsely classified as a “waived” LOR

Within 2-4 business days after payment and online meeting with Dr. Mizani

Like our LOR Drafting Service?

Check out the AmeriClerkships Medical Student Performance Evaluation (MSPE) Drafting Service, for your non-US medical school Dean.

* Excluding federal holidays and contingent on member satisfaction with initial drafting. Please note that by enrolling and paying for any AmeriClerkships products or services, you are agreeing that they are FINAL SALE (non-refundable) and agree to our Terms, Conditions & Disclaimers. Test names and other trademarks such as ERAS, ECFMG, SOAP, MSPE, Supplemental Offer and Acceptance Program, NRMP, USMLE, NBME, Main Residency Match are the property of the respective trademark holders. None of the trademark holders are affiliated with AmeriClerkships Medical Society or this website.

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