TipsforWritingStrongLettersofRecommendation
Important:Ifyoucannotwriteasupportiveletter ofrecommendation(e.g.,ifyoudidnotworkwiththe
studentverylongordidnothaveagoodexperience),pleaseletthestudentknowthathe/sheshould
requestaletterfromsomeoneelse.
Thetipsbelow assumethatyouareinsupportofthestudent’sapplicationandwouldliketosee
him/herbesuccessful:
Thestrongestlettersincludeat
least3paragraphs:
o Introductionincludinghowlongandinwhatcapacityyouhaveknownthestudent
o 2
nd
Paragraphoutliningdetailsofyourassessmentofthestudent’sabilities
o Conclusionsummarizingthestrengthofyourrecommendation
Letterlengthisofteninterpretedasameasureofthestrengthofyourrecommendationifyour
recommendationisstrong,thelettershouldgoontoasecondpag e;
lettersthatare1pageor
lessareoftenconsidered“redflags”bysomeprogramdirectors
Includeaccuratedescriptionsandspecificexamplesofthestudent’sabilitiesavoideither
exaggerationoroverlyvague/genericdescriptors
Whenpossible,includestatistics(e.g.,“Ms.Jonesisamongthetop5%ofstudentswith
whomI
haveworked,”or10%,20%,etc.)
Indescribinganyweaknesses,considerwhetheryoucanframethempositively(e.g.,
“demonstratedimprovementindocumentation…”ratherthan“demonstratedpoor
documentation”)
Includeanypositiontitles,includingfacultyappointments,inyoursignature
“Real”signaturesarepreferredoverdigitalsignatures
The
tablebelowprovidesa usefulexampleofrevisinga“vague”or“ambiguous”letter:
Roberts&Termuehlen,AcadPsych2013;37(1):559.
SAMPLELETTEROFRECOMMENDATIONSTRONG
EsteemedResidencyProgram
WellKnownUniversity
1234UniversityWay
BigCity,Florida54321
March19,2014
DearProgramDirector,
ItismypleasuretowriteinsupportoftheapplicationofMr.IanHarrisforyourresidency
program.Ihavebeenaneducatorfordecadeswithconsiderableexperiencewithnational
organizations.IworkedcloselywithMr.Harrisduringhisthirdyearclerkshipaswellasduring
hisactinginternship.AsisevidentfromhisCV,Mr.Harrishasexcelledthroughouthiscareer
withmanynotableaccomplishmentswhichIwillnotrepeathere.Iwillfocusonmy
experienceswithMr.Harris,primarilythoserelatedtohisclinicalabilitiesandwhich
demonstratethequalitiesnecessaryforyourresidency:excellentknowledge,clinicalskills,
patientcare,andleadership.IhaveobservedMr.Harrisinboththeinpatientandoutpatient
setting,taughthiminclass,andoverseenhisperformanceduringhisclerkshipandacting
internship.
Inadditiontoconsiderableintellectandexemplaryperformancesonstandardized
examinations,Mr.Harrisisawarm,engagingindividualwhoteachesothersbyexample,is
inclusive,andconsistentlyexhibitscuriosityandmotivationtolearn.Hecomespreparedforall
typesoflearningsituations,havingresearchedtherelevanttopicssothathecan
provide
qualitycareaswellasparticipateactivelyinclassandclinicalsupervision.Mr.Harrisis
articulate,wellread,andabletoutilizehisknowledgeeffectivelyintheclinicalsetting.In
additiontoprioritizinghisownlearning,Mr.Harrisconsiderstheneedsofothers.Onmultiple
occasions,hehasarrivedinclinicwithhandoutsonrelevantclinicaltopicstailoredfortherest
ofthemedicalteam.Hehasbeendescribedasoneofthebeststudentstorotateonour
servicebyourresidentsandseveralattendingphysicians.AcolleaguewassoimpressedbyMr.
Harris’knowledgeandskillsthatshe
invitedhimtogiveapresentationduringGrandRounds.
Hispresentationwasoutstandingcomprehensiveinscopeyetpresentedefficientlyand
effectively.Onhisowntime,Mr.Harrisdesignedawellconceived,thoroughstudyprotocolon
riskfactorsforreadmissionwithin30daystoourinpatientservice.
Inconclusion,IamhappytogiveMr.Harrismyhighestrecommendationforyourresidency
program.Inmyexperience,heisinthetop10%ofallmedicalstudentswithwhomIhave
workedoverthepast20years.Ifyouhaveanyadditionalquestionsorrequirefurther
information,pleasedonothesitatetocontactme.
Sincerely,
JosephAttending,M.D.
AssociateProfessorofMedicine
Note:Thisletterisstrongforseveralreasons.Itdescribeshowandinwhatcontexttheletterwriter
knowsthestudent.Itprovidesspecificexamplesofthestudent’sperformance,includingaspectsthat
madehimstandoutincomparisontohispeers.Italsoprovidesanestimateof howthisstudentranks
amongallstudentswithwhomtheletterwriterhasinteractedovertheyears.
SAMPLELETTEROFRECOMMENDATIONWEAK
EsteemedResidencyProgram
WellKnownUniversity
1234UniversityWay
BigCity,Florida54321
March19,2014
DearProgramDirector,
IampleasedtowritethisletterofrecommendationforJohnJones,whowasfirstintroducedto
mewhenhecametoButterworthHospitalasafourthyearstudentin2013.

IfoundMr.Jonestobeaveryhardworking,conscientiousindividual.Hetookverygoodcareof
patientswhowereassignedtohim,andhemadesurethatalltheworkupwasdonebeforethe
morningrounds,whereheactivelyparticipated.Hisresponsibilitiesincludedtakinghistories
andphysicals,writingSOAPnotes,collectinglabreportsfromthepreviousday,writingtransfer
anddischargesummariesandalsoparticipatinginmorningreportsandnoonconferences.He
alsogavesomeexcellentpresentations.Hehasexcellentclinicalskillsanddisplaysthemwith
maturemannerisms.
Johnisaveryhumbleindividualwhogetsalongwellwithhispeersandtheentiremedical
team.ItisthereforewithoutreservationsthatIrecommendhimtoyouforanyresidency
programthathemaybeseeking.Iamsurehewillbeavaluableassettoyourorganization.
Pleasedonothesitatetocontactmeifyouneed
furtherinformation.
Sincerelyyours,
WilliamAttending,M.D.
AssociateProfessorofMedicine
Note:Thisletterisweakforseveralreasons.Itisvagueandnonspecific,describingwhatanymedical
studentwoulddoonarotation.TherearenospecificexamplesofJohn’sworkprovided.Itappearsthe
writerdoesnotevenknowthestudent’sspecialtychoice.Overall,theletterisoflittlevalueinassessing
thestudent’sapplication.