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In this video, the speaker discusses letters of recommendation, particularly for medical students preparing for Step One exams. The speaker emphasizes the importance of requesting these letters during clinical rotations and suggests a strategy for approaching attendings. They recommend offering to draft a letter for the attending, which allows the attending to modify it as needed. This approach alleviates pressure on the faculty members, who are often busy and may struggle with writing these letters on short notice. The speaker encourages students to prepare for this aspect of their future careers while studying, making effective use of their time.