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The key to a successful letter of intent is personalization, especially for students or IMGs who received favorable interview feedback. This letter shouldn't be generic; instead, it should be specific, concise, and direct. Address it to the program leader, typically the program director, unless instructed otherwise. For additional guidance, a free resource with templates and examples is available on the blog at drninalum.com. Be sure to read and utilize this resource to help you create your own effective letter of intent.