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In this video tutorial, the speaker discusses the importance of sending letters of intent to residency programs after interviews. They recommend this practice as a way to leave a positive impression and increase the likelihood of being remembered when programs create their ranked lists. There are two primary methods for sending letters: a handwritten letter or a typed letter that is hand-signed and mailed. Alternatively, emails can be sent to both the program director and coordinator, as it's unclear who will read them. The content of the letters should be personalized to each program to reinforce the candidate's memory.