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The key to a successful letter of intent comes from students or international medical graduates (IMGs) who have interviewed positively. Your letter should not be a generic message sent to multiple programs, but rather a specific, concise document that gets straight to the point. Address it to the program leader, typically the program director, unless instructed otherwise. For further guidance, visit drninalum.com, where you can find a free resource on writing a letter of intent, complete with a template and examples to help you craft your own.