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Dr. Jessica Friedman from Med Edits discusses medical school update letters for applicants who receive waitlist decisions. She advises considering whether to send an update letter based on recent accomplishments, such as new grades, publications, or significant achievements that the admissions committee is unaware of. It's generally recommended to wait until multiple updates are available to include them in a single letter, as committees prefer not to receive numerous individual letters. Additionally, applicants should adhere to the specific instructions from each medical school, as not all institutions accept update letters.