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During residency interview season, it's crucial to understand how to prepare and send thank you letters. Always send thank you letters after interviews for programs that accept them, but adhere to any explicit policies against sending them. When letters are accepted, target key individuals such as the program director, program coordinator, chief resident, or other residents you interacted with. This can strengthen your candidacy. If you lack time for personalized letters, consider sending a general thank you email to the program to express your gratitude and reinforce your interest.