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In this video, Rex discusses update letters in the medical school application process, covering what they are, why and when to send them, and their ideal format. He also addresses the importance of thank-you notes following interviews. Rex shares his personal journey, highlighting his successful application cycle, leading to his acceptance into Duke University, and aims to provide helpful insights for viewers. He encourages viewers to check out more of his videos on med school applications and his experiences as a first-year student. The video promises a real-life example of an effective update letter that contributed to his Ivy League acceptance.