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The key to an effective letter of intent is its specificity and conciseness, especially for students or international medical graduates (IMGs) who received favorable interview feedback. It should be directed to the program leader, typically the program director, rather than sent generically to all programs. For additional guidance, a free resource, including a template and examples, is available on my blog at drninalum.com. It is essential to study this resource while crafting your own letter of intent to ensure it effectively communicates your intent and qualifications.