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In this video, Rex discusses update letters within the medical school application cycle. He explains what an update letter is, whether one should send it, and the proper format and timing for sending it. Additionally, he touches on the importance of thank you notes after interviews. Rex shares his personal success in the application process and mentions that he is now a first-year student at Duke University. He aims to help others achieve similar or better results in their applications and invites viewers to check out more of his videos related to medical school applications and his experiences as a medical student.