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In this video, Rex discusses update letters in the medical school application cycle. He explains what an update letter is, whether applicants should send one, its ideal content, and the timing for submission. Additionally, he briefly covers thank you notes after interviews and shares his personal experience with an update letter that contributed to his Ivy League acceptance. Rex, a first-year student at Duke University, aims to help others achieve success in their medical school applications by sharing insights and tips he learned during his own application process. He encourages viewers to check out his channel for more guidance on applying to medical school and insights into his experiences.