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In this video, Rex discusses the role of update letters in the medical school application process. He covers what an update letter is, whether applicants should send one, its ideal format, and the timing for sending it. Rex also briefly addresses thank you notes following interviews and shares details about his personal experience, including an update letter that contributed to his acceptance into an Ivy League school. He introduces himself as a first-year student at Duke University and expresses his desire to help others succeed in their medical school applications by sharing insights and resources available on his channel.