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In this video, Rex discusses update letters as part of the medical school application process. He explains what an update letter is, when and why you should send one, and provides insights on its structure. Additionally, he touches on the importance of sending thank-you notes after interviews. Rex concludes with an example of his own update letter that helped him gain Ivy League acceptance. As a first-year student at Duke University, Rex aims to share his experiences and knowledge to assist others in their medical school applications. He invites viewers to check out more of his content for further guidance.