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In this video, Rex discusses update letters in the medical school application process. He addresses what an update letter is, when and why to send one, and what it should include. Additionally, he touches on the importance of thank you notes after interviews. Rex plans to share his own update letter that contributed to his Ivy League acceptance. He introduces himself as a current first-year student at Duke University and expresses a desire to help others succeed in their medical school applications. He encourages viewers to explore more of his videos on the application process and his medical school experience.