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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, whether applicants should send one, its ideal format, and the appropriate timing for sending it. He also briefly covers thank-you notes post-interview. Rex shares his personal success story as a first-year student at Duke University, aiming to help others excel in their medical school applications. He encourages viewers to explore more of his videos on medical school applications and his experiences in medical school.