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In this tutorial, the speaker discusses the importance of sending letters of intent to residency programs after interviews. They recommend this practice as it helps candidates leave a positive impression on programs when ranking applicants. There are two methods to send these letters: a handwritten letter mailed directly to the program or a typed letter that is hand-signed and mailed. Alternatively, candidates can email the letters to both the program director and coordinator, as it's uncertain who will open the message. The letters should be personalized to each program to enhance recall during the ranking process.