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A well-crafted letter of intent is essential for students or international medical graduates (IMGs) who have interviewed positively for residency programs. This letter should be specific, concise, and direct, addressing it to the program leader, typically the program director. It should not be a generic letter sent to all interviewed programs. For additional guidance, a free resource is available on my blog at drninalum.com, which includes templates and examples to help you formulate your own letter of intent effectively.