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In this video, Rex discusses update letters in the medical school application process, covering their purpose, when to send them, and their format. He also touches on the importance of thank you notes after interviews and shares his personal experience with an update letter that led to his acceptance into an Ivy League school. Rex introduces himself as a first-year student at Duke University and expresses his desire to help prospective medical students succeed in their applications, encouraging viewers to check out more of his content on medical school applications and his life as a medical student.