Crafting Your Own LOR: A Common Dilemma for IMGs

What would you do if your preceptor asked you to draft your own Letter of Recommendation for your residency application?

Drafting your own Letter of Recommendation might feel awkward, but it's a reality many IMGs face. Understanding the pros and cons, along with best practices, can help you manage this task effectively and ethically.

Preceptors may ask applicants to draft their own LORs for several reasons: they might be pressed for time, unfamiliar with all the details of the applicant’s achievements, or simply believe that the applicant can best articulate their own experiences and strengths. Even though this request can feel uncomfortable, understanding the pros and cons of this practice, along with some best practices, can help IMGs navigate this complex task effectively.

Pros of Writing Your Own LOR

Control Over Content: One of the significant advantages of writing your own LOR is the control it gives you over the content. As an IMG, you can ensure that your strengths and significant experiences are highlighted, presenting yourself in the best possible light. This control allows you to emphasize specific qualities and experiences that align with your residency goals.

Time Efficiency: Writing a letter for your preceptor can save them considerable time. Busy preceptors might be more willing to sign and submit a well-drafted letter than to write one from scratch. This time efficiency can also result in quicker submissions, ensuring your application is complete and timely.

Customization: When you draft your own LOR, you have the opportunity to tailor it to emphasize qualities and experiences that align with your specific residency goals. This customization can make your application more compelling and relevant to the programs you are applying to.

Cons of Writing Your Own LOR

Authenticity Concerns: One of the primary drawbacks of writing your own LOR is the potential lack of genuine perspective and voice of the preceptor. A letter that doesn’t authentically reflect the preceptor’s evaluation might be less impactful to residency committees.

Ethical Considerations: There are ethical implications to consider as well. Ideally, a recommendation should reflect the preceptor’s independent evaluation of your abilities and character. Writing your own LOR can blur these ethical lines, raising questions about the letter’s credibility.

Quality Assurance: Not all applicants may possess the skills to write a strong, professional LOR. Poorly written letters, with grammatical errors or lack of professional tone, can negatively affect your application, even if the content is accurate and relevant.

Best Practices for IMGs Writing Their Own LORs

To navigate the challenges and maximize the benefits, follow these best practices:

Consult with Your Preceptor: Have a detailed discussion with your preceptor about what should be included in the letter. Seek their input to ensure their perspective is accurately represented. This collaboration can enhance the letter’s authenticity and credibility.

Use Provided Templates: Follow established templates and guidelines to ensure all important areas are covered, such as clinical skills, professionalism, and specific experiences. Templates can help structure your letter effectively and ensure you don’t miss any critical elements.

Highlight Key Competencies: Include examples that showcase the ACGME Core Competencies, which are highly valued in residency applications. Demonstrating competencies like medical knowledge, patient care, professionalism, communication, and teamwork can strengthen your letter.

Seek Feedback: After drafting the letter, ask your preceptor to review and make any necessary revisions. Their feedback can ensure the letter reflects their true opinion and voice, enhancing its authenticity and impact.

Professional Writing: Ensure the letter is well-written, free of grammatical errors, and professional in tone. A polished, professional letter reflects well on both you and your preceptor.

Ethical Considerations

While the practice of IMGs drafting their own LORs is not perfect, it can be managed effectively with proper communication and ethical considerations. It allows IMGs to highlight their strengths while still providing a platform for preceptors to offer their genuine endorsement. By following best practices, IMGs can navigate this complex process successfully, ensuring their LORs are both compelling and credible.

WARNING:?Beware of individuals selling LORs, writing them for a fee without having worked with the applicant. This unethical practice undermines the integrity of the application process and can lead to severe consequences for the applicant, including disqualification and damage to their professional reputation.?

It is essential to maintain ethical standards and ensure that any LOR accurately represents the applicant's skills and experiences, reviewed and endorsed by a genuine preceptor. This approach upholds the fairness and integrity of the residency application process, benefiting both applicants and programs.

What do you think about the practice of writing your own LOR? Have you faced this situation, and how did you handle it? Share your thoughts and experiences in the comments below and continue the conversation!