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Letters of Recommendation: The Good, The Bad, and The Ugly

By Meghan Davlin Swarthout posted 01-05-2013 20:37

  

Like many other preceptors, I have spent the last few days writing numerous letters of recommendation for hopeful residency candidates.  Although the process is time consuming, I enjoy the opportunity to help promote talented students who have a bright future in our profession.  Over the past few months, I have also struggled with some requests from students whose performance has opportunity for improvement.  Through my experiences as a writer and a reader of letters of recommendation, it is evident that there is an art to responding to letter writing requests and writing a standout letter of recommendation.  Most of us are familiar with the uncomfortable situation of being asked to write a letter of recommendation for a student who you do not view as a top performer, and I’m sure you all have read the cookie cutter letters of recommendation and the letters of recommendation that make you think, “Wow – I want to learn more about this candidate.”  My goal with this blog entry is to initiate a dialogue to share tips and tricks for responding to recommendation requests and writing letters of recommendation that highlight candidate’s strengths and honestly discuss any areas for continued improvement.

  • Responding to requests for letters of recommendation: For superstar students who request letters of recommendation, the response is easy.  For moderate or poor performing students, the task can be more difficult.  My experience and advice from my mentors has always taught me that being honest is the best course of action.  One of my colleagues explained to me that she was recently approached by a student requesting a recommendation, and the student had multiple performance deficiencies during her rotation.  The preceptor explained to the student that her letter would include both the strengths and the weaknesses that were noted during the rotation.  This approach allows the student to make a decision with an honest understanding of the information that will be shared with the residency programs.  It can be difficult to have this conversation, so don’t be afraid to practice the response with a peer.  In the end, the slight discomfort in providing an honest response is better than a bigger misunderstanding later.

 

  • Providing honest and balanced feedback in letters of recommendation:  After you have honestly explained to the student what will be in the letter, make your letter balanced and objective.  Don’t feel pressured to comment on skills if you haven’t directly observed the behavior.  Focus your letter on the areas of strengths you have seen.  If there are weaknesses, fairly and objectively comment on areas for improvement.

 

  • Making letters of recommendation personal and memorable:  As a member of our residency application review team, nothing is worse than reading letter after letter that is impersonal and lacks specificity.  When writing a letter, I first jot down two to four unique strengths of the student and an example where I saw this strength in action.  I use these examples to then craft the body of my letter.  The goal as the letter writer is to provide the residency program with a unique insight about this student that can help the program find the candidates that are the best fit for their program.  My making the letter personable, you help the candidate shine and help the program find the right candidates that fit their culture.

 As you finish your letters for the application season, what are your tips and tricks for responding to requests and writing letters of recommendation? 



#Preceptors #Precepting #PharmacyStudents #Residency
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01-07-2013 12:08

Great tips, Meghan. As I reviewed quite a few residency applications over the weekend, I have definitely seen letters that varied from good to ugly. I think what students sometimes fail to realize is how providing valuable information to those who do not have strong writing skills can be very helpful. For example, in the past I have tried to provide goals and some of my accomplishments to letter writers to use as examples and for them to build from. The letters and standardized forms that lack examples are usually the hardest to interpret as a candidate reviewer.
Last year as a residency applicant, a preceptor commented on an area where I needed improvement in my letter of recommendation. She was not honest that she would be providing this type of feedback and it was brought to my attention on my first interview. I think I could have been much more prepared for that question if it had been an issue we had discussed on rotation. She had never provided me negative feedback in person. It was a difficult thing to face at the time, but I do think I have grown from the situation.