"IF YOU HAVE A NO. 1 program in mind after attending medical school interviews, you may be able to improve your chances by sending the office of admissions a letter of intent. The purpose of this letter is to convey that if you are accepted to that program, you will absolutely attend.
There are a few reasons that a medical school would be receptive to a letter of intent. One reason is that accepting students who have expressed a strong interest in the program allows schools to project yield rates, which is the percentage of admitted students who end up matriculating into the college.
[ READ: How to Make Sure You Fulfill Medical School Requirements for Admission. ]
You may decide to send a letter of intent at one of two points in time: after an interview but before a decision, or after a waitlist decision. Generally, a letter of intent should be sent after you have completed all or a majority of your medical school interviews. Then you can be certain that your No. 1 school is truly your top choice and save yourself a headache if you change your mind." …