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Letters of Recommendation

What Reviewers Look For in the Health Professions Evaluation Letter

This review looks for a letter grounded in the writer’s direct relationship with the applicant, using specific observed situations rather than general praise or a list of duties. It also checks whether the letter clearly supports the applicant’s stated profession, makes any comparisons understandable, and ends with a direct, credible recommendation.

5 scored dimensionsScore range: 05Word count: 300–700

What We Check

1
Who You Are to the Candidate

Whether the letter states the writer's vantage and keeps every judgment inside it.

2
Incidents Instead of Adjectives

Whether each quality the letter claims is backed by a described incident in which the candidate's own action is visible.

3
The Profession, Not Just Health Care

Whether the letter names the profession the candidate is pursuing and ties observed behavior to it.

4
Comparisons That Can Be Checked

Whether the letter's comparative claims carry their own yardstick.

5
The Endorsement and Its Strength

Whether the letter closes with an explicit endorsement whose strength can be checked, and whether stock, hedged, or pleading phrasing elsewhere undercuts it.

Mistakes We Flag

Leaving the relationship unclear
Readers need to know how long and in what role the writer has known the applicant. Claims about patient, client, or animal interactions need to come from someone who actually observed them.
Using praise without an example
Words such as “dedicated” or “compassionate” are more useful when tied to a situation, the applicant’s actions, and what followed. Job duties, hours, titles, grades, and certifications do not by themselves show how the applicant performed.
Supporting health care in general, not the specific profession
The letter should name the profession the applicant is pursuing and connect observed experiences to that path. Broad statements about helping people or a future in health care can leave the application’s direction unclear.
Making vague superlative claims
Statements such as “the best” or “top 5%” need context: who the applicant is compared with, the setting or period, and the reason for the comparison. A comparison without that context is hard to interpret.
Ending with faint, hedged, or pleading language
A closing should give a clear recommendation supported by the letter’s examples. Stock phrases, unexplained reservations, distancing language, or pleas for admission can weaken the letter’s judgment.

Frequently Asked Questions

What kind of letter does this apply to?

It applies to an individual narrative evaluation letter, also called a reference or letter of recommendation, for CASPA, ADEA AADSAS, VMCAS, or PharmCAS. It does not cover committee letters or prehealth committee packets.

How long should the letter be?

A typical health-professions evaluation letter is about one page, roughly 300 to 700 words. The quality of information matters more than length.

What should the writer include about their relationship with me?

The writer should explain how long they have known you, in what capacity, and what contact they had with you. Their judgments should stay within what they directly observed.

Can a writer focus mainly on my job duties, grades, or clinical hours?

Those details can provide context, but the letter is stronger when it describes specific situations showing your actions and their consequences. It should focus on you rather than repeating information a transcript, title, or hour total already provides.

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