Letters of Recommendation

Secure strong residency letters from the right writers — who to ask, how to brief them, the 2027 AAMC Letter Writer Portal process, and exactly when to follow up.

Updated 21 June 2026 · For the 2027 ERAS® residency season

Up to 4
Letters per program
Portal
New 2027 submission
Waive
Right to view (advised)
8-10 wks
Advance notice

New for 2027: the AAMC Letter Writer Portal

Beginning with the 2027 ERAS cycle, all letters of recommendation are submitted through the new AAMC Letter Writer Portal — a single, streamlined system. You add writers in MyERAS; they receive an email invitation to upload directly. You may assign up to four letters per program, and three specialties (Dermatology, Plastic Surgery–Integrated, and Urology) now use specialty-designed evaluation forms.

Choosing the Right Writers

The Ideal Letter Writer

Someone who knows you well, can speak to your clinical abilities, has observed your growth, and carries weight in the medical community. Quality trumps title every time — a specific letter from an attending who supervised you beats a generic one from a famous name.

Department Chair

Strength

Institutional weight

Best When

Strong clinical performance in their department

Avoid If

If minimal interaction or generic letter likely

Research Mentor

Strength

Detailed project knowledge

Best When

Significant research contribution with publications

Avoid If

If research is minor part of application

Clinical Attending

Strength

Direct observation of skills

Best When

Worked closely for 4+ weeks with excellent performance

Avoid If

If only worked nights/weekends with minimal interaction

Program Director

Strength

Understanding of residency readiness

Best When

Away rotation or special program participation

Avoid If

If from your home institution (conflict of interest)

Red Flags to Watch For

Letter writer asks you to write it yourself

Shows lack of investment — and the AAMC expects letters to be the writer's own work

Solution: Politely decline and find another writer

Vague commitment ('I'll try to get to it')

High risk of late or missing letter

Solution: Seek more enthusiastic writer

No recent interaction (>2 years)

Letter will lack specific, current examples

Solution: Reconnect first or choose someone more recent

Cannot speak to your clinical work

Programs weight clinical letters most heavily

Solution: Prioritize attendings who supervised you directly

Mentions they're writing many letters

Your letter may be generic or delayed

Solution: Provide exceptional packet and follow up regularly

Key facts at a glance

Letters per program
Up to 4
You may assign up to four LoRs to each program; most require around three.
Submission (2027)
Letter Writer Portal
New for the 2027 cycle — all letters flow through the AAMC Letter Writer Portal.
Right to view
Waive it
The AAMC recommends waiving your right to view; waived letters carry more weight.
Specialty forms
3 specialties
Dermatology, Plastic Surgery (Integrated), and Urology use specialty-designed evaluation forms.

Sources: AAMC ERAS Letters of Recommendation guidance, the AAMC Letter Writer Portal, and the 2027 ERAS season updates (aamc.org, students-residents.aamc.org). Verified June 2026.

Frequently asked questions

How many letters of recommendation do I need for residency?

In ERAS you may assign up to four letters of recommendation to each program. Most programs ask for around three, and some specialties request a specific type (for example a chair's letter or a specialty-specific letter). Always check each program's requirements and your specialty's guidance statement before finalizing your writers.

How are ERAS letters of recommendation submitted in 2027?

Beginning with the 2027 ERAS cycle, all letters are submitted through the new AAMC Letter Writer Portal — a single, streamlined system. You add each writer in MyERAS; they then receive an email invitation to upload their letter directly to the portal. You do not handle the letter yourself when you have waived your right to view it.

Should I waive my right to view my letters?

Yes — the AAMC recommends waiving your right to view your letters, and programs give waived letters more weight because they signal candor. Note that once you waive the right to view a letter, you are not permitted to view or obtain it under any circumstances.

Can I write my own letter of recommendation?

No. Letters should be the writer's own work. If a potential writer asks you to draft the letter yourself, treat it as a sign they cannot give you a strong, invested letter, and consider asking someone else. (Technically, only letters where you did not waive your right to view can be uploaded by the applicant — but the standard, expected practice is for writers to upload through the portal.)

Who should write my letters of recommendation?

Prioritize writers who know you well and can speak specifically to your clinical abilities — usually attendings who supervised you directly for several weeks. Strong options include a department chair (institutional weight), a research mentor (if research is central to your application), clinical attendings (direct observation), and away-rotation faculty or program directors. Quality and specificity beat title every time.

What changed about letters for the 2027 ERAS season?

Two things: all letters now flow through the new AAMC Letter Writer Portal instead of the older Letter of Recommendation Portal workflow, and three specialties — Dermatology, Plastic Surgery (Integrated), and Urology — adopted specialty-designed evaluation forms to support more consistent evaluation across programs.

When should I ask for letters of recommendation?

Ask 8–10 weeks before you need them. For the 2027 cycle, applicants may submit to programs on September 2, 2026 and programs begin reviewing on September 23, 2026, so request letters in spring or early summer 2026. Provide a complete packet (CV, near-final personal statement, program list, and talking points), then follow up gently every couple of weeks.

How do I follow up without being annoying?

Give writers a clear deadline up front, then send a brief, polite reminder roughly every two weeks. Confirm they received the Letter Writer Portal invitation, offer to provide anything else, and track each writer's submission status in MyERAS. Always close the loop with a thank-you note and your match outcome.

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