Introducing the LOR Drafting Service & Clinical Experience Assessment Draft (CEAD)

For U.S. Clinical Preceptors, by AmeriClerkships

72% of U.S. residency program directors cited letters of recommendation in the specialty as a top 10 post-interview factor (#6/10) for ranking an applicant, with an importance rating that was equivalent to USMLE or COMLEX scores (4.1/5).

2018 NRMP Program Director Survey Results. (2018). NRMP, 4-4. Retrieve here

As United States struggles to implement a truly workable and ‘affordable healthcare’ for its people, attending physicians are being demanded to do far more, for less. How does a residency candidate mitigate the risks of a physician not having the time to write an LOR? Most will make the mistake of drafting their own LORs, and presenting it to the clinical preceptors who may make minimal changes (if any, regardless of errors) prior to sending it to all potential medical schools, medical residencies and fellowships.

Going at writing an LOR alone can be risky; LOR’s from specialty are one of the leading ways a program will evaluate your candidacy, and any mistakes will be highly scrutinized. Yet there is a silver lining! By controlling the first draft of the LOR before it reaches the recommender, you can maximize the strength of your LOR by highlighting valuable experiences from your clinical rotations and emphasizing your understanding of the ACGME Core Competencies.

CEAD is designed to be LOR ready, by helping residency candidates:

  • Compile their actual clinical experiences into a familiar, ACGME-formatted LOR, maximizing the quality of this extremely important “Program Director Interview Factor”; AND
  • Effectively and professionally deal with the uncomfortable scenario of being asked to write their own LOR.

Our professional writing and editing team (which includes former residency admission committee members) will give you the tools you’ll need to draft a strong LOR by asking a series of questions about the experience in question. After that, our team will draft a LOR that maximizes its effectiveness and ask for your input through a series of editing sessions. Once finalized, the new LOR can be taken to the recommender with full confidence in it’s strength.

Delivery: CEAD involves the expert help of AmeriClerkships Healthcare Writers & Editors, as well as Dr. Mizani’s final review and revision of all CEAD prior to your review, so please allow up to 4 weeks for completion (expedited service available, which can cut the time down to 1 business day after your submission of a complete online CEAD Questionnaire (taken to that page after payment).


It takes time to create a CEAD, so please select from the available CEAD packages by clicking on any of the ‘BUY’ buttons on this page at your earliest. Have questions? Call +1(949) 417-8980, or click  to chat with us.

Like the AmeriClerkships CEAD writing service?

You may also like the AmeriClerkships ‘Medical School Performance Summary Draft’ writing service: helping residency candidates draft the best version of their medical school education (and after), in an MSPE ready format.

* Excluding federal holidays and contingent on member satisfaction with initial drafting. Please note that by enrolling and paying for any AmeriClerkships products or services, you are agreeing that they are FINAL SALE (non-refundable) and agree to our Terms, Conditions & Disclaimers. Test names and other trademarks such as ERAS, ECFMG, SOAP, MSPE, Supplemental Offer and Acceptance Program, NRMP, USMLE, NBME, Main Residency Match are the property of the respective trademark holders. None of the trademark holders are affiliated with AmeriClerkships Medical Society or this website.

Non-US medical students should not make the mistake of waiving their rights to see traditional LORs: There are conflicting reports on whether waiving of FERPA rights to see an LOR will actually make a statistically significant difference in how a writer assesses a medical student. Additionally most writers incorrectly recommend that an LOR be waived to improve chances of an interview, where in fact the purpose of waiving FERPA on an LOR is to help the writer speak more truthfully, and based on over 2000 LORs analyzed by AmeriClerkships, waived LORs are no less or more positive, since they are written in prose and are therefore highly subjective. Waived (or unwaived) LORs can actually decrease chances of securing interviews, if they’re fundamentally problematic (see below).

Since AmeriClerkships serves residency candidates with more complicated personal or academic histories (e.g. unmatched US and international medical graduates, and visiting international medical students vs. traditional US medical student), the traditional LORs (versus Standardized Letter of Evaluation used by ER programs) they seek carry a much higher purpose as well as risks, as the traditional LORs can be used:

  • For residency candidates to learn from, and improve upon deficiencies
  • For Advisors to use for acculturation and improvement, similar to post-clinical evaluations
  • To immediately send their entire residency application package to residency programs that do not participate in ERAS or NRMP, or those with off-cycle or last minute vacancies requiring up to date LORs
  • To increase writer accountability and transparency by lessening the chance of writer delays or temptation of copy/pasting from a previously written LOR
  • To decrease errors (grammatical, wrong person uploads, wrong names, incorrect dates or specialty of interest, just to name a few)
  • To show respect for the writer’s time by not constantly calling them to send their LOR to various offices

The above is typically not the case for US medical school seniors, who’s LORs are typically written by their clinical clerkship supervisors who have been US residency trained, are in the same parent institution as their medical school, written within months of the end date of an experience, and typically by GME faculty or teaching hospital attending physicians and academicians. So AmeriClerkships recommends that its Members:

  1. Only ask US practicing MDs or DOs who supervised them during US clinical experiences to write US medical residency LORs
  2. Begin earning their LOR, and requesting that the writer train and evaluated based on ACGME core competencies
  3. Ask for LORs only towards the end of a clinical block
  4. If the writer agrees, ask if you asking for a copy will change the way he/she was planning on writing your LOR; if the answer is “No”, then ask for a copy. If “Yes”, then ask them to “please explain so you can learn from the process”.
  5. Do not keep asking if the writer does not want to share a copy of your LOR with you; simply accept his/her decision, but ask them to educate you on why, outside the common misconception that ‘waived LORs alone’ increase chances of securing interviews.

In our experience, physicians write positive character reference letters regardless of the waived status of an LOR; however character references are typically generic, so most need training on making LORs less subjective by instead evaluating your clinical performance based on ACGME core competencies – which most-all writers welcome, and will agree that it is a good idea for you to see your LOR and provide feedback. Therefore we strongly recommend that you not waive your right to your LORs.

Get their permission: Physicians are incredibly busy, but they still want to do the right thing by providing deserving residency candidates with LORs that are reflective of their true capabilities (both good and not so good). So to not risk missing timelines or inaccuracies, physicians, and even US medical schools, may be open to hearing your points of view on what you gained from your clinical rotation by asking your personal statement, your CV, a photo, possibly a post-clinical evaluation, and even a one page statement about your clinical experience. So ask them if they’d appreciate getting a 1-page summary of your clinical experience with them.

Select your LOR Drafting Service: Once confirmed, you may then enroll online by selecting from the options available on this page. On-demand writing with Dr. Mizani typically requires a short video conference with him followed by a completed draft within 2-4 business days, whereas Clinical Experience Assessment Draft does not require a meeting and depending on your service selection, can take as little as 1 or as much as 30 business days to complete.

Book Your LOR Drafting Service Now

Select the appropriate drafting service depending on how soon you need your LOR draft finalized by AmeriClerkships, and in your hands:

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Have questions?

Call +1(949) 417-8980, or click to chat with us.