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Session Design Submission Review

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The Chair’s Letter in a Post-Score Era: Gatekeeper or Guide?

Session TypePanel

Courtney Morgan MD
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The Chair’s Letter in a Post-Score Era: Gatekeeper or Guide?
Is this submission from an ASE Committee, Task Force, or Working Group?

Yes

Which Committee(s)/Task Force(s)/Working Group(s)?
  • Clerkship Directors
Session Information

Session Description

Residency applications continue to grow more challenging, with fewer objective data points available to evaluate candidates. In response, programs increasingly emphasize holistic review. Within this evolving landscape, the role of the “Chair letter” in surgical applications warrants reexamination.

While many specialties have moved away from Chair letters in favor of evaluations from away rotations and standardized letters—believing these better reflect applicants’ clinical performance—surgery has yet to reach consensus. Simultaneously, the adoption of standardized letters has yielded mixed results, further complicating the evaluation process.

This 60-minute panel will explore the current and future role of the Chair letter in surgical residency applications. Perspectives will be shared by UME clerkship directors and mentors, General Surgery and Surgical Subspecialty Program Directors, and Surgery Chairs. The discussion will contrast traditional Chair letters with emerging non-traditional formats, aiming to clarify their value and limitations.

The final 20 minutes will be dedicated to audience engagement, fostering dialogue and working toward consensus on best practices. Given the topic’s relevance across the UME-to-GME continuum, this session is well-suited for joint interest between ASE and APDS.

Course Objective 1

Articulate the current role the Chair’s letter plays in describing surgery applicants.

Course Objective 2

Differentiate how program directors interpret the Chair’s Letter.

Course Objective 3

Assess how surgical subspecialties incorporate a Chair's Letter into applications.

Session Objective 4

Implement a plan of when and how to utilize a Chair’s letter in the surgery application.

Session Outline
Activity Order Title of Presentation or Activity Presenter/Faculty Name Presenter/Faculty Email Time allotted in minutes for activity

1

Introduction

Courtney Morgan

morganc@surgery.wisc.edu

5

2

The current state: How do we advise our applicants today?

Aaron Alford

surgerydept@msm.edu

5

3

The Current State: How I use the Chair's Letter as a General Surgery Program Director

Ann O'Rourke

orourke@surgery.wisc.edu

5

4

What I wish was included or excluded from the Chair's Letter

Minna Wieck

mmwieck@ucdavis.edu

5

5

The ENT experience with a standardized letter

Tiffany Glazer

glazer@surgery.wisc.edu

5

6

How Plastics Surgery is using the Chair Letter

Stephanie Bray

brays@amc.edu

5

7

The Traditional Chair Letter

Rebecca Minter

minter@surgery.wisc.edu

5

8

An alternative Approach to the Chair's letter

Katie Stanton

kajstant@iu.edu

5

9

Discussion

Courtney Morgan

morganc@surgery.wisc.edu

20