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Residency Interview Thank You Email: Rules and Examples

Whether to send a thank-you email after a residency interview, what to write, and the rules that apply.

A thank-you email after a residency interview is optional, and some specialties, including dermatology and internal medicine, advise against sending one. If your program and specialty allow it, send a short, specific email within a day or two to each interviewer. NRMP rules let you express interest, but programs may not ask you to commit to ranking them.

What the 2026-2027 specialty guides say about thank-you notes

Dermatology
Thank-you letters and letters of intent should not be sent. Programs typically do not use them in decisions.
Plastic surgery (integrated)
Post-interview communication is against ACEPS policy and should not be done.
Internal medicine
Programs should tell interviewees not to send thank-you notes, and invite clarifying questions instead.
Emergency medicine
There is no requirement or suggestion to send post-interview communication.
Pediatrics
Post-interview communication is discouraged, except an optional thank-you note, specific follow-up questions or application updates.
Psychiatry
Nothing beyond a simple thank-you is recommended. The goal is to limit post-interview communication.
Family medicine
Thank-you notes are welcome, but the program may not respond. Letters of interest or intent are discouraged.
Anesthesiology
Not necessary. You may send one, but the program director may not respond and it will not be used in ranking.
General surgery
Acceptable but not required.
Urology
Applicants may write thank-you notes, but they are not required and programs should not respond.
Obstetrics and gynecology
Programs are asked to be open about their preferences on thank-you notes and letters of intent, and may post them on their website or in ResidencyCAS.
Diagnostic radiology
Somewhat program specific, but generally not required. Programs usually give guidance.

Should you send a thank-you email?

Only if your program and specialty allow it. Check two places before you write anything.

  • The program's own instructions. Look at the interview invitation, the interview day slides and the program website. If a program asks for no thank-you notes, do not send one.
  • Your specialty's guide. Program director associations have published 2027 guides for applicants in 31 specialties and tracks, with guidance on post-interview communication. The table above covers 12 of them.
  • When it is allowed. The AAMC's advice is to thank the program director and key faculty, unless the program asks you not to.
  • Not sure? The AAFP suggests asking your resident point of contact whether the program wants thank-you notes.

A note will not win you a spot. Dermatology says programs typically do not use these notes in decisions. A short, sincere note is a courtesy, not a strategy.

When to send it, to whom, and how long

Short and soon beats long and late.

  • When. Within a day or two. The AAFP advises sending it shortly after the interview, since waiting a long time can make it seem like you forgot.
  • To whom. Each faculty member who interviewed you, and the program director if you met. Send separate emails, not one email with everyone copied.
  • How long. About 75 to 150 words: thanks, one specific detail, one line of interest.
  • Email or card. Email is fine. The AAFP says most residencies receive thank-you notes by email.

What to write

Make it clear you were in the room. One real detail does that.

  • Subject line. "Thank you: [Program name] interview, [date]."
  • One specific detail. Something the interviewer said, a resident you met or a part of the program that stood out.
  • One line of interest. Say you are excited about the program. Do not promise a rank you have not decided.
  • Sign-off. Your full name and medical school, plus your AAMC ID if you applied through ERAS, so the program can find your file.
  • Write it yourself. The AAFP warns against AI writing tools, which tend to produce bland notes.

Three example emails

These are examples we wrote. Change every detail to match your own interview.

Example 1: to a faculty interviewer

Subject: Thank you: [Program] interview, [date]

Dear Dr. [Last name],

Thank you for speaking with me on [day]. I enjoyed hearing how your seniors lead the rapid response team, and it helped me picture how I would grow there.

I left the day even more excited about [Program]. Thank you again for your time.

Best regards, [Full name], [Medical school], AAMC ID [number]

Example 2: to the program director

Subject: Thank you from [Full name], [date] interview

Dear Dr. [Last name],

Thank you for the interview day on [day]. Your residents' stories about the community clinic stayed with me, because continuity care is what drew me to [specialty].

I am very interested in training at [Program]. Thank you for your time and for a well-run day.

Sincerely, [Full name], [Medical school], AAMC ID [number]

Example 3: a thank-you with a clarifying question

Subject: Thank you, and one question about the research block

Dear Dr. [Last name],

Thank you for the conversation on [day]. I enjoyed learning about the quality improvement projects your interns run.

One question I did not get to ask: can residents use the PGY-2 research block for a project with another department?

Thank you again. Best regards, [Full name], [Medical school], AAMC ID [number]

Clarifying questions are allowed. NRMP's applicant code lets you request and exchange clarifying information with programs after the interview.

What NRMP rules say about post-interview communication

Every applicant in the Main Residency Match signs the Match Participation Agreement when registering. The 2027 agreement and NRMP's Codes of Conduct set these rules.

  • You may express interest. Applicants "may voluntarily communicate their interest to a program(s)."
  • You may not ask about your ranking. You may not ask a program for a statement implying it will rank you, or ask anyone on the recruitment team about its ranking intentions.
  • Programs may not ask you to commit. Programs may not ask for statements implying a commitment to rank them, ask how you will rank, or ask where else you applied or interviewed.
  • Programs may not require a note. Programs may not say your place on their list depends on a statement of your preference, and must not solicit or require post-interview communication to influence your ranking.
  • The Match is the binding part. The binding commitment comes from the Match: if you match, you must accept the position unless NRMP grants a waiver.
  • Be honest. You are responsible for the accuracy of everything you tell programs, written or spoken. So never tell two programs they are your first choice.

If a program pressures you, the agreement says applicants should report violations of these rights to NRMP.

Programs and specialties that do not want thank-you notes

Some specialties ask you not to send them at all. Follow that, even if it feels rude.

  • Dermatology. Its guide says thank-you letters and letters of intent "should not be sent to programs."
  • Integrated plastic surgery. Its guide says post-interview communication is against ACEPS policy and should not be done.
  • Internal medicine. AAIM recommends that programs tell interviewees not to send thank-you notes and to ask clarifying questions instead.
  • Allowed, but no reply. Urology programs should not respond to thank-you notes, and family medicine and anesthesiology programs may not respond.

Silence is not a signal. Dermatology tells applicants not to read a lack of communication from programs as a lack of interest.

After you send it

Expect no reply, and do not follow up to ask for one.

  • Updates are fine. Pediatrics lists application updates, such as a new publication or award, as an accepted reason to contact a program.
  • Letters of intent are a separate step. Pediatrics says they are not expected and, if sent, should go to only one program. Family medicine discourages them.
  • Keep it to one email. Repeated messages add pressure without adding information.

Frequently asked questions

Should I send a thank-you email after a virtual residency interview?

Treat it like an in-person interview. Check the program's instructions and your specialty's guide, and if thank-you notes are allowed, send a short email within a day or two.

Do thank-you notes affect residency rankings?

Usually not. Dermatology says programs typically do not use them in decisions, and anesthesiology says they will not be used to influence rank list outcomes.

Can a residency program ask how I will rank it?

No. Under the 2027 Match Participation Agreement, programs may not ask you to reveal your ranking preferences or where else you applied or interviewed.

What if the program does not reply to my thank-you email?

That is normal. Urology programs are told not to respond, and dermatology asks applicants not to read silence as a lack of interest.

Should I send a thank-you note to residents?

It is not expected. If a resident went out of their way for you and the program allows notes, one short line of thanks is enough.

Sources

Official pages only, read on the date shown. Schools change their process every year, so check the school's own page before you apply.

  1. NRMP: 2027 Match Participation Agreement for Applicants (Main Residency Match and SOAP) · read October 24, 2026
  2. NRMP: Match Code of Conduct for Applicants · read October 24, 2026
  3. NRMP: Match Code of Conduct for Programs · read October 24, 2026
  4. CMSS: Program Directors Association Guides for Residency Applicants 2027 · read October 24, 2026
  5. Program Directors Association Guide 2026-2027: Dermatology · read October 24, 2026
  6. Program Directors Association Guide 2026-2027: Plastic Surgery (Integrated) · read October 24, 2026
  7. Program Directors Association Guide 2026-2027: Internal Medicine · read October 24, 2026
  8. Program Directors Association Guide 2026-2027: Emergency Medicine · read October 24, 2026
  9. Program Directors Association Guide 2026-2027: Pediatrics · read October 24, 2026
  10. Program Directors Association Guide 2026-2027: Psychiatry · read October 24, 2026
  11. Program Directors Association Guide 2026-2027: Family Medicine · read October 24, 2026
  12. Program Directors Association Guide 2026-2027: Anesthesiology · read October 24, 2026
  13. Program Directors Association Guide 2026-2027: General Surgery · read October 24, 2026
  14. Program Directors Association Guide 2026-2027: Urology · read October 24, 2026
  15. Program Directors Association Guide 2026-2027: Obstetrics and Gynecology · read October 24, 2026
  16. Program Directors Association Guide 2026-2027: Diagnostic Radiology · read October 24, 2026
  17. AAIM: Recommendations for IM Residency Recruitment, Interview and In-Person Visits · read October 24, 2026
  18. AAMC: An introduction to residency interviews · read October 24, 2026
  19. AAFP: Thank-you notes after residency interviews · read October 24, 2026