Recommendation Letters Are a Doctor’s Decision, and Rescinding Them Is Too

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As a physician, when I compose a letter of recommendation for a medical school applicant, I am putting my name and professional integrity on the line to endorse a young individual stepping into their future. If that applicant engages in behavior that I find deeply troubling, such as committing a serious offense, I am entirely within my rights to withdraw my support.

It is important to note that I am not required to provide recommendations for every student who requests one. I willingly dedicate my personal time to this task, separate from my clinical duties, meaning it is not a mandated part of my job, nor do I receive compensation for it. These letters are a reflection of my judgment, not the institution’s or the applicant’s. Therefore, the choice to rescind one is ultimately mine, made after careful consideration and often with much internal conflict.

Recently, a situation in a Massachusetts community has stirred controversy after a doctor rescinded a recommendation for a student who engaged in a troubling incident at school. Three educators faced disciplinary action for their handling of a case where a student used materials to create offensive symbols on school property. While the police concluded that the act did not meet the threshold for a hate crime, the educators felt compelled to discuss the matter openly to address its implications for the student body.

The student’s parents were outraged, arguing that the teachers’ discussions were unfair to their child. This reaction is indicative of a broader issue, where parents frequently prioritize their child’s defense over accountability for their actions.

One teacher took it a step further by contacting a medical school to rescind their recommendation, providing a detailed rationale for the decision. Following this, the student’s parents lodged a formal complaint with the school board, claiming that the revocation was harmful. In response, the superintendent suspended the teacher for 20 days.

However, it should be understood that educators have the legal right to disclose relevant information to colleges during the admissions process under the Family Educational Rights and Privacy Act (FERPA). The law allows schools to share student records without parental consent when it pertains to enrollment in other institutions. This means that if a teacher chooses to rescind a recommendation, they are justified in sharing the reasons behind their decision.

In my professional experience, I’d have no hesitation in withdrawing my endorsement for a student who has displayed such behavior. The actions in question represent a clear breach of ethical conduct, and there is a sound basis for rescinding a recommendation under such circumstances.

Consequences must follow actions. In this case, the student should face the repercussions of their behavior, while the educators who sought to educate and address serious issues of intolerance should not be penalized. The teacher who rescinded the recommendation made a principled decision, and they deserve support rather than punishment. As guardians, we should strive to allow our children to learn from their mistakes rather than shielding them from the consequences of their actions.

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In summary, recommendation letters are a personal choice for professionals, and withdrawing them is a legitimate response to unacceptable behavior. Teachers and doctors alike must navigate these complex situations with integrity and a commitment to accountability.

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