The 2027 Electronic Residency Application Service® (ERAS®) season will include a new, specialty-specific Standardized Letter of Evaluation (SLOE) as well as new specialty-specific personal statement prompts. To assist you in understanding and navigating this new process, please review the following resources:
New Pain Medicine SLOE Template
Beginning with the 2027 ERAS season, pain medicine will implement a specialty-specific SLOE through the AAMC Letter Writer Portal. Applicants will continue to request letters of recommendation through the MyERAS application.
The AAMC developed the changes to provide more consistent and structured information, improve transparency and efficiency for applicants and letter writers, and reduce variability in letter content across programs.
- View the SLOE template for pain medicine
- View the step-by-step guide to uploading a SLOE
New Personal Statement Prompts
Applicants will respond to the following pain medicine-specific prompts, with a maximum of 600 words, in the personal statement section of the MyERAS application:
- Describe your clinical experience with pain medicine. How have your experiences shaped your understanding of the field, and how have they influenced your decision to pursue this fellowship?
- Share your career goals and how a pain medicine fellowship would help you achieve them. How do you envision your future role in advancing the field, whether through education, clinical innovation, research, or advocacy?
- What unique skills, perspectives, or background will you bring to the fellowship class? Describe how these factors have prepared you to be successful as a fellow and how they will elevate your co-trainees.
What is the SLOE format? What questions are asked on the SLOE?
You may review this sample PDF that demonstrates the prompted questions and content of the Pain Medicine Standardized Letter of Evaluation (SLOE). The APPD’s SLOE was developed in collaboration with the AAMC. Other specialties have developed similar SLOEs to the one we have customized in Pain Medicine. This SLOE is integrated into the AAMC Letter Writer Portal and intended to deliver a structured and efficient assessment of an applicants’ proficiency in core competencies as well as their qualitative attributes to Pain Medicine residency program directors.
How do you access the AAMC letter writer portal?
Applicants will generate a letter request via their MyERAS application – at which point authors or their designees will receive an email that includes a request link directly to the AAMC’s Letter Writer Portal. Letters are associated with the email address the applicants sent the request to.
Can we have a designee complete the SLOE in the letter writing portal?
Yes, designees may complete the SLOE on behalf of authors in the letter writer portal. The letter request email an applicant sends to the author includes a direct link to complete the requested letter. This request link can be shared or forwarded to any number of designees; however, only one letter can be submitted per letter request. Once the SLOE has been submitted, the letter is managed by the individual who completed the evaluative form and submitted it in the letter writer portal.
Can the SLOE be a joint or group letter?
The SLOE was developed to incorporate feedback from a single source, such as a program director or leader with direct observation and experience with the applicant. It should be utilized to replace a letter from a Pain Medicine Program Director or Associate Program Director. However, the SLOE includes a question on whether the letter is an individually produced letter or a group letter. Additional authors (including their name and title) can also be provided in a free text response, although the SLOE should routinely be used as an individual letter, with other letter writers submitting traditional letters of recommendation.
What is the difference between the prior APPD SLOE and the integrated APPD AAMC SLOE?
The prior APPD-developed SLOR was created as an effort across prior pain medicine task forces as a standardized letter of recommendation most commonly used in recent Match cycles to try to reduce bias and standardize LOR content. The PDF was open access, not required, and used with variable uptake.
The SLOE is intended to replace older APPD standardized letters.
The SLOE will not be uploaded by PDF but rather completed directly in the AAMC letter writer portal and will allow for a portion of free text narrative. It will allow specialty-based averages for all discrete data elements to benchmark evaluations within the applicant cohort.
Pain Medicine 2026-2027 Application Cycle Letters of Recommendation Policies
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Important Dates
- Nov. 4, 2026: Pain medicine SLOE launches, and applicants may begin requesting SLOEs. Programs gain access to the Program Director’s WorkStation for preseason setup.
- Nov. 12, 2026: Applicants can begin applying to programs.
- Dec. 2, 2026: Programs can begin reviewing applications.
Additional Resources
- 2027 ERAS Letter of Recommendation Updates Webinar Recording
- Pain Medicine Specialty Spotlight Recording
- What You Need to Know About the 2027 ERAS Application Season webpage
