MSPE Guidance for IMGs
Clarity. Alignment. Credibility.
Since 2008, I’ve helped international medical graduates prepare MSPEs for
U.S. medical residency when institutional guidance is limited or absent. I
help applicants align their academic records with AAMC guidelines and
recommendations and MSPE best practices.
How I Work with MSPEs
I approach the MSPE as a formal academic document that must meet U.S. expectations while accurately reflecting a medical education completed in a different system.
I begin by assessing your drafted MSPE to identify gaps or misalignment with AAMC guidelines and recommendations and MSPE best practices. Many international schools do not follow U.S. conventions for narrative evaluations, clerkship structure, or academic summaries, and I account for those differences in making my assessment.
From there, I review the content, wording, and required elements, taking a comprehensive, detailed approach to ensure your academic history presents in a way U.S. residency program directors can understand and evaluate. For any gaps, inconsistencies, or atypical elements, I identify solutions to accommodate for them accurately and professionally within the structure of the MSPE.
My feedback centers on ensuring:
- The MSPE includes all required sections and content
- The Noteworthy Characteristics contain the right content and best wording
- All non-conforming content finds alignment within the MSPE
I do not prepare the MSPE from scratch. I provide clear, specific guidance that shows you how to revise the MSPE so it meets AAMC requirements and presents your medical school experience accurately and completely.
MSPE Services
MSPE Editing & Feedback
Two Rounds of Review
This service is designed for international medical graduates preparing an MSPE for U.S. medical residency when their medical school does not provide institutional drafting or standardized guidance.
I provide detailed, document-level feedback to help you produce an MSPE that follows AAMC guidance, reflects U.S. expectations, and accurately represents your medical education.
Editing & feedback focuses on:
- Structure and required components of the MSPE
- Alignment of non-U.S. curricula with U.S. residency standards
- Accuracy, clarity, and professionalism of evaluation language
- Consistency across sections, timelines, and academic summaries
- Appropriate handling of irregularities, gaps, or atypical elements
You revise the MSPE based on my guidance, and in the second round I refine the document further to ensure clarity, completeness, and internal consistency.
MSPE Noteworthy Characteristics
Two Rounds of Review
This service is designed for applicants who are permitted to revise the Noteworthy Characteristics section of their MSPE but not the full document.
I provide focused editing and feedback to help ensure your Noteworthy Characteristics align with AAMC guidance, reflect U.S. residency expectations, and communicate the right priorities to residency program directors.
My editing and feedback focus on:
- Alignment with the purpose and scope of Noteworthy Characteristics
- Selection and framing of characteristics that reflect readiness for residency
- Clarity, specificity, and professionalism of language
- Avoiding common missteps, including narrative tone, redundancy, or misemphasis
- Ensuring consistency with the rest of the MSPE, even when that content cannot be revised
You revise the Noteworthy Characteristics based on my guidance, and in the second round I refine the section further to ensure clarity, focus, and appropriate emphasis within the constraints of the MSPE format.
This service is limited to the Noteworthy Characteristics section only and does not include review of other MSPE components.
MSPE Proofreading
One Round of Review
This service is intended for applicants who have already prepared a complete MSPE and want a final quality check before submission.
Proofreading focuses on:
- Grammar and punctuation
- Spelling and typographical errors
- Subject-verb agreement
- Pronoun agreement
- Verb tense
- Singular vs. plural
Proofreading does not include structural revision, content development, or strategic guidance.
Who You’ll Be Working With
I’m David Lombardino, founder of DLA Editors & Proofers. Since 2008, I’ve worked with international medical graduates navigating some of the most complex documentation challenges in the U.S. medical residency application process.
A significant part of my work involves MSPEs prepared outside the United States—often in situations where applicants receive little or no institutional guidance and must align a non-U.S. curriculum with U.S. residency expectations. I’m familiar with how MSPEs are structured at U.S. medical schools, how program directors read them, and where international MSPEs most often fall short.
I work directly with applicants to ensure their MSPEs follow required guidelines, accurately reflect their education and performance, and present their records in a way program directors can understand and assess fairly. That includes advising on atypical curricula, missing narrative evaluations, required service years, internships, and other structural differences that are common outside the U.S. system.
Applicants work with me when they want clarity, accuracy, and judgment—not guesswork. My role is to help you produce an MSPE that reflects your medical education honestly and professionally, while aligning with what U.S. residency programs expect to see.
If you’re ready to begin, you can place your order below.
Place Your Order
Program Type and Service
Prepare an MSPE That Meets U.S. Residency Expectations
If you’re responsible for preparing your own MSPE, the margin for error is small—and the consequences of misunderstanding the guidelines are real. I’ll help you ensure your MSPE follows required standards, reflects your medical education accurately, and aligns with what U.S. program directors expect to see.
Get started with MSPE Editing & Feedback today.