“…Applicants may struggle with the decision to share personal information, such as past substance impairment or psychiatric history. Guidance should be given that confidentiality of essay content may not be guaranteed, given the variable nature of applicant committees [13]. A randomized survey of program directors from residencies accredited by the Accreditation Council for Graduate Medical Education (ACGME) indicated that self-disclosure of mental illness, such as depression, may lower the chance of an applicant obtaining an interview, indicating continued bias against disclosure [14].…”