12.2 The Application
Kristen Hosey
Today, most people complete job applications online, where they submit an application along with a cover letter and resume. In many cases, employers use automated systems to process these applications. The system analyzes the applications to determine if the applicant is a good candidate for an interview. Generally, if the application contains many of the desired qualifications, the computer system flags it for further review. For example, if the job description lists traits such as “loyal,” “hardworking,” or “team player,” applications containing these words are more likely to be flagged for a possible interview.
Cover Letter
Many employers request a cover letter with a job application, especially if applications are submitted via email or online. A cover letter is a short letter, usually less than one page, that highlights the applicant’s qualifications for the job. The goal of the cover letter is to convey why the applicant is a strong candidate for the position. It should include the following:
- The job the applicant is interested in pursuing
- Qualifications specific to the job description
- Contact information, including the applicant’s preferred email address
- The date
- A greeting
- A signature
The cover letter should follow a standard business format, include a header, and begin with a formal salutation. If the hiring manager’s name is known, address them directly (e.g., “Dear Mr. Smith”). If the name is unknown, use a general salutation such as “Dear Review Committee.” The introduction should specify the job the applicant is pursuing, why they are applying, and where they found the job listing. If the applicant is targeting a specific organization, they could reference the organization’s mission. For example, if the applicant wants to work for a medical center with a mission to “serve all people with justice,” they could mention how this aligns with their personal values as a caregiver.
The body of the cover letter should highlight the applicant’s qualifications, emphasizing relevant experience, skills, and strengths that would make them a good fit for the position. Referencing keywords from the job listing can help the hiring committee quickly identify how the applicant’s qualifications align with the job.
Finally, the conclusion should reaffirm the applicant’s interest in the position and include a professional salutation, such as “Sincerely,” followed by the applicant’s signature. The cover letter should also include a reminder of how the employer can contact the applicant. Applicants must regularly check their email or voicemail and respond promptly to any inquiries. Failure to reply within a day or two may suggest a lack of interest, prompting the employer to move on to other candidates.
Resume
For most job applications, a resume is required. A resume is a document that provides information about a job seeker’s employment history, educational background, skills, and accomplishments. There are three main types of resumes: chronological, functional, and combination resumes. Each type has a different purpose.
Chronological resumes start by listing work history, beginning with the most recent position held or the current job. Subsequent positions are listed in reverse chronological order (from most recent to earliest). This type of resume works well for applicants with a consistent work history, especially in the healthcare or business fields. However, if the applicant is new to the healthcare field, has gaps in employment, or is changing careers, a chronological resume may highlight those gaps or limited experience. If there are employment gaps, it is helpful to provide brief explanations. Specific skills may also be easier to spot if emphasized in the most recent job listed at the top.
A functional resume, on the other hand, focuses more on education, skills, and experience than chronological work history. Instead of listing employment history at the top, the applicant may feature their education and qualifications. This ensures the reviewer sees that the applicant is qualified for the position. Functional resumes also often include a summary of qualifications or a headline that highlights specific skills or achievements relevant to the job. This format is particularly useful for applicants with employment gaps, as it avoids focusing on specific dates or job titles. However, the lack of detailed work history may require the applicant to provide additional context elsewhere.
Some applicants may choose a combination resume, which merges elements of both chronological and functional resumes. This format typically starts with a summary of qualifications or a short list of relevant skills, followed by a more traditional chronological work history. A combination resume allows applicants to showcase their skills while still presenting a solid work history. However, the work history may spill over onto a second page, which an employer may not fully review.
A resume should generally be one page, but it can extend to two pages if the applicant has more than 10 years of experience. It is best to avoid going beyond two pages, as most employers prefer concise resumes.
Letters of Recommendation
A letter of recommendation is a formal document that helps connect an employer with someone who can speak to the applicant’s suitability for a job. Recommenders are individuals who can provide insight into the applicant’s professional or academic achievements. Common recommenders include current or former employers, teachers, or co-workers. In some cases, recommenders may be asked to participate in a phone, Zoom, or in-person interview. Additionally, they may need to fill out surveys or respond to questions via email, either in addition to or instead of writing a formal letter.
Since writing a recommendation takes time, applicants should provide as much lead time as possible. Ideally, applicants should inform recommenders at least 2–3 weeks before the application deadline, although more time is preferable.
A strong letter of recommendation will include information about how the recommender knows the applicant and for how long. For example, the recommender might describe their role as a clinical instructor for a specific quarter or a teacher for 2 years, or perhaps they were a direct supervisor for 5 years. It is important that the recommender can speak to the applicant’s strengths and skills that are relevant to the job. Providing specific examples of the applicant’s work or why they would be a good fit for the job can also make the recommendation more compelling.
When requesting a letter of recommendation, applicants should provide the recommender with several key pieces of information: the deadline for submission, an updated resume highlighting the applicant’s skills, and details about the job being applied for. Depending on the recommender’s preferences, applicants might also offer to draft a few suggested points or skills that the recommender can incorporate into the letter. If the letter is to be submitted through a specific process (such as a particular address or online portal), applicants should provide clear instructions on how and where the letter should be submitted.
Alberta Civil Liberties Centre, ND
Assembly of First Nations. (1994). Breaking the silence: An interpretive study of residential school impact and healing as illustrated by the stories of First Nations individuals. First Nations Health Commission.
Bakan, A. & Dua, E. (2014). Introducing the questions, reframing the dialogue. In A. Bakan & E. Dua (Eds.), Theorizing anti-racism: Linkages in marxism and critical race theories. University of Toronto Press.
Barnlund, D. C. (1970). A transactional model of communication. In K. K. Sereno & C. C. Mortensen (Eds.), Foundations of communication theory (pp. 83–92). Harper and Row.
Brave Heart, M. (2003). The historical trauma response among Natives and its relationship with substance abuse: A Lakota illustration. Journal of Psychoactive Drugs, 35(1), 7-13.
Centre for Addiction and Mental Health (n.d.). Trauma. https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/trauma
Chrisjohn, R., & Young, S. (2006). The circle game: Shadows and substance use in the Indian residential school experience in Canada. Theytus Books.
College of Nurses of Ontario (2019a). Practice standard: Code of conduct. https://www.cno.org/globalassets/docs/prac/49040_code-of-conduct.pdf
College of Nurses of Ontario (2019b). Practice standard: Ethics. https://www.cno.org/globalassets/docs/prac/41034_ethics.pdf
De Dreu, C., & van Knippenberg, D. (2005). The possessive self as a barrier to conflict resolution: Effects of mere ownership, process accountability, and self-concept clarity on competitive cognitions and behavior. Journal of Personality and Social Psychology, 89(3), 345-357. https://doi.org/10.1037/0022-3514.89.3.345
Doane, G., & Varcoe, C. (2015). How to nurse: Relational inquiry with individuals and families in changing health and health care contexts. Wolters Kluwer.
Ellis, R., & McClintock, A. (1990). If you take my meaning: Theory into practice in human communication. Hodder Arnold.
Health Council of Canada. (2012). Empathy, dignity, and respect: Creating cultural safety for Aboriginal people in urban health care. https://healthcouncilcanada.ca/files/Aboriginal_Report_EN_web_final.pdf
Lavallee, L., & Poole, J. (2010). Beyond recovery: Colonization, health and healing for Indigenous People in Canada. International Journal of Mental Health and Addiction, 8(2), 271-281.
Mash, T., Coholic, D., Cote-Meek, S., & Najavits, L. (2015). Blending Aboriginal and Western healing methods to treat intergenerational trauma with substance use disorder in Aboriginal peoples who live in Northeastern Ontario, Canada. Harm Reduction Journal, 12, Article 14.
McIntosh, P. (2003). White privilege: Unpacking the invisible knapsack. In S. Plous (Ed.), Understanding prejudice and discrimination (p. 191–196). McGraw-Hill.
O’Neill, L., Fraser, T., Kitchenham, A., & McDonald, V. (2018). Hidden burdens: A review of intergenerational, historical and complex trauma, implications for Indigenous families. Journal of Child & Adolescent Trauma, 11(2), 173-186.
Registered Nurses’ Association of Ontario (2007). Healthy work environments best practice guidelines: Professionalism in nursing. Registered Nurses’ Association of Ontario. https://rnao.ca/sites/rnao-ca/files/Professionalism_in_Nursing.pdf
Schramm, W. (1997). The beginnings of communication study in America. Sage Publishing.
Trauma-Informed Practice Guide (2013). http://bccewh.bc.ca/wp-content/uploads/2012/05/2013_TIP-Guide.pdf
Continuing to develop in your job, preparing for a higher-level position, or taking on more complex roles all require a commitment to lifelong learning, known as professional development. As research in healthcare provides new insights and technology evolves to offer more efficient methods, professionals must stay up to date and competent. There are several ways to achieve this.
- Pursue continuing education, such as online modules, webinars, and in-person conferences or workshops.
- Read professional journals. For example, nurses might refer to the American Journal of Nursing.
- Network with other professionals in similar roles through professional associations. There are organizations for most healthcare specialties, such as the American Health Information Management Association (AHIMA), for health data management, or the Washington State Medical Assistant Association for trends in medical assisting.
- Be open to feedback about your performance and set professional goals. Examining your work practices and changing behaviors that do not contribute to success are essential aspects of professionalism. Setting goals for your professional development could include pursuing certification, training for a new process, becoming a trainer, or even returning to school. You might also aim to contribute to a journal article in your field or participate in a research study.
Healthcare professionals have a duty to uphold laws and adhere to ethical guidelines in their practice. The rights and safety of patients must be protected by all healthcare professionals, whether in clinical or non-clinical roles.
All healthcare professionals are responsible for maintaining appropriate professional boundaries with patients. This includes showing patients respect and remaining formal and professional with them while in the healthcare setting. Many healthcare organizations prohibit employees from engaging in personal relationships with patients to maintain trust and professionalism.
Healthcare professionals must also protect PHI. This is not only a legal obligation under HIPAA but also an ethical responsibility. There may be times when this is difficult to do. For example, if a patient’s spouse calls and requests information about their spouse’s condition or treatment, that information cannot be disclosed without the patient's consent. While this may cause the patient’s spouse to become frustrated or even angry, healthcare professionals must follow the law.
Healthcare professionals are considered mandatory reporters, which means that under law, they are required to report certain conditions, such as child abuse, elder abuse, and the neglect or exploitation of a vulnerable adult. Healthcare professionals do not need to obtain consent from the patient, caregiver, parent, or guardian to report these conditions. Because healthcare professionals are mandatory reporters, any employee in a medical facility has the legal duty to report abuse or suspected abuse.
Healthcare professionals that neglect to report these conditions may be held liable if the patient suffers harm that could have been avoided had the condition been reported. For example, if a child who is a victim of abuse is seen in a medical facility, the healthcare professional fails to report the suspected abuse, and the child later suffers further harm that could have been avoided by reporting the initial harm, the healthcare professional may be held responsible.
It is important to note that healthcare professionals cannot be sued for reporting suspected abuse. In other words, if a healthcare professional reports suspected child abuse and an investigation by authorities finds that no abuse occurred, the parent or guardian cannot sue the healthcare professional.
Certain medical conditions are also subject to mandatory reporting. In Washington State, this list can be found on the Washington State Department of Health website under Notifiable Conditions. These conditions must be reported because they may present a public health hazard. This list is regularly updated as new conditions and diseases emerge.
Also, as outlined in the PSQIA, healthcare professionals must report any activity they believe could result in poor outcomes for their patients. Examples include:
- A medical assistant observing a provider treating patients while impaired
- A medical receptionist noticing that a provider is ordering more treatments than other providers for patients with the same condition
- A medical billing specialist observing that a provider consistently coding for services at higher levels than those noted in the patients’ medical charts

Rights of the Healthcare Provider
While healthcare providers must adhere to rules and regulations in the practice of their duties, they also have certain rights that protect them. These include the right to:
- Determine where they will practice and the hours they will practice
- Pursue their chosen specialty
- Dismiss patients from care under certain circumstances (such as non-compliance with treatment, non-payment of medical bills, or unacceptable behavior in the office)
Rights of the Patient
Patients have several rights when it comes to their healthcare. These include the right to:
- Decline care
- Receive an accurate bill for medical services
- Change doctors for any reason
For example, in the scenario mentioned earlier in the chapter, the patient holds religious beliefs that prohibit blood transfusions. In such cases, patients have the right to refuse specific treatments based on their cultural or religious beliefs, even if those treatments are recommended by healthcare providers.
Medical Practice Acts
For healthcare professionals in clinical roles that require licensure, each state establishes guidelines outlining its scope of practice. These guidelines are called medical practice acts and can be found on the Department of Health website for each state. It is important for healthcare professionals to abide by these practice acts, as violating them may lead to the revocation of their license.
Attributions
- Figure 4.5: image released under the Pexels License