What is it?
It's a document that you upload to the ERAS as a part of your application, which assesses your qualities, characteristics and capabilities as a clinician. You are being recommended by your preceptor in these letters.
Who should write it?
The physicians you worked closely with during your clinical electives. Tele rotation LORs can also be included.
During 2021 cycle applicants also uploaded their home country LORs since US rotations were cancelled.
What should be included?
The letter writers have a LOR template, you can ask them to make it personalized and include specific incidents, eg a patient encounter where you led the differential, if you were part of any research or study during your time, Electronic Medical Records (epic, meditech etc.) skills can also be included.
How should you ask for LOR?
In the US, LORs are a vital part of any application. Physicians are aware of it too, so don’t feel embarrassed or shy while asking for it.
Always be polite when requesting for it.
If you are meeting your preceptor, be sure to ask if its a good time to talk about your residency plans and then ask if he is comfortable writing one for you.
If you are emailing, write a brief introduction including the month and the year that you rotated with him, any specific information that might help him remember you.
How important is it?
According to NRMP 2020-21 Program Director survey, LOR was number 2 on the list of factors for Selection for interview.
It gives an idea about your professional acumen and helps the PD choose you for an interview.
If the LOR writer asks for your inputs or things you would like to include in your LOR, be specific and cite patient examples where you helped them and they were satisfied by your care.
If given a chance to write your own LOR, do not dramatize, PDs get to know, and it might harm your chances.
Be professional, do not use complicated writing style, do not add praises where its not needed.
Write about incidents where you demonstrated clinical skills, professionalism and hardwork.
Google examples of LOR to get an idea but please don’t copy.
Reach out to your letter writers early because they get busy once the residency starts (July 1).
You need atleast 3 LORs to apply. Maximum 4 can be uploaded.
Feel free to reach out if you have any questions.
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