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You should have a DR letter. Try to learn your advanced liver imaging (lirads) (CT liver/MRI liver) . Get good at your renal CT and MRI . Get good at surgical conditions (imaging features of cholecystitis on us/HIDA). Also try to get comfortable with vascular imaging (CTA/MRA/vascular us). Try to shadow a body attending during readouts and see as much surgical pathology as possible. This will help you with your surgical internship. If really having a hard time working with an attending on readouts consider doing a case report with one of the attending on one of the interesting imaging cases you see.
 
The other thing to consider is meeting with the DR program director and shadowing them. They are pretty used to writing letters for students and their own residents.
 
I did not have s DR letter, Two IR letters and one IM letter. Don’t just settle for a letter. It has to be a good letter otherwise it does not matter what type of doc is writing it.
 
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