My school has a 4th year EM rotation requirment at its affiliated sites. It was my first EM rotation I learned alot but had poor attending contact and continuity (I was told only to present to residents, attending shifts did not match student shifts so often would old work with one attending for four hours). I did not get a letter of recomendation from this site. I did not ask any individual attending for a reccomendation because of poor attending contact and continuity. I did ask the clerkship director to meet to reveiw evaluations to see if they could write me a composite letter, but I found out that many attendings did not fill out the evals, and if they did they didn't make comments but just circled numbers on the evals. This didn't bother me to much I just took it as a learning experience (importance of attending contact and continuity for a letter of rec.) and I never planned on applying to their program. So my question: Is not having a letter from this emed rotation a red flag on my application (I will have SLORs from two other emed electives that I plan on applying to) and if so what can I do to lessen the blow (put an extra paragraph in my personal statement regarding this?)?