I got an H in an IM sub-I with strong faculty comments; previously had HP in other rotations in this specialty (M3 clerkship + MICU). I'm wondering if it's worth updating any programs with this or if it's meaningless/too late at this point. Any thoughts? If so, should I update programs I've already gotten invites at, or programs I haven't yet heard from? I'm not sure if this would move the needle at programs I haven't gotten invites yet but it doesn't sound like it would hurt. Also, should I do it myself or have the course director reach out to programs on my behalf? Any advice would be appreciated, thanks