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Half way through my third-year I just got my surgery rotation grades back. Along with it came a "Dean's Letter Summary". I suppose these are the collective comments of the residents and attendings I worked with that will later be used for residency application purposes. If a student doesn't do well on a rotation or even just less than average does it reflect in these letters? What are the code words that residency program directors look for to know that applicant A is better/worse than applicant B? I have a hard time imagining that anything bad or sub-par could be written about students in these letters.