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Nah. Boards weigh in heavily.
Even stellar LORs from big names within the hospital/program you're applying doesn't matter as much. Boards and sometimes the school you come from can make quite a bit of difference.
PDs like to say "this is what I want" and name those 3, but that's just interview-day fluff.
Yeah, thats exactly what I'm saying - ...
See gutonc's response above.