@gamerEMdoc I must call upon your expertise once again. I've SOAPEd into surgical prelim year. I had some pretty late SLOEs and my first SLOE was perhaps poor because it was my first time in the ER ever, the other 2 came in end of October, but I am very very confident that 2 of them are either top 10 or 1/3. My app is very good overall with good scores and no red flags. I will be applying EM and Anasthesia and have an anesthesiology rotation scheduled during the first 2 months of my intern yar.
My questions is this. : My program does not have a home EM program (although various residents from different EM programs rotate through there) and I am unable to do outside rotation due to COVID. Which option will benefit me the most in your opinion.
1. Schedule an early EM rotation anyways during months of July or August followed by gas rotation. Try to get a sloe or individual LOR... from some one in the ED. And re-apply using that and my other 2 sloes from previous season. Downsides: I'll spend first 2 months away from my PD and am worried that I will not get much face time and that may negatively impact the letter from PD.
2. Normally go about my prelim year, get plenty of face time during first 2 months with all residents attendings and get a good LOR from my PD. Schedule EM in the winter months so I have more time to interview.
Essentially, I could have just asked this in one sentence... What's better for a re-applicant with already good SLOEs from previous season: A strong letter from the PD or a LOR and/or SLOE from a program without a residency that does not write sloes?