How would schools look at a MD letter outside a clinical environment

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Tirade

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The letter would be from an extracurricular. Would DO schools prefer an Dr letter from a clinical environment or is it fine as long as the letter is strong?

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I'm not and adcom but my interpretation of the letter requirement has always been an MD/DO who knows you from a clinical environment. Is this extracurricular clinical? For example, it probably would be okay if it was a letter from a doctor from a clinic you volunteer at vs a letter from your intramural soccer coach who happens to be an MD.
 
The extracurricular is part of a health-related organization but not in a clinic. More to do with public health.
 
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