If we’re preparing for SOAP, what is the consensus on what to do about LORs? And how badly would it affect me if my bad eval was in FM?

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LondonVibes

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Relevant stats: top 1/2 of class, one clearly bad eval in FM with one mixed eval, P on all rotations except for mandatory rural, COMLEX only with Level 2: 45x

I applied IM initially and so far have 5 interviews/100 applications . From what I’ve heard, 5 IVs is low but not like horrendously uncommon. But at the same time, that’s not the best ratio given number of applications and also I did screw up one interview insanely horribly. One interview remains in 2 days.

To the other side, a lot of people with my app in FM are doing excellently. I know of one who submitted ERAS in November, also COMLEX only but with a fail and repeated attempt at 40x, and no aways at any hospitals, let alone audition rotations.

Point being, I’m being recommended to apply FM if I end up SOAPing, particularly given that most SOAP spots in IM are HCA affiliated and I have no HCA invites with like 30 apps to them.

So, my question is, if I can end up in SOAP, what should I do about LOR? I’ve heard it both ways where it’s like an FM LOR is needed but also they sometimes prefer people to apply with their OG letters instead of new FM ones with post-New Years dates. I’m also aware that most of my letter writers wrote “Internal Medicine” in my app even if they weren’t IM docs themselves.

I was thinking of doing a “compromise” where I try to scrape an FM rotation together, get an LOR from there, and apply with the other IM LoRs.

Also, how bad is it that my worse eval is in FM? It sucks because most of my eval were good but I got dinged on FM because I couldn’t do competent H and Ps at the time. If I were doing that rotation today, I’d ace it but that’s in the past, particularly given I chose IM sub specialties instead of FM for earlier rotations given that I thought I’d match at least community.
 
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