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After doing some rotations and changing my mind several times I decided to apply to PMR. I have 229/95 step 1 and 247/99 on step 2. rank 1 in my carribbean school. I have a surg letter, but do not have a PMR letter, and if I were to get one it would not be until I complete my PMR rotation in september. Can I still apply without a PMR LOR and update it later, or will this reduce my chances at interviews?