IMG here. Do I absolutely need to have a letter of recommendation from a neurologist when I apply for residency? Is there anyone who matched to neurology without a letter from a neurologist?
What about if you don't have a Neurology department...then for the schools that require a Chair's letter, whose letter do you submit?
Yeah, that's kind of rough. You need to do an early away rotation and get a letter from that, or do neuroscience research and get a letter that way. If you can't do anything else, I'd get a letter from the highest ranking IM person you can find and make sure she/he speaks to this issue in the letter.
I wish I could say that a letter from a neurologist doesn't matter if you don't have a neurology department, but when there is a pile of applications and everyone else has neuro letters, no one is going to go back and research why you don't. People will understand why you don't have a chair's letter if you don't have a neuro department, but no neuro letter at all might be a problem, particularly at higher level programs.
Sorry. I hate giving scary assessments, but the match has gotten tight for neurology. Better to be honest. Go find someone to write you a letter! They're out there.
If you are a straight MD, no research and don't want to fiddle with multiple letters to various people:
2 neuro
1 medicine (Chair or PD or someone that worked quite CLOSELY with you...the higher their rank the better unless they are a hotshot)
If you are a straight MD with research or MD/PhD
2 neuro
1 medicine
1 research mentor
If you want to try to keep track of different letters to different people,
then send all neuro letters to the neuro programs, and at least 1 medicine to prelim programs.