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You are overthinking this. Lots of people add a third letter just to have a “complete” app for programs that require three. I actually had a few comments on mine. I don’t see how it could hurt as long as you know it will be positive.So I am applying EM and just finishing up my second rotation (one home, one away) at reputable programs that I will be getting SLOEs from. I also will be doing a Tox rotation in September/October that I could get a subspecialty SLOE from. In addition, I have an EM doc I worked with about once every 2 weeks Spring of my third year that I am considering asking a letter from. I was wondering if getting an individual LOR (that likely won't be in the SLOE format) can hurt in any way? I know SLOEs are the main thing programs look for and individual letters are much lower on the list, but I feel this doctor can speak well to a lot of things about me. I don't care if some programs don't care or read it (as I have heard some do that with individual letters), but I just want to make sure that it in no way can hurt me. Like they think I am trying to make up for something I am lacking with an individual letter.