Letter from Program Director

[mfnin]

If I received a SLOR from from a program director at program X, then I send my application to program X, are they expecting to see that letter submitted back to them or would they rather receive all LOR's from outside of program X?
Hope that makes sense.
Thanks.

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[NotAProgDirector]

It's just fine to send them their own LOR. Honestly, they already have "interviewed" you while you were rotating there. They already know basically where you will be on the rank list, and letters from other outside docs is going to have minimal impact.