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I am currently in the process of submitting my committee packet on AACOMAS. I know most schools have a requirement that one of the letter writers be either an MD or a DO, but does that mean that we needed to work with them in the clinical setting specifically? I have two letter writers that are MD/PhD's who I performed research with, but never shadowed clinically. Will these satisfy the requirements, or should I reach out to one of the physicians I shadowed a few years ago to see if they still have my letter on file?