I am currently doing electives for PM&R at a site where I get minimal time with the PD. I spent one week on each unit (SCI, TBI, MSK, and outptn) with various attendings. I would really like to have a letter from this program as I am only doing 2 PM&R electives total. The program coordinator told me that the PD does write letters for students. However, the letter is a compilation of comments from the attendings I worked with. Is this type of letter frowned upon or should I get go about getting letters from a Physiatrist I have worked with for a longer period of time. My next PM&R elective is also a place where I was recently told I don't get much time with the PD there either. I am a FMG from the Caribbean and am really interested in matching into PM&R for 2014. I want to do everything I can to ensure I am a competitive applicant. Thanks!!