A friend of mine who is doing surgery was doing an away rotation at a school down south. He told me that he got along very well with everyone and some of the residents liked him so much that they said that they would be willing to write him a LOR to put in his file for that specific program. ( The LOR wouldn't/couldn't be used in the ERAS). How common is this practice in the EM world? Have any residents done this for some of the M4 students who are rotating at their program?