I have one professor who is writing me a letter specifically for MD/PhD programs, so therefore I'm not sending his letter to the regular MD schools that I'm applying to. Well, I went in to speak with him today about something, and he voluntarily started talking about his recommendation (which he wrote about a month ago). These are his exact words: "What I attempted to do, was to sit down and write the BEST letter that I have ever written" Needless to say, I was ecstatic to hear this. My chances at getting into MD/PhD are low because of my MCAT so hearing any good news like this helps. I was thinking that I could send his letter to the MD programs as well, since by his own words it is extremely positive. Should I do this? Keep in mind that its a letter written primarily for MD/PhD programs, so its focus is slightly different from my normal MD recs. What would you do? Send it now, send it later on to waitlist schools perhaps, or dont send it at all?