Do all lor have to be from attendings? What about chief residents?
Do all lor have to be from attendings? What about chief residents?
One of my LOR was written by a chief resident and co-signed by the chair of the medicine department. I still got great interviews and matched (somewhere!) I think that was a pretty good situation because I worked with the chief for a month on my AI, so she was able to give details, but it still had the benefit of being signed by the Chair.
If you are applying to programs in other regions of the country, the programs will likely not personally know anyone that writes your letters, so they will likely look for as many titles behind the name. While chief residents may appear god-like to some students, but aren't the best choices for letters. Too little experience evluating students to really be useful. It takes more work to get the attendings and title holders, but don't sell yourself short.