Letters when you apply for two different specialties at the same time?

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I'm limitied geographically so I'll be applying for residencies in two different fields. Does this mean I will need two sets of letters?

Pretty much. Most specialities expect letters from its own practitioners. Whether you are allowed to "share" a letter from another specialty depends on the field. For example, you could probably use an FM letter from IM (and vice versa), but not likely for Surgery.
 
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