I'm an MS-2, seriously considering going into peds, and we just went through our hospital lottery for our rotations during 3rd year. Turns out, I got everything I wanted... except for Peds. Not 1st, 2nd, 3rd... but LAST choice. I wanted to stay with the main affiliated hospital - in which case, the chairman of the rotation is also the course director of the Peds program. I ended up in an affiliated community hospital (with 1-2 other people, I think). Reviews of the hospital aren't bad, per say, but it doesn't seem like a very busy hospital where i'd be exposed to a lot of different aspects of peds; while the main affiliated hospital is a children's hospital. From what I understand, letters are an important part of the residency application package. My question is - is it really important <i>who</i> writes the letter? Or, the content of the letter? If I end up doing a SubI in Peds, and get a letter from there during fourth year, would that help? Thanks all in advance for the advice!