I'm a frequent poster on these forums who made this account for anonymity. I have a great uncle who is a respected clinical faculty member at an academic institution in the region I'm trying to match into for residency. I've actually only met him twice or so in my life. I didn't even recognize him the first day on rounds when I ended up doing an away rotation with him. At the end of the rotation, he agreed to write a LOR. We both agreed that he should disclose our relationship in the LOR. What do you guys think about a LOR of this nature? Does it smack of immaturity or desperation? Have you ever heard of this happening before? It's a bit of a shame, because everything else about the LOR would be perfect for my application.