LORs for IM residency

[deleted1117200]

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My hospital has no IM hospitalists, so I rotated with all FM docs. I currently am looking like I will have 1 Cardiologist, 1 Nephrologist, 1 Heme/Onc, and 1 FM doc writing me letters. I want to do academic IM. How bad will not having a pure Internist's LOR hurt me? My school and rotation site made it basically impossible for me to get that, and all of my SUB-Is are after ERAS is due...

 

[AlteredScale]

You need to try and switch your Sub-I's to before ERAS is due. Did you not have any 3rd year electives where you could work with IM subspecailists? You are in a tough situation and you should be open to training at a more community focused program (which by the way are still academic).

 

[deleted1117200]

You need to try and switch your Sub-I's to before ERAS is due. Did you not have any 3rd year electives where you could work with IM subspecailists? You are in a tough situation and you should be open to training at a more community focused program (which by the way are still academic).

IM sub specialists? You mean jsut general IM? Sadly no I didnt. I worked with FM hospitalists, Cardio, Nephrology, and Heme/Onc. I got letters from all of them but no General Internal Medicine physicians.

Also, I am open to community programs but I didn't really get a fair shot at letters the way things worked out. My school is ****ty with scheduling and putting me in a rural hospital kind of hurt. I got a few auditions at solid mid-tier academic IM programs, but again, post-ERAS.

 

[NotAProgDirector]

The Cards, Neph, and H/O docs are all internists. That's fine. You don't need a letter from a hospitalist or a general outpt internist.

You also don't need a "department letter" from your DO school. They are mostly useless.

You have another thread talking about away subI's. If you have one scheduled early, consider saving a letter slot for it (and mention that in your application).

 

[indiRanger]

The Cards, Neph, and H/O docs are all internists. That's fine. You don't need a letter from a hospitalist or a general outpt internist.

You also don't need a "department letter" from your DO school. They are mostly useless.

You have another thread talking about away subI's. If you have one scheduled early, consider saving a letter slot for it (and mention that in your application).

Sorry to jump in on this thread, but we don't need a "department letter"? How do you fill the requirement of a "Department of Medicine" letter that some places require?

 

[AlteredScale]

Sorry to jump in on this thread, but we don't need a "department letter"? How do you fill the requirement of a "Department of Medicine" letter that some places require?

If you need it you should get it. What they are saying is that it is usually a very generic letter when requested.

 

[deleted1117200]

The Cards, Neph, and H/O docs are all internists. That's fine. You don't need a letter from a hospitalist or a general outpt internist.

You also don't need a "department letter" from your DO school. They are mostly useless.

You have another thread talking about away subI's. If you have one scheduled early, consider saving a letter slot for it (and mention that in your application).

Okay awesome thank you!

The FM doc who is writing mine is the head of the FM residency at their hospital but again idk. I just didnt want to get filtered out or have that affect me. I did, my schedule changed around is the problem and the way its falling right now isnt looking good for my benefit. I am doing some Sub-Is but again, after ERAS is due. Thank you so much for your help!

 

[indiRanger]

If you need it you should get it. What they are saying is that it is usually a very generic letter when requested.

Ahhh now i see you want you meant