Hi everyone, As you know, most Internal Medicine and other programs stipulate that a letter of recommendation from the outgoing Program Director be provided. I had a recent fall-out with my Program Director about several issues. I am transferring out on not-so-good terms...no risk management/patient care issues here I should point out...He initially agreed to write me a letter and then retracted his offer saying after much though that he cannot write one since it will not be supportive of my application. I have plenty of letter writers elsewhere but some programs insist on one from the PD..what should I do? Thanks!