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Were the LORs positive and strongly so? Not the WHO but the WHAT (as in what they had to say about you).
Was your LOI professional and appropriate for each institution?
Don't forget that those things are just as important. I don't know why everyone thinks you HAVE to work in a hospital to get a residency. Sure its a plus but it's not an absolute. You worked in community for 3 years for goodness sake. That's just as impressive. I have friends who worked hospital one shift a week for 6 months. How good can that look on paper?
Thanks for your comment. I asked specifically if they would be able to write strong LORs for me to which they replied yes. They wrote positive end-of-rotation evaluations for me and specifically recommended that I pursue a residency so I would hope that the letters would be good. I tailored my LOI for each institution. I included general stuff about myself and specific things about their program that I liked during midyear and on their website.