US vs Foreign LoR

[Drscopes]

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Hi there fellas! Non US IMG here (Indian)

Had a little question if anybody can help with.
Planning to apply for the 2020 match cycle. Is it advisable to upload all 4 LoRs from US attendings or 3 from US attendings and 1 from home school department head (Indian med school)?
I have heard that program directors do not pay any attention to foreign letters (unless from a US trained physician).

Any comments on that, from those who have already matched or have any insight about this?

 

[gutonc]

If you have 4 US LORs, you should use them all, unless you've completed a residency in India, in which case, a LOR from your PD there is probably a good idea.

 

[Drscopes]

If you have 4 US LORs, you should use them all, unless you've completed a residency in India, in which case, a LOR from your PD there is probably a good idea.

Really appreciate your response!
I have 5 LoRs from 4 rotations, of which 2 are from different attendings during the same rotation. And 1 is from a rotation I did >2 years ago! Would you recommend using the 2 LoRs from same rotation (since they are very recent) or should I include the one from the rotation I did 2 years ago (however, it's been written recently)?

So sorry about my weird/dumb question!

 

[gutonc]

Use the 4 best ones.

 

[NotAProgDirector]

Do not waste a space with a non-US letter if you can help it.

 

[DocSpy332]

@aProgDirector, @gutonc your contribution to this forum is great! I ve got a similar question about LoRs.
I ve got a US LoR but its wtitten back in 2018, should I use it or just apply with 3 LoRs (1 US, 2 non, all recent and strong)?

 

[gutonc]

@aProgDirector, @gutonc your contribution to this forum is great! I ve got a similar question about LoRs.
I ve got a US LoR but its wtitten back in 2018, should I use it or just apply with 3 LoRs (1 US, 2 non, all recent and strong)?

If it's your 4th LOR, no reason not to use it.