Yet another question about LORs...

[Jaded Soul]

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How would it come across to residency programs if I come from a school with a top 10 ophthalmology department, but I don't have LORs from "big wig" faculty members? Is it possible that it might be perceived as not taking full advantage of my opportunities?

I ask because as I was setting up my electives, a lot of those big names were too busy to take on a med student. Although the faculty I've been working with will be able to write good letters, I don't think they have the same name recognition as others. Everyone, including the residents, fellows, and attendings I've talked to have said LORs are among the most important parts of the app.

 

[Andrew_Doan]

Although the faculty I've been working with will be able to write good letters, I don't think they have the same name recognition as others.

This is fine. LORs from young faculty are good too if they are written well.

If I was putting together an application this year, then this is how I would rank the letters of recommendation:

1) Letter from a well-known ophthalmologist who you worked with.
2) Letter from an ophthalmologist who worked with you.
3) Letter from a physician/PhD who worked with you.
4) Letter from an ophthalmologist who does not know you well.
5) Letter from a physician/PhD who does not know you well.

What is a good letter?

I think a good letter should contain the following:

1) Introduction to describe the writer's relationship with you. The writer should address how long and to what extent has been your relationship, e.g. "I've been Andrew's clinical instructor for 2 years..." Also it should be stated why the letter is written, e.g. medical school application, scholarship, residency, etc...

2) Statement of how you compare to other students they've worked with. Are you the best ever? Are you in the top 5%, 10%, quartile, etc...

3) Specific statements and details about your character and qualifications. Also detail discussion to support claims in #2.

4) Discussion why you'll be an outstanding clinician and ophthalmologist.

5) Closing summary.