Mediocre Unwaived US LOR or Strong Waived Home LOR - USMLE Forums
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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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  #1  
Old 09-20-2016
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Default Mediocre Unwaived US LOR or Strong Waived Home LOR

Hey guys, I understand we have 4 slots for LORs. Currently the ones I am seeking to use are as follows:
1. Strong US Lor
2. LOR form home american medical assc.
3. Strong home LOR

All of the above are waived.

I have two other US LORs, one the doctor will attempt to upload it to ERAS though I suspect she may have grat difficulty and I may have to end up uploading it as unwaived.

That will be the 4th.

I have another US LOR but it is mediocre to say the least. Not only that but I didn't trust the doctors knowledge or abolity and she seemed to right a lot of random stuff she made me do with veryy little reference to how I did. She also stated she could not upload it. I think shes out of practice so that will be unwaived as well.

I am thinkinging of fiscarding the last one and trying to get the first four all uploaded as waived letters, but the 4th may be unwaived.

Is the home american medical assoc. considered a US LOR? Work was volunteer online but their office and most physicians are in the US.

Should I just discard the last one from assignment?
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  #2  
Old 09-20-2016
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What is home American medical association?? Would you please elaborate?
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Old 09-24-2016
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US LoRs are always preferred unless the other LoR is in the specialty of applying and the first one is not.
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Old 09-24-2016
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same question as medstud. Also unwaived lors from US docs is regarded as a red flag
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Old 09-25-2016
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Quote:
Originally Posted by saxo View Post
same question as medstud. Also unwaived lors from US docs is regarded as a red flag
Hi, thanks for your response. I'll provide some clarification.

The home US association is a network of physicians from my home country practicing in the United States. They have over 2,000 members and organize interview workshops, conferences, fundraisers, and charitable medical projects back home. I worked with them as an editor for a year (non-clinical work) and they will be providing me with a waived LOR

So now basically my LOR list is:
1. Waived US Clinical LOR in Neurology
2. Waived US clinical LOR in cardiology
3. Unwaived US clinical LOR in IM (poorly written, not exactly flattering, no strong traits mentioned, just a list of tasks the doctor had me do like revise the kaplan reviewer - don't ask me why lol)
4. Waived non-clinical LOR from association described above.
5. Waived clinical LOR in home country in EM

So basically the question is, if I am applying to IM, can I go with all the above except #3 even though its an IM letter. That way all letters will be waived and strong letters, or should I include it? And if I do, which of the others should I remove.

Regards
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  #6  
Old 09-25-2016
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Quote:
Originally Posted by a.widaa View Post
Hi, thanks for your response. I'll provide some clarification.

The home US association is a network of physicians from my home country practicing in the United States. They have over 2,000 members and organize interview workshops, conferences, fundraisers, and charitable medical projects back home. I worked with them as an editor for a year (non-clinical work) and they will be providing me with a waived LOR

So now basically my LOR list is:
1. Waived US Clinical LOR in Neurology
2. Waived US clinical LOR in cardiology
3. Unwaived US clinical LOR in IM (poorly written, not exactly flattering, no strong traits mentioned, just a list of tasks the doctor had me do like revise the kaplan reviewer - don't ask me why lol)
4. Waived non-clinical LOR from association described above.
5. Waived clinical LOR in home country in EM

So basically the question is, if I am applying to IM, can I go with all the above except #3 even though its an IM letter. That way all letters will be waived and strong letters, or should I include it? And if I do, which of the others should I remove.

Regards
I would definitely not use #3. Unwaived, poorly written LoRs are no good and can actually hurt your application.
I am not completely sure if you can use a non-clinical LoR for IM as this the first time I have heard of it.
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  #7  
Old 09-25-2016
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Waived Strong US-LOR in same specialty > Waived (hopefully strong) US-LOR in same specialty> Waived strong US-LOR in other specialty > Waived Strong Home LOR in same specialty> Unwaived US-LOR > Weak LOR in same specialty from any source > Weak LOR from other specialty from any source

My take
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Old 09-25-2016
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Quote:
Originally Posted by resident17 View Post
Waived Strong US-LOR in same specialty > Waived (hopefully strong) US-LOR in same specialty> Waived strong US-LOR in other specialty > Waived Strong Home LOR in same specialty> Unwaived US-LOR > Weak LOR in same specialty from any source > Weak LOR from other specialty from any source

My take
Hi, thanks, and what about a strong home waived LOR in another specialty. How does that compare to a weak uwaived US LOR in the same specialty?

Regards
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Old 09-25-2016
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Quote:
Originally Posted by a.widaa View Post
Hi, thanks, and what about a strong home waived LOR in another specialty. How does that compare to a weak uwaived US LOR in the same specialty?

Regards
Don't ever send a weak LOR, no matter what the source. If you already have 3 LORs, no need to assign the 4th one. Home LOR in another specialty will add very little to what you already have (i.e. if you already have 3 decent LOR's), however strong it is. Weak unwaived US LOR will add nothing or may actually hurt your chance.

Edit: I just saw your list. I would use 1,2 and 5.
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Old 09-25-2016
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Quote:
Originally Posted by resident17 View Post
Don't ever send a weak LOR, no matter what the source. If you already have 3 LORs, no need to assign the 4th one. Home LOR in another specialty will add very little to what you already have (i.e. if you already have 3 decent LOR's), however strong it is. Weak unwaived US LOR will add nothing or may actually hurt your chance.

Edit: I just saw your list. I would use 1,2 and 5.
Yeah I agree. Most programs only require 3 LORs. Pick the best ones and don't add a 4th mediocre one.
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