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Is it better to go for an internal medicine elective in Mayo clinic (when they have clearly stated that they won't give a LOR) or go for Emergency Medicine in Case western where they might give a LOR?
 

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Mayo usually gives you LoR. It depends on you work there too, if they like you they will write a LoR for you. Secondly if you want to apply in IM in future its better to go for IM rather than EM.
 
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