No, Your dean letter that is written from your medical school will be regarded as your MSPE. See this http://www.usmle-forums.com/residency-match-recommended-threads/1266-mspe-deans-letter-eras.htmlI also have the same confusion. I'm wondering if designating ECFMG as deans' office is equivalent to getting an MSPE from an IMG's medical school dean.
thank you sabio. good suggestion!Yes, it's highly likely that your application will be rejected. However, contacting the programs after you apply and telling them the reason "why you did not get the Dean Letter" might solve the problem in most instances.
I know several people who applied last year without Dean letter and they all got matched.