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USMD Home Program Letter for Carms?


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I’m a USMD applying to Carms for internal med this year. I did 3 months of electives including a CTU elective in Canada. I have 3 solid letters from Canada that I want to use (2 from the same CTU elective plus one from a subspecialty) and one solid one from my home CTU in the US that I’m wondering about. Someone told me that it looks strange if you have no letters from your home CTU. Can anyone confirm this? Any thoughts?

 

I was planning on just using the Canadian ones since my US letter writer won’t have the name recognition here and may not know the vocabulary to use to get the interest of selection committees here.

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