Report Family Med CARMS Reference Letters in CaRMS and CaRMS applications Posted August 20, 2019 Anyone have experience and advice for what types of reference letters to use for family medicine CARMS applications? Should all 3 be from family doctors? and are letters for fourth year electives better than letters from third year core rotations? We just started our fourth year and right now and I know I can get a strong letter from a 3rd year fam med preceptor and another strong letter from a 4th year fam med preceptor I did an elective with. I'm on another fam med elective right now and my preceptor says I'm doing well and didn't give much feedback but he seems a bit distant and less personable than others I've worked with so I'd be hesitant to get one from him unless I have no other options. I don't have any more family med electives until right around CARMS applications time but I do have an emerg and peds elective which if I do well on can be potential LOR opportunities. Any advice on this situation?