Which reference letters to use?

[averagemedstudent 1]

Do we have to have reference letter from geographic locations of where we plan to apply for residency?

I am debating which letter to use when applying to programs outside of my home school .. Should I use my home school letter from a preceptors who knows me for 2+ years and can comment on my clinical skills/team work and I also have done several research projects with OR use a reference letter from preceptors from schools outside of my home school( to show that I am interested in their location but I have only done 8 total shifts with these preceptors so low chance that my reference letters would be stellar. ).. 

[robclem21 484]

Use both