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continuing to feel questions for us to milly i have a student whos asking about doing away rotations in terms of getting a letter of recommendation and says he has an opportunity to do a rotation where hes working directly under a program director which would also include ward rounds with fellows residents and med students or he theres another rotation where he wouldnt be working directly under a program director uh does it matter uh should he try to get a letter directly from a program director look i mean theres going to be a large variability of answers you get okay i mean we know that in terms of getting letters of recommendation it really is about whom you know at the end of the day nothing will overcome a shitty 2ck score but it really when were talking competitive specialties in particular not only do you need a strong tck uh and of course research will help you depending on the field but uh yes it really does come down to whom you know if theres a big name okay if there