Remember, every pediatrician at some point needed a letter of recommendation to get where he/she is now (note: Dr Seuss is not actually a physician). And we want to help. Just ask. We'll take a sincere approach to help enhance your success. And what if you learn that a program of your liking needs a "departmental/clerkship director" letter? Your clerkship director is happy to assist you in this way (with a letter highlighting your strengths) and throughout the match process to help make it indeed that, a proper match.
Students sometimes wonder whether their letter writers need fancy titles (Founder of the Pediatric Universe, etc). If Don Berwick actually knows you well, ask him.* Otherwise, go for a faculty member, can also be a private practitioner who you worked with (who would likely have a faculty appointment with your school anyway). Preferably someone who has worked with students before. Perhaps someone who can honestly write that you are one of the top 5 students he or she has worked with in 5, 10, 20+ years on faculty. Would not ask a resident or fellow - though of course we value their skills and contributions to medical education highly! Almost always should be someone with an MD/DO or PhD.... and maybe some writing skilss-- that is, skills.
Your prospective pediatric program director or residency selection committee chair will wonder if you have NO letters from pediatricians. It would be concerning, if not just downright improbable, if not a single pediatrician got to know you and thought highly enough of you and your performance to write a letter of recommendation on your behalf.
But 1 or even 2 of your letters can certainly be from other fields... it's ultimately all inter-related. So, for example, a letter from someone in internal medicine, OB-GYN, surgery, primary care, or family practice would be okay and still speak to your skills as a comprehensive, cool under pressure, clinical reasoner who goes that extra mile for his/her patients. Even geriatrics has its similarities to pediatrics if you think about it (hmmm, sounds like a future blog post in the making). These non-pediatric letters could show your breadth and other strengths. Ultimately, ask people who know you well (or could get to know you even better this summer with 1 or 2 additional meetings) and can attest to the qualities in you that would make pediatric residencies want you in their program.
Not all your letters need to be in at the precise moment that you submit your ERAS application (for pediatrics that's usually mid-September nowadays). You might have 1 or 2 in at that time, and the others can follow shortly thereafter.
- A possible 4th letter (if the prospective program allows more than 3) could come from a non-clinician /non-researcher, if this person can add something meaningful about you as a person and your skills as a future pediatrician.
- Could include a letter that "balances out" some difficult academic experience that you have had. Example, you performed poorly on the outpatient portion of the pediatrics clerkship but there were extenuating circumstances that one of your preceptors or other faculty member can attest to.
- Do meet with your dean/mentor/clerkship director for individual advice about these and other special circumstances.
*Unless he's your uncle. No aunts/uncles/relatives/best friend letter writers please.
Comment below or email PediatricCareer@childrensnational.org with additional questions or tips