Letters of Recommendation (LoRs)
IMPORTANT NOTE: ERAS Support Services at ECFMG no longer accepts paper documents in support of ERAS residency applications. All supporting documents must be submitted electronically via one of the available methods.
ERAS Document Submission At-a-Glance
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Submitting letters of recommendation (LoRs) that are substantive in content will ultimately provide the residency training program director with information pertinent to the residency recruitment and selection process. You should select your letter writers carefully and contact each program for its LoR requirements. Your LoRs should give the residency program director a clear picture of your current skills and clinical ability, in addition to your personal characteristics such as professionalism, leadership, and interpersonal skills both in the patient setting as well as with hospital staff.
For more detailed information, refer to Asking for a Letter of Recommendation (LoR), published by the ECFMG Certificate Holders Office (ECHO). This resource provides suggestions for the content and format of LoRs. It also provides suggestions for whom you should approach for a LoR; how to approach them; and what documents and information you should provide to your letter writers. Finally, it addresses the issue of whether you should waive your right to view your LoRs.
If the LoR is not in English, you must have an English translation prepared by and certified to be correct by a medical school official (for example, a Dean or Registrar), a government official (for example, a Consular Officer), or a professional translation service. Submit only the English translation to ERAS Support Services at ECFMG.
The method of submission for your LoRs will depend on a number of factors, including whether you have waived your right to view the LoRs. For detailed information on how your letters should be submitted to ERAS Support Services at ECFMG and the processing times associated with each method, refer to Submission At-a-Glance and Electronic Document Submission.
It is your responsibility to follow up with letter writers to ensure that LoRs are ready in time to be sent to ERAS Support Services to meet program deadlines.
In order for your LoRs to be available to programs, you must finalize your LoR Authors and assign the letters to programs in MyERAS. There is no limit to how many LoRs you can submit to ERAS Support Services at ECFMG. However, you can assign a maximum of four LoRs to each program.
IMPORTANT NOTES: If you participated in the ERAS 2013 season and had letters of recommendation (LoRs) that were transmitted to the ERAS PostOffice during ERAS 2013, you can reuse these LoRs for the ERAS 2014 season. For detailed information, refer to ERAS 2014 Repeat Applicants.
Submission of any falsified or altered document to ECFMG is an example of irregular behavior. A determination by ECFMG that an individual engaged in irregular behavior may be sufficient cause to bar an individual from ECFMG Certification or revoke an ECFMG Certificate or take other appropriate action. ECFMG will send notice of a determination of irregular behavior to residency program directors, among others. See ECFMG Policies and Procedures Regarding Irregular Behavior.
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