This is not a letter of recommendation, rather it is a letter of evaluation. It is supposed to accurately reflect your performance in medical school. The bulk of this letter consists of verbatim complete narrative evaluations in all courses providing them, with particular emphasis on clinical courses and clerkships. This letter will be one bit of data residencies use to select applicants for interview. Therefore, the narratives are quite important.
Negative comments have significant weight.
All evaluation forms used in ICM can be found in the course manual and on the course Website. It is essential that each student understand these forms and the criteria used for each component of the course. Y performed at an honors level in all aspects of the course. D's small group faculty indicated he attended regularly but not always promptly. They are only minimally acceptable now.