Electives important to match derm?

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Absolutely critical to do the derm elective. You have to get to know the derm faculty.
 
Ok. I will have to do it then. I was just afraid my app is already too good an elective could only do damage (like writing the step 2 CK before the match). Thanks for the advice.
 
I'd recommend at least 1. It's a glaring red flag to declare interest in dermatology despite having 0 clinical experience.

Agreed even with your 273 (OP).
 
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I think you need LORs from Dermatologists, who have worked with you in the clinic. Despite having a research background, I only had 1 letter from my adviser. The other 3 were from academic Dermatologists whom I worked with in the clinics (did 2 away rotations).
 
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