Preparing Your Application
Letters of Recommendation (LORs)
Collecting LORs
You will need a minimum of 3 letters of recommendation. When asking for a letter of
recommendation, it is best to ask in person. However, email will also work if that is not possible. We
recommend 2 letters from ophthalmologists and 1 from a faculty member on a core clerkship
(Medicine, Surgery, Pediatrics). For ophthalmology, you might choose a research advisor, mentor,
or attending you worked closely with during your clerkship or away rotation. There is no
requirement that a LOR be from a program director, but if you can obtain one it does look very good
on your application. Ophthalmology is a small field, so letters from well-known individuals can help
your application, but only if they know you well. In general, make sure you choose someone who
knows you well and can vouch for your character, work ethic, and enthusiasm for the field. If using
a LOR from a clerkship, ask the letter writer during or immediately after your clerkship, while your
work is still fresh in their mind.
The best piece of advice is to ask for letters of recommendation early. Remember, your letter
writers are busy people. Give them at least four weeks’ notice (two months is even better!) before
you need the letter. Make it easy for your letter writer by providing everything they need: your CV,
a draft of your personal statement, and a copy of the ERAS LOR cover sheet. (There are slight
differences in how SF Match and ERAS handles LORs, which we will explain below.) Often, if you are
asking for LORs well before application time, faculty members will make notes about you or even
draft their letter shortly after your time with them, but will still request your personal statement
and CV to update and finalize their letter closer to the submission date.
SF Match: You will need your 3 letters of recommendation uploaded by the school to SF match
before you submit your application around August 15. CAS will only accept 3 LORs – no more, no
less. Until 2016, CAS required applicants to mail LORs with their application and transcripts. Now,
the CAS application process has been simplified as everything is submitted online through the
application. You are responsible for submitting USMLE scores and college transcripts. The school is
responsible for uploading your medical school transcript and LORs. The simplest way of doing this
is by contacting your letter writer and having them email your LOR to your Dean’s Office, who will
then upload the LOR on your behalf. Should you choose to mail your LOR to your Dean’s Office, it
may be helpful to ask for two sealed, signed copies from each letter writer, in the rare chance that
your application packet is lost in the mail. **Confidential letters must each remain in a sealed,
signed envelope (ask the letter writer to sign his/her name across the seal of the
envelope).**
These same 3 letters of recommendation will be sent to ALL the ophthalmology programs you
apply to. Because CAS distributes your application, you cannot send different combinations of
letters to specific schools. However, if you want to send an additional LOR, some programs will
allow you to send it directly to them as a supplemental material before or after you have been
offered an interview. Check with these programs first and ask which address to send it to. Because
the medical school Dean’s Office no longer holds confidential copies of LORs, you may either need to
request the letter writer to send supplemental letters directly to programs or talk with your
school’s Office of Student Affairs for advice on submitting extra letters confidentially.