Reference letters for subspecialty medicine residency positions: are they valuable for decision-making? Results from a Canadian study

Table 2 Comparison of composite score based on the 4-point composite endpoint (ITER excluded) across letter writers

		Letter writer			P value
		Non-program director home institution letters, n = 398	Program director letters, n = 201	elective letters, n = 116	P value
Composite score	0	9	0	6	< 0.0001
	1	68	5	51
	2	174	49	47
	3	142	122	12
	4	5	25	0

Findings are significant for subgroup analysis of home versus elective as well (p < 0.0001)

ISSN: 1472-6920