Last year, I sent 3 Derm letters, and 1 non-Derm letter and matched. You're fine.

Thanks. I have >4 derm letters, but I also have a great non-derm letter. I was just hoping people could shed some light on which programs would prefer all 4 derm and which prefer 3 derm + 1 non-derm. Complicated, I know. Thoughts?

So aren't you limited to 4 letters total you can send to any one program? You could check individual derm program websites to see if any one of them require a 3 combo, but I imagine they're not many that explicitly require that vs. all 4 derm letters. I would use the 3 combo for the internships you're applying to though.

I thought 3 total letters was sufficient for basically all programs? Anywhere require 4?

I don't think any programs required 4.| Eastern Virginia requires 4, also helps if you have ovaries

went to go check and saw that they only had 1 male resident. but more importantly, do they only have 1 faculty member? looks like they rely heavily on community dermatologists