If a program allows you to give 4 LOR from anyone you want, are most of you giving all 4 letters from orthopaedic surgeons or 3 + 1 from a non-ortho doc? From what I hear, it seems like most of the faculty who read the letters look to see if they know/recognize the letter writer before giving it a serious look, so I was thinking of sending 4 ortho letters to programs that allow it.

Any input from residents on what they submitted when they were in the same situation is appreciated. Thanks.