When (Almost) Everyone is Above Average: A Critical Analysis of American Orthopaedic Association Committee of Residency Directors Standardized Letters of Recommendation.
Paul M InclanAlisa A CoopersteinAlexa PowersChristopher J DySandra E KleinPublished in: JB & JS open access (2020)
SLORs demonstrated a profound ceiling effect, potentially limiting the utility of the instrument for the comparison of applicants. Future modifications to this instrument may include measures to better delineate between applicants.