I'm from Europe and as far as concerned there is no tradition for the Dean to write LOR because it is not needed since the matching process here is quite bureaucratic and you probably don't even need an impressive CV either to match a position. Here you can scrub in clinics for a few years, do a phd etc and the Health Service convert your experience into points (eg phd = 9 points, neurosurgery requires 12 pts), once you have enough points you will get accepted to a specialty. Futhermore, I don't know the Dean that well.
I am currently working with the chairman of the Medical Anatomical Institute at my school, doing basic research about the aberrant morphogenesis of breast neoplastic cells and I'm planning to continue the work until graduation, so I guess it's a good idea to ask for a LOR from him. I'm also planning to get 3 more letters
2: I'm planning to do an away rotation in the US and get a LOR from the chairman in surgery if possible.
3. I'm not sure of which one is better here. Coming from Europe I think we have some terminology differences, I hope you guys can understand whom I'm referring to. We have two surgical institutes that are mainly concerned with clinical research and one neurosurgery clinic at the university hospital. Should I ask for a LOR from the chairman of one of the surgical institutes or from the surgeon commander (the chief in the clinic, is it called "Chief resident" in american?) at the neurosurgery clinic?
4. a LOR from the Dean
Is four LORs too many? If so, is it a good idea to exclude the LOR from the dean?
Any advice is appreciated!
Thanks in advance