Medical Student Performance Evaluations (MSPE) is a letter from the Dean’s office that will include a summary of both academic performance and professional attributes. These are derived from student evaluations during medical school, including classroom, clinical and other relevant settings. The MSPE is not a letter of recommendation, but a letter of evaluation and is prepared early in the student’s fourth year. This letter of evaluation becomes part of the Electronic Residency Application Service (ERAS) application and is not available for review by the student.