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Certainly, highlighting the challenges or obstacles that the applicant has overcome can add depth and authenticity to a letter of recommendation. These experiences can provide powerful examples of the applicant's resilience, determination, and ability to thrive in the face of adversity. When discussing these challenges, focus on the applicant's response and growth as a result of facing them. Provide concrete examples of how they have demonstrated qualities like adaptability, perseverance, and problem-solving skills. Link these experiences to their suitability for the family medicine residency letter of recommendation program, showcasing how they've developed qualities that will make them an excellent fit for the field. Sharing these stories can help paint a vivid picture of the applicant's character and readiness for the program.