The Medical Student Performance Record (MSPR), also known as a Dean’s letter, is a document describing your overall performance during medical school. Its contents may be as simple as a confirmation that you did in fact attend your medical school; other MSPRs may include more specific information. The format will vary widely between schools.
Typically, this document:
Reports on activities during medical school;
Comments on performance in clinical rotations;
Gives a recommendation for further medical training;
Reports on time spent in each specialty or department (hours or weeks).
You must arrange to have the undergraduate office of your medical school send an original copy of your MSPR to CaRMS.