You need to call the Rochester premed advisors and find out if their committee letter is evaluative or if they support everyone. If evaluative how many students do they support each year out of those that talk to them?
You’re probably not aware of this but many private colleges (but few publics) supply a “committee letter” to med schools summarizing your work. A school can use this to get amazing placement stats; just tell students below a cutoff their letter will say the committee has reservations or flat-out does not recommend them. At which point it is useless for them to apply and the school gets a 90% “admit” rate. AMCAS publishes handy charts with admit percentages based on MCAT and GPA to make the screening easy.
Rochester says that among things that go into their letter
Your interview with a Career Advisor will also draw connections between your experiences and your ability to articulate your story and readiness to attend medical, dental, and vet school. Your academic record (including GPA and awards) will be reviewed as part of this process.
Health Committee Letter : Applying : Applying to Health Professions Programs : University of Rochester
Kinda sounds evaluative to me.
By contrast WUSTL says (bold is from original)
We do not rank applicants; we support everyone. Your advisor will use the MyPreHealth materials to understand your narrative and to give you constructive feedback.
Application Support & Letter Service (MyPreHealth) | PreHealth