How toxic are these comments that will appear on my Dean's letter?

I have finished all of my M3 rotations - but won't apply for the match until next year. Here are the negative comments that I have accumulated, and will appear on my dean's letter: From Surgery: Student was "overly enthusiastic", but needed help with suturing. From Neurology: Student can sometimes come off as a bit aggressive. Needs to improve Interpersonal skills. From Psychiatry: Student's interaction with patients was very formal. Needs to show a bit more empathy.... How toxic are these comments that will appear on my Dean's letter?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums