Year 3 and 4 are at the same rotation site, sort of. during year 3, your non core rotations, you can do them at any place you want, or your rotation site if you choose. For example, during your non core 6 months, you could go home for that whole time, as long as you have physicians there that are willing to let you rotate with them. The only exception is the Family medicine rotation, that is done in your core site during your "non-core" rotations. During year 4, you do have rural rotation and ER that you do in your core rotation site. But during year 4, you are doing audition rotations at various residencies that you are interested in, so year 4 rotations are a little all over the place.