SDN Members don't see this ad. (About Ads) Hi all. I was hoping to get some clarification about when exactly clinical rotations start for TUSPM students. I heard as early as your 2nd year (towards the end, or during the summer between your 2nd and 3rd year). I looked on the schools website, and it says you start clinical rotations during your 3rd and 4th years. Thank you all for your help! Good luck to those who are in the application process! Chin up, you'll get there!