I have a friend from AZCOM who rotated to Texas for a 4th year elective. I understand that you can pretty much arrange electives wherever you can find them. Of course, this involves a lot of work on your part. Correct me if I'm wrong.
I've run into students from other states on occasion. For academic sites, the application process is straightforward and was recently extended to include DO schools:https://www.aamc.org/students/medstudents/vsas/faqs/119604/using_vsas.html.
Space availability is a different issue, since each site reserves top priority for its own students, and then other Texas schools.
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