Okay we've established that you can set up your own rotations in your fourth year, and maybe even some electives in the third year. From what I hear it depends on the school. So now I ask... What is involved in setting up your own rotations. Surely you don't just look in the phone book, pick some groovy hospital, and show up on Monday morning and say you are ready to rotate. What do you have to go through to actually find hospitals that are willing to let you rotate? Is it competitive to find opportunities outside of your own school's network of affiliations? So what sort of application process is there for being able to rotate in a certain place for a certain rotation? Is it difficult to arrange? Is there people who help arrange these sorts of things?