Savvy,
This is the deal. If you want to do rotations outside of Arizona then you have to set it up yourself. Almost all med schools are like this. What does it mean to set it up yourself? This means you will have to contact doctors or hospitals on your own and ask them if they will allow you to rotate through with them. You need to do all the work. There are many major teaching hosptitals throughout the United States that will definitely allow to do rotations as long as you apply early. AZCOM also allows you to rotate in private practice as well. That's an added benefit. It takes more work on your part, but many students end up doing at least one rotation out of state although majority do stay in state.