To become an Osteopathic Dermatologist, the AOCD recommends that students complete a one year internship program in general medicine, after their 4 years of general medical education, and complete a 3 year dermatology residency program. In an ideal world, it would be smart to complete the one year internship program in general medicine at a dermatology residency hospital so that you can become involved with the dermatology program. My question is how difficult is it to obtain an internship that is not in the state of your D.O. school. For example, if I attended Virginia College of Osteopathic Medicine, how difficult would it be to get accepted into an internship in Florida or Ohio (those being the states with internships provided at a dermatology residency hospital)?