Not all of the rotations are at King's Cuunty; Some are at the University Hospital, Maimonides, etc. Check out the clinical partnerships that Downstate has on their website, students may have rotations at any one of those locations. When signing up, as I was told by my 1st year tourguides, students can make a preference which institution they go to in their clinical years. With that being said, King's County and University Hospital are the two main clinical sites.