So you’ll get some more in-depth lectures later in 2nd year about how it all works. But as a general overview 3rd year you’ll be assigned to a clinical site where you do all your core rotations (IM, FM, OBGYN, Surgery, Psych, Peds) and you’ll also get 2-3 elective rotations depending on your rotation site, some sites made students do a month of geriatrics as one of there electives.
I’m still in 3rd year and I’m sure
@fldoctorgirl can comment on 4th year better than I can, but here is what I know so far. 4th year you will apply to do away rotations at hospitals wherever you want. So if you are from Michigan you can find hospitals with residency programs there or really any doctor that would be willing to have you for a month and get in contact with them (sometimes via VSAS, clinician nexus, or by emailing the program directly) and set up a month to rotate through whatever specialty you want. The school also requires you to do 3 sub internships (Sub-I) and you will usually do those in the specialty you are interested in. So if you are applying to surgery you can do a few surgery Sub-i’s at programs you want to match at to increase your chance of matching there. You will have to do one month of EM 4th year and you can setup some of your other 4th year rotations at your core site from 3rd year if they will take you. I’ve heard some core sites don’t really take students for 4th year and others are fine with it.