Green912,
During your 3rd and 4th years there are certain required rotations you have (IM, surgery, pediatrics, OB/GYN, etc.) that must be completed at the hospitals which are affiliated with the school (45+). If you would be interested in doing a rotation outside of these hospitals, that hospital must be willing to sign a contract with LECOM. From what I've been told, this contract essentially states that the hospital will accept any LECOM student interested in doing a rotation there, they agree to provide housing, and they agree to provide meals while working. It sounds pretty easy, but our dean of Clinical education says by the time all the paperwork is signed and whatnot, the plan usually falls through for some reason or other. Each year a few new sites are added-this year I believe about 3 Michigan sites were added and a few others as well.
On a brighter note, there are electives during both years where you can rotate any where your heart desires (providing that hospital/program accepts you). These are usually hospitals that are not affiliated with LECOM, but that you are interested in doing your internship/residency at. For instance, LECOM has no NJ affiliations anymore, so I am going to try to set up some NJ hospital rotations. From what I've heard, the dean has to allow you to go to any AOA approved rotation, though any program is fair game.
Take it easy.
njdo