I'm coming to an end of my 3rd year now.... and since the school doesn't tell you anything about rotations until the week before you begin to set them up, here's a little info I wish someone had provided me. Straight up, here is how rotations at LECOM work:
1) You have CORE rotations that you complete during your 3rd year: 3 months of IM, 1 month Peds, 1 month OB/GYN, 1 month psych, 2 months Surg, 1 month Family prac, and 1 month core selective in any of the previously mentioned core rotations. These have to be done at affiliated sites, which they will provide an updated list for you when the time comes. There is also a list on the LECOM website, however I'm not sure how often they update it. Also, you get 2 months of electives in anything you want, at any hospital in the country that will take you. For FP(family practice), you can do it with any board-certified DO in the country. Your CORE selective can be done at any hospital of choice (yes, that means at a non-affiliate), but only in your THIRD year. It's like having an elective, but in one of the CORE subjects.
Your 4th year will consist of 2 Ambulatory rotations, 2 ER rotations, 1 rural/underserved rotation, 1 medical selective, 1 surgical selective, and 4 regular electives. All SELECTIVES in your 4th year have to be done at affiliates (not like your 3rd year, where it can be done anywhere). Electives can be done anywhere on god's green earth.
2) You will decide your rotating fate (group) based on 1 of 2 things......1) Geographic location- if you want to do your rotations in a certain area you can pick this as your main priority. Areas that LECOM has are ohio, erie, pittsburg, east PA, middle PA, Jersey, NY, and a few in FL. There are random hospitals in georgia, kansas, and indiana. Again, you will get a list. 2) Vacation month- you get 1 month vacation each in 3rd and 4th year. If you are dead set on having a certain month off (i.e. getting married in August) then you can pick your vacay month as your priority over geographic location. The vacation month, if you choose this priority, will be the same month in your 3rd and 4th year (if your vacay month is in july of 3rd year, it will be july of 4th year). The only time this will change is if you fail the boards and are off track for some reason, but worry about this only if you come to this path.
When you indicate your priority (Geo or vacation month), then the student gov and whoever will place everyone according to their personal preference into a group. Usually everyone ends up with their priority (again, geo or vacay month). Most likely you will not end up in a group with your friends, they are chosen based on individual priorities and then grouped accordingly. We had no probs in my class that I know of.
3) Your entire class will be split into rotation groups, there's 13 of them. The groups will start out doing different rotations; for example, some will start on surgery while others will start Ob/Gyn, etc. Each rotation group has a group leader that will attempt to deal with any problems that arise in your group. Rotations begin June of your 3rd year. I suggest taking Step1 (in May) before you start rotations because it's a hassle to leave a rotation and your nerves will be shot from the idea of beginning rotations anyways. Don't worry though, you'll be fine. It's overwhelming, but keep on truckin'.
4) There are mandatory hospitals that require at least one student to be there at all times. You will get a list of these. They are in all the areas mentioned above, and only pertain to CORE rotations mentioned above. If a mandatory hospital is in your geographic area of choice, it's a bonus. My group didn't have any problems covering mandatories and we all made sure they were evenly distributed, so the same people didnt get stuck covering the same hospitals. It is true that LECOM does not pay hospitals to teach students, which is why some hospitals will drop off the list in the middle of your clinical years. It happens, but no big deal.
5) You must expect a cancellation in a rotation at some point during your clinical years. This happens all the time, so don't freak out when it happens to you. Sometimes a hospital will be over-booked, or they will say they aren't taking students for that rotation anymore, or sometimes they don't even give you a reason as to why you got booted. If this happens and it's a CORE rotation, sometimes LECOM will give you permission to go with a non-affiliated hospital (especially if it's a week before your rotation is supposed to start and you have to scramble to find another place). It's not as bad as it sounds, really. Just be prepared in case it happens, and always check in with your next rotation site at least a week prior to the start date to make sure all systems are a-go.
In regards to your specific questions about setting stuff up yourself: NOT TRUE. You will set up your CORE rotations when your individual rotation group meets. Medical education will put your request for your CORE rotations in and contact the affiliated hospitals for you. The rotations you set up on your own are 1) electives 2) FP 3) Core selectives. These are done by contacting the Medical education department of the hospital/physician you are interested in rotating at. They will then okay or deny your request for a rotation there. If they accept you for an elective rotation, then you fill out a rotation approval form (it's basically a request form for an elective) on the LECOM website, and someone in med ed at LECOM will receive it and communicate your paperwork to the hospital/physician you want to do the elective with.
When it comes to competing for rotations with other med students from different schools..... non-existent on CORE roations. You will encounter students from different schools on every rotation you go on, no one will be fighting you over anything. Electives are a bit different......say for example, if you want to go to Harvard your 4th year for an elective, you will be applying along with about 1200 other med students that want to rotate there as well, but the hospital will fill as many spots as they can. Again though, expect that some hospitals will turn you down for an elective, either because you are a 3rd year (most places won't take you unless your a 4th year), or because other people have applied for the elective before you and they don't have any open spots. Don't even worry about that now though, things will become more clear in your 3rd year when you get a better feel on how rotations work.
Hopefully this helps, we didn't have anyone to clue us in on stuff when we first began. Sorry for the novel! Good luck to you 🙂