Correct me if I'm wrong, but from my understanding, you must rotate at a hospital/residency in order to apply there and be a competitive applicant
You do not have to rotate at a particular program in order to apply or be a competitive applicant. It is almost impossible for all applicants to residency programs to rotate at ALL the places they would like. There are just too many. So what can you do? You need to really think about your top 5 programs and try to set up a rotation. It's about securing a rotation spot. Some programs may be "booked" way in advance if it's a really popular program or it may be full if you wait too long to apply. Many applicants, depending on the type of residency apply broadly. I know a classmate of mine who applied to more than 30 programs (EXPENSIVE) plus the cost of travel for interviews.
Additionally, the place you want to rotate may be on a different schedule for rotations and that may not work for either of you, so you may end up SOL. We start rotations on the first of the month. Some places start on an odd date. It's different everywhere but they may be able to accommodate you. I've never had a problem.
When I asked Roger about CA rotations, he said that it probably wouldn't be until 4th year rotations, and it sounded like setting up your own rotations can be a hassle.
You will have 2 elective months in your third year that you can do anywhere in any specialty of medicine. You will have another 2 open electives in 4th year that can be done anywhere and in anything as well. These must be approved by the clin ed dept so you have to submit all paperwork early. Additionally, if they are not on faculty at TUNCOM, they must be properly credentialed. You do this by having the attending that will supervise you, fax or send his/her CV to the clin ed dept. You also have to set it up yourself - fax or send the program's required paperwork and also fulfill the requirements of the school. It's not that bad.
You also have 3 outside core rotations that can be done anywhere but one has to be a medical subspecialty, another is a surgical subspecialty, and the last has to be a primary care subspecialty. These can be done outside Las Vegas but you have set it up yourself. You can choose to do these in LV if you want and the school will set it up for you.
Lastly, in 4th year, you have 5 core rotations to be done in LV: IM, EM, Peds, OB/GYN, Medical Subspecialty. These will be set up for you.
Setting up your own rotations is not that bad at all. You just have to be organized and on top of all you paperwork and deadlines.
Let me just say that some schools do not allow their 3rd year students to any electives outside their core networks. Some schools don't have electives during 3rd year. So, it's not that bad. You'll be fine.
I'd really like to hear from current TUCOM students who have themselves (or someone they know) successfully set up CA rotations, or are from CA, or have even matched at a CA rotation.
I don't know if there are any other 3rd or 4th years on the board that can comment. I have 2 good friends from CA and have set up many rotations in SoCal. There is another classmate of mine who was able to set up all non core and electives in SoCal as well. It's not hard and it has been done. No big deal.
Can anyone comment on the process of setting up your own rotations? Is it difficult to set up CA rotations? Really involved? Worth it?
Not difficult at all. Can be a hassle at times and frustrating to try to match timelines. Some CA schools/programs may want to see your USMLE Step I score at the time you apply and it is not guaranteed you will get the rotation. Just be sure to check the requirements of the program. I know there is at leat one school in CA that requires USMLE Step I score to rotate there.
It is worth it if you really want to limit yourself to a certain geographic area. Good luck! Don't think about this now too much. 3rd and 4th years are important in deciding on a school - more important than board scores, board pass rates, and match lists. You'll have A LOT to think about in the next 2 years!