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Things will get much busier in July, I agree. In general, rather than just "an elective" you want a Sub Internship. Many med schools allow 3rd years to bump a core rotation to the 4th year to open an elective slot for them, and some will start doing SubI's then -- because all US students want their SubI done by the time they are applying. Hence, your chances of getting an elective in May or June are good, but your chances of getting a SubI start to drop. I should have been more clear.