None are hard and fast rules.
Choosing an institution Students may choose to perform a rotation at their home institution or to visit another institution. In general, the performance of multiple EM rotations, especially more than two, at different institutions that simply duplicate experiences is probably best discouraged. The fourth year of medical school provides the student with a unique last opportunity to experience various areas of medicine with education as the primary goal. Collect information on student rotations. Rotations may, for example, differ considerably in the level of responsibility for patient care afforded to students from the true subinternship experience in which the student functions, under faculty supervision, at the level of care-giver, to that in which a more observational role is the norm.