yeah im not sure of all states but i know texas florida ny adn cali def. approve the umbrella rule..i guess you would have to check with yoru different states..so far in my school people have had no problems and they have been all over the US..what you have to understand is that we are IMG's..you may not be impressed but it is def. more impressive than foreign clinicals..that is why i always suggest carib..mainly sgu and ross because they have more sites..i rotated at most of the hospitals above and i thought they were great..st. anthony's delivers the 3rd most number of babies in the country, and wycoff is affiliated with cornell weil school of medicine..also a trauma 1 center..different for everyone i guess..but to rotate at hospitals in rotations that have specificaly that rotation as a residency program in the hospital is almost impossible..do you know what states do not accept the umbrella rule?..so far every state i contacted does..take care..