Its very easy to worry about the future. Students want to be intern, intern want to be residents and residents want to be attendings. To answer your question i did all of my rotations in chicago. I matched this year in ER at south carolina. When you do your cores you find out that you can do electives at that hospital also. It all works out smoothly. Just study, scuba dive and try and enjoy the island, clinicals are the easy part of med school. Step 1 is a man's best friend 3 months studying(score 201) step 2 6 weeks study score 232. You will be fine. enjoy your life.