well, im still trying to find a decent place to get my last and only core rotation (surgery) to be setup in a acgme affiliated/greenbook hospital. regarding the previously mentioned issue of certain states requiring ALL rotations (electives and cores) to be greenbook...i think they mean that for electives that as long as its in a teching hospital. so, if you do electives at a family practice teaching hospital...or a hospital that has a residency on some field....its ok. if this isnt the case...then what do these states expect?!?!?! for example, if a student wants to do a cardio elective, then he/she has to do it only at a place where there are cardiology fellows willing to teach and work with students? i think thats absurd and not to mention almost impossible for img's to achieve. nothing's impossible but feability is an important issue here. how many img's...or even amg students can setup electives in places where they have fellows in gi, cardio, pulmonology, id, neuro? if i am mistaken in anyway...then please help me out.