Hello, I'm currently a third year medical student soon to be 4th year. I learned very little ago about the existence of Med-Peds and am now almost sure that is what i'd like to pursue. I am a student in Puerto Rico and was wondering how many rotations should/do I have to complete on the US mainland. I do have an elective in Med-Peds already scheduled and hopefully will have another in a Pediatric Sub-internship. Is it ok if I complete my internal medicine elective in Puerto Rico or would it be best if I do it in one of the states?