Some medical schools have “away” rotations due to insufficient opportunities or lack of a particular service line at their main hospital.
I know medical schools that offer their students opportunities to complete the Ob/Gyn rotation at Parkland Hospital that averages 50 deliveries per day. I’ve heard of students delivering 50+ babies within that month. At my school, anything more than 3 deliveries per student was exceedingly rare.
Although I attended a large tertiary care hospital, my family medicine rotation occurred at a rural hospital where the family physicians were the predominant providers. The school discouraged family medicine rotations at the main campus due to competing services by specialists.
It is critical to ask a medical school where the rotations will be completed. A student might be attracted to multiple remote opportunities across different states or just prefer to remain within one hospital.