The Carlos Otis Stratton Mountain Clinic prides itself on becoming a valued teaching facility, supporting the regional medical community with high quality, fun and profoundly beneficial student opportunities.  Students will work at Carlos Otis Stratton Mountain Clinic in Vermont and have the opportunity to participate in the hands on care of acute trauma, fractures, sprains, lacerations and other medical and orthopaedic emergencies occurring in a busy emergent and primary care setting.  A rotating roster of top emergency and orthopedic physicians allows for great exposure and contact for the students benefit.  Opportunities also exist to participate in the preparation for transfer of acutely ill or injured patients to level one or level two institutions by helicopter or ambulance.  In addition, students have the opportunity to participate in delivering acute and primary care to a rural community.  Direct patient contact is the major learning modality for this elective, including history taking, examination and diagnostic/therapeutic planning.  Patient presentations, appropriate procedures, and patient follow-up are expected of the students.