A friend of mine and I looked into this pretty extensively. None of the big overseas programs (ie: Orthopedics Overseas, etc.) have any options for medical students. If this is something that you want to do, you basically have to set up a rotation privately with an orthopedic department at a medical school in the country you would like to visit. However, my advice to you would be not to waste one of your ortho months on an overseas elective. Use all of your ortho months doing externships in the US to maximize your chances of matching, and do overseas months in the spring using rotations that you care less about. I have done many overseas experiences, and they are mainly good for seeing how the medical systems work in different countries, the differences in treatment options, and the opportunity to get some traveling in. They are rarely good for expanding your knowledge base in your field of interest. So, I would recommend that since you want to be an orthopedic surgeon that you use your ortho months to learn as much as you can since that is the only thing from medical school that will ever be of any use to you, and use the abroad month to do radiology, anesthesia, or internal medicine--and do it in the spring when you are able to arrange some additional travel time along with your rotation. (If you are dead set on doing an ortho month abroad though, just start contacting schools with ortho programs in the countries where you are looking to go. You can also contact the international studies offices at different US schools to get some help--some are very good and some don't even have one. I know that the University of Nebraska is extremely helpful.)