I spent last two days speaking to past graduates from a few Irish schools, who are practicing in the US. They said North American electives are not guaranteed to students. They are awarded to top students in the class. You need to look into finding electives by yourself. They suggested I begin finding research/clinical spots now and build connections for future electives and potential help you find residencies after med school. Hopefully, I can set up 2 or 3 connections immediately at teaching hospital. I hope everyone that is going to an Irish school start doing the same, especially if you are looking for US residency. I don't know much about Canadian residency and how to prepare yourself for it. Good luck everyone.