I digressed into reading this thread and ended up signing up just to answer the initial question and correct Chelseafan. Tea&biscuits, I gather you want to go to a university with placements in the US? Yes there are many universities that offer this. because you asked for electives i assume you are of the medical field? As far as i know alot of the good medical schools offer links to US univesities to do peripheral attachments there or electives. I'm from GKT(King's College London) and I know for a fact that we have links to US universities like Emory, john hopkins, cornell and UPenn coz I just applied to the programme but be warned it is not guaranteed, there is competitive application and selection process. also, it is expensive, but because of our link the tuition fees are waived in all but john hopkins for GKT medics IF you get offered a place - this would be very expensive otherwise. Also, my friend doing Biomed in King's spent a year in university of N. Carolina so i think that is possible too. there are definitely options in most good universities, some free some not. you just have to actively look. Hope that helps.