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How the SCORE Exchanges Work All exchanges are initiated and coordinated entirely by medical student volunteers. Every university is represented by a Local Officer on Research Exchange (LORE), who facilitates projects at the local level and arranges for the exchange students preparations such like housing and boarding. Every exchange student is assigned a local contact person who serves as a guide, resource, and social liaison, the thing that strengthens the intercultural communication, understanding, and unity among medical students worldwide.