- •The acting internship (AI) rotation is widely viewed as one of the most important clinical experiences of medical school, however it has several limitations.
- •AI rotation limitations include, but are not limited to, a high prevalence of grade inflation and lack of standardization between institutions regarding rotation structure, curriculum, and grading structure.
- •We highlight several recommendations to mitigate current limitations, including developing national consensus-based AI curricula and competency assessments, and use of department chair's standardized letters of evaluation to improve transparency of AI rotation clinical and grading structure.
- •Additionally, establishing funding for AI directors to facilitate changes is a must to help elevate the importance and potential of the AI rotation in fostering advanced clinical skills in preparation for intern year.
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