Background: The primary goal of an acting internship or sub-internship is to prepare a fourth-year medical student for their intern year. At our institution, this has traditionally occurred on inpatient hospital medicine teaching teams which include senior residents, interns, and third-year medical students. Because these teaching teams are crowded with learners, our acting interns report [...]

Background: Near-peer teaching is an educational relationship among students close in experience that has gained increasing recognition in medical education and has been shown to be as effective as traditional teaching methods. A sub-internship is a clinical rotation where senior medical students perform the role of an intern under housestaff and attending supervision. Many sub-interns [...]

Background: Cross cover as a new intern can be daunting. A 2019 survey of interns across medical specialties showed the majority had no formal cross cover training or experience and felt unprepared to serve in this role. (1) Residencies have been increasing night float experiences and cross cover roles with careful attention to assure duty [...]

Background: The ability to recognize a patient requiring urgent or emergent care and initiate evaluation and management is one of the core Entrustable Professional Activities (EPA 10). Interns are also expected to work as part of an interprofessional team (EPA 9). The exposure to common, urgent internal medicine (IM) scenarios is inconsistent throughout the IM [...]

Background: Managing clinical deterioration in hospitalized patients is a major component of patient care. When medical students transition to residency, they are expected to manage patients who acutely decompensate in rapid response scenarios, often without dedicated training or exposure on their clerkship rotations. Simulation center training (SIM) has been utilized to help trainees recognize and [...]