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: Internal Medicine Teaching Teams (IMTTs) aim to deliver both exceptional clinical education and efficient, high-quality patient care. However, increasing workloads and the fast pace on inpatient wards are challenging this dual objective. Our study sought to understand the tensions between education and clinical practice in IMTTs and how academic leaders are addressing these challenges. [...]