The role of the internal medicine subinternship director in the 21st century

The final year of medical school is a chance to solidify students\u27 clinical skills and to prepare them for the rigors of internship; yet at many institutions, this year is dominated by electives with variable goals and expectations. At least 75% of medical schools require subinternships. Although 25% of schools mandate an internal medicine subinternship, approximately 75% of students complete a subinternship in internal medicine. Consequently, the internal medicine subinternship is a critical interface between undergraduate and graduate medical education for most students. Nationally, subinternships are varied in structure, measures, and support. It is time to address the role of the internal medicine subinternship director and identify the resources needed to ensure this pivotal clinical course prepares students for their transition to residency