Redefining the Acting Internship in the Era of Entrustment: One Institution’s Approach to Reforming the Acting Internship

  • Adam M. GarberEmail author
  • Michael S. Ryan
  • Sally A. Santen
  • Stephanie R. Goldberg


Creating a Core Entrustable Professional Activities (Core EPA) curriculum requires a longitudinal approach. Current curricular efforts have focused primarily on the pre-clerkship and clerkship phases of training; however, the role of the Acting Internship (AI) has not been explored. The AI experience offers opportunities for students to have enhanced clinical responsibility, demonstrate proficiency, and allows for assessment of Core EPAs that are beyond the focus of clerkships. We share our experience developing an interdepartmental AI experience designed to assess designated Core EPAs and highlight tensions that should be considered when incorporating an AI experience into a longitudinal Core EPA-oriented curriculum.


Acting Internship Core EPA Curriculum development Competency Entrustment 


Funding Information

Dr. Santen has support from the AMA Accelerating Change in Medical Education Grant.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study/manuscript, formal consent is not required.


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Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Department of Internal MedicineVirginia Commonwealth University School of MedicineRichmondUSA
  2. 2.Department of PediatricsVirginia Commonwealth University School MedicineRichmondUSA
  3. 3.Emergency MedicineVirginia Commonwealth University School of MedicineRichmondUSA
  4. 4.Department of SurgeryVirginia Commonwealth University School of MedicineRichmondUSA

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