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Impact of Rotation Timing on Emergency Medicine Sub-Internship Course Outcomes
Sofia Tuttle1, Allison Beaulieu1, Rowan Kelner1
1Department of Emergency Medicine, Spencer Fox Eccles School of Medicine University of Utah Salt Lake City Utah USA.
AEM Education and Training
|July 25, 2026
Summary
Emergency medicine sub-internship timing does not affect student performance. Early summer rotations show no advantage over fall rotations for medical students applying to residency programs.
Area of Science:
- Medical Education
- Emergency Medicine
- Residency Training
Background:
- Emergency medicine (EM) sub-internships are traditionally held in summer to aid residency applications.
- The impact of sub-internship timing on student outcomes remains unclear.
Purpose of the Study:
- To investigate seasonal trends in emergency medicine sub-internship course outcomes.
- To determine if early summer rotations offer performance advantages over fall rotations.
Main Methods:
- Retrospective observational study of 84 EM-bound medical students (2021-2024).
- Compared outcomes (evaluations, SAEM scores, final grades) between May-July and August-October rotations.
- Utilized independent t-tests, Mann-Whitney U tests, and regression analysis.
Main Results:
- No significant differences in average evaluation scores (p=0.11), SAEM scores (p=0.32), or final course scores (p=0.21) between early summer and fall rotation groups.
- Performance metrics were comparable regardless of rotation timing.
Conclusions:
- Early summer (May-July) EM sub-internships do not yield better performance outcomes compared to fall (August-October) rotations.
- Rotation timing does not appear to be a significant factor in student success during EM sub-internships.
- Further research at multiple sites is needed to explore other factors influencing seasonal variations.