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ProMed United

Virtual Intern Year · for medical students: Walk into intern year already ready.

A low-cost, self-paced bootcamp that teaches what clerkships assume you already know: sign-out, cross-cover pages, safe orders, and notes your senior will not have to rewrite. Finish the published requirements and you can request a letter of recommendation from Dr. Dave.

Join Virtual Intern YearTry a free lesson
Tuition $495

Night sign-out · I-PASS

4B Medicine · Team Blue · 19:00

Fictional patients

  • 4B-12 · R.M., 67M

    Watcher

    RLL CAP + sepsis, improving

    F/u 22:00 lactate

    If MAP < 65 → bolus, call senior

  • 4B-15 · A.K., 54F

    Watcher

    DKA, on insulin drip → SQ

    BMP q4h, check gap

    If K < 3.3 → hold drip, replete

  • 4B-18 · J.T., 81M

    Stable

    CHF exacerbation, diuresing

    None overnight

    If SpO2 < 90% → CXR, call

Page · 02:14
4B-12 BP 86/50, HR 124, new confusion. Please call.

The essentials

Virtual Intern Year at a glance

Who it's for
Medical students and graduates (MD, DO, and IMGs) preparing for clerkships, sub-internships, and intern year
Format
Online and self-paced, with written feedback on graded notes and a capstone presentation
Length
About 8 weeks at 4–5 hours a week · 12 months of access
Price
$495
What's included
  • 10 intern bootcamp modules with quizzes
  • 10 virtual rotations on fictional cases
  • Note-writing curriculum with graded feedback
  • Cross-cover and patient-journey simulations
  • Eligibility to request a letter from Dr. Dave

What's inside

The intern skills nobody formally teaches.

Short, practical lessons built around the moments that make or break a day on the wards, followed by quizzes and graded practice.

Intern bootcamp modules

Ten short modules on I-PASS sign-out, cross-cover pages, safe orders, prioritization, consults, and escalation, each with a quiz.

Ten virtual rotations

Walk through the cases and decisions that define medicine, surgery, pediatrics, OB/GYN, psychiatry, neurology, and more.

Note-writing curriculum

H&P, SOAP progress note, consult, procedure note, discharge summary, and outpatient follow-up with templates and a grading rubric.

Cross-cover simulations

Practice the first five minutes of the pages interns get most: fever, hypotension, chest pain, hypoxia, hyperglycemia, confusion, and falls.

Case-presentation capstone

Present a fictional admission the way you would on rounds: one-liner, focused data, and a problem-based plan.

A letter you can earn

Meet the published criteria and request a letter of recommendation from Dr. Dave describing the work you completed.

Bootcamp curriculum

Ten modules. One confident intern.

Short, practical modules built around the work interns actually do. Modules 1 to 9 each end with a quiz, and Module 10 is the capstone.

1Module 1Your first day: how the team actually worksRoles, pre-rounding, and presenting on rounds without reading the chart aloud.
  • Who does what: attending, senior resident, intern, nurse, pharmacist, case manager
  • Pre-rounding: overnight events, vitals trends, I/O, labs, new results
  • The one-liner that frames every presentation
  • Oral presentations: new admission vs. daily follow-up
  • Pager and secure-chat etiquette
  • Module quiz
2Module 2I-PASS handoffs & sign-outA structured handoff the next clinician can act on at 3 a.m.
  • I-PASS: Illness severity, Patient summary, Action list, Situation awareness & contingencies, Synthesis by receiver
  • Writing if/then contingencies that do not say only "watch closely"
  • Verbal handoff vs. written sign-out
  • Receiver synthesis and read-back
  • Morning handback: what happened, what you did, what is left
  • Module quiz
3Module 3Cross-cover I: answering pages safelyA repeatable approach to any page, then the high-stakes calls.
  • The first five minutes: vitals, "how does the patient look?", go see or not
  • Fever: new vs. expected, sources, cultures before antibiotics when sepsis is possible
  • Hypotension: real or artifact, volume status, sepsis, bleeding, cardiac causes
  • Chest pain: ECG within minutes, troponin, ACS, PE, dissection
  • Hypoxia: oxygen first, then airway, lungs, heart, clot, and drugs
  • Module quiz
4Module 4Cross-cover II: the other common callsCalls that look routine until they are not.
  • Hyperglycemia: correction scale vs. basal problem, when to think DKA or HHS
  • Altered mental status: glucose, oxygen, drugs, infection, stroke, and delirium
  • Falls: head strike, anticoagulants, injuries, and why it happened
  • Documenting a cross-cover event note
  • Module quiz
5Module 5Writing orders safelyOrders are instructions other people will follow exactly as written.
  • Admission order sets without autopilot
  • Medication reconciliation and renal dosing
  • High-risk medications: insulin, anticoagulants, opioids, potassium
  • Avoiding dangerous abbreviations and ambiguous PRN orders
  • Diet, activity, lines, and VTE prophylaxis
  • Module quiz
6Module 6Prioritization, to-do lists & time managementSick patients first, discharges early, notes last.
  • Sorting the list: sick, sick-ish, and stable
  • A to-do list built around decisions, not tasks
  • Batching work and protecting time for notes
  • Getting discharges out before noon (realistically)
  • Module quiz
7Module 7Calling consultsAsk a question another specialist can actually answer.
  • Know your question before you dial
  • Urgency, background, and what you have already done
  • Closed-loop communication and documenting the recommendations
  • When the consultant disagrees with your team
  • Module quiz
8Module 8When to call your seniorEscalating early is a skill, not a weakness.
  • Always-call triggers: instability, rapid response, transfers, AMA, deaths, family conflict
  • SBAR for escalation
  • Rapid response and code roles for interns
  • Calling for help without losing ownership
  • Module quiz
9Module 9Notes that workThe note-writing curriculum, with graded submissions.
  • H&P, SOAP progress note, consult, procedure note, discharge summary, outpatient follow-up
  • Problem-based assessment and plan
  • Copy-forward risks and how to avoid them
  • Submit 1 H&P, 3 progress notes, and 1 discharge summary for grading
  • Module quiz
10Module 10Capstone: the case presentationPut it together on a fictional admission.
  • Receive a fictional case packet
  • Write the one-liner, H&P, and day-2 plan
  • Record a 5–7 minute oral presentation
  • Written feedback against the capstone rubric

Suggested weekly pace

About 8 weeks at 4 to 5 hours a week.

That's roughly 32 to 40 hours in total. Every week ends with something to hand in, so you always know whether you're on pace.

  • More time each week? Combine weeks and finish sooner.
  • Heavy rotation or exam block? Slow down and pick up at the next unfinished week. Your access lasts 12 months.
  1. Week1

    Modules 1 and 2

    Team roles, presenting on rounds, and I-PASS sign-out

    Hand in: Quizzes 1 and 2

  2. Week2

    Modules 3 and 4

    Cross-cover: answering pages safely, from fever to falls

    Hand in: Quizzes 3 and 4

  3. Week3

    Module 5, then start Module 9

    Writing orders safely; the H&P

    Hand in: Quiz 5 · your H&P

  4. Week4

    Module 6 + notes

    Prioritization; the SOAP progress note

    Hand in: Quiz 6 · progress note 1

  5. Week5

    Module 7 + notes

    Calling consults; the consult note

    Hand in: Quiz 7 · progress note 2

  6. Week6

    Module 8 + notes

    When to call your senior; the procedure note

    Hand in: Quiz 8 · progress note 3

  7. Week7

    Finish Module 9

    The discharge summary and the outpatient follow-up note

    Hand in: Quiz 9 · discharge summary

  8. Week8

    Module 10

    The capstone case presentation

    Hand in: Your recorded presentation

"+ notes" means that week's lesson from Module 9, the note-writing curriculum, which runs alongside weeks 3 to 7. Fit one or two of the ten virtual rotations into each of weeks 1 to 7, in any order.

Interactive patient journey

Follow one patient from the ED to the clinic.

Tap any stop to see what happens, who is involved, the note written there, and a decision to make yourself. This is how every virtual rotation works.

Fictional patient · Mr. R.M.

67-year-old man with type 2 diabetes, hypertension, and a 40 pack-year smoking history (quit 7 years ago) who comes to the ED with 3 days of productive cough, fever, and shortness of breath.

0/7 decisions correct

Stop 1 of 7 · Day 0 · 14:10

Recognize sepsis early

What happens

T 38.9 °C, HR 112, BP 104/62, RR 24, SpO2 89% on room air. Crackles at the right base; chest X-ray shows right lower lobe consolidation. WBC 16.8, lactate 2.6 mmol/L, creatinine 1.4 (baseline 0.9). The team treats this as pneumonia with sepsis: two sets of blood cultures, then ceftriaxone plus azithromycin within the hour, oxygen to SpO2 92–96%, and a crystalloid bolus with reassessment.

Who is involved

  • ED physician
  • ED nurse
  • Respiratory therapist
  • Pharmacist

Teaching point

Sepsis is life-threatening organ dysfunction caused by a dysregulated response to infection. Do not let a single score rule it out: the Surviving Sepsis Campaign recommends against using qSOFA alone as a screening tool. Cultures should come before antibiotics only when that does not meaningfully delay them.

ED provider note (excerpt)
MDM: 67M w/ T2DM, HTN, former smoker with RLL pneumonia and sepsis
(new O2 need, AKI, lactate 2.6). Not hypotensive.
- Blood cx x2 drawn 14:25, then ceftriaxone 1 g IV + azithromycin
  500 mg IV started 14:40
- 1 L balanced crystalloid, reassess vitals/exam; repeat lactate 2 h
- O2 via NC, goal SpO2 92-96%
- Severity: CURB-65 = 2 (age, BUN 28) + new O2 need
Dispo: admit to hospitalist, telemetry.
What would you do?

What would you do?

Mr. R.M. has a qSOFA of 1 (only the respiratory rate is abnormal). What is the best next step?

Fictional patient for education only. Not medical advice; real care follows your institution's protocols and supervising physicians.

Virtual rotations

Ten services, one playbook.

Each rotation walks you through the cases you will see, the notes you will write, and the decisions you will be asked to make. All cases are fictional.

Internal Medicine / Hospitalist

Admissions, daily progress, safe discharges

  • Pneumonia & sepsis
  • CHF exacerbation
  • DKA
  • GI bleed

Emergency Medicine

Undifferentiated patients and dispositions

  • Chest pain
  • Syncope
  • Abdominal pain
  • Shortness of breath

General Surgery

Pre-op, post-op, and the surgical progress note

  • Appendicitis
  • Small bowel obstruction
  • Post-op fever
  • Cholecystitis

Pediatrics

Weight-based dosing and family-centered care

  • Bronchiolitis
  • Febrile infant
  • Dehydration
  • Asthma exacerbation

OB/GYN

Labor, postpartum, and gynecologic emergencies

  • Preeclampsia
  • Postpartum hemorrhage
  • Ectopic pregnancy
  • Labor check

Psychiatry

Safety assessment and the psychiatric interview

  • Suicide risk assessment
  • Agitation
  • Alcohol withdrawal
  • First-episode psychosis

Neurology

Localization and time-critical neurology

  • Acute stroke code
  • Seizure
  • Delirium vs. dementia
  • Headache red flags

Family Medicine / Primary Care

Continuity, prevention, and chronic disease

  • Post-discharge visit
  • Diabetes follow-up
  • Hypertension
  • Preventive care

Cardiology

ECGs, ACS pathways, and rhythm problems

  • NSTEMI
  • Atrial fibrillation with RVR
  • Heart failure
  • Bradycardia

Critical Care

Shock, respiratory failure, and ICU transfers

  • Septic shock
  • Hypoxemic respiratory failure
  • Upper GI bleed
  • ICU-to-floor handoff

Note-writing curriculum

Notes your senior won't rewrite.

Learn the six notes interns write most, practice them on fictional cases, and submit an H&P, three progress notes, and a discharge summary for graded feedback.

  • Problem-based assessment and plan
  • One-liners that tell the reader what to solve
  • Medication changes and pending results made explicit
  • No copy-forward, no pasted lab dumps

Written on admission. Tells the whole story once and sets up the plan for every problem.

ADMISSION HISTORY & PHYSICAL
Chief complaint: "___" x ___ days
HPI: [age] [sex] with [pertinent PMH] presenting with [CC].
  Onset / course / severity / associated sx / pertinent negatives.
  ED course: vitals, key data, treatment given.
PMH / PSH:
Medications (verified with ___): dose, route, frequency, last taken
Allergies: drug -> reaction
Social: tobacco / alcohol / drugs, living situation, function
Family history:
ROS: pertinent positives & negatives
Exam: vitals; general; focused systems
Data: labs, imaging, ECG (interpreted, not pasted)

Assessment: One-liner (who + what + how sick).
Plan (by problem, most active first):
#Problem 1: assessment -> diagnostics -> treatment -> monitoring
#Problem 2: ...
FEN / VTE ppx / lines / code status / dispo

How to stay on track

Built so self-paced actually finishes.

Self-paced means nobody schedules it for you. These four habits keep the eight weeks moving.

Fixed study blocks

Put two or three study blocks on your calendar at the same times every week and treat them like a shift you can't swap. A set time is what turns self-paced into finished.

Pass each quiz before moving on

Under 80% on a module quiz? Review the explanations and retake it before you start the next module, so gaps don't pile up.

A weekly note submission

From week 3, submit one graded note a week on the same day. Five notes spread over five weeks beats five notes rushed at the end.

A progress checklist

Every module, quiz, rotation, graded note, and the capstone on one list, so you can see what's done and what's next at a glance.

How you'll know you're intern-ready

Ready means graded work, not a feeling.

Three checks, each measured against a published standard, show you can do the work on a fictional patient before you do it on a real one.

  1. 1

    80% or higher on every module quiz

    Modules 1 to 9 each end with a quiz on the calls interns make: answering a page, writing a safe order, knowing when to escalate. Your best score counts.

  2. 2

    Graded notes that meet the rubric

    One H&P, three SOAP progress notes, and one discharge summary, written on the fictional cases provided and scored against the published rubric.

  3. 3

    A capstone you could give on rounds

    A recorded 5–7 minute oral presentation of a fictional admission with a written one-liner and plan, reviewed in writing against the capstone rubric.

Letter of recommendation

A letter you earn, with criteria published up front.

No surprises and no shortcuts. Here is exactly what students work toward.

Meeting the criteria makes you eligible to request a letter; it is not a guarantee. Letters are written at Dr. Dave's discretion and describe only what Dr. Dave has reviewed: your quizzes, graded notes, capstone, and professionalism in the program. It is not a clinical clerkship evaluation and does not describe direct patient care.

  1. 1

    Complete all 10 modules

    Every lesson in the bootcamp, the virtual rotations, and the note-writing curriculum.

  2. 2

    Meet all three ready checks

    The quiz scores, graded notes, and capstone described above.

  3. 3

    Professionalism throughout

    On-time submissions, respectful communication, your own work, and never any real patient information.

  4. Request your letter

    Once every requirement is complete, request a letter from Dr. Dave, written at Dr. Dave's discretion.

Enrollment

Serious preparation at a student price.

One payment. Self-paced. Twelve months of access.

Virtual Intern Year

$495

Self-paced · 12 months access

Join Virtual Intern YearTry a free lesson first

What's included

  • 10 self-paced intern bootcamp modules with quizzes
  • 10 virtual rotations built on fictional cases
  • Note-writing curriculum with 6 templates and a grading rubric
  • Graded feedback on 5 notes and your capstone presentation
  • Interactive patient-journey and cross-cover simulations
  • Eligibility to request a letter of recommendation from Dr. Dave
  • 12 months of access

Every student's path is different. ProMed United provides education and mentorship; we do not guarantee admission, exam scores, residency match outcomes, or publication.

Meet the founder

Intern skills, in a program designed by a physician.

Dr. DaveDO, MBS

Founder & Lead Physician Educator, ProMed United

Dr. Dave, DO, MBS, is a physician, researcher, and the founder of ProMed United, with 50+ peer-reviewed publications. Dr. Dave tutors and mentors students along the whole road to medicine, from the SAT and MCAT through medical school, USMLE and COMLEX boards, research, and the residency match.

  • 50+ peer-reviewed publications
  • SAT to residency
Read Dr. Dave's story

FAQ

Frequently asked questions

Still unsure? Book a free consult and ask us directly.

Who is Virtual Intern Year for?

Medical students and graduates (MD, DO, and international medical graduates) preparing for clerkships, sub-internships, or the start of intern year. It is most useful from the end of preclinical years through the spring before residency.

How much does Virtual Intern Year cost?

$495. That includes 12 months of access to every module, virtual rotation, and simulation, plus written feedback on your graded notes and capstone. It is self-paced, with no live one-on-one sessions.

Who teaches Virtual Intern Year?

Dr. Dave, DO, MBS, designed the curriculum. Your graded notes and capstone get written feedback against a published rubric, and any letter is written at Dr. Dave's discretion, based on the work reviewed in the program.

Is Virtual Intern Year online or in person?

Online and self-paced. Every module, virtual rotation, and simulation runs in your browser, so you can fit it around classes, clerkships, or away rotations.

How do I get started?

Submit a short application from this page. We review it, confirm the program fits your timeline, and send simple steps to enroll; then you can start the first module right away.

Is this a real clinical rotation?

No. It is an educational program built on fictional cases. There is no patient contact, it does not replace clerkships, and it is not for academic credit unless your school separately approves it.

Am I guaranteed a letter of recommendation?

No. Completing the published criteria makes you eligible to request a letter. Letters are written at Dr. Dave's discretion and describe the work Dr. Dave reviewed in the program.

Can I use the letter in my ERAS® application?

If Dr. Dave writes a letter for you, you request and assign it in MyERAS® like any other letter; letter writers upload letters through the AAMC Letter Writer Portal, so you never handle the letter yourself. Residency programs usually weigh letters most from faculty who supervised you clinically in your chosen specialty, so treat this one as a supplement to those letters, not a replacement.

How much time does it take?

Plan on about 8 weeks at 4 to 5 hours per week. It is fully self-paced, and you have 12 months of access.

Are any sessions live?

The bootcamp is self-paced. Your notes and capstone receive written feedback against a published rubric. If you want live one-on-one help, Board Tutoring and the Residency Accelerator include one-on-one sessions.

Can I write notes about patients I have seen on rotations?

No. Never submit real patient information. All graded notes are written on the fictional cases we provide, which also keeps everyone on the same rubric.

Is the clinical content medical advice?

No. The content is educational and follows widely used guidelines, but your hospital's protocols and your supervising physicians always govern real patient care.

What if I fall below 80% on a quiz?

Review the explanations and retake it. Your best score counts toward the letter criteria.

What is the refund policy?

See our refund policy page for details, or email us before you enroll with any questions.

Free guides

Related guides

Free, answer-first guides for medical students: how to write a SOAP note, with a fictional example and the most common mistakes, and the residency application timeline.

All guides

Start intern year with a plan, not a panic.

Self-paced, $495, and built by a physician educator. Try a free lesson or enroll today.

Join Virtual Intern YearTry a free lesson