It seems, at least at my school, there's a tremendous amount of leeway in how we spend the latter half of our 4th year. In fact, I have almost 6 months of uninterrupted elective time prior to graduation. Now, it seems to me that the best way to prepare to be a new intern would be to schedule nothing but hospital-based IM rotations during those last few months. However, I see a lot of 4th-years taking a ton of cushy electives, most of which seem to impart very little carry-over value to the role of being a house officer, e.g. I don't see how outpatient derm, rheum, pain mgmt, etc. rotations is going to help prepare you for your first month as an intern (at least not nearly as much as doing more medicine rotations would). Is my thinking here flawed? At first, my thinking was that your MSIV elective time should be spent getting exposure to different specialties, but now I'm questioning that thinking. I'm curious to hear the thoughts of some of the residents on this forum. Thanks.