I am not a program director but many programs (mine included) have the residents play a huge role in who gets invited for interviews and then give input on how the final rank list looks. While not being a program director, I have never encountered in all my OMFS experience (hustling OMFS stuff in dental school, externships, interviews, conversations/interviews with multiple program directors-one on one where they give frank/blunt advise, many conversations with many residents from coast to coast, 4 straight years of interviewing candidates from all over the country, and from reading the National Inquirer- when I go back and read this, I sound like an old reminiscing geeezer oh wait, I am....) I've never heard anyone breath a breath that says that a GPR or AEGD is on level ground with an internship..... a true internship though, not one of these "internships" that are more like supervising dental students and running an exodontia clinic with no call. A true internship, as described above, is where you are treated and expected to perform like a 1st year resident. I also have an aquaintence who did a GPR and it has been very, very painful first year in residency. This person did it at a noteworthy hospital in Chicago and let me tell you if you asked this person how much their GPR helped them, they'll tell you it got them through the first minute of residency. They tell me that they should have taken my sage advise and now they are paying to the ultimate farthing for their naive assumption 🙂 (sounds like Shakespeare) This person has said time and time again that if they could do it over they would have spent that year preparing for the radical change of becoming a resident by doing an internship. When interns from other programs come for interviews it is obvious they are a clear step above everyone else. The experience our intern gets will clearly give them a monster jump anywhere else. Pounded for a year- it is the steepest learning curve imaginable, but at the end of the year they are a total different health care provider. Not even the same person. I'd put our intern at the end of the year against any GPR grad in the country and they'd eat them alive, period. But the intership can't make up for mediocre part one board scores.... an internship can help out a person in the 86-89 range but even then, it isn't a sure thing.....