I have a question regarding whether I should mark being trilingual with Spanish on my applications. I speak both English and my parents' language fluently and would say that I have quite an advanced level knowledge of Spanish. I scored a 5 on the AP Spanish exam and obtained a minor in the language while only taking upper level courses where I wrote numerous 4-5 page essays entirely in Spanish. I have held conversations with native speakers and can talk at length. I am quite sure that my knowledge of Spanish vocabulary and grammar exceed the level of many native Spanish speakers who have grown up in the US. This being said, I don't think I would be able to manage an entire interview in Spanish as well as I could in English if the interviewer decided he wanted to do just that. Should I mark Spanish as one of my languages? In relation to this, does anyone think that if I wrote in-depth about how I want to integrate my Spanish speaking abilities with my work as a physician that the interviewers might also try to conduct the entire interview in Spanish(which would put me at a disadvantage because I might be nervous and it wouldn't be as good as if it were done in English)?