Someone please help me understand this: I was assigned to supervise an intern who had graduated from Meharry Med School a few months ago. It was her first inpatient rotation as a physician, so I didn't expect her to know much. But I DID expect her to know how to do a history and physical, write an admit note, admitting orders, come up with a basic care plan, and present it all to me and the rest of the team in a coherent manner. She clearly had had virtually no experience with all just mentioned, in fact she had little insight into her role in patient care at all (for example, she did not seem to be aware that she was supposed to have an admit note in the chart by the next morning, and to write a progress note everyday on all her patients). She was very sweet, and was aware and embarassed that she had fallen short of expectations. Unfortunately I only worked with her for two call nights -- I think I could have taught her a lot. Her book knowledge was quite good, she was clearly very bright, she just needed remedial work in practical skills. I have heard that Meharry has had some trouble in recent years with accreditation. I'm sure troubles at the school played a role in the troubles with this intern. Could someone please tell me how the clinical years are structured at Meharry, and what the role of the student is at the affiliated hospitals? If my intern was a typical product of Meharry, Meharry needs to re-organize their clinical training program.