A voluntary self-regulated system and a peer-review process are used to regulate and accredit medical education providers.
Admission into medical school may not technically require completion of a previous degree; however, applicants are usually required to complete at least 3 years of "pre-med" courses at the university level because in the US medical degrees are classified as Second entry degrees.
A "sub"-internship (abbreviated sub-I), or acting internship (AI) is a clinical rotation of a fourth-year medical student in the United States medical education system usually at a different hospital than the student's medical school affiliations.
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