biostudies-literatureWesevich ANational Cancer InstituteNCI NIH HHS171-180https://www.ebi.ac.uk/biostudies/studies/S-EPMC10948630biostudies-literatureUnknown34(1)We describe our institution's development and implementation of our Capstone course from a small elective course to the only required fourth-year course. The course's structure evolved from mostly didactic to one including various workshops and simulation sessions. Course content has become increasingly specialty-specific. Implementation requires high faculty and resident involvement. Evaluations indicate a positive impact of the course on participants' self-reported confidence and residency preparedness. Assessment remains pass/fail with more specialty-specific questions. As steadily increasing numbers of medical schools are developing transition to residency courses, we share our Capstone course's evolution and lessons learned over the past nine years.<h4>Supplementary information</h4>The online version contains supplementary material available at 10.1007/s40670-023-01880-2.Medical science educatorA Capstone Course for Senior Medical Students: from Innovative Elective to Required Core Curriculum.PMC10948630T32CA009566T32 CA009566De Fer TMWoodhouse JBrunt LMWesevich AAndriole DAAwad MMfalseA Capstone Course for Senior Medical Students: from Innovative Elective to Required Core Curriculum.We describe our institution's development and implementation of our Capstone course from a small elective course to the only required fourth-year course. The course's structure evolved from mostly didactic to one including various workshops and simulation sessions. Course content has become increasingly specialty-specific. Implementation requires high faculty and resident involvement. Evaluations indicate a positive impact of the course on participants' self-reported confidence and residency preparedness. Assessment remains pass/fail with more specialty-specific questions. As steadily increasing numbers of medical schools are developing transition to residency courses, we share our Capstone course's evolution and lessons learned over the past nine years.<h4>Supplementary information</h4>The online version contains supplementary material available at 10.1007/s40670-023-01880-2.2024-01-01T00:00:00Z2024 Feb2025-04-03T23:22:25.34Z2025-04-03T23:22:25.34ZS-EPMC109486303851041710.1007/s40670-023-01880-2