In response to the 2021 Coalition for Physician Accountability recommendation for shared definition of learner outcomes, improved content delivery, and robust handoff in the UME-GME transition, the Alliance established a representative task force (designated institution officers; program directors and administrators; and clerkship, subinternship, and capstone course directors) to examine some of the issues. Recognizing there is currently no consensus on topics that should be covered in capstone courses or orientations for internal medicine learners, AAIM has developed a framework of standardized curriculum for internal medicine bound students for both UME capstone courses and GME orientation to address this gap. The recommendations are based on domains that are critical for both direct patient care and professional development of new interns. However, the development of standardized competency-based assessments is still needed.