This article discusses the need for more rigorous evaluations due to the demands faced by today's intern, as well as the practical challenges faced by intern evaluators. Recommendations are provided to strengthen the process of intern evaluation. The strengths and weaknesses of scales that can be used to evaluate interns are discussed. A framework is given for developing an intern rating system, considering both what areas of intern training to evaluate and how to select appropriate content items. Finally, a 7-point intern professional growth scale is presented that focuses on the development of applied skills throughout the internship year. Exit criteria are offered.