The historical context of the predoctoral internship system is contrasted with the current state of graduate training. The internship system emerged because psychology students often acquired insufficient clinical experience during graduate training in the mid-20th century. However, modern graduate training typically involves extensive supervised clinical contact prior to internship. Moreover, traditional internships exact significant financial, psychological, and personal costs from students. The authors conclude with a discussion of recent progress in the internship process, promising alternatives to traditional internship training (i.e., elective internship training, distributed clinical training, and the affiliated internship model), and implications for the profession. STEVEN R. THORP earned his PhD in clinical psychology from the University of Nevada, Reno, and was a postdoctoral research fellow at Duke University Medical Center. He is currently a research health science specialist in the Department of Veterans Affairs San Diego Healthcare System. He is interested in posttraumatic stress disorder (PTSD) in older adults, treatment outcome research, dialectical behavior therapy, and couples research and therapy. WILLIAM T. O'DONOHUE received his PhD in clinical psychology from the State University of New York at Stony Brook. He is the Nicholas Cummings Professor of Organized Behavioral Health Care Delivery at the