147 of 230 internship training directors responded to an open-ended questionnaire on academic-clinical preparation for internship as well as specific program adequacy reflected by intern performance. Results are reported by kind of internship setting and approved vs nonapproved internships or university programs. Expectations for intern preparation differed as a function of kind of internship setting. Testing was still more generally desired than other skills. Respondents were generally dissatisfied with previous training. The overall adequacy figure for programs across internship settings was 36% with a range of program adequacy from 71% to 0%. Implications of findings for university-internship communication are discussed.