Page Content


DNAP student in simulation operating room checking vitals

The scope of nurse anesthesia is growing and expanding. Our curriculum reflects the rapidly changing industry, and contributes to our program’s status as a leader in nurse anesthesia education.

Mayo Clinic is a fully integrated, teaching hospital. Aside from your off-campus rotations, all didactic coursework and clinical experiences take place on the Rochester, Minnesota campus.

Didactic coursework

During your academic coursework, you’ll receive education and experience in doctor of nursing practice essentials, such as leadership, evidence-based practice, epidemiology, informatics, ethics, education, and healthcare policy and delivery.

Your classroom education will also be rooted in basic and advanced anesthesia sciences, investigational theory, and other foundational topics.

The academic portion of the traditional program totals 86 didactic semester credits.

Clinical experiences

There are 29 total clinical credits that emphasize cognitive processing, problem-solving, and proficiency in psychomotor skills. You’ll gain experience in a wide variety of required novice and advanced clinical experiences in anesthetizing areas in Rochester and rural partner sites.

Off-site rotations

Doctor of Nurse Anesthesia Practice Program senior students who are in good standing academically and clinically are required to rotate off-campus for a 10-week period. This rotation provides both regional anesthesia experience and clinical experience in a smaller, community-based environment.

The 10-week off-campus rotation (OCR) takes place during the last 12 months of the program.

Mayo Clinic subsidizes the authorized associated travel costs and provides housing during this rotation.

Program schedule

The DNAP Program requires full-time study for 39 months. For the majority of the 39-month program, the learning schedule varies according to your academic, clinical, and scholarly work schedules. Some weekend and off-shift calls are required. The average program time commitment is 60 hours a week. All student registered nurse anesthetists must successfully complete the following course requirements.

First year course sequence

Course Title Credits*
NA 6001 Curriculum and Instruction for Nurse Anesthesia 1
NA 6003 DNAP Program Orientation 2
NA 6421 Statistics and Research Methods 3
NA 6328 Clinical Observation 1
NA 6140 Evidence-Based Practice 3
NA 6130 Organizational and Systems Leadership 3
NA 6501 Scholarly Project I - Planning 3
NA 6150 Health Policy/Quality Health Delivery 3
NA 6120 Healthcare Informatics 3
NA 6400 Clinical Anatomy I 2
NA 6028 Introduction to Clinical Anesthesia 3
NA 6021 Pharmacology for Anesthesia 4
NA 6206 Advanced Health Assessment 2
NA 6007 Medical Physiology 3
  Total 36

*Tuition billing is dependent on the quarter in which the course starts; attempts are made to ensure that billing is spread out evenly over the course of the academic year.

Second year course sequence

Course Title Credits*
NA 6020 Fundamentals of Anesthesia 2
NA 6025 Advanced Anesthesia Pharmacology 2
NA 6026 Inorganic, Organic, Biochemistry for Anesthesia 2
NA 6027 Physics for Anesthesia 2
NA 6030 Advanced Physiology, Pathophysiology, and Anesthetic Considerations 3
NA 6050 Anesthesia Across the Lifespan 3
NA 6061 Anesthesia Crisis Resource Management 3
NA 6052 Neurosciences and EENT 2
NA 6401 Clinical Anatomy II 2
NA 6502 Scholarly Project II - Implementation 3
NA 6503 Scholarly Project III - Analysis  3
  Total 27

*Tuition billing is dependent on the quarter in which the course starts; attempts are made to ensure that billing is spread out evenly over the course of the academic year.

Third year course sequence

Course Title Credits*
NA 6051 Cardiac, Vascular, and Thoracic Anesthesia 2
NA 6053 Regional Anesthesia/Pain 3
NA 6100 Professional Dimensions 2
NA 6203 Comprehensive Anesthesia Review  1
NA 6210 Case Conferences  3
NA 6410 Advanced Considerations in the Practice of Anesthesia  2
NA 6504 Scholarly Project IV - Conclusions 3
  Total 16

*Tuition billing is dependent on the quarter in which the course starts; attempts are made to ensure that billing is spread out evenly over the course of the academic year.

Fourth year course sequence

Course Title Credits*
NA 6200 National Certification Exam (NCE) Preparation 4
NA 6505 Scholarly Project Dissemination 4
  Total 8

*Tuition billing is dependent on the quarter in which the course starts; attempts are made to ensure that billing is spread out evenly over the course of the academic year.

Total didactic credits: 87


Course Title Credits
NA 6300 Clinical Orientation and Competencies 1
NA 6301 Clinical Anesthesia: Jacobsen 2
NA 6302 Clinical Anesthesia: Eisenberg 2 2
NA 6304 Clinical Anesthesia: Eisenberg 1 2
NA 6305 Clinical Anesthesia: Central 2
NA 6306 Clinical Anesthesia: Multispecialty 2
NA 6320 Clinical Anesthesia: Cardiovascular 2
NA 6321 Clinical Anesthesia: Neuro 2
NA 6322 Clinical Anesthesia: EENT/Oral 2
NA 6323 Clinical Anesthesia: Obstetrics 2
NA 6324 Clinical Anesthesia: Pediatrics 2
NA 6325 Clinical Anesthesia: Off-Campus Rotation 2
NA 6329 Clinical Anesthesia: Thoracic/Musculoskeletal 2
NA6331 Advanced Practicums and Advanced Clinical Experience 4
  Total 29

Program outcome criteria

When you successfully complete the Mayo Clinic School of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Program, you will be able to provide:

  • Preanesthetic preparation and evaluation
    • Explain upcoming medical procedures and anesthetic plans to patients
    • Assemble and ensure safe functioning of medical equipment needed to administer anesthetics
    • Prepare and administer medications and obtain intravenous access
    • Perform preoperative physical assessment
  • Anesthesia induction, maintenance, and emergence
    • Safely administer fluids and medications as part of general anesthetic, monitored anesthetic, and regional anesthetic cases
    • Assess patient status and response to anesthesia on a minute-to-minute basis, responding to hemodynamic changes with appropriate interventions to ensure patient safety 
    • Respond appropriately to emergency situations
    • Ensure accurate documentation of anesthesia-related procedures and medications throughout the perioperative period
  • Postanesthetic care, recovery and assessment
  • Contributions to practice and profession
    • Enhanced evidence-based practice (EBP)
    • Critically evaluate and appraise research
    • Utilize technology to improve patient outcomes
    • Incorporate evidence-based practice principles into anesthetic care
    • Evaluate health care systems and environments for feasibility of clinical practice change
    • Participate in interprofessional and intraprofessional collaboration to affect practice improvement and enhanced patient outcomes
  • Participation in efforts to improve health policy and healthcare access for various patient populations

Program technical standards

Graduation and certification

After successfully completing the program's coursework and scholarly project, you are awarded a Doctor of Nurse Anesthesia Practice (DNAP) degree from Mayo Clinic School of Health Sciences, a part of Mayo Clinic College of Medicine and Science.

Graduates of the program are eligible to take the national certification examination administered by the National Board of Certification and Recertification for Nurse Anesthetists.


The Mayo Clinic campus in Rochester, Minnesota, includes an extensive outpatient complex, Mayo Clinic Hospital — Rochester (Saint Marys and Methodist campuses), and substantial research and education facilities. This Mayo Clinic site is among the largest, most advanced medical centers in the world.

Also, rural hospitals in the Midwest are utilized for senior off-campus clinical rotations.

Mayo Clinic's Department of Anesthesiology uses state-of-the-art equipment and techniques. Approximately 80,000 anesthetics are administered at Mayo Clinic each year in the following areas:

  • Cardiovascular surgery
  • Obstetrics
  • Diagnostic and interventional procedures
  • Ophthalmic surgery
  • Emergency surgery
  • Orthopedic surgery
  • General surgery
  • Otorhinolaryngology surgery
  • Outpatient surgery
  • Outfield procedures
  • Neurological surgery
  • Pediatrics
  • Plastic surgery
  • Thoracic surgery
  • Transplant surgery
  • Ambulatory surgery

Teaching faculty

The Doctor of Nurse Anesthesia Practice (DNAP) Program is coordinated and taught by the clinical, scientific, and technical instructors from Mayo Clinic. Faculty members are chosen for their commitment to teaching as well as clinical practice and research. Many have published and lectured extensively and are highly regarded in their fields.

Instructors from Winona State University and the nurse anesthesia core faculty team teach the DNAP courses.

Students have access to research, clinical, and didactic faculty throughout the program and have the opportunity to learn directly from some of today's best anesthesiology and nurse anesthesia practitioners and educators.

The faculty direct and guide research, didactic, and clinical learning in an integrated system of practice and education. All anesthetics are administered under the direction of Mayo Clinic staff anesthesiologists and certified registered nurse anesthetists.

Grading or evaluation

Mayo Clinic School of Health Sciences uses evaluative tools and activities that include:

  • Written examination
  • Demonstration of skills
  • Class and seminar presentations
  • Class and clinical participation
  • Referenced papers
  • Self-assessment exercises
  • Faculty reviews

Mayo's system of evaluation provides students and faculty with a comprehensive look at individual performance. This allows faculty and administrative staff to direct students who are experiencing academic difficulty to the appropriate support resources, including tutoring programs and counseling opportunities.

Grades are based on a percentage. Retesting may be required for test or assignment scores below 70 percent. A score less than 70 percent is considered a failure.