Curriculum

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A physician and fellows examine a patient at Mayo Clinic

The Hospital Internal Medicine Advanced Practice Provider Fellowship prepares you for professional practice in the world of hospital medicine.

Trainee experience

Our curriculum is designed in a diverse format that accommodates all learner types. It includes formal didactic instruction, simulation experiences, journal club, case reviews, grand rounds, direct patient care in hospital medicine and other specialties, and completion of a capstone or quality improvement project.

Curriculum areas

Our curriculum is based upon core competencies as determined by the Society of Hospital Medicine and expands into many skills, procedures, and knowledge areas.

Core competencies
Skills and procedures
Health care areas
Clinical training and rotations

Core competencies

These include knowledge, skills, and understanding of health care areas:

Acute coronary syndrome
Acute renal failure
Acute hypoxic respiratory failure
Alcohol and drug withdrawal
Asthma exacerbation
Cardiac arrhythmia
Cellulitis
Chronic obstructive pulmonary disease exacerbation
Community-acquired pneumonia
COVID-19 pneumonia/pneumonitis and associated conditions
Delirium and dementia
Diabetes mellitus; including DKA and HHS
Gastrointestinal bleed
Heart failure
Hematologic disorders and malignancies
Hospital-acquired pneumonia
Pain management
Perioperative medicine
Sepsis syndromes
Shock
Stroke
Urinary tract infection
Venous thromboembolism

Skills and procedures

By the end of the fellowship year, you will have experience performing the following skills and procedures:

Point-of-care ultrasound
Chest radiograph interpretation (including CXR, non contrast CT, CT angio chest/pulmonary arteries)
Abdominal radiograph interpretation (including KUB and CT abdomen/pelvis)
ABG interpretation
Pleural and abdominal fluid analysis interpretation
Use and management of noninvasive ventilation
Electrocardiogram interpretation
Focused patient presentation to supervising faculty
Problem-focused physical exam
Paracentesis (not required, but encouraged)
Thoracentesis (not required, but encouraged)

Health care areas

By the end of the fellowship year, you will have a working knowledge and understanding in the following health care areas:

Care of the elderly patient
Care of vulnerable populations
Interdisciplinary and patient communication
Diagnostic decision-making
Drug safety, pharmacoeconomics, and pharmacoepidemiology
Equitable allocation of resources
Evidence-based medicine
Hospitalist PA/NP as a consultant
Hospitalist PA/NP as a teacher
Information management
Leadership
Management practices
Nutrition and the hospitalized patient
Palliative care

Clinical training and rotations

The Hospital Internal Medicine Advanced Practice Provider Fellowship is composed of multiple rotations within various subspecialties. These subspecialties include but are not limited to: cardiology, pulmonology, infectious disease, nephrology, neurology, intensive care, endocrinology, palliative medicine, and transplant medicine.

Schedule and hours

For the majority of the fellowship, your learning schedule includes 10- or 12-hour days, five days a week, including weekends and nights.

Hours while on subspecialty rotations vary depending on the requirements and needs of the particular service. All hours worked are in accordance with the Accreditation Council for Graduate Medical Education (ACGME) medical resident hour restrictions.

Department and faculty

The Hospital Internal Medicine Advanced Practice Provider Fellowship is coordinated and taught by the clinical, scientific, and technical staff of Mayo Clinic. Faculty members are chosen for their commitment to teaching, as well as their clinical practice and research. Many have published and lectured extensively and are highly regarded in their fields.

You have direct access to these individuals throughout your training, giving you the opportunity to learn from experienced practitioners from Mayo Clinic's Division of Hospital Internal Medicine in Florida.

Facilities

Mayo Clinic's campus in Jacksonville, Florida, is a comprehensive medical facility providing advanced programs in education and research that support the highest quality patient care. Campus activity is conducted in Mayo Clinic Hospital and is interconnected with the Davis, Mayo and Cannaday buildings.

The ambulatory clinic facilities provide clinical services ranging from primary care to specialty care across the continuum. Additionally, hospital and clinic based procedural units offer state of the art services to patients across the spectrum of wellness.

Simulation training occurs in the state-of-the-art J. Wayne and Delores Barr Weaver Simulation Center. The center boasts 9,600 square feet of training space using exact replications of the clinical areas. This allows for "real life" training using high-fidelity training devices and standardized patients to augment the realism. Procedural expertise will be achieved using models and simulations to prepare the learner safely for practice in the clinical environment.