Nurse Practitioner or Physician Assistant Hospital Internal Medicine Fellowship (Arizona) - Health Sciences Education - Mayo Clinic College of Medicine & Science

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Overview

Mayo Clinic School of Health Sciences offers a 12-month postgraduate Nurse Practitioner or Physician Assistant Hospital Internal Medicine Fellowship at Mayo Clinic's campus in Phoenix, Arizona. The program trains highly-qualified graduate physician assistants (PAs) and nurse practitioners (NPs) to become skilled, compassionate, and efficient hospital-based providers.

"There's so many opportunities here"

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Academic and workforce growth

This is a very exciting time for Mayo Clinic in Arizona. Over the next few years, Mayo Clinic is expecting exponential growth both in the hospital and clinic, which will make for many new job opportunities for NPPA fellows.

Program highlights

Our curriculum contains diverse didactic instruction and direct patient care clinical experience, embedded in the foundation of Mayo Clinic: excellence in patient care, education, and research. This program provides the training needed to provide the utmost quality of care to complex hospitalized patients.

Postgraduate hospital internal medicine experience and training allows you to be more competitive for hospitalist NPPA positions and have increased security in the job market.

Completion and certification

After successfully completing this fellowship, you receive a certificate of completion from Mayo Clinic School of Health Sciences, one of the five schools within the Mayo Clinic College of Medicine and Science. This certificate specifically states that the graduate fellow has received postgraduate training in the field of hospital internal medicine.

Accreditation information

See accreditation information for Mayo Clinic College of Medicine and Science.

Program goals

Our fellowship in hospital internal medicine enables you to:

Acquire a deep and broad knowledge base of the common disease processes for which patients are hospitalized, understand the pathophysiology, present various clinical presentations, and disease prognosis.
Develop a diverse differential diagnosis and respective diagnostic and treatment plan based upon the presenting symptoms along with evidence-based and cost-effective medical care.
Identify logistical and systematic measures within the institution to uphold the highest quality patient care while improving patient outcomes, such as length of stay in the hospital, and patient safety.
Manage patients effectively throughout the whole hospital stay, including admission, daily rounds and continuing evaluation, and dismissal, while remaining cognizant of the patients emotional, physical, and spiritual needs.
Develop keen verbal skills to effectively communicate with colleagues, physicians, patients, and ancillary staff to ultimately become a key part of the inpatient health care delivery team.
Learn practice management, including strategies in training students and other learners.

Why choose hospital internal medicine?

Hospital internal medicine is an ideal specialty for clinicians who enjoy solving complex clinical puzzles and caring for the patient as a whole. Rather than focusing on a single organ system, hospital medicine requires providers to integrate multiple disease processes, balance competing priorities, and thoughtfully consider how each clinical decision affects the entire patient. It is a specialty built on critical thinking, collaboration, and continuous learning.

The inpatient setting also offers a uniquely rewarding learning environment. In the fast-paced world of hospital medicine, diagnostic evaluations and therapeutic interventions often produce measurable changes within hours to days, allowing clinicians to directly observe the physiologic impact of their decisions. This rapid feedback accelerates clinical growth, deepens understanding of pathophysiology, and reinforces evidence-based management in a way that is difficult to replicate in other practice settings.

For learners who are energized by variety, enjoy working through complex medical problems, and value caring for the whole patient, hospital internal medicine offers an exceptionally engaging and fulfilling career.

A culture of teaching

Mayo Clinic is, at its core, a teaching institution. Education is woven into every aspect of patient care, creating an environment where curiosity is encouraged and learning is a shared responsibility. Our physicians, advanced practice providers, pharmacists, nurses, and interdisciplinary team members are deeply invested in teaching, mentorship, and helping learners succeed. Fellows are supported by approachable faculty who are patient, collaborative, and committed to fostering both clinical excellence and professional growth.

Unparalleled clinical experience

As a nationally recognized tertiary and quaternary referral center with world-renowned transplant and oncology programs, Mayo Clinic cares for some of the most medically complex patients in the country. NPPA fellows gain exposure to rare diseases, challenging diagnostic dilemmas, and advanced therapeutics while managing a diverse spectrum of acute and chronic illnesses. This breadth and depth of clinical experience prepares graduates to confidently practice in a wide variety of inpatient settings after fellowship.

Patient-centered excellence

"The needs of the patient come first" is more than Mayo Clinic's primary value — it is the foundation of everything we do. Every educational experience is grounded in delivering compassionate, evidence-based, patient-centered care. NPPA fellows learn not only how to provide exceptional medical care, but also how to communicate effectively, collaborate across disciplines, and advocate for the best possible outcomes for every patient.

Opportunities beyond clinical training

Mayo Clinic's mission is built upon three equally important pillars: patient care, research, and education. Fellows have numerous opportunities to expand their interests beyond bedside medicine through scholarly activity, medical education, quality improvement, leadership development, and committee involvement. Whether your career goals include becoming an educator, researcher, clinical leader, or academic clinician, our faculty are committed to mentoring you and supporting your professional development throughout fellowship and beyond.

Explore your future career

Not every graduate begins fellowship knowing exactly which specialty they want to pursue — and that's one of the greatest strengths of our program. If you thrive in the fast-paced, dynamic environment of inpatient medicine but are still exploring where your passion lies, this fellowship provides the opportunity to experience a broad range of inpatient medical specialties through immersive 2-4 week rotations.

Throughout the year, fellows work alongside experts in numerous inpatient disciplines, gaining firsthand exposure to different patient populations, workflows, and practice styles. This breadth of experience allows you to discover what truly excites you while building a strong foundation in hospital medicine. Many fellows finish the program with greater confidence in their career direction, whether they choose hospital medicine or pursue a specialty that captured their interest during fellowship.