The Nurse Practitioner or Physician Assistant Fellowship prepares you for professional practice in hospital internal medicine.

Trainee experience

Our curriculum is designed in a diverse format that accommodates all learner types. It includes formal didactic instruction, journal club and case review, and project-based learning through hands-on experience. 

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

The majority of fellowship is dedicated to direct patient care, providing fellows with extensive hands-on clinical experience under the guidance of experienced faculty. Our didactic curriculum is intentionally designed to complement and reinforce this clinical training, emphasizing practical application rather than isolated classroom learning. Teaching occurs not only through scheduled conferences, but also in real time during bedside rounds, patient discussions, and clinical decision-making, allowing fellows to immediately apply new knowledge and promote deeper understanding and long-term retention.

Clinical training and rotations

The Nurse Practitioner or Physician Assistant Hospital Internal Medicine Fellowship is composed of 12 rotations in the various specialty areas. Elective rotations are available if the NP or PA fellow has a strong interest in a specialty that is not included in their curriculum.

Clinical rotations include (all inpatient):

• Hospital internal medicine (total of 4-5 months)
• Hematology/Medical oncology
• Palliative medicine
• General cardiology or heart failure/heart transplant
• Emergency medicine
• Hepatology
• Nephrology
• Pulmonary medicine
• Critical care medicine
• Neurology
• Interventional radiology
• Elective rotation

Schedule and hours

For the majority of the fellowship, your learning schedule includes 8 to 12 hour days, five-to-six days a week, including weekends and nights. Each rotation varies as far as your schedule and hours requirements.

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 Nurse Practitioner or Physician Assistant Hospital Internal Medicine Fellowship is coordinated and taught by the clinical faculty 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 Phoenix, Arizona.

Facilities

Mayo Clinic's Arizona campus has two main locations. Mayo Clinic’s location in Phoenix is home to the state-of-the-art Mayo Clinic Hospital, the first hospital entirely designed and built by Mayo Clinic. It has been recognized several times by Phoenix magazine as the "Best Hospital in Phoenix." Services in numerous medical and surgical disciplines are provided, including outstanding programs in cancer treatment and organ transplantation.

Mayo Clinic’s location in Scottsdale is centered around a beautiful, five-story outpatient clinic. This modern facility contains extensive exam rooms, an outpatient surgery center equipped for general anesthesia, a full-service laboratory, pharmacy, patient education library, endoscopy suite, and a 188-seat auditorium for patient, staff, and student education programs.

Evaluation

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

• Faculty reviews
• End-of-rotation evaluations
• Demonstration of skills
• Competency checklist components completed by end of fellowship training