Curriculum

Group looking at paper

Clinical training

Clinical training emphasizes the most common problems seen and procedures performed by family physicians. You gain extensive experience in both inpatient and outpatient settings. Home visits to patients also are part of your training.

Outpatient: Mayo Family Clinic Kasson

Throughout the program, you provide continuing care for families at Mayo Family Clinic Kasson, which is located in the town of Kasson, Minnesota, about 14 miles west of Rochester. This clinic serves Kasson, with a population of approximately 6,000, and rural Dodge County, which has a population of more than 20,000.

You spend about two half-days a week at the Kasson clinic during your first year, three half-days a week during your second year, and four to five half-days a week during your third year. This allows you to develop a continuity practice of your own. You are also encouraged to become an active member of the Kasson community.

At Mayo Family Clinic Kasson, families are assigned to you with the expectation that you provide most of their care during your residency. Patient records are maintained in an electronic medical record, and computer access is provided from each exam room. You are assigned to one of three co-located teams that include residents, faculty, nurses, a secretary, and ancillary staff.

Outpatient specialties: Mayo Clinic and surrounding communities

One strength of our program is outpatient specialty training. During outpatient rotations, you have the opportunity for one-on-one training with many of the nation's leading experts in subspecialty fields.

You spend time in Mayo Clinic Health System during dermatology, ophthalmology, and orthopedics training. While at these sites, you work one-on-one with the specialist and receive individualized training in his or her field.

You have the opportunity to see patients and perform or assist with procedures, making for an outstanding training opportunity.

Outpatient: Procedure Clinic

You spend two weeks each year focused on outpatient procedures. The procedure clinic is a referral clinic for all primary care at Mayo Clinic.

Inpatient: Mayo Clinic Hospital — Rochester

The inpatient component of the Family Medicine Residency is spent primarily on the family medicine adult inpatient service at Mayo Clinic Hospital — Rochester, Saint Marys Campus, and the newborn nursery service at Mayo Clinic Hospital — Rochester, Methodist Campus.

The adult Family Medicine Inpatient service admits and cares for patients needing hospital care from any of the family medicine clinics. As the admitting resident, you are in charge of the patient's care during the hospital stay. Specialty consulting services are available 24 hours a day and contribute excellent teaching when they are consulted.

The Family Medicine Newborn Service cares for all newborns born at Mayo Clinic Hospital — Rochester, Methodist Campus. As the resident on call, you respond to newborn resuscitations as part of a multidisciplinary team and deliver routine care to newborns. Other inpatient training includes rotations in critical care and pediatrics.

While these rotations are supervised by other departments, you are treated as an equal and have duties and responsibilities identical to the other residents on the service.

Rotation schedule

This is a typical training schedule in the Family Medicine Residency:

PGY-1
RotationLength
Mayo Family Clinic Kasson 14 weeks
Adult Family Medicine Inpatient service (shifts) 8 weeks
Cardiology (outpatient) 1 month
Emergency medicine 1 month
General surgery 1 month
Introduction to Kasson 2 weeks
Midwife obstetrics 1 month
Obstetrics boot camp 2 weeks
Outpatient procedure clinic 2 weeks
Pediatrics (inpatient) 1 month
Women's health 2 weeks
PGY-2
RotationLength
Mayo Family Clinic Kasson 10 weeks
Adult Family Medicine Inpatient service (call) 14 weeks
Critical care 1 month
Emergency medicine 1 month
Newborn nursery 3 weeks
Obstetrics 1 month
Orthopedics (Mayo Clinic Health System in Albert Lea) 1 month
Outpatient procedure clinic 2 weeks
Elective 1 month
PGY-3
RotationLength
Mayo Family Clinic Kasson 8 weeks
Adult Family Medicine Inpatient service (call) 3 weeks
Adult Family Medicine Inpatient service (senior) 6 weeks
Dermatology 1 month
Emergency medicine 1 month
Newborn nursery 3 weeks
Obstetrics 1 month
Ophthalmology 2 weeks
Outpatient procedure clinic 2 weeks
Sports medicine 1 month
Electives 3 months

Electives

Your elective options are nearly unlimited. Each rotation lasts from one to four weeks, depending on the elective. Your choices include:

  • Cardiovascular Health Clinic
  • Complementary and integrative medicine
  • Diabetes and endocrine specialty clinics
  • Echocardiography Laboratory
  • Geriatrics
  • Mayo International Health Program
  • Occupational medicine
  • Palliative care and hospice
  • Pediatric allergy
  • Pediatric cardiology
  • Physical medicine and rehabilitation
  • Pulmonary Function Laboratory
  • Research
  • Rheumatology
  • Sports medicine
  • Travel medicine and international health clinic
  • Vascular medicine and wound care clinic

Rotations at other Mayo Clinic locations

You may choose to take an elective rotation at Mayo Clinic's campus in either Jacksonville, Florida, or Phoenix/Scottsdale, Arizona.

Call frequency

Your call schedule is different for each rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Moonlighting

Moonlighting is permitted for licensed residents beyond the PGY-1 level. Moonlighting activities may be scheduled during those times when you are assigned to consultative or outpatient rotations with the prior approval of the program director. Moonlighting should not interfere with the required learning and must not violate the work-hour rules of the Accreditation Council for Graduate Medical Education (ACGME) or visa regulations.

Didactic training

Clinical conferences, journal club and one-on-one instruction are integral parts of the Family Medicine Residency. Behavioral medicine is integrated throughout all three years of training.

Weekly conferences cover primary care topics, including discussion of ethical dilemmas faced by physicians in training. Second- and third-year residents participate in a group quality-improvement project and practice management seminars.

Practice board examinations

In preparation for board examinations, you take the In-Training Examination provided by the American Board of Family Medicine once a year.

Hands-on training

Each PGY class has dedicated monthly seminars known as core seminars. These four-hour seminars, which are facilitated by residency core faculty, include simulation, standardized patients, and small-group problem-based learning experiences.

Research training

Your research opportunities at Mayo Clinic are outstanding. You are encouraged but not required to participate in research activities. Opportunities exist for both clinical studies and laboratory-based projects. Many faculty members are actively involved in research projects and can serve as research mentors.

Teaching opportunities

You have the opportunity to teach Mayo Clinic Alix School of Medicine students, residents from other subspecialties, and visiting students from other medical schools through bedside instruction and formal didactic lectures.

Evaluation

To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Family Medicine Residency. You are formally evaluated by supervising faculty members on a regular basis and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.

Career development

Mayo Clinic often recruits staff physicians from its own training programs, so when you successfully complete the Family Medicine Residency, job opportunities may be available at one of Mayo Clinic's group practices.

Additional training

At the conclusion of the Family Medicine Residency, you may wish to continue your graduate medical education at Mayo Clinic School of Graduate Medical Education. Fellowships are available in preventive medicine and geriatrics. Your program director can provide more information about these opportunities.