Residents in the Integrated Community and Rural Surgery Residency in an operating room

Graduate medical education in surgery specialties at Mayo Clinic

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The Integrated Community and Rural Surgery Residency is a five-year program that combines the academic excellence of Mayo Clinic residency with a robust community and rural surgical experience within Mayo Clinic Health System.

An emphasis on surgical breadth within general surgery and surgical subspecialties allows a qualified candidate to confidently practice in a community, rural, or international setting after the successful completion of the residency.

We have a lot to offer and are looking for motivated, driven students who want to help build a program with incredible resources.


The Integrated Community and Rural Surgery Residency at Mayo Clinic Health System is accredited by the ACGME.


Every resident who successfully completes the Integrated Community and Rural Surgery Residency is eligible for certification through the American Board of Surgery.

Program history

The Integrated Community and Rural Surgery Residency began in 2015. We anticipate that one trainee will complete this program annually.

Residents in the Integrated Community and Rural Surgery Residency in an operating room

Your training experience

As a resident at Mayo Clinic, you'll have access to robust clinical, educational, and research resources. You'll find support both inside and outside of the campus to promote physical and mental wellness and ensure your work/life balance.

Frequently asked questions (and answers)

We receive more than 1,700 applications each year. Greater than half are for preliminary surgery.

Can I apply to both categorical general surgery and integrated community and rural surgery residency programs?

Yes, you can apply to both programs.

Do you take international medical graduates in your program?

Yes, we have international medical graduates in both our general surgery and preliminary programs.

Do you require previous USA experience?

No, it is not required to have previous USA experience.

Do you have a time limit on the number of years out of medical school?

Yes, you must have completed medical school within 5 years of the time you are applying.

Do you have minimum USMLE score requirements?

Yes, You must pass all exams on the first try.

Do you sponsor visas?

Mayo Clinic and the General Surgery residency program sponsor J-1 visas only. NO exceptions will be made to this policy.

How can I apply?

All applications are processed through ERAS (Electronic Residency Application Service). 

Do I have to be ECFMG certified at the time of application through ERAS?

The certification process should be started at the time of application and completed by the time the Rank Order List is submitted to the NRMP (approximately mid-February). If you are not completely certified by that time, your name will automatically be dropped from the Rank Order List by NRMP. 

How many letters of recommendation do you require?

Three letters are required.

Do you offer an observership?

No, we do not.

Do you participate in program signaling?

Yes. Applicants should signal their most interested programs regardless of whether they are home or away rotations. This is the most fair and equitable process for all applicant types (M.D., D.O., and IMGs) and provides all programs that participate in receiving signals with the same information about interest level.

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