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Curriculum

Internal Medicine residents practice their skills in the lab.

Clinical training

The most important teaching and learning involves direct patient care coupled with immediate access to faculty. Our rotation schedule and curriculum in the Internal Medicine Residency at Mayo Clinic's campus in Arizona span the wealth of diversity in internal medicine and patients cared for by internists.

Highlights of our curriculum include fundamental training that is balanced between inpatient and outpatient settings, as well as between general medicine and subspecialty medicine. Each resident has a research or career elective in the first year, which allows direct career and research mentoring to begin formally early in training.

As a resident, you’ll have direct exposure to each subspecialty area within the first two years of training. You’ll also have ample elective time to pursue other career-oriented rotations, research, or both. You’ll complete the program feeling ready and well-trained for any career path you choose.

Procedural opportunities

Residents enjoy built-in time to learn Accreditation Council for Graduate Medical Education-required procedures. There are various procedural opportunities available, including performing lumbar punctures, arthrocentesis, paracentesis, thoracentesis, and central line placement during various rotations as well as during elective months. You’ll also have the opportunity to learn about point-of-care ultrasound (POCUS) to assist in clinical decision-making. Currently, we have a longitudinal POCUS curriculum.

State-of-the-art Mayo Clinic Multidisciplinary Simulation Center training is integrated into the program and provides opportunities to practice and become proficient in skills before performing them on live patients.

Rotation schedule

Residents have the opportunity to rotate internationally, within Mayo Clinic campuses, and at various locations within the Phoenix metropolitan area. You can choose to rotate to Jacksonville, Florida, or Rochester, Minnesota, for a wide variety of rotations. These opportunities may serve to facilitate potential fellowship opportunities within the Mayo system, with room and transportation provided.

Additionally, you can elect to participate in the Mayo International Health Program to rotate at various locations around the globe, providing services to those in need.

You also have opportunities to stay closer to home to work with diverse populations in Arizona, including at the Maricopa County Department of Public Health clinics, Valleywise Health Medical Center (Maricopa Medical Center), Arizona State University campus, and the Phoenix Veterans Administration Hospital.

PGY-1

Rotation Length

*Allows one month of supervised career mentoring, planning, and research based on the needs of the intern.

Wards intern 3 months
Benign hematology .5 month
Cardiology 1 month
ICU 1 month
Emergency department 1 month
Geriatrics 1 month
Research* 1 month
Veterans Administration 1 month
Ambulatory medicine 1 month
Arizona State University .5 month
Valleywise health wards intern 1 month
Night float 2-3 weeks

 

PGY-2

Rotation Length
Wards senior 2 months
Cardiology 1 month
Neurology 1 month
Oncology clinic 2 weeks
Nephrology 1 month
Gastroenterology 1 month
Infectious diseases 1 month
Rheumatology 1 month
Elective time 2.5 months
Night float 2 weeks
ICU 1 month
Addiction 1 week
Health equity 1 week

 

PGY-3

Rotation Length
Wards senior 2 months
Cardiology 1 month
High acuity elective 1 month
Pulmonology 1 month
Ambulatory medicine 2 weeks
Allergy/immunology 2 weeks
Consultative medicine .5 month
Hematology/oncology 2 weeks
Elective/selective 3.5 months
Night float 3 weeks
Observation 2 weeks
Circle the City 2 weeks
Endocrinology 1 month
Hospital internal medicine consults 2 weeks

Pathways and tracks

Primary Care Track

Overview

The Primary Care Track is designed to enhance the outpatient experience of residents planning a career in ambulatory general medicine while still providing a strong inpatient/subspecialty education. The track guarantees participating residents the opportunity to experience key outpatient rotations with fewer inpatient experiences while still providing robust training and individualized learning plan.

Curriculum

Beginning in the PGY-2 year, Primary Care Track resident curriculum will diverge to provide enhanced exposure to rotations specific to a career in primary care, including:

  • Pain Medicine
  • Ophthalmology
  • Women’s Health
  • Outpatient Orthopedics
  • Psychiatry
  • Urology
  • Dermatology

Primary Care Track residents will also receive an additional month of dedicated research and/or career planning time in the PGY-3 year, with a highly customizable PGY-2 and PGY-3 schedule that allows for outpatient electives in clinical rotations of your preference.

Additional information

As part of the track, participants are encouraged to work on a research, leadership and/or advocacy project. Primary Care Track residents will be assigned a primary care mentor. Categorical interns may apply for acceptance into the Primary Care Track in early spring of the PGY-1 year to commence in July of their PGY-2 year. Primary Care Track residents will have the opportunity to rotate in various primary care practice settings, including (but not limited to):

  • Federally Qualified Health Centers
  • Indian Health Services
  • Critical Access Hospitals
  • Private Practice

Words from participants

Brian Parker, M.D. M.B.A.

Brian Parker, M.D., M.B.A.

Internal Medicine Resident, Class of 2026

The Primary Care Track at Mayo Clinic has inspired me to embrace a bold vision of what primary care can accomplish. While most residency programs teach residents how to manage patients in the hospital, this track goes further—it has equipped me with the skills and knowledge to keep them out of the hospital altogether. At Mayo, the philosophy is simple: just as I tailor medical care to the needs of my patients, my education is tailored to me. There is no other program in the country that customizes your education and empowers you to tackle healthcare's toughest challenges like the Primary Care Track at Mayo does.

Nathan L. Delafield, M.D.

Nathan Delafield, M.D.

Current Associate Program Director and Primary Care Track Graduate, Class of 2019

The Primary Care Track equipped me with the skills and experience needed for a successful career in primary care internal medicine, enabling me to begin my journey at a Federally Qualified Health Center (FQHC) before returning to Mayo Clinic Community Internal Medicine. I am deeply grateful for the opportunity to focus on outpatient-based care within the track while refining the competencies essential for excellence in this field. This track also provided valuable exposure to the diverse career paths within primary care, including education, administrative leadership, research, and community engagement.

Bob K. Horsley, M.D.

Bob Horsley, M.D.

Current Faculty and Primary Care Track Graduate, Class of 2019

My first job was providing primary care at a Ryan White-funded clinic for people living with HIV. Mayo Clinic's Internal Medicine Primary Care Track gave me the opportunity to experience specialties we normally don’t see in a traditional Internal medicine residency program, like ophthalmology and dermatology.  These rotations provided the experience and tools to diagnose issues like Kaposi Sarcoma, something I never saw clinically prior to my work as an attending at that clinic. In addition, the primary care track gave me these experiences in a way that I did not feel compromised my other Internal Medicine training, and I felt well prepared if I decided to change career paths to hospital internal medicine or fellowship

Artificial Intelligence in Medicine Research Track

Overview

The Artificial Intelligence in Medicine Research Track is a cutting-edge initiative designed to offer internal medicine residents exceptional training in data science and artificial intelligence. The program provides a strong foundation through a structured curriculum, focusing on essential skills in AI and data science, with emphasis on programming, healthcare data infrastructure, and AI applications in clinical practice.

Residents will engage in longitudinal, mentored research in leading AI and data science labs at Mayo Clinic and Arizona State University, gaining hands-on experience in innovative projects. Additionally, the program offers dedicated career development opportunities, preparing residents to become leaders in the rapidly evolving intersection of medicine and data science technology.

Curriculum

  • One Month Dedicated Research Time Each Year: Residents are provided with one month each year to immerse themselves in AI and data science research.
  • Elective Options for Track Trainees: Trainees can choose from specialized electives in tracks in Clinical Informatics and Data Science.
  • Programming Fundamentals in Python: Develop essential coding skills for AI research.
  • Data Infrastructure at Mayo Clinic: Learn how to manage and utilize large healthcare data sets.
  • Key Principles of AI in Healthcare: Gain an understanding of how AI can transform clinical practice.
  • Deployment and Testing of AI in Clinical Practice: Learn the practical steps to implement and evaluate AI tools in real-world clinical settings.
  • Ethics in AI and Healthcare: Address important issues like bias, privacy, and responsible AI development.
  • Explainable AI: Understand and communicate complex AI models to patients and colleagues.
  • AI for Health Equity: Explore how AI can address healthcare disparities in US and worldwide.

Goals of the track

Residents will demonstrate success as early-career physician-data scientists by achieving milestones such as:

  • Longitudinal AI Research Project: Participate in a multi-year research project, culminating in a first-author publication by the end of residency.
  • Presentation at a National Conference: Present research findings at national conferences, contributing to advancements in AI and medicine.
  • Development of a Data Science/AI Application: Gain practical experience by developing a real-world AI or data science application.
  • AI in Medicine Education Initiative: Create content to educate the public about AI in healthcare as part of a patient education or community outreach program.

Words from participants

Bobak Seddighzadeh, M.D.

Bobak Seddighzadeh, M.D.

Internal Medicine Resident, Class of 2025

In 2023, a Nature paper by Google revealed that large language models are approaching expert-level clinical capabilities, showcasing their transformative potential in healthcare. Yet, these advancements bring ethical and societal challenges, underscoring our duty as physicians to uphold the patient’s best interest. This innovative three-year program blends structured mentorship, targeted didactics, and hands-on training to prepare residents to become leaders in AI and medicine upon graduation.

Samarth Rawal, M.D.

Samarth Rawal, M.D.

Internal Medicine Resident, Class of 2027

Before joining Mayo Clinic, I worked at the forefront of developing generative AI models with applications in healthcare. Now, as the inaugural participant in the AI and Medicine Residency Track, I am excited to elevate my expertise to the next level. The AI in Medicine Track at Mayo Clinic in Arizona combines clinical excellence with physician-engineer collaboration, robust technical infrastructure, and an organization-wide investment in bringing clinical AI innovations to the bedside. I am thrilled at the opportunity to be part of this innovative track and to contribute meaningfully to the future of medical AI, both during my training and throughout my career.

Clinician Educator Pathway

Overview

The goal of the Clinician Educator Pathway is to train clinician educators to be patient-centered clinicians, inspirational teachers, and servant leaders in medical education at Mayo Clinic and beyond. It does this by providing a community for future clinician-educators through small group sessions, peer coaching, innovation, and scholarship.

Curriculum

Trainees are given one day a month to take part in virtual didactics and small groups on various education topics such as education theory, curriculum development, small group teaching, feedback, and so on.

Trainees participate in a capstone project relating to medical education.

Words from participants

Matt V. Biondi, M.D.

Matt Biondi, M.D

Internal Medicine Resident, Class of 2025

The Clinician Educator Pathway has been instrumental in increasing my understanding of medical education and providing me with tools to maximize my effectiveness as a medical educator. As someone who is heavily invested in medical education and wants to make it a significant part of my career, the pathway is a great way to network with leaders at all three Mayo Clinic sites. Sessions are dynamic, engaging, and manageable even with a busy resident schedule.

Clinician Investigator Training Pathway

The Clinician Investigator Training Program at Mayo Clinic provides a two-year integrated, comprehensive educational experience for residents and fellows interested in pursuing a career that includes research within a robust clinical practice.

Mayo Clinic's Internal Medicine Residents are eligible to participate in the Clinician Investigator Training Pathway. Learn more about the Clinician Investigator Training Program.

Conferences

  • Noon conference. Monday through Thursday, attended by faculty, residents, and medical students on every rotation. Faculty physicians lecture on area of expertise in internal medicine, practice, or research. Chief residents deliver one hour of morning report-style content per week during this conference slot.
  • Morbidity and mortality. Monthly Department of Internal Medicine conference where interns, residents, fellows, and specialty staff discuss one or two cases led by an intern or resident, with expert commentary from various fellows and staff.
  • MERIT. Monthly Department of Internal Medicine evidence-based medicine conference with a clinical question posed and searched by a resident or fellow under the supervision of evidence-based expert staff. Includes questions and answers about evidence-based medicine principles and practice as well as clinical experts on topics.
  • Grand Rounds. Weekly Department of Internal Medicine conference where all staff, fellows, residents and other guests attend, with a variety of intramural and invited expert speakers.
  • Journal clubs. Led by staff, intern or resident, from formal to casual settings. Attendance is required if clubs are held during regular work hours on a specific rotation. Attendance is optional if clubs are held in a more casual after-hours setting.
  • Department-specific conferences. Usually led by staff or fellows. Can be topic-based, research-based, or a formal journal club format.

Research opportunities

As a resident, you’ll appreciate the abundance of research opportunities available to you throughout the program. Our program offers continual discussion of potential research topics in nearly every area of interest. Dedicated elective opportunities for research are available during all years of training. These opportunities are mentored by world-renowned Mayo experts.

Residents are involved in the American College of Physicians Associates Abstract Competition and frequently present at national and international conferences. Since 2009, our trainees have published more than 350 articles in peer-reviewed journals.