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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

Conferences

  • Morning Report. Monday-Thursday, 8:30-9 a.m., led by a chief resident. Staff, interns, and residents on hospital rotations attend and discuss interesting cases and associated topics. 
  • Noon conference. Monday through Thursday, noon, attended by staff and all interns and residents on every rotation. Staff physicians lecture on area of expertise in internal medicine, practice, or research.
  • 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.