Advanced Care at Home on the Today Show
The Mayo Clinic ACH program was featured on the Today show in August 2021. Watch the video below for a great description of the program from a patient's viewpoint.
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Curriculum
Our curriculum and commitment to education in the Internal Medicine Residency at Mayo Clinic's campus in Jacksonville, Florida, is unmatched. It offers a wide variety of clinical and hospital-based experiences, as well as incorporated simulation center learning and didactics presented by residents, fellows, and consulting staff.
As a resident, you’ll enjoy a schedule that’s well-balanced and allows ample elective and research opportunities early in your training process.
Clinical training
Your training takes place in state-of-the-art clinic and hospital facilities that serve patients with diverse socio-economic backgrounds, including local, national, and international patients.
You are very active in providing care for the underserved. All of our residents rotate through Mission House and the Sulzbacher Center in Jacksonville Beach, which offer a free medical clinic for individuals affected by homelessness.
Residents will also rotate through Volunteers in Medicine in downtown Jacksonville which helps support the community's working uninsured population.
You may also pursue elective rotations in underserved international communities through the Mayo International Health Program.
During the ambulatory rotations, you rotate through the University of North Florida Student Health Services clinic. The geriatrics rotation includes rotating through hospice and several local nursing homes. As a senior resident, you have the opportunity to rotate through the Veterans Affairs' Jacksonville Outpatient Clinic.
Advanced Care at Home
Advanced Care at Home is a state-of-the-art virtual care offering that orchestrates delivery of the necessary services, technology, and capabilities to safely shift hospital-level care to patients' homes. Mayo Clinic in Jacksonville, Florida was the first site to introduce this service, followed by Mayo Clinic Health Systems, and, most recently, Mayo Clinic in Phoenix, Arizona. Our Internal Medicine residents rotate through this practice during their PGY-3 Hospital Medicine rotation.
At a high level, this service allows patients who live within a 30-mile radius of Mayo Clinic that are 'sick, but stable,' to have the option of care at home instead of hospital admission to reduce or avoid hospital stays. Under the direction of Mayo Clinic providers, an ecosystem of support services attend to in-home care needs. Medically Home has been chosen as Mayo Clinic's platform partner to provide the technology platform that orchestrates the delivery of these services into the home and supporting infrastructure. The offering is based on three new and expanded capabilities:
- A Mayo Clinic physician-led 24/7 virtual monitoring center
- On-demand acute medical care management
- Rapid-response teams to deliver supplies and services
Telemedicine
All internal medicine residents are trained to conduct virtual visits through our telemedicine curriculum. Virtual visits are supervised by faculty in the same way as in-person visits are conducted.
The curriculum includes simulated virtual visits for each PGY-1 resident prior to real virtual visits with patients, telehealth etiquette, billing and documentation policies, and physical exam tips for virtual visits.
Learning pathways
- Primary care
- Subspecialty fellowship interest
- Global health
- Hospital medicine
- Women's health
- Research, an additional track for those interested in research is the Clinician-Investigator Training Program
Unique electives
The Internal Medicine Residency program in Florida encourages each resident to design their own three-year track by allowing multiple elective rotations each year to help you meet your career goals.
In addition to the standard rotations available in all subspecialty areas of internal medicine, we have developed the following four-week advanced electives that can be beneficial in any learning pathway:
- Medical Education
- Healthcare Administration
- Individualized Medicine
- Mayo International Health Program
- Aerospace Medicine
Board review
Dr. Fernando Stancampiano is our Board Review Director. All PGY-3 residents are required to attend formal board review sessions every Friday from 1:30-3:30 p.m. throughout the year (unless you are on vacation), and are excused from all clinical duties during that time.
Mayo has a world-class simulation center which helps make residents feel more confident performing procedures and allows us to run through challenging hospital scenarios before they are encountered in real life. We also receive ultrasound training that allows residents to develop a comfort with this imaging modality in order to utilize these skills for patient care.
Adam Kase, M.D.
Internal medicine resident
Rotation schedule
We have a 4+1 (x+y) block schedule with categorical residents spending every fifth week throughout the year in ambulatory clinics, including in their continuity clinic in Community Internal Medicine. This scheduling method provides a well-balanced inpatient, outpatient, and consult team experience, with the option to rotate at Mayo Clinic campuses in Minnesota and Arizona pending approval from the Graduate Medical Education Committee.
You can also customize your educational experiences through a variety of clinical and research electives.
Teaching opportunities
Opportunities are available for you to teach medical students from the Mayo Clinic Alix School of Medicine, as well as visiting sub-interns from around the country. Mayo Clinic’s medical students have the option of a 2+2 program, where they do their first two years of medical school in Minnesota or Arizona, and their third and fourth years at Mayo Clinic Florida.
All teaching faculty and senior residents undergo training to improve their teaching skills and become more effective educators. The interactive sessions, called “Residents as Teachers,” are held each year and incorporate concepts related to learning climate, evaluation and feedback, and identifying individual learning styles.
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 Internal 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.
PGY-1 mentoring program
Career success begins with early mentoring and academic opportunities. Beginning in September of each intern year, we undergo a process to identify and best-fit mentors in residents' chosen specialties. The goal is to begin some scholarly work to help you be successful in securing an excellent fellowship, as well as to build a skill set needed for lifelong scholarly engagement.
Faculty are asked annually to submit proposals, then residents review the proposals and meet with faculty of their choice. Trainees then select their own mentors.
The mentorship model has allowed me to confide in a trusted advisor about all aspects of residency. Whether it’s discussing performance evaluations, anticipated rotations, future career plans, or new local restaurants — the mentorship model has enhanced my training. I know my confidential advisor meetings are safe platforms to discuss my own growth as a physician learning both medicine and work-life balance.
Amanda McKenna, M.D.
Internal medicine resident