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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 in Jacksonville Beach and the Sulzbacher Center in downtown Jacksonville, both of 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.

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:

  1. A Mayo Clinic physician-led 24/7 virtual monitoring center
  2. On-demand acute medical care management
  3. Rapid-response teams to deliver supplies and services
The Mayo Clinic ACH program was featured on the Today show in August 2021.

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.

Watch the video


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.

Board review

All PGY-3 residents are required to attend formal board review sessions throughout the year and are excused from all clinical duties during that time.

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.


PGY-1 is focused on building the foundation of being a well-rounded internist in the inpatient and outpatient setting while still allowing ample time for electives. 

Rotation Approximate # of weeks
Inpatient medicine 12 weeks
Electives 12 weeks
Ambulatory clinic 8-9 weeks
Night medicine 6 weeks
Inpatient cardiology 4 weeks
Intensive Care Unit 4 weeks
Emergency Department 4 weeks
Geriatrics 1 week


During PGY-2, you'll transition to the role of team manager and decision maker regarding patient care plans. You'll also have increased exposure to subspecialty rotations.

Rotation Approximate # of weeks
Inpatient medicine 12-14 weeks
Electives 10 weeks
Ambulatory clinic 8-9 weeks
Night medicine 6-8 weeks
Inpatient cardiology or hematology/oncology 4 weeks
Intensive Care Unit 4 weeks
Nephrology/infectious disease 2 weeks
Geriatrics 1 week


During PGY-3, you'll grow as a team leader and resident educator. Friday afternoons are dedicated to board review and preparing for fellowship and/or your future career.

Rotation Approximate # of weeks
Inpatient medicine 12 weeks
Electives 14 weeks
Ambulatory clinic 6-8 weeks
Inpatient cardiology 4 weeks
Intensive Care Unit 4 weeks
Neurology 4 weeks
Hospital internal medicine 4 weeks
Geriatrics 2 weeks

Preliminary Year

Learn more about the anticipated block schedule for the Internal Medicine Preliminary Residency for the 2023-2024 academic year. 

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 advanced electives that can be beneficial in any learning pathway:

  • Medical Education
  • Healthcare Administration
  • Individualized Medicine & Clinical Genomics
  • Lifestyle Medicine
  • Community Engagement
  • Mayo International Health Program
  • Aerospace Medicine

Clinical and research elective opportunities

You also have the ability to customize your educational experiences with variety. Clinical and research elective opportunities include:

Addiction medicine Hospital medicine Palliative care
Aerospace medicine Individualized medicine and clinical genomics Pathology
Allergy/Immunology Infectious disease Physical medicine and rehabilitation
Breast clinic Jacksonville outpatient VA clinic Pre-operative clinic
Cardiology Lifestyle medicine Psychiatry
Community engagement Mayo International Health Programs Pulmonary medicine
Dermatology Medical education Radiology
Endocrinology Medical ICU Research
Ehlers Danlos clinic Medical orthopedics Rheumatology
Gastroenterology Naples Community Hospital Simulation center
General internal medicine/primary care Nephrology Sleep medicine
Gynecology Nutrition/bariatrics Sports medicine
Healthcare administration Obesity medicine Transplant critical care
Heart failure/transplant Ophthalmology Menopause and Female Sexual Health Clinic
Hematology/oncology Otorhinolaryngology Winslow Indian Health Services
Hepatology Pain rehabilitation  

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.

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.


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.


Career success begins with early mentoring and academic opportunities. Beginning early PGY-1/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.