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Clinical Training

Residents practicing ultrasound

The Mayo Clinic campus in Jacksonville, Florida, is a state-of-the-art clinic and hospital facility that serves patients with diverse socio-economic backgrounds, including local, national, and international patients. You additionally rotate through many areas of our community including the University of North Florida Student Health Services clinic, and several underserved clinics. The opportunities to serve the underserved are incorporated into your clinical schedule and educational rotation curriculum.

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 Mosaic weeks incorporate experiences with Geriatrics, Addiction medicine, Hospice and Palliative Medicine, and more.

Service to the underserved

As an internal medicine resident at Mayo Clinic in Florida, you are very active in providing care for the underserved locally, nationally, and globally.  

All of our residents rotate through Mission House in Jacksonville Beach and the Sulzbacher Center in downtown Jacksonville, both of which offer free medical clinic care to individuals who are uninsured or affected by homelessness. Residents also rotate through Volunteers in Medicine in downtown Jacksonville, which helps support the community's working uninsured population.

There are also opportunities to work with the underserved nationally beyond Northeast Florida; service-learning elective rotations are available with the Indian Health Services in rural Arizona.

You may also pursue elective rotations in underserved international communities through the Mayo International Health Program. where Mayo Clinic supports service-learning electives at pre-identified international locations.

Rotation schedule

We have a 4+1 (x+y) block schedule with 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

PGY-1 is focused on building the foundation of being a well-rounded internist in the inpatient and outpatient setting. 

Rotation Approximate # of weeks
Inpatient medicine 12 weeks
Electives 8 weeks
Ambulatory clinic 8-9 weeks
Night medicine 6 weeks
Inpatient cardiology 4 weeks
Intensive Care Unit 4 weeks
Emergency Department 2 weeks
Nephrology 2 weeks
Infectious Diseases 2 weeks
Allergy & Immunology 2 weeks
Mosaic 1 week

PGY-2

During PGY-2, you'll transition to the role of team manager and decision maker regarding patient care plans. 

Rotation Approximate # of weeks
Inpatient medicine 12 weeks
Electives 10 weeks
Ambulatory clinic 8-9 weeks
Night medicine 6-8 weeks
Hematology/oncology 4 weeks
Intensive Care Unit 4 weeks
Endocrinology 2 weeks
Gastroenterology   2 weeks
Mosaic 1 week

PGY-3

During PGY-3, you'll grow as a team leader and resident educator. One half-day per week is dedicated to board review.

Rotation Approximate # of weeks
Inpatient medicine 12 weeks
Electives 11 weeks
Ambulatory clinic 6-8 weeks
Inpatient cardiology 4 weeks
Intensive Care Unit 4 weeks
Neurology 2 weeks
Hospital internal medicine   4 weeks
Rheumatology 2 weeks
Pulmonology  2 weeks
Board review 1 week
Mosaic 2 weeks

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, and has since been expanded to other Mayo Clinic sites. Our senior internal medicine residents rotate through this practice during their Hospital Medicine weeks.

Under the direction of Mayo Clinic clinicians, an ecosystem of support services provides hospital level care for patients at home.

Aleksandra Murawska Baptista, MD, Hospital Internal Medicine Consultant, looks at information on a large screen in the Advanced Care at Home (ACH) command center in Jacksonville, Florida.

Advanced Care at Home on the Today Show

Mayo Clinic's 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

Feedback and 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 your assigned academic adviser to review these evaluations. In addition, you also regularly evaluate the faculty to confirm that your educational needs are being met.