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Clinical Training

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, an addiction medicine clinic, and several underserved clinics. The geriatrics rotation includes rotating through community hospice. 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.

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.

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

There are also opportunities to work with the underserved beyond Jacksonville's borders; trainees are able to rotate with the Winslow Indian Health Care Center in Navajo Nation,

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.

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

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

PGY-2

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

PGY-3

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

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 System, 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 attends 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

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.