About 80% of patients seen at Mayo Clinic are from Minnesota or one of the adjoining states, and approximately 50% of our internal medicine patients are on a government-assisted health care plan. Rochester has one of the most diverse immigrant populations in the nation, with large concentrations of people from Southeast Asia, Africa, and Eastern Europe.
Mayo Clinic residents develop expertise in bread-and-butter internal medicine by serving the local community through their continuity clinic and in the hospital setting. Additionally, there are renowned experts in almost every disease at Mayo, which makes this a destination for patients who have previously posed diagnostic or management challenges; however, these patients make up a small percentage of a resident's practice.
The primary purpose of the Internal Medicine Residency is education, and the focus of learning is embedded in the care of patients. Interns and residents are the primary physicians for their patients. There are no private patients or private attendings at Mayo.
In the hospital, residents work in teams of four to six. Three interns supervised by a senior resident is the most common construct. The primary responsibility for care is with the intern, who orchestrates the care plans with input as needed from the senior resident and faculty. Interns and residents write all orders on their patients.
In the continuity clinic, interns and residents have their own individual panel of patients. As the primary physicians for their patients, interns and residents are responsible for providing longitudinal, comprehensive care for their patients in the outpatient setting. Continuity clinics are organized in "firms" that function as a group practice composed of other residents and a group of dedicated faculty. Our residents feel that they have the ideal balance of autonomy and supervision.
We have a robust three-year educator development curriculum in adult learning theory that is designed to prepare you for teaching roles with students, your peers, and other members of the health care community.
You will have many opportunities to take the lead in teaching and supervising your team, facilitating inpatient and outpatient morning reports, and presenting in conference settings.
Some residents choose to rotate outside of Rochester. Some of our most popular away elective rotations are the ABC News elective in New York, the HIV elective in Maricopa County, Arizona, and the elective in Winslow County, Arizona, where residents gain experience working with Native American populations in the Navajo Nation. Residents can also rotate in Hennepin County Medical Center, a safety-net hospital in Minneapolis.
Many of our residents rotate outside the U.S., usually under the auspices of the Mayo International Health Program. This program helps residents bring their talents to underserved areas of the world. Scholarships are provided to cover transportation and lodging. Residents have rotated to a large number of regions worldwide.
Other popular elective sites are our Mayo campuses in Phoenix/Scottsdale, Arizona, and Jacksonville, Florida, where a variety of rotations are available. Transportation, lodging, and licensure are provided. For those looking to explore community practices, a variety of rotational experiences also are available in smaller communities throughout the Midwest region within Mayo Clinic Health System.