Curriculum

Mayo Clinic internal medicine residents in a morning conference

Clinical training and practice exams

Residency education at Mayo is based on a foundation of general internal medicine. The program includes rotations in all internal medicine subspecialties, intensive care, neurology, and emergency medicine. Most rotations allocate separate blocks of time in the inpatient, outpatient, and consultative settings.

Excellence in medical education is a requirement of our faculty members, who are selected for hospital service and outpatient education clinics based on the effectiveness of their teaching. Faculty members have dedicated, protected time to provide teaching to the residents with whom they work.

You’ll also receive comprehensive board review materials as well as electronic access via iPad (provided by the program) or computer systems and an extensive collection of electronic resources. Scheduling is flexible, and preferred rotations can be scheduled to facilitate planning a subspecialty career.

Learning tracks

The Internal Medicine Residency offers six customizable tracks in the areas of:

  • Education
  • Geriatrics
  • Global health
  • Hospital medicine
  • Primary care
  • Women’s health

An additional track for those interested in research is the Clinician-Investigator Training Program.

See the sample tracks schedule.

Seet the sample three-year curriculum.

Mayo Clinic internal medicine resident making notes about a patient

Procedures

Ample training and experience are provided to gain expertise in procedures such as paracentesis, central line insertions, arthrocentesis and lumbar punctures. You’ll complete a procedure skills workshop before starting residency, and additional training throughout residency to refine these skills.

Early in your training, you will rotate on a Hospital Internal Medicine Procedure Service. You may also elect to rotate on the pleural procedure team to gain experience in thoracentesis as well as in the ambulatory procedure clinic for additional experience performing outpatient procedures. Finally, you will also have scheduled learning experiences in the Multidisciplinary Simulation Center.

Ambulatory clinics

Approximately half of the three-year program is spent in outpatient assignments. Experience includes the Department of Medicine Primary Care Clinic for residents as well as outpatient clinics that are embedded in some subspecialty rotations. You’ll learn to practice high-quality, cost-effective outpatient medicine during your ambulatory care experiences. Residents uniformly cite these ambulatory clinic experiences as an invaluable part of their training.

Continuity clinics

To enhance both experiences, continuity clinics are only during outpatient training months, not during inpatient months. You will follow your own patients in the newly designed and integrated Department of Medicine Primary Care Clinic of Excellence for residents. The resident continuity has been equipped with a high-tech observation system to allow trainees to have regularly observed clinical encounters, equipment to facilitate in-office procedures, and integrated services to optimize patients’ access to health care resources.

Call frequency

Interns work no more than 16 hours each duty period during inpatient rotations. Call structure for second- and third-year residents varies from rotation to rotation with a mix of night float, home call, 28-hour shifts, and routine day call. All schedules are fully compliant with ACGME requirements.

Mayo Clinic internal medicine residents at a morning conference