The Resident-led CCL, fully integrated into the Mayo Clinic Division of Community Pediatric and Adolescent Medicine primary care practice, serves as a cornerstone of pediatrician skill development, therapeutic relationships, and patient continuity. In this rotation, you will have the opportunity to provide longitudinal primary and ambulatory care to pediatric and adolescent patients. Each resident serves as the primary care provider for their panel of patients and gains increasing autonomy throughout training in:

• Providing recommended pediatric health screening
• Managing patients with acute, common diagnoses in an ambulatory setting
• Providing a medical home for well children of all ages
• Providing a medical home for patients with complex, chronic, or special health care needs
• Assessing and managing patients with common behavior/mental health problems, and
• Demonstrating the ability to effectively perform the common procedures of the general pediatrician such as ingrown toenail removal, point of care ultrasound, splinting orthopedic injuries, cerumen removal, incision and drainage of abscesses, pelvic exams, wart cryotherapy, laceration repair, and foreign body removal

General Pediatrics Hospital Service (GPHS)

During this rotation, residents care for children and adolescents admitted to the hospital for evaluation and management of a wide range of acute childhood illnesses, at times with significant medical complexity. Working with a multidisciplinary team, you will promote health, prevent illness, and treat disease. You will also provide general pediatric consultation for pediatric patients on surgical services within the hospital. Over the course of training, this rotation facilitates increasing autonomy in:

• Managing patients with acute, common diagnoses in inpatient settings
• Leading an interprofessional team
• Facilitating handovers within and across settings
• Providing consultation to other healthcare providers caring for children
• Demonstrating the ability to effectively perform the common general inpatient procedures, such as lumbar puncture and emergency management of children dependent on medical technology

Neonatal Intensive Care Unit (NICU)

During this rotation, you will have the opportunity to care for critically ill and convalescing neonates. Residents are part of multidisciplinary teams that care for premature infants as young as 22 weeks gestation, newborns with congenital anomalies, and neonates with surgical problems. Residents gain increasing entrustment in their NICU rotations in:

• Managing patients with acute, common diagnoses in an inpatient setting
• Recognizing, providing initial management, and referring patients presenting with surgical problems
• Resuscitating, initiating stabilization of the patient, and then triaging to align care with severity of illness
• Demonstrating the ability to effectively perform the common procedures of the general pediatrician such as bag-mask ventilation, umbilical catheterization, and infant lumbar puncture

Newborn Nursery and Resuscitation

During your nursery and resuscitation rotations, you attend high-risk deliveries and are responsible for the immediate stabilization and care of all newborns requiring assistance. You also provide care for and manage all babies in the Newborn Nursery and offer discharge advice to families. In this rotation, the authentic work of a developing pediatrician includes:

• Providing care for the well newborn
• Demonstrating the ability to effectively perform the common procedures of the general pediatrician, including bag-mask ventilation, LMA placement, umbilical catheterization

Pediatric Intensive Care Unit (PICU)

During PICU rotations, residents provide intensive care for critically ill patients, including those with medical and surgical problems (including trauma patients) in a multidisciplinary team led by pediatric critical care faculty. Residents gain increasing entrustment in their PICU rotations in:

• Managing patients with acute, common diagnoses in an inpatient setting
• Recognizing, providing initial management, and referring patients presenting with surgical problems
• Resuscitating, initiating stabilization of the patient, and then triaging to align care with severity of illness
• Demonstrating the ability to effectively perform the common procedures of the general pediatrician such as bag-mask ventilation, umbilical catheterization, and infant lumbar puncture

Pediatric Hematology-Oncology Service

During this rotation, residents embark on a journey into the intricate and often poignant world of childhood cancers and blood disorders. This rotation is designed to provide you with a comprehensive understanding of the diagnostic, therapeutic, and supportive care aspects of Pediatric Hematology-Oncology. During your time here, you will have the opportunity to work closely with our multidisciplinary team of specialists, including pediatric oncologists, hematologists, nurses, social workers, complex care teams, and psychologists.

"A strength of my residency training was the flexibility to tailor my educational experience to fit my personal career goals, including my future as a pediatric intensivist. I found ample support on my PICU rotations, and mentorship outside of the unit to navigate research projects and academic opportunities, such as becoming an instructor for PFCCS. I easily filled my elective time with rotations that helped build a solid foundation of knowledge for fellowship including cardiology, palliative care medicine, cardiac intensive care, and even a PICU away rotation." —Jordon Mitzelfelt, M.D., now a fellow in critical care at Children’s Mercy in Kansas City

Community Pediatric and Adolescent Medicine (CPAM)

CPAM rotations include dedicated primary care rotations in which you will provide comprehensive health care to the children of Rochester and Olmsted County, and you will also gain experience and exposure to the public health department, refugee clinic, and local school district.

Pediatric Emergency Medicine (PEM)

During your PEM rotations, residents work with Pediatric Emergency Medicine physicians to manage common acute pediatric illnesses, suture simple lacerations, evaluate musculoskeletal injuries, perform conscious sedation, and perform trauma evaluations.

Adolescent Medicine

During this rotation, residents evaluate adolescent patients in the ambulatory setting, with a focus on adolescent gynecology, mental health, and sports medicine.

Developmental and Behavioral Pediatrics (DBP)

During this rotation, resident physicians evaluate children and adolescents with the full spectrum of developmental and behavioral issues encountered in primary care, ranging from common behavioral concerns, learning problems and attention-deficit/hyperactivity disorder (ADHD) to intellectual disability, autism and cerebral palsy. In DBP, you will be supervised by fellowship-trained developmental and behavioral pediatric faculty, and you will also have an opportunity to work with child psychiatrists and psychologists, speech-language pathologists, medical social workers, and occupational and physical therapists. This rotation also includes community site visits to local preschool programs and to a local behavioral treatment center for children with autism.

"I am deeply thankful for my training at Mayo Clinic. The program offers residents the flexibility to tailor their learning to align with their career goals. I found mentors who made sure my clinical skills, research, and wellbeing were always a priority. But above all, I had the privilege of training with a close-knit group that became my closest friends, showing me the importance of surrounding myself with the right colleagues and mentors when selecting a fellowship and, later, a job. If I had to choose a residency program again, I would choose this one without any hesitation." —Jenny Patel, M.D., now a fellow in rheumatology and immunology, at Washing University in St. Louis

Numerous elective rotations are available to pediatric residents at Mayo Clinic which include:

Tuba City Arizona IHS Rotation

Mayo Clinic School of GME and Tuba City Regional Health Care Corporation have a partnership that allows up to three pediatric residents every year to spend an elective with the Indian Health Service. Housing and transportation are provided during these rotations by the program.

International, Global Health Clinical Rotations

Residents may pursue one international elective during training to provide care to underserved international communities. Up to $3000 in financial support is available to residents who are selected by the Mayo International Health Program (MIHP) to help defray travel and basic living expenses. Such rotations are important in:

• Providing valuable hands-on care to underserved patients
• Promoting awareness of a new culture and experiencing it firsthand
• Ensuring exposure to the diagnosis and treatment of diseases not usually seen in modern Western medicine
• Increasing awareness of cost-effective care in a setting of limited resources
• Improving diagnostic examination skills

Mayo Clinic Arizona Rotations

During either the PGY-2 or PGY-3 year, you may choose to pursue an elective rotation at Mayo Clinic's campuses in Scottsdale, Arizona and their affiliated children’s hospitals throughout the region. Housing and transportation are provided during these rotations by the program.