Mayo Clinic critical care rounds

Clinical training

The Critical Care Internal Medicine Fellowship is a two-year program.

During clinical training in this fellowship, the direct supervision of a Mayo Clinic consultant helps you make the most of your educational experiences while ensuring the best quality of patient care delivery.

The first year includes seven to nine months of critical care core rotations along with orientation, research and elective rotations. The second-year schedule is based on your career development plan. The clinical experience can be well-rounded or focused on a particular aspect of critical care, such as extracorporeal membrane oxygenation (ECMO) or transplant.

Rotation schedule

This is a typical rotation schedule (each block is four weeks).

Year 1
Rotation Length
  1. Medical and surgical ICU
  2. Subspecialty ICU
8-9 blocks
  1. Orientation
  2. Electives*
  3. Research
4-5 blocks
Year 2
Rotation Length
*Non-ICU electives consist of nutrition, chest radiology, anesthesiology operation room, echocardiography, experiential education, transfusion medicine, peripherally inserted central catheter (PICC) line rotation, pulmonary consult service, hepatology, sleep medicine and pulmonary function laboratory.
  1. Medical and surgical ICU
  2. Subspecialty ICU
4-6 blocks
  1. Electives*
  2. Research
4-6 blocks

Subspecialty ICU rotations include nephrology, infectious diseases, cardiology, cardiovascular surgery and ECMO, pediatric critical care, neurological and neurosurgical critical care, chronic ventilator dependency, lung and heart transplant rotation, and trauma.

Two weeks of outpatient bronchoscopy and two weeks of hospital pleural service blocks are offered to you during your fellowship.

Call frequency

Your call schedule may change for each rotation. Mayo Clinic College of Medicine and Science follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Research and quality training

You have the opportunity to participate in at least one clinical or laboratory research project during the fellowship. You are expected to complete a research project for which dedicated time is allocated. During the first fellowship year, you complete a quality-improvement project and receive an academic certificate of recognition.

Didactic training

Didactic training is an integral part of the Critical Care Internal Medicine Fellowship. You attend a variety of teaching sessions, conferences and lectures. Training includes experiential learning within the Procedural Skills Laboratory and the Multidisciplinary Simulation Center at Mayo Clinic. You are also exposed to other innovative ways of delivering education such as the use of social media platform, video blogs and flipped classroom models.

Mayo Clinic critical care physicians and fellows in simulation center

Teaching opportunities

Opportunities are available for teaching rotating residents and medical students. Also, you are given the opportunity to participate in educational workshops to improve your teaching skills.


To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Critical Care Internal Medicine Fellowship. You are formally evaluated by supervising faculty members on a regular basis and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.

June 23, 2017