Clinical Training

Before you begin the Radiation Oncology Residency you need to take one year of basic training at Mayo or in another academic medical setting. This year normally includes clinical training in internal medicine, surgery and/or family medicine.

During the four years of radiation oncology residency training you will be responsible for most patient care, including initial evaluations, management decisions, treatment delivery and follow-up. With each year of training a resident is expected to have increasing responsibility and demonstrate increasing ability to work independently with a goal of competency in medical knowledge, patient care, system based practice, interpersonal and communication skills, professionalism, and practice-based learning and improvement,

Rotation Schedule

The following is a typical radiation oncology residency schedule:

Rotation Term
Clinical Radiation Oncology 30 months
Senior Resident Associate 6 months
Research 6 months
Gynecologic Oncology (focusing on brachytherapy) 2 months
Dosimetry 1 month
Medical and Pediatric Oncology 1 month
Radiology 1 month
Surgical Pathology 1 month

Didactic Training

Clinical conferences, journal clubs and one-on-one instruction are integral parts of the residency. In addition the program offers didactic staff-led classes in radiobiology and radiation physics. A core curriculum course covering all aspects of oncology care is taught weekly by staff from many different areas within Mayo Clinic including radiation and medical oncology, neurology, statistics, pathology, radiology and many different surgical specialties.

Research Training

The residency includes six months of laboratory research, which can takes the form of a radiobiology or physics project. Alternatively you can use this time to write a clinical protocol that will be used within Mayo Clinic or available through a cooperative study group. Residents are strongly encouraged to participate in clinical research outside of this six-month time commitment. All residents are expected to produce publishable work during their residency.


Clinical competency is evaluated through staff written rotation evaluations, oral exams, and 360-degree reviews. You will be evaluated on a quarterly basis. Research competency is evaluated through production of a publishable work and productivity during your research rotation.

Career Development

The environment and large patient volume at Mayo Clinic in Rochester will prepare you for all aspects of radiation oncology in an academic environment. Involvement in the applied research of the medical practice will further strengthen your academic skills. You will be expected to participation in national radiation oncology meetings.