The Physician Assistant Fellowship in Hospital Internal Medicine prepares individuals for professional practice in hospital medicine. The fellowship curriculum is based upon the Society of Hospital Medicine's "Core Competencies." These include knowledge, skills and understanding of health care areas, which are:

  • By the end of the fellowship year, the PA fellow will be able to exhibit a working knowledge of the following disease entities:
    • Acute coronary syndrome
    • Acute renal failure
    • Alcohol and drug withdrawal
    • Asthma
    • Cardiac arrhythmia
    • Care of the critically ill patient
    • Cellulitis
    • Chronic obstructive pulmonary disease
    • Community-acquired pneumonia
    • Delirium and dementia
    • Diabetes mellitus
    • Gastrointestinal bleed
    • Heart failure
    • Hematologic disorders and malignancies
    • Hospital-acquired pneumonia
    • Pain management
    • Perioperative medicine
    • Sepsis syndromes
    • Shock
    • Solid tumor malignancies
    • Stroke
    • Urinary tract infection
    • Venous thromboembolism
  • By the end of the fellowship year, the PA fellow will have experience performing the following skills and procedures:
    • Bedside ultrasound interpretation
    • Bone marrow biopsy (Hematology/Oncology Track only)
    • Chest radiograph interpretation
    • Electrocardiogram interpretation
    • Emergency procedures
    • Focused patient presentation to supervising faculty
    • Lumbar puncture
    • Paracentesis
    • Problem-focused physical exam
    • Thoracentesis
    • Vascular access
  • By the end of the fellowship year, the PA fellow will have a working knowledge and understanding in the following health care areas:
    • Care of the elderly patient
    • Care of vulnerable populations
    • Communication
    • Diagnostic decision-making
    • Drug safety, pharmacoeconomics and pharmacoepidemiology
    • Equitable allocation of resources
    • Evidence-based medicine
    • Hospitalist PA as a consultant
    • Hospitalist PA as a teacher
    • Information management
    • Leadership
    • Management practices
    • Nutrition and the hospitalized patient
    • Palliative care


The Physician Assistant Fellowship in Hospital Internal Medicine is composed of 12 rotations in the various specialty areas. Subspecialty rotations may vary from two to four weeks in length.

Traditional Hospitalist Track

  • Hematology/medical oncology (elective in Traditional Hospitalist Track; required for Hematology/Oncology Track)
  • Palliative medicine (required)
  • Cardiology (required)
  • Emergency medicine (elective)
  • Physical medicine and rehabilitation (required)
  • Transplant medicine (required)
  • Interventional radiology (required)
  • Endocrinology and nutrition (required)
  • Hospital internal medicine consult service (required)
  • Hospital internal medicine night service (required)
  • General hospital internal medicine (required)
  • Pulmonary medicine (elective)
  • Critical care medicine (required)
  • Nephrology (elective)

Hematology/Oncology Track

  • General hospital internal medicine (required)
  • Hematology inpatient consults (required)
  • Oncology inpatient consults (required)
  • Palliative medicine (required)
  • Physical medicine and rehabilitation (required)
  • Interventional radiology (required)
  • Cardiology (required)
  • Pulmonary medicine (elective)
  • Bone marrow transplant service (required)
  • General medicine consults (required)
  • Critical care medicine (required)

Critical Care Medicine Track

  • General hospital internal medicine (required)
  • Anesthesia (required)
  • Cardiovascular diseases (required)
  • Bone marrow transplant (required)
  • Emergency medicine (required)
  • General and surgical subspecialties (required)
  • Critical care medicine (required)
  • Trauma and burn (required)
  • Nephrology (elective)
  • Pulmonary medicine (elective)

Grading or evaluation

Mayo Clinic School of Health Sciences uses evaluative tools that include:

  • Written examination
  • Demonstration of skills
  • Self-assessment exercises
  • Faculty reviews

Specifically, the fellow will be evaluated by these assessment tools:

  • End-of-rotation evaluations
  • End-year project
  • Midyear and end-year formal comprehensive evaluations
  • Competency checklist components completed by end of fellowship training
  • End project for core competency "modules" with various assessment tools
  • End-year Summative Portfolio

Curriculum enhancements

Mayo Clinic School of Health Sciences is committed to developing and maintaining the best education programs. The curriculum and other aspects of this program are assessed constantly and changed as necessary to ensure the highest quality training.

Physician assistant fellow supervision

Physician assistants provide diagnostic, therapeutic and preventive health care services under the supervision of physicians. During the fellowship, the PA fellow is assigned a supervising physician who will provide proper supervision in accordance with Arizona state law and Mayo Clinic practice guidelines for physician assistants.

Jan. 09, 2015