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The Mayo Clinic Hospital Medicine Fellowship is truly unique. Currently, there is no standardized, accredited or externally reviewed training in this area.
The Hospital Medicine Fellowship has four components designed to address research, education and patient care by offering:
- An academic year with completion of a master of science degree in clinical research
- A core curriculum
- A series of required clinical rotations
- Certain encouraged elective rotations
Clinical Training
The clinical portion of the fellowship includes, but is not limited to, experiences in general medical inpatient care, perioperative medical management, end-of-life care, transitional care and continuum of care management. An evidence-based and comprehensive multidisciplinary care approach to the hospitalized patient is emphasized. Medical aspects of care will be integrated with functional, socioeconomic, cultural and family support issues, all of which play important roles in the dismissal planning of the hospitalized patient.
Clinical Program Requirements
- General medical service
- Perioperative consultation
- Medical consultation
- Anesthesia
- Neurology
- Physical medicine rehabilitation
- Hospice
- Transitional/skilled nursing care
Clinical Electives
Three electives are required with eight months of clinical electives possible, depending on your research focus. Electives are the choice of the fellow according to personal career interests.
Numerous electives are available, including radiology, infectious disease (critical care, orthopedic, transplant), pulmonology, anesthesiology, electrocardiogram interpretation and subspecialty outpatient clinics. Faculty members are always available for discussion regarding elective choices.
Didactic Training
Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are all integral parts of the Hospital Medicine Fellowship.
Core Curriculum
There is a comprehensive curriculum designed to cover important aspects and processes of inpatient medical care including: quality improvement, specialty reviews (geriatrics, inpatient cardiology, consultative medicine, neurology, psychiatry, nutrition and diabetes), guidelines and pathways, discharge planning and coordination of care, and moral, ethical and legal factors in medicine.
Conferences
The hospital medicine fellow may attend any of a wide variety of conferences. These include:
- Hospital Internal Medicine Development Sessions – A collaboration of presentations by both fellows, allied health providers and faculty (monthly)
- Internal Medicine Morbidity and Mortality Conference – Covers the broad range of medical morbidity seen in the hospital on resident teaching services (Mondays, 12:30 p.m.)
- Internal Medicine Grand Rounds – Covers issues related to internal medicine (Wednesdays, 12:30 p.m.)
- Clinical Decision Making Journal Club –This conference focuses on critical appraisal of the literature using evidence based medicine. It covers issues related to questions that arise in the daily practice of internal medicine. The literature is reviewed to determine the best clinical action in response to the question raised. Very frequently, the topics pertain to hospital medicine (Friday, 7:30 a.m.).
- Didactic Ethics Lecture Series – Focuses on ethical principles and case discussions (third Thursday of the month, 4:30 p.m.)
Research Training
Research opportunities at Mayo Clinic are outstanding. A full range of laboratory-based and clinical research programs are available. The hospital medicine initiative has committed to applying rigorous scientific method to each new developing practice model. Fellows are provided with research space and administrative support.
Early in the program, fellows identify areas of interest and mentors for guidance through initial investigations. The Center for Patient Oriented Research is one of the many outstanding resources available to fellows throughout the year. The research component of the program is tailored to the interests of the fellow. Fellows may elect to pursue a master’s degree or a (non-thesis) certificate in clinical research from Mayo Graduate School.
Publication of research is supported by professional editorial services. Trainees also receive assistance in preparing research grants for funding.
Call Frequency
The call schedule will vary by individual rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education.
Rotations to Other Mayo Clinic Sites
Trainees may choose to take an assignment at Mayo Clinic in Florida or Mayo Clinic in Arizona during the Hospital Medicine Fellowship. Mayo Clinic funds the authorized additional costs of travel, housing, car rental and licensure fees.
Committee Assignments
Hospital medicine fellows will be given opportunities to gain experience in a number of administrative capacities, including committee appointments.
Moonlighting
Moonlighting is permitted for licensed residents and fellows beyond the PGY-1 level. Moonlighting activities may be scheduled during those times when assigned to consultative or outpatient rotations.
Evaluation
To ensure that fellows acquire adequate knowledge and develop technical skills, performance will be monitored carefully during the course of training. Trainees will be evaluated by a supervising faculty member after each clinical rotation. In addition, hospital medicine fellows will regularly evaluate the faculty to ensure that educational needs are being met.
Career Development
Fellows will meet periodically with various faculty members, administrators and the program director to discuss their career goals. Mayo Clinic recruits many of its staff physicians from its own training programs. Thus, when a fellow successfully completes the Hospital Medicine Fellowship, job opportunities may be available at one of Mayo Clinic’s group practices.
Every fellow will be given membership in the Society of Hospital Medicine (SHM). Attendance at the annual meeting of SHM will be strongly supported. There will be multiple opportunities and support to present accepted research at both regional and national meetings.
Teaching Opportunities
You will have the opportunity to teach physical exam techniques and to present cases at the Mayo Medical School. During hospital rotations, you will supervise and teach medical students, internal medicine residents, orthopedic surgical residents, other subspecialty residents and allied health providers.
Faculty Development
As a hospital medicine fellow, you will have the opportunity to participate in activities designed to promote faculty development, including:
- Stanford Faculty Development Program – This multi-session course taught by local faculty provides practical instruction in adult education techniques.
- Quality Improvement/Guideline Development – Each hospital medicine fellow is sponsored to attend an Institute for Health Improvement (IHI) course in quality improvement.
- Evidence Based Medicine – A local course provides hospital medicine fellows with the skills necessary for critical appraisal of the medical literature.
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