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Clinical Training

The one-year program offers the same level of autonomy for patient care and the same clinical teaching given to categorical residents. Enhanced curriculum in GI, hematology, and cardiology are provided to preliminary residents to ensure broad coverage of the major subspecialties of internal medicine within the single year of the preliminary program.

For all services at Mayo Clinic, there are no private patients or private attendings. All patients are cared for by intern-resident teams and a single attending physician.

Rotation Schedule

The following is a typical rotation schedule for a preliminary medicine intern:

Rotation Length

General Medicine

8 weeks


4 weeks

Coronary Care Unit (no call)

4 weeks

Critical Care

4 weeks

Emergency Medicine/Float/Vacation

8 weeks

Hematology (no call)

4 weeks

Gastroenterology (no call)

4 weeks

Endocrinology (no call)

4 weeks


4 weeks

Non-Internal Medicine Elective/Float/Vacation

4 weeks

Didactic Training

The didactic curriculum includes:

  • Core Curriculum Conferences
  • Morbidity and Mortality Conferences
  • Morning Report
  • Medical Grand Rounds
  • Evidence Based Medicine, Clinical Decision Making Journal Club (CDMJC)

Research Training

There are no research requirements and expectations for this one year residency program. However, all the resources of our well-developed resident scholarship program are available to the preliminary interns just as to the categorical interns, including sponsored travel to present scholarly work at national society meetings. Historically, about one-third of preliminary interns will publish or present their research in a peer-reviewed forum before the end of their internship year.

Call Frequency

Interns enrolled in this program will be restricted to the ACGME 16-hour duty limitation.

Teaching Opportunities

Residents will have the opportunity to teach Mayo medical students as well as visiting medical students.


Over the three years of categorical residency, more than 800 didactic lectures are presented to internal medicine residents. The didactic portion of Mayo Clinic's Internal Medicine Residency Program includes:

  • Core Curriculum Conferences
  • Morbidity and Mortality Conferences
  • Primary Care Conferences
  • Grand Rounds
  • Clinical Decision Making Journal Club
  • Board Review
  • Systems-based Practice and Quality Improvement Conferences
  • Morning Report (Inpatient and Outpatient)
  • Evidence-Based Medicine Didactic Conferences

A comprehensive, didactic core curriculum addresses both inpatient and outpatient medicine. During PGY-1, the weekly core curriculum covers basic topics in internal medicine. These general core lectures are supplemented by a lecture series in each subspecialty service. Food is provided for residents, and conferences are telecast to multiple locations throughout the medical center so that residents can attend regardless of rotation or assignment.

In addition, more than 150 institutional clinical and research conferences are held each week.

Faculty will teach basic interviewing and physical examination skills to residents during the first year of residency using standardized patients and teaching videos. Residents will also learn in-depth clinical skills as part of each specialty curriculum. Workshops in procedural skills are provided during orientation and on specialty and ICU rotations.


To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then you meet with an associate program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.

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