Education Programs and Resources
A wide spectrum of educational conferences and small group teaching sessions are offered on a daily basis.
Interns will attend Morning Reports during ward and outpatient general medicine rotations, and will participate in a weekly "Evidence-Based Medicine" Journal Club.
After rounds, there is a 12:15 p.m. conference every weekday. On Mondays, the Morbidity and Mortality conference is held in collaboration with the departments of Pathology and Radiology. This is a highly regarded conference which is a published model for systems improvement. Medical Grand Rounds are held every Wednesday. Tuesday and Thursday are reserved for the residents' core curriculum series and are available by webcast as well. The Inpatient Mini-Case Conference occurs on Fridays with short presentations of the most interesting cases from all the resident subspecialty and general medicine services.
To prepare for the American Board of Internal Medicine Certifying Examination, our faculty present a series of one-hour review sessions from April through June. In addition, all categorical residents receive a complimentary copy of MedStudy, the Medical Knowledge Self-Assessment Program (MKSAP) and a complimentary copy of the Mayo Board Review textbook when it is published (on a biennial basis). Webcasts and lecture notes of the board review sessions are also available via the residency web-page.
Residents receive an electronic set of learning objectives and a teaching syllabus at the beginning of each rotation. All residents have access to UpToDate. A collection of over 4,100 electronic journals and over 540 electronic textbooks can be accessed from the resident's iPad (provided by our program for each resident), from any of the 52,000 physician workstations throughout the medical center, or via remote access from home when connected to the Mayo network.
Residents are responsible for teaching both Mayo Medical Students and visiting senior medical students through bedside instruction and formal didactic lectures. Senior residents complete a teaching skills curriculum at the beginning of their supervisory rotations.
Cardiac Life Support Certification
Each resident must be certified in Basic Cardiac Life Support and Advanced Cardiac Life Support (ACLS) before starting residency. Incoming interns are strongly encouraged to obtain BSL/ACLS certification prior to coming to Rochester. A limited number of ACLS courses are held during June, before the start of the academic year. The ACLS recertification course also is offered throughout the academic year to facilitate recertification. Mayo covers the cost of recertification. Residents also participate in periodic ACLS workshops to maintain their resuscitation skills.
Mayo Clinic Rochester's library system has one of the largest medical collections in the world - more than 6,400 journal subscriptions, nearly 400,000 bound volumes, and several medical databases and search engines.
The Mayo libraries are fully automated utilizing the Innovative Interfaces, Inc. library management system for acquisitions, cataloging, serials control, reserves, media booking, and online catalog. Other systems include a Sybase database providing title and subject access to electronic journals, an extensive web site, and support of the SFX link resolver software. The Ovid Technologies, Inc. bibliographic retrieval system supports a variety of licensed databases including MEDLINE, EMBASE, and PsycInfo. Drug information systems include the Micromedex drug information system and Drug Facts & Comparisons. Other resources include PubMed, the ISI Web of Knowledge, Community of Science, UpToDate, MDConsult, CINAHL and an online faculty publication database called Mayo Authors constructed and hosted by the library.
The main library provides study space, computers, literature searches, microfilm readers and reader-printers, translations, photocopiers, book ordering, audiovisual services, coffee and cappuccino.
Reference librarians can perform literature searches and arrange interlibrary loans. During orientation, librarians and expert faculty members teach residents to use the computer database services that link Mayo Clinic to a global network of scientific information. Hundreds of clinical conferences are preserved on videotape, DVD, and web-cast archives each year. Residents may view these tapes at the library or check them out for use at home, while the web-archived materials are viewable the resident's iPad (provided by our program for each resident), from the computers on the campus, or with remote access.
Branch libraries include two hospital libraries, a health-related sciences library, and the Learning Resource Center (LRC). Textbook collections are available at multiple sites in the hospitals and on-line for reading and reference while on duty. The library provides access to a variety of Web-based texts and databases.
Over 52,000 computer workstations are available in nursing units, resident work areas, resident call-rooms, and in the outpatient clinics. The Internal Medicine Residents' Center for Residency Education (CORE) at Saint Marys Hospital contains ˜30 computers, LCD projectors and other audiovisual equipment. Residents can use their iPad (provided by our program for each resident), or campus computers to access the computerized patient-record system, laboratory test results, and pharmacology data, to conduct literature searches, and to access the Internet and Mayo Clinic's internal electronic messaging system.
Residents at Mayo Clinic Rochester will participate in the use of a sophisticated electronic medical record system for both inpatients and outpatients. Mayo Clinic's Microcomputer Education Center provides training in the use of computers for word processing, data collection and data analysis. All residents have access to computerized intensive care units; a computerized medical record system; computerized laboratory results; computerized retrieval and review of radiologic studies; computerized literature and textbook access at each nursing station; and state-of-the-art surgery, radiology and laboratory services. Fully staffed computer help and support systems are available 24/7/365.
Mayo Clinic's facilities in Rochester, Jacksonville and Arizona are linked via a sophisticated satellite telecommunications system, which provides video teleconferencing and data transmission. Staff can have live, interactive consultations with physicians and their patients at the other sites via TV monitors. In addition, x-rays, laboratory test results, CT scans, ECGs, angiograms and pathology slides can be transmitted between sites.
An advanced telecommunications system also is the foundation for Mayo Clinic's unique seven-digit telephone dialing and pager system. Physicians can be easily contacted for consultations or updates, thereby strengthening teamwork among consultants, fellows, residents and allied health staff at all three practice sites.