Frequently Asked Questions
What is the patient mix?
Eighty percent of patients seen at Mayo Clinic are from Minnesota or one of the adjoining states and Medicare covers nearly 40 percent of our internal medicine patients. Rochester, Minn., has one of the most diverse immigrant populations in the nation with large concentrations of people groups from southeast Asia, Africa, and Eastern Europe. The majority of patients seen by residents have the common conditions and illnesses encountered in internal medicine. There are renowned experts in almost every disease at Mayo which makes this a destination for patients with the rare and unusual; however, this makes up a small percentage of a resident's practice. Mayo Clinic Rochester residents develop expertise in general internal medicine and have the opportunity to become familiar with unusual diseases as well. Furthermore, residents become comfortable dealing with the unknown and in furthering the frontier of internal medicine. Additional expertise in specific areas of interest can be developed through electives.Back to top
What is the level of resident autonomy?
The primary purpose of our residency is education, and the focus of learning is embedded in the care of patients. Residents are the primary physicians for their patients. There are no private patients or private attendings at Mayo. In the hospital, residents work in teams of 4-6 residents. Three interns supervised by a senior resident is the most common construct. The primary responsibility for care is with the intern who orchestrates the care plans with input as needed from the senior resident and faculty. Only residents write orders and the definitive notes on patients. In continuity clinic, interns and residents have their own individual panel of patients. As the primary physician, residents are responsible for providing longitudinal, comprehensive care for their patients in the outpatient setting. Continuity clinics are organized in Firms that function as a group practice comprised of other residents and a group of dedicated faculty. Our residents feel that they have the ideal balance of autonomy and supervision.Back to top
What is the relationship between residents and fellows?
With the volume of patients seen at Mayo Clinic, there are abundant learning opportunities for residents as well as fellows. Residents do not compete with fellows for patients or procedures. Fellows are not present on most of the resident teaching services. On select subspecialty services (e.g. hematology or CCU) fellows are also part of the care team where they play an important teaching role, often supervising procedures. Residents are pleased with the interactions they have with fellows and say they play a positive role in their education.Back to top
What are the research opportunities?
The Internal Medicine Residency at Mayo Clinic Rochester has been a leader in resident scholarship for many years. We were one of the first programs to build a dedicated scholarship curriculum for residents even before the ACGME began requiring residents to participate in scholarly activity. An associate program director is dedicated to ensuring that residents are aware of scholarship opportunities, and residents can network with hundreds of potential mentors at Mayo Clinic. Elective time, which can be used for scholarship if desired, is available in all three years of training. These efforts have been successful, with the Mayo Clinic Internal Medicine Residency having more winners of the American College of Physicians Associates Abstract Competition than any other residency in the last 30 years. During the three years of residency training, on average each resident participates in 6-7 scholarly projects, resulting in 2-3 peer-reviewed publications, 2 additional peer-reviewed manuscripts accepted, submitted or in preparation; and ˜4 presentations at regional, national, and international scholarly meetings supported by Mayo funds.Back to top
Are there opportunities to teach?
We have a robust inpatient and outpatient faculty development curriculum designed to prepare residents for teaching roles with students, their peers, and other members of the health care community. Many residents have chosen our program because of the preparation we provide for this important role. Mayo residents have many opportunities to take the lead in teaching/supervising their team, to facilitate inpatient/outpatient morning report and to present in conference settings. Our residency is a leader in teaching residents how to teach with dedicated curriculum in adult learning theory. All senior residents graduate with a certificate in core teaching for adult learning.Back to top
Can residents rotate out of Rochester or outside the U.S.?
Some residents choose to rotate outside of Rochester. The most popular sites are our Mayo campuses in Scottsdale, Arizona and Jacksonville, Florida, where a variety of rotations are available. Transportation, lodging, and licensure are provided. A variety of rotational experiences are also available in smaller communities throughout the Midwest region within the Mayo Clinic Health System. In addition, some of our residents rotate outside the U.S., usually under the auspices of the Mayo International Health Program. This program helps residents bring their talents to underserved areas of the world. Scholarships are provided on a competitive basis to cover transportation and lodging. Residents have rotated to a large number of regions worldwide.Back to top
Can my 'significant other' find a place to work?
We realize that for many residents a move to Rochester is highly dependent on the ability to secure employment or a position for someone close to them. Rochester is a growing city with a population exceeding 100,000. Mayo Clinic Rochester is one of the top employers in the region. See the Mayo employment Website. Other major employers include IBM, the Rochester school system, as well as the local hotel/restaurant industry. The density of information technology infrastructure in the region makes Rochester an ideal environment for telecommuting. Professional services and light manufacturing are also prominent components of the workforce. There is a consortium of institutions of higher learning in Rochester and several different school systems that serve K-12 (Rochester District 535 and Rochester Catholic Schools). Minneapolis — St. Paul, a major metropolitan area, is within 80 minutes by automobile. Our program maintains an informal network of significant others and family members in the various arenas noted above to assist and guide new members to our community.Back to top
Describe the work-life balance.
Work-life balance is highly influenced by the nature of the people with whom you work. The "esprit de corps" is particularly rich within our residency program and one of the most cited positives at the end of the year. Over 90 percent of interns are moving to Rochester from elsewhere and all looking for friends and people with whom they want to spend time. Many choose to purchase a home because the cost of living is relatively low. Each residency class of 48 has a nice mix of singles, those involved in a serious relationship and those that are married. Approximately 25 percent have children. All have been selected because of the richness they will add to the community and their ability to bring out the best in those around them. It is no surprise that residents develop some of their closest friendships with one another. Similarly, the size of the institution and a number of other educational programs attract to Rochester a wide variety of people throughout the world. We have more than 2,700 residents, fellows, medical and postgraduate students in Rochester. Numerous activities are organized to allow kindred spirits to find each other.Back to top