Physician Assistant Fellowship, Hospital Internal Medicine (Arizona)

Mission Statement
The purpose of the Mayo Clinic in Arizona Post-graduate Physician Assistant Fellowship in Hospital Internal Medicine is to train highly qualified graduate physician assistants (PA) to become skilled, compassionate, and efficient Hospitalist PAs. The curriculum will contain diverse didactic instruction and direct patient care clinical experience, embedded in the foundation of Mayo Clinic: excellence in patient care, education and research. This program will provide the graduate PA with the training needed to provide the utmost quality of care to hospitalized patients.

Program Description
Mayo School of Health Sciences (MSHS) offers a 12-month postgraduate PA Fellowship in Hospital Internal Medicine at Mayo Clinic in Arizona. The program accepts a total of three PA fellows each year, two for the traditional hospitalist track and one the Hematology/Oncology track. This will be the inaugural year for the Hematology/Oncology track. Traditionally, the academic year runs from October 1st through September 30th, but with the addition of the Hematology/Oncology track the academic calendar may be subject to change.

The fellowship curriculum is designed in a diverse format that accommodates all learner types. It is based upon the physician "Core Competencies" from the Society of Hospital Medicine, January 2006. Fellows will complete various medical specialty rotations that are two to four weeks in duration. The curriculum will include formal didactic instruction, journal club and case review, and project-based learning through hands-on experience. Specifically, the Hematology/Oncology track offers up to 12 weeks of training in Hematology/Oncology in addition to the core rotations offered in the traditional hospitalist track.

Upon graduation, fellows will receive a Mayo Clinic College of Medicine certificate documenting completion of a one-year postgraduate fellowship in Hospital Internal Medicine. This certificate will verify that each fellow has completed all the components listed in the syllabus. Such experience and training will allow the fellows to be more competitive for hospitalist PA positions and have increased security in the job market.

Program Goals

  • The Physician Assistant Fellowship in Hospital Internal Medicine will enable fellows to:
  • Develop a deep and broad knowledge base of the common disease processes for which patients are hospitalized, understanding the pathophysiology, various presenting clinical presentations and disease prognosis
  • Develop a diverse differential diagnosis and respective diagnostic/treatment plan, based upon patient's presenting symptoms along with evidence-based and cost-effective medical care
  • Identify logistical and systematic measures within the institution to uphold the highest-quality patient care, while improving patient outcomes, such as length of stay in the hospital, and patient safety
  • Manage patients effectively throughout the whole hospital stay including admission, daily rounds and continuing evaluation, and dismissal, while remaining cognizant of the patient's emotional, physical and spiritual needs
  • Develop keen verbal skills to effectively communicate with colleagues, physicians, patients and ancillary staff to ultimately become a key part of the inpatient health care delivery team
  • Learn practice management, including strategies in training physician assistants and physician assistant students

Accreditation
The Mayo Clinic in Arizona Hospital Internal Medicine (HIM) Physician Assistant Fellowship is accredited through the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).This accreditation was received in September 2009.The program is also recognized by the Association of Postgraduate Physician Assistant Programs (APPAP).

See also:

Mayo Foundation is also accredited by the North Central Association of Colleges and Schools Higher Learning Commission.

Higher Learning Commission
30 N. LaSalle Street, Suite 2400
Chicago, IL 60602-2504
1-800-621-7440 (toll-free)
312-263-0456
Fax: 312-263-7462
www.ncacihe.org

Facilities
Mayo Clinic in Arizona opened in 1987 as a premier academic medical center in the southwestern United States, where advanced programs in medical research and education support the highest-quality patient care.

On the Phoenix campus, the state-of-the-art 256-bed Mayo Clinic Hospital, which opened in 1998, is the first hospital entirely designed and built by Mayo. It has been recognized as "the Best Hospital in Phoenix" several times by Phoenix magazine.

Graduation and Certification
Upon successful completion of the fellowship, you will receive a Certificate of Completion from Mayo School of Health Sciences, Mayo Clinic College of Medicine. This certificate will specifically state that the graduate fellow has received postgraduate training in the field of Hospital Internal Medicine.

Advanced Placement/Credit Transfer
The Mayo Clinic in Arizona HIM PA Fellowship does not grant advanced placement and does not accept transfer of credit hours.

Hours
For the majority of the fellowship, your learning schedule will include 10-hour days, five days per week including weekends and nights. Hours while on sub-specialty rotations will vary depending on the requirements/needs of the perspective service. All hours worked will be in accordance with the ACGME medical resident hour restrictions.

http://mayoweb.mayo.edu/msgme-policies/j60-duty-hour-requirements.html

Moonlighting
According to the Mayo School of Health Sciences, moonlighting is permitted but to the discrepancy of the program directors. Furthermore, if the PA fellow chooses to moonlight, the position should not interfere with any of the PA fellow's clinical and academic responsibilities. The total amount of hours worked in both the fellowship and the moonlighting position cannot exceed the weekly ACGME duty hour requirements and the PA fellow must log these hours and provide them to the program director weekly. Also, the PA fellow must have a separate supervising physician for that position designated at the state. Medical malpractice must be covered by the outside organization for that specific position. For more information regarding the moonlighting policy, please contact the HIM PA Fellowship program director.

Class Size
Each year, Mayo School of Health Sciences will admit up to three students to its postgraduate Physician Assistant Fellowship in Hospital Internal Medicine at Mayo Clinic in Arizona. This ensures you will receive individualized instruction and a comprehensive educational experience.

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