Mayo Clinic College of Medicine and Science (Rochester) Program

Rochester, MN
Specialty: Emergency Medicine
ACGME Code: 1102621161

Step into the forefront of emergency medicine at the Mayo Clinic Emergency Medicine Residency Program in Rochester, Minnesota, where innovation meets patient-centered care. The program is committed to developing future leaders in emergency medicine, guided by the core value that ‘the needs of the patient come first.’ This residency offers a comprehensive 48-month curriculum designed to provide residents with unparalleled exposure to a wide variety of clinical cases, from routine emergencies to complex conditions, including solid organ transplant complications and complications of advanced oncologic care.

The Mayo Clinic boasts a vast catchment area and serves as a major provider of emergency care for a large region, treating approximately 85,000 patients annually at the Mayo Clinic Hospital — Rochester, Saint Marys Campus. The facility includes a Pediatric Level 1 Trauma Center and a Comprehensive Stroke Center, reinforcing the program’s commitment to high-acuity and complex medical emergencies.

Curriculum Overview

The program has undergone a significant transition to a robust 48-month curriculum that emphasizes specialized tracks tailored to residents’ interests and career goals. Residents benefit from a blend of challenging clinical rotations across the Mayo Clinic’s extensive network, including opportunities at the Florida and Arizona campuses. Structures are in place to foster continual feedback and the development of new rotations to keep pace with advancements in emergency medicine.

Core Rotations

First-year residents (PGY-1) engage in a universal rooming system, providing them immediate access to various levels of acuity within the emergency department. Early training involves participation as primary airway providers after completing intensive airway courses. Subsequent years include increasingly complex rotations in critical care disciplines such as cardiology, orthopedics, neurology, and pediatrics. Special attention is given to developing skills in emergency ultrasound, trauma care, and procedural expertise. Rotations in community hospitals also allow for valuable diverse experiences in resource-limited settings.

Specialized Training Tracks

Beginning in the 2025-2026 academic year, residents will have the option to select from specialized tracks, including Clinical Innovation and Informatics, Critical Care Medicine, Education, Emergency Medical Services, Global Health, Pediatric Emergency Medicine, and Research. These tracks provide structured pathways for residents to deepen their expertise in areas of interest and prepare for fellowship opportunities.

Research Opportunities

The Mayo Clinic fosters a strong research culture within its Department of Emergency Medicine. Residents are encouraged to engage in hypothesis-driven research, actively supported by a robust infrastructure that includes experienced mentors and access to extensive research resources. Opportunities span across multiple domains, ensuring residents gain necessary knowledge in epidemiology, health equity, and medical education.

Unique Aspects of the Program

In addition to rigorous academic training, residents partake in innovative simulation training sessions that enrich learning experiences. The program emphasizes interprofessional collaboration, with residents frequently working alongside nurses, pharmacists, and other specialists to enhance the patient care team dynamic. The curriculum also includes cadaver-based procedural labs for advanced techniques, and mock scenarios designed to cultivate leadership and teamwork skills.

Wellness and Community

The wellbeing of residents is prioritized through numerous resources and initiatives offered by Mayo Clinic. The Dan Abraham Healthy Living Center provides access to fitness resources, promoting physical, mental, and emotional health. A variety of social groups on campus foster community engagement and support.

Visa Support and Competitiveness

The Mayo Clinic Emergency Medicine Residency is open to international medical graduates (IMGs) and is considered DO-friendly. The program has specific requirements for application eligibility, including the completion of medical school. Applicants may be evaluated based on performance, including standardized tests, with provisions available for visa sponsorship for eligible candidates.

Application Process and Requirements

Nine residency positions are available each year, and the application process requires submitting through ERAS with supplementary documentation by a specified deadline. An in-person interview is a critical component of the selection process, with candidates invited based on their application materials.

Director

James L Homme, MD
Program Director

Coordinators

Ms. Darcie M Skoda
Residency Program Coordinator
Peggy R Schlinger
Peggy R Schlinger

Program

Program size
9, 9, 9, 9 (4 years)
Accreditation Status
Continued Accreditation since October 1999

Training

Fellowship Rate: 35%
Faculty-to-Residents Ratio: 1.8X

Quality of Life

First Year Average Weekly Hours: 50 hours
First Year Maximum Consecutive Hours on Duty: 28 hours
First Year Salary: $69 774
First Year Paid Vacation: 20 days
First Year Paid Sick Leave: 91 days

Admission

USMLE Step 2 Score: 253
Visa Sponsorship: F1, H1B, J1

Match History

Track: 1328110C0
2025
9 of 9
2024
9 of 9
2023
9 of 9
2022
9 of 9
2021
9 of 9
2020
9 of 9

Location

Rochester, MN
Population
121 395
Income
$85 240
Education
52.6%
Employment
67.3%
Health
2.3%
Age
36
Housing - Rental Prices
Rental Prices
Crime - All Violent Offences
Rate per 100,000 Residents

Living in Rochester, MN

  • Safety: Rochester is known for its low crime rate, making it a safe place to live.
  • Fun Activities: Residents can enjoy outdoor activities at nearby parks, visit the famous Mayo Clinic, and explore local museums and art galleries.
  • Climate: Rochester has a four-season climate with cold winters and warm summers, perfect for those who enjoy experiencing all seasons.
  • Population: Around 120,000 people reside in Rochester, creating a medium-sized city atmosphere.
  • Educational Opportunities: Rochester is home to the esteemed Mayo Clinic School of Medicine, providing excellent educational resources for residents.
  • Cost of Living: The cost of living in Rochester is slightly below the national average, making it an affordable place to reside.
  • Nearby Cities: Minneapolis, the largest city in Minnesota, is approximately 1 hour and 30 minutes away from Rochester by car. Minneapolis offers a vibrant urban experience with cultural attractions, restaurants, and shopping opportunities.
  • Pros: Safe environment, diverse educational opportunities, affordable cost of living.
  • Cons: Cold winters, limited nightlife options compared to larger cities.
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