As the only residency in our community, we prepare residents for rural and urban under-resourced practice. We serve our diverse patient population and work with our interprofessional health care team, attending to social determinates of health. Procedural training includes obstetrical care and deliveries, POCUS, EGD and colonoscopies, circs, vasectomies, gyn procedures, skin procedures, joint injections. Community engagement and population health are a key feature.