This first-of-its-kind internal medicine residency combines the educational expertise of a well-established urban academic program with a novel primary care training experience in rural Alaska. The 1st year will be spent integrated with UW's Internal Medicine Primary Care Residency in Seattle, WA, while the 2nd and 3rd years will be based in Soldotna, AK, where residents will have an intensive outpatient experience that prepares them to care for medically complex patients in a rural setting.