Our hospital is privileged to serve the most vulnerable patient population in the San Diego area. Despite the challenging environment, our residents learn to provide high-quality care to a culturally and socioeconomically diverse patient population in a cost-effective manner. We boast nearly a 100% ABIM exam pass rate over the last 25 years. The most unique aspect of our program is the 25-year history of POCUS education and its full integration into daily medical practice.