Training pathways for primary care, hospitalist, fellowship, geriatrics, rural medicine, clinician-educator, leadership, and research. 4+2 block scheduling. Academic half-day. Diverse patient population including urban, rural, VA, and refugees. Longitudinal curricula for simulation, QI, EBM, POCUS, and pop health. Academic opportunities of large 700 bed tertiary center, with mentorship of smaller residency program. Portland offers great small city on the ocean with easy access to the outdoors.