JCMC is home to one of the most diverse populations in the country. The diverse population offers IM trainees a unique experience with exposure to complex pathology. Lectures take place during academic half day. Ambulatory is a 1:4 block and incorporates a population health curriculum comprised of didactic and experiential components. We have integrated with the Rutgers Newark GI fellowship and plans to add more fellows in GI and the other subspecialties over the next few years.