Charter program in 10 year ACGME Educational Innovations Project (2006-2016). Program focus: team-based care, inpatient and outpatient; 16-hour maximum scheduled call; QI; professionalism and wellness. Fellowships in Cardiology, Geriatrics, HPM, Critical Care Medicine, and Interventional Cardiology. Of 2018-22 graduates 45% entered fellowships, 30% hospitalists, 25% either office IM or combined office and hospital IM. 90% of graduates who applied for fellowships entered a fellowship program.