With a population of over 1.8 mil in the tri-county area and a catchment that includes all of OR, parts of WA, ID, and CA, our fellows care for a diverse population and variety of diseases. We use evidence based education best practices in curriculum design, moved to an academic half day to protect fellow education, and offer a variety of elective experiences to create personalized training for each fellow. We focus on fellow wellbeing and career development. The OHSU and the PNW are calling!