Our program serves a diverse patient community, including non-English speakers, refugees, and those with limited health literacy. Fellows learn to manage care across language, financial, and domestic barriers. A small class size allows for strong procedural training (e.g., intubation, central/arterial lines, bronchoscopy, EBUS, chest tubes, thoracentesis) and fosters close peer relationships. As part of a large system, fellows rotate at specialty hospitals. -