The Complex Family Planning Fellowship at Montefiore Einstein develops skilled, passionate physician-educators focused on contraception, abortion, and management of abnormal early pregnancy. Our high-acuity clinical practice is situated in an urban health care desert; over 80% of patients receive Medicaid. Our educational program emphasizes progressive autonomy, evidence-based practice, advanced D&E, and team leadership through didactic sessions, oral boards prep, case review, and journal club.