At the University of Utah, we have a wide and unique catchment area in the intermountain west, covering approximately 10% of the geographic United States. While much of this region is sparsely populated, if there are patients with rare pathology in our region, they will be sent here which makes for a great training environment for our fellows. In addition to the breadth and depth of clinical experiences, we have a long track record of NIH-funded research and teaching opportunities for fellows.