We serve the diverse 5 state WWAMI ( Washington, Wyoming, Alaska, Montana, Idaho) catchment area providing excellence in care to common and high acuity, high complexity patients. Our intent is to provide a broad foundation clinically, academically, and in research through our support and mentoring. We expect graduates from our program to be the future leaders and role models in quality improvement, ultrasound, simulation, global health, and all aspects of pediatric emergency medicine.