Tufts HPM fellowship serves seriously ill patients with diverse demographics and diagnoses. Patients from China and other Asian cultures differ in their approach to medicine, illness and death. Rotations at the Boston VA, New England Pediatric Care and Tufts Health at Home (providing inpatient and home hospice) allow rich experiences. Fellows follow patients longitudinally - in clinic, when hospitalized and at home on hospice - to see the full scope of the patient and family experience.