The University of Pittsburgh Internal Medicine Residency Program is known for its innovative curriculum and for the strong emphasis it places on ensuring the complete personal and professional development of each resident. The traditional categorical program comprises a mix of inpatient, subspecialty, and outpatient rotations. The Global Health and Underserved Populations Track (GHUP Track) is designed to train physician leaders in clinical medicine, education, health policy, and research in global health. At its foundation is a core internal medicine competency with a strong generalist perspective, cost-conscious practice, and back-to-basics diagnosis. Clinical training provides exposure to local and international sites, coupled with a curriculum and scholarly work designed to address health policy, public health, and social factors influencing health and disease in the global context. The Department of Medicine offers up to four positions in GHUP track each year. A four-week rotation in PGY-1 is performed at the IHS’s Chinle Comprehensive Health Care Facility in Chinle, AZ, or the Tuba City Regional Health Care Corporation on the Navajo Nation. The program has historically had residents spend time at the Confederated Salish and Kootenai Tribes, but hasn’t had anyone there since the beginning of the COIVD-19 pandemic.