The Massachusetts General Hospital Primary Care Program aims to train excellent primary care doctors who will dedicate their careers to improving health equity in the Unites States through a diversity of careers such as clinicians, advocates, educators, researchers, and health systems leaders. We emphasize robust clinical training, exposure to systems innovating to improve the health of vulnerable populations, and building skills to be an agent of change in the health system. To prepare residents for careers improving health equity, we focus on exposing residents to innovative systems at Mass General caring for vulnerable populations, enabling residents to engage in that work and ground that in a curriculum designed to give each primary care resident a tool kit for advocacy to use throughout their career. Residents have the opportunity to learn about Indigenous health by performing elective rotations through a partnership with the Rosebud Sioux Tribe in Rosebud, South Dakota.