The REACH (Residents Educated in All Cultures and Health) Initiative has been bringing together those at Baystate Medical Center who are interested in international health and cultural diversity and are concerned for the world at large, particularly in medically underserved areas. Baystate Medical Center has an affiliation with the Fort Defiance Indian Hospital Board on the Navajo Reservation which is located on the border of Arizona and New Mexico. This is a one-month, call-free elective in outpatient pediatrics. Residents can also rotate through inpatient service, nursery, and the emergency room.