The Global Medicine Pathway is for residents in the internal medicine, medicine-pediatrics and medicine-dermatology residency programs. Residents may complete a one-two month rotation after their intern year of residency. In Rosebud, South Dakota, residents have the opportunity to participate in direct patient care and community health services for the Sicangu Lakota Oyate (Rosebud Sioux Tribe). Residents work with community and Indian Health Service agency partners to assist in providing direct patient care, aiding the tribe if requested in health program promotion, and developing and strengthening collaborative relationships.