The objective of the Global, Rural, and Underserved Child Health (GRUCH) Fellowship is to provide pediatricians the clinical exposure, academic opportunity, and mentorship to become leaders in global child health. Global, Rural, and Underserved Child Health Fellows work at the Chinle Service Unit in the heart of the Navajo Nation. There, the fellow’s role will primarily be clinical and educational with additional avenues for community outreach and/or project development. The fellow’s clinical responsibilities will be a combination of inpatient wards (including the newborn nursery), evening and weekend calls, and outpatient medicine within the Department of Pediatrics. Fellows actively participate in education within the department of pediatrics together with talented colleagues, nurses, and visiting residents, and medical students from across the country. There are also options to work in community-based adolescent clinics or with the public health nursing team or to seek other areas of community involvement if interested. Fellows will experience full autonomy in clinical decision-making, develop, implement, and assess quality improvement projects, encourage education and partnership between the University of Utah and CCHC, and provide a wide range of clinical care to the people of the Navajo Nation.