Innovative five month P2 rotation in second year focused on psychosocial medicine and practice improvement. Two continuity clinic locations: urban and FQHC inner-city. Longitudinal global health site in Honduras focused on addressing determinants of health. Areas of concentration include: political advocacy, global health, geriatrics, and maternity care. Busy OB and pediatrics: >60 deliveries in two months of OB, >300 pediatric emergency department encounters.