Since UHIMRP began in 1976, we have trained hundreds of highly-skilled Internal Medicine specialists, with an aim to cultivate a collegial and family-like training environment. While the strength of UHIMRP has traditionally been its emphasis on General Internal Medicine, our graduates have pursued a variety of careers, including Primary Care, subspecialty careers following placement in competitive fellowship programs throughout the country, Hospitalist positions, academic medicine, and research. Our curriculum fulfils ACGME Competency-based requirements in Medical Knowledge, Patient Care, Interpersonal and Communication Skills, Professionalism, Practice-based Learning and Improvement, and Systems-based Practice. With our emphasis on evidence-based medicine, critical appraisal of the literature, and the ongoing need for self-education, our graduates are well-prepared for a spectrum of challenges they will face in their careers. Our program has recently created a Primary Care Pathway for residents who are interested in receiving more of their training in the ambulatory care setting.