Our fellowship program is set within one of the largest medical centers in the world. Our primary clinical sites provide care to adolescents from underserved populations with a variety of acute and chronic illnesses. Our faculty staff four detention facilities where fellows see a large volume of patients; fellows also have a dedicated continuity clinic within the medical center in addition to an adolescent clinic at one of the county hospitals. Fellows have an opportunity to obtain either a master in public health or clinical science and have protected time during the fellowship to accomplish this. Our faculty and former fellows have been very successful in conducting research, publishing manuscripts and obtaining grant funding. Our program has a very strong primary care focus, but also the flexibility to allow fellows to find their niche within the field.