The fellowship program is located at a quaternary-care independent academic medical center located in the multicultural DC metro area / northern VA and combined a fascinating range of clinical cases on an inpatient consult service with outpatient clinical and liaison experiences in oncology, medicine, HIV, transplant, VAD, and advanced heart and lung disease. Expansion into women's health along with neuropsychiatry are in development currently. Didactics complement and enhance educational experience. Teaching and supervisory opportunities are a part of the program with medical students and residents from affiliated programs in the region. Efforts are made to tailor experience to each fellow’s career and educational goals, strong emphasis on mentoring. Fellows oversee consult teams, develop growing independence over the year, and collaborate together for both education and camaraderie.