Medically vulnerable populations in the United States, including 47 million uninsured people and many more who are underinsured, have woefully inadequate access to healthcare services and to Personal Medical Homes. The medically vulnerable are concentrated in rural areas and inner cities. Our department trains physicians to have the skills, desire, and tenacity to serve medically vulnerable populations, and to have a desire to improve the healthcare delivery systems for their populations. SIU Department of Family & Community Medicine has the distinct opportunity to develop exemplary healthcare