The GBMC Internal Medicine Residency Program recognizes the need for primary care physicians who can heal and lead in all corners of the U.S. healthcare space. As an agile independent hospital in the Baltimore area dedicated to quality and reliability, in close proximity to government and CMS (a driver of innovation in healthcare), in the only state with a global payment system, and with affiliations to Johns Hopkins University, we are well-positioned to prepare our trainees to adapt to and lead change in healthcare. From a scholarship perspective, our department leads the country in supporting a widely circulated medical journal (JCHIMP). We prepare our residents for the many forces which will disrupt, reshape and shift the U.S. healthcare system from the way we know it today. These forces include rapid developments in artificial intelligence and other electronic tools, financial pressures, patient expectations, new therapies, demographic shifts, and the necessity to create a resilient and supportive community that might thrive in this environment. To be successful in this changing environment, residents will need both solid foundational diagnostic and management skills and flexible problem solving and leadership skills. GBMC seeks to match medical students with a strong desire to engage these challenges, whether through patient safety and quality, business of medicine, data management and analysis, education, team leadership, or advocacy.