The program will allow fellow access to a diverse patient population mix encompassing the broad spectrum of rheumatic diseases by leveraging ChristianaCare’s unique position in Delaware. ChristianaCare (CC) is Delaware’s largest healthcare provider with a network of hospitals and clinics comprising over 1,200 licensed beds between Christiana Hospital in Newark, DE and Wilmington Hospital in Wilmington, DE. Christiana Hospital is the primary tertiary care hospital in Delaware and will serve as the major training site for rheumatology fellows with a catchment area that includes a population of over 1 million from northern Delaware, southeastern Pennsylvania, southern New Jersey, and eastern Maryland. Fellows will be exposed to a diverse population across urban, suburban, and rural settings while serving a wide demographic, including underserved, underrepresented, and marginalized communities. While rotating at both clinical sites, fellows will be exposed to a wide range of socioeconomic backgrounds and cultural perspectives. Race and ethnicity mix includes non-Hispanic White accounting for roughly 60% of the population, Black or African American communities comprise around 22%, Hispanic or Latino around 10%, Asian around 5% and others around 3%. Situated within diverse New Castle County in Delaware, the program’s clinical rotations across Newark and Wilmington will cover the full spectrum of rheumatic diseases, including common conditions like rheumatoid arthritis, osteoarthritis, lupus, as well as rare diseases extending beyond vasculitis, systemic sclerosis, sarcoidosis, and autoinflammatory syndromes. Furthermore, telemedicine will be utilized to reach patients in rural or underserved areas, enhancing the diversity of clinical experiences. The program will expose fellows to full breadth of what rheumatology has to offer, ensuring that they graduate equipped with the experience and skills necessary to excel in the diagnosis and management of rheumatic diseases in any clinical setting.