There is a Rural health pathway with collaboration from Partners In Health (PIH), and a  Humanitarian Emergencies focused pathway based with collaboration from Medecins Sans Frontieres (MSF). All fellows have shared objectives to develop an understanding of the unique needs and challenges to providing emergency care within the Alaskan Tribal Health Consortium and internationally. This will include experience in the direct delivery of care as well as the opportunity to learn the role of telehealth for remote care and training in extremely rural settings. Weekly didactics in culturally appropriate care delivery and AI/AN topics support clinical learning. The trainee will work directly with community health aides and develop cultural competence in caring for Alaskan Natives. 
Rural Health pathway fellows will supplement clinical learning with international placement in a setting to effectively advance the implementation of emergency medicine in an international, resource limited setting by partnering with an internationally renowned health care non-profit organization, PIH. Fellows will learn care delivery mechanisms in rural international settings and develop the skills necessary for effective program development and implementation in resource limited settings (rural and international). This will include acquisition of knowledge and skills related to the performance of a needs assessment, program evaluation, and principles related to  field work (food security, water and sanitation, personal security and refugee health).  Fellows will also develop research skills and conduct a research project culminating in academic publication or presentation to add to the growing body of literature focused on global emergency medicine and rural health. Fellows will gain an understanding of domestic and international public health issues, relationships between non-governmental and governmental organizations in building health systems with limited resources, and  the relationship between human health and human rights. 

Humanitarian Emergencies Focused Pathway fellows will similarly learn to advance the implementation of emergency medicine in the global arena with focused coursework in humanitarian studies and partnership with an NGO or site specifically focused on disaster relief and emergency response. Prior fellows have done this through MSF, Doctors Without Borders. Fellows on this pathway will learn the principles governing effective humanitarian relief and disaster response including field experience, learn techniques for evaluation of global health projects including needs assessments and program evaluation and skills necessary for humanitarian field work including knowledge in the fields of food security, water and sanitation, personal security and refugee health. Fellows will develop research skills and conduct a research project culminating in academic publication or presentation to add to the growing body of literature focused on global emergency medicine. Fellows will gain an understanding international public health issues, relationships between non-governmental and governmental organizations in disaster response, and the relationship between human health and human rights.