The CUSOM Trek curriculum is an ambitious redesign that reconceives the order in which we teach, while building on our many strengths. The curriculum will focus on the values of leadership, curiosity, and commitment while integrating basic science learning to coincide with clinical training cycles. It emphasizes understanding health systems, it requires leadership and teamwork training, and it reconfigures training in clinical settings so that students progress through longitudinal patient care instead of learning in isolated blocks.