The Internal Medicine Global Health Ghana rotation is based out of Nalerigu, a rural town in the northeast corner and incorporates inpatient and outpatient health care in the busy Baptist Medical Center. The resident spends time providing hands on care through daily rounds on the women’s and men’s wards as well as maternity and pediatric if assistance is needed by the local Ghanain medical officers. Following rounds, clinic is held on Mondays, Wednesdays and Fridays where all patients waiting are seen or until it is too dark to see. On Tuesdays and Thursdays, procedures that were not considered urgent on clinic days are performed, ranging from lumbar punctures, thoracenteses, paracenteses or debridements. The resident is challenged to provide the best medical care for a wide variety of pathologies including tropical diseases and snake bites to chronic liver disease from Hepatitis B and C to managing CHF, hypertension and diabetes in a resource limited setting. The four week rotation is joined by fourth year medical students giving the resident the opportunity to continue mentoring while abroad.