Medical education is not static, but rather it is an evolutionary process. Continuous evolution does not happen by accident, it takes foresight and flexibility. Our fellowship training program provides depth and breadth in eleven clinical practice areas and one in research. Each of these unique opportunities is designed to train future leaders in general clinical practice and in the sub-specialties of anesthesiology. The program’s goal is not only academic success—it is also the development of a lifelong commitment to continued learning.