Medical Outreach and International Medicine initiatives are to establish several international sites for student-doctor participation in protracted clinical rotations. The goal in establishing sites abroad is to coordinate and enhance collaborative education, enhance local physicians with chronic care and improve public health leading to improved long-term quality of life within a global environment. LUCOM is developing protracted clinical rotation sites for student-doctors and the faculty in Guatemala and other locations around the world. Additional global locations will be announced when those sites are established.