The Indiana University Department of Medicine and Division of General Internal Medicine and Geriatrics continues to be the foundation for AMPATH. Led by Bob Einterz, MD, Associate Dean for Global Health, faculty from the Department have been involved in leadership since the inception of the IU-Kenya Partnership over 20 years ago and have been active in growing the program in its many facets, from the academic exchange to the AMPATH care program. The Department supports long-term Indiana faculty on-site in Eldoret including Professor Joseph Mamlin who has been nominated multiple times for the Nobel Peace Prize for his work and efforts in Eldoret. The Department also supports faculty, registrars, and students from Moi who visit Indiana for training, collaborative research, and program development. Faculty from both institutions have benefited greatly from these collaborations in research, teaching, and patient care. This relationship has fostered institutional change, resulted in large numbers of publications and grants, and improved the care delivered at IU, the other Consortium institutions, Moi Teaching and Referral Hospital, and around the world. Moreover, through the academic exchange, residents and Kenyan registrars have gained rich and enlightening experiences as they have seen the challenges, successes, and directions of two very different health systems. For the future leaders in medicine on both continents, this experience is particularly formative and often life-changing. With its sustained focus on leading with care and developing deep bicultural relationships, the Indiana University Department of Medicine and Division of General Internal Medicine and Geriatrics, through its support of AMPATH and the IU-Kenya Partnership, has saved thousands of lives and impacted the careers of health professionals in Indiana and Kenya.