Being a Montana native has given me a unique perspective on healthcare that has been fostered throughout my educational journey.  Growing up in a rural community I have seen how access to specialty medicine can impact the health of those who live far away from larger medical facilities.  Through my work I continue to look for new ways to bring medical advances to our small communities to limit individuals’ healthcare burden.  Increased research awareness has brought improved retention rates to our trials and prescreening efforts have decreased our screen fail rates. I continue to collaborate with multidisciplinary teams to address decentralized trial complexities within the region.