We are a non-profit international medicine program located in the Andean highlands of Ecuador. We cater to medical students, resident doctors, and other practitioners (for example, independent physicians, nurses, health care workers and providers). Cachamsi is one of the few international medicine rotations that offers structured Medical Spanish classes as well as volunteer opportunities among a unique indigenous population. Participants will gain an appreciation of cross-cultural medicine, and enjoy a vibrant and stimulating experience in Ecuador.