The Adolescent Medicine Subspecialty Residency Program at British Columbia Children’s Hospital (BCCH) in Vancouver was accredited by the Royal College of Physicians and Surgeons of Canada in 2010. BCCH is the only pediatric hospital in British Columbia and is the referral center for complex pediatric and adolescent patients for the entire Province. Clinical training is conducted through outpatient consultations at the Adolescent Health Clinic, inpatient admissions and consultations at BCCH, the Provincial Specialized Eating Disorder Program in affiliation with Child and Adolescent Psychiatry, and a network of clinics in community settings in Vancouver. In addition, the Division of Adolescent Health and Medicine participates in a Social Pediatrics Program in the lowest income area of Vancouver through which the Resident will work clinically, and contribute to program development, to address social determinants of health of youth experiencing social marginalization and poverty. The Division of Adolescent Medicine works closely with the McCreary Centre Society, a unique resource that conducts a periodic Adolescent Health Survey and related research on the physical and emotional health of youth in British Columbia, the largest survey of its kind in Canada. Our program emphasizes models and principles of resilience, positive youth development, trauma-informed care, and mindfulness. Special interests of the Division’s faculty include mindfulness with youth, transitions to adult health care, eating disorders, substance use, and care of youth facing discrimination, poverty and marginalization. We aim to prepare graduates of this program for successful careers in Adolescent Medicine as leading clinicians, scholars, and educators in Canada and internationally.