NOSM University is one of the greatest medical education success stories of Canada. Born of a grassroots movement, NOSM University is a made-in-the-North solution to regional health care inequalities. Its internationally recognized distributed, community-engaged learning (DCEL) model is distinctive and has grown into something extraordinary. This education model requires NOSM University to have strong ties and engagement with remote, rural, Indigenous and Francophone communities. It features partnerships and collaborations with more than 500 organizations, in more than 90 communities, and with more than 1,800 clinical, human, and medical sciences faculty dispersed across all of Northern Ontario. NOSM University offers postgraduate medical education in eight Royal College specialties, Family Medicine and various Family Medicine PGY3 Enhanced Skills programs. NOSM University residency programs are unmatched in the variety of exposure that they offer, combining major academic centre learning with clinical rotations throughout rural Northern Ontario.