Access to healthcare is a critical issue in DNATL, and like many rural areas is impacted by the lack of a qualified workforce. Initially the community’s focus was on recruitment and retention of healthcare staff which proved to be unsustainable and led to high staff turnover and low patient satisfaction. The Health Career Pathways Initiative shifted their focus to a grow-your-own medical workforce. Grow-your-own campaigns can help address the shortage of healthcare workers by encouraging youth to consider healthcare careers, cultivating their interest, and helping them develop professional skills that they can utilize in their communities. This approach is based on the idea that health professionals are more likely to stay and work in the community they were raised in.