The course syllabus for PGY1 included 8 hours of didactics and discussion covering cultural/spiritual world-views, issues specific to the Southeast/South Carolina, socioeconomic factors affecting our patients, interviewing skills using a spiritual and cultural history, and clinical vignettes. The PGY2 outpatient year included 4 hours on developing the bio-psycho-socio-spiritual evaluation. Residents served as teachers for an additional 4 hours of self-chosen topics, such as spirituality and sexuality, African American spirituality, Hispanic cultures, and patients with disabilities. Other lecture series in psychopharmacology or case-formulations included specific topics of culture and spirituality. In the PGY3 curriculum, topics of hospice and death and dying were covered on the consultation–liaison seminars. During the public psychiatry rotation, the topics included spirituality and pain and addiction-recovery. The PGY4 curriculum involved development of an elective for interested residents who were assigned a faculty mentor to assist in planning a spirituality/cultural project. The Child fellowship integrated didactics within their developmental and interviewing series. Other seminars included grief and anticipating the death of a child. Also, two panel discussions of Fellows were held to review cases specific to cultural or spiritual issues. Lecturers included faculty from various disciplines, representing Psychiatry, Internal Medicine, General Surgery, Addictions, Chaplains, Masters of Divinity, and Pastoral Counselors. Discussant demographics involved 10 residents/fellows, including one international medical graduate and three African American residents. The panel discussions and resident-chosen topics were reviewed and supervised by the training directors before presentation.