The San Juan Bautista School of Medicine (SJBSM) was founded in 1978 with the mission to advance the health of the community by focusing on community medicine and the need for having more physicians serving vulnerable and medically underserved populations. On June 22, 1979, it was authorized by the Puerto Rico Council on Education to offer studies leading to the M.D. degree; in 2010, the institution’s educational license was amended to include the Master in Public Health (MPH) program, and a Bachelor in Science of Nursing (BSN) program. A great deal has changed in the 37 years since the SJBSM was founded, however, the commitment to serve the community and the medically underserved has not changed.