The Family Health Center of Worcester / University of Massachusetts Department of Family Medicine and Community Health’s Primary Care Psychiatry Fellowship seeks to train primary care providers to become leaders in the delivery of comprehensive, integrated, and holistic physical and mental healthcare in primary care settings serving structurally-marginalized urban communities by training them as clinicians, advocates, community health scholars, and teachers. We specifically seek to help fill the gap that exists between the current psychiatric model, wherein massive limitations exist in accessing quality care for most of the country, and the compassionate, collaborative, and equitable care that all patients deserve. We focus longitudinally on two main principles: 1) the structural and socioecological determinants of mental health, and 2) the impact of traumatic stress on the physical and psychological wellbeing of structurally-marginalized communities.