Rachel grew up in the Pacific Northwest and came out as a transgender woman after graduating from the Evergreen State College in 2006. She is the first college grad in her family. She was met with employment discrimination early on and struggled to meet her basic needs in the following years. Finding access to respectful, trans-competent medical care changed her life and made her begin thinking about healthcare careers. Rachel learned more about medicine, taught community-informed cultural competency trainings to healthcare providers, and eventually coordinated the monthly trans health clinic that she utilized at the beginning of her own transition. She completed a second bachelor’s degree at Portland State University and entered the University of Washington School of Medicine in 2013. She is interested in doing primary care with urban underserved populations with an emphasis on the low-income LGBTQ community and sees medicine as a tool for social transformation. She has particular interests in mental health, suicide prevention, addictions, transgender care, and sexual health.