This project is funded under the Robert Wood Johnson Foundation’s program, Community Research for Health Equity (CRHE), a community-led research program that seeks to elevate community voices and make the priorities of communities the primary goal of local health system transformation efforts. The goal of the study is to assess the barriers, hurdles, and facilitators to advancing and sustaining American Indian and Alaskan Native (AI/AN) students in undergraduate medical and nursing education programs. The study seeks to provide a more holistic and encompassing understanding of the experiences of AI/AN premedicine and undergraduate nursing students at the individual (micro), organizational (meso), and societal (macro) levels. The study team will conduct interviews and focus groups, collect survey data, and perform institutional landscape mapping. Participatory data analysis will be conducted with community stakeholders to provide critical context to the data and identify actionable recommendations. Deliverables will include a project work plan and annual and final narrative and financial reports. The project team will also produce a public-facing product of their choice to share new knowledge that can address local health care system inequities and/or make recommendations for action toward system improvements.