As former Chair of Pediatrics at the Commonwealth Healthcare Corporation -- the only hospital in the Commonwealth of the Northern Mariana Islands (CNMI), I continue to function as a remote consultant and periodic healthcare provider for patients with hematologic issues in the CNMI. The CNMI is a US commonwealth territory located in the Pacific, slightly north of Guam. While I was there, I coordinated pediatric residency rotations from UCSF and other institutions and continue to be able to liaison with the pediatrics group and medical staff there for  uture rotations. I continue to see patients with chronic hematologic and pediatric oncologic follow-up needs once annually and continue to work with regional  upport groups to improve team based care for rare disorders.