Currently, 49 global health academic programs exist in United States and Canadian institutions, compared to one program in 1999. With an increase in these programs, academic partnerships and collaborations are on a rise. Such partnerships are essential to increase research, education, and training capacity. Without partnerships, sustainability of healthcare would be threatened due to lack of human resources. With limited information, this study will define academic partnerships between North America and Latin America as well as formulate a successful recipe for long term sustainability. The study will be modelled for a nascent TIGRE initiative, between UCSF and Roatán, Honduras.