The OHSU Clinical Informatics Subspecialty Fellowship trains physicians in clinical informatics that will enable them to work in academic or operational settings. The fellowship allows them to achieve board certification in the clinical informatics subspecialty and meet the milestones defined by ACGME. Beyond these goals, the fellowship program aims to train physicians to successfully embark on their careers as clinical informaticians, and assists them acquire the critical skills needed succeed in this career. We anticipate that graduates will eventually become informatics leaders in their organizations, and the program provides a significant framework to allow them to achieve that goal.