Contemporary ReflectionFairview, includes 12 hospitals and 56 primary care clinics with over 100 specialties in collaboration with the University of Minnesota Physicians. The medication therapy management (MTM) program has grown to include 45 (30.2 FTEs) pharmacists in 54 clinic locations, 4 residents, 3 coordinators, and a leadership team that consists of the vice president of clinical services, an operations lead, MTM supervisors, and a business office manager (3.4 FTEs). Pharmacists now serve 13 specialty practices, while the rest are based in primary care clinics. In 2019, the MTM team saw 12,798 unique patients with nearly 27,000 visits. While growth has been significant, the core components of the program have remained largely unchanged. The MTM program continues its commitment to the patient care process of comprehensive medication management. 2 This investment in management structures