Beginning in the summer of 2018, hundreds of members of the UMass Medical School community began work on one of the most important—and formidable—tasks that an institution can undertake: creating a road map for future growth, development, investment and change. Over the past 18 months, faculty, staff and students have contributed to discussions about the future direction of UMass Medical School and its priorities and aspirations. The result is a coherent and concrete plan to guide the institution's actions over the next five years on behalf of the diverse communities it serves.