OHSU's structural competency curriculum was originally developed in 2013 and derived from the open-source SC Bay Area/ UCSF Working Group curriculum. Today, it is a required course taught to all first-year medical students including those enrolled in a dual degree program. The vision of the structural competency course is to empower learners to interrupt, interrogate, and transform harmful structures in medical education and medicine to cultivate a growth learning environment and ultimately an empathetic workforce to improve health outcomes for patients' and colleagues "well-being".The purpose of this presentation/poster is to introduce the current iteration of the structural competency curriculum and its development, process and outcome evaluations, and next steps for the curriculum including a wider implementation that extends throughout medical training and beyond.