The goal of diversifying the physician workforce has been in the forefront of medical education for several decades. Despite this seemingly concerted effort we still do not show a significant increase towards a workforce that reflects the healthcare needs of the diverse population of the United States. Pathway programs have been found to be successful in targeted recruitment of learners into medicine. In this session we will discuss how we can think about the steps involved in developing an admissions process as one element towards the goal of an equitable system of educating physicians. We will also consider some of the shared challenges that programs and participants face towards achieving this goal.