The proposed project is a collaboration between the Johns Hopkins Center for Global Health Education, led by Dr. Amita Gupta, and established pulmonary expert Zarir Uwadia at the Hinduja Hospital in Mumbai, India. Dr. Uwadia is a profilic researcher and has published on a wide variety of topics, though has a special interest in Tb. He and his group were the first to document XDR TB in India and most recently TDR TB, a finding published in CID in 2012. Despite his vast clinical experience and sizable TB cohort, patient records at Hinjuda Hospital continue to be on paper, making any attempts at retrospective analysis challenging. The goal of the above collaboration, and my proposed project, is to assist Dr. Uwadia, and his team, implement a computerized database that will allow us to develop a prospective observational cohort of MDR/XTDR patients. My explicit goals are to 1) establish a computerized database, 2) assist with collection of instrument standardized data, 3) coordinate on the ground actives and 4) assist with future data analysis. I also plan to gain clinic experience in TB management by working alongside Dr. Uwadia on his acute chest service. The proposed project will be invaluable in my pursuit of a global health career. Not only do I hope to learn a great deal about TB diagnosis/management, data storage and analysis, and the burden of TB in India, but also hope this opportunity may open doors as I plan to take a year for international work prior to beginning ID fellowship.