We are a non-profit international Medical Spanish immersion program located in the Andean highlands of Ecuador. 

We cater to medical students, resident doctors, and other practitioners (for example, independent physicians, nurses, health care workers and providers). Cachamsi is one of the few international medicine rotations that offers structured Medical Spanish classes as well as volunteer opportunities among a unique indigenous population. Participants will gain an appreciation of cross-cultural medicine, and enjoy a vibrant and stimulating experience in Ecuador. 

What makes our program different?


We are a nonprofit organization, meaning that all proceeds obtained through fees are reinvested within the organization for social programs, medical equipment, curriculum improvements, and salaries for the educators and employees. Directors of Cachamsi are not salaried, rather they work on a volunteer basis. 

Our close relationship with Cacha affords participants the opportunity to have ready access to schools, daycares, and health clinics for various health and community projects of their choosing over the course of two decades. The people of Cacha are usually very welcoming, and are eager to have visitors in their community. However, we believe that the relationship between Cachamsi and the communities of Cacha should always be one of mutual benefit. For that reason, a portion of program fees are always used for community projects that promote health and education.


  • Medical Students
  • Senior level Pre-Med Students
  • Medical Residents MD/DO
  • Nursing, MPH, PA students
  • Practicing Physicians


The Courage to Speak a Foreign Language Poorly

My time in Ecuador was humbling; it gave me renewed respect for my Hispanic patients here in the US. I had expected to improve my Spanish and cultural sensitivity when treating Latinx patients while living in Riobamba, but I could not have predicted the unexpected gift of a new perspective on the immigrant experience through firsthand experience. I struggled during my transition to Ecuador despite the fact that I have been taking Spanish lessons since age thirteen and had virtually all of the logistics of my stay arranged by the wonderfully caring and competent staff of the Cachamsi Medical Spanish Institute. I can only imagine how vulnerable my Spanish-speaking patients must feel presenting alone to the hospital in a foreign country unfamiliar with our complex healthcare system and unsure if the providers will be able to understand them. I hope this program will help me provide the level of service such a courageous population deserves.
— Blake Gordon