St Paul’s Millennium Medical College, as it is known today, was established through a decree of the Council of Ministers in 2010, although the medical school opened in 2007 and the hospital was established in 1968 by the late Emperor Haile Selassie. It is governed by a board under the Federal Ministry of Health. The College initiated Ethiopia’s first integrated modular and hybrid problem-based curriculum for its undergraduate medical education, and is currently expanding to postgraduate programs and diversifying its undergraduate program offerings. St Paul’s is in the process of building its capacity quickly in a short period of time, growing from 3 to 250 faculty members in the last six years, and expanding teaching facilities. The college has more than 2800 clinical, academic and administrative and support staffs that provide medical specialty services to patients who are referred from all over the country, teaching medicine and nursing students and doing basic and applied researches. While the inpatient capacity is more than 700 beds, The College sees an average of 1200 emergency and outpatient clients daily.