Purpose: Health professionals are the basis of a health system, and a health professional educational system is a key building block. The Lancet Commission on the Education of Health Professionals noted a mismatch between health care systems and health educational systems. Challenges include health inequities, globalization, population aging and climate change. What should be the structure of an MPH program geared to produce future public health leaders? Methods: A series of consultations were held with stakeholders both within and without Western University. Core principles for the new program included cased based learning, being competency driven, interdisciplinary, and team based. Students take 49 credit hours in Fall and Winter semesters and a 12 week practicum in Summer. A team based approach is fostered through â€˜Learning Teamï¿½â„¢ activities and sessions. Results: The inaugural class graduated in Fall 2013; 90% were employed six months after graduation. More than 60% of the curriculum is delivered using cases; the culminating experience is a teaching case and teaching note. Curricular innovations include three day-long Integrative Workshops, where student teams tackle a current public health problem, with the aim of synthesizing and integrating their didactic knowledge. Student and employer feedback has been uniformly positive, and we are in the process of getting CEPH accreditation. Conclusion: We have designed an innovative case based MPH program, but evaluation is a challenge. Case based teaching has great potential in training public health professionals, but we need to expand the pool of public health cases.