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Daniel K. Lowe, MD
Alexander City, Ala [population, 14 917]

Arch Surg. 1997;132(11):1239.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Landercasper et al¹ provides an important description of general surgery in rural America. Their rural surgery case registry describes a caseload requiring flexible, capable, and broadly trained general surgeons. Dr Trimble, also from a small community (Norfolk, Nebraska; population, 21 476), in his invited commentary² accompanying the article by Landercasper et al, decries that a finishing surgical resident should pursue a rural surgical career. His commentary on rural surgical practice included notions that "rural" means solo and isolated, clinical acumen is insufficient immediately following training, rural means low volume and results in skill decay, and work in such an environment means compromise vs competition with the primary care providers. Based on these notions, he advises finishing residents that "wisdom and vision would make it [rural surgical practice] their last job, not their first." Dr Trimble's wisdom and vision, based on his rural experience, does not accurately describe all . . . [Full Text PDF of this Article]

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