What is it that makes rural surgery different from surgery practiced in an urban or suburban setting? Having spent the past 10 years practicing general surgery in an isolated community of 10,000 people and serving an area of more than 5000 square miles, I have gained a few insights into this subspecialty that must be defined on the basis of geography, smaller populations, limited technological resources, and limited contact with other specialists. Numerous combinations of these factors create a broad variation within the field itself.
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