February 10, 1993

The Supply of Rural Physicians-Reply

Author Affiliations

University of Minnesota Minneapolis

JAMA. 1993;269(6):745. doi:10.1001/jama.1993.03500060043019

In Reply.  —I agree with both Drs Kavanagh and Egbert on their comments and suggestions.In the future, rural physicians will need to be economically rewarded above what urban physicians receive for similar skills and knowledge services. To wait until the rural physician disappears is foolhardy. The competent rural physician needs extra training, courage, strong loyalties to the community citizens; interpersonal skills for understanding and persuasion; to like people, to be sensitive and aware of family abuse of all sorts and know what to do about it; to work and serve the people regardless of ability to pay; and to be able meet emergencies head on and not run for cover. They need to learn how to interview properly to obtain the right information, diagnosis, and therapy over the short and long run. Recognizing family dysfunction, substance abuse, and addiction is essential. All of this needs to be done in