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September 1, 1951


Author Affiliations

Elko, Nev.

JAMA. 1951;147(1):79. doi:10.1001/jama.1951.03670180085028

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To the Editor:  —Today's medical graduate faces the same problem that has confronted his predecessors: How shall he best develop his capacities and where shall he practice so as to best serve his patients and himself? Years ago young men were urged to go west and grow up with the country. Now the cities of the West are as crowded as those of the East. Where is today's frontier? For the surgeon the county seat town offers a challenge for his specialized services.Staff appointment to the hospitals in these areas does not require certification by a board, but thorough training in general surgery is needed. These surgeons must be versatile. They must know their way around the abdomen and be competent to handle emergency situations in orthopedics, urology, and gynecology. They must be able to reduce fractures, use the cystoscope and perform cesarian sections. General surgery in the county

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