I’m from a really small town (2,500 people) surrounded by thousands of acres of farming land and protected forest. We have a small hospital with family docs for the day to day stuff, but you’re going to drive 30-120 miles to deliver a baby, have surgery or see a specialist.
The area is poor, the public schools aren’t good and you have to drive anywhere from an hour to 2 hours to get to a major airport. There isn’t much in the way of entertainment or culture unless you count local sports (high school football, baseball & softball), local pageants and church.
We have a county fair every year where the local 4-H and FFA kids show livestock. We hunt, fish and get together with friends and grill for fun. To be a doctor here is to be beloved, if you commit to the community and they know you’re there to stay. It is a wholehearted commitment though, because you’re going to see your patients at the grocery store, the baseball field and at church every week. It’s not easy on the community to have fewer medical resources, and it’s not easy on the docs who have to make do with what they’ve got.