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In rural surgery, you are often the one covering problems that would be handled by multiple specialists elsewhere. Today Dr. Randy Lehman speaks with Dr. Bob Sticca, surgical oncologist and national leader in rural surgery. They examine how rural training has evolved, why scope of practice remains wider, and which surgeons are most likely to build lasting rural careers. The discussion centers on difficult gallbladders–including subtotal cholecystectomy, fenestration, and when to convert to open–with emphasis on judgment, safety, and avoiding bile duct injury. Rural surgeons will leave with practical takeaways: know your limits, use bailout strategies early, and match your training and career decisions to the realities of rural practice. 0:00 Intro 00:27 Dr. Sticca’s Background 03:37 Why Rural Surgery Is Special to Dr. Sticca 07:30 How I Do It: Difficult Gallbladder Decision Making 32:58 How I Do It: Open Technique and Complex Cases 52:07 Financial Corner 58:03 Resources for the Busy Rural Surgeon Resources Mentioned: North American Rural Surgical Society: https://www.northamericanrss.org/ American College of Surgeons https://www.facs.org 🌐 Connect with The Rural American Surgeon: https://www.theruralamericansurgeon.com/ Join us on Facebook: https://www.facebook.com/profile.php?...