Rural Medicine in 2026: Dr. Lance Hansen’s Life as a Full-Spectrum Family Physician in Idaho

How do physicians still practice the “old-school” broad-scope medicine in rural America today?
Dr. Peter Crane talks with Dr. Lance Hansen about the daily realities of full-spectrum family medicine, the challenges and joys of rural practice, and why these doctors remain essential to small communities.

⏱️ Timestamps:

00:00 – Introduction and why rural medicine still matters in 2026
01:00 – Dr. Lance Hansen’s background and journey into rural family medicine
04:00 – What “full spectrum” really means: clinic, hospital, ER, OB, procedures, and 24/7 call
08:00 – The power of deep community relationships vs. fragmented specialty care
12:00 – Challenges of rural practice and the critical importance of good partners
15:00 – Why fewer doctors are choosing broad-spectrum rural medicine
20:00 – The role of rural training tracks, OB fellowships, and early exposure
25:00 – Financial realities: loan repayment, income, and critical access hospitals
30:00 – Personal reflections: Dr. Crane’s health update and stepping back from OB
35:00 – Final thoughts on the highs, lows, and lasting impact of rural medicine
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