The number of doctors per person in the United States has evened out for major urban areas. However, rural communities are still often without specialists. Many of these patients travel hundreds of miles to a major health center.

There are reasons for this. Many doctors don't want to practice alone without other doctors to talk or trade call with. Likewise, major hospitals can offer the most up-to-date equipment and technology.

The type of practice and location you desire may influence your decision. Start looking in orthopedic journals for job listings and pay attention to the location, starting salary, and type of practice available. This may help you in making your final decision.