Rural patients shouldn’t receive lesser care simply because of geography. Delivering that standard takes intentional systems, good data, and the right team around you.

Dr. Randy Lehman sits down with rural surgeon and ACS Governor Dr. Jill Ties to talk about how she built a breast surgery program inside a critical access hospital in Wisconsin.

They walk through the real work behind it: aligning with administration, earning the trust of referring physicians, shortening the time from abnormal mammogram to biopsy, and building a reliable process around a dedicated nurse navigator.

For rural surgeons trying to strengthen cancer care close to home, this conversation offers practical ideas on building systems, relationships, and teams that make high quality care possible.

0:00 Intro

00:14 Dr. Ties' Background

03:37 Why Rural Surgery Is Special to Dr. Ties7:30 How I Do It: Building a Rural Breast Surgery Program

32:58 How I Do It: Breast Surgery Technique and Workflow

55:54 Financial Corner

57:36 Classic Rural Surgery Stories

1:00:16 Resources for the Busy Rural Surgeon

Resources Mentioned:

UpToDate:

https://www.uptodate.com

North American Rural Surgical Society:https://www.northamericanrss.org/

🌐 Connect with The Rural American Surgeon:

https://www.theruralamericansurgeon.com/

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