Pros
It is truly gratifying to have the opportunity to care for an underserved population, and have resources to offer regardless of ability to pay. It is refreshing to really get the opportunity to know an entire community, and see the interactions of the various families in your care. Also, practicing rural medicine takes out a lot of the red tape of being owned by a larger hospital system. In many ways, you have free license to practice medicine any way you see fit.
Cons
Palms Medical Group impressively manages to blend the worst aspects of modern medicine flawlessly with the worst aspects of small town America. The company is primarily run by a coven of catty and vindictive country girls with no actual managerial skills and no practical medical background. They revel in getting to tell providers how to do their jobs, while having no idea how medicine actually works. They gossip, hold grudges, play favorites, and love to wield power without ever accomplishing anything useful. Providers are constantly told to improve productivity, but given no control over their own work flow in order to do so. Meanwhile, administration creates more and more middle management positions so they can promote the least productive nurses and steal the income of those who actually generate revenue. This is an absolutely soul-sucking place to work. Literally the only thing worse than how they treat staff is how they manage patients.