Many factors enhance rural physician identity development and influence whether physicians enter, remain in, and thrive in rural practice. To help trainees and young physicians develop the professional identity of a rural physician, multifactorial medical training approaches aimed at encouraging long-term rural practice should focus on rural-specific clinical and nonclinical competencies while providing trainees with positive rural experiences.

The Coronavirus Disease of 2019 (COVID-19) has prompted adaptations and restructuring of almost every institution in the nation. While these efforts to mitigate the spread of COVID-19 affect everyone, patients treated with buprenorphine/naloxone for an opioid use disorder (OUD) will feel these disruptions more acutely, especially in rural communities. Many of our patients rely on hourly employment, which has been reduced or eliminated. School systems have moved to virtual platforms, which leaves parents with employment outside of the home navigating the balance between childcare and work obligations. Primary care providers are rescheduling stable, chronic disease management visits, yet many patients with stable OUD must see their buprenorphine/naloxone prescriber monthly. To meet patients' needs, providers are shifting to telehealth options, yet many of our patients have unreliable cell phone service or limited broadband Internet access. Mutual aid groups are the cornerstone of recovery for many patients, yet gatherings of more than 10 people are restricted. Pharmacies are encouraging patients to maintain at least a 2-week supply of medications, yet early refill requests are often deemed "red flags" for patients taking buprenorphine/naloxone. Judicial systems have temporarily closed, which delays the resolution of outstanding legal issues. Homeless service providers are adjusting operations within shelters and the provision of meals, upon which patients in early recovery often rely. Compounding all of these challenges