RT Journal Article SR Electronic T1 Stuck in the Mud JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 80 OP 82 DO 10.1370/afm.756 VO 6 IS 1 A1 Richard E. Allen YR 2008 UL http://www.annfammed.org/content/6/1/80.abstract AB The reservation was a littered muddy wasteland, and its population endured poor health, not unlike a third world country. Native American patients suffered from conditions of squalor, alcoholism, diabetes, and drug abuse. I was initially enthusiastic to serve this population, but my ideals and tolerance were challenged through time and experience. Rescuing a teenage girl in labor with a footling breech brought my cultural incompetence to a head. I searched for validation of my service and meaningful purpose in my efforts.