Abstract

Bermuda is a very small island nation with a population of 62 400 people, located in the middle of the Atlantic ocean. A high-income country with the third highest health-care spending per capita in the world, it has close medical links to numerous top-ranked US hospitals and government ties to the UK. And yet, intellectual, academic, and physical distance from specialty-specific colleagues at times creates uncertainty and isolation. Every decision made comes with levels of insecurity and doubt.

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