Physicians need skills in the diagnosis and management of commonly occurring injuries. In many places, subspecialist help is not available or affordable.1 These basic skills reflect the reality of community medical practice for a variety of specialties staffing rural emergency rooms, primary care offices, and mission  hospitals. For younger physicians, most academic medical centers teach a curriculum of “Refer to Ortho.” Hatch et al. have described the epidemiology of common fractures in the community.