What does it mean to practice community medicine in a small, rural, Appalachian town? Dr. Jonathan Piercy challenges professionals to consciously be a part of their communities, by hiring, investing, serving, and living locally. Dr. Jonathan Piercy is a physician and educator, leading the way on bestinclass rural medical education with an emphasis on evidencebased medicine. He finds time on the side to delight worldwide audiences with his ukulele skills. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx