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RUSP orientation isn't just lectures and drills. The Open Book Project throws us into the heart of understanding Appalachian health. We're divided into teams, each assigned a specific health concern prevalent in the region - from diabetes to lack of mental health resources. The library becomes our mission control as we delve into research, piecing together the challenges and cultural nuances that shape healthcare delivery in Appalachia.It's not just about memorizing facts. We interview returning RUSP participants, their firsthand experiences painting a vivid picture of the triumphs and tribulations they faced. By day's end, our initial textbook knowledge is transformed. We have a deeper understanding of the human face of Appalachian health issues, and a surge of determination to make a positive impact during our RUSP service. The Open Book Project isn't just about the book; it's about opening our eyes to the unique healthcare landscape we're about to enter.