Hi, I have worked for IHS and various tribes who manage their own healthcare. I am concerned that you mentioned your difficulties in school. You must have strong clinical skills to work independently in remote areas. I had a year of med-surg, 2 years of maternity-newborn, & 1 year as a float nurse to specialty clunics BEFORE working on a reservation. You can get med-surg at the Phoenix Indian Medical Center. Then apply to work on a reservation. Community & public health is hugely helpful too. 1) Nat. Americas don't want-need to be rescued by the culture that oppresses them. 2) Skilled, respectful, flexible, creative individuals who are mentally & emotionally stable can be helpful in developing healthcare delivery that produces measurable improvements. 3) Intuition, compassion, patience & the ability to live as a racial minority-outsider & enjoy theremote outdoors is helpful. Blessings on your journey! The Public Health Service offers great deals too. They usually pay more than IHS.