Dr. Joel Fleischman (Rob Morrow) graduates from Columbia University medical school thanks to a scholarship from the state of Alaska. Though he was promised a placement at the large hospital in Anchorage, he is instead whisked away to the tiny town of Cicely, where he must work off his education debt as the local General Practitioner. The location is remote, the people are weird and quirky, and all Joel wants is to return to New York. The show thrived on this "fish out of water" storyline and the "will they or won't they" dynamic between Fleischman and Janine Turner's Maggie O'Connell.