Browsing by Subject "Graduate medical education"

Now showing 1 - 7 of 7
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    Interview with Alfred Michael
    (University of Minnesota, 2012-04-25) Tobbell, Dominique A.; Michael, Alfred F.
    Dr. Alfred Michael begins his interview with a reflection on his childhood and education in Philadelphia and his interests in medicine and pediatrics. He describes his decision to move to the University of Minnesota in order to work with Dr. Robert A. Good. He then discusses all of the following in relation to his research: working with Robert Vernier; changes in technology and methodology related to testing the kidney; his graduate work in biochemistry; specialization in medical research; work on transplantation and dialysis with John Najarian and Carl Kjellstrand; kidney research at the University; the expansion of and coverage for dialysis; and his time in Copenhagen. Dr. Michael then describes Dr. John Anderson’s tenure as department chair and his own tenure as dean, during which he made efforts to create a major children’s hospital facility in combination with the University. He also reflects on the larger context of changes in healthcare structures in the period, particularly the emergence of HMOs and Minnesota’s role in the development of HMOs, and town/gown relations in the Twin Cities. Dr. Michael then discusses Robert Howard and David Brown’s tenures as dean of the Medical School and issues with private practice and finances at the University. Turning to administrative matters, Dr. Michael describes his work with Win Wallin; William Brody’s tenure as provost of the AHC; and the growth of the administrative power of the AHC. He then elaborates on the creation of University of Minnesota Clinical Associates and University of Minnesota Physicians; the sale of University Hospital to Fairview; divisions of responsibility and administration within the AHC; relations between different schools in the AHC; and the investigation of John Najarian in connection with Antilymphocyte Globulin (ALG). He concludes with reflections on the balance of research, teaching, and clinical work; his moves into administrative positions; his work on various boards; his work with the Legislature; and the Medical School’s standing.
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    Interview with H. Mead Cavert
    (University of Minnesota, 2009-04-28) Tobbell, Dominique A.; Cavert, H. Mead
    H. Mead Cavert begins by describing his background, including his childhood, his education, and why he chose medicine as his profession. He describes his work in the Department of Physiology and his research in the early 1950s. He discusses entering medical administration and his work as Assistant Dean, Associate Dean and Executive Officer of the Medical School, and Associate Dean for Academic Affairs. He reflects on working with Maurice Visscher, Nathan Lifson, Jack Johnson, Neal Gault, Harold Diehl, Robert Howard, and Lyle French. He discusses the appointment of Robert Howard to replace Diehl as the Dean of the College of Medical Sciences, and the creation of the Vice President of the Health Sciences and the hiring of Lyle French. He discusses the faculty practice issue; the financing of medical education in the late 1950s and 1960s; the dean’s office relationship with the state legislature and its role in securing state funds; the revision of the Medical School curriculum in the 1960s and responses to the revision, including the Comprehensive Clinical Program and the Rural Physician Associate Program. He also discusses the development of the Academic Health Center; transfer students from the Universities of North and South Dakota in the late 1950s and 1960s; the attempt to establish a medical school in St. Paul; the establishment of the Medical Scientist Training Program, the history of the MD-Ph.D. program and Ph.D.s in clinical medicine at UMN; the relationship between the University of Minnesota and the Medical School and the Mayo Clinic; the issue of the status of residents as students or employees; team teaching in the health sciences; and the establishment of a program for minority students in the late 1960s. Cavert’s wife, June Cavert, sits through most of the interview, interjecting a few comments. At one point, she discusses the organizations for the wives of undergraduate medical students and residents, and the Caverts also discuss the contribution of spouses (generally wives) to the successful development of medical students and residents.
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    Interview with Henry Buchwald
    (University of Minnesota, 2012-09-28) Klaffke, Lauren E.; Buchwald, Henry
    Dr. Henry Buchwald begins his interview talking about his early life: fleeing Austria in the midst of the Holocaust, growing up in New York, and his baccalaureate and medical education at Columbia. He discusses how he arrived at an interest in medicine, his time in the Air Force, and his reasons for choosing to pursue a residency at the University of Minnesota. As part of his time at Minnesota, Dr. Buchwald compares the University’s research program with those of other medical schools, relates the profound influence of Owen Wangensteen on the Surgery Department, and discusses his early lab work and his studies of biochemistry, particularly lipids, with Ivan Frantz. In reviewing his changing research interests, Dr. Buchwald cites major diseases afflicting society at various times during his career: the increasing association of cholesterol with heart disease prompted his early interest in lipid uptake and spurred his work on the Program on Surgical Control of Hyperlipidemias (POSCH); the need for treatments for diabetes prompted his research into Infusaid, the first implantable infusion pump, a collaborative effort that led to the development of several other devices and eventually the establishment of a bioengineering program at the University; and finally, the ongoing obesity epidemic spurred Dr. Buchwald’s current research into the jejunoileal bypass for the treatment of obesity. In his reflections on obesity research, Dr. Buchwald discusses the high level of stigmatism associated with the disease and the difficulty of funding research into its treatment.
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    Interview with John S. Najarian
    (University of Minnesota, 2011-09-27) Tobbell, Dominique A.; Najarian, John S.
    Dr. John Najarian begins part one of his interview with a reflection on where he was born and raised and how he became interested in medicine. He then discusses his time in the U.S. Air Force, his interest in transplantation, the research he conducted under the mentorship of Frank Dixon and Joe Feldman, his decision to return to surgical work, his time at UCSF, and his move to the University of Minnesota. Dr. Najarian then reviews his time at the University of Minnesota, covering all of the following topics: his efforts to increase the number of surgical patients and work with surgeons in the community; relations with administrators at University Hospital; the continued training of academic surgeons; relations between different departments within the Medical School; cultural differences across the United States; the organ transplantation program at the University; ethical issues in transplantation; Robert Good’s work on bone marrow transplantation; transsexual surgery at the University; the faculty practice plan and income in the Medical School; the impact of Medicare and Medicaid; the health manpower shortage and problems with manpower distribution; and efforts to recruit minority and female surgeons. Dr. Najarian begins part two of his interview by reviewing collaborations with different schools and departments across the University and the differences between the University of Minnesota and the University of California-San Francisco. He comments on his experiences as the College of Medical Sciences reorganized as the Academic Health Center and relations with the state legislature. Dr. Najarian then discusses the following topics: changes to the hospital’s Board of Governors; space and staffing issues; the expansion of the hospital in the late 1970s and 1980s; and the sale of University Hospital to Fairview. Dr. Najarian spends a considerable portion of the interview reflecting on the development of Minnesota antilymphocyte globulin (ALG) and the legal problems he faced with the FDA and the University surrounding its sale. In the remainder of the interview, Dr. Najarian discusses the following topics: the leadership of Lyle French and Neal Vanselow; the impact of the National Organ Transplant Act of 1984; transplants conducted in pediatric patients and Jamie Fisk’s successful liver transplant at eleven months old; and changes in surgical technologies. He concludes his interview with reflections on the legacy of Dr. Owen Wangensteen and other figures important to the history of the AHC.
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    Interview with Robert Mulhausen
    (University of Minnesota, 2009-07-13) Tobbell, Dominique A.; Mulhausen, Robert
    Mulhausen provides a brief overview of his education and early career. He discusses the UMN Medical School’s decision to increase class size in the 1960s, the Health Sciences curriculum changes, and the reorganization into the Academic Health Center in 1970. He discusses his role as the representative of the dean’s office regarding facilities management, his role in space planning, and issues of space in the health sciences at UMN. He briefly describes the relationship of Twin Cities affiliated hospitals and the University Hospital and Medical School. He describes his move to St. Paul Ramsey Hospital as the chief of medicine, the establishment of a group practice plan at St. Paul Ramsey, his return to the VA hospital as associate chief of staff for ambulatory care, and some of the changes at the VA when he was there, including new outpatient clinics and reforming billing practices. He describes his research on acid-base balance and blood gas and the importance of obtaining blood gas machines for clinical use. He discusses the failed attempts to combine the University Hospital with the VA or affiliated hospitals in the 1970s and 1980s. He reflects on tensions between family practitioners and internists; house officers and changes in technology and computerization; relations between UMN health sciences schools and within the dean’s office; Elmer Learn and the Committee for the Study of Physical Facilities for the Health Sciences; his experience with the human volunteer policy; recruiting minority students, particularly American Indians; the relationship between clinical and basic science departments at UMN; and generally on the UMN Medical School, internal medicine, and primary care and geriatrics.
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    Interview with Vincent Hunt
    (University of Minnesota, 2010-02-09) Tobbell, Dominique A.; Hunt, Vincent
    Vincent Hunt begins by discussing his background, including his education and why he became a physician. He discusses his experiences working as a physician in a rural area (Red Lake Falls, MN); as a medical student in the late 1950s; as an intern at Bethesda Hospital; and as a resident at the UMN. He discusses curriculum changes in the late 1950s, the University of Minnesota’s Comprehensive Clinic, comprehensive clinic programs at other universities, lobbying the state Legislature, the Department of Family Practice, Minnesota Academy of General Practice and Herb Huffington, the Rural Physician Associate program and the Rural Medical Care program, relations between the Schools in the health sciences, the heath sciences reorganization in 1970, and relations between the Medical School and the Mayo Clinic. He talks about the UMN Medical School faculty, Owen Wagensteen, Richard Magraw, Ben Fuller, Robert Howard, and Edward Ciriacy. He discusses medical ethics, his decision to enter general practice, nurses in Red Lake Falls, the introduction of Medicare and Medicaid, family practice as a specialty, rural medicine, tensions between academic physicians and private practitioners, the attempt to establish a second medical school in the Twin Cities in the 1960s, the relationship between family practice and internal medicine, general practice, and the comprehensive health insurance plan.
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    Interview with William E. Jacott
    (University of Minnesota, 2013-06-18) Tobbell, Dominique A.; Jacott, William E.
    Dr. William Jacott begins part one of his interview by describing his educational experiences at the University of Minnesota Duluth (UMD) and the University of Minnesota Twin Cities (UMTC), his interest in medicine, and his early career. Dr. Jacott then reflects on his time in private practice; the establishment of the Medical School at the UMD; his growing role at the UMD Medical School; the Family Practice Program at UMTC; orienting student education and training toward family practice; relations between the UMD Medical School and other schools and hospitals; and his work with the State Legislature. Reflecting on his time as assistant vice president for the health sciences at UMTC, Dr. Jacott discusses the following: community outreach; his work as administrator in charge of Use of Animals in Research; setting up affiliation agreements for the professional schools in the health sciences; the role of nurse practitioners in family practice; his work with the various vice presidents of the Academic Health Center; and the threatened closure of the College of Veterinary Medicine and the Dental School. Jacott begins part two of his interview by describing his experience with the Antilymphocyte Globulin litigation, the creation of the University Health System, the sale of University Hospital to Fairview, and the closure of the University Family Practice Program. He then discusses Ed Ciriacy’s chairmanship of the Department of Family Practice and Community Health and his own chairmanship of the Department. The conversation then turns toward a discussion of Dr. Jacott’s national leadership roles. He discusses his work for the American Medical Association as chairman of the Council on Medical Education and a member of the Board and his time on the Minnesota Board of Medical Practice, the Federation of State Medical Boards, and the Joint Commission Board of Commissioners. Dr. Jacott concludes the interview with his views on combining the position of Medical School dean and vice president of the AHC.