Browsing by Subject "Private practice"
Now showing 1 - 20 of 20
Results Per Page
Sort Options
Item 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.Item Interview with Arnold Anderson(University of Minnesota, 2010-02-02) Tobbell, Dominique A.; Anderson, ArnoldArnold Anderson begins by discussing his background, including his education and why he became a physician. He discusses his experiences as a medical student at the University of Minnesota, as an intern at San Diego County Hospital, in the army as a pediatrician, and as a pediatric fellow at the Mayo Clinic. He describes setting up his group practice and establishing the Park Nicollet Clinic and the development and building of the Minneapolis Children’s hospital. He discusses pediatric medicine, the University of Minnesota Medical School, the UMN Medical School’s relationship with private practitioners, Internal Medicine at the UMN, the Department of Pediatrics at the UMN, the relationship between the Mayo Clinic and the UMN Medical School, the relationship between the UMN Medical School and Twin Cities hospitals, and relations between departments at the UMN Medical School. He discusses the Teenage Medical Center, Human Ecology, physician fees, academic medicine, and principles of management and leadership. He talks about Robert Howard, Irvine McQuarrie, John Anderson, Robert Good, and Richard Magraw.Item Interview with Carl R. Jessen(University of Minnesota, 2011-08-12) Tobbell, Dominique A.; Jessen, Carl R.Carl Jessen begins his interview by discussing his upbringing, his interest in veterinary medicine, and his education. He follows this with his entrance into private practice and then his return to school for a Ph.D. in qualitative genetics and radiology. He then reflects on changes in the department over the period when he first entered the DVM program, to his reentrance for a Ph.D. and subsequent hiring as a faculty member, and then makes a modern comparison. Within his reflection on the school, Jessen discusses budgetary problems in the teaching hospital, the push for the faculty to get a constitution and faculty council, the relationship between the School and the legislature in terms of funding, and the growth of the profession. Within his own career, Jessen shares his philosophy on the balance of research, teaching, and clinical work. In terms of the land grant mission of the University, he also considers relationships between the Vet School and out-of-state students and between the School and the community. Reviewing the history of the school under Dean Sidney Ewing, Jessen relates the effects of changes in the structure of the school and the school’s loss of accreditation in the mid 1970s. Pursuant with these changes in the mid 1970s, he also relates changes in the profession and the school that led to an increase in the number of female students. He then speaks to relations with the University of Wisconsin, his duties as associate dean and director of the hospital, Robert Dunlop’s tenure as dean, budget problems and the hospital business model, the School’s emphasis on teaching over research, the integration of the Vet School into the AHC, the deanships of Jeff Kausner and David Thawley, and the connection between the Vet School and the legislature through animal industries. He ends the interview by again emphasizing the teaching mission of the School.Item Interview with Davitt Felder(University of Minnesota, 2009-12-04) Tobbell, Dominique A.; Felder, DavittDavitt Felder discusses his background and provides an overview of his career. He describes why he went into medicine and surgery; his decision to enter private practice; and his decision to retire. He discusses at length the establishment of the Northern Association for Medical Education and the organization’s attempt to establish a medical school in St. Paul. He describes his work in vascular surgery and the establishment of the Midwestern Board for Medical and Allied Education. He discusses the relationship between Minneapolis and St. Paul private physicians and the University of Minnesota; the private practice issue at the University of Minnesota; and Robert Howard, Owen Wangensteen, Walter Lillehei, Michael E DeBakey; the relationship between the Surgery Department and other clinical departments; and his work with the Health Care Financing Administration.Item Interview with John Diehl(University of Minnesota, 2012-02-09) Tobbell, Dominique A.; Diehl, JohnJohn Diehl begins his interview with a brief reflection on where he was born and raised, his education, and his first job as special assistant to the attorney general of Minnesota. He then discusses changes in health plans and his work as the chief of the Department of Health HMO, focusing on the development of a regulatory framework for health plans. He details the process of introducing the Health Maintenance Organization (HMO) Act of 1973 and developing a grant-making function to develop and regulate HMOs. As part of this discussion, Mr. Diehl reflects on federal legislation regarding HMOs and the influence of professional organizations. Because of his work on HMO legislation, Diehl developed a close relationship with John Westerman and was invited to be general counsel to University Hospital. Mr. Diehl discusses all of the following in relation to his time as general counsel: changes in the governance of University Hospital with the establishment of the Board of Governors; the mentorship of John Westerman; Joel Tierney as University Attorney; the medical-legal protocol for minor donors in kidney donation; his responsibilities as the University Hospital general counsel; the end of sovereign immunity; the Hospital’s abortion policy; labor and student employment issues; the medical school’s private practice arrangement and patient rights; the hospital marketplace; certificate of need law; the University’s designation as a basic center for emergency services; and hospital consortium and regional health systems. He then reviews his experiences with Medicare and Medicaid over the course of his career and the rising costs of healthcare. Mr. Diehl also discusses Hospital’s expansion, the Hospital bonding bill and the deal’s failure, poor University publicity, and the set-up and dismantling of Regional Co-ops. He concluded with the development of the Committee on Thanatology and various legal matters concerning death and dying.Item Interview with John P. Delaney(University of Minnesota, 2012-03-27) Tobbell, Dominique A.; Delaney, John P.Dr. John Delaney begins by describing his education at Notre Dame and the University of Minnesota. He discusses his perception Harold S. Diehl as Dean of the Medical School, C. Walton Lillehei’s surgical innovations, and Dr. Owen Wangensteen’s tenure as chief of surgery during Delaney’s time in the medical school. He also describes University Hospital administrator Ray Amberg and his assistant Gertrude Gilman. He discusses the changing fee system in hospitals in the mid 1960s. Delaney describes the cardiac program at the University of Minnesota in the 1950s and 1960s. He discusses his early research interest in bleeding from the stomach and his clinical specialization in gastrointestinal surgery. He describes changes in the Department of Surgery when John Najarian took over for Owen Wangensteen as chief. He recounts his experiences with Robert Howard as dean of the medical colleges, particularly his role in the faculty practice plan. He also discusses surgical nurses and the increasing emphasis on patient satisfaction with hospital care to receive full reimbursement for services. Delaney discusses the reorganization of the health sciences at the University of Minnesota, town/gown issues with Twin Cities practitioners, and competing medical school plans in Saint Paul and at Saint Thomas. He also discusses his later focus on surgical oncology and working with B.J. Kennedy and Seymour Levitt. Finally, he describes the ALG scandal.Item Interview with Lowell Anderson(University of Minnesota, 2012-08-01) Tobbell, Dominique A.; Anderson, LowellLowell Anderson begins his interview with a reflection on his early life and education, highlighting his experience earning a bachelor’s degree in pharmacy from the University of Minnesota. He describes the profession’s receptiveness to female pharmacists, his recollections of the Kefauver Hearings regarding prescription drug pricing in the early 1960s, and the impact of managed care on pharmacy. He goes on to discuss his professional goals; his time at Walgreen’s as a pharmacy student; his early career, including time at Northwestern Hospital and the State Department of Administration; and his experience of ownership of pharmacies in Falcon Heights (1966) and White Bear Lake. Within this discussion, he reflects on how relationships between health care professionals and pharmacists change in different venues, the differences between a chain pharmacy and a privately owned pharmacy, building community relationships, generic substitution, the patient package insert, patient expectations regarding drug advice from doctors and pharmacists, the function of Pharmacy Benefit Managers. The conversation then transitions to the Academic Health Center and Mr. Anderson’s contributions to the College of Pharmacy. The following topics are discussed: the introduction of clinical pharmacy in the College; relations between basic scientists and professional pharmacists in the College; relations among schools and colleges in the AHC; the potential creation of the Pharmacy Technician Program; the threatened shortage of pharmacists; the creation of the Department of Social and Administrative Pharmacy; the development of pharmaceutical care practice; and the Center for Leading Healthcare Change. He concludes his interview with current policy issues in which pharmacists should adopt a larger role.Item Interview with Michael Till(University of Minnesota, 2012-12-19) Klaffke, Lauren E.; Till, MichaelDr. Michael Till begins his interview by describing the trajectory of his education and early career, including his experiences in: the Navy; at the University of Iowa; at Eastman Dental Center in Stockholm, Sweden; at the Royal Dental College in Aarhus, Denmark; at the Arabian America Oil Company (ARAMCO); with Operation Crossroads in Dahomey, West Africa; and at the University of Pittsburgh. He then discusses his recruitment to the University of Minnesota and the building of the new Dental School facilities in 1969 and 1970. He describes his responsibilities as chairman of Pediatric Dentistry, his work to initiate the International Exchange Program, and his time as a Robert Wood Johnson Health Policy Fellow. Focusing on the Dental School, he covers the following topics: the culture of the dental school; student unrest in the 1960s; the relationship between dentistry and dental hygiene within the school; debates regarding manpower within dentistry; the Mobile Dental Clinic and the Hibbing Dental Program; the relationship between the School of Dentistry and University Hospital; the role of Pediatric Dentistry in the bone marrow transplant program; state and federal support for the School; the School’s efforts around water fluoridation; and the creation of the Academic Health Center (AHC) and the inclusion of the Dental School within the AHC. Dr. Till also describes Dr. Lyle French’s tenure as vice president of the AHC; the tenures of Drs. Erwin Schaeffer, Richard Oliver as deans of the School; retrenchment, strategic planning, and the reorganization of the school; the No Cavity Clinic; the changing demographics of dentistry; the potential for a two-track tenure system; his work in the creation of the Ectoderma Dysplasia Center; the pediatric dental program at Hennepin County Medical Center; the tenure of Dr. Richard Elzay as dean; and the threatened closure of the Dental School. He concludes with a discussion of his relationships with the vice presidents of the AHC, his time as dean, and his work with Project HOPE.Item Interview with Neal A. Vanselow(University of Minnesota, 2013-07-10) Tobbell, Dominique A.; Vanselow, Neal A.Dr. Neal Vanselow begins his interview by reflecting on his education and training at the University of Michigan and his internship at Minneapolis General Hospital (now Hennepin County Medical Center). He then discusses his tenure as dean at the University of Arizona College of Medicine and his move to the University of Nebraska Medical Center in Omaha. He relates the reasons for his move to the University of Minnesota Academic Health Center (AHC). Concerning the University’s AHC, Dr. Vanselow describes all of the following: the culture of the AHC particularly town/gown relationships; the relationship between the AHC and the rest of the University; the relationship between the AHC and Central Administration; relations among units in the health sciences; the incorporation of the College of Veterinary Medicine into the AHC; and Ken Keller’s Commitment to Focus and the threatened closure of the Dental School and the College of Veterinary Medicine. Reflecting on larger trends in healthcare and health education, he discusses: efforts to admit more minority students; issues regarding the rising costs of hospital care and the impact on University Hospital; faculty practice; retrenchments; the creation of the Biomedical Ethics Center; and the issues surrounding the University’s production and sale of Antilymphocyte Globulin (ALG). Dr. Vanselow also describes the tenures of the presidents of the University and the regents with which he worked; his work with the Legislature; the differences between a private and public academic health center; and his time on the board of the Association of Academic Health Centers. He concludes his interview with a reflection on his experiences as part of the Institute of Medicine’s Committee on the Future of Primary Care and the Continuing Evaluation Panel of the American International Health Alliance.Item Interview with Ralph DeLong(University of Minnesota, 2013-06-10) Klaffke, Lauren E.; DeLong, RalphRalph DeLong begins his interview by describing his choices regarding his education and early career. He discusses his time in the University of Minnesota’s Dental School, his decisions regarding dental research and practice; his master’s research; the building of the artificial mouth; the development of AnSur software; and the creation of the virtual dental patient; and the development of ART 5. The interview then turns toward teaching and administration within the school, particularly touching on the teaching of evidence-based dentistry; student-friendly teaching; retrenchment within the Dental School and the University more broadly; and lobbying the Legislature. He then describes the following: relations among departments within the Dental School; relations among different schools and colleges within the AHC; the tenures of Richard Oliver and Richard Elzay as deans; the threatened closure of the Dental School; his time on the Institutional Effectiveness Committee; efforts within the School to admit more minority students; the impact of the Rajender Consent Decree; Michael Till’s tenure as dean; and his time with professional organizations. He concludes his interview with his thoughts on the future of dentistry and leadership in the AHC.Item Interview with Richard C. Oliver(University of Minnesota, 2013-07-09) Tobbell, Dominique A.; Oliver, Richard C.Dr. Oliver begins his interview with a reflection on his childhood, early education, and his pursuit of a career in dentistry. He then discusses his dental education at the University of Minnesota and his military service. Focusing more on his education and work experience, Dr. Oliver reviews the following: his time in private practice in Southern California; his time as a student at Loma Linda; his time as a professor at Loma Linda; his relationship with the periodontics program at USC; and his deanship at USC. Dr. Oliver then shifts to a discussion of his time as dean at the University of Minnesota and discusses the following topics: the beginning of preventive dentistry, faculty practice, changes in the dental clinics; dental education for rural and outstate practice; changes in dental hygiene; the implications of retrenchments; faculty research money; the tenures of the different vice presidents of the Academic Health Center; relationships within the AHC; Health Ecology in the Dental School; increasing emphasis on the patient in dentistry; the Dental School’s corporate relationships; and his reasons for stepping down as dean. He concludes his interview with a review of his work as a visiting scientist at the NIH, his decision to stay on as a faculty member at the University, Richard Elzay’s tenure as dean, his retirement, and the culture of Minnesota.Item Interview with Richard M. Magraw(University of Minnesota, 2009-07-31) Tobbell, Dominique A.; Magraw, Richard M.Richard Magraw begins with his background and education. He describes his residencies and his work history and discusses his work as assistant dean at UMN. He discusses the effect of National Institutes of Health research funding on medical education in the late 1940s and 1950s, the focus on specialization and the de-emphasis of primary care during this time. He goes on to discuss the faculty practice issue at UMN in the 1960s, the regional and national concern in the 1960s over a shortage of physicians, the national trend in the 1960s of regional health planning, the development of family practice as a specialty, his book Ferment in Medicine, and the influence on medicine of the introduction of Medicare and Medicaid in the mid- and late-1960s. He discusses the Comprehensive Clinic Program (1960-67), the relationship between the Medical School and Minnesota state legislature, the reorganization and expansion of the health sciences in the 1960s, the relationship between the Medical School and the affiliated hospitals, and the relationship among the Schools of Nursing, Medicine, and Public Health within the College of Medical Sciences. He describes the attempt to establish a medical school in St. Paul, the establishment of the Department of Family Practice and Community Health, and the separation of the departments of Psychiatry and Neurology at UMN. He discusses what he did after he left the UMN, including his work in Washington, DC.Item Interview with Robert Geist(University of Minnesota, 2009-11-04) Tobbell, Dominique A.; Geist, RobertGeist first discusses his background, including his education. He then discusses his residency at the Minneapolis VA Hospital. He describes going into private practice, his experiences building his practice, the challenges he faced, and his relationship with the University of Minnesota. He discusses women in his medical school class and in urology, the impact of the introduction of Medicare and Medicaid, the concerns over the shortage of doctors in the 1960s, and the increase in the UMN Medical School’s class size because of those concerns. He discusses some of his involvement in medical politics since 1973, including his experiences with HMOs after their creation, with the Minnesota Medical Association, and with fee-splitting and referral practices. He reflects on the relationship between St. Paul and Minneapolis physicians and between them and the UMN, including the contentious politics between some St. Paul doctors and the UMN in the 1960s, particularly in relation to the attempt to establish a St. Paul medical school.Item Interview with Robert Mulhausen(University of Minnesota, 2009-07-13) Tobbell, Dominique A.; Mulhausen, RobertMulhausen 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.Item Interview with Robert Ulstrom(University of Minnesota, 2010-02-18) Tobbell, Dominique A.; Ulstrom, RobertRobert Ulstrom begins the interview by describing his background, including his education, his service in the US Army, and why he became a pediatrician. He reflects on his mentor Irvine McQuarrie, and his colleagues John Anderson, Robert Howard, and Lyle French. He discusses his experiences in University of Minnesota Medical School, his move to UCLA, his return to the University of Minnesota in the mid-1950s, and his work as associate dean in the College of Medical Sciences. Other topics discussed include, his research, the private practice issue, relations with affiliated hospitals and their faculty after the expansion of the Medical School class size in the 1960s, the curriculum revision in the 1960s, the attempt to establish a medical school in St. Paul, the establishment of the Department of Family Practice, tensions between private practice physicians and Medical School physicians, the effort to establish a Minneapolis children’s hospital in the 1960s, tensions between Minneapolis and St. Paul physicians, the reorganization of the health sciences into the Academic Health Center in 1970, the Mayo Clinic and the Mayo School of Medicine.Item Interview with Vincent Hunt(University of Minnesota, 2010-02-09) Tobbell, Dominique A.; Hunt, VincentVincent 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.Item 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.Item Private Consultation Practice in the College of Medical Sciences: Statement of Policy and Implementing Resolution, Approved March 11, 1966(University of Minnesota, 1966) University of Minnesota. College of Medical Sciences; University of Minnesota. Committee on Private Consultation PracticeItem A Report of the Work of the Committee on Private Consultation Practice, December 1960 - December 1963(University of Minnesota, 1963) University of Minnesota. Committee on Private Consultation Practice; University of Minnesota. College of Medical SciencesItem Revised Agreement for Monitoring Private Practice Income, March 1976(University of Minnesota, 1976) University of Minnesota. Medical School