Browsing by Subject "Rural health care"

Now showing 1 - 12 of 12
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    Interview with David Born
    (University of Minnesota, 2013-12-10) Born, David O.; Klaffke, Lauren E.
    Dr. David Born begins part one of his interview by describing his educational background and influences on his career trajectory. He then discusses the beginning of his career at the University of Minnesota in the Division of Health Ecology, covering the following topics: curriculum changes, community relations, career guidance, placement programs, and workforce issues. In part two of his interview, Dr. David Born describes how he came to be Department Head for American Indian Studies and his goals for the program. He then reviews his work in various leadership roles within the Dental School and in committee work for the University. Dr. Born also reflects on the following topics: the threatened closure of the School of Dentistry; retrenchment; the Dental School as part of the Academic Health Center (AHC); Lyle French’s tenure as Vice President of the Health Sciences; Dr. Erwin Schaeffer’s tenure as Dean of the Dental School; changes in the practice of dentistry; Dr. Richard Oliver’s tenure as Dean; efforts to recruit minority students to the Dental School; changes in the composition of the dental workforce; Dr. Richard Elzay’s tenure as Dean; and the work of other leaders in the Dental School and the AHC. He concludes with final reflections on mentorship and his work in the Dental School.
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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 Michael Till
    (University of Minnesota, 2012-12-19) Klaffke, Lauren E.; Till, Michael
    Dr. 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.
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    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.
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    Interview with Ralph DeLong
    (University of Minnesota, 2013-06-10) Klaffke, Lauren E.; DeLong, Ralph
    Ralph 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.
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    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.
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    Interview with Robert J. Cipolle
    (University of Minnesota, 2012-06-12) Tobbell, Dominique A.; Cipolle, Robert J.
    Dr. Robert Cipolle begins his interview by briefly discusses his early life and education. He describes his time in the relatively new Pharm.D. at the University of Minnesota, his residency in Twin Cities area hospitals, and how the atmosphere of acceptance of the clinical pharmacy in Minnesota differed from areas. Dr. Cipolle then discusses the following topics regarding the changing culture surrounding pharmacy and pharmaceuticals: his move to University Hospital to support the growth of the clinical pharmacy program there; running the hospital pharmacy at Saint Paul-Ramsey; conflicts within the pharmacy therapeutics committee; equivalence, substitution, and prescriptive power issues in the 1970s, 1980s, and 1990s; the creation of the Peters Institute of Pharmaceutical Care; the practice of medication therapy management (MTM); the development of a billing system for clinical pharmacy; the training of clinical pharmacists as opposed to pharmacists working in dispensaries; and the introduction of the patient package insert. Following this discussion of larger trends, Dr. Cipolle reflects on his time in administration in the College of Pharmacy, including his time as associate dean under Gilbert Banker, changing the curriculum within the College, and his time as interim dean. He then describes the following: the relationship between the College and the Department of Pharmacology in the Medical School; the conversion to an all Pharm.D. program; the creation of the pharmacy program in Duluth; relations between the College and the basic sciences; failed discussions regarding the creation of a two-year pharmacy technician program; poison control and collaborations with the Medical and Nursing Schools; budget issues and long-range planning; funding from pharmaceutical companies; his time chairing the Conflict of Interest Committee; litigation surrounding the sale of Antilymphocyte Globulin (ALG); the creation of Medication Management Systems, Inc. Dr. Cipolle concludes with a reflection on changing demographics within pharmacy, the changing culture of pharmacy, and the naming of Unit F.
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    Interview with Sandra Edwardson
    (University of Minnesota, 2012-05-30) Tobbell, Dominique A.; Edwardson, Sandra
    Sandra Edwardson begins by describing her upbringing and education in Minnesota, followed by her pursuit of a graduate degree in nursing, and her reasons for entering the nursing field, particularly maternal and child nursing. She then discusses nursing shortages, working as a nurse for the Indian Health Service in Mississippi during the Civil Rights era, and contrasts the treatment of Native Americans in Mississippi and Minnesota. Edwardson goes on to describe moving back to Minnesota where she taught at Saint Olaf College for a number of years and then decided to pursue her Ph.D. at the University of Minnesota in Hospital and Healthcare Administration. As part of her recollections surrounding her experience as a Ph.D. student, she describes the environment for women, her work with Dr. Vernon Weckworth as her advisor, and her dissertation research on Homecare for the Dying Child. She then covers the following topics: becoming an instructor in the Independent Study Program, becoming an assistant professor in the School of Nursing, the creation of a doctoral program in nursing at the University and doctoral education in nursing at large, teaching in the Nursing Administration program, working with the Institutional Review Board, and obtaining both research and building funding. She discusses the deanships of Inez Hinzvark and Ellen Fahy, her experience as assistant dean under Fahy, conflicting attitudes regarding nursing philosophies within the School of Nursing, regional planning for nursing, retrenchment and planning strategies at the University, the creation of the Master of Nursing degree at the University of Minnesota, the creation of the National Institute for Nursing Research, the transfer of the public health nursing program from the School of Public Health to the School of Nursing, her transition to interim dean and later to dean, the Rajender Consent Decree, and then her move from associate to full professor. She goes on to describe the tenures of some of the vice presidents of the Academic Health Center and particularly Frank Cerra’s creation of the Dean’s Council, collaboration within the health sciences, community research projects, the recruitment of minority students, the creation of a nurse practitioner program in the School of Nursing, the relationship between the School of Nursing and the University hospitals, the development of the Doctor of Nursing Practice degree, and her relationship with the Regents, the University president, and the State Legislature.
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    Interview with Vernon Weckwerth
    (University of Minnesota, 2010-12-14) Tobbell, Dominique A.; Weckwerth, Vernon
    Vernon Weckwerth begins his interview by discussing his upbringing during the Great Depression near the Red River Valley of Minnesota, his early education, and the rather circuitous route he took to the University of Minnesota. He discusses his graduate education, his return to Minnesota, and his professorship in health care administration in the School of Public Health. Weckwerth highlights some of his work in hospital administration within the context of the University’s land-grant mission and the creation of the Independent Study Program (ISP) to serve rural populations. As he relates his creation of ISP, Weckwerth elaborates on his educational philosophy and town/gown issues. Though his degrees were not in public health, Weckwerth took all of the public health courses offered by the University. He relates his interest in public health in terms of his rural upbringing and how he entered the field professionally. He then discusses the leadership of Gaylord Anderson, Lee Stauffer, and Edith Leyasmeyer in the School of Public Health. He also covers the following: his interpretation of dean appointments, his philosophy of public health as a field, the relationship of the School of Public Health to other departments, biostatistics, his role in the national heart study, the creation of the family practice program, the reorganization of the AHC, his experiences with the state legislature and community and professional organizations, his role in creating a doctoral program in nursing, the spread and closing of ISP, and his time on the faculty senate.
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    Interview with Villis Vikmanis
    (University of Minnesota, 2013-06-21) Tobbell, Dominique A.; Vikmanis, Villis
    Villis Vikmanis begins his interview with an overview of his education and career. He then reviews in more detail his work for the State, including all of the following: his work in the Budget Division and with Richard Fitzsimons; family practitioners in Minnesota; state funding for the Mayo Medical School; the Legislature's provision of funds for building in the Health Sciences at the University; the power of rural legislators in the State; the need for rural primary care physicians; and his work as coordinator of Executive Affairs in Governor Albert Quie's office. Mr. Vikmanis then discusses all of the following topics in relation to his work at the University: consulting on the University's Cost Containment Taskforce; cost concerns for the Hospital; his work on the Board of Governors for the Hospital from 1984 to 1998; relations between University Hospital and affiliated hospitals; his responsibility for space allocation; lobbying the Legislature; Neal Vanselow's tenure as vice president of the AHC; the leadership of Cherie Perlmutter, Robert Anderson, and William Brody; problems with the ALG program; and the decision to sell the hospital to Fairview. He concludes by reviewing additional key figures in the history of the AHC.
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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.