xt7g1j977s6k https://exploreuk.uky.edu/dips/xt7g1j977s6k/data/mets.xml The Frontier Nursing Service, Inc. 2002 bulletins  English The Frontier Nursing Service, Inc. Contact the Special Collections Research Center for information regarding rights and use of this collection. Frontier Nursing Service Quarterly Bulletins Frontier Nursing Service, Vol. 77, No. 4, Spring/June 2002 text Frontier Nursing Service, Vol. 77, No. 4, Spring/June 2002 2002 2014 true xt7g1j977s6k section xt7g1j977s6k FRONTIER NURSING SERVICE  
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 US ISSN 0016-2116
Introduction to FNS - Deanna Severance 1
Beyond the Mountains - Deanna Severance 3
FNS Donates Land - Parking Structure - Barb Gibson 14
Kate Ireland Healthcare Center - Manchester - Barb Gibson 15
Wendover News - Christine Collins 16
FSMFN News - Susan Ulrich 21
Website Information 14
Courier Program News - Barb Gibson 23
Mary Breckinridge Healthcare News - Maile Noble 24
Dr. Anne Wasson Memorial Service 26
Miscellaneous Tidbits 28
In Memoriam 29
Cover: Mary Breckinridge gathering eggs
Frontier Nursing Service Quarterly Bulletin
Published at the end of each quarter by the Frontier Nursing Service
Subscription Price $5.00 a year for Donors/$15.00 for Institutions
Volume 77 Number 4 Spring/June 2002
Periodicals postage paid at Wendover, Kentucky 41775 and at addi-
tional mailing offices. POSTMASTER: Send address changes to FNS,
Inc. 132 FNS Drive, Wendover, Kentucky. Copyright FNS/Inc. 2000
All Rights Reserved.

Frontier Nursing Service
U you have never been introduced to the Frontier Nurs-
ing Service we would like to take this opportunity to brief you on
the history and the on-going work of the Service. Please share
this information with a friend
Bom in 1881 into a prominent American family, Mary
Breckinridge spent her early years in many parts of the world -
Russia, France, Switzerland and the British Isles. After the death
. of her two children, she abandoned the homebound life expected
of women of her class to devote herself to the service of others,
particularly children.
Mrs. Breckinridge established the Frontier Nursing Ser-
vice (FNS) in Leslie County, Kentucky in 1925, then one of the
poorest and most inaccessible areas in the United States. Mrs.
Breckinridge introduced the first nurse-midwives in this country.
Riding their horses up mountains and across streams in blizzard,
fog or flood, the FNS nurses brought modem healthcare to fami-
lies throughout an area of 700 square miles.
Until her death in 1965, Mary Breckinridge was the driv-
ing force behind the work of the Service whose influence today
extends far beyond eastern Kentucky. Through the Frontier School
of Midwifery and Family Nursing, hundreds of nurses have been
trained and this important concept of family healthcare has been
carried throughout the world.
Today, the FNS is organized a as a parent holding com-
pany for Mary Breckinridge Healthcare, Inc., (home health agency,
two out-post clinics, one primary care clinic in the hospital, Kate
Ireland Women ’s Healthcare Clinic) and for the Frontier School of
Midwifery and Family Nursing - the largest midwifery program in
the United States.
Remarkably, the purpose and philosophy of the FNS has
remained constant since 1925.

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The Big House - Home ufMury Breckinridge I

Beyond the Mountains
by Deanna Severance, CEO
“The other thing that impresses me now is the flexibility of the
early plans we made. Research is a continuing thing. As one acts,
Q one gets an insight of what is best for the next action." Mary
Breckinridge writing in Wide Neighborhoods.
Focus Groups Update
; In the last Quarterly Bulletin I presented to *
you the population and demographic data ‘ `
g gathered for the Board of Govemors during     a  `
Q this strategic plamring phase of our work. é j- . - ;q
  From that data we learned many things in- ·~ _
i cluding that the six counties of Bell, Clay, i
  Leslie, Jackson, Owsley and Laurel are all {
E designated as medically underserved, have . ..
l high unemployment and health problems greater than those of other
{ more prosperous communities.
[ The second task we set before us was to fmd out what the people
  who live in these counties had to say about their healthcare. There-
l fore, we commissioned the frrm Global Business Solutions, Inc. to
i hold focus-group surveys in the six counties. 67 adults, over 18
L years old, and living in the counties participated. Focus group
. surveys are qualitative research fmdings to help FNS gain feed-
i back and individual perceptions/ideas that will assist us in under-
l standing trends or needs in the community. The information col-
t lected reflects the ideas and beliefs of the participants. The par-
· ticipants were not random. We invited Medicaid and Medicare
- recipients, community leaders, church leaders and other interested
_ persons.
· From this point forward the information presented is from the re-
» port prepared by Global Business Solutions and presented to the
Board of Govemors.The moderator focused on five general ques-
. tions/issues regarding eastem Kentucky residents’ perceptions

about health care. These questions involved: A
* Participants’ perceptions of general health care issues facing the
* Participants’ perceptions of the quality of existing healthcare
providers in the community.
• Participants’ perceptions of clinical healthcare providers.
* Pa1ticipants’ perceptions of altemative to traditional providers
and treatments.
* Sources of infomiation available to participants regarding health-
care services/treatments in the community.
Perceptions of general healthcare issues facing the community
Common diseases/disorders affecting the communig. Diabetes,
heart disease, high blood pressure, cancer, children’s health par-
ticularly childhood obesity and drug addiction were mentioned as
common diseases and disorders prevalent in the region. Almost
all agreed when asked that depression was a serious health prob- i
lem. Arthritis emerged as a problem for each of the counties.  
"Y0u see a l0t 0f childhood abesity H y0u 100k and y0u did a  
survey 0f the children, it w0uld be phenomenal. Their diets leave L
a l0t t0 be desired  lots 0f junk f00d.. It s a lack 0f activity t00.  
I think a l0t 0f emphasis is put 0n teams .... The kids that are n0t _
0n the teams d0n t get that kind 0f w0rk0ut. "   _
Abilig; to afford healthcare. The working poor and the elderly  
were identified as having particular diiiiculty paying for services. ’_
The working poor with no children make a little too much to qualify
for medical cards and the elderly collect a little too much in social
security to quality for complete medical coverage.

l "It is when you dont have children and you ’re not disabled that
you pay $500 a month for insurance). That is the kind of people
that don t get insurance. "
I} "My daughterznhad a gallbladder attack I tried to get her heh:
and I was asked ‘Does she have children? ’ ‘No, ’ and ‘Is she preg-
nant? ’ ‘No. ’ ‘Well, then I ’m sorry We can t help you. ’ And that
. encourages our young people to get pregnant. Thats the way I
see it. "
Access to healthcare facilities. A lack of transportation was iden-
tified as a barrier to using healthcare services. Several transporta-
tion services f`or poor and elderly community members were iden-
tified but participants pointed out that these services would not
travel to some of the more remote areas or that some services re-
, quired a fee that was unaffordable to those who need the service.
Attitudes toward prenatal care. Uniformly the participants agreed
that early and consistent prenatal care was crucial for the health of
the child and the mother. However, they perceived that women,
especially teens, were not getting the prenatal care they needed.
The reasons given for lack of care were l) the women are not
i educated about the importance of early prenatal care; 2) the women
  don’t have transportation to clinics, and 3) the women can’t afford
Q to pay for regular prenatal care.
  "1 think we have a problem with people not having funds, money
l to go... (seek prenatal care). 1 know people mysey that don t go
i because they dont have the money "
 · "Many times, they don t even know they are pregnant. "
l Perceptions of the quality of existing healthcare providers in
· the community
While there were participants who were happy with the quality of

care they received, the complaints were abundant. The prepon—  
derance of the complaints clustered around three issues: .
l . Limited availabilig;. Several ofthe participants said there were T
not enough clinics available to them and many shared their fius- ..
tration of traveling to Lexington or other distant area for routine
checkups and prescription refills. Many pointed out that when p
they are sick on weekends or at night, they have no options other ·
than emergency rooms or distant clinics due to the limited hours of  
operation. When asked if they thought their community was [
underserved medically, the unanimous answer was “yes."  
2. Waiting time. Participants explained that clinics are crowded  
and they perceived that providers are overworked. ?
"I ’d just as soon get me a doctor in Lexington because of that 5
(the waiting time). Because you can drive to Lexington and back E
while you ’re sitting. For my doctor; three hours is a short time to {
sit to see him. "  
"When you are really sick, you don ’t feel like sitting there two or l
three hours. "  
"T here ls several times you can t sit in there. There are so many  
people in there. " {
3. Quality of treatment. The limited availability and overcrowd-  
ing are perceived by some to result in lower quality care.
"Most ofthe time they are in too big of a rush to take much time
to make you feel like they are really concerned Like they said `
they are booked double every 15 minutes. And they rush in and
rush you out and you don T get to ask a lot of questions or spend
a lot of time. " I
"Convenience is a big thing .... I hate to say this, but a lot of people
who are there are not therefor the same reasons as you are there.

For instance, when I went, I was sick A lot ofthe people in the
area are going for drugs. And you ’re sitting there thinking ‘O.K
they ’re going to think I’m here for a pain shot. "
_p While some ofthe participants expressed that they had thoughtful,
caring healthcare providers at the clinics, the majority said that
they felt as though the doctors did not treat them with the respect
. and dignity they deserve.
  "A lot of times they talk down to you. They are very condescend-
Q ing. "
  Besides feeling disrespected, there is a perception that doctors are
l not generally concemed with their patients’ welfare.
  "I had a spell with my heart in physical therapy and I was trying
l to tell my doctor and I told him I need my medication that I’m
l taking for my thyroid glands...and he told me to ‘shut up, " that
Q he couldn t concentrate on what he was writing,. "
{ "I went to the doctor a while back with my mother and I wasnt
  even sick He up and said ‘You ’re sick you need a shot. ’ He up
i and gave me a shot and I still don t even know what for "
I "T hey Qatients) find out quick who ls on duty which doctor
l They ’ll say ‘the drug lord is on duty tonight. ’ They know "
l Participants identified doctors’ high tumover rate in their commu-
I nity as a cause for poor quality healthcare.
· Perceptions of clinical healthcare providers
General attitudes toward clinics were favorable when compared to
g traditional providers such as hospitals and doctor’s oiiice visits.
, The waiting time, expense, and trust in the clinical healthcare pro-
viders were all compared favorably to more traditional outlets.
However, concerns were expressed about drug seeking patients in

the doctors’ offices and the clinics.
" When y0u go t0 the (emergency room) y0u might sit there, some- I
times six hours. K we had more clinics in the area, I think the §
healthcare clinics would be the choice between the two, because ..
of that. " l
"1’d rather go t0 the clinic. I don T mind waiting a hay hour y'  ·
they are busy or y" they get an emergency...h’ they ’ll talk to y0u  
like you ’re a human being and don t talk down t0 y0u and y' they ’re  
concerned for your weh’are. " l
"T hey (clinics) are faster and they pay more attention than a I
hospital. "  
"I think # they were accessible, people would use them rather l
than alot of the family doctors. Especially y" the quality of care E
was good That would be the answer for a lot of people. " I
"The doctor Is ojices are so clogged down with drug seekers that [
you can t get the people that actually need care. " }
"Clinics are being abused Like they abused emergency rooms in I
the past. Healthcare clinics are being abused now "  
Participants gave the following reasons for visiting clinics: gen-
eral check-ups, common illnesses such as cold and flu, injuries
such as broken bones and lacerations, treatment of chronic ail-
ments such as back problems, diabetes, etc. and renewal of pre-
scriptions. _
Participants avoid visiting clinics due to waiting time, inconve-
nient location, inconvenient hours, lack of transportation, lack of
money to pay for visits and concem about being associated with l'
those seeking narcotics. .

Perceptions of alternative to traditional providers and treat-
t ments
g Nurse practitioners. Overall participants had very favorable per-
v ceptions of nurse practitioners, midwives and altemativelcompli-
y mentary therapies. They identified several issues that they felt
  made nurse practitioners (NPs) desirable including:
g * The perception that NPs care.
S * The perception that NPs will spend more time with patients.
i * The perce tion that NPs are more careful in their treatment of
l P
; patients.
i * The perception that NPs are well qualified for treating simple
  medical problems.
] * The perception that NPs treat patients with respect and dignity.
T "I think the nurse practitioners, when I have seen them, you feel
» more at ease with them and they can take more time with you.
l You feel like they care more about you than when you saw a regu-
,p lar doctor: "
i "At least they treat you like a human being, "
"I go to a nurse practitioner: And I think she is more knowledge-
able than the doctors I 've been too. "
l` "When I do up there I like to see (her) because she has a better
bedside manner: 1’m glad to know that Dr: is there because 1
know y' she runs into something she needs heh; with, she goes and
i' consults the doctor: But 1’d rather see the nurse practitioner: "
Midwifery. Those participants who were familiar with midwifery
services had generally favorable opinions. Some of the women

used a midwife. As with nurse practitioners, participants per- I
ceived midwives to be more caring and concerned than doctors. 2
Most participants also seemed favorable to the idea of giving birth I
in a facility run by a midwife, rather than in a hospital, as long as I
a doctor was close and the facilities well equipped for emergen- ·i
cies. I
“I had a midwye with my third child Aly d0ct0r turned me 0ver q *
t0 a midwde and I had t0 learn all these breathing techniques,  
but I didn t get t0 use them because he was b0rn right 0n a stretcher I
The 0nly thing I remember was the breathing technique that she ·
taught me t0 d0, that the d0ct0r didnt have time t0 d0. " I
"Actually with my yaungest child 0ne 0f the nurses in the ojice  
was a nurse-practitianer and als0 a midwde And she saw me a  
l0t 0n my fallow up visits and s0 f0rth. She w0uld talk t0 me, and l
I felt very c0mf0rtable with her: U she c0uld have d0ne the sur- [
gery (caesarean), that wculd have been fine with me. She knew  
my case. I felt like she w0uld understand my cancerns "  
"Pe0ple w0uld have t0 understand Like y0u said it was d0ne
years ag0. And they were c0mf0rtable with it then, but they ’ve
gatten away jram it. They have t0 be re-educated ab0ut what
they are capable 0f daing. " q
"And I think the midwde w0uld be accepted. I think a l0t 0f the
girls w0uld appreciate having a lady take care 0f them. N0thing
against men. Wamen have had babies, and they know what y0u
are g0ing through. "
The participants did share several concems about using a midwife  if
including the perception that midwives do not allow drugs for pain
during childbirth, the concern that complications to a pregnancy
will not be handled well by a midwife and a lack of knowledge I
about the training and qualifications of a midwife.  
" Well, I have t0 say that my daughter just had a baby and she had _

V complications at the very end So I don t know with a midwife,
i what the consequences would have been. They could have lost.
U The baby stopped breathing. They had to take her in for a c-
T section. "
p` Gender preference for provider. Almost all participants agreed
  that qualifications mattered more than the sex of the provider. A
. small number of women did agree that they would prefer a female
* provider for treatment of health problems associated with the fe-
; male reproductive system, childbirth, and the like.
Perceptions of altemative/complimentag; therapies. Participants
were about evenly split among those who had little or no knowl-
, edge of altemative therapy, those who had negative perceptions
  and those who had positive experiences or perceptions. In general
T those who had positive perceptions of altemative therapies already
i had experience with them or had positive perceptions with tradi-
[ tional folk remedies.
’ "Now my mother-in—law is from the old school, I mean she goes
into the mountains and digs these thing, roots and so forth, and
makes tea on them. And she still does that. That s what she grew
up on and it doesn t hurt her a bit. "
Q "Old people in the mountains, they know They can identyy the
herbs growing in the ground wild and know what to use them for
  A person I worked with said once, ‘You can t argue with suc-
{ cess ’ and its true. "
; The most common concems expressed were a concem that herbal
{ ’· remedies are untested by the F DA, the perception that people self-
` medicate without enough knowledge about these therapies, the
perception that herbal therapies will interact with prescribed medi-
' cation with negative results, and a concern that altemative thera-
. pies will not work at all, wasting time and perhaps allowing the
condition to worsen.

Most ofthe participants expressed interest in leaming more about  
such therapies. Further, most said they would be interested in a  
healthcare provider education in both traditional and altemative/ l
complimentary therapies. g
Therapeutic massage was uniformly desired. E
“U there was one close, and 1 could ajford it, I would be there l·
frequently "  
"I know someone with F ibromyositis, and she says it is the best  
thing for that ever: Better than any medicine. " »
"So many pressure points in your body that I dont know and l
none of us may not know You come out feeling like a new person. I
Its like when you go to a chiropractor or a physical therapist. " t
Sources of information available to participants regarding E
healthcare services/treatments in the community I
Word of mouth has a strong influence on healthcare decisions.
Many of the participants also identified family members as their
primary source of information regarding healthcare.
"I go to my doctor " ’
"My baby is a year old but when he was a newborn, I could call
the health department. Just with questions about a new born. I
would call the health department. They were good "
"A nurse, I ask her " "1j%lt very comfortable calling (midwives) l`
and asking anything. " I still call (nurse practitioner), she was a _
nurse practitioner for years and years. She got my family through I
a lot of stuji I wouldn t have jelt as free to call the doctor; you 1
wouldn thave gotten through anyway " "Sometimes with women
you just...its a woman-to-woman thing you need to talk about

l and Joe-Blow may think it s foolish but it is necessary " "Jane
. Uocal midwyfe) " "She Is a former nurse. I ask her: " "Someone
I knows someone who lv a nurse or someone who works in a clinic 
lv "I go to my daughter: Shes an RN "
"My mom s a nurse. " "Mommy"
  "It just hehrs to talk to a woman. "
l In the winter Quarterly Bulletin the implications for the work of
l the Frontier Nursing Service will be presented. We have leamed
Q much, and the Board will be finalizing our strategic plan.
l I end this article by quoting from the Director’s (Mary Breckin— "
‘ ridge) report to the Board of Govemors June 21, 1929. "The Di-
l rector reminded the trustees of the future plans for the work. We
l really were midway in our program for the initial demonstration.
l In four more years we should have our one thousand square miles
l covered in Kentucky, with the 30,000 population unit which Dr.
l Louis Dublin said would be essential for statistical purposes for
the Metropolitan Life Insurance Company’s tabulation, and the
1000 square miles under way in the Ozarks in Southem Missouri
and Northern Arkansas. That would mean that four years fiom
» now we would be in three states, a number of counties and on
several rivers, and in two mountain ranges, and would have the
data sufficient to put over an endowment drive for not less than
I $3,000,000.00. The sixth year could be given to consolidation,
thus closing the ten-year program, with which we are moving so
l far on schedule time. "

FNS Donates Land for Hyden Parking Structure I
A special groundbreaking ceremony took place in Hyden  
on May 13. Following years of planning, a parking structure in I
Hyden came one step closer to becoming reality. The new parking `·~
structure will be built on a small plot of land donated by FNS to E
the City of Hyden. The land is located in front ofthe Mary Breck—  
inridge Hospital, next to the river. I'
Many dignitaries, govermnent agents and citizens met in
the Leslie County Community Development and Training Center
on Maple Street in Hyden for the groundbreaking ceremony. Con—
gressman Hal Rogers was thanked for his work in helping bring I
the parking structure to Leslie County.  
           M Ig       or ~  s’<      
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: : , v_ lx
LM to right: City Commissioners Marvin Brannon and Jew I
Campbell, Deanna Severance, Mayor Eugene Stewart and J
Commissioner Joe Lewis.  

; Kate Ireland Healthcare Center - Manchester
  In the last Quarterly Bulletin (QB) we printed a "needs"
I list for the new clinic in Manchester. We received several responses
‘ already. Thank you!
For those of you who missed reading this in the last QB,
_ during July 2001, we were informed by a high ranking official in
L State Govermnent that the Kate Ireland Women’s Clinic and the
e Hyden Clinic could not reside in the same facility. Currently, both
E clinics are located within the Mary Breckinridge Hospital. There-
I fore, we would have to move or close the Kate Ireland Women’s
[ Clinic. A decision was made to open a new Kate Ireland Health-
  care Center in Manchester, Kentucky. Renovations are well un-
i derway and we expect to open by August 1, 2002.
[ If you wish to contribute for equipment needs please specify
[ on your gift that it is restricted for Kate Ireland Healthcare Center
{ in Manchester. Thank you for your support!
{ . {      
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Kate Ireland Healthcare Center in Manchesteg K entuclqv

Wendover News
by Christine Collins
This spring at Wendover has been
busy with visits from old and new friends I,
and we have been actively working on the  
grounds. Walking trails have been built on      
the lower grounds and nice benches and ~r   ;.t . _,,
tables will provide a sitting area for view- li U  
ing the Middle Fork of the Kentucky River       ·
which is located in front of Wendover.
I LF"?-I ITE   -
_ . ii $w=¢···;- __
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A V :¢;jv,'*,"‘:€wHr·M·;€.i   _  
· ·' ` i r,i.’‘ $52:*-,; . . V t , , i
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A8:7;ii'}iAnf,·a·;,`.·;:;'u   ` M   “ P ` A i
New walking/sitting area at Wendover with view 0f the river  
May 3, a memorial service was held for Dr. Anne Wasson. A.,
Many friends gathered at the Dr. Amie Classroom in Aunt Hattie’s I
Bam to say last good—byes. We still miss her. 4
Don’t put off visiting us! Call 606-672-2317 for a reser- 2·»;
vation at our growing Bed & Breakfast Irm!  

We entertained/hosted the following guests and functions
since the last report:
March l2 Gail Draut, Middletown, Ohio. Ms. Draut stayed
ip at Wendover while interviewing for an FNP
position at FNS.
"’ March 14 Angela Mitchell, Cleveland, Ohio. Ms. Mitchell
stayed at Wendover while interviewing for an
FNP position at FNS.
Margaret Demopolis, Versailles, Kentucky.
Frank Morgan, Hyden, Kentucky.
Mr & Mrs. Tom Hall, Frankfort, Kentucky.
March 26/27 TDS Telecom Mid-Central Division. Group of
43 guests.
March 27 John & Anna Hoover, Richmond, Kentucky;
James & Thelma Hoover and Debra Hoover,
Lexington, Kentucky.
March 28 Judy Marksbury, Louisville, Kentucky.
March 30 David & Melissa Richwine, Knoxville, Ten-
ga April 4 Jamie Johnson 4H group of l2, East Bernstadt,
5 April 5 Frontier Bound. Group of 36.
l Georgia & Peter Narsavage, Shaker Heights,
Ohio. FSMFN Faculty.

April II Keela Thomas, Rock Island, Tennessee. FNP
April I2 FNS Team Management meeting. Group of 14.
April I9/20 FNS Board of Governors meeting — Jane Leigh
Powell, Bill Hall, John Foley, Nancy Hines,
Mike Rust, Ken Tuggle, Deamia & Carl Sever- *
ance and Jemiifer Mercer.
April 27 Noel Femandez, Pomona, New York.
April 29 McKendree College, Louisville, Kentucky.
April 30 Geri Devary & Joyce Williams, Hodgenville,
Julie Vaughn, Clarksville, Indiana.
Vicky Crum, Brooks, Kentucky.
April 30 Jennifer Yocum, Lebanon, Kentucky.
Darla Forshee, Louisville, Kentucky.
Janice Johnson, Louisville, Kentucky.
May 6 CNEP & CFNP Level III. l2 students/faculty.
May 7 - I0 Barbara (Hunt) Bane, Norma Smith, Nancy g
Vanette and Connie Dilger, Womens Guild of J
Fairport, New York, visited. Ms. Bane worked as
the Social Services Secretary at Wendover I
during 1954-1956. Ms. Femandez was Social i
Service Secretary after Ms. Bane left. This group
celebrated a happy retmion at Wendover (see photo
on next page).

EJ   , ;,L ,  
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  ii fas i   -t}p. .  
Noel Fernandez and Barbara (Hunt) Bane
May 8 Rhonda Brashear, Hyden, Kentucky, and The
Kentucky Bankers. Group of 10.
May 9 Dionna Akemon, Department of Employment
Services, Hazard, Kentucky. Group of 15.
May 10 FNS clinics and APEX meeting. Group of 30.
May 14 Janice Wiegman, Rebecca Aitken, Beverly
Curry, Cheryl Fuller, Beth Horton, Amberiea
J Hull, Jaime Koerkenmeier, Bethany McGuire,
Julie Moran, Judy Jean Schroeder, James
Wright, McKendree College, Lebanon, Illinois.
C May 16 University of Cincinnati Nurse Midwifery
students. Group of l0.
May 17 FNS Team Management meeting. Group of 16.

April 30/May I McKendree College, Louisville, Kentucky. 18
May l0 University of Kentucky Nurse Program Staff,
Lexington, Kentucky. 8 staii`. <=
May 13 WB Muncy Elementary School, Cutshin, Ken-
tucky. 40 students/faculty. 'r'‘
May I4 McKendree College, Lebanon, Illinois. Group
of l l.
March 13 Morehead University, Prestonsburg, Kentucky. ~
5 faculty. I
March 2l/28 Somerset Tech, Somerset, Kentucky. 48 stu- 3
dents/faculty. .
March 25 Joyce Zuckerwerdth, Milton, Kentucky. I3 i
guests. J
April 2 Somerset Tech. Somerset, Kentucky. 19 stu- a
April 4 Jamie Johnson, Clay County Extension Office,
Manchester, Kentucky. 5 stall`.
April ll Central Kentucky Tech., Danville, Kentucky. _
I4 students/faculty.
April 22 Country Day School, Louisville, Kentucky. _
70 students/faculty.
April 26 Prestonsburg Tech. College, Prestonsburg,  
Kentucky. 27 students/faculty. Q

Frontier School of Midwifery and Family Nursing News
Susan Ulrich, CNM DrPH
Chairperson of CNEP
Greetings from the Frontier! I am , .  T T  
U pleased to be writing my first column for  I I    
the FNS Quarterly Bulletin.l became the I L _ I  
_Q acting Chair of the Department of Mid-     AVIT . j 
` wifery and Womerr’s Health on January 7,  V  p    
T 2002.Prior to that, I was Course Coordin-  T T   A ’7Tr
y ator for the birth center courses. I came   — *2    
, to Frontier School of Midwifery and Family Nursing after being
  the Director of the North Shore Birth Center in Beverly, Massa-
I chusetts, for almost 10 years. I often mentored Frontier students at
I the North Shore Birth Center.
  My midwifery education was completed at Georgetown
t University in I983. I have taught nursing students at the under-
  graduate and graduate levels. I completed a Doctor of Public Health
i Degree at the University of Pittsburgh in l99l. Being part of
i FSMFN is a dream come true for me.
{ The faculty ofthe FSMFN has been hard at work refming
  the new curriculum. Since implementing our newly revised cur-
E riculum in 2000, we have been evaluating areas that needed to be
f refined. Course Coordinators had a retreat i