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Gloria Park, M.D. talks with Karen Brewster on August 25, 2005 at her home in Anchorage, Alaska about...
1) Background information.
Alaska\ medical school -- Colorado\ medical specialty -- family medicine\ birthdate\ birth place -- Washington\ doctor --education\ Mayo brothers -- biography\ women -- medical school\ University of Washington Medical School\ Pullman Washington State University\ Park, Orlo -- husband\ Boulder, Colorado\ University of Colorado Medical School\ marriage\ medical specialty -- general medicine|
2) Coming to Alaska and working for the Civil Service.
physicians -- shortage of\ Alaska Native Service\ Alaska Native Medical Center\ Civil Service -- contract\ Public Health Service\ contract -- renewal\ Public Health Service Corps and Civil Service -- difference between|
3) Start of the Community Health Aide Program and choosing aides.
Johnson, Dr. Walter \ program -- experimental\ community health aide\ communication --radio\ community health aide -- selection\ village -- selection\ mid-wife\ chemotherapy aide\ tuberculosis\ State Health Department\ Public Health Nurse -- travel\ shortage -- nurses and doctors\ medicine -- TB\ job -- chemotherapy aides\ nurses -- shortage\ doctors -- shortage|
4) Radio calls to chemotherapy aides and health aides and traveling to villages.
medical aide\ community health aide\ Johnson, Dr. Walter\ health aide -- manual\ community health aide program -- development\ health aide -- village\ training\ field trips\ villages -- travel to\ Alaska Native Medical Center -- outpatient department\ job -- responsibilities\ babies -- delivery\ medical care\ training\ village trips\ supplies\ medical records\ clinic -- patients\ clinic -- volunteers\ school -- use of space|
5) Traveling out to villages and doing outpatient clinic work.
villages\ community health aides -- meeting\ outpatient clinic -- head of\ hospital -- employees\ Tower, John -- physician\ [Whaley], Helen -- physician\ training\ experience -- learn from\ patient -- travel\ patient -- transportation\ bush pilot\ travel -- funds\ physician -- help from|
6) The 1964 Community Health Aide pilot project.
doctors\ Kotzebue\ health aide -- training\ health aide -- manual\ medical aide -- training\ medical coverage -- statewide\ Alaska Native Medical Center, Anchorage -- coverage\ service area units\ Bethel\ Kanakanak\ Barrow\ Kotzebue\ Tanana\ Mt. Edgecumbe\ Nome -- private hospital\ sub-area hospitals\ Fort Yukon -- clinic|
7) Training manual and the pilot program.
[ Dixon], Dr. Dave\ training manual -- development\ training program -- development\ pediatric clinic -- growth\ pilot program -- villages\ Nondalton\ Iliamna\ Pedro Bay\ Kodiak\ McGrath\ Aleutian chain -- villages\ manual -- doctors use\ public nealth nurses -- travel\ [Fritz], Dr. Milo -- Ear, Nose, and Throat\ Shelton, Dr. Joe -- ophthalmologist|
8) First training manual and changes in the health care system in Alaska.
area service units\ manual -- use of\ manual -- content\ emergency\ injuries\ respiratory\ infections\ prenatal care\ treatment -- rural Alaska\ medical supplies -- villages\ standing order -- description\ communication -- level of\ work -- schedule\ hospital -- number of beds\ tuberculosis -- treatment\job -- hours\ family -- care of\ support -- husband\ job -- challenge\ private physicians -- help from\ surgeons -- number of\ children -- number of|
9) Medicines available for the villages.
medicine -- type of\ antibiotic\ penicillin\ sulfa\ nitro-glycerin\ medicine -- heart attacks\ medicine -- tuberculosis\ cough syrup\ communication\ village -- contact\ clinic -- helper\ illness -- description of\ training program -- need for\ midwives -- involved in training|
10) Training manuals for training developers, teachers, doctors and health aides.
training\ manual -- development of\ Langsam, Dr. Fred\ doctors -- training\ health aide -- manual\ Alaska Medical Aide Training Program Compendium\ training manual -- 1976 Guidelines for Primary Health Care in Rural Alaska\ manual -- creating\ collaboration\ [Bonar], Howard\ radio -- maintenance\ radio -- villages\ communication -- radio|
11) Other physicians associated with the program and putting together the early manuals.
Dippé, Don -- ophthalmologist\ eye care program\ refraction kit -- lenses\ Fortuine, Robert\ Fraser, Bob -- television program\ Whitaker, Joe -- pharmacist\ Perkins, Ron -- sanitation engineer\ sanitation aides\ teachers aides\ dental aides\ [Templin], Dave\ Community Health Aide Practitioner Manual\ manuals -- other|
12) The beginning of the formalized Community Health Aide Program and working on the manual.
Community Health Aide Program -- formation\ Community Health Aide Program -- involvement\ traveling clinics\ field trips\ health aides -- work with\ General Medical Officers -- duties\ travel -- villages\ manual -- work on\ time schedule\ travel -- end of\ villages -- field trips\ travel -- stranded\ weather\ family physician -- village|
13) Responsibilities after she stopped traveling, the health aide program and communication.
job -- duties\ management\ health aides -- need for\ dental aides\ locals -- pulling teeth\ locals --midwifery\ program -- success\ communication\ confidentiality -- issues\ difficult situations -- dealing with|
14) Health aide training and relationships with the doctors.
training -- amount of\ training -- need for\ training -- improvement\ health aides -- responsibilities\ health aides -- interaction with\ health aides -- working with\ Nelson, Betty\ Samuelson, Mattie -- King Cove\ Brodsky, Richard -- Anchorage\ Iliamna area\ Brown, Carolyn|
15) Changes in rural health care and the Indian Health Service.
communications\ training\ supplies\ clinic buildings\ travel -- children\ Indian Health Service\ Regional Health Corporation\ health management -- changes\ health corporation -- transition\ manuals -- development\ community health aide program -- creation of|
16) Community health aide manuals developed over the years and the work done by early sanitation aides.
health care -- teachers\ manual -- first\ Langsam, Fred\ public health nurse\ manual -- development\ dietary -- basics of\ sanitation programs\ water -- access\ waste disposal\ sanitation manuals\ dental guidelines\ dentist -- travel\ health care -- rural Alaska|
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