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Volume 91

Number 1

Frontier Nursing University to Expand Facilities in Kentucky New location to support growth in student enrollment and programming

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TABLE OF CONTENTS Introduction to FNU................................................................................1 The Journey – Dr. Susan Stone.................................................................2 Alumni Spotlight......................................................................................4 Courier Corner.........................................................................................7 Courier Spotlight....................................................................................11 Field Notes ..............................................................................................13 Beyond the Mountains...........................................................................16 Notes........................................................................................................18 Wendover Report....................................................................................20 Footprints................................................................................................23 In Memoriam..........................................................................................22 Tributes....................................................................................................24 Trustees...................................................................................................25 Board of Directors..................................................................................26 Your Gifts at Work..................................................................................27 Ways to Give............................................................................................29

US ISSN 0016-2116 Frontier Nursing Service Quarterly Bulletin (USPS 835-740, ISSN 00162116) is published at the end of each quarter by Frontier Nursing Service, Inc., 132 FNS Dr., Wendover, KY 41775. Periodicals Postage Paid at Hyden, KY, and at additional mailing offices. Subscriptions: $5 per year. POSTMASTER: Send address changes to Frontier Nursing Service Quarterly Bulletin, 132 FNS Dr., Wendover, KY 41775. Copyright FNS, Inc. All Rights Reserved. Frontier does not share its donor mailing list.

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Introduction to Frontier Nursing University


ary Breckinridge spent her early years in many parts of the world — Russia, France, Switzerland and the British Isles. After the deaths of her two children, she abandoned the homebound life expected of women of her class to devote herself to the service of families, with a particular focus on children. Mrs. Breckinridge founded the Frontier Nursing Service in 1925 after several years of studying and practicing nursing and midwifery in the United States, England, Scotland and France. It was the first organization in America to use nurses trained as midwives collaborating with a single medical doctor, based at their small hospital in Hyden. Originally the staff was composed o  f nurse-midwives trained in England. They Our aim has always been traveled on horseback and on foot to provide to see ourselves surpassed, quality primary care, including maternity care, to families in their own homes. In 1928, and on a larger scale.” she recruited young people to serve as Couriers –Mary Breckinridge, and help the Frontier staff and nurse-midwives in Wide Neighborhoods, 1952 all manner of efforts. In 1939, Mrs. Breckinridge established a school of nurse-midwifery. The school provided graduates, many of whom stayed to offer care to families in Leslie County, Kentucky.

Today, Mrs. Breckinridge’s legacy extends far beyond Eastern Kentucky through Frontier Nursing University (FNU), which offers a Doctor of Nursing Practice degree and a Master of Science in Nursing degree with tracks as a Nurse-Midwife, Family Nurse Practitioner and Women’s Health Care Nurse Practitioner. FNU has students and graduates serving all 50 states and many countries.

How to Reach Us The Office of Development and Alumni Relations: Please direct questions, comments or updates to Denise Barrett, Director of Development, at (859) 899-2828 or send an e-mail to The Wendover Bed & Breakfast Inn: The Big House, Mary Breckinridge’s home, is a licensed Bed & Breakfast Inn located at Wendover. For reservations or to arrange a tour, call Michael Claussen, Development Officer, at (859) 899-2707 or e-mail Group tours can be arranged, and we are always happy to set up tours for organizations and educational programs with an interest in nursing history and Appalachian studies.


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the journey

Frontier Nursing University to Expand Facilities in Kentucky New location to support growth in student enrollment and programming


n March of this year, we announced that we will expand our school’s Kentucky-based facilities in 2017, through the purchase of a new property located in Versailles, KY. This property currently belongs to the Kentucky United Methodist Homes for Children & Youth (KyUMH). FNU has entered into an agreement to purchase the facility, located at 2050 Lexington Road in nearby Versailles, in response to growth in student enrollment and programming. Frontier Nursing University students travel to Kentucky from across the U.S. to attend orientations and education sessions in preparation for online coursework and clinical experience. The growth in enrollment over the last decade from 200 to more than 1700 students has prompted this new development. FNU currently admits approximately 800 new students each year and in 2015 graduated 565 nurse-midwives and nurse practitioners. FNU’s current operations include the historic campus in Hyden, Ky., the Wendover Bed & Breakfast Inn (a retreat center and national historic landmark), and two administrative office locations in Lexington. We are expanding our Kentucky operations initially by moving our administrative office to the new Versailles location where we will then work to develop additional capacity to serve students. We could not have asked for a better location for continuing our mission than the rural site of the KyUMH, a not-for-profit, mission-based organization like ours located about 10 minutes west of the Lexington airport in the beautiful Bluegrass region of Central


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Pictured L to R: FNU Chief Operations Officer Shelley Aldridge, FNU Dean of Nursing Julie Marfell, KyUMH President/CEO Reverend Randy Coy, FNU President Susan Stone and FNU VP Finance Michael Steinmetz sign an agreement on the purchase of the KyUMH Versailles Campus.

Aerial view of the Versailles property

Kentucky. Frontier Nursing University will leverage this property in new ways, but with the same ultimate goal of educating nurse-midwives and nurse practitioners who will improve the health and wellness for families in Kentucky and beyond. Over the upcoming year, we will be working with site planners in collaboration with our stakeholders on design and renovations. The University’s leadership and Board of Directors will be working on strategic plans for how to most effectively use the new space. As always, we will keep you informed of developments through our Quarterly Bulletin and other communication channels. We remain focused on our mission to educate nurse-midwives and nurse practitioners in the primary care of women and families with an emphasis on rural and underserved populations. We invite your feedback and questions and hope you will join us in our excitement for the potential for growth and excellence that this campus will provide. Respectfully,

Susan E. Stone, DNSc, CNM, FAAN, FACNM President


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alumni spotlight

Katrin Moskowitz, DNP Family Nurse Practitioner DNP Class 14


atrin, a 2016-2017 Fellow in the recently developed prestigious Duke University, Johnson & Johnson Nurse Leadership Program, graduated with her Doctor of Nursing Practice degree from Frontier Nursing University in 2015. The Duke Fellowship is a one-year, part-time program that develops advanced practice nurses as leaders in a clinical setting. Katrin works as a Family Nurse Practitioner with Community Health Center Inc. (CHC) in Meriden, Connecticut, and for one year has practiced in a new Quick Care clinic where she treats walk-in and call-in sick patients. The clinic was opened to enable CHC to offer care to patients without appointments, to keep them in the CHC system, and minimize trips to hospital emergency rooms. This work has allowed Katrin to obtain a broad range of primary care experience. A primary objective of the Duke program is to provide learning experiences for fellows that enable them to provide more effective and efficient health care delivery to underserved populations, which aligns with the mission of CHC, and with Katrin’s Frontier training. CHC values nurse practitioners and offered the first nurse practitioner residency in the United States. CHC is devoted to research and developing leaders. They are open to innovations that make quality care accessible to patients. As a Federally Qualified Health Center, CHC treats both insured and non-insured patients, many of whom are immigrant migrant farm workers. Katrin indicates that she will soon be moving to a primary care provider position at CHC where she will be considered an equal partner with physicians operating in a community health model of care.

When Katrin was looking for a Doctor of Nursing Practice program, she chose Frontier because it offered flexibility for her as a distance student, but she soon found a network of like-minded students.

Katrin credits much of her success to her experiences with Frontier. The networking opportunities with her fellow students and alumni, particularly through the Diversity Impact program, were particularly helpful in gaining an understanding of the diverse needs of her patient population. This year will be her third year 4

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to attend the Diversity Impact weekend on campus. Katrin is attending this year’s Diversity Impact as an alumnus and invited speaker. Diversity Impact weekend raises awareness and understanding of the unique needs of populations defined by ethnicity, sexual orientation, disability or other communities which experience disparities in health care. Participants discuss difficult and often emotional issues. As a participant, Katrin reports that the program helped raise her awareness about issues that apply when she is taking care of families in underserved areas. When Katrin was looking for a Doctor of Nursing Practice program, she chose Frontier because it offered flexibility for her as a distance student, but she soon found a network of like-minded students. Though each lived in different areas of the country, they built relationships through social media, email, and other avenues. She appreciates that Frontier promotes and supports a sense of community.

top: Katrin is employed with Community Health Center, in Meriden, Connecticut; bottom: Katrin volunteers in Haiti

Katrin was and continues to be impressed by another aspect of a Frontier education. The mission of providing care in wide neighborhoods is one she holds dear. Her commitment to this mission was evident in her doctoral capstone project which focused on the value of reflective writing for medical mission health care teams as a means of processing their experiences in their service trips abroad. Katrin joined a group that went to a trauma hospital in Port Au Prince in Haiti. The organization sends individuals for week-long experiences with other volunteers who work together in teams. She discovered there was no formal guidance for team members to process their experience and emotions after their participation in the program. Based on her feedback and her capstone project, the sponsoring organization has developed a handbook that recommends journaling before, during and after their trip.


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Katrin’s time spent in Haiti was one she will never forget. She explains, “The things I experienced impacted me: people were turned away; a child died. One night a man was shot in the head, but there was no room in the ER—all the equipment was being used—so he had to be turned away. You just have to know that’s the way things are there, amid scarce resources.” When she attends Diversity Impact this year, she will share her experience in a presentation titled “Personal Impact: Haitian Stories of Cultural and Ethnic Lessons Learned.”

“You have to work hard at it; develop your confidence.”

Katrin treasures the opportunity to continue engaging with Frontier alumni, and her advice to students and new graduates is to seek out opportunities to lead. She says, “You have to work hard at it, develop your confidence.” She looks forward to applying her leadership skills to continue advocating for nurse practitioner contributions to practice with CHC, through her medical mission work, and through engagement with Frontier alumni colleagues.


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courier corner By Mandy Hancock, FNU Courier Program Coordinator

We are excited to welcome the 2016 Couriers to join us for the summer. In June, seven Couriers will begin their service and join the more than 1,500 men and women who have served as Couriers since 1928. Meet the 2016 Courier Class: Jonathan K. Allotey: I am from the beautiful coastal country of Ghana located in West Africa. I came to the United States four years ago to pursue a degree in biochemistry. I graduated in May 2015 from the College of Wooster, Ohio. I want an opportunity to contribute to the work done by health and social organizations in an unreached community. Someday I would like to work as a Family Nurse Practitioner in a rural community. I applied to the Courier program with the hope of learning how nursing and primary healthcare is administered in a rural region with few resources. Julian Butler: I am a junior at the University of Richmond in Richmond, Virginia studying Biology with a double minor in Healthcare Studies and Chemistry. My hometown is Johns Creek, Georgia, about 30 minutes north of Atlanta.I joined the Courier Program because I want to experience medical practices in a rural environment. I am interested in becoming a family doctor and through research I have found that family doctors have a little more responsibility for their patients if they work in a rural environment. Working with the Courier Program will provide me with an understanding of rural medicine. I have never been to Kentucky or worked in a rural setting so this experience is something I am really looking forward to. 7

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May Congdon: I am finishing my junior year at Williams College in rural Massachusetts. Originally from San Francisco, CA, I came to Williams with the dream of seeing snowy winters and completing pre-med requirements. I definitely succeeded in experiencing a new climate, but I have put pre-med on hold in order to major in Women’s, Gender, and Sexuality Studies. I chose to participate in the Courier Program partly because I’m interested in going into nursing, and also because I’m really excited to learn more about a part of the United States I know very little about. It will be an honor to live in the Hyden area this summer, to meet the other Couriers and observe rural Appalachian healthcare. Vaishu Jawahar: I am a rising Senior at the University of North Carolina at Charlotte, majoring in Biology and double minoring in Public Health and Political Science. I was born in Chennai, India and my interest in combining medicine and public service comes from my heritage. My grandparents were born in a rural village to a family of poor low-caste farmers. They overcame their obstacles through education and became doctors, lawyers, and civil rights activists and instilled the same duty of service in me. I have always loved being around hospitals because I grew up in my grandma’s small private hospital, but my life changed when I saw the horrible conditions of an Indian government hospital. Since then, nothing has driven me more than the belief that every individual deserves access to quality healthcare. I want to observe healthcare from every perspective possible to fully understand the problem. I’ve volunteered at suburban

Join us for the Former Courier Service Project from September 26 - October 2, 2016! Come back to the mountains of Hyden, KY for fellowship, service and fun! FNU will be hosting the first Former Courier Service Project this fall as a kickoff to our Annual Courier Conclave. Couriers are invited back to Hyden for either a 7 day, 5 day or 3 day service experience. Couriers will participate in service activities, as well as cultural activities in the region, not to mention sharing stories with other couriers around a campfire! Details will be mailed out soon, but please Save the Date and join us for this exciting new opportunity.


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and urban hospitals. I’ve worked in labs in the pathway of drug development at the NIH. I picked up my minors and took classes such as Healthcare Policy. I’ve volunteered on grassroots campaigns to expand access to healthcare. However, I’ve never had the chance to see the most medically underserved areas of the country. I look forward to spending time in Appalachia to get to know the people and understand their needs. The rich tradition of service that Mary Breckinridge brought to Hyden is what drew me in, and I know I have much to learn from it. Justin Sim: I am from San Diego, CA and I am currently a sophomore at Williams College. I plan to major in both biology and history with a focus on pre-med. I decided to participate in the Courier Program this summer to immerse myself in an unknown environment and see how healthcare and life in general function in a rural part of the United States. I greatly enjoy getting to know new faces and cultures and I believe the Courier program will help me achieve new perspectives as I progress through my education and future career. Elleanna Wiering: I am an art and literature loving person with a passion for science and heart for serving people in the healthcare setting. Initially, I grew up in an iconic location of Minnesota (historic Minneapolis) before moving further north to my family’s hobby farm. At present I am back in the cities and attending a nearby University. My interest in the Courier program is mainly attributed to that I understand how I learn best, which is when I am immersed into settings, environments, and situations that cause me to make decisions. Another facet I am looking forward to is learning from others. Furthermore, the history of the Courier program itself is quite intriguing. I was fascinated because I had learned about Mary Breckinridge some time ago in a course, but had never made the connection that the Courier program sourced from her facilitations! When I actually made that connection, I realized I wanted to be a part of the program.


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Let’s Connect!

Once a Courier, Always a Courier! Like us on Facebook! Share your story! I want to capture your memories! Contact me at for an interview. Host a “high tea” at your home, in the spirit of Mary Breckinridge. I will help you plan it! Come home to Wendover! Visit the place where your journey began! I will meet you for tea! The new wooden staircase at Wendover

Check out our website at

Join the Wide Neighborhoods Program and be an ambassador in your state.


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courier spotlight

Wendy Neel Ellsworth What year(s) did you serve? I was a Courier the summer of 1967. Where are you originally from? McLean, VA Where do you currently reside? Michael Claussen, Wendy Neel Ellsworth, Diana Post and Mandy Hancock

Quakertown, PA Briefly introduce yourself:

I am an artist married to an artist. We live in the woods of rural Bucks County, PA. I am also an ordained Interfaith Minister. I have two grown sons and a stepdaughter, all in their forties. I teach classes in beadwork around the U.S. and am the author of a book titled Beading – The Creative Spirit: Finding Your Sacred Center Through The Art of Beadwork. Briefly describe your experience as a Courier: I was assigned to be the hospital Courier. I lived in the building next to the old hospital and worked in the hospital doing many things. I worked directly with patients and helped drive them to a bigger hospital in Lexington when necessary. I helped with patient files and made sure supplies got where they needed to go. One experience will stand out forever! I asked to observe a labor and delivery and one hot evening was summoned to the un-air conditioned third floor of the hospital, given a gown and mask, and was seated at the foot of the delivery table. I must have entrained my breathing with the woman when she was being told when to breathe, because after the baby was born, I held my breath until I passed out and fell off the stool. Betty Lester was not happy with me! How did the Courier Program impact you, your life and your vocational direction? Until I returned to Wendover recently for the first time since 1971, I hadn’t really made the connection between my experiences as a Courier and some of my life choices. After college, I moved to a log cabin high up in the Colorado Rocky Mountains with no running water or electricity. In hindsight, I think my experi-


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ences with the mountain people of Eastern Kentucky, who lived in remote log cabins with no amenities, showed me it was possible to live like that and be happy sitting on the front porch playing music. There was a group of us living in old cabins, and we gathered together often to sing and play traditional music. That’s where and when I began to bead. Perhaps observing the traditional crafts of Kentucky also had an impact on my choice of a vocation, to make a living with my hands. What is the legacy of the Courier program from your view? I think the legacy of the Courier program is the gift of giving young people the opportunity to be part of an organization dedicated to serving the needs of people living in the mountains of rural Kentucky. I think that being a Courier taught me how to be independent, self-sufficient, organized and dedicated to serving others. Why do you remain involved? I am involved through my family foundation which has been supporting Frontier for many years. We are in the process of endowing a scholarship in our mother’s name at FNU. She dearly loved her years as a Courier and stayed involved for the rest of her life. What are your biggest accomplishments since serving as a Courier? I am an internationally known seed bead artist and my work is in private collections of contemporary crafted arts as well as the Museum of Art & Design in NYC and the Boston Museum of Fine Arts. I am a published author of a book that connects beading with the Creative Spirit. I work with tribal women who bead in Kenya and sponsor the education of many young women and men there.

Diana Post and Wendy Ellsworth, both Couriers in 1967, enjoy a “ride” in the Frontier Jeep


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field notes

Dr. Stone Named Outstanding Alumna


Heather Bernard, daughter of Susan Stone, Gail Spake, FNU Writing Support Specialist, Irma Jordan, FNU’s FNP Program Director, Pat Cunningham, FNU Associate Dean for Psychiatric Nursing, and Wendy Likes, Dean of UTHSC College of Nursing attended the luncheon to celebrate with Dr. Stone, center, and Chairman of the FNU Board of Directors, Michael Carter, back.

he University of Tennessee College of Nursing Alumni Association has awarded Dr. Susan Stone the 2016 Outstanding Alumna Award. This prestigious award, given by the Alumni Association, recognizes the continued extraordinary service to alma mater and the nursing profession. The award was presented during the College of Nursing Alumni Awards Luncheon on May 6th on campus at University of Tennessee.

HIMSS Webinar FNU was showcased during a webinar in collaboration with HIMSS is an organization focused on transforming health and healthcare through the best use of information technology. FNU was able to share some of its history and to showcase one of the courses (N706), which uses a product from HIMSS, as one of the course resources. The webinar is available for playback on the HIMSS website. This webinar was presented by Diane John, PhD, ARNP, FNPBC, Assistant Professor/Faculty Mentor, Frontier Nursing University and Julie Marfell, DNP, APRN, FNP-BC, Dean of Nursing, Frontier Nursing University.

Honoring Our Preceptors Each term, we are pleased to recognize preceptors who are making a difference to current Frontier students. Preceptors are the nurse practitioners and nursemidwives in students’ home communities who help guide students through their clinical training. A Frontier education would not be possible without their dedication to the future generations of providers.


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Bernie Justice, APRN Pediatric Associates of Pikeville, Pikeville, KY Regional Clinical Faculty member, Melanie Morrison, eagerly nominated Ms. Justice for this honor, and says, “Bernie has willingly served so many students that I have now lost count. Despite the time constraints of a busy practice, Bernie has graciously given of her time and shared her expertise with FNU students from Kentucky, Virginia, and West Virginia. Bernie serves as a role model and consistently promotes clinical and professional competency. She actively engages students in the guided experience of applying knowledge to practice. Bernie’s “gift” of precepting is priceless.” Embodying Frontier’s mission of serving the rural and underserved populations, Ms. Justice has been a nurse for 25 years, and has been providing care as a family nurse practitioner whose focus is in pediatrics since 2009 in the Eastern Kentucky region of Pikeville. Pikeville, with a population just under 7,000, is located approximately 80 miles from Hyden, on the far eastern side of Kentucky, near the Kentucky-Virginia border. Elizabeth (Beth) Bramlett, CNM Women’s Health Care, Tampa, FL Ms. Bramlett provides full scope midwifery care for the patients of the Tampa Family Health Care System. Regional Clinical Faculty Meghan Garland reports that Beth and her site are very generous in precepting Frontier students, and “this kind and gentle preceptor is universally loved and respected by her students. She excels at teaching hand skills such as identifying fetal landmarks during labor. Her enthusiasm and love for midwifery is inspiring. The Federally Qualified Health Center where she see dozens of patients daily is a bustling, busy place but she takes the time to make every woman feel special. Her students feel that way too.” One such student that feels that way is alumnus, Melanie Combs, CNEP class 101/September 2014 graduate, who nominated her former preceptor for this special honor. Melanie goes on to describe Beth as “an amazing asset to my learning, and to my life. Beth never loses her amazing energy and personality. Even when I felt like I’d never get it, Beth was right there encouraging and


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helping me to understand. I feel so blessed to have called her my preceptor, a colleague and most importantly, a friend. There were a few weeks that we saw each other more than our husbands, so having found such a great friend in her was such a blessing!” Melanie recently joined the practice of Women’s Health Care herself, and since she completed her clinicals there, she says, “it was like coming home!” CNEP class 119/January 2016 graduate Kristin Nobles who just recently completed clinicals with Beth, also praises her former preceptor. Kristin says, “The compassion, knowledge, and evidence based care she provides grounded my faith in this profession and reminded me that midwifery-led care does positively change the culture of healthcare.”

Diversity Impact 2016 Student Conference “Back to Basics: Heritage, Culture, & Self-Care” FNU’s annual Diversity Impact weekend was held June 2-5 in Hyden, Kentucky. Participants learned more on diversity while taking in the sights of nature’s mountains and quiet rivers in Hyden, Ky. Diversity Impact 2016 Weekend Conference is hosted by the FNU student organization Diversity PRIDE Program, and is open to all students who want to become part of FNU’s legacy of providing culturally competent care to rural and underserved communities. Students engaged in cross-cultural and inter-cultural workshop activities, along with leadership strategies on current diversity healthcare trends as it relates to patient-provider care. Thanks to our event sponsors for making this important gathering possible!


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beyond the mountains

Olivier Kpognon Photography

Jonas Center for Nursing and Veteran’s Healthcare Celebrates 10th Anniversary


n March 18, Susan Stone, President, Julie Marfell, Dean, Denise Barrett, Director of Development and Dwynn Golden, Faculty, were honored to represent Frontier Nursing University at the 10th Anniversary celebration of the Jonas Center for Nursing and Veteran’s Healthcare. The event was held in New York Julie Marfell, Denise Barrett, City, headquarters for the Jonas Center. The Susan Stone and Dwynn Golden Jonas Center has provided scholarship funding for six students in Frontier’s post-master’s DNP program, and will sponsor four additional students for the 2016-2018 cohort. Students participating as Jonas Scholars receive valuable networking and mentoring opportunities and benefit tremendously from the leadership experience. We look forward to continuing our partnership with the Jonas Center.

FNU hosts “Call the Midwife” events in Florida and Kentucky In March, FNU hosted a wonderful series of four screening events for the hit PBS drama series “Call the Midwife.” We hosted events in Tampa, Orlando and Hollywood, Florida as well as Lexington, Kentucky. Nearly 150 guests at these events enjoyed a fun reception where they could network and mingle with one another as well as a free screening of the second episode of the new season. Be sure to tune into your local PBS station for this season’s “Call the Midwife” and if you live in Kentucky or Florida you just might catch a glimpse of an FNU commercial spot. Brittney Edwards, Director of Marketing and Communications, Larry Jopek, VP of Marketing and Community Partnerships from the WEDU station in Tampa, Tonya Nicholson, Associate Dean of Midwifery and Women’s Health and Jane Houston, Program Director, attend the Tampa event


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Dr. Ruth Lubic engages audience as the guest speaker for the annual Washington DC luncheon On April 12, friends gathered for the annual Frontier Nursing University Washington, DC Committee luncheon. During the luncheon, guests enjoyed an inspiring message from guest speaker, Ruth Lubic, CNM, EdD, Founder of the Developing Families Center in Washington DC and heard the latest news and updates from FNU President, Susan Stone. Over the last year, this group has raised more than $25,000 in order to establish the Marvin Breckinridge Patterson Scholarship. We are honored to recognize the late Mrs. Patterson with this permanently endowed scholarship. We owe much success to the work of Marvin Breckinridge Patterson. Not only did she create the iconic images we continue to use to depict our rich history, but also the enchanting film, Forgotten Frontier, which we continue to show to new students and visitors. Her volunteer fundraising efforts generated great financial support and awareness for Frontier from the greater DC area.

Kentucky Coalition serves as the kickoff for our year long celebration of Kitty Ernst’s 90th birthday! On Friday April 22, FNU hosted its annual Alumni & Friends reception at the Kentucky Coalition of Nurse Practitioners and Nurse-Midwives conference in Louisville, KY. Over 50 graduates, preceptors, faculty and staff came together for food, reminiscing and lots of laughs. Dr. Julie Marfell, Dean, delivered a short address to update attendees on FNU activities and introduced Pat Cunningham, Associate Dean of Psychiatric Mental Health Education. A highlight of the evening was an early celebration of Kitty Ernst’s 90th Birthday complete with singing of “Happy Birthday” in Kitty’s honor and enjoying a delicious birthday cake. 17

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NOTES Rhonda Arthur, who is both FNU faculty and alumnus, has received the Virginia Council of Nurse Practitioners 2016 Award for Educator of the Year Amanda Bockelman, FNU Clinical Credentialing Coordinator, welcomed baby Adrianna on February 17, 2016. Amanda and Adrianna are both are healthy and happy! Also pictured is big brother, Vincent. Dr. Anne Cockerham, Associate Dean of Academic Affairs and our Professor of History (and FNU Alumnus) received the Agnes Dillon Randolph Award at the University of Virginia School of Nursing for her significant contributions to the field of nursing history. While in New York attending the Jonas 10th anniversary gala, we had the pleasure of traveling outside the city to visit former Couriers Selby Ehrlich (1951) and Anne Collins (1960), pictured. Susan Stone and Denise Barrett recently met with supporter Alan Howard at his beautiful country home near Charlottesville, VA. Howard’s support is providing critical start-up costs for the Frontier Digital Depot and is also sponsoring student scholarships through the Marguerite B. Howard Scholarship, awarded in his mother’s memory. Thank you to Marian and Jack Leibold for hosting a wonderful dinner at their home in Cincinnati. On Friday, April 29 over thirty friends and family gathered for an intimate dinner. Marian shared her experience and memories as a Courier and reasons for remaining involved. Guests learned more about Frontier today from Susan Stone, Julie Marfell, Denise Barrett and Mandy Hancock. Mimi Niles, CNM, MSN, MPH (Class 52) was invited to address an audience at the Moms +SocialGood event, dedicated to empowering mothers around the world to create a better future for themselves and their families. The event took place at 18

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at the New York Times Center and was sponsored by Johnson & Johnson and the UN Foundation and was driven to create change, conversation and dialogue about health equity and justice for mothers and children. Mimi was asked to speak as a representative from the American College of Nurse-Midwives to celebrate International Day of the Midwife (#IDM2016) at the Moms +SocialGood event which strives to connect the Global Moms community to leading experts, notable philanthropists, and a worldwide audience. She had the honor of speaking about the crucial work done by midwives around the world and introduced the closing keynote speaker Christy Turlington Burns, founder of Every Mother Counts and tireless advocate for mothers, children and midwives. She was joined by her NYU Meyers College of Nursing family with doctoral colleague Melissa Martelly and mentors Susan Altman and Wendy Budin. While in Florida for the screening of “Call the Midwife�, Susan Stone and Denise Barrett had the pleasure of lunch with longtime supporter Mrs. Margaret Owens. The Florida state Board of Nursing, in accordance with HB423, has established the Controlled Substances Formulary Committee. Faculty member, Vicky Stone-Gale, DNP, FNP-C, MSN has been appointed as one of the seven members of this committee which will recommend a formulary of controlled substances that an Advanced Practice Registered Nurse may or may not prescribe for specific uses or in limited quantities.


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wendover report By Michael Claussen, Development Officer


endover is not only a historic setting where guests can conjure recollections of past visits to the historical headquarters, it is also a wonderful place to create new memories that will last a lifetime. Does this sound too good to be true? I can assure you that no one will go away disappointed after spending the night at the Wendover Bed and Breakfast Inn or enjoying a delicious home cooked meal in the Big House and taking part in the Frontier Tour. This past spring, Wendover has hosted hundreds of guests and groups and their comments usually echo this response “We will be back!� I would like to share three special stories from guests who have returned to Wendover. For some, after only a year. But for others, several decades have gone by.

The Cohort of DNP Class 17

In March, DNP Students from Class 17 returned to Kentucky to present their Capstone during the DNP Intensive. On the eve of their classes at the Hyden Campus, many students enjoyed a dinner together at the Big House, watched historical films of the Frontier Nursing Service and spent the night at the Bed and Breakfast. Here are some of their remarks about their visit: Dr. Lisa Schmidt Some of the cohorts of DNP 17 had the fortune of representing our class and staying at Wendover the night before Intensive. The experience was valuable and priceless. Having our cohort friends congregate together was enriched with culture and the ele-


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ments of the tireless efforts of Mary Breckinridge. We were now forever connected by her spirit and optimism for our futures. Dr. Karoline Priebe As a Frontier Nursing University student I always loved our special trips to Wendover. This time I decided to stay there for one night while attending the DNP intensives. My cohort decided to come in one day early and share this special experience. Wendover feels like a home away from home. There’s a magical feeling about this place. Dr. Karline Wilson-Mitchell Our group felt a strong sense of solidarity and support we held tightly, which meant face-to-face contact needed to replace all of those Google hangouts and Facebook posts. Despite the humor and minute-by-minute support we tried to maintain with social media, this mixed group of baby-boomers, generation X-ers and generation Y-ers, millennials etc. needed to touch and see each other. We needed to hear the cheers as both we shouted and heard “doctor” echoing within the walls that Mary Breckinridge built. There is power in place. There is power in this mountain that was Mary’s. And we had to drink it all in. The journey ahead required it. Read more about the Wendover adventures of DNP Class 17 at the FNU Blog:

Former Couriers Diana Post and Wendy Ellsworth join Courier Coordinator Mandy Hancock at the Mary Breckinridge Statue.

Diana Post and Wendy Ellsworth were FNS Couriers in 1968. They recently celebrated their high school reunion together and this spring they decided to come back to the place where they both spent time together as Couriers. Ms. Post mentioned that she didn’t know why she waited so long to return! “This lovely B&B is extremely comfortable, and the meals are just incredible.”

Ms. Ellsworth wrote that the buildings at Wendover have barely changed. Her mother, Mary Wilson Neel was a Courier as in the early years of FNS. The Neel Foundation has endowed a scholarship to Frontier Nursing University in memory of Mrs. Neel.


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Sylvia Leatherwood Enriquez told her family many stories of her time as a Frontier Nurse in the late 50’s and early 60’s. Some of her children surprised her for her 80th birthday with a trip back to Hyden to visit FNU, the Big House and other sites. This was her first time back since 1963. She wrote in our guestbook, “The mountains still call to 1958 Frontier Graduate School of Midwifery us and memories we have made will forever Alumna, Sylvia Leatherwood Enriquez rubs the brick from Florence Nightingale’s home. remain in our hearts. To see all of FNS, staff, A common tradition at Frontier is to rub the and changes, I find it is still the place I fell in brick for good luck. love with when I read Wide Neighborhoods.” She and her family plan to return to Wendover for the FNU Alumni/Courier Weekend later this year.

Handmade Baby Caps, Scarves and Blankets Update Homemade baby caps, blankets and scarves are still in demand for our FNU Students. Frontier nurse-midwifery students present a handmade baby cap to the family of a baby whose birth they attend, and our nurse practitioner students present lap quilts or scarves to their patients. The size needed for lap quilts is approximately 40 by 42 inches. Yarn should be worsted weight.

Mrs. Beth High recently attended the Washington DC Committee luncheon and delivered many caps and blankets made by her knitting group “The Flying Fingers”

Recently we received gifts from the following people: Rev. LaVonne Althouse Susan Dow Johnson, CNEP Class 3 Harriet Palmer Jeanne Sherman Elizabeth High and Flying Fingers of Westminster at Lake Ridge


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footprints As mentioned in the Wendover report, Sylvia Leatherwood Enriquez, returned to Wendover after many decades. Below is an excerpt of an article that she wrote for the Winter, 1959 Quarterly Bulletin while stationed at Belle Barrett Hughitt Memorial Nursing Center.

Leatherwood Leatherwood is a strange name to people in the flatlands of Louisiana where I was raised; but in the Kentucky mountains it is a fairly common one because of a wild shrub which bears that name. Several creeks have been named after the shrub. The area around Saul post office in Perry County is on upper Leatherwood Creek. This is a long creek that flows from the ridge of Panco Mountain all the way down to the Middle Fork. The lower part of the creek will be covered by the Buckhorn Reservoir. But the upper part of the creek, around Saul, is above the waterline of the lake. All of this means that some 23 families, who have been cared for from the Margaret Durbin Harper Memorial Nursing Center in the Bowlingtown valley, were being cut off from nursing and medical care. The nearest approach to those families was from the Belle Barrett Hughitt Center at Brutus on Bullskin Creek, some five or six miles up the steep Panco Mountain and across the ridge to Saul. As I have stated, Panco is a rugged trail. The people, knowing that the nurse might have to drive a jeep over that trail to transport any sick person out, decided to have two road workings. While their former nurse, Miss Olive Bunce, was still at Bowlingtown they got together, dynamited rocks, and hauled them to fill in the cracks and crevices. They soon made the road passable. But with the coming of winter and its ice and snow, the road, though much improved, is dangerous for anything but a horse. You can imagine my delight when I was chosen to be the district nursemidwife of Leatherwood for, besides loving to ride horseback, I had the happy coincidence of being named Miss Leatherwood. At first the people I met all misunderstood and thought I was just the Leatherwood nurse, so then I had to explain that it really was my name. The people of Leatherwood then thought I rightly belonged to them.


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mother’s day tributes The following people gave contributions to Frontier in honor of their friends or loved ones. The names in bold are the honored mothers. Robin Benway Linda Karle

Jennifer Frey Lorentzen Anne Lorentzen

Joyce Perry Denise Barrett

Lynn Bristow Melanie Wilson

Kitty Ernst Phyllis Farley

Nancy G. Rust Michael Rust

Erica Sarah Burkhart Leslie Tervo

Happy Mother’s Day to all at Wendover Robert Garthwait

Kathy Tenney Erin Tenney

Consuelo Crosby Jane Crosby

Elnora Harcombe Susan Graham

Casey Yunits Lees Breckinridge Yunits

tributes The following people gave contributions to Frontier in memory of their friends or loved ones. The names in bold are the deceased. Carol Hain Matthew Hain

Carol Koch Candace Kiebel

Jane Leigh Powell Anne Morrison

Kate Ireland William Leach

Anne Pearson McClusky Donald McClusky

Alice Ryan Barbara Peterson

Jane M. Isaac Arlene Gay Wilson

Shirley Ohl Harriet Nicol Charles Ohl

Annette von Starck Mary McAdoo

Mildred Kelsey Jean Johnson

Mardi Bemis Perry Ann Day


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The following people gave contributions to Frontier in honor of their friends or loved ones. The names in bold are the honorees. Everyone Connected with FNU Charlotte Wunderlich

Sylvia Leatherwood Enriquez The Enriquez Family

Marian Leibold Tom and Elizabeth Finn Julie Webster

trustees Mrs. Tia Andrew, Bermuda Mrs. Betty Dabney Brown, Louisville, KY Ms. Sarah Bacon, Brooklyn, NY Mrs. Heather Bernard, Hamilton, NY Governor and Mrs. Steven L. Beshear, Frankfort, KY Dr. Wallace Campbell, Berea, KY Ms. Carlyle Carter, Evanston, IL Ms. Anna Carey, Hyden, KY Mrs. Charles M. Chapin Dr. Holly Cheever, Voorheesville, NY Mrs. Lois Cheston, Topsfield, MA Mrs. John Dawson, Little Compton, RI Mrs. John J. Dete, West Liberty, OH Mrs. Peter Ehrlich, Bedford, NY Mrs. Robert Estill, Raleigh, NC Mr. John Grandin, Chestnut Hill, MA Dr. Joyce Fortney Hamberg, Southgate, KY Mr. and Mrs. John Hodge, Berwyn, PA Mrs. Robin Frentz Isaacs, Lincoln, MA Ms. Deborah King, Dedham, MA Mrs. Patricia Perrin Lawrence, Westwood, MA Mrs. Henry Ledford, Big Creek, KY

Mrs. Marian Leibold, Cincinnati, OH Mrs. Noel Smith Fernandez, Pomona, NY Mr. Theodore R. P. Martin, St. Louis, MO Mrs. Joan Lambert McPhee, Potomac, MD Mr. Wade Mountz, Louisville, KY Dr. Spencer Noe, Lexington, KY Mrs. Frank O’Brien, Boston, MA Mr. Dean Osborne, Hyden, KY Mrs. James Rawleigh, Louisville, KY Mrs. Helen Rentch, Midway, KY Mrs. John Richardson, Washington, DC Mrs. Linda Roach, Lexington, KY Mrs. Georgia Rodes, Lexington, KY Mrs. Sandra Schreiber, Louisville, KY Mrs. Austin Smithers, Lyme, NH Mrs. Robert Steck, Arlington, MA Mrs. Mary Clay Stites, Louisville, KY Dr. W. Grady Stumbo, Hindman, KY Mr. Richard Sturgill, Paris, KY Mrs. Mary Frazier Vaughan, Lexington, KY Mrs. LouAnne Roberts Verrier, New York, NY Dr. Patience White, Bethesda, MD Mr. Harvie Wilkinson, Lexington, KY


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board of directors Chairman Michael Carter, FNP, DNSc Vice Chairman Michael T. Rust, Louisville, KY Secretary Marion McCartney, CNM, FACNM, Washington, D.C Treasurer John Foley, Lexington, KY Board Members Wallace Campbell, PhD, Berea, KY Peter Coffin, Chair, Frontier Nursing Service, Inc. Foundation Chestnut Hill, MA Eunice (Kitty) Ernst, CNM, MPH, Perkiomenville, PA Della Deerfield, CPA Richmond, KY Nancy Hines, Shepherdsville, KY Jean Johnson, PhD, RN, FAAN, Cabin John, MD Phyllis Leppert, M.D., Ph.D., Durham, NC Robert Montague, JD Urbanna, VA Peter A. Schwartz, M.D., Wyomissing, PA Kenneth J. Tuggle, JD, Louisville, KY Nancy Fugate Woods, PhD, RN, FAAN, Seattle, WA

Pictured l to r: Ken Tuggle, Wallace Campbell, Marion McCartney, Della Deerfield, Phyllis Leppert, Jean Johnson, Nancy Fugate-Woods, Michael Carter, and Peter Schwartz Not pictured: Michael Rust, John Foley, Kitty Ernst, Nancy Hines, and Robert Montague


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your gifts at work

The Berea College Appalachian Fund


upport in the form of scholarships is invaluable to our students. Berea College Appalachian Fund has been a long time supporter of Frontier Nursing University students and their contributions have truly promoted the education of students who are able to impact access to health care in rural and medically underserved communities. The Frontier Nursing Service and Frontier Nursing University have had a partnership with the Berea College Appalachian Fund spanning decades, and since 2007, Berea has been focusing their funding on scholarship support for students from Appalachian counties. Just since 2011, the Fund has graciously provided Frontier with $50,000 in scholarship funds for nine deserving students living in counties throughout Eastern Kentucky. We checked in with these scholarship recipients, now graduates, to see how their Frontier education is now benefiting the communities they serve. Jennifer Akers, a family nurse practitioner graduate from Salt Lick, Kentucky, is working as a registered nurse with KYOne Health. She is pursuing an opportunity in advanced practice nursing that will cover care in multiple eastern Kentucky counties (Powell, Lee, Breathitt, and Menifee). Jennifer says she is so thankful for the scholarship funds as they made a big difference in her life. She is considering pursuing a Doctor of Nursing Practice degree due to her improved financial situation following the scholarship. Kristi Shane Hall is a family nurse practitioner graduate from Littcarr, Kentucky and is currently working as an Advanced Practice Registered Nurse in Hazard, KY. Tosha Thomas is a family nurse practitioner in London, Kentucky and she currently works for KYOne Health. She splits her time between practice in Bath County and Laurel County, KY. Her role is to provide coverage when short a provider and provides family practice care. She feels very well prepared since graduating and is thankful for the scholarship.


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FRONTIER NURSING UNIVERSITY Annette Williams is a family nurse practitioner living in Berea, Kentucky. She is currently working with a hospitalist group at Baptist Health Lexington. She serves about 10-11 cardiothoracic surgery patients per day. Her degree allowed her to attain this position, which enables her to have a schedule that works best for her family. Leslie Deaton is a family nurse practitioner in Combs, Kentucky and is working fulltime for Primary Care Centers of Eastern KY (Perry County) and Hospice of the Bluegrass (Mountain Area/ Hazard). She enjoys her job and is thankful for the scholarship received, allowing her to pursue her dreams and provide care in her home community. Rebecca Conley is a family nurse practitioner and resides in Emmalena, KY. She has remained in Pikeville, KY to practice in primary care clinics since graduating in June 2012. Cynthia Surer Maggard is a family nurse practitioner graduate from Hyden, Kentucky. Cynthia is working with Baptist Health Primary Care in London, KY. These students realized personal and professional success as a result of their education. Frontier Nursing University has grown to educate providers serving every corner of the country. It is notable, however, that Kentucky continues to be one of our top states for student recruitment. In fact, between 2010 and 2014, Frontier graduated 244 nurse practitioners and nursemidwives in the state of Kentucky. Of these graduates, 71% (173) are providers located in Kentucky’s 5th District. As you can read from the sampling of Berea College Scholarship recipients, each of these graduates are improving quality and access to healthcare in the communities they serve. As we advance Mary Breckinridge’s vision to make healthcare accessible to those who need it most, support for student scholarships has been of tremendous value for students and the communities they now serve. Thank you, Berea College Appalachian Fund, for recognizing the importance of your contributions to achieving our mission and we are especially proud of our scholarship recipients who go on to impact care throughout Kentucky and beyond. Please consider supporting the FNU Student Scholarship Fund with a gift today!


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Ways to Give: A Lasting Investment Your investment in Frontier Nursing University is an investment in quality healthcare for all. There are many ways you can support FNU. Gifts ranging from donations for operations to trust instruments to testamentary gifts each provide much needed support for our work. Some of the more common methods are: • Annual Fund Donations: Gifts may be made by check or credit card and can support the general operations of FNU, or be restricted to particular programs. You can use the enclosed remittance envelope or make a gift online at online-giving. • Stock Gifts: You can donate your appreciated stock directly to FNU. Please call the Office of Development for instructions. • Charitable Remainder Trusts: These gift instruments allow you and/or your loved ones to benefit from monies placed in the trust during your/their lifetime. Upon the death of the named beneficiary, the remaining balance in the trust is transferred to FNU. • Perpetual Income Trusts: These gift instruments allow the income from monies you place in trust to benefit FNU in perpetuity. The principal of your gift remains intact for the life of the trust, and the income it generates is transferred periodically to FNU. • Life Insurance: You can name FNU as the beneficiary of your life insurance policy, or transfer ownership of the policy directly to FNU. • Charitable Gift Annuity: You can give a one-time gift to FNU in exchange for fixed, recurring payments over the balance of your life. Upon your death, the balance of your original gift is maintained by FNU for its general use. • Testamentary Gifts: You may make provision in your will to provide a specific bequest to FNU, or provide for some or all of your remaining estate to be given to FNU upon your death. Each of these gift avenues has specific tax implications. Please contact your attorney or financial advisor for further information. For additional information on making a gift to FNU, please call 859-899-2828 or email Denise Barrett, Director of Development at


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FRONTIER NURSING SERVICE, Inc. Its motto: “He shall gather the lambs with his arm and carry them in his bosom, and shall gently lead those that are with young.� Isaiah 40:11 Its object: To safeguard the lives and health of mothers and children by providing and preparing trained nurse-midwives and nurse practitioners for rural areas where there is inadequate medical service; to give skilled care to women in childbirth; to give nursing care to the sick of both sexes and all ages; to establish, own, maintain and operate hospitals, clinics, nursing centers, and educational programs for nurse-midwives and nursepractitioners; to carry out preventive public health measures; to educate the rural population in the laws of health, and parents in baby hygiene and child care; to provide expert social service; to obtain medical, dental and surgical services for those who need them, at a price they can afford to pay; to promote the general welfare of the elderly and handicapped; to ameliorate economic conditions inimical to health and growth, and to conduct research toward that end; to do any and all other things in any way incident to, or connected with, these objects, and, in pursuit of them to cooperate with individuals and with organizations, private, state or federal; and through the fulfillment of these aims to advance the cause of health, social welfare and economic independence in rural districts with the help of their own leading citizens.

From the Articles of Incorporation

of the Frontier Nursing Service. Article III as amended April 1999


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FNU Quarterly Bulletin Spring 2016 Volume 91 Number 1  

The official quarterly publication of Frontier Nursing University.