{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://arizona.aviaryplatform.com/iiif/db7vm43t3g/manifest","type":"Manifest","label":{"en":["University of Arizona College of Medicine"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/038/original/university-libraries-logo-2x.png?1711560609","metadata":[{"label":{"en":["Publisher"]},"value":{"en":["University of Arizona Libraries"]}},{"label":{"en":["Rights Statement"]},"value":{"en":["Copyright held by University of Arizona Libraries"]}},{"label":{"en":["Source"]},"value":{"en":["Arizona Alumni Forum videocassettes, MS 646, box 4, tape 6"]}},{"label":{"en":["Agent"]},"value":{"en":["Dalen, James E., 1932- (interviewee)"]}},{"label":{"en":["Date"]},"value":{"en":["12/24/89"]}},{"label":{"en":["Coverage"]},"value":{"en":["Arizona--Tucson (spatial)"]}},{"label":{"en":["Language"]},"value":{"en":["English"]}},{"label":{"en":["Description"]},"value":{"en":["Guest – James Dalen."]}},{"label":{"en":["Format"]},"value":{"en":["U-matic"]}},{"label":{"en":["Identifier"]},"value":{"en":["MS646.049 (uid)"]}},{"label":{"en":["Relation"]},"value":{"en":["Arizona Alumni Forum videocassettes (part of)"]}},{"label":{"en":["Type"]},"value":{"en":["Interviews"]}}],"summary":{"en":["Guest – James Dalen."]},"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["Copyright held by University of Arizona Libraries"]}},"provider":[{"id":"https://arizona.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["University of Arizona Libraries"]},"homepage":[{"id":"https://arizona.aviaryplatform.com/","type":"Text","label":{"en":["University of Arizona Libraries"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/038/original/university-libraries-logo-2x.png?1711560609","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/159/437/small/azu_ms646-049_a.mp4_1651774720.jpg?1651774721","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437","type":"Canvas","label":{"en":["Media File 1 of 1 - azu_ms646-049_a.mp4"]},"duration":1839.572,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/159/437/small/azu_ms646-049_a.mp4_1651774720.jpg?1651774721","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/content/1","type":"AnnotationPage","items":[{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-arizona.s3.wasabisys.com/collection_resource_files/resource_files/000/159/437/original/azu_ms646-049_a.mp4?1651774711","type":"Video","format":"video/mp4","duration":1839.572,"width":640,"height":360},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437","metadata":[]}]}],"annotations":[{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806","type":"AnnotationPage","label":{"en":["ms646-049 [Transcript]"]},"items":[{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Hi, and welcome to Arizona alumni forum. I'm Kent Rollins, director of the Arizona Alumni Association. Today we're going to talk about a subject that really affects all of us. And that's healthcare and medicine. And I'm pleased to have as my special guest, Dr. James Dolan, who is the Dean of the UVA College of Medicine. And Jim, I'm glad you could be with us today. You're basically the new dean, although it's been a year and a half century game, and you really are more than the Dean of the medical school, you're the vice provost of Arizona Health Sciences Center. Describe quickly what that is. It's bigger than just the College of Medicine.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=42.0,76.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Yes, Arizona Health Sciences Center includes the College of Medicine, the College of Nursing, the College of Pharmacy, the University Medical Center at the University Hospital, and then the group of physicians called the university physicians, and then one more the College of health related professions. Okay,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=77.0,94.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: we're gonna get into some of those with you today. But let's start on the field of medical education. Since I think that's something that concerns us, you know, what's happening with the doctors that are treating us today. I know medical schools have come under some fire for maybe turning out skilled technicians as doctors are very intellectual, but maybe cold and uncaring as human beings. Now, is that a is that a valid kind of a statement or criticism?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=95.0,119.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Oh, I think in some cases, it's appropriate. And the reason is, the medicine changed. So dramatically. Before World War Two, there was very little technology, and really all a physician had was is in a relationship to the patient. And now as medicine become more technical, and there are more procedures and technology, if we don't watch ourselves, we could become technicians, we try very hard to prevent that we do that in the way we select our students we try to get the students we think are the best rounded, they can relate best to our patients. We try to serve as role models to show that is more than technology, and as included in many of our courses, but it's something we have to constantly work on.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=120.0,156.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Do you have anything to improve bedside manner? Is there such a course in their curriculum? Or do they can they take a specific course? Or do they come in with a skill to be?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=157.0,166.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Oh, I think it's both I think people come in with the right interpersonal skills. And then I think it's how they, how they react with their professors. Who are their role models, they see them seeing patients. See, the last two years of medical school is really clinical training at the bedside with seasoned professors, physicians, and we hope that our students then see the best possible relationship with patients.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=167.0,187.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: You've been here a year and a half, what are the goals that you've established in terms of medical education? What are the changes that that you might like to see made?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=188.0,196.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Well, I think we're looking very closely at our admission policy, that that's the heart of the whole matter is that who do we accept for our medical school? As you know, we take only Arizona residents, we have a relatively small school, 88 students in the class, but we get more than 200 250 applicants for those 88 spots. So we do far better than the national average mean, our job is to keep the very best students here in Arizona. And we believe that we're making strides in that direction.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=197.0,224.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: If you look, say over the last 25 years, how do you see the profile of students that are going in to be doctors now is it changed much has changed dramatically, the","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=225.0,234.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: most dramatic change is women. 25 years ago, very, very few women went to medical school less than 5%. And now medical schools like ours, about half the class are women. And that's had a very positive benefit on medicine. For example, you're mentioning about the bedside manner. It's my own personal belief that that's a more natural quality for women, to interact with others with patients and be concerned about things other than technology than men. And I think our male physicians, our male students have learned that from their women students,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=235.0,266.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: you see about half of the class of say 44 in the 40 someplace. What kind of competition Do you see between the men and women medical students? Is there any?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=267.0,275.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: None? None that I can detect.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=276.0,278.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Okay. How about the the minority issue? Are we seeing enough Hispanic black or Native American students coming into medical school we","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=279.0,286.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: do better than most medical schools we need to a lot better. And as you know, the problem is more complex. It has to do with how many people actually apply to medical school. And our percent that we accept is higher than national Average the last numbers I saw is about 14%. of minorities.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=287.0,304.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: The when you go out to look at the students, in your take on the in State students, is there enough base in our three state institutions to recruit from?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=305.0,316.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Yes, maybe there are also students from Arizona, they go to college outside of the state of Arizona. Okay, so applicant pool is very good, as I mentioned is more than 215. And that is much better than national average, the national average now is about 1.7 applicants per one spot. Ours is closer to two and a half to three times for each spot.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=317.0,334.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Okay, and you think it's gonna get worse?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=335.0,336.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: No, I think it's getting better. It's getting it's getting better. I think it peaked out about two years ago. And I think actually is a good sign back in the 70s. For example, there were maybe 10 applicants for every position on medical school, okay, what that meant was that many well qualified students couldn't get into medical school. And many of them went on to medical schools in the Caribbean and other places that I don't think gave the best possible medical training. But it really means now we can tell a student honestly, that they're a good student, and if they work hard, and they get good grades and they want to go to medical school, there's a very, very good chance that they'll be accepted.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=337.0,371.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Okay. Dr. Dolman Stay with us. We're gonna come back talk about services to the state by your outfit in just a minute. Please stay with us.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=372.0,471.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Welcome back to Arizona alumni forum. I'm Kent Rollins, director of the Arizona Alumni Association. My special guest today is Dr. James Dolan, College of Medicine Dean and Vice Provost for health related areas at the university. Jim, we're talking a little bit about the College of Medicine in particular. And I think though, if we look at the overall Arizona Health Sciences Center, you really try to provide services to the entire state. Can you give us a little bit of an overview on the philosophy what's behind this? This program,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=472.0,503.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: our medical school in Arizona Health Sciences Center is state supported. We're the only state medical school in the state. And that gives us a very special role to play in the state. Obviously, one of our most important missions is supply health manpower for the entire state, physicians, nurses and pharmacists. We mentioned earlier that the number of our class size is small. But a recent survey indicated by the fund foundation indicated that the number of physicians in Arizona is about right, there's not a shortage, and there's not an oversupply. And that becomes in part from our graduates. But then there's another group of physicians that we haven't talked about. And those are positions called residents in training. People have graduated medical schools throughout the country to come here to Tucson and Phoenix for we call postgraduate training, and more than half of them stay within the state. So that's one area that we reach out to the state. We are involved in a national program called a hack that's called the academic health education centers. And the whole purpose of a hack is to help medical schools like our own to reach out the entire state, particularly to the rural areas, okay. What allows us to do is to place students, medical students, nursing students, and pharmacy students to go out in the field to small rural areas to get part of their training. And the reason for that is we think that'll increase their chances of wanting to practice in that area. The third area, obviously, is research and we might spend some time talking about that later. Obviously, everything we do in research affects not only our own state, but but the In the entire country","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=504.0,600.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: isn't Is this the going back to the rural efforts, the direct services that you can provide through the medical students? Is this a national problem or just one in states like ours that have several major population centers and then much smaller centers throughout the state.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=601.0,618.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: It's a national problem, this particular challenge in Arizona, because of the large geographic area, and the fact that many of the small towns, by definition have very small hospitals. And they might be more than 100 miles from another hospital. And the challenge there is to make sure that those hospitals aren't isolated, to make sure they're linked up with other centers in terms of communication. In terms of transport, for example, our helicopter service, which was initiated a few months ago, has an important impact on us being able to serve as backup for some of the small hospitals, which is really one of the reasons that physicians not just obstetricians, but other physicians may not want to practice in a small rural area, is the fact they feel isolated out of the mainstream, is we're working very hard to help to correct that not only with our transportation system, but with information systems, we hope to be online with a Health Information System throughout the state within the next year, we think that'll be important.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=619.0,674.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: The you mentioned the helicopter, which is a relatively new program, some people may not be aware of, maybe spend just a little bit of time on that. And I think that's connected to a trauma center, which is quite sophisticated. And, and I think that might be of interest to some of our listeners, tell us a little more about that","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=675.0,690.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: helicopter service started at the University Medical Center about two months ago. And the reason was that the one helicopter that's based here, Department of Public Safety clearly was overworked. It took care of medical missions. It also took care of criminal things and rescue in a variety of other functions. And we felt as did other people in the community, we needed a helicopter devoted to medical care. So that helicopter is very specially equipped. It's like a flying Intensive Care Unit, we're able to take care of two very critically ill patients at the same time. We have special flight nurses and paramedics. In addition, obviously to the pilots. And they are involved with our trauma program, for example, very severe trauma, car accidents, various parts of the state. If the ambulance that arrives, the paramedics determined that this is a very serious injury. And one it really has minutes to administer care that our helicopter can land on site, stabilize the patient, and bring it back to University Medical Center.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=691.0,754.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Okay, just a quick comment to because I know this is a popular and a free program. And that's the Poison Control Center,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=755.0,761.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: poison control centers very important program that's a joint program between the College of Pharmacy and the College of Medicine. And they answer calls from all over the state with a whole variety of serious problems of ingestions of a potential poisonings of accidental ingestion of various products. And they have available all the latest information and how that should be treated as a very important service for the state. Okay,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=762.0,790.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: stay with us. We're going to come back in just a moment.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=791.0,882.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Welcome back.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=883.0,885.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Welcome back to Arizona alumni forum. I'm Kent Rollins, director of the Arizona Alumni Association. My special guest today is Dr. James Dolan. We're talking about some of the statewide services offered by the U of A college of medicine and the Arizona health Sciences Center, a gym, we talked about poison control. We talked about the trauma center, the helicopter service. We talked about having our medical doctors in training going out to some of the communities. One of the things that I've heard and I think read over time is that it's still difficult in the small rural communities in Arizona to get a baby delivered. Now, is that a medical problem? Is that a problem in some other area? what's what's really happening there in the in the smaller communities?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=886.0,928.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Well, let's talk about that guy. That is a very interesting problem is particularly a problem in Arizona. Water boils down to is there are many towns and small cities in Arizona, where there are no obstetricians who want to deliver babies, and no family physicians who are willing to deliver babies. Now, for example, the obstetricians will give up delivering babies and limit their practice to gynecology in the family practitioners may stay in the town, but not deliver babies. Well, obviously, something is very seriously wrong. If one is living in a city or a town where someone is qualified to deliver the baby, but doesn't want to do it. There has to be something seriously wrong. And that's the reason that the legislature set up a special commission to look at this problem. I was asked to be the chairman of that committee, we've been meeting. We have physicians, we have nurses, we have legislators, we have lawyers, and we're trying to look at some of the reasons. The first reason that everybody thinks up is the malpractice problem. Namely, the premiums for an obstetrician are extraordinary. I don't know the exact number by between 60 and $80,000 a year if one wants to deliver babies in Arizona, and that's obviously extremely high. But the problem goes beyond that. There are places in Arizona where the hospital is willing to pay the entire malpractice premium. But still, arbitration don't want to go there.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=929.0,1016.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: The people still want take that","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1017.0,1018.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: they offer even though the even though the malpractice insurance is paid for him, I think the real reason is more complex. And relates we were saying earlier that people will want to feel isolated. In our society, we expect a perfect outcome, particularly for delivery of babies, every baby has to be perfect. And the only way we can do that we can't First of all, we can't do that we do the best we can. But an obstetrician wants to make sure that he has appropriate backup, that if there's a problem, they can get some help. That is that he has what's called neonatologist to look at children, newborn who have problems, he may need the cardiologist, he may need another specialist. So I think that we need to look at systems of medical care. And I think we need to talk about regionalization I think we can do that, that I think we will be able to have obstetricians to locate in these towns and deliver babies.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1019.0,1069.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Let's switch gears research. I think, at least it would be my impression that a great deal of the reputation of our Health Sciences Center is built on the research some of the things that are going on one that comes to mind, because he's been very active in helping us educate alumni. And that's Dr. JACK Copeland. And I understand now that we're looking at a heart center the concept of a heart center, and we're moving forward on that. Tell us a little bit about the heart center. And what do you see happening here?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1070.0,1101.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Now we talked just a little bit about what you mentioned about research. Research is what makes an academic medical center like the Arizona Health Sciences Center different than a community hospital, and that one of our very important roles is to constantly be looking at better ways to do things. And that means research not only basic research at mechanisms, but better ways to deliver medical care, better ways to treat patients. And our approach to heart disease is a perfect example. At one point in our history, coronary bypass grafts to be done only the few medical centers, the United States. Now of course, it's done the community hospitals all over the United States. And it's one of the commonest operations. And the reason for that is their research done it academic medical centers, has paved the way to show the best ways to do the most effective heart transplant as is a dramatic example. Dr. copelan, as you know, as one of the finest records the United States. I knew that before I came to Arizona when I was in Massachusetts, I was astounded with the record here in Arizona. And that's because Donnelly goes Dr. Copeland is an outstanding clinician and surgeon, but he has a team of people that he works with that are constantly doing research as the best possible techniques, not only performing the operation, but selecting patients, treating them after the operation. So I think heart transplantation is a perfect example of the impact of research on patient care.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1102.0,1189.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Now this is going to be a transplant center or a true Research Center where all types of heart disease are being looked at,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1190.0,1197.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: but we're looking at the heart center As to be able to put together our people like Dr. copelan, our cardiologist, Dr. Morgan, Dr. Marcus and others who are doing a variety of forms of research, particularly in collaboration with people in the basic sciences. physiologist, anatomist, who all have the same dream of looking at the cure for heart disease, the basic cause of heart disease. And if we feeling put them all together, and they can work together, then we can have a major impact on heart disease in the United States.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1198.0,1228.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Now, I understand this is your specialty area. That's","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1229.0,1231.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: why I'm a cardiologist. And did this have anything? This was really under way before you came, or I wish I could take the credit, but I can't. No, the heart center has been a dream of the Dr. copelan, Dr. Morgan for maybe five years. And we will have the heart center we will raise the money, it won't come from the state, Arizona is most unique and in their support for their universities for higher education for the medical school. The medical school, for example, was not paid for by the state was paid for by the people of Arizona who felt they went to medical school, our Cancer Center, which is perhaps the jewel in the crown, one of our most outstanding achievements for the state was built entirely from private funds. And the heart center will follow that same model.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1232.0,1278.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: When do you expect to have it in place?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1279.0,1280.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: And as soon as you give me the mic, and now we we are in process in fundraising, we're off to a very good start. It's a very expensive project because the equipment involved. I would hope that within the next three years that we would have the funds to break ground,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1281.0,1295.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: will it be connected like the cancer center","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1296.0,1297.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: as the exact Sciences Center, it'll in fact be immediately adjacent to the hospital adjacent particularly to the operating rooms and to the coronary care unit, and also to our new ambulatory care building.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1298.0,1308.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Okay, Jim, stay with us. We're gonna come back in just a moment.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1309.0,1397.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Welcome back.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1398.0,1403.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Welcome back to Arizona alumni forum. I'm Kent Rollins, and my special guest is Dr. James Dolan, Vice Provost and Dean of our U of A medical school. Jim, I've got a question I just have to ask you, and that's about my cholesterol. Now, I really like eggs in the morning and steak at night. And I understand that maybe the scare isn't quite as bad as we all thought, is that true? Not Not true. Now, I still have to worry about myself.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1404.0,1428.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: People can in fact eat eggs every morning and have steak every night and they do very well. But in order to find out if you're that type of person, you have to have your blood cholesterol measured. It is a fact that some people can handle saturated fat and cholesterol better than others. So I advise my patients, I checked their cholesterol easily check it several times, if their cholesterol is clearly in the optimal range, and that's under 200. Tom, keep eating whatever you're eating, okay. Be the means you're very, very lucky. The you know, the in a lot in the press by a Charles Moore, who's a very articulate writer, I read his things that's trying to convince the public that we don't have all the facts. And I think he's misleading the public. I think that there are certain things that are very clear. One is that cholesterol, which is something you measure in the blood, the level of cholesterol, without any question is related to the probability of having a heart attack. That's indisputable. That's been known since the 1940s. What it took longer to find out is that we can change the blood cholesterol, we can lower Either by diet, or in some cases with medication. The final piece of the puzzle was, if one lowers the cholesterol, do we really lower the risk of heart attack and death? And we now know the answer that is yes. So I think that all Americans should know what their blood cholesterol level is just the way you should know what your blood pressure is. And I think that the reason that we have fewer strokes, for example, the United States is people know, their blood pressure level. They know when they need to be treated. And I think we do the same thing with heart attacks. If we can convince the public that yes, it's important to know your cholesterol level. And if it's high, it needs to be treated either with diet or sometimes the medication. Okay,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1429.0,1544.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: let's shift to Alzheimer's disease. I noticed Newsweek recently had a cover story about Alzheimer's. But you don't hear a lot in terms of the research going on at the University of Arizona. Now, are we into involved in that over?","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1545.0,1558.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Yes, we are. Research is going on in Alzheimer's action. Our College of Nursing is doing some very important research. As the College of Medicine, particularly in the Department of Neurology. Now we have a very strong program at the University of Arizona was called neurosciences. And that's people from a variety of backgrounds so interested in the function of the brain. And that includes people in psychology, psychiatry, neurology, physiology, and I anticipate even more research in Alzheimer's in the next few years we've had in the past,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1559.0,1591.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: okay. What about AIDS, like Alzheimer's, you see aids actually more in the paper almost every day, there's something either about the research or about the effect on society. But again, I think maybe coming out of the East Coast to see more of the press on it. What are we doing at Arizona Health Sciences Center,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1592.0,1610.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: we're doing a lot of research in AIDS. As you know, we're about to test a vaccine that shows great promise for AIDS. AIDS is going to be the most important news of the 20th century as we look back in the 21st century, it came at the right time, if aids had showed itself 30 years ago, or 40 years ago, it would have been a much greater problem than it is now. And that's because all the research has been done in the past 30 or 40 years at the CDC and medical schools international to the health have given us a mechanism to deal with a new problem, and perhaps find a cure, it would have been impossible 20 or 30 years ago. So my prediction is that we will find a appropriate vaccine for AIDS and hopefully a cure for AIDS. And hopefully in this century.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1611.0,1659.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: I know, our volunteer president Linda monk from Yuma is also involved with your children's Research Center. But that actually is a concept that's not even in the ground yet in terms of a facility. But I know, I think some things are gonna come and tell us a little bit about what's happening with the Children's Research Center. What's the mission, what's the scope of","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1660.0,1680.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: the Children's Research Center is going to be a four story facility that's far along in its planning stages, that will bring together investigators to look at the causes of disease in children. It's hard to think of an area that's more important than if one can prevent disease in children. The impact is obviously for a lifetime. And again, as with the Cancer Center, the funds for the Children's Research Center are going to come from the private sector. And we are very far along in the Children's Research Center. We in fact expect to break ground within the year and expect to have that building operational in two years.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1681.0,1717.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/54","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Where are you going to be able to put all these new facilities are you going to have to expand beyond where you are now.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1718.0,1723.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Now there is a campus plan that we will obviously stay within that area that the proximate area we are now the Children's Research Center, for example, will actually build on top of the existing hospital on top of the emergency room.","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1724.0,1737.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: You've mentioned the cancer center. Have we seen any more breakthroughs in that area, you do see quite a bit of press about the Cancer Center here in Arizona and","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1738.0,1746.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/57","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: all the cancer center, as I said before, is one of our proudest achievements. I'm particularly proud of the work they're doing in prevention. Just as in the case of heart disease is important to do cardiac or heart transplants important to the right medicines, but it's certainly important to prevent heart disease and we're doing that in the cancer center. They have done outstanding work in finding the early causes of skin cancer, and more recently on cancer the bottle. Okay,","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1747.0,1773.999"},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/58","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"UNKNOWN SPEAKER: Jim, I think we've probably only scratched the surface of what's going on at the Arizona Health Sciences Center. I appreciate you being with us and, and hope people watch out for what's good things are happening in your area. And we appreciate you being with us and please join us again next month. Thank you","format":"text/plain"},"target":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437#t=1774.0,1776.0"}]},{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806","type":"AnnotationPage","label":{"en":["English [Transcript]"]},"items":[{"id":"https://arizona.aviaryplatform.com/collections/1078/collection_resources/73611/file/159437/transcript/37806/annotation/59","type":"Annotation","motivation":"subtitling","body":{"type":"TextualBody","value":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/037/806/original/azu_ms646-049_a.vtt?1652900331","format":"text/vtt","language":"en"},"target":"https://d9jk7wjtjpu5g.cloudfront.net/file_transcripts/associated_files/000/037/806/original/azu_ms646-049_a.vtt?1652900331"}]}]}]}