Episode Transcript
Alan Helgeson:
Hello and welcome to the “Reimagining Rural Health” podcast series brought to you by Sanford Health. In this series, we explore the challenges facing health care systems across the country from improving access to equitable care, building a sustainable workforce, and discovering innovative ways to deliver high quality, low cost services in rural and underserved populations. Each episode examines how Sanford Health and other health systems are advancing care for the unique communities they serve.
Today’s topic is a conversation on nursing education and collaborative partnerships in developing the next generation of nurses. Our guest is Dr. Anne Pithan, department of nursing chair at the University of South Dakota. Our host is Erica DeBoer, Sanford Health chief nursing officer.
Erica DeBoer (host):
Anne, welcome. I’m so excited to have the opportunity to chat with you today about how USD and our partnership is helping to address some of the nursing workforce issues. So maybe to start, do you mind introducing yourself?
Anne Pithan (guest):
Thank you. Erica. My pleasure. My name is Anne Pithan and I am the chair of nursing at USD. I have been in the nursing profession for 36 years. And have really had a blend of nursing practice, academics and leadership. So it is really my pleasure to always let you know what USD is doing and how we can support your work.
Erica DeBoer (host):
Amazing. A long profession. And we are so privileged to be able to partner with you, and I appreciate all you do. I think to start off December of 2022, USD celebrated and welcomed to the USD’s newest home for health careers in education. I’m here today with you at the Center of Health Education in this amazing state-of-the-art building. Tell me how this is a differentiator for your nursing students who attend USD.
Anne Pithan:
Thank you, Erica. And we are so pleased that you’re here to be able to see our facilities. So what we love about our USD nursing facilities is we really feel that this is an opportunity where students can learn in state-of-the-art facilities and really learn in an environment that is safe for them. It really allows them to make mistakes. And it allows faculty to really mentor and talk them through how they can really perfect their nursing skills.
So we love our facilities in the fact that it really supports practice readiness. We have, again, state-of-the-art facilities in our simulation and in our lab where students can gain confidence, they can develop their nursing skills, their communication skills under the mentorship of our excellent faculty.
Erica DeBoer (host):
Yeah, I agree. I had the chance to meet a couple of your faculty as well as take a tour of the facility. And it makes me really excited cuz I think as you well know, I’m an ICU nurse by background, so to go in your simulation labs to see the high tech, the same beds that we see in our hospital setting, the pumps that we have, as well as just that environment and the attention to detail that the team has put into it. I’m really impressed.
I think the other thing that I have to compliment the team on is your commitment to interdisciplinary teams. So you mentioned how important the state-of-the-art facilities are, not only to our nursing professions, but what’s magical about this building, what I experienced, what I heard, and I can see how the interdisciplinary teams can come together to really create that experience that’s gonna prepare our nurses for the future. So, really incredible. So nice work.
Anne Pithan:
Thank you Erica, for saying that we really pride ourselves on our interprofessional education, and we know that as we move our graduates into practice, that is so essential to be able to work within that team to promote excellent patient outcomes. So thank you for recognizing that. We see that value as well. Our students see that value and when they graduate, they understand the importance of working within that interprofessional team. So it supports all of our programs here and it really allows that teamwork and that collaboration that is so important as our nurses get into practice.
Erica DeBoer (host):
Yeah, I do agree it’s likely a differentiator when you think about the rural footprint that we serve and the people that we have the opportunity to serve. Building those communities inside the walls of a university as well as what they might experience in building those relationships are so key.
I know that USD nursing had the opportunity to apply and they received a $1 million HRSA grant to grow South Dakota Nursing Workforce. I’m excited to hear a little bit more about your involvement in that and what we can see in the future.
Anne Pithan:
Oh, thank you Erica. We are thrilled about this. This is really exceptional for our nursing program, for our nursing faculty and our nursing students. So this grant is really focusing on that exposure to rural health. And as we both know, that is so important in the state of South Dakota. And it’s really giving our students an opportunity of awareness and just knowledge of how rural health works.
So what this grant will do, Erica, is it will provide the funding for 24 students per year to immerse themselves in rural health. And that is an opportunity that we haven’t really had before based on just the ability to get those students to these rural areas.
So we’re really excited about infusing that passion, that energy, and that love of rural nursing. So, and again, we’re so pleased with our partners, all of our partners, including Sanford, that has just stepped up to partner with us to really engage our rural health that is so needed in the state.
Erica DeBoer (host):
It is really important. And obviously what really brought us to our colleges of nursing and really brought this series together is how do we reimagine health care? How do we reimagine how we’re going to care for the rural nature in which all of us serve? Because there’s a different magic that comes with this population. There’s different challenges that come along with it too. And getting creative and really dedicating time and energy to that longitudinal plan of care for our patients is so important. Obviously my background is acute care nursing and critical care, but when we think about how much value nurses bring at all parts of our patients’ journey, a lot of that care can happen outside the walls of the hospital and those clinics. And so the importance of that rural experience is so important. So appreciate your commitment to that.
Anne Pithan:
Thank you Erica. And as you stated, you know, with South Dakota being so rural and, and our goal is really to serve the state of South Dakota. So we feel that this grant will really offer students that exposure that they might not have had before. And as you stated, it’s its own specialty. It has its own gifts and blessings and challenges. (Laugh) And, and we really are going to immerse these students in 135 clinical hours. And really give them that comprehensive view of rural health.
Erica DeBoer (host):
I love it. I can’t wait to see what we’re gonna learn from them. Cuz I think that’s the other privilege that we have as we reimagine health care and we reimagine how we work through what nursing looks like in the future. Our workforce needs are gonna be different. Our community needs are gonna be different. And so I appreciate the innovative thought that the team is taking to that.
So in having said that, from your perspective, what do today’s nursing students need to be prepared that’s different from the past? Obviously you’ve been in health care for a little while, so I’m curious what feedback you have.
Anne Pithan:
Yes, thank you. That is such a great question. And I think as we work with our students and they’re so innovative and they’re so passionate and creative. But I do believe that their needs are a little different perhaps than when you and I were in school. And I think one thing that has, that our students need is that ability to manage those complex patients.
They have really their complex patients and that ability to really look at social determinants of health and look from a really holistic view for our patients. So I think that’s one thing that’s a little bit different. And, and as you know, even our national licensure exam has really changed to capture that – that is a need that students have.
I think another need that I think our hospitals and our universities are doing a great job of, Erica, is really that mentoring. I think there has never been a time when new nurses and even our seasoned nurses, all of us need mentors. So I think that is a need that has really risen to the top. And we’ve seen that.
Another need that I have really seen is, again, that relationship management, using those communication skills to work with, you know, diverse populations, populations that have a lot of needs that perhaps we’re not as, maybe we weren’t as aware of. So I think conflict management, I think as you mentioned before, working within interprofessional teams is just essential as well as collaboration and teamwork.
And why I’m so excited to have this interview today with you, Erica, is it really puts a microscope on really the need for our partnerships that, you know, with regulatory, with universities and with practice partners, is really how we’re gonna really solve complex problems and really help students get what they need today.
Erica DeBoer (host):
Agreed. I think our nursing students, there’s a lot of pressure on our nurses. It doesn’t matter if we’re talking about our profession inside the walls, but as a nurse, I think you well know that we’re looked to as the most trusted profession. And so in many cases, maybe it’s not even our expertise, but really making those personal connections and building that trust.
Anne Pithan:
Absolutely.
Erica DeBoer (host):
So incredibly important. So tell me a little bit more about how technology and digital tools allow nursing students to be better prepared to be caregivers of the future.
Anne Pithan:
Yes, thank you. That is something that’s a great question. And I think we’ve all learned so much through the COVID pandemic. I think it’s really spurred our innovation and our creativity. And I think, Erica, what I love right now in this time is that technology has really allowed us to connect in ways that we have never been able to before.
And so, for example, what I’m excited about is here at USD, we are part of a global rural nursing exchange network. And that has allowed our nursing students to connect with students from Tanzania, Africa. And technology has just changed things in ways that we really didn’t anticipate. And it’s allowed our students and the students in Africa to develop that cultural sensitivity, that awareness, that ability to work with people that may be different than yourselves. And I think that’s one way that this will also transition into really making better caregivers, is they have more exposure. And it’s made a kind of a big world a little bit smaller for us, so that we can connect.
The other thing that I’m excited about is I think technology has allowed us to connect with nurses in a different way. So, for example, you, we talked about the importance of mentoring, and I think telementoring allows that, where we don’t have to be physically sitting next to each other, but we can still use technology in a way to mentor, to educate our patients, to use telehealth, to connect with our patients in ways that we haven’t been able to before.
Erica DeBoer (host):
I love that, Anne. I do believe that to your point, nursing is not ever going away. It’s always gonna be a hands-on field. It’s always gonna be a relationship-based field of practice, but we do use technology to connect with each other in different ways. I think some of what we’re hoping as we reimagine the rural health care footprint is how do we help our patients navigate the complexity in our health care system, as well as use technology as it makes sense to save the many miles that so many people have to drive in some cases, to receive specialty care.
Anne Pithan:
What I think we’re bringing to the workforce, and I’m sure you see it every day, is we are bringing technology savvy students that really can forge the way for us. And so, I, I love the students of today because I think they’re really gonna make a difference for us.
Erica DeBoer (host):
I agree. I think they are innovative spirits and their fresh eyes are gonna only help us continue to really forge different paths.
One other thing I wanted to chat with you a little bit about, Anne, is I love the commitment that you have to Tanzania and those experiences for our student. As you maybe know or don’t know, Sanford has world clinics across the world, and I just had the privilege to spend some time with our Sanford staff in Ghana. And when you stop to think about what that experience just gave me, it does make the world a little bit smaller. It also reminds us how fortunate we are and how innovative we can get with so little. So I’m curious what your students say about those experiences.
Anne Pithan:
Thank you, Erica. Last year, this is our, our second, we have a second grant with our global rural nursing exchange network. And last year we had six students. This year we have expanded to 16 students. And I agree with you, it was a very life-changing event for me as well. And I think what it did, Erica, is it really created a bond where I think what tied us together was that love of service, that love of making a difference and really caring for patients. And that’s universal.
And I think both are Tanzania and our USD students saw that. And it also opened eyes to, gosh, how we may be different, but how we’re so similar. And so I’m excited for you for, for the experience you had. And I, again, I think it makes our big world small where we’re able to connect with that love and passion for the profession.
Erica DeBoer (host):
I Agree. And of course, when we look at some of the solving for our workforce issues, there’s just not enough human beings in the United States to fill the need for our aging population and the nursing needs that we have. And so as we explore internationally educated nurses and how that could help us actually address some of the workforce issues, your commitment to having some of those experience only helps us actually guide some of those experiences. So again, I just wanna thank you Anne and the USD team for partnering and being innovative around those things.
Anne Pithan:
Oh, thank you. I agree with you, Erica. I think the more that we can expose our students to differences, I think it’s just gonna create a really strong diverse workforce.
Erica DeBoer (host):
I agree. I agree. Well, Anne, I’m curious if you had any questions for me. I know that I’ve spent a ton of time asking you questions, so I’m curious if there’s anything that you’d like to ask.
Anne Pithan:
Yes, Erica. I would love to. And, and one thing that I love to watch and learn from is the nursing leadership that I’m exposed to at Sanford. I have, am always so impressed by the relationship skills, the leadership abilities. So I do have a few questions that I would love to ask you.
Erica, as you are in your role right now, what are the biggest challenges that you see?
Erica DeBoer (host):
I’d say the biggest challenges from a nursing workforce standpoint is making sure that we listen and pay attention to what it is that they need. Not only are nurses that are coming out of school, how can they help us learn and see the world from a little bit different perspective, but also how do we support that incredible wisdom that we have in our nursing profession? And so, when I think about the biggest challenges, I worry about the burnout and I worry about our profession as a whole. How we can actually support them in loving the profession and knowing the gift that it is to be called to care. And the gift that we have the opportunity to, to give to not only our colleagues that we work side by side with, but also just to manage the message and the continued trust that our communities have in our nursing workforce.
So, preparing our brand new nurses, how do we support them in their journey and make sure that they can get over that hump? Cause nursing and the health care profession is so challenging, but so exciting at the same token. So as we reimagine health care, as we think about different ways to do the work, how do we listen to our new technology savvy students? But then how do we mimic that? And how do we partner that with the incredible wisdom that we have?
We are so blessed at Sanford with such longevity in our nursing staff. It’s really incredible. We have people that have been with us from anywhere from 35 to 47 years, and the privilege to just learn from them and gain that wisdom and insight about what they’ve seen, how things have changed, and how things in some cases need to continue to change to address really the health care needs of our society today.
Anne Pithan:
Thank you, Erica. That is such a great answer. And, I think that is our challenge, whether we are in academics or we’re in nursing practice, is we know that it’s a challenging profession, but we also know the gifts that this profession brings and the blessings it brings. So I love that on both sides here, our vision is to really make our nurses excited about this profession.
How is Sanford Health working to support your nurses?
Erica DeBoer (host):
Great question. I think as we reimagine how we’re going to have to manage the population of patient that needs us, we’re actually investing a lot in reimagining our workflows. I know it seems probably fairly simple and back to basics, but so complex. When we think about all the technology that we have the privilege to use to take care of our patients, how do we simplify that?
I always use the phrase, get rid of stupid stuff or gross. What are those things that nurses don’t need to do? How do we put the right people beside our frontline teams so that they can do their work and care for that patient and build those relationships? So we’ve actually invested in technology to help actually reduce that burden our, on our frontline team so that we can focus on that patient relationship.
I think the other piece is we’re asking ourselves really clear and concise questions about, is this something that nurses should be doing to allow them to work at the top of their license in the top of their scope? Or is there other teammates that could actually be supporting that work?
I think the other really important culture change that we’ve been working on for the last three to five years is our high reliability journey. So SAFE is what we coin it: so Sanford Accountability For Excellence. And it’s really truly how we’ve actually built those relationship skills built that culture of safety that everyone can speak up for safety. And we use patient safety stories to help us do that. But it’s not just about our medical teams.
All of our teams at Sanford Health are there to take care of our people and our patients as well as our communities of which USD is a part of. How do we continue to build really that culture of everyone’s contribution to making things better, to learning and to constantly looking for ways to make it safer for our patients, but also more reliable.
Anne Pithan:
I love that, Erica and I, I love – the two things that really stood out to me is really examining that workflow to really make that as with as much ease for our nurses as possible. And then I just love what you’re doing to continue to make this nursing such a trusted profession by really focusing on that safety, and allowing nurses to really be in that arena where they perform best. So that’s, it sounds like Sanford has, is doing, I know that Sanford is doing such great work.
Erica DeBoer (host):
Yeah. Maybe the other thing I might add, Anne, is our shared governance model, I think is also really important to make sure that that voice of the nurse is heard. So our shared governance, or we call it senate, is the opportunity for our teams not only inpatient, but ambulatory, and even our post-acute teams can come together, ask questions, problem solve those things that are those pebbles in their shoes every day. So how do we make sure that we’re lifting up that voice of the nurse to make sure that they’re contributing to the solutions, but also then that follow-through and what are those things that they can contribute? So shared governance is another really important initiative that it’s been part of the culture that I’ve grown up in, but it’s even more important now to make sure that they have that voice.
Anne Pithan:
I see that, Erica, so vividly when I have been on Sanford meetings, and often it’s exactly that, you know, we’ll have to take this back to our shared governance for their perspective. So I see that in your nurses. I see it in your leadership. So I think you’ve just done a great job of infusing that throughout your culture.
Erica DeBoer (host):
It takes, it’s a team effort and it’s a history, right? There’s a lot of really amazing people that have come before me at, in the Sanford team.
Anne Pithan:
Well, you guys are doing great work on that.
Erica DeBoer (host):
Thank you.
Anne Pithan:
Erica, how has nursing changed since you entered the field?
Erica DeBoer (host):
Wow. That’s a great question, Anne. So probably the first thing that’s changed is when I actually graduated, there was only one open position on the floor that I wanted to work. So when I look at the great number of open positions that we have in all types of nursing across the nation today, that’s one thing that’s probably the most different is that there was more competitive then.
I’d say the other thing that’s changed is our access to different pieces of technology. And I think sometimes that automation and that technology has created, in some cases a different way about thinking about how we do things. I love technology, I love data cuz it helps me make decisions. It helps me think through and process things in a different way.
I think the third thing that’s really changed about nursing is really the continued emphasis on them as the most trusted profession. They always have been, but I’d say the variety and the enhanced ways that nurses can contribute to health care is different than it was before too, which is really exciting. When I think about our, not only our nurses, but our family nurse practitioners and how they contribute in all parts of health care, it’s really quite incredible to see how the profession continues to grow and change.
I’d say the fourth thing specifically because of COVID is I think that our nurses are really scientists. They actually are innovative. They can figure out things in the moment and they get it done no matter what without a lot of fanfare. We’re just always the ones that are gonna get it done. And I think we’ve always been that way, but COVID really helped lift that, but it also created a dynamic in which there is a fatigue factor with our nursing practice today. So we certainly have to address that. But on the same token, incredible profession, the ability and the resources that we have are absolutely incredible.
Anne Pithan:
You know, Erica, I love what you said about really using data and also being scientists. That is something that I agree – we have students leaving, graduating and then entering the workforce and they know how to tackle problems, and they go to the evidence and they go to the data to do that. And, and I think nursing has done a great job of getting us to this point.
The other thing that I love that Sanford does is that, which is a little bit different, I think, than perhaps when you and I first started. And that’s the ability to present, to disseminate that information, to share that with your peers. And I think in academics we do a really nice job of getting them ready to do that, where they’re comfortable. But I think that our hospital organizations have just taken that to the next step where you’re really showcasing your nurses and I think that has just been a tremendous move, what our profession has done.
Erica DeBoer (host):
Our quality and safety scores show it, right? We’re the hands and feet that make that magic happen. And without the nursing profession and that commitment to high quality care, it makes it tough for it to happen. So it is amazing to use that data to continue to drive that competitive nature of how can we even be better.
Anne Pithan:
Absolutely.
Erica DeBoer (host):
And of course, we all wanna prepare so that we have amazing nurses to take care of us someday, right?
Anne Pithan:
Thank you, Erica. As I stated earlier, I love to watch your leadership team. I just think they’re very skilled leaders, and every time I learn something new from them at every meeting that I attend. What would you tell someone who is interested in a position like yours?
Erica DeBoer (host):
Oh, interesting. Now, my journey was a little bit unique compared to most and I actually obviously have just been in this chief nursing officer role for just two years. So if I were to tell, and I have an opportunity to mentor a lot of nursing students as well as others is my biggest piece of advice is give yourself time. There’s so many things that you can learn in every step of that journey. It’s not always about maybe going back for that master’s degree right now. Sometimes it’s just that one magazine or that one podcast. What can you do to contribute and learn every day so that you can continue to grow and change?
The other thing that I share with my nursing colleagues, especially if there’s a fatigue that they’re actually talking about is taking care of yourself is incredibly important. And having that balance. So what does that look like for you? Because it’s different for everyone.
Additionally, take every opportunity to get involved outside the walls of your facility. Getting and getting to know other people outside in different realms is so important. As we think about growing as a professional, as well as growing with others, relationships are so incredibly important. And building that trust, no matter if it’s in the health care field or outside, there’s always something to learn.
Anne Pithan:
I love that, Erica. And I think as I was listening to you, the other thing that really popped into my mind is what we had talked about earlier. And no matter at what level you need those mentors, you need those people to really seek guidance from and kind of that lived experience. So I love that you have and take the opportunity to mentor students because wow, what a great opportunity for them.
Erica DeBoer (host):
Well, and I learned from them in some cases more than I learned, than they learned from me. I had the privilege to actually mentor a student who’s has her preceptorship or her internship in ICU, and she just happened to send me a quick text and said, do you happen to know what an impella is? And I’m like, oh my goodness. Yes. I took care of the first patient who had an impella at the med center. I can tell you what room it was in. And then she sent me this two and a half minute long voice text about all the different questions she had about this particular situation. So again, once a nurse, always a nurse, we spent a good 45 minutes talking about pathophysiology and just, it’s amazing the questions and the insights that they bring to the table and how they won’t quit until they have their answer.
And so she was just astounding to talk to and actually work through this process. And then of course, I did even some follow up back with our front-line teams to say, gosh, what else do we need to do? If we couldn’t answer this question, do we need to have more clarity? So again, that voice, that brilliance at the bedside from our nursing students, from our frontline teams, you can learn so much by just listening to the magic in what they see and what they experience. So it’s fun once a nurse, always a nurse. And of course, I love talking about critical care (laugh).
Anne Pithan:
That is such a great story. And what I love about that is just that, that opportunity to, to be lifelong learners, right? And how much wisdom you gain, not only at the bedside, but that wisdom comes back to you, that you absolutely can share in this role now, and you can share that now with nurses. So I love, Erica, that you’re just such a great role model for our nurses, for those, for those nurses that really want to get to that next level of leadership. So I think that’s just great insight and, and great advice for those seeking that.
That kind of leads to my next question for you, Erica. And we so appreciate the support that we get from Sanford. They do a great job of coming to visit our students and really talking about all the great things that that Sanford has to offer. Why do you think, Erica, that Sanford is a great place to work for nursing students?
Erica DeBoer (host):
I love that question. I think that Sanford is a great place for our nursing students to come for clinicals as well as to start their profession because of our culture of high reliability, because of our SAFE culture, as well as the differentiators that we have in our nursing practice.
We have a couple different experiences, the Becky Nelson Fellowship, which is an opportunity for a individual high performer to spend a whole year with our nurse exec team and actually experience what it’s like to be in that executive role. So in some of those meetings, attending the annual meetings so that they can explore what that’s like. Part of the Becky Nelson Fellowship is an opportunity to do a project as part of that process too. Something that resonates with them and something that needs to happen. It’s about 20% of their work. So I think that’s another way that we help to continue to build our leaders of the future.
I think the other really important differentiator, and I mentioned this a little bit already, is our World Clinics. We actually have a world clinic mentorship program in which we select four to six nurses from our facility that get to partner with our World Clinic. So Ghana, Costa Rica, New Zealand, they have virtual calls with teammates from those other clinics. They get to partner on different projects, learn from one another, and then they do have the opportunity to travel there and experience their culture for at least a week as part of that experience.
So when I think about what differentiates us, one, we’ve got incredible nursing leaders, we’ve got our shared governance structure that helps us, but I do believe we have some other experiences that help people grow as a human being, but also in the profession of nursing. And of course, our SAFE culture is what’s fundamental to a lot of that.
Anne Pithan:
I just wanna kind of touch on a few things that you said there. I think what Sanford offers just from listening to you, Erica, is, is where your interest lies. Like they will find a way to support that. Whether it’s leadership, whether it’s leading shared governance, whether it is inpatient care, the opportunities are just endless as far as getting people where they want to go in their career.
And I think as you and I speak, that is one thing that I so love about this profession is there is so many avenues to go, and really, again, as you spoke about, just, you know, opportunities for humans. It’s really finding those strengths, working from those strengths to really give back to others. So again, I love that about Sanford. It’s just all the opportunities that they give their nurses.
Erica DeBoer (host):
Yeah. We know that nurses are the very backbone of how patient care happens. And so the partnership that we have with our interdisciplinary teams are incredibly important. And nurses are leaders at the bedside, no matter if it’s in that clinic setting, inpatient setting, or even in the post-acute space. Nurses help to lead and problem solve every day. So it’s a pretty amazing profession.
Anne Pithan:
Absolutely. And I have one last question for you, Erica. And here at USD, we really pride ourselves in our nursing department on our values. And so, we live those values, and again, we hang our hat on this, and our values are relationship centered, excellence, professionalism, and service. And I think you and I have talked a lot about those values and how we live those every day in the profession of nursing. How does nursing excellence at Sanford Health align to USD’s values of excellence, professionalism, service, and relationship centered?
Erica DeBoer (host):
I love that. So nursing actually has their own vision statement as it relates to really how we connect to not only health and healing, but also to innovation and discovery, as well as development as professional nurses. So I would say, when you think about the vision statement as well as the values that we live at Sanford, we connect really well to the commitment that we make to deliver high quality care, but also to share that through discovery, through innovation, as well as service to not only our communities, but to our, the patients that we serve.
Anne Pithan:
Thank you, Erica. I think that – I love what we share here, and that is really that commitment to a lifelong professional and how we can serve others and how we can make our communities and our organizations even stronger. And I, as we started this podcast, it’s really that partnership. And I think our partnerships and our excellent relationships that we have with each other are really how we’re gonna solve some challenging times that we will and always have experienced in this profession. So I, I so appreciate the alignment that we both share.
Erica DeBoer (host):
Yeah, I appreciate your time today, Anne. Thank you so much for sharing so much of your time as well as your expertise and the innovation that you continue to bring to our workforce.
Anne Pithan:
Oh thank you, Erica. It was my pleasure.
Alan Helgeson:
You’ve been listening to “Reimagining Rural Health,” a podcast series brought to you by Sanford Health. Hear more episodes in this series or other Sanford Health series on Apple, Spotify, and news.sanfordhealth.org. For Sanford Health News, I’m Alan Helgeson, and thank you for listening.
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