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Reel #3. Side #1. Recording of a meeting

This sound recording comes from Side 1 of a 5" Audio Reel-to-Reel labeled "Reel #3." It is dated 10/24/68 and 10/28/68. It records the meeting(s) of an unidentified organization. The agenda items focus on the approval and administration of medical programs with a focus on the Houston area. The recordings feature the introduction of proposals/items, debate, amendments, and voting.

(0:40) Proposal 5 "Reduce complications from radiotherapy." A speaker notes the dollar amount for the program had increased since Steering had previously considered the item. He explains that the purpose is to inform facilities in Texas of the results of study carried out by UT Dental Branch and M. D. Anderson Hospital. The program supports dentist involvement, and also aims to inform and assist other regions in establishing such programs. He highlights new information just reported at a joint meeting of American Dental Association and the American Cancer Society in June. There is a recommendation to approve, but also acknowledgement of some concern that Baylor School of Dentistry wasn't involved. However, the speaker notes Dr. Randolph at Baylor was aware and will support the proposal. The group debates the need for written endorsement by entities including Baylor College of Medicine Dental School, the Texas Dental Association, and Dr. Robert Walker, who is in charge of the dental program at [unspecified] Medical School. There is a move to approve the proposal subject to receiving requested documentation, followed by a vote in favor.

(18:42) Proposal 6 “Houston neighborhood health services program.” A speaker explains this is a proposal from Baylor University College of Medicine. Originally it had included attachments from San Antonio and Galveston, but those had since been withdrawn. Steering approved the project in principle, while noting the need to establish the role of Southwestern. The proposal concerns “comprehensive neighborhood health centers.” However, one speaker criticizes it for not being comprehensive and having key omissions. (23:09) Another speaker criticizes the motion as yet another survey, proposal, or grant for a particular area, noting the “negro communities" under consideration "have been surveyed, restudied, resurveyed...everybody knows where the poor folks are. Everybody know who needs [...] healthcare. Everybody knows the death rate is higher over there. Everybody here knows that my life expectancy is seven years shorter than yours. Everybody knows that the infant mortality rate in our community is five, anywhere from three to five times higher. You drop lower first year, then it goes up to ten times. I don’t see that we need to spend any more money on this type of proposal." There is a suggestion of taking time to consider ironing out local problems and then returning the item to the steering committee. The recording concludes by recounting an earlier proposal for additional clinics in the Hospital District.

Texas Medical Center

Reel #3. Side #2. Recording of a meeting

This sound recording comes from Side 2 of a 5" Audio Reel-to-Reel labeled "Reel #3." It is dated 10/28/68 and appears to be a continuation of the same meeting taking place at the end of Side 1 of the Audio Reel-to-Reel. It records the meeting of an unidentified organization. The agenda items focus on the approval and administration of medical programs with a focus on the Houston area. The recordings feature the introduction of proposals/items, debate, amendments, and voting.

The recording opens with a vote of disapproval, followed by a movement to re-open and motion to defer. There is a motion for reconsideration of Proposal 6. Following a discussion of the program and funds, the motion is withdrawn.

(8:02) Items 7, 8, and 9. "Projects relating to recruitment, education, improved training for allied health personnel.” It is recommended that it be referred back to the coordinator of Regional Medical Programs and that he form a special committee or task force to develop a proposal. An Amendment is proposed to consider Item 9 relating to junior colleges separately. Other programs up for discussion and vote are an educational media instructional program and a program for medical service assistants, clinical research, and administration. There is discussion of whether these proposals should be considered separately. There is a vote on an amendment to consider 9 separately. There is consideration of the role of junior colleges in paramedical training. There is a vote with 19 in favor to send Items 7 and 8 to committee.

(20:10) Item 9 “Recruitment of allied healthcare workers.” There is a movement for approval followed by discussion. A speaker notes that it would augment and amplify an existing project and establish an advisory committee. One speaker addresses Dr. Eastwood (possibly Dr. Richard T. Eastwood, President of the TMC). It is noted that one aspect of the proposal was intended to bring together elements related to junior colleges, but more important was total recruitment of allied healthcare workers. There is a vote with 19 in favor.

(27.42) Proposal 10 “Extending primary care nursing training based in Riverside and St. Joseph's.” The Steering committee had recommended deferring action on this proposal and appointing a subcommittee, after which there was a recommendation for approval. There is a motion to approve Item 10. A speaker alludes to a program already ongoing, but the recording ends abruptly.

Texas Medical Center

Harris County Medical Society commercials (4)

This Harris County Medical Society sound recording comes from a 12" phonograph record. It contains four commercials, each one minute in length, regarding an upcoming vote for the location of the new Jefferson Davis Hospital. The segments cite increased traffic; duplication of administrative, maintenance, and personnel costs; and the geographic location of existing paitents as reasons to oppose a new facility in the Texas Medical Center and support a hospital on the present site. While the claims are mostly the same, each segment offers a slightly different way to frame the argument. The segments evoke radio programs such as quiz shows and mysteries. While the claims are mostly the same, each segment offers a slightly different way to frame the argument. Each segment concludes with a variation of the refrain "On July 26 vote for the new Jefferson Davis Hospital on the present site. Vote 'for' the hospital issue on July 26." Each segment runs approximately one minute, with a total recording time of 4:12 minutes.
Segment 1 (0:01) "The truth about Jefferson Davis Hospital" poses "Did you Know?" questions and concludes responses with "That's the Truth About JD."
Segment 2 (1:01) "The Case of the Dislocated Hospital" poses a mixture of questions and statements and invites "you the taxpayer to solve the case." This segment offers additional statistics and other information about the patients served by the hospital.
Segment 3 (2:06) uses the framing "Your Dr. Recommends...." to make the case.
Segment 4 (3:05) "Here's the case of tax vs. fiction on the hospital issue" frames opponents' arguments as "Fiction has it..." and then tells the audience "Fact has it...."

Harris County Medical Society (Tex.)

Interview with Dr. Louis Faillace

This Digital Audio Tape (DAT) contains an interview with Louis A. Faillace, MD, founding Chair of the Department of Psychiatry and Behavioral Sciences and onetime Acting Dean at the University of Texas Medical School in Houston. The interview took place on September 29, 1995. The interviewer is unnamed, and the recording runs 1:24:37.
(0:01) Louis A. Faillace, MD recounts being recruited to the faculty of the University of Texas Medical School in Houston by Dr. Cheves Smythe. He relays his emphasis on biological psychology. He highlights the opportunity he saw in building a new school of medicine, contrasted with the challenges he encountered. He discusses Hermann Hospital, Dr. Smythe, the recruitment of faculty—some of whom he deemed “tigers”—and local and state political structures impacting the school. He laments the passing of Frank Erwin, who he claims “protected” school and its interests.
(14:40) He discusses Cheves Smythe, Bob Tuttle and Roger Bulger. He also traces with the development of Psychiatry at UT Houston, including the acquisition of more beds and funding.
(17:09) He recounts Cheves Smythe’s removal.
(22:35) He discusses Bob Tuttle, the improved relationships across departments, and Truman Blocker’s tenure.
(24:45) He discusses teaching and students. He notes that teaching was emphasized in the Psychiatry Department and argues it should have been more central in the rest of the School. He also discusses funding, “power brokers,” Baylor, and UT’s place as the “new kid on the block.”
(28:27) He discusses Hermann Hospital and the scandal there. He mentions Bill Smith, the trustees, the private doctors there. He also returns to the topic of power structures in the city and disparities between UT and Baylor.
(31:53) He mentions Bob Tuttle’s departure. He discusses Ernst Knobil and Knobil’s recruitment by Roger Bulger.
(35:26) He recounts his role in establishing UT’s affiliations with Harris County Psychiatric Center and the Texas Research Institute of Mental Sciences (TRIMS). He states, “I got ‘em both. Nobody else…. They’re there because of one person, that’s me.” He describes political maneuverings with Governor Hobby, Roger Bulger, and the State Legislature.
(42:04 He goes into more detail relating his pursuit of TRIMS, later the UT Mental Sciences Institute. He references Gary Miller, Charlie Mullins, and Stella Mullins.
(52:10) He recounts his appointment and service as Acting Dean of the Medical School.
(1:04:00) He gives his account of the Hermann Hospital story. He details conflict among John Ribble and the Department Chairmen, and ultimately his own firing.
(1:12:32) He returns to his time as Acting Dean to detail efforts to establish an affiliation with Lyndon Banes Johnson Hospital.
(1:18:40) He offers his thoughts on the state of medical care, particularly with regards to psychiatry, including the influence of managed care.
(1:22:00) He reflects on the state of UT Medical School in Houston. He emphasizes his focus on being a teacher and clinician.

Faillace, Louis

Interview with Dr. Al Gunn

This Digital Audio Tape (DAT) contains an interview with Albert E. (Al) Gunn, MD former Dean of Admissions at the University of Texas Medical School in Houston. The interview took place on September 18, 1995. The interviewer is unnamed, and the recording runs 1:07:04.
(0:01) As the recording begins, Dr. Gunn and the unnamed interviewer discuss the recording and sound quality and muse on perfectionism.
(1:45) Dr. Gunn recounts starting as Medical Director of the Rehabilitation Center at M. D. Anderson Hospital in 1975, having been recruited by Dr. R. Lee Clark. He describes coming to Medical School Grand Rounds to hear Dr. Kuykendahl, and how he met Dr. George Whalen, Chair of the Department of Gastroenterology, who was about to step in as Acting Chief. Dr. Gunn says he wanted to get involved in the School, and in 1976 started as an Assistant Professor teaching the Introduction to Clinical Medicine course. He recounts trying to get more students into M. D. Anderson. He claims Hermann had too many students, and that he wanted to bring students into Rehabilitation Center to make it more academic. But he got “infected” with teaching, students, and the fun of it.
(7:30) He describes being recruited for and taking on the position of Dean of Admissions for the Medical School. Starting the position in June 1979, Dr. Gunn notes that many of the School founders were still there and names the department chairs.
(10:18) Dr. Gunn outlines what the Medical School was like when he arrived. He mentions the Freeman Building, Dr. Charles Berry, and Dr. Truman Blocker. He details construction and emphasizes student-friendly building design. He fondly recalls that students were fun-loving—“rambunctious”—and says he appreciated their honesty and outspokenness. He highlights the common bond, improvisation, and shared experiences that set the atmosphere of the school.
(22:52) He discusses his work in admissions, saying it had been “a dream.” He names colleagues who facilitated the admissions process and made it fun. He does claim that medical school faculty could be uncomfortable with religious commitment, and he says that religion was removed from admissions discussions.
(26:12) He suggests they fostered a “Houston type” of student, and pitched the School’s faculty and atmosphere to prospects. He asserts they wanted students who saw medicine as a people-oriented-- not purely scientific – profession.
(29:30) He recalls a shortage of applicants when he first arrived. He credits Betty Murphy, Coordinator of Admissions, with ideas such as the first Parents Night at a medical school. He also credits Dr. Henry Strobel with the idea for a retreat, which came after flooding of the anatomy room. He says these things have persisted as traditions and made School what it is.
(31:53) He speaks about Dr. Louis Failliace, crises, and politics around the School. He claims students are too busy learning to worry about such things. He asserts the School survives because of the students.
(35:55) He discusses academic standards, noting the contributions of M. D. Anderson faculty. He discusses the University of Texas, funding, and the State Legislature. He considers the tension between focusing on primary care versus research.
(42:27) He says Admissions is looking for students whose picture of medicine is being with people, listening to people.
(49:07) He says one of their goals is to have the School in harmony with the racial and ethnic make-up of Texas. He says the School tries to do problem-based learning, not just memorization.
(52:00) Asked about student criticisms, he cites parking. He says at one point students felt there wasn’t enough clinical material, but the affiliation with Lyndon Baines Johnson Hospital helped alleviated that.
(54:15) He offers his impressions of personalities from the Medical School: Dr. Bob Tuttle, Dr. Ernst Knobil, Dr. Louis Faillace, Dr. Frank Webber, and Dr. John Ribble.
(1:03:06) He addresses the questions “why did you become a doctor?” and “What is a doctor?” He cites the appeal of an “immediate” way to help people. He says a doctor deals with dis-ease and the most important thing a doctor can do is alleviate pain.

Gunn, Albert E.

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