{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/dr2p55gf3p/manifest","type":"Manifest","label":{"en":["Dr. Penelope Tippy"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Rights Statement"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine.  Disclaimer:  The views presented in this broadcast are the speaker’s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. \u003c/p\u003e"]}},{"label":{"en":["Date"]},"value":{"en":["2006-06-05 (created)"]}},{"label":{"en":["Type"]},"value":{"en":["Oral History"]}},{"label":{"en":["Agent"]},"value":{"en":["Dr. Cecilia Gutierrez (Interviewer)"]}},{"label":{"en":["Format"]},"value":{"en":["audio file"]}},{"label":{"en":["Keyword"]},"value":{"en":["American Academy of Family Physicians","family medicine","family physician"]}},{"label":{"en":["Subject"]},"value":{"en":["Penelope K. Tippy, MD (personal name)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}}],"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine. \u0026nbsp;Disclaimer: \u0026nbsp;The views presented in this broadcast are the speaker\u0026rsquo;s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.\u0026nbsp;\u003c/p\u003e"]}},"provider":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["Center for the History of Family Medicine"]},"homepage":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/","type":"Text","label":{"en":["Center for the History of Family Medicine"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/public/images/audio-default.png","type":"Image","format":"image/png"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750","type":"Canvas","label":{"en":["Media File 1 of 1 - Tippy_Penelope_06.wav"]},"duration":1257.80849,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/public/images/audio-default.png","type":"Image","format":"image/png"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/286/750/original/Tippy_Penelope_06.wav?1755104734","type":"Audio","format":"audio/wav","duration":1257.80849,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750/transcript/82486","type":"AnnotationPage","label":{"en":["Dr. Penelope Tippy interview transcript [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750/transcript/82486/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"DR. GUTIERREZ: THIS IS AN INTERVIEW FOR THE CENTER OF THE HISTORY OF FAMILY MEDICINE.  A PROJECT TO COMPILE ALL OF THE TESTIMONY FROM INDIVIDUALS WHO HAVE BEEN LEADERS IN FAMILY MEDICINE. \n\nMY NAME IS CECILIA GUTIERREZ.  I AM INTERVIEWING DR. PENELOPE K. TIPPY, THE ACADEMIC COUNCIL, PROGRAM DIRECTOR OF THE SOUTHERN ILLINOIS UNIVERSITY, FAMILY AND COMMUNITY MEDICINE.  THE INTERVIEW IS IN KANSAS CITY.\n\nDR. TIPPY, I WANT TO ASK YOU, FIRST OF ALL, WOULD YOU PLEASE GIVE YOUR FULL NAME FOR THE RECORD?  AND WHERE YOU WERE BORN AND WHERE YOU GREW UP?\n\nDR. TIPPY: My full name is Penelope Kathleen Tippy.  I was born in West Frankfurt, Illinois and I grew up in West Frankfurt, Illinois and I reside in West Frankfurt, Illinois.\n\nAS YOU WERE GROWING UP, WHO WERE YOUR ROLE MODELS WHEN YOU WERE A TEENAGER, WHEN YOU WERE A YOUNG UNIVERSITY, PROBABLY GOING TO COLLEGE?\n\nSome of my role models weren’t physicians.  My father was probably my biggest role model and my mother, both of whom were very active in the community, very active in the church and really believed in education and giving to the community.  TELL US A LITTLE BIT MORE ABOUT THAT.  There have been no physicians in my family, so the only time I was exposed to medicine was from television, which was big back then with Marcus Welby and the sort of family medicine type physician.  My family doctor was the only doctor I knew.  He took care of all of my family including my grandparents and my siblings.  And so family medicine was the only thing I knew really until I got into college.  And I guess if I had a physician role model, he would be the person I would mention.  \n\nWHAT IMPRESSED YOU ABOUT HIM?\n\n\nHe was very kind and very responsive.  He seemed to know everything about us.  He knew our family and he knew a lot about my grandparents and the things we had been through.  And it just seemed like he was a friend of the family rather than our physician.\n\nWHAT MADE YOU DECIDE TO GO INTO MEDICINE?\n\nI don’t really know the answer to that.  It’s the only thing I ever wanted to do and I don’t know exactly why.  I just knew that was something I wanted to do and I really never wavered from that.  I always wanted to go into medicine, all the way through high school, college.  There was never anything else I wanted to do.\n\nAND YOUR PERSONAL FAMILY PRACTITIONER REALLY HAD AN INFLUENCE ON YOU GOING INTO FAMILY MEDICINE?\n\nYes, I think he did.  Plus my parents and their involvement in the community and their belief in family and belief in helping others, all ages, of all social status.  They were kind and good to everybody.\n\nWHERE DID YOU GO TO MEDICAL SCHOOL?\n\nI went to medical school at The University of Illinois in Chicago.  \n\nDO YOU REMEMBER A PARTICULAR MEMORABLE DAY, SOMETHING DEFINING THAT HAPPENED TO YOU?\n\nNo.  Medical school sort of is like a blur to me.  I do remember one thing in particular - I remember surgeon, when I was doing the surgery rotation.  And back in those days The University of Illinois had what they called the Metro Six which was six community hospitals surrounding Chicago.  And I always chose to go to those places because, first of all, I didn’t like the city very much.  So I didn’t like Chicago and I really didn’t like the big hospitals.  So I wanted to stay outside of those hospitals, so I did surgery rotation in a small community hospital north of Chicago.  And the surgeon, I think, as I look back, was really a frustrated family doctor.  He loved family medicine and talked about family medicine.  And his practice style was more like a family doctor.  I had no family physician mentors.  We had no family docs in the university.  So there was really nobody to influence us to go into family medicine.\n\nWAS THERE ANY PARTICULAR OCCASION OR EXPERIENCE IN MEDICAL SCHOOL THAT WAS SOMETHING THAT TOUCHED YOU OR WAS UNIQUE EITHER IN KIND OF CHALLENGING YOU OR ...\n\nI think all of it was challenging for me.  There isn’t one particular thing other than the fact that I had come from a really small town.  I went to a small college and when I got to the university for the medical school, I was overwhelmed by the size.  I was overwhelmed by the size of the class and I had a lot of trouble adjusting to a class of 250 people with five women.  And that was really tough for me.  They didn’t have any kind of small group learning.  It was nothing I had been used to at all, totally different.  \n\nWHERE DID YOU GO FOR RESIDENCY?\n\nI did my residency in Binghamton, New York.  I chose to go there for a couple of reasons: When I decided to do family medicine I wanted to go to a program that was established and had been there for several years.  And there weren’t very many of those around at that time.  I also wanted to leave the midwest to really expand my horizons and live in a different part of the country.  And so I interviewed lots and lots of places all over the country.  Found the program in New York, which was not a huge town.  And the program had been there ten years with the same program director when I chose that place.\n\nAFTER RESIDENCY WHAT WAS YOUR FIRST POSITION?  WHERE DID YOU GO?\n\nI went back home, much to the dismay of everyone I worked with who really thought that was a mistake. But I guess my goal had always been to go back home and be a family doctor in my community.  And that’s what I did for the first five years of my ... FIVE YEARS.  Yes.\n\nWHY DID YOU LEAVE YOUR COMMUNITY?\n\nI left that because I was overwhelmed.  At that time I was in solo practice, so I worked 365 days of the year and had very little backup.  There was one internist in my community who I had been friends with in school.  And we did back each other up on adult patients but we had no one else to take care of children and newborns.  So I was the only person and really had difficulty leaving for any length of time or being away or not being available.  \n\nWHERE DID YOU GO AFTER THAT?\n\nAs I said in the meeting yesterday, I got so tired and I had gotten married in that five years and my husband and I wanted to have kids.  And I knew that wasn’t something I could do and have children because I just had no personal time.  So when I first went back to West Frankfurt, one of the things that I always said to myself was if I went into solo practice or went to a small community, I did not want to become outdated. And I was really worried about that because back then so many G.P.s, we called them, were way behind medically and so that was something I didn’t want to do.  And so I found a residency program which had just started about thirty miles from where I lived.  And I volunteer there a half day to a day a week the whole five years I was in West Frankfurt.  And so it just happened that they had an opening for a faculty at the time I was looking for something.  And so I went to SIE Primary Health Family Medicine and I’ve been there ever since.  \n\nYOU HAVE DONE A LOT OF DIFFERENT THINGS.  WHICH WOULD YOU SAY IS THE MOST FUN POSITION OR THE MOST FUN JOB YOU HAVE HAD SO FAR?\n\nNot just in the residency.  The most fun thing I have done is NIPID (?).  NIPID has been the most challenging thing for me.  \n\nTELL PEOPLE A LITTLE BIT ABOUT NIPID.  HOW DID YOU GET INVOLVED?\n\nNIPID started when I was an officer in AFMRD which was AFPRD at that time.  We, in our board meetings, would talk about the fact that the life span as a program director was very short.  And we were concerned about that and we felt like we were losing a lot of good program directors because they were burning out.  We also had talked with the board about several things, the ABFP.  They were very concerned because they felt like program directors really didn’t have the knowledge they needed to be good program directors.  They would get calls and letters that were really frustrating to them about things they thought program directors should know.  And so we thought then maybe we should do something to develop a program for program directors.  And the ABFP was so excited about it that they basically gave us the money to start the program which we now call NIPID which has been unbelievably successful.\n\nHOW MANY PEOPLE WERE THERE INITIALLY - THE PEOPLE WHO STARTED NIPID, YOU AND ED AND ...\n\nI don’t know how many were there originally.  Frank Dornsfest was there.  Terry was there.  I just sat on the organizational committee originally and wasn’t really involved in the teaching end of it for a couple of years.  I think at that time I was president of AFMRD and I just was there to sort of help them design a program and get some feedback.\n\nAMONG THE PEOPLE YOU HAVE WORKED WITH, EITHER IN NIPID OR AFMRD, WHO HAVE BEEN THE MOST FUN PEOPLE OR THE PEOPLE WHO HAVE INSPIRED YOU THE MOST?\n\nOf course, Ed.  Ed and Diane –- probably.  \n\nAND HOW HAVE YOU BEEN INSPIRED?  WHAT IS SO UNIQUE ABOUT THEM?\n\nI think because they are my age and still excited about what they do and they love what they do.  They’re just good people who love what they do.  THEY HAVE A PASSION.  Yes, they have a real passion for family medicine education.  Terry, of course, is probably my best friend.  He and I have worked together for so long.  We were officers together on AFMRD when it first started and going through all the growing pains.  He and I have become wonderful friends.  And he is probably the person that I most look up to as far as what he has accomplished and his passion for family medicine and what he gives.  He gives so much.\n\nHOW LONG HAVE YOU BEEN A PROGRAM DIRECTOR?\n\nI’ve been an official Program Director since 1984, which is twenty-two years.  I was acting Program Director for a year and one-half before that.  And I’ve been in the same program all that time.  THAT’S VERY UNIQUE.  Yes, it is unique.  I’ve never really had the desire to leave.  I’ve looked at a couple of jobs.  I looked once at a job in North Dakota and once at a job in Wichita, Kansas.  And those are the only two times I can ever remember looking elsewhere.  Never enough to go visit those places, however.  I was always really satisfied.  I love living in my hometown.  I love living around my parents and my family.\n\nWHAT HAS BEEN THE MOST REWARDING THING ABOUT BEING A PROGRAM DIRECTOR?\n\nProbably as we all would think, just the graduates and to see them grow and develop.  I can look back now and see folks who actually have retired who were in my first residency class. When I was volunteering my time as a preceptor I would have residents come and spend a block of time in my office.  And now I look at those folks who I would consider the elders in the community and I think they are all still really good physicians.  And I’m really proud of the fact that I had something to do with their education.\n\nWHAT WOULD YOU CONSIDER WAS THE TOUGHEST THING OR THE MOST DIFFICULT PART OF YOUR JOB AS PROGRAM DIRECTOR?\n\nThe most difficult job is just keeping up with all the demands of the paperwork and trying to stay active and involved in clinical practice, which is to me so important and something I can’t give up and still do a lot.  I try to stay involved in that and yet connect with the residents.  And I did find it difficult when we chose to go from four residency to six residency year.  And the change that brought about to the program as we increased resident numbers, increased faculty numbers and increased staff numbers, it seemed to be not as personal and not the family type atmosphere that we had when I first started.  I still sometimes miss that.  \n\nWHAT DO YOU THINK YOU WOULD ADVISE WOMEN IN MEDICINE, WOMEN AS PROGRAM DIRECTORS TRYING TO JUGGLE A LOT OF FAMILY LIFE AND CHILDREN AND ...\n\nI just think you have to choose your moments to commit yourself to other things.  As I always explain to my kids, and I’m not sure they totally understand it yet.  My oldest, I think, does.  I always said I’m a better mother because I do these things.  And I don’t think I would be a good mother if I didn’t because I think I would be so frustrated and unfulfilled that I couldn’t be a good parent.\n\nYOU HAVE BEEN IN AFMRD NOW FOR A WHILE.  Since it started.  WHAT DO YOU THINK ARE THE GREATEST ACCOMPLISHMENTS THAT AFMRD HAS?\n\nI think the greatest accomplishment is bringing together program directors.  I think we all felt, at least I know I did the first several years I was Program Director and we didn’t have an organization of our own, we really didn’t fit anywhere.  We didn’t fit in STFM because it was all kinds of family medicine faculty.  We didn’t really fit at AAFP because it was all kinds of practicing physicians.  And we just didn’t have a venue where we could commiserate with one another and learn from one another.\n\nAnd I think AFMRD has done that.  \n\nWHAT DO YOU THINK THE ORGANIZATION HAS NOT DONE WELL OR PERHAPS NOT ADDRESSED YET OR THAT YOU WOULD LIKE TO SEE THEM ADDRESS LOOKING FORWARD?\n\nI think with this new model they have to address where they want us to go and help us get there.  And I think there are so many questions about the changes that the new model is going to bring about, everybody is a little bit nervous about it.  I think we still struggle, obviously, with student recruitment.  And I don’t have a great answer for that but I think that maybe we should spend more time and effort looking at students and dealing with students.\n\nANY OTHER THOUGHTS OR COMMENTS FROM YOUR PART IN TERMS OF WHERE WE ARE GOING WITH THE FUTURE OF FAMILY MEDICINE AS A SPECIALTY?\n\nI guess I’m the eternal optimist because I really feel that we will always be around.  And I think it will be more difficult for those family physicians (inaudible).  But when I look around where I live, we are very well-respect amongst the community.  And we are well-respected amongst the specialists that work in our area.  They really depend on us.  And I think we have to keep those relationships because they are so important to our specialty.  I think as a specialty we need to work on where our graduates go.  And our ideal is that our graduates would go where people need physicians.  And I think we started out that way and now I feel like we are not in parts of the country maybe where we need to be.  And we need to help our graduates figure out how to do that and be happy and satisfied and provide good care.  \n\nYOU ARE A WONDERFUL ROLE MODEL.  AND I SAY THAT FROM MY PERSONAL EXPERIENCE.  AND LOOKING AT YOU AND WHAT YOU GIVE TO ALL OF US IS JUST SO WONDERFUL.  WHERE DO YOU FIND THE ENERGY?  WHERE DO YOU FIND YOUR SENSE OF RENEWAL (AND I MEAN THAT)?\n\nI love what I do and I tell my residents that.  There has never been a time in my life when I haven’t been passionate about what I do.  I love the education part.  I love practicing medicine.  I love being around people.  And I love sharing those things with people.  And I think the one thing that I have done that has kept me passionate has been in trying new things.  As a Program Director in the same program for all these years, had I ever been satisfied that we were doing as well as we could do then I would have been disappointed.  But always looking for new ways to teach residents, always looking for new ways to become involved in the community and give back to the community has really been what’s kept me excited.  I still love it and I still get excited about what I do.  I KNOW YOU DO.  \n\nTHANK YOU SO MUCH FOR TALKING TO ME.  YOU WERE REALLY WONDERFUL.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/156794/file/286750#t=0.0,1257.80849"}]}]}]}