{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/gb1xd0t00v/manifest","type":"Manifest","label":{"en":["Dr. Amy Daniel"]},"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":["2016-10-18 (created)"]}},{"label":{"en":["Type"]},"value":{"en":["Oral History"]}},{"label":{"en":["Agent"]},"value":{"en":["Sam Taggart (Interviewer)"]}},{"label":{"en":["Format"]},"value":{"en":["Video File"]}},{"label":{"en":["Keyword"]},"value":{"en":["Rural Medicine","Arkansas","Family Medicine","Family Physician"]}},{"label":{"en":["Subject"]},"value":{"en":["Amy Daniel, 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/collection_resource_files/thumbnails/000/293/584/small/amydanieldvd.mp4_1759343874.jpg?1759343876","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584","type":"Canvas","label":{"en":["Media File 1 of 1 - amy_daniel_dvd.mp4"]},"duration":3365.8625,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/293/584/small/amydanieldvd.mp4_1759343874.jpg?1759343876","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/293/584/original/amy_daniel_dvd.mp4?1759343849","type":"Video","format":"video/mp4","duration":3365.8625,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584/transcript/85065","type":"AnnotationPage","label":{"en":["Dr. Amy Daniel Interview Transcript [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584/transcript/85065/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Interview with Dr. Amy Daniel    \n\nGood morning, this is Sam Taggart and it is 10/18/16.  We are in the office of Dr. Amy Daniel in Augusta, Arkansas.  Thank you for inviting us into your office.  The purpose of this interview as you well know is to record your life as a physician in Arkansas.  Let’s start from the very first:  \n\nTell us about when you were born and the circumstances of your birth as well as who delivered you, if you know. \n\n“I was born on November 18, 1975 in Cleveland, Tennessee.  My family actually lived in Georgia; I’m not sure where exactly, but I think Copper Hill.  My mom for some reason wanted to deliver at the hospital in Cleveland, so she had dad drive her over there.  I guess she probably liked the OB doctor there.”\n\nWas it a long way away?\n\n“I think it was over an hour.  My sisters; I have two older sisters and they tell funny stories about getting car sick in the mountains on the way there because my dad was driving so fast, but for some reason, my mom chose over there.”\n\nAnd you were raised where?\n\n“Shortly after that, we moved back to Tulsa.  My father was an engineer and was working, I think, in a mine there in Georgia; but he got sick shortly after that, he had prostate cancer.   He died in July of ’77, so I was about 19 months old.  In that time, my family had moved back to Tulsa where his home company was and then moved actually back to Dardanelle, Arkansas where my mom was from when he passed away because my mom needed a little help with us kids.”\n\nSo you were how old?\n\n“I was 19 months and my sisters were 4 and 6.”\n\nLet’s back up a bit, tell me about your mom and dad’s full names and about when they were born.\n\n“Sure, my mom’s name was Donna Kay Geurin and she was born in Paris, Arkansas in 1947.   My dad’s name was Larry Don Moore and he was born in Russellville, Arkansas in 1965.”\n\nDo you have a big extended family?\n\n “We do; my mom actually remarried when I was about 5 years old.  So, I had three grandparents; I had my stepdad’s, my dad’s, and my mom’s and the whole family is very close.  I \n\n\n\nhave my cousins and I’m one of four children.  On my mom’s side, I’m one of 12 and on my dad’s side; I’m one of 11 grandkids.  On my step-dad’s side, there are just 4 of us.”\n\nTell us a little bit about your siblings; their ages and their names.\n\n“My oldest sister is Laura, now Griffin, and she is a CPA.  She actually teachers accounting at Arkansas Tech University and her family lives in Russellville, Arkansas.  My next sister is Nancy Binoux and she is a physical therapist.  She works in Fort Smith.  My younger brother, John Teeter is an engineer and he works in Fayetteville, Arkansas.”\n\nIs he ken to any of the Teeters of Russellville?\n\n“Yes; my stepdad is Milton Teeter and Stanley Teeter who is a family physician in Russellville is Milton’s cousin.”\n\nWe interviewed Stanley Teeter about three months ago; wonderful, wonderful, delight.  You talk about extended family; that’s a really big extended family. \n\n“Yes; my mom marrying into that family, we just got to be an even bigger family.   I usually call him my Uncle Stanley, but really and truly I guess he is a step-cousin; but he is just Uncle Stanley to me.”\n\nHe is one of the kindest, wonderful men.\n\n“Absolutely; he was very influential and what made me go in this way.”\n\nWe’re going to get around to talking about that.   Your father dying when you were 19 months old, you obviously probably don’t have very many memories of your father.\n\n“I don’t have any memories.”\n\nI would think that that would create a bit of a crisis in your family; would you talk about that a little bit.\n\n“Maybe so; my mom did not have a college degree, I know that at the time because she married when she was 19 and she didn’t finish college.  So, she had to regroup and come home.  She went back to school and became a teacher.  So, I guess, it may have been a crisis, but mom is one of the most amazing women you would ever know and so, you would never know if it was a crisis.  She would just handle it.”       \n\nAnd how long after your father passed away did she remarry?\n\n“Um, they married right before I started kindergarten; so that would have been about 4 years.”\n\nYou already answered this once, but I don’t remember what you said; where do you stand in the children; oldest, youngest, middle?\n\n\n“I’m the 3rd of 4, but my younger brother is actually my stepdad.  I don’t think of him as my half brother at all; in fact, I kind of got upset in elementary school when someone called him my half-brother, I was like, “No, he is not.”  \n\nDo you have a lot of memories of your childhood?\n\n “I had a very happy childhood.  I was talking to my mom about this just this weekend.  I remember being a happy kid.  I don’t remember being sad.  I just remember having a good time.  We lived out in the country at that time and I just remember being outside.”\n\nWhere did you live; just outside of Russellville?\n\n“We were in Russellville; just a little outside of town on a couple of acres, maybe three or four acres.”\n\nWhat kind of work did your stepfather do?\n\n“He was also an engineer.  He worked at the nuclear plant there in Russellville.”\n\nSo you grew up about the time that it was built right?\n\n“Um, I believe that it was built in the ‘60s or ‘70s.  I’m not sure exactly when, but the nuclear plant was always there.  I don’t remember it not being there.”\n\nDo you remember starting school?\n\n“I can remember bits and pieces of kindergarten and first grade.  I don’t have a lot of big bright memories of it.”\n\nDid you enjoy school?\n\n“I did; I enjoyed it quite a bit.”\n\nIs there anything particular that you found that you really enjoyed about school?\n\n“I liked all of it; I just liked going to school.  I liked finding stuff out, I think.  Especially as I got older, I really enjoyed learning.”\n\nDid you make good grades?\n\n“I did.” \n\nDid your other brother and sisters make good grades?\n\n“They did.”\n\n  Were you expected to make good grades?\n\n\n“Yes; it really wasn’t an option.”\n\nWas that your mother?\n\n“Uh huh, yes.”\n\nWas your family religious?\n\n“Yes.”\n\nWhat branch?\n\n“We went to the Methodist Church there in Russellville.  You know, we were religious in the fact that we were there; we may have not been there every single Sunday, but we were there at that was important.   It was also just real important to be a good person and treat others right; that whole philosophy.”  \n\nDid you have an extended group of friends when you were a child and up through high school?\n\n“I have a lot of friends, but I have always been one to tend to have 3-4 really close friends.  I’d have a lot of people that I was friendly with and could speak to and have a conversation, but when you really use the word friend; it was more of a closer knit group.” \n\nYou have already commented on your brother and sisters; what did you do when you weren’t in school?  What kind of things did you do?\n\n“When I was younger, we were just really outside a lot.  I have a lot of memories of my middle sister and I riding three wheelers, which is probably not considered safe anymore; but we did and we wore helmets.  I can remember doing that and just a lot of outdoors.  My stepdad had bird dogs and as a disclaimer, I’ll probably slip and call him my dad a few times during this.  It may get confusing because I refer to him as my dad all the time.  But, he had dogs and chickens and a couple of cows; we just had a lot of fun.”\n\nYou already said Dr. Stanley Teeter had an impact on you as a child; talk about that a little bit.\n\n“Well, you have already been around and know that he just has a peace about him.  He just has this way about him that is so admirable, I think.  When you watch him interact with other people, as I was older I could see that.  He was so knowledgeable and seemed to always know a good answer or a way to find out a good answer.  He just seemed so happy and content with his life that I thought, “Hey, this may work.”\n\nNow was he your doctor when you were a kid?\n\n\n\n“We didn’t go to the doctor much when I was little.  I can remember going to the health department to get vaccinations, but beyond that, I guess, thankfully none of us were very sick.  I don’t remember spending a lot of time in a doctor’s office.  But sure, whenever we needed a school physical for sports or something like that; yes, he would be listed as probably my family doctor.”           \n\nDid illness play any other role in your life other than your father’s cancer?\n\n“Um, I was very close to my mom’s parents and my grandmother passed away when I was in 4th grade and my grandfather passed away when I was in 10th grade; they both had heart problems.  My paternal grandfather had cancer; but overall, people in my family were pretty healthy.  They had active lifestyles and we were just blessed with good health, I think.”\n\nWhat about high school?\n\n“High school was great; I enjoyed it.”\n\nWere there any particular kinds of subjects that really caught your attention? \n\n“Um, I really just liked school.  Chemistry and Calculus were probably some of my more favorite classes; I really enjoyed them.  But, I can’t really say I had a class that I dreaded going to; I enjoyed them all.” \n\nNow you hinted at it a little bit; when did you start thinking “I might want to go to medical school” and “I might want to be a physician?”\n\n“You know, I thought about it a little bit in high school, but I didn’t know for sure if I wanted to do that.  I don’t know if you ever know when you are 17 or 18 years old what you really want to do.  When I went to college in Fayetteville at the University, I majored in chemical engineering and I enjoyed that and I had some great professors.  In the process of interviewing for internships, I talked about “Now, what do I do with the job site?” and they would tell me about it and I would think, “I don’t know if that’s me.”  So, I came back home and I shadowed Stanley; Dr. Teeter, quite a bit and I was like, “You know, I like this.  I like how you are involved in the community and how you are a part of so many people’s lives.  I just, I think I would like this.”  From there, I took the MCAT and I did ok.  I applied to medical school and just went from there.”       \n\nDid you have any teachers in high school or college that really stand out in your mind as somebody who had a big impact on your life? \n\n“In college, it would be Dr. Jim Turpin.  He was an amazing professor and he taught several of my engineering courses. He was just really a good man and he would take time, talk to you, and help you find your path and what you wanted to do.  I still remember one of his talks that he would give where he would talk about when you make decisions, even small decisions can be really important and life changing.  He called it his “umbrella talk” and it was “if you keep your \n\n\nfaith and God on top to overshadow all your decisions, you really can’t go wrong with any decisions that come from that.”  I always try to go back to that when I think about, “Ok, this is a big one; how do I do this?” and I think about that talk he gave me.”\n\nWhen did you graduate high school?\n\n“I graduated from high school in 1994.”\n\nAnd college?\n\n“1998; I just went straight through.” \n\n How long did you shadow Dr. Teeter?\n\n“It wasn’t for a prolonged stretch of time; it was if I was home I’d go in with him a couple of days here and there.”\n\nDid you ever work as an engineer?\n\n“No, I never did.  I liked the theory.  I liked learning and I loved the problem solving; that’s probably my favorite part of the whole process is problem solving, but that works in medicine too.  You get to problem solve all day long and you get to do it with human interaction and that is something that I think in engineering I would crave.”\n\nSo back to high school; did you have any teachers in high school that just really had an impact on you?\n\n“I had some really amazing teachers in high school.  I had an English teacher, Debbie Franks, who was a great teacher who could really teach you how to write and write well where it makes sense and gets to the point.  She took a group of students to London when we were juniors and I can remember that trip in particular really opened my eyes realizing, “Hey, this is a great big world and there are a lot of things you could do.”  We traveled some, my family did; but we didn’t travel extensively.  We mostly stayed in Arkansas or a ski trip or beach trip; not anything real extensive.  So, that was my first time to really go somewhere and that was an eye opening experience.  Then I had my uncle, my mom’s brother; he was actually my algebra teacher.”\n\nReally; that’s interesting.\n\n“He is an amazing teacher and really probably got me started on enjoying numbers and math.  I also had Wanda Heffling; she was my calculus teacher and to this day, I’d say that she was one of the smartest persons I’ve ever known in my life.  Her father was a physician in Russellville; I can’t remember her maiden name though.  Anyway, that was influential.  I had an accounting teacher who was Nelda New and she was so organized, to the point, task oriented, and get it done that I think that has really helped me in life by applying that.  I had an amazing high school \n\n\nwith amazing teachers.  Amy Smith was my biology teacher; she was fabulous.  John Lune was my chemistry teacher and my human physiology teacher, so I can remember a lot of my high school teachers that really made me love school and love to be there.  I think that paved the way for success later; honestly.”       \n\nA couple of things; by the time you came along in the ‘80s and ‘90s, it was beginning to be accepted that women would go into engineering or that women would go into medicine.  Did you ever notice any positive or negative as far as being a female and choosing one of these occupations? \n\n“No, I didn’t; but I think that goes back to my mom.  My mom never even let on that there was nothing that I couldn’t do because I was a female.  I mean looking back, I now notice that there weren’t very many females in engineering in college and there weren’t very many females, or as many females as males, in medical school.  But, I don’t know; it wasn’t an issue that I saw.  People may have had a different experience, but engineering school and medical school; if you could do the work, it didn’t matter.”\n\nDid you have any significant role models, you mentioned several teachers, from the standpoint of math, physics, chemistry and going to medical school or those kinds of things?\n\n“In teachers?”\n\nYeah or role models; somebody out there, particularly female role models?\n\n“No; not that I can think of, especially females.  I mean both my dad’s were engineers.  I also liked how logical my stepdad was, or is; he still is logical.  I don’t know; I just…..”    \n\nDid you work during high school?\n\n“I was a babysitter.  I didn’t have a full time official job.”\n\nWhat about in college or medical school?\n\n“I would babysit some, but I didn’t have a full time job.  I was always told that school was my job and if I made my grades and kept my scholarships than that would be my work.”\n\nDid you have pretty well scholarships throughout?\n\n“I did in college, yes.  They had some good scholarships there, which my parents had set up; they planned for our college because they wanted to make sure that we were all educated well.  But since they had scholarships for undergraduates, it helped quite a bit in medical school.  I had a few scholarships in medical school, but not like undergraduate.”  \n\nAt some point you said you had an inkling when you were in high school that you might go into medicine; maybe/maybe not and then you went into engineering and then shadowed Dr. \n\n\nTeeter.  Do you remember there being a day where you said, “Ok, I’m going to do this; I’ve already done all that; but I’m going to do this?”\n\n“I don’t; I don’t remember a pivotal “Ah Ha” type moment, I honestly don’t’.  It just kind of evolved.  I just kept making choices and steps and this is where I ended up.”\n\nDid you ever have any concerns that you might not be \n\naccepted to medical school?\n\n“Honestly; when I was in college, I was nervous about being accepted the first time especially being not biology major or not a traditional chemistry major.  I was a little nervous about being accepted the first time, but I didn’t really worry a lot because I just figured I’d try again and eventually I’d figure it out and get accepted.”   \n\nWhat informed your decision about going to Fayetteville to college or going to the University of Arkansas?  Did you go to the University?\n\n“I did, I went to Little Rock.”\n\nWhat informed you decision about those two facilities? \n\n“When it was time to go to college and I had decided what I had wanted to major in, I was looking at the schools that had good engineering programs and Arkansas was at the top of the list and relatively close to home.  Fayetteville was a great place to live. I had an aunt that was there, so I would have a home connection and I’m very close to that aunt.  It was going to be paid for, so common sense; good school, close to home, great town.”  \n\nWhat about medical school?\n\n“Medical school; you know, when you start looking at medical school and out of state tuition and private tuition, that is high and UAMS is a fabulous institution.  It was kind of an; honestly, I didn’t even apply anywhere else as it was a no brainer that that was where I wanted to be.  At that time, I was dating my now husband and so, I didn’t want to go too far away.”\n\nNow Peyton’s family is; Peyton Daniel…..talk about your husband a little bit; his name and where he was born, stuff like that.\n\n“Peyton Daniel is actually the III and he was born in Little Rock, Arkansas on September 11, 1975.  His family has farmed in Woodruff County for four generations; he has a four generation family farm.”\n\nAnd y’all started dating when?\n\n“When I was a senior at Fayetteville; we met when we were freshmen and we were just friends.  We started dating when I was a senior.”\n\n\nAnd when did you get married?\n\n“We married at the end of my second year of medical school; so about three years.”\n\nDo you have children?\n\n“We do; we have four children.”\n\nWhen did you start having children?\n\n“Mary is my oldest and was born at the beginning of my second year of my residency.  Then we have twins, Sarah and Kate, who was born my first year out in practice.  We also have a son, Peyton VI and he was born a couple of years into my practice.  It was 2003, 2006, and 2009.” \n\nWhat kind of complications does getting married, being pregnant, and having children do; and I realize this is almost a sexist question and I don’t mean for it to be.\n\n“It’s ok; I won’t take it wrong; I won’t take it that way I promise.”\n\nComplications with having those things happen during your training program.\n\n“I’ll have to be honest and say that I was a resident in Jonesboro at the AHEC program there and Joe Stallings was the residency director while I was there and he is an amazing man and a family man, so he was on board from the beginning.  When I told him I was pregnant, he said, “That’s wonderful; we’ll make it work.” And they did.  They arranged my call where I took all my call not around the time of delivery, so that that was fair.  I went to my fellow residents that I would be sharing call with and told them, “I’m pregnant and will be having this baby in November.  I don’t want to put an unnecessary burden of work on ya’ll, so let’s make this work.”  They were all supportive; so, there was really not an issue.  Thankfully that was a very easy pregnancy and I worked till the day before I had her and then took some vacation time and a longitudinal class.  I worked on a paper and just kept on going.”\n\nYour husband’s family was farmers and now, your husband is a farmer?\n\n“Yes.”.                  \n\nNow what did he do while you were in medical school and your residency training? \n\n“He farmed; he stayed here and farmed.”\n\nSo ya’ll commuted back and forth?\n\n“We did.  He was great.  We drove a lot and put a lot of miles on cars and spent a lot of money on gas, but we made it work.”\n\n\n\nNow, I have gotten past some of my other questions; let’s go back and talk about medical school.  Talk about that first two years of medical school, especially the first year.\n\n“Oh my goodness, they were hard.  There were difficult.  I can remember going into my microanatomy class; I didn’t have a lot of experience with microscopes and they hand you a box of slides and you start looking and I was kind of looking at it saying, “I’m not sure how to turn this thing on.”  But, you know, I got through it.  I remember that being hard and I remember at times I was thinking, “Man, I should have been a biology major if I knew I was going to be doing this” but it worked out; you just stick to it and it was ok.  Those first two years were hard.”\n\nDid you make good grades?\n\n“I made good grades in high school, I made good grades in college, my grades in medical school weren’t as good as they had been previously; but I did ok and they got better.  That first semester was really hard.  The way we learned the material was different.  In medical school there was a lot of memorization and in engineering undergraduate, it was more processes.  You learned processes and how to apply them.  So, that shift in how you tested was hard, but eventually I got the hang of it.”\n\nHow did you do in gross anatomy?\n\n“I enjoyed it.  My grades were average.  I learned a lot.  I can still remember standing around the cadaver in my gross anatomy group and that was, as strange as it may sound, was kind of fun.  We were all in it together, so….”\n\nDid you develop any good close friends during that time and did you maintain contact with them?\n\n“Well, there was a girl in my class that I actually went to high school with.  You know, we were friends in high school and knew each other on from then.  My roommate and I were pretty close in medical school; we don’t keep up as much now, just an occasional text, email, or Christmas card.  So, you know, my closest friendship were probably; the ones that weren’t carried over from high school, were made in college and then medical school was so intense with learning and all that that I probably didn’t develop as many friendships in that time.  There were great people and I liked them; it’s not that, but we were all just so busy and we are so busy in our practices that there is not…..”\n\nSo what about the second two years of medical school?\n\n“I liked them a lot better; I did.”\n\nWere there any teachers or any particular things that stand out during that time frame that you just thought; “This is really neat; I just love doing this”?\n\n\n“You know, I had a surgery rotation my first third year rotation and that was an intense rotation; I mean long work hours, but you learned a lot.  We went right into internal medicine and right into peds and that was a tough semester of some intense rotations.  But, I enjoyed all of it.  I did my third year family medicine rotation in Jonesboro and I actually fell in love with that program.  I really felt comfortable there.  I liked all the people there; Elaine Gillespie, Joe Stallings, Scott Dixon.  All of those attending are who stands out at me, but they may stand out to me because that’s where I did my residency and not so much in medical school.”\n\nAt what point did you start thinking, in the medical school process or before that even, “You know, I think what I really want to do is family practice, or what I really want to do is pediatrics or maybe even OB”? \n\n“I think I knew I wanted to do family practice from the beginning and mainly probably because that’s what I have always been exposed to.  But, I liked the idea of being able to do a little bit of everything.  Then as I was going through my rotations, I thought, “Internal Medicine; I love this….pediatrics; I love this…..OB; I love this….” So, it was a good fit; because it took all those things.”\n\n This is just an aside; one of the common things that I have seen in all our interviews is that the guys who went to medical school in the ‘50s who are now in their 60s ,like me, or in their 70s or 80s and now folks in your age group all say, “I liked everything; I liked it all.  I enjoyed every bit of it.”\n\n“I think it is and I think sometimes I step back and think it’s kind of hard to know about everything; it’s hard; but I like it.”\n\nWhen did you start thinking about the process of going into a residency program and what informed your decision about where you would go?\n\n“Well, part of it was location with Peyton farming in Woodruff County and then Jonesboro was close; it’s a little over a hour and a half driving reasonably.  Then Jonesboro has a great program with great people.  I also looked at the Fort Smith AHEC and that is a great program.  I have a sister there in Fort Smith; so I thought if I can’t be close to Peyton, I can at least be close to family.  So, I looked there and it is a great program too, but really Jonesboro was my top choice for the fact that it is a good program and geographically where I needed it to be.”\n\nLet’s begin the process of talking about your relationship with ARcare; obviously you ended up in Augusta and it seems like Augusta would be the local place for you to be as Peyton farms here and that kind of stuff.  So how did you, once you were in the residency program and doing family practice, when did you start thinking about where you were going to locate,  how you were going to locate either going into a single practice or group practice?\n\n\n\n“Right; well, I did a rural rotation with ARcare, actually it was the first month after my child was born so that I could stay here and it happened to be in the winter so Peyton wasn’t farming.  He took care of the baby and I went into my residency.  It was here locally and presepted with Dr. Collier and I thought, “This works; this is a good fit for me.”  \n\nAt that point, where was the clinic?\n\n“It was just down the road; it’s the old clinic site.  We moved here just about two years ago, so this is still fairly new.”\n\nSo you started looking at that and made that decision.  What was your impression of ARcare itself when you started?  By this time, ARcare had already grown; well, White River Rural Health I guess at that point, but it had really grown substantially.  What was your impression of it at that point?\n\n‘Well, I didn’t have any preconceived; I didn’t have a history here, so I didn’t know about it starting in Augusta and spreading to Cotton Plant and then opening in McCrory.  I didn’t know those chains of events.  I just knew that was time zero for me, I didn’t have that historical knowledge at that time.  I thought it was great.  It was a community based practice.  The fact that you didn’t really have to pay attention to insurance people had or did not have; that really appealed to me that you could see whomever regardless of their ability to pay.  I thought that was fundamentally how I wanted to practice; so all that was a really good fit.  It seemed like a great way to balance it all, because it’s not easy to balance being a mom, and being a wife, and being a doctor.  The fact that I would be at a clinic based practice and not have a hospital practice really freed up a lot of time and all that was a good fit for me.”\n\nWhen did you come out of your residency program?\n\n“2005.”\n\nYou have been here in this organization for 15 years?\n\n“The whole time.”\n\nSo you lived where?\n\n“When I finished residency, I moved back to Augusta and we lived here in Augusta.  Then when my oldest child, Mary, started kindergarten; at that time, my mother in law, Helen Daniel, was the school counselor at an elementary school in Searcy and she just said, “You need to come see this school; it is amazing.”  So we went over there and we looked around and I said, “This really is amazing.” At that time, we had a small condo in Searcy and we were commuting back and forth.  Then it snowballed from there and we started going to church in Searcy, the kids started making friends in Searcy, and we started looking up and saying, “We are spending all of our time here.” At that time, we reevaluated and just decided to buy a home and relocate to Searcy \n\n\npermanently and sell our place here.  So, we still have a house down on the farm in Gregory that we go to on the weekends, but the farmhouse…But, we live in Searcy now.  We moved there in; my oldest daughter is in 7th grade now, so that was about 7 years ago.”\n\nSo around 2009.\n\n“Somewhere around there; yes.”\n\nObviously you’re facing a problem that is very common in rural Arkansas, well anywhere really, but especially in rural Arkansas; do you see other people that you work with figuring out other kinds of arrangements on how to do that as opposed to living in Searcy?\n\n“Right; now living in Searcy, we have Harding University.  So, we have some great opportunities for baby sitters and people just to help out.”\n\nI haven’t thought about that.\n\n“I mean, it’s a real problem.  It’s just that fact that I’m here till 5:00pm; where do my kids go from 3:00 to 5:00?  When we have access to those Harding students that are great; it’s a big relief.  That access is not something that you had here.  At the time when my kids were small, we didn’t have the ARcare education center; that didn’t come along till later.  So at that time, there were not a lot of options on how you piece together and got help with childcare.  I mean, my mother in law did a lot, but she had a job too.  That happened and also, looking ahead and looking at things that were going to be offered; my three oldest are girls, I wanted my girls to have opportunities that sometimes are not available in smaller communities.  All three of my girls dance and do ballet; that’s not here.  They do soccer; that’s not there.  So, we do live in Searcy and we love Searcy.  Searcy is a great place.  It is very comfortable and how I grew up in Russellville; I feel like those towns are very similar.  But, Augusta is a wonderful town too and I don’t ever want to ever imply that we left Augusta because we didn’t like it; we loved it, we just….”\n\nWell you made your home here; you made your life here.\n\n“Yes, I’m committed to staying here and this is where I want to practice and retire here.  This will be our home, but just for now to make all those things work; we needed to be in Searcy and Searcy is great.  I don’t want to sound like I’m talking bad about either place.”\n\nOh no; don’t worry about it.  I think that you are simply talking about the subject that a lot of people talk about and think about, particularly people in healthcare and it’s not just physicians; it’d nurse practitioners, pharmacist, and other types of positions as well….how long did it take for you to get comfortable with somebody saying Dr. Daniel?\n\n“Oh, it did take a little bit; it does.  You know, sometimes my patients still call me Dr. Amy and that’s ok too.”\n\n\nOr just putting doctor in front of your name; how long did it take you to get comfortable being called doctor and functioning as a doctor?                                                                           \n\n“I can remember the first day I actually came to practice here in Augusta.  I had been in a residency setting and you know, that’s an academic setting with attendings and other residencies and people everywhere….I can remember thinking, “Oh wow; I’m down here by myself” and that’s a little bit scary.”\n\nHave you had any really scary moments?\n\n“Um, I would say yes; maybe in hindsight looking back.  I think that when you’re in the moment, you don’t remember to be scared as you’re just trying to take care of people and trying to make everything be ok and stabilized.  We have a good paramedic service here and as long as we can stabilize the patient and get them going along; so scary in that since.  Its a little nerve racking to think, “Oh my goodness, I’m 40 minutes from a hospital; what if somebody comes in with an MI?”  I mean, that’s scary; but when it happens, you just use what you have and do the very, very, best that you can and just hope that the paramedics get here fast.”         \n\nOver all what percentage of your work is pediatrics and children versus geriatrics or adult care or even just industrial medicine?\n\n“Not a whole lot of industrial medicine; a little bit, but not a whole lot.  The pediatrics; it waivers as sometimes I feel like I’m seeing a lot of kids and then at times I don’t.  A lot of adult medicine and a lot of geriatrics; they would be the bulk.”  \n\nHow many physicians or nurse practitioners actually physically see patients in Augusta?\n\n“Well, there is Katina Briscoe and she actually has her PHD; she’s a doctorate.  She is here full time.  Janet…”\n\nNow, she is originally from Augusta as well.\n\n“She is.  She is an amazing person and fun to work with.  She has a great life story.  Janet Oaks is a nurse practitioner who is here most of the time.  She has years of experience and a whole wealth of knowledge.  When I first came back it was mostly Janet and I.  It was nice having somebody who had been around for a while and knew how things worked in this area.”\n\nIs she any ken to the Oaks of Augusta, Pat?\n\n“Um, I don’t think so; but, I don’t know that for sure.  I think her family is more White County.  Then, Dr. Collier is in and he sees patients.  I don’t know his exact schedule; it just kind of depends.  Then, they started the longevity; it’s a clinical concept that his geared toward the older patient with longer visits.  Some of the students from the College of Pharmacy at Harding \n\n\nare here; so we have some pharmacists with longer visits.  We have an internist from Jonesboro and he comes down a couple days a week to do that clinic.”     \n\n At what point did you guys go to MR for the electronic medical records?\n\n“Well, I had MR as a resident; so, I trained with an EMR system.  When I came back here, we were on paper and then in 2006, while I was out having my twins, I came back to the computer.”\n\nI think you already know this, but a larger percentage of family physicians, the EMR scare them to death and many of them just retired because of it.\n\n“Uh huh.”\n\nHaving grown up medically with the EMR, do you find it difficult or is it just what you do?\n\n“I did have paper records briefly when I first came back for maybe a year to a year and a half.  Writing is faster, I will say that; like a paper chart.  It is fast; you have it in your hand when you walk in to see the patient and you make your notes; jot them down and sign in, you’re done. It is faster for me and I never thought I’d say that, because I did grow up with computers.  As far as completeness of the records, probably electronic is better.  As long as your wifi or internet is working, you have access as I can remember so many times, “I can’t find that chart” and that never was an issue.”      \n\nAre you well compensated for what you do?\n\n“Um, I think so; I feel like I am.  I have a great, nice live and yeah, I think I am.  I have had conversations with Dr. Collier a lot about that fact that time is very valuable to me and that’s a commodity that to me does not have a dollar value and ARcare has an institution or has a clinic, and Dr. Collier has been so good to me about working with my schedule and what I need for my family.  For example:  currently, I’m working three half days a week, which allows me to pick my kids up from school, get homework done, and supper on that table three days a week instead of coming in at 6:00 and starting so far behind.  I really appreciate that.  When I came back from having the twins, I was working two days a week just because I physically couldn’t do more than that.  We didn’t have child care for the twins either, so we have to piece some stuff together.”\n\nWhat year was that?\n\n“That was in 2006.  So, my schedule constantly evolves and changes about my work hours and they have been so good to me in that respect that yes I make a nice living, but I don’t think that there would be many other places that would work with me like that; honestly.”\n\nHow has your family adapted to being a; well, let me tell you a cute story and then, I’ll let you answer the question…I had a physician’s wife sitting in on his interview and I asked the \n\n\nquestion and she said, “I’ll answer that question for you.”  She said, “One time when the kids were teenagers, I lined them up in the hallway and said, “Children, this is your father.”  Do you ever get the sense of that in your practice?  It doesn’t sound like you do to me.\n\n“No, because I make basically being a part-time or semi-full time since I finished my…..I think the most I’ve ever worked was four full days a week straight.  So, I feel like that doesn’t happen and the fact that I don’t have a hospital practice.  Sometimes, I do miss that; I liked being in a hospital.  But, I’m there in the morning and I get my kids ready and drop them off at school and that’s time that I can never have back.  They are going to grow up; I mean, they are growing up way too fast anyway and there will be a lot of years where I will have plenty of time if I want to go back and do that.”          \n\nAre you and your husband involved in the community; you mentioned church and school?\n\n “Um, he probably more so than I am; he is on a couple of committees at church and he does some Farm Bureau and some Levee Board, and some things like that.  But, I teach Sunday school at church and help out at youth when I can.”   \n\nWhat technology or change in life since you have been an adult has changed things more than anything else that you can think of?\n\n“It’s probably not a novel answer, but it’s all the immediate access to information.  The social networking and the social media; all that, just exploded since I have got out of college.  I mean, I can remember being in college as an engineering student and I had an email address; that was kind of a big deal.  But now, I mean technology as far as computers, texting, facebook, and phone; all that, instant access to answers.”\n\nDid it change that way you practice medicine?\n\n“Oh, in some ways; I don’t have a facebook account.  I refuse to get one, because I don’t want the responsibility of someone trying to communicate with me professionally on that level.  I had one for a little while and I started getting some messages from patients and said, “No, I can’t do this; I don’t want to be responsible for something that you ask me on facebook.” So, I just closed my account, but that may have changed.  But, it has to be for the good and I think social media is for the good; you just have to use it in the right way.  But, it definitely makes us all impatient people, I think.”\n\nWhat about your patients; do you think you’re patients are more impatient?\n\n“Yes and I have only been doing this for 11 years.  I would say that the patients are a little more demanding than they were 10 years ago; but, they may also be more informed and maybe those go hand in hand, I don’t know.”         \n\nWhat has been the most gratifying part of practice for you?\n\n\n“Well, you know when somebody gets better or when they come back and say, “Hey, that helped; I’m doing better.”  Those are all good things.  This may sound silly, but I’ve heard my kids say before something like, “Oh, go see my mom; she can fix you;” you know, that always makes me feel good that they think that or we’d be somewhere and somebody would say something about somebody being sick and my little boy will pull on me and say, “Momma, go” and that’s gratifying.”      \n\nSo, I didn’t do the math; how old are you?\n\n“I am almost 41; 40 right now.”\n\nCan you see yourself doing this at age 65?\n\n“I don’t know; I mean, I don’t have any immediate plans to retire any time soon.  If I am still able, happy, and it’s going like it is now; I don’t see any reason not.  At that time of course, my kids will be grown and out of the house; I could probably get bored really quickly if I didn’t have something to do.  So, probably I’ll still be in practice, but who knows.”\n\nWhat do you do for fun?  I know it’s a hard question for a mother with multiple children.\n\n“There’s not a lot of free time, but that’s ok; I don’t begrudge that as I wouldn’t change a thing about my life.  I do enjoy reading and that’s a down time for me, a kind of unplugged decompressed kind of thing.”\n\nAny particular types of things you like to read?  \n\n“Non-medical; I mean, I do a lot of medical reading to keep up, but I encompass that in my work; I compartmentalize that into my work duties. I like nonfiction or historical-fiction; fun, easy, light stuff.”  \n\nDid you anticipate encouraging your children to go into medicine?\n\n”That’s a tough question.  I want my kids to be happy, productive adults and I want them to function in a fully functioned society and I want them to feel worth from what they do in that it is a good living.  I want them to be self sufficient and be able to take care of themselves; that is something that my mother told all of us; “No matter what you choose to do; make sure that whatever life throws you, you are going to be able to take care of yourself and your family if you need to because that it important.”  I think that is because of the situation that she found herself in.  So as far as me prepping my kids and saying, “Go into medicine….go into medicine,” I’m not going to do that, but I’m not going to point them in any other direction either.  If they come to me and say, “Hey mom, I think I want to be a doctor.”  I’ll say, “Ok, let’s talk about it; why do you want to be a doctor?” So, if they show an interest and it‘s what they truly want to do; I’ll support them, but I’m not going to pressure them into doing it.”  \n\n\nIs there anything unusual or unique about practicing in the Delta?  Do you see any illnesses or problems that you wouldn’t see in other parts of the state where someone else might say, “That’s interesting, I’ve never seen that”?\n\n“Um; you know, I didn’t grow up in the Delta; so that’s been a time for me to learn just little things like…..this is funny, but I had breakfast, lunch, and dinner growing up; here you have breakfast, dinner, and supper.  It’s just those little nuances as I’d say, “Take your insulin with dinner” and they’d take it with their lunch; you know, little things like that I had to learn how to do better.  People in the Delta are amazing people.  One of the things that I’ve learned is that if you’ll listen to them, they can really tell you some great things about themselves and their history; you can actually learn quite a bit about them.  They’re a lot more intelligent than people give them credit for; I think a lot of the times.  They are just really good hardworking family oriented people.  It’s been nice to be in this area and it may sound….I don’t know, I feel like I’m needed and that’s a nice feeling to have.  I feel like people want me to work here and that they are glad when I’m here and I like that too.  If I can do something to make their life a little better and make their life a little healthier, than that’s what I want to do and at the end of the day, that’s a success.”      \n\nDo you have any interesting stories; either funny situations that you got into or any scary situations that you’ve gotten into?\n\n“You know, I kind of function in the zone of “Let’s get this done.”  I’ve got work and I got to do a great job at this and I try my very best and put a lot of pressure on myself in that respect.  Then, I get home and I got to be a good mom and do this and be a wife; so there’s all that and I don’t retrospect a lot.  That’s one thing about this interview and talking about it; I never look back and think about all this stuff.  I don’t journal and a lot of times I think, “I should write that down so I can remember it” but, I get so busy with life that I forget to do that.  There have been some great times with good laughs and the staff that I work with is good and it has been fun to get to know them.  But as far as just a major event, I mean there really is not one; there is not a great story that I can share just to think of off the top my head.”      \n\nAre there any other subjects that you would like to make sure gets in this interview?\n\n“We’ve been pretty all inclusive, I think.”\n\nOne more question…\n\n“Ok, oh no; that’s usually the big one.”\n\nWell, it is a big one in a way; two generations from now when you’re not here, your great great, grandchildren and you’ll be a picture on the wall.  They will say our great, great, grandmother was a doctor; what do you have to say to your great, great grandchild about your life and how you lived it and what you expect and hope for them?\n\n\n“My goodness, that’s a big question.  Well, it’s hard to even imagine what that would be like.  If I was going to leave any legacy or any message to my family, I would tell them to be proud of how they are, be proud of their family, and our roots as those are important.  I would tell them to approach each day and live it to its fullest.  I would also tell them to try their best in whatever they are doing, because if you try your best; you are going to succeed and hopefully that will be the road to happiness. I don’t know; that is a tough question.”  \n\nWell, that was a very good answer.  It sounds like that answer could have come from your mother as well.\n\n“Maybe so; she is probably the most influential person in my life.  She is my go-to whenever I have a question or need something.  Peyton jokes with me all the time that he is going to find me a shirt that says, “Momma said” because it seems like all the time, I say, “Well, my momma said.”  But, yeah she is amazing.”    \n\nThank you; that was great.  That concludes the interview.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2312/collection_resources/161730/file/293584#t=0.0,3365.8625"}]}]}]}