In 2025, Frontier Nursing University celebrates the 100-year anniversary of the inception of the Frontier Nursing Service. We are grateful for the alumni, students, couriers, donors, volunteers, friends, and employees who have made an incredible impact on FNU’s century-long journey. We are celebrating this milestone year by capturing and sharing some of the countless stories that make up our history. Whatever your connection to FNU, we hope you enjoy these stories and are inspired to share your own story with us.
Dr. Elia R. Cole, DO, MPH, was born in the Hudson Valley in upstate New York. As a pre-med student, she was an EMT and Director of Emergency Medical Services while attending Bard College. She also participated in summer programs to prepare for the medical field through a pediatric surgery internship in Lima, Peru, and the FNU Courier Program in Hyden, Kentucky, in 2009.
The Courier Program was started in 1928 by FNU founder Mary Breckinridge, who recruited young people to work in the Kentucky mountains and learn about service to humanity. In the early days, Couriers escorted guests safely through remote terrain, delivered medical supplies to remote outpost clinics, and helped nurse-midwives during home visits and births. Today, the Courier Program Public Health Internship is a service-learning experience that provides an opportunity for students interested in public health, healthcare, or related fields to see what it is like to provide medical care to an underserved population. It was exactly the rural, underserved experience that Dr. Cole had been looking for.
“It felt like I was stepping back into history, especially because I was pretty excited to learn in a place where Mary Breckinridge once stood, a place that was part of the history of American Public Health,” said Dr. Cole, who is now a physician with Northwest Permanente.
Dr. Cole’s ties to the Courier Program have extended well beyond that memorable summer. Even as her medical career has progressed and she has moved across the country, Cole has stayed connected. She has come back for opening or closing sessions of the program or to give presentations, has served on the Courier Advisory Committee, and has been a mentor to other Couriers.
Dr. Cole studied public health at Boston University and medicine at the Pacific Northwest University of Health Sciences in Yakima, Washington. As a third and fourth-year medical student, Dr. Cole was assigned clinical rotations based out of Fairbanks, Alaska.
Her rural healthcare experiences included travel to remote villages, where she learned to provide healthcare with limited resources. Further clinical rotations took Dr. Cole across the country to the Midwest and the Navajo Nation. These varied experiences of life in America further fueled Dr. Cole’s desire to deliver healthcare to underserved populations.
In recognition of her past and ongoing contributions to the Courier Program, Dr. Cole was awarded FNU’s Unbridled Spirit Award in 2024. The award is presented annually to a former FNU Courier who is dedicated to serving others, has ongoing, longstanding stewardship of Frontier, and has demonstrated conviction, courage, and a zest for adventure.
We want to celebrate our anniversary by capturing and sharing the countless stories that make up our history. Whatever your connection to FNU, we are incredibly grateful to you and want to hear your Frontier story.
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