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  • Featured Preceptor: Deena Parsons, CNM

    Featured Preceptor: Deena Parsons, CNM

    At the heart of Frontier Nursing University is a talented community of students, alumni, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community that are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality health care to underserved and rural populations.

    In the world of healthcare, there are individuals who go beyond their job descriptions to make a lasting impact on their patients and the next generation of professionals. Deena Parsons, CNM, with TriHealth Associates in Ob-Gyn, is one such individual.

    Based in Cincinnati, Ohio, Parsons has devoted more than a decade to serving women of all ages at her practice, from teens to postmenopausal individuals, providing compassionate care in all stages of their lives.

    Parsons also serves as a preceptor to midwifery students, like Brandi Pace, who recently earned her Master of Science in Nursing (MSN) from Frontier Nursing University. Pace was mentored by Parsons during her clinical experience, and she said she couldn’t have been more grateful.

    “I could not have been luckier in finding a preceptor,” Pace said. “Dee supported and encouraged me the entire way, and I have learned so much with her throughout my clinical time. She would make a phenomenal preceptor for any future student looking for placement in the Cincinnati area.”

    Pace said Parsons’ approach to midwifery care serves as a model for any student pursuing a career in midwifery.

    “She is so empathetic and understanding with patients of all ages and backgrounds and does a fantastic job making her patients feel comfortable and supported,” Pace said.

    Preceptors serve as teachers, supervisors, and evaluators for students during their clinical practicum. Preceptors are not only an integral part of the educational experience for FNU student practitioners, but also for promoting the nursing profession. To learn more, visit our Clinical Preceptors page. 

    To read more preceptor stories, click here.

  • Dr. Diane John Named Interim Dean of Nursing

    Dr. Diane John Named Interim Dean of Nursing

    FNU has named Dr. Diane John, PhD, ARNP, FNP-BC, CNE, as the Interim Dean of Nursing in the wake of former Dean Dr. Joan Slager’s retirement.

    Dr. John is a board-certified Family Nurse Practitioner and Associate Professor. She earned a doctoral degree (PhD) from Barry University and a master’s degree from Florida Atlantic University. She has spent over 40 years in the nursing profession, including more than 20 years in academia.

    Dr. John joined FNU as faculty in 2012 and has served as curriculum and course design coach, committee member/leader, and mentor for faculty and students. Her contributions to the nursing profession include scholarly presentations and publications, and she has served as a grant reviewer for numerous HRSA (federal grants). Her focus has been and remains on health promotion, cardiovascular health, epidemiology, intimate partner violence, and other topics.

    Dr. John has served as program director for an entry-level BSN program and program director for an RN-BSN program. As a nurse educator and community advocate, she founded Independent Nurse Providers (INP), a for-profit organization supported by advanced practice nurses who provide healthcare and education for local organizations. She has received meaningful grant funding to engage, educate, and support the community.

  • A Century of Stories: Dr. Michael Carter

    A Century of Stories: Dr. Michael Carter

    In 2025, Frontier Nursing University honored 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 celebrated 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.

    Dr. Michael Carter’s long history with Frontier Nursing University dates to 2003 when he joined what was then the Frontier Nursing Service Board of Governors. Dr. Carter has been a board member ever since and has served as the Board Chair since 2009.

    During his more than 20 years at Frontier, Dr. Carter has seen and been instrumental in many milestones for the university. He was on the Board of Governors when what was then known as the Frontier School of Midwifery and Family Nursing launched the Doctor of Nursing Practice program in 2008. He was the Board Chair when the university officially changed its name to Frontier Nursing University in 2011.

    In 2017, he helped lead the way as Frontier purchased the land that is now its home in Versailles, Kentucky, in order to foster growth in program offerings and enrollment. A year later, with Board approval, FNU launched the Psychiatric-Mental Health Nurse Practitioner specialty track. Then, in 2022, after the completion of renovations and construction, FNU held the ribbon-cutting ceremony officially opening the Versailles campus. Most recently, he initiated the successful search and implementation of FNU’s second president, Dr. Brooke A. Flinders, in 2024.

    Dr. Carter attended the University of Arkansas College of Nursing, earning his BSN in 1969 and his MNS in 1973. He served in the United States Army Nurse Corp from 1968-71 during the Vietnam War. He earned his doctorate in 1979 from the Boston University School of Nursing and DNP from the University of Tennessee in 2009.

    Dr. Carter practiced as a family and geriatric nurse practitioner and served as the Dean of the University of Tennessee Health Science Center College of Nursing from 1982-2000. He held many teaching positions including serving as an adjunct professor at the Curtin University School of Nursing and Midwifery in Perth, Australia. He also worked to develop nurse practitioner education in Australia. In recognition of his expertise and dedication to nursing in Australia, he was made a Fellow of the Australian College of Nurse Practitioners.

    Dr. Carter’s extensive list of awards and honors include but are not limited to: Fellow of the American Academy of Nursing in 1982; Outstanding Alumnus from the University of Tennessee College of Nursing in 2000; Excellence in Teaching Award, University of Tennessee Health Science Center Student Government Association in 2005; Lifetime Achievement Award, National Organization of Nurse Practitioner Faculties in 2015; the University of Arkansas for Medical Sciences (UAMS) College of Nursing’s Distinguished Alumni Award in 2019.

    In 2021, Dr. Carter, his wife Dr. Sarah Carter, and their daughter Elizabeth Carter, JD. announced a $500,000 commitment beginning in 2026 to create a health policy institute at FNU. This gift furthers Dr. Carter’s commitment and lifelong work to enrich the nursing profession across the globe.

    Dr. Sarah Carter was one of six women in her class when she earned her M.D. from the UAMS College of Medicine in1965. Board-certified in internal medicine and geriatrics, she devoted much of her career to working with the Veterans Affairs Health Care System. She was the Chief of Ambulatory Care and Chief of Staff at the Memphis VA Medical Center but also treated patients at VAs across the country.

    Like her husband, she has also shared her knowledge and dedication to improving public health with others, previously serving as the Associate Dean at the College of Medicine at the University of Tennessee Health Science Center.

    Elizabeth Carter has been a professor at LSU Law since 2010. She earned a B.S. in Biology and Chemistry and a B.A. from the University of Memphis in 2002, where she graduated magna cum laude. She earned her J.D. from Tulane University Law School in 2007, where she graduated magna cum laude, was elected Order of the Coif, and awarded a Civil Law Certificate.

    Professor Carter was awarded the 2007 Louisiana Bar Association Civil Law Award for attaining the highest grade in civil law studies. Professor Carter earned her LL.M. in Tax from the University of Alabama in 2010.

    >> Read More from “A Century of Stories” 

  • A Century of Stories: Jean Fee

    A Century of Stories: Jean Fee

    In 2025, Frontier Nursing University honored 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 celebrated 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.

    Jean Fee was born in 1937 and grew up with her sister and brother on her family’s ranch in rural western Alberta, Canada. She rode six miles each way on horseback to attend the small high school established for the ranch children of the area. Upon finishing high school, she trained to qualify as a Registered Nurse in the Calgary General Hospital (CGH) nurse training program.

    Fee was drawn to the natural process of midwifery after being appalled by the birthing experience in hospitals, where mothers frequently had little opportunity to bond with their newborn babies.

    In 1958, Jean left her home in Alberta to travel to the mountains of eastern Kentucky to attend the Frontier School of Midwifery. After graduating in 1959, she went back to Alberta, where she married Phillip Fee in 1962. They raised two children while Phillip worked as a barber and Jean worked for the local health department and on the staff of Turner Valley District Hospital.

    In 1973, Fee returned to Kentucky, settling in McKee. Jean applied her blend of experience in both public health and hospital acute care working in the private practice of a local family physician and at Manchester Hospital.

    In 1980, Jean’s knowledge, skills, and experience were accepted for certification as one of the first Family Nurse Practitioners (FNP) licensed by the state of Kentucky. She practiced as a Family Nurse Practitioner at the non-profit White House Clinics in McKee until she retired from clinical practice. White House Clinics are non-profit, Federally Qualified Health Care Centers that receive federal funding to offset costs for uninsured and low-income patients.

    Throughout these years, Jean maintained a close, hands-on relationship with Frontier. She shared her clinical experience by precepting and mentoring Frontier’s family nursing students. She also volunteered with the Frontier Courier program, mentoring the students as well as frequently housing and feeding them.

    For over 15 years, Jean welcomed Frontier’s new students by presenting a slideshow upon their arrival. She presented the history of the FNS through her own experience and photographs. She attended more than one hundred orientations, beginning in 2002. Everyone who came in contact with Jean learned something from her and took away a piece of her dedication to nursing and the care of others.

    “We are there for the patient, and that’s our whole reason for being,” Jean said. “If you lose sight of that, then you totally lose sight of what you’re trying to do.”

    In 2009, FNU honored Jean Fee with the Distinguished Service to Alma Mater award. In 2013 FNU presented her with an honorary Doctor of Nursing Practice degree in recognition of her lifelong dedication to nursing. In 2014, she was named one of 75 honorees during FNU’s 75th anniversary.

    Jean Fee passed away on January 4, 2018.

    >> Read More from “A Century of Stories” 

  • A Century of Stories: Dr. Cathy Cook

    A Century of Stories: Dr. Cathy Cook

    In 2025, Frontier Nursing University honored 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 celebrated 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.

    There are a multitude of ways the subjects of Century of Stories are involved in the past, present, and future of Frontier Nursing University. Few are the number of people who check more of those boxes than Cathy Cook.

    As a graduate, regional clinical faculty, preceptor, and faculty member, Dr. Cook has done it all. After earning her MSN from Case Western Reserve, she came to Frontier to obtain her CNM (1998). She later returned to Frontier for her DNP (2020).

    She worked as a certified nurse-midwife from 1998-2020, most of them in Galesburg, Illinois. She specialized in natural childbirth and providing individualized education and prenatal care to expectant mothers. She has since received Full Practice Authority and opened her own aesthetic and hormone optimization clinic.

    Despite this demanding career, Dr. Cook was eager to give back as a preceptor. Preceptors are experienced licensed clinicians who supervise nursing students during their clinical practicum. Their role is to help students translate what they have learned into real-world clinical practice. In total, Cook precepted an incredible 270 Frontier students.

    “Students teach us as much as we teach them,” Dr. Cook said. “They help us see things through new eyes. Some of us who have been practicing for a long time may not know the newest items in healthcare. Students can teach us those things if we are open and willing to learn from them.”

    Dr. Cook’s desire to teach and prepare more nurse-midwives led her to return to Frontier as Regional Clinical Faculty (RCF) and Clinical Bound Team Lead and ultimately course faculty. RCFs advise, support, educate, and evaluate students. They also support and collaborate with clinical preceptors in keeping with the policies established by the Frontier to ensure an effective clinical experience for students.

    In 2021, FNU presented Dr. Cook with the Distinguished Service to Alma Mater award, in recognition of her wide range of contributions to the university. The award specifically honors graduates who have supported Frontier through volunteer efforts and/or donor support.

    Dr. Cook’s additional awards include the Kitty Ernst Scholarship (1997), induction in the Sigma Theta Tau International Honor Society (2017), and American College of Nurse-Midwives Fellow (2022).

    >> Read More from “A Century of Stories” 

  • Author Cathy Schieffelin’s Life-Changing Experience as a Frontier Courier

    Author Cathy Schieffelin’s Life-Changing Experience as a Frontier Courier


    Cathy Schieffelin

    Frontier Nursing University’s Courier Program Public Health Internship leaves a lifelong impression on its participants, who spend the summer learning about public health firsthand. For Cathy Schieffelin, like so many others, it was an eye-opening and life-changing experience.

    After graduating with a degree in communications from Denison College, Schieffelin served as a Courier in 1990 when the program was operated in Hyden, Kentucky.

    “My brief time in Hyden left an impact,” said Schieffelin, who hails from Shaker Heights, Ohio, and now lives in New Orleans, Louisiana. “Even over 30 years later, I think a lot about the place and people I came to know and work with. Wendover is never far from my mind.”

    Neither is public health. She went on to serve in East Africa as a member of the Peace Corps (1994-95) and earned a Master of Arts from the Tulane University School of Public Health and Tropical Medicine in 1996. She also holds a Master of Public Health degree from the Tulane University School of Medicine. Her career stops have included jobs in public health and wildlife education. Most recently, her communications background has led her to become a self-employed author. Among her works are stories based on her unique and varied experiences as a Courier.

    Schieffelin graciously shared the following short story, “Babies in Saddlebags,” inspired by her time as a Courier. “I got to witness a midwifery delivery,” Schieffelin said. “I was permitted to photograph the young mother’s delivery and to write about the role of midwives in the community. It’s always stuck with me how Kim McQuoid, one of the finest midwives I’ver ever known, could walk into a room with a panicked and distressed young mother and, with a look, soothing voice and a brief touch, change the molecules in the air. Fear and pain were replaced with calm and focus. I was astonished and grateful to be a part of that experience and to be able to record it.”

    Saddlebags and Babies: Life as a Midwife
    by Cathy Schieffelin
    Author’s note: This story is inspired by the work of those early midwives and Mary Breckinridge

    I’m up to my elbows in dirt, digging roots and tubers, ginseng, snakeroot, cohosh, all manner of medicinal herbs. Homebase is a rustic, log cabin nestled deep in the Appalachians of eastern Kentucky, just off what will be known as the Daniel Boone Parkway. My partner is a sure-footed copper-colored steed I call Penny. We spend our days and nights traversing remote mountain hollers to treat the sick, the elderly, children, and women in labor. I work for the Frontier Nursing Service based in Wendover, Kentucky.

    I’m decked out in blue twill jods with matching vest, mud on my boots and my horse lathered from the exertion of climbing steep mountain passes. I collect herbs and spend time with elderly nanas who teach me old timey recipes for salves and poultices. Despite my nurse’s training and access to modern medicine, it’s the native plant knowledge that keeps people coming back. Blue cohosh’s good for bringing a baby on. Sweetflag or bitter pepper root’s good for clearing the throat and treating bloat. Whitetube stargrass (aka white colicroot) helps colic and rheumatism. I know these plants intimately: I’ve learned when to harvest and the proper drying process. I know salves for nettle stings or bug bites. I treat burns, the janders, and insomnia. My patients are anywhere between the cradle and the grave.

    One evening I find Thomas, a young man from Camp Creek, at my door. He tells me Hazel Begley of Hurricane is in labor. I know Hazel. She’s expecting twins. She lost her first baby to the pressure and I worry twins may take it out of her. I load my saddlebags and tack up Penny. Her copper coat gleams like a shiny coin in the evening light. People in these parts call this time ‘the edge of dark’. Yes, it is. I mount up and ride into the setting sun. Crossing the Middlefork, water’s low, lapping Penny’s legs. Last time we had to swim this stretch as heavy rains flooded the riverbank. Penny’s ears prick forward, nickering as we trot across. We’re both relieved not to be swimming.

    Hazel and Wyatt’s homestead sits in a small clearing around the bend. I smell woodsmoke before seeing plumes from their chimney guiding me in. Wyatt greets me in the yard, deep lines etched into his brow. He’s a man of few words. Hazel’s moans reach my ears, low and full throated. He takes Penny and nods for me to go inside. I remember his devastation when they lost their last one. I find Hazel inside hunched over a rocking chair, using the arm of the chair to rest her enormous belly. That’s the only enormous thing on her. She’s a mite – ropy arms and stick legs, poking out her damp cotton gown. I see where she lost her water and is trying to clean up the mess with a mop.

    “Hazel, leave that. Let me take a look at ya.” I take her arm and lead her to the cornhusk-filled mattress. Her body shines, perspiration dripping from her pale face. Another contraction seizes her. Her fingers clench mine and I encourage her to breathe in, slow and steady, then release the exhale in short puffs. She tries to copy but struggles with the pain. I wet a clean cloth to wipe her face as she lays down for me after the contraction’s subsided.

    It’s a long night. She’s dilated but one of the twins is breech. I manipulate her belly from the outside, while she crouches on all fours on the mattress. She’s a good patient, willing to do what I ask despite her suffering. Wyatt watches from the corner. He coos words of encouragement and I see the love between them in those brief moments when they catch each other’s eye. His terror is palpable. He knows women die doing this. Before I walked in, he pleaded, “Don’t let her die. Can’t live without her.” I squeezed his shoulder and nodded.

    Ten hours later in the wee hours of the morning, Hazel gives birth to a boy and girl – Lukas and Lucy. They’re just under six pounds, caterwauling like a litter of puppies. Lukas is lively and ready to suckle. Lucy’s sleepy. They both have their momma’s fair hair and deep blue eyes, at least for now. I see Wyatt’s chin on Lukas and Hazel’s calm expression in Lucy’s face. They look healthy, with all ten toes and good sets of lungs. I spend time sewing up Hazel. She bled heavily but that seems to have been staunched, her color and pressure are improved. She’s weary and allows me to get the babies nursing, while she drifts off.

    Wyatt brings me a cup of coffee and sits on the cherry wood stool gazing into the fire. He turns back, tears in his eyes as he watches his exhausted wife sleep, snuggled up. He doesn’t say much aside from thanks and more thanks. I feel his appreciation from the look in his eyes down to the mud he’s tracked in on his boots. I give him instructions for post partum care and helping Hazel get the babies latched on. He’s clumsy in his attempts, but his heart is all in. He cradles Lucy’s head as he guides her mouth to Hazel’s nipple. Bitty Lucy takes a few tries before she gets the hang of it. Lukas seems to have it all figured out and gorges on Hazel’s other side. I stay long enough to be sure Hazel’s bleeding’s stopped, and the twins are eating well and sleeping. Wyatt pays me with a freshly butchered chicken and some ginseng – valuable commodities in this impoverished mountain community. I look forward to a roast chicken dinner later and the ginseng root is worth its weight in gold. I thank him as he leads Penny to me, saddled and ready to go. Sun shines through the trees, a hint of fall in the air as I ride back across the Middlefork toward home.

    For more information on Frontier’s Courier Program Public Health Internship Program, click here. Applications for the 2025 program are due by 5 p.m. ET on April 11, 2025. Visit this page on our Portal to apply. 

  • Maternal Health Crisis Documentary Premieres on Kentucky Educational Television (KET) and PBS Affiliates Throughout the U.S.

    Maternal Health Crisis Documentary Premieres on Kentucky Educational Television (KET) and PBS Affiliates Throughout the U.S.

    A new documentary about the maternal health crisis and the role of nurse-midwives will air on Kentucky’s statewide PBS network Kentucky Educational Television (KET) on March 12 at 5:00pm ET. Air dates are also set for more than 150 PBS affiliates throughout the country.

    Nurse-Midwives: Addressing the Maternal Health Crisis educates the public on the impact of nurse-midwives and nurse practitioners on maternal health and the maternal mortality crisis being experienced in the United States.

    “The United States continues to have the highest maternal mortality rate among wealthy nations. CDC data from 2022 revealed that more than 80 percent of pregnancy-related deaths in the U.S. are preventable,” Frontier Nursing University (FNU) President Dr. Brooke A. Flinders, DNP, RN, APRN-CNM, FACNM, said. “This documentary tells the story of how distance education paved the way to addressing this crisis by educating more nurse-midwives and nurse practitioners who play a crucial role in reducing maternal mortality and ensuring equitable access to care.”

    Before the advent of online learning, a remarkable group of nurses and nurse-midwives believed that more nurses would seek certification as nurse-midwives if they could stay in their home communities during the educational process. Thus, the development of the unique and innovative Community-based Nurse-Midwifery Education Program (CNEP). CNEP was developed to allow nurses who lived in rural and underserved communities access to nurse-midwifery education without leaving home. The documentary details the development and evolution of the CNEP via interviews with visionary leaders and educators. It also shines a light on the subsequent development of family nurse practitioner, women’s health care nurse practitioner, and psychiatric-mental health nurse practitioner distance education programs and their similarly vital roles in maternal health care.

    “Nurse-midwives and nurse practitioners are reshaping the landscape of healthcare,” Dr. Flinders said. “From across the nation, these incredible healthcare providers are making a difference in the communities in which they live and serve.”

    This documentary is produced and directed by Michael Breeding. Learn more about this documentary at frontier.edu/documentary. Check local PBS listings for upcoming broadcast dates and times.

  • Frontier Nursing University Celebrates 100th Anniversary of Its Inception

    Frontier Nursing University Celebrates 100th Anniversary of Its Inception

    Throughout 2025, Frontier Nursing University is celebrating the 100th anniversary since its inception. Originally founded as the Mary Breckinridge Kentucky Committee for Mothers and Babies in 1925, the organization was renamed as the Frontier Nursing Service (FNS) in 1928.

    Frontier Nursing University Nurses on Horseback
    Two nurses on horseback.

    In 1928, the Hyden (Kentucky) Hospital opened as FNS became the first organization in America to use nurses trained as midwives under the direction of a single physician. That same year, the FNS Courier program began. The Couriers assisted nurses with everyday chores such as delivering supplies to the clinics and caring for the horses that the nurses used to traverse the mountains to reach the women and children in their care. In 1933, Metropolitan Life Insurance Company published a summary of the first 1,000 FNS births. The summary concluded that the services provided by FNS significantly decrease maternal and neonatal mortality.

    The Frontier Graduate School of Midwifery, since renamed as Frontier Nursing University, was founded in 1939 by FNS as a part of its demonstration project in the care of the mother and child in rural areas of Kentucky. Today, Frontier has more than 12,000 alumni from all 50 states and a current enrollment of 2,700 students.

    “We are so excited to celebrate the incredible and impactful 100-year history of Frontier,” said FNU President Dr. Brooke A. Flinders. “This is a great opportunity to reflect on how we got here and be reminded of the importance of the work we are doing to educate and prepare nurse-midwives and nurse practitioners to improve the healthcare in their communities across the country.”

    FNU’s celebratory plans include an “Alumni & Friends” cruise in April and a nationwide presidential tour where alumni, students, and supporters can meet Dr. Flinders. FNU is also introducing a new series called “On the Trail”. This series of videos, which will be on FNU’s YouTube page, will take viewers behind the scenes for Frontier.

    In September, FNU will induct its first Alumni Hall of Fame class and announce its annual service award recipients as part of commencement weekend.

    The year-long celebration has already begun with the university’s “Century of Stories”. These stories, which will be posted throughout the year on the Frontier.edu website, feature the people, moments, initiatives, and stories that shaped Frontier’s first 100 years.

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