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Joseph D. Bloom talks about his transition from private practice in Anchorage to an academic position at the University of Oregon Health Sciences Center. He discusses the development of psychiatry in Oregon and about psychiatry training. He shares his impressions of Presidents Leonard Laster and Peter Kohler and past deans of the School of Medicine, particularly John Kendall. He discusses his years as an administrator, the relation between the school and hospital, and various changes that have led to the current state of medicine.

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