Dr. Carol Howe reflects on her life and career in the field of nurse-midwifery and nursing education and administration. She also discusses her early career teaching at the OHSU School of Nursing, her decision to enter the nursing doctoral program at the University of California, San Francisco, and her return to OHSU in 1980 where she started the Nurse-Midwifery Program at the School of Nursing, where she served as director of the program until her retirement in 2015. She describes her involvement with the School of Nursing administration, including being named Associate Dean for Practice; the university Faculty Senate where she served as President; and her time spent on the American College of Nurse-Midwives Board of Directors. In this interview, Howe goes into more detail about how she became involved in labor and delivery nursing followed by midwifery, including challenges faced by Oregon midwives in the 1970s in being allowed to practice. Howe also mentions notable figures from the nursing school, including Carol Lindeman and Barbara Gaines. She concludes by reflecting on major changes in nursing and midwifery education and the professions overall as well as changes at OHSU, observed throughout her career.