Ruth Tadesse discusses her path from childhood in Ethiopia and immigration to the United States to a career in nursing, nursing education, and gerontological research. She describes early clinical work in long-term and acute care, the influence of her mother’s nursing practice, and her education and faculty career at OHSU. Tadesse reflects on teaching approaches centered on clinical judgment, reflection, supportive learning environments, and care coordination. She discusses work involving older adults, dementia care partners, mental health education for rural primary care providers, and clinical education in nursing homes. She also recounts experiences of racism and power inequities in nursing education and explains how they shaped her commitment to inclusive teaching and attention to structural causes of health inequities. The interview addresses mentorship, doctoral education, the effects of the COVID-19 pandemic on long-term care and research, and her plans for continued teaching, research, and publication.