IUSM HISTORY PROJECT INTRODUCTION D CRAIG BRATER MD 3

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The Project

IUSM History Project, Introduction, D. Craig Brater, M.D. 3 of 3

The Project

During its Centennial Celebration in 2003, the Indiana University School of Medicine committed to support the research and writing of a monograph history of the medical school. The book is intended as a contribution to the historiography of American and Indiana medicine and medical education.


Founded during the progressive movement to reform medical education and licensure and amidst the creation and growth of graduate education generally, the Indiana University School of Medicine is an important case study in the transformation of American medical education. Its status as the only medical school in Indiana and its importance as a research and teaching unit of Indiana University in the state’s capital and largest city, fostered unique features in the school’s development.


Like most medical schools, IUSM built a physical, political, and professional empire while accreting new mandates and responsibilities: from training better doctors and caring for the needy to creating heroic cures and driving economic growth. These many missions —to cure, to train, to discover, to create jobs— have at times mutually supported the school’s growth. At other times, these many missions have created tensions that challenged the consensus in which the school operated and reshaped its identity and structure.


Over the last century IUSM has grown from the frail outcome of the end of proprietary medical education to a vast teaching, research, and clinical institution, anchoring not only medical education in Indiana, as the second largest medical school in the nation, but also the political and economic power of its parent university.


Oral History

With much of the scope of the book within the last sixty years, oral history is a fundamental documentary tool for the project. In addition to providing primary materials for writing the history of the medical school, the opportunity to record the recollections and insights of actors involved in the life of the medical school will create an important source collection for future scholars writing on the history of American medicine and medical education.


Interviews for the project have been conducted with physicians, former students, researchers, deans and administrators, and other stakeholders. These narrators, alongside the rich manuscript collections held by Indiana University and other local libraries and archives, are essential to understanding the history of the medical school.


D. Craig Brater, MD; Dean & Walter J. Daly Professor, IU School of Medicine;

Vice President with Responsibility for Life Sciences, Indiana University

D. Craig Brater, M.D., became the ninth dean of the Indiana University School of Medicine on July 1, 2000. For the prior decade he served as Chairman of the Department of Medicine at IUSM. Dr. Brater arrived at IUSM in 1986 after nine years at Texas Southwestern Medical Center.


The Department of Medicine has been central to research in the IUSM since Dr. Charles P. Emerson arrived as chairman and dean in 1911 as part of IU President William Lowe Bryan’s vision of the medical school as part of the emerging research university. During Dr. Brater’s tenure as chairman research funding in the department increased from $25 to $39 million. This dramatic growth in funding came amidst other important changes in the department and the medical school. IUMG-Primary Care developed its system of health centers throughout Marion County. Indiana University entered into agreement with Methodist Hospital creating Clarian Health Partners. The medical school also began the process of transforming its undergraduate curriculum.


Between 1997 and 2007, the role of the dean changed dramatically as clinical activities were integrated into the larger and evolving Clarian system and research activities in the medical school were repositioned as the vital core of a larger and and politically more complicated life sciences program across IU. Named as Dean of the School of Medicine in 2000, Dr. Brater is the first dean for whom the changed institutional relationships among the IUSM, Clarian Health Partners, Health and Hospital Corporation, and the University was a given. In 2003, IUSM attracted $187 million through research funding. The need to attract and support researchers was increasingly vital to the school. Dr. Brater has overseen the continued robust growth IUSM’s research infrastructure, a process begun under Deans Daly and Holden. In 2006, Vice-President for Life Sciences was added to Dr. Brater’s title, acknowledging an earlier shift in the university’s expectations of its medical school.


While Dr. Brater is the first dean of the school’s second century, he is also its first dean of a new age, in which the institutional consensus established in the late 1960s, which fostered the creation of the modern medical center, is being transformed by simultaneous change in clinical, teaching, and research activities. His stewardship of the school and its mission combined with his leadership in the new institutions of which the school is now a part gives Dr. Brater a unique and important perspective on the IUSM at the end of its first century.

Possible topics: medical training at Duke and UCSF; move from Texas Southwestern Medical Center to Indiana; the Department of Medicine during the chairmanship of Dr. Watanabe; establishment of the Division of Clinical Pharmacology; research at IUSM during the deanship of Dr. Daly; chairmanship of Department of Medicine, selection, challenges, and opportunity; role of the department in the clinical, teaching, research activities of the university; curriculum change; creation of Clarian Health Partners; development of IUMG (primary care and specialty care); appointment as Dean of the School of Medicine, challenges and opportunities; broader research and economic development initiatives, e.g. Biocrossroads and the Indiana Life Sciences Initiative; development of the statewide system of medical education; role of the dean, power and limitations.


The Interviewer

Kevin Grau, a historian of medicine and science living in Indianapolis, is the primary historian and coordinator for the IUSM History Project. In addition to twentieth century American medicine, his areas of research include seventeenth century English medicine and childhood disease and eighteenth century British surveying and scientific instrument makers. Prior to moving to Indiana, Mr. Grau served as director of a center for the history of business and technology at the Rhode Island Historical Society, where, as part of his duties, he oversaw oral history programs. He and his wife, Stina Wedlock, M.D., live in Indianapolis with their two young children.


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