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With little money, scant opportunities for professional education and few white allies, African American physicians, nurses and other community leaders created their own hospitals and schools of nursing. This book chronicles the important but largely unknown histories of more than 35 hospitals, the Leonard Medical School and 11 hospital-based schools of nursing established in North Carolina.

Few career opportunities were available to minority women in Appalachia in the first half of the 20th century. Nursing offered them a respected, relatively well paid profession and--as few physicians or hospitals would treat people of color--their work was important in challenging health care inequities in the region. Working in both modern surgical suites and tumble-down cabins, these women created unprecedented networks of care, managed nursing schools and built professional nursing organizations while navigating discrimination in the workplace. Focusing on the careers and...