By Liz Carey for The Daily Yonder.
Broadcast version by Mike Moen for Minnesota News Connection for the Public News Service/Daily Yonder Collaboration

For Montevideo Public School Superintendent Wade McKittrick, creating a medical academy in the Montevideo High School filled a need on two fronts for the rural Minnesota community - the students' and the community's.

Montevideo Medical Academy provides high-school students with medical training to give them a leg up when it comes to getting jobs. For rural hospitals and healthcare providers in the area, it provides a pipeline of talent from which to choose. And, McKittrick said, it provides an incentive to keep young people in the small town, which has just over 5,000 residents and is located in the western part of the state.

In its first year, the program had 25 students. Combined, those students earned 170 college credits, 55 certifications, and 304 hours of clinical experience. Now in its second year, the academy has maxed out at 32 students, with more on the waiting list to get in. Several of the students have decided to go further with their medical career and get a degree at Minnesota West Community College and return to the area to work.

The idea was spawned two years ago, McKittrick said. The healthcare industry in the area was having a hard time finding people to fill vacancies. "I got a phone call one day from an individual ... who just wanted to go, have coffee, and talk about this," McKittrick said. "They just started explaining the problem that they're seeing in their industry, and specifically around LPNs [licensed practical nurses] and CNAs [certified nursing assistants]."

"We left that day and I remember, as clear as a bell, thinking I don't know what the answer is, but I'm really interested in finding a solution," he recalled.

As he saw it, Montevideo's public schools needed a program that would train high school students to fill some of those positions, and do so without costing the district any money.

"When we set off, we knew that we wanted to have a lab within the school itself," he said. "We knew that that was going to be a cost, but we weren't exactly sure how much. And we knew that it meant at least six hospital beds were going to have to be purchased, as well as all of the medical training equipment around the CNA (certification), which meant a medication lab. And for CPR, we were going to have to have mannequins purchased."

On top of that, the school needed instructors, a curriculum, and internship partners, he said.

Reaching out to the community, the school district was able to get equipment, beds and other necessities donated by local businesses, Minnesota West Community College and CCM Health, the small hospital chain in Chippewa County. Along with about $25,000 grant in grant money, the school system was able to pull together the program without incurring any additional costs.

Now in its second year, the Montevideo Medical Academy gives its students the opportunity to earn 22 college credits as well as earn industry certifications to serve as CNAs, trained medication aides (TMA), pharmacy technicians, and to provide first aid/CPR. Students get job-shadowing opportunities at local healthcare employers, participate in hands-on instruction, tour healthcare facilities, and complete internships and externships in the area's healthcare facilities.

Kati Birhanzl, career coordinator for Montevideo Public Schools, said students are qualified to take jobs with local healthcare providers or have interacted with local employers enough that many are given a promise of jobs once they finish college.

Birhanzl said she and other counselors meet with every student who enters the program, not just to make sure they are a good fit for the program, but to make sure they understand the rigors of the program and the potential benefits.

"Every student that registered has to have a conversation with either myself or our social worker or school counselor about the rigor of the class," she said. "And they have conversations with the student that attendance can't be an issue in this class. We have really honest, open conversations with them and have just been very upfront with expectations."

McKittrick said that, from the start, the high-school program was an opportunity the school district wanted to ensure was open to everyone.

"When we were talking this through and looking at the workforce, we really wanted to make sure that we eliminated as many barriers as possible," McKittrick said. "We didn't want a grade point average to get in the way of kids being able to have these opportunities... We knew we were going to have to come behind them and support them in the classroom and in making themselves successful in this."

Teagan Epema, a Montevideo Medical Academy student, said the program has given her knowledge she intends to use in her career and experience in the nursing field.

"I wanted to do the medical academy because I was interested in going into nursing and wanted my CNA to get experience," she wrote in an email. "From the Medical Academy, I got my CNA, TMA, CPR, first aid, and I took medical terminology, which has helped me expand my knowledge. It definitely helped me get started."

And the program has been a success for the healthcare community as well, career coordinator Birhanzi said: "We hear from our hospital partner that their medical providers and nursing staff are happy when they have new employees that have had experience."

McKittrick said the program's success has led to success for the school as well. In recent months, McKittrick said he's been able to share the program with other healthcare providers and other schools around the country.

"When we created this, we did it with the mindset of this was not just to be Montevideo's program. We really wanted it to become a duplicated program that other schools and other communities that are going through the same things that our community is could use," he said.

"We're proud of the work that our folks have done around it and how our community has coalesced around it," McKittrick said "It's an opportunity to shape programs across the state in a way that can affect real health care in more than just Montevideo."


Liz Carey wrote this article for The Daily Yonder.


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An elementary school educator from Pennsylvania has been named this year's Education Support Professional of the Year, one of the highest honors in the field.

Becky Marszalek, a paraprofessional at Avonworth Elementary School in Pittsburgh, received the Pennsylvania State Education Association's Dolores McCracken Education Support Award. For 18 years, Marszalek said she has dedicated herself to assisting teachers and students in the classroom, providing the support needed for everyone to succeed.

"I've worked with kids that have been in a wheelchair. I have kids that have had autism," Marszalek pointed out. "It's a matter of if they need help with their work, whether they need help maneuvering through the school sometimes, sometimes just a comfort person to go to and be, like, 'I need a break. I'm having a tough time.'"

Marszalek recently attended the association's annual meeting in Philadelphia, where she addressed more than 500 members and was presented with the state award. The achievement now qualifies her to compete at the national level. In March, she will join other state winners in Louisville, Kentucky, vying for the National Education Support Professional of the Year award.

Chris Lilienthal, assistant director of communications for the association, said it has given the award for more than 20 years and it was recently renamed in honor of McCracken, the first association member who was an education support professional.

"She was herself a paraprofessional in Bucks County and she rose in the ranks to become the first president of PSEA," Lilienthal explained. "When she passed away, unfortunately, in 2018 we renamed the award in her honor, to recognize and remember her amazing work."

With the teacher shortage in Pennsylvania and across the country, Marszalek emphasized being an education support professional is an important field and encourages others to consider a career in education. As she said, "It's all about the kids."

"It's a tough job," Marszalek acknowledged. "But my thing is, you want to be there for the kids and to help the kids and just see them thrive, see them learn, and be willing to help them and have that in your heart to be able to do that."

Marszalek recalled many rewarding experiences, but two stood out. One was a nonverbal kindergartner who began speaking after years of working with the child and melted her heart by calling her "Miss M." Another was a second-grader with behavioral challenges whom she mentored, building a strong rapport, which led to significant improvement and a request to continue mentoring him in fourth grade.

Members of the teacher's union, the Texas branch of the American Federation of Teachers, are celebrating the signing of the Social Security Fairness Act.

President Joe Biden recently signed the legislation into law. It boosts retirement benefits for some school district employees and other public servants nationwide.

Zeph Capo, president of Texas AFT, said Texas is one of 15 states that denied public servants Social Security benefits, because of money paid into pension plans.

"We had people actually leave education and go back into other industries when they found out this was the case," said Capo, "so that they made sure that they didn't incur these penalties. So, we were actually losing good, qualified people."

He added that teaching is a second career for about 40% of teachers in the state, and they shouldn't be penalized for changing careers.

Capo said he believes the legislation will help school districts recruit more teachers and assist in easing the teacher shortage.

"They're bringing their experience from the workforce," said Capo, "they're bringing their experience from other places - whether they were scientists in different industries or worked in the healthcare system, and are now coming in to teach math and science and workforce classes in our public schools."

He said educators aren't the only ones benefiting from the change.

"They may have made $20,000 or $30,000 their entire career," said Capo. "Cooking lunches, cleaning our classrooms, driving our buses, and they're going to get on average about a $360-a-month increase -- which, for many of them, is the difference between buying groceries and buying medication."

Connecticut educators and other public sector workers are celebrating passage of the Social Security Fairness Act.

The new federal law repealed two provisions which had reduced Social Security benefits for some public sector workers who also receive a pension and who will now be eligible for benefits they would have earned in 2024.

Kate Dias, president of the Connecticut Education Association, said passing this law rights a 40-year-old wrong.

"The government chose, erroneously, to penalize public service employees to try and balance Social Security, and it was never a just cause," Dias asserted. "It's great to see this overturned; money returned to people who have rightfully earned it."

Supporters of the change said the biggest challenge to passing the law was many people were unaware of these limits for public employees. Some critics charged it could speed up the timelinefor Social Security's insolvency.

Dias feels there's more work to do, including higher teacher salaries to reflect the education required to do the work. Reports show most Connecticut salaries do not keep up with the cost of living.

Feedback on the law has been overwhelmingly positive. Dias noted the money being reimbursed to public sector workers will enable some to retire who otherwise could not, without losing certain benefits.

"We have teachers that are in their 70s that haven't been able to retire," Dias observed. "This is going to enable them to do that. We've gotten the stories from people who called us and said, 'I've been living moment to moment, paycheck to paycheck, and been collecting food stamps, and now I'm not going to have to do that. I'm not going to be a burden to my family.'"

The new law may also help Connecticut recruit second-career teachers, people with previous careers as accountants, engineers and in other in-demand fields. Since the state is in the third year of a teacher shortage, Dias added it could help close widening gaps.

"In terms of retention, those second-career educators we have brought into the profession often have to leave before they are vested in the pension so they don't get penalized," Dias pointed out. "That's a problem as well, because they're only with our profession for a short period of time, as opposed to being able to have a long career."