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W. Bruce Fye Center For the History of Medicine: The Clinic in a Cornfield: Mayo Clinic and Rural Healthcare

The Clinic in a Cornfield: Mayo Clinic and Rural Healthcare

"Medicine is about as big or as little in any community, large or small, as the physicians make it."
               
Charles H. Mayo, M.D., 1928

Image of Rochester, MN in 1869

Rochester, 1869

From a country doctor opening an office in small-town Rochester, Minnesota, in 1864, to helicopters providing emergency transportation and critical care to rural communities in 2024, Mayo Clinic’s 160 years of history have been intertwined with rural healthcare. A devastating tornado in 1883 brought together the Mayo family and the Sisters of Saint Francis, leading to the construction of Saint Marys Hospital. The expansion of the Clinic—and Rochester’s skyline—with the multi-story 1914 Building and the cosmopolitan 1928 Plummer Building attracted increasing numbers of patients from communities across the Midwest. Eventually, Mayo Clinic was drawing celebrities, politicians, and patients from around the world to what the press had dubbed the “clinic in a cornfield”. Today Mayo Clinic trains and employs health professionals from both domestic and international rural locales, and it continues to diagnose and treat common rural health issues—such as farm accidents—with virtual collaboration, innovative technology, advanced surgical technique, and the distinctive Mayo Clinic Model of Care.

Dr. William Worrall Mayo

Photograph of Dr. W.W. Mayo with horse and buggy

Dr. W. W. Mayo with horse and buggy, undated

Dr. William Worrall Mayo (1819-1911) was born in Salford, England, and immigrated to the United States as a young man. Originally a tailor, he began practicing medicine in the United States and attended medical school at Indiana Medical College and the University of Missouri. Dr. Mayo and his family later settled in Le Sueur, Minnesota, where he supplemented his medical practice with veterinary work and other occupations, including serving as a justice of the peace and a newspaper editor, running a ferry service, and working on a steamboat. In 1863, he was appointed examining surgeon for the Union Army enrollment board and moved to Rochester, Minnesota. Dr. Mayo’s medical practice—assisted by his two sons, Will (William J. Mayo, M.D., 1861-1939) and Charlie (Charles H. Mayo, M.D., 1865-1939)—would evolve into Mayo Clinic.

Consultant Bag, circa 1887-1920

Photo of a consultants bag, circa 1887-1920

This doctor’s bag was manufactured by Charles Truax, Greene and Co., Chicago, and possibly belonged to Dr. Charlie. As boys, Charlie and his brother Will assisted their father on his rounds, helping with everything from holding horses to administering anesthesia. Dr. Will later recalled, “From the time that we were old enough to be of any use, we helped our father in practice; grew up to be physicians, just as boys on a farm grow up to be farmers.”

Dr. W. J. Mayo letters regarding Rural Medicine [scroll through gallery]

Scan of letter from Dr. Will to Kenyon Butterfield

Letter from Dr. Will to Kenyon Butterfield, 1926

William J. Mayo’s papers in the Mayo Clinic Archives contain numerous letters to and from Dr. Will on the topic of rural physicians, particularly regarding the growing scarcity of doctors in rural communities. The following example from 1926 is an exchange between Kenyon Butterfield, the President of Michigan State University, and Dr. Will.

Mayo One Air Medical Transport Service

Photograph of Mayo One over farm land

Mayo One flying over farmland, undated

Mayo One began operating on October 1, 1984. Because helicopters can cover more distance in a shorter amount of time than ground emergency vehicles, Mayo One is able to provide better service to rural communities. 

Mayovox article about Mayo One service

This Mayovox article from 1987 describes the scope of the service and its benefits to rural areas.

Photograph of Mayo One uniform patches

Mayo One uniform patches, undated

Image of Mayo One i-STAT Machine

Mayo One i-STAT Machine

In June 1995, this i-STAT portable laboratory machine fell from Mayo One when the helicopter was flying near Medford, Minnesota, at an altitude of 5500 feet MSL (mean sea level)/4200 feet AGL (above ground level). The machine was later found by a local farmer while walking his fields and was returned to Mayo Clinic.

Medical Almanacs [scroll through gallery]

Cover of Rush’s Almanac and Guide to Health, 1875

Rush’s Almanac and Guide to Health, 1875

Medical almanacs provided information on health-related topics including diet, hygiene, descriptions of diseases and various home remedies. While many were published by companies attempting to sell their health tonics, they were also a useful resource for families without ready access to a physician.

Drawing from Rural Communities

Like the Mayo brothers, many of Mayo Clinic’s early partners and consultants came from rural areas: 

List of Mayo Clinic consultants and their home towns

Amputation Kit, circa 1890

Photograph of amputation kit, circa 1890

This amputation kit includes knives and saws for amputating limbs, a trephine and craniotomy saw for removing sections of the skull, and a tourniquet.

Farm Accident Wax Models

Photograph of farm accident wax models

From 1925-1983, Mayo Clinic artists created anatomical wax models for educational exhibits at major medical meetings and World Expositions. Many of these models were then displayed in the Mayo Medical Museum (1935-1988). Because of Mayo Clinic’s location in a thriving agricultural region, it received a large number of emergency farm accident cases. One exhibit in the Museum featured models depicting real farm accidents as they were initially seen by staff and follow-up models of the healed wounds. Mayo’s farm accident models are likely unique as no other anatomical model collection worldwide is currently known to have addressed this kind of injury. 

The two models above show the damage done to a farmer’s hand caught in a machinery accident. The hand on the right is post reconstructive surgery.

Photograph of Farm accidents exhibit in the Mayo Medical Museum, 1978

Farm accidents exhibit in the Mayo Medical Museum, 1978

Cattle auction for a rural practice scholarship

Scan of Mayovox article about cattle auction

This Mayovox article from April 1974 describes a cattle auction that raised funds for a scholarship intended for students interested in rural practice. At right is Gerald Needham, Associate Dean for Student Affairs in the Mayo Medical School. To the left are Mrs. and Dr. Carl Lundell, owners of the auctioned heifer. Dr. Lundell had a general practice in Granite Falls, MN.

Credits

This exhibit was designed and curated by the staff of The W. Bruce Fye Center for the History of Medicine and the History of Medicine Library. All images and artifacts are from the Fye Center or Library unless otherwise stated.

To learn more about Mayo Clinic history, heritage and the history of medicine, visit:

List of Current and Past Exhibits