Cleveland State University Research Articles

Predictors of 30-Day Hospital Readmissions in Patients with Heart Failure (HF)

Prognostic Importance of Serial Evaluation of Blood Urea Nitrogen in Ambulatory Patients with Chronic Systolic Heart Failure and Preserved Renal Function Clay A. Cauthen, Matthew Tong, Yuping Wu, Anil Jain, W.H. Wilson Tang; Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH; Department of Internal Medicine, Kettering Medical Center, Kettering, OH; Department of Mathematics, Cleveland State University, Cleveland, OH; Division of Information Technology, Cleveland Clinic Foundation, Cleveland, OH

Prognostic Importance of Serial Evaluation of Blood Urea Nitrogen in Ambulatory Patients with Chronic Systolic Heart Failure and Preserved Renal Function

Prognostic Importance of Serial Evaluation of Blood Urea Nitrogen in Ambulatory Patients with Chronic Systolic Heart Failure and Preserved Renal Function Clay A. Cauthen, Matthew Tong, Yuping Wu, Anil Jain, W.H. Wilson Tang; Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH; Department of Internal Medicine, Kettering Medical Center, Kettering, OH; Department of Mathematics, Cleveland State University, Cleveland, OH; Division of Information Technology, Cleveland Clinic Foundation, Cleveland, OH

In this issue: Biotechnology Journal 6/2011

AbstractBirth, life and death of nascent polypeptide chainsJha and Komar, Biotechnol. J. 2011, 6, 623–640The journey of nascent polypeptides from synthesis at the ribosome (“birth”) to full function (“maturity”) involves multiple ways of tight regulation to ensure that proteins achieve their native, functional form. Unproductive co‐translational folding intermediates are subjects of co‐translational degradation (“death”). It has become clear that the kinetics of protein translation is predominantly modulated by synonymous codon usage along the mRNA, thereby providing an active mechanism for coordinating the synthesis, maturation and folding of nascent polypeptides. In this issue, Sujata Jha and Anton A. Komar from the Cleveland State University (OH, USA) provide an overview of the complex co‐translational events that accompany synthesis, maturation, folding and degradation of nascent polypeptide chainsImprint of codons on protein structureDeane and Saunders, Biotechnol. J. 2011, 6, 641–649The “central dogma” of biology is the highly specific translation of genetic code into amino acids and the impossibility of going from amino acid sequence to genetic code, because 18 of the 20 amino acids are encoded by more than one codon. However, synonymous codon changes have been shown to affect protein function without affecting protein expression levels. Evidence for co‐translational folding is growing rapidly, but the influence of codons on the protein structure attained is still highly contentious. It is theorised that the speed of codon translation modulates the time available for protein folding and hence the protein structure. In this issue, Charlotte M. Deane and Rhodri Saunders (Department of Statistics, Oxford University, UK) review past and present research regarding synonymous codons and codon translation speed.Membrane protein production in yeastAshe and Bill, Biotechnol. J. 2011, 6, 707–714Membrane proteins are key players in essential cellular processes and half of all prescription drugs produced from membrane proteins. To enable structural and functional studies membrane proteins have to be produced in recombinant hosts. However, achieving the required yields of functional recombinant membrane proteins is still a bottleneck in contemporary bioscience. Especially defined and rational optimization strategies are needed rather than relying on trial and error. Recent transcriptome and subsequent genetic analysis has identified genes implicated in high‐yielding yeast cells. These results have led to suggestions for cellular alterations to increase yields of recombinant membrane protein: paradoxically, reduced protein synthesis favors higher production rates. In this issue, Mark P. Ashe and Roslyn M. Bill (Manchester and Birmingham, UK) highlight a potential bottleneck at the protein folding or translocation stage of protein production.

Complex wavelet analysis of high frequency ultrasound backscatter from low echogenic biospecimen.

Conventional microscopic methods of imaging biological specimen are subjected to various limitations. These include a tradeoff between high spatial resolution and field-of-view, limited depth-of-field, and the need to fix and stain the samples among many other limitations. Although ultrasound biomicroscopy allows the visualization of tissues at the microscopic level, improvement in the device resolution alone may not suffice to image a thin layer of biospecimen like a layer of cells due to their low echogenicity. A new method of image generation of the biospecimen using high frequency ultrasound without some of the aforementioned limitations is reported. Madin-Darby Canine Kidney epithelial cells in culture were imaged using a 40 MHz focused polyvinylidene fluoride polymer transducer. Modulation of the backscattered signal from this low echogenic biological specimen was detected. The backscattered signal better represented as a nonstationary signal when analyzed using complex wavelet analysis resulted in the detection of inflection points in the signal and the change in waveform due to propagation through the biological interface. Results demonstrate that the proposed technique better delineates a thin layer of low echogenic biospecimen layer than conventional or discrete wavelet methods. [Work supported by Cleveland State University Research Council’s Doctoral Dissertation Research Expense Award Program and American Heart Association predoctoral fellowship].

Journey of Five Capuchin Nuns (review)

Reviewed by: Journey of Five Capuchin Nuns Elizabeth A. Lehfeldt Journey of Five Capuchin Nuns. By Madre María Rosa. Edited and translated by Sarah E. Owens. [The Other Voice in Early Modern Europe: The Toronto Series.] (Toronto: Iter and Centre for Reformation and Renaissance Studies. 2009. Pp. viii, 212. $17.00 paperback. ISBN 978-0-772-72050-4.) Sarah E. Owens’s edited translation of the Journey of Five Capuchin Nuns provides an enlightening glimpse into the experiences of early-modern religious women. This lively narrative gives voice to a group of adventurous nuns who were far from passive and cloistered. From the pen of María Rosa, a Capuchin nun of the early-eighteenth century, comes a candid and fascinating account of her and her sisters’ efforts to found a Capuchin convent in Peru. Among other adventures, the women traveled from Madrid to southern Spain, were captured by the Dutch (one of Spain’s enemies at the time), and made a harrowing journey across the Andes. Battling sickness and the elements, and supported by a network of ecclesiastical patronage, the nuns succeeded in transporting their model of female monasticism to the far reaches of Spain’s empire. Owens has provided an engaging translation and helpful introductory notes. This translation will be of interest to a broad range of scholars including those interested in early-modern nuns and the participation of women in the Atlantic world of trade and travel. Several features make this text distinctive. The first, as Owens notes, is that it was not written at the urging of a male ecclesiastic. Rather, María Rosa wrote for her fellow nuns in Madrid, who desired an account of their sisters’ [End Page 375] efforts. Although composed, then, as a travel narrative, the text is nonetheless infused with María Rosa’s particular objectives: to defend her monastic endeavor and the superiority of Spanish Catholicism and empire. She consistently upholds the Capuchin model of devout austerity. She is critical, for example, of convents in which they lodged where the nuns wore elaborate habits and lived in luxurious buildings. In recounting their capture at the hands of the Dutch, she highlights the religious barbarity of their captors (they profaned an image of St. Joseph), while suggesting that they were impressed by the nuns’ vow of poverty. The account is also significant because it provides a distinct perspective on the world of Spain’s imperial expansion. Writing both as a woman and a professed religious, María Rosa has added an important voice to our understanding of the Atlantic world. In the introduction, for example, Owens makes a compelling argument for her familiarity with other accounts of the “new” world, especially José de Acosta’s Natural and Moral History of the Indies (1590). Yet as a nun, she also saw this world through a distinctive lens. Along the route in South America to their final destination in Lima, Peru, for example, the nuns encountered curious crowds wanting to meet them. Far from typical circumstances where visiting parlors with partitions would separate the nuns from secular society, the women instead had to cover their faces when engaging in conversation. The translation would be an excellent text to use with undergraduates. The nuns who emerge from these pages—devout, brave, and willing to enjoy a good laugh—will defy stereotypes and prompt a reconsideration of the role of religious women beyond the cloister. Elizabeth A. Lehfeldt Cleveland State University Copyright © 2011 The Catholic University of America Press

Wagner's Ring in 1848: new translations of the Nibelung myth and Siegfried's death

In 1848 Richard Wagner began what would become the largest stage work of his career, the Ring of the Nibelung. In preparation for the task he composed an overview of the Nibelung myth designed to lead to a drama; he then composed the verse libretto Siegfried's Death. Although he abandoned the idea of a single opera on Siegfried in favor of the huge project that developed out of it in the succeeding years -- the Ring cycle -- he did consider the two early documents important enough to include them in his collected works. The present volume seeks to inform the English-speaking reader in three ways: by providing modern, reliable translations of the two Wagner texts, which are otherwise not available (the German original is provided on facing pages); by furnishing an overview of German scholarship available to Wagner and others working on the Nibelung legend in the first half of the nineteenth century; and by making available a bibliography of further reading. The volume will be useful to students of musicology, to students and historians of myth and legend, and to all Wagnerians interested in the genesis of the Ring cycle. Accessible to the general reader, it maintains scholarly rigor and provides information about materials not available in English. Edward R. Haymes is Professor in the Department of Modern Languages at Cleveland State University.

Resplendent faith: liturgical treasuries of the Middle Ages

This is a beautifully illustrated collection of some of the finest examples of liturgical art.No work of art can be fully appreciated if divorced from the culture that produced it. This examination of liturgical objects found in the medieval church treasury assesses their artistic technique and method, placing the objects in the context of medieval liturgical practice and piety. Author Stephen N. Fliegel explores the origins of religious treasuries in late antiquity and their ultimate disappearance as a result of the Reformation, French Revolution, and political upheavals of the early modern period.Resplendent Faith is a richly illustrated compendium of the typical objects found within medieval church treasuries and includes a discussion of their form and function and their significance in the medieval religious service.Fliegel places this survey of the medieval liturgical treasury within its broad historical framework and considers the art representative of the most significant sacral objects produced during the Middle Ages. Supported by exquisite illustrations as well as a glossary and bibliography, Resplendent Faith will appeal to art historians, those interested in the history of religion and liturgical practices, and nonspecialists who appreciate medieval art or religious icons and reliquaries.A collaborative publishing venture between the Kent State University Press and Cleveland State University's Maxine Goodman Levin College of Urban Affairs' Center for Landmarks, the Sacred Landmarks Series includes both works of scholarship and general interest that preserve history and increase understanding of religious sites, structures, and organizations in Northeast Ohio, in the United States, and around the world.

SELF‐REPORTED VERSUS MEASURED HEIGHT AND WEIGHT IN THE HEALTH AND RETIREMENT STUDY

SELF‐REPORTED VERSUS MEASURED HEIGHT AND WEIGHT IN THE HEALTH AND RETIREMENT STUDY

Safety Culture as a Contemporary Healthcare Construct: Theoretical Review and Research Assessment

1 consultor de salud, Division de Negocios de Salud, Pacifico Peruano Suiza and professor, Center for American Education, Universidad San Ignacio de Loyola, Lima, Peru 2 assistant professor of Health Care Administration, Department of Management and Labor Relations, Nance College of Business, Cleveland State University, Cleveland, Ohio.

Boldt v. Boldt

Previous articleNext article No AccessPanel DiscussionBoldt v. BoldtDena S. DavisDena S. DavisCleveland-Marshall College of Law, Cleveland State University Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Volume 20, Number 3Fall 2009 Published on behalf of the MacLean Center for Clinical Medical Ethics Article DOIhttps://doi.org/10.1086/JCE200920307 Citations: 1Citations are reported from Crossref © 2009 The University of Chicago. All rights reserved.PDF download Crossref reports the following articles citing this article: John V. Geisheker Where Is the Voice of the Man the Child Will Become?, The Journal of Clinical Ethics 21, no.11 (Dec 2022): 86–88.https://doi.org/10.1086/JCE201021113

A Case Study Approach to Hyperemesis Gravidarum

Clients with Hyperemesis Gravidarum (HG) have nausea and/or vomiting that prevents adequate intake of food and fluids. A client could have weight loss, dehydration, nutritional deficiencies, metabolic deficiencies, difficulty with daily activities, psychosocial stress and depression. Managing a client at home with HG is very complex and requires a multidisciplinary approach.

Letter to the Editor

AIChE JournalVolume 55, Issue 4 p. 1079-1079 Letters to the Editor Letter to the Editor Sridhar Ungarala, Corresponding Author Sridhar Ungarala [email protected] Dept. of Chemical and Biomedical Engineering, Cleveland State University, Cleveland, OH 44115Dept. of Chemical and Biomedical Engineering, Cleveland State University, Cleveland, OH 44115Search for more papers by this author Sridhar Ungarala, Corresponding Author Sridhar Ungarala [email protected] Dept. of Chemical and Biomedical Engineering, Cleveland State University, Cleveland, OH 44115Dept. of Chemical and Biomedical Engineering, Cleveland State University, Cleveland, OH 44115Search for more papers by this author First published: 11 March 2009 https://doi.org/10.1002/aic.11703Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume55, Issue4April 2009Pages 1079-1079 RelatedInformation

Conclusions: Gestalt Institute of Cleveland Conference – Creativity and Gestalt: An International Celebration (August 2007)

Research Article| January 01 2009 Conclusions: Gestalt Institute of Cleveland Conference – Creativity and Gestalt: An International Celebration (August 2007) Heidi Abrams, MSSA, LSW; Heidi Abrams, MSSA, LSW heidijrubin3@aol.comHeidi Abrams, MSSA, LSW, is a psychotherapist in private practice in Shaker Heights, Ohio, where she works with children, adolescents, and families. She has also worked as a consultant in residential treatment and in schools. In addition, she is an artist. Search for other works by this author on: This Site Google Marlene Moss Blumenthal, Ph.D.; Marlene Moss Blumenthal, Ph.D. marloblum@yahoo.comMarlene Moss Blumenthal, Ph.D., is on the faculty of the Gestalt Institute of Cleveland and teaches internationally. As a therapist and school psychologist in Cleveland, Ohio, she specializes in adolescent and family therapy, psychoeducational assessment, and school consultation. She has authored articles on Gestalt therapy and learning disabilities, and on a Gestalt approach to working with mothers and adolescent daughters. Search for other works by this author on: This Site Google Cameron Plagens, Ph.D.; Cameron Plagens, Ph.D. cameronplagens@sbcglobal.netCameron Plagens, Ph.D., is an adjunct faculty member at Strayer University and Cuyahoga Community College. She is an art therapist, has a private practice, and teaches creative process at the Sacred Arts Holistic Center. Search for other works by this author on: This Site Google Sarah Toman, Ph.D. Sarah Toman, Ph.D. Smtoman@aol.comSarah Toman, Ph.D., is on the faculty of both Cleveland State University and the Gestalt Institute of Cleveland. She is co-editor, with Ansel Woldt, of Gestalt Therapy: History, Theory, and Practice and has presented papers at many regional, national, and international conferences. Search for other works by this author on: This Site Google Gestalt Review (2009) 13 (2): 186–197. https://doi.org/10.5325/gestaltreview.13.2.0186 Cite Icon Cite Share Icon Share Twitter Permissions Search Site Citation Heidi Abrams, Marlene Moss Blumenthal, Cameron Plagens, Sarah Toman; Conclusions: Gestalt Institute of Cleveland Conference – Creativity and Gestalt: An International Celebration (August 2007). Gestalt Review 1 January 2009; 13 (2): 186–197. doi: https://doi.org/10.5325/gestaltreview.13.2.0186 Download citation file: Zotero Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All Scholarly Publishing CollectivePenn State University PressGestalt Review Search Advanced Search The text of this article is only available as a PDF. Copyright © 2009 The Pennsylvania State University2009The Pennsylvania State University Article PDF first page preview Close Modal You do not currently have access to this content.

A Note From the New Editor

I am Jerry Trusty, the new editor of The Career Development Quarterly (CDQ). I am honored to assume this position and look forward to working in this capacity. As the incoming editor, I have been working closely with Mark Pope, the outgoing editor, for more than a year now. 1 express my thanks to Mark for many things. First, Mark leaves me a journal in very good condition. That is, there was an effective, functional system of manuscript review in place; there is no large backlog of manuscripts; and the editorial board and the ad hoc editorial board are strong. I was able to easily step into and use Mark's well-organized system and resources and continue with the high level of functioning. Mark's editorial assistant, Mika Ross, has also been very helpful in the organizational aspects of the editor transition process. Second, I thank Mark for his unending patience with me during this transition. I know I have asked him hundreds of questions, and I have likely asked him several questions more than once. All who know Mark know his patience. He took time at The National Career Development Association (NCDA) and the American Counseling Association (ACA) conferences to meet with me, and there were countless phone calls and e-mails from him. Mark worked diligently at making the transition a smooth one. Third, I thank Mark for leaving me and NCDA a quality journal. Others are responsible for this also (e.g., editorial board, ad hoc editorial board, NCDA leadership, authors, production staff), but the editor of a journal carries a large portion of the responsibility for the quality of a journal. CDQ has consistently been a highly rated journal in the field, and the journal's ratings have been trending upward during Mark's tenure as editor. I understand that ratings are not always truly reflective of a journal's quality. A more objective indicator of quality for me is the high degree to which I and many others depend on CDQfor knowledge about career development. I thank our exceptional editorial board for the work they have been doing and continue to do. This work is often tedious, but it is work that is salient to our knowledge bases. CDQhus enjoyed a healthy number of submitted manuscripts during the past year. I am genuinely impressed with the thought fulness, care, knowledge, and effort that editorial board members devote to reviewing manuscripts. CDQ welcomes several new members to the editorial board: Patrick Akos, University of North Carolina-Chapel Hill; Dennis Engels, University of North Texas; Spencer Niles, The Pennsylvania State University; Marie Shoffner, University of Virginia; Graham Stead, Cleveland State University; and Sherri Turner, University of Minnesota. These new members have been reviewing manuscripts for several months, and some have been reviewing manuscripts for a longer period because they are former members of the CDQAd Hoc Editorial Board. …

TIGHT BUT LOOSE: SCALING UP TEACHER PROFESSIONAL DEVELOPMENT IN DIVERSE CONTEXTS

ABSTRACTThis series of papers was originally presented as a symposium at the annual meetings of the American Educational Research Association (AERA) and the National Council on Measurement in Education (NCME) held between April 9, 2007, and April 13, 2007, in Chicago, IL. The authors represent school districts and departments of education across the United States, as well as researchers at Cleveland State University, Educational Testing Service (ETS), the Institute for Education in London, and the University of Wyoming at Laramie. All of the current ETS staff, along with Dylan Wiliam and Marnie Thompson, worked at ETS for several years on an iterative research and development program, out of which grew the Keeping Learning on Track® (KLT) program.These papers represents the thinking about the theory behind the KLT program, describes the range of contexts used to implement the program, and illustrates the inherent tensions between the desire to maintain fidelity to a theory of action and the need to demonstrate flexibility in order to accommodate local situations. Papers 2 through 6 present descriptions of five implementations in chronological order.

The Importance of “Focusness”: Focus Groups as a Means of Collection Management Assessment

ABSTRACT In order to assess the Library's collection, the Collection Development Assessment Team at Cleveland State University used focus groups to complement the information gathered in LibQUAL+™. Groups of undergraduates, graduates, and faculty participated in four separate focus groups. All groups reported they were essentially satisfied with the collection but also wanted better local collections and used OhioLINK to supplement their research; fewer users also utilized the rich resources of the public library systems. In keeping with previous surveys, all groups wanted more full-text available electronically, faster access to materials, and a more navigable website. It appeared that the more sophisticated the user, the more satisfied they were with the collection. The Special Collections focus group would like to have more materials digitized, improved accessibility to the collection and website, and increased interaction with the community to heighten awareness of the collection and in order to gather more primary materials for the collection.

Different parts of erector spinae muscle fatigability in subjects with and without low back pain

Background context There is conflicting evidence regarding erector spinae muscle fatigability because previous studies have not considered the thoracic and lumbar components separately. These muscles have very different mechanical responses and, therefore, would be recruited differentially for the chosen task. Purpose The present study was conducted to compare whether fatigability differences exist in the thoracic and lumbar parts of the erector spinae muscles in subjects with and without low back pain (LBP). Study design This cross-sectional study was conducted in the Motion Analysis Lab at Cleveland State University. Patient sample The study sample included 40 subjects with LBP and 40 subjects without LBP. Outcome measures The fatigability of the erector spinae muscles was compared based on median frequency of electromyography (EMG) versus time. The level of pain of each subject was also compared using the Oswestry Disability Index. Methods Fatigue measurements were evaluated between groups based on the assessed sides as well as the thoracic and lumbar parts of the erector spinae muscles using surface EMG. A modified version of the isometric fatigue test as introduced by Sorensen was used to test the endurance of the erector spinae muscles. Results There were significant median EMG frequency (F (1, 78)=28.82, p=.001) differences in the thoracic and lumbar parts of the erector spinae muscles between subjects with and without LBP. The thoracic part had a significantly lower median EMG frequency than the lumbar part in subjects with LBP. The thoracic and lumbar parts of the erector spinae muscles had interactions with group (F (1, 78)=47.88, p=.01] and age (F (1, 78)=16.51, p=.01). Conclusions The results of this study suggested that subjects with LBP demonstrated higher fatigability of the erector spinae muscles at the thoracic part than at the lumbar part. The increased fatigability of the thoracic part needs to be emphasized in rehabilitation strategies for subjects with LBP. In addition, as age increased, the median frequency of the lumbar part of the erector spinae muscles significantly decreased. Understanding the anatomical and biomechanical characteristics of the erector spinae muscle may enhance clinical outcomes and rehabilitation strategies for subjects with LBP.

The Chemical Composition of Maple Syrup

ADVERTISEMENT RETURN TO ISSUEPREVArticleNEXTThe Chemical Composition of Maple SyrupDavid W. Ball View Author Information Department of Chemistry, Cleveland State University, Cleveland, OH 44115Cite this: J. Chem. Educ. 2007, 84, 10, 1647Publication Date (Web):October 1, 2007Publication History Received3 August 2009Published online1 October 2007Published inissue 1 October 2007https://doi.org/10.1021/ed084p1647RIGHTS & PERMISSIONSArticle Views3006Altmetric-Citations80LEARN ABOUT THESE METRICSArticle Views are the COUNTER-compliant sum of full text article downloads since November 2008 (both PDF and HTML) across all institutions and individuals. These metrics are regularly updated to reflect usage leading up to the last few days.Citations are the number of other articles citing this article, calculated by Crossref and updated daily. Find more information about Crossref citation counts.The Altmetric Attention Score is a quantitative measure of the attention that a research article has received online. Clicking on the donut icon will load a page at altmetric.com with additional details about the score and the social media presence for the given article. Find more information on the Altmetric Attention Score and how the score is calculated. Share Add toView InAdd Full Text with ReferenceAdd Description ExportRISCitationCitation and abstractCitation and referencesMore Options Share onFacebookTwitterWechatLinked InReddit PDF (92 KB) Get e-AlertsSUBJECTS:Carbohydrates,Chemical composition,Liquids Get e-Alerts

GUEST EDITORS' INTRODUCTION

International Journal of Software Engineering and Knowledge EngineeringVol. 17, No. 04, pp. 449 (2007) Featured Topic: Best Papers from DMS2005; Guest Editors: Angela Guercio and Timothy ArndtNo AccessGUEST EDITORS' INTRODUCTIONANGELA GUERCIO and TIMOTHY ARNDTANGELA GUERCIODepartment of Computer Science, Kent State University Stark, NW Canton, OH 44720, USA and TIMOTHY ARNDTDepartment of Computer and Information Science, Cleveland State University, Cleveland, OH 44114, USAhttps://doi.org/10.1142/S0218194007003355Cited by:0 Next AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsRecommend to Library ShareShare onFacebookTwitterLinked InRedditEmail Remember to check out the Most Cited Articles! Check out our titles in C++ Programming! FiguresReferencesRelatedDetails Recommended Vol. 17, No. 04 Metrics History PDF download

Delivering a Social Work MSW Program through Distance Education: An Innovative Collaboration between Two Universities, USA

The Joint Master of Social Work Program of Cleveland State University and The University of Akron was the first MSW program taught entirely via distance education that was fully accredited by the Council of Social Work Education. Over the past nine years, the Joint MSW Program has grown from one cohort of 24 full‐time students to a program with an enrollment of 186 full‐time, part‐time and Advanced Standing students. This innovative Joint MSW Program has required an ongoing process of collaboration, refinement, and flexibility. The purpose of this article is to provide a narrative of the experiences of delivering an entire MSW program via distance education, including obstacles that have been overcome as well as recommendations for other programs considering distance education.