 Programs in clinical pastoral education and medical social service were created in order to address patient care needs.Between 1960 and 1980, healthcare underwent major transformations in clinical practice and technology, leading to the creation of Mayo Clinic programs in cytotechnology, nuclear medicine technology, occupational therapy, pharmacy services, recreational therapy, respiratory therapy and surgical technology.Between 1980 and 2000, changes in healthcare delivery led to new programs in medical laboratory technology, clinical neurophysiology, radiation therapy, radiography and diagnostic medical sonography.