▁to ▁New ▁York ▁City ▁by ▁boat , ▁and ▁then ▁via ▁train ▁for ▁three ▁more ▁days ▁to ▁continue ▁her ▁education ▁at ▁the ▁T usk eg ee ▁Institute ▁in ▁Alabama . ▁She ▁studied ▁hand ic raft s ▁and ▁tail oring ▁at ▁T usk eg ee ▁and ▁then ▁continued ▁her ▁school ing ▁at ▁the ▁inst itute ' s ▁hospital , ▁known ▁as ▁the ▁John ▁Alb ion ▁Andrew ▁Memorial ▁Hospital , ▁where ▁she ▁studied ▁n urs ing . ▁She ▁was ▁the ▁only ▁student ▁from ▁the ▁Virgin ▁Islands ▁in ▁her ▁surg ical ▁n urs ing ▁class , ▁and ▁graduated ▁with ▁a ▁degree ▁in ▁n urs ing ▁and ▁mid w if ery . ▁ ▁Career ▁Return ing ▁to ▁the ▁Virgin ▁Islands ▁in ▁ 1 9 3 1 , ▁Ke ating ▁began ▁work ▁in ▁St . ▁Thomas , ▁under ▁the ▁tut el age ▁of ▁Kn ud ▁Hans en . ▁After ▁a ▁two - year ▁orientation ▁program , ▁she ▁returned ▁to ▁St . ▁John . ▁There ▁were ▁no ▁other ▁medical ▁pract ition ers ▁on ▁the ▁island ▁for ▁the ▁first ▁two ▁dec ades ▁of ▁her ▁service . ▁Because ▁there ▁were ▁there ▁were ▁no ▁p aved ▁roads , ▁public ▁transport ation , ▁or ▁electric ity , ▁she ▁tra ve led ▁by ▁boat , ▁horse ▁or ▁foot ▁to ▁serve ▁as ▁a ▁public ▁nur se , ▁school ▁nur se ▁and ▁mid w ife , ▁deliver ing ▁over ▁ 5 0 0 ▁b ab ies ▁throughout ▁her ▁career . ▁She ▁also ▁raised ▁three ▁daughters , ▁And rome ada , ▁Em ily ▁and ▁My rah ▁with ▁her