PA practice History Flashcards

1
Q

when was the german military medical assistant introduced into russian armies

A

1650 A.D.
17th century

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2
Q

who was John wall? when did he practice

A

US Navy “loblolly boy”
-assisted medical officers
1798

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3
Q

what bill did congress pass in 1799

A

authorization to use hospital mates
* modeled after loblolly boys

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4
Q

What was the name change from ‘loblolly boy’? when did it happen?

A
  • Surgeon’s steward
  • apothecary
  • bayman
  • Hospital corpsman
    in the 1800’s-20th century
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5
Q

what were officers de Sante’? when did they practice?

A

Health officers to alleviate healthcare shortage
1803-1892

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6
Q

Who was Johanna Maria Heden

A

Swedish midwife
* first licensed female feldsher (barber surgeon)
* 1863

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7
Q

Who is Capt. John van Renssaller Hoff, MC

A

he initiated medic teachings for members of the hospital corp in fort riley, KS
1891

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8
Q

What bill was passed during the spanish american war?

what president signed it?

A

bill establishing Navy Hospital Corps
Pres. McKinley on June 17th, 1898

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9
Q

What is the significance of the Flexner Report? what year did it happened?

A

Caused long lasting effects on medical education
1910

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10
Q

Who was Granny midwife?
what year?

A

Henrietta Phelps Lawson Jeffries
Midwife that tried to practice without a license in NC

Found not guilty in 1911

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11
Q

What did Mary Breckiniridge do for her profession? what year

A

Frontier Nursing Service
she was the first effort to professionalize midwifery
1925

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12
Q

What is the significance of charles higgins MD?

A

Hired Eddie Rogers as a medic in urology at the cleveland clinic in 1930

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13
Q

who is Vivien Thomas?

A

surgical research technician @ vanderbilt/John Hopkin’s
* under Alfred Blalock, MD
* Blalock-Taussing procedure
* 1930’s

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14
Q

what happened in 1940?

A
  • community health aides in alaska
  • Amos Johnson MD-hires Henry treadwell as “doctors assistant”
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15
Q

What is the significance of Eugene Stead, MD in 1942?

A

Developed a fast track 3-year medical curriculum
* this became the model for competency-based medical curriculum

During WWII

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16
Q

What is the significance of WWII on the PA profession?

A

created a shortage of physicians
* Medical Adminstration Corps officers who were battalion surgeon’s assistants (similar to the job of PA today)

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17
Q

Who attempted to start a Master’s of Nursing at Duke in 1957? what is the significance to the PA profession?

A

Thelma Ingles, RN
Dr. Stead
* program was denied accreditation
* if they had been accreditied= PA profrssion might not exist

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18
Q

What did US surgeon general Leroy Burney do?

A

in 1959
identified a shortage of medically trained personnel to provide basic medical services

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19
Q

what happened in 1961 in the House of Delegates and WHO?

A
  • Charles Hudson, MD called for “mid-level provider” to expand medical care using former corpsmen
  • WHO starts promoting different categories of healthcare workers
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20
Q

Who was Hu myers?

A
  • approached Alderson-Broaddus college about a 4 yr PA degree
  • board shut him down
  • 1963
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21
Q

What did Eugene stead do in 1964? who was it modeled after?

A
  • established intent to have a PA program using former corpsmen
  • modeled after: Dr. Johnson and Henry treadwell from NC
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22
Q

Where and when was the first PA program? How many students were there?

A

Duke University
1965
4 navy corpsmen

Uni of Colorado establishes 4 month ped. NP program

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23
Q

When was Family Medicine speciality established?

A

1966 by AMA

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24
Q

When was the first Surgeon Assistant program established?

A

1967 at university of alabama

John Kirklin, MD

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25
Where was the first bachelors degree for PA? When?
Alderson-Broaddus College 1968
26
When did Uni of Colorado establish a pa program?
1968 Pediatric focus
27
When/where was AAPA established?
May 20th, 1968 at Duke University
28
who was the fist president of AAPA
William Stanhope
29
When did Medex start its first class?
1969
30
What did the NIH survey of 1969 say?
permit PA practice under physican supervision
31
what are the PA classifications set by National Academy of Sciences in 1970?
A- trained in academic institutions full range of specialties for at least 2 years B-narrowly, but intensively trained in a speciality C-broadly trained in less depth or time
32
what year did AAPA publish its first official journal?
1971
33
when did the Airforce begin to train PA's
1971
34
When program did the AMA adopt in 1971?
Essential for an Educational Porgram for the assistant to the primary care physician
35
Where was the first post grad residency program established? | When?
Montefiore Medical Center, Bronx, NY Dr. Gliedman and Clara Vanderbilt, RPA | 1971
36
Who is Clara Vanderbilt?
Graduate of Duke PA 1971 * established 1st post grad residency * active in AAPA, NYSSPA, NCCPA
37
When did the AMA approve its first accredited program through the JRC-PA?
1972
38
When did the army start their PA program?
1972
39
When was the first certifying exam for Assistants to the PCP happen? who administered?
1973 NBME 880 candidates
40
Where is the AAPA and APAP joint offices? When were they opened
Washington DC 1974
41
The NCCPA the first medical profession to do what? | In 1974
have a checklist to access ability to perform a physical exam
42
What pipeline were PA's chosen to provide services for in 1974?
Trans-Alasksa
43
When did the AAPA establish the HOD as a legislative body?
1978
44
in 1978, the airfoce appointed PA's as what?
Comissioned officers
45
What two big things happend in the PA profession in 1981
1. AAPA removed the appostrophe from Physician's 2. PANRE established
46
What components of the PANCE were edited in 1983? | 3 things
* Core knowledge * EXtended core (primary care or surgery) * clinical skills
47
48
What was the last year the PANCE was offered to informally trained professionals?
1985
49
When is national PA day? | whats the significance
October 6th * same day as first graduating class of duke * Eugen Stead's Bday
50
Whem was the first issue of JAAPA published?
1988
51
What does ARC-PA stand for?
Accreditation Review Committe on Education for the Physician Assistant
52
What happend in the 1990's for the PA practice?
* First student academy challenge bowl * pathway II * PANCE is now computer based
53
When were PAs universally accepted in all states? what was the last state?
2000 Mississippi
54
Who were the first two PAs elected to state legislature
Karen Bass, PA-C Mark Hollo, PA-C 2004
55
When was caspa launched
2001
56
What is the APAP now known as?
PAEA | Changed in 2005
57
When were PAs allowed to prescribe in all 50 states? What state was the last?
2007 Indiana
58
When did Master's degree become the terminal degree for Pa's
2009
59
who attended Obama's call to reform healthcare in 2010
AAPA president stephen hanson and PAEA president Kevin Lohenry
60
When were Certificate of Added Qualifications developed
2011 by the NCCPA
61
Who was the first PA to hold a seat in the US house of representatives?
Karen Bass from California | 2011
62
How many times has Forbes and Money magazine rated the PA masters degree as the most desirable advance degree?
3 times by 2012
63
When was the 100,000th PA certified?
2012
64
When did the NCCPA transition to a 10 year certification
2014
65
Who is Dawn Morton-Rias
first PA as the Commision's chief staff officer of the NCCPA
66
What policy was adopted by the AAPA HOD in 2017
Optimal team practice
67
Can PAs manage and provide hospices care to medicare patients?
yes! Passed in 2018
68
When was physician associate affirmed as the official title for AAPA
2021 not officially enacted in state
69
who was the first PA to enter space?
Hayley Arceneaux * youngest american in space * medical officer for the mission
70
What is the Consolidated Appropriation Act of 2023
all clinicians now have the same requirements
71
How are PAs paid by medicare?
Reimbursement directly from medicare part B | 2022