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
Q

Where was the first bachelors degree for PA? When?

A

Alderson-Broaddus College
1968

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26
Q

When did Uni of Colorado establish a pa program?

A

1968
Pediatric focus

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27
Q

When/where was AAPA established?

A

May 20th, 1968 at Duke University

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28
Q

who was the fist president of AAPA

A

William Stanhope

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29
Q

When did Medex start its first class?

A

1969

30
Q

What did the NIH survey of 1969 say?

A

permit PA practice under physican supervision

31
Q

what are the PA classifications set by National Academy of Sciences in 1970?

A

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
Q

what year did AAPA publish its first official journal?

A

1971

33
Q

when did the Airforce begin to train PA’s

A

1971

34
Q

When program did the AMA adopt in 1971?

A

Essential for an Educational Porgram for the assistant to the primary care physician

35
Q

Where was the first post grad residency program established?

When?

A

Montefiore Medical Center, Bronx, NY
Dr. Gliedman and Clara Vanderbilt, RPA

1971

36
Q

Who is Clara Vanderbilt?

A

Graduate of Duke PA 1971
* established 1st post grad residency
* active in AAPA, NYSSPA, NCCPA

37
Q

When did the AMA approve its first accredited program through the JRC-PA?

A

1972

38
Q

When did the army start their PA program?

A

1972

39
Q

When was the first certifying exam for Assistants to the PCP happen? who administered?

A

1973
NBME
880 candidates

40
Q

Where is the AAPA and APAP joint offices? When were they opened

A

Washington DC
1974

41
Q

The NCCPA the first medical profession to do what?

In 1974

A

have a checklist to access ability to perform a physical exam

42
Q

What pipeline were PA’s chosen to provide services for in 1974?

A

Trans-Alasksa

43
Q

When did the AAPA establish the HOD as a legislative body?

A

1978

44
Q

in 1978, the airfoce appointed PA’s as what?

A

Comissioned officers

45
Q

What two big things happend in the PA profession in 1981

A
  1. AAPA removed the appostrophe from Physician’s
  2. PANRE established
46
Q

What components of the PANCE were edited in 1983?

3 things

A
  • Core knowledge
  • EXtended core (primary care or surgery)
  • clinical skills
47
Q
A
48
Q

What was the last year the PANCE was offered to informally trained professionals?

A

1985

49
Q

When is national PA day?

whats the significance

A

October 6th
* same day as first graduating class of duke
* Eugen Stead’s Bday

50
Q

Whem was the first issue of JAAPA published?

A

1988

51
Q

What does ARC-PA stand for?

A

Accreditation Review Committe on Education for the Physician Assistant

52
Q

What happend in the 1990’s for the PA practice?

A
  • First student academy challenge bowl
  • pathway II
  • PANCE is now computer based
53
Q

When were PAs universally accepted in all states? what was the last state?

A

2000

Mississippi

54
Q

Who were the first two PAs elected to state legislature

A

Karen Bass, PA-C
Mark Hollo, PA-C
2004

55
Q

When was caspa launched

A

2001

56
Q

What is the APAP now known as?

A

PAEA

Changed in 2005

57
Q

When were PAs allowed to prescribe in all 50 states? What state was the last?

A

2007
Indiana

58
Q

When did Master’s degree become the terminal degree for Pa’s

A

2009

59
Q

who attended Obama’s call to reform healthcare in 2010

A

AAPA president stephen hanson and PAEA president Kevin Lohenry

60
Q

When were Certificate of Added Qualifications developed

A

2011 by the NCCPA

61
Q

Who was the first PA to hold a seat in the US house of representatives?

A

Karen Bass from California

2011

62
Q

How many times has Forbes and Money magazine rated the PA masters degree as the most desirable advance degree?

A

3 times by 2012

63
Q

When was the 100,000th PA certified?

A

2012

64
Q

When did the NCCPA transition to a 10 year certification

A

2014

65
Q

Who is Dawn Morton-Rias

A

first PA as the Commision’s chief staff officer of the NCCPA

66
Q

What policy was adopted by the AAPA HOD in 2017

A

Optimal team practice

67
Q

Can PAs manage and provide hospices care to medicare patients?

A

yes!
Passed in 2018

68
Q

When was physician associate affirmed as the official title for AAPA

A

2021
not officially enacted in state

69
Q

who was the first PA to enter space?

A

Hayley Arceneaux
* youngest american in space
* medical officer for the mission

70
Q

What is the Consolidated Appropriation Act of 2023

A

all clinicians now have the same requirements

71
Q

How are PAs paid by medicare?

A

Reimbursement directly from medicare part B

2022