PA practice History Flashcards
when was the german military medical assistant introduced into russian armies
1650 A.D.
17th century
who was John wall? when did he practice
US Navy “loblolly boy”
-assisted medical officers
1798
what bill did congress pass in 1799
authorization to use hospital mates
* modeled after loblolly boys
What was the name change from ‘loblolly boy’? when did it happen?
- Surgeon’s steward
- apothecary
- bayman
- Hospital corpsman
in the 1800’s-20th century
what were officers de Sante’? when did they practice?
Health officers to alleviate healthcare shortage
1803-1892
Who was Johanna Maria Heden
Swedish midwife
* first licensed female feldsher (barber surgeon)
* 1863
Who is Capt. John van Renssaller Hoff, MC
he initiated medic teachings for members of the hospital corp in fort riley, KS
1891
What bill was passed during the spanish american war?
what president signed it?
bill establishing Navy Hospital Corps
Pres. McKinley on June 17th, 1898
What is the significance of the Flexner Report? what year did it happened?
Caused long lasting effects on medical education
1910
Who was Granny midwife?
what year?
Henrietta Phelps Lawson Jeffries
Midwife that tried to practice without a license in NC
Found not guilty in 1911
What did Mary Breckiniridge do for her profession? what year
Frontier Nursing Service
she was the first effort to professionalize midwifery
1925
What is the significance of charles higgins MD?
Hired Eddie Rogers as a medic in urology at the cleveland clinic in 1930
who is Vivien Thomas?
surgical research technician @ vanderbilt/John Hopkin’s
* under Alfred Blalock, MD
* Blalock-Taussing procedure
* 1930’s
what happened in 1940?
- community health aides in alaska
- Amos Johnson MD-hires Henry treadwell as “doctors assistant”
What is the significance of Eugene Stead, MD in 1942?
Developed a fast track 3-year medical curriculum
* this became the model for competency-based medical curriculum
During WWII
What is the significance of WWII on the PA profession?
created a shortage of physicians
* Medical Adminstration Corps officers who were battalion surgeon’s assistants (similar to the job of PA today)
Who attempted to start a Master’s of Nursing at Duke in 1957? what is the significance to the PA profession?
Thelma Ingles, RN
Dr. Stead
* program was denied accreditation
* if they had been accreditied= PA profrssion might not exist
What did US surgeon general Leroy Burney do?
in 1959
identified a shortage of medically trained personnel to provide basic medical services
what happened in 1961 in the House of Delegates and WHO?
- Charles Hudson, MD called for “mid-level provider” to expand medical care using former corpsmen
- WHO starts promoting different categories of healthcare workers
Who was Hu myers?
- approached Alderson-Broaddus college about a 4 yr PA degree
- board shut him down
- 1963
What did Eugene stead do in 1964? who was it modeled after?
- established intent to have a PA program using former corpsmen
- modeled after: Dr. Johnson and Henry treadwell from NC
Where and when was the first PA program? How many students were there?
Duke University
1965
4 navy corpsmen
Uni of Colorado establishes 4 month ped. NP program
When was Family Medicine speciality established?
1966 by AMA
When was the first Surgeon Assistant program established?
1967 at university of alabama
John Kirklin, MD
Where was the first bachelors degree for PA? When?
Alderson-Broaddus College
1968
When did Uni of Colorado establish a pa program?
1968
Pediatric focus
When/where was AAPA established?
May 20th, 1968 at Duke University
who was the fist president of AAPA
William Stanhope
When did Medex start its first class?
1969
What did the NIH survey of 1969 say?
permit PA practice under physican supervision
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
what year did AAPA publish its first official journal?
1971
when did the Airforce begin to train PA’s
1971
When program did the AMA adopt in 1971?
Essential for an Educational Porgram for the assistant to the primary care physician
Where was the first post grad residency program established?
When?
Montefiore Medical Center, Bronx, NY
Dr. Gliedman and Clara Vanderbilt, RPA
1971
Who is Clara Vanderbilt?
Graduate of Duke PA 1971
* established 1st post grad residency
* active in AAPA, NYSSPA, NCCPA
When did the AMA approve its first accredited program through the JRC-PA?
1972
When did the army start their PA program?
1972
When was the first certifying exam for Assistants to the PCP happen? who administered?
1973
NBME
880 candidates
Where is the AAPA and APAP joint offices? When were they opened
Washington DC
1974
The NCCPA the first medical profession to do what?
In 1974
have a checklist to access ability to perform a physical exam
What pipeline were PA’s chosen to provide services for in 1974?
Trans-Alasksa
When did the AAPA establish the HOD as a legislative body?
1978
in 1978, the airfoce appointed PA’s as what?
Comissioned officers
What two big things happend in the PA profession in 1981
- AAPA removed the appostrophe from Physician’s
- PANRE established
What components of the PANCE were edited in 1983?
3 things
- Core knowledge
- EXtended core (primary care or surgery)
- clinical skills
What was the last year the PANCE was offered to informally trained professionals?
1985
When is national PA day?
whats the significance
October 6th
* same day as first graduating class of duke
* Eugen Stead’s Bday
Whem was the first issue of JAAPA published?
1988
What does ARC-PA stand for?
Accreditation Review Committe on Education for the Physician Assistant
What happend in the 1990’s for the PA practice?
- First student academy challenge bowl
- pathway II
- PANCE is now computer based
When were PAs universally accepted in all states? what was the last state?
2000
Mississippi
Who were the first two PAs elected to state legislature
Karen Bass, PA-C
Mark Hollo, PA-C
2004
When was caspa launched
2001
What is the APAP now known as?
PAEA
Changed in 2005
When were PAs allowed to prescribe in all 50 states? What state was the last?
2007
Indiana
When did Master’s degree become the terminal degree for Pa’s
2009
who attended Obama’s call to reform healthcare in 2010
AAPA president stephen hanson and PAEA president Kevin Lohenry
When were Certificate of Added Qualifications developed
2011 by the NCCPA
Who was the first PA to hold a seat in the US house of representatives?
Karen Bass from California
2011
How many times has Forbes and Money magazine rated the PA masters degree as the most desirable advance degree?
3 times by 2012
When was the 100,000th PA certified?
2012
When did the NCCPA transition to a 10 year certification
2014
Who is Dawn Morton-Rias
first PA as the Commision’s chief staff officer of the NCCPA
What policy was adopted by the AAPA HOD in 2017
Optimal team practice
Can PAs manage and provide hospices care to medicare patients?
yes!
Passed in 2018
When was physician associate affirmed as the official title for AAPA
2021
not officially enacted in state
who was the first PA to enter space?
Hayley Arceneaux
* youngest american in space
* medical officer for the mission
What is the Consolidated Appropriation Act of 2023
all clinicians now have the same requirements
How are PAs paid by medicare?
Reimbursement directly from medicare part B
2022
