Physician Assistants: History, Roles, and Professional
Development
NO (factor that contributed to the establishment of US PAs were the
models that existed abroad: assistant medical officer in Fiji and Papua,
New Guinea, The apothecary in Ceylon, The behdar in Iran, public health
worker in Ethiopiam The clinical assistant in Kenya, The practicante in
Puerto Rico, The rural nurse in Cuba, The officier de santé in France,
Feldshers in Russia in 17th and 18th Century
Barefoot doctor in China in 1965 )
Was the United States the first country to discover the role of Physician
Assistants?
Feldshers; barefoot
factor that contributed to the establishment of US PAs were the models
that existed abroad: --- in Russia in 17th and 18th Century were Military
trained, Provided healthcare in rural areas, & continued to provide
healthcare once retired from military
--- doctor in China in 1965 was a Cultural revolution, Provided
healthcare in rural areas under medical supervision
1930s; 1965
Physician Assistant in United States in began in ---, while Duke University
began program in ---
,assistant medical officer
Duke began PA program in 1965. in beginning of Pa profession, Some in
the United States promoted the generic name -------------- to describe this
type of healthcare worker.
-Started training military corpsmen to extend the duties of physicians to
prisoners
-Then duty corpsmen used to fill the shortage of physicians
Henry Lee "Buddy" Treadwell
PROMINENT BLACK PAs
--- --- --- Began his career as an orderly in 1940
-Dr. Amos Johnson began "training" him to do more complicated tasks in
office so that practice could still run when he was out of town
-Known as "doctor's assistant"
--- ---- --- was well known by Duke University Medical Center because
he often accompanied patients for diagnostic referrals and treatments
-Dr. Eugene Stead took notice of this relationship when he began to
develop plans for a physician's assistant program
Prentiss Harrison
--- --- Worked as an operating room technician at North Carolina
Chapel Hill, then moved to Duke University Hospital as a urological
research assistant
-While at Duke, he learned that a Physician Assistant Program and was
accepted into its second class at the age of 22
-First African American PA upon his graduation in 1968
- Co-founded the Minority Affairs Caucus within the AAPA in 1974
, 3
It took Joyce Nichols --- tries before being accepted into the program
being told that a mother wouldn't have time to study, a woman wouldn't
be able to take the program seriously, she lacked the medical
background to be able to succeed
-She graduated from the Duke PA Program in 1970
-Co-founded the Minority Affairs Caucus within the AAPA and became
its first chair
primary care
How PA started:
-Train military personnel to be assistants to physicians in a shorter
program than medical students; close physician supervision, Then
- Basic science education followed by clinical skill development so that
the assistant could assume much but not all of a physician's task
(Bachelor's degree; certificate) -Also started Focus on --------- and
Branch out into specialties and increase skill and education for the PA
90%; constant
How its going:
-More than --- of US programs award master's degrees ○ -PA's function
in primary care, specialties and subspecialties
-MD-PA relationship is constant
Negotiated; NOT
How ts going:
-"--- performance autonomy"
- PA Profession does --- desire autonomy from physician supervision
-Physician delegation of tasks
-VERSATILITY