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History of physicians assistants in america
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One of the fastest growing fields in America is that of the physician assistant profession. Physician assistants are medical professionals who provide diagnostic and preventative health care services under the supervision of doctors. Forbes magazine recently listed physician assistants as the fourth fastest growing profession in the United States. Although the profession is currently getting a wealth of attention, the idea of physician assistants has been around for centuries. More recently due to the shortage of physicians, there has been an increased need for physician assistants. We find it important to explore and understand the history of the profession and how it has evolved in order to understand the future direction of the profession.
While the concept of the profession began in the 17th century, our paper will focus more on the contemporary American history starting in the 1940s. Dr. Amos Johnson, a founder of the American Board of Family Practice, hired a hospital orderly named Henry Treadwell to assist in the daily activities of his office. Dr. Johnson’s practice in Garland, North Carolina, initiated the spread of the physician assistant model across the state. Dr. Eugene Stead and his general medicine residents at Duke University took interest in this idea. In 1942, due to the lack of adequate medical care during World War II, Dr. Stead created a three year medical doctorate fast-track program. This sparked the idea that perhaps one day he could implement a similar program to alleviate the physician shortage in the United States.
Dr. Stead’s first attempt at a condensed medical program was in 1957. While working with one of his nurses, Thelma Ingles, Dr. Stead attempted to establish a master’s level degree for nur...
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...ase in physician assistant jobs from 2006 to 2016. As physician assistant students we are excited and hopeful for our significant role in the future of healthcare.
Works Cited
American Academy of Physician Assistants. (n.d.). AAPA - Our History. Retrieved June 17, 2011, from American Academy of Physician Assistants: http://aapa.org/about-pas/our-history
Duke University Meical Center. (2004). Physician Assistant History Center - Timeline. Retrieved June 17, 2011, from Physician Assistant History Center: http://www.pahx.org/timeline.html
Mark Moran, P.-C. (2011, May 26). History & Current Trends of the PA Profession Lecture. Harrogate , TN, United States of America.
Physician Assistant Education Association. (n.d.). What is a PA? Retrieved June 17, 2011, from Physician Assistant Education Association: http://www.paeaonline.org/index.php?ht=d/sp/i/197/pid/197
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Porterfield, Deborah. Top Careers in Two Years: Health Care, Medicine, and Science. New York, New York: Infobase Publishing, Inc., 2008. 1-8. Print.
During the late 1800’s and early 1900’s there were many medical advances that led to new public images of medicine and allowed for people to gain trust in institutions. In 1904 there was regulation introduced by the American Medical Association that created standards for medical licensure, which led to accreditation of medical schools. There was a decrease in medical schools in 1910 -1912 from 131 to 95 with this decrease there were a more talented supply of licensed physicians produced. (Yale,
O’Brian, J. M., (2003). How Nurse Practitioners obtained provider status: History of nurse practitioners. American Journal of Health-System Pharmacy, 60(22). Retrieved from http://www.medscape.com/viewarticle/464663_2
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Physician Assistant is a career choice that entails various specialties and flexibilities that attracts many. Those who desires a path to practice medicine as soon as possible, PA 's lateral mobility allows that to happen. Compared to medical school, PA school requires less time and amount less debt. As the population grows and chronic diseases spreads, The future projection of PA is growing faster than the average careers.
...dred years ago is now equivalent to a small outpatient hospital visit. These huge advancements in medicine which save millions of lives every year are attributed to the medical industry.
With the explosive growth in the 1990s of managed care that were sold by health insurance companies, physicians were suddenly renamed “providers.” That began the deprofessionalization of medicine, and within a short time patient became “consumers” (The New York Times). The shifts in American medicine are clearly leading to physicians' losing power, which results in deprofessionalization. The subsequent deprofessionalization of physicians should not surprise Americans. Although many people spend time and effort evaluating the present state of medicine, they fail to integrate an important piece of information: physicians and sociologists predicted all of today's events more than ten years ago (Hensel, 1988).
The economy grew between 1920 and 1929 and the national wealth nearly doubled during that time. Some important innovations and discoveries that came during the time were the first commercial radio station, the electric refrigerator, the automobile, and penicillin (“The Roaring Twenties”, 2010). The Roaring 20s also had an effect on the hospital industry. Before this time hospitals had a negative connotation. Hospitals were a place that people went to die, not a place to receive treatment. Once hospitals started marketing their facilities as a “happy” place to go to receive treatment the hospital system began to change. With this change and the growing economy it is no surprise that the prices of items and services also grew. The total cost of hospital care for families rose from 7.8% to 13.9% between the years of 1918 and 1929 (Gorman, 2006). Hospitals were now clean, they employed educated professionals, and the treatments given were effective. To address the rising cost of healthcare the American Medical Association (AMA) attempted to address this issue during the 1926 convention. At the time, even though the economy was increasing as were people’s incomes, the rising cost of medical care made it difficult for people to receive the treatment that they needed. By 1927 the AMA estimated that the national healthcare spending was at 4% of the national income (Gorman, 2006). Their solution to this problem was to increase the amount of resources going into the medical community. During the 1920s there was also an increase in the physician’s incomes and prestige was established for the physicians (“Healthcare Crisis”, n.d.). With all the innovations, discoveries, and the growing economy, the 1920s was a perfect time for the Cleveland Clinic to join the medical
Medicine evolved from a trade in which individual practitioners with varying medical knowledge and educations competed for patients. The concept of organized medicine began to develop to concert the activities of physicians. The American Medical Association came to power to create physicians that were versed in science with extensive training through education reform. The improved quality of physicians led to the professionalization of the medical field, and the American Medical Association still exists to defend the interest of physicians. However, as the health care system becomes more complex, the physician will become more dependent on other professionals and administrators to deliver health care, which can decrease the authority and importance of the physician. Though organized medicine advocates for physicians, there is a limitation on its ability to control the development of medical practice today. Because the American Medical Association is the largest association of physicians, it puts physicians on one accord and sets the standard for the values and ethics of the profession. The American Medical Association affects the health care field in that it defined the role of the most prominent delivers of health