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Timeline

Precedent Events and Prototype Period (1650 to 1960)

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1650  

Feldshers, originally German military medical assistants, are introduced into Russian armies by Peter the Great in the 17th Century.
USS Constellation
John W. Schmidt
Navy Art Collection
   

1778

An enlisted man, John Wall, is assigned by the US Navy as a “loblolly boy” to assist medical officers on the USS Constellation. One year later, Congress passes a bill authorizing the Navy to use hospital mates modeled after the "loblolly boys" of the British Royal Navy to assist physicians in care of sailors.
   

1803

Officiers de Sante are introduced in France by Rene Fourcroy to help alleviate health personnel shortages in the military and civilian sectors (abolished in 1892).
Hospital Corps.
Camp Boynton
Beaver Park
   

1891

Establishment of the first company for "medic" instruction at Fort Riley, Kansas.
   
Medical Directive Frontier Nursing Service

1925

Mary Breckinridge established the Frontier Nursing Service in mountains of Kentucky and builds Wendover, marking the first effort to professionalize midwifery in the United States.
   

1940

Community Health Aids introduced in Alaska to improve the village health status of Eskimos and other native Americans.
Johnson and
Treadwell with
Patient
   

1940

Dr. Amos N. Johnson employs Henry "Buddy" Treadwell as office assistant and over time trains him as prototype PA to work in his rural-based general practice in Garland, NC exposing Dr. Eugene Stead, Jr. and general medicine residents at Duke University to the assistant model.
   

1942

Dr. Eugene Stead, Jr. is forced to develop a fast track, 3-year applied medical curriculum to educate physicians at Emory University for military service during World War II and has to use medical students and residents to primarily run Emory University and Grady Hospitals in Atlanta, GA.
Stead at Emory
   

1957

Thelma Ingles, RN, begins clinical sabbatical with Dr. Stead at Duke University which leads to the establishment of a master's degree program for nurse clinicians at the School of Nursing. Although successful, the program is denied accreditation by the National League for Nursing (NLN).
Thelma Ingles
at Duke
   

1959

US Surgeon General identifies shortage of medically trained personnel.