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A history of US Army PAs
Robyn L Chalupa1, W Sanders Marble
1Robyn L. Chalupa practices orthopedics at Carl R. Darnall Military Medical Center in Fort Hood, Tex. W. Sanders Marble is a senior historian in the Office of Medical History at US Army Medical Command at Fort Sam Houston in Texas. The authors have disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Army, Department of Defense, or the US government.
Abstract:
The US military has a long tradition of using physician assistants (PAs). The Army began using PAs in 1971 in an effort to supplement the physicians and surgeons in the medical corps. As their numbers grew, PAs gradually replaced general medical officers assigned to battalions. Later, specialty positions developed in aviation medicine, orthopedics, and emergency medicine. The need for a PA serving as an adviser in the major commands slowly developed at all levels of leadership. In 2015, the Army removed limitations on female PAs assigned to combat units. PAs lead in tactical and clinical settings, filling command roles, senior clinical positions, and administrative leadership roles.
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