The MEDEX Northwest Physician Assistant Program was created at the
University of Washington in 1968 as one of the nation's first physician
assistant (PA) programs. A joint project of the Washington State Medical
Association and the University of Washington School of Medicine, MEDEX
was designed to meet the needs of overworked physicians in rural
communities. As envisioned by MEDEX founder Dr. Richard A. Smith,
Physician Assistants were created by physicians, for physicians.
Initially, all MEDEX students were former military corpsmen returning
from Vietnam. Based on their extensive clinical experience, they were
well accepted by doctors and their patients. Dr. Richard Smith was a
former Peace Corps physician and leader of the federal project to
desegregate the US hospital system as a requirement for Medicare
reimbursement. Dr. Smith's founding principles for MEDEX included a
collaborative model for community and practitioner involvement--the
framework for the MEDEX Program throughout its 45-year history.