Conflict with Medicine
Key Figures
Doctor, Doctor!
California Girls
Courtroom and Controversy
100

Surgeons often testified that nurse anesthetists improved this outcome. 

patient safety

100

These two figures laid the foundation for nurse anesthesia education and accreditation

Agatha Hodgins and Gertrude Fife

100

Physician anesthetists attempted to use this legal framework to remove nurses from anesthesia practice.

Medical Practice Act

100

On July 12th, 1934, this nurse anesthetist went on trial for “violating” the California Medical Practice Act by “practicing medicine without a license”

Dagmar Nelson 

100

The main accusation that physician anesthetists filed against nurse anesthetists.

Practicing medicine without a license.

200

Which group of medical professionals publicly supported nurse anesthetists across multiple states during early disputes with physician anesthetists?

surgeons

200

This nurse anesthetist pushed for state registrations for nurse anesthetists, which was ultimately limited by financial costs.  

Agatha Hodgins 

200

This physician challenged the ethics of surgeons who employed “lay-anesthetists” for their surgeries rather than “competent, licensed practitioners.”

Dr. Francis McMechan 

200

This nurse anesthetist graduated from the Providence Hospital School of Nursing in Seattle and worked for three different surgeons in Orange County.

Adeline Curtis

200

Court cases against nurse anesthetists often centered on interpreting this law.

California Medical Practice Act

300

The National Association of Nurse Anesthetists was rejected by this professional organization to oversee the training of nurse anesthetists.

American Board of Anesthesiology 

300

This nurse anesthetist moved from Minnesota to California to work under surgeon Dr. Verne Hunt and was accused of violating the California Medical PracticeAct by physician anesthetists in 1934.

Dagmar Nelson

300

This physician anesthesiologist society was founded in California in 1922.

The Pacific Coast Association of Anesthetists 

300

She served as the first president of the California Association of Nurse Anesthetists and was a supporter of Dagmar Nelson in her trial.

Sophie Gran Winton

300

A legal argument claimed that managing a patient under anesthesia required this physician-only function.

making a medical diagnosis/deciding treatment

400

This famous Supreme Court case ruled that nurse anesthetists were not engaged in the practice of medicine but instead involved the use of “the nurse’s own judgment” when under a surgeon’s direction.

Frank v. South (1917)

400

This physician led the case against Dagmar Nelson and expressed strong anti–nurse anesthetist sentiment, echoing the views of Francis Hoeffer McMechan.

William Chalmers-Francis

400

This director of the Highland Hospital of Alameda County and nurse anesthetistadvocate described Eva Wilson as “probably the best anesthetist in this section.”

Dr. Benjamin W. Black 

400

Attorney Thomas L. McFadden of Anaheim was hired by this nurse anesthetist to investigate the legality of her anesthesia practice with California state law.

Adeline Curtis 

400

The 1934 accusations against Dagmar Nelson were triggered after physician anesthetists became aware she was administering anesthesia at _____ hospital. She had been administering anesthetics at _____ hospital for 10 years prior.

St. Vincent’s Hospital, Mayo Clinic

500

Who observed that “paid for anesthesia per year represented a potential cash income of $50,000,000-$75,000,000, so is it any wonder that when the doctors realize this, they should hope to recapture the field of endeavor which they have spurned and scorned in a large measure of being unworthy of their professional attainments?

Dr. Henry Hedden

500

This nurse anesthetist experienced heavy anti-nurse anesthetist activity in California, leading her to advance the field of dental anesthesia rather than practice in the hospital setting. She would later go on to open an outpatient plastic surgery clinic in Hollywood.

Sophie Gran Winton

500

Helen Lamb was an anesthetist for this surgeon at Barnes Hospital in St. Louis. He was also her contact person on the American Board of Surgery.

Dr. Evarts Graham 

500

Dr. Verne Hunt, a surgeon at St. Vincent’s Hospital in Los Angeles, invited this nurse anesthetist to join his hospital, but first warned her of the growing hostility in the area towards nurse anesthetists.

Dagmar Nelson 

500

The Nelson trial illustrated how physician anesthetists attempted to use the courts to redefine anesthesia as exclusively this type of professional practice.

medical practice