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The word Feldsher is derived from the German Feldscher, which was coined in the 15th century. Feldscher (or Feldscherer) literally means "(battle-)field shearer" and was the term used for barber surgeons in the German and Swiss armies from the 17th century until professional military medical services were established, first by Prussia in the early 18th century. Today, Feldshers do not exist in Germany anymore, but the term was exported with Prussian officers and nobles to Russia. An All-Russia Union of Feldshers was founded in 1905. They were regarded as "Middle Medical Workers".[7]
The Feldsher system of rural primary care provided some of the inspiration for China's barefoot doctors.
Today feldshers can be found in every medical setting from primary to intensive care.[8] They are often the first point of contact with health professionals for people in rural areas.
Education and training
Training for feldshers can include up to four years of post-secondary education, including medical diagnosis and prescribing.[4] They have clinical responsibilities that may be considered midway between those of physicians and those of nurses. They do not have full professional qualifications as physicians.[9]
The training program typically includes basic pre-clinical sciences: anatomy, physiology, pharmacology, microbiology, laboratory subjects, etc.; and advanced clinical sciences: internal medicine and therapeutics, neurology and psychiatry, obstetrics, infectious diseases and epidemiology, preventive medicine, surgery and trauma, anesthesiology and intensive care, pediatrics, and other clinical subjects such as ophthalmology, otolaryngology, dermatology and sexually transmitted diseases, ambulance service and pre-hospital emergency medical care, army field medical-surgical training.
^Mongolia health system review. T︠S︡olmongėrėl, T︠S︡. (T︠S︡ilaazhavyn), Kwon, Soonman., Richardson, Erica., Asia Pacific Observatory on Health Systems and Policies. Copenhagen, Denmark: World Health Organization, on behalf of the European Observatory on Health Systems and Policies. 2013. ISBN9789290616092. OCLC849860631.{{cite book}}: CS1 maint: others (link)
Kossoy E. & Ohry A. The Feldsher: Medical, Sociological and Historical Aspects of Practitioners of Medicine with below University Level Education, the Magnes Press, the Hebrew University, Jerusalem, 1992. (ISBN965-223-789-2).