Historical evidence indicates middle and eastern Europe had the early prototype to the modern PA/PA Analogue clinical practitioner with the title feldsher. The term “feld” and “sher” comes from the German words meaning “field”, being an open land area, and “shears”, to cut. During the 15th century German and Swiss armies employed barber surgeons to treat injured soldiers on the battlefields. Peter the Great used feldshers in 17th century Russia for his armies. During the early 1900s, Russia, Ukraine, Bulgaria and Poland all had active feldshers, providing medical care in the rural regions. Today Russia continues to training feldshers while Bulgaria and Poland have reinvented their clinical practitioner as physician associates.