Community Story
Homer G. Phillips Hospital and School of Nursing
A Place for Excellent Medical Care
Aerial view of Homer G. Phillips Hospital complex, St. Louis, Missouri, 1936
Prior to the opening of the Homer G. Phillips Hospital in 1937, African Americans in St. Louis, Missouri, were required by law to use segregated medical facilities in either the basements of City Hospital No. 1, or the Blacks-only services at City Hospital No. 2 (where the 177-bed facility did not meet the needs of the large community). Efforts to establish a Black-operated hospital and medical training facility were spearheaded in 1923 by the political and equal rights strategies of St. Louis attorney Homer Gilliam Phillips, for whom the hospital was named following his murder in 1931.
Despite resistance by city officials, Phillips persuaded leaders to follow through on legislated measures to create a new hospital run by and for African Americans. The City of St Louis built a modern public hospital to replace the outdated facility that had served the Black population since 1919. Homer G. Phillips Hospital improved access to health care for African Americans and served as the preeminent training facility for African American nurses and physicians.
Medical Training Separate, But Equal
Joint Graduation Ceremony, Christ Church Cathedral, St. Louis, 1952
During the late 1800s and early 1900s, aspiring African American doctors and nurses faced open discrimination. They were systematically excluded from most nursing schools and physician residency programs at white-controlled hospitals. In response, Black community leaders and white philanthropists worked to expand professional training opportunities and raise the standards of health care for African Americans. By the 1920s nearly 200 Black hospitals and two dozen Black nursing schools were in operation throughout the United States.
Nursing was one of the few professions available to African American women during the era of segregation. Nursing schools like the one at Homer G. Phillips Hospital enabled Black nurses to develop and certify their professional skills despite their exclusion from white nursing organizations. The growing number of Black nurses also meant better health services in African American communities and laid the groundwork for the eventual integration of the nursing profession.
Service and Opportunity
Student Nurse’s Uniform Worn by Pauline Brown Payne, 1940s
Training hospitals for Black medical professionals were ways to serve the community with essential medical care while providing opportunities for African Americans to rise in the medical profession. By 1939, there were 52 black physicians on staff at Homer G. Phillips Hospital, and its training school accepted over 50 percent of the Black graduates of U.S. medical schools.
Homer G. Phillips Hospital was one of a few fully equipped facilities in the United States that provided training to African Americans in nursing and a variety of medical professions. The six-acre campus housed residency programs certified by the American Medical Association in internal medicine, pediatric urology, general surgery, obstetrics and gynecology, otolaryngology, pathology, ophthalmology, radiology, and neuropsychiatry. By 1961, Homer G. Phillips Hospital had produced the largest number of African American doctors and nurses in the world.
Pauline Brown Payne (front row, far left) as a nursing student at Homer G. Phillips Hospital.
Physician Specialty Training
Dr. Helen Nash, ca. 1990
Dr. Howard Phillip Venable, ca. 1960
Homer G. Phillips Hospital offered Black physicians the rare opportunity to pursue a wide range of specialties. Through its affiliation with local university medical schools in St. Louis, the hospital brought in visiting white specialists to mentor Black residents; in turn, Black physicians on staff were able to attain local faculty positions. The hospital became known as a center for medical research, and many physicians who trained there went on to do pioneering work in other institutions.
Related Stories
The First African American Physician
James McCune Smith, the first African American to hold a medical degree, fought against the false scientific claims of Black inferiority.
W.E.B. Du Bois at the 1900 Paris Exposition
In 1900, W.E.B. Du Bois traveled to the 1900 Paris Exposition, a world’s fair featuring the innovations of the new century.
![A color photograph of a portion of a Stop Aids graffiti mural in New York City. The mural is painted on a light tan wall. The bottom half of the image features a depiction of a white brick wall with cracks running through many of the bricks, running the full length of the image. A light and dark blue cloud features prominently on the left side of the image with the words [STOP / AIDS] spray painted in yellow letters outlined in red. The middle of the image features an illustration two men standing in profile, facing each other, on either side of a tombstone. The front of the tombstone has the text [USE YOUR / HEAD BEFORE / YOU END UP / DEAD.] written in black text. The word [DEAD] is underlined and the letters have drip lines giving it a bloody text effect. The man on the left is featured wearing a yellow shirt, yellow pants, and black shoes with yellow laces. He has three black thought bubbles above, and to the right of his head. He is holding his proper left hand splayed out, reaching for a syringe with a bloody hypodermic needle in the proper right hand of the man depicted on the right of the tombstone. The man on the right is depicted with red spikey hair, a green shirt, green pants and black shoes with white laces. On the far right of the image is the text [THE LAW] written in red block letters, outlined in black, above a depiction of scrolled paper with the text [I. DON’T “SHOOT” / DRUGS. / II. USE CONDOM. / III. HAVE SEX WITH FAiTHFUL / PARTNER.] written in black text. There are no inscriptions on the recto. On the verso the image is signed in blue ink by the photographer.](/static/bc247fe92533cf2c8170cc1ed60d5da9/40176/2015_132_262_001.webp)
Medical Racism
The COVID-19 Pandemic has highlighted many systemic inequalities that impact African American health and access to health care.