by the Gulf, Colorado, & Santa Fe Railway, a subsidiary of the Atchison, Topeka, & Santa Fe Railway. Originally called Temple Junction, the town was meant to serve as a construction camp and depot along the railway. An abundance of railroad workers purchased lots in the newly established town, named for Bernard Moore Temple (1843–1901), the civil engineer who designed the layout for the tracks through Bell County, Texas.

The first Santa Fe Hospital, built of wood, was added onto at least twice. As the sound reputation of the hospital grew under the direction of Drs. Scott and White, so did the need for more patient beds. The wooden building remained a fire hazard, however, and the hospital directors saw clearly the need for an improved, fireproof facility.

In 1895, Santa Fe Hospital was in need of a new house surgeon. Having won his first hospital position by means of a competitive examination, Dr. Scott decided to hold a similar competition among the applicants for the job in Temple. In his memoirs, Dr. Scott said he found Dr. Raleigh R. White Jr. to have “superiority as a man of sound medical education and broad common sense.” Of all the decisions Dr. Scott ever made in his life, he believed this was one of the most important and most fortunate.

Pictured Dr. Raleigh Richardson White Jr. (1871–1917)

Dr. Scott’s primary interest was performing surgery. First with his work as chief surgeon at the Santa Fe Hospital and later with the Temple Sanitarium, he focused the majority of his available time on surgical procedures.

Dr. Scott wrote an article entitled “What the Public Should Know about Cancer.”

The 1920s were a time of change in a number of ways at the hospital. With Dr. White’s death on March 2, 1917, some adjustments to the internal management of the institution, as well as a name change, took place fairly quickly. Dr. Scott circulated a death announcement for Dr. White, in which he advised that the Temple Sanitarium would continue in its mission and would from that point onwards be called Scott & White Hospital. Dr. Scott, Sherwood, and Brinkley had formed a partnership in place of the previous one between Dr. Scott and White. In 1922, the Temple Sanitarium was officially renamed Scott & White Hospital.

Scott & White established one of the first formal EDs in Central Texas, moving beyond ad-hoc emergency care.

Scott & White began to be featured in national media in the 1960s. Pictured here is "The Hill" in Medical World News.

As the city and the hospital's reach continued to grow, the hospital continued to expand.

First class of residents come to Temple for Emergency Medicine training.

The first class graduates.

By 1999, Scott & White Memorial Hospital achieved designation as a Level II Trauma Center.

Pictured Helicopter Ambulance with patient 1999

In 2003, Scott & White becomes a level 1 Trauma Center.

In 2009 over 103 residents had graduated and kept 31 active residents in various stages of training in the residency. At this time the department had grown to 44 beds serving greater than 85,000 patients a year. The teaching staff at this time was 16 emergency medicine physicians.

BSWEM expanded simulation training. Pictured: Adam Haughey, MD during simulation training.

The two systems merge and create a new health system, Baylor Scott & White Health, and become the largest not-for-profit healthcare system in the state of Texas.

BSWEM works with SpaceX and becomes the designated disaster center for their WACO site.

After significant increase in patient population and hospitalization, BSWEM program expands to 18 residents from 14. As one of the only programs in the country that continues the tradition of Resident-Run Emergency department, this expansion was critical.