Nurse education qualification courses have graduate status. Traditionally, from the times prior to Florence Nightingale, nursing was seen as an apprenticeship, often undertaken in religious institutes such as convents by young women, although there has always been a proportion of male nurses, especially in mental health services. In 1860 Nightingale set up the first nurse training school at St Thomas' Hospital, London. Nightingale's curriculum was largely base around nursing practice, with instruction focused upon the need for hygiene and task competence. Her methods are reflected in her "Notes on Nursing", (1898). Some other nurses at that time, notably Ethel Gordon Fenwick, were
Florence Nightingale 1983. The US Navy ship the USS "Florence Nightingale" (AP-70) was commissioned in 1942. Beginning in 1968, the US Air Force operated a fleet of 20 C-9A "Nightingale" aeromedical evacuation aircraft, based on the McDonnell Douglas DC-9 platform. The last of these planes was retired from service in 2005. In 1981 the asteroid 3122 Florence was named after her. A Dutch KLM McDonnell-Douglas MD-11 (registration PH-KCD) was also named in her honour. Nightingale has appeared on international postage stamps, including, the UK, Alderney, Australia, Belgium, Dominica, Hungary (showing the Florence Nightingale medal awarded by the International Red Cross), and Germany.