When Beatrice MacDonald and Helen McClelland earned the Distinguished Service Cross on August 17, 1917, they became not only the first two women to receive the award, but the FIRST Americans to earn the newly authorized DSC in World War I. On May 25, 1919, she left the Army Nurse Corps. In 1926, she returned to the Pennsylvania Hospital. From 1933 until 1956, when she retired, McClelland worked as the head of the Pennsylvania Hospital’s Nursing Department. McClelland secured national accreditation for the hospital’s nursing education program. She also designed both a two-year and a four-year program to train nurses.