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2015 ; 130
(546
): 1102-1131
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English Wikipedia
Medical Practice, Urban Politics and Patronage: The London Commonalty of
Physicians and Surgeons of the 1420s
#MMPMID27019518
Colson J
; Ralley R
Engl Hist Rev
2015[Oct]; 130
(546
): 1102-1131
PMID27019518
show ga
Medical practice in fifteenth-century England is often seen as suffering from the
low status and unregulated practice of which Thomas Linacre later complained.
Unlike in many European cities, the provision of physic was uncontrolled, and
while urban guilds oversaw surgery as a manual art, no comprehensive system of
medical organisation or regulation existed. However, in a remarkable episode of
the 1420s, a group of university-trained physicians and elite surgeons associated
with Humphrey, Duke of Gloucester, briefly established just such a system. While
their efforts initially secured approval for a national scheme, it was only in
the City of London that they succeeded in implementing their plans. The detailed
ordinances of the collegiate 'commonalty' they founded provide a unique insight
into their attitudes. Drawing on continental models, they attempted to control
all medicine within the city by establishing a hierarchy of practitioners,
preventing illicit and incompetent practice, and offering treatment to even the
poorest Londoners. Yet they failed to appreciate the vested interests of civic
politics: achieving these aims meant curtailing the rights of the powerful
Grocers and the Barbers, a fact made clear by their adjudication of a case
involving two members of the Barbers' Company, and the Barbers' subsequent
riposte-a mayoral petition that heralded the commonalty's end. Its founder
surgeons went on to revitalise their Surgeons' Fellowship, which continued
independently of the Barbers until a merger in 1540; in contrast, the physicians
withdrew from civic affairs, and physic remained entirely unregulated until
episcopal licensing was instituted in 1511.