HIST 249 Lecture Notes - Lecture 12: Numerical Method, Medical Sign, Palpation
Modern Medicine 1 : The Clinical Revolution
Wednesday, October 11, 2017
2:31 PM
•
Reading
:
• L.S. Jacyna, “The Localization of Disease”
• Takes a theory and tests it
• Theory - important for coming up with questions, determines what you see in
historical material
• Includes interpretation, telling a story/narrative
▪ What we know today as clinical medicine
▪ Physical examinations, diseases
▪ New body of knowledge and practices in Western Medicine
▪ Complex process
▪ Multiple factors: intellect, soci, poli
▪ Institutional changes: hospital medicalized
▪ "Hospital medicine"
▪ The French Revolution
• Hospitals secularized
• University medical schools disbanded
• Guilds, colleges etc. Disbanded
• Anti-expert ideology
▪ "Schools of health"
• National convention
• Combine education & licensing
• Surgeons did not normally go to school, surgery was a craft and was organized as
trade
• Antoine Francois Fourcroy
• Integrated system of education & licensing
• Fusion of medicine and surgery
• Read little, see much, do much
• Full-time, salaried professors
▪ The Paris Hospitals
• Big & undifferentiated
• Doctors observe without intervening
• Patients without social resources
• Doctors can handle their bodies more freely when they are alive, and have
access to them after death
• Paris was a result of their mortality
• Never enough doctors for all these patients in these hospitals
• Not enough medicine, resources
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