At the origin of medical practice: the history of early medical schools

A Journey into the Birth and Evolution of Medical Education

The School of Montpellier: A Millennial Tradition

The Faculty of Medicine at the University of Montpellier, founded in the 12th century, is recognized as the oldest continuously functioning medical school in the world. Its origins date back to 1170 when an initial nucleus of practicing physician-teachers formed. In 1181, an edict by William VIII proclaimed the freedom to teach medicine in Montpellier. This school has a rich history marked by the influence of Arabic, Jewish, and Christian medical cultures and the significance of medical practice outside any institutional framework. On August 17, 1220, Cardinal Conrad d’Urach, the papal legate, granted the first statutes to the “universitas medicorum” of Montpellier. The Montpellier school has seen the passage of historical figures such as Rabelais and Arnaud de Villeneuve, contributing significantly to the development of modern medicine.

The Salerno Medical School: Pioneer of European Medical Education

Salerno, in southern Italy, is considered the cradle of modern European university medicine. The Salerno Medical School, self-proclaimed as the “Civitas Hippocratica“, was built upon the traditions of Hippocrates, Alexandrian physicians, and Galen. In the 11th century, a new era began with Constantine the African, who translated the writings of Greco-Arabic medicine into Latin. This school became a major center for medical education for both men and women, with a standardized curriculum and a public healthcare system. By the 12th century, nearly all the literature of Aristotle, Hippocrates, Galen, Avicenna, and Rhazes was available in Latin. Medical education was solidified under the rule of Emperor Frederick II, who placed it under state supervision.

The Importance of Medical Schools

The medical schools of Montpellier and Salerno played a crucial role in the development of modern medicine, influencing medical education and practice across Europe. Their pedagogical approach and openness to diverse medical cultures laid the foundation for university medical education as we know it today. These centers of learning not only produced competent physicians but were also hubs of research and innovation.

Reflecting on the history of these schools, it becomes evident how medical education has profoundly impacted society. The legacy of schools like Montpellier and Salerno continues to influence the world of medicine, underscoring the importance of practice-based learning, research, and interculturality.

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