Altintaş A
Tip Tarihi Arastirmalari. 1993;5:52-8.
The office of the Ottoman head physician which had been an important organisation for 400 years, was abolished by a decree given by Sultan Abdülmecid on 17 April 1850. This article discusses the factors leading to this abolishment. Some researchers say that the foundation of the Council of Health Affairs (Meclisi Umuru Tibbikye) in the Medical school (Mektebi Tibbiye) just before the decree, might be one of the reasons. Here it is concluded that this factor was not responsible for the decree because the duty of presiding management and chairmanship of the council was already assigned to the Head Physician. There was also another council which had been founded ten years before the decree and it was equipped with the same functions. When the point whether the decree was due to the Head Physician Salih Efendi is studies, we see that didn't have any influence on the said decision, although Salih Efendi had been appointed by Sultan Abdülmecid as the Head Physician and as the Minister of the Medical School both of his duties were withdrawn from him. But later he was again appointed as the Head Physician by the same Sultlan. Another reason was said to be the transfer of the Head physician's duties to the Minister of the Medical School (Tibbiye Nezareti). But the Ministry of the Medical School existed since 1827 and according to the Sultan's order its only duty was stated as providing the discipline of the School. Another reason said to be responsible for the abolition of the Head Physician's office was the several attempts to poison Sultan Abdülmecid. But this also is not enough to explain the problem. Another possibility regarding this subject is the possibility of giving personal opportunities to the Doekyard's Supervisor Ziver Efendi, who after the abolition was appointed as the minister of the Medical School. Thus Ziver Efendi was to be promoted to one of the highest ranks of the state and there was to be great increase in his salary, even having studied all the sources available which might contribute to the solution of the question, it is still not enough to solve the problem satisfactorily.
奥斯曼首席医师办公室存续了400年,是一个重要机构,但在1850年4月17日被苏丹阿卜杜勒迈吉德颁布的一项法令废除。本文探讨了导致这一废除的因素。一些研究人员表示,就在该法令颁布之前,医学院成立了卫生事务委员会,这可能是原因之一。但本文得出的结论是,这一因素并非该法令的起因,因为委员会的主持管理和主席职责已被分配给首席医师。在该法令颁布十年前还成立了另一个委员会,其职能相同。在研究该法令是否因首席医师萨利赫·埃芬迪而起时,我们发现,尽管萨利赫·埃芬迪被苏丹阿卜杜勒迈吉德任命为首席医师且兼任医学院院长,但这两项职责都被免去了,不过他对上述决定并无影响。但后来他又被同一位苏丹再次任命为首席医师。另一个原因据说是首席医师的职责被转移给了医学院院长。但医学院自1827年就已存在,根据苏丹的命令,其唯一职责是维持学校的纪律。另一个被认为是导致首席医师办公室被废除的原因是有人多次企图毒害苏丹阿卜杜勒迈吉德。但这也不足以解释该问题。关于这个问题的另一种可能性是,给造船厂监督齐弗·埃芬迪提供个人机会,他在废除该办公室后被任命为医学院院长。这样一来,齐弗·埃芬迪将晋升到国家最高级别之一,其薪水也将大幅增加。即便研究了所有可能有助于解决该问题的资料来源,仍不足以令人满意地解决该问题。