Gardeta Sabater P
Dynamis. 1996;16:237-59.
In this article we examine the modifications in the American Protomedicato, instituted in 1570, that were brought about by the Leyes de Indias and other provisions. The changes produced an institution that was analogous but not identical to the Castilian Protomedicato. Three features central to the American institution were its greater centralization of professional control as a result of the fusion of the posts of the Protomedicato and the Chair of Prima, the early loss of its "supreme court-like" character as a result of admitting appeals brought before judicial and political powers, and its territorial diversification, which led to a profusion of subdelegated Tribunals that eventually attained autonomy or independence in most capitals. The efficacy of these submodels can be assessed only after further detailed study.
在本文中，我们考察了1570年设立的《美洲医疗法规》（American Protomedicato）中因《印度法》（Leyes de Indias）及其他条款而产生的修订内容。这些变革造就了一个与卡斯蒂利亚医疗法规（Castilian Protomedicato）类似但又不尽相同的机构。美洲法规的三个核心特征如下：由于医疗法规职位与首席医师职位的合并，其专业控制权得到了更大程度的集中；由于允许向司法和政治权力机构提起上诉，它早期丧失了“类似最高法院”的性质；以及其地域多元化，这导致了大量被委托的法庭涌现，这些法庭最终在大多数首府获得了自治权或独立性。只有在进行进一步详细研究之后，才能评估这些子模式的效力。
