[The Expulsion of the Jesuits (1767) and its impact on Chilean medicine in colonial times].

In the mid XVIII century medical education was started in Chile with the foundation of the University of San Felipe. However, King Charles the Third expelled the Jesuits from the Spanish Empire in 1767 resulting in clear deterioration of medical development. Jesuits concentrated the cultural elite of the country and had the best professionals and libraries. A restrictive intervention from the Spanish government led to the establishment of a "Protomedicato" whose first director was Dr Jose Antonio Rios who remained in office for 40 years. At the end of the Colonial period, only 4 latin physicians and 3 bachelors in Medicine had graduated from the Universidad San Felipe, from an initial enrollment of 38 students in half a century. Only 5 among 25 doctors practicing in Chile in the first half on the XIXth century had been born in this country. This shortage was a severe handicap in the fight against smallpox and other plagues. Only the foundation of 2 hospitals (San Borja and Valparaíso) can be mentioned as positive actions coming from the Spanish government, and this was possible by using funds confiscated from the Jesuits. It was only after the establishment of the Republic and the foundation of the University of Chile, that medical development could again flourish in this country.