Himmelmann Lars
Sven Med Tidskr. 2007;11(1):69-87.
This paper concerns some steps in the process of professionalization of surgery from handicraft to surgery as a science. The paper is based o two studies. The first emanates from the phases in the process including the development of a professional and proficiency monopoly, a professional organization, ethics principles, a professional language and an official recognition of surgery as a profession. The second study concerns the training of army surgeons in the 18th century. From the 16th century, the Barber office had, as a craft guild system, the control over the training of barbers and the establishment of barber's shops. In 1689 the barber-surgeons guild got an exclusive right to examine barber-surgeons and in 1755 the control of all surgeons in the country. The guild developed their own ethics and office oaths. The quality of the training increased to a higher level with the establishment of professorships outside the universities with the task to train barber-surgeons was made. The craft organization, which from the end of the 17th.century was called the Society of Surgeons, received several instructions from the King. Among the most important was the task to provide the Army and Navy with surgeons. This meant for the Society of Surgeons and its members that they got an official recognition. To become a profession, the surgeons still lacked an academic training, which was realized in the 19th.century after the dissolution of the Society of Surgeons in 1797. The second study is an investigation of the training of regimental surgeons in West-Sweden during the 18th.century. The object of this study was to find out if these surgeons had fulfilled the training requirements, which were set up by the Society of Surgeons. Out of 37 regimental surgeons 33 had passed the examination for the master craftsman's diploma. The four regimental barbers, who lacked the formal examination, were all appointed before 1723. Almost half of the regimental surgeons came from Germany. The surgeons were in average 31 years old when they passed examination. Two of the surgeons appointed late in the 18th. century had also a medical doctors degree. The examination requirements increased gradually during the century alongside with the increased knowledge in surgical science. The improved training was an important part of the barber-surgeons professionalization.
本文关注外科手术从手工艺向一门科学的专业化进程中的一些步骤。本文基于两项研究。第一项研究源自该进程中的各个阶段,包括专业及熟练技能垄断的发展、专业组织、伦理原则、专业语言以及外科手术作为一门职业的官方认可。第二项研究涉及18世纪军队外科医生的培训。从16世纪起,理发师行会作为一种行会制度,掌控着理发师的培训及理发店的设立。1689年,理发师 - 外科医生行会获得了对外科理发师进行考核的独家权利,并于1755年掌控了全国所有外科医生。该行会制定了自己的伦理规范和职业誓言。随着大学之外设立了教授职位,负责培训外科理发师,培训质量提升到了更高水平。这个从17世纪末起被称为外科医生协会的行会组织,收到了国王的多项指令。其中最重要的是为陆军和海军提供外科医生的任务。这对外科医生协会及其成员而言意味着他们获得了官方认可。然而,要成为一门职业,外科医生仍缺乏学术培训,这在1797年外科医生协会解散后的19世纪得以实现。第二项研究是对18世纪瑞典西部团级外科医生培训情况的调查。这项研究的目的是查明这些外科医生是否满足了外科医生协会设定的培训要求。在37名团级外科医生中,有33人通过了工匠大师文凭考试。4名未通过正式考核的团级理发师均在1723年之前被任命。几乎一半的团级外科医生来自德国。这些外科医生通过考试时的平均年龄为31岁。18世纪后期被任命的两名外科医生还拥有医学博士学位。在这个世纪里,随着外科学知识的增长,考核要求也逐渐提高。培训的改进是外科理发师专业化的一个重要部分。