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Women in medicine

Women licensed to practice medicine

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This is an image with the theme " Health and Wellness in Africa " from:
Mona Hassan Abo-Abda · CC BY-SA 4.0

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Through Medicine, Equal opportunity and Mesopotamia

Women's informal practice of medicine in roles such as caregivers, or as allied health professionals, has been widespread. Since the start of the 20th century, most countries of the world provide women with access to medical education. Not all countries ensure equal employment opportunities, and gender equality has yet to be achieved within medical specialties and around the world.

History

Ancient medicine

The involvement of women in the field of medicine has been recorded in several early civilizations. An Egyptian of the Old Kingdom of Egypt, Peseshet, described in an inscription as "lady overseer of the female physicians", is the earliest woman named in the history of science. Ubartum lived around 2050 BC in Mesopotamia and came from a family of several physicians. Agamede was cited by Homer as a healer in ancient Greece before the Trojan War. Metrodora was a physician and generally regarded as the first female medical writer. Her book, On the Diseases and Cures of Women, was the oldest medical book written by a female and was referenced by many other female physicians. She credited much of her writings to the ideologies of Hippocrates.

Medieval Europe

During the Middle Ages, convents were a centralized place of education for women, and some of these communities provided opportunities for women to contribute to scholarly research. An example is the German abbess Hildegard of Bingen, whose prolific writings include treatments of various scientific subjects, including medicine, botany and natural history (c. 1151–58). She is considered Germany's first female physician.

Women in the Middle Ages participated in healing techniques and several capacities in medicine and medical education. Women occupied select ranks of medical personnel during the period. They worked as herbalists, midwives, surgeons, barber-surgeons, nurses, and traditional empirics. Women healers treated most patients, not limiting themselves to treating solely women. The names of 24 women described as surgeons in Naples, Italy between 1273 and 1410 have been recorded, and references have been found to 15 women practitioners, most of them Jewish and none described as midwives, in Frankfurt, Germany between 1387 and 1497. The earliest known English women doctors, Solicita and Matilda Ford, date to the late twelfth century; they were referred to as medica, a term for trained physicians.

Women also engaged in midwifery and healing arts without having their activities recorded in written records, and practiced in rural areas or where there was little access to medical care. Society in the Middle Ages limited women's role as physician. Once universities established faculties of medicine during the thirteenth century, women were excluded from advanced medical education. Licensure began to require clerical vows for which women were ineligible, and healing as a profession became male-dominated.

In many occasions, women had to fight against accusation of illegal practice done by males, putting into question their motives. If they were not accused of malpractice, then women were considered "witches" by both clerical and civil authorities. Surgeons and barber-surgeons were often organized into guilds, which could hold out longer against the pressures of licensure. Like other guilds, a number of the barber-surgeon guilds allowed the daughters and wives of their members to take up membership in the guild, generally after the man's death. Katherine "la surgiene" of London, daughter of Thomas the surgeon and sister of William the Surgeon, belonged to a guild in 1286. Documentation of female members in the guilds of Lincoln, Norwich, Dublin and York continue until late in the period.

Midwives, those who assisted pregnant women through childbirth and some aftercare, included only women. Midwives constituted roughly one third of female medical practitioners. Men did not involve themselves in women's medical care; women did not involve themselves in men's health care. The southern Italian coastal town of Salerno was a center of medical education and practice in the 12th century. In Salerno the physician Trota of Salerno compiled a number of her medical practices in several written collections. One work on women's medicine that was associated with her, the De curis mulierum ('On Treatments for Women') formed the core of what came to be known as the Trotula ensemble, a compendium of three texts that circulated throughout medieval Europe. Trota herself gained a reputation that spread as far as France and England. There are also references in the writings of other Salernitan physicians to the mulieres Salernitane ('Salernitan women'), which give some idea of local empirical practices.

Dorotea Bucca, an Italian physician, was chair of philosophy and medicine at the University of Bologna for over forty years from 1390. Other Italian women whose contributions in medicine have been recorded include Abella, Jacqueline Felice de Almania, Alessandra Giliani, Rebecca de Guarna, Margarita, Mercuriade (14th century), Constance Calenda, Clarice di Durisio (15th century), Constanza, Maria Incarnata and Thomasia de Mattio.

Medieval Islamic world

For the medieval Islamic world, little information is known about female medical practitioners although it is likely that women were regularly involved in medical practice in some capacity. Male medical writers refer to the presence of female practitioners (a ṭabība) in describing certain procedures or situations. The late-10th to early-11th century Andalusi physician and surgeon al-Zahrawi wrote that certain medical procedures were difficult for male doctors practicing on female patients because of the need to touch the genitalia. The male practitioner was required to either find a female doctor who could perform the procedure, or a eunuch physician, or a midwife who took instruction from the male surgeon. The existence of female practitioners can be inferred, albeit not explicitly, through direct evidence. Midwives played a prominent role in the delivery of women's healthcare. For these practitioners, there is more detailed information, both in terms of the prestige of their craft (ibn Khaldun calls it a noble craft, "something necessary in civilization") and in terms of biographical information on historic women. To date, no known medical treatise written by a woman in the medieval Islamic world has been identified.

Western medicine in China

Traditional Chinese medicine based on the use of herbal medicine, acupuncture, massage and other forms of therapy has been practiced in China for thousands of years. Western medicine was introduced to China in the 19th century, mainly by medical missionaries sent from various Christian mission organizations, such as the London Missionary Society (Britain), the Methodist Church (Britain) and the Presbyterian Church (US). Benjamin Hobson (1816–1873), a medical missionary sent by the London Missionary Society in 1839, set up the Wai Ai Clinic (惠愛醫館) in Guangzhou, China. The Hong Kong College of Medicine for Chinese (香港華人西醫書院) was founded in 1887 by the London Missionary Society, with its first graduate (in 1892) being Sun Yat-sen (孫中山).

Due to the social custom that men and women should not be near to one another, Chinese women were reluctant to be treated by Western male doctors. This resulted in a need for female doctors. One of these was Sigourney Trask of the Methodist Episcopal Church, who set-up a hospital in Fuzhou during the mid-19th century. Trask also arranged for a local girl, Hü King Eng, to study medicine at Ohio Wesleyan Female College, with the intention that Hü would return to practise western medicine in Fuzhou. After graduation, Hü became the resident physician at Fuzhou's Woolston Memorial Hospital in 1899 and trained several female physicians. Another female medical missionary Mary H. Fulton (1854–1927) was sent by the Foreign Missions Board of the Presbyterian Church (US) to found the first medical college for women in China. Known as the Hackett Medical College for Women (夏葛女子醫學院), this college was located in Guangzhou, China, and was enabled by a large donation from Edward A. K. Hackett (1851–1916) of Indiana. The college was dedicated in 1902 and offered a four-year curriculum. By 1915, there were more than 60 students, mostly in residence. Most students became Christians, due to the influence of Fulton. The college was aimed at the spreading of Christianity and modern medicine and the elevation of Chinese women's social status. The graduates of this college included Chau Lee-sun (周理信, 1890–1979) and Wong Yuen-hing (黃婉卿), both of whom graduated in the late 1910s and then practiced medicine in the hospitals in Guangdong province.

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