A generation or so ago, scholarly discussion about the creation of new scientific knowledge in seventeenth-century England was often framed in terms of the respective contributions of scholars and practitioners, the effects of their training and background, the relative importance of the universities compared with London, and of the role of external and internal factors, and so forth. These discourses have now largely been put aside in favour of those emphasizing spatial metaphors and models, which are recognized as powerful conceptual (...) tools for representing the dynamics of complex systems. The role that geographies play in the fostering of creativity and innovation in human systems at both the social and cognitive levels is a subject that is attracting widespread interest. (shrink)

ArgumentThe tension between theoretical and practical knowledge was particularly problematic for trainee physicians. Unlike civic apprenticeships in surgery and pharmacy, in early modern England there was no standard procedure for obtaining education in the practical aspects of the physician’s role, a very uncertain process of certification, and little regulation to ensure a suitable reward for their educational investment. For all the emphasis on academic learning and international travel, the majority of provincial physicians returned to practice in their home area, because (...) establishing a practice owed more to networks of kinship, patronage and credit than to formal qualifications. Only when (and where) practitioners had to rely solely on their professional qualification to establish their status as young practitioners that the community could trust would proposals to reform medical education, such as those put forward to address a crisis of medicine in Restoration London, which are examined here, be converted into national regulation of medical education in the early nineteenth century, although these proposals prefigured many informal developments in medical training in the eighteenth century. (shrink)