A late sixteenth-century painting showing the miraculous, painless transplant of a leg by Saints Cosmas and Damian. What does this tell us about medieval surgery?  Were surgeons or physicians more likely to improve medicine at this time?  starter activity

What kinds of surgery were available in the Middle Ages? To find out how doctors were trained, the types of treatments that were used To create a prospectus for a medieval medical school  LOs

 Your task Watch the clip form ‘Blood & Guts’ (BBC). Why did people think blood-letting would help improve health?  Why do some doctors still use leeches today in surgery?

 Your task Read about the work of a medieval surgeon on p.72-3 and take notes under these headings: Read about the work of a medieval surgeon on p.72-3 and take notes under these headings: Doctors were using new surgical techniques Doctors were using new surgical techniques Improvements in the treatment of infection Improvements in the treatment of infection Improvements in education & knowledge of anatomy Improvements in education & knowledge of anatomy  Which factors, e.g. war, education, technology had the greatest impact on surgery at this time?  Which factors, e.g. war, education, technology had the greatest impact on surgery at this time?

The Battle of Shrewsbury (1403) & below a copy of the instrument used by Bradmore to extract arrows

Doctors were using new surgical techniques Specialist doctors – John Bradmore, King’s surgeon specialised in military surgery Specialist doctors – John Bradmore, King’s surgeon specialised in military surgery New instruments – forceps for removing arrowheads New instruments – forceps for removing arrowheads New techniques – use of honey to prevent infection New techniques – use of honey to prevent infection

Improvements in the treatment of infection Hugh & Theodoric of Lucca challenged Galen’s ideas on pus Hugh & Theodoric of Lucca challenged Galen’s ideas on pus Contact with Islamic doctors on Crusades helped develop their ideas Contact with Islamic doctors on Crusades helped develop their ideas Used wine & honey as antiseptics Used wine & honey as antiseptics  How did war help medicine? Where have we seen this before?

Improvements in education & knowledge of anatomy Henri de Mondeville challenged Galen – cleansing wounds and closing them quickly was better Henri de Mondeville challenged Galen – cleansing wounds and closing them quickly was better Roger of Salerno – 1 st European text book on surgery Roger of Salerno – 1 st European text book on surgery Guy de Chauliac (c ) – ‘Chirugia Magna’ Guy de Chauliac (c ) – ‘Chirugia Magna’ Guy de Chauliac

Medieval barber-surgeon

Medieval anatomy class

 Your task Imagine you are a medieval physician applying for the job of king’s doctor. Write a letter of application (1 side A4) in which you explain the following: Imagine you are a medieval physician applying for the job of king’s doctor. Write a letter of application (1 side A4) in which you explain the following: Your beliefs about the causes of illness Your beliefs about the causes of illness Your skills in anatomy Your skills in anatomy The different treatments you can offer The different treatments you can offer The influence of individuals The influence of individuals  Produce a CV to accompany your letter  Produce a CV to accompany your letter Dissection of a corpse

Satisfactory letterEmployment prospects increasing The job’s yours! You include a limited number of items There are many SPAG errors The work is poorly presented You cover most but not all the factors You explore the points well but there is still room to give more examples of your skills and training It has the appearance of a job application letter but contains occasional errors Includes all these points and explores them in detail Your beliefs about the causes of illness Your skills in anatomy The different treatments you can offer There are few if any errors and the letter is very professionally laid out It is written in a formal and very respectful style (register)

Plenary Plenary Cover the notes on your table leaving only the categories and see how much you can recall about… Cover the notes on your table leaving only the categories and see how much you can recall about… Causes of disease Causes of disease Knowledge of anatomy Knowledge of anatomy Diagnosis & Treatment Diagnosis & Treatment Surgery Surgery Write a judgement on the back of your chart explaining whether you think medieval medicine represents a step forward in the history of medicine. Use examples to illustrate your points. Write a judgement on the back of your chart explaining whether you think medieval medicine represents a step forward in the history of medicine. Use examples to illustrate your points.

Watch this clip from a recent Casualty drama. What are the key features of a good medical drama? 

 Extension task Imagine you have been asked to produce a trailer for a medieval medical drama. Your TV advert should include the following points Imagine you have been asked to produce a trailer for a medieval medical drama. Your TV advert should include the following points Introductions to some of the main characters in your soap Introductions to some of the main characters in your soap The types of illnesses they faced The types of illnesses they faced The ways they diagnosed illnesses The ways they diagnosed illnesses The treatments they gave including surgery The treatments they gave including surgery