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In Bologna, Italy, and surrounding cities in the 15th through the 18th centuries, physicians had to have a license to practice medicine, although fees and privileges (and much controversy and in-fighting over these) were determined according to rank (charlatans, midwives, barbers, and physicians). There was a professional body, authorized and controlled by the state the Protomedicato (the emphasis of Professor Pomata's fascinating book) that dealt with licensure and discipline but seemed more interested in professional standards and self-protection than in issues of malpractice. Women healers experienced "constraints set by their gender," yet they challenged the system, often successfully.
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