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At the end of the 12th century, King Richard the Lion-Hearted (ruled 1189 to 1199) lay on his deathbed, attended by both physicians and surgeons. This is the first European reference we have to a division between the fields of medical and surgical practice. In subsequent centuries, physicians and surgeons vied with one another for position in the medical marketplace. Eventually, unification, by way of medical education, took place in the modern system. Nevertheless, the difference in the origins and history of these fields is a source of continuing insight into the overall role of medicine in our societies. The
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