Recent studies let us reconstruct the medical communities in several
towns. In the middle decades of the fourteenth century, Girona's medical
population ranged from 29 during 1320 to 54 during 1348 and included
physicians, surgeons, barbers, and apothecaries, who served an urban
community that ranged between eight and ten thousand. Apothecaries formed
the largest group with 29 practitioners, followed by 13 barbers, 6 surgeons,
and 6 physicians.


Girona's medical
community was comparable to Perpignan, which just prior to the Plague
had nine physicians and eighteen barbers and surgeons, and Montpellier.
In 1334, Barcelona
had 55 health professionals (10 physicians, 8 surgeons, 25 apothecaries,
and 12 barbers), while the statistics for Valencia show 57(respectively
10, 9, 20, and 18).
Among medical personnel,
however, physicians were fewest in number, perhaps only four or five
physicians and/or surgeons per ten thousand of population in Catalonia
and Valencia, and six or seven in towns like Valencia, Barcelona, Lleida,
or Tortosa.
Catalonia and the
Crown of Aragon were much better served by medical personnel than the
neighbouring Crown of Castile.
In the decades
before the Plague, the size of the medical community increased. In Barcelona
and Valencia, for example, the numbers, especially of apothecaries and
surgeons, grew by 50 percent between 1310 and 1335.
The Plague is another
factor in the size of the medical community at mid-century, because
medical personnel experienced relatively higher mortality rates due
to their exposure to infected individuals. Girona, for example, which
suffered a relatively modest mortality rate of about 15 percent during
the first Plague in the summer of 1348, lost 40 percent of its physicians,
25 percent of the barbers, and a fifth of the apothecaries.
Medieval communities,
like modern rural ones, were concerned about the shortage of medical
personnel, particularly after the devastation of the Plague. The Cortes
of Monzón in 1363 provided an alternative licensing procedure
for Muslim and Jewish physicians who would not have access to Christian
universities, and the registers of the bishop of Barcelona contain instances
of licenses being granted to Jewish physicians to treat Christian patients.
Among Muslims or
mudéjars, medical practice was carried on by metgesses, female
practitioners who served not only as midwives, but also as general physicians
and surgeons. Muslim medicine women were used not only by Muslims, but
also by Christians as well. It may be that the prohibition contained
in Valencia's Furs in 1329 that "no woman may practice medicine
or give potions" may have been aimed specifically against these
Muslim metgesses and not against women in general.