The most important feature of the scientific teachings of the mediaeval universities has been left till the last because it is the clinching confirmation of a claim that these were essentially scientific universities. It is to be found in the position of the medical schools and the state of medical teaching during the Middle Ages. So curiously has the history of education been written, and, above all, of medical education, that to most people this would seem to be surely the department of education which would prove just the opposite. We have heard so much about Church opposition to anatomy and Church opposition to surgery, of its repression of the development of medical science and even medical art, because the Church wanted to make people believe in the value of masses, relics and prayers--and pay for them--that most people are quite sure that there {123} was no medical education of any significance in the Middle Ages. Nothing shows more clearly how viciously the history of education has been written than the existence of such false impressions. Not only are they utterly unfounded, but they are based on supreme ignorance of one of the greatest periods in the history of medicine that we have in all the world's history. Not only were the schools excellent and the teaching progressive, but there was a fine development of medical science and, above all, of surgery. Surgery is supposed to be particularly the department of medicine that did not develop. We have learned better in recent years, and now we know that there was no greater period in the history of surgery than that from 1200 to 1400 when, alas! following so-called history, we used to think there was no surgery. The first question that any one who knows anything about the subject asks with regard to the progress in medicine of a particular time or country is, what was the standard of its medical education? What was the standard of admission to the medical schools, how many years of medical studies were required? To this question the Middle Ages have a wonderful answer that has not been realized until recent years. We now have Frederick II's famous law for the regulation of the practice of medicine and the maintaining of standards in medical schools. This law was promulgated in the Two Sicilies, the southern part of {124} Italy and Sicily proper. According to it no one was allowed to practise medicine who had not studied for four years in a recognized university and then practised for one year with a physician before receiving his license to practise by himself. If he wanted to practise surgery he had to spend an additional special year in the study of anatomy. The university medical schools were graduate schools and did not admit a student unless he had completed the undergraduate course.