Thomas Percival

Thomas Percival FRS FRSE FSA (1740–1804) was an English physician and author, best known for crafting perhaps the first modern code of medical ethics. He drew up a pamphlet with the code in 1794 and wrote an expanded version in 1803, Medical Ethics, or a Code of Institutes and Precepts, Adapted to the Professional Conduct of Physicians and Surgeons in which he coined the expression "medical ethics". He was also a pioneering campaigner for public health measures and factory regulation in Manchester.

He was born at Warrington at Lancashire, the son of Joseph and Margaret (née Orred) Percival. He lost both his parents when he was three years old, so his older sister was responsible for his early education. Once he was old enough, he was placed in a private academy in his home town. He also spent time in a free grammar-school. In 1757, he was enrolled as the first student at Warrington Academy. After achieving a good reputation in classical and theological studies, he transferred to Edinburgh in 1761 (as a Dissenter he could not attend an English University). He achieved his M.D. degree in 1765 and became a fellow to the Royal Society, through a recommendation by his friend and patron Lord Willoughby de Parham, the same year. In 1771 he hosted Benjamin Franklin in Manchester, who went on to be a guest of Rev. John Michell at Thornhill Rectory; other guests being Joseph Priestley and Messrs. Smeaton, Pringle and Ingenhousz. He was elected a Foreign Honorary Member of the American Academy of Arts and Sciences in 1789.

British health reformer and ethicist. Educated at Edinburgh and then a prominent member of the Manchester Literary and Philosophical Society, he holds an important place in the history of epidemiology for his analysis of the Bills of Mortality from 1772–6, and for his code of medical ethics. The latter was initially circulated privately as a book on jurisprudence in 1794 and as a result of solicited comments from colleagues then published in an expanded form with a change in title to Medical ethics in 1803. Percival had been asked by the Manchester Royal Infirmary to help with an internal dispute and became particularly concerned with the divisions that had arisen among the different branches of the profession – the physicians, surgeons, and apothecaries with their different backgrounds of training (university, hospital, and apprenticeship respectively). But he did not merely concern himself with intraprofessional relationships: he also laid down a code for conduct towards patients, whether rich or poor, and his ideas were rapidly taken up by the USA, Australia, and Canada — in fact, the ethical code introduced by the newly formed American Medical Association in 1847 used several passages taken directly from his book.

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