Although it was common that talented doctors in the samurai class were appointed the post of doctor for the lord, there were some rare cases of lower-ranking or folk doctors appointed to serve the feudal lord.
藩主に近侍する侍医は士席医師のうち医業優秀な者が選ばれるのが例であったが、稀に軽輩医師や城下の町村医師が抜擢される場合もあった。