Description:

Osler, M.D. William 1849 - 1919 William Osler, MD writes about Med Chi, a society of which he was once President during his tenancy at Johns Hopkins



Single page TLS, 7" x 4.25" on Regius Professor Of Medicine, Oxford letterhead with raised blind stamp seal. Typed on both sides dated "Sept 12th, 10" and signed and verso by William Osler as "W Osler". Scattered handling marks, expected center fold.

William Osler writes a note to Dr. Ruhrah noting, "I have just returned from America, and was delighted to see all the good work at 1211 Cathedral Street". Olser was remarking about MedChi, The Maryland State Medical Society.

Sir William Osler was president of Med Chi from 1896-97, while also serving as first physician-in-chief at the Johns Hopkins Hospital. Described as the "Father of Modern Medicine". The Maryland State Medical Society, (MedChi), is the Maryland state-level affiliate of the national body of the American Medical Association, founded in 1799. It represents the interests of physicians and citizens in the state of Maryland "from unscrupulous and untrained practitioners holding themselves out as health care providers."

As the statewide professional association for licensed physicians, this group of professionals were (and still are) dedicated to the mission to serve as Maryland's foremost advocate and resource for physicians, their patients, and the public health. The building is still in existence today, and is used by professionals, medical students, medical residents, and medical administrators to assist with education. The goal is to run a compliant, successful, and profitable practice for physicians in addition to helping them keep up with ever-changing technology, policies and procedures, examples of which are listed below:

‘ö MedChi's consulting division helps with assessment, education, and implementation so you can run a compliant, successful, and profitable practice and keeping up with ever-changing technology, policy, and procedures.

‘ö Complimentary Practice Assessment from MedChi Network services which includes a review of revenue cycle management, electronic health records, meaningful use, staffing, coding, and compliance.

‘ö The Agency will review your current policy as it pertains to: liability limits, policy provisions, administrative defense coverage, tail provisions, deductibles, premium credits/surcharges, insurance company financial ratings, entity coverage, and coverage for employees.

Olser's letter still references his attachment to the facility, noting: "Really it is astonishing how much has been done at the old place within ten years. I enclose my Library Association cheque."

A lovely example of neat Osler signed TLS. Arguably Osler's greatest contribution to medicine was his insistence that students learn from seeing and talking to patients, and also the establishment of the medical residency. The latter idea spread across the English-speaking world and remains in place today in most teaching hospitals. Through this system, doctors in training make up much of a teaching hospital's medical staff. The success of his residency system depended, in large part, on its pyramidal structure with many interns, fewer assistant residents and a single chief resident, who originally occupied that position for years. While at Hopkins, Osler established the full-time, sleep-in residency system whereby staff physicians lived in the administration building of the hospital. As established, the residency was open-ended, and long tenure was the rule. Doctors spent as long as seven or eight years as residents, during which time they led a restricted, almost monastic life. He wrote in an essay "Books and Men" that: "He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all." His best-known saying was: "Listen to your patient, he is telling you the diagnosis," which emphasizes the importance of recording a thorough patient history.

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