Rating: 
Summary: A Real Eminent Victorian
Review: William Osler remains an iconic figure in American medicine. Osler is taken often to epitomize the physician who brings a crticial and scholarly approach to the bedside in conjunction with compassion and empathy. In this very well written biography, Bliss traces Osler's life, his achievements, and examines how he assumed iconic status and whether or not this status is deserved. Bliss is particularly well equipped to undertake this task. A well known specialist on Canadian history, he has written other fine books on medical history in a Canadian context.
Bliss presents Osler as a product of the rising British Victorian middle classes. The remarkable son of impressive parents, Osler was the son of an English naval officer turned Anglican minister and his equally intelligent wife. Raised in rural Ontario when this part of Canada was still a frontier, Osler's parents inculcated respect for learning, dedication to hard work, and clearly taught the value of community service. William Osler was not an outlier in this family. One of his brothers became a prominent businessman and two other brothers became important figures in Canadian law and politics. An early interest in natural history (biology) lead Osler to medicine. Trained in then provinicial Toronto and Montreal, he finished his education in some of the great teaching hospitals of Europe. Spotted by his mentors in Montreal as a future star, he was brought back to McGill to teach at the modest medical school. At McGill, Osler launched the career of careful clinical observation, pathologic correlation, and teaching that would propel him to the apex of his profession. His growing reputation led to appointments at the University of Pennsylvania and then to the nascent Johns Hopkins University School of Medicine. At Hopkins, he became the first Professor of Clinical Medicine and introduced the teaching methods that revolutionized medical education in the USA. Relatively little of what Osler did was truly novel. Clinico-pathologic correlation has been standard method for expanding medical knowledge for decades and the clerkship method of teaching had been used in Britain and continental Europe for some time. Osler carried these methods to new heights. In his clinical practice, in his teaching, and in his great textbooks, Osler summarized and codified almost all of 19th century medicine. He was not a notable scientist, though his description and characterization of several important clinical conditions was very valuable, but he brought the best science of his time to the bedside and set clinical medicine on the course of drawing from systematic scientific work. In terms of his personal accomplishments and the example he set for his numerous trainees, his impact on 20th century medicine was immense.
Osler's reputation as a fine physician was deserved. Bliss shows him to be an warm and compassionate individual who was regarded often with great affection by his patients. Blessed with a generous and kindly personality, he enjoyed a wide circle of friends and a happy family life. In important respects, Osler exemplifies some of the most important and most admirable features of the Victorian period. His sense of virtue and service was very strong but he was not a prig and had relatively liberal values. Traveling in Germany towards the end of the 19th century, he noted and deplored rising anti-Semitism. He appears to have been devoid of overt anti-Semitic feelings and had a number of Jewish trainess, all of whom he appears to have treated with his usual combination of high expectations and civil behavior. Alone among the faculty at Hopkins, he supported the admission of women, though he did not really believe in female equality. Bliss spent years immersed in Osler's extensive writings and tremendously extensive correspondence, clearly likes and admires Osler, and his regard for Osler is reflected in the tone of this biography. Osler was also that quintessential Canadian, the provincial boy who achieves fame on the wider stage of the USA or Britain. At the peak of his fame, he was the best known physician in the English speaking world and something of a minor celebrity.
Like all fine biographies, this book is about more than its central subject. It is valuable on the development of Canadian society, the growth of universities in the USA and Canada, the history of medicine, and the devastating impact of WWI.
This will be the standard biography of Osler and it is worthy of its subject.
Rating:
Summary: A Real Eminent Victorian
Review: William Osler remains an iconic figure in American medicine. Osler is taken often to epitomize the physician who brings a crticial and scholarly approach to the bedside in conjunction with compassion and empathy. In this very well written biography, Bliss traces Osler's life, his achievements, and examines how he assumed iconic status and whether or not this status is deserved. Bliss is particularly well equipped to undertake this task. A well known specialist on Canadian history, he has written other fine books on medical history in a Canadian context.
Bliss presents Osler as a product of the rising British Victorian middle classes. The remarkable son of impressive parents, Osler was the son of an English naval officer turned Anglican minister and his equally intelligent wife. Raised in rural Ontario when this part of Canada was still a frontier, Osler's parents inculcated respect for learning, dedication to hard work, and clearly taught the value of community service. William Osler was not an outlier in this family. One of his brothers became a prominent businessman and two other brothers became important figures in Canadian law and politics. An early interest in natural history (biology) lead Osler to medicine. Trained in then provinicial Toronto and Montreal, he finished his education in some of the great teaching hospitals of Europe. Spotted by his mentors in Montreal as a future star, he was brought back to McGill to teach at the modest medical school. At McGill, Osler launched the career of careful clinical observation, pathologic correlation, and teaching that would propel him to the apex of his profession. His growing reputation led to appointments at the University of Pennsylvania and then to the nascent Johns Hopkins University School of Medicine. At Hopkins, he became the first Professor of Clinical Medicine and introduced the teaching methods that revolutionized medical education in the USA. Relatively little of what Osler did was truly novel. Clinico-pathologic correlation has been standard method for expanding medical knowledge for decades and the clerkship method of teaching had been used in Britain and continental Europe for some time. Osler carried these methods to new heights. In his clinical practice, in his teaching, and in his great textbooks, Osler summarized and codified almost all of 19th century medicine. He was not a notable scientist, though his description and characterization of several important clinical conditions was very valuable, but he brought the best science of his time to the bedside and set clinical medicine on the course of drawing from systematic scientific work. In terms of his personal accomplishments and the example he set for his numerous trainees, his impact on 20th century medicine was immense.
Osler's reputation as a fine physician was deserved. Bliss shows him to be an warm and compassionate individual who was regarded often with great affection by his patients. Blessed with a generous and kindly personality, he enjoyed a wide circle of friends and a happy family life. In important respects, Osler exemplifies some of the most important and most admirable features of the Victorian period. His sense of virtue and service was very strong but he was not a prig and had relatively liberal values. Traveling in Germany towards the end of the 19th century, he noted and deplored rising anti-Semitism. He appears to have been devoid of overt anti-Semitic feelings and had a number of Jewish trainess, all of whom he appears to have treated with his usual combination of high expectations and civil behavior. Alone among the faculty at Hopkins, he supported the admission of women, though he did not really believe in female equality. Bliss spent years immersed in Osler's extensive writings and tremendously extensive correspondence, clearly likes and admires Osler, and his regard for Osler is reflected in the tone of this biography. Osler was also that quintessential Canadian, the provincial boy who achieves fame on the wider stage of the USA or Britain. At the peak of his fame, he was the best known physician in the English speaking world and something of a minor celebrity.
Like all fine biographies, this book is about more than its central subject. It is valuable on the development of Canadian society, the growth of universities in the USA and Canada, the history of medicine, and the devastating impact of WWI.
This will be the standard biography of Osler and it is worthy of its subject.
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