Postgrad Med J. 2019 Dec;95(1130):647-651. doi: 10.1136/postgradmedj-2019-137019.
The Canadian physician Sir William Osler is a key figure in the history of modern medicine. He encouraged lifelong learning for doctors, starting with bedside teaching. Contemporary with Old World figures such as Pasteur in Paris and Virchow in Berlin, he played a major role in raising awareness among clinicians of the importance of the scientific basis for the practice of medicine. He championed a rational approach to treatment and did much to encourage avoidance of 'unnecessary drugging' by prescribers. He is credited with playing a key role in improving education of medical students and postgraduate education of doctors, with important benefits for the care of hospital patients. He also had a major influence on his medical colleagues through founding and leading medical societies. A century on from his death in December 1919, his specific contributions and how he achieved them are not well known. The aim of this article is to consider the evidence that Osler was an influential medical leader and to reflect on the extent to which the achievements which resulted from his leadership are relevant to modern clinical medicine. Questions of interest include his leadership style, what made for his success as a leader, his medical achievements both in North America and in England, his own insight into leadership and how he was viewed by his peers.
加拿大医生威廉·奥斯勒爵士是现代医学史上的重要人物。他鼓励医生终身学习，从床边教学开始。与巴黎的巴斯德和柏林的维尔肖等旧世界人物同时代，他在提高临床医生对医学实践科学基础重要性的认识方面发挥了重要作用。他倡导一种理性的治疗方法，并大力鼓励医生避免“不必要的用药”。他在改善医学生教育和医生研究生教育方面发挥了重要作用，为医院患者的护理带来了重要益处。他还通过创建和领导医学协会对他的医学同行产生了重大影响。在他于 1919 年 12 月去世一个世纪后，人们并不清楚他的具体贡献以及他是如何取得这些贡献的。本文的目的是考虑奥斯勒作为有影响力的医学领袖的证据，并反思他的领导所带来的成就与现代临床医学的相关性。感兴趣的问题包括他的领导风格、使他成为成功领导者的因素、他在北美和英国的医学成就、他对领导力的洞察力以及他在同行中的看法。
