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Viewing: Blog Posts Tagged with: William Osler, Most Recent at Top [Help]
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1. 10 medically-trained authors whose books all doctors should read

Sir William Osler, the great physician and bibliophile, recommended that his students should have a non-medical bedside library that could be dipped in and out of profitably to create the well rounded physician. Some of the works mentioned by him, for example Religio Medici by Sir Thomas Browne is unlikely to be on most people’s reading lists today. There have been several recent initiatives in medical schools to encourage and promote the role of humanities in the education of tomorrow’s doctors. Literature and cinema has a role to play in making doctors more empathetic and understanding the human condition.

My idiosyncratic choice of books is as follows.

Firstly, I start with a work by the most respected physician of the twentieth century, Sir William Osler himself. The work I choose is Aeqanimitas, published in 1905 and is a collection of essays and addresses to medical students and nurses with essays ranging in title from “Doctor and Nurse,” “Teacher and Student,” “Nurse and Patient,” and “The Student Life”. They are as relevant today as the day they were penned with a prose style combining erudition and mastery of language rarely seen in practicing physicians. Osler was the subject of the great biography, written by the famous neurosurgeon Harvey Cushing, who was to win a Pulitzer prize for his efforts. (I am not including this biography on my list, however.)

Anton Chekhov is included in my list for his short stories ( he was also a successful playwright). Chekhov was a qualified Russian doctor who practiced throughout his literary career, saying medicine was his lawful wife and literature his mistress. In addition to a cannon of short stories and plays, he was a great letter writer with the letters, written primarily while he traveled to the penal colony in Sakhalin. He was so moved by the inhumanity of the place, that these letters are considered to be some of his best. Chekhov succumbed to tuberculosis and died in 1904, aged only 44 years.

William Somerset Maugham, the great British storyteller was once described by a critic as a first rate writer of the second rank. Maugham suffered from club foot and was educated at the King’s School, Canterbury, and St. Thomas’s hospital, London where he qualified as a doctor. His first novel Liza of Lambeth, published in 1897 describes his student experience of midwifery work among the slums of Lambeth led him to give up medicine and earn a living writing. He became a prolific author of novels, short stories, and plays. His autobiographical novel Of Human Bondage describes his medical student years at St. Thomas’s Hospital. Many of his stories and novels were turned into successful films.

A portrait of W. Somerset Maugham Public Domain via Wikimedia Commons
A portrait of W. Somerset Maugham. Public Domain via Wikimedia Commons

Another medical student from the United Guy’s and St. Thomas’s Hospital who never practiced as a doctor ( although he walked the wards of Guy’s Hospital and studied under the distinguished surgeon Astley Cooper), was John Keats, who lived a tragically short life, but became one of the greatest poets of the English language. His first poem “O Solitude,” published in The Examiner in 1816, laid the foundations of his legacy as a great British Romantic poet. Poems the first volume of Keats verse was not initially received with great enthusiasm, but today his legacy as a great poet is undisputed. Keats died, aged 25, of tuberculosis.

Oliver Wendell Holmes, the famous North American nineteenth-century physician, poet and writer, and friend and biographer of Ralph Waldo Emerson, popularized the term “anaesthesia,” and invented the American stereoscope, or 3D picture viewer. Perhaps his best known work is The Autocrat at the Breakfast Table his 1858 work dealing with important philosophical issues about life.

In Britain over a century later, in 1971, the distinguished physician Richard Asher published a fine collection of essays, Richard Asher Talking Sense which showcase his brilliant wit, verbal agility and ability to debunk medical pomposity. His writings went on to influence a subsequent generation of medical writers.

In the United States, another great physician and essayist was Sherwin Nuland, a surgeon whose accessible 1994 work How We Die became one of the twentieth centuries great books on this important topic a discourse on man’s inevitably fate.

Two modern authors next. The popular American writer Michael Crichton was a physician and immunologist before becoming an immensely successful best-selling author of books like Five Patients, The Great Train Robbery, Congo, and Jurassic Park, which was of course turned into a very popular film by the American film director Stephen Spielberg.

Khaled Hosseini the Afghan-born American physician turned writer is a recent joiner of the club of physician-writers, having achieved great fame with his books The Kite Runner and A Thousand Splendid Suns.

I suppose we must finally include Sir Arthur Conan Doyle the Scottish physician and author. His stories of the sleuth Sherlock Holmes have given generations pleasure and entertainment, borne of the sharp eye of the masterful physician in Conan Doyle.

Heading image: Books. Public Domain via Pixabay

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2. In praise of Sir William Osler

By Arpan K. Banerjee


In May this year, the American Osler Society held a joint meeting with the London Osler Society and the Japanese Osler Society in Oxford at the Randolph Hotel. The Societies exist to perpetuate the memory of arguably one the most influential physicians of the early twentieth century, and to discuss topics related to Sir William Osler’s interests. It is fitting that this meeting was held in Oxford, where Osler spent his time as the Regius Professor of Medicine having transferred from another great seat of medical learning at Johns Hopkins Medical School in the United States.

William Osler. CC-BY-4.0 via Wikimedia Commons.

William Osler. CC-BY-4.0 via Wikimedia Commons.

Osler was interested in medical education (he produced his classic textbook, which ran to several editions) and set about trying to improve the education of future doctors. Osler’s other great legacy was his combination of superb clinical skills honed by experience not only on the wards but also in the laboratories, and his great interest in the humanities. Osler always tried to combine these two approaches in his work, and much of his writings and aphorisms are as relevant today as when they were first written. Medical students could read Aequanimitas today more than a century after it was written, and would profit from much of the advice to students within this volume of essays and addresses.

Osler had a great interest in the History of Medicine and helped found the history section of the Royal Society of Medicine in London. This scientific section has continued to flourish for over a century. He believed physicians should be well rounded and well read, and that medicine was a calling of both art and science. Although Osler was not against the idea of specialisation in medicine, he was a superb generalist and could manage both adult and child patients. He believed that doctors owed it to themselves to be well versed in the range of disease and illness afflicting mankind. His early interest in comparative pathology during his time at the Montreal Veterinary College prepared him well when dealing with infectious diseases which in the pre-antibiotic area were the scourge of the day, as compared with today in the West where degenerative diseases, cancers and diseases of longevity have overtaken infections as a major killer in the Western world.

The centenary of the Great War is 2014; it was Osler who started a campaign for the compulsory vaccination of soldiers for typhoid, publishing letters in the Times and The British Medical Journal on this topic. That year his literary output also included his Incunabula Medica, a study of 214 of the earliest printed medical books from 1467-1480. Although finished, it was not published until 1923, four years after his death.

Throughout the late twentieth century medicine has continued to super-specialize at an alarming pace throughout the world, driven by the rapid advances in medical diagnosis and treatment. X-rays were only invented in 1895, and the early part of the twentieth century began to see the introduction of chest x-rays into clinical practice. This was still a world away from CT scans, ultrasounds, and MRI scans, which are now de rigueur in the management of patients. Yet in spite of all this progress, disaffection with the medical profession seems rife. Could it be that the general physicians are going to make a comeback? Perhaps a more humanitarian approach to the patient is what is required again, maybe combined with the inexorable technical progress which will undoubtedly continue in the future. Osler would have been amused to see how the wheel of medical fashion has turned full circle.

Arpan K Banerjee qualified in medicine from St Thomas’s Hospital Medical School in London, UK and trained in Radiology at Westminster Hospital and Guys and St Thomas’s Hospital. In 2012 he was appointed Chairman of the British Society for the History of Radiology of which he is a founder member and council member. In 2011 he was appointed to the scientific programme committee of the Royal College Of Radiologists, London. He is the author/co-author of six books including the recent The History of Radiology.

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