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Education and training in internal medicine in Europe
H F P HillenUniversity
Hospital Maastricht, PO Box 5800, 6202 AZ Maastricht, The Netherlands
Correspondence to: Professor Dr Hillen hhi@sint.azm.nl
Submitted 14 May 2001;
Accepted 15 May 2001
| The first 150 words of the full text of this article appear below. |
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Introduction |
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Sir William Osler was the Regius Professor of Medicine in Oxford at the end of World War I. In those days there was a great demand for postgraduate medical education. This was the motive for the foundation of the Fellowship of Postgraduate Medicine, under the presidency of William Osler. Osler himself had received his postgraduate education in Europe, from 1872 to 1874, during a two year sabbatical leave in teaching clinics in Germany. It was during this period that internal medicine was introduced as a specialty in the schools of medicine in Berlin, Göttingen, and Vienna.1 Postgraduate education in these clinics was directed at the practice of clinical medicine and was based on the latest advances in physiology, bacteriology, and pathology. The switch from mere observation to understanding had been made.
William Osler was one of the first medical teachers who realised that
this paradigm shift towards pathophysiology, from knowing to knowing
how,
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