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An Eight-Year Search for Dr Osler

George L. Blackburn, MD, PhD
Arch Intern Med. 1987;147(9):1541-1542. doi:10.1001/archinte.1987.00370090021003.
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Eight years ago, I wrote an editorial in this journal inquiring about the whereabouts of Dr Osler in the context of making the medical diagnosis of protein calorie malnutrition in the hospitalized patient.1 I am pleased to see a response, particularly because it comes from a multidisciplinary health care team including a medical resident, a dietitian, and a nurse working in cooperation with the academic resources of Johns Hopkins Hospital, Baltimore.2 The study design and statistical approach can be exploited by like-minded health care groups, who also have an interest in assessing the implications of hospital malnutrition.

Dr Osler was acutely aware that the perplexing problem of teaching was not limited to subject content, but also included the issue of the most effective means of teaching. Thus, in an address to McGill University, Montreal, on Sept 21, 1899, Dr Osler stated "But the problem of all others which


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