BACKGROUND The selection and the professional training for a resident in internal medicine requires a great investment of time, training effort and money. Drop-outs are therefore considered a failure of the selection procedure. To evaluate our selection model and outcome of the training programme, we determined the drop-out rate at the Leiden University Medical Centre with its affiliated hospit...

OBJECTIVE Sepsis is a serious condition with high mortality. Early treatment improves outcome and can be initiated by emergency medical services (EMS) personnel.The primary aim of our study was to investigate how many sepsis patients are transported by EMS to the internist at the emergency department (ED). The secondary aims were to compare these EMS patients with patients who arrived at the ED...

I served for 36 years in several hospitals as a medical social worker. In my childhood, father was internist and mother helped his work. She also prepared meal using foodstuffs. Families the district were almost two family dwelling. And elderly people cared neighboring children their spare time. studied welfare worked at some gave advise to solve personal problem of patients. We (doctor, nurse,...

A 63-year-old woman presented to the internist with fatigue, cough, low-grade fever, splenomegaly and leucocytosis up to 130 x 10(9)/l. Although a diagnosis of chronic myelogenous leukaemia was initially entertained, she turned out to have a metastasised melanoma. The differential diagnosis and workup is discussed, as well as potential mechanisms by which the tumour could have induced the leuco...

On 24 October 1950, fourteen people met at the invitation of the abbé Arthur Maheux in the Institut d’Histoire et de Géographie, of the Université Laval in Quebec City to form the Société canadienne d’histoire de la médecine (SCHM). Among them were physicians, historians, and archivists. Dr. Sylvio Leblond (1901-1990), internist and instructor of medical history at Laval, was elected president ...