The Osler Medical Service

The Osler Medical Service at Johns Hopkins University, founded by William Osler, was a full-time, sleep-in residency system whereby staff physicians lived in the Administration Building of the Hospital. The residency was open-ended, and long tenure was the rule. Doctors spent as long as seven or eight years as residents, during which time they led a restricted, almost monastic life. It involved the idea of clinical clerkships having third and fourth year students work with patients on the wards. It pioneered the practice of bedside teaching, making rounds with a handful of students.


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