How do physicians react to new knowledge: the experience of Jonathan Hutchinson 1828-1913 with comments on its relevance today.
BACKGROUND
In the late 20th century, physicians are being challenged to absorb new knowledge at an ever-increasing pace.


OBJECTIVE
This article will review the acquisition of new knowledge by Sir Jonathan Hutchinson, a prominent Victorian surgeon in the 19th century. At that time, new knowledge was presented much more slowly. How well Hutchinson absorbed new knowledge will be outlined and, in the light of his background and training, what events were there that either helped or hindered this process.


CONCLUSIONS
Assuming good physical and mental health, age and basic training are often important in how physicians react to new knowledge; the timing of the release of new knowledge also plays a role. Training in the basic attributes of scientific medicine as well as continuing medical education will help in the processing of new knowledge. One common response by physicians to the increasing load of new information is the narrowing of the individual's field of expertise.
Division of Dermatology, Department of Medicine, University of Ottawa, Ontario, Canada.
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D001291:Attitude of Health Personnel; D004059:Diffusion of Innovation; D004739:England; D013502:General Surgery / Q000266:history*; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D010340:Pathology, Surgical / Q000266:history