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The first Soviet therapeutic elite took shape in the second half of the 1920s. This process was not limited by few capital cities. So, L. B. Buсhstab (1868, Odessa - 1934, Odessa), the oldest follower of V. P. Obraztsov, belonged to it and his professional activity in this time occurred in Odessa. For the first time, relying on archive materials, the main milestones of his biography and his contribution into clinic of internal diseases are highlighted. It is established that prof. Bukhshtab entered the history of national clinic of intern