Advertisement

The Development of the Surgical Investigator

  • D. C. SabistonJr.

Abstract

For centuries, the discipline of surgery has been fortunate in having a number of investigators whose contributions have been of basic scientific significance as well as practical clinical application. The great medical historian, Garrison, selected three surgeons whom he considered the greatest of all time—Ambroise Paré, John Hunter, and Joseph Lister (Fig. 1). It was Paré who re-introduced the ancient use of the ligature in the control of hemorrhage and placed it upon a firm, systematic, and practical basis. He also introduced the concept of the controlled experiment into surgery when he treated two wounded soldiers with similar wounds lying side by side in a tent near the field of battle. The first soldier’s wound was managed by the standard method of routine cauterization with boiling oil. The second was managed by debridement, cleansing, and the application of a clean dressing. He commented that he spent a restless night, feeling that the second patient would do very poorly. However, his wisdom was demonstrated the following morning when he found the second patient to be essentially without systemic symptoms whereas the former had high fever, tachycardia, and disorientation. When he was congratulated on the outcome of his first successful case, he very humbly replied: “Je le pansait, Dieu le guerit” (“I treated him, God cured him”), a quotation that is inscribed on his statue.

Keywords

Medical Student Surgical Training Johns Hopkins Hospital Chief Resident Residency Training Program 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gloyne SR. John Hunter. Edinburgh: E. & S. Liv 6. ingstone Ltd., 1950: 60.Google Scholar
  2. 2.
    Garrison, FH. History of medicine. Philadelphia: 7. W.B. Saunders Company, 1929.Google Scholar
  3. 3.
    Halsted WS. The training of the surgeon. In Sur 8. gical papers by Halsted WS. Baltimore: The Johns Hopkins Press, 1924; 11: 512–431.Google Scholar
  4. 4.
    Sabiston DC Jr. Presidential address: Alfred Blalock. Ann Surg 1978; 188: 255.PubMedCrossRefGoogle Scholar
  5. 5.
    Wangensteen OH. Teacher’s Oath. J Med Educ 1978; 53 (6): 524.Google Scholar
  6. 6.
    Carter BN. The fruition of Halsted’s concept of surgical training. Surgery 1952; 32: 518.PubMedGoogle Scholar
  7. 7.
    Blalock A. The nature of discovery. Ann Surg 1956; 144: 289.CrossRefGoogle Scholar
  8. 8.
    Forssmann W. Experiments on myself. Klin Wochenschr 1929; 8: 2085.Google Scholar
  9. 9.
    Osier Sir William. Acquanimitas with other addresses. Philadelphia: P. Blakiston’s Son and Co. Inc., 1932.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • D. C. SabistonJr.

There are no affiliations available

Personalised recommendations