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his early activities such as clinical application of diagnostic x-rays and studying results of treatments using
anesthesia, but Dr. Codman became discouraged by the hospital administrators lack of interest in his end
result ideas. The administration continued its system of seniority system of promotion, which Dr. Codman
believed was absolutely incompatible with the End Result Idea, so resigned from MGH, establishing his
own small hospital.
Later, during World War I, Dr. Codman served with his hospital staff in the military taking his end results
cards to test efficiency of medical procedures.
A member of many other surgical associations such as the American Surgical Association, the Society of
Clinical Surgery, and Massachusetts medical societies, Dr. Codman is credited in some sources as being
crucial to the founding of the American College of Surgeons. He formed a friendship with Edward Martin,
MD, FACS, whom he convinced of the value of the End Result Idea, and by 1910, when Dr. Martin was
president of the Clinical Congress of North America, he appointed his colleague Dr. Codman to a new
Committee on Hospital Standardization. The work of this Committee was a major reason for the birth of the
American College of Surgeons in 1913 and has continued as a major cornerstone of ACS activities today.
In retrospect, Dr. Codman was a crusader whose ideas were not entirely appreciated during his lifetime,
but whose ideas have become the basis of patient centered quality based surgery in the College
standards and in that of current day medical practice.
For information on Codmans role and activities within the American College of Surgeons, see the ACS
Archives.
References
Ernest Amory Codman, 1869-1940, New England Journal of Medicine, 1941, 224:296-299.
Ernest Amory Codman (1869-1940): A Biography, by Anthony F. DePalma, M.D.
Cover story, Massachusetts Physician, November 1971, p. 6.
Gerald Austen, Presidential Address: A Tradition of Humanism; The Voluntary Hospital, Transactions of
the American Surgical Association, 1986, p. 14-16