Evidence map›Paper›PMID 31944636›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2020

Necessity is the mother of invention: William Stewart Halsted’s addiction and its influence on the development of residency training in North America

James R. Wright Jr., Norman S. Schachar,

Registry-linked trialAbstract readBiographyHistorical Article
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05369988 (VALIDATION OF THE VIBe INTRAOPERATIVE BLEEDING SCALE IN LIVER SURGERY. PROSPECTIVE AND MULTICENTRIC STUDY), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05369988 unknown statusnot on this mapstarted 2022, after this paper: background citation

VALIDATION OF THE VIBe INTRAOPERATIVE BLEEDING SCALE IN LIVER SURGERY. PROSPECTIVE AND MULTICENTRIC STUDY

Typeobservational_patient_registrySponsorHospital Miguel ServetRan2022 to 2023Enrolled259ConditionsSurgical Hemorrhage, Liver Cancer, Liver Metastases
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Advancing obstetrics and gynecology training: The shift toward outcome and based education, a narrative review of literature.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Decline and Pronounced Regional Disparities in Medical Cocaine Usage in the United States.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2021
    Article
  7. Article
  8. Maud Menten: Pioneering Pediatric-Perinatal Pathologist, Clinician-Scientist, and "the Most Wonderful Human Being in the World".Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

James R. Wright Jr.From the Departments of Pathology & Laboratory Medicine, Paediatrics, and Surgery, University of Calgary Cumming School of Medicine, Calgary, Alta. (Wright, Schachar).
Norman S. Schachar,From the Departments of Pathology & Laboratory Medicine, Paediatrics, and Surgery, University of Calgary Cumming School of Medicine, Calgary, Alta. (Wright, Schachar).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Summary: William Stewart Halsted developed a novel residency training program at Johns Hopkins Hospital that, with some modifications, became the model for surgical and medical residency training in North America. While performing anesthesia research early in his career, Halsted became addicted to cocaine and morphine. This paper dissects how his innovative multi-tier residency program helped him hide his addiction while simultaneously providing outstanding patient care and academic training.

Indexed as

Substance-Related DisordersAnesthesiaHistory, 19th CenturyHistory, 20th CenturyHospitals, UniversityHumansInternship and ResidencyNorth AmericaSpecialties, SurgicalSurgeons

Identifiers

PMID31944636
PMCPMC7828946

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.