The six-foot-long original of this cartoon satirizing the Boston medical community was commissioned by MGH surgeon Earnest A. Codman, MD, in 1915, and he unveiled it at a meeting of the Suffolk District Medical Society. Codman mixed his campaign for “end results,” or tracking a patient’s recovery, with a scathing critique of his colleagues. He felt that doctors relied on the methods that would earn them the most money rather than on continually improving their practice. The cartoon created a stir. Codman was ousted from MGH and his faculty post at Harvard Medical School, but he continued to promote outcomes measurement. He was reinstated at MGH more than a decade later. Codman was a founder of what is now known as the Joint Commission, which oversees hospital quality and safety.