![]() Dr. Hugh Huger Toland |
![]() Dr. Richard Beverly Cole |
The Department of Surgery at UCSF was established in 1873 by two surgeons, Hugh H. Toland and Richard Beverly Cole who were lured to California by Gold Fever.
By 1852, when Toland crossed the
2,000-mile overland route by wagon train and Cole arrived by
steamship, the gold reserves were dwindling, leaving both to resort
to surgical careers. Cole became the Dean of the new Medical
Department of the University of California, and Toland, the first
chairman of the Department of Surgery. In 1898, the school moved to
its current location, overlooking Golden Gate Park, on land donated
by former San Francisco mayor Adolph Sutro. 
Photo of the new Parnassus campus of the UC Medical
Department, with streetcar in front.
(Reproduction from Special Collections, The Library,
University of California, San Francisco)

After the 1906 earthquake, San Francisco residents
took refuge in a tent city in Golden Gate Park.
The UCSF campus is on the hill in the background of this
photograph.
(Reproduction
from Special Collections, The Library, University of California,
San Francisco)
|
Howard C. Naffziger |
The Department of Surgery gained national prominence under the
leadership of Howard C. Naffziger. After serving as an intern and
resident at the University of California Hospital, Naffziger went
to Johns Hopkins Hospital in Baltimore to work under William
Stewart Halsted and Harvey Cushing, the preeminent surgeons of
their day. Naffziger returned to the University of California to
teach and develop a first-class surgical center. Nationally
renowned for his many contributions to the new specialty of
neurosurgery, Naffziger became Chairman of the Department of
Surgery in 1929. He developed a residency program modeled
after Halsted's and established the first research laboratory on
the Parnassus campus. When Naffziger left Surgery in 1947 to
chair UC Medical School's new Department of Neurological Surgery,
the Halstedian tradition continued under the new Chairman, H. Glenn
Bell. Like Naffziger, Bell
believed in the importance of the basic sciences to the training of
surgeons.
![]() Partial scene from a 1937 mural by Bernard Baruch
Zakheim, a student of Diego Rivera's, depicting the history of
medicine in California. This scene shows H. Glenn Bell (b 1893, d
1981) performing surgery in the left center foreground. |
His profound interest in surgical pathology was passed on to his many residents, including Edwin "Jack" Wylie, a pioneering giant in vascular surgery, who, in 1951, was the first to perform thromboendarterectomy for atherosclerotic aortoiliac occlusive disease in the United States. The legacy of integrating basic science with surgical training continued under subsequent chairmen (Leon Goldman, 1956-1963, J. Englebert Dunphy, 1964-1975, Paul A. Ebert 1976-1986, Haile Debas 1986-1993, and Theodore Schrock, 1994-1998) and led to many pioneering clinical and research contributions. That legacy continues today, under the leadership of Nancy L. Ascher, MD, PhD.
Solid organ transplantation has taken place in patients with HIV, adult live-donor liver transplantation has joined adult to child for transplantation procedures, and a new center for patient-directed breast care has been developed. Other important advances over the last 5 years include the development of a novel endovascular treatment for thoracic and abdominal vascular disease, fetal endoscopic laser treatment of a single arteriovenous communication in twin-twin transfusion syndrome, and initiation of a pancreas islet program. After more than 100 years, the Department of Surgery at UCSF continues to value hard work, productivity, and creativity as it strives to improve surgical techniques, make surgery more effective while less invasive, and improve care for patients.
For a more detailed history:The Department of Surgery, University of California, San Francisco
Pamela Derish M.A. and Nancy L. Ascher, M.D., Ph.D.
Reprinted with permission from the American Medical Association, publishers of Derish P and Ascher NL: The Department of Surgery, University of California, San Francisco 2005;40: 1143-48. Copyright © 2005, American Medical Association. All rights reserved.







