HARVEY GUSHING'S CONTRIBUTION to neurosurgery and other surgical speci
alties has been profound. The accomplishments of his many pupils have
further immortalized Gushing's role as a pioneering advocate of surgic
al science. Claude S. Beck, the first professor of cardiovascular surg
ery in the United States, was one such student. Beck's career and succ
esses are illustrative of Gushing's guidance and enduring support for
his surgical heirs. Beck's first encounter with Gushing evoked a spiri
t of fraternity and fashioned a respect and loyalty to Gushing that la
sted for the duration of Beck's career. Gushing's personality and the
methods by which he perpetuated a rich surgical tradition are illumina
ted by details of Beck's stay at the Peter Bent Brigham Hospital as a
Cabot Fellow in Gushing's laboratory, by diary accounts of his later 6
-week visit in 1927, and by the numerous telling correspondences betwe
en the two men. This article traces Beck's association with Gushing an
d provides unique insights into Gushing, his Cleveland connections, an
d his neurosurgical service at the Brigham.