The hospital and medical school moved to larger buildings several times in the decades that followed, leading to conflict among the staff on several occasions.
Guthrie's forceful urgings on retaining the location of the hospital and school on one occasion resulted in an argument climaxing in a pistol duel between two surgeons (though each missed each other).
A senior member of staff was invited to address the assembled doctors and whilst he was talking a caricature was sketched on the tablecloth by one of his audience.
It was cut out, passed round, signed and mounted and started the unbroken tradition that has evolved into the Shrove Tuesday Final Year Dinner.
[1] Since 1997, the Shrove Tuesday Final Year Dinner has since been a fully student-led event run by the Imperial College School of Medicine Students' Union.