.tftt&fcal <3fi$£imation. BOSTON MEDICAL POLICE. RULES AND REGULATIONS OF THE BOSTON MEDICAL ASSOCIATION. BOSTON: DUTTON AND WENTWORTH’S PRINT. 1843. BOSTON MEDICAL POLICE. At a meeting of the Boston Medical Association, held at Vila's on the first Wednesday in March, 1808. The Committee of the preceding year, having, in conformity with their instructions, reported on a code of Medical Police, which was read and accepted by sections: It was Voted, That the Report of the Committee be recommitted, with instructions to print five hundred copies of the same, and that they present to each member of the Association three copies of the Report, and distribute the remaining copies to such other physicians of the State as they may think proper. Voted, likewise, That the thanks of the Association be presented to the Committee for their judicious and useful Report. J. GORHAM, Secretary. BOSTON MEDICAL POLICE. The Standing Committee of the Association of Boston Physicians for the year, commencing on the first Wednes- day of March, 1807, having been instructed to propose a code of Medical Police, to be submitted to the considera- tion of the Association at their next annual meeting, beg leave to report:— 1. That having examined the different publications of Gregory, Rush and Percival upon this subject, they first selected from them such articles, as seemed most applica- ble to the circumstances of the profession in this place. 2. That with these articles as a ground work, they have proceeded to form a short system of police, contain- ing general principles for the government of this Associa- tion, by making such alterations, or additions to them, as they thought necessary for rendering them both practica- ble and useful. 3. That they have added such new articles, as they judged conducive to the general views of this Association, and adapted to the particular situation of medical prac- tice in America. 6 The result of which is submitted in the form follow- ing: CONSULTATIONS. Consultations should be encouraged in difficult and protracted cases, as they give rise to confidence, energy, and more enlarged views in practice. On such occasions, no rivalship or jealousy should be indulged ; candour, jus- tice and all due respect should be exercised towards the physician who first attended : and as he may be presum- ed to be best acquainted with the patient and his family, he should deliver all the medical directions as agreed upon. It should be the province, however, of the senior consulting physician to propose the necessary questions to the sick. The consulting physician is never to visit without the attending one, unless by the desire of the latter, or when, as in sudden emergency, he is not to be found. No dis- cussion of the case should take place before the patient or his friends ; and no prognostications should be delivered, which were not the result of previous deliberation and concurrence. Theoretical debates, indeed, should gene- rally be avoided in consultation, as occasioning perplexity and loss of time; for there may be much diversity of opinion on speculative points, with perfect agreement on those modes of practice, which are founded, not on hypo- thesis, but on experience and observation. Physicians in consultation, whatever may be their private resentments or opinions of one another, should divest themselves of all partialities, and think of nothing but what will most effect- ually contribute to the relief of those under their care. If a physician cannot lay his hand to his heart and say, that his mind is perfectly open to conviction, from 7 whatever quarter it may come, he should in honor decline the consultation. All discussions and debates in consultations, are to be held secret and confidential. Many advantages may arise from two consulting to- gether, who are men of candour, and have mutual confi- dence in each other’s honour. A remedy may occur to one, which did not to another; and a physician may want resolution or a confidence in his own opinion, to prescribe a powerful, but precarious remedy, on which, however, the life of his patient may depend; in this case, a concurrent opinion may fix his own. But when such mutual confidence is wanting, a consultation had better be declined, especially if there is reason to believe, that sentiments delivered with openness, are to be communi- cated abroad, or to the family concerned; and if, in con- sequence of this, either gentleman is to be made respon- sible for the event. The utmost punctuality should be observed in consul- tation visits ; and to avoid loss of time, it will be expedi- ent to establish the space of fifteen minutes, as an allow- ance for delay, after which the meeting might be consid- ered as postponed for a new appointment. INTERFERENCES. Medicine is a liberal profession; the practitioners are, or ought to be, men of education ; and their expectations of business and employment should be founded on their degrees of qualification, not on artifice and insinuation. A certain undefinable species of assiduities and attentions, 8 therefore, to families usually employing another, is to be considered as beneath the dignity of a regular practitioner, and as making a mere trade of a learned profession ; and all officious interferences in cases of sickness in such fam- ilies, evince a meanness of disposition, unbecoming the character of a physician or a gentleman. No meddling inquiries should be made concerning them, nor hints given relative to their nature and treatment, nor any self- ish conduct pursued, that may, directly or indirectly, tend to weaken confidence in the physicians or surgeons, who have the care of them. When a physician is called to a patient, who has been under the care of another gentleman of the faculty, be- fore any examination of the case, he should ascertain, whether that gentleman understands that the patient is no longer under his care; and unless this be the case, the second physician is not to assume the charge of the pa- tient, nor to give his advice, (excepting in instances of sudden attacks) without a regular consultation; and if such previously attending gentleman has been dismissed, or has voluntarily relinquished the patient, his practice should be treated with candour, and justified so far as probity and truth will permit; for the want of success in the primary treatment of the disorder, is no impeachment of professional skill and knowledge. It frequently happens, that a physician, in incidental communications with the patients of others, or with their friends, may have their cases stated to him in so direct a manner, as not to admit of his declining to pay attention to them. Under such circumstances, his observations should be delivered with the most delicate propriety and reserve. He should not interfere in the curative plans 9 pursued; and should even recommend a steady adherence to them, if they appear to merit approbation. DIFFERENCES OF PHYSICIANS. The differences of physicians, when they end in appeals to the public, generally hurt the contending parties ; but, what is of more consequence, they discredit the profes- sion, and expose the faculty itself to contempt and ridi- cule. Whenever such differences occur, as may affect the honor and dignity of the profession, and cannot im- mediately be terminated, or do not come under the char- acter of violation of the special rules of the Association otherwise provided for, they should be referred to the arbitration of a sufficient number of members of the Asso- ciation, according to the nature of the dispute; but, neither the subject matter of such references, nor the adjudication, should, if it can be avoided, be communi- cated to the public, as they may be personally injurious to the individuals concerned, and can hardly fail to hurt the general credit of the faculty. DISCOURAGEMENT OF QUACKERY. The use of quack medicines should be discouraged by the faculty, as disgraceful to the profession, injurious to health, and often destructive even of life. No physician or surgeon, therefore, should dispense a secret nostrum., whether it be his invention or exclusive property ; for if it is of real efficacy, the concealment of it is inconsistent with beneficence and professional liberality ; and, if mys- tery alone give it value and importance, such craft im- plies either disgraceful ignorance, or fraudulent avarice. 10 CONDUCT FOR THE SUPPORT OF THE MEDI- CAL CHARACTER. The esprit du corps is a principle of action, founded in human nature, and, when duly regulated, is both rational and laudable. Every man, who enters into a fraternity, engages, by a tacit compact, not only to submit to the laws, but to promote the honor and interest of the Asso- ciation, so far as they are consistent with morality and the general good of mankind. A physician, therefore, should cautiously guard against whatever may injure the general respectability of the profession, and should avoid all contumelious representations of the faculty at large, all general charges against their selfishness or improbity, or the indulgence of an affected or jocular scepticism, concerning the efficacy and utility of the healing art. FEES. General rules are adopted by the faculty in every town, relative to the pecuniary acknowledgments of their pa- tients ; and it should be deemed a point of honor to adhere to them; and every deviation from, or evasion of these rules, should be considered as meriting the indignation and contempt of the fraternity. Gratuitous services to the poor are by no means pro- hibited ; the characteristical beneficence of the profession is inconsistent with sordid views and avaricious rapacity. The poor of every description should be the objects of our peculiar care. Dr. Boerhaave used to say, they were his best patients, because God was their paymaster. It is obvious also, that an average fee, as suited to the general rank of patients, must be an inadequate compen- sation from the rich, (who often require attendance not 11 absolutely necessary,) and yet too large to be expected from that class of citizens who would feel a reluctance in calling for assistance, without making some decent and satisfactory remuneration. EXEMPTION FROM CHARGES. All members of the medical profession, together with their families, should be attended gratuitously; but visits should not be obtruded officiously, as such civility may give rise to embarrassments, or interfere with that choice on which confidence depends. But distant members of the faculty, when they request attendance, should be expected at least to defray the charges of travelling. Omission to charge, on account of the wealthy circum- stances of the physician, is an injury to the profession, as it is defrauding, in a degree, the common funds, for its support, when fees are dispensed with which might justly be claimed. VICARIOUS OFFICES. Whenever a physician officiates for another by his de- sire, in consequence of sickness or absence, if for a short time only, the attendance should be performed gratuitously as to the physician, and with the utmost delicacy towards the professional character of the gentleman previously connected with the patient. SENIORITY A regular and academical education furnishes the only presumptive evidence of professional ability, and is so honorable and beneficial, that it gives a just claim to pre- 12 eminence among physicians at large, in proportion to the degree in which it may be enjoyed and improved. Never- theless, as industry and talents may furnish exceptions to this general rule, and this method may be liable to dif- ficulties, in the application, seniority among practitioners of this town, should be determined by the period of pub- lic and acknowledged practice as a physician or surgeon in the same. This arrangement being clear and obvious, is adapted to remove all grounds of dispute among medi- cal gentlemen : and it secures the regular continuance of the established order of precedency, which might other- wise be subject to troublesome interruptions, by new set- tlers, perhaps not long stationary in the place. JOHN WARREN, LEMUEL HAYWARD, JOHN FLEET. RULES AND REGULATIONS OF THE BOSTON MEDICAL ASSOCIATION. At a special meeting of the Members of the Boston Medical Associ- ation, holden at the Massachusetts Medical College, April, 1830. It was Voted, That Drs. Warren, Bigelow, and McKean, be a Committee to revise the Rules and Regulations of the Association, and report at the next annual meeting. At the annual meeting, holden at the Exchange Coffee-House, May, 1830, The Committee reported ; and It was Voted, That the Report be recommitted and printed; and the further consideration thereof referred to an adjourned meeting, to be held on the second Wednesday in June. At the adjourned meeting, holden at the Massachusetts Medical College, June, 1830. The Committee reported ; and It was Voted, That their report be accepted, and that the Secretary be directed to have printed, the Rules and Regulations of the Associa- tion, as amended, together with the Medical Police, and a List of Members. Attest: WINSLOW LEWIS, Jr., Secretary. RULES AND REGULATIONS. I. There shall be a stated meeting of the “BOSTON MEDICAL ASSOCIATION ” on the first Monday in May, annually. II. At every stated meeting, there shall first be chosen a chairman to preside at the same; and then there shall be chosen by ballot a Secretary and a Standing Committee of five members, who shall continue in office until the next stated meeting, and until others are elected in their room. III. It shall he the duty of the Secretary to keep a record of the proceedings of the Association, and those of the Standing Committee, whose meetings he shall attend for this purpose, and to perform such other services as are pointed out in other regulations. IV. It shall be the duty of the Standing Committee to attend to and decide on all matters, which regard the honor or interest of the Association, especially to act upon all infringements of its regulations, which may come to their knowledge, and to call special meetings of the Asso- ciation, when they judge proper. In all cases, there may he an appeal from the judgment of the Standing Com- mittee to the Association. This Committee shall fill any vacancy in their own body, or in the office of Secretary, which may occur by death or resignation, until the next stated meeting of the Association. 16 V. It shall be the duty of the Secretary to call a spe- cial meeting of the Association, whenever directed so to do by the Standing Committee, and likewise whenever seven members of the Association request him in writing so to do. In the cases of both stated and special meet- ings, he shall send a notification, printed or written, to each member, one week at least before the day of meet- ing, and shall advertise the same, during the week pre- ceding the meeting, twice in two news-papers printed in the city. YI. No member of this Association shall consult with, or voluntarily meet in a professional way, or aid or abet any practitioner resident in this city, who is not a mem- ber of this Association. VII. If any member becomes acquainted with the con- duct of another member, which he considers as a breach of the rules and regulations of the Association, it shall be his duty to make the same known to the Standing Com- mittee, who shall inquire into the case, and decide upon the same as they may think proper. VIII. If a physician be called to a patient who has usu- ally been attended by another physician, on account of the urgency of the case or the absence of the regular physician, he shall before leaving, direct that the latter be sent for to continue the attendance, if necessary; and in no case shall he continue his visits, unless he receive subsequent notice from the patient, that his continued attendance is desired. IX. When a physician, engaged to attend a case of midwifery, is absent, and a second delivers the patient, the second shall receive the fee, and relinquish the patient to the first. If the first arrive while the second is pres- 17 ent, and before the patient is delivered, the second shall resign the patient to the first. X. The members of this Association shall charge for their professional services the fees in the following table, subject, however, to the several rules contained in this code relative to the same:— For a visit, SI 50 For a visit and first consultation, 5 00 For a visit and each subsequent do. 3 00 For a visit on board a vessel in the stream, above Fort Independ- ence, .... 5 00 For a visit on board a vessel off or below do. 10 00 For a visit out of town,* for every mile from the centre of Boston, 1 50 For a visit out of town in consultation,! the fee as above for a visit and consultation, with the addition for every mile except the first, of • 150 In like manner, for every other service, when out of town, the fee for the service shall first be charged, and for every mile ex- cept the first, 150 For a visit and passing catheter, 5 00 For a visit and passing catheter, when frequently repeated, and for that purpose only, 150 For a visit and prescribing and performing venesection, - - - - 3 00 For a visit and performing venesection only, without advice, - - 1 50 For a visit and extracting a tooth, - 150 For a visit and dressing only, 150 For venesection, extracting a tooth, or dressing, at the surgeon’s house, 100 For prescription and venesection at do. 2 00 For rising in the night! and visit, 8 00 For rising in the night and visit in consultation, 10 00 For rising in the night and advice at the physician’s house, - - 3 00 * If by rail-road, from 50 cents to $1 00 per mile, according to the time saved to the practitioner. t The fee for visits, consultations, and other medical services, in Roxbury, Charlestown, Cambridge-Port and Chelsea, may be the same as in Boston. t The night, in this table, is considered as beginning at 11 o’clock, P. M. and ending at 5 o’clock, A. M. or at sunrise, when that is later than 5 o’clock, A. M. 18 For advice at the physician’s house, according to the importance of the case and the time occupied, - -, - - - - 1 00 to 10 00 For a letter of advice, 5 00 For an opinion involving a question of law, in which a physician may be subpoenaed, - 5 00 For a post mortem examination, in a case of legal investigation, - 5 00 For a case of gonorrhoea, --- --- 10 00 For a case of syphilis, ------ - 15 00 For a case of midwifery in the day time,* 15 00 if any part of the attendance is in the night, 20 00 For capital operations, such as amputations of large limbs, lithot- omy, trepanning and extirpation of large tumours, - - - - 40 00 For the operation for fistula in ano, 20 00 For tapping for dropsy, and for reducing luxations or fractures of large bones, 10 00 For amputations of fingers or toes, and for excision of small tumours, - - - - 800 For reducing luxations or fractures of small bones, for stitching recent wounds, opening large abscesses, and similar opera- tions, 5 00 For vaccine inoculation, 5 00 For revaccination, -1 00 to 3 00 For cupping, ------ - 3 00 XI. The foregoing table is designed to state the regu- lar fees, which shall he charged for the services, to which they are respectively annexed; and they are the lowest fees, which the members of this Association shall demand, with the exceptions mentioned in the following regula- tions. And in all cases of extraordinary detention or at- tendance, also in proportion to the importance of the case and of the responsibility attached to it, and to the service rendered, where these are extraordinary, the charges shall be increased according to the judgment of the prac- titioner concerned; and the duty to make such increase in * Whenever it is necessary to make more than three visits to women after de- livery, all additional visits shall be charged as in ordinary cases. N. B.—In all cases stated in the table, following that of midwifery, a visit is implied, yet the charge should be the same if performed at the practitioner’s house. 19 the charges, shall be considered obligatory on the mem- bers of this Association. XII. It shall be considered proper, but not obligatory, to charge from two to five dollars for a first visit in every case. Likewise, all visits made at a late hour in the evening shall be considered as extraordinary attendance, and may be charged accordingly. XIII. If in any case of midwifery, a second physician is called in consultation, both the attending and consult- ing physician shall charge at least the usual fee for deliv- ery ; except that, where the consulting physician in such a case pays only a consultation visit, and is not detained in attendance on the case, he may charge the fee for a consultation visit. In common cases of consultation, the attending physician may charge a larger fee than for ordinary visits, provided that he does not charge more than the usual fee for consultation. XIV. In cases of midwifery, when the child is born, but not the placenta, before the arrival of the accoucheur, the whole fee is to be charged. When both the child and placenta are born before the arrival of the accoucheur, half or the whole fee is to be charged according to the circumstances. This rule is not to be applied to cases, where the delay arises from the accoucheur. XV. It is not designed by these regulations to prevent the members of this Association from rendering their ser- vices gratuitously to persons, who are incapable of remu- nerating them without distressing themselves or their families. In any case, where the physician believes that his patient cannot afford to pay the regular fees, and is yet able to make some compensation, the following deduc- tions may be made, viz: three dollars, on the fee for rising 20 ill the night; three dollars on the fee for a ease of mid- wifery in the day time, and Jive dollars on the fee for the same service in the night; three dollars on the fee for vac- cination ; and one third on the fees for all other services, excepting only cases of gonorrhoea and syphilis, from which no deduction shall he made. These deductions may be made either in the original charges, or on making out the account, at the pleasure of the practitioner. In all cases it shall be the duty of the practitioner to apprize his patient, by bill or otherwise, of the whole amount and value of the services rendered him, in the modes above specified; but, in settling for this amount, the practitioner may make any deduction which he conscien- tiously believes that the circumstances of the patient ren- der necessary. XVI. No member of this Association shall omit charg- ing any necessary visits made on the same day, on account of their number. XVII. No member of this Association shall make a previous contract with any family for a definite sum, as a remuneration for his annual attendance on that family. XVIII. Those physicians of the adjoining towns, who are members of the Massachusetts Medical Society, or have been licensed by it, shall be requested to conform, in their charges, to the fee-bill of this Association, when- ever they attend patients in this town. XIX. When the circumstances permit, every physician shall present his account immediately after his attendance in a fit of sickness. This shall be particularly attended to in cases of midwifery. In ordinary cases of attendance in families, an account shall be presented every January; and it shall be an invariable custom to endeavor to set- tle all accounts in that month, or at least annually. 21 XX. Printed blanks may be used of the following form : Mr. to Dr. For Medical Attendance on XXI. The regulations of the Association shall be offer- ed for subscription to all candidates for medical practice in this city, with whom the Fellows of the Massachusetts Medical Society may lawfully hold consultation; and the Secretary shall be charged with the execution of this reg- ulation, with which he shall comply, in every instance, so soon as he shall learn that any candidate of the above description may have established himself in this city; or in case the Secretary has doubts, in any instance, respect- ing the propriety of offering the articles to any candidate above described, he shall call on the Standing Committee for advice and direction ; and in case any person, to whom he offers the regulations, shall refuse or neglect to sign the same, the Secretary shall make known such refusal or neglect to the Standing Committee. I XXII. Every candidate, at the time of becoming a member of the Association, shall sign the following obli- gation, which shall be in a book deposited with the Sec- retary : The undersigned approve of the Regulations of the Bos- ton Medical Association, and agree upon their honor to comply with the same. It shall also be his duty to transmit a circular note signed by the Secretary, to every member, informing them of his admission; and he is not to be entitled to the rights and privileges of the Association until this has been done. For these Circulars he shall pay One dollar, to the Secretary. 22 XXIII. The members of this Association, after arriv- ing at the age of sixty, shall be exempted from all assess- ments ; but in other particulars shall be governed by the rules and regulations of this Association. XXIV. The Secretary shall pay all expenses of this Association, and once in a year at least, and oftener when any considerable expense has been incurred, he shall assess the amount due to him upon the members of the Association, equally, with the exception stated in the 23d rule. He shall employ, at the expense of the mem- bers, a person to collect the assessments ; and if any mem- ber refuses or neglects to pay his assessment, his connex- ion with the Association shall thereupon cease, and the Secretary shall inform the members of the same by a cir- cular note; and the assessment left unpaid shall become a charge against the Association. XXV. The Secretary’s records and accounts shall be subject to examination by the Standing Committee, and by the Association, when they judge proper. XXVI. All resignations of members shall be made in writing to the Secretary, who shall immediately lay them before the Standing Committee, who shall either notify each member, or call a meeting of the Association, as they may think proper. XXVII. No rule or regulation of this Association shall be altered, amended or repealed, nor any additional regu- lation adopted at any meeting, unless the proposed altera- tion or amendment, has first been referred to a Commit- tee, who shall report on the same, at a .subsequent meet- ing, which shall be held at a time not less than one month from the time of the appointment of the Committee. And no amendment or additional regulation shall be adopted except by a vote of three-fourths of the members present. MEMBERS OF THE BOSTON MEDICAL ASSOCIATION, FROM ITS FORMATION IN 1806 TO JUNE 1843. 1806. ORIGINAL MEMBERS* * James Lloyd. * Samuel Danforth. * Isaac Rand. ♦John Jeffries. ♦Charles Jarvis. ♦Lemuel Hayward. ♦David Townsend. ♦Thomas Kast. ♦John Warren. ♦Thomas Welsh. ♦j-JAaron Dexter. ♦William Spooner. ♦John Fleet, Jr. ♦Isaac Rand, Jr. William Ingalls. ♦Thomas Danforth. ♦Asa Bullard. ♦John G. Coffin. |Jacob Gates. ♦John Dixwell. F James Jackson, r Benjamin Shurtleff. ♦John C. Howard. John C. Warren. fCyrus Perkins. ♦Horace Bean. ♦William Gamage. • John Randall. ♦John Gorham. Thomas I. Parker. 1807. #Samuel R. Trevett. 1808. George C. Shattuck. ♦Daniel Newcomb. Bates. 1809. John B. Brown. fBenjamin James. 24 ♦Joshua Thomas. 1810. Walter Channing. fNathaniel Bemis. Jacob Bigelow, f Auguste Lemosy. ♦f Joseph Lovell. fDaniel Cook. 1812. ♦Shirley Erving. fJohn Revere. ♦Peter St. Medard. ♦Elisha Clap. George Hayward. 1813. ♦Benjamin Read. 1814. ♦fOliver Prescott. George Parkman. f Amos Farnsworth. ♦John Gardner. ♦fEzekiel D. Cushing. ♦Nathaniel Lovell. fLa Fayette Perkins. 1815. ♦Asa Bucknam. ♦f Andrew Foster. Theodore Dexter. fWilliams Bradford. ♦James Mann. Abner Phelps. 1816. fPliny Hayes. ♦fJosiah Batchelder. ♦fSamuel Clarke, f Edward H. Robbins. Zabdiel B. Adams. Solomon D. Townsend. 1817. fBenjamin Austin, Jr. ♦Joseph Bossuet. John Ware. fPeter G. Robbins. David Osgood. H Nathaniel Niles, fSamuel A. Shurtleff. ♦Samuel Hemmenway. £ Enoch Hale. 1818. fSamuel Adams. Edward Reynolds, Jr. f|John W. Webster. ♦fThomas Pratt, Jr. f|John S. Bartlett. 1819. Woodbridge Strong. fWilliam Sweetser. John Jeffries, Jr. fThomas W. Parsons. ♦fFrederick A. Parker. #f Jesse Smith. ♦f Gamaliel Bradford. Josiah F. Flagg. 3)* S. Whipple. 1820. fJohn Locke. ♦George B. Doane. ♦Chandler Robbins, Jr. fGeorge Russel. fJohn P. Spooner. 25 ♦fJohn D. Wells. 1821. ♦Caleb H. Snow, f Joseph O. Osgood. 1823. ♦ffDaniel Ingalls, Jr. Jerome Y. C. Smith. George W. Otis, Jr. Edwin Adams. #Warren Abbott. 1824. Samuel Morrill. fErastus H. Bartlett. fWilliam B. Duggan. #Moses Gage. Winslow Lewis, Jr. f Augustus Plympton. f Joshua H. Hayward. 1825. ♦Thomas O. Folsom. ♦William H. Bass. JHezekiah Eldredge. ♦Charles T. Hildreth. D. Humphreys Storer. f Joshua B. Flint, fHoratio Robinson, f James M. Whittemore. 1826. fTheodore Kittredge. f Charles W. Windship. *J. Greely Stevenson. John Flint. John C. Hayden, fRalph Farnsworth. Jonas H. Lane. JJoseph Palmer. ♦fEdward G. Davis. ♦Joseph W. McKean. Martin Gay. 1827. ‘Alexander Thomas. John D. Fisher. Nathan C. Keep. J> Frederick A. Sumner, Jr. ♦fFrancis Shurtleff. ♦f Henry S. Wade, k John B. Stebbins. fWalker Booth. 1828. fJoseph Clark, f Charles Choate. ♦fBenjamin Lincoln. fJohn O. Fay. ♦William Grigg. *f Philip I. Dumaresq. fGeorge Stearns, fCharles Walker. Benjamin T. Prescott. ♦JCharles G. Greene. |John H. Richards. fNathaniel Peabody. ♦fJohn A. Bulfinch. Charles H. Stedman. Giles H. Lodge. fFrancis J. Higginson. r |John C. Howard. 1829. r Charles T. Jackson. Daniel T. Coit. fNathaniel B. Shaler. Gray, Jr. 3 John B. S. Jackson. 26 John Homans. fD. H. Gregg. Edward J. Davenport. Henry Dyer. 1830. Harwood. z> Augustus A. Gould. Ellis. Marshall S. Perry. Abraham A. Watson, fThomas H. Thompson. fLevi B. Gale. #Samuel H. Smith. * Albert Williams. George Bartlett, fj. Wilson, fEdward Warren. 1831. JBenjamin F. Wing, f Ambrose Seaton, f James Wood. William G. Hannaford. Paul Simpson, Jr. *Ebenezer Parker. Ezra Palmer, Jr. 1832. Joseph Roby. #George W. Lane, illloward Sargent. yJosiah D. Hedge. JEdward L. Cunningham. 1833. JCaleb S. Whitman. Asa B. Spow. John Appleton. Jesse Chickering. #William E. Foster. Henry A. Ward. Charles G. Putnam, f Alpheus Proctor, f Austin Flint. James B. Gregerson. • l 1834. * James Jackson, Jr. f Josiah Kittredge. John Odin. fSamuel B. Swett. fWilliam W. Dwight. Nathaniel B. Shurtleff. fHenry Tuck. Francis H. Gray, fJoseph J. Fales. H. I. Bowditch. 1835. Joseph Moriarty. Henry G. Clark. CAbner B. Wheeler. J. Mason Warren. Lewis J. Glover. fSolomon Keep. [ George C. Shattuck, Jr. #E. W. Leach. Andrew Alexander. 1836. fHenry A. Dewar. Robert W. Hooper. fJ. Cullen Ayer. Oliver Wendell Holmes, f Albert T. Smith. John W. Warren. Ingalls, Jr. Richard H. Salter. Francis Dana. 27 Henry B. C. Greene. Warren J. Whitney, f Jonathan Leonard, f Alonzo Chapin. Marcellus Bowen. Luther Clark. John H. Dix. Herman B. Inches. Henry G. Wiley. George A. Bethune. Charles Gordon. 1837. fCharles H. Peirce. |C. M. Weld. Ephraim Buck. "John W. Gorham. George Hubbard, f Jacob Hayes. 'Jeffries Wyman, fMoore R. Fletcher. Charles E. Ware. •[Charles H. Wheelwright. Horace Dupee, Jr. John Stevens, fBenjamin Haskell. ■[Benjamin E. Cotting. 1838. : Samuel Wigglesworth. fWilliam Eustis. •[Stephen Salisbury. Richard S. Young, fSamuel Fish. Joshua Tucker, 1838. JThomas M. Brewer. •[Nathaniel S. Tucker, fj. T. Gilman Leach. *S. S. Bugbee. fWilliam Gordon. 1839. fj. H. Dorr. |C. C. Yates. Benjamin B. Appleton, Jr. Samuel Parkman. Buck, Jr. 1840. Stephen Ball, Jr. Aaron P. Richardson. Henry J. Martin. Phineas M. Crane. Ephraim Marston. fAugustus Whiting. TWard N. Boylston. J. F. W. Lane. fC. C. Holmes. Nathan Warren Oliver. j-Benjamin Mann. Daniel Mann. 2? William Hawes. William J. Dale. 1841. George Tower: t Frederick A. Eddy. Jonathan Small. '• Charles Thacher. ■[John S. Butler. William W. Cutler. 1 Samuel Trull. Samuel L. Abbot, Jr. William A. Briggs, f C. F. Foster. O. Phinney. f Henry Orne Stone. Silas Durkee. 28 George Hayward, Jr. 1843. Edward Hall. William W. Morland. John Spence, Jr. Edward D. G. Palmer. George N. Thompson. [ Cyrus S. Mann. Peter Renton. Samuel Cabot, Jr. Willard W. Codman. ' J. Frazier Head. tc.S Moses W. Weld. L Alexander Jackson. 1842. Charles Mifflin. W. T. Parker, fGeorge A. Hammett. George Heaton. 7 Otis E. French. Jno. A. Cummings. X) Louis M. S. Mignault. George Friedrick Hartmann. 1843. Eli Whitney Blake. William E. Coale. fG. Ware Gay. Rufus L. Hinckley. * Dead. t Left the City. t Relinquished Practice. Boston HJebical Association. This Association, founded in 1806, is composed of a large number of the regular physicians of Boston, and has for its objects, regulating the Medical Police of the city and establish- ing the Fee-table. The code of medical ethics adopted in 1808 by this Society, is the foundation of the one governing all regular practitioners established in the city. The Fee-table, modified from time to time as the cost of living increased, is the standard according to which charges are generally made throughout the city. The Annual Meeting of the Association is held on the first Monday in May. Any regular physician may become a mem- ber by paying the sum of one dollar and signing the Constitu- tion. Inasmuch as the Association deems it important that all reg- ular physicians practising in Boston, should become members, you are hereby invited to join, if it is your intention to practise in Boston. Appended is a list of the present members. VINCENT Y. BOWDITCH, Secretary, OFFICE HOURS: 3.15 to 5.00 p. m. 113 Boylston Street. PRESENT MEMBERS, JAN. 1885. S. L. Abbot. A. Alexander. E. W. Aiken. G. O. Allen. Wm. Appleton. J. Ayer. J. B. Ayer. W. H. Baker. H. H. A. Beach. C. B. Belt. G. A. Bethune. G. F. Bigelow. H. J. Bigelow. G. H. Bixby. C. J. Blake. J. G. Blake. A. N. Blodgett. F. M. Blodgett. R. A. Blood. W. E. Boardman. W. P. Bolles. H. I. Bowditch. Y. Y. Bowditch. E. H. Bradford. W. P. Brechin. E. C. Briggs. H. W. Broughton. B. Brown. F. H. Brown. H. M. Buck. E. M. Buckingham W. N. Bullard. F. E. Bundy. H. L. Burrell. J. F. Bush. A. T. Cabot. S. Cabot. W. H. Campbell. W. Channing. D. W. Cheever. E. Chenerj. H. G. Clark. C. H. Cobb. W. YV. Codman. A. Coolidge. H. Curtis. E. W. Cushing. H. W. Cushing. J. W. Cushing. S. Cushing. G. T. Cushman. E. G. Cutler. E. Cutter. W. J. Dale. H. F. Damon. B. F. Davenport. F. H. Davenport. A. Day. H. Derbjr. R. B. Dixon. O. W. Doe. F. W. Draper. E. F. Dunbar. W. A. Dunn. H. Dupee. S. H. Durgin. T. Dwight. E. T. Eastman. P. O. Edson. W. Ela. J. W. Elliot. H. Ernst. J. W. Farlow. C. A. Fernald. R. H. Fitz. D. V. Foltz. E. J. Forster. G. VV. Galvin. W. W. Gannett. G. M. Garland. A. C. Garratt. M. F. Gavin. G. W. Gav. F. W. Goss. J. F. Gould. D. Graham. C. M. Green. J. Orne Green. S. A. Green. M. G. Greene. F. B. Greenough. J. L. Hale. T. Hall. E. A. W. Harlow. F. B. Harrington. M. K. Hartnett. W. H. H. Hastings. G. Hay. D. H. Hayden. Geo. Hayward. G. H. Hayward. J. T. Heard. J. B. Hill. R. M. Hodges. Wm. D. Hodges. S. P. Holbrook. O. W. Holmes. W. C. Holyoke. 0. D. Homans. J. Homans. J. Homans, 2d. F. H. Hooper. R. W. Hooper. A. C. Howard. Geo. Hubbard. R. P. Hubbard. D. Hunt. G. L. Hyde. C. E. Inches. Wm. Ingalls. J. F. Jarvis. B. Joy Jeffries. G. F. Jelly. C. M. Jones. F. W. Jones. G. S. Jones. E. B. Kellogg. B. O. Kinnear. S. Ivneeland. R. M. Lawrence. H. F. Leonard. M. B. Leonard. D. F. Lincoln. F. H. Lombard. G. H. Lyman. W. B. Mackie. H. O. Marcy. A. L. Mason J. McCollom. F. Minot. S. J. Mixter. G. H. Monks. I. L. Moore. H. L. Moore. F. G. Morrill. R. W. Newell. A. H. Nichols. E. H. Noyes. W. M. Ogden. F. E. Oliver. H. K. Oliver. J. P. Oliver. H. Osgood. Wm. Osgood. W. J. Otis. P. W. Page. E. L. Parks. L. Parks. F. F. Patch. E. A. Perkins. C. B. Porter. A. Post. M. Prince. R. Provan. C. P. Putnam. J. J. Putnam. Wm. Read. J. P. Reynolds. M. H. Richardson. W. L. Richardson. E. D. Robbins. T. M. Rotch. LeBaron Russell. R. H. Salter. C S. Schofield. J. C. Sharp. G. C. Shattuck. B. S. Shaw. H. L. Shaw. T. F. Sherman. A. D. Sinclair. E. M. Skinner. James Smythe. W. F. Southard. E. D. Spear. F. P. Sprague. 0. H. Spring. H. Stacy. C. E. Stedman. C. Stevens. W. S. Stevens. D. H. Storer. H. R. Storer. C. C. Street. C. P. Strong. Russell Sturgis. A. M. Sumner. C. W. Swan. J. B. Swift. G. G. Tarbell. G. M. Thompson. G. H. Tilden. G. D. Townshend. J. B. Treadwell. E. G. Tucker. G. L. Underwood. H. F. Vickery. F. W. Vogel O. F. Wadsworth. P. D. Walsh. G. L. Walton. C. E. Ware. J. C. Warren. J. H. Warren. S. G. Webber. J. R. Webster. M. M. Weld. F. Wells. J. C. White. R. White. R. Whitman. W. F. Whitney. W. J. Whitnev. E. N. Whittier. E. Wiggles worth. R. Willard. C. H. Williams. F. H. Williams. H. Williams. J. Williams. D. Youngman.