nvr yauxtttyyii, OF THE CONTAINING CHRONOLOGICAL LIST OF MEMBERS, BY-LAWS, AND CODE OF MEDICAL ETHICS. ADOPTED APRIL 8, 1867. E. B. SPOONER & SON, BOOlf & JOB PRINTERS, 32 COURT STREET. 1867. ORGANIZATION OF THE SOCIETY. Ojst Monday, February 22, 1822, Drs. Charles Ball, Matthew Wendell, John Carpenter, W. D. Creed, Francis II. Dubois, and Adrian Yanderveer, practicing physicians in the County of Kings, met in the Tillage of Flatbush to discuss the propriety of forming a County Medical Society. An adjourned meeting was held in the Tillage of Brook- lyn, March 2, 1822, when it was decided to organize, and the following officers were elected : Cornelius Law, President. Matthew Wendell, Vice-President. Adrian Tanderyeer, Secretary. John Carpenter, Treasurer. March 8—By-laws for the government of the Society were adopted. Utotwligiaf fffaf e{ Ufmte. Members wbo formed the Society March 8,1822. ' Low.... (licensed), 1782. * Francis IT. Dubois. “ 1802. * Matthew Wendell ...1804. *Jos. G. T. Hunt ....»*.• 1804. Ball 1800. *Wm. D Creed 1809. *John Carpenter 1812. Vanderveer 1818. *Tbos. W. Henry 1820. NAME. L. Hurd GRADUATE OF. WHEN I Yale Medical College...., ELECTED. 1823. N. Smith 1824. f Nelson A. Garrison .Lie. K. C. M S., Mch. 15, 1824... 1825. j George Cox.„ 1825* *John Cole 1827. *Thos. J. Jones .College Phys. and Sur., N. Y...< ,1829. *J. B. Zabriskie ,University of.Pennsylvania....... ,1829. * Lucius Hyde . State Medical Society .1829. *Isaac I. Rapelyea .College Phys. and Sur., N. Y.... F. W. Ostrander . N. Y. State Medical Society . 1829. *J. C. Fanning .College Phys. and Sur., N. Y... .1829. *Fred. Bnckeloa 1829. *Peter McGivney . Orange Co. Medical Society .1831. Clias. Rowland .Yale Medical College .1831. *W. H. Van Sinderin... .College Phys. and Sur., N. Y... .1831. E. W. Adams... .Lie. Rensselaer Co., N. Y .1832. W. G. Hunt . College Phys. and Sur., N. Y... .1832. *R. Edmonds u u u u .1832. .University of Pennsylvania. *Jas. E. Dubois .College Phys. and Sur., N. Y... .1833. *JohnV. E. Vanderhoof. .Lie. K.C.M. S .1833. j- Cyrus Frink .Cambridge J. S. Thorne .College Phys and Sur., N. Y... .1833. *Samuel Boyd 44 4fc 44 44 . 1834. F. W. Hurd . N. Y. State Medical Society.... *Purcell Cooke .Yale Medical College...... CHRONOLOGICAL LIST. 5 *Thos. B. Downing.... ..College Phys. and Sur., N. Y... .1835. Joseph Howard 66 tt a u .1835. f S. 0. Merwin ..University of Pennsylvania .1835. T. L. Mason .. College Phys. and Sur., N. Y.... .1835. C. L. Cooke ..Yale Medical College .1835. X John F. Tarbell .. N. Y. State Medical Society.... .1835. T. F. King .. University, State of N. Y *llenry Willsher .. (London) *Samuel Hart 1835. *A. Van Felt . .(Herkimer Co., N. Y.) .1835. *J. W. Brooks . .Jefferson College, Penn ..1835. f A. C.Post..' .. College Phys. and Sur., N. Y... .1835. Geo. Gilllillan a u 44 .1836. *G. C. Ball . .. . .N. Y. State Medical Society ]Fad ley Parker ..Dartmouth College I). M. Schoonmaker... .. Universitv, State of N. Y W. H. Dexter .. N. Y. State Medical Society ,..1837. f Henry F. Spear ..Williams College 0. It. McClellan . .University of Maryland .1839. fJ.J. Hulburt .. College Phys. and Sur., N. Y.... .1839. J. C. Halsey 44 44 44 (4 (( .1839. f Dayton Decker 44 44 44 44 44 .1839. Geo. I. Bennett .. University, City of N. Y Win. K. Brown ... Dartmouth . 1842. X Robert Rossman . * ...College Phys. and Sur., N. Y... . 1842. * Dudley Atkins ..(Philadelphia) f David F. Atwater..... ..Yale Medical College Ezekiel Ostrander..... .. Columbia College r f John W. Corson ..Albany Medical College Rufus Belden .. (Pittsfield) f J ohn H. Moriarty. ... ..Cambridge T _ W. C. Betts ..Yale Medical College Jas. H. Henry ..Williams College. ,. McMillan .. N. Y. State Medical Society.-.. Wm. Swift .. College Phys. and Sur., N. Y.... .1843. Wm. Henry Dudley. .. 4. U 44 44 44 # • • • .1843. Jas. 1J. Hutchins ..Yale Medical Society .1843. *John McKenna U 66 U I 84 4. Henry J. Cullen ..University State of N. Y., Geneva. 1844. *T. Anderson Wade.... .. Berkshire Medical College Henry L. Benjamin.. ..College Phys. and Y... .1844. f Samuel J. Osborne.... 4< 44 44 44 44 .1844. f Andrew Otterson . .University, City of N. Y .1844. Chauncey L. Mitchell.. ..College Phys. and Sur., N. Y.. , .1845. Daniel Ayres, Jr., ..University, City of N. Y .1845. Clias. Brunninghausen.. .. “ Berlin, Prussia J as. D. Trask . .University, City of N. Y John F. Morse 66 44 66 .1845 *J. P. Colgan, Sen.,.... ..Jefferson Medical College, Penn. .1845. 6 CHRONOLOGICAL LIST. *John Cochran . College Thys. and Sur., N. Y... .. 1847. Otto Rotton U (4 U U U Ulric PMmedo *... • Gottengen, Berlin James Crane .Jefferson Medical College, Penn. ..1847. Daniel Brooks • Castleton'Medical College, Art... ,. .1847. *E. N. Chapman .Jefferson Medical College, Penn, ...1847. f Chas. S. Skelton....... .Yale Medical College f E. C. Franklin. . University, City of N. Y...... John A. Betts . Yale Medical College ..1848. f Benjamin Weeks . Castleton Medical College, Vt . ..1848. f Matthew H. Hudson.... .Berkshire “ “ ...... John Ball ... .University, City of N. Y.*..... Wm. II. Williams .Yale Medical College ..1848. Edward Haggerty . University of Maryland ..1848. f Garrett V. Manley..... . .Castleton Medical College, Vt.. ..1849. * Titus W. Powers .Yale Medical College * Augustus Kalt • University, Bonn, Germany.... ..1849. *Jolm G. Ladd.... .University, Va ..1849. II. S. Smith , Bowdoin College f Frederick Morris....... .University, Citv of N. Y ...1849. *John L. Crane 1849. D. E. Kissam .College Phys. and Sur., N. Y... ...1849. R. S. Olmstead......... • Yale Medical College ...1849. Robert R. Rhodes....... .University, City of N. Y ...1850. *L. C. McPhail .University of Maryland ...1851. W. H. Gardiner .University, City of N. Y ....1851. Neuhaus .University, Berlin, Prussia ...1851. D. S. Landon .University, City of N. Y ...1851. * Augustus Robbins .Harvard, University ...1851. Alex. Little .University, City of N.Y ...1853. John Van Ness .University of Maryland ...1853. *Wm. Arming .University, Vienna, Austria ....1853. Nathaniel Ford .Bowdoin College James Strong .College Phys. and Sur., N. Y... ...1856. *C. E. Isaacs .Uuiversity of Maryland ...1857. Joseph C. Hutchison.... <,i “ ...1857. Richard Barthehness... . .University, Wurzburg ...1857. Wm. Heuser .Hesse Cassel ...1857. *W. II. Van Duyne .University, City of N. Y ...1857. Geo. Cochran .College Phys. and Sur., N. Y ...1858. John T. G. Leach U U (( u “ ...1858. John Bvrne . .Edinburgh, University ....1858. John G. Johnson .... ... .College Phys. and Sur., N. Y... ...1858, Carl Augustus Bauer... .University, Berlin ...1858. * Elisha Barber .Harvard University ...1858. 1 0. H. Smith .Vermont Medical College ...1858. f Wm. E. Whitehead ..University, City of N. Y ...1858. Samuel Swalm N. Y. State Medical Society.... ...1858. Samuel Hart ..Harvard University ...1858. CHRONOLOGIC AI. LIST. 7 D. T. Gray ...University City of N. Y .185 8. A. N. Bell ...Jefferson Medical College .1858. Harrison Teller ...College Phys. and Sur., N. Y .1858. J. P. Colgan, Jr., 44 44 U 44 . 44 .1858. * Lewis 0. Ilasell ....University of Pennsylvania .1858. J. H. Hobarl Burge ...University, City of N. Y .1858. Arnold liallett 44 44 44 . 1 858. K. M. Buell ...Yale Medical College ..1858. I). A. Dodge ...College Phys. and Sur., N. Y .1858. John S. Young 44 44 44 u .1858. f John Hill, Jr., ...University, City of N. Y .1858. Wm. E. Mulhallon ...Jefferson Medical College, Penn.. .1858. John A. Brady ....Castleton Medical College, Yt .1858. James Stewart ....Harvard University .1858. James L. Farley ...College Phys, and Sur., N. Y ..1858. James M. Minor .. .University of Pennsylvania .1859. John Cooper ...M. R. C. S., London D. C. Enos ...College Phys. and Sur., N. Y .1859. J. T. Conkling “ 44 44 44 44 .1859. Nelson L. North <4 44 44 44 44 ,.1859. f Charles C. Rothe ....New York Medical Colleo-e ,.1859. M. Potter ....College Phys. and Sur., N, Y ..1859. C. T. Chase ...Jefferson Medical College, Penn. ..1859. H. C. Simms 44 44 44 S .1859. *11. L. Bartlett ...College Phys. and Sur., N Y ..1859. Thomas Turner ,.. .U niversity of Pennsylvania ..1859. Joseph M. Turner ....Transylvania University, Ky ..1859. C. il. Murphy ...University, City, of N. Y...". . 1859. Ed. R. Squibb ...Jefferson Medical College, Penn.. .1859. \ H. H. Atwater ....Castleton Medical College, Yt ,.1859. James S. Hawley ...University, Buffalo, N. Y ..1859. Charles E. Briggs ....Cambridge *J. J. Campbell ...College Phys. and Sur., N. Y ..1859. Fred. C. Demund 44 44 44 44 44 T. M. Ingraham ...Castleton Medical College Yt ..i860. William Law ...College Phys. and Sur.Tn. Y .i860. J. B. Jones 44 44 44 44 44 ..i860. Jos. E. Clark ....College Phys. and Sur. N. Y ..i860. N. W. Leighton —New York Medical College ..I860. f W. B Crandall ...Albany Medical College.... .I860. John Malone ....Georgetown Medical College ..I860. B. F. Bassett ....Yale Medical College ..I860. f James L. Little ....College Phys. and Sur., N. Y ..i860. Geo. II. R. Bennet ... .University, City of N. Y ..i860. Alexander Cochran ....College Phys. and Sur., N. Y ..i860. Wm. Giltillan —University, Edinburgh ..I860. Robert Ormiston, Jr.,.. ....University of Pennsylvania ..i860. Cornelius H. Schapps... ...New York State Medical Society., ..i860. A. Duncan Willson...... ...College Phys. and Sur., N. Y .1861. 8 CHRONOLOGICAL LIST. W. W. Reese ..University of Pennsylvania .1861. *R. H. Hinman ..College Phys. and Sur., N. Y 1861. C. Olcott 1861. William llousel University of Pennsylvania .1861. T. K. Marcy ..College Phys. and Sur., N. Y ■ .1861. f Chester Park hurst ..Castleton, Medical College Vt...,.. .1861. S. P. McElroy ..College Phvs. and Sur.,, N. Y .1862. Isaac II. Barber ..College Phys. and Sur., N. Y .1802. Samuel 11. Olmstead .Yale Medical College .1862. X C. W. Bates ..University, City ofN. V .1863. W. C. Otterson ..College Phys. and Sur., N. Y .1863. S. Fleet Speir ..University, City of N. Y .1803. J. M. Andrews ..College Phys. and Sur., N. Y .1863. f J. M. Allen, Jr., u a u ** .1863. Edward Bennett ..University, City of N. Y .1863. A. B. Clarke ...Yale Medical College . 1 864. T. G. Catlin ..CastletonMedical College, Vt .1864. E. A. Whaley ..College Phys. and Sur., N. Y .1864. R. C. Stiles ..University of Pennsylvania George F. Avling ..Lono- Island College Hospital . 1864. Alexander J. C. Skene... u “ “ .1864. John L. Zabriskie ...University, City of N. Y .1864. Thomas J. Keiley ...Philadelphia College of Medicine..! 865. J. S. Wight ..Long Island College Hospital .1865. George K. Smith ..University, City of N. Y., Thomas P. Norris, ..University, City of N. Y .1865. Teunis Schenck ...College Phys. and Sur., N. Y J. G. Wilbur ...Harvard University f J. W. Robie ...College Phys. and Sur., N.Y ,.1865. James R. Bird u U K U H Alexander Hutchins ...N. Y. Medical College ,.1866. Benjamin F. Fessenden. ..University of Pennsylvania .1866. ♦Matthew B. Phillips ...Bellevue Hospital College ..1866. Francis Goodwin , ...Royal Col. Sur., London ,.1866. F. H. Colton ....Long Island College Hospital ..1866. J. S. Prout ...National Medical College, D. C... ..1866. Charles Corey ...Dartmouth Medical College ..1866. Win. Henry Thayer .... Harvard University ..i860. Francis C. Bird University, Queen’s Col., Canada. ..1866. Homer G, Newton ...University, City ot N. Y ..1866. Joel W. Ilvde ...Yale Medical College ..1866. Ponce M. Nichtern ...College Phys. and Sur., N. Y ..1866. John J. Caldwell ...N. Y. Medical College ..1866. Albert Vickers ....University of Maryland ..1866. Daniel Ambrose ...Queen’s University, Ireland ..1866. Thomas Wilde Bellevue Hospital Medical College.. 186b. James McMillan t„Long Island College Hospital ..1866. Lewis D. Mason it it ‘4 J. L. H. Elmendorf m « « ..1866. CHRONOLOGICAL LIST. 9 P. Pendergast ... ...1866. M. F. Regan a u a a a ...1866. 0. C. Sparrow Long Island College Hospital ...1866. Geo. F. Lewis 44 44 44 ...1867. N. A. Robbias —Harvard Medical College ...1867. S. N. Fiske —University, City of N. Y ...1867. Henry C. Turner ....College Phys. and Sur., N. Y ...1867. J, C. Goodridge, Jr.... — Long Island College Hospital ...1867, R. M. Wyckoff, ....Bellevue Hospital Med, College.. ...1867, J. E. Gregory —Albany Medical College ...1867, W. J. Gilfillan College Ph)s. and Sur., N. Y...( ...1S67, Arthur Matltewson ... University, City of N. Y ...1867. * Deceased, f Removed. J Expelled. §|g»«g fprato. Samuel Osborne of New York 1S25. A. B. Cook, U. S. Navy 1825. Richard Yennel Alexander Hosack, of New York 1832. LICENSED BY KINGS 00. MEDICAL SOCIETY. Nelson A. Garrison 1824. Joseph N. Smith 1827. John F. Sickles 1827. Hawthorn Gregory 1829. W. A. Clark 1832. Henry A. Budding 1832. Philip Ilarvey 1833. John Y. E, Yanderlioof 1833. Stephen M. Disbrow 1831. PRESIDENTS. Cornelius Low 1822, 1823, 1824. Joseph G. T. Hunt 1825 to 1831. Thomas W. Henry 1831, 1832. Charles Ball 1832, 1833, 1834. Isaac T. Rapelye 1835. Matthew Wendell 1836. Adrian Yanderveer 1837, 1838. John B. Zabriskie 1830.. Purcell Cooke 1840, 1841. T. L. Mason 1842, 1843. Bradley Parker ,.1844. Purcell Cooke 1845. J# Sullivan Thorne 1846. Lucius Hyde ..184*. Chauncey L. Mitchell 1848. Henry J. Cullen 1849. Jas. H. Henry 1850. Samuel J. Osborne ISol. Geo. Marvin 1852. Andrew Otterson 1853, 1854, George I. Bennet 1855. T. A. Wade 1856. Samuel Boyd 185 7 • C. L. Mitchell 1858, 1859. Daniel Brooks 1860. C. E. McClellan 1861. Samuel Hart 1862. D. C. Enos 1863. Joseph C. Hutchison 1804. J. T. Conkling 1805. Andrew Otterson 1800. William W. Reese 180»• APRIL 8, 1867. PRESIDENT, W. W. REESE, M. D. Vice-President, R. C. STILES, M. D. Secretary, JOHN S. YOUNG, M. D. Assistant Secretary, F. II. COLTON, M. D. Treasurer, E. R. SQUIBB, M. D. Librarian, G. I. BENNET, M. D. Orator, J. n. HOBART BURGE, M. D. Alternate, GEO. K. SMITH. Dr. J. T. CONKLTNG, Dr. WM. H. THAYER, Censors. Dr. F. H. COLTON, Dr, J. L. ZABRISKIE, Dr. J. A. BRADY. DELEGATES TO THE STATE MEDICAL SOCIETY. Dr. C. L. Mitchell, Dr. R. C. Stiles, Dr. D. S. Landon, Dr. J. L. Zabriskie, Dr. D. C. Enos, Dr. Wm. Gilfillan, Dr. E. N. Chapman, Dr. Andrew Otterson. Dr. S. Fleet Speir. DELEGATES TO AMERICAN MEDICAL ASSOCIATION. Dr. R. C. Stiles, Dr. Andrew Otterson, Dr. C. Schapps, Dr. James Crane, Dr. S. Fleet Speir, Dr. J. G, Wilbur, Dr. A. J. C. Siceene, Dr. J. S. Prout, Dr. T. L. Mason, Dr. II. L. Bartlett, Dr. D. S. Landon, Dr. Wm. Gilfillan, Dr. E. R. Squibb, Dr. Ciias. Corey, Dr. J. G. Johnson. List of Members who, by conforming to tbe Constitution and By-Laws of tbe Society during tbe past two years, are, by a Kesolu- tion of tbe Society, at its Quarterly Meeting of July 16tb, 1867. considered to be Active Members* Ayling, Geo. F. Ambrose, Daniel Bennet, Geo. I, Ball, John Buel, R. M. Brady, Jno. A. Brown, Wm. K. Bvrne, John Bell, A. N. Burge, J. H. Hobart Bartlett, H. L. Bennett, Edward Barber, J. H. Bennet, G. H. R. Bird, J. R. Bird, W. Barthelmess, Richard Cullen, H. J. Chapman, E. N. Cochran, George Catlin, T. G. Crane, James Cockling, J. T. Cooper, John Clarke, A. B. Clark, Jos. E. Cooke, C. L. Colton, F. H. Caldwell, Jno. J. Cochran, Alex. Corey, Chas. Colgan, Jos. P. Jr. Dodge, D. A. Dudley, Wm. II. Demund, F. C. Enos, D. C. Elmendorf, J. L. H. Ford, N. Farley, Jas. L. Fessenden, Benj. Fisk, S. N. Gi'lfillan, George Gilfillan, Wm. Gardiner, W. H. Goodwin, Francis Goodridge, J. C. Jr Gregory, Justice E. Gilfillan, Wm. J. Hurd, F. W. Henry, Jas. H. Hallett, Arnold Hutchins. Alex. Hart, Samuel Halsey, J. Condit Hutchinson, Jos. C. Hyde, Joel A. Heuser, W. Hawley, J. S. Housel, Wm. Jones, J. B. Johnson, J. G. King, T. F. Kissam, D. E. Leighton, N. W. Little, Alex. Landon, D. S. Law, Wm. Jr. Leach, J. T. G. Lewis, G. F. Marvin, Geo. Mason, T. L. McClellan, C. R. Mason, Lewis D. Minor. J. M. Marcey, T. Mitchell, C. L. Mathewson, Arthur Mulhallon, W. E. Murphy, C. II. McMillan, Jas. Jr. North, N. L. Nichtern, P M. Norris, T. P. Newton, H. G. Otterson, A. Olmstead, R. S. Ostrander, F, W. Olmstead, S. H. Ormiston, R. Jr. Olcott, C. Ottersoiij W. C. Prout, J. S. Palmedo, Ulric Pendergast, P. Rhodes, R. R. Rowland, Chas. Rotton, Otto Reese, W. W. Regan, M. P. Robbins, Nath’l A. Swift, W. Smith, H. S. Swalm, S. T. Schapps, 0. Skene, A. J. c. Sparrow, 0. C. Schenck, T Squibb, E. R. Speir, S. Fleet Smith, Geo. K. Stiles, R. C. Stewart, Jas. Teller, H. Turner, Jos. M. Thorne, J. S. Thayer, Wm. ET. Turer, Henry C. Yan Ness, John Tickers, Albert. Williams, W. II. Willson, A. Duncan Whaley, E. A. Wilbur, J. G. Wight, J. S. White, G. R. Wyckoff, W. Wild, T. R. M. Young, J. S. Zabriskie, A. J. L. 33 Y-LAWS OF THE MEDICAL SOCIETY OF THE COUNTY OF BI13ST Q- S - EEYISED AND ADOPTED, APRIL 8, 1867. DB Y - Xj A. W S OF TIIE MEDICAL SOCIETY OF TIIE COUNTY OF KINGS. CHAPTER I. TITLE OFFICERS AND MEETINGS OF THE SOCIETY. Article 1. The Title of this Society shall be “ The Medical Society of the County of Kings.” Art. 2. The Officers of tlie Society shall be, a President, a Vice-President, a Secretary, an Assistant Secretary, a Li- brarian, and live Censors. Art. 3. There shall be an Annual Meeting on the sec- ond Monday in April of every year, of which due notice shall bo given, by the Assistant Secretary, to each member who is not in arrears to the Treasurer. Art, 4. There shall be Quarterly Meetings on the third Tuesday of the Months of July, October, and January, of which due notice shall be given, as provided tor in the case of the Annual Meeting. Art. 5. Special Meetings may be called by the Presi- dent, or in his absence, by the Vice-President, at his own option, or by the request, in writing, of live members, of which due notice shall be given, as provided for in the case of the Annual Meeting, 18 BY-LAWS, Art. G. There shall be Monthly Meetings on the third Tuesday of each month, except those on which Quarterly Meetings occur, and of these Meetings due notice shall be given, as provided for in the case of the Annual Meeting. CHAPTER II. ORDER OF BUSINESS AND RULES OF ORDER. Article 1. At each Quarterly or Monthly Meeting, after the presiding officer shah have declared the Society formed, the following shall be the Order of Business : 1. Reading of the Minutes. 2. Proposal of Members. 3. Report of Censors and Election of Hew Members. 4. Report of Scientific and other Committees. 5. Communications, Discussions, and reading of Papers in the order directed by the Presiding Officer. 6. Unfinished Business and Amendments to By-Laws considered. 7. Hew Business. Art. 2. At each Special Meeting, the object for which the Society wras convened, shall be considered immediately after the reading of the minutes of the last meeting. Art. 3, At each Annual Meeting, the Election of Officers and Delegates to the State Society, and to the American Medical Association, shall be held by ballot, immediately after the election of new members. Art. 4. The Treasurer’s Report shall be heard, and ac- counts against the Society considered and acted on, imme- diately after the election of officers. Art. 5. The following shall be the rules of order of this Society. BY-LAWS, 19 1. Any member who may speak on any subject or ques- tion before the Society, shall rise and address his remark to the President. 2. Every member shall have the privilege of speaking twice on any question under consideration, but not oftener, unless by permission of the Society. 3. Any member called to order while speaking, shall take his seat, and the debate be suspended until the point of order is settled. 4. All questions of order shall be decided by the Chair, subject to an appeal, which shall be determined by vote, without debate. 5. No motion shall be made while a member is speak- ing; and in all cases the mover must rise and address the Chair. 6. All resolutions and amendments shall be offered in writing, when required by any member. 7. No motion or resolution shall be considered unless seconded ; nor question, unless stated by the President. 8. "When a question is under debate no motion shall be received, but to adjourn ; to lay on the table ; for the pre- vious question ; to postpone ; to refer ; or to amend; which several motions shall have precedence in the order in which they are here arranged. The first three shall be decided without debate. 9. When a blank is to be filled, the question shall be first taken on the highest number, the greatest sum, or long- est time proposed. 10. Any member may call for a division of a question, when the sense will admit of it. 11. The yeas and nays on any question, when called for by five members present, shall be taken without debate and recorded on the minutes. 20 BY-LAWS. 12. After any question has been decided, except one of indefinite postponement, any two members who voted in the majority, may, at the same or next stated meeting, move for a reconsideration thereof; without which, no discussion shall be allowed. 13. All questions of order, not provided for by these rules/ shall be determined by Parliamentary usage. CHAPTER III. PRESIDENT. Article 1. It shall he the duty of the President to pre- side at all meetings of the Society ; to call the meetings to order at the appointed time, and to preserve order and de- corum. Art. 2. He shall perform the duties prescribed by the Statutes, By-Laws, and Resolutions of the Society. Art. 3. lie shall deliver an inaugural address on his taking the chair as presiding oflicer, at the Quarterly Meeting in July. Art. 4. He shall appoint all Committees, unless other- wise ordered by a special resolution. -• Art. 5. He shall take the sense of the Society on every motion made and seconded, and declare the result. Art. 6. He, or any member who may preside, shall have no vote, except on questions where there is an equal division of voices. Art. 7, He shall cause a personal service of the fol- lowing notice to be made, in writing, on every physician and surgeon residing in the County of Kings, not already admitted a member of this Society, viz:— “ I, (name) President of the Medical Society op the County of Kings, being required so to do by the Statutes of this State, and by direction of the Society, hereby notify you, (name) within sixty days from the service hereof, BY-LAW S-. 21 to make a written application to me for admission to the Society, and to pre- sent to me your diploma, and such other testimonials as you may possess, of regular standing in the profession of medicine, together with a certificate from the Clerk of this County that you have deposited a copy of your diploma in his office. “ Signed (name.) “ President Med. Society, Co. of Kings. Art. 8. lie shall give a certificate of membership to all members elect, who have signed the By-Laws, and paid the . initiation fee. Art. 9. He shall confer a diploma of license on such persons as are certified by the Censors to be qualified for the practice of physic and surgery, on receiving for such diploma the sum of five dollars, for the use of the Society. Art. 10. He shall pay to the Treasurer all moneys he may receive tor the use of the Society. Art. 11. He shall keep on file all documents and certificates in relation to the Society, which are by law deposited with him; and these shall be delivered to his successor. CHAPTER IV. VICE-PRESIDENT. The Vice-President, in the absence of the President, shall preside, and perform the duties of the President. CHAPTER Y. CENSORS. Article 1. The Censors shall perform the duties pre- scribed by the Statutes, the By-Laws and Resolutions of the Society. 22 BY-LAWS. Art. 2. In the absence of the President and Yice- President, the Censor shall preside. Art. 3. The seniority of the Censors shall be deter- mined by the Censors themselves, immediately after their election; and notice thereof shall be given to the Secretary and President, Art. 4. The Censors shall examine the credentials of all candidates for admission, and report thereon to the Society, at the meeting next subsequent to that at which the candidate is proposed, or as soon thereafter as practicable. Art. 5. They shall examine all applicants for a license to practice physic and surgery, who have complied with the requisitions of the Statutes of the State, and the By- Laws of the Society; gnd shall give to those qualified a certificate to that effect, addressed to the President. CHAPTER YI. TREASURER. Article 1. The Treasurer shall perform the duties directed by the Statutes, the By-Laws and Resolutions of the Society. Aht. 2. It shall be the duty of the Treasurer to present a bill of the Annual Dues to each Member every year, showing all arrearages; and to demand payment of the same, at least twice while unpaid, during the year in which such bill may have been rendered : and for this purpose, the said Treasurer is authorised to have the necessary blank printed, and to employ a competent Collector, paying the bills thus accrueing from the funds of the Society, upon a warrant for that purpose signed by the Presi- sident: Provided that bills of arrearage of more than two years standing, which shall have been thus twice presented, and remain unpaid, shall be placed on a suspended list, and while there shall deprive the Members so in arrears of the privilege of being notified of the Meetings, of representing BY-LAWS. 23 the Society in any of its offices or delegations, and of receiv- ing any of its publications or the publications distributed by it. Art. 3. lie shall render an account, at every Annual Meeting, of all the moneys received and expended by him, and of all balances remaining in his hands. CHAPTER VII. SECRETARY. Article. 1. The Secretary shall perform the duties directed by the Statutes, the By-Laws and Resolutions of the Society. Art. 2. lie shall keep in his book a full and distinct record of all the transactions of the Society, and a chrono- logical list of all the members. Art. 3. He shall register in his book, and shall read at each Annual Meeting, the names of all medical men who have refused or neglected to unite with the Society, on the notice of the President, or who, having applied for admis- sion, have been found unqualified by the Censors. Art. 4. He shall publish, at least once in each year, in one or more newspapers, a list of the members of the Society. Art. 5. He shall inform all persons admitted by vote of the Society, of their election ; and notify them to call upon him, pay the initiation fee, and sign the By-Laws; and he shall report at the Annual Meeting the names of all mem- bers elect, who have neglected or refused to do so, in ac- cordance with the Regulations of the Society. Art. 6. He shall permit no member elect to sign the By-Laws of the Society, except on his paying the initiation fee, or exhibiting a receipt for the same, signed by the Presi- dent or Treasurer. 24 BY-LAWS. Art. 7. He shall conduct the correspondence of the Society. lie shall retain copies of all letters written by him in behalf of the Society, aud preserve on file all letters and communications received by him in his official capacity, and report the same at each stated meeting; and he shall obey all orders and resolutions appertaining to his office. CHAPTER Till. ASSISTANT SECRETARY. The Assistant Secretary shall issue notices of all meetings of the Society, and, previous to every election, prepare a list of those eligible to office, and entitled to vote; assist the Secretary in the discharge of his duties ; and, in his ab- sence, perform them. CHAPTER IX. LIBRARIAN. The Librarian shall have charge of all books, pamphlets, manuscripts, anatomical or pathological specimens, appara- tus, instruments, medals, coins, or scientific property, of whatever kind; and affix to each donation the name of the doner; keep a catalogue; observe such rules as shall be prescribed for the regulation of his department, and render a full account thereof, at least once a year, and oftener, if required. CHAPTER X. DELEGATES. The Delegates shall perform the duties required by the Statutes of the State, and support the honor and dignity, and obey the orders and resolutions of the Society. BT-L A W S . 25 CHAPTER XL ORDINARY MEMBERS, Article 1. The Ordinary Members shall consist of phy- sicians and surgeons only. Art. 2. To support the honor and dignity of the medical profession, and discharge the duties of a practitioner with fidelity and integrity, is the duty of each member Art. 3, It shall be the duty of every member to observe the code of medical ethics adopted by this Society. Art. 4. Every memher shall observe order and decorum in the meetings; shall pay due respect to the President and other officers, and to his fellows ; and no member shall withdraw during the session, without special permission from the Chair. Art. 5. Each member, on entering a meeting of the Society, shall write his name in a register provided for this purpose by the Secretary. Art. 6. Xo member who has been absent from three successive Quarterly Meetings of this Society, during the preceding year, without satisfactory excuse, shall be eligible to any office, at the next Anniversary Meeting. Art. T. Members who shall not have paid the Annual Dues, assessed upon them by the Society, for two years in succession, after having been twice called upon to do so, are declared to be in arrears with the Treasurer, and their names shall appear on his list of suspended debts. Art. 8. Members in arrears with the Treasurer shall neither be eligible to office, nor entitled to vote at»any An. nual Meeting; neither shall such be entitled to the privi- lege of being notified of the meetings, nor of receiving the publications of the Society. 26 BY-LAWS. CHAPTER XII. ADMISSION OF MEMBERS. Article 1. All applications for admission to the mem- bership of this Society shall be made at one Stated Meeting, and decided at the next, or any subsequent meeting, when the Censors shall report on their credentials. Art. 2. Any physician or surgeon practising in this county, may, on application, become a member ot this So- ciety, if the Censors, or a majority of them, on examination of his credentials, shall certify that he is entitled to practice physic and surgery according to the laws of State ; and it, on being balloted for he shall have a majority ot votes ot tlie members present. Art. 3. Every person thus admitted, shall sign the By- Laws, and designate tlie State or country of his birth, and the medical rank or station then or formerly held by him. Art. 4. Every person admitted into the Society shall, before signing the By-Laws, pay to the Treasurer live dol- lars, to be appropriated to the use of the Society ; and shall be presented with a certificate of membership, and with a copy of the Charter and By-Laws. Art. 5. No person who has been admitted to the Society, and who lias refused or neglected to comply with tlie requi- tions of the 3d and 4th Articles of Chapter XII., shall be entitled to the privileges of membership. CHAPTER XIII. CONTRIBUTIONS AND ARREARS. Article 1. The Society, at tlie Anniversary Meeting, may establish such contributions as shall meet tlie yearly expenses, and all the debts of the Society. 15 Y-LA W S . 27 CHAPTER XIV. COMMITTEE ON ETHICS. Article 1. A Committee on Ethics sliall foe annually appointed consisting of three members, whose duty it shall be to take cognizance of all complaints of breaches of the Code of Ethics, and to endeavor to reclaim offenders, before proceeding formally against them. Art. 2. Charges of violation of the laws or Ethics of the Society, or immoral conduct, or habits, shall be presented in writing to the Chairman of the Committee, enclosed in a sealed envelope, witli the words “ Charges against a Mem- ber” written upon it. Art. 3 The Chairman, on receiving such charges, shall notify the Committee to meet and examine the same, and the evidence’ thereof. Art. 4. If a majority of the Committee so met shall be of opinion that the charges are well founded, they shall serve a copy of them upon the accused, and cause a Special Meeting of the Society to be called to investigate them ; of which the person against whom the charges are made shall have at least ten days’ notice, in writing. Art. 5. At such meeting, the Committee shall report their opinion, and the grounds thereof; and if the person accused (having had a fair opportunity to make his defence) shall be found guilty by a vote of two-thirds of the members present, the Society shall proceed to determine the penalty, and cause it to be carried into effect. Art. 6. The penalty—whether it be the reprimand, sus- pension, or expulsion of the member—shall be decided by a majority of the votes cast, 28 by-laws. CHAPTER XV. HONORARY members. Article 1. Any member may propose a candidate as an honorary member; but the medical rank or station then or formerly held by him shall be furnished in writing by the proposer; and, if satisfactory, he may, at a subsequent meet- ing, be balloted for, and elected by a majority of votes. Art. 2. Not more than three honorary members shall be annually elected. Art. 3. The honorary members may attend the meetings of the Society, but shall not be entitled to vote. DIPLOMA CONFERRED ON HONORARY MEMBERS. Societas Medica Comitatus Regum Omnibus has literas perlecturis. SALUTEM: Yirum probum et ornatissimum, D. D. A. B. Quem fama promit, scientiarum medieince et chirurgiae cultorem, liberalium lionoribus artium provectum, Placuit nobis Praesidi, cseterisq : SociishujuseeComitatus Concil: Med: Facul- tatus Socium constituere Hono:arium: atque auctoritatem ei donare, privilegia et immunitates ad nostrates Medicaeq: Pacultatis qua: pertinent; ubiq: ter- rurum dextra et honore amplectendum. In quorum fiden, hse literge, pro Emerito Socio D. I). A. B. manibus, sigilloq. Arehiatrum muniUe lubeu- tissime mandantur. Medicis Midibus Brooklyn!. A. D. 18 Mqpsis, die Frees. Scr. CHAPTER XVI. LICENTIATES. Article 1, Every candidate for license to practice physic or surgery, who shall have complied with the requisitions of BY-LAWS. 29 the Statutes of the State, with regard to the term of study and other particulars, shall be examined by the Censors, on paying to them the sum of five dollars, for the use of the Society, Art, 2. Every person who, upon examination by the Censors, shall be found qualified for the practice of medicine and surgery, shall receive from them a certificate to that effect, addressed to the President of the Society, who shall thereupon confer on him the following Diploma :— Omnibus ad quos hce literice pervenerint. SALUTEM: NOS, Societatis Medic® Comitatis Regum, Prases, C®terique, Socii, hoc scripto testatum volumus, (here insert the name and country of the candidate,) Artis medic® et chirurgi® sub viris in medecina peritis, tempore prastituto, se studio incubuisse, et in hisce studis progressum, luculento testimonio, nobis probasse et commendasse. Quocirca, ex auctoritate nobis commissa, medicin® et artis chirurgi®, in hac civitate exercend®, ei potestatem, cum omnibus privi: legiis ad has artes pertinentibus, concedimus. In quorum testimonium hocce diploma, sigillo nostro munitum, donavimus. Datum Brooklyni, Mensis, die A. D. Millesimo octigentesimo. Freeses, a Secretis. Art. 3. If, instead of the above, a diploma in the English language should be requested by the person so admitted, it shall be in the following form, viz :— To all whom these Presents shall come, or may in any wise concern : The President and Members of the Medical Society of the County of Kings, send greeting:—Whereas, (insert name and country of the candidate) hath exhibited unto us satisfactory testimony that he hath studied physic and surgery for the term and in the manner directed by law; and hath also, upon examination by our Censors, given sufficient proofs of his proficiency in the healing art, and of his moral character : Wherefore, by virtue of the power vested in U3 by law, we do grant unto the said (insert the name of the candi- 30 BY-LAWS. date) the privilege of practising physic and surgery in this State, together with all the rights and immunities which usually appertain to physicians and and Surgeons. In witness whereof, we have granted this Diploma, sealed with our seal, and testified by our President and Secretary, at (insert place, day and year.) Art. 4. Every person admitted to the practice of physic or surgery, shall sign the following declaration, viz :— I, A. B., do solemnly declare, that I will honestly, virtuously, and chastely conduct myself in the practice of physic and surgery, and that I will, with fidelity and honor, do everything in my power for the benefit of the sick com* mitted to my charge. This declaration, so signed, shall be preserved among the archives of the Society. Art 5, Every person receiving a diploma of license, shall be notified by the Secretary that he must deposit a copy of the same with the Clerk of the County in which he may reside; and that, until this be done, he is subject to penalty as an illegal practitioner. Art. 6, Every person admitted to the practice of physic and surgery by this Society, shall pay to the President, for the use of the Society, five dollars ; and he shall be pre- sented with a copy of the Charter and By-Laws, CHAPTER XVII. AMENDMENTS, The preceding Articles may be altered or amended, or new ones added, if the same be deemed necessary, and adopted by two-tliirds of the members present, at an Annual Meeting ot the Society; and all propositions or motions, for such amendments, alterations, or additions shall be in writing, and shall be laid before the Society three months previous to tlicir adoption. CODE OF ETFIICS OF THE AMERICAN MEDICAL ASSOCIATION, ADOPTED BY THE MEDICAL SOCIETY OF THE COUNTY OF KINGS, j-otte is, iee7. This Code of Ethics was adopted by the Society, in addition to their former excellent Code, in compliance with a resolution of the American Medical Association, requiring all State or Local Societies to do so, who desired to be represented in that body. CODE OF MEDICAL ETHICS. OF THE DUTIES OF PHYSICIANS TO THEIR PATIENTS, AND OF THE OBLIGATIONS OF PATIENTS TO THEIR PHYSICIANS. ARTICLE I. DUTIES OF PHYSICIANS TO THEIR PATIENTS. § 1. A physician should not only he ever ready to obey the calls of the sick, but his mind ought also to be imbued with the greatness of his mission, and the responsibility he habitually incurs in its dis- charge. These obligations are the more deep and enduring, because there is no tribunal, other than his own conscience, to adjudge penal- ties, for carelessness or neglect. Physicians should, therefore, minister to the sick with due impressions of the importance of their office; reflecting that the ease, the health and the lives, of those committed to their charge, depend on their skill, attention, and fidelity. They should study, also, in their deportment, so to unite tenderness with firmness, and condescension with authority, as to inspire the minds of their patients with gratitude, respect, and confidence. § 2. Every case committed to the charge of a physician, should be treated with attention, steadiness, and humanity. Reasonable indulgence should he granted to the mental imbecility and caprices of the sick. Secrecy and delicacy, when required by peculiar cir- cumstances, should be strictly observed; and the familiar and conn- 34 CODE OF ETHICS. dential intercourse to which physicians are admitted, in their profes- sional visits, should be used with discretion, and with the most scrupulous regard to fidelity and honor. The obligation of secrecy extends beyond the period of professional services; none of the privacies of personal and domestic life, no infirmity of disposition, or flaw of character, observed during professional attendance, should ever be divulged by the physician, except when he is imperatively required to do so. The force and necessity, of this obligation, are indeed so great, that professional men have, under certain circum- stances, been protected in their observance of secrecy, by courts of justice. § 3. Frequent visits to the sick are in general requisite, since, they enable the physician to arrive at a more perfect knowledge of the disease ; to meet promptly every change which may occur; and also tend to preserve the confidence of the patient. But unneces- sary visits are to be avoided, as they give useless anxiety to the patient, tend to diminish the authority of the physician, and render him liable to be suspected of interested motives. § 4. A physician should not be forward to make gloomy prognos- tications, because they savor of empiricism, by magnifying the im- portance of his services, in the treatment or cure of the disease. But he should not fail, on proper occasions, to give to the friends of the patient timely notice of danger, when it really occurs; and even to the patient himself, if absolutely necessary. This office, however is so peculiarly alarming when executed by him, that it ought to be declined whenever it can be assigned to any other person of sufficient judgment and delicacy. For, the physician should be the minister of hope and comfort, to the sick; that, by such cordials to (he drooping spirit, he may smooth the bed of death, revive expiring life, and counteract the depressing influence of those maladies which often disturb the tranquility of the most resigned, in their last mo- ments. The life of a sick person can be shortened not only by the acts, but also by the words, or the manner of a physician. It is therefore a sacred duty to guard himself carefully in this respect, and to avoid all things which have a tendency to discourage the patient, and to depress his spirits. § 5. A physician ought not to abandon a patient because the case is deemed incurable: for his attendance may continue to be highly CODE OF ETHICS. 35 useful to the patient, and comforting to the relatives around him even in the last period of a fatal malady, by alleviating pain and other symptoms, and by soothing mental anguish. To decline at- tendance, under such circumstances, would be sacrificing to fanciful, delicacy and mistaken liberality, that moral duty, which is inde- pendent of, and far superior to pecuniary consideration. § 6. Consultations should be promoted in difficult or protracted cases, as they give rise to confidence, energy, and more enlarged views in practice. § 7. The opportunity which a physician not unfrequently enjoys of promoting and strengthening the good resolutions of his patients suffering under the consequences of vicious conduct, ought never to be neglected. His counsels, or even remonstrances, will give satis- faction, not offence, if they be proffered with politeness, and evince a genuine love of virtue, accompanied by a sincere interest in the welfare of the person to whom they are addressed. ARTICLE II. OBLIGATIONS OF PATIENTS TO THEIR PHYSICIANS. § 1. The members of the medical profession, upon whom is enjoined the performance of so many important and arduous duties towards the community, and who are required to make so many sacrifices of comfort, ease, and health, for the welfare df those who avail themselves of their services, certainly have a right to expect, and require, that their patients should entertain a just sense of the duties which they owe to their medical attendants, § 2. The first duty of a patient is, to select as his medical adviser one who has received a regular professional education. In no trade or occupation, do mankind rely on the skill of an untaught artist ; and in medicine, confessedly the most difficult and intricate of the sciences, the world ought not to suppose that knowledge is intuitive. § 3. Patients should prefer a physician whose habits of life are regular, and who is not devoted to company, pleasure, or to any pur- suit incompatible with his professional obligations, * A patient should, also, confide the care of himself and family, as 36 CODE OF E T II I C S. much, as possible, to one physician; for a medical man who has become acquainted with the peculiarities of constitution, habits, and predispositions of those he attends, is more likely to be successful in his treatment, than one who does not possess that knowledge, A patient who has thus selected his physician, should always apply for advice in what may appear to him trival cases ; for the most fatal results often supervene on the slightest accidents. It is of still more importance that he should apply for assistance in the forming stage of violent diseases ; it is to a neglect of this precept that medicine owes much of the uncertainty and imperfection with which it has been reproached, § 4. Patients should faithfully and unreservedly communicate to their physician the supposed cause of their disease. This is the more important, as many diseases of a mental origin simulate those depending on external causes, and yet are only to be cured by min- istering to the “ mind diseased.” A patient should never be afraid of thus making his physician his friend and adviser: he should always bear in mind that a medical man is under the strongest obli- gations of secrecy. Even the female sex should never allow feelings of shame or delicacy to prevent their disclosing the seat, symptoms, and causes of complaints peculiar to them. Howrever commendable a modest reserve may be in the common occurrences of life, its strict observance in medicine is often attended with the most serious consequences ; and a patient may sink under a painful and loath- some disease, which might have been readily prevented, had timely intimation been given to the physician. §o. A patient should never weary his physician with a tedious detail of events or matters not appertaining to his disease. Even as relates to his actual symptoms, he will convey much more real in- formation by giving clear answers to interrogatories, than by the most minute account of his own framing. Neither should he ob- trude upon his physician the details of his business, nor the history of his family concerns. § 6. The obedience of a parent to the prescriptions of the phy- sician should be prompt and implicit. He should never permit his own crude opinions as to their fitness, to influence his attention to them. A failure in one particular, may render an otherwise judi- cious treatment dangerous, and even fatal. CODE OF ETIIICS. 37 This remark is equally applicable to diet, drink, and exercise. As patients become convalescent, they are very apt to suppose that the rules prescribed for them may be disregarded, and the consequence, but too often, is a relapse. Patients should never allow themselves to be pursuaded to take any medicine whatever, that may be recom- mended to them by the self-constituted doctors and doctresses, who are so frequently met with, and who pretend to possess infallible remedies for the cure of every disease. However simple some of their prescriptions may appear to be, it often happens that they are productive of much mischief; and in all cases they are injurious, by contravening the plan of treatment adopted by the physician. § 7. A patient should, if possible, avoid even the friendly visits of a physician who is not attending him; and when he does receive them, he should never converse on the subject of his disease, as an observation may be made, without any intention ot interferance, which may destroy his confidence in the course he is pursuing, and induce him to neglect the directions prescribed to him. A patient should never send for a consulting physician without the express consent of his own medical attendant. It is of great importance that physicians should act in concert; for although their modes of treatment may be attended with equal success when employed singly, yet conjointly they are very likely to be productive of disastrous results. § 8. When a patient wishes to dismiss his physician, justice and common courtesy require that he should declare his reasons for so doing. § 9. Patients should always, when practicable, send for their phy- sician in the morning, before his usual hour of going out; for, by being early aware of the visits he has to pay during the day, the physician is able to apportion his time in such a manner as to pre- vent an interference of engagements. Patients should also avoid calling on their medical adviser unnecessarily during the hours de- voted to meals or sleep. They should always be in readiness to receive the visits of their physician, as the detention of a few minutes is often of serious inconvenience to him. § 10. A patient should, after his recovery, entertain a just and enduring sense of the value of the services rendered him by his physician ; for these are of such a character, that no mere pecuniary acknowledgment can repay or cancel them. 38 CODE OF ETHICS. OF THE DUTIES OF PHYSICIANS TO EACH OTHER, AND TO THE PROFESSION AT LARGE. ARTICLE I. DUTIES FOR THE SUPPORT OF PROFESSIONAL CHARACTER. § 1. Every individual, on entering the profession, as lie becomes thereby entitled to all its privileges and immunities, incurs an obli- gation to exert his best abilities to maintain its dignity and honor, to exalt its standing, and to extend the bounds of its usefulness. lie should, therefore, observe strictly such laws as are instituted for the government of its members; should avoid all contumelious and sarcastic remarks relative to the Faculty, as a body; and while, by unwearied diligence, he resorts to every honorable means of enrich- ing the science, he should entertain a due respect for his seniors, who have, by their labors, brought it to the elevated condition in which he finds it. § 2. There is no profession, from the members of which greater purity of character, and a higher standard of moral excellence, are required,than the medical; and to attain such eminence, is a duty every physician owes alike to his profession and to his patients. It is due to the latter, as without it he cannot command their respect and confidence; and to both, because no scientific attainments can compensate for want of correct moral principles. It is also incumbent upon the Faculty to be temperate in all things ; for the practice of physic requires the unremitting exercise of a clear and vigorous understanding ; and on emergencies, for which no professional man should be unprepared, a steady hand, an acute eye, and an unclouded head, may be essential to the well-being, and even to the life, of a fellow-creature. § 3. It is derogatory to the dignity of the profession to resort to public advertisements, or private cards, or handbills, inviting the attention of individuals- affected with particular diseases—publicly offering advice and medicine to the poor gratis, or promising radical cures; or to publish cases and operations in the daily prints, or suffer such publications to be made ; to invite laymen to be present CODE OF ETHICS. 39 at operations ; to boast of cures and remedies; to adduce certificates of skill and success ; or to perform any other similar acts. These are the ordinary practices of empirics, and are highly reprehensible in a regular physician. § 4. Equally derogatory to professional character is it, for a physician to hold a patent for any surgical instrument or medicine; or to dispense a secret nostrum, whether it be the composition or ex- clusive property of himself or of others. For, it such nostrum be of real efficacy, any concealment regarding it is inconsistent with bene- ficence, and professional liberality ; and if mystery alone give it value and importance, such craft implies either disgraceful ignorance or fraudulent avarice. It is also reprehensible for physicians to give certificates attesting the efficacy of patent or secret medicines, or in any way to promote the use of them. ARTICLE II. PROFESSIONAL SERVICES OF PHYSICIANS TO EACH OTHER. g 1, All practitioners of medicine, their wives, and their children, while under the paternal care, are entitled to the gratuitous services of any one or more of the Faculty residing near them, whose assist- ance may be desired. A physician afflicted with disease is usually an incompetent judge of his own case ; and the natural anxiety and solicitude which he experiences at the sickness of a wife, a child, or any one who, by the ties of consanguinity, is rendered peculiarly dear to him, tend to obscure his judgment, and produce timidity and irresolution in his practice. Under such circumstances, medical men are peculiarly dependent upon each other, and kind offices, and pro- fessional aid should always be cheerfully and gratuitously aflorded. Visits ought not, however, to be obtruded officiously; as such un- asked civility may give rise to embarrassment, or interfere with that choice, on which confidence depends. Hut if a distant member of the Faculty, whose circumstances are affluent, request attendance, and an honorarium be offered, it should not be declined ; tor no pecuniary obligation ought to be imposed, which the party receiving it would wish not to incur. 40 CODE OF E T IT I C S. ARTICLE III. OF TIIE DUTIES OF PHYSICIANS AS RESPECTS VICARIOUS OFFICES. § 1. The aftairs of life, the pursuit of health, and the various accidents and contingencies to which a medical man is peculiarly exposed, sometimes require him temporarily to withdraw from his duties to his patients, and to request some of his professional brethren to officiate for him. Compliance with this request is an act of courtesy, which should always be performed with the utmost consideration for the interest and character of the family physician ; and when exercised for a short period, all the pecuniary obligations for such service should be awarded to him. But if a member of the profession neglect his business in quest of pleasure and amuse- ment, he cannot be considered as entitled to the advantages of the frequent and long-continued exercise of this fraternal courtesy, with- out awarding to the physician who officiates the fees arising from the discharge of his professional duties. In obstetrical, and importent surgical cases, which give rise to usual fatigue, anxiety, and responsibility, it is just that the fees accruing therefrom, should be awarded to the physician who officiates. ARTICLE IV. OF THE DUTIES OF PHYSICIANS IN REGARD TO CONSULTATIONS. § 1. A regular medical education furnislies the only presumptive evidence of professional abilities and acquirements, and ought to be the only acknowledged right of an individual to the exercise and honors of his profession. Nevertheless, as in consultations the good of the patient is the sole object in view, and this is often dependent on personal confidence, no intelligent regular practitioner, who has a license to practice from some Medical Board of known and ac- knowledged respectability, recognized by this Association, and who is in good moral and professional standing in the place in which he resides, should be fastidiously excluded from fellowship, or his aid refused in consultation, when it is requested by the patient. But no one can be considered as a regular practitioner, or a fit associate in consultation, whose practice is based on an exclusive dogma, to the CODE OF ETHICS. 41 rejection oftlie accumulated experience of tlie profession, and of the aids actually furnished by anatomy, physiology, pathology, and organic chemistry. § 2. In consultations, no rivalship or jealousy should be indulged : candor, probity, and all due respect should be exercised toward the physician having charge of the case. § 3. In consultations, the attending physician should be the first to propose the necessary questions to the sick; after which, the consulting physician should have the opportunity to make such fur- ther inquiries of the patient as may be necessary to satisfy him of the true character of the case. Both physicians should then retire to a private place for deliberation; and the one first in attendance should communicate the directions agreed upon to the patient or his friends, as well as any opinions which it may be thought proper to express. But no statement or discussion of it should take place before the patient or his friends, except in the presence of all the Faculty at- tending, and by their common consent; and no opinions or prognos- tications should be delivered, which are not the result of previous deliberation and concurrence. § 4. In consultations, the physician in attendance should deliver his opinion first ; and when there are several consulting, they should deliver their opinions in the order in which they have been called in. No decision, however, should restrain the attending physician from making such variations in the mode of treatment, as any subse- quent unexpected change in the character of the case may demand. But such variation, and the reason for it, ought to be carefully de- tailed at the next meeting in consultation. The same privilege belongs also to the consulting physician, if he is sent for in an emergency, when the regular attendant is out of the way; and similar explanations must be made by him at the next consultation. § 5. The utmost punctuality should be observed in the visits of physicians, when they are to hold consultation together; and this is generally practicable, for society has been considerate enough to allow the plea of a professional engagement to take precedence of all others, and to be an ample reason for the relinquishment of any present occupation. 42 CODE OF ETHICS. But, as professional engagements may sometimes interfere, and delay one of the parties, the physician who first arrives should wait for his associate a reasonable period, after which the consultation should be considered as postponed to a new appointment. If it be the attending physician who is present, he will of couise see the patient and prescribe; but if it be the consulting one, he should re- tire, except in case of emergency, err when he has been called from a considerable distance ; in which latter case, he may examine the patient, and give his opinion in writing and under seal, to be deliv- ered to his associate § 0. In consultations, theoretical discussions should be avoided, as occasioning perplexity and loss of time. For there may be much diversity of opinion concerning speculative points, with perfect agreement in those modes of practice which are founded, not on hypothesis, but on experience and observation. § V. All discussions in consultations should be held as secret and confidential. Neither by words or manner should any of the parties to a consultation assert or insinuate, that any part of the treatment pursued did not receive his assent. The responsibility must be equally divided between the medical attendants—they must equally share the credit of success, as well as the blame of failure. § 8. Should an irreconcilable diversity of opinion occur when several physicians are called upon to consult together, the opinion of the majority should be considered as decisive; but, if the num- bers be equal on each side, then the decision should rest with the attending physician. It may, moreover, sometimes happen, that two physicians cannot agree in their views of the nature of a case, and the treatment to be pursued. This is a circumstance much to be deplored, and should always be avoided, if possible, by mutual con- cessions, as far as they can be justified by a conscientious regard for the‘dictates of judgment. But, in the event of its occurrance, a third physician should, if practicable, be called to act as umpire; and if circumstances prevent the adoption of this course, it must be left to the patient to select the physician in whom he is most willing to confide. But, as every physician relies on the rectitude of his own judgment he should, when left in the minority, politely and consistantly retire from any farther deliberation in the consultation, or participation in the management of the case. CODE OF ETHICS. 43 § 9. As circumstances sometimes occur to render a special con- sultation desirable, when the continued attendance of two physicians might be objectionable to the patient, the member of the Faculty whose assistance is required in such cases, should sedulously guard against all future unsolicited attendance. As such consultations require an extraordinary portion both of time and attention, at least a double honorarium may be reasonably expected. § 10. A physician who is called upon to consult, should observe the most honorable and scrupulous regard for the character and standing of the practitioner in attendance ; the practice of the latter, if necessary, should be justified as far as it can be, consistently with a conscientious regard for truth, and no hint or insinuation should be thrown out which could impair the confidence reposed in him, or affect his reputation. The consulting physician should also carefully refrain from any of those extraordinary attentions or assiduities, which are too often practiced by the dishonest, for the base purpose of gaining applause, or ingratiating themselves into the favor of families and individuals. . ARTICLE V. DUTIES OF PHYSICIANS IN CASES OF INTERFERENCE. § 1. Medicine is a liberal profession, and those admitted into its ranks should found their expectations of practice upon the extent of their qualifications, not on intrigue or artifice. § 2. A physician, in his intercourse with a patient under the care of another practitioner, should observe the strictest caution and reserve. No meddling inquiries should be made—no disingenuous hints given relative to the nature and treatment of his disorder; nor any course of conduct pursued that may directly or indirectly tend to diminish the trust reposed in the physician employed. § 3. The same circumspection and reserve should be observed when, from motives of business or friendship, a physician is prompted to visit an individual who is under the direction of another practi- tioner. Indeed, such visits should be avoided, except under peculiar circumstances; and when they are made, no particular inquiries 44 CODE OF ETHICS. should be instituted relative to the nature of the disease, or the remedies employed, but the topics of conversation should be as foreign to the case as circumstances will admit, § 4. A physician ought not to take charge of or prescribe for a patient who has recently been under'the care of another member of the Faculty in the same illness, except in cases of sudden emergency, or in consultation with the physician previously in attendance, or when the latter has relinquished the case, or been regularly notified that his services are no longer desired. Under such circumstances, no unjust and illiberal insinuations should be thrown out in relation to the conduct or practice previously pursued, which should bejusti" fied as far as candor and regard for truth and probity will permit; for it often happens that patients become dissatisfied when they do not experience immediate relief; and, as many diseases are naturally protracted, the want of success, in the first stage of treatment, affords no evidence of a lack of professional knowledge and skill. § 5. When a physician is called to an urgent case, because the family attendant is not at hand, he ought, unless his assistance in consultation be desired, to resign the care of the patient to the latter immediately on his arrival, § 0. It often happens, in cases of sudden illness, or of recent accidents and injuries, owing to the alarm and anxiety of friends, that a number of physicians are simultaneously sent for. Under these circumstances, courtesy should assign the patient to the first who arrives, who should select from those present, any additional assistance that he may deem necessary. In all such cases, however, the practitioner who officiates should request the family physician, if there be one, to be called; and, unlers his farther attendance be re- quested, should resign the case to the latter on his arrival. § 7. When a physician is called to the patient of another prac- titioner, in consequence of the sickness or absence of the latter, ho ought, ou the return or recovery of the regular attendant, and with the consent of the patient, to surrender the case. (The expression, “Patient of another practitioner,” is understood to mean a patient who may have been under the charge of another practitioner at the time of the attack of sickness or departure from home of the latter, or who may have called for his attendance during his absence or CODE OF ETHICS. 45 sickness, or in any other manner given it to be understood that he regarded the said physician as his regular medical attendant.) § 8. A physician, when visiting a sick person in the country, may be desired to see a neighboring patient who is under the regular direction of another physician, in consequence of some sudden change or aggravation of symptoms. The conduct to be pursued on such an occasion is to give advice adapted to present circum- stances; to interfere no further than is absolutely necessary with the general plan of treatment; to assume no future direction, unless it be expressly desired ; and, in this last case, to request an immediate consultation with the practitioner previously employed. § 9. A wealthy physician should not give advice gratis to the affluent; because his doing so is an injury to his professional brethren. The office of a physician can never be supported as an exclusively beneficent one ; and it is defrauding, in some degree, the common funds for its support, when fees are dispensed Avith which might justly be claimed. § 10. When a physician who has been engaged to attend a case of midwifery is absent, and another is sent for, if delivery is accom- plished during the attendance of the latter, he is entitled to the fee, but should resign the patient to the practitioner first engaged. ARTICLE VI. OF DIFFERENCES BETWEEN PHYSICIANS. § 1. Diversity of opinion, and opposition of interest, may, in the medical, as in.other professions, sometimes occasion controversy, and even contention. Whenever such cases unfortunately occur, and cannot be immediately terminated, they should be referred to the arbitration of a sufficient number of physicians, or a Court Medical. § 2. As peculiar reserve must be maintained by physicians towards the public, in regard to professional matters; and as there exist numerous points in medical ethics and etiquette, through which the feelings of medical men may be painfully assailed in their intercourse with each other, and which cannot be understood or appreciated by general society, neither the subject-matter of such differences, nor 46 CODE OF ETHICS. the adjudication of the arbitrators, should be made public ; as pub- licity in a case of this nature may be personally injurious to the individuals concerned, and can hardly fail to bring discredit on the Faculty. ARTICLE VII. OF PECUNIARY ACKNOWLEDGMENTS. Some general rules should be adopted by the Faculty, in every town or district, relative to pecuniary acknowledgments from their patients; and it should be deemed a pflint of honor to adhere to these rules ■with as much uniformity as varying circumstances will admit. OF THE DUTIES OF THE PROFESSION TO THE PUBLIC, AND OF THE OBLIGATIONS OF THE PUBLIC TO THE PROFESSION. ARTICLE I. DUTIES OF THE PROFESSION TO THE PUBLIC. . § 1. As good citizens, it is the duty of physicians to be ever vigilant for the welfare of the community, and to bear their part in sustaining its institutions and burdens; they should also be ever ready to give counsel to the public in relation to matters especially appertaining to their profession; as on subjects of medical police, public hygiene, and legal medicine. It is their province to enlighten the public in regard to quarantine regulations—the location, ar- rangement, and dietaries of hospitals, asylums, schools, prisons, and similar institutions—in relation to the medical police of towns, as drainage, ventilations, &c.—and in regard to measures for the pre- vention of epidemic and contagions diseases ; and when pestilence prevails, it is their duty to face the dangei', and to continue their labors for the alleviation of the suffering, even at the jeopardy of their own lives. C O I) E O F E T II T 0 S . 47 § 2. Medical men should also be always ready, when called on by the legally constituted authorities, to enlighten Coroners’ in- quests, and courts of justice, on subjects strictly medical—such as involve questions relating to sanity, legitimacy, murder by poisons or other violent means, and in regard to the various other subjects embraced in the science of Medical Jurisprudence. But in these cases, and especially where they are required to make a post-mortem examination, it is just, in consequence of the time, labor, and skill required, and the responsibility and risk they incur, that the public should award them a proper honorarium. § 3. There is no profession, by the members of which eleemo- synary services are more liberally dispensed than the medical; but justice requires that some limits should be placed to the perform- ance of such good offices. Poverty, professional brotherhood, and certain of the public duties referred to in the first section of this Article, should always be recognized as presenting valid claims for gratuitous services; but neither institutions endowed by the public, or by rich individuals ; societies for mutual benefit, for the insurance of lives, or for analogous purposes; nor any profession or occupa- tion, can be admitted to possess such privilege. Nor can it be justly expected of physicians to furnish certificates of inability to serve on juries, to perform militia duty, or to testify to the state of health of persons wishing to insure their lives, obtain pensions, or the like, without a pecuniary acknowledgment. But to individuals in indigent circumstances, such professional services should always be cheer- fully and freely accorded. § 4. It is the duty of physicians, who are frequent witnesses of the enormities committed by quackery, and the injury to health, and even destruction of life, caused by the use of quack medicines, to enlighten the public on these subjects; to expose the injuries sustained by the unwary, from the devices and pretensions of artful empirics and impostors. Physicians ought to use all the influence which they may possess, as professors in Colleges of Pharmacy and by exercising their option in regard to the shops to which their pre- scriptions shall be sent, to discourage druggists and apothecaries from vending quack or secret medicines ; or from being in any way engaged in their manufacture and sale. 48 C ODE OF E T H I 0 S . ARTICLE II. OBLIGATIONS OF THE PUBLIC TO PHYSICIANS. § I. The benefits accruing to the public, directly and indirectly, from the active and unwearied beneficence of the profession, are so numerous and important, that physicians are justly entitled to the utmost consideration and respect from the community. The public ought likewise to entertain a just appreciation of medical qualifi- cations ; to make a proper discrimination between true science and the assumptions of ignorance and empiricism ; to atford every encouragement and facility for the acquisition of medical education ; and no longer to allow the statute-books to exhibit the anomaly of exacting knowledge from physicians, under a liability to heavy penalties, and of making them obnoxious to punishment, for resort- ing to the only means of obtaining it.