Medical Society of the State of New York (1807- ).

Medical directory of New York, New Jersey and Connecticut (Volume v.11) online

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Council:

1. Calling the meeting to order.

2. Roll call by the Secretary

3. Reading of minutes and communications from the Secretary.

4. Communications from the Treasurer,

5. Communications from the chairman of standing committees.

6. Unfinished business.

7. New business.

CHAPTER v.— CENSORS.

Section 1. The President, Secretary and the District Councillors shall be
the Board of Censors of the Society until others shall be elected to fill their
places, and shall hear and determine all questions involving the rights and
standing of members, whether in relation to other members, to the county
societies, or to this Society, except such as . shall be heard and determined
by the House of Delegates. All questions of an ethical nature brought before
the House of Delegates, or the general meeting of the Society, shall be re-
ferred to the Censors, who shall report their findings thereon to the House of

CHAPTER VI. - DUTIES OF OFFICERS.

Section 1. The President or one of the Vice-Presidents shall preside at all
meetings of the Society, the House of Delegates, the Council and the Censors.
The President shall appoint all committees not otherwise provided for. He
shall deliver an address at the annual meeting of the Society, and he shall
perform such other duties as custom and parliamentary usage may require.
He shall be ex-offlcio a member of all standing committees.

Sec. 2. The Vice-Presidents shall assist the President In the discharge of
his duties, and in his absence the Vice-President next in numerical order
shall perform his duties. In the event of the President's death, resignation,
removal, incapacity or refusal to act, the Vice-President next in numerical
order shall succeed him.

Sec. 3. The Secretary shall attend all meetings of the Society, the House
of Delegates, the Council and the Censors, and shall keep minutes of their
respective proceedings In separate records. He shall be the custodian of the
seal of the Society and of all books of record and papers belonging to the
Society, except such as properly belong to the Treasurer, and shall keep an
account of and promptly turn over to the Treasurer all funds of the Society
which come into his hands. He shall provide for the registration of the
members at all sessions of the Society. With the aid and co-operation of the
secretaries of the county societies, he shall keep a proper register of all the
registered physicians of the State by counties. He shall aid the Councillors
in the organization and improvement of the county societies and the exten-
sion of the power and influence of the Society. He shall conduct the ofHclal
correspondence, notifying members of meetings, officers of their election and
committees of their appointment and duties. He shall affix the seal of the
Society to all credentials issued to members of the Society elected or ap-
pointed by the House of Delegates and to such other papers and documents
as may require the same. He shall make. an annual report to the House of
Delegates. He shall supply each county society with the necessary blanks
for making their annual reports to this Society. Acting under the direction
of the Committee on Scientific Work, he shall prepare and issue all programs.
The amount of his salary shall be fixed by the Council. He shall be ei-offlclo
a member of all standing committees..

Sec. 4. The Treasurer shall keep accurate books of accounts of all moneyi
of the Society which he may receive, and shall disburse the same when
thereunto duly authorized by the Council ; but all checks drawn by the Treas-
urer upon the funds of the Society shall be countersigned by the President,
or by the Secretary of the Society. He shall give security for the faithful
performance of his duties, which shall be approved and retained by the Presi-
dent, and he shall make an annual report to the House of Delegate!. Th«
Treasurer shall be a trustee of the Merrlt H. Cash fund. Hla lalary akall b«
fixed by tlie Cdvneil.



676



MEDICAL SOCIETIES OF NEW YORK STATE.



Sec. 5. Each District Councillor shall visit the counties of his district
at least once a year. He shall make an annual report of his work and of the
condition of the profession in each county in his district at the annual session
of the House of Delegates. The necessary traveling expenses incurred by each
councillor in the line of his duties as herein defined may be allowed by the
Council on a proper itemized statement; but this shall not be construed to
include his expenses in attending the annual session of the Society.

CHAPTER VII.— STANDING COMMITTEES.

Section 1. The following shall be the standing committees of the Society:

A Committee on Scientific Work.

A Committee on Legislation.

A Committee on Public Health.

A Committee on Arrangements.

There shall also be such other standing committees as the House of Dele-
gates may determine to be necessary.

The Chairman of all Standing Committees shall be elected by the House of
Delegates. The remaining members may be elected by the Council at the
recommendation of their respective Chairmen.

Sec. 2. The Committee on Scientific Work shall consist of three members,
including the Chairman, and shall determine the character and scope of
scientific proceedings of the Society for each session, subject to the instruc-
tions of the House of Delegates. Thirty days prior to each annual session it
shall prepare and forward to the Secretary a program announcing the order
in which papers, discussions and other business shall be presented.

Sec. 3. The Committee on Legislation shall consist of three members, in-
cluding the Chairman. It shall keep in touch with professional and public
opinion. Under the direction of the House of Delegates it shall represent the
Society in procuring the enforcement of the medical laws of the State In
the interest of public health and of scientific medicine, and in procuring the
enactment of such medical laws as will best secure and promote the welfare
of the whole people.

Sec. 4. The Committee on Public Health shall consist of three members,
including the Chairman. It shall report upon and present to the Society such
subjects as may seem to the committee to be of special importance in their
relation to the public health.

Sec. 5. The Committee on Arrangements shall consist of eight members,
including the Chairman. It shall provide suitable accommodations for the
meeting places of the Society and of the House of Delegates, Council and
Censors, and shall have general charge of the arrangements for all meetings.
The Chairman of the committee shall report an outline of the arrangements to
the Secretary for publication in the program, and shall make such additional
announcements during the session as occasion may require.

CHAPTER VIII.— DISTRICT BRANCHES.

Section 1. The First District Branch shall comprise the members of the
medical societies of the Counties of New York, Westchester, Rockland, Put-
nam, Orange and Dutchess.

The Second District Branch shall comprise the members of the medical
societies of the Counties of Kings, Queens, Nassau, Suffolk and Richmond.

The Third District Branch shall comprise the members of the medical
societies of the Counties of Albany, Rensselaer, Schoharie, Greene, Columbia,
Ulster and Sullivan.

The Fourth District Branch shall comprise the members of the medical
societies of the Counties of St. Lawrence, Franklin, Clinton, Essex, Hamilton,
Fulton, Montgomery, Schenectady, Saratoga, Warren and Washington.

The Fifth District Branch shall comprise the members of the medical so-
cieties of the Counties of Onondaga, Oneida, Herkimer, Oswego, Lewis and
Jefferson.

Ihe Sixth Di.strict Branch shall comprise the members of the medical
societies of the Counties of Otsego, Delaware, Madison, Chenango, Cortland,
Tompkins, Schuyler, Chemung, Tioga and Broome.

The Seventh District Branch shall comprise the membere of tl^e ni^dtcul



MEDICAL SOCIETIES OF NEW YORK STATE. 677

societies of the Counties of Monroe, Wayne, Cayuga, Seneca, Yates, Ontario,
Livingston and Steuben.

The Eighth District Branch shall comprise the members of the medical
societies of the Counties of Erie, Niagara, Orleans, Genesee, Wyoming, Allegany,
Cattaraugus and Chautauqua.

Sec. 2. Each District Branch shall elect annually a President, a Vice-
President, a Secretary and a Treasurer.

Sec. 3. The President of the District Branch shall be tlTe Councillor for
that branch.

Sec. 4. Each District Branch may adopt a constitution and by-laws for its
government, provided that the same shall first be approved by the Council of
the Society.

CHAPTER IX.— COUNTY SOCIETIES.

Section 1. County societies shall be organized as soon as practicable In
every county of the State in which no county society exists, but there shall
be but one county society in each county.

Sec. 2. Full and ample opportunity shall be given to every reputable
physician to become a member of the society in the county in which he
lesides, and if there be no such society, then in the county society of an
adjoining county.

Sec. 3. Whenever a member in good standing in any county medical society
removes to another county in this State, his name, upon his request, shall be
transferred to the roster of the county society of the county to which he
removes, without cost to him.

Sec. 4. At its annual meeting each county .society shall elect a delegate or
delegates to represent it in the House of Delegates of this Society in accord-
ance with the Constitution and By-Laws of this Society.

Sec. 5. The Secretary of each county society shall keep a roster of its
members and of all other registered physicians of the county, in which shall
be shown the full name of such physicians, with their addresses, the colleges
from which they graduated, and the date of graduation, the date of their
license to practice in this State, and such other information as may be
deemed to be useful. In keeping such roster the secretary shall note any
changes in the personnel of the profession by death or by removal to or from
the county, and in making his annual report he shall account for every
physician v.ho shall have practiced in the county during the year.

Sec. 6. The secretary of each county society shall forward a copy of its
roster of officers and members, list of delegates and list of other registered
physicians of the county, to the Secretary of this Society thirty days before
the date of its annual meeting.

Sec. 7. On or before the first day of June of each year the Treasurer of
each county society shall forward to the Treasurer of this Society the amount
of the assessment made upon it by the House of Delegates, which assessment
shall be at a uniform per capita rate throughout the State based upon mem-
bership.

Sec. 8. Each county society may adopt a constitution and by-laws for the
regulation of its affairs, provided that the same shall first be approved by the
Council of this Society.

Sec. '9. The term county society as used in these By-Laws shall be deemed
to include all societies which may be organized and chartered by the House
of Delegates.

CHAPTER X. — MISCELLANEOUS.

Section 1. No address or paper before the Society, except those of the
President and orators, shall occupy more than twenty minutes in its delivery,
and no member shall speak upon any question before the house for longer than
five minutes nor more than once on any subject, except by consent.

Sec. 2. All papers read before the Society by its members shall become tlie
property of the Society. Permission may be given, however, by the House of
Delegates or the Committee on Publication to publish such paper in advance of
its appearance in The New York State Journal of Medicine.

Sec. 3. Any distinguished physician of a foreign country or a physician not
a resident of this State, who is a member of his own State Association, may
become a guest during any annual session upon the invitation of the President



678



MEDICAL SOCIETIES OF NEW YORK STATE.



or officers of the Society, and may be accorded the privilege of participating
in all the scientific work of the session.

Sec. 4. The deliberations of the Society shall be governed by .parliamentary
usage, as contained in Roberts' Rules of Order, when not in conflict with the
Constitution and By-Laws of the Society.

CHAPTER XI.— AMENDMENTS.
These By-Laws shall not be amended except by a majority vote of all the
delegates present at a meeting of the House of Delegates, nor unless ten days'
notice of the meeting and of the proposed amendment shall have been given to
each member of the House of Delegates.



PRINCIPLES OF MEDICAL ETHICS.*

PREFACE.

At the annual me6ting of the American Medical Association, held In New
Orleans, the House of Delegates unanimously adopted, on May 7, 1903, the
"Principles of Medical Ethics" recommended by its committee, and ordered
that the following extract from the report of the Special Committee on Re-
vision of the Code of Medical Ethics be printed as an explanatory preface to
these "Principles":

"The caption 'Principles of Medical Ethics' has been substituted for 'Code
of Medical Ethics.' Inasmuch as the American Medical Association may be
conceived to hold a relation to the constituent state associations analogous to
that of the United States through its constitution to the several states, the
committee deemed it wiser to formulate the principles of medical ethics
without definite reference to code or penalties. Large discretionary powers are
thus left to the respective state and territorial societies to form such codes
and establish such rules for the professional conduct of their members as they
may consider proper, provided, of course, that there shall be no infringement
of the established ethical principles of this Assosiation.
"Respectfully submitted,

"Joseph D. Bryant.

"T. J. Happel.

"Nicholas Senn.

"William H. Welch.

"E. Eliot Harris, Chairman."
The American Medical Association promulgates as a suggestive and advisory
document the following:

CHAPTER I.— THE DUTIES OF PHYSICIANS TO THEIR PATIENTS.

Section 1. Physicians should not only be ever ready to obey the calls of
the sick and the injured, but should be mindful of the high character of their
mission and of the responsibilities they must incur in the discharge of mo-
mentous duties. In their ministrations they should never forget that the
comfort, the health, and the lives of those entrusted to their care depend on
skill, attention and fidelity. In deportment they should unite tenderness,
cheerfulness and firmness, and thus Inspire all sufferers with gratitude, respect
and confidence. These observances are the more sacred because, generally, the
only tribunal to adjudge penalties for imklndness, carelessness or neglect. Is
their own conscience.

Sec. 2. Every patient committed to the charge of a physician should be
treated with attention and humanity, and reasonable Indulgence should be
granted to the caprices of the sick. Secrecy and delicacy should be strictly
observed; and the familiar and confidential Intercourse to which physicians
are admitted, in their professional visits, should be guarded with the most
scrupulous fidelity and honor.

Sec. 3. The obligation of secrecy extends beyond the period of professional



t Adopted by the Medleal Society of the State of New Vork. K*j IS. 1901.



MEDICAL SOCIETIES OF NEW YORK STATE. 679

Mrvices; none of the privacies of individual or domestic life, no Infirmity of
dispositiofl or flaw of character observed during medical attendance, should
ever be divulged by physician, except when Imperatively required by the laws
of the State. The force of the obligation of secrecy is so great that physicians
have been protected in its observance by courts of justice.

Sec. 4. Frequent visits to the sick are often requisite, since they enable
the physician to arrive at a more perfect knowledge of the disease, and to
meet promptly every change which may occur. Unnecessary visits are to be
avoided, as they give undue anxiety to the patient; but to secure the patient
against Irritating suspense and disappointment the regular and period-
ical visits of the physician should be made as nearly as posalble at the
hour when they may be reasonably expected by the patient.

Sec. 5. Ordinarily, the physician should not be forward to make gloomy
notice of dangerous manifestations to the friends of the patient; and even to
the patient, if absolutely necessary. This notice, however, is at times so
peculiarly alarming when given by the physician, that its deliverance may
often be preferably assigned to another person of good judgment.

Sec. 6. The physician should be a minister of hope and comfort to the
sick, since life may be lengthened or shortened not only by the acts but by
the words or manner of the physician, whose solemn duty is to avoid all
utterances and actions having a tendency to discourage and depress the
patient.

Sec. 7. The medical attendant ought not to abandon a patient because
deemed incurable; for continued attention may be highly useful to the
sufferer and comforting to the relatives, even in the last period of the fatal
malady, by alleviating pain and by soothing mental anguish.

Sec. 8. The opportunity which a physician has of promoting and strength-
ening the good resolutions of patients suffering under the consequences of
evil conduct ought never to be neglected. Good counsels, or even remon-
strances, will give satisfaction, not offense. If they be tactfully proffered and
evince a genuine love of virtue, accompanied by a sincere Interest in the
welfare of the person to whom they are addressed.

CHAPTER II.— THE DUTIES OF PHYSICIANS TO EACH OTHER AND TO THE PROFESSION

AT LARGE.

ARTICLE I.— DUTIES FOR THE SUPPORT OF PROFESSIONAL CHARACTER.

Section 1. Everyone on entering the profession, and thereby becoming en-
titled to full professional fellowship, incurs an obligation to uphold Its
dignity and honor, to exalt Its standing and to extend the bounds of Its
usefulness. It Is Inconsistent with the principles of medical science and it
is incompatible with honorable standing In the profession for physicians to
designate their practice as based on an exclusive dogma or a sectarian system
of medicine.

Sec. 2. The physician should observe strictly such laws as are instituted
for the government of the members of the profession; should honor the
fraternity as a body; should endeavor to promote the science and art of
medicine and should entertain a due respect for those seniors who, by their
labors, have contributed to Its advancement.

Sec. 3. Every physician should identify himself with the organized body
of his profession as represented in the community in which he resides. The
organization of local or county medical societies, where they do not exist,
should be effected, so far as practicable. Such county societies, constituting
as they do the chief element of strength in the organization of the profession,
should have the active support of their members and. should be made Instru-
ments for the cultivation of fellowship, for the exchange of professional
experience, for the advancement of medical knowledge, for the maintenance of
ethical standards, and for the promotion in general of the interests of the
profession and the welfare of the public.

Sec. 4. All county medical societies thus organized ought to place them-
selves in affiliation with their respective state associations, and these. In
turn, with the American Medical Association.

Sec. 5. There Is no profession from the members of which greater purity
of character and a higher standard of moral excellence are required tbaa



680 MEDICAL SOCIETIES OF NEW YORK STATE.

ihe medical; and to attain such eminence is a duty every physician owes alike
to the profession and to patients. It is due to the patients, as without it
their respect and confidence can not be commanded; and to the profession,
because no scientific attainments can compensate for the want of correct
moral principles.

Sec. 6. It is incumbent on physicians to be temperate in all things, for
the practice of medicine requires the unremitting exercise of a clear and
vigorous understanding; and in emergencies — for which no physician should
be unprepared— a steady hand, an acute eye and an unclouded mind are essen-
tial to the welfare and even to the life of a human being.

Sec. 7. It is incompatible with honorable standing in the profession to
resort to public advertisement or private cards inviting the attention of
persons affected with particular diseases; to promise radical cures; to publish
cases or operations in the daily prints, or to suffer such publications to be
made; to invite laymen (other than relatives who may desire to be at hand)
to be present at operations; to boast of cures and remedies; to adduce cer-
tificates of skill and success, or to employ any of the other methods of char-
latans.

Sec. 8. It is equa,lly derogatory to professional character for physicians to
hold patents for any surgical instruments or medicines; to accept rebates on
prescriptions or surgical appliances; to assist unqualified persons to evade the
legal restrictions governing the practice of medicine; or to dispense, or
promote the use of, secret medicines, for if such nostrums are of real efficacy,
any concealment regarding them is inconsistent with beneficence and profes-
sional liberality, and if mystery alone give them public notoriety, such craft
implies either disgraceful ignorance or fraudulent avarice. It is highly repre-
hensible for physicians to give certificates attesting the efficacy of secret medi-
cines, or other substances used therapeutically.

ARTICLE II.— PROFESSIONAL SERVICES OF PHYSICIANS TO EACH OTHER.

Section 1. Physicians should not, as a general rule, undertake the treat-
ment of themselves, nor of members of their family. In such circumstances
they are peculiarly dependent on each other; therefore, kind offices and profes-
sional aid should always be cheerfully and gratuitously afforded. These visits
ought not, however, to be obtrusively made, as they may give rise to embar-
rassment or interfere with that free choice on which such confidence depends.

Sec. 2. All practising physicians and their immediate family dependants are
entitled to the gratuitous services of any one or more of the physicians
i-esiding near them.

Sec. 3. When a physician is summoned from a distance to the bedside
of a colleague in easy financial circumstances, a compensation, proportionate
to traveling expenses and to the pecuniary loss entailed by absence from the
accustomed field of professional labor, should be made by the patient or rela-
tives.

Sec. 4. When more than one physician is attending another, one of the
number should take charge of the case, otherwise the concert of thought
and action so essential to wise treatment can not be assured.

Sec. 5. The affairs of life, the pursuit of health, and the various accidents
and contingencies to which a physician is peculiarly exposed sometimes require
the temporary withdrawal of this physician from daily professional labor and
the appointment of a colleague to act for a specified time. The colleague's
compliance is an act of courtesy which should always be performed with the
utmost consideration for the interest and character of the family physician.

ARTICLE III.— THE DUTIES OF PHYSICIANS IN REGARD TO CONSULTATIONS.

Section 1. The broadest dictates of humanity should be obeyed by physi-
cians whenever and wherever their services are needed to meet the emerg-
encies of disease or accident.

Sec. 2. Consultations should be promoted in difficult cases, as they con-
tribute to confidence and more enlarged views of practice.

Sec. 3. The utmost punctuality should be observed in the visits of physi-
cians when they are to hold consultations, and this is generally practicable,



MEDICAL SOCIETIES OF NEW YORK STATE. 68l

for society has been so considerate as to allow the plea for a professional
engagement to take precedence over all others.

Sec. 4. As professional engagements may sometimes cause delay in attend-
ance, the physician who first arrives should wait for a reasonable time, after
which the consultation should be considered as postponed to a new appoint-
ment.

Sec. 5. In consultations no insincerity, rivali-y or envy should be indulged;
candor, probity and all due respect should be observed toward the physician
in charge of the case.

Sec. 6. No statement nor discussion of the case should take place before
the patient or friends, except in the presence of all the physicians attending,



Online LibraryMedical Society of the State of New York (1807- )Medical directory of New York, New Jersey and Connecticut (Volume v.11) → online text (page 105 of 130)