CHARTER AND BY=LAWS OF THE JUEDICflL SOCIETY OF THE STATE OF PENNSYLVANIA. REPRINTED FROM THE TRANSACTIONS, 1895. INDEX. Addresses, 4, 8, 10, 12, 13 Adjournment, 13, 14 Amendments, 3, 13, 15 Annual Meeting, 4, 6, 10, 11 Appeals, 7, 9, 15 Appropriations, 15 Arrangements, committee on, 9, 10, 11, 12 Assessment, 4, 7, 9 Assistant Secretary, 4, 8 Auditing, 9, 10, 11 Board of Trustees, 1, 4,10,11,15 Bond of Treasurer, 9 By-Laws, 3, 8, 9, 15 Censorial Districts, 7 Censors, 4, 5, 6, 7, 8, 9, 12 Censure, 7, 9, 10 Certificates, 4, 5, 6 Chairmen of Committees, 4, 9, 10, 11, 12, 15 Charter, 1, 8 Code of Ethics, 4, 6, 9, 10 Committee Auditing, 9, 10, 11 on arrangements and credentials, 9, 10, 11, 12, 13 on nominations, 10, 11, 12, 15 on pharmacy, 10, 11 on publication, 8, 9, 10, 11, 12, 15 on scientific business, 11 Committees, 4, 8, 9, 10, 12, Corporation, 1 Council, Judicial, 4, 10 County Societies, 2, 4, 5, G, 7, 8, 9, 10 Credentials, 4, 5, G, 7, 8, 10, 11, 12 Delegates, 4, 5, 6, 7, 8, 10, 11, 12 Disbursements, 9, 10, 15 Discussions, 5, 10, 12, 13, 14, 15 Duties of Officers, 8 Elections, 2, 4, 8 Ethics, 4, 7, 9, 10 Expenses, 10, 15 Expulsion, G, 7, 9, 10 Funds, 4, 9 Hygiene, address in, 8 Judicial Council, 4, 9,10 Laryngology, address in, 8 Lists, 6, 10 Medicine, address in, 8 Meetings, 4, 7, 10, 12, 13, 15 Membership, 3, 4, 5, G, 7, 13 Mental Disoiders, address in, 8 Minutes, 8, 9, 10, 13, 14 Motions, 13, 14 1 Name, 1, 3 Nominations, committee on, 10, 11, 12 Notices, 6, 8, 9 Obituary, notices, 6 Object of Society, 1, 3 Obstetrics, address in, 8 Officers, 4, 5, 8, 11 Ophthalmology, address in, 8 Order of Business, 12, 13 Order, rules of, 8, 9, 12, 13, 14, 15 Organization, 1, 5, 6 Otology, address in, 8 Papers, 8, 10, 12, 13 Patents, 5, 12 Permanent Members, 4, 5, 7 Pharmacy, committee on, 10, 11 Place of Meeting, 5, 11 President, 4, 8, 9, 10, 12, 13, 14, 15 Programme, 10, 11, 13 Protests, 10 Proprietary Remedies, 5, 12 Quorum, 15 Reconsideration, 14 Register of Delegates, 4, 5, 10,13 Report of Committees, 10, 11, 12 of county societies, 6, 10 of delegates, 11 Representation, Basis of 6, 7 Rules of Order, 5, 8, 9, 12, 13, 14, 15 Salaries, 15 Scientific Business, Committee on, 11 Secretary, 4, 8, 9, 10, 11, 15 Surgery, address in, 8 Suspension, 6, 7, 9, 10 Time of Meeting, 4, 15 Title, 3 Transactions, 7, 8, 9,10, 11, 12 Treasurer, 4, G, 8, 9, 10,11, 12, 15 Trustees, 1, 2, 4, 9, 10, 11, 15 Vacancies, 11, 12 Vice-Presidents, 4, 8, 12 Visitors, 5, 13 Voluntary Papers, 13 Vouchers, 9 Welcome, address of, 13 Yeas and Nays, 14 CHARTER OF THE Medical Society of the State of Pennsylvania. To the Honorable, the Judges of the Court of Common Pleas of Philadelphia County, Pennsylvania: In compliance with the requirements of an Act of the General Assem- bly of the Commonwealth of Pennsylvania, entitled " An Act to Provide for the Incorporation and Regulation of Certain Corporations,' ' approved the twenty-ninth day of April, A. D. 1874, and the supplements thereto, the undersigned, all of whom are citizens of Pennsylvania, having associ- ated themselves together with others hereinafter named, for the purpose hereinafter specified, and desiring that they may be incorporated accord- ing to law, do hereby certify : First. The name of the proposed corporation is the Medical Society of the State of Pennsylvania. Second. The said Corporation is formed for the purpose of organizing the medical profession in the State of Pennsylvania, and advancing medi- cal science. Third. The business of the said Corporation is to be transacted in the city of Philadelphia. Fourth. Said Corporation is to exist perpetually. Fifth. The names and residences of the corporators are as follows: Charles W. Dulles, M. D., Philadelphia ; John H. Packard, M. D., Phila- delphia ; John B. Roberts, M. D., Philadelphia ; J. B. Murdoch, M. D., Pittsburg; Alexander Craig, M. D., Columbia; William B. Atkinson, M. D., Philadelphia; Horatio C. Wood, M. D., Philadelphia; John T. Car- penter, M. D., Pottsvile ; E. A. Wood, M. D., Pittsburg ; A. M. Miller, M. D., Bird-in-hand; W. T. Bishop, M. D., Harrisburg; Traill Green, M.D., Easton ; S. S. Schultz, M. D., Danville; and John Curwen, M. D., War- ren, all of the State of Pennsylvania. Sixth. The number of Trustees of said Corporation is fixed at nine, and the names and residences of those who are chosen as Trustees are as fol- lows : H. C. Wood, M. D., Philadelphia ; John T. Carpenter, M. D., Potts- ville; E. A. Wood, M. D., Pittsburg; A. M. Miller, M. D., Bird-in-Hand; 2 CHARTER. W. T. Bishop, M. D., Harrisburg; Traill Green, M. D., Easton; S. S. Schultz, M. D., Danville; John H. Packard, M. D., Philadelphia; and John Curwen, M. D., Warren. Seventh. At the next annual election for Trustees of the Corporation three Trustees shall be elected to serve for the term of one year, three others to serve for the term of two years, and three others to serve for the term of three years; and thereafter, annually, three Trustees shall be elected to serve for the term of three years, in the place of those whose terms expire. Witness our hands and seals this twenty-sixth day of November, A. D. 1890. CHARLES W. DULLES, [seal.] JOHN H. PACKARD, [seal.] JOHN B. ROBERTS, [seal.] H. C. WOOD, [seal.] W. B. ATKINSON. [seal.] Commonwealth of Pennsylvania, County of Philadelphia, ss.: Before me, the subscriber, Recorder of Deeds of said County, person- ally appeared, Charles W. Dulles, John H. Packard, and John B. Rob- erts, three of the subscribers to the above and foregoing Certificate of In- corporation of the Medical Society of the State of Pennsylvania, and in due form of law acknowledged the same to be their act and deed. Witness my hand and official seal, this twenty-sixth day of November, A. D. 1890. [SEAL.] JOS. K. FLETCHER, Deputy Recorder. County of Philadelphia, ss.: Filed in the office of the Prothonotary of the Court of Common Pleas, in and for said County, this twenty-sixth day of November, A. D. 1890. JAS. W. FLETCHER, Deputy Prothonotary. DECREE. In the Court of Common Pleas, No. f, for Philadelphia County : In the matter of the incorporation of the " Medical Society of the State of Pennsylvania." And now, to wit, this twentieth day of December, A. D. 1890, the within Certificate of Incorporation having been on file in the office of the Prothonotary of the said Court since the twenty-sixth day of November, A. D. 1890, the day on which publication of notice of intended applica- tion was first made, as appears from the entry thereon, and due proof of said publication having been presented to me, I do hereby certify that I BY-LAWS. 3 have perused and examined said instrument, and find the same to be in proper form and within the purposes named in the first class of Corpora- tions specified in Section 2 of the Act of April 29, 1874, and that said pur- poses are lawful and not injurious to the community. It is therefore or- dered and decreed that the said charter be approved and is hereby ap- proved, and upon the recording of the said charter and its endorsements, and this decree, in the office of the Recorder of Deeds in and for said County, which is now hereby directed, the subscribers thereto and their associates shall thenceforth be a Corporation for the purposes and upon the terms and under the name therein stated. [seal.] M. RUSSELL THAYER, President Judge. Recorded in the Office for Recording of Deeds in and for the City and County of Philadelphia, in Charter-book No. 16, page 507, etc. Witness my hand and seal of office this twentieth day of December, A. D. 1890. [SEAL.] GEO. G. PIERIE, Recorder of Deeds. BY-LAWS. Article I.-Title. This Society shall be known by the name and title of " The Medical Society of the State of Pennsylvania." Article II.-Objects. The objects of this Society are : The organization of the medical pro- fession in the State of Pennsylvania ; the advancement of medical science; the extension of medical knowledge; the elevation of professional char- acter ; the protection of professional interests ; the promotion of all meas- ures calculated to prevent or relieve suffering, to cure disease, to prolong life, and thus to render the medical profession most useful to the public and subservient to the welfare of the community. Article III.-Membership. This Society shall consist of delegates from the various county medical societies within the State of Pennsylvania entitled to representation, and of permanent members. 4 BY-LAWS. Article IV.-Officers, and Terms of Office. Section 1. The officers of this Society shall be a President, a First Vice- President, a Second Vice-President, a Third Vice-President, a Fourth Vice-President, a Secretary, an Assistant Secretary, a Treasurer, and as many Censors as they are county organizations represented in this So- ciety, who shall be elected at the annual meeting for a term of one year ; and a Board of Trustees who shall also be the Judicial Council, consisting of nine members, three of whom shall be elected at each annual meeting for a term of three years. All officers shall be elected by ballot, and shall serve until their successors are chosen. Sec. 2. None but delegates and permanent members in actual attend- ance shall be eligible to the offices of President, Vice-Presidents, Secre- taries, or to serve as delegates from this Society ; but permanent mem- bers, not present, may be chosen Censors, or to serve in the Board of Trustees or on the Judicial Council, or to deliver the annual addresses, or to serve upon committees. Article V.-Meetings. The Society shall hold an annual meeting on the third Tuesday of May at such place as may be determined upon from year to year. Article VI.-Funds. Funds for defraying the expenses of this Society shall be raised by an annual assessment on each county society, which assessment shall be in proportion to the number of delegates to which each Society is entitled. Article VII.-Code of Ethics. The code of ethics of the American Medical Association shall be bind- ing on all members of this Society, and on the respective county medical societies. Article VIII.-Delegates, Permanent Members, and Members by Invitation. Section 1. The delegates to this Society shall receive their appointment from the various county medical societies entitled to representation in the State of Pennsylvania. All officers of this Society, all members ap- pointed to deliver annual addresses, and chairmen of all committees, hav- ing reports to present, shall be delegates ex-officio. Sec. 2. Before admission to a seat in this Society each delegate shall produce a certificate of delegation, signed by the president or secretary of the county society of which he is a member, and be enrolled as a dele- gate. BY-LAWS. 5 Sec. 3. Every delegate shall hold his appointment for one year, or until his successor is elected. Sec. 4. Every member of a county society having once served as a del- egate shall thereafter be a permanent member of this Society so long as he conforms to all its rules and regulations, and is a member in good standing of a county society entitled to representation herein. A perma- nent member (not a delegate), before admission to a seat at the sessions of this body, shall present a certificate, signed by the Secretary of the county society to which he belongs, setting fbrth the above facts, be reg- istered, and have complied with all the requirements pertaining to a del- egate. Sec. 5. Permanent members, duly registered and present at a meeting, shall be entitled to all the privileges of delegates. Sec. 6. Delegates to this Society from any State society entitled to rep- resentation in the American Medical Association shall, by presenting cer- tificates of delegation duly signed, be entitled to seats and to participate in the scientific business of the Society. They shall not be entitled to vote, to hold office, or to permanent membership. Sec. 7. Any physician of reputable standing, after a written introduc- tion from, and being vouched for by, at least two members present, may, by vote of the Society, be accorded the privilege of participating in the scientific discussions. Article IX.-Organization and Membership of County Societies. Section 1. It shall be the privilege of members of the medical profes- sion residing in any county of this State to organize a county medical so- ciety ; provided, that public notice of the meeting for that purpose be given, and that all regular physicians in good standing residing in the county be invited to join therein. Such society may elect its own officers, and adopt any rule or set of rules for its government that does not con- travene those of this Society. Provided, also, that in any county where no society exists the members of the profession in such county shall have the privilege of uniting with the society of an adjoining county; which membership shall continue only during the time that no organized society exists in the county in which such persons reside. If, however, it is more convenient for a physician residing in one county to attend the meetings of an adjoining county society, he may, with the consent of the Censors of the appropriate district or districts, become a member of such society. Sec. 2. No one shall be admitted to membership in a county society who is not a legal practitioner, and is not of good moral and professional standing. Sec. 3. Any physician who shall procure a patent for a remedy or an instrument of surgery, or who sells or deals in patented remedies or nos- 6 BY-LAWS. trums, or who shall give a certificate in favor of a patented or proprietary remedy or patented instrument, or who shall enter into an agreement with an apothecary to receive any compensation or patronage for sending prescriptions to that apothecary, shall be disqualified from becoming or remaining a member of a county society. Article X.-Privileges and Requirements of County Societies. Section 1. As soon as a county society is organized, the secretary thereof shall transmit to the censors of the district in which said society is comprised, two copies of its rules and regulations, with the names of the officers and members; and as soon as one of these copies is returned with the approval of the Censors, or a majority of them, the society shall be and is hereby authorized to elect one delegate to this Society for every five of its members, and an additional delegate when the society contains three members more than five or any multiple of five. If, however, any society should not contain five members, it shall be entitled to one dele- gate. Sec. 2. At least two weeks before each annual meeting of this Society, the secretary of each county society shall forward to the Secretary of this Society a certified list of the officers and members of the society and of the delegates elected to attend the meeting of the State Society. Sec. 3. Each county society shall report annually to this Society a list of its officers and members, all new rules which have been adopted, and such other matters as may be deemed interesting. Brief notices shall also be given of its members who have died during the year. Sec. 4. Should any annual report from a county society exceed three pages of foolscap, or its equivalent, it shall be accompanied by a brief abstract of the same, which only may be read before this Society. Sec. 5. In case of failure on the part of any county society to report its membership at the annual meeting of this Society, its representation and the assessment provided for in Article VI, shall be based upon the last published report of said county society. Sec. 6. Each county society shall remit to the Treasurer of this Society the amount of its annual assessment within thirty days after receiving no- tice thereof. Until this indebtedness is liquidated no county society shall be entitled to its quota of the published Transactions, or to representation in the State Society. Sec. 7. Every county society shall enforce upon its members the ob- servance of the code of ethics of the American Medical Association, and shall be authorized to censure, suspend, or expel any member duly con- victed of violating any provisions of the code, or found guilty of any un- professional conduct. BY-LAWS. 7 Sec. 8. Any member of a county society who is censured, suspended, or expelled, shall have the right to appeal to the Censors of the district in which said society is comprised; this appeal, however, must be made within three months after the date of the act of censure, suspension, or expulsion. The decision of the Censors in the matter shall be reported to this Society at its next annual meeting for final adjudication, and any county society refusing to obey or abide by the decision of the State So- ciety shall lose the right to representation in it; Sec. 9. If any county society shall neglect or refuse to pay its annual assessment, or to investigate a charge of unprofessional conduct, or of vio- lation of the code of ethics on the part of any member, and to discipline such member if found guilty, or to perform any act required by the laws of this Society, or shall commit any act which may be considered deroga- tory to the honor of the medical profession, such society shall, during its delinquency, have all its rights and privileges suspended, and its delegates shall not be entitled to register or occupy seats at the sessions of this So- ciety. Neither shall any permanent member, nor delegate ex-officio, con- nected with such society, be entitled to a seat during its delinquency. Any society having its privileges suspended for two successive years shall be dropped from the roll of societies entitled to representation herein. Sec. 10. Each county society shall hold at least two meetings each year. Article XI.-Censorial Districts. The State shall be divided into thirteen Censorial districts, and each district shall have a separate Board of Censors. This Board shall be formed by selecting one Censor from each county society in the district. The districts shall be constituted as follows: First. Philadelphia, Delaware, and Chester. Second. Bucks, Northampton, Lehigh, Carbon, Monroe, and Pike. Third. Montgomery, Berks, and Schuylkill. Fourth. Lancaster, Lebanon, Dauphin, Perry, and Snyder. Fifth. Cumberland, York, Adams, Franklin, and Fulton. Sixth. Juniata, Mifflin, Huntingdon, Blair, Cambria, Bedford, and Som- erset. Seventh. Fayette, Westmoreland, Indiana, and Armstrong. Eighth. Allegheny, Washington, and Greene. Ninth. Butler, Beaver, Lawrence, Mercer, Venango, and Clarion. Tenth. Erie, Crawford, Warren, Jefferson, Forest, Elk, McKean, Pot- ter, and Cameron. Eleventh. Clearfield, Centre,Clinton, Tioga, Lycoming, Northumberland, and Union. ♦ Twelfth. Montour, Columbia, Luzerne, and Sullivan. Thirteenth. Bradford, Wyoming, Susquehanna, and Wayne. 8 BY-LAWS. Article XII.-Duties of Officers. Section 1. The President shall preside at the meetings of the Society, preserve order, perform such other duties as custom and parliamentary usage require, and deliver an annual address. He shall appoint all committees, unless it be otherwise ordered by the rules or a vote of the Society, and shall be ex-officio a member ot all committees. He shall not be eligible to the office two terms in succession. The incoming President, at each annual meeting, or as soon thereafter as practicable, shall appoint a member to deliver, at the next meeting, an Address in Medicine; another, an Address in Surgery; another, an Ad- dress in Obstetrics ; another, an Address in Hygiene ; another, an Address in Mental Disorders; and another, an Address in either Ophthalmology, Otology, or Laryngology. He shall also make the necessary appoint- ments to all standing committees for the succeeding year. Sec. 2. One of the Vice-Presidents shall, at the request of the President, or in his absence, officiate in his place. Sec. 3. The Secretary shall keep correct minutes of the proceedings of the Society, and, when approved, transcribe them into a book to be kept for that purpose. He shall have charge of the book containing the Char- ter and By-laws (a copy of which he shall have at every meeting of the Society) and of the minute book, all papers, documents, etc., belonging to the Society, other than those pertaining to the Treasurer, or the Com- mittee on Publication, and shall keep them during the interval of the meetings of the Society. Within ten days after adjournment he shall fur- nish the Committee on Publication with a correct copy of the minutes for publication in the volume of Transactions. He shall notify all mem- bers of committees of their appointment, and request an answer in writing in regard to acceptance. He shall furnish the chairman of every special committee with the names of his associates on the committee, and with a copy of the resolution or resolutions under which the committee was ap- pointed. He shall forward credentials to members elected delegates to the American Medical Association, and to all other societies. He shall give notice of the annual meetings of this Society one month in advance, through such medical journals published in the State as shall be desig- nated by the Committee on Publication, and shall perform such other duties appertaining to his office as may from time to time be required. Sec. 4. The Assistant Secretary shall assist in all the duties of the Sec- retary during the meetings of the Society, and officiate in case of absence of the latter officer. Sec. 5. The Treasurer shall, as soon as the expenses of the Society can be determined, apportion the annual assessments upon the various county societies, according to Article VI. of the By-laws, and notify each society BY-LAWS. 9 of the amount of its indebtedness. He shall forward to every county so- ciety that has complied with Section 6, Article X., of the By-laws, its quota of the Transactions. He shall collect and receive all money due to the Society, and disburse the same only upon orders authorized by the Society, signed by the President and Secretary, when the Society is in session, and when not in session, by the Committee on Publication ; and these orders shall be vouchers for his expenditures. At or immediately before each annual meeting, he shall submit his accounts to the Auditing Committee for audit, and shall annually present a statement of the finances of the Society. Prior to each meeting he shall furnish the Com- mittee on Arrangements and Credentials with the list of names of county societies, if any, whose delegates are not entitled to register, according to Article X., Sec. 6 and Sec. 9, of the By-laws. He shall furnish a bond, as required by law, in the sum of $1000, for the faithful performance of his duties. Sec. 6. The Censors of each district shall examine the rules and regu- lations of every newly organized county society therein, and, if they find nothing in said rules and regulations contrary to the letter and spirit of those of this Society, they shall endorse on each of the two copies thereof the word "Approved," with their signatures, and the date of their ap- proval, and transmit one copy to the secretary of the county society, and the other to the Secretary of this Society. They shall inquire into the merits of every case of appeal from the decision of a county society by a member who has been censured, suspended, or expelled-provided, the appeal be made according to Article X., Sec. 8, of the By-laws-and re- port in writing their decision thereon to the county society, and also to this Society at the following meeting. They shall consider and dispose of, in like manner, all questions affecting the code of ethics which may be re- ferred to them either by a county society or by this Society. The decision of the Censors in every case must be signed by a majority of the Board. Sec. 7. The Trustees acting as the Judicial Council shall take cogni- nizance of, and decide upon all questions of an ethical or judicial char- acter that may be referred to it by this Society. All questions of a per- sonal character, including complaints and protests, and all questions on credentials, shall be referred at once, without discussion, to the Judicial Council. Every decision of the Council shall be in writing, signed by a majority of the members present, be reported to this Society at the earliest practical moment, and shall be final. The Council shall preserve perma- nent records of all its proceedings. Articee XIII.-Committees. Section 1. All special and standing committees, except when otherwise ordered by the rules or a vote of this Society, shall be appointed by the 10 BY-LAWS. presiding officer, subject to the approval of the Society. The following standing committees shall be appointed annually: (1) A Committee on Arrangements and Credentials. (2) A Committee on Publication. (3) A Committee on Nominations. (4) An Auditing Committee. (5) A Committee on Pharmacy. Sec. 2. The Committee on Arrangements and Credentials shall consist of seven members. Its chairman shall be a member of the county society in which county the next annual meeting of this Society is to be held, and shall be appointed by the Committee on Nominations, subject to the approval of this Society. The right to appoint the other six members of the committee may, by vote of this Society, be delegated to the aforesaid county society. This committee shall, in conduction with the Committee on Publication, one month in advance of each annual meeting, prepare a complete programme for the entire session, and have printed as many copies of the same as may be deemed requisite ; and the joint committee shall examine all papers referred to it for a place on the programme, and shall have authority to exclude such as it may deem inexpedient to be read before the Society. It shall make all other necessary arrangements for the meeting, and superintend the registration of delegates and per- manent members. It shall render to the Publication Committee a report of its proceedings within one week after adjournment of the annual meet- ing. It shall exclude from the assembly hall during the annual meeting all secular matters, such as pamphlets, descriptions of exhibits, etc. Sec. 3. The Committee on Publication shall consist of six members, appointed by the Committee on Nominations, subject to the approval of the Society, with the Secretary and Treasurer as ex-officio members. It shall be the duty of this committee to supervise the printing, publication, and binding of the proceedings of the Society into a volume to be styled the Transactions of the Medical Society of the State of Pennsylvania. This volume shall contain the minutes of the business proceedings of the an- nual meeting, reports of committees and of county societies, addresses, and the scientific papers, with the discussions thereon, subject to the dis- cretion of the committee; provided, however, that no decided change or abbreviation of any scientific communication shall be made without the consent of the author. The volume shall also contain a list of the vari- ous county societies, with the names of their officers and members, a carefully prepared index shall be added to the volume. The committee shall report annually. Sec. 4. The Committee on Nominations shall be formed in the follow- ing manner: Immediately after adjournment of the morning session of the first day of the annual meeting, the delegation of each county society BY-LAWS. 11 shall be called together, and shall, by a majority vote, select one mem- ber for the committee; anti the members thus selected by the various del- egations present, shall constitute the Committee on Nominations. The committee shall organize by electing a chairman and secretary. It shall be the duty of this committee to nominate Trustees and candidates for the various offices of the Society, a chairman for the Committee on Ar- rangements and Credentials, a chairman and members for the Committee on Publication, delegates to the American Medical Association, and to State medical societies. The committee shall also determine the place of the next meeting of this Society. It shall report as the first item of bus- iness at the afternoon session of the second day of the meeting. Sec. 5. An Auditing Committee, consisting of three members, shall be appointed by the President, to audit the Treasurer's accounts. Sec. 6. The Committee on Pharmacy, appointed by the President, shall consist of five members, whose duty it shall be to consider all mat- ters pertaining to pharmacy, referred to it by the Society; and the com- mittee shall be and is hereby empowered to represent this Society in con- ference with a similar committee appointed annually by the Pennsylvania Pharmaceutical Association. It shall report annually the result of the labor of the joint committees. Sec. 7. A committee of five shall be appointed by the President to be called the Committee on Scientific Business; one member to serve for one year, and one for two years, one for three years, one for four years, and one for five years; and annually thereafter the President shall ap- point one member to serve five years, and as many as may be necessary to fill any vacancies for the unexpired portion of the term of each. It shall be the duty of this committee to prepare and arrange the programme of scientific papers and discussions, and to furnish a copy of the same to the Committee of Arrangements thirty days before the holding of each meeting. Sec. 8. All reports of committees shall be in writing, signed by a ma- jority of the members thereof, or by the chairman only, when so author- ized by the committee. Article XIV.-Delegates from this Society. Section 1. Delegates to the American Medical Association, and to the several State Societies, shall be appointed annually by the Committee on Nominations. No delegate shall be sent to any State medical organiza- tion which is not entitled to representation in the American Medical As- sociation. Sec. 2. Each delegation shall report briefly, in writing, to this Society each year, such items of general interest as may have claimed the atten- tion of the societies to which they were respectively delegated. 12 BY-LAWS. Sec. 3. Should any delegate find that he shall not be able to attend to the duties belonging to his appointment, he shall promptly notify the President of this Society of the fact, who, in conjunction with the Censors of the district to which the delegate belongs, shall appoint another mem- ber to fill his place. Article XV.-Addresses, Papers and Discussions. Section 1. No annual address, except that of the President, shall ex- ceed in its delivery thirty minutes. Sec. 2. No scientific paper presented to this Society shall exceed in its delivery twenty minutes. Sec. 3. In discussion no member shall be permitted to speak longer than*ten minutes, nor a second time on the same communication, except in the case of a member presenting said communication, who shall be en- titled to fifteen minutes in closing the debate. Provided, however, that a member may be permitted to speak a second time, by a majority vote of the Society. Sec. 4. It shall be the duty of every member who proposes to present a scientific paper to the Society to forward the title of the same, together with a brief abstract thereof, to the chairman of the Committee on Arrange- ments and Credentials at least one month previous to the annual meeting at which the paper is to be read. Sec. 5. All addresses and papers presented to the Society shall be placed in the hands of the Committee on Publication within ten days after ad- journment. The insertion in the Transactions of any communication re- ceived after that time shall be optional with the committee. Sec. 6. Authors of papers are required to return proofs to the chairman of the Committee on Publication within two days after receiving the same ; otherwise such papers may be omitted from the volume. Sec. 7. The Committee on Publication shall have full discretionary power to omit from the volume of Transactions any paper or discussion that may be referred to it by the Society, unless specially instructed to the contrary by vote of the Society. It also shall have power to direct the condensation of all papers, discussions, or reports of county societies, within such limits as it may specify. Sec. 8. The Committee on Publication is authorized to omit from the volume of Transactions any paper or part of a paper which contains an apparent advertisement of any patent or proprietary appliance, remedy, or article of diet. Article XVI.-Order of Business. Section 1. The meeting shall be called to order at the appointed hour by the President, or, in his absence, by one of the Vice-Presidents. In BY-LAWS. 13 case neither of these officers is present, a chairman pro tempore shall be appointed. The order of business shall then continue as follows : (1) Presentation of register of delegates, permanent members, and mem- bers by invitation. (2) Address of welcome, followed by the presentation of the programme of the meeting, prepared by the Committee on Arrangements and Cre- dentials. Sec. 2. The programme, when adopted, shall constitute thereafter the order of business ; and it cannot be changed nor suspended, except for a definite purpose, a limited time, and by an affirmative vote of two-thirds of the members present. Sec. 3. The first item of business upon the programme for each morn- ing session, after the first day, shall be reading the minutes of the preced- ing day. Unfinished business and new business shall be among the last items for consideration each morning and afternoon session. Sec. 4. Any member not ready to respond when his name is called shall forfeit his position on the programme. Sec. 5. All forfeited privileges, and all other matters unavoidably post- poned, shall come under the head of unfinished business. Sec. 6. All volunteer papers, reports, etc., not upon the programme, shall come under the head of new business. Sec. 7. Sections 2, 4, 5 and 6, of this Article, shall be printed on the programme of each annual meeting. Article XVII.-Rules of Order. 1. No question shall be open for discussion, except when brought for- ward by a motion duly made and seconded, and distinctly stated by the presiding officer. 2. Every motion shall be reduced to writing by the mover, when sore- quested by the presiding officer or any member. 3. The President or any member may call for the division of a question, provided it comprehends more than one distinct proposition. A motion, however, to commit with instructions, or to strike out and insert, shall be deemed indivisible. 4. While a question is under consideration no other motion shall be entertained, except to adjourn, for the orders of the day, to lay on the table, for the previous question, to postpone to a certain time, to refer to a committee, to amend, to postpone indefinitely ; which several motions shall have precedence in the order in which they are named. But in order to present any motion a member must first obtain the floor. 5. A motion to amend an amendment is in order, but not to amend an amendment to the amendment. 14 BY-LAWS. 6. A motion substituting a different motion on the same subject for the one under consideration shall have the same rank, in order of precedence, as a motion to amend. 7. A motion for adjournment shall always be in order, except when the Society is voting on a question, or while a member is speaking. 8. Motions for the previous question, to lay on the table, to take from the table, and for adjournment, shall always be put without debate. 9. The yeas and nays shall be called on a question when demanded by one-fourth of the members present at the meeting; and the vote shall be recorded upon the minutes. When the yeas and nays are taken the President shall vote last. 10. When a motion has once been acted upon by the Society it can- not be considered again at the same session, except by a motion to re- consider. 11. No question shall be reconsidered except upon a motion, made and seconded by two members who voted with the majority when the ques- tion was decided; and unless submitted at the same session at which the vote was taken. 12. The mover, with the consent of the seconder, may withdraw any motion previous to its amendment or commitment, or to the question upon its final passage being put; but such action shall not preclude any other member from renewing the same motion. If withdrawn, the pro- ceedings had thereon need not appear on the minutes. 13. When a blank is to be filled, the question shall be first taken on the largest sum, greatest number, and longest time. 14. When a member speaks he shall rise, address his remarks to the presiding officer, and confine himself strictly to the question under con- sideration. 15. No member shall be interrupted while speaking, except by a call to order, or by a member to explain, which latter privilege shall be al- lowed only to a limited extent. 16. If any member in debate transgresses the rules of the Society, the President shall, or any member may, through the President, call him "to order; and he shall then immediately take his seat, unless permitted to explain and continue. 17. No member shall be allowed to speak more than twice to the same motion, except by permission of the Society ; and the second speech shall not be allowed until every member choosing to speak has spoken. The member who presents a report or resolution shall be entitled to close the discussion thereon. 18. The presiding officer shall not take part in any discussion while in the chair, but may assign his reasons for deciding a question of order. He shall decide all questions of order, subject to the right of any member BY-LAWS. 15 to appeal to the Society; in which case the member appealing shall first state his reasons for the appeal, and then the presiding officer his reasons in support of his decision, after which the question of sustaining the Chair shall be put without any further discussion. 19. In determining all questions of order not provided for in these rules, the Society hereby adopts Robert's Manual of Rules of Order as its guide. Article XVIII.-Appropriations. Section 1. Every motion directing an expenditure of funds shall appro- propriate a definite amount, or so much thereof as may be required for the purpose indicated; and all propositions to appropriate money, not accompanied by such an estimate of amount, shall be referred to the Pub- lication Committee, with authority to act. Sec. 2. The Treasurer shall pay to the Secretary, after each annual meeting at which he has been present, the sum of three hundred dollars as salary for his services for the year then ended. He shall also pay the Treasurer and the Chairman of the Committee on Publication each one hundred and fifty dollars as yearly salary, and the traveling and board- ing expenses of the Secretary and Treasurer, upon order of the Com- mittee on Publication. Article XIX.-Meetings and Quorum. Section 1. The sessions of the Society shall be held annually on the third Tuesday in May, and each session shall continue for three days, or longer if required by the business of the Society. Sec. 2. For transaction of the ordinary business of the Society twenty members shall be a quorum ; but for scientific or literary purposes, unless an actual count be called for, a quorum shall always be presumed. For amending the Constitution or By-laws forty members shall constitute a quorum. Sec. 3. The President, at the request of five members of the Board of Trustees, shall call a special meeting of the Society. Article XX.-Amendments. Propositions for amending these By-laws must be in writing, and signed by at least five members. Such propositions must be read at an annual meeting, be printed as a part of the minutes, and lie over until the follow- ing annual meeting for action, when they may be enacted by an affirma- tive vote of two-thirds of the members present and voting.