REGULATIONS AND SYSTEM OF ETHICS OF THE WASHINGTON: S. ^ fi.. p. J'OL.KINHORN, ^RINTERS, 1875. Officers of t\t ffUbital Association FOR 1875,-76. S. C. BUSEY, M. D.,..................President. F. A. ASHFORD, M. D.,......Vice President. Z. T. SOWERS, M. D.,................Secretary. G. L. MAGRUDER, M. D.,.........Treasurer. COUNSELLORS. D. R. HAGNER, M. D. JOHNSON ELIOT, M. D. A. F. A. KING, M. D. N. S. LINCOLN, M. D. ARMISTEAD PETER, M. D. CENSORS. J. W. II. LOVEJOY, M. D. J. M. TONER, M. D. C. H. A. KLEINSCHMIDT, M. D. EX-PRESIDENTS. FREDERICK MAY, M. D., elected January, 1833. ALEXANDER McWILLIAMS. M. D., elected February 8; 1847 WILLIAM JONES, M. D., elected May 7, 1850. JOSHUA RILEY, M. D., elected May 13, 1858. NOBLE YOUNG, M. D., elected April 7, 1868. J. W. H. LOVEJOY, M. D., elected April 5, 1870. ♦ THOMAS MILLER, M. D., elected April 1, 1873. F. HOWARD, M. D., elected October 7, 1873. I REGULATIONS. 1. The meetings of this Association shall be held semi-annually on the first Tuesday in April and October, at 8 o'clock P. M., at such place within the city of Washington as may be designated by the President, and on its own adjournment. At each meeting, any number not less than ten shall consti- tute a quorum. 2. The officers of this Association shall consist of a President, Vice-Presi- dent, Secretary, Treasurer, and five Counsellors, who shall constitute a stand- ing committee for the purposes hereafter mentioned, and who shall be elected by ballot by a majority of the members present at the statedjmeeting in April in each year. S. The President shall preside at all meetings of the Association and of the Standing Committee. In his absence, the Vice-President shall have all his powers, and preside ; and in the absence of the latter officer, a chairman shall be.chosen from the members present. 4. The Secretary shall keep a record of the proceedings of the Association and of those of the Standing Committee. He shall give notice (by order of the President) of both stated and special meetings of the Association, by ad- vertising the same at least three times in one of the public newspapers, and shall send a written or printed notiae of all meetings of the Standing Commit- tee to each of its members- The Treasurer shall collect all assessments, and disburse the same on the certificate of the officer or officers, expending the amounts by authority of the Association ; and at the stated meetings in April and October, he shall render to the Association an account of all the funds received, with the vouchers for his disbursements. 5. It shall be the duty of the Standing Committee to attend to and decide on all matters which regard the honor and interest of the Association, and especially all infringements of its regulations, which may come to their knowl- edge, and to require special meetings of the Association when they may think proper. In all cases, however, an appeal may be made from the decision of the Committee to the Association. This Committee may fill any vacancy in the number of counsellors or in the office of Secretary until the next stated meeting of the Association. 6. Should the Standing Committee find any member guilty of a willful viola- tion of the rules of this Association, they shall immediately call a special meeting of the Association, to whom they shall report their decision, with the facts and the evidence adduced; and should such decision be confirmed by two-thirds of the members present, the person accused shall be subject to such penalty as may be determined by a majority of the Association. 7. The Standing Committee shall assess the amount required for the contin- gent expenses of the Association equally upon all the members; Provided, the amount of such assessments shall in no one year exceed the sum of two dol- lars ; and if any one shall refuse or neglect for the period of two years to pay his assessment, his connection with the Association shall thereupon cease, and the Secretary shall inform the members of the same by a circular note. 8. The Standing Committee shall, at the stated meetings in April and Octo- ber, submit to the Association all their acts and proceedings during the pre- ceding half year, if required. 4 First visit or prescription..................................................... $2 to $5 Each subsequent visit.......................................................... 2 ' 3 First consultation visit......................................................... 5 " 10 Each subsequent consultation visit......................................... 3 ' 5 The attending physician is entitled for each meeting................. 3 5 Visit at night, (night is understood to commence at 10 p. m. and end at 8 a.m.,)............................................................ 5 " 10 Advice at night at physician's house..................................... 3 *' 5 Visiting out of the city, in addition to the usual fee for the visit, for every mile from the center of the city......................... 2 Detention in any case at patient's house................................ 5 " 10 Visiting at an hour specified by the patient, the usual consultation fee. All cases of small-pox, for each visit...................................... 3 •■ 5 Cases of midwifery, natural................................................ 15 " 30 " " preternatural.........-................................. 30 " 200 Extracting placentia alone.....................*............................. 10 " 15 (Allobstetrical services Cash.) For every necessary subsequent visit in cases of midwifery after the fifth day, the usual fee for visits. Capital operations, as for example, amputating large limbs, litho- tomy, trepanning, excision of large tumors, operation for strangulated hernia, for aneurism, extirpation of cancerous breast, ligation of large arteries, &c.............................. 50 " 300 Important operations on the eye........................................... 50 *• 300 Minor operations on the eye................................................. 5 " 20 Extraction of foreign bodies from eye.................................... 5 '• 15 Operation for piles............................................................. 25 " 200 Tracheotomy...................................................................... 30 '* 100 Operation for sub-cutaneous tenotomy................................... 20 " 100 Operation for hare-lip.......................................................... 20 •• 100 Each subsequent dressing, at the usual rates for dressing wounds. Reduction of strangulated hernia.......................................... 20 " 50 Paracentesis abdominis....................................................... 15 " 50 Operation for hydrocele...................................................... 15 " 30 '* " '* radical cure....................................... 20 " 50 Operation for fistula in ano................................................. 25 " 50 Each subsequent dressing, at the usual rates for dressing wounds. Extirpation of polypus........................................................ 10 " 30 " " tumors of minor importance............................ 10 " 50 " " tonsils, each............................................... 10 " 30 Amputations of fingers or toes............................................. 20 " 30 " through tarsal or metatarsal bones.................. 25 " 50 Reduction of dislocation...................................................... 20 " 50 Adjustment of fractures of long bones.................................... 15 " 30 Subsequent attendance at the ordinary rates, and each renewal of bandages or apparatus................................................... 5 " 15 5 Application of truss............................................................ $5 " $15 Passing catheter or bougie................................................... 5 " 15 Use of speculum for vagina or rectum.................................... 5 '* 15 Introduction and adjustment of pessary................................. 5 " 15 Examination of eye by ophthalmoscope.................................. 5 ** 15 Special examination of chest by auscultation and percussion...... 5 '* 15 Removing foreign bodies lodged in oesophagus........................ 5 " 15 Dressing reevnl wounds, &c, in addition to visit...................... 3 ** 10 All subsequent dressing, in addition to visit............................ 2 " 3 Opening abscess................................................................. 5 *• 15 Administering medicine by hypodermic injection...................... 3 " 5 Vaccination...................................................................... 3 Re-vaccination.... ............................................................. 2 Venesection...................................................................... 2 " 5 Case of gonorrhoea, first examination and prescription, (Cash.). 5 " 10 Each subsequent prescription, (Cash.).................................. 2 '* 5 Case of syphilis, first examination and prescription, (Cash.).... 10 " 15 Each subsequent prescription,(Cash.)................................... 3 " 5 For each assistant in surgical operations................................. 3 •' 15 For examination as experts before the courts......................... 10 '* 50 For post mortem examinations, when ordered......................... 10 '* 50 All certificates of life insurance; insanity, &c.......................... 3 " 10 Office instruction, $100 per annum ; $50 semi-annually in advance. 6 Medical practitioners of African descent who have received a license from the Board of Examiners of the Medical Society of the District of Columbia, may be exempted from the action of this regulation, and those members de- siring to do so, may consult with them so long as such practitioners continue to practice according to the received tenets and ethics of regular medical prac- tice as recognized by this Association. 17. While the privilege of selecting the consulting physician is conceded to the patient or his immediate family, nevertheless, as in consultation the good of the patient is the sole object in view, it shall be allowable for the attend- ing physician to express his preference. When a physician is called to a patient in case of emergency, in the absence of the usual medical attendant, he shall relinquish the patient to the latter. And in all such cases he shall in- quire whether the patient has a family physician. 18. All resignations of members shall be made in writing to the President, by whom they shall immediately be laid before the Standing Committee, who shall either notify each member of the Association, or call a meeting of the Association as they may think proper. 19. All propositions for repealing, altering, or amending these regulations shall be made in writing at the stated meeting in April or October, and shall be acted on at an adjourned meeting, which shall not be held for that purpose sooner than one month from the time of offering such proposition, and it shall then require the concurrence of two-thirds of the members present for its adoption. 20. The members of this Association shall consist of practitioners of medi- cine in the District of Columbia who shall have become members, or licentiates of the Medical Society of the District of Columbia. But the privilege of Con- sultation may be extended to Medical officers of the Army and Navy, without their having become members ; Provided, such officers do not engage in gene- ral practice among civilians. All applications for membership shall be made in writing to the President, who shall refer the application to a Committee of three members, which shall be elected annually as a Board of Censors. This Committee shall examine into the qualifications of the applicant, and report to the Association ; when, if he should receive on ballot the vote of two thirds of the members present, he shall be admitted to membership on signing the Regulations and Code of ethics in accordance with the twenty-second article. Persons elected shall be required to sign the written regulations within one month after election, or the election will be void. It shall be the duty of the Secretary to notify persons elected, immediately on their election, calling their attention to the necessity of signing the regula- tions. It shall be the duty of the Secretary to send a printed copy of the Regulations of the Association to every physician, upon his final settlement in the District. Medical practitioners holding clerkships in the Government offices, or en- gaged in any business not connected with the regular practice of medicine, shall not be elligible to membership in the Association, but may become Associate Members. The Associate Members shall be entitled to the benefits of Consultation, but to no other privilege of the association. Candidates for Associate Membership must be licentiates of the Medical Society of the District of Columbia, shall make application and be recommended and elected in the same manner as the members, and shall sign, within one month, the approval and pledge contained in the twenty-second article of the Regulations, of which the Secretary shall keep a copy for their signature, separate from that for members, and they shall be subject to the same liabilities, except Assessments, as the members. 21. The clergymen of the city, and all resident members of the medical profession in actual practice within it, together with their families, should be 7 attended gratuitously, except in obstetric cases; but visits should not be obtruded officiously, as such civility may give rise to embarrassments, or interfere with that unrestrained choice upon which confidence depends. 22. Every practitioner, at the time of becoming a member of this Associ- ation shall sign the following obligation, viz : "The undersigned do approve of the regulations and system of medical ethics adopted by the Medical Association of the District of Columbia, and do agree, on their honor, to comply with the same." 1 Frederick M.'iy. M. D.* 2 Alexander MeWilliams, M. D.* 3 (icorgc W. May, M. D.* 4 William Jones. M. D.* 5 Henry Hunt, M. D.* 6 Joseph Lovell. M. D.* 7 N. P. Causin, M. D.* 8 Richmond Johnson-* 9 Thomas Scwall. M. D.* 10 Thomas C. Scott, M. D.* 11 Thomas Henderson, M. D.t* -12 Harvey Lindsly, M. D. -13 N. Young, M. D. 14 Frederick Dawes, M. D.* -15 James C. Hall, M. D. 16 Thomas Miller. M. D.* -17 Joseph Borrows. M. D. 18 A.McD. Davis. M. D.* 19 W. N. Waters, M.D.t -20 H.F. Condict, M. D. 21 R. Briscoe, M- D4 22 Thomas J. Boyd, M. D.* 23 Henry Haw, M. D.t 24 William Baker, M. D.* 25 J. Waring, M. D.t 26 B.J. Miller. M. D.* 27 L.Osborne, M. D.* 28 J. M. Thomas, M. D.* 29 Robert T. Barry, M. D.t* 30 W. B. Magruder, M. D.* 31 B. King, M. D. 32 Geo. R. Clarke, M. D.t* 33 Albert Dorman, M D.* 34 Moreau Forrest, M. D.t 35 Charles McLean. M. D.t* 36 L. M. Weems, M. D.t* 37 Baily Washington, M. D.* 38 John A.Kearney, Surgeon.* 39 Charles McCormick, M. D.t -&. 40 James Hagan. M. D.t* 41 J. M. Foltz, M. D.t 42 George B. McKnight. M. D.t* 43 Samuel Jackson, M. D.t* 44 Aug. J. Schwartze, M. D.* 45 T. D. Jones.tll 46 W. Drain. M. D.t 47 John M. Roberts, M. D.* 48 B. Randall. M. D.t* 49 John M. Thomas, M. D.* 50 J. M. Munding-ll* 51 James G. Coombe, M. D4 52 Daniel Brent, M. D.* 53 Spencer Mitchell. M. D.* 54 G. M. Dove, M. D.* 55 B. J. Perry, M. D.t 56 Samuel Forry, M. D.* 57 J. B. C- Thornton. M. D.t* 58 John Frederick May. M. D. 59 Edward F. Rivinus, M. D.t 60 James A. Young, M. D.t 61 Henry Hoban. M. D.t* 62 W- R. Rose. M. D.t* 63 Flodoardo Howard, M. D. 64 AVilliam P. Johnston, M. D. _|c 65 Thomas G Clinton, M. D.*; 66 67 •68 r>.* James E. Morgan, M. D- Alfred II. Lee, M. D. Samuel E. Tyson. M. D. Robert King Stone. M.D* Joseph Walsh, M- D- Wm. H. Saunders, M. D,t* Grafton Tyler, M. D. Alex. Matthews, M. D.f IsaacS. Lauck, M. D.* Hezckiah .Magruder, M. D.* Joshua Riley, M. D.* John J. Dyer. M. D.t Benjamin S- Bohrer, M. D.* Joshua A- Ritchie, M-D. Samuel C Busev. M. D. A. W. Miller, M. 1). J. B Edelin, M. D-t Alex. S. Wotherspoon, M. D.* Alex. Y. P. Garnett, M. D. S. W. Everett, M, D.t* J. M. Austin, M. D,t* W.Gray Palmer, M. D. S. B. Blanchard. M. D. ^ J. M. Snyder, M. D.* Th. Hansman, M. D. Joseph Dunton Stewart. M. D.t Leopold Dovilliers, M. D. W. J. C. DuHamel, M. D. Richard H. Coolidge, M. D.t* J. J. Waring, M. D.t Louis Mackall, Jr.. M. D. J. M. (irymes, M. D. Lewis A. Edwards, M. D. D. R. Hagner, M. D. Charles F. Force, M. D-t H. C. Simms, M. D.t J. M. McCalla, M. D. John B. Keasby. M- D.t John Richards, M. D.* M. V. B. Bogan, M. D. J. W, II. Lovejoy, M. D. John C Riley, M. D. Wm. Marbury, M. D. W. F. Lippitt. M. D.t B. J. Hellen. M. D.* James M. Wilson, M. D.t A. J, Semmes, M. D.t ^ B. F. Craig. M. D. # J. V. D. Middlcton, M. D. John W. Stettinius, M. D,t* • 131 N. S. Lincoln, M. D. - 132 S. J. Radcliff, M. D. 133 J. M. Toner, M. D. 134 R. H. Speake, M. D.* — 135 T. Purrington, M. D. -136 John F. King, M. D. 137 Wm. H. Merry, M. D.* 138 John C- ("rayson, M. D.t 139 Wm. Butt, M. D. -140 Wm. P.Young, M. D. 141 George McCoy, M. D. 142 John G. F. Holston. M. D* 143 Thomas F.Maury, Al. D.* 144 Richard C Croggon. M. D.* "145 Frank W. Mead, M. D 146 John W. Davis, M. D.t 147 Fras. C. Christie, M. D.* 148 John L. Gibbons, M. D.t 149 H. B. Trist, M. D.t — 150 Thomas Antisell, M. D.t -151 a. P. Fen wick, M. D. -152 "Warwick Evans, M. D. 153 Josiah Adams Chamberlain, M. D.* 151 Henry E. Woodbury, M. D. 155 T. F. Joyce, M. D.H ■156 J. T. Howard, M. D. 157 Charles Allen, M. D. 158 H. H. Lowry, M. D.t 159 J. Ford Thompson, M. D. 160 S. J. Todd, M. D.* 161 C. M. Ford.M. D. 162 H. P. Middleton, M. D.* 163 S. W, Bogan, M D. v 164 Patk. A. M. Croghan.ll >*fc- 165 Samuel S- Bond, M. D. ' 166 Wm. Lee, M. D. 167 Ja.s. Phillips, M. D. 168 Carlos Carvallo, M. D.t -"169 A. F. A. King, M. D. - 170 James T. Young, M. D. 171 W. 11. Coombs, M. D; 172 J. W. Herbert, M. D. 173 W. E. Roberts, M. D. 171 Armistead Peter, M. D. 175 Bodisco Williams, M. D. * 176 Ephriam C Mcrriam, M. D. 177 James It. Reily, M. D. 178 Joseph Scholl. M. D. 179 Samuel A. Amery, M. D.t 180 Thomas W. Wise, M. D. 181 Charles McCormick. M. D.* 182 G. L, Pancoast, M. D.* 183 H. A- Robbins, M. 1). 184 Wm. Bev. Drinkard, M. D. -185 William G. H. Newman, M. D. ■186 John Wells Bulkley, M. D. 187 Adolphus Patze, M D. 188 Daniel Webster Prentiss, M. D. 189 Adajah Behrend, M. D. 190 James Otey Harris, M. D. 191 J. Harry Thompson, M. D. 192 A. J. Borland, M. D. 193 Thomas Emory, M. D.t 104 L. J. Draper, M. D. 195 Thomas C Smith, M. D, 196 S. A-IL McKim, M. D. --197 John K. Walsh, II. D. 198 Charles II. Bowcn, M. D. -199 ' Chas. M. Tree, M. D. 200 JohnC Norris, M. D.t '201 D. W. Bliss, M. D.g 202 John E. Smith, M. D.t 203 F. O'Donnoghue, M. D.t -204 F. B- Culver, M. D. 205 Rufus Choate, M. D.t -206 Louis W. Ritchie, M. D. -207 Frederic W. Ritter. M. D. 208 Robert Reyburn, M. D. 209 Richmond J. Southworth.'M. D. 210 Henry Gray, M. D. -^-2U C. II. A. Kleinschmidt, M. D. 212 Benj. Raleigh Raines. M. D. 213 James E Dexter, M. D. —'214 Andrew R- Brown, M. D.J 215 Wm. H. Whitley, M. D. * 216 D. P. Wolhaupter, M. D. -217 C. F. Nailer. M. D. ■ 218 C. V. N. Callen. M. D. 219 Geo. R.Miller, M. D* •220 F. A. Ashlbrd, M. D. -221 Otho M. Muncaster, M.J). 222 Geo. A. Fitch. M. D. -f 223 J. Lee Adams, M. D. b »"■ 224 B. Thompson, M. D. % 225 Chas. E. Hagner, M. D. 226 Valentine AleNally, M. D. 227 D. C. Patterson, M. D. 228 A. Christie. M.D. 229 Robertson Howard, M. D. 230 R. V. Aulick, M. D.* 231 J. If. McBlair, M. D. • 232 A. E. Johnson. M. D. 233 Wm. T. S. Duvall, M. D. 2-il Jos. D. Barnes, M. D. 235 J. F. Hartigan, M. D. 236 W. 0. Baldwin, M. D. 237 Howard 11. Barker, M. D. 238 J. 0. Stanton, M. D. 239 R S- L. Walsh, M D. 240 W. W- Johnston, M. D. _, 241 W. Bowie Tyler, M. D. 212 Henry A. Duncanson, M. D. -243 J F. R. Appleby, M. D. 244 George C. Sampson, M. D. 245 W. W. Potter, M. D.t 246 W. C. Briscoe, M. D. 247 Geo- H- Torrey, M D.I 248 M. Bruckheimer, M. D. 249 John Parsons, M. D. 250 G. L. Mngruder, M\ D. 251 A. McWilliam, M. D. 252 C. M. Hines, M. D. 253 J. L. Suddarth, M. D. 254 W. E. Poulton, M. D. 255 J. K. P- Gleeson, M. D. 256 Robert Farnham, M. D. - 257 Basil Norris, M. D. - 258 Smith Townsend, M. D. - 259 Joseph Taber Johnson, M. D. 260 A. Brokenbrough, M. D. -261 Wm. T.Ramsey, M. D. -262 John Stearns, M. D. 263 Robert Fletcher, M. D. 264 Sam'l B. Fisher, M. D. 265 J. H. Baxter, M. D. -266 E. W. Lattimer, M. D. -267 Win. J. Armstrong, M. D. - 268 John T. Winter, M. D. -269 Francis Salter, M. D. 270 Chas- D. Maxwell, M. D. 271 J. A. Tarkington. M. D. 272 C. M. Hammett, M. D. 273 D. S. Lamb M. D. 274 C. W. Franzoni. M. D. • 275 F. M. Gunnell, M. D. 276 C. V. Boarman, M. D. 277 Wm. V. Marmion, M. D. - 278 J. S.Beale, M.D. 279 Wm. H. Ross, M. D. - 280 Lewis E. Newton, M. D. 281 Z. T. Sowers, M. D --282 P. J. Murphy, M. D. 283 William T. Harvey, M. D. 284 J. S. McLain, M. D. 285 Thos. M. Healey, M. D. 286 W. II. Triplett, M. D. 287 Richard G. Mauss, M. D. 288 P. Glennan, M. D. 289 Robert Harris, M. D. 290 A. B. Sheckell, M. D. 9 -291 James T. Sothoron. M. D. 292 Charles Bittingcr, M. D. 293 F. D. Squires, X D. 291 G. S. Palmer. M. D. 295 J. A. McCaulev, M. D. 296 William H. Tavlor, M. D. 297 James M. Mackall, M. D. 298 K. A-Adams. M. D. 299 E. M. Sehasffcr, M. D. 300 William W. Ward, M. D. 301 David Blair, M. D. 302 J. T Coumbe, M. D. 303 A. C Adams, M. D. 304 J. A. Sladen, M. D. ,-305 G M. Kober, M. D. -306 R. M. Beall, 307 Theodore Mead, M. D. 308 J. II. Brooks, -M. D. •-309 E. A Zevely, M D. 310 H. T. Porter, M. D. 311 R. A. rage, m. D. 312 P. G. Young, M- D. 313 James M. Gassaway, M. D. 314 Wm. L. Hudson, M. D. 315 J. H. Bushnell.M. D. 316 S. B. Crew, At. D. 317 William L. Xaylor, M. D. 318 Geo. W. Offutt, M. D. 319 I). H. Hazcn, M. D. 320 John Walter, M. D. 321 Frank Hytt, M. 1). 322 T. A. R Keech, M. D. 323 S. J Wageaman, M. D. 324 John E. Brackett, M. D. 325 G. S. King. M. D. 326 P. T. Keene, M. D. 327 J. P. Richardson, M. D. 328 D. J. Kelly, M. D. Associate Members. 1 J. W. Joyce, M. D. 2 W. P. Lawver, M. D. 3 J W. Van Arnum, M. D. 4 J. L. Eliot, M. D. 5 C. F- Rand. M. D- 6 P. 11. Flood, M. D. "' gE*^ elfed +Removed from the District. JResigned- ITDropped. IILicentiate, Med. So. Note—By a,n order of the Association passed November 3,1845, gentlemen are to take rank as to seniority according to this list- ROUTINE OF BUSINESS: 1. Reading of the minutes. 2. Nomination and Election of Candidates for Membership. 3. Reports of Officers. 4. Reports of Committees. 5. Election of Officers. 6. Election of Delegates to the American Medical Association. 7. Miscellaneous Business. MEDICAL ETHICS. The Medical Association of the District of Columbia fully recognize the Code of Ethics adopted by the American Medical Association as a basis for its regulation. CONSULTATIONS. 1. Consultations should be encouraged in difficult and protracted cases, as they give rise to confidence, energy, and more enlarged views in practice. On such occasions, no rivalship or jealousy should be indulged; _ candor, jus- tice, and all due respect should be exercised towards the physician who first attended ; and, as he may he presumed to be the best acquainted with the patient and his family, he should deliver all the medical directions as agreed upon, and should be the first to propose the necessary questions to the sick ; after which the consulting physician shall have the opportunity to make such further enquiries of the patient as may be necessary to satisfy him of the true character of the disease. Before entering the chamber, the attending should give the consulting phy sician the history of the case, his treatment, and the effects thereof. During the oral and physical examination of the patient, the attending and consulting physician should mutually give strict attention to the questions asked by either, and the replies thereto. The consulting physician should propose the times of his subsequent visits, and decide upon the propriety of discontinuing his attendance ; but he is never to visit without the attending one, unless by the desire of the latter, or when (as in sudden emergency) he is not to be found. No discussion of the case should take place before the patient or his friends , and no prognostica- tions or suggestions should be delivered which are not the result of previous deliberation and concurrence. Theoretical debates, indeed, should generally be avoided in consultations, as occasioning perplexity and loss of time ; for there may be much diversity of opinion on speculative points, with perfect agreement on those modes of practice which are founded not on hypothesis, but on experience and observation. Physicians in consultation, whatever may be their private resentments or opinions of one another, should divest them- selves of all partialities, and think of nothing but what will most effectually contribute \o the relief of those under their care. All discussions and debates in consultation are to be held secret and confi- dential. Many advantages may arise from consultations between men of candor, having mutual confidence in each other's honor. A remedy may occur to one which did not occur to another; and a physician may want resolution, or confidence in his own opinion, to prescribe a powerful but precarious remedy on which, however, the life of his patient may depend ; in this case a concurrent opinion may fix his own. But when such mutual confidence is wanting, a consultation had better be declined, especially if there is reason to believe that sentiments delivered with openness are to be communicated abroad, or to the family concerned ; and if, in consequence of this, either gentleman is to be made responsible for the event. 11 The utmost punctuality should be observed in consultation visits ; and, to avoid loss of time, it will be expedient to establish the space of fifteen minutes as an allowance for delay; after which, the meeting might be considered as postponed for a new appointment. INTERFERENCES. Medicine ia a liberal profession ; the practitioners are or ought to be men of education ; and their expectations of business and employment should be founded on their degrees of qualification, not on artifice and insinuations. A certain undefinable species of assiduities and attentions, therefore, to families usually employing another, is considered as beneath the dignity of a regular practitioner, and as making a mere trade of a learned profession • and all offi- cious interferences in cases of sickness in such families evince a meanness of disposition unbecoming the character of a physician or a gentleman. No meddling inquiries should be made concerning them nor hints given relative to their nature and treatment, nor any selfish conduct pursued that may di- rectly or indirectly tend to weaken confidence in the physicians or surgeons who have the care of them. When a physician is called to a patient or family that has been under the care of another gentleman of the faculty, before any examination of the case, he should ascertain whether that gentleman understands that the patient is no longer under his care ; and unless this be the case, the second physician is not to assume the charge of the patient, nor to give his advice (excepting in instances of sudden attacks), without a regular consultation; and if such previously attending gentleman has been dismissed, or has voluntarily relin- quished the patient, his practice should be treated with candor, and justified so far as probity and truth will permit; for the want of success in the primary treatment of the disorder is no impeachment of professional skill and knowl- edge. When a physician is called to a patient in a case of sudden illness, acci- dent or injury, he should, on the arrival of the family physician, relinquish the patient to the latter, but when there is no family physician, courtesy should consign the patient to the first who arrives. It frequently happens that a physician, in incidental communications with the patients of others, or with their friends, may have their cases stated to him in so direct a manner as not to admit of his declining to pay attention to them. Under such circumstances, his observations should be delivered with the most delicate propriety and reserve. He should not interfere with the curative plans pursued, and should even recommend a steady adherence to them, if they appear to merit approbation. DIFFERENCES OF PHYSICIANS. The differences of physicians, when they end in appeals to the public gener- ally, hurt the contending parties ; but, what is of more consequence, they dis- credit the profession and expose the faculty itself to contempt and ridicule. Whenever such difference occur as may affect the honor and dignity of the profession, and cannot immediately be terminated, or do not come under the character of violation of the special rules of the Association otherwise pro- vided for, they should be referred to the arbitration of a sufficient number of members of the Association, according to the nature of the dispute ; but neither the subject matter of such references, nor the adjudication should, if it can be avoided, be communicated to the public, as they may be personally injurious to the individuals concerned, and can hardly fail to hurt the general credit of the faculty. 12 DISCOURAGEMENTS OF QUACKERY. 11. It is derogatory to the dignity of the profession to resort to public advertis- ments, or private cards, or handbills, inviting the attention of individuals af- fected 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 publication to be made; to invite laymen to be present at operations: to boast of cases and remedies ; to adduce certificates of skill and success; or to perform any other similar acts. These are the practices of empirics, and are highly reprehensible in a regu- lar physician. 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 nos- trum, whether it be the composition or exclusive property of himself or others. For if such nostrum be of real efficacy, any concealment regarding it is incon- sistent with beneficence 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. CONDUCT FOR THE SUPPORT OF THE MEDICAL CHARACTER. The esprit du corps is a principal of action founded in human nature, and when duly regulated, is both rational and laudable. Every man who enters into a fraternity engages, by a tacit compact, not only to submit to the laws, but to promote the honor and interest of the Association, so far as they are consistent with morality and the general good of mankind. A physician there- fore should cautiously guard against whatever may injure the general respect- ability of the profession, and should avoid all contumelious representations of the faculty at large, all general charges against their selfishness or improbity, or the indulgence of an affected or jocular skepticism concerning the efficacy and utility of the healing art. MEDICAL INSTRUCTION. It is recommended to the members of the Association not to receive any students into their office unless they be of good moral character, have received a good English education, be well acquainted with the elements of natural philosophy, and that they possess a competent knowledge of the Latin and Greek languages. FEES. General rules are adopted by the faculty in every town relativeto the pecun- iary acknowledgments of their patients, and it should be deemed a point of honor to adhere to them; and every deviation from or evasion of these rules, should be considered as meriting the indignation and contempt of the frater- nity. Gratuitous services to the poor are by no means prohibited ; the character- istic beneficence of the profession is inconsistent with sordid views and ava- ricious rapacity. _ It is obvious, also, that an average fee, as suited to the general rank of pa- tients, must be an inadequate compensation from the rich (who often require attendance not absolutely necessary), and yet too large to be expected from that class of citizens who feel a reluctance in calling for assistance without making some decent and satisfactory remuneratiou. 13 EXEMPTION FROM CHARGES. Distant members of the faculty, when they request attendance, should be expected at least to defray the charges of travelling ; and such of the clergy as are qualified by their fortunes or income to make a resonable remuneration for medical attendance, and are not more privileged than any other order of patients. _ Omission to charge on account of the wealthy circumstances of the physi- cian is an injury to the profession, as it is defrauding in a degree the common funds for its support, when fees are dispensed with which might justly be claimed. VICARIOUS OFFICES. Whenever a physician officiates for another by his desire, in consequence of sickness or absence, if for a short time only, the attendance should be per- formed gratuitously as to the physician, and with the utmost delicacy towards the professional character of the gentleman previously connected with the patient. SENIORITY. A regular and academical education furnishes the only presumptive evidence of professional ability, and is so honorable and beneficial that it gives a just claim to pre-eminence among physicians at large in proportion to the degree in which it may be enjoyed and improved. Nevertheless, as industry and talents may furnish exceptions to this general rule, and this method may be liable to difficulties in the application, seniority among practitioners of this city should be determined by the period of public and acknowledged practice as a physician or surgeon in the same. This arrangement, being clear and obvious, is adapted to remove all grounds of dispute amongst medical gentle- men, and it secures the regular continuance of the established order of pre- cedency. Alphabetical fist of fibhtg.^csfoent glembcrs. Adams, J. Lee, Adams, E. A. Adams, A. C. Allen, Chas. Armstrong, Wm. J. Appleby, J. F. R. Ashford, F. A. Baldwin, W. O. Barnes, Jos. D. Barker, H. H. Baxter, J. H. Beal, .l.S. Behrend, Adajah Blanchard, S. B. Boarman, C. V. Bogan, M. V. B. Bogan, S. VV. Bond, S. S. Borland, A. J. Borrows, Joseph Bowen, C. H. Boyle, C. Briscoe, W. C. Brockenbrough, A. Bruckheimer, M. BulkleyJ. VV. Busey, S. C. Butt, Win. BittingeT,- Charles Blair, David Beall, B. M. Brooks, J. H. Bushnell, J. H. Brackett, J. E. Callan, C. V. N. Christie, Arthur Combs, W. H. Coumbe, J. T. Crew, S- H. Condict, H. F. Cragin, C. H. Craig, B.-P. Culver, F. B. Dexter, Jas. E. Dovilliers, L. Draper, L. J. D ri n kaj^L_Wv-Be v; Du Hamel, W. J. C. Duncanson, H. A. Duvall, W. T. S. Eliot, Johnson Evans, Warwick RESIDENCE. M. D. No. 401, 13th Street, S. E., *' " 422 8th Street, S. E. " " 1102 8th St., N. W., " " 947 Md. Ave., S. W., " " 1629 Conn. Ave., N. W., " " 106 Gav Street, " " 1330 N". Y. Ave., " " 1915 Penn. Ave., N. W., " " Cor. 17th and H Sts. N. W. " " 1116 H Street, N. W., " " 704 14th Street, N. VV., " " 206 Penn. Ave., S. E., " " 709 H Street, N, W., '* " 2130 Penn. Ave., N. W., " " 1114 Md. Ave., S. W., " " 004 Mass. Ave.', N. W., " " 310 I Street, N. W., " " 813 1st Street, N. W., " " 903 6th Street, N. VV., " " 921 E Street, N. W., " " 003 Mass. Ave., " " 213 4.1, Street, N. W., " " 317 C Street. N. W., " " Imperial Hotel, " " 471 C Street, S. W., " " 615 11th Street. N. W., " " 1517 Penn. Ave., " " 615 M Street, N. W., " " 506.] 9th Street, N. W., " " 1415 S Street, N. W., " *' .941 RI Ave., N. W., " " 226 I Street, N. W., " " 1003 M Street, N. W., " " 31 B Street, S. E., " " 2408 Penn. Ave., N. W., " " 910 8th Street, S. E., " " 1304 9th Street, N. W., " " 721 15th street, N. W., " " 406 6th Street, N. W., " " 124 Dunbarton Street, " " 512 10th Street, N. W., " " 809 E Street, N. W., " " 453 C Street, N. W., •< •' 1227 13th Street, N. W., '• " 1909 Penn._Ave., N.W., " 1403 N. Y.'Ave., N. W., " 338 Ind. Ave., " 909 H. Street, N. \V., " 1209 L Street, N. W., " 510 E Street, N. W., " 1000 6th Street, N. W., Washington. do do do Washington. Georgetown. Washington. do do do do do do do do do do do do do do do do do do do do do do do do do do do . do Uniontown. Washington. do do do Georgetown. Washington. do do do do do do do do do do 16 NAMES. Farnham, Robt. M. D. Fenwick, G. P. " Fisher. S. B. " Fitch, Geo. A. " Fletcher, Robt. " Ford, C. M. <• Franzoni, C. W. ■■ Garnett, A. Y. P. " Gleeson, J. K. P. " Gunnell, F. M. " Gassaway, Jas. M. *' Glennan, P. ** Hagner, C. E. " Hagner, D. R. " Hall, J. C. " Hammet, C. M. " Hansman, Theo. " Harris, J. Otey " Hartigan, J. F. '* Herbert, J. W. <* Hines, C. M. " Howard, Flodoardo*' Howard, J. T. " Howard, R. " Healey, Thomas M." Harris, Robert (* Hudson, Wm. L. " Hazen, D. H. " Hyatt, Frank " Harvey, Wm. T. " Johnson, A. E. " Johnson, J. T. " J-ohnstori, W. P. " Johnston, W. W. " Keech, T. A. R. " Eeene, P. T. " Kelly, D. J. " King, A F. A. " King, G. S. " King, J. F. " Kleinschmidt, C. H. A. Lamb, D. S. " Latimer, E. W. " Lee, A. H. " Lee, Wm. " Lieberman, C. H. ei Lincoln, N. S. " Lindsley, Harvey " Lovejoy, J. W. H. <* McBlair, J. H. " McCalla, J. M. " McCauley, J. A. " McCoy. George " McKim, S. A. H. *' McLain, J. S. " McNalley, V. " McWilliam, A. " RESIDENCE. No. 1103 M Street. N. W., Washington. " 620 Va. Ave.,'S. W., do " 124 East Capitol Street, N. E., do " 1008 H Street, N. W., do " 205 E Street, N. W., do " 134 Penn. Ave., S. E., do " 900 6th Street, N. W., do " 1328 N. Y.Ave., N. W., do " 1227 N Street, N. W., do " 600 F Street, N. W., do " L St., bet. 17th & Conn. Ave., N. W., do " N. J. Ave., & Boundary, N. W., do " 1133 10th Street, N. W., do " 1812 H Street, N. W., do " 909 Penn. Ave., N. W., do " 506 7th Street, S. W., do " 710 8th Street, N. W., do " 929 L Street, N. W., do " 1224 F Street, N. W., do " 205 H Street, N. W., do " 62 Defrees Street, N. W., do " 617 F Street, N. W., do " 1126 9th Street, N. W., do " 617 F Street, N. W., do " 813 Vt. Ave., N. W., do " 929 L Street, N. W., do " 50 H Street, N. E., do " 601 6th Street, S. W., do " 100 1 Street, N. W., do " 471 C Street, N. W., do " 315 Penn. Ave., S. E., do " 937 N. Y. Ave., N. W., do '* 1307 F Street, N. W., do " 1307 F Street, N. W., do " 614 Penn. Ave., S. E., do " 11 4th Street, S. E., do " 59 Congress Street, Georgetown. " 726 13th Street, N. W., Washington. " 1254 8th Street, N. W., do " 624 E Street, N. W., do '* 74 Congress Street, Georgetown. " 1324 V Street, N. W., Washington. " 624 1 Street, N. W., do " 1125 5th Street, N. W., do " 2111 Penn. Ave., N. W., do " 722 12th Street, N. W., do " 1319 F Street, N. W., do " 824 Conn. Ave. do " 902 12th Street, N. W., do " 416 9th Street, N. W., do " 305 C Street, N. W., do " 478 M Street, S. W., do " 235 Penn. Ave., N. W., do " 640 I Street, S. E., do " 332 C Street, N. W., do " 1203 13th Street, N. W., do " 629 4£ Street, S. W., do 17 NAMES. RESIDENCE, Mackall Jr., Louis M. D. Congress Street, Cor. Bridge , Georgetown. Mackall, Jas. M. a ft tt .i tt do Magruder, G. L. u No. 310 E Street, N. W., Washington. Marliury, Wm. a t f 215 Bridge Street, Georgetown. Marmion, Wm. V. u ft 1103 F Street, N. W., Washington. Mauss, R. G. tf ( ! 1701 6th Street, N. W., do Maxwell, Chas. D tf ff 2109 F Street, N. W., do May, J. F. ff ff 1401 N. Y. Ave., N. W., do Mead, Fr. W. ft tf 625 6th Street, S. W., do Mead, Theodore, tf ff 902 22d Street, N. W., do Merriam, E. C. ft f f 633 N. J. Ave., N. W., do Miller, A. W. ft ft 820 K Street, S. E., do Morgan, Jas. E. ■ t ff 905 E Street, N. W., do Muncaster, 0. M. tf ff Cor. 10th and Mass. Ave. do Murphy, P. J. tf tf Columbia Hospital, do Nalley, C. F. if f ( 904 6th Street, N. W., do Naylor, Wm. L. n ff 459 M Street, N. W. do Newman, W. G. H :.<■ ff 2410 Penn. Ave., N. W., do Newton. Lewis E. a ff 307 H Street, N. W., do Norris, Basil a ( I 1829 G Street, N. W., do Offutt, Geo. W. a ff 105 2d Street, Georgetown. Page, R. A. a ft 227 4* Street, N.W., Washington, Palmer, G. S. a tf 214 A" Street, S. E., do Palmar, Wm. Gray*' ft 929 H Street. N. W., do Parsons, Jno. a tf 709 E Street. S. W., do Patterson, D. C. u ff 919 I Street, N. W., do Patze, Adolphus i. tf Franklin House, Washington. Peter, Armistead a ff 100 Gay Street, Georgetown. Porter, H. T. a tf 17 Bridge Street, do Poulton, W. E. tt ff 426 4J Street, S. W.. Washington. Prentiss, D. W. u (t 1248 9th Street, N. W., do Purrington, T. a ! 1 1108 F Street, X. W., do Radcliff. S. J. it (f 1211 F. Street, N. W., do Ramsey, Wm. T. 1! If L Street bet. 17th and Conn. Ave., do Reily, Jas. R. ff ff 349 C Street, N. W., do Reyburn, Rob't t< ft 721 loth Street, N. W., do Richardson, J. P. tf f f 425 H Street, N. W., do Riley, John C. u ff 1407 N. Y. Avenue, do Ritchie, Joshue A f < (f 40 1st Street, Georgetown. Ritchie, L. W. ft tf 152 Bridge Street, do Ritter, F. W. if tf 404 6th Street, N. W., Washington. Roberts, W. E. if ff 715 G Street, S. E., do Ross, Wm. H. ff ft 1000 F Street, N. W., do Samson, Geo. C. it tf 2419 Penn. Ave.. N. W., do Schaeffer, E. M. ff ! f 816 21st Street, N. W., do Scholl, Joseph ff (f 712 D Street. N. W., do Sladen, J. A. if ff 1429 S Street, X. W., do Smith, Thos. C. ft ff 1133 12th Street, N. W., do Sheckell, A. B. ti ff 168 High Street, Georgetown. South worth, H. J. f t ff 75 High Street, do Sothoron. J. T. t. ft 1919 1 Street, N. W. Washington. Sowers, Z. T. tf ,f 1313 New York Ave., N. W.. do Squires, F. D. Stanton, J. 0. ft ft 1731 Penn. Ave., N. W., do ft ft 1213 F Street, X. W., do 18 Stearns, John, M. D., Suddarth, J. L. " Taylor, W. H. " Tarkington, A. J. " Txrorffpson, Benedict Thompson, J. F. " Thompson, J. Harry Toner, J. M. " Townsend, Smith " Tree, C. M. " Triplett, W. H. " Tucker, W. McK. " Tyler, Grafton " Tyler, W. B. " Tyson, Sam'l E. " Waggaman, S. J. *' Walsh, John K. " Walsh, Joseph " Walsh, R. S. L. " Walter, John, " Ward, W. W. " Whitely, W. H. " Winter, John T. " Wise, Thos. W. " Wolhaupter, D. P. " Woodbury, H. E. " Young, Jas. T. '* Yonug, Noble " Young, Wm. P. " Young, P. G. " ZevelyT-E. C. " RESIDENCE. No. 1401 K Street. N. W., " 732 3d Street, N. W., " 803 0 Street. N.W. " D Street, bet. 2d and 3d. N. W., " 608 H Street, N. W., " 9th and Mass. Ave., N. W., " 1324 Mass. Ave., N. W., " 615 La. Avenue, N. W., " 450 Penn. Avenue, N. W., " 514 12th Street, N. W., " Cor. 11th Rnd G Streets, N.W. ■■ 135 Washington Street, " 135 Washington Street, " 166 High Street, " 434 H Street, N. W., " 1112 14th Street, N. W., " 645 E Street, S- E., " 227 4.V Street, N. W., " 1011 E Street, N. W., " 1106 10th Street, N.W., " 1235 Mass. Avenue, N. W., '• 1613 10th Street, N. W., -< 725 1st Street, N. W., " 206 N. Y. Avenue, N. W., " 512 12th Street, N. W., " 1336 N. Y. Avenue, N. W., " 344 Penn. Avenue, N. W., " 109 D Street, N. W. " 1334 7th Street, N. W., " 1325 N Street, N. W., Associate Members. Eliot, J. L., M. D., No. 510 E Street, N. W., Flood, P. H. Joyce, J. W. " Lawver, W. P. " Rand, C. T. " Van Arnum, J. W 928 4th Street, N. W., 912 1 Street, N. W., 1731 Pennsylvania Ave., N. W., 422 7th Street, N. W., 1529 14th Street, N. W., Washington. do do do do do do do do do do do Georgetown. do do Washington. do do do do do do Washington. do do do do do do do do Washington. do do do do do --