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FELLOWSHIP PLEDGE

Recognizing that the American College of Surgeons seeks to develop, exemplify, and enforce the highest traditions of our calling, I hereby pledge myself, as a condition of Fellowship in the College, to live in strict accordance with all its principles, declarations and regulations. In particular, I pledge myself to pursue the practice of surgery with thorough self-restraint and to place the welfare of my patients above all else; to advance constantly in knowledge by the study of surgical literature, the instruction of eminent teachers, interchange of opinion among associates, and attendance on the important societies and clinics; to regard scrupulously the interests of my professional brothers and seek their counsel when in doubt of my own judgment; to render willing help to my colleagues and to give freely my services to the needy. Moreover, I pledge myself, so far as I am able, to avoid the sins of selfishness; to shun unwarranted publicity, dishonest money-seeking, and commercialism as disgraceful to our profession; to refuse utterly all money trades with consultants, practitioners or others; to teach the patient his financial duty to the physician and to expect the practitioner to obtain his compensation directly from the patient; to make my fees commensurate with the service rendered and with the patient's rights; and to avoid discrediting my associates by taking unwarranted compensation. Finally, I pledge myself to co-operate in advancing and extending, by every lawful means within my power, the influence of the American College of Surgeons.

THE MINIMUM STANDARD FOR HOSPITALS

1. That physicians and surgeons privileged to practice in the hospital be organized as a definite group or staff. Such organization has nothing to do with the question as to whether the hospital is "open" or "closed," nor need it affect the various existing types of staff organization. The word staff is here defined as the group of doctors who practice in the hospital inclusive of all groups such as the "regular staff," the "visiting staff," and the "associate staff."

2. That membership upon the staff be restricted to physicians and surgeons who are (a) full graduates of medicine in good standing and legally licensed to practice in their respective states or provinces; (b) competent in their respective fields and (c) worthy in character and in matters of professional ethics; that in this latter connection the practice of the division of fees, under any guise whatever, be prohibited.

3. That the staff initiate and, with the approval of the

governing board of the hospital, adopt rules, regulations, and policies governing the professional work of the hospital; that these rules, regulations, and policies specifically provide:

(a) That staff meetings be held at least once each month. (In large hospitals the departments may choose to meet separately)

(b) That the staff review and analyze at regular intervals their clinical experience in the various departments of the hospital, such as medicine, surgery, obstetrics, and the other specialities; the clinical records of patients, free and pay, to be the basis for such review and analyses.

4. That accurate and complete records be written for all patients and filed in an accessible manner in the hospital—a complete case record being one which includes identification data; complaint; personal and family history; history of present illness; physical examination; special examinations, such as consultations, clinical laboratory, X-ray and other examinations; provisional or working diagnosis; medical or surgical treatment; gross and microscopical pathological findings; progress notes; final diagnosis; condition on discharge; follow-up and, in case of death, autopsy findings.

5. That diagnostic and therapeutic facilities under competent supervision be available for the study, diagnosis, and treatment of patients, these to include, at least (a) a clinical laboratory providing chemical, bacteriological, serological, and pathological services; (b) an X-ray department providing radiographic and fluoroscopic services.

MEN'S CLUBS

INTERNATIONAL ASSOCIATION OF LIONS CLUBS
Organized at Chicago 1917. Adopted 1918:

THE LIONS CODE OF ETHICS

1. To show my faith in the worthiness of my vocation by industrious application to the end that I may merit a reputation for quality of service.

2. To seek success and to demand all fair remuneration or profit as my just due, but to accept no profit or success at the price of my own self-respect lost because of unfair advantage taken or because of questionable acts on my part.

3. To remember that in building up my business it is not necessary to tear down another's; to be loyal to my clients or customers and true to myself.

4. Whenever a doubt arises as to the right or ethics of my position or action towards my fellow men, to resolve such doubt against myself.

5. To hold friendship as an end and not a means. To hold that true friendship exists not on account of the service performed by one to another, but that true friendship demands nothing but accepts service in the spirit in which it is given.

6. Always to bear in mind my obligations as a citizen to my nation, my state and my community, and to give to them my unswerving loyalty in word, act and deed. To give them freely of my time, labor and means.

7. To aid my fellow men by giving my sympathy to those in distress, my aid to the weak, and my substance to the needy.

8. To be careful with my criticisms and liberal with my praise; to build up and not destroy.

KIWANIS CLUB INTERNATIONAL

Issued by Committee on Business Standards and
Methods:

KIWANIS CODE OF BUSINESS ETHICS

As a Kiwanian: I will do my part to introduce into the business life of the nation at large, and of my immediate com

munity in particular, the ideals and principles of International Kiwanis to which I have subscribed.

I will co-operate with International Kiwanis toward creating a "Kiwanis Standard" in business.

I will join in a united effort of Kiwanians throughout the United States and Canada, to inculcate the uplifting influences of Kiwanis into business life and to eliminate any and all unethical practices, as judged by the "Kiwanis Standard," whether in operation through ignorance or with intent.

In my immediate business or profession, the Kiwanis principles of Brotherly Love, Service and Square Dealing shall govern all my actions and relations in respect to both clients and employees and this spirit shall also control my attitude toward creditors and competitors.

I believe that, while Kiwanis does not demand that I deal exclusively with Kiwanians, it is just and fair that I consider my fellow Kiwanians in all business transactions; and that, all things being equal, I extend the courtesy of my business to them.

I will be interested in the business welfare of my fellow Kiwanians, and when the opportunity arises, I will do my utmost to further their business either by recommendation, or by passing on to them any information to their advantage.

I will consider it to be my duty to report to Kiwanians any malicious reports or comments which come to my knowledge as reflecting against their credit or success.

I will also consider it my duty to Kiwanis to report to my club President the name of any Kiwanian whom I know to be willingly practicing business methods which do not reflect his honesty or integrity.

I believe that every local club should be at the service of each respective member to assist him in solving any problem which may arise in his particular business or profession.

Í believe in a "Kiwanis Standard" in business, governed by the ideals of International Kiwanis-Brotherly Love, Service and Square Dealing.

NATIONAL EXCHANGE CLUBS

First club organized at Detroit 1911.

TENETS

First: We are united to serve each other, to supply the

wants and needs of our fellow-members and to render them such service as circumstances require. All such dealings should be on the basis of the strictest truth and the highest ideals of honor. Second: Not only should these principles apply within the organization, but they should be carried out in all of our dealings and transactions so that the world may know that an Exchangite is a man who lives up to the highest ideals of truth, honor and integrity.

Third: In these enterprises in which our community is vitally interested-and in all movements for the betterment of our fellowmen, the Exchange Club should be found actively engaged; perhaps not always as a Club, but each man doing his duty as a loyal citizen of his community.

Fourth: In this manner the ideals and standards of business should be lifted to a higher plane and greater interest taken in all civic movements looking to the betterment of our City, State and Nation.

CODE OF ETHICS

Accepting the divine privilege of single and collective Responsibility as life's noblest gift, I covenant with my fellow Exchangites:

To consecrate my best energies to the uplifting of Social, Political and Business ideals:

To discharge the debt I owe to those of high and low estate who have served and sacrificed that the heritage of American citizenship might be mine;

To honor and respect law, to serve my fellowman, and to uphold the ideals and institutions of my Country;

To implant the life giving, society building Spirit of Service and Comradeship in my social and business relationships; To serve in Unity with those seeking better conditions, better understandings, and enlarged opportunities for all.

ROTARY INTERNATIONAL

First club organized at Chicago 1905. Adopted July 1915:

THE ROTARY CODE OF ETHICS

for Business Men of All Lines

My business standards shall have in them a note of

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