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First, or Northern District.

Clinton, Essex, Franklin, Hamilton, Herkimer, Jefferson, Lewis, Oneida, Oswego, St. Lawrence, Warren.

Second, or Eastern District.

Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Washington.

Third, or Central District.

Broome, Cayuga, Chemung, Chenango, Cortland, Delaware, Madison, Onondaga, Otsego, Schuyler, Seneca, Tioga, Tompkins.

Fourth, or Western District.

Alleghany, Cattaraugus, Chautauqua, Erie, Genesee, Livingston, Monroe, Niagara, Ontario, Orleans, Steuben, Wayne, Wyoming, Yates.

Fifth, or Southern District.

Dutchess, Kings, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster, Westchester.

SEC. 2. This Association shall be composed of Fellows, who are regular practitioners of medicine or regular graduates in medicine, residing in the State of New York.

SEC. 3. All physicians in the State of New York who are in good standing in existing county societies, in the New York Academy of Medicine, or in county or district associations or societies in affiliation with this Association, and who subscribe to the code of ethics of this Association, may become Fellows, upon paying the initiation-fee and signing the Constitution and By-Laws; provided that each candidate for fellowship shall make a formal application therefor, and that this application shall have been approved in writing by one or more members of the Council from the district in which such candidate resides. The candidate's application shall then be transmitted, through the Corresponding Secretary, to the Council, for final action.

SEC. 4. No physician can at any time become a Fellow of this Association who does not subscribe to its code of ethics; and no physician can become a Fellow, after the first regular meeting of

the Association in November, 1884, who is not a member in good standing, with no charges pending against him, in a regular county society, the New York Academy of Medicine, or in a county or district association or society in affiliation with or recognized by this Association.

SEC. 5. Fellows of the Association who participated in the foundation of the same, at the Convention held in the city of Albany on February 4th and 6th, 1884, shall be classified as Founders and shall be so indicated in all lists of Fellows.

SEC. 6. Fellows of the Association, who have qualified or shall have qualified as such at or previous to the first regular meeting of the Association, in November, 1884, shall be classified as Original Fellows and shall be so indicated in all lists of Fellows.

SEC. 7. The Presidents for the time being of all county or district associations or societies, such associations or societies being in affiliation with this Association, upon payment of the annual dues and assessments, shall be regarded as Fellows. Such Fellows shall be classified as Delegates, and shall be so indicated in all lists of Fellows.

SEC. 8. All county and district associations or societies in affiliation with this Association shall be entitled to representation in this Association by their Presidents for the time being acting as delegates; provided that such associations or societies shall pay the annual dues and assessments of such delegates, who shall not be required to pay initiation-fees.

SEC. 9. In addition to the ordinary Fellows of the Association, the Council, with the consent of the Association, may appoint, at any annual meeting, Honorary Fellows; provided that such Honorary Fellows shall have been nominated, at the annual meeting immediately preceding, by three Fellows. Such Honorary Fellows must be regular physicians, not residents of the State of New York, who have been long eminent in the profession, and not more than five Honorary Fellows shall be appointed at any annual meeting. The total number of Honorary Fellows shall be limited to fifty.

SEC. 10. The Council, with the consent of the Association, may appoint, at any annual meeting, Corresponding Fellows; provided that such Corresponding Fellows shall have been nominated, at the annual meeting immediately preceding, by three Fellows. Such Corresponding Fellows must be regular physicians of distinction,

not residents of the State of New York, who are actively engaged in the cultivation of medical science, and not more than five Corresponding Fellows shall be appointed at any annual meeting. The total number of Corresponding Fellows shall be limited to fifty.

SEC. 11. Honorary Fellows and Corresponding Fellows shall have all the privileges of ordinary Fellows, except that they shall not be eligible to any office in the Association and shall not have the right to vote in the meetings of the Association. They shall not be required to pay any initiation-fees, dues, or assessments.

ARTICLE III.

SEC. 1. The titular officers of the Association shall be a President and four Vice-Presidents (these five officers to come each from one of the five districts), a Recording Secretary, a Corresponding and Statistical Secretary, and a Treasurer. In addition, there shall be elected two Fellows from each district, and one Fellow shall be appointed at large by the President-elect, who, with the titular officers, shall together constitute the Council of the Association.

SEC. 2. The President and the Vice-Presidents shall be elected for the term of one year. The elected members of the Council shall serve, one from each district for the term of one year, and one from each district for the term of two years. The Secretaries and the Treasurer shall each be elected for the term of three years. The member of the Council appointed at large by the Presidentelect shall serve for the term of one year.

SEC. 3. The President-elect shall, with the consent of the Association, appoint each year, to serve during his term of office, such standing committees as may, in his judgment, be necessary to properly carry out the objects of the Association.

ARTICLE IV.

SEC. 1. This Constitution shall go into effect at the annual meeting of the Association in November, 1884.

ARTICLE V.

SEC. 1. No part of this Constitution shall be abolished, altered or amended, and no addition shall be made thereto, except at a

regular meeting of the Association, after due notice of such alterations or additions shall have been given in writing by a Fellow at the regular meeting immediately preceding, and then only by a vote of three fourths of the Fellows present and voting.

BY-LAWS.

ARTICLE I.

MEETINGS AND NOMINATIONS.

SECTION 1. The Association shall hold regular meetings, one in each year, at such time and place as shall be designated by the Council, each meeting to continue for at least three days.

SEC. 2. During the morning session of the first day of each regular meeting, a Nominating Committee shall be constituted, composed of two representatives from each district, to be appointed by the Fellows from the respective districts present at the meeting, and one member appointed at large by the President, who shall present, for approval and adoption by the Association, a full list of officers and members of the Council to be elected.

SEC. 3. In case the list or any part of the list of nominees presented by the Nominating Committee be not approved and adopted by the Association, the Nominating Committee shall present new nominees for such offices as may remain unfilled, and shall continue so to do until all the officers of the Association and members of the Council shall be chosen.

SEC. 4. The officers of the Association and members of the Council, at the expiration of their respective terms of office shall, without delay, deliver up and transfer to their successors all moneys, books, manuscripts, vouchers and other property of the Association, which may be in their possession, and shall take receipts therefor.

SEC. 5. The Nominating Committee shall be discharged when all the officers of the Association and members of the Council to be elected have been chosen by the Association.

ARTICLE II.

DUTIES OF OFFICERS.

SEC. 1. The President shall preside at all meetings of the Association and of the Council, shall preserve order at such meetings, shall have the power to adjourn the meetings should they become disorderly, and shall appoint all special committees not otherwise ordered by resolution.

SEC. 2. One of the Vice-Presidents, to be selected by the VicePresidents present at the meeting, in the absence of, or at the request of the President, shall temporarily perform the duties of the President. In case of the death, disability, or resignation of the President, one of the Vice-Presidents shall be elected as acting President, by the Council, and shall perform the duties of the President until the next annual election of officers.

SEC. 3. The Recording Secretary shall make and preserve accurate minutes of the meetings of the Association, and shall perform the usual duties pertaining to the office of Secretary, except those specially assigned to the Corresponding and Statistical Secretary.

SEC. 4. The Corresponding and Statistical Secretary shall conduct the official correspondence of the Association, shall preserve all such correspondence, including copies of official letters written. by him, and shall act as Secretary of the Council. He shall also notify each Fellow of his appointment to fellowship, and shall furnish him with an official certificate of such appointment in the following form :

[L. S.]

CERTIFICATE OF FELLOWSHIP OF THE NEW YORK STATE MEDICAL ASSOCIATION.

This is to certify that

is a Fellow, in good standing, of THE NEW YORK STATE MEDICAL ASSOCIATION, having been duly appointed on the ... day of

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President.

Corresponding and Statistical Secretary.

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