Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1 by R. A. Witthaus et al.

3. Medical students taking a regular course of medical instruction.

14989 words  |  Chapter 11

Applicants of the first class are examined in materia medica, therapeutics, obstetrics, gynæcology, practice of medicine, surgery, and surgical anatomy; those of the second and third classes are examined in anatomy, physiology, chemistry, materia medica, therapeutics, histology, pathology, hygiene, practice of medicine, surgery, obstetrics, gynæcology, diseases of the eye and ear, medical jurisprudence, and such other branches as the board may deem advisable; questions for applicants of the first and second classes are the same in the branches common to both. The board after January 1st, 1892, cannot license applicants of the second or third classes without satisfactory proof that the applicant has studied medicine and surgery three years, is of good moral character, and over twenty-one years of age; applicants of the third class, after they shall have studied medicine and surgery at least two years, can be examined in anatomy, physiology, chemistry, histology, pathology, materia medica, and therapeutics; if the examination is satisfactory to all the members of the board, it may issue a certificate that the applicant has passed a final examination in these branches, and such certificate, if presented by the applicant when he shall make application for a license to practise, shall be accepted by the said board in lieu of examination in those branches. All examinations shall be both scientific and practical, but of sufficient severity to test the candidate’s fitness to practise medicine and surgery (_ib._, s. 3). All examinations shall be in writing; the questions and answers, except in materia medica and therapeutics, must be such as can be answered in common by all schools of practice, and if the applicant intends to practise homœopathy or eclecticism, the member or members of the said board of those schools shall examine the said applicant in materia medica and therapeutics; if the examination is satisfactory, the board shall issue a license entitling the applicant to practise medicine. A license shall not be issued unless the applicant passes an examination satisfactory to all members of the board; the examination papers kept on file by the secretary of the board are _prima facie_ evidence of all matters therein contained; on refusal of the board to issue a license for failure on examination, the applicant may appeal to the governor, who may appoint a medical commission of review of three members, one from each school of medicine, who shall examine the examination papers of the applicant and from them determine whether a license should be issued, and their decision shall be final; if the said committee by unanimous vote reverse the determination of the board, the board shall issue a license; the expenses of the appeal are borne by the applicant (_ib._, s. 4). The board may, by unanimous vote, refuse or revoke a license for chronic and permanent inebriety, the practice of criminal abortion, conviction of a crime involving moral turpitude, or for publicly advertising special ability to treat or cure disease which, in the opinion of the said board, it is impossible to cure. In complaints for violating this section, the accused shall be furnished with a copy of the complaint and given a hearing before the said board in person or by attorney (_ib._, s. 5). A person receiving a license must file it, or a certified copy thereof, with the clerk of the county in which he resides; and in case of removal into another county he must procure from the said clerk a certified copy of the said license, and file it with the clerk in the county to which he shall remove (_ib._, s. 6). EXCEPTIONS.—The act does not apply to commissioned surgeons of the United States army, navy, or marine hospital service, or to regularly licensed physicians or surgeons in actual consultation from other States or Territories, or to regularly licensed physicians or surgeons actually called from other States or Territories to attend cases in this State, or to any one while actually serving as a member of the resident medical staff of any legally incorporated hospital or asylum in this State, or to any person claiming the right to practise in this State who has been practising therein since before July 4th, 1890, provided the said right or title was obtained upon a diploma of which the holder and applicant was lawfully possessed and it was issued by a legally chartered medical institution in good standing (_ib._, s. 7, as amended Act 1892, c. 212). DEFINITION.—Any person is regarded as practising medicine or surgery who appends “M.D.” or “M.B.” to his name, or prescribes for the use of any person any drug or medicine or other agency for the treatment, cure, or relief of any bodily injury, infirmity, or disease (_ib._, s. 8). PENALTY.—Commencing the practice of medicine or surgery without a license or contrary to the act is a misdemeanor punishable by a fine of from $50 to $100, or imprisonment in the county jail from ten to ninety days, or both (_ib._, s. 9). FEES.—To the treasurer of the board, for examination, for applicant of first and second class, $15. To the treasurer of the board, for examination, for applicant of third class, $20 (_ib._, s. 4). To the county clerk, for registering license, 50 cents (_ib._, s. 6). NEW HAMPSHIRE. In New Hampshire there is no statute on this subject. NEW MEXICO. BOARD OF EXAMINERS.—The board of medical examiners is composed of seven practising physicians of known ability and integrity, graduates of some medical school, college, or university duly established under and by virtue of the laws of the country in which it is situated, four allopathic members, three homœopathic members, and one eclectic member (Compiled Laws 1884, s. 2,553). QUALIFICATION.—Applications for certificates and examinations are made to the board through their secretary (_ib._, s. 2,555). The board must examine diplomas as to their genuineness; the verification consists in an affidavit of the holder and applicant that he is the lawful possessor of the diploma and the person therein named; the affidavit may be taken before any person authorized to administer oaths, and shall be attested under his hand and official seal if he have a seal. Graduates may present their diplomas and affidavits by letter or by proxy (_ib._, s. 2,556). Examinations of persons not graduates or licentiates must be made by the board, and certificates by a majority of the board authorize the possessor to practise medicine and surgery (_ib._, s. 2,557). The certificate must be recorded in the county clerk’s office in every county in which the holder practises or attempts to practise medicine or surgery (_ib._, s. 2,558). When a certificate is filed, the clerk must record it and attach his certificate thereto, showing the date of filing and recording and the number of the book and the page of the record (_ib._, s. 2,559). Examinations of persons not graduates must be made by the board and may be wholly or partly in writing, in anatomy, physiology, chemistry, pathology, surgery, obstetrics, and the practice of medicine (exclusive of materia medica and therapeutics) (_ib._, s. 2,561). The board may refuse or revoke a certificate to an individual guilty of unprofessional or dishonorable conduct (_ib._, s. 2,562). DEFINITION, EXCEPTIONS.—Practising medicine is defined as professing publicly to be a physician and prescribing for the sick or appending to a name the letters “M.D.” The act does not prohibit students from prescribing under the supervision of a preceptor, nor prevent women from practising midwifery, nor prohibit gratuitous services in cases of emergency, nor apply to commissioned surgeons or acting surgeons of the United States army or navy (_ib._, s. 2,563). PENALTY.—Practising medicine or surgery without complying with the act is punishable with a fine of from $50 to $500 for each offence; and filing a diploma or a certificate of another, or a forged affidavit of identification, is a felony punishable the same as forgery. EXCEPTION.—The provisions of the act do not apply to those who have been practising medicine ten years in the Territory (_ib._, s. 2,564, Act passed 1882). PROFESSIONAL CONDUCT.—The code of ethics of the United States Medical Association is the standard, and the rule of decision, concerning professional conduct (_ib._, s. 2,565). PENALTY.—Persons unlawfully collecting or receiving fees or compensation for services as physicians or surgeons in violation of this act, are liable to the party paying it for double the amount thereof (_ib._, s. 2,568). FEES.—To the secretary of the board, from each graduate or licentiate if the diploma is genuine, $5. To the secretary of the board, from each graduate or licentiate if the diploma is fraudulent or not owned by the possessor, $20 (_ib._, s. 2,556). To clerk of the county, for filing and recording certificate, the usual fees (_ib._, s. 2,559). To the secretary of the board, for examination, in advance, $10 (_ib._, s. 2,561). NEW YORK. PROHIBITION.—No person can lawfully practise medicine unless registered and legally authorized prior to September 1st, 1891, or unless licensed by the regents of the University of the State of New York and registered as required by the present law; nor can any person lawfully practise medicine who has ever been convicted of a felony by any court, or whose authority to practise is suspended or revoked by the regents on the recommendation of a State board (Laws of 1893, c. 661, s. 140). BOARDS OF EXAMINERS.—There are three separate State boards of medical examiners of seven members each, representing respectively the Medical Society of the State, the Homœopathic Medical Society of the State, and the Eclectic Medical Society of the State. The regents appoint examiners from lists of nominees furnished by the said societies. Each nominee before his appointment is required to furnish to the regents proof that he has received the degree of doctor of medicine from some registered medical school, and has legally practised medicine in this State for at least five years. If no nominees are legally before them, the regents may appoint from the members in good standing of such societies without restriction (_ib._, s. 141). At any meeting of the boards of examiners a majority constitute a quorum, but questions prepared by the boards may be grouped and edited, or answer papers of candidates may be examined and marked, by committees duly authorized by the boards and by the regents (_ib._, s. 144). QUALIFICATION.—The regents are required to admit to examination any candidate who pays a fee of $25, and submits satisfactory evidence, verified by oath, if required, that he— (1) Is more than twenty-one years of age; (2) is of good moral character; (3) has the general education required in all cases after August 1st, 1895, preliminary to receiving the degree of bachelor or doctor of medicine in this State; (4) has studied medicine not less than three full years, including three satisfactory courses in three different academic years in a medical school registered as maintaining at the time a satisfactory standard; (5) has either received the degree of bachelor or doctor of medicine from some registered medical school or a diploma or license conferring the full right to practise medicine in some foreign country. The degree of bachelor or doctor of medicine shall not be conferred in the State before the candidate has filed with the institution conferring it the certificates of the regents that three years before the date of his degree, or before or during his first year of medical studies in the State, he had either graduated from a registered college or satisfactorily completed not less than a three years’ academic course in a registered academy or high school; or had a preliminary education considered and accepted by the regents as fully equivalent; or had passed a regents’ examination in arithmetic, elementary English, geography, spelling, United States history, English composition, and physics. Students who had matriculated in a New York medical school before June 5th, 1890, are exempt from this preliminary education requirement provided that the degree be conferred before August 1st, 1895. The regents may in their discretion accept as equivalent for any part of the third and fourth requirements evidence of five or more years’ reputable practice of medicine, provided such substitution be specified in the license (_ib._, s. 145). Each board is required to submit to the regents as required lists of suitable questions for a thorough examination in anatomy, physiology, and hygiene, chemistry, surgery, obstetrics, pathology and diagnosis and therapeutics, including practice and materia medica. From these lists the regents are required to prepare question papers for all these subjects, which at any examination are required to be the same for all candidates, except that in therapeutics, practice, and materia medica all questions submitted to any candidate shall be chosen from those prepared by the board selected by that candidate, and shall be in harmony with the tenets of that school as determined by its State board of medical examiners (_ib._, s. 146). Examinations for a license are required to be given in at least four convenient places in this State at least four times annually in accordance with the regents’ rules, and exclusively in writing and in English. Each examination is conducted by a regents’ examiner who shall not be one of the medical examiners. At the close of each examination the regents’ examiner in charge is required to deliver the question and answer papers to the board selected by each candidate, or its duly authorized committee, and such board, without unnecessary delay, is required to examine and mark the answers and transmit to the regents an official report stating the standing of each candidate in each branch, his general average, and whether the board recommends that a license be granted. Such report must include the questions and answers and is filed in the public records of the university. If the candidate fails on a first examination, he may, after not less than six months’ further study, have a second examination without fee. If the failure is from illness or other cause satisfactory to the regents they may waive the requirement of six months’ study (_ib._, s. 147). On receiving from a State board an official report that the applicant has successfully passed the examinations and is recommended for license, the regents are required to issue to him, if in their judgment he is duly qualified therefor, a license to practise medicine. The contents and execution of the license are regulated in detail by the act. Applicants examined and licensed by other State examining boards registered by the regents as maintaining standards not lower than those provided by this article, and applicants who matriculated in a New York State medical school before June 5th, 1890, and who shall have received the degree of “M.D.” from a registered medical school before August 1st, 1895, may, without further examination, on the payment of ten dollars to the regents, and on submitting such evidence as they may require, receive from them an indorsement of their license or diploma conferring all the rights and privileges of a regents’ license issued after an examination. If any person whose registration is not legal because of some error, misunderstanding, or unintentional omission shall submit satisfactory proof that he had all the requirements provided by law at the time of his imperfect registration, and was entitled to be legally registered, he may, on the unanimous recommendation of a State board of medical examiners, receive from the regents under seal a certificate of the facts, which may be registered by any county clerk and shall make valid the previous imperfect registration. Before any license is issued, it must be numbered and recorded in a book in the regents’ office, and its number noted in the license. This record in all legal proceedings has the same weight as evidence that is given to a record of conveyances of land (_ib._, s. 148). Every license to practise medicine is required, before the licensee begins to practise, to be registered in the county clerk’s office, where such practice is to be carried on, with his name, residence, place and date of birth, and the source, number, and date of his license. Before registering, each licensee is required to file an affidavit of the above facts, and that he is the person named in the license, and had, before receiving the same, complied with all the requisites as to attendance, terms, and amount of study and examinations required by law and the rules of the university as preliminary to the conferment thereof; that no money was paid for such license except the regular fees paid by all applicants therefor; that no fraud, misrepresentation, or mistake in any material regard was employed by any one or occurred in order that such license should be conferred. Every license, or if lost a copy, legally certified so as to be admitted as evidence, or a duly attested transcript of the record of its conferment, shall before registration be exhibited to the county clerk, who, only in case it was issued or indorsed as a license under seal by the regents, shall indorse or stamp on it the date and his name preceded by the words, “Registered as authority to practise medicine in the clerk’s office,—— County.” The clerk is required thereupon to give to every physician so registered a transcript of the entries in the register with a certificate under seal that he has filed the prescribed affidavit (_ib._, s. 149). A practising physician having registered a lawful authority to practise medicine in one county and removing such practice, or a part thereof, to another county, or regularly engaged in practice or opening an office in another county, must show or send by registered mail to the clerk of such other county his certificate of registration. If such certificate clearly shows that the original registration was of an authority issued under seal by the regents, or if the certificate itself is indorsed by the regents as entitled to registration, the clerk is required thereupon to register the applicant in the latter county, and to stamp or indorse on such certificate the date, and his name preceded by the words, “Registered also in—— County,” and return the certificate to the applicant (_ib._, s. 150). Every unrevoked certificate and indorsement of registration is presumptive evidence that the person named is legally registered. No person can register any authority to practise medicine unless issued or indorsed as a license by the regents. No such registration is valid unless the authority registered constituted at the time of registration a license under the laws of the State then in force. No diploma or license conferred on a person not actually in attendance at the lectures, institution, and examinations of the school conferring the same, or not possessed, at the time of its conferment, of the requirements then demanded of medical students in this State as a condition of their being licensed, and no registration not in accordance with this article, shall be lawful authority to practise, nor shall the degree of doctor of medicine be conferred _causa honoris_ or _ad eundum_, nor if previously conferred shall it be a qualification for practice (_ib._, s. 151). EXCEPTIONS.—The law does not affect commissioned medical officers serving in the United States army, navy, or marine hospital service while so commissioned; or any one while actually serving on the resident medical staff of any legally incorporated hospital; or any legally registered dentist exclusively engaged in the practice of dentistry; or any manufacturer of artificial eyes, limbs, or orthopædic instruments or trusses in fitting such instruments on persons in need thereof; or any lawfully qualified physician in other States or countries meeting legally registered physicians in this State in consultation; or any physician residing on a border of a neighboring State and duly authorized under the laws thereof to practise medicine therein whose practice extends into this State, and who does not open an office or appoint a place to meet patients or receive calls within this State; or any physician duly registered in one county called to attend isolated cases in another county, but not residing or habitually practising therein (_ib._, s. 152). PENALTY.—A person practising without lawful registration or in violation of this article forfeits to the county $50, for each violation and for every day of unlawful practice. To practise under a false or assumed name or falsely personate another practitioner of like or different name is a felony. The violation of the other provisions of the act, or buying, selling, or fraudulently obtaining a medical diploma, license, record, or registration, or aiding or abetting such buying, selling, or fraudulently obtaining, or practising medicine under cover of a diploma or license illegally obtained, or signed and issued unlawfully or under fraudulent representation or misstatement of fact in a material regard, or after conviction of a felony attempting to practise medicine, or appending “M.D.” to the name or assuming to advertise the title of doctor in such manner as to convey the impression that one is a legal practitioner of medicine or any of its branches without having legally received the medical degree, is a misdemeanor punishable with a fine of not less than $250, or imprisonment for six months for the first offence, and for subsequent offences with a fine of not less than $500 or imprisonment for not less than one year, or both fine and imprisonment (_ib._, s. 159). DEFINITIONS.—As used in the article, university means the University of the State of New York. Medical school means any medical school, college, or department of a university registered by the regents as maintaining a proper medical standard and as legally incorporated. Medicine means medicine and surgery; physician means physician and surgeon (_ib._, definitions). FEES.—To regents, for examination, $25 (_ib._, s. 145). To regents, for license without examination under sec. 148, $10 (_ib._, s. 148). To county clerk, for registering affidavit and certificate, $1 (_ib._, s. 149). To county clerk, for registration in an additional county, 25 cents (_ib._, s. 150). NORTH CAROLINA. QUALIFICATION.—No person can lawfully practise medicine or surgery, or any of the branches thereof, nor in any case prescribe for the cure of disease for a fee or reward unless he shall have been first licensed (Code 1883, s. 3,122, as amended Act of 1885, c. 117, s. 1). The board of medical examiners of the State consists of regularly graduated physicians appointed by the medical society of the State (_ib._, s. 3,123, 3,126). The board must examine all applicants for a license to practise medicine or surgery, or any of the branches thereof, on anatomy, physiology, surgery, pathology, medical hygiene, chemistry, pharmacy, materia medica, therapeutics, obstetrics, and the practice of medicine, and grant to a competent applicant a license or diploma authorizing him to practise medicine and surgery or any of the branches thereof (_ib._, s. 3,124). Where he has not been refused a license by the board, two members of the board may grant a temporary license to any applicant to continue in force no longer than the next regular meeting of the board (_ib._, s. 3,125, as amended Act of 1889, c. 181, s. 3). The board of examiners must assemble when and where the medical society assembles, which society must assemble at least once a year; the board must remain in session from day to day till all applicants during the first five days after its meeting have been examined and disposed of (_ib._, s. 3,127). PENALTY, EXCEPTIONS.—A person practising without obtaining a license from the board shall not be entitled to sue for or recover any medical bill for services; and a person who has begun the practice of medicine or surgery in the State for a fee or reward since February 23d, 1885, without first obtaining such a license, shall in addition be guilty of a misdemeanor and punishable with a fine of from $25 to $100, or imprisonment at the discretion of the court for each offence; but the act does not apply to women pursuing the avocation of midwife, nor to any reputable physician or surgeon residing in a neighboring State, coming into this State for consultation with a registered physician resident therein, except a physician residing in a neighboring State regularly practising in this State, nor does it apply to physicians who have a diploma from a regular medical college prior to January 1st, 1880 (_ib._, s. 3,132, as amended Act of 1885, c. 117, s. 2; Act of 1885, c. 261, s. 1; Act of 1889, c. 181, s. 1). The board may rescind a license upon satisfactory proof that a licensee has been guilty of grossly immoral conduct (_ib._, s. 3,133). QUALIFICATION.—Every person practising medicine or surgery in the State was required before January 1st, 1892, to appear personally before the clerk of the superior court of the county where he resided or practised, for registration, and all persons beginning to practise are likewise to appear and register within thirty days after obtaining a license (Act of 1889, c. 181, s. 3, as amended Act of 1891, c. 90). Any person applying for registration must produce and exhibit before the clerk a license from the board of medical examiners, or make oath that he was practising medicine or surgery in this State prior to March 7th, 1885, and thereupon the clerk shall register the date, with the name and residence of the applicant, and shall issue a certificate of registration. The certificate entitles the recipient to practise in any county in the State, but if he removes his residence to another county he must exhibit his certificate to the clerk of such county and be registered. Persons having a temporary license are not entitled to register but may practise so long as the license is in force (Act of 1889, c. 181, s. 4, as amended Act of 1891, c. 420). PENALTY, EXCEPTIONS.—To practise without registration and a certificate is a misdemeanor punishable with a fine of from $25 to $100 or imprisonment for each offence, but this act does not apply to women pursuing the avocation of midwife nor to reputable physicians or surgeons residing in a neighboring State coming into the State for consultation with a registered physician of this State (Act of 1889, c. 181, s. 5). LICENSE FEE.—A license of $10 for each county in which he carries on business is exacted from every (itinerant?) medical practitioner, one-half for the use of the county and one-half for the use of the State; but a State license may be obtained from the State treasurer for $30 good for twelve months, and he is then exempt from the portion of above tax due the State (Act 1891, c. 323). FEES.—To the secretary of the board, before issuing a license or diploma, $10. To the secretary of the board, for temporary license, $5 (Code, 3,130). To clerk of the court, for registration and certificate, 25 cents. To clerk of the county, for registration on removal, no fee (Act 1889, c. 181, s. 4). NORTH DAKOTA. BOARD OF EXAMINERS.—The governor appoints a State board of examiners of nine members, eight of whom are practising physicians in good standing; no member of any college or university having a medical department shall be appointed. Two members shall be homœopathic physicians and one a lawyer (Act 1890, c. 93, s. 1). The board must hold meetings for examination at such place or places as it may designate on the first Tuesday of January, April, July, and October of each year, and such other meetings as it may appoint and must keep a record of its proceedings with a register of every applicant for a license with his or her age, the time spent in the study of medicine, and the name and location of all institutions granting to such applicant a degree or a certificate of lectures in medicine or surgery, and whether the applicant was rejected or licensed; and said books and register shall be _prima facie_ evidence of all matters therein recorded (_ib._, s. 2). QUALIFICATION.—All persons hereafter commencing the practice of medicine, surgery, and obstetrics in any of its branches shall apply to the board for a license, and at the time and place designated by the board, or at its regular meeting, be examined in anatomy, physiology, chemistry, histology, materia medica, therapeutics, preventive medicines, practice of medicine, surgery, obstetrics, diseases of women and children, of the nervous system, of the eye and ear, medical jurisprudence, and such other branches as the board shall deem advisable, and produce evidence of having attended three courses of lectures of at least six months each; the examination must be both practical and scientific, but of sufficient severity to test the candidate’s fitness to practise medicine, surgery, and obstetrics. When desired, the said examination may be conducted in the presence of the dean of any medical school or the president of any medical society of the State. After examination the board must grant a license to practise medicine, surgery, and obstetrics; seven members must consent. The board may revoke or refuse a license for unprofessional, dishonorable, or immoral conduct, chronic or persistent inebriety, the practice of criminal abortion, or for publicly advertising special ability to treat or cure diseases which, in the opinion of the board, it is impossible to cure. In complaints for violating the provisions of this section, the accused shall be furnished with a copy of the complaint, and given a hearing before the board in person or by attorney. Appeal lies from refusal or revocation to the appointing power (_ib._, s. 3). The person receiving a license must file it, or a certified copy, with the register of deeds where he resides. On removal into another county he must procure from said register a certified copy of his license and file it with the register of deeds in the county to which he shall remove (_ib._, s. 4). EXCEPTIONS.—The act does not apply to commissioned surgeons of the United States army or navy, to physicians or surgeons in actual consultation from other States or Territories, or to actual medical students practising medicine under the direct supervision of a preceptor (_ib._, s. 5). PENALTY.—Practising without a license or contrary to the act is a misdemeanor punishable with a fine of from $50 to $200, or imprisonment in a county jail from ten to sixty days, or both. DEFINITION.—Any person is regarded as practising who appends the letters “M.D.” or “M.B.” to his name, or who for a fee prescribes, directs, or recommends for the use of any person any drug or medicine or other agency for the treatment, cure, or relief of any wound, fracture or bodily injury, infirmity, or disease (_ib._, s. 6). FORMER LAW.—The former law is repealed only so far as it is inconsistent with the foregoing act (_ib._, s. 7). The former law prohibited persons from practising medicine in any of its branches unless graduates of a medical college or unless they were shown by examination to be qualified and had been actually engaged in practising for at least ten years (Compiled Laws of Dakota, s. 205). FEE.—To the treasurer of the board, for examination, $20 (Act 1890, c. 93, s. 3). OHIO. QUALIFICATION.—No person who is not a graduate of a reputable school of medicine in the United States or a foreign country, or who cannot produce a certificate of qualification from a State or county medical society and is not a person of good moral character, can lawfully practise or attempt to practise medicine in any of its departments or prescribe medicine for reward or compensation; except a person who has been continuously engaged in the practice of medicine for ten years or more. The law allowed persons in continuous practice for five years or more, two years to comply with its provisions. In case a person is a graduate of a school of medicine in any State or foreign country in which any condition or restriction is imposed by law upon the practice of medicine by graduates of medical schools in Ohio, he is subject to the same restrictions or conditions. A person violating this section is not entitled to any compensation for services (Smith & Benedict’s Revised Statutes of 1890, s. 4,403). PENALTY.—Whoever prescribes or practises or attempts to practise medicine in any of its departments, or performs or attempts to perform a surgical operation without having attended two full courses of instruction and graduated at a school of medicine either in this or a foreign country, or who cannot produce a certificate of qualification from a State or county medical society, except a person who has been continuously engaged in the practice of medicine for ten years or more, is punishable with a fine of from $50 to $100 and for a subsequent offence with imprisonment for thirty days. Persons in continuous practice for five years or more were allowed two years to comply with this act (_ib._, s. 6,992). OKLAHOMA. QUALIFICATION.—No person can lawfully practise medicine in any department unless he be a graduate of a medical college, or unless upon examination before a board composed of the superintendent of public health and two other physicians to be selected by the territorial board of health, he be found proficient in the practice of medicine and surgery, and shall be found upon proof to have been actually engaged in the practice of medicine not less than five years. No person shall practise medicine unless he be of good moral character, and is not an habitual drunkard. A person possessing these qualifications shall, on presentation of his diploma, or proof thereof by affidavit if it be lost or destroyed, and the affidavit of two reputable citizens from the county where he resides that the applicant possesses the qualifications of a physician, as prescribed herein, to the superintendent of public health, receive from him a license, which shall be recorded in the office of the register of deeds in the county where such physician resides. OFFENCE.—To practise without complying with this law, or to violate any of its provisions, is a misdemeanor. DEFINITION.—A person is regarded as practising medicine who professes publicly to be a physician and to prescribe for the sick, or who appends to his name M.D. EXCEPTIONS.—The law does not prohibit students from prescribing under the supervision of preceptors, nor prohibit gratuitous services in case of emergency, nor apply to commissioned surgeons in the United States army and navy. CANCELLATION OF LICENSE.—The district court has power on complaint of a member of the territorial board of health, or the county board of health where he resides, to cancel any license issued to a person to practise medicine, where such license was fraudulently obtained, or where the person to whom it was issued has been guilty of violating any provision of this act. FEE.—To superintendent of board of health, for license, $2 (Comp. Stats., 1893, s. 352). OREGON. QUALIFICATION.—Every person practising medicine and surgery in any of their departments must possess the qualifications required by the act. If a graduate of medicine he must present his diploma to the board of examiners for verification as to its genuineness. If found genuine and the person named therein be the person claiming and presenting the same, the board issues its certificate, which is conclusive. If not a graduate, he must submit to an examination as the board shall require, and if the examination be satisfactory the board issues its certificate, and the lawful holder is entitled to all the rights and privileges mentioned in the act (Act February 28th, 1889, s. 1). The governor appoints three persons from among the most competent physicians of the State, residents of the State for seven years and of at least five years’ practical experience in their profession, to be the board of examiners (_ib._, s. 2). The board must issue certificates to all who furnish satisfactory proof of having received a diploma or license from a legally chartered medical institution in good standing of whatever school of medicine, and they are not permitted to make discrimination against holders of a general license or diploma under any school or system of medicine in good standing (_ib._, s. 3, as amended February 21st, 1891). The verification of a diploma consists in an affidavit of the holder and applicant that he is the person therein named, taken before any person authorized to administer oaths, attested under the hand and official seal of the official, if he have a seal; graduates may present their diplomas and affidavits by letter or proxy. The act allows persons taking advantage of section 13 ninety days after its passage in which to procure a certificate (_ib._, s. 4, as amended February 21st, 1891). All examinations of persons not graduates or licentiates must be made directly by the board, and certificates authorize the person named to practise medicine and surgery (_ib._, s. 5). The holder of a certificate must have it recorded in the office of the county clerk of the county in which he resides, and the record must be indorsed thereon. On removal to another county to practise he must procure an indorsement to that effect on the certificate from the clerk, and have the certificate recorded in the office of the clerk of the county to which he removes (_ib._, s. 6). The examinations may be wholly or partly in writing and must be of an elementary and practical character, but sufficiently strict to test the qualifications of the candidate as a practitioner (_ib._, s. 8). The board may refuse a certificate to an individual guilty of unprofessional or dishonorable conduct, and may revoke for like causes, after giving the accused an opportunity to be heard in his defence before the board (_ib._, s. 9). DEFINITION, EXCEPTIONS.—Any person is regarded as practising medicine who professes publicly to be a physician and to prescribe for the sick, or appends to his name the letters “M.D.;” but the act does not prohibit students from prescribing under the supervision of a preceptor, nor gratuitous services in cases of emergency, nor does it apply to commissioned surgeons of the United States army, navy, and marine hospital service (_ib._, s. 10). ITINERANT VENDER.—Any itinerant vender of any drug, nostrum, medicine, ointment, or appliance of any kind intended for the treatment of disease or injury, who shall publicly profess to cure or treat diseases, injuries, deformities, or ailments by any drug, nostrum, medicine, or other appliance, shall pay a license to the Secretary of the State of $100 per month. Violation of this section is a misdemeanor punishable by a fine of not more than $500 or imprisonment in a county jail for not more than six months, or both. Such licenses to any firm or company do not permit the transaction of business in different places at the same time (_ib._, s. 11, as amended February 21st, 1891). PENALTY.—Practising medicine or surgery without complying with the act is a misdemeanor punishable with a fine of from $50 to $500 or imprisonment in a county jail from thirty days to three hundred and sixty-five days, or both, for each offence. Filing or attempting to file as his own the certificate of another, or a forged affidavit or identification, is a felony punishable the same as forgery in the second degree (_ib._, s. 12). FORMER PRACTITIONERS.—Persons practising in the State at the time of the passage of the act were allowed sixty days afterward to register (_ib._, s. 13). FEES.—To the secretary of the board, for examining a genuine diploma, $1. To the secretary of the board, for examining a fraudulent diploma, or a diploma not owned by the possessor, $20 (_ib._, s. 4). To the county clerk, for recording certificate, usual fee (_ib._, s. 6). To board of examiners, for examination, $10 (_ib._, s. 8). To the Secretary of the State, from itinerant vender, for license, $100 per month (_ib._, s. 11, as amended February 21st, 1891). PENNSYLVANIA. [PRESENT LAW.—The following is the law at present in effect; for the new law which goes into effect hereafter, see below.] QUALIFICATION.—The standard of a practitioner of medicine, surgery, or obstetrics consists of a good moral character, a thorough elementary education, a comprehensive knowledge of human anatomy, human physiology, pathology, chemistry, materia medica, obstetrics, and practice of medicine and surgery and public hygiene (Act March 24th, 1877, s. 1). It is unlawful for any person to announce himself as a practitioner of medicine, surgery, or obstetrics, or to practise as such, who has not received in a regular manner a diploma from a chartered medical school, duly authorized to confer upon its alumni the degree of doctor of medicine. The act does not apply to a resident practitioner who has been in continuous practice in the commonwealth for not less than five years prior to its passage (_ib._, s. 2). Before any person can lawfully engage in the practice of medicine, surgery, or obstetrics, or who has not a diploma as provided in sec. 2, he must make an affidavit under oath, or affirm before the prothonotary of the county in which he intends to practise, setting forth the time of continuous practice and the place or places where such practice was pursued in the commonwealth, and it shall be entered of record (_ib._, s. 3). TRANSIENT PRACTITIONER.—Any person attempting to practise medicine or surgery for a valuable consideration by opening a transient office within the commonwealth, or by handbill or other form of written or printed advertisement, assigning such transient office or other place to persons seeking medical or surgical advice, or prescribing or itinerating from place to place or from house to house and proposing to cure any person sick or afflicted, by the use of any medicine, means, or agency whatsoever, for a valuable consideration, shall before being allowed to practise in this manner appear before the clerk of the court of quarter sessions of the county where he desires to practise and furnish satisfactory evidence to such clerk that this act has been complied with, and shall take out a license for one year and pay $50 therefor (_ib._, s. 4). PENALTY.—To violate this act is a misdemeanor punishable with a fine of from $200 to $400 for each offence (_ib._, s. 5). QUALIFICATION.—Every person who shall practise medicine or surgery, or any of their branches, for gain, or shall receive or accept for his services any fee or reward directly or indirectly, shall be a graduate of a legally chartered medical college or university having authority to confer the degree of doctor of medicine (except as provided in sec. 5), and shall present to the prothonotary of the county in which he resides or sojourns his medical diploma as well as a true copy of the same, including any indorsements thereon, and make affidavit before him that the diploma and indorsements are genuine; thereupon the prothonotary shall enter in the register the name in full of the practitioner, his place of nativity, place of residence, the name of the college or university that has conferred the degree of doctor of medicine, the year when it was conferred, and in like manner any other degree or degrees that the practitioner may desire to place on record; to all of which the practitioner shall make affidavit before the prothonotary and the prothonotary shall place the copy of the diploma and indorsements on file (Act June 8th, 1881, s. 2). Any person whose medical diploma has been destroyed or lost shall present to the prothonotary of the county in which he resides or sojourns a duly certified copy of his diploma, but if the same is not obtainable a statement of this fact, with the names of the professors whose lectures he attended and the branches of study upon which each professor lectured, to all of which the practitioner shall make affidavit before the prothonotary; after which the practitioner shall be allowed to register and the prothonotary shall place such certificate or statement on file (_ib._, s. 3). Any person desiring to commence the practice of medicine or surgery, having a medical diploma issued by any college, university, society, or association in another State or foreign country, shall lay the same before the faculty of one of the medical colleges or universities of this commonwealth for inspection, and the faculty being satisfied as to the qualifications of the applicant and the genuineness of the diploma shall direct the dean of the faculty to indorse the same, after which such person shall be allowed to register as required by sec. 2 (_ib._, s. 4). The act extends the privilege of continuing to practise to those who have been in the continuous practice of medicine or surgery in the commonwealth since 1871, but such a person must make affidavit to a written statement of the facts before the prothonotary of the county in which he resides; and the prothonotary shall enter in the register the name in full of the practitioner, his place of nativity, place of residence, the time of continuous practice in the commonwealth, and the place or places where such practice was pursued, to all of which the practitioner shall make affidavit, and the prothonotary shall place the certificate or statement on file in his office (_ib._, s. 5). PENALTY.—Presenting to the faculty of an institution for indorsement or to the prothonotary a diploma which has been obtained by fraud, or in whole or in part a forgery, or making an affidavit to a false statement, or practising without conforming with the act, or otherwise violating or neglecting to comply with the act, is a misdemeanor punishable with a fine of $100 or imprisonment in the county jail for not more than one year, or both, for each offence (_ib._, s. 7). EXCEPTION.—The act does not prevent any physician or surgeon, legally qualified to practise medicine or surgery in the State where he resides, from practising in the commonwealth, but a person opening an office or appointing a place to meet patients or receive calls is a sojourner and must conform to its requirements (_ib._, s. 8). FEES.—To the prothonotary, for affidavit of continuous practice, $2 (Act March 24th, 1877, s. 3). To county treasurer, for transient license, $50. To clerk of the court of quarter sessions, for issuing transient license, $5 (_ib._, s. 4). To the prothonotary, for registration, $1 (Act June 8th, 1881, s. 6). [NEW LAW.—The following law has been enacted whose practical application does not begin until March 1st, 1894:] MEDICAL COUNCIL.—The law provides for a medical council of the State (Act of May 18th, 1893, s. 1). The council is to supervise the examinations conducted by the State boards of medical examiners for licenses to practise medicine and surgery, and issue licenses to applicants who shall have presented satisfactory and properly certified copies of licenses from the State boards of medical examiners or State boards of health of other States, or who shall have successfully passed the examination of one of the State boards established by this act (_ib._, s. 5). MEDICAL BOARDS.—From and after March 1st, 1894, there are to be three separate boards of medical examiners, one representing the medical society of the State, one representing the homœopathic medical society of the State, and one representing the eclectic medical society of the State. Each board is to consist of seven members appointed by the governor from the full lists of the members of the said medical societies, and is to be composed exclusively of members of the same medical society. Each appointee must be a registered physician in good standing, and shall have practised medicine or surgery under the laws of the State for not less than ten years prior to his appointment. The governor is to fill vacancies and may remove a member for continual neglect of duties or on the recommendation of the medical society with which he may be in affiliation, for unprofessional or dishonorable conduct (_ib._, s. 6). EXAMINATIONS.—For the purpose of examining applicants each board is to hold two or more stated or special meetings in each year after due public notice. A majority constitutes a quorum, but the examination may be conducted by a committee of one or more members authorized by the board (_ib._, s. 9). The boards not less than one week prior to each examination must submit to the council questions for thorough examination in anatomy, physiology, hygiene, chemistry, surgery, obstetrics, pathology, diagnosis, therapeutics, practice of medicine, and materia medica; and the council must select therefrom the questions for each examination, and such questions for each examination shall be the same for all candidates, except that in the departments of therapeutics, practice of medicine, and materia medica the questions shall be in harmony with the teachings of the school selected by the candidate (_ib._, s. 10). The examinations are to be in writing under rules prescribed by the council. After an examination the board must act on it without unnecessary delay and transmit to the council an official report of its action stating the examination average of each candidate in each branch, the general average, and the result, and whether successful or unsuccessful. The report must embrace all the examination papers, questions, and answers, which shall be kept for reference and inspection for not less than five years (_ib._, s. 11). QUALIFICATION.—The council must forthwith issue to each applicant returned as having successfully passed said examination, and adjudged by the council to be duly qualified, a license to practise medicine and surgery. The council must require the same standard of qualifications from all candidates except in therapeutics, practice of medicine, and materia medica, in which the standard shall be determined by the boards respectively. Before the license is issued, it must be recorded in a book in the office of the council, and the number of the book and page containing the record noted on the face of the license; the records shall have the same weight as evidence as that given to conveyance of land (_ib._, s. 12). On and after July 1st, 1894, any person not theretofore authorized to practise medicine and surgery in the State may deliver to the secretary of the council a written application for a license with satisfactory proof that the applicant is more than twenty-one years of age, is of good moral character, has obtained a competent common-school education, and has received a diploma conferring the degree of medicine from some legally incorporated medical college of the United States, or a diploma or license conferring the full right to practise all the branches of medicine and surgery in some foreign country. Applicants who have received their degree in medicine after July 1st, 1894, must have pursued the study of medicine for at least three years, including three regular courses of lectures in different years in some legally incorporated medical college or colleges prior to the granting of said diploma or foreign license. Such proof shall be made, if required, upon affidavit, and if the council is satisfied with the same it shall issue to the applicant an order for examination before such one of the boards of examiners as the applicant may select. In case of failure at the examination the candidate, after the expiration of six months and within two years, shall have the privilege of a second examination by the same board without additional fee. Applicants examined and licensed by State boards of medical examiners or State boards of health of other States, on filing in the office of the medical council a copy of said license certified by the affidavit of the president and secretary of such board, showing also that the standard of acquirements adopted by said board is substantially the same as is provided by secs. 11, 12, and 13 of this act, shall without further examination receive a license conferring on the holder all the rights and privileges provided by secs. 14 and 15 (_ib._, s. 13). From and after March 1st, 1894, no person shall enter upon the practice of medicine or surgery unless he has complied with this act and shall have exhibited to the prothonotary of the court of common pleas of the county in which he desires to practise a license duly granted, which shall entitle him to be duly registered in the office of such prothonotary. PENALTY.—Violating the provisions of this act shall be a misdemeanor punishable with a fine of not more than $500 for each offence (_ib._, s. 14). EXCEPTIONS.—The act does not interfere with or punish commissioned medical officers serving in the army or navy of the United States, or its marine hospital service, while so commissioned, or medical examiners of relief departments of railroad companies, while so employed, or any one while actually serving as a member of the resident medical staff of any legally incorporated hospital, or any legally qualified and registered dentist exclusively engaged in the practice of dentistry, nor interfere with or prevent the dispensing and sale of medicine or medical appliances by apothecaries [or] pharmacists, nor interfere with the manufacture of artificial eyes, limbs, or orthopædical instruments or trusses of any kind _for_ (_sic_) fitting such instruments on persons in need thereof, or any lawfully qualified physicians and surgeons residing in other States or countries meeting registered physicians of this State in consultation, or any physician or surgeon residing on the border of a neighboring State and duly authorized under the laws thereof to practise medicine and surgery therein, whose practice extends into the limits of this State, provided such practitioner shall not open an office or appoint a place to meet patients or receive calls within the limits of Pennsylvania, or physicians duly registered in one county of this State called to attend cases in another, but not residing or opening an office therein. The act does not prohibit the practice of medicine and surgery by any practitioner who shall have been duly registered before March 1st, 1894, according to the Act of June 8th, 1881, and one such registration shall be sufficient warrant to practise medicine and surgery in any county (_ib._, s. 15). FORMER LAWS.—All acts or parts of acts inconsistent with this are repealed (_ib._, s. 17). FEES.—To the secretary of the council, upon application for a license, $25. To the secretary of the county, upon application for a license by licensees in other States, $15 (_ib._, s. 13). To the prothonotary, upon exhibition of a license, for registry, $1 (_ib._, s. 14). RHODE ISLAND. REGISTRATION.—Every physician must cause his name and residence to be recorded in the town clerk’s office of the town where he resides (Public Statutes, 1882, c. 85, s. 12). PENALTY.—Wilful neglect or refusal to perform this duty is punishable with a fine not exceeding $20 (_ib._, s. 11). SOUTH CAROLINA. QUALIFICATION.—All physicians engaging in the practice of medicine or surgery, before doing so, must submit their diplomas to a board consisting of three reputable physicians in each county. The board is appointed by the governor on the recommendation of the medical societies of the counties, and where no medical society exists, upon the recommendation of the senator and members of the House of Representatives for such counties (Act of 1890, c. 454, s. 1). The said board must examine said diploma, when submitted, and if the holder is a _bona fide_ holder, and if the college issuing said diploma is a reputable medical college, and if he also submits a certificate of good moral character, the board must certify to the fact, and upon such certificate the diploma shall be registered by the clerk of the court of the county in which the applicant resides (_ib._, s. 2). EXCEPTION.—The act does not apply to physicians and surgeons already registered under former laws (_ib._, s. 4). SOUTH DAKOTA. PROHIBITION.—It is unlawful for any person to practise medicine, surgery, or obstetrics in any of their departments without having received a license to practise medicine from the board of health, and having it recorded in the office of the register of deeds in the county where such person resides (Act February 16th, 1893, s. 1). EXCEPTIONS.—The act does not affect those in the lawful practice of medicine, surgery, or obstetrics in this State at the time of its passage (_ib._, s. 2). Nor does it prohibit students from prescribing under the supervision of a preceptor, nor prohibit gratuitous services in case of emergency, nor apply to commissioned surgeons in the United States army and navy (_ib._, s. 3). PENALTY.—Violation of the act or practising without the license is a misdemeanor punishable with a fine of from $25 to $100 or imprisonment in the county jail not more than thirty days or both (_ib._, s. 4). QUALIFICATION.—The State board of health is constituted a board of public examiners _ex-officio_ to examine and license physicians to practise medicine. Any person who is a graduate of a lawful medical college, who has attended three full courses of medical lectures of six months each, no two full courses within the same year, and who is of good moral character, and is not an habitual drunkard, shall, upon proof of such facts to the superintendent of the State board of health, as the board shall require, receive from said superintendent a license; which shall be recorded as above. The requirement of three courses of lectures does not apply to those who had graduated prior to the passage of the act (_ib._, s. 5). CANCELLATION OF LICENSE.—The State board of health, upon complaint made to it on oath by one responsible person, has power to cancel any license that may have been fraudulently obtained or when the person to whom such license was issued is an habitual drunkard, or is guilty of immoral practices or gross unprofessional conduct. Such license shall not be cancelled except after a hearing before such board of health, at which a majority of such board shall be present, and of which the person holding the license to be cancelled shall have had at least ten days’ notice, and only upon due proof of the facts stated in the complaint. An appeal may be taken to the circuit court of the county in which the person whose license is cancelled lives by any person aggrieved, in the same manner as now provided by law in case of appeal from the decisions of the county commissioners (_ib._, s. 6). FEE.—To the superintendent of the State board of health, for a license, $5 (_ib._, s. 5). TENNESSEE. QUALIFICATION.—No person can lawfully practise medicine in any of its departments, except dentistry, unless he possesses the qualifications required by the act. If a graduate in medicine, he must present his diploma to the State board of medical examiners for verification as to its genuineness. If found genuine and from a legally chartered allopathic, homœopathic, or eclectic medical college in good standing with the school of medicine in which said college is classed, of which the State board of medical examiners shall be the judge, and the person named therein be the person claiming and presenting it, the board must issue a certificate to that effect, conclusive as to the rights of the lawful holder to practise medicine (Act of 1889, c. 178, s. 1). Persons in actual practice at the time of the passage of the act were allowed till July 1st, 1891, to comply with the provisions of the act respecting them (_ib._, s. 2, as amended Act 1891, c. 109, s. 1). A person wishing to enter upon the practice of medicine must present to the board of medical examiners a diploma from some medical college in good standing as provided by sec. 1, or shall present himself to the said board for examination upon anatomy, physiology, chemistry, pathology, surgery, obstetrics, and therapeutics. If the diploma be found genuine, or if the applicant for examination be found worthy and competent, the board shall issue a certificate which shall entitle the lawful holder to all the privileges of this act (_ib._, s. 3, as amended Act 1891, c. 109, s. 2). The governor appoints six graduate physicians as a State board of medical examiners; the three schools allopathic, homœopathic, and eclectic must be represented on the board; five constitute a quorum and a majority of those present are necessary to reject an applicant, but such rejection shall not bar a re-examination after the lapse of three months; provided the members representing each school shall have the right to examine all applicants of that school, and the board shall issue the certificate to applicants who are recommended by the member or members of the board who belong to said school after such examination (_ib._, s. 4). To prevent delay and inconvenience two members of the board may grant a temporary license to any applicant if the applicant has not been refused a license by the board within six months, which shall be in force till the next regular meeting of the board (_ib._, s. 5). The members of the board shall not be members of the State board of health, nor any medical faculty (_ib._, s. 6). The regular meeting of the board shall be once in each year at such time and place as the board may decide, but the president of the board may call a special meeting when demanded by public necessity (_ib._, s. 7). Every person holding a certificate must have it recorded in the office of the county court clerk where he resides, and the date of record must be indorsed thereon. Until such record is made the holder shall not exercise any of the rights and privileges conferred. A person removing to another county to practise shall record his certificate in like manner in the county to which he removes. Practitioners may go from one county to another on professional business, without being required to register, if they have done so in the county in which they reside (_ib._, s. 9). ITINERANT PHYSICIAN OR VENDER.—It is unlawful for an itinerant physician or vender of any drug, nostrum, ointment, or appliance of any kind intended for the treatment of disease or injury to sell or apply the same, or by writing, printing, or other method to profess to cure or treat disease or deformity by any drug, nostrum, manipulation, or other expedient. A violation of this section is punishable with a fine of $100 to $400, but this section does not apply to merchants and druggists, and this act does not apply to veterinary surgeons and stock doctors (_ib._, s. 13, as amended Act 1891, c. 109, s. 3). PENALTY, EXCEPTION.—To practise medicine or surgery without a certificate is a misdemeanor punishable with a fine of from $10 to $25. To file or attempt to file as his own the diploma or certificate of another or a forged affidavit of identification is a felony punishable same as forgery. The act does not apply to women who pursue the avocation of midwife (_ib._, s. 14, as amended Act 1891, c. 109, s. 4). FEES.—To the county court clerk, for recording certificate, the usual fee (_ib._, s. 9). To the board of examiners, for issuing a certificate, $1. To the board of examiners, for examination of non-graduate, $10. If applicant fails to pass a satisfactory examination, and no certificate or license is issued to him, $5 only is retained. For a certificate of temporary license, $1, which is to be credited to the applicant when he applies for a permanent license (_ib._, s. 12, as amended Act 1891, c. 109, s. 2). TEXAS. CONSTITUTIONAL PROVISION.—The legislature may pass laws prescribing the qualifications of practitioners of medicine, but no preference shall ever be given by law to any schools of medicine (Const. 1876, art. xiv., s. 31 in part). BOARDS OF EXAMINERS.—A board of medical examiners for each judicial district is appointed by the judge of the district court (R. S., art. 3,625). Each board is composed of not less than three practising physicians of known ability, graduates of some medical college recognized by the American Medical Association, residents of the district from which they are appointed (_ib._, art. 3,626). The boards are required to meet regularly semi-annually at some central point in their districts to conduct examinations and grant certificates, and after at least one month’s public notice of the time and place of meeting by publication in at least one newspaper published in the district (_ib._, art. 3,629). QUALIFICATION.—The board is required to examine thoroughly all applicants for a certificate of qualification to practise medicine in any of its branches or departments, whether furnished with medical diplomas or not, upon anatomy, physiology, pathological anatomy and pathology, surgery, obstetrics, and chemistry; but no preference shall be given to any school of medicine (_ib._, art. 3,632). When the board is satisfied as to the qualifications of an applicant, they are required to grant a certificate, which entitles him to practise medicine in any county when it has been recorded (_ib._, art. 3,633). Any two members of the board may grant a certificate, and any member may grant a temporary certificate upon examination, which shall be in force until the next regular meeting of the board (_ib._, art. 3,634). The certificate must, before the person to whom it was granted is entitled to practise, be recorded in the office of the clerk of the district court of the county in which such practitioner resides or sojourns, and when recorded the clerk shall certify thereon under his official seal the fact and date of record, and shall return the certificate to its owner (_ib._, art. 3,635). EXCEPTIONS.—This title does not apply to those who have already qualified under the act of May 16th, 1873, nor to those regularly engaged in the general practice of medicine in the State in any branch or department for five consecutive years prior to January 1st, 1875, nor to females who follow the practice of midwifery strictly as such (_ib._, art. 3,637). PENALTY.—No person except those named in art. 3,637 can lawfully practise medicine in any of its branches or departments without having first obtained and recorded a certificate of qualification as above provided. A person so offending shall be punished as provided in the Penal Code (_ib._, art. 3,638). If any person shall practise for pay or as a regular practitioner medicine in any of its branches or departments, or offer or attempt to practise medicine without first having obtained a certificate of professional qualification from some authorized board of medical examiners, or without having a diploma from some actual medical college chartered by the legislature of the State, or its authority, in which the same is situated, he shall be punished by a fine of not less than $50, nor more than $500 (Penal Code, art. 396). Each patient visited or prescribed for, or each day’s offer to practise constitutes a separate offence (_ib._, art. 397). If any person shall engage in the practice of medicine in any of its branches or departments for pay or as a registered practitioner, without having first filed for record, with the clerk of the district court of the county in which he resides or sojourns, a certificate from some authorized board of medical examiners or a diploma from some actual medical college, he shall be punished as prescribed in art. 396 (_ib._, art. 398). FEES.—To the clerk of the district court, for recording certificate, $1 (R. S., art. 3,635). To the board of examiners, for examination, $15, whether certificate is granted or not (R. S., art. 3,636). UTAH. BOARD OF EXAMINERS.—The governor appoints by and with the advice and consent of the council a board of seven medical examiners from the various recognized schools of medicine; appointees are required to be graduates of a legally chartered medical college in good standing (Act 1892, c. 72, s. 1). QUALIFICATION.—The board has power to issue certificates to all who furnish satisfactory proof of having received degrees or licenses from a chartered medical college in good and legal standing, and pass examinations before said board (_ib._, s. 2). Graduates of respectable medical colleges at the time of the passage of the act engaged in actual practice in the Territory shall be licensed on presenting their degree to the board, and producing satisfactory evidence of identity (_ib._, s. 4). Every person holding a certificate from said board must have it recorded in the office of the recorder of the county in which he resides within three months from its date, and the date of record must be indorsed thereon. Until the certificate is recorded, the holder shall not exercise any of the privileges conferred. A person removing to another county to practise must record his certificate in like manner in the county to which he removes (_ib._, s. 5). Examinations shall be wholly or partly in writing (_ib._, s. 7). The board may refuse to issue certificates to individuals guilty of unprofessional or dishonorable conduct, the nature of which shall be stated in writing, and it may revoke certificates for like causes to be stated in writing (_ib._, s. 8). DEFINITION.—Any person is regarded as practising medicine who treats, operates upon, or prescribes for any physical ailment of another for a fee, or who holds himself out by means of signs, cards, advertisements, or otherwise as a physician or surgeon. EXCEPTIONS.—The act does not prohibit service in case of emergency or the administration of family remedies, and does not apply to commissioned surgeons of the United States army in discharge of their official duties, or to visiting physicians in actual consultation (_ib._, s. 9). OFFENCE.—Practising medicine or surgery without a certificate or contrary to this act is a misdemeanor (_ib._, s. 10). Persons not graduates who had practised continuously for ten years in the Territory prior to the taking effect of the act were allowed six months in which to comply with its provisions concerning them. Practising without complying with these provisions, and practising after rejection of an application or the revocation of certificate, is a violation of the law (_ib._, s. 11). OBSTETRICIANS.—Persons practising obstetrics were required within three months after the passage of the act to apply to the board for a certificate, and after passing a proper examination were entitled to one. Practising obstetrics without first obtaining a license or contrary to this act is a misdemeanor; provided all persons who furnish to said board satisfactory evidence by affidavit or otherwise of having practised obstetrics previous to the passage of the act, shall receive a license without an examination. This section does not apply to physicians holding certificates nor prohibit services in cases of emergency, nor apply to persons practising obstetrics in communities where there are no licensed practitioners (_ib._, s. 12). BOARD MEETINGS.—The board is required to meet at the territorial capital on the first Monday of January, March, June, and September of each year at 10 A.M., and such other times as the president of the board shall deem necessary (_ib._, s. 13). COLLEGES.—“Respectable medical colleges” include colleges in legal standing of any recognized school of medicine (_ib._, s. 15). FEES.—To the treasurer of the board of examiners, for examination and certificate, $25 (_ib._, s. 3). To the treasurer of the board of examiners, for license to a graduate, $5 (_ib._, s. 4). The secretary of the board is required to enter without fee, on the register to be kept by him, the names of all persons to whom licenses are issued as physicians and surgeons (_ib._, s. 4). To the county recorder, for recording, his usual fees (_ib._, s. 5). To the treasurer of the board of examiners, upon examination for license to practise obstetrics, $10. To the treasurer of the board of examiners, upon license to practise obstetrics without examination, $1 (_ib._, s. 12). VERMONT. QUALIFICATION.—The medical societies organized under a charter from the General Assembly at each annual session elect a board of censors of three members, who may examine and license practitioners of medicine, surgery, and midwifery (Revised Laws, 1880, s. 3,908). A practitioner of medicine, surgery, or midwifery who by sign or advertisement offers his services to the public as a practitioner of medicine, surgery, or midwifery, or who by such sign or advertisement assumes the title of doctor, shall obtain a certificate from one of such medical societies, either from a county, district, or State society (_ib._, s. 3,909). A person not a resident of the State who has not received a diploma from a chartered medical college must obtain a certificate from a board of censors before he shall be permitted to practise the medical art in the State (_ib._, s. 3,910). Each board of censors must issue certificates without fee to physicians and surgeons who furnish evidence by diploma from a medical college or university, or by a certificate of examination by an authorized board, which satisfies said censors that the person presenting such credentials has been, after due examination, deemed qualified to practise the branch mentioned in such diploma or certificate (_ib._, s. 3,911). The censors in their discretion shall notify the practitioner of medicine, surgery, or midwifery of this chapter, and require such persons to comply therewith within thirty days after notification or such further time as is allowed by the censors not exceeding ninety days (_ib._, s. 3,912). The certificate must set forth the branches of the medical art in which the person is qualified to practise (_ib._, s. 3,913). The certificate must be recorded in the clerk’s office of the county in which the holder resides, or, if not a resident of the State, in the county in which he obtained his certificate (_ib._, s. 3,914). A certificate issued by a board of censors is valid throughout the State after being duly recorded. The censors may revoke or annul a certificate if in their judgment the holder has obtained it fraudulently or has forfeited his right to public confidence by the conviction of crime (_ib._, s. 3,915). PENALTY.—To practise medicine, surgery, or midwifery in the State, or sign a certificate of death for burial or removal unless authorized by a certificate issued and recorded, is punishable with a fine of from $50 to $200 for the first offence, and for subsequent offences with a fine of from $200 to $500, recoverable by an action of debt for the use of any person who sues or by indictment (_ib._, s. 3,916). No person practising either of the branches of medicine, surgery, or midwifery is permitted to enforce in the courts the collection of a fee or compensation for services rendered or medicine or material furnished in the practice of any of the branches for which he has not a certificate (_ib._, s. 3,917). EXCEPTIONS.—The law does not apply to the practice of dentistry, nor to the practice of midwifery by women in the town or locality in which they reside, nor to practitioners of medicine who resided and practised medicine in the State for five years previous to November 28th, 1876 (_ib._, s. 3,918). VIRGINIA. BOARD OF EXAMINERS.—There is a State board of medical examiners consisting of three members from each congressional district and two from the State at large, and five homœopathic physicians from the State at large (Code 1887, s. 1,744). The board is composed of men learned in medicine and surgery appointed by the governor from a list of names recommended by the Medical Society of Virginia, together with five homœopathic physicians nominated to him by the Hahnemann Medical Society of the Old Dominion. The recommendations are required to be by votes of a majority present at some meeting of such society; but if the governor considers any person so recommended unsuitable he may decline to appoint him, in which case such society shall within ninety days after notification make another recommendation, and if the society fail to make a recommendation the governor is required to appoint such board in whole or in part without regard to such recommendation. If any examiner cease to reside in the district for which he was appointed his office is deemed vacant (_ib._, s. 1,745). The regular meetings of the board are required to be held at least once a year, and at such times and places as the board may prescribe, and special meetings may be held on the call of the president and any five members (_ib._, s. 1,746). QUALIFICATION.—The board at any of its meetings must examine all persons making application to them who desire to practise medicine or surgery; when an applicant shall have passed an examination satisfactory as to proficiency before the board in session the president must grant a certificate to that effect. If any applicant fail to pass a satisfactory examination before the board he shall not be permitted to stand a further examination within the next three months, nor shall he be required again to pay the fees prescribed, but no applicant shall be rejected on his examination on account of his adherence to any particular school of medicine or system of practice, nor on account of his views as to the method of treatment and the cure of disease. When, in the opinion of the president of the board, the applicant has been prevented by good cause from appearing before the board, he shall appoint a committee of three members who shall examine the applicant and may grant a certificate having the same effect as though granted by a full board, until the applicant have an opportunity to appear before the board, when, if he fail to appear for examination, the president shall have the authority to revoke said certificate; or in any case the president shall have authority, at his discretion, to grant a special permit to any applicant to practise medicine until he shall have an opportunity to appear before the board in session for examination, revokable at the discretion of the president. The board has in its discretion authority to accept in lieu of examination a certificate from a medical board of any other State, showing that the applicant has passed a satisfactory examination as to his proficiency, and obtained a license from said board to practise medicine and surgery in said State (_ib._, s. 1,747, as amended Act 1892, c. 70). A person obtaining a certificate from the president of the board must cause it to be recorded in the clerk’s office of the county or the corporation court, of the county or corporation in which he resides, or, if he resides in the city of Richmond, in the clerk’s office of the chancery court of the said city (_ib._, s. 1,749). No person who shall have commenced the practice of medicine or surgery since January 1st, 1885, or who shall hereafter commence the practice of the same, shall practise as a physician or surgeon for compensation without having obtained a certificate and caused it to be recorded. PENALTY.—The violation of this act is punishable with a fine of from $50 to $500 for each offence, and the violator is debarred from receiving compensation for services rendered as a physician or surgeon; a person assessed with a license tax as a physician or surgeon by any commissioner of revenue prior to July 1st, 1892, shall be taken as having commenced the practice of medicine or surgery prior to that date; but any person who shall not have been so assessed shall be taken as not having commenced such practice prior to that date (_ib._, s. 1,750, as amended Act 1892, c. 70). NON-RESIDENTS.—A physician or surgeon residing in an adjoining State within ten miles of the boundary line of this State, is entitled to stand the examination and receive a certificate, and the certificate must be recorded in that county in the State nearest to his place of residence, and such certificate and recordation shall make it lawful for him to practise medicine and surgery in this State (_ib._, s. 1,751). EXCEPTIONS.—This chapter does not affect practitioners of dentistry, nor include physicians or surgeons residing in other States called into consultation in a special case with a physician or surgeon residing in this State, nor does it affect in any way the laws in reference to the license tax (_ib._, s. 1,752) nor does it apply to midwives (_ib._, s. 1,753). FEES.—To the board of examiners, before examination, $5 (_ib._, s. 1,747, as amended Act 1892, c. 70). To the clerk of the court, for recording, same fee as for recording a deed (_ib._, s. 1,749). WASHINGTON. EXAMINING BOARD.—The governor is required to appoint a State medical examining board of nine members, learned and skilled in the practice and theory of medicine and surgery (Act March 28th, 1890, s. 1). The said board is required to hold meetings for examination on the first Tuesday of January and July in each year, alternately in western and eastern Washington at such places as the board may designate. The board may call special meetings when, in the opinion of a majority of the board, they are necessary. The board is required to keep a record of all applicants for a license, with their ages, the time spent in the study and practice of medicine and surgery, and the name and location of all institutions granting to such applicants degrees or certificates of lectures in medicine or surgery, and whether such applicant was rejected or licensed; and said register is _prima facie_ evidence of all matters therein recorded (_ib._, s. 2). QUALIFICATION.—Every person desiring to commence the practice of medicine or surgery, or either of them, in any of their or its branches, must make a written application to the board for a license, supported by an affidavit of the applicant, setting forth the actual time spent in the study of medicine and surgery, and when; whether such study was in an institution of learning and, if so, its name and location; if not in such institution, where and under whose tutorship such study was prosecuted, the time engaged in the actual practice, if at all, of medicine and surgery or either, and where, and the age of the applicant at the time of the application, such application and affidavit to be filed and preserved of record in the office of the secretary of the board. At the time and place designated by the board or at a regular meeting of the board, applicants must be examined in anatomy, physiology, chemistry, histology, materia medica, therapeutics, preventive medicines, the practice of medicine, surgery, obstetrics, diseases of women and children, of the nervous system, of the eye and ear, medical jurisprudence, and such other branches as the board deem advisable. The examination must be both scientific and practical, and of sufficient severity to test the candidate’s fitness to practise medicine and surgery, by written or printed, or partly written and partly printed, questions and answers, and the same are required to be filed and preserved of record in the said secretary’s office. After the examination, if it be satisfactory, the board shall grant a license, by the consent of not less than five members, except as hereinafter provided. REFUSAL OR REVOCATION.—The board may refuse or revoke a license for unprofessional or dishonorable conduct, subject to the right of appeal (_ib._, s. 3). “Unprofessional or dishonorable conduct” means: procuring or aiding or abetting in procuring a criminal abortion; or employing what are popularly known as cappers or steerers; or obtaining any fee on the assurance that a manifestly incurable disease can be permanently cured; or wilfully betraying a professional secret; or advertisements of medical business in which untruthful and improbable statements are made; or advertising any medicine or means whereby the monthly periods of women can be regulated, or the menses re-established if suppressed; or the conviction of any offence involving moral turpitude; or habitual intemperance (_ib._, s. 4). In case of a refusal or a revocation of a license, the board is required to file a brief and concise statement of the grounds and reasons thereof in the office of its secretary, which, with the decision of the board in writing, shall remain of record in said office. Before a license can be revoked for unprofessional or dishonorable conduct, a complaint of some person under oath must be filed in the office of the secretary of the board, charging the acts of unprofessional or dishonorable conduct and the facts complained against the accused in ordinary and concise language, and at least ten days prior to the hearing the board shall cause to be served upon the accused a written notice and a copy of such complaint containing a statement of the time and place of the hearing. The accused may appear at the hearing and defend in person or by counsel, and may have the sworn testimony of witnesses taken and present other evidence in his behalf, and the board may receive arguments of counsel (_ib._, s. 5). In case of refusal or revocation of a license by the board, there is a right of appeal within thirty days after the filing of the decree in the office of the secretary, to the superior court in and for the county in which was held the last general meeting of the board prior to the refusal of the license, in case of refusal; and to the superior court in and for the county in which the hearing was had upon which such license was revoked, in case of revocation. The person desiring to appeal must serve or cause to be served on the said secretary a written notice of appeal containing a statement of its grounds, and must file in the said secretary’s office an appeal bond with a good and sufficient surety to be approved by the Secretary of the State of Washington, conditioned for the speedy prosecution of such appeal and the payment of such costs as may be adjudicated against him upon such appeal. Said secretary must within ten days after service of said notice and filing, and the approval of the said appeal bond, transmit to the clerk of the court to which the appeal is taken a certified copy, under the seal of the board, of the decision and the grounds, in case of refusal, and in addition a certified copy under said seal of the complaint, in the case of revocation, with the bond and notice of appeal. The clerk must thereupon docket such appeal causes and they stand for trial in all respects as ordinary civil actions, and like proceedings are had thereon. On appeal the cause is tried _de novo_. Either party may appeal from a judgment of the superior court to the supreme court in like manner as in civil actions within sixty days after the rendition and entry of such judgment. If the judgment be in favor of the party appealing from the decision of the board, and the examining board does not appeal within sixty days, in that case at the end of sixty days the board shall immediately issue to the successful party the usual license, and in addition reinstate upon its records the name of such successful applicant, in case of revocation. In case of appeal to the supreme court by the board, no such license shall be issued nor re-instatement required until the final determination of the cause. In case the final decision of the supreme court be against the board, then the said court shall make such order as may be necessary and the board shall act accordingly. No appeal bond can be required of the board, nor any costs adjudged or taxed against the same (_ib._, s. 6). FILING AUTHORITY.—The person receiving a license must file it, or a copy, with the county clerk of the county where he resides, and the county clerk is required to file said certificate or copy and enter a memorandum thereof, giving its date and the name of the person to whom it was issued, and the date of filing, and on notice to him of a change of location or the death of a person licensed or of revocation, the county clerk is required to enter a memorandum of said fact at the appropriate place in the record. In case of removal into another county, the person licensed must procure from the county clerk a certified copy of the said license, and file it with the county clerk of the county to which he shall remove, with like effect as an original license (_ib._, s. 7). PENALTY, DEFINITION.—To practise medicine or surgery without a license or contrary to this chapter is a misdemeanor punishable with a fine of from $50 to $100, or imprisonment in a county jail from ten to ninety days, or both. Any person is regarded as practising who appends the letters “M.D.” or “M.B.” to his name, or for a fee prescribes, directs, or recommends for the use of any person any drug or medicine or agency for the treatment, care, or relief of any wound, fracture, or bodily injury, infirmity, or disease; but the chapter does not apply to dentists. REGULATIONS.—The board has authority to prescribe and establish all needful rules and regulations to carry this chapter into effect (_ib._, s. 9). FORMER PRACTITIONER.—All persons licensed under sec. 2,289 of the laws of Washington Territory, 1881, or having complied with its provisions, are to be taken and considered as licensed under this act, and the secretary of the board is required to enter the names of such persons upon the register kept by him, as licensed physicians and surgeons on their written application (_ib._, s. 10). FEE.—To the treasurer of the board, for examination, $10 (_ib._, s. 3). WEST VIRGINIA. QUALIFICATION.—The following persons and no others are permitted to practise medicine:

Chapters

1. Chapter 1 2. INTRODUCTION, v 3. INTRODUCTION. 4. CHAPTER I. 5. CHAPTER II. 6. CHAPTER III. 7. CHAPTER IV. 8. CHAPTER V. 9. CHAPTER VI. 10. 1. Persons graduated from a legally chartered medical school not less 11. 3. Medical students taking a regular course of medical instruction. 12. 1. Graduates of a reputable medical college in the school of medicine 13. 2. Persons not graduates in medicine who had practised medicine in this 14. 3. A person not a graduate of medicine and who has not practised 15. 1. Fellow, member (inserted 22 Vict., c. 21, s. 4), licentiate, or 16. 2. Fellow, member (inserted 22 Vict., c. 21, s. 4), or licentiate of 17. 3. Fellow or licentiate of the King’s and Queen’s College of Physicians 18. 4. Fellow or member or licentiate in midwifery of the Royal College of 19. 5. Fellow or licentiate of the Royal College of Surgeons of Edinburgh 20. 6. Fellow or licentiate of the Faculty of Physicians and Surgeons of 21. 10. Doctor or bachelor or licentiate of medicine, or master in surgery 22. 11. Doctor of medicine of any foreign or colonial university or 23. 1. Persons entitled to be registered at the time of the coming into 24. 2. Any member of any incorporated college of physicians and surgeons 25. 3. Every person mentioned in chap. 48 of Act 49 and 50 Vict. of the 26. 4. Every graduate in medicine upon examination of the University of 27. 5. Every person who produces to the registrar the certificate under the 28. 1. A license to practise physic, surgery, and midwifery, or either, 29. 2. A license or diploma granted under 2 Vict., c. 38, or under the 30. 3. A license or authorization to practise physic, surgery, and 31. 4. A certificate of qualification to practise medicine, surgery, and 32. 5. A medical or surgical degree or diploma of any university or college 33. 6. A certificate of registration under the Imperial Act 21 and 22 34. 7. A commission or warrant as physician or surgeon in Her Majesty’s 35. 8. Certificates of qualification to practise medicine under any of the 36. 1. That he holds a certificate of study from a licensed physician for 37. 3. That he has followed his studies during a period of not less than 38. 4. That during said four years he attended at some university, college, 39. 5. That he attended the general practice of a hospital in which are 40. 6. That he has attended six cases of labor and compounded medicines for 41. 1. When and under what circumstances the body was first seen; stating 42. 3. Any circumstances that would lead to a suspicion of suicide or 43. 4. Time after death at which the examination was made, if it can be 44. 5. The external appearance of the body: whether the surface is livid or 45. 7. Any marks of violence on the person, disarrangement of the dress, 46. 8. Presence or absence of warmth in the legs, abdomen, arms, armpits, 47. 9. Presence or absence of rigor mortis. 48. 10. Upon first opening the body the color of the muscles should be 49. 12. The state of the abdominal viscera, describing each one in 50. 13. The state of the heart and lungs. (For special consideration of the 51. 14. The state of the brain and spinal cord. 52. 2. Intermittent shocks of electricity at different tensions passed into 53. 3. Careful movements of the joints of the extremities and of the lower 54. 4. A bright needle plunged into the body of the biceps muscle 55. 5. The opening of a vein, showing that the blood has undergone 56. 6. The subcutaneous injection of ammonia (Monte Verde’s test), causing 57. 7. A fillet applied to the veins of the arm (Richardson’s test), 58. 8. “Diaphanous test:” after death there is an absence of the 59. 9. “Eye test:” after death there is a loss of sensibility of the eye 60. 4. Changes in color due to 61. 1. Situation. Post-mortem ecchymoses are seen on that portion of the 62. 2. In cadaveric lividity there is no elevation of the skin and the 63. 3. After cutting into the tissues where an ecchymosis has been produced 64. 4. Post-mortem ecchymoses are very extensive, ante-mortem generally 65. 1. =Temperature.=—Putrefaction advances most rapidly at a temperature 66. 2. =Moisture.=—Putrefaction takes place only in the presence of 67. 3. =Air.=—Exposure to air favors decomposition by carrying to the body 68. 4. =Age.=—The bodies of children decompose much more rapidly than 69. 5. =Cause of Death.=—In cases of sudden death, as from accident or 70. 6. =Manner of Burial.=—When a body is buried in low ground in a damp, 71. 1. =The Temperature.=—Below 32° F. and above 212° F. putrefaction is 72. 2. =Moisture.=—Absence of moisture retards decomposition. In the dry 73. 3. =Air.=—If access of air to a body be prevented in any way by its 74. 4. =Age.=—Adults and old people decompose more slowly than children. 75. 5. =Cause of Death.=—Putrefaction is delayed after death from chronic 76. 6. =Manner of Burial.=—Putrefaction is retarded by burial a short 77. 1. Bodies of young persons, because the fat is abundant and chiefly 78. 4. The immersion of bodies in water, the change taking place more 79. 5. Humid soil, especially when bodies are placed in it one upon the 80. 1. HEMORRHAGE varies in amount with the size of the wound, the 81. 2. COAGULATION OF BLOOD.—As stated at the beginning of this section, 82. 3. EVERSION OF THE LIPS OF THE WOUND.—The edges or lips of a wound 83. 4. RETRACTION OF THE SIDES OF THE WOUND is also dependent on their 84. 1. =Hemorrhage.=—This may act by producing syncope. But the amount of 85. introduction into the blood and tissues of the bacteria themselves. 86. 1. _Cullingworth: Lancet, May 1st, 1875, p. 608_.—Woman. Believed to 87. 2. _Taylor: “Med. Jur.,” Am. Ed., 1892, p. 412._—Man and woman. 88. 3. _Harvey: Indian Med. Gaz., December_ 1st, 1875, _p. 312_.—Hindoo 89. 4. _Harris: Ibid., p. 313._—Boy, age 10. Abrasions over front of 90. 5. _Mackenzie: Ibid., February, 1889, p. 44._—Hindoo woman, age not 91. 30. Strangled by soft cloth cord. Necroscopy: Circular mark of cord, 92. 7. _Ibid., p. 234._—Hindoo woman, age about 40. Broad, circular, 93. 8. _Ibid., p. 235._—Hindoo woman, age about 25. Piece of cloth twisted 94. 9. _Harvey: Ibid., January_ 1st, 1876, _p. 2_.—Hindoo woman, age 12 95. 10. _Ibid._—Hindoo man, age 20. Dead seven days; much decomposition 96. 11. _Ibid._—Cases of strangulation by sticks and other hard 97. 12. _Ibid._—In another subject two sticks were tightly tied together, 98. 13. _Pemberton: Lancet, May_ 22d, 1869, _p. 707_.—Woman, age 60. 99. 14. _Cullingworth: Med. Chron., Manchester, 1884-85, i., p. 100. 15. _The Gouffé Case._—Murdered by Eyraud and Bompard in 1889. _Archiv 101. 16. _Horteloup: Ann. d’Hygiène, 1873, xxxix., pp. 408-416._—Man found 102. 17. _Laennec: Journ. de med. l’ouest, 1878, xii., pp. 68-71._—Woman, 103. 18. _Lancet, ii., 1841-42, p. 129._—Woman, found dead, her clothing 104. 19. _Alguie: “Étude méd. and exp. de l’homicide réel ou simulé par 105. 20. _Gatscher: Mittheil. d. Wien. med. Doct. Colleg., 1878, iv., p. 106. 21. _Ibid., p. 46._—Woman, age 50, found dead in bed. Blood fluid; two 107. 22. _Waidele: Memorabilien, 1873, xviii., pp. 161-167._—Husband and 108. 23. _Rehm: Friedreich’s Blätter f. ger. Med., 1883, xxxiv., pp. 109. 24. _Schüppel: Vier. ger. öff. Med., xiii., 1870, pp. 140-156._—Woman, 110. 25. _Weiss: Ibid., xxvii., 1877, pp. 239-244._—Woman strangulated by 111. 26. _Isnard and Dieu: Rev. cas jud., Paris, 1841, p. 101._—Man, 112. 27. _Friedberg: Gericht. gutacht., 1875, pp. 211-224._—Woman found 113. 26. _Tardieu: “Pendaison,” p. 223._—New-born infant. Question whether 114. 29. _Ibid., p. 219._—Woman, advanced in years, habits dissipated; 115. 30. _Ibid., p. 216._—Wife of the celebrated painter Gurneray; found 116. 31. _Ibid., p. 211._—Three murders by one man. All women. All injured 117. 32. _Francis: Med. Times and Gaz., December_ 2d, 1876, _p. 118. 33. _Badahur: Indian Med. Gaz., December, 1882, p. 330._—Hindoo 119. 34. _Harris: Ibid._—Woman; made a loop of her hair around her neck, 120. 35. _Geoghegan: Taylor’s “Med. Jur.,” Am. Ed., 1892, p. 413._—Informed 121. 36. _Taylor: “Med. Jur.,” Am. Ed., 1892, p. 418._—Boy: found dead with 122. 37. _Fargues: Rec. de mém. de méd., etc., Paris, 1869, xxii., pp. 123. 38. _Borchard: Jour. de méd. de Bordeaux, 1860, v., p. 349 et 124. 39. _Hofmann: Wien med. Presse, 1879, xx., p. 16, et seq. Also 125. 40. _Zillner: Wien med. Woch., 1880, xxx., pp. 969, 999._—Woman, age 126. 41. _Bollinger: Friedreich’s Blätter f. ger. Med., 1889, xl., p. 127. 42. _Roth: Ibid., p. 9._—Man, age 68; melancholic; found dead in bed. 128. 43. _Ibid._—Son-in-law at 36 years of age had committed suicide in the 129. 44. _Ibid._—Man, age 63; found dead in his bed; cord around neck 130. 45. _Maschka: Vier. ger. öff. Med., 1883, xxxviii., pp. 71-77._—Woman, 131. 46. _Ibid._—Woman; supposed to have been murdered by her son. There 132. 47. _Hackel: Dorpat Diss., 1891, p. 34._—Man, age 48; strangled 133. 48. _Binner: Zeitsch. f. Med-beamte, 1888, i., pp. 364-368._—Woman; 134. 49. _Bédié: Rec. de mém. de Méd., etc., Paris, 1866, xvi., pp. 135. 50. _Liégey: Jour. de Méd. chir. et pharm., Brussels, 1868, xlvi., 136. 51. _Friedberg: Gericht. gutacht., p. 240._—New-born child found dead 137. 1. _Harvey: Indian Med. Gaz., 1876, xi., p. 2._—Man, age 30. Found 138. 2. _Ibid., p. 3._—Insane man, age 60. Put his neck in a V-shaped fork 139. 3. _Ibid., p. 5._—Woman, age 28. Two marks of ligature on neck; one 140. 4. _Ibid., p. 5._—Man, age 45; first cut his throat and then hung 141. 5. _Ibid., p. 30._—Woman; hung herself with a twisted cloth. There 142. 6. _Ibid._—Man, age 39. Distinct mark of cord around neck; no other 143. 7. _Ibid._—Man, age 70. Mark of cord around the neck, superficial 144. 8. _Ibid._—Sex and age not given. Found hanging on a tree; usual 145. 9. _Ibid., p. 32._—Man, age 50. Face livid, eyes red and protruding; 146. 10. _Hurpy: Ann. d’ Hygiene, 1881, vi., pp. 359-367, with 147. 11. _Champouillon: Same journal, 1876, xlvi., p. 129._—Man, age 62; 148. 12. _Pellier: Lyon thesis, 1883, No. 188, p. 72._—Boy, age 16, hung 149. 13. _Lacassagne: Pellier thesis (supra), p. 71._—Man; hung himself; 150. 14. _Maschka: Archiv. de l’anthrop. crim., Paris, 1886, i., pp. 151. 15. _Friedberg: Virchow’s Archiv, 1878, lxxiv., p. 401._—Suicidal 152. 16. _Bollinger: Friedreich’s Blätt. f. ger. Med., 1889, xl., p. 153. 17. _Med. Times and Gaz., London, 1860, ii., p. 39._—Woman; had 154. 18. _E. Hoffman: Mitt. d. Wien. Med. Doct. Colleg., 1878, iv., pp. 155. 20. 3d. Man, age 50. First tried to kill himself with phosphorus, then 156. 21. _Müller-Beninga: Berlin. klin. Woch., 1877, xiv., p. 481._—Man, 157. 22. _Tardieu: Op. cit., p. 18._—The Prince of Condé was found hanging 158. 23. _Allison: Lancet, 1869, i., p. 636._—Three cases of suicide by 159. 24. _Tardieu: Op. cit., pp. 93-105._—Woman, died of coma and asphyxia 160. 25. _Ibid., pp. 67-72._—The famous case of Marc-Antoine Calas, who 161. 26. _Ibid., p. 72._—Another famous case. A woman, age 30, hung herself 162. 27. _Hofmann: Wien. med. Presse, 1880, xxi., p. 201._—Man, age 68, 163. 28. _Ibid.: 1878, xix., pp. 489-493._—Woman, found dead sitting in 164. 29. _Ibid._—Man, tried to poison himself with phosphorus and sulphuric 165. 30. _Maschka: Wien. med. Woch., 1880, xxx., pp. 714, 747, 1075._—Man, 166. 32. _Ibid. 1883, xxxiii., pp. 1118-1120._—Woman. age 23. Question 167. 33. _Hofmann: Allg. Wien. med. Zeit., 1870, xv., pp. 192-214._—Man, 168. 34. _Van Haumeder: Wien. med. Woch., 1882, xxxii., pp. 169. 35. _Maschka: “Sammlung gericht. Gutacht.,” etc. (Prag), Leipzig, 1873, 170. 36. _Ibid., p. 144._—Boy, age 13. Found hanging in sitting position. 171. 37. _Ibid., p. 149._—Woman, age 60; found hanging, sitting position. 172. 39. _Ibid., p. 165._—Man, age 63. Suicide by hanging, or homicide by 173. 40. _Berliner: Viert. f. ger. Med. und öff. San., 1874, xx., pp. 174. 41. _Deininger: Friedreich’s Blät. ger. Med., 1884, xxxv., pp. 175. 42. _Mader: Bericht d. k. k. Rud. Stift., Wien. (1875), 1876, p. 176. 43. _Grant: Lancet, 1889, ii., p. 265._—Man, age 48; found sitting 177. 44. _White: Lancet, 1884, ii., p. 401._—Woman, age 53, insane. Made 178. 45. _Richards: Indian Med. Gaz., 1886, xxi., p. 78._—Man, age 20; 179. 47. _Terrier: Prog. Méd., 1887, vi., pp. 211-214._—Two men, age 29 and 180. 48. _Nobeling: Aertz. Intellig.-bl., 1884, xxxi., p. 213._—Two 181. 49. _Ritter: Allg. Wien,. med. Zeit., 1886, xxxi., p. 375._—Soldier, 182. 50. _Strassmann: Viert. f. ger. Med., 1888, xlviii., pp. 183. 51. _Balta: Pest. Med. Chir. Presse, 1892, xxviii., p. 1244._—Man, age 184. 52. _Hackel: Op. cit., p. 35._—Man, found hanging to a beam by a 185. 53. _Ibid._—Two cases of suicidal hanging where the cord made no mark. 186. 54. _Freund: Wien. klin. Woch., 1893, vi., pp. 118-121._—Man, found 187. 55. _Hoffman: Op. cit., p. 525, illustrated._—Case communicated by Dr. 188. 56. _Ibid., p. 530._—Man found hanging by handkerchief to branch of 189. 57. _Ibid., p. 541._—Man found hanging to a window. Another man cut 190. 58. _Ibid._—Man found hanging; cut down; the fall caused rupture of 191. 59. _Ibid., p. 539._—Drunkard hung himself; there was evidence that he 192. 60. _Ibid._—Boy hung himself because he had been punished by the 193. 61. _Harvey: Indian Med. Gaz., 1876, xi., p. 3._—Woman, age 20, 194. 62. _Ibid., p. 4._—Woman, age 38. Rope close under the chin passed 195. 63. _Rehm: Friedreich’s Blät. f. ger. Med., 1883, xxxiv., pp. 196. 64. _Tardieu: Op. cit., p. 125._—Woman found hanging in her room. 197. 65. _Ibid., p. 124._—Girl, 15 years old. Body found hanging. Post 198. 66. _Ibid., p._ 122.—Woman found hanging in her room, and was 199. 67. _Ibid., p. 106._—The Duroulle affair. Woman found hanging. 200. 68. _Ibid., p._ 130.—The Daugats affair. Man found hanging, sitting 201. 69. _Passauer: Viert. f. ger. Med. und öff. San., 1876, xxiv., pp. 202. 70. _Becker: Same journal, 1877, xxvii., pp. 463-473._—Woman, age 203. 71. _Maschka: “Samm. gericht. Gutacht.,” etc. (Prag), Leipzig, 1873_, 204. 72. _Ibid., p. 127._—Man found dead. Had he been strangled or hung, or 205. 73. _Ibid., p. 133._—Woman, age 42; found hanging; a mark around her 206. 74. _Rehm: Friedreich’s Blätt., 1883, xxxiv., pp. 322-362._—Man, age 207. 75. _Hofmann: “Lehrbuch,” p. 538._—A father hung his five children, 208. 76. _MacLaren: Indian Med. Gaz., 1873, viii., p. 234._—Three cases of 209. 77. _Second man_, age 16; pupils widely dilated; eyeballs protruding. 210. 78. _Third man_, age 20; pupils slightly dilated; eyeballs and tongue 211. 79. _Cayley: Ibid., p. 122._—Man, age 35; executed by hanging. 212. 80. _Garden: Same journal, 1880, xv., p. 12._—Man, age 40, weight 213. 81. See two cases of judicial hanging by _Wilkie, same journal, 1881, 214. 82. _Porter: Archiv. Laryngol., New York, 1880, i., p. 142._—Redemier 215. 83. _Another_ criminal hung at the same time had dislocation of 216. 84. _Fenwick: Canada Med. Jour., 1867, iii., p. 195._—Man executed; 217. 85. _Dyer: Trans. Amer. Ophthal. Soc., 1866, p. 13._—Man, age 24; 218. 86. _Dyer: Same Trans., 1869, pp. 72-75._—Man hung. One eye showed 219. 87. _Green: Same Trans., 1876, p. 354._—Man hung; drop seven or eight 220. 88. _Keen: Amer. Jour. Med. Sci., 1870, lix., p. 417._—Two criminals 221. 89. _Clark: Boston Med. and Surg. Jour., 1858, lviii., p. 222. 90. _Hofmann: Wien. med. Woch., 1880, xxx., pp. 477-480._—Man, a 223. 91. _Kinkhead: Lancet_, and 701-703.—Cases of hanging. In one, the 224. 92. _Nelson: Southern Clinic, 1885, viii., pp. 198-202._—Two colored 225. 93. _Dercum: Phila. Med. Times, 1886-87, xvii., p. 368._—Description 226. 94. _Kirtikar: Trans. M. and P. Soc., Bombay, 1885, vi., pp. 227. 95. _Lamb: Med. News, Philadelphia, 1882, xli., pp. 42-45._—Execution 228. 96. _Thomson and Allen: Catalog. Surg. Sec. Army Med. Mus._; specimens 229. 97. _Harvey: Indian Med. Gaz., 1876, xi., p. 3._—Boy, age 1½ years; 230. 98. _Hackel: Op. cit., p. 35._—Man, age 19, sitting on a load of wood, 231. 99. _Biggs and Jenkins: New York Med. Jour., 1890, lii., p. 30._—Case 232. 1. _Huppert: Vier. ger. Med. und öff. San., 1876, xxiv., pp. 233. 2. _Johnson: Lancet, 1878, ii., p. 501._—Boy swallowed penny, became 234. 3. _Ibid._—Man suddenly fell while at dinner; face blue; breathing 235. 4. _Ibid._—Boy, age 5 years. Button in larynx. Aphonia, dyspnœa, 236. 5. _Ibid._—Man, drunk, swallowed a half-sovereign. Urgent dyspnœa; 237. 6. _Med. Times and Gaz., 1874, i., p. 486._—Man, age 20, had severe 238. 7. _Littlejohn: Edin. Med. Jour., 1875, xx., p. 780._—Woman found 239. 8. _Sayre: New York Med. Jour., 1874, xix., p. 420._—Girl, age 240. 9. _Duffy: Trans. Med. Soc. No. Car., 1874, p. 126._—Boy, age 8, 241. 10. _Tardieu: Op. cit., p. 290._—Man, age 50, found dead on the floor. 242. 11. _Oesterlen: Vier. f. ger. Med. und öff. San., 1876, xxiv., p. 243. 12. _Tardieu: Op. cit., p. 322._—Two children, one 2 months old, the 244. 13. _Blum: New York Med. Jour., 1885, xlii., p. 207._—Woman, found 245. 14. _Wyeth: Same journal, 1884, xl., p. 487._—Boy, age 12, inspired 246. 15. _Partridge: Same journal, 1890, li., p. 303._—Child, 4 months old, 247. 42. _Roy. Indian Med. Gaz., 1880, xv., p. 71._—Man, believed to be 248. 49. _Poupon: Bull. Soc. Clin., Paris (1882), 1883, vi., pp. 249. 50. _Pons: Jour. Méd., Bordeaux, 1889-1890, xix., pp. 57-61._—Woman, 250. 51. _Kemény: Wien. med. Blat., 1890, xiii., p. 37._—Man, age 45. 251. 52. _Maschka: Vier. ger. Med., 1885, xliii., pp. 11-14._—Man, age 65. 252. 53. _Heidenhain: Same journal, 1886, xliv., pp. 96-101._—Vomited 253. 54. _Langstein: Wien. med. Woch., 1880, xxx., pp. 624-626._—Child 254. 55. _Ward: Catalog. Army Med. Mus., Med. Sec., p. 33._—Soldier, age 255. 56. _Sankey: Brit. Med. Jour., 1883, i., p. 88._—Epileptic; found dead 256. 57. _Macleod: Ibid., 1882, ii., p. 1246._—Suicidal maniac. Had to 257. 58. _Christison: Edin. Med. Jour., 1829, xxxi., pp. 236-250._—The 258. 59. _Hackel: Dorpat Diss., 1891, p. 35._—Case of choking with pressure 259. 60. _Tardieu: Op. cit., p. 315._—New-born infant; found buried in 260. 61. _Tardieu: Op. cit., p. 323._—New-born infant found under a cask, 261. 62. _Ibid., p. 325._—New-born infant found buried in the earth; gravel 262. 63. _Ibid., p. 326._—New-born infant found in ashes; nose and lips 263. 64. _Ibid., p. 327._—New-born infant, buried in bran; nose and mouth 264. 65. _Devergie and Raynaud: Ann. d’Hyg., 1852, xlviii., pp. 265. 66. _Rauscher: Friedreich’s Blat., 1886, xxxvii., pp. 324-330._—Woman, 266. 1602. Mongitore, “Bibl. Sic.,” Panormi, 1707-14. i., 199, mentions 267. 1885. (See Toxicology.) 268. 143. The Court said (per Sedgwick, J.): “In order to give the public 269. 209. Kansas, Teft _v._ Wilcox, 6 Kan., 46. Massachusetts, Com. _v._ 270. 668. Wisconsin, Reynolds _v._ Graves, 3 Wis., 416. Vermont, Briggs _v._ 271. 1. Causes of death; especially in cases of homicide, suicide, accident, 272. 2. Causes, nature, and extent of personal injuries, by violence, 273. 3. Birth of infants; was infant born dead or alive; if dead, was death 274. 4. Rape, abortion, bastardy, pederasty, onanism, masochism, and many 275. 5. Malpractice cases, involving the degree of care and skill usual, 276. 77. Staunton _v._ Parker, 19 Hun, 55, is thus overruled. 277. 493. Although this point was discussed, the case was really decided on

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