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On November 13, 2018, the SLMMS Council voted to accept a number of proposed bylaw changes to the various categories of membership in the Medical Society. The proposed changes were all voted on separately, and each change was accepted unanimously by the Council by a vote of 15-0. These changes to the SLMMS bylaws will become effective on January 1, 2019. No revisions or amendments to the Bylaws of the St. Louis Society for Medical and Scientific Education (SLSMSE) were proposed or made at this time.

The bylaw changes were first proposed by the SLMMS Strategic Planning Committee in March, 2018, as they examined membership trends and studied the long-term health of the Society. They referred their recommendations to the SLMMS Membership Committee, who met in June, 2018, and voted to move the proposed changes forward to the SLMMS Bylaws Committee for action.

On July 12, 2018, the SLMMS Bylaws Committee reviewed, drafted and proposed the amendments that were presented to the SLMMS Council on September 11, 2018. The Council approved a motion to present these changes to the membership through a posting on the Society website. Per the Society’s bylaws, the full membership must be informed of any changes and there must be a comment period of at least 30 days. The membership was informed by mail as well as the SLMMS e-newsletter in late September of the proposed changes, and the comment period ran through October 31, 2018.

Two member comments were received during the comment period and both were taken into consideration at the time of the Council vote on November 13.

In summary, the amendments to the SLMMS Bylaws are as follows:
- The current membership category of Honor Members was eliminated, and no new members will be granted this status after December 31, 2018. All current Honor Members (as of December 31, 2018) will be “grandfathered” and will experience no change in membership status.
- The current membership category of Life Members was eliminated, and no new members will be granted this status after December 31, 2018. All current Life Members (as of December 31, 2018) will be “grandfathered” and will experience no change in membership status.
- The criteria for Retired Member status was changed, and Retired status will now only be granted when a member has completely ceased practicing medicine for remuneration. All current Retired Members (as of December 31, 2018) will experience no change in membership status. Effective January 1, 2019, the name of the Retired Member category will change to Emeritus Member.
- The definition of Corresponding Members was expanded and clarifies that corresponding membership status is granted when a physician is a member in good standing with another component society of the Missouri State Medical Association, and that participation in member events and benefits shall be at the discretion of the Council. Corresponding members will pay a reduced annual dues but will not be eligible to vote or to hold elective office. The Council set the dues amount for Corresponding members, effective January 1, 2019, at $150 annually.
- A new membership category called Affiliate Members was established to create an alternate path to membership for members in good standing with the Missouri Association of Osteopathic Physicians; and for members of another general state medical society who are not eligible for active membership in SLMMS due to geography. The description of this membership category is similar to Corresponding Members, in that they will pay a reduced annual dues but will not be eligible to vote or to hold elective office. The Council set the dues amount for Affiliate members, effective January 1, 2019, at $150 annually.
- The Council also approved expanding the Members with No Vote section of the bylaws to now include Student, Corresponding, Affiliate and Honorary members

The changes to the SLMMS Bylaws were all made in accordance with the existing SLMMS Bylaws (Chapter XIV. Section 1. Amendments). All amendments become effective January 1, 2019. All the amendments were made to the section Chapter 1 - Members, and that entire chapter is included below with the amendments highlighted.

AMENDMENTS TO THE ST. LOUIS METROPOLITAN MEDICAL SOCIETY BYLAWS

CHAPTER I. MEMBERS (Changes are highlighted below in bold italics.)

Members of the St. Louis Metropolitan Medical Society (SLMMS) are classified into the following categories:

Section 1: Active Members.
Any doctor of medicine or osteopathy of good professional standing, legally qualified, residing or practicing in St. Louis or St. Louis County, and whose professional conduct is in accordance with the generally accepted principles of medical ethics shall be eligible for Active membership.

Section 2. Honor Members.
The Council may, at its discretion, place Active Members who have rendered distinguished service to medicine or to the community on an “honor list” and such members shall be known as “Honor Members.” They shall enjoy all the privileges of Active membership. This member category has been eliminated and no new members will be added after December 31, 2018. All Honor Members as of December 31, 2018 are “grandfathered” and their membership status does not change.

Section 3. Life Members.
The Council may, after due investigation and at its discretion, place members in good standing on the list of Life Members who are disabled or withdrawn from active practice upon request to the Council. Life membership may also be granted to those members in good standing who are at least 70 years old or have been Active Members of component medical societies more than 35 years. Such members shall enjoy all the privileges of Active membership, except to vote and hold elective office. This member category has been eliminated and no new members will be added after December 31, 2018. All Life Members as of December 31, 2018 “grandfathered” and their membership status does not change.

Section 4. Resident/Fellow Members.
Applicants may be admitted as Resident/Fellow members after graduation in medicine or osteopathy and during the time they are serving full time internships, residencies, or fellowships. Upon completion of the years that qualify them for Resident/Fellow status, they may automatically become Active members, following a status change request. Resident/Fellow members have the same qualifications for admission and shall have the same privileges as Active members, and shall be assigned to the Resident/Fellow Section.

Section 5. Emeritus Members. (formerly Retired Members)
Members who retire from the practice or teaching of medicine may maintain the retired classification while residing in this or any other part of the world by paying the dues as described in Chapter X and may be reinstated to Active membership on application to the Council. Emeritus status is only granted when a member has completely ceased practicing medicine for remuneration. Such members shall enjoy all the privileges of Active membership, except to vote and hold elective office. Members who achieved Emeritus (formerly Retired) Status prior to December 31, 2018 will be “grandfathered” and their membership status does not change.

Section 6. Honorary Members.
Distinguished members of the health care profession, may, by vote of the Society or Council be made Honorary members. They shall not be assessed dues and may not vote or hold elective office.

Section 7. Corresponding Members
Any doctor of medicine or osteopathy residing and/or practicing outside of St. Louis and St. Louis County who are members in good standing of another component society of the Missouri State Medical Association in the county in which they reside, may, by vote of the Council, become Corresponding Members of the St. Louis Metropolitan Medical Society so long as they retain membership in their own Society. They shall be entitled to receive the journal, to participate in scientific and educational proceedings of the Society, and participate in member events and benefits at the discretion of the Council. They shall pay a reduced annual dues but are not eligible to vote or to hold elective office.

Section 8. Affiliate Members.
Any doctor of medicine or osteopathy who is either (a) a member in good standing with the Missouri Association of Osteopathic Physicians, or (b) a member of another general state medical society and not eligible to be an active member of SLMMS by geography, may, by vote of the Council, become an Affiliate Member of the St. Louis Metropolitan Medical Society so long as they retain membership in their own Society. They shall be entitled to receive the journal, to participate in scientific and educational proceedings of the Society and participate in member events and benefits at the discretion of the Council. They shall pay a reduced annual dues but are not eligible to vote or to hold elective office.

Section 9. Student Members
Student members shall be limited to those pursuing a course of study leading to the degree of Doctor of Medicine or Doctor of Osteopathy at a school approved by the American Medical Association or American Osteopathic Association. They shall be assigned to the Medical Student Section. Student members shall not be assessed dues and may not vote or hold elective office, except if appointed as the Medical Student Section liaison to the Council.

Section 10. Members with No Vote.
As mentioned elsewhere in this chapter, Student, Corresponding, Affiliate and Honorary Members shall not be entitled to vote nor hold elective office, nor shall they be counted as members in determining the number of delegates to the Missouri State Medical Association to which the Society is entitled, with the exception of the Medical Student Section liaison, who with approval of the Council, is allowed to vote and participate in the business affairs of the Council.
 

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