This document was initially proposed by the American Medical Association (AMA) during the Council Session in October 2007, Copenhagen and it has been decided to circulate to the Member Associations for their comments. This revised proposal was prepared by the AMA, considering the comments from the Member Associations. After the consideration by the 179th Council Session, May 2008, the Council approved this revised version and forwarded to the 2008 General Assembly with the recommendation that it be adopted.