Pictured here is the same pendant design as above, but heavier. In the middle is a symbol called the Ascelpius, which is the common icon used in the American Medical Association. It is embossed into a 14k gold hexagonal pendant with a spring ring clasp that allows the piece to be connected to any gold chain necklace or bracelet. Pendant is about three-quarters of an inch in height and the back can have any medical text engraved into it. Text can be written in the customer comment box.