With the reorganization of the medical fraternity out of Kappa Psi in 1924, it was necessary to assume a new name, rewrite and adopt a new constitution, ritual, coat of arms, insignia, badge, and pledge button. The medical group assumed the name of Theta Kappa Psi Medical Fraternity, believing that the addition of the Greek letter Theta greatly enhanced its ritualistic significance. The new constitution bestowed the national president with the title of Grand Prytan, the national vice-president with the title of Grand Vice-Prytan, and the Grand Secretary and Treasurer with the title of Grand Recorder and Bursar. The name of the new medical fraternity journal was "The Messenger". The badge and coat of arms were designed by Richard Bliss. The insignia and pledge button were designed by R.C. Williams.