The President of the United States of America, authorized by Act of Congress, July 9, 1918, takes pleasure in presenting the Army Distinguished Service Medal to Colonel Edward S. Worthington, Royal British Army, for exceptionally meritorious and distinguished service in a position of great responsibility to the Government of the United States, during World War I, for services demanding the fullest of his time and energy. Colonel Worthington exerted himself to such good purpose in behalf of Medical Officers of the U.S. Army that large numbers of them were sent for special and intensive instruction to the various special medical and hospital centers in the British Isles, where they received at the hand of Great Britain’s most eminent instructors the lessons learned from three years of war, thereby enabling the American surgeons to apply the knowledge acquired, with the result that many lives and limbs were conserved in the American Expeditionary Forces.