[1] However, the fraternity adopted a new naming system based on the Greek alphabet at its third annual convention on January 8, 1909.

[4] By 1927, the fraternity had installed 27 collegiate chapters; however, eight were defunct because their host institution closed and seven were inactive.

The letters ΧΖΧ in the fraternity's name stood for Chrisanthenes Zono Chrismon or "Seeking Knowledge Our Highest Pursuit".

The upper triangle was base down and had a black enamel background that had an inlaid gold skull and crossbones above the Greek word iatros, meaning physician.

[8] Its pledge pin was a round purple plaque made of celluloid that featured two hollow triangles, like those of the badge, outlined in gold.