This medical stethoscope pin is 3D cast with bold black enamel and shiny nickel plating just as the real thing! It is a perfect replica, wonderful for doctors, midwives, nurses, assistants, veterinarians and all those medical students waiting to be able to wear one of these! It makes a perfect gift. It includes the standard clutch back at the top of one ear piece so it will stay put on a lab coat, lanyard, medical bag strap and lapel. Each is individually poly bagged.