Catholic Hand Engraved New England Pewter Medal 4-way Medal on a 24" Black Leather Cord. The Four Way Medal Most Simply Put, the 4 Way Medal Is a Medal Created Out of a Combination of Four Popular Catholic Medals. Traditionally, the Four Way Medal Is Cross-shaped (Cruciform) and Includes the Sacred Heart Medal, St. Joseph Medal, St. Christopher Medal, and the St. Mary Miraculous Medal. The Back of the Medal Is Often Engraved with &ldquo;I Am a Catholic &ndash; Please Call a Priest,&rdquo; in Case the Wearer of the Medal Is Found Unconscious and in Critical Condition, for Example If He or She Were in a Car Accident. Some Four Way Medals May Also Have &ldquo;Pray for Us&rdquo; Inscribed on the Back or May Simply Be Blank.