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ASA NEWSLETTER
 
 
October 2001
Volume 65
Number 10
 
STATE BEAT

ASA on the Road

S. Diane Turpin, J.D., Assistant Director
Office of Governmental Affairs (State)

Don't Gamble With Patient Safety!


August is the time when state legislators attend national conventions, and ASA was there to spread its message, “Don’t Gamble With Patient Safety!” With most state legislatures out of session for the year, these meetings also presented an excellent opportunity to discuss plans for the coming legislative session.

The American Legislative Exchange Council (ALEC) held its annual meeting in New York City in early August with approximately 3,000 state legislators, staff and interested association and corporate representatives attending. ASA hosted an exhibit booth with a red and white poster that exclaimed, “Don’t Gamble With Patient Safety!” We were ably assisted by members of the New York State Society of Anesthesiologists, including Kenneth J. Abrams, M.D., Peter B. Kane, M.D., and Mark J. Lema, M.D., Ph.D. The anesthesiologists spoke with many state legislators and stressed the importance of having physicians supervise nurse anesthetists who administer anesthesia.

The National Conference of State Legislatures (NCSL) held its annual meeting in San Antonio, Texas, with approximately 7,000 attendees. This year, ASA, along with 10 additional national physician groups, joined together in a 40-by-50-foot booth. Participating physician groups included the American Academy of Family Physicians, American Academy of Ophthalmology, American Association of Orthopaedic Surgeons, American Academy of Pediatrics, American College of Cardiology, American College of Obstetricians and Gynecologists, American Medical Association, American Osteopathic Association, American Society of Plastic Surgeons and American Academy of Neurology. The Texas Medical Association generously assisted with refreshments for visitors to the booth.

This joint booth project evolved from a working group established more than a year ago on nonphysician scope-of-practice issues. The booth was called “Physicians Advocating for Patients.” Each physician group provided materials regarding the education and training of physicians and the issues of importance to the specialty. Many groups had local physicians volunteer to staff the booth. ASA was well-represented with former ASA President Betty P. Stephenson, M.D.; James P. McMichael, M.D., President, Texas Society of Anesthesiologists (TSA); Christopher A. Bracken, M.D.; Scott E. Kercheville, M.D.; Mary Ann Gurkowski, M.D.; and Linda S. Adkins, TSA’s legislative consultant. Maintaining the theme from the ALEC meeting, our message focused on the necessity of physician supervision of nurse anesthetists. At both the ALEC and NCSL meetings, the overwhelming majority of the people we spoke with agreed that nurse anesthetists should not be permitted to practice independently.

The physician groups participating in the booth all face scope-of-practice issues at the state level. In our work over the last year, we have come to better understand our respective issues and to realize more fully the need to stay united on these issues. Our joining together in the exhibit booth helped to differentiate physicians from the variety of nonphysician practitioners that exhibit at NCSL. We look forward to planning for the NCSL annual meeting in Denver, Colorado, in 2002 and continuing to work together on issues of importance to all of medicine.

Our thanks to the members of the component societies who generously volunteer their time to make these events so successful.


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