he ASA House of Delegates met October 24-27, 2004,
during the Annual Meeting in Las Vegas, Nevada. Among
the significant actions of the House of Delegates
were the following: Officer Elections
Elections were held, and the following officers will
serve during 2005:
| President — Eugene P. Sinclair, M.D. |
| President-Elect — Orin F. Guidry, M.D. |
| Immediate Past President — Roger W.
Litwiller, M.D. |
| First Vice-President — Mark J. Lema,
M.D., Ph.D. |
| Vice-President for Scientific Affairs —
Charles W. Otto, M.D. |
| Vice-President for Professional Affairs —
Alexander A. Hannenberg, M.D. |
| Secretary — Peter L. Hendricks, M.D. |
| Assistant Secretary — Gregory K. Unruh,
M.D. |
| Treasurer — Roger A. Moore, M.D. |
| Assistant Treasurer — John M. Zerwas,
M.D. |
| Speaker of the House of Delegates —
Candace E. Keller, M.D. |
| Vice-Speaker of the House of Delegates —
John P. Abenstein, M.D. |
Special Awards
William D. Owens, M.D., of St. Louis, Missouri, was
named the recipient of the 2004 Distinguished Service
Award.
Clifford J. Woolf, M.D., Ph.D., of Charlestown, Massachusetts,
was presented with the 2004 Award for Excellence in
Research. Budget
The 2005 budget was approved, which includes total
income of $22,234,450 and expenses of $23,249,760.
Dues
The following 2005 membership dues were approved:
| Active members — $450 |
| Affiliate members —$225 |
| Educational members —$225 |
| Educational student members —$25 |
| Resident members —$25 |
| Medical student members —$10 |
ASA 100th Anniversary
Ratified Board of Directors’ previous action
that corporate sponsorship be sought for the production
of a history video. Also approved a recommendation
that a commemorative issue of the ASA NEWSLETTER
be produced.
Continuing Medical Education (CME) in Anesthesiology
Ratified Board of Directors’ previous approval
of a new CME in Anesthesiology program
that will award up to 12 category 1 credits per
year. The vehicle for this new program will consist
of reviewing and being tested on a selected article
in each monthly issue of Anesthesiology.
Administrative Support for Component Societies
Ratified Board of Directors’ previous action
approving a pilot program for ASA to make available
administrative support to component societies with
100 or fewer active members. Such support would
be provided upon the request of the component and
only if administrative support could not be supplied
by the state medical society.
Critical Care Medicine and Trauma Medicine
Ratified the Board of Directors’ previous
approval for the Committee on Critical Care Medicine
and Trauma Medicine to be renamed “Committee
on Critical Care Medicine.” Also ratified
was a recommendation that an ad hoc committee be
named to consider the establishment of a new standing
committee on the role of anesthesiology in trauma
and emergency medicine, particularly as it relates
to terrorism mass casualties and biological and
nuclear weapons.
Task Force to Study Payment Methodology
Approved a recommendation that exploration of payment
methodologies that would allow integration into
the resource-based relative value scale (either
flat-fee or time-based) be referred to an ad hoc
committee of the President’s choice for further
study with authority to utilize external consultants
as necessary and report back to the 2005 House of
Delegates.
Governmental Affairs
Ratified Board of Directors’ previous approval
of a new annual Governmental Affairs Award to recognize
an individual’s outstanding contributions
to the Society’s governmental affairs efforts.
Also ratified board action for the establishment
of a Public Policy Fellowship to provide an opportunity
for an ASA member to participate in a supervised
training experience working in a congressional or
federal branch office.
Intravenous Catheters
In response to a declaration by intravenous catheter
manufacturers that they will manufacture only safety-type
catheters in the near future, approved a resolution
as follows:
RESOLVED, That ASA encourage the manufacturers of
intravenous catheters to continue to produce traditional-type
catheters.
Establishment of New Committees
Ratified the Board of Directors’ previous
approval of the establishment of a new standing
Committee on Anesthesiologist Assistant Education
and Practice and also a new standing Committee on
Transplant Anesthesia.
Practice Parameters
Approved a new “Practice Advisory for the
Perioperative Management of Patients with Cardiac
Rhythm Management Devices: Pacemakers and Implantable
Cardioverter-Defibrillators.”
Also approved a recommendation from the Task Force
to Study Spinal Manipulation Under General Anesthesia
that the Committee on Practice Parameters draft
a Practice Alert on “Issues for the Anesthesiologist
Participating in Spinal Manipulation Under Anesthesia
Therapy.” It was suggested that this Practice
Alert appear in a future issue of the ASA NEWSLETTER
[see article here).
Management of Pain Relief in Labor
Received information from the ASA Committee on Obstetrical
Anesthesia relating to the American College of Obstetricians
and Gynecologists Committee on Obstetric Practice’s
Committee Opinion No. 295 that states, “In
an effort to allow the maximum number of parturients
to benefit from neuraxial analgesia, ASA and ACOG
believe that labor nurses should not be restricted
from participating in the management of pain relief
in labor, including following patient-specific written
protocols for management of epidural infusions.”
Medical Student Representation
In response to interest by medical students to have
more formal representation in ASA, approved a resolution
from the Resident Component as follows:
RESOLVED, That
1. A Medical Student Delegation consisting of
five members be created to represent the Medical
Student Members of ASA within the ASA Resident
Component House of Delegates.
2. ASA assist with the creation of a listserve
to facilitate communication among Medical Student
Members.
3. ASA establish a Medical Student Forum where
medical students may meet and discuss concerns
specific to them, to take place annually at the
ASA Annual Meeting.
Subspecialty Society Representation at
Board of Directors Meetings
Ratified the Board of Directors’ previous
approval for the presidents of the seven subspecialty
societies that are seated in the House of Delegates
to attend and participate in ASA Board of Directors
meetings at ASA expense.
Committee on Public Outreach
Received, for information, detailed proposals from
the Committee on Public Outreach regarding a “Communications
Plan” from the Colorado Society of Anesthesiologists
and a Community Outreach Pilot Program from the
District of Columbia Society of Anesthesiologists.
Relative Value Guide
Ratified Board of Directors’ previous approval
of an appointment of a committee of the President’s
choice to better define Physical Status modifiers
and Risk Stratification reporting.
Annual Practice Management Conference
Approved a recommendation from the Committee on
Practice Management that exhibit space be made available
at future Conferences on Practice Management.
Standards, Guidelines and Statements
Approved or ratified previous Board action regarding
reaffirmation or revision of the following documents:
“Standards for Basic Anesthetic Monitoring”
“Continuum of Depth of Sedation; Definition
of General Anesthesia and Levels of Sedation/Analgesia”
“Guidelines for the Practice of Critical Care
by Anesthesiologists”
“Distinguishing Monitored Anesthesia Care
(MAC) From Moderate Sedation/Analgesia (Conscious
Sedation)”
“Guidelines for Office-Based Anesthesia”
“Statement on Labeling Pharmaceuticals for
Use in Anesthesiology”*
“Standards for Postanesthesia Care”
“Policy Statement on Practice Parameters”
“Statement of Purpose and Core Principles”
(formerly “Statement of Policy”)
“Statement on Qualifications of Anesthesia
Providers in the Office-Based Setting”
“Statement on Safe Use of Propofol”*
*New document
Board of Directors
Following adjournment of the House of Delegates
on October 27, 2004, the Board of Directors met
in Las Vegas, Nevada. Board members were elected
to serve on the Board of Directors committees on
Administrative Affairs, Finance, Legislative Review
and Scientific Affairs.
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