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ASA Board of Directors held its interim meeting
in Chicago, Illinois, on Saturday and Sunday, March
3-4, 2007. The Board committees on Administrative
Affairs, Finance, Professional Affairs and Scientific
Affairs met as Review Committees on Saturday to
review reports for consideration by the Board of
Directors on Sunday.
Among the actions taken by the Board of Directors
were the following (unless otherwise noted, Board
action is subject to action by the ASA House of
Delegates in October):
WCA and Board Meeting in 2008
Due to conflicting dates with the 14th World Congress
of Anaesthesiologists (WCA), the dates of the 2008
Interim Meeting of the Board will be moved to February
23-24.
Mentoring Program for Diversity
The Committee on Professional Diversity has been
charged with developing a formal ASA Mentoring Program
for Diversity, with appropriate support from the
ASA Executive Committee, in an effort to recognize
and enhance gender, racial, ethnic and multicultural
diversity at all levels of involvement in ASA.
New and Updated Practice Parameters
1. An update of the Practice Guidelines for Obstetric
Anesthesia, originally approved in 1998, was approved
by the House in October 2006 and published in the
April 2007 issue of Anesthesiology.
2. New Practice Guidelines for Neuraxial Opioids
Associated with Respiratory Depression are being
drafted with member input through open forums and
are scheduled for completion by October 2007. A
second practice parameter addressing the prevention,
diagnosis and management of infections and bleeding
complications associated with neuraxial blockade
will follow completion of the respiratory depression
document.
3. The Task Force for Practice Guidelines on the
Prevention and Management of Operating Room Fires
also held an open forum in May, and the practice
parameter is scheduled for completion in 2007.
4. A task force for a practice parameter on magnetic
resonance imaging related to anesthetic practice
is being formed and is planned to begin its work
in fall 2007.
5. Also being updated with anticipated completion
in 2008 are the Practice Guidelines for Perioperative
Transesophegeal Echocardiography, first approved
in 1996, and Practice Guidelines for Chronic Pain
Management, first approved in 1997.
6. Other updates due for consideration include:
cancer pain (approved in 1995) and preoperative
fasting (approved in 1998). A total of 11 ASA evidence-based
practice parameters are currently posted on the
National Guideline Clearinghouse Web site www.guideline.gov.
Partnering for Master’s of Business Administration
(MBA) Program
In light of the success of the ASA Certificate in
Business Administration (CBA) program, now in its
seventh year, formal discussions will begin to explore
a partnership between ASA and the physician executive
MBA program at Auburn University. An ASA-sponsored
MBA program would likely require three years of
coursework, could be entered using CBA credits and
would be designed for working physicians and those
with families.
2007 Budget
The Board approved an amended 2007 budget to provide
for income of $25,100,625 and expenses of $25,398,740.
Performance and Outcomes Measurement
The work of the Committee on Performance and Outcomes
Measurement was acknowledged, and ASA will continue
to participate actively in the ongoing development
of such measurements in an expedited fashion, which
should include having measures available for consideration
and working proactively with other organizations
and agencies.
Smoking Cessation Initiative
The Task Force on Smoking Cessation Initiative requested
support for a pilot project and related resources
to support strategies for increasing the involvement
of ASA members in smoking cessation efforts, with
the ultimate goal of increasing the abstinence rates
for their patients who smoke. The Smoking Cessation
Leadership Center, funded by the Robert Wood Johnson
Foundation, is providing technical assistance and
funding.
Anesthesia Advanced Cardiac Life Support
The Committee on Critical Care Medicine, in conjunction
with the American Society of Critical Care Anesthesiologists
(ASCCA), has drafted a document that outlines the
development of a supplemental educational module/chapter,
which focuses on the unique problems of perioperative
cardiac arrest as an adjunct to the American Heart
Association’s advanced cardiac life support
guidelines or as an ASA monograph. The committee
and ASCCA plan to jointly submit the final product
to the House of Delegates in October.
Model Policy for Organ Donation After Cardiac Death
A draft Model Policy for Organ Donation After Cardiac
Death (DCD) was developed by the Committee on Transplant
Anesthesia and reviewed by the Committee on Critical
Care Medicine, the Committee on Ethics and ASCCA
to serve as an educational guide and template for
departments of anesthesiology to use when developing
their individual DCD policies. The document was
referred back to the Committee on Transplant Anesthesia.
Medical Student Component
The Board approved a recommendation from the ASA
Resident Component that the Medical Student Delegation
be recognized as the Medical Student Component and
function as a component society within ASA, separate
from the Resident Component.
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