Emery A. Rovenstine Memorial Lecture: John B. Neeld, Jr., M.D., 1999 ASA President, Presents ‘Winning the War’

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July 1, 2013 Volume 77, Number 7
Emery A. Rovenstine Memorial Lecture: John B. Neeld, Jr., M.D., 1999 ASA President, Presents ‘Winning the War’ Audrée A. Bendo, M.D., M.S., Chair Committee on Annual Meeting Oversight

John B. Neeld, Jr., M.D., 1999 ASA President, will present the Emery A. Rovenstine Memorial Lecture in 2013. Responding to the economic reality that our nation cannot sustain ever-increasing health care costs, and the need to provide best quality anesthesia care to an aging and growing population in an era of a continuing shortage of anesthesiologists, ASA has promoted the anesthesiologist-led anesthesia care team as the best model for 21st century care.

Rather than embrace the physician-led model of care and its record of patient safety and quality, the American Association of Nurse Anesthetists (AANA) has undertaken aggressive efforts in legislative and regulatory arenas in state capitals and Washington, D.C., with the goal of dismantling the physician-led model of care. The AANA and the nursing community are joined in these efforts by powerful and well-organized allies, including other advanced practice nurse (APN) organizations and a coalition, including the American Hospital Association, AARP and the Robert Wood Johnson Foundation, which has assisted in funding APN coalition branches in every state. The Federal Trade Commission (FTC) intervened in this debate through its actions targeting several state medical and dental boards, and Congress intervened through Section 2706 of the Public Health Service Act, the “Non-discrimination in health care” provision of the PPACA law. The only effective counter to these efforts is definitive proof of the value anesthesiologists bring to patient care, and proof of our value demands current and valid outcome studies. Dr. Neeld will review the efforts of AANA, the economic imperative to reduce the rate of the rise of health care expenditures, the existing outcome studies in the specialty and a call for ASA to fund well-designed, scientifically-valid outcome studies to prove the value anesthesiologists bring to patient care.

About Dr. Neeld
Dr. Neeld is Chair Emeritus of the Department of Anesthesiology at Northside Anesthesiology Consultants in Atlanta. Having held several leadership roles at ASA, including Assistant Treasurer, Treasurer and President (1999), he has also chaired several ASA committees, including the Ad Hoc Committee on Strategic Planning, Administrative Council, Section of Executive Affairs and Ad Hoc Committee on Land Use, which recommended the new site for ASA’s future headquarters. Dr. Neeld has additionally held leadership roles in other organizations, including former president of the Greater Atlanta Society of Anesthesiologists and is a member of the Board of Trustees for the Wood Library-Museum of Anesthesiology.

After completing his medical degree at Vanderbilt University School of Medicine, Dr. Neeld completed an internship in surgery at Vanderbilt University Hospital and his residency training in anesthesiology at Emory University Hospitals. Prior to his residency, he was a Major in the U.S. Army Medical Corps from 1967-70, receiving several honors including a Purple Heart, a Bronze Star, a Vietnam Service Medal and an Army Commendation Medal. Dr. Neeld is the author of multiple articles and has lectured across the country on topics such as cardiac rate and rhythm changes with atrophone and methscopolamine, medical-legal aspects of anesthesiology and private sector health reform. He and his wife Gail currently reside in Atlanta, Georgia.

Audrée A. Bendo, M.D., M.S. is Distinguished Professor and Executive Vice Chair, Department of Anesthesiology, SUNY Downstate Medical Center, Brooklyn, New York.