April 1997 Bulletin

Academy resolutions

The following resolutions were adopted at the Academy's 1997 Annual Meeting.

1. Public Relations Efforts of the American Academy of Orthopaedic Surgeons

A. Resolved that in such vital areas as health policy initiatives, public relations and education of the public, the American Academy of Orthopaedic Surgeons shall, in cooperation with affiliated musculoskeletal care givers, continue to place a high priority on representing orthopaedic surgeons as highly qualified professionals who care for the diseases of the musculoskeletal system, including the neck, back and foot; and be it further

B. Resolved that the American Academy of Orthopaedic Surgeons, as part of its ongoing reassessment and retargeting of priorities, shall appropriately fund and staff the Academy's Council on Health Policy and Practice and Committee on Public Education to carry out these priorities.

(adopted 1992;
reviewed and amended 1997)

2. Medicare and Other Payment Issues for Orthopaedic Surgery

A. Resolved that the American Academy of Orthopaedic Surgeons shall support negotiations to eliminate inequities in physician fee schedules; and be it further

B. Resolved that the American Academy of Orthopaedic Surgeons shall advise private insurance carriers, workers' compensation boards and state Medicaid agencies not to adopt a flawed Resource-Based Relative Value Scale (RBRVS) system; and be it further

C. Resolved that the American Academy of Orthopaedic Surgeons shall continue to express its concerns about and investigate: the legality of limitations on balanced billing; methods of updating and correcting inappropriate physician work-values; establishing appropriate practice expense values in the RBRVS, based on resource use; inappropriate values for Evaluation and Management (E & M) codes; and other potential vulnerabilities in the physician payment system; and be it further

D. Resolved that the American Academy of Orthopaedic Surgeons shall continue coalition-building with other national medical associations and public interest groups to address these serious issues.

(adopted 1992;
reviewed and amended 1997)

3. Routine HIV Testing of Hospitalized Patients

A. Resolved that the American Academy of Orthopaedic Surgeons shall adopt a policy that HIV testing of hospitalized patients be performed in the same unrestricted manner as any other laboratory test, at the order of the attending physician without specific consent; and be it further

B. Resolved that the American Academy of Orthopaedic Surgeons shall advocate state and federal legislation consistent with this policy.

(adopted 1992;
reviewed and amended 1997)

4. HIV-Infected Health Care Workers

A. Resolved that the American Academy of Orthopaedic Surgeons shall reiterate its position that HIV-infected orthopaedic surgeons should not perform invasive surgical procedures except when the patient is informed of the orthopaedic surgeon's HIV status prior to the invasive procedure and consents; and be it further

B. Resolved that the American Academy of Orthopedic Surgeons shall continue to support its position that an HIV-infected orthopaedic surgeon should have his or her practice privileges determined by a local expert review panel, as recommended by CDC guidelines; and be it further

C. Resolved the March 1991 Advisory Statement on HIV-Infected Orthopaedic Surgeons shall be reviewed and revised as appropriate.

(adopted 1992;
reviewed and amended 1997)

The following Bylaws amendments were adopted at the Academy's 1997 Annual Meeting.

Group 1
Modification of the disciplinary process of Fellows and members

The Secretary, instead of the Treasurer, will notify a Fellow or member of being in arrears of paying annual dues; the Secretary will inform the Board of Directors, if known, of a Fellow's loss, restriction on or limitation of any right to practice medicine in any state; and complaints or requests for disciplinary action of a Fellow or member shall be made in writing to the Chair of the Membership Committee, instead of the President of the Academy.

Group 2
Creation of an international affiliate membership classification

An international affiliate member may attend and participate in all Academy scientific meetings and may serve on any committee or task force, but may not hold office or vote at any regular or special Academy business. The membership category of Corresponding Member would be eliminated. An international affiliate member of the Academy would be required to be an orthopaedic surgeon practicing outside the United States who is in good standing with one of the national orthopaedic organizations of the country in which he or she practices; who devotes his or her medical practice to orthopaedic surgery or be actively engaged in teaching of orthopaedic research or that related to the musculoskeletal system; and who maintains a full, unrestricted license to practice. Effective March 1997, each Corresponding Member and Reciprocal Member automatically would become an International Affiliate Member of the Academy.


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