February 2003 Bulletin

BOD appoints lay member, approves patient safety plan, expands international efforts

The AAOS Board of Directors, meeting in Chicago December 5—8, 2002, took the following actions.

First AAOS lay Board member appointed. The Board of Directors approved the appointment of the Academy’s first lay Board member. She is Leslie L. Altick, who is Executive Vice President, Group Head, Consumer Deposits Group and California Marketing, at Wells Fargo & Co. At its meeting in April 2001, when the Board agreed to initiate a series of changes in the Academy’s governance structure, including a recommendation to add a lay member to the Board of Directors, it agreed that because patient safety/ medical error concerns were such a major issue for the AAOS, an individual skilled or involved in patient safety would be highly desirable as the Board’s first lay member appointment. Ms. Altick, who holds an MBA in finance and marketing and a BA in economics from Northwestern University, fits that profile, serving as an active participant in the patient safety-focused Leapfrog Group. She joined the Board at the Annual Meeting in New Orleans.

International efforts expanded. The Board approved a three-year business plan that is aimed at expanding the Academy’s international activities. The international marketplace is expected to be an important and growing factor in the fiscal health and vitality of the AAOS. Overall, AAOS international activities are widespread, complex and multifaceted, ranging from text publishing and CME course sponsorship to membership recruitment. In fact, revenue from these activities contributes approximately 15 percent of the total AAOS operating budget. The plan is organized to help the AAOS bring more internationals into Academy membership, to help fulfill on-going orthopaedic education needs and to recognize the contributions the international community has made to the practice of orthopaedics and patient care. The expanded initiatives include:

New AAOS Advisory Statement on Antibiotic Prophylaxis for Urological Patients with TJR approved. Upon recommendation of the Infections Committee and the Research Council, the Board approved a new Advisory Statement on Antibiotic Prophylaxis for Urological Patients with Total Joint Replacement." This statement was developed in cooperation with the American Urological Association (AUA) and is issued jointly by the two organizations. An expert panel of urologists, orthopaedic surgeons and infection disease specialists performed a thorough review of all available data to determine the need for antibiotic prophylaxis to prevent hematogenous prosthetic joint infections in urological patients who have undergone total joint arthroplasties. The panel concluded that antibiotic prophylaxis is not indicated for urological patients on the basis of pins, plates and screws, nor is it routinely indicated for most urological patients with total joint replacements on that basis alone. However, it is advisable to consider premedication in a small number of patients who may be at potential of increased risk of hematogenous total joint infection. To read the full text of the advisory statement, go to the AAOS Web site at http://www.aaos.org/wordhtml/papers/advistmt/1023.htm.

New patient safety program approved. The Board approved a Patient Safety Committee business plan for developing a series of new patient safety initiatives that will be implemented over a two-year period. The projects include:

Professional Conduct Disciplinary Program. The Board approved the establishment of a Physician-Staff Work Group to further study the concept of establishing an AAOS professional conduct review program for expert witness testimony.

Founder of BJD honored. In recognition of his efforts to establish the Bone and Joint Decade (BJD) and his subsequent efforts to spread the movement worldwide, the Board of Directors voted to grant Lars Lidgren, MD, a Swedish orthopaedic surgeon, an honorary membership in the Academy. Dr. Lidgren started the BJD movement in 1998 by establishing an international steering committee. Since then he has recruited 45 countries to join the BJD and won endorsements from the United Nations, the World Health Organization and the Vatican.

New Diversity Committee chair appointed. Ramon L. Jimenez, MD, was appointed new chair of the Diversity Committee. He will replace the current committee chair, Augustus A. White, III, MD, PhD, whose term ends at the 2003 Annual Meeting. Dr. Jimenez currently serves as chair of the Public Education Committee and will assume his new responsibilities following the Annual Meeting.

2004 Leadership Fellows selected. The Board of Directors approved appointment of the 2004 Class of Leadership Fellows. The goals of this one-year program are to provide formal leadership training for members of the Fellowship who wish to develop their volunteer or leadership skills and become more active in the AAOS and to enhance skills for those members who have already assumed leadership roles within the AAOS. The new class includes: Judith F. Baumhauer, MD, Craig Howard Bennett, MD; Gregory Alexander Brown, MD; Frances A. Farley, MD; James C. Farmer, MD; Thomas R. Hunt, MD; Matthew Jimenez, MD; Tamara Lynn Martin, MD; Ronald Anthony Navarro, MD; Bradley James Nelson, MD; Michael Lloyd Parks, MD; Susan Scherl, MD; Susan E. Stephens, MD; David D. Teuscher, MD, and Robert Horace Wilson, MD. For more information about the LFP program see p. 35.

Workshop on volunteerism studies future volunteerism and how AAOS will relate to members. Under the leadership of First Vice President James H. Herndon, MD, the Board of Directors, along with several distinguished experts, held a daylong workshop to discuss what the AAOS can do to appeal to the coming generation of members and volunteers and how to continue to be a relevant organization to its members. Thomas H. Sander, Executive Director of the Saguaro Seminar at Harvard University, spoke about the challenges ahead in recruiting and retaining volunteers and offered strategies for making it easier for orthopaedists to participate in Academy activities as well as for reinforcing members’ commitment to the organization. Robert Olson, research director of the Institute for Alternative Futures, spoke about population trends and described how differences in younger generations could change the face and focus of the Academy membership. In addition, three Academy members selected at random participated in a conference call with members of the Board of Directors and were asked about their concerns and opinions as Academy members. The workshop discussions resulted in a number of recommendations for future program development and membership initiatives.

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