by D. Eugene Thompson, MD, Academy secretary
This report highlights actions taken by the Board of Directors during its meeting in Rosemont, Ill. May 5-6, 1995.
The Board voted to continue a relationship under a new agreement with The Journal of Bone and Joint Surgery to publish the Academy's Instructional Course Lectures.
The Board approved the creation of a Work Group on Future Delivery Systems for Musculoskeletal Care.
A revised Strategic Plan for the Academy was adopted in concept by the Board and sent to the Board of Councilors, COMSS, the Council on Education, the Council on Health Policy and Practice, and the Council on Research and Scientific Affairs for review. Among the amendments is a new priority on patient care, which contains a goal of developing "programs and relationships that will improve the quality of musculoskeletal care by exploring a variety of healthcare delivery systems."
The Board approved the fiscal year 1996 budget, with a projected income of $33.1 million and expenses of $32.6 million.
The Board referred the report of the Task Force on Shared Interest Groups (SIGs), (formerly known as Special Interest Groups), to staff for implementation. The SIG report recommended that any international affiliate membership package be priced to at least break-even. The task force proposed that the benefits of membership might include subscription to the Journal of the American Academy of Orthopaedic Surgeons: A Comprehensive Review, educational products discounts, periodic mailings of Academy promotional materials, an international newsletter, and reduced Annual Meeting registration fee. The task force recommended a category name of International Affiliate Members. The task force also recommended that the Academy and American Orthopaedic Association work together to assist service organizations by facilitating recruitment of orthopaedic surgeons for international volunteer medical service. A proposed change in the Academy bylaws recommended that in the membership category of Associate Member-Allied Specialties, the requirement that the physicians must be "distinguished in their field" be dropped.
The Board approved a recommendation of the Council on Education that, beginning with the 1996 Annual Meeting, all meeting activities will terminate by 5:30 p.m. on Monday. The Council reported the difficulty of getting program moderators and discussers and course faculty to participate on Tuesday because they needed to return to their practice and because attendance was always much lower on Tuesday than on other days. An experiment of conducting scientific sessions and courses all day on Thursday during the 1994 and 1995 Annual Meetings was well received by the registrants. In addition, the Board approved the Council's recommendations that the Annual Meeting banquet be budgeted to break-even and that the Academy's Residency Consultation Service be transferred to the Academic Orthopaedic Society in January 1996.
Richard Peterson, general counsel, reported that the Federal Trade Commission had granted a petition from the Academy to set aside a 1976 consent order prohibiting the Academy from publishing "relative value scales" for medical or surgical procedures. The FTC's action will permit the Academy to distribute the Abt study of Medicare resource-based relative value scales for orthopaedic services to Academy fellows, third-party payers, and other medical societies. The Board instructed the staff to send copies of the Abt study to all state and national orthopaedic societies and to make the study available to fellows upon request at cost.
William W. Tipton Jr., MD, Academy executive vice president, informed the Board that an executive recruitment search was underway for a deputy executive vice president who would function as a chief operating officer of the Academy.
Immediate Past President Bernard F. Morrey, MD, reviewed progress of the Task Force on the Orthopaedic Work Force. The charges for the work force include reviewing existing Academy data on the work force, defining what additional information might be of value and the best method of assessment, exploring the feasibility of an independent third party to assess the matter, exploring the interest of other orthopaedic organizations to participate in the process, and exploring how nonorthopaedic organizations have studied the work force issue. The Board approved the concept of retaining a third-party consultant to develop data on the estimated need for the orthopaedic work force according to various reimbursement systems.
The Board approved a report of the Task Force on Guidelines.