ASA

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ASA ACADEMIC ANESTHESIOLOGY-

• OUR FUTURE IS NOW

Jeffrey L. Apfelbaum, M.D.
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ASA Academic Anesthesiology

• -History
• -Win/Win/Win?
• -Specialty Priorities
• -Lately?

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ASA Academic Anesthesiology

• -History
• -Win/Win/Win?
• -Specialty Priorities
• -Lately?

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• ASA TF recommends the creation of one full
  membership in the ASA BoD to represent Academic
  Anesthesiology.
• Harry Bird, M.D.
• Chair - 1996

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AD HOC Committee on Academic Anesthesiology

• The committee recommends that the ASA Committee
  on Bylaws prepare appropriate Bylaws changes to
  establish a Committee on Academic
  Anesthesiology.
• Orin Guidry, M.D.
• Chair - 2003

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AD HOC Committee on Academic Anesthesiology

• Bylaws Changes Implemented In 2003
• -BoD Position
• -Committee on Academic
• Anesthesiology
• Orin Guidry, M.D.
• Chair - 2003

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Committee on Academic Anesthesiology

• Maintain a liaison between academic
  anesthesiology and the Society.
• Represent the interests of academic
  anesthesiology to the Society.
• Study the recommendations pertaining to present
  and future challenges to academic anesthesiology
  and to the specialty in general.

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Committee on Academic Anesthesiology

• Interact with other committees to ensure that
  issues confronting academic anesthesiology are
  resolved in a strategic fashion.
• Carry out other activities relative to academic
  anesthesiology as may be requested.

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2006 Committee on Academic Anesthesiology Alan
Sessler, MD, Chair
-Jeffrey Balser, MD -Neal Cohen, MD -James
Cottrell, MD -Brian Gelfand, MD -David
Glass, MD -Alvin Head, MD -John Kampine,
MD -Ronald Miller, MD
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2006 Committee on Academic Anesthesiology Alan
Sessler, MD, Chair

• -Beverly Philip, MD
• -James Rathmell, MD
• -Debra Schwinn, MD
• -Christine Stock, MD
• -Ken Tuman, MD
• -Charles Vacanti, MD
• -Mark Warner, MD
• -James Zaidan, MD

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SAAC/AAPD Representation to ASA

• Director
• Philip G. Boysen, M.D.
• -
• ALT Director
• Steven J. Barker, Ph.D., M.D.

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ASA Academic Anesthesiology

• -History
• -Win/Win/Win?
• -Specialty Priorities
• -Lately?

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• One approach to a WIN/WIN/WIN
• at your
• DAY JOB

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Pritzker Promotion Tracks

• Tenure
• Clinical Scholars
• Clinical Educator

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Expectations Include Excellence In

• Scholastic Activity
• Teaching Activity
• Clinical Care

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Tenure Track

• Research
• Teaching/Training
• Intellectual Community
• Service

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Tenure Track

• Thecriterion of distinction in research should
  be given the greatest weight. members of the
  appointive body (should assess) the originality,
  rigor, and fundamental significance of the work
  andestimate the likelihood that the candidate is
  or will become a leading figure in his field.

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Pritzker Promotion Tracks

• Tenure
• Clinical Scholars
• Clinical Educator

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Clinical Scholars Track

• Clinical Scholarship
• Exemplary Teaching

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Clinical Scholars Track

• Clinical Scholarship
• -Publications in peer-reviewed journals of
  research or investigation performed in clinical
  situations.

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Clinical Scholars Track

• Clinical Scholarship
• - Development of new concepts in the practice of
  clinical medicine, new interpretations that
  improve the diagnosis and treatment of patients
  and their diseases.

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• Tenure Fundamental
• Clinical Scholar
• Translational

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Pritzker Promotion Tracks

• Tenure
• Clinical Scholars
• Clinical Educator

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Clinical Educator Track

• The sine qua non for appointment in the CE track
  should be substantial sustained active
  participation in organized teaching programs,
  including the communication of clinical skills,
  and where the quality of that teaching can be
  documented and evaluated.

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Clinical Educator Track

• Research NOT REQUIRED
• Outstanding Teaching (ED)
• Excellence in Clinical Care
• Scholarly Activity

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Clinical Educator Track

• External Recognition as a Superior Educator
• Role Model/Mentor
• Leadership Role in Professional Organizations

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Leadership Role

• Demonstration of leadership through active
  participation in prestigious professional
  societies, through other academic recognition or
  awards.

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Leadership Role

• -Leadership roles in national or international
  clinical affairs and professional organizations.

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ASA Academic Anesthesiology

• -History
• -Win/Win/Win?
• -Specialty Priorities
• -Lately?

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2006 PRIORITIES

• Anesthesiology Teaching Rule
• Medicare Payment Parity
• NIH Funding

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Fixing the Medicare Anesthesiology Teaching Rule
is JOB 1
Mark J. Lema, M.D., Ph.D.
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2006 PRIORITIES

• Anesthesiology Teaching Rule
• Medicare Payment Parity
• NIH Funding

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MEDICARE REIMBURSEMENT

• Current Status
• Medicare Prescription Drug Bill
• 1.5 increase each for 2004 2005
• 4.3 decrease in 2006 unless formula corrected,
  5 annually through 2013

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CMS Letter
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CMS Letter
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Total number of persons age 65 or older, by age
group, 1900 to 2050, in millions
65 or older
35 or older
80 60 40 20 0
1900 1950 2000 2050
Source U.S. Census Bureau, Decennial Census Data
and Population Projections
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ASA Academic Anesthesiology

• -History
• -Win/Win/Win?
• -Specialty Priorities
• -Lately?

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Teaching Rule

• -Job 1
• -BIG
• -Lobbyists

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Lobbyists

• -Health Policy Source
• -The Nickles Group

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Teaching Rule

• -White House
• -OMB
• -CMS
• -Senate
• -House

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• We will not relent and we will prevail!
• Ronald Szabat, J.D., L.L.M.
• Director, ASA Governmental Affairs

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• SAAC/AAPD ASA work together to solicit letters
  to CMS

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• Do we really do our share?

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ASA ACADEMIC ANESTHESIOLOGY-

• OUR FUTURE IS NOW

Jeffrey L. Apfelbaum, M.D.