MICHIGAN CHAPTER, AMERICAN COLLEGE OF SURGEONS
COUNCIL MEETING

October 18, 2000

PRESENT:
Andrew W. Saxe, MD, FACS, President
Verne L. Hoshal Jr., MD, FACS, President-Elect
Farouck N. Obeid, MD, FACS, Secretary
Cheryl A. Wesen, MD, FACS, Treasurer
Duane Freier, MD, FACS, Past President
John C. Eggenberger, MD, FACS, Website Manager
Mark W. Puls, MD, FACS
Allen Silbergleit, MD, FACS
Lee R. Britton, MD, FACS
Anna M. Ledgerwood, MD, FACS
Raouf Mikhail, MD, FACS
W. M. Whitehouse, MD, FACS
Seth Wolk, MD, FACS
James Reif, MD, FACS
Roy Goodman, MD, FACS

ALSO PRESENT:
Charles Lucas, MD, FACS
F.B. "Tom" Plasman, Chapter Administrator

ABSENT:
James Gruenberg, MD, FACS
Donald Scholten, MD, FACS
Frank R. Lewis Jr., MD, FACS
Yvan J. Silva, MD, FACS
Eduardo Phillips, MD, FACS
Larry R. Lloyd, MD, FACS
Krishna Sawhney, MD, FACS
Michael Khoury, MD, FACS
Lawrence N. Diebel, MD, FACS

  1. CALL TO ORDER. The meeting was called to order at 7:01 p.m. by Andrew W. Saxe, MD, President.

    1.1 "State of the Chapter". Doctor Saxe began the meeting with an around the table introduction of those present. Doctor Saxe then presented an overview, "State of the Chapter" stating that there was much interest in the Chapter, its operations and activities and that there had been noted improvement of the Data Base and Web Site operation. He proposed two activities to be considered by the Board during this business year. The first would be that Washington D.C. visits be conducted on a biannual basis and that the role of the College and the importance of the Chapter be made known to Michigan Congressional Representatives. Also, that the Chapter offer education or socio-economic seminars on a regular basis. Second, Doctor Saxe stated the Chapter being a U.S. Treasury Department identified 501(C.)(6) organization could undertake lobbying activities. He stated that the Chapter should consider initiating State Legislative Lobbying Activities on those issues that are of interest to the chapter and legally permissible.

    Doctor Saxe also recommended that the By-Law review, conducted by Doctor Lee Britton, be completed and then reviewed again on a biannual basis for updates that would make possible Chapter Legislative Activity.

    1.1.1 Roster. The Roster of the Council was next reviewed. Doctor Saxe recommended the appointment of Roy Goodman, MD, FACS to fill the Councilor position created by the moving from Michigan of Frederick Ilgenfritz, MD, FACS. Doctor Goodman will serve the remaining two years of Doctor Ilgenfritz three-year term as Councilor. It was moved and seconded that Doctor Goodman be appointed for this position the motion pass with unanimous approval.

    1.1.2 Parliamentary Procedure. Doctor Saxe then called attention to the Parliamentary Procedure publication of the Michigan Association of School Boards. This is a complete yet easily read document that would be of benefit to all members of the Council.

  2. SECRETARY'S REPORT

    2.1 Approval of Minutes of May 3, 2000. Doctor Farouck N. Obeid then presented the minutes of the May 3, 2000 meeting of the Council and the August 17, 2000 working meeting of the board. These minutes were reviewed. It was moved and seconded and there was unanimous approval of these two sets of minutes.

    2.2 Communications from Chicago Office. Doctor Obeid reported that communications from the American College are maintained in a special binder and are screened for the important issues. The most important issue has been information pertaining to the 86th Annual Clinical Conference October 22-27, 2000 in Chicago Illinois.

    2.3 Future Council Meetings. There was discussion regarding the number of Council Meetings required to receive reports and recommendations from the Program Committee and the Issues Committee. Following discussion it was determined to reduce the number of meetings from 4 per year to 3 per year, these to be March, Spring Meeting; May, Annual Meeting; October, Fall Meeting. This motion received unanimous approval. Mr. Plasman was requested to create a new 2000-2001 Meeting Schedule eliminating the December 6th meeting of the Council.

    2.3.1Calendar of Events/Activities. The Michigan Chapter calendar of events was reviewed. It was pointed out that discussion during the Issues Committee identified the President contacting the American College to invite the President-Elect to attend the 2002 Annual Meeting. Also, that the Resident Paper Abstract Information be mailed to Programs and Facilities and that the Membership Solicitation letter be mailed to new Fellows confirmed at the 86th Annual ACS Clinical Congress. Doctor Britton stated that a Newsletter usually issued in the Fall would have the Publication dates of December 2000 and April 2001.

  3. TREASURER'S REPORT

    3.1 Financial Report. Doctor Wesen then reviewed the Balance Sheet for the period ending September 30, 2000 pointing out that the total liabilities and membership equity is in good condition. The Statement of Operations for the nine months ending September 30, 2000 indicating the total of expenses balance of $17, 794 dollars and net revenue over expenses of $18, 227 dollars. It was moved ad seconded that the financial report for the nine months ending September 30, 2000 be approved. This motion received unanimous approval. There was then discussion regarding the Program where Physicians who have made a reservation to attend the meeting would be billed for their dinner if they did not appear for the meeting. This matter received discussion and was tabled.

  4. COMMITTEE REPORTS

    4.1 Program Committee. Doctor Hoshal reported the development a very interesting and exciting program for the May 10, 11, 2001 Annual Meeting. He stated that the Chair of the American College of Surgeons has been invited to speak as, as Mrs. Cindy Brown, Manager, ACS Washington DC Office, to speak on Friday Noon regarding Congressional Issues. Doctor Hoshal went on to say that Doctor David Fromm and Doctor James Tyberski have developed an excellent DMC Program for Saturday morning and that activities during Saturday afternoon such as a visit to Comerica Park or the new Ford Stadium as well as Greenfield Village are being considered. Doctor Hoshal stated that Mrs. Fromm and Mrs. Tyberski have graciously offered to host the spouses' dinner.

    4.1.1 September 20, 2000 Minutes. The minutes of the September 20, 2000 Program Committee were reviewed. It was moved and seconded to approve these minutes. This motion received unanimous approval.

    4.2 Issues Committee. Doctor Farouck N. Obeid reported that the Issues Committee had considered reconfiguration to become the Young Physicians Committee. He stated that the Committee had determined to recommend to the Council that a one time dinner meeting organization Forum for Young Physicians be hosted in late January or early February 2001. That the Young Physicians members 45-years-old or younger be contacted as well as those who are confirmed with Fellowship at the 86th Annual ACS Clinical Congress. It was recommended that a Young Physicians Forum be scheduled so that there could be a report at the March 7, 2001 meeting of the Council. Discussion ensued. It was moved and seconded that the Issues Committee be requested to create a protocol in detail for contacting Young Physicians and New Fellows to the College and that a Young Physicians Forum Agenda be developed. It was then pointed out The Council would not meet until March 7, 2001. There was then an amendment, moved and seconded, to charge the Issues Committee with the responsibility to assess the interest of Young Physicians in participating in a Young Physicians Forum and if interest is demonstrated, that the Issues Committee have the autonomy and responsibility to implement this program. There was unanimous approval of this amendment followed by unanimous approval of the main motion.

    4.3 Cancer. Doctor Mikhail was introduced as the Chair of the ACS Cancer Committee. His first major meeting as a representative of Michigan Chapter to the Michigan Cancer Coalition, composed of 30 to 40 organizations, will be within the next several weeks. He will report regarding this conference and the activities of the Cancer Committee. It was suggested to Doctor Mikhail that minutes and his report could be included on the Michigan Chapter Web Site. There was also discussion regarding the early detection and prevention programs that are being developed by the Breast Consortion as well as programs by the Colo-Rectal Surgeons. It was suggested that a Breast information booklet has become outdated and should be reviewed, edited, and made to reflect more current treatment and therapy regimens. Doctor Mikhail indicated that he would summarize the various meetings and report these to Doctor Eggenberger for inconclusion on the Website. There was then discussion on the number of Hospitals in Michigan verified by the American College of Surgeons and that the Council should consider, as well as the Cancer Committee, to undertake whatever measures are necessary to bring about an increase in the number of Hospitals and their Medical Staff which are verified by the ACS. Discussion ensued. Information will be presented on this subject at the next Council Meeting.

    4.4 Trauma. Doctor Diebel was not present therefore, no report.

    4.4.1 Financial Report. It was moved and seconded that the Trauma Committee Financial Report be accepted. This motion received unanimous approval.

    4.5 MSMS. Doctor Walter M. Whitehouse reported that information from the September 15, Specialty Society meeting will be incorporated into the Specialty Society Meeting hosted by MSMS on November 4, 2000. Doctor Whitehouse stated he will report at the next council meeting.

    4.6 Website. Doctor John Eggenberger stated that the Web Page is proceeding well and that he is going to have a hyper-link installed so that he may be contacted directly by way of the Web Page. Discussion ensued.

    4.7 Database. Doctor Mark W. Puls stated that he would be again reviewing the Database with Bill DeCourcy, Manager of Computer Operations especially in consideration of the interest of the Issues Committee and the Council to identify the Young Surgeons 45-years and younger.

    4.8 By-Laws. Doctor Lee Britton then presented Documentation of proposed changes to the By-Laws. There were then "housekeeping" changes to these By-Law amendment proposals, which were accepted. Doctor Britton stated that the proposed resolutions will be presented again at the March 7, 2001 Council Meeting and then placed before the membership during the May 10-12, 2001 Annual Meeting for consideration.

  5. GOVERNORS' REPORTS. Doctor Anna N. Ledgerwood and Doctor Alfred Chang reported that an issue to come before the ACS Physician Health Committee is the reporting of HIV and Hepatitis positive physicians. She stated that several proposals regarding the voluntary testing of physicians and discussion as to whether this information should be reported privately to the physician or should be made public. Discussion ensued. Doctor Ledgerwood stated she served as Chair of the Nominating Committee for the Board of Regents. They have requested nominations for the Governing Body and the Representatives for specific committees. She also stated that as part of the Women's Issues Committee. There is a disturbing fact that only 1/2 of Women Surgeons, who pass their Boards, seek Fellowship. It was pointed out the number of men in the same situation are approximately 55% of the number. Discussion ensued regarding these items and whether practicing surgeons vs. retired or Emeritus Surgeons should be considered for The Governing Body. Doctor Britton indicated that he has served the last four years as Governor, participating in many activities and thanked the Chapter for the opportunity.

  6. YOUNG SURGEONS' REPORT. Doctor Reif stated that there was nothing to report since the last meeting, however the opportunity for a Young Surgeons' Forum was extremely interesting and that he would coordinate with the Issues Committee to bring about a successful event.

  7. NEW BUSINESS.

    7.1 State "Day In Surgery". There was discussion regarding the implementation of a Statewide "Day In Surgery" program and also to use this as an opportunity to bring information to State Legislators. It was pointed out that the tax status document produced by US Department of Internal Revenues indicates that the Society is a 501 (C.) (6). There was discussion then regarding the various opportunities, which are permissible under this Internal Revenue code. There was discussion regarding the requirement to complete a Form 990, which is the Return of Organization exempt from Income Tax and must be completed each year. Discussion ensued regarding the necessity for the completion and submission of this form. Doctor Hoshal and Mr. Plasman will persue this matter. It was moved and seconded whatever must be done to bring the Society to compliance with this regulation will be implemented by the President. This motion received unanimous approval. There was interest in the "Day In Surgery" program. Doctor Reif stated he would discuss the matter with State Senator Bill Schuette. Doctor Whitehouse indicated the St. Joseph Mercy Hospital-Ann Arbor has had a similar program and may be interested in the possibility of conducting this again. It was determined that the officers will work with the appropriate people to develop a "Day In Surgery" Program on a statewide basis.

    7.2 Subcommittee to explore involvement in State Legislative Affairs. There was then discussion regarding Doctor Saxe suggestion that the Chapter become involved in State Legislative Affairs and necessary Lobbying that would be required. Discussion ensued.

    7.2.1 "Grassroots Advocacy at the State Level". The Committee distributed a pamphlet produced by MSMS, 2000 Legislative Accomplishments for review

    7.2.4 Lobbying, Political Action, & Political Contribution. There was then discussion regarding the possibility of the Chapter becoming more active in bringing the Social-Economic matters of interest to the Chapter and the American College of Surgeons to the attention of State Legislators. Discussion Ensued. It was determined that this matter be placed on the Agenda for the March 7, 2001 Council Meeting.

  8. ADJOURNMENT. There being no further business to come before the meeting, the meeting was adjourned at 9:06 pm.

Respectfully Submitted,

Farouck N. Obeid, MD, FACS, Secretary

ATTEST:

Andrew W. Saxe, MD, FACS, President