The Council Meeting
Wednesday, 8. May, 2002
Shanty Creek, Summit Center
North Founders Room

AGENDA

l. Call to Order:

The Meeting was called to order by Verne L. Hoshal, Jr. MD, FACS, President, at 6:05 PM in the North Founders room of the Shanty Creek Summit Center..

Present:

Verne L. Hoshal, Jr. MD, FACS, President
Lee R. Britton, MD, FACS 
Lawrence N. Diebel, MD, FACS
John C. Eggenberger, MD, FACS, Webmaster
Anna M. Ledgerwood, MD, FACS
Hugh J. Lindsey, MD, FACS
Larry R. Lloyd, MD, FACS 
Charles E. Lucus, MD, FACS, Gov.- AAST
Michael K. McLeod, MD, FACS
Farouck N. Obeid, MD, FACS, President Elect 
Brian L. Piazza, MD, FACS
Mark W. Puls, MD, FACS
James E. Reif, MD, FACS
Andrew W. Saxe. MD, FACS. Past President
Donald J. Scholten, MD, FACS, Secretary
Allen Silbergleit, MD, PhD, FACS, Historian
Yvan J. Silva, MD, FACS
Christopher P. Steffes, MD, FACS
Michael H. VanderKolk, MD, FACS
Cheryl A. Wesen, MD, FACS, Treasurer 
Walter M. Whitehouse Jr, MD, FACS, Delegate

Also Present:

Cynthia A. Brown, Director, Health Policy and Advocacy, American College of Surgeons
Edward J. Rutkowski, MD, FACS, Program Host
F. B. "Tom" Plasman, Chapter Administrator

Absent:

Alfred E. Chang, MD, FACS 
Roy Goodman, MD, FACS
Krishna K. Sawhney, MD, FACS
Seth W. Wolk, MD, FACS

  1. Announcements:

    Doctor Hoshal announced that there would be a reception following dinner at The Tapawingo in the President’s Suite #350.

    Doctor Rutkowski announced that there were placed available for officers and their spouse or guest to participate in the Interlochen Center for the Arts evening dinner and performance and for the trip to the Black Star Farms on the Leelanau Penninsula.

    Doctor Hoshal announced that he would serve as Moderator for the presentation of the Resident Surgeons’ papers on Thursday, 9. May, 2002 and that Farouck N. Obeid, MD, FACS, President Elect would serve as Moderator on Friday, 10. May, 2002.

  2. Secretary’s Report:

    Minutes:

    Doctor Scholten presented the minutes of the Council, 6. March, 2002, meeting. Following review, it was moved and seconded that the Minutes, with corrections, be approved. This motion received unanimous approval.

    Doctor Lucus noted that the MCACS letterhead does not include the names and Specialty Society designation of those Governors from Michigan. It was determined that Michigan Governors of Surgical Specialty Societies are to be included on the MCACS Letterhead.

    The Minutes of the Program Committee, 20. February, 2002 meeting were reviewed. It was moved and seconded that these Minutes be accepted. This motion received unanimous approval.

    The Minutes of the Young Surgeons Issues Committee 6. March, 2002, meeting were reviewed. It was moved and seconded that these Minutes be accepted. This motion received unanimous approval.

    Chapter Correspondence:

    Doctor Scholten announced that he has received informational documents on a regular basis from the American College and also membership change of address information which is forwarded to the Chapter Office. He stated that the Chapter ACS Information Notebook would be available during this meeting and during the Chapter Annual Business Meeting on Friday 10. May, 2002.

    Committees Meeting Dates:

    Doctor Scholten announced that the schedule of Committees 2002-2003 Meeting Dates would be distributed during the Annual Chapter Business Meeting on Friday 10. May, 2002. He stated that the dates are approximately the same day of the months as were scheduled during 2001-2002.

  3. Financial Report:

    4. Doctor Wesen reported regarding the MCACS Financial Statement for the first quarter ending 31. March, 2002.

    Regarding the Balance Sheet, Total Assets equal $171,206, with Total Liabilities being $10,184. Membership Equity as of 1. January, 2002 was $139,532 with Year to Date Net Income being $21,491, therefore Total Membership Equity being $161,023 with Total Liabilities and membership Equity being $171,206.

    Regarding the Statement of Operations for the Three Months Ending 31. March, 2002, Total General Revenue, Actual to Date was $28,088 which was ($26,868) below the Annual Budgeted Amount. This is primarily due to the nonpayment of membership dues. The first dues reminder statement is to be mailed to members who have not paid dues to date, on or before 15. May, 2002. Total Revenue for the First Period was $33,088, with Total General Expense being $10,916 and Total Annual Meeting Expense being $680, therefore, total Expense being $11,596 with Net Revenue over Expense of $21,491.

    There was a suggestion to create a "Life Time Dues" category of membership. Discussion ensued. It was determined to table this discussion until the 16. October, 2002 Council Meeting.

    The Council accepted the First Quarter Financial Report

    Doctor Wesen then reported pertaining to the Trauma Committee of the American College of Surgeons First Quarter Financial Report, 31. March, 2002.

    Regarding the Balance Sheet, Total Assets were $64,054, with Total Liabilities being $2,908. Membership Equity as of 1. January, 2002 was $61,119 with year to date net income being $27, Total membership Equity being $61,146, and Total Liabilities and membership Equity being $64,054.

    Regarding the Statement of Operations for the Three Months ending 31, March, 2002, Total Revenue was $92, with Total Expenses being $65. Net Revenue over Expense was $27.

    The Council accepted the First Quarter Financial Report.

  4. Young Surgeons Issues Forum:

    5. Doctor Scholten advised that the forum would be conducted on Friday, 10. May, 2002, following adjournment of the MCACS Annual Business Meeting. This Forum will expand on the very successful first forum organized by Doctor Saxe in 2001. A survey has been mailed to all ACS member surgeons 45 years old or younger, seeking their thinking and recommendations on numerous educational and socioeconomic issues. The results of this survey plus reports on three other subjects of interest and concern to Young Surgeons will be considered. Doctor Scholten invited all surgeons attending the Annual Meeting to attend this Forum.

  5. Committee Reports:

    6. Program Committee:

    Doctor Obeid, complemented the Program Committee and Doctor Rutkowski, the Program Host, for their excellent efforts in organizing and developing the Annual Meeting Agenda and the Annual Resident Surgeons’ Competition. He referred the Council members to the Annual Meeting Program, the Abstracts Booklet, the Exhibitors Booklet and the Program Presentations Booklet. Doctor Obeid stated, 57 Abstracts had been received and reviewed by the Program Committee. Because of presentation time constraints, 40 Abstracts were selected for presentation.

    Doctor Obeid thanked the Judging Committee, composed of J. Patrick O’Leary, MD, FACS, Chief Judge and Judges Richard E. Dean, MD, FACS, William J. Passinault, MD, FACS, Stephen G. ReMine, MD, FACS and Richard A. Santucci, MD, FACS for their interest and willingness to serve the Chapter.

    Doctor Obeid commented that the number of exhibitors would be 14, this being a lesser number than in 2001, however, more than was expected in consideration of the September 11th tragedy’s affect on the business and corporate industry cutback on travel and marketing expenditures. There was discussion and the request that the Annual Meeting Program be distributed to all Chapter Members as soon as the Program Committee completes the Program and it can be printed and mailed, as well as being placed on the Chapter Web Site. This will be included in the 2003 Annual Meeting Protocol.

    Doctor Hoshal thanked Doctor Obeid for his efforts serving as Chair and thanked the members of the Program Committee.

    Cancer Committee:

    In the absence of Raouf A. Mikhail, MD, FACS, this report was tabled until the 16. October, 2002 Council Meeting.

    Trauma Committee:

    Doctor Diebel stated that there were no additions to report to that submitted during the 6. March, 2002, Council Meeting. Course will be available in July, 2002, then commented that information from a national trauma meeting in April indicated that a new Advance Life Support Course will be available in July, 2002.

    Doctors Obeid and Scholten reported that the numerous meetings of the special committee to address the creation of a State Trauma System have progressed with considerable participation and meaningful input of information. This Committee’s report is being delayed in anticipation of changes in the State House of Representatives and Senate membership due to the November 2002 elections. There is considerable interest in the work of the Committee and the potential affect to create a State Trauma System.

    Doctor Diebel announced the Michigan Committee On trauma Symposium, 13-14, June, 2002 in Gaylord, Michigan. There will be a basic Ultra Sound Course and certificates will be awarded. He went on to state that a C.O.T. Simulation has been approved and will be presented in September, 2002.

    MSMS Delegate:

    Doctor Whitehouse reported that he had attended the MSMS House of Delegates, 3-5,. May, 2002 where there were several Resolutions and Reports of interest to the Chapter. He went on to report that the tort reform which had been accomplished is again under challenge by several law groups. A tort reform resolution from H.O.D. 2001 has been amended and seem to carry on with a "life of its own" and reappeared for House consideration.

    MCACS Web Site:

    Doctor Eggenberger reported that the web site would be undergoing update revisions to include not only Council and Committee minutes, the 2002-2003 calendar of meeting dates, but also an expanded "Position Posting Pate", if this is needed.. Also, the 15-17, May 2003 Annual Meeting and Resident Surgeons’ Competition program would be included on the web site.. Doctor Eggenberger wen to report that the web site is receiving several hundred "hits" per month. Doctor Eggenberger was thanked for his excellent work as WebMaster.

    Database:

    Doctor Puls reported that he has begun reviewing National ACS membership rosters in comparison with the Michigan Listing. He stated that he will be meeting this Summer with Mr. Plasman and MSMS Membership and Computer Department representatives to learn if there can be computer comparison listings generated and thereby produce and mail Chapter membership recruitment materials and forms.

  6. Governors Reports:

    7. Alfred E. Chang, MD, FACS, has submitted a written report which was included in the Council Members meeting packet. This report was discussed.

    Krishna K. Sawhney, MD, FACS, practice and on call schedule prevented his attendance.

    Larry R. Lloyd, MD, FACS, advised the Council regarding issues of national attention as have been generated by the September 11th tragedy. Discussion ensued.

    Anna M. Ledgerwood, MD, FACS, reported that the Fall ACS Program will include a Panel Discussion pertaining to competency to include the three issues: disruptive behavior; assessing competency; affects of aging on cognitive function. There will also be several Women Surgeon’s issues One in particular is the Association of Woman Surgeons proposed mandate to group practices that 3-month leave with pay be granted to women members of the group for pregnancy leave. Doctor Ledgerwood reported that this proposal was not successfully implemented.

    Charles E. Lucas, MD, FACS,

    American Association for the Surgery of Trauma

    Doctor Lucus reported the new 501.C.6 corporate designation for the American College of Surgeons has generated significant interest in socioeconomic issues that are challenging surgeons. He requested Council Members to bring to his attention matters that should be considered by the College.

  7. New Business:

    8. Doctor Hoshal initiated discussion pertaining to the proposed contract for Chapter management services with the MSMS Physician Service Group. Following discussion it was determined to devote specific time for the Council to consider this matter. It was determined to reconvene at 12:00Noon, Thursday, 9. May, 2002 in Summit Room B.

  8. Old Business:

    9. There was no old business remaining for consideration.

  9. Report of the Nominating Committee

    10. Doctor Saxe, Chair of the Committee reported that two Governor positions were to be considered.

    First, the Governor position where Larry R. Lloyd, MD, FACS is completing his first three-year term and is eligible to serve a second of two, three-year terms. It was moved and seconded that Larry R. Lloyd, MD, FACS be recommended to the College to serve a second three-year term. This motion passed with unanimous approval.

    Second, the Governor Office held by Anna M. Ledgerwood, MD, FACS who has completed her second three-year term and is not eligible for reelection. Discussion ensued. It was moved and seconded that the names of Lee R. Britton, MD, FACS be forwarded to the College as Recommendation # 1 and that Edward J. Rutkowski, MD, FACS, be forwarded to the College as Recommendation #2. This motion received unanimous approval.

    Doctor Saxe then reported that two Councilors offices are to be filled. Yvan J. Silva, MD, FACS has completed the third year of his second three year term, and Roy Goodman, MD, FACS has completed the third year of his three year term.

    Doctor Saxe then reported for the Nominating Committee the following as candidates for the two Councilor offices. Edward D. Lanigan, MD, FACS and James E. Reif, MD, FACS. It was moved and seconded that Doctors Lanigan and Reif be elected to the first year of their first term of office. This motion received unanimous approval.

    Doctor Saxe was thanked for his efforts as Chair of the 2002 Nominating Committee.

  10. Recess:

    There being no further business to come before the Council, the meeting was recessed at 7:07 PM

The Council reconvened at 12:00 NOON, Thursday, 9. May, 2002, in Summit Room B, Shanty Creek Resort, Bellaire, Michigan

Present:

Verne L. Hoshal, Jr, MD, FACS, President
Lee R. Britton, MD, FACS, Editor
John C. Eggenberger, MD, FACS, Webmaster
Hugh J. Lindsey, MD, FACS
Larry R. Lloyd, MD, FACS
Michael K. McLeod, MD, FACS
Farouck N. Obeid, Md, FACS, Pres. Elect
Brian L. Piazza, MD, FACS
Mark W. Puls, MD, FACS, Data Base Mgr.
James E. Reif, MD, FACS
Andrew W. Saxe, MD, FACS, Past President
Donald J. Scholten, MD, FACS, Secretary
Allen Silbergleit, MD, PhD, FACS, Historian
Yvan J. Silva, MD, FACS
Christopher P. Steffes, MD, FACS
Michael H. VanderKolk, MD, FACS
Cheryl A. Wesen, MD, FACS, Treasurer

Also Present:

F. B. "Tom" Plasman, Chapter Administrator

Absent:

Alfred E. Chang, MD, FACS 
Lawrence N. Diebel, MD, FACS
Roy Goodman, MD, FACS
Anna M. Ledgerwood, MD, FACS
Charles E. Lucus, MD, FACS, Gov. AAST
Krishna K. Sawhney, MD< FACS
Walter M. Whitehouse, Jr, MD, FACS, Delegate
Seth W. Wolk, MD, FACS

Doctor Hoshal initiated discussion pertaining to the proposed contract to be renewed for a period of 1. June, 2002 to 31.May, 2004. The management fees will be $35,000 for 2002-2003, and $41,000 for 2003-2004. Following discussion of the proposed contract contents, The Council agreed to the approve the proposed contract with the following stipulations:

First, That the Program for the 2003 Annual Meeting and the 2004 Annual meeting be mailed to each member of the Chapter no later than 1. March of the year, and

Second, That the MSMS Computer Data System be brought into a status of accuracy of membership identification and developed to facilitate communication with surgeons in Michigan who are ACS members and who may or may not be MCACS members.

These stipulations will be communicated by Doctor Hoshal at the time of signature acceptance of the proposed contract.

It was moved and seconded to accept the MCACS — MSMS/PSG 1. June, 2002 — 31. May, 2004 Management Services Contract, This motion received unanimous approval.

Adjournment:

There being no further business to come before the Council, the Meeting adjourned at 12:17 PM

Respectfully Submitted,
Donald J. Scholten, MD, FACS, Secretary

Affirmed:
Verne L. Hoshal, Jr. MD, FACS. President