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DISCLAIMER
The following is a preliminary report of actions taken by the House of Delegates at its 2004 Annual Meeting and should not be considered final. Only the Official Proceedings of the House of Delegates reflect official policy of the Association.
AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES (A-04)

Report of Reference Committee F


William C. Sternfeld, MD, Chair



In keeping with Resolution 601 (A-96), the Reference Committee recommends the following consent calendar for acceptance:

recommended for adoption


1.Recommendations of Board of Trustees Report 5 – American Medical Association Minority Affairs Consortium

2.Recommendations of Board of Trustees Report 8 -- Mentoring Medical Students, Residents and Young Physicians for Membership

3.Recommendations of Board of Trustees Report 20 -- AMA Dues – 2005

4.Recommendations of Board of Trustees Report 30 – Resident and Fellow Section Recruitment Funding Initiative

5.Recommendation of Board of Trustees Report 32 – Editorial Independence at JAMA and the Archives Journals

in lieu of


Resolution 610 – Change JAMA’s Editorial Policies

6.CLRPD Report 1 – CLRPD’s Sunset Review of 1994 House Policies

7.Resolution 602 – Restriction of Pharmaceutical Advertising on the AMA Web Site

8.Resolution 609 – AMA 2007 or 2008 Interim Meeting in Hawaii




recommended for adoption as amended or substituted


1.Recommendations of Board of Trustees Report 19 – House of Delegates Operations and Procedures

2.Resolution 611 – Increased Collaboration Between the AMA and Osteopathic Association




recommended for referral for decision


1.Resolution 604 – Extending Membership Benefits to Students Enrolled in the Sophie Davis Biomedical Education BS/MD Program

recommended for NOT ADOPTION

2.Report of the Committee of the House of Delegates on Compensation of the AMA General Officers – Report on the Compensation of AMA General Officers

3.Resolution 601 – Compilation of State Medical Society Membership Data by the AMA

4.Resolution 603 – Cost Containment

5.Resolution 605 – Quality of Care – Nursing Homes

6.Resolution 606 – Junior AMA

7.Resolution 607 – American Medical Association Public Health Council Study

8.Resolution 608 – Creation of a Fellowship Status within our American Medical Association

9.Resolution 612 – AMA Meeting Venues
Resolution 614 – Conference Locations for AMA Meetings

10.Resolution 613 – Creating an AMA-RFS Health Policy Fellowship



recommended for FILING

11.Board of Trustees Report 31 – Auditor’s Report

12.Board of Trustees Report 23 – AMA Performance, Activities, and Status in 2003

(12.1)Board of Trustees Report 5 - American Medical Association Minority Affairs Consortium


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendations in Board of Trustees Report 5 be adopted and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Board of Trustees Report 5 adopted, remainder of report filed.
Board of Trustees Report 5 sets forth the AMA Board of Trustees suggestions for strengthening the Minority Affairs Consortium (MAC) voice in the House of Delegates and ensuring that the minority perspective is adequately incorporated in AMA policy and program development. This report addresses those issues and provides a summary of the MAC goals and activities. Specifically, BOT Report 5 recommends that the HOD approve the concept of a voting position for the MAC in the AMA HOD and that the MAC continue its role as an advisory body to the Board of Trustees and the Association on minority issues. The report further recommends that the Council on Constitution and Bylaws develop appropriate bylaw amendments to establish the MAC as an entity in our HOD and that sunset of these bylaw amendments be considered by the HOD based on a report from the BOT five years after adoption of the amendments.
There was substantial testimony in support of Board of Trustees Report 5, especially with regard to the importance of having the voice of minority physicians heard in the House of Delegates, and the salutary effect of House of Delegates representation on membership recruitment within the minority community.

(12.2)board of trustees report 8 - mentoring medical students, residents and young physicians for membership


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendations in Board of Trustees Report 8 be adopted and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Board of Trustees Report 8 adopted, remainder of report filed.
Board of Trustees Report 8 responds to Resolution 603 (A-03), which asked the AMA to develop a formal mentoring program for medical students, residents, fellows, and young physicians. BOT Report 8 shares some of the options that the BOT explored for developing a new formal AMA mentoring program, outlines existing AMA programs with a mentoring focus, and highlights some examples of some Federation mentoring programs. Based on its study, the BOT reports that good mentoring is based on personal and often informal connections, and the most effective programs appear to be those conducted locally. BOT Report 8 makes the following recommendations in lieu of Resolution 603 (A-03): that our AMA encourage the active participation of Federation members in existing AMA programs with a mentoring focus; our AMA establish and maintain an AMA clearinghouse for AMA members-only of mentoring programs across the Federation for physicians and medical students; and our AMA continue to explore future mentoring opportunities.
Your Reference Committee heard limited testimony. Your Reference Committee concurs that medical students, residents, fellows, and young physicians do benefit from mentoring and that good mentoring is based on personal and often informal connections, and that most successful programs are run at the local level. Your Reference Committee therefore believes that the AMA would provide value to its members by establishing and publicizing an AMA clearinghouse for AMA members-only of mentoring programs across the Federation. Your Reference Committee also recognizes that it is important that the AMA continue to publicize its mentoring efforts.

(12.3)board of trustees report 20 -- ama dues -- 2005


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendations in Board of Trustees Report 20 be adopted and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Board of Trustees Report 20 adopted, remainder of report filed.

Board of Trustees Report 20 recommends that there be no change to the dues levels for 2005. Accordingly, 2005 AMA dues will be:




Regular Members $ 420

Physicians in Their Second Year of Practice $ 315

Physicians in Military Service $ 280

Physicians in Their First Year of Practice $ 210

Physicians in Resident Training $ 45

Medical Students $ 20


Regular Physician Members of unified societies dues rebate for 2005 will be in the form of a reduced dues level of $300.

Your Reference Committee heard no testimony on Board of Trustees Report 20. In accordance with the report, your Reference Committee believes that there should be no change to the AMA dues levels for 2005.

(12.4)Board of Trustees Report 30 - Resident and Fellow Section Recruitment Funding Initiative
RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendations in Board of Trustees Report 30 be adopted and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Board of Trustees Report 30 adopted, remainder of report filed.
Board of Trustees Report 30 responds to Resolution 613 (A-03), which requested, among other things, that our AMA formalize a recruitment model based on the Medical Student Section Outreach Program (MSSOP) with reward monies awarded directly to State Resident and Fellow Sections. Board of Trustees Report 30 recommends, in lieu of adopting the specific strategies in Resolution 613, that the AMA explore the enhancement of resident marketing strategies as the new AMA evolves.
Your Reference Committee concurs with the testimony urging the AMA to keep focused on the ten strategic membership initiatives described in Board of Trustees Report 14 (I-03) and not to pursue piecemeal strategies to increase membership.

(12.5)Board of trustees report 32 – editorial independence at jama and the archives journals


resolution 610 - change jama's editorial policies
RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendations in Board of Trustees Report 32 be adopted in lieu of Resolution 610 and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Board of Trustees Report 32 adopted in lieu of Resolution 610, remainder of report filed.
Board of Trustees Report 32 affirms that JAMA and the Archives journals shall continue to have full editorial independence as set forth in the AMA Editorial Governance Plan. It recommends that the BOT discuss with the editor of JAMA and the Journal Oversight Committee options for how and where to place disclaimers in JAMA and the Archives journals, indicating that editorial content within the journal does not represent offical AMA policy. Finally, BOT Report 32 recommends that the BOT present a report to the House of Delegates at the Interim 2004 meeting regarding the outcome of discussions about the use of disclaimers in JAMA and the Archives journals.
Resolution 610 asks the Journal of the American Medical Association editors to place a disclaimer statement on the title page of all articles where conflicting AMA policy exists, especially in public policy areas and that the JAMA editors publish relevant AMA policy as an appendix to any article dealing with an issue on which AMA policy exists.
Your Reference Committee heard substantial testimony in support of BOT Report 32 and in opposition to Resolution 610. Your Reference Committee concurs that JAMA’s editorial independence is crucial to the continued success of the Journal and should be preserved. Testimony indicated that no other major medical journal puts a disclaimer on each individual article and the AMA is one of a few that puts a disclaimer in its masthead.

(12.6)council on long range planning and development report 1 - CLRPD's sunset review of 1994 House policies


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendations in Council on Long Range Planning and Development Report 1 be adopted and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Council on Long Range Planning and Development Report 1 adopted, remainder of report filed.
In accordance with Policy H-600.100, AMA Policy Database, the Council on Long Range Planning and Development (CLRPD) Report 1 presents the CLRPD’s recommendations on the disposition of the 1994 House policies that were assigned to it.
CLRPD Report 1 was introduced briefly by a representative of the Council. There was no further testimony on this report.

(12.7)resolution 602 - restriction of pharmaceutical advertising on the ama web site


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 602 be adopted.
HOD ACTION: Resolution 602 adopted.
Resolution 602 asks that our American Medical Association amend its current Advertising Guidelines on web site pharmaceutical advertising to state that: “There will be no pharmaceutical advertisements on the AMA web site which are directed towards patients.”
Your Reference Committee heard mixed testimony. Your Reference Committee believes that this proposed policy is consistent with current practices and the current AMA advertising guidelines.

(12.8)resolution 609 - ama 2007 or 2008 interim meeting in hawaii


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 609 be adopted.
HOD ACTION: Resolution 609 adopted.
Resolution 609 asks our American Medical Association to reaffirm its well-established practice of returning to Hawaii every four to five years for the AMA House of Delegates Interim Meeting, with its next meeting in Hawaii to be held in 2007 or 2008.
Your Reference Committee heard substantial testimony in support of this resolution. It was pointed out that travel and meeting costs can vary substantially from location to location, and that the travel costs to Hawaii vary substantially depending on the point of departure. Travel to and hotel costs in Hawaii may be less expensive than some locations on the mainland. In addition, your Reference Committee was impressed with the extent of work the Hawaii Medical Association has done to arrange financial and logistical support for an AMA meeting in Hawaii in 2007 or 2008. A concern was expressed that some members perceive meetings in Hawaii to be “junkets,” but it was pointed out that other members do not seem to have a problem with this and that most members are totally unaware of the location of AMA meetings. In addition, it was pointed out that the AMA meetings in Hawaii have been very helpful to the Hawaii Medical Association in pursuing its advocacy agenda with the state government.
(12.9)board of trustees report 19 - house of delegates operations and procedures
RECOMMENDATION A:
Madam Speaker, your Reference Committee recommends that Recommendations 1, 2, 5, 6, 7, and 8 of Board of Trustees Report 19 be adopted.
RECOMMENDATION B:
Madam Speaker, your Reference Committee recommends that Recommendations 3 and 4 of Board of Trustees Report 19 not be adopted.
RECOMMENDATION C:
Madam Speaker, your Reference Committee recommends that the Recommendations in Board of Trustees Report 19 be adopted as amended, and the remainder of the report be filed.
HOD ACTION: Recommendations contained in Board of Trustees Report 19 adopted as amended, remainder of report filed.
Board of Trustees report 19 responds to Recommendation 6 of the Report of the Committee on Organization of Organizations (COO) (A-2003). Recommendation 6 of the COO Report was adopted as follows:
That the Speakers of the House of Delegates and the Board of Trustees study streamlining the operations and procedures of the House and explore the feasibility of alternative voting methods, such as proxy or weighted voting, in order to allow organizations to function in the manner they deem most effective without losing representation, and report back at the 2004 Annual Meeting.
This report summarizes previous work to streamline the House’s operations, discusses further ideas for improving the functioning of the House, discusses the possibility of proxy or weighted voting, and makes eight recommendations for the House’s consideration. The report was prepared in collaboration with the Speaker and Vice Speaker of the House.
Your Reference Committee heard testimony on several of the recommendations in Board of Trustees Report 19. There were numerous comments on Recommendations 3 and 4 dealing with the process for extracting items of business from the Reaffirmation Calendar and extracting informational reports. It was acknowledged that the recommended changes might make the process more efficient, but there was substantial concern expressed that the democratic process would be compromised. Several individuals expressed support for the idea that nominating speeches could be put in the Election Manual and the time saved from this could be used by the candidates to espouse their positions on issues. This might be something for future consideration. In addition, it was pointed out that the process suggested in Recommendation 7 of modifying current policy rather than creating new policy would reduce the volume of material in the AMA policy database. The majority of testimony on proxy voting was in opposition.

(12.10)resolution 611 - increased collaboration between the ama and the american osteopathic association


RECOMMENDATION A:
Madam Speaker, your Reference Committee recommends that Resolution 611 be amended by deletion and insertion of line 19, to read as follows:
RESOLVED, That our American Medical Association continue efforts to explore collaborateing more with the American Osteopathic Association, specifically with the AMA’s National Advocacy Conference. (Directive to Take Action)
RECOMMENDATION B:
Madam Speaker, your Reference Committee recommends that Resolution 611 be adopted as amended.
HOD ACTION: Resolution 611 adopted as amended.
Resolution 611 asks our American Medical Association to explore collaborating more with the American Osteopathic Association (AOA), specifically with regard to the AMA’s National Advocacy Conference.
Your Reference Committee heard testimony supporting the idea of a closer working relationship with AOA, but other testimony indicated that previous invitations to AOA to participate in AMA advocacy events have been declined, and that the AOA does not participate in the AMA House of Delegates even though it has a seat in the House. Therefore, directives to forge a more active working relationship with AOA should not be limited to specific activities, but would be better left more general in order to encompass activities in which AOA might have an interest.

(12.11)resolution 604 - extending membership benefits to students enrolled in the sophie davis biomedical EDUCATION BS/md program


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 604 be referred for decision.
HOD ACTION: Resolution 604 referred for decision.
Resolution 604 asks our American Medical Association to establish a three-year pilot project extending eligibility for membership benefits, including representation and voting rights as the CUNY Sophie Davis campus in the AMA-MSS Assembly, to fourth- and fifth-year students at the CUNY-Sophie Davis combined BS/MD program, with appropriate steps taken to make this eligibility permanent at the end of the three-year period should this program be deemed successful. It further urges the AMA Medical Student Section to encourage member chapters to recruit fourth- and fifth-year students at the CUNY-Sophie Davis combined BS/MD program who will attend these chapters' respective medical schools. Finally, it urges the AMA Medical Student Section to invite fourth- and fifth-year students at the CUNY-Sophie Davis combined BS/MD program to attend AMA-MSS Assembly meetings as observer members until such time as eligibility for membership is established for them.
Based on the testimony, your Reference Committee commends the Sophie Davis Biomedical Education BS/MD program for its laudable goal of recruiting minority medical students. While your Reference Committee applauds the mission of the Sophie Davis program, we are concerned that this request for student membership did not follow the existing AMA process. Since this is not an urgent request, your Reference Committee believes the normal process should be followed. Your Reference Committee believes that the AMA should be consistent and should consider other programs that may be eligible for this type of membership.
Finally, your Reference Committee understands that the Medical Student Section Assembly just referred a similar resolution to its Governing Council, therefore, the appropriate process is underway.

(12.12)report of the committee of the house of delegates on compensation of the ama general OFFICERS


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that the recommendation in Report of the Committee on Compensation of the General Officers not be adopted.
HOD ACTION: Report of the Committee on Compensation of the General Officers not adopted.
The Report of the Committee of the House of Delegates on Compensation of the AMA General Officers responds to the House of Delegates request at I-03 that the Committee further study its recommendation that resident and student compensation be changed from an annual stipend to an annual honorarium and per diem at the same level as other Trustees for the period July 1, 2004 - June 30, 2005. After considerable discussion and study, the Committee of the House of Delegates on Compensation resubmitted its recommendation pertaining to the compensation of the resident and student Trustees.
Your Reference Committee heard substantial testimony. Two distinct philosophies on Board compensation are evident in both the report and the testimony in the Reference Committee. One philosophy of compensation is to remunerate Trustees for lost income to their practice in order to defray the cost of serving. Another philosophy is to pay Trustees on the basis of the value of their contribution to the Association. This philosophy is built on the notion that all Trustees perform the same service to the AMA and, therefore, should receive the same compensation.
It is the understanding of the Reference Committee that the AMA’s original compensation philosophy was to reimburse Trustees for lost income to practice. This was the rationale for paying the student and resident trustees a stipend. This report is based on a shift in philosophy and your Reference Committee felt that the rationale for this shift was not sufficiently supported in the Report.
It is important to note that the AMA Bylaws require that the Report of the Committee on Compensation of the General Officers be adopted, not be adopted, or referred in its entirety. Given the strong testimony and the limited options available to us, we recommend not be adopted.
Your Reference Committee believes that the current level of compensation for the medical student and resident is inadequate and should be reexamined by the Committee on Compensation.
Your Reference Committee heard testimony questioning whether under Illinois employment law, all Trustees must receive the equal compensation. This law does not apply to Board members because they are not employees of the AMA.

(12.13)resolution 601 - compilation of state medical society membership data by the ama


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 601 not be adopted.
HOD ACTION: Resolution 601 not adopted.
Resolution 601 asks our American Medical Association to collect and compile for analysis and use by Federation members the membership data on the state medical societies constituting the Federation and provide these membership data to Federation members upon request.
Your Reference Committee heard testimony indicating that the AMA used to collect membership and dues data. Because the data was self-reported, the quality of the information received was inconsistent, which led to concerns about the validity of the survey data. Your Reference Committee is aware that the American Association of Medical Society Executives (AAMSE) recently started to collect membership data and operational data. Since AAMSE is already collecting this data, your Reference Committee recommends not adopting this resolution.

(12.14)resolution 603 - cost containment


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 603 not be adopted.
HOD ACTION: Resolution 603 not adopted.
Resolution 603 asks our American Medical Association, beginning with 2004-2005 membership renewals/new applications, to provide members or prospective members the option to receive communications via e-mail, fax or mail, with a general move toward the most economical methodology.
Your Reference Committee concurs with the intent of the resolution, but believes that it is important to remain focused on the AMA’s Strategic Membership Plan, which was adopted at I-03. We believe that strategy 8 of that report is consistent with the intent of this resolution and, therefore, additional policy is not necessary. Strategy 8 reads as follows:
Deliver more consistent and focused communications: including use of AMNews as a communication vehicle. Coordinate messages and contacts for consistent member experience and tailor information delivery based on member preferences…(emphasis added)
(12.15)Resolution 605 - Quality of Care – Nursing Homes
RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 605 not be adopted.
HOD ACTION: Resolution 605 not adopted.
Resolution 605 asks our American Medical Association to undertake to solicit and organize a volunteer corps of experienced and/or retired physicians and medical directors to serve as a resource to improve quality of care in nursing homes.
Your Reference Committee heard testimony that other organizations may be better positioned to organize the efforts of a volunteer corps of physicians, and that this is better done at the local level.

(12.16)resolution 606 - junior ama


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 606 not be adopted.
HOD ACTION: Resolution 606 not adopted.
Resolution 606 asks our American Medical Association to consider the creation of a “Junior AMA” and report back to the House of Delegates at the 2004 Interim Meeting.
Your Reference Committee heard limited testimony. Your Reference Committee believes it is preferable to remain focused on implementing the recently adopted BOT Report 14 (I-03), AMA Membership Strategic Plan, instead of allocating resources to new initiatives. Currently, the AMA is very successful in recruiting medical student members. Resources, however, are necessary to understand and fix the problem related to members dropping out during the transition period between medical school and residency and from residency into practice. Testimony was heard that resources would be better spent on strategies to retain AMA members during transition periods.

(12.17)resolution 607 - american medical association public health council study


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 607 not be adopted.
HOD ACTION: Resolution 607 not adopted.
Resolution 607 asks our American Medical Association to study the feasibility of initiating an AMA Council on Public Health.
Your Reference Committee heard testimony both in support of and in opposition to the idea of creating a new Council on Public Health. The importance of public health issues and the prominence of public health in the AMA mission is clear. A Council on Public Health would send a visible signal regarding that commitment. However, the AMA is already very active in the public health arena and several current AMA councils already deal actively with public health issues, especially the Council on Scientific Affairs, but also the Council on Medical Service and the Council on Legislation. At a time when the AMA is working hard to contain costs, the creation of a new council to deal with issues that existing councils are addressing would add substantially to the AMA operating budget on an ongoing basis. Your Reference Committee believes that efforts should be made to better publicize the extent of AMA’s public health activities and its long-standing commitment to addressing public health issues.

(12.18)resolution 608 - creation of a fellowship status within our american medical association


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 608 not be adopted.
HOD ACTION: Resolution 608 not adopted.
Resolution 608 asks our American Medical Association House of Delegates to form a work group appointed by the Speaker of the House to consider the creation of a fellowship status within our AMA and the designation Fellow of our American Medical Association (FAMA), which could be attached to the surname of said fellows, and that the work group report back with their findings and recommendations to the House of Delegates at the 2005 Annual Meeting.
Your Reference Committee heard testimony on both sides of this issue. The Committee was swayed by testimony from the Chair of the AMA Board Task Force on Membership. He indicated that the AMA Board Task Force on Membership has already studied the concept of creating a fellowship status within our AMA, which revealed no significant member interest.

(12.19)resolution 612 - ama meeting venues

RESOLUTION 614 – CONFERENCE LOCATIONS FOR AMA MEETINGS
RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolutions 612 and 614 not be adopted.
HOD ACTION: Resolutions 612 and 614 not adopted.
Resolutions 612 and 614 both ask that our American Medical Association not select venues that are contrary to AMA policies or missions whenever there are reasonable venue options for AMA meetings.
Your Reference Committee heard testimony in support of selecting meeting venues wisely, but also substantial testimony that the subject venue for Resolution 612, McDonald’s “Hamburger University” in Oakbrook, Illinois is actually a Hyatt Hotel that is a very good meeting site and does not promote any particular cuisine. Testimony supported leaving such decisions to the AMA meeting management process and the Board of Trustees.

(12.20)RESOLUTION 613 - CREATING AN AMA-RFS HEALTH POLICY FELLOWSHIP


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Resolution 613 not be adopted.
HOD ACTION: Resolution 613 referred to Board for decision.
Resolution 613 calls for the AMA to create a health policy fellowship for residents that is similar to the one established in 2003 for medical students.
Madam Speaker, your Reference Committee heard testimony in support of the general concept of providing opportunities for medical students and residents to learn about and gain experience in the public policy process. However, it was pointed out that a similar fellowship for medical students that was approved last year is just now being implemented. It was suggested that similar programs not be implemented until experience with the student program is available as a basis for refining the purpose and approach that will best serve the interests of the participants as well as the AMA.

(12.21)Board of Trustees Report 31 - Auditor's Report


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Board of Trustees Report 31 be filed.
HOD ACTION: Board of Trustees Report 31 filed.
Board of Trustees Report 31 states that the Consolidated Financial Statements for the years ended December 31, 2003 and 2002 and the Independent Auditor’s report have been included in a separate booklet, titled “2003 Annual Report.” This booklet was included in the handbook mailing to Members of the House of Delegates.
Your Reference Committee has been very pleased with the quarterly informational reports it receives. We congratulate the AMA on its continued sound financial management, and is particularly pleased that there was a significant positive operating result in 2003.

(12.22)BOARD OF TRUSTEES REPORT 23 - AMA PERFORMANCE, ACTIVITIES, AND STATUS IN 2003


RECOMMENDATION:
Madam Speaker, your Reference Committee recommends that Board of Trustees Report 23 be filed.
HOD ACTION: Board of Trustees Report 23 filed.
Board of Trustees Report 23 summarizes the major activities and accomplishments of the AMA during 2003. This is the first annual report of AMA performance, activities, and status, based on a consolidated reporting format that was adopted at the 2003 Annual Meeting to reduce the paperwork burden of the House of Delegates.
Your Reference Committee heard a concern expressed that Board of Trustees Report 23 does not make sufficiently clear the extent of AMA’s commitment and activities related to public health. In the Reference Committee hearing, the Board of Trustees indicated that next year’s report on performance and activities will make sure to appropriately summarize the organization’s public health involvement.

Madam Speaker, this concludes the report of Reference Committee F. I would like to thank Michael E. Greene, MD, Lawrence W. Jones, MD, Ronald L. Ruecker, MD, Carol S. Shapiro, MD, John M. Whitelaw, MD, Colette R. Willins, MD, and all those who testified before the Committee.








Michael E. Greene, MD (Alternate)
Georgia


Lawrence W. Jones, MD
American Urological Association


Ronald L. Ruecker, MD
Illinois


Carol S. Shapiro, MD
Virginia


John M. Whitelaw, MD
Amercian College of Obstetricians and Gynecologists


Colette R. Willins, MD
American Academy of Family Physicians


William C. Sternfeld, MD
Ohio
Chair




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