Executive Directors Constituent Medical Associations. James L. Madara, MD. Date: February 4, Constituent Society Delegate Apportionment

Transcription

1 Memo to: From: Executive Directors Constituent Medical Associations James L. Madara, MD Date: February 4, 2019 Subject: 2019 Constituent Society Delegate Apportionment I am pleased to provide delegate apportionment figures for Last year our American Medical Association (AMA) experienced a ninth consecutive year of membership growth, and 283 delegates will be apportioned across 54 states and territories in the House of, an increase of 10 over last year. Delegate apportionment is based on official AMA membership records as of December 31, 2018, with one delegate apportioned for every 1,000, or fraction thereof, AMA members. The attached table provides a state by state breakdown. Those states that have endorsed regional medical student delegates or resident sectional delegates should be aware that these delegates are not reflected in the figures that appear in the apportionment table, but rather included in separate tables. Regional medical student delegates or resident sectional delegates will be seated with their endorsing societies, and states are encouraged to include them in delegation activities and communications. The credential process for the Annual Meeting will begin in March. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting. You will receive a separate communication regarding credentials. Please ensure that your delegates and alternate delegates have renewed their AMA memberships for AMA bylaws specify that all delegates ( ) and alternate delegates ( 2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be found at Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Affairs, at or by to roger.brown@ama-assn.org. Attachments

2 Constituent Society Delegate Apportionment Constituent society AMA members as of 31 Dec 2017 Actual delegates AMA members as of 31 Dec 2018 Regular Apportionment under Bylaw Additional Delegate Apportionment Total 243, , Alabama 3, , Alaska Arizona 4, , Arkansas 2, , California 21, , Colorado 4, , Connecticut 3, , Delaware District of Columbia 1, , Florida 13, , Georgia 4, , Guam Hawaii 1, , Idaho Illinois 10, , Indiana 4, , Iowa 2, , Kansas 3 2, , Kentucky 2, , Louisiana 3, , Maine 1, , Maryland 4, , Massachusetts 12, , Michigan 11, , Minnesota 4, , Mississippi 2, , Missouri 4, , Montana Nebraska 1, , Nevada 1, , New Hampshire New Jersey 6, , New Mexico 1, , New York 18, , North Carolina 5, , North Dakota Ohio 10, , Oklahoma 3, , Oregon 1, , Pennsylvania 13, , Puerto Rico 1, , Rhode Island 1, , South Carolina 4, , South Dakota Tennessee 4, , Texas 16, , Utah 1, , Vermont Virgin Islands Virginia 6, ,

3 Constituent society AMA members as of 31 Dec 2017 Actual delegates AMA members as of 31 Dec 2018 Regular Apportionment under Bylaw Additional Delegate Apportionment Washington 3, , West Virginia 1, , Wisconsin 4, , Wyoming APO/FPO/Foreign Notes: 1 These figures do not include additional delegates allocated under , or 2.5 of the bylaws. 2 The regular apportionment of delegates is one delegate for each 1000, or fraction thereof, AMA members in the jurisdiction of the constituent society ( of the bylaws) of the bylaws permits constituent societies to retain delegates under some circumstances if membership information warrants a decrease from one year to the next. Kansas is the only society for which this provision applies in of the bylaws provides an additional delegate for those societies represented by the individuals elected to be speaker and vice speaker, Kentucky and Texas through June 2019.

4 CONSTITUENT SOCIETIES ENDORSING MEDICAL STUDENT SECTION REGIONAL DELEGATES AND ALTERNATE DELEGATES Alternate Region 1 Arizona 1 2 California 1 Colorado 1 2 Nevada 1 Region 2 Illinois 1 Minnesota 1 Missouri 1 Nebraska 2 Wisconsin 1 Region 3 Louisiana 1 Mississippi 1 Oklahoma 1 1 Texas 1 3 Region 4 Alabama 1 Florida 1 2 North Carolina 1 2 South Carolina 1 Region 5 Indiana 2 Michigan 1 Ohio 2 1 Region 6 District of Columbia 1 Maryland 1 New Jersey 1 1 Pennsylvania 1 1 Virginia 1 1 Region 7 Connecticut 3 1 Massachusetts 1 1 New York 1 3 This table reflects information available as of January 29, 2019 and is subject to change. Pursuant to American Medical Association Bylaws ( 2.3 and subsections), medical student regional delegates and alternate delegates were elected utilizing a regional structure. The seven medical student regions are: Region 1: Region 2: Region 3: Region 4: Region 5: Region 6: Region 7: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming. Illinois, Iowa, Minnesota, Missouri, Nebraska, Wisconsin Arkansas, Kansas, Louisiana, Mississippi, Oklahoma, Texas. Alabama, Florida, Georgia, North Carolina, Puerto Rico, South Carolina, Tennessee. Indiana, Kentucky, Michigan, Ohio, West Virginia. Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia. Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont. For 2019, 28 regional student delegates were apportioned according to year-end 2017 AMA medical student membership figures within a region, with a delegate being apportioned for every 2,000 student members in the region and additional delegates apportioned per Bylaw Medical Student Section regional delegates are seated with the constituent association representing the jurisdiction within which such delegate s educational program is located (Bylaw ). Alternate delegates substituting for a delegate shall be seated in the place of the delegate being temporarily replaced.

5 Societies Endorsing Resident and Fellow Sectional and Alternate Alternate American Academy of Ophthalmology 1 American Academy of Neurology 1 American Academy of Pediatrics 1 American Association of Neurological Surgeons 1 American Association of Public Health Physicians 1 American College of Emergency Physicians 1 1 American College of Obstetricians and Gynecologists 1 1 American College of Radiology 1 1 American Psychiatric Association 1 1 American Society for Clinical Pathology 1 American Society for Radiation Oncology 1 American Society of Anesthesiologists 1 1 American Society of Clinical Oncology 1 American Society of Interventional Pain Physicians 1 1 American Society of Plastic Surgeons 1 American Urological Association 1 Arizona Medical Association 1 California Medical Association 2 2 College of American Pathologists 1 1 Florida Medical Association 2 Illinois State Medical Society 1 1 Infectious Diseases Society of America 1 Massachusetts Medical Society 1 Medical Association of the State of Alabama 1 Medical Society of the State of New York 2 1 Medical Society of Virginia 1 Missouri State Medical Association 1 Nevada State Medical Association 1 Ohio State Medical Association 1 1 Oklahoma State Medical Association 1 Pennsylvania Medical Society 1 1 South Carolina Medical Association 1 Texas Medical Association 1 1 Utah Medical Association 1 Washington State Medical Association Wisconsin Medical Society 1 This table reflects information available as of January 15, 2019 and is subject to change. For 2019, 28 Resident and Fellow Section sectional delegates were apportioned according to year-end 2017 AMA resident and fellow membership figures, with a delegate being apportioned for every 2,000 members (AMA Bylaws, 2.4 and subsections). Resident and fellow sectional delegates are to be seated with their endorsing society (Bylaw ). Alternate delegates who are substituting for a delegate will sit with the society that endorsed the delegate for whom the alternate is substituting.

6 Memo to: From: Executive Directors National Medical Specialty Societies James L. Madara, MD Date: February 4, 2019 Subject: 2019 Specialty Society Delegate Apportionment I am pleased to provide delegate apportionment figures for The 2019 delegate apportionment is based on official AMA membership records. Policy G , Designation of Specialty Societies for Representation in the House of, sets out the rules implementing Bylaw 2.2 to determine each specialty society s delegate apportionment. Constituent societies have been apportioned 281 delegates for 2019 (not including two delegate slots for the speakers per bylaw 2.5). Consequently, 281 delegates were apportioned across the 124 national medical specialty societies in the House, which includes societies expected to be admitted in June. Several societies were adjusted upwards to maintain the parity called for in the bylaws. Every society seated in the House of is entitled to one delegate, but the following 54 national specialty societies have more than one delegate (with a like number of alternate delegates): AMDA-The Society for Post-Acute and Long-Term Care Medicine... 2 American Academy of Child and Adolescent Psychiatry... 2 American Academy of Dermatology... 4 American Academy of Family Physicians American Academy of Neurology... 4 American Academy of Ophthalmology... 4 American Academy of Orthopaedic Surgeons... 5 American Academy of Otolaryngology-Head and Neck Surgery... 3 American Academy of Pediatrics... 5 American Academy of Physical Medicine and Rehabilitation... 2 American Academy of Sleep Medicine*... 2 American Association for Geriatric Psychiatry... 2 American Association of Clinical Endocrinologists... 2 American Association of Gynecologic Laparoscopists... 2 American Association of Neurological Surgeons... 2 American College of Cardiology... 6 American College of Chest Physicians (CHEST)... 3 American College of Emergency Physicians... 7 American College of Gastroenterology... 2 American College of Obstetricians and Gynecologists... 13

7 2 American College of Physicians American College of Radiology... 7 American College of Rheumatology... 2 American College of Surgeons American Gastroenterological Association... 2 American Geriatrics Society... 2 American Institute of Ultrasound in Medicine... 2 American Medical Group Association... 4 American Psychiatric Association... 8 American Roentgen Ray Society... 3 American Society for Clinical Pathology... 3 American Society for Dermatologic Surgery... 2 American Society for Gastrointestinal Endoscopy... 2 American Society for Reproductive Medicine... 2 American Society of Addiction Medicine... 2 American Society of Anesthesiologists... 7 American Society of Cataract and Refractive Surgery... 2 American Society of Clinical Oncology... 3 American Society of Echocardiography... 2 American Society of Hematology... 2 American Society of Plastic Surgeons... 2 American Thoracic Society... 2 American Urological Association... 2 College of American Pathologists... 3 Infectious Diseases Society of America... 2 North American Spine Society... 2 Radiological Society of North America... 3 Society of American Gastrointestinal Endoscopic Surgeons... 2 Society of Critical Care Medicine... 2 Society of Hospital Medicine... 2 Society of Laparoendoscopic Surgeons... 2 Society of Thoracic Surgeons... 2 The Endocrine Society... 2 United States and Canadian Academy of Pathology... 2 * Expected to be admitted to the House of at A-19 Remaining national medical specialty societies, including those expected to be seated in June, are each apportioned one delegate (and one alternate) for The net result is that there will be 281 specialty society delegates this year. Delegate apportionment figures for all specialty societies appear in the 2019 Specialty Society Delegate Apportionment table accompanying this memo. Several specialty societies have endorsed resident and fellow sectional representatives ( 2.4 of the bylaws) and are listed in a second table below. The delegate numbers above and in the Specialty Society Delegate Apportionment table do not include these resident and fellow sectional delegates, but allowance will be made to seat them with their endorsing societies. Societies are urged to make every effort to include these delegates and alternate delegates in pertinent activities and communications. Traditionally, delegates for national medical specialty societies with a single delegate have been seated in the House with the delegate s home state. Over the last few years, several specialty societies have indicated that they would like to be seated together, and these groupings will continue. Other specialty society

8 3 delegations that would like to be seated together in the House should notify Roger Brown in writing no later than April 1, The credential process for the Annual Meeting will begin in March. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting. You will receive a separate communication regarding credentials. Please ensure that your delegates and alternate delegates have renewed their AMA memberships for AMA bylaws specify that all delegates ( ) and alternate delegates ( 2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be found Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Affairs at or by to roger.brown@ama-assn.org. Attachment

9 2019 Specialty Society Delegate Apportionment Date of 5 year review Members at most recent review 1 A-19 delegates Specialty Society Academy of Physicians in Clinical Research A Aerospace Medical Association A AMDA-The Society for Post-Acute and Long-Term Care Medicine A American Academy of Allergy, Asthma and Immunology I American Academy of Child and Adolescent Psychiatry A-16 1,408 2 American Academy of Cosmetic Surgery A American Academy of Dermatology A-18 3,117 4 American Academy of Facial Plastic and Reconstructive Surgery A American Academy of Family Physicians A-18 14, American Academy of Hospice and Palliative Medicine A American Academy of Insurance Medicine I American Academy of Neurology A-18 2,934 4 American Academy of Ophthalmology I-18 3,021 4 American Academy of Orthopaedic Surgeons I-18 3,897 5 American Academy of Otolaryngic Allergy Inc. A American Academy of Otolaryngology-Head and Neck Surgery I-18 2,081 3 American Academy of Pain Medicine I American Academy of Pediatrics I-18 3,827 5 American Academy of Physical Medicine and Rehabilitation I-18 1,146 2 American Academy of Psychiatry and the Law A American Academy of Sleep Medicine 2 A-19 1,202 2 American Association for Geriatric Psychiatry A American Association for Hand Surgery A American Association for Thoracic Surgery A American Association of Clinical Endocrinologists I American Association of Clinical Urologists, Inc. A American Association of Gynecologic Laparoscopists A-14 1,264 2 American Association of Neurological Surgeons I American Association of Neuromuscular & Electrodiagnostic Medicine I American Association of Plastic Surgeons A American Association of Public Health Physicians A American Clinical Neurophysiology Society A American College of Allergy, Asthma and Immunology A American College of Cardiology I-14 5,693 6 American College of Chest Physicians (CHEST) A-15 2,552 3 American College of Emergency Physicians I-14 6,705 7 American College of Gastroenterology I-14 1,383 2 American College of Legal Medicine A American College of Medical Genetics and Genomics A American College of Medical Quality A American College of Mohs Surgery A American College of Nuclear Medicine I American College of Obstetricians and Gynecologists A-15 12, American College of Occupational and Environmental Medicine I American College of Phlebology A

10 Date of 5 year review Members at most recent review 1 A-19 delegates Specialty Society American College of Physicians A-15 22, American College of Preventive Medicine A American College of Radiation Oncology A American College of Radiology A-15 6,077 7 American College of Rheumatology I-17 1,111 2 American College of Surgeons A-15 12, American Gastroenterological Association I-15 1,709 2 American Geriatrics Society I American Institute of Ultrasound in Medicine A-16 1,174 2 American Medical Group Association I-14 2,928 4 American Orthopaedic Association I American Orthopaedic Foot and Ankle Society A American Psychiatric Association I-15 7,478 8 American Rhinological Society A American Roentgen Ray Society I-15 2,377 3 American Society for Aesthetic Plastic Surgery, Inc. A American Society for Clinical Pathology A-16 2,094 3 American Society for Dermatologic Surgery I-17 1,001 2 American Society for Gastrointestinal Endoscopy I-16 1,283 2 American Society for Metabolic and Bariatric Surgery A American Society for Radiation Oncology I American Society for Reconstructive Microsurgery A American Society for Reproductive Medicine A American Society for Surgery of the Hand I American Society of Abdominal Surgeons I American Society of Addiction Medicine A American Society of Anesthesiologists A-16 5,958 7 American Society of Breast Surgeons A American Society of Cataract and Refractive Surgery A-16 1,085 2 American Society of Clinical Oncology I-17 2,363 3 American Society of Colon and Rectal Surgeons A American Society of Cytopathology 2 A American Society of Dermatopathology A American Society of Echocardiography A-18 1,115 2 American Society of General Surgeons A American Society of Hematology A-17 1,017 2 American Society of Interventional Pain Physicians A American Society of Maxillofacial Surgeons I American Society of Neuroimaging A American Society of Neuroradiology A American Society of Ophthalmic Plastic and Reconstructive Surgery A American Society of Plastic Surgeons I-17 1,001 2 American Society of Retina Specialists A American Society of Transplant Surgeons A American Thoracic Society A-17 1,581 2 American Urological Association I-16 1,112 2 AMSUS - Association of Military Surgeons of the United States I

11 Date of 5 year review Members at most recent review 1 A-19 delegates Specialty Society Association of University Radiologists A College of American Pathologists A-17 2,586 3 Congress of Neurological Surgeons A Contact Lens Association of Ophthalmologists A Heart Rhythm Society I Infectious Diseases Society of America A-14 1,147 2 International Academy of Independent Medical Evaluators A International College of Surgeons - US Section A International Society for the Advancement of Spine Surgery A International Society of Hair Restoration Surgery A National Association of Medical Examiners I North American Neuromodulation Society A North American Neuro-Ophthalmology Society A North American Spine Society I-16 1,131 2 Obesity Medicine Association A Radiological Society of North America I-17 2,240 3 Renal Physicians Association A Society for Cardiovascular Angiography and Interventions A Society for Investigative Dermatology, Inc. A Society for Vascular Surgery I Society of American Gastrointestinal Endoscopic Surgeons I Society of Critical Care Medicine A-16 1,539 2 Society of Hospital Medicine A-15 1,556 2 Society of Interventional Radiology A Society of Laparoendoscopic Surgeons A Society of Nuclear Medicine and Molecular Imaging I Society of Thoracic Surgeons I Spine Intervention Society A The Endocrine Society A-18 1,016 2 The Triological Society I Undersea and Hyperbaric Medical Society A United States and Canadian Academy of Pathology A-17 1,303 2 TOTAL 281 Elements of 2019 specialty society delegate apportionment National specialty societies currently seated in House of 122 National specialty societies expected to be seated at A-19 2 National specialty societies apportioned delegates 124 Specialty delegates apportioned at 1 per 1000 AMA members 264 apportioned to constituent societies under Bylaw Additional specialty delegates apportioned per Policy G Notes: 1 Membership counts are taken from Board of Trustees Report 6-I-16, which developed the delegate apportionment scheme implemented herein. More recent data are used for societies with five-year reviews after I-16, societies that underwent special counts since 2016, and societies expected to be admitted to the House of at A Societies expected to be admitted at A-19.

12 Societies Endorsing Resident and Fellow Sectional and Alternate Alternate American Academy of Ophthalmology 1 American Academy of Neurology 1 American Academy of Pediatrics 1 American Association of Neurological Surgeons 1 American Association of Public Health Physicians 1 American College of Emergency Physicians 1 1 American College of Obstetricians and Gynecologists 1 1 American College of Radiology 1 1 American Psychiatric Association 1 1 American Society for Clinical Pathology 1 American Society for Radiation Oncology 1 American Society of Anesthesiologists 1 1 American Society of Clinical Oncology 1 American Society of Interventional Pain Physicians 1 1 American Society of Plastic Surgeons 1 American Urological Association 1 Arizona Medical Association 1 California Medical Association 2 2 College of American Pathologists 1 1 Florida Medical Association 2 Illinois State Medical Society 1 1 Infectious Diseases Society of America 1 Massachusetts Medical Society 1 Medical Association of the State of Alabama 1 Medical Society of the State of New York 2 1 Medical Society of Virginia 1 Missouri State Medical Association 1 Nevada State Medical Association 1 Ohio State Medical Association 1 1 Oklahoma State Medical Association 1 Pennsylvania Medical Society 1 1 South Carolina Medical Association 1 Texas Medical Association 1 1 Utah Medical Association 1 Washington State Medical Association Wisconsin Medical Society 1 This table reflects information available as of January 15, 2019 and is subject to change. For 2019, 28 Resident and Fellow Section sectional delegates were apportioned according to year-end 2017 AMA resident and fellow membership figures, with a delegate being apportioned for every 2,000 members (AMA Bylaws, 2.4 and subsections). Resident and fellow sectional delegates are to be seated with their endorsing society (Bylaw ). Alternate delegates who are substituting for a delegate will sit with the society that endorsed the delegate for whom the alternate is substituting.

13 Memo to: From: Surgeons General, Federal Services Chief Medical Director, Department of Veterans Affairs Executive Directors, Professional Interest Medical Associations Executive Director, American Medical Women s Association Executive Director, American Osteopathic Association Executive Director, National Medical Association Secretaries, AMA Sections James L. Madara, MD Date: February 4, 2019 Subject: 2019 Delegate Apportionment Under our American Medical Association (AMA) bylaws ( 2.6), the federal services (Air Force, Army, Navy, Public Health Service and the VA), American Medical Women s Association, American Osteopathic Association, National Medical Association, and professional interest medical associations are each allotted one delegate (and one alternate) as are AMA sections. Please ensure that your delegates and alternate delegates have renewed their AMA memberships for AMA bylaws specify that all delegates ( ) and alternate delegates ( 2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be viewed at The credential process for the Annual Meeting will begin in March. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting. You will receive a separate communication regarding credentials. Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Affairs at or by to roger.brown@ama-assn.org.