CAS Programs at the AAMC Annual Meeting
November 8-13, 2002 – San Francisco, California

Council of Academic Societies/Council of Teaching Hospitals and Health Systems/
Council of Deans Joint Plenary Session New Perspectives on Physician Workforce:
What If Buz Is Right? In a plenary session on the adequacy of the physician workforce
subtitled "What if Buz Is Right?" - referring to Dr. Richard "Buz" Cooper's widely
disseminated 2001 paper warning of a looming physician shortage - several scholars
examined the question from historical viewpoints and in light of current trends.John
Iglehart, editor of Health Affairs, gave a comprehensive overview of past efforts to
predict physician supply, recalling successes and some outright failures.

Daniel Fox, Ph.D., president of the Milbank Memorial Fund, stated that it was important
to reduce variation in medical practice. Whether a physician shortage already exists, or
looms ahead, there is no evidence indicating that increasing the number of physicians
will improve the nation's health, he said.

Paul Ginsburg, Ph.D., president of the Center for Studying Health System Change,
shared perspectives from a "community tracking study." Although the respondents
reported longer waiting times for appointments and other barriers to access, the study
found no perception of general problems with physician supply. It did uncover some
warning signs, however, such as the difficulties covering emergency services and
limited access to specialty physicians for Medicaid and uninsured patients, he reported.

Mr. Iglehart is preparing a detailed summary of the session that will be posted as soon
as it is available.

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Council of Academic Societies/ Council of Deans/Women in Medicine/ Faculty
Affairs/Organization of Student Representatives/ Organizations of Resident
Representatives Joint Plenary Session

Building Morale Across the Continuum of Academic Medicine
The joint plenary session on "Building Morale Across the Continuum of Academic
Medicine," convened by Maria Savoia, M.D., from the University of California, San
Diego, heard from Steven Gabbe, M.D., from Vanderbilt, who spoke about burnout in
department chairs. Dr. Gabbe cited burnout and stress as serious workplace
consequences, and cited a survey on stress that received an astounding 91 percent
response rate, citing it as a prominent concern to medical faculty.

Darrell G. Kirch, M.D., CEO of the Milton S. Hershey Medical Center in Pennsylvania,
who spoke on faculty morale, advised that if a facility plans to undertake a morale
study, as his facility did, "Don't do it unless you're going to act on it….You're going to
get very strong signals; be prepared to act on them."

Erin McKean Lin, a medical student at the University of Michigan and a former chair of
the OSR, cited mentoring and faculty professionalism as being among the top concerns
of medical students.


Council of Academic Societies-Women in Medicine Breakfast
Tabletop discussions were held on the following topics:  

On Site Day Care: What are the Successes & Barriers?
Women Faculty Organizations: What's Working?
Enhancing the Environment for Gays & Lesbians in Medical Education
Women's Health Education: Defining Competency for Medical Students
Conflict Resolution

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Council of Academic Societies Plenary

The Impact of the Aging Population on the Medical School and Teaching Hospital

This session discussed the strain an aging U.S. population will place on America's
health care resources as the number of retiring "baby boomers" expands. The impact
of this aging population on medical schools and teaching hospitals is likely to be

The moderator, N. Lynne Eckhert, M.D., Dr. P.H., Chair, Council of Academic Societies,
presented some essential data on the demographic changes occurring in the United
States.  Richard J. Hodes, M.D., Director, National Institute on Aging, discussed his
institute’s research agenda.  He presented data on longevity genes across species as
well as data concerning survival probabilities of centenarian siblings.  Much of his
presentation focused on what is known about gene/environment interactions affecting
the incidence of aging-associated conditions.  Dr. Hodes concluded his presentation by
discussing the positive impact physical fitness has in reducing mortality in the aged.

Robert L. Kane, M.D., Professor & Minnesota Chair in Long-Term Care & Aging,
University of Minnesota School of Public Health, discussed geriatric care in the United
States.  His discussion focused on the four principle pathways of geriatric training in
the past thirty years: long-term care, specialty care, primary care, and end-of-life care.  
Dr. Kane argued that geriatrics remains the essential model for chronic disease care.  

Christine K. Cassel, M.D., Dean, Oregon Health & Science University School of
Medicine, discussed the challenges of training physicians to care for our aging
population.  After a review of existing core competencies and principles of geriatric
medicine, Dr Cassel discussed the demand for geriatric medicine and the supply of
geriatricians.  She then discussed efforts to develop geriatric curricula and geriatric
fellowship support.  Dr. Cassel concluded by discussing the “Geriatrics Without Walls”
program at the Mount Sinai School of Medicine.
Council of Academic Societies

Draft Business Meeting Summary Minutes

November 11, 2002
I Call to Order

N. Lynn Eckhert, M.D., Dr. P.H., called the Council of Academic Societies Business
Meeting to order at 12:30 p.m. on Monday, November 11.

II Government Relations Report

Dr. Richard Knapp discussed the efforts of Congress during the recent session, as
well as what will be on the agenda when the House and the Senate return during the
November lame duck session.  While Congress has only completed two of the thirteen
regular appropriation bills, Dr. Knapp stated that the bills eventually will move
“whether we like it or not”. Dr. Knapp discussed current legislative bright spots, such
as Medical Liability Reform legislation, which passed the House and appears likely to
pass the Senate.

While the OSHA petition issue has been rejected, resident work hour legislation is still
alive.  Dr. Knapp stated that it should not be problematic as long as Republicans
remain in control of Congress.  Dr. Knapp urged all to contact Senator Corzine and
Congressman Conyers (who are sponsoring the resident work hours legislation).  
There are sample letters available on the AAMC’s web site.

Dr. Knapp called attention to the distributed Medical School Debt Fact Card.  There are
480 new Federal Loan Repayment Program slots this year. It is calculated that 83
percent of medical graduates have debt.

III, President’s Report

Dr. Jordan Cohen, M.D., discussed numerous issues of importance to both AAMC and
the CAS.  He said that there is “good news” to report regarding AMCAS.  The web
application functioned well this year, the verification rate is up to par and there were
no major problems with data transmission.  Dr. Cohen concluded, “We are working our
way out of one of the worst disasters the AAMC has experienced”.

Dr. Cohen also stated that there is “good news” regarding medical school
applications.  A 4.6 percent increase in applications is likely in 2003 since MCAT
registrants are increasing significantly.

Dr. Cohen thanked Dr. David Korn and Dr. William Danforth for their work on the Task
Force on Conflicts of Interest in Human Subjects Research.  

It was noted that CAS deserved credit for increasing the focus of chairs within the
AAMC.  The October 11-13, 2002 meeting “The Executive Role of the Basic Science
Chair” was extremely successful.  A new resource book series for chairs is nearly
complete, modules I and II are available with module III available later this year.

Dr. Cohen discussed the newly created AAMC Institute for the Improvement of Medical
Education (IIME).  It was expressed that IIME has a lot of work to do and it is hoped it
will seek and receive external funding.

An update on the CDC Cooperative Agreement was provided.  In FY 2002 $3,992,968
was distributed to medical schools and $9,848,123 in FY 2003.  These funds will provide
a bridge between public health and medicine.

Dr. Cohen mentioned the RWJF “Access to Care” week, scheduled for March 10-16,
2003 and that Tuesday is “On Campus Education Day”.  He encouraged everyone to “do
what you can at your own institution.”

Administrative Board Activities

Dr. Eckhert asked that new CAS Representatives to stand and introduce themselves.
They were greeted with applause.

It was announced that among the 2001 – 2002 CAS Administrative Board members, the
terms of Terrance Cooper, Ph.D., and Lynn Epstein, M.D., have expired.  In appreciation
for his service, Dr. Eckhert presented Dr. Cooper with an engraved pewter bowl.  Dr.
Epstein had left the meeting just prior.

Dr. Eckhert also recognized that it was Dr. George Sheldon’s last meeting as he
completes his year as AAMC past chair.  She thanked him for his service.

The CAS Task Force on Dual Degree Students and Programs was discussed and Dr.
Eckhert asked for additional volunteers to serve.  The precise focus of the Task Force
will be further defined once the group is established.

IV, AAMC-ORI Cooperative Agreement

Mr. Tony Mazzaschi addressed the group about the AAMC-ORI Cooperative Agreement
and explained the specifics of the two awards available.  Besides bringing attention to
the two application deadline dates and the agreement’s web site, Mr. Mazzaschi
encouraged the possibility of joint proposals among societies for the $25,000 awards.

Philip Liu, M.D. mentioned that CAS is represented on the Underrepresented Minority
Task Force and that there will be a presentation November 11, 2002 from 10:00 a.m. to
12:00 noon.

V, Basic Science Chairs Leadership Forum Update

William Dantzler, M.D., Ph.D., discussed the October 11 – 13, 2002 chairs conference in
Philadelphia, Pennsylvania and the more than 215 basic chairs that participated.  Dr.
Dantzler stated that the conference had generated “a huge response” and was “very

VI, Membership Committee Report

Barbara Schuster, M.D. welcomed new societies (Association of Directors of Medical
Student Education in Psychiatry, International Association of Medical Science
Educators and The Society of Neurological Surgeons) and reminded all present that
suggestions of additional societies to join the CAS were welcome. A society being
considered for CAS membership is one where its core mission is based on:  medical
education, graduate education and research.  Mr. Mazzaschi added that the society
must also be an organization with 501 C3 tax-exempt status.

VII, Nominating Committee Report

Terrance Cooper, Ph.D. presented the report of the Nominating Committee.  The
Committee proposed the following slate:

Chair Elect:
Barbara L. Schuster, M.D., Chair
Dept. of Internal Medicine
Wright State University School of Medicine
Assoc. of Program Directors in Internal Medicine

Administrative Boar for Terms
Ending November, 2005:

J. Lloyd Michener, M.D.Chair,
Dept of Community and Family Medicine
Duke University Medical Center
Association of Departments of Family Medicine

Mary F. Lipscomb, M.D
Chair, Department of Pathology
University of New Mexico School of Medicine
Association of Pathology Chairs

Administrative Board for a Term
Ending November, 2004:

Joel A. Delisa, M.D.
Chair, Dept. of Physical Medicine and Rehabilitation
UMDNJ-New Jersey Medical School
Association of Academic Physiatrists

AAMC Executive Council:
William Dantzler, M.D., Ph.D.
American Physiological Society

Robert J. Desnick, M.D., Ph.D.
Assoc. of Professors of Human or Med. Genetics

Michael H. Ebert, M.D.
Am. Assoc. of Chairs of Depts. of Psychiatry

Lynn Eckhert, M.D., Dr. P.H.
Assoc. of Teachers of Preventive Medicine

J. Lloyd Michener, M.D.
Assoc. of Departments of Family Medicine
Barbara Schuster, M.D.

No nominations were offered from the floor and the slate of candidates was approved as

VIII, Chairs Task Force Report

Lloyd Michener, M.D. discussed the AAMC’s new publication “The Successful Medical
School Department Chair.” The report contains the final report of the CAS Chairs
Objectives Project Committee.  

IX, Program Committee Report

The CAS Spring Meeting March 13 – 16, 2003 in Tampa Florida was discussed.  The
theme of the meeting is “The Scientific Basis of Medicine: Preserving Curiosity and

X, New Business and Discussion

Dr. Eckhert thanked Dr. Korn for all he has done for CAS and thanked Mr. Mazzaschi
for  his  service.  Dr. Eckhert also expressed appreciation for Alison Smith’s efforts and
introduced Dagny Shiells as the new Manager of Member Services.

XI, Recognition of the New CAS Chair

Dr. Eckhert presented Dr. Dantzler with the CAS gavel and recognized him as the
current CAS Chair.

Dr. Dantzler thanked Dr. Eckhert for her efforts and service as CAS Chair.  

Dr. Dantzler conluded the meeting at 1:40 p.m.