Dear Friends,

It was a great pleasure to see you all again at the AACBNC meeting in Key West. I
am sure that you join with me in thanking Mary and Charlie for assembling such an
enjoyable meeting. As your AACBNC Representative to CAS, I attended the
AAMC/CAS meeting held in Washington D.C. in November 03. The CAS Business
Meeting Summary Minutes, prepared by Tony Mazzachi, are attached. They are
very comprehensive and need no further comment. As I mentioned at the AACBNC
Business meeting in Key West an important topic discussed at the CAS meetings,
but not found in the Business Meeting Minutes, was issues related to faculty
time-effort reporting. For the sake of those of you who were not at the AACBNC
Business meeting, I will briefly summarize this subject.

A session was held on time-effort reporting with the following participants: Susan
Ehringhaus, J.D. (Associate General Council for Regulatory Affairs, AAMC), Joe
Ellis, Ph.D. (Acting Director, Office of Policy for Extramural Research
Administration, NIH), and Claudia Adkinson, Ph.D. and J.D. (Executive Assistant
Dean, Administrative and Faculty Affairs, Emory). The highlights of the discussion
were 1. the U.S.A. versus Northwestern University case, related to faculty
time-effort reporting, was settled for $5.5 million dollars. The whistle blower
received about one third of this money. 2. At least 5 other similar cases have been
brought by the federal government against U.S. Universities over the same issue.
3. The DHHS 2004 Work Plan includes extensive audits on Time-Effort.  There are
several traps that could lead to problematic audits: 1. Inconsistent process for
preparing faculty Salary and Effort.  2. Reconciling proposed versus actual effort.  
3. Consulting.  4. Multi-organization structure (Clinical faculty who are paid by the
University and a Health Plan).  5. Inadequate compliance training. A sixth trap which
was raised in one of our AACBNC sessions was bonus plans that were directly
linked to NIH IDC.

I hope that these comments are helpful to those who were not at the AACBNC
Business meeting. I look forward to seeing you all next year in Maui.

Best regards,

Steve Goodman

President-Elect and Representative, AACBNC
Council of Academic Societies
Draft Business Meeting Summary Minutes

Monday, November 10, 2003
Washington, DC
Council of Academic Societies Meeting

Monday, November 10, 2003
Washington, DC
I. Call to Order
William H. Dantzler, M.D., Ph.D., called the Council of Academic Societies Business
Meeting to order at 12:25 p.m. on Monday, November 10.

II. Chair’s Welcome
Dr. Dantzler presented the minutes from the March 15, 2003 CAS Business Meeting.
A motion to approve the minutes was seconded and approved.

III. President’s Report
Dr. Jordan Cohen discussed the status of existing AAMC programs and services as
well as some new AAMC initiatives. Dr. Cohen reported that after a six-year decline,
the number of medical school applicants increased 3.4 percent last year. There is a
five percent increase in first applicants, and a seven percent increase in women
applicants. However, there is some negative news as well: although the number of
black applicants are up five percent, admissions are down six percent. Hispanic
applicants are up two percent, but admissions are down four percent.

Dr. Cohen highlighted a new AAMC document, “Assessing Medical School Admission
Policies: Implications of the U.S. Supreme Court’s Affirmative-Action Decisions.” He
also highlighted the new Fogarty International Center Clinical Research Fellowship
Program, which AAMC is managing, as well as the AAMC-Office of Research Integrity
Responsible Conduct of Research (RCR) Program for Academic Societies. Dr. Cohen
mentioned that there was no new activity related to the Jung v. AAMC et al litigation.
Motions to dismiss were heard in February, but the judge’s decision has not yet
been announced. The group Public Cicizen has complained to the Office of Human
Research Protections that the AAMC’s Graduation Questionnaire (GQ) is unethical
research. The AAMC has responded that the purpose of the questionnaire is
program evaluation and that the incidental research uses are exempt and don’t
require IRB approval. Dr. Cohen announced, however, that in order to model best
practices, the AAMC has decided to submit the 2004 GQ to an external IRB for review.

Dr. Cohen announced several new additions to the AAMC’s senior staff, including
Elisa Siegel, Senior Vice President for Communications, Susan Ehringhaus, J.D.,
Associate General Council for Regulatory Affairs, and Bruce Schnieder, M.D.,
Associate Vice President for Clinical Research. Dr. Diane Magrane, a CAS
representative, will join the AAMC staff in January as Associate Vice President for
Faculty Development and Leadership Programs. Dr. Cohen also announced that
Carol A. Aschenbrener, M.D., will join AAMC’s executive staff on April 1 as Vice
President for the Division of Medical School Standards and Assessment. Dr.
Aschenbrener will also serve as the AAMC secretary to the Liaison Committee on
Medical Education (LCME).

VI. Government Relations Report
Dr. Richard Knapp discussed the FY 2004 federal budget situation. An increase of
between two and three percent is expected for NIH. AHRQ funding continues to be a
big disappointment. Dr. Knapp is not optimistic regarding malpractice reform. While
malpractice legislation passed the U.S. House of Representatives, the same
outcome does not seem likely in the U.S. Senate, which generally feels it is more of a
state issue. Dr. Knapp stated that the AAMC is working closely and diligently with the
AMA on this issue. Dr. Knapp also discussed the prospects for physician and
hospital payment relief as part of the prescription drug legislation. [NB: See the
AAMC Government Affairs and Advocacy section for an update on the final
legislative actions <http://www.aamc.org/advocacy/start.htm>.]

V. President’s Report
Dr. Bill Dantzler asked representatives from new member CAS societies in the last
year to stand and be recognized:

-         American Academy of Dermatology;

-         American Headache Society;

-         Association of Directors of Medical Student Education in Psychiatry;

-         International Association of Medical Science Educators; and

-         The Society of Neurological Surgeons.

Dr. Dantzler announced that Dr. Lynn Eckhert, Past Chair of the CAS, has been
elected Chair-Elect of the AAMC. She will begin her term as Chair at next year’s
AAMC Annual Meeting in Boston.

Dr. Dantzler reported that the CAS Administrative Board has been active in
representing the interests of CAS member societies in the AAMC governance. Dr.
Dantzler urged representatives to review the minutes of recent Administrative
Board meetings, which were included in their agenda books. At recent meetings, key
issues have included:

-         Finalizing the new AAMC definition of URM – now Underrepresented in

-         MCAT flagging;

-         Medical education reform;

-         Embedding professionalism in medical education; and

-         Government affairs issues, including NIH funding and Medicare reform.

Dr. Dantzler briefly highlighted activities of CAS Committees and Task Forces, and
noted that reports from these panels also were included in the representative’s
agenda books:

-         CAS Membership Committee (chaired by Dr. Joel DeLisa): Membership now
stands at 94; focus has been on recruiting the few clerkship and program director
groups not in the CAS.

-         CAS Dual Degree Task Force (chaired by Dr. Lynn Eckhert): Has obtained and is
reviewing reams of data on dual degree programs, students, and faculty. The
research questions are numerous and the Task Force will be narrowing its focus at a
upcoming meeting.

-         Scholarship Dissemination Project (co-chaired by Drs. Shelley Bader and Gary
Byrd): Gathering data on the publication policies of the CAS member societies. This
project will help inform the AAMC’s policy on issues related to “open access”

-         Chairs Task Force – now renamed the Task Force on the Development of
Institutional Leadership (chaired by Dr. Lloyd Michener): Has developed an active
agenda. Dr. Diana Magrane, a CAS representative from the Assoc. of Professors of
Obstetricians and Gynecologists, is joining the AAMC staff in January to focus the
Association’s professional development efforts. The Task Force will be working
closely with Dr. Magrane in the months ahead.

-         The Basic Science Chairs Leadership Forum (co-chaired by Drs. Toni Scarpa
and Bill Dantzler) – The Forum will soon begin planning the 2005 national meeting of
basic science chairs. The Forum also solicited from basic and clinical department
chairs examples of successful basic and clinical collaborations in medical education.
The Forum received numerous examples of collaborations in years 1 and 2, but few
in years 3 and 4. Additional submissions are welcome.

VI. Recognition of new AAMC Distinguished Service Members
Dr. Dantzler said that election to AAMC Distinguished Service Membership is in
recognition of significant contributions to the AAMC by former chairs. Two former
CAS and AAMC chairs were accorded the honor this year:

-         Kenneth Berns, M.D., Ph.D., now director of the Genetics Institute at the
University of Florida College of Medicine. Dr. Berns served as chair of the CAS from
1991 to 1992 and chaired the AAMC from 1994-1995.

-         George Sheldon, M.D., is professor and former chair of surgery at the
University of North Carolina School of Medicine. Dr. Sheldon served as chair of the
CAS from 1998-1999 and chaired the AAMC from 2000-2001.

Dr. Dantzler said that Drs. Sheldon and Berns served the AAMC and CAS in an
exemplary fashion and congratulated them on their election as AAMC Distinguished
Service Members. Both were presented with plaques recognizing their new status.

VII. Recognition of Departing CAS Administrative Board Members
Dr. Dantzler recognized the accomplishments and hard work of several departing
CAS Administrative Board Members. Engraved bowls were presented to:

-         Dr. Stebbins Chandor (six years on the CAS Administrative Board)

-         Dr. Mike Ebert (three years on the CAS Administrative Board)

-         Dr. Lynn Eckhert (six years on the CAS Administrative Board, including service
as chair-elect, chair, and past-chair)

-         Dr. Phil Liu (three years on CAS Administrative Board)

Dr. Dantzler noted that Dr. Lynn Eckert would remain active in the CAS Administrative
Board’s deliberations, albeit informally, now that she is AAMC chair-elect.

VIII. Nominating Committee Report
Dr. Lynn Eckhert, chair, presented the report of the Nominating Committee. Dr.
Eckhert said that the committee had a very difficult time developing a slate for the
CAS representatives’ consideration. Many outstanding candidates were nominated.
She expressed her appreciation to her committee colleagues for their efforts.

The slate the Committee offers for the representatives consideration included:

-         Chair-Elect: Robert Desnick, M.D., Ph.D.

-         Administrative Board: Rosemarie Fisher, M.D., Michael Friedlander, Ph.D.,
Mark Henry, M.D., and Randall Holmes, M.D., Ph.D.

-        CAS representatives on the AAMC Executive Council. (Three of the slots go, by
bylaw, to the chair, chair-elect and past chair.) In addition, the Nominating Committee
proposes that the three open slots go to senior members of the CAS Administrative
Board: Mary Lipscomb, M.D., Lloyd Michener, M.D., and Toni Scapra, M.D., Ph.D.

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

IX: Program Committee Report
Dr. Barbara Schuster discussed the CAS Spring Meeting, scheduled for March 11 –
14, 2004, in Santa Monica, California. The CAS Program Committee met this summer
to begin developing the program. The theme of the meeting is “Changing Academic
Medicine’s Focus From Growth to Quality.” The full meeting program would be
distributed to representatives in early January.

X. Recognition of the New CAS Chair
Dr. Dantzler thanked Dr. David Korn, Mr. Tony Mazzaschi, and Ms. Alison Smith for
their service to the CAS during his term of office.

Dr. Dantzler presented Dr. Barbara L. Schuster with the CAS gavel and recognized
her as the new Chair of the Council of Academic Societies. Dr. Schuster thanked Dr.
Dantzler for his efforts and service as CAS Chair.

XII. New Business and Adjournment
With no new business Dr. Dantzler adjourned the meeting at 2:00 p.m.