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2017 ACEP Council Meeting
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The annual ACEP council meeting was held in Washington, D.C., on October 27-28. Texas is the third largest chapter in the college, with 22 councilors. Including three alternate councilors who moved up to replace 3 councilors who had problems that did not allow them to attend, the councilors were: Drs. Sara Andrabi, Carrie deMoor, Justin Fairless, Angela Fisher, Diana Fite, Juan Fitz, Andrea Green, Robert Greenberg, Alison Haddock, Robert Hancock, Justin Hensley, Doug Jeffrey, Heidi Knowles, Thomas McLaughlin, Laura Medford-Davis, Craig Meek, Dan Peckenpaugh, Lynn Rea, Gerad Troutman, Hemant Vankawala, Jim Williams, and Sandra Williams. (In case you are wondering, all councilors and alternates pay their own way to the meeting, including hotel costs and all travel expenses. This is all volunteer work representing our TCEP members.)

There were over 400 councilors in attendance, plus almost as many alternate councilors, plus various guests and other ACEP members plus state and national staff members. During the meeting, we elected one-third of the members to the ACEP Board of Directors, council officers (speaker and vice-speaker), and the ACEP president-elect. I am happy to report that Dr. Alison Haddock of Houston, and a current TCEP board member, was elected to the ACEP Board of Directors.

Two TCEP members were honored with awards this year. The Council Horizon award, which goes to one of the younger councilors who are showing much promise to be among the future leaders of the college because they have accomplished so much in their first few years on the council, was given to Dr. Laura Medford-Davis. Also the prestigious John A. Rupke Legacy Award, which is presented to a current College member for outstanding lifetime contributions to the College, was awarded to Dr. A. Compton Broders III.

TCEP brought 9 resolutions to the council, including one late resolution that was a commendation for responders of 2017 hurricanes. Another of our resolutions was sadly a memorial resolution in honor of Dr. Charles Bauer from San Antonio who passed away this past year.

Our delegation brought four resolutions related to the American Board of Emergency Medicine (ABEM). One of our resolutions involved requesting financial transparency of the ABEM to the ACEP board, and preferably also to ABEM diplomates. (For instance, TCEP is concerned that ABEM reports a net worth of over $37 million and we are not aware of the need for such massive assets.) Another Texas resolution involved the governance of ABEM, requesting that ABEM diplomates elect at least 1/3 of the ABEM board, and that diplomates elect the president of the board from among the board directors. Another of our resolutions asked that names of organizations other than ACEP be left out of our bylaws and rules regarding membership. In other words, ACEP may only recognize ABEM and AOBEM as board certifying organizations for emergency physicians (and American Board of Pediatrics (ABP) for pediatric emergency physicians), but having these specific organizations mentioned in our bylaws and rules implies a relationship that does not allow other organizations to be considered. The last of our ABEM-related resolutions asked ACEP to study what could be used as evidence of maintenance of competence for board certified emergency physicians that would not involve the high stakes secured expensive every ten-year maintenance of certification Concert exam.

The new ABEM president, Dr. Terry Kowalenko, addressed many of our concerns and promised that ABEM will be more forthcoming regarding the finances and will definitely be developing other options to the high stakes Concert exam over the next few months, so we withdrew the first three of our ABEM resolutions (and we knew the reference committee was going to recommend non-adoption at that point), and the fourth resolution was referred to the board. And we promised to bring the resolutions back next year if we do not see progress made!

Another of our resolutions asked for ACEP to develop policy to prohibit interference from ACEP in state level legislative agendas without expressed formal request by the state chapter. This resolution was adopted with some wording changes, but at least a policy will be created so we will know what to expect can happen.

We also presented a resolution addressing evaluation and alternative practice options for emergency physicians who are older or at retirement age or who have had an interruption in clinical practice for some reason. This resolution was adopted as presented.

Please feel free to e-mail me (dianafite@mail.com) or call/text me (713-301-3564) if you wish to discuss this report.

Diana Fite, M.D., F.A.C.E.P.
TCEP Delegation Chair

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