october 1, 1970 - association of american medical colleges · the endocrine society ... society for...

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e AAMC Not to be reproduced without permission

ASSOCIATION OF AMERICAN MEDICAL COLLEGES

SUITE 200, ONE DUPONT CIRCLE, NW., WASHINGTON, D.C. 20036

October 1, 1970

TO: Council of Academic SocietiesOfficial Representatives

FROM: D. C. Tosteson, Chairman

SUBJECT: Annual Business MeetingOctober 31, 1970

Enclosed are (1) Agenda for the Business Meeting of the

Council of Academic Societies to be held October 31, 1970, from 3:30 -

5:00 p.m., Hotel Biltmore, Los Angeles, and (2) a list of organizations

recommended for membership.

Enclosures (2)



ASSOCIATION OF AMERICAN MEDICAL COLLEGESCOUNCIL OF ACADEMIC SOCIETIES

Annual MeetingThe Biltmore Hotel

Los Angeles, CaliforniaOctober 31, 1970

2 - 5 p.m.

Music Room

Presiding: D.C. Tosteson, Chairman

GENERAL SESSION

2:00 p.m. Report f RecommendationsCommittee on Potential EducationalServices From a National BiomedicalCommunications Network

Report RecommendationsCommittee on Biomedical Research Policy

3:15 p.m. Adjournment

BUSINESS MEETING

3:30 p.m. Call to Order

Roll Call

Consideration of Minutes of 1969Annual Meeting

Report of the President

Report of the Executive Committee

Report of the Bylaws Committee

Recommendations for Membership

Other Committee ReportsGraduate Medical EducationExpansion of Medical EducationNominating CommitteeMedicarePhysicians' Assistants

Next Meeting

Other Business


Eugene A. Stead

Louis G. Welt

Harry A. Feldman

John A. D. Cooper

D. C. Tosteson

Sam L. Clark, Jr.

William B. Weil, Jr.

Thomas D. KinneyJames V. WarrenD. C. TostesonJonathan E. RhoadsE. Harvey Estes



RECOMMENDATIONS FOR MEMBERSHIPCOUNCIL OF ACADEMIC SOCIETIES

October 31, 1970Business Meeting

The Executive Committee of the Council of Academic Societiesrecommends that the following organizations be nominated for membership*:

1. American Academy of Allergy2. American Academy of Ophthalmology and Otolaryngology3. American Academy of Pediatrics4. American Association for Thoracic SurgeryS. American College of Obstetricians and Gynecologists

6. American College of Physicians7. American College of Surgeons8. American Gastroenterological Association9. American Society for Clinical Investigation, Inc.10. Association for Academic Surgery

11. The Endocrine Society12. Plastic Surgery Research Council13. Society for Pediatric Research14. Southern Society for Clinical Investigation

* The procedure for election of new societies into the Councilof Academic Societies is set forth in the Constitution of the Councilof Academic Societies, Article 2, Section 4:

Section 4. In the future, additional societies will be nominated as constituentsocieties of the Council of Academic Societies by vote of two thirds of the mem-bers present at a duly constituted meeting of the Council of Academic Societies,provided that notice of the proposed nominations shall have been circulated to themembers at least one month in advance of the meeting. The nomination of newconstituent societies, after being passed upon by the Council of Academic Societies,will be sent to the Executive Council of the Association of American MedicalColleges and to the Institutional Membership of the Association of AmericanMedical Colleges for ratification.

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rodu

ced without permission

uoisoil4itASSOCIATION OF AMERICAN MEDICAL COLLEGES

SUITE 200, ONE DUPONT CIRCLE, N.W., WASHINGTON, D.C. 20036

Octobet 9, 1970

TO: Council 0,6 Academic Societies

FROM: D. C. Tosteson, Chaitman

SUBJECT: CAS Annual MeetingOctoben 30-31, 1970

The putposes o6 this tette& ate to bting you up-to-date on theactivities 6,6 the Council o6 Academic Societies, and to cage you to attendthe annuat meeting o6 the CAS whZch U occult. on Octobet 30-31, 1970 a.the Bittmote Hotet in Los Angeles in conjunction with mee-angs o6 the othetAAMC Councils and with the AssemEty o6 the AAMC.

Enclosed ate (1) a summaty o6 the activities oti the CAS dutingthe putiod Novemben 1969 to Novembet 1970, (2) a tist oi the membetshipo6 sevetat o the key committees o6 the CAS and the AAMC Executive Councit,and (3) a 4ynop4i6 oti the ptogtam oti the CAS LO4 Angetes meetings. Pteasecommunicate the intimmation in these enctosuku to the membeu oti youtSociety.

patticutatty hope that you witt be abte to join us in LO4Angetes. Many matte/is oti impottance to the &duke .06 the CAS, the AAMC,and biomedicat education and teseanch in the U. S. witt be consideted. TheCAS .4.6 making an incteasingty impontant contkibution to the 9/Lowing eec-tivene44 oti the AAMC in hetping 6ukthere the goats and iinding sottaions tothe pnobtems 6acing academic medicine and its 6acutt2es. 1 utge you toexetcise yo u& litanchise and to exett you& inguence in suppott o6 thise66ott to develop mote comptehensive and cohetent teadetship 6ot. Ameticanacademic medicine.

EnctosuAes - 3.

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ACTIVITIES OF THE COUNCIL OF ACADEMIC SOCIETIES1969 - 1970

The programs of the Council of Academic Societies can be grouped in threeclosely related categories: biomedical research, education leading to theproduction of physicians and other medical manpower, and the delivery ofhealth services. These programs involve action both of groups within theCAS and also of committees of the Executive Council of the AAMC on whichrepresentatives from the CAS serve.

During the past year, the CAS has increased the intensity .of effort in thedirection of formulation and implementation of biomedical research policy.Highlights include the following events.

The program of the annual meeting in 1969 was devoted to the role of basicscience in medical education. •

A special meeting on biomedical research policy was held in Chicago in Feb-ruary, 1970. The group heard talks by Dr. Cooper, President of the AAMC,Drs. Berliner and Endicott from NIH, and MY. William Carey, formerly ofthe Bureau of the Budget.

At the February meeting, the Biomedical Research Policy Committee (BRPC)of CAS was formed, and charged with the responsibility to recommend apolicy for support of biomedical research in the U.S. and procedures toimplement such a policy. This Committee consists of representatives ofmost of the biomedical disciplines, and is Chaired by Dr. Louis Welt.

The BRPC has met four times since February. It has consulted with suchleaders as Dr. L. Du Bridge, at that time Science Advisor to PresidentNixon, Dr. R. Egeberg, Assistant Secretary for Health, and Dr. J. Shannon,former Director of NIH.

On behalf of the BRPC, the AAMC staff conducted a survey of all U.S. medicalschools on the consequences of the proposed cessation of research traininggrants. The results of this survey together with a first draft of the BRPCreport will be presented at the 1970 annual meeting in Los Angeles.

The Chairman of the CAS for 1970, Dr. Tosteson, participated with other mem-bers of the Executive Committee of the Executive Council of the AAMC in thepreparation of testimony for the Congressional hearings on the 1971 NIH bud-get. Dr. Cooper stated forcefully before both House and Senate Committeesthe AAMC position in favor of increased support of biomedical research.

During 1970, the CAS was involved in many projects which relate to medicaleducation.

The Committee on a National Communication Network for medical educationcontinued its work supported by a contract with the National Library of Med-icine (NLM). The purpose of this project is to inform NLM planners aboutneeds of medical education which could be met by such a network.

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The Committee on Graduate Medical Education continued to work toward are-evaluation of the role of the university in graduate medical education.The proceedings of the CAS sponsored Conference in Graduate Medical Edu-cation edited by Drs. Smythe and Kinney were published.

The Committee on Physicians Assistants has worked toward the developmentof adequate curriculum and accreditation standards for such training programs.

Dr. D. Sabiston represented the CAS on an ad hoc Committee on Increased Med-ical Manpower of the Executive Council of the AAMC. After careful study anddeliberation, this Committee has framed recommendations about future levelsof production of physicians in the U.S. The report will be made public atthe annual meeting in Los Angeles.

The 1970 annual meeting of the CAS includes a program on the education ofthe "primary" physician.

In the area of health services, CAS representative R. Chase chaired an AAMCExecutive Council ad hoc Committee on Medicare. This Committee, with theable assistance of Mr. J. Danielson, Head of the Department of Health Servicesof the AAMC staff, spent many hours working with representatives of the SocialSecurity Administration on developing more equitable policies for administrationof Part B Medicare payments to physicians working in academic medical centers.



COUNCIL OF ACADEMIC SOCIETIESBiltmore Hotel, Los Angeles

Thursday, October 29

5:30 - 7:00 pm Department of Academic Affairs ReceptionGold Room (Pay bar)

Friday, October 30

2:00 - 5:00 pm CAS General SessionRenaissance Room Theme: EDUCATION OF MANPOWER FOR PRIMARY HEALTH CARE

2:00 The Hospital's Needs for Primary Health Care PersonnelH. Robert Cathcart

2:15 Needs of the General Practitioner in an Urban SettingJoseph T. Ainsworth, M.D.

2:30 Needs from the Viewpoint of an Internist in an Urban,Non-Medical School SettingDonald E. Saunders, Jr., M.D.

2:45 Needs of a Large Pre-Paid Health PlanEugene Vayda, M.D.

3:00 Needs of Federally Sponsored Community Health CentersJoyce Lashof, M.D.

3:15 Position of the Medical SchoolsJames V. Warren, M.D.

3:30 Intermission

3:45 Panel Discussion

Saturday, October 31

2:00 - 3:15 pm CAS General SessionMusic Room

Preliminary Report & RecommendationsCommittee on Biomedical Research PolicyLouis G. Welt, M.D.

3:30 - 5:00 pm CAS Business MeetingMusic Room

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SELECTED COMMITTEES OF THEASSOCIATION OF AMERICAN MEDICAL COLLEGES

1969-70

Executive Committee

ChairmanRobert B. Howard

Chairman-ElectWilliam G. Anlyan

Chairman, Council of AcademicSocieties

D. C. Tosteson

Chairman, Council of DeansCharles C. Sprague

Chairman, Council of TeachingHospitalsT. Stewart Hamilton

PresidentJohn A. D. Cooper

Secretary-TreasurerT. Stewart Hamilton

Carleton B. Chapman

Executive Council


Chairman-ElectWilliam G. Anlyan

PresidentJohn A. D. Cooper

Council Representatives

Council of Academic SocietiesD. C. TostesonJames V. WarrenJonathan E. RhoadsThomas D. Kinney

Council of DeansCharles C. SpragueRalph J. CazortCarleton B. ChapmanKenneth R. CrispellMerlin K. DuValRobert H. FelixWilliam F. MaloneySherman M. MellinkoffDavid E. Rogers

Council of Teaching HospitalsT. Stewart HamiltonRussell A. NelsonRoy S. Rambeck

Council of Academic SocietiesExecutive Committee

ChairmanD. C. Tosteson

Chairman-ElectJames V. Warren

SecretaryHarry A. Feldman

Sam L. Clark, Jr.Patrick J. FitzgeraldCharles GregoryThomas D. KinneyJonathan E. RhoadsWilliam B. Weil, Jr.

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Selected Committees/2

CAS Biomedical Communications Network

ChairmanEugene A. Stead

Jack W. ColeWilliam G. CooperRonald EstabrookDaniel S. FleisherWilliam G. HarlessS. Richardson Hill, Jr.Richard JudgeDonald W. KingErnst KnobilJames A. MerrillHerluf V. Olsen, Jr.William SchwartzWarner Slack

CAS Biomedical Research Policy

ChairmanLouis G. Welt

W. Gerald AustenRobert M. BerneRobert E. CookeHerman N. EisenDon W. FawcettDonald J. ManahanBernard C. HollandHenry S. KaplanA. Brian LittlePeter NowellRobert G. PetersdorfFrederick E. Shideman

CAS Bylaws

ChairmanSam L. Clark, Jr.

Patrick J. FitzgeraldCharles GregoryJohn I. NurnbergerJames V. Warren -Ralph J. Wedgwood

CAS Nominating Committee

ChairmanCharles A. Janeway

Sam L. Clark, Jr.Charles F. GregoryThomas D. KinneyEugene A. SteadD. C. TostesonLouis G. Welt

Expansion of Medical Education


Edward J. ConnorsChristopher C. Fordham, IIIDavid B. Sabiston, Jr.James A. ShannonCharles C. SpragueWilliam H. StewartJames V. WarrenMeredith Wilson

Financing Medical Education

ChairmanRussell A. Nelson

Robert A. ChaseLeonard W. Cronkhite, Jr.William D. MayerRobert G. PetersdorfCharles C. SpragueWilliam H. StewartMeredith Wilson

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October 16, 1970

TO: CAS Executive Committee

Dr. D. C. TostesonDr. James V. WarrenDr. Sam L. Clark, Jr.Dr. Patrick J. FitzgeraldDr. Charles F. GregoryDr. Thomas D. KinneyDr. Harry A. FeldmanDr. Jonathan E. RhoadsDr. William B. Weil, Jr.

FROM: Mary H. Littlemeyer

SUBJECT: Annual MeetingOctober 29-November 1, 1970

Enclosed are (1) a revised calendar of activities and (2) an

expense reimbursement form with self-addressed envelope.

MHL:lew

Enclosures

cc: Mr. AmrineMrs. BucciDr. CooperMr. DanielsonMr. MoreyMr. MUrtaughMr. ThomasDr. Wilson

REVISED 10/16/70

Thursday, October 29

1:00 pm - 3:00 pm

3:00 pm - 5:30 pm

5:30 pm - 7:00 pm

8:00 pm

AAMC ANNUAL MEETING CALENDARPrepared for CAS Executive Committee

Hotel BiltmoreLos Angeles

October 29 - November 1

Dr. Warren's Suite

Room 2341

Gold Room

Outside Hotel

Ad Hoc Planning Group - February, 1971Meeting, Luncheon Meeting (Drs. Clark,Fitzgerald, Weil, and Warren)

CAS Executive Committee Meeting

Department of Academic Affairs Reception

CAS Executive Committee Dinner-Wives invited

Friday, October 30

8:30 am - 12:30 pm Biltmore Bowl AAMC Plenary Session

12:30 pm - 2:00 pm Dr. Warren's Suite CAS Speakers Panel Luncheon

2:00 pm - 5:00 pm Renaissance Room CAS General Session

5:00 pm - 6:00 pm Biltmore Bowl AAMC Assembly

6:00 pm - 7:00 pm Dr. Tosteson's Suite Cocktails (Executive Committee & BiomedicalResearch Policy Committee)

7:00 pm - 11:00 pm Florentine Room BRP Committee Dinner Meeting (& Drs. Tosteson& Warren)

Saturday, October 31

8:30 am - 12:30 pm Biltmore Bowl

2:00 pm - 5:30 pm Music Room

5:30 pm - 6:00 pm

6:00 pm - 7:30 pm

7:30 pm - 9:00 pm

Dr. Warren's Suite

Blue Ballroom

Biltmore Bowl

Sunday, November 1

8:30 am - 12:30 pm Biltmore Bowl

2:00 pm - 5:00 pm Biltmore Bowl

AAMC Plenary Session

CAS General Session (2:00 - 3:15)and

Business Meeting (3:30 - 5:30)

New CAS Executive Committee

Chairman's Reception

AAMC Annual Banquet

AAMC Plenary Session

AAMC Assembly



ASSOCIATION OF AMERICAN MEDICAL COLLEGESCOUNCIL OF ACADEMIC SOCIETIES

Annual MeetingThe Biltmore Hotel

Los Angeles, CaliforniaOctober 31, 1970

2 - 5 p.m.

Music Room

Presiding: D. C. Tosteson, Chairman

GENERAL SESSION

2:00 p.m. Report & RecommendationsCommittee on Potential EducationalServices From a National BiomedicalCommunications Network

Report & RecommendationsCommittee on Biomedical Research Policy


BUSINESS MEETING

3:30 p.m. Call to Order

Roll Call

Consideration of Minutes of 1969Annual Meeting


Report of the Bylaws Committee


Other Committee ReportsExpansion of Medical EducationGraduate Medical EducationMedicareNominating CommitteePhysicians Assistants

Plans for February, 1971 Meeting

Other Business


Eugene A. Stead

Louis G. Welt

Harry A. Feldman

D. C. Tosteson

Sam L. Clark, Jr.

William B. Weil, Jr.

James V. WarrenThomas D. Kinney

D. C. TostesonE. Harvey Estes

Document from the collections of

the AAMC Not to be reproduced without permission

MinutesCouncil of Academic Societies

1969 Annual Meeting

Meeting of the Council of Academic Societies

Plenary Sessions

The theme of the November 1, 1969 meetingof the Council of Academic Societies was"Which Basic Science Departments in theMedical School?"Dr. Jonathan E. Rhoads, Professor and

Chairman, Department of Surgery, Univer-sity of Pennsylvania School of Medicine, pre-sided over a meeting marked by an attendanceof approximately 300. Dr. Archie S. Duncan,Executive Dean and Professor of MedicalEducation, University of Edinburgh MedicalSchool, spoke on "Varying Patterns in theUnited Kingdom." He emphasized that, withthe exception of the situation in London,basic science departments are a vital linkbetween university and medical school. In hisopinion, it would be to the disadvantage ofboth to change the usual pattern. In thetwelve hospital schools associated with theUniversity of London, the basic science unitsare identified only with the medical school.

Dr. John W. Corcoran, Professor and_Chairman, Department of Biochemistry,Northwestern University Medical School,discussed "Basic Science: The Skeleton ofMedical Education." His presentation empha-sized that not only the knowledge but theattitudes of basic science were vitally necessaryto sound medical education. He concludedthat it would be most unfortunate for bio-chemistry to weaken its identification with themedical school.Dr. William B. Well, Jr., Professor and

Chairman, Department of Human Develop-ment, Michigan State University College ofHuman Medicine, addressed "The Dilemmaof Medical Curriculum Innovation for theUniversity Science Departments." He com-pared the relative advantages and disadvan-tages of universitywide departments withthose that are medical school based. He said

that the advantages of one system are the dis-

advantages of the other. Both have real

strengths and are readily assimilable in the

current patterns of medical education.

Dr. Eugene llraunwald, Professor andChairman, Department of Medicine, Univer-sity of California, San Diego School ofMedicine, spoke on "The Clinical Depart-

ment a5. a gientific Critical Mass." In his

paper, the curriculum at San Diego with the

absorption of pharmacology and physiology

by medicine and of anatomy and microbiology

by surgery and pathology, as well as the

addition of the strengths of many other uni-

versity departments to the medical school,

were set forth.Dr. Hans Popper, Dean for Academic

Affairs and Professor and Chairman, Depart-

ment of Pathology, Mount Sinai School of

Medicine, supported "The Hospital as a

Desirable Base for Medical Education!' Dr.

Popper's paper concluded that the university

is the prcper base for medical education. The

experience at Mount Sinai has been satisfac-

tory only because v.' particular conditions

there. Only an unusual hospital can serve as

the primary base for medical education.

Dr. Stuart Bondurant, Professor and Chair-

man, Department of Medicine, Albany Medi-

cal College, discussed "The University Medi-

cal School—Fact or Illusion?" His paper

concluded strongly that the university was the

only satisfactory base for medical education.

Robert Cerz.a, fourth-year student, North-

western University School of Medicine,

reported on "The Student's Demand for

Relevance."Dr. Daniel C. Tosteson, Professor and

Chairman, Department of Physiology and

Pharmacology, Duke University School of

Medicine, reemphasized "The Relevance of

Basic Science to Medicine."

On Sunday afternoon, the theme of the

program was centered around a discussion of

"The Full-Time System Revisited."

Dr. Harry A. Feldman, Professor and

Chairman, Department of Preventive Medi-

cine, SUNY-Upstate Medical Center, chaired

a meeting attended by approximately 250.

Dr. Richard H. Egdahl, Associate Dean

for Hospital Relations and Professor and

Chairman, Department of Surgery, Boston

University School of Medicine, discussed the

"Advantages of a Geographic Full-Time

System" without rigid controls.

Dr. Richard V. Ebert, Professor and Chair-

man, Department of Medicine, University of

Reprinted from AAMC Proceedings for 1969. J. Med. Educ., 45: 321-324, 1970

CAS Meeting 1969 page 2

Minnesota Medical School, described the"Advantages and Disadvantages of a MixedSystem." He stated that the advantages inher-ent in the flexibility of a mixed system, such asthat at Minnesota, are offset by its inherentinstability and some of the tensions involved.

Dr. Gene H. Stollerman, Professor andChairman, Department of Medicine, Univer-sity of Tennessee College of Medicine, spokeon "A Changing Role for the City Hospital."He emphasized the provision of emergencyand special care in a group practice typearrangement.

Dr. ‘Nalter F. Ballinger, Professor andChairman, Department of Surgery, Washing-ton University School of Medicine, St. Louis,discussed his school's experience with multiplereviews of its strict full-time system in a pres-entation entitled "Reasons for Changing aSystem." In effect for almost fifty years, thesystem was reviewed two years ago. Theconclusion of the faculty was overwhelminglythat there should be a nucleus of full-time,full-salaried physicians in all departments.The successful administration of this systemdemands flexibility in its application.The meeting ended with a panel discussion

and questions from the floor.

Annual Business Meeting

The meeting was called to order by Dr.Jonathan E. Rhoads at 3:30 P.M. on Novem-ber 2, 1969.

Dr. Rhoads read the report of the Execu-tive Committee, and Dr. Harry A. Feldmanpresented the report of the Secretary-Treas-urer.

TRAINING OF PHYSICIANS' ASSISTANTS

Dr. Eugene A. Stead spoke on the desira-bility of setting standards for schools pro-ducing physicians' assistants and requestedthat the CAS take an active role in these edu-cational programs. He pointed out the needfor some standard curriculum and accredita-tion or review procedures. It was recom-mended that a task force be appointed tostudy these programs and bring recommenda-tions on what should be done to the nextCAS meeting in February, 1970. A motionembodying this recommendation was made,seconded, and passed.

FEDERAL SUPPORT FOR BIOMEDICAL RESEARCH

Dr. Daniel C. Tosteson described the roleof the Council of Academic Societies in seek-ing federal support for biomedical research.He gave an account of the testimony deliveredbefore appropriate committees of the Congress

and described correspondencesuggesting theappearance of many interested biomedicalresearch workers in Washington seeking con-4inued support of this important nationalactivity. This matter had been resolved withthe suggestion that such efforts might bebetter focused through the professional or-ganizations of men involved in biomedicalresearch as well as through the Associationof American Medical Colleges.A recommendation was made requesting

that the AAMC staff elaborate informationon the effects of decreased federal support forbiomedical research and education on full-time faculty staffing. This request received thesupport of the members present.

FACULTY SALARY STUDY

The rapid increase in salaries in the medicalschools and the relation of this inflationarytrend to federal funding was also discussed.The recommendation of the Council of Deansthat the federally derived portion of the salaryof faculty members be based on a percentage ofeffort and a nationally determined median sal-ary level for strict full-time faculty in medicalschools was reviewed. The Council of Teach-ing Hospitals had suggested that this matterbe reviewed by representatives of the threeCouncils. The Council of Deans has alreadyagreed to such a course. It was the recom-mendation of the Executive Committee of theCAS that "policy concerning the federal por-tion of faculty salaries be reviewed by aConference Committee made up of two orthree representatives of each of the Councils.The final recommendations of this Committee

are to be sent back to the Councils beforethey are passed upon by the Assembly." Amotion eiabodying this recommendation wasmade, seconded, and passed.

GRADUATE MEDICAL EDUCATION

Dr. Thomas D. Kinney reported that theStanding Committee on Graduate MedicalEducation had met three times and haddrafted a paper describing the corporatestructure of graduate medical education andsome of the implications of it for the univer-sity. The committee recommended that thispaper be reviewed before being circulated inlight of the experience with institutionwidesurveys now scheduled for four academicmedical centers. This review will be embodiedin a subsequent report of the committee to bemade to the CAS in February, 1970. Thisrecommendation was accepted.

CAS Meeting 1969 page 3

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MEMBERSHIP

The Executive Committee reported that ithad reviewed applications from ten societiesand recommended the following seven formembership: American GastroenterologicalAssociation; American Association for Tho-racic Surgery; Association of University Pro-fessors of Neurology; Association of Aca-demic Physiatrists; Association of AnatomyChairmen; Association for Medical SchoolPharmacology; and Society of AcademicAnesthesia Chairmen, Inc. A written ballotwas distributed, and five of the above societies.were elected by large majorities and two byonly small majorities.

ELECTION OF OFFICERS AND EXECUTIVE

COMMITTEE MEMBERS

The report of the Nominating Committeewas submitted to the membership in the formof a written ballot to fill the expired terms.

Officers.—Elected as officers for the comingyear were: Dr. Daniel C. Tosteson, Duke,Chairman; Dr. James V. Warren, Ohio State,Chairman-Elect; Dr. Harry A. Feldman,SUNY-Syracuse, Secretary; and Dr. Jona-than E. Rhoads, Pennsylvania, AA MC Execu-tive Council Representative (1972). Dr. ThomasD. Kinney, Duke, is presently serving an

unexpired term as AA MC Executive CouncilRepresentative.

Executive Committee Members.—In addi-tion to the officers listed above, memberselected to the Executive Committee were:Dr. Sam L. Clark, Jr., Massachusetts; Dr.Patrick J. Fitzgerald, SUNY-Brooklyn; andDr. William B. Well, Michigan State.

OTHER BUSINESS

A request was made that the Council of

Academic Societies go on record as showing

a grave concern with the current status of

student financing and that the CAS take every

step to ensure an adequate supply of loan and

scholarship funds. A motion was made, sec-

onded, and passed.The meeting was then adjourned.

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COUNCIL OF ACADEMIC SOCIETIES

PROPOSED REVISIONSOF THE BYLAWS

October 31, 1970

The Executive Committee of the Council of AcademicSocieties recommends that the Bylaws of the Councilof Academic Societies be amended as set forth herein.A line has been drawn through those words to be de-leted, and those words to be added are underscored.



COUNCIL OF ACADEMIC SOCIETIESOF THE ASSOCIATION OF AMERICAN lvIEDICAL COLLEGES

BYLAWS

1 Article 12 Section 1. In addition to the annual meeting prescribed by the Constitu-3 tion, there shall be at least 1 additional meeting each year. Such addi-4 tional meetings shall be held at such times and places as may be decided by5 the Council of Academic Societies; whenever feasible these will be held in6 conjunction with other activities of the Association of American Medical7 Colleges. In addition, meetings may be called at the discretion of the Ex-8 ecutive Committee of the Council of Academic Societies or at the request of9 15 or more members of the Council. Notices of meetings shall be mailed to10 the last known address of each member of the Council, not less than thirty11 days prior to the date set for the meeting.

12 Section 2. In the case of the 2 regularly scheduled meetings, it shall13 not be necessary to give advance notice of items on the agenda except for14 amendments to the Constitution, election of additional constituent societies15 and members-at-large, and nomination of officers.

16 Section 3. In the case of especially called meetings, the agenda shall be17 set forth in the notice of the meeting and action on any other item intro-18 duced at the meeting shall require ratification, either by a two-thirds mail19 vote following the meeting or must be held over for a majority vote at the20 next regularly scheduled meeting.

21 Article 222 Section 1. A reminder shall be sent to the appropriate officers of the23 constituent societies in January of each year, notifying them that they are24 entitled to 2 representatives on the Council and stating that their present25 representatives will continue to serve until the Secretary-Treasurer has26 been notified of a successor who will take office following the next annual27 meeting of the Council. In the event of the death or disability of a rep-28 resentative, his society will name a successor to complete the unexpired29 term.

30 Section 2. Fer-purpeses-ef-eleeting-the-ReminatiRg-eommittee3-the-Secre-31 tary-Treasurer-shall-semil-te-the-members-ef-the-CouRcil,-on-or-abeut-July-1,32 the-names-ef-all-ef-the-Fepresentatives-then-serviRg-ea-the-CeuReil-with-a33 request-that-eaeh-member-iRdieate-the-7-perseRs-he-thiRks-best-qualified-to34 serve-as-members-ef-the-RemiRatiRg-eemitteeT—The-ex-efficie-members,-that35 is7-the-effieers-ef-the-Ceuneil-aRd-its-represeRtatives-te-the-Executive36 Ceuneil-ef-the-AsseeiatieR-ef-AmerieaR-Medieal-Cellegesl-are-eligible-to37 serve-eR-the-RemiRatiRg-eemmittee-with-the-exGeptima-ef-the-ChairmaR.Elect.38 For_pprposes of electing the nominating committee, the Secretary-Treasurer39 shall send to the members of the Council, on or before December 1st, the 40 names of 14 members of the Council, chosen by the Executive Committee, with 41 alquest that each member indicate the seven persons he thinks best quali-42 fie to serve as members of the nominating committee. The officers of the 43 Council and its representatives to the Executive Council of the Association 44 of American Medical Colleges are eligible to serve on the nominating commit-

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45 tee with the exception of the Chairman-Elect. The naminatinA committee -shall46 meet in person to select a Slate df-offiCers7: - Fifteen -dajii wfli he allowed47 for the return of the ballots; any ballots postmarked after fifteen days48 from the time that they were mailed will not be counted. The 7 persons re-49 ceiving the largest number of votes will constitute the nominating committee.SO In the event of a tie, it will be broken by the officers in the manner pro-51 viding the best balance between preclinical and clinical interests. The mew-52 ber receiving the highest number of votes will serve as Chairman of the nom-53 mating committee.

54 Section 3. The nominating committee shall nominate 2 individuals for each55 office and an appropriate number of members-at-large as specified in the Con-56 stitution at least three weeks prior to the annual meeting. In the event of57 a tie, it will be broken by vote of the Chairman, Vice-Chairman, and Secre-58 tary-Treasurer, whose votes will be secret;

59 Article 3. Dues60 Each constituent society shall pay dues of $100.00 for the first year, and61 thereafter, recommendations for dues shall be made by the Executive Committee62 and acted upon by the Council at the time of the annual meeting. Failure to63 pay dues for two consecutive years will constitute grounds for termination64 of the constituent society's membership.

65 Article 4. Accounts66 The funds of the Council shall be deposited with the Association of Ameri-67 can Medical Colleges in a special account which may be drawn upon by any of68 the 3 officers of the Council of Academic Societies in accordance with action69 taken by the Council. Expenses in connection with meetings may be paid by70 the Secretary-Treasurer without specific authorization but shall be reported71 to the Council. The constituent societies shall be responsible for the travel72 and per diem expenses of their representatives, except as it may be determined73 by the societies that their representatives will utilize other funds for this

74 purpose. Actual and necessary living and travel expenses will be paid from75 the funds of the Council in the case of officers no longer serving as repre-76 sentatives of constituent societies.

77 The funds of the Council shall be audited annually in accordance with the

78 practices of the Association of American Medical Colleges; a report will be

79 filed by the Secretary-Treasurer and incorporated in the minutes. The Council

80 may also receive funds from the parent organization, the Association of Amer-

81 ican Medical Colleges, or any other source. The acceptance of such funds

82 and the restrictions pertaining thereto will be by vote subject to Article

83 13 of the Constitution.

84 Article 5. Members-at-Large85 Members-at-large may serve as officers if elected but not more than 1 such

86 member-at-large may be nominated for each office. Nominations will be made

87 for members-at-large by the nominating committee or by 15 or more chosen

88 representatives to the Council if this is submitted in writing to the Secre-

89 tary-Treasurer not less than six weeks prior to an annual meeting. Such nom-



90 inations are to be circulated not less than thirty days prior to the meet-91 ing. Elections of members-at-large will be conducted only at regularly92 scheduled meetings. If the number of nominations exceeds the maximum num-93 ber of places, those receiving the largest number of votes will be elected.94 Ties are to be broken by secret ballots cast by the 3 officers.

95 Article 6 96 Section 1. The members of the Assembly of the AAMC to be designated by 97 the CAS shall be representatives of constituent societies of the CAS. No 98 society shall be represented by more than I vote.

99 Section 2. Representatives to the Assembly shall be designated from among 100 the constituent societies in annual rotation based upon the date of admission 101 of society to the CAS.

102 Section 3. Designated representatives shall be asked to commit themselves 103 to attendance at meetings of the Assembly well in advance, so that alternates 104 may be appointed to insure that all seats will be filled.

105 Article 7 106 Officers and members of the executive committees or councils of constituent 107 societies shall be considered members, ex-officio, of the Council of Academic 108 Societies and shall receive all information concerning meetings and activi-109 ties of the Council of Academic Societies that is distributed - to its regular 110 members. However, no ex-officio member may vote or hold office in the Council 111 of Academic Societies unless he is an officially designated representative of 112 a constituent society to the Council of Academic Societies.

113 *Article 8.114 Amendments to the bylaws may be made at any stated meeting or at a special115 meeting called for the purpose by a two-thirds vote of those present, pro-116 vided there is a quorum in attendance.

* Was Article 6





The Executive Committee of the Council of Academic Societiesrecommends that the following organizations be nominated for membership*:

1. American Academy of Allergy2. American Academy of Ophthalmology and Otolaryngology3. American Academy of Pediatrics4. American Association for Thoracic Surgery5. American College of Obstetricians and Gynecologists

6. American College of Physicians7. American College of Surgeons8. American Gastroenterological Association9. American Society for Clinical Investigation, Inc.

10. Association for Academic Surgery

11. The Endocrine Society12. Plastic Surgery Research Council13. Society for Pediatric Research14. Southern Society for Clinical Investigation

* The procedure for election of new societies into the Councilof Academic Societies is set forth in the Constitution of the Councilof Academic Societies, Article 2, Section 4:

Section 4. In the future, additional societies will be nominated as constituentsocieties of the Council of Academic Societies by vote of two thirds of the mem-bers present at a duly constituted meeting of the Council of Academic Societies,provided that notice of the proposed nominations shall have been circulated to themembers at least one month in advance of the meeting. The nomination of newconstituent societies, after being passed upon by the Council of Academic Societies,will be sent to the Executive Council of the Association of American MedicalColleges and to the Institutional Membership of the Association of AmericanMedical Colleges for ratification.

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Society

1. Academic2. American3. American4. American5. American

COUNCIL OF ACADEMIC SOCIETIES

Clinical Laboratory Physicians and ScientistsAssociation of AnatomistsAssociation of Chairmen of Departments of PsychiatryAssociation of Neurological SurgeonsAssociation of Neuropathologists

6. American Association of Pathologists and Bacteriologists7. American Association of Plastic Surgeons8. American Association of Chairmen of Medical School Departments

of Pathology, Inc.9. American Neurological Association10. American Pediatric Society

11. American Physiological Society12. American Society of Biological Chemists, Inc.13. American Surgical Association14. Association for Medical School Pharmacology15. Association of Academic Physiatrists

16.17.18.19.20.

21.22.23.24.25.

AssociationAssociationAssociationAssociationAssociation

AssociationAssociationAssociationAssociationAssociation

of American Physiciansof Anatomy Chairmenof Chairmen of Departments of Physiologyof Medical School Pediatric Department Chairmen, Inc.of Professors of Dermatology

of Professors of Gynecology and Obstetricsof Professors of Medicineof Teachers of Preventive Medicineof University Anesthetistsof University Professors of Neurology

26. Association of University Professors of Ophthalmology27. Association of University Radiologists28. Joint Committee on Orthopaedic Research and Education Seminars29. Society of Academic Anesthesia Chairmen, Inc.30. Society of Chairmen of Academic Radiology Departments

31. Society of Surgical Chairmen32. Society of University Otolaryngologists33. Society of University Surgeons34. Society of University Urologists

Revised 10/20/70

Number ofMembers

223215794

1443351

1094100

110411254

32862519290117176

250105103118120

2501004009867

853144758560

8678

236156

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1. American Academy of Allergyri

2. American Academy of Ophthalmology and Otolaryngology

American Academy of Pediatrics'

American As-soiition for Thoracic Surgery

5. American College of Obstetricians and Gynecologists

.. American Col1ige'of Physicians

'AMerican Ccillege 'of SUrgeons-- -- \---. 4' , .1.AVt•ieWk,A;,-i ' ". • '', V',. -? ..,,i,r,z,,,,,i'Nf-p/' 1:°.. ...• .,,.? *,,.,, •

troenterologi6a1

manie or Clinical Investigationvkl.-11 ,

..,-.Iociation for Academic Surgery,,--, --,,,,4- .f,'.67 ',- "rb$-. ,.,?••s ,--- ,, ,

The ,f'-,:,.,-,.•,, J4,..Ju'l

Endocrine77;',",4-, _• q . -..; e. U. Plastic Surge

' Research Council

-• • -,,--,,,; f-', -,,,, ,.,.;1:4_' 1:: , ,. 'Society for Pediatric Research,„,.

1'1-'2 P•-44'. 1,, ,, -4e, ,, -0 ,4, , 'p' , 4''

SoüthOrnSoc.ity for Clinical • Investigation

erican

FOR AGAINST

, , 7

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ISAR



EALLOT

ELECTION 01-, NEW OFFICERS

CHAIRMAN, CASONE-YEAR TERM James V. Warren

SECRETARY-TREASURER, CASONE-YEAR TERM William B. Weil

CHAIRMAN-ELECT, CASONE-YEAR TERM

VOTE FOR ONE

Sam L. Clark, Jr.

Patrick J. Fitzgerald

TWO-YEAR TERM ONEXECUTIVE COMMITTEEOF CAS

VOTE FOR ONE

William Holden

Louis G. Welt

VOTE FOR TWO

Ronald Estabrook

Harold Hodge

Ernst Knobil

David Whitlock

EXECUTIVE COMMITTEE, CASONE-YEAR TERM TO REPLACEDR. WEIL

VOTE FOR ONE

William Longmire

Frank Moya

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RECOMMENDATIONS FOR KEMBERSIIIPCOUNCIL OF ACADEMIC SOCIETIES


1. American Academy of Allergy

2. American Academy of Ophthalmology and Otolaryngology

3. American Academy of Pediatrics

4. American Association for Thoracic Surgery

S. American College of Obstetricians and Gynecologists

6. American College of Physicians

7. American College of Surgeons

8. American Gastroenterological Association

9. American Society for Clinical Investigation, Inc.

10. Association for Academic Surgery

11. The Endocrine Society

12. Plastic Surgery Research Council

13. Society for Pediatric Research

14. Southern Society for Clinical Investigation

FOR AGAINST

tgoig I.1 -7 13Act //31 9cai4 1 2-

2.4:7 I'

01-9 /13 I 93.733 7 s3 1 cl3 a.3( 6".

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\\

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.LLOT

ELECTION cr .EW OFFICERS

CHAIRMAN, CASONE-YEAR TERM James V. Warren

SECRETARY-TREASURER, CASONE-YEAR TERM William B. Wail

CHAIRMAN-ELECT,ONE-YEAR TERM

-C4(t-H-1-1-111/ 44-kr

VOTE FOR ON:-.

Sam L. Jr.

Patrick J. Fitzgerald

2./

TWO-YEAR TERM ON VOTE FOR ONEEXECUTIVE COMMITTEE 10474-16-,OF CAS / / William Holdn

11/)H177/171/..*IttLouis G. Welt

,i-rt-rim rtVOTE FOR TWO

Ronald Estabrook

Harold Hodge

/ I f,Ernst KnobilI H ft David Whiliock

/r

HHit- ( I IEXECUTIVE COMMITTEE, CAS "/-1-1-1.— VOTE FOR 0 7ONE-YEAR TERM TO REPLACEthtDR. WEIL William Lonmire

/1/ 4.111- Frank Moya

roduced without p

m the

collections of th

e AAMC Not to be r

Organization

Academic Clinical Laboratory Physiciansand Scientists

American Association of Anatomists

American Association of Chairmen ofDepartments of Psychiatry

American Association of NeurologicalSurgeons

American Association of Neuropathologists

American Association of Pathologistsand Bacteriologists

American Association of Plastic Surgeons

American Association of UniversityProfessors of Pathology

American Neurological Association

American Pediatric Society

American Physiological Society

8American Society of Biological

Chemists, Inc.

American Surgical Association

CAS ROL- CALL

Representative

George Brecher

Burton L. BakerSam L. Clark, Jr,

Bernard C. HollandL. Jolyon West

Eben Alexander, Jr.Henry G. Schwartz

George H. CollinsWolfgang Zeman

Kenneth M. BrinkhousPatrick J. Fitzgerald

Stephen R.. LewisJames E. Bennett

Thomas D. Kinney

Kenneth MageeSamuel A. Trufant

Charles A. JanewayWilliam B. Weil, Jr.

R. E. ForsterArthur B. Otis

Ronald EstabrookRobert A. Harte

William D. Holden.Lloyd M. Nyhus

a

Present Designee

Edwin BoldreyEugene Stern

Present

ulganization Representative Present Designee Psent

Association for Medical SchoolPharmacology

Association of Academic Physiatrists

Association of American Physicians

Association of Anatomy Chairmen

Association of Chairmen of Departmentsof Physiology

Association of Medical School PediatricDepartment Chairmen, Inc.

Association of Professors of Dermatology

Association of Professors of gynecologyand Obstetrics

Association of Professors of Medicine

Association of Teachers of PreventiveMedicine

Association of University Anesthetists

Association of University Professorsof Neurology

Association of University Professorsof Ophthalmology

Association of University Radiologists

Joint Committee on Orthopaedic Research

George H. Acheson

Mieczyslaw Peszczynski

Louis G. WeltEugene A.. Stead

Jack DaviesDavid G. Whitlock

Robert BerneD. C. Tosteson

Ralph.J. WedgwoodWilliam Thurman

Phillip C. AndersonRaymond R. Suskind

John Donovan

Robert PetersdorfLudwig Eichna

Charles LewisKenneth Rogers •

John J. BonicaRobert M. Epstein

Maynard CohenDavid Daly .

Frank C. NewellDavid Shoch

John A. CampbellSolomon Schwartz

Paul H. Curtiss, Jr.and Education Seminars Charles F. Gregory

Harold F. Hardman

William J. Erdmann

Henrik H. Bendixen

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e AAMC Not to be r

I Page 3

Organization Representative Present Designee Present

Society of Academic Anesthesia Chairmen, Peter P. BosomworthInc. Frank Maya

Society of Chairmen of AcademicRadiology Departments

Society of Surgical Chairmen

Herbert L. AbramsSidney W. Nelson

G. Tom ShiresDavid C. Sabiston, Jr.

uu Society of University Otolaryngologists . Roger Boles0,

.Society of University Surgeons

Society of University Urologists

James B. Snow, Jr.

Theodore DrapanasRichard H. Egdahl

William BoyceJohn T. Grayhack

Kf,c J,sg

/r6L 6G(IL

--Jz-v—

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0.6110E

stea.*%

toutla1011*.



November 20, 1970

TO: Council of Academic Societies

FROM: James V. Warren, M.D., Chairman

In response to many requests, we are enclosing a copy of the Minutesof the 1970 CAS Annual Meeting. A copy of the Bylaws adopted by the Member-ship on October 31 is appended. As you will note from the newly adoptedArticle 7, the CAS Membership has been expanded to include ex officio theofficers and executive committee members of constituent societies. Accord-ingly these minutes are being forwarded not only to officially designatedCAS members, but also to the officers and executive committee members ofCAS organizations.

I would like particularly to call your attention to the motion unan-imously adopted as reported in the Minutes on Page 10. Over the comingmonths, and in the February meeting, attention will be focused on futuregoals of the Council of Academic Societies and on the ways in which it canmost effectively serve its Membership. We solicit your thoughts in thisregard. I hope you will find an opportunity to write me in the very nearfuture so that we can have the benefit of your viewpoints in long-rangeplanning.

Encl. 1



MINUTESCOUNCIL OF ACADEMIC SOCIETIES

1970 Annual Meeting

October 30-31, 1970

Hotel BiltmoreLos Angeles, California

PLENARY SESSIONS

The theme of the October 30, 1970 meeting of the Council of Academic Societies

was "Education of Manpower for Primary Health Care."

DT. James V. Warren, Professor and Chairman, Department of Medicine, Ohio

State University College of Medicine, and Chairman-Elect of the Council of Aca-

demic Societies (CAS) presided at a meeting marked by an attendance of over

200. Mr. H. Robert Cathcart, President of the Pennsylvania Hospital, Phila-

delphia, spoke on "The Hospital's Needs for Primary Health Care Personnel."

Mt. Cathcart observed that hospitals are becoming responsible for increased

numbers of primary, health service programs. Evaluative studies of these pri-

mary health care efforts are greatly needed.

"Needs of the General Practitioner in an Urban Setting," were discussed

by Joseph T. Ainsworth, M.D., Houston, Texas. Dr. Ainsworth blamed the medi-

cal schools in part for the current manpower crisis. Among his recommenda-

tions were establishment of departments of family practice equal to other de-

partments; establishment of a model family practice unit where students, in-

terns, and residents are exposed to and trained in family practice; introduc-

tion early in the student's career to family practice; and optimal utilization

of the paramedical persons in the health care team.

Presenting the "Needs from the Viewpoint of an Internist in an Urban, Non-

Medical School Setting," was Dr. Donald E. Saunders, Columbia, South Carolina.

According to Dr. Saunders, the physician who is knowledgeable about the sprawl-

ing and complex way in which health care is delivered will possess the tools to

CAS Annual Meeting/2

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be a good citizen. His character will determine whether he is motivated to use

these tools. The medical school faculty must provide the necessary training by

word and deed.

DT. Eugene Vayda, Associate Professor of Clinical Epidemiology and Medicine,

Faculty of Medicine, McMaster University, reported on the "Needs of a Large Pre-

Paid Health Plan." Dr. Vayda said that when the physician becomes an adequately

paid member of a team assuming responsibility for the care of a defined segment

of the population, and when his income is not dependent on a numerical count of

services provided, rational planning based on utilization could be instituted.

Such planning could, in turn, be related to medical education and postgraduate

training programs. In this way, health manpower needs and medical education

could be co-ordinated so that physicians could be trained to meet the health

and medical care needs of society.

-Dr. Joyce Lashof, Director of Community Medicine, Rush-Presbyterian-St.

Luke's Medical Center, Chicago, cited the "Needs of Federally Sponsored Com-

munity Health Centers." Among these are that the physician and other health

personnel be committed to treating all patients with respect and dignity. To

carry out his role successfully, the physician needs the help of anthropolo-

gists, social psychologists, and sociologists who have a body of knowledge that

can contribute to the physician's understanding of his patient and the society

in which he lives. Students must be introduced to the culture of poverty and

to the social and economic factors that influence patient behavior. Finally,

institutions need to reorganize their ambulatory care facilities.

Concluding the. presentations was DT. Warren, who then convened the panel

for a vigorous discussion with the audience.

The second plenary session, held on October 31, was convened by Dr. D. C.

Tosteson, Professor and Chairman, Department of Physiology and Pharmacology,

Duke University School of Medicine, and Chairman of the CAS.



the AAMC Not to be reproduced wi

thou

t permission

The program was opened by a Preliminary Report and Recompendation from

the CAS Committee on a Biomedical Communications Network. Speaking for the

Committee was its Chairman, Dr. Eugene A. Stead, Professor of Medicine at Duke

University School of Medicine. The final report of this Committee will be

submitted to the National Library of Medicine in December, 1970.

Next to appear was Dr. Louis G. Welt, Professor and Chairman, Department

of Medicine, University of North Carolina School of Medicine, and Chairman of

the AA -CAS Committee on Biomedical Research Policy. Dr. Welt presented a

Preliminary Report and Recommendations on behalf of the Committee. His paper

is available upon request.

In the discussion which followed the presentation, several members ob-

jected to the economic approach of developing a national biomedical research

policy: Drs. Eugene Stead, Jonathan Rhoads, William Weil, and Cheves Smythe.

DT. Ronald Estabrook was critical of the failure to communicate with the con-

stituent societies. Mailings to the members had been:

April 30 - Appeal for contributions to Presidents, all CAS memberorganizations

May 15 Communication regarding Committee survey, Representatives,all CAS Professorial Societies

May 20 Summary of activities, including material on NIH study,Presidents, all CAS member organizations


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ANNUAL BUSINESS MEETING

The meeting was called to order by Dr. Tosteson at 3:45 p.m. on October 31,

1970.

Roll Call

The roll was called by Dr. Harry A. Feldman, Secretary-Treasurer. Of

the 63 current members, a total of 47 were present. The only constituents

not represented were the American Association of Chairmen of Departments of

Psychiatry and the Association of Academic Physiatrists.

Approval of Minutes

The minutes of the 1969 Annual Meeting were approved as circulated.

Report of the President

AAMC President, Dr. John A. D. Cooper, described new staffing in the

Association planned to strengthen the resources available to all the Councils.


Dr. Tosteson then presented the report of the Executive Committee.

Since the last Annual Meeting, the Executive Committee held 10 meetings.

In addition, the Chairman of the Council of Academic Societies meets with

the Executive Committee of the AAMC Executive Council, and the Council of

Academic Societies has four representatives to the Executive Council.

The programs of the Council of Academic Societies can be grouped in

three closely related categories: biomedical research, education leading

to the production of physicians and other medical manpower, and the delivery

of health services. These programs involve action both of groups within

the CAS and also of committees of the Executive Council of the AAMC on

which representatives from the CAS serve.

CAS Annual Meeting/S

Document from the collections of the AAMC Not to be rep

rodu

ced without permission

During the past year, the CAS has increased the intensity of effort in

the direction of formulation and implementation of biomedical research pol-

icy. Highlights include the following events.

The program of the annual meeting in 1969 was devoted to the role of

basic science in medical education.

A special meeting on biomedical research policy was held in Chicago in

February, 1970. The group heard talks by Dr. Cooper, President of the AAMC,

Drs. Berliner and Endicott from NIH, and Mt. William Carey, formerly of the

Bureau of the Budget.

At the February meeting, the Biomedical Research Policy Committee

(BRPC) of CAS was formed, and charged with the responsibility to recommend

a policy for support of biomedical research in the U.S. and procedures to

implement such a policy. This Committee consists of representatives of

most of the biomedical disciplines and is chaired by Dr. Louis Welt.

The BRPC has met four times since February. It has consulted with such

leaders as Dr. L. Du Bridge, at that time Science Adviser to President Nixon,

DT. R. Egeberg, Assistant Secretary for Health, and Dr. J. Shannon, former

Director of NIH.

On behalf of the BRPC, the AAMC conducted a survey of all U.S. medical

schools on the consequences of the proposed cessation of research training

grants. The results of this survey together with a preliminary report from

the BRPC were just presented by Dr. Welt.

The Chairman of the CAS for 1970 participated with other members of the

Executive Committee of the Executive Council of the AAMC in the preparation

of testimony for the Congressional hearings on the 1971 NIH budget. Dr.

Cooper stated forcefully before both House and Senate Committees the AAMC

position in favor of increased support of biomedical research.

During 1970, the CAS was involved in many projects which relate to

medical education.


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The Committee on a National Communication Network for medical education

continued its work supported by a contract with the National Library of Med-

icine (NLM). As Dr. Stead indicated, the purpose. of this project is to in-

form NLM planners about needs of medical education which could be met by such

a network.

The Committee on Graduate Medical Education continued to work toward a

re-evaluation of the role of the university in graduate medical education.

The proceedings of the CAS sponsored Conference in Graduate Medical Education

edited by Dr. Smythe, Dr. Kinney, and Miss Littlemeyer were published.

The Committee on Physicians' Assistants has worked toward the develop-

ment of adequate curriculum and accredition standards for such training pro-

grams. The February 5, 1970 Report of the AAMC Task Force on Physicians'

Assistants Programs was distributed to members of the CAS in March.

Dr. D. Sabiston represented the CAS on an ad hoc Committee on Increased

Medical Manpower of the Executive Council of the AAMC. After careful study

and deliberation, this Committee has framed recommendations about future

levels of production of physicians in the U.S. The report was made public

at the annual meeting.

The 1970 annual meeting of the CAS included a program on the education

of the "primary" physician.

In the area of health services, CAS representative R. Chase chaired an

AAMC Executive Council ad hoc Committee on Medicare. This Committee, with

the able assistance of Mr. J. Danielson, Head of the Department of Health

Services and Teaching Hospitals of the AAMC staff, spent many hours working

with representatives of the Social Security Administration on developing more

equitable policies for administration of Part B Medicare payments to physi-

cians working in academic medical centers.




Report of Bylaws Committee

Dr. Sam L. Clark, Jr., Chairman of the CAS Bylaws Committee, presented

the report of the Bylaws Committee.

ACTION: Upon motion, duly seconded, the Bylaws as proposed for

revision were approved by the CAS membership.


Applications for membership were next considered.

ACTION: Upon motion, duly seconded, the application of the Southern

Society for Clinical Research was tabled pending a defini-

tion of criteria for membership and mechanism for represen-

tation at the Assembly.

ACTION: Upon motion, duly seconded, applications for membership

of the following 13 societies were approved:

1. American Academy of Allergy2. American Academy of Ophthalmology & Otolaryngology3. American Academy of Pediatrics4. American Association for Thoracic Surgery5. American College of Obstetricians and Gynecologists6. American College of Physicians7. American College of Surgeons8. American Gastroenterological Association9. American Society for Clinical Investigation, Inc.10. Association for Academic Surgery11. The Endocrine Society12. Plastic Surgery Research Council13. Society for Pediatric Research

Other Reports

The membership reviewed the AAMC position statement on the Carnegie

Commission Report. The following amendment, offered by the Council of

Academic Societies, was adopted by the Assembly:

"It should be noted that several of the recommendations in thereport cover issues on which the AAMC has not taken a positionand, in certain instances, may, indeed, be matters on whichAAMC views might differ. Inyarticular, the AAMC believes that the Commission's recommendations relating to the Educational Opportunity Bank and federal support of biomedical research are too restrictive and incompatible with the broadening health ob-pctives of the nation. We are pleased, however, at the closeconcurrence on many key issues between the basic objectivesbeing sought by the AAMC and the findings and recommendationsof this disinterested and prestigious group.!"

(Att.)

Document from the collections of the AAMC Not to be reproduced without permission


ACTION: The following motion, offered by Dr. Robert Petersdorf on be-

half of the Biomedical Research Policy Committee, was unani-

mously adopted:

That the Association of American Medical Collegesestablish an Office of Biomedical Research withinthe Department of Academic Affairs. The purpose ofthis Office would be to attract a full-time staffto implement a biomedical research policy and tofacilitate communication between the CAS and itsconstituent societies in matters of biomedical re-search.

Dr. Thomas D. Kinney, Chairman of the CAS Committee on Graduate Medical

Education, briefed the membership on the status of the paper, "Corporate Re-

sponsibility for Graduate Medical Education". Under final review at this

time, this statement is expected to be distributed within the near future.

The AAMC Committee on the Expansion of Medical Education, chaired by

Dr. Robert B. Howard, had submitted a proposal to be acted upon in the AAMC

Assembly. Copies of this document were forwarded to the CAS Membership for

review on September 28.

ACTION: The following motion, offered by Dr. James V. Warren, was un-

animously adopted:

That the Association of American Medical Colleges est-ablish a group for the study of the problems in the edu-cation of physicians for primary health care.

Dr. Jonathan Rhoads next presented a summary of the activities of the

AAMC Committee on Medicare, which is chaired by Dr. Robert Chase. Additional

information is available upon request to the AAMC Department of Health Ser-

vices and Teaching Hospitals.

Concluding the Annual Reports was Dr. E. Harvey Estes, Chairman of the

Task Force on Physicians' Assistants. As a result of action of the CAS, a

Task Force was appointed in November, 1969 to recommend to the Council the

actions which should be taken by the Council and the AAMC with respect to

various programs training assistants to physicians. The Task Force also

had representation from the Council of Teaching Hospitals and the Council of

Deans.


A report was presented to the Executive Committee of the CAS on February

5, 1970. This report was forwarded to the CAS in March. It was presented to

the Executive Council of the AMC, which resulted in the suggestion that AAMC

work with the AMA to achieve the recommendations outlined in the report (i.e.,

establishment of an accrediting mechanism). There has been no activity over

the intervening six months to achieve these ends.

Dr. Estes reviewed the need for national leadership in this area, and

urged that the CAS assume this leadership role.

Reasons warranting concern by a body of medical educators were:

1. Because it is unlikely that the combination of talent, interest,

and facilities necessary to train these individuals will be

found outside the teaching centers represented by AAMC, and

2. Because medical educators must be concerned with any means for

more efficient delivery methods for health care, and

3. Because medical educators should be concerned that the student

learn to function in a team relationship.

Needs for action now are based on the following:

1. There are serious suggestions that health care delivery should

not be entrusted to products of medical schools. While it may

be true that medicine has not assumed its proper role in many

areas, the establishment of pathways of medical care excluding

the physician would not be in the best interests of the patient

or the public at large. The provision of personnel to allow

stratification of care, in the interest of increased availability

and reduced cost will be accomplished. This should preferably be

done by the medical educational mechanism rather than outside it.

2. Various bodies have requested such leadership

(a) Civil Service Commission(b) AMA Health Manpower Conference(c) Carnegie Commission for Higher Education


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3. The Armed Forces are developing delivery systems utilizing such

personnel, and in the absence of leadership will be forced into

establishing their own standards.

In view of these facts, DT. Estes proposed the following resolution

which was unanimously adopted by the Membership:

ACTION: That the Association of American Medical Colleges appointa committee to study the establishment of definitions andstandards for,various assistants to physicians, and an ac-crediting mechanism for programs producing such individuals,and that such action be taken, if necessary, without partici-pation of the AMA.

Election of Officers and Executive Committee

The report of the Nominating Committee was submitted to the Membership

in the form of a written ballot.

Officers.--Elected as officers for the coming year were: Dr. James V.

Warren, Chairman; Dr. Sam L. Clark, Jr., Chairman-Elect; and Dr. William B.

Weil, Secretary-Treasurer.

Executive Committee.--In addition to the officers listed above the

following were elected to two-year terms on the Executive Committee: Drs.

Louis C. Welt, Ronald Estabrook, and Ernst Knobil. Dr. William Longmire

was elected to a one-year term to fill the vacancy created by Dr. Weil's

election as Secretary-Treasurer.

Other Business

It was suggested that an agenda containing materials upon which action

was to be taken should be distributed ahead of the meeting. Included should

be summary material relating to any applications for membership.

Finally, the following motion, offered by Dr. Ralph Wedgwood, was unan-

imously adopted:

ACTION: That the Executive Committee bring to the Council at the nextmeeting more specific recommendations for eligibility criteriafor component societies, and for representation of the CAS atthe Assembly, to meet the stated objectives of the CAS, namelyto serve as a forum and expanded medium for communication betweenthe AAMC and the faculties of schools of medicine, such recommend-ations, including possible totally alternative options, to be form-ulated either by the Executive Committee, or by an ad hoc committeecomposed of voting members containing a reasonable balance between

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Next Meeting

The Council of Academic Societies will next meet on February 12, 1971,

in conjunction with the AMA Congress on Medical Education, at the Palmer

House Hotel, Chicago, Illinois. An all-day meeting is planned.

Att.

Adjournment

The meeting was adjourned at 6:30 p.m.

COUNCIL OF ACADE\IIC SOCIETIESOF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES

BYLAWSAS ADOPTED OCTOBER 31, 1970

ARTICLE 1

Section 1. In addition to the annual meeting prescribed by the Constitu-tion, there shall be at least 1 additional meeting each year. Such addi-tional meetings shall be held at such times and places as may be decided bythe Council of Academic Societies; whenever feasible these will be held inconjunction with other activities of the Association of American MedicalColleges. In addition, meetings may be called at the discretion of the Ex-ecutive Committee of the Council of Academic Societies or at the request of15 or more members of the Council. Notices of meetings shall be mailed tothe last known address of each member of the Council, not less than thirtydays prior to the date set for the meeting.

Section 2. In the case of the 2 regularly scheduled meetings, it shallnot be necessary to give advance notice of items on the agenda except foramendments to the Constitution, election of additional constituent societiesand members-at-large, and nomination of officers.

Section 3. In the case of especially called meetings, the agenda shall beset forth in the notice of the meeting and action on any other item intro-duced at the meeting shall require ratification, either by a two-thirds mailvote following the meeting or must be held over for a majority vote at thenext regularly scheduled meeting.

ARTICLE 2

Section 1. A reminder shall be sent to the appropriate officers of theconstituent societies in January of each year, notifying them that they areentitled to 2 representatives on the Council and stating that their presentrepresentatives will continue to serve until the Secretary-Treasurer hasbeen notified of a successor who will take office following the next annualmeeting of the Council. In the event of the death or disability of a rep-resentative, his society will name a successor to complete the unexpiredterm.

Section 2. For purposes of electing the' nominating committee, the Secre-tary-Treasurer shall send to the members of the Council, on or before Decem-ber 1st, the names of 14 members of the Council, chosen by the ExecutiveCommittee, with a request that each member indicate the seven persons hethinks best qualified to serve as members of the nominating committee. Theofficers of the Council and its representatives to the Executive Council ofthe Association of American Medical Colleges are eligible to serve on thenominating committee with the exception of the Chairman-Elect. The nomin-ating committee shall meet in person to select a slate of officers. Fifteendays will be allowed for the return of the ballots; any ballots postmarkedafter fifteen days from the time that they were mailed will not be counted.The 7 persons receiving the largest number of votes will constitute the nom-inating committee. In the event of a tie, it will be broken by the officersin the manner providing the best balance between preclinical and clinicalinterests. The member receiving the highest number of votes will serve asChairman of the nominating committee.



Section 3. The nominating committee shall nominate 2 individuals for eachoffice and an appropriate number of members-at-large as specified in the Con-stitution at least three weeks prior to the annual meeting. In the event ofa tie, it will be broken by vote of the Chairman, Vice-Chairman, and Secre-tary-Treasurer, whose votes will be secret.

ARTICLE 3. DUES

Each constituent society shall pay dues of $100.00 for the first year, andthereafter, recommendations for dues shall be made by the Executive Committeeand acted upon by the Council at the time of the annual meeting. Failure topay dues for two consecutive years will constitute grounds for terminationof the constituent society's membership.

ARTICLE 4. ACCOUNTS

The funds of the Council shall be deposited with the Association of Ameri-can Medical Colleges in a special account which may be drawn upon by any ofthe 3 officers of the Council of Acadmeic Societies in accordance with actiontaken by the Council. Expenses in connection with meetings may be paid bythe Secretary-Treasurer without specific authorization but shall be reportedto the Council. The constituent societies shall be responsible for thetravel and per diem expenses of their representatives, except as it may bedetermined by the societies that their representatives will utilize otherfunds for this purpose. Actual and necessary living and travel expenseswill be paid from the funds of the Council in the case of officers no longerserving as representatives of constituent societies.

The funds of the Council shall be audited annually in accordance with thepractices of the Association of American Medical Colleges; a report will befiled by the Secretary-Treasurer and incorporated in the minutes. The Councilmay also receive funds from the parent organization, the Association of Amer-ican Medical Colleges, or any other source. The acceptance of such fundsand the restrictions pertaining thereto will be by vote subject to Article13 of the Constitution.

ARTICLE 5. MEMBERS-AT-LARGE

Members-at-large may serve as officers if elected but not more than 1 suchmember-at-large may be nominated for each office. Nominations will be madefor members-at-large by the nominatingcommittee or by 15 or more chosenrepresentatives to the Council if this is submitted in writing to the Secre-tary-Treasurer not less than six weeks prior to an annual meeting. Such nom-inations are to be circulated not less than thirty days prior to the meet-ing. Elections of members-at-large will be conducted only at regularly sched-uled meetings. If the number of nominations exceeds the maximum number ofplaces, those receiving the largest number of votes will be elected. Tiesare to be broken by secret ballots cast by the 3 officers.

Document from the

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ARTICLE 6

Section 1. The members of the Assembly of the AAMC to be designated bythe CAS shall be representatives of constituent societies of the CAS. Nosociety shall be represented by more than I vote.

Section 2. Representatives to the Assembly shall be designated fromamong the constituent societies in annual rotation based upon the date ofadmission of each society to the CAS.

Section 3. Designated representatives shall be asked to commit themselvesto attendance at meetings of the Assembly well in advance, so that alternatesmay be appointed to insure that all seats will be filled.

ARTICLE 7

Officers and members of the executive committees or councils of constituentsocieties shall be considered members, ex-officio, of the Council of AcademicSocieties and shall receive all information concerning meetings and activi-ties of the Council of Academic Societies that is distributed to its regularmembers. However, no ex-officio member may vote or hold office in the Councilof Academic Societies unless he is an officially designated representative ofa constituent society to the Council of Academic Societies.

ARTICLE 8

Amendments to the bylaws may be made at any stated meeting or at a specialmeeting called for the purpose by a two-thirds vote of those present, pro-vided there is a quorum in attendance.

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