March 2015
Transcription
March 2015
AUPO A Newsletter for the Members, Associate Members and Administrators of the Association of University Professors of Ophthalmology SPRING 2015 PRESIDENT’S PERSPECTIVE Encore by Eduardo C. Alfonso, md We recently concluded our annual gathering in Tucson. The meetings focused primarily on education, continuing to move forward with the theme started last year on carefully looking at the unmet needs of recent graduates and questioning how ophthalmology education in medical school, internship, residency and fellowship can best provide the training necessary to future graduates of ophthalmology programs. The main program had 2 “working symposia” organized by Nicholas Volpe and Thomas Oetting. These provided first, crucial background information on this topic; and second, engaged those present with an audience response system to gather opinions. In this process, program directors, medical student education directors, research directors, chairs, and administrators had the opportunity to get involved. The next steps will be to digest and summarize all the information gathered into a “white paper” that will be edited over the next six months. The final product should serve as a roadmap to share with the AUPO membership and different organizations that participate in designing, executing and monitoring ophthalmology education. There will be much involvement by the Program Directors Council (PDC) led by its president Natalie Kerr, and President-Elect, Thomas Oetting. The popular “Breakfast with Colleagues” moderated by Nick Volpe, provided a personal level of practical critical issues facing us daily. Laura L. Wayman was honored with the Straatsma Award for Excellence in Residency Education and Linda S. M. Lippa with the Excellence in Medical Student Education Award. Excellent presentations were given in the Resident and Fellow Research Forum. During the business meeting, two motions were approved by vote. A change in the bylaws was approved incorporating Associate Program Directors as non-voting Associate Members. The nominating committee proposed that Dr. Paul Lee be elected as a new trustee with a term effective April 1, 2016. The Saturday research symposium moderated by the president of the Research Directors Council, Scott Cousins, and by trustee, Russell Van Gelder, provided an in-depth exposure to research using ‘Big Data in Ophthalmology.’ This was Bart Mondino’s 10th and last year as executive vice president. He has taken this organization to a new level of performance and relevance. We honored him with gratitude continued on page 2 INSIDE EVP Segue. . . . . . . . . . . . . . . . . . . . . . . History of AUPO . . . . . . . . . . . . . . . . . . . Program Directors Update . . . . . . . . . . . . . Medical Student Educators Update. . . . . . . Research Directors Update. . . . . . . . . . . . . Administrators Update . . . . . . . . . . . . . . . Program Managers and Coordinators Update. . Educating Ophthalmologists for the Future. . . AUPO/RPB Resident & Fellow Research Forum. AUPO FCC Update. . . . . . . . . . . . . . . . . . SF Match Update. . . . . . . . . . . . . . . . . . . Straatsma Award Criteria. . . . . . . . . . . . . . Medical Student Education Award Criteria . . . New Member Updates. . . . . . . . . . . . . . . . Faculty Positions Available. . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 4 .6 7 8 9 10 11 13 14 18 19 22 23 . . . . . . . AU P O N E WS & V I E WS President’s Perspective I thank you for the opportunity you have given me to be part of the leadership of this collegial association. My year as president has been made easy by the tremendous work done by the Board of Trustees and I would like to acknowledge them: Steve Feldon, Julia Haller, Keith Carter, Oscar Cruz, Russ Van Gelder, and Paul Sternberg. Lisa Brown, AUPO client services manager and assistant director of SF Association Management Services (AMS), has kept the activities of the association well organized. Lastly, but not least, all of you and our collective families have given a tremendous amount of energy and support to make AUPO a great organization. AUPO is unique in its representation of all aspects of academic ophthalmology. If you are already actively involved in AUPO please continue. If you are not, you have to. The future of academic ophthalmology depends on you. continued from page 1 for his leadership, devotion, grace, and good humor. This last year the Board of Trustees engaged in the task of recruiting Steve Feldon as the new executive vice president, and the smooth transition occurred at the meeting. We observed a moment of silence for members that have left us for their eternal rest this past year. These included Drs. Ronald Smith, David Epstein, Mel Rubin, Jose Berrocal and others who may have been omitted. If you were not able to attend, please make sure you review the program content on AUPO’s website. An invitation was extended to the membership to become involved in planning for the 50th anniversary of AUPO. We look forward to everyone’s participation and attendance. EXECUTIVE VICE PRESIDENT Segue by Steven E. Feldon, md, mba Bart Mondino was an outstanding Executive Vice President (EVP) who led us with honesty, integrity, compassion, wisdom, and a wry sense of humor. He set a very high bar. I look forward to building on Bart’s achievements which included developing a more inclusive organization, increasing recognition of our outstanding educators, and providing guidelines for fellowships that both improve training and protect the public. Bart reviews the past 10 years of his leadership in this edition of News & Views – highly recommended reading. I feel privileged to be elected as the new EVP for the AUPO, an organization most reflective of the missions of academic ophthalmology. As Chairs, Program Directors, Research Directors, and Medical Student Educators, we all learn from each others’ experiences in a collegial setting. In addition to my administrative responsibilities and my role in representing AUPO, I look forward to developing the overall capabilities of the organization through execution of a strategic plan developed by your Board of Trustees. Some ideas to consider include programs that foster AUPO’s national as well as international participation and recognition. For instance, we can develop “white papers” on a variety of public health and medicine topics of importance to academic ophthalmology. Improving communications and productivity may require that trustees and officers assume more specific roles and meet more frequently. In addition, I would like to initiate a Steering Committee including the leadership of both the Board of Trustees and the leadership of the Associate Membership in order to develop overarching goals for AUPO. I welcome suggestions from Members and Associate Members on how we can increase the utility and relevance of our organization. I look forward to working with each of you to realize our goals. 2 S P RI N G 2 015 History of AUPO (1965–2014) by Bartly J. Mondino, md The Association of University Professors of Ophthalmology (AUPO) was founded in 1965 by the AUPO/RPB Resident and Fellow Research Forum, RPB joined with AUPO to match the donation of Bernard Becker, MD, initiating the Physician-Scientist Award, which was awarded in 2001 and 2006. Without the active participation by RPB since its founding, AUPO certainly would not have reached its current level of importance. There is no doubt that the Straatsma Award for Excellence in Residency Education established in 2002 has been important in providing recognition for outstanding program directors, and reinforces the value that AUPO and academic departments of ophthalmology place on this position. To date, outstanding program directors have been identified and awarded this recognition, which is highlighted at both the annual American Academy of Ophthalmology (AAO) and AUPO meetings. Financial support for this award was provided by AAO, AUPO, and a private donor in Los Angeles. In addition to the Straatsma Award, the board and membership of AUPO eliminated the provision permitting residency program directors to attend our annual meeting only if their chair was in attendance. The ability of residency program directors to attend our meeting with or without the presence of their chair also was extended to research directors and medical student educators. The AUPO Fellowship Compliance Committee (FCC) was created in 2005 to provide training requirements for ophthalmology fellowships. It offers educational standards, protection of the public, institutions, and trainees, accountability and enforcement. To date, six ophthalmic subspecialties, supported by eight ophthalmic subspecialty societies, voluntarily participate in the compliance program. Its goals are accomplished by the following objectives: 1) Create standards for the participating subspecialties in establishing program requirements. 2) Define criteria for each participating subspecialty through the action of its own supporting organization(s), constituting standards for fellowship training including curriculum, research and clinical experience. 3) Determine initial compliance of individual fellowship programs through an application process. 4) Monitor compliance of individual fellowship programs with their subspecialty society’s program requirements. 5) Monitor compliant programs on a regular review basis to assure that they remain in compliance. 6) Make compliance status publicly available so that fellowship applicants may use this information in their several leaders in academic ophthalmology as an organization dedicated to research and education. The mission of AUPO is to serve, strengthen, and represent departments of ophthalmology; to provide support, information, and leadership opportunities to department chairs, program directors, and other faculty members; to promote excellence in ophthalmic education; to foster vision research and to promote ethical practice and excellence in eye care in order to ensure the best possible vision for the public. As such, AUPO is the voice of academic ophthalmology. Initially including only chairs of ophthalmology divisions or departments in medical schools, the membership was later enlarged to include members who are chairs or co-chairs of departments or divisions of ophthalmology in any institutions that sponsor accredited ophthalmology residency training programs. A category of associate membership was established for residency program directors of accredited residency training programs in ophthalmology who do not chair their department or division. Canadian chairs and their residency program directors became eligible for membership in 1996. In 2006 and 2009 respectively, research directors and medical student educators in departments or divisions of ophthalmology in medical schools or other institutions sponsoring accredited ophthalmology residency training programs became eligible for associate membership. A major focus of AUPO has always been its annual meeting. At this three day event, members and associate members gather to attend the formal program and network informally. With the addition of new associate membership categories, the meeting has become more relevant in terms of covering the three missions of academic departments: research, education and patient care. The meeting comprises a whole host of symposia, workshops, and sessions for chairs, program directors, research directors, medical student educators, administrators and now even sessions for program coordinators. Surveys of the annual meeting are universally favorable and suggestions of the membership are seriously considered by the board. Special acknowledgement is due to the continuing support that has been provided by Research to Prevent Blindness (RPB) since the creation of AUPO in 1965. In addition to a very generous unrestricted donation and the support of continued on page 4 3 AU P O N E WS & V I E WS History of AUPO issues pertaining to patient-based research, such as study design, pitfalls in data analysis, and interpretation of statistical tests. Four such courses have been held in September 2006, March 2009, March 2011, and September 2013. Evaluations of the course have been uniformly outstanding. AUPO provides a mentoring program for newly appointed chairs. In this program, newly appointed chairs are connected with former chairs and presidents of AUPO who are able to provide advice and guidance in a broad range of subjects, ranging from creating an institute or endowment, developing research and clinical programs, and recruiting and retaining faculty. A popular feature that was introduced is the program wherein an Accreditation Council for Graduate Medical Education (ACGME) representative meets one-on-one with program directors. Priority is given to program directors that are facing imminent reviews. These meetings permit tailored advice on specific details rather than general principles applicable to all. In 2014, AUPO and AAO created an annual award for an outstanding medical student educator. The awardee is recognized at the annual AUPO and AAO meetings and receives a cash award. The leadership of AUPO has been very conscious of diversity in its board membership. Many factors are considered in the selection process: region of the country, subspecialty, size of program, etc. As such, our board is diverse and represents many different perspectives. The AUPO seeks to become increasingly more relevant. As the voice of academic ophthalmology, it will continue to represent and promote academic ophthalmology in its three missions of research, education and patient care. continued from page 4 decision; likewise, mentors will have compliance status available when advising residents on fellowship. The FCC represents a major achievement of AUPO. The addition of a six-figure operational budget to the already strained resources of AUPO was challenging. A one-time loan from AAO, which was later forgiven, came at a very opportune time. However, it was necessary for AUPO to develop a funding mechanism to ensure the financial viability of the AUPO FCC. Funding for this important program is derived from three sources: the programs themselves, the subspecialty societies, and the Central Application Service (CAS) which was created by AUPO for fellows. The CAS was extremely important in and of itself because it made the fellowship application process so much more efficient and friendly for the applicants by requiring one, rather than multiple, applications. In the 1990s, the SF Match, under the direction of AUPO, became more electronic and less paper-driven. This has made the process much more efficient and convenient for all concerned. AUPO completed two salary surveys, one in 2006 and one in 2012. These surveys represent the most comprehensive salary surveys in ophthalmology, taking into consideration region of the country, academic rank, subspecialty, as well as administrative, clinical and research positions. Both surveys achieved nearly break-even status so that substantial subsidies were not required. In association with UCLA and endorsed by the Association for Research in Vision and Ophthalmology (ARVO), AUPO sponsored a biennial Introduction to Clinical Research course. This course provided a comprehensive overview of Program Directors Update by Natalie Kerr, md The AUPO Program Directors Council experiences to ophthalmology program directors over the last year. The following is a brief overview of these activities as well as a preview of future events. At the 2014 Annual Meeting of the American Academy of Ophthalmology, Dr. Uhler led the AUPO’s symposium entitled “Leveraging Technology and the Educational Team.” Three topics were discussed in interactive sessions: “The (PDC) welcomes two newly elected members: Drs. Laura Green, Krieger Eye Institute and Evan “Jake” Waxman, University of Pittsburgh Medical Center Eye Center. We say good-bye to Dr. Tara Uhler, and I speak for all of us who have had the great fortune of working with Tara over the years, “Your positive leadership is such an inspiration. Thank you, Tara!” The PDC has brought many valuable educational continued on page 5 4 S P RI N G 2 015 Program Directors Update The next major educational offering from the PDC is the 2015 Teaching and Learning Symposium at the Annual Meeting of the AAO, in Las Vegas, Nevada, November 14–17. This year’s topic is “Personalized Education for Ophthalmology Residents: An Idea Whose Time Has Come?” Dr. Arnold will discuss an RRC perspective about why we should or should not consider changing the time and format of residency training programs, Dr. Sheth will offer an ABO perspective on how much freedom residents and programs should have in designing their curriculum, Dr. Uhler will weigh in on the future of fellowships and the comprehensive ophthalmologist, and Dr. Siatkowski will lead the discussion on balancing the needs of the learner with the needs of society and the profession. The format will be a café setting, which facilitates interaction with our audience as active participants in the symposium. Before the symposium concludes, the Straatsma and Medical Student Educator lectures will be delivered. Please join us and help make the discussion a lively and exciting look at the future of ophthalmology training. The PDC was formed by and functions under the leadership of AUPO to foster excellence in ophthalmic residency training programs by insuring that the educational and operational needs of our program directors are addressed. I offer my thanks to Dr. Keith Carter, who has been invaluable as a liaison and adviser from the AUPO Board of Trustees, and to Lisa Brown, Amber Mendez, and Tim Losch from the Academy, whose administrative support and guidance is so critical to our success. I wish Dr. Tom Oetting, who will assume the position of President of the PDC in April, a wonderful year, and I look forward to seeing what we will accomplish under his leadership. Allow me to say thank you to my fellow members of the PDC for their support, wisdom, and hard work this year. And to all ophthalmology program directors, you are committed leaders who provide the foundation for ophthalmology’s future by training tomorrow’s leaders. I continue to be inspired by your efforts and value your input. Please help us remain relevant to your needs by providing feedback and sharing your ideas for future efforts, including continuing education or policy/advocacy issues. Contact me or any member of the PDC with questions, concerns, or suggestions. And if you are not on the PD listserv ([email protected]), please contact the AUPO office at aupo@ aao.org. Past President: Dr. Tara Uhler, [email protected] ; President: Dr. Natalie Kerr, [email protected] ; President-Elect: Dr. Thomas Oetting, [email protected] ; At-Large Members: Dr. Laura Wayman, [email protected], Dr. Shahzad Mian, [email protected], Dr. Michael Siatkowski, rmichael-siatkowski@ dmei.org, Dr. Evan “Jake” Waxman, [email protected], and Dr. Laura Green, [email protected]. continued from page 4 Educational Team: Managing Your Coordinator,” led by Dr. Uhler and Dr. Shahzad Mian; “When and How to Introduce New Technology Into Training,” led by Drs. Bhavna Sheth and Natalie Kerr; and “Leveraging EMR for Quality Improvement Projects,” led by Drs. Laura Wayman and R. Michael Siatkowski. The symposium concluded with the Straatsma lecture, delivered by Dr. Wayman, on “The Role of Reflective Learning in Resident Development,” and the inaugural Excellence in Medical Student Education lecture, “Educating Referring Doctors of Tomorrow: Why Medical Student Teaching is Critical — Today!” given by Dr. Linda Lippa. Many thanks to Drs. Wayman and Lippa for their excellent lectures! Immediately preceding the 2015 AUPO meeting in Tucson, Arizona, the 12th Educating the Educators meeting was held. Co-chairs R. Michael Siatkowski and Bhavna P. Sheth assembled a wonderful program for us. Well-attended and received, the meeting opened with reports by representatives from the Academy of Ophthalmology (AAO) and other organizations, offering important information about the San Francisco Match, OKAP, AAO Young Ophthalmologists (YO), online learning through the Resident HUB and Pathology Project, TAGME, and the ABO. Thanks to all who brought us updates and exciting developments from these organizations. The remainder of the day was filled with high-quality free papers, posters, and two featured sessions, “Fostering Resilience,” delivered by Dr. Edward Callahan, and “Behavioral Interviewing for Ophthalmology Residencies,” with Dr. Laura Green and her associate, Laura Pearl. Ideas and best practices related to ophthalmic education were shared by presenters and meeting participants. Look for recordings and handouts from the meeting to be posted on AUPO’s website. Then there was the AUPO Annual Meeting — residency education was a major theme of the meeting this year! Excellent sessions were offered Thursday and Friday morning on the future of residency training. In its Thursday afternoon session, the PDC’s symposium offered information on how residency programs function, “The Who, What, When, and How of Running an Ophthalmic Residency Program.” Thank you to our speakers, and especially to Mike Siatkowski for moderating a session on the new developments in residency maintenance of accreditation — the Clinical Competency Committee (CCC) and Program Evaluation Committee (PEC). The following day, the ACGME Residency Review Committee (RRC) for Ophthalmology, led by Dr. Anthony Arnold, chair of the RRC, offered insights into navigating the Clinical Learning Environment Review (CLER) and the Next Accreditation System (NAS), and a question and answer session was organized by RRC co-chair, Mike Siatkowski. 5 AU P O N E WS & V I E WS Medical Student Educators Update by Linda Lippa, md The Medical Student Educators (MSE) activi- The discussion that followed was lively and intense. Ideas flew for email blasts of clerkship-specific ophthalmic pearls to be sent by ophthalmology-bound students to classmates; for short, easily digestible video podcasts for “spaced learning” that could be used to refresh knowledge; for a “promotional” video of clinical ophthalmology exam skills, targeting accepted students in the summer prior to medical school, when they have time, are enthusiastic and not yet biased about the value of ophthalmic medicine. The highlight of this year’s meeting for all of us was the debut of the Excellence in Medical Student Education Award and lecture, the first, and only, official national recognition of the value ophthalmology medical student educators provide, so long taken for granted. I feel honored and privileged to be the inaugural honoree. Ophthalmology medical student education faces many challenges. Sustained, creative and collaborative efforts will be required to reverse the marginalization of ophthalmology in the curriculum, and optimize retention of relevant ophthalmic knowledge and skills embedded in mainstream required courses. Medical student educators will need to be proactive about ophthalmology teaching time and the profession in general: rapidly proliferating information, technological advances, shortened training paths, compressed medical school curricula, changing physician roles in new healthcare delivery systems and expanding optometric scope of practice. For physicians of the future to value our role as collaborators in patient care, medical students must be taught to see ophthalmology knowledge and skills as relevant to the quality practice of general medicine. Conversely, leveraging our MD backgrounds, we must train ophthalmologists to be not just surgically expert, but also astute medical diagnosticians. We are all so thankful that the AUPO under Dr. Mondino’s leadership and the Academy created this annual award and lecture to affirm the valuable role that medical student educators play in shaping the physicians of the future. This recognition assures that accomplishments will be not only acknowledged, but widely celebrated. And from what I saw at the MSE meeting this year, there will be no shortage of excellence to recognize going forward. As AUPO transitions to an exciting new era under Dr. Feldon, AUPO-MSE also approaches a new milestone. This past meeting highlights the viability of the group, now finally ties each year have become more impressive. The MSE table for Breakfast with Colleagues, “Ophthalmology Curriculum Management: Navigating the Rapids in Uncharted Waters” was filled to overflowing with participants, including program directors and chairs. Curricular challenges and solutions were traded, and evidently valued, since our table was the last to exit the room. This year’s workshop, “Meeting the Milestones, Bucking the Trend” was attended by over 40 members, and offered outstanding presentations reflecting novel ways to keep ophthalmology alive in the curriculum and medical school core competencies. Drs. Jake Waxman, Rukhsana Mirza and Susan Ksiazek, brought information back from the AAMC meeting, and discussed plans to shorten medical school training and exclude ophthalmology content from the core Entrustable Professional Activities (EPAs), skills that incoming interns should be able to perform unsupervised. Dr. Emily Graubart outlined the Emory ophthalmology portion of the capstone course, easing transition to internship, refreshing eye exam components just as students face direct responsibilty for patients in a month’s time. Dr. Joann Giaconi followed with the method of assessment used at UCLA, with faculty quizzing two students at a time to assure that course objectives had been met. To address student amnesia of prior ophthalmology teaching, Dr. Susan Forster prepared a “video prequel” to jolt students’ memories just prior to the formal Yale second year ophthalmology curriculum. Dr. Jamie Rosenberg shared her experiences at Albert Einstein working with the clerkship directors of the medicine and surgery rotations to add instruction in funduscopy and clinical ophthalmology to the curriculum. Dr. Tina Singh presented the results of comparison she and Drs. Jullia Rosdahl and Anupama Horne conducted at Duke on the effectiveness of team-taught cases, with students pursuing ophthalmology leading study groups of peers in problem-solving huddles, followed by discussions of the cases between groups. Finally, Dr. Lisa Kelly talked about a novel 4 week “asynchronous” on-line course she created at Cincinnati to roll out next year. Students headed for primary care or non-ophthalmic specialties will be able to gradually work through the course on-line as time allows during light rotations or while away on interviews to bolster key ophthalmology knowledge. continued on page 7 6 S P RI N G 2 015 Medical Student Educators Update leaders, and assume the advisory role of past-president with simultaneous exhilaration and a touch of wistfulness. I thank all of you for your incredible support, and look forward to seeing this group continue to soar. continued from page 6 stable enough for us to initiate our leadership progression plan. This spring I will pass the gavel to the next generation of Research Directors Update by Scott Cousins, md The department of ophthalmology research directors group just completed our very degeneration.” Paul Lee presented his perspectives on the “Strengths and Weaknesses of Big Data Clinical Database Analyses.” Finally Paul Sieving discussed the NIH initiative “Big Data to Knowledge” in which the National Eye Institute is participating. The presentations were highly informative. The Research Directors also held a workshop on “How AUPO can be an Advocate for Research in Clinical Departments.” James F. Jorkasky of National Alliance for Eye and Vision Research (NAEVR) discussed “How Research Directors can Interact and Influence the Agenda of our Lobbyists.” Carl Romano from Regeneron Pharmaceuticals discussed “Creative Ways to Partner with Industry,” providing illuminating insights into how faculty might seek funding for projects from various pharmaceutical companies. We also had a lively membership meeting. The focus was on future directions for the research directors membership, as we have grown in size over the past three years. We had over 20 research directors at the meeting. One discussion topic was focused on how we can better network among ourselves. Another major topic of interest was identifying opportunities for small and mid-sized departments to initiate and expand sustainable research programs in an era of limited resources. We also discussed potential topics for a researchfocused symposium at the AUPO 50th Anniversary meeting in Ft. Lauderdale. Overall, our 2015 meeting was a great success. We look forward to seeing even more research directors participating next year! successful 2015 annual meeting in conjunction with the annual AUPO meeting. First, congratulations to Pat D’Amore who was elected to the Research Directors Council as an at-large member. Pat has lots of research leadership experience and will be a great asset to our leadership team. In the fall, we will be holding another election for an additional at-large member, as our President Emeritus, Mark Petrash, rotates off the council. As the founding president of the council, we owe a huge debt of gratitude to Mark for helping to create our organization and for giving us our initial direction. Next year, David Calkins will assume the role of president. The highlight of the annual meeting was the Research Symposium entitled “Big Data and Ophthalmology.” The first section covered “Big Data and Clinical Databases.” Michael Chiang presented an overview on the evolution of big data, including data mining from large clinical databases and how electronic health records will become a fertile source for future knowledge about care delivery. He also reviewed the AAO’s Intelligent Research in Sight (IRISTM) Registry. Aaron Lee reviewed his research using the British National Health Services database. The next section covered “Big Data and Personalized Medicine.” David Calkins summarized ongoing activities in personalized medicine at Vanderbilt University, one of the leaders in the field. Milam Brantley presented his research on the use of big data analytics for his research in metabolomics in diabetic retinopathy and macular 7 AU P O N E WS & V I E WS Administrators Update by John P. Meade, mph The 2015 AUPO Annual Meeting and the University Administrators of Ophthalmology (UAO) meeting held in Tucson, Arizona was a great success for our membership, offering a slate of timely issues as well as invaluable networking opportunities. I’d like to welcome all of our new UAO members — I’m sure you will quickly recognize the many benefits that this great organization brings. I’d also like to thank all of you for your thoughts and prayers. As many of you know, I was diagnosed late last summer with a form of bone cancer in my back. My treatment regimen unfortunately prevented me from being able to attend a conference that has become a professional and personal highlight for me over the years. I’m happy to say that my disease is responding favorably to the treatments and I look forward to seeing all of you at next year’s conference in Ft. Lauderdale. The support I’ve received from UAO colleagues has been amazing, whether it be a quick phone call, social event picture, or an e-mail. I want to thank the entire UAO Board for all of their efforts in putting together this conference and for covering for me during my absence. Lastly, I wanted to thank all of our members who presented at this year’s conference and shared their extensive knowledge with us. Our conference began on Thursday morning with a session on the future of ophthalmology administration, and presentations from Sheara Hollin, University of Pennsylvania; Tim Cibula, University of Washington; and Bob LaFollette, Ohio State University. Discussions focused on the need, and opportunities, for administrators to efficiently adapt to changes in their environment and alter the course of their leadership. This was followed by a session entitled “Patient Access, Keys to Success” that was presented by Brent Price, University of Utah; and Jeff Good, Northwestern University. The final session of the day was our ListServ Live moderated by Michelle Chizek, University of Wisconsin, which presented an opportunity for our membership to discuss hot topics. The day ended with a networking and social outing; thanks once again to Thelma de Souza for the fantastic job she always does in organizing this. Friday morning’s program began with the AUPO President’s Symposium. The session focused on educating our ophthalmologists for the future and a sharing of ideas on the future structure and details around internship, residency, and fellowship programs. This was followed by a program entitled “Ophthalmic Technicians and Future Certification,” which was presented by Lynn Anderson, PhD, Chief Executive Officer of JCAHPO. After lunch, Sigrid Button, University of Oregon; Dr. Michael Chiang, University of Oregon; and Dr. Flora Lum, of the AAO gave a presentation on “Telemedicine and Ophthalmology.” This was followed by a session on how to make your case in today’s marketplace through branding, reputation, marketing, and physician engagement. The day ended with a presentation by Ricky Bass, longtime UAO member, and now Executive Consultant at American Academy of Ophthalmic Executives (AAOE). The session revolved around benchmarking and opportunities through AAOE to improve clinical care, physician productivity, patient satisfaction, and key measure reporting; initiatives that have long been viewed as extremely valuable by our membership. The conference resumed Saturday morning with a session entitled “Show Me the Money — Ophthalmic Reimbursement” that was led by Ron Rosenberg, of the Practice Management Resource Group. This was followed by our annual “What’s Happening in My Backyard” presentations. This year’s presenters were Jonathan Smith of the Jules Stein Eye Institute and Cheryl Gates of the Doheny Eye Institute. Our conference ended with our annual business meeting. Two new board members were elected at the meeting for two at-large terms of three years: Jenny Hinebaugh, University of Virginia and Craig Kishaba, University of California, San Diego. A special thank you for past service was extended to Larry McGranahan, University of Iowa and UAO Treasurer, as this was his last conference. I’d also like to thank Larry for all that he has done for UAO over the years; we will miss his insights and friendship. Current board member Jeff Good, Northwestern University, will assume this role in September. I’m excited that much of the momentum generated at this year’s conference around certain topics will continue through 2015 via offline meetings and discussions so that there can be follow-up sessions at next year’s conference. Topics to be addressed include: 1) future administrative structure, 2) benchmarking with AAOE/AAO, 3) patient access, and 4) ophthalmic technicians with JCAHPO. The board will also be requesting volunteers to serve on a Content Committee to assist with maintaining current information on our UAO website. continued on page 9 8 S P RI N G 2 015 Administrators Update to lead this effort. He will be reaching out to members and requesting their participation in this exercise. Best wishes to all for a healthy and successful 2015 in serving our patients and carrying out the mission of our various organizations. continued from page 8 The last initiative to be mentioned is the execution of a risk mapping exercise that will allow us to identify, prioritize, and measure future risks to our ophthalmology businesses. I’d like to thank Wayne Imbrescia for his willingness Program Managers and Coordinators Update by the AOPMC Executive Council The Association of Ophthalmology Program Managers and Coordinators (AOPMC) Program, AUPO FCC, Residency Management Systems Tips and Tricks, Training Administrators of Graduate Medical Education (TAGME) certification, and ways to help with different challenges within our residency programs. Many people volunteered to be on our 2016 Planning Committee and we are currently in the process of planning next year’s meeting. We anticipate another exciting event for program managers and coordinators. We would like to thank the AUPO for their support in making the AOPMC third annual meeting possible. Their official support of our role will enhance communication between programs, bring forth novel ideas, and ultimately benefit residency education in a positive way. We would also like to thank the chairmen and program directors from our home institutions for their continued support of program managers and coordinators. held its third annual meeting in conjunction with the annual meeting of AUPO held in Tucson, Arizona in January 2015. Our guest speakers were Mary Joyce Turner, Executive Director, Review Committee for Ophthalmology, ACGME; Laura Pearl from Life Bridge Health; Dr. Natalie Kerr, Program Director at the University of Tennessee, Memphis; Damien Joseph and Tim Losch, from the San Francisco Matching Program; and program coordinators Wendy Schnitzer, Nora Gilgallon-Keele, Kathy Whitney, Laura Pitlick, Susan Bony, Terri Trotter, and Elizabeth Sauvé. There were many informative presentations at this year’s meeting covering such topics as the Residency Review Committee (RRC) and Next Accreditation System (NAS) updates, Milestones and tools, Clinical Competency Committees and Program Evaluation Committees, the San Francisco Matching 9 AU P O N E WS & V I E WS Educating Ophthalmologists for the Future by Nicholas J. Volpe, md and Thomas A. Oetting, md During the 2015 meeting of the AUPO, two forward-thinking symposia were presented to provoke the audience to begin to think about what ophthalmology training should look like over the next several years. This initiative developed as a result of David Parke’s and Paul Sternberg’s American Academy of Ophthalmology (AAO) 2013 strategic session on resident education which led to a series of AUPO/ AAO task force meetings. At last year’s AUPO meeting, Eduardo Alfonso developed an AUPO/AAO Resident Education Committee which included members of AUPO, AAO, American Board of Ophthalmology (ABO) and Accreditation Council for Graduate Medical Education/Residency Review Committee (ACGME/RRC) to develop these symposia and a white paper attempting to define the ideal ophthalmology resident education experience. The committee also performed a survey to obtain the opinion of leaders in the professions that included AUPO Chairmen, Program Directors and members of the AAO’s Council. It has been nearly 30 years since we have organized as a profession and thought about how we should best prepare our residents for practice in the future. Educating Ophthalmologists for the Future, was organized into two separate symposia. The first, on Thursday, was entitled “Predicting the Future” and the second, on Friday morning, “Debating the Details.” We outlined the AUPO/AAO committee “going in” position to start the first session. The basic idea would be to capture time from the end of medical school through internship to use for structured training which could free time later in the residency to develop specialty tracks or electives. Ultimately, the goal was to focus on all issues critical to the future of residency training and only through that could we be assured that we were training the best possible ophthalmologists. We considered all things possible and left our home institution “hats at the door.” The Thursday morning symposium was informative and thought-provoking. Lou Cantor presented a history of the topic and discussed the future challenges. Paul Lee reviewed the difficulties we face in predicting the future need for care services with the variables of population, immigration, care delivery system, optometric scope, work effort, and technology. Andrew Doan presented a reassuring talk suggesting that we need not focus on possible future technology, but instead continue to focus on patient care. The digital-native group of residents will have no trouble adapting to new technology. An interesting presentation by Kris Karlen highlighted the ophthalmology practice of KaiserPermanente as an example of a non-fee-for-service model. Dr. Karlen also discussed his reliance on comprehensive ophthalmologists and what he looks for in new recruits. We were fortunate to have David Asprey who was part of the Institute of Medicine’s task force that produced a recent report concerning the future of graduate medical education. Additional perspectives were offered by Steve Gedde on the factors influencing residents’ choices that led to about 70% choosing to pursue a fellowship. A growing body of knowledge is fitting into the same 36 months and an additional year of fellowship can certainly extend time for necessary learning. Many ophthalmology residents are choosing fellowship because of a sense of “it can’t hurt and I can use the additional training” as opposed to desiring to practice only in that specialty. A perspective from the ABO was offered by Anthony Arnold. In general, the ideas and concepts suggested from these talks set the stage for this important debate and highlighted, undoubtedly, that our future is unknown and that being able to predict it is difficult. Our focus should remain on understanding the factors influencing our trainees and on creating the best possible product from residency. The Friday morning symposium was a debate on three topics. The first debate centered on the pros and cons of folding internship into a four year program in ophthalmology. This topic was debated by Jeff Pettey and Tara Uhler. The second debate focused on creating specialty tracks within residency and this was debated by Bahvna Sheth and Russell Van Gelder. Finally, Keith Carter and Oscar Cruz debated potentially shortening fellowships and creating different versions of the fellowship experience to enhance ophthalmology training. In the end, the general sentiment, including a fair amount of audience involvement, was that we must come together and continue to optimize our residencies to produce outstanding comprehensive ophthalmologists. We hope that through the symposia, we will be able to provoke a discussion and involve our agency partners, the ABO and the ACGME/ RRC in beginning a dialogue about options going forward. Ultimately, if we can create a more attractive destination for the comprehensive ophthalmologists and perhaps better prepare them for this destination, we will have the ideal training programs. This is not to say that we don’t need to train continued on page 11 10 S P RI N G 2 015 Educating Ophthalmologists for the Future modules following a curriculum that occurs in the latter half of the fourth year of medical school and during internship. Such a program would have residents well prepared for their formal ophthalmology training. If we can achieve this then perhaps further consideration by the ABO and the RRC for elective time during the latter part of residency allowing resi dents to train more extensively in a specific area or in prepa ration for comprehensive ophthalmology. With electives or tracks, possibly fewer residents will feel compelled to do fellowships only because “they thought it could help” and more will choose fellowships when they specifically want to practice a subspecialty in ophthalmology. Thank you to our speakers and debaters, to David Parke and Lou Cantor of the AAO and Bart Mondino and Eduardo Alfonso of the AUPO, for their leadership in this effort. We look forward to further help from members of AUPO as we form our white paper and more importantly as we work to improve post graduate education in ophthalmology. continued from page 10 a critical mass of subspecialists, but that we capitalize on our opportunity to create outstanding comprehensive ophthalmologists. Of course, there was general sentiment in the audience that logistical hurdles would need to be overcome in order to make changes and that our role as physicians should be clearly distinct from other eye care providers. Ultimately, the AUPO/AAO Resident Education Committee plans to create a white paper to advocate for several important positions that we hope to advance to our partners at the ACGME and ABO for further discussion. It would be helpful if we could get approval for better defining specific requirements for internship experience, including more ophthalmology time within the internship. We could also use the time in medical school after the match and before internship to develop skills or learn aspects of medicine important for our profession. Perhaps we can develop a series of training 2015 AUPO/RPB Resident and Fellow Research Forum by Oscar A. Cruz, md Ana Bastos-Carvalho, MD, PhD University of Kentucky School of Medicine IgG1 Antibodies Generically Inhibit Ocular Neovascularization The 16th annual AUPO Resident and Fellow Research Forum, sponsored by Research to Prevent Blindness (RPB), was held on Friday, January 30, 2015. The goal of the forum is to help nurture and recognize developing clinician scientists — a goal that is critical to the future of all departments of ophthalmology. This forum is made possible by the faithful and continued support of RPB and owes its formation and mentoring of this program to Dr. Stuart Fine. This year 42 abstracts were reviewed by a panel that included: Drs. Stephen P. Christiansen, Todd P. Margolis, Nelson R. Sabates, Tim Stout, Russell N. Van Gelder, and Robert N. Weinreb. The awardees were: Ana Bastos-Cavalho, MD, PhD — University of Kentucky School of Medicine Menhaz Khan, MD — University of Michigan Medical School Kabhilan Mohan, PhD — University of Kentucky School of Medicine Jeffrey Tan, MD — SUNY Downstate Medical Center Using multiple ocular and systemic models of angiogenesis, Bastos-Carvalho and colleagues demonstrated that human lgG1 can inhibit ocular and systemic neovascularization in a target-independent and antigen-unspecific manner. The newly described pathway involves signaling through the lgG receptor FcyR1, which prevents the migration of pro-angiogenic macrophages to the injury site. This finding opens an avenue for repurposing generic human lgG1 as an anti-angiogenic agent. The discussion presented by Dr. Nelson R. Sabates, University of Missouri-Kansas City School of Medicine, centered around this continued on page 12 11 AU P O N E WS & V I E WS Resident and Fellows Research Program of these molecules (especially if eyes are exposed to sunlight) and whether these molecules could be used with other molecules to enable identification specific apoptosis pathways. Lastly, Dr. Olsen identified that these markers might be used in combination with therapies to evaluate inhibitors of apoptosis in RPE cell death. continued from page 11 as a novel pathway for anti-angiogenesis treatment that could lead to a new drug treatment for ocular neovascularization. Menhaz Khan, MD University of Michigan Medical School Epigenetic of Retinoblastoma Jeffrey Tan, MD SUNY Downstate Medical Center Long-term Adverse Effects of Intravitreal Becvacizumab in Rat Model of Retinopathy of Prematurity Dr. Khan presented epigenetic treatment (modulation of gene expression without alteration of the DNA sequence) of retinoblastoma with hopes to develop molecularly targeted therapy. An increased expression of the histone methytransferase, EZH2, in human retinoblastoma samples has been shown. They also showed that inhibition of EZH2 with small molecule inhibitors lead to a selective cell-death of human retinoblastoma cell lines in vitro. Dr. James C. Fleming, University of Tennessee-Memphis, discussed this study and commented that since retinoblastoma is a genetically-based tumor that has recently been shown to be activated by an epigenetic mechanism. Dr. Kahn demonstrated that HZH2 is active in embryonic retina and is also an epigenetic modifier in retinoblastoma. The research forum concluded with a presentation by Dr. Jeffrey Tan. Intravitreal bevacizumab in rat model of retinopathy of prematurity has long term adverse effects that are potentiated by intermittent hypoxia. This is reflected in elevated vitreous and serum VEGF levels, decreased vitreous sVEGFR-1 levels, chronic hypercapnia, decreased weight gain, and retinal hemorrhages and vascular abnormalities. Dr. Jayakrishna Ambati, University of Kentucky School of Medicine, added that Dr. Tan’s study presented novel data that intravitreous injection of Avastin in neonatal rats can result in retinal and systemic organ toxicity. Future work focusing on using antibodies that, unlike Avastin, neutralize VEGF-A in rats, and using antibodies in doses that are similar to that used in human babies will yield valuable information about the safety of Avastin in retinopathy of prematurity. Another symposium is planned for the 50th Annual AUPO Meeting in Fort Lauderdale, Florida. Residents, fellows and medical students are urged to submit abstracts from their department. We usually average about 25 submissions but our number of abstracts increased this year. Research content should reflect ongoing or very recent research that has not yet been published or accepted for publication at the time of submission. Submission is open to residents, fellows, and to medical students (doing a full year of research). Abstracts do need to specify the percentage of “hands-on” effort by the trainee. Anyone interested in serving on the review panel or as a discussant at next year’s forum should contact the AUPO. Kabhilan Mohan, PhD University of Kentucky School of Medicine In Vivo Imaging of Retina Pigment Epithelium (RPE) Cell Death Using Caspase Targeted Fluorescent Probes Dr. Mohan proposed bio-imaging of the RPE to identify those RPE cells that are undergoing apoptosis. Dr. Mohan has proposed this work in vitro by linking an infrared fluorophore to a molecule that links this to the caspase molecules especially C3. If such a molecule was used in vivo, one could identify apoptotic mechanisms in age-related macular degeneration (AMD) and identify mechanistically, those cells at risk for dry AMD and geographic atrophy. Dr. Timothy W. Olsen’s, Emory University School of Medicine, discussion centered around the safety 12 S P RI N G 2 015 Association of University Professors of Ophthalmology Fellowship Compliance Committee AUPO FCC The AUPO FCC will enter its 10th year on May 1, 2015. The AUPO FCC compliance process is currently the best mechanism to assure fellow applicants that their potential program meets all educational requirements set by their subspecialty. All AUPO FCC participating programs are encouraged to maintain their compliant status by checking in with their current fellows. Please review the status of your fellow’s logs periodically; these logs are viewable online by signing into your AUPO FCC program account. To maintain compliance, it is important to ensure your program is meeting the minimum program requirements as outlined with your subspecialty society and the AUPO FCC. New applications are accepted online at http://www.aupofcc.org/ fellowships ; click on your subspecialty and review the subspecialty program requirements. The deadline to apply is May 1, 2015 for the 2015/2016 academic year. All eligible programs must meet the minimum requirements of the subspecialty to qualify for AUPO FCC compliant status. The Fellowship Match took place in December 2014. The statistics reveal that the number of applicants that apply to AUPO FCC compliant programs continues to increase from previous years. 2011 marked the first year that the number of matched positions to AUPO FCC compliant programs exceeded the number of positions matched to non-AUPO FCC compliant programs. This trend continued in 2012, 2013 and 2014, indicating that fellowship applicants are realizing the value of being in a compliant program. December 2014 Fellowship Match Statistics Cornea & External Disease 50 Pediatriac Ophthamology Glaucoma Surgical Retina Uveitis 30 20 62 Total # of positions offered 70 21 91 Total # of positions filled 65 16 81 Total # of vacancies 5 5 10 2008 2009 2010 2011 2012 2013 2014 *Neuro-Ophthalmology and Pathology/Oncology do not participate in the SF Match AUPO FCC Non-AUPO FCC Totals Total # of participating programs 48 7 55 Total # of positions offered 70 7 77 Total # of positions filled 60 4 61 Total # of vacancies 10 6 16 AUPO FCC Non-AUPO FCC Totals Total # of participating programs 42 0 42 Total # of positions offered 62 0 62 Total # of positions filled 47 0 47 Total # of vacancies 15 0 15 AUPO FCC Non-AUPO FCC Totals Total # of participating programs 55 46 101 Total # of positions offered 69 67 136 Total # of positions filled 66 52 118 Total # of vacancies 3 15 18 Uveitis 10 17 Retina 40 0 45 Pediatric Ophthalmology 60 Cornea and External Disease Total # of participating programs Glaucoma AUPO FCC Increased Program Participation in the SF Match Process AUPO FCC Non-AUPO FCC Totals AUPO FCC Non-AUPO FCC Totals Total # of participating programs 13 0 13 Total # of positions offered 16 0 16 Total # of positions filled 8 0 8 Total # of vacancies 8 0 8 AUPO FCC OFFERS: Educational standards Protection of institutions Accountability and Enforcement Protection of the public Protection of trainees Please let your residents know about the AUPO FCC process! For more information, visit www.aupofcc.org or send us an email at [email protected]. 13 AU P O N E WS & V I E WS SF Match Update by Dennis Thomatos Now in our 38th year of partnership with the ophthalmology residency match, the San Francisco Matching Program (SF Match) continues to engage program directors and applicants in improving the matching experience. In addition, the SF Match received useful suggestions for improvements and enhancements at the coordinator session at AUPO’s 2015 annual meeting. The recently completed ophthalmology matches both received high marks in customer satisfaction from applicants and programs. The residency match had 464 newly matched ophthalmology residents, the highest total since 1994. The match system worked well with improved download speed and a fully integrated application distribution portal. The SF Match is implementing the voluntary collection of applicant gender and race identification data for the January 2016 residency match. The data collection is planned for release in time for the next match registration process. Ophthalmology Residency Match Report — January 2015 Comparative Statistics Jan ’05 Jan ’06 Jan ’07 Jan ’08 Jan ’09 Jan ’10 Jan ’11 Jan ’12 Jan ’13 Jan ’14 Jan ’15 Total # of registrations 839 824 855 869 866 823 823 784 751 759 808 Total # of CAS participants 761 743 792 789 767 728 746 711 683 700 753 Total # of rank lists 596 620 648 639 654 630 622 595 583 611 644 Total # of applicants ranked 608 609 642 629 645 620 608 579 553 597 614 US Seniors 374 382 399 394 419 415 405 411 402 420 413 US Grads 35 38 25 27 24 13 26 26 33 23 34 IMGs 34 26 25 32 15 28 27 21 20 17 17 Total Matched: 443 446 449 453 458 456 458 458 455 460 464 No Match Applicants: 153 174 199 186 196 174 164 137 128 151 180 Overall 74% 72% 69% 71% 70% 73% 74% 77% 78% 75% 72% US Seniors 84% 86% 89% 87% 92% 91% 88% 90% 89% 91% 89% US Grads 8% 9% 6% 6% 5% 3% 6% 6% 7% 5% 7% IMGs 8% 6% 6% 7% 3% 6% 6% 4% 4% 4% 4% Offered 445 447 450 454 459 458 461 461 460 461 465 Filled 443 446 449 453 458 456 458 458 455 460 464 Left 2 1 1 1 1 2 3 3 5 1 1 Matched 229 230 231 232 235 236 237 238 239 242 243 No Match 213 215 215 212 212 210 214 220 222 226 228 Avg. applications per applicant 43 45 47 48 50 53 52 53 58 60 61 Avg. # offers per applicant 4.4 4.4 4.0 4.4 4.2 4.3 4.4 4.7 4.7 5 4.3 14 S P RI N G 2 015 AAMC Annual Meeting Report to AUPO by Stuart Fine, md “Communicating Science, Advancing Medicine” was the title of Alan Alda’s keynote address at the students are required to take the ten hour course. Alda wants all physicians and scientists to appreciate the importance of telling stories: patient to doctor and doctor to patient, investigator to grantor, scientist to philanthropist, department chair to grateful patient. I can attest that he knows how to tell a good story! A related seminar which emphasized the importance of clear communication was presented jointly by the chair of neurology at University of Cincinnati School of Medicine, the president of the university, and a representative from a philanthropic family foundation that has handsomely supported the department. Successful fund raising depends on developing a personal relationship between doctor and patient, listening to the patient’s story about her needs, discovering the goals of the potential donor, and communicating clearly and effectively about the needs and goals of the clinician, scientist, or educator for whom support is being requested. The philanthropist’s advice was succinct, “tell me what you need, tell me why, and tell me how you’re going to use the money.” He also mentioned the importance of top-level commitment from the leadership of the medical center and university. Several panelists emphasized the desirability of a full-time director of advancement who can engage donors and who can convince faculty that there is no conflict of interest in soliciting patients to support educational or research programs. It must be made abundantly clear that quality of care never depends on a gift. A competent advancement director will also teach doctors and scientists how to tell stories about what they do, what they dream of accomplishing, and what they need to realize their dreams. Dr. Lorris Betz, Senior Vice President Emeritus at University of Utah and outgoing chair of AAMC, spoke about disruptive behavior at academic medical centers. In one survey, 70% of interviewees reported witnessing disruptive behavior at least once a month. 25% acknowledged behaving badly. 60% of trainees had experienced harassment or disrespectful behavior. Perhaps not surprisingly, only 25% of students who had experienced harassment ever reported it. Betz emphasized that changing the culture at an academic institution requires that the issue be moved to the front burner and that faculty and staff that are not supportive should be encouraged to leave. The goal should be exceptional care for every patient, every time, at every point in the health care system. annual meeting of the Association of American Medical Colleges (AAMC) held in Chicago from November 7–11, 2014. The AAMC, headquartered in Washington, DC, lobbies on behalf of all US medical schools and teaching hospitals. Its activities include lobbying for support of NIH, graduate medical education positions supported by Medicare, and medical education at all levels. The annual meeting typically attracts about 4,000 attendees including deans and associate deans, hospital CEOs and COOs, department chairs and division chiefs, medical educators, and representatives of professional and academic societies and organizations. Similar to our AAO annual meeting, the AAMC annual meeting comprises keynote addresses, thought leader sessions, a variety of special interest meetings, topic-oriented lunch time discussions, educational and commercial exhibits, and scientific and educational posters. But back to Alan Alda, best known as a lauded actor of stage and screen and as Dr. Benjamin Franklin Pierce, aka Hawkeye, on the MASH series on TV. Perhaps less well known is that for 11 years, Alda hosted the PBS miniseries, “Scientific American Frontiers.” During that time, Alda traveled the world and interviewed nearly 7,000 scientists about their ongoing research. In 2003, while in a remote part of Chile, he developed severe abdominal pain. After a challenging and painful three-hour journey on a bumpy road to the nearest hospital, he was examined by a surgeon who saved his life. After evaluation, the surgeon explained that part of his insides had died and had to be cut out after which the two loose ends would be sewn back together. Despite his agony, Alda was able to respond, “Oh, so you’re going to do a bowel resection with an end-to-end anastomosis. I’ve done that operation many time . . . but on the TV set in Beverly Hills!” His conclusion was that despite the language barrier, that surgeon was able to explain to his patient simply, succinctly, and effectively what the problem was and what needed to be done. After recovering from that experience, Alda committed to a program to help physicians and scientists improve their communication skills. He believes strongly that improved patient care, improved public health, success in grant writing, and success in philanthropy all depend on effective communication. At present, Alda is leading a course at the Center for Communicating Science at Stony Brook where all medical continued on page 16 15 AU P O N E WS & V I E WS AAMC Annual Meeting Report to AUPO of telomeres in model systems provided essential information for understanding age-related degenerative diseases. The annual AAMC meeting should be of interest to any AUPO members and associate members who may be considering a future which involves a leadership position at an academic medical center. The 2015 meeting is scheduled for November 6–11 in Baltimore. I am grateful for the privilege of representing AUPO to this organization. continued from page 15 One thought leader session featured Carol Greider, PhD, the Daniel Nathans Professor and Director of Molecular Biology and Genetics at Johns Hopkins School of Medicine. Her topic was “How Basic Science Discoveries Lead to Clinical Impact.” Greider was a recipient of the 2009 Nobel Prize in Physiology or Medicine. Her talk described how the study AAMC Organization of Resident Representatives Update by Angela Bessette, md and Basil K. Williams, Jr., md As the ophthalmology representatives Empowered/Engaged Patients — These talks focused on thinking about the changes in medical education that would be helpful in preparing for a new type of patient, one who is very well-educated on their disease process via the internet and other more readily available materials. This conversation was still in the development stage, and the primary message was to alert physicians that this patient population is rapidly increasing. Internet-Based Education — Representatives from the Khan Academy discussed their expanding array of videos including educational videos of different patient diagnoses. These videos are available for patients in a language simplified for easier understanding. This would allow patients to have an additional education resource and may provide additional time for patient-physician interaction by reducing the time required for educating the patient. This then prompted a discussion of how medical education can be revolutionized by having many of the basic topics taught in medical school broken down into internet based video modules that could be standardized. This would also reduce the amount of lecturing time by faculty members and would potentiate a more interactive classroom. While far from being implemented, the concept is definitely interesting and will likely be a large part of discussion on medical education reform in the near future. We look forward to learning more at the spring meeting, and will continue to keep you apprised of the latest developments. Thanks again for the nomination! to the Association of American Medical Colleges (AAMC) Organization of Resident Representatives, we wanted to thank AUPO for nominating us and to provide a summary of the AAMC Annual Fall Meeting for 2014. The conference in Chicago was an extremely educational experience. It started with the resident representatives meeting to discuss the role of the organization and to provide some background on the hot button topics for discussion in the AAMC. The remainder of the conference focused on a wide variety of topics, including the following: Medical Student Mistreatment — This has been an important topic over the past year after the data came back for the end of medical school survey in 2013 indicating that 47% of medical students reported some form of mistreatment. There was a discussion about the ways to reduce this via education of students, residents, and faculty members. There is a push to gather more data to determine when students may be noticing this (is it on rotations where they are sleeping less and are more stressed, for example). After further discussion and analysis of data, there will be a discussion of the plan for improvement in the spring meeting. Resident Education — Given that greater than 70% of medical student education (during the clinical years) is reported to be done by residents and fellows, there was discussion of the importance of training residents and fellows to be better teachers and communicators. This is still in the early stages of development, but there is some thought being given to build this area of the training curriculum. 16 S P RI N G 2 015 Celebrating Commitment to YOs and Advocacy Dr. Daniel J. Briceland, Academy senior secretary for advocacy, recognized Wills Eye Hospital and its leadership, Dr. Julia A. Haller and Dr. Tara A. Uhler, as the Academy’s inaugural Commitment to Advocacy award recipient during the January 2015 AUPO Annual Meeting in Tucson, AZ. “Wills has been with us from the start in engaging residents and fellows in advocacy-related efforts,” noted Dr. Briceland. “Our Secretariat for State Affairs implemented this award to recognize a training program and its leadership for demonstrating commitment to the Academy’s Advocacy Ambassador Program and partnership with state and subspecialty societies.” Leadership at Wills has been supportive of the Advocacy Ambassador Program since its inception and has annually supported the attendance of 2–4 residents at the Mid-Year Forum via the Advocacy Ambassador Program. Wills has also demonstrated consistent follow-up with its Ambassadors, ensuring ‘podium time’ to present Mid-Year Forum and Congressional Advocacy Day experiences as well as submission of articles by Wills-supported Ambassadors that have been published in YO Info™, the Academy’s monthly electronic newsletter for young ophthalmologists. AUPO Chair Mentoring Program The AUPO Board of Trustees has established a mentoring program for chairs or about-to-be chairs. Mentoring is an important element in the academic way of life and is currently mandated in many universities. A mentor provides his or her mentee with advice, guidance, perspective, wisdom, counsel and perhaps even inspiration. Chairs and about-to-be chairs are invited to participate in AUPO’s Chair Mentoring Program. Participation should last approximately two years for each mentee. Mentors include retired chairs who have been presidents of AUPO. If you are interested in having a mentor, please contact Lisa Brown at [email protected]. 17 AU P O N E WS & V I E WS Association of University Professors of Ophthalmology Straatsma Award for Excellence in Resident Education CALL FOR NOMINEES Description of the Award: The Straatsma Award for Excellence in Resident Education (the “Straatsma Award”) was established through the generosity of the American Academy of Ophthalmology (AAO), the Association of University Professors of Ophthalmology (AUPO) and private funds to recognize and celebrate an outstanding Program Director in ophthalmology. The award carries the name and honors the accomplishments of Bradley R. Straatsma, M.D., J.D., former Chairman of the Department of Ophthalmology at UCLA and former Director of the Jules Stein Eye Institute. The award will be presented annually at both the Annual Meetings of the AAO and of the AUPO and will carry a cash prize. Criteria for Nomination: Nominees for the Straatsma Award must fulfill the following criteria: • Be an Associate Member of the AUPO and a Member or Fellow of the AAO • Have served as a Program Director at an ACGME-accredited AUPO member program for a minimum of 3 years • Currently serve as the Program Director • Embody the qualities of: • Commitment to resident education • Dedication to the residency training process • Active engagement in program leadership • Innovation in and/or advancement of residency education in Ophthalmology at the Regional, National or AUPO level • Be the consummate teacher/mentor/advisor Special consideration in the selection process will be given: • In recognition of current activities, not simply to length of service or to contributions made many years previously • To nominees who have published in peer-reviewed literature on subjects related to residency education • To innovative work • To those who have achieved a leadership role in medical education • To achievement in mentoring other educators/future educators Nomination Process: • Candidates must be nominated by their Department Chair • The Application Packet must include the following items: • A letter (not to exceed three pages) from the Chair summarizing the Nominee’s special qualifications for the Award and verifying that, if awarded (10 pt. font or greater) • The cash prize will be awarded directly to the Awardee and not counted against normal compensation or deposited in department accounts • The Awardee will attend both the Annual Meetings of the AAO and of the AUPO to receive the Award • Two (2) supporting letters (each not to exceed two pages) from faculty, current residents, or past residents who trained under the Nominee (10 pt. font or greater) • A copy of the Nominee’s current Curriculum Vitae (10 pt. font or greater) • A signed letter from the Nominee (not to exceed two pages) summarizing the Nominee’s accomplishments as Program Director and plans for future activities. The Nominee must also agree in the letter to address the Program Director’s Meeting at the AAO and AUPO Annual Meetings on a topic(s) related to residency training if chosen as the Awardee (10 pt. font or greater) • The completed application packet must be compiled by the Department Chair and received by the AUPO office by Thursday, April 30, 2015, at: AUPO 655 Beach Street San Francisco, CA 94109 • All completed applications will be reviewed by a Selection Committee and a recommendation forwarded to the AUPO Board of Trustees for approval and subsequently to the Senior Secretary for Education of the AAO for approval. • The Awardee will be notified by July 15, 2015. 18 S P RI N G 2 015 Association of University Professors of Ophthalmology AUPO/AAO Award for Excellence in Medical Student Education CALL FOR NOMINEES Description of Award: The AUPO/AAO Award for Excellence in Medical Student Education will provide national recognition for an outstanding medical student educator on an annual basis. It is established through funding from the Association of University Professors of Ophthalmology (AUPO) and the American Academy of Ophthalmology (AAO). The award will be presented annually and will carry a cash prize. Criteria for Nomination: Nominees for the Excellence in Medical Student Education Award must fulfill the following criteria: • Be an associate member of AUPO and a member or fellow of the AAO • Have served as a medical student educator at an ACGME-accredited AUPO member program for a minimum of two years. • Currently serve as the medical student educator. • Embody the qualities of: commitment to medical student education; dedication to the medical student education training process; active engagement in medical student education program leadership; innovation in and/or advancement of medical student education in Ophthalmology at the Regional, National or AUPO level; a consummate teacher/mentor/advisor. • Special consideration in the selection process will be given: in recognition of current activities, not simply to length of service or to contributions made many years previously; to nominees who have published in peer-reviewed literature on subjects related to medical student education; to innovative work; to those who have achieved a leadership role in medical education; to achievement in mentoring other educators/future educators. Nomination Process: • Candidates must be nominated by their Department Chair • The Application Packet must include the following items: A letter (not to exceed three pages) from the Chair summarizing the Nominee’s special qualifications for the Award and verifying that, if awarded; The cash prize will be awarded directly to the Awardee and not counted against normal compensation or deposited in department accounts; Two supporting letters (each not to exceed two pages) from faculty, current medical students, or past medical students who trained under the Nominee; A copy of the Nominee’s current Curriculum Vitae; A signed letter from the Nominee (not to exceed two pages) summarizing the Nominee’s accomplishments as Medical Student Educator and plans for future activities. The Nominee must also agree in the letter to provide a presentation at one or both Annual Meetings of AUPO and AAO on a topic(s) related to medical student education training if chosen as the Awardee. • The completed application packet must be compiled by the Department Chair and received by the AUPO office by Thursday, April 30, 2015, at: AUPO, Attention: Amber Mendez, 655 Beach Street, San Francisco, CA 94109 • All completed applications will be reviewed by a Selection Committee and a recommendation forwarded to the AUPO Board of Trustees for approval and subsequently to the Senior Secretary for Education of the AAO for approval. • The Awardee will be notified by July 15, 2015. 19 AU P O N E WS & V I E WS AUPO Annual Meeting 2015 Board of Trustees. Back Row, Left to Right: Paul Sternberg, Keith Carter, Russell Van Gelder, Oscar Cruz; Front Row, Left to Right: Bartly Mondino, Eduardo Alfonso, Julia Haller, Steven Feldon Resident & Fellow Research Forum Winners. Left to Right: Kabhilan Mohan, Ana Bastos-Carvalho, Jeffrey Tan, Mehnaz Khan President, Eduardo Alfonso; EVP, Steven Feldon; Chair of AUPO FCC, John Keltner President, Eduardo Alfonso and EVP, Steven Feldon President, Eduardo Alfonso; EVP, Steven Feldon; Immediate Past EVP, Bartly Mondino Meeting Attendees. Left to right: Keith Carter, Belinda Seto, Paul Sieving 20 Immediate Past EVP, Bartly Mondino S P RI N G 2 015 21 AU P O N E WS & V I E WS AUPO – NEW MEMBER UPDATES CHAIR Damji, Karim Hatfield, R. Mark Mauffray, Randy University of Alberta Marshall University San Antonio Uniformed Services Health Education* Edmonton, AB Huntington, WV San Antonio, TX Texas A&M University, Scott & White University of Illinois at Chicago San Antonio Uniformed Services Health Education* Temple, TX Chicago, IL San Antonio, TX University of Michigan University of Southern California, Eye Institute University of Utah School of Medicine University of Illinois at Chicago Geisinger Medical Center Ann Arbor, MI Los Angeles, CA Salt Lake City, UT Chicago, IL Danville, PA PROGRAM DIRECTOR Lao, Kenneth C. Mieler, William F. Steigleman, Walter A. RESEARCH DIRECTOR Gardner, Thomas W. Humayun, Mark S. Marc, Robert E. Shahidi, Mahnaz Vrabec, Tamara MEDICAL STUDENT EDUCATION DIRECTOR Desai, Komal B. Kelly, Lisa D. Richa, D. Chimene Wu, Albert Y. University of Missouri University of Cincinnati University of Maryland Icahn School of Medicine Kansas City, MO Cincinnati, OH Baltimore, MD New York, NY UAO — ADMINISTRATOR Bailey, Virginia Barker, James Bartelle, Jenny Chapman, Bettie Chastain, Shelly Delio, Michele Fritz, Traci Graben, Lisa Harrington, Marsie Hillstead, Coy Ko, Kevin Loiacono, Salvatore O’Neal, Matthew Shaw, Heather Stiles, Deanna University of Tennessee, Memphis Upstate Medical University Children’s Hospital of Philadelphia Marshall Health Yale University Weill Cornell Medical College Children’s Eye Care University of Illinois, Chicago Indiana University University of Minnesota University of Illinois, Chicago Icahn School of Medicine at Mt. Sinai University of North Carolina Washington University University of Arkansas *Consortium 22 Memphis, TN Syracuse, NY Philadelphia, PA Huntington, WV New Haven, CT New York, NY West Bloomfield, MI Chicago, IL Indianapolis, IN Minneapolis, MN Chicago, IL New York, NY Chapel Hill, NC St. Louis, MO Little Rock, AR S P RI N G 2 015 FACULTY POSITIONS AVAIL ABLE FEBRUARY 2015 For the most complete, up-to-date listing of faculty positions, with full descriptions, please visit the “Faculty Positions” section at www.aupo.org. Baylor College of Medicine, The Cullen Eye Institute Department of Ophthalmology Glaucoma Faculty Position Queen’s University, School of Medicine, Hotel Dieu Hospital Department of Ophthalmology Academic Surgical Retina & Vitreous Specialist Pediatric Ophthalmologist Drexel University College of Medicine Department of Ophthalmology Comprehensive Ophthalmologist Retina and Vitreous Surgeon State University of New York at Buffalo Ross Eye Institute Vision Scientist Houston Methodist Hospital, Department of Ophthalmology Jack S. Blanton, Sr. Eye Institute (Blanton Eye Institute) Glaucoma Faculty Position The Ohio State University, Wexner Medical Center The OSU Havener Eye Institute Vitreo-Retinal Surgery Indiana University School of Medicine Eugene & Marilyn Glick Eye Institute Cornea/External Disease Subspecialist Retina/Vitreous Oculoplastics/Reconstructive Surgery Tufts University School of Medicine Tufts Medical Center, New England Eye Center Pediatric Ophthalmologist University of Kansas Department of Ophthalmology Medical and Surgical Vitreoretinal Specialist Loyola University Medical Center Department of Ophthalmology Vitreo-Retinal Specialist University of Michigan Health System The Kellogg Eye Center Academic Cornea Clinician-scientist, Full-time Glaucoma Specialist Faculty Position, primary responsibility providing ROP exams LSU Health Sciences Center Department of Ophthalmology Villere Endowed Chair New York — Presbyterian Weill Cornell Department of Ophthalmology Attending Position in Glaucoma University of Missouri Department of Ophthalmology Pediatric Ophthalmologist — Academic Vitreo-Retinal Specialist Northwestern University, Feinberg School of Medicine Department of Ophthalmology Physician Scientist Assistant/Associate Professor University of Pittsburgh Medical Center/UPMC Eye Center Department of Ophthalmology Ophthalmic Hospitalist Ochsner Health System Ochsner Medical Center, Department of Ophthalmology Retina Specialist Walter Reed National Military Medical Center Ophthalmology Department Pediatric Ophthalmologist Penn State College of Medicine/ Penn State Hershey M. S. Hershey Medical Department of Ophthalmology Cornea/External Disease Specialist West Virginia University School of Medicine WVU Eye Institute BC/BE Cornea/Refractive Specialist 23 AU P O N E WS & V I E WS AUPO Board Meeting Highlights January 28, 2015 Added a requirement to the Resident and Fellow Research Forum criteria requiring that a member or associate member from the winners’ institutions be registered for and attend the annual meeting. Upheld the standing policy that fellowships should not start before July 7th; exceptions should be submitted in writing and must be worked out between residency and fellowship programs on a case-by-case basis. Established an August date for the next strategic planning and board meetings. Requested that optional gender and race questions be added to the residency match application. Updated the mailing label and listserv use policies. Approved a policy, form and procedure for requests for use of SF Match ophthalmology data. Approved concepts for celebrating and commemorating AUPO’s 50th anniversary in 2016. Identified a list of cities/states for future annual meeting sites. Identified initial topic ideas for 2016 annual meeting symposia and workshops. Approved a redesign of AUPO’s web site. Approved the fiscal year 2015 budget. Supported replacing the print directory with an online directory. Approved a contribution to NAEVR/AEVR. Annual Business Meeting Highlights Bylaws Amendment January 30, 2015 Approved January 30, 2015 The members: At the annual business meeting held on Friday, January 30, 2015 an amendment to Article III, Section 3, allows for Associate Program Directors to join AUPO as non-voting associate members beginning with the next dues cycle. Additional information will be sent to member programs about this change. Recognized Dr. Bartly Mondino for the conclusion of his 10-year tenure as Executive Vice President. Approved new members and associate members. Approved a bylaws revision to Article III, Section 3.2 adding Associate Program Directors as a new Associate Member category. 3.2 Associate Members There are three four classes of Associate Members: program directors, associate program directors, research directors, and medical student educators. Elected Dr. Oscar Cruz to the position of President-Elect with a term effective April 1, 2015. 3.2.2 Associate Program Directors Associate members may also include associate program directors who are ophthalmologists who apply for such membership, whose department or division head is a Member of the Corporation, and whose program director is recognized by the ACGME as the “responsible party” and is an Associate Member of the Corporation. Associate program director Associate Members may not be the head of their department or division. Elected Dr. Paul Lee to the position of Trustee-at-Large with a term effective April 1, 2016. Noted that members are invited to assist the 50th Anniversary Committee with celebration planning. 24 S P RI N G 2 015 THINGS YOU SHOULD KNOW Compensation Survey $25 late fee must accompany payments made after January 1. Members who pay their dues by December 31 qualify for the members’ reduced registration rate for the following annual meeting. UAO dues payments can be made by check payable to University Administrators of Ophthalmology, or by credit card via the secure UAO website. UAO is only able to accept credit card payments via member log in at the website. A membership renewal form and a new member application form can be found on the UAO web site: http://www.uao-aupo.org. UAO dues payments made by paper check should be mailed to the UAO treasurer: The results of the 2012 AUPO compensation survey are available for purchase. To order the report, please contact the AUPO office for an order form. The signature of the Department Chair as confirmation of knowledge of the request for the report and agreement to maintain confiden tiality is required. Contact AUPO at [email protected] or call (415) 561-8548. Dues News Larry McGranahan UAO Membership Ophthalmology and Visual Sciences 200 Hawkins Drive 11136 PFP Iowa City, IA 52242-1091 Not sure if your dues have been paid? Please log in using the My Profile link located in the membership section of the AUPO website or contact Ket Tapia ([email protected]) to confirm your current status. Renewing AUPO Members and Associate Members may pay dues using either a Visa, MasterCard, or check. Online dues renewal is encouraged! To pay online log in at My Profile located on the Membership page of the AUPO website. Please contact the AUPO office at (415) 561-8548 if you need to reset your username and/or password. Don’t Forget to Pay Your Dues! Member Records Please keep our records current by submitting updates at any time by sending an email to Ket Tapia ([email protected]). As always, the accuracy of our records is dependent upon information supplied by the membership. Keep AUPO and UAO informed of changes! Associate Membership Status is currently available for Residency Program Directors, Directors of Medical Student Education and Directors of Research. Please call the AUPO office at (415) 561-8548 for an application, if your staff in these positions are not currently AUPO members. AAO Ophthalmology Job Center University Administrators of Ophthalmology (UAO) Are you familiar with the Academy’s Ophthalmology Job Center? This is a great resource for your recent graduates to post their résumé and make it easy for employers to find them. Visit the Academy’s web site at http://www.aao.org/ ophthalmologyjobcenter/index.cfm. According to the UAO Bylaws, membership dues are payable between January 1 and December 31 of each year. A 25 AU P O N E WS & V I E WS HEED OPHTHALMIC FOUNDATION RESIDENTS RETREAT September 28–29, 2015 Chicago, Illinois The Heed Ophthalmic Foundation (HOF), in conjunction with the American Ophthalmological Society (AOS) and Research to Prevent Blindness (RPB), will co-sponsor the 10th annual Heed Foundation Residents Retreat on September 28 and 29, 2015 at Loews Chicago O’Hare Hotel in Rosemont Illinois, a 10 minute shuttle ride from O’Hare airport. Thirty-five residents nominated by their department chairs and residency program directors and 25 faculty including recent K-awardees, mid-career and senior faculty will gather for two half-days to discuss careers in academic ophthalmology. During the informal sessions, residents will mingle with academic ophthalmologists just a few years their senior to learn about how young faculty members made the transition from trainee to academician. Department chairs and residency program directors are encouraged to nominate one or two residents from their programs who have the talent and desire to pursue a career in academic ophthalmology. The application consists of three parts: a letter of recommendation from the department chair, the resident’s biosketch (in NIH or narrative format, not to exceed two pages), and a personal statement from the resident describing his/her career goals. Please include email addresses for both the nominator and the resident. Seven individually collated hard copies of the application should be submitted to Stuart L. Fine at the address listed below. Please use paper clips, not staples, when collating the pages of each application. Stuart L. Fine, MD 7 Graylyn Place Court Winston-Salem, NC 27106 Nominations are reviewed and nominees are selected by the Heed Foundation Directors. Each year, the Heed Directors regret that many worthy nominees cannot be invited because of budgetary constraints. The 2015 HOF budget will allow 35 residents from 35 different programs to be supported. For the 2015 Retreat, the Directors agreed to allow a second resident from up to five programs to attend if their chairs agree to fund all travel-related, hotel, and meal expenses and if their evaluation scores are at a fundable level. For those programs nominating two residents, please indicate in the chair’s recommendation letter, your willingness to fund a second resident. Nominees and their chairs will be notified in June 2015. Nominations may be submitted at any time from now through April 15, 2015. The Heed Foundation, www.Heed.org, is grateful to the AUPO chairs and residency program directors for their continuing support of the Heed Foundation Residents Retreat. Questions should be submitted to [email protected] with a copy to [email protected]. 2015 ANNUAL MEETING SURVEY RESULTS How did this meeting compare to previous AUPO meetings you have attended? 43.3% What is your overall evaluation of this AUPO Annual Meeting? 40.7% 34.2% 28.9% 16.1% 13.3% 5.4% 2.7% Excellent Above Average Average 15% Excellent Below Average 26 Above Average Average Below Average N/A S P RI N G 2 015 Join National Eye Health Education Efforts with NEHEP The National Eye Health Education Program (NEHEP) was established by the National Eye Insti- vision loss and blindness. As a NEHEP Partnership organization, AUPO and its members are encouraged to share eye health information with faculty, ophthalmology students, and patients. NEHEP offers a wide variety of resources, including teaching tools and presentations, patient brochures, social media resources, webinars, research findings, videos, animations and more. One especially useful resource is a new eye exam animation, which shows a comprehensive dilated eye exam from the doctor’s point of view. Visit the NEHEP website at www.nei.nih.gov/NEHEP to find these resources and to sign up for Outlook, the NEHEP e-newsletter. You can also follow NEHEP on Facebook and Twitter to stay updated on current eye health education information. tute to translate eye and vision research into public and professional education programs. Through its five key program areas — glaucoma, diabetic eye disease, vision and aging, low vision, and ¡Ojo con su visión! (Watch out for your vision!, its Spanish-language program) — NEHEP develops and disseminates science-based eye health education resources and materials designed to raise awareness about the importance of early detection of eye disease and also the benefits of vision rehabilitation. More than 65 national nonprofit, academic, civic and fraternal organizations comprise the NEHEP Partnership and work in collaboration to educate people at higher risk for Election Results Effective April 1, 2015 Congratulations to the following Members, Associate Members, and Administrators that will begin leadership positions April 1st! Board of Trustees Oscar Cruz, MD — President-Elect Roger Steinert, MD — Trustee-at-Large Program Directors Council Evan “Jake” Waxman, MD, PhD — Member-at-Large Laura K. Green, MD — Member-at-Large Research Directors Council Patricia D’Amore, PhD — Member-at-Large Medical Student Educators Council Susan Forster, MD — President Rukhsana Mirza, MD — President Elect Emily B. Graubart, MD — Member-at-Large Prithvi Sankar, MD — Member-at-Large Administrators Board Jenny Hinebaugh Craig Kishaba 27 SAVE THE DATE! AUPO 50th ANNIVERSARY annual meeting JANUARY 27–30, 2016 MARRIOTT HARBOR BEACH RESORT & SPA FORT LAUDERDALE, FLORIDA AUPO Executive Vice President and Editor Steven E. Feldon, MD, MBA President Eduardo C. Alfonso, MD President-Elect Julia A. Haller, MD Past President Steven E. Feldon, MD Trustees Keith D. Carter, MD Oscar A. Cruz, MD Paul Sternberg, Jr, MD Russell Van Gelder, MD Send feature articles and correspondence to: Steven E. Feldon, MD, MBA University of Rochester School of Medicine & Dentistry Flaum Eye Institute 601 Elmwood Ave, Box 659 Rochester, NY 14642 Ph: (585) 275-1126 E-mail: [email protected] Associate Editor John P. Meade, MPH Send announcements, association news, and address changes to: AUPO Administration Office 655 Beach Street San Francisco, CA 94109 Ph: 415.561.8548 Fax: 415.561.8531 E-mail: [email protected] Production Gina Minato AUPO Administration Office E-mail: [email protected]