AAOS DIVERSITY ADVISORY BOARD MINUTES

DRAFT

Issued: August 5th, 2008

Date of Meeting: June 27th, 2008

Location: AAOS Headquarters

Rosemont, IL

Prepared by: Tricia Arnold, Maureen Geoghegan, and Monica Baum

Attendees:Diversity Advisory Board

Richard Haynes, MD, Chair, Toni McLaurin, MD,Melvyn Harrington, MD, William Martin, III, MD, James Hill, MD, Daryll C. Dykes, MD, PhD, Laura Gehrig, MD, Patrick Hutton, MD, MBA, Alberto Bolanos, MD, and Norman Otsuka, MD

Teleconferenced Guest: Ramon Jimenez, MD

Staff

Lewis Jenkins, Tricia Arnold, Maureen Geoghegan, and Monica Baum.

Cc: Kimberly Templeton, MD, Raj Rao, MD, Darryl Peterson, MD, Valrae Lewis, MD, Daneca DiPaolo, MD, Richard Grant, MD, and Amy Ladd, MD

Dr. Richard Haynes called the meeting to order at8am CT.

Introduction of New Members and Attendees

The chair introduced new and old members of the Diversity Advisory Board and discussed the open positions.Dr. Haynes welcomed Dr. Norman Otsuka as the newly appointed Liaison to the Council on Education.

Dr. Haynes emphasized the importance of focusing on measurable outcomes for all current and future DAB projects and initiatives. He stated that project teams will be established and empowered to move initiatives forward.

Dr. Haynes reviewed the disclosure and attestation policy, encouraging all DAB member to update their information on the Academy’s disclosure web page.

ACTION:

Staff will provide a monthlyregular updates to DAB members outlining current and future project statuses. Dr. Haynes encouraged member participation on future update calls with staff.

Zimmer/DOJ Update

Dr. Haynes encouraged DAB members to explore industry sites to see first hand the actions taken by industry after the Department of Justice proceedings. Funding is still being withheld by Zimmer as they organize a system in which a third party will be responsible for dispersing grant funds. Dr. Haynes encouraged the members of the DAB to pursue funding from industry as all the device companies seem to be reacting to the proceedings on an individual basis.

2009 Budget

Staff provided DAB members with a budget recap for the current year, as well as a proposed budget for 2009, in preparation for next year’s budgeting process. The group discussed the negative impact the lack of grant funding has on the DAB’s project initiatives.

ACTION:

Dr. Otsuka to review the proposed 2009 budget prior to submission on August 1st.

DAB Positions

At the February 2009 Annual Meeting, the DAB will welcome 3 new members-at-large, 1 new Resident member, and a possible ad hoc appointment representing LFP.

ACTION:

All DAB members were asked to recruit and recommend qualified cohorts to apply for open positions on the CAP. Staff will distribute a list of LFP members to DAB for recruitment efforts.

Staff will update the DAB roster to reflect term dates and limits for each member.

Diversity Award 2009

Staff provided DAB members with a schedule of next steps for the scoring and selection of the 2009 Diversity Award Winner. Nomination booklets were sent out to all DAB members for review.

ACTION:

DAB members will return the scoring sheets to staff by 7/14/08, and staff will compile all scores and return them to the group by 7/21/08. All will participate on a conference call set for 7/30/08 at 8PM CT to discuss the scores and recommended ranking of the Diversity Award nominees.

Academy Position Statement

ACTION:

Drs. Gehrig, Hutton, and Martin accepted the task of developing an

AAOS position statement on Diversity and Culturally Competent Care.

ACTION:

Staff will distribute sample position statements to that project team and investigate the AAOS policy for reviewing and adopting new position statements.

WHIAB Relations and Advertising Campaign

Dr. Haynes reviewed the WHIAB’s charges with all DAB members.All agreed that the WHIAB and DAB have distinct and important charges.

Dr. Haynes presented the planned joint venture of the DAB, JRGOS, RJOS, and the WHIAB for anadvertising campaign (that is now being referred to as a Unity Campaign). The campaign’s purpose is to recruit underrepresented individuals into the field of orthopaedics, while promoting the organizations’ mentoring programs.

Liaison Reports

Communications Cabinet:Dr. Dykes was tasked, as liaison to the Communications Cabinet, with encouraging the inclusion of diversity-related issues and articles in AAOS Now.

Council on Research, Quality Assessment, and Technology:Dr. Lewis was tasked with encouraging the council to address existing healthcare disparities, take registries of often neglected questions for better patient data representation for further disparity analysis.(????????? doesn’t quite make sense & I don’t have notes on it).

The group was challenged to find ways to encourage AAOS publications and courses to address health disparities within the context of clinical education (JAAOS, ICL presentations, etc.).

Council on Education: The DAB tasked Dr. Otsuka with finding ways for culturally competent care issues and education to be included in Academy courses and publications.

ACTION:

Staff will provide Course Operations staff with the schedule of CCC grand rounds presentations to encourage course directors to attend.

Staff will provide Dr. Otsuka with existing AAOS course director/editor/author instructions.

Staff will promote the culturally competent care ICL (at Annual Meeting ’09) to educators and course directors.

Council on Advocacy: Dr. Martin gave a brief update and will continue his efforts in developing an Advocacy workshop for the Board.

ACTION;

Staff will provide DAB liaisons with business plan summaries/DAB responses as examples for how to incorporate diversity- and CCC-related issues into existing or proposed AAOS activities.

CCC Business Plan

Dr. Jimenez joined the DAB meeting by conference call.Members outlined key states that represent the best opportunities for implementation of the CCC business plan. Among the most highly considered states are New Jersey, Washington, and California.

ACTION: Drs. Jimenez, Hutton, and Haynes accepted the task to continue development of the business plan and submit it to the Finance Committee for review by 7/28/08.

DAB members discussed the CCC material format and distribution options.Following a short review of CCC-related state legislation, DAB members expressed interest in including the information in the formal business plan. DAB members discussed possible revisions to the CCC content to make it less specialty specific and thus more marketable to healthcare providers in general.

ACTION: Staff will procure cost estimates for converting the existing CCC material to online format. Staff and project team will revise the CCC business plan accordingly.

ACTION: A conference call scheduled 7/18 will be used to review the revised business plan. The revised plan shall include scenarios for online only availability and physical product.

DAB members reviewed a purchase request from a California insurer, Cooperative of American Physicians, for CCC tip sheets.

ACTION: Staff will calculate an acceptable sale price for the tip sheets and continue correspondence with the Cooperative of American Physicians, Inc.

Native American Project

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Drs. Martin and Gehrig previously expressed the desire to conduct research on the nature of the problem in order to write an article to submit to a peer-reviewed journal. Dr. Martin provided a status update on the Native American Project. Dr. Gehrig presented articles on Native American Healthcare and the prevalence of diabetes.

ACTION: Drs. Gehrig and Martin accepted the charge to determine the next steps regarding the Native American Project.They will consider next steps for drafting articles for JAAOS or AAOS Now regarding the lack of existing patient research on Native Americans.

CCC ICL

DAB members briefly reviewed the ICL submitted for Annual Meeting ’09 with Dr. Lewis as moderator. Dr. Haynes emphasized the need for effective promotion and communications prior to the course to encourage attendance.

Residency Tour

ACTION:

Dr. Haynes tasked each DAB member to present at a local residency or regional association, or to piggyback the CCC presentation onto a scheduled clinical presentation. In locations without a nearby DAB member, DAB members were tasked with recruiting viable candidates to be trained and present CCC materials in those areas.

Staff will continue to coordinate the scheduling and execution of these events.

AAOS NOW Articles

ACTION: All DAB members accepted the task to brainstorm and author diversity- related articles to be included in the AAOS NOW.

SNMA

Dr. McLaurin provided a brief update on the events of New York’s 2008 SNMA conference. A brief discussion for 2009’s SNMA in New Orleans followed.

ACTION: Drs. McLaurin and Peterson were tasked to aid in planning and attend SNMA 2009 in New Orleans.

Orthopaedic Internship

DAB members discussed the current state of the outlined internship program. Required funds are approximated at $16,000.

ACTION: Drs. Harrington, Rao, and Rodriguez were tasked with further developing the orthopaedic summer internship program possibly incorporating it more fully into the Academy’s pre-existing mentoring program.

New Business

Research

ACTION:

Staff will schedule and plan focus groups at Annual Meeting ’09 and SNMA ’09 as a follow-up to previous research regarding orthopaedic workforce and recruitment issues.

Commission to End Health Disparities

As part of the DAB’s outreach goal, Dr. Hutton proposed that the AAOS sign on to be a part of the AMA’s commission to End Health Disparities.

ACTION:

Dr. Hutton to determine what is required of a specialty society to sign on to this program and when the next meeting will be held.

Future Meeting Schedule

The next meeting date for the DAB is tentatively scheduled for Thursday, February 26th, 2009, directly following the JRGOS Luncheon. A tentative date was set for the next summer DAB meeting on Friday, June 26th, 2009.

The Diversity Award lunch was tentatively scheduled for Saturday, February 28th, 2009.

Project Teams

The following project teams were assigned. All were encouraged and empowered to keep projects flowing and making progress, in alignment with the DAB’s charges, mission, vision, and goal areas.

Position Statement:Drs. Lewis, Martin, Gehrig, Hutton

Mentoring/Internship:Drs. Harrington, Rao, Rodriguez

SNMA: Drs. McLaurin, Peterson, Haynes

Residency Tour:Drs. Lewis, Dykes, Otsuka

Diversity Economics:Drs. Dykes, Bolanos

Budget:Dr. Otsuka

Unity Campaign:Drs. Dykes, McLaurin

CCC Business Plan:Drs. Jimenez, Hutton

The meeting was adjourned at 3 pm CT.