VOLUME 33, ISSUE 1

Scott E. Kercheville, M.D.

ASA District Director, District 19 Texas
San Antonio, TX

ASA Director, District 19 Texas
Annual Report - October 2020

Anesthesiology 2020, the 1st Virtual Annual Meeting for the American Society of Anesthesiologists was held online from October 2nd to 5th. There were 13,451 registrants, which was considerably higher than projected and budgeted when planning for this event and was attributed to the reduced registration fee for the CME activities in the ongoing pandemic situation.

The TSA Delegation to the ASA Annual Meeting met virtually on the evening of September 30th with activities concentrated on the discussion of the House of Delegates (HOD) Handbook reports. Drs. Scott Kercheville (Director) and Crystal Wright (Alternate Director) conducted the meeting, but the individual Reference Committees had previously been assigned for presentation to facilitate the various reports and expedite the proceedings. Assignments were as follows:

Administrative Affairs – Drs. C. Nicholas Lee & Jose M. Soliz
Professional Affairs – Drs. Amr E. Abouleish & Christopher R. Cook
Scientific Affairs – Drs. Michael R. Hicks & Stacey L. Norrell
Finance – Drs. Crystal C Wright & Austin D. Street

For those Texans in the Western Caucus, there was a meeting of the 14 component delegations on Thursday night (October 1st) before the Annual Meeting. The California Component and outgoing Western Caucus Chair, Dr. Linda Hertzberg (Director, CA) hosted it utilizing their Zoom account. Dr. Crystal Wright served as Vice-Chair and Dr. Brian Mitchell (Alt. Director, OR) served as Secretary. Due to term limit rules within the Caucus and member retirements, in addition to the usual presentations and discussions of the HOD Handbook, there was an election of a new slate of Caucus Officers. Dr. Wright was unanimously elected as Western Caucus Chair.

The Annual Meeting began formally on Friday evening, October 2nd with a welcome by Dr. Mary Dale Peterson, ASA President (TX). There was a virtual invocation by Father Pete Elizardo from the Corpus Christi Cathedral, the home parish of Dr. Peterson. What followed next was a powerful and emotional speech recounting her year of unexpected challenges and upended schedules. She stated that after all was said and done, she wouldn’t have had it any other way!

There was a featured speech by Chancellery Minister Helge Braun, “the highest-ranked serving anesthesiologist in the world” who detailed his work in the time of the pandemic as the Federal Minister of Special Affairs in the GDR (Germany). The members also heard from our highest-ranking anesthesiologist, Dr. Jerome M. Adams the U.S. Surgeon General on his work fighting Covid-19 this past year.

Dr. Peterson then convened to order the first session of the House of Delegates shortly thereafter with greater than 90% of the Delegates credentialed and “seated”. Dr. James Kelly (MO), Chair of the ASAPAC presented much of the data for the previous year’s donations to the ASAPAC. Even with a “pause” in fundraising beginning in March, the ASAPAC had another great year raising over $1 million. Texas was leading in the total dollars raised category, but the final Alabama Cup numbers were not finalized at the time of this meeting.

Accordingly, Dr. Peterson turned the meeting over to the Speaker of the House, Dr. Ronald Harter (OH), who then began the normal business of the House including the adoption the Rules of Order for the 2020 House of Delegates. Consistent with the new procedures implemented last year, many items of business were not presented at the House of Delegates but were available in the Handbook or on the Consent Calendar.

Dr. James Grant, CA/MI; Chair of the Committee on the Distinguished Service Award (DSA) submitted the name of Dr. Daniel Cole for the 2020 ASA DSA. This award will be presented next year in San Diego, California just prior to the Rovenstine Lecture (hopefully, if we are back to in-person meetings).

The following members were nominated for the election scheduled during the 2nd Session of the HOD virtually on Monday evening of October 5th:

President Elect
First Vice President
VP for Scientific Affairs
VP for Professional Affairs
Treasurer
Assistant Treasurer
Secretary
Assistant Secretary
Speaker
Vice Speaker

Dr. Randall M. Clark, CO
Dr. Michael W. Champeau, CA
Dr. Andrew D. Rosenberg, NY
Dr. Jeffrey Mueller, AZ
Dr. Donald Arnold, MO
Dr. Jay Mesrobian, WI
Dr. Kenneth Elmassian, MI
Dr. Kraig S. de Lanzac, LA
Dr. Ronald L. Harter, OH
Dr. Patrick Giam, TX

Dr. Wright gave the nomination speech for Dr. Michael Champeau, Treasurer for his elevation to ASA 1st Vice-President.

The House was recessed after 8:00 PM to resume business on Monday evening, the 5th.

On Saturday October 3rd, the Reference Committees began at 3:00 PM. Dr. Wright served, as the Chair of the 2020 Reference Committee on Finance and Dr. Kercheville was also a member of this same reference committee. Dr. Carin Hagberg served on the Scientific Affairs Reference Committee.
On Sunday at 9:00 AM as a part of the scientific portion of the Annual Meeting, Dr. Peterson began by presenting the 2019 DSA to Dr. Patricia Kapur (CA) and the Rovenstine Memorial Lecture given by Dr. Joanne Conroy followed that. Dr. Conroy is the current President and CEO at Dartmouth-Hitchcock Health Medical Center and spoke on transforming anesthesiology practice in the 21st century by confronting the issues of disruption, gender equity and patient safety.

The Western Caucus had a second meeting that evening before the 2nd Session of the House of Delegates. Dr. Hertzberg conducted the Caucus for presentations and discussions of key reports and recommendations within the individual Reference Committees.

The Speaker, Dr. Harter reconvened the House of Delegates at 5:00 PM on Monday, October 5th. The Session began with balloting for the DSA and Dr. Cole received the necessary 2/3 House of Delegates ballots for the DSA.

Election results were as follows:

President Elect
First Vice President
VP for Scientific Affairs
VP for Professional Affairs
Treasurer
Assistant Treasurer
Secretary
Assistant Secretary
Speaker
Vice Speaker

Dr. Randall M. Clark
Dr. Michael W. Champeau
Dr. Andrew D. Rosenberg
Dr. Jeffrey Mueller
Dr. Donald Arnold
Dr. Jay Mesrobian
Dr. Kenneth Elmassian
Dr. Kraig S. de Lanzac
Dr. Ronald L. Harter
Dr. Patrick Giam

Items/Reports of interest:

Administrative Affairs:

300-1         Administrative Council: Interim Report. It was accepted for information that Orlando, FL was eliminated as a future site for the Annual Meeting due to increased unpopularity by the members and that other Florida cities would be evaluated for consideration. Washington, D.C. would also be considered as a future site due to the cancellation this year.

Professional Affairs:

As there were no extractions during the previous Administrative Affairs Reference Committee, business moved rapidly to these reports, but things became complicated very rapidly with several extractions and a number of suggested amendments. There were significant delays transitioning members from the recognition platform to the testimony/speaker platform. As items were “finalized”, questions began to come forward about the validity of vote counts and quorums with each vote.

After several motions to “adjourn, recess or continue” business, with intermittent planned and unplanned breaks by the leadership, it was finally agreed that the platform being utilized for the meeting did not meet the needs of those in attendance. There was a transition of the Presidency from Dr. Peterson to Dr. Beverly K. Philip so as to preserve normal terms of office and allow Dr. Peterson to finish her year of unparalleled service.

There were 1many items still pending from the three remaining Reference Committees and it was unclear if those items handled and voted during the second Reference Committee would be totally revisited or some “voted” reports would be allowed to stand. But the House was recessed after 10:00 PM with pending plans to reconvene virtually at a later date.*

SCOTT E. KERCHEVILLE, MD
Director, ASA District 19

* This is the breakpoint of the report that was completed for the 2020 ASA Annual Meeting including the activities up until the cessation of business of the 2nd Session of the House of Delegates.