Notes from the 2018 CSA House of Delegates

  • Wald, Samuel, MD, MBA, FASA
| Jul 02, 2018

In June at the CSA’s House of Delegates meeting, our governing body voted for a resolution to dramatically change member representation. The new resolution will implement districts that represent our members in a hybrid model of geography and demographics.

A recent survey conducted by the CSA revealed that the top three concerns of our members are: maintaining work-life balance, the high cost of living, and feelings of stress or burnout. These issues are ubiquitous, however the specific levers that produce them are often specific to individual modes of practice. 

In the spirit of the diversity we see in our membership, and member concerns linked to mode of practice and individual needs, the CSA will be fulfilling a plan to create CSA Sections or Forums, with one Director for each. The types of forums will likely include the following:

  • Academic practice;
  • Solo/small group practice;
  • Medium/large group practice;
  • Very large group/employed practice;
  • New practice (0-10 years since graduation);
  • Residents and fellows.

The goal is to have multiple paths to participate with a self-selected demographic section. We also hope to provide a new pathway to leadership for younger members and encourage growth in membership by acknowledging the different concerns of different demographic groups.

Our survey also confirmed the critical tasks our members expect of the CSA including state lobbying and regulatory advocacy, state political activity, campaign support, and federal lobbying. To this end, geographic districts will be maintained (with larger districts) and with better linkage to state legislative voting districts. Members will be assigned to districts based upon their home address and not their practice address. This will allow better alignment for state advocacy efforts. Legislatures prefer to hear from those in their district, rather than people who just work in their district.  Thank you to those of you who have responded to our inquiry related to confirming or acquiring your correct address.

This hybrid model will help us to represent different personal and practice concerns of CSA members, improve our support of advocacy, and provide multiple pathways for engagement. The tactical result will be that each CSA member has two votes for district directors; one based on home address and one section director, based upon self-selected professional interest.

 You will also see that we have finalized the 2018-2019 committee appointments for the CSA.  We had a wonderful response to the call for nominations and I am thrilled that we have so many members who wish to be involved in the CSA. Our goal is to be as inclusive as possible and to allow for members to participate in many ways in leadership within our organization. 

Last year, the Legislative and Practice Affairs Divisions was divided into two subcommittees. This has allowed the individual subcommittee to focus on their respective areas of expertise and increase member participation. As a result, the Legislative and Practice Affairs Division will continue to be divided into two sub-committees, the Legislative Affairs (LA) and the Practice Management (PM). Jeff Poage, MD, oversees both committees as a board member with Keith Chamberlain, MD, MBA, FASA, and Chris Tirce, MD, as Chair and Vice-Chair of PM plus Harrison Chow, MD, and Sunny Jha, MD, as Chair and Vice-Chair of LA.

You will also find that we are committed to having a full day of CME related to Practice Management at our Annual Meeting in March 2019 as one of your CSA benefits. This has been an opportunity to collaborate our educational goals and practice-based goals led by our Educational Program Division Chair and Vice-Chair, Ron Pearl, MD, PhD, and Dr. Richard Applegate, MD, respectively.

Did anyone see the Wall Street Journal article: “Hospitals Address Widespread Doctor Burnout”? We found the same problems identified in our survey as previously mentioned.  We will be appointing a task force to address physician wellness and will be sending out a call for members to join this committee as a separate initiative. Michael Sopher, MD, and Daryl Oakes, MD, have both graciously agreed to be Chair and Vice-Chair of this group and we hope and expect to have a number of CSA members wishing to participate and lend their input and expertise on this growing concern.

Our hope is that we can continue to best represent your interests as anesthesiologists in California and that we can adjust and adapt to the ever-changing landscape of healthcare in our state. At the same time, we’d like to be a venue that serves as a resource for concerns and issues that specifically relate to you and your practice. It is our intent with the governance redesign to meet this end. We have a special Task Force led by our President-Elect, Christine Doyle, MD, FASA, which will be planning the implementation of the new representation through both geography and demographics. 

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