​​​​​​​​​​​​​​House of Delegates: Online Town Hall

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49/20/2017 7:57 AM

17-201: Stop the Bleed Public Educational Campaign discusses that the Pennsylvania Medical Society support the American College of Surgeons' national public educational campaign entitled "Stop the Bleed" and encourage all physicians within the Commonwealth of Pennsylvania to promote this education for the health of all patients.


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dankimball10/3/2017 7:46 PMNoGeneral
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59/20/2017 8:00 AM

17-202: Promote Teen Health Week discusses that the Pennsylvania Medical Society actively promote Teen Health Week and encourage its component county and specialty associations to also work with their local schools to adopt Teen Health Week.


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drchristina10/9/2017 3:43 PMNoGeneral
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59/20/2017 8:15 AM

17-203: Promoting Medication-Assisted Treatment for Substance Abuse Disorders discusses that the Pennsylvania Medical Society coordinate public and professional education campaigns and programs to promote more widespread use of the safe and effective medication assisted treatments in coordination with counseling and evidence-based therapies which are available; and that the Pennsylvania Medical Society coordinate and promote training programs for Pennsylvania physicians to become Medication-Assisted Treatment providers. 



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drchristina10/9/2017 4:25 PMNoGeneral
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189/20/2017 8:39 AM
17-204: Equal Access to Abortion Coverage in Health Insurance discusses that the Pennsylvania Medical Society call on the Pennsylvania General Assembly to provide abortion coverage in public insurance programs in Pennsylvania and lift the ban on such coverage in private insurance plans sold through the Pennsylvania Health Insurance Exchange; and, that the Pennsylvania Medical Society call on Governor Wolf to actively support these and all other measures to insure and protect the rights of women everywhere to have unhindered access to safe and comprehensive health care.

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drchristina10/9/2017 4:11 PMNoGeneral
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39/20/2017 8:47 AM
17-205: Support for VA Health Services for Women Veterans discusses that the Pennsylvania Medical Society (PAMED) recognize the disparity in access to care for women veterans; and, that PAMED encourage research to address this population’s specific needs to improve patient outcomes; and, that the Pennsylvania Delegation to the American Medical Association present this resolution to the upcoming interim meeting of the AMA (I-2017) for national adoption.

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drchristina10/9/2017 4:15 PMNoGeneral
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49/20/2017 8:57 AM
17-206: Baby Boxes as a Safe Sleeping Space for Infants in PA discusses that PAMED encourage the research of baby box safety, efficacy, and methods of implementation as a potential initiative to decrease the incidence of Sudden Unexpected Infant Death in Pennsylvania; and, that PAMED, based on favorable research, support the implantation of a statewide initiative utilizing baby boxes and education on safe sleeping conditions for infants; and, that the Pennsylvania Delegation to the American Medical Association present this resolution to the upcoming interim meeting of the AMA (I-2017) for national adoption.

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drchristina10/9/2017 4:31 PMNoGeneral
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119/20/2017 9:00 AM

17-301: Medicaid Reform discusses that PAMED designate its Executive Vice President or other staff member to begin working immediately with the PA Insurance Department to simplify regulatory language regarding Medicaid services to encourage the offering of innovative insurance products by current and/or new insurance companies, including the option of Medicaid patients accessing timely, comprehensive, and personal services provided by Direct Care practices; and, that PAMED immediately engage with the Governor’s office and State House & Senate leadership to assist in applying for Section 1332 State Innovation Waiver with the concept of allocating $5000 per Medicaid enrollee to a Health Savings Account, through which the enrollee can purchase innovative private health insurance (with the default being the State Employee Benefits Plan) and/or purchase care directly (coupled with a catastrophic insurance plan), and promote this concept via County Medical Societies; and, that PAMED formulate a plan to form an independent organization, funded equally by PAMED and insurance companies, that serves as an impartial adjudicator of complaints by Medicaid enrollees, and to encourage the PA Insurance Department to be responsive to the remedial actions suggested by this organization.


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drchristina10/9/2017 4:35 PMNoGeneral
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169/20/2017 9:02 AM

17-302: PAMED Support of Direct Primary Care discusses that the Pennsylvania Medical Society (PAMED) support the Direct Primary Care model by producing a written document endorsing Direct Primary Care and publishing said endorsement in PAMED newsletter and on the PAMED website; and, that PAMED support the Direct Primary Care model by writing a press release outlining PAMED’s endorsement of the model and publishing said press release outlining PAMED’s endorsement of the model.


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drkimcorba@gmail.com10/10/2017 3:09 AMNoGeneral
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39/20/2017 9:16 AM

17-303: Air Ambulance Regulations and Reimbursements discusses that the Pennsylvania Delegation to the American Medical Association (AMA) present this resolution for national adoption to direct that the AMA, and appropriate stakeholders identified by the AMA, study the role, clinical efficacy, and cost-effectiveness of air ambulance services, including barriers to adequate competition, reimbursement, quality improvement and other areas identified by the AMA and its stakeholders, and provide appropriate recommendations addressing the areas to be studied.



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drchristina10/9/2017 4:48 PMNoGeneral
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49/20/2017 9:28 AM

17-304: Patient Protection from Surprise Out-of-Network Costs discusses that the Pennsylvania Medical Society (PAMED) work with the Pennsylvania Insurance Department to ensure access to high- quality, in-network providers located at in-network institutions so as to decrease high cost out-of-network billing; and, that PAMED advocate for the expansion of AMA policy H-285.904 to mandate insurers to provide networks providing patient access to an in-network facility with in-network physicians and consultants.



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drchristina10/9/2017 4:57 PMNoGeneral
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39/20/2017 9:30 AM

17-305: Medicaid Physician Reimbursement for Translation and Interpretation Services discusses that the Pennsylvania Medical Society (PAMED) work to obtain state Medicaid funding for medical interpretive services; and, that PAMED urge the Pennsylvania General Assembly to pass legislation that installs a system of reimbursement for interpretation and translation services accrued during medical encounters.



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drchristina10/9/2017 4:59 PMNoGeneral
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49/20/2017 9:05 AM

​17-401: Eliminate the Preferential Treatment of Physicians with Hospital Privileges in PA discusses that the Pennsylvania Medical Society work with the Pennsylvania Legislature, the Pennsylvania Department of Health, the Pennsylvania Insurance Department, and other appropriate agencies to establish legislation or regulation that any physician who is not practicing in a hospital may not be required to maintain hospital privileges by any entity including, but not limited to, a health insurance company, malpractice insurance company, surgery center, or outpatient facility; and, that the Pennsylvania Medical Society work with the Pennsylvania Legislature, the Pennsylvania Department of Health, the Pennsylvania Insurance Department, and other appropriate agencies to establish legislation or regulation that no insurance company may grant or deny preferred or in-network status to physicians according to the presence or absence of their hospital privileges.


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drchristina10/9/2017 5:01 PMNoGeneral
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59/20/2017 9:07 AM

17-402: CPR Training discusses that the Pennsylvania Medical Society support state legislation advocating for mandatory CPR training in schools; and, that the Pennsylvania Medical Society work with other stakeholder organizations, including the American Heart Association, the American Red Cross, and county medical societies to advocate for increased CPR training for laypersons.


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drchristina10/9/2017 5:03 PMNoGeneral
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79/20/2017 9:11 AM

17-403: Defending the Physician-Patient Relationship discusses that the Pennsylvania Medical Society strongly and unequivocally oppose Senate Bill 25 and House Bill 100, which would establish independent practice for Nurse Practitioners; and, that the Pennsylvania Medical Society strongly oppose any effort to grant independent practice to Nurse Practitioners as an unacceptable disruption of the Physician-Patient Relationship; and, that the Pennsylvania Medical Society direct all Society Leadership to forcefully and unequivocally oppose this and any future expansion of Nurse Practitioners’ scope of practice leading to independent practice, which would disrupt the Physician-Patient Relationship; and, that the Pennsylvania Medical Society reaffirm Policy Number 35.986, and opposes any legislation, regulation, or negotiation which would permit Nurse Practitioners and all other non-physicians to practice medicine independently without licensed medical supervision or a written collaborative agreement.



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gcitro10/8/2017 11:53 PMNoGeneral
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39/20/2017 9:12 AM

​17-404: Oversight of the PA Board of Medicine & PA Board of Osteopathic Medicine discusses that PAMED seek legislative oversight of the Boards of Medicine to instill accountability of the Boards to all those involved in cases where a physician’s license is suspended or restricted; and, that PAMED develop channels of communication with the PA Board(s) of Medicine and Osteopathic Medicine to provide advocacy on behalf of practicing physicians who may face some jeopardy due to a Board action.



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mckeighan10/4/2017 3:00 PMNoGeneral
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29/20/2017 9:15 AM

17-405: Requirement of Formulary Equivalent Alternatives from Denying Insurers discusses that the Pennsylvania Medical Society seek through enactment of legislation or regulation the requirement that all insurers or their agents provide formulary alternates if a prescription drug has been denied due to the fact that it is not included in the health plans’ formulary; and, that an alternate and equivalent formulary recommendation be made by the insurer to the prescribing physician within 24 hours following the denial of the prescription; and, that the Pennsylvania Medical Society work to compel insurers to provide physicians with a clear and rapid process of review that includes alternate recommendations for prescription drug treatment.



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sinclair9/25/2017 9:59 PMNoGeneral
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39/20/2017 9:19 AM

17-406: Fixing Informed Consent discusses that the Pennsylvania Medical Society (PAMED) work with members of the Pennsylvania Assembly to introduce legislation to amend the MEDICAL CARE AVAILABILITY AND REDUCTION OF ERROR (MCARE) ACT of Mar. 20, 2002, P.L. 154, No. 13, specifically, Section 504, to allow other qualified health professionals (e.g. residents, fellows, nurses, physician assistants and/or other Allied Health Professionals) to obtain informed consent for procedures about which they are knowledgeable and qualified, whenever they are delegated to do so by the health care practitioner who will perform any procedure that requires consent under the MCARE ACT; and, that if the informed consent has been obtained by a qualified health care practitioner, the patient will still have the opportunity to participate in informed consent discussions with the practitioner performing the procedure prior to the procedure, except in the case of an emergency; and, that whenever alleged failure to obtain informed consent claims are made, all information exchanged between the patient and the physician and/or the physician’s qualified delegate shall be admissible in court; and, that such legislation fully ensures a physician has satisfied the duty of disclosure and that the patient’s consent is truly informed when either the physician, or the physician’s qualified staff, have obtained informed consent for a surgery or treatment provided by the physician.



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gcitro10/8/2017 11:16 PMNoGeneral
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49/20/2017 9:26 AM

​17-407: Freedom from Government Forced Mandates in Physician Practice discusses that the Pennsylvania Medical Society (PAMED) continue to oppose legislation that would mandate the state’s opioid prescribing guidelines; and, that PAMED actively oppose any further legislation seeking to mandate clinical guidelines upon the physician; and, that PAMED notify its membership in a timely manner of any new legislation from the Pennsylvania General Assembly that seeks to mandate clinical guidelines; and, that PAMED—should it be unsuccessful in its opposition to future legislation seeking to mandate clinical guidelines—will, at a minimum, ensure that such legislation does not impose any liability, criminal or civil penalty, or licensure sanctions before any applicable State board for failure by a physician to comply.



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drchristina10/9/2017 5:11 PMNoGeneral
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39/20/2017 9:31 AM

​17-408: Providing Immunity for Healthcare Providers of Free or Low-Cost or Emergent Healthcare discusses that the Pennsylvania Medical Society be required to petition the legislature of the State of Pennsylvania to provide immunity for healthcare providers of free or low-cost health or emergent care.



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wpwestdo10/8/2017 9:08 PMNoGeneral
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59/20/2017 9:33 AM

17-409: Informed Consent discusses that the Pennsylvania Medical Society continue to support laws that promote physician-led, team-based care, to ensure efficiency, patient safety, and quality of care; and, that the Pennsylvania Medical Society advocate for informed consent laws that acknowledge and support the use of a well-organized team in providing patients with information sufficient to obtain their informed consent; and, that the Pennsylvania Medical Society advocate for laws that allow the physician conducting the surgery or treatment to delegate his or her duty to obtain informed consent to another qualified physician (including, residents and fellows) of the same specialty or subspecialty, within the same physician group or department. The physician to whom informed consent is delegated must have knowledge of the patient, the patient’s condition, and the procedures to be performed on the patient.



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gcitro10/8/2017 11:21 PMNoGeneral
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09/20/2017 9:35 AM

17-410: Protection for Pennsylvania DACA Students, Physicians, and Patients discusses that the Pennsylvania Medical Society (PAMED) will study the issue of Deferred Action for Childhood Arrivals-eligible medical students, residents, and physicians and consider the opportunities for their participation in the physician profession and report its findings to the House of Delegates; and, that PAMED support legislative efforts to protect DACA status medical students, physicians, and patients; and, that PAMED issue a statement in support of current US healthcare professionals, including those currently training as medical students or residents and fellows, who are Deferred Action for Childhood Arrivals recipients in the Commonwealth of Pennsylvania.



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9/20/2017 9:35 AMNoGeneral
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09/20/2017 9:38 AM

​17-411: PAMED Support and Lobby State Legislators to Support HB 17, Introduced by State Rep. Marcia Hahn (138th District), to Amend Sections 8 and 12 of the Act of April 14, 1972, Known as the Pennsylvania Drug and Alcohol Abuse Control Act discusses that the Pennsylvania Medical Society (PAMED) support and use lobbying efforts to support passage of this bill; and, that PAMED add HB 17 to its list of legislative priorities and seek passage of this bill through its lobbying efforts.



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9/20/2017 9:38 AMNoGeneral
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09/20/2017 9:53 AM

​17-412: PAMED Support and Provide Financing to Develop and Execute a Physician Survey Assessing Patterns of Healthcare Financial Spending and Its Effect by Consolidation of Hospital and Hospital Network Systems, Monopolies of Healthcare Facilities, and Excluding Private Practice Physicians from Caring for Their Patients that have a History of Treatment by the Physician in Local Healthcare Facilities discusses that the Pennsylvania Medical Society (PAMED) provide financing to develop and execute a physician survey to assess the patterns of how healthcare is being affected in Pennsylvania, by consolidation of hospitals and healthcare network systems; and, that PAMED provide financing to develop and execute a physician survey to assess the patterns of insurance carriers creating narrow physician networks; and, that PAMED investigate and lobby federal legislators to enforce the regulations contained in the IRS’ “Community Benefit Standard” - Rev. Rul. 56-185, 1956-1 C.B. 202, modified Rev. Rul. 69-545, 1969-2 C.B.117 - for “Non-Profit” Healthcare systems using the results of these surveys.




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9/20/2017 9:53 AMNoGeneral
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29/20/2017 9:56 AM

​17-501: Full and Open Survey of PAMED to Prioritize Members’ Needs discusses that PAMED conduct an anonymous survey of 100% of its members, presented in an open question format to determine what membership believes are the most important issues on which leadership should focus, what the greatest challenges are that members face and that need to be addressed, and what the greatest concerns are that hinder members’ ability to deliver care in a manner they feel is appropriate; and, that this survey be finished in time to be presented to the next PAMED House of Delegates meeting.




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gcitro10/8/2017 11:23 PMNoGeneral
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19/20/2017 10:28 AM

​17-502: Financing for Student and Resident Delegates discusses that the Pennsylvania Medical Society contribute at least equally with the counties (50%) to the cost of the attendance of medical students, residents, and fellows to the annual House of Delegates conference of the Pennsylvania Medical Society.




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dellavecchia9/27/2017 1:44 PMNoGeneral
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19/20/2017 10:30 AM

​17-503: Practicing Physician Declining Membership Analysis discusses that the Pennsylvania Medical Society (PAMED) petition the American Medical Association (AMA) to study the reasons for membership decline among practicing physicians in Life Stage categories “Mature” and “Senior” by proportionally surveying both members and non-members in these categories as to the reasons why or why not individuals are members; and, that PAMED petition the AMA to study the reasons for the relatively slow growth of membership in the “Young” physician category as such growth in membership lags behind the growth of rate of this group at large; and, that any such survey examine a variety of concerns physicians may have with regard to the AMA, its attention to its mission, its adequacy in advocating for physicians, any political bias which may be dissuading individuals from remaining or becoming members, and possible solutions for the foregoing concerns; and, that this survey be undertaken immediately by an independent consulting company with expertise in membership engagement and reported to the AMA House of Delegates at the 2018 Annual Meeting and made available to the AMA membership at large at that time.




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amall9/25/2017 6:33 PMNoGeneral
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19/20/2017 10:32 AM

​17-504: Use the PAMED Special Purpose Funds to Support Delegates and Alternate Delegates to the PAMED HOD discusses that PAMED provide full financial support beginning with the 2018 House of Delegates, using the special purpose funds, for the lodging and travel expenses for all county and medical specialty sections delegates and alternate delegates for the next 3 years.




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dankimball10/3/2017 8:15 PMNoGeneral
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39/20/2017 10:34 AM

​17-505: PAMED Support and Provide Financing to Locate and Retain an Independent Healthcare Law Firm to Review Employment Contracts discusses that PAMED allocate $1 million from its endowment fund to support physicians in contract negotiations by retaining a law firm to review contracts and give advice to physicians who are anticipating possible employment as a benefit of membership.




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gcitro10/8/2017 11:28 PMNoGeneral
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29/20/2017 10:36 AM
17-506: Transparency within the Functioning of the Pennsylvania Medical Society discusses that the Pennsylvania Medical Society disseminate to the counties and subsequently their members information to include but not limited to: Agenda Action Forms, Executive Summary of Issues, and Discussion Items for upcoming Board Meetings.




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gcitro10/8/2017 11:28 PMNoGeneral
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19/21/2017 2:46 PM

Proposed Bylaws Amendment Subject 1 - Admission to Membership suggests that language be added to exempt physicians and medical students from component society membership if they neither live, nor work, nor have a hospital affiliation in Pennsylvania. The rationale for this proposed amendment is that component society benefits are not utilized by out-of-state physicians.


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babb10/8/2017 8:43 PMNoGeneral
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19/21/2017 2:48 PM

Proposed Bylaws Amendment Subject 2 - Administrative Membership suggests that language be added stating that a medical staff coordinator is not exempt from paying dues. The rationale for this proposed amendment is that current practice medical staff coordinators have always paid 10% of full active state and county dues (unless the county society chooses to forego the dues).

 

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dankimball10/3/2017 8:20 PMNoGeneral
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29/21/2017 2:48 PM

Proposed Bylaws Amendment Subject 3 - Early Career Physicians Section suggests extending the number of years an individual is eligible to be a member of the Early Career Physicians Section (ECPS) from the first five (5) years of practice to the first seven (7) years of practice. The rationale for this proposed amendment is that extending the term of eligibility to 7 years would match the ECPS with the AMA's Young Physician Section to allow for active PAMED members to more easily participate at that level. Additionally, as PAMED makes efforts to attract new members, particularly those physicians early in their careers, extending eligibility increases the pool of potential members for the ECPS to reach out to and engage with. Ultimately, this will align eligibility at the state and national levels to provide clarity to a given member's career stage.

 

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wpwestdo10/8/2017 9:14 PMNoGeneral
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The 2017 Online Town Hall is closed!

 

Thank you for your feedback. The PAMED staff will compile the comments submitted and forward them to the Speakers and the reference committee members so that they can finalize related resolutions and reports.