Board Meeting Minutes
American Academy of Emergency Medicine
Minutes of Board of Directors Meeting
Nice, France
September 1, 2005
In Attendance: A. Antoine Kazzi, MD; Tom Scaletta, MD; William Durkin, Jr., MD; Joseph Wood, MD, JD; Robert McNamara, MD; Tracy Boykin, MD; Anthony DeMond, MD; Stephen Hayden, MD; Kevin Rodgers, MD; Ghazala Sharieff, MD; Richard Shih, MD; Larry Weiss, MD, JD. AAEM/RSA Representative: Quinn Holzheimer, MD. Absent: Howard Blumstein, MD; James Li, MD. Staff: Kay Whalen. Guests: Dr. David Williams; Dr. Roberta Petrino; Joe Lex, MD, Ray Johnson, MD.
MEMC Update
Dr. Kazzi began the meeting by welcoming everyone to Nice, France. He then introduced Dr. David Williams, president of EuSEM, and Dr. Roberta Petrino, Scientific co-chair of the MEMC.
Dr. Williams gave a brief overview of EuSEM. EuSEM is a relatively small organization with a small budget and secretariat services provided for a half day per week. The EuSEM Council will be meeting to determine if, as an organization, they are interested in continuing to be involved in this very successful Congress. However, EuSEM is not in a position to be able to fund such a meeting, so AAEM would need to again fund the Congress. Dr. Williams also expressed an interest in becoming more involved in the Congress.
Dr. Kazzi reported that the Congress had received 1,040 abstracts and was represented by over 50 societies.
Possible sites for the next Congress included Turkey or Italy . However, it was agreed by all that a better infrastructure needed to be in place so that the work of the Congress did not fall so heavily on a few individuals.
At this point, Drs. Williams and Petrino left the meeting.
Approval of July 22, 2005 Minutes
The board then turned its attention to the draft minutes included in the agenda materials. Dr. Durkin moved and Dr. Hayden seconded that the July 22, 2005 minutes be approved as drafted. MOTION PASSED UNANIMOUSLY.
President's Report
Dr. Kazzi reported that the Congress was indeed a success in many ways. He had needed to step in and fulfill the role of executive chair of this Congress. The Congress had received less funding from industry than in previous years, but had received more support from academic institutions. The board then discussed the possibility of an administrative stipend or paid administrative help for the co-organizers of the Congress. Also discussed was the decision to move forward with a fourth Congress. Dr. Wood moved and Dr. Sharieff seconded that the executive committee be empowered to make decisions on future Congresses. MOTION PASSED UNANIMOUSLY.
The board then discussed the upcoming Inter-American Congress. This Congress will be done in collaboration with SAE and ACEP and held in Buenos Aires. Brochures for this meeting were included in the registration materials for this Congress.
Dr. Kazzi had been in discussions with FCEP regarding the Florida Board of Medicine decision not to review its recognition of BCEM. However, FCEP has decided to work without AAEM on this issue. AAEM will need to move forward with its legal challenge.
Sterling Healthcare has sent a check for $10,000 to help defray some costs to the physicians involved in the PhyAmerica malpractice issue after expenses are paid. After AAEM is made whole, these funds will be divided among the physicians that contributed to this cause.
The AAEM/RSA has completed their toxicology book and is in discussions with potential sponsors to raise funds to distribute this book to their membership.
Treasurer's Report
Dr. Durkin reported that AAEM should once again end the year in a positive financial position. However, we need to earn more interest on our funds and he will bring a proposal back to the board for their review at the next meeting.
Dr. Durkin also noted that a preliminary draft of the 2006 budget had been included with the agenda materials. He did not want the board to vote on this budget at this time, but had included it for the board's information. He was soliciting feedback on this 2006 draft budget, so now is the time that comments should be brought forward.
Finally, the board discussed the fact that two board members had not been able to attend this board meeting due to financial constraints since the entire cost of travel to this board meeting was not underwritten by AAEM. After discussion, Dr. Wood moved and Dr. Hayden seconded that the president appoint a task force to examine AAEM's board reimbursement and compensation policy and that a recommendation come back to the board for approval. MOTION PASSED UNANIMOUSLY.
Executive Director's Report
Ms. Whalen reported that AAEM's full voting membership would end the year with a ten percent increase in membership. Associate membership is down as members transfer their membership to full voting.
AAEM/RSA membership is 26% ahead of AAEM resident section membership from the previous year.
The board then reviewed a list of international honorary members nominated by Dr. Kazzi. Dr. Wood moved and Dr. Rodgers seconded that all presidents of national (non-U.S.) societies that are attending the third MEMC be offered AAEM honorary international membership. MOTION PASSED UNANIMOUSLY.
The board then considered a request for emeritus status from a member. Ms. Whalen reported that all of the criteria for emeritus status had been met. Dr. Wood moved and Dr. Durkin seconded that William Carrier, MD, be granted emeritus status. MOTION PASSED UNANIMOUSLY.
Task Force Resolution
Dr. Wood moved and Dr. Sharieff seconded that the following resolution be adopted:
American Academy of Emergency Medicine \ American College of Emergency Physicians
JOINT RESOLUTION OF INTERNAL POLICY
DATE: ________, 2005
SUBJECT: American Academy of Emergency Medicine (AAEM) and American College of Emergency Physicians (ACEP) Binding Agreement Toward Mutual Cooperation, Recognition, and Decorum
SUBMITTED BY: TBA
WHEREAS, Mutual cooperation, recognition, and decorum build trust and establish bridges required to avoid conflict and unnecessary duplication; and
WHEREAS, many AAEM and ACEP members belong to more than one emergency medicine professional organization; and
WHEREAS, AAEM and ACEP activities include a national, international, state, and local presence for the purposes of promoting emergency medicine; and
WHEREAS, AAEM exists to improve the quality and to promote the integrity of the practice and management of emergency medicine 1 and ACEP exists to support quality emergency medical care and to promote the interests of emergency physicians 2 creating closely aligned missions; and
WHEREAS, The challenges facing the specialty of emergency medicine demand that AAEM and ACEP collaborate in a constructive way with each other, in addition to other emergency medicine professional organizations, especially those that have already demonstrated a desire for such collaboration 3,4 ; and
WHEREAS, Constructive collaboration with other professional organizations can only occur in an environment of mutual respect and by avoiding denigration of other professional organizations in verbal &/or written communication, be it therefore
RESOLVED, That the American Academy of Emergency Medicine (AAEM) and the American College of Emergency Physicians (ACEP) shall not discourage individuals from belonging to or participating in the activities of each other's organization; and be it further
RESOLVED, That the American Academy of Emergency Medicine (AAEM) and the American College of Emergency Physicians (ACEP) may vigorously promote and defend their own policy positions; that these policy positions stand on their own merit; that policy positions of each other's organization not be used to denigrate others; and be it further
RESOLVED, That the American Academy of Emergency Medicine (AAEM) and the American College of Emergency Physicians (ACEP), its leaders, and spokespersons, in accordance with standards of professional decorum, limit legitimate criticism of each other's organization's policies; and avoid ad hominem statements at all times; and be it further
RESOLVED, That the American Academy of Emergency Medicine (AAEM) and the American College of Emergency Physicians (ACEP) continue to develop and implement a formal process for mutual recognition on issues in which such recognition and collaboration may be of mutual benefit to both organizations, to the profession of emergency medicine and our patients; and be it further
RESOLVED, That in accordance with professional standards of conduct and decorum, a failure to comply with established policies of the American Academy of Emergency Medicine (AAEM) and the American College of Emergency Physicians (ACEP) are subject to procedures outlined in the respective organization's ethical principles; and be it further
RESOLVED, That the American Academy of Emergency Medicine (AAEM) and American College of Emergency Physicians (ACEP) appoint annually a joint task force composed of 3 members from each organization responsible for the following: 1) manage ongoing development of mutual cooperation; 2) resolve any dispute related to the "Binding Agreement Toward Mutual Cooperation, Recognition, and Decorum" through a formal process developed by the task force; 3) recommend options (e.g. arbitration) to their respective Boards for any significant issue that cannot be resolved by the task force.
REFERENCE
1. AAEM Bylaws Article III, Section 3.2
2. ACEP Bylaws Article II, Section 1
3. Adopted ACEP Resolution 26(2002): Mutual Recognition and Collaboration with AAEM RESOLVED, That ACEP continue to actively pursue collaboration with the American Academy of Emergency Medicine on issues in which such collaboration may be of mutual benefit.
4. Adopted AAEM Resolution February 16, 2005: AAEM Policy Regarding Other Professional Organizations: 1. AAEM recognizes some of its members belong to additional professional organizations; 2. AAEM promotes and defends its policy positions; that AAEM policy positions stand on their own merit; that policy positions of AAEM enhance the work of practicing emergency physicians; 3. AAEM, its leaders, and spokespersons continue to focus on issues of vital importance to emergency medicine; 4. AAEM continues to mutually recognize and offer to collaborate with other EM organizations, on issues in which recognition and collaboration may be of mutual benefit to both organizations, to the profession of EM and it patients.
MOTION PASSED UNANIMOUSLY.
The board then reviewed the resolution that the AAEM board had passed in May, particularly point number four. The board continued to believe that this resolution was valid and in the best interest of individual members and state chapters. A communication will be sent to ACEP confirming this.
AAEM State Chapter Approval - Tennessee
The board then turned its attention to the state chapter bylaws submitted by AAEM members in Tennessee. After one small modification, Dr. Durkin moved and Dr. Hayden seconded that the Tennessee chapter bylaws as drafted below be approved.
Bylaws of The Tennessee State Chapter of The American Academy of Emergency Medicine (TNAAEM)
Article I
Name
The name of the corporation is The Tennessee State Chapter of The American Academy of Emergency Medicine, hereinafter sometimes referred to as TNAAEM.
Article II
Offices
The principal office shall be at such location as the Officers of TNAAEM shall determine.
Article III
Objectives and Powers
3.1 Exempt Status
TNAAEM has not been formed for pecuniary profit or financial gain, and no part of the assets, income or profit of the TNAAEM shall be distributed to, or will inure to the benefit of any of TNAAEM's Officers or Directors or to any shareholder or individual, except to the extent permitted under law.
3.2 Purpose and Mission Statement
TNAAEM is constituted and formed for the purpose of promoting and protecting excellence and integrity in the practice of emergency medicine and to combat unethical and exploitative practices afflicting the specialty. Furthermore it will be the mission of TN AAEM to restrain the cost and improve the quality of emergency medicine in the State of Tennessee, including, without limitation, the development, publication and promotion of appropriate branches and professional standards in the emergency Medicine industry, and to do any other act or thing incidental to or connected with the foregoing purpose or in advancement thereof, but not for the pecuniary profit or financial gain.
Mission Statement
TNAAEM is a democratic organization committed to the following principles:
1. Every individual should have unencumbered access to quality emergency care provided by a specialist in Emergency Medicine.
2. The practice of Emergency Medicine is best conducted by a specialist in Emergency Medicine.
3. A specialist in Emergency Medicine is a physician who has achieved, through personal dedication and sacrifice, certification by either the American Board of Emergency Medicine (ABEM) or the American Osteopathic Board of Emergency Medicine (AOBEM).
4. The personal and professional welfare of the individual specialist in Emergency medicine is a primary concern to TNAAEM.
5. TNAAEM supports fair and equitable practice environments necessary to allow the specialist in Emergency Medicine to deliver the highest quality of patient care. Such an environment includes provisions for due process and the absence of restrictive covenants.
6. TNAAEM supports the growth of residency programs and graduate medical education, which are essential to the continued enrichment of Emergency Medicine, and to ensure a high quality of care for the patient.
3.3 Powers
TNAAEM shall have all the powers of a corporation organized not for pecuniary profit, as are now or shall hereafter be conferred by the statutes of the State of Tennessee . TNAAEM shall not have capital stock and no money received by TNAAEM shall inure to the pecuniary benefit of a member, or to those individuals with any connection, which would prevent the corporation from being treated as a tax-exempt corporation by the Internal Revenue Code. Actual expenses and compensation for services rendered to the corporation may be paid to a member or person who incurs an expense or renders a service.
3.4 Duration
The term of existence of TNAAEM shall be perpetual unless dissolved according to law.
Article IV
Membership and Privileges
4.1 Classes of Membership
There will be three classes of membership: Voting Members, Associate Members and Resident Members.
4.2 Voting Membership
Full voting membership requires certification in Emergency Medicine or Pediatric Emergency Medicine by either the American Board of Emergency Medicine (ABEM) or the American Osteopathic Board of Emergency Medicine (AOBEM). A Voting Member shall be entitled to vote in all elections of the Academy.
4.3 Associate Membership
Associate Member status is available for those with an interest in Emergency Medicine. Associate Members shall have no right to vote.
4.4 Resident Membership
A Resident Member must be a Resident in Emergency Medicine at an accredited residency program. Resident Members shall have no right to vote and reduced dues as determined by the Officers and Board of Directors.
4.5 Voting
Only Full Voting Members may vote in elections of TNAAEM. Each Voting Member shall have one (1) vote.
4.6 American Academy of Emergency Medicine Membership
Members of TNAAEM will not be required to join the American Academy of Emergency Medicine.
Article V
Resignation
Any member may withdraw from TNAAEM after fulfilling all obligations to it by giving written notice of such intention to the Secretary-Treasurer, which notice shall be presented to the Board of Directors or Executive Committee by the Secretary-Treasurer at the first meeting after its receipt.
Article VI
Assessments
6.1 Dues
Annual dues shall be determined by the Officers and Board for the ensuing year.
6.2 Non-Payment
The Organizational Director shall establish policies with regard to nonpayment of dues.
Article VII
Meetings
7.1 Annual and Special Meetings
There may be an annual meeting, which may be held in conjunction with the American Academy of Emergency Medicine. The Executive Committee at its discretion may call special meetings.
7.2 Voting
Any Voting Member may be represented in person or by proxy at any meeting, but each Voting Member shall be entitled to only one (1) vote.
Article VIII
Board of Directors
8.1 Authority
The Officers of TNAAEM will consist of a President, Vice-President and Secretary-Treasurer. These Officers are responsible for the day-to-day operations of TNAAEM. Directors are responsible for the direction of TNAAEM and long-term planning.
8.2 Composition
The voting members of the Board shall consist of the President, immediate Past President, Vice-President, Secretary-Treasurer and the Directors. There shall be no more than six (6) Directors. Additional Directors may be added by a two-thirds majority of the Board.
8.3 Election Procedure
Any member of TNAAEM can nominate a board-certified, full voting member of TNAAEM for any position, but only board-certified, full voting Members of TNAAEM can vote. The exact mechanics of the voting process will involve nominations during a period that will end at 90 days before the start of the term of office. Voting will occur with a written ballot - one person, one vote, by proxy or in-person at the annual meeting. Each Full Voting Member of TNAAEM shall have one vote for President, one vote for Vice-President, one vote for Secretary-Treasurer and one vote for each open Director position.
This election will be completed during the annual meeting. Officers and Directors will take their posts at the conclusion of the meeting.
8.4 Terms of Office
The term of the office of the President, Vice-President and Secretary-Treasurer shall be two years. Term limitations are established at two consecutive terms for each office. Each Director serves for three years and there is a two consecutive term limit. Pro tem appointment time will not count toward the two consecutive term limit for either Officers or Directors.
8.5 Rules of Succession
Officers and Directors shall hold office until a successor shall have been duly elected and shall take office.
In the event of the incapacity or death of the Vice-President, Secretary-Treasurer or Director, the position shall be filled by appointment of the President from TNAAEM members at large and must be approved by a simple majority of the Officers and Directors.
In the event of the incapacity or death of the President, the Vice-President will assume command for the unexpired term. If he or she is unable to take over the role of President, then this job falls to the Secretary-Treasurer of the organization. In the event of any such succession, the succeeding Officer will be eligible at the completion of the unexpired term of their predecessor for election to two full terms in that position.
8.6 Meetings of the Board
Meetings of the Board shall be open to the members of TNAAEM. A closed executive session may be called by the Board for just cause, but all voting must be in open session by an open ballot.
Special Meetings of the Board of Directors may be called by or at the request of the Executive Committee, any four Directors or at the request of twenty (20) percent of all of the Voting Members.
Any member of TNAAEM may submit any resolution or item for discussion and for vote at any of the Board Meetings.
8.7 Quorum
At any meeting of the Board of Directors, a majority of the Directors shall constitute a quorum for the transaction of business.
8.8 Vacancies
A vacancy in any office because of death, resignation, or otherwise, may be filled by the Executive Committee and confirmed by the Board of Directors for the unexpired portion of the term. In the event of any such appointment, the appointed Officer or Director will be eligible at the completion of the term of their predecessor for election to two full terms in that position.
8.9 Resignation
A Director or Officer may resign at any time by giving written notice to the Board, the President or the Secretary-Treasurer of TNAAEM. Unless otherwise specified in the notice, the resignation shall take effect upon receipt thereof by the Board or such Officer, and the acceptance of the resignation shall not be necessary to make it effective.
8.10 Presumption of Assent
A Director of TNAAEM who is present at a meeting of the Board of Directors at which action on any corporate matter is taken shall be presumed to have assented to the action unless his dissent to such action is registered with the person acting as Secretary of the meeting before adjournment thereof or shall forward such dissent by registered mail to the Secretary-Treasurer of TNAAEM immediately after the adjournment of the meeting. Such right to dissent shall not apply to a Director who voted in favor of such action.
8.11 Majority Action
Every act or decision done or made by a majority of the Directors present at any meeting duly held at which a quorum is present shall be the act of the Board of Directors.
8.12 Organizational Director
The Board may appoint an Organizational Director (OD). The OD shall, under the direction of the Board, perform duties as the title of the office ordinarily connotes. The OD shall keep an accurate record of the minutes and transactions of the Board, and shall serve as secretary to this body. The OD shall supervise all other agents of TNAAEM and have such other powers and duties as may be prescribed by the Officers, Board or the Constitution.
8.13 Removal of an Officer or Director
Any Officer or Director may be removed from office by a three-quarter vote of the entire Board of Directors. A recall requires a petition by one-third of the Board of Directors or ten percent of active membership. If an Officer or Director misses three consecutive meetings of the Board, the Board may then, at its discretion, declare the position to be vacant.
Article IX
Committees of the Board
9.1 General Committees
The Executive Committee shall appoint committees and task forces to address issues of TNAAEM. Meetings shall be at the discretion of the committee chair. Each committee chairperson is responsible for an annual report to the Officers and Board of Directors.
9.2 Executive Committee
The Executive Committee shall consist of the President, Vice-President and Secretary-Treasurer. The Executive Committee shall have the authority to act on behalf of the Board subject to ratification by the Board. The Executive Committee shall meet at the call of the President, Vice-President or Secretary-Treasurer. A report of its actions shall be given to the Board.
Article X
Accountability
10.1 Records
Minutes of the meetings of the Board, membership books and books of account shall be open to inspection by any member of the organization.
10.2 Rules of Order
TNAAEM shall follow Davis Rules of Order , except when in conflict with the Constitution of TNAAEM.
Article XI
Amendments and Resolutions
These Bylaws may be amended, repealed or altered in whole or in part by a two-thirds majority of the Board of Directors or a two-thirds majority of the Voting Members. The proposed change shall be mailed to the last recorded address of each member at least ten days before the time of the meeting which is to consider the change.
MOTION PASSED UNANIMOUSLY.
AAEM Services Report
The AAEM Services board reported that at the May board meeting, Drs. Li and Reiter had agreed to draft a proposal to develop new templates. They had submitted a proposal for consideration. Simultaneously, the AAEM membership had been polled to see if a product already existed. Several members responded to this poll including one member who had developed a complete system.
The AAEM Services board was in the process of negotiating the purchase of these templates. In order to purchase these templates, AAEM Services is requesting a loan of $25,000 from AAEM. Dr. Wood moved and Dr. Rodgers seconded that AAEM loan AAEM Services $25,000 with an interest rate of prime plus one percent. MOTION PASSED UNANIMOUSLY.
AAEM Position Statements
A member had submitted a position statement on unaccredited training pathways. The board did not feel that the position statement as drafted was ready for approval. Dr. Shih will work with other AAEM members to revise this position statement and will bring it back to the board for approval.
Next, the board reviewed the draft position statement on restrictions on the right to practice. After discussion and minor modifications, Dr. McNamara moved and Dr. Hayden seconded that the following position statement be approved:
AAEM Position Statement on Restrictions on the Right to Practice
WHEREAS covenants-not-to-compete restrict competition, disrupt continuity of care, and potentially deprive the public of medical services,1 and
WHEREAS the American Medical Association Council on Ethical and Judicial Affairs discourages such covenants-not-to-compete,1 and
WHEREAS covenants-not-to-compete exist in derogation of the Constitutional right to live, travel, and practice one's trade or profession wherever one pleases, 2 and
WHEREAS covenants-not-to-compete have been especially prevalent in emergency medicine, jeopardizing the future practice of emergency physicians and potentially placing patients at great risk, therefore be it
RESOLVED that physicians, or a corporate entity controlled by physicians, shall not offer (1) a contract to another physician restricting the right of a physician to practice after termination of the relationship, or (2) a settlement agreement in which a restriction on the physician's right to practice is part of the agreement, 3 and be it further
RESOLVED that breach of this policy by a member of the American Academy of Emergency Medicine constitutes an ethical violation, subjecting the member to disciplinary procedures specified in the Academy's Code of Ethics.
1. AMA Code of Medical Ethics, Section E-9.02. American Medical Association, 2004, Chicago.
2. U.S. Constitution, art. I, §8[3}; art. IV, § 2; amend. 14
3. Resolution based on Model Rules of Professional Conduct, Rule 5.6, American Bar Association, 20__, Chicago
MOTION PASSED 12-0-1.
The board reviewed AAEM's current position statement on due process. Dr. Durkin moved and Dr. DeMond seconded that the board reaffirm the following position statement:
Current AAEM Position Statement on Due Process
An emergency physician is entitled to Due Process upon unilateral termination by his or her employer (or contracting entity) or upon any other adverse action that otherwise affects his or her job security. Due Process assumes that the following are property rights of an emergency physician, fundamental to quality patient care and the pursuit of one's livelihood, and should not be forfeited and may not be taken away without reasonable cause and a Fair Hearing.
1. Clinical privileges
2. Medical staff membership
3. Regular, predictable, and fair shift scheduling
A Fair Hearing consists of the following:
1. The interest of patients and the public must be protected in any hearing
2. A hearing body consisting of a physician peer group (and, for Emergency Medicine practice concerns, a consensus of board certified emergency physicians)
3. Listing of all charges and objective evidence of reasonable cause
4. Adequate notice of the right to the hearing and of when/where it will take place
5. The opportunity to be present, rebut the evidence, and present a defense
6. Compliance with established rules regarding the extent to which an attorney may participate
7. The hearing body must render a decision based solely on the evidence produced at the hearing
MOTION PASSED UNANIMOUSLY.
The board then discussed the possible need for a position statement on procedural sedation and pain management. Dr. Wood moved and Dr. Hayden seconded that the request from an AAEM member for a position statement on this topic be sent to the practice guidelines committee for their consideration. MOTION PASSED UNANIMOUSLY.
AAEM/RSA Update
Dr. Holzheimer thanked the AAEM board for their past support of the AAEM resident section. He also reported on the activities of AAEM/RSA which include the development of the toxicology book as well as membership recruitment. AAEM/RSA would like to have the "Resident Only" pages in Common Sense sent to the entire membership. After discussion, it was decided to send these pages electronically to AAEM members involved in academics. In addition, portions of the AAEM/RSA pages can be included in the issue of Common Sense that is used as a recruitment vehicle.
AAMC Request
The board then reviewed the request from AAMC to collaborate in a workforce study. The board felt that this issue would best be discussed by the AAEM/ACEP joint task force.
EMPAC Letter and Financials
The board reviewed the materials provided for information from EMPAC regarding medical malpractice insurance.
Team Health
The board discussed the fact that Team Health planned to go public. Dr. Reiter will be asked to put together a fact sheet. Ms. Whalen will contact Kathi Ream to determine if it would be appropriate for AAEM to provide information on the corporate practice of medicine to the SEC.
PR Initiative
The board reviewed the offer of complimentary public relations help from a current AAEM exhibitor. At this time, it was determined not to pursue this offer.
March on Washington
Those AAEM board members that will be attending the ACEP meeting were encouraged to join in the March on Washington on September 27, 2005.
Hurricane Katrina
The board decided to send an e-mail to the membership asking for those who need help or are willing to provide help to contact AAEM, so that AAEM can better link the two parties together. In addition, Dr. Hayden will explore if we can work with CORD on any residency issues.
Update on Calls from Members
Dr. McNamara reported that the member who had contacted AAEM regarding a restrictive covenant issue in Indiana had been told that the restrictive covenant would not be enforced.
Strategic Plan Assignments
Dr. Kazzi reviewed the assignments that he had given to each board member and thanked them for their efforts on behalf of AAEM.
There being no further business, the meeting was adjourned.
Respectfully submitted,
Kay Whalen
Executive Director
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