American Society of Plastic Surgeons
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ASPS President's Page: Wrapping up a successful year


As my term concludes, I wanted to say that it has truly been a great honor to serve the Society this year. I'd like to extend my sincerest gratitude to our incredibly engaged members from across the country and the world as well as our outstanding staff who are passionate, dedicated and talented – we have achieved an amazing amount together! Here's a summary of the accomplishments and new initiatives of the 2017-18 term the Society has undertaken on behalf of its membership, just to give you a brief (but not exhaustive) snapshot of what has been accomplished:

Presidential Task Forces

  • Governance Task Force formed to provide more inclusive, transparent and relevant governance structure for ASPS based on member and specialty needs
  • Diversity Task Force formed to review all aspects of diversity in the Society and specialty to better understand membership needs and develop metrics to promote, integrate and improve diversity in all areas of the organization
  • Wellness Task Force formed to focus on the well-being of ASPS members and their families by providing resources for work-life balance and overall health

BIA-ALCL

  • BIA-ALCL Advisory Updates issued in collaboration with ASAPS to members in both February and July
  • BIA-ALCL Notice issued to members in response to JAMA Oncology article in January
  • Updated Physician and Patient Resources on BIA-ALCL on plasticsurgery.org
  • ASPS Health Policy Efforts advocates for coverage of removal of a breast implant and capsulectomy for BIA-ALCL – a major insurer announced in August it would provide coverage

Gluteal Fat Grafting

  • Gluteal Fat Grafting Safety Task Force (ASPS, ASAPS, ISAPS, IFATS, ISPRES) issued two five society-endorsed safety advisories to members of all Societies in March and August citing a startling mortality rate of 1:3,000. A public-facing message was also released to make sure the public was aware of the same data so they could make an educated decision about undergoing the procedure.
  • Multi-Pronged Awareness Initiatives to ensure plastic surgeons are aware of danger zones and other recommended precautions associated with this procedure, including distribution of print advisories with PRS, incorporating the advisory statement into the PRS website, attestation that members have received the safety Advisory on their annual dues statement, elevating status of safety advisory emails to membership, outreach to AAAASF to make sure those who perform this procedure are aware, and updating the ASPS informed consents with latest known risks.

Technology

  • Free ASPS Member App for iPhone and Android featuring member roster, CME reports & more
  • Plastic Surgeon Match revised ASPS Enhanced Page listings with new features, which has quadrupled requests for consultations and visibility to those profiles
  • "Ask A Surgeon" feature allows the public to post questions to ASPS members at plasticsurgery.org
  • Before and After Photo Gallery has been upgraded and significantly expanded

Education and Programs

  • ACCME Six-Year Accreditation with Commendation – the second consecutive time ASPS received this highest accreditation honor by ACCME (reserved for only the top 18 percent of all organizations)
  • Development of ASPS Education Network (formerly PSEN) to expand online learning capabilities
  • Essentials of Leadership (two sessions) held in collaboration with ASAPS to develop and refine leadership skills of members
  • A new Residents Council, comprised of representatives from every accredited plastic surgery training program in the country, formed by YPS to further engage residents and better understand their needs
  • Migraine Surgery Council and Mountain West Society of Plastic Surgeons welcomed as ASPS Affiliate organizations
  • Plastic Surgery The Meeting 2018 expanded focus on networking and family functions with no added charges for instructional courses – ranks as the highest-registered annual meeting ever based on current numbers

Publications

  • Plastic and Reconstructive Surgery published several supplements, including Abdominal Wall Reconstruction, Pre-Pectoral Breast Reconstruction, Advances in Breast Reconstruction and upcoming supplements on Closed incision Negative Pressure Therapy, BIA-ALCL and Science of Implants
  • Plastic Surgery Essentials for Students (ninth edition) updated by YPS
  • PRS Global Open emerged as shining example of how legitimate open-access journals can serve the scientific community and beyond, and is indexed in a number of key databases that offer visibility and legitimacy – in the years to come, many expect PRS-Global Open to eclipse PRS as the top journal in the specialty

PS2 Practice Management (a subsidiary of ASPS)

  • PS2 has grown to provide management services to more than 40 practices in 13 states

Advocacy, Health Policy & Quality

  • ASPS Legislative Advocacy Summit drew 75 plastic surgeons and residents to Capitol Hill to participate in advocacy and meet with more than 80 members of Congress and staffs
  • ASPS Regenerative Medicine Subcommittee took part in a meeting of the Bipartisan Policy Center in D.C. about delivering stem cell-based therapies to patients
  • Migraine Surgery Position Paper created (and posted online) to protect the rights of patients to undergo necessary procedures
  • Postoperative Nausea and Vomiting position paper created and published in PRS
  • Clinical Practice Guidelines for reduction mammoplasty, skin cancer reconstruction, upper eyelid and brow surgery visual-field impairment are being finalized
  • Rhinoplasty Quality Performance Measures being finalized with AAO-HNS, AAFPRS, AAOMS and the Rhinoplasty Society; new set of four rhinoplasty measures will be submitted to CMS
  • Performance Measures completed for breast reconstruction with representatives from ASBS & ACS
  • ASPS Qualified Clinical Data Registry (QCDR) approved from CMS for 2018 reporting; nine new specialty-specific measures developed (12 total) as non-MIPS measures for 2018 quality reporting
  • Successfully defended RVU values for three tendon sheath codes
  • Pushed Congress to extend CMS statutory authority to take a flexible approach to MACRA Quality Payment Program implementation, leading to fixes that will ease transition into QPP participation
  • Independent Payment Advisory Board repealed following an ASPS advocacy campaign spanning more than five years, 32 letters to Congress, two grassroots advocacy campaigns and hundreds of face-to-face meetings between ASPS members and congressional offices
  • Secured support for Ensuring Lasting Smiles Act to end practice of insurers denying/delaying necessary and covered surgery and prostheses for congenital anomalies or birth defects requiring reconstruction
  • State Advocacy efforts secured critical improvements to model legislation on out-of-network billing developed by the National Council of Insurance Legislators (NCOIL)

Communications

  • ASPS President's Page monthly video and e-summary to enhance communication with membership and highlight practical and pertinent work of committees and task forces
  • Do Your Homework – Fillers Safety campaign features woman badly injured by unqualified practitioner injecting unapproved substances, urges others to consult an ASPS member surgeon
  • "Everyday People" media campaign offers a positive look at how ordinary people benefit from a variety of plastic surgery procedures, while promoting ASPS, plasticsurgery.org and ASPS members
  • Spanish Do Your Homework features Spanish-speaking plastic surgeons (and bilingual online procedural content) promoted on Spanish-language health and beauty websites
  • Annual Plastic Surgery Statistics multimedia release focusing on male plastic surgery has generated 841 million impressions in first two months, representing more than $2.07 million in ad value
  • Liposuction, Facelift, Breast Reduction, Migraine Surgery targeted online procedural campaigns
  • Teens and Plastic Surgery: Separating Fact from Hype multimedia release focusing on many reasons minors may be appropriate candidates for some plastic surgery procedures
  • New/updated online procedural content, including "mommy makeover," migraine surgery, lymphedema, vaginal rejuvenation, gender confirmation, buccal fat removal, cheek augmentation, panniculectomy
  • Public eNewsletter Subscription launched to establish connection with members of the public
  • PSN Social Media Focus column by Social Media Subcommittee provides practical tips and information for using social media platforms responsibly and effectively
  • Social Media Guidelines and Rules of Etiquette offers a guide to members interested in participating in ASPS social media promotions

Again, it has been a true honor and privilege to serve the Society this year and also to help keep you better informed about what your hard-earned dues go toward in advancing our specialty through monthly updates like this one. Below are summaries of the three new Presidential task forces created this year and the fantastic work they've accomplished thus far. I look forward to seeing continued progress made by these groups and on all fronts moving forward, and to seeing you at Plastic Surgery The Meeting in Chicago.

Thank you again for the opportunity to serve the Society and Members this year. It has been extremely gratifying to me, professionally and personally, to see how much we can all achieve together on behalf of our Members and their patients.

Yours in service,

-Jeff


Wellness Task Force Update

In taking the bold step of establishing the Wellness Task Force this year, Dr. Janis partnered with ACAPS, creating a dedicated group that represents the full range of plastic surgeons – from residents to fellows to private and academic surgeons. The group also demonstrates the diversity of our profession. Our first meetings were rich teleconferences that covered a broad range of topics related to burnout and wellness, and from the get-go, it was very clear that Dr. Janis had pulled together a group with great passion and insight.

The task force has begun crafting a concrete plan for initiatives that will improve the wellness of individual plastic surgeons, as well as larger groups and organizations. We plan on developing a clearinghouse and repository of online resources, as well as human resources that will be available to the Society. Educational programming at our meetings – areas to encourage physical and psychological wellness – is also part of the plan, and we're looking forward to a fantastic discussion on the topic in Chicago. We will also expand research that specifically addresses solutions to problems related to burnout and wellness for members. We're looking forward to making wellness an integral part of all of our lives.

-Richard Korentager, MD, Co-Chair


Diversity Task Force Update

I'm proud of the fact that task force was created and encouraged to know that ASPS recognizes that diversity makes us stronger. Over the past year, the task force has looked at diversity in an open way – practice types, employment models, where you are in your career, geography, ethnicity, sexual preference, gender – it's all on the table. We've come to better understand membership and develop metrics to track our progress including a reporting system to address areas where we can improve, discover how diverse we are and what we can do to promote and improve diversity for example we are working to have representatives from our task force on key committees to help provide diversity guidance. There are things that have worked for us in the past, and we know find ourselves at a point where we can both learn from what we've done before and put new methods to work to create initiatives for the Society. We have a better understanding now of where we need to go as a Society and I look forward to seeing that course continue to be charted in the coming months.

-Steven Williams, MD, Chair


Governance Task Force Update

The Executive Committee convened a Governance Task Force last October that was responsible for evaluating both the governance structure and the role of the Nominating Committee and presenting its recommendations to the Executive Committee and ASPS/PSF Boards of Directors. The task force held seven conference calls and/or in-person meetings between December 2017 and May 2018. Every task force member contributed to form consensus on its recommendations to improve and contemporize the ASPS/PSF governance structure and role of the Nominating Committee, as well as addressing several issues affecting bylaws for ASPS and The PSF. Society members approved the amendments at a 95 percent or greater approval rate in the vote that concluded on Sept. 16. The new ASPS and PSF Bylaws, which went into effect on Sept. 17, are accessible from the Ethics and Compliance resource page at www.plasticsurgery.org/Ethics.

Moving forward the task force has transitioned to the Governance Committee, which will help ensure the health and functioning of the ASPS and PSF governance structure, including advising on Board recruitment and development strategies, such as leadership assessments, executive team building, coaching, and mentoring. The Governance Committee also provides guidance on the election and committee appointment processes.

-Jeffrey Janis, MD, and Arun Gosain, MD, Co-chairs