Of those members, 9,589 are Young Physicians (practicing members in the first eight years of practice).
29,518
Fellow: A board-certified obstetrician–gynecologist whose professional activity is devoted to the practice of obstetrics, gynecology, or both
10,846
Junior Fellow: An obstetrics and gynecology resident in an approved program or a recent graduate of a program
11,707
Medical Student: Any person currently enrolled in an allopathic or osteopathic medical school
4,204
Life Fellow and Fellow Senior Status: An ACOG Fellow who requests this status because of advancing age, illness, or other sufficient reason
5,452
Associate Member and Educational Affiliate: A non-board-certified obstetrician–gynecologist or nonobstetric–gynecologic women’s health care professional
To my ACOG family and our supporters,
I went into my year as ACOG president planning to focus on mental health, and I did. While 2022 played out much differently from what I’d anticipated, the overturning of Roe v. Wade took my passion for my presidential initiative, Minding Mental Health, to new heights. Mental health is inextricable from physical and reproductive health, which includes abortion access, because reproductive health and mental health are key parts of the human experience.
When I began my presidency, the COVID-19 pandemic had already highlighted unaddressed mental health needs in our patients. In late 2022, the CDC identified mental health conditions as a leading cause of preventable pregnancy-related deaths in the United States, highlighting the need to prioritize strategies and interventions focusing on mental health. Physicians too were facing a mental health crisis, significantly exacerbated by the pandemic.
With existing mental health conditions, perinatal mental health, and physician mental health all increasingly in need of attention, I was honored to have been able to support ACOG members and their patients through Minding Mental Health, which seeks to normalize and destigmatize talking about mental health conditions and treatment. To that end, I collaborated with clinical experts, patient advocates, and allied organizations including BabyCenter, Postpartum Support International, and Postpartum Support International’s Mind the Gap Coalition. I also worked with ACOG to invest in resources for obstetrician–gynecologists
to identify and support patients’ mental health care needs and helped make mental health care more accessible for physicians.
Throughout my presidency, I have been privileged and heartened to witness how my fellow ACOG members’ efforts have made a unique and undeniable impact on the health care landscape for our patients and each other. During my term we saw the ACOG delegation to the AMA achieve historic gains, such as establishment of AMA policy in support of reproductive health freedom and sanctity of the patient–physician relationship. ACOG advocacy helped secure a permanent option through Congress for states to provide 12 months of postpartum Medicaid coverage, and numerous states enacted or made progress toward extending Medicaid coverage to 12 months postpartum. ACOG also made significant clinical advances, including adopting new ways to increase screening rates for colorectal cancer.
Our patients, profession, practices, and health care system face daunting challenges. The 2022 ACOG Annual Report offers a compelling, reinvigorating reminder that when we work together, we can succeed in our goal of achieving and providing better health for us all.
Following a successful two years of sharing member stories about the effect of the COVID-19 pandemic on their personal and professional lives, ACOG relaunched our premier member engagement platform as Frontline Voices: Minding Mental Health. This reframing highlights the presidential focus of 73rd ACOG President Iffath Abbasi Hoskins, MD, FACOG. Since its relaunch, members have shared essays and poems about their own and their patients’ struggles with mental health. Frontline Voices: Minding Mental Health uses storytelling to make discussions about mental health an everyday part of our members’ lives.
Through 2022, ACOG faced the possibility—and then the reality—of the loss of abortion as a constitutional right. The ruling handed down in Dobbs v. Jackson Women’s Health Organization demanded ACOG’s leadership on behalf of our members and their patients.
In the months leading up to the Supreme Court’s decision in the case of Dobbs , ACOG anticipated the ruling and assembled a full-court approach to developing our response. When the decision was leaked in May 2022, days before ACOG’s Annual Clinical & Scientific Meeting (ACSM), we immediately took a public position. The leaked opinion also informed our late-breaking session at the ACSM, Navigating a Post- Roe Environment.
On June 24, the day the decision in Dobbs was officially handed down, ACOG launched our crisis response plan. Through each one of our avenues of communication, we condemned the decision and avowed renewed and ongoing advocacy and education to support the needs of patients across the country. Critically, we simultaneously launched a long-term program to meet member needs in key areas of challenge.
Since the Dobbs decision, ACOG has worked closely with federal agencies and the Biden administration to inform and guide their executive and regulatory decision making and their broader efforts to address restricted abortion access.
As abortion bans have presented new challenges to obstetric–gynecologic practice, ACOG has created resources addressing evolving needs. These resources help position our members to advocate within their institutions for systems that protect shared decision making between patients and physicians.
Our Abortion Access and Training Expert Working Group has initiated educational programs to increase capacity among obstetrician–gynecologists and other members of care teams who are qualified to provide abortion care.
Our public-facing resources address hot topics that have emerged in the post- Dobbs environment. In the months that followed the Dobbs decision, ACOG fielded—with the assistance of many dozens of members—more than 700 media requests about reproductive health care, delivering clinically appropriate messaging from expert clinicians to audiences around the country.
The Supreme Court decision did not bring a halt to ACOG’s legal advocacy. In fact, legal challenges to abortion bans jump-started in the aftermath of the decision. Our legal experts filed amicus briefs in dozens of cases in state and federal courts across the country.
With initiatives affecting abortion access on the ballot in California, Kansas, Kentucky, Michigan, Montana, and Vermont in 2022, ACOG partnered with Vot-ER to encourage our members to embrace the Get Out the Vote effort among their patients and colleagues. Across the board, voters in those states rejected legislative interference in medical decision-making and protected access to reproductive health care.
At the AMA House of Delegates meeting in June, ACOG led the house of medicine in historic resolutions. These resolutions included defining abortion as a fundamental human right and initiating a task force dedicated to preserving the patient–physician relationship and access to essential reproductive health care.
ACOG leadership and staff used meetings throughout the year—including the State Legislative Roundtable, annual District meetings, and dedicated state-specific updates—to share with membership ACOG’s efforts to advance education and training in abortion care; advocate for patient-centered, evidence-based policy; and support obstetricians and gynecologists in the changing legal and clinical environment. We listen to members about their evolving needs and emerging challenges. We work across departments and with experts among ACOG’s membership to ensure that our efforts to protect abortion access are innovative and effective.
ACOG is fully committed to the work of diversity, equity, and inclusion (DEI), which involves dismantling racism and changing the culture of medicine. This work is being directed by the Collective Action against Racism, a strategic implementation plan crafted over the last year with key input from members, partner organizations, and experts in DEI and antiracism.
In 2022, ACOG’s Equity Transformation team engaged in a process to develop and launch a Collective Action against Racism operationalization plan. The fiveyear strategy lays out our approach to transforming the culture of obstetric and gynecologic medicine and addressing racial disparities in health outcomes.
In 2022, ACOG observed the second annual Betsey, Lucy, and Anarcha Days of Recognition. Every year on February 28 and March 1, the dates that bridge Black History Month and Women’s History Month, ACOG formally acknowledges Betsey, Lucy, and Anarcha, three enslaved Black women whose exploitation led to foundational advances in the field of obstetrics and gynecology that benefit millions of patients today.
As part of the 2022 observance, ACOG held the inaugural Betsey, Lucy, and Anarcha Memorial Lecture. ACOG members Gina Northington, MD, PhD, FACOG; Allison Bryant, MD, MPH, FACOG; and Ashanda Saint Jean, MD, FACOG, participated in a live roundtable discussion moderated by then-ACOG Lead for Equity Transformation Jennifer Villavicencio, MD, MPP, FACOG. The panel addressed how the speakers promote justice in medicine; incorporate the historical underpinnings of modern obstetrics and gynecology into their practice; and use their knowledge of the field’s history to move towards more inclusive, person-centered, respectful health care.
• Developing the ACOG Antiracism Curriculum (to be launched in 2023), which will include a series of live sessions for members to engage in over the course of the year
• Transforming the ACOG Committee Selection process using best practices in equity. This included updating the application, standardizing application review, and incorporating principles of holistic review.
• Hosting the first Diversity, Equity, and Inclusion Summit, bringing together memberleaders from all 12 ACOG Districts to discuss and collaborate on regional and state-level DEI efforts
• Establishing the Diversity, Equity, and Inclusion Delegation, which comprises three members from each of ACOG’s 12 Districts who are charged with collaborating on ongoing regional and state DEI programming
• Routinely collaborating and engaging with external ACOG partners around DEI and antiracism
• Continuing antiracism training and education for ACOG leadership, such as the executive leadership team, ACOG staff, and Fellow District chairs
ACOG’s legislative and regulatory influence continues to grow. Our advocacy gained yet more urgency in 2022, as political interference in the practice of medicine reached a new level. Our advocacy activities are wide-ranging: they include networking and lobbying on Capitol Hill, with federal agencies, and in statehouses and governors’ mansions nationwide, in addition to our leadership within the AMA and at policy-honing events such as our Congressional Leadership Conference.
In late December 2022, Congress enacted a spending bill for fiscal year 2023. This legislative package addressed key ACOG funding priorities and lifesaving legislative wins, reflecting years of advocacy by ACOG and our allies. The measures include …
• A permanent option for states to provide 12 months of postpartum Medicaid and CHIP coverage
• Critical legislation to improve access to mental and behavioral health care, including the Into the Light for Maternal Mental Health and Substance Use Disorders Act, which was a Congressional Leadership Conference ask
• Additional funding increases for maternal health programs and research, and workplace protections relating to pregnancy, childbirth, and breastfeeding
Follow @ACOGAction on Twitter for the latest on ACOG’s legislative priorities.
In 2022, the AMA House of Delegates voted to establish AMA policy in vigorous and unequivocal support of reproductive health freedom, the sanctity of the patient–physician relationship, and legal protections for patients and health care professionals. These priorities were presented to the AMA House of Delegates by our 14-member delegation to the AMA. This delegation, led by Nita Kulkarni, MD, FACOG, substantively informs AMA policy affecting obstetrician–gynecologists and their patients. The new resolutions, adopted in June and November of 2022, commit the AMA to numerous advocacy positions, including …
• Defending access to the full range of reproductive health care, emphasizing abortion and contraception, with unimpeded access to mifepristone and over-the-counter access to hormonal birth control
• Defending abortion as a human right and opposing the criminalization of patients and health care professionals
• Establishing an AMA-led task force to preserve the patient–physician relationship in areas where evidence-based and appropriate care, such as abortion, is banned or restricted, mitigating the effect of legislative interference
• Updating the AMA’s Code of Medical Ethics on abortion to detach it from law, instead emphasizing good medical practice and medical judgment
“The passage of this important resolution shows that the entire house of medicine shares ACOG’s concern about how legislative interference is undermining the patient–physician relationship and eroding evidence-based medical care.”
— Iffath Abbasi Hoskins, MD, FACOG 73rd ACOG President
Colleagues from across the United States gathered in October 2022 to share strategies and support around navigating a post- Dobbs legislative landscape. This was the first in-person roundtable since 2019, promoting collaboration and enthusiasm for the advocacy work ahead. Participants reported very high levels of satisfaction with the meeting; 100% of survey respondents said it contributed to a positive ACOG membership experience.
In March 2022, ACOG focused its federal legislative advocacy on building congressional cosponsorship of the Into the Light for Maternal Mental Health and Substance Use Disorders Act. This piece of legislation reauthorized and expanded the federal grant program to support screening and increased access to treatment for maternal mental health and substance use disorders during pregnancy and postpartum and authorized the national Maternal Mental Health Hotline. The act was signed into law at the end of 2022.
“It is the single best place to share ideas and meet the others doing similar work in their states to learn what is working.”
“I really need to be in a space with like-minded docs who could share ideas and support during a dark time in provision of obstetric care. Thank you for creating that space. [It] gave me a much-needed morale boost to keep going with advocacy work in my very red state.”
“This meeting never disappoints.”ACOG members strategizing and collaborating at the Congressional Leadership Conference, 2022
January 23, 2022, marked ACOG’s second national observance of Maternal Health Awareness Day. With the theme Adding Up to Maternal Health, we had marked levels of engagement from our partners in maternal health, national and state political leaders, corporations in the health care space, and public figures. This effort, now convened by ACOG national, emerged from strong beginnings in our New Jersey Section (District III) and continues to grow in reach and effect.
Through 2022, the third year of the COVID-19 pandemic, ACOG members grappled with the dominance of the Delta and Omicron variants, the long-term health risks of COVID-19 infection, the prolonged strain on health care teams and systems, and the challenges of vaccine misinformation.
Our professional training resources help obstetrician–gynecologists and our clinical colleagues talk about COVID-19 vaccines in ways that can increase patients’ receptivity and demand. ACOG’s Vaccine Confidence Training and Tool Kit, funded by the CDC, is designed to increase COVID-19 vaccine confidence among pregnant and nonpregnant people. The training and tool kit are free, offer 1.5 CME credits, and are an approved MOC Part IV activity. These resources empower clinicians to talk about COVID-19 vaccines in ways that research shows can address patients’ hesitation. Vaccination greatly reduces patients’ chances of severe COVID-19 illness or death and pregnancy complications from the SARS-CoV-2 virus.
Inform to Empower: Building COVID-19 Vaccine Confidence One Conversation at a Time is a six-part training series. Each module is supplemented with materials for clinicians and patients. Additional demonstrations and strategies are presented in testimonial videos from our vaccine confidence champions. This cohort of physicians has made exceptional progress in increasing COVID-19 vaccination rates among pregnant people. Our champions work to increase vaccine confidence among ACOG members at the leadership level and to train and inspire other obstetric care professionals.
Since early in the pandemic, ACOG has been dedicated to generating clinical guidelines related to COVID-19 and updating them in accordance with rapidly evolving evidence and recommendations. For example …
• ACOG’s Practice Advisory “COVID-19 Vaccination Considerations for Obstetric–Gynecologic Care” was revised 11 times in 2022 alone, keeping up with evolving recommendations for COVID-19 primary vaccines and boosters
• More than 100 FAQs on COVID-19 continue to be reviewed and maintained on acog.org
• Our booster infographic was updated four times in 2022
Labor of Love, an ACOG podcast, combines storytelling and evidence-based recommendation sharing to connect listeners with real moms experiencing motherhood in the time of COVID-19 and maternal health experts. Host Veronica Pimentel, MD, FACOG, connects with other moms and maternal health experts in season 1 for conversations that address the science and safety of COVID-19 vaccines and what the pandemic means for fertility, mental health, health equity, and maternal health. Season 2 addresses vaccine hesitancy and additional topics. The podcast is free and shareable at acog.org/laboroflove.
ACOG’s patient-facing guides to COVID-19 are updated routinely, in line with evidence-based clinical guidelines, supporting health care professionals’ efforts to keep patients informed. They include …
• A 90-second video making a succinct, relatable case for receiving the COVID-19 vaccine while pregnant
• A popular FAQ page on COVID-19 illness, pregnancy, childbirth, and breastfeeding
• An FAQ page on COVID-19 vaccines, pregnancy, breastfeeding, and fertility
• An FAQ page on gynecologic visits and telehealth
• Infographics on pregnancy and COVID-19 and the vaccine during pregnancy
• A column from an ACOG member on the safety of receiving the COVID-19 vaccine during pregnancy
• Fast facts on COVID-19 and pregnancy for subscribers to ACOG’s digital pamphlets
Obstetrics & Gynecology, aka the Green Journal, is the official publication of ACOG, published since 1953. Jason D. Wright, MD, FACOG, is editor-in-chief.
In 2022, Obstetrics & Gynecology achieved an impact factor of 7.623, the second highest in the history of the journal. A journal’s impact factor is based on the average number of citations per article published during the two preceding years.
• “Association Between Menstrual Cycle Length and Coronavirus Disease 2019 (COVID-19) Vaccination”; A. Edelman, et al.
• “Pregnancy-Associated Deaths Due to Drugs, Suicide, and Homicide in the United States, 2010–2019”; C. E. Margerison, et al.
• “Common Sleep Disorders in Pregnancy”; F. L. Facco, et al.
• “In Vitro Fertilization and Early Pregnancy Outcomes After Coronavirus Disease 2019 (COVID-19) Vaccination”; D. Aharon, et al.
“Throughout 2022, Obstetrics & Gynecology provided critical research and shared essential data during fractious times, allowing the Green Journal’s dynamic work to stand out as a through line of evidence-based, scientific clarity against new waves of misinformation.”
— Jason D. Wright, MD, FACOG , Editor in Chief of Obstetrics & Gynecology
Ebony B. Carter, MD, MPH, FACOG, joined the Green Journal as associate editor, equity, in 2022. She works with the editorial board and leadership team to center health equity in all editorial processes and procedures. Early initiatives include planning a special edition devoted to racism in reproductive health (forthcoming). The special edition is guided by a 29-member transdisciplinary steering committee, which released an equity rubric to guide authors’ and reviewers’ research. Dr. Carter, a tenured associate professor at Washington University School of Medicine in St. Louis, practices maternal–fetal medicine and serves as chief of the division of clinical research in the department of obstetrics and gynecology.
Vivian W. Sung, MD, MPH, FACOG, joined the Green Journal as deputy editor, gynecology, in 2022. Dr. Sung practices gynecology and gynecologic surgery; her scientific work is based in patient-centered outcomes and methodology.
“My research focuses heavily on patient perspectives and learning how to engage communities of underrepresented populations. I’m excited to bring that focus to Obstetrics & Gynecology, in addition to integrating my passion for physician advocacy at a time when physician voices have never been more critical.” Dr. Sung is professor and vice chair of faculty development and wellness in the department of obstetrics and gynecology at the Alpert Medical School of Brown University and director of research for urogynecology.
Shannon Laughlin-Tommaso, MD, MPH, FACOG, addresses gynecologic disease as a clinician, researcher, and resident educator. She joined the Green Journal as associate editor, gynecology, in 2022. “I bring my expertise in benign gynecologic disease and collaborate with other faculty members to broaden and deepen the scope of our work. Obstetrics & Gynecology is a leader in its field, and I’m proud to be on the cutting edge with the rest of our team and readership.” At the Mayo Clinic, Dr. LaughlinTommaso is jointly appointed in the departments of obstetrics and gynecology and surgery. She serves as associate dean for education diversity, equity, and inclusion for the Mayo Clinic College of Medicine and Science and professor in the department of obstetrics and gynecology.
“Educational programming across ACOG is grounded in three core principles: meet identified needs; be innovatively effective in applying medical evidence; and sustain professionals, careers, and health services.”
— AnnaMarie Connolly, MD, FACOG , ACOG Chief of Education and Academic Affairs
In 2022, ACOG was awarded the highest accreditation standard available to a CME-granting entity: approval with commendation by the Accreditation Council for Continuing Medical Education (ACCME) for a six-year term. This status recognizes the centrality of evolving, evidence-based medical education to ACOG’s mission.
ACOG hosts the leading professional development meetings for obstetric–gynecologic educators nationwide.
In 2022, ACOG’s Council on Resident Education in Obstetrics and Gynecology (CREOG) held four events that drew 2,500 participants,
• CREOG and APGO Annual Meeting: Together Again, Together Forever: The Med Ed Family Reunion
• CREOG Education Retreat
• CREOG School for Program Directors and Program Managers
• CREOG Residents as Teachers and Leaders Workshops
The in-person components reenergized professional gatherings during the ongoing adjustment to COVID-19.
Additionally, the CREOG InService Training Exam, a critical annual self-assessment exam for obstetrics and gynecology residents, reached more than 6,000 residents across the country.
The overturning of Roe v. Wade presents substantial clinical challenges in obstetric–gynecologic training and underscores the indispensability of ACOG’s active collaborations with other national educational organizations. In 2022, ACOG worked with the American Board of Obstetrics and Gynecology and the ACGME to preserve training objectives in clinical abortion care, which is essential health care. This work drove two collaborative training initiatives:
• The Patient-centered Abortion Care Education (PACE) curriculum, convened and facilitated by ACOG and developed by University of California, San Francisco’s Innovating Education in Reproductive Health, was piloted across 17 residency programs
• CREOG Educational Objectives, 13th edition, a guide to residency curriculum development that includes abortion care training and incorporates an ongoing shift toward outcomesbased approaches to medical education and evaluation
ACOG is committed to educating patients and the public about obstetric and gynecologic conditions and health care. We develop and publish resources for patients and others to find and engage with directly and for clinicians to make available in their practices.
In 2022, ACOG produced 90 new or updated resources for people with obstetric or gynecologic questions, further stocking our comprehensive patient education toolbox.
Clinicians can refer patients to ACOG’s online materials in a range of user-friendly formats. These include new customizable health tools, member-favorite infographics (acog.org/infographics), videos, Expert Views, columns, FAQs, Fast Facts, Ask ACOG Q and As, and e-booklets. These resources are all based on ACOG’s clinical guidance and most are free. Clinicians can purchase the ACOG digital pamphlet subscription to access printable illustrated handouts in English and Spanish (acog.org/digitalpamphlets).
ACOG materials are created and updated in response to evolving health concerns, including COVID-19; changes in ACOG’s clinical guidance, such as changes around screening for hepatitis C in pregnancy; emerging health risks such as mpox; and other identified areas of need. These resources speak to patients from puberty through the end of life. They clarify hot-button issues such as health care for transgender and nonbinary teens; conditions and procedures that draw scarce mainstream attention, such as screening for hemoglobinopathies; and everything in between.
10.8 million page views
9.8 million viewing sessions
7.5 million users
“Best visuals on the internet.”
“I wish I had seen your website earlier so I would have understood more about my condition.”Examples of ACOG’s patient education web resources, 2022
In 2022, annual meetings representing ACOG’s 12 Districts drew 1,900 in-person participants. Major themes included physician wellness and career support, reproductive rights, and health equity. Those efforts also manifested throughout the year in events, projects, and accomplishments.
District I’s free in-person Junior Fellow and Medical Student Day, with the theme Physicians as Advocates, welcomed 100 speakers and attendees from all over the United States. Some traveled specifically to receive vital training currently unavailable in their own states. Program highlights included navigating the legal landscape of reproductive care, abortion care training, communications and media training, physician advocacy across career stages, and residency interview strategies. District I represents the Atlantic Provinces, Chile, Connecticut, Maine, Massachusetts, New Hampshire, Quebec, Rhode Island, and Vermont.
District II, representing New York and Bermuda, aided in the passage of abortion shield laws that help solidify New York as a national access state for abortion care. The new laws address protections around physician licensure, malpractice insurance actions, the confidentiality of health care professionals’ addresses, and misconduct charges initiated elsewhere for care delivered in New York. This District’s advocacy also helped advance funding and access to abortion care services and fended off legislative mandates interfering in the practice of medicine.
District II also advocated for critical equity priorities in the New York state budget. These efforts helped secure telehealth payment parity and 12 months of Medicaid coverage from the end of pregnancy for all New Yorkers, including immigrants, in line with the recommendations of the state’s maternal mortality review board.
All Sections of District III—Delaware, the Dominican Republic, New Jersey, and Pennsylvania—where Maternal Health Awareness Day, also known as 123 for Moms, originated, joined together in observing the day this year. A District-wide program raised public, legislative, and professional awareness of maternal health and safety; educated professionals and patients about promising campaigns and initiatives; and encouraged new efforts. The focus on maternal immunizations synchronized with a goal of Past President J. Martin Tucker, MD, FACOG, and a keynote presentation by Kavita Arora, MD, MBE, MS, FACOG, chair of the ACOG Ethics Committee. The presentation, which included a community perspective and panel discussion, was posted online for members’ use. This project was the recipient of the 2022 ACOG Council of District Chairs Service Recognition Award.
District IV launched practical, principled tools developed by its Health Equity and Reflective Care Committee, which focuses on reducing implicit and explicit bias, addressing the social determinants of health, and promoting respectful care. The Health Equity and Reflective Care Tool kit includes a repository of training materials for individuals, teams, and institutions. The Respectful Care Pledge, which is part of this effort, encourages physician commitment to supporting respectful health care for all patients. District IV represents the District of Columbia, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia, Argentina, Puerto Rico, and the West Indies.
District V, representing Indiana, Kentucky, Ohio, Michigan, and Ontario, resumed in-person meetings, expediting robust networking and assembly among the Sections. A strategic planning initiative facilitated new work groups, formalizing the DEI Committee and establishing a Tri-District Wellness Committee together with Districts VIII and IX to address physician wellness. Each Section’s legislative days prioritized critical goals in their states.
In the aftermath of the Dobbs decision, District VI emerged as an organized, powerful voice for people who access obstetric and gynecologic care and their health care professionals. Its members and leaders wrote and spoke out, engaged in grassroots organizing, built coalitions, and worked with Section lobbyists in state legislatures. District IV beat back trigger laws in North Dakota, joined forces with the entire house of medicine to address tort reform in Iowa, and challenged Wisconsin’s 1849 criminal abortion ban. Their success in advocacy reflected cumulative efforts that built relationships and coalitions that will support patients, practices, and ACOG members into the future. District VI represents Illinois, Iowa, Minnesota, Nebraska, North Dakota, South Dakota, Wisconsin, Manitoba, Saskatchewan, and Peru.
ACOG’s District IX Specialty Delegation attended the California Medical Association meeting of its House of Delegates, 2022.District VII worked with the ACOG Executive Leadership Team to develop a system for addressing the varying clinical and legal effects of the Dobbs decision across its Sections, resulting in a process for handling post- Dobbs convenings in all ACOG Districts. In District VII, which represents Alabama, Arkansas, Kansas, Louisiana, Mexico, Mississippi, Missouri, Oklahoma, and Tennessee, seven post- Dobbs webinars and video convenings were attended by more than 200 members.
The District VIII Wellness Committee worked with Districts V and IX to bring peer-to-peer counseling to obstetrician–gynecologists across the three Districts. Peer-to-peer counseling, which involves supporting colleagues after an adverse outcome or stressful situation to help prevent burnout, can be instrumental in helping health care professionals cope, especially when the counselor is a practicing obstetrician–gynecologist trained in peer support. Their initiatives include a forthcoming grantfunded pilot program involving one-on-one phone counseling by a trained peer supporter and resources for the 2023 Annual Clinical & Scientific Meeting. District VIII represents Alaska, the Northwest Territories, and Yukon Territory, Alberta, Arizona, British Columbia, Central America, Colorado, Hawaii, Guam and American Samoa, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
Advocacy wins in District IX included Proposition 1, which enshrined the right to reproductive freedom in the California constitution. The District’s collaborations with other California stakeholders also helped get 14 bills passed that protect and improve access to contraception and abortion. Committees and Sections in District IX, which represents California and Ecuador, held initiatives supporting postpartum care; equity, inclusion, and diversity; and peer-to-peer support. Highlights included a lobby day, international events with real-time translation, webinars, mixers, and combined in-person and virtual opportunities.
The Armed Forces District celebrated the launch of a standardized mechanism to review severe maternal morbidity and mortality events, which was rolled out across the Department of Defense in 2022. The new process was the result of a collaboration involving the Armed Forces District and ACOG, the CDC, and the Defense Health Agency and was designed to evaluate data not captured by state maternal mortality review committees. Following work group activities, the process was transferred to the Women and Infant Clinical Community of the Defense Health Agency. The Armed Forces District represents obstetrician–gynecologists in the U.S. Air Force, Army, and Navy.
District XI, representing Texas, responded to pandemic-related burnout by prioritizing physician wellness and incorporating actionable strategies into meetings. The in-person 2022 Junior Fellow Leadership Day, in conjunction with the Interim District Advisory Council meeting, enabled members at varying career stages to benefit from stress management training. These actionable methods included meditation and yoga techniques that work on the job.
For National Wellness Week, District XI sponsored a contest among Texas residency programs. Obstetrician–gynecologists at Texas Tech University Health Science Center at the Permian Basin campus addressed wellness across five domains (emotional health, physical health, social justice, spiritual health, and environmental health). Offerings included an Instagram happy hour, a plank challenge, a DEI book club, reproductive healththemed valentines, and recycling bins—elements of a program that won a cash prize supporting future wellness initiatives.
As part of a novel engagement initiative, District XII, representing Florida and Colombia, sent all new residents and Fellows a welcome gift. On the first day of residency or fellowship, they received information on how to connect with District and Section officers, a branded neoprene lunch bag, a travel mug, and candy. This welcome package was designed to engage incoming residents and Fellows and highlight District XII as a valuable resource throughout their careers.
Four thousand attendees gathered in San Diego, California, from May 6 to 8 for ACOG’s first in-person Annual Clinical & Scientific Meeting in three years. The event was designed to help members reconnect through shared experiences and face-to-face collaboration, recharge with fresh perspectives and exclusive educational content, and reset so that they could take advantage of everything the meeting experience had to offer.
In 2022, ACOG’s online learning platform drew 16,000 visitors, motivated in part by our renewed Coding On Demand resources. These bridge the gap between accurate documentation and coding to the highest specificity—the gold standard of documentation.
Our popular Coding On Demand webinars, updated and expanded in 2022, guide obstetrician–gynecologists and their colleagues through new coding and best reimbursement practices. Practicing the highest standard of documentation reduces claim denials and supports improved patient outcomes.
ACOG’s Coding On Demand webinars carry CME credit. They are updated annually to align with evolving codes and guidelines. The 2023 Coding On Demand bundle includes three modules: evaluation and management, obstetrics, and gynecology—the last with new elements. The modules are also available separately. Sample coding scenarios cover how to accurately document and bill for common and specialty services and procedures and address the questions most frequently asked through ACOG’s coding portal.
New topics in the gynecology module include coding for endometrial biopsy, laparoscopic salpingectomy, hysterectomy, and abortion and pregnancy loss. Within their comprehensive coverage, the webinars help participants understand the guidelines for correct code selection; appropriately document services for effective reimbursement; apply new evaluation and management codes for inpatient, observation, and emergency department care; recognize the relationship between diagnostic and procedural coding; code surgical cases; and more.
Coding On Demand programs are presented by physician members of our Committee on Health Economics and Coding, who cover services and procedures within their subspecialties, and expert ACOG staff. The courses are self-paced, with voice-overs and assessment. Participants can submit feedback and any additional questions to ACOG’s coding specialists.
Coding On Demand: 2023 Bundle
2023 Coding and Policy Update webinar (free to members)
2023 OB/GYN Coding Manual: Components of Correct Coding
Coding reference guides
The Board of Directors provides governance for ACOG with day-to-day operational support from executive staff and teams.
President
Iffath Abbasi Hoskins, MD, FACOG
New York, New York
Immediate Past President
J. Martin Tucker, MD, FACOG Jackson, Mississippi
Treasurer: Steven J. Fleischman, MD, FACOG; Milford, Connecticut
Secretary: Cynthia A. Brincat, MD, PhD, FACOG; Lake Forest, Illinois
Assistant Secretary: Michelle Y. Owens, MD, FACOG; Byram, Mississippi
Chair, District I: Maryanne McDonnell, MD, FACOG; Bolton, Connecticut
Chair, District II: Christine Marie Herde, MD, FACOG; Poughkeepsie, New York
Chair, District III: Francine E. Sinofsky, MD, FACOG; Highland Park, New Jersey
Chair, District IV: May H. Blanchard, MD, FACOG; Baltimore, Maryland
Chair, District V: Jody Jones, MD, FACOG; Canton, Michigan
Chair, District VI: Bridget B. Keller, MD, FACOG; Minneapolis, Minnesota
Chair, District VII: Grant R. Cox, MD, FACOG; Tulsa, Oklahoma
Chair, District VIII: Judith M. Kimelman, MD, FACOG; Mercer Island, Washington
Chair, District IX: Kelly A. McCue, MD, FACOG; Davis, California
Chair, Armed Forces District: Lisa M. Foglia, MD, FACOG; Asheville, North Carolina
Chair, District XI: Charles Edward Lee Brown, MD, FACOG; Austin, Texas
President-Elect
Verda J. Hicks, MD, FACOG Leawood, Kansas
Chair, District XII: Cole D. Greves, MD, FACOG; Belle Isle, Florida
Fellow-at-Large: Daniel M. Breitkopf, MD, FACOG; Rochester, Minnesota
Fellow-at-Large: Andrea D. Shields, MD, MS, FACOG; Avon, Connecticut
Chair, JFCAC: Maria A. Phillis, MD, JD, FACOG; Shaker Heights, Ohio
Vice Chair, JFCAC: Anna C. Cochrane, MD, FACOG; Winston-Salem, North Carolina
Subspecialty Representative, AUGS: Lieschen H. Quiroz, MD, FACOG; Oklahoma City, Oklahoma
Subspecialty Representative, SFP: Nerys C. Benfield, MD, MPH, FACOG; San Francisco, California
Subspecialty Representative, SGO: Lee-may Chen, MD, FACOG; San Francisco, California
Subspecialty Representative, SMFM: Marvin Williams Jr, DO, FACOG; Oklahoma City, Oklahoma
Subspecialty Representative, SREI: Micah J. Hill, DO, FACOG; Germantown, Maryland
Public Member: Malka S. Zeefe, JD; Woodland Hills, California
Young Physician at Large: Mai P. Hoang, MD, FACOG; San Diego, California
Young Physician at Large: Nicole Lee Plenty, MD, FACOG; Katy, Texas
CEO: Maureen G. Phipps, MD, MPH, FACOG; Washington, D.C.
The mission of the ACOG Foundation is to support the charitable, educational, and scientific programs and activities that further the interests of ACOG members and their colleagues and improve the lives of all people seeking obstetric and gynecologic care and their families and communities.
Chair Tamika C. Auguste, MD, FACOG
Secretary Robert H. Palmer Jr, MD, FACOG
Treasurer David Wesley Doty, DO, FACOG
Eva Chalas, MD, FACOG, FACS
Anne Louise Banfield, MD, FACOG
Maureen G. Phipps, MD, MPH, FACOG
J. Martin Tucker, MD, FACOG
• Reached 12.94 million households from June to August 2022 with ACOG’s first-ever public service announcement encouraging COVID-19 vaccination during pregnancy
• Observed the second annual Betsey, Lucy, and Anarcha Days of Recognition, a program that acknowledges three enslaved Black women whose exploitation led to foundational advances in the field of obstetrics and gynecology that benefit millions of patients today
• Held the ACOG Robert C. Cefalo National Leadership Institute , which has served nearly 700 physician leaders across 11 countries and three continents over the years and received top ratings and accolades from program participants
• Worked with 70 ACOG Fellows from across the country to help them respond to inquiries about the Dobbs v. Jackson Women’s Health Organization decision and its aftermath and share that information with others
• Trained 456 participants through CREOG workshops, the Resident Reporter program, the CREOG School for Program Directors and Program Managers, and the ACOG Robert C. Cefalo National Leadership Institute
• Fielded more than 700 media requests related to abortion or contraception since the Dobbs decision on June 24, generating media coverage in national news outlets such as the New York Times, NPR, the Wall Street Journal, and the Washington Post and television coverage on NBC Nightly News, CBS Mornings, and CNN
As you come to the close of the ACOG Annual Report, I’d like to share how the ACOG Foundation made a difference in 2022. ACOG consists of two entities. You are likely familiar with the first entity, the College, which is the membership organization that works to improve the lives of all people seeking obstetric and gynecologic care and their families and communities. The second entity is the Foundation, which primarily supports the College. Funds donated to the ACOG Foundation help ACOG nourish and stimulate improvements in all aspects of obstetric and gynecologic care in the United States and globally.
The ACOG Foundation channels critical resources to help obstetric and gynecologic health care professionals respond to the urgent needs of patients, communities, and health care systems. ACOG members are on the front lines of the fight to end preventable maternal mortality and morbidity, preserve and expand reproductive freedoms, address issues affecting practice viability, and alleviate the mental health crisis harming physicians’
own health and well-being, among many other challenges. ACOG’s education and training programs give our members and our national audience the tools and information they need to make the best possible decisions for their health and the health of others. Your commitment and contribution enable us to make a real difference.
ACOG’s work is more critical now than ever in our current climate. Please join me in supporting the ACOG Foundation so that we can continue to transform lives. Thank you for standing with us.
Sincerely,
Tamika
The ACOG Foundation is a registered 501(c)(3) nonprofit organization. Contributions to the ACOG Foundation are considered charitable donations and are fully tax deductible to the extent allowed by applicable law. The ACOG Foundation’s employer identification number is 36-2217981.
When you join one of the ACOG Foundation’s giving societies, you unite with other contributors at similar levels of financial support. Depending on the level and type of support, donors may receive public recognition and special acknowledgements, such as complimentary registration at certain events and other benefits.
The ACOG Foundation can be included in your estate plans as a bequest in your will or trust; as the recipient of appreciated stocks or securities; as a beneficiary of a current IRA or retirement plan, life insurance, or commercial annuity; or as a qualified charitable contribution from your IRA.
Monthly gifts can make a big difference. For example, a monthly gift of just $25 totals a yearly contribution of $300 that enables the ACOG Foundation to continue its work across the spectrum of comprehensive maternal and reproductive care.
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Ted L. Anderson, MD, PhD, FACOG
Thaddeus L. Anderson, MD, FACOG
Anne L. Banfield, MD, FACOG
Ronald T. Burkman Jr, MD, FACOG
Aaron B. Caughey, MD, PhD, FACOG
Eva Chalas, MD, FACOG
Mark S. DeFrancesco, MD, MBA, FACOG
Christina Duzyj Buniak, MD, MPH
Joseph T. Edwards, MD, FACOG
Steven J. Fleischman, MD, FACOG
Thomas M. Gellhaus, MD, FACOG
Bridget B. Keller, MD, FACOG
Gloria L. Martin
G. Sealy Massingill, MD, FACOG
Ross McQuivey, MD
Andrea Messina, MD, FACOG
Wade A. Neiman, MD, FACOG
Larissa L. Nelson, MD, FACOG
Maureen G. Phipps, MD, MPH, FACOG
Leslie Pratt, MD, FACOG
Gregg M. Strathy, MD
Jeremy Tietjens, MD
Jenna L. Tjossem-Robb, MD
Eugene C. Toy, MD, FACOG
J. Martin Tucker, MD, FACOG
Tin-Wing Yen, MD, FACOG
Tamika C. Auguste, MD, FACOG
May H. Blanchard, MD, FACOG
Jodi Brannen, MD, FACOG
Charles Brown, MD, FACOG
David Chelmow, MD, FACOG
Camille A. Clare, MD, MPH, CPE, FACOG
Philip D. Darney, MD, FACOG
David Doty, DO, FACOG
Jonathan Elias, MD, FACOG
Marygrace Elson, MD, FACOG
Christine M. Herde, MD, FACOG
Iffath Abbasi Hoskins, MD, FACOG
Gerald F. Joseph Jr, MD, FACOG
Clayton H. McCracken, MD
John P. McHugh, MD, FACOG
Ann Honebrink, MD, FACOG
Lila V. Nevrekar, MD, FACOG
Tony Ogburn, MD, FACOG
Holly Olson, MD, FACOG
Michelle Y. Owens, MD, FACOG
Sarah Page-Ramsey, MD, FACOG
Sarah Prager, MD, FACOG
Patrick Ramsey, MD, MSPH, FACOG
Heather Z. Sankey, MD, FACOG
Andrea Shields, MD, FACOG
Judith A. Swauger, MD, FACOG
Maria Teresa Tam, MD, FACOG
Robert Wah, MD, FACOG
REIS SOCIETY
Angela A. Adomako, MD, FACOG
Kevin A. Ault, MD, FACOG
Carla Blumberg
Haywood L. Brown, MD, FACOG
Stella M. Dantas, MD, FACOG
Kendra Davis
Lisa M. Foglia, MD, FACOG
Robert B. Gherman, MD, FACOG
Cole D. Greves, MD, FACOG
William H. Haffner, MD, FACOG
Nicole Haygood
Tamara G. Helfer, MD, MBA, FACOG
Dawn Holdren
Magdalene B. Karon, MD, FACOG
Judith M. Kimelman, MD, FACOG
Marc A. Landsberg, MD, FACOG
Judy Levison, MD, FACOG
Amber Lin, MD
Kristin M. Lyerly, MD, FACOG
Isaac Schiff, MD, FACOG
Jeffrey B. Thompson, MD, FACOG
Rita Tsai, MD, FACOG
Daniel G. Wagner, MD, FACOG
LEGACY SOCIETY
Matthew T. Allswede, MD, FACOG
James T. Breeden, MD, FACOG, and Midge Breeden
Sandra A. Carson, MD, FACOG
Ying Chan-Mark, MD, FACOG
Anna M. D’Amico, MD, FACOG
W. Benson Harer Jr, MD, FACOG
Scott D. Hayworth, MD, FACOG, and Nan Hayworth
Alan T. Kent, MD
Gloria L. Martin
G. Sealy Massingill, MD, FACOG
Robin D. Matthews, MD, FACOG
Megan McReynolds
Patricia M. Miller, MD
Kathryn M. Purdon and Thomas F. Purdon, MD, FACOG
Eugene C. Toy, MD, FACOG
Mary F. Vanko, MD, FACOG
Jenny White
ACOG programs continue to provide necessary resources to serve our members and those seeking obstetric and gynecologic care. Included in these financial statements are the activities of ACOG, the ACOG Foundation, 110 ACOG Districts and Sections, and the ACOG Landholding Corporation.
Member dues, federal cooperative agreements, Obstetrics & Gynecology, and the 2022 ACOG Annual Clinical & Scientific Meeting in San Diego, California, led operating revenues of $68.2 million. Expenses of $63.4 million reflect our investment in the education and advancement of our members, reliable and relevant scientific research, and supporting medical practice and current and emerging issues in the field. In 2022, the ACOG portfolio returned a significant loss consistent with other portfolios of its type, although the down market was unable to erase gains achieved in the past three years. ACOG’s investment portfolio is continually monitored to fund our long-term needs without subjecting the organization to excessive risk.
ACOG’s combined operating and nonoperating activity resulted in a net loss of $21.3 million for the year. Despite the loss in investments, ACOG held financial reserves and endowments of $138 million to fund strategic initiatives in line with ACOG’s mission, vision, and values; support the operations of our Districts and Sections; and protect against business disruptions.
THE ACOG FOUNDATION IS DEEPLY GRATEFUL FOR THE SUPPORT IT RECEIVED IN 2022 FROM THE FOLLOWING CORPORATE SUPPORTERS: HOLOGIC, NOVONORDISK, MYRIAD, ILLUMINA, AND QUEST.
