2018 ACOG Annual Report

Page 1

2018

ANNUAL

REPORT

The American College of Obstetricians and Gynecologists

Taylor Pitt, MD, MPH ACOG Member 2017 ACOG Annual Meeting


ACOG MISSION, VISION AND CORE VALUES Operational Mission Statement The American College of Obstetricians and Gynecologists is a membership organization dedicated to the advancement of women’s health care and the professional and socioeconomic interests of its members through continuing medical education, practice, research, and advocacy.

Vision Statement The College, as the premier organization for obstetricians and gynecologists and providers of women’s health care, will provide the highest quality education worldwide; continuously improve health care for women through practice and research; lead advocacy for women’s health care issues nationally and internationally; and provide excellent organizational support and services for our members.

Core Values As an organization dedicated to the advancement of women’s health care and the betterment of our membership, we value: Access for all women to high-quality, safe health care Professionalism of our membership as manifested in high ethical standards, collegiality, communication, mentoring, leadership development, diversity, and life-long learning Scholarship in medical science through health research and education Advocacy for women and our members in our role as the authority on the specialty and on women’s health information for patients, providers, organizations, and governments


MEMBERSHIP AT A GLANCE Number of Members by Category

ACOG has

62,221

31,090

members

Fellow

A board certified ob-gyn whose professional activity is devoted to the practice of obstetrics and/or gynecology.

Of those members,

9,886

10,447 Junior Fellow

are young physicians

An ob-gyn resident in an approved program or a recent graduate of a program.

(practicing members in the first eight years of practice)

9,372

26,033

Life Fellow and Fellow Senior Status An ACOG Fellow who requests this status because of advancing age, illness, or other sufficient reason.

Male

7,423

Gender

Medical Student Any person currently enrolled in an allopathic or osteopathic medical school.

36,174

3,889

Female

14

Associate Member and Educational Affiliates

Other or Prefer Not to Answer

Members by District

Non-ob-gyn women’s health care professionals.

District VI 5,584

District V 6,166

District II 4,588 District I 3,824

District III 4,677 District IX 6,091

District IV 8,542 District VIII 6,731 District VII 5,928 District XI 4,050

District XII 3,418

ACOG ANNUAL REPORT 2018 • 1


WE’RE HERE TO IMPROVE

WOMEN’S HEALTH

E

ach day in our practices, we see women in their most personal moments, expressing their joys as well as their fears. With our commitment and training, we can set them on paths to healthier lives. Despite our advances in health care and after hundreds of years of declines, maternal mortality rates are climbing in the United States—along with rates of severe complications— particularly for minority mothers. My goal—and the mission of ACOG on my watch—is to reverse these heartbreaking trends by challenging each other and policy makers to establish women’s health as a national priority. During my year as president, ACOG expanded on its work to reduce maternal mortality through three initiatives:

1. Advocacy on the state and federal levels to establish state-based maternal mortality reviews. These analyses provide a window into maternal deaths through a detailed review of medical records and autopsy reports. By identifying contributing factors, we can implement interventions to prevent them. 2. A stronger culture of patient safety in hospitals. ACOG helped establish the Alliance for Innovation on Maternal Health (AIM), a national initiative to reduce maternal mortality and severe morbidity. Alongside 19 women’s health organizations, ACOG worked with hospitals and health systems to implement patient safety bundles. Today, 21 states are part of AIM, and our goal is to reach all 50 states. 3. A task force devoted to heart disease in pregnancy. Cardiovascular events and cardiomyopathy are the leading causes of maternal mortality, accounting for nearly 25 percent of deaths. This multidisciplinary task force will create evidencebased best practices for recognition and management of cardiovascular disease before, during and after pregnancy. It will also evaluate the pregnancy-related factors that increase lifelong cardiovascular risk and make recommendations to reduce these risks.

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ACOG stands ready to address these and other challenges. With our strategic plan—ACOG 2020—we have created a road map for delivering a compelling member experience, supporting the ob-gyn profession, and improving women’s health. In this report, you’ll see our vision take shape. We are revamping our Annual Meeting and other learning opportunities to bring you the education you need in innovative ways. We’re bringing you a new website experience that delivers more timely clinical guidance and resources in easily searchable formats. We’ve crafted new advocacy and legislative action tools to support you on issues that matter to you. We are also leveraging technology to develop new practice management tools that help combat physician burnout and alleviate administrative burden. Finally, we are investing in the future by ensuring our young physicians get the training necessary for today’s evolving world of medicine. This is just a glimpse into the future of ACOG, where we’re maximizing our resources and doing our best work so you can focus on what matters most—patient care. ACOG is working hard so that you can have meaningful connections with patients without the burdens that cause you to feel overwhelmed by work every day. Now is the time to renew our commitment to our profession and to women’s health. Together, as the leaders in our practices, in our communities and our country, we will address fair payment models for services provided, advocate for patient access to vital medical services, and advance strong quality of care standards. ACOG will empower our members to transform the future of women’s health care.

Lisa M. Hollier, MD, MPH, FACOG President and Interim EVP/CEO American College of Obstetricians and Gynecologists ACOG Foundation


ACOG 2020:

EMBRACING THE FUTURE Ob-gyns face immense challenges in today’s increasingly complex health care environment. Changes in technology, health care business models, evolving patient expectations, and the government’s role in medicine have transformed the health care landscape. At ACOG, we’re changing, too. We’re maximizing ACOG’s resources to better support your most pressing needs and greatest challenges. Through surveys, focus groups, and other researchdriven measures, we’ve listened to and prioritized the varied needs of our membership. The administrative burden of running a practice is increasingly interfering with patient care, and members are particularly worried about the resources required to successfully manage electronic health records (EHRs). After analyzing these and other challenges facing our members, we embarked on ACOG 2020. With ACOG 2020, we’ve charted a three-year course that will reimagine the way ACOG supports members. We’re updating our current offerings and developing new tools and resources to support members at every stage of their career. Our ambitious strategic plan is built around four focus areas designed to empower members to transform the future of women’s health care.

ACOG ANNUAL REPORT 2018 • 3


DELIVERING A COMPELLING

MEMBER EXPERIENCE TRACKING INNOVATION:

Annual Meeting Highlights Medical Breakthroughs Sometimes technology advances so swiftly that clinicians struggle to understand which pieces of information can be immediately incorporated into practice. ACOG built its 66th Annual Clinical and Scientific Meeting around helping our sophisticated membership understand which innovations are ready for their patients today. The meeting brought together a diverse community to explore the evidence behind a wealth of new medical and surgical innovations with the potential to improve women’s health in every decade of life. During three days in Austin, Texas, we discussed standards of care as a community and weighed numerous advances available to clinicians through over 300 sessions and 700 electronic posters. This year’s President’s Program—chosen by then ACOG President Haywood L. Brown, MD, FACOG—provided a new lens through which to view the postpartum visit: a conversation that sets the template for a lifetime of quality health care. Among the most well-attended sessions were a comprehensive debate over reducing the C-section rate and a presentation on the preparation required for minimally invasive gynecologic surgeries on morbidly obese patients. Leaders from 11 subspecialties—including the Society for Maternal-Fetal Medicine (SMFM) and Society of Gynecologic Surgeons (SGS)—also highlighted relevant trends and advances. As always, ACOG’s reputation for creating engaging experiences continued. Our surveys show that four out of five attendees welcomed the new “trifecta presentations,” which allowed three presenters to speak to the same audience at the same time using dedicated channels on headphones. Our Innovation Rodeo also provided learning labs, surgical virtual reality stations, networking opportunities, and more. Attendees could freshen their headshots or be quizzed on the latest guidance from recent PROLOG editions. The Annual Meeting continues to provide compelling opportunities for learning and CME credit, and our members approve. Nearly 90 percent of attendees were satisfied or extremely satisfied with ACOG’s educational events and will recommend the meeting to others. Paid attendance has increased an impressive 30 percent in the last three years.

4 • ACOG ANNUAL REPORT 2018

AC O G F O U N DAT I O N : S E E D I N G D E V E LO PM E N T The ACOG Foundation contributed vital startup funding for EHR integration application developments, serving as the incubator for this technology revolution in women’s health. The ACOG Foundation also funded the formation of ACOG’s new Clinical Informatics and Health IT Department. ACOG is looking to expand point-of-care clinical decision support and technological solutions to providers’ administrative burdens.


The Prenatal Record—Reimagined ACOG partnered with a mobile app development company to create the ACOG Prenatal Record by Dorsata, the first intelligent prenatal charting app designed to think like an ob-gyn. Our goal: Give obstetricians a tool that feels like paper charting, yet provides all the advantages of digitization, including improved efficiency, better functionality than existing EHR systems, and innovative decision support tools available throughout every stage of pregnancy. The ACOG Prenatal Record features an easy-to-use, comprehensive flowsheet that covers lab tests and key measures of the patient’s progress, such as blood pressure and weight gain. The app develops clinical care paths to tailor each visit to the patient’s specific needs and makes appointments more efficient by teeing up items based on ACOG guidance. It also can benefit patient engagement by setting a reminder to ask about personal details, such as a recent vacation. Best of all, the app updates automatically as new ACOG guidance becomes available and supports practice management activities like coding and billing. The ACOG Prenatal Record is currently available for athenahealth users and is the first in a series. Upcoming ACOG applications will cover well-woman visits and common gynecological conditions.

The Latest ACOG Guidance and Resources— Now at Your Fingertips Whether prepping for surgery or brushing up on a topic before a patient visit, ob-gyns need easy access to ACOG’s latest clinical guidance—quickly. That’s why ACOG is exploring ways to improve the clinical guidance user experience. Every ACOG Practice Bulletin, Committee Opinion, and Practice Advisory is now located in a single, searchable location on the Clinical Guidance and Publications page of acog.org. This new functionality is based on member feedback and is one of the first steps in redesigning our digital space to better serve our community as part of ACOG 2020 initiatives. ACOG has also completed a comprehensive market research initiative to help guide the direction of our clinical guidance development. By assessing our peers and competitors, as well as surveying our members and other health care practitioners, ACOG is on its way toward enhancing the structure and delivery of our clinical insights and recommendations.

I loved every minute of my McCain Fellowship. It was fast-paced, exhausting, invigorating, exciting, and I learned so much. This program throws a practicing physician into the lobbying deep end, but you’re secure in knowing ACOG’s lobbying experts are right there with you.

HEARD ON THE HILL: ACOG’S COMPELLING VOICE ACOG understands that health policy shapes the future of obstetrics and gynecology, and we enable our members to bring their informed, valuable voices to policymakers, powerfully influencing changes that will impact their work and women’s health. In March 2018, more than 600 ob-gyns descended upon Washington, D.C., for ACOG’s 36th Annual Congressional Leadership Conference, known as the President’s Conference. Wearing their iconic white coats, these ob-gyn leaders met with nearly 400 congressional offices in support of legislation to reduce the rising rate of maternal mortality and increase support for Medicaid, a women’s health success story. Our members contributed more than $1 million to Ob-GynPAC to support candidates for Congress and state legislatures who advocate for patient access to health care, support ob-gyn practices, and oppose political interference in the physician-patient relationship. ACOG cultivates a new generation of advocacy leaders through its Gellhaus Resident Advocacy Fellowship, giving ob-gyn residents hands-on experience as part of our Washington lobbying team. ACOG offers more seasoned physicians the Dr. John McCain Memorial Fellowship, an immersive exposure to policy development in Congress.

OUR OB-GYNPAC RAISED MORE THAN

$1 MILLION

FOR THE 2018 ELECTIONS

—Dr. Lynne Coslett-Charlton, 2018 McCain Fellow and practicing gynecologist at Ob-Gyn Associates in Wilkes-Barre, PA. ACOG ANNUAL REPORT 2018 • 5


SUPPORTING THE

OB-GYN PROFESSION REMOVING BARRIERS: Making Quality Patient Care Easier

ACOG is jumping in to support the ob-gyn profession when we spot threats that interfere with patient care in private and government-sponsored plans. In 2018, we were able to successfully reduce administrative burden based on concerns brought to us by members. For example, we partnered with ACOG section leadership in Kansas to get Labetalol back on the Medicaid preferred drug list, ensuring that pregnant and postpartum patients who need immediate access to this crucial pharmaceutical could receive it. In Washington, D.C., we convinced the Medicaid program to adopt a best practice for long-acting, reversible contraception by eliminating prior authorization requirements for the subdermal contraceptive implant, Nexplanon, allowing ob-gyns to provide this method to patients without unnecessary paperwork. We also continue to look for ways to reduce the burden placed on ob-gyns and barriers to access for our patients imposed by the federally mandated sterilization consent form—a policy that we know unduly impacts ob-gyns.

AC O G F O U N DAT I O N : R E WA R D I N G BREAK THROUGHS Through the ACOG Foundation, the CREOG Empower Fund presented five $2,000 educational awards at the 2018 CREOG and the Association of Professors of Gynecology and Obstetrics (APGO) Annual Meeting in National Harbor, MD. Four of the awards focused on topicbased innovation in resident education,

Promoting the profession’s needs requires a multifaceted approach. This is why ACOG

while the last focused on creating a

works to influence state and federal regulations and legislation. We encourage policies that allow physicians to spend time with their patients and reduce their documentation burden. Our experts also work directly with government regulatory agencies to ensure ob-gyns are equipped to perform necessary medical services and our patients have access to reproductive and other needed health care through Medicare, Medicaid and other insurance and government programs. ACOG’s legal team is also poised to file briefs advocating for the profession’s interests in litigated cases.

resource for ob-gyn program managers.

But supporting the profession through regulatory, legal, and legislative work isn’t enough. We also assist members in their individual coding and practice management needs. Effectively responding to member questions—through the Coding Help Desk/ Database or the Practice Management Help Desk/Database—gives doctors the knowledge needed to code and bill appropriately for the services they provide. By educating members and their staffs through coding workshops, webinars, MACRA resources and more, ACOG ensures members have the information and business tools they need to practice each day. 6 • ACOG ANNUAL REPORT 2018

Winning projects included programs to manage pregnant women with opiate dependence and address intimate partner violence.


BIG DATA ANALYTICS AND BIRTH REGISTRY Big data and analytics have the power to transform how ob-gyns assess clinical care pathways and patient outcomes. We’re finding new ways to leverage clinical data to generate, track, and analyze how care is delivered—and potentially produce life-changing outcomes for women. ACOG aims to collect data without adding administrative burden to providers by extracting aggregated, de-identified clinical data directly from EHRs. These data collection efforts will not only empower ob-gyns to make more informed treatment decisions, but will help drive quality improvement. Our first big data initiative is The Birth Registry, planned for piloting in early 2019. ACOG is partnering with a data registry vendor to give ob-gyns new insights into their in-patient clinical care performance. Studying discrete clinical data collected during the episode of labor and delivery will support national benchmarks on maternity outcomes. This initiative will improve member experience while also making ACOG a leader in data collection and analysis for maternal care.

Making Headlines

Investing in New Members: Training and Education In September 2018, ACOG published its white paper “The First National Summit on Women’s Health: The Future of Obstetrics and Gynecology Training.” The paper provides a road map for educating ob-gyn residents in an era of increased specialization and changing workforce trends. Summit participants proposed ways to align the curriculum with various new realities and maximize available training resources to empower ob-gyn residents. The paper is one key outcome from ACOG’s inaugural Women’s Health Summit, which assembled experts from 20 societies to analyze the current state of ob-gyn residency education and discuss how to improve these programs for the future. ACOG will continue to hold summits like these annually. Upcoming summits are expected to cover topics such as comprehensive vs. specialty care in obstetrics and gynecology.

Breaking through in the current media climate is a challenge, but ACOG understands the importance of reaching our patients, partners, and policy makers. The Media Relations and Communications team works with more than 100 media contacts each month to promote new ACOG guidance and shape women’s health coverage. We are regularly featured in major national, trade, and local news outlets, including The New York Times, The Washington Post, ABC News, Medscape, Cosmopolitan, and Women’s Health. In 2018, we are proud of our role in the NPR/ProPublica series “Lost Mothers: Maternal Care and Preventable Deaths” and a number of other highly visible news stories.

ACOG also supports young physicians through its Council on Resident Education in Obstetrics and Gynecology (CREOG), which is dedicated to supporting and improving residency education. In 2018, CREOG partnered with our Junior Fellow College Advisory Council to formally introduce the Countdown to CREOG series, which armed more than 5,000 residents with test preparation materials to better prepare them for the most frequently missed topics on the CREOG In-Training Examination. CREOG also waived registration fees for residents to attend its education retreat, where residents had access to a virtual reality hysteroscope and other hands-on skill labs.

The CREOG resident workshop not only taught me how to be a better leader but also how to be an even better follower. I am so grateful for CREOG as they continue to promote residency education in women’s health care and inspire residents all over to learn more, do more and become more. —Dr. Ayamo G. Oben, winner of the 2018 The Creighton L. Edwards, MD, Award in Compassionate Care through the ACOG Foundation and a third-year resident at University of Texas Health Science Center, San Antonio. ACOG ANNUAL REPORT 2018 • 7


IMPROVING

WOMEN’S HEALTH RETHINKING RISK: Levels of Maternal Care

Ob-gyns are well aware that maternal mortality rates in the United States have worsened—in stark contrast to high-resource countries around the globe. Severe maternal morbidity rates also spiked almost 200 percent between 1993– 94 and 2013–14, driven by blood transfusions, acute renal failure, shock, and other dangerous outcomes. Since 2015, ACOG and SMFM have been leading efforts to address these issues through the Obstetric Care Consensus (OCC) on Levels of Maternal Care (LoMC) , which proposes uniform designations for levels of maternal care related to hospital capabilities and resources. Following the publication of the OCC, ACOG worked with a blue-ribbon team to design an LoMC verification program: SMFM, the Centers for Disease Control and Prevention, National Perinatal Information Center, Arizona Perinatal Trust, and clinicians representing American Academy of Family Physicians, American College of Nurse-Midwives and Association of Women’s Health, Obstetric, and Neonatal Nurses. Our collective stewardship created a verification process involving an on-site review of the maternal services available in each facility, with a goal to improve systems of care so that pregnant women receive care at a facility appropriate for their risk. In 2017, ACOG deployed our assessment tool and verification process to 14 hospitals in Georgia, Illinois, and Wyoming. Thanks to the hospitals that volunteered to participate, the LoMC team received essential feedback to fine-tune the program. We also are supporting our ob-gyns and hospitals in Texas that require state designation for maternity care, per a new statute. ACOG is assisting in this process by conducting site visits to verify compliance and offering optional confidential consultations that highlight strengths and provide recommendations to improve quality and adherence to ACOG clinical guidance.

8 • ACOG ANNUAL REPORT 2018

AC O G F O U N DAT I O N : PR OJ E C T S F O R C H A N G E The Foundation supports ACOG’s vital work to address the needs of patients, focusing this year on the challenges of addiction and perinatal mood disorders. The Foundation provided resources to strengthen providers’ knowledge about mood and anxiety disorders in new and expectant mothers. In addition, the ACOG Foundation’s Development Fund trained 320 ob-gyns to use buprenorphine, one of the safest drugs available for opioidaddicted pregnant women. Whether caused by overdose, endocarditis, hepatitis, or other infections, opioid addiction is a major cause of maternal deaths in at least 15 states. Under the leadership of Dr. Haywood L. Brown, a Telehealth Task Force was implemented to work on completing a “how-to” document that will cover technology requirements, legal and regulatory issues, as well as billing and reimbursement. Upon completion of these efforts, the ACOG Foundation supports the work of a Telehealth Task Force that will begin identifying best practices, systems, and tools and techniques for implementation.


Ensuring Access to Vital Medical Care ACOG made universal access to and coordinated standardized preventive care a focus in 2018. As a leader of the Women’s Preventive Services Initiative (WPSI), ACOG worked with the Health Resources and Services Administration (HRSA) to ensure women with insurance have access to key preventive services with no outof-pocket cost. ACOG also updated its recommendations with the new Committee Opinion, “Well-Woman Visit,” and Well-Woman Chart. Together, these resources help providers approach the many components of well-woman care, with an emphasis on general health, infectious diseases and cancers. For example, the WPSI now recommends annual screening for urinary incontinence—a distressing condition that is underreported and seldom addressed. ACOG also championed programs that provide health care coverage to low-income women. Working locally with ACOG Districts and Sections, ACOG opposed state efforts to secure harmful 1115 waivers for Medicaid coverage that would impose work requirements, lockout periods, and high out-of-pocket costs on Medicaid recipients. A judge cited ACOG’s comments in a decision invalidating Kentucky’s harmful waiver request. ACOG was a leader in the fight to save Title X, the only federal program dedicated to family planning care for low-income women. Through official comments submitted to the U.S. Department of Health and Human Services, more than 1,600 ACOG members rejected misguided efforts to severely limit Title X’s scope and interfere with the practice of medicine. ACOG will continue to use its voice to protect patients and the ability to offer evidence-based care.

Bundles That Save Lives: Federal Grants in Action ACOG continued its efforts as a leader of the Alliance for Innovation on Maternal Health (AIM), whose goal is to reduce preventable maternal deaths and near deaths caused by complications from childbirth. In August, ACOG received a five year, $10-million HRSA grant for AIM to expand national and state programs to reduce the steep climb in maternal deaths and negative outcomes. The funding allows more hospitals to adopt maternal safety practices—or “bundles”—to respond to common pregnancy-related conditions such as hemorrhage and hypertension. In 2018, AIM partnered with an array of community-based organizations to reduce racial disparities in maternal health, strengthen postpartum care, and support pregnant women with opioid-use disorder—three critical AIM bundles. ACOG wants to address the bias, mistrust, and other factors that cause black women to die at least three times

The Illinois Perinatal Quality Collaborative (ILPQC) works with over 110 birthing hospitals in Illinois to implement evidence-based practices using quality improvement and benefited greatly from the AIM bundles and training e-modules to help our hospital teams succeed during our recent Maternal Hypertension Initiative. As we roll out a statewide initiative on mothers and newborns affected by opioids, AIM has provided collaboration and important resources for our initiative tool kit. —Ann Borders, MD, MSc, MPH, Executive Director and Obstetric Lead, ILPQC Maternal Fetal Medicine, NorthShore University HealthSystem, Evanston Hospital Clinical Associate Professor, University of Chicago, Pritzker School of Medicine

more often than white women during pregnancy. With our community partners and hospitals, we’re piloting programs to encourage change and joining with hospitals to educate women on warning signs for severe hypertension and venous embolism.

INCREASING PATIENT AWARENESS OF CRITICAL PREVENTIVE SERVICES ACOG partnered with women’s health organizations to pioneer the Care Women Deserve campaign, aimed at educating patients about no-cost preventive services available through the WPSI recommendations of ACA. We joined with the Black Women’s Health Imperative, March of Dimes, National Women’s Law Center and other groups to draw attention to these untapped resources, including free contraception, breastfeeding supplies and counseling on sexually transmitted infections. ACOG looks forward to using its influence to educate the public about these critical services.

THROUGH CARE WOMEN DESERVE, ACOG HELPED RAISE AWARENESS OF THE IMPORTANCE OF WOMEN’S SERVICES TO OVER

4.2 MILLION PEOPLE ACOG ANNUAL REPORT 2018 • 9


STRENGTHENING ACOG

AS AN INSTITUTION CONNECTING WITH OUR COMMUNITY ACOG leadership invested in new ways to listen and engage with our membership throughout 2018, adhering to a major tenet of the ACOG 2020 strategic vision. We initiated focus groups, online discussion boards, quantitative surveys, and other similar tools to better understand the emerging challenges in women’s health and generate ways to help members respond. This research directly informs future product and resource development. We appreciate the time that our members devoted to helping us understand our community’s needs. Nearly 6,400 physicians responded to our survey, which helped us explore how our members view their relationship with ACOG and how we can strengthen it to improve member communications to better reflect your needs and aspirations. Roughly 3,300 members also completed our clinical resources survey and follow-up online discussion, which gave us insights into our current offerings and competitive analysis to show us how ACOG fits into your practice. This research has led us to reevaluate how we deliver clinical content to members and take steps to create an experience that improves the accessibility and functionality of our content. As part of ACOG’s digital transformation initiative and website redesign, we asked members what they wanted from our digital presence and what their online priorities were for ACOG. More than 4,000 members responded to our survey, which was followed by focus-group discussions and one-on-one testing sessions to study possible approaches. We collected members’ interests for the new website, including improved search functions and layouts that lead to intuitive access to content. The research led us to invest in an intelligent search platform that allows for streamlined content delivery. We completed qualitative research with users of ACOG’s patient education materials to better understand member concerns and preferences. This research provided deeper understanding about how our members use these important resources and how we can improve their usefulness. We are planning additional market research with physicians who buy Your Pregnancy and Childbirth, our patient-friendly guide to healthier babies.

10 • ACOG ANNUAL REPORT 2018

Leading Member Professional Challenges

55% 37%

Administrative burden, including EMR/EHR

Experience burnout

33%

Reimbursement issues & changes to patients’ health care coverage

20%

Staying current on the latest clinical practices

20%

Managing the business side of medicine

18%

Keeping up with a growing patient load Professional liability Inadequate salary/ compensation Keeping abreast of changes in government regulation


ACOG Listens and Responds ACOG uses survey results to direct our focus. For example, knowing that EHRs and administrative burden are among the leading challenges for members, we’ve developed the ACOG Prenatal App by Dorsata to simplify these essential practice functions and allow you to more easily provide patient care. We have more EHR apps scheduled to debut soon. We also know that reimbursement is a challenge, which is why we’ve developed the Coding Helpdesk and other related resources. We learned that members see our organization as a reliable source for clinical guidance, legislative and regulatory advocacy, and a voice for women’s health. As a result, we intend to focus on the areas where you need us most and coordinate with subspecialty groups more efficiently to support the entire profession.

By the Numbers 9 out of 10 respondents agreed that ACOG keeps them informed on the latest clinical guidance and is a trusted source of news and information on women’s health.

Nearly 90 percent found ACOG to be relevant to the profession as a whole.

Over 75 percent of respondents described ACOG as “essential,” “informative,” “reliable” and “trustworthy.”

Taken from Survey administered December 5, 2017 — January 4, 2018, with more than 6,000 respondents.

Benefits Most Associated with ACOG Membership

73%

Clinical Practice Guidelines

50%

Green Journal

30%

ACOG Website

26%

Clinical Education

24%

Clinical and Scientific Meetings

Expanding Our Reach To improve collaboration, ACOG broadened its Allied Health Professional Memberships that welcomes physician assistants, nurse practitioners, certified nurse midwives and other ob-gyn professionals into our conversation. By providing access to ACOG resources through these memberships that supplement one’s primary medical society, we are spreading ACOG’s sophisticated research and clinical findings to related disciplines. In 2018, the Association of Physician Assistants in Obstetrics and Gynecology, National Association of Nurse Practitioners in Women’s Health, American College of Nurse-Midwives, and Association of Women’s Health, Obstetric and Neonatal Nurses partnered with ACOG through this new membership model. Through these allied health memberships, ACOG was able to provide access to our exemplary research, clinical opinions, recommendations, tool kits, and continuing education opportunities. This new model helps patients, too, by expanding the reach of our education materials and giving a louder voice to our advocacy efforts.

AC O G F O U N DAT I O N : O U R V I R T UA L C O M M E N T B OX The ACOG Foundation directly supported upgrades to the ACOG App by funding new capabilities to provide member feedback and other enhancements,

Investments in Innovation

making our mobile clinical

We’ve mentioned the overhaul of our website, now tailored for an improved member experience. We’ve also updated the member profile and login dashboard to simplify how members share their preferred contact information and communication preferences. Behind the scenes, we’re using and listening to the information you provide to personalize your online experience and ensure we’re serving up the most valuable and relevant content based on a user’s professional focus.

member needs.

companion more responsive to

ACOG ANNUAL REPORT 2018 • 11


2017 FINANCIAL SUMMARY ACOG programs continue to expand as we work to serve our members and improve health care for women. Included in these financial statements are the activities of ACOG, including its 12 ACOG Districts and 98 ACOG Sections, the ACOG Foundation, and the ACOG Landholding Corporation. Operating revenue of $64.1 million was led by member dues, Obstetrics & Gynecology sales, and a successful Annual Clinical and Scientific Meeting in San Diego. Expenses of $61.7 million reflect our investment in the education and advancement of our members, reliable and relevant scientific research, and medical practice support. ACOG staff are actively engaged in expanding programmatic offerings to support our mission and vision. Non-operating activities primarily relate to long-term investments and the financing plan for ACOG’s headquarters. ACOG’s portfolio returns of $17.4 million result from strong market growth and a well-positioned investment allocation. The investment portfolio is continually monitored with a goal of funding ACOG’s long-term needs without subjecting the organization to excessive risk. ACOG’s combined operating and non-operating activities resulted in a surplus of $20 million for the year. To fund strategic initiatives in support of ACOG’s mission, support the operations of our Districts and Sections, and protect against business disruptions, ACOG held financial reserves and endowments of $120.8 million.

Statement of Financial Position ASSETS Cash and cash equivalents Accounts receivables, inventory, prepaid expenses Investments, unrestricted

$16,425,194 4,751,523 120,880,704

Investments, designated for member insurance program

23,620,987

Property and equipment, net value

21,297,588

Total assets

$186,975,996

LIABILITIES Accounts payable and accrued expenses

$5,205,984

Deferred revenue

22,528,800

Member insurance program liability

21,555,857

Term loan and interest rate swap

17,513,336

Total liabilities

$66,803,977

NET ASSETS Unrestricted Restricted Total liabilities and net assets

12 • ACOG ANNUAL REPORT 2018

$103,343,275 16,828,744 $186,975,996


Statement of Activities OPERATING REVENUE Dues and fees

$28,488,492 4%

Publication sales and royalties

12,023,488 10%

Meeting registration, exhibits and tuition

8,452,478 10%

Grants, contracts and other

6,220,235

Contributions

6,136,657

Member and practice services

2,752,617

Operating Revenue

44%

13%

19%

Total operating revenue

$64,073,967

EXPENSES Salaries and benefits

$26,857,450 8%

Meetings and travel

12,893,486

Professional services

9,632,459

Publications

4,369,435

Honoraria, stipends and awards

2,838,430

5%

7%

Expenses

44%

16%

Administration, depreciation and interest Total expenses

NET INCOME FROM OPERATIONS

Investment income Gain on interest rate swap Net income

5,115,642

21%

$61,706,902

$2,367,065

$17,442,523 159,585 $19,969,173

ACOG ANNUAL REPORT 2018 • 13


WHY DONATE TO THE

ACOG FOUNDATION Donations to the ACOG Foundation provide invaluable support to the educational, training, and practice initiatives detailed throughout this report. We rely on the extraordinary generosity of our members to fulfill this mission and outreach. We welcome and appreciate gifts of any size, which can be donated in one transaction or spread throughout the year. To start a monthly or recurring giving plan, contact Kathleen Kenny at (202)863-2479 or kkenny@acog.org.

Which Society is Right for You? Donor Level

Recognition in Print Materials

Annual Meeting On-Site Fast-Track Registration

Annual Meeting Donor Lounge Access

Annual Meeting Site Specific Amenities

Complimentary Annual Meeting Registration

Schmitz Society $250

Junior Fellows Society* $250

Reis Society $750

Beacham Society $1,500

President’s Society $3,000+

+1 guest

* The Junior Fellows’ Society was created exclusively for Junior Fellows in Training, Junior Fellows in Training Fellowship, and Junior Fellows in Practice.

ACOG’s sponsorship of leadership development programs has helped me become the person I am today. That is why I give back to ACOG, so others can have this opportunity. —Eduardo Lara-Torre, MD, FACOG, Vice Chair for Academic Affairs Section Chief, Academic Specialists in General Ob-Gyn Carilion Clinic

14 • ACOG ANNUAL REPORT 2018


How Can I Give? You may make one-time gifts or recurring donations with all major credit cards online at www.acog.org/donate. If giving by check, please make all checks payable to the ACOG Foundation and mail to ACOG Foundation, c/o Kathleen Kenny, 409 12th St SW, Washington, DC 20024. If you would like to donate marketable securities, please have your broker or custodian send the shares “free and clear” through the DTC system to: DTC ID: 8862 Merrill Lynch Account: 5TL-02248 Account Name: ACOG Foundation You or your custodian should contact Winship Ross in the office of George Dunn and Peter Dunne at Merrill Lynch’s Global Institutional Consulting Division to notify him of a pending transfer. His email is winship.ross@ml.com, and phone is (301)215-4445. Please include the name and quantity of the securities. Contributions to the ACOG Foundation are considered charitable donations and fully tax-deductible to the extent allowed by law. For Beacham and President’s Society members who attend the Annual Clinical and Scientific Meeting, their charitable donations are limited to the amount of their gift less the value of registration. For those who receive complimentary registration through an ACOG activity or responsibility, their donation is fully tax deductible. President’s Society members bringing a spouse should decrease their deduction by an additional $190.

Other Ways to Give Both planned gifts and endowments allow us to further our educational and scientific independence, promote quality, and ensure financial stability.

Endowments We understand our members have a variety of interests and tailor our endowment possibilities to include a menu of options. With options ranging from $25,000 to $500,000, we meet a range of individual financial considerations. The ACOG Foundation extends the standard naming duration of its endowments to “life plus ten” so that our donors’ generosity is recognized during their lifetimes and a decade beyond. To learn more about how to make a meaningful and lasting contribution to our professional community, contact Katie O’Connell at (202) 863-2546 or koconnell@acog.org.

Planned Gifts Gift planning is a thoughtful strategy that allows our contributors to make the gift of their choice, while benefiting their personal finances. Gift planning can work in your favor when it comes to paying taxes on income, capital gains, gifts, an inheritance, and your estate. Please visit our website at www.acog.org/PlannedGiving for more information regarding different gift arrangements or contact Kathleen Kenny at (202) 863-2479 or kkenny@acog.org.

Projects and initiatives supported by the ACOG Foundation advance and improve women’s health and the profession of obstetrics and gynecology throughout the country and across the globe. Supporting the Foundation is an easy but vitally important way to have an impact on the lives of all those touched by the projects that it supports. —Ryan D. Cuff, MD, FACOG Obstetrics and Gynecology, Medical University of South Carolina

N E W M E M B E R B E N E FI T: C R E AT I N G YO U R W I L L We are excited to announce a new resource for our members: FreeWill, which provides a simple, intuitive and efficient way to create your will. This service is free, whether or not you include a gift to the ACOG Foundation (but we hope you do!). For more information go to www.freewill.com/acogfoundation.

ACOG ANNUAL REPORT 2018 • 15


WITH TREMENDOUS GRATITUDE TO OUR 2017–18 ACOG FOUNDATION DONORS PRESIDENT’S SOCIETY

John S. Wachtel, MD

Dr. and Mrs. Gerald F. Joseph Jr

Anonymous

Scott Weber II, MD

Amanda Kallen, MD

Cindy and Ted L. Anderson, MD, PhD

Dr. and Mrs. Keith C. White

Roohi Kamal, MD

Brian A. Bernick, MD Dr. and Mrs. Guy I. Benrubi, MD Midge and Jim Breeden, MD Haywood L. Brown, MD Sandra A. Carson, MD Aaron Brandon Caughey, MD Eva Chalas, MD

BEACHAM SOCIETY Anonymous Marili and Joseph Apuzzio, MD Thomas F. Arnold, MD Robert Barbieri, MD Drs. Thomas and May Blanchard

Beverlee Kaminetzky, EdD Joanie and Doug Kirkpatrick, MD Marilyn and J. Joshua Kopelman, MD Nicholas Kulbida, MD Anubhi R. Kulkarni, MD Lisa M. Landrum, MD

Constance Bohon, MD

Eduardo Lara-Torre, MD, and Megan McNamara

Leonard A. Brabson, MD

John W. Larsen, MD

Dr. and Mrs. James L. Breen

Drs. Jim and Cindy Macer

Charles E. L. Brown, MD

Drs. Jim and Gloria Martin

Judith T. Burgis, MD

Christopher N. Mason, MD

Ronald T. Burkman Jr, MD

Robin D. Matthews, MD

Ben H. Cheek, MD

Clayton “Tersh” McCracken III, MD

David Chelmow, MD

Ross W. McQuivey, MD

Melanie and Thomas M. Gellhaus, MD

Donald M. Chervenak, MD

Michael T. Mennuti, MD

W. Benson Harer Jr, MD

Harvey M. Cohen, MD

Patricia M. Miller, MD

Scott D. Hayworth, MD, and the Honorable Nan A.S. Hayworth, MD

Shanna M. Combs, MD

Mary E. Norton, MD

Douglas Creedon, MD

Drs. Lisa and Larry Hollier

Holly L. Olson, MD

John P. Curtin, MD

Ann L. Honebrink, MD

Jody and Michelle Y. Owens, MD

Jane Ann S. Dimer, MD

Christian I. Ibekwe, MD

Sharon Theresa Phelan, MD

Harry S. Jonas, MD

Dr. C. Tony Dunn and Mrs. Laura Martin Dunn

Hartaj K. Powell, MD, MPH

Erin A. Keyser, MD

Kristie Y. Dyson, MD

Hal C. Lawrence III, MD

Terri Gallen Edersheim, MD

Barbara S. Levy, MD, and G. Gilbert Johnston, MD

Chastity T. Edwards, MD

Thomas F. Purdon, MD, and Kathryn M. Purdon

Denise M. Elser, MD

Robert P. Lorenz, MD, and Christine H. Comstock, MD

Holly S. Puritz, MD

Don and Marygrace Elson Schroeder, MD, MME

Steven W. Remmenga, MD

Markus C. Martin, MD

Norman Gant Jr, MD

G. Sealy Massingill, MD, and Debbie Massingill

Thomas G. Gaylord, MD, JD

Ying Chan, MD Jeanne A. Conry, MD, PhD, and Bruce Webb L. Ben Curet, MD, and Lydia E. Curet Sean Currigan, MPH Anna M. D’Amico, MD Helen and Mark DeFrancesco, MD, MBA Rita W. Driggers, MD, and Christopher M. Zahn, MD

Wade A. Neiman, MD Wanda Nicholson, MD, MPH, MBA Bob Palmer, MD Diana E. Ramos, MD, MPH Ida Sebastian, MD Dr. and Mrs. Eugene C. Toy Dr. and Mrs. J. Martin Tucker

16 • ACOG ANNUAL REPORT 2018

Jeff and Laurie Gregg, MD R. Moss Hampton, MD Margaret and Keith A. Hansen, MD Karen E. Harris, MD, MPH Linda R. Harris, MD Verda and Raymond Hicks Robert V. Higgins, MD

Eva K. Pressman, MD Thomas M. Price, MD

Dr. and Mrs. Jeffrey E. Rodzak Bridget D. Roots, MD Isaac Schiff, MD Laura Sirott, MD Debra and Joel Sorosky, MD Dr. and Mrs. Ramon A. Suarez Wayne C. Trout, MD Debra and Robert Wah, MD George Wendel Jr, MD


REIS SOCIETY

Tamara Helfer, MD

Anonymous

Paul B. Heller, MD

Annie and Jacques S. Abramowicz, MD

Washington Clark Hill, MD

Ilana Addis, MD, MPH

Iffath Abbasi Hoskins, MD

Drs. Tod and Greta Aeby

Tonya H. Hunter, MD

John R. Allbert, MD

Jay D. Iams, MD

Neil H. Allen, MD

Cheryl B. Iglesia, MD

Kevin A. Ault, MD

Lydia M. Jeffries, MD

Anne L. Banfield, MD

Magdalene B. Karon, MD

Vanessa M. Barnabei, MD, PhD

Bridget B. Keller, MD, and David Keller

Harold R. Bass, MD

Judith Mara Kimelman, MD

Owen R. Bell, MD

Sara Needleman Kline, Esq.

Howard Blanchette, MD

Susan D. Klugman, MD

John E. Buster, MD

Cynthia E. Kolb, MD

Mary and John Calkins, MD

Wilma Larsen, MD

Camille A. Clare, MD, MPH, CPE

Rita A. Leard, MD

Nellie S. Crawford, MD

Emma and J. Ricardo Loret de Mola, MD

Ryan D. Cuff, MD

Charles J. Macri, MD

Caitlin M. Cusack, MD, MPH

George McClure, MD

Ezra C. Davidson Jr, MD

Tamara and Michael McCoy, MD

Laura A. Dean, MD

John P. McHugh, MD

Vivian Dickerson, MD

Katherine W. McHugh, MD

Dr. and Mrs. David Doty

Caela R. Miller, MD

Jonathan S. Elias, MD

Frank C. Miller, MD

Marsha Howerton Engles, MD

Eduardo Montemay IV, MD

Megan L. Evans, MD, MPH

Richard Needle, MD

Steven J. Fleischman, MD

Col. (Ret.) and Mrs. Peter Nielsen, MD

Lisa M. Foglia, MD

Michael L. Nix, MD

JUNIOR FELLOWS’ SOCIETY

Chrystie K. Fujimoto, MD

Katie O’Connell

Kristin D. Hayes, MD

Dr. and Mrs. Stanley A. Gall

Dotun A. Ogunyemi, MD

Jessica K. Lee, MD

David L. Gandell, MD

Sophia Ouhilal, MD

Dione A. Occenad, MD

Dr. and Mrs. Melvin V. Gerbie

Susan M. Ramin, MD

Charlie Pickens Jr, MD

Karol and Myron Gordon, MD

Ruth and Michael Robertson, MD

Meghana Rao, MD

Cole D. Greves, MD

Randal D. Robinson, MD, Col. (ret.), U.S. Army

Anna Reinert, MD

Todd R. Griffin, MD

Mr. Rick Robinson and Mr. Josh Hildreth

Brandi N. Ring, MD

William H.J. Haffner, MD

Dr. Nanette Rollene and Dr. Scott Deeds

Alan Rosenbaum, MD

Lara R. Hart, MD

John J. Sciarra, MD, PhD

Steve K. Hasley, MD

Vicki Seltzer, MD

Carla Hawley-Bowland, MD, MG (ret.), U.S. Army

Thomas D. Shipp, MD

Cynthia R. Hayes, MD

Kirsten M. Smith, MD

Rachel H. Shu, MD

I donate to the Foundation because I believe in its mission to provide access for all women, provide scholarship in medical science and advocacy for women and their health. I trust that the ACOG Foundation will do this! —Erin A. Keyser, MD, FACOG San Antonio Uniformed Services Health Education Consortium, Associate Program Director Assistant Professor, Uniformed Services University of the Health Sciences

Barry D. Smith, MD Samuel G. Smith, MD and Robin M. Smith Russell R. Snyder, MD, and Ce-Ce Snyder Bowdoin Su, MD, MBA Angela Savatiel, MD and Scott Sullivan, MD Teresa Tam, MD Dr. and Mrs. Brook Thomson Jenna Tjossem-Robb, MD Dr. and Mrs. Paul G. Tomich

SCHMITZ SOCIETY Charles D. Adair, MD Terry Adkins, MD Fawwaz Alkazemi, MD

ACOG ANNUAL REPORT 2018 • 17


SCHMITZ SOCIETY cont.

Mary E. Haddad, MD

Riana North, MD

Matthew T. Allswede, MD

Magdi Hanafi, MD

Pamela Oliver, MD

Anthony Ambrose, MD

Elise M. Harper, MD

Edmund H. Olson, MD

Angela K. Anderson, MD

Monty N. Heinen, MD

Oscar R. Antunez-Flores, MD

Nathan B. Hirsch, MD

Sarah M. Page-Ramsey, MD, and Patrick S. Ramsey, MD, MSPH

Radu Apostol, DO

Glen A. Hiss, MD

Tamika C. Auguste, MD

Steven Holt, MD

Dr. and Mrs. J. Max Austin Jr

Kathleen E. Horowitz, MD

Azra S. Ayubi, MD

Christian I. Inegbenijie, MD

Janice L. Bacon, MD

Colleen Ingram

Richard P. Baker III, MD

R. Todd Ivey, MD

Flavio Vintimilla Barzallo, MD

Theodore B. Jones, MD

Dana Block-Abraham, DO

Johnny W. Jones, MD

Brent W. Bost, MD

Masahide Kanayama, MD

Cynthia A. Brincat, MD, PhD

Caroline Kaufman, MD

Paul C. Browne, MD

Lisa M. Keder, MD

Ginny and Chris Buresh, MD

Randall T. Kelly, MD

Shiloe S. Burzinski, MD

Kathleen Kenny

Suzanne Y. Bush, MD

Alan T. Kent, MD

Rodney Capiro, MD

Linda Kinnane

Elizabeth Soohee Lee Chung, MD

Edward G. Koch, MD

Joshua G. Cohen, MD

Susan and Jeffry Komins, MD

Julius Combs, MD

Martin A. Koschnitzke, MD

Stephanie B. Cross, MD

Rishikesh Pradip Kulkarni, MD

Stella M. Dantas, MD

Helene Lacoste, MD

Julian E. De Lia, MD, FACS

Gwinnett McGhee Ladson, MD

Alan H. DeCherney, MD

Elizabeth R. Lapeyre, MD

Milagros D. Diaz, MD, PC

R. Jane Lau, MD

Elizabeth L. Dierkling, MD

Rebecca Lawson

Irene Donley-Kimble, MD

Judy Levison, MD, MPH

Mark Dykowski, MD

Mark G. Lewis, DO

David J. Eckberg, DO

Susan W. Lipinski, MD

Joseph T. Edwards, MD

Grace Y. Liu, MD

George Ellis Jr, MD

Charles J. Lockwood, MD

Mary L. Fairbanks, MD

Victor Long, MD

Carmen L. Farrior, MD

Yelena Lubman, MD

Veronica D. Figueroa, MD

Sarina C. Lumapas, MD

Kimberly B. Fortner, MD

Kathryn M. Macaulay, MD

Henry W. Foster Jr, MD

Gale Mamatova

Harold E. Fox, MD

Tina C. Mason, MD

Frederick Friedman Jr, MD

Linda J. Mathison-Ezieme, MD

Drs. Ernst and Marianne Friedrich

Beth A. Maxwell, MD

Fred Fumia, MD

Jorge Mayo, MD

Lawrence G. Gill III, MD

Alethia (Lee) Morgan, MD, and Mark Fall

Oglesby H. Young, MD

Parampal K. Gill, MD

Kristie H. Moss, MD

As of September 15, 2018

Diana L. Gray, MD

Jay A. Nailboff, MD

Melissa M. Grier, MD

Anh T. Nguyen, MD

18 • ACOG ANNUAL REPORT 2018

James W. Pate, MD Kristine R. Penner, MD, and Mr. Steven Klein Cynthia K. Pierson, MD Fatima G. Raffoul, MD Rajendra M. Ratnesar, MD Robert W. Rebar, MD Youssef A. Rezk, MD Julia Rivera-Figueroa, MD Stephanie Rivera-Segarra, MD Beatriz Rodriguez, MD Matthew J. Rogalski, MD Craig A. Salcido, MD Marian Antonette Sampson, MD Joseph S. Sanfilippo, MD, MBA Heather Z. Sankey, MD Harold J. Sauer, MD Shannon S. Schellhammer, MD Joseph Sclafani, MD James R. Scott, MD Anne R. Seyer, MD Sonali Shah, DO Susan M. Sheridan, MD Andrea Shields, MD J. Scott Simpson, MD Joseph Singer, MD Ma Leah Siodina, MD Dr. and Mrs. David E. Soper Caroline Stella, MD Howard Strassner, MD Janette Hansen Strathy, MD Dania S. Sweidan, MD Karen Swenson, MD Jay H. Ugol, MD Donna S. Villacis, MD Simon V. Ward, MD Diana G. Weihs, MD Julia Berly Willner, MD Basia P. Yakaitis, MD


HONORING OUR MENTORS At our headquarters, we have created a custom display recognizing the impact mentors have had on the lives and careers of the Fellows listed below. This growing tribute is a public display of gratitude and admiration—from one Fellow to another. To learn more about honoring a colleague, please visit www.acog.org/honoryourmentor or contact Kathleen Kenny at kkenny@acog.org.

2018 Additions Baystate Health Family honoring Ronald T. Burkman Jr, MD Marguerite P. Cohen, MD, honoring Richard Allen, MD Robert M. Colver, MD, Keith A. Hansen, MD, and Leo Plouffe Jr, MD, honoring Paul G. McDonough, MD Jed Delmore, MD, honoring Creighton L. Edwards, MD, and Felix N. Rutledge, MD Denise M. Elser, MD, honoring Steven W. Remmenga, MD Junior Fellow College Advisory Council honoring Karen E. Harris, MD, MPH Magdalene B. Karon, MD, honoring Norman F. Gant Jr, MD Patient Safety and Quality Improvement honoring John P. Keats, MD, CPE, FACPE Diana E. Ramos, MD, MPH, honoring Hani Atrash, MD, MPH Brandi N. Ring, MD, honoring Joseph “Hank” Carter Jr, MD, and Michael “Doc” Posner, MD Warren Alpert Medical School of Brown University/Women & Infants Hospital of Rhode Island honoring Donald R. Coustan, MD As of September 15, 2018

ACOG ANNUAL REPORT 2018 • 19


THE GREEN CHOICE FUND The Green Choice Fund supports innovative ideas that come directly from Fellows and Junior Fellows serving as Green Coats. Green Coats do more than just help you find your session or answer questions at the Annual Clinical and Scientific Meeting. They also meet regularly throughout the year to plan the education and topics covered there. Every member of the Committee on Scientific Program contributed to the Green Choice Fund. This incredible 100 percent participation rate inspired past Green Coats and other Fellows to donate as well. We hope our broader membership joins this campaign to encourage creative endeavors from this committee. Anonymous Meg Autry, MD Janice L. Bacon. MD Constance J. Bohon, MD Daniel Breitkopf, MD Sandra A. Carson, MD Lauren D. Demosthenes, MD Rita W. Driggers, MD, and Christopher M. Zahn, MD Erica B. Flynn, MBA, MS Lori M. Gawron, MD Kimberly D. Gregory, MD David M. Haas, MD Richard S. Hansell, MD Paul B. Heller, MD Drs. Lisa and Larry Hollier Hal C. Lawrence III, MD Jason C. Massengill, MD David S. Miller, MD Jared C. Robins, MD Debra and Joel Sorosky, MD Angela Savatiel, MD and Scott Sullivan, MD J. Kell Williams, MD

20 • ACOG ANNUAL REPORT 2018


ENDOWMENTS These extraordinary gifts to the ACOG Foundation allow us to further our educational and scientific independence, promote quality and ensure financial stability.

Thank you to all past and present contributors. The ABOG Educational Foundation Lectureship on Patient Safety and Quality Improvement

Gerald and Barbara Holzman Stump the Professors

The Jim and Midge Breeden Women’s Health Endowment

The Connie and Harry Jonas, MD, Clinical Seminar

The Jim and Midge Breeden Lecture— President’s Program

March of Dimes Annual Lecture

The John I. Brewer Memorial Lecture

The Massingill Family Scholarship

Cutting Edge Topics in Ob-Gyn: The John E. Buster, MD, Reproductive Endocrinology/Infertility Session

The Pat Miller J-FIT Award

The Samuel A. Cosgrove Memorial Lecture

The John and Marney Mathers Lecture

The Martin-Peterson Global Health Scholar Award

The Irvin M. Cushner Memorial Lecture

Drs. Camran, Farr, and Ceana Nezhat Live Telesurgery Forum

The Anna Marie D’Amico Lecture

The Edith Louise Potter Memorial Lecture

The Creighton L. Edwards, MD, Award in Compassionate Care

Cutting Edge Topics in Ob-Gyn: The Kathryn M. and Thomas F. Purdon, MD, Generalists Session

The John M. Gibbons, Jr., MD, Medical Student Lecture

The Donald F. Richardson Memorial Lecture

The Hale Lecture

The Morton and Diane Stenchever Lecture

The Ralph W. Hale, MD, Historical Endowment Fund

The Howard Taylor International Symposium

The Benson and Pamela Harer Seminar on History The Dr. Scott and The Honorable Dr. Nan Hayworth Junior Fellow Course

The Eugene C. Toy, MD, Texas Ob-Gyn Leadership Institute The Jenny and Keith White “Are You Smarter Than A Junior Fellow?” Session

The Pete and Weesie Hollis Community Service Award

We are honored that Hansa H. Topiwala, MD left a bequest to the ACOG Foundation in her estate plan. Dr. Topiwala was an esteemed member of ACOG for many years and she will be missed.

I support the ACOG Foundation so that members of ACOG can continue to explore innovative ideas in education delivery, patient and physician advocacy and provision of full spectrum health care. Without this fund we would not be able to be the premier health organization working for women’s health. —Brandi N. Ring, MD ACOG JFCAC Vice Chair Private Practice Ob-Gyn, Denver, CO


409 12th Street SW Washington, DC 20024-2188 www.acog.org


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