EMRA Board of Directors Minutes SAEM 2012 Annual Meeting Chicago, Illinois Sheraton Chicago Hotel and Towers Wednesday, May 9, 2012 - Saturday, May 12, 2012 In Attendance: Donald Stader, MD; Nathan Deal, MD; Cameron Decker, MD; Jordan Celeste, MD; Alison Haddock, MD; David Chiu, MD; Chadd Kraus, DO, MPH; Stephanie Krema, MD; Hamad Husainy, DO; Matt Rudy, MD; Jonathan Heidt, MD; Graham Ingalsbe, MSIII; Daniel Stein, MSIV Staff: Michele Packard-Milam, CAE; Michele Byers, CAE, CMP; Leah Stefanini, Chalyce Bland, Alicia Hendricks Guests: Dr. Rosenau, Dr. Seaberg, Dr. Bern; ABEM Board Officers; ACEP Board Officers; Committee Chairs Call to Order Dr. Stader Dr. Stader called the meeting to order at 7:30, and welcomed all attendees. Dr. Stader updated the Board regarding staffing by introducing Michele Packard-Milam, CAE, EMRA's new executive director. Dr. Stader reviewed the schedule and reiterated the Board members’ responsibilities and duties during the conference. Consent Agenda The Board considered the consent agenda, including the March 12, 2012 Board of Directors conference call minutes, the April 25, 2012 EMRA Board of Directors conference call minutes and the March ’12 Financial & Membership Report (emailed 4/30/12). MOTION: APPROVE AS PRESENTED. MOTION APPROVED 2012-2014 Strategic Plan Review* Ms. Byers/Ms. Packard-Milam Ms. Byers and Ms. Packard-Milam facilitated a discussion of the current Strategic Plan. Discussions occurred as follows: ‐ Strategy 1.1 (Marketing Plan): Rewrite first objective on strategic plan to be more costeffective; removed for the time being. ‐ Strategy 1.2 (Collaborative Workplace): being put into effect later this year. ‐ Strategy 1.3 (Member Tracker): talked about clarification of the purpose of this tactic; may be redundant; needs reformatting. ‐ Strategy 2.2 (Success Stories) in EM Resident: moved dates to align with current progress. ‐ Strategy 3.1 (EMRA Match): adding new features to Match which will be launching in June. Refer this strategy to the MSC as part of their committee objectives for FY 12-13. ‐ Strategy 3.2 (Alumni Members): deadlines moved back to align with current progress. EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 1 May 9‐12, 2012 ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ ‐ Strategy 3.3 (Student Membership): currently up 20%, which aligns with the goal, but Michele Packard-Milam will be monitoring the progress over the upcoming year. Strategy 3.4 (AV Library): currently LAC is online, more to come. Strategy 4.1 (Speak with One Voice): Dr. Celeste talked about it on the March conference call; moving forward and close to completion. Strategy 5.1 (Regional Presence: Students): funding has been placed into the FY12-13 Budget. Clarification is needed for “non-dues revenue” as specifically geared towards having the regional meetings provide more self-sustaining funding. This topic will be a major focus for the Board at the August meeting. Strategy 5.2 (Regional Presence: Residents): deadlines moved back to August. Strategy 6.1 (Member Needs Assessment): add to Research Committee Objectives; will be staffdriven. Discussed about whether the Research Committee is the right group to help with this; it does fit in with the Board assigning tasks to the committees; no budget to outsource. Strategy 7.1 (New Website): launching today!! Strategy 7.2 (EBook Library): postponed until new Publications Coordinator is hired. Strategy 7.3 (EMRA Suite): moving forward and delegating to the Tech Committee. Strategy 8 (Budget & Financials): moving forward. Strategy 9 (Expand Staff): new Executive Director, plus new position has been advertised. Strategy 10 (Reserves): needs wording changed to reflect that we are actually trying to decrease reserves to not be much more than 100% of yearly operating costs and provide more benefits to members. We are trying to ensure that we are investing in our membership. Strategy 11.1 (EMRA Leaders): talk to them about their needs; make sure that we have meeting space at SA to talk candidly with all of our various leaders (“conclave”). Give them copies of the Strategic Plan overview to help align them with the goals of the organization. Strategy 11.2 (LAC Membership Increase): needs working ideas. Holding steady, but not any significant increase. Strategy 12 (Leadership Project Form): is created, but need feedback and usability. 2012-2013 Proposed Budget* Dr. Deal/Ms. Byers Dr. Deal presented the draft budget, and explained that the goal to make this budget as accurate as possible to eliminate, as much as possible, the surplus at the end of the fiscal year. Dr. Deal suggested that the Board members review discussions during the course of the SAEM meeting and be prepared to approve the budget at the end of the Board meeting on Saturday. The group discussed the major variances on this year’s budget vs. next year’s forecast. EMRA Representative Council Dr. Husainy presented the agenda and resolutions from the Representative Council Dr. Husainy Resolution: Scribes in EDs Authors: Torsten Behrens, MD (primary) and Heather Heaton, MD (co-author) To speed up and improve documentation and free up patient-focused time Board Questions: EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 2 May 9‐12, 2012 - Should residents use scribes? Do they impede or augment training? Are their functions standardized? Are there documented quality improvements in their usage? Should residency training include knowledge of scribes? The Board response is that this is a policy statement, not a directive to action OFFICIAL RESPONSE: EMRA supports tactics to help reduce the charting burden posed by new EMRs and refocus on time spent at the bedside caring for patients. The appropriate use of scribes and other modalities should be sought and implemented where appropriate. International Task Force – Discount for International EMRA Membership Do we consider “international student members” as previously defined “student members” or “international member” or create separate “international student members” category? Costs: 1. Sending a New Member Kit (not previously receiving) 2. Membership to EMRA, not ACEP 3. EMRA voting rights 4. Emailed link to EM Resident Concerns: 1. Sending things to international medical students for free 2. What about Americans going abroad for medical school? Is it an unfair advantage if they get EMRA resources for free? Further discussion on Saturday, May 12: Vote on the resolution will come before the Rep Council in October at Scientific Assembly and the task force will continue to refine the suggested proposal. Regional Rep Network Dr. Rudy This group needs more direction, involvement – reps are under-involved. What we see their role as: Entry-level “face” of EMRA, a link between the program reps and the Board, and a first-stop in the communication chain. Current issues: Regional Reps not living in their appointed areas, lack of involvement, and a lack of passion. Ideas: o Make first year as a Regional Rep required to write and/or sponsor a resolution, and subsequent years write EM Resident articles o Market it as the perfect position for a new resident to become immediately involved in their community and continue their EMRA leadership (if transitioning off of the MSC, for example). o Regional meeting engagement is an ideal alignment for making Regional Reps pragmatic program facilitators o Re-institute monthly Leader Reports EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 3 May 9‐12, 2012 Regional meetings: When, Where, How? Dr. Rudy Dr. Rudy opened a discussion about the purpose of regional meetings. Ideas discussed included: Raise EMRA’s visibility; bring curriculum to areas where professionals can’t necessarily attend the national meetings. Unsure about what curriculum is the right one for this group – it will be harder for residents than it is for medical students. Needs to tie to our long-term curriculum strategies and needs. Is it didactics (must be complementary to the programs)? Research (presenting or seeing)? SimWars/SonoGames/Jeopardy? Community and sharing? Wellness/Social? Room for Chief Residents to present? Advocacy opportunities? Possibly some of all of this? o Conduct a needs assessment for the majority of residents – needs assessment needs to occur quickly to support the work of this group. Regional job fairs? Understand process – workshop, hands-on sessions for people to improve their chances of getting good jobs. ABEM requirements are not regional – they are universal, so they could travel anywhere in the country. The same program can be repeated in multiple regions. Virtually no reps are able to attend more than one of the major meetings, so the curriculum offered at Scientific Assembly can be reutilized at the regional level Lots of potential power here – we should be able to succeed with this audience. We need to keep the cost of attendance down for the attendees. Next Steps: 1. Form Task Force – made up of the regional reps - to answer questions about what we can offer, what members need. Need to tie this to the member needs assessment. 2. BOD Task Force: Jordan, Alison, Matt, Jon, Nate, Don 3. Consider collaborating with CORD to get the directors involved – they are interested in growing their role and would be amenable. Program Directors also talk more to each other. 4. MOTION: CREATE TASK FORCE (MADE OF REGIONAL REPS AND BOARD MEMBERS) TO EXAMINE THE GOALS OF REGIONAL MEETINGS. HAVE A PROPOSAL AT THE AUGUST MEETING FOR BOD TO CONSIDER. MOTION APPROVED. New Accreditation System, Milestones, EMS PRs Dr. Heidt Dr. Heidt gave a review of the current activities of the ACGME and RRC. o 24 milestones have been announced. (ACGME wanted 36) o In one year, these will be implemented – evaluations will be conducted every 6 months. A feasibility study is going on now. o Cord is looking at the milestones, as well. o EM Program Requirements – approved, but not announced or implemented yet. EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 4 May 9‐12, 2012 o o o New accreditation system – EM will be one of the pilot specialties for testing this. Dr. Heidt described a number of changes and differences from the current program, which will now have 10-year cycles with more intense site reviews. CRCR is still working, trying to form a plan. Published works – potential changes in progress RRC Rep, Applicants and Selection Dr. Heidt Deadline for apps is 6/1/12. We’ll have 30 days to send to Committee; candidates will be selected in September. Dr. Heidt will send all applications, but will recommend 1 or 2 candidates. The president and Dr. Heidt will review the applications. Selection will be in September and orientation starts in October, but the rep will not take office until July 1, 2013. Legislative Advisor Update Dr. Haddock Dr. Haddock reviewed the LAC – EMRA Board Roles and the Chair’s Challenge results. o Dr. Haddock reviewed LAC table assignments, expectations, confirmed participants. o She reported that the Chair’s Challenge is not growing as hoped for and suggested that AACM might also be interested in supporting Chair’s Challenge. Letters went to all the chairs and many other personnel, but there is no guarantee that the chairs are reading the letters. o Expenses of the trip are challenges, as is getting enough time off. o Timing of letter being sent could be supported by creating an evergreen topics document. Academic budgets are being set by July or August, so planning to spend the money needs to happen WAY earlier. Possibly ask CORD to consider allocating money to this program. o Earlier commitments will reduce costs, help with getting ED coverage, allocating sufficient funds, etc. o Idea: Send a recap following LAC that recommends making budget allocations, building LAC into plans. Suggest they plan ahead. o Perhaps consider unusual rooming situations that are less expensive and that would be focused on EMRA member needs. 9-1-1 Network Membership Drive o Successful last year, not successful this year. Link was on the home page last year – added to EM:RAP screen this year, as well as home page. DSRTF and FGA/National Health Policy Update o The Supreme Court heard arguments on portable care, and it seems as though it may be struck down. o HR5 – Lots of issues included in the version that was passed in the House. Big victory for EM. o Drug shortage legislation – the bill moving through now includes EM drugs. AAEM-RSA – took a lot of credit for it, but it was a multi-disciplinary process. EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 5 May 9‐12, 2012 o Medicaid is a huge issue that generated lots of discussion at LAC. Advocacy Handbook, 3rd Edition o Updated edition is in process, and is intended to be released in 2013 Advocacy Week – We will need to discuss at length in August. Participation is very poor, despite immense effort from Dr. Haddock and the Health Policy Committee. o Timing will be pressured if we are to run this immediately following SA o Man hours to create are done – to maintain, the Health Policy Committee was planning to create more lectures. Currently existing lectures need some work. Possibly free up timing to allow more flexibility for the programs. o Dr. Seaberg suggested we speak to Frank Price to tie into the regional legislative conferences and activities as a redirect of this effort. ACEP Reports and Actions Dr. Celeste Section advertising was discussed. ACEP sections wanted to have more interaction with EMRA at SA. Do we want to create some opportunities for interaction there? Allow ACEP sections to advertise or distribute flyers at the EMRA luncheon. Section Showcase is probably too problematic – probably has insufficient space for EMRA. EMRA members can be part of the sections – see “Section Connection” Not all EMRA members are necessarily members of sections – they must sign up separately. Possibly insert into the magazine and pass them out at SA? Next Steps: Staff will investigate costs and timeline to insert into Oct-Nov issue (deadline is August 1st). Can be incorporated into current printing budget – no motion needed. Collaborating to speak with one voice – EM summit – how are we going to advertise this to our members? The ACEP associate membership issue was discussed. ACOEP Update Dr. Husainy Dr. Husainy visited ACOEP for two days and was well-received, though initially it seemed a bit uncoordinated and unresponsive. He and Dr. Graves Fromang have received invitations to speak at more meetings. There is a related story about how board certification affects teachers, specifically those with their DO’s. Legacy Project Dr. Stader Define strategy and next steps; define budget implications. Legacy Task Force has selected a producer and director: Cassidy Freeman out of San Francisco. Noted link previously sent with video and budget. EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 6 May 9‐12, 2012 Suggested that medical students would find this extremely helpful and could be a useful recruitment tool. Deadline is END OF MAY to submit to ACEP BOD for request for funding at their next meeting. Dr. Rosenau suggested that we consider creating a series of shorter interviews, possibly benchmarking with the San Francisco “The Waiting Room Project”, which is a series of patient interviews. Funding: We have a surplus right now; we can very likely find partners and interested co-funders. Timing: Need to have it presented at SA 2013 Agreed: Remove the current events component. MOTION: ALLOCATE UP TO $50,000 SEED MONEY; ENTIRELY HISTORICAL IN FOCUS. MOTION APPROVED. EMRA Welcome Video Dr. Stader Need to define scope; possibly appoint Task Force. 2-3 minute video – perhaps work with producer of Legacy video Should be very fast to produce – perhaps use August retreat to record BOD videos. Possibly use a local producer. EMRA/ABEM Officers Meeting ABEM Board Officers The ABEM Board visited with us and updated EMRA on its activities and projects; the new BOD members were announced. Board Structure and Governance Membership Development Coordinator Don to resend job description. Recruitment is starting shortly. Automating Plans for Leadership: Next steps? o Dr. Stader 1:3 Staff to Board. Reminder emails about items due or past due from strategic plan and/or projects – once per month, starting in June Board Collaboration Tools Dr. Chiu Dropbox is becoming too full. Google Drive has launched Changes can be tracked and email alerts can be set up doc by doc. 2 GB was insufficient on Dropbox. 5 GB is free – an additional 20 GB is only $2/month Works well with many email addresses. Cameron contacted Dropbox and it’s VERY expensive. Documents can be shared; changes can be viewed. Drive.google.com to download client. o Google Drive does not yet work on iPhone/iPad. o [email protected] has been created. o iCal works in this program – can be preset with reminders and tasks o David will send out an email with instructions EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 7 May 9‐12, 2012 Committee Objectives/Brainstorming Dr. Decker o Critical Care – Section; contributes to the magazine, creating the PressorDex App, website updates o Health Policy – Committee; contributes website changes, Advocacy Handbook, Advocacy Week, and at LAC o International – Section; updating website database, handbook is stalled (still 300 pages) o Research – Committee; responsible for Member Needs Assessment, update and maintain Research Handbook, reviews Research Grants in the spring o Technology – Committee; helps with website and app research o Award – Committee; manages award ranking process and awards ceremonies o Education – Committee; responsible for helping with SA educational programming, runs Jeopardy at SAEM, updates website o Editorial – Committee; continues duties to EM Resident Committees vs. Sections* o The term “section” may create confusion between ACEP and EMRA. o Dr. Decker Example: Critical Care – there are two – the EMRA group is more comfortable for residents and offers leadership opportunities. Need to deal with the issue of training, agreements and apparent authority Agreed that clearer guidelines and training are needed RESOLVED: Draft revised Policy Compendium language to be voted on at August meeting, to be ratified at SA by the Council. Recessed at 2:55 p.m. Thursday, May 10, 2012 Reconvened at 8:10 am EMRA/ACEP Board Meeting ACEP Board visited us and advised EMRA on its current projects and progress and congratulated EMRA on the publication of the Research Handbook and Critical Care Handbook. Health Policy Committee Update Dr. Will Fleischman Working on Advocacy Week; will involve the Program Directors more directly this year 911 Network: coordinating with Dr. Haddock and the ACEP DC office to drive recruitment Create a FAQ webpage for those new to health policy including definitions, key bills, key issues and goals, etc. Research Committee Update Dr. Elizabeth Goldberg and Dr. David Bournis Member Needs Assessment: will receive previous iteration and disperse it to the committee immediately. EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 8 May 9‐12, 2012 - Will run for about one month and then compile data Goal is to have results for the EMRA Board meeting in August Working in conjunction with the ACEP Research Section to produce some resident opportunities at SA 2014 with the introduction of a Resident Research Forum Create list of landmark research articles and provide a synopsis of each one Critical Care Committee Update Drs. John Greenwood, Nick Johnson, Biren Bhatt Critical Care Handbook has been published Working on a fellowship database and updating the website Moving towards final edits on the PressorDex app Contribute to EM Resident in each issue, as their articles are faculty-reviewed Education Committee Update Working on two publications – rough drafts are nearly ready Compiled list of suggested speakers for SA resident programming First successful management of Jeopardy game Dr. Sneha Shah International Committee Update Dr. Bhakti Hansoti Working on International Fellowships and Electives listing, website updates, and EM Resident articles. Safety Consensus paper with GEMA; will bring before the Board on Saturday Thoughts of creating a “pay it forward” international elective scholarship Create a world map on the website for easy navigation to information about different opportunities abroad, and members can post blog entries about their experience in that region Going to split the International Handbook into two sections: Section One: Informative, unique, polished information that is ready to publish – 90 pages Section Two: More clinical, changing information that needs refinement and would work better as an electronic publication – 200+ pages Technology Committee Update Dr. David Chiu Discussed process for placing committees updates onto their web pages; Alicia takes their info, places information, usually within a few days of each request. o Suggested that we ask committees to have information to Alicia at the first of every month for updates. o EMRA Suite o Discussion: Overarching Strategy: launch at SA. o Included products: o Epubs – take all our books that are NOT going to be apps and consider making them epubs. Could make them part of EMRA Suite. o Pricing – need to create strategy. Could create bundled pricing. o Cross marketing of all products will need to be developed. Possibly create the Suite with trial versions – all free. Create easy purchasing within the suite, if affordable. EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 9 May 9‐12, 2012 MDCalc – ready in 1-2 weeks, according to Dr. Walker Basics of EM – issues with copyrights, contract Discuss again during next conference call; it would be difficult to finish by SA o MOTION: TO MOVE TO AN EXECUTIVE SESSION. o MOTION WITHDRAWN o o o o MOTION: MOVE TO CREATE A SUBCOMMITTEE (“MOBILE APP CMTE”) COMPOSED OF THE EXECUTIVE DIRECTOR, PRESIDENT, TECHNOLOGY COORDINATOR, PRESIDENTELECT - BE TASKED WITH COORDINATING CONTRACTS WITH MDCALC APP, BASICS OF EM, PROCEDURES. MOTION APPROVED. o Plan: Dr. Chiu will approach app developers this is what we need, this is when we need, how much will it cost? O MOTION: TO EMPOWER THE MOBILE APP COMMITTEE TO DEVELOP A LIST OF APPS APPROPRIATE FOR INCLUSION IN THE EMRA SUITE; TO ENTER CONTRACT NEGOTIATIONS AND EXPLORE LEGAL/COPYRIGHT IMPLICATIONS; TO SUBMIT A FOLLOW-UP/PROPOSAL ASAP FOR APPROVAL BY THE BOARD. MOTION APPROVED. O MOTION: TO AUTHORIZE MOBILE APP COMMITTEE TO ENTER IN NEGOTIATIONS FOR THE PRODUCTION OF EMRA SUITE, WITH PROPOSED LAUNCH DATE OF SCIENTIFIC ASSEMBLY, WITH COSTS NOT TO EXCEED $15,000; WITH BUDGET MODIFICATIONS AS NEEDED, FOR 2011-2012 FISCAL YEAR. MOTION APPROVED. Focus on EMRA Suite first If want to be ready by SA (the first week of September), needs to START suite in early June 2012; submit to Apple in August Dave will say how much it will cost, timeline; want to launch the new ABx app with the suite itself; everything else on the backburner Procedures App – only on Android Market o Developed with a grant from GCEP (Georgia) o Can EMRA further develop, i.e., create an iOS app? o Need formal approval of app content o Are there any better apps? Need to assure this is the best app available o Gemsoft = good competitor o Negative: Requires internet connection; $7.99; only on Android Closing Comments For All Committees: - President-Elect oversees the committees - All chairs and vice chairs have signed Leader Agreements - No outside communication out of EMRA without Board approval - Part of the oversight of committees is the Board liaison’s duty EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 10 Dr. Stader May 9‐12, 2012 Meeting Adjourned at 12:00pm Saturday, 12:00pm – 3:00pm Reconvened at 11:30 am Parlor B Budget Discussion – Cont’d. Dr. Deal walked through additional changes. With all additions, deficit is at $121,000. Revenue is approximately $1.842 million and costs approximately $1.95 million o MOTION: TO APPROVE FY 2012-2013 BUDGET. MOTION APPROVED. Open Issues Bylaws Dr. Husainy o Much has changed. Dr. Husainy suggested that it will take a month to assess new changes and he will come back to the BOD with suggestions in August. Dr. Stader expressed the need to have Bylaws revised to reflect voted changes. MPM will check on new regulations that may come out of government that could affect our bylaws changes. o BOD entered closed session with staff. MPM to determine correct term for private session that includes staff. EMRA Marketing and Branding O MOTION: TO FORM A TASK FORCE OF BOARD AND STAFF TO EXPLORE ALL OF THE BENEFITS OVER THE COURSE OF 10 YEARS (OR AS MUCH AS INFO IS AVAILABLE) TO ANALYZE INTER-ORGANIZATIONAL COLLABORATION. MOTION APPROVED. o o o At issue: Competition Update Website content – look is better, but copy is not yet optimal Shorter, pithier content Better PR and marketing communications about our achievements and value to all our audiences. Advertise differences between EMRA and other orgs – clearer points of difference Member benefits, possibly with “most visited” page or “top 5” – EM:RAP, for example RSA has just added EM:RAP as a free benefit Possibly create template presentations for BOD and chairs to use in promoting EMRA When we meet with other organizations, especially Boards, we need to have very clear messaging and numbers about why we are the key reps of the resident population. Need to capitalize on student membership, possible with creating the “Emergency Medicine Student Association” International Projects – Consensus Conference, Trainee Safety o Safety Consensus Statement for Training Abroad EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 11 Dr. Hansoti/Dr. Hargartin May 9‐12, 2012 Paper has been approved by SAEM, GEMA, and unofficially by AAEM Board expressed approval of the content and congratulated Dr. Hansoti on the product; set plans to move forward with approval o Consensus Conference for 2013 Dr. Hargartin Noted that EMRA was a supporter in 2012 Thanks was expressed to Dr. Hargartin for approaching the Board so far in advance, as it will allow our involvement and support to be more meaningful. Dr. Deal offered a proposal that details begin to be developed, with support to be determined as details and opportunities emerge. Dr. Hansoti advised that a call for papers has already been run in AAEM; suggested that the same call for papers be run in EMRA publications Next steps: Courtney and Tom will be asked to gather additional information within the context of the International Committee. Formal proposals and dollar amounts will be brought forward. Broader Issues: Committee rules, especially regarding authorship and ownership of work product. Possibly create an FAQ. Need to remind volunteers that they should not list their EMRA roles on their business cards; this creates problems with Apparent Authority. Project Proposal: New Mission Statement Dr. Stader o Do we want to change our mission statement? Can we get it done by SA? Yes Place early in the August agenda. Also create an elevator speech. Current: EMRA promotes excellence in patient care through the education and development of emergency medicine residency trained physicians. Items to consider: Need some education on valuable ways to improve/create mission statements Ours needs to be broader, but not too broad. Mission statement must be approved by members. Compare competitive statements Possibly create a vision statement AND a mission statement AND elevator speech Task Force: Alison, Jordan, Jon, Don, MPM Next Steps: Set teleconference with above ASAP – MPM Next Steps/Review Deliverables 3:00 Dr. Stader Meeting Adjourned EMRA Board of Directors SAEM Meeting Minutes Privileged and Confidential 12 May 9‐12, 2012
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