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New life and 30-year members“On behalf of all AAO-HNS members and the Board of Directors, I offer my congratulations to the following members who have earned lifetimestatus with the Academy and those celebrating 30 years of membership in 2019.Your commitment to the Academy is a testament to the dedication you have to your colleagues, your patients, and the healthcare communityat large. Your support continues to help us strive to be the global leader in optimizing quality ear, nose, and throat patient care throughprofessional and public education, research, and health policy advocacy. - Albert L. Merati, MD AAO-HNS/F President, 2018-2019LIFETIME MEMBERSHIPCERTIFICATE OF RECOGNITIONThe following individuals earned lifetimemembership status with the Academy in 2019:in recognition of continuous valued support for the goals and missionof the American Academy of Otolaryngology–Head and Neck SurgeryAlbert L. Merati, MDPresident 2018-2019James C. Denneny III, MDExecutive Vice President/CEOVinod K. Anand, MDBrian T. Jenkins, MDCharles W. Beatty, MDWiley H. Justice, MDMark L. Beauchamp, MDJohn C. Kirchner, MDHoward J. Beck, MDPi-Tang Lin, MDDaniel J. Blum, MDAlbert W. Marchiando, MDPhyllis B. Bouvier, MDDavid C. Mechlin, MDRichard S. Eng, MDZephron G. Newmark, MDThomas H. Fairchild, MDRobert H. Ossoff, DMD, MDJay B. Farrior, MDHarold J. Pelzer, Jr., MDThomas M. Gillis, MDLucy Shih, MDAndrew F. Inglis, Jr., MDEdward L. Treyve, MDThe following are celebrating 30 years of membership in 2019. These particular groups would be prime candidates to participate in andbenefit from the “transition from practice” program we are constructing as mentioned in Dr. Denneny’s column on the facing page.Carolyn Agresti, MDEric W. Bridges, MDR. Kent Dyer, Jr., MDRobert G. Hunter, MDNatasha Mirza, MDDavid A. Sherris, MDPeter E. Andersen, MDJimmy J. Brown, DDS, MDJohn F. Eisenbeis, MDIan N. Jacobs, MDJohn J. Moffitt, MDSteven Shimoura, MDDonald J. Annino, Jr., MD, DMDKenneth A. Brown, MDTrina E. Espinola, MDJohn A. Jebeles, MDWalter P. Moore III, MDMichael N. Shroyer, MDPatrick J. Antonelli, MDWilliam J. Brundage, MDTom Eyen, MDMichael D. Johnson, MDGarrison V. Morin, MDMichael J. Sillers, MDWilliam B. Armstrong, MDHana T. Bui, MDRobert S. Feehs, MDNancy R. Juhlin, MDPatrick G. Murphy, MDDemetrios T. Skedros, MDDavid C. Armstrong, MDJeffrey M. Bumpous, MDMichael D. Franklin, MDGlenn S. Kanamori, MDGeorge Murrell, MDWilliam H. Slattery III, MDMichael P. Baker, MDFrederick A. Bunge, MDRick A. Friedman, MD, PhDTimothy J. Kelly, MDTimothy P. O'Malley, MDDenise S. Smart, MDScott A. Baker, MDBeth C. Burghardt, MDMichael J. Fucci, MDRichard L. Kersch, MDRichard L. Palesano, MDMark A. Soltany, MDEdward L. Barns, MDLuis E. Cabezas, MDRobert P. Fulmer, MDJonathan D. King, MDDavid K. Palmer, MDChris St. Charles, MDHoward N. Barrow, MDScot C. Callahan , MDRafael I. Garcia, MDTodd M. Kirchhoff, MDMartin R. Papazian, MDThomas Stackhouse, MDGregory L. Barth, MDJeffrey P. Campbell, MDFrederick Gass, MDJeffrey P. Kirsch, MDStephen S. Park, MDKerstin M. Stenson, MDEvan S. Bates, MDAllen H. Carlins, MDSheldon H. Genack, MDRobert D. Klausner, MDMichael L. Patete, MDRichard E. Sterling, MDNancy M. Bauman, MDMichael K. Case, MDAnn M. Gillenwater, MDHoward S. Kotler, MDJonathan A. Perkins, DODavid C. Teller, MDSamir M. Bhatt, MDJasper V. Castillo III, MDDonald R. Giovanetto, MDJeffery J. Kuhn, MDSteven P. Peskind, MDJon V. Thomas, MDRandall W. Black, MDSteven W. Cheung, MDDouglas A. Girod, MDJaesung Lee, MDLon J. Petchenik , MDSharon M. Tomaski, MDRobert M. Block, MDLaurence Chu, MDWarren S. Goldstein, MDRichard A. Levin, MD, DMDGuy J. Petruzzelli, MD, MBA, PhDQuang T. Tran, MDRobert M. Boucher, MD, MPHJohn V. Cichon, Jr., MDEarl S. Golightly, MDBrett A. Levine, MDKent L. Ramsey , MDScott J. Trimas, MDJoseph J. Bradfield, MDRandall A. Clary, MDMichael A. Gordon, MDMelba F. Lewis, MDGregory W. Randolph, MDDavid W. Tsen, MDCarol R. Bradford, MDHeidi L. Close, MDRon D. Gottlieb, MDJohn C. Li, MDRobert B. Redmon, MDEugenia M. Vining, MDScott A. Cohen, MDVerlia C. Gower, MDDouglas A. Liening, MD, MSACharles A. Reese, MD, PhDDavid V. Wagner, MDRobert W. Craven, MDScott M. Graham, MDJoel R. Link, MDAnn C. Richardson, MDMarilene B. Wang, MDRobert B. Cravens, Jr., MDPatrick Hall, MDJohn D. Macias, MDAntonio Riera March, MDNeil Wangstrom, MDJerrall P. Crook, Jr., MDGregory K. Hartig, MDMichael J. Malotte, MDPaul D. Righi, MDJesse G. Wardlow, Jr., MDBrian C. Cusick, MDDavid S. Haynes, MDEric A. Mann, MD, PhDFrank L. Rimell, MDMartin Wareham, MDDavid T. Daly, MDGregg L. Heacock, MDManel Manos Pujol, MD, PhDRobert M. Risica, MDJames D. Warren, MDDavid H. Darrow, MD, DDSDiane G. Heatley, MDFrances E. Marchant, MDNatalie Roberge, MDStephen F. Wawrose, MDSalem K. David, Jr., MDPamela S. Henderson, MDMurray McGrady, MDJoseph B. Roberson, Jr., MDPeter C. Weber, MD, MBAAlan E. Deddens, MDHoward K. Herman, MDGregory K. Meekin, MDKipp M. Robins, MDLawrence S. Weiss, MDBrian D. Deutsch, MDHugh E. Hetherington, MD, PCCliff A. Megerian, MDDouglas A. Ross, MDMark H. Widick, MDDavid L. Dinges, MDMichael L. Hinni , MDAnna H. Messner, MDBryan W. Rubach, MDThomas O. Willcox, MDMichael J. Disher, MDMichael E. Hoffer, MDBrian A. Metz, MDMichael J. Ruckenstein, MD, MSCIan J. Witterick, MDEdward D. Donovan, MDHunter A. Hoover, MDAlan G. Micco, MDImran Samad, MDJayme Zaikowaty, MDJohn L. Dornhoffer, MDJay B. Horowitz, MDHenry A. Milczuk, MDMaher Sesi, MDGeorge H. Zalzal, MDCharlotte M. Dugan, MDMark J. Hoy, MDMitchell B. Miller, MDLee M. Shangold, MDMark I. Zeme, MDPavel Dulguerov, MD, PhDMay Y. Huang, MDJoseph P. Mirante, MDPeter Shapiro, MDGregg Zimmer, MD

the leading edgeCompetency in otolaryngologyIt’s not too late to register for our Annual Meetingin New Orleans. The 20th anniversary of ourlast meeting in New Orleans promises to be aspectacular program in a renovated city known forits fine dining and good times for all. It will featurethe President’s Reception at Mardi Gras World anda globally and topically diverse program highlightedby superb lectures as well as the remarkableprogress of Reg-ent, our clinical data registry. Earlyregistration indicates this will be one of our highestattendances, and there is still time to join.Increasing scrutiny of the competency ofphysicians at all stages of their careers affectspotential training paradigms as well as end-ofcareer decisions. Several factors, such as surveysshowing that a significant percentage of residentsfinishing training feel unprepared to start practice,have stimulated discussions related to trainingstrategies. Recent pushback on the value andvalidity of “maintenance of certification” has calledinto question the most effective way to maintainthe knowledge and skills that enable a physicianto practice high-quality medicine throughout theircareer. Finally, there has been increasing attentiongiven to the aging physician/surgeon and how wedetermine when a surgeon’s skills and competencyhave deteriorated to the point that they should limitor discontinue practice altogether.Ideally, we would be able to track competencyto practice longitudinally throughout a career andintervene to remediate negative trends as they arerecognized. Before we can think about how best toimplement such a system, the elusive definition ofcompetency and how to measure it must be agreedupon. The ABMS boards have recognized thecomplexity of this task and to date have not certifiedcompetence. Will the availability of more datapoints over time lead to an appropriate definitionof competency and an understanding of the factorsthat allow one to achieve it? What combination ofintelligence, knowledge, personality, physical skills,and intangibles allow one to achieve and maintaincompetence? Should we rely on outcomes as theprimary determinant? While that sounds appealingto some, current methodologies have failed toidentify most reliable combinations of outcomesapplicable to this task. Cognitive and skills testing iscurrently available, but the full implications of thesetests are yet to be determined, particularly howmuch deterioration is significant. It is concerningthat some institutions are using this type of datato limit ability to practice, given the paucity ofevidence. Additionally, without serial testing, isit unclear if lower scores are baseline or an actualdeterioration?The house of medicine should accumulate thedata necessary to answer these questions lest wefind ourselves in the same position as several wellknown groups, including pilots, FBI agents, andpark rangers who have had mandatory retirementbased on age alone imposed on them throughexisting legislative framework.On my travels visiting local and state societies,as well as academic departments, it is apparent thatwe have some educational opportunities that wouldbenefit members who are in training as well as agingotolaryngologists. We are currently working onassembling a series of video presentations coveringthe spectrum of socioeconomic and business topics;it is designed for younger physicians but will benefitall in the field. We will begin working on materialsto assist those in the later stages of their transitionto their next stage of life, whether it be to a differentstage or type of practice or retirement. We will coverpractice transition; alternative options to remainin medically related fields, including healthcareeconomics administration; mentoring opportunities;financial considerations; and current practice. It isimportant to begin planning well in advance, startingwith the employment and partnership agreements.For those interested in remaining in a medicalfield, there are a plethora of options. Most mature,experienced physicians underestimate their value inthe market in a variety of roles, both in the clinicalworld and in the health services community. Onthe opposite page, you can see the list of new LifeMembers; I congratulate them on their retirement.I recently had the pleasure of attending theBoard of Directors meeting of the AdministratorSupport Community for ENT (ASCENT). Thevolume of work that this group produces to enableour physician members to provide the best carethrough innovative practice management strategiesand collaborative knowledge is amazing. Onbehalf of our members, I would like to thank andcongratulate ASCENT for all they do.ENTNET.ORG/BULLETINJames C. Denneny III, MDAAO-HNS/F EVP/CEOMost mature,experiencedphysiciansunderestimate theirvalue in the marketin a variety of roles,both in the clinicalworld and in thehealth servicescommunity.AAO-HNS BULLETINAUGUST 20195

at the forefrontIn memoriam: Jerome C. Goldstein, MDAAO-HNS/F Executive Vice President 1984-1994Anative of upstate New York, JeromeC. Goldstein, MD, led a distinguishedcareer within the house of medicine asa surgical specialist focused on patient care, atrailblazer in the education of physicians, andan administrative leader, setting the coursefor the future of the otolaryngology-head andneck specialty.“Jerry Goldstein epitomized a successfulmarriage between exceptional clinical andsensitive, fair-minded management,” saidCharles W. Cummings, MD, AAO-HNS/FPast President. “His efforts were the glue thatallowed a diminutive surgical specialty tobecome impactful in medicine as a whole. Inaddition, he was a great person.”In defining the key leadership of thenewly merged organization of the formerAmerican Academy of Otolaryngology andthe American Council of Otolaryngology,Dr. Goldstein was selected to serve for oneyear as Executive Vice President-designateunder Harry W. McCurdy, MD, then assumedthe role as Executive Vice President (EVP)in 1984. He served the AAO-HNS/F in thisposition through 1994, leading the Academythrough a period of organizational growth andmonumental change in the medical practiceenvironment. His efforts helped build theAcademy into a society with a sphere ofinfluence for quality patient care.The physical growth of the Academyduring Dr. Goldstein’s 11-year tenure as EVP6AUGUST 2019AAO-HNS BULLETINENTNET.ORG/BULLETINresulted in the Academy moving into its ownheadquarters building, total assets more thanquadrupling, and staff expanding from lessthan 20 to more than 50 employees. Programsand services experienced a commensurategrowth, and by 1995, the Academy wasproviding services to more than 10,000members.“Although Jerry Goldstein’s name isindelibly linked with the AAO-HNS, hisleadership had a much broader base. Oneexample is the American Society for Head andNeck Surgery. During his term as Secretary,he provided the leadership to markedlyexpand the Society. This ran parallel with theevolution of the otolaryngologist as a head andneck surgeon,” said Eugene N. Myers, MD,AAO-HNS/F Past President.Dr. Goldstein worked to increase specialtyunity and to promote the Academy as thevoice for otolaryngology. His participationin several major medical societies ensuredthe involvement of otolaryngologists in keyactivities. He was Secretary of the AmericanSociety for Head and Neck Surgery (ASHNS)for six years and President in 1983. Inaddition, he was President of the Centurionsof the Deafness Research Foundation in1988; Director of the American Board ofOtolaryngology, now known as AmericanBoard of Otolaryngology - Head and NeckSurgery (ABOHNS); member of the AmericanCollege of Surgeons Board of Governors;delegate in otolaryngology to the AmericanMedical Association; the 1996 President of theCouncil of Medical Specialty Societies; andinvolved in the Triological Society.“We are saddened to hear that ourcolleague Jerry Goldstein has passed away.Elected to membership in the TriologicalSociety in 1982, Jerry exemplified theideals and core values of our Society,” saidMyles L. Pensak, MD, EVP, The TriologicalSociety. “His warm and gracious personalitywelcomed residents and young colleagues.His responsiveness to professional challengesengendered a spirit of collegial interactionthat fomented a collaborative and congenialenvironment. It is our hope that his memorywill always serve as a guide for future actionswithin our specialty.”In 1994, Dr. Goldstein received theAcademy’s first Public Service Award, whichwas established by an anonymous donor.This award was subsequently renamed theAAO-HNSF Jerome C. Goldstein, MDPublic Service Award in honor of his lifelongcommitment to improve patient welfare. Hewas deeply touched by this acknowledgmentof his achievements and expressed hisgratitude in the October 1994 Bulletin saying,“This Academy has truly become the love ofmy life.”Among countless contributions to theAcademy, he was a lead author in thepublication of A Century of Excellence, A100th Anniversary History of the AmericanAcademy of Otolaryngology-Head and NeckSurgery and its Predecessor Organizations.Prior to assuming the EVP role ofthe Academy in 1984, Dr. Goldstein wasProfessor of Surgery and head of the Divisionof Otolaryngology at Albany Medical College(1974-83). He was in private practice withStanley Edmunds, MD, in Glens Falls,NY, after three years fulfilling clinicalduties and serving as Assistant Professor atNorthwestern University School of Medicine.Dr. Goldstein completed his residency at theUpstate Medical Center, now SUNY UpstateMedical University, in Syracuse, NY. Heattended medical school in Syracuse afterearning a history major from the University ofRochester.Dr. Goldstein was known not only for hishard work and commitment to his patients andhis specialty but also for his boundless energy,razor sharp wit, and astute observations. Hislifelong efforts are credited with building astrong foundation for the trusted reputationof the Academy, cultivating respect asthe collective and collaborative voice forotolaryngology. He passed away on July ome-jerry-c-goldstein/

at the forefrontnewsBOG AwardsBOG Model Society AwardBOG Practitioner of Excellence AwardReceiving the 2019 Board of Governors’ (BOG) Model Society Awardis the Virginia Society of Otolaryngology (VSO).Member engagement, education, and networking are driven byits annual conference. The annual Lobby Day allows members totake VSO’s message to legislators in Richmond, VA. Connectingwith members, VSO provides a website, electronic and printcommunications, social media outlets, and in-person updates with theBOG Report at the AAO-HNSF Annual Meeting & OTO Experience.Committed to public awareness and outreach, VSO hosted its eighthfree head and neck cancer screening for high-risk demographics inSeptember 2018, drawing 80 patients, with 17 requiring follow-up.VSO partners with allied societies and works with policymakersand regulators ensuring patients receive the highest qualityotolaryngologic care. VSO aggressively lobbies for its membersto maintain reimbursement rates and ensure that a growing patientpopulation is not diluted by other professionals expanding their scopesof practice.VSO’s efforts are paying off, demonstrating value in VSOmembership and increasing membership numbers in 2018.Receiving the 2019 BOG Practitioner Excellence Award is Mark S.Persky, MD, Professor, Department of Otolaryngology-Head and NeckSurgery (HNS) and Co-Director, Head and Neck Institute, at NYULangone Health in Manhattan, NY.Dr. Persky’s nomination highlighted his exceptional patient care,earning trust by showing respect. He has contributed to many modernadvances in treating head and neck cancer through his work at NYULangone’s Perlmutter Cancer Center, with more personalized therapy andimproved overall cure rates and functional outcomes following surgery.Integrated in Dr. Persky’s work is his commitment to teachingat the NYU School of Medicine. Students are important to hisprofessional legacy, representing optimism and potential for the future ofotolaryngology and the subspecialty.Dr. Persky is a respected mentor to residents and attending physiciansalike. He uses humor and critical self-evaluation to support the nextgeneration of physicians. Helping people and giving back to thecommunity extends beyond the hospital, serving as President of TheTriological Society (2017 -2018), and ongoing supervision of residents atBellevue Hospital in New York City.READ MORE ONLINEucsfOtoAd.qxp Layout 1 7/2/19 8:41 AM Page 1 Longer article available2019 CandidatesCandidates for BOG Chair-ElectDepartment of Otolaryngology – Head and Neck SurgeryUniversity of California, San Francisco School of MedicineUCSF OtolaryngologyUpdate 2019The Westin St. Francis San Francisco, CADavid S. Boisoneau, MDLance A. Manning, MDCandidates for BOG SecretaryTargeted content in innovative formatsGuest Speaker: James Denneny, MDTHE update course to go to forhigh quality CME!Thursday – SaturdayNEED PICTUREShannon P. Pryor, MDKaren A. Rizzo, MDREAD CANDIDATESTATEMENTS INAAO-HNS BULLETINAUGUST 20197

at the forefrontHUMANITARIAN SERVICEGRANT: NAIROBI, KENYAOtologyin KenyaWOMEN IN OTOLARYNGOLOGY SECTIONGet involved to supportwomen in the specialtyEllen M. Friedman, MD, to keynote the 2019 WIO General AssemblyLauren S. Buck, MD, Resident,University of Mississippi Medical CenterThis past Memorial Day weekend, theother members of our department atthe University of Mississippi MedicalCenter in Jackson, MS, attended the GulfStates Region Otolaryngology Conferencein Pointe Clear, AL. Near the end of the firstday, one of my attendings turned to me andsaid, “There are so many women speakershere. This is great!” And she was right—halfof the conference speakers were women,including the keynote speaker, Stacey T.Gray, MD.Having attended a medical school witha program featuring the rare female chair inotolaryngology, I early on benefited fromstrong female mentors. Not realizing just howlucky I was to have this experience (with lessthan five percent of chairs being female), Inow am part of a residency program wherethe number of women residents and facultyis about equal to men. I am thankful forthe diversity within the programs I havebeen a part of and now understand howimportant representation is in our field.Although more women than men are nowenrolling in medical schools, only one-thirdof applicants applying to otolaryngologyare women, and further disparity is present8AUGUST 2019AAO-HNS BULLETINENTNET.ORG/BULLETINregarding academic positions. While we havecome a long way in our specialty, we needto continue supporting initiatives aimed atinclusivity and expanding diversity in thefuture.Help us celebrate the 10-year anniversaryof the WIO Section of the AmericanAcademy of Otolaryngology–Head and NeckSurgery. Now is the time to get involved, asWIO is working on many projects to assistwomen in our specialty. Mark your calendarto attend the WIO General Assembly,September 16, at 11:30 am on Monday,where Ellen M. Friedman, MD, will be thekeynote speaker.WIO members should also considerengaging with Sections and making adifference on important initiatives to helpwomen in the specialty. Consider running fora leadership position or, like I did, apply forone of the committees when the cycle opensin November. Introduce yourself to the WIOleaders and ask how you can help during theAAO-HNSF 2

Executive Vice President, CEO, and Editor of the Bulletin James C. Denneny III, MD Managing Editor Tina Maggio bulletin@entnet.org INQUIRIES AND SUBMISSIONS bulletin@entnet.org MAILING INFORMATION Postmaster: Send address changes to the American Academy of Otolaryngology-Head and Neck Surgery, 1650 Diagonal Road, Alexandria, VA 22314-2857