www.entnet.orgCurrent IssueArchivesAnnual MeetingAdvertise with the BulletinENTConnectApril 2019 – Vol. 38, No. 3ENThealth Trusted Patient Information on Demand and OnlineThe ENThealth subscription programs give you access to ready-made content from ENThealth.org that has been developed and vetted by clinical experts in the otolaryngology-head and neck surgery specialty.Leading EdgeOtolaryngologists can affect change by working togetherAdvocacy in the medical association world is a broad term that encompasses a wide range of activities across many fronts with the end goal of defining and delivering the best healthcare outcomes for our patients. Typically, areas that receive the highest attention and resources include federal and state legislation, regulatory agencies, and private payer issues.James C. Denneny III, MD, AAO-HNS/F EVP/CEOYour vote, your futureThis month’s edition of the Bulletin features statements from our candidates for AAO-HNS/F leadership positions. Please read and consider them as we approach our annual election, which opens in May. I would like to thank our AAO-HNS Nominating Committee for presenting all of us a superb slate of candidates.Albert L. Merati, MD AAO-HNS/F Past PresidentSignificant changes to ABOHNS in 2019The past year, the American Board of Otolaryngology – Head and Neck Surgery (ABOHNS) has been very busy with many important changes. The most noteworthy was the approval of our organization’s name change by the Board of Directors of the American Board of Medical Specialties (ABMS) on June 21, 2018.What every otolaryngologist should know about electronic cigarettes, especially JUULElectronic cigarettes (e-cigarettes) have become increasingly popular in the United States. While it is welcome news that traditional cigarette use is decreasing, there has been a disturbing upsurge in use of e-cigarettes among youth. E-cigarettes have become a gateway for nicotine addiction among youth, with many graduating to use other, more dangerous tobacco products.Candidate Statements – Audit CommitteeWhat is your particular experience or interest that would make you an affective member of the Audit Committee of the Academy?Candidate Statements – Nominating Committee: AcademicHow will you select candidates for Academy leadership that best represent our diverse membership? What experience do you have that will aid in selecting leaders that will advance the mission of the Academy?Candidate Statements – Nominating Committee: Private PracticeHow will you select candidates for Academy leadership that best represent our diverse membership? What experience do you have that will aid in selecting leaders that will advance the mission of the Academy?Candidate Statements – Director-At-Large: Private PracticeWhat do you see as the essential task of the Directors and in what ways are you well suited to the role? What do you think is the most important item in the Academy’s strategic plan?Candidate Statements – Director-At-Large: Academic PracticeWhat do you see as the essential task of the Directors and in what ways are you well suited to the role? What do you think is the most important item in the Academy’s strategic plan?Candidate Statements – President-ElectWhat are the strengths of the Academy that will lead us forward in our specialty and how will you capitalize on those strengths? What do you think is the most important item in the Academy’s strategic plan?Previewing the proposed bylaw changesThere are several important bylaws amendments that will be on the ballot as part of the upcoming election opening May 6. Take time to review these proposed changes before casting your vote.‘Meet Our Academy Member Donors’ Online brochureThe AAO-HNS Foundation sincerely thanks all our donors for generously giving back to their specialty in support of today’s programs and in ensuring the future of the specialty for the next generation.Women in Otolaryngology DayThis year, on March 3, many in the otolaryngology community celebrated the Women in Otolaryngology (WIO) section and its members. This day, which we hope will occur every year on the Sunday after the Otolaryngology Training Examination/In-Service exam, bolstered an already growing community within our specialty. Around the country, local WIO groups met for social, educational, and supportive events.Humanitarian Service: Facial reconstructive surgery in Belize“Life is about people.” Those are the words that my grandfather used to tell me, and I’ve evaluated my own life based on my interactions with other people. I went into facial plastic and reconstructive surgery so that I would be able to make a personal difference in many people’s lives, whether it was repairing congenital anomalies, facial trauma, skin cancers, or aesthetic concerns.Physician safety is patient safety: Good surgical ergonomics to optimize patient carePhysicians selflessly provide care to their patients over the course of a 30 to 40-year career. Ideally, we stay healthy and rarely get sick or suffer a serious injury. However, we are not immune from physical infirmity and—like a professional athlete—simply often choose to “play through the pain.”What you need to know about MIPS Year Three (Y3)The Centers for Medicare & Medicaid Services (CMS) implemented extensive updates for Y3 of the Merit-based Incentive Payment System (MIPS). Key programmatic changes for 2019 address eligible clinicians, technology requirements, performance categories, scoring methodology, measures, and objectives, as well as thresholds and bonus points.Your Academy around the worldSince its inception, the AAO-HNSF has cultivated ties to national otolaryngology societies and similar organizations around the world. AAO-HNSF assigns great importance to these relationships, which collectively advance the otolaryngology specialty in ways no one society can achieve alone.What’s in a name?Your practice has a name, of course, and a logo to go along with it. But what exactly is your practice’s brand? A well-designed logo might look appealing, but it’s the emotion evoked, such as trust, comfort, and personalism, that makes it stick in a person’s mind.Just what the doctor orderedThe Administrator Support Community for ENT (ASCENT) is the only association dedicated to supporting the leaders in the unique specialty of otolaryngology practice management. Formerly known as the Association of Otolaryngology Administrators (AOA), ASCENT has a long history of providing resources, networking, and education to administrators, managers, supervisors, and coders in otolaryngology practices that helps the practice, physicians, and ultimately the patient.Engagement Opportunities Series: Become an Advocate for the SpecialtyIn today’s regulatory and legislative climate, it’s vital for U.S. otolaryngologists to use their clinical expertise to advocate on behalf of the specialty. The AAO-HNS provides numerous opportunities for members to influence federal and state healthcare policies, communicate with elected officials, and advocate for patients.One click to advocateEffective grassroots advocacy starts with you! AAO-HNS members can reinforce the Academy’s legislative efforts on Capitol Hill by calling, emailing, and tweeting their members of Congress. This additional layer of constituent-based outreach amplifies the specialty’s position when Congress debates major healthcare issues.Advocacy in action: An overview of federal and state legislative prioritiesThe American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) is committed to the enactment of legislation that will strengthen the delivery of, and access to, quality healthcare. In 2019, the AAO-HNS anticipates action on the following issues at the federal and state levels:UK simulation-based otolaryngology-head and neck surgery “Boot Camp”Medical training has shifted over recent years to a focus on developing trainee competence and proficiency according to predetermined approved standards. A challenge has been to deliver this training paradigm within a time-restricted program, which has had a significant impact, especially on surgical specialities where developing expertise relies heavily on appropriate clinical exposure.