ANNUAL REPORT
Our Vision
Our Core Values
To be indispensable to our members.
Core values answer the question: “How do we want to act as we move toward achieving our vision?”
Our Mission To promote the highest quality patient-centered neurologic care and enhance member career satisfaction.
Our Goals • Ensure the ongoing health of the profession and the organization in order to support the unique needs of all members. • Personalize member communication and the member experience. • Educate and assist members in order to provide high-quality, high-value clinical care in the evolving health care environment. • Advocate for members and their patients on issues of importance to neurology, including access to high-quality, cost-effective care, research, and fair payment. • Enhance member satisfaction, wellbeing and resiliency with resources that support members throughout their careers. • Promote neurology and neuroscience research and training.
Leadership We provide guidance and inspiration through education, information, policy development, and advocacy for our members and their patients.
Integrity We set and maintain the highest ethical and professional standards for ourselves, our staff, and our programs.
Professionalism We work with expertise, commitment, and diligence to provide high-quality neurologic care.
Commitment We are dedicated to upholding the integrity and mission of the American Academy of Neurology.
Diversity and Equality We commit to building and sustaining an inclusive organization that respects and values the diversity of our membership and the communities we serve, and promotes equality in professional advancement and compensation.
Respect We embrace the dignity and uniqueness of every human being and in all we do keep the interests of the patients first.
Compassion We are sensitive and empathetic to the needs of others.
LETTER FROM LEADERSHIP As the AAN embarks on its 70th year serving the unique needs of neurology professionals and their patients, our pride in the Academy’s rich history is surpassed only by its accomplishments on your behalf in 2017. No matter what stage you are at in your career or what your role is within the field of neurology, our commitment to be indispensable to your professional life should be evident in what we do for you throughout the year. We want you to know that your Academy fought against regulatory hassles in Washington, DC; represented your concerns on maintenance of certification; lobbied for increased research funding and funded new AAN research grants; addressed the needs of small and solo practitioners; put on the world’s largest meeting of neurologists at our Annual Meeting; pushed to improve access to neurologic care by expanding the professional pipeline of students into our specialty; engaged advanced practice providers as important members of the neurology patient care team; expanded our vital Axon Registry®; informed you of the latest health care changes; and provided the tools and resources necessary to provide the highest quality patient-centered care. We had a full plate throughout 2017 and a lot of reasons to celebrate: • Demonstrated AAN value to members by reaching a 95-percent retention of US neurologist members • Welcomed more than 1,000 advanced practice providers as members of the AAN • Expanded the Axon Registry to reach 120 additional sites (or 187 total), many of which are solo and small practices • Provided grants to neurologists through the AAN Hurricane Relief Fund for Affected Neurology Practices, as well as support for the Puerto Rico
Neurology Residency Program • Embraced innovative redesign of AAN.com and all Academy publications, including Neurology® • Launched a powerful, new search engine to span all Academy websites • Achieved record attendance at the AAN Annual Meeting in Boston and Fall Conference in Las Vegas • Established a Drug Pricing Task Force to address the high costs of neurologic drugs and influenced Congress to start a congressional investigation into high drug costs for multiple sclerosis • Created the AAN Principles for Health Care Delivery to address health care reform • Published three studies in Neurology on neurologist burnout through the AAN Wellness Task Force • Implemented task force recommendations to address gender disparities through education, promotion of the issue, and leadership opportunities • Expanded our AAN Leadership Programs to 10 different programs, the newest of which focus on practicing neurologists and helping neurologists build resiliency in their lives These top successes—and the countless other accomplishments across the Academy—were made possible only by thousands of volunteer members who gave of their time and energy in innumerable ways, from serving on committees to creating quality measures, reviewing journal papers, or directing conference programs. The Academy enjoyed a smooth and successful transition last April from the presidency of Terrence L. Cascino, MD, FAAN, who continues to share his insights as
immediate past president. Membership elected a dynamic and ambitious Board of Directors that continues to challenge our superb staff with higher goals and expectations. And last year, like always, our outstanding staff continued to help us be indispensable to our members. We know you are busy, but all of us would appreciate it if you took a few minutes to understand how your Academy helped you in 2017. And we invite you to celebrate seven decades of your AAN at our 2018 Annual Meeting, April 21 to 27, in Los Angeles!
Ralph L. Sacco, MD, MS, FAHA, FAAN President
Catherine M. Rydell, CAE Executive Director/CEO
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TOOLS & RESOURCES Practicing Neurologists & Administrators Axon Registry The AAN’s Axon Registry moved from its trial phase in 2016 to full roll out to US-based Academy members— at no cost to them—in 2017. By the end of the year, participation included 187 practices and more than 1,000,000 patients representing over 3,100,000 patient visits. The Centers for Medicare & Medicaid Services (CMS) approved the Axon Registry as a 2017 qualified clinical data registry (QCDR). This designation opens the door for AAN members looking for an easy way to submit quality data to CMS for the Meritbased Incentive Payment System (MIPS). The Axon Registry also is approved by the American Board of Psychiatry and Neurology (ABPN) as a maintenance of certification Part IV Improvement in Medical Practice Clinical Module activity. The ABPN expanded the Self-assessment options for its diplomates, which essentially means the Axon Registry is now on the list of approved products or opportunities for diplomates to use in meeting the Self-assessment component of MOC. Later in 2017, the ABPN said it will waive eight
INTEGRATED
6
4
outcome measures for members to use in the
hours of Self-assessment in a three-year CMOC block when a diplomate participates in an ABPN-approved registry. The Axon Registry is approved by the ABPN for this waiver. These changes make our registry an even greater benefit to our members. The AAN’s Quality and Safety Subcommittee, in collaboration with the Registry Committee, integrated six outcome measures for members to use in the Axon Registry.
MACRA/QPP/MIPS For two years, the AAN has been advocating on behalf of its members with regard to the Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 (MACRA) and informing members about changes in how clinicians are reimbursed through the Quality Payment Program (QPP). This program rewards the delivery of highquality patient care through Advanced Alternative Payment Models (Advanced APMs) and the Meritbased Incentive Payment System (MIPS). The changes issued by the Centers for Medicare & Medicaid Services for the 2018 QPP reflected a great deal of AAN input. The Academy lobbied successfully for inclusion of AAN-developed Quality Metrics and CME as an Improvement Activity in the proposed changes. These proposed new and modified MIPS specialty measures for the 2018 performance period include dementia (six measures), opioid use and treatment (three measures), Parkinson’s disease (three measures), and one measure each for epilepsy and ALS. Among these, two measures were deemed “high priority” by CMS: Safety Concern Screening and Follow-Up for Patients with Dementia, and Dementia:
Caregiver Education and Support. CMS also proposed changes that may positively impact small and solo practices, such as raising the low volume threshold (resulting in more MIPS exemptions), new bonus points, implementation of virtual groups, and a new significant hardship exception for the Advancing Care Information category.
Quality Measures The AAN is the leader in developing quality measures for neurologists. In 2017, the AAN released three new quality measure sets to improve the care of patients with essential tremor, those receiving care in the inpatient and emergency settings, and for children with neurologic disease. The AAN also updated its measurement sets for dementia management, Parkinson’s disease, and stroke and stroke rehabilitation and reaffirmed the multiple sclerosis and muscular dystrophy quality measurement sets.
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new quality measure sets
to improve the care of patients
Academic Neurologists and Researchers Payer Relations
Medical Student Pipeline Initiative
Academic Medicine Initiative
The AAN continued to advocate with payers for appropriate coverage of neurologic therapies, with successes such as increased coverage of rituximab for patients with multiple sclerosis. The Academy urged payers to adopt AAN quality measures, and spoke with commercial payers about moving to value-based care.
In 2016, the Conrad N. Hilton Foundation awarded the AAN a grant to support its efforts to increase the percentage of medical students entering neurology by 25 percent over a three-year period. The Academy created the Medical Student Pipeline Work Group to oversee and lead the medical student pipeline efforts. This work group is also made up of the Exploration Sub Group (focused on studying/understanding the issue as to why neurologist do and do not choose neurology) and the Implementation Sub Group (charged with creating resources that will help address the pipeline issue). The first grant year concluded in May 2017. During this period, the Exploration Sub Group collected data via focus groups, surveys, and interviews to learn/ understand why medical students choose or do not choose neurology as their specialty. Planning began on activities to help attract medical students into neurology. These opportunities include a revamp of the AAN SIGN program, new multi-media resources that medical students can engage with to learn more about the field of neurology and exciting developments, a medical student symposium at the Annual Meeting, and other activities to help address the pipeline initiative. The Conrad N. Hilton Foundation approved the AAN’s first-year progress report and funds were issued for year two.
The Education Committee and Science Committee held a retreat in June 2017 to address the needs of academic neurologists. They developed a multi-prong support plan that includes regular communication, live programs, eLearning, and online tools and resources. The AAN is actively exploring ways to effectively maximize support for academic neurology. Paramount to this initiative is the strengthening of the AAN’s relationship with neurology department chairs. Consequently, the AAN, in collaboration with the American Neurological Association and the Association of University Professors of Neurology, is planning a Neurology Department Chair Summit. Given the many challenges facing academic neurology departments today, including but not limited to health care reform, research funding cuts, neurology work force issues, graduate medical education funding cuts, reduced reimbursement for services, and increasing regulatory burden, we believe the time is right to come together to discuss the state of neurology and academic medicine and to develop tangible solutions in support of the future of academic neurology. Constituents include department chairs, vice-chairs, division chiefs, education oriented faculty, clinically oriented faculty, research oriented faculty, clerkship directors, program directors, fellowship directors, medical students, residents, fellows, and the neurology care team including, but not limited to, APPs, nurses, research coordinator, program coordinators, business administrators, therapists, genetic counselors.
Practice Management Webinars The AAN produced 11 practice management webinars, including a free webinar in December to prepare members for changes coming to MACRA and neurology codes in 2018.
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practice management webinars
Electronic Poster Boards The AAN entered into an agreement with Health Monitor Network to make electronic poster boards available for free to all practicing members in the United States. The boards are used to help educate patients on their condition, encourage patients to be prepared for their visit, and help to lower perceived wait times in the exam room, thereby increasing patient satisfaction.
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Education Committee Strategic Plan The AAN Education Committee continued to work toward meeting the goals and objectives outlined in their 2016 Strategic Plan including addressing the pipeline issue, graduate medical education, neurology care team education, online/eLearning, and public outreach. To this end, the Education Committee created a work group to address the educational needs of advance practice providers, created a K-12 work group in collaboration with the Academy’s Science Committee to raise awareness about neurology/neuroscience at that level, created a new online/eLearning strategy, and continues to address the needs of residents through education programs and resources.
Residents & Fellows The AAN’s Consortium of Neurology Residents and Fellows (CNRF) created a new Synapse Online Community to enable AAN junior membership to discuss topics relevant to neurology training and residency. A new CNRF Essay Contest was launched to engage the resident and fellow community to acknowledge and explore the experiences of trainees and the world of neurology. Essay submissions may include original works of fiction, poetry, and reflections on the interaction between neurology and history, literature, ethics, theology, sociology, anthropology, philosophy, poetry, theater, film, fine arts, or the media.
Advanced Practice Providers & Care Team
Medical Students
The APP (Advanced Practice Providers) Work Group, collaborated with the Education Committee to collect and develop resources for neurologists, APPs, and the public. With more than 1,000 APP members in the AAN, the work group considered how best to address the unique needs of APPs, while not duplicating efforts across the Academy and other societies. The Consortium of Neurology APPs (CNAPP) was approved by the Board of Directors, and it has become one of the most engaged and responsive online communities on Synapse. CNAPP’s focus during 2017 was on collecting practice information and identifying the professional and educational needs of APPs in neurology.
The AAN’s Student Interest Group in Neurology (SIGN) created a new Clerkship and SIGN Directory containing key information about medical schools that offer neurology clerkships and SIGN programs.
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Clerkship and SIGN Directory
Medical Student Synapse Online Community The Medical Student Member Group was added as a private community on Synapse in 2017 and has 4,523 members. The online venue provides students a forum for sharing topics of interest and learning about opportunities offered by the AAN.
4,523 Visiting Medical Student Diversity Scholarship This scholarship program is designed to attract highquality third- or fourth-year medical students from underrepresented racial and ethnic backgrounds to US neurology residency programs. This exposure is intended to make neurology a more attractive career option and augment their education and training by participating in a visiting student program to network with neurologists and neuroscientists.
Visiting Medical Student Scholarship This new scholarship is intended to attract highquality third- or fourth-year medical students to US neurology residency programs and make neurology a more attractive career option. It provides medical students the opportunity to augment their education and training by participating in a visiting student program to network with neurologists and neuroscientists.
EDUCATION & RESEARCH Education Reaccreditation In March, the AAN received reaccreditation from the Accreditation Council for Continuing Medical Education (ACCME). The ACCME’s decision was Accreditation with Commendation, based on review of the AAN’s self-study report, evidence of performance-in-practice, and the accreditation interview. Accreditation with Commendation is awarded to providers that demonstrate compliance in all criteria and the accreditation policies. The ACCME commended the AAN on meeting the ACCME’s requirements and for demonstrating that the Academy is a learning organization and a change agent for the physicians and patients we serve. The AAN demonstrated engagement with its environment in support of physician learning and changes that is part of a system of quality improvement. The AAN’s new term expires on March 31, 2023.
specialty and state medical societies regarding the crisis in maintenance of certification and physician self-regulation. In July, a meeting hosted at the AAN headquarters in Minneapolis with six other specialty societies and five state medical societies led to a letter to the American Board of Medical Specialties (ABMS) signed by 32 specialty societies and 41 state medical societies. In December, the societies hosted a summit with representatives from ABMS and specialty boards, the Accreditation Council for Graduate Medical Education, Federation of State Medical Boards, Council of Medical Specialty Societies, and American Medical Association. The goal of the summit was to gain agreement with the certifying boards that they must collaborate with the societies in the development of a meaningful MOC process or risk the loss of professional self-regulation. In addition to its ongoing advocacy with ABPN to alleviate these burdens, the Academy continues to provide members with its free suite of online learning products to help prepare for MOC, and encourages members to participate in the Axon Registry to further streamline their efforts (see page 4 ).
Customized Education ABPN and MOC The AAN recognizes that the hassles of maintenance of certification draw members away from their patients and families and can contribute to burnout. It is important to remember that the AAN is not a certifying board. We are an independent organization committed to the needs of our members. As such, the Academy has played a key role in efforts to engage certifying boards in dialogue with national
The eLearning Subcommittee met in September to embark on a new eLearning strategy for the AAN. The focus is to provide customized learning for all members whenever they want to access it and in a variety of formats. Look for exciting innovative programs in 2018 with the launch of the new learning management system.
Neuro Products NeuroSAE®: Three new editions of NeuroSAE debuted in 2017: NeuroSAE Child Neurology, NeuroSAE Tenth Edition, and NeuroSAE Annual Meeting Edition (free with Annual Meeting Registration). All NeuroSAE programs are offered free to AAN members. NeuroPISM: Epilepsy Care: Second Edition was developed and launched this year. NeuroLearnSM: Two new programs were developed and produced: Recurrent Ischemic Stroke Prevention (Second Edition), and Lumbosacral Plexus. NeuroTracker: This product benefiting members continued to evolve in 2017, tracking more AAN offerings and including a direct link to ABPN Physician Folios—which makes it easy to log in directly to your personalized ABPN Physician Folio and see where you stand in meeting the requirements based on direct access to the ABPN system.
2017
edition releases
new new
new new
new
new
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Research Annual Meeting Research and Awards A total of 2,756 abstracts were accepted for presentation at the meeting. Exciting new scientific presentation formats included Neuroscience in the Clinic (a session blending case presentation, clinical education, and scientific advances), “Best Of” sessions (highlighting the top-rated abstracts within select topics), and “Meet the Investigator” (allowing for one-on-one interaction between attendees and abstract authors in select sessions). A new “poster neighborhood” format made the poster session more easily navigable by topic. A Research Corner venue was created for presentation of select abstracts, exposing presentations to a wider audience.
2014 2,818accepted the last 3 years Abstracts 2015 2,678 2016 2,783 2017 2,756 The Future Researchers in Neurology and Neuroscience Scholarship enabled up to 25 medical students to receive a $1,000 scholarship to reimburse expenses associated with attending the Annual Meeting. In addition to education and science sessions, the Future Researcher scholars attended research training and mentoring opportunities. We also expanded to 15 the number of International Scholarships offered, enabling young physician recipients from around the world to receive a $2,500 scholarship to reimburse Annual Meeting expenses.
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15
International Scholarships Offered
AAN Research Program The AAN applauds the 2018 Research Program recipients who were determined in 2017, including the first prestigious Career Development Award for young investigators of $450,000 over three years. There were a record-breaking number of 151 applications for the 2018 program, well above the 139 applications for 2017 and 115 for 2016.
151 applications
The Board of Directors increased the Academy’s investment in early career researchers to a total of $2.8 million dollars awarded by the AAN Research Program in 2017. With the help of the American Brain Foundation, the Research Program formed funding partnerships with five new funding partners including the International Headache Society, Society for Vascular and Interventional Neurology, The Mary E. Groff Charitable Trust, the Muscle Study Group, and the McKnight Brain Research Foundation. These new grants are in addition to existing partnerships with voluntary health associations and industry partners, as well as the AAN funded Career Development Award, Clinical Research Training Scholarship, Practice Research Training Scholarship, and Neuroscience Research Training Scholarship. After finishing their AAN grant, most recipients receive additional major funding and bring hope to the future of research.
Neuroscience Is… Neuroscience Is…™ is a sweeping initiative of the AAN to build public awareness and demonstrate the importance of neuroscience research in care of neurology patients and cures for brain diseases. Four physician work groups direct the initiative, which demonstrates how Neuroscience Is…. • Cool: The Brain Health Fair and social media outreach are used to engage young people in curiosity of neuroscience, and the AAN hosts a web clearinghouse of neuroscience lesson plans for all ages, as well as free neuroscience resources for classrooms that demonstrate a need.
Publications
Number 24 December 12, 2017
Nearly 40% of Americans who suffer from migraine could be appropriate for preventive treatment. Teva is committed to advancing the science and education of migraine. Together, we can reinvent the migraine paradigm. Visit MoreToMigrainePrevention.com to learn more.
©2017 Teva Pharmaceuticals USA, Inc.All Rights Reserved. MIG-40316 June 2017 Printed in USA.
Commitment to Your Research Career The AAN is committed to supporting careers in research by staying in touch with everyday issues that may affect your career. To that end, four Rapid Response Teams comprised of your colleagues have been established to prioritize issues of research in the media (Media Rapid Response Team); the protection of the use of animals in research and public communication strategies regarding animals in research (Animal Rapid Response Team); addressing regulatory concerns regarding research (Regulatory Rapid Response Team); and most recently, a team appointed to quickly providing organizational letters of support to our researchers applying for grants (Grant Rapid Response Team).
The Official Journal of the American Academy of Neurology
The AAN has partnered with the Medical University of South Carolina and the National Institute of Neurological Disorders and Stroke to implement a diversity in research grant named TRANSCENDS (Training in Research for Academic Neurologists to Sustain Careers and Enhance the Number of Diverse Scholars). The grant is for a five-year period and provides research training, AAN membership opportunities, and professional development to earlycareer academic neurologists from underrepresented
There’s more to migraine prevention.
Neurology® Volume 89
Diversity in Research
racial and ethnic groups, or with disabilities. Up to six individuals per year are selected for the grant, and six scholars were selected in 2017. These scholars are close to finishing their first year of a Master’s of Science in Clinical Research program, pursuing individual clinical research, and are receiving coaching on the development of their K Award applications. The 2018 class of TRANSCENDS scholars will be welcomed and oriented to the program at the 2018 Annual Meeting.
Neurology® 2401–2509
• Rewarding: The Academy is using innovative social media events and is celebrating “Neuroscience is Rewarding Day” to grow SIGN (Student Interest Groups in Neurology) chapters and strengthen the pipeline of medical students choosing neurology and neuroscience as a career. • Essential: The AAN strives to use the most effective methods to explain the importance of research to patients with neurologic disease through various forms of public outreach, and to inspire our members with interesting stories of research discoveries. • Critical: We continue to link stories of success in patient care to the importance of research funding, creating education materials in 2017 that linked basic science research at the NIH to positive outcomes in neurologic disease management. These materials were used in visits with neurology advocates and lawmakers to support strong federal research funding.
Neurology Podcasts surpassed 16 million downloads. The journal published translations of 10 guidelines into Spanish in cooperation with the Mexican Academy of Neurology. The Resident & Fellow Section continued to grow with nearly 600 submissions received in 2017. Special issues—including Resident & Fellow Highlights and guideline collections—were published on iPad and Android tablet apps. Plans were made to move to short articles in print and full articles online in 2018, along with a redesign of the journal and all other AAN publications. Volume 89, Number 24, December 12, 2017 Neurology.org
Virtual Reality Training for Upper Extremity in Subacute Stroke (VIRTUES): A multicenter RCT, p 2413
AAN • 70th Annual Meeting Los Angeles, California • April 21–27, 2018
Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration, p 2422
Blood pressure from mid- to late life and risk of incident dementia, p 2447
The most widely read and highly cited peer-reviewed neurology journal
THE OFFICIAL JOURNAL OF THE AMERICAN ACADEMY OF NEUROLOGY
16
million downloads
Neurology® Clinical Practice The full texts of all past and present published papers are now available in PubMed. The April 2017 issue of Neurology: Clinical Practice presented Spotlight on Mental Health and Neurology. In the section Practice Current, readers shared their practices via brief online surveys on ‘hot topics,’ with real-time results displayed on a world map. December 2017
Neurology.org/cp
Volume 7, Number 6
Diagnosing Niemann-Pick Disease Type C
Research: Cognitivebehavioral changes in ALS
Commentary: “Think metabolic” in adults with diagnostic challenges
Case Report: Transgender venous thrombosis
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Neurology® Genetics This open access journal, free to everyone, continued to publish new papers, which are searchable in PubMed.
An Official Journal of the American Academy of Neurology Neurology.org/ng
• Online ISSN: 2376-7839
Volume 3, Number 4, August 2017
Genetics
Functionally pathogenic EARS2 variants in vitro may not manifest a phenotype in vivo
ExACtly zero or once: A clinically helpful guide to assessing genetic variants in mild epilepsies
Clinical and experimental studies of a novel P525R FUS mutation in amyotrophic lateral sclerosis
Neurology® Neuroimmunology and Neuroinflammation An Official Journal of the American Academy of Neurology Neurology.org/nn�○�Online ISSN: 2332-7812 Volume 3, Number 4, August 2016
Neuroimmunology & Neuroinflammation
Next-generation sequencing of tissue: A logical extension
Systemic inflammatory response and neuromuscular involvement in amyotrophic lateral sclerosis
This free open access journal continued to publish new papers, which are searchable in PubMed.
Multiple sclerosis: Molecular mimicry of an antimyelin HLA class I restricted T-cell receptor
The AAN began offering a combined subscription with Continuum® Audio in October 2017. The two products will continue to provide high-quality education, as well as CME credits. Continuum’s circulation grew to 12,673—an increase of 7.5 percent over 2016. The publication’s presence on social media grew to 3,913 followers. VOLUME 23 n NUMBER 2 n APRIL 2017
®
LIFELONG LEARNING IN NEUROLOGY ®
ContinuumJournal.com
Selected Topics in Outpatient Neurology Guest Editor: Charles A. Zollinger, MD, FAAN
Syncope
William P. Cheshire Jr, MD, FAAN
Dizziness in the Outpatient Care Setting Terry D. Fife, MD, FAAN
Trigeminal Neuralgia Giorgio Cruccu, MD
Disorders of Taste and Smell Ronald DeVere, MD, FAAN
Bell’s Palsy
Stephen G. Reich, MD, FAAN
Low Back Pain
Jinny O. Tavee, MD; Kerry H. Levin, MD, FAAN
Common Entrapment Neuropathies
Lisa D. Hobson-Webb, MD; Vern C. Juel, MD, FAAN
Neuropathic Pain
Lindsay A. Zilliox, MD, MS
Urogenital Symptoms in Neurologic Patients Jalesh N. Panicker, MD, DM, FRCP
Mitigating Cybersecurity Risks
Rachel V. Rose, JD, MBA; Joseph S. Kass, MD, JD, FAAN
Practical Considerations in Addressing Physician Burnout Anindita Deb, MD
Use of the Electronic Health Record for Coding in Outpatient Neurology Allison L. Weathers, MD, FAAN
The American Board of Psychiatry and Neurology has reviewed Continuum: Lifelong Learning in Neurology and has approved this product as part of a comprehensive lifelong learning and self-assessment program, which is mandated by the ABMS as a necessary component of maintenance of certification.
This program is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada.
circulation grew to 10
12,673
Neurology Now® Books
After ten years, Editor-in-Chief (and former AAN President) Steven P. Ringel, MD, FAAN, retired, and Joseph Safdieh, MD, FAAN, stepped into the role. Neurology Today® won an Award of Excellence in Health/Writing from APEX for the story, “Lead Crisis in Flint Exposes Continuing Risk to Children Nationwide: What Neurologists Should Know and What They Can Do About It,” by Dan Hurley. APEX Awards recognize excellence in graphic design and editorial content and are judged by a panel of publishing professionals and editors. Scientific meeting highlights from the AAN’s Annual Meeting and seven additional subspecialty meetings were covered by the e-news service Conference Reporter.
Navigating Life with Amyotrophic Lateral Sclerosis by Mark B. Bromberg, MD, PhD, FAAN, and Diane Banks Bromberg, JD, was the latest entry in the Neurology Now® Books patient and caregiver series. This book is unique as it covers two perspectives of these married authors: One is a neurologist with 30 years of experience treating ALS patients, and the other experienced firsthand the issues in providing care for a parent with ALS.
Neurology Now®
Continuum® Editor-in-Chief Steven L. Lewis, MD, FAAN
Neurology Today®
% 7.5 increase
over 2016
A pilot Spanish issue of Neurology Now was published in April 2017. Neurology Now won a Clarion Award in the category, Magazine Feature Article, External Publication – Circulation between 100,000 and 500,000 – Lifestyle, for an article about open notes, “Going on Record: Patients have a right to their medical records but often don’t know how to access them. Electronic systems and a concept known as open notes are changing that.” The Clarion Awards competition is sponsored by the Association of Women in Communications, and is judged by a panel of journalists and journalism professors, as well as marketing and communications professionals. YOUR TRUSTED RESOURCE FOR BRAIN HEALTH
LESSONS LEARNED
TV Host Maria Menounos Says Her Brain Tumor Was a Wake-up Call About Her Health Actress Victoria Dillard Pushes for Diversity in Parkinson’s World
Smart Ways to Manage Weight Gain or Weight Loss
MOVING ON How to Reclaim Your Life After Caregiving Ends
Neuro Film Festival Submit Your Entry Now!
DECEMBER 2017 / JANUARY 2O18
AANnews® The official monthly member magazine of the Academy, AANnews is mailed to 27,000+ US members and is posted online in the Membership area of AAN.com for international and US members to easily access. Along with keeping members up-to-date on Academy events and resources in 2017, the magazine explained the many new changes resulting from MACRA and the Quality Payment Program, introduced the new AAN Board members and their leadership experiences and perspectives, and shared the success stories of neurology advocates.
POLICY & GUIDELINES Public Policy 2017 Legislative Priorities The AAN championed four priority issues during the year, even as it tackled a host of other advocacy issues and initiatives. The Academy’s views on these four topics were the focus of Neurology on the Hill, as well. • Furthering Access to Stroke Telemedicine (FAST) Act: Under this legislation, Medicare would reimburse for the telestroke consultation regardless of the location of the hospital where the patient presents with stroke symptoms. The AAN has relentlessly pressed Congress to approve this, for a couple of years, lobbying lawmakers and gaining co-sponsors for the act. By the end of 2017, the FAST Act had passed the US Senate. It had also gained 177 cosponsors in the US House and passed the House Energy and Commerce Committee on a unanimous vote. The AAN expects passage into law sometime in 2018. • NIH and BRAIN Initiative Funding: The Academy called on Congress to support Senate Appropriations Committee-approved $34.1 billion in National Institutes of Health funding for FY2017 and the continued annual appropriations to fully fund the Brain Initiative’s NIH Innovation Account, as authorized by the 21st Century Cures Act. Specifically, the AAN spearheaded efforts to garner support for a congressional letter promoting the BRAIN Initiative, which was signed by 10 senators and 64 representatives and led to a 2017 appropriation of $260 million. • Drug Pricing: Citing the negative effects of high drug prices on neurology patients, the AAN outlined its stand and recommendations in “Reduce Prescription Drug Prices,” calling
expensive drugs “a burden on the entire health care system as costs may be shifted and absorbed in ways that negatively impact patient and prescriber access to important medications. Action must be taken to ensure that prescription medications are accessible and affordable for all patients.” • AAN Principles for Health Care Delivery: To evaluate the Trump administration’s efforts to repeal and replace the Affordable Care Act, the AAN created a set of nine principles. These include preserving access to care through insurance coverage for all, appropriate valuation of cognitive care services, streamlining and improving interoperability of electronic health records, and more. None of the administration’s proposed legislation met these criteria in 2017.
Medicare Physician Fee Schedule In the Medicare Final Fee Schedule issued by CMS, the impact of the AAN on shaping the draft regulations to help reduce the burden on neurologists was evident. The Academy urged CMS to make retroactive modifications in the 2016 Physician Quality Reporting System, Meaningful Use, and Value-based Payment Modifier requirements to reflect the policies in the Merit-based Incentive Payment System (MIPS) and reduce the penalties for physicians in 2018. CMS responded with several positive changes. CMS also favored the AAN with changes to evaluation and management guidelines and telehealth, and continued to signal its willingness to consider further changes in the future through its request for information on CMS Flexibilities and Efficiencies.
Neurology on the Hill Once more, “Academy green” was the signature color in Washington, DC, on February 28, as the AAN’s 15th annual Neurology on the Hill again set records with 216 AAN members from 42 states meeting their members of Congress. Advocates visited 272 congressional offices, sent out 2,072 tweets, and generated 1.8 million social media impressions as it educated senators and representatives on the four crucial priority issues outlined above. This year’s program included an update on the work of the BRAIN Initiative by AAN member Walter J. Koroshetz, MD, FAAN, who serves as the director of the National Institute for of Neurological Disease and Stroke (NINDS).
216 42
member attendees from states
Neurology on the Hill Congressional Visits Throughout the year, AAN members are meeting with members of Congress in both Washington, DC and back in congressional districts across America. An example in DC was Pennsylvania neurologist David C. Good, MD, FAAN, a new member of the BrainPAC Executive Committee, who came as a “lobbyist for a
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Guidelines day.” Dr. Good met with his Rep. Scott Perry (R-PA), among others, and attended seven fundraisers. During the congressional recess in August, AAN members Neal Parikh, MD (New York), Kara Stavros, MD (Rhode Island), and Sarah Song, MD (Illinois) hosted visits in their clinics from US House members.
BrainPAC
The American Academy of Neurology’s federal political action committee, BrainPAC, gives the AAN an essential tool to represent US neurologists and their patients on critical issues such as health care reform. BrainPAC is the only political action committee that
more than
400,000 in
$
donations from almost AAN members
1,600
12
specifically supports advocacy for neurology. The AAN competes with many special interest groups both inside and outside the medical community to ensure neurologists and their patients are at the table when federal health care policy is debated. BrainPAC puts the AAN at the table and helps to increase the influence and profile of neurology on Capitol Hill. BrainPAC supported 123 congressional candidates in 2017, most of them currently members of Congress. BrainPAC is funded solely by AAN members who are US citizens or permanent residents, and in 2017 raised more than $400,000 in contributions from almost 1,600 AAN members.
The Academy published five clinical practice guidelines in 2017: • Practice Guideline: Cervical and Ocular Vestibular Evoked Myogenic Potential Testing • Practice Guideline: Reducing Brain Injury After Cardiopulmonary Resuscitation • Practice Guideline Summary: Sudden Unexpected Death in Epilepsy Incidence Rates and Risk Factors • Practice Guideline Summary: Use of fMRI in the Presurgical Evaluation of Patients with Epilepsy • Practice Guideline Summary: Mild Cognitive Impairment In addition, 27 active guideline projects were in various stages of development by year’s end. Nine guidelines were retired. In 2017, the Mexican Academy of Neurology collaboration with the AAN produced seven new Spanish translations of AAN guidelines, with more forthcoming in 2018.
27
active guideline projects
CONFERENCES & COMMUNITY Conferences 2017 Annual Meeting
Boston was the site of this year’s meeting, which hosted a record of more than 14,000 people from 108 countries who experienced a meeting featuring more than 250 education programs, more than 2,800 scientific presentations, seven plenary sessions, more than 350 experiential learning session presentations, and 270 exhibitors. Attendees continued to praise the
Annual Meeting Attendance over the last 5 years 2017 14,049 2016 11,576 2015 13,454 2014 13,034
talks, Neuroscience in the Clinic sessions, and the new poster neighborhood format. Also, there were increased opportunities for audience interactivity in programs, including Neurobowl®, the Controversies in Neurology Plenary Session, and a variety of other courses and sessions. Attendees engaged in more than 9,000 Twitter, Instagram, and Facebook posts resulting in an incredible 52 million impressions across the platforms.
2017 Breakthroughs in Neurology Conference
The third annual Breakthroughs in Neurology Conference, presented in January in Phoenix, AZ, was attended by 316 people. The conference offered a year-in-review of the best neurology science and education, networking opportunities, and the chance to earn up to 28.5 CME.
2017 Sports Concussion Conference
2013 12,315 one-fee pricing, which allowed everyone to customize their meeting experience on-site. The meeting offered a variety of new scientific session formats, featuring shorter and more focused platform session
The July Sports Concussion Conference offered in Jacksonville, FL, was well received by a diverse audience of 348 neurologists, athletic trainers,
non-neurologist physicians, and others involved in the management of concussion in sports. They came together to learn about and share expertise on the latest concussion prevention, diagnosis, and treatment developments via a mix of lectures and a hands-on “boot camp.” The AAN issued three press releases on abstracts presented at the conference, garnering national coverage in publications like the Huffington Post, Business Insider, and HealthDay, as well as attracting local coverage by First Coast News, the ABC and NBC television affiliate in Jacksonville.
2017 Fall Conference
The AAN Fall Conference, held in Las Vegas in October, broke 2016’s attendance record as 643 neurology professionals sought the year-end opportunity to learn the latest clinical advances in neurology and earn 15.75 CME. The conference provided eight Neurology Update courses covering a wide range of disorders, six Practice Management programs, a Continuum®: Test Your Knowledge: A Multiple-choice Question Review course, a Maintenance of Certification Informational Session, Leadership University: Leadership Challenges in Practice, and a Neuro-ophthalmology/Neuro-otology Skills Workshop. The AAN donated $5,000 to the Las Vegas Victims Fund following the tragic shooting in October. Fall Conference directors of the first programs read a
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Community statement and asked for a moment of silence. Also, leadership held a breakfast with Nevada neurologists to express the Academy’s concern and thanks.
2017 Brain Health Fair
such as the MS Experience Room. A Spanish component was added this year, which included materials, presentations, and neurologists available to speak with attendees. The local Boston Herald Radio station broadcast live throughout the day, and the fair also earned prominent local media placement for the event, resulting in 32,510,654 media impressions and $12,437.32 in publicity value.
2017 Neuro Film Festival
Brain Health Fair
The Brain Health Fair is a free public event presented by the AAN on the first day of the Annual Meeting to connect neurology patients, caregivers, students, and anyone interested in brain health. This year’s fair drew over 2,000 people to the Boston Convention and Entertainment Center, as Mayor Marty Walsh declared April 21 as “Brain Health Awareness Day.” Maria Shriver, journalist, author, former first lady of California, and the founder of The Women’s Alzheimer’s Movement, was a special guest who spoke about her initiative, Move for Minds, which raises money for women-based research into Alzheimer’s disease. There were 14 presentations, 45 exhibitors, 300 bike helmets given away, and nine disease-specific areas for attendees to speak one-on-one with a neurologist. The program offered opportunities for attendees to hold a human brain, view animal brains, interact with trained service dogs, walk through a 20-foot inflatable brain, as well as other opportunities
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32,510,654
media impressions
$12,437.32 in publicity value
The Neuro Film Festival is designed to build public awareness and demonstrate the importance of neuroscience, and create brand awareness of the AAN. The contest has four video categories that support the AAN’s Neuroscience Is…TM program: • “Neuroscience Is… Cool” (ideal for kids ages 13-17) • “Neuroscience Is... Rewarding” (ideal for undergraduate and graduate students, medical students, and residents) • “Neuroscience Is... Essential” (ideal for patients, families, and caregivers) • “Neuroscience Is... Critical” (ideal for advocates, patient groups, and neurology professionals) The 2017 Neuro Film Festival accepted 57 videos into the contest, which collectively received 23,397 views.
Leadership Support for US Hurricane Victims In response to the devastation US members experienced from Hurricanes Harvey, Irma, and Maria, the AAN Hurricane Relief Fund has distributed $60,000 in grants to 17 AAN members whose practices were shattered. Additionally, the Academy answered a plea for help from the University of Puerto Rico School of Medicine, agreeing to: waive 2018 membership dues for 12 residents and four fellows at the university; waive the 2018 RITE® fee for nine residents and the three pediatric neurology fellows; and provide $2,500 travel grants to three senior residents and two fellows to attend the 2018 AAN Annual Meeting.
Intensive Leadership Training Programs Expanded
Continued Member Engagement with the AAN
These programs address critical leadership skills needed in today’s health care environment, enhance leadership experience with the AAN, and provide an opportunity to participate and advance strategic priorities of the Academy in a way that also grows leadership competency. The new programs offered in 2017 were: • Women Leading in Neurology, an eight-month program for 12 mid-career female neurology providers who are at least 10 years out of residency or training. • Live Well, Lead Well: A Well-being and Resiliency Program for Neurologists, a unique nine-month program for 14 recipients that is designed to reduce and prevent burnout among neurologists. • Practice Leadership Program, designed for 10 recipients to develop and hone the kind of unique leadership skills needed by today’s practicing neurologist to succeed and flourish.
Over the past three years, leadership opportunities have grown from two Leadership Programs to eight. During these multi-month Leadership Programs, participants receive personal development opportunities which allow for increased member engagement in the AAN. The Leadership Engagement Subcommittee was created, to continue this engagement with the AAN. This subcommittee consists of past Leadership Program participants and aids in ongoing leadership development by creating and maintaining resources and will follow and measure the successes of Leadership Program participants.
Leadership University For individuals who are unable to give the time commitment to intensive leadership programs, but would still like to build their leadership skills, Leadership University was expanded at this year’s Annual Meeting. Attendees could either register in advance or on-site. Whether a medical student, resident, early career neurologist, or approaching mid-to late-career, there was a Leadership University course to meet their evolving issues.
864-
growth from 2 to 8 programs
22015
2017
Leadership Program Successes Developing key leadership skills so that everyone can reach their own leadership potential is a goal for all leadership programs. In this year’s recent committee appointments, numerous leadership program graduates were appointed to committees and subcommittees, and three graduates now sit on the AAN Board of Directors.
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Membership 2017 Recruitment and Retention
Boards of Directors
New FAAN Members
This was another record year for AAN membership recruitment and retention. Neurologists and neuroscience professionals from around the world now make up 34,000 AAN members and contribute to the 91.5-percent market share of US neurologists. Successful year-over-year recruitment and retention of members is attributed to the AAN’s commitment to continuing to grow the available resources for neurologists as well as the various members of a neurology care team no matter their practice setting, career stage, or geographic location.
At the business meeting at the 2017 Annual Meeting, the members of the AAN elected a new slate of representatives for the Boards of Directors of the AAN and the AAN Institute. President Elect Ralph S. Sacco, MD, MS, FAHA, FAAN, was handed the gavel by outgoing President Terrence L. Cascino, MD, FAAN, as he completed his term.
The AAN received a record number of applications for Fellow status in 2017, at 249. The photos of those chosen as fellows will be included in a display of new FAAN members at the Annual Meeting. Those who were present at the meeting were celebrated at a special breakfast attended by then-President Terrence L. Cascino, MD, FAAN, and then-President Elect Ralph S. Sacco, MD, MS, FAHA, FAAN. Fellow status acknowledges exemplary work and achievements in the neurosciences, the clinical practice of neurology or academic/administrative neurology, in the AAN, and in the community.
34,000 AAN members
91.5% which contributes to a
market share of US neurologists
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Live Well The AAN continued its efforts to understand the scope of burnout among neurologists and provide tools and resources to help mitigate the problem. A new Leadership Program was introduced in 2017. Live Well, Lead Well: A Well-being and Resiliency Program for Neurologists is a unique nine-month program designed to reduce and prevent burnout among neurologists. Additionally, two analyses of Academy surveys—Burnout, Career Satisfaction, and Well-being Among US Neurology Residents and Fellows in 2016 and Burnout, Career Satisfaction, and Well-being Among US Neurologists in 2016: A Qualitative Study— were published in Neurology.
FAAN applications over the last 5 years 2017 249 2016 217 2015 220 2014 58 2013 27
Advanced Practice Providers and Care Team
1,000+
This membership option saw increased growth and interest, with more than 1,000 members in 2017. This membership category has grown significantly in recent years; in 2014, there were just 228 Advanced Practice Provider members.
Advance Practice Providers and Care Team members
Business Administrators
Trainees
The number of members in this category was 264 at the end of 2017, a decrease of less than one percent over 2016. Three focus groups of member business administrators and neurologists were held during the Fall Conference to discuss the AAN’s Neurology Compensation and Productivity Survey and the 2017 dashboard. The AAN learned the factors that influence their decision whether to participate in the survey or similar compensation and productivity surveys, how they could be encouraged to participate in this survey, their evaluation of the dashboard, and what information was most important to them.
In its continuing efforts to provide this group with valuable training the resources and support they need, the Academy created a new Consortium of Residents and Fellow and online Synapse Online Community.
New AAN.com The new AAN.com went live in December. The new site was completely redesigned to better serve members with a highly personalized user experience that is tailored to each user’s unique career needs based on their member profiles. The optimized and dynamic site is easy to use on any size device and features improved usability with a clean and intuitive user interface and easy-to-understand navigation, as well as a powerful search platform incorporating all AAN products and services.
Career Services
Due to new software introduced in January 2017, trackable applications for jobs posted on the Neurology Career Center were up by 250 percent over last year. The new software offers several efficiencies for AAN members interested in a new position, including one-click applications that allow one to express interest in a Career Center job posting by including comments in an email window sent to the advertiser; and direct access to the Job Alert Tool, which allows one to easily save search criteria to receive emails from the Career Center when new positions of interest have been posted to the site.
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MEMBERSHIP SUMMARY Membership Demographics
International Members 7,000
Membership Growth
34,000
US Members 27,000
US Neurologists 14,000 Breakdown of US Members Neurologist/Physician Junior Student Senior/Honorary Researcher Advanced Practice Provider Business Administrator
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52.8% 16.1% 15.3% 6.3% 3.6% 4.7% 1.2%
32,000
91.5%
24,000
More than of current market share
53+16+156451O
19,500 17,000 14,000 1995
2000
2005
2010
2016 2017
Based on 2017 year-end data. Includes members in arrears.
FINANCIAL SUMMARY 2017 Revenue $53.5M
36%
Royalties & Publications
18%
Conference & Education
18% Grants & Gifts
16%
Membership Dues
8% Exhibit Sales
4% Other
2017 Expenses $51.4M
31% Education
15%
Membership
9%
Clinical Practice
9%
Grants & Rewards
9%
Publications
9%
Advocacy
18%
General & Administrative
82¢ of every dollar directly applied to member benefits!
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2018–2019 STRATEGIC PLAN American Academy of Neurology and American Academy of Neurology Institute The Academy is a leader among national medical specialties in recognizing the importance of foresight by engaging in future-focused research, including environmental scanning to provide a continual stream of intelligence about anticipated trends. The Boards of Directors maintain a Policy on Strategic Planning that identifies the respective roles of the Boards of Directors, committees, and staff, as well as a systematic approach to collaboration for accomplishing the Academy’s goals and objectives. Our philosophy is to be mission-directed, data-driven, and have strategic decision-making be an active part of the culture and process.
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Strategic Goals Exceptional execution starts with narrowing the focus—clearly identifying what must be done. Creating a Wildly Important Goal (WIG) has served as a critical organization-wide strategy for focus in the midst of the daily functions that need to be done. The identified WIG is to:
Demonstrate the value of neurology, neurologists, and neuroscientists This goal is wildly important because the Academy must demonstrate value to advocate for patient access to high quality clinical care, fair reimbursement, research funding, and other priority issues. The Academy must also demonstrate value to attract an adequate neurology workforce, foster member satisfaction, and support the neurologist’s role in advancing new payment models. The Academy must also demonstrate value to create awareness of the neurologist’s role by the public and patients, government agencies, insurers, and others.
In addition to the Wildly Important Goal, the Boardapproved goals for 2018–2019 are: 1. Ensure the ongoing health of the profession and the organization to support the unique needs of all members 2. Personalize member communication and the member experience 3. Educate and assist members in providing highquality, high-value clinical care in the evolving health care environment 4. Advocate for members and their patients on issues of importance to neurology, including access to high value clinical care, research, and fair payment 5. Enhance member satisfaction, well-being, and resiliency with resources that support members throughout their careers 6. Promote neurology and neuroscience research and training
Future Objectives Much progress was made in 2017 toward accomplishing the Academy’s goals through key objectives met by Academy committees and volunteers, leadership and staff. In 2018–2019, the Academy will focus on: • Promoting practice options that support worklife balance • Understanding the current state of health care disparities among individuals suffering with neurologic conditions • Developing strategies to support a vision for a “new” neurology practice with greater emphasis on preventive, interventional, and regenerative care • Developing a strategic approach to addressing the high cost of neurology drugs; preparing members to practice in the environment of value-based care • Solidifying a global strategy for AAN patient education • Working to correct disparities between female and male neurologists in the areas of compensation, professional advancement, leadership opportunities, and work/life balance • Reducing unnecessary regulatory hassles on neurology practices • Supporting the needs of the academic neurologist and those neurologists in solo and small practices
The Academy also will continue to focus on: • Providing innovative education and research programs and services that support the unique needs of neurology professionals at every stage of their careers • Expanding the Axon Registry® • Improving the digital infrastructure for supporting the member experience, including the launch of the redesigned AAN.com and continuing other personalization and customization strategies • Building and sustaining inclusion of the Academy’s diverse membership and the communities they serve • Focusing on supporting the interdisciplinary neurology team • Expanding public engagement and outreach • Continuing to improve and offer tools, resources and communication regarding health care developments and reforms • Supporting neuroscience research • Completing and launching all publication redesigns The process of continual, data-driven strategic planning and decision-making will continue as the Academy strives to be indispensable to you!
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2017–2019 AAN BOARD OF DIRECTORS 2017-2019 AAN Board of Directors Officers President: Ralph L. Sacco, MD, MS, FAHA, FAAN President Elect: James C. Stevens, MD, FAAN Vice President: Ann H. Tilton, MD, FAAN Secretary: Carlayne E. Jackson, MD, FAAN Treasurer: Janis M. Miyasaki, MD, MEd, FRCPC, FAAN Immediate Past President: Terrence L. Cascino, MD, FAAN
Directors
Front L to R: Flippen, T. Casino, Rydell, Stevens, Sacco, Tilton, Jackson, Miyasaki Back L to R: Gross, Morris, Banwell, Schwartz, Goldenberg, Benish, Jones, Gamaldo, Rost, Avitzur, Kissela, G. Casino, Smith, Hosey, Johnson, Vidic
Brenda Banwell, MD, FAAN* Sarah M. Benish, MD, FAAN Charlene Gamaldo, MD, FAAN* James N. Goldenberg, MD, FAAN* Jonathan P. Hosey, MD, FAAN* Elaine C. Jones, MD, FAAN Brett M. Kissela, MD, MS, FAAN* John C. Morris, MD, FAAN Thomas R. Vidic, MD, FAAN *First-term members
Ex Officio (voting) Orly Avitzur, MD, MBA, FAAN, Chair, Medical Economics and Management Committee Gregory D. Cascino, MD, FAAN, Chair, Member Engagement Committee Robert A. Gross, MD, PhD, FAAN, Editor-in-Chief, Neurology® Nicholas E. Johnson, MD, FAAN, Chair, Government Relations Committee
Ex Officio (non-voting) Catherine M. Rydell, CAE, Executive Director/CEO
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2017-2019 AAN Institute Board of Directors
2017-2019 Academy Committees
Officers
BrainPAC Executive Committee Glen R. Finney, MD
Registry Committee Lyell K. Jones, MD, FAAN
Education Committee A. Gordon Smith, MD, FAAN
Science Committee Natalia S. Rost, MD, MPH, FAAN, FAHA
Finance Committee Janis M. Miyasaki, MD, MEd, FRCPC, FAAN
Board Planning Committee Carlayne E. Jackson, MD, FAAN
Government Relations Committee Nicholas E. Johnson, MD, FAAN
Bylaws Committee Ralph L. Sacco, MD, MS, FAHA, FAAN
Leadership Development Committee Terrence L. Cascino, MD, FAAN
Ethics, Law, and Humanities Committee James A. Russell, DO, FAAN
History Committee Douglas J. Lanska, MD, FAAN
Executive Committee No chair—led by Ralph L. Sacco, MD, MS, FAHA, FAAN
Chair: Ralph L. Sacco, MD, MS, FAHA, FAAN Chair Elect: James C. Stevens, MD, FAAN Vice Chair: Ann H. Tilton, MD, FAAN Secretary-Treasurer: Charles C. Flippen, MD, FAAN Immediate Past Chair: Terrence L. Cascino, MD, FAAN
Directors Brenda Banwell, MD, FAAN* Sarah M. Benish, MD, FAAN Charlene Gamaldo, MD, FAAN* James N. Goldenberg, MD, FAAN* Jonathan P. Hosey, MD, FAAN* Elaine C. Jones, MD, FAAN Brett M. Kissela, MD, MS, FAAN* John C. Morris, MD, FAAN Thomas R. Vidic, MD, FAAN *First-term members
Medical Economics and Management Committee Orly Avitzur, MD, MBA, FAAN
Ex Officio (voting) Robert A. Gross, MD, PhD, FAAN, Editor-in-Chief, Neurology Carlayne E. Jackson, MD, FAAN, AAN Secretary Janis M. Miyasaki, MD, MEd, FRCPC, FAAN, AAN Treasurer Natalia S. Rost, MD, MPH, FAAN, FAHA, Chair, Science Committee Heidi B. Schwarz, MD, FAAN, Chair, Practice Committee A. Gordon Smith, MD, FAAN, Chair, Education Committee ®
Fair Hearing Panel Committee Glenn A. Mackin, MD, FAAN, FACP
Member Engagement Committee Gregory D. Cascino, MD, FAAN
Grievance Committee William P. Cheshire, Jr., MD, FAAN
Meeting Management Committee Stefan M. Pulst, MD, FAAN
Joint Audit Committee George K. York III, MD, FAAN
Practice Committee Heidi B. Schwarz, MD, FAAN
Joint Investment Committee Ralph F. Józefowicz, MD, FAAN
Publications Committee Robert A. Gross, MD, PhD, FAAN
Nominations Committee Timothy A. Pedley, MD, FAAN
Ex Officio (non-voting) Catherine M. Rydell, CAE, Executive Director/CEO
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American Academy of Neurology 201 Chicago Avenue Minneapolis, MN 55415 AAN.com Member Services (800) 879-1960 (US/Canada) (612) 928-6000 (International) Members featured throughout this book represent new Fellow members of the AAN and or members currently holding leadership positions. Š American Academy of Neurology