2017 2017 Annual Report
SOMA
2017
Special Operations Medical Association
President’s Message We are an organization committed to saving lives and relieving suffering of both military and civilians, and the mission of the Special Operations Medical Association is to advance the science, technology, knowledge and skills of unconventional / SOF medicine. In 2017, SOMA has been a catalyst for some incredible work. Making strides to further that mission in life saving interventions that got their start at SOMA. For over 30 years I’ve been in settings where the importance of how to survive while in harm’s way was a matter of life and death. I don’t say this as a self-aggrandizement, but more from a perspective as a SOF operator who was also trained as a Corpsman / medic and could speak both languages. I have an advanced degree from the “ivy league” to the “bush league”. Working in small units and with hundreds of hours of experience working with like-minded professionals. In that time I have learned a few things. I’ve observed things that work and things that don’t. The common thread comes down to what “works”, AND, “why” does it work? The following pages contain a snapshot of the things that have worked, the progress SOMA made in 2017 and the challenges we faced as we began 2018. The report outlines the work that the Board and Committees are doing to further SOMA’s mission and to support each of our members in their daily lives. As we move forward, the reason why it works is because of you, the SOMA member. There will be an increasing number of opportunities to become involved and help the “what,” and the “why”. I hope that you will take advantage of those openings. Until then, please be sure to take a moment to thank the many volunteers mentioned in this report that put forth great effort in 2017 to move SOMA forward. Steve Viola SOMA President, SOCM, ATP, NREMT-P
2017 Annual Report
Board of Directors President: Master Chief (Ret) Steve Viola, SOCM, ATP, NREMT-P Military Vice President: MSG (Ret) HR Montgomery Civilian Vice President: Don Heath, Jr., BS, NRP, TP-C Secretary/Treasurer: MSG (Ret) John Dominguez Immediate Past President: COL Robert Mabry, MD At-Large Member: COL (Ret) Gary Gilbert, PhD At-Large Member: COL Sean Keenan, MD At-Large Member: Ethan Miles, MD At-Large Member: LTC Ted Redman, MD
Non-Voting Members Membership Committee Co-Chairs: SFC Michael Jackson John Steinbaugh Senior Advisors: Stanley McChrystal, Gen(Ret) Richard H. Carmona, MD, MPH, FACS Paul K. Carlton, Jr., Lt Gen(Ret) USAF, MD, FACS Philip Volpe, MG(Ret), DO Frank K. Butler, Jr., MD, CAPT, MC, USN(Ret) Mike Hall, CSM(Ret) Bryan B. Battaglia, SMMC (Ret) Craig Llewellyn, COL (Ret), MD
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2017
Special Operations Medical Association
Executive Office Staff Executive Director: Stephanie Newman, CAE snewman@kellencompany.com Meeting Planner: Deborah Jennings djennings@kellencompany.com Exhibit Manager: Darrell McCook dmccook@kellencompany.com Education Coordinator: Melinda O’Brien mobrien@kellencompany.com Administrative Assistant: Diane Northup SOMA@kellencompany.com SOMA Executive Office: 4400 College Blvd., Suite 220 Overland Park, KS 66211 Website: www.specialoperationsmedicine.org Email: SOMA@kellencompany.com Phone: 913-222-8659
Committee Participation Communications Committee
Research Committee
Co-Chairs: Andrew Fisher, PA-C Katarzyna (Kasia) Hampton, MD Paul Loos, 18D
Chair: Kate Rocklein Kemplin, DNP, RN, CCEMT
Historical Committee Chair: MSG (Ret) Sammy Rodriguez
Membership Committee Co-Chairs: SFC Michael Jackson John Steinbaugh
Scholarship Committee Co-Chairs: Taylor George DrPH Stephen Rush MD Members: Theodore Redman MD Jeffrey Cain MD
Second Half Initiative
Nominations/Elections Chair: COL Robert Mabry, MD
Co-Chairs: 1st LT James Johnston Karl Holt
SOMSA Program Committee
Members: SGM Ian Dunbar MSG Matt Sammis Julio Garcia MD LTC James Pairmore
Co-Chairs: Col Chet Kahrod MD, MPH LTC Will Smith, MD, Paramedic
Prolonged Field Care Co-Chairs: SFC Paul Loos LTC Jamie Riesberg Members: J. Ball S. Keenan P. Loos D. Powell W. Vasios
Members: S. Viola B. Mabry C. Cunningham D. Callaway W. Anderson D. Haight J. Pickett G. Olson F. Mehkri K. Rocklein Kemplin A. Murphy Rabbit N. Studer
Education Task Force Dennis Jarema Jeff Lee
2017 Annual Report
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2017
Special Operations Medical Association
SOMA Year in Review The SOMA Board of Directors, Committee Chairs and other volunteers have been actively supporting the SOMA mission. In the past year the following strategic plan was developed by the SOMA Board of Directors. This report documents the progress that SOMA made toward achieving these goals in 2017.
Strategic Goals A. S OMA will ensure its long-term viability as the most unique medical society in the world. Board of Directors • Began planning for Scientific Assemblies from 2019 – 2022. • Started a Reserve Fund and began ear marking funds for projects that will directly benefit SOMA members.
Mission To advance the science, technology, knowledge and skills of unconventional medicine to improve the survival, reduce suffering and speed recovery of those who become injured and ill in SOF operations or other Tactical settings.
Total SOMA Membership 1800
1400
1149
1200
1210
• Began pushing out Good News stories provided by members. • Solidified partnerships with other major social media presences such as Next Generation Combat Medic. • Members of this committee were instrumental in starting the first National Stop the Bleed Day.
1587
1600
Communications Committee
1321
• Facebook Page increased to 7432 followers/likes
1000
o Prolonged Field Care Podcasts pushed out over FB first as original content
800 600
• Instagram increased engagement to over 1000 followers
400 200
• Twitter is up to 1,365 followers
0
2014
2015
2016
2017
Historical Committee
SOMA Membership by Category Physicians 20%
Civilian Medics 26%
Professional 10% Military Medics 11% Lifetime 26%
Emeritus 2%
Student 5%
2017 Annual Report
The purpose of the Special Operations Medical AssociationHistorical Committee (SOMA-HC) is to develop a comprehensive plan to collect and maintain SOMA’s history for future generations dedicated to serving our country. SOMA-HC is working on a consolidated history archive for individuals to reach back and review, research or reference the groundbreaking work presented at SOMA’s annual meetings. This year the SOMA-HC started by collecting information about the origins of SOMA. • SOMA’s Founding Members: Include COL(R) Allen Meyers, LTC(R) Dale Hamilton, Robert Clayton and the first SOMA President, COL(R) Jim Coy. o This past year the SOMAHC focused on locating, interviewing and gathering documents related to the “Origins of SOMA”. These insights where provided by the founders of the organization.
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2017
Special Operations Medical Association
Strategic Goals (continued) o Interviews were conducted with LTC(R) Dale Hamilton and COL(R) Jim Coy. These interviews provided important information on how and where the first SOMA was held (as mentioned below) and the names of other key individuals and sponsors. • SOMA Historical Meeting Materials: o From working with the SOMA Founding Members and other past SOMA members’ research has yielded the collection of several years of SOMA meeting programs, documents, presentations and images. o Work continues on organizing/developing a historical SOMA repository to make these products available. Historical Note: SOMA has a long history of leading the way for change within the military/civilian medicine both in the United States and overseas. The foundation for change started from holding a surgeons meeting which was the very first meeting held by the 1st SOCOM Surgeon in Bryant Hall on Fort Bragg, NC in 1988. Some thirty years later in 2018, the SOMA Scientific Assembly is being presented by an independent Board of Directors for thousands of SOMA members from across the world at the conventions center in Charlotte, NC. I can only image what 2028 meeting might look like! Membership Committee • In 2017, SOMA sustained its membership growth from 2016 and also had additional gains. • In 2017, 168 new members joined SOMA. • Promoted SOMA membership at the National Association of EMS Physicians Conference, World Trauma Symposium and EMS World Expo and through advertisements in JSOM and Combat Casualty Care. Nominating Committee The Nominations and Election Committee conducted the Call for Nominations and elections for the 2018-2020 Board of Directors slate. The positions that were elected by the membership in 2018 were: Military Vice President, Russ Kotwal; Secretary/Treasurer Chetan Kharod, and two Board member-at-large positions, Sean Keenan and Regan Lyon. The individuals elected for the offices will each serve a two-year term. Program Committee • Began planning for the 2018 SOMSA by:
2017 Annual Report
o Continuing to expand the lab opportunities by adding another half day of labs on Sunday, while eliminating those with minimal attendance or profitability to ensure the highest value for those attending. o Worked to limit invited speakers to the optimum number to decrease the overall cost of the Assembly.
B. S OMA will advance the art and science of SOF and tactical medicine. Program Committee • Expanded the inclusion of Coalition Partner, Civilian TEMS, and other Gov Agency Speakers on the full spectrum of SOF Medicine Prolonged Field Care (PFC) Committee PFC Working Group continued to support austere medical care by providing an interactive forum for teaching, learning and developing new clinical skills and practice guidelines: • Continued to expand a fully interactive, fully accessible website to exchange ideas, guidelines and clinical resources. The ongoing expert panel podcasts have included timely topics like Fresh Whole Blood on the battlefield and Documentation. • Continued to serve as one of the world thought-leaders for all aspects of Prolonged Field Care implementation. Members have served to guide research proposals through JPC-1 and JPC-6 mechanisms, have helped review Capabilities Based Assessments (CBAs), and have been asked to speak at numerous DoD and international forums. • Committee members were key guest instructors for the inaugural “Gunpowder” PFC training for Uniformed Services University 3rd year medical students and the second annual NATO Special Operations Combat Medic Course at the ISTC in Pfullendorf, Germany. • Guided Prolonged Field Care implementation amongst various components and Service level policy making discussions. Research Committee • For SOMSA 2018, received and reviewed 129 abstract submissions. 66 were accepted. • Secured Dr. Daniel Perl to speak during the 2018 SOMSA General Session.
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2017
Special Operations Medical Association
Strategic Goals (continued) C. SOMA will enhance the professional development of pre-hospital, tactical, wilderness, austere, disaster and deployed medicine providers. Board of Directors • Started an Education Task Force to create educational content outside of the Scientific Assembly and research the best delivery methods for that content. Program Committee
Second Half Initiative Committee • Continued to mentor new applicants to both MD and PA programs, connecting them to appropriate mentors. • Continued to interact with programs that are interested in recruiting prior SOF/TEMS applicants. • Continued to bring speakers from these programs to speak at Scientific Assembly. • Provided information for these programs on the SOMSA website.
• Held the 2017 SOMSA in Charlotte, North Carolina. The 2017 SOMSA had 908 participants for the full Assembly from 48 U.S. States and 28 countries and 151 companies with exhibit booths.
D. S OMA will expand its reach, influence and impact.
• Assisted in adding sessions on primitive medicine and unconventional warfare to the SOMA program to provide additional educational opportunities in frequently neglected SOF competencies
• Agreed to host branch specific DoD entities requesting meetings in conjunction with SOMSA.
Prolonged Field Care (PFC) Committee
• PFC Working Group Members continued to expand the collaborative reach of SOMSA by providing instruction for the Joint Special Operations University (the Joint Special Operations Medical Officer Course – JSOMOC) in Tampa, FL.
• Added 5 key educational, training, and clinical practice guidelines to the website. • Began exploring a partnership with Uniformed Services University for multimedia instruction and CME for completion of web-based training. Scholarship Committee • Raised $10,629 in donations, bringing total fund balance to $52,771. • Finalized scholarship operational policies and received Board approval. • Updated/overhauled scholarship fund webpage to include main landing page, contact page, and application information page. • Created electronic application portal. • Opened first application period September 2017 and closed in Jan 2018 (2 applicants selected for award, to be presented at 2018 SOMSA).
2017 Annual Report
Board of Directors
Prolonged Field Care (PFC) Committee
PFC Working Group has actively reached out and worked with: • Department of State, US Marshalls, Department of Homeland Security, BORSTAR, National Park Service, NATO Special Operations Headquarters (NSHQ) Medical Section, Mons, Belgium, NATO COMEDs, International Special Training Center (ISTC), Pfullendorf, Germany, European Special Operations Medical Symposium (EUSOMS), Germany, Wilderness Medical Society, Members work daily (and are staff) at SOCEUR, SOCAF, JSOMTC • Cooperative relationship with Joint Trauma System, San Antonio, TX, to develop key operational resources: o ADVISOR 24 hour telemedicine hotline o Completed 4 additional pre-hospital Clinical Practice Guidelines to enhance care for critical medical conditions in resource –constrained areas: Wound Care, Ophthalmologic injury, Nursing Care, TBI, and Analgesia and Sedation. DCR is currently in review.
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2017
Special Operations Medical Association
2017 SOMA Scientific Assembly SOMA held its 2017 Scientific Assembly, May 21 – 25 at the Charlotte Convention Center in Charlotte, North Carolina. The Assembly featured 35 pre-Assembly Labs and 94 general assembly and breakout sessions. The Assembly hosted 908 participants for the full Assembly and 225 single day participants.
Full Assembly 908
Single Day 225
Participant Countries SOMSA 2017 Attendance
Argentina
Denmark
Israel
Singapore
Australia
Estonia
Japan
Spain
Austria
Finland
Mexico
Sweden
Belgium
France
Netherlands
Switzerland
Brazil
Germany
Norway
United Kingdom
Canada
Guam
Poland
China
Honduras
Czech Republic
Ireland
Russian Federation
Exhibit Booth Sales
Attendance by U.S. Region
158
160
450
413
155
400
145
1210 300
141
140
250
135 130
200
Booths
144
150
110
99
100 50
151
150
150 350
41
23
Companies 2016
49
2017
Participant Demographics
0
Northwest
West
Midwest Southwest East
Northeast Southeast
Active Duty (353)
21%
DoD Civilian (62) Reserve(44) Retired/Former Military (140) National Guard (66) Civilian (173)
Future Scientific Assembly Dates
17%
5%
May 5-9, 2019 – Charlotte Convention Center, Charlotte, NC
2017 Annual Report
42%
8%
7
7%
2017
Special Operations Medical Association
2017 SOMA Finances ASSETS Current Assets Other Current Assets Total Assets
2016 2017 $499,890.95
$538,873.85
$21,862.68
$55,412.68
$521,753.63
$555,303.62
2017
LIABILITIES & NET ASSETS 2016 Liabilities
$168,630.24 $168,630.24
Net Assets
$353,123.39
$386,673.38
Total Liabilities & Net Assets
$521,753.63
$555,303.62
Revenues
2017 Revenues
In 2017 Revenues increased in all major areas compared to 2016. Product/Service Revenue 3%
SOMA’s membership numbers grew in 2017, adding on to the gains made in 2016. Membership revenue exceeded budget projections by $16,718. Product and service revenue, while less than budgeted, also increased compared to 2016. SOMA also saw growth at the 2017 Scientific Assembly. Total attendance numbers were slightly lower than 2016, but there were increases in Lab participation, single day attendance and the number of exhibitors.
Membership 18%
SOMSA 79%
Overall, SOMA exceeded budgeted revenues by $16,236 and saw a gain of $92,000 over 2016.
REVENUES
Dec. 2016
2017 Budget
Membership $146,899.50 Product/Service Revenue $18,470.81 Scholarship Revenue $14,565.00 Other Revenue $434.77 Scientific Assembly $677,313.11 Total Revenue $857,683.19
2017 Annual Report
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$148,850.00 $29,950.00 $7,500.00 $2,500.00 $744,967.00 $933,767.00
Dec. 2017 $165,568.00 $25,013.00 $10,629.00 $62.00 $745,731.00 $950,003.00
2017
Special Operations Medical Association
Expenses
2017 Expenses General Administration 15%
SOMA contained expenses by staying within the expense budget for most items. The two largest overages were expenses due to growth in the membership and funds spent to replenish the Gear Store to keep up with member demand. Overall, the expenses for 2017 came in at approximately $90,000 under budget for the year.
Products/ Services 2%
Membership Expenses 11% SOMSA 72%
Dec. 2016
2017 Budget
Dec. 2017
$129,316.78
$136,689.00
$130,230.00
$6,772.33
$11,000.00
$20,940.00
$100.30
$1,225.00
$1,444.00
$5,319.32
$18,000.00
$5,695.00
Board Activities
$20,053.23
$31,042.00
$17,567 .00
Liaison Activities
$1,442.92
$3,000.00
$1,018.00
Committees/Task Forces
$6,818.56
$4,705.00
$4,571.00
$62,010.82
$62,563.00
$66,743.00
$690,208.59
$692,561.00
$621,804.00
Total Expenses
$922,042.85
$960,785.00
$870,013.00
Excess Revenues Over Expenses Paid
$(64,359.66)
$(27,018.00)
$79,990
EXPENSES General Administration Products & Services Scholarship Fund Expense Marketing Expense
Membership Expenses Scientific Assembly Expenses
Bottom Line Overall for 2017, SOMA’s revenues have increased, expenses have decreased and the bottom line has improved compared to last year. The Board of Directors anticipated a deficit budget in 2017 of approximately $27,000. Due to growth in both membership and the Scientific Assembly, the year ended with a positive bottom line of just under $80,000. The 2017 year end surplus was divided between a reserve fund to ensure the financial stability of the association and a special project fund designated for new member services or other initiatives that will be of direct benefit to the membership.
2017 Annual Report
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2017
Special Operations Medical Association
Revenue/Expense Comparison $1,000,000.00
$800,000.00
$600,000.00
$400,000.00
$200,000.00
$0.00 Revenues
Expenses
Bottom Line
($200,000.00) 2016
2017
Bottom Line 2014-2017 $150,000.00 2014 $100,000.00
2017
$50,000.00
$0.00
($50,000.00)
2016
($100,000.00)
($150,000.00)
2017 Annual Report
2015
10