Legacy of Excellence Digital Flipbook

LEGACY of EXCELLENCE

125 1 8 9 6 2 0 2 1 AAO-HNS CELEBRATING YEARS

WE ARE ONE TWENTY-FIVE

125 1 8 9 6 2 0 2 1 AAO-HNS CELEBRATING YEARS

LEGACY of EXCELLENCE was made possible by the generous support of

The American Academy of Otolaryngology–Head and Neck Surgery and its Foundation (AAO-HNS/F) extend its sincerest appreciation to

Stryker for their corporate partnership and sponsorship commemorating the AAO-HNS/F 125th anniversary, including the publication of this book.

Thank you for helping the AAO-HNS/F honor and share our rich 125-year history with the global otolaryngology-head and neck surgery community.

American Academy of Otolaryngology–Head and Neck Surgery Celebrating 125 Years LEGACY of EXCELLENCE WE ARE ONE TWENTY-FIVE Editors James C. Denneny III, MD Kathy Lewis Christina Marie Maggio

Authors and Researchers James C. Denneny III, MD Kathy Lewis Christina Marie Maggio Jeanne M. McIntyre, CAE John M. Trumbo, MA

Cover Design Ross Rollins

Design Jackie Cole Timothy Nord

125 1 8 9 6 - 2 0 2 1 AAO-HNS CELEBRATING YEARS

American Academy of Otolaryngology–Head and Neck Surgery Foundation Alexandria, Virginia

LEGACY OF EXCELLENCE

© 2021 American Academy of Otolaryngology–Head and Neck Surgery Foundation All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission requests, write to the publisher at the address below.

American Academy of Otolaryngology–Head and Neck Surgery Foundation 1650 Diagonal Road Alexandria, Virginia 22406 www.entnet.org

ISBN: 978-0-578-94376-3 Library of Congress Control Number: 2021915474 First edition 2021. Printed in the United States of America.

2

Contents

CONTENTS Dedication. .................................................................................................. 9 Foreward.................................................................................................... 11 Hall of Distinction.....................................................................................15 Milestone Moments...................................................................................16 Chapter 1: 1997 – 2001 Expanding Relevance and Embracing Technology..............................23 Technology ...............................................................................................24 EVP Transitions.........................................................................................25 Patient Information and Outreach.............................................................26 Grassroots Advocacy and Health Policy...................................................29 Education................................................................................................... 32 Research and Quality ................................................................................34 International............................................................................................... 36 Annual Meeting.........................................................................................38 Concluding Thoughts................................................................................40 Michael D. Maves, MD, MBA EVP from 1995 – 1999..............................................................................41 G. Richard Holt, MD, MPH EVP from February 2000 – June 2002......................................................43 Neil O. Ward, MD, MALS Interim EVP from 1999 – 2000 and Deputy Executive Vice President from 2000 – 2005..........................45 Charles (Chuck) J. Krause, MD President from 1996 – 1997......................................................................47 Antonio De la Cruz, MD President from 1997 – 1998......................................................................49 Harold C. (Rick) Pillsbury III, MD President from 1998 – 1999......................................................................51 John G. Campbell, MD President from 1999 – 2000......................................................................53 Jack L. Gluckman, MD President from 2000 – 2001......................................................................55 Through the Years......................................................................................56

3

LEGACY OF EXCELLENCE

Chapter 2: 2002 – 2006 Navigating Changes and Breaking New Ground.................................59 Transition in Leadership............................................................................60 Strategic Planning to Navigate Change.....................................................61 Advancing the Mission through Technology............................................63 Elevating the Advocacy Voice through Concerted Health Policy and Goverment Affairs Efforts..................................................................64 Research: Today’s Evidence, Tomorrow’s Progress .................................67 Education: New Efforts to Lifelong Learning...........................................71 Patient Outreach Bringing the Specialty Together....................................73 Annual Meeting.........................................................................................76 International............................................................................................... 76 Concluding Thoughts................................................................................77 David R. Nielsen, MD EVP/CEO from 2002 – 2014 The Everyman Leader: Enabling the Vision of Quality............................79 K.J. Lee, MD President from 2001 – 2002 .....................................................................85 Jonas T. Johnson, MD President from 2002 – 2003 .....................................................................87 M. Jennifer Derebery, MD President from 2003 – 2004 .....................................................................89 Robert H. Maisel, MD President from 2004 – 2005 .....................................................................91 C. Ron Cannon, MD President from 2005 – 2006 .....................................................................93 Through the Years......................................................................................95 in An Era of Healthcare Reform............................................................99 A New Look for a New Day....................................................................100 Specialty Unity........................................................................................100 Integrating Research, Advocacy, Health Policy, and Education.............102 Advocacy and Health Policy ..................................................................102 Academy Responds to President’s Remarks on Tonsillectomies............104 Research. ................................................................................................. 106 Education................................................................................................. 110 Annual Meeting.......................................................................................112 International............................................................................................. 114 Chapter 3: 2007 – 2011 Integrated Approach to Quality Patient Care

4

Contents

Diversity and Inclusion...........................................................................115 Development. .......................................................................................... 115 Initial AAO-HNS/F Statement on Diversity...........................................115 Concluding Thoughts..............................................................................117 Richard T. Miyamoto, MD, MS President from 2006 – 2007 ...................................................................119 James C. Denneny III, MD President from 2007 – 2008 ...................................................................121 David W. Kennedy, MD President from 2008 – 2009 ...................................................................123 Ronald B. Kuppersmith, MD, MBA President from 2009 – 2010 ...................................................................125 J. Regan Thomas, MD President from 2010-2011 ......................................................................127 Through the Years ...................................................................................129 Chapter 4: 2012 – 2016 Planning and Building for the Future.................................................133 Strategic Planning ...................................................................................135 Specialty Unity........................................................................................137 Preparing for the Future..........................................................................138 Road to Registry: Building the Infrastructure for Reg-ent sm ..................138 Research and Quality...............................................................................141 Advocacy and Health Policy ..................................................................145 Education.................................................................................................151 The AAO-HNSF Annual Meeting & OTO EXPO sm And Global Outreach ..............................................................................154 Concluding Thoughts .............................................................................157 James C. Denneny III, MD EVP/CEO from 2014 – Present An Innovative Visionary in a Time of Transition....................................159 Rodney P. Lusk, MD President from 2011 – 2012....................................................................167 James L. Netterville, MD President from 2012 – 2013....................................................................169 Richard W. Waguespack, MD President from 2013 – 2014....................................................................171 Gayle E. Woodson, MD President from 2014 – 2015....................................................................173 Sujana S. Chandrasekhar, MD President from 2015 – 2016....................................................................175 Through the Years ...................................................................................177

5

LEGACY OF EXCELLENCE

Chapter 5: 2017 – 2021 An Era of Innovation to Advance the Specialty in an Ever-Changing Healthcare Climate...........................................181 New Logo and Branding Launched in 2018: We Are One: Otolaryngology United for Patient Care............................182 Strategic Plans Building the Framework and Setting the Course...........183 Members of the Specialty Unity Summit (SUS).....................................184 Enhancing Specialty Unity: Internally and Externally ...........................185 Diversity, Equity, and Inclusion..............................................................186 Advocating for the Specialty...................................................................189 Research and Quality...............................................................................196 Education: The Evolution of Learning ...................................................202 The AAO-HNSF Annual Meeting & OTO Experience: The Academy’s Steadfast Backbone.......................................................205 Connecting the Global Otolaryngology Community..............................208 Future of Otolaryngology and Wellness..................................................211 125 Strong Campaign..............................................................................213 The Trusted Source for Patient Information............................................213 Concluding Thoughts..............................................................................214 A Global Pandemic: COVID-19...........................................................215 The Global Otolaryngology Community Responds to the COVID-19 Pandemic....................................................................216 AAO-HNS/F Response ..........................................................................216 The Value of Leadership..........................................................................218 Financial Relief and Support .................................................................218 Trends Impacting the Future of Otolaryngology-Head and Neck Surgery....................................................................................219 Exceptionality: An AAO-HNS/F Standard..............................................220 Shout Out for Specialty Unity.................................................................221 Gregory W. Randolph, MD President from 2016 – 2017....................................................................223 Gavin Setzen, MD President from 2017 – 2018....................................................................225 Al Merati, MD President from 2018 – 2019....................................................................227 Duane J. Taylor, MD President from 2019 – 2020....................................................................229 Carol R. Bradford, MD, MS President from 2020 – 2021....................................................................231 Through the Years ...................................................................................233

6

Contents

The Next 125 Years in Otolaryngology-Head and Neck Surgery........................................239 Incremental Change for the Future Face of Otolaryngology..................240 Creating a Network to Enhance Future Engagement..............................241 APPENDIX Leadership 1896-2021.............................................................................244 Board of Governors, Chair 1982-2021....................................................268 International Guests of Honor 1997-2021...............................................269 Presidential Citations 1979-2021............................................................270 Awards and Honorary Guest Lectures Awards....................................................................................................272 Distinguished Award for Humanitarian Service......................................272 Jerome C. Goldstein, MD Public Service Award....................................273 Nikhil J. Bhatt, MD International Humanitarian Award.........................273 Nikhil J. Bhatt, MD International Public Service Award........................274 The Holt Leadership Award for Residents and Fellows-in-Training.......274 Honoary Guest Lectures.......................................................................275 Cotton-Fitton Endowed Lecture in Pediatric Otolaryngology................275 Eugene N. Myers, MD International Lecture on Head and Neck Cancer....................................275 H. Bryan Neel III, MD, PhD Distinguished Research Lecture...............276 Howard P. House, MD, Memorial Lecture for Advances in Otology.....276 John Conley, MD Lecture on Medical Ethics.........................................277 for Distinguished Contributions in Clinical Otology..............................277 Section Leadership, Chair.......................................................................279 Annual Meeting Dates and Sites 1896-2021...........................................280 Centennial Ode........................................................................................284 Academy Hymn.......................................................................................285 Membership Oath....................................................................................287 AAO-HNSF/International Hearing Foundation Michael M. Paparella, MD Endowed Lecture

7

DEDICATION

Legacy of Excellence is a tribute to the countless contributions of innumerable members of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) who are so impassioned about the otolaryngology-head and neck surgery specialty that they have given their time, knowledge, expertise, and support to further the reach and relevance of the AAO HNS and its Foundation. This has been a common thread woven in the AAO HNS/F’s 125-year-old tapestry that started at the first meeting in 1896 when Hal Foster, MD, took the initiative to unite the specialty in a way that not only would have lasting impact with an annual gathering, but would result overall in a strong foundation that integrated research, education, and advocacy as the pillars to build upon for generations to come. The infrastructure that supports this great organization is comprised of a high level of member involvement. The achievements noted in this book to overcome the barrage of challenges in an ever-changing healthcare environment—in the name of science, research, and education—are a direct result of this small, niche specialty coming together in a unified voice to leverage significant impact in equitable, quality patient care. There is truth in the AAO-HNS/F vision that focuses the work of this organization to be, “The global leader in optimizing quality ear, nose, and throat patient care.” To do this today and continue for tomorrow, requires the ongoing collective dedication to quality patient care and the enduring commitment to advance the specialty through excellence, innovation, and involvement. Legacy of Excellence is a commemorative recounting that shares the AAO-HNS/F journey over the last 25 years and highlights the endeavors to navigate change,

embrace advancement, initiate innovation, and build for the future. Just as Century of Excellence laid the groundwork to embrace the work of the pioneers of the AAO-HNS/F and its predecessor organizations, Legacy of Excellence continues that documentation of the Academy’s history. “Although this history unfolds by linking the actions of past and present leaders in a historic chain, it is not only our specialty’s leaders who have shaped our history. Through the years, many otolaryngologists have served society and the specialty, and they are equally deserving of recognition. For this reason, this book is dedicated to all practitioners of the art and science of otolaryngology in recognition of their contributions to the growth and grandeur of our Academy,” shared Neil O. Ward, MD, MALS, AAO-HNS/F President 1995 1996, in the dedication of Century of Excellence . Much has advanced since then, and the AAO-HNS/F has been at the lead, driving change through initiatives, programs, and services that support the changing needs of members to deliver quality patient care. Legacy of Excellence has been published in appreciation to all who have contributed to these efforts yesterday and today, and for those who will carry the torch of excellence in the future.

Carol R. Bradford, MD, MS AAO-HNS/F President, 2020-2021

9

125 1 8 9 6 - 2 0 2 1 AAO-HNS CELEBRATING YEARS

FOREWORD

T he American Academy of Otolaryngology– Head and Surgery and its Foundation (AAO HNS/F) are celebrating the organization’s 125th anniversary in 2021, and it is our intention to continue the legacy depicted in Pioneering Specialists representing the years 1896 to 1979, which was followed up by Pioneers on a New Frontier , covering the years 1979 to 1996, and were combined in the landmark publication Century of Excellence . Legacy of Excellence will become the newest installment of the trilogy, spanning 1996 through 2021. The project started almost two years before publication and a significant amount of research was performed by the AAO-HNS/F Communications Business Unit that included searching through historical documents, recordings by many of the leaders of the time, and publications of the 25-year period as well as through personal interviews with many of the leaders during that era. As the book was developed, there was no attempt to mirror the previous two publications, but rather to reflect the technological advances currently used in the publishing industry and more closely resemble the styles used in 2021. The extraordinary work done by Christina Maggio and Kathy Lewis allowed the publication to be completed on time for release at our 125th Anniversary Annual Meeting & OTO Experience in Los Angeles, California, October 3-6, 2021. There was significant evolution during this period in many different areas of society and medicine. The internet came of age, cell phones turned into powerful computers, digital communications began replacing print, and portable devices became the commonplace point of entry for communication and education around the world. The ever-expanding role of technology in communication was linked to and helped accelerate many other changes occurring almost simultaneously. One constant, reliable factor that hasn’t changed over

the 125-year history of the organization is the dedication of our members to provide and improve patient care. Members have donated thousands of hours as volunteers in education endeavors, research activities, public service, and humanitarian missions. Even disruptive change and danger such as was seen during the COVID-19 pandemic did not deter the spirit of our physicians who continued to donate their valuable time to make things better for all. This was further enabled by our staff who took on the personality and professionalism of our members recognizing our physicians’ needs to be able to take the best care of their patients. During this era, a formalized strategic planning process that allowed regular updates was instituted and fine-tuned over the years. This insured consistent identification of contemporary goals and precise budgeting to meet the goals and mission of the organization with a three-to-five-year horizon. The 125-year history of the organization is the dedication of our members to provide and improve patient care. Members have donated thousands of hours as volunteers in education endeavors, research activities, public service, and humanitarian missions.” One constant, reliable factor that hasn’t changed over the

11

LEGACY OF EXCELLENCE

formalized Strategic Plan still allowed for timely adjustments for disruptive changes in the surrounding environment created by legislative and regulatory changes or as in 2020, the COVID-19 pandemic. The current process of using both internal and external stakeholders has proven to be of significant additional value. Advocacy in all forms has taken on an increasingly significant role over the last two decades at the local, state, and national levels, and concurrently, the advocacy staff has transformed itself from a group that primarily did federal and state legislative and regulatory advocacy to one that is adept at handling all business of medicine issues, particularly private payer policies. At the beginning of this 25-year stretch, the public was in the process of rejecting managed care through capitation and other programs with incentives to withhold care. As the healthcare expenditures have risen to roughly 18% of the United States gross domestic product, there have been a number of proposals to move away from the fee-for-service model that is still most prevalent to a value-based model. The federal government through the Medicare program has been leading the way in this process. There is still a long way to go, the goal of an evidence-based outcome driven payment continues to move forward. Another rapidly expanding trend that is significantly affecting healthcare delivery is the corporatization of medicine. Most medical fields now services of our organization. As education theory has evolved, the Foundation has continually assessed the needs of the membership and adapted the content and the method of delivery to fit best practices in the education field.” Education was the founding pillar of the organization in 1896 and since then has continued to be the most highly valued

have more employed physicians than independent practitioners. We also have seen significant increase in the size of the groups containing the remaining independent practitioners and with it different needs from the Academy. Education was the founding pillar of the organization in 1896 and since then has continued to be the most highly valued services of our organization. As education theory has evolved, the Foundation has continually assessed the needs of the membership and adapted the content and the method of delivery to fit best practices in the education field. The gaps in knowledge discovered through objective means have been used both in education as well as in our quality programs to stay on the cutting-edge. The Foundation strives to make education challenging and rewarding and has collaborated with the American Board of Otolaryngology - Head and Surgery to help integrate learning opportunities with Maintenance of Certification. The Future of Education Task force laid out an aggressive transformational plan that has led to the institution of FLEX and the sunsetting of the Home Study Course and has created the ability to deliver content through multiple devices on demand. The future will develop and support the cognitive, technical, and behavioral skills needed by otolaryngologists through animation, gamification, and virtual reality/augmented reality learning strategies. The consistent effort to work with our international colleagues over the last 25 years has paid off and made us a truly global organization with 75 International Corresponding Societies that have produced a truly bidirectional exchange of clinical and scientific information. What started as an early outreach program by Eugene N. Myers, MD, FRCS Edin (Hon), and several other Academy leaders has progressed to the point that there is international leadership represented on our Board of Directors and we have established the International Advisory Board and feature a regular international symposium at our Annual Meeting & OTO Experience. Our participation in global joint meetings has dramatically increased during this period as well have international submissions to our journals,

12

Foreword

When reviewing the most significant areas of progress

nine presidential elections have been won by women. Women have made substantial leadership contributions as Coordinator for Education, Coordinator for Research and Quality, Deputy Editor of the journals (and soon to be Editor in Chief of the journals), and Chair of the Board of Governors. This does not include the many chairs and committee members of our scientific and education committees. Women have also played vital leadership roles in the Section for Residents and Fellows-in-Training, the Young Physicians Section, and the Diversity and Inclusion Committee. Though they have accomplished much, there is still more to do to fully reach equality. Disparities throughout the healthcare system involving providers and patients as well as throughout society have existed far too long and were fully exposed during the COVID-19 pandemic. The stark difference in access to care, quality of care, and resources available to many in our country and around the world resulted in significant differences in survival during the pandemic. Even though recognition of the relevance and importance of the social determinants of health has been published in different specialty areas for over a decade, watching it happen on the news day after day finally tipped the scales toward action. The AAO-HNS began on the pathway in 2007-2008 establishing a Diversity Committee whose first chair, Duane J. Taylor, MD, became President in 2019, and through the intentional actions of the Nominating Committee, consistent progress has been made in Through hard work, dedication, competency, and persistence, the women of this era achieved many milestones. by the AAO-HNS/F over the last 25 years, at the top of the list must be the recognition of the essential role that women play in our specialty.

Otolaryngology–Head and Neck Surgery and OTO Open . The value of these relationships was clearly demonstrated during the COVID-19 pandemic where important real-time information was shared freely across the otolaryngology community worldwide. The term “quality” began to creep into medical vernacular in the late 1990s and by the time the 21st century came around that movement was beginning to take root. The Academy was early to the game in this movement starting with Jonas T. Johnson, MD, and “The Evidence Machine,” which was shepherded forward by David R. Nielsen, MD, and multiple presidents over the next decade. The Academy was among the first to the table to produce meaningful clinical practice guidelines and other evidence-based programs. These were integrated into payment discussions and eventually made it into the Medicare payment system first as PQRS reporting followed by MIPS reporting and now promoting MIPS Value Pathways (MVP). The Academy has kept pace with the growing demand for data-driven patient value and true outcome measures to help define the value proposition. Reg-ent SM , our Clinical Data Registry, was established in 2015 and has expanded its capabilities as a Qualified Clinical Data Registry and developed as a vehicle to do clinical research and clinical trials. This will hopefully take us in the next several years to true outcomes-based care. When reviewing the most significant areas of progress by the AAO-HNS/F over the last 25 years, at the top of the list must be the recognition of the essential role that women play in our specialty. Through hard work, dedication, competency, and persistence, the women of this era achieved many milestones. They formed their own section, Women in Otolaryngology, raised a considerable endowment for their section to support research, helped create the International Women in Otolaryngology Forum as a key part of our international outreach, and occupied many crucial roles on the Board of Directors as Directors and as Coordinators. In 1999 Gayle E. Woodson, MD, ran for President of the Academy and in 2003, M. Jennifer Derebery, MD, was elected the first woman President of the AAO-HNS/F. Since 2015, four out of the last

13

LEGACY OF EXCELLENCE

creating a diverse leadership group through elections. But there is clearly much more to do, including recruiting additional students into medical school and then exposing them to otolaryngology and helping them find residency positions matching their needs. The Academy has been active with the Harry Barnes Society to help facilitate medical student education and exposure to our field. The most recent Strategic Plan has focused on inclusive diversity and wellness and is dedicating additional resources to move forward. As subspecialization within otolaryngology continued to advance, warnings were sounded even in the late 1990s and early 2000s about fragmentation of our specialty and loss of a true umbrella organization to represent the specialty. When you look back at presidential comments over the last 20 years, almost all have mentioned specialty unity in one way or another. Despite the attention paid to the issue, by the second decade of the 21st century collaboration was at its nadir. Collaboration with the American Board of Otolaryngology was minimal, and there were almost no joint interactions. As problems with the healthcare delivery system increase both in terms of administrative burdens and payment concerns, the situation has reversed itself, and there have been innumerable areas where intra-specialty cooperation has produced favorable results for the specialty as a whole in legislative, regulatory, and payer victories. The Specialty Unity Summit has evolved to one of the most important meetings each year. stable or increasing physician incomes, and Academy growth while creating financial security and a tripling of net assets. The organization realized that change often opens the door to opportunities otherwise previously not possible. For the AAO-HNS that produced intraspecialty collaboration, more rapid advances in patient care,

The last 25 years have seen many disruptive influences that have materially changed the practice of medicine generally and specifically for otolaryngologists. The payment system was in the process of finishing the conversion away from the usual and customary fees through relative value RUC valuation, capitation, value-based, and contracted rates, all of which add up to roughly a 29% loss in value since 1998. Otolaryngology has continued to safely move procedures previously done in facilities to the office, saving the system significant, considerable money. The maturation of communication technology and globalization of many industries, including healthcare, also required strategic adjustment. Additionally, a changing workforce, social unrest, and the COVID-19 pandemic, all necessitated sudden change and flexibility by the Academy, stimulating effective solutions. The results have been good. The organization realized that change often opens the door to opportunities otherwise previously not possible. For the AAO-HNS that produced intraspecialty collaboration, more rapid advances in patient care, stable or increasing physician incomes, and Academy growth while creating financial security and a tripling of net assets. I hope you all will enjoy the third installment in this trilogy that documents the most recent 25 years in our 125-year history. The specialty has continued to grow and evolve in many ways, all designed to facilitate improved patient care, because of the exceptionally talented and dedicated professionals that populate our wonderful specialty. It will be exciting to see what transpires during the next 25 years.

James C. Denneny III, MD AAO-HNS/F Executive Vice President and CEO

14

Milestone Moments In response to an invitation by Hal Foster, MD, a group of practicing ophthalmologists and otolaryngologists gathered in Kansas City, Missouri. A two-day program of scientific papers was The name changed to Western Ophthalmologic and Oto-Laryngologic Association . April 9-10, 1896 1898

The Constitution and Bylaws were revised and adopted. The document provided the initial architecture on which the Academy was built. With a membership of 185 and a cash balance of $660.79, the Academy embarked on its new road that would eventually broaden and lead it to international recognition as one of the most innovative and productive educational societies developed to the advancement of medicine. (Century of Excellence, p14)

held followed by the formation of a new society, the Western Association of Ophthalmologists, Otologists, and Laryngologists .

1903

The first investigative committee was created whose purpose was to investigate and deal with medical problems related to the specialties. The Academy monogram was unveiled. Attributed to Percy H. Fridenberg, MD, “It is said Dr. Fridenberg made the design intertwining the initials of the Academy name while on a boat

1906

1909

The Transactions from meetings in 1896 and 1897 were collected, preserved, and disseminated, and beginning in 1903, these papers were released in a bound, hardcover collection as the Transactions of the American Academy of Ophthalmology and Oto-Laryngology .

The name changed to the American Academy of Ophthalmology and Oto-Laryngology .

trip from Albany to New York City. The original was sketched on the back of an envelope and later improved for use at the 1909 Annual Meeting in New York.” ( Century of Excellence , p35)

The Constitution was revised to delete the two classes of membership in favor of one single class of Active Fellows.

Life Membership status was created, to which “Active Fellows” could be elevated as a reward for service.

1912

Member and Fellow membership designations were created to distinguish between the new specialist (Member) from specialists with more experience (Fellow).

The Academy established two committees to standardize

1913

The first report of the Academy’s Committee on Education was read at the Annual Meeting in Boston, Massachusetts.

1914

The Academy Committee on Examinations in Oto-Larynogology was created.

graduate training in ophthalmology and otolaryngology. This led to the creation of the first medical specialty boards— ophthalmology in 1913 and otolaryngology in 1924.

1920

The Academy established the Research Fund, using an investment of $27,000 endowed by Liberty Bonds purchased during World War I.

1921

The postgraduate program was introduced to membership.

The first membership card was provided.

1930

1932

The Academy hosted its first women’s program.

Senior and Junior fellow membership designations were created.

1934

16

1938

For the first time in 50 years, the Annual Meeting was cancelled due to directives from the Office of Defense Transportation to reserve bus and plane seats and hotel rooms for military personnel in the later days of World War II redeployment.

Academy Secretary Harry Gradle, MD, suggested the development of Home Study Courses.

The first members of the Honor Society were announced.

1939

The Board recommended that eligibility for the Honor Award be extended to those who contribute to, or serve in, any major category of Academy activity. The award was reinterpreted as “a recognition of merit in scientific achievement,” and a point system was devised whereby credit toward the award could be earned on an equitable basis.

1945

1953

A membership category of Associate Fellow was added to extend membership to distinguished scientists and physicians who were not ophthalmologists or otolaryngologists but who were working in allied fields.

1957

The Academy began supporting yearly fellowships in pathology. They were offered through 1968 when the Academy discontinued funds for individual fellowships.

Francis E. LeJeune, MD, presented the Academy’s original gavel with the names of presidents through 1967. A replica was made with room for inscribing presidents’ names through the year 2020. The tradition

1958-1968

1967

The American Council of Otolaryngology was established.

of gavel transference was switched from being passed on to the next president to being replicated and engraved with incoming president’s name.

1968

The Academy produced its first videotape, a Continuing Education television series.

1972

The American Academy of Ophthalmology and Otolaryngology separated into two new organizations: the American Academy of Ophthalmology and the American Academy of Otolaryngology. This also marked the first time in 82 years that the Academy’s ophthalmologists and otolaryngologists were meeting separately for the Annual Meeting.

The Ophthalmology Study Guide for Medical Students was first published.

1975

1978

The American Academy of Ophthalmology moved its headquarters to San Francisco, California, and the American Academy of Otolaryngology retained the headquarters office in Rochester, Minnesota. The American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) and the American Council of Otolaryngology (ACO) voted to merge. The new association, the AAO-HNS, began operations January 1, 1982. The scientific and education functions of the Academy combined with the advocacy functions of the Council to provide the comprehensive services of the AAO-HNS, which initially operated from the AAO-HNS office in Minnesota and the ACO office in Washington, DC, during the transition to Washington, DC, in 1982.

April 15, 1979

The American Academy of Otolaryngology added Head and Neck Surgery to its name to become American Academy of Otolaryngology-Head and Neck Surgery .

1980

The first Annual Meeting of the newly formed American

1981

1982

Academy of Otolaryngology–Head and Neck Surgery was held in New Orleans, Louisiana. The picture shows Bobby R. Alford, MD, getting ready to pass the gavel to Loring W. Pratt, MD.

The Board of Governors (BOG) was created to give private practitioners a voice in the new organization. The BOG held its first meeting in 1982 in New Orleans, Louisiana, with Marvin Singleton, MD, as the first chair.

The Academy changed the name of its journal to what it is known as today, Otolaryngology– Head and Neck Surgery .

The Academy’s Perceiver and the ACO’s newsletters were combined to form the new AAO-HNS Bulletin .

17

CORE is an important collaboration representing these organizations associated with otolaryngology—head and neck surgery: • The Alcon Foundation • American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) • American Academy of Otolaryngic Allergy Foundation (AAOAF) • American Academy of Otolaryngology— Head and Neck Surgery Foundation (AAO-HNSF) • American Head and Neck Society (AHNS) • American Hearing Research Foundation (AHRF) • The American Laryngological, Rhinological and Otological Society, Inc., aka The Triological Society • American Laryngological Voice and Research Education (ALVRE) Foundation and the American Laryngological Association (ALA) • American Neurotology Society (ANS) • American Rhinology Society (ARS) • American Society of Pediatric Otolaryngology (ASPO) • Deafness Research Foundation (DRF) • Olympus • The Oticon Foundation • Plastic Surgery Education Foundation (PSEF)

1983

The Foundation Research Endowment Fund was formally announced in December 1983.

CORE CENTRALIZED OTOLARYNGOLOGY RESEARCH EFFORTS

The Centralized Otolaryngology Research Efforts (CORE) program was established.

1985

The Academy launched its first public service campaign, Through with Chew , to educate the public about the hazardous health effects of smokeless tobacco. A successor campaign in the 1990s focused on the harm of secondhand smoke. David R. Nielsen, MD, served as National Chair and also featured U.S. Surgeon General Jocelyn Elders, MD; Joan Lunden, host of “Good Morning America;” Nancy L. Snyderman, MD; and Jerome C. Goldstein, MD.

For questions regarding CORE, contact the Assistant Director, Research and Quality Improvement, 1-703-535-3747 or research@entnet.org.

You can make a difference in otolaryngology through research!

The Academy and the American Academy of Facial Plastic and Reconstructive Surgery published a brochure titled, “Delineation of Hospital Privilege” to educate hospital privileging committees about the inclusion of facial plastic training in otolaryngology residencies.

1986

1989

The Board of Governors (BOG) developed ENT Outreach . This resource was used to educate, mobilize, and encourage members to take

The American Academy of Otolaryngology–Head and Neck Surgery moved into a new building in Alexandria, Virginia - One Prince Street.

1994

back control of their practices, get involved in negotiations, and influence policy for the benefit of patients and the protection of the specialty. It was a vehicle for improving relationships between otolaryngologists and their patients.

The Academy’s first formal fundraising campaign, Greater Academy Campaign, led by Charles W. Gross, MD, was launched to

The Academy’s Centennial Ode and Hymn were created by Francis I. Catlin, MD.

1996

accelerate the mortgage payments of the new Academy headquarters as well as raise funds to support the Research Fund. The campaign allowed the Academy to retire its mortgage early, making its last payment in April 1996.

The Academy released its first patient brochure series.

Antonio De la Cruz, MD, was the first AAO-HNS/F President of Hispanic descent to serve in this leadership position.

1997

The Academy ventured into the realm of political advocacy by establishing the political action committee, ENT PAC, designed to give members the opportunity to collectively support those candidates who embrace the philosophies of our specialty.

The Cooperative Outcomes Group for ENT (COG*ENT), the AAO-HNSF clinical outcomes project, was initiated to assess clinical outcomes of otolaryngological care of patients with two diseases, otitis media and rhinosinusitis.

The Academy launched its first website www.entnet.org .

The AAO-HNSF created the International Affairs Program with Eugene N. Myers, MD, FRCS Edin (Hon), serving as the first Coordinator of International Affairs.

The first member of the newly established International Corresponding Societies (ICS) was the Spanish Society of Otolaryngology-Head and Neck Surgery.

The Accreditation Council for Continuing Medical Education (ACCME) approved reaccreditation of the AAO-HNSF for six years.

18

1998

The Academy worked with U.S. Representative James Walsh to support passage of legislation to provide seed money to states to create universal infant hearing screening programs to detect hearing loss at birth, the Newborn Infant and Hearing Screening and Intervention Act of 1999.

The Annual Meeting changed its name to incorporate the vast value of the exhibit hall program and activities—AAO-HNSF Annual Meeting & OTO EXPO. (further changed in 2017 to AAO-HNSF Annual Meeting & OTO Experience)

1999

Michael D. Maves, MD, MBA, expresses full and enthusiastic support for the new Walsh hearing bill.

The Coalition on Sinus and Allergy was formed and initially included the AAO-HNS, American Academy of Otolaryngic Allergy, and American Rhinologic Society, and was a major

grassroots education program to enhance the specialty’s current position in treating sinus and allergic disease.

The Women in Otolaryngology (WORL) Study Group formed. After the forum, the Study Group became a full standing committee of the AAO-HNS.

The Coalition on Hearing and Balance was launched, which initially included

The BOG elected its first woman Chair-Elect, Rebecca Gaughan, MD, of Olathe, Kansas.

2001

the AAO-HNS, the American Neurotology Society (ANS), and the American Otological Society (AOS), to address issues related to all aspects of medical and nonmedical management of hearing and balance disorders. The Coalition was tasked with recommending actions in response to the increasing effort of audiology groups to expand their scope of practice and influence public health policy.

The America’s Hearing Health Team Initiative (AHHTI) was born from the Coalition on Hearing and Balance. AHHTI was a joint venture among the

AAO-HNS, ANS, AOS, and the International Hearing Society, and was later joined by the American Speech Language-Hearing Association and endorsed by the American College of Surgeons.

2002

The Physician Payment Policy (3P) Workgroup was formed to coordinate payment activities and actions including code updates.

The Academy launched a major initiative to educate the public about the specialty with the first-time publication of ENT Extra , a health supplement to the March 6, 2001, edition of USA Today . It reinforced the message that otolaryngologists are the best choice for physician care for disorders of the ear, nose, throat, and head and neck.

It was the first time that both candidates for AAO-HNS/F President were women— M. Jennifer Derebery, MD, and Nancy L. Snyderman, MD. The election of Dr. Derebery marked the first time a woman was elected AAO-HNS/F President, serving from 2003-2004.

The new AAO-HNS Section for Residents and Fellows was initiated to give residents both support and an opportunity to shape their chosen specialty.

thanking foundation donors

The Millennium Society was formed as a special endowment society for members’ gifts.

The AAO-HNSF’s Continuing Medical Education program received a four-year reaccreditation by ACCME.

2003

Kids ENT Health Month was launched as a yearly public health campaign to be recognized every February.

To further the voice of the Academy on Capitol Hill, the Academy opened a new Washington, DC, office for the Department of Health Policy and Government Affairs, providing the Academy, for the first time, a major presence in Washington, DC, close to the Capitol, congressional offices, and government regulatory agencies.

19

2003

The Certificate Program for Otolaryngology Personnel (CPOP), a training program for otolaryngology office personnel to learn basic hearing testing, was launched.

The Academy participated in cosponsoring World Voice Day, April 16, 2003. The Brazilian Society of Laryngology and Voice started a National Voice Day in 1999. This was organized

2004

around a variety of activities directed at improved awareness of voice problems and the availability of voice care to the public. Subsequently, the European Laryngological Society and the Academy agreed in 2003 to join Brazil to form a World Voice Day that would be recognized every year on April 16.

The first sets of measures on the topics of Acute Otitis Externa and Otitis Media with Effusion were developed.

2006

Clinical Practice Guidelines: A Manual for Developing Evidence-Based Guidelines to Facilitate Performance Measurement and Quality Improvement was published.

The Academy increased its involvement in “May Is Better Hearing

and Speech Month” to promote the specialty’s role in hearing

healthcare during the month of May. Additionally, “Hearing Health for Life,” which was launched in September 2003, was a new outreach effort to highlight otolaryngology training and expertise in the treatment of hearing loss and related disorders.

AcademyU launched as the AAO-HNSF new online education platform.

2007

The Diversity and Inclusion Committee was established with Duane J. Taylor, MD, appointed as the first Chair. The Diversity Committee and WIO became invited guests to the Boards of Directors meetings.

The redesigned monthly Bulletin celebrated its 25th year with a new look.

2008

The AAO-HNS/F moved its headquarters to 1650 Diagonal Road, Alexandria, Virginia, after 20 years headquartered at One Prince Street, Alexandria, Virginia.

The BOG celebrated its 25th Anniversary.

The AAO-HNSF’s Continuing Medical Education program received a four-year reaccreditation by ACCME.

The AAO-HNSF held the Quality in Otolaryngology Conference.

The new AAO-HNS/F logo was revealed at the AAO-HNSF 2008

Annual Meeting & OTO EXPO℠ in Chicago, Illinois. The newly redesigned logo captured the spirit of the future of the profession and its relationship with the Academy.

The Hal Foster, MD Endowment was created.

The Academy served as co-host with the American College of Surgeons to the Joint Surgical Advocacy Conference, which was held annually from 2008-2011.

2009

The Foundation Coordinators for education, research, international, scientific program, instruction course program, information and internet technology, and the Otolaryngology–Head and Neck Surgery editor in chief met together as the Science and Educational Committee.

20