November HOD Recap

  • Doyle, Christine, MD, FASA
| Nov 13, 2018

At the House of Delegates meeting in June, members approved a change in the structure of representation, and a Task Force on Redistricting was formed to enact the proposed changes. The Task Force recommended a two-pronged approach to representation: mode-of-practice forums and the existing geographic districts.

Over the summer the Task Force met to determine the details of how this would be enacted.  Various options for new geographic districts based on California State Senate districts were proposed. This was a challenging and time-consuming effort but we now have 8 new geographic districts, each containing 5 senate districts (and 10 assembly districts).   Each of these districts includes at least one major metropolitan center, and each includes at least one academic center.  With the advent of newer and more easily used remote meeting technologies, the distances between members are becoming less of an issue, and it’s actually easier to have a district meeting with these technologies.*

Mode-of-practice forums were a bit tougher to structure, mostly because of differing opinions on what constituted small, medium, and large practices.  The Task Force (and the Board of Directors) all felt that the absolute number of members in a group was not the only distinguishing criteria. It became clear that the divisions also included how a practice is governed.  Members will select a forum to join each year when they renew their membership - and there are no formal restrictions on which forum is selected.  The 6 forums are:  In-Training (Residents & Fellows), Early Career, Academic, Small Group Practice, Medium Group Practice, and Large Group Practice.  The suggested criteria defining each forum are in the table below.


Suggested Criteria


Currently in training. However, if a fellow wants to convert to active in order to join another forum, they may do so (they meet the criteria for active), and then can select another forum

Early Career

≤ 5 years in practice


University-affiliated practice

Small & Solo

1-20 people; typically wearing all of the hats of the practice (insurance & hospital/facility contracting / billing & finance / hiring/partnership decisions)


15-60 people; typically with some division of labor and central/professional management but local decision making


40+ people; Kaiser or other multi-specialty groups, professional management, centralized decision making

Members of the House of Delegates were presented with the Bylaws changes necessary to enact this new structure.  The bulk of the changes involved Chapter 5 (which defines the Districts) and a new Chapter 6 (which defines the Forums).  These Bylaws were passed during the HOD meeting, and we will be moving forward with the operational changes necessary.

Please look for more details in your inbox in the next few weeks.

*In fact, this House of Delegates meeting was conducted entirely using these remote meeting technologies.  Delegates were able to sign in from home or work, using any browser, to participate in the meeting.  Credentials were verified as Delegates registered and signed-in, but voting remained anonymous.




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