incorporated into Medicare payment models, offer
diverse points of entry into advocacy for surgeons
in every practice setting and specialty, with all levels
of experience and interest. Examples are as follows:
• The metrics for MIPS payment, which will be adjusted
based on physician performance in defined categories
(quality, resource use, clinical practice improvement activities, and meaningful use), still need to be articulated
and to accurately reflect how surgical care is delivered.
• President Obama’s National Cancer Moonshot Initiative
to accelerate cancer research and discovery has underscored the work of a coalition of cancer-advocacy organizations, including the ACS. This coalition has lobbied Congress for increased federal funding for cancer
research and prevention programs through the National
Institutes of Health and Centers for Disease Control and
• Challenges related to the widespread adoption of health
information technology remain a concern, including
electronic health record security and interoperability;
and the rollout of the International Classification of Diseases, 10th revision, for coding, billing, and disease data
• Bills reauthorizing regional trauma systems and grants
for emergency care pilot projects, as well as providing
federal assistance to critical-access trauma centers for uncompensated costs, passed the House (H.R. 648) in 2015
but stalled in the Senate and have yet to be addressed.
The RAS-ACS Issues and Advocacy Committee
has been an active partner with the ACS Division of
Advocacy and Health Policy to inspire and train the
next generation of leaders in surgical advocacy. The
committee sponsors resident-led initiatives to engen-
der discussion related to surgical training, provides
forums for conflicting viewpoints, and helps out-
line guidance in areas of controversy. Most recently,
the RAS-ACS Symposium at Clinical Congress 2015
addressed surgeon engagement with social media
Day Grant Program. Available at: facs.org/advocacy/
state/chapter-grant. Accessed April 23, 2016.
18. American College of Surgeons. Surgeons as Advocates:
A Guide to Successful State Advocacy. Available at: facs.
advocates%20handbook.ashx. Accessed April 23, 2016.
19. American College of Surgeons. Legislative priorities:
quality/patient safety. Available at: facs.org/advocacy/
state/trends. Accessed April 23, 2016.
20. American College of Surgeons. Medicare physician
payment. Available at: facs.org/advocacy/federal/
medicare. Accessed April 23, 2016.
21. American College of Surgeons. Surgeons and Medical
Liability: A Guide to Understanding Medical Liability
Reform. Available at: facs.org/~/media/files/advocacy/
liability%20primer.ashx. Accessed April 23, 2016.
22. American College of Surgeons. Trauma and EMS.
Available at: facs.org/advocacy/federal/trauma-and-ems.
Accessed April 23, 2016.
23. Hedstrom J. The SGR repeal: How bad politics ruined
sound policy. Bull Am Coll Surg. 2014;99( 6): 9-12.
24. Clemens J, Veuger S. Repeal of the Medicare sustainable
growth rate: Direct and indirect consequences. AMA J
Ethics. 2015; 17( 11):1053-1058.
25. Association of American Medical Colleges. The impact of
health care reform on the future supply and demand for
physicians updated projections through 2025. Available
projections_through_2025.pdf. Accessed April 23, 2016.
26. Association of American Medical Colleges. A snapshot of
the new and developing medical schools in the U.S. and
Canada. Washington, DC: 2012. Available at: members.
in%20the%20US%20and%20Canada.pdf. Accessed June
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