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International Federation for Emergency Medicine

ACN 145 437 216

IFEM ASSEMBLY MEETING

AGENDA

Meet and Greet / Member sign-in 12:30 pm

13:00 – 16:30, Tuesday 31st October 2017 Marriott Marquis, Meeting Level 4, Independence Ballroom, Salon D,

Washington DC, USA

1. WELCOME (President and Chair Prof Lee Wallis) Page

1.1 Opening remarks 1.2 Members of good standing 1.3 Declaration of any conflict of interest 1.4 Declaration of a quorum

2. ATTENDANCE / APOLOGIES

3. ADDITIONAL AGENDA ITEMS

4. MINUTES

4.1 To approve Minutes of the last Assembly meeting, Las Vegas – 18th October 2016 1 4.2 Matters arising from the Minutes (not covered elsewhere)

4.2.1 Email approval of motions by Assembly, December 2016 4.2.2 Vision and Mission 12

For ratification of Board recommendations, February 2017

Motion: That the Vision and Mission as circulated, be approved.

4.2.3 Report of Strategic workshop held October 2016 13 To receive minutes of the following meetings, and to ratify the recommendations contained therein.

4.2 Executive meeting, Las Vegas – 16th October 2016 20 4.3 Board meeting, Las Vegas – 17th October 2016 22 4.4 Board teleconference - 13th December 2016 32 4.5 Executive teleconference – 24th January 2017 41 4.6 Executive teleconference – 6th February 2017 45 4.7 Board teleconference - 28th February 2017 48 4.8 Executive teleconference – 25th April 2017 54 4.9 Executive teleconference – 27th June 2017 58 4.10 Board teleconference - 11th July 2017 62 4.11 IFEM Executive teleconference – 29th August 2017 71 4.12 IFEM Board teleconference - 19th September 2017

AGENDA – IFEM Assembly Meeting 31st October 2017 5. APPLICATIONS FOR MEMBERSHIP OF THE IFEM (L. Wallis)

5.1 Egyptian Trauma Society (Affiliate) - pending

5.2 American Association for Emergency Psychiatry (Affiliate) - application lapsed 5.3 Egyptian Society of Emergency Medicine (Full) - pending fee payment

5.4 Emergency Medicine Physicians Association of Turkey (EPAT) (Affiliate) 76

For ratification of Board recommendations, December 2016

Motion: That the Emergency Medicine Physicians Association of Turkey be approved for Affiliate membership of IFEM.

5.5 Libyan Emergency Medicine Association (Affiliate Member seeking Full membership) 92

For ratification of Board recommendations, December 2016

Motion: That the Libyan Emergency Medicine Association be approved for Full membership of IFEM.

5.6 Gulf Federation of Emergency Medicine (Ex-officio) 107

For ratification of Board recommendations, September 2017

Motion: That the Gulf Federation of Emergency Medicine be approved for Ex-officio Membership of IFEM.

5.7 Membership – recruitment and retention

6. NOMINATIONS FOR IFEM AWARDS (L. Wallis)

6.1 Order of the IFEM (FIFEM)

6.2 Humanitarian Awards

6.3 Gautam Bodiwala Lifetime Leadership Achievement Award

7. PARTNERSHIPS AND COLLABORATIONS

7.1 American College of Emergency Physicians – Memorandum of Understanding 7.2 Canadian Association of Emergency Physicians –Memorandum of Understanding 7.3 Guidelines International Network 7.4 World Association for Disaster and Emergency Medicine 7.5 World Health Organization Emergency, Trauma and Acute Care 7.6 Global Resuscitation Alliance 7.7 World Organization of Family Doctors (WONCA)

AGENDA – IFEM Assembly Meeting 31st October 2017 8. INTERNATIONAL CONFERENCE ON EMERGENCY MEDICINE

8.1 ICEM 2018, 5-9 June, Mexico 8.2 ICEM 2019, 12-15 June, Seoul 8.3 ICEM 2020, 16-19 June, Buenos Aires 8.4 ICEM 2021, 8-11 June, Dubai 8.5 ICEM 2022, Melbourne 8.6 ICEM 2023, Venue Selection Committee Report and Recommendation - to be tabled 8.7 ICEM 2024 - Call for expressions of interest

9. IFEM SYMPOSIA 9.1 NVSHA/NSEP Symposium on Crowding, 9 June 2017

10. COMMITTEE REPORTS

10.1 Finance Committee (A Cross) 10.1.1 Suspension of Members with outstanding dues of > 2 years

For ratification of Board recommendation, September 2016 10.1.2 Increase in ICEM Royalty payment 10.1.3 Financial Strategy 10.1.4 IFEM Institute

10.2 Governance Committee (C. Hobgood) 10.2.1 By-laws amendments

For ratification of Board recommendation, July 2017:

Motion: That the IFEM Bylaws, as amended be approved. 120 10.2.2 Criteria for Affiliate membership

10.3 Specialty Implementation Committee (S. McCarthy)

10.4 Core Curriculum and Education Committee (N. Jouriles)

10.5 Continuing Professional Development Committee (F. Hickey)

10.6 Clinical Practice Committee (T. Mulligan)

10.6.1 Emergency Ultrasound SHoC Protocol document

10.7 Research Committee (D. Taylor)

10.8 Communications Committee (A. Drummond)

https://www.ifem.cc/wp-content/uploads/2016/02/PS-7-Sonography-in-Hypotension-and-Cardiac-Arrest-Consensus-Statement.pdf

AGENDA – IFEM Assembly Meeting 31st October 2017 11. IFEM FOUNDATION (J. Holliman)

12. IFEM SECRETARIAT

13. OTHER BUSINESS (As previously agreed with Chair)

13.1 An International Day of Emergency Medicine 140 13.2 Recognition of Emergency Medicine in Denmark 13.3 Recognition of Emergency Medicine in Norway 13.4 Letter of Support to Spain 13.5 Letter of Support to Guatemala 13.6 Letter of Support to Tonga 13.7 Future meetings of the IFEM Assembly

14. TOPICS FOR OPEN DISCUSSION CLOSE OFFICIAL PHOTO Please assemble for a Formal Photograph of the IFEM Assembly.

NEXT MEETING June 2018, ICEM 2018, Mexico City, Mexico


ABN 145 437 216

IFEM ASSEMBLY Minutes of Meeting held 1.30 pm – 16.30 pm, Tuesday 18th October 2016

Mandalay Bay Hotel and Resort, Las Vegas, NV, USA

_______________________________________________________________________________ 1. WELCOME

1.1 Opening remarks The President opened the meeting and welcomed all in attendance.

1.2 Members of good standing Voting Members arriving at the meeting confirmed to be in good financial standing were handed a voting card.

1.3 Declaration of conflict of interest The President advised that members wishing to declare a conflict of interest could do so publicly, or complete a form available at the registration table. Prof Wallis declared a conflict of interest on behalf of himself, Drs Mulligan and Holliman as being members of the Editorial Board of the Emergency Physicians International but advised that they received no remuneration.

1.4 Declaration of a Quorum The Governance Committee had recommended that a quorum be formally declared at the commencement of each Assembly meeting. The President stated that of the 47 full voting members, only 20 were present, and that the Assembly would need to reconvene to vote. The President suggested that the meeting ‘vote’ on the relevant items; but that the minutes would be circulated by email to all members and confirmed electronically in the following weeks. This was agreed. Governance Chair C. Hobgood confirmed this was in accordance with the Bylaws and read the relevant section. Later in the meeting it was suggested that in future proxy votes should be encouraged so that a quorum is achieved.

2. ATTENDANCE

IFEM Executive: L. Wallis (President and Chair), C.J. Holliman (Immediate Past President), J. Ducharme (President-elect), T. Rainer (Vice President), M. Stander (Secretary and representing (EMSSA), J. Bravo Gtz (Member-at-Large) IFEM Board: Swee Han Lim (Board member, Asia and ACEM, SEMS representative), A. Lawler (Board member, Australasia and President ACEM), E. Menendez (Board member, Central and South America and SAE representative), T. Mulligan (Board member North America and Chair, Clinical Practice Committee) Full Members (Voting): A. Vernaza (ASPAME), M. Gerardi (ACEP), A.J. Moya (ASOCOME), P. Pageau (CAEP), A.A. Cevik (EMAT), A. Noureldin (ESEM), P. Ho (HKCEM), G. Johansson (ISEM), N.V. Lagman (PCEM), T. Hassan (RCEM), A. Kimura (JAAM), T. Srinath Kumar (SEMI), Cheng-Chung Fang (TSEM), T.S. Srinath Kumar (SEMI/ASEM), R. Rosas C(SOCHIMU), Crispijn van den Brand (NSEP/NVSHA), J. Daniel Lopez Tapla (SMME), F. Hickey (IAEM and Chair, Continuing Professional Development Committee)

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Minutes – IFEM Assembly Meeting October 2016 Page 2

Affiliate & Ex-Officio Members (Non-voting): K. Rodgers (AAEM), J.C. Prestosh (ACOEP), G. Bodiwala, Past President (representing EuSEM), P. Pinera Salmeron (SEMES), C. Hobgood (SAEM and Chair, Governance Committee), H. Hall (PACEMD), G. Galletta (NORSEM), Committee Chairs not included above: E. DeVos (Acting Chair, Specialty Implementation Committee), D. Taylor (Chair, Research Committee/ACEM) Observers present: Chih-Hsien Chi (TSEM), R. Certro (ASPAME), R. Cruz Silva (PACEMD), G. Waligora (PSEM), B. Hubbard (ACEP), R. Schafermeyer (ACEP and former IFEM Board member), J. Lin (ACEP), S. Kivlehan (Brigham), R. Marsh (Brigham), C. Tomaszewski (ACEP), S. Fruhan (ACEP), K. Enriquez (UCSF/ACEP), C. Bills (ACEP), B. Dreifuss (U of Ariz/GECC/ACEP), G.L. Larkin (ACEM/ACEP), S. Chabra (ACEP), I. Das (ACEP), Ansar S. (ACEP), K. Arnold (ACEP), A. Tenner (ACEP/AFEM), K. Davey (ACEP/UCSF), T. Villona (ACEP), R. Hughes (ASPAME), T. Nimjee (ACEP), G. Molzen (ACEP), V. Totten (ACEP/IFEM), J. Nielsen (ACEP), A. Yock (ASOCOME), W. Hammad and M. El-Shinawi (EgSEM), E. DeVos (ACEP), L. Plaster (EPi), K. Whalen (AAEM), L. Moreno-Walton (AAEM), N. Arellano (SMME), T. Eikendal (NSEP) Support staff in attendance: C. Reardon (IFEM Executive Officer), D Gonzales and S. Campbell (ACEP Staff Support) APOLOGIES: A.Cross (Treasurer and Chair, Finance Committee), J. Jakubaszko, (Board member Europe) represented by G. Bodiwala, K. Golshani (ISEM), Nguyen Dat Anh and Son Do (VSEM), R. Sieber (SGNOR), N. Jouriles (Chair, Core Curriculum and Education Committee/ACEP), C. Skaerbek (DaSEM), H. Sawe (EMA Tanzania), Y. Cete, (EMAT) represented by Arif Cevik, R. Dickerson (EMSSA) represented by Melanie Stander, S. Fares, ESEM, represented by Dr Abdel Noureldin, A. Palomaki, (FSEM), Prof Christoph Dodt, (GAfEM), J. Baldersson, (Iceland Society of Emergency Medicine), represented by Maria Svavarsdottir and Gudmund Johannsson, T. Shimazu, (JAAM) represented by Akio Kimura, Sung Woo Lee, (KSEM), represented by Prof Kim Won Young, Mohamad Alhinai, (Omani SEM), C. Gabriel, (PCEM), represented by Dr Noel Lagman and Dr Lourdes Jimenez, L. Caceras, (SAE) represented by Edgardo Menendez.

3. ADDITIONAL AGENDA ITEMS - No additional items were tabled.

4. MINUTES 4.1 To approve minutes of the last Assembly meeting – 18th April 2016, Cape Town South Africa

There being no amendments, F. Hickey moved, seconded by M. Stander, that the minutes of the previous meeting be accepted.

MOTION: F. Hickey/M. Stander That the Minutes of the previous meeting be accepted. TO VOTE

4.2 IFEM Executive meeting, Cape Town – 18th April 2016

MOTION: M. Stander/T. Hassan

That the Minutes of the Executive meeting held 18th April 2016 be received. TO VOTE

4.3 Board meeting – 18th April 2016 MOTION: T.S. Srinath Kumar/M. Stander

That the Minutes of the IFEM Board meeting held 18th April 2016 be received. TO VOTE

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The President then invited comment on any of the matters outlined in the minutes of the Board meetings held during year. There being no comment, he moved that they be received en bloc.

4.4 – 4.10 MOTION: M. Stander/E. Menendez

To receive minutes of the following meetings and teleconferences and to ratify recommendations contained therein:

Executive teleconference – 28th April 2016 Board teleconference - 19th May 2016 Board teleconference - 30th June 2016 Board teleconference - 11th July 2016 Executive teleconference – 4th August 2016 Board teleconference - 24th August 2016

IFEM Board teleconference – 19th September 2016 TO VOTE

Note: Individual resolutions arising from these minutes are recorded under the relevant item headings below.

5. MATTERS ARISING FROM PREVIOUS MINUTES

Nil raised.

6. APPLICATIONS FOR MEMBERSHIP OF THE IFEM

6.1 Egyptian Trauma Society Pending. The Chair advised that a decision on this application was awaiting further information on the nature of the membership of this organisation. In response to a question from A. Cevik, the President clarified that only one Full member can represent a country, that being the main organisation responsible for training and education of emergency physicians in that country. J. Holliman confirmed that there was no limit on the number of Affiliate members in any given country. He also confirmed that this Society appeared to have a significant number of emergency physicians and not just trauma surgeons. Given the application from the Egyptian Society of Emergency Medicine (6.3), the Egyptian Trauma Society was being considered for Affiliate membership.

The President then referred to two applications for membership that had been received and approved by the Board, and were now submitted for ratification by the Assembly.

6.2 American Association for Emergency Psychiatry

J. Holliman advised that he had not been able to speak with the President Prof Leslie Zun as yet but believed that the issue of Emergency Psychiatry was of growing importance. The President noted that there was no representative of this Association present. He recommended that members should send a representative to speak on behalf of the Society. There being no objection, M. Stander then moved, seconded by A. Lawler, that the American Association of Emergency Psychiatry be accepted for Affiliate membership of IFEM. MOTION: M. Stander/A. Lawler That the American Association for Emergency Psychiatry be accepted for Affiliate membership of IFEM.

TO VOTE

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Executive Officers Note: Membership is subject to payment of the Application Fee.

6.3 Egyptian Society for Emergency Medicine (EgSEM) The President invited a representative of this organisation, Dr Mohamad El-Shinawi, to speak to this

application. Dr El-Shinawi thanked the Assembly members for the opportunity to join IFEM, and explained that the Society had commenced in 2012 under the supervision of the Ministry of Social Affairs. The Society is a part of the African Federation for Emergency Medicine and has held several conferences.

There being no further discussion, A. Noureldin moved, seconded by A. Cevik, that the Egyptian

Society for Emergency Medicine be accepted for Full membership of IFEM. MOTION: A. Noureldin/A. Cevik That the Egyptian Society for Emergency Medicine be accepted for Full membership of IFEM.

TO VOTE

6.4 Membership – recruitment and retention

The President observed that with 47 Full IFEM members of 192 possible countries, there is plenty of room for other organisations to join.

7. COLLABORATIONS/AFFILIATIONS The President explained that the Governance Committee had been tasked with defining IFEM’s

collaborations and partnerships. Collaborations will be defined as organisations with whom IFEM has ongoing relationships. Partnerships will be defined as organisations with whom IFEM has a project or goal within a defined timeline and identified deliverables. The definition will be incorporated into IFEM’s Bylaws, and partners and collaborations will be listed on the Website.

7.1 Global Academy of Emergency Medicine

L. Wallis outlined the background regarding an application for membership from this organisation which had been ‘on the table’ for some time. It had been suggested that whilst not eligible for membership, GAEM may be considered as a potential partner or collaborator. A letter outlining the potential relationship had been received and considered by the Board, who decided that at this time, there was no obvious benefit to the relationship for IFEM, however this may change in the future.

7.2 World Health Organization Emergency, Trauma and Acute Care The President outlined IFEM’s increasing involvement with WHO and the Global Alliance for Care of the

Injured (GACI) represented by Dr Gautam Bodiwala and Dr Teri Reynolds. Dr Reynolds (and another staffer soon to be employed) now represent emergency care in this forum and have produced a Basic Emergency Care course endorsed by IFEM. The aim is for the WHO to produce content and for IFEM to partner for distribution and implementation. AFEM has taken on a similar role and has received considerable funding. L. Wallis believed that this is a very exciting venture which might lead to funded projects. There is a great deal of work and he encouraged interested people to become involved and was happy to answer any enquiries outside of the meeting. There are 14-15 major projects currently ongoing relating to the definition of the essential elements of emergency care systems, as well as an emergency care assessment tool. T. Hassan confirmed that the RCEM would be very happy to offer assistance.

Action: Members invited to express interest in supporting initiatives in their country

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7.3 AHC Media Proposal The Communications Committee Chair Dr Alan Drummond had met with representatives of this group

to discuss their offer of free CME and journal publications (trauma reports, paediatric reports and monthly publications) to residents and trainees of developing countries. A 20 year archive would also be made available. A discounted subscription would also be available to IFEM members meeting the necessary criteria. Whilst the content is US based and only available in English, it was still considered to be of potential benefit. The Board had supported this, on the basis of a one year trial.

8. INTERNATIONAL CONFERENCE ON EMERGENCY MEDICINE 8.1 ICEM 2016 – Report

Chair of the Organising Committee for ICEM 2016 Dr Melanie Stander presented a report on the recent Conference, explaining that the ICEM brand is a respected product that should be built upon. In presenting her report, she thanked Prof Lee Wallis, Dr Heike Geduld and members of the organizing Committee. Highlights included:

13 pre-conference workshops.

2 keynote presentations each day.

65 scientific tracks, with 6-7 running simultaneously. Two were conducted in Spanish and this is recommended for future Conferences. E. Menendez thanked Dr Stander for the Spanish tracks which were greatly appreciated.

2 paediatric marketplaces on 2nd and 3rd day of the Conference, which were very well attended.

Resident stream was very well attended and is recommended for future conferences.

Total of 315 speakers from 45 countries, the majority being from Africa.

864 free paper abstracts received, 739 accepted. Final number of 652 presented, of which 99 were oral free papers the remainder being posters.

Total of 1829 registrations.

Welcome Cocktail reception at the Two Oceans Aquarium.

Silver Jubilee Celebration Dinner at the Cape Town Club.

Registrar Social Dinner and Gala Dinner.

IFEM presented with USD$90,475 royalty. J. Holliman thanked members of EMSSA for a wonderful meeting. G. Bodiwala believed that the occasion was a fitting reflection on 25 years of IFEM’s history, and asked for formal recognition of this by the Assembly. This was confirmed by those present with applause.

8.2 ICEM 2018, 5-9 June, Mexico - Update

J. Bravo Gutierrez (SMME) outlined progress with the upcoming Conference, including:

Super early bird registration.

Staged payment of registration via credit card.

A comprehensive social media strategy including Facebook, Twitter and the Website.

Chair of the Organising Committee is Daniel Lopez-Tapia who is also President of SMME.

Abstracts will be invited form January 2017.

Marketing in English will be managed by L. Plaster of EPi.

Work has commenced on the social program.

8.3 ICEM 1919, 12-15 June, Seoul

Nil to report. The President advised that IFEM would be seeking to identify a liaison person for this Conference.

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8.4 ICEM 2020, 16-19 June, Buenos Aires - Update

E. Menendez (SAE) referred to the recent Inter-American Congress held in Mendoza where the Conference Organising Company MCI had been used as a trial for ICEM 2020. A report would be available to the Board in the coming months.

8.5 ICEM 2021 – 8-11 June, Dubai Dr Abdel Noureldin representing the host organization Emirates Society of Emergency Medicine assured

members that arrangements would commence in good time. He noted the timing and the hot climate at that time of the year; but was certain this would not affect the success of the conference.

8.6 ICEM 2022 – Venue Selection Committee Report and Recommendation CPD Committee Chair F. Hickey referred to the recommendation of the Venue Selection Committee and

the related report. Seven bids had been received however one bid had been received late and disqualified. Of the remaining bids four had been of high quality and indeed would have been able to host the Conference with success with the top two bids of exceptional standard. The recommendation was for the Australasian College for Emergency Medicine to host the ICEM 2022 in Melbourne, which had been supported by the Board. F. Hickey moved, seconded by T. Hassan that ACEM be declared the host for ICEM 2022 in Melbourne.

Motion: F. Hickey/T. Hassan That IFEM appoints the Australasian College for Emergency Medicine as the host of the 21st ICEM in 2022.

TO VOTE The President emphasized that whilst there was no quorum available, public announcement of this decision would have to wait until email approval by the Assembly. F. Hickey raised other issues relating to the ICEM arising from Committee discussions: - the timing of the ICEM, and a recommendation that it be held only in the month of June, instead of

the current window of May/June. This is in view of the decision to ensure IFEM symposia were held no less than two months either side of the ICEM. In discussion it was noted that venues such as Dubai and Melbourne were not the best climate in June, but it was agreed that to move the meeting is very problematic.

- that bidders be asked to submit letters of support with the bid only from within the country. This would alleviate issues of conflict of interest when recommendations of support from other organizations and individuals outside the country may be asked to participate in the venue selection process.

- the Committee had reviewed the scoring criteria and considered removing the disadvantage to founding member organizations if they have held an ICEM in the last 10 years. In view of the fact that 10 years had expired since an ICEM was held in a founding member country, this was no longer an issue and it was agreed to leave the scoring criteria unchanged.

- the Committee also agreed that requests for endorsement of annual conferences from Members who had received previous approval could be signed off by the Chair without circulation to the Committee, to speed up approvals.

It was also noted that any Member could ask to have their events publicised on IFEM’s Meeting Calendar, however more notice was required.

These recommendations had been approved by the Board.

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8.7 ICEM 2023 - Call for expressions of Interest

The deadline for expressions of interest for ICEM 2023 was noted as 30th June 2017, giving bidders 8 months to submit a bid. F. Hickey emphasized that the timeline for bids had been shortened, to account for the move to an annual Conference. The President explained that the scoring criteria and guidelines had been approved by the Board and would be available to members to access. The current bids were available for members to review at the back of the meeting room or copies of old successful bids were also available from the Secretariat.

F. Hickey highlighted the need for future bidders to pay more attention to the scientific program within their bid. It was agreed this should be reflected within the Guidelines.

Action: F Hickey

9. IFEM SYMPOSIA

9.1 The Inaugural Welsh International Symposium on Emergency Medicine (WISEM) 16 - 17th May, Cardiff, Wales - Report T. Rainer gave a brief report on this Conference and thanked IFEM for the opportunity to host this

meeting. (Hard copy of report submitted with papers.) 9.2 Symposium on Public Health and Emergency Medicine, Cuba The President advised that a date has yet to be confirmed for this meeting which will be either 2017 or

2018. 10. COMMITTEE REPORTS 10.1 Finance Committee 10.1.1 Report as at 1st September

J. Ducharme referred to the circulated reports and confirmed that IFEM is tracking within budget, however some additional costs relating to the Strategic Workshop had been unbudgeted.

10.1.2 Suspension of Members with outstanding dues of > 2 years

For ratification of Board recommendation, September 2016: J. Ducharme referred to the recommendation that six organisations who were more than two years in arrears with membership dues be suspended. He advised that the RRCEM (Uzbekistan) had indicated they would pay outstanding fees in full shortly. The South Pacific Society was undergoing a restructuring and therefore suspension should be delayed pending further information. He moved that the remaining four organisation be advised that their membership would be suspended. Motion: J. Ducharme/A. Yock

That the following Organisations be suspended from membership:

Chinese Association of Emergency Medicine

Sociedad Dominicana de medicina de Emergencina y Desastres (SODOEM)

Sociedade Cearense de Medicine de Urgencia (SOCEMU)

Society of Emergency Physicians Pakistan (SEPP) TO VOTE

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The definition of ‘suspension’ was clarified; meaning that if these organizations pay their outstanding dues at any time in the future they may be reinstated. The President confirmed that waivers and discounts were available to members but they needed to apply annually to the Treasurer.

10.1.3 IFEM’s Financial Strategy Refer to discussion at item 14.1. 10.1.4 IFEM Foundation

J. Holliman advised that the IFEM Foundation was now fully operational, with a donation platform and website established. It is hoped that this will be one of the important streams of income for IFEM and for project based operational activities. He encouraged members to donate and to encourage them to promote the Foundation to their colleagues and organisations. www.ifemfoundation.org In discussion A. Noureldin suggested individuals could join as Gold or Silver members and it was agreed this could be teamed with the option for rolling donations. On behalf of the team, J. Holliman thanked Terry Mulligan, Karen Holliman and Jason Lazott for their donated time in getting the Foundation up and running. J. Ducharme also offered congratulations on behalf of the Assembly. J. Ducharme also formally recognised the contributions of ACEM, ACEP and CAEP in their support of IFEM, enabling the organisation to move forward in the right direction.

10.2 Governance Committee Governance Committee Chair C. Hobgood spoke to her summary of the changes to the Bylaws (circulated with papers) which were aimed at clarifying and streamlining the bylaws in a number of ways:

Confirmation of a Quorum.

A new article (Election and Recall processes) pertaining to election of the Board and the election process.

Recall procedures were clarified.

President-elect would now have voting rights.

Discussion focussed mainly on the change to nominations for election to the Board; whereby only Full members could nominate potential candidates. This did not stop Affiliate members from nominating as many candidates as they wished, rather they required the endorsement of the Full member within that country or region. Some members perceived this may take away the rights of the Affiliate member. C. Hobgood emphasised that the change would align with the structure of the organisation, which is governed by Full or Founding voting members. L. Moreno-Walton did not support this change as she believed IFEM should promote diversity. The President explained that this rule in particular would apply to the US, where there is one Full member (ACEP) and four other affiliate members. As an example he explained that any US member could nominated individuals, but must have the support of ACEP. G. Bodiwala believed the bylaws are clear that Affiliates are not voting members. He also noted that Affiliate members may include non-emergency physician organisations. K. Rodgers commented that this was politically naïve and did not support the change. T. Hassan thanked C. Hobgood for the extensive review, and believed that the Executive and Board are the most appropriate to bring names forward, and supported the change. He agreed Affiliate members could discuss nominations amongst themselves but then submit the nomination to the Full member for endorsement. T.S. Srinath Kumar and P. Pageau also supported this.

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http://www.ifemfoundation.org/


A ‘straw poll’ or show of hands was debated to move forward on this particular issue, but it was agreed it would not help given the requirement for a quorum to vote on the issue at a later time. A. Lawler identified two reasons for this change that had been extensively discussed by the Governance Committee, the Executive and the Board: to stop individuals being nominated from outside their region, and that nominated individuals must be able to speak on behalf of their region. He supported the change as put forward. He did not support a straw poll given more than half the members were not present. C. Hobgood emphasised that IFEM had no wish to be involved in political issues at a regional level. F. Hickey also supported the change, noting that there was no limit on the number of candidates that may be submitted (by a Full or Affiliate member). T. Mulligan agreed that IFEM should not involve itself in regional politics, but said the discussion should focus on which nominations are permitted. He believed Full or Affiliate members should be allowed to sign off on nominations, and let the results of the election decide the outcome. In closing the discussion L. Wallis thanked C. Hobgood for her work and the members for the useful discussion. He highlighted the need for 60 days’ notice following dissemination of the draft bylaws before a vote could take place electronically, given the lack of a quorum. He suggested that all non-contentious Bylaws amendments (being all but one) be circulated for approval with the exception of the single contentious issue outlined above, which would have a separate email be circulated for a separate vote. This was agreed. F. Hickey suggested that in future the quorum should be represented by 50% + 1 of the members present and it was agreed this should be referred to the Governance Committee. Motion: From the Chair 1. That the Bylaws, as amended and circulated to the Assembly be approved. 2. That Article VII: Section 2, point 2 be approved:

Nominations for election to the Board must be submitted by Full or Founding Member organizations and signed by a representative of the nominees’ Member organization.

Action: Governance Committee to review policy for a quorum

10.3 Specialty Implementation Committee Nil discussion.

10.4 Core Curriculum and Education Committee

T.S. Srinath Kumar raised the suggestion of IFEM endorsement of examinations for a fee, as a revenue raising exercise as well as an educational one. Due to the lack of time the President suggested this be referred to the Core Curriculum and Education Committee and as part of the deliberations regarding the financial strategy.

Action: To CC&Educ Committee and Executive

10.5 Continuing Professional Development Committee Discussion recorded at item 8.6 and 8.7.

10.6 Clinical Practice Committee Nil discussion.

10.7 Research Committee Nil discussion.

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10.8 Communications Committee

On behalf of Chair A. Drummond, J. Ducharme highlighted the developments from the recent meeting. A. Drummond proposes to write to the main newspaper in countries where key EM issues require lobbying by IFEM. This was agreed, subject to monitoring by the President. Standard templates (in more languages than just English) can be developed and tweaked for each situation. Dr Ducharme encouraged members to contact Dr Drummond to assist with issues that require engagement at a political or health ministry level. Dr Drummond has developed good engagement via social media.

10.9 Committee membership 2016-2018 The President confirmed that the Board has signed off on committee membership for a further two years. Members may still submit nominations for committee membership on an ongoing basis.

11. TASKFORCE REPORTS 11.1 Access and Availability Taskforce Nil discussion. 11.2 Global History Taskforce This publication is still in development and individuals are working to submit chapters on each

country. 11.3 Global Trainees Organization Task Force Given difficulties with engagement, it had been agreed to disband this as a taskforce and

encourage the development of a Special Interest Group. 11.4 Subcommittee for Academic Development 11.5 Spanish Translation Taskforce 11.6 Sustainability of EM Workforce Taskforce 11.7 Efficacy of EM Taskforce 11.8 Accreditation and Assessment Checklist Taskforce Nil to report.

12. IFEM SECRETARIAT

12.1 Memorandum of Understanding with ACEM

A. Lawler (President, ACEM) explained that this agreement had been successfully re-negotiated, with ACEM offering IFEM a tapering financial commitment that would conclude in 2018.

13. OTHER BUSINESS L. Wallis reminded Assembly members that they were invited to the ACEP Closing Party and could

obtain tickets from D. Gonzales.

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14. TOPICS FOR OPEN DISCUSSION 14.1 Development of a sustainable IFEM

The President outlined discussions from the morning’s strategic workshop and feedback on changes to the proposed Vision and Mission. VISION STATEMENT: IFEM advocates for access to, and the development of, the highest quality of emergency medicine for all people. MISSION: IFEM’s mission is 1) To develop and help mature the specialty of emergency medicine. 2) To promote and foster the growth of emergency medicine. 3) To collaborate and network with national and international organizations to coordinate the worldwide development of emergency medicine. Essentially it is proposed to amalgamate the first two points which were considered duplication, and then have the third point describe how IFEM will achieve the first point. He believed that whilst the language is not so important, there was consensus on IFEM’s direction which was the key to moving forward. The issue now is to concentrate on funding the organisation and the President invited feedback from the Assembly, summarised as follows:

A shared understanding of the issues was achieved, and was a step towards an action plan. IFEM still needs to agree on what to provide and to which external bodies it should interact with.

It is important that IFEM aligns with other international organisations such as the WHO, and therefore a focus on emergency care for all people will facilitate this.

There are a large number of research organisations that will be interested in collaboration and IFEM should exploit this.

Whilst IFEM’s purpose should focus on advocacy, we need to ensure we don’t undermine efforts of individual countries.

A steady income is imperative.

The physician : patient relationship should be recognised and highlighted.

IFEM needs to provide evidence of what it does to governments, and to illuminate its freedom from bias.

The IFEM Foundation should be promoted.

CLOSE AND ACKNOWLEDGEMENTS The President thanked the members for their engagement. He also acknowledged the Support staff and CAEP, ACEM and ACEP for their ongoing support of IFEM.

NEXT MEETING

30 October – 2nd November 2017, ACEP17, Washington DC, USA

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ACN 145 437 216

Secretariat: 34 Jeffcott Street, West Melbourne, Victoria, 3003 Australia

Ph :+61 3 9320 0444 Fax: +61 3 9320 0400 Email: [email protected] Web: www.ifem.cc

IFEM’s VISION:

IFEM will promote access to, and lead the development of, the highest quality of emergency medical care for all people.

IFEM’s MISSION:

To advance the growth of high quality emergency medical care through

education and standards.

To lead the collaboration and networking necessary to establish universal

equality in service and care.

To promote the creation and growth of the specialty of emergency medicine in

every country.

As approved by IFEM Board 9 February 2017

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1

REPORT OF

IFEM STRATEGIC WORKSHOP HELD 18th OCTOBER 2016

Mandalay Bay Convention Centre, Las Vegas, USA

_________________________________________________________________________________

Invited: IFEM Executive, Board, Full and Founding IFEM members and Committee Chairs

Present: IFEM Executive: L. Wallis (President and Chair), C.J. Holliman (Immediate Past President), J.

Ducharme (President‐elect), T. Rainer (Vice President), M. Stander (Secretary and representing (EMSSA),

J. Bravo Gtz (Member‐at‐Large)

IFEM Board: Swee Han Lim (Board member, Asia and ACEM, SEMS representative), A. Lawler (Board member, Australasia and President ACEM), E. Menendez (Board member, Central and South America and SAE representative), T. Mulligan (Board member North America and Chair, Clinical Practice Committee) Full Members (Voting): A. Vernaza (ASPAME), M. Gerardi (ACEP), A.J. Moya (ASOCOME), P. Pageau (CAEP), A.A. Cevik (EMAT), A. Noureldin (ESEM), P. Ho (HKCEM), M. Svavarsdottir (ISEM), N.V. Lagman (PCEM), T. Hassan (RCEM), A. Kimura (JAAM), T. Srinath Kumar (SEMI), Cheng‐Chung Fang (TSEM), T.S. Srinath Kumar (SEMI/ASEM), R. Rosas C(SOCHIMU), Crispijn van den Brand (NSEP/NVSHA), J. Daniel Lopez Tapla (SMME), F. Hickey (IAEM and Chair, Continuing Professional Development Committee) Kim Won Young, (KSEM) Committee Chairs not listed above: D. Taylor, C. Hobgood, N. Jouriles, E. DeVos Past Presidents: G. Bodiwala Deloitte: Matt Gracie, Sally Stansfield and Kimberly McCabe

Introduction

The President Prof Lee Wallis briefly welcomed members and outlined the program for the morning,

which aimed to 1) refine a new Vision and Mission for IFEM, 2) consider a strategic plan and 3) a financial

strategy. Representatives of Deloitte had been invited to contribute to facilitate the third component of

the morning. He encouraged all to be active and involved.

________________________________________________________________________________

Session 1: Review of the Draft Vision and Mission facilitated by J. Ducharme

The following draft Vision and Mission had been circulated to the Assembly by the Board for discussion.

VISION: IFEM advocates for access to, and the development of, the highest quality of emergency

medicine for all people.

MISSION: IFEM’s mission is

1) To develop and help mature the specialty of emergency medicine. 2) To promote and foster the growth of emergency medicine. 3) To collaborate and network with national and international organizations to coordinate the

worldwide development of emergency medicine.

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2 Outcomes

During discussion the following points were made:

Vision:

‐ Principle agreement on the vision ‐ Language to be simplified. Remove ‘advocates’ and replace with ‘leads’ or ‘drives’. ‐ Needs to be action‐oriented ie. IFEM will be ….. ‐ Emergency medicine vs emergency care to be clarified further. ‐ Favour ‘Promote and foster growth of high quality emergency medicine for all’

Mission:

‐ Vision needs to translate to mission. ‐ 1st and 2nd points the same; amalgamate and include education. ‐ Point 3 is an enabler for 1‐2 – maybe doesn’t need its own spot. ‐ Remove ‘help mature’ other specialties ‐ Patient access / equity of access should be reflected ‐ Service equality ‐ Support for the term ‘emergency medical care’

Session 2: Summary discussion about current objectives of IFEM facilitated by C. Hobgood

Prior to the workshop IFEM Members were surveyed for their three top priorities for IFEM. 22 responses

were received from all regions. Results were presented to the Group (below).

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3

Members were encouraged to focus on the future direction of IFEM and identify a target goal for a 3‐5

year horizon. Five tables produced the following:

IFEM believes that all citizens in the world should receive high quality emergency healthcare by trained emergency physicians and other healthcare personnel. IFEM provides services and resources to achieve this goal.

IFEM facilitates access to emergency care through advocacy and capacity building and standards tailored to the needs of communities in all countries.

Every country has ‘real’ EM by 2050 (Big Hairy Audacious Goal) Transition from current to BHAG. Developed EM Leadership, Resources, Mentoring Yet to Develop EM Any organisation, Standards, Neighbours

IFEM will be the obvious and recognised authority for global emergency medicine.

IFEM – Premier organisation ‐ Capacity building, including skill development ‐ Patient centred ‐ System development ‐ Timely access ‐ Centralised Curricula

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4 Participants then suggested 3 and 5 year goals for each of IFEM’s three missions, and voted for each.

Table 1: Ranked goals

IFEM’s mission

3 year goals

As ranked

5 year goals

As ranked

Find financial resources to do work

To develop and help mature the specialty

of emergency medicine.

Define high quality policy that defines emergency care

Define EM development stages

Identify what has worked

Access and availability survey

Assist countries identified in survey with action plan

Two‐way learning

To promote and foster the growth of

emergency medicine.

Facilitate building the structure

Resource list from IFEM to help others develop

Access strategy

Guidelines for certification

UN Speech

To collaborate and network with national

and international organizations to

coordinate the worldwide development of

emergency medicine.

Communication, including translation

Obtain buy‐in from Organizations and the Media

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5

Session 3: Strategic Discussion for organizational change facilitated by M. Gracie

Aligning the Vision and Mission to Strategic Choices – responses

Five tables identified indicators for each of IFEM’s three missions.

IFEM’s mission

How will you succeed? What capabilities will you

need?

Timing to Impact?

By When?

Funding Thoughts?

To develop and help mature the

specialty of emergency medicine.

IFEM structure

Training system scalability

Develop policies and standards (accreditation)

Define EM system and mature endpoint

Staffing

Funding

Operational structure

Standards

Value prop‐> Communicate ‐> Power broker

To promote and foster the growth of

emergency medicine.

Build the IFEM brand

Leverage and tailor existing policies in a country

Projects from government funds

To collaborate and network with

national and international organizations

to coordinate the worldwide

development of emergency medicine.

Increase Network Countries

Increase emergency physicians Survey current staff and develop priorities

Membership

Structure to deliver basic Infrastructure

Sponsorship from more advanced countries

Membership dues Blended membership (change

structure)

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6

Session 4: Potential models for funding facilitated by M. Gracie

M. Gracie provided background to frame the discussion on considering financial options with the

following example.

Feedback from discussion at the tables resulted in the following funding models being identified and

ranked as follows:

1. Sponsorship (Low impact, low feasibility)

2. Projects (high impact, medium feasibility)

3. Grants/funding (high impact, high feasibility)

4. Corporate social impact (Medium impact, medium feasibility)

Lowest ranked options were international government contracts, partnerships, membership dues

and conferences.

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7

Next Steps

1. Executive to follow‐up with Deloitte for developing a strategy that would lead to a viable

and vibrant source of ongoing funds for IFEM.

2. Executive to incorporate feedback and finalise Vision and Mission. (Completed February

2017)

3. After further discussion with Deloitte and other outside experts (legal etc), the Finance

Committee to present a budget and financial proposal to the Board.

Further discussion was curtailed due to lack of time. The President thanked all attendees for their

input which would be considered further by the Board.

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ACN 145 437 216

IFEM EXECUTIVE Minutes of Meeting held 16th October 2016 Mandalay Bay Conference Centre, Las Vegas, NV USA

________________________________________________________________________ Present: Lee Wallis, President C. James Holliman, Immediate Past President

James Ducharme, President-elect Melanie Stander, Secretary J. Bravo, Member-at-Large Carol Reardon, Executive Officer

1. APOLOGIES A. Cross, T. Rainer 2. MINUTES OF MEETING HELD 28th AUGUST 2016

Approved without amendment. Motion: J. Holliman/M. Stander

That the minutes of the Executive Meeting held 28th August 2016 be accepted. CARRIED

3. IFEM’s Strategic Direction - Workshop 3.1 Results of Survey 3.2 Options for Consulting / Facilitation of Workshop 3.3 Financial plan: 3, 5 and 10 years L. Wallis explained the aim is to finalise : - Vision and Mission - Financial Strategy - Structure to support this

It was agreed that the top three priorities over 3, 5 and 10 years would need to be identified, based on results of the survey undertaken of Assembly members. 3-5 models for a financial strategy would be optimal, with definitive outcomes and an action list. A composite model of goals with a supporting financial structure providing for sustainability was key.

4. Board / AGM/ Assembly agendas for review No additional items were identified. 5. IFEM Collaborations, parternships and affiliations – definition

L. Wallis suggested that some new membership is required on the Governance Committee as it should be a potential ‘breeding ground’ for Board and Executive members. WADEM – L. Wallis undertook to contact the President of WADEM in an effort to be more proactive. He would propose a partnership, with the Disaster Medicine Special Interest Group a key liaison point. GAEM – Members considered a letter from this organisation and believed there was no clear benefit in a relationship with GAEM. In discussion M. Stander suggested that IFEM’s prospective partners should have access to our strategy.

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IFEM Executive Minutes – 4 August 2016 Page 2 6. Other Business 6.1 IFEM Online curriculum content – WikEM A proposal for involvement in this site was considered. Given the large number of these kinds of

sites, it was agreed to not endorse or become involved at this stage. Action: LW respond

6.2 Communications Strategy M. Stander referred to her memo and emphasise that IFEM needs traction on social media. She

suggesting leveraging off the ACEP16 twitter feed, and development of a newsletter. ICEM 2018 should engage with IFEM’s twitter feed. Referred to Communications Committee for discussion.

6.3 IFEM Terminology Project The issue of a definition of emergency medicine as opposed to emergency medical care had been

raised. The President believed it was important to promulgate the terminology document urgently. It was agreed to ask P. Anderson to : - Finalise the document - Promote via the Website and newsletter - Circulate to members - Promote via social media

Action: LW?/ AD 6.4 ICEM 2018

J. Bravo updated members on arrangements for the Conference. - Venue is booked - Scientific program in development - Keynote speakers are being confirmed - Social program will be finalised by Dec/Jan - Early bird registrations can be paid in instalments - A booth has been booked at ACEP16

6.5 Committee membership

Whilst this list is finalised and awaiting approval by the Board, the President noted additional members could be added subject to approval by the relevant Chair. It was agreed the Vice-Chair should also be asked to be involved.

7. Meeting schedule: ? December 2016

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ACN 145 437 216

MINUTES IFEM BOARD TELECONFERENCE

Held Monday 17TH October 2016 Mandalay Bay Hotel, Las Vegas, US

_________________________________________________________________________

1. WELCOME Present: Lee Wallis, President James Ducharme, President‐elect C. James Holliman, Imm.Past President Timothy Rainer, Vice President Melanie Stander, Secretary Jesica Bravo Gtz., Member at Large Anthony Lawler, Australasia Edgardo Menendez, Central/South America Swee Han Lim, Asia Terrence Mulligan, North America C. Reardon, Executive Officer The President welcomed all in attendance.

1.1 Declaration of conflicts of interest Nil declared. 2. APOLOGIES Anthony Cross, Hendry Sawe, Juliusz Jakubaszko, S. McCarthy, R. Suter. 3. Additional agenda items No items raised.

4. MINUTES 4.1 Minutes of Board Meeting held 19th September 2016

There being no amendments to the Minutes, J .Ducharme moved, seconded by A. Lawler that the Minutes of the previous meeting be accepted. Motion: J. Ducharme/A. Lawler That the minutes of the Board Meeting held 19th September be accepted.

CARRIED 5. BUSINESS ARISING FROM PREVIOUS MEETING (not covered elsewhere) 5.1 EM Day of Service

J. Holliman summarised this EMRA sponsored initiative where residents focus on community service projects. He believed IFEM should support this.

6. GENERAL BUSINESS 6.1 Applications for membership

6.1.1 Egyptian Trauma Society (Affiliate)

No further information to hand. J. Holliman had attended a meeting there in September and emphasised that IFEM needed more information about the nature of membership to progress this application.

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IFEM Board Minutes – October 2016 Page 2 6.1.2 American Association for Emergency Psychiatry (Affiliate) – for ratification by the Assembly

6.1.3 Egyptian Society of Emergency Medicine (Full) – for ratification by the Assembly 6.1.4 Gulf Federation of Emergency Medicine

An application for Ex‐officio membership of this new organisation had been forwarded by S. Fares, but not 90 days prior to the Assembly as required by the Bylaws. To next Board meeting.

6.1.5 Academic College of Emergency Medicine Experts in India – pending application 6.2 Collaborations/Affiliations

The Governance Committee had worked up definitions for Collaborations and partnerships which would be drafted for inclusion in the Bylaws.

6.2.1 Global Academy of Emergency Medicine This application for membership had been received in 2014, and earlier in the year it had been agreed that they may be eligible for collaboration rather than membership. Following receipt of a letter from GAEM, the Executive had suggested that IFEM should not take up the offer to partner at this time, given there is insufficient benefit to IFEM. The Board agreed that if in future the organisation was able to demonstrate evidence of shared objectives with IFEM, it would be appropriate to reconsider a partnership.

Action: LW Respond to GAEM

6.2.2

World Health Organization Emergency, Trauma and Acute Care L. Wallis noted collaboration with this Unit which is not yet formalised. They will forward a letter of collaboration in the near future so we have a formal agreement with some deliverables.

7. ICEM UPDATES 7.1 ICEM 2016 – report

M. Stander briefly referred to her comprehensive report of the ICEM 2016 held in Cape Town. F. Hickey believed these reports are very useful for future bidders and can be used as a template.

7.2 ICEM 2018, 5‐5 June, Mexico City J. Bravo reported on preparations for this meeting:

A comprehensive social media strategy including Facebook, Twitter and the Website.

Super early bird registration will be made available, with the opportunity for registrants to stage payment of registration via credit card over 12 months (US$500).

Chair of the Organising Committee is Daniel Lopez‐Tapia who is also President of SMME.

Abstracts will be invited form January 2017. JB will liaise with M. Stander regarding important lessons from ICEM 2016. J. Bravo agreed to send information through to A. Drummond as Communications Chair so there is an ongoing feed to social media.

Action: JB/AD

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IFEM Board Minutes – October 2016 Page 3 7.3 ICEM 2019, 12‐15 June, Seoul

Given there is no person reporting on this meeting, Swee Han Lim undertook to identify a liaison person from the Korean Society.

Action: SH Lim 7.4 ICEM 2020, 15‐18 June, Buenos Aires

E. Menendez explained that the InterAmerican Conference held in Mendoza this year had been organised by the Conference Organising MCI, as a trial for the future ICEM meeting. A report will be forthcoming.

7.5 ICEM 2021, 8‐11 June, Dubai The timing of this meeting was highlighted, as it will be very hot in June in Dubai. F. Hickey said the CPD Committee is recommending ICEM’s occur in June and not May/June, given the ruling that Symposia should be held no less than two months either side of the ICEM meeting. Agreed that ICEM’s should be held in June.

Action: FH to update guidelines7.6 ICEM 2022 – Recommendation from Venue Selection Committee

F. Hickey confirmed that 7 bids had been received, one of which was past the deadline and disqualified. Many of the bids focussed on the cities and tourism, with a dearth of information about the scientific program. The top two bids were of excellent quality, and it was the recommendation of the Venue Selection Committee that the Australasian College for Emergency Medicine be awarded the Conference, to be held in Melbourne. Motion: J. Ducharme/E. Menendez That IFEM appoints the Australasian College for Emergency Medicine as the host of the 21st ICEM in 2022. CARRIED

Action: LW letter to ACEM

F. Hickey also mentioned letters of support provided by Bidders with their applications. These were problematic if from outside the country given that they could disqualify individuals from joining the Venue Selection Committee, and did not add a lot to the Bid. It was agreed that letters of support should be discouraged in future bids.

Action: FH to update guidelines7.7 ICEM 2023 – Timeline for expressions of interest

F. Hickey highlighted the timeline agreed by the CPD Committee for this Conference as follows: October 2016 Secretariat distributes call for Expressions of Interest to all eligible Member

Organisations (<6yrs)

30th June 2017 Bid submission closes (gives bidders 8 months)

July 2017 Venue Selection Committee appointed

Chair reviews bids for completeness

July 2017 Eligible Bids sent to Venue Selection Committee

August 2017 Venue Selection Committee Teleconference

September 2017 CPD Committee Teleconference

September IFEM Board meeting teleconference

October 2017 Venue recommendation put to IFEM Assembly for ratification

The timeline has been shortened to 8‐9 months’ notice to members, given that annual ICEM’s mean there is no longer a two‐year interval between Conferences.

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IFEM Board Minutes – October 2016 Page 4 8. IFEM SYMPOSIA 8.1 Report 1st Welsh International Symposium on Emergency Medicine (WISEM)

T. Rainer spoke to his report of this Conference which had been circulated to members. He believed it had been a very good opportunity for both Wales and IFEM, and had put ‘Wales on the map’ in EM terms. Whilst the meeting broke even, a report including 22 recommendations had been produced which was a great outcome. 50 abstracts had been received, 230 registrations half of which were specialists and 1/3 non‐medical and 1/3 residents. The President thanked Prof Rainer for his involvement and offered congratulations on behalf of IFEM.

8.2 IFEM Symposium on Public Health and Emergency Medicine, Havana, 2018 This meeting had originally been planned for 2017, but would now be deferred to 2018. H. Hall had advised that the timing might clash with ICEM 2018. F. Hickey said they may have a meeting and ask for endorsement as opposed to a Symposium.

8.3 NVSHA – potential Symposium on Overcrowding The Dutch Society had contacted IFEM regarding the possibility of this Conference – yet to be received, but the idea was supported.


The President asked for brief verbal reports given that annual reports had been tabled as part of the Annual Report. He sought general discussions about the Committee work and where it might lead to, as background to the strategic discussion.

9.1 Finance Committee 9.1.1 Annual Report Noted.

9.1.2 Profit and Loss and Balance Sheet as at 31st August

J. Ducharme confirmed IFEM is tracking on budget, with the exception of costs relating to the Strategic Workshop scheduled for the following day.

9.1.3 Suspension of Members and Debtors – recommendation Members noted a list of debtors. J. Ducharme advised that the Republican Research Centre of Uzbekistan had indicated it would pay its dues in full. The South Pacific Society was undergoing reinvigoration and it was agreed should remain a member until clarification was received.

Recommendation: J. Ducharme/A. Lawler

That the following Organisations be suspended from membership:

Chinese Association of Emergency Medicine

Sociedad Dominicana de medicina de Emergencina y Desastres (SODOEM)

Sociedade Cearense de Medicine de Urgencia (SOCEMU)

Society of Emergency Physicians Pakistan (SEPP) CARRIED

Action: LW/AC Letters

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IFEM Board Minutes – October 2016 Page 5 9.1.4 US Foundation

The Foundation was now up and running with a bank account, website and means of payment. The President thanked J. Holliman and T. Mulligan and Mrs Karen Holliman for all of their efforts. The first meeting of the Board of Directors would be held later in the day. Already donations had been received. J. Ducharme highlighted the need for multiple funding streams as part of IFEM’s financial strategy.

9.1.5 Proposed Fees and Charges A schedule of proposed fees was considered. Agreed that in view of undetermined strategic plan, fees should be maintained at the same rate for the time being. Motion: J. Ducharme/A. Lawler

That the schedule of fees for 2017 as circulated be approved.

CARRIEDAction: CR to promulgate

9.1.6 Proposed Investment Term Deposit Members considered a proposal for how IFEM’s growing funds should be invested. Based on the FY2017 budget, it was anticipated that IFEM will require access to approximately $175,000 for the remainder of the financial year (approximately $45,000 per quarter). The term deposit could be approached in 2 ways:

Retain operational funds of $175,000 in existing bank accounts and invest $165,000 in a term deposit account for a period of 9 months (to mature shortly after the end of the financial year). This method will likely yield a higher interest rate, or

Invest $300,000 for rolling 3 month terms to mature shortly after the end of each quarter (to enable IFEM it to meet its financial obligation to ACEM). This method will likely yield a lower interest rate, but will allow investment of a larger portion of funds.

It was clarified that board approval was required to establish an investment account, but moving the funds around could be at the discretion of the Treasurer. A. Lawler believed an appropriate process for delegation of authority should be established. Motion: L. Wallis/M. Stander That Approval be given for the Treasurer to identify and set up an investment term account on behalf of the Federation.

CARRIED There followed a general discussion about financial reporting and the need for more detail in the accounts presented to Board members. A. Lawler believed full details should go to the Board and even Assembly members if they were interested. C. Hobgood believed the Executive should review full financial details quarterly at the least, and the Board at each meeting. A written and printed presentation should be provided to the Assembly with full access to all financial details if requested.

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IFEM Board Minutes – October 2016 Page 6

L. Wallis suggested that once a line‐by‐line report is available to Board as a standing item, then the Board should reassess broader access.

Action: AC/CR full detailed reporting to Board meetings

9.2 Governance Committee 9.2.1 Annual Report Noted.

9.2.2 Minutes of Meeting held 15th August 2016 to be received. 9.2.3 Draft By‐laws

The President explained that the re‐drafted By‐laws had not been received by the Assembly 60 days in advance of the meeting. He queried whether to re‐circulate them with the Minutes of the meeting for approval 60 days after their initial circulation or wait until the following year. Following discussion it was proposed to ask the Assembly to waive the requirement for 60 days’ notice and consider the draft Bylaws as circulated. Motion: L. Wallis/J. Bravo That the Assembly be requested to waive the requirement for 60 days’ notice for consideration of the redrafted Bylaws, as tabled.

CARRIED C. Hobgood explained that a clean copy of the draft had been circulated to both Board and Assembly, given the extensive re‐writing. She summarised the key changes: 1. Quorum will be determined by the Secretariat for each meeting. A Quorum is defined as at least 50

percent plus one member of all eligible voting members. A quorum is required for votes to change bylaws, accept policies or approve new member applications. A 2/3 vote of the convened assembly, judged to be a quorum, is required for a bylaws change. Simple majority votes are required for acceptance of policies or approval of new member applications. In the absence of a quorum discussion pertinent to such issues may occur and be brought forward in the minutes.

2. A new Article VII has been created. This will include the following sections: Section 1: Nomination

Committee, Section 2: Board Nominations, Section 3: Executive Nominations, Section 4: Election Protocol, Section 5: Recall Procedures.

3. The nominating committee was defined as a standing subcommittee of the governance committee.

The chair of the nominating committee will become an official duty of the IFEM president elect. 4. The existing sections on the Board and Executive both contained redundancies and language on

election procedures. These were removed, clarified, and streamlined. These are contained in Article 7, sections 2 and 3. Key changes include the following:

Nominations must be received by the IFEM Secretariat at least 90 days prior to the Assembly meeting at which the election will take place.

Nominations brought forward require support by the member organization of the nominee and be signed by a representative of the nominees’ member organization,

The individual nominee must be a member in good standing of the nominating organization,

The nominating organization must be in good fiscal standing at the time of the nomination as well as at the time of the election in order for their nominated individual to stand for election.

At the time of nomination, the individual nominee must submit a “consent to act if elected” as well as background demographics and personal information for review by the nominating committee and assembly.

Nominees for President‐elect, must be individuals who are either current or former Board members or Assembly representatives.

27


Nominees for all other Officer positions should serve or have served as either members of the Board, Executive, or as a Committee Chair.

5. The election process delineated in 7:4 will now be defined as follows:

Nominations together with candidate information shall be circulated to the voting members of the Assembly at least 30 days prior to the date of the Election. Voting members of the Assembly are the official association representatives for Founding and Full members.

Ballots for each position shall be prepared containing in alphabetical order the names of candidates nominated,

Ballots for each open Board or Executive position will be polled independently,

Voting will be by secret ballot.

The chair of the nominating committee will oversee the election process during the assembly meeting.

Two (2) members of the Nomination Committee will count the votes independently and ensure the results are the same. If there is discordance in vote counts, the Chair will determine the final results after review of all votes.

All election results are the result of a simple majority victory.

If there are more than 2 candidates in the election, a winner can be declared only if that person has won more than 50% of the total vote count. In the case of more than 2 nominees and the failure of one candidate to procure more than 50% of the total votes, the nominee with the lowest vote total will be removed from the ballot. A second round of voting would then take place. This can be repeated until such time as a simple majority vote for one candidate is obtained,

All eligible Assembly members and the President will cast votes. Should the scrutineers find a tied vote, then the President’s deliberative vote will be added to the count. If there is no tied vote, the Presidents vote will be ignored. The only results announced will be the result of the final count.

Results of the final vote will be announced at the same Assembly meeting, after all pending elections have been completed.

Terms of office of newly elected Officer positions will commence at the conclusion of the Board meeting where elections take place.

6. Recall procedures are defined in 7: Section 5. Key elements are highlighted below:

Any Assembly member may initiate a recall procedure for an Executive or Board member.

This formal notice of attempt at recall must be sent to the Executive Secretariat at least 120 days prior to the next Assembly meeting.

In order for the recall vote to proceed written letters of support for a recall vote must be submitted by at least four (4) additional Board members at least 30 days in advance of the next Assembly meeting.

A two‐thirds vote of the Assembly members present is required to remove an officer from his or her position (conduct the recall).

If the officer is removed, an election will be held at that same Assembly meeting to replace that officer.

7. The President elect was given voting rights on the executive committee.

In discussion the following was raised: ‐regarding a vote during an election, J. Ducharme believed there was no ability for candidates to declare their intentions, rather just submit bio information. ‐ T. Rainer queried what would happen if a majority abstains from a vote. ‐ The President highlighted the fact that successful candidates take office after the election, or at the end of the ICEM meeting and asked Governance to consider this. ‐ With the move to an annual ICEM, there may be two members‐at‐large on the Board at one time given elections are held every two years. Agreed they should be on the Board and not the Executive.

Action: To Governance

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IFEM Board Minutes – October 2016 Page 8 9.3 Specialty Implementation Committee 9.3.1 Annual Report Noted.

E. DeVos explained that the Efficacy of EM Taskforce had been asked to produce some results within a six month deadline. A symposium on policy and advocacy had been mooted. The Trainees Organisation Taskforce had been dissolved and expressions of interest will be sought for a Special Interest Group.

9.4 Core Curriculum and Education Committee 9.4.1 Annual Report Noted.

The American Board spoke at the meeting the day before about international certification which appears to be a complex issue.

9.4.1 Minutes of Meeting held 17th April 2016 Received. 9.5 Continuing Professional Development Committee 9.5.1 Annual Report Noted.

9.5.2 Minutes of Meeting held 6th September 2016

F. Hickey noted the following: ‐ the Committee agreed that requests for endorsement of annual conferences from Members who had received previous approval could be signed off by the Chair without circulation to the Committee, to speed up approvals. ‐ the Committee had reviewed the scoring criteria and considered removing the disadvantage to founding member organizations if they have held an ICEM in the last 10 years. In view of the fact that 10 years had expired since an ICEM was held in a founding member country, this was no longer an issue and it was agreed to leave the scoring criteria unchanged. ‐ the timing of the ICEM, and a recommendation that it be held only in the month of June, instead of the current window of May/June. This is in view of the decision to ensure IFEM symposia were held no less than two months either side of the ICEM. In discussion it was noted venues such as Dubai and Melbourne were not the best climate in June, but it was agreed that to move the meeting is very problematic.

9.5.3 Guidelines for the Selection of the ICEM Venue

Approved, subject to incorporation of changes outlined above.

Action: FH/CR promulgate9.5.4 Timeline for ICEM 2023 Approved, refer item 7.7. 9.6 Clinical Practice Committee 9.6.1 Annual Report Noted.

T. Mulligan gave a brief summary of activities of the Special Interest Groups, and noted new Groups may be established for Trauma, Critical Care and Behavioural Emergencies.

9.7 Research Committee 9.7.1 Annual Report Noted.

9.7.2 Minutes of Meeting held 19th July to be received.

D. Taylor reported:

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Only one application for research project endorsement had been received. A subcommittee had reviewed the criteria and agreed to leave the option to have research collaborations endorsed. This will be re‐launched and promoted more vigorously.

A research training subcommittee is also developing guidelines.

Ethical issues will be a focus

Work has commenced on a pre‐conference workshop for ICEM 2018 9.8 Communications Committee 9.8.1 Annual Report Noted.

9.8.2 Proposal from M. Stander / process for newsletters

The President referred to recommendations from M. Stander for improved internal and external communication by IFEM. It was agreed that there is a need for all to engage via social media. J. Ducharme emphasised the need for multiple languages to be used. A. Drummond proposes to write to the main newspaper in countries where key EM issues require lobbying by IFEM. Board members had some reservations about this and highlighted the need for guiding policy or strategy. Following discussion the President put the motion, which was carried. Motion: L. Wallis/A. Lawler That the Chair of the Communications Committee be approved to write to the lay Press regarding relevant EM issues on behalf of IFEM, subject to liaison with the President.

CARRIED, one against Agreed this could be promoted at the Assembly meeting. Standard templates (in more languages than just English) can be developed and tweaked for each situation.

9.8.3 AHC Media Proposal Nil discussion.

9.9 Committee Membership 2016 – 2018

The Board considered the list of Committee members approved by Chairs and the President. D. Taylor queried whether additional members could be added to this list. This was agreed. Approved.

Action: CR to follow‐up 10. TASKFORCE REPORTS 10.10.1 Global History Taskforce

Agreed that a timeline and deliverables are required for this Taskforce.

10.10.2 WHO Access and Availability L. Wallis, G. Bodiwala and T. Reynolds will discuss this. An EM care systems toolkit is in development. Not timeline at present.

10.10.3 Efficacy of EM Taskforce G.L. Larkin has revitalised this group, and will aim to produce a short paper in the next six months.

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10.10.4 Sustainability for Emergency Physicians Taskforce

T. Hassan explained there had been discussion on possible future tasks and key issues and sought guidance. L. Wallis believed there should be more involvement with developing countries, and understood that a new Chair may be needed.

10.10.5 International Trainee Association Taskforce No progress had been made given the turnover of residents. It was agreed there should be a call‐out for expressions of interest in a Special Interest Group.

Action: JH/CR10.10.6 Spanish Translation Taskforce

The Sustainable Working Conditions, and Guidelines for Symposia had been translated. A webpage was in development. E. Menendez had identified some Brazilian residents willing to undertake translations, so Brazil was now also involved in the Taskforce, which had more than 20 members. EM noted with gratitude the first track in Spanish held at the ICEM in 2016. The forthcoming Inter American meeting in Costa Rica would have simultaneous translation available.

10.10.7 Academic Development Subcommittee Nil to report.

11. OTHER BUSINESS 11.1 AGM and Assembly Agenda Nil discussion.

11.2 Calendar for 2016

Approved. G. Bodiwala raised the issue of annual meetings held at ACEP Scientific Assembly. F. Hickey noted it is difficult for many Assembly members to attend, and it was agreed that a formal decision is required.

12. IFEM’S STRATEGIC DIRECTION

The President explained that the Board had signed off on a Vision and Mission and the aim is for the Assembly to approve this. Engagement is required on what IFEM will look like in the future and what is required to achieve this. In the second half the Assembly will need to look at how the organisation is structured and how it is funded.

CLOSE There being no further discussion, the President thanked members and closed the meeting.

NEXT MEETINGS : Tuesday 28 March 2017 (T) Tuesday 11th July 2017 (T) 30‐31 October during ACEPSA

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Held Monday 13th December 2016 _________________________________________________________________________

1. WELCOME Present: Lee Wallis, President James Ducharme, President-elect C. James Holliman, Imm.Past President Timothy Rainer, Vice President Melanie Stander, Secretary Swee Han Lim, Asia Terrence Mulligan, North America Edgardo Menendez, Central/South America C. Reardon, Executive Officer

1.1 Declaration of conflicts of interest Nil declared. 2. APOLOGIES Anthony Cross, Juliusz Jakubaszko, Jesica Bravo Gtz., Hendry Sawe,

Anthony Lawler 3. ADDITIONAL AGENDA ITEMS Nil raised during the meeting.

4. MINUTES OF BOARD MEETING HELD 17TH OCTOBER 2016

Accepted. 4.1 BUSINESS ARISING FROM PREVIOUS MEETING (not covered elsewhere)

IFEM Terminology Project The President had contacted Taskforce Chair Philip Anderson to ascertain when this manuscript would be published, given the need to publicise IFEM’s agreed taxonomy. Dr Anderson had agreed to forward the finalised document to the Secretariat by the end of the year. C. Reardon agreed to circulate the latest version of the document to Board members.

Action: PA/CR

4.2 Minutes of Executive Meeting held 16th October 2016 Noted.

4.3 Outcome of Assembly email vote on recommendations / Letter from American Academy of Emergency Medicine The Assembly meeting in October had not been quorate and it had been agreed to circulate the Motions to the Assembly for email ratification. These related to membership applications for the Egyptian Society for Emergency Medicine, the American Association for Emergency Psychiatry, the host for ICEM 2022, suspension of four members for non-payment of fees, and Bylaws changes. C. Reardon undertook to circulate the summary of these to the Board for information. The motion relating to the hosting of the ICEM 2022 had been circulated separately and supported. The ACEM President had been able to announce this at their recent annual conference. The remaining motions had been circulated following this on 16 November.

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IFEM Board Minutes – December 2016 Page 2

Following discussion with the President and Chair of the Governance Committee, a reminder had been sent by the Secretariat offering an extended deadline, but also emphasising that no response would be taken as an affirmative vote. The most contentious motion related to the eligibility to nominate for election to the Board, and this had been highlighted separately in the summary of motions. A letter from the American Academy of Emergency Medicine (an Affiliate member) had been received, recommending against the motion that only Full members (and not Affiliate members) should be eligible to nominate for the Board. The Executive had agreed to also circulate this to all members for their consideration prior to an email vote. The President highlighted the poor response of 12/47 full voting members voting in support of all the motions, with no responses in the negative. Given it was a week beyond the extended deadline and there had been no further responses, the President suggested that the motions be taken as ratified as they had been debated extensively at the last round of meetings. It was noted J. Holliman did not support the recommendation regarding Full members nominating for the Board. Following discussion the Board agreed to move ahead on the resolutions. Also agreed that the President should write to AAEM explaining that there had been no support from either Full or Affiliate members for their proposal to retain the bylaw which permitted Affiliate members to nominate for election to the Board. (Postscript: T. Mulligan indicated his opposition to this in an email following the meeting, as he had dropped off the call.)

Action: CR to finalise action arising from Assembly Motions CR to circulate copy of Assembly motions to Board

LW letter to AAEM

6. GENERAL BUSINESS 6.1 Applications for membership

6.1.1 Egyptian Trauma Society (Affiliate)

J. Holliman and L. Wallis confirmed this group are very keen to pursue this application, which is pending receipt of further information about the extent to which the Society relates to emergency medicine. She undertook to follow up.

Action: CR 6.1.2 American Association for Emergency Psychiatry (Affiliate)

Following ratification by the Assembly, this application for Affiliate membership was now finalised, subject to consideration of the fee waiver request. T. Mulligan had undertaken to contact the President Dr Leslie Zun to clarify reasons for the request, given that application fees are usually not waived, and that the membership is mainly represented by US physicians. T. Mulligan had spoken to Dr Zun who had indicated they would pay the application fee but most likely request a discount on future membership fees.

Action: CR to liaise re fee Letter of approval

6.1.3 Egyptian Society of Emergency Medicine (Full) This application is now approved following ratification by the Assembly.

Action: CR letter of approval

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6.1.4 Gulf Federation of Emergency Medicine L. Wallis explained that an application is yet to be received from this new organisation, led by Saleh Fares of the Emirates Society. It is anticipated it will be up and running in February 2017 following the February meeting of the Saudi Society, and will represent the Gulf states.

6.1.5 Emergency Medicine Physicians Association of Turkey (EPAT) (Affiliate)

C. Reardon confirmed that the application form and bylaws had been received and circulated to the Board and the application was complete. L. Wallis queried whether there may be any political impediment. J. Holliman believed that this organisation is collaborating with the Full member in Turkey (EMAT) and supported approval as an Affiliate member. There being no dissent the President put the motion which was approved. Motion: M. Stander/E. Menendez That the Emergency Medicine Physicians Association of Turkey be approved for Affiliate membership of IFEM.

CARRIED Action: CR Letter of approval and to Assembly for ratification

6.1.6 Libyan Association for Emergency Medicine (Full)

This organisation is currently an Affiliate member of IFEM is was applying for Full membership. A letter of support from the Libyan Board of Medical Specialties had been circulated with the application and bylaws. It is focussed on facilitating candidates of Libyan and Arab EM Boards examination in Libya, promoting EM education and training program. L. Wallis confirmed this organisation is very active within AFEM and its President Dr Abukalish is keen to improve engagement with IFEM. There being no dissention, the President put the motion which was carried. Motion: J. Ducharme/M. Stander That the Libyan Association for Emergency Medicine be approved for Full membership of IFEM.

CARRIED

Assembly ratification of membership Given that the next meeting of the Assembly is not until October 2017, J. Ducharme suggested these two applications should be ratified by the Assembly by email. It was agreed this should be circulated in the New Year.

Action: CR Letter of approval and to Assembly for ratification 6.2 Collaborations/Affiliations

6.2.1 Global Academy of Emergency Medicine

The President had written to this organisation advising that their request for collaboration was not supported at this time. Noted.

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6.2.2

World Health Organization Emergency, Trauma and Acute Care L. Wallis reported on his attendance at a recent meeting in Geneva relating to Triage. The project was aimed at a joint WHO/MSF document on agreed principles, with input from Michael Bullard, former Chair of IFEM Triage SIG.

6.2.3 Meetings at ACEP Scientific Assembly With the introduction of annual ICEM’s from 2018, the President sought input on whether IFEM should continue to hold meetings during the ACEP Scientific Assembly. Factors raised in the discussion were: - attendance by Committee and Assembly members at ACEP meetings has been waning in recent years; - attending two trips every year for IFEM was costly for many members; - IFEM is becoming more complex and thus its activities requires more regular oversight by the Board, and - attendance at the ACEP meetings is predominantly US members. Following discussion it was agreed that after 2018, IFEM should continue to hold committee and Board meetings during the ACEP Scientific Assembly, but that the Assembly meeting should be held once a year during the ICEM meeting. Following that, the issue should be reconsidered. The President agreed to write to ACEP in the New Year.

Action: LW 6.2.4 Global Resuscitation Alliance

A proposal for IFEM to be involved with the establishment of a Global Resuscitation Alliance had been received from Dr Maaret Castren from Finland. Its purpose would be to improve survival from Out-of-Hospital Cardiac Arrest. The Executive had supported further exploration, and the President had responded accordingly.

6.2.5 World Academic Council of Emergency Medicine (WACEM)

A letter had been received from the Society of Emergency Medicine India expressing its concern at the launch of this new organisation and SEMI’s ongoing commitment to recognising IFEM as the only global emergency medicine organisation. The President believed this to be a further initiative by Dr Galwankar of Florida, who has been involved in forming other global organisations. He did not see this as a threat to IFEM, but sought feedback from members on whether any action should be taken. It was agreed IFEM should remain passive at this stage.

6.2.6 WADEM

The President advised that he is arranging a meeting with President Paul Farrell to discuss a relationship with IFEM.

6.3 Vision and Mission / IFEM’s Strategic Plan

The President referred to the latest draft vision and mission statement, amended during the strategic discussion by the Assembly in October. Further tweaking by the Executive had resulted in the latest iteration, which was now for Board approval. The debate regarding the terminology of emergency medicine as opposed to emergency care was yet to be finalised. L. Wallis’ believe was that IFEM should use an agreed taxonomy and the latest version refers to emergency care.

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Members discussed the wording, including noting that any IFEM activity currently undertaken should be covered by the wording in the mission statement. There was agreement on the Vision, but discussion focussed around the specific wording of IFEM’s mission, with the aim to keep the document clear and concise. The following was agreed: VISION: IFEM will promote access to, and lead the development of, the highest quality

of emergency care for all people. IFEM’s mission is:

• To foster advance the growth of high quality emergency medicine, through


• To collaborate and network with national and international organisations to

establish equality in service and care worldwide.

The President undertook to circulate the final version, with all Board members to confirm their acceptance by the end of the week. Following this approval, it should be circulated to the Assembly for their email ratification.

Action: LW to circulate final version Board members to review by 17th December

7. ICEM UPDATES 7.1 ICEM 2018, 5-5 June, Mexico City

J. Bravo was an apology but had emailed the Secretariat as follows: - issues with registration via the Besticket Webpage have been fixed - Dr Francisco Garcia is Chair of the Investigation Committee and is commencing preparations - arrangements are being made for promotions for Costa Rica in May 2017.

The President was unable to attend the next SMME meeting in February 2017 (1-3). T. Mulligan or J. Holliman indicated they may be able to represent him at this meeting.

Action: LW to liaise

7.2 ICEM 2019, 12-15 June, Seoul Swee Han Lim was no longer on the call; to report on liaison person for this meeting.

Action: S-H Lim

7.3 ICEM 2020, 16-19 June, Buenos Aires E. Menendez explained that the next SAE congress will utilise and evaluate the PCO for ICEM 2020 (MCI). The meeting is scheduled for September 2017.

7.4 ICEM 2021, 8-11 June, Dubai Nil to report.

7.5 ICEM 2022, Melbourne

Noted that the Assembly had ratified by email the decision that ACEM will host this meeting.

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8. IFEM SYMPOSIA

L. Wallis advised that the Netherlands Society of Emergency Physicians are preparing a formal proposal for a Symposium on overcrowding which is scheduled for 9 June 2017.


9.1 Finance Committee 9.1.1 Minutes of Meeting held 16 October 2016 Noted.

9.1.2 Report as at 31 October Noted. Members to liaise with Treasurer

regarding any queries. 9.1.3 Suspension of Members and Debtors – update

The President confirmed that, as the recommendations regarding suspension of members with dues outstanding of > 2 years had now been ratified by the Assembly, the following members would be suspended: Chinese Association for Emergency Medicine Sociedad Dominicana De Medicine de Emergencia y Desastres (SODOEM) Sociedad Cearense de Medicine de Urgencia (SOCUMU) Society of Emergency Physicians, Pakistan (SEPP)

Action: LW/CR to send letters 9.1.4 US Foundation

The President reminded members of the call for donations to the IFEM Foundation which had been launched in October. A request had been received from J. Lazott, assisting with the Foundation website and promotions, for permission to solicit IFEM Committee members regarding the Foundation. The Executive Officer was seeking the Board’s view, given IFEM’s policy that no email lists are circulated outside the organisation, and technically, the Foundation was a separate organisation. The Board had no objection to sharing this information, subject to this meeting Australian privacy legislation and to it being used for internal use by the Foundation and not for wider distribution. (CR Postscript: Australian privacy legislation dictates that personal information may not be disseminated without approval of that individual. The Secretariat will seek prior approval of members before passing on this information. )

9.1.5 Associations Liability Insurance Nil to report. 9.1.6 Discussion paper from Treasurer on financial strategy

LW referred to this proposal which sought the Board’s guidance on the direction the Finance Committee should take in developing a financial strategy. The outlined options were: A. Status Quo.

a. Increased subscriptions & ICEM income to match ongoing expenditure. B. Expansion.

a. Increased subscriptions & ICEM income to match ongoing expenditure. b. New or additional activity which is either:

i. Financially self supporting.

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ii. Paid for by further increases in subscriptions & ICEM income. iii. … or a combination of the two.

C. Contraction. a. Similar subscription level. b. Anticipate some increase in ICEM income. c. Anticipate no revenue from ACEM. d. Decrease expenditure on Secretariat.

D. Other. a. The Board may suggest a fourth alternative, distinct from the above.

The Executive Officer highlighted the following: - income from subscriptions is currently approx. A$63,000 pa (based on 70% collection rate) - annualised income from ICEMs is approx. A$58,000 pa - other income conservatively is $A5,000 - total income without assistance from ACEM is $125,000; total expenses without are currently A$117,000 (approx. $80K of which are staff salaries and on-costs). J. Holliman had expressed disappointment that the Foundation had not been considered an option in this paper. The President observed that some of the options arising from the strategic discussions in October were not included in this document (increase in subscriptions, possible government funded projects) – and are still under consideration. J. Ducharme queried whether the suggestion formed in April for increased funding from founding members was still ‘on the table’. He believed it necessary to have all options available. The Foundation and possible outcomes of a partnership with Deloitte’s should also be highlighted. LW noted the complexities of the proposal for founding member paying increased subscriptions in return for hosting the ICEM (how much do they pay, there were some hesitation from the Board on this; what about other members that can afford increased subscriptions etc) and was not opposed to this but agreed it needed to be worked up further. It was agreed to ask the Treasurer to prepare a more detailed proposal on the funding option whereby founding members (or a larger pool of members) could consider a proposal to pay an increased subscription in return for hosting the ICEM. There was agreement that the Finance Committee should develop a strategy focussed on expansion (increased subscriptions and ICEM income, new activity) and other alternative funding options.

Action: AC 9.2 Governance Committee 9.2.1 Minutes of Meeting held 16th October 2016 Noted. 9.2.2 General Procedures Manual

This document had been in development by the Committee for some time, and had originally commenced as a guide for Committees. There being no discussion the document was approved. Motion: From the Chair That the General Procedures Manual be approved.

CARRIED Action: CR to finalise and promulgate

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9.3 Specialty Implementation Committee 9.3.1 Minutes of Meeting held October 2016 Noted. 9.3.2 Checklist for Accreditation –need for clarification

A taskforce chaired by E. DeVos had been established to consider a process of accreditation of hospitals for emergency training, but whether the project should focus on producing a generic resource document on the method of accrediting hospitals or a specific process of accreditation by IFEM (for a fee). It was agreed that the taskforce should develop a white paper on accreditation clarifying what would be involved – are other organisations undertaking a similar process, is there a demand etc.

Action: To taskforce 9.4 Core Curriculum and Education Committee 9.4.1 Minutes of Meeting held October 2016 Noted. 9.5 Continuing Professional Development Committee 9.5.1 Minutes of Meeting held October 2016 Noted. 9.6 Clinical Practice Committee 9.6.1 Minutes of Meeting held October 2016 Noted.

9.6.2 Behavioural Emergencies Special Interest Group

A proposal for establishment of a new Behavioural Emergencies Special Interest Group within IFEM was considered. This had been supported by the CPC. Approved. Motion: From the Chair That IFEM establish a Behavioural Emergencies Special Interest Group.

CARRIED Action: LW Letter / TM

9.6.3 Geriatric Emergency Medicine SIG terms of reference and operational guidelines

Approved as circulated. Motion: From the Chair That the terms of reference and operational guidelines of the Geriatric Emergency Medicine Special Interest Group be approved.

CARRIED Action: CR

9.6.4 Triage SIG terms of reference and operational guidelines With Clinical Practice Committee.

9.6.5 Sustainability Special Interest Group During discussion at the last round of meetings in October, it had been agreed that this Taskforce should become a Special Interest Group. This was agreed.

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Motion: From the Chair That IFEM establish a Sustainability Special Interest Group.

CARRIED Action: Contact T. Hassan re Chairmanship

9.6.6 Quality and Safety Special Interest Group – terms of reference

Approved without amendment. Motion: From the Chair That the terms of reference of the Quality and Safety Special Interest Group be approved.

CARRIED Action: CR

9.7 Research Committee 9.7.1 Minutes of Meeting held October 2016 Noted. 9.8 Communications Committee 9.8.1 Minutes of Meeting held October 2016

Still outstanding. J. Ducharme agreed to follow-up.

Action: JD 9.8.2 AHC Media

The Executive Officer had contacted this group regarding the offer of free subscriptions to residents of IFEM member organisations, and member of ‘indigent’ IFEM member organisations. Awaiting clarification of an agreed definition of ‘indigent’ before promulgation. Noted.

10. OTHER BUSINESS 10.1 New Assembly representatives – for noting

Dr Emily O’Conor, Irish Association for Emergency Medicine Noted.


NEXT MEETINGS : Tuesday 28 March 2017 (T) Tuesday 11th July 2017 (T) 30-31 October during ACEPSA

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ACN 145 437 216

IFEM EXECUTIVE Minutes of Teleconference held 24th January 2017

________________________________________________________________________ Present: Lee Wallis, President C. James Holliman, Immediate Past President

James Ducharme, President-elect Timothy Rainer, Vice-President J. Bravo Gtz, Member-at-Large Carol Reardon, Executive Officer

1. APOLOGIES M. Stander, A. Cross 2. MINUTES OF MEETING HELD 15th OCTOBER 2016

Approved without amendment. Motion: J. Ducharme/J. Holliman

That the minutes of the Executive Meeting held 15th October 2016 be accepted. CARRIED

The President updated members on general progress since the last meeting:

- J. Tintinalli had advised of a threat from the MoH to emergency medicine in Poland. President is was awaiting feedback from J. Jakubaszko before writing in support.

- Terminology document not yet received from P. Anderson - The call for nominations for Awards for presentation in 2018 is being drafted. - Documents finalised and promulgated : Guidelines for ICEM, Guidelines for Selection of ICEM,

General Procedures Manual, and ICEM timeline finalised and sent to future hosts. - Bad debtors suspended and removed from database (China, Pakistan, Dominican Republic and

Sociedad Cearense). Dominican President has responded and E. Menendez is following up. - The promotion of AHC Media awaiting their interpretation of the definition of indigent countries. - Some difficulties with registration page for ICEM 2018 to be sorted. - Web hosting arrangements currently being re-negotiated. - New ACEP part-time support Caroline Burrowes has commenced assisting Exec Officer.

L. Wallis also noted an invitation to the Philippines College Annual meeting April 23-25 2017. Agreed important to identify an Exec member to represent.

Action: Members to indicate availability to attend

3. IFEM’s Financial Strategy

The Executive discussed this in the context of the Treasurer’s request for guidance on whether a strategy should focus on 1. Maintaining current size and operational activities or 2. Expansion to a much larger organisation capable of large-scale projects. The President introduced discussion:

- Since April 2016 Exec and Board had explored options for a financial strategy, including involvement with Deloitte’s, whilst drafting the Vision and Mission.

- Whilst there had been no definitive decision, there had been a useful interaction with the Assembly in October 2016. (The President apologised for the delay in circulating the report of this workshop. C. Reardon to assist.)

- To maintain the current operations, an approximate shortfall of $40-60K is required.

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IFEM Executive Minutes – 24th January 2017 Page 2

L. Wallis, J. Ducharme and T. Mulligan had continued to informally explore options for a separate project-based organisation with Deloitte’s, who remain keen to be involved. LW/JD agree on the need for such an organisation to be neutral independent, non-profit based academic institution, yet linked to IFEM as is the Foundation. This was awaiting a further response from Deloitte’s. During discussion the current options were highlighted: 1. Raising membership subscriptions. 2. Offering some or all Full members (TBD) the option of hosting the ICEM every second year on a

rotational basis in exchange for an up-front payment. 3. Establishment of an Institute/vehicle which would be linked to IFEM (as is the Foundation) but

constituted to manage project funding for large scale government/university projects. Discussions with Consultants Deloitte’s had indicated their preparedness to be involved.

J. Holliman expressed concern that the IFEM Foundation is being overlooked but it was agreed that this should be integrated into the strategy once funds became available. Currently the Foundation has $8K. J. Ducharme emphasised the urgency in this matter, given IFEM has less than 18 months before it will be expected to operate without financial support from ACEM. T. Rainer supported the option to expand. He suggested the Executive finalise the options in a preferred list over the next two weeks, then submit to the Assembly for feedback. If there is no clear directive from members, then the Executive should move ahead with its preferred option. The President agreed to re-circulate the Treasurer’s most recent communication with a short summary and asked the Executive to feedback by Monday 30th January. He would also re-circulate the draft Vision and Mission approved by the Board in December. Whilst not as urgent, the Vision and Mission is essential to underpin and promote the strategy.

Action: LW/CR finalise report of Assembly Workshop October 2016 CR schedule further teleconference for early February

LW to circulate summary of current financial options Exco to respond by 30 January

4. Membership Applications - Update 4.1 Egyptian Society of Emergency Medicine (EgSEM) Application for Full membership ratified by the Assembly but awaiting payment of the application fee.

L. Wallis advised that following their hosting of the AFEM Conference, there should be funds available. 4.2 American Academy of Emergency Psychiatry (AAEP)

Application for Affiliate membership ratified by the Assembly. President Prof Leslie Zun had since advised that they would not be paying the application fee due to insufficient funds.

Action: CR Remove from agenda 4.3 Egyptian Trauma Society – eligibility for membership (ETS)

This organisation’s application was pending information about the extent to which it is involved in emergency medicine. Dr Hany Zaki had advised that the majority of participants are emergency physicians and nurses, and offered to provide an official letter confirming this. The ETS Bylaws translation did not reflect the involvement of emergency physicians and thus did not appear to meet

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IFEM Executive Minutes – 24th January 2017 Page 3

IFEM’s requirements for Affiliate membership, and Dr Zaki had said to change their bylaws would take some time.

LW supported granting Affiliate membership, and asking the Governance Committee to review the criteria for Affiliate membership to align with a broader approach and move towards emergency care. However in discussion it was agreed that the application should be tabled and reconsidered in October once the Bylaws had been reviewed and approved.

Action: LW to respond to ETS Governance Committee to review bylaws for Affiliate membership

4.4 Gulf Federation of Emergency Medicine (GFEM)

This new organisation comprising societies of Saudi Arabia, UAE, Oman, Bahrain and Kuwait will have its next meeting during the Saudi Society Conference in February. The President had written to the Qatari Minister of Health supporting the Federation and encouraging a Qatari representative to join the Gulf Federation. Dr S. Fares (ESEM) had indicated the intention to submit an application for IFEM membership in 2016 but had missed the 90 deadline. Awaiting membership application.

4.5 Emergency Medicine Physicians Association of Turkey (EPAT)

The President had written to EPAT confirming that they are eligible for Affiliate membership, and not the requested Full membership. They have sought more information on Affiliate membership which has been provided. Noted.

5. Correspondence - for information

5.1 MEMC Invitation to Exhibit L. Wallis, J. Ducharme and J. Holliman will be attending. Agreed to liaise with J. Bravo regarding

sending materials for a booth on ICEM 2018/IFEM before responding to offer from L. Moreno-Walton. J. Bravo will follow-up at next week’s ICEM meeting.

Action: J. Bravo to advise 5.2 Norwegian Society of Emergency Medicine – specialty recognition A letter from the Chairman of NORSEM, Dr Harry Achterberg announcing the recent decision to grant

specialty recognition for emergency medicine in Norway was noted. L. Wallis agreed to respond with the Federation’s congratulations.

Action: LW / CR to Board and Assembly for noting 5.3 Letter to American Academy of Emergency Medicine The President had responded to the AAEM regarding its concern at the proposed change to Bylaws

which would remove the right of Affiliate Members to nominate for election to the Board or Executive. Their letter had been circulated to members of the Assembly and there had been no support for retaining the original bylaw. Noted.

5.4 Emergency Ultrasound SHoC Protocol document

This consensus paper entitled ‘Sonography in hypotension and cardiac arrest (SHoC): An international consensus on the use of point of care ultrasound for undifferentiated hypotension and during cardiac arrest. An International Federation for Emergency Medicine Consensus Statement’ has been produced by the Emergency Ultrasound Special Interest Group and now published in CJEM December 2016. Following copyright approval, it will be promulgated.

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IFEM Executive Minutes – 24th January 2017 Page 4 5.5 Matters awaiting Assembly ratification

- Vision and Mission - Upgrade to Full Membership of Libyan Emergency Medicine Association - Approval of Emergency Medicine Physicians Association of Turkey (Affiliate)

The President confirmed that the Executive Officer should circulate a notice of motion to Assembly members for email approval, and not wait for October.

Action: CR

6. Any other Business Nil discussion. 2017 Executive Teleconference schedule

28th February 25th April 27th June 29th August 28th November

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IFEM EXECUTIVE Minutes of Teleconference held 6th February 2017

________________________________________________________________________

Present: Lee Wallis, President C. James Holliman, Immediate Past President James Ducharme, President-elect Anthony Cross, Treasurer Melanie Stander, Secretary Carol Reardon, Executive Officer APOLOGIES Timothy Rainer, J. Bravo Gtz. IFEM Vision and Mission The President sought approval from the Executive on the final wording of the draft Vision and Mission for sign-off by the Board. The focus of discussion had been on the use of the term ‘emergency care’ in the Vision which had conflicted somewhat with the use of emergency medicine in the mission. This had now been clarified to read ‘emergency medical care’ in both vision and mission, which provided consistency and also included the alignment of IFEM to a broader remit. The focus of IFEM on the emergency medicine specialty had been included as its third mission. Following brief reflection on how achievable vs aspirational the mission should be, the following was agreed. Recommendation: From the Chair That the following be accepted as IFEM’s new Vision and Mission: VISION:

IFEM will promote access to, and lead the development of, the highest quality of emergency medical care for all people.

MISSION: IFEM’s mission is:

1. To advance the growth of high quality emergency medical care through education

and standards.

2. To lead the collaboration and networking necessary to establish universal equality in

service and care.

3. To promote the creation and growth of the specialty of emergency medicine in every

country.

CARRIED Action: To Board for urgent email approval, and followed by promulgation as appropriate

IFEM’s Financial Strategy Executive members had responded to a range of options put forward by the President following the last meeting:

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IFEM Executive Minutes – 6th February 2017 Page 2

Context: choose one of a, b or c a. “reduction” – reduce IFEM activities to match our available income b. “Status Quo” – continue with similar level of activities and expenditure. c. “Expansion” – expand the scope and nature of IFEM’s activities, with associated increased income and

expenditure.

Funding options: 1. Subscriptions. Raising the annual member’s fee to meet IFEM’s operating costs plus required

surplus [this will not fulfil requirements for Context c]. 2. Contributions. Asking the 4 founders to make significant annual contributions above their member

fee. 3. ICEM. Offering EITHER a group (please specify which ones) OR 4 founder members the option of

hosting the ICEM every second year on a rotational basis in exchange for an up-front payment. 4. Academic Institute. Establishment of an Institute/vehicle which would be linked to IFEM but

constituted to manage project funding for engagement with large scale government/universities. 5. Foundation. Use of the IFEM Foundation as a vehicle for increased income 6. Other Clear consensus had been reached with regard to the context which should be ‘expansion’. There was a spread of views regarding the funding model. The President noted Option 3 (ICEM) and 4 (Academic Institute) had the most support with option 2 (Contributions) and 4 (Academic Institute) tied for second place in terms of income. In discussion it was agreed contributions was the less attractive option. Members considered options for implementation:

Develop a five year plan showing funds required and how it will be used ie. ‘In 2017 IFEM needs to raise X dollars in annual additional payments from 2018 – 2022, to fill the $X shortfall per year resulting from ACEM completing its commitment; to increase administrative staff, and to fund projects.’

A pool of members (possible four founding members and 1-2 others) be approached to pay to host every second ICEM from 2023 on a rotational basis.

The Academic Institute model – needs further detail

Increase the ICEM royalty payment by $5 a year from $55 to $75 per delegate over a five year period. Given registration fees are likely not finalised until two years prior, this could be implemented as soon as the 2019 ICEM, if sufficient notice is given.

The Foundation does not have a concrete fundraising plan at present, but the next move is to contact principal donors.

There was agreement to explore the ICEM rotational bidding option with a small group of members providing staggered returns, and increasing the ICEM royalty fee, given that this form of funding was likely to be the most stable. It was also agreed that the option of ‘selling’ the ICEM would need handled sensitively. Members discussed the possible pool, noting that the large US members may not be in a position to express interest. It was considered founding members and possible 1-2 other members might consider the option. J. Ducharme also noted it has been IFEM’s standing policy not to seek support from the Pharma industry. Action: Executive to develop a short paper for next Board meeting

L. Wallis to provide projection of ICEM model

Cross to provide five year plan illustrating the financial gap required and how it will be spent

J. Ducharme to consider a realistic timeframe for income from an academic institute

J. Holliman to provide realistic projection of Foundation income

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IFEM Executive Minutes – 6th February 2017 Page 3

C. Reardon agreed to check availability to swap dates of March Board meeting (28 March) with February Executive (28 Feb)

Other Business

Dr A. Djalali – request for support from EuSEM The President referred to a recently received email request from Roberta Petrino (EuSEM), requesting IFEM endorse the cause of a Dr Ahmadreza Djalali. This doctor is an Iranian doctor and researcher who had been arrested and imprisoned without trial during a trip to Iran. Following discussion it was agreed the President would respond that IFEM would not support the request given the lack of information about the individual and no apparent connection to emergency medicine. Executive representative at Polish Meeting 1-4 March The President believed it was important for an IFEM representative to attend this meeting given the current political difficulties for EM in Poland. J. Jakubaszko to send details. There being no further business the President thanked members and closed the meeting.

Next Executive meeting: 28 March

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ACN 145 437 216


Held Monday 28th February 2017 _________________________________________________________________________

1. WELCOME Present: Lee Wallis, President James Ducharme, President-elect C. James Holliman, Imm.Past President Timothy Rainer, Vice President Melanie Stander, Secretary Anthony Cross, Treasurer Anthony Lawler, Australasia Edgardo Menendez, Central/South America Terrence Mulligan, North America C. Reardon, Executive Officer

1.1 Declaration of conflicts of interest Nil declared. 2. APOLOGIES Jesica Bravo Gtz, Swee Han Lim, Hendry Sawe, Juliusz Jakubaszko 3. ADDITIONAL AGENDA ITEMS Nil raised during the meeting.

4. MINUTES OF BOARD MEETING HELD 13th DECEMBER 2016

Accepted. 4.1 BUSINESS ARISING FROM PREVIOUS MEETING (not covered elsewhere) Item 4.1 IFEM Terminology Project: No further update received from P. Anderson.

Item 6.2.3: The President had not written to ACEP regarding IFEM Meetings during the Scientific Assembly, as there had essentially been no change to meeting arrangements.

4.2 Minutes of Executive Meeting held 24th January 2017

Item 2: Swee Han Lim had indicated his availability to attend the PCEM Annual Conference subject to funding. It was clarified that IFEM is unable to fund such travel. Item 5.1: IFEM has accepted an offer of a complimentary booth at the MEMC meeting and ICEM materials will be forwarded.

4.3 Minutes of Executive Meeting held 6th February 2017 Noted.

5. GENERAL BUSINESS 5.1 Applications for membership 5.1.1 Egyptian Society for Emergency Medicine – approved subject to payment of fee

The President believed it is likely EgSEM will pay in cash and this needs to be facilitated.

5.1.2 Egyptian Trauma Society (seeking Full membership) - tabled 5.1.3 American Association for Emergency Psychiatry (Affiliate) - application lapsed due to non-

payment of application fee

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IFEM Board Minutes – February 2017 Page 2

5.1.4 Gulf Federation of Emergency Medicine (GFEM) (Ex-Officio) - awaiting application 5.1.5 Emergency Medicine Physicians Association of Turkey (EPAT) – approved for Affiliate

membership subject to confirmation from EPAT and Assembly ratification 5.1.6 Libyan Association for Emergency Medicine (Full) – approved subject to Assembly ratification 5.2 Collaborations/Affiliations 5.2.1 WADEM

Following contact with the WADEM President in November, L. Wallis was now arranging contact with the International Liaison representative.

5.2.2 Guidelines International Network The G-I-N Secretariat had contacted IFEM to advise it is likely that its Board may withdraw from current agreed partnership, mainly due to the lack of action by IFEM since the agreement began. L. Moreno-Walton has been asked to continue to refine a multi-national survey instrument on sepsis. L. Wallis said that if G-I-N do withdraw, it was proposed that IFEM would continue to work in some kind of partnership to progress the Sepsis project.

5.3 Norwegian Society of Emergency Medicine – specialty recognition

A letter confirming emergency medicine had now been recognised by the Ministry of Health in Norway had been received, and the President had responded with congratulations.

5.4 Vision and Mission

IFEM’s Vision and Mission had been approved some weeks prior by the Board via email. Whilst requiring formal ratification by the Assembly in October, the President suggested that this should now be promulgated, as the recommended amendments regarding wording had been adopted in line with spirit of discussions from the last meeting. Agreed. VISION: IFEM will promote access to, and lead the development of, the highest quality

of emergency medical care for all people. MISSION: IFEM’s mission is:

To advance the growth of high quality emergency medical care through


To lead the collaboration and networking necessary to establish universal

equality in service and care.

To promote the creation and growth of the specialty of emergency medicine

in every country.

Action: For promulgation CR

5.4.1 Report of Strategic Workshop October 2016 In preparation.

5.5 IFEM’s Financial Strategy

Treasurer A. Cross summarised the circulated proposed business plan, which detailed five options for increased income, offering a range of short, medium and long term benefits. The Executive had voted on each of the options which had been prioritised as follows:

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1. Increasing ICEM revenue by raising the levy incrementally over 6 years. 2. Contributions from 4-6 IFEM members in exchange for hosting the ICEM in alternate years on a rotational basis from 2024 to 2032. 3. Development of an academic institute that would act as a vehicle for projects and collaborations. 4. Other options such as increased member subscriptions and the IFEM Foundation. A. Lawler believed the strategy to be well prioritised and reflected the direction discussed by the Board and Assembly in October. He reflected that the Foundation will play a role but has its challenges. T. Rainer sought clarification on whether one or all of the options would be implemented together or in a staged manner and was subject to Assembly vote. The Treasurer explained that options 1-3 could all be implemented simultaneously. Option 1 could begin immediately, option 2 providing some funds in the short to medium term and option 3 would be a long term investment and make take 1-2 years to set up. The other options were available but not a priority. J. Ducharme suggested that, if approved, each strategy should have a responsible Board member assigned, to prepare timelines and a reporting schedule. T. Mulligan outlined developments relating to (3) a separate academic institution. Since October, Deloitte had written to LW and JD, and contacted him verbally, expressing their continued interest in the project. Discussions are ongoing with a law firm in Maryland regarding company formation for this body which would act as a ‘holding organisation’ for contracts with partners to undertake specific projects. Deloitte would facilitate the contracts. A. Cross was simultaneously investigating legal advice in Australia given IFEM’s incorporation there. There being no further questions, A. Cross moved, seconded by M. Stander, that the financial strategy, as circulated, be endorsed. Motion: A. Cross / M. Stander That IFEM adopt the Financial Strategy as detailed in the circulated Business Plan.

CARRIED The following members volunteered to manage each option: Option 1 A. Cross Option 2: L. Wallis Option 3: J. Ducharme, assisted by T. Mulligan

Action: AC, LW, JD, TM 6. ICEM UPDATES 6.1 ICEM 2018, 5-8 June, Mexico City

L. Wallis advised he will be travelling to Mexico in July to meet with the ICEM Organising Committee. He referred to a report provided by J. Bravo.

A complimentary booth at the MEMC meeting in October would be taken up. J. Ducharme, T. Mulligan and L. Wallis will help man the stand.

Early bird registration has opened for Latin American delegates at a special rate and worldwide early bird registration will open in May.

Call for abstracts will open May.

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Accommodation is currently being negotiated.

CME accreditation also in negotiation.

Some issues with Website registration in Australia and India are being investigated.

Sponsorship has good interest.

Scientific Program is 60% complete. M. Stander and T. Mulligan were assisting with the International Advisory Board and Track Chairs. L. Wallis confirmed that he was communicating with the Organising Committee, and assisting the Mexican Society. He was satisfied that the issues of English language promotion was in hand – although the role of Logan Plaster and Epi was still unclear. Speakers had been identified but as yet not contacted.

6.2 ICEM 2019, 12-15 June, Seoul – liaison person C. Reardon undertook to contact the Korean Society for a nominee to report to the Board.

Action: CR 6.3 ICEM 2020, 16-19 June, Buenos Aires

E. Menendez advised that the Argentine Society will hold its Annual Congress in September 2017. It will utilise the PCO intended for the ICEM 2020 and will be able to report further on their ability following this meeting.

6.4 ICEM 2021, 8-11 June, Dubai Nil to report. 6.5 ICEM 2022, Melbourne Nil to report.

6.6 ICEM 2023, Expressions of interest

C. Reardon advised that EMAT (Turkey) had advised of their intention to submit a bid. J. Ducharme confirmed CAEP would also be submitting a bid.

7. IFEM SYMPOSIA

7.1 NSEP Symposium on Crowding, 9 June 2017

The Board considered this proposal, and noted it had been supported by the CPD Committee. The President was unavailable to attend, but the proposal was approved, he intended to work with the organisers to provide a meaningful output. A. Cross highlighted that the Dutch government notably offers a pre-financing and guarantee scheme. Based on the comprehensive proposal and currency of the topic, the Bid was supported. Motion: From the Chair That the proposal for IFEM to partner with the Netherlands Society of Emergency Medicine to host the IFEM Symposium on Crowding, be approved.

CARRIED Action: CR Letter of approval

8. COMMITTEE REPORTS 8.1 Finance Committee 8.1.1 Report of Meeting held 27 February 2017 8.1.2 Financial Reports as at 31 January 8.1.3 US Foundation

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Noted. In response to a query from J. Ducharme regarding delayed payments to ACEM, C. Reardon confirmed that this was due in the last quarter, however had been waiting on a second signatory to process and should go through shortly. A. Cross confirmed that the Finance Committee had met the day before and were happy with the increased level of reporting.

8.2 Governance Committee

M. Stander raised the issue of the office of Member-at-Large and queried how this would be managed once annual ICEM’s take effect from 2019. Currently this Officer is a member of the Executive and with the two year tenure of the Board, there would be two Members-at-large reporting on the ICEM’s. C. Reardon advised that it had been agreed that the Member-at-Large would be removed from the Executive and would report to the Board and CPD Committee, however the details of the transition had not been clarified. M. Stander agreed to prepare a proposal for consideration by the Committee.

Action: MS The Executive Officer reported that she had redrafted the Bylaws following October’s discussions and these were currently with C. Hobgood for consideration. CR undertook to follow-up and schedule a teleconference. The broader issue of the integrating the Vision and Mission needed extensive discussion at this level before the Assembly in October.

Action: CR 8.3 Specialty Implementation Committee 8.4 Core Curriculum and Education Committee 8.5 Continuing Professional Development Committee

Nil to report.

8.6 Clinical Practice Committee 8.6.1 Emergency Ultrasound SHoC Protocol document

This document had been previously approved by the Board in 2016 and had recently been published in the Canadian Journal of Emergency Medicine. CAEP had now granted permission to publish as an IFEM document and the document is now being promulgated. T. Mulligan provided the following update on other issues:

Proposals were anticipated for new Special Interest Groups in Trauma, Critical Care and Infomatics.

The proposed Trainee Special Interest Group is currently being formed.

The Behavioural Emergencies SIG has been activated.

The Disaster Medicine SIG has appointed Tamorish Kole as its new Chair, after Tudor Codreanu had stepped down.

8.7 Research Committee

L. Wallis referred to a request from D. Taylor to consider waiving the fee for endorsement of research projects or collaborations, given there has been no interest received to date. The waiver would be for a trial period of 12 months and was intended to see if the fee was prohibiting more interest. This was agreed.

Action: CR to advise DT

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J. Ducharme believed there had been little progress since the last meeting in October 2016. He and C. Reardon undertook to follow-up and re-activate the list of action items. C. Reardon confirmed that expressions of interest had been received from French translators via CAEP. A contact for Chinese translation had also been received from the Taiwan Society. She undertook to progress this and provide J. Ducharme with details before his trip to Taiwan in June.

Action: CR 9. OTHER BUSINESS 9.1 The following new Assembly representatives were noted:

Dr Alicia Kurtz, Emergency Medicine Residents’ Association Dr Roberto Petrino, European Society for Emergency Medicine Dr Jun Oda, Japanese Association of Acute Medicine Dr Andra L. Blomkalns, Society of Academic Emergency Medicine Prof Kwang Je Back, Korean Society of Emergency Medicine

9.2 Request from EuSEM re Dr Djalai This request related to an Iranian doctor and researcher who had been working in Italy and Stockholm and who had been imprisoned in Iran without a reason or trial. Given there appeared to be no specific link to emergency medicine, the President had declined to offer a letter of support.

9.3 Letter to American Academy of Emergency Medicine dated 20 December 2016 Noted.


NEXT MEETINGS : Tuesday 11th July 2017 (T) 30-31 October during ACEP SA (TBD)

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ACN 145 437 216

IFEM EXECUTIVE Minutes of Teleconference held 25th April 2017

________________________________________________________________________ Present: Lee Wallis, President James Ducharme, President-elect

Timothy Rainer, Vice President Anthony Cross, Treasurer Melanie Stander, Secretary J. Bravo Gtz. Member at Large Carol Reardon, Executive Officer

Apology: J. Holliman

1. Minutes of Teleconference held 6th February 2017 Noted. 1.1 Report of Conference Call 31st March Nil to report. 2. IFEM’s Strategic Plan 2.1 Report of Strategic Workshop held 18 October 2016 Noted. 2.2 IFEM’s Financial Strategy 2.2.1 Increase in ICEM Levy – letter to hosts The President reported on progress with the three initiatives forming the agreed financial strategy:

1. Letters had been circulated to future ICEM hosts in March advising them of the increase in the ICEM levy and seeking sign-off on revised agreements. To date, only Mexico had responded with acceptance. It was agreed that a deadline of 24 June should be given.

Action: AC to follow-up in June

2. Contributions from founding members in exchange for hosting ICEM: L Wallis had preliminary discussions with the President of RCEM.

3. Exploration of an IFEM non-profit organisation

J. Ducharme reported that progress had been made following discussions with Deloitte, assisted by T. Mulligan, and a recent call by L. Wallis and J. Ducharme with US Lawyers. Advice indicated that the best way forward was to establish a new 501 3(c ) operational charity, on the basis that any funds from projects would be held or passed to IFEM with the aim of growing emergency medicine. Key steps were : - completing paperwork for declaring status, name, application for tax exemption, - administrative structure including bylaws, board of Directors, Staff and potential consultants, insurance, - establish financial rules, payment schedule, overheads for management, ways of transferring funds to IFEM or IFEM foundation and - agreements with Deloitte, rules of engagement, areas of responsibility. Emphasis was placed on the need for detailed scrutiny of any agreements, given that IFEM would need to protect its interests in any collaboration with Deloitte, and have provision for arrangements with other parties in the future. It was envisaged that an overarching primary contract or MoU with Deloitte would be required, in addition to specific project contracts. To simplify the complex

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IFEM Executive Minutes – 25th April 2017 Page 2

arrangements in different countries, Deloitte has national member firms in many countries, and individual contracts may be required with the Deloitte member in the country in which the project is undertaken. The main contract would need to include protection for IFEM with Deloitte carrying all liability, and other individual contracts would need to include this same guiding principle. An initial ‘proof of concept’ project would be conducted. To facilitate branding, IFEM would have protection as the exclusive ‘agent’, and any contracts must provide legal protection for IFEM to maintain this exclusivity. A. Cross queried the fee structure and J. Ducharme said this required further discussions but envisaged that after operating costs, a management fee may be in the vicinity of 30%, but that 10% of earnings was a realistic market rate, which would be untaxed in the US. A start-up cost (mostly legal and establishment fees) for the new organisation was estimated at US$5-10K. The President believed that in terms of income, there is the potential for large projects but he believed that the cost in setting up the structure would be justified. A summary of the key steps in setting up the organisation had been circulated. There being no further questions, the President sought approval from the group to move forward with this first step in establishing the organisation and this was agreed. In response to a query regarding Board approval, J. Ducharme believed the principle of establishing such an organisation had been supported by the Board at its last meeting, but that the details of how IFEM would work with Deloitte would need approval by the Board, including cost and return on investment.

Action: JD, LW to progress 3. MoU with CAEP Recent discussions regarding the level of responsiveness provided by CAEP to the Communications

Committee had revealed that the existing MoU with CAEP was due for review, and that this review should be more specific with regard to the responsibilities of support staff. C. Reardon intended to discuss this with the CAEP Executive Director first however this will be delayed until June due to leave arrangements. Agreed that the President will contact the CAEP President to request that the status quo be maintained until a further MoU has been agreed, and C. Reardon to liaise with CAEP Executive Director.

Action: CR, LW 4. Global Resuscitation Alliance Proposal This proposal, led by Marcos Ong in Singapore, involved a year-long project to develop consensus

guidelines for the GRA for the developing world setting, including a 2 day consensus meeting. The President will attend. The group had submitted a request for endorsement as a research project and this was currently under consideration by the Research Committee. Noted.

5. ICEM 5.1 ICEM 2018 – update, new website J. Bravo advised that following issues with the website, a new site has been established

www.icem2018.com . Given issues with the PCO Medievent, a new PCO had been appointed, details of which will be forwarded when received. The President has been in contact with Convenor Daniel Lopez who had advised that the scientific program is expected to be finalised by 5th June.

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http://www.icem2018.com/

IFEM Executive Minutes – 25th April 2017 Page 3 A. Cross thanked the SMME for their prompt response in returning the revised ICEM agreement,

confirming they have agreed to the increased levy payment. 5.2 ICEM 2019 – contact After several attempts to establish a liaison point for this meeting, L. Wallis undertook to email the

President of the Korean Society and also other Korean representatives to establish a line of communication.

Action: LW 6. Matters arising from IFEM Governance Committee meeting, April 2017 6.1 Translation Subcommittee Arising from discussions of the Spanish Translation Committee, it was noted that the Governance

Committee has recommended that a Translation Subcommittee be formed, reporting to the Communications Committee. The Spanish Translation Committee will report to the Translation Subcommittee.

6.2 Criteria for Affiliate membership and Egyptian Trauma Society request J. Ducharme explained that the Governance Committee believes the Board or Assembly needs to

reconsider the criteria for Affiliate membership. This arose from a request from the Egyptian Trauma Society which currently did not fit the guidelines for Affiliate membership.

There was discussion about the growth and variation in the types of organisations seeking membership, and whether an alternate category of membership should be created. This relates in particular to the number of physician members and to the change in vision and mission to include emergency medicine care as opposed to emergency medicine exclusively. There is possibly a place for a third category of membership that would include nascent organisations that seek assistance in development. L. Wallis undertook to prepare a brief proposal for consideration by Board.

Action: LW 7. Other Business

7.1 Budget items 2017-2018 FY

The Treasurer sought feedback on any big expenses for inclusion in the budget. There were no foreseen

expenses apart from the $10K to be allocated for the IFEM organisation project set-up, as previously discussed.

7.2 Arrangements for ACEP 17 meetings A draft program is in preparation and it was agreed a 2 hour meeting for the new IFEM organisation

should be allocated. A further three hour allocation had been included as a contingency. Action: CR

7.3 Guidelines International Network The President advised that it is anticipated that G-I-N would be withdrawing from the current MoU. The

current project relating to Sepsis Guidelines being managed by L. Moreno-Walton will continue until finalised. It was considered that the door should be left open for future collaborations.

7.4 Changes in ACEP Staff Support

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IFEM Executive Minutes – 25th April 2017 Page 4 It was noted that D. Gonzales had taken on a new role, replaced by Maude S. Hancock. The President

undertook to write to the ACEP President acknowledging Dina’s assistance over the years. Action: LW

7.5 Web presence for SIGs Agreed that SIG’s should maintain a web presence within the IFEM Website, and should not develop

separate websites. 7.6 International Day of Emergency Medicine Members considered a letter from the Emergency Medicine Association of Turkey, proposing an

International Day of Emergency Medicine, to enhance the unity of the Emergency Medicine community at a global level. It was agreed there was no obvious benefit, and the President undertook to respond accordingly.

Action: LW There being no further discussion, the President thanked members and closed the meeting.

Next Executive meeting: 27th June (T)

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ACN 145 437 216

IFEM EXECUTIVE Minutes of Teleconference held 27th June 2017

________________________________________________________________________ Present: Lee Wallis, President C. James Holliman, Immed Past President James Ducharme, President-elect Timothy Rainer, Vice President Anthony Cross, Treasurer Melanie Stander, Secretary J. Bravo Gtz. Member at Large Carol Reardon, Executive Officer

1. Minutes of Teleconference held 25th April 2017 Noted. 1.1 Matters Arising. The following correspondence was noted.

- Item 7.3 Guidelines International Network - Item 7.4 Letter to ACEP re change in staff support - Item 7.6 Letter to EMAT re International Day of Emergency Medicine

2. IFEM’s Financial Strategy 2.1 Increase in ICEM Levy – letter to hosts A. Cross reported that one future host (SMME, ICEM 2018) had signed the revised agreement,

confirming they are happy with an increased levy. In discussion J. Bravo re-confirmed this and the Treasurer offered IFEM’s thanks. Korean Society (ICEM 2019) have indicated the request would be referred to their Board. AC agreed to follow-up on outstanding agreements.

Action: AC 2.2 Contributions from Founding Members To date discussions have been held with RCEM President Taj Hassan, a supporter of IFEM. L. Wallis

explained that the College is facing many external pressures at present and IFEM needs to convince the RCEM leadership that IFEM is a worthwhile ‘investment’. J. Ducharme agreed to contact CAEP President P. Pageau to facilitate a discussion.

Action: JD 2.3 An IFEM Institute Paperwork for the incorporation of a 501 3 (c) entity is currently being prepared by US lawyers. T.

Mulligan and M. Gracie (Deloitte) had recently scoped some initial projects in Europe and Asia. Approval for some funds to offset initial costs had been given by the Executive. In discussion serious concern was expressed that insufficient information had been provided to the Executive and that IFEM should not be exposed to any unauthorised agreements whilst the NFP entity was not yet established. LW and JD will contact TM further to clarify next steps and to ensure correct processes are adhered to.

Action: LW, JD

3. MoU with CAEP This is due for review. The Executive Officer had sent a first re-draft to J. Ducharme, following which

she will liaise with CAEP’s Executive Director and bring back to Board. Action: CR

3.1 Specific objectives and priorities for Communications Committee Nil discussion.

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IFEM Executive Minutes – 27th June 2017 Page 2 4. MoU with ACEP This agreement expires in September 2017. A draft revision from ACEP was considered. C. Reardon

referred to the provision of meeting space at the ACEP Scientific Assembly meeting and the offer of two days of meeting space for committee meetings and one day for Assembly and Board meetings. LW referred to the recent decision that after 2018, IFEM should continue to hold committee and Board meetings during the ACEP Scientific Assembly, but that the Assembly meeting should be held once a year during the ICEM meeting. Feedback from members had indicated that few Assembly members would be attending ACEP once annual ICEMs commenced.

It was considered appropriate for the more active committees to meet face-to-face twice a year. A

proposal should be prepared for discussion at the next Assembly meeting. CR to draft for Executive, indicating which committees require two face to face meetings per year and which are less active.

Meanwhile, it was agreed that three full days of meeting space for IFEM committee, Board and

Assembly meetings should be requested in the new MoU.

Action: CR to amend and send to ACEP for comment prior to finalising at July Board 5. International Conference on Emergency Medicine - updates 5.1 ICEM 2018 J. Bravo updated members on current developments:

An enterprise has been established to coordinate hotels in Mexico, there will be around 15 hotels to stay in. A meeting will be held later this week to establish the principal hotel where speakers will be hosted.

Translation for all lectures has been hired.

Input was required on the business meeting requirements.

A Korean contact for ICEM 2019 was requested.

Call for abstracts is already translated, for review by Research Committee, and if there is no more suggestions, it can be published. The association Sepsis Mexico, is offering $5,000.00 MXN for the best scientific abstract. Feedback is sought on this.

Early Bird Registration finishes in August 31st. IFEM Secretariat to promote.

Scientific program is finalised with 180 lectures.

Action: CR to provide meeting requirements to JB CR to arrange promotion of deadlines

LW to provide Korean contact Cost of in-house catering JB highlighted the cost of catering for both Mexico and Argentina (ICEM 2020). The venue charges a

high cost for in-house catering, reckoned to be 70% of the budget for the whole Conference. There are several other catering options available near the venue. The organising committee is suggesting that delegates be given the option to have catered lunch (with a higher fee) or not (ie in effect non-mandatory lunches). J. Holliman referred to a recommendation from the CPD Committee which had emphasised the need to adhere to the agreed guidelines and initial contract, being that lunch and morning and afternoon teas are free to delegates.

A suggested compromise was for delegates to receive vouchers to the outside catering outlets. JB

undertook to explore this. Action: JB

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IFEM Executive Minutes – 27th June 2017 Page 3 5.2 ICEM 2019 – progress report A contact with the Korean Society of Emergency Medicine has now been established, and the circulated

report indicated arrangements are on track. 5.3 ICEM 2023 – bids update One bid had been received, with only 1-2 anticipated by the 30 June deadline. A reminder had been

sent to unsuccessful 2022 bidders. 5.4 Members-at-Large – reporting and the effect of annual ICEMs The President believed this was under consideration by the Governance Committee, to ensure the

bylaws reflect that the Member at Large is a member of the Board rather than the Executive. To also consider whether the tenure of office of this role is two years as opposed to one.

6. NSEP / IFEM Symposium on Crowding 9 June One of the two international speakers at this Symposium, L. Wallis anticipated a position paper will be

forthcoming. 7. Other Business 7.1 Budget 2017-2018 FY A. Cross referred members to the draft budget, highlighting the very small surplus. He noted:

Given IFEM operates on a very tight budget, there is not a lot of opportunity for cutting costs.

The allocation of A$13K for establishment of the new entity is a new item.

Usual costs had been indexed in line with inflation.

Membership dues had been stable, but was not increasing. The loss of members as a result of the suspension of bad debtors, did not really affect the bottom line.

ICEM Levy – unlikely that annual ICEMs will provide double the income. The next ICEM will be in June 2018, so ICEM income for the following budget will not be known.

Whilst there are funds in reserve, the Treasurer recommended IFEM focus its efforts on increasing income. T. Rainer congratulated the Treasurer, EO and Finance Officer on the improved reporting which he felt provided good detail. Recommendation: From the Chair That the IFEM Budget for the 2016-2017 FY be approved.

CARRIED. Action: CR to refer to Board

7.2 Nominations for Awards – update CR advised that four FIFEM nominations had been received from two members to date, with a further

one expected before the deadline of 30 June. One Humanitarian Award nomination had been received.

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IFEM Executive Minutes – 27th June 2017 Page 4 7.3 Request for Letter of Support for Guatemala Following a request via E. Menendez, a letter of support from the President had been forwarded to the

Guatemalan Health Minister for the recognition of emergency medicine as a separate specialty in Guatemala. Noted.

7.4 Request for Letter of Support for SEMES T. Mulligan had been contacted by F. Moya of the Spanish Society requesting a letter of support for

specialty recognition of EM in Spain. The President approved a draft letter. Following discussion it was agreed that IFEM could pass on the request to its members to also consider supporting this request.

Action: LW letter to Spain, CR to advise members

There being no further business, the President thanked members and closed the meeting. Next meeting: 29th August (T)

(Board Meeting 11 July) (T)

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ACN 145 437 216


Held Monday 11th July 2017 _________________________________________________________________________

1. WELCOME Present: Lee Wallis, President James Ducharme, President-elect C. James Holliman, Imm.Past President Timothy Rainer, Vice President Anthony Cross, Treasurer Jesica Bravo Gtz, Member-at-Large Hendry Sawe, Africa Anthony Lawler, Australasia Edgardo Menendez, Central/South America Terrence Mulligan, North America C. Reardon, Executive Officer

Declaration of conflicts of interest Nil declared. 2. APOLOGIES M. Stander, Swee Han Lim, Juliusz Jakubaszko 3. ADDITIONAL AGENDA ITEMS Nil raised during the meeting.

4. MINUTES OF BOARD MEETING HELD 28th FEBRUARY 2017

Accepted. 4.1 BUSINESS ARISING FROM PREVIOUS MEETING (not covered elsewhere) Item 4.1 IFEM Terminology Project: Nil to report.

4.2 Minutes of Executive Meeting held 25th April 2017 Noted.

4.3 Minutes of Executive Meeting held 27th June 2017 Noted.

5. GENERAL BUSINESS 5.1 Applications for membership 5.1.1 Egyptian Society for Emergency Medicine – approved subject to payment of fee 5.1.2 Egyptian Trauma Society (seeking Full membership) - tabled 5.1.3 Gulf Federation of Emergency Medicine (GFEM) (Ex-Officio) - awaiting application 5.1.4 Emergency Medicine Physicians Association of Turkey (EPAT) – approved for Affiliate

membership subject to confirmation from EPAT and Assembly ratification 5.1.5 Libyan Association for Emergency Medicine (Full) – approved subject to Assembly ratification 5.2 Collaborations/Affiliations 5.2.1 WADEM

L. Wallis undertook to contact the President of WADEM to discuss collaboration.

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IFEM Board Minutes – July 2017 Page 2

5.2.2 Guidelines International Network Members noted a letter from the G-I-N Secretariat confirming the cessation of the MoU with IFEM.

Action: LW to write

5.2.3 Global Sepsis Alliance – payment of fee IFEM has not paid a fee for membership to the GSA previously. The Board agreed that the fee should not be paid.

Action: LW to respond

5.2.4 ACEP - review of Memorandum of Understanding This document is due for review in September. The Board noted some small changes suggested by ACEP: no food/beverage at Assembly meets, and a limit to the number of complimentary tickets for a social event for Board members. Further changes were proposed: - Staff support was required for two committees (Core Curriculum and Education and

Research) instead of three, Governance Committee having been returned to the Secretariat at the request of the Chair.

- Meeting space for Committee, Executive and Board meetings with associated AV facilities over three days, but not including an Assembly meeting. The Executive had agreed that after October 2017, Assembly meetings will only take place at ICEM meetings.

Whether to hold Board meetings at ACEP was considered, given that it will require Board Members’ societies to support travel to two face-to-face meetings a year. The Executive had considered that with the use of teleconferencing facilities, those Board members unable to attend ACEP could dial in to the meeting. A. Lawler referred to the need to review all existing MoU’s with Founding Members CAEP, ACEP and ACEM, to ensure there is parity between then.

Action: CR to forward further draft to ACEP 5.2.4.1

Change in ACEP Staff Support Noted.

5.2.5 CAEP Review of Memorandum of Understanding This MoU had expired in April. The President of CAEP had confirmed that support would continue whilst the document is revised. Members noted a revised draft which aimed at clarifying the roles and responsibilities relating to support for the Communications Committee. The Executive Officer was seeking input from the Chair, Communications Committee before the document is finalised.

5.2.6 Global Resuscitation Alliance - request for collaboration and endorsement This request related to possible collaboration with the Global Resuscitation Alliance to enhance future systems to improve survival from out-of-hospital cardiac arrest. This is currently under consideration by the Research Committee as a research project. Noted.

5.3 IFEM’s Strategic Plan 5.3.1 Report of Strategic Workshop October 2016 Noted.

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5.4 IFEM’s Financial Strategy 5.4.1 Increase in ICEM Levy

The Treasurer advised he had written to each of the future ICEM host organisations regarding the increase in the ICEM Levy and asking them to sign a revised ICEM agreement. Mexico had agreed to the increased royalty initially but this may have changed, due to a cost blowout related to catering – which was under negotiation. An acknowledgement had been received from Korea but no other signed agreements had been received. A. Cross to follow up with a further letter to Mexico, Korea, Dubai and Melbourne.

Action: AC 5.4.2 Support from Founding Members

L. Wallis related discussions with RCEM President Taj Hassan. J. Ducharme agreed to contact CAEP President P. Pageau to facilitate a discussion. The President would engage with ACEP at the forthcoming meetings in October. In discussion it was noted that the ability for IFEM Founding member organisations to get a seat at the Board table could be an incentive for greater support and this is a major challenge.

5.4.3 IFEM Institute J. Ducharme outlined progress with the establishment of an IFEM Institute, one aspect of IFEM’s strategy for increasing long term income. Paperwork for the incorporation of a 501 3 (c) entity is currently being prepared by US lawyers. T. Mulligan and M. Gracie (Deloitte) had recently scoped some initial projects in Europe and Asia. The Executive had expressed concern that IFEM should not enter into any unauthorised agreements whilst the NFP entity was not yet established. T. Mulligan expanded on the proposed projects and confirmed there is no formal agreement as yet. Deloitte requires ‘proof of concept’ and he envisaged a formal arrangement between IFEM and Deloitte would emerge through some initial projects. He confirmed that all documents and emails to date had been proposals. In response to questions about any likely financial outlay and issues such as intellectual property, it was noted that the purchasing organisations would have a contract with Deloitte’s who would in turn subcontract to IFEM. The IP would reside with the IFEM institute, and would be provided by 5-6 members of IFEM (with existing teaching resources). T. Mulligan believed the first project could take place in September – October. Concern was expressed that projects should not move forward without a clear legal framework upfront. There was a lack of detail around IFEM’s exposure. T. Mulligan believed that the Not for profit Institute could be established and as with the Foundation, 501 3 c charitable status be approved six months later but did not need to inhibit scoping activities. The option of utilising the IFEM Foundation as a vehicle for the initial project was canvassed. The President believed the potential for such projects was encouraging. However he emphasised that further clarity was required around the risk and benefits of any project. T. Mulligan agreed to: - discuss further with Deloitte and seek a clearer proposal - contact the lawyers to move on the establishment of the NFP entity

Action: TM to contact lawyers and Deloitte

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5.5 Proposal for International Day of Emergency Medicine by EMAT This request had been considered by the Executive. It was agreed that given IFEM’s limited resources this was not a priority. Noted.

5.6 Invitation to Sri Lankan Society of Critical Care and Emergency Medicine Annual Conference –

11-12 November 2017 Members were encouraged to contact the Secretariat if they were available to attend this inaugural emergency medicine meeting in Sri Lanka.

Action: Board 6. IFEM FOUNDATION

J. Holliman advised that appeals had been made via Emergency Physicians International, the Society of Academic Emergency Medicine and ACEP, with minimal response. A total of $8,000 was held in accounts. Dr Holliman asked members to consider and identify potential donors.

7. ICEM UPDATES 7.1 ICEM 2018, 5-8 June, Mexico City

J. Bravo provided the following update: - Early bird registration will close on 31 August - Scientific program is nearly finalised with 180 lectures - Some speakers confirmed - No formal PCO but three separate agreements have been made for the management of

accommodation, translation and registration. - Promotional material has been prepared and forwarded to the Secretariat J. Bravo also highlighted an issue relating to the catering of the meeting. The venue charges a high cost for in-house catering, reckoned to be 70% of the budget for the whole Conference. The Organising Committee were requesting that some of this unanticipated cost could be defrayed if the Board agreed to the ICEM Levy being $50 (instead of new fee of $60 per delegate). The CPD Committee had recommended that IFEM adhere to the agreed guidelines and initial contract, being that lunch and morning and afternoon teas are free to delegates. One option was to negotiate a part of the royalty. It was agreed that the whole of the Board should consider and vote on this separately.

Action: CR to circulate to Board

L. Wallis had reviewed the scientific program and needed greater international content. There was agreement that a Central or South American speaker would be appropriate to deliver the George Podgorny Lecture, in Spanish if appropriate. The involvement and enhancement of local input is a key trademark of the ICEM Conferences.

7.2 ICEM 2019, 12-15 June, Seoul 7.2.1

Progress Report from Organising Committee May 2017 Contact had been made with the organising committee and a comprehensive progress report was noted. It appears to be on track.

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7.3 ICEM 2020, 16-19 June, Buenos Aires E. Menendez advised that meetings had been held with the Conference Venue. The issue of the cost of lunches has also been discussed, given this will be a factor as for Mexico. Discussions with PCO MCI are ongoing and a further update will be available after September.

7.4 ICEM 2021, 8-11 June, Dubai Nil to report. 7.5 ICEM 2022, Melbourne Nil to report.

7.6 ICEM 2023

Bids received from: American Academy of Emergency Medicine (AAEM) Emergency Medicine Association of Turkey (EMAT) Netherlands Society of Emergency Physicians (NSEP) Taiwan Society of Emergency Medicine (TSEM) F. Hickey/C. Reardon to manage the Venue Selection Process, with assistance from Caroline Burrowes.

8. IFEM SYMPOSIA 8.1 NSEP Symposium on Crowding, 9 June 2017

Attended by L. Wallis and T. Mulligan, this event was well attended with over 400 delegates, the majority of whom were Dutch emergency physicians. The aim is to produce a consensus document however after sighting the first draft, the President believed greater international input would be required. A written report of the event is outstanding.

9. Nominations for IFEM Awards 9.1 FIFEM Awards 9.2 Humanitarian Awards

A total of eight nominations for the FIFEM Award and one nomination for the Humanitarian Awards had been received. Deferred for consideration by email.

Action: CR to circulate by email 10. COMMITTEE REPORTS 10.1 Finance Committee 10.1.1 Minutes of Meeting held 27 February 2017 10.1.2 Minutes of Meeting held 20 June 2017 10.1.3 Financial Reports as at 31st May 2017 10.1.4 Subscriptions and Bad Debtors as at 30 June 2017

Noted.

10.1.5 Budget 2017-2017 FY The Treasurer referred to the circulated draft Budget and associated information.

- A very narrow surplus of $1,575

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- Income tends to be stable; chronic bad debtors are gradually being removed from membership

- Past ICEM’s have provided very good income. Going to an annual ICEM may not necessarily double the income each year.

Modest increases have been anticipated for expenses but on the whole the organisation runs on a very lean budget. Other strategies as discussed will become increasingly important. A. Cross emphasised that expenditure is governed by authorised delegations to the Treasurer or the Board, and that no Board member has the authority to approve expenses. It was noted that as from July 2018 the ACEM annual contribution of $40K would no longer be provided. A. Cross noted that IFEM had two years’ worth of operating income in reserve and believed that the organisation was not in danger of becoming insolvent. There being no further discussion he moved that the Board approve the Budget as submitted. Motion: A. Cross/A. Lawler That the Budget for 2017-2018 FY be approved.

CARRIED

10.1.6 Associations Liability Insurance The Executive Officer had sourced a further quote for Associations Liability Insurance. As with previous quotes, the issue was cover for US/Canadian Board members. Whilst the policy offered this cover, there were stipulations relating to any claims brought in the US, including an excess of $50,000 rendering it not viable. Following discussion it was agreed that, at an annual premium of A$2,200 for $2 million cover, it was worthwhile purchasing the cover for IFEM, and that the North American board members would approach their societies to ask about cover within their existing policies, asking that they liaise further with the Executive Officer. This was agreed.

Action: CR JD, JH, TM

10.1.7 Audit Engagement Letter The Board supported proceeding with the Audit as proposed by IFEM’s Auditor’s Saward Dawson, for a fee of $3,245. C. Reardon undertook to sign and return the letter.

Action: CR 10.2 Governance Committee 10.2.1 Minutes of Meeting held 6 April 2017 10.2.2 Minutes of Meeting held 29 June 2017

Noted.

10.2.3 Draft By-laws Members considered Bylaws, drafted to incorporate the following changes: • New Vision and Mission incorporated • Supporting Member definition amended to apply specifically to the Foundation. • Requirements for Nominations for Board and Executive positions clarified.

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• External relationships defined as discussed (new section on partnerships/collaborations) • High level Definition of Committees and Taskforce incorporated, but all other detail

regarding functions of Committees removed and placed in General Procedures Manual. • Remove reference to biennial or annual meetings of the ICEM and just refer to the ICEM. • Article III: Goals: additional goals 10-29 – deleted. It was considered that strategic goals

should be determined by the Board and embodied in a separate document. • Article VI: new Section 6: Email voting by the Assembly. To assume no response is an

affirmative vote. • Article VII: IFEM Board: a short statement of purpose of the Board was added, and likewise

to Article VIII IFEM Executive. L. Wallis referred to the discussions around the role of Member-at-large becoming a non-voting Board member rather than Executive member, and that tenure for the office should be two years. This meant that at any one time there will be two Members-at-Large on the Board, reporting on the next two ICEM Conferences. In view of the need to retain this additional voice on the Executive, the President recommended that: 1. The existing position of Member-at-Large on the Executive be retained, a position that

would be elected by the Assembly as with other Officer positions on the Executive. 2. That the role needed to be further defined by the Governance Committee and returned

to the Board for approval and dissemination to the Assembly by the deadline of September.

In discussion it was clarified that this role could be filled by any Assembly member or Board member as is the case for other Officers. The President agreed to further define the proposal by email and forward to the Governance Committee for development and consideration by the Executive.

Action: LW There being no further discussion of the Bylaws, they were approved as circulated. Motion: A. Lawler/H. Sawe That the IFEM Bylaws, as amended be approved.

CARRIED Action: CR

10.3 Specialty Implementation Committee Nil to report. 10.4 Core Curriculum and Education Committee 10.4.1 Minutes of Meeting held 28 June 2017 Noted.

10.4.2 Proposal for Leadership Paper and Questionnaire

This proposal had been developed by Janis Tupesis and included a survey for circulation to members. It was thought that ultimately it would become an IFEM document to complement the other suite of curricula. It was agreed that the Research Committee should review the survey instrument prior to dissemination.

Action: CR to send to D Taylor

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10.5 Continuing Professional Development Committee 10.5.1 Minutes of Meeting held 20th March 2017 10.5.2 Minutes of Meeting held 26 June 2017

Noted.

10.6 Clinical Practice Committee 10.6.1 Minutes of Meeting held 21st March 2017 10.6.2 Minutes of Meeting held 14 June 2017

Noted.

10.6.3 Behavioural Emergencies Special Interest Group – terms of reference and operational guidelines Approved without amendment. Motion: L. Wallis/J. Holliman That the Terms of Reference and Operational Guidelines of the Behavioural Emergencies Special Interest Group be approved.

CARRIED

Action: CR 10.6.4 Proposal for a Trauma Special Interest Group

The Board considered this and the proposal for a Critical Care SIG together. The question of resources arose and the President explained that SIGs are meant to be self-reliant. A. Lawler recommended that support for SIGs is an activity that could be apportioned to Founding members via MoU’s. The President emphasised that SIG’s need to be aware that IFEM can’t provide resources for their activities. Motion: L. Wallis/J. Holliman That IFEM establish a Trauma Special Interest Group.

CARRIED Action: TM

10.6.5 Proposal for a Critical Care Special Interest Group

Motion: L. Wallis/J. Holliman That IFEM establish a Critical Care Special Interest Group.

CARRIED Action: TM

10.6.6 Medical Informatics Special Interest Group

T. Mulligan explained that the CPC had considered a proposal for a Medical Informatics SIG. It had been suggested that this could be combined with the Quality and Safety SIG, however the Informatics SIG believed it should be a separate SIG. This was considered appropriate.

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10.7 Research Committee 10.7.1 Minutes of Meeting held 20 June 2017 Noted.

10.7.2 Proposal for IFEM Prizes for Research Excellence

This proposal outlined a prize for Best Paper at ICEM, Best Paper by a Young Investigator, Best Paper by a Trainee, Best paper Evidence into Practice. In discussion of possible cost, it was noted that at this stage a certificate is considered appropriate. The proposal was supported. Motion: L. Wallis/A. Cross That IFEM establish IFEM prizes for Research Excellence,

- Best Paper at ICEM - Best Paper by a Young Investigator - Best Paper by a Trainee - Best Paper – Evidence into Practice

to be awarded at ICEM meetings.

CARRIED Action: DT


Nil discussion due to lack of time.

11. OTHER BUSINESS 11.1 New Assembly representatives

Dr Jesus Daniel Lopez Tapia, President, Mexican Society of Emergency Medicine Dr Arin Malkomian, President, Swedish Society for Emergency Medicine Dr Martin Luma, President, Philippine College of Emergency Medicine Noted.

11.2 Correspondence 11.2.1 Appointment of Officers, Philippine College of Emergency Medicine 11.2.2 Pacific Medical Students Association Camp December 2017 11.2.3 Support for Recognition of EM as a specialty in Guatemala 11.2.4 Support for Recognition of EM as a specialty in Spain 11.2.5 Recognition of EM as a specialty in Denmark

Noted.

11.3 IFEM Meetings at ACEP17, Washington DC, 29-31 October Nil discussion.


NEXT MEETINGS : 19 September (T) 30 October, ACEP Scientific Assembly, Washington DC

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ACN 145 437 216

IFEM EXECUTIVE Minutes of Teleconference held 29th August 2017

________________________________________________________________________ Present: Lee Wallis, President C. James Holliman, Immediate Past President James Ducharme, President-elect Timothy Rainer, Vice President Anthony Cross, Treasurer Melanie Stander, Secretary Carol Reardon, Executive Officer Apology: J. Bravo Gtz. Member at Large Nil declaration of conflicts of interest. 1. Minutes of Teleconference held 27th June 2017 Accepted. Matters Arising.

- Item 5.4: Draft bylaw on Members-at-large. This has been incorporated into the draft bylaws approved by the Board and has been posted on the Website for comment.

- Item 6: NSEP Symposium on Crowding 9 June - This report yet to be received; reminder sent. - Item 7.2: IFEM Awards

The following nominations for the Award of the FIFEM were considered against the criteria. C. Reardon emphasised the need for discussion on the nominations of nurse Sr Toubkin, and Dr C. Curry, who had accepted the Humanitarian Award previously on behalf of an organisation. She clarified that nominee A. Cross would abstain from voting on his nomination. In discussion the focus was on the contribution and/or involvement of the nominees in IFEM activities, against their overall contributions to international emergency medicine.

A/Prof Ashley Bean AAEM/ACEP Supported. Dr Anthony Cross ACEM Supported. Dr Garry Gaddis AAEM/ACEP Supported. Dr Brian Holroyd CAEP Supported. Dr Heike Geduld EMSSA Supported. Sr Mande Toubkin EMSSA

As a nurse, Sr Toubkin is considered to be the first non-emergency physician proposed for this Award. L. Wallis outlined her outstanding contribution to emergency care in Africa, but noted no specific contributions to IFEM. The majority of members agreed that at this time, IFEM is a medical organisation and as such did not support this nomination at this time. L. Wallis undertook to advise the President of EMSSA (nominator) accordingly. Agreed that the Board should consider the issue of awards for non-emergency physicians.

Action: CR to October Board The following nominations for the Humanitarian Award were considered:

Noe Arellano Hernandez SMME Supported. A. Garcia Guerrera SMME Supported C. Curry ACEM

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IFEM Executive Minutes – 29th August 2017 Page 2

C. Reardon clarified that in 2004, the Award was made to ‘The international effort to support emergency medicine in Papua New Guinea sponsored by AusAID’. Records indicate that the Award was received by Dr Carolyn Annerud and Dr Chris Curry. Her interpretation was that Dr Curry had not in fact been awarded this honour previously. A. Cross advised that AusAID is a large organisation within Australia. The Executive were satisfied that C. Curry met the criteria for the Award. Supported. RECOMMENDATION: From the Chair 1. That the following be awarded Fellowship of the IFEM, at the ICEM in 2018.

A/Prof Ashley Bean (AAEM/ACEP) Dr Anthony Cross (ACEM) Dr Garry Gaddis (AAEM/ACEP) Dr Brian Holroyd (CAEP) Dr Heike Geduld (EMSSA)

2. That Sr Mande Toubkin’s nomination not be supported at this time.

CARRIED

Action: LW Letter to R. Dickerson RECOMMENDATION: From the Chair That the following be awarded the IFEM Humanitarian Award at the ICEM in 2018:

Noe Arellano Hernandez (SMME) C. Curry (ACEM) A. Garcia Guerrera (SMME)

CARRIED Action: To Board

2. IFEM’s Financial Strategy 2.1 Increase in ICEM Levy 2.1.1 Response from Argentina The Treasurer had forwarded a reminder letter to future ICEM hosts regarding the decision to increase

the ICEM levy, requesting revised agreements be signed. Mexico had been exempted from this on the basis of their request relating to excessive catering costs, and the fact that arrangements were well in place when the decision to increase the levy was made. Of the remaining host organisations, only ACEM had signed the revised agreement for ICEM 2022.

Noting that the letter from Argentina did not in fact say SAE would not pay the increased the levy, it

was thought that a Conference should sustain enough income to handle the increase, especially if added on to the original budgeted registration fee. Agreed to clarify with E. Menendez at the coming Board meeting. C. Reardon to alert EM to this discussion.

Action: To Board/CR to contact E. Menendez 2.2 IFEM Institute

J. Ducharme reported on progress with this initiative: - The application for 501 3 c status has been submitted by T. Mulligan and the US lawyers. This

should be finalised in 3-6 months but would not inhibit progress. - Preliminary bylaws and structure for the Institute have been prepared. - There will be representations made on behalf of the Institute at coming MEMC and EuSEM

meetings.

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- Feedback from an approach to Georgia indicated the fee schedule was excessive for a developing country. Noted that fees need to be reviewed accordingly.

Members of the Executive will meet in Lisbon the following week to discuss the framework and strategies for the Institute with the aim of having it operational by end of October. Concern was expressed that negotiations for proposals were not in line with IFEM’s requirements. Any approaches to third parties must have oversight by L. Wallis and J. Ducharme to ensure IFEM is not at risk of any exposure.

3. Relationships 3.1 MoU with CAEP This MoU has expired. This current draft focuses on improving detail of the nature of staff support for

operation of the Communications Committee. It is awaiting input from Chair Alan Drummond. The Committee has not been active and the aim is to clarify this with the Chair first. The President agreed to wait upon further advice from the EO before contacting Dr Drummond himself.

3.2 MoU with ACEP

The initial re-draft from ACEP had been reviewed and returned to ACEP for consideration, with the following suggested changes: - Staff support for two committees instead of three (Research and Core Curriculum and Education); - Meeting space for three days of meetings for Executive, Board and Committees, but not for Assembly

meetings Awaiting feedback from ACEP. Agreed that the Executive Officer should confirm that the short legal disclaimer that had been added to the

ACEM agreement is added to the CAEP and ACEP draft agreements. Action: CR to follow-up

3.3 Collaboration opportunities with World Organization of Family Doctors (WONCA) IFEM had been approached by the WONCA Chair of their new Emergency Medicine Special Interest

Group, Dr Victor Ng. An introductory conference call had been held and attended by the President and Executive Officer, and WONCA President Amanda Howe, CEO Garth Manning and Victor Ng. L. Wallis had undertaken to: - Link them to WADEM and IFEM’s DMSIG - Provide details of the WHO/Red Cross/IFEM Basic Course Manual (yet to be finalised) - Identify other areas of common interest J. Ducharme agreed to meet with Victor Ng to further explore collaboration.

Action: JD, LW 4. International Conference on Emergency Medicine - updates 4.1 ICEM 2018 No report received. Agreed that more regular written reports are required on progress.

Action: CR to contact JB

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IFEM Executive Minutes – 29th August 2017 Page 4 4.2 ICEM 2023 – agreement to pay levy The Secretariat had contacted the bidding organisations to confirm they agreed with the increase in the

levy, as this had not been reflected in all of the bids. All have agreed. AAEM has signed, but reserves the right to withdraw the bid anytime up to the Assembly meeting, whilst they reconsider the financial implications. The Venue Selection Committee were currently reviewing the bids with a conference call scheduled for the following week. Noted.

4.3 ICEM 2024 With the move to annual Assembly meetings to be held at the ICEM, it was necessary to adjust the

timeline for expressions of interest to host ICEM 2024, to be received by 1 March next year. This gave a reduced 7 month period in which to submit a bid for this coming year. The following was agreed:

September 2017 Call for Expressions of Interest to all eligible Member Organisations (<6yrs) 1 March 2018 Bid submission closes (gives bidders 7 months) March 2018 Venue Selection Committee appointed March 2018 Eligible Bids sent to Venue Selection Committee Early April 2018 Venue Selection Committee Teleconference Late April 2018 IFEM Board meeting teleconference June 2018 Venue recommendation put to IFEM Assembly for ratification

Action: CR 4.4 Impact of annual ICEMs, committee tenure etc The Governance Committee is requested to consider the bylaws and impact of moving the Assembly

meeting to June at each ICEM. Action: CR advise CH

5. ACEP17 meetings 5.1 Meeting Schedule - noted. 5.2 Workshop A short workshop for Board members and Voting Assembly members will be held on 31st October to provide

an update on IFEM’s financial strategy and strategic review. 5.3 Draft agenda for Assembly Meeting Approved, for circulation to Assembly members later in the week.

Action: CR 6. Membership - new applications 6.1 Application from Gulf Federation of Emergency Medicine (Ex-officio) This application will be considered at the forthcoming meeting of the Board. 6.2 Danish Association of Emergency Medicine (Full) The President of DaSEM had indicated an application for Full membership would be submitted.

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7. Other Business

7.1 Request for Letter of Support for Tonga

M. Nicholls and other members of Auckland Hospital were meeting with the Tongan Minister of Health to promote the establishment of EM in Tonga. The Executive had approved a letter of support by email, which had been forwarded to Dr Nicholls.

7.2 Finance Manual

A. Cross referred to some minor amendments to the Finance Procedures Manual regarding the establishment of a term deposit account, that the Executive Officer can authorise electronic payments and to reflect the current MoU with ACEM.

7.3 Elections

The President asked members to indicate their intentions for the forthcoming elections in June 2018. He hoped to have some idea of the team going forward by the next meetings in Washington in October.

Action: Executive

There being no further business, the President thanked members and closed the meeting.

Next meeting: 28 November (Board Meeting 19 September) (T)

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REGULATION OF THE EMERGENCY MEDICINE PHYSICIANS ASSOCIATION

ARTICLE 1: NAME AND MAIN OFFICE ADDRESS OF THE ASSOCIATION

The name of the association is “the Emergency Medicine Specialists Association”. The address of the principal office is Güleryüz Sokak Emek Apartmanı No:26/19 Ayrancı-Çankaya/ANKARA.

ARTICLE 2: OBJECTIVES OF THE ASSOCIATION

The association will work for following objectives.

1. To contribute to the development of emergency medicine in Turkey and across theworld,

2. To encourage the physicians working in the area of emergency medicine forpostgraduate education on their subject and to determine the standards of education,

3. To protect personal benefits of emergency medicine physicians; to struggle forimproving their physical and moral working conditions,

4. To encourage all physicians and medical students to get education on basicemergency medicine and to determine the standards of education,

5. To assess organizational, social, and economic aspects of emergency care services,

6. To encourage and support pre-clinical and clinical research to be performed onemergency medicine,

7. To perform studies on the improvement of working conditions of emergency medicinephysicians both in public sector and in private sector,

8. To support emergency medicine physicians for working actively in pre-hospital andpost-hospital emergency services system and in planning for disasters,

9. To provide the coordination among institutions after determining the standards forhigh-quality emergency care service and patient transfer,

10. To contribute to the implementation of on-going education programs for improving themedical knowledge of emergency medicine physicians,

11. To improve educational, working, and economic standards of emergency medicinephysicians and to perform studies for this aim,

12. To form educational standards of emergency medicine and to undertake the duty ofconsultancy on this issue.

13. To increase the quality by organizing courses and exams on emergency medicineperiodically,

14. To support the efficiency of instructors in emergency medicine (books, journals, slidesets),

76Refer separate file for application

15. To encourage medical students to apply for the emergency medicine residencyprogram,

16. To help increasing the number of the departments of emergency medicine andimproving their quality,

17. To perform research for providing all citizens to receive high-quality emergency careservice,

18. To deal with the problems of emergency service patients and to ensure them toreceive higher quality service,

19. To help raising future instructors, researchers, and administrators in emergencymedicine through courses, meetings, and sources,

Work items and types of work to be pursued by the association to fulfill these purposes are:

1. Buys, rents and sells the necessary immovable properties for place of residence,items of purpose and service, can have buildings built.

2. It can arrange all types of meetings, trips, representations, seminars, conferences,festivals, fairs and other exhibitions regarding the items of purpose and service toinform its members and the public opinion.

3. It conducts studies of research, investigation and development by way of themembers of the association or experts and identifies suggestions and wishes to fulfillthe items of purpose and service.

4. Regarding charity collection, it receives donations and aids according to the laws.5. Supplies various journals and books having great importance in emergency medicine

education that cannot be provided by the library.6. Supports direct and indirect studies in emergency medicine and organize

competitions for conducting better studies and gives rewards.7. Conducts studies to exchange information with various libraries and emergency

services in the world by connecting to the internet, builds its website, and conductsstudies that will contribute to the development of emergency physicians.

8. Provides emergency physicians’ coming from abroad for knowledge and experiencetransfer and carrying out various research projects and when necessary providesworking of Turkish emergency physicians abroad in clinics, hospital and universityand enlightening of people in concern by the activity report to be prepared by them.

9. Conducts studies and brings forward the subjects regarding the development of workenvironments and socio-economical statuses of emergency physicians

10. Publishes papers about emergency medicine and provides reaching of these papersas journals to its other members and people in concern.

11. Collaborates with other domestic institutions (science and charitable societies,foundations, associations, study groups) concerning emergency medicine.

12. Tries to establish a documentation center and archive about emergency medicine andaids.

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ARTICLE 3: FOUNDERS OF THE ASSOCIATION

NO NAME-SURNAME NATIONALITY OCCUPATION RESIDENCE ADDRESS

1 Rıfat Tokyay T.C. Physician Uludağ University Lodgement 4.Blok D:4 Görükle/BURSA

2 Fettah Fevzi Ersoy T.C. Physician Meltem Mah. Etmen Sitesi D Blok D.6 07070 ANTALYA

3 John Robert Fowler USA Physician Atadan Cad. no: 124 Buca/İZMİR

4 Hakan Güven T.C. Physician Mimar Sinan Mah Atatürk Cad Hasbahçe Sit No.241-B D:9

5 Ülkü Ergene T.C. Physiican Seferihisar Cad.Doğakent Sitesi NO:6/1 Güzelbahçe/İZMİR

6 Metin Çakmakçı T.C. Physician Çınar sit. 2.blok No:59 Ümitköy 06530 ANKARA

7 Erdoğan Mütevelli Sözüer T.C. Physician Kocasinan Mah.Tuna Cad.Aşiyan Apt. No:41 K:6 D:17 KAYSERİ

8 Şevket Cumhur Yeğen T.C. Physician Sırmaperde Sk. Altunizade Konutları C Blok D:3 Altunizade/İST

9 Murat Pekdemir T.C. Physician Rızaiye Mah. Borat Sk. No:15/22 ELAZIĞ

ARTICLE 4: MEMBERSHIP CONDITIONS AND ENDING MEMBERSHIP

Membership:

The Emergency Medicine Physicians Association has two classes of members:

a) Full member

b) Honorary member

FOR FULL MEMBERSHIP;

a) To have worked in the field of emergency medicine actively in addition to having acertificate in Emergency Medicine (First and Emergency Aid), Internal Medicine,General Surgery, Orthopedics and Traumatology, or Anesthesiology andReanimation and to have adequate studies on emergency medicine

b) To have contractual capacity and to be over 18 years old.

c) To be in accordance with the 16th Article of the Associations Law Numbered 5253

d) To accept to obey the objectives and actions of the association

e) To get written reference at least from two members of the association

f) To pay the entrance membership fee

g) Not to be sentenced for any of illegal acts stated in the 4th article of the AssociationsLaw numbered 5253. To be in accordance with the provisions of this article

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Applications for membership are performed according to the principles prepared by the Board of Directors and finalized by this board.

FULL MEMBER:

In compliance with the Associations Law numbered 5253, they are the members who are made written notification on acceptance confirmation for their written application to the board of directors to join the association, who adopt all provisions of the regulation, who promise to pay the entrance and annual fees, who provide full support with his/her knowledge and skills for reaching the objective of the association, and who act equally in the framework of the terms stated in the law for voting and being voted.

HONORARY MEMBER:

1. Research associates in Emergency Medicine (First and Emergency Aid) who makevoluntary financial and spiritual aid to the association

2. Honorary membership is granted to those who are chosen by the board of directors.

3. Honorary members have no right to vote and to be voted in the general assembly.They can present their wishes and requests. They can attend or be assigned in anyactivity of the association.

4. They can be full members with the approval of the board of directors when they meetthe conditions for full membership.

5. Honorary members can pay the annual fee or make a donation if they want.

6. Honorary members who pay the annual fee are sent every kind of scientific studiesrelated to the association, which are also sent to full members, and they are asked toattend the activities of the association.

The board of directors of the Emergency Medicine Physicians Association has to make a decision about accepting or rejecting the application for membership within 30 days and inform the applicant about the evaluation in writing.

The members of the Emergency Medicine Physicians Association have equal rights. There is no discrimination of language, race, color, sex, religion, ancestry, and status among the members. Provisions that are against the equality or that provide privileges to some members cannot be added to the regulation.

Ending Membership

Membership of the Emergency Medicine Physicians Association is terminated under the following conditions:

a) Acting contrary to the regulation of the association or in a way causing a harm to theobjective of the association

b) Losing any of the membership conditions stated in the laws or in the regulation,resignation form membership

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c) Any member may withdraw from the membership of the association by giving writtennotice of such intention

d) The membership of those who fails to pay their membership fees without any excusein 30 (thirty) days after a written warning will be canceled by the decision of the boardof directors. The terminated members have the right to object in the first meeting ofthe general assembly. The decision of general assembly is the definitive judgment.The terminated members will not be refunded for any fees or donations to theassociation.

The full members of the association are liable for the provisions stated in the paragraphs of (a), (b), (c), and (d).

ARTICLE 5: FORMING AND MEETING THE GENERAL ASSEMBLY OF THE ASSOCIATION

A-ORGANS OF THE EMERGENCY MEDICINE PHYSICIANS ASSOCIATION

a) The General Assembly

b) The Board of Directors

c) Supervisory Board

d) Advisory Board

The general assembly consists of full members registered in the association and representative members of the branches. Those who do not pay their membership fees until one month before the meeting of the general board are generally not considered and they cannot vote. Full members that have not paid their membership fees and honorary members can attend the meeting as audience. They can present their wishes and requests. The first meeting of the general assembly is held within 6 months after the regulation of the asssociation is published in the official gazette.

B. DUTIES AND AUTHORITIES OF THE GENERAL ASSEMBLY

a) To elect the organs of the association,

b) To make necessary alterations in the regulation of the association,

c) To approve the reports of the Board of directors and Supervisory Board, to acquit the

board of directors,

d) To discuss the annual budget prepared by the Board of directors and to approve it as it is

or by changing,

e) to provide the association to join or to secede from the federation of emergency medicine,

f) to authorize the board of directors for buying real assets necessary for the association or

for selling existent real assets,

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g) to determine the amount of entrance membership fee and annual fee,

h) to dissolve the association,

i) to evaluate the objections to the dismissals by the board of directors and to make a final

decision for them,

j) to give directions to the board of directors,

k) to perform other duties stated in the laws and regulation

l) to decide on opening new branches of the association.

C. MEETINGS OF THE GENERAL ASSEMBLY AND ANNOUNCEMENT

The general assembly holds e regular meeting once a year in May. All issues on the agenda

are addressed and a final decision is made on the issues. In addition, the election of the

organs is performed in the meeting of the General Assembly held every three years in May.

The board of directors has to invite the general assembly to an extraordinary meeting within

a month if requested by the board of directors or by the supervisory board or by one fifth of

the members in writing. The general assembly is invited to a meeting by the board of

directors.

If the board of directors does not invite the general assembly to a meeting within a month

despite the written request of one fifth of the supervisory board or members of the

Emergency Medicine Physicians Association, a local justice of the peace holds a hearing due

to the application of the supervisory board or one member requesting a meeting and assigns

a committee of three members to invite the general assembly to a meeting. The general

assembly is invited in accordance with the condiitons stated in the 21st article of the law.

D. QUORUM OF DECISION AND MEETING

The general assembly holds a meeting with the attendance of more than half of full members

that have a right to participate in the meetings. If minimum number is not reached in the first

meeting, the second meeting is held on condition that the number of members attending the

second meeting is not less than two-fold of total member number of the board of directors

and supervisory board.

E. PLACE OF MEETING

The meetings of the general assembly are held in places planned by the board of directors.

F. MEETING PROCEDURE

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The general assembly meets when absolute majority of the members that have right to

attend the meetings is obtained. For making changes in the regulation and for the dissolution

of the association, It meets with the participation of two-thirds of members. If the meeting is

postponed because majority is not attained, it is not necessary to reach the majority in the

second meeting. However, the number of members attending this meeting cannot be less

than two-fold of total number of members in the board of directors and supervisory board.

The list of members having the right to join general assembly is kept ready at the meeting. Identity documents of members to join the meeting issued by official authorities are checked by officers to be charged by board members or board of directors. The members enter the meeting after they sign the list in which their names are found, prepared by the board of directors.

If the quorum of meeting is provided, it is confirmed by an official report and the meeting is opened by the chairman of the board or by one of the members of the board to be charged by him. An official report is made by the board of directors in case the quorum of meeting can not be provided .

After the opening a chairman to conduct the meeting, a sufficient number of deputy chairmans and a clerk is elected and council committee is formed.

In the votings to be conducted for election of organs of association, it is compulsory for the members who have voted to show their identity documents to council committee and sign their names in the list of attendents.

Council chairman is responsible for chairing of the meeting and provision of its safety.

In the general assembly only the items of the agenda are discussed. However it is compulsory to put the subjects on agenda that are desired to be discussed in written form by one tenth of the members ready in the meeting.

Each member in the general assembly has one vote; the member has to vote in person. Honorary members can attend general assembly meetings but can not vote. In case the legal entity is a member, chairman of the board of the legal entity or the person charged by him to represent votes.

The subjects discussed and decisions made at the meeting are written in an official report and signed together by the council chairman and clerks. At the end of the meeting the official report and the other documents are submitted to the chairman of the board. He is responsible for the protection of these documents and deliver them to the newly elected board of directors in seven days.

G. REPORTING THE ELECTED MEMBERS OF THE ORGANS TO THE ADMINISTRATION

Within thirty days following the election conducted by the general assembly; the names, names of the fathers, place and date of birth, occupations and place of residences of full and associate members elected to board of directors, supervisory board and other organs of the association are reported to the highest civilian authority of the place of the center of association in written form by chairman of the board.

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ARTICLE 6: DUTIES AND AUTHORITIES OF THE BOARD OF DIRECTORS AND SUPERVISORY BOARD, CONDITIONS OF ELECTION, NUMBERS OF FULL AND ASSOCIATE MEMBERS.

A. THE BOARD OF DIRECTORS

It consists of 11 full and 5 associate members selected by the general assembly among the

full members.

a) At its first meeting, the Board of Directors elects a chairman, a vice chairman, a

general secretary and a treasurer.

b) The Chairman and members of the board of directors are selected for a term of three

years. Members who are expired re-elect new members.

c) In case of a vacancy among the full members, a member in the associate member

list is called according to the order of votes.

d) The board of directors attends the meeting at least once every three months. It

convenes upon the written request of the Chairman or four members of the board of

directors.

e) The board of directors can hold a meeting by connecting via telephone, conference

system or internet (all members participating in the meeting at the same time can

listen, talk, and write to each other) and, within two days, the decisions taken are

transferred to the members of the board of directors in written form and finalized after

being signed.

f) The member who does not attend the meeting 3 times succesively without declaring

an excuse is excluded from the membership . In place of that member, one of the

associate members is appointed and new distribution of the duties is performed.

g) The board of directors decides by the majority of votes. Voting in the board of

directors is made openly. In the case of equality, the decision is made by the votes of

those on the chairman side.

h) In order for a person to be elected as a chairman, he/she needs to have served as a

vice chairman or a general secretary at least one full term (three years).

i) In order to be elected as a vice chairman or general secretary, he/she needs to have

served as a member of the board of directors at least one full term (three years).

j) The former chairman serves as the natural member of the board of directors in the

next term.

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k) One person can work in the same post only for two terms (as chairman, vice

chairman, general secretary, treasurer and board member). If the board of directors

deems it necessary, it has the authority to make changes in the applications.

l) Those other than the first article will enter into force after the current day's general

assembly. The first item in this list will be valid for the current day's general assembly.

DUTIES AND AUTHORITIES OF THE BOARD OF DIRECTORS

a) To represent the association or authorize one or more of its members in this respect.

b) To authorize branch founders.

c) To carry out operations related to incomes and expense accounts of the association

and to prepare the budget for the next term and present it to the general assembly.

d) If non-Turkish citizens are accepted as a member of the association, to report them to

the highest local authority within ten days.

e) To decide about those who want to become a member of the association and those

who are in the position of withdrawal or dismissal from the membership.

f) To fulfill the decisions of the general assembly and to invite the organs of the

association to the meeting when deemed necessary.

g) To operate the association, club and other facilities and to get them operated, to

employ the required personnel and to determine their salaries.

h) To make bylaws not contradicting the regulations of the association.

i) To work on providing donations and income to the association.

j) To perform other duties assigned by the regulation of the association and by the

income legislation and to use its authorities.

ARTICLE 7: CHAIRMAN AND VICE CHAIRMAN

Chairman represents the association. He/she has the authority to determine the agenda

of the meeting, to chair the sessions, to open the general assembly meeting and to take

attendance. The vice chairman fulfills the authorities and duties of the chairman in the

absence of the chairman.

ARTICLE 8: GENERAL SECRETARY

It performs the required procedures to implement the decision of the board of directors,

prepare the agenda of the board of directors and announce it to the members, keep the

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association book, keep the records, plan and administer the accounting and the other

personnel castings, prepare and update the list of association members. In addition, it

carries out activities related to donations and endowments.

ARTICLE 9: GENERAL DIRECTOR

The task definition is determined by the board of directors.

ARTICLE 10: TREASURER

He/she monitors and controls the accounts of the association. He/she organizes payment

documents and enables association expenses to be managed according to the budget.

He/she is responsible together with the chairman for keeping "the receipts" which are

used for rasing donations and fees.

ARTICLE 11: SUPERVISORY BOARD

The supervisory board consists of three full and three associate members elected by the

general assembly. The one who receives the most votes becomes the chairman of the

board. It conducts internal supervising within the framework of legislation. With intervals

not exceeding six months, the supervisory board tries to conduct internal supervising,

determines that the income and expense, accounts, operations and activities are carried

out in accordance with the regulation provisions, and tries to carry out the supervision

according to the working principles and procedures. It records the results of the

supervision in the Decision Book of the Supervisory Board, prepares a report form and

presents it to the board of directors when the assembly convenes. In addition, it uses the

authority given by the regulation itself.

ARTICLE 12: ADVISORY BOARD

The advisory board is elected with secret voting and consists of three full members and

three associate members for three years. At the advisory board meeting, the board

elects a chairman among themselves to manage the board's affairs and manage the

meetings. The advisory board makes advisory decisions to the board of directors. The

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committee meets once a month with the invitation of the chairman. Its duties and

authorities are not included in the other organs mentioned in the regulation of the

association.

ARTICLE 13: ORGANIZATION OF BRANCHES AND THEIR LEGAL STATUS

With the decision of the general assembly, the authority to establish a branch is given to

at least three persons in places where it will be opened. The members authorized to

open the branch report the names and surnames of the founders, paternal names, place

of births and dates, occupations, residence and nationality, branch office and address to

the highest administrative authority where the branch will be founded. With this report,

they add the authorization form of the foundation, with two examples from the main

regulation of the association. The establishment of the branch is completed with this

report.

The branches are independent internal bodies which are connected to the association in

terms of the laws and the provisions of the regulation, whose relations and authorities

with the head office of the association have been determined by the provisions of

"regulations of branches", whose presence and rights are included in the association,

which is in charge and authorised with performing independent activities in reference to

the decision of the board of directors towards the aims and service subjects of the

association and which is subject to the association in terms of the rights and loans arising

from all its acts.

The branches are represented by the natural delegates elected at the general assembly

of the association. The chairmen of the board of directors and supervisory board in the

branches have the right to participate in the general assembly as natural delegates and

one delegate to be elected on behalf of 31 members in the branch general assemblies

has the right to participate in the general assembly as an elective delegate.

The other provisions of this regulation which are related to the legal entity of the

association are also valid within and related to the branch and they are implemented

comparatively. Provisions associated with the application and center-branch relations are

shown in the "Branch Regulations" to be prepared by the board of directors in

accordance with the provisions of the legislation and regulation.

ARTICLE 14: THE BODIES OF BRANCHES, DUTIES AND AUTHORITIES

A- BRANCH GENERAL ASSEMBLY

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It convenes with the attendance of members who are registered in the branch and who

have paid the fees every two years in the months of March and June. Regarding the

meeting rules of the branch general assembly, calling methods, extraordinary meeting,

duties and authorities; 5/ABC-D-E-F-G and H articles of the regulation which are related

to the general assembly are comparatively implemented within and related to the branch.

B- BRANCH BOARD OF DIRECTORS

It consists of five full and five associate members elected by secret vote in the branch

general assembly. Regarding the division of tasks, way of working, duties and authorities,

the 6th,7th,8th,9th and other articles of the regulation which are related to the board of

directors are comparatively implemented within and related to the branch.

C-BRANCH SUPERVISORY BOARD

It consists of three full and three associate members elected by secret vote in the branch

general assembly. Regarding the division of tasks, way of working, duties and authorities,

the 10th and other articles of the regulation which are related to the supervisory board

are comparatively implemented within and related to the branch.

When the inspection of the branches is deemed necessary, it shall be conducted by the

supervisory board of the association. The branch supervisory board is also responsible

for supervising its branches.

Providing that the branch board of directors acts contrary to the provisions of the branch

operations, the central board of directors of the association dismisses the branch board

of directors. It charges the supervisory board by assigning at least 3 people, on condition

that the congress should be convened within 3 months at the latest.

ARTICLE 15: THE INCOMES OF THE ASSOCIATION AND THE EXPENSE PROCEDURES

a) Entrance and annual fees of the members

b) Donations, charities and wills

c) The incomes that will be provided from meetings, concerts, shows, lotteries and

similar social, cultural, sportive and publishing works.

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d) Operating incomes to be provided from movable properties, real assets, and

their rights

e) Central shares at a rate of 5% (five percent) of the gross income of the

branches

f) Donations and grants to be collected in accordance with the provisions on the

collection of donations

g) Notice of Getting Help from Abroad

If the aid is to be received from abroad, the association will fill in two copies of the " Notice of

Getting Help from Abroad " (as specified in Annex-4 of the Association Regulations) before

receiving the aid and notify the civilian authority.

It is compulsory to receive the cash aids through the banks and to fulfill the notification

conditions before use.

ARTICLE 16: MEMBERSHIP FEES

Yearly entrance fees for the full members are determined by the general assembly.

Members pay 20.00 TL (Twenty Turkish Liras) as an admission charge and 36.00 TL (Thirty

Turkish Liras) annually. Payment terms and conditions are determined by the board of

directors. The full members who have not paid their debts can participate in the general

asembly but can not vote.

ARTICLE 17: FINANCIAL PROVISIONS

The revenues of the association will be collected with the receipt document issued in

accordance with Article 63 of the Associations Law numbered 5253. Expenses are made

with the expenditure document. The expenditures of the association are made within the

budget prepared by the board of directors and approved by the general assembly in

accordance with the principles written in the regulation.

The association keeps the money in a bank account. The money will be withdrawn from the

bank with the mutual signatures of at least two of the Chairman, Vice Chairman, Secretary

General and Treasurer members relevantly.

Members are not paid fee to their active services on behalf of the association.

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ARTICLE 18: BOOKS AND RECORDS

The Association is obliged to keep the following books by notarizing them.

a) Member Registration Book: The identities of the persons affiliating with the

association, the dates of affiliating with the association, monthly or annual payments are

written in this book.

b) Decision Book: Decisions of the Board of directors are registered in the book in the

order of date and number.

c) Incoming and Outgoing Documents Register: The incoming and outgoing documents

are registered in this book in the order of date and number. The originals of the

incoming documents and the copies of the outgoing documents are stored in their

files.

d) Income and Expense Book: Where all the money received on behalf of the

association has been taken from and what it has been spent for are displayed clearly

and regularly in this book.

e) Plant ledger: Assets belonging to the Association are recorded in this book.

f) Receipt Document Register: The receipt documents to be provided for the collection

of fees and donation are registered in this book in the order of numbers from the

smallest to the biggest. The treasurer is responsible of these books together with the

chairman.

ARTICLE 19: REGULATION AMENDMENTS

The amendment of the regulation is made by the decision of the general assembly. The

regulation amendment may only be discussed at the general assembly if it has been included

in the agenda of the general assembly or if it has been taken into consideration by the written

request of one-tenth of the members and delegates present at the assembly. The quorum of

decision on the amendment of the regulation is 2/3 of the member delegates present at the

assembly. The registration and declaration of the amendment of the regulation will be made

in accordance with the procedure established by the association.

ARTICLE 20: THE DISSOLUTION OR LIQUIDATION OF THE ASSOCIATION

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The general assembly of the association can decide on the dissolution of the association at

any time. In order for the general assembly to decide on the dissolution of the association, at

least two thirds of the members and delegates with the right to attend the general assembly

are to be present at the assembly in reference to the regulation. If the majority is not attained

at the first meeting, the members and delegates are invited to the second meeting. The

number of the members invited to the second meeting can not be less than two-fold of the

total number of members of the board of directors and supervisory board. However, it is

imperative that the decision of dissolution be howsoever made by two-thirds majority of the

members and delegates present at the assembly.

The highest local authority will be notified by the board of directors in written form within five

days when the decision of denouncement of the association is made by the general

assembly. If the general assembly decides on the dissolution, a liquidation committee of

three persons is appointed for the liquidation of the assets, money and rights. This committee

is responsible and authorized to complete the liquidation of the assets, money and rights of

the association in accordance with the legislation. In the case of ddissolution, all assets,

money and rights are transferred to the Child Protection Agency.

ARTICLE 21. DEFICIENCY OF PROVISINONS

In cases where there is a lack of provision in the regulation of the association, the related

provisions of the Associations Law No. 5253, the Turkish Civil Law and other legislation will

be applied.

ARTICLE 22: THE BORROWING PROCEDURES OF THE ASSOCIATION

Borrowing may be made with the decision of the board of directors in case it is needed to

realize the purpose of the association and to carry out its activities. This borrowing can be

made in credited goods and services or in cash. However, this borrowing can not be made in

a manner that can not be met by the sources of income of the association and the

association can not afford to pay back.

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Chairman Başar CANDER

Vice Chairman Şahin ASLAN

General Secretary Behçet AL

Treasurer Mehmet OKUMUŞ

Member Mustafa Yıldız

Memeber Mehmet KOŞARGELİR

Memeber Erden Erol ÜNLÜER

Member Abdullah Sadık GİRİŞGİN

Member Mehmet Nuri BOZDEMİR

Member Yunsur ÇEVİK

Member Abdülkadir GÜNDÜZ

Kadir KAYGUSUZ

Provincial Director of

Associations

Signature

Regulation of Association was examined in accordance to article 60 of anti-terror law with

the writing of Governership of Ankara Provincial Directorate of Associations

Your regulation has been seen to be in accordance with the legislation of associations

The regulation was issued in 23.12.2015

Arzu SARITAŞ Kamer KILIÇ Aydın Tamer ÖZTÜRK

Officer Chief Data preparation and control operator

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A

Typewriter

A

Typewriter

Mohamed Abukalish

ئلطب الطوار ة الليبيةجمعيال Libyan Emergency Medicine Association

LEMA

BByyllaaww

Email: [email protected], [email protected] Mobile:- +218 913245076 Tel/fax: 00218 21 4623701 (2061) Tripoli – Libya. Mohamed Abukalish (LEMA's president): [email protected]

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mailto:[email protected]



Constitution and Bylaws for

This organization is accredited to apply its activities and bylaws and its name changed

from Emergency Medicine Group EMG-Libya to Libyan Emergency Medicine

Association LEMA under number (425) 2013.

Constitution

The name and title of this association is Libyan Emergency Medicine Association and

hereafter known as LEMA.

The management and control of the affairs and funds of the association is vested in a board of

directors which is known as the Council and whose members are to be elected or appointed as

provided in the Bylaws.

The purpose of this association is educational and charitable, not for pecuniary profit, but for the

benefit of humanity by advancing the science of emergency medicine and the ethical and

competent practices of this art. It provides a forum for the continued education of practicing

health care professionals in the field of emergency medicine. The association promotes close

communication among members in order to unite their efforts to improve the quality of care for

the critically ill patient by elevating the standards of education and practice in Libya.

All individuals residing in emergency medicine recognized by Libyan Ministry of Health are

eligible for membership.

The group embraces diversity in its membership and affairs and shall not discriminate against

any person on the basis of race, color, gender, national origin, age, religion, disability, political

beliefs, marital or familial status.

In the case of the dissolution of the group, all of its remaining assets shall be distributed

exclusively for charitable, scientific or educational purposes.

Mission

LEMA will encourage and promote professional excellence, advance the science and practice of

emergency medicine, and serve as an advocate for patients, their families, the public, the

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profession and the ER physicians. It will offer to the interdisciplinary team the necessary tools

for the interaction with the critically ill patient and their families from a holistic perspective.

Vision

Ensure adequate interdisciplinary care and keep at the vanguard in the application of the latest

practice standards that guarantee the optimal quality of care provided by the emergency

medicine team.

BYLAWS

ARTICLE (I):- MEMBERSHIP

Section 1 – Members

1. Full MEMBERS – Founding members of the Assembly and those accepted by the

council. Permanent council members shall not pay dues. They will have the right to vote,

hold office, to attend and speak at any Assembly activities. They may attend the scientific

meetings free of cost.

2. Affiliate MEMBERS – Regular members shall be health care professionals who desire

membership in the association who comply with its Bylaws, they attend the assembly

meeting at a discounted fare and they have the right to vote after approval of the council.

3. HONORARY MEMBERS – Healthcare professionals who possess an international

reputation and who have rendered distinguished services to the Assembly may be

appointed as Honorary Members. They will be recommended by the Council and

approved by membership. Honorary members shall not pay dues or have the right to vote

or hold office. They will have the right to attend and speak at any Assembly activities.

They may attend the scientific meetings free of cost.

ARTICLE (II):- OFFICERS

Section 1:- The officers of the Assembly shall consist of a President, a President Elect, a Vice

President, a Secretary, and a Treasurer.

Section 2:- All officers shall be nominated and elected as specified in the Bylaws.

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Section 3:- The Council shall consist of the officers of the Assembly, the five immediate past

presidents and permanent council members.

All the above councilors have voting privileges.

Section 4:- The President shall hold office for two (2) years following his two (2) year term of

the office as President-Elect. At the expiration of the President’s term the President-Elect shall

automatically become President and shall serve as such for two (2) years.

The Secretary and the Treasurer shall hold office for two years each from the time of election.

ARTICLE (III):- ANNUAL MEETING

Section 1:- The Annual Scientific Meeting will be held during the month of May each year, or

as designated by the Council.

Section 2:- The Annual Business Meeting of the Assembly will be held the last day of the

Scientific Meeting, at which time election of Officers will take place. If for any reason the

election of any Officer cannot take place at the Annual Business Meeting, the Council shall hold

a special meeting within 30 days to determine an alternate method of election.

ARTICLE (IV):- FUNDS AND EXPENSES

Funds for meeting the expenses of this Chapter shall be raised by annuals dues, special

assessments, and voluntary contributions and by transactions of any lawful business activity

approved by the Council.

Under the direction of the Officers the association will disburse money for such purposes as will

promote the welfare of the Assembly and the profession.

ARTICLE (V):- QUORUM

A quorum shall consist of the members present at the Annual Business Meeting.

ARTICLE (VI):- DUTIES OF THE OFFICERS

Section 1:– The President

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The President shall be the principal executive of the Assembly and shall in general supervise

and direct all of the business and affair of the Assembly, subject to the direction and control of

the Council. He/She shall preside all meetings of the Council and Assembly.

Section 2:– The President-Elect

The President-Elect shall succeed to the Presidency at the close of the Annual Business Meeting

the second year following his/her election. In the absence of the President he/she shall preside

the meetings of the Council and the Assembly. The President-Elect will chair the E-Page

Committee.

Section 3:– The Vice-President

The Vice-President shall be a Member of the E-Page Committee. In the absence of the President

and the President Elect he/she shall preside the meetings of the Council and the Assembly.

He/She shall help the Secretary to prepare and send to the members of the Assembly notices of

meetings and such other notices as may be required by the Constitution and Bylaws of the

Assembly, or as may be directed by the Assembly, or as may be directed by the Assembly and

its officers. The Vice-President and the secretary will take care of the Public Relations of the

Assembly and any other duty as directed by the President and/or the Council. The Vice-

President shall be reimbursed by the Assembly for any lawful expenditure incurred in behalf of

the Assembly.

Section 4:– The Secretary

The Secretary of the Chapter shall perform all the duties ordinarily and customarily performed

by a secretary and such other duties as the President or the Council may direct. The duties of the

Secretary shall include the following:

Make and maintain at all times a current list of all members and affiliate members of the

Assembly, noting correct name, address, and date of membership.

Act as official custodian of the permanent record book of the Chapter in which book there shall

be entered the Constitution and Bylaws of the Assembly and all amendments thereto, together

with the date of their adoption and a notation of their approval by the Council.

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Act as official custodian of the Assembly and of records, papers and property belonging to the

Assembly with the exception of records customarily kept by the Treasurer.

Record and preserve the minutes of all meetings, (regular and special) of the Assembly and of

the Council.

Prepare and send to the members of the Assembly notices of meetings and such other notices as

may be required by the Constitution and Bylaws of the Assembly, or as may be directed by the

Assembly, or as may be directed by the Assembly and its officers.

Prepare and file with the Council such reports, lists of membership, records and data as may be

required or that may be requested by the Council.

The Secretary shall be reimbursed by the Assembly for any lawful expenditure incurred in

behalf of the association.

The Secretary shall, at least one month prior to the Annual Business Meeting, notify each

member personally or by mail (regular or electronic) of the date and place of said meeting.

Upon the resignation of the Secretary, or upon expiration of his/her term of office, the Secretary

shall deliver to the successor in office or the President all records and all the property belonging

to the Assembly in his/her possession or under his/her control.

Section 5: – The Treasurer

The Treasurer of the Assembly shall perform all the duties customarily required of or performed

by a treasurer, and such other duties as the President or the Council may direct. The duties of the

Treasurer Shall include the following:-

- Collect and receive all fees, dues and assessments from the members, and all monies due

or payable to the Assembly from any source, and shall make and preserve proper books

of account and keep and accurate account of the finances of the Assembly, including a

detailed record of all receipts and disbursements.

- Make disbursements of monies or funds in his/her possession or control only in

accordance with orders of the Council.

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- Prepare a detailed financial statement for presentation at each Assembly meeting and the

Annual Business Meeting.

The Treasurer shall be reimbursed by the Assembly for any lawful expenditure made on its

behalf.

The books and accounts of the Treasurer shall be reviewed at the Annual Business Meeting by

the Councilors.

Upon his/her resignation as Treasurer or upon the expiration of his term of office, the Treasurer

shall deliver all records, monies and other property belonging to the Assembly in his/her

possession or under his/her control, to his/her successor or to the President of the Chapter.

Section 6:– Council

The Council shall conduct the business affairs and activities of the Assembly and may initiate

policy, unless otherwise provided in the Constitution and Bylaws of the Assembly, for

subsequent approval by the Assembly at the Assembly at the next Annual Business Meeting.

The Council shall meet as often as the interests of the Assembly require it, and at least three

times a year. A majority of members shall constitute a quorum. It shall conduct the affairs of the

Assembly subject to the expressed will of the Assembly at a regular meeting. The President or

any three (3) members may call a meeting of the Council, notice of which, outlining the

essential business, shall be transmitted to each member prior to the meeting.

ARTICLE (VII):– VACANCIES

Section 1:- If the President is unable to complete the term of office, the President-Elect will

assume the duties and responsibilities of the presidency. In that case or any time the office of the

President-Elect becomes vacant, the Council shall within 30 days call a special meeting of the

Assembly in which a new President-Elect will be elected by the membership.

Section 2:- If the Secretary or the treasurer is unable to complete the term of office, a special

meeting of the Council will be called by the President within 30 days. At that meeting, the

President will appoint a qualified member to fill the vacancy. This appointment will need to be

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ratified by the Council. The appointee will serve out the term for which his/her predecessor had

been elected.

Section 3:-Vacancies in the Council positions occupied by the past presidents shall be left

unfilled.

ARTICLE (VIII):– DUES AND ASSESMENTS

Section 1:- Annual dues and other assessments may be established by the Council as it deems

necessary to defray operating expenses.

Section 2:- Life members: Members of our Assembly with 25 years of uninterrupted

membership automatically become, upon retirement from active clinical practice, life members

of our Assembly.

Life members will have full rights in our Assembly as do active members, but do not pay dues.

Section 3:- Honorary members: Any health care professional, may be proposed for honorary

membership in our Assembly. He will have to be nominated to and recommended by the

Council and approved by the entire Assembly.

Honorary members do not vote, but have the right to attend and speak at Assembly’s meeting,

and they will attend the scientific meetings of our Assembly without cost.

Section 4:- In times of financial stress or for special reason, the Council may waive or reduce

the annual dues of any member.

Section 5:- All Council Members will have to pay annual dues. Student and Fellow Have a

lower rate with evidence of current training

Section 6:- Assembly members will not pay annual dues if:

1. Are 65 or more years of age and have been dues-paying Assembly members for at least

five (5) consecutive years.

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2. Members who qualify for non-payment shall be responsible of notifying the Secretary

and treasurer, including with such notification the evidence required to confirm that they

qualify.

Section 7:- If a member is delinquent in the payment of dues or assessments one year or more

and has, upon notice by mail failed within 30 days to settle the debt or to present in writing a

satisfactory and acceptable explanation for such delinquency to the Council, his/her membership

in the Assembly will be suspended.

A person whose membership in the Assembly has been suspended due to nonpayment of dues or

assessment may be reinstated upon payment in full of such debts owing to the Assembly.

Section 8:- Any officer of the Assembly shall ask, in written, educational grants to attend to any

educational meetings that will help in his/her professional education and of the Assembly. The

grant will be approved by the Council. Each grant request will be evaluated individually, and if

approved it, will include airfare, accommodations and registration to the educational event.

ARTICLE (IX):– CHAPTER MEETINGS

In addition to the Annual Business Meeting, at least two (2) Assembly meetings shall be held

each year.

The Order of governing deliberative bodies shall govern the business meeting of this Assembly.

A majority vote shall be necessary for the passage of any motion before the Assembly.

ARTICLE (X):– NOMINATION AND ELECTION OF OFFICERS

Section 1:- The Councilors, acting as Nominating Committee, shall collect the names of

candidates for filling each of the elected offices. Ballots containing the names of these

candidates shall be mailed one month in advance of the Annual Business Meeting to all

members of Assembly. Nominations may also be made from the floor by members of the

Assembly during the Annual Business Meeting. All voting shall be by written ballots.

Tabulation of these votes shall be carried out during the Annual Business Meeting. Those

receiving a majority vote shall be deemed elected.

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ARTICLE (XI):– INDEMNIFICATION OF DIRECTORS AND OFFICERS

The Assembly shall indemnify any and all of its directors or officers, or former directors or

officers, or any person who has served or shall serve at its request or by its election as a director

or officer of another corporation, against expenses actually and necessarily incurred by them in

connection with the defense or settlement of any action, suit or proceeding in which they, or any

of them, are made parties, or a party, by reason of being or having been directors or officers or a

director or an officer of the Assembly, or of such other corporation; provided, however, that the

foregoing shall not apply to matters as to which any such director or officer, or former director

or officer, or other person shall be adjudged in such action, suit or proceeding to be liable for

willful misconduct in the performance of duty nor to such matters as shall be settled by

agreement predicated on the existence of such liability.

ARTICLE (XII) :– AMENDMENTS

Section 1:- The Constitution shall take effect immediately from the time of its adoption and shall

not be amended except by written resolution.

Section 2:- The Bylaws of the Assembly may be amended at the Annual Business Meeting, at a

regular Assembly meeting or at a special meeting convened by the Council for this purpose.

Any member of the Assembly may propose amendments. Proposed amendments must include

the date in which they would become effective if adopted. The Secretary or a person designated

by the Council shall mail proposed amendments at least 30 days prior to the meeting where they

will be considered.

Members who are unable to attend the meeting where amendments will be considered will be

able cast a vote for or against the amendment in a ballot approved by the Assembly. Such

ballots must reach the Secretary prior to voting taking place.

Amendments will be adopted if they receive a majority of the votes cast.

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Gulf Federation of Emergency Medicine

(GFEM)

Bylaws & Regulations

(First Foundational Version in 2017)

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The Contents

• Definition of the Gulf Federation of Emergency Medicine………………………..

• Headquarters of the Gulf Federation of Emergency Medicine……………………

• Official Language of Gulf Federation of Emergency Medicine…………………..

• Mission, vision and goals………………………………………………………………

• Specialized fields of Gulf Federation of Emergency Medicine………………….

• Executive Board and the founders ……………………………………………………

• The conditions of nomination and election to membership of the Board ofDirectors of GFEM………………………………………………………………………..

• Eligibility to vote in the Board of Directors of GFEM

• Meetings of Gulf Federation of Emergency Medicine…………………………….

• The agenda of Gulf Federation of Emergency Medicine…………………………

• Executive Board in the Gulf state, who heads GFEM……………………………..

• Executive Office of the Gulf Federation of Emergency Medicine……………..

• Founding members of the Gulf Federation of Emergency Medicine…………

• Financial resources……………………………………………………………………

• The administrative structure of Gulf Federation of Emergency Medicine….

• Conclusion……………………………………………………………………………..

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Gulf Federation of Emergency Medicine (GFEM) Article One:

• Definition of the Gulf Federation of Emergency Medicine

Gulf Federation of Emergency Medicine (GFEM) is a coalition of Gulf Emergency Medicine Associations specialized in emergency medicine and its different branches. Its membership is limited to the Gulf Cooperation Council (GCC), and it has a legal personality, financial and administrative independence. Beside it works to achieve cooperation and integration in the areas of health emergency medicine with all its branches among GCC countries, it has all the powers necessary to achieve common objectives and competencies in a structured and effective framework.

Article Two:

General Definitions:

GCC countries: Six Gulf Cooperation Council countries (United Arab Emirates, Kingdom of Bahrain, Kingdom of Saudi Arabia, Sultanate of Oman, Qatar & Kuwait).

Board of Directors: The Board of Directors of Gulf Federation of Emergency Medicine.

National Associations: Local associations officially registered in their GCC countries.

Gulf Association: a coalition of associations and associations of gulf emergency medicine.

Emergency Medicine: Is the medical speciality dedicated to the diagnosis and treatment of unforeseen illness or injury. It encompasses a unique body of knowledge as set forth in the “Model of Clinical Practice of Emergency Medicine”.

Article Three:

The headquarters of the Gulf Federation of Emergency Medicine

• Country: United Arab Emirates

• Address: Al Mamzer Area, Al Wehda Road 46, Dubai.

P.O.Box 6600

Dubai, UAE.

• Tel: 00971 4 255 6655

• Email: [email protected]

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Article Four:

Official Languages for Gulf Federation of Emergency Medicine:

Arabic and English.

Article Five:

Vision, Mission and Objectives:

Vision: the highest possible level of emergency health services for the citizens of the Gulf Cooperation Council (GCC).

Mission: the development of cooperation and coordination between the Gulf Emergency Medicine Societies in preventive, curative and rehabilitative health and educational fields. In addition, open up channels to meet with international experiences and coordination to strengthen cooperation with official organizations working in the field of Emergency Medicine.

Values: the practice of emergency medicine in a highly professional manner, taking into account the social traditions and Islamic teachings.

Objectives:

1. The development of strategies, policies and health systems, which aims toimprove emergency medicine in the GCC states.

2. Achieve coordination, integration and deepen the cooperation in the fields ofemergency medicine among the GCC.

3. Consolidation of common attitudes in international forums, and closerbilateral relations with the relevant regional and international organizations.

4. Introduce and enlighten the GCC states about all emergency medicinesubspecialties such as disaster medicine, toxicology, pediatric emergency,etc.).

5. Encourage joint studies and research to provide recommendations andtechnical advice to the official authorities in matters related to thespecialization of emergency medicine and its various branches.

6. Decisions on forming technical committees to conduct studies and researchrelated to emergency medicine.

7. Exchange of experiences in the areas of education and medical training.8. Organization of conferences, seminars and training courses to raise the

capacity of Gulf of medical staff.9. Assess the prevailing global systems and strategies in the field of

emergency medicine, benefit from the unification of the professionstandards, and unify the general framework of the facilities HealthEmergency Medicine.

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Article Six:

Specialized fields in the scope of the Gulf Federation of Emergency Medicine

All emergency medicine subspecialties and fields. Article Seven: Terms of incorporation - the founding members: Gulf Federation of Emergency Medicine consists of associations and societies of National Emergency Medicine officially registered with the governments of the six Gulf Cooperation Council countries (United Arab Emirates – Kingdom of Bahrain – Kingdom of Saudi Arabia – Sultanate of Oman - Qatar - Kuwait). Article Eight:

(1) The Board of Directors: The Board of Directors of GFEM consists of: (a) The General Secretary. (b) Deputy of General Secretary. (c) President of the Emirates Society of Emergency Medicine or his representative. (d) President of Bahrain Association of Emergency Medicine or his representative. (e) President of Saudi Society of Emergency Medicine or his representative. (f) President of Oman Society of Emergency Medicine or his representative. (g) President of Qatar Society of Emergency Medicine or his representative. (h) President of Kuwait Emergency Medicine Society or his representative.

Note: Dr. Aftab Mohammad has been officially assigned by Qatar Authorities until the formulation of an official Society (2017).

(2) Nomination conditions and membership in the Council Board of the Gulf Federation of Emergency Medicine:

a) The member must be a citizen of the Gulf Cooperation Council (GCC). b) Must practice emergency medicine at one of the six GCC countries. c) Should have a minimum of three years’ experience in emergency medicine post

qualification. d) Should have an active membership in his local association for at least three years. e) Nomination must be through the National Association as the official representative and

does not accept the nomination of individuals.

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Article Nine:

Meetings of the Gulf Federation of Emergency Medicine:

1. Meetings attendance is limited to the General Secretary, his deputy and the presidentsof emergency associations or their deputies of each GCC country.

2. Chairing the Gulf Federation of Emergency Medicine Association periodically every twoyears among the GCC countries.

3. The Chairperson of the Board of Directors is named as General Secretary of the GulfFederation of Emergency Medicine.

4. GFEM meetings will be held in the general secretary home country every six monthsstarting from January of the first year and ending in December of the second year.

5. The host country allocates the place and date of the meeting in coordination with thegeneral secretary.

6. Emergency meetings may be held to discuss immediate and urgent raising matters andat the request of the secretary-general agreed by minimum of two associations. Thesecretary-general finalizes the agenda of the emergency meeting, and determine thevenue and timing of the emergency meeting. During these emergency meetings, onlyurgent issues will be discussed which the meeting was called for unless agreed by themajority of the attendees.

7. Emergency meeting may be held on the sidelines of major global conferences if thequorum is completed with prior announcement.

8. Meetings can be arranged through internet if the quorum is completed.

9. The legal quorum in the presence of representatives of five out of seven to start anymeeting, and decisions are taken by a majority of eligible voters from the audience.

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Article Ten: Agenda of Meetings of the Council:

1. The association, in which the secretary-general belongs to, should prepare the agenda for meetings of the board of directors prior to the meeting at least two months before. Then the general secretary or the National Coordinator announces this agenda to all associations’ members two weeks before the meeting date.

2. Emergency meetings are limited to urgent matters which require necessary and urgent discussions.

3. Each association should inform the general secretary of their agenda for discussion at any meeting at least one month prior to the scheduled date.

4. Secretariat of the GCC Association should prepare reports and memos related to each topic separately enclosed with the resolutions and recommendations.

Article Eleven: Periodic Agendas of Meetings:

1. The general secretary updates and reports all matters discussed in all meetings. 2. The reports of the Technical Committees on issues referred them. 3. Suggestions from members. 4. Technical, financial and administrative issues that the secretary-general needs to

discuss with the board of directors. 5. The final financial accounts budget matters for every financial year.

Article Twelve: Board of Directors:

1. At the beginning of each session, the general secretary of the previous session displays the agenda of the new session, then automatically the responsibilities are handed over to the new general secretary to be. Thereafter, the position of the deputy of the new general secretary will directly go to the next in line of the GCC country.

2. The General Secretary is responsible of chairing and managing the meetings, follow-up work emanating from the council committees and informing the council of incoming matters and issues. In his absence, the Deputy General Secretary will take over his duties.

3. The General Secretary chairs all the meetings and is responsible for the following up and executing the decisions of the board of directors.

4. Rapporteur / writer: To summarize all points of discussion of all meetings, arranges for meetings and invitations, then the general secretary insures does the final approval of all that is issued.

5. Drafting Committee: Writes minutes of meetings, announcements and decisions. 6. In the event of resignation of the General Secretary, the deputy takes over until the

assigned country finds a replacement in a period of maximum two months from the date of the resignation.

7. In case no replacement is assigned within two months: (a) The Deputy will assume the position of the resigned general secretary and his

session will be two years from the date of this assignment. (b) A new deputy should be assigned by the consecutive country in line.

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Article Thirteen: The Sessions and Decision Making of the Gulf Federation of Emergency Medicine:

1. The meetings are approved only if the quorum is completed. Decisions are by votes of majority but if votes are equal, then the general secretary vote will be taken as decision.

2. All meetings are confidential. 3. Each national association has one vote at the meeting, and the association which does

not fulfill its financial commitments for two years has no voting privileges. 4. If both the General Secretary and his deputy are present in a meeting, the privilege of

voting is for the General Secretary only. 5. The deputy can chair any meeting if the general secretary is absent and he/she. 6. Chairing of the Council, whether ordinary or extraordinary, is by the General Secretary

who declares the opening and closing of the sessions, matters to be discussed, giving turns of speech, controls voting on discussed topics and announces results and decisions.

Article Fourteen: Duties & Responsibilities of the Board of Directors:

1. Discussing and taking decisions in all matters regarding GFEM. 2. Monitoring the progress of all planes. 3. Discussing & monitoring the financials of GFEM. 4. Implementing GFEM bylaws. 5. Assisting the General Secretary in his roles and duties.

Article Fifteen:

The General Secretariat of Gulf Federation of Emergency Medicine: Is the technical, financial and administrative body that carries out the decisions and recommendations of the Gulf Federation of Emergency Medicine. It consists of the secretary general of the technical, financial, and administrative and hardware necessary to perform the work, and be based in the United Arab Emirates.

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Article Sixteen:

Duties of the General Secretariat of the Gulf Federation of Emergency Medicine:

1. Implementation of the resolutions of Gulf Federation of Emergency Medicine and assistit in achieving its goals and accomplish its tasks.

2. Preparation for the meetings of the Council.3. Proposing plans, programs and projects of joint action and oversee its implementation

after approval.4. Follow-up work and technical advisory committees and oversee the preparation of

studies and research approved by the Board.5. Preparation of rules and regulations, financial and administrative decisions projects.6. Preparation of the annual budget and closing accounts.7. Preparation for the meetings of the executive body for the preparation of its agenda.8. Coordination with arab and international and regional organizations in accordance with

the Council and its systems.9. Preparation of annual and periodic reports on the work of the Council and its

achievements.10. Perform any other duties assigned to him by the Board.

Article Seventeen:

Financial Resources: (1) Financial Commitments of Members:

• Each society member has to pay a subscription fees of AED 5000 per year.• If the event of not fulfilling the financial commitment of any society for more than

six months, the membership of this society will be withheld until all financialcommitments are full filled.

• Payment must be made into an official account in UAE.• Any society can submit an official letter to delay of payment stating the reasons

and period of delay. The matter will be discussed in one of the meeting by theBoard of Directors.

(2) Subsidizers and fund of the Gulf Federation of Emergency Medicine

• Government agencies and bodies in all its branches in the GCC countries• Institutions and the civil and private companies• Military sector and its branches• Banks and financing banks• Personal donations• International donations• National support programs

(3) Finance Methods:

• Cheques issued to the Gulf Federation of Emergency Medicine.• Transfers in favor of the Gulf Federation of Emergency Medicine to the authorized bank.

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Article Eighteen:

Administrative Structuring of Gulf Federation of Emergency Medicine

Any modification to the system is only permissible under the decision of the Gulf Federation of Emergency Medicine to be proposed on the Board of Directors or to propose a third of the members, and it is approved for one third of the members present at the meeting.

Conclusion

The official gulf societies of Emergency Medicine in the GCC countries participated in the establishment of the Gulf Federation of Emergency Medicine in the spirit of working together to improve knowledge and recognition of this specialty, improve quality of service and to encourage conferences and other activities in the field of Emergency Medicine in the region.

Board of Directors

General Secretary

Deputy General Secretary

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BYLAWS

OF THE

INTERNATIONAL FEDERATION

FOR

EMERGENCY MEDICINE

5 July 2017 To Website for feedback

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BY LAWS OF THE INTERNATIONAL FEDERATION FOR EMERGENCY MEDICINE

TABLE OF CONTENTS to be updated ARTICLE I: NAME AND DEFINITION 3

ARTICLE II: MISSION AND GOALS 3

ARTICLE III: MEMBERSHIP Section 1: Eligibility 4 Section 2: Categories of Membership 4 Section 3: Application for Membership 5 Section 4: Resignation of Membership 5 Section 5: Change of Membership Category 5 Section 6: Failure to comply with Rules and Regulations 5

ARTICLE IV: IFEM ASSEMBLY Section 1: Activities of the Assembly 6 Section 2: Composition and Procedures 6 Section 3: Meetings of the Assembly 6 Section 4: Proxies 7 Section 5: Participation in Meetings by Telephone or Video conference 7

ARTICLE V: IFEM BOARD Section 1: Activities of the Board 7 Section 2: Composition and Procedures 8 Section 3: Vacancies 8 Section 4: In-person Meetings of the Board 8 Section 5: Telephone or video conference meetings 9 Section 6: Written Resolutions 9

ARTICLE VI: EXECUTIVE Section 1: Officers 9 Section 2: Functions and Operations 10 Section 3: Duties of Officers 10

ARTICLE VII ELECTION AND RECALL PROCESSES 12 Section 1: Nomination Committee 12 Section 2: Board Nominations 12 Section 3: Executive Nominations 13 Section 4: Election Protocol 13 Section 5: Recall Procedures 13

ARTICLE VIII: COMMITTEE STRUCTURE 14 Section 1: Committee Membership 14 Section 2: Committee Chairs 14 Section 3: Standing Committees 14

ARTICLE IX: SPECIAL INTEREST GROUPS Section 1: General ……………………………………………………………………..… 16 Section 2: Individual membership……...……………………………………………..… 16 Section 3: Functions and Limitations……...…………………………………………..… 16Section 4: Dissolution Procedures and Tenure………………………………………..… 16

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ARTICLE X: FELLOWSHIP AND AWARDS Section 1: Fellowship 16 Section 2: Humanitarian Award 17 Section 3: Gautam Bodiwala Lifetime Leadership Achievement Award 17

ARTICLE XI: GENERAL GUIDELINES FOR CONDUCTING THE ICEM 18 ARTICLE XII: AMENDMENTS 19 ARTICLE XIII: MISCELLANEOUS 19

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IFEM Bylaws –draft 5 July 2017 to BWebsite Page 4 of 211

ARTICLE I: NAME AND DEFINITION

The International Federation for Emergency Medicine (hereafter IFEM) is an international association composed of national emergency medicine organizations that are members of the IFEM as defined by these Bylaws. IFEM represents a coordinating consortium of these organizations.

These Bylaws represent the “Regulations” as defined in the Constitution and outline the general operational guidelines and policies for the IFEM.

ARTICLE II: VISION AND MISSION STATEMENTAND

The International Federation for Emergency Medicine will promote access to, and lead the development of, the highest quality of emergency medical care for all people.

IFEM’s Mission is to:

1. To advance the growth of high quality emergency medical care through education andstandards.

2. To lead the collaboration and networking necessary to establish universal equality in serviceand care.

3. To promote the creation and growth of the specialty of emergency medicine in every country.

ARTICLE III: GOALS

The mission of the IFEM is to “promote at an international level interchange, understanding and cooperation among physicians practicing emergency medicine”.

IFEM should aim to be recognized as the international voice for quality emergency medicine. The IFEM will carry out its activities as outlined in these Bylaws.

The Goals of the IFEM, outlined in its founding Charter, are to:

1. exchange information on topics of international interest;2. provide a mechanism for international collaborative research;3. provide a mechanism for international elective opportunities for trainees in emergency medicine

programs;4. provide an avenue for international sabbatical and exchange opportunities for practitioners of

emergency medicine;5. act as a forum for common problems and approaches to solving problems specific to emergency

medicine;6. offer advice and guidance to emergency medicine practitioners worldwide in the formation of

national associations and training and certification programs;7. provide a network system of centers to facilitate international cooperation in the event of national or

manmade disasters;8. organize an international conference on topics of interest in emergency medicine, and9. act as a resource in the development of emergency medical services.

Additionally, IFEM aims to:

10. promote unrestricted access to emergency healthcare throughout the world;11. promote and further develop emergency medicine as a unique and specified body of knowledge in

all countries; 12. advance public education and awareness of the science and practice of emergency medicine;

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IFEM Bylaws – draft 5 July 2017 to Board Page 5 of 21 13. promote at an international level interchange, understanding and cooperation among physicians

practicing emergency medicine; 14. be recognized as the international voice for quality emergency medical care; 15. promote excellence in healthcare services and cultivate and encourage high principles of practice,

ethics and professional integrity in relation to emergency medicine care, medicine practice, education, assessment, training and research;

16. promote and encourage the study, research and advancement of the science and practice of emergency medicine;

17. facilitate the advancement of specialist education and training in emergency medicine through the conduct of projects and research;

18. establish the status of ‘Fellowship’ and to confer on appropriately qualified individuals (as determined by criteria set by the Board) to that status;

19. establish the IFEM Humanitarian Award and to confer on appropriately qualified individuals (as determined by criteria set by the Board) that Award;

20. foster and promote cooperation and association with organizations which have objectives similar to the Company internationally;

21. provide authoritative advice, information and opinion to other professional organizations, to governments and to the general public in relation to emergency medicine;

22. monitor issues affecting the interests of the Company and to take all such actions as may be deemed necessary for the protection of those interests;

23. hold or sponsor meetings, lectures, seminars, symposia or conferences, to promote understanding in medicine and related subjects;

24. provide support for public education programs related to emergency medicine, and 25. provide policy recommendations on international, public and governmental issues related to

emergency medicine. IFEM supports and endorses the following principles: 1. All countries should provide unrestricted access to emergency healthcare. 2.1. Emergency medicine encompasses a unique and specified body of knowledge and should be

recognized as a distinct independent medical specialty in all countries.

ARTICLE IVII: MEMBERSHIP Section 1: Eligibility Any national emergency medicine professional association or organization that represents

emergency medicine physicians in that country is eligible for consideration of membership ofin the IFEM. Each country may be represented by only one (1) voting national emergency medicine organization in IFEM.

Section 2: Categories of Membership The categories of membership in IFEM are: 2.1 Founding Member This category applies to the four (4) founding member associations (The American College

of Emergency Physicians, (the Australasian College for Emergency Medicine, the Canadian Association of Emergency Physicians, The American College of Emergency Physicians, The British Association for Emergency Medicine (known as and the Royal College of Emergency Medicine (formerly the British Association for Emergency Medicine as of 2008), and the Canadian Association of Emergency Physicians). Each of these four associations will have one (1) Assembly representative, each appointee will have one (1) full vote.

2.2 Full Member

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IFEM Bylaws – draft 5 July 2017 to Board Page 6 of 21 A Full Member of the IFEM will be the leading national emergency medicine organization

for physicians in a country in which emergency medicine is officially recognized as a medical specialty and where there also exists at least one (1) recognized training program in emergency medicine. A Full Member will appoint one (1) representative to the Assembly; this representative will have one (1) full vote. Full Members are eligible to apply for consideration for the right to host the IFEM’s International Conference on Emergency Medicine (hereafter ICEM)biennial conference, ICEM.

2.3 Affiliate Member

An Affiliate Member may be any national emergency medicine organization for physicians practicing emergency medicine in a country where the specialty of emergency medicine is not yet officially recognized or residency equivalent training programs in emergency medicine do not yet exist. The President of such an organization must be a physician. An Affiliate Member may also be any additional national emergency medicine organization for physicians practicing emergency medicine from a country already represented by a Full or Founding Member. Affiliate Members may appoint one (1) non-voting member to the Assembly. Affiliate Members are eligible to apply for consideration for the right to host the IFEM’s biannual conference, ICEM.

2.4 Ex-officio Member An Ex-officio member will be defined as a multinational emergency medicine organization.

Ex-officio members may appoint one (1) non-voting member to the Assembly.

2.5 Supporting Member The IFEM Foundation will be a A Supporting Member of the IFEM. will be an organisation or individual who is not otherwise eligible for another category of membership, who agrees with the objects, goals and aims of the International Federation for Emergency Medicine as stated in its Constitution and By-Laws, and who wishes to become a member for the purpose of providing support (financial or otherwise) to the International Federation for Emergency Medicine to achieve those objects, goals and aims in the course of its activities. The Supporting Member may appoint one (1) non-voting representative to the Assembly. Maintenance of membership in this category will be subject to evidence of ongoing support for the work of IFEM, to be determined every two years.

Section 3: Application for Membership Any organization applying for Full or Affiliate membership must send or appoint a representative

knowledgeable about the organization and the country to a regular Assembly meeting at which the vote on this membership will occur. If such a representative is not present at the IFEM Assembly meeting, the Board will notmay choose not to consider the application at that meeting.

Application for membership will be made in writing on the application form approved by the IFEM

Assembly providing additional documentation supporting the category for which the application is made, as required. The deadline to submit such applications will be at least 90 days prior to an agreed upon regular Assembly meeting. Applications must be accompanied by an application fee equivalent to one year’s annual dues subscription. In the event that the application is unsuccessful, 50% of the fee will be refunded. Applicants may apply for a discount waiver of the application fee by writing to completing a waiver form for consideration by the Treasurer for consideration and giving the reasons for requesting the discountwaiver. The Board of Directors will review all applications for membership in advance and make a recommendation on the acceptance and category of membership for all new members. Final acceptance for any new member will be by approval of at least two thirds of all members of the Assembly present and eligible to vote.

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IFEM Bylaws – draft 5 July 2017 to Board Page 7 of 21 Section 4: Resignation of Membership Any member may resign from the IFEM by giving written notice to the Board. Section 5: Change of Membership Category Any IFEM member who wishes to change their category of membership may do so by making a

written application to the Assembly and providing appropriate documentation for the category of application. If the change in category is not approved, the member will retain their previous membership category.

Section 6: Failure to Comply with Rules and Regulations Members will be expected to comply with established Federation rules and regulations to include

the payment of dues. All such rules and regulations will have been ratified by the Board or Assembly. Failure to comply with established rules and regulations may result in:

1. For Full or Founding Members: loss of vote at subsequent Assembly meetings until such

failure(s) to comply has been corrected. 2. For all Members: if, as determined by a two thirds (2/3) vote of the Assembly, there is

persistence in failure to comply, or if failure to comply is judged sufficiently egregious, loss of membership.

ARTICLE IV: External Relationships The IFEM Board may consider external relationships or collaborations that assist it to fulfil its vision and mission. 1. A partner is an external organization that will maintain an ongoing relationship with IFEM.

Normally a formal written agreement will be signed, detailing the shared benefits, responsibilities, risks and outcomes (where applicable) as well as how the relationship meets with IFEM’s strategy.

2. A collaborator is an external organization that will work with IFEM on a specific time-limited

project. ARTICLE VI: IFEM ASSEMBLY Section 1: Activities of the Assembly

1. The IFEM Assembly will provide a forum for discussion and a mechanism for collaboration on issues relating to international emergency medicine.

2. The Assembly will act to carry out the activities of the IFEM as per these bylaws and revise the bylaws as required.

3. The Assembly will review and vote on approval of any actions taken by the Board and Executive between meetings of the Assembly, and shall approve committee reports.

4. The Assembly is responsible for ratification of the Board’s selection and maintenance of a permanent secretariat at a permanent site.

5. The Assembly will be responsible for ratification of the Board’s recommendations on applications for IFEM Fellowship, the Humanitarian Award, and for the hosts of future ICEM for ratification by the Assembly.

6. The Assembly shall be responsible for ratifying the Board’s actions concerning the general structure and operation of each ICEM, and IFEM publications or products.

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7. The Assembly will elect the members of the Board including all officers of the Executive.

Section 2: Composition and Procedures

The Assembly is composed of one (1) voting representative from each of the Founding and Full members. Representatives of Affiliate members may attend and participate in Assembly meetings but do not have the right to vote. All member representatives must be emergency physicians. Generally, the representatives should be the current president of each national organization but other members of national organizations may be appointed as the Assembly representative. The recommended minimum term of office for each Assembly representative is one (1) year. If unable to attend an Assembly meeting, the national representative may temporarily appoint another person from that organization as their voting representative. Any such representative change by the member organization must be made in writing to the Secretariat prior to the Assembly meeting.

The Assembly’s primary purpose will be to ratify or reject proposals brought forward by either the Board or the Executive. The Assembly will have the final decision-making power for major issues related to the IFEM. The Assembly may refer action items to either the Board or to the Executive.

Section 3 Meetings of the Assembly

Members of the Assembly should attend regular meetings a minimum of three (3) times every two (2) years. One (1) meeting will occur during the biannual International Conference on Emergency Medicine (hereafter ICEM). The Assembly will meet during the annual meeting of the International Conference on Emergency Medicine. The other regular Board meetings will be scheduled during the American College of Emergency Physicians Annual Scientific Assembly. Additional meetings may be scheduled if accepted by at least two-thirds of the current voting members of the BoardAssembly. Additional meetings may be proposed either during regular meetings or via e-mail. If a meeting is proposed by e-mail, Assembly members will be required to return their vote within 14 days. At least 90 days’ notice must be given to each Assembly member prior to such an additional meeting.

Material that will require a vote at an Assembly meeting and is related to proposed changes to these bylaws or new membership applications must be received by each member at least 3060 days prior to that meeting. Each member association is responsible for ensuring the attendance of their Assembly representative at meetings. IFEM is not to be held accountable for any costs accrued for these meetings by members of the Assembly. A quorum of the Assembly shall be determined by the Secretariat for each meeting and is defined as at least 50 percent plus one member of all eligible voting members. A quorum is required for votes to change bylaws, accept policies or approve new member applications. A 2/3 vote of the convened assembly, judged to be a quorum, is required for a bylaws change. Simple majority votes are required for acceptance of policies or approval of new member applications. In the absence of a quorum discussion pertinent to such issues may occur and be brought forward in the minutes.

Section 4: Proxies

Voting by proxy in respect to a particular resolution is permitted; the proxy is not entitled to vote on the resolution(s) other than as originally specified, nor allowed to vote on resolutions not identified prior to the Assembly meeting. Any Assembly member may indicate in writing to the IFEM Secretariat at least 48 hours in advance of an Assembly meeting that they wish to assign their vote to a proxy for a specific resolution or resolutions. The Secretariat will procure a signed proxy from that member, in which both the identity of the proxy and the vote for the resolution(s) are clearly indicated. The proxy

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shall be selected from the membership of the Assembly. A PDF version of an original signed document will be accepted as a valid signed proxy.

Section 5: Participation in Meetings by Telephone or Video conference

A meeting of the Assembly may be held with one or more of the Members taking part by telephone or other means of audio or audio-visual communication and when each of the Members participating in the communication is able to read the written contributions or hear each of the other participating Members. A meeting of the Assembly may only be held in this manner where all of the Members have access to the communication facilities to be used for the meeting.

Section 6: Voting by electronic means

The Board may request the Assembly to vote by electronic or other means. In such instances, a circulating motion will be deemed to be carried or defeated when a majority of the members eligible to vote is achieved in favour or against the motion in the timeframe specified for the vote. Where a vote is not received in the timeframe, this shall be considered as an affirmative vote. Where a majority of those eligible to vote is not attained for or against the motion in the timeframe indicated for the vote, the question will be deemed to have been lost.

Thirty days notice will normally be given to voting members of an electronic vote.

ARTICLE VII: IFEM BOARD

The purpose of the Board is oversight and ultimate responsibility for the activities of IFEM.

Section 1: Activities of the Board

1. The IFEM Board will provide a forum for discussion and a mechanism for collaboration onissues relating to the operation of the IFEM.

2. The Board will act to carry out the activities of the IFEM as per these bylaws.3. The Board will review and vote on any actions taken by the Executive between meetings of

the Board, and shall approve committee appointments.4. The Board is responsible for selecting and maintaining a permanent secretariat at a permanent

site subject to ratification by the Assembly. The Board will be responsible for establishing afunding mechanism for the secretariat.

5. The Board will be responsible for considering and voting on all applications for IFEMFellowship, the Humanitarian Awards, and for recommending the hosts of future ICEM forratification by the Assembly.

6. The Board shall be responsible for reviewing and approving the general structure andoperation of each ICEM.

7. The Board will elect the members of the IFEM Executive in situations where a seat becomesvacated in an unexpired term or a member must be added to comply with residencyrequirements. Otherwise all members of the Executive will be elected by the Assembly.

Section 2: Composition and Procedures

The Board is composed of the Officers of the Executive and six other individuals, elected as Directors by the Assembly, provided that this election creates a Board that includes at least one (1) representative respectively from the following regions:

1. North America: USA, Canada, Bermuda, Bahamas, or other English speaking islands inthat region;

2. Central and South America: Mexico and every country south of it plus all the Caribbeancountries except those that are primarily English speaking;

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3. Africa: all its component countries; 4. Europe: all the countries west of the Urals, also including Iceland, Cyprus, Turkey, Russia,

and Israel; 5. Asia: all the continental Asian countries including Japan, Singapore, Taiwan, Indonesia,

Philippines and Brunei; 6. Australasia: Australia, New Zealand, New Guinea, Papua New Guinea, East Timor,

Micronesia, and the other island states in "Oceania". These six regional representatives will be elected from IFEM Assembly members or their nominees. In addition, up to two non-voting members of the Board may be appointed to comply with the residency requirement imposed by law, if these requirements cannot be met by formally elected board members. Generally individuals elected to the Board should have previously served on the Assembly or chaired standing IFEM committees. The term of office for each Director is two (2) years. The Member-at-Large will also be a non-voting ex-officio Member of the Board, nominated by the Host Organisation of the next ICEM, and appointed by the Board. Their role is to keep the Board and CPD Committee informed of the structural and operational plans for the next ICEM and ensuring it conforms with Article XIV “General Guidelines for Conducting the ICEM” and related policies. Tenure of this office will normally be two years, thus at any one time there will be two Members-at-Large present on the Board. The Board’s primary purpose will be to approve or reject proposals brought forward by either the Executive or by committees. The Board will have the decision-making power for all major issues related to the IFEM not specifically retained by the Assembly, subject to review by the Assembly. The Board may refer action items to either the Executive or to a committee of the IFEM.

Section 34: Vacancies

In the event of any vacancy in the membership of the Board, including the Officers of the Executive, caused by anything other than by the retirement of a Director at the end of their term, the Board may appoint a qualified person to fill the remainder of the unexpired term. Any Officer or Director so appointed will hold office only until the conclusion of the next Assembly meeting but will be eligible for election at such meeting without a penalty of their elected term length for time served as an appointee. ..

Section 45: In-person Meetings of the Board

Members of the Board will attend regular meetings a minimum of (1) time every year. One (1) meeting will occur during the biannual International Conference on Emergency Medicine (hereafter ICEM). The other regular Board meetings will be scheduled during the American College of Emergency Physicians Annual Scientific Assembly. Additional meetings may be scheduled if accepted by at least two-thirds of the current voting members of the Board. Additional meetings may be proposed either during regular meetings or via e-mail. If a meeting is proposed by e-mail, Board members will be required to return their vote within 14 days. At least 60 days’ notice must be given to each Board member prior to such an additional meeting.

Material that will require a vote at a Board meeting and is related to proposed changes to these bylaws or new membership applications must be received by each member at least 3028 days prior to that meeting. Each member association is responsible for ensuring the attendance of any elected Board representative at Board meetings. Unless otherwise agreed, IFEM is not to be held accountable for any costs accrued for these meetings by Board members. A quorum of the Board shall be determined by the Secretariat for each meeting and is defined as, at least 50 percent plus one member of all eligible voting members. Without quorum, there can be

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no vote with respect to changes in acceptance or approval of policies or recommendations. Discussion pertinent to such issues may occur and be brought forward in the Minutes in the absence of a quorum.

Section 56: Telephone or Video conference meetings

A meeting of the Board may be held with one or more of the Directors taking part by telephone or other means of audio or audio-visual communication and when each of the Directors participating in the communication is able to read the written contributions or hear each of the other participating Directors. A meeting of the Board may only be held in this manner where all of the Directors have access to the communication facilities to be used for the meeting.

Section 67: Written Resolutions

A written resolution signed or approved by electronic mail by 75% of all Board Members entitled to vote is taken to be a decision of the Board Members passed at a meeting of the Board duly convened and held. The written resolution may consist of:

1. several documents in like form, each signed by one or more Director and, if so signed, takeseffect on the last date on which a Director signs one of the documents; or

2. the printed record of several electronic mail messages each indicating the identity of thesender, the text of the resolution and the sender’s agreement or disagreement to theresolution, as the case may be, and such a resolution takes effect on the date on which the lastDirector sends such a message.

ARTICLE VIII: EXECUTIVE

Section 1: Officers

The Officers of the Executive will be the President, Vice-President, Secretary, Treasurer, Member-at-large, Immediate Past President, and President-Elect and other Members as determined from time to time by the Board in order to comply with residency requirement imposed by law. The Assembly will elect all voting Officers of the Executive excluding the President and Immediate Past President, and the Member-at-Large; the latter is appointed by the upcoming ICEM organizing committee, and ratified at the Assembly meeting. Additional Members required for residency laws shall be elected by the Board. The Ssecretariat will be asked to participate on the Executive as a non-voting ex-officio member. A majority vote of approval is required for each Officer.

The term of office for the President, President-Elect, Immediate Past President, Vice-President, Secretary, and Treasurer will be two (2) years. At the end of this term, the President-Elect will assume the position of President. The term of the Immediate Past President will commence with the beginning of the term of his successor. The ICEM conference organizer for the immediate up-coming ICEM will be a non-voting Member-at-large of the Executive and will serve as a member of the Executive through the board meeting of the ICEM conference. There are no limits to the number of times Officers can sit for re-election.

Section 2: Functions and Operations

The functions of the Executive are to carry out such functions as delegated by the Board:

1. With aid of administrative personnel:

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a. To receive, process and analyze applications for new members. b. To prepare documents and other materials required for Board meetings. c. To manage the finances of the IFEM and keep accurate financial records and accounts

of income and expenditure. d. To maintain the membership records. e. To keep records of all meetings of the IFEM.

f. To conduct surveys and electronic (email) votes of Board members as directed by the Board or by its officers.

2. To assist in planning and operation of each ICEM, keeping the Board informed of the

organizational progress for each ICEM. 3. To regularly distribute in a timely fashion appropriate informational items to all active Board

Members. 4. To appoint, supervise, and direct office personnel hired to conduct IFEM, Board and Executive

business. 5. To call for nominations for the FIFEM and the Humanitarian IFEM Awards. 6. To call for nominations to host the ICEM. 7. The Executive may designate one of its Members as a non-voting member for each of the IFEM

Standing Committees. Section 3: Duties of Officers President

1. To supervise and direct the operations of the Executive. 2. To prepare agendas for Board meetings. 3. To call and chair meetings of the Board. 4. To speak on behalf of the IFEM. 5. To call and supervise elections.

Vice-President

1. To undertake the duties of the President if the President is temporarily unable to carry out those duties due to illness or inability to attend a meeting.

2. To assist the President in his/her function. Secretary

1. To supervise the administrative personnel of the Executive and to maintain appropriate written records for the IFEM.

2. In conjunction with the President be responsible for recording, reviewing and distributing the Minutes of all Executive and Board meetings.

3. In conjunction with the President prepare agendas for meetings. 4. To ensure all necessary documents are sent to Board members in a timely fashion. 5. To keep an up to date copy of the bylaws.

Treasurer

1. To monitor and manage the financial accounts of the IFEM. 2. To provide a written financial report at each Board meeting or additionally as requested by the

Board or by the President. 3. To prepare annual accounts. 4. With the Finance Committee, to prepare a budget for consideration and approval by the Board. 5. With the Finance Committee, to determine and implement a funding mechanism for the

permanent secretariat.

Member-at Large

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The ICEM Member at Large should keep the Executive and the Board and CPD (check with Cherri this is correct) informed of the structural and operational plans for the next ICEM ensuring that the next ICEM is in conformance with Article IX “General Guidelines for Conducting the ICEM” and any other regulations or policies. (add that member is part of CPD) – confirm where

President-Elect

1. The President-Elect will learn the duties of the President.2. The President-Elect will familiarize him/herself with all current and past activities of the

Executive.35. To call and supervise elections, as Chair of the Nomination Committee.

Immediate Past President

1. To advise the Executive. 2. To aid the President in learning and taking on the roles of office. 3. To complete projects initiated during Presidential term. 4. To represent the IFEM as required.

ARTICLE IXVII: Election and Recall Processes

Section 1: Nomination Committee

A Nominationng Committee will be established by the President for the purposes of preparing the slate of candidates for election of members of the Board and the Executive. The Nominationng Committee will be a sub-committee of the Governance Committee and include no less than three members one of which will be the chair of the Governance Committee, unless that individual is nominated for the Board or Executive. The President-Elect will serve as the Chairman of the Nominationng Committee and will advise the Secretariat to call for nominations for Board or Executive vacancies in accordance with these Bylaws. The Nominationng Committee will vet all nominations to insure nominations meet criteria established by the Bylaws. Further, the Nnominationng committee will solicit nominees if the slate is deemed to be incomplete or inadequate.

Section 2: Board Nominations

Nominations for candidates for the Regional Representatives on the Board of IFEM positions must meet the following criteria: 1. Nominations must be received by the IFEM Secretariat at least 90 days prior to the Assembly

meeting at which the election will take place.2. Nominations must be submitted by Full or Founding Member organizations and signed by a

representative of the nominees’ Member organization, 3. The individual nominee must be a member in good standing of the nominating organization.2. Regional representatives to the Board must be nominated by a Full or Founding Member

organization of that region and be members in good standing of the nominating organization. 4.3. The nominating organization must also be in good standing at the time of nomination and at

the time of the election.If nominating an individual to a position of Director, the nominating organization must be within the specific region of representation and be in good fiscal standing at the time of the nomination as well as at the time of the election in order for their nominated individual to stand for election.

5.4. At the time of nomination, the individual nominee must submit a consent to “act if elected” as well as background demographics and personal information for review by the Nnominationg Ccommittee and Aassembly.

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If there is only a single valid candidate nominated for election to any one Board position, that candidate shall be declared duly elected at the designated Assembly meeting. In the event that there is more than one valid nomination for any one position, the President will initiate the election process. Elections will occur every two (2) years during the Assembly meeting held at the ICEM. Section 3: Executive Nominations Nominations for candidates for the Executive Members of the Board of IFEM must meet the following criteria:

1. Nominations must be received by the IFEM Secretariat at least 90 days prior to the Assembly meeting at which the election will take place.

2. Executive Members of the Board must be nominated by a Nominations brought forward require support by the (Full or Founding) Mmember organization of IFEM of the nominee and be signed by a representative of the nominees’ member organization.,

2. The individual nominee must be a member and be members in good standing of the nominating organisation.

3. The nominating organisation must also be in good standing at the time of nomination and at the time of the election.of the nominating organization.,

4. The nominating organization must be in good fiscal standing at the time of the nomination as well as at the time of the election in order for their nominated individual to stand for election.

5.4. At the time of nomination, the individual nominee must submit a consent to “act if elected” as well as background demographics and personal information for review by the Nnomination Cng committee and Aassembly.

6.5. Nominees for President-Elect, must be individuals who are either current or immediate past former Board or Executive members members or current Assembly representatives, or current or immediate past committee chairs.

7.6. Nominees for all other Officer positions should serve or have served as either members of the Board, Executive, or as a as a current Committee Chair, or current or immediate past Assembly representative.

If there is only a single valid candidate nominated for election to any one Executive position, that candidate shall be declared duly elected at the designated Assembly meeting. In the event that there is more than one valid nomination for any one position, the President will initiate the election process. Elections will occur every two (2) years during the Assembly meeting held at the an ICEM.

Section 4: Election Protocol

1. Nominations together with candidate information shall be circulated to the voting members of the Assembly at least 30 days prior to the date of the Election. Voting members of the Assembly are the official association representatives for Founding and Full members.

2. Ballots for each position shall be prepared containing in alphabetical order the names of candidates nominated,

3. Ballots for each open Board or Executive position will be polled independently, 4. Voting will be by secret ballot in the following order: President-elect, Vice-President,

Treasurer and Secretary and Board representatives Africa, Asia, Australasia, Central and South America and North America.

5. The chair of the nominating committee will oversee the election process during the assembly meeting.

6. Two (2) members of the Nomination Committee will count the votes independently and ensure the results are the same. If there is discordance in vote counts, the Chair will determine the final results after review of all votes.

7. All election results are the result of a simple majority victory.

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8. If there are more than 2 candidates in the election, a winner can be declared only if that person has won more than 50% of the total vote count. In the case of more than 2 nominees and the failure of one candidate to procure more than 50% of the total votes, the nominee with the lowest vote total will be removed from the ballot. A second round of voting would then take place. This can be repeated until such time as a simple majority vote for one candidate is obtained,

9. All eligible Assembly members and the President will cast votes. Should the scrutineers find a tied vote, then the President’s deliberative vote will be added to the count. If there is no tied vote, the Presidents vote will be ignored. The only results announced will be the result of the final count.

10. Results of the final vote will be announced at the same Assembly meeting, after all pending elections have been completed.

11. Terms of office of newly elected Officer positions will commence at the conclusion of the Board Assembly meeting where elections take place.

11. Order of elections will be president, president-elect.(this is also to be added into the general procedures manual.

Section 5: Recall Procedures

Any voting Assembly member may initiate a recall procedure for an Executive or Board member. This formal notice of attempt at recall must be sent to the Executive IFEM Secretariat at least 120 days prior to the next Assembly meeting. In order for the recall vote to proceed written letters of support for a recall vote must be brought forward submitted by at least four (4) additional Board members or 25% of full voting assembly members. The supporting letters mMust be received at least 3028 days in advance of the next Assembly meeting. A two-thirds vote of the Assembly members present is required to remove an officer from his or her position (conduct the recall). If the officer is removed, an election will be held at that same Assembly meeting to replace that officer. Approval of the new officer requires a majority vote of the quorum present at that Assembly meeting. The term of office for the new officer will commence immediately at the time of election and extend until the next Assembly meeting where elections are to be held or for four (4) years if the recall election is for the President.

ARTICLE XVIII: STANDING COMMITTEES STRUCTURE Section 1: Committee Membership The Board by majority vote may appoint members of the Board or other persons to specific committees to perform focused work on behalf of the IFEM. Committee members may be recalled from any committee or reappointed by majority vote of the IFEM Board. Persons resigning from a committee may be temporarily replaced by persons appointed by the Executive. Such temporary assignments are valid until the next Board meeting. Section 2: Committee Chairs For each Standing Committee, a Chair is to be nominated by the IFEM Executive, with said nomination ratified by the Board. Term of Office is two (2) years, and is renewable for one additional term. The exception to this will be the Finance Committee, whose Chair is to be the current Treasurer. A Deputy Chair will be appointed at the commencement of the second two-year term. Section 3: Standing Committees The Board may delegate all or any of its functions, powers or discretions to standing committees comprising such persons as the Board determines. The Board shall determine the powers and duties of each committee, and shall review the terms of reference and membership biennially. Standing committees are formed by the board to complete the ongoing work of the IFEM. Each standing committee must maintain a specific Terms of Reference, which must be updated biannually and approved by the

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IFEM Bylaws – draft 5 July 2017 to Board Page 16 of 21 Executive. Committee tasks are assigned by the Executive and each committee will submit activity and progress reports as directed by the Board. IFEM standing committees and their functions are defined in the IFEM Committee and General Procedures Manual.as follows: Functions of the Finance Committee:

1. To make recommendations to the Board regarding disbursement of IFEM funds between the secretariat and the ICEM as well as to make recommendations for fundraising required to perform activities of the IFEM.

2. Collaborate with the Treasurer to prepare an annual Budget. 3. Collaborate with the Treasurer to determine and implement a funding mechanism for the

permanent secretariat. 4. To liaise with the IFEM Foundation Board.

Functions of the Education and Curriculum Committee:

1. To develop educational materials suitable for international use in emergency medicine training.

2. Continue to refine the recommended core curriculum for emergency medicine for international use.

Functions of the Specialty Implementation Committee:

1. To develop reference materials and a list of appropriate consultants to help develop the

specialty of emergency medicine in countries where the specialty is not yet mature. 2. This committee will also be responsible for making responses to specific requests by

physicians for specialty development assistance. Functions of the Governance Committee:

1. Review and modify the bylaws as required, with final approval of all modifications by the Board and ratification by the Assembly.

2. Act as an advisory group with respect to direction of the IFEM. 3. Ensure that the Assembly, Board, its Executive and its national association members conduct

all IFEM activity in harmony with the Bbylaws. 4. Oversee the Bylaws Committee

Functions of the Clinical Practice Committee: 1. Provide educational and teaching material in Emergency Medicine clinical areas to the IFEM

membership and to the IEM community. 2. To evaluate, amend and distribute existing educational and teaching material to the IFEM

membership and to the IEM community. 3. To develop, design and distribute IFEM-sanctioned EM clinical practice educational and

teaching material, to be provided to the IFEM membership and to the IEM community.

Functions of the Research Committee: 1. To consider the merit of research proposals that are submitted to IFEM for endorsement. 2. To explore and potentially develop global research collaborations to further emergency care

internationally. 3 To act as a resource for IFEM to develop a research agenda and assist in prioritization of

research internationally. Functions of the Communications Committee:

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1. To develop a communications strategy for IFEM. 2. To provide recommendations to the Board to improve the presence of IFEM internally and

externally. 3. To explore and potentially develop collaborations with external agencies or individuals, with

the approval of the Board. 4. To improve internal communications between IFEM and its member organizations.

ARTICLE IXIVIII: SPECIAL INTEREST GROUPS (SIGs) Section 1: General In response to a petition by at least ten (10) interested individuals, the Board by majority vote may decide to establish Special Interest Groups (SIGs) to provide an IFEM forum for those with special areas of interest within the field of emergency medicine. Each SIG will function in compliance with Terms of Reference and Operational Guidelines established and approved by the Board. The SIG will report to a relevant IFEM Standing Committee as determined by the IFEM Board. The Chair of the SIG will be elected by a majority vote of the members of the SIG at the biennial meeting. The term of office of the Chair will be two years and is renewable for a further two-year term (in total four years). Meetings are expected to coincide with the biennial ICEM Conference. The need for each SIG should be reviewed at least once every four (4) years by the IFEM Board and the relevant IFEM Standing Committee overseeing the SIG. The IFEM Secretariat will keep a list of SIGs (with SIG membership lists) on the website. Section 2: Individual Membership Membership of SIGs shall be open to individuals who belong to an IFEM member organization. Exceptions can be made if the individual is from a non-IFEM organization but can offer individual expertise (e.g.ie. paediatricians, critical care doctors). Members from non-IFEM member organisations should comprise no more than 40% of the total SIG membership. Applications for individual membership should be made in writing to the Chair of the SIG. The minimum number of active individuals required for the continued functioning of each SIG is ten (10). The individual application should include a description of the applicant’s interest and involvement in the area of special interest as justification of his or her membership of the group. Chair approval – 40% non-IFEM

Section 3: Functions and Limitations A Special Interest Group shall promote and advance the objectives of the IFEM including performing tasks relevant to the SIG and delegated to it by the Board from time to time. The SIG may also provide a forum for networking, exchange of information, curricular development and promotion of research activity amongst individuals with an active interest in that area. Unless specifically authorized by the Executive, the SIG shall not hold itself out to represent IFEM on matters of the Special Interest, have access to support from the Secretariat, or commit or expend IFEM funds, unless specifically authorized to do so by the IFEM Board on a case-by-case basis. SIGs would be expected to submit annual reports to their appropriate overseeing IFEM Standing Committee.

Section 4: Dissolution Procedures and Tenure The IFEM Board will review the need to continue with each SIG once every four years. A decision for maintenance or dissolution would be by the IFEM Board and will take into consideration the recommendation of either the SIG or the overseeing IFEM standing committee or both. Grounds for dissolution, if any, would need to be spelt out by the recommending agency. ARTICLE XII: TASKFORCES

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The Board by majority vote may appoint members of the Board or other persons to a taskforce to undertake a specific project behalf of the IFEM. The proposal for a taskforce must detail the intended task, potential membership and include a defined endpoint for completion of the task.

ARTICLE IXIII: FELLOWSHIP AND AWARDS

Section 1: Fellowship

1.1 Criteria for Fellowship

Nominations for the “Order of the IFEM” (also known as “Fellowship of the IFEM”) should be reserved for individuals who have demonstrated an extensive and continuous commitment to the specialty of emergency medicine in their own country as well as having made significant contributions to supporting the development and advancement of the IFEM. Criteria for consideration of Fellowship would include the following:

1. Serving in a leadership role within the IFEM - including serving as the representativefrom a national organization to the IFEM Assembly or Board, coordinating committeeactivity or projects within IFEM, or demonstrating outstanding service in promoting thedevelopment of the IFEM.

2. Active involvement with ICEM: conference director, committee representative for acountry in the ICEM, or by demonstrating outstanding service promoting the educationalobjectives of the ICEM.

3. Fellowship may also be recommended by a member national organization wishing toacknowledge an exceptional person who has made outstanding contributions tointernational emergency medicine in other ways.

1.2 Procedures for Nomination for Fellowship

Only full members of the IFEM are eligible to nominate individuals for IFEM Fellowship. Other members may propose individuals for Fellowship if the nomination has the endorsement of a full member. The nominations should be made by a reference letter (maximum of two (2) pages) presenting the rationale for recognizing the contributions of the nominee and accompanied by a one-page citation. Nominations with supporting documentation should be sent to the IFEM Secretariat at least 90 days prior to the regular Assembly meeting at which ratification of the nominations will occur. The Board will review and approve all Fellowship designations pending ratification by the Assembly. Newly designated Fellows will then be recognized at the next ICEM awards ceremony with a certificate, plaque, and medal. This award should not be given if, in a given year, the Board does not feel that any nominees meet its expectations for selection. Fellows will be authorized to use of the official title “Fellow of the International Federation for Emergency Medicine” associated with their name as post nominal FIFEM.

Section 2: Humanitarian Award

2.1 Criteria for Humanitarian Award

The purpose of the IFEM Humanitarian Award is to recognize an individual or organization that has conducted work related to international emergency medicine which has led to major humanitarian or public health benefits or positive effects.

2.2 Procedures for Nomination for Humanitarian Award

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Any IFEM member (Founding, Full, or Affiliate) is eligible to nominate a candidate for the IFEM Humanitarian Award. The candidate may be an individual or an organization or a government body who has contributed significantly to the field of emergency medicine. The nominations should be made by a maximum of a two (2) page reference letter presenting the rationale for recognizing the contributions of the individual or organization and accompanied by a one page citation. The IFEM Board will vote to approve the candidates for this award for ratification by the Assembly. A maximum of two Humanitarian Awards may be approved for presentation at each ICEM awards ceremony with a certificate and plaque. This award should not be given if, in a given year, the Board does not feel that any nominees meet its expectations for selection..

Section 3: Gautam Bodiwala Lifetime Leadership Achievement Award

3.1 Criteria for Award

The Gautam Bodiwala Lifetime Leadership Achievement Award is IFEM’s highest honour. The purpose of the Award is to recognize an individual who has demonstrated an extensive and continuous commitment to the International Federation for Emergency Medicine resulting in significant contributions to the development and advancement of the IFEM in addition to extensive and continuous commitment to the specialty of emergency medicine in their own country. Criteria for selection for the Gautam Bodiwala Lifetime Leadership Achievement Award should include the following:

1. Serving in a leadership role within the International Federation for EmergencyMedicine (IFEM) as a member of the Board, Executive, or as a Committee Chair.

2. Serving on the IFEM Assembly, Committees, or Task Forces, and demonstratingoutstanding service in serving or promoting the IFEM.

3. Active involvement with the International Conference on Emergency Medicine (ICEM)as a conference organizer, committee representative, speaker, or by demonstratingoutstanding service promoting the educational objectives of the ICEM.

The nominee must have met at least one aspect of all three of the above criteria and served the IFEM in some capacity for a minimum of ten years. In addition, the nominee cannot be a member of the Executive or Board at the time of Award presentation. Nominees who are finishing their terms on the Executive or Board may not participate in the Awards process in any way and will be excluded from all award communications immediately upon nomination.

3.2 Procedures for Nomination for the Gautam Bodiwala Lifetime Leadership Achievement Award

1. Only members in good standing are eligible to nominate individuals for GautamBodiwala Lifetime Leadership Achievement Award.

2. The nominations should be made by a reference letter (maximum of four (4) pages)presenting the rationale for recognizing the contributions of the nominee andaccompanied by a one-page citation.

3. Nominations in response to a call for nominees should arrive at the IFEM Secretariatwith supporting documentation at least 90120 days prior to the annual Assemblymeeting at which ratification of the nominations will occur.

4. The Board will review and approve a maximum of one nominee pending ratification bythe Assembly. Nominees who are completing service on the Board may not participate

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in the selection process in any way and are to be excluded from all communications concerning the Award selection.

5. The awardee will then be recognized at the next ICEM awards ceremony with acertificate, and plaque, and medal. This award should not be given if, in a given year,the Board does not feel that any nominees meet its expectations for selection.

ARTICLE XIVI: GENERAL GUIDELINES FOR CONDUCTING THE ICEM

The IFEM member organization hosting the ICEM is responsible for arranging the conference venue. They but should utilize the services of a suitably experienced professional conference organizer to co-coordinate the staging of the ICEM. The member, and is responsible for all finances related to reserving the venue. Specific allotment of funds from the IFEM to the ICEM host member as “start-up” funding will be by direction of the Board.

All presentations at the ICEM must be given in or simultaneously translated into English, although simultaneous translation into other languages may be considered. Each ICEM should be four (4) days in duration, but additional “satellite” meetings or courses may also be scheduled. The focus of the educational material presented should be directed at specialist emergency physicians. The ICEM may have parallel sessions, but there should not be simultaneous sessions on similar topics. The ICEM programme should include social events to enhance interactions, including an opening reception and a banquetGala Dinner, where awards and prizes may be presented. The ICEM should include opportunity for presentation of research abstracts (both oral and in poster formats). Faculty responsible for conducting or moderating each session or lecture at the ICEM should be designated well in advance and there should be a co-coordinator or “backup” person available for each session or lecture. More complete guidelines for operating ICEM are available in an independent document from the administrative offices of IFEM Secretariat.

ARTICLE XVII: AMENDMENTS TO BYLAWS

Proposed amendments to the bylaws of the IFEM must be submitted to the Executive by members of the Assembly, Board or any Committee at least 90 days in advance of the Board Meeting preceding the Assembly meeting at which a vote on the proposed amendment(s) would occur.

The proposed amendment will be assigned to the Governance Committee for review and initial recommendations for any revision. Upon receiption of a final draft version from the Governance Committee, the Secretariat will post the proposed amendment on the IFEM website. The Board will be advised of this posting by email and asked to post comments or suggested modifications within the next fourteen (14) days. Based upon these comments the Governance Committee will draft a final version in consultation with the Executive for a vote of the Board and the Assembly.

A change or approval of amendments to the Bylaws requires a two-thirds vote by both the Board of Directors and the Assembly for implementation.

ARTICLE XVIIII: MISCELLANEOUS

Operation of the Board and Executive will be in compliance with the legal regulations specific to its geographic location, including compliance with the IFEM Constitution. In the event that the Constitution is in conflict with these bylaws, notice will be made to members and a vote to amend the Constitution or bylaws shall be brought to the Assembly at its next regular meeting.

oOo

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Number:61 April 04, 2017

Topic: International Day of Emergency Medicine (IDEM)

INTERNATIONAL FEDERATION FOR EMERGENCY MEDICINE 34 JEFFCOTT STREET WEST MELBOURNE VIC 3003 AUSTRALİA

Dear Sir/Madam,

Billions of people admit to emergency services every year. Emergency medicine staff are working devotedly to save these patients from further injury and from death, to let them have a happy and healthy life with their families for many years to come. The presence of emergency medical specialists has always been an assurance of the high quality of emergency health services provided to humanity at global level.

Assosiation of Emergency Medicine in Turkey has the opinion that it will be very appropriate to declare an “International Day of Emergency Medicine (IDEM)” as a special day to enhance the unity of Emergency Medicine community at global level, to boost public interest on emergency medical staff, to draw attention to the issues of emergency medical services worldwide as well as to the physicians working in these services in all countries. This day may be specified by a specially formed commission.

By its unifying power and influence, IFEM can assume a leading role in this initiative and invite the Emergency Medicine Associations of all countries to commemorate this international day annually, and so it become traditionalised.

Kind regards Prof. Dr. Yıldıray ÇETE Chairman of Emergency Medicine Association of Turkey

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From: Cem Oktay [mailto:[email protected]] Sent: 02 May 2017 04:10 PM To: Lee Wallis; murat çetin; [email protected]; [email protected]; Jim Holliman; [email protected]; [email protected]; [email protected]; [email protected]; Dr. Jay Kaplan; Dr. Rebecca Parker Cc: Yildiray Cete; Yıldıray Cete; ersin aksay Subject: YNT: International Day of Emergency Medicine (IDEM)

Dear Dr. Wallis,

I would like to thank the IFEM Executive Committee to discuss our suggestion of declaring an "International Day of Emergency Medicine".

InTurkey we declared "30th April" as the EM Specialty Day as EM was declared a primary specialy by law in 1993. We believe that these kind of remembrance makes us stronger and united.

So we think that IFEM could declare a specific day that all countries as IFEM members could organize some activities without any financial burden for IFEM.

We will be happy if this proposal will be discussed at the next IFEM General Assembly during ACEP SA 2017.

Best regards Cem

Cem OKTAY, MD, FIFEM Member of the Board of Directors of EMAT

Kimden: Lee Wallis [[email protected]] Gönderildi: 28 Nisan 2017 Cuma 14:23 Kime: murat çetin; [email protected]; [email protected]; Jim Holliman; [email protected]; [email protected]; [email protected]; [email protected]; Dr. Jay Kaplan; Dr. Rebecca Parker Bilgi: Cem Oktay; Yildiray Cete; Yıldıray Cete; ersin aksay Konu: RE: International Day of Emergency Medicine (IDEM)

Dear Dr Cetin,

Thank you for your letter of 4th April proposing the declaration of an ‘International

Day of Emergency Medicine’. This was discussed at the recent meeting of the IFEM Executive.

The Federation welcomes feedback and suggestions about how we can help raise the profile of emergency medicine internationally. However, it was agreed that, given IFEM’s limited resources and need for a strong focus on our new financial strategy over the next few years, this would not be a priority for us at this time.

Thank you for the suggestion. Warm regards Lee

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Lee A Wallis MBChB, MD, DIMCRCS Edin, Dip Sport Med, FRCS Edin(A&E), FRCP Edin, FRCEM, FCEM(SA), FEMSSA, FIFEMProfessor and Head of Emergency Medicine: University of Cape Town Professor and Head of Emergency Medicine: Stellenbosch University Head of Emergency Medicine: Western Cape Government President: International Federation for Emergency Medicine

From: murat çetin [mailto:[email protected]] Sent: 04 April 2017 11:38 AM To: Lee Wallis; [email protected]; [email protected]; Jim Holliman; [email protected]; [email protected]; [email protected]; [email protected]; Dr. Jay Kaplan; Dr. Rebecca Parker Cc: Cem Oktay; YILDIRAY CETE; Yıldıray Cete; ersin aksay Subject: International Day of Emergency Medicine (IDEM)

Dear Dr. Lee Wallis;

That will bring together emergency medicine physicians "International Day of Emergency Medicine" we wanted to create. A letter explaining our thoughts on this subject, Emergency Medicine Association of Turkey (EMAT) President Prof.Dr.Yıldıray Çete' s signature I have sent.

"International Day of Emergency Medicine" for the equinox we recommend. (https://en.wikipedia.org/wiki/Equinox). The equinox, when day and night are equal, Emergency Medicine Specialists, 24 hours a day continuously for 365 days is most telling in his work. Twice a year, one of the equinoxes can be selected. We prepared for this special day I'm sending you visuals.

We are also proposing for this other special day;

-IFEM establishment date. -History of the first emergency medicine specialty training in the world.

Very best regards,

Dr.Murat Çetin

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https://en.wikipedia.org/wiki/Equinox