Memo to: Executive Directors Constituent Medical Associations From: James L. Madara, MD Date: January 24, 2020 Subject: 2020 Constituent Society Delegate Apportionment I am pleased to provide delegate apportionment figures for 2020. Last year our American Medical Association (AMA) again experienced membership growth (nearly 2½%), and the 54 states and territories in the House of Delegates will be apportioned 307 delegates, an increase of 24 over last year, with most of the increase due the inclusion of pending members. Delegate apportionment is based on official AMA membership records as of December 31, 2019. Delegate apportionment for 2020 is based on the combined total of 2019 actual members and pending members, that is, individuals who were not members in 2019 but who had paid membership dues for the 2020 calendar year during 2019. One delegate is apportioned for every 1,000, or fraction thereof, AMA members and pending members. The attached table provides a state by state breakdown. Pending members who do not renew their memberships in 2020 (for 2021) will not be counted for apportionment purposes next year. Those states that have endorsed regional medical student delegates or resident sectional delegates should be aware that these delegates are not reflected in the figures that appear in the constituent society apportionment table, but rather appear in separate tables. Regional medical student delegates and resident sectional delegates will be seated with their endorsing societies. You should note, however, that student and resident alternate delegates serving temporarily will be seated in the space designated for the student or resident endorsed by your society even though they are likely to have been endorsed by another society; please be sure your delegation is aware of this situation. States are encouraged to include the students and residents they have endorsed in delegation activities and communications. The credentialing process for the Annual Meeting will begin next month. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting. You will receive a separate communication regarding credentials. Following the receipt of credentials, per Speaker Scott’s comments at I-19, a draft seating chart will be shared with you, and changes within delegations can be proposed. Please ensure that your delegates and alternate delegates have renewed their AMA memberships for 2020. AMA bylaws specify that all delegates (§2.0.1.1) and alternate delegates (§2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be found at https://www.ama-assn.org/house-delegates/hod-organization/delegation-certification-rosters. Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Delegates Affairs, at 312-464-4344 or by email to roger.brown@ama-assn.org. Attachments

Constituent Society Delegate Apportionment - 2020

AMA Members

as of 31 Dec 2018

Number of Delegates

2019¹

AMA Members as of

31 Dec 2019‡

Pending Members

Included in 2019 figures

Regular Delegate

Apportionment 2020²

Delegates Under Bylaw

2.1.1.2.1³

Additional 2020

Delegate Allocation

2020 Delegate Allocation

Total 250,253 280 275,956 19,588 304 305 2 307

Alabama 3,062 4 3,214 158 4 4 0 4 Alaska 352 1 369 8 1 1 0 1 Arizona 4,271 5 4,746 134 5 5 0 5 Arkansas 2,021 3 2,139 76 3 3 0 3 California 22,429 23 32,179 9,053 33 33 0 33 Colorado 4,096 5 4,377 116 5 5 0 5 Connecticut 3,413 4 3,503 136 4 4 0 4 Delaware 668 1 675 17 1 1 0 1 District of Columbia 1,981 2 2,026 135 3 3 0 3 Florida 13,489 14 15,297 791 16 16 0 16 Georgia 4,874 5 5,351 283 6 6 0 6 Guam 25 1 27 0 1 1 0 1 Hawaii 1,078 2 1,107 38 2 2 0 2 Idaho 563 1 582 19 1 1 0 1 Illinois 11,069 12 11,756 603 12 12 0 12 Indiana 4,439 5 4,910 211 5 5 0 5 Iowa 2,151 3 3,287 62 4 4 0 4 Kansas 1,903 2 2,009 97 3 3 0 3 Kentucky 3,228 4 3,878 609 4 4 1 † 5 Louisiana 4,024 5 5,811 170 6 6 0 6 Maine 1,337 2 1,375 26 2 2 0 2 Maryland 4,414 5 4,722 240 5 5 0 5 Massachusetts 12,321 13 12,619 240 13 13 0 13 Michigan 12,011 13 12,629 416 13 13 0 13 Minnesota 4,393 5 4,949 337 5 5 0 5 Mississippi 2,749 3 2,465 55 3 3 0 3 Missouri 4,846 5 5,360 276 6 6 0 6 Montana 679 1 689 9 1 1 0 1 Nebraska 1,640 2 1,768 71 2 2 0 2 Nevada 1,471 2 1,611 66 2 2 0 2 New Hampshire 877 1 923 44 1 1 0 1 New Jersey 7,074 8 7,661 339 8 8 0 8 New Mexico 1,285 2 1,120 59 2 2 0 2 New York 19,468 20 21,128 1,061 22 22 0 22 North Carolina 5,181 6 5,503 270 6 6 0 6 North Dakota 762 1 793 32 1 1 0 1 Ohio 10,593 11 11,264 412 12 12 1 † 13 Oklahoma 3,751 4 3,664 149 4 4 0 4 Oregon 1,902 2 2,139 118 3 3 0 3 Pennsylvania 13,213 14 12,723 678 13 14 0 14 Puerto Rico 1,399 2 1,570 83 2 2 0 2 Rhode Island 1,018 2 1,023 51 2 2 0 2

AMA Members

as of 31 Dec 2018

Number of Delegates

2019¹

AMA Members as of

31 Dec 2019‡

Pending Members

Included in 2019 figures

Regular Delegate

Apportionment 2020²

Delegates Under Bylaw

2.1.1.2.1³

Additional 2020

Delegate Allocation

2020 Delegate Allocation

South Carolina 4,572 5 4,464 117 5 5 0 5 South Dakota 963 1 1,007 23 2 2 0 2 Tennessee 4,744 5 4,959 188 5 5 0 5 Texas 18,002 19 19,081 661 20 20 0 20 Utah 1,668 2 1,768 106 2 2 0 2 Vermont 416 1 435 25 1 1 0 1 Virgin Islands 37 1 38 1 1 1 0 1 Virginia 7,111 8 7,309 228 8 8 0 8 Washington 3,888 4 4,276 202 5 5 0 5 West Virginia 1,831 2 1,903 58 2 2 0 2 Wisconsin 4,556 5 4,736 140 5 5 0 5 Wyoming 202 1 205 5 1 1 0 1 APO/FPO/Foreign 743 834 86

Notes: 1 These figures do not include additional delegates allocated under §2.1.2.1, §2.1.2.2 or §2.5 of the bylaws. 2 The regular apportionment of delegates is one delegate for each 1000, or fraction thereof, AMA members in

the jurisdiction of the constituent society, including pending members (§2.1.1.1 of the bylaws). 3 §2.1.1.2.1 of the bylaws permits constituent societies to retain delegates under some circumstances if

membership information warrants a decrease from one year to the next. Pennsylvania is the only society for which this provision applies in 2020.

† §2.5 of the bylaws provides an additional delegate for those societies represented by the individuals elected to be speaker and vice speaker, Kentucky and Ohio.

‡ Membership figures for year-end 2019 include pending members.

CONSTITUENT SOCIETIES ENDORSING MEDICAL STUDENT SECTION REGIONAL DELEGATES AND

ALTERNATE DELEGATES

Delegates Alternate Delegates

Region 1 Arizona 1 1 California 1 2 Nevada 1 1 New Mexico 1 Region 2 Illinois 1 1 Minnesota 1 Nebraska 1 Wisconsin 1 1 Region 3 Arkansas 1 Louisiana 1 Oklahoma 1 Texas 1 4 Region 4 Florida 2 2 North Carolina 1 1 South Carolina 2 1 Tennessee 1 Region 5 Indiana 1 1 Kentucky 1 Michigan 1 1 Ohio 1 Region 6 District of Columbia 1 Maryland 1 New Jersey 1 1 Pennsylvania 1 1 Virginia 1 1 Region 7 Connecticut 1 3 Maine 1 Massachusetts 2 1 New York 1 1 TOTAL 28 28

This table reflects information available as of January 15, 2020 and is subject to change. Pursuant to American Medical Association Bylaws (§2.3 and subsections), medical student regional delegates and alternate delegates were elected utilizing a regional structure. The seven medical student regions are: Region 1: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico,

North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming. Region 2: Illinois, Iowa, Minnesota, Missouri, Nebraska, Wisconsin Region 3: Arkansas, Kansas, Louisiana, Mississippi, Oklahoma, Texas. Region 4: Alabama, Florida, Georgia, North Carolina, Puerto Rico, South Carolina, Tennessee. Region 5: Indiana, Kentucky, Michigan, Ohio, West Virginia. Region 6: Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia. Region 7: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont. For 2020, 28 regional student delegates were apportioned according to year-end 2018 AMA medical student membership figures within a region, with a delegate being apportioned for every 2,000 student members in the region and additional delegates apportioned per Bylaw 2.3.2. Medical Student Section regional delegates are “seated with the constituent association representing the jurisdiction within which such delegate’s educational program is located” (Bylaw 2.10.8). Alternate delegates substituting for a delegate shall be seated in the place of the delegate being temporarily replaced.

Societies Endorsing Resident and Fellow Sectional Delegates and Alternate Delegates

Delegates Alternate Delegates

American Academy of Child and Adolescent Psychiatry 1 American Academy of Neurology 1 1 American Academy of Ophthalmology 1 American Academy of Pediatrics 1 1 American Academy of Sleep Medicine 1 American Association of Public Health Physicians 1 1 American College of Emergency Physicians 1 1 American College of Medical Quality 1 American College of Obstetricians and Gynecologists 1 1 American College of Radiology 1 1 American College of Surgeons 1 1 American Geriatrics Society 1 American Psychiatric Association 1 1 American Society for Clinical Pathology 1 American Society of Anesthesiologists 1 American Society of Plastic Surgeons 1 1 American Society of Radiation Oncology 1 American Urological Association 1 California Medical Association 1 1 Connecticut State Medical Society 1 1 Illinois State Medical Society 1 1 Infectious Diseases Society of America 1 1 Kentucky Medical Association 1 Massachusetts Medical Society 1 1 Medical Association of Georgia 1 Medical Association of the State of Alabama 2 Medical Society of the State of New York 1 Medical Society of Virginia 1 Minnesota Medical Association 1 Missouri State Medical Association 1 Nevada State Medical Association 1 Ohio State Medical Society 1 Pennsylvania Medical Society 2 Texas Medical Association 1 2 Washington State Medical Association 1 TOTAL 28 25

This table reflects information available as of January 15, 2020 and is subject to change. For 2020, 28 Resident and Fellow Section sectional delegates were apportioned according to year-end 2018 AMA resident and fellow membership figures, with a delegate being apportioned for every 2,000 members (AMA Bylaws, §2.4 and subsections). Resident and fellow sectional delegates are to be seated with their endorsing society (Bylaw 2.10.9). Alternate delegates who are substituting for a delegate will sit with the society that endorsed the delegate for whom the alternate is substituting.

Memo to: Executive Directors National Medical Specialty Societies From: James L. Madara, MD Date: January 24, 2020 Subject: 2020 Specialty Society Delegate Apportionment I am pleased to provide delegate apportionment figures for 2020. The apportionment is based on official AMA membership records and Policy G-600.027, “Designation of Specialty Societies for Representation in the House of Delegates.” Constituent societies have been apportioned 305 delegates for 2020 (not including two delegate slots for the speakers per bylaw 2.5). Consequently, 305 delegates were apportioned across the national medical specialty societies in the House, including the two societies expected to be admitted in June. Several societies were adjusted upwards to maintain the parity called for in the bylaws. Every society seated in the House of Delegates is entitled to one delegate, but the following 69 national specialty societies have more than one delegate (with a like number of alternate delegates):

AMDA-The Society for Post-Acute and Long-Term Care Medicine .......... 2 American Academy of Child and Adolescent Psychiatry ............................ 2 American Academy of Dermatology ............................................................ 4 American Academy of Family Physicians ................................................. 16 American Academy of Hospice and Palliative Medicine ............................. 2 American Academy of Neurology ................................................................ 4 American Academy of Ophthalmology ........................................................ 4 American Academy of Orthopaedic Surgeons ............................................. 5 American Academy of Otolaryngology-Head and Neck Surgery ................ 3 American Academy of Pediatrics ................................................................. 5 American Academy of Physical Medicine and Rehabilitation ..................... 2 American Academy of Sleep Medicine ........................................................ 2 American Association for Geriatric Psychiatry ............................................ 2 American Association of Clinical Endocrinologists .................................... 2 American Association of Gynecologic Laparoscopists ................................ 3 American Association of Neurological Surgeons ........................................ 2 American Association of Neuromuscular & Electrodiagnostic Medicine ... 2 American College of Allergy, Asthma and Immunology ............................. 2 American College of Cardiology .................................................................. 7 American College of Chest Physicians (CHEST) ........................................ 3 American College of Emergency Physicians ............................................... 8 American College of Gastroenterology ........................................................ 2

2

American College of Obstetricians and Gynecologists .............................. 13 American College of Occupational and Environmental Medicine ............... 2 American College of Physicians ................................................................ 24 American College of Preventive Medicine .................................................. 2 American College of Radiology ................................................................... 7 American College of Rheumatology ............................................................ 2 American College of Surgeons ................................................................... 13 American Gastroenterological Association .................................................. 3 American Geriatrics Society......................................................................... 2 American Institute of Ultrasound in Medicine ............................................. 2 American Psychiatric Association ................................................................ 9 American Roentgen Ray Society .................................................................. 3 American Society for Clinical Pathology ..................................................... 3 American Society for Dermatologic Surgery ............................................... 2 American Society for Gastrointestinal Endoscopy ....................................... 2 American Society for Radiation Oncology .................................................. 2 American Society for Reproductive Medicine ............................................. 2 American Society of Addiction Medicine .................................................... 2 American Society of Anesthesiologists ........................................................ 7 American Society of Breast Surgeons .......................................................... 2 American Society of Cataract and Refractive Surgery ................................. 2 American Society of Clinical Oncology ....................................................... 3 American Society of Echocardiography ....................................................... 2 American Society of Hematology ................................................................ 2 American Society of Interventional Pain Physicians ................................... 2 American Society of Nuclear Cardiology* .................................................. 2 American Society of Plastic Surgeons ......................................................... 2 American Society of Retina Specialists ....................................................... 2 American Thoracic Society .......................................................................... 3 American Urological Association ................................................................ 2 Association of Military Surgeons of the United States* .............................. 2 College of American Pathologists ................................................................ 4 Congress of Neurological Surgeons ............................................................. 2 Heart Rhythm Society .................................................................................. 2 Infectious Diseases Society of America ....................................................... 2 North American Spine Society ..................................................................... 2 Radiological Society of North America ....................................................... 3 Renal Physicians Association ....................................................................... 2 Society for Vascular Surgery........................................................................ 2 Society of American Gastrointestinal Endoscopic Surgeons ....................... 2 Society of Critical Care Medicine ................................................................ 3 Society of Hospital Medicine ....................................................................... 3 Society of Interventional Radiology ............................................................. 2 Society of Laparoendoscopic Surgeons ........................................................ 2 Society of Thoracic Surgeons ....................................................................... 2 The Endocrine Society ................................................................................. 2 United States and Canadian Academy of Pathology .................................... 2

3

Remaining national medical specialty societies, including those expected to be seated in June, are each apportioned one delegate (and one alternate) for 2020. The net result is that there will be 305 specialty society delegates this year. Delegate apportionment figures for all specialty societies appear in the 2020 Specialty Society Delegate Apportionment table accompanying this memo. Several specialty societies have endorsed resident and fellow sectional representatives (§2.4 of the bylaws) and are listed in a second table below. The delegate numbers above and in the Specialty Society Delegate Apportionment table do not include these resident and fellow sectional delegates, but allowance will be made to seat them with their endorsing societies. You should note, however, that resident sectional alternate delegates serving temporarily will be seated in the space designated for the resident endorsed by your society even though the alternate delegate is likely to have been endorsed by another society; please be sure your delegation is aware of this situation. States are encouraged to include the residents they have endorsed in delegation activities and communications. Traditionally, delegates for national medical specialty societies with a single delegate have been seated in the House with the delegate’s home state. Over the last few years, several specialty societies have indicated that they would like to be seated together, and these groupings will continue. Other specialty society delegations that would like to be seated together in the House should notify Roger Brown in writing no later than March 13, 2020. The credentialing process for the Annual Meeting will begin next month. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting. You will receive a separate communication regarding credentials. Following the receipt of credentials, per Speaker Scott’s comments at I-19, a draft seating chart will be shared with you, and changes within delegations can be proposed. Please ensure that your delegates and alternate delegates have renewed their AMA memberships for 2020. AMA bylaws specify that all delegates (§2.0.1.1) and alternate delegates (§2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be found https://www.ama-assn.org/house-delegates/hod-organization/delegation-certification-rosters. Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Delegates Affairs at 312-464-4344 or by email to roger.brown@ama-assn.org. Attachment

2020 Specialty Society Delegate Apportionment

Specialty Society

Date of 5 year review

Members at 5 year review

A-20 delegates

Academy of Physicians in Clinical Research A-18 107 1 Aerospace Medical Association A-18 165 1 AMDA-The Society for Post-Acute and Long-Term Care Medicine A-16 853 2 American Academy of Allergy, Asthma and Immunology I-18 324 1 American Academy of Child and Adolescent Psychiatry A-16 1,408 2 American Academy of Cosmetic Surgery A-19 319 1 American Academy of Dermatology A-18 3,117 4 American Academy of Facial Plastic and Reconstructive Surgery A-18 180 1 American Academy of Family Physicians A-18 14,805 16 American Academy of Hospice and Palliative Medicine A-18 697 2 American Academy of Insurance Medicine I-16 61 1 American Academy of Neurology A-18 2,934 4 American Academy of Ophthalmology I-18 3,021 4 American Academy of Orthopaedic Surgeons I-18 3,897 5 American Academy of Otolaryngic Allergy Inc. A-15 386 1 American Academy of Otolaryngology-Head and Neck Surgery I-18 2,081 3 American Academy of Pain Medicine I-18 371 1 American Academy of Pediatrics I-18 3,827 5 American Academy of Physical Medicine and Rehabilitation I-18 1,146 2 American Academy of Psychiatry and the Law A-18 393 1 American Academy of Sleep Medicine A-18 1,202 2 American Association for Geriatric Psychiatry A-15 876 2 American Association for Hand Surgery A-18 200 1 American Association for Thoracic Surgery A-19 226 1 American Association of Clinical Endocrinologists I-16 917 2 American Association of Clinical Urologists, Inc. A-18 409 1 American Association of Gynecologic Laparoscopists A-19 1,571 3 American Association of Neurological Surgeons I-18 787 2 American Association of Neuromuscular & Electrodiagnostic Medicine I-17 778 2 American Association of Plastic Surgeons A-19 193 1 American Association of Public Health Physicians A-19 48 1 American Clinical Neurophysiology Society A-18 103 1 American College of Allergy, Asthma and Immunology A-19 544 2 American College of Cardiology I-19 6,403 7 American College of Chest Physicians (CHEST) I-19 2,388 3 American College of Emergency Physicians I-19 6,980 8 American College of Gastroenterology I-19 1,261 2 American College of Legal Medicine A-15 133 1 American College of Medical Genetics and Genomics A-16 347 1 American College of Medical Quality A-18 179 1 American College of Mohs Surgery A-15 219 1 American College of Nuclear Medicine I-19 49 1 American College of Obstetricians and Gynecologists A-15 12,000 13 American College of Occupational and Environmental Medicine I-15 547 2 American College of Physicians A-15 22,690 24 American College of Preventive Medicine A-15 484 2

Specialty Society

Date of 5 year review

Members at 5 year review

A-20 delegates

American College of Radiation Oncology A-16 316 1 American College of Radiology A-15 6,077 7 American College of Rheumatology I-17 1,111 2 American College of Surgeons A-15 12,445 13 American Gastroenterological Association I-15 1,709 3 American Geriatrics Society I-15 927 2 American Institute of Ultrasound in Medicine A-16 1,174 2 American Orthopaedic Association I-15 311 1 American Orthopaedic Foot and Ankle Society A-16 218 1 American Psychiatric Association I-15 7,478 9 American Rhinological Society A-18 172 1 American Roentgen Ray Society I-15 2,377 3 American Society for Aesthetic Plastic Surgery, Inc. A-19 341 1 American Society for Clinical Pathology A-16 2,094 3 American Society for Dermatologic Surgery I-17 1,001 2 American Society for Gastrointestinal Endoscopy I-16 1,283 2 American Society for Metabolic and Bariatric Surgery A-19 271 1 American Society for Radiation Oncology I-16 776 2 American Society for Reconstructive Microsurgery A-18 168 1 American Society for Reproductive Medicine A-17 983 2 American Society for Surgery of the Hand I-16 439 1 American Society of Abdominal Surgeons I-15 243 1 American Society of Addiction Medicine A-18 821 2 American Society of Anesthesiologists A-16 5,958 7 American Society of Breast Surgeons A-15 568 2 American Society of Cataract and Refractive Surgery A-16 1,085 2 American Society of Clinical Oncology I-17 2,363 3 American Society of Colon and Rectal Surgeons A-16 225 1 American Society of Cytopathology A-18 286 1 American Society of Dermatopathology A-16 344 1 American Society of Echocardiography A-18 1,115 2 American Society of General Surgeons A-18 284 1 American Society of Hematology A-17 1,017 2 American Society of Interventional Pain Physicians A-19 701 2 American Society of Maxillofacial Surgeons I-17 102 1 American Society of Neuroimaging A-18 105 1 American Society of Neuroradiology A-16 464 1 American Society of Nuclear Cardiology2 A-20 683 2 American Society of Ophthalmic Plastic and Reconstructive Surgery A-18 142 1 American Society of Plastic Surgeons I-17 1,001 2 American Society of Retina Specialists A-15 608 2 American Society of Transplant Surgeons A-17 142 1 American Thoracic Society A-17 1,581 3 American Urological Association I-16 1,112 2 American Vein & Lymphatic Society A-15 310 1 Association of Military Surgeons of the United States* I-16 660 2 Association of University Radiologists A-19 147 1 College of American Pathologists A-17 2,586 4

Specialty Society

Date of 5 year review

Members at 5 year review

A-20 delegates

Congress of Neurological Surgeons A-17 774 2 Eye and Contact Lens Association, ECLA A-17 52 1 Heart Rhythm Society I-15 651 2 Infectious Diseases Society of America A-19 537 2 International Academy of Independent Medical Evaluators A-15 191 1 International College of Surgeons - US Section A-17 263 1 International Society for the Advancement of Spine Surgery A-19 55 1 International Society of Hair Restoration Surgery A-17 106 1 National Association of Medical Examiners I-19 193 1 North American Neuromodulation Society A-18 260 1 North American Neuro-Ophthalmology Society A-18 100 1 North American Spine Society I-16 1,131 2 Obesity Medicine Association A-16 253 1 Radiological Society of North America I-17 2,240 3 Renal Physicians Association A-16 568 2 Society for Cardiovascular Angiography and Interventions A-17 420 1 Society for Cardiovascular Computed Tomography2 A-20 250 1 Society for Investigative Dermatology, Inc. A-17 310 1 Society for Vascular Surgery I-16 560 2 Society of American Gastrointestinal Endoscopic Surgeons I-16 921 2 Society of Critical Care Medicine A-16 1,539 3 Society of Hospital Medicine A-15 1,556 3 Society of Interventional Radiology A-17 680 2 Society of Laparoendoscopic Surgeons A-19 985 2 Society of Nuclear Medicine and Molecular Imaging I-18 293 1 Society of Thoracic Surgeons I-17 935 2 Spine Intervention Society A-18 398 1 The Endocrine Society A-18 1,016 2 The Triological Society I-15 152 1 Undersea and Hyperbaric Medical Society A-15 186 1 United States and Canadian Academy of Pathology A-17 1,303 2

TOTAL 305

Elements of 2020 specialty society delegate apportionment National specialty societies currently seated in House of Delegates 123 National specialty societies expected to be seated at A-20 2 National specialty societies apportioned delegates 125 Specialty delegates apportioned at 1 per 1000 AMA members 263 Delegates apportioned to constituent societies under Bylaw 2.1.1 305 Additional specialty delegates apportioned per Policy G-600.027 42 Notes: 1. Membership counts are taken from the most recently available data, typically the most recent

five-year review. 2. Societies expected to be admitted at A-20.

Societies Endorsing Resident and Fellow Sectional Delegates and Alternate Delegates

Delegates Alternate Delegates

American Academy of Child and Adolescent Psychiatry 1 American Academy of Neurology 1 1 American Academy of Ophthalmology 1 American Academy of Pediatrics 1 1 American Academy of Sleep Medicine 1 American Association of Public Health Physicians 1 1 American College of Emergency Physicians 1 1 American College of Medical Quality 1 American College of Obstetricians and Gynecologists 1 1 American College of Radiology 1 1 American College of Surgeons 1 1 American Geriatrics Society 1 American Psychiatric Association 1 1 American Society for Clinical Pathology 1 American Society of Anesthesiologists 1 American Society of Plastic Surgeons 1 1 American Society of Radiation Oncology 1 American Urological Association 1 California Medical Association 1 1 Connecticut State Medical Society 1 1 Illinois State Medical Society 1 1 Infectious Diseases Society of America 1 1 Kentucky Medical Association 1 Massachusetts Medical Society 1 1 Medical Association of Georgia 1 Medical Association of the State of Alabama 2 Medical Society of the State of New York 1 Medical Society of Virginia 1 Minnesota Medical Association 1 Missouri State Medical Association 1 Nevada State Medical Association 1 Ohio State Medical Society 1 Pennsylvania Medical Society 2 Texas Medical Association 1 2 Washington State Medical Association 1 TOTAL 28 25

This table reflects information available as of January 15, 2020 and is subject to change. For 2020, 28 Resident and Fellow Section sectional delegates were apportioned according to year-end 2018 AMA resident and fellow membership figures, with a delegate being apportioned for every 2,000 members (AMA Bylaws, §2.4 and subsections). Resident and fellow sectional delegates are to be seated with their endorsing society (Bylaw 2.10.8). Alternate delegates who are substituting for a delegate will sit with the society that endorsed the delegate for whom the alternate is substituting.

Memo to: Surgeons General, Federal Services Chief Medical Director, Department of Veterans Affairs Executive Directors, Professional Interest Medical Associations Executive Director, American Medical Women’s Association Executive Director, American Osteopathic Association Executive Director, National Medical Association Secretaries, AMA Sections From: James L. Madara, MD Date: January 24, 2020 Subject: 2020 Delegate Apportionment Under our American Medical Association (AMA) bylaws (§2.6), the federal services (Air Force, Army, Navy, Public Health Service and the VA), American Medical Women’s Association, American Osteopathic Association, National Medical Association, and professional interest medical associations are each allotted one delegate (and one alternate) as are AMA sections. Please ensure that your delegates and alternate delegates have renewed their AMA memberships for 2020. AMA bylaws specify that all delegates (§2.0.1.1) and alternate delegates (§2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be viewed at https://www.ama-assn.org/house-delegates/hod-organization/delegation-certification-rosters. The credentialing process for the Annual Meeting will begin next month. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting. You will receive a separate communication regarding credentials. Following the receipt of credentials, per Speaker Scott’s comments at I-19, a draft seating chart will be shared with you, and changes within delegations can be proposed. Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Delegates Affairs at 312-464-4344 or by email to roger.brown@ama-assn.org.