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THORACIC SURGERY DIRECTORS ASSOCIATION BY-LAWS
(Revisions adopted 5/2/98)

Article I

Name
The name of this organization is the Thoracic Surgery Directors Association, hereinafter referred to as "the TSDA."

Article II

Objectives
The objectives of the TSDA are to -

1. provide a forum for the interchange of ideas and information relating to the education of thoracic surgery residents;

2. assist in the identification and solution of educational and administrative problems that may arise in the conduct of thoracic surgery residency programs; and,

3. serve as the advocate of resident education in the various professional agencies, boards, councils and committees that influence the specialty of Thoracic Surgery.

4. represent the Directors of residencies in Thoracic Surgery that have been approved by the Accreditation Council on Graduate Medical Education (ACGME). These individuals shall hereinafter be referred to as the Directors.

Article III
Membership, Privileges and Responsibilities

Section 1. Membership. Each Director of an approved Thoracic Surgery residency program is a member of the TSDA and is expected to participate in its deliberations and endeavors, including a uniform Matching Program for resident selection. Termination of membership in the TSDA will occur if (1) an individual ceases to be a Program Director, (2) a Director fails to participate in the Match without the specific authorization of the Executive Committee, (3) a Director fails to pay annual dues or meet his/her fiscal responsibility to the TSDA, or (4) a Director or his designee (authorized as a result of prior request to the Secretary/Treasurer) fails to attend three consecutive meetings. Should an individual with specific ongoing responsibilities to the TSDA cease to be a Program Director, at the discretion of the Executive Committee, discharge of these responsibilities may continue until their completion.

Associate Membership: Associate Member status shall be approved by the Executive Committee. Such membership is limited to (1) one associate member per approved residency, and is available to a faculty member sponsored by a Director; (2) Directors of approved Canadian residencies in cardiac or general thoracic surgery; and (3) Directors of programs whose approved status is withdrawn by the RRC.

A Director of a program which loses its approved status is eligible for Associate Member status for a period of time not to exceed three years, by which time it is expected that his/her program will have regained its approved status. An Associate Member will pay annual dues, may attend meetings and receive publications of the TSDA, serve on temporary or standing committees but is not eligible to hold office, serve on the Executive Committee, or vote on the deliberations of the TSDA. Associate Memberships will be reviewed by the Executive Committee every three years to determine whether they should be renewed.

Section 2. Voting Privileges. Each approved program is accorded one vote for transacting the business of the TSDA. This vote is executed by the Director. No proxies or substitutions are permitted without prior written notice to the Secretary-Treasurer by the Director.

Section 3. Approved Programs. For purposes of membership in the TSDA, an "approved program" is defined as a thoracic surgery residency program which is recommended for approval by the Residency Review Committee (RRC) for Thoracic Surgery and accredited by the Accreditation Council for Graduate Medical Education (ACGME). The Director of such an approved program is identified by the RRC as that individual authorized to sign the applications of his/her graduates for the certifying examination by the American Board of Thoracic Surgery.

Article IV
Officers and Committees

Section 1.
A. Officers. The officers of the TSDA shall be elected by the membership and will consist of the following:

1. President
2. President-Elect
3. Secretary-Treasurer
4. Councillors at Large (2)

B. Terms of Office. The President and President Elect shall each hold office for two years or until their successors are duly elected by the membership and may not succeed themselves. The President-Elect, at the end of a two-year term, shall automatically become President.

The Secretary-Treasurer shall hold office for four years or until a successor is elected by the membership and may not succeed himself/herself.

The two Councillors at Large shall each hold office for four years and may not succeed themselves. Their terms shall be arranged so that a new Councillor at Large will be elected each biennium at the time a new President-Elect is elected and a new President assumes office.

If the office of the President becomes vacant by reason of death, resignation, retirement, disqualification, removal from office or otherwise, the President-Elect shall become President, fill the remainder of the unexpired term, and then complete his/her two year term of office. Such unexpected progression of the President-Elect to the office of President shall result in an election of a new President-Elect by the Directors at the next meeting of the TSDA. The term of the new President-Elect shall coincide with the term of office of the then President. Should the office of the Secretary-Treasurer or either Councillor at Large become vacant, the Executive Committee then in office may, by majority vote, choose a successor(s). Such successor(s) shall hold office for the unexpired term with respect to the vacancy occurring.

C. Duties of Officers
1. President: The President shall preside at all meetings of the TSDA and the Executive Committee; shall perform all other duties usually associated with the office of President, including the appointment of various committees as set forth in these articles, or as directed by the Executive Committee and/or the assembled members at regular meetings of the TSDA; with the aid and advice of the other officers, shall be responsible for developing a program for the regularly scheduled meetings; and as chief executive officer of the TSDA, shall be a member or ex-officio member without vote on all committees except the Nominating Committee.

2. President-Elect: If the President is absent or unable to act, the President-Elect will perform the duties and exercise the powers of the President and will be a member or ex-officio member without vote on all committees except the Nominating Committee.

3. Secretary-Treasurer: The Secretary-Treasurer shall prepare and distribute minutes of all meetings of the TSDA; shall maintain the records of the TSDA including a list of all members and their addresses; shall initiate notices of forthcoming meetings and conduct any correspondence deemed necessary by the TSDA and/or the Executive Committee; shall collect all moneys, make all authorized disbursements and render an account thereof to the TSDA each year at the first bi-annual meeting; shall obtain review of the financial records and assure proper reporting of the tax status of the TSDA each year; and shall be a member, or ex-officio member without vote, of all committees except the Nominating Committee.

Section 2. Committees
A. Nominating Committee. The Nominating Committee shall be responsible for presenting at the second of two annual meetings of the TSDA nominees for offices which are or have become vacant. The membership of this Committee shall consist of one individual elected by the Directors, one Director appointed by the President, and the last two consecutive living past Presidents. The most senior past President shall serve as Chairperson of the Committee. No member of the Nominating Committee may serve consecutive terms.

B. Executive Committee.
1. Members of the Executive Committee are the President, the President-Elect, the immediate past President, the Secretary-Treasurer and the two elected Councillors at Large. The chairpersons of the standing committees of the TSDA (Article IV, Sec. 2, c) shall serve as ex-officio (without vote) members of the Executive Committee.

2. The Executive Committee shall generally manage the affairs of the TSDA. During the interval between meetings, it shall serve as the administrative and policy making body of the TSDA. A majority of the Executive Committee shall constitute a quorum for the transaction of business.

3. Meetings of the Executive Committee shall be held at such times and places as may be agreed upon by a majority of the Executive Committee, or in the event of disagreement, as designated by the President.

C. Standing Committees. Standing Committees are established by the members of the TSDA for a period of up to five years. To continue beyond the five year period, the committee(s) must be re-established by vote of the TSDA. They may be abolished at any time by similar vote. They shall perform such duties and functions as assigned by the President or the Executive Committee of the TSDA. All standing committees shall be composed of at least six members appointed by the President, subject to the approval of the Executive Committee. Approximately one-third of the members of each committee shall be appointed annually and shall not serve for more than two consecutive terms.

Although Chairpersons and members of standing committees are appointed for terms of specific duration, any incoming President may, at the beginning of his/her Presidency, conclude the service of any Committee Chairperson or member after the first year of his/her term and appoint a new Committee Chairperson or Committee Member subject to the approval of the Executive Committee. The chairpersons of these committees will be appointed by the President. Chairpersons of Standing Committees may not simultaneously hold office in the TSDA. They will report the actions of their committees to the Executive Committee and the TSDA at regular meetings of these bodies.

The Standing Committees will be as follows:

1. The Requisite Curriculum Committee, which shall be responsible for updating the thoracic surgery curriculum at no less than three year intervals.

2. The Curriculum Implementation Committee, which shall be responsible for developing the optimal methodology whereby the requisite Comprehensive Curriculum is taught to thoracic surgical residents. An evaluation of competency in the requisite curriculum is implicit in this charge.

3. The Prerequisite Curriculum Committee, which shall be responsible for defining, developing, and implementing where appropriate (a) the general surgical curriculum (core knowledge) and (b) the thoracic surgical curriculum (core knowledge) deemed essential for residents beginning their thoracic surgical education. An evaluation of competency in the prerequisite curriculum is implicit in this charge.

*Additional Standing Committees may be established by a majority vote of the TSDA members in regular session.

D. Ad Hoc Committees. Ad Hoc committees may be established from time to time by the President or the Executive Committee, to accomplish specific and limited goals. They may not continue for more than two years without affirmative action by the membership of the TSDA in regular session.

Article V
Executive Director

The Executive Committee shall appoint a chief administrative officer hereinafter designated the Executive Director. The Executive Director shall be responsible for the operational management of the affairs of the TSDA under the executive direction of the President and Secretary/Treasurer. As primary custodian of the TSDA funds, the Executive Director shall be bonded in an amount sufficient to safeguard the financial assets of the TSDA.

Article VI
Finances

Section 1. The fiscal year of the TSDA shall coincide with the calendar year dating from January 1. The books shall be kept and reported on this basis.

Section 2. The President and/or Secretary-Treasurer shall have the power to execute documents and binding commitments on behalf of the TSDA consistent with the policies established by the Executive Committee.

Section 3. Members and Associate Members shall contribute to the financial maintenance of the TSDA through annual dues and special assessments. The amount of dues and assessment shall be determined by the Executive Committee subject to approval by the membership in regular session. All income derived from dues, assessments, gifts or other sources shall be used for expenses incurred in attaining the objectives outlined in Article II.

Article VII
Meetings

Section 1. Two TSDA meetings shall be held each year. The specific time, place, duration and format of these meetings will be determined by the President in consultation with the Executive Committee. A majority of the membership of the TSDA shall constitute a quorum.

Section 2. A special meeting of the TSDA may be called on a one month's notice by the President, or on written request of twenty members. The specific purposes of the meeting must be stated in the request and in the official call for the meeting.

Section 3. There will be at least two meetings of the Executive Committee each year.

Article VIII
Newly Revised Robert's Rules of Order

Section 1. Any question of order not provided by these articles shall be determined by parliamentary usage as contained in Robert's Rules of Order, Newly Revised.

Article IX
Amendments

Section 1. These articles may not be changed except by a two-thirds vote of the members present at regularly called meetings, and further provided that the proposed alteration or amendment will have been moved and seconded at the previous regular meeting, and that printed copies of the suggested alteration or amendment shall have been circulated among the members, and that the members shall have been specifically advised that such alteration or amendment will be voted upon.

Section 2. These articles may be suspended in whole or in part for a period of not more than twelve hours by unanimous vote of those present at any regularly convened meeting of the TSDA. THORACIC SURGERY RESIDENT MATCHING PROGRAM

In 1992 a Thoracic Surgery Residency Matching Program, conducted under the auspices of the Thoracic Surgery Directors Association, was adopted as the method of selecting residents. The process is similar to that used by the National Resident Matching Program (NRMP) after medical school. The NRMP is an arm of the American Association of Medical Colleges (AAMC). This system has the advantages of encouraging residents to visit and compare different training programs and providing uniform guidelines for applying to and selecting programs and candidates for residency.

The TSDA Residency Match is endorsed by the American Board of Thoracic Surgery and the Residency Review Committee for Thoracic Surgery. On January 15, 1993, the RRC for Thoracic Surgery added the following statement to the special requirements for residency training in thoracic surgery: "In selecting from among qualified applicants for first year thoracic surgery resident positions, the thoracic surgery program should participate in the Thoracic Surgery Matching Program." On January 23, 1993, the TSDA approved a revision in its by-laws which made participation in the Match a condition for membership. The by-laws state:

Article X

Membership, Privileges and Responsibilities
Section 1. Membership. Each Director of an approved Thoracic Surgery residency program is a member of the TSDA and is expected to participate in its deliberations and endeavors, including a uniform Matching Program for resident selection. Termination of membership in the Association will occur if a Director fails to participate in the Match without the specific authorization of the Executive Committee.

It is expected that all candidates for thoracic surgery residency will participate in the Match. Registration information is sent to Program Directors in the Fall, early in October and the closing date for enrollment of Programs in the Match is in February (see schedule of the Match - next page). Residents may enroll in the Match before the closing date for registration each year either by calling the NRMP - Thoracic Surgery Specialty Match Office at (202) 828-0676 or writing to the NRMP office at 2501 M Street, NW, Suite 1, Washington, DC 20037-1037. Interviews now occur in the spring of the year before the start of residency. A Universal Thoracic Surgery Residency Application form has been developed and endorsed by the TSDA and is accepted by all programs. Applicants and Program Directors are informed each year of the date by which they must submit their Rank Order Lists. Program Directors receive the results of the Match via Federal Express approximately one month later. Applicants receive the results of the Match by First Class Mail.

The matching plan algorithm penalizes neither resident nor program for ranking choices at a level that exceeds their expectation; applicants and programs each match with their highest choice they make provided that choice wants them. Resident selection should take into consideration the fact that the ABTS requires prior ABS certification before certifying candidates in thoracic surgery.