Emergency Rooms

Adopted by the 1980 House of Delegates; superseded by current policy

RESOLVED, that the WAFP endorses the concept that third-party payors be obliged to remove any and all incentives which tend to promote patients use of emergency room services rather than more continuous office-based services, and be it further

RESOLVED, that the WAFP is particularly concerned about the effects of insurance policies which will levy first-visit deductible charges against office-based care but not against emergency room services.

Resident Delegate to WAFP Annual Meeting

Adopted by the 1980 House of Delegates; bylaws now provide for resident participation at HOD

RESOLVED, that consideration of the position of Delegate in the House of Delegates be referred to the Membership Committee and the Constitution and Bylaws Committee.

Family Physician: Definition and Use of Term

Adopted by the 1981 House of Delegates; AAFP bylaws define “family physician”

RESOLVED, that the term “Family Physician” should be reserved for physicians certified or eligible for certification by the American Board of Family Physicians or who are Fellows or Members of the American Academy of Family Physicians, and be it further

RESOLVED, that the County and State chapters should deal vigorously with professional and lay organizations to assure correct identification of Family Physicians, and be it further

RESOLVED, that we encourage the American Academy of Family Physicians to review and clarify its definition of the Family Physician and criteria for membership in the AAFP.

Liability Insurance

Adopted by the 1982 House of Delegates; accomplished by AAFP policy on professional medical liability

RESOLVED, that we request the American Academy of Family Physicians develop strategies to solve this problem, including consideration of developing group insurance programs to cover the needs of family physicians.

Limiting New Membership

Adopted by the 1982 House of Delegates; graduation from, or enrollment in, a family medicine residency program is a requirement of AAFP membership (except for medical students)

RESOLVED, that the granting of new active memberships in the American Academy of Family Physicians be limited to qualified physicians whose primary interest and activity is in the practice, teaching, administration, or research in Family Medicine; and be it further

RESOLVED, that the American Academy of Family Physicians Board of Trustees review its structure of membership classification and qualifications with aim to implementing this policy.

Changing Pronoun Gender in Bylaws

Adopted by the 1984 House of Delegates; superseded by current policy

RESOLVED, that the American Academy of Family Physicians shall direct its Bylaws Committee to make a thorough review of the Bylaws and any needed revisions to delete “he” wherever it appears and replace it with “he or she” or other wording that is either neutral or both masculine and feminine in gender; and be it further

RESOLVED, that the American Academy of Family Physicians recommend the same bylaws changes to each of its state and local component chapters.

Disability Insurance and Complications of Pregnancy

Adopted by the 1984 House of Delegates; AAFP Insurance Services is a wholly owned subsidiary of the AAFP Foundation, which is beyond the reach of the Congress of Delegates

RESOLVED, that the Commission on Members Insurance and Financial Services of the AAFP establish programs that meet the needs of the membership.

The American Academy of Family Physicians disability insurance for both personal income and office overhead should provide coverage for pregnancy complications and maternity leaves for medical complications of either the mother or child.

Basic Health Care

Adopted by the 1985 House of Delegates; this language is encapsulated in WAFP’s current mission statement
RESOLVED, that:

1. WAFP and AAFP strongly support and are concerned with development of methods of provision of basic health care to all people;
2. The WAFP and AAFP be involved with development of definitions of “Basic Health Care”;
3. Any effort must require a broad equitable support from all segments of society without exception.

Seatbelt Law

Adopted by the 1985 House of Delegates; as of 1986, police officers in Washington may pull over and cite motorists who are not wearing seat belts

RESOLVED, that the Washington Academy of Family Physicians be publicly in support of passage by the Washington State Legislature of a mandatory seatbelt law.

Star Wars

Adopted by the 1986 House of Delegates; the Strategic Defense Initiative ended in 1993; the USSR no longer exists

RESOLVED, that the Washington Academy of Family Physicians recognizes the Star Wars Proposal as an unworkable and dangerous illusion that cannot prevent or protect us from a nuclear holocaust, and be it further

RESOLVED, that we continue to support our previous call for mutual, verifiable nuclear arms reductions by the U. S. and Soviet Union, and be it further

RESOLVED, that we further appeal to the governments of both superpowers to continue and expand on the tradition of joint peaceful exploration and use of space.

Tobacco Products

Adopted by the 1986 House of Delegates; as of 2019, the sale of tobacco to people under age 21 is illegal in Washington

RESOLVED, that the Washington Academy of Family Physicians as an organization encourage the Washington State legislature to introduce legislation outlawing the sale of all tobacco products to individuals under the age of 18 years, with appropriate sanctions against businesses and individuals allowing and/or encouraging such sales, and be it further

RESOLVED, that the Washington Academy of Family Physicians Board of Directors engage in a program of personal correspondence with companies and individuals (including celebrities and public figures) strongly encouraging the withdrawal of their participation in the public advertising of tobacco products, an advertising campaign which is having such a profound detrimental effect on the youth and general population of our state and nation.

Rural Health Manpower

Adopted by the 1987 House of Delegates; AAFP’s current projects include a rural health initiative

RESOLVED, that the Washington Academy of Family Physicians direct the American Academy of Family Physicians to create a strong initiative encouraging family physicians to select rural sites for family practice. Such initiative could include, but would not necessarily be limited to:

1. Development, implementation and financial support of an active recruitment program (such as the COMPASS program) targeted for rural health care;
2. Development of programs to expose students and residents to family physicians practicing in rural settings. Such programs could include, but not be limited to, lectureships, preceptorships, rural rotations, and social gatherings;
3. Working to make rural practice core curriculum guidelines for use in family practice residencies for those interested in a rural health

Strengthening our Families

Adopted by the 1987 House of Delegates; unlikely that the “appropriate moral values” of 1987 align with that of 2023

RESOLVED, that “the family” itself be a primary focus for research, continuing education, and community interaction projects with our Washington Academy of Family Physicians, and be it further

RESOLVED, that marital counseling curricula based on appropriate moral values to stabilize family crisis and reinforce family continuity be presented to our members for consideration. This curricula would include positive values of marital accord, marital reconciliation, and family unity, and be it further

RESOLVED, that the Washington Academy of Family Physicians coinvest with the American Academy of Family Physicians and any other interested state academies in a campaign titled Strengthening our Families, and be it further

RESOLVED, that this campaign, “Strengthening Our Families”, be recommended to the American Academy of Family Physicians to be an integral part of the ongoing AAFP advertising campaign to strengthen the image of Family Practice and family practitioners, and be it further

RESOLVED, that a strong recommendation be entered to the Committee on Mental Health that this topic and campaign be a subject for its next program.

Tobacco Sales in Washington

Adopted by the 1987 House of Delegates; superseded by the 1997 resolution, “Networking to Combat Youth Tobacco Addiction”

RESOLVED, that The Washington Academy of Family Physicians Commission on Public Health and Scientific Affairs be instructed to work with the Washington State Pharmaceutical Association toward the elimination of tobacco sales within their members’ pharmacy departments and to reinforce their tobacco use cessation efforts.

Dividing Mount Baker Chapter into Two Chapters

Adopted by the 1988 House of Delegates; the WAFP bylaws have been so amended

RESOLVED, that the Mount Baker Chapter of the Washington Academy of Family Physicians be divided into two new chapters--one comprising Whatcom County, and the other including Skagit, Island and San Juan Counties.

Resident and Student Positions on WAFP Board of Directors

Adopted by the 1988 House of Delegates; the WAFP bylaws have been so amended

RESOLVED, that the WAFP place a voting resident member on the Board of the WAFP and be it further

RESOLVED, that the WAFP place a nonvoting student members on the Board, and thus encourage a higher level of participation and leadership of residents and students.

State Office of Rural Health

Adopted by the 1988 House of Delegates; all 50 state governments support an office of rural health

RESOLVED, that the Washington Academy of Family Physicians (WAFP) endorse and support the formation by the Washington State Legislature of a State Office of Rural Health, and be it further

RESOLVED, that the WAFP strive to have input into the structure and detail of such an Office of Rural Health.

Ethical Relationships between Family Physicians and Pharmaceutical Firms and Suppliers

Adopted by the 1989 House of Delegates; superseded by the 1994 resolution, “Drug Company Meals and Entertainment”

RESOLVED, that the WAFP study and, if necessary, establish a task force on ethics to examine the issue of substantial gifts of money, vacations or other valuable items and recommend guidelines regarding conflicts of interest to family physicians.

Gun Control

Adopted by the 1989 House of Delegates; superseded by the 1994 resolution, “Violence – A Preventable Disease”

RESOLVED, that the Washington Academy of Family Physicians encourage and support legislation intended to ban private ownership of semiautomatic “assault type” weapons and encourage legislation that would increase the penalties for any criminal acts committed with such weapons, and be it further

RESOLVED, that the WAFP recommend that the AAFP adopt this resolution.

Low Cholesterol, Low Fat Meals at WAFP Meetings

Adopted by the 1989 House of Delegates; superseded by the 1992 resolution, “Meals at WAFP Meetings”

RESOLVED, that the primary menus for the annual and other meetings of the WAFP comply with the guidelines set forth by the AHA Phase I Diet, and be it further

RESOLVED, that our representatives encourage our parent and associate organizations, i.e. the AAFP, AMA and WSMA, in doing the same

Principle of Access to Care

Adopted by the 1989 House of Delegates; AAFP’s policy currently aligns with AAFP

RESOLVED, that the WAFP affirm the AAFP policy statement on access to health care which reads, “The AAFP shall continue its efforts to assure appropriate health care to all members of society and to secure funding to provide people with access to appropriate levels of health care.

Proposed Resolution on Increased Support of Washington Rural Health Association

Adopted by the 1989 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP elevate its position as a Sponsor Member of the Washington Rural Health Association to the amount of $500.00 per year.

Rural Health Clerkships

Adopted by the 1989 House of Delegates; time-limited and discrete action item

RESOLVED, that a $25.00 assessment be levied from the WAFP Active membership to the Family Health Foundation of Washington for three consecutive years, to fund Rural Medicine clerkships and other Rural Health initiatives, and be it further

RESOLVED, that additional sources of funding be actively sought from other organizations, such as AHEC and the Washington Legislature, and be it further

RESOLVED, that the Subcommittee on Rural Health be empowered to establish the administrative structure, assisted by University of Washington liaison, to implement elective rotations for medical students interested in rural family practice.

Special Education Reform

Adopted by the 1989 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians first take on the task of educating ourselves on the issues facing the child with special needs and his or her family, in the form of a topic at the 1990 annual meeting so that we may become advocates for the changes that will provide them the opportunity for more integrated and meaningful lives.

Strengthening Families

Adopted by the 1989 House of Delegates; time-limited and discrete action item

RESOLVED, that

1. A renewed interest be pursued by the WAFP and AAFP to provide its members with information as to the prevention of the causes that create dysfunctional families, and the basic principles for the treatment thereof;
2. The Washington State Legislature, via the Washington State Medical Association Legislative Committees be informed of the emphasis on strengthening families by the WAFP:
3. WAFP develop a “Family Environmental Impact Statement” to be offered as general guidelines to our city, county and state governments when laws and broad society policies are passed. This environmental impact statement would summarize the influence that each law might have on the health of the family unit;
4. WAFP form a task force to research the concept, develop the statement and implement this resolution.

Drug Abuse Crime Effects

Adopted by the 1990 House of Delegates; superseded by the 2021 resolution, “Treatment Instead of Punishment for People with Substance Use Disorder”

RESOLVED, that the Washington Academy of Family Physicians will support, through its legislative commission and lobbying efforts, tougher criminal prosecuting and sentencing for drug-related crimes, as well as adequate legislative support for funding of same.

Free AAFP/WAFP Membership for Medical Students

Adopted by the 1990 House of Delegates; moot, as all medical student AAFP/WAFP memberships are free

RESOLVED, that the WAFP further support active medical student involvement at the state and national level by providing scholarships for the cost of Academy membership for all University of Washington medical students who apply, regardless of year of training.

Guidelines for Ethical Pharmaceutical Company Relationships

Adopted by the 1990 House of Delegates; moot, as WAFP and AAFP are bound by the AMA Code of Ethics, which codifies these guidelines

RESOLVED, that these guidelines are created to provide a frame of reference within which physicians may ethically relate to pharmaceutical companies, and be it further

RESOLVED, the receipt of money or other items on a quid pro quo basis in exchange for prescribing drugs is unethical, and be it further

RESOLVED, that the provision of lavish or expensive trips or gifts in exchange for attending a conference or lecture about a specific product, especially if the time spent in attending the conference is out of proportion to the trip itself, should be considered unethical, and be it further

RESOLVED, that this resolution be referred to the Judicial Council of the Washington State Medical Association for informational purposes.

Improvement of Environment

Adopted by the 1990 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians support continued efforts of our state and national legislators to improve our environment.

Prescription Drug Abuse Legislation

Adopted by the 1990 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians present the subject at the 1991 Plenary Education Session and support continuing medical education and public awareness for Prescription Drug Abuse, and be it further

RESOLVED, that the WAFP Committee on Mental Health develop a family physician centered model of treatment for the detection, monitoring and treatment of patients with medical problems resulting in or associated with Prescription Drug Abuse.

Proposal for WAFP Resolution to the WSMA Annual Meeting

Adopted by the 1990 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians recommend that the Washington State Medical Association poll its members as to their opinions with regard to:

1. The withdrawal of artificial nutrition and hydration for patients in irreversible or persistent coma.
2. Physician-assisted dying., and be it further

RESOLVED, that the Washington Academy of Family Physicians recommend that the WSMA pursue legislation that expands resources for comprehensive terminal care including hospice- type programs.

Resident Loan Repayment

Adopted by the 1990 House of Delegates; residents now begin repaying loans after residency or fellowship

RESOLVED, that the Washington Academy of Family Physicians endorse passage of legislation which reverses Federal rules changes requiring loan repayment to begin in the third year of residency.

Tobacco-Free Hospitals

Adopted by the 1990 House of Delegates; time-limited and discrete action item

RESOLVED, that county delegations at the 1991 Washington Academy of Family Physicians Annual Meeting be asked to report on the status of tobacco use in the hospitals in their counties.

Washington State Professional Loan Forgiveness Program

Adopted by the 1990 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians encourage the Washington State Rural Health Association to seek legislation to provide continuing financial support to the Health Professional Loan Repayment Program.

Withholding Nutritional Support

Adopted by the 1990 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians will direct its legislative commission to work with the Washington State Medical Association to develop legislation to clarify the Natural Death Act to allow the attending physician to comply with the stated wishes of a living will, or the stated wishes of family or guardian if appropriate, to withhold or withdraw nutritional support by IV route or feeding tubes in appropriate settings, including nursing homes.

Anonymous Advocacy and Assistance Program for Troubled or “Pre-Impaired” Physicians

Adopted by the 1991 House of Delegates; the Washington Physicians Health Program offers confidentiality, the ability to refer colleagues, and an easy-to-find website

RESOLVED, that the Washington Academy of Family Physicians request that the Washington State Medical Association review their existing programs for physicians with personal problems to ensure provision for the following: A. Anonymity, B. Early Intervention, C. Easy Access, D. Physician awareness of available programs.

Code for Complicated Case Management

Adopted by the 1991 House of Delegates; a complicated case CPT code exists

RESOLVED, that the Washington Academy of Family Physicians review existing CPT codes and, if appropriate, work to establish a service code-CPT code for complicated case management.

Limitation of Terms of Delegates and Alternate Delegates to the AAFP from the WAFP

Adopted by the 1991 House of Delegates; moot; WAFP bylaws now provide for a maximum of three two-year terms for each member of the WAFP delegation to the AAFP

RESOLVED, that the WAFP modify its bylaws to decrease the number of two-year terms of AAFP delegates and alternate delegates to two each, unless, by the end of the first year of the second term, the delegate files a letter with the WAFP president, indicating his/her intent to run for national AAFP office. In that circumstance, the AAFP delegate (and the alternate in line behind him/her) would have the opportunity to run for a third term, and be it further

RESOLVED, that the WAFP urge that the AAFP develop a uniform policy for all state chapters with the same limitations.

Resolution of Commendation

Adopted by the 1991 House of Delegates; no further work necessary

RESOLVED, that all the health care providers participating in the Basic Health Care Plan be commended for their efforts to provide access to care for the working poor of the state of Washington.

WAFP Annual Meeting Location

Adopted by the 1991 House of Delegates; the Annual Scientific Assembly Subcommittee was established and later sunset following a WAFP Board vote to decouple the ASA and the House of Delegates

RESOLVED, that the Washington Academy of Family Physicians establish an ad hoc committee of the Commission on Education for the purpose of studying the concept of a permanent site for the annual meeting in the future, and be it further

RESOLVED, that the WAFP establish a standing committee on WAFP Annual Meetings, with statewide representation for development of and production of the WAFP annual meeting, and be it further

RESOLVED, that the ad hoc committee of the Commission on Education further define the function of the Standing Committee on WAFP Annual Meetings.

Foreign Exchange Program - New Russian Confederation

Adopted by the 1992 House of Delegates; moot, given current geopolitical dynamics

RESOLVED, that the Washington Academy of Family Physicians support foreign exchange programs with medical students, Family Practice residents, University faculty and other health care workers in our residencies, medical schools, hospitals and private offices, and be it further

RESOLVED, that in our cities who have sister city programs (e.g. Yakima and Derbent, Tacoma and Vladivostok, or Seattle and Tashkkent) that we support exchanges of medical personnel between the cities, and be it further

RESOLVED, that we encourage funding of these exchanges through foundations and health related corporations, and be it further

RESOLVED, that we encourage a similar type of national exchange effort on the part of the American Academy of Family Physicians.

Rural Health Assessment

Adopted by the 1992 House of Delegates; time-limited and discrete action item

RESOLVED, that an annual $25.00 assessment be levied from the WAFP Active membership to the WAFP Foundation for three additional years, to fund Rural Medicine Clerkships and other Rural Health initiatives.

Topic for 1993 Think Tank

Adopted by the 1992 House of Delegates; time-limited and discrete action item

RESOLVED, that the topic of “Physician Burnout” be selected for the WAFP Think Tank 1993 session.

Active Membership AAFP of Osteopathic Physicians

Adopted by the 1993 House of Delegates; osteopathic family physicians are currently eligible for AAFP membership; further, since 2020, there are no osteopathic-only family medicine residency programs

RESOLVED, that the Washington Academy of Family Physicians direct its delegates to take to the American Academy of Family Physicians Congress of Delegates support for the following:

That osteopathic physicians having successfully completed an internship and 2 year residency in family practice/general practice accredited by the AOA be allowed application for active membership in the AAFP.

Commendation for Dean Fialkow of the University of Washington School of Medicine

Adopted by the 1993 House of Delegates; no further work necessary

RESOLVED, that the Washington Academy of Family Physicians commend Dean Fialkow for his many efforts to create an atmosphere in the School of Medicine which is conducive for and encouraging to students interested in becoming generalists, especially in the specialty of family practice, with further consideration for those students interested in serving in rural and underserved practices. Let these efforts continue and be expanded.

Establishment of WAFP Political Action Committee (PAC)

Adopted by the 1993 House of Delegates; time-limited and discrete action item

RESOLVED, that the House of Delegates of the Washington Academy of Family Physicians instructs the Board of Directors to investigate the establishment of a WAFP political action committee (PAC) and report recommendations for appropriate action to the 1994 House of Delegates.

Managed Care/Case Management Skills for Primary Care

Adopted by the 1993 House of Delegates; managed care is the predominant system of care delivery in the US and is not as novel as it may have been in the early 1990s

RESOLVED, that the Washington Academy of Family Physicians in conjunction with the American Academy of Family Physicians actively promote the development of an explicit core curriculum in managed care skills and leadership, and be it further

RESOLVED, that the WAFP in conjunction with the AAFP sponsor the development and delivery of appropriate courses and articles nationally and locally to develop and refine the skills of the membership, and be it further

RESOLVED, that these activities be assigned to a committee/commission at the discretion of the WAFP Board.

Restructuring of Criteria for Admission to the University of Washington School of Medicine

Adopted by the 1993 House of Delegates; superseded by the 1994 resolution, “University of Washington Medical School Admission Policies”

RESOLVED, that the Washington Academy of Family Physicians commend and encourage the University of Washington School of Medicine to restructure its admissions policies and entrance criteria to ensure the admission of an adequate number of students with appropriate experiences, attitudes and background to be likely to choose primary care careers with further consideration for practice in rural and underserved areas.

Workshops on Physician Burnout at 1993 Annual Meeting

Adopted by the 1993 House of Delegates; time-limited and discrete action item

RESOLVED, that a significant portion at the 1993 Scientific Assembly deal explicitly with issues of physician burnout and well-being (i.e. 4 hours of lecture/workshops).

Assistant Speaker of the House

Adopted by the 1994 House of Delegates; the WAFP bylaws now provide for a vice speaker, who is elected annually

RESOLVED, that the Bylaws Committee be directed to prepare an amendment to the Bylaws creating the position of Assistant Speaker of the House.

Drug Company Sponsored Meals and Entertainment

Adopted by the 1994 House of Delegates; superseded by the 2006 resolution, “Reducing Marketing Bias in the WAFP”

RESOLVED, that the Washington Academy of Family Physicians follow the guidelines outlined by the American Academy of Family Physicians with regard to accepting sponsorship monies.

Physicians Being Able to Assist Patients in their Dying Process

Adopted by the 1994 House of Delegates; superseded by 2018 resolution, “Independent WAFP Policy on Medical Aid in Dying”; further medical aid in dying is legal in Washington

RESOLVED, that the Washington Academy of Family Physicians survey its membership in regard to attitudes concerning physician assisted suicide and tabulate and distribute the results, and be it further

RESOLVED, that the WAFP continue to encourage its membership to remain informed on the state of the art of caring for patients with terminal illnesses, and be it further

RESOLVED, that should physician assisted suicide be legally sanctioned, the Washington Academy of Family Physicians be involved with creation of guidelines regarding confirmation of diagnosis, length of time until death, means of peer review, and other pertinent safeguards in any new statute the State enacts.

Resolution to Honor Michael J. Gordon, Ph.D.

Adopted by the 1994 House of Delegates; no further work necessary

RESOLVED, that the officers, Board of Directors, House of Delegates and membership of the Washington Academy of Family Physicians give their heartfelt thanks to Michael J. Gordon for his many contributions to the family physicians of Washington state and to the patients and communities they serve.

WAFP Dues Increase

Adopted by the 1994 House of Delegates; time-limited and discrete action item

RESOLVED, that

1. The WAFP raise its annual dues for active members to $200, effective January 1, 1995
2. Dues for other categories of membership remain

Rural Health Assessment

Adopted by the 1995 House of Delegates; time-limited and discrete action item

RESOLVED, that an annual $25.00 assessment continue to be levied from the WAFP Active membership to the WAFP Foundation for three additional years, to fund Rural Medicine Clerkships and other Rural Health initiatives, and be it further

RESOLVED, that if the Foundation needs to use a small percentage, not to exceed eight percent (8%) of these funds for operating costs, as they do with other allocated funds, they may do so.

AAFP Auto Rental Discount

Adopted by the 1996 House of Delegates; AAFP currently offers auto rental discounts through Avis

RESOLVED, that the Washington Academy of Family Physicians petition the American Academy of Family Physicians to express its concern over such endorsement and affiliation with the “Marlboro Team” to the Hertz Co. And to discuss our desire that they terminate their support for the tobacco industry. If these discussions do not result in appropriate action by Hertz, that the AAFP sever the existing business relationship and evaluate competing auto rental businesses.

Honoring Nicholas J. Pisacano Scholars

Adopted by the 1996 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians honor Nicholas J. Pisacano Scholars at its annual meeting, and be it further

RESOLVED, that the Washington Academy of Family Physicians sponsor the creation of a plaque which lists Nicholas J. Pisacano Scholars attending the University of Washington School of Medicine, to be displayed in the Family Medicine Department at the University of Washington.

Incorporation of Washington Academy of Family Physicians

Adopted by the 1996 House of Delegates; WAFP is registered with the IRS as a C corporation

RESOLVED, that the House of Delegates give to the Board of Directors authority to take the action necessary to incorporate and organize the Washington Academy of Family Physicians as a non-profit organization, including the authority to elect themselves as officers and directors of the incorporated organization, and transfer of assets to the newly incorporated organization.

Pharmacy “Hot Line” or Bulletin Board for Prescription Drug Abuse

Adopted by the 1996 House of Delegates; in 2007, the Washington State Legislature passed a law to created the state’s prescription monitoring program

RESOLVED, that the Washington Academy of Family Physicians seek the enactment of a state statute that would create and specify guidelines for the establishment of a “Bulletin Board” for the monitoring of inappropriate use of controlled drugs by patients. The Bulletin Board is to be maintained voluntarily by local pharmacies, and to be officially monitored by the local county prosecutor, and be it further

RESOLVED, that any licensed practitioner actively participating in the care of the individual be authorized access to pertinent information contained on the “Bulletin Board.”

Commendation for Professor John H. Leversee, M.D.

Adopted by the 1997 House of Delegates; no further work necessary

RESOLVED, that the WAFP commend Dr. John H. Leversee for his outstanding service to medical students through his commitment to their professional and personal development as physicians-in-training.

Handgun Safety Resolution

Adopted by the 1997 House of Delegates; Initiative 676 was rejected by Washington voters

RESOLVED, that the Washington Academy of Family Physicians join with other health care and public safety organizations as a prime sponsor in endorsing Initiative 676 (“Safety First! Support Handgun Education”), which has as its official Ballot title: “Shall the transfer of handguns without trigger-locking devices be prohibited and persons possessing or acquiring a handgun by required to obtain a handgun safety license,” and be it further

RESOLVED, that the Board of Directors of the WAFP be directed to develop a strategy of support for this Initiative that shall include the distribution of petitions to its members for the purpose of qualifying the Initiative for a vote of the citizens of this state.

WAFP and World Wide Web Site

Adopted by the 1997 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP establish a web site on the World Wide Web by the end of 1997 to serve its constituency.

WAFP Dues Increase

Adopted by the 1997 House of Delegates; time-limited and discrete action item

RESOLVED, that

1. The WAFP raise its annual dues for “Active Membership” to $260 per year, effective January 1,
2. Dues for other categories of membership remain unchange

Facilitating Communication amongst Washington State New Physicians

Adopted by the 1998 House of Delegates; WAFP’s new physician trustee is invited to write a quarterly column in Washington Family Physician

RESOLVED, that the WAFP create a standing New Physicians Subcommittee of the Commission of Membership and Member Services, and be it further

RESOLVED, that the WAFP publish communications by the New Physician Delegate in appropriate publications, and be it further

RESOLVED, that the WAFP assemble and distribute among interested and consenting members phone and fax numbers, e-mail and business addresses and the year in which practice commenced.

Healthcare Teams

Adopted by the 1998 House of Delegates; per ACGME, family medicine residents must demonstrate competence in “working effectively as a member or leader of a health care team or other professional group”

RESOLVED, that the WAFP Delegates to the AAFP present a resolution which would instruct the AAFP, through its representation on the Residency Review Committee for Family Practice, to strongly urge the development of training guidelines for resident experience in multidisciplinary health care team participation during their residency training, including in model family practice centers.

Optimizing Chapter Representation at NCWMNP

Adopted by the 1998 House of Delegates; WAFP does publicize the opportunity to represent the Academy at the National Conference of Constituency Leaders (NCCL, formerly NCWMNP); WAFP’s Membership Committee chooses the delegates; and delegates are given an opportunity to write about their experience in Washington Family Physician

RESOLVED, that, the WAFP publicize the need for appropriate representation by women, minority, and new (defined as those within the first seven years of practice) Family Physician members at the National Conference of Women, Minority, and New Physicians, and be it further

RESOLVED, that the Task Force on Women in Family Medicine, the Committee on Minority Health Affairs and the Committee on Membership and Member Services publicize, recruit and select in a timely manner a woman, a minority, and a new physician representative to attend the annual NCWMNP, and be it further

RESOLVED, that the chosen delegates report back to the appropriate task force or committee and to the WAFP Board of Directors regarding the meeting content.

Rural Health Assessment

Adopted by the 1998 House of Delegates; time-limited and discrete action item

RESOLVED, that an annual $25.00 assessment be levied from the WAFP Active membership to the WAFP Foundation for three additional years, to assist in funding Rural Medicine Clerkships and other Rural Health initiatives, and be it further

RESOLVED, that if the Foundation needs to use a small percentage, not to exceed 8% of these funds for operating funds, as they do with other allocated funds, they may do so, and be it further

RESOLVED, that all excess funds raised from this special rural assessment be placed, for perpetuity, in the WAFP Foundation Rural Endowment Fund.

WAFP Support of Municipal Water Fluoridation

Adopted by the 1998 House of Delegates; superseded by 1999 resolution, “Statewide Fluoridation of Water”

RESOLVED, that the Washington Academy of Family Physicians supports Municipal water fluoridation as it is a safe, effective, and economical way to reduce dental caries.

Commendation of Alfred O. Berg, MD

Adopted by the 1999 House of Delegates; no further work necessary

RESOLVED, that the Washington Academy of Family Physicians House of Delegates commends and congratulates Dr. Al Berg for his selection as the Chair of the Department of Family Medicine at the University of Washington.

Kids Get Care

Adopted by the 1999 House of Delegates; superseded by 2004 resolution, “Health Care for Children”

RESOLVED, that the WAFP support the completion of universal coverage for all children, and be it further

RESOLVED, that the WAFP support the development of a system of outreach that assumes that all children have some coverage for preventive and well child care, and be it further

RESOLVED, that the WAFP facilitate participation of its members in enrolling children for insurance coverage, and be it further

RESOLVED, that the WAFP present a resolution to the WSMA to enlist their support in this effort for a change in State policy level that would ensure coverage for all children encourage all physicians to participate in the project.

Oppose Restart of Hanford Fast Flux Test Facility

Adopted by the 1999 House of Delegates; the facility was officially deactivated in 2009

RESOLVED, that the Washington Academy of Family Physicians oppose the restart of the Fast Flux Test Facility for any production mission, and supports the urgent mission cleanup of the Hanford Nuclear Reservation as a prescription for disaster prevention for the Northwest for generations to come.

Commendation for Thomas Norris, MD

Adopted by the 2000 House of Delegates; no further work necessary

RESOLVED, that his colleagues in the Washington Academy of Family Physicians commend and congratulate Thomas E. Norris, MD for his recent election to the American Board of Family Practice Board of Directors.

AAFP Evaluation of Relationship with AMA

Adopted by the 2001 House of Delegates; resolution not adopted by the AAFP Congress of Delegates

RESOLVED, that the AAFP Board of Directors will conduct a cost-benefit analysis on the AAFP’s involvement with the AMA, and be it further

RESOLVED, that the AAFP Board of Directors will report the results of this analysis to the 2002 AAFP Congress of Delegates.

Chronic Illness Care

Adopted by the 2001 House of Delegates; resolution to the AAFP Congress of Delegates reaffirmed as current policy

RESOLVED, that the WAFP submit a resolution to AAFP to encourage the implementation of primary care based systems of effective care of patients with chronic illness, and develop models of equitable and appropriate reimbursements for these systems of care.

Completion of Rural Health Initiative Fund, Building of Family Medicine Research Fund, and the Future of Family Medicine Fund

Adopted by the 2001 House of Delegates; time-limited and discrete action item

RESOLVED, that the expiring Rural Health dues Assessment be replaced by an annual $50.00 assessment that will be approved on a four year cycle. This will be levied on the WAFP active membership through the WAFP Foundation to assist in completing the Rural Health endowment, to allow development of endowments to support the Future of Family medicine activities and Family Medicine Research activities, and development of endowments for other projects deemed important to its membership and leadership.

RESOLVED, that if the Foundation needs to use a small percentage, not to exceed 8 percent, of these funds annually for operating funds (as it does with other allocated funds), it may do so, and be it further

RESOLVED, that the WAFP Foundation will report back to the WAFP House of Delegates each year, the status and progress of all special funds supported by the WAFP membership.

Nuclear Waste

Adopted by the 2001 House of Delegates; superseded by 2003 resolution, “Hanford”; resolution to the AAFP Congress of Delegates not adopted

RESOLVED, that the WAFP opposes additional off-site waste being added to the overburdened Hanford Site until the current nuclear waste storage problems and environmental threat to the surrounding area are solved, and a publicly vested national plan for nuclear waste be created; and be it

RESOLVED, that the WAFP support working towards a solution to the Hanford Site nuclear waste problem and encourages the creation of a national plan for nuclear waste disposal to ensure optimum public health; and be it further

RESOLVED, that the WAFP delegate to the AAFP Congress of Delegates submit these resolutions to the AAFP so that the AAFP puts forth a national solution to facilitate a national program for the disposal of waste for the optimal public health; and be it further

RESOLVED, that the WAFP Delegate to the WSMA submit a similar resolution to the WSMA.

Political Action Committee

Adopted by the 2001 House of Delegates; the Washington FamilyMedPAC is an ongoing concern; WAFP currently employs dedicated advocacy/policy consultants

RESOLVED, that the WAFP direct their board of directors to explore the feasibility of creating their own Political Action Committee, and be it further

RESOLVED, that the WAFP direct their board of directors to explore the feasibility of employing a part time or ad hoc lobbyist to the Washington State Legislature.

Reduced Dues Program

Adopted by the 2002 House of Delegates; moot, as AAFP offers an Inactive membership level and controls membership operations for both it and its constituent chapters

RESOLVED, that the WAFP implement an identical reduced WAFP dues program for those physicians who are receiving reduced AAFP dues.

Health Care Access

Adopted by the 2003 House of Delegates; superseded by 2005 resolution, “Affordable Health Coverage”

RESOLVED, That the WAFP Board of Directors work actively with community and statewide organizations, employers, unions, and other providers to develop strategies that will address the cost and access issues facing our patients. These strategies need to move us toward universal coverage and effective cost control with the goal of having a coherent set of policy options available to the public during the general election of 2004, and be it further

RESOLVED, That the WAFP Delegate to WSMA and the representative to the Interspecialty Council request that the Washington State Medical Association take an active role in working with other statewide organizations in developing consensus around strategies that will address the access and cost issues facing our patients. Those strategies need to move us toward universal coverage and effective cost control with the goal of having a coherent set of policy options available to the public during the general election of 2004, and be it further

RESOLVED, That the WAFP Delegate to WSMA bring “Health Care Access” to the floor as an item of highest priority

Smoke-Free Workplace Legislation

Adopted by the 2003 House of Delegates; as of 2005, it is illegal to smoke in all indoor public spaces and workplaces in Washington

RESOLVED, That the WAFP Board of Directors endorse the efforts of the Washington BREATHE coalition, consisting of the Lung Association, Cancer Society, Heart Association, and others, to enact legislation to address workplace tobacco smoke exposure and to enact an effective, evidence-based smoke-free workplace law statewide.

Clean Indoor Air Initiative and Smoke & the Work Place

Adopted by the 2004 House of Delegates; Initiative 890 did not appear on the November 2004 ballot

RESOLVED, that the WAFP endorse and support Initiative 890, the “Workplace Clean Indoor Air Initiative,” encouraging and assisting members to gather signatures to place this measure on the November 2004 ballot, and be it

RESOLVED, that the WAFP contribute an amount not to exceed $1,000 to Initiative 890, and encourage other individuals and groups to do so, and be it further

RESOLVED, that the WAFP oppose any attempt to weaken current anti-smoking laws

Demographics of Aging

Adopted by the 2004 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP prioritize in its 2004 agenda, an exploration of family physician advocacy for meaningful health care reform that assures humane and needed care for the elderly based on the values of family medicine.

The Future of Family Medicine Project

Adopted by the 2004 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP Board of Directors embrace the Future of Family Medicine report and develop an action plan to integrate its recommendations into the WAFP work plan for 2004- 2005, appropriate to the specific needs and resources of Washington Family Physicians.

Improve Political Effectiveness of the WAFP

Adopted by the 2004 House of Delegates; advocacy has been, and continues to be, a key pillar of the WAFP strategic plan

RESOLVED, that the WAFP Board of Directors develop and implement a strategic program to dramatically increase the political effectiveness of the WAFP.

Phasing Out Flame Retardant

Adopted by the 2004 House of Delegates; PDBEs were gradually phased out starting in 2004, with the three remaining commercial producers of PDBEs pledging to stop using the chemicals by the end of 2013

RESOLVED, that the Washington Academy of Family Physicians (WAFP) supports the phase out and elimination of the use of PBDEs (polybrominated diphenyl ethers) in Washington State while maintaining existing fire safety standards

UWSOM Primary Care “Pipeline” Committee Recommendations”

Adopted by the 2004 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP Board of Directors review the University of Washington Pipeline Resolution report and develop an action plan to integrate the Committee’s recommendations into the WAFP work plan for 2004-2005, appropriate to the specific needs and resources of Washington Family Physicians.

Alternate Trustee Positions

Adopted by the 2005 House of Delegates; the WAFP bylaws have been amended to provide for a non-voting resident alternate trustee; language on the student trustee superseded by the 2011 resolution, “Student Trustee Position Changes”

RESOLVED, that the WAFP will create two new positions for the WAFP Board of Directors, Resident Alternate Trustee and Student Alternate Trustee; these would be non-voting positions but equal reimbursement support as the current Resident and Student Trustee positions enjoy.

Completion of Endowments

Adopted by the 2005 House of Delegates; time-limited and discrete action item

RESOLVED, that the House of Delegate renew the $50 dues assessment levied on the WAFP Active Membership for another four years, in order to continue the important work of the family medicine family of endowments, and be it further

RESOLVED, that if the WAFP Foundation needs to use a small percentage, not to exceed 8 percent, of these funds annually for operating funds (as it does with other allocated funds), it may do so, and be it further

RESOLVED, that the WAFP Foundation will report back to the WAFP House of Delegates each year, the status and progress of all special funds supported by the WAFP membership.

Drug Company Addiction

Adopted by the 2005 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP Board appoint an ad hoc committee to study the financial, ethical, and moral implications and outcomes of the following possible actions by the WAFP with regard to the pharmaceutical industry:

• Decline pharmaceutical company financial support for Academy functions including the Annual
• Decline pharmaceutical company financial support for WAFP educational events, use only speakers who are financially independent of the pharmaceutical
• Discontinue pharmaceutical company advertising in WAFP
• Further educate family physicians regarding appropriate sources of independent and commercially unbiased drug information; and be it further

RESOLVED, that this committee consist of five WAFP members, representing an appropriate diversity of member opinion; and be it further

RESOLVED, that this ad hoc committee submit periodic reports to the WAFP Board and a summary report to the 2006 WAFP House of Delegates.

Healthy Indoor Air: Initiative 901

Adopted by the 2005 House of Delegates; Initiative 901 was approved by Washington voters

RESOLVED that the WAFP contribute $6500 from reserve funds to support Healthy Indoor Air for All Washington.

RESOLVED that the WAFP offer information resources to the membership should they wish to gather signatures in their personal or professional settings.

Pilot Resident & Student Track

Adopted by the 2005 House of Delegates; moot, as the Annual Scientific Assembly is no longer held

RESOLVED, that the Annual Meeting Committee develop a dedicated Resident and Student Track each year at the WAFP Annual Meeting and Scientific Assembly for four years as a pilot project to investigate if this has a positive impact on student and resident attendance to this meeting, and be it further

RESOLVED, that there be a student and resident member on the Annual Meeting Committee to lead the development of this track.

Prescriptive Pharmaceutical Advertising

Adopted by the 2005 House of Delegates; a similar resolution from the Oregon chapter was combined with WAFP’s and adopted by the 2005 AAFP Congress of Delegates

RESOLVED, that the WAFP move a resolution to the AAFP to lobby to prohibit direct to consumer prescription drug advertising and

RESOLVED, that the WAFP Commission on Health Services develop educational resources to help patients, children, and family physicians address the direct to consumer prescription drug advertising issue.

Annual Scientific Assembly

Adopted by the 2006 House of Delegates; moot, as the Annual Scientific Assembly is no longer held

RESOLVED, that the Bylaws Committee is directed to review Chapters VIII, IX, X, and Chapter XV, Section G and prepare appropriate resolutions for consideration by the 2007 House of Delegates, amending our bylaws to allow for flexibility in choosing locations and dates for the scientific assemblies that will be desirable to our members and enhance attendance.

Funding Resident and Students

Adopted by the 2006 House of Delegates; time-limited and discrete action item

RESOLVED, that the Washington Academy of Family Physicians Board of Directors work with the WAFP Finance Committee to investigate ways to provide funding for the Resident and Student Delegates and Alternates to the WAFP House of Delegates to attend the WAFP Scientific Assembly on an annual basis until 2009, and be it further

RESOLVED, that the Washington Academy of Family Physicians Board of Directors work with the WAFP Finance Committee to investigate ways to provide funding for the Resident and Student Trustees (and their Alternates if these positions are approved) to the WAFP House of Delegates to attend the WAFP Scientific Assembly on an annual basis until 2009, and be it further

RESOLVED, that this program will be reevaluated by the Board of Directors before the 2009 Scientific Assembly.

New Physician Board Member

Adopted by the 2006 House of Delegates; the WAFP bylaws have been amended to provide for a new physician trustee

RESOLVED, that WAFP will create a new position for the WAFP Board of Directors, New Physician Trustee, in which this will be a voting position on the Board and will be reimbursed as all other members of the WAFP Board of Directors, and be it further

RESOLVED, that a position description for a New Physician Trustee on the WAFP Board of Directors will be written by the WAFP Committee on Diverse Constituencies and sent to the Board of Directors for approval.

Reducing Marketing Bias in the AAFP

Adopted by the 2006 House of Delegates; the resolution was not adopted by the 2006 AAFP Congress of Delegates

RESOLVED, that the Pharma Workgroup and the AAFP delegation are instructed to prepare a resolution for AAFP CoD containing the following points

RESOLVED, that the AAFP will end the practice of placing pharmaceutical and medical device advertisements in the Annual Scientific Assembly Program Brochure, and be it further

RESOLVED, that the AAFP will end the practice of placing pharmaceutical company or product logos on any materials distributed by the AAFP to registrants and/or attendees of the Annual Scientific Assembly,

RESOLVED, that the AAFP will end the practice of selling lists of registrants for the Annual Scientific Assembly to proprietary entities, or offer registrants a prominent “opt-out” alternative on their registration form.

RESOLVED, the AAFP Scientific Assembly Subcommittee and AAFP staff will limit commercial marketing activities to the exhibit hall, limit industry sponsored food and other give-aways to the exhibit hall, and will work to avoid activities that necessitate registrants traverse the exhibit hall in order to attend educational or business sessions and that no AAFP sponsored educational activities (e.g., poster sessions) will take place within the exhibit hall.

Scientific Assembly Student Scholarships

Adopted by the 2006 House of Delegates; moot, as the Annual Scientific Assembly is no longer held

RESOLVED, that the Washington Academy of Family Physicians fund a scholarship program, that is developed by the WAFP Committee on Resident and Student Issues and approved by the WAFP Board of Directors, for medical students to attend the WAFP Scientific Assembly on an annual basis until 2009, and be it further

RESOLVED, that this program will be reevaluated by the Board of Directors before the 2009 Scientific Assembly.

Appreciation for Al Berg

Adopted by the 2007 House of Delegates; no further work necessary

RESOLVED, that the Washington Academy of Family Physicians expresses its grateful thanks for Dr. Berg’s stewardship of the UWSOM Department of Family Medicine during his tenure, and be it further

RESOLVED, that the Academy also expresses its heartfelt appreciation for Dr. Berg’s support of the membership and leadership, vision and mission of the Washington Academy of Family Physicians, and be it further

RESOLVED, that the Washington Academy of Family Physicians extends its very best wishes to Dr. Alfred O. Berg as he embarks on the next chapter of his professional journey.

Ensuring the Privacy of Prescription Information

Adopted by the 2007 House of Delegates; Washington has now enacted such a law

RESOLVED, that the Washington Academy of Family Physicians work with other physicians and consumer organizations to enact legislation, similar to legislation recently enacted in New Hampshire, that would prohibit the unauthorized disclosure of physician’s prescribing information for any commercial purpose while permitting legitimate uses such as reporting requirements and research, and be it further

RESOLVED, that the WAFP submit a resolution to the Washington State Medical Association that the Washington State Medical Association work with other physicians and consumer organizations to enact legislation, similar to legislation recently enacted in New Hampshire, that would prohibit the unauthorized disclosure of physicians’ prescribing information for any commercial purpose while permitting legitimate uses such as reporting requirements and research.

Primary Care Insurance Options

Adopted by the 2007 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP negotiate a contract with a consultant this Spring to work on behalf of the WAFP members to advocate with insurers offering Medicare insurance products in the State of Washington. Be it further

RESOLVED, that the following criteria are used to choose the consultant:

1. Experienced in Medicare Advantage plan design, implementation and
2. Familiar with the essentials of the personal medical home as advocated by the AAFP, ACP, AAP, and
3. Knowledgeable about Medicare rules, CMS regulations and deadlines for plan development and
4. Has personal knowledge of and relationship with key personnel at Medicare Advantage insurers who offer plans in Washington
5. Experienced in working with family

Be it further

RESOLVED, that the consultant evaluate Medicare Insurance contracts available to patients in the State of Washington, for the purpose of determining how well these plans support the ability of family physicians to provide the personal medical home and new model of care to our patients. Information and recommendations from the consultant will be made available to the WAFP leadership for distribution to all WAFP members for their consideration, as they decide which plans to accept into their practices. Be it further

RESOLVED, that the WAFP will share their findings with the American Academy of Family Physicians (AAFP) in whatever way WAFP leadership considers appropriate.

Promoting National Standards for End of Life Treatment

Adopted by the 2007 House of Delegates; resolution was referred to the AAFP Board of Directors by the 2006 AAFP Congress of Delegates

RESOLVED, the WAFP submit a resolution to the AAFP requesting that the AAFP:

1. formally endorse the work of the national Physician Orders for Life-Sustaining Treatment (POLST) Paradigm Initiative
2. encourage AAFP constituent chapters support adoption of the POLST form in their state
3. establish a liaison relationship with the national POLST Paradigm Initiative
4. collaborate, as appropriate, with other relevant medical organizations (e.g., the American Medical Association, the American Academy of Hospice and Palliative Medicine) to promote the work of the national POLST Paradigm Initiative

Supporting Safer Chemicals Policies

Adopted by the 2007 House of Delegates; superseded by the 2016 resolution, “Climate Change”

RESOLVED, that the WAFP supports safer chemical policies to achieve the phase out of persistent bioaccumulative toxic chemicals; and, be it further

RESOLVED, that the WAFP encourages further development and use of safer, cost-effective alternative products and materials, including research and development of ‘green chemistry’, which encourages chemical technologies that reduce or eliminate the use or generation of hazardous substances in the design, manufacture, and use of chemical products; and, be it further

RESOLVED, that the WAFP urges that only the safest materials and methods be used to create consumer products and grow food, including that companies are urged to provide full information on the health effects of all chemicals placed into the marketplace, with particular attention to potential effects in groups at life stages most harmed by chemical insults, e.g. young children and women who are pregnant or nursing.

Washington Health Security Trust

Adopted by the 2007 House of Delegates; both legislative efforts and efforts through an initiative failed to bring this program into existence

RESOLVED, that the Washington Academy of Family Physicians support and participate in the efforts currently reflected in the legislative bill entitled “Washington State Health Security Trust”.

Expanding the WAFP Role in Health Care Reform Efforts

Adopted by the 2008 House of Delegates; the Citizens’ Work Group has since been disbanded

RESOLVED, that the WAFP take an active role in the deliberations of the Citizens’ Work Group on health care by advocating for a health care system that provides security, control, choice, and affordability for patients and a primary care, patient-focused, prevention oriented health system, and be it further

RESOLVED, that the WAFP make education and activation of its membership about the deliberations of the Citizens’ Work Group on health care a high priority, and be it further

RESOLVED, that a high priority of the WAFP be that the organization work formally or informally with other interested parties, coalitions and organizations in evaluating the output of Citizens’ Work Group on health care and support activities that further cost effective affordable health care for all people in Washington, and be it further

RESOLVED, that the WAFP take a resolution to the WSMA asking them to join us in engaging in the deliberations of Citizens’ Work Group on health care as one of their highest priorities, and in joining with us and other parties in supporting cost effective affordable care for all people in Washington.

WAFP 2009 Annual Scientific Assembly

First four resolved clauses were adopted by the 2008 House of Delegates (fifth was referred to the Board); time-limited and discrete action item

RESOLVED, the WAFP hold the 2009 House of Delegates and related annual organizational events in Spokane on the same weekend and in the same location as the Primary Care Update program presented by the Inland Northwest Chapter of WAFP, and be it further

RESOLVED, the WAFP not independently develop a full Annual Scientific Assembly in 2009, and be it further

RESOLVED, the WAFP Annual Scientific Assembly committee consider developing pre- or post- conference educational opportunities in 2009 as deemed necessary that will be free of pharmaceutical funding in a coordinated fashion with the Primary Care Update planning committee, and be it further

RESOLVED, the WAFP work with the Primary Care Update planning committee to develop a plan to allow complimentary events, coordinated joint registration for the WAFP annual meeting and the Primary Care Update, and joint promotion of these time-linked events in 2009, and be it further

Change in AAFP Candidates’ Hospitality Event

Adopted by the 2009 House of Delegates; WAFP’s resolution was not adopted by the 2009 AAFP Congress of Delegates but a similar one was

RESOLVED, that the American Academy of Family Physicians Congress of Delegates adopt the following rules with respect to the “Candidates’ Hospitality” event for those seeking higher AAFP office:

1. Hold the “Meet the Candidates” session with Delegates and Alternates only the night before Congress is convened; eliminate the “Delegates’ and Alternates’ Reception” which has followed the “Meet the Candidates” session;
2. Combine the Sunday “Delegates’ and Alternates’ Reception” with the “Candidates’ Hospitality” event held in one large ballroom on the first night of Congress, open to all comers, with chapters grouped by candidate type and placement made by drawing numbers from a hat;
3. Commit AAFP to a minimum contribution of $10,000 to the joint reception. Each chapter with a candidate shall contribute $2,500 to include funding for food and beverage, exhibit tables, pipe and drape, signage for the room, but exclusive of individual exhibit space decorations, electrical connections, easels, chapter giveaways (which are at the expense of each chapter) or other such fees that are imposed by the hotel or its vendors at the chapters’ request. AAFP staff will be responsible for selection of food and beverage based on the budget available. Chapters will submit order forms to AAFP staff who will work with the hotel; all cost information will be provided to chapters in advance of ordering; and
4. Keep the hours of the “Candidates’ Hospitality” the same (7pm-10pm).

Family Medicine Mentors Needed

Adopted by the 2009 House of Delegates; WAFP offered a pre-med mentorship program, but it was discontinued due to a strain on available resources

RESOLVED, that the WAFP review the issue of mentorship to determine if there are additional measures that could be taken, resources allocated or collaborations enhanced, to increase the capacity for mentorship by WAFP members, and be it further

RESOLVED, that the WAFP determine whether a mentorship program modeled on its current WAFP Pre-Med mentorship program could be created to reach students prior to entry into post- secondary education.

Geographical Election of Board Members and AAFP

Adopted by the 2009 House of Delegates; the WAFP bylaws have been amended to provide for West Side and East Side Trustees as well as West Side and East Side delegates and alternate delegates to the AAFP Congress of Delegates

RESOLVED, that the WAFP codify the tradition of nominating West Side and East Side trustees in order to ensure that there are 3 East Side trustees and 3 West Side trustees at all times, and be it further

RESOLVED, that the WAFP codify the tradition of having an East Side AAFP Delegate and a West Side AAFP Delegate.

Leadership Development Committee

Adopted by the 2009 House of Delegates; the Leadership Development Subcommittee was organized under the Membership Committee but merged with another subcommittee in September 2014

RESOLVED, that the WAFP create a continuing entity, such as a standing committee or subcommittee, to develop and monitor a leadership strategy and to foster leadership pipeline activities throughout the year.

Align our Money with our Ethics: End Questionable Alliances (A)

Adopted by the 2010 House of Delegates; multiple resolutions on this topic were not adopted by the 2009 AAFP Congress of Delegates

RESOLVED, that the WAFP recommend that the AAFP not renew its alliance with The Coca-Cola Company.

Institutionalizing Leadership Development and Training

Adopted by the 2010 House of Delegates; the Annual Scientific Assembly is no longer held, and the Annual Scientific Assembly Subcommittee has been sunsetted

RESOLVED, that the WAFP Annual Scientific Assembly committee be strongly encouraged to include a leadership development and training session at every Annual Scientific Assembly.

WAFP Political Action Committee

Adopted by the 2010 House of Delegates; Washington FamilyMedPAC is an ongoing concern

RESOLVED, that the WAFP establish and maintain a Political Action Committee, whose mission is to promote and defend the policy interests of the members of the WAFP.

Creation of a Task Force on Local Chapter Involvement

Adopted by the 2011 House of Delegates; time-limited and discrete action item

RESOLVED, that the WAFP create a task force on local chapter involvement to investigate the best structure for local chapters and the best tools for the WAFP to provide for local chapters, and be it further

RESOLVED, that the created WAFP task force on local chapter involvement report back to the WAFP House of Delegates in 2012.

Don’t Gag My Firearms Safety Discussions

Adopted by the 2011 House of Delegates; time-limited and discrete action items; resulting resolutions were not adopted by the 2011 AAFP Congress of Delegates

RESOLVED, that the WAFP delegation to the AAFP submit a resolution directing that the AAFP reaffirm its policy supporting the health benefit of counseling families about safe storage of guns, particularly in homes with children, and be it further

RESOLVED, that the WAFP delegation to the AAFP submit a resolution directing the AAFP to write the Florida Legislature and Governor a letter condemning the actions of Enrolled Bill 155 that gag physicians from inquiring about firearms and restrict what physicians may document in the medical record, and be it further

RESOLVED, that the WAFP delegation to the AAFP submit a resolution directing that the AAFP write a letter to the NRA recognizing the shared values of gun safety and freedom of speech but condemning their advocacy for the restriction of discussions between physicians and patients, and be it further

RESOLVED, that the WAFP delegation to the AAFP submit a resolution requesting the AAFP State Government Relations staff to monitor laws limiting the content of discussions between physicians and patients and alert state chapters if such laws are brought forward.

RESOLVED, that the WAFP adopt as policy: No state or other jurisdiction shall make any law limiting the content of discussions between physicians and patients, and be it further

RESOLVED, that the WAFP send a resolution to the AAFP to adopt the same policy.

End Affiliation with Coca-Cola

Adopted by the 2011 House of Delegates; resolution was not adopted by the 2011 AAFP Congress of Delegates

RESOLVED, that the WAFP delegates to the AAFP Congress of Delegates take a resolution to the 2011 meeting that is representative of the resolution passed at the 2011 WAFP House of Delegates, and be it further

RESOLVED, that the WAFP encourage interested members to continue working on future resolutions regarding AAFP and its controversial commercial relationships, and be it further

RESOLVED, that the AAFP remove all Coca-Cola logos and trademarks from the familydoctor.org website and all AAFP affiliated websites, and be it further

RESOLVED, the AAFP Board of Directors develop a set of standards for commercial support of patient education similar to the ACCME standards for commercial support of CME.

Student Trustee Position Changes

Adopted by the 2011 House of Delegates; the WAFP bylaws have been amended to provide for two medical student co-trustees who share one vote

RESOLVED, that the WAFP increase the number of Student Trustees with voting privileges to two, and be it further

RESOLVED, the Student and Resident Subcommittee draft a Rules of Order outlining the nomination process for Student Trustees.

Change of AAFP Membership Fee Structure

Adopted by the 2012 House of Delegates; the resolution was not adopted by the 2012 AAFP Congress of Delegates

RESOLVED, that the WAFP send a resolution to AAFP Congress of Delegates to call for the AAFP to consider different fee models that would allow for membership participation by physicians in financial hardship or part-time practice.

Expression of Gratitude by WAFP

Adopted by the 2012 House of Delegates; no further work necessary

RESOLVED, that the WAFP express its gratitude to both the WA State Legislature and its various appropriate members and committees, and to the Executive branch of WA state and its various appropriate departments and officers for having put the Washington Prescription Monitoring Program into operation, and be it further

RESOLVED, that the WAFP strongly urge the continuance of the Washington Prescription Monitoring Program on a permanent basis, and be it further

RESOLVED, that the WAFP support legislative efforts to identify broad-based, equitable and sustainable funding to reflect the beneficiaries of the program.