DEPARTMENT OF HEALTH, EDUCATIO N

AND WELFARE

PUBLIC HEALTH SERVICE

National Institutes of Health

Division of Regional Medical Programs

National Advisory Council on

Regional Medical Programs

Minutes of Meeting

August 12-13, 1966

National Institutes of Health
Conference Room "A"
Stone House
 

 

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
‘ PUBLIC HEALTH SERVICE
NATIONAL ADVISORY COUNCIL ON REGIONAL MEDICAL PROGRAMS:

Minutes of Fifth Meeting 1/ 2/
August 12-13, 1966

The National Advisory Council on Regional Medical Programs convened for
ite fifth meeting at 9:00 a.m., Friday, August 12, 1966, in Conference
Room "A", Stone House, National Institutes of Health, Bethesda, Maryland.
Dr. Robert Q. Marston, Associate Director, NIH, and Chief, Division

of Regional Medical Programs, presided.

The Council members present were:

Dr. Leonidas H. Berry Dr. J. Willis Hurst

, Dr. Mary I. Bunting Dr. Clark H. Millikan
Dr. Michael BE. DeBakey Dr. George E. Moore
Dr. Bruce W. Everist Dr. William J. Peeples
Dr. James T. Howell Dr. Robert J. Slater

Public Health Service members attending some of the sessions included:

Dr. William H. Stewart, Surgeon General, PHS
Dr. James Shannon, Director, NIH

Dr. Stuart Sessoms, Deputy Director, NIH
pr. Bert Cole, OSG

Liaison members:

Dr. Sidney Farber, NCI Council

Dr. A. B. Baker, NINDB Council (absent)

Dr. Edward W. Dempsey, NIGMS Council’ (absent)
Dr.‘John B. Hickam, NHI Council (absent)

 

1/ Proceedings of meetings are restricted unless cleared by the Office
of the Surgeon General, The restriction relates to all material
submitted for discussion at the meetings, the agenda for the meetings,
the supplemental material, and all other official documents.

2/. For the record, it is noted that members absent themselves from the
meeting when the Council is discussing applications: (a) from their
respective institutions or (b) in which a conflict of interest might
occur. This procedure does not, of course, apply to en bloc
actions--only when the application is under individual discussion.

 
 

 

 

Others present were:

Mr. Karl D. Yordy, Assistant Chief, DRMP

Mr. Stephen Ackerman, Chief, Planning & Evaluation Branch, DRMP

Mr. James A. Beattie, Chief, Grants-Management Branch, DRMP '

Dr. Carl Brewer, Chief, Grants Review Branch, DRMP

Dr. Margaret Sloan, Chief, Program Development & Assistance Branch, DRMP

Mr. Edward Friedlander, Special Assistant for Communications and
Public Information, DRMP

Mr. Maurice Odoroff, Assistant to Chief for Systems and Statistics, DRMP

Mr. Storm Whaley, Associate Chief for Organizational Liaison, DRMP

Mr. Charles Hilsenroth, Executive Officer, DRMP

Dr. William Mayer, Special Assistant to Director, DRMP

Dr. Kenneth Endicott, Director, NCI

Dr. Robert Grant, Director, NHI

Dr. Clarence A. Imboden, BSS

Dr. W. D. David, BSS

Dr. Benjamin Wells, VA

Mr. Ralph Mueller, BOB

Dr. R. L. Ringler, NHI

Dr. Jerome H. Green, NHI

Dr. G, Howard Gowan, NCI

Miss Pauline Stephan, NCI

Dr. J. H. U. Brown, NIGMS

Dr. 0. Malcolm Ray, NINDB

Mr. Thomas McCarthy, DRG

Mr. Frank Ehrlick, OD

Mr. Bruce Carson, OD

Miss Jane Fullerton, OD

Mr. James Grege, OD

Miss Cecelia Conrath, DRMP

Mr. Robert Anderson, DRMP

Dr. James Mc A'Nulty, DRMP

_ Miss Leah Resnick, DRMP

Mr. Daniel Zwick, DRMP

Mr. Larry Coffin, DRMP

Mrs. Mary Geisbert, DRMP

Dr. Harry Roberts, DRMP

Mrs. Jessie Salazar, DRMP

Mr. Ira Alpert, DRMP

Dr. John Hamilton, DRMP

Dr. John Hazen, DRMP

Dr. Robert O'Bryan, DRMP

Miss Charlotte Turner, DRMP

Mr. Harold O'Flaherty, DRMP

Mr. Art Hiatt, DRMP

Mr. Stuart Yaffe, DRMP

 
 

 

Tt.

CALL TO ORDER AND OPENING REMARKS

Dr. Marston called the meeting to order at 9:10 a.m.
REGIONAL MEDICAL PROGRAMS PROGRESS AND PROSPECTS--Dr. Marston

During this meeting we wish to direct attention to matters of policy
and to seek assistance in the areas of the broad implications of the
program.

An evidence of the progress of the Regional Medical Programs is that

there have been established throughout the nation groups representing
the major health resources. These regiohal advisory groups have

been meeting and discussing the health needs of their regions. Thus,
we have now for the first time a national communication framework for

regional medical programs. We will be utilizing this framework

with less concern now than we did previously when we were concerned
about the possibility of too much direction of the planning from
the Federal level. In the future we will be able to obtain
information in a way that was not possible prior to the local
identification of the appropriate organization to approach in
seeking such information.

Mr. Edward Friedlander will soon be on our staff as Assistant to
Chief, DRMP (Communications & Public Information). He has already
begun planning ways in which he can work in terms of comminication
with the existing or planned Regional Medical Programs.

We are scheduled to give major speeches to several National
organizations within the next few months.

Our staff in the Development and Assistance Branch is making visits
to all approved regions every 90 days. Some of the early grantees
are even now scheduled to have a second visit.

Within the Government, we have expanded the distribution of our
progress reports to the Surgeon General and are meeting with those
agencies directly involved in interests related to research and ,
development (R&D). A summary article has been submitted to

“PHS Reports" for broad distribution.

Another item that we discussed at the last Council meeting tis,
“Continuing Education". Dr. Mayer is currently expanding his
program markedly, and he will discuss this further during the meeting...

Dr. Shannon presented his views regarding the Division of Regional
Medical Programs. He stated that this is a very complex program, @nd
needs flexibility in the mechanism by which objectives are attained,

 

 
 

-4-

 

because there are no guidelines that we have conventionally used in the
‘application of this program in its relation to others. This program is
the direct outgrowth of the President's Commission on Heart, Cancer, and
Stroke, the entire thrust of which is to provide a scientific base for
the practice of medicine.

This is complex also because one has to move the scientific base out
of the university, university hospital, and actually into centers of
activity that perhaps are best characterized as the, “community
hospital." This type of hospital might have a budget of around
$200,000, and a flow of patients of sufficient magnitude that a
whole variety of highly specialized services can be built in. We
have to develop mechanisms for translation of both fundamental and
applied knowledge from the point of origin to the point of use, and
to recast the role of the scientist into two functions, the first

of which is to develop new knowledge, and the second is to make it
applicable, not as an individual, but as a scientific body. The
scientist has to participate in some sort of core program upon which
peripheral excellence can develop. This is the realistic program of
continuing education.

This program can only be in a community hospital, and will involve
the base of a good deal of the continuing education process.

In order to have a good system of continuing education we have to
modify the process of education at the medical school, since the
present educational process prepares the person for specialty training
in the university hospital, but not for the task of a continuously
learning process throughout his entire career. : .
To have excellent medicine in this Nation, it is necessary to have

a public education program which would begin in grammar school and
carried through all levels of our educational process. This will

not be the concern of the Regional Medical Programs, but one of tne
new Bureaus of the Public Health Service.

The logistical problem of developing a framework for the transference
of knowledge and making it easily accessible to the physicians at

large constitutes the primary problem about which this Council is to

be concerned. Thus, this casts the community hospital in a completely
different role than ever before. v

In this program, we are aiming at excellence in a profession that, if
too far separated from the source of new knowledge, becomes mediocre
and obsolete. It is in this light that one should approach the problem.
One of the difficult areas in this program will be that of the big city
with all of its scientific excellence and the tendency of institutions
to isolate themselves from the social problems in the geographic area
within which they reside.

 

 
 

 

-5-

[II. DISCUSSION OF "SURGEON GENERAL'S REPORT TO CONGRESS"--Mr. Ackerman

P. L. 89-239, Section 908, states that, "Oa or before June 30, 1967, the
Surgeon General, after consultation with the Council, shall submit to

the Secretary for transmission to the President and then to the Congress,
a report of the activities under this title together with (1) a statement
of the relationship between Federal finaneing and financing from other
sources of the activities undertaken purswant to this title, (2) an
appraisal of the activities assisted under this title -in the light of
their effectiveness in carrying out the purposes of this title, and

(3) recommendations with respect to extension or modification of this
title in the light thereof."

The following are certain things that raise questions to which the
Council must address itself:

‘a) To what extent is the lack of construction auchority an
inhibition in achieving the fundamental purpose?

© b) How should the funding policy undex the Division of Regional
Medical Programs be delineated, i.@., what things should. be
funded under this program in relationship to other program
‘authorizations?

These are difficult questions which relate very directly to
the policy in regard to the determimation of Federal support.
with relationship to other supports.

_c) What is to be the Federal role? .
Regarding the timetable for this report, we have set a rough timetable
that we would complete our work program wilthin a matter of weeks, that
the ad hoc advisory group would meet in mid-September; we would have a
progress report at the November Council meeting; that we would expect to
have a first draft at the end of November. A National Conference with
the people involved in this program is corttamplated for January.
Another progress report will be made at the February Council meeting,
and we expect to have a final draft in Mardi. The intramural review
resources will be used with regard to the exolution of the report. It
is contemplated that Council review of the final draft would be at
the May Council meeting. We hope to have tite report ready by May 30.

Dr. Stewart said that normally, in legislation which expires in the
second session of the Congress, we would ‘ittroduce the legislation in
© the first session. Since we have this vepart which is perhaps halfway
through the first session, he has not deckied. at wnat point legislation
would be introduced in the next Congress. It seems rather cumbersome to
introduce it before the report is made. ‘tc would get no consideration

 
 

IV.

Vi.

 

-6-

before the report is made. Because of this, we must have, by the end
of November, estimates of certain sizes and shapes as to what this
might be in order to include it in the President's legislative package
even though it may go up later. So-this.first draft in November probably |
will be far enough along and show us where the gaps are to give us
this kind of guideline. The policy and determination of Federal
support and the clarification of relationships of the Regional
Medical Programs to other Federal programs in the construction area
and every other area will be the most sensitive issues.

ANNOUNCEMENTS

Dr. Marston made general announcements about the Service Desk and
luncheon arrangements. Also, he read the statement on, “Confidenti-
ality of Meetings."

He followed up on the discussion at the last Council meeting concerning,
“conflict of Interest" about (a) how long after one has an active
attachment with an institution is he considered a representative of
that institution; and (b) what are the potential conflicts of interest
where there is borderline of overlap of regional programs.

Regarding item (a), there is ao legislative restraint as far as
consultants and council members are concerned. If either of these
kinds of members are involved in the actual writing or development

of an application, then he should leave the room during the discussion
of that application, With regard to item (b), members who happen

to be in an adjacent State where there is not a direct and obvious
involvement in the development of the application would not absent
themselves from the discussions. These items have been discussed

with the General Counsel who concurs with the above. .

CONSIDERATION OF FUTURE MEETING DATES
The Council approved the following dates for future meetings:

November 27, 1966 (8:00 p.m.)
. November 28-29, 1966 (9:00 a.m.)

February 19, 1967 (8:00 p.m.)
February 20-21, 1967 (9:00 a.m.)

May 22-23, 1967
CONSIDERATION OF MINUTES OF JUNE 1966 MEETING

The Council unanimously recommended approval of the Minutes of
the June 20-21, 1966, meeting as written.
 

Vil,’

VIii.

COMMENTS FROM LIAISON MEMBERS

 

Dr. Farber had no comments to make for the National Advisory
Cancer Council. mT

Dr. Marston extended appreciation to Dr. Farber, who will be
retiring from the Cancer Council on September 30. His replacement
as a liaison representative to this Council will be:

Dr. Murray M. Copeland

Associate Director (Education)

M. D. Anderson Hospital and Tumor Institute
Texas Medical Center

Houston, Texas

REPORT ON ALL APPLICATIONS WHICH WERE CONSIDERED AT JUNE GOUNCTEL

| MEETING

  
 

Application No. 1-502-RM-00019-01, California Coordination Agency
for Training, Research, Education an? jemanstration in the Ficid
of Heart Disease, Cancer, Stroxe, and Related Diseases; Dr. Nemat

0. Borhani, Program Coordinator

 

At the meeting on June 20-21, 1966, the Council recommended that

this application be deferred pending (1) a project site visit with

members of the Council and the Division staff to explore in

greater depth the relationship of the proposed planning activities
to other planning activities already ongoing within the State on

the regional level, and (2) clarification of the legality of support
of this application under the provisions of Title IX of thé Public
Health Service Act, and exploration of possible alternative means of
supporting this type of planning and coordinating activity if the
importance and nature of this function is established.

As recommended by the Council, a project site visit was made to
Berkeley, California. This application was revised, and upon
consideration of the additional information, the Council unanimously
recommends approval with the deferral of the subcontract portion of
the application of $2,500,000. The applicant anticipates requesting
supplemental support for the subcontract portion at a future date.-
These supplements will be reviewed by the California Coordinating
Committee and also receive the dual review by our Review Committee
and Council, The amounts requested were: $2,723,400, $2,709,970,
and $2,716,968. The Council recommends that the following direct
costs be awarded: $223,400 first year; $209,970 second year; and
$216,968 third year, plus appropriate indirect costs.

 
 

 

 

-8-

Application No. 1-S02-RM-00016-01, Health Research, Inc., on Yehals
of the New York State Department of Health; Dr. Hollis 8, Ungraham,
Program Coordinator

oe .

In accordance with the Council's recommendation at the June meeting,
a project site visit was made by some Couneil and staff members to
Albany, New York. However, the additional information which is
needed prior to further action by the Council has not been received,
and the Council, therefore, again recommends deferral.

Application No 1-S02-RM-00012-01, Planning Committee. on Oreron
Regional Medical Prograns, Portland, Oregon; Mr, Roscoe K. Miller

Program Coordinator

Application No. 1-S02-RM-O0CO14-01, Boston University, Boston,
Massachusetts; Dr. Thomas RK. Dawber, Program Coordinator

Application No. 1-S02-RM-00021-01, Minnesota State Medical
Foundation, St. Paul, Minnesota: Dr. J. Minott Stickney, Program
Coordinator

Application No. 1-S02-RM-00022-01,. Ohio State University, Collese of
Medicine, Columbus, Chio; Dr. Richard L. Meiling, Program Coordinator

The Council reaffirmed its recommendations for deferral of the four
applications listed above, pending receipt of further information
from the applicants.

CONSTDERATION OF APPLICATIONS

The Council made the following recommendations on each application,
and suggested that the staff of the Division of Regional Medical
Programs meet with each applicant whose application has been
recommended for approval or deferral prior to making an award to
clarify any questions raised by the Council:

Application No. 1-S02-RM-00023-01, University of Oklahoma Medical Center,
Oklahoma City, Oklahoma; Dr. Ben ZI. Heller, Program Coordinator

The Council recommends approval in the amounts and time requestea of
$143,250 and $137,168, plus appropriate indirect costs.

Application No. 1-S02-RM-00024-01, The Florida Advisory Council oa
Heart Disease, Cancer, and Stroke, Inc.; Dr. Richard P. Schmidt,
Acting Program Coordinator

The Council recommends that the application be disapproved because of
the necessity to. delete the major systems analysis support, Che Program
Coordinator is serving in an acting capacity and other staff members are
yet to be named, and the planning arrangements and tasks are poorly
defined.

 
 

 

Application No. 1.$02-RM-00025-OL. University of Rochester, School
of Medicine and Dentistry, Rochester, N-¥.; Dr. Ralph C. Parker, Jr.,
Program Coordinator

The Council recommends approval in the amounts and time requested of
$299,394, $329,364, and $343,867, plus appropriate indirect costs.

Application No. 1+S02~-RM-06026-01, University City Science Center,
Philadelphia, Pennsyivania; Dr. William C. Spring, Prosram Coording&or

 

The Covncil recommends that this application be returned for revision
because it contains too many operational components, the 20 menbers of

the advisory group did not appear to have functioned extensively in the
planning to date, there has been no appointment of hospital administrators
for the program for planning, and the public officials of UCSC have not
entered the planning phase in any evident way in 4 protocol.

ity of Towa, Towa City,

Application No. 1-S02-RM-00027-01. U rg
dinator

aL *
Towa; Dr. Robert C. Hardin, Progrem Coor

Ver

The Council recommends that this be deferred for staff cousultation for
clarification on the responsibilities and organization of the liaison group,
the Lack of more representatives of the consumer public of some of the other
hospitals in the State and practicing physicians. After this information

ig obtained, a mail ballot should be made of the Council for a final
recommendation. ,

Application No. 1-S02-RM-00028-01, University of Alabama Medical Center,
Biruinehem, Alabama; Dr. Josepa F. Volker, Program Coordinator

The Council recommends that the application be returned for revision. The
concerns of the Council should be transmitted to the applicant regarding:
strengthening the advisory coumittee, elimination of certain of the
operational components of the program, clarification of the specifics of
planning and phasing to justify the budget timing, and a more effective
definition of community regional planning to include a broader involvement
of the papulation.

on No. 1-S02-RM-00029-01, State University of New York Downstate

Apolicet ‘
ater, Brooklyn, N. Y¥.3; Dr. Robert A. Moore, Program Coordinator

4
Medical ©
The Council recommends approval after assurance, through staff contact,
that the award of the grant would not impede the development of cooperative
arrangements elsewhere in the New York metropolitan area, The amounts
requested were: $137,980, $134,277, and $133,557, plus appropriate
indirect costs.

 
 

 

fpplicntion No. 1-802-M-00035-0] University of California at Los
€ i Brayton, Progran Coordinator

Administratively withdrawn.

9 ciety of the District of
4, dashinnton, = “Gs = Coordinator to ba named

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The Council recommends approval after the ts with the applicant
to discuss the problems raised concerning varueness of the
application; (b) the reason for the lack of e renresentative of the
consumer public on the Advisory Group; (c) the fact that the coordinator
was mot named; (d) clarification of the role of the medical schools;

(e) involvement of the commmity hospitals; and (£) co seek clari : fication
on the planning activities relevant to adjacent areas of Maryland and
Virginia. The amounts requested were: $188,708, $169,658, and $169,658,
plus appropriate indirect costs.

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Dr. Peeples abstained from voting.

 

 

 

ipplication No. 1-S02-RM- 00032-01, Western Interstate Coumission for Higher
Education, Boulder, Colorado: Br. Kevin P. Bunnell, Program Coordinator.

The Council recommends approval in the amounts and time requested of
$774,638 and $761,983, plus appropriate indirect costs. .

Application No. 1-S02-RM-00033-01,° Louisiana Stata Kenartment of Hospitals,

on

Baten Rouge, Louisiena: Nr. E. Lee Aserton, Acting Prerram Coordinator

The Council recomaends that this application be returned for revision.

It was the opinion of the Council that that application as submitted was

more in the nature of a pre-planning rather than a planning proposal. It
would appear that the applicant hag assaxbled nimerous opinions about whet

might go into a planning grant application, but that they now need to asseuble

these cpinions and put them in some form which can be identified and
clearly assessed by the reviewers. i/

Dr. Everist absented himself.

Appiiestion No. 1-S
New exico; Di. Reginald H, Fitz, Procssm Coordinator

&

The Council recommends approval with
conditions, The amounts requested were: $508,400, and $729,285, plus
appropriate indirect costs.

1/ Dr. Moore opposed.

92-PM-00034-01, The University of Hew Mexico, Alburcueraue,

aft contact to assure compliance with

 
 

 

 

 

Application Mo. 1-S02-R es SSE be Cl, Medical Collese of South Cacsiing
. +

Charleston, South Car oli ina; Dr. char les 2. Summereil, TEL, Procran

Coordinatcr 7 ,

The Council recommends that this apvlication be returned for revision
with the suggestion that: (a) they start with three or four largsc

regions asd subdivide them later rather than divide the State into nine
regtona; (>) they should be enccouresad to seek the services of & full~time
coordinator; {ec} there is no indication of adecuate representation in the
Negro population and; (d} there is no evidence of involvement of the other

educational institutions in the State, Dr. Moore abstained fren voting

.~SO2~RM-00036-01, Coordinating Committee of Medic
is of Tllinois, Chicago, Pilinois; Dv, Leon 5. Tasobson,

 

The Council reccemends that this application be disapproved beezuse there
was mo real description of the advisory groin, theixr-nmetheds of vrocedure,
the locai problems to be faced, or the positions to be filliad.
seemed to be total involvement of the medical schaols and thelr x
teaching hospitals, and practically no iuvolvement of community medical
Facilities.

Dr. Berry absented himsels during this discuesion,

    

 

 

Application No, 1-S02-8™ Medical Procram
Inc., Milwaukee, Wiscon: Prorvram Couzdinator

 

rt

The Council recomacnds approval with staif contact to assure compitence with
conditidnas. The amounts requested were: $319,453 and $341,063, plus
appropriate indirect costes.

oa No. 1-S02-4-000323-01, University of Washineston, Seattle,
ston: Dr, Bonal R. Snariesan, Proeram Coordinator

The Council reccmmends approval in the amounts and time requested of
$213,998, $230,934, and $241,795, plus appropriate indirect costs.

Application No. 1-S02-PM-60039-01, New York Medical Collese; Dr. Harold
S, Cole, Program Coordinator

Administratively withdrawn,
ITEMS OF POSSIBLE CONCERN

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Dr. Robert M. O'Bryan, of the Development and Assistance Branca, Div
Regional Medical Programs, presented a report on this suoject, Copi

mee
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report were distributed to the Council, and there was a general discussion.
However, no firm policy decisions were reached,

EDUCOM (Inter-University Communications Council)’

 

of Kkegional Medical Programs, reported on activities in thi . fh
EDUCOM meeting was held in July to discuss various kinds of activities that
are going on in the country in texms of handling science informati 1
EDUCOM staff, working with others from the outside, expect to submic a
proposal to a Government agency, presumably the Department of Heaith,
Education, and Welfare, (DEEW), to set up a prototype im an area. The
question ig yet to be evolved of how broad an area they will be involved
in to begin a network of communications between universities. Because of
this, some of our staff has attended a meeting with DHEW staff to discuss
this issue. It appeared that DHEW ts interested in pursuing this concept
further with EDUCCM, and that the Office of Education will become invoived
in the program,

Status of Contrects to study, "Systems Analysis"

Mr. Meucice Odoroff£, Assistant to Chief, DRMP (Systems and Statistics),
“yeported that we are exploring the possibility of getting competent help

in the area of "Systems Analysis." One of the things we would be interested
in is that such a person should have the ability to train a staff and to
give technical advise concerning influences of technological advances on
further capabilities in terms of this program.

Problems of waking erants to newly created, non-profit corporations for the
purpose of Repional Medical Programs

Mr. James A. Beattie, Chief, Grants Management Branch, DRMP, discussed tnis
3 ? 3 3
topic. Section 903 of the Public Law permits the Surgeon General to make
the grants to non-profit rivate egencies and institutions. Of the
& » P &
applications which have been considered by this Council to date, 12 have
been from private, non-profit corporations. Since these corporations are
a £ ze

not large, established organizations, there is a certain financi risk

a 9 ?
involved in making awards to them. One possible way to eliminating thi
risk is to require that the non-profit agency provide a surety bond t
guarantees compliance with written agreements.

Hany other problems arise with these types of situations, at which time tne
advice of the General Counsel is sought.

articles 6£ incorporation, by-laws, standards for fiscal accounts
ete. With regard to bonding, perhaps the Federal Government night ve i

own insurance carrier...

 
 

 

XIL. ADJOURNMENT

meaner

The meeting was adjourned at 12:40 p.m., August 13, 1966.

Eva M. Handal, Recording Secretary
Council Assistant, DRMP

s

I hereby certify that, to the best
of my knowledge, the foregoing
minutes and attachments are accurate
and complete.

ay, , coe >
Af f, L / . i: agit S44 y
Ak pep El / Nsiatgee” ~
Robert Q. Marston, M.D.
Associate Director, NIH, and
Chief, Division of Regional Medical Prograus

 

 
 

 

REGIONAL MEDICAL PROGRAMS
COUNCTiL MEMBERS
10/21/66

De. Leonidas H.. Berry
Professor, Cook County Graduate

School of Medicine, and
Senior Attending Physician
Michael Reese Hospital
412 E. 47th Street
Chicago, Illinois 60653
Dr. Marvy I. Bunting
President,
Radcliffe College
Caxbridge, Massachusetts 02138
Mr. Gordon R. Cumming
Administrator,
Sacramento County Hospital

2315 Stockton Boulevard
Sacramento, California 95817
Dr. Michael E, DeBakey
Professor and Chairman
Department of Surgery
College of Hedicine
ayler University
Houston, Texas 77025
De. Bruce W. Everist
Gréen Ciinic

O9 South Vienna
Ruston, Louisiana

Street
i270

Dr. James T. Howell
Executive Director
Henzy Ford Hospital
Detroit, Michigan 48202

Ex Officio Member

. Atlanta, Georgia

Dr. Jonn Willis Hursc
Professor and Chairms
Department of Medicine +
Emory University School

of Medicine
30303

Clark H. Millikan
rology

Dr.
Consultant in Neu
Mayo Clinic
Rochester, Minnesota 55902
Dr. George E, Moore

Director

Rosweil Park Memorial Institute
666 Elm Street
Buffalo 3, New York 14203
Dr. William J.
Commissioner of J
State Departme a
State Office pad iad
301 West Preston §
Baltimore, Marylen

6

Dr. Robert JV
Dean, Coliexe
University of \
Burlington, Vers ont
Dr, Cornelius H. Traeger
799 Park Avenue

New York, New York 1062

pet

Dr. William H. Stewart (Chairman)

Surgeon General
Public Health Service

Bethesda, Maryland 20014