POSITION STATEMENT APA 2000 Election

Maria T. Lymberis, M.D.

The APA of the 21st Century is being shaped now. I am seeking re-election as your Treasurer to complete the process of APA restructuring and APA corporate reorganization now in progress.

The APA restructuring has been on-going for over seven years. I have participated in the process of transition to our new Medical Director and in the development of our strategic goals and priorities as your Trustee-at-Large.

As your Treasurer, I have been addressing throughout APA such key issues involving:

Fiscal aspects such as fiscal responsibility, efficiency, accountability, uniform accounting procedures, performance standards, improved efficiency through functional integration and elimination of duplication; promoting APA non-dues income generation consistent with our ethics and mission; budgeting through APA's strategic priorities; providing full and open disclosure of APA's finances, ensuring prudent investment policies and the high return on all APA investments, including APA's sale of its interest in the Washington, D.C. real estate.

Functional aspects, such as improving the membership system include a capacity for central billing consistent with district branch needs; supporting the full integration of all APA publishing operations in one corporate entity while preserving APPI's track record of excellence in psychiatric publishing; focusing on membership recruitment and retention; working for a dues reduction formula through organizational coordination for members with multispecialty memberships; ensuring fairness and member participation during the restructuring and reorganization; keeping dues frozen and working for dues reduction as part of the APA corporate reorganization; working for a new integrated District Branch/APA partnership with APA revenue sharing with district ranches for legislative and public affairs advocacy with a targeted capability; ensuring that APA's major investment in an integrated communication system duly serves APA, its members, District Branches and Areas.

The stakes are very high. Our survival hinges on our building a new APA to better serve our members' needs, ensuring uncompromised quality service for our patients through excellence in education, training and research and providing powerful advocacy for patients and our profession.

As a foreign-born and U.S.-educated psychiatrist, I know intimately the value of change and cultural integration in enriching personal growth and development. As a wife and mother of three sons, I know intimately the stress of combining marriage, parenthood and career.

As a practicing clinician, psychoanalyst and child/adolescent and forensic psychiatrist in California, the land of managed care, I know intimately about intrusion into the doctor-patient relationship, the problems with confidentiality of medical records, standards of practice being dictated by cost, lack of fair reimbursement for our services and restrictions on psychiatric practice.

I have and continue to work to identify the ethical and malpractice risks in the managed care world. I am a named plaintiff in the antitrust Holstein et al. v. Greenspring suit, fighting for fairness and freedom for clinicians and for quality care for our patients.

I am a strong advocate for

Excellence in clinical practice by ensuring confidentiality and privacy of medical records; genuine patient choice of health plans and physicians; preserving the doctor-patient relationship; freedom for direct negotiation by individual professionals and groups on fees and quality standards of care regardless of system of care; preserving autonomous clinical decision making by psychiatrists regardless of system of care; promoting health care options, including point of service; medical savings accounts; and private contracting, all of which empower patients to take charge of their health care.

Strong legislative, public relations, regulatory and litigation initiatives for managed care and accountability and elimination of abuses.

Protection of psychiatric scope of practice, getting real parity (including substance abuse and psychotherapy) throughout the country and elimination of discriminatory practices against IMGs.

Support for expanded opportunities for research in psychotherapy outcomes, for the psychiatric needs of children and minorities, in the psychiatric aspects of racism and domestic violence; and assistance for academic training centers by APA's Psychiatric Institute for Research and Education.

Fight for quality psychiatric training for MITs in all training centers, including the military, and for expansion of practice opportunities for early career psychiatrists and board-eligible psychiatrists.

I have a strong record of constructive activism for change in APA. I am dedicated and known for my perseverance through hard times. On the basis of my performance as your Treasurer, over the current two-year term, I seek re-election to complete tasks now in progress.


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