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Presidential address.

Gynecologic endoscopic surgeons have achieved remarkable results in the past decade. We have frequently improved results compared with traditional open techniques. This has resulted in billions of dollars saved for the work force by converting inpatient to outpatient procedures and as a result decreasing the amount of time patients must be out of work. The growth of several industries including ambulatory surgicenters, managed care, and medical device manufacturers has been encouraged. Incomes for endoscopic surgeons have, however, decreased. Possible solutions include decreasing overhead, increasing income by participating in facility fees and performing a greater percentage of office procedures, and educating ourselves in billing processes and attempting to improve reimbursements for gender-specific procedures.

Cost Savings↗

The spirit of community psychology. 2001 Seymour B. Sarason Award Address.

Community psychology as a field may have lost some of its original spirit; a spirit dominant at the founding of the field. Spirit is a difficult concept to discuss since it is a concept beyond usual discourse in psychology as a denotative, measurable and verifiable concept. Taking the lead from William James, Spirit, however elusive, is most essential to a sense of self. I offer three suggestions to enhance and to make our individual and collective spirit more vital: (1) Continuing education in the history of community psychology; (2) Creating time to share stories about our work; (3) Creating safe settings to enlarge our spirit. These ideas are offered as pragmatic suggestions to enable us to create more coherence between our personal and professional selves.

Anecdotes as Topic↗