Last year, amid the joyous celebrations of two weddings, I had a profound realization that the younger generation, commonly known as “millennials,” holds a sentiment deeply rooted in their mindset. These individuals, burgeoning with the promise of tomorrow, radiate a compelling desire to discover purpose in their professional endeavors. While generational labels are beside the point, their emphasis on purpose-driven work certainly is not.

It made me ponder the necessary changes that need to be embraced for a future aligned with ASA. To create meaningful impact, it is crucial that we embrace the millennial mindset and foster an environment that encourages collaboration, creativity, and adaptability, and fosters a purpose-driven work environment.

As ASA charts its course, strategizes its finances, and designs programs, we are presented with an opportunity, if not an obligation. It’s no longer enough to merely align with our organizational objectives. We must delve deeper. We must ensure that each member, from the seasoned veteran to the freshly inducted, finds their unique compass, their true north within our esteemed society. It’s about cultivating an environment where every anesthesiologist, under the ASA umbrella, is anchored by a profound sense of purpose, not only in the professional work they engage in, but also in their involvement in the American Society of Anesthesiologists. Our responsibility is clear. We need to recalibrate our visions, ensuring they are intrinsically aligned with helping each member not only discover but ardently embrace their purpose. For when an anesthesiologist’s work resonates with purpose, it becomes more than a job – it blossoms into a calling.

In the ever-evolving landscape of finance, the words of Winston Churchill ring with profound significance: “In finance, everything that is agreeable is unsound and everything that is sound is disagreeable.” This poignant observation underscores a fundamental truth that lies at the heart of financial decision-making: constructive disagreement and collaboration are vital components in achieving prudent and robust outcomes. In this context, the quote echoes the imperative for financial professionals to harmonize the clash of ideas and unite in a shared pursuit of sound financial strategies that withstand the test of time.

Upon assuming the role of Assistant Treasurer, I was immediately tasked with a pivotal responsibility – joining the esteemed Ad Hoc Committee on Program and Resource Prioritization. This committee, central to our organization’s financial health, has taken on the critical mission of bridging the negative gap projected between revenues and expenses over the course of the next three years. Embarking on this important journey, the committee has shouldered the weighty responsibility of evaluating the efficacy of our various programs while simultaneously devising a structured approach to address the impending challenges through potential dues adjustments. The rigorous nature of this undertaking demanded the collective expertise of numerous stakeholders drawn from diverse segments across the organizational landscape. Collaboration across these diverse perspectives compelled us to thoroughly dissect the intricate workings of ASA and its expenditure patterns. This strategic endeavor, undertaken with meticulous attention, has not only imbued the evaluation process with robustness but also underscored the direct correlation between the intricacies of our organizational activities and the overarching measures of success we aim to achieve.

Our collaborative effort in this initiative emphasizes the importance of enhancing profit margins by scrutinizing programs, setting priorities, and considering potential market-based membership fee increments to bridge the anticipated financial shortfall. In my capacity as a member of the Program and Resource Prioritization workgroup, I’ve been privileged to contribute to these critical discussions. Together with a team of dedicated committee members, we’ve embarked on the task of evaluating ASA’s programs, establishing clear priorities, and contemplating market-based adjustments. This engagement has not only afforded me a comprehensive insight into the ASA’s financial nuances but also enriched my understanding of where the organization channels its resources.

It is through this rigorous analysis and reflection that the alignment between purpose and practice becomes more apparent. Our decisions must resonate with the individual purposes and aspirations of our members. Every program, every dollar spent, should contribute to the overarching mission of making anesthesiology a field driven by passion, commitment, and a sense of individual and collective purpose.

The path ahead requires diligence, empathy, and a willingness to embrace change. Together, as a unified body within ASA, we are poised to create a future where anesthesiology is not just a profession but a calling that aligns with the values and aspirations of every member.

Through collective effort, transparent communication, and an unwavering commitment to our mission, ASA will continue to be a leading force in the medical community. Our focus on purpose-driven work is more than a trend – it’s a profound transformation that echoes the sentiments of a new generation and redefines what it means to be a part of our society.

The moment has come to reinvigorate our approach, redefine our priorities, and rediscover the intrinsic value of our work. The lessons learned from personal experiences and professional engagements within ASA have shaped a vision for the future – one that acknowledges the importance of individual purpose and strives to create an environment where every anesthesiologist can find meaning and fulfillment in their work. The time is now; let us move forward with confidence, clarity, and conviction.

As we gear up for ANESTHESIOLOGY® 2024, don’t miss your chance to contribute to the conference’s general sessions. The general session submission site will be open until late November, giving you ample time to submit your proposals. Once the submission site closes, our dedicated track chairs will take the reins, meticulously reviewing and recommending the submissions. These recommendations will then journey to the Committee on Annual Meeting Oversight (AMOC) Executive Committee, who will convene in early January to shape the conference’s backbone. The final verdict on the 2024 general sessions will be reached during the late January AMOC meeting. In a promising update, the AMOC executives will gather in Philadelphia for an immersive session review, including a site visit to the convention center and other key areas. This firsthand experience will greatly contribute to our preparations for an outstanding event in 2024. Stay engaged, stay inspired – your insights could shape the future of anesthesiology!