1. We began the meeting with self introductions of people attending the breakfast meeting.
   
   
2. Programs included initially in another Region that selected the Western Region instead:
   
   
   1. Phoenix Children's Hospital/Maricopa Medical Center
      
      
   2. University of New Mexico, New Mexico
      
      
   3. University of Colorado, Colorado
      
      
3. Suggested "needs" for the Region
   
   
   1. Updated email listserv: There were many instances where a communication mishap or delay occurred because the information needed to go through the APPD central office before distribution. There should be a person in the Region responsible for the listserv, but keeping email addresses current should be the responsibility of the central office (because these are usually updated when dues are collected). The listserv should include chief residents as well.
      
      
   2. Regional identification: It was suggested that there be a "box" on the annual dues form which allows each program to identify the Region they wish to be a member of.
      
      
   3. Regional dues: For many programs, it would be easier to get money for regional activities if they were collected as part of the APPD dues, rather than try to ask for money on an individual basis. Each Region could determine the amount of dues they wish to collect specifically for Regional activities.
      
      
   4. Telephone communication support: Organization for holding regional phone conference calls would be helpful from the central office.
      
      
   5. Technologic support: The Region would like to have a web page to keep information (such as information regarding the Regional meeting) and support for uploading and upkeep would be helpful.
      
      
   6. Conference support: For the Regional meetings, financial support for the cost of meeting space would be necessary/helpful.
      
      
   7. Regional recognition: It was felt that the APPD should find a way to recognize and give "credit" for work done as a Region, including the person who organizes the regional meeting. Without that recognition (such as certificate, luncheon/dinner with the Board, letter to chair, invitation to the Fall meeting, acknowledged position for their CV, etc) it would be harder to sustain efforts directed for the Region. In addition, it should provide an opportunity for newer members of the APPD to express interest/ be groomed for leadership positions in the central organization.
      
      
4. Suggested "activities" for the Region
   
   
   1. The breakfast associated with the annual meeting was an important time to get together in a smaller more intimate group. It also allowed time for planning regional activities such as our regional meeting.
      
      
   2. We discussed our previous efforts to have a Regional meeting in the Western Region. For many years, the Southern California Residency programs met together as a group. There was a similar effort with the Northern California programs. Last year there was a Regional Meeting hosted by Loma Linda University, (organized by Sharon Riesen, MD). Approximately 30 people attended including Program Directors, Program Coordinators, and Chief Residents. The program was held on a Friday, and the morning session reviewed the proposed RRC changes. The afternoon session consisted of several presentations by participants regarding new educational innovations developed by their residency program. Feedback on the meeting was very positive and it was suggested that this activity be continued.
      
      
   3. The date of the next meeting will be September 16th and will be hosted by UC San Diego (Michael Gottschalk). The exact format of the meeting has not been determined yet, but Mike tentatively envisions meeting as a entire group for a review of 4-5 programs. Then the meeting will split up into three groups; directors, coordinators and chief residents. We'll all come back together for lunch and then a tour the facilities. Mike is working on generating a listserve for the region which will have four options; entire group; directors only, coordinators only and chief residents only. Through the listserve, Mike will request topics for discussion for the meeting. Medical student advisors for pediatric applicants (which may or may not be a program director) will be specifically invited to attend the conference as well.
      
      
   4. University of Washington volunteered to serve as host for the following year Regional meeting.
      
      
   5. It was suggested that the APPD Consultation Program could be coordinated with the Regional meeting and the consultant could serve as the Keynote speaker of the meeting.
      
      
   6. There was a discussion that our Region might consider developing a Chief Resident program in the future that could be used in addition to or instead of the national chief resident "camps" offered by various groups.
      
      
   7. It was discussed that many (but not all) of the subspecialty fellowship directors do not have a "home" and the Region/Regional meeting might serve as a place for these directors to get information regarding RRC requirements and share in residency knowledge/developments (such as in evaluations of residents).
      
      
5. Regional Organization
   
   
   1. The Program Coordinators met separately for part of the Regional Breakfast and elected Tracie Barnett and Drake Kendermore (University of Washington) as Regional Coordinator.
      
      
   2. The Program Directors also met and decided the best format for our region would be a 2 year position, with someone elected each year as a Regional Chair Elect. Bob Kamei will serve in the first one year term of office as Regional Chair and Roni Vasan was elected to serve as Regional Chair elect.

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