Indru T. Khubchandani, M.D. 
Director General

HISTORY:

It is well to recapitulate where we have come from. International Society of University Colon and Rectal Surgeons was incorporated in Mexico City in 1962 by Harry E. Bacon, M.D., Fidel Ruiz Moreno, M.D., and Stuart Ross, M.D. They wrote the bylaws, and recognizing the intricacies of an international organization, gave broad powers to Director General, an office occupied by Dr. Bacon, until his health failed. Then I was elected to take over in the eighties. The Bylaws Committee appointed the Director General as Program Chairman to shift the burden from local political pressure to a central “outside” figure to make some unpopular decisions.

The Society had a limit of 50 members then, and the eligibility requirement was Full Professorship at a major university. Over the years, the Council saw fit to increase the membership to 80, then to 250, and now to no ceiling. Although the bylaws have been relaxed to have ‘only academic interest’ as a criterion for joining the Society, careful scrutiny of the applications is still exercised after appropriate endorsements.

I sponsored an associate to join the Society of Surgery of Alimentary Tract in 1984, and he was turned down because he had only four publications, rather than the requisite of 10 to 12. Now, SSAT is advertising freely to enroll members with relaxed requirements. American Society of Colon and Rectal Surgeons is also making efforts to recruit members by advertising in publications and on the internet.

There is strength in numbers, certainly in the quality of the membership. The funds of the Society are generated by membership dues, registration fees at the Meetings, commercial support, and sometimes governmental support. The dues structure has been kept low. The Registration fees have been kept low, with a maximum of $400.00-$450.00, while other organizations charge $700.00-$800.00 as a norm. The Society is cognizant of the varying income levels around the world, and it wants people from all parts of the world to be able to attend.

PRESENT:

The membership currently runs at 550 dues paying surgeons with no other categories except Honorary Fellows. An indictment has been made that ISUCRS is a travel club. Certainly the quality of scientific program at the Malmo Meeting in 1998 and the record registration of over 1400 attendees at the Sao Paulo Meeting in the year 2000 would not so indicate. The selection of the future meeting site is made by the Committee largely on the basis of geographic location and the strength of the local host. Naturally, there is some attraction for attendees to prefer to go to ‘exotic’ locations, but for the past twenty yeas, the locations have been based on strong University support and not on the slot machines of Las Vegas. The only ‘weak’ meeting the Society had was in Glasgow, Scotland in 1988, because there was misrepresentation of the support from the Royal College of Surgeons. The selection of the venue is particularly difficult when projected years ahead. Who would have predicted the financial situation in Argentina in 2002?


FUTURE:

The Planning Committee has an extensive agenda to make recommendations to the Council and the Bylaws Committee. A dynamic group must evolve with events. The weakening forces of international participation due to economic conditions have to be countered with globalization at all levels in the world today.

ISUCRS is the only true international organization in Colon and Rectal Surgery. Other societies have, and are currently attempting to further enhance their exposure. We are already there!

The Research and Education Fund (Harry E. Bacon Foundation) has not been exploited to its fullest advantage. A financial grant invited lectureship is granted to several international organizations. Brazilian Society of Colon and Rectal Surgeons has been a leader in providing funds for young researchers.

With wisdom and stewardship of our elected leaders, my prognosis for the next millennium is optimistic. Those who try to detract from the healthy progress of the Society are best left on the sidelines. There is enough to cheer about.