Smooth 1- You are comparing apples and oranges. A doctor with one specialty and board certification in a specific field of medicine is not going to attempt to be a hospital administrator, and there are those who have that specialty who could not practice the area of specialty that say, my father has. Nor, do I believe that one has to be an MD to be a hospital administrator. We do a significant amount of framing for healthcare. One of our largest clients, UCSD Medical Center has a COO (chief operating officer) who is not an MD. Our TRADE association promotes/supports many aspects of framing and I believe that the Board and committee members should also reflect these aspects. I guess I still don't understand your point- Membership in the PPFA is voluntary. Board/committee positions are voluntary and are Board Members are elected by their peers after being nominated by a committee who has vetted their qualifications. Are you suggesting that there needs to be specific written qualifications for a board position and if so, could you please list specific things that you feel are important criteria in a point by point description?