MSNCB President's Message: Understanding the Presence and Expertise of Med-Surg Nurses

  • Posted on: 18 February 2020
  • By: AMSN

By: Antoinette Falker, RN, DNP, GCNS-BC, CMSRN, CBN
MSCNB Board President

Med-Surg nursing is not only its own specialty, it is the foundation of all nursing specialties. As Med-Surg nurses we specialize in the care of increasingly complex patients with a dizzying array of illnesses. Our patients present for medical care, trauma care, surgical procedures, and even end-of-life care. We provide nursing care in many different practice arenas including hospitals, long-term care facilities, extended-care facilities, rehabilitation centers, doctor’s offices, clinics, home health, hospice, schools, universities, and industrial facilities.

In the healthcare arena, we as med-surg nurses assess patients, develop plans of care, implement the care plans, and modify the care plans according to the patient’s needs and wishes. In the educational arena, as med-surg nurses we are responsible for the education of our patients and their families, student nurses, graduate nurses, and annual nursing skills & competencies. For patients and their families, we provide discharge education, home supplies, and the equipment necessary for managing illness in the home environment. For student nurses and graduate nurses, we are the preceptors, charge nurses, and nurse managers. For those entering the field of nursing or returning to school for advanced degrees, we are faculty and clinical educators. In schools and industrial facilities, we are school nurses and occupational health nurses who are responsible for managing the health and wellness of students and employees. There are so many more arenas in which med-surg nurses practice. I have only named a few practice areas and I apologize for those I have omitted.

As med-surg nurses, we should be immensely proud of our specialty and the many ways we serve our communities. We need to applaud ourselves on the lives we save, and the skill sets we have with which to do so. We should be proud to serve as med-surg nurses and to seek the specialty certification of Certified Medical-Surgical Registered Nurse (CMSRN®). We must start proclaiming the specialty of medical-surgical nursing!

Coming soon, you will receive your own CMSRN Digital Badge! You will have the ability to share your badge on your email signatures, LinkedIn, and your social networks. Clicks on the digital badge will instantly show your certification and your professional association. As Dr. Seuss once said, “The Time Has Come, The Time is Now.” Happy March 19, 2020, Certified Nurses Day!

AMSN Legislative Brief February 2019

  • Posted on: 9 February 2020
  • By: AMSN

Med-surg nursing is a profession, Title 8 nurse workforce programs are vital, and smart research into nursing workforce is critical to improving health and health care in America. That's what AMSN President Robin Hertel, EdS, MSN, RN, CMSRN, and a med-surg nursing leadership delegation said in a meeting with top officials of the federal Health Resources and Services Administration in suburban Washington, DC.

Joined on Jan. 27 by AMSN President-elect Summer Bryant, MSN, RN, CMSRN, with CEO Terri Hinkley, EdD, MBA, BScN, RN, and legislative consultant Frank Purcell, the team met Bureau of Health Workforce Associate Administrator Dr. Luis Padilla, MD, FAAFP, Senior Advisor Capt. Sheila Pradia Williams, RPh, MBA, and several of their senior colleagues.

AMSN President-elect Bryant, CEO Hinkley, and President Hertel met HRSA Bureau of Health Workforce Associate Administrator Padilla in suburban Washington.

“Med-surg nursing is a vital profession,” said President Hertel. “As its leaders, we have the opportunity and responsibility to make the voice of med-surg nursing heard among the people shaping our practice and affecting our patients. Just as we advocate for patients in health care settings, we advocate for patients before policymakers and key officials.”

AMSN leaders also met Future of Nursing 2020-2030 project director Susan Hassmiller, RN, PhD, FAAN, and thanked her for joining AMSN for a recent Med-Surg Moments podcast. In 2019, AMSN was part of the Future of Nursing project’s Washington opening and town meetings across the country, providing witnesses and submitting testimony supporting the role and value of med-surg nursing. The panel’s new report is due to be published late 2020. Listen to Dr. Hassmiller discuss the social determinants of health on a recent Med-Surg Moments podcast.

AMSN has advised the Medicare agency to eliminate barriers to care provided by nurses, recognize the importance of nursing leadership in health care facilities, and integrate med-surg nurses more fully into the major agency’s communication initiatives. Over the signature of President Hertel, AMSN’s Jan. 17 recommendation to Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma was delivered in response to an agency request for feedback on the topic of scope of practice. See the CMS request here.

The 2020 federal budget process just finished, but the President’s 2021 budget proposal is on the doorstep. It is due to be submitted to Congress Feb. 10, a week after his Feb. 4 State of the Union address in the chamber of the House of Representatives. AMSN will be reviewing and listening for med-surg nursing priorities like funding for Title 8 nurse workforce development programs, support for the National Institute for Nursing Research (NINR), and continuing the work of the Agency for Healthcare Research and Quality (AHRQ). The Administration budget is important but only a proposal. Congress has the power to provide funding through appropriations bills – and med-surg nursing voices will be vital!

Be heard in Washington! AMSN’s new Legislative Action Center strengthens your voice. Through this new online resource, you can learn about vital AMSN policy issues, your own state and federal legislators, and make your voice heard. Our current calls to action urges Senators and Representatives in Washington to support Title 8 nurse workforce development legislation, and to take a practical, public health approach to reduce gun violence in America by funding critical research, supporting background checks, and treating not stigmatizing persons with mental illness.

Take action now!

Your voice matters – watch your email for the AMSN 2020 Legislative Survey! So that AMSN’s agenda and advocacy may align with the issues and actions members find most important, watch your email inbox and click to answer. Your voice will help ensure that AMSN’s voice is strong and consistent with the values and priorities of med-surg nursing!

What are AMSN’s advocacy plans and how can med-surg nurses engage? AMSN Legislative Team chair Yalanda Comeaux, MSN, MJ, RN, CMSRN, and legislative consultant Frank Purcell conducted a live webinar on this topic last fall, titled “Be Heard for Your Patients: Health Policy & Advocacy for Med-Surg Nurses.” Now it’s available for AMSN members through our online library! This one-hour program will educate you as a med-surg nurse about the fundamentals of advocacy, AMSN’s agenda, and AMSN’s advocacy plans for now and the future that invite your engagement and support your profession. Click here to learn more.

Robin's Nest President's Column - February 2020

  • Posted on: 9 February 2020
  • By: AMSN

Do Something You Love

With Valentine’s Day fast approaching, dedicating some time to something you love is a wonderful way to celebrate the holiday. Of course, we share the love with friends and family, but how much time to you share the love with yourself by doing something just for you? You are kind and care for others – it’s a part of who you are as a nurse. Who better to pamper for a few hours this month than yourself?

Research has demonstrated time and again that taking the time for self-care has multiple benefits including improving your physical and mental health by reducing stress. We have greater resilience and are better able at addressing stressful situations when we are feeling our best physically and emotionally. Making self-care a part of your routine is one way to prevent burnout. Taking time out for some self-pampering conveys a strong message to others – you value yourself. So, take a stroll in the park, set aside some time when you won’t be disrupted to soak in the tub, go to a local bookstore and browse the shelves, sit in a quiet place and leisurely enjoy a cup of tea.

I can imagine that you might be thinking that you don’t have the time to drink water throughout the day, much less sit and leisurely enjoy a beverage! The good news is that time isn’t the factor here – you and what you enjoy is. Your chosen activity should be something that meaningful to you, something that you enjoy and are passionate about. When I take the time to indulge myself, I enjoy the comforting activities above, but I am passionate about nursing. I love my role as a member of AMSN’s board of directors; our meetings fill me up because I have an opportunity to talk about nursing and what we can do to improve the practice and support our members. And I am so thankful for every one of the board members and their families. Everyone is so generous with their time and talent, often spending time in the evenings working for AMSN.

Do you have something that you are passionate about? Something that supports your values and lifts you up? I would encourage you to spend some time this month enjoying your passion. Why not make a list of things that make you feel grateful, happy, inspired or fulfilled and then find ways to incorporate them into your life? Make it a regular habit to indulge yourself; don’t put it off for when you ‘have more time’. Invest in you – your physical, emotional, and spiritual health. Commit to some time every day to do something small for yourself and then enjoy it. (Personally, I’m a big fan of letting a piece of dark chocolate melt slowly in my mouth. I enjoy the taste, the textures, and the little boost it gives me.)

I wish you all a wonderful Valentine’s day and I hope that you’ll share what you do for yourself with members by posting something on the HUB!

CEO'S Corner - February 2020

  • Posted on: 9 February 2020
  • By: AMSN

Digital Badges are Coming Soon!

The world is going increasingly digital. That shouldn’t be a surprise to any of you, all you have to do is look around you at almost every corner of your life to see the impact technology and digitalization are having. AMSN is embracing technology and digital tools to help you demonstrate your achievements and easily share your accomplishments.

To that end, we’re very excited to tell you that this month we will be rolling out digital badges for members and certificants. These digital badges share information with your network about your AMSN membership and your MSNCB certification. You can display your badge in your email signature, your Professional Briefcase®, and your social media accounts. If you haven’t heard about the Professional Briefcase® check it out here: The briefcase was developed by Praos Health, and through a strategic partnership it is a free member benefit for AMSN members.

We know that you like or need to provide proof to your employer for your certification, and now you can do so easily with our digital badge! The digital badge is secure and provides information on what the certification credential is in addition to providing the date you earned the certification and when it will expire. MSNCB partnered with BadgeCert to provide the digital badges and in the coming weeks you will receive an email from BadgeCert to collect your digital badge. Please be sure to download your digital badge and share it far and wide! Oh, and if you like a paper certificate to display at home or at work, you can print your certificate from your digital badge platform.

We look forward to seeing you display your membership and/or certification badges and helping you share the details of your membership/certification with your employer, family, friends and anyone else you want to share it with. Please don’t hesitate to let us know if you have any questions, we’re here to help! You can email me at

AMSN Legislative Brief January 2019

  • Posted on: 8 January 2020
  • By: AMSN

Your voice matters – watch your email for the AMSN 2020 Legislative Survey! So that AMSN’s agenda and advocacy may align with the issues and actions members find most important, watch your email inbox and click to answer. Your voice will help ensure that AMSN’s voice is strong and consistent with the values and priorities of med-surg nursing!

What Medicare policy barriers exist between patients and their health care professionals? The Medicare agency posted a notice Dec. 26 asking the public’s insights into eliminating or changing policy that keeps Medicare patients from access to the care they need, or having to pay higher prices for care. AMSN is reviewing the notice, which is available here. The notice is consistent with a June 24 presidential “Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First.” Public comments are due to Medicare by Jan. 17, 2020.

In the New Year, many states are beginning their legislative sessions this month. AMSN is monitoring key issues for med-surg nurses and their patients. For example:

• In Pennsylvania, the state House is set to take up SB 637, promoting expanded licensure opportunities for ex-offenders without affecting voluntary certification programs like MSNCB. This important bill passed the Senate last fall. AMSN worked through the Professional Certification Coalition (PCC) to help block an earlier bill (HB 811) that would have interfered with important voluntary licensing programs for med-surg nurses and other health care professionals.
• In Illinois labor groups are organizing to move legislation in 2020 establishing mandatory nurse-patient staffing ratios. AMSN policy supports med-surg nurses making staffing decisions at the local level, not one-size-fits-all government staffing plans. In 2019, AMSN sent a letter of opposition to Springfield about a previous staffing ratio mandate bill that died in the legislature and was not enacted into law.
• In New York Gov. Andrew Cuomo signed legislation eliminating prior authorizations for medication-assisted treatment (MAT) in commercial health plans, but vetoed similar legislation expanding access to care for persons with opioid use disorder with Medicaid health plans. Because the opioid crisis affects so many people including med-surg nurses, AMSN monitors opioid crisis legislation as part of its legislative agenda.

Robin's Nest President's Column - January 2020

  • Posted on: 7 January 2020
  • By: AMSN

Expand Your Boundaries of Influence
Robin Hertel, EdS, MSN, RN, CMSRN President, AMSN

On occasion I have wondered whether my role as a nurse has had much of an impact. I realize that caring for a patient is important to the patient and their family, but I felt like I needed to have a larger, more encompassing impact. This was actually one of the reasons I went into education and why I began my service as a volunteer with AMSN. Perhaps you may have felt the same way at one time or another.

When I was making resolutions and goals for this year, I decided that one of my goals was to stretch myself and venture outside of my comfort zone more often. This promotes continued growth and prevents boredom and stagnation. Channeling restlessness or a desire to do something different in a way that will make a positive impact is truly a goal worthy of 2020.

As I enter into my last year as service as the president of AMSN, I wanted to provide encouragement to others to seek out ways to stretch themselves and expand their boundaries of influence. Few things are more satisfying than service to others. What’s even better is there are so many ways this can be done!

You may want to consider volunteering at a local senior center to provide blood pressure checks and teaching about heart healthy living. If you enjoy social media, actively engage in platforms and promote the profession of nursing. And be sure to look for calls for volunteers from AMSN or check out the website for opportunities!

Another way to make a positive impact is to serve on a board or volunteer for an organization or in your own community. As the largest sector of health care providers who provide services for patients and their families at the point of care, we bring a unique perspective to the table. Nursing has long been considered the most trusted profession in the US and we have a wide knowledge-base regarding health care systems, patient and community needs, and barriers to accessing care. We have advanced communication skills in multiple situations in addition to critical thinking skills and the ability to use measurement and outcome data when making decisions. What organizations wouldn’t benefit from having a nurse on board?

I can tell you that in my experience, few things have been as rewarding as my service as a volunteer with AMSN. I have learned more and met more wonderful members and national leaders than I ever would have expected. I have become better at my job because of the unique leadership opportunities I’ve been fortunate enough to take advantage of. I have made lasting friendships that include not only other nurses, but also influencers in the legislative arena, in corporate America, and internationally. I never could have dreamed that service could be this rewarding.

Nurses have the opportunity to serve in local, state, and national offices as well as a wide variety of public and private corporations. The list is really limited only by your imagination. What are you passionate about? How can you expand your boundaries of influence as a nurse?

CEO'S Corner - January 2020!

  • Posted on: 7 January 2020
  • By: AMSN

AMSN is Here For You
Terri Hinkley, EdD, MBA, BScN, RN
Chief Executive Officer, AMSN & MSNCB

Welcome to 2020, the start of a new decade and the Year of the Nurse and Midwife, brought to us by The World Health Assembly, the governing body of the World Health Organization. I’m so excited to have a full year to celebrate you, our members!

AMSN has conducted several surveys over the past year, to ensure that we’re meeting your needs and to guide the new programs and services we’re building. We’ve asked you about membership, convention, education and advocacy. Your feedback is critical to our success, and we are grateful for all of you that took the time and effort to provide your feedback. We have listened to everything you said and are working to make AMSN an even stronger more vibrant and relevant community for all of you.

As a result of your feedback and the hard work of the board of directors and AMSN staff, AMSN is developing different programs and services to help you be the best medical-surgical nurses you can be. Educational programs, certificate programs, medical-surgical nursing competencies, CMSRN® certification preparation materials, new research that will inform and guide the work that we do, and so much more.

Also, in just about a month or so, we will be rolling out our brand-new website. Again, you helped us all along the way to help it come to fruition. Whether you participated in a survey, responded to an email with your concerns, or highlighted something you thought should be there, you helped create it just as much as our tech team of developers have. You reached out to us to explain what you want to see, how you’d like to engage, and what information means the most to you hone your skills and elevate your practice. You shared what tools you’ll need to better serve your patients. We can’t wait to hear what you think when you see it.

We’ll also be launching a beautiful new layout and content direction for our Med-Surg Matters publication, based on feedback and input you have given us. We’ll be giving thoughtful editorial coverage to our members, chapters, and partners to highlight all of the good work in the med-surg community. We’ll make sure unsung heroes don’t stay that way for long. We’ll help shed light on what it’s really like to be you – a med-surg nurse – in this day and age. Within the pages, we’ll also take a deeper dive into the stories and experiences that make our med-surg nurses so amazing. We are relying on each and every one of you to tell us your stories, share your successes, your fears, and your hopes. In the new Med-Surg Matters – you are the center of what matters.

We are so excited to celebrate you over the course of 2020, and beyond. Please feel free to reach out with any comments or suggestions you might have for programs, the new site, or the new publication. Or, about anything you’d like to share. You are at the heart of all we do. My email is; I look forward to connecting with you.

December 2019 - Robin’s Nest

  • Posted on: 6 December 2019
  • By: AMSN

Recharge and Renew. Take Time for You.

If you are anything like me, you live much of the year with urgency and a list containing too many things to accomplish. While it’s important to live life with passion, are we focusing on the right things – the things that truly matter? Are we working frantically to tick things off our list or are we working every day to improve ourselves as nurses, family members, friends, and members of a community?
Being involved and staying busy can be a distinct source of stress. We run the risk of living life with mediocrity in order to accomplish those items that seem so important. Perhaps it’s time to take a cue from the nature around us and slow down, recharge for the year ahead, and build on our current strengths while developing new ones.

When we are overwhelmed and trying to conquer that list of to-do’s, we risk losing the energy to focus and the ability to make clear decisions. It’s important to take some time to recharge your personal battery by focusing on physical and emotional needs.

Taking good care of your body has a synergistic effect of recharging your mind as well. It is an outlet for stress and a key factor in avoiding burnout. Some simple things that I do to take care of myself physically include walking my puppy through the nature trail each day. I love being in nature and feeling that connection to Earth that is so easily lost living in the city. I take restorative breaks throughout my day at work as well. I usually hit the ground running when I get to work and have a terrible habit of telling myself that I have too much to do to take a break. On these days, I try to do stretching exercises at my desk. A stressed, exhausted body is more prone to injury so taking a few minutes several times a day to do some stretches and practice deep breathing really helps ease the tension I’m holding on to and helps me refocus.

It's equally important to take care of yourself mentally and emotionally. Dwelling on that to-do list or worrying about all the tasks that you weren’t able to accomplish in a single day is quite taxing physically as well as mentally. The more focused we become on that list, or the things that remain to be accomplished, the less able we are to recharge. To recharge mentally I make a weekly trip to the bookstore. I love to read, and on the weekends, I treat myself by spending a few hours browsing the shelves. Then, I gather all the books that have piqued my interest and sit down in the bookstore café, sipping a latte (maybe eating a brownie) and just immersing myself in the worlds the books take me to. It’s my treat to myself every week and although it seems completely indulgent to do so, I cherish this time to focus on a simple pleasure. I also try to take a break from technology for one day during the weekend. It helps me recharge by disconnecting from social media, e-mails, and even television and just be present in the moment.

Whatever it is you do to recharge and renew, please take time during this busy part of the year to take care of yourself, enjoy the season, and recapture the passion and energy that will see you through the long winter. You are important and you do such important work. Continuing to do the many things you do with your cup only half full hurts not only you, but it diminishes what you have to offer to those you care about and for.

Take good care of yourself,
Robin Hertel, EdS, MSN, RN, CMSRN President, AMSN

CEO’s CORNER December 2019 - Happy Holidays to You and Yours!

  • Posted on: 6 December 2019
  • By: AMSN

Happy Holidays!

Wow, I can’t believe it’s the end of 2019. Where has the year gone? Perhaps it’s only me, but every year seems to go by faster and faster. I think it’s natural for most of us to have a period of reflection in December, as we move towards the end of one year and look forward to the next one. As I reflect on 2019, I’m struck by the many incredible things AMSN is doing for our members and the broader medical-surgical nursing community. Our goal, quite simply, is to help you be the best nurse you can be. We want to provide you with relevant and helpful practice information, keep you informed on what is happening in the practice environment and legislative arena, and provide you with the tools you need to successfully navigate your practice setting.

We hope that you are finding value in all that AMSN is doing for you. We have big plans for the future and I’m so excited for 2020, the Year of the Nurse and Midwife, when we will have numerous program and project launches that we heard you need. Things like a behavioral health course, specifically designed for medical-surgical nurses that are caring for behavioral health patients in your practice, not on behavioral health units. We recognize the challenges are different, and that many of you do not feel you have the necessary expertise to care for these individuals. We are re-launching our clinical leadership development program as a certificate program, one that awards a certificate for learning, not simply for participation. This certificate will demonstrate your competence in leadership at the point of practice.

We’ll begin work on our next version of the Core Curriculum for Medical-Surgical Nursing and have new chapters planned that are reflective of the current, and emerging, practice area for medical-surgical nurses. We are updating many of our resources to be available electronically and in print, because we know how you consume data and information is changing. And, don’t forget, our new website will be launching at the end of this year or early next year. You’re going to love it. It’s so much more responsive and the navigation is based on your feedback through user experience testing. You’ll be able to find what you need and engage with the content in a much better way.

We have some initiatives coming in early 2020 that are looking at the leadership development of our emerging leaders. You are all leaders in your practice, and we want to help you develop those leadership skills even further through leadership programming with AMSN’s Board of Directors and volunteers. We have new certification tools coming that will make it easier, and faster, to apply for certification and to track your CE. FailSafe organizations will have a new portal that will allow them to approve candidates for certification and track reports. We know that it will improve the current process! Stay tuned, because we have even more planned across all our programs and services.

In closing, I want to acknowledge that the holidays aren’t always a happy time for everyone. You all experience that in your nursing practice. We know you work long hours, including over the holidays, because most health care settings are open 24 hours a day, 365 days a year. You spend time away from your families and friends on holidays, caring for those also separated from their family and friends. Patients and families experience loss and grief, and we feel it too, sometimes more acutely because of the time of year. It is a stressful time for all involved. Please take care of yourselves and be sure to read this month’s Robin’s Nest to read some self-care tips for the holidays (and every day).

We wish you Happy Holidays!
Terri Hinkley, EdD, MBA, BScN, RN
Chief Executive Officer, AMSN & MSNCB

CLDP Volunteers Needed

  • Posted on: 6 December 2019
  • By: AMSN

Volunteer positions available for AMSN’s Clinical Leadership Development Program. Content review, item writers, test form review & item analysis, standard setting & cut score.
AMSN's Clinical Leadership Development Program (CLDP) is a valuable educational resource for front-line medical-surgical nurses to develop their leadership abilities and behaviors. AMSN, in partnership with MSNCB, is in the process of converting the CLDP to a certificate program and are in need of volunteers to make this happen!
We’re looking for 20-25 volunteers to participate in one of four volunteer groups. Meetings may take place virtually or in-person and you can participate in more than one group. AMSN and MSNCB will cover travel expenses when attending in-person meetings.

See below for more information about each volunteer group including where and when the meeting will take place and the time commitment needed to complete each project.

Qualifications for all 4 Volunteer Groups:

Full member of AMSN for at least 2 years
BSN or higher degree
Have at least 5 years of medical-surgical nursing experience
Currently practicing in a Nurse Manager/Coordinator/Director or other nursing leadership capacity for a medical-surgical unit for a least 2 years (Content Review Team only)
Have completed CLDP course, preferable
Able to meet project completion timeline

Content Review Team
We are looking for nursing leaders to review the content for each module to ensure the content is up to date and relevant. Each team member will be expected to review 2 of the 10 modules to update content and references. This will take approximately 5-10 hours to complete.
Volunteers Needed: 20 people
Where: Virtual review
When: Work will begin in January with the completion date of February 29, 2020.

Content Item Writers
Volunteers will be charged with writing 100 questions in total for all CLDP modules. Experts will provide training and guidance during the entire item writing process.
Volunteers Needed:10-12 people
Where: 2-day in-person meeting held in Pitman, NJ (Philadelphia, PA airport). A 1-2-hour follow-up virtual call will take place 2-4 weeks after the in-person meeting to review the beta test form.
When: There are 3 anticipated dates set aside for the in-person meeting:
January 11-12, 2020
January 18-19, 2020
January 25-26, 2020
A Doodle poll will be sent to determine availability for virtual follow-up.

Test Form Review & Item Analysis
After writers build the questions, a group of individuals are needed to review the test form prior to beta testing. After beta testing is completed, this group will reconvene to analyze each question and its performance during beta testing. Experts will provide training and guidance during the entire process.
Volunteers Needed: 3-5 people
Where: 2 Virtual Meetings
When: Form Review 1-2 hours February or March
Item Analysis 3-5 hours March or April
A Doodle poll will be sent to determine availability for the final virtual meeting dates.

Standard Setting & Cut Score
The final step to the entire process is setting a passing score for the CLDP certificate. Experts will provide training and guidance during the entire process.
Volunteers Needed:5-7 people
Where: Virtual meeting
When: 3-5 hours April or May
A Doodle poll will be sent to determine availability for the final virtual meeting dates.

If you are interested in one or more of the CLDP volunteer groups, please complete an application and submit your CV or resume in OpenWater by Friday, 12/13/2020.  Application can be found here:

If you are selected, we will notify you as soon as possible.
 Your time, talent, and expertise guide the organizations and advance the specialty of medical-surgical nursing. Your participation is invaluable!