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      <Desc>research and Regulatory AffairsThe Physicians Committee promotes alternatives to animal use in research, testing, and education. The Physicians Committee has a full-time team of physicians, scientists, and research staff raising awareness of the ethical and practical research issues and assisting in the implementation of nonanimal methods in research and education. The Physicians Committee has been instrumental in eliminating animal use in medical school curricula, trauma training courses, and residencies in North America and abroad. Many medical schools and centers offer postgraduate residency or other specialized courses, and a minority of these programs use animals. The Physicians Committee is working to end the use of animals in these programs, which will improve physician and paramedic training and ensure healthy patient outcomes. We have focused on trauma training and on pediatrics and emergency medicine residencies in the United States and Canada. As a result of our work, only one of the 322 Advanced Trauma Life Support (ATLS) programs continues to use animals. All of the known pediatrics programs in North America teach critical procedures without the use of animals, and of the 246 responsive emergency medicine residency programs, 235 do not use animals to train residents.The Physicians Committee is leading the way in urging the National Institutes of Health (NIH) to replace the use of animals in diabetes, Alzheimer's disease, and nutrition research. Physicians Committee scientists and physicians meet with NIH leaders, publish scientific reviews and commentaries, and speak at national and international conferences on these subjects. In 2019, we expanded the Early-Career Researchers Advancing 21st-Century Research (ERA21) project. ERA21 provides outreach, advice, collaborative events, and resources to early-career researchers looking to conduct research with human cells, tissues, and other human-relevant models. The monthly newsletter has more than 150 subscribers, and the Facebook group engages young researchers as well.Physicians Committee toxicologists also actively promote the recommendations of the National Research Councils (NRC) June 2007 report for the development and implementation of nonanimal-based tests for chemical toxicity. One way in which this work is manifested is in the co-founding and continued support of the American Society for Cellular and Computational Toxicology (ASCCT). The ASCCT, which has more than 1,600 scientists on its mailing list, just held its eighth annual meeting, attracting senior scientists from government, academia, and industry, as well as student scientists. All were presenting their work on or discussing issues related to predictive toxicology, the discipline that has evolved from efforts stemming from the NRCs 2007 report. The ASCCT holds monthly webinars, attracting approximately 100 attendees each from around the world.In 2019, we learned that because of a new EPA policy accepting human cell-based methods for skin sensitization (methods which have been shown to be more predictive of the animal method it replaced), companies had submitted 25 dossiers, saving 750 mice in a few short months. The Physicians Committee advocated for the adoption of this policy and continues to encourage other regulatory agencies to adopt the same policy.Finally, this year the Physicians Committee provided training opportunities to more than 2,000 toxicologists in North America in web and in-person sessions describing new test methods or approaches for safety testing of chemicals, pharmaceuticals, and personal care products. In some cases, we have feedback from specific regulators that the training has resulted in increased acceptance of nonanimal test methods. The Physicians Committee also continued to schedule New Approach Methodology Use for Regulatory Application (NURA) training series events, designed to teach industry scientists how to use nonanimal approaches to assess the potential hazards of new chemicals they design through annual multiday, hands-on training events. Two events were held, and the presentations were videotaped and posted to an online portal. The Physicians Committee promotes this portal with online advertising, and the portal has more than 5,000 visitations.</Desc>
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        <Desc>Nutrition EducationThe Physicians Committee hosts continuing education opportunities for physicians, nurses, dietitians, medical students, and other health care professionals so they can bring tools of disease prevention into their practice. NutritionCME.org, an online continuing education website, offers up to 50 free, nutrition-focused continuing medical education courses. In FY 2019, 1,541 medical professionals completed at least one course, a 57 percent increase compared to FY 2018. Those professionals completed a total of 6,242 continuing education credits. In August 2019, we also hosted our seventh annual International Conference on Nutrition in Medicine, a live, in-person continuing medical education conference in Washington, D.C., attended by 1,000 health care professionals. The vast majority of the planning for this successful event took place in FY 2019.In FY 2019, our team coordinated and sponsored six lunch-and-learn events, reaching hundreds of medical and nursing students. Our experts spoke at University of Washington, Bastyr, Boucher, Yale, Florida Atlantic University, George Washington, and Johns Hopkins, reaching 495 students. We attended two medical student conferences: the American Medical Student Association and the Student National Medical Association, reaching 450 students. The Nutrition Guide for Clinicians app brings evidence-based resources to clinicians fingertips, and in FY 2019 reached more than 32,000 with more than 200,000 chapter views online. Our diabetes educator team delivered educational presentations to 2,500 diabetes professionals at national and regional conferences. They were educated on the science and practical applications of plant-based clinical interventions designed to reverse, treat, and prevent diabetes via lectures, workshops, or webinars. The Physicians Committee runs nutrition education programming to reach communities all across the United States:In FY 2019, we trained 28 Food for Life instructors to teach our healthful cooking classes in their communities. They came from as far as Italy, Canada, and Hawaii. The training awards 18 continuing education hours for nurses and dietitians. During the past fiscal year, our instructors taught more than 1,000 classes and reached approximately 4,500 students. The Physicians Committee currently has more than 280 instructors and Education Alliance Program partners in 44 states, plus the District of Columbia, and 17 countries. In FY 2019, more than 105,000 participants followed our free, online 21-Day Vegan Kickstart program, which promotes a healthful plant-based diet with tips and recipes and nutrition education videos from our nutrition experts. We offer this app-based program in both English and Spanish with culturally relevant recipes and nutrition education. We also have resources in Mandarin and for those of Indian origin. Since launching in 2009, more than half a million people have participated in the 21-day online program with more than 92,000 installs of our mobile version.In FY 2019, the Physicians Committee hosted two two-day Kickstart Intensives, which educated 145 attendees about the health benefits of a plant-based diet. The two-day program included nutrition lectures, cooking demonstrations, testimonials, health measurements, and four meals. Our Native American outreach continues as the diabetes epidemic grows. In September 2018, through a collaboration with Clinical Education and Nutritive Services at the Tsehootsooi Medical Center in Fort Defiance, Ariz., we provided a four-hour continuing medical education program for 170 clinicians and members of the public, who were also provided with plant-based meals and resource materials. In January 2019, 100 participants attended a second four-week challenge offered by Tsehootsooi. In February 2019, we offered hands-on instruction on preparation of 17 plant-based dishes for hospital employees. In April, we were invited to assist the Gallup Indian Medical Center (GIMC) in Gallup, N.M., and we partnered with them to train 100 cooks and nutritionists at events at the Gallup Community Pantry in June 2019. In July, 15 people attended a four-week challenge GIMC offered to employees. Both the Tsehootsooi Medical Center and GIMC now offer made-from-scratch plant-based meal options in their cafeterias each day.The Physicians Committee promotes plant-based options in school cafeterias around the country through various channels. HealthySchoolLunches.org offers free resources to assist schools in integrating plant-based meals into the lunch line. In FY 2019, we attended and presented at two Greening School Food forums hosted by Friends of the Earth, reaching a total of 200 school food service professionals combined. Attendees learned from us about policy initiatives supporting the addition of plant-based meals and removal of processed meat in schools. In the fall of 2018, Santa Barbara Unified School District agreed to remove processed meat from its menu for good with our assistance, and we publicized it. The food service director spoke at one of the forums about her success in removing processed meat and having a daily vegan option on their districts menu. The Physicians Committee also works to promote the removal of processed meat from school lunches through distribution of our toolkit and supporting policy initiatives. A New York City resolution to remove processed meat from school lunches received strong support from action alerts and 12 members who gave testimony at a city council hearing. The resolution later passed, banning processed meat from all New York City public schools.FY 2019 marked the kick-off of public meetings hosted by the U.S. Department of Agriculture to update the Dietary Guidelines for Americans, a process that occurs every five years. The Physicians Committee also monitored the nomination of members to the Dietary Guidelines Advisory Committee by submitting nominations and weighing-in on those ultimately selected. We sent representatives to all public meetings, posted comments, and presented oral testimony when the opportunities were available.In FY 2019, our Kickstart Your Health team visited the Triangle area of North Carolina where we partnered with local experts who actively promote plant-based nutrition in their communities. We highlighted them in the media, on billboards, and across several events including a community health fest, Forks Over Knives screening, grand rounds in a hospital, Food for Life classes, and lunch-and-learn sessions for medical students. We reached 490 laypersons, medical professionals, and city officials to offer nutrition education and long-term support. The Physicians Committees international outreach programs in China and India work to decrease rising chronic disease rates with nutrition education. In FY 2019, our India program specialist went on two tours in India and reached 600 people at the Vegan Indian Conference in July. In February, through a partnership with Bollywood actress Mallika Sherawat, we launched a billboard campaign in five Indian cities with the message Go Vegan for Someone You Love, which reached 27.4 million people through Hindi and English media. Our China program specialist delivered plant-based lectures in 70 cities reaching 31,000 people.</Desc>
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        <Desc>CommunicationsWorking with physicians, health experts, and celebrities who serve as spokespeople, we aim to inform, persuade, and inspire readers through strategic media relations, public relations, digital communications, content generation, social media, celebrity engagement, and advertisements. In the past year, our work was featured and referenced in traditional news outlets, including the New York Times, the Washington Post, the Boston Globe, the Star Tribune, the Houston Chronicle, the Miami Herald, and the Denver Post. Our message has been reported by wires including the Associated Press and Reuters, Capitol Hill papers including the Hill and Politico, and by major television networks including ABC News and CNN. International outlets such as the Daily Mail and the Toronto Star have covered our campaigns. Each month, we reach a potential audience of 240 million readers by appearing in an average of 167 news outlets. We further amplify this coverage on social media to empower our followers to make lasting health changes. Our social media content has created conversations daily among more than 1.3 million followers on 11 social media accounts. In 2018, we launched The Exam Room podcast which has reached more than 2.3 million people to date. These communications combined have reached hundreds of millions of people around the globe.On our websites, we post news about our peer-reviewed medical studies, our medical perspective on cultural commentary, our recommendations to strengthen scientific research standards, and expert-authored consumer health tips. In FY 2019, the Physicians Committee's websites received about 6.4 million visitors and 7.7 million page views.</Desc>
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        <ExplanationTxt>Reconciliation of SChedule G, Part I, line 2b, column (v) with Form 990, part ix.Total amount paid to fundraisers on Schedule G 331,955Total paid for professional fundraising services, Form 990, 11e 18,101Difference 313,854The reason for this reconciliation is because the costs incurred for one fundraising company were considered to be part of the joint costs from combined educational campaigns and fundraising solicitations. As a result, not all of these costs reported on Schedule G will be reflected as fundraising services on Form 990, Part ix, line 11e, column D. amounts amounts amounts included included included Form 990 Form 990 Form 990 Part IX Part IX Part IX column B column C Column D totalPrinting &amp; Publications 26,184 -0- 58,591 84,775Postage &amp; shipping 13,736 -0- 5,648 19,384Mailing list costs 1,875 -0- -0- 1,875Other services 110,664 -0- 97,156 207,820Total 152,459 -0- 161,395 313,854</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: PublicationsThe publications department supports the Physicians Committees nutrition and research ethics educational efforts through the design and production of print and electronic materials. In FY 2019, the department completed approximately 615 separately tracked projects. These design projects included a book, ads, fact sheets, brochures, postcards, educational diagrams, posters, billboards, fliers, program booklets, event signage, stationery, program logos, web graphics, infographics, merchandise graphics, and social media graphics. Supported projects included the 870-page third edition of the Nutrition Guide for Clinicians (2,500 printed copies), the 2019 International Conference on Nutrition in Medicine, demonstrations at universities, medical centers, and fast-food franchises, Food for Life instructor training, scientific conferences (academic posters and promotion), healthy hospital food initiative, Native American diabetes education, Alzheimers education Capitol Hill event, Kickstart Intensive event, Barnard Medical Center promotion and education campaigns, and toxicology education and websites. Many of our educational materials are available for free download from our websitePCRM.org.Good Medicine, the Physicians Committees 24-page magazine, keeps members informed and involved. Four issues of Good Medicine were published in FY 2019. Total print distribution was 364,485. The magazine also appears in electronic format on our website. OTHER PROGRAM SERVICES 5: CommunicationsWorking with physicians, health experts, and celebrities who serve as spokespeople, we aim to inform, persuade, and inspire readers through strategic media relations, public relations, digital communications, content generation, social media, celebrity engagement, and advertisements. In the past year, our work was featured and referenced in traditional news outlets, including the New York Times, the Washington Post, the Boston Globe, the Star Tribune, the Houston Chronicle, the Miami Herald, and the Denver Post. Our message has been reported by wires including the Associated Press and Reuters, Capitol Hill papers including the Hill and Politico, and by major television networks including ABC News and CNN. International outlets such as the Daily Mail and the Toronto Star have covered our campaigns. Each month, we reach a potential audience of 240 million readers by appearing in an average of 167 news outlets. We further amplify this coverage on social media to empower our followers to make lasting health changes. Our social media content has created conversations daily among more than 1.3 million followers on 11 social media accounts. In 2018, we launched The Exam Room podcast which has reached more than 2.3 million people to date. These communications combined have reached hundreds of millions of people around the globe.On our websites, we post news about our peer-reviewed medical studies, our medical perspective on cultural commentary, our recommendations to strengthen scientific research standards, and expert-authored consumer health tips. In FY 2019, the Physicians Committee's websites received about 6.4 million visitors and 7.7 million page views. OTHER PROGRAM SERVICES 6: Clinical ResearchThe Physicians Committee designs and conducts clinical health and nutrition research studies, with the goal of motivating more attention in diet and prevention among health care workers, medical researchers, policymakers, and patients.The paper entitled A plant-based diet in overweight individuals in a 16-week randomized clinical trial: metabolic benefits of plant protein, published in Nutrition &amp; Diabetes by Physicians Committee research staff, showed that plant protein, as a part of a plant-based diet, and the resulting limitation of leucine and histidine intake are associated with improvements in body composition and reductions in both body weight and insulin resistance. This study demonstrates the potential of plant protein for weight management and may influence the dietary recommendations.Physicians Committee researchers co-authored a case study demonstrating a complete remission of Crohns disease with a plant-based diet. This case study describes a young adult male with newly diagnosed Crohns disease who failed to enter clinical remission despite standard medical therapy. After switching to a diet based exclusively on grains, legumes, vegetables, and fruits, he entered clinical remission without need for medication and showed no signs of Crohns disease on follow-up colonoscopy. This case study gives hope to patients diagnosed with inflammatory bowel disease and needs to be taken into account when making dietary recommendations to these patients.A Physicians Committee researcher co-authored a systematic review and meta-analysis on vegetarian dietary patterns and major cardiovascular outcomes, published in Frontiers in Nutrition, showing that vegetarian diets reduce cardiovascular mortality and incidence. This paper highlights the usefulness of plant-based diets for people with elevated cardiovascular risk.The Physicians Committee published a letter to the editor of the American Journal of Clinical Nutrition, exposing the dairy industry funding and the methodological issues in a prospective study that was trying to prove that eating dairy is not contributing to cardiovascular disease. We suggest that the contribution of dairy products to cardiovascular risk is best adjudicated in carefully designed randomized trials. Such trials have already indicated weight gain associated with consumption of both low-fat and whole-fat dairy and a considerable risk from saturated fat intake. This suggests that the dairy industrys appeals for a more generous verdict should not be so easily granted.Two papers in Nutrients by Physicians Committee research staff and colleagues showed that vegetable fat and carbohydrates, as part of a plant-based diet, may play an important role in body weight regulation. Physicians Committee research staff and colleagues published a review paper entitled The effects of vegetarian and vegan diets on gut microbiota in Frontiers in Nutrition. A plant-based diet appears to be beneficial for human health by promoting the development of more diverse and stable microbial systems. High fiber intake also encourages the growth of species that ferment fiber into metabolites as short-chain fatty acids, which improve immunity against pathogens, promote blood-brain barrier integrity, provide energy substrates, and regulate critical functions of the intestine. The available literature suggests that a vegetarian/vegan diet is effective in promoting a diverse ecosystem of beneficial bacteria to support both human gut microbiome and overall health.Another paper by Physicians Committee research staff and colleagues, entitled Plant-based diets for cardiovascular safety and performance in endurance sports, published in Nutrients, showed the practical implementation of the research and suggested the use of plant-based diets to boost the performance in athletes.Physicians Committee research staff published a paper entitled The thermic effect of food: a review in the Journal of American College of Nutrition. The thermic effect of food is the increase in the metabolic rate that occurs after a meal and represents a potentially modifiable component of energy expenditure, therefore playing an important role in weight management. Evidence suggests that the thermic effect of food is increased by larger meal sizes (as opposed to frequent small meals), intake of carbohydrate and protein (as opposed to dietary fat), and low-fat plant-based diets. This highlights the usefulness of plant-based diets for weight management.Our current randomized crossover clinical trial is comparing the effects of a low-fat, plant-based diet to a Mediterranean diet on body weight, metabolism, and body composition. Using indirect calorimetry, we are measuring metabolism of overweight and/or obese participants in the fasting state, and then for three hours after a standard meal. Dual-energy X-ray absorptiometry (DXA) is used to assess detailed body composition. The participants insulin sensitivity and glucose metabolism is also tested. All of these tests are performed at baseline and after 16 weeks of a low-fat vegan versus Mediterranean diet, at week 20 (after a four-week wash-out period), and at week 36 (after 16 weeks of the second intervention). Sixty-two participants were enrolled and started the study. This study will provide important insights for dietary recommendations.Using the design of a randomized crossover trial, we are testing the effects of dietary cholesterol on serum cholesterol levels in vegans who have no baseline dietary cholesterol intake. This study will provide the dose-response information on how much dietary cholesterol affects blood lipids and cardiovascular risk. We are currently conducting a randomized crossover trial, exploring the power of a</ExplanationTxt>
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        <ExplanationTxt>Before it is filed, a Draft copy of Form 990 is sent to each member of the board. The Form 990 is accompanied by a letter illuminating the most important information on Form 990 and addressing any potential difficulties or controversies (if any). The letter asks each board member to respond by a date certain if they have any questions or input regarding Form 990. Also before it is filed, a representative from the preparers audit firm will review Form 990 with the Form 990 Review Committee, which consists of members of the audit committee and the Vice President of Legal Affairs. Upon unanimous approval of the draft 990 by individuals noted above, and after addressing any concerns and/or other input from the full board, Form 990 is filed with the I.R.S.</ExplanationTxt>
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        <ExplanationTxt>Each year board members are required to complete a detailed questionnaire designed to help them determine whether they have a conflict of interest. The board reviews the completed questionnaires, along with the conflict of interest policy, together annually.</ExplanationTxt>
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        <ExplanationTxt>Dr. Barnards (President of Physicians Committee) compensation was determined as follows: During a regular meeting the Physicians Committee's board reviewed data, including published salary surveys and compensation data from Form 990s from other charitable organizations, reflecting comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. Dr. Barnard was then asked to step out of the room, at which time the remaining independent board members discussed whether Dr. Barnards compensation is objectively reasonable, and upon finding it to be so, the board officially approved Dr. Barnards compensation. The deliberation and decision were contemporaneously substantiated.</ExplanationTxt>
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        <ExplanationTxt>Betsy Wason's (Physicians Committees Assistant Secretary and Vice President for Development) compensation was determined as follows: During a regular meeting the Physicians Committee's board reviewed data, including published salary surveys and compensation data from Form 990s from other charitable organizations, reflecting comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. Ms. Wason was not present at this board meeting. The board members discussed whether Ms. Wasons compensation is objectively reasonable, and upon finding it to be so, the board officially approved Ms. Wasons compensation. The deliberation and decision were contemporaneously substantiated.</ExplanationTxt>
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        <ExplanationTxt>PHYSICIANS COMMITTEES AUDITED FINANCIAL STATEMENTS, FORM 990, FORM 990-T AND FORM 1023 ARE AVAILABLE BY REQUEST. THE AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE ALSO AVAILABLE ON ITS OWN WEBSITE AT WWW.PCRM.ORG. PHYSICIANS COMMITTEES FORM 990 IS ALSO AVAILABLE ON OTHER SITES SUCH AS WWW.GUIDESTAR.ORG. PHYSICIANS COMMITTEE MAKES ITS CONFLICT OF INTEREST POLICY AND OTHER GOVERNING DOCUMENTS AVAILABLE ON AN AS NEEDED BASIS, SUBJECT TO THE DISCRETION OF THE ORGANIZATION.</ExplanationTxt>
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