In 2000, the AMA modified its structure from that of a federation of state medical societies to near-equal representation of specialty and subspecialty organizations, expanding diversity of membership in the House, with greater numbers of women and minorities participating. That year, under the leadership of APA’s former President Joseph English, the Section Council on Psychiatry developed a long-term strategic plan to enhance our effectiveness. It requested appointments of psychiatric representatives who worked well with colleagues in other medical specialties and who could serve long enough to become well known and influential in the AMA decision-making process. We identified potential candidates for appointment and election to councils, where initial proposals for AMA policies are developed, and developed plans to increase their visibility and recognition. We worked with colleagues in state delegations and other specialty societies to prepare resolutions on topics important to psychiatry, and then promoted their adoption. We participated in caucuses and work groups, testified at reference committees, and served on numerous committees, bringing the voice of psychiatry to the AMA’s deliberations. APA also committed significant resources—especially first-rate staff—to support this plan.