March 25, 2013

 
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National Doctors' Day is March 30, 2013

National Doctors' Day is this coming Saturday, March 30, and several healthcare institutions in the state will be holding events to recognize the contributions of physicians to individual lives and communities.  Likewise, the Maine Medical Association pauses to thank all our members for their support of MMA but also for their work everyday on behalf of patients. Thank you MMA members for all that you do all year long.

The first Doctors' Day observance was held March 30, 1933 in Winder, Georgia.  Eudora Brown Almond, wife of Charles B. Almond, decided to set aside a day to honor physicians. The first observance included the mailings of greeting cards and placing flowers on graves of deceased doctors. The red carnation is commonly used as the symbolic flower for National Doctor's Day.

On March 30, 1958 a Resolution Commemorating Doctors Day' was adopted by the U.S. House of Representatives. In 1990, legislation was introduced in the House and Senate to establish a national Doctors Day.  Following overwhelming approval by the House and Senate, President George H.W Bush signed into law S. J. RES, #366.  

Doctors' Day marks the date that Crawford W. Long, of Jefferson, GA, administered the first ether anesthetic for surgery on March 30, 1842.  On that day, Dr. Long administered either anesthesia to a patient and then operated to remove a tumor from the man's neck.  Later, the patient would swear that he felt nothing during the surgery and was not aware the surgery was over until he awoke.

POLITICAL PULSE: Legislative Hightlights from the Week

Here are some highlights of what MMA's advocacy team followed at the State House the week of March 18th: 

COMMITTEE CONTINUES WORK ON HOSPITAL DEBT PAYMENT PLAN 

The Veterans and Legal Affairs Committee (VLA) held work sessions last week regarding the proposals to use future liquor revenue to pay the outstanding Medicaid debt to hospitals.  On Monday, the Committee discussed the liquor industry portions of the bill, on Friday they discussed the uses of the funds.  The bills at issue are LD 239, the Governor's proposal, and LD 644, sponsored by Senate Majority Leader Seth Goodall, D-Richmond. On Tuesday, Governor LePage let six bills go into law without his signature, despite earlier statements that he would veto any legislation until the hospital debt is paid. He did call on legislative leadership to set a date to pass a measure to pay the long-standing debt. One of the bills that will go into law without the Governor's signature is LD 32, An Act to Expand the Types of Vaccines That May Be Administered by Pharmacists, a bill followed by the MMA.   

REVIEW BEGINS OF DHHS PORTIONS OF 2014-15 BUDGET 

The Appropriations and Financial Affairs Committee has begun to hear public testimony on the 2014-15 Biennial budget. The Health and Human Services Committee is gearing up to join AFA to hear testimony on the DHHS portions of the budget beginning this week. You can find the hearing schedule here.  Proposed cuts to hospital outpatient services and critical access hospitals are currently scheduled to be heard on Friday, April 5th.  HHS members were briefed by the Administration on the portions of the budget dealing with DHHS last week.  You can find the presentation here.  

HEALTH AND HUMAN SERVICES COMMITTEE CONSIDERS NEWBORN NOTIFICATION, LYME DISEASE INFORMATION REQUIREMENTS

The Health and Human Services Committee held a work session last week on LD 257, An Act To Protect Newborns Exposed to Drugs or Alcohol. The MMA had serious concerns with aspects of the bill that would have required a health care provider to notify DHHS of every infant the provider knew or had reasonable cause to suspect was born having been "exposed to an illegal substance" or "requiring medical monitoring resulting from prenatal drug or alcohol exposure without regard to whether the substance was legal or illegal." MMA presented alternative language at the work session that physicians, public health professionals and other advocates preferred.  After a lengthy discussion the Committee approved extensive modifications to the bill that removed the portions of the bill opposed by the MMA.  

The Committee also took up LD 597, An Act To Inform Persons of the Options for the Treatment of Lyme Disease.  This bill would require the MeCDC to include information on their website from the International Lyme and Associated Diseases Society, an organization that advocates for long term use of antibiotics to treat Lyme disease symptoms.  The MMA submitted written testimony in opposition to the bill. State Epidemiologist Stephen Sears, MD, participated in the work session and stated that the MeCDC should not be required to display non-evidence based information on their website.  However, the Committee has heard from large number of constituents in favor of the proposal and is searching to take some action on the bill.  After a lengthy discussion, the Committee tabled the bill for further consideration this Tuesday afternoon.

LABOR COMMITTEE APPROVES CHANGES TO PA LICENSING 

The Labor, Commerce, Research and Economic Development Committee Friday took up LD 559, An Act To Modernize the Statutes Governing Physician Assistants. The bill makes a number of changes to the Physician Assistant licensing laws, including: adding a physician assistant member to the Board of Licensure in Medicine and the Board of Osteopathic Licensure; permitting physician assistants to delegate medical acts to medical assistants; repealing a provision in the laws governing licensing by the Board of Osteopathic Licensure that prohibits a physician assistant from employing a supervising physician; and requiring the Board of Osteopathic Licensure and the Board of Licensure in Medicine to do joint rulemaking and issue a single license to a PA.  After a brief discussion, the Committee voted unanimously that the bill ought to pass as amended.  The amendment is a fiscal note due to increased costs to the licensing boards. 

EDUCATION COMMITTEE SUPPORTS TIGHTENING SCHOOL VACCINATION REQUIREMENTS 

Last Thursday, the Education Committee voted 7-5 to approve LD 672, An Act Relating to Exemption from Immunization for Schoolchildren.  The bill would require that a school health care provider (school nurse or school physician) provide to the parent of a child excepted from the immunization requirements information about the benefits and risks of immunization and sign a statement that the information has been provided to the parent. 

IFS COMMITTEE HOLDS WORK SESSION ON INSURANCE MANDATES 

The Insurance and Financial Affairs Committee held work sessions last week on three bills that would create new health insurance coverage requirements.  LD 347 would require coverage of autism spectrum disorders for those up to 21 years old.  LD 627 requires health insurance policies that cover cancer chemotherapy to include coverage for orally administered anticancer medications and LD 682 would require health insurers to provide coverage for nutritional supplements. The Committee also held a hearing and work session on LD 523, which would require coverage for hearing aids. 

COMMITTEE SUPPORTS TAX CREDITS FOR PRIMARY CARE 

Last week, the Tax Committee held a work session and voted "ought to pass" on LD 440, An Act To Support Community Health Centers through Tax Credits for Dentists and Primary Care Professionals Practicing in Underserved Areas.  The bill would require the Department of Health and Human Services to certify up to 5 eligible primary care professionals who have unpaid student loans and practice full time for at least 5 years in an underserved area for primary care access credits in each tax year.   [return to top]

MMA Legislative Committee Conference Call, Tuesday, March 26th, 8 p.m.

The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, March 26th at 8 p.m..  They will be held every Tuesday at 8 pm through the session. 

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session:

Conference call number:  1-877-669-3239

Passcode:  23045263

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first:

LD 1050, An Act Requiring the Labeling of Food Packaging That Contains Bisphenol A (support; pediatricians; Public Health Committee)

LD 1053, An Act Regarding a Retired Law Enforcement Officer Carrying a Concealed Handgun without a Permit (support; Public Health Committee)

LD 1062, An Act To Add Conditions That Qualify for Medical Marijuana Use (oppose)*

LD 1063, An Act To Remove a Conflict in the Law Restricting the Sale or Purchase of Targeted Methamphetamine Precursors (monitor)*

LD 1064, Resolve, To Establish the Task Force on Independence from Public Assistance (monitor)

LD 1065, An Act Regarding Patient-directed Care at the End of Life (MMA standing position on physician-assisted suicide is "oppose;" no recommended position pending discussion)*

LD 1066, An Act To Increase Access to Health Coverage and Qualify Maine for Federal Funding (Medicaid expansion under ACA; support)*

LD 1090, An Act To Authorize a General Fund Bond Issue To Expand Nursing Programs at Maine's Seven Community Colleges (monitor)

LD 1091, An Act To Require Nonprofit Corporations To Disclose the Salaries of Their Employees (monitor)

LD 1093, An Act To Clarify the Criteria of the Health Professions Loan Program as It Affects Physicians Practicing Neurology-psychiatry (monitor pending further discussion)*

LD 1094, An Act To Fully Implement Health Insurance Exchanges and To Make Maine Law Consistent with Federal Law (support)*

LD 1118, An Act To Amend Public Access Laws To Improve Accountability for Public Funds by Making Public the Board Meetings of Hospitals Receiving Significant State Funding (oppose)*

LD 1122, An Act Allowing Municipalities To Enact Firearms Policies in Local Government Buildings (support; Public Health Committee)

LD 1127, An Act To Establish Hospital Administrative District No. 5, a Regional Hospital Administrative District in Lincoln County (monitor or support)*

LD 1134, An Act To Allow Collaborative Practice Agreements between Authorized Practitioners and Pharmacists (MaineHealth bill; support)*

LD 1149, An Act To Establish a Rebuttable Presumption Regarding a Corrections Employee That Contracts Hypertension or Cardiovascular Disease (monitor)*

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Maine Doctors: Accepting Federal Health Care Dollars is the Right Prescription for Maine

Health care providers serving in the Legislature and from the Maine Medical Association last Wednesday expressed their support for a bill that would allow Maine to accept federal health care dollars to cover more Maine people.

The measure, LD 1066, An Act To Increase Access to Health Coverage and Qualify Maine for Federal Funding, would increase access to health care for up to 69,500 Maine people under the Affordable Care Act.

“Accepting these federal dollars to get health care to more Maine people is the right prescription for Maine,” Rep. Linda Sanborn, the sponsor of the bill, and a retired family physician from Gorham, said at a press conference Wednesday. “Maine has an opportunity to cover more people and save millions of dollars currently spent to treat uninsured people in emergency rooms.”

Maine is projected to save $690 million in the next 10 years if it accepts the federal dollars, according to the nonpartisan Kaiser Foundation and the conservative Heritage Foundation.

Sen. Geoff Gratwick, a co-sponsor of the bill and a rheumatologist and arthritis specialist from Bangor, said the bill would also boost Maine’s economy.

“Building a strong economy and a strong middle class means making sure people have the health care they need, when they need it, at an affordable cost,” Gratwick said. “Accepting federal funds to increase health coverage will strengthen Maine’s economy and provide health coverage to thousands of hard-working Mainers.”

The measure would infuse $250 million of additional federal funding into Maine’s economy and create more than 3,100 jobs in Maine. Close to 1,700 of those jobs will be created directly by health care businesses.

Maine Medical Association President Dr. Dieter Kreckel said his organization of 3,800 doctors also endorsed the measure because it would lead to a healthier population.

“We know that individuals with health insurance are more likely to have a regular doctor and be healthier,” said Kreckel. “As health care costs continue to rise for everyone, we need to ensure that people have access to primary care and preventive services before their health care needs become high-cost emergencies or more difficult to treat.”

Gov. Paul LePage, who had publicly shunned the Affordable Care Act, has recently expressed some interest in accepting the federal dollars.  Although, last week, he sent a letter to HHS Secretary Kathleen Sebelius stating that he would require 10 years of 100% federal funding and additional flexibility in the form of a global waiver before he would participate in the expansion. 

Sanborn noted the bill currently has Republican co-sponsors in both the Senate and House.

Bill sponsors also include Rep. Jane Pringle, a retired primary care doctor and medical clinic director from Windham, Rep. Anne Graham, a pediatric nurse practitioner from Yarmouth, and Rep. Ann Dorney, a family doctor from Norridgewock.

Pringle spoke at the press conference about her personal experience treating patients without insurance. Graham and Dorney demonstrated their support at the event, as did members of the Maine Osteopathic Association and Downeast Association of Physician Assistants. 

The bill will have a public hearing before the Health and Human Services Committee on Tuesday, April 2nd.


Left to right:  Lani Graham, MD, MPH, Steve Diaz, MD, FACEP, Joel Kase, DO, Immediate Past President, Maine Osteopathic Association, Dieter Kreckel, MD, President, Maine Medical Association, Sen. Geoffrey Gratwick, MD, Rep. Linda Sanborn, MD, Rep. Jane Pringle, MD, Kenneth Christian, MD, Rep. Ann Dorney, MD, Rep. Anne Graham, PNP, and Kirsten Thomsen, PA. [return to top]

First Friday Educational Program "Annual Coding Seminar"

The Maine Medical Association's "Annual Coding Seminar" is scheduled for April 5, 2013 from 9:00 AM - 12:00 PM held at the Maine Medical Association. 

This educational opportunity features speakers Laurie Desjardins,  CPC-I, Director of Consulting at CSI Coding Strategies; Jana Purrell, CPC-I, CEMC, Mid Coast Medical Group Practice Administrator; and Gordon Smith, Esq., Executive Vice President, Maine Medical Association.  MMA will also have Elaine MacLeod, CPC, PCS, Manager at Baker, Newman and Noyes available for the round table discussion. 

This program includes topics on ICD-10 and discusses RAC Audits, transitional care management coding and other coding changes for 2013. Please go to our website to sign up for this event: https://www.mainemed.com/events/first-fridays.


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MAFP Offers Local Live Training in April for new DOT Physical Requirements

Effective May 2014, ALL medical examiners of commercial drivers (including school bus drivers) MUST complete FMCSA (Federal Motor Carrier Safety Administration) mandated training every 5 years and pass a certification examination every 10 years. This training is offered both in-person and on-line by a variety of organizations.  In fact, chiropractors (who are eligible to perform these exams) are among the groups most actively promoting training courses.

The Maine Academy of Family Physicians is the only physician organization that will be offerring this day-long training conveniently here in Maine on April 13, 2013, at Sunday River.  For more information, click here or contact Deb Halbach at MAFP, 938-5005.  [return to top]

3 Years After Passage, Majority Say They Don't Understand How ACA Will Impact Them

As the Affordable Care Act (ACA) turns three this month, the law remains more of a political symbol than a reality for most Americans, including those the ACA is designed to benefit the most, the latest Kaiser Health Tracking Poll shows. Less than a year before the law takes full effect, 57 percent of Americans say they still do not have enough information to understand how it will affect them. The share rises to two-thirds among some of the key groups the law was designed to help: the uninsured (67%) and those with incomes below $40,000 (68%).

The poll also finds that Americans’ awareness of key elements of the law has declined somewhat since passage when media attention was at its height. For example in April 2010, 64 percent of the public recognized that the law would prohibit insurance companies from denying coverage to people with pre-existing medical conditions. That number has fallen to 53 percent today. Similarly, in April 2010, 75 percent were aware of the law’s tax subsidies to help lower and moderate income Americans purchase coverage; today that figure is 62 percent. Awareness and enrollment efforts are now beginning to ramp up across the country, and the Foundation will continue to gauge awareness of the law among key groups in its tracking polls. 

The survey finds that the public is not tuned into decisions states are making today about whether to expand their Medicaid program under the law and how to establish the insurance exchange marketplaces. Just 7 percent of the public say they have heard “a lot” (and 15% have heard “some”) about their own state’s decision to set up an exchange or leave the task to the federal government. And 78 percent say they have not heard enough to say whether their governor has made a decision about whether to expand Medicaid under the ACA. This is true in states where the governor has announced that they will expand Medicaid (80% say they haven’t heard enough to say) as well as in states whose governor has said they will not move forward with the expansion (74%). The poll also found that more Americans say they favor expanding Medicaid in their state (52%) than say they oppose it (41%), and a large majority has a favorable view of the law’s health insurance exchanges (80%).

In general, the country remains roughly evenly divided on the ACA, with 40 percent holding an unfavorable view of the law and 37 percent holding a favorable one. Views of the law by party continue to be as polarized as ever, with most Republicans (68%) opposed to the law and a majority of Democrats (58%) favoring it. Independents are more negative than positive on the law (31% favorable, 45% unfavorable).

The poll shows that the most popular provisions of the ACA, including tax credits to small businesses and the closure of the Medicare drug coverage gap known as the “doughnut hole,” remain among its least widely recognized, while the law’s least popular provision -- the individual mandate requiring most people to obtain health coverage -- is its most widely recognized. On another health policy topic, the public does not perceive there to be a historic slowdown in the growth of health care costs, despite reports of such a slowdown in national studies, by experts and in the news [return to top]

Downeast Association of PAs Seeks Award Nominations

The Downeast Association of Physician Assistants is accepting nominations for 2013 awards! 

The three awards presented are:  the Robert J. Lapham Outstanding Service Award, the Outstanding Maine PA Award, & the Outstanding Health Care Professional Award.  

These awards are presented each year in recognition of outstanding service to the PA Profession and to the Downeast Association of Physician Assistants. Nominations are made to the Chair of the Awards Committee, who presents the names to the Board of Directors for final selection. The awards are presented at DEAPA’s Annual Meeting, held in the spring of each year. To make a nomination, visit our website by clicking on the following link:  DEAPA Professional Awards  where you will find descriptions of each award and where you can download a questionnaire/nomination form.  Complete the nomination form and email it to info@deapa.com or fax to 622-3332.

Please direct any questions to info@deapa.com.

DEADLINE: April 14, 2013 [return to top]

CMS Issues ICD-10 Guides

On March 13th, CMS announced four guidance documents for implementation of ICD-10 prepared to help providers and payers ready themselves for the October 1, 2014 compliance deadline.  ICD-10, the International Classification of Diseases, 10th Revision, is a new code set that updates from 13,000 codes in ICD-9 to 68,000 codes.  The four documents are aimed at:

  • Small and medium physician practices (1-20 physicians);
  • Large physician practices (more than 25 physicians);
  • Small hospitals (fewer than 100 beds); and 
  • Payers

CMS published a final rule on August 24, 2012, delaying the compliance date for ICD-10 from October 1, 2013 to October 1, 2014.  You can find resources on ICD-10 implementation for physician practices, including these guidance documents, on the CMS web site at http://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html.

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Congress Agrees on Budget Continuing Resolution; President Expected to Sign

On March 21st, the U.S. House of Representatives voted 318-109 in favor of a continuing resolution (H.R. 933) to keep the federal government in operation through the rest of the current fiscal year.  The House vote followed the Senate's 73-26 vote in favor of the resolution on March 20th.  The current continuing resolution funding the government expires March 27th.  The President is expected to sign the resolution. [return to top]

Upcoming Events

Maine Quality Counts Brown Bag Forum: ACO Series

 

Central Maine ACO & Maine Community ACO

 

March 26, 2013

 

12pm- 1 pm 

 

For more information or to register, click here

 

***


Quality Counts 2013: 

 

Alligning Maine's Forces to Become the First State to Reach the Triple Aim

 

April 3, 2013

 

8 am - 4 pm 

 

Augusta Civic Center 

 

Registration Now Open 

 

***

Medical Professionals Health Program 

1st Annual Professionals Conference:

Health, Wellbeing and Awareness, Fostering Wellness in the Workplace

April 5, 2013

Holiday Inn By The Bay, Portland

For more information, or to register, click here.

***

Muskie School of Public Service Health Policy Colloquia

Examining MaineCare's Coverage Options Under the Affordable Care Act  

April 8, 2013

9-11 am

Lee Hall, Wishcamper, USM (Remote Locations Available in Augusta & Orono)

Speakers: Joseph Antos, PhD., the Wilson H. Taylor Scholar in Health Care and Retirement Policy at American Enterprise Institute & Sara Rosenbaum, J.D., the Harold and Jane Hirsh Professor of Health Law and Policy, George Washington University School of Public Health and Health Services. 

Speakers will join a panel of Maine leaders who will react to the presentations and engage in a facilitated discussion about options and challenges confronting Maine and respond to audience questions. 

For more information or to register, click here.

***

AMDA Maine State Chapter 2013 Medication Safety Conference 

May 17, 2013

11:30 am - 3 pm 

DiMillo’s Floating Restaurant

25 Long Warf Portland, ME 

No cost to Healthcare Professionals

Topics include reducing adverse drug events related to Coumadin and practical approaches to reducing antipsychotic use in dementia. 

Attendees may registration online at www.mainemda.com or by contacting Tammy Wing directly at (207) 780-6565 or email thewitt@mainegeriatrics.com

 ***

Adverse Childhood Experiences and the Development of Adult Health-risks, Violence, Disease & Premature Death 

presented by Maine Association of Psychiatric Physicians

April 19, 2013

8-4:30 pm 

Mariott at Sable Oaks, South Portland 

Presenter: Vincent J. Felitti, MD 

For more information or to register, contact Dianna Poulin at dpoulin@mainemed.com or 622-7743 

***

Advancing Change:  Healthcare System Transformation in Northern New England 

Keynote Speaker:  Jay Want, MD, Center for Improving Value in Health Care

May 21, 2013

8:00 am - 5:00 pm

University of New Hampshire, 75 Main Street, Durham, NH

For more information or to register, click here

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Save the Date: Enhancing Healthcare for Persons with Intellectual Disabilities

June 11, 2013

Holiday Inn by the Bay, Portland

This one-day program will provide information valuable for improving clinical and systemic capabilities for the effective delivery of healthcare to persons with intellectual disabilities.

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Job Openings

MEDICAL DIRECTOR/PHYSICIAN - Health Access Network - Lincoln, Maine


Health Access Network (HAN), a Federally Qualified Health Center (FQHC) in Lincoln, Maine, is seeking a dynamic physician leader to serve in the role of Medical Director to provide overall direction and oversight of our clinical team, as well as provide part-time direct patient care. The Medical Director will join the health center’s leadership team in meeting the goals and objectives of the health center’s mission. Responsibilities include, but are not limited to administrative and on is two days a week administrative and three days providing direct patient care.

Qualifications: Board Certified in family medicine, Maine License, and have at least five years primary care and leadership experience. A practicing physician wishing to transition to a part time medical-administrative/management role is encouraged to apply. Community health center experience a plus. Familiarity with disease registries and electronic medical records is required. Must have exceptional verbal and written communication skills, and possess compassion, innovation, integrity, and excellence which are the health center’s values.

For more information or to forward your curriculum vitae' contact:  Sonia Maxwell, HR Director/Compliance Officer, P.O. Box 99, Lincoln, ME  04455, 207-794-6700, smaxwell@hanfqhc.org.

3/25/13 

FAMILY PRACTICE PHYSICIANS SOUGHT - Millinocket and Patten Maine Locations

Katahdin Valley Health Center is recruiting dedicated Family Practice Physicians that are committed to providing quality health care services to the people in Central/Northern Maine.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for our Millinocket and Patten locations.  KVHC is a fully electronic medical record site and offers a competitive salary and benefits package which includes sign on bonus, generous amounts of paid time off, health insurance, life and disability insurance as well as Federal Torts Claims Act (FTCA) malpractice coverage.  No nights, no weekends, either limited or no inpatient care and limited call coverage.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.

Physicians that join KVHC will be providing quality care in a dynamic, cutting edge environment, within a patient focused team of 11 Providers and 90 Staff Members.  As one of New England’s highest performing Federally Qualified Health Centers (FQHC), KVHC has a mission to provide community accessible, quality healthcare with compassion and dignity.

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at mlefay@kvhc.org or visit our website at http://www.kvhc.org.  KVHC is an equal opportunity employer.

3/25/13 

ORTHOPEDIC SURGEON - MAINE AIR NATIONAL GUARD

The Air National Guard Orthopedic Surgeon examines, diagnoses, and treats diseases and injuries of the musculoskeletal system by surgical and conservative means. In this role, you’ll perform surgery, manage orthopedic surgery services, oversee the administration of anesthetics, and provide diet recommendations.

Benefits
The Maine Air National Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free space-available air travel.

Learn More Today
Go to GoANG.com/ME or call 1-800-TO-GO-ANG to find out how you can become an important member of America’s homeland defense in the Maine Air National Guard.

4/1/13 

SURGEON - MAINE AIR NATIONAL GUARD

As a General Surgeon in the Maine Air National Guard, you’ll adapt the skills and knowledge you’ve gained in your civilian career to the military environment. You’ll provide urgent treatment to Air Guard personnel sick or wounded during duty, and regular healthcare to personnel training in your unit.

Benefits
The Air National Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free space-available air travel.

Learn More Today
Go to GoANG.com/ME or call 1-800-TO-GO-ANG to learn how you can become an important member of America’s homeland defense in the Maine Air National Guard.

4/1/13  

ACADEMIC FEMALE, NEURO & RECONSTRUCTIVE UROLOGY OPPORTUNITY
University of Vermont - Burlington, Vermont


The Division of Urology at the University of Vermont College of Medicine in alliance with Fletcher Allen Health Care is seeking a board certified/board eligible Urologist to work at our free-standing, fully-equipped Continence Center.  The successful applicant must have completed a board approved Urology residency, be eligible for medical licensure in the State of Vermont and be eligible to work in the United States.  Advanced training in Female Urology, Neuro-Urology and Reconstructive Urology is preferred. Duties will include general urologic patient care opportunities aligned with the teaching of medical students and urology residents.  Candidates should have broad experience in all aspects of Urology.  This is a full-time, 12-month, salaried position with attending staff privileges at Fletcher Allen Health Care and possible leadership opportunity.  The academic appointment at the University of Vermont will be at the Assistant Professor or Associate Professor level (Clinical Scholar Pathway) and will be determined by the candidate’s background and experience.

The University is especially interested in candidates who can contribute to the diversity and excellence of the academic community through their research, teaching, and/or service. Applicants are requested to include in their cover letter information about how they will further this goal.  The University of Vermont is an Affirmative Action/Equal Opportunity Employer.  Applications from women and people of diverse racial, ethnic and cultural backgrounds are encouraged.  Applications will be accepted until the position is filled.

Interested individuals should submit their curriculum vitae with a cover letter and a list of four references electronically to:  Scott Perrapato (Scott.Perrapato@umv.edu) or apply on-line at:  https://www.uvmjobs.com.

4/8/13 

DFD Russell Medical Centers seeking NURSE PRACTITIONER / PHYSICIAN'S ASSISTANT

The DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are looking for a full-time NP or a PA for immediate placement.  A current unencumbered Maine license and proficiency with electronic medical records are required.

Excellent benefits, including medical, dental and life insurance, 403(b) retirement plan, flexible spending accounts, a generous paid time off plan and incentive plan.  Salary is commensurate with experience.

We are an equal opportunity employer committed to diversity in the workplace.  If you want more information about this position, please fax or e-mail your resume to Laurie Kane-Lewis, CEO at Fax 524-2549 or E-mail laurie.kane-lewis@dfdrussell.org.

4/22/13 

PSYCHIATRIST, PSYCHIATRIC NURSE PRACTITIONER and/or PHYSICIAN'S ASSISTANT 

Assistance Plus is seeking two (2) full time psychiatrists, psychiatric nurse practitioners and/or physician assistants for the Medication Management Program in Benton and Wilton. The professional team is overseen by Robert Gordon, medical director. Our primary focus is to assist those with behavioral health disorders.

Applicant must be a graduate of an accredited degree program and licensed to practice in the State-of-Maine. A minimum of three years experience required.

We offer a generous benefit package of full coverage for health, dental, and 401K along with a sign on bonus of $5,000. This position is Monday through Friday and no on call coverage is required.

Please submit resume and cover letter to Jillian Jolicoeur 453-4708 ext 408 or email jjolicoeur@assistanceplus.com.

4/22/13 

DOCTOR SOUGHT (Full or Part-time)  in Falmouth, ME Practice

A progressive integrative medicine practice located in Falmouth, ME, is now hiring Doctors (MD or DO) for a full or part time position. This is a rare opportunity to break free of the limitations of the conventional medicine paradigm and begin a new, ideal practice. Are you tired of fast, poor quality patient interactions, stressful work environments, lack of autonomy in your practice, too much time dealing with insurance companies or frustrating EMR?  Imagine a practice where you can spend as much time as you want with each patient, establish real therapeutic relationships, work in a healing-oriented, emotionally mature, low-stress environment, learn new healing arts skills that actually help your patients, and customize your practice based on your own interests and strengths.

We offer competitive pay based upon experience level.  Compensation package include: hourly or daily rates, bonuses, health benefits, CME, and paid time off.   We see an exciting variety of conditions in patients that are motivated to heal, open minded, and deeply appreciative. Imagine a level of trust and rapport that reminds you why you chose to be in the medical field. Collaborate with practitioners of osteopathic manipulation, energy medicine, hypnotherapy, and more.  We take the time to learn from each other and from our patients for the mutual benefit of all involved.  Practitioners need to have genuine desire and experience in Integrative Medicine.  Examples would be trained in integrative medicine or other holistic modalities such as reiki, acupuncture, supplementation, hypnotherapy and other modalities.  Primary/Family care experience would be plus. We are growing and need full or part time, MD’s and DO’s statewide.

If you are interested in learning more, please send a cover letter and copy of your curriculum vitae to brad@Integr8Health.com.

4/22/13  [return to top]

For more information or to contact us directly, please visit www.mainemed.com l ©2003, Maine Medical Association