April 1, 2013

 
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First Friday Educational Program "Annual Coding Seminar" April 5, HIPAA Update June 7

Space is still available to attend MMA's Annual Coding Seminar this Friday, April 5 at the Association offices in Manchester and also offered through webinar.  The seminar is from 9:00 am to noon and registration is available on the MMA website at www.mainemed.com.  You may also register on the site for the popular June 7 Annual HIPAA Update that will focus on the recently published omnibus rules which will be enforced beginning Sept. 23, 2013.

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 as part of the Association's First Friday educational series which features an important topic the first Friday of each month.  The fee is $70 and the program is available both live and through Webex.

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.


MMA Legislative Committee Conference Call, Tuesday, April 2nd, 8 p.m.

The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, April 2nd 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 1233, An Act Regarding Cyberbullying (monitor or support; pediatricians)*

LD 1236, An Act To Amend the Maine Insurance Code To Ensure Fair and Reasonable Coverage and Reimbursement of Chiropractic Services (monitor or oppose)*

LD 1238, An Act To Improve Professional Training for Licensed Mental Health Clinicians (monitor; psychiatrists)

LD 1240, An Act To Promote the Safe Use and Sale of Firearms (support; psychiatrists; Public Health Committee)*

LD 1241, An Act To Protect School Athletes from Head Injuries (support; pediatricians; Public Health Committee)*

LD 1244, An Act To Require Child Protective Services To Screen Parents of Newborn Infants (monitor or oppose; check with MHA; pediatricians)*

LD 1247, An Act To Expand Coverage of Family Planning Services (support; OB-GYNs)

LD 1249, An Act To Make Statutory Changes To Address Certain Conflicting Requirements of the Maine Rules of Professional Conduct and the Federal Developmental Disabilities Assistance and Bill of Rights Act of 2000 Regarding Maine's Protection and Advocacy Agency (monitor; psychiatrists)

LD 1274, An Act To Sustain Emergency Medical Services throughout the State (monitor; emergency physicians)

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POLITICAL PULSE: Legislative Highlights from the Week

Here are some highlights of what MMA's advocacy team followed at the State House the week of March 25th: 

REVIEW CONTINUES OF DHHS PORTIONS OF 2014-15 BUDGET 

The Appropriations and Financial Affairs Committee and Health and Human Services Committee heard public testimony on a number of DHHS portions of the 2014-15 Biennial budget last week.  You can find the hearing schedule here.  Topics heard last week included the Fund for a Healthy Maine, public health programs and public assistance programs, including General Assistance.  MMA plans to testify on the budget this Friday, when the Committees will hear public testimony on proposed cuts to hospital outpatient services and critical access hospitals. 

HOSPITAL ASSOCIATION COMES OUT IN SUPPORT OF FEDERAL FUNDS FOR HEALTH CARE 

The Maine Hospital Association announced last week that Maine’s hospitals are in favor of LD 1066, An Act To Increase Access to Health Coverage and Qualify Maine for Federal Funding, the Medicaid expansion bill sponsored by Rep. Linda Sanborn, MD.  The bill would expand Medicaid to certain populations, particularly parents of children on Medicaid and childless adults, with a federal match of 100 percent for three years for most populations, phasing down to 90 percent.  The MHA's support is based on a presumption that Medicaid expansion will not be expensive to the state, according to their statement on the topic, and the Association still looks forward to the state providing the exact fiscal impact.  This Monday, the Maine Health Access Foundation - the independent private nonprofit health foundation formed in 2000 based on the sale of Blue Cross Blue Shield of Maine to Anthem - also took a position in favor of expanding Maine's Medicaid program. The Health & Human Services Committee will hold a public hearing on the bill this Tuesday, April 2 at 2 p.m.  Dr. Amy Madden, chair of the MMA Legislative Committee, will be presenting the MMA's testimony in favor of the bill. 

FLOOR DEBATE ON YOUTH TANNING TAKES ON PARTISAN TONE  

The MMA has worked with pediatricians, dermatologists, cancer survivors, public health advocates and others to support LD 272, a bill that would ban minors from using tanning beds.  The bill had bipartisan cosponsorship and received a strong 10-4 vote out of the Health and Human Services Committee earlier this session.  It was debated in the House last week and the discussion took on a strong partisan tone.  Democrats Linda Sanborn, MD, Ann Dorney, MD, Anne Graham, FNP, and Janice Cooper made statements on the floor outlining the cancer risks posed to young adults who use tanning beds and argued that protecting minors from indoor tanning is comparable to protecting them from alcohol or tobacco.  Republicans spoke against the proposal, stating that it took away parental responsibility.  Rep. Deb Sanderson even suggested that dermatologists had a cost motive for supporting the bill.  In the end, the House voted 82-63 in favor of the bill, largely along party lines, though a few Republicans did support the measure.  The bill still requires further votes in the House and Senate and then will be considered by the Governor.  

HEALTH AND HUMAN SERVICES COMMITTEE FINDS AGREEMENTS ON PULSE OXIMETRY, CHARITY CARE, LYME DISEASE 

The Health and Human Services Committee held a number of work sessions on bills this week, preparing for a temporary break from working bills to deal with the budget.   They found agreement on LD 460, An Act To Protect Newborn Infants by Requiring Birthing Facilities To Screen for Congenital Heart Disease Using Pulse Oximetry. MMA and hospitals had expressed concern about a proposed mandate that all infants be screened using pulse oximetry.  All parties worked together to agree on language that birthing facilities will have to screen all infants for critical heart defects, but without specifying a method of screening. Results of the screenings will be sent to DHHS.  

The Committee also held a public hearing and work session on LD 610, Resolve, To Amend the Rule Regarding Certain Mandatory Charity Care Policies To Be Consistent with MaineCare and the Federal Patient Protection and Affordable Care Act.  MMA monitored this bill.  The bill in its original form would allow hospitals to impose an asset test for charity care and it would reduce the mandatory charity care level in Maine law from 150 percent to 133 percent of the federal poverty level (FPL) because those with income above 133 percent will be eligible for subsidies under the Affordable Care Act (ACA) to buy insurance through federal exchanges.  Following the hearing, the Maine Hospital Association worked with organizations that had opposed the bill to  change the requirement to rulemaking to eliminate overlap between those eligible for subsidies between 133 percent and 150 percent FPL and Maine's charity care rule.  

The Committee also took up LD 597, An Act To Inform Persons of the Options for the Treatment of Lyme Disease.  This bill as drafted would have required 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.  The bill had been tabled from a previous work session and the Committee still struggled to reach compromise.  In the end, a majority of the Committee accepted an amendment proposed by Rep Ann Dorney, MD, that would not require the listing of a specific website but would require the Department to include additional information about treatment options.  The Republicans did not support the amendment and voted to support the original proposal, along with a requirement that physicians provide written information about possible false negatives and positives of Lyme disease tests every time they order a Lyme blood test. 

Two other bills MMA had been following and that were slated for public hearing last week were pulled: LD 520, An Act To Protect Maine Consumers from Predatory Medical Pricing and LD 539, An Act To Ensure Parity in the Ability To Counsel Patients.

IFS COMMITTEE HOLDS PUBLIC HEARING ON TRANSPARENCY BILL 

The Insurance and Financial Affairs Committee held a public hearing last week on LD 1006, An Act To Clarify Transparency of Medical Provider Profiling Programs Used by Insurance Companies and Other Providers of Health Insurance.  The goal of this bill is to allow providers that are judged, tiered, or otherwise ranked to be entitled to see the data used to rank them.   Andrew MacLean, Esq., testified in favor of the bill on behalf of the MMA.

MAJORITY OF JUDICIARY COMMITTEE REJECTS CHANGES TO COMPARATIVE NEGLIGENCE LAW

In a 9-1 vote, a majority of the Judiciary Committee voted last week to reject LD 458, An Act Regarding Comparative Negligence.   Medical Mutual Company of Maine and the Maine Association of Insurance Companies opposed the bill, which would have altered current law apportioning fault between parties to a lawsuit. 

MMA OPPOSES BILL TO MANDATE REPORTING OF SUSPICION OF CRIME 

Last Friday, the Criminal Justice and Public Safety Committee held a public hearing on LD 379, An Act To Require Institutions To Report Knowledge or Suspicion of Criminal Violations to a Law Enforcement Agency. The bill requires the administration of an institution supported by public funds that provides a public service - including hospitals -  to immediately report to the appropriate law enforcement agency any knowledge or suspicion of a crime or criminal activity that is taking or has taken place on the grounds of the institution.  The bill was supported only by one private citizen and opposed by a number of organizations and entities, including the MMA, Maine School Management Association, Maine Community College System, the Criminal Law Advisory Commission and the MCLU.  The work session is scheduled for this coming Friday and MMA will be there to observe and advocate.

LABOR COMMITTEE HOLDS HEARING ON ALTERNATIVE TREATMENTS 

The Labor, Commerce, Research and Economic Development Committee held a public hearing last Thursday on LD 747, An Act To Protect Doctors Who Prescribe a Complementary Course of Treatment and To Provide Insurance Coverage for That Treatment. The bill provides that the Board of Licensure in Medicine may not bring disciplinary action against a physician who prescribes or provides medicine or treatment that is authorized for a complementary health care provider. The bill also requires such treatment to be covered under health insurance plans.  The bill was opposed by the MMA,  The Board of Licensure in Medicine and Anthem; the Bureau of Insurance testified neither for nor against the bill.  A work session will be held on the bill this coming Thursday at 1:00pm. [return to top]

AMA Provides Resource on Medicare Sequester that Begins Today

Today, all Medicare services provided by physicians will be subject to a 2% payment cut under the budget sequestration.  As it stands now, the sequester will be in effect for nine years, unless Congress and the White House are able to reach a significant deficit reduction agreement that replaces it.  The AMA has developed a FAQ document to respond to questions regarding implementation of the sequester cut, as well as some related issues. You can find the AMA FAQ on the web here. [return to top]

MMC/Tufts Students Celebrate "Match Day"

Fourth-year medical students from Tufts University School of Medicine gathered on “Match Day” recently to learn where they will begin their residency training following graduation this spring. Nearly 200 doctors-in-training – supported by family, friends and the University community – eagerly opened small white envelopes to find the results of the national “Match.” This year’s Match Day at Tufts included the University’s first cohort of 32 students in the “Maine Track” program, a partnership between Tufts University and Maine Medical Center designed to train medical students interested in pursuing careers in Maine or other rural areas. MMA supports many of the students from Maine through low-interest loans from the Maine Medical Education Foundation.

All 32 students in the inaugural class of the Maine Track program participated in the Match. Ten matched in Maine, along with three who were not enrolled in the Maine Track program. The other 22 Maine Track students matched in 15 other states, including Alaska, Iowa, New Hampshire, and Wisconsin. Two will undergo residency training in the military. Sixteen (50%) of the Maine Track students will pursue residencies in Primary Care fields, including seven in Family Medicine. Another seven students will pursue surgical specialties.

Match Day is an extremely important and special day for these future doctors — one that they’ll always remember,” said Peter Bates, M.D., Chief Medical Officer at Maine Medical Center and Academic Dean for the Maine Track program. “It confirms their hard work and long hours of study, and reveals the next path that their journey will take. The students in our program are a closely knit group, and we could see the joy and excitement they feel for each other, as well.”

National Match Day is the culmination of a process that begins each fall, when senior medical students apply to residency programs through a national computer system designed to optimize the rank-ordered choice of applicants and residency program directors.  The results of the match were released simultaneously to all senior medical students across the United States. [return to top]

Spectrum, OA, & CMO Consider Merger and Integration

On March 28, 2013, OA - Centers for Orthopaedics (OA), Central Maine Orthopaedics (CMO), and Spectrum Medical Group (Spectrum) announced that they have signed a letter of intent to explore a possible merger and integration of their medical practices.  This would mark the largest independent physician practice consolidation in recent Maine history. 

"Innovative and proactive leadership is imperative in this uncertain and rapidly changing healthcare landscape," stated John Wipfler, JD, MBA, chief executive officer of OA.  "Our decision to integrate operations will provide opportunities to improve efficiency, ensure our ability to remain independent and maintain our focus on patient-centered care." 

Wipfler underscored the idea that remaining independent in today's environment is a top priority for all three organizations.  "Independently owned physician practices provide benefits to the community, physicians, employers and patients alike," stated Michael Cox, PhD, chief executive officer of CMO.

The integration would not affect patients' relationships with their individual physicians or their day-to-day interactions with the practices.  It also will provide patients with long-term benefits that result from the practices' ability to remain strong and financially viable in an uncertain environment.

The roots of this decision began with conversations between the Portland-based OA and Auburn-based CMO.  The two organizations determined that a consolidation would be in the best interest of patients of both practices.  They jointly approached Spectrum Medical Group about integrating into its organization.  Spectrum is the largest independent medical practice in Northern New England and has expanded its specialty service offerings over the past few years.

"By leveraging Spectrum's existing infrastructure, it would afford additional opportunities for increasing efficiency and improving patient care," said Cox.  "Both OA and CMO have a strong focus on delivering high-quality orthopaedic care that will improve patients' quality of life.  Under the Spectrum umbrella, we would be able to achieve our mission more effectively."

Spectrum Medical Group, based in South Portland, consists of nine operating divisions and includes more than 170 physicians across Maine and New Hampshire in the specialties of anesthesiology, critical care medicine, diagnostic radiology, interventional radiology, neurology, pathology, physical medicine & rehabilitation, radiation oncology and surgery.  The integration of OA and CMO will result in the development of an orthopaedics division at Spectrum and increase the total number of physicians in the group to nearly 200.  In addition, representatives from both OA and CMO will be represented on Spectrum's physician board of directors.

"We are thrilled about this opportunity with OA and CMO," stated Daniel P. Landry, MD, president of Spectrum.  "They are both vital and financially sound practices that share a consistent vision with Spectrum.  Our collaboration would allow us all to more efficiently achieve our collective goal of providing high-quality, cost-effective, patient-centered care."

Spectrum and OA already have a demonstrated track record of successful collaboration.  In 2011, the two organizations combined efforts with two other independently owned physician practices to form Specialty Solutions, an association of independent physician practices focused on identifying innovative ways to become more efficient, improve quality, and reduce healthcare costs.  The association now includes ten member practices.  Additionally, Spectrum, OA and CMO already collaborate in such areas as the outpatient surgical centers at the orthopaedic practices, imaging services and pain management.

More information about the practices can be found at www.orthoassociates.com, www.cmogroup.org, and www.spectrummedicalgroup.com.  It is anticipated that the integration will be completed by the end of 2013.

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Quality Counts to Host Over 500 at 2013 Conference on Triple Aim

Quality Counts will hold its 2013 Annual Conference:  Aligning Maine's Forces to Become the First State to Reach the Triple Aim this Wednesday, April 3 at the Augusta Civic Center.  This year's conference will feature keynote speaker Donald Berwick, M.D., former interim head of CMS, leading a discussion on how Maine health care providers, patients, and communities can work together to achieve the Triple Aim of improving patient experience of care, improving the health of the populations and reducing the per capita cost of care.

The day also features nationally renowned speaker Rosemary Gibson addressing the role of patients in improving care as well as a wide variety of breakout sessions offering attendees specific models and tools for working collaboratively to improve care and control costs.

The Maine Medical Association will be exhibiting at the conference, sharing materials on the external peer review program, the Office-based Quality Improvement Program and other activities overseen by the Physician Quality Committee and its health reform education project.

For more information and to register for the conference, go to the Quality Counts website at www.mainequalitycounts.org. [return to top]

HHS Finalizes Rule Guaranteeing 100% Funding for New Medicaid Beneficiaries

On Friday, March 29th, Health and Human Services (HHS) Secretary Kathleen Sebelius announced a final rule with a request for comments that provides, effective January 1, 2014, the federal government will pay 100 percent of the cost of certain newly eligible adult Medicaid beneficiaries.  These payments will be in effect through 2016, phasing down to a permanent 90 percent matching rate by 2020.  The Affordable Care Act authorizes states to expand Medicaid to adult Americans under age 65 with income of up to 133 percent of the federal poverty level (approximately $15,000 for a single adult in 2012) and provides unprecedented federal funding for these states.

“This is a great deal for states and great news for Americans,” HHS Secretary Kathleen Sebelius said. “Thanks to the Affordable Care Act, more Americans will have access to health coverage and the federal government will cover a vast majority of the cost. Treating people who don’t have insurance coverage raises health care costs for hospitals, people with insurance, and state budgets.”

The final rule provides important information to states that expand Medicaid.  It describes the simple and accurate method states will use to claim the matching rate that is available for Medicaid expenditures of individuals with incomes up to 133 percent of poverty and who are defined as “newly eligible” and are enrolled in the new eligibility group.  The system is set up to make eligibility determinations as simple and accurate as possible for state programs. 

Under the Affordable Care Act, states that cover the new adult group in Medicaid will have 100 percent of the costs of newly eligible Americans paid for by the federal government in 2014, 2015, and 2016. The federal government’s contribution is then phased-down gradually to 90 percent by 2020, and remains there permanently.   For states that had coverage expansions in effect prior to enactment of the Affordable Care Act, the rule also provides information about the availability of an increased FMAP for certain adults who are not newly eligible. 

The rule builds on several years of work that HHS has done to support and provide flexibility to states’ Medicaid programs ahead of the 2014 expansion, including:

  • 90 percent matching rate for states to improve eligibility and enrollment systems;
  • More resources and flexibility for states to test innovative ways of delivering care through Medicaid;
  • More collaboration with states on audits that track down fraud; and
  • Specifically outlining ways states can make Medicaid improvements without going through a waiver process.

For more information on the improvements made to Medicaid, please visit: http://www.medicaid.gov/State-Resource-Center/Events-and-Announcements/Downloads/MMF_Jan-Dec-2012_FINAL.PDF

For the full text of the final rule, please go to http://www.ofr.gov/inspection.aspx


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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]

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]

Upcoming Events

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 

 

***

Central Maine Orthopaedics Presents: 

GET PSYCHED ON CYCLING! An Evening with Rebecca Rusch

April 3, 2013

6 - 8:30 p.m. (Social Hour at 5 p.m.)

Green Ladle, 156 East Ave. Lewiston, ME

Your chance to learn first-hand how to get started in cycling or to maximize your performance and your enjoyment of your own pursuit of bicycle fitness.

To register, email rsvp@cmogroup.org

***

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

***

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

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