August 25, 2014

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Board of Licensure in Medicine Clarifies New Telemedicine Policy

The Maine Board of Licensure in Medicine last week clarified its policy on Telemedicine adopted at its June meeting and posted on its website.  While the Board wishes to follow recommendations of the Federation of State Medical Boards (FSMB) and is concerned about some of the evolving applications of technology and medicine, it was not the intent of the Board to restrict or shut down any of the existing efforts in the state that have been developed under current law.

 The Board intends to review the policy at its September 9th meeting and further clarification will be made at that time.  The Board, through Executive Director Randal Manning, has made the following statement available to MMA to share with licensees today:

       "In June of this year, the Board of Licensure in Medicine adopted a Policy regarding telemedicine, intended to protect patients and support physicians by articulating best practices in distance medicine.  The Board supports the use of technology in providing patient care, and the policy was intended to pro-actively address concerns of poor practice emerging in other areas of the country.  Important questions regarding the interpretation of the policy as a guide to good practice, which the Board attempted to address in the policy, will be re-visited at its September meeting, to clarify concerns expressed.  The Board appreciates your concerns and input.  Watch our website for updates."

 Highlights of the new policy posted in June included the following:

  • Telemedicine-Distance Medicine is defined as the practice of medicine at a distance through the use of any electronic means.
  • The practice of medicine occurs at the originating site, defined as the location of the patient at the time of examination, diagnosis, or treatment.  
  • Medical records must be kept at the distant site, meaning the location of the physician providing telemedicine services.  Medical records must be accessible to local health care providers and local health care facilities upon request.  Medical records maintained at the distant site are expected to meet all medical record standards and confidentiality rules.
  • Evaluation and Treatment.   The telemedicine interaction must include all the recognized components of a patient-physician encounter required to establish a diagnosis and provide treatment.  The interaction, treatment recommendations, and the issuance of prescriptions will be held to the same standards of appropriate practice as those in traditional face-to-face settings.
  • Telemedicine physicians providing primary care, other than acute episodic care, must have a face-to-face visit with their patients once a year.
  • Prescribing.  The physician prescribing via telemedicine must ensure that the clinical evaluation and rationale for the resulting prescription are appropriately documented and meet the same standard of care as that of a traditional patient-physician interaction.  
  • The prescribing of all controlled medications via telemedicine is prohibited.
The prohibition against prescribing any controlled substances via telemedicine was the one standard creating the most concern in the medical community, given that many telemedicine projects in the area of tele-psychiatry have been prescribing through telemedicine for many years.  It is hoped that the Board will eliminate or amend this aspect of the policy in September.

The entire policy is available on the Board's website.


MMA Welcomes Maine Nephrology Associates to Group Membership Program

The Maine Medical Association welcomes Maine Nephrology Associates (MNA) and its eleven nephrologists to MMA's group membership program. MNA  is a private practice located on Congress Street in Portland and is Maine's largest nephrology practice.  Michael Akom, M.D. is the group's President.

MMA's group membership program is available to any practice in the state with ten or more physicians.  For further information on the program, contact Gordon Smith, Esq., the Association's Executive Vice President at or call 207-622-3374, ext. 212 or 207-215-7461 (cell).

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MaineCare Provider Advisory Committee Meeting, Sept. 11, 2014

The MaineCare Provider Advisory Committee (PAC) is a core group of fifteen MaineCare providers facilitated by the MaineCare Medical Director, Kevin Flanigan, M.D.   Presently, this group meets on a quarterly basis.  During the first half of the PAC meeting, current MaineCare initiatives are presented.  For the second half of the meeting, MaineCare providers are invited to present issues in the community they would like MaineCare to address.

 MaineCare would like to open its Provider Advisory Committee meeting to wider participation.  Any provider interested in MaineCare initiatives may attend the meeting in person or by phone.

 The next meeting of the PAC will be held on Thursday, September 11, 2014 from 3:00 to 5:00 pm in Conference Room 103B at the Cross Office Building located at 111 Sewall Street in Augusta.  The MaineCare topics for this meeting will be presentations by the policy writers of the new Telehealth and Genetics policies, and a presentation on the HC Impulsator, which provides Intrapulmonary Percussive Ventilation.

The conference call line is 1-877-455-0244, with passcode 7989253087#.  For any questions you may have, contact Sybil Mazerolle at 207-624-6923 or e-mail her at  

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MMA Bylaw Amendments to be Considered at Annual Meeting Sept. 6

The MMA Committee on Bylaws, chaired by David McDermott, M.D., has proposed some bylaw amendments to be considered at the Annual Meeting on September 6th at the Bar Harbor Club in Bar Harbor.  The annual business meeting begins at 7:30 am and is scheduled to adjourn by 9:30 am.  The amendments are posted on the Association's website at

Members attending just the business meeting are not required to pay the registration fee for the weekend meeting but are asked to RSVP to Lisa Martin, Membership Coordinator at or by calling her at 622-3374, ext. 221.

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Still Time to Register for MMA's 161st Annual Session in Bar Harbor

The MMA's 161st Annual Session will take place at the beautiful Harborside Hotel & Marina in Bar Harbor, Maine from September 5-7, 2014.  Our room block at the hotel has closed, but there are plenty of alternative accommodations in downtown Bar Harbor.  You can find information about the meeting, including registration information, the agenda, and hotel reservation information on the MMA web site here.  We encourage you to take a look at the meeting materials because we have made some changes this year in hopes of providing a better experience for physicians and their families.  The changes include:

  • A shorter time commitment.  The meeting will begin with an opening reception on Friday, September 5th and will close mid-morning on Sunday, September 7th;
  • Child care will be available throughout the meeting;
  • The business part of the meeting, the General Membership meeting, has been shortened from a half a day on Saturday to two hours;
  • Free time.  You will have some opportunities to network with your colleagues from other parts of the state and/or to enjoy Mount Desert Island with your family - MMA will make some group dinner reservations at local restaurants for Friday evening and Saturday afternoon is free time;
  • More relaxed.  Rather than the formal Saturday evening banquet, we will have a casual lobster bake at the Bar Harbor Club on Saturday evening;
  • Relevant CME.  The CME agenda for the meeting includes presentations through MMA's Academic Detailing program, by a national expert on health care economics and payment systems, and by professionals focused on physician health and wellness; and
  • Exercise.  You will have a chance to walk or run in the 34th Edmund Hardy, M.D. Road Race on Sunday morning!

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MMA Seeking Volunteers for Social Media/Digital Marketing Review

The Association is seeking volunteers for an ad hoc committee to review the MMA's current efforts at member engagement and to recommend initiatives in the area of social media including Facebook, Twitter, blogs, etc.  The goal would be to have an integrated digital marketing strategy that would include enhancements to the current website and use of the current e-newsletter and the quarterly printed newsletter.  The Association retained the Portland firm of flyte media to prepare a Digital Marketing Plan and we would like to share that plan with members who are interested in this topic.  The ad hoc committee will meet a few times this fall but much of the work can and will be done via conference calls.

If you have a particular interest in social media, either as a member or as a practice manager, please contact Gordon Smith, MMA EVP at to volunteer.  Or feel free to call Gordon on his cell phone at 207-215-7461.

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Donations Sought for MMA Silent Auction Held at Annual Session

MMA members are encouraged to donate an item to the Silent Auction that is conducted annually at the Annual Session.  The proceeds of the auction benefit the scholarship fund within the Maine Medical Education Trust.  The fund will be used to give scholarships to medical students from Maine. These scholarships are expected to enhance the loans from the Maine Medical Education Foundation.

Popular items in the past have included original paintings and carvings by Maine physicians and other artists, gift certificates to favorite restaurants and weekends at summer camps or winter condominiums.  

Donations can be sent to Dee deHaas at MMA.  Dee can be reached at 622-3374 or via e-mail to


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MICIS Turns Five: Seeking Your Input on Topics and Requests for Visits

The Maine Independent Clinical Information Service (MICIS) celebrates five years of operation this month.  The program, staffed by part-time academic detailers Erika Pierce, PA-C and Elisabeth Fowlie Mock, MD, MPH, FAAFP, has reached more than 1,800 providers with 3,300 copies of modules on topics including type 2 diabetes, anti-platelets, hypertension, atrial fibrillation, chronic pain, and antipsychotics.  

Currently available modules for which providers can request a visit from MICIS are obesity, antibiotic stewardship and COPD.  Visits from MICIS are at no cost to providers and offer CME.

If there are topics you would like to see MICIS offer in the future, please let us know. To offer your input, or to request a visit at your practice, please contact MICIS program manager Jennifer Reck at

You can also now track our progress on FaceBook by liking "MICIS Travels." [return to top]

FDA to Reclassify Hydrocodone Products from Schedule III to Schedule II

Thanks to Mayo Regional Hospital Director of Emergency Medicine David McDermott, M.D. for alerting MMA to the impact of the FDA's pending reclassification of hydrocodone products from Schedule III to Schedule II on physicians who supervise physician assistants.

MMA members need to know that if they supervise physician assistants in their office those PAs will no longer be able to write for prescriptions for hydrocodone containing products once this happens unless the PA already has or seeks schedule II prescriptive authority from the licensing board.

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Sunshine Act Deadline Pushed Back; AMA Continues Strong Advocacy

The Centers for Medicare & Medicaid Services (CMS) announced Friday that the Sunshine Act portal (also known as the "Open Payments" system) was back online for physician registration, review and dispute after being down nearly two weeks.

The system previously was taken offline Aug. 3 after erroneous information was identified in the system. To account for the time offline, CMS extended the deadline for data review to Sept. 8. The AMA is continuing its strong advocacy to ensure that information contained in the Open Payments system is accurate and has underscored that CMS must allocate a sufficient amount of time—until March 31—for physicians to register and obtain corrections to the data before it is made accessible to the public. Read more at AMA Wire®.

Physician feedback: Encourage your organization's members to take a brief survey by Aug. 22 to share their experiences registering in the Open Payments system and reviewing their data. The survey findings will be presented to CMS. Physicians also can share their anecdotes in an email to

Visit the AMA website for updates about advocacy efforts and information about how to use the Open Payments system.
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Job Openings


A progressive 25-bed critical access hospital in central Maine is seeking a FP to join their employed primary care group.  This is a full time opportunity which consists of 32 patient contact hours per week, allowing time to enjoy what this region of Maine has to offer! 

Sebasticook Valley Health (SVH) in Pittsfield, Maine is an integral member of the communities it serves. SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives.  SVH serves an area of approximately 30,000 people and has a wide range of outpatient services, including over 20 specialty services.  SVH is a proud member of the Eastern Maine Healthcare Systems which ensures access to high quality care to Maine residents and visitors.

For Further Information, please contact:

Sherry Tardy, Director Business Development/Provider Recruitment
Sebasticook Valley Hospital
447 North Main Street
Pittsfield, ME  04967

By email at: or by phone at: 207-487-4085


Physician Opportunities at Mayo Regional Hospital

Live and work in the beautiful Maine Highlands between Moosehead Lake and Bangor. Mayo Regional Hospital currently has the following physician opportunities:  Family Practice, Outpatient IM, OBGYN, Hospitalist, Emergency Department. Also, Family Practice PA & NP and Psych NP openings. Exceptional schools and a wonderful rural setting with proximity to Bangor and Orono.

Contact Brad Clark, Director of Provider Recruitment or 207-564-4342.


Family Practice Physicians

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, Ashland and Houlton locations.  KVHC is a fully electronic medical record site and offers a competitive salary ($170,000 to $190,000 annual) and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off, $2500 annually toward CME as well as a completely outpatient site.  The call schedule is 1 in 8 with additional coverage from the Open Access Clinic.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at or visit our website at  KVHC is an equal opportunity employer.


Gastroenterologist Jobs in Central Maine!

Challenging, Lucrative, Gastroenterologist jobs in central Maine - honoring and serving Veterans. Gastroenterologists are needed in Augusta. Must-have an unrestricted medical license (from any U.S. state), and current ACLS certification. This is your opportunity to use and develop your skills of diagnosing, treating, and managing patients according to standard, usual, and acceptable methods and techniques.

B/C or B/E specializing in Gastroenterology by the appropriate accrediting agencies required.

This is the opportunity for you to receive a competitive salary, a generous leave package, excellent health & life insurance benefits, and retirement benefits. You'd be eligible to participate in a pension program as well as a matching Thrift Savings Plan which is similar to a 401K. If you are a veteran, you may be able to combine accrued military retirement credit with VA pension benefits.

Your salary will be determined by local Physician/Dentist Compensation Panel (commensurate with education, experience and qualifications). By law, U.S. Citizens will be given 1st preference but non-citizens will be considered in the absence of qualified citizens. A signing bonus may be available.  Equal Opportunity Employer. Disabled persons and/or veterans are encouraged to apply.


Department of Psychiatry Faculty Position

The Geisel School of Medicine at Dartmouth, Department of Psychiatry, in a productive collaboration with the State of Maine, is seeking psychiatrists to join our faculty for inpatient responsibilities at the Riverview Psychiatric Center.

Riverview Psychiatric Center is a 92-bed acute psychiatric facility located in Augusta, ME and is the flagship inpatient treatment center for Maine’s public mental health system.  Psychiatrists with expertise in general inpatient psychiatry or forensic psychiatry are encouraged to apply.

Academic duties can include teaching and supervision of medical students and residents. Research opportunities available and encouraged.

Candidates should be board certified or eligible in Psychiatry. This position will include a faculty appointment at The Geisel School of Medicine at Dartmouth at a rank and salary commensurate with experience. Curriculum vitae and three letters of reference, addressed to Dr. William Torrey, Search Chair, should be e-mailed to  Please reference search number PS0314D.

Dartmouth College/Dartmouth Hitchcock Clinic/Geisel School of Medicine is an equal opportunity/ affirmative action employer with a strong commitment to diversity. In that spirit, we are particularly interested in receiving applications from a broad spectrum of people, including women, persons of color, persons with disabilities, veterans or any other legally protected group.


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Upcoming Events

5th Annual Patient Safety Academy

Friday, September 5, 2014

 9 am – 4 pm

University of Southern Maine, Portland campus, Abromson Center

Cost: $50, with a discounted rate of $25 for students

Registration is now open. To register, click here or visit the Patient Safety Academy webpage



Health Care (HC4ME) For Maine

2nd Annual Health Care for Maine Conference

"Successfully Implementing the ACA in Maine"

Keynote Speaker:  Ron Pollack, Founding Executive Director of Families USA

Tuesday, September 16, 2014 from 8:30 a.m. to 4:00 p.m.

Augusta Civic Center

Agenda and registration available on the Consumers for Affordable Healthcare website


13th Annual Downeast Ophthalmology Symposium

Presented by the Maine Society of Eye Physicians and Surgeons
September 19-21, 2014 - Bar Harbor, Maine
Topics include:  Glaucoma, Neuro-ophthalmology, and Cataract/Refractive.
Open to ophthalmologiststs across the country, so spread the word!   For more information and registration materials, visit  Questions can be addressed to Shirley Goggin at or 207-445-2260.


Direct Primary Care (DPC) Workshop

with Dr. Brian Forest, Founder, Access Healthcare Direct & AAFP DPC Workgroup Leader

& Maine physicians developing an integrated Maine Direct Care Network for existing practices

 Calling Doctors & Consumers: Come explore the options.

September 26, 1-5pm and September 27, 8:30-12:30pm,  2014

Maine Medical Association, Manchester

For further information email


Psychopharmacology for Medical & Behavioral Health Professionals

Focus:  Individuals with Autism or Intellectual Disabilities

Thursday, October 2, 2014

10 a.m. to noon

Woodfords Training & Resource Center, 100 Larrabee Road, Westbrook

Cost is $25, but register before 9/26/14 & the fee is $20

The presenters are Katherine Ray, M.D., Psychiatrist, and David Payne, PA-C.  The course is intended to enhance understanding of the appropriate use of psychotropic medications with children and adults with developmental disabilities, such as autism spectrum disorder.  Drug interactions, dosage, side-effects, and the need for alternative or adjunctive methods, such as behavioral interventions and counseling will be discussed.  Participants will have the opportunity to discuss actual cases.

This course is appropriate for direct care providers such as primary care physicians, nurses, physician assistants, licensed clinical social workers, and licensed clinical professional counselors.

Seating may be limited.  Advance registration is recommended.  FMI or to register, contact Training Coordinator Maria Romano, 207-878-9663, ext. 4131, or

This training is supported in part by a grant from the Maine Developmental Disabilities Council



The Maine Public Health Association’s (MPHA) 

30th Annual Fall Conference

October 7, 2014

Augusta Civic Center

Keynote speakers include: Erik N. Steele, D.O., FAAFP, Senior Vice President, Chief Medical Officer, Summa Health System and Paul Kuehnert, DNP, RN Team Director for the Bridging Health and Health Care Portfolio, Robert Wood Johnson Foundation

For more information or to register, click here.


Maine Concussion Management Initiative Training

October 21, 2014 in Portland in conjunction with the Maine Brain Injury Conference

7:30 a.m. - 12:00 p.m. 

Includes An Introduction to Concussions and Concussion Management & Interpreting Neurocognitive Testing (including using ImPACT)

$100 for Health Care Professionals  (CEUs/CME available); $40 for school personnel and all other attendees

For more information or to register, contact Jan Salis,, (207) 577-2018

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