MMA Elects First Osteopathic Physician President at 161st Annual Session
MMA held its 161st Annual Session this past weekend in Bar Harbor and elected Lisa Ryan, D.O., a pediatrician practicing in Bridgton, to succeed out-going President Guy Raymond, M.D. of Wallagrass. The sole Resolution presented and passed by the membership asked for MMA support for Responsible Pain Management Programs.
Good weather and a positive outlook for the Association and its activities characterized the 161st annual meeting. Dr. Ryan in her inaugural remarks noted the positive feelings she receives from seeing pediatric patients despite the enormous pressures and obligations associated with primary care practice today. Dr. Raymond stressed the progress made by the MMA Board of Directors this past year in prioritizing the many services and programs offered by the Association.
Out of state guests attending included AMA Immediate Past Board Chair David Barbe, M.D. and state society officers or executives from the states of New Hampshire, Massachusetts, Connecticut, and Ohio and AMA and AMPAC representatives from Chicago, Rhode Island, and Washington, D.C.
In other elections, Brian Pierce, M.D., a family physician practicing in Rockport was elected President-elect of the Association and Charles Pattavina, M.D., an emergency medicine physician at St. Joseph Hospital in Bangor, was elected by the Board of Directors to serve as its chair for the coming year. Six new Board members were also elected; Robert Schlager, M.D. of Pittsfield, Kathryn Kensenbrink, M.D. of Ellsworth, Jeffrey Barkin, M.D. of Portland, Natania Piper, D.O. of Caribou, and two residents, Hani Jarawan, M.D. and Joel Bradley, M.D., both of -Portland. Dr. Jarawan is a third-year resident in Internal Medicine and Dr. Bradley is a third-year resident in Medicine-Pediatrics, both at the Maine Medicine Center.
On Saturday evening, Lani Graham, M.D., M.P.H. was presented the President's Award for Distinguished Service by Dr. Raymond. This award is the highest recognition paid by MMA for service to the Association and its mission to support Maine physicians, improve the quality of medicine in the state, and protect the health of the public. Jane Garfield, M.D., of Blue Hill, received the Mary Cushman, M.D. Award for Humanitarian Service recognizing her remarkable career and her recent founding of Peninsula Free Care, a free clinic in Blue Hill, at the age of 84. Dr. Garfield truly serves as an inspiration to all physicians as does Dr. Graham. The Cushman award was presented by MMA Past President Lawrence Mutty, M.D., M.P.H. and is accompanied by a $1000 contribution to the clinic.
The Resolution on pain management was submitted by Kevin Flanigan, M.D., MBA, Past President of MMA and current Medical Director of MaineCare Services. Citing the significant reduction in opioid prescribing to MaineCare patients resulting in a nearly 50% reduction in a 12 month period, the Resolution calls on MMA to support physicians and other prescribers in utilizing treatment options for the management of chronic pain other than opioid medication. An amendment was added from the floor on Saturday morning calling upon all physicians to utilize the valuable information in the state's Prescription Monitoring Program. The Resolution passed unanimously and can be viewed in its entirety on the Association's website at www.mainemed.com.
Over 40 runners and walkers participated in the 34th Annual Edmund Hardy, M.D. Physician Fun Run. The course, consisting of a very scenic 2.8 miles, is a favorite for MMA staff and officers. Winning the race this year was Lauren Jacobs, 14 year old daughter of President Lisa Ryan. Lauren is the first female to win the race in its 34 year history. Finishing second was MMA Board member Paul Cain, M.D., closely followed by perennial favorite Lloyd Harmon, M.D. of Ellsworth. All participants received commemorative tee shirts and the winners in each age category received L.L. Bean gift certificates.
This year's silent auction raised $2,330 to benefit the Medical student scholarship fund in the Maine Medical Education Trust. Thanks to all donors and buyers.
Next year, the 162nd Annual Meeting will be held Sept. 11-13, 2015, again in the Bar Harbor area.
MMA Members Get Free Access to DocBookMD Through MMA Endorsement
This past week MMA successfully concluded an agreement with DocBookMD, a "physician-centric" smart phone application that enables users to exchange patient information through a HIPAA-secure network. With DocBook, MD, using your desktop, or iPhone, iPad, and Android devices, you can:
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Share patient information at the point-of-care with the ability to attach high-resolution images (e.g., EKGs, X-rays, photos) and other content (e.g., discharge summaries, test results, medical history) to any message.
Hundreds of physicians in New Hampshire, Massachusetts and many other states have found the application to be of great value in their practice and MMA is pleased to become one of the states to provide free access to the product exclusively through MMA membership.
Watch for information later this month in Weekly Update to learn how to register on-line for the product.
Next MMA Listening Session to be held Thursday, October 23rd in Lewiston
MMA will hold its next member "Listening Session" in Lewiston on Thursday evening, October 23rd from 5:30 to 7:30 pm with the specific location yet to be announced. These sessions are informal and are intended to give MMA members an opportunity to meet MMA officers and to share what thoughts they may have about the value of MMA and about what MMA needs to be doing to be an effective voice for Maine's physicians.
This particular event will also serve as a reception recognizing the new President, Lisa Ryan, D.O. Dr. Ryan practices pediatrics in Bridgton with Central Maine Medical Group.
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Sunshine Act: CMS Pushes Back Physician Review Deadline to September 10th
The Centers for Medicare & Medicaid Services (CMS) announced last week that the Sunshine Act portal will again be undergoing maintenance (on August 30 and Sept. 6) and the physician review-and-dispute deadline will therefor be extended to September 10, which in turn pushes the correction period to Sept. 25. The data will be made publicly available through the Open Payments System on Sept. 30, 2014.
The system previously was taken offline Aug. 3 after erroneous information was identified in the system. To account for the time offline, CMS previously 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®.
The Physician Payments Sunshine Act requires manufacturers of drugs, medical devices and biologicals that participate in U.S. federal health care programs to report certain payments and items of value to physicians and teaching hospitals.
Physicians wishing to review and potentially dispute their Sunshine Act financial disclosures must complete registration with the CMS Enterprise Portal to access their data on the Open Payments Program system. Physicians should review their individual report and seek any corrections through the Open Payments System. Disputes that are filed before September 10 will be flagged as such in the initial public release on September 30. Physicians will have until Dec. 31 to retrospectively file disputes about their data.
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Medicare Payments for Chronic Care Coordination Coming January 2015
In January of 2015, Medicare will begin paying doctors to coordinate care for patients with two or more chronic conditions. Though doctors have coordinated such care for Medicare patients in the past, they were previously ineligible for reimbursement. The care coordination payments will be $42 a month per patient, with patients paying approximately 20% of the fee.
Care coordination entails the following elements:
- Obtaining patient agreement in writing
- Drafting and implementing a comprehensive care plan
- Psychological and social needs assessment
- Coordination with other doctors caring for the patient
- Coordination of transitions of care, e.g. from hospital to home
- Effective use of electronic health records
- 24/7 access to a doctor or other staff for urgent chronic care needs
The care coordination payments represent a significant policy shift toward improving the care of Medicare patients with two or more chronic conditions, a group that accounts for two-thirds of all beneficiaries but 93% of all Medicare spending. The investment in care coordination should result in better care and lower costs. [return to top]
MaineCare Provider Advisory Committee Meeting, September 11th
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.
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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 Sybil.Mazerolle@maine.gov.
Board of Licensure in Medicine Clarifies New Telemedicine Policy
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 www.maine.gov./md 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.
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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 firstname.lastname@example.org.
You can also now track our progress on FaceBook by liking "MICIS Travels." [return to top]
Maine ACA Navigator Awards Announced
Today, HHS announced the 2014 grant recipients for navigators in States like Maine with a federally-facilitated marketplace. Here is a link to today’s press release:http://www.hhs.gov/news/press/2014pres/09/20140908a.html
During the next Marketplace open enrollment period, funding will continue for Maine’s 2 current navigators—Western Maine Community Action and Fishing Partnership Health Plan (in conjunction with the Maine Lobstermen’s Association). The information below is taken from the complete list of award recipients, but this only includes the information relevant to Maine’s navigators.
Navigator Grant Recipients for States with a Federally-facilitated or State Partnership Marketplace
Navigators will serve as an in-person resource for Americans who want additional assistance with Marketplace coverage in 2014-2015, including as they shop for and enroll in plans in the Health Insurance Marketplace this fall. Below are the recipients of the 2014 Navigator grants in Federally-facilitated and State Partnership Marketplaces, grouped by state. Recipients marked with an asterisk (*) are operating in more than one state. The anticipated grant amount listed in each case only applies to the amount going to that organization for that state’s specific operations.
Western Maine Community Action Anticipated grant amount: $520,376 Western Maine Community Action, Inc. is a private non-profit community agency and serves as the lead for a state-wide consortium of eight community action agencies, collectively referred to as the WMCA Community Action Navigator Consortium. As a 2013 Navigator grantee, funds were used to create a statewide network of education, outreach and enrollment assistance available and accessible to every uninsured and under-insured individual in Maine. This year, it will build on this foundation to continue targeting low and moderate income individuals, including the under and uninsured and young adults.
Fishing Partnership Health Plan Anticipated grant amount: $79,624 Fishing Partnership Health Plan (FPHP) served as a 2013 Navigator grantee and is a health plan developed to provide subsidized coverage to uninsured commercial fisherman, many of whom operate as small business owners or employees. FPHP will coordinate with the Maine Lobstermen's Association to undertake a series of community health navigation activities, including: outreach; social marketing; distribution of material describing the program, the Affordable Care Act, and the health insurance enrollment process.
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Former Connecticut Exchange Executive Named Federal "Marketplace CEO"
On August 26th, US DHHS Secretary Sylvia Mathews Burwell announced that she was naming Kevin Counihan as the federal Marketplace CEO, responsible for overseeing the federal marketplace (HealthCare.gov), managing relationships with state marketplaces, and leading the Center for Consumer Information and Insurance Oversight. He will report to CMS Administrator Marilyn Tavenner. Mr. Counihan most recently served as CEO of the Connecticut health insurance exchange and the HHS announcement states that Mr. Counihan is an experienced senior executive with more than 30 years of experience in business, marketing, operations, product development, and strategic planning in the health care sector. Under his leadership, Connecticut was the first state to exceed its goal for ACA enrollees and since 2012, the state's uninsured rate has been reduced by nearly half, from 7.9% to 4%. [return to top]
PHYSICIAN Sought In Central Maine!
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: email@example.com or by phone at: 207-487-4085
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.
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
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 firstname.lastname@example.org. 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.
Maine Community Health Options (MCHO) is seeking physician
reviewers to assist with 2nd level Medical Necessity Appeal
requests. This is a contracted position
and physicians will be paid for their time involved in reviewing and
participating in the Appeal.
The physician reviewer must hold an active, unrestricted
license to practice medicine and be board certified (if applicable) by:
- A specialty board approved by the American Board
of Medical Specialties (doctors of medicine); or
- The Advisory Board of Osteopathic Specialist
from the major areas of clinical services (doctors of osteopathic medicine)
In addition, in order to meet State mandated timeframes for
Appeal decisions, the physician reviewer must be available to:
- Review the Appeal request within 5 business days
of MCHO receipt of the Appeal.
- Participate in an Appeal panel with MCHO staff
as well as the member or their provider within 10-15 business days from receipt
of the Appeal request.
- Provide a written summary opinion of the Appeal
determination within 5 business days from convening the panel.
Please contact Trish Ward at 207-402-3771 or PWard@maineoptions.org for more
Family Physician - Potential income of $430,000.00 plus
are recruiting for a full-time primary care physician with
emergency/urgent care experience for a client in Nova Scotia, Canada.
position is at a small community hospital near the town of Antigonish, Nova
Scotia. Antigonish is a vibrant, welcoming community and home to one of
Canada’s top undergraduate schools, St. Francis Xavier University.
physician will be expected to maintain a primary care clinic at a community
hospital and participate in after hours call for the level 1 ER at the
facility. The emergency room sees approximately 30-40 patients per
is an ideal position for a new physician with a sense of adventure, or an
experienced physician looking for more work-life balance.
is from an Alternative Payment Plan (APP) and fee-for-service. Income of
$236,000.00 for APP for daytime work, and $140/hour for out of hours emergency
room coverage (expected 1400 hours of emergency room coverage, per
physician, per year; 1 in 4 call.)
will have access to a wide range of outdoor/indoor activities, including
hiking, golf, boating, skating and, of course, hockey. (It’s Canada, after
CanAm Physician Recruiting Inc.
Industrial Physician - Salaried Job Opportunity
- Provides routine and emergency medical services to BIW employees
- Performs physical examinations to support regulatory driven medical
surveillance programs such as asbestos, lead, cadmium, respirator and hearing
- Performs pre-placement and return-to-work examinations
- Performs patient examinations to support the company's Probable Cause policy
- Provides medical support for sea trials
- Determines work capacity and assigns work restrictions for new or chronic
injuries and illnesses
- Interfaces with Workers' Compensation to assist case management
- Participates in quality assurance audits
- Provides consultation to management on ADA and job accommodations
- Participates in updating clinic protocols and standards of practice
- Allopathic/osteopathic physician with Maine license
- Board certified or board eligible in occupational medicine
- ACLS certified
Experience (type and number
of years): Four years’ experience in ambulatory care preferred
Unique/Additional Requirements: DOT/CDL examiner certification desirable
you for your interest in Bath Iron Works. For
a link to this listing and other career opportunities, please visit our web
site at: https://www.gdbiw.com/careers.
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 email@example.com or visit our website at www.kvhc.org. KVHC is an equal opportunity employer.
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5th Annual Patient Safety Academy
Friday, September 5, 2014
University of Southern Maine, Portland campus, Abromson Center
Cost: $50, with a discounted rate of $25 for students
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 http://www.maineeyemds.com. Questions can be addressed to Shirley Goggin at firstname.lastname@example.org 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 MaineDPCProject@yahoo.com.
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 email@example.com.
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, firstname.lastname@example.org, (207) 577-2018
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