May 18, 2015

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MMA & NAMI Maine Present Suicide Prevention Educational Program on June 5th

Suicide is the 10th leading cause of death across the lifespan and the leading cause of death by injury in Maine.  Healthcare settings are an effective site for identification and intervention.  On Friday, June 5th, MMA and NAMI Maine will present a special, no cost, First Friday educational program aimed at providing medical practices with the information and skills to assess, manage, and follow-up in order to effectively address suicide risk in patients.  This program has been approved for 3 hours of CME credit!

Entitled, "Addressing Suicide Risk in Healthcare Settings:  Assessment, Management and Follow-up," the three hour program will be presented by Greg A. Marley, LCSW, Clinical Director of NAMI Maine.  The program is available live at the MMA offices in Manchester and over the web via Webex.  There is no cost to attend but please register on the MMA website at or by calling 622-3374, ext. 213 or otherwise communicating with Ashley Bernier via e-mail to

The workshop is designed to:

  1. Present a model for suicide prevention protocol in primary care and other healthcare settings.
  2. Develop a rationale for suicide prevention in healthcare settings.
  3. Build awareness of populations at increased risk for suicide.
  4. Increase skills in carrying out a suicide assessment interview.
  5. Introduce an evidence-based screening tool to assess and qualify suicide risk.
  6. Increase skills in use of risk assessment to inform level-of-care decision making.

The program will run from 9:00 am to noon with registration available at 8:30 am and including breakfast for those attendees in Manchester.


Six Resolutions Considered by AMA Delegates from New England

The Council of New England State Medical Societies and the New England Delegation to the AMA met in Vermont this past weekend.  Maine's two AMA delegates, Richard Evans, M.D. of Dover-Foxcroft and Maroulla Gleaton, M.D. of Augusta attended along with MMA President Lisa Ryan, D.O. and EVP Gordon Smith.  

At the Council meeting, each state medical society presented the priority items being considered in each state with most of the discussion involving items of legislation.  The most common legislative issues included opioid prescribing, diversion and addiction, childhood immunizations, medicaid expansion, telemedicine, and scope of practice.

The delegates to the AMA considered six resolutions for presentation at the upcoming June AMA Annual Meeting. All six resolutions received the two-thirds level of support among the delegates so each will be presented to the AMA House of Delegates by the entire New England delegation.  The proposed resolutions involve the following subjects and the drafts of each will be available shortly on the MMA website at

  1.  Nuclear Weapons
  2. Controlling Rapidly Escalating Generic Medication Prices
  3. Protecting against Forced Network Exclusivity of Specialist Physicians
  4. Preserving Free Speech and Confidentiality in the Physician-Patient Relationship
  5. Recycling Pharmaceutical Profits to NIH Funding
  6. Military Medical Policies Affecting Transgender Individuals

The AMA House of Delegates will convene for its 2015 Annual Meeting on Saturday, June 6th at 2:00 pm.  The Annual Meeting is always held in Chicago.

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Medical Mutual Insurance Company of Maine Holds 37th Annual Meeting

Medical Mutual Insurance Company of Maine held its 37th Annual Meeting on Wednesday, May 6th at the Regency Hotel in Portland.  Following the call to order by Board Chair William Medd, M.D. and other corporate formalities, Dr. Medd and President Frank W. Lavoie, M.D. presented their reports which demonstrated that the Company again had a very good year.  A favorable trend in claims has continued which has helped contribute to increased profitability.   Maine's pre-litigation screening panels continue to be a distinguishing positive characteristic in comparing Maine's claim experience to other states.  The screening panels have been an important feature of the state's professional liability climate since 1987.

The following individuals were re-elected to three-year terms on the Board:

  •  Peter W. Bates, M.D.
  • John Marzinzik
  • Jeremy Morton, M.D.
  • John P. Sauter, M.D.
  • O. Robert Stevens, M.D.

Dr. Lavoie will present an annual report on the status of the company at MMA's Annual Meeting in Bar Harbor on September 12, 2015.  Medical Mutual is the endorsed carrier of professional liability insurance for MMA members.

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POLITICAL PULSE: Vaccines, Abortion, and Palliative Care/Physician-Assisted Suicide Top MMA's Agenda Recently


As reported last week, the Health & Human Services Committee spent the day last Monday hearing testimony from vaccine proponents and skeptics on three bills (LDs 471, 606, and 1076) addressing vaccine issues.  LD 471 would require a clinical consultation before a family could claim a philosophical exemption to routine childhood vaccines for entrance to day care and school.  LD 606 would eliminate the philosophical exemption.  LD 1076 proposes a new Vaccine Consumer Protection Program within DHHS.  Physician turnout in support of the public health benefit of vaccines at the hearing was tremendous.  A work session on the bills is scheduled for this coming Friday, May 22nd beginning at 9:30 a.m.  If you would like to communicate with members of the Committee before the work session, you can find their contact information on the Committee's home page.


Last week, the IFS Committee held work session on a bill (L.D. 1305) that continues the legislature's interest in health care price transparency and providing consumers with the tools to comparison shop for health care services.  The Committee tabled the bill to permit interested Committee members and stakeholders to try to reach a consensus Committee amendment as there is great bi-partisan interest in moving forward with the bill.  Today, this subcommittee spent the morning with Committee Analyst Colleen McCarthy-Reid reviewing and discussing the proposed amendment presented by the sponsor, Sen. Rod Whittemore, at the public hearing.  The L.D. 1305 subcommittee will meet again this Wednesday afternoon.  During the same work session, the Committee voted unanimously in favor of the bill (L.D. 1344) that would provide for establishment of a state exchange if the U.S. Supreme Court decides in the KIng v. Burwell case that the ACA's personal subsidies are not available through a federal exchange. 


Two strangely related bills were heard back-to-back by the Health & Human Services Committee this past week: one is about palliative care while the other involves helping patients end their lives.  L.D 782 is a bill to establish a palliative care advisory council.  Its purpose would be to encourage the establishment of palliative care.  initiatives throughout the State and to help publicize its availability to people with chronic and other conditions that seriously affect a person's quality of life.  The bill is supported by the MMA and various nursing and hospice groups, along with many members of the general public.  Dr. Tom Keating of Brunswick spoke eloquently in favor of the bill and was instrumental in helping committee members understand what palliative care is and how it helps not only dying people but a wide variety of others as well.  Immediately after the hearing on LD 782, the HHS Committee took testimony on L.D. 1270, a physician-assisted suicide bill.  The hearing room was full, and many legislators and others spoke in favor of what the bill refers to as "Patient-directed care at the end of life."  The MMA spoke in opposition to this bill, citing Section 2.211 of the AMA Code of Ethics.  If this bill is enacted, Maine would join only Vermont, Oregon, Washington, and Montana in allowing physicians to prescribe life-ending medications and to advise a patient on dosage.  It would not require a physician to act against her own ethics to participate in the process, nor would it allow administration of the medications by anyone but the patient himself.


Last Wednesday afternoon, the Judiciary Committee held public hearings on the two bills submitted by anti-abortion (anti-choice) advocates and their allies in the legislature.  L.D. 83 is a bill that would require parental consent for a minor or incapacitated person to have an abortion.  This bill is the same language defeated by the previous two legislatures.  L.D. 1312 would require a health care facility level of licensure (similar to the regulation of ambulatory surgical facilities) for abortion clinics.  This type of legislation is known nationally as TRAP legislation for "targeted regulation of abortion providers."  MMA testified in opposition to both bills on behalf of the MMA and the American College of Obstetricians & Gynecologists - Maine Section.  The work session is this week and MMA expects a divided report from the Committee and for both bills to fail in the Democrat-controlled House.  One pro-life physician testified at the hearing and two others submitted written statements in support of one or the other of the bills.  


As the Appropriations Committee has completed accepting reports back from policy committees, it now enters a phase of work sessions that will take up much of the rest of the session.  In a new approach, the Committee apparently has broken the budget into sections and assigned a pair of legislators, one Democrat and one Republican, to consider that section of the budget and make recommendations to the whole Committee.  You can find all budget documents, including the HHS Committee report, on the Office of Fiscal & Program Review web site here.  The biennial budget negotiations likely will occupy much of the rest of the session, some time in June.  The MMA continues its advocacy on behalf of Maine physicians and patients on various aspects of the budget proposal.

 You can find the documents on the Governor's proposed biennial budget on the Bureau of the Budget web site.

The following are high points from the “Medical Care - Payments to Providers” or “MAP” account, the primary account dealing with physician & hospital reimbursement:

  • Provider-base reimbursement, p. A-336.  Total cut in each year is $7.3 M state & federal.  Description sys, “Reduces fundingy eliminating the separate facility fee payments that are billed on a UB-04 claim form and paid to hospitals for the services of hospital-compensated physicians, and provides funding to equalize reimbursement rates of hospital-compensated physicians and non-hospital-compensated physicians and eliminates the cost settlement component of hospital-compensated physician reimbursement.  This would eliminate the two separate fee schedules of reimbursement and ensure all physicians billing under Section 90 of the MaineCare Benefits Manual would be reimbursed on the non-facility fee schedule.” There is no separate language in Part C, the language section of the budget.
  • Health Homes, p. A-336. Replaces lost federal funding, so GF amount is $5.6 M/$7.8 M in the first & second years of biennium respectively.  Description says, “Provides funding for Health Homes for adults with serious and persistent mental illness and children with serious emotional disturbance (Stage B) and Health Homes for individuals with one or more chronic conditions (Stage A) due to the elimination of the enhanced federal match of 90/10 under the ACA.”
  • Primary care fee increase, p. A-336.  The amount is $7.4 M GF, $12.5 state & federal funds in each year of biennium.  Description says, “Provides funding for the reimbursement of primary care physicians at an enhanced rate which replaces expiring funds provided through the ACA.”
  • Community-based behavioral health services provided by hospital-affiliated entities, p. A-337.  educes funding by $13 M in each year of biennium.  Description says, “Reduces funding by requiring all community-based behavioral health services, including those that are operating as part of a hospital or in an administrative unit of a hospitality to bill and receive rates of reimbursement under Section 65 of the MaineCare Benefits Manual.”
  • Critical Access Hospital (CAH) reimbursement, p. A-337.  Saves $4.2 M in each year of biennium by reducing reimbursement from 109% to 101% of costs.
  • Methadone treatment coverage eliminated, p. A-339. Savings is $1.2 M/$1.5 M state & federal.
  • ER rates, p. A-339. Savings is $1.9 M/$2.6 M state & federal.  Description says, “Reduces by changing reimbursement on non-emergent use of emergency services to be paid at an office visit rate.”
  • Medicare Shared Savings Program cuts, p. A-339.  Savings is $29 M/$34 M state & federal.  Description says, “Reduces funding by reducing the Federal Poverty Level (FPL) in the Medicare Savings Program (MSP) to the federal minimum.”
  • Section 65 BH services 10% reimbursement cut, p. A-337. Savings in this line is $10.4 M in each year of biennium state & federal.  There's also at least one line on this cut in the BDS part of the DHHS budget.  FYI, despite the merger in the Baldacci years, the BOB still breaks the DHHS budget down into 2 parts, “DHHS, formerly BDS” (behavioral & developmental services) & “DHHS, formerly DHS” (human services).



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Nominations being Sought for MMA's Annual Mary Cushman, M.D. Humanitarian Award

MMA is seeking nominations for the 2015 Mary Cushman, M.D. Humanitarian Award which will be presented at the 162nd Annual Session September 11-13, 2015 at the Harborside Hotel & Marina in Bar Harbor.  The annual award is named for Mary Cushman, M.D., a Maine physician who, following a successful practice in the Farmington area, left the state to do medical missionary work on the continent of Africa.  The award rotates between recognizing humanitarian efforts in Maine and recognizing Maine physicians and other health professionals who donate their time volunteering around the globe.  As the founder of the Peninsula Free Care Clinic in Blue Hill, Jane Garfield, M.D. was honored last year with the award.  This year, MMA is looking for nominations recognizing international work.  The award is accompanied by a $1000 donation to the charitable organization being recognized.

There is no formal application form.  Individuals wishing to make a nomination should simply send a letter to EVP Gordon Smith.  It may be sent via e-mail to

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Review and Dispute Financial Data Before May 20th

Physicians have until May 20th to review and dispute reports regarding their financial interactions with manufacturers of drugs and medical devices reported under the Physician Payments Sunshine Act (also known as the Open Payments program).  Physicians should follow three steps to register and review their data.

Disputes initiated by May 20th will be flagged in the public release of the data on June 30th.  Physicians can still review and dispute data after May 20th, but the data will not be flagged.

Physicians: Send an email detailing your experience registering with the system and reviewing your data. Responses will be used in the AMA's ongoing advocacy efforts.
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12th Annual MMA Benefit Golf Tournament, Monday, July 20th at Augusta Country Club

Registration materials have been mailed for the 12th Annual MMA Benefit Golf Tournament to be held, once again, at the Augusta Country Club.  The Tournament, using a traditional four-ball scramble format, will be held on Monday, July 20, 2015 with lunch beginning at 11:00 am and the golf starting at noontime.  The net proceeds from the day's activities will benefit the Maine Medical Education Trust Scholarship Fund which supports Maine residents in medical school.  

The Association is fortunate to once again have a former MMA President, Brian Jumper, M.D., as chair of the event.  While his game may not be what it once was, Dr. Jumper's organizational talent and general swagger have helped make up for the occasional bogie or worse.  

Registration materials and sponsorship information can be obtained from Lisa Martin at MMA.  Lisa is available at 622-3374, ext. 221 or via e-mail to

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New enroll207 Resource - Special Enrollment Period Rack Cards

Open Enrollment for 2015 Health Insurance Marketplace plans ended in February, but some people can sign up for coverage outside open enrollment if they have a major life event -- such as getting married, having a baby, or losing their health insurance -- that makes them eligible for a Special Enrollment Period. 

A new enroll207 rack card with simple information about special enrollment periods and qualifying life events is now available, along with consumer brochures about the Marketplace and health insurance booklets.  You can order these free materials for your practice at  For more information contact Susan Kring, ACA Outreach Coordinator at 662-2364 or

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MMA Legislative Committee Weekly Conference Call, Tuesday, May 19th at 8 p.m.

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, May 19th at 8:00 p.m.

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:  1-619-326-2772

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week.  The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at or 622-3374, ext. 214.

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 1401, An Act To Allow for and Regulate the Adult Use of Cannabis (oppose; Public Health Committee, pediatricians, psychiatrists)*

LD 1403, An Act To Require Licensed Mental Health Professionals To Receive Training in Suicide Risk (monitor; psychiatrists)*

LD 1412, An Act To Fund a Training Partnership between Riverview Psychiatric Center and the University of Maine at Augusta (monitor; psychiatrists)*







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PQRS Group Practice Reporting Option Available Until June 30th

Practices consisting of two or more eligible professionals (EP) that would like to participate in the 2015 Physician Quality Reporting System (PQRS) under the group practice reporting option (GPRO) have until June 30th to register as a GPRO.

Practices with two or more EPs do not have to participate as a GPRO and may participate as individuals in PQRS.

Upon GPRO registration, a practice must indicate whether it plans to participate in PQRS under the following options:

  • Qualified PQRS registry.
  • Electronic health record (EHR).
  • Web interface (for groups with 25 or more EPs only).
  • Consumer Assessment of Health Providers and Systems for PQRS survey via a CMS certified survey vendor (as a supplement to another GPRO reporting mechanism). A GPRO with a 100 or more EPs must report through this system.

If a practice would like to participate in PQRS through a qualified clinical data registry, it should not register as a GPRO (the qualified clinical data registry option is only available to EPs participating as individuals).

In addition, if a practice would like to participate as a GPRO and submit data via its EHR system, the practice should consult with its EHR vendor before registration because some EHR vendors will not support the PQRS GPRO EHR option.

A practice cannot change its GPRO designation with CMS once the registration period closes, so it is important for practices to consider all the options. If a practice is participating in PQRS as an individual, it does not need to register.

Practices can access the registration system using a valid Individuals Authorized Access to the CMS Computer Services (IACS) account. Step-by-step instructions for obtaining an IACS account with the correct role are provided on the PQRS GPRO registration Web page, as are instructions for registering to participate in the 2015 PQRS GPRO option.

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Job Openings

Gastroenterologist Job in Central Maine

Challenging, Lucrative, Gastroenterologist job in central Maine - honoring and serving Veterans.  An experienced Gastroenterologist is needed in Augusta.  Develop your skills of diagnosing, treating, and managing patients, while living in an all-season recreational getaway!

Must-haves: Fellowship-trained and B/C specializing in Gastroenterology, fellowship-trained in Transplant Hepatology, and fellowship-trained in Advanced Endoscopy; experience in Upper Endoscopy (including EGD, Barrett's Esophagus diagnosis and treatment, vatical bleeding, bleeding ulcers, dilation, stent placement for esophageal strictures, and treating food impactions); experience in  Colonoscopy (diagnostic and therapeutic), ERCP, EUS with FNA (for both solid and cystic lesions), Push enteroscopy, Deep small bowel enteroscopy, Capsule endoscopy, and Combined Interventional and Endoscopic interventions (Rendezvous procedures); experience in hepatology and liver diseases; lastly, an unrestricted medical license and current BLS certification.

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.

Salary will be commensurate experience, using VA’s market-based physician pay system. 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.  Relocation expenses are not authorized.  Equal Opportunity Employer.  Disabled persons and/or veterans are encouraged to apply.

For more information contact John Poulin:


Family Medicine and Outpatient Internal Medicine Physicians

Katahdin Valley Health Center is recruiting dedicated Family Medicine and Outpatient Internal Medicine 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 Brownville outpatient only practices.  KVHC is a fully electronic medical record site and offers a Four day work week with 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 and $2500 annually toward CME.  The call schedule is 1 in 9 with additional coverage from the Open Access Clinic.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.  HPSA scores at the KVHC sites increased in 2015.

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


Family Practice Opportunity:  Lincoln, ME Lakes Region·    

  • Prenatal skills preferred, but not required
  • BE/BC in Family Medicine
  • Flexible schedule/4-day work week, if desired
  • Typically 36 clinical hours/4 administrative
  • Average 18-22 patients per day; Light phone call of 1:8
  • Potential for leadership growth
  • Join 8 well-established  physicians and a podiatrist with superb support from multi-disciplinary team including LCSWs, NPs and Pas  in Federally Qualified Community Health Center with 6 locations
  • Practice at busy main FQHC site in Lincoln - modern facilities, up-to-date technology, on-site radiology/lab and integrated EMR
  • Help build and lead vital primary care services for under-served populations supporting 19 small, rural towns in North Central Maine; Service area population +/- 24,000
  • Work collaboratively with two local Critical Access Hospitals
  • Excellent salary and benefit package
  • Generous paid time off and CME benefits, recruitment bonus, paid moving expenses, as well as medical school loan repayment through the National Health Service Corps, and/or other student loan repayment programs
  • J1 visa candidates welcome

Lincoln, Maine: Home of 13 Lakes.  45 minutes from the Bangor Metro area with international airport. Maine’s border with Canada is only a little more than 1 hr away, and Quebec City is just a 5-hour drive. 2 hours to the Coast!  

Contact Jamie Grant at Health Search New England at or 207-745-7059.


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.


Falmouth Orthopaedic Center - Falmouth, Maine

Seeking a BE/BC general or fellowship trained surgeon to join our expanding group.  Falmouth Orthopaedic Center is a well respected private practice in a vibrant orthopedic community. You will be partnering with 3 experienced surgeons each with an outstanding reputation in the area.

Located in Falmouth Maine (approximately 10 minutes from Portland, 2 hours from Boston) we pride ourselves on our four beautiful seasons, unlimited recreation, and top-ranking schools all within 10 minutes of the magnificent Maine coast. Falmouth is an excellent place to raise a family and offers a great quality of life with easy access to all the cultural amenities of the city of Portland.

This opportunity offers minimal ER call at a Level 2 community hospital with a competitive compensation package.  Our ideal candidate is a well trained general orthopedist or an orthopedist who is fellowship trained in foot and ankle, hand, pediatrics, sports medicine or adult reconstructive surgery.

Please send cover letter, CV, and inquiries


Medical Board Physician

The Maine Public Employees Retirement System (MainePERS or Retirement System) administers a disability retirement program for eligible members of the Retirement System.   The Board of Trustees engages physicians who serve as independent contractors as part of a Medical Board to provide medical consultations to the System and the System’s hearing officers on the existence of conditions and the presence and permanency of functional limitations on disability cases.

MainePERS seeks to engage additional physicians for the Medical Board.  Physicians of the Medical Board must hold a Maine Physician’s license in good standing and be Board Certified in their area of practice.  Preferred candidates will have experience in one of the following disciplines: Psychiatry, Neurology, Orthopedics, Physiatry, Occupational Medicine and case review.  Medical Board physicians work under contract in an advisory capacity on an hourly fee basis. Typical time commitment is 10-25 hours per month with flexibility of scheduling.  Some review can be done via videoconferencing.    This is a contract position and not eligible for benefits.

To apply, please forward your Curriculum Vitae and introductory letter to or via mail to:

Maine Public Employees Retirement System

Human Resources Department

46 State House Station

Augusta, Maine  04333-0046








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Upcoming Events


Maine Concussion Management Initiative Training Programs – Level 1 and Level 2

General Information for 2015

When and where held:                           

              June 12, 2015 in Waterville at Colby College

              October 20, 2015 in Portland in conjunction with the Maine Brain Injury Conference

(Registration and fees will be through the Maine Brain Injury Conference for October 20)

Training Program: Training programs in 2015 will be updated.

              Level 1 - An Introduction to Concussions and Concussion Management

              Level 2 – Interpreting Neurocognitive Testing (Level 1 is a prerequisite for taking Level 2)

              8:00am – 8:15   Registration and Continental Breakfast (Level 1 and Level 2 are run simultaneously)

              8:15am-12:00pm            Level 1 – An Introduction to Concussions and Concussion Management

          • The Diagnostic and Return to Play Dilemma
          • Sport Related Concussion: Short and Long Term Sequelae
          • Concussion Sideline Assessment
          • Concussion Risk Factors, Treatment and Return to Function
          • Tools in Concussion Management
          • Concussion Case Studies
          • Review and Wrap-up

   8:15am-12:00pm            Level 2 – Interpreting Neurocognitive Testing             

          • Using ImPACT Testing in Concussion Management
          • Interpreting ImPACT Test Results
          • Case Reviews
          • Review and Wrap-up

              Registration Fee:

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, ATC, RN, PT, OT, SLP)

              $40 for school personnel and all other attendees

                             (School nurses, coaches, school athletic directors, administrators, parents, etc.)

              $20 for students – currently enrolled in a college program

Registration Fee Includes:

  1. Handouts
  2. Continental Breakfast and mid-morning break
  3. CEU/CME credits for Health Care Professionals

Registration Confirmation will be sent by email and will include:

  1. Directions to training location.            
  2. Training agenda.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership Committee Chair


              (207) 577-2018


First Friday Program – June 5, 2015 – 8:30 - Noon

Addressing Suicide Risk in Healthcare Settings: 

Assessment, Management and Follow-up

(A Half-day seminar - n-person attendance preferred but webex is available.)

Greg A Marley, LCSW - Clinical Director, NAMI Maine 

Suicide is the 10th leading cause of death across the lifespan and the leading cause of injury death in Maine.  Healthcare settings are an effective site for identification and intervention; someone at increased risk for suicide is much more likely to be seen in a primary practice or other healthcare setting than to initially seek help from a mental health clinician.  Some of the most vulnerable, including those with depression, middle aged men and older adults seek help from their primary care or other medical practitioner.  Gaining the assessment tools and office protocols to effectively address suicide risk is increasingly important during this time of rising suicide rates.   


This workshop is designed to: 

  • Present a model for suicide prevention protocol in primary care and other healthcare settings
  • Develop a rationale for suicide prevention in healthcare settings  
  • Build awareness of populations at increased risk for suicide, 
  •  Increase skills in carrying out a suicide assessment interview, 
  • Introduce an evidence-based screening tool to assess and quantify suicide risk, 
  • Increase skills in use of risk assessment to inform level-of-care decision making 

8:30 Registration

9:00 Introduction and Background Information on Suicide in Maine

9:45 Integration of suicide prevention in healthcare settings;

10:15 Break

10:30 Suicide risk assessment and the assessment interview

11:15 Response to risk; Level of care, safety planning and follow-up

11:45 Wrap-up and Questions


Greg A Marley, LCSW is the Clinical Director of NAMI Maine and has devoted much of his professional efforts over the past 8 years to addressing suicide prevention in multiple settings in Maine.  He has provides training, infrastructure development and technical assistance to integrate suicide prevention into schools and colleges, worksites, community agencies and healthcare practices, including a partnership with MMA and MPCA to bring this effort to primary care practices.  



The Tides of Change in Health Care

Don't miss the boat to ride the tide!!!

Registration is now open for our New England Regional Conference being held at the beautiful Samoset Resort in Rockport Maine, May 13-15, 2015.

The 2015 New England MGMA Regional Conference features a wide range of speakers who will provide you with the insight and tools you need to help your practice thrive.

In addition to our great keynote and breakout speakers, we have pre-conference activities including ACMPE, Fellowship and Excel workshops and we are also holding a pre-conference golf tournament!   Won't it be nice to walk on grass instead of snow?

This is a great event for you and your colleagues to meet and network with members of Maine, Vermont, New Hampshire and Massachusetts/Rhode Island MGMA and our vendor sponsors.  On Wednesday evening we will be providing  a gift card so you can have an opportunity to visit the local restaurants.

Please go to the following link to begin your registration and review the conference agenda:

We accept all Visa, Master Card, Discover and American Express.  If paying by check, please make check out to NERC/NHMGMA.

If you have any questions please contact Pam Beaule at

We hope you will join us and help make this conference a success!

Denise Andrade, FACMPE, Marketing Chairperson



The 3rd Annual Maine Harm Reduction Conference!

The conference will be held on Thursday, May 14th at the Portland Public Library in Portland.

We've got a lot of exciting presenters and workshops lined up for you this year, including a workshops on the Cutting Edge of Harm Reduction, Housing in Harm Reduction and Recovery, Law Enforcement Assisted Diversion, and Updates in Treatment and Recovery.This year's keynote will be delivered by Mark Kinzly, Harm Reduction Coalition Board Member, Evaluation Specialist with Street Works and former Site Coordinator for NIDA Funded Research with Yale School of Medicine

To view the program and/or register follow the link below!




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