May 26, 2015

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Legislative Committee Gives LD 970 a 12-1 Ought Not to Pass Report

This past Tuesday, the Labor, Commerce, Research & Economic Development Committee voted 12 to 1 "ought not to pass" on L.D. 970 which would have expanded the scope of practice for CRNAs and other categories of Advanced Practice Registered Nurses (APRNs).  The bill was opposed by MMA, the Maine Osteopathic Association, the Maine Society of Anesthesiologists, the Maine Academy of Family Physicians, and the Maine Chapter of the American College of Physicians.

The bill was sponsored by State Senator Andre Cushing (R-Penobscot) at the request of the various nursing interests including the Maine Association of Certified Registered Nurse Anesthetists.  Senator Cushing is a member of the LCRED Committee and was the only member of the Committee to vote in favor of the bill.  The language of the bill was derived largely from a national consensus model bill developed by the Federation of State Nursing Boards.  

While Advanced Practice Registered Nurses have practiced largely independently since 1995, there is a 24-month supervision requirement for some new graduates and CRNAs are not permitted to prescribe.  L.D. 970 added CRNAs to the categories of APRNs who could prescribe and also removed the 24-month supervision requirement. In addition, the language describing the scope of practice of APRNs was broadened to include all ordering and interpretation of lab results and other tests and also included the ability to delegate to other staff.  These provisions were the primary reasons the various medical professional associations opposed the bill.  Fortunately, the vast majority of the committee agreed.

The 12 to 1 vote means that the bill will still go to the House and Senate and could be debated.  While a 12 to 1 vote certainly is difficult for the proponents to overturn on the floor of either the House or Senate, such action is not unprecedented so MMA, MSA, and others will continue to monitor the action on the bill.

Maine Home Birth Collaborative Symposium, May 30th, in Hallowell

Physicians, Certified Professional Midwives, Certified Nurse Midwives, and other stakeholders will gather this coming Saturday, May 30th, for a Home Birth Symposium designed to provide a multi-stakeholder dialog intended to improve the safety of the birthing experience in Maine regardless of setting.  Supported by a grant from the American Medical Association-National Specialty Societies Scope of Practice Partnership, the Symposium is part of a year-long facilitated negotiation that, if successful, is expected to result in the licensing of CPMs in Maine in 2016. An earlier effort by the CPMs to be licensed in 2007-2008, which MMA opposed, was unsuccessful.  CPMs attend home births in Maine and births at two birthing centers.  These two settings represent between one and two percent of all the births in the state.

The Symposium will be held at Maple Hill Farm in Hallowell from 9:00 a.m. to 2:00 p.m. with registration, breakfast, and networking beginning at 8:00 a.m.  There is a $30 registration fee.  While the event is by invitation only, MMA wishes to accommodate any physician in the state who delivers babies or treats children.  Representatives are expected to attend from the Maine Section of ACOG, the Maine Chapter of the AAP and the Maine Academy of Family Physicians.  Additional physicians who are interested in attending should contact MMA's EVP Gordon Smith via e-mail to

Content for the day will include:

  • Brief history of midwifery and home birth in Maine
  • Midwives and Standards of Practice;  International, National, and Maine
  • Regional examples of successful collaboration
  • Maine Legislation under Development (L.D. 690)
  • Ethical challenges of birth place and birth practices

Speakers include:

  • State Senator Amy Volk (R-Cumberland)
  • Mary Lawlor, CPM, LM, Executive Director, National Association of CPMs
  • Kathryn Moore, ACOG State Legislative and Regulatory Director
  • Kristin Schleiter, JD, LLM, AMA Attorney specialist on scope of practice issues
  • Timothy Fisher, M.D., Dartmouth-Hitchcock and Cheshire Medical Center, NH
  • Frank Chessa, PhD, Director of Clinical Ethics, Maine Medical Center

Much of the discussion will involve the recent agreement by the national organizations representing Ob-Gyns (ACOG), CPMs, and CNMs to adopt an international educational standard for all persons holding themselves out as midwives assisting in home births.  The successful effort in Maine in 2014 to develop comprehensive guidelines for the transfer of a mother or infant from an out-of-hospital setting to a hospital also has contributed to the current effort at collaboration among all the groups.


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Appropriations Committee Closing in on Agreement on Biennial Budget

The Appropriations & Financial Affairs Committee will be working overtime this coming week to complete its action on a two-year budget for the state, beginning July 1, 2015.  The discussions to date have been contentious and difficult but most seasoned State House observers believe that a bi-partisan agreement can be reached.  As the budget will require a two-thirds vote in order to take effect prior to July 1st and to overcome a potential gubernatorial veto, bi-partisanship within the AFA Committee report will be essential.

Several items of interest to physicians are still under discussion in the Committee, including the future of the Fund for a Healthy Maine, a possible tax on cosmetic surgery (determined to be other than medically necessary), sharp reductions in medication management reimbursement by MaineCare for mental health agencies, reductions in Critical Access Hospital MaineCare reimbursement, elimination of provider-based reimbursement for hospitals (for MaineCare), and potential elimination of methadone maintenance by MaineCare.  MMA is opposed to all these reductions, but supportive of retaining the Fund for a Healthy Maine.

MMA is particularly concerned about the proposed increase in reimbursement for primary care physicians through the retaining of the ACA primary care "bump" which is included in the Governor's budget.  Having MaineCare pay for a select list of primary care services at Medicare rates has been a significant boost for primary care in the state since January 2013.  The Governor's budget also includes money for the increased MaineCare payments to Health Homes.  Physicians receiving these payments are asked to communicate with their legislators, and members of the Appropriations Committee regarding the positive impact of these payments.

You can find the members of the Appropriations & Financial Affairs Committee here.

You can find your legislators here.  

Each of these pages on the legislature's web site will give you contact information for the legislators.

You also can leave a message at the State House for legislators by calling the following numbers:

  • Senators:  1-800423-6900
  • Representatives:  1-800-423-2900
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Telemedicine Panelists Debate Future of Technology

Panelists discussed how to unlock the promise of telemedicine at the 2015 American Telemedicine Association Annual Meeting earlier this month.

AMA Board of Trustees Member Jack Resneck, MD, participated in a panel discussion about the appropriate use of telemedicine. Panelists included physicians, a health care policy expert and representatives from mobile health apps.

"There is great promise in telemedicine that maintains standards of care and patient protections," Dr. Resneck said.

Establishing a relationship
The panel focused on the patient-physician relationship and the ethical duties that come with establishing a relationship with a new patient via telemedicine and introducing telemedicine into an existing relationship. Where is the line between a physician's responsibility to a patient and providing convenient care?

A valid patient-physician relationship must be established before telemedicine services are provided through a real-time, face-to-face examination, according to AMA policy. This can be done via:

  • A face-to-face examination, if a face-to-face encounter would be required in the provision of the same service in the real world
  • A consultation with another physician who has an ongoing patient-physician relationship with the patient
  • Meeting evidence-based practice guidelines on telemedicine regarding establishing a patient-physician relationship developed by major medical specialty societies

Maintaining standards of care
The policy also calls for additional research and the development of evidence-based clinical practice guidelines that should be followed when delivering telemedicine services. Read about the AMA's policy at AMA Wire. As Dr. Resneck discussed, telemedicine should maintain appropriate standards of care.

"For example, if a family physician would need to look in a patient's ear in real time in order to diagnose an ear infection, a physician must have the opportunity to look in the patient's ear via telemedicine," Dr. Resneck said. "Just talking to a new patient over the phone or reading through the answers of an online survey simply wouldn't meet the standards of care."

Coordinated care
As telemedicine moves forward, health care groups and professionals must strive for interoperability, Dr. Resneck said. Telemedicine services should include care coordination with patients' existing medical physicians and other providers, and medical records should be shared among them.

"Telemedicine should not create silos in medical care," he said. "There's an enormous effort in traditional health care to make it more coordinated. Why would we build a new system that's not coordinated?"

Moving into the future To ensure safety, security, usability and interoperability as telemedicine technologies are further developed, the AMA is working with public and private stakeholders and keeping physicians and patients at the heart of the transformation.

The AMA also is:

  • Working hand-in-hand with state medical associations as they build, modernize and strengthen the state legislative frameworks to support rapid adoption of telemedicine
  • Helping modernize state licensure through an innovative solution designed to expedite the process for physicians to become licensed to practice in multiple states
  • Engaging stakeholders in discussions around coding for telemedicine services
  • Urging policymakers to pay for more telemedicine services, including removing certain Medicare telehealth restrictions such as those based on geography.

Visit the AMA's Web pages on state telemedicine advocacy or federal digital health advocacy for additional information, and read more about telemedicine's challenges for the medical profession in the AMA Journal of Ethics.

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

Entitled, "Addressing Suicide Risk in Healthcare Settings:  Assessment, Management and Follow-up," the three hour program, eligible for 3 category one hours of CME, 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.

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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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MMA Legislative Committee Weekly Conference Call, Tuesday, May 26th 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 26th 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 1422,  An Act To Allow Maine Residents To Personally Import Medications as Permitted under the Federal Food, Drug, and Cosmetic Act (monitor or support)*

LD 1426, An Act Regarding the Maine Registry of Certified Nursing Assistants and Direct Care Workers (monitor)

LD 1428, An Act To Establish the Forensic Treatment Fund To Establish a Behavioral Assessment and Safety Evaluation Unit (monitor or support; psychiatrists)*







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CMS Releases PQRS Payment Adjustment Data, Strategic Vision

A strategic vision from the Centers for Medicare & Medicaid Services (CMS) describes a long-term vision for the agency's physician quality reporting programs.  The document emphasizes alignment among CMS' various quality programs and acknowledges challenges with moving to CMS' desired future.

The agency released the document around the same time as it released statistics on the 2015 Physician Quality Reporting System (PQRS) payment adjustment.  Based on 2013 PQRS reporting, 469,755 physicians are subject to a reduction of 1.5 percent of their 2015 Part B Medicare Physician Fee Schedule allowed charges.

Here's a breakdown of the data:

  • The majority of physicians who did not successfully participate in 2013 PQRS did not attempt to participate in PQRS.
  • Just below 2 percent of physicians did attempt to participate, but they were not successful because they submitted only invalid quality data codes.
  • The registry and electronic health record reporting options continue to grow in popularity.

The AMA will continue to advocate for making the PQRS program more meaningful to physicians and patients, as well as ensuring that all physicians can successfully participate in the program and avoid a penalty.

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Get Resources for Medication-assisted Treatment

More than 20 states this year have considered legislation relating to buprenorphine, a medication that is often used to help treat and manage substance use disorder.  As medical societies consider policies and legislation concerning medication-assisted treatment (MAT), several medical societies and other groups offer resources that may be useful.

Ohio has a new law that governs the use of buprenorphine in certain clinics and a guidance document that offers more information.  The American Society of Addiction Medicine has created a tool that allows states to review Medicaid benefits for the treatment of opioid use disorder.  And the AMA recently testified in Congress about the AMA's support for recognizing that opioid use disorder is a medical condition and for increasing coverage for, and access to, MAT and related services.

If you have any questions, contact Daniel Blaney-Koen of the AMA.
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POLITICAL PULSE: Vaccine, Abortion, Palliative Care, and Assisted Suicide Reported Out of Committee


Both the Judiciary and Health and Human Services Committees held work sessions this past week on vaccination bills, and the results were very good for the public health of Maine.

The Judiciary Committee had a bill members acknowledged is outside of their usual jurisdiction and expertise.  LD 950 proposed to add "vaccination status" to the list of mostly intrinsic characteristics of an individual on which discrimination in various ways is prohibited.  It would make one's "vaccination status" a "protected class."  With four members absent, the vote was 7-2 "ought not to pass."

HHS had three bills before it:  LD 471, which would require parents to consult with their child’s primary care provider before claiming a “philosophical” exemption from day care and school immunization requirements; LD 606, which would eliminate completely the philosophical exemption; and LD 1076, which would set up a Maine Vaccine Injury Board.

LD 471 was voted on first. After significant discussion, the bill was reported “Ought to Pass” by a vote of 9-3. That vote was quickly followed by an unanimous “Ought Not to Pass” vote on LD 606. The committee members have no desire to eliminate completely the right of parents to choose whether to have their children vaccinated.

LD 1076 had a more interesting course. The MMA and some physicians made the point that the bill was essentially duplicative of the federal system and would be expensive for the State to administer. The Committee’s solution was to replace the entire bill with different language that would simply require the Department of Health and Human Services to provide a link on its website to the federal vaccine claim and information system in addition to the many other links it already provides. As so amended, the bill was voted “Ought to Pass” unanimously.

We definitely anticipate a floor fight in the House and Senate on all bills except for LD 606.


During work sessions on Wednesday and Friday last week, the Judiciary Committee voted out the two abortion bills before them this session.  LD 83 would require parental consent for a minor to have an abortion and LD 1312 would require abortion providers to be licensed as health care facilities at an ambulatory surgical center level of regulation.  The closely divided reports on both bills will ensure a vigorous floor debate on the issue. 


Last Friday, the HHS Committee voted unanimously in favor of the palliative care bill, LD 782, supported by MMA and many other interested parties.  This was not surprising, but somewhat more so was the Committee's 7-5 bipartisan "ought to pass" vote on the assisted suicide bill, LD 1270.



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Join Quality Counts' Chronic Disease Improvement Collaborative 2

 Maine Quality Counts invites you to join its 12-month

Chronic Disease Improvement Collaborative 2 (CDIC2)!

Quality improvement support for up to 10 Maine primary care practices to improve outcomes for patients with hypertension (HTN) and diabetes mellitus (DM) by engaging patients and optimizing community resources.


       Check out the CDIC2 Learning Collaborative materials:

1.     Implementation Timeline

2.     CDIC2 Schedule of Webinar/Learning Sessions

3.     Maine Quality Counts CDIC1  Information and resources (first year collaborative)

4.     IHI’s Collaborative Model for Achieving Breakthrough Improvement White Paper (PDF Version)

       If you have questions or need more information, contact:  Chris Beaudette at or 207-620-8526, ext. 1027 

       Complete and submit the online application by Friday, May 29, 2015 by 5:00PM.

1.     Memorandum of Agreement (MOA) – CDIC2  

2.     Business Associate Agreement (BAA) – CDIC2  

To view all materials & access the online application go to the Maine Quality Counts CDIC2 Webpage, by clicking HERE

The Facts:

  • 23% of all deaths in Maine are attributed to heart disease
  • 11% of Mainers have diabetes, putting them at 2-4 times greater risk for heart disease
  • Despite their hard work, primary care practices face many challenges in helping their patients meet treatment goals for diabetes and heart disease
  • Primary care practices have a greater need for participating in quality reporting and meeting quality goals (for CMS PQRS, medical home and ACO) for these conditions

What is in it for you?  Why participate?

       Tailored quality improvement support designed to optimize chronic disease registries, and build more effective practice teams

       Support to strengthen delivery of evidence-based, team-based care for chronic disease management and increased patient engagement

       HIT support to assist in identifying current strengths, opportunities and challenges

       Opportunities for collaborative learning activities with other practices and providers

       Access to educational support and tools, including disease registries, team-based care, patient self-management and community resources tools

       Access to virtual learning platforms to support “just-in-time access” to practice improvement resources and sharing of best practices

       American Board of Medical Specialties (ABMS) Maintenance of Certification (MOC) credit and Continuing Medical Education (CME) credit

What is your role?

       Identify an improvement team to participate (provider, clinical, office staff)

       Participate in selected practice-based quality improvement efforts to improve hypertension and diabetes care (see Implementation Timeline and Schedule of learning events for details)

       Share best practices through collaborative learning events (in-person and virtual) (see Implementation Timeline and Schedule of learning events for details)

       Report on progress using established clinical quality measures for hypertension and diabetes

       Participate in evaluation activities and collection of data (see MOA for details)

The Plan:

       The Chronic Disease Improvement Collaborative 2 (CDIC2) is designed to:

  • Improve care through the implementation of quality improvement (QI) processes to standardize care processes and team based practice teams.
  • Improve care through the use of Electronic Health Records and Health Information Technology.
  • Improve health care quality and reduce avoidable costs by engaging patients more actively in decisions about their health care and optimizing community resources.
  • Promote more effective communication between patients and their health care providers to make more informed decisions and support patient self-management.
  • The QC  Quality Improvement team will support primary care practices in identifying specific strategies to address at least one of the four key drivers to improve BOTH hypertension and diabetes:

1)      Optimize registries

2)      Standardize care processes

3)      Incorporate planned care into every visit

4)      Support patient self-management and shared decision making

QC will select a minimum of 5 and maximum of 10 primary care practices to participate in this collaborative and provide quality improvement support to improve outcomes for patients with hypertension (HTN) and diabetes mellitus (DM), by engaging patients and optimizing community resources.

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INVITATION: Maine's Community Health Needs Assessment Stakeholder Survey

MMA invites you and your networks to participate in Maine's Community Health Needs Assessment Stakeholder Survey that is currently being undertaken by Maine’s four largest health care systems (Central Maine Healthcare Corporation, Eastern Maine Healthcare Systems, MaineGeneral Health, MaineHealth) and the Maine Center for Disease Control (Maine CDC). 

The web-based survey is designed to collect input from stakeholders across the state to help the health systems and the state set priorities for community health planning.  Once completed, the findings will be available for all local partners to use and will be shared widely.

The survey takes 10-15 minutes to complete.  Please click on this link to take the survey:

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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.  


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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


Medical Director - Scarborough, ME - Full-time 

We are seeking an experienced Medical Director with interest in occupational medicine to work full-time at our Scarborough, Maine clinic. The Medical Director will be able to practice medicine in a supportive environment while providing oversight to mid-level practitioners.


Candidates must be either a MD or DO. Experience in either Industrial Medicine, Emergency Medicine or General Practice is preferred.

About U.S. HealthWorks:

U.S. HealthWorks Medical Group is a leading national provider of occupational medicine and urgent care services. Operating over 200 locations in 19 states with nearly 3,300 employees, including approximately 1100 medical providers; U.S. HealthWorks serves thousands of patients each day.

In addition to competitive salaries we offer:

  • Occupational Medicine Focus
  • Incentive plans
  • Opportunity to grow and learn with an industry-leading healthcare organization
  • Flexible hours and excellent work environment
  • Benefits for full-time employees to include: health, dental, vision, 401(k)


If you’re interested in joining a company that is dedicated to your professional growth — look no further than U.S. HealthWorks!



Phone: (661) 678-2659



Waterville Pediatrics - Waterville, ME

Seeking both a Pediatrician and Pediatric Nurse Practitioner to join our expanding practice.  We provide pediatric care to thousands of Maine children of all ages.

Waterville Pediatrics is a well established practice with locations in Waterville and Madison.

Minimal call, competitive salary and benefits.

Please send letter of interest and CV






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