June 1, 2015

Subscribe to Maine Medicine eNewsletters
Manage Your Subscriptions
Email our Editor...
Maine Medical Association Home Page
. Search back issues
. Plain Text Version
Printer Friendly

Appropriations Committee Closing in on Agreement on Biennial Budget

The Legislature's Appropriations & Financial Affairs Committee met late into the evening last night and is planning to meet again today and possibly tonight as committee members try to reach a compromise on a two-year budget for the state, effective July 1, 2015.  While nothing is final until a two-thirds vote is achieved by both the House and Senate, the committee voted unanimously last night to retain the MaineCare primary care fee increase authorized under the ACA that was effective January 1, 2013 and paid for exclusively with federal funds until January 1, 2015.  

Other cuts opposed by the Association also are likely to be rejected by the Committee.  These include reductions to the Fund for a Healthy Maine, several cuts to Maine's hospitals, and reductions in the medication management codes.  The proposed elimination of Methadone maintenance in MaineCare is also likely to be rejected in favor of an approach which reviews the current policies.  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.

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

Changes Physicians Should Know in the SGR Repeal Law

When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law in April, it didn't just repeal the Medicare sustainable growth rate (SGR) formula that had been plaguing physicians for nearly two decades.  The bill contained other provisions that will impact how physicians deliver care now and in the future.

Here are several provisions that should be beneficial for physicians:

Medicare payment rates will be stable.
MACRA prevented an impending physician payment cut under the SGR and increased the Medicare conversion factor, part of the formula for calculating physician payments.  As a result, Medicare physician pay this year will be 27 percent greater than under SGR.

The bill also provides for positive payment updates of 0.5 percent, starting July 1 this year and then on January 1 annually through 2019.  Over the next decade, MACRA is projected to increase Medicare funding for physician services by roughly $150 billion.

Quality reporting programs will be consolidated.
Medicare's current quality reporting programs will be simplified into one merit-based incentive payment system, referred to as "MIPS."  This means the current web of penalties under the Physician Quality Reporting System (PQRS), meaningful use electronic health record (EHR) program and the value-based payment modifier will expire at the end of 2018 and will be replaced with the MIPS.

Beginning in 2019, physicians who score well in the MIPS could receive substantial bonuses.

Performance under the MIPS will be based upon four categories—quality, resource use, meaningful use and clinical practice improvement activities.  The MIPS also would build and improve upon current quality measures and concepts in existing programs.

Physicians will be encouraged to report quality measures through certified EHR technology or qualified clinical data registries.  Participation in a qualified clinical data registry would also count as a clinical practice improvement activity.

Alternative payment models will be rewarded.
Physicians who participate in qualified alternative payment models will receive a 5 percent bonus starting in 2019. These physicians also will be exempt from participating in MIPS. Technical support will be provided to help smaller practices participate in alternative payment models.

The AMA is engaging with medical specialty societies and other organizations to help develop and get payers to support implementation of physician-designed alternative payment models.  Results from a recent AMA study conducted by the RAND Corporation found that doctors want to improve patient care delivery through new payment models but need help successfully managing the transition.  That includes being able to resolve the diverse priorities and quality metrics of different payers and securing more timely and accurate clinical data to ensure long-term success.

Through its Professional Satisfaction and Practice Sustainability initiative, the AMA is taking on this challenge.  Visit the Web page on Medicare alternative payment models for more information.

Physicians will have liability protections.
The bill contains a provision similar to the Standard of Care Protection Act that will protect physicians by preventing quality program standards and measures (such as PQRS or MIPS) from being used as a standard or duty of care in medical liability cases.

Learn more about how MACRA will impact physicians on the AMA's new Web page on Medicare physician payment reform, including fact sheets on the impact of MACRA in each state
  [return to top]

MMA Board of Directors Meets this Wednesday, June 3, 2015

The MMA Board of Directors will hold a regularly scheduled Board meeting this coming Wednesday, June 3rd at 4:00 pm at the offices of the Association in Manchester.  Any MMA member is welcome to attend the meeting which will feature discussion by board members of the following items:

  • MMA 162nd Annual Session, September 11-13, 2015 in Bar Harbor

  • MMA financial performance through May 31, 2015

  • Work on 2015 Resolution regarding reductions in prescribing of opioids

  • Current MMA legislative priorities

  • Reports from Board members on medical needs and priorities in their geographic or specialty areas

Additional items may be added to the agenda.  The Board is chaired by Charles Pattavina, M.D. of Winterport.

[return to top]

Maine Independent Physicians Forms, Schedules First Two Meetings

A new group has recently formed called the Maine Independent Physicians.  The purpose of these meetings is to discuss common issues and to have a voice on a variety of subjects.   The group will meet every 1st or 2nd Tuesday at 5:30 p.m. in different venues across the state.

The next two meetings are scheduled as follows:

•             Tuesday, June 2, 2015, 6:15 p.m., Caiola’s Restaurant, Wine Cellar, 58 Pine Street, Portland

•             Tuesday, September 8, 2015, 6:15 p.m., Azure Restaurant, 123 Main Street, Freeport

If you have an agenda items or something you would like to discuss, please contact Jean Antonucci, MD at jnantonucci@gmail.com  or Dianna Poulin, the group’s staff liaison at the Maine Medical Association, dpoulin@mainemed.com.

   [return to top]

MMA Legislative Committee Weekly Conference Call, Tuesday, June 2nd 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, June 2nd 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 amaclean@mainemed.com 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 1434, An Act To Amend the Laws Governing Law Enforcement's Access to, and Access to Information about, Certain Persons in Hospitals and Mental Health Facilities (monitor or oppose; psychiatrists, emergency physicians)

[return to top]

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:  


  [return to top]

POLITICAL PULSE: Abortion, Lyme Bills Voted in the House


 The 127th Maine Legislature has reached the point of its First Regular Session when the joint standing committees have completed their work on bills assigned to them (except for the Appropriations Committee as noted in the lead article) and have reported those bills out.  Bills voted unanimously, either "ought to pass" or "ought not to pass," will receive their several readings on the floor of the House and Senate, but will not be debated.  Divided committee reports start piling up on the House and Senate calendars and legislative leadership plan caucuses and debates on those divided reports.  MMA will send legislative alerts advising physicians how they can influence floor debate, should they wish to do so.  

You can find your legislators and their contact information here.

You also can leave a message for your legislators asking them to call you back as follows:

  • For Senators:  1-800-423-6900
  • For Representatives:  1-800-423-2900


Last week, the Maine House debated and voted on two divided reports of interest to MMA members.  LD 1312 is one of two bills on abortion presented for consideration in this legislature.  It would require abortion providers to obtain a new type of facility license similar to an ambulatory surgical facility license.  Bills like this intentionally raise regulatory obstacles to abortion and have come to be known around the country as TRAP bills for "targeted regulation of abortion providers."  MMA opposes the bill and, therefore, supported the majority "ought not to pass" report from the Judiciary Committee.    Following debate, the vote was 84-65 in favor of the "ought not to pass" motion and you can view the House roll call vote here.  LD 1312 is now tabled awaiting debate in the Senate.

On Friday of last week, the well-known Lyme bill, LD 422, appeared on the House calendar and the leadership determined that the House would debate it that day.  This didn't give the MMA much time to lobby the bill.  The majority "ought to pass" report of the Labor, Commerce, Research & Economic Development Committee (LCRED) would amend the allopathic physician licensing statutes in a way similar to Massachusetts law to "permit" physicians to prescribe long-term antibiotic treatment for Lyme disease without fear of reprisal by the licensing board.  The minority "ought to pass" report also addresses the concerns of the bill's proponents, but doesn't make a permanent change to the licensing statutes.  Rather it is a Resolve, directing the physician and nurse licensing boards to communicate with their licensees that they will not be disciplined solely for prescribing long-term antibiotic treatment for Lyme disease.  While the MMA Legislative Committee and Board would prefer nothing to pass because of objections about legislating the practice of medicine, we prefer the minority report of the two options coming from the LCRED Committee.  Following Friday's debate, the House voted 106-34 in favor of the majority report, the statutory change, and you can see the roll call vote here.  LD 422 also is tabled awaiting debate in the Senate. 

We expect the Senate to take up both bills this week and probably tomorrow.


[return to top]

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 www.mainemed.com or by calling 622-3374, ext. 213 or otherwise communicating with Ashley Bernier via e-mail to abernier@mainemed.com.

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.

[return to top]

Build Your Genetic Testing Skills in New CME Courses from The Jackson Laboratory

The Jackson Laboratory is pleased to announce two new free CME modules in a series on cancer genetic testing: Interpreting Genetic Testing Results & Genetic Testing Technology.

Interpreting Genetic Testing Results CME course

Accurately interpreting the results of genetic testing can identify patients who are at increased risk and would benefit from earlier or more frequent screening.  For some patients, genetic testing results can reduce their cancer risk, making additional interventions unnecessary.  Whether or not you are the ordering provider, you may be offering additional guidance and coordinating management changes based on the results.

In this CME course, you will practice making management decisions based on genetic testing results for breast, ovarian, and colorectal cancers.  Highlights of the program include:

  • Practice interpreting results and managing patients based on variants in the BRCA1, BRCA2, APC, and Lynch syndrome genes.
  • Explore genetic testing reports.
  • Downloadable point-of-care tools that can be used in the clinic.

Genetic Testing Technology CME course

Genetic testing technologies vary widely in the type of variant detected and the scope of analysis.  Cost-effective testing relies on the provider’s ability to select the right test for the clinical question.

In this CME course, you will practice weighing the benefits, risks, and limitations of different tests within specific patient contexts. Highlights of the program include:

  • Navigate targeted mutation, single gene, multi-gene panel, and whole genome sequencing testing options for patients with breast, colon, and ovarian cancers.
  • Identify strategies for efficient and cost-effective genetic testing.
  • Downloadable factsheets and point-of-care tools.

Visit Interpreting Genetic Testing Results and Genetic Testing Technology to explore the program and access point-of-care tools to use in your clinic!

The University of Connecticut School of Medicine designates this enduring material for a maximum of .25 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For more information, contact Emily Edelman: emily.edelman@jax.org

  [return to top]

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 gsmith@mainemed.com.

[return to top]

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.

  [return to top]

Job Openings

Medical Director - Physician III - Maine Office of Child & Family Services  (click to link to full job description)

Recruitment efforts are underway for the position of Medical Director/Physician III within the Office of Child and Family Services at the Maine Department of Health & Human Services. 

Description:  As the Medical Director you will be part of a talented team responsible for behavioral health services in Maine. The Medical Director is the liaison that provides oversight and technical assistance in the area of behavioral health services for children to the Office of Child and Family Services, the Office of MaineCare Services and other DHHS Offices, as well as statewide contractors, acute psychiatric hospitals, residential treatment centers, and crisis centers. As Medical Director you will evaluate and assist in determining policy criteria for the eligibility of services for those who have behavioral health needs; oversee the provision of services and second level reviews regarding the provision of services; oversee and provide consultation related to the delivery of home and community based treatment, Early Childhood Autism Specialized Habilitation Services and Habilitation Consultation Services. You will also evaluate and approve out-of-home placements for members under 18 years old and perform utilization and review of out-of-state placements in Residential Treatment Centers; and develop and implement Clinical Guidance documents, policies, procedures and plans. 

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 mlefay@kvhc.org or visit our website at www.kvhc.org.  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 JGrant@nehs.net or 207-745-7059.  www.HealthSearchNewEngland.com


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 psychiatry.jobs@dartmouth.edu.  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 to:hsgentile@maine.rr.com


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 HR@MainePERS.org 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!

Email: providerrecruitment@ushworks.com

Online: www.ushealthworks.com

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 to hsgentile@maine.rr.com


Winthrop Family Medicine Family Practitioner

MaineGeneral Medical Center in Augusta, Maine is seeking a full-time, outpatient BC Family Practitioner to join our nationally recognized Advanced Medical Home practice that delivers care in a team model. Join a collaborative group made up of 11 MDs, DOs, NPs and PAs and practice in an “Open Access” model of scheduling. Provide a full range of care including: OB, newborn and pediatric care, adult medicine, gynecology, geriatric and nursing home care. Technology includes an electronic medical record, online digital radiology program, and online hospital records and ordering. MaineGeneral offers a comprehensive benefits package. The brand new, state-of-the-art, 192-bed MaineGeneral Medical Center at the Alfond Center for Health offers comprehensive inpatient and outpatient services for the surrounding communities. We’re located just an hour north of Portland, Maine’s largest city, and three hours from Boston. Contact Tiffiny Lamarre, Physician Recruiter at tiffiny.lamarre@mainegeneral.org.


Family Medicine Physician

Oakland Family Medicine, a hospital-employed outpatient Family Medicine practice located in Oakland, Maine, is recruiting for an experienced Family Medicine Physician to join our growing team. Responsible for providing care for pediatric through adult patients while working in collaboration with our practice administrator, providers and senior management team as Oakland continues the transition to Patient Centered Medical Home. Join our team of four family medicine physicians and one physician assistant and collaborate with a unique mix of seasoned physicians who have practiced in the area over 10 years, and new team members who have recently joined our group. Weekly schedule will be 32 hours of patient contact time and up to 8 hours of administrative time. MaineGeneral offers a comprehensive benefits package. We’re located just an hour north of Portland, Maine’s largest city, and three hours from Boston. Contact Tiffiny Lamarre, Physician Recruiter at tiffiny.lamarre@mainegeneral.org.



   [return to top]

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.  


[return to top]

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