July 20, 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

POLITICAL PULSE: Legislature Adjourns; Constitutional Question Goes to the Law Court

The session-long tension between Governor LePage and the legislative leadership continued to the very end of the First Regular Session as the two branches of government disagree on the timing of the Governor's opportunity to act upon bills enacted by the legislature and sent to him for signature.  The outcome of some 70 bills depends on whether Executive branch's or Legislative branch's interpretation of the Maine Constitution is correct, an interpretation that is likely to be made by the Maine Supreme Judicial Court which has been asked by the Governor to make the final decision on the matter.  The Legislature did adjourn on July 16th.

The latest controversy arising out of Maine's divided government came to light on or about July 10th when the Legislature's Office of the Revisor of Statutes began "chaptering" or putting in a format to become law without the Governor's signature, some 19 bills held by the Governor's Office beyond the 10 days he had to act upon them.  The Governor's legal counsel issued an opinion that the Governor was entitled to hold on to the bills because the Legislature had finally adjourned.  Attorney General Janet Mills responded to a bipartisan inquiry from the Senate that the bills had become law because the Legislature had not finally adjourned.  Final adjournment of a legislative session traditionally is known as "adjournment sine die," or adjournment with no specified date of return.  When the Legislature left Augusta on June 30th, leaders planned to return on July 16th to finish their business, including further vetoes anticipated from Governor LePage.  The Governor continues to hold another 50 or so bills.   

 Several bills of interest to MMA appear to be caught up in the controversy.  Among those being "chaptered" and becoming law are LDs 1307 (diversion alert), 1145 (involuntary commitment), 1013 (shackling pregnant prisoners), 1108 (protect children from e-cigarette vapor), 1391 (treatment of forensic patients), and 91 (prescribing by dental hygienists).  Among the bills that may be held by the Governor are LDs 140 (access to naloxone), 787 (adult day care/respite care), 831 (targeted prevention services), 905 (Fund for a Healthy Maine study), and 1350 (reimbursement of direct care workers).

In the coming weeks MMA advocacy staff will prepare a summary of all the legislative action impacting physician practices and will make it available to all MMA members.  Advocacy staff members are also available to make grand rounds type presentations on the new laws and regulations impacting on the medical profession.  Medical staffs or practices wishing to have such a presentation should contact MMA EVP Gordon Smith, Esq. at gsmith@mainemed.com or call him at 622-3374 ext. 212.  There is a modest fee for these talks unless the institution is participating in the MMA group membership program or is in the FQHC membership program.

A special thank you is due to the many physicians who joined staff in the weekly conference calls of the Legislative Committee and to those who came to the State House to serve as Doctor of the Day.  Also a shout out to those MMA members who testified on the many bills impacting on the practice of medicine.  The Association ultimately reviewed and monitored more than two hundred of the approximately 1750 bills printed.


Fed Up With EHRs? Share Concerns During AMA Town Hall Tonight!

Physicians aren’t happy with the way electronic health record (EHR) systems are working, largely due to government regulations that have encroached on time with patients and turned physicians into typists.  If you’re frustrated with your EHR and looming meaningful use regulations, join a special town hall meeting that will be live-streamed online from 7 to 8:30 p.m. Eastern time Monday.

Among the national and local leaders who will be a part of the conversation will be Rep. Tom Price, MD, a Republican from Georgia’s 6th District, and AMA President Steven J. Stack, MD.  This event is hosted by the AMA and the Medical Association of Georgia in Atlanta, and local physicians can attend in person—sign up online. Those who live-stream the town hall can participate on Twitter with #FixEHR.

Government requirements have twisted EHR technology so it interferes with face-to-face discussions with patients, requires physicians to spend too much time performing clerical work and creates new costs that divert resources away from patient care improvements.  Meanwhile, the much anticipated benefits of being able to share important patient health care information electronically among providers in different settings have gone unfulfilled.

Physician participation in Stage 2 of meaningful use is less than 10 percent, even though 80 percent of physicians have adopted EHRs. Moving forward with Stage 3 could mean less time with patients, hindrances to practice innovation and costly penalties.  The town hall will include information about the AMA’s push to reframe federal regulations and encourage better EHR design to emphasize high-quality patient care.

Learn more about why the Centers for Medicare & Medicaid Services should postpone Stage 3, and read more meaningful use news at AMA Wire.
[return to top]

NEW LAWs: Two New Laws Impact Child Abuse Reporting Process

The Weekly Update begins this week a series of articles on new laws and regulations resulting from the actions of the 127th Legislature.  We begin this week with a new law impacting on the mandatory reporting of child abuse and neglect.  

L.D. 483, An Act Regarding the Reporting Standards for Child Abuse, was drafted by MMA advocacy staff and presented to the Legislature by State Representative Dillon Bates (D-Westbrook).  MMA is very appreciative of Representative Bates' positive work on the legislation which was enacted as amended.  The legislation was drafted to clarify a law previously enacted in 2014 which required all mandated reporters of child abuse and neglect to report injuries to a child under 6 months of age, even if child abuse or neglect was not suspected.  The list of reportable injuries included bone fractures, substantial bruising, subdural hematoma, burns, poisoning, or any injury resulting in substantial bleeding, soft tissue swelling or impairment of an organ.

Unfortunately, the law did not contain any exemption for injuries occurring during the birthing process, resulting in confusion for hospitals and OB and pediatric providers.  L.D. 483 as enacted adds language to the law, as follows:

           "This subsection does not require the reporting of injuries occurring as a result of the delivery of a child attended by a licensed medical practitioner or the reporting of burns or other injuries occurring as a result of medical treatment following the delivery of the child while the child remains hospitalized following delivery."

The law will take effect on October 15, 2015 although there remains a cloud over the effective date of the new laws because of the controversy between the Governor and the Legislature regarding when the date of final adjournment occurred.  MMA will keep members appraised of the final decision regarding the effective date.

Next week, we will report on L.D. 199, An Act to Improve the Reporting of Child Abuse which dealt with the obligations to report within an institution or facility.

[return to top]

CMS to Make ICD-10 Transition Less Disruptive

The October 1st hard deadline to implement the ICD-10 code set is just around the corner, but many physicians are concerned about potential claims disruptions that could result when implementing the code set into their practices. In response, the AMA worked with the Centers for Medicare & Medicaid Services (CMS) to ease the transition.

The AMA and CMS released a joint statement July 6th announcing a 12-month transition period during which time Medicare claims will not be denied solely based on the specificity of the diagnosis codes, as long as they are from the appropriate ICD-10 code family.

The changes address:

  • Claim denials.  For the first year ICD-10 is in place, Medicare claims will not be denied solely based on the specificity of the diagnosis codes as long as they are from the appropriate family of ICD-10 codes.

    This means that Medicare will not deny payment for these unintentional errors as practices become accustomed to ICD-10 coding.  In addition, Medicare claims will not be audited based on the specificity of the diagnosis codes as long as they are from the appropriate family of codes. This transition period will give physicians and their practice teams time to get up to speed on the more complicated code set.

    Both Medicare Administrative Contractors and Recovery Audit Contractors will be required to follow this policy.

  • Quality-reporting penalties.  Similar to claim denials, CMS will not subject physicians to penalties for the Physician Quality Reporting System, the value-based payment modifier or meaningful use based on the specificity of diagnosis codes as long as they use a code from the correct ICD-10 family of codes.

    In addition, penalties will not be applied if CMS experiences difficulties calculating quality scores for these programs as a result of ICD-10 implementation.

  • Payment disruptions.  If Medicare contractors are unable to process claims as a result of problems with ICD-10, CMS will authorize advance payments to physicians.

  • Navigating transition problems.  CMS said it will establish a communication center to monitor issues and resolve them as quickly as possible. This will include an “ICD-10 ombudsman” devoted to triaging physician issues.

The AMA will continue to work with CMS as the deadline approaches and following the implementation to address issues as they arise. Get eight must-have ICD-10 resources at AMA Wire®.

  [return to top]

CMS Issues New Medicare Payment Proposals

The Centers for Medicare & Medicaid Services (CMS) recently released the 2016 Medicare physician payment schedule proposed rule as well as a proposal for a new bundled payment program for hip and knee procedures.

In the rule, the agency proposes to adopt Current Procedural Technology (CPT®) codes and recommended values from the AMA/Specialty Society Relative Value Update Committee (RUC) to pay for advance care planning services.  It also seeks comments on potential coverage of collaborative care services and expansion of the Comprehensive Primary Care initiative.  The proposed rule also includes policy changes on misvalued codes, physician self-referral, appropriate use criteria for advanced diagnostic imaging and the value-based payment modifier.

The hip and knee bundled payment proposal would initiate a five-year mandatory test in which fee-for-service claims for inpatient, post-acute care and physician services for joint replacement procedures would continue to be submitted, but the hospitals would be responsible for reducing the total cost of these episodes up until 90 days after discharge, including physician and post-acute services.  The program would be mandatory for hospitals in 75 regions throughout the country.  After a reconciliation process, the hospitals could share in savings for the episodes or, if spending is above the amount set by Medicare, would have to repay the program for a portion of the overage.

The AMA is in the process of reviewing and analyzing both proposals and will submit public comments on them. Watch AMA Wire for more details.
[return to top]

127th Legislature Recognizes Connie Adler, M.D.

During the final day of the legislative session, the 127th Maine Legislature recognized Connie Adler, M.D. who is retiring from Franklin Memorial Hospital after more than twenty years of service to the Frankly County community. Together with Tom Weigle, M.D. and Jay Naliboff, M.D., she joined what became Pine Tree Women's Care and subsequently Franklin Health Women's Care, where she has been the lead physician since 1999.  

Connie also has served on the Boards of Directors of Franklin Memorial Hospital and of the Maine Health Access Foundation.  She also has served as President of the Family Planning Association of Maine.  She is a recipient of MMA's Mary Cushman, M.D. Award recognizing her international efforts as a medical volunteer.

Dr. Adler is a long-term member of MMA and we congratulate her on the occasion of her retirement and thank her for the countless hours of service to her patients and the citizens of Maine.  She will be greatly missed by her patients and professional colleagues.

[return to top]

Make Plans Now to Attend 162nd MMA Annual Meeting, September 11-13, 2015 in Bar Harbor

Registration material for MMA's upcoming Annual Session in Bar Harbor, from September 11-13, 2015 is in the mail to each MMA member this week.  The meeting once again will be at the Harborside Hotel & Marina and opens with a reception on Friday evening, September 11th.  Three hours of category one CME has been applied for and the focus of the meeting will be "Advocating for the Profession."  Please make plans soon to join your professional colleagues to discuss issues of common interest and to conduct the annual business of your association.  Anyone wishing to submit a Resolution for consideration should send it to EVP Gordon Smith via e-mail to gsmith@mainemed.com no later than August 15th.

On Saturday evening, September 12th, MMA President Lisa Ryan, D.O. will pass the President's gavel to Brian Pierce, M.D.  Dr. Pierce is a family physician practicing in Rockport.

Any questions about the meeting may be directed to Diane McMahon in the MMA office.  Her phone number is 207-622-3374, ext. 216 and her e-mail address is dmcmahon@mainemed.com.   Potential exhibitors and sponsors should contact Lisa Martin at 622-3374, ext. 221 or via e-mail to lmartin@mainemedcom.

[return to top]

Medicare to Pay for Counseling on End-of-Life Care, Effective January 1, 2016

On Wednesday, July 8th, the Centers for Medicare and Medicaid Services announced plans to pay physicians to counsel patients about end-of-life care, effective January 1, 2016.  The decision was announced by Patrick Conway, Medicare's chief medical officer who stated, "As a practicing physician, and a son, and someone who has dealt with this in his own family, I would say these are discussions . . . that are critical to high-quality care.   I would want any American who wanted to have this conversation with their clinician to have the opportunity to do so."

Medicare will use the term "advanced care planning" for the new benefit aimed to discern the type of treatment patients want in their last days, with options ranging from care that's more focused on comfort than extending life to all-out medical efforts to resuscitate a dying patient.

Last week's announcement did not elicit accusations of "death panels" that arose when a similar provision was included in the Affordable Care Act.  Ultimately, that provision was removed from the ACA.  

This provision is part of the proposed 2016 physician payment rule that is set to be published in the Federal Register this Wednesday, July 15th with comments due on September 8th and anticipated publication of a final rule on November 1st.  

This rule institutes the Merit-Based Incentive Payment System (MIPS), the new physician payment system to replace the SGR enacted through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

You can view the CMS news release with links to a rulemaking fact sheet and the rule here.

[return to top]

New Online CME: Genetic Testing for Breast Cancer

Breast Cancer Genetic Testing CME courses: Content for MMA Weekly Update

The Jackson Laboratory is pleased to announce a new free CME module in a series on cancer genetic testing: Genetic Testing for Breast Cancer Risk

Genetic Testing for Breast Cancer Risk

If you have determined that a patient has an increased risk for hereditary breast cancer, he or she may be a candidate for genetic testing. There are numerous options for breast cancer genetic testing, with different strengths and limitations depending on the patient’s personal and family history. This online education program gives clinicians an opportunity to practice evaluating how well a particular genetic test assesses breast cancer risk and the potential impact of testing on patient outcomes.

In this CME course, clinicians can practice identifying patients for breast cancer genetic testing and selecting the best testing option. Highlights of the program include:

·         Practice identifying candidates for single gene and multi-gene panel testing for hereditary breast cancer.

·         Strategies for efficient and cost-effective genetic testing.

·         Tips for discussing BRCA1 and BRCA2 testing with patients.  

·         Downloadable point-of-care tools that can be used in the clinic.

Visit Genetic Testing for Breast Cancer Risk 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]

Workers' Comp Proposes Medical Fee Schedule Changes

On July 9th  the MMA staff submitted comments on the Maine Workers’ Compensation Board’s proposed rule changes relating to the medical fee schedule. Among the changes the Association supports are clarifications of the rules regarding patient authorizations (they are not required) and records (they are to be sent with each bill and paid for by the insurer/employer). The MMA also supports the change from a reimbursement formula to a fee schedule for durable medical equipment. We asked for clarification of references to such items as post-surgical care, which has no definition or time frame, whether “any visit” includes diagnostic testing, and whether a diagnostic code reference will be considered a sufficient “description of the injury” on requests for payment for services. The proposed rules also refer to ICD codes without any discussion about how the change from ICD-9 to ICD-10 will be handled by the agency.

Finally, the proposed rules have two fee reduction sections which the MMA opposes. The fee for the first page of copies is reduced from $10 to $5, although the per-page amount is increased from $0.35 to $0.45. More significantly, the facility base rates for ambulatory surgical units are proposed to be reduced over three years from the current $81.32 to $78.53. In comparison, the rates for acute care hospitals will rise from $108.42 to $143.59 and the rates for critical access hospitals will rise from $132.53 to $166.50 during that same time frame. The MMA voiced its strong objection to these changes, particularly since our members are prevented by contract from revealing what they are paid by commercial insurers and the Workers’ Compensation Board does not appear to have asked the insurers for that information before relying on demonstrably poor quality data upon which their consultant based its recommendations. We will continue to monitor and report on these proposed changes.

[return to top]

Job Openings

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.  KVHC has sites in Ashland, Houlton, Island Falls, Patten and Millinocket.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for all of our 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.


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.


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.


Family Practice Physician – Bucksport Regional Health Center                                                                

The Bucksport Regional Health Center, a Federally Qualified Health Center, has a unique opportunity for an experienced Family Practice Physician to work at a small, independent, community-based primary care facility that offers great quality indicators, a team atmosphere, and excellent working conditions.  Responsibilities will include the diagnosis, treatment, coordination of care, preventive care and provision of health maintenance services to patients of all life cycles. 

Candidates must have graduated from an accredited medical school and completed a residency in Family Practice or Med/Peds, have a current State of Maine Medical License and D.E.A Certificate, and at least five years of experience in the practice of family or internal medicine. The successful candidate will be offered a generous compensation package, including a competitive salary and excellent benefits. 

The Bucksport Regional Health Center has been offering easy access to quality, affordable care for persons of all ages since 1974.  Interested applicants should apply with a resume and cover letter to Carol Carew, Executive Director, 110 Broadway, Bucksport, ME 04416 or via email at ccarew@brhc.info (or call 207-469-7371).


Physician/Medical Director – Nasson Health Care

Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  

The Physician/Medical Director: 

  • Provides advice and counsel regarding a broad range of clinical, clinical policy, programmatic and strategic issues required to achieve the short and long-term strategies and objectives of Nasson Health Care; 
  • Provides direct clinical services and oversees physicians and advanced practice nurses; works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care.

Qualifications include:

  • A minimum of three years’ experience as a Medical Director of a primary care medical practice;  A degree from an accredited medical school in the U.S.,
  • Board certification in Family or Internal Medicine;  An unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.
Visit www.yccac.org for an application. Completed cover letter, resume, and employment application will be accepted until position is filled.


Assistant Medical Director

The Assistant Medical Director is responsible assisting the Chief Medical Officer with all areas of medical and behavioral treatment policy, pharmacy, utilization review and management, disease / case management and quality management and for the medical oversight of daily case management and utilization management activities and decisions.

MD or DO with unrestricted medical license in Maine or New Hampshire required. Board certification in primary or specialty care. 

Minimum of five or more years of direct clinical experience in area of clinical practice, participation in a leadership role in medical staff organization activities, and management experience within a health care delivery system.  Minimum of three years’ experience in medical management in a managed care setting or the equivalent.

Apply online at http://www.jobsinme.com/seek/resultdetail.aspx?JOBNUM=1118778 or email your information to blovejoy@maineoptions.org


Medical Director/Psychiatrist - Woodfords Family Services

Woodfords Family Services http://www.woodfords.org, a not-for-profit social service agency serving individuals with autism, intellectual and developmental disabilities and mental health diagnoses since 1967 has an immediate opening for a Medical Director/Psychiatrist for 2-3 days/week contractual basis to support a program serving children, adolescents and adults.

The Medical Director/Psychiatrist is responsible for clinical oversight, supervision for a full-time Physician Assistant-C and consultation with Agency programs. Opportunities are available to provide assessment and medication management. Hours are flexible. Some on-call hours may be required. Job/Educational Requirements include:

  • Board Certification and a Maine license to practice medicine
  • DEA registration
  • Professional malpractice insurance certificate
  • Graduation from an accredited program
  • Certificate of completion from an accredited psychiatric residency training program or from a child psychiatry fellowship program

Candidates should mail or e-mail (dpatrick@woodfords.org) a letter of interest/resume to: Woodfords Family Services; P.O. Box 1768; Portland, ME  04104-1768; ATTN: Douglas Patrick; Medical Director/ Psychiatrist Search; EOE 

·      7/27/15

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.


Nurse Practitioner

Bath Iron Works is currently hiring a Nurse Practitioner.  If interested please apply at: https://www.gdbiw.com/careers.   

Job Description:

  1. Diagnose, treat and medically manage work-related injuries and illnesses for employees.
  2. Collaborate with on-site medical, nursing and workers' compensation personnel concerning work-related injury case management activities.
  3. Perform routine medical surveillance physical examination and case review for a variety of programs: exposure from asbestos, heavy metals, various environmental toxins and noise, DOT, fire brigade and other programs.
  4. Works within current nurse practice act of the State of Maine.
Required Education/Training:

  1. Master's degree in nursing required
  2. Certified nurse practitioner required
  3. Current State of Maine APN license required
  4. Occupational health experience is highly desirable
  5. BLS/ACLA certification required

NP III:  Minimum 3 years’ experience as an NP in family or adult practice required.                                                 

Sr. NP:  Minimum 5 years’ experience as an NP in family or adult practice required.

Questions should be directed to Jessica Galluze at 207-442-5048 or jessica.galluze@gdbiw.com


Emergency Medicine Physician at Sebasticook Valley Health in Pittsfield, Maine

Sebasticook Valley Hospital (SVH) is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor, Maine’s second largest city. The hospital serves a population of 30,000 in this central Maine area.

An excellent opportunity is available for a full time Emergency Medicine Physician.  The Emergency Medicine Physician is responsible for the evaluation and management of patients who seek emergency care for a broad range of illnesses and injuries. 

This is an experienced ED staff treating approximately 13,000 patients annually. Flexible schedule working 12-14 12-hr shifts. We are seeking either an MD/DO board certified/eligible emergency medicine trained physician, or board certified/eligible FP with ED experience. The hospital has EMR, and is CPOE. The compensation and fringe benefits package is highly competitive.

Sebasticook Valley is an affiliate of Eastern Maine Medical Center, the tertiary care center in Bangor. The hospital has a helipad for transporting trauma cases by Life Flight.  SVH serves has a wide range of outpatient services, including over 20 specialty services.

For more information, please contact Sherry Tardy, PHR, AASPR, at 207-487-4085 or stardy@emh.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:                           

              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


6th Annual Patient Safety Academy
Wednesday, September 23, 2015
9:00am - 3:30pm
USM Abromson Center

At the 6th Annual Patient Safety Academy this year, Dr. Bryan Sexton, Director of the Duke Patient Safety Center, will present a 2-part seminar on the science of enhancing resilience. Dr. Sexton's research on safety culture, teamwork, and resilience have resulted in assessment tools used world wide. He will discuss practical strategies to manage stress in the healthcare workplace, cope with change, and manage fatigue.

For more information, visit www.usm.maine.edu/muskie/psa


[return to top]

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