August 10, 2015

 
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Sharp Increase in Drug Overdose Deaths Leads to Summit Later this Month

Governor LePage announced last Wednesday that he will bring together law enforcement officials and drug treatment advocates at a summit later this month to address the state's drug abuse epidemic.  The announcement was made following a report of 14 heroin overdoses that occurred in Portland during a 24-hour period the previous weekend.

Also on Wednesday, Governor LePage sent a letter to Legislative leaders asking that they reconsider his request to increase funding for more MDEA agents.  The Legislature during the recently concluded session filled only four of the 14 additional MDEA agents the Governor requested in his proposed budget.  The attention focused on the recent increase in overdose deaths is certain to renew the debate on whether the answer to Maine's drug problem is more law enforcement to stop the flow of heroin and other illicit drugs into the state or more prevention and treatment resources.  

The number of heroin users in Maine seeking treatment has tripled from 1115 in 2010 to 3463 in 2014, according to state data published in the Portland Press Herald on Thursday.  And similarly, the number of deaths from overdose from heroin has increased dramatically in the last three years.  

Also on Wednesday, Portland officials announced a new public awareness campaign including public service announcements and an overdose education website.  Portland Police Chief Michael Sauschuck stated that addressing drug abuse takes a three-prongeds approach including prevention, rehabilitation, and law enforcement.  Asked about addiction treatment services, Sauschuck responded that there were not enough in the city of Portland or in the nation.

The past week has also seen comments by state officials about funds being available for treatment that were going unused.  But, many providers in the addiction recovery field have expressed frustration with these comments noting that if such funds are available, the provider community has not been made aware of them.  The controversy also raises again the failure of the State to expand Medicaid as provided for in the Affordable Care Act.  Many of the individuals seeking recovery from addiction are young adults who are single and ineligible for MaineCare without the expansion.  So, even if treatment facilities were available, many of those seeking treatment could not pay for the care.

The MMA Board of Directors reviewed the Association's efforts in the area of education  and prevention at the Board meeting last Friday, August 7th.  While much has been done since the Association presented its first CME program on preventing drug diversion, abuse, and addiction in 2001, members agreed that more needs to be done and a plan will be created to enhance the activities of the Association in the drug abuse area.  An op ed piece is being prepared for the Portland Press Herald by Association President Lisa Ryan, D.O.  Governor LePage and Attorney General Mills are both speaking at the upcoming MMA Annual Meeting on September 12th in Bar Harbor.  All members are encouraged to attend and lend their voices to assist public policy makers in this difficult area.

Governor LePage and Attorney General Mills to Speak at MMA Annual Session

Governor Paul LePage and Attorney General Janet Mills have both confirmed their availability to speak at the MMA's 162nd Annual Session.  Governor LePage will speak at 10:00 am Saturday morning, September 12th and Attorney General Mills will speak at noon on the same day.  The Governor will speak for twenty minutes and will take fifteen minutes of Q & A following his remarks.  The Attorney General will speak for approximately a half hour and also is willing to take questions from attendees.  The Governor and Attorney General will not be speaking together, which is no surprise to any MMA member who keeps current with Maine's political scene.

Registration materials for the meeting in Bar Harbor, from September 11-13, 2015 has been mailed to each MMA member and will also be included in the next issue of Maine Medicine which will be arriving in offices around August 12th.  Registration is also available on the Association's website at www.mainemed.com.  The meeting once again will be held 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.  In addition, the Mary Cushman, M.D. Award for Humanitarian Service and the MMA President's Award for Distinguished Service will be presented.  Several MMA members will also be present to receive a fifty-year pin recognizing the fiftieth anniversary of their graduation from medical school.

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.

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Maine Supreme Court Says Vetoes Not Timely

Last Thursday the Maine Supreme Judicial Court issued its opinion on the conflict between the Governor and the Legislature concerning the Governor’s attempted vetoes of several bills beyond the 10-day period allowed for such action.  The Court stated that the vetoes were not issued in time, and as a result the bills in question have become part of Maine law.  This was the position taken by both chambers of the Legislature and the Attorney General.

After determining that a “solemn occasion” existed that gave the Court the authority to consider the issue, the opinion addressed the question in three parts.  First, it analyzed the language of the Maine Constitution and of a particular statute that potentially related to the question.  Next, it reviewed the actions of all Maine governors since Gov. Longley in dealing with vetoes at the end of a legislative session.  Finally, it reviewed the actions of other states under similar circumstances with somewhat similar constitutional provisions.

In reviewing the constitutional and statutory language, the Court said that determining when the Legislature is in session is a matter for the Legislature, and only the Legislature, to decide.  The major question presented for the Court’s analysis was whether the Legislature had adjourned in such a way as to “prevent” the Governor from returning the bills in question to it with veto messages attached.  The Court stated clearly, “Context is critically important.”

For almost 40 years, the Court stated, Maine governors have “routinely” issued vetoes at the end of a session while the Legislature was temporarily, but not finally, adjourned.  This was the situation at the end of the most recent legislative session which gave rise to the conflict at hand.  As the Court pointed out, Governor LePage himself issued timely vetoes in such circumstances in each of his previous four years in office.

In analyzing decisions from 15 other states, the Court found that the “great weight” of state decisions supports the view that only final adjournment will prevent the governor from returning vetoes to the Legislature.  The decision goes into significant detail in analyzing most of those state decisions.

After noting the significant effect of its opinion in rendering 65 “vetoes” ineffective (“a result we do not take lightly), the Court said, “[a] temporary legislative adjournment does not prevent the return of the bills with the Governor’s objections to the Legislature.”  It found that none of the 65 bills the Governor returned to the Legislature for reconsideration was properly before that body for such purpose, since they had all become law.

Although the Court's opinion is only "advisory" under the present circumstances, observers agree that the Governor and the Legislature will treat it as determinative of the questions presented. [return to top]

Some New Laws Affecting Medicine

Several of the bills that are now clearly part of Maine law under the Maine Supreme Judicial Court’s recent opinion in the “veto” case are of interest to the medical community.  They affect such matters as Medicaid, opioids, smoking, prison health care, and mental health care.

Physicians will be affected by some or all of the following:

  • LD 582 (Public Law 359), An Act to Establish a State Educational Medicaid Officer;
  • LD 319 (Public Law 356), An Act to Strengthen the Economic Stability of Qualified Maine Citizens by Expanding Coverage of Reproductive Health Care and Family Services;
  • LD 140 (Public Law 351), An Act To Expand Access To Lifesaving Opioid Overdose Medication;
  • LD 1246 (Public Law 346), An Act To Strengthen Laws Regarding the Manufacture and Sale of Methamphetamine and Other Drugs;
  • LD 787 (Public Law 340), An Act To Provide Tax Credits for Adult Day Care and Respite and Hospice Care;
  • LD 729 (Public Law 330), An Act To Add Acetylfentanyl and Methylfentanyl Derivatives to the List of Schedule W Drugs;
  • LD 91 (Public Law 326), An Act To Allow Dental Hygienists To Prescribe Fluoride Dentifrice and Antibacterial Rinse;
  • LD 1391 (Public Law 325), An Act Regarding the Treatment of Forensic Patients;
  • LD 1108 (Public Law 318), An Act To Protect Children and the Public from Vapor from Electronic Smoking Devices;
  • LD 1013 (Public Law 315), An Act To Prevent the Shackling of Pregnant Prisoners and Pregnant Juveniles; and
  • LD 1145 (Public Law 309), An Act To Improve Maine's Involuntary Commitment Processes.

All of these laws will be examined more fully in the MMA’s upcoming review of the legislative session. [return to top]

MMA Health Lawyers Available to Review Employment Contracts

MMA members and physician assistants belonging to the Maine Association of Physician Assistants are reminded that MMA's three health care lawyers are available to review employment agreements for members.  The cost for the legal review is a flat fee of $350 for physicians and $250 for physician assistants.  The service provided includes a thorough review of the terms in the proposed document and any documents referenced such as compensation plans, a written report including any problematical or ambiguous areas, and a call or meeting with the member to answer any questions.  Usually, the work can be completed within a week.  We do not "negotiate" the terms of the agreement as such activity would frequently put us at conflict with the interests of other members of the association.

If you have a proposed or existing employment agreement you would like reviewed, contact Gordon Smith, Esq. at 622-3374, ext. 212 or via e-mail to gsmith@mainemed.com or Andy MacLean, Esq. at 622-3374, ext. 214 or via e-mail to amaclean@mainemed.com or Peter Michaud, J.D., RN at 622-3374, ext. 211 or via email to pmichaud@mainemed.com.

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EHR Town Hall Strengthens Call for Meaningful Use Improvements

The message from physicians is loud and clear:  Electronic health record (EHR) systems have so much potential, but frustrating government regulations have made them almost unusable.

Atlanta-area physicians shared these thoughts firsthand recently in the AMA’s first-ever town hall meeting on EHRs and the meaningful use program, held jointly with the Medical Association of Georgia.  Rep. Tom Price, MD, from Georgia’s sixth district, and AMA President Steven J. Stack, MD, listened to physicians’ everyday challenges with EHRs and burdensome government regulations that detract from patient care.  About 500 other people registered to watch the event via live-streaming.

During the event, physicians shared their struggles to meet the requirements for the Centers for Medicare & Medicaid Services’ (CMS) meaningful use program.

For example, Melissa Rhodes, MD, a Georgia physician in pulmonary critical care and sleep medicine, is fed up. She was an early adopter of the technology, implementing her first EHR in 2006, more than three years before the meaningful use program was created in legislation.  She wanted the system to live up to its promise—but that didn’t happen.

“I don’t think we’re going to do meaningful use Stage 2,” she said at the town hall.  “And we’ll take the penalty.”

Dr. Rhodes tallied up how much her three-physician practice has spent on her EHR and related IT costs—over the past year, that number hit $84,000.

But more important than the costs, Dr. Rhodes’ EHR has limitations that affect her patients.  The system won’t allow her to titrate orders for patients in the intensive care unit.  And she has to personally enter orders, no matter what time of day or night, without being permitted to benefit from the help of nursing colleagues at the hospital.

“There are so many orders you can’t put in,” she said.  “It only leads to harm for patient care, and more medical errors—not less.”

Dr. Rhodes’ story sounds like so many others shared at the town hall.  Physicians are trying to use EHRs to improve patient care, investing a lot of time and money into making them work, but they are being thwarted.

A top priority for the AMA, just as it is for Dr. Rhodes, is ensuring that patients’ clinical needs and those of the clinicians providing their care are given greater importance than meeting federal regulations.  An AMA study with the RAND Corporation revealed EHRs are a major driver of physicians’ dissatisfaction with their practice environments.  As a result, the AMA worked with doctors and other experts to create eight priorities for making EHRs usable.  These priorities continue to serve as a guide for the AMA’s activities with vendors, policymakers and health care systems.

What’s being done to fix these problems

The U.S. Congress is weighing in, with both chambers targeting the third and final stage of the meaningful use program, which is set to start in 2018.

Rep. Renee Ellmers, R-N.C., has introduced her Further Flexibility in HIT Reporting and Advancing Interoperability Act (Flex IT 2 Act), which would remove the meaningful use program’s pass-fail approach, provide more flexibility and ensure EHR systems address interoperability challenges.  The bill also would pause Stage 3 rulemaking to align it with technology advancements and the new merit-based incentive payment system, which will align physician performance metrics.

Meanwhile, Sen. Lamar Alexander, R-Tenn., chair of the U.S. Senate Health, Education, Labor and Pension Committee (HELP), last week asked U.S. Secretary of Health and Human Services Sylvia Burwell to consider a delay in the release of the rule on Stage 3.

What physicians can do

At the town hall, Dr. Stack asked physicians to contact their members of Congress and ask them to halt Stage 3 of meaningful use until the program is fixed.  The AMA has been calling for CMS to defer implementation of Stage 3 to assess how changes to earlier stages of the program will affect physician participation and success.

Physicians can visit breaktheredtape.org to share their stories about EHRs and meaningful use, and contact theirs members of Congress.
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Quality Counts Highlights CMS Million Hearts: Cardiovascular Disease - Risk Reduction Model

The new CMS/CMMI "Million Hearts CVD Risk Reduction Model" program for value-based payment was recently introduced by CMS.  While this is just one of many new initiatives in health care today, Quality Counts suggests that this is potentially an important opportunity for primary care practices to participate in a value based payment model, and appropriately rewards them for efforts to counsel and educate their patients on CVD risk.  Quality Counts has posted information on the program on its web site.  Please note in particular that QC is partnering with the New England QIN/QIO on a webinar, Innovate, Improve Care & Receive Payment Rewards:  Join the CMS Million Hearts Cardiovascular Disease Risk Reduction Model scheduled for noon to 1 p.m. on Tuesday, August 18th.

Interested applicants must submit a letter of intent (LOI) by September 10, 2015 at 11:59 p.m. EDT.  Letters of intent will be used for CMS planning purposes only.  The LOI is not binding but must be submitted in order to access the application.

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Maine Medical Center Welcomes 41 First Year Medical Students in Tufts-MMC Program

The program opened with welcoming remarks from Maine Medical Center President & CEO Richard W. Petersen.  Tufts University School of Medicine Dean Harris A. Berman, M.D. also had an opportunity for opening remarks about the Tufts/MMC partnership.  

Next, Peter W. Bates, M.D., Senior Vice President, Medical & Academic Affairs/Chief Medical Officer Academic Dean of the TUSM-MMC Maine Track MD Program paid tribute to the McKusick family and then introduced Jeanne Lambrew, Ph.D., Deputy Assistant to the President for Health Policy, The White House, whose McKusick Lecture was entitled, The Intersection of Policy, Politics, and Patients in Health Reform.  Dr. Lambrew discussed the difficult task of implementing a major piece of legislation like the Affordable Care Act (ACA).  She encouraged the students to become familiar with and engage in the health care policymaking process.  Dr. Lambrew is a Maine native whose parents and a number of friends were in the audience.  Dr. Lambrew's father, Costas T. Lambrew, M.D., is a reknown cardiologist who has practiced at the Maine Medical Center for many years.  

Following the lecture, MMC Director of Student Affairs, Medical Education and MMA Past President Jo E. Linder, M.D. introduced each member of the incoming class, including the student's home town and undergraduate school.  Dr. Bates, Dr. Berman, and MMC Vice President of Medical Education Robert Bing-You, M.D. joined in congratulating the students and presenting each with a stethoscope.  

The afternoon concluded with a reception in the Dana Center lobby.   

The TUSM-MMC Maine Track MD Program was founded with three primary goals:  to address the shortage of doctors in Maine, especially in our rural areas; to offer Maine's brightest students the financial means to pursue a career in medicine; and to develop an innovative curriculum focused on community-based education.  This unique partnership offers a rigorous training program focused on the needs of Maine while also giving students firsthand experience providing care in local communities throughout the state.  This approach creates more than just a pipeline of new physicians; it lays the foundation for a future where every Mainer has access to excellent medical care.   

The Maine Track Program is unique because providing essential scholarship support for Maine students in a rurally focused program is necessary to ensure the people of Maine have access to skilled physicians regardless of the region of the state they call home.  Financial support of these scholarships is truly an investment that both addresses Maine's projected physician shortage and provides an opportunity for our best and brightest to affordably pursue a rewarding medical career without leaving the state they love.  MMA's Maine Medical Education Foundation also has been an important source of low-interest loans for many of these students.

If you would like more information about how you can support a Maine Track scholarship, please visit www.mmc.org/mainetrack or call 207-662-2669.  [return to top]

MMA's 25th Annual Practice Education Seminar Combined this Year with MHMC Annual Meeting: Nov. 18

MMA is pleased to announce a change in our previously scheduled 25th Annual Practice Education Seminar which was to be held at the Doubletree Hotel in South Portland on Wednesday, November 18th.  The program will still be held on this date but the location has been moved to the Holiday Inn by the Bay in downtown Portland as we have joined forces with the Maine Health Management Coalition to hold a combined program expected to attract an audience of more than 300 physicians, practice managers, and employers.  Keynote presentations by noted business author Dan Heath and Attorney General Janet Mills will be followed by break-out sessions which will allow MMA to present to the practices the same type of updates and information that they are used to receiving at the previous programs.

Registration materials are being prepared and watch future issues of this Update for a listing of all the breakout sessions.  In addition to updates on new laws and regulations, sessions are expected on opiate prescribing and the Prescription Monitoring Program, End of Life Planning and the new Medicare Benefit, Wellness Triggers, and Value-Based Insurance Design.  And, as always, several sessions will discuss opportunities to improve quality of care and the patient experience and others will update attendees on payment reform initiatives.  Application will be made for CME category one credit.

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Progress Being Made on State Rx Issues, but More Work Needed

States have made significant progress enacting new laws and improving existing ones to increase access to naloxone and provide broad Good Samaritan protections, the AMA said in testimony at the National Conference of Insurance Legislators (NCOIL) summer meeting.

Forty states now have laws specifically seeking to increase access to naloxone, an opioid overdose-reversal drug, according to the National Alliance for Model State Drug Laws (NAMSDL), and 28 have enacted Good Samaritan protections for those who provide aid to someone experiencing an overdose.  While the AMA noted that many of these new laws and protections have been enacted over the past two state legislative sessions, there remains more work to do in the states.

For more information about naloxone and Good Samaritan legislation, please visit the NAMSDL website and learn more ways how physicians can help with the opioid overdose epidemic.
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Upcoming Events

 American Academy of Pediatrics, Maine Chapter (MAAP) and the Atlantic Pediatric Society (APS) 

Joint Conference

September 25 – 27, 2015,  Friday 5pm through Sunday 12:30 pm

Algonquin Resort, St. Andrew’s, New Brunswick

Agenda and information about the venue:  http://maineaap.org/conferences/

Registration:  http://atlanticpediatricsociety.ca/register

Key Topics include: Child Death Review, Transitions of Care Adolescent to Adult, Cystic Fibrosis Screening, Child Advocacy, Child Protection, Hot Topics in Pediatric Medicine, and Pediatrics and Population Health

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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

              jsalis@aol.com

              (207) 577-2018

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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

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Enhancing Cultural Competence


The Hanley Center for Health Leadership is offering two opportunities to participate in a Health Equity and Cultural Competency Training in Augusta on August 31and Portland on September 1.  Workshop participants will to explore the concepts of health and health care disparities, build greater insight into unconscious/implicit bias, and delve into models for developing individual and organizational cultural competence. 

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14th Annual Downeast Ophthalmologgy Symposium

October 2-4, 2015

Harborside Hotel & Marina - Bar Harbor, ME 

The Maine Society of Eye Physicians and Surgeons will be hosting the 14th Annual Downeast Ophthalmology Symposium October 2-4, 2015 at the Harborside Hotel and Marina in Bar Harbor, Maine for ophthalmologists across the country to attend. 

For more information, please visit http://www.maineeyemds.com/symposium-home or contact Shirley Goggin at 207-445-2260 or mailto:sgoggin@mainemed.com.

 

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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.

09/07/15

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.

9/7/15

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.

9/7/15

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.

9/7/15

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).

8/17/15

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.

8/10/15

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 

·      8/31/15

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.

8/10/15

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

8/17/15

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.

9/14/15

 

 

 

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