Governor LePage and Attorney General Mills Address Attendees at 162nd MMA Annual Meeting
Maine Governor Paul R. LePage and Attorney General Janet T. Mills spoke to MMA members and guests in Bar Harbor Saturday morning during the Association's Annual Meeting. Both state officials emphasized the state's prescription drug abuse and heroin problem and asked for MMA support in combating it.
Governor LePage cited statistics regarding babies born with signs of withdrawal, now representing 1 in every 12 births in the State. He stated that he did not want to arrest and punish drug addicts but wanted to get at the individuals and gangs trafficking in drugs. He acknowledged that a comprehensive approach is needed with prevention, treatment, and law enforcement making up the proverbial three-legged stool.
In a lively question and answer period, the Governor sparred with several MMA members on the facts surrounding the failure of the State to expand MaineCare using federal funds available through the Affordable Care Act. He also defended his actions in the Good Will-Hinckley firing of House Speaker Mark Eves as President stating that there was "nothing there" for the media to find. The Governor was introduced by Daniel Campos, M.D., President of the Maine Society of Anesthesiologists.
Attorney General Mills thanked MMA for its advocacy for MaineCare expansion through leadership in the Cover Maine Now Coalition. She also encouraged members and all prescribers to fully use the Prescription Monitoring Program (PMP) and noted the recent interstate data sharing agreement with Massachusetts. The Attorney General was introduced by her sister, long-time MMA member Dora Mills, M.D., M.P.H.
Results of Member SurveyMonkey Poll
Thank you to the 233 members who completed the brief SurveyMonkey poll last week on three important issues. Here are the results:
1. Would you support removing from state law the ability of parents to refuse immunizations for their children based upon philosophical or religious reasons (leaving only the medical exemption)?
2. Should the MMA take a position supporting expanding mandatory background checks of private sales of firearms, such as at gun shows and through classified advertisements?
3. Do you prescribe extended release hydrocodone bitartrate (Zohydro)?
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MMA committees and the Board of Directors will take these results into consideration when making policy decisions on these issues.
Resolutions on Firearms, Prescription Drug Abuse, and Insurance Plan Mergers Passed at Annual Session
Members attending the 162nd Annual Session of the Maine Medical Association passed three resolutions dealing with current issues in the state. All the Resolutions can be viewed on the MMA website at www.mainemed.com.
Resolution # 1 Re: Supporting Background Checks for Firearm Purchases, was proposed by the MMA Public Health Committee and supported as well by the Maine Association of Psychiatric Physicians It calls on MMA to support current efforts to require and enforce universal and thorough background checks when firearms are purchased and acquired in the State of Maine.
Resolution #2 Re: Actions in Response to Opioid Problem, was proposed by the MMA Board of Directors and proposed a series of actions by MMA including encouraging physicians to become certified buprenorphine prescribers and supporting the work of the U.S. Attorney's office in organizing three work groups focused on prevention, treatment, and law enforcement. Additional actions would include encouraging the use of the Prescription Monitoring Program, continuing advocacy for MaineCare expansion, and expanding the availability of naloxone.
Resolution #3 Re: Proposed Merger of Anthem, Inc. and Cigna, was proposed by the MMA Board of Directors. It asks the Association to urge state regulators to carefully review the proposed merger of Anthem and Cigna and use enforcement tools to preserve competition and to also urge regulators to ensure that interested parties in the state have an opportunity at public hearings to comment on the implications of the proposed merger.
The full text of all the Resolutions will be available on the MMA website.
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These Resolutions, now passed, will be the subject of Board review and approval at the next Board meeting on October 14th.
Volunteers Sought for U.S. Attorney's Task Forces on Prevention, Treatment, and Law Enforcement re Opioids
Volunteers from the medical community are needed for the three task forces being organized by the U.S. Attorney's office, assisted by the Maine Attorney General's office and the Maine Medical Association to address the epidemic of drug abuse in the state. If you would like to participate or know of other health professionals that would, please contact Gordon Smith, Esq., at MMA via e-mail to email@example.com.
It is not known at this time the extent of the obligation expected of each Task Force member but more will be published in the Update as information becomes available. There was an important meeting today at the U.S. Attorney's Office for the purpose of beginning this important work.
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In related news, Governor LePage has announced a September 30th summit to focus on avoiding drug use during pregnancy. Mark Publicker, M.D. will keynote the summit which will be held at the Season's event center in Portland. Physicians and other interested in attending may contact Nikki Busmanis at Nikki.firstname.lastname@example.org or by calling 287-2816.
Representative Linda Sanborn, M.D. and Robert Bach, M.D., M.Div. Honored at Annual Session
State Representative Linda Sanborn, M.D. received the Association's President's Award for Distinguished Service on Saturday evening at the Annual Banquet associated with the Annual Meeting. In presenting the award, President Lisa Ryan, D.O. noted that no Legislator in the past seven years has done more to advance the cause of public health in Maine and to articulate the merits of expanding MaineCare eligibility under the Affordable Care Act. Representative Sanborn is serving her fourth term in the Maine House representing the citizens of House District 26, part of Gorham. She is serving her second term on the Joint Standing Committee on Appropriations & Financial Affairs. A retired family physician, Representative Sanborn was the sponsor of the bill this past session that attempted to increase the state's childhood immunization rates by modifying the philosophical exemption. The bill passed both houses of the legislature but was vetoed by the Governor. The House subsequently sustained the veto on a very close vote.
Robert Bach, M.D., F.A.C.S., M.Div., a palliative care physician at Eastern Maine Medical Center, received the Mary Cushman, M.D. Award for Humanitarian Service. Dr. Bach was nominated for the award by James K. Van Kirk, M.D., F.A.C.P. Dr. Bach has practiced in Maine for several decades, first as a general surgeon and for the past seven years as a palliative care physician. Dr. Bach was recognized for his volunteer work in Nicaragua, Honduras, Guatemala, and St. Lucia for many years.
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The Cushman award was presented by Dr. Van Kirk and Lawrence Mutty, M.D. M.P.H. and is accompanied by a $1,000 contribution to a charitable organization to be chosen by the recipient.
Brian Pierce, M.D. Elected 163rd MMA President
Family Physician Brian Pierce, M.D. was inaugurated as President of the Association this past Saturday during the Maine Medical Association's 162nd Annual Meeting in Bar Harbor. Dr. Pierce resides in Rockport where he operates Megunticook Family Medicine and also does work as a hospitalist at Pen Bay Medical Center. He is married to Andrea Pierce and they are the parents of four children.
Dr. Pierce is a graduate of the U.S. Coast Guard Academy and Dartmouth Medical School. He is board certified in family medicine and has served MMA as both Board Chair and President-elect. He succeeds Lisa Ryan, D.O. who was the first osteopathic physician to lead MMA. Dr. Ryan rin Naples with her partner Rich and her two children. She is a pediatrician who for several years worked at Bridgton Hospital.
In his remarks Saturday evening upon assuming office, Dr. Pierce thanked Dr. Ryan for her leadership and laid out an agenda for the coming year including a continuation of reaching our to MMA members and engaging them in the issues confronting medicine in the state. In a response to the state's drug abuse and heroin issue, he pledged to use his own Suboxone license to serve as a model for colleagues in serving a difficult patient population.
In expressing her appreciation to the Board and staff for their efforts this past year, Dr. Ryan noted the daily efforts of Maine physicians to provide quality care to their patients.
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In other elections, Charles Pattavina, M.D., Director of Emergency Medicine at St. Joseph's Hospital, assumed the role of President-elect and Jabbar Fazeli, M.D., a geriatrician in southern Maine, was elected Chair of the 25-member MMA Board for the coming year.
Is Your Practice Ready for ICD-10; Transition is October 1, 2015
It is now clear that further delays in the implementation of ICD-10 are highly unlikely and that the effective date of the conversion will be October 1st. After two previous delays, policy makers and the Congress, for the most part, believe that the majority of providers are ready following success at end to end testing.
The Centers for Medicare & Medicaid services (CMS) announced over the summer an ICD-10-CM grace period for the first year. Officials stated, "For 12 months after ICD-10 implementation, Medicare review contractors will not deny physician or other practitioner claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a Code from the right family. However, a valid ICD-10 Code will be required on all claims starting on October 1, 2015."
Although Medicare is providing this grace period, other payors are not obligated to do so and many are not. Consult with your provider relations staff to determine if the plan is following Medicare's lead.
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As October 1st approaches and in the weeks immediately following, the Weekly Update will contain at least one article on the transition. There are several good informational resources available on the CMS website.
Maine Vaccination Rate Now the Best in the Nation for Children 19 to 35 Months Old
In 2014, Maine outperformed all the other states in getting recommended vaccines to children ages 19 to 35 months, according to a report released last week from the U.S. Centers for Disease Control and Prevention. The vaccination rate for the series of seven vaccines protecting against 11 diseases was 84.7 percent, representing a 16.7 percentage point increase of the state's 2013 rate which was below the nation's average.
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Most observers interviewed about the marked improvement attributed the change to several sustained projects going on in the state addressing the issue. Much of the effort has been led by Quality Counts which for four years has worked with more than twenty pediatric and family practice settings in the state. Congratulations to the many physicians and the parents who have protected their patients and children against many diseases that in the past have been common childhood occurrences.
Lowering the Cost of Interacting With Healthcare Payers – Can It Be Done?
September 22, 2015 @8:00 PM
- Thursday, September 24, 2015 @7:30 AM -
Tuesday, September 30, 2015 @1:00 PM
Communications & Member Relations Director, Maine Health Management
request of the very people who spend the most time dealing with the complexity
of health plan design and administration…YOU, the Maine Health Management Coalition,
with the assistance of Medicaid and every major insurance carrier in the State,
has embarked on a ambitious project to to provide clinicians with a thoughtful,
standardized benefit platform from which to do their jobs successfully.
Please join us for one or all of the three free webcasts that have been
set up to explain the origin of the Coalition’s SIM funded transformative
effort, the five major components of the plan, how you can offer your
suggestions, and how soon it may be available in your community.
to learn more about standardizing benefit platforms? Webinar attendees will
receive a discount code to register for our November 18 annual symposium, where there will
be a learning session about value-based insurance design!
Nancy Morris has served as Communications
Director of the Maine Health Management Coalition since 2009, an organization
that works to align the efforts and needs of people who pay for care, provide
care and receive care so that Maine can produce better health at a more
reasonable cost. This is a role she was destined to play, given her extensive
knowledge of Maine’s health care quality improvement efforts, employee benefits
and communications. Prior to her role at the Coalition she helped Healthsource
Maine become the largest HMO in the State and helped faciliate clinical health
improvement efforts in the Maine Health Alliance, leading to some of the
country’s highest quality adherence scores in the country.
> Register for 9/22/15
> Register for 9/24/15
> Register for 9/30/15
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New Online CME: Genetic Testing for Colorectal Cancer Risk
The Jackson Laboratory is
pleased to announce a new free CME module in a series on cancer genetic testing:
Genetic Testing for Colorectal Cancer Risk.
Genetic Testing for Colorectal Cancer Risk
If you have determined that a patient has an increased risk
for hereditary colon cancer, he or she may be a candidate for genetic testing. There
are several hereditary colorectal cancer syndromes with different underlying
genetic causes. The ability to recognize features suggestive of these syndromes
can improve risk assessment and testing strategy. This
online education program gives clinicians an opportunity to practice evaluating
the fit between a patient’s history and a particular genetic test for colon
In this CME course, you will
practice identifying patients for colorectal cancer genetic testing and
selecting the best testing option. Highlights of the program include:
identifying candidates for single gene and multi-gene panel testing for
hereditary colorectal cancer.
role of tumor screening in evaluation for Lynch syndrome.
for efficient and cost-effective genetic testing.
point-of-care tools that can be used in the clinic.
Visit Genetic Testing for Colorectal 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: email@example.com [return to top]
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.
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 firstname.lastname@example.org. Please reference search number PS0314D.
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
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:
Certification and a Maine license to practice medicine
malpractice insurance certificate
from an accredited program
of completion from an accredited psychiatric residency training program or from
a child psychiatry fellowship program
Candidates should mail or e-mail
(email@example.com) 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
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: firstname.lastname@example.org.
Emergency Medicine Physician at Sebasticook Valley Health in Pittsfield, Maine
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.
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.
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 email@example.com.
Urologist – Augusta, Maine
An all-service VA
Medical Center in an all-season recreational getaway! A Urologist is needed in
Augusta, Maine. Must-have an unrestricted state medical license. This is your
opportunity to use and develop your skills of diagnosing, treating, and managing
patients according to standard, usual, and acceptable methods and techniques.
B/C in Urology preferred. Qualified candidate will
have a current ACLS certification. Disabled persons and/or veterans are
encouraged to apply.
Most-importantly, you could experience the sense of
patriotism and pride associated with working with veterans. You'd be eligible
to participate in a pension program as well as a matching Thrift Savings Plan
which is similar to a 401K. If you have prior military experience, you may be able
to combine accrued military retirement credit with VA pension benefits.
Live in Augusta, or within easy commuting distance,
in the mid-coast region, in the mountains, or lakeside. Safe communities with
highly rated school systems. Variety of outdoors recreational destinations,
near-by college and university campuses, and other cultural events are some
examples of what central Maine has to offer. Living in Maine offers excellent
quality of life and access to many cultural and recreational activities.
Your salary will be determined by local
Physician/Dentist Compensation Panel (commensurate with education, experience
and qualifications). By law, U.S. Citizens will be given 1st preference but
non-citizens will be considered in the absence of qualified citizens.
Recruitment Incentive (or Relocation Incentive for a current VA employee) may
You may be eligible to apply for the Education Debt
Reduction Program. Please contact Human Resources at this medical center and
speak with the Education Debt Reduction Program Coordinator for additional
For more information contact John Poulin: firstname.lastname@example.org
OUR MISSION: To fulfill President Lincoln's promise
"To care for him who shall have borne the battle, and for his widow, and
his orphan" by serving and honoring the men and women who are America's
Primary Care Physicians Needed
VA Medical Center in an all-season recreational getaway! Primary Care
Physicians are needed for what could be a fulfilling, secure career caring for
grateful patients from Caribou, Maine, and the surrounding communities. Must-haves; B/C or B/E specializing in
Primary Care, Family Practice, or Internal Medicine by the appropriate
accrediting agencies, unrestricted state medical license. This is your
opportunity to use and develop your skills of diagnosing, treating, and
managing patients according to standard, usual, and acceptable methods and
persons and/or veterans are encouraged to apply.
This is the opportunity for you to
receive a competitive salary, a generous leave package, excellent health &
life insurance benefits, and retirement benefits. Additionally, you could
experience the sense of patriotism and pride associated with working with
veterans. You'd be eligible to participate in a pension program as well as a
matching Thrift Savings Plan which is similar to a 401K. If you have prior
military experience, you may be able to combine accrued military retirement
credit with VA pension benefits.
You may be
eligible to apply for the Education Debt Reduction Program. Please contact
Human Resources at this medical center and speak with the Education Debt
Reduction Program Coordinator for additional information. Relocation expenses are not authorized for
communities with highly rated school systems. Variety of outdoors recreational
destinations, near-by college and university campuses, and other cultural
events are some examples of what Aroostook County, Maine has to offer.
Maine Healthcare System (formerly Togus VA Medical Center) proudly serves
Maine's veterans at a main campus in Augusta or any of nine outpatient clinics.
It's a modern 67 bed facility with general medical, surgical, intermediate and
mental health beds, as well as 40 Skilled-Longer Stay beds, a 25-bed Dementia
Unit, and a hospice unit. Living in Maine offers excellent quality of life and
access to many cultural and recreational activities.
will be determined by local Physician/Dentist Compensation Panel (commensurate
with education, experience and qualifications). By law, U.S. Citizens will be
given 1st preference but non-citizens will be considered in the absence of
qualified citizens. Recruitment Incentive (or Relocation Incentive for a
current VA employee) may be available.
For more information contact John
OUR MISSION: To fulfill President Lincoln's promise "To care for him who
shall have borne the battle, and for his widow, and his orphan" by serving
and honoring the men and women who are America's Veterans.
Physician (MD/DO) – Brunswick,
ME – Full-Time
We are seeking a Physician with
interest in occupational medicine to work full-time at our Brunswick, Maine clinic.
The Physician will provide medical treatment to work-related illnesses and
Requirements: Degree of Doctor of Medicine
(M.D.) or Doctor of Osteopathy (D.O.) from a U.S. accredited institution.
Previous experience in Industrial Medicine, Emergency Medicine or General
Practice preferred. Current license to practice medicine in the State
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 20 states with nearly
4,000 employees, including approximately 1,200 medical providers; U.S.
HealthWorks serves thousands of patients each day.
to competitive salaries we offer:
to grow and learn with an industry-leading healthcare organization
Flexible hours and
excellent work environment
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
Online: www.ushealthworks.com Requisition Number 8521
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American Academy of Pediatrics, Maine Chapter (MAAP) and the Atlantic Pediatric Society (APS)
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/
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
Maine Concussion Management Initiative Training Programs – Level 1 and Level
General Information for 2015
When and where
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)
– 8:15 Registration and Continental
1 and Level 2 are run simultaneously)
1 – An Introduction to Concussions and Concussion Management
- The Diagnostic and Return to Play
- 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
2 – Interpreting Neurocognitive Testing
- Using ImPACT Testing in Concussion
- Interpreting ImPACT Test Results
- Case Reviews
- Review and Wrap-up
for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, ATC, RN, PT,
for school personnel and all other attendees
nurses, coaches, school athletic directors, administrators, parents, etc.)
for students – currently enrolled in a college program
- Continental Breakfast and mid-morning break
- CEU/CME credits for Health Care Professionals
Confirmation will be sent by email and will include:
- Directions to training location.
- Training agenda.
Salis, PT, ATC
Membership Committee Chair
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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
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.
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:email@example.com.