January 4, 2016

 
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Second Regular Session of 127th Legislature Convenes this Week

The 127th Legislature will convene on Wednesday, Jan. 6 for its Second Regular Session.  Of special interest to physicians will be the bills dealing with the opioid/heroin problem, L.D. 622 dealing with mandated training in child abuse reporting, L.D. 1311 threatening our medical liability system, L.D. 690 regarding the licensing of Certified Professional Midwives and L.D.1305 allowing consumers to "shop" for a specified list of medical services.  NOTE that Legislative Committee conference calls begin next week - see below!

 

MMA Legislative Committee weekly conference calls will begin on Tuesday evening Jan. 12 at 8:00pm. These calls will continue each week until the session adjourns which is expected to be by mid-April. Bills to be discussed on the weekly call and the conference call number are included in the Weekly Update published electronically each Monday. Any MMA member or their practice staff are welcome to join Committee members on the call. The Committee is chaired again by Amy Madden, M.D. Dr. Madden is a family physician who practices at the Belgrade Health Center.  The conference call number is 1-302-202-1092 and the access code is 729-7185.  Again, we will include this information in each edition of the Weekly Update.

Physicians are also encouraged to serve as Doctor of the Day at the Legislature. To volunteer or to check on available dates, contact Sarah Lepoff at MMA at 622-3374 or via e-mail to slepoff@mainemed.com.

Maine Opiate Collaborative Task Force Meetings: Jan 7, Jan 21 and Feb. 4, 2016

Upcoming meetings of the Task Forces organized by the Maine Opiate Collaborative are as follows:

Prevention/Harm Reduction Task Force

Thursdays, Jan. 7, 21, and Feb. 4, 1:00 to 3:00 pm, at offices of the Maine Medical Association, 30 Association Dr., Manchester, Maine

Treatment Task Force

Thursdays, Jan. 7 and 21, 9:00 to 11:00am, at office of the Maine Medical Association, 30 Association Drive, Manchester, Maine

All meetings of these two task forces are open to members of the public.  Minutes of the meetings are posted on the public portion of the website of the U.S. Attorney's office.

In other Task Force news, Eric Haram has been named as the co-chair of the Treatment Task Force replacing Mark Publicker, M.D.  Eric will join Patricia Kimball who is the other co-chair for the Treatment Task Force.  Eric was serving as the co-chair of the Prevention/Harm Reduction Task Force with Bill Paterson.  A new co-chair for the Prevention/Harm Reduction Task Force will be named soon by the Executive Panel.  Mary Dowd, M.D. has been added as a new member of the Treatment Task Force.

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Overdose Deaths in 2015 Likely to Exceed 2014, Heroin being the Major Difference

According to statistics released last week by the state Office of the Chief Medical Examiner, overdose deaths from both prescription drugs and illegal drugs (primarily heroin) continue to rise with 174 accidental deaths being reported for the first nine months of 2015.  In 2014, there were 208 such deaths reported for the entire year. Of the 174 deaths, 71 were caused, at least in part, by heroin. Fifty-four of the cases involved fentanyl.

"Maine's opioid epidemic continues to rage," Attorney General Janet Mills said in a statement released Wednesday. "This problem seems to have the attention of everyone but the users."

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MMA Presents Opioid Prescribing and PMP Education on Jan. 20 in S. Portland

The Maine Medical Association will present a three hour CME course on opioid prescribing and the prescription monitoring program on Wednesday, Jan. 20 from 5:00 to 8:30pm at the Double Tree hotel in So. Portland. The faculty includes Karen Simone, Pharm D., toxicologist for the Northern New England Poison Control Center, Stephanie Nichol, Pharm D., Husson College School of Pharmacy, John Lipovsky, MA, of the Prescription Monitoring Program and Gordon Smith, Esq., EVP of MMA.

As prescribing rates of pain medication in the state remain high in comparison to other states, it is essential that prescribers bring themselves up to date on the many guidelines now available for prescribing for pain while assessing for appropriate risk. This program will include several tools to assist prescribers including a discussion of the new proposed guidelines proposed by the CDC. Faculty will also discuss the current activities of the three Task Forces in the state addressing the problems of opioid/heroin abuse.

Registration is available by calling 622-3374 and on-line at mainemed.com. A $25 fee is charged to cover the cost of dinner and materials.

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Inside ME's Medicine Cabinet: What Prescription Monitoring Can Tell Us About Prescribers & Patients

Inside ME's Medicine Cabinet:

What Prescription Monitoring Can Tell Us About Prescribers & Patients

The Prescription Monitoring Program (PMP) can be used to improve patient care by showing data trends on unsolicited threshold reports, controlled substance prescribing including tranquilizers, stimulants, and opioids. Use of the PMP web portal along with new PMP features will be identified. This session will also review prescribing trends in opioids, and specifically buprenorphine, along with trends in sedatives, benzodiazepines and stimulants.  The program will also discuss how Diversion Alert compliments the PMP.

DATE:                       Wednesday, January 20, 2016        

TIME:                        5:00 PM – 8:30 PM

LOCATION:             DoubleTree by Hilton, 363 Maine Mall Road, South Portland, ME 04106

REGISTRATION:     $25 (Includes Dinner and 3 CME Credits)

This program is made possible through a grant by the Maine Office of Substance Abuse and Mental Health Services

TO REGISTER

AGENDA:

5:00 – 5:30 PM           REGISTRATION AND DINNER

5:30 – 5:45                  Introductions and Opening Comments

                                                Gordon Smith, Esq., Maine Medical Association

5:45 - 6:15                  Diversion Alert Program

                                                Clare Desrosier, MSW

6:15 - 6:50                  The Prescription Monitoring Program

                                                John Lipovsky, PMP Coordinator

6:50 - 7:30                  Inside Maine’s Medicine Cabinet

                                                 Stephanie Nichols, PharmD, BCPS, BCPP

7:30 – 8:30                  Substance Abuse Interventions – Responses from the Addicted

                                                Karen Simone, Pharm D., Northern New England Poison Control

8:30                             Closing Comments

                                                Gordon Smith, Esq., Maine Medical Association

FACULTY

John Lipovsky, Office of Substance Abuse and Mental Health Services

John Lipovsky is the Coordinator of the Prescription Monitoring Program. He joined the Maine Office of Substance Abuse and Mental Health Services in early September, 2012.  He has been working to familiarize himself with the PMP as well as the numerous related programs in Maine and across the country. Mr. Lipovsky is currently nearing the finish of earning a Master's degree in Public Policy and Management with a dual track of study in Financial Management and Policy Analysis.  He has also completed graduate certificates in Applied Research & Evaluation Methods and, Performance Measurement all from the Muskie School of Public Service in Southern Maine. His professional background is mainly in grant administration, accounting and finance.

Gordon Smith, Esq., Maine Medical Association

Gordon Smith, Esq., graduated from the University of Maine with highest distinction in 1973 and from the Boston College Law School magna cum laude in 1976.  A native of Winthrop, Maine, Mr. Smith was admitted to the practice of law in the State of Maine in 1976 and in the federal courts in 1978.  After four years of private practice in Augusta, he joined the Maine Medical Association as General Counsel in 1981.  He is a past Chairman of the American Society of Medical Association Counsel, a nationwide group of 140 attorneys representing medical associations.  Mr. Smith also served as Chairman of the American Medical Association/State Medical Society Litigation Center and as Chairman of the Maine Health Data Organization.  He currently serves as Chairman of the Executive Committee of the Advocacy Resource Center of the American Medical Association.  A frequent lecturer to medical groups on various medical-legal subjects, Mr. Smith has served as Executive Vice President of the Maine Medical Association since September 1993. 

Stephanie Nichols, PharmD, BCPS, BCPP, Husson University School of Pharmacy

Stephanie Nichols joined Husson University School of Pharmacy in August 2013 as an Associate Professor in the Department of Pharmacy Practice. She received her Doctor of Pharmacy degree from the State University of New York, Buffalo (UB) School of Pharmacy and Pharmaceutical Sciences. After graduation, Dr. Nichols completed a Hospital Pharmacy Practice Residency at Maine Medical Center (MMC) in Portland Maine. She is a Board Certified Pharmacotherapy Specialist (BCPS), a Board Certified Psychiatric Pharmacist (BCPP), a member of the American College of Clinical Pharmacy, a member of the College of Neurologic and Psychiatric Pharmacists, and a brother of Kappa Psi Pharmaceutical Fraternity.

Clare Desrosier, MSW, Diversion Alert

Clare Desrosiers graduated with a Bachelor’s Degree in Social Work from Providence College in 2002 and a Master’s in Social Work from the University of Maine in 2006. Since 2006, she spent six years as Project Director for a substance abuse prevention coalition in Aroostook County, which launched the Diversion Alert Program in 2009 in Aroostook County and in 2011 in Penobscot, Piscataquis, Washington and Hancock counties. In January, 2013, Clare became Program Director for the Maine Diversion Alert Program, a resource that is now available to prescribers and pharmacists in all Maine counties. Clare co-owns Sunnyside Family Farm, LLC, with her husband, Joseph, where they raise six children, all-natural chicken and u-pick blueberries.

Karen Simone, PharmD, Northern New England Poison Control Center

Dr. Karen Simone is the director of the NNEPC. She is a doctor of pharmacy, a Diplomate of the American Board of Applied Toxicology and a Fellow of the American Academy of Clinical Toxicology. Dr. Simone oversees the day-to-day operations of the poison center, including management of calls, emergency preparedness activities, staff education, educational outreach, research and funding.

The Maine Medical Education Trust designates this activity for a maximum of 3 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.  The Maine Medical Education Trust is accredited by the Maine Medical Association’s Committee on Continuing Medical Education and Accreditation to provide Continuing Medical Education (CME) to practicing physicians.

 

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2015 Update of Physicians' Guide to Maine Law Now Online

The Physicians’ Guide to Maine Law, 2015 Edition, is now online at www.mainemed.com. The guide was completely updated after the 2015 session of the Maine Legislature and now includes all the relevant laws that went into effect in October 2015. When you have a question on what Maine law is on a particular topic, the Physicians’ Guide is the first place you should turn. Topics are arranged in alphabetical order, and discussions are written in “non-legalese” that is easily understandable without going to law school.

Check it out, and let us know what you think!

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Five Ways to Minimize Prior Authorization Delays

Has anyone prescribed you any remedy for the headaches caused by prior authorization requirements? Do you find the requirements frustrating, obstructing and a time thief in your workday treating your patients? The AMA provides five tips on how to minimize prior authorization delays.

1. Check prior authorization requirements before providing services or sending prescriptions to the pharmacy.

Know what you have to do and when you must request prior authorization in order to avoid unnecessary denials, delays and problems.

2.  Establish a protocol to consistently document data required for prior authorization in the medical record.

Set up a procedure in your office…and then follow it. Prior authorizations are the type of requirement that can be met more easily and quickly with well-designed protocols.

3. Select the prior authorization method that will be most efficient, given the particular situation and available options.

You can use standard electronic transactions, health plan portals, fax, telephone and secure email. The AMA provides a newly updated prior authorization toolkit (login required) that details the advantages and disadvantages of each method to help you make educated decisions for your practice.

4.  Regularly follow up to ensure timely prior authorization approval.

Don’t just assume that everything will be fine once you file your request. Track requests, and have your staff follow up by phone or Email to make sure your request is getting the attention it needs.

5.  When a prior authorization is inappropriately denied, submit an organized, concise and well-articulated appeal with supporting clinical information.

If you appeal a prior authorization denial, make sure you include all relevant clinical information. Don’t forget to review your initial request and fill in any missing data.

Prior authorizations are not going away anytime soon. By following the correct procedures carefully and methodically and keeping the payor’s attention on your request, you can save yourself lots of headaches. That’s our prescription!

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MEAPA Seeks Physician Input on New Rules

The Maine Association of Physician Assistants (MEAPA) has asked for input from MMA members on the new, unified rules governing PA practice. Following is a letter from Steven Blessington, PA-C, MHP, President of MEAPA. The MMA would appreciate your attention to his request.

Dear Maine Physicians:

As many of you are aware the Board of Licensure in Medicine and the Board of Osteopathic Licensure have been working together to jointly establish a singular Chapter 2 Rule which governs physician assistant practice and how their supervising physicians oversee their practice.   Additionally, the proposed rule establishes the process and requirements for a physician assistant to obtain a license and certificate of registration with either Board. The proposed rule sets forth standards for physician supervision of PAs and establishes the scope of practice, including prescribing authority.

The Boards have provided this text for public viewing, review and comments thru Jan 22nd.  As this new Rule affects both physician assistants and our supervisory physician colleagues I urge you to review this and offer public comment as you deem appropriate.  MEAPA’s Governmental Affairs Committee has been actively involved in this process from its inception.  The Board of Licensure in Medicine and the Osteopathic Board have been receptive to our input but I cannot overstate the importance of your opinion and comments in the process.  Additionally, Physician presence and comment at the public hearing (date to be announced) will be invaluable.

The text of the proposed rule may be obtained from www.maine.gov/md/ or www.maine.gov/osteo.  We thank you in advance for your attention to this matter.


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Top Ten Predictions for Health Care in Maine in 2016: And a Retrospective Look at our Predictions for 2015

How did we do last year? Of the ten predictions MMA executive staff made one year ago, we were accurate on four predictions, partially accurate on another three and completely wrong on three.  

What we got right: Successful implementation of ICD 10 without further delays. Failure of the Congress to repeal the Affordable Care Act despite many attempts. Supreme Court decision in King vs. Burwell upholding the subsidy provisions in the law.

We what got partially right: Continuing consolidation of hospitals in the state (MidCoast Medical Center absorbing Parkview Adventist Hospital following its bankruptcy; PenBay Medical Center and Waldo County General Hospital come under one board). Ebola continuing in West Africa but not becoming an issue in the U.S. or elsewhere. Opioid prescribing in Maine. We predicted a decline, and we believe there has been a modest decline by physicians but are awaiting the data confirming this.

What we failed miserably at predicting: We predicted that Maine would pass a modest MaineCare expansion.   This was apparently simply wishful thinking on our part. The last two failures we were pleased to have been wrong. We predicted that Congress would again delay implementation of SGR reimbursement cuts. We were pleasantly surprised when a complete repeal of the SGR formula was proposed and enacted. And in our final prediction, we predicted that Maine's immunization rate would continue to decline. We were delighted to see the recent CDC statistics that showed a significant improvement in immunization rates, particularly for toddlers. Congratulations to all the dedicated pediatricians and family physicians who have worked hard to accomplish this.

PREDICTIONS FOR 2016

1.  In a Presidential election that is distinguished by its nastiness, the nation elects a Democrat as President but Republicans continue their majorities in the House and Senate, although narrowed from the margins that currently exist.

2.  In Maine, Congressional representation does not change as Representatives Pingree and Poliquin are re-elected. At the State House, Democrats retain their majority in the House and Republicans continue their majority in the Senate.

3.  Late in the year, the United States Department of Justice approves the mergers of Anthem-Cigna and Aetna-Humana but subject to conditions in five or more states that the companies do not approve of. As a result, one of the two mergers does not go forward.

4.  Maine continues to be the only state in New England not to expand medicaid, thus losing out on the 100% federal participation which ends on Dec. 31, 2016. Maine also continues to be one of a select group of states that fails to decrease its rate of uninsured persons in the state, including, regrettably, children.

5. There continues to be further consolidation of the hospital industry in the state with one of the major systems merging into another. More hospitals struggle financially because of the failure to expand MaineCare and the increasing number of uninsured.

6.  The pendulum continues to swing in favor of limiting opioid medication except for acute pain, cancer pain and end of life care. Both the numbers of prescriptions and the dosages continue to decline, driven by voluntary efforts of prescribers, prior authorization requirements put in place by insurers, and regulatory and legislative initiatives aimed at limiting the availability of long-acting opioids. The number of deaths attributable to accidental overdose flatten out but do not decrease; however, there is a decrease in the number of babies born with neonatal abstinence syndrome.

7.  Several public initiatives qualify for the 2016 ballot but some of the high profile questions fail at the ballot box, including ranked-choice voting and legalization of recreational use of marijuana. Initiatives passing include an initiative to close the current loophole allowing private sales and gun show sales of firearms to escape background checks on purchasers.

8.  The alternative payment reform vehicles under development by CMS to replace fee for service continue to struggle and engender strong opposition from a broad range of stakeholders. The current time lines for implementation are pushed back, awaiting the results of several pilot projects.

9.  The LePage administration and the Legislature continue to struggle generally but do come together to authorize construction of a forensic facility to house and treat forensic patients currently at Riverview Psychiatric Facility. Mental health advocates split on the desirability of such a facility, although the treatment community favors the availability of more beds for those patients in need of inpatient treatment.

10.  By the end of 2016, with the Presidential election concluded, speculation centers on the 2018 gubernatorial election in the state.  But while several leaders in both parties are interested in testing the waters for a run, continuing interest in U.S. Senator Susan Collins closing out her career in the Blaine House causes all other candidates to exercise caution until Maine's senior senator makes her final decision.

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CDC Releases Data on 2014 Overdose Deaths

The Dec. 18, 2015 CDC MMWR contained an article on drug overdose deaths based on 2014 data. The article can be found at http:www.cdc.gov/mmwr/preview/mmwrhtml/mm64e1218a1.htm?s_cid=mm64e1218a1_e.  A hearty thanks to Dora Mills, M.D., MPH for preparing the summary from the text of the article.

As expected, overdoes deaths have increased exponentially since 2000, including a 200% increase in the rate of overdose deaths involving opioids (including prescription pain relievers and heroin). Since 2000, the age-adjusted drug overdose death rate has more than doubled, from 6.2 per 100,000 persons in 2000 to 14.7 per 100,000 in 2014. Maine's rate in 2014 was 16.8 per 100,000.

States with statistically significant increases in the rate of drug overdose deaths from 2013 to 2014 included Alabama, Georgia, Illinois, Indiana, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Mexico, North Dakota, Ohio, Pennsylvania and Virginia. Maine saw a 27% increase in drug overdose deaths from 2013-2014; the U.S. overall saw a 6.5% increase.

In 2014, there were approximately one and a half times more drug overdose deaths in the U.S. than deaths from motor vehicle crashes. Opioids, primarily prescription pain relievers and heroin, are the major drugs associated with overdose deaths.

The 2014 data demonstrate that the United States' opioid overdose epidemic includes two distinct but interrelated trends; a 15-year increase in overdose deaths involving prescription opioid pain relievers and a recent surge in illicit opioid overdose deaths, driven largely by heroin.

Past misuse of prescription opioids is the strongest risk factor for heroin initiation and use, specifically among persons who report past-year dependence or abuse. The increased availability of heroin, combined with its relative low price and high purity appear to be the major drivers of the upward trend in heroin use and overdose.

To reverse the epidemic of opioid drug overdose deaths and prevent opioid-related morbidity, efforts to improve safer prescribing of prescription opioids must be intensified. Opioid pain reliever prescribing has quadrupled since 1999 and has increased in parallel with overdoses involving the most commonly used opioid pain relievers.  CDC has developed a draft guideline for the prescribing of opioids for chronic pain to address this need.  

In addition, efforts are needed to protect persons already dependent on opioids from overdose and other harms. This includes expanding access to and use of naloxone and increasing access to medication-assisted treatment, in combination with behavioral therapies. Efforts to ensure access to integrated prevention services including access to syringe service programs when available, is also an important consideration to prevent the spread of hepatitis C virus and human immunodeficiency virus infections from injection drug use.

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Maine Joins Interstate Opioid Monitoring Compact

Department of Health and Human Services Commissioner Mary Mayhew has executed an agreement to join the National Association of Boards of Pharmacy PMP Interconnect interstate data sharing solution (PMPi). The agreement paves the way to allow Maine providers a review of patient prescription history reports for patients under their care that fill prescriptions in other participating states. In all, over 30 states are using PMPi, including Rhode Island, Connecticut, New Jersey and New York. 

No implementation date has been set, and the DHHS promises more information as it becomes available. 

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New Polio-like Illness Appears

HealthDay News reports that a new illness, labeled “acute flaccid myelitis”, has stricken at least 120 children in 34 states since August 2014. The disease, of unknown cause, is similar to polio and is marked by a sudden onset of paralysis or limb weakness.

In California, cases spiked significantly during a national outbreak of enterovirus D68, which is in the same family as the polio virus. Children there developed acute flaccid myelitis almost six times for frequently during the D68 outbreak than before or after it. Still, the research is inconclusive as to cause. The research team did not find any traces of the enterovirus in the spinal fluid of children with acute flaccid myelitis. That fact neither rules out nor confirms a causal link between the two illnesses.

Since these viruses spread by physical contact, parents should be encouraged once again to teach their children to wash their hands often and to avoid contact with other children who are sick. Researches also note that this is a rare occurrence, with an incidence of 0.16 per 100,000 person-years.

More information can be obtained from the U.S Centers for Disease Control.

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Job Openings

GASTROENTEROLOGIST - Brunswick, Maine

Mid Coast Medical Group in Brunswick, Maine is seeking a BC/BE Gastroenterologist  who will provide superior inpatient and outpatient care.  The candidate will join a 3 physician/1 FNP practice that is conveniently located adjacent to Mid Coast Hospital, a 93-bed Joint Commission accredited hospital. Mid Coast Medical Group is a thriving group practice that provides both primary and specialty care in Mid Coast Maine.

The Coastal location, thriving downtown, historic neighborhoods and Bowdoin College campus make this part of Maine a very desirable place to live.

Mid Coast offers competitive benefits and compensation package, along with an excellent work environment.

Visit our website at www.midcoasthealth.com.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872.

2/1/16

HOSPITALIST - Brunswick, Maine

Full time (1900 hr/year) Hospitalist needed to join Mid Coast Hospital, 93-bed independent, non-profit community hospital located in beautiful coastal Maine, one of Maine’s most desirable regions. Candidate will be joining an established hospitalist service which is expanding due to growth. Physician should be BC/BE in internal medicine or family practice. A competitive salary and benefits package, including CME, is offered for this position.

  • flexible schedule
  • procedures not required, including vent management
  • excellent Pulmonology/Intensivist support
  • excellent subspecialist support
  • No J-1/H1B candidates

Part-time and Per Diem candidates will be considered.

Visit our website at www.midcoasthealth.com.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872. 

2/1/16

INPATIENT PSYCHIATRIST - Brunswick, Maine

Mid Coast Hospital in Brunswick has an exceptional opportunity for a BC/BE Adult Psychiatrist. The position is primarily providing inpatient care within a 13-bed acute-care behavioral health unit and consults throughout the hospital, with some coverage in the outpatient setting. ECT and X-waiver certification (or a willingness to obtain upon hire) is required. Weekend call and rounding is 2 weekends per quarter, and weeknight call is 1:9.

Mid Coast Hospital is a Joint Commission accredited 93-bed community hospital. The state of the art Emergency department includes two specially designed behavioral treatment rooms, and a Behavioral Health Observation Unit to accommodate the behavioral health patients who experience longer stay in the E.D.

Mid Coast offers competitive benefits and compensation package.  New graduates and experienced candidates will be considered.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872. 

2/1/16

OUTPATIENT INTERNAL MEDICINE - Mid Coast Maine

Mid Coast Medical Group, a division of Mid Coast-Parkview Health, is seeking a BC/BE Outpatient Internist. Admitting is through a high-quality Hospitalist service.

The Coastal location, historic neighborhoods, superior schools, and Bowdoin College campus make this part of Maine a very desirable place to live. 

Mid Coast offers a competitive salary and great benefits, all in an employee-centered environment.  The growing mid coast region offers all of the amenities of a large city in a rural setting.  Here’s your opportunity to come join our team. 

Visit our website at www.midcoasthealth.com.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872. 

2/1/16

E.M. BC/BP Physicians

St. Joseph Hospital is recruiting E.M. BC/BP physicians for its dedicated group.  Collegial, nurturing workplace with latest technology and just-completed expansion.  Members support each other and know patient satisfaction is achieved through staff satisfaction.  Leadership development and participation in policies and direction available. 

Equitable scheduling based on 1440-1472 clinical hours per year; more flexible arrangements available. 

Staffing: 51 hours per day, mostly physicians, for 27,000 visits.  We have great E.D. nurses.   

Area offers many cultural attractions, including the University of Maine, natural and organic food producers, pleasant pace, low crime, friendly people, great public schools and affordable housing.  Acadia National Park, Baxter, scenic towns and harbors, Sugarloaf,  I-95 and Bangor International Airport are right here or close.

Highly competitive package includes relocation, signing bonus, loan repayment, retirement and protected vacation and CME time with allowance.

Contact: Charles F. Pattavina, MD, F.A.C.E.P., Chief, Emergency Medicine at 207.907.3350  or cpattavina@sjhhealth.com

1/18/16

Family Medicine Physician

Growing Direct Primary Care practice in Rockport, Maine is looking for the right family medicine physician to join our practice. 

Includes pediatric and adult outpatient care without OB, but skills that add value for patients are highly desired, such as: Office orthopedics, procedures, occupational medicine, DOT & USCG exams, ultrasound and buprenorphine waiver, etc.

Emergency room or hospitalist credentials may be helpful during the start up phase. 

For more information, please email Practice Manager, Jennifer Overlock, at answers@megunticookfamilymedicine, or call 207-390-8570.

2/1/16

Full Circle Family Medicine Seeks Family Practitioner

An opportunity awaits you in the heart of Mid-Coast Maine - you are able to live, play and work in one of Maine’s beautiful coastal villages.  Our medical practice is in Damariscotta, just an hour northeast of Portland, Maine’s largest city, and three hours from Boston.

Full Circle Family Medicine, is in search of a Family Practitioner wanting to join our NCQA recognized Patient Centered Medical Home practice.  We are proud to be a physician owned, independent practice which includes three MDs and three PA’s.

Job Details and Requirements:

  • Flexible work schedule
  • Provide a full range of care including: newborn and pediatric care, adult medicine, gynecology, geriatric and nursing home care
  • Telephone Call Coverage
  • Electronic Medical Records

Benefits of practicing at Full Circle Family Medicine include:

  • Competitive salary
  • Generous earned time program
  • Health Benefits
  • CME allowance
  • Retirement plan with employer match
  • Malpractice Coverage

For more information contact Wendy Williams, Practice Manager at wwilliams@fullcirclefamilymedicine.com or (207) 563-6623 option 7. 

1/18/16

Family Medicine/ Outpatient Internal Medicine Physician

As a result of our continuous growth, Katahdin Valley Health Center is recruiting a Family Medicine/ Outpatient Internal Medicine Physician that is committed to providing quality health care services to the people in Brownville/Millinocket Maine.   Join our practice in a newly renovated facility.  KVHC is a fully electronic medical record site and offers a four day work week with a competitive salary 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. Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.  

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.

2/22/16

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).

2/1/16

FAMILY PRACTICE PHYSICIAN Sought In Oakland Maine!

Inland Hospital Family Practice is seeking a full time Family Medicine Physician without OB to join the employed practice in Oakland.

The practice has been serving the greater Waterville/Oakland area for many years. The practice provides care for infants, pediatrics through geriatric care. A competitive salary with incentives, plus full benefits is offered along with assistance with medical education debt, paid time off, paid CME, and relocation allowance. Qualifications: Board Certified/Eligible in Family Practice. This site is not eligible to sponsor a J-1 waiver.

Inland Hospital is a dynamic healthcare organization that believes in putting the patient first in every way. We are a 48-bed community hospital in Waterville; Lakewood, a 105-bed continuing care center on the hospital campus; 18 primary and specialty care physician offices in Waterville and five surrounding communities. Inland has been a proud member of EMHS since 1998. Inland patients have seamless access to a higher level of care when needed.

For further information, please contact:

Sherry Tardy, Director Business Development/Provider Recruitment, Inland Hospital by email at: stardy@emh.org or by phone at: 207-487-4085.

1/25/16

Surgeon

As a General Surgeon in the Air Guard, you’ll adapt the skills and knowledge you’ve gained in your civilian career to the military environment.  You’ll provide urgent treatment to Air Guard personnel sick or wounded during duty, and regular healthcare to personnel training in your unit.

Benefits

The Air Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free available air travel.

Learn More Today

Go to GoANG.com/HP or call 1-800-To-Go-ANG to find out how you can become an important member of America’s homeland defense in the Air Guard.

1/18/16

Orthopedic Surgeon

The Air Guard Orthopedic Surgeon examines, diagnoses, and treats diseases and injuries of musculoskeletal system by surgical and conservative means. In this role, you’ll manage orthopedic surgery services as well as oversee the administration of anesthetics and provide diet recommendations in addition to performing surgical procedures.

Benefits

The Air Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

 Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free available air travel.

Learn More Today

Go to GoANG.com/HP or call 1-800-To-Go-ANG to find out how you can become an important member of America’s homeland defense in the Air Guard.

1/18/16

 

 

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