January 18, 2016

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Get the Latest Info on Prescribing Guidelines, PMP Updates and Diversion Alert on Jan. 20 in Portland

There is still time to register for this Wednesday evening's CME program in South Portland on prescribing for pain, preventing diversion and addiction and using diversion alert and the prescription monitoring program (PMP).  With increasing pressure at the State House to mandate use of the PMP, stay ahead of the game with this important 3 hour program.

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. The program will also include the prescribing guidelines that the greater Bangor medical community has agreed to implement community-wide by March 1, 2016.

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



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


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.



Next MMA Weekly Legislative Committee Conference Call is Tuesday, January 19th at 8 p.m.

MMA Legislative Committee Chair Amy Madden, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, January 19th at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session.

Conference call number:  1-302-202-1092

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week.  The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 622-3374, ext. 214.

The following is a report generated through our tracking system software program called StateTrack from CQRoll Call.  Please click on the report link and you should go to the bills highlighted by MMA staff for review from the bills printed that day.  You will be able to click on a link to the text of the bill for review and you will find the same staff recommendations you have seen in the past - a suggested category or "profile," a suggested position (support, monitor, or oppose), and any medical specialty society or MMA committee that might have a particular interest in the bill.

Weekly Bills for Review, LDs 1545-1562:  http://www.cqstatetrack.com/texis/statetrack/insession/viewrpt?report=569d3a74933.

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POLITICAL PULSE: Certified Professional Midwife Licensing Bill is Key Hearing of the Week

The 127th Legislature convened on Wednesday, January 6th for its Second Regular Session.  Of special interest to physicians this session 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.  The Second Regular Session is scheduled to last until mid-April.  


This past week saw the MMA testifying in support of LD 690, a bill that calls for the licensing and regulation of home birth services performed by Certified Professional Midwives. This bill represents the culmination of a significant collaborative process among the CPMs, the MMA, Maine ACOG, nurse midwives, the Board of Nursing, and perinatal nurses. The goal of the process, and the bill, is to provide a structure that will guarantee that persons holding themselves out as qualified to assist at home births will have a certain level of training and experience and will be subject to oversight and discipline by a licensing board. Representatives of many of the above-named groups testified in favor of the bill, as did representatives of MaineHealth and three mothers (two attorneys and a nurse) who had successful home births. The bill was opposed by the Commissioner of Professional and Financial Regulation who questioned whether the Sunrise criteria for new licensing boards had been met. It was also opposed by a lay midwife who felt that there should be absolutely no regulation of home birth and that midwives should be allowed to perform all types of birthing procedures, no matter the risk to mother or child. A representative of the certified nurse anesthetists testified "neither for nor against," questioning why midwives might be authorized to "prescribe" medications when nurse anesthetists are not. The executive director of the Board of Nursing also testified that she and her board are not opposed to licensing midwives so long as the BoN is not responsible for their licensing and oversight.


The MMA also testified in opposition to LD 1491 which would allow nonmedical school personnel to administer emergency medications to students without the supervision of a nurse or other medically trained person. While the proponents of the bill testified solely about the administration of Diastat for epileptic seizures, the MMA pointed out that the bill is so broadly worded as to allow the administration of any "emergency" medication (without defining the term) by any means or route.


 Last Wednesday afternoon, the HHS Committee held a public hearing on L.D. 1498, An Act To Clarify Medicaid Managed Care Ombudsman ServicesThe MMA joined several other advocacy organizations and MaineCare beneficiaries to testify in favor of the bill which was, in part, a response to the LePage Administration's elimination of a service agreement with Consumers for Affordable Health Care (CAHC), the Maine non-profit organization that has held the state contract to provide services to help low-income Mainers navigate the health care system and the MaineCare program in particular since the late 1990s.  A DHHS representative was the only witness in opposition at the hearing.  

This week the MMA Legislative Committee will continue its weekly conference calls to consider bills of interest being presented that week.  The calls are at 8:00 p.m. every Tuesday night until adjournment of the session.  The conference call number is made available each Monday along with the bills being considered.  The Committee is again chaired by Amy Madden, M.D., a family physician practicing at the regional health center in Belgrade. The conference call number is 1-302-202-1092 and the access code is 729-7185.  Any MMA member is welcome and encouraged to participate.  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.

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MMA Board of Directors to Retreat to Portland this Weekend

The MMA Board of Directors will hold its annual President's Retreat this weekend at the Marriott Courtyard Hotel on Commercial St. in Portland. The Retreat begins with a Board meeting at 4:00pm on Friday, Jan. 21 and continues with sessions on Saturday and Sunday morning. Discussion on Saturday morning will be facilitated by Carol Kelly of Pivot Point, Inc.  

Priority topics for the Board meeting include continuing discussion of the Association's response to the state's opioid/heroin crisis and the new CompareMaine website of the Maine Health Data Organization (MHDO). Neil Korsen, M.D., the Association's representative to the MHDO will present the website to the Board for their input and comments. Dr. Korsen was recently elected as Chair-elect of the MHDO.  

During the retreat portion of the meeting members will update the existing strategic plan and continue its review of all of MMA's services.  The purpose of the review is to eliminate low value or under-utilized services in order to put our limited resources into highly-valued services.  On Sunday morning, Board members will review the operation of the Board and discuss their Board roles and responsibilities. On Saturday evening the Board will enjoy dinner together at Tiqa, a Pan Mediterranean restaurant adjacent to the hotel.

The President's retreat will be led by current President, Brian Pierce, M.D. The Board meeting will be led by the Board Chair Jabbar Fazeli, M.D. Charles Pattavina, M.D. serves as President-elect.

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Top 9 Issues that will Affect Physicians in 2016

What issues should you follow closely in the year ahead?  Crucial developments will emerge in health care regulations, legislation and the health insurance market — and many of them will profoundly impact your practice and patients.  Taking a look ahead, the AMA has identified nine of the top issues you’ll want to watch in 2016.

  • 1. Medicare reform.  The elimination of the sustainable growth rate (SGR) formula with the passage of the Medicare Access and CHIP Reauthorization Act in 2015 was a giant leap forward for Medicare reform.  The law paves the way for important payment reforms.  The Merit-Based Incentive Payment System (MIPS) under development is intended to streamline the various reporting programs for physicians, and alternative payment models (APM) will support physicians in adopting new models of care.

    Shaping the MIPS so that it fixes the problems of the current system and is beneficial for both physicians and patients will be at the heart of Medicare reform efforts in the coming year.  The AMA will continue its work, which includes a task force of physicians from various states and specialties who already drafted and delivered to the Centers for Medicare & Medicaid Services (CMS) 10 principles to guide the foundation of the MIPS, which will streamline requirements for quality, electronic health records (EHR) and resource use.

    The AMA also will offer additional resources to help physicians successfully participate in the new system. One resource you can check out already is the recently released the “Guide to physician-focused APMs,” which outlines barriers in current payment systems, presents the three characteristics of successful payment models and details seven physician-focused APMs.

  • 2. EHR meaningful use program.  This burdensome regulatory program is scheduled to move forward next year, following the Centers for Medicare & Medicaid Services’ (CMS) release of the meaningful use Stage 3 final rule late in 2015.  The medical community immediately called on policymakers to put physicians back in control of their practices and put patients before bureaucracy after the rule was released and will continue these efforts this year.

    The AMA’s grassroots campaign Break The Red Tape is calling for physician-led and patient-focused medicine and pressing for a reset of Stage 3.  Recommendations for the reset seek to alleviate meaningful use burdens and revise the program to improve flexibility, expand patient engagement and clear the way for increased health IT interoperability and innovation.

  • 3. Insurance mergers.  The nation’s largest health insurers have proposed mergers that would reduce competition in the health insurance market.  If approved, this consolidation would have a damaging impact on patients and physician practices by reducing health care access, quality and affordability.

    In a letter to the U.S. assistant attorney general, the AMA urged the Department of Justice to block the proposed mergers and will continue to advocate to Congress and state policy makers to prevent this detriment to health care. Physicians also adopted new policy on the matter at the 2015 AMA Interim Meeting.

  • 4. Provider networks and balance billing.  Insurer networks are expected to continue narrowing, and out-of-pocket expenses for insured patients will continue to increase. In the face of these trends, the AMA will continue to work with states, the Department of Health and Human Services (HHS) and other groups to protect patients’ access to care and seek solutions to unanticipated out-of-network bills while preserving incentives for insurers to contract and physicians’ rights to fair payment.

  • 6. Graduate medical education (GME) funding and student debt relief.  Critical funding for graduate medical education (GME) is in danger of being cut. The AMA’s Save GME grassroots campaign will continue to urge Congress to maintain funding.  Grassroots activities also will focus on simplifying student loan application processes and improving repayment rules as part of the Higher Education Reauthorization Act.

  • 7. Prescription drug costs.  The cost of prescription drugs has soared in recent years, making it challenging for patients to afford their necessary medications.  Pharmaceutical spending growth has shown no signs of abating. In November, physicians voted at the 2015 AMA Interim Meeting to convene a task force and launch an advocacy campaign to drive solutions and make prescription drugs more affordable.

    The task force will develop principles to address pharmaceutical costs and support physicians and patients in local and national initiatives that will bring attention to rising prescription drug prices and help put forward solutions to make these drugs more affordable.

  • 8. Health data security. Threats to health data security have been increasing over the past two years.  A study found that 81 percent of health IT executives reported cyberattacks in that time span. Such endangerment of health data is expected to increase this year.  With such private information so vulnerable to attack, appropriate protections for sharing and data storage must be a focal point for health IT. The AMA is working with the federal government to ensure better protections for health information.

  • 9. Telemedicine.  Already a growing trend in care delivery, telemedicine will see more widespread use in the upcoming year.  The AMA intends to advance the Interstate Medical Licensure Compact of the Federation of State Medical Boards, which facilitates state licensure for telemedicine.  The AMA also will advocate for the removal of arbitrary barriers to telemedicine coverage under Medicare and promote AMA model state telemedicine legislation.


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Tax Credit for Primary Care Providers?

Did you know you might be eligible for a special tax credit reserved for primary care providers? The Maine Department of Health and Human Services, together with the Maine Revenue Service, is proposing a new rule creating an income tax credit for primary care professionals with student debt who agree to practice in underserved areas of Maine.

As the DHHS says in its summary, “The proposed rule implements a certification program administered by the Department of Health and Human Services in coordination with Maine Revenue Services. Up to 5 eligible primary care professionals will be certified annually by DHHS to receive an income tax credit while the program is in effect. Eligible primary care professionals must have outstanding student loans and make a commitment to practice full time for 5 years in an underserved area of Maine. The rule includes definitions, eligibility requirements, the application and selection process, as well as department monitoring, self-reporting and compliance requirements. The intent of the state income tax credit certification program is to provide an incentive to recruit and retain primary care professionals to practice in areas of Maine with an identified shortage of primary health care professionals. The income tax credit program is funded for 5 years.”

Comments on the rule are being accepted until February 12, 2016 at 5:00 p.m. There is no plan to hold a public hearing. The proposed rule can be found at http://www.maine.gov/tools/whatsnew/attach.php?id=667405&an=1 , and comments may be submitted at https://www1.maine.gov/dhhs/dlrs/rulemaking/rulemaking_comments.shtml?id=667405 .

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CMS Issues Draft Quality Measurement Development Plan

The Centers for Medicare & Medicaid Services (CMS) in December released for comment its draft Quality Measure Development Plan (MDP).  The Medicare Access and CHIP Reauthorization Act (MACRA) required the Secretary of the Department of Health and Human Services to develop and post “a draft plan for the development of quality measures” on the CMS.gov website by January 1st for application under certain provisions related to the new Medicare Merit-based Incentive Payment System (MIPS) and to certain alternative payment models (APM).

The purpose of the MDP is to meet the requirements of the statute and serve as a strategic framework for the future of clinical quality measure development to support MIPS and APMs.  The MDP also highlights known measurement and performance gaps and recommends approaches to close those gaps through development, use and refinement of quality measures.  CMS has informed the AMA that the MPD and the comments CMS receives on it will influence the type of funding CMS distributes for measure development over the next five years.

CMS will accept comments through March 1st.  The final MDP, taking into account public comments CMS receives on the draft plan, will be posted on the CMS.gov website by May 1st, followed by updates annually or as otherwise appropriate.  Read the CMS blog post on the release of the Quality Measure Development Plan for additional information.
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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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Maine Opiate Collaborative Task Force Meetings: 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,  January 21, and February 4, 1:00 to 3:00 pm, at offices of the Maine Medical Association, 30 Association Dr., Manchester, Maine

Treatment Task Force

Thursday, January 21, 9:00 to 11:00 am, at offices 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.  Scott Gagnon has been named co-chair of the Prevention/Harm Reduction Task Force replacing Eric and Mary Dowd, M.D. has been added as a new member of the Treatment Task Force.

A number of Community Forums will be announced this coming week with the first scheduled in York on January 21 from 3:30 to 5:30 pm at the York Public Library.

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Potential End of Meaningful Use

According to comments made by CMS Acting Administrator Andy Slavitt last week, it appears there will be no Stage 3 Meaningful Use as we know it after 2016. His exact words were, "Now that we effectively have technology into virtually every place care is provided, we are now in the process of ending Meaningful Use and moving to a new regime culminating with the MACRA implementation. The Meaningful Use program as it has existed, will now be effectively over and replaced with something better. Since late last year we have been working side by side with physician organizations across many communities - including with great advocacy from the AMA - and have listened to the needs and concerns of many. We will be putting out the details on this next stage over the next few months..."

So will the new regime tied to MACRA be better or worse?  Stay tuned. [return to top]

Job Openings


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.


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. 



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. 



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. 


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


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.


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. 


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.


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).



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.



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.


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.


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.


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.




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Upcoming Events: MEMGMA Payer Seminar

Maine Medical Group Management Association (MeMGMA) Payer Seminar

January 26, 2016

Following on its event in Portland, the Maine chapter of the MGMA will present its Third-party Payer Seminar at the Fireside Inn in Waterville on January 26th (with a January 27th snow date).  Participating payers include Aetna, Anthem, Community Health Options, Harvard Pilgrim, Humana, MaineCare, Martin's Point and NGS Medicare. Breakfast and lunch will be included.

More information can be found at: http://www.memgma.com/event/758/ .


MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:


              March 11, 2016 in Bangor at St. Joseph’s Hospital  

              April 8, 2016 in Presque Isle at UMPI                   

              June 10, 2016 in Waterville at Colby College

              October 25, 2016 in Portland in conjunction with the Maine Brain Injury Conference

                                (Registration and fees will be through the Maine Brain Injury Conference for October 25)

                 March and April programs will be morning only with Level 1 and Level 2 at the same time.

               June and October programs will be Level 1 in the morning and Level 2 in the afternoon.


Training Programs:


              Level 1 – An Introduction to Concussions and Concussion Management

                            Speaker: Deb Nichols, CPNP or Peter Sedgwick, MD or Bill Heinz, MD

                           Level of Difficulty: beginner

                           Content: The Diagnostic and Return to Play Dilemma

                                           How Concussion Occurs and Pathophysiology            

                                           Concussion Signs and Symptoms

                                           Concussion Evaluation Tools

                                           Concussion Treatment

                                           Recovery Epidemiology

                                           Return to Function – Academics and Play

                                           Risk Factors and Protective Equipment

                                           Short and Long Term Sequelae

                                           Neurocognitive Testing

                                           Concussion Sideline Assessment

                                           Key Points


              Level 2 – Advanced Concussion Management (Level 1 is a prerequisite for taking Level 2)

                           Speaker: Mike Rizzo, FNP-C, CIC or Paul Berkner, DO

                           Level of Difficulty: intermediate

                           Content: Updates from Zurich 2012       

                                           Using ImPACT Testing in Concussion Management

                                           Interpreting ImPACT Test Results

                                           Concussion Case Reviews


              March and April – Level 1 and Level 2 (Offered at same time)

                           8:00am – 8:15am           Registration

                           8:15am – noon               Training Program


              June – Level 1:

                           7:45am – 8:00am           Registration

                           8:00am – noon               Training Program

                           Level 2:

                           12:15pm-12:30pm          Registration

                           12:30pm – 4:30pm         Training Program


Registration Fee:           

              For morning only training programs: March 11 and April 8

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, 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


              For morning and afternoon training program: June 10

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, RN, PT, OT, SLP)

              $175 for Health Care Professionals taking Level 1 and Level 2 - Only June 10


              $40 for school personnel and all other attendees                                                                                                              (School nurses, coaches, athletic directors and administrators, etc.)

              $70 for school personnel taking Level 1 and Level 2 - Only June 10


              $20 for students currently enrolled in a college program            

              $35 for students taking Level 1 and Level 2- Only June 10

CME/CEU contact hours: 3.50

Registration Confirmation will be sent by email.

Refund / Cancellation Policy: If you need to cancel contact Jan Salis, PT, ATC. You can choose to apply your registration fee to another training program or have your check returned.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership and Education Committee - Chair


              (207) 577-2018

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