February 1, 2016

 
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Community Forums on Opioid/Heroin Epidemic this Week in So. Portland and Rockland

The Maine Opiate Collaborative will be holding two community forums this week, on Wednesday in South Portland and on Thursday in Rockland.  The public is invited to attend and MMA encourages physicians to attend the forums in their area.  With recent data showing that only 7% of prescribers registered to use the Prescription Monitoring Program are using it regularly, pressure is intensifying to mandate use under appropriate circumstances.

The Maine Opiate Collaborative has announced the next three Community Forums, as follows:

  • February 3rd:  South Portland Community Center, 7:00 - 9:00 pm;

  • February 4th:  Rockland City Council Chamber, 5:30 - 7:30 pm;

  • February 10th:  Belfast (site TBA),  6:00 - 8:00 pm.

 The public is invited to attend.   MMA encourages physicians to attend forums in their area.  

Failure of Communication Leads to $1.8M Malpractice Award

The Case:  After deliberating only three hours, a Penobscot County jury rendered a $1.8 million verdict in favor of a Millinocket couple in a case involving the failure to communicate lab test results.  The jury found that all parties to the case, including the patient, breached their standards of care.

The Facts:  John Pierce sued his physician and the hospital that performed the blood tests, which occurred when he visited the emergency room with complaints of recurring fever, shortness of breath and lack of energy.  The test results showed he had a streptococcal infection, but the hospital failed to communicate them to his treating physician.

The evidence showed that a hospital nurse did call Mr. Pierce with the results and told him to return to the hospital, which he did not do, although he did return to his physician a few days later.  The progress notes from that visit showed that he stated the test results were negative.  Mr. Pierce testified that he did not remember the content of his conversation with the nurse, nor did he remember what he said to his doctor.  Treatment was delayed for several months until the patient underwent emergency heart surgery for damage to his heart valves.

How the Lawyers Saw It:  The plaintiffs’ attorney characterized the underlying facts as being, “about a problem in health care that affects everyone, the lack of communication between providers, with results that can be catastrophic.”  Attorney Ben Gideon went on to say that in this case there was a break in trust between the patient and the doctor and hospital involved. Because the jury also found that the patient was partially at fault, it reduced the award from the original $2.1 million amount.

The hospital’s attorney, James Martemucci, admitted to the jury that his client had made an error in failing to send the test results to the patient’s doctor.  The hospital has changed its practice and now duplicates its communications, both sending the test results to the physician and calling the physician to report the results.

The physician’s lawyer stressed the role of communication in this case.  “Inaccurate communication got everything steered down the wrong path,” said Mark Lavoie.  “If you rely on a patient to accurately communicate test results, you do so at your peril.

Important Lesson:  This case illustrates the importance of communication, both in the physician-patient relationship and in the relationship between the physician and other members of the treatment team such as hospital emergency departments, nurses and labs.  It also shows that communicating results to a patient may not be enough, since a patient may be too sick to remember or pass on the results or may simply fail to do so. According to research reported in the November Journal of the American College of Radiology, cases involving a failure to communicate test results accounted for 2.31% of cases (and $91 million in payments) in the National Practitioner Data Bank in the year 2009.

 

The Case: After deliberating only three hours, a Penobscot County jury rendered a $1.8 million verdict in favor of a Millinocket couple in a case involving the failure to communicate lab test results. The jury found that all parties to the case, including the patient, breached their standards of care.

The Facts: John Pierce sued his physician and the hospital that performed the blood tests, which occurred when he visited the emergency room with complaints of recurring fever, shortness of breath and lack of energy. The test results showed he had a streptococcal infection, but the hospital failed to communicate them to his treating physician.

The evidence showed that a hospital nurse did call Mr. Pierce with the results and told him to return to the hospital, which he did not do, although he did return to his physician a few days later. The progress notes from that visit showed that he stated the test results were negative. Mr. Pierce testified that he did not remember the content of his conversation with the nurse, nor did he remember what he said to his doctor. Treatment was delayed for several months until the patient underwent emergency heart surgery for damage to his heart valves.

How the Lawyers Saw It: The plaintiffs’ attorney characterized the underlying facts as being, “about a problem in health care that affects everyone, the lack of communication between providers, with results that can be catastrophic.” Attorney Ben Gideon went on to say that in this case there was a break in trust between the patient and the doctor and hospital involved. Because the jury also found that the patient was partially at fault, it reduced the award from the original $2.1 million amount.

The hospital’s attorney, James Martemucci, admitted to the jury that his client had made an error in failing to send the test results to the patient’s doctor. The hospital has changed its practice and now duplicates its communications, both sending the test results to the physician and calling the physician to report the results.

The physician’s lawyer stressed the role of communication in this case. “Inaccurate communication got everything steered down the wrong path,” said Mark Lavoie. “If you rely on a patient to accurately communicate test results, you do so at your peril.

Important Lesson: This case illustrates the importance of communication, both in the physician-patient relationship and in the relationship between the physician and other members of the treatment team such as hospital emergency departments, nurses and labs. It also shows that communicating results to a patient may not be enough, since a patient may be too sick to remember or pass on the results or may simply fail to do so. According to research reported in the November Journal of the American College of Radiology, cases involving a failure to communicate test results accounted for 2.31% of cases (and $91 million in payments) in the National Practitioner Data Bank in the year 2009.

- See more at: https://www.mainemed.com/blog/blog/detail/2016/01/29/failure-of-communication-leads-to-1-8m-malpractice-award.html#sthash.NA18MgbL.dpuf

The Case: After deliberating only three hours, a Penobscot County jury rendered a $1.8 million verdict in favor of a Millinocket couple in a case involving the failure to communicate lab test results. The jury found that all parties to the case, including the patient, breached their standards of care.

The Facts: John Pierce sued his physician and the hospital that performed the blood tests, which occurred when he visited the emergency room with complaints of recurring fever, shortness of breath and lack of energy. The test results showed he had a streptococcal infection, but the hospital failed to communicate them to his treating physician.

The evidence showed that a hospital nurse did call Mr. Pierce with the results and told him to return to the hospital, which he did not do, although he did return to his physician a few days later. The progress notes from that visit showed that he stated the test results were negative. Mr. Pierce testified that he did not remember the content of his conversation with the nurse, nor did he remember what he said to his doctor. Treatment was delayed for several months until the patient underwent emergency heart surgery for damage to his heart valves.

How the Lawyers Saw It: The plaintiffs’ attorney characterized the underlying facts as being, “about a problem in health care that affects everyone, the lack of communication between providers, with results that can be catastrophic.” Attorney Ben Gideon went on to say that in this case there was a break in trust between the patient and the doctor and hospital involved. Because the jury also found that the patient was partially at fault, it reduced the award from the original $2.1 million amount.

The hospital’s attorney, James Martemucci, admitted to the jury that his client had made an error in failing to send the test results to the patient’s doctor. The hospital has changed its practice and now duplicates its communications, both sending the test results to the physician and calling the physician to report the results.

The physician’s lawyer stressed the role of communication in this case. “Inaccurate communication got everything steered down the wrong path,” said Mark Lavoie. “If you rely on a patient to accurately communicate test results, you do so at your peril.

Important Lesson: This case illustrates the importance of communication, both in the physician-patient relationship and in the relationship between the physician and other members of the treatment team such as hospital emergency departments, nurses and labs. It also shows that communicating results to a patient may not be enough, since a patient may be too sick to remember or pass on the results or may simply fail to do so. According to research reported in the November Journal of the American College of Radiology, cases involving a failure to communicate test results accounted for 2.31% of cases (and $91 million in payments) in the National Practitioner Data Bank in the year 2009.

- See more at: https://www.mainemed.com/blog/blog/detail/2016/01/29/failure-of-communication-leads-to-1-8m-malpractice-award.html#sthash.NA18MgbL.dpuf

The Case: After deliberating only three hours, a Penobscot County jury rendered a $1.8 million verdict in favor of a Millinocket couple in a case involving the failure to communicate lab test results. The jury found that all parties to the case, including the patient, breached their standards of care.

The Facts: John Pierce sued his physician and the hospital that performed the blood tests, which occurred when he visited the emergency room with complaints of recurring fever, shortness of breath and lack of energy. The test results showed he had a streptococcal infection, but the hospital failed to communicate them to his treating physician.

The evidence showed that a hospital nurse did call Mr. Pierce with the results and told him to return to the hospital, which he did not do, although he did return to his physician a few days later. The progress notes from that visit showed that he stated the test results were negative. Mr. Pierce testified that he did not remember the content of his conversation with the nurse, nor did he remember what he said to his doctor. Treatment was delayed for several months until the patient underwent emergency heart surgery for damage to his heart valves.

How the Lawyers Saw It: The plaintiffs’ attorney characterized the underlying facts as being, “about a problem in health care that affects everyone, the lack of communication between providers, with results that can be catastrophic.” Attorney Ben Gideon went on to say that in this case there was a break in trust between the patient and the doctor and hospital involved. Because the jury also found that the patient was partially at fault, it reduced the award from the original $2.1 million amount.

The hospital’s attorney, James Martemucci, admitted to the jury that his client had made an error in failing to send the test results to the patient’s doctor. The hospital has changed its practice and now duplicates its communications, both sending the test results to the physician and calling the physician to report the results.

The physician’s lawyer stressed the role of communication in this case. “Inaccurate communication got everything steered down the wrong path,” said Mark Lavoie. “If you rely on a patient to accurately communicate test results, you do so at your peril.

Important Lesson: This case illustrates the importance of communication, both in the physician-patient relationship and in the relationship between the physician and other members of the treatment team such as hospital emergency departments, nurses and labs. It also shows that communicating results to a patient may not be enough, since a patient may be too sick to remember or pass on the results or may simply fail to do so. According to research reported in the November Journal of the American College of Radiology, cases involving a failure to communicate test results accounted for 2.31% of cases (and $91 million in payments) in the National Practitioner Data Bank in the year 2009.

- See more at: https://www.mainemed.com/blog/blog/detail/2016/01/29/failure-of-communication-leads-to-1-8m-malpractice-award.html#sthash.NA18MgbL.dpuf
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Next MMA Weekly Legislative Committee Conference Call is Tuesday, February 2nd 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, February 2nd 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 1573-1578: http://www.cqstatetrack.com/texis/statetrack/insession/viewrpt?report=56af7f5926.


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Russell DeJong, M.D. 1945-2016

MMA Leadership and Staff was saddened this weekend to learn of the death Saturday of longtime MMA member and former MMA Board member Russ DeJong, M.D.  Russ served for many years as Medical Director of the Maine Family Planning Association and over his long career served thousands of Maine women but also was a sought after teacher and instructor.  Russ had been diagnosed with cancer last fall.

Russ was a board certified Obstetrician-Gynecologist.  He received his medical degree from Columbia University and completed his Ob-Gyn residency at the University of Washington Hospital in Seattle.  Prior to coming to Maine and teaching at Maine-Dartmouth Family Practice Residency, Russ was the chief of Ob-Gyn at Harborview Medical Center in Seattle and was a faculty member at the University of Washington.  

Our condolences go out to Russ' wife, Janetha Benson, 615 Oakland Road, Belgrade, Maine 04917.  Russ will be missed by all who knew him.

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Maine Opiate Collaborative Task Force Meetings February 4th and February 18th at MMA

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

Prevention/Harm Reduction Task Force

  • Thursdays, February 4th and 18th, 1:00 to 3:00 pm at offices of the Maine Medical Association, 30 Association Drive, Manchester, Maine

Treatment Task Force

  • Thursdays, February 4th and 18th,  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 have now been scheduled and are listed in a related article in this Weekly Update.

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POLITICAL PULSE: Legislative Highlights of the Week

The Health and Human Services Committee heard testimony last week on several bills, among them LD 1473 (Resolve, to Increase Access to Opiate Addiction Treatment in Maine) and LD 1496 (An Act to Support Maine People in Recovery).

LD 1473 would, if enacted, return the payment rate for methadone treatment to $80 per week from the present rate of $60 per week.  The rate was $80 from 1995 until 2010, when it was reduced to $72.  In 2012 it was further reduced to $60.  In 2015 a methadone treatment facility in Sanford closed its doors due to financial inability to continue operating at that reimbursement level.  The Committee heard testimony from a variety of witnesses, including Gordon Smith of the MMA, physicians, and persons in recovery.

LD 1496 is a bill to support peer centers for persons recovering from addiction in rural areas of Maine.  It is meant to supplement the earlier support for similar centers in more urban parts of the state.  Several witnesses, including Peter Michaud of the MMA and persons involved in either operating or making use of such peer centers, testified in favor of the bill.  “The testimony from witnesses who are in recovery was some of the most poignant I have ever heard,” said Gordon Smith, MMA Executive Vice President.

Work sessions on these two bills have not yet been scheduled.

The Criminal Justice & Public Safety Committee held a work session last week on LD 440 (An Act To Create a Secure, Therapeutic Mental Health Unit), a bill carried over from the first session.  

Rep. Gerzofsky highlighted that the purpose of the bill is to provide a long term secure care facility for mental health patients that is not part of the mental health unit at the state prison.  He spoke of the need of hospital like care at a secure facility for the safety of the patients and the caregivers.  He proposed that money could be saved by converting portions of county jails for this purpose.  The response to this proposal from the county jails has been mixed.  There were concerns raised by members of the committee about long term funding of the program.  Members were concerned that county facilities would become part of the program and then funding would cease.  Committee Chair Fowle pointed out that Riverview has lost its federal funding because it was “out of compliance.”  She was unsure whether this new approach (the proposed bill) would be a step towards better compliance.  

The committee unanimously voted to table the bill.  The committee also made the following requests for information:

  • In the absence of a fiscal note, the committee is interested in any numbers from comparison programs and any financial information about the proposed program that is currently available.
  • To Committee Chair Fowle’s point the committee requested information regarding the steps needed for compliance for the lost federal funding and if the proposed program would further that compliance.

 

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NOTE: MMA to Survey Members on Insurance Carrier Merger Proposals

The MMA has taken great interest in the proposed mergers between national health insurance carriers Anthem and CIGNA and Aetna and Humana respectively.  We have been in a continuing dialogue with state and federal antitrust regulators, as well as the AMA, about the likely impact of these mergers on physicians and patients.  The MMA is finalizing a communication to a subset of the membership we believe will have sufficient interest in these transactions to respond to a survey developed by the AMA.  We will mail the paper survey to you and you may return the completed survey by mail, fax, or email, whichever is easiest for you.  Please keep an eye out for this survey in your mailbox within a week.  If you do not receive the survey, but would like to participate, please contact Gordon Smith, MMA EVP at gsmith@mainemed.com or 622-3374, ext. 212. 
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New Guidance on Patient Access to Health Records Issued

The U.S. Department of Health and Human Services Office for Civil Rights (OCR) released new guidance that specifies requirements for individuals’ access to their health information under the Health Insurance Portability and Accountability Act (HIPAA).  HIPAA’s Privacy Rule generally requires covered entities to provide patients, upon request and in a format requested by the patient, with access to any health records about them that the covered entity maintains in a designated record set.

The guidance clarifies the parameters of the patient access rule and includes frequently asked questions that specifically address the following: 

  • The scope of information covered by HIPAA’s access right and the very limited exceptions to this right
  • The form and format in which information is provided to individuals
  • The requirement to provide access to patients in a timely manner
  • The intersection of HIPAA’s right of access with the requirements for patient access under the Health Information Technology for Economic and Clinical Health (HITECH) Act’s electronic health record (EHR) incentive program

The AMA has advocated for more clarity on how HIPAA relates to physicians and their patients. The OCR noted this is the first set in a new series of guidance material intended to better educate physicians and patients about their rights and responsibilities. The AMA also offers toolkits on related aspects of HIPAA, including the requirements pertaining to privacy and security.

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DHHS Proposes Amendments to MaineCare Ambulatory Surgical Center Rule

The Maine Department of Health & Human Services has proposed amendments to the MaineCare Benefits Manual, Chapter II, Section 4, Ambulatory Surgical Center Services.  The Department's summary of the proposed changes to the rule is below.

Concise Summary: The Department proposes to align MBM, Section 4, Ambulatory Surgical Center (ASC) Services with the current ASC reimbursement methodology as defined by the outpatient prospective payment system (OPPS) by the Centers for Medicare and Medicaid Services (CMS). The Department also proposes to reimburse physicians or other qualified providers at the facility rate listed in the MaineCare Fee for services delivered in ASCs. CMS-defined all-inclusive rates include prosthetic devices that are considered integral to covered surgical services; MaineCare will no longer reimburse ASCs separately for prosthetic devices that are outside of the all-inclusive rate for covered surgical procedures. Members may procure medically necessary prosthetics through a durable medical equipment provider, physician, or other appropriately licensed provider in accordance with the applicable section of the MBM. Language is also added to Section 4.04 (B), Ancillary Services, to reflect that certain radiology services are eligible for separate payment under the OPPS. Section 4.05, Non-Covered Services, is amended to clarify that per CMS determination, surgeries performed in ASCs are not expected to result in extensive blood loss; when there is a need for blood products, MaineCare considers this a facility service and no separate charge is permitted. Language is also added to describe in more detail which services and supplies are non-covered and where else these services may be covered in the MBM. This rulemaking also adds a general description of which surgical procedures are approved for delivery in an ASC, deletes components of the all-inclusive rate that were listed twice, more closely aligns reimbursement language with the CMS approved State Plan Amendment, removes the disclaimer that the section is dependent upon approval from CMS because approval has been granted, updates the MaineCare provider website URL, and makes minor formatting edits. See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.  

A public hearing on the rule is scheduled for Tuesday, February 9, 2016 at 1:00 p.m. in Room 401 of the Cross State Office Building.  The deadline for written comments which may be made online by following the link above, is February 19th.  The MMA staff will compile any comments we receive and submit them by the comment deadline.  If you have an opinion on the rule, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 622-3374, ext. 214.  [return to top]

3 Traits of Successful Payment Models

New payment models can help physicians overcome the barriers of current payment systems so they can provide high-quality patient care at lower costs while securing the sustainability of their practices.

The AMA worked with Harold Miller at the Center for Healthcare Quality and Payment Reform, a member of the newly appointed Physician-Focused Payment Models Technical Advisory Committee to the federal government, to develop the “Guide to physician-focused alternative payment models.”

The guide, in addition to describing seven physician-focused alternative payment models and barriers in current payment systems, highlights the three characteristics of a successful payment model:

  • Flexibility in care delivery.  The design of an alternative payment model should focus on giving physicians sufficient flexibility to deliver the services their individual patients need in the most effective way possible.

    For example, if a physician performs a specific service and the current payment system does not pay for that service, an important element of the alternative payment model that physician adopts would be for that model to enable payment for additional services, broaden the definition of the services that will be covered or both.

  • Adequacy and predictability of payment.  A crucial component to any practice is the ability to plan for the future. An alternative payment model must provide adequate and predictable resources to enable physicians to cover the costs of high-quality care.

    If physicians cannot predict how much they will be paid for their services, it becomes nearly impossible to make investments in equipment and recruit, train and retain the personnel needed to provide the best care for their patients.

  • Accountability only for costs and quality that physicians can control.  An alternative payment model should be designed to support better quality and lower spending for the specific services that physicians deliver or order.  The model should not hold physicians accountable for aspects of spending and quality that they can’t control.

Learn more at AMA Wire.

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Patient Demand for Addiction Treatment Grows

Two-thirds of physicians who treat substance use disorder say that they could treat more patients, but federal law prevents them from doing so, according to a new survey from the American Society of Addiction Medicine (ASAM). The law allows physicians with a waiver to prescribe buprenorphine for up to 100 patients.  Both the AMA and the ASAM have advocated for increasing the 100-patient limit.

In addition to their federal advocacy, the AMA and the ASAM continue to encourage states to introduce legislation that would help increase access to treatment of all medication assisted treatment (MAT) for substance use disorder.

An AMA model bill, among other things, would allow states to:

  • Require health insurers to include and cover all U.S. Food and Drug Administration- (FDA) approved MAT medications and services in their formulary
  • Require Medicaid agencies to include and cover all FDA-approved MAT medications and services in their preferred drug lists
  • Require MAT medications and services for use in drug courts and other diversion programs
  • Not be limited by a patient’s prior successes or failures of the services provided

For more information about the AMA model bill, or how you can work with your state ASAM chapter, please contact Daniel Blaney-Koen of the AMA or Susan Awad of the ASAM.

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Job Openings

GENERAL SURGEON

Northern Maine Medical Center, a 49-bed JCAHO accredited hospital nestled in the foothills of the St. John Valley, is seeking a General Surgeon to provide general surgical care. Must be able to do endoscopies and C-sections. Endoscopy Suite and 2 operating rooms.  Maine Medical licensure or immediate eligibility for licensure required.  Area offers a casual, laid-back lifestyle in a crime-free environment which is a great place to raise a family. Interested candidates should send CV to  Dorine Deschaine, Recruiter, Northern Maine Medical Center, 194 East Main St. Fort Kent, ME  04743 or  e-mail to: dorine.deschaine@nmmc.org or call at (207) 834-1434.  Equal Opportunity Employer.

2/29/16

HOSPITALIST

Northern Maine Medical Center, a 49-bed JCAHO accredited hospital nestled in the foothills of the St. John Valley, is seeking a Hospitalist to provide inpatient care. MD/DO, BE/BC in internal medicine, and Maine Medical licensure or immediate eligibility for licensure required.  Area offers a casual, laid-back lifestyle in a crime-free environment which is a great place to raise a family. Interested candidates should send CV to Dorine Deschaine, Recruiter, Northern Maine Medical Center, 194 East Main St., Fort Kent, ME  04743 or e-mail to: dorine.deschaine@nmmc.org or call at (207) 834-1434.  Equal Opportunity Employer.

2/29/16

PSYCHIATRIST

Northern Maine Medical Center, a 49-bed JCAHO accredited hospital, Psychiatric Units; 9-bed Adult, 7-bed Child, is seeking a Psychiatrist to provide inpatient/outpatient care. Maine Medical licensure or immediate eligibility for licensure required.  Area offers a casual, laid-back lifestyle in a crime-free environment which is a great place to raise a family. Interested candidates should send CV to Dorine Deschaine, Recruiter, Northern Maine Medical Center, 194 East Main St., Fort Kent, ME  04743 or e-mail to: dorine.deschaine@nmmc.org or call at (207) 834-1434.  Equal Opportunity Employer.

2/29/16

Experienced Internist or Family Physician Wanted for Per Diem Work 

Southern Maine Geriatrics Associates (SMGA) is recruiting physicians to work for physicians and midlevel providers during vacations and CME in a long term care practice in skilled/rehab, nursing home and assisted living.  Great work-life balance.  No call, no weekends, no holidays with hours typically 8 to 5.  Southern Maine Geriatrics provides geriatric medical care to residents in facilities in southern and central Maine.   Must have current Maine license, DEA, and meet hospital credentialing requirements.  Interested candidates should send their CV to Susan Pratt, Southern Maine Geriatrics Associates, 50 Marquis Road, Freeport, ME  04032,pratts@smga.me.  

2/22/16

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

7/18/16

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

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

 

 

 

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Upcoming Events
 

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

Schedule:

              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

              jsalis@aol.com

              (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