May 23, 2016

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MMA Members Invited to Attend Next Member Listening Session in Brunswick, May 25

All MMA members are cordially invited to attend a Listening Session with MMA officers and senior advocacy staff being held this coming Wednesday, May 25 at the Brunswick Inn in Brunswick. The open house-type event will be held from 5:30 to 8:00pm.

MMA members and their guests are cordially invited to join MMA officers, Board members, and senior staff at a member "Listening Session" at the Brunswick Inn, 165 Park Row, Brunswick. (directions and map)

The event will be held from 5:30 to 8:00 pm on Wednesday evening, May 25th. Stop by for an appetizer and beverage on MMA and share with MMA officers your thoughts and opinions on issues impacting health care in Maine. This is the 6th such session MMA has held in the past two years and the sessions have been found to be a popular way for physicians to join together and get acquainted or re-acquainted. 

Although every member in Lincoln and Sagadahoc counties has been invited, along with physicians residing or practicing in Brunswick, any MMA is welcome and may bring a guest, as well. But for planning purposes, please do RSVP to Sarah Lepoff at MMA via e-mail to or by calling her at 622-3374, ext. 213.


Wording Approved for Five Citizen-Initiated Referendums on Nov. 8 Ballot

Maine Secretary of State Matt Dunlap has released the wording of the five citizen-initiated referendums that will appear on the Nov. 8 ballot. The release of the questions on May 13 began a 30-day public comment period, after which the questions will be finalized.  

Here is the proposed wording for the questions of particular interest to physicians:

  • An Act to Legalize Marijuana: "Do you want to legalize the possession and use of marijuana by persons who are at least 21 years of age, allow state and local regulation of retail sales of marijuana, and allow state regulation of the cultivation, manufacture, testing and distribution of marijuana?"
  • An Act to Require Background Checks for Gun Sales: "Do you want to change Maine law to require background checks prior to the transfer of firearms between individuals, with some exceptions for certain circumstances."
  • An Act to Establish Ranked-choice Voting: "Do you want to change Maine election law to allow voters to rank their choices of candidates for U.S. Senate, Congress, Governor, State Senate and State Representative?"

Public comments are due by June 13. The ballot order of the referendum questions will be determined by random drawing after the expiration of the comment period.

MMA is on record as supporting background checks on firearm sales, as voted by the membership at the Annual Session in 2014.  

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MMA Hosts New England State Medical Societies in Freeport

The Council of New England State Medical Societies and the New England Delegation to the American Medical Association held a regular meeting in preparation for the AMA annual meeting in Chicago in June at the Haraseeket Inn in Freeport this past Friday evening and Saturday morning, May 21st.  Physicians comprising the Maine delegation included AMA Past President Robert McAfee, M.D., Maine delegates to the AMA Maroulla Gleaton, M.D. and Richard Evans, M.D., and MMA President-Elect Charles Pattavina, M.D.  Dr. Pattavina presented the Maine state report and, as is common, the six New England state medical societies face a similar list of issues, including response to our societies' opioid abuse problem and outreach to members.  The Delegation also considered the following proposed resolutions for submission to the AMA House of Delegates in June:

  • Promotion of Milliliter-Only for Liquid Medication Dosing (MA);
  • Support for Detergent Poisoning and Child Safety Act (MA);
  • USP Compounding Rules (MA);
  • Assessment of the Impact of High Deductible Health Plans on Patient Health and the Financial Impact on Medical Practices (MA);
  • Consequences of Undue Administrative Burdens (CT);
  • Appropriate Labeling of Sleep Products for Infants (MA);
  • Transfer of Jurisdiction over Required Clinical Skills Examinations to LCME-Accredited and COCA-Accredited Medical Schools (MA);
  • Telemedicine Encounters by Third Party Vendors (MA);
  • Requiring Secondary and Supplemental Insurers to Medicare to Follow Medicare Payments (CT).

The group also heard and critiqued "stump speeches" by William Kassler, M.D., M.P.H., candidate for the AMA Council on Science & Public Health and Hugh Taylor, M.D., candidate for the AMA Council on Medical Service.  Finally, the Delegation received written reports from various AMA Councils and Task Forces.

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MMA and Quality Counts Announce Caring for ME Initiative to Address Heroin Epidemic

MMA and Quality Counts educational efforts aimed at curbing Maine's opiate and heroin problem will be promoted as the CARING FOR ME initiative. CARING FOR ME is a collaborative effort that aims to bring together a wide set of partners to promote shared messages, educational resources, and practical tools for health care professionals. Outside funding will be sought by MMA and Quality Counts to support the initiative. Tools and resources for health care professionals are being collected and developed and can be found on the MMA website and at the Quality Counts website.

Ultimately, the goal is to support Maine clinicians to improve their management of chronic pain and safety of opioid prescribing and improve the identification of addiction and referral for substance abuse treatment services. MMA and Quality Counts will support this goal by convening stakeholders to create a shared vision, promote collective leadership, and provide a range of supports, educational tools, and quality improvement methods to Maine clinicians and practice teams. A recent meeting of interested parties held on May 11 at the Maine Hospital Association was the beginning of this process and further meetings will be scheduled.

The Caring for ME initiative follows closely on the heals of the presentation of the Maine Opiate Collaborative recommendations last week. The Collaborative was established last Fall by U.S. Attorney Thomas Delahanty, Attorney General Janet Mills, and Commissioner of Public Safety John Morris. MMA was a member of the Board of the Collaborative. The three Task Forces, chaired by volunteers and made of experts in addiction, treatment, patients in recovery, law enforcement officers, and others each met nearly a dozen times. The Collaborative also held 20 community forums across the state that were attended by more than 1500 people. Each of the Task Forces were given summaries of the comments and recommendations made by the public which helped to inform the final recommendations. The community forums were supported financially by the Maine Health Access Foundation and the Maine Community Foundation.

Some of the recommendations have already been achieved, such as the limits on opioid prescribing established in P.L. 2015, Chapter 488. Others are readily achievable. But other recommendations are expensive and time-consuming and will require time, effort, and state or federal funding to accomplish. What follows are highlights of the Task Force recommendations. The full set of recommendations are now available on the MMA website, and each issue of the Update for the next few weeks will feature one or more of the Task Force recommendations.

Goal 1:  Promote good public health and safety, and reduce the harmful effects of opiate use.

  • Objective 1:  Increase understanding of harms and decrease stigma surrounding opiate and heroin use disorder.
  • Objective 2:  Decrease youth use of opiates and associated risk factors.
  • Objective 3:  Reduce unnecessary access to legal opiates.
  • Objective 4:  Decrease the number of drug-affected babies born in Maine each year.
  • Objective 5:  Decrease opiate overdose and death in Maine.
  • Objective 6:  Increase opportunities and decrease barriers to recovery for people with substance use disorders.

Goal 2:  Strengthen and enhance Maine's public health infrastructure to prevent and reduce opiate use disorders and overdose deaths.

  • Objective 1:  Enhance the state's capacity to implement a comprehensive approach to prevent and reduce opiate use disorders.
  • Objective 2:  Increase district and local level capacity to prevent and reduce opiate misuse and overdose in Maine.

Detailed strategies are included with each of the objectives in the Prevention Task Force reports.

The Treatment Task Force divided its recommendations into those presented by a Treatment Team and those recommendations involving specialty populations such as adolescents, women, and children (also drug courts and and corrections).  

The Treatment Team recommendations are extensive and call for:

  • increasing Medication Assisted Treatment (MAT) in primary care;
  • rationalizing prescribing for opioids;
  • immediately expanding addiction treatment services - prioritizing the integration of MAT across the state;
  • enhancing availability of insurance, and addressing the needs of special populations.

The Law Enforcement Task Force identified five areas of discussion and established subcommittees in order to develop recommendations covering each of the five subject areas:  

1.  Cultural/Attitudinal Education and Training

2.  Investigation

3.  Law Enforcement Community Initiatives

4.  Problem Solving Courts

5.  Custodial Treatment & Re-Entry with Treatment

Through the course of its work, the Law Enforcement Task Force ultimately made the following recommendations:  

  • train all existing and new law enforcement personnel on the science of substance use disorders;
  • identify, investigate, and prosecute the most dangerous drug traffickers;
  • support and encourage effective law enforcement diversion programs;
  • increase statewide access to effective problem solving courts; and,
  • provide custodial treatment for county jail inmates with substance use disorders and to provide case management services for re-entry into the community.  

A huge thank you goes to the co-chairs and many volunteers who worked for over six months to prepare these far-reaching and detailed recommendations. Work will continue to proceed in order to measure the implementation of the recommendations.

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Opioid Prescriptions Decline Since 2012; A New Drug Appears

The New York Times reports that opioid prescriptions in the United States have shown a sustained decline for the first time in twenty years—since the advent of oxycodone (Oxycontin®) in 1996. After a peak in 2012, the decline has been evident in 2013, 2014 and 2015. In those years, only South Dakota showed an increase. With the new political awareness of and emphasis on opioid addiction issues, it is expected that this decrease will accelerate in 2016. The largest decrease nationally has been in the prescription of hydrocodone, marketed under the brands Vicodin® and Lortab®.

Unfortunately, the decrease in prescriptions has not affected the increase in fatal opioid overdoses, with Maine seeing 272 such deaths in 2015. In addition, some physicians wonder whether efforts to reduce prescribing are penalizing patients who need such medicines for pain relief and take them responsibly, without diversion or abuse.

Medical schools have made significant efforts during this time to teach students not only about the pain relieving properties of these medicines but also the risks involved. One might wonder whether we will see a pendulum effect, with a large decrease in opioid prescription even for appropriate situations, followed by a damping of the swing while physicians and other health care providers focus on the variety of causative factors leading to substance use disorders and overdose deaths.

Meanwhile, the BangorDaily News reports a new drug from Canada is raising greater concerns. "W-18”, patented in 1984, has recently been rediscovered by chemists looking for the next cheap and powerful high. While it is being described in the popular press as a synthetic opioid, the drug has not been tested on humans and it is unknown whether naloxone, an opioid antagonist, would work to reverse its effects.

Maine police are warning people about the drug, considered to be many times more powerful than Fentanyl, but it has not yet been seen in this state. If recent history is any indication, we probably don't have long to wait.


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CMS Releases MACRA Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) released a notice of proposed rulemaking (NPRM) to implement the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which repealed the Medicare sustainable growth rate (SGR) formula for calculating annual updates to the physician fee schedule.  The NPRM outlines CMS’ proposals for how to implement the new Merit-based Incentive Payment System and establishes incentives for participation in certain alternative payment models.

The AMA has prepared a high-level summary of key provisions in the NPRM, along with other MACRA resources. The summary will be periodically revised, so please check the website to make sure you have the most recent version. In the coming weeks, the AMA will engage the Federation to ensure a broad physician perspective is reflected in the AMA’s formal comments on the NPRM, which are due to CMS by 5 p.m. Eastern time June 27.
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CMS Publishes Billing & Payment Guide for Small Practices

The Center for Medicare and Medicaid Services (CMS) recently published a guide to help physicians in small practices with billing and payment issues. Called “Flexibilities and Support for Small Practices,” it clarifies certain issues relating to CMS’s regulatory impact analysis raised in response to a proposed rule to implement the Medicare Access and CHIP Reauthorization Act (MACRA). There is a full discussion of the guide and the new rule in the AMA Wire®. Many of the concerns relate to the Merit-based Incentive Payment System (MIPS) and the Physician Quality Reporting System (PQRS).

CMS has proposed additional flexibilities within MIPS performance categories to account for the unique circumstances of individual clinicians, small groups, and practices in rural or professional shortage areas:

  • Quality. The total possible points would be 80 for a group of nine or fewer, while a group of 10 or more would be 90 points. Also in an effort to reduce physicians’ reporting burden, the quality category would require practices of all sizes to report only on six measures, rather than the nine current measures. In addition, physicians would receive partial credit for measures.
  • Clinical practice improvement activities. Under this category, physicians and other clinicians would be rewarded for clinical practice improvement activities, such as those focused on care coordination, beneficiary engagement and patient safety. A list of more than 90 options will be available for physicians to select activities that match their practice’s individual goals.

    For physicians in small practices located in rural or professional shortage areas, this category allows them to submit one activity of any weight to receive partial credit or two activities of any weight to receive full credit. Larger practices would be required to submit three to six activities.
  • Cost. A cost score would not be calculated for physicians who don’t have a high enough patient volume for the cost measures (generally defined as a minimum of 20 cases pertaining to a particular measure). CMS would reweight the cost category to zero and adjust other MIPS performance category scores to make up the difference.

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Register Now for 163rd MMA Annual Session: Renewing the Joy & Passion in Medicine

Registration materials are now available on the MMA website for the Association's 163rd Annual Session taking place at the Harborside Hotel in Bar Harbor from September 9-ll, 2016.  Registration materials were also included in the most recent issue of Maine Medicine which should have arrived on members' desks last week.  The Annual Session begins with an opening night reception beginning at 5:30 pm on Friday evening, September 9th.  

The theme of this year's meeting is "Renewing the Joy and Passion in Medicine."  With nearly 60% of physicians reporting one or more symptoms of burnout, this is an important time for MMA members to give consideration to this topic.  At least three hours of education will be available. 

On Saturday evening, the annual dinner will feature the presentation of 50 year pins, the Mary Cushman, M.D. Award for Humanitarian Service and the President's Award for Distinguished Service.  Following presentation of the awards, President Brian Pierce, M.D. will present the President's gavel to Charles Pattavina, M.D., the President-elect.  Dr. Pattavina is an emergency physician who directs the Department of Emergency Medicine at St. Joseph's Hospital in Bangor.

We look forward to see you in Bar Harbor in September!

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New Payment Mechanism Model Proposed for Physician-administered Drugs

The Centers for Medicare & Medicaid Services (CMS) is proposing to implement a two-phase, multipronged nationwide research model under its §1115A innovations waiver authority that would restructure the way Medicare reimburses physicians for Part B drugs.

The AMA submitted a comment letter to CMS May 9, arguing that the payment cuts proposed in phase 1 of the model could undermine Medicare beneficiaries’ access to care from their established physician in their local community.  Depending on where patients live, it could move their treatment to hospital outpatient offices, which are higher cost delivery sites.  Neither physicians nor their patients manufacture, distribute, market or establish prices for Part B drugs, so phase 1 of the model will not reduce the price of Part B drugs.

The AMA has urged CMS to withdraw the model and seeks to work collaboratively with the agency to develop appropriately designed and scaled value-based payment models as part of new proposed §1115A models.  This would improve patient care while also addressing overall health care costs, including risk-sharing agreements based on outcomes, evidence-based clinical decision support, and targeted reduction or elimination of copays.
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Aetna Announces Plans to Offer Individual Plans in the Maine Marketplace in 2017

According to a recent filing with the Maine Bureau of Insurance, Aetna will join Harvard Pilgrim, Community Health Options and Anthem Blue Cross Blue Shield in offering individual plans in 2017. The next open enrollment period begins on Nov. 1. While Aetna previously has offered individual plans in the state, these plans were not offered on the health exchange established in the Affordable Care Act which offers premium subsidies for individuals qualified by income levels. The state filing indicates that the initial individual offerings will reflect a premium increase of 14 percent compared to the existing Aetna individual plans being offered outside the exchange.

The individual plans will be offered in nine counties, including York, Cumberland, Sagadahoc, Franklin, Knox, Lincoln, Oxford, Androscoggin and Waldo.

Currently, over 84,000 individuals are receiving health insurance through the Maine exchange.


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4 Steps to Prepare for Medicare’s New Payment Systems

While the details of the Medicare Access and CHIP Reauthorization Act (MACRA) regulations still are being hammered out, physicians should start preparing for the new payment systems now.  Make sure you’re on track by taking four important steps.

The lengthy proposed rule released by the Centers for Medicare & Medicaid Services (CMS) outlines the draft regulations the agency is considering for implementation.  This is just the beginning of the official rulemaking process, but what is known for sure is that physicians will have a choice in whether to participate in the Merit-based Incentive Payment System (MIPS) or meet requirements for an alternative payment model (APM).

Here are the steps you can take to prepare your practice for one of the two new Medicare paths:

  • 1.  Review your quality measurement and reporting.  Understanding current quality reporting requirements and how you are scoring across both the Medicare Physician Quality Reporting System (PQRS) and private payers will help your practice be better suited for the upcoming changes.

    You also should try to access and review your Medicare quality and resource use reports (QRUR) to see where you can make improvements related to cost ahead of time.  Two particularly important components to identify as you prepare for meeting the care coordination requirements are:  (1) your most costly patient population conditions and diagnoses, and (2) targeted care delivery plans for these conditions.

    Tip:  You can access your 2014 annual PQRS feedback reports and QRURs on the CMS Enterprise Portal using your Enterprise Identify Data Management account.  Learn more about how to access these reports. If you are part of a large practice or health system, you may need to talk to your administrator about accessing your QRUR.

  • 2.  Understand your patient data and benchmarks.  Data registries can streamline reporting and improve performance scores.  If you are not already participating in a patient clinical data registry, contact your medical specialty society to discuss how to participate in theirs.  There also might be regional registries relevant to your practice.

    Tip:  You can view a list of 2016 CMS-approved qualified clinical data registries and contact information on the CMS website.

  • 3.  Check on your electronic health record (EHR).  If your practice uses an EHR, contact your vendor to discuss how its product supports adoption of new payment models.

    Make sure your EHR is certified to the Office of the National Coordinator for Health IT’s (ONC) 2014 or 2015 certification requirements. Using a 2014 or 2015 edition EHR is essential for participation in either MIPS or APMs.

    Ask your vendor when they will update your software to the 2015 certified edition and whether reporting quality measures through the EHR is a viable option based on the proposed MIPS quality requirements.

    Tip:  You can check your product’s certification in a listing by the ONC.

  • 4.  Stay informed.  There are several ways to keep your practice up-to-date on the new regulations:

    • Stay connected with the AMA for tools to assist you in implementation.  Watch AMA Wire® to learn about a free online individual practice readiness assessment tool that will launch this summer.
    • Contact your medical specialty society or state medical association to find out if there are APM opportunities for your practice and how you can get involved in their development.
    • Seek out local support for your quality improvement activities.  Practice transformation networks and regional health improvement collaboratives provide resources and technical support.

For more information on how to prepare for the new Medicare payment systems, review the AMA’s MACRA checklist, or check out the AMA’s STEPS Forward™ collection of practice improvement strategies that can help your practice prepare for value-based care.

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Job Openings


Seeking a BE/BC general or fellowship trained surgeon to join our expanding group.  Falmouth Orthopaedic Center is a well respected private practice in a vibrant orthopedic community. You will be partnering with 3 experienced surgeons each with an outstanding reputation in the area.

Located in Falmouth Maine (approximately 10 minutes from Portland, 2 hours from Boston) we pride ourselves on our four beautiful seasons, unlimited recreation, and top-ranking schools all within 10 minutes of the magnificent Maine coast. Falmouth is an excellent place to raise a family and offers a great quality of life with easy access to all the cultural amenities of the city of Portland.

This opportunity offers minimal ER call at a Level 2 community hospital with a competitive compensation package.  Our ideal candidate is a well trained general orthopedist or an orthopedist who is fellowship trained in foot and ankle, hand, pediatrics, sports medicine or adult reconstructive surgery.

Please send cover letter, CV, and inquiries to:


Exciting Physician Leadership Opportunity in Maine

The Office of Child and Family Services (OCFS) within Maine’s Department of Health and Human Services (DHHS) is searching for the ideal candidate to be its Medical Director, serving as a senior leader and its clinical representative.

The selected candidate will play key advisory roles in improving the health of some of Maine’s most vulnerable citizens.   You will provide leadership in:

  • Policy development
  • Utilization of resources
  • Clinical practice models the guide the care and treatment of children known to child welfare and at-risk families.

Why Join Our Team?

Maine OCFS is:

  • Committed to reducing the number of youth in out-of-home placements by increasing the effectiveness of community-based services.
  • Working closely with Georgetown University’s Technical Assistance Center to guide us in Evidenced-Based and Promising Practice Models
  • Has multiple agencies and partners collaborating to address the social, medical and behavioral challenges impacting children and families.
  • Intensely focused on complex trauma.
  • Creating  new strategies to decrease the number of youth in custody on Psychotropic medication; 
  • Enhancing its family reunification practices.

Why Maine?

Maine is home to some of the finest beaches, lakes and mountains in the country.  For more information on why Maine is called vacationland all year, please visit the Maine tourism website at 

This position is contracted through the University of Maine and the annual salary is $181,800.  


HOSPITALIST - Brunswick, Maine

Mid Coast Hospital is seeking a full time Hospitalist to join its established hospitalist service, which is expanding due to growth. The candidate should be BC/BE in Internal Medicine or Family Medicine. Procedures are not required. Excellent Intensivist and subspecialist support is available. New graduates and experienced candidates are encouraged to apply. Part-time and per diem applications will be considered. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Hospital offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at or call (207) 406-7872, for more information.



Mid Coast Medical Group is seeking a BC/BE Outpatient Internis to join our multi-specialty group. 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.  

Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Group offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at or call (207) 406-7872, for more information.



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: or by phone at: 207-487-4085.


INTERNAL MEDICINE PHYSICIAN - Maine Medical Partners Internal Medical Clinic

Maine Medical Partners is seeking a PT BC/BE internal medicine physician for their Internal Medicine Outpatient Clinic at Maine Medical Center in Portland, Maine. 

The Clinic is the primary outpatient teaching site for Maine Medical Center’s Internal Medicine Residency Program and is the medical home for a culturally diverse population.  The ideal candidate will have an interest in residency education and international/immigrant patient care.  The clinical portion of the position involves a mix of direct patient care and the precepting of Internal Medicine Residents. 

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 396-8683 or



Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  

The Physician/Medical Director: 

  • Provides advice and counsel regarding a broad range of clinical, clinical policy, programmatic and strategic issues required to achieve the short and long-term strategies and objectives of Nasson Health Care; 
  • Provides direct clinical services and oversees physicians and advanced practice nurses; works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care; 

  Qualifications include:

  • A minimum of three years’ experience as a Medical Director of a primary care medical practice;  A degree from an accredited medical school in the U.S.,
  • Board certification in Family or Internal Medicine;  An unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit for an application. Completed cover letter, resume, and employment application will be accepted until position is filled.


Relocate to Beautiful Southwestern Maine - FAMILY PRACTICE PHYSICIAN

Sacopee Valley Health Center has a position available for a full-time family practice physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment.  Located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Nancy Buck, Human Resources Coordinator, (, Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. Sacopee Valley Health Center is an equal opportunity provider and employer. 



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



The Maine Highlands offers great outdoor adventures, historic and cultural experiences, many culinary delights and unexpected entertainment opportunities.  KVHC’s newest clinic, Brownville, is located in the Maine Highlands and Katahdin Region.  As a result of this 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 the Brownville/Millinocket Maine regions.   KVHC’s clinics are outpatient only 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 or visit our website at  KVHC is an equal opportunity employer.


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Upcoming Events

MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:

                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)

               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



              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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