June 6, 2016

 
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MMA Board Defers Position on Marijuana Ballot Question; Survey Results Announced

The MMA Board spent the majority of its time at last Wednesday's meeting discussing the results of the recent member survey on the November ballot question regarding legalization of recreational marijuana use.  Following the discussion, members voted to not take a position at this time but to prepare a Board resolution to be considered at the Annual Meeting in September.

The membership survey attracted the most responses MMA has received in conducting such surveys.  Six hundred sixty two members have responded and the results were as follows:

 Should the Maine Medical Association take a position on the citizen-initiated referendum question legalizing marijuana for persons 21 years of age and older?  The question will be on the November 8, 2016 ballot.

  • Yes     66%
  • No      24%
  • No opinion  10%

 Regardless of your answer to question one, if MMA were to take a position on the ballot question, should MMA support or oppose the referendum question?

  •  Support     31%
  • Oppose     56%
  • No opinion  13%

 Board members considered a number of factors in reaching the decision to defer on the issue until later in the campaign, including when MMA influence might be most effective.  And, as with the membership at large, it is clear that there is not unanimity of opinion as to personal support or opposition to the ballot question.  The Board will make a decision at its August 5th meeting as to what the Resolution(s) will contain.

 

Four states and the District of Columbia have approved similar ballot initiatives, including Colorado, Oregon, Washington and Alaska.  If approved, Maine would be the first state in the northeast to approve the recreational use of marijuana, although Massachusetts' voters will also be voting this fall on a similar ballot question.

 

Nominations being Sought for MMA's Annual Mary Cushman, M.D. Humanitarian Award

Nominations are being sought for MMA's Mary Cushman, M.D. Award for Humanitarian Service for this year.  A new committee has been formed to review applications, chaired by Lawrence Mutty, M.D., M.P.H.  Other committee members include former Cushman Award recipients Paul Klainer, M.D., Connie Adler, M.D., Cynthia DeSoi, M.D., and Alice Haines, M.D.    

For further information, contact Susan Kring, Outreach Director at MMA at skring@mainemed.com.

 
 
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Volunteers Sought for MMA Board and Committees

The MMA Nominations Committee, chaired by Kenneth Christian, M.D. of Holden, is seeking volunteers for the MMA Board of Directors and all committees.  A list and description of each committee may be found on the MMA website at www.mainemed.com.  Among the more active committees are the Legislative Committee, the Public Health Committee, and the Committee on Loan & Trust Administration.

The 27-member Board meets 7 to 8 times a year, generally from 4:00 to 6:00 pm on Wednesdays.  Members may participate telephonically although personal presence is encouraged.  Attendance at the Annual Meeting in September and at the President's Retreat in the fall is also expected.  

Any member interested in volunteering for the Board or a committee should send a CV and letter of interest to EVP Gordon Smith via e-mail to gsmith@mainemed.com. 

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Russell DeJong, M.D. Honored by Maine Family Planning

At a ceremony held yesterday, June 5th, long-time ACOG and MMA member Russell N. DeJong, Jr., M.D. was honored by the Maine Family Planning Association with the re-dedication of their offices in Augusta, Maine as the Parker F. Harris and Russell N. DeJong, Jr. Center for Reproductive Health.  Dr. DeJong was the Medical Director of the facility for several years prior to his death earlier this year at the age of 70.  Dr. DeJong served on the MMA Board of Directors for two terms and also was an external peer reviewer through his membership on the MMA Committee on Physician Quality.

A native of Michigan, Dr. DeJong was a graduate of the University of Michigan and Columbia University College of Physicians and Surgeons.  Following residency in OB/GYN at the University of Washington Medical School and a period of practice in that state, he and his wife Janetha Ann Benson moved to Maine in 1981 where Russ began teaching OB/GYN for the Maine Dartmouth Residency Program.  Teaching was a passion for Russ and through the next three and one half decades medical students and residents have benefited from his commitment to quality medicine and his passion for providing women of all backgrounds the best care possible.  

At the ceremony yesterday, family members of both Dr. Harris and Dr. DeJong were present to hear speakers talk of the important legacy of these two prominent figures in the history of family planning in Maine.  Gordon Smith, EVP of MMA provided remarks on behalf of the Association.

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How New Medicare Payment System Intends to Help Small Practices

Draft regulations released last month outline sweeping changes to the Medicare payment system, and one of those eagerly anticipated changes is the Centers for Medicare & Medicaid Services' (CMS) stated intent to ease physicians' administrative burdens—including for those in small or rural practices.  A new fact sheet outlines flexibilities the agency is proposing for physicians in the new payment system.

Responding to physician feedback
The proposed rule for implementing key provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) has drawn concerns regarding its regulatory impact analysis, which projected that the quality and resource use components of the new Merit-based Incentive Payment System (MIPS) would have a negative impact on most solo physicians and small practices.

CMS has clarified in its new small practices fact sheet that the projections made in the analysis were "based on 2014 data when many small and solo practice physicians did not report their performance.  It also does not reflect the accommodations in the proposed rule that are intended to provide additional flexibility to small practices."

In particular, the impact analysis table in the proposed rule only offers a partial picture of physicians' potential success in MIPS because it fails to include participation in the categories of "clinical practice improvement" and "advancing care information"—formerly the electronic health record meaningful use program.

Another flaw in the analysis was that it did not provide the magnitude of how physicians would be affected.  For example, physicians who opted not to participate in quality reporting and meaningful use would be subject to an 11 percent payment cut in 2019 under previous law. Under MACRA, the maximum payment cut would be 4 percent. Unlike MACRA, previous law did not provide any partial credit for efforts that were not 100 percent successful.

The analysis looked at successful participation of "eligible clinicians" in the Physician Quality Reporting System (PQRS) and under the value-based modifier.  CMS' definition of "eligible clinicians" includes nonphysician health professionals such as chiropractors.  Many of these eligible clinicians could not participate in PQRS or the value-based modifier. Consequently, the subset of the physicians actually reflected in the analysis is relatively small.

Andy Slavitt, acting administrator of CMS, recently testified before a congressional committee, emphasizing that the agency is focused on providing the flexibility required for physicians in smaller practices to be as successful under MIPS as those in larger groups.

Here are some of the flexibilities that CMS says were included in the proposed rule to accommodate the unique needs and challenges faced by physicians in small practices:

 
  • Physicians with a low Medicare volume won't be subject to the MIPS payment adjustment.  To avoid unnecessary reporting burdens, clinicians or groups who have less than or equal to $10,000 in Medicare charges and less than or equal to 100 Medicare patients are excluded from the MIPS payment adjustment.

  • Physicians should not be held accountable to inapplicable categories.  If a MIPS performance category does not have enough measures or activities that are applicable for the practice, then the category would not be included in the practice's MIPS score.

  • Physicians will have fewer measures on which to report.  The agency is proposing to remove unneeded measures and reduce administrative requirements.  For example, CMS proposes to reduce the number of required measures in the quality and advancing care information categories.

  • Physicians can use a single reporting mechanism.  Three of the four categories will require reporting—all of which can be done through the same mechanism, instead of the distinct reporting options required under the current payment system.  Physicians also have greater choice regarding which reporting mechanism to use.

Easing the burden within performance categories
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.

While these proposals are important changes for physicians, the agency will need to make additional improvements during the rulemaking process to best address things that have been getting in the way of physicians focusing on providing high-quality care to their patients.  The proposed rule is open for comment through June 27, and CMS has said it welcomes feedback from patients, physicians, caregivers, health care professionals and members of Congress, among others.

The AMA is developing recommendations to further ease the burdens on physicians in small or solo practices to enable their success under this new payment system.

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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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Quality Counts Webinar on Compassionate Tapering of Opioids: Why and How

A major provision of Maine’s new opioid prescribing law will soon require providers to limit the daily opioid dosages of chronic pain patients. But how can providers meet this legal requirement while also limiting their patients’ distress? This webinar offers answers by exploring the effectiveness of high dose opioids, looking at pain control alternatives, delving into Morphine Milligram Equivalents and sharing techniques for effectively and compassionately tapering opioid dosages to below legal limits and, ultimately, to zero.

Time:  June 14, 2016 at 12:00 PM


Register here
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Freedom of Patient-Physician Conversations Hinges on Court Case

A federal court will be hearing a case about the constitutionality of a state law that represses free discussion between physicians and patients regarding health and safety issues.

In a friend-of-the-court brief filed April 26th, the AMA and eight other medical societies urged the Court of Appeals for the 11th Circuit to overturn a Florida law that restricts physicians from discussing firearm safety with patients and their families.

The brief argues that the Firearm Owners' Privacy Act is unconstitutional and intrudes on the practice of medicine. The law will inevitably affect other aspects of patient care, the brief says.

In 2012, the district court had found the 2011 law unconstitutional.  In 2014 a court of appeals panel of three judges issued a split decision. While one judge sided strongly with physicians opposing the law, the other two ruled in favor of the state. Physician groups and others sought a rehearing.

In a rare decision, the full court of appeals agreed to rehear the case.  The rehearing will be held before the court en banc—all 11 active judges are to hear the case. Oral arguments are scheduled for June 21 in Atlanta.

In its April 26th briefing, the AMA and other organizations call the law an example of politics overriding medicine. It has already led Florida physicians to self-censor when talking with patients, the brief says.

"It is censorship, imposed for purely political motives," it says.

The law directly clashes with a consensus on care that dates to at least 1989.  That year, the AMA enacted a policy that encourages members to inquire into the presence of firearms in households and to promote the use of safety locks on guns in an effort to reduce injuries to children.

"Effective medical care requires unfettered communications between physicians and their patients," the brief tells the court.
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June 11-15: 2016 AMA Annual Meeting

The 2016 AMA Annual Meeting will take place in Chicago.  In addition to policymaking, the meeting will feature a number of special events and continuing medical education activities on trending topics from addressing physician burnout to ending the nation's opioid epidemic.  Be sure to download the new AMA Meetings app to build your schedule, network with fellow attendees, and take notes and share photos from sessions.  

The MMA will be represented at the 2016 by AMA Delegates Richard Evans, M.D. and Maroulla Gleaton, M.D., as well as MMA President Brian Pierce, M.D.  Several other Maine physicians likely will attend the meeting on behalf of a medical specialty society or as a former AMA officer. [return to top]

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

Schedule:

          

              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

  ***

2nd Annual Maine LGBTQ+ Health Conference
Exploring the Intersections

The Green Ladle
156 East Ave.
Lewiston, ME 04240

Monday, June 27th 2016 2015 - 8:00 am - 5:00 pm

**CMEs and CEUs available**

TO REGISTER OR FOR MORE INFORMATION CLICK HERE

__________________________________

This day-long LGBTQ+ Health Conference has been organized by the Health Equity Alliance and the QCHA, an LGBTQ+ Community Health Initiative. The 2016 LGBTQ+ Conference highlights lived experiences of community members to explore how multiple, complex identities impact health outcomes.

This conference will explore questions like:

How can a harm reduction approach improve queer health?
What are the unique health needs of elders who are LGBT?
Why are STIs and HIV still on the rise for gay and bisexual men?
How can providers make transition-related care more accessible?

This year's keynote address, "Not Because Our Bodies Are Different: LGBT Cancer Health Disparities" will be delivered by Liz Margolies:

Liz Margolies, LCSW, is the founder and executive director of the National LGBT Cancer Network, the first and only national program addressing the needs of LGBT people with cancer and those at risk. Based in NYC, the Network focuses on education, training, advocacy and support. Liz is also a psychotherapist in private practice, specializing in trauma, loss, health disparities and sexuality. In addition, she is a regular blogger for the Huffington Post. In 2014 Liz was chosen as one of the OUT100 for her work in the LGBT community.

Special thanks to our sponsors: AARP Maine, SAGE Maine, and the New England AIDS Education and Training Center

__________________________________

Who Should Come

Health Care Providers: Physicians, Family Nurse Practitioners, Nurse Practitioners, Registered Nurses

Social Workers and Public Health Professionals: Social Workers, Prevention Providers, Outreach Workers, Epidemiologists, Youth Workers, Counselors, Clinicians

LGBTQ+ Community Members Welcome

TO REGISTER OR FOR MORE INFORMATION CLICK HERE

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Job Openings

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 http://visitmaine.com/. 

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

6/9/16

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, (nbuck@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org. Sacopee Valley Health Center is an equal opportunity provider and employer. 

7/04/16

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 mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.

6/27/16

OUTPATIENT INTERNAL MEDICINE - Mid Coast Maine

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 mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.

6.27/16

FAMILY PRACTICE PHYSICIAN Sought In Oakland Maine!

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

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

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

For further information, please contact:

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

7/18/16

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 nathaa@mainehealth.org.

7/4/16

PHYSICIAN/MEDICAL DIRECTOR - Nasson Health Care 

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 http://www.nassonhealthcare.org for an application. Completed cover letter, resume, and employment application will be accepted until position is filled.

6/27/16

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/OUTPATIENT INTERNAL MEDICINE PHYSICIAN  

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 mlefay@kvhc.org or visit our website at www.kvhc.org.  KVHC is an equal opportunity employer.

8/29/16

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