June 27, 2016

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Kevin Mannix and Linda Rota, LSW, to Give Saturday Keynote at Annual Session

Kevin Mannix and Linda Rota, LSW, will give the Saturday noon keynote presentation at the 163rd MMA Annual Session on Sept. 10, 2016.  Kevin and Linda have co-authored the book, Weathering Shame, an autobiography on their personal experience growing up with the stigma and shame of alcoholism and mental illness.  Registration for the Annual Meeting is available on the MMA website at www.mainemed.com.

Kevin is best known as one of Maine's most popular and favorite weathermen. Serving the broadcasting world for over forty years, Kevin was part of the WSCH 6, Portland and WLBZ 2, Bangor weather team from 1989 to 2014.   His spouse, Linda Rota, LSW, has been a social worker for over thirty years. She is a 1982 magna cum laude graduate from the University of Southern Maine where she earned a B.A. in both social welfare and criminal justice. Linda served in the Peace Corps from 1982-1984 in Sierra Leone, West Africa working as an agricultural extension agent, and assisted in the training of incoming volunteers on cross-cultural issues.

Kevin and Linda will have their book available for sale at the session.  

The theme of the Annual Session is Restoring the Joy and Passion of Medicine. The meeting is once again being held at the Harborside Hotel and Marina in Bar Harbor. The dates are Sept. 9-11 and registration is available on the MMA website at www.mainemed.com. Any questions about the meeting may be directed to Diane McMahon at 622-3374 ext. 216. For exhibitors and sponsors, call Lisa Martin at 622-3374 ext. 221.  


Caring for ME: Learning Session July 14th on New Opioid Law

Successfully Implementing LD 1646/Chapter 488:

 An Act to Prevent Opiate Abuse by 

Strengthening the Controlled Substances Prescription Monitoring Program

Thursday, July 14, 2016  

8:00 AM - 4:00 PM

Maple Hill Farm, Hallowell ME 

Please join the Maine Medical Association and Maine Quality Counts for an educational Learning Session designed for providers to gain practical information on key issues related to implementing Maine's new law limiting opioid prescribing. The session is designed to provide training for clinician leaders in your organization and prepare them to train and support practice teams in complying with the new law.

Please note that space for this event is limited to the first 100 registrants. In order to allow for statewide participation, we are asking organizations to limit their initial registration to 6-8 clinical leaders. Should you have additional people who would like to register, please have them contact Linda Leighton to be added to the waiting list.

In order to cover costs of this event, there is a charge of $50 per person to attend.

Register by clicking here.

Please join us for an educational Learning Session designed for providers to gain practical information on key issues related to implementing Maine's new law limiting opioid prescribing. The session is designed to provide training for clinician leaders in your organization and prepare them to train and support practice teams in complying with the new law.

Please note that space for this event is limited to the first 100 registrants. In order to allow for statewide participation, we are asking organizations to limit their initial registration to 6-8 clinical leaders. Should you have additional people who would like to register, please have them contact Linda Leighton to be added to the waiting list.

In order to cover costs of this event, there is a charge of $50 per person to attend.


 Featured Presenters:

 Lisa Letourneau, Maine Quality Counts

 Gordon Smith, Maine Medical Association

 Heather Skolfield, ME Prescription Monitoring Program

 Clare Desrosiers, ME Diversion Alert Program

 Noah Nesin, Penobscot Community Health Center 

 Jessica Bates, Penobscot Community Health Center

 Eva Quirion, St. Joseph Internal Medicine

 Stephen Hull, Mercy Pain Center

 Elisabeth Fowlie Mock, Eastern Maine Medical Center

 Peter Leighton, Bridgton Internal Medicine


 Learning Objectives: Participants will....

  • Increase their understanding of the current status of Maine's opioid epidemic and the key components of LD 1646/PL Chapter 488.
  • Learn an approach to balancing the quality of patient care while complying with the updated prescribing regulations included in LD 1646/PL Chapter 488.
  • Gain knowledge and skills on how to reduce misuse, abuse and diversion of prescription drugs.
  • Learn how to implement a team based approach to safe prescribing, including opioid dosing, compassionate tapering, and appropriate diagnosis.
  • Develop skills to facilitate difficult patient conversation and the use of functional assessments.
  • Share knowledge and skills gained throughout the day to help build competency in safe opioid prescribing within their practice setting.

To learn more about this upcoming event, please click here to review the draft agenda.

 Continuing Medical Education (CME) credit is available for this learning session. For American Disabilities Act (ADA) services, if special arrangements are required for an individual to attend this course please see contact provided below.

Contact Information:

Administrative Coordinator: 

Linda Leighton

Office: (207) 620-8526, ext. 1016

E-mail: lleighton@mainequalitycounts.org 

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MMA and QC Join in Efforts to Implement Opioid Law

The Maine Medical Association and Maine Quality Counts have been working closely together to help provider organizations successfully implement Maine's new opioid prescribing law, Public Law c. 488. In addition to the upcoming "Caring for ME" seminar on July 14th, described in a separate article, the two organizations are hosting a strategy planning session this Wednesday, June 29th, from 8 a.m. until noon at the Maine Medical Association. There will also be a lunch meeting the same day from noon to 1 p.m. where Gordon Smith, Esq., MMA's Executive Vice President, will conduct a discussion on "Providing Input on Future Exceptions to Chapter 488 Prescribing Limits."

Anyone who would like to attend either of these sessions is invited to contact Gordon by Email at gsmith@mainemed.com .   [return to top]

Medical Boards Propose Rule Governing Telemedicine

The Board of Licensure in Medicine and the Board of Osteopathic Licensure recently released a proposed joint rule governing the use of telemedicine in the state. 

The proposed rule defines terms and sets forth practice guidelines, including provisions regarding establishing a physician-patient relationship in the telemedicine setting, technology requirements for physicians using electronic communications, and maintaining privacy and security. You can read the proposed rule on the Board's website, here.

Comments on the proposed rules are due by 5:00 pm, Friday, July 15th. MMA expects to file comments on the rule with the assistance of the AMA. MMA members with interest in the rule should communicate with EVP Gordon Smith via e-mail to gsmith@mainemed.com.

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Telemedicine May be Beginning to Transform How Physicians Practice Medicine

In a 2,000-word article, the Wall Street Journal (6/26, Beck) reports that telemedicine is beginning to transform healthcare. More physicians are beginning to use electronic communication while delivering care. Additionally, telemedicine is allowing for better care in more remote locations where medical expertise is harder to come by.

This is particularly good news in rural areas of the US and in parts of the world where hundreds of miles may separate medical facilities. Virtual doctor visits are expected to rise by 20% from 2015 to 2016. While only 15% of family physicians polled had used telemedicine in their practices, 90% said they would do so if there is appropriate reimbursement. The definition of "appropriate" in this context continues to be a matter of debate. Bils to expand Medicare coverage of telemedicine services are working their way through Congress.

This month, the American Medical Association approved new ethical guidelines for telemedicine, calling on physicians using the technology to recognize the limitations of the services they are providing and ensure that they manage to gather sufficient information to make a sound clinical recommendation.

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Nominations for the 2016 Mary F. Cushman Award Due By August 1st

Nominations for MMA's Mary F. Cushman Award for Exceptional Humanitarian Service as a Medical Volunteer are due by August 1st. The award will be announced at the Association's Annual Session in September. Additional information about the award is available on the nomination form and brochure on the Annual Session webpage. [return to top]

CDC Panel Says Donít Use Nasal Flu Vaccine

The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices said this week that the nasal spray form of the flu vaccine has been ineffective over the past three years and suggested that it not be used during the upcoming flu season. The ACIP recommendation must be reviewed and approved by CDC’s director before it becomes CDC policy.

Even as recently as the 2014-15 season it was considered the best form for use in children between the ages of 2 and 8, based on data which at the time showed it to be more effective than injection for young children. Last year the nasal form was shown to be 3% effective while the injection form was 63% effective.

The nasal vaccine was supposed to make up around 8% of all available flu vaccine doses in the upcoming season. How well the flu vaccine works (or its ability to prevent flu illness) can range widely from season to season and can be affected by a number of factors, including characteristics of the person being vaccinated, the similarity between vaccine viruses and circulating viruses, and even which vaccine is used. ACIP continues to recommend annual flu vaccination, with either the inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV), for everyone 6 months and older. [return to top]

AMA Urges increased Access to Treatment for Opioid Use Disorder

The Substance Abuse and Mental Health Services Administration (SAMHSA) recently released a proposal to increase the number of patients a physician can treat with buprenorphine for opioid use disorder to 200 from the current limit of 100.

In its comments to SAMHSA, the AMA applauded the administration's effort to improve patients' access to comprehensive treatment in physicians' offices.  But the AMA also expressed concern that the SAMHSA proposal will not be sufficient to close the widening gap between the estimated 2.5 million patients who need treatment for opioid use disorder and the fraction of that number who currently have access.

The letter outlined concerns about the lack of payment models to support comprehensive treatment, urging the agency to broaden its definition of physicians eligible for the higher patient caps and to help provide access to new formulations of buprenorphine as they are developed.
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Tax Credits for Primary Care Professionals: Instructions and Applications Are Now Available

Primary care professionals who are paying outstanding student loans may now apply for an income tax credit. To download the application and instruction forms please click HERE. You may submit an application for either the 2014 tax year or the 2015 tax year. Applications must be postmarked on or before July 22, 2016.   Applications postmarked after July 22, 2016 will not be considered.

Applications are subject to a competitive order of receipt process (so called “first-come first served”) as set out in the rules at Section 4.11. Apply today.

Up to five primary care professionals will be certified to receive an income tax credit for each tax year (2014 and 2015). To determine if you are eligible to be certified for an income tax credit, carefully read the statute and rules that are posted here:  STATUTE and RULES.

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Reducing Avoidable Imaging Webinar Series

Reducing Avoidable Imaging Goal: To reduce testing and imaging with low risk patients through the implementation of Choosing Wisely Recommendations 

Aims for this initiative include: 

  • Reduce use of high-cost imaging for low back pain 
  • Reduce head CT scan after minor head injury
  • Reduce chest CT for pulmonary embolus
  • Reduce abdominal CT for renal colic

To register for the webinar series go to:  https://www.acep.org/Advocacy/Reduce-Avoidable-Imaging-Initiative/

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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.  


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. 


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.



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.



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.


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.



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.



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



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.


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Upcoming Events

MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:

                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


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**



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





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