September 19, 2016

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Register Now for October 27 - MMA & Maine Health Management Coalition Annual Symposium

On Thursday, Oct. 27, MMA will again join with the Maine Health Management Coalition in presenting our 26th Practice Education Seminar in conjunction with the Coalition's Annual Meeting. The combined program will be held from 8am to 4pm at the Holiday Inn by the Bay in Portland. David Blumenthal, M.D., President of the Commonwealth Foundation is the keynote speaker. Register now and learn of the newest trends, laws and regulations impacting medicine in Maine.

The Maine Medical Association and Maine Health Management Coalition's 2016 Symposium will be held on Thursday, October 27 at the Holiday Inn By The Bay in Portland.

At this year's symposium we will continue to highlight and explore strategies that each of us can take to help improve health and lower costs. Our keynote speaker, David Blumenthal, MD, President of The Commonwealth Fund, will share examples of how organizations around the country are getting more value from their health care dollars, and breakout sessions will dive into the details to highlight individual efforts that organizations in Maine can emulate. There will be presentations on tackling prescription drug abuse for providers and employers, alternative payment arrangements being tested through employer/provider partnerships, an overview of how MACRA will impact the payment landscape in our state, and more!

Thursday, October 27, 2016

8am - 5pm

Holiday Inn By The Bay, 88 Spring Street, Portland ME

MACRA Penalties Can Now be Avoided, CMS Says

Avoiding penalties under the Medicare Access and CHIP Reauthorization Act (MACRA) just got easier.  The Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andy Slavitt last Thursday announced that the final MACRA regulation will exempt physicians from any risk of penalties if they choose one of three distinct reporting options in 2017.

In a blog post, Slavitt announced that CMS heard physicians’ concerns about the proposed start date for performance reporting under the new Medicare payment system and that the agency will offer three reporting options for the Merit-based Incentive Performance System (MIPS)—and if you choose one for 2017, you will not receive a negative payment adjustment in 2019.

The options will be described fully in the final rule, but here are the basics:

  • Option one:  Test the program
    As long as you submit some data to the Quality Payment Program, including data from after Jan. 1, you will avoid a negative payment adjustment, Slavitt said. This option is intended to ensure that the system is working and that physicians are prepared for broader participation in the coming years as they learn more.
  • Option two:  Partial-year reporting
    Physicians can choose to report Quality Payment Program information for a reduced number of days. Your first performance period could begin well after Jan. 1 and your practice could still qualify for an incentive payment.

    Slavitt offered an example. “If you submit information for part of the calendar year for quality measures, how your practice uses technology and what improvement activities your practice is undertaking,” he said, “you could qualify for a small positive payment adjustment.”
  • Option three:  Full-year reporting
    If your practice is ready to get started on Jan. 1, you can choose to report Quality Payment Program information for the full calendar year. Your first performance period would begin on Jan. 1, and if you submit information for the entire year your practice could qualify for a modest positive payment.
  • Advanced Alternative Payment Model (APM) option.
    This option is still available and qualified participants in advanced APMs will be eligible for five percent incentive payments in 2019.

Choosing any of these options guarantees that you will not receive a negative payment adjustment.

The announcement confirms that physician input is playing a critical role in the development of the final MACRA rule. Slavitt stated his appreciation for the constructive participation of physicians in the feedback process and added that CMS looks forward to further engagement with physicians to make sure the new Medicare payment system works for everyone, including patients.

"By adopting this thoughtful and flexible approach, the Administration is encouraging a successful transition to the new law by offering physicians options for participating in MACRA,” said AMA President Andrew W. Gurman, MD, in a statement commending Slavitt and Department of Health and Human Services Secretary Sylvia Mathews Burwell.

“This approach better reflects the diversity of medical practices throughout the country,” he said. "The AMA believes the actions that the Administration announced today will help give physicians a fair shot in the first year of MACRA implementation.”

This kind of flexibility is what physicians were seeking throughout the draft rule comment period—and now it is a reality. The only way to receive a negative payment adjustment now is by not participating at all.


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Opioid Progress in Some States

Physicians are doing their part, and making significant progress, in curbing the nation's opioid epidemic. And the progress began before the 2016 press coverage and legislative action.

  • From 2012 to 2015 there was a steady decrease in sales of the most widely misused opioid analgesics
  • Every state in the country saw a reduction in opioid prescribing in 2015
  • State PMP checks in 2015 increased 40% over 2014--to 85 million checks
  • State PMP registrations increased from 464,698 in 2014 to 616,789 in 2015, and they increased in states with and without PMP mandates
  • From 2012 to 2016 there has been an 81% increase in physicians certified to treat substance use disorders
  • 15 states (though, sadly, not Maine) saw decreases in drug overdose deaths from 2013 to 2014
  • Naloxone prescriptions in the second quarter of 2015 were up 1,170% over the fourth quarter of 2013.
  • Since October 2015 more than 4 million emails, social media posts and other communications have been directed at physicians by their medical societies, urging physician action to reverse the national opioid epidemic     
    (source: AMA)
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Maine Medical Center Proposes $512 Million Expansion to be Completed in 2022.

Maine Medical Center representatives announced this past week a proposed expansion of the facility which would cost $512 million and would increase the size of the MMC main campus in Portland by 25% (300,000 square feet).  The number of beds would not increase but all the new patient rooms will be single rooms. The expansion would include 20 new operating rooms. Local and state approval of the project are required.

Also, MidCoast Hospital announced that it will construct a new a 9,000 square foot wellness center as part of its $6.2 million renovation that is part of the integration of MidCoast and Parkview Health. The wellness center will be located in Brunswick.

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U.S. Attorney Announces Youth Summit as Part of National Heroin and Opioid Awareness Week

United States Attorney Thomas E. Delahanty II announced last week that on Tuesday, Sept. 20, 2016, as part of the National Heroin and Opioid Awareness Week, Maine students from high schools throughout the state will be participating in "The One Life Project - The Youth Voice" at the Cross Insurance Center in Bangor.  The Maine Principal's Association, the U.S. Attorney's Office for the District of Maine, the Maine Attorney General's Office, and the Bangor Daily News are sponsoring this one-day conference to bring together diverse groups of students from throughout the state and to provide them with an opportunity to talk about and have their voices heard on the issues of drug use and abuse.

The summit is the result of one of the recommendations of the Maine Opiate Collaborative that issued its recommendations in May. This Collaborative brought together experts from the fields of treatment, prevention/harm reduction, and law enforcement to come up with recommendations to address the opiate epidemic in the state. Eight physicians participated in the Task Forces that drafted the recommendations.

The goal of the summit is to provide Maine's youth with a forum to discuss the issues they see in their schools and communities and to solicit their ideas on solutions. Information gathered at the summit will be shared with state and federal leaders, and school administrators and personnel to help inform future decisions about prevention efforts.

MMA is providing modest financial assistance for the Summit through a grant from the Maine Health Access Foundation.


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Clicks and Keyboards Stealing Face-time with Patients

Almost one-half of the physician workday is now spent on electronic health record (EHR) data entry and other administrative desk work while only 27 percent is spent on direct clinical face-time with patients, a time-motion study published Monday in the Annals of Internal Medicine found. This finding is further proof that administrative burdens are directly affecting the patient-physician relationship.  Though efforts are underway to make EHRs more practical for clinical use, there are ways to relieve this burden through team-based care.

The time-motion study, conducted by experts at the AMA and Dartmouth-Hitchcock Health Care System, also found that for every hour of face-to-face time with patients, physicians spend nearly two additional hours on their EHR and other clerical desk work throughout the day.

Physicians do not feel these are the tasks that should be taking up a majority of their work day—they undercut the patient-physician relationship.

The time-motion study correlates with a study published recently in the Journal of Graduate Medical Education that tracked the average “mouse miles”—or active time—residents spent using EHRs. The study found that first-year residents spent an average of five hours per day on the EHR caring for a maximum of 10 patients.

(Excerpt from AMA Wire® article by Troy Parks. For the entire article, click here.) [return to top]

HHS Office of Civil Rights Issues New Ransomware Guidance

In light of recent FBI guidance and media reports of increasing cyberattacks on health IT systems, the U.S. Department of Health and Human Services Office of Civil Rights (OCR) has released new guidance on ransomware.

The new guidance reinforces activities required by the Health Insurance Portability and Accountability Act (HIPAA) that can help organizations prevent, detect, contain and respond to threats, including:

  • Conducting a risk analysis to identify threats and vulnerabilities to electronic protected health information (ePHI) and establishing a plan to mitigate or remediate those identified risks
  • Implementing procedures to safeguard against malicious software
  • Training authorized users in detecting malicious software and reporting such detections
  • Limiting access to ePHI to only those persons or software programs requiring access
  • Maintaining an overall contingency plan that includes disaster recovery, emergency operations, frequent data backups and test restorations

The guidance makes clear that a ransomware attack usually results in a "breach" of health care information under the HIPAA Breach Notification Rule. Under the rule, and as noted in the guidance, entities experiencing a breach of unsecure PHI must notify individuals whose information is involved in the breach, HHS and in some cases the media, unless the entity can demonstrate and document that there is a "low probability" that the information was compromised.

The AMA is preparing a series of cybersecurity resources for physicians, which will be available on its new cybersecurity web page. The page currently contains information about steps physicians can take today to improve their cybersecurity practices.

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SAVE THE DATE: Saturday, June 17, 2017 for Challenges to Professionalism in A time of Change

The Maine Medical Association is pleased to announce its co-sponsorship of a unique educational conference for physicians and other clinicians exploring some of the challenges to professionalism posed by the transformation of the health care system. The conference is co-sponsored by the Lown Institute of Brookline, MA, the Maine Nurse Practitioners Association, the New Hampshire Medical Society and the Vermont Medical Society. The keynote speaker is Thomas Bodenheimer, MD, MPH, Professor, UCSF School of Medicine and Founding Director of the Center for Excellence in Primary Care.  

The program will be held from 8:00am to 4:00pm on Saturday, June17, 2017 at the Sheraton Portsmouth in Portsmouth, NH. The program is being held on a Saturday so that physicians and other clinicians can attend without re-arranging work schedules.  

Watch for registration materials and a complete agenda early in 2017.

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Reducing Unnecessary and Low Value (to the patient) Care

American Medical Association STEPS Forward™ practice improvement strategies, just launched the new “Advancing Choosing Wisely” module providing 5 Steps to help physicians/practice teams reduce low-value and unnecessary care in your practice.

How will this module help me reduce unnecessary care in my practice?

·         Five STEPS to advancing Choosing Wisely in your practice

·         Answers to frequently asked questions about Choosing Wisely

·         Tools and resources to help you and your team implement Choosing Wisely

Go to:  Advancing Choosing Wisely® and learn more!

To learn more about Choosing Wisely in Maine, go to the Maine Quality Counts Choosing Wisely webpage and access the Choosing Wisely Toolkit and other information here. (This Toolkit is also highlighted and available for download on AMA’s StepForward “Advancing Choosing Wisely” module under Resources)

Explore all of the new practice improvement strategies on

·         Adopting the ECHO model™ (Extension for community healthcare outcomes)

·         Appreciative inquiry: Fostering positive culture

·         Clinical decision support and diagnostic imaging

·         Forming a patient and family advisory council

·         Listening with empathy

·         Preventing physician distress and suicide

·         Quality Reporting and the importance of Qualified Clinical Data Registries (QCDRs) in maximizing your success

Visit for all the modules and practice improvement strategies that can help guide your practice transformation. [return to top]

Opioid Prescribing Webinar September 28th

Join a Webinar to Learn About Electronic Prescribing of Opioids

The Maine Medical Association has selected DrFirst as its exclusive partner in providing electronic prescribing of controlled substances solutions to MMA members. 

DrFirst will provide an educational webinar on how to get started e-prescribing controlled substances, along with a demo of their EPCS Gold software, on September 28 from 2-3pm ET. Even if that time isn’t convenient, register anyway and receive a recording of the event.

You may register for the webinar here.

Notice of Confidentiality: The information included and/or attached in this electronic mail transmission may contain confidential or privileged information and is intended for the addressee. Any unauthorized disclosure, reproduction, distribution or the taking of action in reliance on the contents of the information is prohibited. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it.

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Awards Presented at the MMA’s 163rd Annual Session

Three awards were presented at the Maine Medical Association’s annual banquet in Bar Harbor on September 10, 2016.

Dr. Brian Pierce, MD presented the 2016 Mary Cushman, M.D. Award for Humanitarian Service to Patsy Thompson Leavitt, DNP, FNP, Volunteer Director and Nurse Practitioner at the Leavitt’s Mill Free Health Center.  Dr. Leavitt was nominated for the award by Andrew Packard, M.D.  Dr. Leavitt has led the efforts of a team of over 30 volunteers in the care of over 1600 uninsured patients.  Founded in 2003 and supported by community donations, the Center has grown from a small rural clinic to a multi-disciplinary center providing primary care, dental care, physical therapy, dermatology, laboratory services, prescription assistance, advocacy and referrals to specialty care.  The Center is also a training site for interns in dentistry, nursing and social work.  As a USM nursing professor, Patsy provides the academic rigor for a rich and intense experience caring for the underserved in a multi-disciplinary environment.  The Cushman Award is accompanied by a $1,000 contribution to a charitable organization to be chosen by the recipient.

Buell Miller, MD received the 2016 Maine Medical Association President’s Award for Distinguished Service.  Dr. Miller established what would eventually become the largest Ob-Gyn group in the state, and held a number of positions in the American Congress of Obstetrics and Gynecology District I, and in the Maine Section. Always active in MMA, Dr. Miller became even more active in Association activities following his retirement from active practice. He worked part-time at MMA doing outreach and development work for several years, and founded the MMA’s Senior Section which he continues to chair.  The MMA is proud to recognize Buell Miller for the important roles and tasks he has performed for the MMA over the past five decades.

Because State Representative Linda Sanborn, M.D. could not attend last year’s Annual Banquet to receive the 2015 Association's President's Award for Distinguished Service, the award was presented to her this year by Lisa Ryan, D.O.  Dr. Sanborn was recognized for her advocacy and exemplary service, for her dedication to her patients during a successful career as a family physician, to the Association as a long time member and volunteer and, most recently, to her constituents and the citizens of Maine as state legislator representing House District 26, part of Gorham. 

Please join the MMA in recognizing Dr. Leavitt, Dr. Miller and Dr. Sanborn for their outstanding service.

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New England State Medical Societies Met in Waltham, MA this Past Saturday

The Council of New England State Medical Societies (CNESMS) and New England Delegation to the AMA (NED) held its regular Fall meeting at the offices of the Massachusetts Medical Society in Waltham, MA this past Saturday, September 17th.  Maine was represented at the meeting by Maine's AMA Delegates Richard Evans, M.D. and Maroulla Gleaton, M.D. along with President-Elect Jabbar Fazeli, M.D. and Deputy EVP & General Counsel Andrew MacLean.  Dr. Fazeli presented the Maine state report on behalf of President Charles Pattavina, M.D. who had another commitment.  

 During this meeting, Massachusetts delegation member Thomas Sullivan, M.D. turned over the Chair's gavel to Maine's Dr. Evans.  

A hot topic of discussion at the meeting was physicians', and therefore medical societies', proper role in the ongoing public debate about use of marijuana, both under very common states' so-called "medical marijuana" laws and the growing number of states facing referendum questions on legalization of recreational marijuana. This topic first came up during several state medical society Presidents' reports early in the morning, and continued on to the NED portion of the meeting involving a discussion of current AMA policy on marijuana and whether the AMA should be convening some further working group on the topic.  In his report, Dr. Fazeli talked about Question 1 on Maine's November 8th ballot and MMA's Resolution in opposition to Question 1 passed at the recent MMA Annual Session in Bar Harbor. The MMA Board of Directors will further discuss Resolution #1 during its meeting on October 5, 2016.  The opioid abuse crisis also featured prominently in the morning's state reports and discussion.

 During the NED meeting, participants received various reports and considered the following potential resolutions for the AMA Interim Meeting of the House of Delegates scheduled for mid-November in Orlando, FL:

  • Health insurance companies should collect deductible from patients after full payments to physicians (CT);
  •  Importance of oral health in medical practice (MA);
  • Action on outrageous pharmaceutical industry drug pricing (MA);
  • Disparities in Public Education as a Crisis in Public Health and Civil Rights (MA); and
  • Prevention of insurer exclusions or benefit substitutions for essential health benefits (EHB) under the ACA (MA).

After the upcoming AMA Interim Meeting, the CNESMS/NED will next meet at the Biltmore Hotel in Providence, RI on May 5-6, 2017. [return to top]

Job Openings

BC/BE FAMILY PRACTICE PHYSICIAN - Sheepscot Valley Health Center

Sheepscot Valley Health Center (Cooper Mills - between Augusta and the Maine coast) seeks a BC/BE Family Practice Physician to provide primary care and preventive services in an outpatient family practice. Join two physicians, three family nurse practitioners and a physician assistant serving 3,700 people annually. Integrated behavioral health, psychiatric medication management, podiatry, and care management are also provided on site.

The practice has been a vital part of the community since 1980 and is part of HealthReach Community Health Centers, a group of eleven Federally Qualified Health Centers in Central and Western Maine serving 28,000 residents in 80 Maine towns each year.

We offer competitive compensation and malpractice coverage. The site is eligible for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901. (207) 660-9913. Fax: (207) 660-9901.  -



Excellent Work Life Balance!  Katahdin Valley Health Center is in search of a Psychiatric Mental Health Nurse Practitioner.  These openings are a result of our continued growth. KVHC is Federally Qualified Health Center with sites in Ashland, Houlton, Island Falls, Patten, Millinocket and now Brownville.   Join our practice in one of the newly expanded facilities. KVHC is a fully electronic medical record site and offers a competitive salary and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off, CME, Life and Disability as well as FTCA malpractice coverage. No nights weekends or holidays! Family Medicine Practitioners 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.



Eastern Maine Medical Center has exciting opportunities for Board-Certified/Board-Eligible MD/DO physicians to join well-established, quality-driven, outpatient Family Medicine and Internal Medicine practices in the Greater Bangor area.

Eastern Maine Medical Center offers exceptional family medicine practice opportunities in modern facilities with a cutting edge EMR. A supportive, collegial atmosphere and minimal call which is strictly outpatient characterize our work environment.

Physician opportunities require an MD/DO or foreign equivalent, three year Family Medicine Residency, Maine physician licensure (or immediately eligible for same), and board certification/eligibility. Candidates in need of J-1 visa waivers welcome to apply.

Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. Candidates in need of J-1 visa waivers welcome to apply.

For confidential consideration, please contact Amanda Klausing at Eastern Maine Medical Center at 207-973-5358 or



Dynamic multi-subspecialty physician-owned and -led orthopaedics group seeks a fellowship trained, board certified or board eligible Primary Care Sports Medicine Physician to join Maine’s premier orthopaedic practice - OA Centers for Orthopaedics.  We are an established group with our own surgery center and all ancillary services (PT, MRI, and Imaging).  If you are interested in joining a growing, high volume, quality-focused group practice with no call, then this is the opportunity for you!

The ideal candidate will have substantial orthopaedic experience and comfort with acute orthopaedic conditions. We are searching for a physician leader to be part of a growing acute walk-in clinic, OrthoAccess, with a full spectrum of surgical subspecialty support. We offer a generous compensation and benefits package, including vacation, CME stipend, relocation allowance, and 401(k) plan with profit sharing.  Partnership-track position with eligibility after 5 years for full-time physicians. Walk-in clinic hours are Monday – Friday, 1:00PM – 8:00PM; Saturday, 9:00AM – 2:00PM. Rotating Saturday coverage required; approximately 5 shifts per year. Flexible part-time or full-time weekday schedule, between the walk-in clinic and routine clinical days.

Send inquiries or CVs to:

Aileen Kiwior, PHR, Senior HR Generalist

OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102




Dynamic multi-subspecialty physician-owned and -led orthopaedics group seeks a board certified or board eligible Orthopaedic Surgeon who has completed a Foot & Ankle fellowship to join Maine’s premier orthopaedic practice - OA Centers for Orthopaedics.  We are an established group with our own surgery center, all ancillary services (PT, MRI, and Imaging).  If you are interested in joining a growing, high volume, quality-focused group practice with minimal call, then this is the opportunity for you!

OA Centers for Orthopaedics is searching for a surgeon to join our established Foot & Ankle Center to help meet the needs of this growing service line.  We offer a generous compensation and benefits package, including 6 weeks of vacation, CME stipend, relocation allowance, and 401(k) plan with profit sharing.  Partnership-track position with eligibility after 2 years.

Send inquiries or CVs to:

Aileen Kiwior, PHR, Senior HR Generalist

OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102



PHYSICIAN, NPPA or PA - Community Care and Geriatrics

Community Care and Geriatrics is seeking a Physician, a NPPA, and/or a PA who is interested in working on a team dedicated to patient-centered care, innovation and collaboration. If this sounds like an opportunity you would be interested in, consider this:

  • You will be working with 17 facilities in the community, Skilled Nursing facilities, Long Term Care facilities, and Assisted Living facilities.
  • You will be working in an autonomous, challenging, and highly stimulating environment!
  • You will be using the latest and highest leading EMR systems for geriatric care including gEHRiMed.
  • As a provider, you will have the freedom to handle your own schedule, you’ll have the support of leadership and clinical staff including your own Medical Assistant, Nurse Practitioners, and Physician Assistants.
  • Community Care and Geriatrics also offers loan repayment!

For more information, please contact Vanessa Sanderson, Recruitment Coordinator, Penobscot Community Health Center at (207) 404-8015



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.


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) 661-7383 or



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Upcoming Events


Risk Adjustment Documentation & Coding Seminar

  September 15-16, 2016

Sheraton Portsmouth Harborside Hotel - Portsmouth, NH

Do you contract with a Medicare Advantage Organization or other payer using a risk adjustment methodology? Are your coders accurately capturing chronic health conditions? Does the thought of risk adjustment coding keep you up at night?

Join the Baker Newman Noyes (BNN) revenue cycle team, including certified risk adjustment coders (CRC™), for a two-day seminar for healthcare professionals interested in risk adjustment documentation and coding. While risk adjustment has been around for a long time, a solid understanding is essential for proper documentation of a patient's overall health status. BNN has put together a hands-on program to ensure an understanding of risk adjustment coding, the importance of documentation, how to optimize and improve overall risk scores, and much more.

We are excited to offer this comprehensive two-day workshop that will also help in preparation for the Certified Risk Adjustment Coder (CRC™) examination offered through the AAPC.

   For more information and to register click here. Act now to take advantage of early bird pricing.


3rd Annual Summit on Aging

It (still) Takes a Village -
Forging Lasting Partnerships to Support Healthy Aging

September 21, 2016 - Augusta Civic Center

Registration & Exhibits  8 - 9AM
Program  9-3:30PM

Cost - $30   (scholarships available)



15th Annual Downeast Ophthalmology Symposium

September 23-26, 2016

Harborside Hotel - Bar Harbor, Maine

15 Hours Category 1 AMA PRA CME Credits Offered

Topics include Glaucoma, Cataract, and Uveitis.  Michael X. Repka, MD, MBA will deliver the Keynote address on Ophthalmology in an Era of Health Care Evolution.  There will also be time to enjoy the beautiful area!

For more information and to register visit: or contact Shirley Goggin at 207-445-2260 or



MaineGeneral Medical Center's 2016 Geriatric Symposium

October 6, 2016 

7:45am - 4:30pm

Alfond Center for Health - Augusta, ME

This year’s keynote speaker will be Dr. Michael LaMantia MD, MPH, the new Section Chief of Geriatrics at the University of Vermont.  There will also be talks by Cliff Singer MD, Annette Beyea DO MPH, Sarah Hallen MD, Kim Church RN & Jane O’Rourke LMSW, Nancy Rushton APRN and Noreen Flanagan MD. Lunch will be provided and CMEs are available.  


The 2016 Geriatrics Symposium is free for MaineGeneral employees. A $50 registration fee for non-MaineGeneral employees will support the MGMC Key Trust Educational Endowment. 

Registration is limited to 225 participants, on a first come, first served basis.  If paying by check, please make checks payable to “2016 Geriatrics Symposium.”  All checks must be received by 9/30/16.

For more information and to register online visit: contact Karen Garcia at 626-1151 or at with any questions regarding the Symposium.




Register Here

The conference features national and local speakers on topics including:

·         Neonatal Abstinence Syndrome and care for drug affected babies and their mothers

·         Strategies from VT and CT to address the influx of drug affected infants

·         Addiction as a Pediatric Disease

·         Immunization Controversies: influenza, meningococcal B and HPV

·         The Impact of Chronic Disease and Health on Child’s School Attendance, Education and Well-Being

·         The Use of Proton Pump Inhibitors

·         The Status of Foster Care in Maine

·         OB Thresholds of Viability

·         and more!


MCMI Training Programs - Level 1 and Level 2

October 25, 2016

When and where held:  On October 25, 2016, the Maine Concussion Management Initiative will present Level 1 and Level 2 Training as the Youth Concussion Track at the Brain Injury Association of America-Maine Chapter's 7th Annual Conference on Defining Moments in Brain Injury in Portland at USM.

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: 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: Conference - 7:30pm to 4:30pm

MCMI Level 1: 9:30am to 1:00pm

MCMI Level 2: 1:30pm to 4:30pm                                                   


Fee: $100 for all participants for the entire day

How to register: online then click on BIAA-Maine (in the menu on the left)

CMEs will be provided. Exact contact hours not determined at this time

For more information contact:

Jan Salis, PT, ATC, MCMI - Membership and Education Committee - Chair or (207) 577-2018


Maine Health Management Coalition and Maine Medical Association's 2016 Symposium

Thursday, October 27 

Holiday Inn By The Bay, Portland

About the Symposium

For this year's symposium we will be continuing to highlight and explore actionable strategies that each of us can take to help improve health and lower costs.  Our keynote speaker, David Blumenthal, MD, President of The Commonwealth Fund, will share examples of how organizations around the country are getting more value from their health care dollars, and breakout sessions will dive into the details to highlight individual efforts that organizations in our state can emulate.  There will be presentations on tackling prescription drug abuse for providers and employers, alternative payment arrangements being tested through employer/provider partnerships, an overview of how MACRA will impact the payment landscape in our state, and more!

When: Thursday, October 27, 2016, 8am - 5pm

Where: Holiday Inn By The Bay, 88 Spring Street, Portland ME 04101

Register Here!

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