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June 19, 2017

In This Issue
IN THE SPOTLIGHT
Professionalism Conference Draws Enthusiastic Crowd and Impressive Reviews
News and Views from the 2017 AMA Annual Meeting
AMA Launches Opioid Education Microsite
MMA Annual Benefit Golf Tournament Monday, July 10, 2017
HHS Update on WannaCry and New OCR Resources on Reporting After Cyberattacks
MMA Files Comments on Licensing Board Rules on Use of Controlled Substances for Treatment of Pain
FDA Requests Halt to OpanaŽ ER Sales
Is Your Staff Checking BP Correctly?
128TH MAINE LEGISLATURE
Weekly MMA Legislative Committee Conference Call Information
Legislative Highlights of the Week
Call Your State Representatives: L.D. 46 Eliminating Physician Exemption from Jury Duty Passed the Senate!
UPCOMING EVENTS
June 20 Webinar: Recognizing When Patients Have Concerns About the Cost of Their Health Care
National Medicare Education Program June 28
Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
Save the Date: MICIS Presentation on Opioid Prescribing in Auburn on Wednesday, July 19
16th Annual Downeast Ophthalmology Symposium - September 15-17
Patient Safety Academy - September 29
Maine Providers Standing Up for Healthcare Schedules Press Conference for this Friday in Lewiston
Register Now for the MMA and Maine Health Management Coalition 2017 Symposium on October 11
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Family Medicine Physician - Pittsfield, ME
Primary Care Physician - Eastern Maine Medical Center
Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
Part-time Clinical & Part-time Research Position in Central Maine
Family Medicine Physician - Winthrop, ME
DO or MD Physician - Augusta, ME
Family Medicine Physician - Waterville, ME
Family Medicine Physician/Clinician Leader - Portland, ME
Family Medicine - Windham, ME
Family Nurse Practitioner/Physician Assistant Wanted
Physician - Lubec, ME
Nurse Practitioner - Swift River Family Medicine - Rumford, ME
Physician Assistant/Nurse Practitioner - Bridgton, ME
Hospitalist - Brunswick, Maine
Gastroenterologist - Brunswick, Maine
Ophthalmologist - Brunswick, Maine

 
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MMA Files Comments on Licensing Board Rules on Use of Controlled Substances for Treatment of Pain

MMA's comments can be found on the MMA website at www.mainemed.com. The highlights of the comments are as follows: 

  • Some portions of the rule are inconsistent with Chapter 488 and the anticipated amendments to Chapter 488. These should be amended to conform to the law.

  • By adopting the principle of Universal Precautions and proposing to delete the current language in Chapter 21 which states that the Boards will not take disciplinary action against a prescriber for deviating from the rule when contemporaneous medical records document reasonable cause for deviation, the proposed rule removes the critical element of judgment from medical practice insofar as the prescribing of opioid medical is concerned.  

  • The obligation for clinicians to offer or arrange evidence-based treatment for patients with opioid use disorder is unrealistic in some parts of the state where services are sparse or non-existent.

  • In many portions of the proposed rule references are made to controlled substances when the reference should be to the narrower term opioids.

  • The requirement of Universal Precautions removes the critical element of medical judgment and is overly broad.

  • The obligation regarding managing withdrawal or referring to an addiction specialist is unrealistic given the short supply of such specialists in the state.

  • There should be reasonable exceptions to the universal requirements for treatment agreements, urine drug screens and random pill counts.

  • Continuing Medical Education requirements should be consistent among the boards.

The Board of Licensure in Medicine is expected to review the final rule at its July meeting but all five of the boards must review and approve the final rule before it becomes effective.  

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