Maine Medicine Weekly Update - January 16, 2017
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MMA Board of Directors Meets this Wednesday, Jan. 18

The 26 member MMA Board of Directors will meet this coming Wednesday, Jan. 18 at the association offices in Manchester, Maine.  The meeting will begin at 4:00pm and any MMA member is invited to attend.

Members wishing to attend who are not on the Board should notify Diane McMahon at MMA if they wish to attend. She may be contacted at 622-3374 ext. 216 or via e-mail to dmcmahon@mainemed.com.  

The Board agenda includes the following items:

1.  Whether MMA should participate in a coalition of organizations working toward mitigating the impact of the 3% income tax surcharge on household income over $200,000. The tax was established via ballot question two which passed narrowly in November.

2.  Final discussion of the amendments to the MMAWhite Paper on Health System reform.

3.  Review of action plans for 2017 on Professionalism and Physician Health.

The Board is chaired this year by Robert Schlager, M,D,. CMO at Sebasticook Valley Hospital.

MMA Weekly Legislative Call Tuesday, January 17th, 8:00 p.m.

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MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, January 17th at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number:  207-480-4790

Passcode:  057614#

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour. The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 480-4187, or Peter Michaud, Associate General Counsel at pmichaud@mainemed.com or 480-4199.

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first.  This will be important when the list grows in the next few weeks.

LD 21: An Act to Amend the Law Regarding the Execution of Temporary Powers of Attorney (Monitor/amend?)

*LD 34: An Act to Promote Equity in Business Opportunity for Tobacco Specialty Stores (Oppose)

LD 40: An Act to Strengthen Requirements for Water Testing for Schools (Monitor)

LD 41: An Act to Exempt a Person under 18 years of Age from the Requirement to Wear a Helmet while on an All-Terrain Vehicle in Certain Circumstances (Oppose)

*LD 44: An Act to Lower the Age Requirement to Carry a Concealed Handgun (Oppose)

*LD 87: An Act to Require Screening for Cytomegalovirus in Newborn Infants (Oppose)

*LD 88: An Act to Delay the Implementation of Certain Portions of the Marijuana Legalization Act (Support)

Federal Action Begins to Repeal and Replace ACA

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Despite the dismay of many ACA supporters, the Republican lead Congress took initial steps last week to repeal the ACA. The U.S. House of Representatives on Friday passed a budget resolution by a vote of 227-198 that prevents a Senate filibuster from derailing the repeal effort. The intent of Republican Leadership is for both the Senate and the House to complete action on the budget resolution by Jan. 20 when President-elect Trump is inaugurated. Now, Republicans in Congress must decide which parts of the ACA must end and how to address the twenty million plus people who receive coverage under the ACA through the exchanges or through Medicaid expansion. President-elect Trump has urged Republican lawmakers to pass the budget and concurrently develop and pass a replacement plan. Given the enormous impact the ACA has had on virtually every part of the health care delivery and finance system, astute observers have expressed doubt that Republican leadership can develop a comprehensive plan in such a short time frame.

Maine's senior Senator Susan Collins is a pivotal player in the drama surrounding the future of the ACA and any replacement plan. The AMA and MMA have communicated with the Senator the absolute necessity to not terminate coverage for those individuals brought into coverage via the ACA. Physicians and all health care professionals are encouraged to communicate with Senator Collins as well as Senator Angus King and Representatives Chellie Pingree and Bruce Poliquin regarding your thoughts on where health care reform should be heading in our nation, which will also have a profound impact on our state.

New Opioid Prescribing/PMP Rule Released

There continues to be many questions about the emergency rule published by the state on Jan. 1, 2017.  MMA continues its educational programs on the law and the rule and our attorneys are available to present one, two or three hour CME program which will also count toward the three hours of education on opioid prescribing required by Dec. 31, 2017.The emergency rule can be found through this link.  The educational presentations can be given at your practice, at your medical staff or specialty society.  Many of these presentations are supported by grant funding or state contracts so there is no charge.  MMA has provided over forty such presentations and they are not only beneficial to the attendees but MMA staff also learns a great deal in the give and take regarding the issues that the new law is presenting in the practices.  To arrange a presentation at your location, contact Gail Begin at gbegin@mainemed.com or Gordon Smith at gsmith@mainemed.com.

The rule was promulgated on an emergency basis, meaning that it becomes effective immediately, with a period for public comment which will expire on an unspecified (as yet) date. The "routine technical" parts of the rule are effective for up to 90 days, while the "major substantive" parts are effective for up to 12 months while the Legislature conducts its review. The rule became effective on January 1st.

 Here is a quick summary of the rule's highlights (with primary attention to prescriber requirements):

  1. The rule defines a number of terms, such as acute and chronic pain, benzodiazepine, controlled substance (Schedules II through IV), inpatient status, prescriber and dispenser, and several others. The term "opioid medication" is limited to those opioids in Schedule II, which would mean it does not apply to Tramadol, buprenorphine, some (but not all) forms of codeine, and others. Prescribers are cautioned to check the latest version of the controlled substances list from the US Drug Enforcement Administration (DEA) to determine the Schedule of any particular medication.
  2. Prescribers are required to include the ICD-10 diagnostic code "on the prescription for any opioid which will cause the patient to exceed the 100 Morphine Milligram Equivalent aggregate daily limit." Codes are not required on prescriptions that do not exceed the limits.
  3. If a patient is claiming an exemption from the 100 MME or time limits, prescribers must include the "exemption code" on the prescription. There are 7 such codes: A (active & aftercare cancer treatment, limited to 6 months post remission); B (palliative care in conjunction with a serious illness); C (end-of-life and hospice care); D (medication assisted treatment for substance use disorder, limited to 12 consecutive months); E (pregnant person with a pre-existing opioid prescription in excess of 100 MME, only during the duration of the pregnancy); F (acute pain for a patient with an existing opioid prescription for chronic pain, with conditions); G (person in active taper of opioids, with a 6 month maximum tapering period to below 100 MME).
  4. Opioids must be prescribed electronically beginning July 1, 2017, unless a waiver is obtained from DHHS.
  5. Prescribers must check the PMP as described in the statutory law, PL 2015 c.488 (opioids and benzodiazepines, initially and every 90 days thereafter). In so doing, prescribers must review aggregate MME for the patient (including the anticipated new prescription), the number of prescribers currently prescribing controlled substances (Schedules II, III or IV) to the patient, and the number of pharmacies currently filling controlled substance prescriptions for the individual. The inpatient and long-term care exceptions apply.
  6. The PMP may be checked by the prescriber, any staff member authorized by the prescriber and the PMP, any staff member of a hospital if authorized by the hospital's CMO (for ED or inpatient treatment). The PMP will issue credentials to prescribers and authorized staff members who register as data requesters
  7. Dispensers are required to notify the PMP coordinator and decline to fill a prescription before contacting the prescriber if the patient has a contemporaneous prescription for the same substance from a different prescriber, a contemporaneous prescription being filled for the same substance by a different dispenser, or if filling the prescription would result in exceeding the MME or time limitations. Those conditions are described as "fraudulent or duplicative" prescriptions, which is the statutory requirement. The rule does not address the criteria for filling a prescription after contacting the prescriber.
  8. Licensing boards, MaineCare, and the Chief Medical Examiner's office will have access to PMP data, after meeting certain requirements. Data will also be shared with other states and Canadian provinces. Strict confidentiality rules apply to all PMP information, with criminal sanctions for violations of confidentiality.
  9. De-identified data may be provided to researchers, and aggregate information based on PMP data may be made available to the public.
  10. The PMP information will be reviewed at least quarterly to determine cases of "questionable activity by patients or prescribers." This includes the following information, as determined by the DHHS: "high number" of prescribers in a short period; "high number" of doses in a short period; overlapping "days supply" prescriptions exceeding a few days; "inappropriate combinations" of controlled substances; multiple payment methods within a short time; multiple out-of-state prescribers in a short time; multiple pharmacies on the same day, more than one pharmacy in different public health districts within one month; and "dangerous levels of specific" (but unspecified in the rule) drugs.
  11. Prescribers are immune from liability for disclosing information under these rules, and pharmacists are immune from civil liability for dispensing medication in accordance with a prescription in excess of the limits.

Please note that this summary does not address in detail the requirements for dispensers, whether they be pharmacies, providers or institutions. (There have already been substantial complaints about the burden placed on emergency department personnel by the "dispenser" requirements of the rule.) 

Anthem of Maine Health Plans, Inc. Fined $225,000 by Maine Bureau of Insurance

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The Maine Bureau of Insurance has fined Anthem Health Plans of Maine, Inc. $225,000 for its failure to adequately track and respond to customer complaints. Last Monday, Jan. 9, Insurance Superintendent Eric Cioppa announced the fine in a press release stating that the health plan repeatedly failed to follow-up on complaints filed by its customers with the Bureau. Maine law requires that such complaints be responded to within 14 days, but in two-thirds of the cases, Anthem failed to do so. 

Anthem has agreed to pay the civil penalty as part of a consent agreement. In addition to the fine, the company must file a corrective action plan with the bureau within 30 days of signing the agreement.

Are You Ready To E-Prescribe? Find Out More About DrFirst and their E-Prescribing Products

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July 1, 2017, is when Maine’s new EPCS (e-prescribing controlled substances) law takes effect for the prescribing of opioids. Despite the limited application of the law, the benefits of e-prescribing are significant, which is why MMA encourages our members to implement eprescribing technologies in their practices now instead of waiting for the legislative deadline.

To save you the time of vetting potential vendors and offer you another tangible membership benefit, we have chosen DrFirst as our preferred e-prescribing platform and negotiated a generous discount for MMA members. DrFirst offers a superior clinical workflow that is easy to use and affordable (especially with the discount we have negotiated for MMA members). Their package includes Rcopia® for legend drug e-prescribing, EPCS Gold 2.0℠ for controlled substance e-prescribing, and iPrescribePro℠, an app for mobile e-prescribing.

Aside from legend drug and controlled substance e-prescribing within one workflow, you’ll also get

  • 24 months of patient medication history

  • real-time benefit check (formulary data, drug cost, suggestions for cheaper alternatives)

  • clinical alerts (e.g., duplicate therapy and allergy warnings)

  • one-on-one guidance through DEA identity proofing and authentication

  • patient adherence monitoring

  • electronic prior authorization

For more information, MMA members can visit DrFirst’s website and/or contact DrFirst’s Eric Landry, a New Gloucester resident, at 888-481-4303.

MMA's Fiscal Fitness for Life 2017 Kick Off Jan. 25 in Auburn Jan. 26 in So. Portland

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In our continuing effort to provide members with quality financial educational opportunities, MMA in conjunction with Baystate Financial, is kicking off the third year of our Fiscal Fitness for Life seminar series at two locations, Auburn on Jan. 25 and South Portland on Jan. 26. At the two sessions, attorney Jennifer Shea, who leads Baystate's Estate and Business Planning Department will be discussing the SEVEN MISTAKES PEOPLE MAKE IN RETIREMENT PLANNING.  

Attendees at prior sessions have found them to be truly educational in nature and filled with information both useful and immediately actionable. So if paying more attention to financial planning issues is on your New Year's Resolution list, this presentation can serve as that "dreaded first step" we all need to take.

The Auburn presentation is at the Hilton Garden Inn, 14 Great Falls Plaza from 6:00pm to 8:00pm. The South Portland location is at the Saltwater Grille, 231 Front St., South Portland. Hors d'oeuvres and refreshments will be provided at both locations. There is no cost to attend but please register by Jan. 20 to cperry@baystatefinancial.com or call 207-770-2033.

Community Forum on Opioids in Augusta, January 18, 2017

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Physicians and all other interested persons are invited to attend a community forum on January 18 in Augusta on the opioid crisis. The forum will be held on Wednesday, Jan. 18 from 3:00 to 5:00pm at the Lithgow Library Community Room at 45 Winthrop St., Augusta. Presenters will discuss the recommendations of the three task forces established by the Maine Opiate Collaborative. Anyone interested in attending should RSVP to Karen Tucker at 588-5012 or via e-mail to ktucker@mcd.org.

The forum has been organized by Healthy Communities of the Capital Area with support from the Maine Opioid Collaborative and the Maine Medical Education Trust through a grant by the Maine Community Foundation.

MMA Needs Your Opinion on the Opiate Crisis, Survey Closes Tuesday, January 17

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As you know, Maine Medical Association has been working for over 16 months planning and implementing a statewide comprehensive response to Maine’s opioid/heroin epidemic. With support from MMA, the Maine Opiate Collaborative has developed a blueprint for action in the areas of law enforcement, treatment, and prevention & harm reduction.  And the Maine Legislature has passed strong prescribing standards under Chapter 488 of Maine law.

Physicians play a critical role in preventing and treating addiction and we would like to learn more from our members as we continue to craft and implement educational and advocacy strategies. We hope you’ll take just a few minutes to answer the following questions.  https://www.surveymonkey.com/r/TYBB9GS

The survey will close on Tuesday, January 17.

Health Insurance Marketplace 2017 Open Enrollment Ends on Tuesday, January 31

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The Health Insurance Marketplace 2017 Open Enrollment period ends on January 31, 2017.  After January 31, you can enroll in or change a plan only if you qualify for a Special Enrollment Period. 

Get Ready to Apply for 2017 Coverage  Many people who apply will qualify for some kind of savings. Depending on household income, you may be able to get lower costs on monthly Marketplace health insurance premiums and out-of-pocket costs.

Already Have Marketplace Coverage? Anyone with a 2016 health insurance plan through the Marketplace should review their current plan, update their healthcare.gov account, and either renew coverage or select another plan for 2017.  5 Steps to Staying Covered Through the Marketplace

Health Insurance Marketplace assistance is available:

  • Call the Consumers for Affordable Health Care HelpLine at 1-800-965-7476
  • Find local help at www.enroll207.com.  Navigators and assisters are available throughout Maine.
  • Call the Health Insurance Marketplace at 1-800-318-2596
  • Medical practices: order patient brochures about the Health Insurance Marketplace at enroll207

Upcoming Events

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SAVE THE DATE

25th Annual MAFP Family Medicine Update & Annual Meeting 

March 29 – April 1, 2017

at Hilton Garden Inn, Freeport, Maine 

  • Mar. 29 – Pre-conference SAM Study Group
  • Mar. 30-31 – Annual Update programming with Annual Meeting
  • **Just Added - April 1st – AM – Opioid Prescribing training (will meet Maine Medical Licensing requirements for new law)

Complete schedule and registration information available after January 15th on our website – http://www.maineafp.org/cme/mafp-cme-meeting

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Job Openings

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FAMILY PRACTICE PHYSICIAN -  Machias, Maine

Down East Community Hospital would like to find a quality focused Board Certified Physician to join our Outpatient Clinic team in Machias, Maine. We welcome Family Practice/Internal Medicine physicians with experience to share as well as new graduates looking to start their career.  We offer comprehensive benefits, aggressive incentive plans, and a four day workweek.

Whether you’re a weekend wanderer or an avid outdoorsperson, the communities of Downeast Maine have a lot more to offer than sailing craggy coastlines, hiking to spectacular vistas, and fishing vast river systems and lakes. Machias is community oriented town with an endless opportunities to explore a rich historical past as the site of the first naval battle of the American Revolution, art galleries, antique shops, traditional cultures, artisanal foods, and performing arts.

Contact Information: Elizabeth Hines Human Resources 207.255.0468 elizabeth@dech.org  EOE 

2/13/17

PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER - Bangor, Maine

A Psychiatric Mental Health Nurse Practitioner is needed for the Hope House Health and Living Center in Bangor, Maine! Requirements include a Master’s Degree in Nursing (Psychiatric Mental Health NP), Maine Advanced Practice Registered Nurse License, Certification by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner, Certification in Healthcare Provider Basic Life Support, and 24 months’ experience as a Psychiatric Mental Health Nurse Practitioner. Please visit www.pchc.com/careers to access our Career Portal and apply today! For additional questions, contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com. PCHC is an equal opportunity/affirmative action employer.

2/13/17

NP or PA - Jackman Community Health Center

If you want to enjoy Maine, the way it should be, come and experience the simple pleasures of small town medicine while being surrounded by over 250,000 acres of woodlands. Each season offers something for everyone except a traffic light. Jackman Community Health Center is in need of a full-time NP or PA to work in their highly unique primary care and urgent care facility.

JCHC is a part of Penobscot Community Health Center which is a nationally recognized health care facility that focuses on patient-centered care, innovation and collaboration. Signing, retention, and relocation bonuses are up for grabs with this position! This site is also loan repayment eligible.

Give yourself the opportunity you deserve, by working for a healthcare facility that always puts the patient first…for you, for your family, for our community.

For more information, please contact Vanessa Sanderson, Recruitment Coordinator, Penobscot Community Health Center at (207) 404-8015 or vsanderson@pchc.com

2/13/17

FAMILY NURSE PRACTITIONER/PHYSICIAN'S ASSISTANT

Katahdin Valley Health Center (KVHC) is seeking a Family Nurse Practitioner for the Urgent Care/Open Access practice located in Houlton Maine.  Open Access hours are 11am – 7pm, Monday – Friday, and 9am – 7pm, Saturday and Sunday.  Weekends are rotated between providers.  This position requires knowledge, experience and active support for rural, community oriented primary care.

With the mission of providing community accessible, quality healthcare with compassion and dignity, KVHC is the largest Federally Qualified Health Center organization in Northern Maine.  KVHC offers integrated, comprehensive, and affordable healthcare for the whole family through six Patient Centered Medical Homes. 

Benefits:  competitive salary and benefits package, generous paid time off, 401K, CME reimbursements, medical, disability and life insurance and FTCA malpractice coverage.  Practitioners at KVHC are eligible for NHSC Loan Repayment. 

Requirements: Current Maine License

Submit Cover Letter and Provider Application to http://www.kvhc.org/wpSite/wp-content/uploads/jobs/ProviderApp.pdf or email your resume to linda.mcgee@kvhc.org.

2/6/17

FAMILY MEDICINE PHYSICIAN - Pittsfield, Maine

Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.  Be part of a ten member collegial medical staff providing primary care services in a rural community. Work schedule is 4 days per week, with limited telephone call from home.  This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable. 

SVH is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor. The hospital serves a population of 30,000 in this central Maine area.  SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services.

For more information, please contact Sherry Tardy, PHR, DASPR, at 207-487-4085 or email a CV for review to stardy@emhs.org.

4/3/17 

BC/BE FAMILY MEDICINE PHYSICIAN - Kingfield, Maine

Mt. Abram Regional Health Center (Kingfield) seeks a Physician who is BC/BE in Family Medicine to provide outpatient primary care and preventive services to people of all ages for 30-40 hours per week. As a NCQA Patient-Centered Medical Home, we offer accessible, high quality healthcare with integrated behavioral health services focused on the patient’s care experience. We offer check-ups for the entire family, care of acute and chronic conditions and referrals to specialty care and community services. In addition, our specialists assist patients with enrollment in programs that help pay for healthcare and medications.

The health center resides in a welcoming community near Sugarloaf USA and the University of Maine (Farmington) and is part of HealthReach Community Health Centers, a system of eleven practices in Central and Western Maine. HealthReach has been providing healthcare in rural and medically underserved communities for 42 years. Annually, 28,000 Maine residents access medical, dental and behavioral health services at our facilities, which are located in Albion, Bingham, Belgrade, Bethel, Coopers Mills, Kingfield, Livermore Falls, Madison, Rangeley, Richmond and Strong.

We offer competitive salary, generous benefits, 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 | Communications@HealthReach.org | www.MTAbramCHC.org

1/30/17 

DIRECTOR OF EMERGENCY CARE - Southern Maine Health Care

Southern Maine Health Care is seeking a qualified physician for Director of Emergency Medicine.  

This FT Director position involves working collaboratively with all clinical staff and senior administration to assure that the care of patients in the ED is of the highest quality.  The position involves 24 administrative hours/week, and approximately 53 clinical hours/ month. 

Candidates must be Board Certified in Emergency Medicine, possess excellent communication and organizational skills, an ability to work well within a changing and fast-paced environment, and a strong commitment to the medical community. 

SMHC is a member of MaineHealth. We are a nationally accredited, award-winning 200-bed medical center located on the beautiful southern coast of Maine. 

SMHC is among the largest health care groups in Maine, bringing together York County's largest medical center with over 40 primary care physicians and specialists.

For more information, please contact Kelley Johnson, SMHC Recruiter at (207) 294-8404 or kajohnson@smhc.org.

1/30/17 

INTERNAL MEDICINE-PEDIATRICS or FAMILY MEDICINE TRAINED PHYSICIAN 

Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

This well established practice has been in the Windham community for almost 20 years and is part of Maine Medical Center’s Internal Medicine-Pediatrics residency program, with opportunities to teach Medicine-Pediatric Residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, 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 nathaa@mainehealth.org.

1/30/17

PHYSICIAN – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Monmouth location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

1/16/17

FNP/NP – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time FNP/NP, for our Monmouth location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please fax or e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EOE

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package medical, dental, life, 401(k) , flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

1/16/17

OUTPATIENT ONLY - BC/BE INTERNIST - Central Maine Medical Center

Central Maine Medical Center offers an exciting practice opportunity to a BC/BE Internist for its employed practice.  Join colleagues committed to excellence.  This office based position offers a 4 or 4 ½ day work week, outpatient only call (weekend call approximately 1:10 ) , and full EMR.    An attractive compensation and benefits package, including loan repayment and a generous sign on bonus, are enhanced by the scenic beauty and abundant outdoor adventure Maine lifestyle affords.  Combine your talent and skills with our established excellent reputation of the best physician care. Interested candidates, send CV or call: Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, Maine 04240.  Fax: 207-344-0696, E-mail: MallozGi@cmhc.org, or call: 800/445-7431.  Not a J1 opportunity.

3/13/17

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 nathaa@mainehealth.org.

1/16/17