Maine Medicine Weekly Update - July 3, 2017
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State Budget Agreement Reportedly Reached

As of this writing (July 3, 11:50 p.m.), it appears that a budget deal has been struck by the parties, including all caucuses of the Legislature and the Governor. While more detail will be forthcoming in next week’s Weekly Update, we can give you some of our understanding after the link.

At this point on Sunday evening the House and Senate are carrying out necessary parliamentary procedures to get the budget back to the Committee of Conference, which is expected to put the deal into final form for a vote in each chamber. The deal we are hearing involves no 3% surtax on household incomes over $200,000 and no lodging tax increase (which has been part of the discussion for at least a week and is now strongly opposed by the Governor and House Republicans) in exchange for a two-year moratorium on behavioral health reimbursement rate cuts (familiar to many as the “Burns Study cuts”) and $575,000 per year in increased funding for Head Start, the latter two points to be funded by TANF surplus.

Committee of Conference Amendment C to Committee Amendment C, the latest amendment approved by the entire committee of conference, can be found here.

Background:

Governor LePage had said on Thursday, "House Republicans have worked very hard to put forth a reasonable proposal. If Democrats join with Republicans to immediately pass this budget, I will put my signature on it.” In contrast, Representative Matthea Daughtry, D-Brunswick, said in her report of Friday's meeting, "If we pass anything other than what [the Governor] wants he will take a full ten days to veto the bill, which will shut down our state. He then stated to our Speaker that he will leave the state and say that the shutdown is our fault."

Things did not improve, and Friday night at midnight the state shutdown began. Lawmakers continued to negotiate on Saturday and Sunday, leading to a 92-54 vote in the House on Monday afternoon, still short of the 101 needed to pass the budget. Negotiations continued late into Monday evening.

The most recent House Republican proposal before that point entirely repealed the 3% surcharge on high-income earners and offered a mixture of one time and on-going spending for education totaling around $125 million. Most concerning to public health advocates is a proposed $10 million cut in the Fund for a Healthy Maine, a program funded by tobacco settlement money that has been earmarked for tobacco and obesity prevention. The Republican proposal would use the Fund to pay for wage increases for direct care workers who care for the elderly. This program is an aspect of MaineCare, Maine's version of Medicaid, and has historically been funded, like other parts of Medicaid, by state and federal taxes.

According to some healthcare advocates, this is a "dangerous and unnecessary move." They pointed out that the House Republican proposal left $29 million "left over" or unallocated which could be used to ensure that those with developmental disabilities have their needs met, and that all workers in direct care receive what they see as "a fair wage for their critical work." 


DHHS Announces 31 Day Grace Period for Enforcement of E-prescribing Penalties

The Department of Human Services last week announced that it would not enforce penalties for violations of the e-prescribing mandate which took effect on Saturday, July 1. MMA had asked for a delay given the state shut down and some of the confusion regarding what was covered by the mandate and what was not. 

The mandate to e-prescribe any opioid medication was established in Public Law Chapter 488, An Act to Prevent Opioid Abuse by Strengthening the Controlled Substances Prescription Monitoring Program which was enacted by the 127th Legislature and took effect July 29, 2016. But many elements of the law had delayed effective dates including the e-prescribing requirement which took effect on July 1, 2017.

 
So while the legal requirement to prescribe electronically any opioid medication unless granted a waiver under the law is now in effect, there will be no penalty for violating the law until August 1. After that date, individuals who violate the law can face a civil fine of up to $250 per violation, not to exceed $5,000 per calendar year.
 
MMA has partnered with Dr. First, a major provider of e-prescribing solutions across the country to make its software available at a discount to MMA members. As a result of the grace period, we are presenting an additional informational webinar at noontime on July 19 and further information is available in an announcement in the Upcoming Events section of this Weekly Update. The Dr. First contact in Maine is Eric Landry and he can be reached at 888-481-4303 or via e-mail to elandry @drfirst.com.

Board of Licensure in Medicine Proposes Changes to Chapter 1 Rules

The Maine Board of  Licensure in Medicine has proposed to repeal and replace existing Rule Chapter 1 which  governs a number of administrative functions at the Board. Deadline for comments on the proposed changes is 5:00 p.m. July 14, 2017.

The comments may be sent to Dennis E. Smith, Executive Director, Maine Board of Licensure in Medicine, 137 State House Station, Augusta, ME 04333-0137. The proposed Chapter 1 rule may be found at the Board's website, here.

 
The proposed changes relate largely to processing of licenses, fees, and requirements to notify the Board upon the occurrence of certain events. One proposed section authorizes the staff to issue citations in lieu of formal disciplinary action for certain actions. The proposal also puts into the Rule the statutory requirement enacted as part of Chapter 488 last year which requires licensees who continue to prescribe opioid medication to complete three hours of CME on this topic prior to Dec. 31, 2017 and every two years thereafter. Although this requirement in the proposed rule impacts only prescribers of opioid medication, conversations with Board staff suggest that the final Rule could be broadened to include all licensees which would presumably include all MDs and PAs licensed by the Board.
 
MMA legal staff has reviewed the rule and will prepare written comments by the July 14 deadline. Copies of the comments will be placed on the MMA website at www.mainemed.com.

Vote is Delayed on U.S. Senate "Better Care Reconciliation Act"

With objections coming from both ends of the political spectrum, Senate Republican leadership has delayed its expected vote on the proposal.  

Two days before the scheduled vote, the Congressional Budget Office released its report on the proposal and noted that the bill would cause 22 million people to lose their insurance over the next decade. Also prior to the expected bill, and following the CBO release, Senator Susan Collins announced that she would not support the bill. In a series of tweets announcing her opposition, Senator Collins noted that the bill did nothing but harm rural hospitals and also was critical of the medicaid cuts.

 
MMA will continue to share information with members on the proposal and will continue to oppose the bill without changes that are consistent with the principles for health care reform approved by the MMA Board this past January. Appropriate action now is to thank both Senator Collins and Senator King for their opposition to the bill.
 
 

Loan and Trust Committee Approves $515.000 in Loans to Medical Students from Maine

MMA's  Loan and Trust Committee met this past week and approved over half a million dollars in loans to medical students from Maine. These funds are available from the Maine Medical Education Foundation, a non-profit foundation established by the Maine Medical Association in 1962.

The committee reviewed applications from 51 MD candidates and 7 DO candidates and approved loans to 57 of these students. First and second year students were loaned $5,000, third year students $10,000 and 4th year students $15,000. New loans were limited to $5,000. Students who requested a lower loan amount than what was approved were awarded the amount requested. The total amount loaned will be $515,000.

 
The Loan and Trust Committee is chaired by Mark Bolduc, M.D. of Waterville. Kenneth Christian , M.D. of Holden is the Vice Chair. 
 
Loans from the Foundation are serviced by the Finance Authority of Maine (FAME). Information on the loans and eligibility criteria can be found on the Association's website at www.mainemed.com.
 
 

AMA Launches Opioid Education Microsite

As part of its continued advocacy efforts to help reverse the nation's opioid epidemic, the AMA last week launched a microsite focused on providing physicians with state- and specialty-specific education and training resources.

The microsite, www.end-opioid-epidemic.org, includes nearly 300 education and training resources across three major categories:

  1. Recommendations from the AMA Opioid Task Force  
  2. State medical society resources
  3. Medical specialty society resources

Physicians can use the site's "State Selector" and "Specialty Selector" to find tailored education and training resources. The AMA Opioid Task Force also has identified numerous national education and training resources. The site highlights the progress physicians have made in using prescription drug monitoring programs, reducing the nation's opioid supply, increasing treatment capacity and increasing access to naloxone.

To further support physicians and patients locating physicians authorized to treat opioid dependency with buprenorphine by state, each state-specific page includes a link to the U.S. Substance Abuse and Mental Health Services Administration Buprenorphine Treatment Practitioner Locator.

"Physicians have made progress, but to truly reverse the nation's opioid epidemic, we all have much more work to do," said Patrice A. Harris, MD, MA, chair of the AMA Opioid Task Force. "That's why the Task Force urges physicians to increase their efforts and use PDMPs, enhance their education, help prevent overdose deaths by co-prescribing naloxone, and improve access to the best treatment options available." 

While the initial launch of the website is focused on encouraging physicians to take action by using education and training resources, the next phase of the website will encourage physicians and patients to share their own stories.

America's medical community continues to focus on ways to support patients who need treatment as well as help increase overdose prevention efforts. The AMA Opioid Task Force also recently issued recommendations focused on safe storage and disposal, encouraging physicians to:

  1. Talk to your patients about proper use of opioid analgesics
  2. Remind your patients to safely store medicines away from children and never share prescriptions
  3. Urge your patients to safely dispose of expired, unwanted, and unused medications, utilizing pharmacy and law enforcement "Take Back" resources

  

MMA Annual Benefit Golf Tournament Monday, July 10, 2017

Registration is still available for MMA's Annual Benefit Golf Tournament.

The tournament will feature a traditional four player scramble format and will be played at the Augusta Country Club in Manchester. Lunch will begin on the deck at 11:00am with a shotgun start at noon.  Net proceeds will again benefit the medical student scholarship fund which is hosted within the Maine Medical Education Trust.

Persons wishing to play or sponsor a team or hole or contribute an item for the raffle should contact Lisa Martin at MMA (lmartin@mainemed.com or call 622-3374 ext. 221). The cost to play is $125 per player or $500 for a four person team.   
 
Prizes will be awarded to the top three teams with low gross and low net scores with additional prizes for closest to the pin (on all par 3's) and longest drive (men and women).
 
Brian Jumper, M.D. is the Tournament Chair.

Nominations for the 2017 Mary F. Cushman Award Due By August 1

 Nominations for the 2017 Mary F. Cushman Award for Exceptional Humanitarian Service as a Medical Volunteer are due by Tuesday, August 1st.

The award will be announced at the MMA's Annual Session in September. The 2017 Nomination Form and brochure with additional information about the award are available at the MMA Annual Session webpage.  

Legislative Highlights of the Week

Read what happened this past week in the Maine Legislature: floor votes in the House and Senate, budget negotiations, and more.

The Legislature's time this past week has been entirely consumed by the budget negotiations. Please see the budget article in the "Spotlight" section of the Weekly Update for a discussion of that work.

It should be noted that LD 327 is still pending as "unfinished business" in the Senate. That bill would create a cause of action for wrongful death for fetal demise in cases where gestation has surpassed 24 weeks. In plainer terms, the bill would allow a suit for medical malpractice or other torts to be brought by the estate of the fetus. That would treat a post-24-week gestation fetus as a legal person for purposes of a legal suit if fetal demise is claimed to have resulted from another person's acts. Legal abortion is excluded, but the parties lobbying strenuously to pass this bill are primarily the Maine Christian Civic League, the Roman Catholic Diocese of Portland, and Maine Right to Life.

The bill passed in the Senate but failed to pass in the House by 3 votes. An amendment has been prepared for proposal in the Senate, and if it passes there the bill and amendment would be returned to the House for another vote.

 

Physicians Lose Jury Duty Exemption

By a vote of 26-9 the Maine Senate passed a bill that will now require physicians, attorneys, and others (except the Governor and active duty military personnel) to serve on juries. LD 46 passed the House without a roll call. Read further to see the nine senators who supported Maine's physicians on this issue.

As you may remember, this bill started as a request to ADD nurse practitioners to the list of those exempt, but the judicial system offered an amendment gutting the entire law instead. While the Medical Legal Cooperation Code does not specifically apply to legislative situations, it is extremely disappointing that physicians had no warning of the judiciary's intentions. We believe this requirement will be particularly hard on patients in rural areas who already have enough problems with access to health care.

MMA wishes to thank those senators who supported our request for a fair hearing on the bill or a continuation of the exemption. They are:

Sen. Bellows (D-Kennebec)

Sen. Breen (D-Cumberland)

Sen. Carson (D-Cumberland)

Sen. Chenette (D-York)

Sen. Gratwick (D-Penobscot)

Sen. Jackson (D-Aroostook)

Sen. Libby (D-Androscoggin)

Sen. Millett (D-Cumberland)

Sen. Miramant (D-Knox)

Legislature Raises Tobacco Purchase Age to 21

In a major victory for public health and disease prevention, the Maine House and Senate voted overwhelmingly this week to raise the age for tobacco purchase to 21.

The MMA worked with individual physician members as well as the American Cancer Society-Cancer Action Network, the American Lung Association, the American Heart Association, the Maine Public Health Association, MaineHealth, Eastern Maine Health Systems, the March of Dimes, and many others to achieve a major victory for public health.

By a vote of 113-34 in the House and 31-4 in the Senate, LD 1170 passed by apparently veto-proof majorities. The bill will prohibit the sale of tobacco products to persons under 21. Purchasers who turn 18 before July 1, 2018 will be "grandfathered".

Because there is a fiscal note associated with the bill, it is now on the "Special Appropriations" table awaiting the passage of a budget. After that occurs, the Appropriations Committee will decide which bills on that table will be funded and which will not.

 LD 1170 was sponsored by Senator Paul Davis, R-Piscataquis. He deserves our gratitude!

Opioid Prescribing Presentation: Wednesday, July 19 from 5-8:30pm in Auburn

 3-hour presentation from 5:00-8:30pm in Auburn, presented by the Maine Independent Clinical Information Service (MICIS)

Improving Opioid Prescribing and Patient Safety

Wednesday, July 19, 2017 at the Hilton Garden Inn Auburn Riverwatch

Program 5:00-8:30pm, check in begins at 4:30pm

Free - Advanced Registration Required

Registration and Additional Information

This 3-hour education session will feature an update on Chapter 488 and clinical content with a compassionate, patient-centered perspective, and will include “blitz” didactics, multi-media components, case-based studies and small group discussions.  The topics covered at this session will be:

  • The Genesis of the Opioid Crisis: “How We Got Here”
  • Opioid Basics:  MMEs & Tapering
  • Legal and Regulatory Requirements for Opioid Prescribers
  • Practice Transformation & QI for Opioids/Chronic Pain
  • Harm Reduction: Naloxone & MAT

This MICIS presentation activity qualifies for a maximum of 3 CME credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s recent legislation to address the opioid drug abuse crisis.  Attendees should only claim credit for the hours they attend. 

Presenters: Erika Pierce MMSc., PA-C; Gordon Smith, Esq.; Stephen Hull, MD; Peter Leighton, MD

The Maine Independent Clinical Information Service (MICIS) is a program of the Maine Medical Association.

16th Annual Downeast Ophthalmology Symposium - September 15-17

Spread the word across the country!  The Maine Society of Eye Physicians and Surgeons will be presenting the 16th Annual Downeast Ophthalmology Symposium at the Harborside Hotel & Marina in Bar Harbor, Maine September 15-17, 2017!  

The Maine Society of Eye Physicians and Surgeons will be presenting the 16th Annual Downeast Ophthalmology Symposium at the Harborside Hotel & Marina in Bar Harbor, Maine September 15-17, 2017! The Symposium is open to ophthalmologists across the country and offers 16.00 AMA PRA Category 1 Credits.

Please spread the word across the country.....we would love to have someone represent every state!

DATES:  September 15-17, 2017

LOCATION:  Harborside Hotel & Marina, Bar Harbor, ME  04351

TOPICS:  Glaucoma, Cornea/Cataract/Refractive, Retina

MORE INFORMATION / REGISTER NOW

 

Patient Safety Academy - September 29

Join us for the 8th Annual Patient Safety Academy!  This day-long event is open to anyone interested or engaged in patient safety activities.

This day-long event is open to anyone interested or engaged in patient safety activities.  The Academy includes plenary sessions, exhibits, and networking opportunities.  Workshops will provide skill-building and best practice lessons in the areas of patient engagement, infection prevention, falls prevention, antibiotic stewardship, patient safety culture, and much more!

WHEN:  Friday, September 29, 2017

WHERE:  Portland, on the USM campus, Abromson Center

COST:  $50 general registration / $25 student registration

MORE INFORMATION / REGISTER

Questions can be directed to Karen Pearson or 207-780-4553.

Register Now for the MMA and Maine Health Management Coalition 2017 Symposium on October 11

Join us on October 11, 2017 at the University of Southern Maine in Portland for the 3rd annual symposium on health care value.  Registration is now open.

This year we are excited to announce that our keynote speaker will be Dr. Elisabeth Rosenthal, Editor-in-Chief at Kaiser Health News and the New York Times best-selling author of An American Sickness: How Healthcare Became Big Business and How You Can Take it Back.

Registration, the conference agenda, and information about breakout sessions and speakers are available at www.mehmc.org/symposium

Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network

Take Advantage of Online Learning Opportunities Offering CME Credits - Available 24/7 now from the Northern New England Practice Transformation Network (NNE-PTN)

Take Advantage of Online Learning Opportunities Offering CME Credits - Available 24/7 now from the Northern New England Practice Transformation Network (NNE-PTN)

The Northern New England Practice Transformation Network, led by Maine Quality Counts in collaboration with the Citizens Health Initiative at the University of New Hampshire's Institute for Health Policy and Practice, and Vermont Program for Quality in Healthcare, Inc., is funded through the Centers for Medicare and Medicaid Services' Transforming Clinical Practice Initiative to provide technical assistance to support you, your practice, and your consumers in the transition to value-based payment. The QC Learning Lab has been designed to support health care practitioners and professionals, and practice teams with a wide range of continuing education offers including online courses, webinars, and learning sessions.

Topics include:

  • Improving Patient Outcomes with Cost of Care Conversation in the Clinical Practice
  • How to Transform Practice Finances for Success with Advanced Payment Models
  • Seamless Care
  • Get a Grip on Change
Click here to register for these no cost online learning opportunities, available 24/7 at your convenience.
 
This project is supported by FONCMS-1L1-15-003 from the U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the author and do not necessarily represent the official views of HHS or any of its agencies or the Maine Medical Association.

Call-in Program on MIPS and APM

Feel like you are muddling through MACRA? Attend QPP open call sessions with the New England QIN-QIO.



 


 

Feel Like You Are Muddling Through MACRA?

Attend QPP Open Call Sessions with the New England QIN-QIO

 

Join the New England QIN-QIO's Quality Payment Program (QPP) team as they review frequently asked questions around participation in the Merit-based Incentive Payment System (MIPS) or an Alternative Payment Model (APM), with time for open discussion and sharing about all things QPP. 

 


Clickhere  to sign up for the calls. An email with instructions on how to join will be sent the day before each call.  

 

This call is open to providers, clinicians, office managers, practice administrators, quality improvement specialists and anyone else who is involved in quality program reporting. 

 

Calls will be offered bimonthly from 11:30 a.m. - 12:30 p.m. on the following dates: 

  • Wednesday, June 21
  • Wednesday, July 12 and July 26
  • Wednesday, August 9 and August 30

Please contact Leila Volinsky for more information regarding these calls. 

 


 


 


 

The New England QIN-QIO | www.healthcarefornewengland.org

 



 


New England QIN-QIO, 235 Promenade Street, Suite 500, Box 18, Providence, RI 02908


 


 





Family Medicine Physician - Pittsfield, ME

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.

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.

8/7/17

Primary Care Physician - Eastern Maine Medical Center

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. 

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Husson Internal Medicine is one of seven primary care practices operated by Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.

 
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, Eastern Maine Medical Center, Phone: 207-973-5358 or email emmccvs@emhs.org.
 
7/17/17

Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine. 

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine.  We offer:
  • Up to $200K in medical student loan repayment
  • $50K sign on bonus
  • Up to $12K moving allowance
  • 4 day work week/generous outpatient call
  • Healthy work/life balance
Central Maine affords easy access to the coast and mountains where you can enjoy four seasons of outdoor activities.  We have a growing arts and restaurant scene in a very safe affordable area to live and raise a family.  To join our growing team, contact Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, ME  04240.  Email:  MallozGi@cmhc.org; Fax: 207/344-0696; Call:  800/445-7431; or visit our website:  http://recruitment.cmmc.org/.
 
9/18/17
 
 

Part-time Clinical & Part-time Research Position in Central Maine

Central Maine Medical Center and Maine Research Associates seek a physician to work 50% in your specialty and 50% as medical director of its clinical research company.  

Central Maine Medical Center and Maine Research Associates seek a physician to work 50% in your specialty and 50% as medical director of its clinical research company.  Maine Research Associates is a full service clinical trial research center with certified coordinators, over 25 years of experience, and is physician led.  Central Maine Medical Center, located in Lewiston, is a 250 bed, Level II trauma center and is part of a three hospital system serving populations of western and central Maine.   

Qualified candidates will be BE/BC in your specialty.  Candidates will possess experience as a Principal Investigator on clinical trials and will understand the clinical research industry, institutional review boards (IRB’s), and the general regulatory requirements of safe & responsible clinical research.

Interested candidates should contact Gina Mallozzi, CMMC, 300 Main Street, Lewiston, ME  04240.  Fax: 207/344-0696. Email: MallozGi@cmhc.org  Visit: http://www.maineresearchassociates.com/ or https://www.cmmc.org/

9/4/17

Family Medicine Physician - Winthrop, ME

Winthrop Family Medicine in Winthrop, Maine is recruiting a Family Medicine Physician!

Winthrop Family Medicine in Winthrop, Maine is recruiting a Family Medicine Physician! We are a MaineGeneral Health hospital-owned outpatient practice with four MD/DOs, three NPs, a PA, and integrated behavioral health with an LSW and LCSW. We are one of the original practices in Maine’s Patient Centered Medical Home pilot. We deliver team-based care to a full range of patients spanning newborns to geriatrics, including two local nursing homes, home visits, osteopathic manipulation and functional medicine consultation. There are lab, imaging and physical therapy services on site. We also routinely teach and precept medical, nurse practitioner, physician assistant and medical assistant students. Our patients are admitted by the hospitalist team at MaineGeneral’s Alfond Center for Health, Maine's newest hospital, completed in November of 2013. There are 192 private rooms at the Augusta facility. Generous benefits package offered.

Contact Tiffiny Parker, Physician Recruiter, tiffiny.parker@mainegeneral.org

8/7/17

DO or MD Physician - Augusta, ME

Maine-Dartmouth Family Medicine Residency (MDFMR), a community of allopathic and osteopathic physicians in Augusta, Maine who love to teach, is seeking a DO or MD Physician to join our faculty.

Maine-Dartmouth Family Medicine Residency (MDFMR), a community of allopathic and osteopathic physicians in Augusta, Maine who love to teach, is seeking a DO or MD Physician to join our faculty. Come teach and practice family medicine in a community and hospital system where you will be well supported! Ideal candidate has strong clinical skills and a passion for teaching. Must be willing to practice in both inpatient and outpatient settings and practice of full spectrum family medicine is a plus. We are looking for an enthusiastic, flexible candidate dedicated to high quality patient care. Maine-Dartmouth Family Medicine Residency is a successful and innovative dually accredited, community based, thirty-resident program. MDFMR is a mission-driven organization that provides healthcare to patients of all ages, with an emphasis on underserved and rural people. Our graduates go on to practice in Maine and across the country. Generous benefits package offered. 

Contact Michelle Bragg, michelle.bragg@mainegeneral.org

8/7/17

Family Medicine Physician - Waterville, ME

Waterville Family Practice, a five provider private practice in downtown Waterville, Maine, is seeking a Family Medicine Physician to join the all outpatient practice.

Waterville Family Practice, a five provider private practice in downtown Waterville, Maine, is seeking a Family Medicine Physician to join the all outpatient practice. Enjoy the many advantages and flexibility of a private practice in a brand new facility. You will be joining three other doctors and two physician assistants with an option to remain an employee or buy-in and shared ownerships after 2-4 years. Practice the full scope of family practice without OB care with the support of exceptional specialists in the Waterville area. 

Contact jphelps@watervillefp.com or call 207-873-1185.

8/7/17

Family Medicine Physician/Clinician Leader - Portland, ME

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-leader to serve as practice leader for the Portland Family Medicine Center. 

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-leader to serve as practice leader for the Portland Family Medicine Center.  This practice is the location for the main outpatient clinical sites for MMC’s Family Medicine Residency Program.   The residency program has a regional and national reputation for excellence in family medicine training, innovative faculty development and is recognized as a desirable training program for students. 

The successful candidate will be Board Certified in Family Medicine with at least 3 years of experience, with demonstrated leadership, organizational, and mentoring skills. 

Situated on the Maine coast, Portland offers the best of urban sophistication combined with small-town friendliness.  Just two hours north of Boston, this is an exceptionally diverse and vibrant community. 

Please submit a cover letter and CV to:  Alison C. Nathanson, Director, MaineHealth Physician Recruitment at (207) 661-7383 or nathaa@mainehealth.org.

7/31/17

Family Medicine - Windham, ME

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.

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.

Windham is the largest town in the Sebago Lake Region and represents the diversity and character expected of a community 10 miles west of Portland, Maine's largest city.  The area is ideal for outdoor sports and recreation, offering hiking, boating, agricultural fairs and festivals, ice fishing and snowmobiling. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.

7/31/17

Family Nurse Practitioner/Physician Assistant Wanted

Family Nurse Practitioner/Physician Assistant wanted to join rural health clinic practice located in beautiful coastal DownEast Maine.  Seeking FNP or PA with experience treating acute and chronic illnesses for patients of all ages.

FAMILY NURSE PRACTITIONER/PHYSICIAN ASSISTANT WANTED to join rural health clinic practice located in beautiful coastal DownEast Maine.  Seeking FNP or PA with experience treating acute and chronic illnesses for patients of all ages.  Maine Licensure required.  Will work with eligible candidate to secure participation in Loan Repayment programs.  Excellent compensation package available.  Please send resume, references, and salary requirement to: HealthWays/Regional Medical Center at Lubec, Attn: Human Resources, 43 South Lubec Road, Lubec, Maine  04652. Email: trier@rmcl.org   For more information contact :Terry Rier (207) 733-1090 ext 2116 An Equal Opportunity Employer.

7/3/17

Physician - Lubec, ME

Regional Medical Center at Lubec seeks a physician willing to lead and expand our Medication Assisted Treatment services program. 

Regional Medical Center at Lubec seeks a physician willing to lead and expand our Medication Assisted Treatment services program.  As a key member of the team including medical assistants and onsite substance abuse and behavioral health counselors, the physician will provide evaluation and medical management of patients struggling with opiate addiction.  Current unencumbered license to practice medicine in Maine and Suboxone Certification (or willingness to take the certification program) required.  Familiarity with evidenced-based chemical dependency care and risk management strategies a plus.  Position is part time but can be combined with family practice to be a full time position. Salary negotiable, commensurate with qualifications and experience.  Please send CV and cover letter to: Regional Medical Center at Lubec, Attn: Human Resources, 43 South Lubec Road, Lubec, Maine 04652 or email: trier@rmcl.org.  For more info contact: (207) 733-1090 ext 2116.  Equal Opportunity Employer.

7/3/17

Nurse Practitioner - Swift River Family Medicine - Rumford, ME

The Nurse Practitioner is responsible for providing primary healthcare to patients and families of all ages, focusing on health maintenance, disease prevention, patient education and counseling.

New Grads are encouraged to apply!

The Nurse Practitioner is responsible for providing primary healthcare to patients and families of all ages, focusing on health maintenance, disease prevention, patient education and counseling. Provider will be involved with Occupational Health, Employee Health and DOT physicals (training available). Expectations are to see between 16-20 patients per day, depending on experience.  Current practice holds 4900 patients with 5 Medical Doctors and one OB GYN.  We also host a rural track residency program with 1-4 resident providers on any given day.   

Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.

Full Time, Monday-Friday;busy family medicine practice located in Rumford, Maine. Call ratio 1/8 with clinical staff doing 1st call assist.

Contact: Donna Lafean, CMMC Associate Professional Recruiter

Phone: 888-832-4057

Fax: 207-344-0658

E-mail: lafeando@cmhc.org

7/31/17

Physician Assistant/Nurse Practitioner - Bridgton, ME

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program.

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program. The full time hospitalist PA/NP would be responsible for two regular weeknight shifts and every fifth weekend, allowing for a healthy work/life balance. The candidate would be responsible for overnight admissions and care of acute inpatients and swing bed patients in our 21-bed critical access hospital. This is a contracted position with opportunities for loan repayment and additional per diem hours. Previous hospital experience necessary.

 
For more information visit our website at ww.bridgtonhospital.org. Interested candidates should contact Donna Lafean, CMMC Associate Professional Staff Recruiter, 300 Main Street, Lewiston, ME 04240; email: lafeando@cmhc.org; call: 800/445-7431; fax: 207/344-0658.
 
7/31/17

 

Hospitalist - Brunswick, ME

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.

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.

 9/11/17

Gastroenterologist - Brunswick, ME

Mid Coast Medical Group is seeking a full time BC/BE Gastroenterologistto join an established Gastroenterologypractice with two Physicians and two Nurse Practitioners.

Mid Coast Medical Group is seeking a full time BC/BE Gastroenterologistto join an established Gastroenterologypractice with two Physicians and two Nurse Practitioners. Position includes outpatient and operative work, conveniently located adjacent to Mid Coast Hospital and the state-of-the-art Digestive Health Center. New graduates and experience candidates are encouraged to apply.

The Coastal location, thriving downtown, historic neighborhoods and Bowdoin College campus make this part of Maine a very desirable place to live.

Mid Coast offers competitive benefits and compensation package, along with an excellent work environment.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872.

Visit our website at www.midcoasthealth.com.

9/11/17

Ophthalmologist - Brunswick, ME

Mid Coast Medical Group is seeking a full time BC/BE Ophthalmologistto join an established, comprehensive practice with locations in Bath and Brunswick, Maine.

Mid Coast Medical Group is seeking a full time BC/BE Ophthalmologistto join an established, comprehensive practice with locations in Bath and Brunswick, Maine. The recruited position will replace a retiring partner in a group with 4 Ophthalmologists and one Optometrist.  New graduates and experienced candidates are encouraged to apply.

The Coastal location, thriving downtown, historic neighborhoods and Bowdoin College campus make this part of Maine a very desirable place to live.

Mid Coast offers competitive benefits and compensation package, along with an excellent work environment.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872.

Visit our website at www.midcoasthealth.com.

9/11/17

Family Nurse Practitioner - Sacopee Valley Health Center

Sacopee Valley Health Center has a position available for a full-time Family Nurse Practitioner to join our provider team.  SVHC is a multi-service, progressive, rural federally qualified community health center located between Portland, Maine and the White Mountains of New Hampshire. 

Sacopee Valley Health Center has a position available for a full-time Family Nurse Practitioner to join our provider team.  SVHC is a multi-service, progressive, rural federally qualified community health center located between Portland, Maine and the White Mountains of New Hampshire.  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.  Next Gen EMR.  Practice is outpatient with no OB.  On-call rotation is 4-5 times per month.  NCQA Level III PCMH.  This is a 4 days per week position with a competitive salary and benefits package including health, dental, disability and life insurance, 401k retirement plan, and a generous paid time off plan; Family Nurse Practitioners are eligible to apply for NHSC loan repayment.  Applicants must be a graduate of a Family Nurse Practitioner Program with current Maine licensure; at least one year of primary care medical experience preferred.  Please submit resume to nbuck@svhc.org or mail to: Human Resources Coordinator, Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068.  Sacopee Valley Health Center is an equal opportunity provider and employer.

 7/31/17

BC/BE Family Medicine Physician Livermore Falls, ME

Western Maine Family Health Center seeks a BC/BE Family Practice physician to join three nurse practitioners and a clinical social worker upon the retirement of a long-term physician.

Western Maine Family Health Center seeks a BC/BE Family Practice physician to join three nurse practitioners and a clinical social worker upon the retirement of a long-term physician. As a NCQA Patient-Centered Medical Home, we offer accessible, high quality healthcare with integrated behavioral health services to people of all ages in an outpatient setting. We provide 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.

Livermore Falls, with a population of 3,500, is located at the northern end of Androscoggin County, 25 miles northwest of Augusta. Renowned for hunting, fishing, skiing, snowmobiling and countless other four-season opportunities, Livermore Falls and the surrounding towns boast of tranquil living and an abundance of natural resources.

Western Maine Family Health Center is one of 11 Federally Qualified Health Centers of HealthReach Community Health Centers which provides medical, dental and behavioral healthcare to 28,000 Maine people each year. We offer competitive salary, generous benefits, pension plan with employer match, relocation expenses, malpractice coverage, and 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.WesternCHC.org

7/24/17

Internal Medicine Physician - Bangor, ME

St. Joseph Hospital, in Bangor, has a full time opening in our Internal Medicine group (for Ambulatory only practice).

St. Joseph Hospital, in Bangor, has a full time opening in our Internal Medicine group (for Ambulatory only practice).

The Internal Medicine group is located in a beautiful new building with a layout designed for clinician efficiency as well as aesthetic appeal.  It houses a number of services designed to support clinicians and patients in team based care, including a robust care management program and an embedded pharmacist.

We foster an environment where professional growth and development are assigned the highest priority and offer a generous wage and benefits package. On call duties are currently only 1 in 15 nights.  We have an impressive history of community involvement and are proud of our commitment to achieving the highest quality of individualized care.

For more information about working at St. Joseph Healthcare, please call Lisa Cramm at (207) 907-3472 or via email at lisa_cramm@covenanthealth.net.  To learn more about our hospital, please visit our website at www.stjoeshealing.org

9/25/17