Maine Medicine Weekly Update - July 17, 2017
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The Latest on the Senate Republican Health Care Proposal

Senate Majority Leader Mitch McConnell has established Friday, July 21 as a tentative deadline for deciding whether the votes are present to pass the Better Care Reconciliation Act. No vote will be held this week because of the absence of Senator John McCain who is at his home in Arizona recovering from a recent craniotomy for removal of a blood clot above his left eye.

But Senator McCain's condition may be more serious than originally thought, and it may delay his return to Washington by one to two weeks, according to a story in the New York Times. If he is out two weeks, there will not be a vote until the first week of August, at the earliest. Many in Washington are waiting for the pathology report before speculating on a timetable. Still, Sen. McCain is one of several Republican senators who are reported as still undecided on the bill, and it is unknown whether it will proceed even after his return. Several wavering senators are waiting for the CBO analysis of the bill before announcing their decisions.

Maine Senators Susan Collins and Angus King have both expressed opposition to the proposal.  If the measure should pass the Senate, it is anticipated that House Republicans would quickly pass the Senate version of the legislation and send it to the President's desk for his signature. But there is no guarantee of that given that the original House bill passed by the narrow margin of 217-213.

 
On Friday, a joint statement in opposition to the portion of the bill that was added at the request of Sen. Ted Cruz was issued by America's Health Care Plans and the BlueCross BlueShield Association. The statement described the Cruz proposal as "unworkable in any form" and said it would "undermine protections for those with pre-existing medical conditions." increase premiums and lead many to lose coverage.
 
The provision objected to would allow insurers to sell low cost policies with skimpy coverage so long as they also sell policies that meet the requirements of the ACA, including covering the essentials benefits.
 
The Congressional Budget Office is expected to score the bill early this week. MMA members are encouraged to communicate with both Senators Collins and King and express their thanks for protecting coverage and Medicaid funding by opposing the bill.

 
  
 
 

Maine Quality Counts Taps Larry Clifford as Executive Director

Mr. Clifford comes from Penobscot Community Health Care to follow founding Executive Director Lisa Letourneau, M.D., M.P.H.

Maine Quality Counts (MQC), the independent, multi-stakeholder alliance working to transform health and healthcare, is pleased to announce that Larry Clifford has been named Executive Director following an extensive national search, and will start on September 5th, 2017.

Throughout his 30-plus year career, Clifford has held leadership roles for a wide range of healthcare organizations, most recently as Chief Planning & Development Officer for Penobscot Community Health Care, a Federally Qualified Health Center with 16 practice sites in three Maine counties. A seasoned nonprofit executive, Clifford has extensive experience building and sustaining organizations, with a successful record that spans strategic planning, program development, advocacy, member relations, innovation management, marketing communications, organizational development, fundraising, and business development.

Clifford has deep experience within rural health delivery networks and health collaboratives. For nine years, he served on the senior leadership team at the Rural Wisconsin Health Cooperative, leading strategic planning, program development, member relations, and ensuring that the Cooperative was developing strategic initiatives. He is a proven fundraiser, coalition partner, and collaborator who is deeply committed to quality health and healthcare.

“It is with great pleasure that after a thorough search, we announce the selection of Larry Clifford as our new Executive Director. We are extremely pleased to complete this transitional journey with such highly successful results. Larry’s leadership, executive management experience, and his knowledge of the non-profit healthcare environment will be key to continuing the momentum of the very important work of Maine Quality Counts,” said Greg Bowers, Maine Quality Counts Board President.

During this transition, Allison Watson, CFO and Senior Director of Operations, and Joan Orr, Senior Director of Programs, continue to serve as Interim Co-Leaders for the organization.

  

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

The Department of Human Services recently 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.

Learn How You Can Be Ready for the E-Prescribing Mandate: Webinar on Wednesday, July 19 12pm

Join the Maine Medical Association and DrFirst to learn how you can become compliant with the e-prescribing law now that a 31-day grace period has been granted.  Penalties will now be assessed on August 1, 2017.

Bring your questions and concerns for the DrFirst expert to answer and see how a demo on the solution that can help you comply before August 1.

Wednesday, July 19, 2017 Noon to 1:00pm  Register Here

 

PMP Peer Reports Expected Soon

The Maine PMP expects to begin issuing peer reports to opioid prescribers in August.

Following is a verbatim response from the Maine PMP to a question about peer reports on opioid prescribing:

Does your state provide prescriber feedback reports, a tool that allow one to measure prescribing against peers?  If so, what is the method of delivery, frequency, and the drugs considered?  If not, will you have a process in place that accomplishes this within the next year?

These reports are scheduled to begin in August on a monthly basis via email. All therapeutic drug classes are included in this report.

 

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.

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.
 
 

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 2017 Nomination Form and brochure with additional information about the award are available at the MMA Annual Session webpage.  

The 2017 award will be announced at the MMA's Annual Session in September. 

For more information, contact Susan Kring at skring@mainemed.com or 480-4190.

Opportunities at the VA for Volunteer Physicians

Take advantage of this opportunity with the Veterans' Administration to thank our veterans in a concrete way for their service and their sacrifices.

The Physician Ambassador Program was created by the Department of Veterans Affairs as a best practice recruitment and placement initiative seeking fully licensed physicians and clinicians to enhance health care services for Veterans.

The Physician Ambassador Program is a without compensation program that provides civilian physicians and clinicians an opportunity to give back to the Veteran community by serving in a volunteer role to deliver health care services to Veterans. 

If you are interested in participating in this program at VA Maine Healthcare System, please contact Jonathan Barczyk at (207) 621-4886.

Many Physicians, Still Fuzzy on Details, Feel Unprepared for QPP

 See results of recent physician survey conducted by the AMA and KPMG.

Regardless of their size, specialty or level of preparedness, medical practices are concerned that the implementation of Medicare's QPP will be burdensome and time consuming, according to a new survey conducted by the AMA and the KPMG consulting firm.

"It's a big challenge all the way across" practice types, said Carol Vargo, director of physician practice sustainability at the AMA, who said this finding was the survey's "big takeaway."

The AMA and KPMG surveyed 1,000 practicing U.S. physicians involved in their practice's decision making regarding the implementation of the QPP, whose two pathway options include the Merit-based Incentive Payment System (MIPS) or the adoption of an Advanced Alternative Payment Model (APM). The survey was conducted between April 25 and May 1, prior to the recent release of proposed QPP updates to the program by CMS.

The survey is seen as a baseline to measure MACRA implementation progress and a tool to help guide education efforts and policy decisions. The AMA is working to provide a "glide path" for physicians to transition to value-based care, she said. This includes launching an educational campaign, "One patient, one measure, no penalty," which provides physicians with resources to guide physicians on meeting the minimum requirements for this year.

"Our resources include a step-by-step video on minimum reporting requirements to avoid a penalty in 2019 and a payment model evaluator that offers a brief assessment of where a practice stands," AMA President David O. Barbe, MD, said in a statement. "In just 10 steps, physicians can successfully meet the standard under MACRA."

To learn more about CMS' "pick your pace options," listen to this recent ReachMD interview with Kate Goodrich, MD, CMS' chief medical officer and director of its Center for Clinical Standards and Quality.

MMA Annual Golf Tournament

A number of physician members and MMA corporate affiliates got together at the Augusta Country Club (in Maine, not Georgia) for this year's MMA Golf Tournament on July 10.  The proceeds from the annual tournament benefit the medical student scholarship fund within the Maine Medical Education Trust.

 

It was another beautiful, sunny day as the MMA Golf Tournament got under way at noon on July 10th at the country club in Manchester. It will surprise no one familiar with this tournament to hear that the team from Norman, Hanson & DeTroy took home the award for low gross team.

 

 

 

 

 

Legislative Report

The Appropriations Committee met twice to clear bills from the "Special Appropriations Table" and to vote on several bond issues.

Monday afternoon, July 17th, the Appropriations Committee finished what it started last Wednesday as it voted on bills that have been awaiting action on the Special Appropriations Table. Some of those bills are significant to health care, among them LD 1170, which will raise the age for tobacco sales to 21. The bill was voted "ought to pass" after an amendment reduced the amount of the fiscal note, an estimate of the bill's cost. LD 456, which would have expanded the scope of practice for pharmacists by allowing them to prescribe vaccines, was voted "ought not to pass" on a party line vote. LD 1108, amended to remove any additional public health nursing positions but retaining the 48 which are already in place, was also voted "ought to pass."

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 negligent 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.

The last task of the Legislature will be reconvening for a "veto day," at which time they will vote on whether to override any recent vetoes by the Governor. The date for this event has not yet been announced, and it will depend on the date of the last regular legislative action on bills and the date of the Governor's last vetoes.

State Budget Vote Report

In case you missed our report on the State budget vote, here it is again.

A little after 1:00 a.m. on July 4th, the Maine Legislature passed and the Governor signed a budget agreement that put State government back to work on July 5th. Sighs of relief could be heard in most, but not all, parts of the State.

The final vote was 35-0 in the Senate and 147-2 in the House. There will be no lodging tax increase in exchange for a two-year moratorium on behavioral health reimbursement rate cuts (familiar to many as the “Burns & Associates Rate Study cuts”) and $575,000 per year in increased funding for Head Start, the latter two points to be funded by TANF surplus. The budget entirely repeals the 3% surcharge on high-income earners passed by referendum in November and offers a mixture of one time and on-going spending for education totaling around $162 million. Most concerning disappointing to public health advocates is a $10 million (0ver the biennium) 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 compromise uses 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.

The budget, as enacted, can be found here. (It's a very large document.)

The amendment which constitutes the compromise agreement, which is significantly shorter (euphemistically speaking) than the budget itself, is here.

 

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.

Call-in Program on MIPS and APM - July 26, August 9 & August 30

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

Join the New England QIN-QIO 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. 

The calls will be held from 11:30 a.m. - 12:30 p.m. on the following dates: 

  • Wednesday, July 26
  • Wednesday, August 9
  • Wednesday, August 30

The QPP Open Calls are available to providers, clinicians, office managers, practice administrators, quality improvement specialists and anyone else who is involved in quality program reporting. 

Please contact Rachel Crowe from the New England QIN-QIO for more information.

Sign up for the QPP Open Calls


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.

New Free CME on Alzheimer's Risk, Detection, and Management

Discussing memory concerns with your patients can be difficult.  Alzheimer's and other dementias are complex, and patients often have a lot of questions and concerns.

 

 

To help you prepare for these visits, the Alzheimer's Association® presents Challenging Conversations About Dementia.  In this free course, you'll receive information to confidently approach the detection, diagnostic and care-planning process for your patients with cognitive impairment and dementia.

For more information and to complete this course, go to www.alz.org/FreeCME.  Other tools on the website include the Cognitive Impairment Toolkit.

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. We also offer a relocation bonus and sign-on bonus in addition to our generous educational loan repayment program.

Candidates in need of J-1 visa waivers welcome to apply.

For confidential consideration, please contact:

Amanda Klausing, AASPR, Physician Recruiter

Eastern Maine Medical Center

Phone: 207-973-5358

emmccvs@emhs.org

 
8/21/17

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

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 Ophthalmologist to 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

Family Medicine Physician - Scarborough, ME

Maine Medical Partners is seeking a BC/BE Family Medicine physician for their well-established outpatient practice located in Scarborough, Maine.

Maine Medical Partners is seeking a BC/BE Family Medicine physician for their well-established outpatient practice located in Scarborough, Maine.

Maine Medical Partners Family Medicine has redesigned care in alignment with the Patient Centered Medical Home care model to provide more convenient care with patient centered continuity.  We are looking for physicians who want to play an important role in making the care team of the future a reality for the people of greater Portland.

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.  The candidate would have an academic appointment at Tufts University School of Medicine, and the position involves teaching and mentoring residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

Situated on the Maine coast, Portland offers the best of urban sophistication combined with small-town friendliness.  The area provides four season recreational opportunities, such as skiing, hiking, sailing, and miles of beautiful beaches.  Just two hours north of Boston, this is an exceptionally diverse and vibrant community. 

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

9/11/17