Maine Medicine Weekly Update - November 20, 2017
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Current News Moves MMA to Remind Physicians of Guidance on Boundaries in Physician-Patient Relationships

The MMA has become aware of several recent complaints to the Board of Licensure in Medicine against physicians by patients for alleged "boundary violations."  Legal practitioners who regularly represent physicians and other health care practitioners in licensing matters also report an increase in complaints of this type.  Accordingly, the MMA reviews here the ethical and legal guidance in this high risk aspect of a physician-patient relationship.

The AMA Code of Medical Ethics includes three opinions in the category of "Sexual Boundaries:"

  • Opinion 9.1.1, Romantic or Sexual Relationships with Patients;
  • Opinion 9.1.2, Romantic or Sexual Relationships with Key Third Parties; and
  • Opinion 9.1.3, Sexual Harassment in the Practice of Medicine.

Opinion 9.1.1 provides very clear guidance that, "[r]omantic or sexual interactions between physicians and patients that occur concurrently with the physician-patient relationship are unethical."  Opinion 9.1.3 also states that sexual harassment is unethical and points out that sexual harassment includes "other verbal or physical conduct of a sexual nature."  

The Board of Licensure in Medicine and the Board of Osteopathic Licensure have jointly issued Rule Chapter 10, Sexual Misconduct which may be found on the Board of Licensure in Medicine's web site here.  The rule defines "sexual violation" and "sexual impropriety," both of which are grounds for discipline.  A "boundary violation" need not involve physical contact, as communication may be deemed offensive by a patient.  The definition of "sexual impropriety" includes the following:

"inappropriate comments about or to the patient, including but not limited to making sexual comments about a patient’s body or underclothing;  making sexualized or sexually demeaning comments to a patient, criticizing the patient’s sexual orientation (homosexual, heterosexual, or bisexual); making comments about potential sexual performance during an examination or consultation (except when the examination or consultation is pertinent to the issue of sexual function or dysfunction); requesting details of sexual history or sexual likes or dislikes when not clinically indicated;"

A physician must, of course, act with caution and common sense in his or her interactions with patients, but the Code of Medical Ethics also suggests the use of chaperones to help prevent misunderstandings between physicians and patients.  Please see Opinion 1.2.4, Use of Chaperones.

If you have any questions about any of this guidance, please contact one of MMA's attorneys or your own private counsel.

 

 

Webinars on Improving Opioid Prescribing and Patient Safety: 12/5 & 12/13

Quality Counts 1-hour webinars presented by the Maine Independent Clinical Information Service (MICIS) on Tuesday, December 5 and Wednesday, December 13 from 12-1 pm.

 

Quality Counts Webinars presented by MICIS: Improving Opioid Prescribing and Patient Safety

Register here for the Tuesday, December 5 webinar

Register here for the Wednesday, December 13 webinar

Part 2: Practice Transformation & QI for Opioids/Chronic Pain   

Tuesday, December 5 12:00-1:00 pm Register Here

Practice Transformation & QI for Opioids/Chronic Pain

  • Review best practices in practice transformation for opioid prescribing
  • Focus on team-based care including developing "CSI" (controlled substance initiative) teams
Harm reduction: diagnosis and treatment of opioid use disorder including MAT, naloxone prescribing, and risks of co-prescribing benzodiazepines
  • Appropriately diagnose opioid use disorder
  • Understand requirements and benefits of buprenorphine and naltrexone prescribing
  • Anticipate prescribing naloxone for all patients and families at risk

 

Part 3: Enhancing Provider Communication Skills; Nonopioid & nonpharm treatment of chronic pain - evidence-based recommendations  

Wednesday, December 13 12:00-1:00 pm Register Here

Enhancing provider communication skills, building patient/family centered care models and incorporating patient education into practice:

  • Review Trauma-Informed care
  • Discuss integration strategies for behavioral health and chronic pain management
  • Demonstrate responses to Choosing Wisely's 5 Questions
Non opioid and nonpharm treatment of chronic pain - Evidence-based recommendations
  • Evidence-based review of alternative treatments for acute & chronic pain
  • Discuss comprehensive acute pain management plans & reduce surgical overprescribing

 

Health Insurance Marketplace 2018: 3 weeks left for Open Enrollment

The Open Enrollment Period for 2018 will end on Friday, December 15. Enrollment assistance is available at locations around Maine, online and by phone.

 

Open enrollment for 2018 began on November 1 for people to sign up for a health plan in the Health Insurance Marketplace. 

Consumers must sign up or renew health plans before Open Enrollment ends on December 15, 2017. 

Key Dates for the Health Insurance Marketplace

Need affordable health insurance?

Get Covered: A Guide To The Health Insurance Marketplace

healthcare.gov

MMA Outreach Director Susan Kring can put medical practices in touch with Maine enrollment assisters and Navigators and provide Open Enrollment information to share with patients. You can reach her at skring@mainemed.com or 480-4190.

MMA Leadership Listening Session in Portland on Tuesday, December 5

 RSVP by November 30

MMA members and their guests are cordially invited to join MMA officers and executive staff at a "Listening Session" at The Press Hotel, 119 Exchange Street in Portland.  

Tuesday, December 5, 2017 from 5:30-8:00pm
Please RSVP by Thursday, November 30 to Sarah Lepoff slepoff@mainemed.com 622-3374 x213.
 
Stop by for an appetizer and beverage on us and share with us your thoughts and opinions on topics such as:
  • 2nd Regular Session of the 128th Maine Legislature
  • Physician-Assisted Death
  • 2017 Statement on Reform of the US Health Care System
  • MMA membership engagement and leadership development

Improving Opioid Prescribing and Patient Safety: Wednesday, 12/6 in Portland

5:00-8:30 pm at the Fireside Inn & Suites in Portland - Register Now

REMINDER:  Pursuant to P.L. 2017, Chapter 488, health care practitioners who prescribe opioid medications must have completed 3 hours of CME on opioid prescribing by December 31, 2017.

Improving Opioid Prescribing and Patient Safety

Wednesday, December 6, 5:00 – 8:30 pm at Fireside Inn and Suites, 81 Riverside Street, Portland

Presenters: Elisabeth Fowlie Mock, MD, MPH and Peter Michaud, JD, RN 

Free program - advanced registration is required.

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. Presented by the Maine Independent Clinical Information Service (MICIS), a program of the Maine Medical Association.

 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.

This activity has been planned and implemented in accordance with the Essentials and Standards of the Maine Medical Association Committee on Continuing Medical Education and Accreditation through the partnership of Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS).  The Maine Medical Education Trust is accredited by the Maine Medical Association to provide Continuing Medical Education (CME) activities for physicians.

 

House Passes CHIP Reauthorization

The House of Representatives passed legislation reauthorizing funding for the Children's Health Insurance Program (CHIP) for five years. Passed in early November by a 242-174 vote, the Championing Healthy Kids Act (H.R. 3922), also includes reauthorizations of other significant programs, including the Community Health Centers, the National Health Service Corps and the Teaching Health Center Graduate Medical Education  program.  

The AMA sent a letter supporting House passage of the legislation. The letter also opposed the use of the Public Health and Prevention Fund as an offset while urging Congress to continue efforts to identify alternative offsets for the package. The Senate has not scheduled a vote on CHIP reauthorization as it is continuing to discuss how to offset the cost of the reauthorizations in a manner that garners bipartisan support. 

2018 Another Transition Year for Quality Payment Program

As Medicare moves to the second year of its Quality Payment Program (QPP), 2018 will largely serve as another transition period. Most physicians and other health professionals who bill Medicare won't have to participate in 2018 and hardly any are projected to receive a penalty that will affect their payment in 2020. 

In the 2018 QPP final rule, the Centers for Medicare & Medicaid Services (CMS) tripled the low-volume threshold for participation to the point where the agency estimates that only 37 percent of clinicians who bill Medicare will be required to participate in the QPP's Medicare Merit-based Incentive Payment System (MIPS).

The increase to the low-volume threshold means that physicians would be required to take part in MIPS if they treat 200 or more Medicare beneficiaries in a year or bill Medicare $90,000 or more in allowed charges. Because of this and other measures CMS is taking, the agency estimates that 90 percent of clinicians in practices of one to 15 and 97 percent of clinicians in all practice sizes will receive either a neutral or positive adjustment in 2020.

The initiation of virtual groups, the low-volume threshold, reduced requirements and bonus points for small practices are among the regulatory wins that would help small practices. Bonus points for treating complex patients and making 2018 another transition year were other regulatory wins, but CMS warned that requirements will get tougher in 2019 due to requirements in law.

Read more at AMA Wire®.

News from the 2017 AMA Interim Meeting

MMA EVP Gordon Smith, Delegates Richard Evans, M.D. and Maroulla Gleaton, M.D., and student Delegates Kim Dao (Tufts-MMC 'xx) and Corinne Carland (Tufts-MMC 'xx) attended the recent meeting to represent the State of Maine.

As another Interim Meeting came to a close this week, physicians adopted a number of new policies to improve the health of the nation. Highlights include opposition to Medicaid work requirements, the removal of categories from the essential health benefits (EHB) package and waivers of EHB requirements that could lead to the elimination of EHB categories and their associated protection against annual or lifetime benefit limits and out-of-pocket expenses.

The AMA House of Delegates also adopted a new policy that seeks to facilitate consistent coverage of genetic medicine and more transparency in how coverage is being determined. The new policy calls for more transparency and clarity in the processes that determine coverage and payment. Read more AMA Wire. Read more news coverage of the 2017 AMA Interim Meeting.

2018 Medicare Physician Fee Schedule Provides Regulatory Relief for Physicians

The Centers for Medicare & Medicaid Services (CMS) released its final rule on the 2018 Medicare Physician Fee Schedule (MPFS).  

The final rule includes the following changes for 2018:

  • The update to payments under the PFS in 2018 will be +0.31 percent.

  • CMS retroactively modified 2016 PQRS and MU reporting requirements to align with the Merit-based Incentive Payment System (MIPS). These changes will reduce penalties for physicians in 2018. CMS estimates that 23,625 eligible clinicians will avoid a total of $22 million in 2018 PQRS penalties as a result of the change to PQRS requirements.

  • CMS finalized valuation for individual services in 2018 consistent with recommendations of the AMA/Specialty Society RVS Update Committee (RUC). To date, the RUC's efforts to address misvaluations have resulted in $5 billion in annual redistributions.

  • CMS is moving forward with the Medicare Diabetes Prevention Program (MDPP) by finalizing a maximum payment per beneficiary of $670 over three years for the set of MDPP core and maintenance services.

  • CMS finalized a number of proposed expansions of telehealth and remote patient monitoring services coverage. The AMA strongly supported expanded coverage of both, and the expanded coverage of remote patient monitoring is not subject to the same geographic and originating site restrictions as Medicare telehealth services. This represents a seminal decision by CMS to expand coverage of remote patient monitoring services in the Medicare program.

  • In response to advocacy from the AMA and other members of the Federation, CMS finalized an additional delay in implementing the requirement that physicians consult appropriate use criteria (AUC) before ordering advanced diagnostic images, until Jan. 1, 2020.

Read the AMA's summary for additional details.

 

Legislative Calls to Resume When Legislature Returns

The Maine Legislature is in recess at present. Should they return for a special session in the fall of 2017 (which the Governor has said will happen), the Weekly Update will feature articles concerning aspects of that work of interest to medicine. Otherwise, legislative report articles will resume, and Legislative Committee calls will begin, when the Legislature returns to Augusta in January 2018.

The Maine Legislature is in recess at present. Should they return for a special session in the fall of 2017 (which the Governor has said will happen), the Weekly Update will feature articles concerning aspects of that work of interest to medicine. Otherwise, legislative report articles will resume, and Legislative Committee calls will begin, when the Legislature returns to Augusta in January 2018.

SAVE THE DATE: MMA Legislative Committee Meets December 11th to Prepare for Next Legislative Session

The MMA Legislative Committee Co-Chairs Katherine Pope, M.D. and Stephen Meister, M.D. invite you to participate in the MMA's legislative advocacy work.  The MMA Legislative Committee will hold an organizational meeting for the Second Regular Session of the 128th Maine Legislature on Monday, December 11th from 6 p.m. to approximately 8:30 p.m.  Please plan to attend and RSVP to Sarah Lepoff at slepoff@mainemed.com.

The Second Regular Session of the 128th Maine Legislature will begin on the first Wednesday after the New Year and is scheduled to end in mid-April.  The Legislative Council, the 10 members of the bipartisan leadership of the legislature are scheduled to meet this Thursday to begin the process of reviewing bill requests for the second session.  Unlike the First Regular Session when legislators may submit bills without limitation, during the Second Regular Session, bill requests are limited to those of a fiscal or "emergency" nature and must be admitted by majority vote of the Legislative Council.  During the second session, the legislature also will consider bills carried over from the first session and bills submitted by the Governor.

You can find a list of bill requests by sponsor on the legislature's web site here

The general effective date for legislation is 90 days after adjournment, though bills passing with an emergency preamble take effect immediately upon the Governor's signature and some bills have an effective date specified within the body of the bill.  For the First Regular Session of the current legislature, the general effective date is November 1st.  You can find the MMA's PowerPoint summary of the First Regular Session of the 128th Maine Legislature here

Highlights of Recently Enacted Legislation: L.D. 479 Requiring a Opioid Prescribing Policy

The general effective date for legislation enacted during the First Regular Session (2017) of the 128th Maine Legislature was earlier this month on November 2, 2017.  For the next several months, the MMA will highlight one enacted bill each week in this newsletter.  We hope this helps your organization's compliance efforts and please call the MMA legal staff with any questions you may have.

 The MMA staff has posted the Annual Report of the Legislative Committee, a summary PowerPoint presentation, and other advocacy resources on the MMA web site here.

This week, we'll highlight a bill that has generated several calls to MMA's attorneys for interpretive guidance.  It is L.D. 479, An Act to Inform Patients of the Dangers of Addicting Opioids (P.L. 2017, Chapter 186).  This bill requires health care entities employing prescribers of opioid medications to develop an opioid prescribing policy that includes risk assessment, informed consent, and counseling on the risk of opioid use by January 1, 2018.  This bill originally would have required a practitioner to follow specific steps to obtain informed consent for each patient encounter, something MMA regularly opposes at the legislature. We object to these well-intended proposals because of the compliance challenges presented by many different legislative requirements for informed consent for different procedures or conditions.

If you have questions about compliance with this or other laws recently enacted by the Maine legislature, please contact Andrew MacLean, Deputy EVP & General Counsel (amaclean@mainemed.com) or Peter Michaud, Associate General Counsel (pmichaud@mainemed.com).

 

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 many 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.

Chief Executive Officer

Health Access Network, a Federally Qualified Health Center (FQHC) in Lincoln, Maine, is seeking a dynamic seasoned leader to provide overall direction and administration of health center operations, assuring the center and staff meets the goals and objectives of the health center’s mission. 

Health Access Network, a Federally Qualified Health Center (FQHC) in Lincoln, Maine, is seeking a dynamic seasoned leader to provide overall direction and administration of health center operations, assuring the center and staff meets the goals and objectives of the health center’s mission.  Responsibilities include, but are not limited to: strategic planning, budgeting, financial management, and oversight of clinic policies and procedures. Must be familiar with laws and regulations related to FQHCs and have experience with grant programs and Board governance.  Must have exceptional verbal and written communication skills, and possess compassion, innovation, integrity, and excellence which are the health center’s values.

Qualifications: Bachelor’s degree in Health, Public Health, Health Care Administration, Business Administration or other related field.  A Master’s degree is preferred.  Must have at least 5 years of related leadership experience.  Experience working in a Federally Qualified Health Center preferred.

We are a multi-disciplinary community health center with sites in Lee, Lincoln, Medway, Millinocket, and W. Enfield serving patients in Northern Penobscot County. 

Interested candidates may forward a resume and cover letter to: Sonia Maxwell, HR Director, P.O. Box 99, Lincoln, ME 04457, smaxwell@hanfqhc.org,www.hanfqhc.org.

Equal Opportunity Employer & Program

12/4/17

Clinical Cardiology Opportunity

Maine Medical Partners MaineHealth Cardiology is seeking an invasive general cardiologist (non-interventional) for their practice located in their Augusta and Waterville, Maine locations

Maine Medical Partners MaineHealth Cardiology is seeking an invasive general cardiologist (non-interventional) for their practice located in their Augusta and Waterville, Maine locations.  Selected candidates will join a growing team of over 50 cardiologists who provide inpatient, outpatient and consultative services. 

Maine Medical Partners MaineHealth Cardiology is a growing practice, with office locations in Augusta, Waterville, Lewiston, Rockport, and Scarborough, and is affiliated with the nationally recognized cardiac services at Maine Medical Center and its parent organization MaineHealth. 

This integrated practice includes Maine General Health, Maine’s third largest health care system.  The Alfond Center for Health, MaineGeneral Medical Center’s state-of-the art, 192-bed regional hospital, has a cardiac catheterization lab and full on site imaging, including echocardiography and nuclear testing.  The Augusta/Waterville practice consists of 9 cardiologists and 2 advanced practice providers.

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

1/15/18

Family Medicine Physician/Clinician Leader

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-educator to serve as the physician leader for the Portland Family Medicine Center and as Associate Medical Director over both the Portland Family Medicine Center and the Falmouth Primary Care Practice.  

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-educator to serve as the physician leader for the Portland Family Medicine Center and as Associate Medical Director over both the Portland Family Medicine Center and the Falmouth Primary Care Practice.  

The Portland Family Medicine practice is the location for the main outpatient clinical sites for MMC’s Family Medicine Residency Program, as well as a Sports Medicine fellowship, Integrated Medicine fellowship and a Preventive Medicine residency within the department of family medicine.  The Associate Medical Director has a key role on the primary care leadership team working with Maine Medical Partner’s Primary Care Director and Senior Director to set priority and direction for primary care and help maintain the operational aspects of the practice, including quality metrics and financial performance.   

The successful candidate will be Board Certified in Family Medicine with at least 3 years of experience.  Candidates should be able to demonstrate leadership, organizational, and mentoring skills.  Past practice management experience and knowledge of performance improvement is required. 

The position will also entail serving as the Medical Director for MMC’s Family Medicine Residency, a key leadership role in the program and the successful candidate will provide direct clinical supervision of Family Medicine residents and Tufts University School of Medicine-Maine Track students, and will participate in residency didactic teaching, advising and recruiting.

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

11/27/17

BC/BE Physician - C.A. Dean Memorial Hospital

C.A. Dean Memorial Hospital seeks a BC/BE physician to join their Emergency Department/Hospitalist team.  Current members of the team are Board Certified in Family Medicine and/or Emergency Medicine, but any combination of relevant training and experience will be considered.

C.A. Dean Memorial Hospital seeks a BC/BE physician to join their Emergency Department/Hospitalist team.  Current members of the team are Board Certified in Family Medicine and/or Emergency Medicine, but any combination of relevant training and experience will be considered.  Physicians have a unique, highly flexible full time flexible schedule working 24-hour shifts that allows for extended time off.  The compensation and fringe benefits package is highly competitive. 

CA Dean Memorial Hospital is a Critical Access Hospital on the shore of Moosehead Lake in the heart of Maine’s Lakes and Mountains region.  Physicians enjoy the quality of life afforded by a low-volume, Community-centered rural hospital in an idyllic setting.  Suitable candidates are comfortable working independently to manage the breadth of problems presenting to a “front line” hospital.

CA Dean is a member of the Eastern Maine Healthcare System, which provides access to an integrated EMR, access to tertiary specialty services through a “one call” transfer system, and selected telemedicine services.  CA Dean is also served by a Regional Trauma Service, Lifeflight of Maine, utilizing helicopter and fixed-wing resources.

For confidential consideration, please contact Sherry Tardy, DASPR at stardy@emhs.org or call at 207-487-4085. 

11/20/17

VA Psychiatrist

VA Maine taking care of those who have served. We are seeking a Psychiatrist to join our VA team.

VA Maine taking care of those who have served. We are seeking a Psychiatrist to join our VA team.

As a VA psychiatrist, you’ll serve as a core member of an interdisciplinary team responsible for assessing and treating mental illness through a combination of psychotherapy, hospitalization and medication to treat several of today’s most urgent mental health issues, including post-traumatic stress disorder (PTSD).

  • Nationwide job transfer opportunities
  • Competitive salaries and pay differential
  • Generous vacation, personal and sick leave,  as well as 10 Federal holidays
  • Stable health and retirement benefits

For more information, contact Troy Hall at troy.hall@va.gov or call 207-620-4514.

11/20/17

BE/BC Family Practitioner - Lewiston, ME

Central Maine Medical Center, a growing regional referral center in Lewiston, is looking for a BE/BC Family Practitioner to join their expanding practice.

Central Maine Medical Center, a growing regional referral center in Lewiston, is looking for a BE/BC Family Practitioner to join their expanding practice.  We offer:

  • Substantial Medical Student Loan Repayment
  • Generous Sign On Bonus
  • Ample Moving Allowance
  • Very Attractive Outpatient-Only Call Schedule Providing Healthy Work/Life Balance

Our practice site is within easy access to the coast for boating and the mountains for hiking and skiing and all kinds of outdoor activities.  We've got an amazing arts and restaurant scene, too, all in a very safe state to live and raise a family.  To join our growing team, contact Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, Maine 04240;  fax: 207-344-0696, E-mail: MallozGi@cmhc.org , call: 800/445-7431; or visit our website: http://recruitment.cmmc.org/.  Not a J1 opportunity.

12/11/17


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

 
12/11/17

Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician

Sacopee Valley Health Center has a position available for a Medical Director/Family Practice Physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area.

Sacopee Valley Health Center has a position available for a Medical Director/Family Practice Physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area. This position allows for the medical director to apply leadership skills while partnering with health center staff and colleagues to provide optimal health care for our patients on a daily basis. 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. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment. We are located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Linda Watson, Director of Operations or, (lwatson@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org Sacopee Valley Health Center is an equal opportunity provider and employer.

12/25/17

Outstanding full-time opportunity for an experienced Physician Assistant or Nurse Practitioner with Central Maine Heart Associates in Auburn, Maine

Central Maine Medical Center, a 250-bed hospital with a 440 provider well-established medical group, seeks an experienced Physician Assistant or Nurse Practitioner to support the recently created transitions of care heart failure clinic. 

Central Maine Medical Center, a 250-bed hospital with a 440 provider well-established medical group, seeks an experienced Physician Assistant or Nurse Practitioner to support the recently created transitions of care heart failure clinic.  Working collaboratively with a team of cardiologist and nurses, this Associate Professional Provider will proactively manage heart failure patients recently discharged from the hospital setting to optimize cardiac function and improve patient care outcomes.  The NP/PA will have access to heart failure specialists at Massachusetts General Hospital to co-manage advanced heart failure patients.

This role also will manage general cardiology patients providing assessment, management and treatment of individuals with coronary artery disease.  Onsite stress test and stress ECHO will be performed. Office hours are 8:00am to 4:30pm, Monday through Friday with 1:6 inpatient weekend hospital call coverage at Central Maine Medical Center, Lewiston, Maine.  Enjoy the professional challenge offered in a sophisticated medical community along with the wonderful recreational opportunities and quality of life in Maine.

Minimum Requirements: Graduate of an accredited Physician Assistant/Nurse Practitioner Program, two (2) or more years of experience preferred. This candidate must be licensed by the State of Maine as a Physician Assistant or Nurse Practitioner.  American Heart Association Healthcare Provider BLS and ACLS certification required. 

Contact: Donna Lafean, CMMC Medical Staff Recruiter

Phone: 888-832-4057

Fax: 207-344-0658

E-mail: lafeando@cmhc.org

11/20/17

Palliative Care Provider

Mid Coast Hospital is searching for a part-time (20 hours/week) Physician, Nurse Practitioner or Physician Assistant to join the Palliative Care Program.

Mid Coast Hospital is searching for a part-time (20 hours/week) Physician, Nurse Practitioner or Physician Assistant to join the Palliative Care Program. The successful candidate must be licensed in Maine. Experience in Palliative Care/Hospice preferred.  Must have or be willing to work toward certification in Hospice and Palliative Care.

The Mid Coast Palliative Care Program is a consultation service available to all hospital inpatients and functions in the role of supporting patients and families who are facing life-limiting illnesses or end of life, helping patients and families access resources in the hospital and after discharge, and providing education on care options when appropriate.

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.

12/25/17

Gastroenterologist - Brunswick, ME

Mid Coast Medical Group is seeking a full time BC/BE Gastroenterologist to join an established Gastroenterology practice with two Physicians and two Nurse Practitioners.

Mid Coast Medical Group is seeking a full time BC/BE Gastroenterologist to join an established Gastroenterology practice 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.

12/25/17

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.

 12/25/17

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

12/18/17

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.

11/20/17

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/.
 
12/25/17
 
 

Anesthesiologist - Augusta/Waterville

Kennebec Anesthesia Associates PA seeks an Anesthesiologist to work in Augusta and Waterville, Maine.

Kennebec Anesthesia Associates PA seeks an Anesthesiologist to work in Augusta and Waterville, Maine. The Anesthesiologist is responsible for the supervision of or administration of anesthetics during surgical, endoscopic, and radiological procedures. The Anesthesiologist provides analgesic services to obstetric patients, surgical patients, and medical patients with acute pain problems and provides advanced life supporting treatments in support of providers in the intensive care unit and emergency departments.  The Anesthesiologist is responsible for the preoperative evaluation and assessment of perioperative risk, preoperative preparation of the patient for anesthesia, monitoring and treating patients before, during, and after anesthesia and treating adverse reactions or complications intraoperatively and postoperatively. The Anesthesiologist decides when patients have recovered or stabilized enough to be sent to another room or ward or to be sent home following outpatient surgery; coordinates administration of anesthetics with surgeons during operations; confers with other medical professionals to determine type and method of anesthetic or sedation to render patient insensible to pain; and coordinates and directs work of nurses, medical technicians, and other health care providers. Qualified candidates must have a M.D. or D.O.; State of Maine Medical License; immediate eligibility for Board certification in anesthesiology; and a valid DEA number.

Candidates should send resumes to: Karen Wheeler, Kennebec Anesthesia Associates, 35 Medical Center Parkway, Suite 201, Augusta, ME 04330; tel. (207) 620-1136; e-mail: kwheeler@kennebecanesthesia.com.

12/4/17

Physiatrist - Brunswick, Maine

Mid Coast Medical Group is seeking a full time BC/BE Physiatrist to join an established practice of one Physician and one Nurse Practitioner.

Mid Coast Medical Group is seeking a full time BC/BE Physiatrist to join an established practice of one Physician and one Nurse Practitioner. The team approach to care also includes in office psychiatric consultations and an R.N. to assist with care plans. Call is 1:3 (phone call only). Successful completion of a residency in PM&R is required. 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

1/8/18

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.