Maine Medicine Weekly Update - October 29, 2018
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Election Day is Next Week: 8 Physicians are Candidates for the 129th Maine Legislature

The MMA says, "Good luck!" to all the physician candidates and urges all physicians to vote!

REMINDER:  MMA's Legislative Committee will hold its organizational meeting for the new legislature on Thursday, December 6th.  See related article in the newsletter.

The mid-term elections are a week from tomorrow and Mainers (who haven't already voted absentee) will go to the polls to vote for candidates for Maine's U.S. Senate seat held by Angus S. King, Jr.; two seats in the U.S. House; Governor; and all 186 seats in the 129th Maine Legislature.  Voters also will consider referendum questions and bond proposals in addition to local issues.

The MMA is excited with the level of engagement in the public policy debate and one example of the high level of engagement is eight physician candidates for the new legislature.  Three of the physician candidates are incumbents.  The senior member of the “physician caucus” is Senator Geoffrey Gratwick, M.D. (D–Senate District 9, Bangor & Hermon) and he is a retired rheumatologist serving his third term in the Senate who sits on the Environment & Natural Resources Committee.  The two physician members of the Maine House are Representative Patricia Hymanson, M.D. (D–House District 4, Ogunquit and parts of Wells, York, & Sanford) and Representative Heidi Brooks, M.D. (D–House District 61, part of Lewiston).  Representative Hymanson is a retired neurologist who serves as the House Chair of the Health & Human Services Committee and Representative Brooks is trained as a family physician and she sits on the Insurance & Financial Services Committee.  Both representatives are serving their second terms. 

Former Maine House member Linda Sanborn, M.D. is the Democratic challenger to Senator Amy Volk (R) in Senate District 30 in Cumberland County.  Ned Claxton, M.D. (D) is running against current Maine House Republican whip, Ellie Espling (R), in Senate District 20, a Senate seat in Androscoggin County vacated by Senator Eric Brakey (R), the Republican challenger to Senator King.  Richard Evans, M.D. is pursuing his second run as a Democrat for the House District 120 seat including Dover-Foxcroft and surrounding communities.  Patricia Nobel, M.D. is the Democratic candidate for House District 142, including Lincoln.  Ted Sussman, M.D. is the Democratic candidate for House District 145, including Houlton.  

 The MMA sends its best wishes to all the physician candidates on Election Day and urges all physicians to vote!

The outgoing 128th Legislature has a very close partisan division, so control of both chambers of the legislature could "go either way."  The Senate is composed of 18 Republicans and 17 Democrats.  The House of Representatives includes 73 Democrats, 70 Republicans, 1 Green Independent, 5 Independents, and 1 Common Sense Independent. 

In addition to the candidates for the 129th Legislature, the MMA is also concerned about the impact that November’s ballot initiative Question 1 may have on physician recruitment and retention. The “Universal Home Care Program” will create a program to provide home based assistance to the elderly and people with disabilities funded by a new 3.8% tax on adjusted gross income of individuals and families earning more than $128,400.

You can find the General Election information on the web here.

 

Health Insurance Marketplace 2019 Open Enrollment Begins Thursday, November 1

Open Enrollment begins this Thursday, November 1, 2018 for 2019 health insurance plans through the Health Insurance Marketplace. Open Enrollment for 2019 only lasts for 6 weeks and will end on December 15, 2018.

Health Insurance Marketplace Open Enrollment for 2019 starts this week on Thursday, November 1.  Many people can get help with premiums or out-of-pocket costs for plans in the Health Insurance Marketplace.

  • Visit HealthCare.gov to review 2019 plan options, and enroll between November 1 and December 15.
  • Sign up or renew your health plan by December 15 if you want coverage for 2019.
  • Enroll online at www.healthcare.gov, or enroll in-person with help from a certified assister.
  • To find in-person help near you, visit https://localhelp.healthcare.gov or call the Maine Consumers Assistance HelpLine at 1-800-965-7476.

Ten Takeaways from the Surgeon General's Opioid Report

In a new report on the opioid epidemic, Surgeon General Jerome Adams, MD, highlights the need for a cultural shift in the nation's perception of substance-abuse disorders (SUDs). He emphasizes that SUDs are chronic-but-treatable diseases.

 

In a new report on the opioid epidemic, Surgeon General Jerome Adams, MD, highlights the need for a cultural shift in the nation's perception of substance-abuse disorders (SUDs). He emphasizes that SUDs are chronic-but-treatable diseases.

To remedy the problem, Dr. Adams, an AMA member, suggests that physicians and policymakers focus on evidence-based treatments— both medications and behavioral therapies—that can save lives and restore people's health and wellbeing. The AMA agreed that there is a great need to recognize that patients suffering "require medical intervention, not moral judgment." Here are ten major takeaways from the report:

  1. Only 1 in 4 people, (28.6 percent) with opioid-use disorder (OUD) received specialty treatment for illicit drug use in the past year, 45.5 percent of people with a SUD also have a mental disorder, but only half (51.0 percent) receive treatment for either disorder.
  2. Individuals receiving buprenorphine with counseling have significantly lower total health care costs than individuals receiving little or no treatment for their OUD ($13,578 compared to $31,055). As of September 2018, 44,968 physicians and 8,825 nurse practitioners and physician assistants, are approved to prescribe buprenorphine.
  3. Research has found that, for every dollar spent on prevention programs, the program returns between $0.62 and $64.18 in reduced costs.
  4. Incorporating treatment for multiple SUDs can be beneficial and is associated with a 25 percent increase in the likelihood of maintaining long-term abstinence from alcohol and drug misuse.
  5. Evaluation studies have clearly shown that syringe services programs are effective in reducing HIV and HCV transmission and do not increase rates of community drug use. They help individuals engage in treatment to reduce, manage, and stop their substance use when appropriate.
  6. The introduction of illicitly manufactured fentanyl and other highly potent synthetic opioids to the drug supply makes immediate access to naloxone crucial to effective overdose death prevention. Although regulations vary, most states have passed laws expanding access to naloxone without a patient-specific prescription.
  7. Multiple factors create barriers to widespread use of MAT. These include provider, public, and client attitudes and beliefs about MAT; lack of an appropriate infrastructure for providing medications; payment policies; need for staff training and development; and legislation, policies, and regulations that limit MAT implementation.
  8. An abstinence-only philosophy that avoids the use of medications for opioid treatment is not scientifically supported. Research clearly demonstrates that opioid-agonist therapy leads to better treatment outcomes compared to behavioral treatments alone. Decades of research have shown that the benefits of opioid agonist therapy greatly outweigh the risks associated with diversion.
  9. A public health approach to the opioid crisis will also reduce other harmful consequences, such as infectious disease transmission and neonatal abstinence syndrome.
  10. Effective integration of prevention, treatment, and recovery services across health care systems is key to addressing opioid misuse and its consequences, and it represents the most promising way to improve access to and quality of treatment.

 

Bangor Daily News & Portland Press Herald Oppose Question 1

The Bangor Daily News and the Portland Press Herald have issued editorials strongly opposing Question 1, the Maine referendum question that would increase taxes on high earners to fund universal home care for seniors.

 

The Bangor Daily News and the Portland Press Herald have issued editorial opinions strongly opposing Question 1, the Maine referendum question that would increase taxes on high earners to fund a new bureaucracy that would provide universal home care, including help with chores, for seniors.

In doing so they join the Maine Medical Association, the Maine Hospital Association, the Maine State Chamber of Commerce, the Maine Home Health & Hospice Association, and many other groups who have decided this is a bad idea.

 You can read the editorials here:

https://www.pressherald.com/2018/10/24/our-endorsement-no-on-question-1-plan-lacks-oversight/

http://bangordailynews.com/2018/10/22/opinion/editorials/question-1-is-wrong-solution-for-maines-home-care-problem/#_=_

 

 

 

Trump Proposal Seeks to Reduce Some Medicare Drug Prices, Encourage Employees to Purchase Health Insurance

President Trump is proposing Medicare drug pricing based on prices paid in other advanced, industrial countries. The administration is also proposing new tax-free accounts for small businesses to allow employees to buy their own individual health insurance policies.

 

[from the AMA Morning Rounds]

The New York Times (10/25, Pear) reports during a speech at HHS on Thursday, President Trump proposed that “Medicare pay for certain prescription drugs based on the prices paid in other advanced industrial countries – a huge change that would save money for the government and for millions of Medicare beneficiaries.” The article says, “As part of a demonstration project covering half the country, Medicare would establish an ‘international pricing index’ and use it as a benchmark in deciding how much to pay for drugs covered by Part B of Medicare.”

The AP (10/25, Alonso-Zaldivar) reports that the proposal “would not apply to medicines people buy at the pharmacy, just ones administered in a doctor’s office, as are many cancer medications and drugs for immune system problems.” In addition, it will take more than a year to implement the plan, which “is structured as an experiment through a Medicare innovation center empowered to seek savings by the Affordable Care Act,” the law “which Trump is committed to repealing.”

The AP (10/23, Alonso-Zaldivar) reports that on October 22nd, the Trump administration said it will unveil “new options for small employers to use tax-free accounts for providing health coverage to workers.” The objective “is to expand so-called ‘health reimbursement arrangements’ to allow employees to buy their own individual health insurance policies.” The article says HHS, Treasury and Labor department officials “provided a broad overview of the proposed regulations Monday evening ahead of an official announcement, expected Tuesday.” Critics are warning that this move “will undermine traditional job-based coverage.”

Pen Bay & Waldo Hospitals Host Cancer Education Series November 7: Understanding Lung Cancer

Journey to Health is pleased to partner with providers from Pen Bay Medical Center and Waldo County General Hospital to offer a new cancer education series. Incorporating the latest cancer research, these classes will cover cancer prevention, risk factors and risk reduction, what to expect during treatment and more.

 

Cancer Education Series: Understanding Lung Cancer


Journey to Health is pleased to partner with providers from Pen Bay Medical Center and Waldo County General Hospital to offer a new cancer education series. Incorporating the latest cancer research, these classes will cover cancer prevention, risk factors and risk reduction, what to expect during treatment and more.

Join Elizabeth Connelly, DO, to learn about the different types and stages of lung cancer risk factors and therapeutic
approaches for lung cancer treatment and research.


This presentation is co-sponsored by Pen Bay Medical Center, Waldo County General
Hospital and the Town of Rockport. It can be viewed in person or by live stream. Register online at journeytohealth.coursestorm.com or call 921-3950.


Pen Bay Medical Center | Waldo County General Hospital

"Great American Smokeout" November 15th

For more than 40 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November.  The Great American Smokeout is an opportunity for smokers to commit to healthy, smoke -free lives – not just for a day, but year round. The Great American Smokeout provides an opportunity for individuals, community groups, businesses, health care providers, and others to encourage people to use the date to make a plan to quit, or plan in advance and initiate a smoking cessation plan on the day of the event.

 

For more than 40 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November.  The Great American Smokeout is an opportunity for smokers to commit to healthy, smoke -free lives – not just for a day, but year round. The Great American Smokeout provides an opportunity for individuals, community groups, businesses, health care providers, and others to encourage people to use the date to make a plan to quit, or plan in advance and initiate a smoking cessation plan on the day of the event. 

Read more about the Great American Smokeout HERE.

MMC Medical Education Department Launches Medical Journal; Submissions Sought

Maine Medical Center’s Medical Education Department is launching the state’s only peer-reviewed medical journal dedicated to original research in the health sciences and is seeking submissions from all professionals working in a clinical healthcare and/or medical education setting.

 

 

Maine Medical Center’s Medical Education Department is launching the state’s only peer-reviewed medical journal dedicated to original research in the health sciences and is seeking submissions from all professionals working in a clinical healthcare and/or medical education setting.

The first issue of the open-access, web-based Journal of Maine Medical Center is set to be published in July 2019; all article submissions for this first issue will need to be provided by January 1, 2019. Full details and submission guidelines can be found at www.mmc.org/jmmc.

Maine’s largest teaching hospital undertook this initiative to help develop early-career health care colleagues as published researchers, an important aspect of professional growth. The professional development, identity formation and continuing education that are all part of becoming a published researcher will also elevate clinician engagement throughout the region.

Submissions sought include:

·       Original Research

·       Best Practices in Clinical Medicine Articles

·       Patient Safety and Quality Improvement Exemplars

·       Innovation Highlights

·       Case Reports

·       Reviews

·       Commentaries / Invited Editorials.

This opportunity is open to all professionals working or training in a clinical healthcare and/or medical education setting, regardless of geography, organization or discipline.

 

Webinar: The Changing Landscape of Retirement - Tuesday, November 13 5pm

The Changing Landscape of Retirement: Are You Correctly Allocated For These Financial Times? 
Webinar presented by Baystate Financial and the Maine Medical Association on Tuesday, November 13 from 5-6pm.

 

The Changing Landscape of Retirement: Are You Correctly Allocated For These Financial Times? 

Webinar presented by Baystate Financial and the Maine Medical Association

Tuesday, November 13
5:00 - 6:00 pm

To register for this webinar, please call Lisa Kelley at (207) 770-2028 or email at lisakelley@baystatefinancial.com.

Topics include:

  • What is Asset Allocation?
  • Impacts of Social Security?
  • Creating Your Own Financial Plan
 

 

Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment at Discounted Price: November 30th

 

Enrollment is now under way for the Hanley Center's sixth cohort of its Physician Executive Leadership Institute - The Advanced Course.

 

Enrollment is now under way for the Hanley Center's sixth cohort of its Physician Executive Leadership Institute - The Advanced Course.

Physicians enrolling in the course are designated as McAfee Fellows, in honor of former AMA and MMA President Robert McAfee, M.D. Participants gain knowledge, skills and tools in the core competency areas of: systems awareness; strategic focus; key management/business skills; self-awareness; healthcare trends; and teamwork and collaboration, best enabling them to lead and transform our healthcare delivery system.

Over the past 7 years, more than 150 physicians have participated in the Advanced Course. The sixth class will begin March 2019 at the Brunswick Hotel & Tavern in Brunswick and continue through January 2020. There are six two-day sessions, each running from Thursday evening through late Saturday morning. The class is expected to include 35 physician leaders from Maine, New Hampshire, and beyond. 

A distinguished five-member faculty team from the Heller School at Brandeis University delivers much of the program content for the Advanced Course, joining with Maine-based subject matter experts and physician leaders.  McAfee Fellows receive 80 hours of Category One CME for their participation in the full program.

Deadline for enrollments at a discounted price: November 30, 2018

Ready to accept the challenge? For more information about the Advanced Course, the nomination and the enrollment processes, please visit www.hanleyleadership.org, or contact Judiann Ferretti Smith at judiannsmith@hanleyleadership.org or Kathy Vezina at kathrynvezina@hanleyleadership.org.

To Enroll Go To: https://www.hanleyleadership.org/leadership-programs/physicians-executive-leadership/Advanced-Course 

AMA to CMS: Fund Quality Measures Developed by Physicians

See the AMA's most recent efforts to keep physicians at the forefront of health care quality measure development.

 Recently, CMS announced private-sector cooperative agreements to partner with the agency in developing quality measures for Medicare's Quality Payment Program (QPP). These cooperative agreements, authorized under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), represent the first funding initiative supporting public-private efforts to develop measures for the QPP.

The AMA was instrumental in ensuring MACRA included funding authorization for quality measure development. However, the AMA is extremely disappointed that CMS only issued a single announcement, funding only seven projects. Some of the awards were given to large provider systems and existing Medicare contractors, rather than adhering to the intent of the law and being given physician-led specialty organizations and PCPI®. In addition, much of the work involves re-specifying and/or re-tooling existing measures, which is traditionally work handled by CMS' existing measure development and support contractors.

Therefore, the AMA sent a letter to CMS Administrator Seema Verma voicing physician concern and urging the administrator to issue additional cooperative agreements that would focus on small projects by physician-led organizations. The AMA also requests that CMS ensure that current and future projects are coordinated with specialty societies and that practicing physicians are actively involved during the development, specification and testing of the measures. Key to achieving MACRA's goals is the availability of an adequate portfolio of appropriate quality measures that allows for all physicians, regardless of specialty or subspecialty, to meaningfully participate in the program.

MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available

During the two sessions of the 128th Legislature, the Maine Medical Association advocacy team monitored well over 300 pieces of legislation involving some aspect of healthcare. With the session now nearly concluded, MMA attorneys are available to present a one hour CME talk on the new laws of which physicians need to be aware.

 

This is a one-hour, in-person presentation that will cover all bills that have become law related to health care over the last two years. Any last minute work the Legislature does this week will be added, so that a complete review will be available.

Medical practices, medical staffs or specialty societies interested in the presentation should contact MMA EVP Gordon Smith, Esq. via e-mail to gsmth@mainemed.com.

MMA Legislative Committee's Organizational Meeting Scheduled for December 6

All are welcome to help the MMA determine its legislative agenda for the 129th Maine Legislature.

 The organizational meeting of the MMA Legislative Committee for the 129th Maine Legislature will take place on Thursday, December 6, 2018 from 6:00 p.m. to approximately 8:30 p.m. (dinner available at 5:30 p.m.) at the Frank O. Stred Building, 30 Association Drive in Manchester.  Because the Committee will be discussing the MMA’s legislative agenda for the next two years, medical specialty societies are strongly encouraged to have one or more representatives at the meeting.  Any interested member also is welcome.  Please RSVP to Sarah Lepoff at slepoff@mainemed.com or 622-3374, ext. 213.

The leadership of the Maine Legislature has set December 21, 2018 for cloture, the date by which new bills to be considered in the 129th Legislature must have sponsors and titles submitted.

While the date is not certain, since the newly elected leadership of the next (129th) Legislature can change it, this action makes it highly likely that cloture will not occur before that date. Any party or organization that wishes to have a bill considered in the 129th Legislature must have located a Senate or House sponsor and have at least a title for the bill, if not the whole language, in time for the bill to be submitted before cloture.

Upcoming Specialty Society Meetings

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

UPCOMING SPECIALTY SOCIETY MEETINGS

November 15, 2018
Maine Association of Psychiatric Physicians Executive Council Meeting
6:00pm – 8:00pm – Maine Medical Center, Dana Center
Contact: Dianna Poulin at 207-622-7743 or dpoulin@mainemed.com  

December 12, 2018
Maine Chapter of the American College of Emergency Physicians Meeting
Portland Regency Hotel – Portland, ME – 5:00pm
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

February 1-3, 2019
Maine Gastroenterology Society Meeting
Sugarloaf Inn - Carrabassett Valley, ME
Contact: Gail Begin at 207-588-6619 or gbegin@mainemed.com  

February 2-3, 2019
Maine & Rhode Island Urological Meeting
Sugarloaf Hotel & Conference Center - Carrabassett Valley, ME
Contact: Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com  

February 9-10, 2019
Maine Society of Anesthesiologists Winter Meeting
Sugarloaf Hotel & Conference Center – Carrabassett Valley, ME
Contact: Lisa Montagna at 207-620-4015 or mesahq@gmail.com

April 3-6, 2019
27th Annual Family Medicine Update & Annual Meeting
Atlantic Oceanside – Bar Harbor, ME
Full brochure & registration available after Jan 15, 2019 at www.maineafp.org
Contact: Deborah Halbach at 207-938-5005 or maineafp@tdstelme.net

May 10, 2019
Maine Society of Eye Physicians and Surgeons Spring Educational Program & Business Meeting
Harraseeket Inn – Freeport, ME from 11:30am – 5:00pm
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

May 17-19, 2019
Maine Chapter, American College of Surgeons
Harborside Hotel and Marina – Bar Harbor, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

May 18-19, 2019
Maine Chapter, American Academy of Pediatrics 2019 Spring Conference
Point Lookout – Northport, ME
Contact: Dee Kerry at 207-480-4185 or dakerry@aap.net

 

 

 

 

  


 

Next Steps in Addressing Maine's Opioid Crisis: 10/30 & 11/7 Presentations Scheduled

These free presentations by the Maine Independent Clinical Information Service (MICIS) will be held in Belfast on October 30 from 5-8:30pm and in Portland on November 7 from 5:30-8:45pm. Advanced registration required. 

 

Next Steps in Addressing Maine's Opioid Crisis

Free Presentations - Advanced Registration Required

BELFAST: Tuesday, October 30 5:00-8:30pm
Hutchinson Center REGISTER FOR BELFAST

PORTLAND: Wednesday, November 7  5:30-8:45pm
Fireside Inn & Suites REGISTER FOR PORTLAND

Topics:

  • Opioid Use Disorder and Medication Assisted Recovery: Caring for Our Communities
  • Alternative Treatments for Chronic Pain
  • Recent Legal Changes Affecting Opioid Prescribing in Maine

Presenters: Elisabeth Fowlie Mock, MD, MPH and Peter Michaud, JD, RN.  Presented by MICIS.

This 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, and the similar requirement in the recent amendments to Chapter 1 of the Rules of the Board of Licensure in Medicine.

The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS).  The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians

The Maine Independent Clinical Information Service (MICIS www.micismaine.org) is a program of the Maine Medical Association.  For more information, contact Susan Kring at 480-4190 or skring@mainemed.com. 

Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3

Save the date for the NNESAM 2018 Annual Conference taking place at the Trapp Family Lodge in Stowe Vermont November 2 & 3, 2018.

SAVE THE DATE

Northern New England Society

of Addiction Medicine

2018

Annual Conference & Meeting

November 2 & 3, 2018

(Friday evening, all day Saturday)

Conference registration forms will be available later

Trapp Family Lodge

Stowe, Vermont

www.trappfamily.com – please contact the Lodge for reservations

Conference rate:  $187, rate available for 11/4 and 11/5

Please request conference rate for NNESAM

 

Introduction to Lean in Healthcare Full-Day Workshop on Friday, November 9

Lean Healthcare East presents a full day workshop on Lean process improvement for hospital and practice leaders.

 

Are you frustrated by poor communication and waste in your work processes? Lean has recently transformed the way many hospitals and health systems operate. This full-day workshop on November 9 in Portland provides those who lead hospitals, health centers, practices, and related service industries with an introduction to Lean thinking and process improvement tools. The first half of the day will cover the principles of Lean thinking and provide several exercises so participants can compare traditional processes to Lean processes. The second half of the day will share an overview of some of the important Lean tools and challenge the class to identify applications for Lean in their organization.

Lean Healthcare East has over 30 years combined experience in leading organizational transformation and have many engaging exercises and examples to share from their experiences implementing Lean improvements at hospitals and other healthcare related organizations. Click here to learn more and register for the workshop. If you have questions or want to schedule a workshop at your practice please contact the Lean Healthcare East team.

Division of Disease Surveillance Annual Infectious Disease Conference - November 14

Since 1983, the Maine Center for Disease Control and Prevention, Division of Disease Surveillance, Department of Health and Human Services has organized an annual infectious disease conference targeting public health issues of emerging concern to medical practitioners throughout the state. Presentation topics will focus on a range of infectious diseases.

Since 1983, the Maine Center for Disease Control and Prevention, Division of Disease Surveillance, Department of Health and Human Services has organized an annual infectious disease conference targeting public health issues of emerging concern to medical practitioners throughout the state. Presentation topics will focus on a range of infectious diseases.

DATE: November 14, 2018

LOCATION: Augusta Civic Center, Augusta, ME

AGENDA:
  7:45 - Participant and Exhibitor Registration Poster Set-up
  8:15 - Welcome
  8:30 - Top 10 - Updates and Epidemiolog and STDs - Dr. Katherine Hsu, MD, MPH, FAAP
10:45 - Break / Visit Exhibits & Posters
11:00 - Antibiotic Stewardship - Minkey Wungwattana, PharmD, BCPS-AQ ID
12:00 - Lunch & Pump Handle Awards, Visit Exhibitors & Posters
  1:15 - Infectious Disease Hazards of Occupational and Recreational Needle Use - Panel Discussion
  2:15 - Tuberculosis Diagnosis - Prevention and Treatment - Elizabeth A. Talbot, MD
  3:15 - Break / Visit Exhibits & Posters
  3:30 - What About Rabies? - Rachel Fiske, DVM
  4:30 - Adjourn
Please check the event website for agenda updates and additional speaker information.

Continuing Education:

  • Nurse Continuing Education
  • Continuing Medical Education
  • American Osteopathic Association
  • American Academy Family Physicians Continuing Education
  • Pharmacy Continuing Education
  • General Continuing Education

Intended Audience:

  • Healthcare Providers - Immunization Program Staff, Clinicians, Hospital & Nursing Leaders, Health Policy Makers, Public Health Workers, Healthcare Administrators, Infection Control Practitioners, Pharmacists and Laboratorians.
  • Medical Office Staff - Practice Managers, Nurses, Case Managers, Medical Assistants, Health Educators, Pharmacy and Laboratory Staff.
  • Others interested in emerging infectious diseases of public health significance including public health educators, partners in public health, and students of public health, nursing or medicine.

Questions should be directed to 207-626-3615 or adcare@adcareme.org.

For more information and to register online visit:  http://www.cvent.com/d/4gqcxk

MICIS 3-hour Opioid CME Presentation - Portland - November 26

All licensees of the Board of Licensure in Medicine must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not.

 

All licensees of the Board of Licensure in Medicine must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not.

Improving Opioid Prescribing and Patient Safety

This 3-hour presentation is an updated version of the broad clinical and legal review of opioid prescribing in Maine first presented by MICIS in 2017.

The Maine Board of Licensure in Medicine has established a new CME rule which is currently effective. All its licensees, whether MDs or Physician Assistants, must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not. No BOLIM licensee is exempt from this requirement.  

MICIS, a program of the Maine Medical Association, is scheduling five 3-hour presentations on opioid prescribing in different regions of the state which are designed to fulfill this requirement.  Registration is open for:  

PORTLAND: Monday, November 26 at Fireside Inn REGISTER HERE

Presentations were held in Brewer on August 21, Auburn on September 12, Augusta on October 16 and Wells on October 17.

Topics and Learning Objectives:

How Did We Get Here: (1) review 2016 CDC opioid prescribing guidelines, (2) understand morphine milligram equivalents (MMEs), (3) Assess alternative treatments for acute and chronic pain

Transforming Our Practices & Our Communities: (1) review best practices in opioid prescribing practice transformation, including team-based care, (2) understand benefits of buprenorphine prescribing, anticipate prescribing naloxone for all patients and families at risk

    Recent Legal Changes Affecting Opioid Prescribing in Maine: learn about recent changes in (1) Maine statutes related to opioid prescribing and safety and Substance Use Disorder recovery, (2) rules from licensing boards related to opioid prescribing and safety and Substance Use Disorder recovery, (3) rules from Maine DHHS relating to opioid prescribing and safety and Substance Use Disorder recovery

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

    This MICIS 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, and the similar requirement in the recent amendments to Chapter 1 of the Rules of the Board of Licensure in Medicine. 

    The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS). The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

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

    Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Dec 8, Feb 2, Mar 2, Apr 6

    Maine continues to see deaths from opiate use increase. Rates of opiate use are highest in the 18-25 year old group and data from those entering treatment suggest that the majority begin using before the age of 17. Maine AAP is committed to helping practitioners identify youth on this path earlier and intervening earlier! SBIRT (Screening, Brief Intervention, Referral to Treatment) is one evidence based approach to doing this.

     

    Maine continues to see deaths from opiate use increase. Rates of opiate use are highest in the 18-25 year old group and data from those entering treatment suggest that the majority begin using before the age of 17. Maine AAP is committed to helping practitioners identify youth on this path earlier and intervening earlier! Screening, Brief Intervention, Referral to Treatment is one evidence based approach to doing this. Maine AAP will be offering several trainings throughout the state over the next 6 months. Please consider joining us to enhance your skills in identifying and offering brief interventions in the primary care settings for youth on the path to substance use disorders.

    The Maine AAP will be offering one day Saturday sessions in several regions of Maine, providing training and coaching to Pediatricians and Pediatric Specialists in SBIRT (Screening, Brief Intervention and Referral to Treatment) and effective conversational skills in Motivational Interviewing.

    Confirmed Dates for all sessions:

    Saturday, December 8, 2018 - Presque Isle/Caribou - REGISTER NOW

    Saturday, February 2, 2019 - Bangor - REGISTER NOW

    Saturday, March 2, 2019 - Farmington - Franklin Memorial Hospital, Allen Room - REGISTER NOW

    Saturday, April 6, 2019 - Biddeford/Saco - REGISTER NOW

    Instructor: Stephen R. Andrew LCSW, LADC, CCS, CGP is a storyteller, consultant, trainer, co-author of Game Plan: A Man's Guide to Achieving Emotional Fitness, and Chief Energizing Officer of Health Education & Training Institute. He maintains a compassion-focused private practice in Portland, Maine (USA) where he also facilitates a variety of men's, co-ed, couples, and caregiver groups. Stephen has been a member of the International Motivational Interviewing Network of Trainers (MINT) since 2003 as well as a MIA-STEP (Motivational Interviewing Assessment; Supervisor Tools for Enhancing Proficiency) trainer for the New England ATTC. Stephen has been MITI trained and has over 100 hours of training in Motivational Interviewing. He provides coaching and training domestically and internationally for social service agencies, health care providers, substance abuse counselors, criminal justice, and other groups.

     

    Primary Care Physician

    Hometown Health Center, Newport, ME, seeks a doctor to serve as a leader within its patient centered medical home model.

    Hometown Health Center, Newport, ME, seeks a doctor to serve as a leader within its patient centered medical home model. This physician provides the full scope of primary care services including diagnosis, treatment, coordination of care, preventative care and health maintenance to patients, and  work with the Suboxone program.

    HHC is an FQHC that fosters a strong comradery among all staff and is family oriented with a positive atmosphere and connectedness where support for each other and for the patients is the primary culture.

    Join the HHC team and experience rural living near larger cities, an encouraged work/life balance, and the ability to develop deep relationships with your patients.

    Hometown Health Center is more than a medical office. It’s a way of life.

    Send cover letter and CV to:

    Robin Winslow, CEO,
    Hometown Health Center,
    118 Moosehead Trail, Suite 5,
    Newport, ME 04953.
    Or email robin.winslow@hhcme.org
    www.hometownhealthcenter.org

    11/26/18

    PCHC wants to add more Family Physicians at Multiple Locations!

    PCHC is recruiting Family Medicine Physicians for locations in Belfast, Old Town, and Bangor.

    PCHC is recruiting Family Medicine Physicians for locations in Belfast, Old Town, and Bangor.  This is your chance to work for a nationally recognized FQHC that is a leader in integrated primary care!

    • Come and join our team at Seaport Community Health Center and become a part of a vibrant and active coastal community!
    • Work and play minutes away from the flagship university of the University of Maine System by working at our Helen Hunt Health Center!
    • Become a part of the health center where it all began, Penobscot Community Health Center located in the heart of Bangor, Maine!

    We are the largest and most comprehensive FQHC in Maine and the 2nd largest in New England. PCHC offers family medicine, psychiatry, mental health, pediatrics, specialty services, physical therapy, pharmacy, social work, lab, x-ray, and a large public health dental center -- all within our organization. If your passion is in community health, there is no place else to be. Questions? Contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com.

    12/3/18

    Outpatient Internal Medicine Physician – Bangor, Maine

    Northern Light 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.

    Northern Light 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. Our practice is one of seven primary care practices operated by Northern Light 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.

    Northern Light 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
    Northern Light Health
    Phone: 207-973-5358
    ProviderJobs@NorthernLight.org

    11/19/18

    OB/GYN Physician Opportunity

    Franklin Community Health Network is seeking a Board Certified/Board Eligible OB/GYN physician to join their hospital-employed practice located in Farmington, Maine. 

    Franklin Community Health Network is seeking a Board Certified/Board Eligible OB/GYN physician to join their hospital-employed practice located in Farmington, Maine. 

    The successful candidate will join a team of three physicians and a Certified Nurse Midwife, sharing a 1 in 4 call schedule.  This well-established practice offers a progressive laborist model.  Candidates will have the opportunity to work in a very collegial atmosphere at Franklin Health Women’s Care.  The practice has a 4 day work week with a mix of office and OR time in collaboration with an experienced team of physicians and highly skilled clinical staff.  The office is located on the Franklin Memorial Hospital campus, a 65-bed, acute care community hospital with a 40-member medical staff.  In addition to an annual base salary, physicians are offered significant additional income potential, as well as student loan repayment and relocation assistance.   

    Please contact Donna Lafean, Recruiter, MaineHealth/Franklin at (207) 779-2185 or dlafean@mmc.org.

    11/19/18

    Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director

    Tucked in the beautiful western mountains of Farmington, Maine, this full-time position with have an average of 14 patients per day and call is provided by our own local Evergreen Crisis Team, providing 24 hour crisis service coverage. 

    Tucked in the beautiful western mountains of Farmington, Maine, this full-time position with have an average of 14 patients per day and call is provided by our own local Evergreen Crisis Team, providing 24 hour crisis service coverage. The candidate would be the Lead provider for the Practice, IOP Program Director, Medical Director/Board member of our Crisis program, and Suboxone prescriber.

    Patient volume draws from a wide geographic region with 40,000 people.  This evolving practice now offers ECT treatment and has a shared medical record with primary care practices in a patient centered medical home model. The provider would work with 2 Nurse Practitioners and a team of clinical professionals in our Medical Arts Building attached to Franklin Memorial Hospital, a 65-bed, acute care community hospital with a 40-member medical staff offering exceptional benefits and compensation packages.

    Contact Donna Lafean, Recruiter, MaineHealth/Franklin at dlafean@mmc.org.

    11/19/18

    Internal Medicine MD or DO (BE/BC)

    Franklin Health Internal Medicine is an office based Internal Medicine practice tucked in the beautiful western mountains of Maine, and owned by Franklin Memorial Hospital, a member of Maine Health.

    Franklin Health Internal Medicine is an office based Internal Medicine practice tucked in the beautiful western mountains of Maine, and owned by Franklin Memorial Hospital, a member of Maine Health. FH Internal Medicine provides office based adult medicine services and preventive and diagnostic cardiovascular services and serves a population of approximately 40,000.

    FHIM providers average 15 to 18 patients with ages ranging from 18 to end-of –life. Expectation is 36 hours a week with 32 patient contact hours. The office is located on the Franklin Memorial Hospital campus, a 65-bed, acute care community hospital with a 40-member medical staff.  In addition to an annual base salary, physicians are offered significant additional income potential, as well as student loan repayment and relocation assistance.   

    Please contact Donna Lafean, Recruiter, MaineHealth/Franklin at (207) 779-2185 or dlafean@mmc.org.

    11/19/18

    Podiatrist (Non-Surgical)

    We are seeking a full-time, podiatrist to provide a full scope of general, non-surgical podiatric services to HAN patients in Lincoln, Maine.

    We are seeking a full-time, podiatrist to provide a full scope of general, non-surgical podiatric services to HAN patients in Lincoln, Maine.

    Competitive compensation / benefits package that includes: Sign on bonus; relocation expense reimbursement; loan repayment available; 100% paid premiums for health insurance for podiatrist and dependents; life, short-term, and long-term disability insurance; 401K plan available; generous paid time off; CME allowance; and Federal Tort Claims Act (FTCA) Malpractice Insurance.

    Candidate must hold a valid license to practice podiatric medicine in the State of Maine and a valid DEA license.

    Health Access Network is a federally funded community health center and an equal opportunity employer and program.

    Please forward cover letter and CV to:

    Sonia Maxwell, HR Director / Compliance Officer
    smaxwell@hanfqhc.org (preferred)
    Health Access Network
    P.O. Box 99
    Lincoln, ME 04457

    11/12/18

    Internal Medicine Outpatient Physician

    Maine Medical Partners Internal Medicine Westbrook is seeking a BC/BE Internal Medicine physician for their well-established outpatient practice located in the greater Portland, Maine area.

    Maine Medical Partners Internal Medicine Westbrook is seeking a BC/BE Internal Medicine physician for their well-established outpatient practice located in the greater Portland, Maine area.  The selected candidate will join 4 internal medicine physicians, 4 family medicine physicians and a geriatrician.

    Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School.  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.  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.

    12/3/18


    Seeking Medical Director for Family Medical Practice in Waterville, ME

    Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.

    Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.  We are looking for an individual with a commitment to providing care to an underserved population, as well as a strong interest in team building, mentorship, and collaboration.  The weekly schedule would involve 16 hours of direct patient contact, with the remainder of time dedicated to practice leadership and care coordination.  Elmwood Primary Care has considerable behavioral health support, including a psychiatric nurse practitioner, a licensed clinical social worker providing counseling services, and social work services within the practice.  We strive to improve the health and well-being of our patients and the community as a whole, and we wish to find someone who shares this desire.  Interested candidates should email Tiffiny Parker, Physician Recruiter at tiffiny.parker@mainegeneral.org.

    10/29/18


    Director of Finance

    Pines Health Services a Federally Qualified Health Center located in beautiful Aroostook County, Maine has an immediate opening for a full-time Director of Finance. 

    Pines Health Services a Federally Qualified Health Center located in beautiful Aroostook County, Maine has an immediate opening for a full-time Director of Finance.  This detail-oriented and motivated individual will direct the overall financial management and financial system planning of this multi-site, multi-specialty physicians’ practice management organization under the direction of the Chief Executive Officer.  Qualified candidates will be responsible for all accounting functions including accounts payable, accounts receivable, payroll, general ledger, and budgeting.  Additionally, the candidate will perform a lead role in working with our independent auditors, reporting provider productivity on a routine basis, identifying opportunities for improved financial performance across the practice, and preparing various financial and statistical reports required by regulatory agencies. The successful candidate will have a Bachelor’s Degree in Accounting or Business Administration or equivalent work experience.  Qualified applicants are invited to apply at Pines Health Services, Attn: Human Resources Office, P.O. Box 40, Caribou, ME 04736, or at careers@pineshealth.org.

    10/29/18

    Physician – Leeds

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

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

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

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

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

    Requirements
    Current Maine license. Proficiency with electronic medical records.

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

    10/29/18


    Psychiatric Mental Health NP - Leeds

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

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

    Our three health centers serve a multicultural, rural population and have a family practice focus serving pediatrics to geriatrics.

    Responsibilities: Assessment of mental health needs for children or adults; Diagnosing mental health/psychiatric conditions; Developing and executing treatment plans; Providing primary health care; Prescribing medication (Suboxone waiver, required); It is a full-time 4 days per week.

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

    Requirements
    Current Maine License. Proficiency with electronic medical records.

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

    10/29/18

     

     

    Psychiatric Nurse Practitioner - Nasson Health Care

    Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

    Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  The Psychiatric Nurse Practitioner:

    • Provides diagnoses, conducts therapy and prescribes medication for patients with substance use disorder, psychiatric disorders and medical organic brain disorders.
    • Assures access for continuity of care through appropriate referrals for sub-specialty and inpatient services and prompt follow-up of patients discharged from inpatient settings.

    Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an advance practice nurse practitioner, Board Certification as a Psychiatric-Mental Health Nurse Practitioner as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

    • A minimum of three years’ experience in a psychiatric or primary care medical practice required.
    • A working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.
    • Willingness to work some non-traditional hours and ability to travel between YCCAC/Nasson Health Care clinical sites. 

    Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until position is filled.  York County Community Action Corp., 6 Spruce Street, P.O. Box 72, Sanford, ME 04073 - (207)324-5762 or 1-800-965-5762 - Fax (207)459-2811 - apply@yccac.org - EOE

    10/22/18

    Nurse Practitioner - Nasson Health Care

    Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

    Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

    • Provides direct clinical services in accordance with the highest standards of medical and nursing practices and in full accordance with health center policies and protocols.
    • Fully embraces and carries out all applicable NCQA Patient Centered Medical Home standards and Federally Qualified Health Center requirements.

    Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an adult, family or pediatric nurse practitioner, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

    • A minimum of three years’ experience in a primary care medical practice required.
    • A working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

    Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until position is filled.

    York County Community Action Corp.
    6 Spruce Street, P.O. Box 72
    Sanford, ME 04073
    (207)324-5762 or 1-800-965-5762
    Fax (207)459-2811
    apply@yccac.org
    EOE

    10/22/18

    Internal Medicine Physician

    Maine Medical Partners Internal Medicine is seeking a FT Board Certified/Board Eligible Internal Medicine physician for their well-established outpatient practices located in the greater Portland area. 

    Maine Medical Partners Internal Medicine is seeking a FT BC/BE Internal Medicine physician for their well-established outpatient practices located in the greater Portland area.  This is an exciting opportunity involving the teaching of medical students and residents, and includes the option to continue hospital care if desired. 

    Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School.  The successful candidate will 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.  Just two hours north of Boston, this is an exceptionally diverse and vibrant community. 

    For more information please contact Gina Mallozzi, Physician Recruiter at (207) 661-2092 or gmallozzi@mmc.org.

    11/12/18

    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.