Maine Medicine Weekly Update - December 17, 2018
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Governor-Elect Mills Nominates Jeanne Lambrew, PhD as HHS Commissioner

On Friday (Dec. 16) Governor-Elect Janet Mills named Washington insider Jeanne Lambrew, PhD to serve as Commissioner of the Department of Health and Human Services. Once confirmed by the Legislature, Lambrew will take over the largest Department in state government with a budget of over $3.4 billion and 3,400 employees.

 

Lambrew grew up in Cape Elizabeth and is the daughter of Costas "Gus" Lambrew, M.D. and Pat Lambrew, RN.  Dr. Lambrew practiced cardiology at the Maine Medical Center for 40 years and he and Pat reside currently in Scarborough.

 
A graduate of Amherst College and the University of North Carolina-Chapel Hill, Lambrew has had a distinguished career in academia and in government. From 2009-2011 she served in the Obama White House as Deputy Director of the Office of Health Reform and was a key contributor in the drafting of the Affordable Care Act. She had previously served in the Clinton Administration where she helped analyze health issues and develop proposals as a program associate director at the Office of Management and Budget (OMB) and as the senior health analyst at the National Economic Council.
 
Lambrew began her academic career as an assistant professor at Georgetown University. She moved to the Department of Health and Human Services during the 1993-94 push for health care legislation, and she went on to coordinate budget proposal analysis in 1995. She later worked at the George Washington University School of Public Health and Health Services as an associate professor. She moved to the Lyndon Johnson School of Public Affairs at the University of Texas, where she served as an associate professor of public affairs. She has also served as senior fellow at the Center for American Progress and co-authored a book, Critical: What We Can Do About the Healthcare Crisis, with former Senate Majority Leader Tom Daschle.
 
Most recently, she has been a Senior Fellow at The Century Foundation where she conducted research on policies to improve health care access, quality and affordability. 
 
Lanbrew's appointment is the first cabinet level position to be announced by Governor-elect Mills. Lambrew is expected to begin work at the Department immediately following confirmation hearings and Senate votes which will take place over several weeks following the Jan. 2 inauguration of Governor Mills. 

MMA Holiday Hours

The Maine Medical Association offices in Manchester will be closed on Monday, December 24, Tuesday, December 25, and Tuesday, January 1.

 

U.S. Federal Court in Texas Strikes Down the Affordable Care Act

A federal judge in Texas has ruled that the Affordable Care Act (ACA) is unconstitutional in a case brought by 20 Attorneys General from conservative states, a case joined by Maine Governor Paul LePage. An appeal to the Fifth Circuit Court of Appeals is expected and in the meantime, the ACA is still the law of the land.

 

Governor-elect Janet Mills did not mince words in expressing her opinion of the decision: "This is a backward, poorly-reasoned decision," she said, "but it does not change the fact that the Affordable Care Act is still the law of the land." Senator Angus King also tweeted that the ruling, while concerning, "...WILL NOT impact ACA plans for 2019." A variety of legal experts, both liberal and conservative, have raised serious questions about the legal reasoning in the decision.

The 55-page opinion by U.S. District Court Judge Reed O'Connor stated that the elimination of the penalty for not having health insurance made the entire law invalid. Supporters of the ACA called the ruling "misguided" and said they will appeal it. Senator Susan Collins, who voted recently to repeal the individual mandate, stated Sunday that she was confident the ruling would be reversed on appeal. Any appeal would go first to the U.S. Court of Appeals for the Fifth Circuit, then possibly to the U.S. Supreme Court, which in an earlier case upheld the ACA as constitutional. The Trump administration has said it will continue to enforce the law until the appeal process has run its course.

Maine on the Short End of Federal Opioid Funding

Maine's overdose death rate, which rose from 11th in the nation in 2016 to 9th in 2017, was used to determine a much smaller share of federal opioid program funding than similar states.

 

Maine received $4.4 million, compared to Delaware and Rhode Island which tied for 10th place and each received $12.5 million. Both of those states have smaller populations than Maine's. New Hampshire, with a similar population, received $22.8 million based on its third-highest per capita overdose rate.

The money came through the State Opioid Response grant program, using funding from the 21st Century Cures Act.

Maine's congressional delegation is already working for a better funding model for 2019. The full story, from the Portland Press Herald, may be found here: https://www.pressherald.com/2018/12/16/trump-administration-funding-formula-causes-maine-to-lose-out-on-millions-in-federal-opioid-funding/ 

Important Notification to Physicians & Staff from CMS

All Medicare Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program contracts expire on December 31, 2018. Starting January 1, 2019, there will be a temporary gap in the entire DMEPOS Competitive Bidding Program that CMS expects will last until December 31, 2020.

 

All Medicare Durable Medical Equipment, Prosthetics, Orthotics, & Supplies
(DMEPOS) Competitive Bidding Program (CBP) contracts expire on
December 31, 2018. Starting January 1, 2019, there will be a temporary gap in

the DMEPOS CBP that CMS expects will last until December 31, 2020.
 
During the temporary gap, any Medicare enrolled DMEPOS supplier may
furnish DMEPOS items and services to people with Medicare. In most cases,
people with Medicare won’t need to switch suppliers on or after January 1,
2019. Suppliers must continue to furnish:
 
• Capped Rental items (such as wheelchairs, hospital beds, and continuous
positive airway pressure devices) through the remainder of the 13-month
rental period. Title to the equipment must be transferred from the supplier
to the person with Medicare using the equipment after the end of the 13th
month.

• Oxygen and oxygen equipment through the remainder of the 36-month
rental period. After the 36th continuous month of Medicare payment,
the supplier is required to continue providing the oxygen and oxygen
equipment during any period of medical need for the remainder of the

five-year reasonable useful lifetime of the oxygen equipment.
 
An exception to these two requirements is if people with Medicare travel
or permanently move outside their supplier’s normal service area. Suppliers
that furnish oxygen equipment for the 36th continuous month of Medicare
payment must arrange for people with Medicare to get their oxygen
and oxygen equipment in the new area for the remainder of the 5-year
reasonable useful lifetime of the equipment.

For all other DMEPOS items (for example, diabetes testing supplies, enteral
nutrients/supplies, or IV poles), people with Medicare may have to switch to
another supplier if their current supplier isn’t willing to continue providing the
items on or after January 1, 2019.
 
You can remind people with Medicare to:
 
• Use the Medicare Supplier Directory (www.medicare.gov/supplier) to locate a
supplier.

• Call 1-800-MEDICARE (1-800-633-4227) to locate a supplier, ask a question, or
file a complaint.

• Ask if their supplier accepts Medicare assignment. If the supplier doesn’t accept
assignment, the person with Medicare could be responsible for paying higher
coinsurance.

• Beware of aggressive marketing by suppliers:

––Don’t let anyone persuade them to switch suppliers. Talk to their supplier
first because they may not need to make a change.
––Remember that Medicare and Medicaid don’t send representatives to
their homes to sell products or services.
––Don’t be influenced by certain media advertising. Many television and
radio ads don’t have their best interest at heart.
––Report fraud using the HHS Office of Inspector General’s
“https://forms.oig.hhs.gov/hotlineoperations/report-fraud-form.aspx”
online form, or
––Call the Fraud Hotline of the HHS Office of Inspector General at
1-800-HHS-TIPS (1-800-447-8477).
 
You have the right to get Medicare information in an accessible format, like large print,
Braille, or audio. You also have the right to file a complaint if you feel you’ve been
discriminated against.
 
Visit https://www.medicare.gov/about-us/nondiscrimination/
accessibility-nondiscrimination.html, or call 1-800-MEDICARE (1-800-633-4227) for
more information. TTY users can call 1-877-486-2048.
 
Paid for by the Department of Health & Human Services.

 

PCSS Offers Free 8-hour X-waiver Course for MAT

Providers Clinical Support System (PCSS) has developed a new 8-hour MAT waiver course, funded by SAMHSA, that's entirely online. No more looking for local trainings. No more traveling out of town or even out of state. Get the training you need to prescribe buprenorphine to your patients with opioid use disorder.

 

Target Audience: Physicians who wish to apply for a waiver to prescribe buprenorphine.  

 Educational Objectives: At the conclusion of this activity, learners should be able to:

Review addiction identification and evidence-based treatments.

  • Discuss the pharmacology of opioids as it relates to treatment of opioid use disorder (OUD) patients.
  • Describe the fundamentals of office-based opioid treatment including the treatment of the co-morbid patient. 
  • Explain the process of buprenorphine induction as well as stabilization and maintenance. 
  • Discuss other approved antagonist and agonist medications to treat OUD.
  • Discuss basic office protocols including medical record documentation and confidentially.
  • Utilize evidence-based resources to ensure providers have the confidence to prescribe buprenorphine for patients with OUD.  
  • Apply for a MAT Waiver Training Certificate to begin treating patients with OUD.

  Fee: No cost

 Accreditation Statement: The American Academy of Addiction Psychiatry (AAAP) is accredited by the ACCME to provide continuing medical education for physicians.

 Designation Statement: American Academy of Addiction Psychiatry (AAAP) designates this enduring material for a maximum of 8 (eight) AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Measles Cases Rise, Pockets of Vaccine Refusal Threaten Community Health

Measles cases are increasing around the world, fueled at least in part by parents refusing to have their children immunized. Vaccine refusers are disproportionately represented in early stages of outbreaks. Public health officials are concerned about clustering of vaccine refusers which can provide the critical mass to start outbreaks.

 

[from AMA Morning Rounds]

The New York Times (11/29, Gladstone) provides coverage of a report issued yesterday by the World Health Organization and the U.S. Centers for Disease Control and Prevention warning that the number of measles cases around the world, particularly in Latin America and Europe, is on the rise, partly fueled by parents refusing to vaccinate their children. In the case of Latin America, the increase in cases “was partly attributable to an economic calamity afflicting Venezuela, where many public health services have stopped or are mired in dysfunction.”

The Washington Post (11/29, Omer) discusses the declining vaccination rate in the U.S. and its potential to negatively impact the populations’ herd immunity. The article says the situation could be further worsened by “clustering of susceptible individuals.” In addition to this trend, the piece references “an analysis of U.S. measles outbreaks since 2000” finding “that vaccine refusers are disproportionately represented in early stages of outbreaks,” meaning “people who deliberately go unvaccinated can provide the critical mass of susceptible individuals that can help start outbreaks that vaccination would otherwise have prevented.” The article concludes “as the vaccine-refusal rate inches up, public health authorities, physicians and parents need to pay attention to clustering as well as overall rate of vaccine refusal. Otherwise, we are likely to continue to see more and larger outbreaks.”

 

 

End-of-year CME Opportunities Available Through AMA

The American Medical Association offers online CME opportunities for those who may need a few credits as the end of the year approaches.

 

As the end of the year approaches, physicians can look to the AMA for many continuing medical education (CME) activities, including:

  • Watch the AMA's three-part video series on electronic prior authorization (ePA), entitled Electronic Prior Authorization: A Better Way, and earn 0.25 credits of AMA PRA Category 1 Credit™. This video series shows how ePA technology integrates with practices' electronic prescribing workflow and can speed up the prior-authorization process and accelerate treatment.

  • For one CME credit listen to an audio podcast and download written materials on Health Insurance Portability and Accountability Act (HIPAA) privacy, security and breach-notification rules. This toolkit will help explain what is included in the three core compliance areas of HIPAA. It also helps physicians determine next steps to be done to review and update HIPAA-compliance plans.

 

AMA Podcast on Alternative Payment Models

How do Alternative Payment Models (APMs) affect physician practices? Listen to this podcast reporting a joint AMA-RAND Corporation study.

 

Alternative payment models (APMs) are increasingly being used by practices across the map. But what are the effects of APMs on physician practices, and do these impacts tell us whether the road to value-based care is on the right track? A new study surveying practices around the country may shed some light on this question. Listen to a new podcast about a joint AMA-RAND Corporation study of APMs and their effect on physician practices in six markets, featuring the report's lead researcher Mark Friedberg, MD. 

 

Legislative Leaders Selected; Constitutional Officers Elected

Presiding officers and leadership have been determined for the upcoming 129th Maine Legislature. House Speaker Sara Gideon (D-Freeport) will retain her position, while Senator Troy Jackson (D-Allagash) will assume the position of Senate President as the result of the change in majority party in the Maine Senate.

 

 

Presiding officers and leadership have been determined for the upcoming 129th Maine Legislature. House Speaker Sara Gideon (D-Freeport) will retain her position, while Senator Troy Jackson (D-Allagash) will assume the position of Senate President as the result of the change in majority party in the Maine Senate.

 

In the House of Representatives, all of the other party leadership positions will be occupied by new people. Rep. Matt Moonen (D-Portland) will be House Majority Leader and Rep. Ryan Fecteau, who formerly chaired the Labor, Commerce, Research, and Economic Development Committee, will be the Assistant Majority Leader. On the Republican side, Rep. Kathleen Dillingham (R-Oxford) is the incoming House Minority Leader, and Rep. Harold “Trey” Stewart III (R-Presque Isle) will be the Assistant Minority Leader.

On the Senate side, Sen. Nate Libby (D-Lewiston) will be the new Senate Majority Leader, with Sen. Eloise Vitelli (D-Arrowsic) as Assistant Majority Leader. The Republican side will feature Sen Dana Dow (R-Waldoboro) as Senate Minority Leader and Sen. Jeff Timberlake (R-Turner) as Assistant Minority Leader.

One of the first orders of business for the new legislature was the selection of the three “Constitutional Officer” positions. Secretary of State Matt Dunlap will retain his position for another two years, his final two because of term limits. Attorney Henry Beck will be the State Treasurer, the post previously held by independent gubernatorial candidate Terry Hayes. Succeeding Governor-elect Janet Mills as Attorney General will be former State Representative Aaron Frey (D-Bangor).

The Legislature is scheduled to reconvene on January 2nd.

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

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

 

 

 

 

  


 

Improving Opioid Prescribing and Patient Safety - Monday, December 17 5pm Augusta

Presentation by the Maine Independent Clinical Information Service (MICIS) at the Augusta Civic Center

Free - Advanced Registration is Required

Improving Opioid Prescribing and Patient Safety

Monday, December 17, 2018
5:00 - 8:30 PM
Augusta Civic Center
76 Community Drive, Augusta ME

Check in begins at 4:30
Light Snacks will be provided
REGISTER HERE

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 of 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.

Topics and Learning Objectives:

How Did We Get Here?
-Review 2016 CDC opioid prescribing guidelines.
-Understand MMEs (morphine milligram equivalents).
-Assess alternative treatments for acute and chronic pain.

Transforming Our Practices & Our Communities
-Review best practices in opioid prescribing practice transformation, including team-based care.
-Understand the 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 Maine statutes relating to opioid prescribing and safety and Substance Use Disorder recovery.
-Learn about recent changes in the rules from licensing boards relating to opioid prescribing and safety and Substance Use Disorder recovery.
-Learn about recent changes in the rules from the Maine Department of Health and Human Services relating to opioid prescribing and safety and Substance Use Disorder recover.

Presenters: Elisabeth Fowlie Mock, MD, MPH and Peter Michaud, J.D., R.N.

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 Credits 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.

 

Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment: January 30, 2019

 

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: January 30, 2019

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 

Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on 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, February 2, 2019 - Bangor - REGISTER NOW

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

Saturday, June 9, 2019 - Farmington - Franklin Memorial Hospital, Allen Room - 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.

 

Urgent Care Physician - South Portland, ME

AFC Urgent Care is hiring for an Urgent Care Physician in South Portland, ME.  The incoming Physician will perform a fundamental role in the development of this new practice. 

AFC Urgent Care is hiring for an Urgent Care Physician in South Portland, ME.  The incoming Physician will perform a fundamental role in the development of this new practice.  The AFC Clinic in South Portland will open in Spring 2019 and be the first to open in Maine, in a brand-new state-of-the-art building. The incoming Physician will partner with the Medical Director and will be supported by a team of medical professionals onsite.  

Practice Need:

  • An Emergency Medicine or Family Practice Physician to provide urgent medical care for the community of South Portland and Cape Elizabeth
  • An entrepreneurial-minded physician seeking an opportunity to be part of building a practice
  • Ability to work 33-36 clinical hours weekly,12-hour shifts, occasional holidays, and 1-2 weekends monthly.  No call needed.

Candidate Parameters:

  • Board Certified in Family Practice or Emergency Medicine
  • MD/DO
  • American or International Medical Graduate

For more information and to apply: https://kmahumanresourcesconsulting.recruiterbox.com/jobs/fk0jf9t?cjb_hash=O_eSFK41&apply_now=true 

1/7/19

EOE

 

Full-time Board Certified/Board Eligible MD/DO

Northern Light Inland Hospital is seeking a full time board certified/board eligible MD/DO to join a well-established outpatient practice for outpatient internal medicine and geriatrics. 

Northern Light Inland Hospital is seeking a full time board certified/board eligible MD/DO to join a well-established outpatient practice for outpatient internal medicine and geriatrics.  Role would include as Medical Director for Long term Care facility on site.  Provider would divide time for outpatients and nursing home panel.  At Northern Light Inland Hospital, we believe in putting the patient first in every way.  Northern Light Inland is a 48-bed acute care hospital with 14 primary and specialty care physicians in Waterville and the surrounding communities.  A patient centered approach is alive and well here where staff provide the kind of care we all want for our own families.  We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, medical tuition loan support, relocation reimbursement and sign-on bonus.  Enjoy the best of both worlds-practicing at a smaller community hospital in a comfortable environment while having the support of a large medical center. 

For confidential consideration, please contact:

MaryKate Friend, RMA (AMT), Physician Recruiter
Northern Light Health
Phone: 207.861.7189 
Email: mkfriend@northernlight.org or providerjobs@northernlight.org     

1/14/19

Outpatient Family Medicine - Brunswick, Maine

Mid Coast Medical Group is seeking a full-time BC/BE Family Medicine Physician to join a well-established practice located at Brunswick Station.

Mid Coast Medical Group is seeking a full-time BC/BE Family Medicine Physician to join a well-established practice located at Brunswick Station.  Admitting is through the hospitalist service. New graduates and experienced candidates are encouraged to apply.

A department of Mid Coast Hospital, Mid Coast Medical Group provides high quality primary and specialty care with more than 100 providers. All MCMG primary care practices are NCQA Patient-Centered Medical Home certified.

Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Group 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.

3/4/19


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

1/7/19

Primary Care Physician – Family Practice

The Primary Care Physician provides the full scope of primary care services commensurate with his/her field of training and State of Maine licensure; duties include, but not limited to, diagnosis, treatment, coordinator of care, preventative care and provision of health maintenance services to patients of all or applicable life cycles.

The Primary Care Physician provides the full scope of primary care services commensurate with his/her field of training and State of Maine licensure; duties include, but not limited to, diagnosis, treatment, coordinator of care, preventative care and provision of health maintenance services to patients of all or applicable life cycles.

Qualifications include:

  • A minimum of 5 years experience in the practice of family or internal medicine required
  • Clear understanding of and commitment to the health center’s mission.
  • Knowledge of health problems and disparities affecting homeless and other low-income persons. Work effectively with culturally and economically diverse population. 
  • Electronic Medical Records experience, and Microsoft Windows/Microsoft office experience required.
  • Graduate of an accredited medical school and completion of residency in Family Practice or Med/Peds.
  • Current State of Maine Medical license.
  • Current D.E.A. certificate
  • Board eligibility or Board Certified in applicable discipline is desired.
  • Demonstrate insurability under Federal Tort Claims Act (FTCA)
  • Maintain current CPR
  • Obtain ACLS within 12 months of employment, if required

For more information, or to apply, contact Danel Adams at 207-469-7371 Ext: 622 or email DAdams@brhcme.org.

12/31/18

Emergency Medicine Physician Assistants or Nurse Practitioners in multiple locations – BlueWater Emergency Partners

As evidenced by our greater than 90% retention rate, BlueWater is the employer of choice for emergency providers throughout New England. It is our mission to provide outstanding emergency care with thoughtfulness, respect, and compassion.

About BlueWater:
As evidenced by our greater than 90% retention rate, BlueWater is the employer of choice for emergency providers throughout New England. It is our mission to provide outstanding emergency care with thoughtfulness, respect, and compassion. We strive to inspire leadership and innovation to create better hospital-based healthcare solutions. This can only be accomplished by supporting individual autonomy, professional growth, and satisfaction for all our providers. 

About the Position:

  • Generous Compensation and Benefits Package (Fully Covered Family Health, Dental, HSA, HRA, Disability Insurance)
  • 401k contributions and Guaranteed Profit Sharing
  • Malpractice Insurance
  • CME Allowance
  • 4+ weeks of Paid Time Off

Current Openings:
Calais, Maine
Machias, Maine
Springfield, Vermont

For more information please contact Will Henson at whenson@bluewateremergency.com or visit our website http://www.bluewateremergency.com/contact/employment-inquiry/.

12/17/18


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.

12/31/18


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.

12/31/18

 

 

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

12/24/18

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.

12/24/18

Anesthesiologist - Kennebec Anesthesia Associates PA

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 administering and overseeing the 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. The minimum experience and educational requirements for this position are a M.D. or D.O. degree; State of Maine Medical License; and immediate eligibility for Board certification in anesthesiology.

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.

12/24/18

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.

Volunteer Opportunity with Partners for World Health

Partners for World Health has a great need for advice from certain medical professionals on how to sort and package the vast amount of supplies received, for shipping and use in destination countries.

Volunteer Opportunity with Partners for World Health - Portland, ME

Partners for World Health (PWH) is a non-profit 501(c)3 based in Portland, Maine committed to reducing medical waste, improving the quality of healthcare in underserved countries, and educating our local community about global healthcare issues.

Our mission is to collect unused/discarded medical supplies from local medical facilities and to distribute those medical supplies to international communities in need. This work limits the negative impact we have on the environment and provides much-needed resources to the developing world. To support our work in improving health conditions around the world, we send local medical personnel on medical missions to developing countries, and we educate our local Maine community about global health issues. 

PWH has a great need for advice from certain medical professionals on how to sort and package the vast amount of supplies received, for shipping and use in destination countries, specifically, in the areas of:

  • Surgery: all aspects of OR medical supplies and equipment
  • Respiratory: any and all aspects
  • Anesthesia
  • Laparoscopic surgery: advice on the proper components of a “tower”
  • Cardiology

Please note: this request is not for ongoing time commitment but rather for a few hours of a professional’s time to help organize certain supplies appropriately.

While PWH receives tens of thousands of pounds of equipment/supplies from hospitals and clinics, there are certain critical items always in short supply.

For more information, contact volunteer Rita Zanichkowsky at rznct@maine.rr.com or 207-232-3264, or contact Partners directly at 774-5555.  Thank you! 
https://www.partnersforworldhealth.org/