Maine Medicine Weekly Update - January 28, 2019
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MMA's Gordon Smith Named Maine's Director of Opioid Response

Last Thursday, Governor Janet Mills announced the appointment of Gordon Smith, the Maine Medical Association's Executive Vice President, to serve as Maine's Director of Opioid Response. He will begin in that new role on February 1st. The MMA's loss is the State's gain.

 

 

The position, which was part of Governor Mills's 10-point plan to address the opioid problem which she stressed during the campaign, was also featured in her inaugural address. Gordon will report directly to Governor Mills as part of the Office of Innovation and the Future and will be responsible for coordinating and directing the various aspects of Maine's response to the opioid crisis, including prescriber education and reduction of opioid prescribing, prevention of substance use disorder, interruption of the illegal opioid supply coming into Maine, recognition, and treatment. In doing so he will be working with all agencies and departments of state government which have anything to do with any aspect of the opioid problem.

Gordon's appointment signals the action-based approach the governor plans to take. “I’ve been on two task forces involving legislators and public safety and the U.S. Attorney’s Office," said the governor. "I’m just tired of talking about it. I really just want to take action.”

“While the opioid epidemic will not be eradicated by any single approach, with a spirited effort and better coordination among Maine’s state government agencies, we can save lives and improve the health of our state,” said Gordon. “I am incredibly thankful to Governor Mills for the opportunity to lead such meaningful work and I look forward to working with her cabinet and community members across the state to get it done.” As part of the announcement, Mills and Smith stated that, within the next two weeks, they plan to release an executive order outlining the immediate steps to address the crisis.  

Here at the MMA, feelings were decidedly mixed, with sadness at losing Gordon combining with great pride and hope for his new position. "We wish Gordon well in his service to Governor Mills and the people of Maine," said Deputy EVP & General Counsel Andrew MacLean. "At the same time, we regret the loss of a trusted colleague and advisor to Maine physicians."  MMA President Robert Schlager, MD, said,“Gordon Smith has always been passionate about finding a worthy cause and then tackling it head on. Coordinating and leading the response to Maine’s opioid crisis is a perfect example of this.  I can’t think of anyone that could do it better.”

Because Gordon had planned to retire at the end of 2019, a search had already begun for his replacement. With this new development, Deputy EVP & General Counsel Andrew MacLean has stepped into the role of Interim CEO, and Associate General Counsel Peter Michaud has become General Counsel.  Each of these positions is effective February 1st. 

AMA Outlines Policy Proposals to Combat Prescription Drug Price Increases

In an ongoing effort to increase drug price transparency and address the rising cost of prescription drugs, the AMA has released a two-page advocacy document "Improving Prescription Drug Price and Cost Transparency" which outlines specific policy proposals aimed at each of the key players involved in drug pricing: pharmaceutical companies, pharmacy benefit managers (PBMs) and health insurers.

[from the AMA Advocacy Update]

In an ongoing effort to increase drug price transparency and address the rising cost of prescription drugs, the AMA has released a two-page advocacy document "Improving Prescription Drug Price and Cost Transparency" which outlines specific policy proposals aimed at each of the key players involved in drug pricing: pharmaceutical companies, pharmacy benefit managers (PBMs) and health insurers. All these groups contribute to prescription drug cost increases that influence patient cost-sharing, prior authorization policies and patient adherence to treatment plans, which ultimately impact patient health status and outcomes.


To learn more about the AMA's grassroots campaign to expose the opaque process that pharmaceutical companies, PBMs and health insurers engage in when pricing prescription drugs, please visit TruthinRx.org.

 

Researchers Say Outpatient Use of Benzodiazepines Increasing

Research is showing a concerning increase in the prescription of benzodiazepine medication, with about half of all such prescriptions coming from primary care physicians. This is particularly concerning because benzodiazepines are implicated in a growing number of overdose-related deaths. Addressing prescribing patterns may help curb this growing use.

 

The NPR (1/25, Chatterjee) “Shots” blog reported, “The percentage of outpatient medical visits that led to a benzodiazepine prescription doubled from 2003 to 2015,” research indicated, with “about half” of “those prescriptions” coming “from primary care physicians.”

Medscape (1/25, Brooks, Subscription Publication) reported the study also found that “benzodiazepines are often coprescribed with opioids and other sedating medications, frequently for conditions other than anxiety and insomnia,” researchers concluded after analyzing data on “more than 386,000 ambulatory care visits from 2003 through 2015.” The findings were published online Jan. 25 in JAMA Network Open.

 

AMA Survey of States: Top Issues Facing Organized Medicine this Year

See the summary of top legislative issues this year mentioned by state medical society advocacy staff.

A new state legislative survey identified the top issues that medical societies will face in 2019 which include scope of practice, prior authorization, out-of-network billing and efforts to increase access to medication-assisted treatment. The survey, which represented the input of 75 national, state and specialty organizations, helps the AMA identify the top issues facing organized medicine and helps ensure the AMA focuses its resources on coordinating its advocacy efforts with its state and specialty partners. 

Contact the AMA Advocacy Resource Center with any questions.

New Moves by FDA Could Increase Naloxone Access

 AMA praises labeling decision by FDA.

One of the most complicated steps in moving a drug from prescription to over-the-counter (OTC) availability is the creation of a medication label that can be easily understood by consumers so that they do not need the advice of a physician about whether, when and how to take the medication. The AMA praised a recent announcement by the Food and Drug Administration (FDA) that it has developed such a label for naloxone—the medication that can prevent opioid overdose deaths by reversing opioid-induced respiratory depression.

This new FDA action is likely to greatly facilitate the development of OTC proposals by manufacturers of the current naloxone products available by prescription. Although many states allow naloxone to be dispensed through a form of prescription known as "standing orders," OTC status would further increase access and save more lives that would otherwise be lost to opioid overdoses.

More Information About the Origins of the Opioid Problem

Documents indicate members of the Sackler family may have directed Purdue Pharma efforts to mislead the public about pain medication.

 

Documents indicate Sacklers directed Purdue Pharma efforts to mislead public about pain medication.

The New York Times (1/15, Meier) reports that documents in a court filing by the Massachusetts Attorney General against Purdue Pharma indicate that “members of the Sackler family, which owns the company that makes OxyContin [oxycodone hydrochloride], directed years of efforts to mislead doctors and patients about the dangers of the powerful opioid” pain medication. The filing contends that Richard Sackler, company president at the time, “urged that sales representatives advise doctors to prescribe the highest dosage of the powerful opioid...because it was the most profitable.” Additionally, the court filing “asserts that Sackler family members were aware that Purdue Pharma repeatedly failed to alert authorities to scores of reports the company had received that OxyContin was being abused and sold on the street.”

[from AMA Morning Rounds]

 

Medicare-for-all plans: How Do They Compare?

An article from PBS provides a chart comparing the Democrats' eight plans...but none from Republicans...for universal health care. Examine the similarities and differences.

 

An article from PBS provides a chart comparing the Democrats' eight plans...but none from Republicans...for universal health care. Examine the similarities and differences in the chart contained in this article

The chart itself is a condensation of an October 2018 issue brief from the Kaiser Family Foundation.

PCSS Offers Free On-line 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.

 

MMA Legislative Call Tuesday, January 29th

The Maine Legislature has returned to Augusta. That means public hearings and work sessions resume soon, and it's time for our weekly Legislative Committee calls to start up again. The next call will be Tuesday, January 29th, at 8 p.m.

 

 

MMA Legislative Committee Chairs Jay Mullen, M.D. and Lindsey Tweed, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The last MMA Legislative Committee weekly conference call for the First Regular Session of the 129th Maine Legislature will take place Tuesday, January 29th, at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number: 1-603-766-5646

Participant ID - 699139#

The purpose of the weekly conference calls is to discuss the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour.

The following are bills of interest to the physician community printed last week. (For those not familiar with the term, a "concept draft" is a bill that contains only a title and a brief description of what it is intended to do. It does not contain the actual bill text.) We will discuss the priority bills marked with an asterisk (*) first. This will be important when the list grows in the next few weeks.
Following are the bills of the week: 

*LD 320: An Act To Amend the Scope of Practice of Podiatric Medicine. Expands scope to include osseous and soft tissue of lower leg below the tibial tuberosity.

LD 325: An Act To Provide Emergency Funds for Clients of the Adult Protective Services System. $10,000. Emergency funding for APS caseworkers.

LD 326: An Act To Decriminalize Engaging in Prostitution. As stated. Changes “prostitute” to “prostituted person,” and provides for expungement of records of past offenses.

LD 329: An Act To Exempt from Criminal Liability Persons Reporting a Drug-related Medical Emergency. As stated, if evidence is obtained due to seeking assistance.

*LD 330: An Act To Define Licensed Massage Therapists as Health Care Practitioners. As stated, for purposes of the Health Security Act. Prohibits unlicensed persons from performing or claiming to provide various procedures.

LD 335: An Act To Require the State To Distribute 25 Percent of Adult Use Marijuana Retail Sales and Excise Tax Revenue to Generating Municipalities. 25% of gross sales & excise tax revenue goes to the municipality where the revenue was generated.

LD 336: An Act To Require That Notice of Lead Abatement Orders Be Filed with the Registry of Deeds. Notice of existence of lead hazard filed in registry, so available to property title search.

LD 340: An Act To Establish a Temporary Terminal Condition Medical Allowance for Lobster and Crab Fishing License Holders. Allows family to fish under license of person diagnosed with terminal condition for one year.

LD 342: An Act To Require a Person To Notify Law Enforcement Officers of the Possession of a Hypodermic Needle. Failure to report is Class D crime, report and item (& contents) not to be used in evidence.

LD 343: An Act To Promote Equity in Business Opportunity for Tobacco Specialty Stores. Cigar bar bill…again. Allows beverages to be served.

LD 347: An Act To Provide Sustainable Funding for Drinking Water and Wastewater Infrastructure. Concept draft, funding for improvements to infrastructure.

LD 349: An Act To Extend the Refundability of the Educational Opportunity Tax Credit to Students in the Behavioral Health Field. Income tax credit for costs of bachelor’s or associate degree programs.

LD 359: An Act To Address Student Hunger with a "Breakfast after the Bell" Program. Requires alternative breakfast program in schools where 50% of students qualify for subsidized lunch. Allows opt-out, requires health and academic outcome tracking.

LD 362: Resolve, To Require the Department of Health and Human Services To Submit a State Plan Amendment To Exempt Retirement and Educational Assets from Calculations for Medicaid Eligibility. As stated.

LD 363: An Act To Protect Residents of Assisted Living Facilities. Requires CPR or use of AED unless a DNR order is in place. Facilities must provide equipment and training.

*LD 364: An Act To Establish the Right To Practice Complementary and Alternative Health Care Act. Allows alternative/complementary health care by unlicensed persons (with certain disclosures), not to include surgery, radiation, prescriptions, chiropractic manipulation.

LD 367: An Act To Amend the Definition of "Insurer" under the Maine Guaranteed Access Reinsurance Association Act. Removes multiple employer welfare agreements from the definition.

LD 369: An Act To Support Healthy Workplaces and Healthy Families by Providing Earned Paid Sick Leave to Certain Employees. Paid sick leave for all employments with at least 5 employees, unpaid for fewer than 5.

LD 373: An Act To Provide MaineCare Coverage for Dental Services to Adults with Intellectual Disabilities or Autism Spectrum Disorder. As stated.

LD 376: An Act To Expand Health Insurance Options for Town Academies. Extends state employee coverage to employees of town academies.

*LD 379: An Act To Protect Children by Requiring the Safe Storage of Loaded Firearms. Criminalizes unsafe storage if child access and misuse, 7 affirmative defenses. Requires dealers to post warnings recommending training and safe storage.

LD 382: An Act To Fund Services for Blind and Visually Impaired Persons at the Maine State Library. $40,000 for this purpose.

LD 392: An Act To Fund Maine's School-based Health Centers. $600,000 for this purpose.

LD 396: An Act To Support Justice for Victims of Sexual Assault by Increasing the Time Sexual Assault Forensic Examination Kits Must Be Stored. Extends required storage time to statute of limitations.

LD 399: An Act To Align Wages for Direct Care Workers for Persons with Intellectual Disabilities or Autism with the Minimum Wage. Requires 125% of minimum wage for these workers.

LD 407: An Act To Promote Universal Health Care, Including Dental, Vision and Hearing Care. Establishes single-payer health care system effective in 2022.

*LD 408: Resolve, To Improve Access to Neurobehavioral Services. Requires DHHS to provide 16 new, short-term neurobehavioral beds for patients with significant behavioral challenges and complex medical needs.

LD 413: An Act To Ensure the Rights of Citizens to Groundwater in the State. Concept draft, to recognize state ownership of groundwater and ensure availability.

LD 414: An Act To Provide Intensive Case Managers to Counties That Do Not Have County Jails or Regional Jails. Would add 3 (there are 13 county jails) to oversee detained persons who have intellectual disabilities or mental health conditions or substance use disorder.

LD 415: An Act to Enhance the Retired County and Municipal Law Enforcement Officers and Municipal Firefighters Health Insurance Program. Expands eligibility and coverage, increases state subsidy, and requires full coverage of these employees.

*LD 416: An Act To Allow Eating Establishments To Permit Smoking Tobacco in Designated Outdoor Eating Areas. As stated, if under 21 excluded.

LD 421: Resolve, To Amend the State Plan Regarding the Processing of Vouchers under the Special Supplemental Nutrition Program for Women, Infants and Children by Farmers' Markets. Allows farmers’ markets to take SNAP coupons.

LD 428: An Act To Establish Wage and Employment Parity between Adult and Child Protective Services Caseworkers in the Department of Health and Human Services.Requires training for adult protective workers, equalizes number of child and adult protective workers, gives adult workers $5 per hour increase.

LD 429: An Act To Improve the Ability of Mental Health Professionals To Assess the Risk of Suicide. Requires suicide prevention training (6 hours per 10 years) for psychologists, social workers, and licensed clinical professional counselors.

LD 433: RESOLUTION, Proposing an Amendment to the Constitution of Maine To Explicitly Prohibit Discrimination Based on the Sex of an Individual. As stated.

LD 434: An Act To Price Carbon Pollution in Maine. Requires an assessment on carbon content of fuels sold in state.

LD 436: Resolve, Directing the Secretary of State To Review Standards for Vision Tests. As stated, for drivers’ licenses.

LD 437: An Act To Improve Access to and Affordability of Health Care in Maine.Concept draft sponsored by Senate Republicans.

*LD 439: Resolve, Directing the Commissioner of Health and Human Services To Convene a Task Force To Study the Need for Long-term Acute Care Hospital. Task force to evaluate need for long-term acute care beds.

LD 440: An Act To Continue the Doctors for Maine's Future Scholarship Program.Appropriates $800,000.

*LD 441: An Act To Reduce Childhood Exposure to Harmful Ultraviolet Radiation by Allowing Students To Use Sunscreen in Schools. Allows possession and use of topical sunscreen without prior parent authorization.

*LD 443: An Act To Prevent Vitamin K Deficiency Bleeding and Eye Damage in Infants. Removes religious objection to Vitamin K administration (eye drops and IM) at birth, requires IM injections by midwives, etc.

LD 447: An Act Regarding the Substance Use Disorder Continuum of Care. Concept draft to include prevention, treatment, law enforcement diversion, harm reduction, and recovery. Includes programs to reduce marijuana use and vaping, funds detox, recovery coaches, recovery support, evidence-based prevention and treatment in rural areas.

LD 455: An Act To Authorize a General Fund Bond Issue To Expand Maine's Research, Development, Commercialization and Clinical Infrastructure Assets To Improve Outcomes for Maine Families with Members Suffering from Alzheimer's, Dementia and Other Diseases of Aging. Funding ($65 million) for R & D, commercialization and clinical infrastructure for Alzheimer’s, dementia, and other diseases of aging.

LD 462: An Act To Provide Paid Family Leave to Public School Employees. As stated.

LD 463: An Act To Reduce Obesity Rates in Maine. Establishes comprehensive state plan, appropriates $1.5 million.

LD 465: An Act To Eliminate the Service Provider Tax on Services Covered by Medicaid. As stated, repeals those laws.

LD 470: An Act To Provide Traffic Safety Education in Schools. Instruction for pedestrians, bicyclists, motorists in grades 2-12.

Report from the State House

Each week this article will report on public hearings, work sessions, and other developments that occurred in the Legislature during the previous week.

 

Events at the Legislature this week focused primarily on "Interested Party Introductions," where groups like the MMA who appear frequently before certain committees are allowed a few minutes to introduce ourselves. Our introduction in the Health and Human Services Committee was particularly poignant, since Gordon Smith joined Peter Michaud at the podium to tell the committee, "I'm leaving the MMA next week, but I can't tell you yet where I'm going." (See this week's lead article to learn where Gordon is going.) "But I expect to see you here often," he added. As a result of advocating for quality health care before this and other committees for so many years, Gordon is well known to many committee members.

This coming week committees begin their public hearings, with the Health Coverage, Insurance & Financial Services  Committee taking testimony on LD 1, a bill that will codify various protections from the Affordable Care Act into Maine law. There will also be hearings on the first of several bills on firearm safety (Taxation) and opioids (Education & Cultural Affairs). The big event in Health & Human Services will be the hearing on Jeanne Lambrew's nomination to serve as commissioner of the Department of Health & Human Services, to be held Thursday afternoon.

On Monday, Acting Commissioner Lambrew announced the appointment of the new Director of MaineCare Services. Michelle Probert comes to the Department from Bath Iron Works, where she is Manager of Integrated Health Services and is responsible for the oversight and strategic management of employee health, wellness, and welfare related benefits. Prior to joining Bath Iron Works in 2014, Probert served the Department as Director of Strategic Initiatives for MaineCare from 2011-2014. Probert recently served on the Board of the Maine Health Access Foundation, and as Chair of the Healthcare Purchaser Alliance of Maine and was a 2016 Bruce Bradley Fellow for The LeapFrog Group, which focuses on steering employees and their families to safer, higher-quality hospitals and health systems.

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

March 8, 2019
Maine Chapter, American College of Emergency Physicians Annual Meeting

Sugarloaf – Carrabassett Valley, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

March 23, 2019
Maine Society of Orthopaedic Surgeons Annual Meeting

Maine Medical Association – Manchester, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.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

April 25-26, 2019
Maine Association of Psychiatric Physicians Annual Spring Program
PSYCHOPHARMACOLOGY:  An Update and a Look Ahead

Hilton Garden Inn, 5 Park Street, Freeport, ME 04032
Contact:  Dianna Poulin 207-480-4194 or dpoulin@mainemed.com

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

June 27, 2019
Maine Chapter, American College of Emergency Physicians Chapter Meeting

Cabbage Island Clam Bake – Boothbay Harbor, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

September 7, 2019
Maine Chapter, American College of Emergency Physicians Chapter Meeting

Harborside Hotel & Marina – Bar Harbor, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

September 20, 2019
Maine Society of Eye Physicians and Surgeons Fall Business Meeting

(Held in conjunction with the 17th Annual Downeast Ophthalmology Symposium)

Harborside Hotel & Marina – Bar Harbor, ME from 10:30am – 11:45am
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

September 20-22, 2019
18th Annual Downeast Ophthalmology Symposium

(Presented by the Maine Society of Eye Physicians and Surgeons)

Harborside Hotel & Marina – Bar Harbor, ME
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

December 11, 2019
Maine Chapter, American College of Emergency Physicians Chapter Meeting

Portland Regency Hotel – Portland, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

 

 

 

 

  


 

Webinar Presented by Baystate Financial - Sources of Retirement Income

Free webinar on Tuesday, February 12th at 6pm presented by Baystate Financial.

 

Sources of Retirement Income|
Tuesday, February 12 2019
6:00 – 7:00pm

It is important to have a solid understanding of the different types of retirement income that maybe available to you in retirement.  This session will help you:

  • Understand different income sources
  • Know tax implications
  • Align income and expenses

To RSVP or for more information, contact Christopher Perry.
207-770-2033  cperry@baystatefinancial.com

Please RSVP by February 11, 2019.

There is nothing you have to do to prepare for this session. This session is simply to provide you with knowledge and insight so you can make informed decisions about your finances. We hope you’ll join us.

Baystate Financial
www.baystatefinancial.com

Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline: 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 Tohttps://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.

 

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.

3/4/19

 

 

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://jobs.lever.co/kmaconsultingllc/7a2aa8f5-cd3a-4472-93ee-e3332a235870?lever-origin=applied&lever-source%5B%5D=Maine%20Medical%20Association

EOE

2/18/19

 

 

PCHC in need of Pediatrician at Multiple Locations!

Penobscot Community Health Care is seeking a Pediatrician for our Seaport Community Health Center in Belfast as well as in our Penobscot Pediatrics in Bangor. Come and join our team at Seaport Community Health Center and become a part of a vibrant and active coastal community. Become a part of the legendary Penobscot Pediatrics that has been a staple amongst the Bangor community for over 30 years! We are the largest and most comprehensive FQHC in Maine and the 2nd largest in New England. Seaport and Penobscot Pediatrics are both NHSC loan repayment eligible sites! PCHC offers loan repayment to those that are not awarded or eligible for NHSC. Competitive benefits package, 403(b) retirement, signing and retention bonuses, relocation assistance and more! Questions? Contact Vanessa Sanderson, PCHC Recruiter at (207)404-8015 or at recruitment@pchc.com.

2/11/19

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

2/4/19

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     

2/18/19

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

2/11/19

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/