Maine Medicine Weekly Update - April 1, 2019
(Print All Articles)

Defendant in Aroostook County Jail Should Remain on MAT, Court Says

Last Wednesday, U.S. District Judge Nancy Torresen issued an important order in a case known as Smith v. Aroostook County, et. als. brought by the ACLU of Maine.  The MMA, Maine Association of Psychiatric Physicians (MAPP), and the Northern New England Society of Addiction Medicine (NNESAM) all joined a brief of amicus curiae in support of the plaintiff's position.

 

A Maine judge issued a very important decision in support of a person’s right to medication-assisted treatment (MAT) while incarcerated. This is the latest important victory in recent months after Pesce v. Coppinger. The full order is here, but the critical facts are that a woman in long-term recovery taking buprenorphine was sentenced to jail for petty theft. The jail indicated that she would be forced off of her medication. The judge noted that “the withdrawal protocol is not a treatment for opioid use disorder, and that “With the help of her medication, Ms. Smith has been in active recovery for her opioid use disorder for approximately ten years. During that time, Smith has regained custody of her four children, secured stable housing for her family, and obtained employment.”

In granting the preliminary injunction for the woman, the judge ruled that the plaintiff would have likely succeeded on multiple claims, including an American with Disabilities Act claim entitling a person to a reasonable accommodation for treatment of a medical disease while incarcerated. 

The judge said that “Based on the evidence offered by the Plaintiff’s experts, the available scientific evidence, and Ms. Smith’s medical history, I find that forcing Ms. Smith to withdraw from her buprenorphine would cause her to suffer painful physical consequences and

would increase her risk of relapse, overdose, and death.”  Furthermore, “Without her desired accommodation, the Plaintiff will be deprived of the only form of treatment shown to be effective at managing her disability and therefore will be denied “meaningful access” to the Jail’s health care services.”

This is of high value to the AMA’s advocacy that MAT should be a required option in jails and prisons, and denying access to MAT arguably violates a person’s rights under the ADA and is contrary to medical evidence and the generally accepted standard of care for SUD.

The case was spearheaded by the ACLU of Maine and included support from the Maine Association of Psychiatric Physicians, Maine Medical Association, and Northern New England Society Of Addiction Medicine.

 

CMS Urged to Adopt Better Cost Measures in MIPS

The AMA encourages CMS to improve cost measures in MIPS, including the removal of the Total Per Capita Cost (TPCC) measure.

 

The AMA urged CMS to evaluate physicians in the Merit-based Incentive Payment System (MIPS) on episode-based cost measures that have a stronger correlation with costs that are within physicians' control and to remove the Total Per Capita Cost (TPCC) measure from MIPS, at least until significant issues with the measure are resolved. Necessary improvements include further validity testing, improved attribution methodology, increased reliability and the ability for physicians to review their data in a timely manner and make changes based on the data received.

In response to concerns about TPCC, CMS recently undertook revisions to the measure. The AMA appreciates CMS' willingness to refine cost measures as problems are identified. However, the revised TPCC measure does not address underlying concerns about the measure's validity and raises new problems with the attribution methodology. The multi-stakeholder Measures Applications Partnership (MAP), which provides input to CMS on measures for use in performance-based payment programs, gave a recommendation of "do not support the revised TPCC measure with the potential for mitigation" for use in MIPS. It would be a bad precedent to move forward despite the MAP's recommendation or before the key issues identified with the TPCC measures are resolved.

 

Northern Maine Medical Center Among Top 20 Rural Hospitals in US

Northern Maine Medical Center has been named one of the top 20 rural community hospitals in the United States...for the third consecutive year.

 

Northern Maine Medical Center has been named one of the top 20 rural community hospitals in the United States...for the third consecutive year. The ranking by the National Rural Health Association, a 20,000 member national nonprofit association, is based on an evaluation conducted by The Chartis Center for Rural Health using iVantage Health Analytics. NMMC is the only Maine hospital to achieve that recognition this year.

You can read more about this significant recognition in this Fiddlehead Focus article.

Public Health Updates from the AMA

Click through for a brief update on recent public health issues, provided by the American Medical Association's electronic publication, Morning Rounds.

 

CAR-T therapy may be effective against some solid tumors, research suggests

The AP (3/31, Marchione) reports researchers found that CAR-T therapy “is showing early signs of promise against some solid tumors,” according to research presented at the American Association for Cancer Research conference. CAR-T therapy has been shown to be effective against certain blood cancers, but this latest research suggests it could also be effective against a wider range of cancers.

Most common triggers of atrial fibrillation are avoidable behaviors

Reuters (3/29, Mishra) reported, “The most common triggers of atrial fibrillation – an irregular heart rhythm that’s a leading cause of stroke – are avoidable behaviors like drinking alcohol or coffee,” research indicated. After surveying “1,295 patients with symptomatic paroxysmal AFib,” investigators “found the most common behaviors that triggered episodes of the arrhythmia were alcohol consumption, caffeine consumption and exercise.” The findings were published online in the journal Heart Rhythm.

Survey suggests younger patients with colorectal cancer diagnosed at later stages

CNN (3/30, Howard) reports on a study to be presented at a cancer research meeting, based on surveys of 1,195 colorectal cancer patients and survivors age 20 to 49, finding that “the majority of survey respondents, 57%, were diagnosed between the ages of 40 and 49; a third were diagnosed between the ages of 30 and 39; about 10% were diagnosed before age 30.” It also found that while “most colorectal cancer patients older than 50 are diagnosed in the early stages of disease,” most of those surveyed (71%) “said they were diagnosed at the advanced stages of 3 and 4.”



People with certain factors for heart disease may also be more likely to develop dementia

Reuters (3/29, Rapaport) reported, “People who have risk factors for heart disease like diabetes, high blood pressure and obesity may also be more likely to develop structural changes in the brain that can lead to dementia,” researchers concluded after having “examined data on 9,772 adults, ages 44 to 79, who all had at least one MRI brain scan and provided general health information and medical records for the analysis.” The findings were published online in the European Heart Journal.

Governor Ends 24-month Prior Authorization Requirement for MAT

On March 14, 2019, Governor Janet Mills signed a Supplemental Budget 2018-19, which Includes the removal of the 24-month Prior Authorization (PA) requirement for members receiving Methadone or Suboxone treatment.

 

On March 14, 2019, Governor Janet Mills signed a Supplemental Budget for Maine’s fiscal year ending June 30, 2019. Included in this budget was the removal of the 24-month Prior Authorization (PA) requirement for members receiving Methadone or Suboxone treatment.

Effective immediately, providers do not need to submit PA requests for services provided on or after March 14, 2019. To ensure successful claims processing, providers will still need to submit PA requests to the Department for services performed prior to March 14, 2019, if the member has already exhausted their 104-unit lifetime benefit.

The Department of Health and Human Services is initiating an emergency rulemaking to remove the existing 24-month PA requirement from the MaineCare Benefits Manual.

 

Webinar: Estate Planning 101 - Managing Risks to Your Wealth

This webinar presented by Baystate Financial will be held on Tuesday, April 23 from 6-7pm.

 

Webinar: Estate Planning 101 - Managing Risks to Your Wealth

Join Baystate Financial for our webinar on April 23 from 6-7pm.

This presentation will review the estate planning process by exploring the tax benefits and tax advantages available when planning for your estate.  

Participants will learn the basics of estate planning.  Upon completion of this course, they will:

- Explain the different options available in planning for an estate;
- Discuss the current tax law under The American Taxpayer Relief Act of 2012;
- Discuss various federal gift and estate tax reductions techniques;
- Discuss the role of life insurance;
- Be familiar with the personal and business tax ramifications associated with estates.

To RSVP, please contact Victoria Michaud at 207-770-2028 or via email at vmichaud@baystatefinancial.com.  Please note space is limited so save your seat today!

The information provided is not written or intended as specific tax or legal advice.  MassMutual, its employees and representatives are not authorized to give tax or legal advice.  Individuals are encouraged to seek advice from their own tax or legal counsel.  MassMutual Financial Grouop is a marketing name for Massachusetts Mutual Life Insurance Company (MassMutual) and its affiliate companies and sales representatives.  CRN201905-210614AS6021

Photos from Physicians' Day at the Legislature 2019

Click through for photos of various events during Physicians' Day at the Legislature.

 

 

Boards Seek Comments on Proposed Rule for Office-based Treatment of Opioid Use Disorder

The Board of Licensure in Medicine, State Board of Nursing, and Board of Osteopathic Licensure propose to adopt a new joint rule regarding office-based treatment of opioid use disorder.
 

The Board of Licensure in Medicine, State Board of Nursing, and Board of Osteopathic Licensure propose to adopt a new joint rule regarding office-based treatment of opioid use disorder. The proposed rule: defines terms; establishes minimum requirements for qualified clinicians to prescribe, and in limited circumstances, dispense approved medications to individuals requiring and seeking treatment for opioid use disorder; establishes requirements for prescriptions for approved medications; establishes principles for proper office based treatment for opioid use disorder; establishes requirements for clinical care and management; and establishes additional requirements for pregnant patients and adolescent patients.

Full details can be found by following the link, Proposed Rule.

Comments are due by Friday, April 12, 2019 at 4:30 p.m.

 

MMA Legislative Call Tuesday, April 2nd

The Maine Legislature is in full swing, with over 1470 bills printed. All committees are holding public hearings and work sessions and voting on bills. That means there's lots of work to do on the MMA Legislative Calls. The next call will be Tuesday, April 2nd, 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, April 2nd, 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: 

April 2, 2019

LD 1417,  An Act To Expand Access to Head Start To Assist Opioid-affected and Other At-risk Families. $22.5M to broaden eligibility to children up to 5 whose family income is up to 185% of FPL or affected by SUD.

LD 1418,  An Act To Address Maine's Shortage of Behavioral Health Services for Minors. Requires DHHS to maintain website listing of available mental health facilities, programs, resource list; to collect monthly data on extended ED stays for minors; to study same; to study adding child BH needs advocate to DHHS.

*LD 1429,  An Act To Fund Opioid Use Disorder Prevention and Treatment. Tax on opioid manufacturers ($0.02 per MME distributed), to be used for prevention, treatment.

*LD 1433,  An Act To Protect the Environment and Public Health by Further Reducing Toxic Chemicals in Packaging. Bans food packaging with certain coatings or ingredients, with exemption for smaller manufacturers (>$1B annual sales). Allows DEP to add to the list of banned chemicals if “no safer alternative” is available.

*LD 1434,  An Act To Allow Certified Registered Nurse Anesthetists To Bill for Their Services. Requires insurers, HMOs, hospitals and medical service organizations to pay for CRNA services upon referral by PCP or self-referral.

LD 1437,  RESOLUTION, Proposing an Amendment to the Constitution of Maine Concerning Alternative Signatures Made by Persons with Disabilities. Would allow legislature to authorize.

LD 1441,  An Act To Align the Laws Governing Dental Therapy with Standards Established by the American Dental Association Commission on Dental Accreditation. Changes title, requires master’s degree, ACLS certification, supervision agreement with dentist.

LD 1444,  An Act To Make the Distance to Schools for Marijuana Establishments Consistent with the Liquor Laws. As stated, reduces distance from 1000 feet to 300 feet.

LD 1445,  An Act To Provide Debt-free Educational Opportunities for Maine Residents. Grants covering tuition, room & board, books, supplies, & fees. Not need based.

*LD 1450,  Resolve, To Mitigate the Increasing Waiting List for Services under the MaineCare Section 21 Waiver Program. 2-year pilot to provide housing to adults with ID or autism, modeled on Kittery’s program.

LD 1453,  An Act To Improve Dental Health for Maine Children and Adults with Low Incomes. Adds to MaineCare comprehensive dental services with incentive payment program for dentists, with benchmarks for measuring success.

*LD 1460,  An Act To Support Collection and Proper Disposal of Unwanted Drugs. Requires manufacturers to establish & submit to DHHS for approval a drug take-back program, with some limitations.

*LD 1461,  An Act To Support Early Intervention and Treatment of Mental Health Disorders. Funding mechanism for treatment of schizophrenia and other psychotic or mood disorders, including both individual and family treatment.

LD 1466,  An Act To Allow Community-based Organizations To Participate in Diversion Projects for Persons with Substance Use Disorder. Makes community based nonprofits eligible for grants under the Substance Use Disorder Assistance Program.

LD 1470,  An Act To Allow the Prohibition of Weapons at Public Proceedings and Voting Places. As stated. Exception for on-duty law enforcement officers.

State House Highlights of the Week: HCIFS Committee Hears Bills on Insurance Coverage for Abortion, Prudent Layperson Standard, Lead

Click through for news on the past week's developments in the Legislature and from the Governor's office.

 

Last week, the Health Coverage, Insurance & Financial Services Committee held public hearings on insurance coverage for abortion services (L.D. 820) and updating the "prudent layperson" standard in Maine's health insurance laws, among others.  Physician turnout for these bills was excellent.  Norma Dreyfus, M.D., Jay Naliboff, M.D., and Connie Adler, M.D. testified in favor of L.D. 820 with Dr. Dreyfus speaking on behalf of MMA at the hearing last Wednesday.  You can find Dr. Dreyfus' testimony on the MMA web site here.  Last Thursday afternoon, House Speaker Sara Gideon sponsored a bill to update and clarify Maine's "prudent layperson" standard for coverage of emergency services (L.D. 1155).  MMA Legislative Committee Co-Chair Jay Mullen, M.D., M.B.A., a constituent of the Speaker's, had worked for months on this bill on behalf of the Maine Chapter of the American College of Emergency Physicians (ACEP).  He presented testimony in favor of the bill on behalf of Maine ACEP and the MMA.  Dr. Mullen's emergency medicine colleagues, Tom Dancoes, M.D. and Charles Pattavina, M.D., also spoke in favor of L.D. 1155.  The Maine Hospital Association and Consumers for Affordable Health Care also testified in favor of the bill.  The HCIFS Committee is expected to convene a stakeholders working group under the leadership of Senator Geoffrey Gratwick, M.D. to look for common ground on the "clinical peer" and "prior authorization" issues in L.D. 249 and L.D. 705.

The Health & Human Services Committee focused on radon and lead, with several bills relating to lead testing in children. It also heard a bill Sponsored by Rep. Jay McCreight, LD 78, to establish presumptive eligibility for the family planning benefit under MaineCare. Another bill sponsored by Rep. Lori Gramlich would establish in-state mental health treatment facilities for children to avoid their having to be sent to other states.

This (Monday) afternoon the Committee focused on opioids, hearing testimony on several bills relating to MAT in correctional facilities (LD 46), overdose prevention sites (LD 949), and one bill (LD 80) to create an entirely new cabinet level department dedicated to substance use disorder.

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

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

 

 

 

 

  


 

Motivational Interviewing and SBIRT - Sat 4/6 in Biddeford

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. SBIRT (Screening, Brief Intervention, Referral to Treatment) is one evidence based approach to doing this. Motivational Interviewing is a technique using specific skills and has proven to yield better outcomes when used in the strategic treatment of youth engaging in substance misuse.

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. 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.

To learn more and register: https://www.maineaap.org/news/2019/motivational-interviewing-sessions-with-sbirt-day-long-7-cme-three-sessions-left

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. 

NAMI Maine’s Beyond the Basics in Suicide Prevention Conference - Friday, April 12, 2019

NAMI Maine is excited to announce that Dr. Sally Spencer-Thomas is our keynote speaker.

Dr. Sally wears many hats: clinical psychologist, mental health advocate, faculty member, researcher, and suicide loss survivor. She has diligently earned her reputation in social change by helping to establish many mental health efforts, including Man Therapy and National Action Alliance for Suicide Prevention.

 

The theme for this year’s conference is Building Resiliency Through Effective Interventions. Several breakout sessions will focus on different methods of intervention. We are pleased to announce that the conference offers both a clinical and a non-clinical track. Several sessions will include CME credits and CEUs for professionals who attend.

 

In the late afternoon, there will be mini breakout sessions focusing on building your self-resiliency, supporting self-care, and preventing burn out.

 

NAMI Maine is excited to announce that early bird registration for the Beyond the Basics in Suicide Prevention Conference 2019 is available at a reduced cost of $65 until March 1st. For more information, click here.

22nd Maine Pain Symposium on May 1 8am-4:30pm at University of New England

Presented by Maine Hospice Council and Center for End-of-Life Care:
22nd Maine Pain Symposium "Balancing Pain Management With The Opioid Crisis: Are We Making Progress?" at UNE Biddeford Campus

22nd Maine Pain Symposium
"Balancing Pain Management With The Opioid Crisis: Are We Making Progress?"

Presented by Maine Hospice Council and Center for End-of-Life Care

University of New England, Biddeford Campus, Multi Purpose Room
May 1, 2019, 8:00am-4:30pm
Details and Registration Information

For more information or to register:
call (207) 626-0651
http://mainehospicecouncil.org/index.php/category/events/

 

BC/BE Family Medicine Physician or Experienced Family Nurse Practitioner

Western Maine Family Health Center (Livermore Falls, Maine) seeks a BC/BE Family Medicine Physician or experienced Family Nurse Practitioner to provide healthcare to people of all ages.

Western Maine Family Health Center (Livermore Falls, Maine) seeks a BC/BE Family Medicine Physician or experienced Family Nurse Practitioner to provide healthcare to people of all ages. The health center offers accessible, quality healthcare with integrated behavioral health services.

Western Maine is part of HealthReach Community Health Centers, a system of 11 practices in Central and Western Maine with a 44-year history serving 28,000 patients each year. We accept all insurances including commercial plans, MaineCare (Medicaid) and Medicare. In addition, through an ongoing grant from the federal Bureau of Primary Health Care, the health centers offer sliding fee services and assist with applications for healthcare and medication programs including the Health Insurance Marketplace.

The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan, loan repayment options, and relocation assistance. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME  04901 ~ 207.660.9913 ~ Fax 207.660.9901 ~ email: Communications@HealthReach.org ~ www.WesternCHC.org.

4/29/19

Physician for Maine Maritime Academy Summer Training Cruise

Maine Maritime Academy is looking for a physician for its annual training cruise this summer. 

Maine Maritime Academy is looking for a physician for its annual training cruise this summer.  Cruise dates are May 5, 2019 to July 15, 2019.  There is an option for two shorter cruises with the swap from Cruise A to Cruise B occurring in Portsmouth, UK on or around June 9.  Other potential stops include Vigo and Barcelona, Spain; Tallinn, Estonia; and Oslo, Norway.  Compensation is $225/day.  Please visit https://mainemaritime.edu/employment-at-mma/ or contact Mikaela Wentworth at 207-326-2645 for additional details.  EOE.

4/29/19

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 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@mainehealth.org.

4/29/19

Mid Coast Maine - Adult Psychiatrist and/ Psychiatric NP/PA Opportunity

Maine Behavioral Healthcare (MBH) is seeking a BC/BE Psychiatrist or NP/PA to join its expanding team located in Rockland, Maine.

Maine Behavioral Healthcare (MBH) is seeking a BC/BE Psychiatrist or NP/PA to join its expanding team located in Rockland, Maine. The ideal candidate will provide medical leadership to the multidisciplinary teams in the treatment process within the MBH continuum care. Provider is responsible for the treatment planning process, pharmacologic, consulting/integrating with primary care and therapeutic interventions. This unique opportunity involves providing care to patients 18 years of age and older. Excellent benefit package.

“MBH, a MaineHealth member, is Northern New England’s leading integrated behavioral healthcare system serving predominantly southern, western, central and Mid-Coast Maine, and is composed of southern Maine’s only nonprofit psychiatric hospital, outpatient treatment, crisis services, Crisis Stabilization units, as well as 5 ACT teams. This fully integrated and growing system of behavioral healthcare makes it a regional and national model for treating people with serious mental health issues.”

Work in Mid-Coast Maine a truly magnificent area, with spectacular natural beauty and outdoor recreation not found anywhere else in the country.

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

4/22/19

Family Medicine Opportunity in Beautiful Western Maine

Western Maine Primary Care, a department of Stephens Memorial Hospital, is currently seeking a BC/BE family medicine physician to join our exceptional team of providers.

Western Maine Primary Care, a department of Stephens Memorial Hospital, is currently seeking a BC/BE family medicine physician to join our exceptional team of providers. Western Maine Primary Care is committed to providing high quality care. Now is a great time to join our team as we recently relocated our practice to our brand new, state-of-the-art medical office building.

Stephens Memorial Hospital, a 25-bed critical access hospital, is a part of the MaineHealth family, the premier healthcare system in Maine, and is nationally renowned for its innovative programs in rural healthcare. This position offers teaching opportunities of medical students, as Stephens Memorial Hospital is one of the teaching sites for the Maine Medical Center – Tufts University Medical School program. Come be a part of our dynamic team of providers and exceptional support staff and experience the warmth of a small town combined with a medical community working closely with colleagues throughout the MaineHealth system.

Competitive salary and benefits, including student loan repayment and relocation assistance. FMI please contact Abbie Graiver, Director of Physician Recruitment at (207) 744-6049 or graiverab@wmhcc.org.

6/17/19

PCHC in need of Pediatrician for Brand New Pediatric Center!

Penobscot Community Health Care is seeking a Pediatrician in our Penobscot Pediatrics in Bangor. Become a part of the legendary Penobscot Pediatrics, at our new location set to open fall of 2019.

Penobscot Community Health Care is seeking a Pediatrician in our Penobscot Pediatrics in Bangor. Become a part of the legendary Penobscot Pediatrics, at our new location set to open fall of 2019. Penobscot Peds 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.

4/15/19

Medical Director - Maine Mobile Health Program

The Maine Mobile Health Program (MMHP) seeks a Medical Director to support its mission of improving the health status of Maine’s seasonal workers and their families by providing culturally appropriate care and services in an all-mobile health center setting.

The Maine Mobile Health Program (MMHP) seeks a Medical Director to support its mission of improving the health status of Maine’s seasonal workers and their families by providing culturally appropriate care and services in an all-mobile health center setting.

A 501(c)(3) nonprofit organization and federally qualified health center (FQHC), MMHP has an innovative approach to care that is low-barrier, values cultural competency and embraces the human dignity of an invisible and vulnerable population. MMHP’s unique model brings medical, dental and behavioral health services to patients where they live and work via mobile medical units and by connecting clients to local partners.

The Medical Director (MD, DO, NP) is based part-time in the Augusta, ME office with some provision of state-wide care. Click here to read the full job description or visit us at www.mainemobile.org.

To apply, please send cover letter and resume to Lisa Tapert at ltapert@mainemobile.org. EOE.

4/15/19

Board Certified Family Physician - Newport, RI

East Bay Community Action Program, a Federally Qualified Health Center, has a full-time opportunity for a RI-licensed, board-certified Family Physician to join our location at 6 John H. Chafee Boulevard in Newport, RI.  

East Bay Community Action Program, a Federally Qualified Health Center, has a full-time opportunity for a RI-licensed, board-certified Family Physician to join our location at 6 John H. Chafee Boulevard in Newport, RI.   He/She will provide patient education and direct medical services for all ages including health promotion, disease prevention, routine health maintenance visits, and acute care, while providing supervision to a multidisciplinary team.    

The position requires an MD or DO degree, completion of an accredited residency in Family Medicine, current licensure through the RI Department of Health, current DEA registration/RI Controlled Substance Licensure, completion of all privileging and credentialing requirements, and Board Certification in Family Medicine by the American Board of Family Medicine.

Interested candidates may log onto our website at www.ebcap.org, and apply to the position through our Careers page link.  For additional questions, candidates may contact Debbie Scott, Senior Staffing Specialist either at dscott@ebcap.org, or 401-431-9870 x 124.  

4/22/19

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.

4/8/19

 

 

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

4/22/19

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/