Maine Medicine Weekly Update - July 22, 2019
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Court Upholds non-ACA-Compliant Short-term Health Plan Rules

A federal judge has approved administration rules allowing short-term health plans that do not cover pre-existing conditions or otherwise comply with the ACA.

 

According to the AP (7/20), a federal judge ruled on Friday that rules issued by the Trump administration last year making short-term health insurance plans more attractive are allowed to be implemented. The new rules mean “the plans now are good for up to 12 months and may be renewed for 36 months. But they don’t have to cover people with pre-existing conditions or provide basic benefits like prescription drugs.”

The Wall Street Journal (7/19, Armour, Subscription Publication) reported the short-term health plans do not comply with the Affordable Care Act (ACA) because they do not include certain required benefits.

The Hill (7/19, Hellmann) reported U.S. District Judge Richard Leon wrote in the decision, “Not only is any potential negative impact from the 2018 rule minimal, but its benefits are undeniable.” Meanwhile, the “insurers who sued the administration said this put them at an unfair disadvantage because they’re required to cover these services and must charge higher premiums.” Moreover, “they argued the availability of short-term plans could draw away their healthy, young customers who might not feel like they need comprehensive insurance.”

 

This Week's 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. [This article is updated weekly.]

 

Data indicate 200-300 women annually conceive while taking acne medication known to cause birth defects

Reuters (7/19, Carroll) reported research indicates “each year two to three hundred women in the U.S. become pregnant while taking” the acne medication isotretinoin, which can cause severe birth defects. This trend continues despite a program implemented by the FDA in 2006, iPLEDGE, which “requires women who want a prescription for isotretinoin to use birth control or promise to abstain from intercourse and to take a pregnancy test before starting the drug and every month thereafter.” The study “found reports of 6,740 pregnancies among women taking isotretinoin between 1997 and 2017, which peaked at 768 pregnancies in 2006 and then began to decline, plateauing in 2011 at 218 to 310 per year.” The findings were published in JAMA Dermatology.

Smoking may increase risk of skin cancer surgery complications, study indicates

Reuters (7/19, Rapaport) reported researchers found that “complications after skin cancer surgery may be more common in smokers and former smokers.” The findings were published in JAMA Facial Plastic Surgery.

Federal regulators suggest steps to minimize consumer exposure to PFAS

The AP (7/20, Knickmeyer) reported, “Federal regulators are sorting out how to handle health risks from a group of widely used nonstick and stain-resistant compounds.” The AP adds that reading labels “may not be enough to guide consumers who want to limit their exposure to the manmade industrial material, known as perfluoroalkyl and polyfluoroalkyl substances, or PFAS.” Scientists said there are several steps that can be taken in order to minimize exposure to the compounds, including “checking on the safety of your drinking water or buying different pots and pans.” Some steps “require spending and lifestyle changes – for example, passing up fast food or other takeout because the containers the food may be packaged in.”

Children born to women living near oil wells may face elevated risk for heart defects, research suggests

Newsweek (7/19, Georgiou) reported a study indicates “mothers living near oil and natural gas wells in Colorado have a higher chance of giving birth to children with heart defects.” Specifically, “the team found that mothers in these areas were between 40 and 70 percent more likely to have children with congenital heart defects.” The findings were published in Environment International.

Responders continue to suffer from World Trade Center-related illnesses

USA Today (7/19, Stanglin) reported that the Centers of Disease Control and Prevention “notes that thousands of responders and survivors of the 9/11 attack continue to suffer adverse health effects from toxic contaminants, risks of traumatic injury, and physically and emotionally stressful conditions.” New York City Fire Commissioner Daniel Nigro said, “It is almost incomprehensible that after losing 343 members on September 11, we have now had 200 more FDNY members die due to World Trade Center illness.” The recent deaths “come as legislation remains stalled in Congress to extend the 9/11 Victim Compensation Fund that provides financial help to victims of the attack in exchange for their agreement not to sue the airline corporations involved.”

Increasing number of U.S. teens trying to lose weight, data indicate

TIME (7/17, Ducharme) reports, “From 2013 to 2016, almost 38% of American adolescents ages 16 to 19 said they had tried to lose weight during the past year...a report from the U.S. Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics” indicates. The NCHS data brief (pdf) “showed that more than three-quarters of adolescents with obesity tried to lose weight,” but “weight-loss attempts outpaced increases in adolescent obesity,” as “obesity rates among adolescents ages 12 to 19 climbed from 18.4% to almost 21% from 2009-2010 to 2015-2016.” Experts caution, however, that “even seemingly healthy behaviors, like working out and cutting back on calories, can quickly spiral into unhealthy territory, especially for” adolescents for whom “eating disorders are thought to be most common.”

Men experiencing domestic violence, abuse may not seek help until in crisis, review indicates

Reuters (7/17, Mathias) reports, “Men who experience domestic violence and abuse often don’t seek help until the problem becomes a crisis,” researchers concluded after reviewing “12 previous studies of male victims of domestic abuse or violence.” Investigators found that “men tend to worry they would not be believed, or that they would be perceived as less masculine if they reported abuse.” The review’s findings were published online in the BMJ Open.

Beginning or maintaining exercise in mid-life may be associated with longer life, researchers say

Reuters (7/17, Rapaport) reports, “Even if they were inactive during their younger years, middle aged and older adults who get at least the minimum recommended amount of exercise each week may live longer than their sedentary counterparts,” research indicated. The findings of the 14,599-participant study were published online in the BMJ.

“Broken heart syndrome” tied to increased cancer risk, research suggests

On its website, NBC News (7/17, Charles) reports a study revealed that one in six “people with broken heart syndrome had cancer, and that these patients in particular were more likely to die within five years, compared with broken heart syndrome patients without cancer.” Of the participants with cancer and broken heart syndrome, also known as stress cardiomyopathy or Takotsubo cardiomyopathy, “nearly 90 percent were women,” and “the most frequent type of cancer was breast, followed by the gastrointestinal system, respiratory tract, internal sex organs, skin and other areas.” The findings were published in the Journal of the American Heart Association.



Opponents of New Vaccine Bill Seek Repeal; Petitions Circulated

People opposing the new Maine law eliminating non-medical exemptions to vaccine requirements are out in force, trying to gather enough petition signatures to force a "people's veto" referendum.

 

People opposing the new Maine law (passed by the Legislature and signed by the Governor) eliminating non-medical exemptions to vaccine requirements are out in force, trying to gather enough petition signatures to force a "people's veto" referendum of the law. The group calls itself "Mainers for Health and Parental Rights."

Signature gatherers have been observed at farmers' markets and other public events, including the Yarmouth Clam Festival this past weekend. Observers report that the law is being presented as having stripped physicians of their right to decide if vaccines are appropriate for their patients and as requiring health department approval of any medical exemptions. Both of these statements are untrue.

A flier being circulated with the petition states that the repeal effort is supported by "countless" physicians and nurses. It states that the bill was "pushed through the legislature despite overwhelming opposition by the Citizens of Maine." You can read the flier at www.veto798maine.com.

Some gatherers are reported to be saying that repeal is supported by an "overwhelming majority" of Mainers. One person reported she was told, "It's not about being for or against vaccines, it's about giving people the choice."

Governor's Opioid Summit Draws over 1,150 to Augusta Civic Center

Katherine Leggat-Barr, MMA Intern

Governor Janet Mills called for an opioid summit conference at the Augusta Civic Center, and over 1,150 people attended...a fact that underscores the concern that Mainers from a variety of backgrounds feel over an epidemic that has been killing hundreds of people around the state in recent years.

 

 

On Monday, over 1,150 people gathered at the Augusta Civic Center for the Governor's 1st annual “Turning the Tide Summit,” to combat opioid use in Maine. The full day conference had a broad agenda, featuring keynote speakers including Governor Janet Mills, Sam Quinones, author of the best-selling book Dreamland and Michael Botticelli, former director of National Drug Control Policy. The conference featured breakout sessions, with topics ranging from the best practices in caring for substance exposed infants to reducing stigma surrounding addiction. Each session began with the voice of an individual impacted by the epidemic, from persons in recovery to the families of individuals lost to overdose, grounding the conference in the lived reality. It concluded with a Response Panel, featuring Dr. Patrice Harris, President of the American Medical Association. The prevalence of hope while impressing the necessity of urgent action was a common thread throughout.

Governor Mills opened the conference, outlining her administration’s direction and focus on this issue. She emphasized the importance of having “all hands on deck,” with agencies collaborating to tackle the opioid crisis. No one organization or method can solve it alone, she said, and the time to act is now.

Sam Quinones followed, discussing the causes of the epidemic. He reported that the pain management "revolution" resulted from drug companies’ marketing of oxycontin as a virtually non-addictive pill to cure all pain. Instead of alternative, less dangerous pain management strategies, patients began to demand this quick fix, ultimately expanding the heroin market. Quinones views the breakdown of community over the past 35 years as a major contributing factor. “The single greatest antidote to heroin is community,” he writes. “Bring people out of their private rooms... [and] people may emerge from this plague more compassionate, more grounded than ever.” 

The afternoon plenary session featured Michael Botticelli, who, as a person in recovery himself, outlined solutions to this problem. He discussed the importance of reducing stigma by simple changes in the language we use, such as referring to someone having a “substance use disorder,” rather than as a “substance abuser.” He also emphasized the need for more medical school training surrounding addiction and increased insurance coverage for treatment. 

The conference ended with a panel of four experts discussing regional and national policies currently addressing opioid use. The AMA's Dr. Patrice Harris prompted attendees to “dig deep and ask why,” these issues exist. For example, why do individuals hoard pills? Is it because they can’t afford the $10 copay? She emphasized there is no single solution for this epidemic, no "one size fits all" answer, as each situation has intricacies and barriers to recovery we cannot discount. She discussed the fact that 9 out of 10 individuals who have substance use disorders cannot access treatment. She echoed Botticelli’s remarks about the importance of reducing stigma, and limiting the use of pejorative language when referencing affected individuals.

There is a full archive of the plenary sessions on the event website if you are interested in hearing more. The 2nd annual "Response to the Opioid Crisis" summit has already been scheduled and will be held in Bangor on July 23rd, 2020. 


You can read another article about the summit at: https://mainedoenews.net/2019/07/18/a-hopeful-path-forward-at-maines-opiate-crisis-summit/

CMS Expands Scope of Approved Ambulatory BP Monitoring

Responding to a joint request from the AMA and the American Heart Association (AHA), the Centers for Medicare & Medicaid Services (CMS) issued a final national coverage determination expanding covered indications for the use of ambulatory blood pressure monitoring (ABPM) in diagnosing hypertension to include suspected masked hypertension, where in-office blood pressure readings may be lower than those taken elsewhere.

 

[from AMA Advocacy Update]

Responding to a joint request from the AMA and the American Heart Association (AHA), the Centers for Medicare & Medicaid Services (CMS) issued a final national coverage determination expanding covered indications for the use of ambulatory blood pressure monitoring (ABPM) in diagnosing hypertension to include suspected masked hypertension, where in-office blood pressure readings may be lower than those taken elsewhere. Previously, Medicare covered ABPM for suspected white coat hypertension, when in-office blood pressure is higher than when measured at home, but not for masked hypertension, such as for patients whose blood pressure is normal in the clinic but above normal out of the clinic or at night.

As the AMA and AHA urged in a joint comment letter on the proposed coverage decision, CMS made important modifications to the final ABPM policy:

  • Updated systolic and diastolic blood pressure readings that qualify for ABPM coverage to reflect the 2017 AHA/American College of Cardiology guidelines
  • Removed the requirement for lifestyle interventions prior to ABPM use
  • Specified detection of nocturnal hypertension as a covered indication for ABPM use

Expanded Medicare coverage of ABPM is consistent with recommendations of the U.S. Preventive Services Task Force and represents a major advance in physicians' ability to appropriately diagnose hypertension, which can have serious consequences for patients' health without appropriate diagnosis and management.

More information on AMA and AHA tools for controlling hypertension is available here.

 

MMA Hosts 16th Annual Golf Tournament to Benefit Maine Medical Education Trust Scholarships

The MMA's Annual Golf Tournament is one of our annual fundraisers for the scholarship funds of the Maine Medical Education Trust (MMET).  The next will be the Silent Auction at the Annual Session.

 

Golfers from 14 teams enjoyed a spectacular Maine summer day at the Augusta Country Club in Manchester.  MMA Past President and avid golfer Brian Jumper, M.D. has been the tournament Chair since its inception. 

Everyone enjoyed lunch before the round, the 18-hole scramble, and "19th Hole" festivities, but the prize winners were:

  •  Men's Longest Drive:  J.D. Hasiaris, Esq.
  • Women's Longest Drive:  Moe Harriman
  • Men's Closest to the Pin #2:  Bob Cummins, Esq.
  • Men's Closest to the Pin #7:  Norm Collins
  • Men's Closest to the Pin #15:  Norm Blair
  • Men's Closest to the Pin #17:  J.D. Hadsiaris, Esq.
  • Women's Closest to the Pin #2:  Emily Jose
  • Women's Closest to the Pin #15:  Moe Harriman
  • Women's Closest to the Pin #17:  Moe Harriman
  • 3rd Low Net Team (57):  RBC Wealth Management/CurtisThaxter (Jim Jackson, John Gleason, Tim Hepburn, and Andy MacLean)
  • 2nd Low Net Team (54):  Ryan/Harriman (Lisa Ryan, D.O., Rich Hines, Chris Harriman, and Moe Harriman)
  • 1st Low Net Team (51):  BernsteinShur (Ken Lehman, Esq., Ron Schneider, Esq., Arnie McDonald, Esq., and Pat Peard, Esq.)
  • 3rd Low Gross Team (65):  Maine Hospital Association (Steve Michaud, Dick Willette, and Charie Therrien)
  • 2nd Low Gross Team (63):  Taylor Drug Store (Dennis Croteau, David Tripp, Wayne Kresling, and Andy Greenspan)
  • 1st Low Gross Team (62):  Old Dominion Freight Line (Brooke Grygiel, Gary Delude, Rod Bartlett, and Mike Futton)
Thanks to all of our tournament sponsors and players!  We'll let you now about a 2020 date.  Enjoy the rest of the golf season!
  •  

MICIS Individual Academic Detailing Sessions on Opioid Topics

The Maine Independent Clinical Information Service (MICIS) is offering 1-hour individual Academic Detailing sessions on two topics: Treating Complex Patients with Chronic Paid who Are Prescribed Opioids and Overview of Office-Based Buprenorphine Prescribing.  www.micismaine.org

 

2019 Opioid Academic Detailing Sessions
Maine Independent Clinical Information Service (MICIS)

Academic Detailing is peer-to-peer educational outreach which is designed to improve prescribing practices.  It is useful for improving quality of care and identifying priorities for change.

MICIS is scheduling individual 1-hour Academic Detailing sessions on these topics:

  • Treating Complex Patients with Chronic Pain Who Are Prescribed Opioids
  • Overview of Office-Based Buprenorphine Prescribing
Prescribers of opioids (physicians, nurse practitioners and physician assistants) and Medical Directors may request a 1-hour Academic Detailing session at their practice location.  This direct learning session can be scheduled for any time of day, and sessions can be scheduled on the same day for mutliple prescribers in the same or nearby practices.  The sessions are provided free of charge.

Visit www.micismaine.org for information on MICIS education outreach and academic detailing and to request an Academic Detailing session at your medical practice or hospital.

MICIS has provided evidence-based prescribing education since 2008, and is a program of the Maine Medical Association.  

 

2019 Mary Cushman, MD Award - Final Week to Submit a Nomination

Nominations are due by Wednesday, July 31 for the 2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer.

 

2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer

The Maine Medical Association presents the Mary F. Cushman Award each year to recognize the humanitarian service of Maine medical volunteers who serve many hours in Maine, throughout the United States, or abroad.

Priority consideration is given to:

  • the nomination of a Maine physician who is a member of the Maine Medical Association
  • nominations submitted by members of the Maine Medical Association
  • nominations that, for international volunteering, include training people in other countries to provide care in their own communities.
The aware is announced at the Association's Annual Session in September, and includes as $1,000 donation to the institution or organization of the recipient's choice.

Nominations for the 2019 award are due by July 31 and should describe the volunteer's activities and contributions to the profession.The nomination form is available at https://www.mainemed.com/cme-education-info/annual-session

 

MMA Legislative Calls Finished for the Session

Now that the Maine Legislature has adjourned sine die, our MMA legislative calls are on hold. Watch this space in late autumn for information about an in-person meeting to prepare for the Second Regular Session (2020) of the 129th Maine Legislature.

 

MMA Legislative Committee Chairs Jay Mullen, M.D. and Lindsey Tweed, M.D. thank you for participating in the weekly conference calls of the MMA Legislative Committee. It was a busy session for health care and health legislation, and the legislative calls were essential in giving MMA advocacy staff the guidance we needed to support or oppose significant legislation.

Preparation for the 2020 Second Regular Session of the 129th Maine Legislature will begin with an in-person meeting sometime in late fall, and regular legislative calls will resume the first week of January. In the meantime, enjoy your summer and fall, and don't forget to cultivate your relationships with your representative and senator. They appreciate hearing from you, not just on health issues but on any matters in which you have an interest.

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

September 7, 2019
The following Specialty Society Meetings are being held in conjunction with MMA’s 166th Annual Session taking place September 6-8, 2019 at the Harborside Hotel & Marina in Bar Harbor, ME

Maine Chapter, American College of Surgeons
1:00pm - 2:00pm - Ironbound Room in the Pool House
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

Maine Chapter, American College of Emergency Physicians
  2:00pm - 4:00pm - Ironbound Room in the Pool House
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

Maine Society of Anesthesiologists
2:00pm – 5:00pm – Stave Island Room in the Pool House
Contact:  Lisa Montagna at 207-620-4015 or mesahq@gmail.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
View Brochure or Register Online
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

October 24, 2019
Maine Association of Psychiatric Physicians, Fall Members Meeting/Program

Hilton Garden Inn, Freeport, ME
Contact Dianna Poulin at 207-480-4194 or dpoulin@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

February 7-9, 2020
Maine Urological Association & Rhode Island Urological Society’s
2020 Winter Program
Sugarloaf Mountain Hotel & Conference Center – Carrabassett Valley, ME
Contact: Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com

April 16-17, 2020
Maine Association of Psychiatric Physicians, 14th Annual Spring Program

Hilton Garden Inn, Freeport, ME
Contact Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com

May 1, 2020
Maine Society of Eye Physicians and Surgeons Spring Meeting

Harraseeket Inn – Freeport, ME 11:30am - 5:00pm
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

May 1-3, 2020
Maine Chapter, American Academy of Pediatrics Spring CME Conference

Hilton Garden Inn – Freeport, ME
Contact:  Dee Kerry 207-480-4185 or dkerry@mainemed.com

 

 

 

 

  


 

Quality Counts: Rapid Induction Starting in the ED (RISE) Training, ECHO Program

Quality Counts is hosting an education program for hospital Emergency Departments (EDs) with training and technical assistance on initiating buprenorphine in the ED.

 

Quality Counts: Rapid Induction Starting in the ED (RISE) Training and ECHO Program

Quality Counts (QC), in collaboration with BlueWater Emergency Partners and several other partners (MMA and ACEP) is working under a contract with the state of Maine to host an education program for interested hospital Emergency Departments (EDs) focusing on how to initiate buprenorphine in the ED. 

During the Rapid Induction Starting in the ED (RISE) project, QC is offering education and assistance on best practices for initiating buprenorphine in hospital EDs for individuals with Substance Use Disorder (SUD) who are willing to engage in treatment during an ED visit.  If your ED is interested in receiving training or technical assistance on initiating buprenorphine in the ED from peer coaches in the field please contact Kayla Cole at kcole@mainequalitycounts.org or tel. 207-620-8526 ext. 1027.

As part of our project RISE educational programming, we are offering a four-month ECHO program that will convene a "hub" of faculty experts and clinicians.  Our team will engage clinicians and teams from hospital EDs that have and/or are planning to implement MAT in the ED to serve as "spokes", giving them the opportunity to learn together and discuss specific questions and challenging issues through case discussions.  Content for the ED MAT didactic sessions in the ECHO program will reflect key educational topics related to initiating MAT in the ED, with specific content to be developed with input from ED and addiction medicine expert consultants, as well as from targeted ED clinicians and staff around the state. The two remaining dates are: 

  • July 24, 2019 from 12:00-1:00 PM
  • August 28, 2019 from 12:00-1:00 PM

If you have questions or would like more information please contact Kayla Cole at kcole@mainequalitycounts.org or tel. 207-620-8526 ext. 1027. 

ACU Annual Conference is taking place in Washington, DC from July 28th-31st

The 2019 ACU Annual Conference entitled "Stronger Teams, Healthier Communities" is set to take place July 28th through July 31st at the Four Seasons Hotel in Washington, DC. We hope you will join us for this special occasion.

The 2019 ACU Annual Conference entitled "Stronger Teams, Healthier Communities" is set to take place July 28th through July 31st at the Four Seasons Hotel in Washington, DC. We hope you will join us for this special occasion.

The ACU Annual Conference is a great opportunity to meet with hundreds of clinical leaders from across the country who all have an interest in improving care for the underserved. There will also be Continuing Education credits offered for each workshop session. Our workshops and general sessions begin on Monday, July 29 and run through Tuesday, July 30. Committee meetings, Board meetings, and a special Leadership Development pre-conference workshop will take place on Sunday, July 28, and a Hill Briefing and visits will take place on Wednesday, July 31.

 

MICIS Opioid Education Presentations Available

Presentations can be scheduled at medical practices and hospitals on clinical and legal opioid updates, co-prescribing benzodiazepines & opioids, and opioid use disorder & medication assisted recovery.  Learning objectives and descriptions are available at www.micismaine.org.

 

MICIS, the Maine Independent Clinical Information Service, has been providing evidence-based prescribing education at medical practices and hospitals since 2008.  In 2019, MICIS is offering presentations on the following topics:

  • Clinical Opioid Update 2019
  • Legal Opioid Update 2019
  • Co-prescribing Benzodiazepines & Opioids: The Black Box of Increased Opioid Risk
  • Opioid Use Disorder & Medication-Assisted Recovery: Caring For Our Communities (presented in 2018)
  • Managing Depression in Older Patients (Note: this is not an opioid topic.)
A 3-hour presentation including Clinical Opioid Update 2019, Legal Opioid Update 2019, and Co-prescribing Benzodiazepines & Opioids is available.

In addition, individual academic detailing sessions are available to prescribers of opioids on these topics:

  • Treating Complex Patients with Chronic Pain who are Prescribed Opioids
  • Overview of Office-Based Buprenorphine Prescribing

Visit www.micismaine.org for information about MICIS education outreach and academic detailing, and to request a presentation at your medical practice or hospital.

Complex Mental and Behavioral Health Needs of Maine Youth - August 16

Collaborating to Address the Complex Mental and Behavioral Health Needs of Maine Youth

A joint conference for family and pediatric providers and school nurses.

Friday, August 16, 2019   ~   8:30am – 3:30pm

Talbot Lecture Hall, University of Southern Maine – Portland

 

Plenary Talks:

Identification and treatment of anxiety and depression in children and adults: How can we do better?  Speaker: Douglas Robbins, MD, Maine Behavioral Healthcare

ACEs and the Effects of Trauma Speaker: Cassie Yackley, PsyD, Yackley Consulting Group

 

Short Talks:

Creating an Inclusive Environment for LGBTQ Youth - Speaker:  Sue Campbell, OUT Maine

Begin with the End in Mind: ADHD/ODD - Speaker: Deborah Hagler, MD, Midcoast Pediatrics

Addressing Suicide Risk - Speaker: Sheila Nelson, MS, Maine CDC

Adolescent Substance Use Speaker: Day One Program

Absenteeism in Maine - Speaker: Susan Lieberman, Count ME In

 

REGISTER HERE!

 

 

 

Maine Concussion Management Initiative (MCMI) Training Program - October 9

The Maine Concussion Management Initiative (MCMI) has its final training program for 2019 on October 9 at the annual conference of the Brain Injury Association of America-Maine Chapter. MCMI training will be listed as the Youth Concussion Track.

The Maine Concussion Management Initiative (MCMI) has its final training program for 2019 on October 9 at the annual conference of the Brain Injury Association of America-Maine Chapter. MCMI training will be listed as the Youth Concussion Track.

The BIAA-Maine Chapter conference will be held at the Abromson Community Education Center on the campus of the University of Southern Maine. The conference runs from 8:00am to 4:30pm. The MCMI Youth Concussion Track will have Level 1 from 9:30am to 1:00pm and Level 2 from 1:30pm to 4:30pm.

Registration will be online at the BIAA-Maine Chapter website www.biausa.org and should be available by August.

Level 1 is the Introduction to Concussions and Concussion Management. Level 2 is Advance Concussion Management that includes interpreting neurocognitive tests. Level 1 is a prerequisite for Level 2. MCMI training is appropriate for physicians, nurse practitioners, physician assistants, neuropsychologists, school nurses, athletic trainers, physical therapists, occupational therapists, athletic directors, and coaches.

For any questions – please contact: Jan Salis, PT, ATC, at jsalis@aol.com or 207-577-2018.

 

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

8/5/19

BC/BE Family Medicine or Internal Medicine Physician

Northern Light Eastern Maine Medical Center has an exciting leadership opportunity for a BC/BE Family Medicine or Internal Medicine Physician to lead our primary care network of five well-established, quality-driven, outpatient practices serving the greater Bangor community.

Northern Light Eastern Maine Medical Center has an exciting leadership opportunity for a BC/BE Family Medicine or Internal Medicine Physician to lead our primary care network of five well-established, quality-driven, outpatient practices serving the greater Bangor community.

The Physician Director, Primary Care will collaborate with the Practice Director, Primary Care to form a dyad partnership in leading our primary care team, as well as provide peripheral oversight for our Walk In Care and university health center locations. The Physician Director of Primary Care will have clinical, operational, financial and strategic duties. This role is 80% administrative and 20% clinical practice.

Why Northern Light Health? We offer a robust compensation and benefits package, generous PTO benefits, loan repayment program, and an exceptional work/life balance.

For confidential consideration, please contact:
Amanda Klausing, FASPR, Physician Recruiter
ProviderJobs@NorthernLight.org

207.973.5358

8/12/19

Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon

Bread and butter surgery, with high volume elective surgery and low volume emergency surgery. Upper and lower endoscopy ability required. Breast surgery preferred, but not required.

Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon. Bread and butter surgery, with high volume elective surgery and low volume emergency surgery. Upper and lower endoscopy ability required. Breast surgery preferred, but not required.

Northern Light Sebasticook Valley Hospital is a progressive, Joint Commission accredited, 25-bed Critical Access Hospital in Pittsfield, Maine that serves an area encompassing 40,000 people throughout the central region. Northern Light Sebasticook Valley Hospital is a member of Northern Light Health, an integrated statewide health delivery system that is raising the bar with no-nonsense solutions that are leading the way to a healthier future for our state.

Why Northern Light Health?

  • Robust compensation and benefits package  
  • Student Loan Reimbursement Programs 
  • Relocation Bonus  
  • Sign on Bonus  
  • Flexible schedules and exceptional work/life balance  
  • Generous PTO benefits   

For confidential consideration, please submit CV to: Providerjobs@northernlight.org

10/7/19


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.

9/16/19

Physician

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 Physician provides direct clinical services and works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care.   

Applicants must have a degree from an accredited medical school in the U.S., Board certification in Family or Internal Medicine, an unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  • A minimum of three years’ experience in a primary care medical practice; 
  • Demonstrated respect for cultural diversity in serving patients and families;
  • 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;

Springvale is an iconic New England village located in western York County, Maine, less than an hour’s drive from Portland, Maine and Portsmouth, New Hampshire

Visitwww.nassonhealthcare.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

7/22/19

Physician Director of Primary Care

Northern Light Sebasticook Valley Health has an exciting physician leadership opportunity for a Board Certified/Board Eligible MD/DO Family Medicine or Internal Medicine Physician to lead our primary care network of three family medicine practices.

Northern Light Sebasticook Valley Health has an exciting physician leadership opportunity for a Board Certified/Board Eligible MD/DO Family Medicine or Internal Medicine Physician to lead our primary care network of three family medicine practices. This is an excellent opportunity to lead a group of well established, quality driven, outpatient practices serving the greater Pittsfield community. Our team of physicians and NP/MHNP providers are committed to providing excellent medical care, exceptional service and a satisfying relationship between patient and provider. We do this by blending the latest technology with old-fashioned care and customer service. Our skilled office staff and providers work as integrated care teams to provide our patients with a full spectrum of family care. This role will be 20% administrative and 80% clinical practice.
 
For confidential consideration, please contact: providerjobs@northernlight.org
 
7/29/19

Nurse Practitioner

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

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

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

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

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

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

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

EOE

7/22/19

Family Medicine Specialist or an Internist

Northern Light AR Gould Hospital is seeking an additional Family Medicine Specialist or an Internist for its outpatient health facility in Presque Isle.  This is an outpatient only position with 24/7 Hospitalist support for all admissions.

Northern Light AR Gould Hospital is seeking an additional Family Medicine Specialist or an Internist for its outpatient health facility in Presque Isle.  This is an outpatient only position with 24/7 Hospitalist support for all admissions.

AR Gould Hospital features 89 acute care beds and a 72 bed facility and serves all of Aroostook County with a broad array of primary and specialty care, acute inpatient, diagnostic and surgical services.

Northern Light AR Gould Hospital in Presque Isle, Maine, which is known for its beautiful lakes, rivers, and forests.  When you’re not enjoying year round outdoor activities, you will be working with supportive colleagues in a modern facility that is well-integrated into a cutting-edge health care syste

For confidential consideration, please contact: Monica Hewitt, Physician Recruiter ProviderJobs@NorthernLight.org or 207.973.5358.

8/12/19

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/