Maine Medicine Weekly Update - July 29, 2019
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McKusick Lecture Welcomes Tufts Maine Track Class of 2023

Forty new medical students began their medical education last week in the Tufts University School of Medicine Maine Medical Center program.

McKusick Lecture Welcomes Tufts Maine Track Class of 2023

On July 25, Edison T. Liu, MD delivered the annual McKusick lecture to entering medical students in the Tufts University School of Medicine Maine Medical Center Program.  Dr. Liu is President and CEO of The Jackson Laboratory, and is an international expert in cancer biology, genomics, human genetics, molecular epidemiology and translational medicine.

The McKusick Lecture is named for the late Victor A. McKusick, MD, a native of Parkman, Maine, who has been called the father of medical genetics and "a towering international figure in genetics research."   The event marked the start of medical education for the class of 2023 in the Maine Track program.

Ritika Abhyankar, Leawood, KS  Dartmouth College
Ryan Ahern, Fryeburg, ME  Skidmore College
Luke Andrews, Falmouth, ME  Colby College
Katherine Brady. Valatie, NY  Saint Michael's College
Erica Brasley, Manchester, NH  University of New Hampshire Durham
Drew Brooks, Lyman, ME  University of Maine
Austin Brown, Vernal, UT  Brigham Young University
Carson Brown, Yarmouth, ME  Colby College
Alison Bryant, Charlestown, RI  Reed College
Jesse Butler, Portland, ME  Bates College
Patrick Conroy, South Portland, ME  University of Connecticut
Zachary Cost, Waterboro, ME  Boston University
Audrey Crane, Washington, DC  Barnard College
Christina Damon, Brunswick, ME  Colby College
Isabelle Doan Van, Irvine, CA  University of California Los Angeles
Timothy Downs, Dover, NH  University of Vermont
Daria Egorova, Brooklyn, NY  Vassar College
Olivia Fauver, Meriden, NH  Smith College
Anna Gates, Mechanic Falls, ME  Franklin & Marshall College
Steven Gerrish, Thomaston, ME  University of Southern Maine
Wendy Goldman, Dresden, ME  Bates College
Kathleen Grene, Atlantic Beach, NY  University of San Diego
Robert Hallinan, Boothbay Harbor, ME  University of Maine
Rachel Kupferman, Charleston, SC  Bowdoin College
Danielle Li, Falmouth, ME  Cornell University
Hannah Loeb, Beverley Hills, MI  Bates College
Jacob MacDonald, Poland, ME  Bowdoin College
Noah Manning, Wheelock, VT  Dartmouth College
Michael McCann, Winslow, ME  Middlebury College
James McCullum, Hallowell, ME  Washington and Lee University
John McDonald, Cape Elisabeth, ME  Kenyon College
Taylor Mezoian, Old Orchard Beach, ME  Providence College
Trevor Morin, Scarborough, ME  University of Maine
Alison Omsberg, Belgrade, ME  Middlebury College
Allyson Redhunt, Gorham, ME  Colby College
Erin Smith, Bethel, ME/Cambridge, MA, Brown University
Austin Steward, Bangor, ME/Colebrook, NH  University of Maine
Cordelia Stewart, Bangor, ME  Bowdoin College
Alexander Thomas, Atlanta, GA  Bowdoin College
Emma Williams, Castle Rock, CO  Montana State University Bozeman

The MMA welcomes the incoming class and wishes them well in their medical education.

Change in Referral Policy to the Public Health Nursing Program

Maine CDC’s Public Health Nursing Program (“PHN”) values its important partnership with Maine’s Birthing Hospitals.  Together, we work to ensure the health and safety of mothers and their babies.  Previous Department directives for referrals to PHN indicated that PHN served only families who were MaineCare-insured or uninsured with “indicated health concerns.”   Starting today and moving forward, all prenatal and postpartum women and all newborns and infants up to 12 months of age may be referred to PHN for appropriate services and supports, regardless of insurance status.

Maine CDC’s Public Health Nursing Program (“PHN”) values its important partnership with Maine’s Birthing Hospitals.  Together, we work to ensure the health and safety of mothers and their babies.  Previous Department directives for referrals to PHN indicated that PHN served only families who were MaineCare-insured or uninsured with “indicated health concerns.”   Starting today and moving forward, all prenatal and postpartum women and all newborns and infants up to 12 months of age may be referred to PHN for appropriate services and supports, regardless of insurance status.

PHN postpartum services for women include:

  • Postpartum clinical assessment
  • Breastfeeding consultation
  • Safe sleep assessment
  • Postpartum depression screening
  • Domestic violence screening
  • Identification of long-term support services

PHN newborn and infant services include:

  • Healthy newborn assessment, support, and education
  • Case management services for infants with conditions including, but not limited to, birth injuries, oral feeding difficulties, and intrauterine growth restriction

Providers and/or birthing hospitals may refer clients to PHN via the CradleME referral form. The CradleME form is designed to assist providers in identifying which services an individual client requires. Once a form is received, PHN’s referral specialist or patient navigator will review the information and assign a client to a PHN or requested service within 24 hours of receipt, during regular office hours, 8 am to 5pm, Monday through Friday.

Should you have any questions regarding the eligibility of patients, please call (888) 644-1130 and ask to speak with a PHN referral specialist.

PHN is also reviewing the entire CradleME referral system to identify gaps and areas for improvement.  As a first step, PHN is planning to expand the information collected on the referral forms to ensure that clients receive all necessary supports and services by the appropriate agency.

Your feedback is essential to this improvement process.  Please contact PHN by calling (207) 287-4112 with any comments or suggestions as this project progresses.

Thank you for your continued support and valued partnership. PHN is available to answer any questions you may have about the program generally, the CradleME system, or these referral guidelines.

 

2019 Mary Cushman, MD Award - Nomination Deadline Extended

Nominations are due by Wednesday, August 7 for the 2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer.

 

Nomination Period Extended through Wednesday, August 7th

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 Wednesday, August 7 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

 

U.S. House Committee Reports Surprise Billing and Other Legislation

 The AMA will continue to seek improvements in the surprise billing legislation during the August recess and when the House returns in September.  The MMA will coordinate efforts with the AMA.  The 128th Maine Legislature enacted "surprise billing" legislation several years ago, P.L. 2017, Chapter 218

On July 17, the House Committee on Energy and Commerce reported out health care bills reauthorizing a number of programs, including: Title VIII nursing workforce grants; the "Autism CARES Act" to support programs at the National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), and Health Resources and Services Administration (HRSA); and the Emergency Medical Services for Children program, among others. Significantly, the committee also advanced the "REACH Act" which would extend funding for Community Health Centers, the Teaching Health Centers GME program and the National Health Service Corps. Included in that bill was the "No Surprises Act" to address the contentious issue of surprise medical billing.

Most stakeholders agree that patients should be held accountable only for their in-network cost-sharing amounts in situations where they are unable to select an in-network physician, such as in a medical emergency. Where views diverge is how to determine appropriate payment amounts for out-of-network physicians and other providers. As originally introduced, the "No Surprises Act" would have plans pay out-of-network physicians the median in-network contract amount for the service provided in that particular geographic area. Not only would that bind out-of-network physicians to contracted amounts they did not agree to accept, but it would eliminate much of the incentive for plans to contract with an adequate number of physicians in the first place. Furthermore, as the Congressional Budget Office (CBO) has noted on similar proposals, plans would have an incentive to cancel or cut contracted amounts for any physicians currently above the median rate, reducing payment for both in- and out-of-network physicians. Such a solution would tilt the advantage in negotiating fair contracts even further in the direction of plans. 

At the urging of committee members Rep. Raul Ruiz, MD (D-CA), Rep. Larry Buschon, MD (R-IN) and others, the committee adopted an amendment to provide for an independent dispute resolution process loosely based on the successful baseball-style arbitration model used in New York. Under the proposal, if either party was dissatisfied with the initial payment offer, an appeals process could be triggered that would allow an independent entity to decide between the payment offer of the plan and the physician's billed amount while considering a number of other factors related to the circumstances of the case and the training and experience of the physician. While the proposal still needs improvement, it represents an important step forward by recognizing that the resolution of these disputes requires a solution that is fair and encourages both sides to make reasonable initial payment offers and charges. 

AMA will continue to work to make improvements to these provisions over the August congressional recess and when Congress returns in September.

Maine Family Planning (MFP) Reacts to Title X Funding Loss

Maine Family Planning (MFP) seeks advocacy partners in response to changes in the federal government's Title X program.

Maine Family Planning (MFP) is seeking support from its statewide community of medical providers and advocates to speak up for the preservation and longevity of Maine’s family planning network.   Family planning services are a cornerstone of our large and rural state’s public health infrastructure.  In the nearly 50 years that Maine Family Planning has served as Maine’s Title X grantee, it has experienced the success of this bipartisan federal program in reducing rates of unplanned pregnancy among young people and reaching the highest levels of effective contraceptive use in the country among people of reproductive age.

Unfortunately, the current federal administration is attempting to dismantle Title X by implementing the domestic Gag Rule, which led the MFP Board of Directors to announce its intent to withdraw from the Title X program last week.  While MFP believes this is an ethical decision to preserve access and protect the rights of all patients to receive unbiased and full information from their health care providers, the organization now faces the challenge of having lost nearly $2 million in public funds overnight.  Maine’s family planning system warrants public support in the form of state funds, so it can continue to maintain a robust network of MFP-operated clinics and sub-grantee partners who will meet the sexual and reproductive health needs of our rural and low-income populations.  Without public investment, the future of our state’s successful family planning system is uncertain at best. 

Here is a link to a sign-on statement: https://forms.gle/1rgZXUk19w6xS9t4A.

MFP would appreciate support from any health care organizations in Maine who are so-inclined.  For more information, please go to:   https://mainefamilyplanning.org/.

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.  

 

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.



Scrutiny of CVS-Aetna Deal Shows AMA's Powerful impact

The AMA worked with the Maine Medical Association and other state medical associations with an Aetna and CVS presence to protect physician and patient interests in the transaction.

The word "unprecedented" is used frequently in news reports to describe the CVS-Aetna merger, a $69 billion deal approved by the Justice Department last year.

Forbes called the merger an unprecedented "concentration of power in the health care system." Modern Healthcare and The Hill both used the word "unprecedented" to describe U.S. District Court Judge Richard Leon's continued investigation of the deal after it had already formally closed last November. And the Wall Street Journal said Leon's move to schedule a hearing last month with live testimony was without precedent.

The AMA has opposed this merger in which the nation's third-largest health insurer, Aetna, gets absorbed by CVS Health Corp., a sprawling conglomerate that includes the largest retail pharmacy chain and specialty pharmacy in the U.S. and the largest pharmacy benefit manager (PBM), Caremark.

The deal would lead to the "formation of a vertically integrated PBM tight oligopoly of CVS-Aetna, Express Scripts/CIGNA and United Health/OptumRx," the AMA told U.S. Assistant Attorney General Makan Delrahim in a 2018 letter.

The DOJ approved the merger last fall subject to Aetna divesting its prescription drug plan (PDP) business. That business was subsequently sold to WellCare Health Plans, which the AMA argued served only to further reduce competition among PDPs.

Judge Leon also criticized the divestiture, saying it represented "less than one-tenth of 1%" of the CVS-Aetna deal.

The loss of competition in the PBM market is just one of the angles from which the AMA has argued against the deal, backing its arguments with loads of data obtained from nationally recognized antitrust experts who have evaluated the merger.

Other reasons to oppose the CVS-Aetna merger include:

  • The benefits of the merger are speculative.
  • There are likely anti-competitive impacts in the PDP, health insurance, retail pharmacy, specialty pharmacy and PBM markets.
  • The merger is likely to raise health insurance premiums.
  • Any efficiencies resulting from the merger are unlikely to be passed along to consumers.

For a hint at what PBM market concentration makes possible, look to Ohio's Medicaid managed care program. According to the Columbus Dispatch, PBMs "transferred $224 million from taxpayers' wallets" directly to theirs through "spread pricing" where the PBMs reimbursed pharmacies almost 9% less than they were paid by the state.

The paper also reported that, as PBMs cut payments to pharmacies struggling to remain open, the parent company of one of them, CVS, sent their owners letters "sympathizing with their financial woes and offering to buy them out."

The AMA outlined in a recent 141-page analysis why the proposed CVS-Aetna merger would run afoul of federal antitrust law, noting how it would likely harm patients. CVS is one of the two largest players in the retail pharmacy market and operates the largest pharmacy benefit manager. The merger also would reduce competition in certain pharmaceutical benefit markets, leading to higher premiums and lower-quality insurance products. The merger faces enormous implementation challenges and is unlikely to realize efficiencies that benefit patients.

Learn more about the AMA's competitive concerns with this merger.

Kai Sternstein, JD, vice president of the AMA Advocacy Resource Center discusses the CVS-Aetna merger and its implications in a brief video.


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 final date is on 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. 

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/