Maine Medicine Weekly Update - September 3, 2019
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MMA Gathers for Annual Session in Bar Harbor This Weekend

Join your physician colleagues this weekend, September 6-8, for the Maine Medical Association's 165th Annual Session. Headlining the event will be a keynote panel presentation by Governor Mills, Commissioner Jeanne Lambrew, Maine CDC Director Nirav Shah, Senior Advisor Lisa Letourneau, and Maine's Director of Opioid Response, our own Gordon Smith. You don't want to miss it!

 

The Maine Medical Association commences this year’s Annual Session on Friday, September 6th with an opening reception at 5:30 p.m. with our exhibitors.

This two-day event continues the time honored tradition of Maine physicians coming together as colleagues to discuss the status of the medical profession, to network, and to engage in the many recreational activities offered including whale watching, hiking, biking, shopping, and golfing. The meeting is family friendly with time to relax and enjoy the many attributes that only Mount Desert Island and Acadia National Park can offer. We have a full agenda. You can register online by clicking here.

Features of the program include Opening Remarks and Gathering on Friday evening. The weekend will feature the presentation of 50 year pins to members who graduated from medical school in 1969 and presentation of the Mary Cushman Award for Humanitarian Service, and the President's Award for Distinguished Service. On Saturday morning, MMA will hold its annual governance meeting, which will also include an update from Medical Mutual Insurance Company of Maine and will feature The Honorable Janet T. Mills, Governor of Maine  and her team of health leaders to present the outline of actions addressing Maine's health needs: DHHS Commissioner Jeanne Lambrew; CDC Director Nirav Shah; Lisa Letourneau, Senior Advisor for Delivery System Change; and Director of Opioid Response Gordon Smith. Sunday morning a panel discussion will feature How Physicians Can Take a Leadership Role. 

A rare event occurs this year: the torch of MMA staff leadership is being passed from Gordon Smith, Esq., who has been the MMA's executive director since 1993, to Andy MacLean, Esq. Don't miss this chance to bid Gordon adieu and welcome Andy to his new role! This will also be the last annual session for General Counsel Peter Michaud, JD, RN, who has served the MMA for five years.

We hope that you will join your colleagues from around the state as well as the MMA staff for an interactive and fun meeting at one of Maine's most beautiful locations at a great time of year!

Portland's PIER Program Featured in New York Times Article

The Portland Identification and Early Referral (PIER) program, developed by Maine Psychiatrist William McFarlane, MD of Maine Medical Partners, is featured in a recent New York Times article. The program is based on the idea that an impending psychotic break can be prevented if identified early and treated appropriately.


The Portland Identification and Early Referral (PIER) program, developed by Maine Psychiatrist William McFarlane, MD of Maine Medical Partners and a member of MMA and the Maine Association of Psychiatric Physicians, is featured in a recent New York Times article. The program is based on the idea that an impending psychotic break can be prevented if identified early and treated appropriately.

The program, now funded through a grant from the Robert Wood Johnson Foundation, takes a multidisciplinary approach and depends on early recognition of warning signs, including a decrease in job or school performance, increasing isolation, suspiciousness of others, and difficulty in thinking clearly. It has been replicated in approximately 18 sites around the country.

 The article may be found here

US CDC Asks Physician Help on Vape-related Lung Diseases

The U.S. Centers for Disease Control and Prevention is asking physicians around the country to report possible cases of vaping-associated pulmonary illness to their state public health departments or CDCs.

 

The U.S. Centers for Disease Control and Prevention is asking physicians around the country to report possible cases of vaping-associated pulmonary illness to their state public health departments or CDCs. In a recent Clinical Action newsletter, the CDC reported that 30 cases of severe pulmonary problems have been reported in Wisconsin alone, with another 24 possible cases in Illinois. One death has been reported so far.

"Clinicians should always inquire about potential drug (legal and illicit) use as part of a general history. When patients present with respiratory or pulmonary illness, especially of unclear etiology, clinicians should ask about the use of e-cigarette products (devices, liquids, refill pods and/or cartridges) for “vaping”. If possible, inquire about the types of drugs (legal or illicit) used and methods of drug use (e.g., smoking, “vaping”).

CDC recommends that clinicians report cases of significant respiratory illness of unclear etiology and a history of vaping to the appropriate state and/or local health department."

The story is also making its way into the popular press.

 

New Resource Elucidates Climate Change Impact on Health and Health Care

A just-published resource in the New England Journal of Medicine  contains an excellent interactive resource on how the climate crisis is impacting health care and health care systems, and what health care providers can be doing about it. 

 

A just-published resource in the New England Journal of Medicine  contains an excellent interactive resource on how the climate crisis is impacting health care and health care systems, and what health care providers can be doing about it. It was created by Caren Solomon at the New England Journal of Medicine, with Renee Salas, the NEJM Perspective editor, and the NEJM Art team.

The resource, which brings together a large amount of carefully curated material, makes it  easy to access, and  fun to use. Click on the Figures/media tab to listen to the interview.  

https://www.nejm.org/doi/full/10.1056/NEJMp1906035

This resource was brought to MMA staff's attention by MMA member Paul Potvin, MD.

 


Maine CDC to Hold Rulemaking on Death With Dignity

The Maine Center for Disease Control and Prevention (Maine CDC) is hosting a public stakeholder meeting on September 12th at 5:00 pm to seek input for its new rule required by An Act to Enact the Maine Death with Dignity Act. It seeks input from physicians on reporting requirements and data collection.

 

The Maine Center for Disease Control and Prevention (Maine CDC) is hosting a public stakeholder meeting to seek input for its new rule required by An Act to Enact the Maine Death with Dignity Act (See 129th Legislature’s Public Law, ch. 271 – LD 1313). 

Specifically, Maine CDC would like input on the following two questions: 

  1. What data elements would you recommend that the Maine CDC collect, in addition to the items outlined in the Maine Death with Dignity Act and Governor Mills’ Executive Order Number 9?
  2. Where should the reporting forms associated with this new law be accessed? Should the forms be available on a public site or at a portal reserved for practitioners?

All interested individuals are invited to attend. The meeting is scheduled to be held from 5 p.m. to 6:30 p.m., Thursday, September 12, 2019, in the Cumberland Room at the Augusta Civic Center.   

Individuals who are unable to attend this public meeting may submit written comments to Bridget Bagley at bridget.bagley@maine.gov. All written comments must be received by 5 p.m. on Friday, September 13, 2019.   


EEE Found in Maine Horse

The Maine CDC has just sent out an advisory that Eastern Equine Encephalitis (EEE) has shown up on a York County horse, the first such case in Maine since 2013. The virus can be transmitted to humans via a mosquito vector.

 

AUGUSTA, Maine – Maine Center for Disease Control and Prevention (Maine CDC) was alerted late this afternoon of a positive test for Eastern Equine Encephalitis (EEE) in a horse in York County. The horse, which was not vaccinated against the disease, was euthanized. This is the first case of a horse contracting EEE in Maine since 2013.

EEE is a virus that is transmitted through the bite of an infected mosquito. "EEE, which is carried by mosquitoes, is a fatal, viral disease in horses. The virus can affect human beings if they are bitten by mosquitoes that carry the virus," said Dr. Michele Walsh, Maine State Veterinarian. "People cannot acquire EEE infection from sick animals, only from the bite of an infected mosquito."

"This positive result confirms that mosquitoes carrying the virus are present in Maine, which is the reason why Maine CDC urges the state's residents and visitors to take precautions to protect themselves and their animals from mosquito bites," said Nirav D. Shah, Director of Maine CDC. "We want everyone to take precautions while enjoying themselves this holiday weekend."

Public health officials in other northeastern states have seen evidence of a very active season for EEE and some evidence of mosquitoes carrying West Nile virus (WNV), another mosquito-borne illness. There have been no confirmed cases of EEE or WNV in humans in Maine this year. The last case of EEE involving a human in Maine was in 2015.

Maine CDC advises residents and visitors to protect themselves, their children, and animals by minimizing outdoor activity from dusk to dawn, when mosquitoes are most active. If outdoor activity is unavoidable, take personal precautions to prevent mosquito bites, including:

  • Use an EPA-approved repellent
  • Wear long-sleeved shirts and pants
  • Treat clothing and gear with Permethrin
  • Take steps to control mosquitoes around your property by emptying artificial sources of standing water, fixing holes in screens, and working with a pesticide control applicator.

Animal owners should be aware that:

  • An EEE/WNV vaccine for horses is available.
  • Horses that have not been EEE/WNV vaccinated in the past six months should get either an initial vaccine or a booster as soon as possible.
  • The virus cannot be transmitted from horses to humans.
  • The virus can also affect specialty livestock, such as llamas, alpacas, emus, ostriches, and other farm-raised birds, such as pheasants, quail and ducks. Owners should contact their herd or flock veterinarians to discuss available vaccines and should also take precautions to help reduce exposure to mosquitoes for both themselves and their animals.

Signs of EEE in horses include stumbling or poor balance, unusual behavior, and lethargy. Other symptoms include head pressing, circling, tremors, seizures and eventual coma. In some animal species, the first signs of the disease can be bloody diarrhea or sudden death. The fatality rate for infected animals is greater than 90%, and those that recover can have permanent brain damage. When approved for protection of a particular species, vaccination is the best way to prevent the disease.

The risk of mosquito-transmitted diseases such as EEE and WNV usually increases through the late summer and early fall. Mosquitoes are active until the second heavy frost.

Human infection with EEE virus can cause serious illness affecting the brain. Some persons infected with EEE have no obvious symptoms. In those persons who do develop illness, symptoms – which typically appear between three and 10 days after a bite – range from mild flu-like illness to high fever, headache, stiff neck, and decreased consciousness. Approximately one in every three individuals who are infected with EEE die and many of those who recover experience lasting health problems. Individuals with symptoms suggestive of EEE infection should contact their physician immediately. No human vaccine against EEE and WNV infection is available. There is no specific antiviral treatment for EEE or WNV infections.

Maine has many resources regarding mosquito-borne diseases:

Johnson & Johnson to Pay $572 million in Opioid Case

An Oklahoma Judge has ordered Johnson & Johnson to pay the state of Oklahoma $572 million in the first decided case against an opioid manufacturer for the negative effects of liberal opioid dispensing.

 

[from AMA Morning Rounds]

The New York Times (8/26, Hoffman) reports Judge Thad Balkman of Oklahoma’s Cleveland County District Court “ruled against Johnson & Johnson...and ordered it to pay the state $572 million in the first trial of an opioid manufacturer for the destruction wrought by prescription” pain medications. Oklahoma argued that the company, “which contracted with poppy growers in Tasmania, supplied 60 percent of the opiate ingredients that drug companies used for opioids like oxycodone,...and aggressively marketed opioids to doctors and patients as safe and effective.” The article says the ruling “may indicate what lies ahead in 2,000 more lawsuits.”

The Washington Post (8/26, A1, Bernstein) reports the “decision is the first to hold a drugmaker culpable for the fallout of years of liberal opioid dispensing that began in the late 1990s, sparking a nationwide epidemic of overdose deaths and addiction.”

For more information on the AMA’s policy regarding opioid-related costs, click here

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.]

 

Number of cases of mysterious, life-threatening vaping-related illnesses reaches 215

The New York Times (8/31, A1, Kaplan, Richtel) reported physicians are still trying to ascertain the cause of the mysterious vaping-related illnesses. There have now been more than 215 cases of “mysterious and life-threatening, vaping-related illnesses this summer.” Most of the patients affected are “otherwise healthy and in their late teens and 20s,” but “are showing up with severe shortness of breath, often after suffering for several days with vomiting, fever and fatigue.”

The AP (8/30, Perrone) reported, “While the cause remains unclear, officials said Friday that many reports involve e-cigarette products that contain THC, the mind-altering substance in marijuana.”

CDC warns people not to use vaping supplies bought on the street and to stop modifying e-cigarettes

The New York Times (8/30, Kaplan) reported that in response to “more than 200 cases of respiratory illnesses possibly related to vaping,” the CDC “warned people not to use vaping ingredients bought on the street and to stop modifying either nicotine or cannabis e-cigarette device in an effort to curb the vaping-related lung sicknesses that have alarmed health officials in more than two dozen states this summer.”

MedPage Today (8/30, Boyles) reported the agency issued the new recommendations “following growing numbers of reports of respiratory illness – totaling 215 at last count – and one death thought to be linked to vaping.”

Experts advise parents on how to address topic of weight loss with children

The AP (8/30, Choi) reported that “when it comes to addressing the topic” of weight loss “with children, pediatricians and dietitians say there are best practices to consider.” According to experts, “the key is to approach the subject with kindness and caring, and avoid blaming any of the child’s behaviors.” In addition, youngsters should “understand that any changes would be intended to make them feel better, and not about how they look.” The AP added, “Any adjustments to meals and activities should involve the entire family, so children don’t feel singled out.” Parents should also frame changes “in a positive light.” Stephen Pont, an associate professor of pediatrics at the University of Texas Dell Medical School, said, “Guilt and blame are not good motivators for change.”

Opening all clogged arteries after heart attack may be better than reopening only the artery that caused it, research indicates

Reuters (9/2, Emery) reports, “A new study offers some advice for doctors poking around the heart to reopen a clogged artery that has caused one type of heart attack,” and that is to “come back again to finish the job.” In the COMPLETE study that involved patients at “140 centers in 31 countries,” researchers found that when physicians “also open other arteries that are dangerously narrow – either while the patient is still hospitalized or after a month or so – those patients are half as likely to die from heart problems, have a heart attack or need repeat surgery due to chest pain than patients given conventional medical therapy.” The findings were presented at the European Society of Cardiology Congress and simultaneously published online in the New England Journal of Medicine.

TB rates declining among some groups of U.S. children

Reuters (9/2, Carroll) reports a new study in The Lancet Public Health found that “over the past decade, the number of children and teens in the U.S. diagnosed with tuberculosis has decreased by nearly half.” Overall, TB rates among children and adolescents declined 47.8% during the decade studied, including among “all racial and ethnic groups except for Native Americans, Alaska Natives, Native Hawaiians, Pacific Islanders and children and adolescents of 2 or more races.” Yet the incidence of TB “among certain racial and ethnic groups was at least 14 times higher than among non-Hispanic white children and adolescents.”

CDC: More than 1,000 salmonella illnesses linked to home-raised poultry reported

CBS News (9/2, Gibson) reports the CDC on Friday said it “recorded another 235 salmonella illnesses in August, bringing to 1,003 the count of those sickened by salmonella related to home-raised chickens, hens, ducks and turkeys so far in 2019.” So far, two have died from the salmonella outbreak and another 175 have gone to the hospital. According to federal health officials, “the growing trend of raising chickens and other poultry for eggs and companionship is linked to an outbreak that has sickened people in 49 states.”

Study: Physicians more likely to prescribe opioids later in the day or when running late

STAT (8/30, Corley) reported a study published in JAMA Network Open “reveals that physicians were more likely to prescribe opioids later in the day and when appointments were running behind schedule.” The study found that, “overall, physicians were 33 percent more likely to prescribe opioids later in the day and 17 percent more likely to do so if the appointment was running later than its scheduled time. NSAIDs and physical therapy prescribing did not change throughout the day.”



DHHS Commissioner Lambrew and Insurance Superintendent Cioppa Host Health Care Forum

The MMA joined other stakeholders for a day of panel discussions with national health policy experts on aspects of health care reform.

 

Last Thursday, August 29th, Maine DHHS Commissioner Jeanne Lambrew, Ph.D. and Maine Insurance Superintendent Eric Cioppa co-hosted an event entitled, "All In:  A Forum on Health Care Coverage and Affordability in Maine." The Forum took place at the DHHS office in Portland and featured panels of state and national experts in health policy addressing the following panel topics: New Insurance Options; State Innovation (1332) Waivers, Reinsurance, and Related Strategies; Health Insurance Marketplace Options; Controlling Costs; and The National Context. 

Commissioner Lambrew welcomed a the stakeholder representatives from the health care practitioner and provider community; health insurance carriers; small and large business groups; health care purchasers; employee benefits experts and insurance producers; legislators; and consumer interests.  Governor Mills joined Commissioner Lambrew in closing remarks for the Forum. 

The evening news carried the Mills Administration's announcement of its intention to develop a state exchange under the ACA, an initiative that will produce a more capable web-based marketplace for Mainers to explore their health insurance options. The Forum was timely because the legislature's Health Coverage, Insurance & Financial Services Committee soon will begin a series of meetings to discuss several health care reform bills carried over to the Second Regular Session of this legislature. The Forum also was carried on Facebook Live.

MMA members will have an opportunity to hear more about the Mills Administration's views on health care in our state at the 166th Annual Session in Bar Harbor this weekend. The keynote presentation beginning at 10:00 a.m. on Saturday, September 7th will feature Governor Mills; Commissioner Lambrew; Director of Opioid Response Gordon Smith; Maine CDC Director Nirav Shah, M.D., J.D.; and DHHS Senior Advisor for Delivery System Change Lisa Letourneau, M.D., M.P.H.

 

 

 

Home Health Changes in CMS Rules: Implications for Primary Diagnosis

The Home Health industry is looking toward significant changes on January 1, 2020 related to the Medicare reimbursement and payment. The industry will transition to a Patient Driven Grouper Model (PDGM) which will require a greater focus and importance on the Primary Diagnosis. The Primary Diagnosis will be a key factor in determining home health reimbursement as well as patient care and services.  

 

The Home Health industry is looking toward significant changes on January 1, 2020 related to the Medicare reimbursement and payment. The industry will transition to a Patient Driven Grouper Model (PDGM) which will require a greater focus and importance on the Primary Diagnosis. The Primary Diagnosis will be a key factor in determining home health reimbursement as well as patient care and services.  

Starting in 2020 this model of payment will not accept 40% of the Diagnoses that are currently being used as the Primary diagnosis. These are mainly symptom codes that do not give enough specificity as to the reason for the need for home health services. Studies show that 15% of current home health claims will not be in compliance in 2020 due to unacceptable Primary diagnoses, the number one Diagnosis used being Weakness M62.81.

Examples of these diagnoses that will not be accepted as the primary diagnosis include:

M62.81 Muscle Weakness

R26.89 Other abnormality of gait

R26.81 Unsteadiness of feet

R29.6 Repeated falls

R53.1 Weakness

R33.9 Retention of urine

Dysphagia, unspec.

M25.561/M25.562 Pain in right/left knee

M25.551/M25.552 Pain in right/left hip

M54.9 Dorsalgia, unspec.

M25.511/M25.512 Pain in right/left shoulder

M54.5 Low back pain

M19.90 Unspecified Osteoarthritis, unspecified site

M19.91 Primary Osteoarthritis, unspecified site

S72.001D Fracture of unspecified part of Rt femur

S72.002D Fracture of unspecified part of Left femur

In an effort to make sure all of our patients have Primary diagnoses that are acceptable to this new payment model by 2020, the Home Care & Hospice Alliance of Maine is sharing this information to alert Physicians and referral sources of this significant change.  Please assist home care and hospice providers transition to this new model by starting now to make sure all patients needing home health will have a specific Diagnosis rather than one that only identifies a symptom.

The care of our patients is always our top priority and we hope the implementation of this new model will only help us improve the services that we provide.

Thank you for your referrals to home care and hospice. 

Laurie Belden, Executive Director

Home Care & Hospice Alliance of Maine

 

CDC Videos on Discussing Vaccines With Parents, Patients

August is Vaccine Awareness Month, and the US CDC has developed a series of videos to help pediatricians and others talk about vaccines with their patients.

 

The US CDC has developed a series of videos to help pediatricians and other health care professionals talk with their patients about vaccines. The series is called "How I Recommend Vaccination" and has different videos appropriate to various ages. They address such issues as safety, side effects, and how to deal with vaccine hesitancy.

August is Vaccine Awareness Month...and in Maine, signature gatherers are hitting fairs, festivals, farmers' markets, and other public gatherings trying to collect enough signatures for a "People's Veto" vote next spring. They claim it's a vote for "medical freedom," and they argue that people should sign the petitions even if they believe in vaccination. Supporters of Maine's new immunization exemption law have been engaging the collectors in conversation about the issue and the referendum.

 Meanwhile, in New York, Robert F. Kennedy, Jr. and attorney Michael Sussman are in court (with vaccine skeptic supporters outside) arguing that the recently passed New York law (similar to Maine's LD 798) eliminating non-medical exemptions is unconstitutional, an argument most constitutional scholars believe was put to rest in the 1905 U.S. Supreme Court case of Jacobson v. Massachusetts. The State of New York has issued new emergency immunization regulations seeking to prevent a flood of "bogus" medical exemption claims as happened in California. You can read more about that story here.

 

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
REGISTER TODAY

Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

Maine Chapter, American College of Emergency Physicians
  3:00pm - 4:00pm - Ironbound Room in the Pool House
REGISTER TODAY
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

November 9, 2019
Maine Neurological Society

  9:00am - 12:00pm - Maine Medical Association – Manchester, ME
REGISTER TODAY
Contact: Cathy Stratton at 207-592-5725 or cstratton@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 1-4, 2020
28th Annual MAFP Family Medicine Update & Annual Meeting

DoubleTree by Hilton Portland, Portland, ME
Full brochure and registration available after January 15, 2020 at www.maineafp.org
Contact Deborah Halbach at 207-938-5005 or maineafp@tdstelme.net

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

 

 

 

 

  


 

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 Pain 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 Clinical & Legal Opioid Update: Tuesday, Sept 10th at the Augusta Civic Center

Presented by the Maine Independent Clinical Information Service (MICIS) from 5-8:30pm.  Free presentation, registration required.

2019 Clinical and Legal Opioid Update
Tuesday, September 10 2019
Augusta Civic Center  REGISTER HERE
5:00-8:30pm

The topics covered at this session will be:

  • 2019 Clinical Opioid Update
  • 2019 Legal Opioid Update
  • Co-prescribing Benzodiazepines and Opioids: The Black Box of Increased Overdose Risk
Presenters: Elisabeth Fowlie Mock, MD, MPH: Peter Michaud, JD, RN

FREE - Advanced registration is required
REGISTER HERE
Light snacks will be provided

The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1 Credit(s) TM.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS).  The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

This activity qualifies for a maximum of 3 credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine's legislation to address opioid drug use.

The Maine Independent Clinical Information Service (MICIS) is a program of the Maine Medical Association.  www.micismaine.org 

MICIS: 2019 Clinical & Legal Opioid Update - Fall Dates Scheduled

Registration is open for Fall 2019 presentations of 2019 Clinical & Legal Opioid Update.  Presented by the Maine Independent Clinical Information Service (MICIS).

2019 Clinical & Legal Opioid Update
Presented by the Maine Independent Clinical Information Service (MICIS)
Free - Advanced registration is required
5:00-8:30 pm

The topics and learning objectives for this session will be:
    2019 Clinical Opioid Update
    • Review latest research relating to opioid + pain prescribing practices
    • Constantly consider harm reduction
    • Discuss opioid use disorder and treatments
    2019 Legal Opioid Update
    • Review impact of Chapter 488 in Maine
    • Discuss opioid laws, rules and initiatives of the new administration
    • Study Chapter 21 requirements and logical implementation
    • Investigate methods to further transform local and regional prescribing
    Co-Prescribing Benzodiazepines & Opioids: The Black Box of Increased Overdose Risk
    • Review the trends in benzodiazepine prescribing
    • Evaluate risks of co-prescribing benzodiazepines and opioids
    • Consider taper plans
    • Recall importance of risk reduction
    Presenters: Elisabeth Fowlie Mock, MD, MPH; Peter Michaud, JD, RN
    Light snacks will be provided.

    The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1Credit(s)TM.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS).  The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education to physicians.

    This activity qualifies for a maximum of 3 credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine's legislation to address opioid drug use.

    The Maine Independent Clinical Information Service (MICIS) is a program of the Maine Medical Association. www,micismaine.org

    VA Maine Healthcare System to Host Community Mental Health Summit on MAT September 11th

    The VA Maine Healthcare System will be hosting a community mental health summit focused on Medication assisted Treatment for substance use disorder September 11, 2019, at the Togus VA Center.

     

    VA MAINE HEALTHCARE SYSTEM

    H o s t s

    Community Mental Health Summit

    Medication Assisted Treatment

            -M.A.T. Saves Lives-

     

     

    By attending this Summit, you will learn about:

    • VA’s response to the Opioid Crisis
    • How Veterans with Opioid Dependence can access care
    • VA Veterans Justice Outreach Program

    • Current research on Substance Dependence and Suicide

        

          Wednesday, September 11, 2019

    8:30 a.m. - 4:00 p.m.

                    1 VA Center, Augusta, ME             

      Building 210, Theater (Togus)

     

    Limited Seating. Register Early

    https://www.eventbrite.com/e/mh-summit-2019-registration-67038898149

     

    Qualidigm Rapid Induction Starting in the ED (RISE) Training

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

     

    Qualidigm: Rapid Induction Starting in the ED (RISE) Training

    Qualidigm, 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, Qualidigm 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@qualidigm.org or tel. 207-620-8526 ext. 1027.

    Obesity Medicine: There is no 'one size fits all' - Monthly Lecture Series Beginning September 18th

    Obesity continues to skyrocket and most patients are not getting the help they desperately need.  Join us for one lecture or all 12 lectures (monthly) and learn the science behind obesity and current clinical guidelines in treating it. 

    What: Monthly Lecture Series (1.25 AMA PRA category one CME credits per lecture for 12 months for a total of 15 CME credits) 

    When: Lecture #1- Wednesday, September 18 from  6:00pm - 7:15pm

    Where: 66 Leighton Rd, Falmouth, ME 04105

    Who: Catherine Krouse, DO 

    Why: Obesity continues to skyrocket and most patients are not getting the help they desperately need.  Join us and learn the science behind obesity and current clinical guidelines in treating it.  Understanding the physiology of weight regulation will help open lines of communication with your patients in unexpected ways, and help guide patients towards treatment options with the best evidence for long term success.

    COST: $40 per lecture OR $360 for the entire series (15 CME)

    RSVP: info@empoweredmaine.com

     

    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 with more conference information is now open online at: https://shop.biausa.org/products/meconfreg

    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.

     

    Celebrate 65 Years of MMA Executive Leadership on Oct. 26. Tickets Available Now

    Please join us this fall as the Maine Medical Association celebrates the past 65 years of consecutive leadership and accomplishments! Brick South, the event center at Thompson's Point in South Portland, will be the site of an MMA Gala Celebration on Saturday evening, Oct. 26. We will celebrate the executive leadership of Dan Hanley, M.D., Frank Stred and Gordon Smith who sequentially led MMA for sixty-five years from 1955 into 2019.

     

    Please join us this fall as the Maine Medical Association celebrates the past 65 years of consecutive leadership and accomplishments!

    Brick South, the event center at Thompson's Point in South Portland, will be the site of an MMA Gala Celebration on Saturday evening, Oct. 26. We will celebrate the executive leadership of Dan Hanley, M.D., Frank Stred and Gordon Smith who sequentially led MMA for sixty-five years from 1955 into 2019. An elegant evening of wonderful memories is planned, including dinner and dancing to the band Plush.

    The Oct. 26 event will begin with a reception from 5:00 to 6:30pm. The program will include a video tribute and a roast with invited roasters including Senator Angus King, Governor Janet Mills, MHA President Steven Michaud, MMA's Andy MacLean, and former Ohio State Medical Association Executive Director D. Brent Mulgrew.  

    Sponsorships are available and anyone wishing to sponsor or purchase an ad in the program should contact Andy MacLean at MMA (amaclean@mainemed.com) or Sam Surprise (sam@surpriseadvertising.com).

    Online registration is now open at: https://www.eventbrite.com/e/celebrating-65-years-of-mma-leadership-tickets-66193569749Early Bird ticket prices are available through September 8, so act now!

     

    MMA partners with the Maine Suicide Prevention Program and the Maine CDC/Sweetser to offer training for clinicians.

    MMA continues to partner with the Maine Suicide Prevention Program to offer training for clinicians.

    The Maine Suicide Prevention Program, administered by NAMI-Maine, is excited to announce their Fall schedule.   The following suicide prevention, assessment and management trainings are open for registration.  MMA works closely with NAMI-Maine to provide educational opportunities for Maine physicians and other clinical providers. CMEs and contact hours for licensure are offered as appropriate. 

    Suicide Prevention Gatekeeper Training

    Suicide Prevention Training of the Trainers

    Suicide Assessment for Clinicians Training

    Non-Suicidal Self Injury Training

    Suicide Prevention Protocol Development Training

    Suicide Prevention Curriculum Training

    If you have needs not identified in the above list, please contact Nicole, Suicide Prevention Coordinator, to discuss the possibility of a customized training program.  

     

    The Maine CDC and Sweetser are offering free online Suicide Prevention Training Modules!

    Enrolling is easy. There are 12+ courses available at no charge. Download the flyer with enrollment info here.

    Sample modules:

    · Columbia Suicide Severity Rating Scale (C-SSRS)

    · Depressive Disorders in Children and Adolescents

    · Counseling on Access to Lethal Means (CALM)

    · Collaborative Assessment & Management of Suicidality (CAMS)

    · Safety Planning Intervention for Suicide Prevention

    · Suicide Risk Factors, Screening and Assessment

    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 November 22, 2019.

    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

    9/30/19

    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 November 22, 2019.

    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

    9/30/19

    Full-time, Part-time and Leadership Opportunities for Physicians

    TeamHealth is now partnering with Northern Light Health to provide integrated emergency medicine and hospital medicine services in Northern Light Health Hospitals throughout Downeast Maine.

    TeamHealth is now partnering with Northern Light Health to provide integrated emergency medicine and hospital medicine services in Northern Light Health Hospitals throughout Downeast Maine. We have full-time, part-time and leadership opportunities for physicians to join our teams at Sebasticook Valley Hospital, Inland Hospital, Blue Hill Hospital, AR Gould Hospital and Maine Coast Hospital. TeamHealth offers free CME, a great work-life balance that gives you quality time with family and friends, and the potential to realize your career by growing into local, regional and national leadership positions. Northern Light Health is the most expansive integrated healthcare system in Maine offering care in locations across beautiful Downeast and inland Maine, an area known for its breathtaking vistas and seaside living. TeamHealth will be working with clinical teams at Northern Light Health to optimize operational efficiency and continue providing compassionate, high-quality care in an environment that prioritizes integration between emergency medicine and hospital medicine teams. For more information and to apply, click here.

    12/2/19

    Outpatient Internal Medicine Physician Bangor, Maine

    Northern Light Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice.

    Northern Light Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Our practice is one of seven primary care practices operated by Northern Light Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.

    Northern Light Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. We also offer a relocation bonus and sign-on bonus in addition to our generous educational loan repayment program.

    Candidates in need of J-1 visa waivers welcome to apply.

    For confidential consideration, please contact:
    Amanda Klausing, AASPR, Physician Recruiter
    Northern Light Health
    Phone: 207-973-5358
    ProviderJobs@NorthernLight.org

    9/9/19

    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

    9/16/19

    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 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
     
    9/30/19

    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.

    9/16/19

    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/