Maine Medicine Weekly Update - December 31, 2019
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Dr. John Yindra to Step Down from MMA Committee for Physician Quality

After co-chairing the Maine Medical Association’s Committee for Physician Quality (CPQ) for the past several years, John Yindra, M.D. has decided to wind down from professional activities with an eye toward fully retiring. 

 

Recognizing John Yindra, M.D. for Service to MMA’s Committee for Physician Quality

After co-chairing the Maine Medical Association’s Committee for Physician Quality (CPQ) for the past several years, Dr. Yindra has decided to wind down from professional activities with an eye toward fully retiring. 

He co-chaired the CPQ with Erik Steele, DO. The CPQ provides oversight to MMA’s External Peer Review and Office Based Quality Improvement Programs.

He began his work with the CPQ when he returned from a brief retirement to DFD Russell Medical Center as a staff physician at its Monmouth location four days a week.  Previously, he served in medical director and physician roles at DFD Russell for more than 25 years.  He also served as Chief Medical Officer at Community Health Options, an ACA COOP plan based in Lewiston. He also has served as Medical Director of the Central and Western Maine Physician Hospital Organization and was Associate Director of Maine Health Physician Hospital Organization. In this role, Dr. Yindra was instrumental in efforts to spread the Patient Centered Medical Home model to the organization’s primary care physicians. He also worked in geriatrics at Maine Medical Center.

Dr. Yindra is concluding a long and successful career during which he has earned the respect and admiration of both colleagues and patients. 

Dr. Yindra earned his medical degree from Jefferson Medical College. He is board certified in family medicine with added certification in geriatric medicine.

 
For more information about the Maine Medical Association's Committee for Physician Quality contact Dianna Poulin at the MMA, dpoulin@mainemed.com .

 

Licensing Boards Propose Rule Changes for Opioid Use Disorder Treatment, Pain Prescribing

The Boards of Medicine, Osteopathic Medicine, and Nursing have proposed rules and rule changes to govern the use of medication assisted treatment in opioid use disorder and the prescribing of controlled substances for the treatment of acute and chronic pain. The public comment period deadline is Friday, January 17, 2020 at 4:30 p.m.

 

The Boards of Medicine, Osteopathic Medicine, and Nursing have proposed rules and rule changes to govern the use of medication assisted treatment in opioid use disorder (Chapter 12) and the prescribing of controlled substances for the treatment of acute and chronic pain (Chapter 21). The public comment period deadline is Friday, January 17, 2020 at 4:30 p.m.

Proposed Chapter 12, to govern treatment of opioid use disorder with medications such as buprenorphine, includes definitions, qualifications for those who seek to provide such treatment, and specific, detailed standards of practice for providers of Office-based Opioid Treatment (OBOT). It may be found here.

Chapter 21, governing the use of controlled substances in the treatment of acute and chronic pain, has been in effect since March of 2018. The new proposals cover several modifications of the rule with which any clinician who prescribes controlled substances for pain must be familiar. Those modifications include new exclusions for custodial care and hospice care and a recodification of the statutory exemptions in rule form. Notably, no changes have been made in the requirement that all clinicians licensed by the Board of Licensure in Medicine take 3 hours of CME in opioid prescribing regardless of whether they prescribe opioids or are authorized to do so by virtue of having a DEA number. The new form of Chapter 21, with proposed changes noted, may be found here.

Human Genome Editing is Here. How Should It Be Governed?

If used responsibly, genome editing can foster dramatic innovation in patient care, including eradicating many diseases. But ethical and legal questions persist.

 

[from the AMA Morning Rounds]

Gene editing is inexpensive, simple and becoming more widely used in clinical applications. One example is clustered regularly interspaced short palindromic repeats (CRISPR) genome editing, which is an efficient tool to introduce changes in DNA. Germline editing promises efficiency in eradicating many diseases, but ethical and legal questions persist about unknown, transgenerational and global consequences.

The December issue of the AMA Journal of Ethics® (@JournalofEthics) features numerous perspectives on governing human genome editing and gives you an opportunity to earn CME credit. 

Articles include: 

How Should Physicians Respond When They Learn Patients Are Using Unapproved Gene Editing Interventions?” Responding to patients violating U.S. health commerce regulations can be critical when they buy and use unproven interventions. 

Using the 4-S Framework to Guide Conversations With Patients About CRISPR.” Empathic communication skills help motivate understanding of safety, significance of harms, impact on succeeding generations, and social consequences. 

What Should Clinicians Do to Engage the Public About Gene Editing?” Clinicians should have a working understanding of gene editing, controversy surrounding its use, and its far-reaching clinical and ethical implications. 

How Should ‘CRISPRed’ Babies Be Monitored Over Their Life Course to Promote Health Equity?” Transnational monitoring efforts should focus on safety, defining standard of care, and promoting just access to innovation.

 

Five Big Medical Court Cases that Made a Difference in 2019

The AMA and the Litigation Center of the American Medical Association and State Medical Societies covered a lot of legal ground in 2019, from the U.S. Supreme Court and state courts, where the nation's oldest and largest physician organization served as a powerful, unified voice for the nation's doctors and their patients.

 

The AMA and the Litigation Center of the American Medical Association and State Medical Societies covered a lot of legal ground in 2019, from the U.S. Supreme Court and state courts, where the nation's oldest and largest physician organization served as a powerful, unified voice for the nation's doctors and their patients.

  1. Judge says AMA is right: Title X gag rule violates medical ethics
"This is madness," wrote U.S. District Judge Michael McShane in Portland, Oregon, in a scathing rebuke of the Trump administration's new Title X regulations that includes a gag rule dictating what physicians must and must not say to their patients in the Title X program about family planning.

"The gag rule prevents doctors from behaving like informed professionals," McShane wrote. "At the heart of this rule is the arrogant assumption that government is better suited to direct the health care of women than their medical providers." The Title X program ensures that every person has access to basic, preventive reproductive health care, such as birth control, cancer screenings, sexually transmitted infection testing and treatment regardless of where they live or whether they have health insurance. About 4,000 clinics received Title X funds in 2017. Judge McShane issued a temporary injunction against the gag rule and a new requirement for clinics to create financial and physical separation between Title X and non-Title X abortion-related activities. A three-judge panel of the 9th U.S. Circuit Court of Appeals, however, stayed that district court ruling in June, allowing the new rule to take effect. Attorneys for the AMA and the other co-plaintiffs argued before an 11-judge panel of the appeals court on Sept. 23 to reverse course. The 9th U.S. Circuit Court en banc panel is considering whether to reverse the stay order. In the meantime, many of the former Title X recipients are continuing to provide family planning services, but without federal funding so they can operate without being subject to the gag rule.
  1. Court blocks law that would force physicians to mislead patients

A federal district court in North Dakota sided with the AMA and others and issued a preliminary injunction to block enforcement of a state law that would force physicians to violate the AMA Code of Medical Ethics and act as mouthpieces for a politically motivated message that is misleading and could harm patients. Earlier this year, the AMA filed an amicus brief in the case arguing that the law runs contrary to the AMA Code of Medical Ethics and they should issue an injunction, and AMA President Patrice A. Harris, MD, MA, also published an op-ed in The Advocate urging the Supreme Court justices to "do the right thing" in the case.

  1. New Jersey court weighs whether non-patient can sue physician

The family of a New Jersey woman who died after a car-bicycle crash involving a psychiatrist's patient wanted the right to sue the doctor who prescribed medication to the car's driver. If the courts had allowed the lawsuit to go forward, it would have opened up New Jersey physicians to an endless number of lawsuits from members of the public who would sue doctors whenever they believe harm from a patient can be tied to the care that patient received. The Superior Court of New Jersey Appellate Division in June upheld a trial court decision to dismiss the psychiatrist from the lawsuit.

  1.  Physicians increasingly face "hybrid" medical liability claims

California physicians are increasingly facing "hybrid" lawsuits alleging professional negligence as well as medical battery from plaintiffs who want to avoid the state's long-standing $250,000 limit on what juries can award for noneconomic damages in medical liability cases. A jury recently awarded $22,246 in economic damages and $9.25 million in past and future noneconomic damages to a plaintiff who tried this approach, with the court refusing to apply limits set in California's Medical Injury Tort Compensation Reform Act. The physician defendant is appealing the ruling and the Litigation Center of the American Medical Association and State Medical Societies joined with the California Medical Association and two other groups to file an amicus brief urging the appellate court to apply the law's $250,000 cap.

  1.  High court should hear case on site skirting gun background checks

The daughter of a woman who was killed by a man barred from gun possession has sued the website that facilitated the killer's purchase of the weapon used in the crime. The AMA and the Wisconsin Medical Society (WMS) are supporting the daughter, Yasmeen Daniel, and requesting that her case be heard by the U.S. Supreme Court.

 

Agreement Reached On FY 2020 Federal Funding and Extender Package

Leaders in the House and Senate reached agreement on fiscal year (FY) 2020 spending bills before adjourning for the year on Dec. 20. 

 

 

 [From AMA Advocacy Update]

Leaders in the House and Senate reached agreement on fiscal year (FY) 2020 spending bills before adjourning for the year on Dec. 20. Provisions of interest to AMA members include the following.

  • The minimum age for purchase of tobacco products will be increased from 18 to 21.
  • Gun violence research programs at the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) will receive $25 million.
  • Reauthorizes the Conrad-30 program for foreign physicians.
  • Timing for reporting requirements related to clinical diagnostic laboratory tests will be delayed for one year (to Jan-March, 2021).
  • Medicaid funding for US territories provided for 2020 and 2021.
  • Repeals the 2.3% excise tax on medical devices, the sales tax on health insurance and the excise tax on employer-provided health insurance plans.
  • Provides a process to allow biosimilar or generic drug developers to obtain samples of reference products for securing market approval.

    Other popular health care "extender" programs have been funded through May 22, 2020:

    • The current floor for the work geographic practice cost index (GPCI) of the Medicare physician fee schedule;
    • Support for quality measure endorsement, input and selection;
    • Community Mental Health Services demonstration program;
    • Delay of Medicaid disproportionate share reductions for hospitals.;
    • Impoverishment protections for spouses of Medicaid patients;
    • Health professional workforce programs, including the National Health Service Corps (NHSC) and the Health Career Opportunity Program (HCOP);
    • Community Health Centers and the Teaching Health Center Graduate Medical Education program;
    • Temporary assistance for needy families and related programs;

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.]

 

Congress approves CDC and NIH gun violence research funding

Congress is expected to approve federal funding for gun violence research this week for the first time in over 20 years as part of a final year-end appropriations package that the President is expected to sign into law. The deal, based on amendments authored by House Appropriations Chairwoman Nita Lowey (D-NY), would designate $25 million for gun violence research split evenly between the Centers for Disease Control and Prevention and the National Institutes of Health.

The AMA has long advocated for Congress to address the high number of gun-related homicides, suicides and injuries—many of which are preventable—as a public health issue similar to addressing tobacco use, underage drinking, alcohol and helmet use for bicyclists and motorcyclists.  Determining the root causes—through federally-funded research—of any public health problem is critical to developing solutions. 

Vaccine Vote Update: Healthcare Advocates File Citizens' Guide Statements

Advocates fighting against the repeal of Maine's new vaccine law this week filed statements explaining the negative effects of the proposed repeal.

 

Advocates fighting against the repeal of Maine's new vaccine law this week filed statements explaining the negative effects of the proposed repeal.

Maine law allows for up to three statements by proponents and three by opponents to be included in a "Citizens' Guide" which will be distributed to town halls and public libraries in advance of any ballot question initiative such as referenda or "peoples' vetoes." The guide will also be posted on the Maine Secretary of State's website.

Statements explaining the safety and effectiveness of vaccines were filed by Maine Families for Vaccines, Dr. Deb Hagler and the Maine chapter of the American Academy of Pediatrics, and Peter Michaud, JD, RN as a private citizen. 

In related news, the Maine CDC reported 11 hospitalizations and 3 outbreaks of influenza in the past week. The hospitalization figure is on a par with 2018, but outpatient visits for diagnosis and treatment are up.

Latest ACA Ruling: What it Means Now For Doctors, Patients

 The 5th U.S. Circuit Court of Appeals has ruled in the case of Texas v. United States that the Affordable Care Act’s individual mandate provision is unconstitutional. While that ruling affirmed a portion of the decision by the U.S. District Court for the Northern District of Texas, the appeals court did not go along with district court ruling vacating the entirety of the ACA, which has expanded health insurance coverage for tens of millions of Americans.  

 

 [From AMA Advocacy Update]

What’s in the news: The 5th U.S. Circuit Court of Appeals has ruled in the case of Texas v. United States that the Affordable Care Act’s individual mandate provision is unconstitutional. While that ruling affirmed a portion of the decision by the U.S. District Court for the Northern District of Texas, the appeals court did not go along with district court ruling vacating the entirety of the ACA, which has expanded health insurance coverage for tens of millions of Americans.  

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Instead, the appeals court has remanded the case to the district court to further analyze which of the ACA’s many vital provisions remain constitutionally valid. 

The “decision leaves important health insurance protections shrouded in uncertainty despite overwhelming public support for these policies,” said AMA President Patrice A. Harris, MD, MA. “The decision underscores that the district court’s initial ruling striking down the entire ACA was made without appropriate analysis, ignoring the extensive reach of the law and its many provisions that have no relationship to the individual mandate.”  

Why it matters for patients and physicians: The sweeping ACA law touches on many aspects of health care system reform, research funding and pilot programs with little to no connection with the question of whether it is constitutional to mandate that Americans purchase individual health insurance coverage.  

Some of the broadly supported protections provided by the ACA include: 

  • Access to their parents’ plan coverage for young adults up to age 26. 
  • Elimination of annual and lifetime caps on benefits. 
  • No preexisting condition coverage exclusions or medical underwriting. 
  • Coverage of prevention and screening benefits with no deductibles or copayments. 
  • Required coverage for mental health and addiction treatment services. 
  • Federal support for expanded Medicaid eligibility. 
  • Premium subsidies for low- and moderate-income individuals and families to purchase coverage and cost sharing subsidies to lower out-of-pocket costs. 

    For now, here are some keys for doctors and patients to understand about this complicated legal matter. 

    This case still has a way to go before being fully resolved in the courts. It is possible that a full panel of the appeals court will hear the case, given the strong dissent in the case by Judge Carolyn Dineen King. She argued that the individual mandate is constitutional, and that even if it were unconstitutional the rest of the ACA should be considered “severable,” meaning that it should not be vacated or ruled unconstitutional. 

    Even if a full-panel hearing does not happen, the district court would have to issue its ruling in the remanded case. The appeals court opinion requires the district court to engage in two separate inquiries. 

    First, the district court must examine with a finer-toothed comb whether the other parts of the ACA are severable. This inquiry in turn has two parts: the district court must look at the 2017 amendments to the ACA in determining severability, and the court must determine whether the other provisions of the ACA are inextricably linked to the individual mandate. The bottom-line question is whether Congress would prefer no ACA at all to an ACA without the individual mandate. 

    Second, should the individual mandate be struck down only in the plaintiff states? And should any other provisions that are found not to be severable be struck down only if they injure the plaintiffs—since many of the provisions of the ACA have no impact on the plaintiff states or the individual plaintiffs? 

    After the district court has conducted this analysis and issued a ruling, then the case will likely proceed back to appeals court and then, assuredly, to the U.S. Supreme Court. The matter is unlikely to be resolved prior to the 2020 presidential election.  

    The individual mandate already has a zero-dollar penalty and is not being enforced, due to 2017 federal legislation. 

    The protections for patients with preexisting conditions continue to stay in effect.  

    Sign-ups continue as before for insurance coverage under the ACA-enabled marketplace exchanges as well as for expanded Medicaid in the states that have enacted it. Patients in Rhode Island, California, Massachusetts and New York still have some time before their enrollment deadlines for the 2020 coverage year. 

    What’s next: The AMA filed an amicus brief in the Texas v. United States case and will continue its efforts to safeguard the patient protections and health insurance coverage that the ACA has provided to millions of Americans.  

    The AMA “will work to ensure the district court understands the extensive scope of the ACA’s many provisions that are unrelated to the individual mandate,” Dr.  Harris said. 

    Learn more about the AMA vision on health care reform

Opioid Related Webinars Offer CME Credit

MaineHealth has developed two learning modules for providers.

 

MaineHealth has developed two learning modules for providers.

  • Difficult Conversations around Opioids
  • Naloxone Education and Toolkit

Visit the MaineHealth Opioid Education web page to access the modules. There is no cost to participate in either of the modules and they can be taken at any time. Upon completion, 0.50 CME hours are available (AMA PRA Category 1 CME credits).

Resources From The Alzheimer's Association

The Alzheimer's Association, Maine Chapter is a source of resources and Information on caring for people living with dementia, tools to assist with cognitive assessment, diagnosis and care planning.

 

Diagnostic and Management Tools for Health Systems and Clinicians   The Alzheimer's Association has partnered with government and professional organizations to develop several physician guidelines and recommendations that can help you care for your patients with dementia.  Resources include detection of cognitive impairment in primary care, recommendations for defining preclinical Alzheimer's disease, appropriate use criteria for amyloid PET imaging, and more.   https://www.alz.org/professionals/health-systems-clinicians/guidelines_index_(1)

Tools to Assist with Cognitive Assessment during the Medicare Annual Wellness Visit  The Alzheimer's Association convened a group of practicing expert clinicians to make consensus recommendations for an effective, practical and easy process for detecting cognitive impairment in the primary care setting.
https://www.alz.org/professionals/health-systems-clinicians/cognitive-assessment

Diagnosing Patients With Dementia  The Alzheimer's Association and the National Institute on Aging (NIA) jointly issued four criteria and guidelines to diagnose Alzheimer's disease, including recommendations for clinical office settings.  https://www.alz.org/professionals/health-systems-clinicians/dementia-diagnosis

How does one optimally manage a patient living with Dementia?  Both nonpharmacologic and pharmacologic interventions are needed to optimally treat the cognitive, behavioral and psychological symptoms of Alzheimer's disease.  Explore resources and tools to enhance and inform the treatment and management of patients living with dementia at https://www.alz.org/professionals/health-systems-clinicians/management.

Making a Plan of Care for Patients with Cognitive Decline and Dementia   Cognitive decline, including Alzheimer's disease and other dementias, can be difficult and time consuming to discuss with patients. Although in-depth care planning is beneficial for all, this type of service has not been covered under Medicare - until recently.  CPT® code 99483 provides reimbursement for a clinical visit that results in a comprehensive care plan, allowing you to deliver services that can contribute to a higher quality of life for your patients.  Clinicians who can be reimbursed under the code include physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified nurse midwives.  Care planning for individuals with dementia is an ongoing process and a formal update to a care plan should occur at least once per year or when indicated by disease progression.
https://www.alz.org/professionals/health-systems-clinicians/care-planning

Diagnosis, Treatment and Management of Dementia https://www.alzmassnh.org/hospital/physician-cme-course/

For more information, contact:
Peter Baker, LCSW, Program Director
Alzheimer's Association, Maine Chapter
207-772-0115 x9691  1-800-272-3900  
pbaker@alz.org

MMA Legislative Calls Will Begin Tuesday, January 14th

MMA Legislative Committee Chairs Jay Mullen, M.D. and Lindsey Tweed, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee. The first MMA Legislative Committee weekly conference call for the Second Regular Session of the 129th Maine Legislature will take place Tuesday, January 14th, at 8:00 p.m.

 

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

The first MMA Legislative Committee weekly conference call for the Second Regular Session of the 129th Maine Legislature will take place Tuesday, January 14th, at 8:00 p.m. via Zoom.

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

Please use the following Zoom meeting information. This will remain the same for every weekly call during the session.

 
Time: Jan 14, 2020 08:00 PM Eastern Time 
        
Join Zoom Meeting: https://zoom.us/j/298741351
 
or dial by your location: +1 646 876 9923 US (New York)
 
Meeting ID: 298 741 351
 
 
Legislative Conference Call

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

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


Following are the bills of the week:

Maine Legislature's List of Bill Titles for 2020 Session: Initial Approval List

The Maine Legislature has published the list of bill requests for the 2020 session. Click through for lists, by subject and by sponsor, of those bills which have received initial approval. Appeal is still available for those not receiving initial approval.

 

 

The Maine Legislature has published the list of bill requests for the 2020 session. Click through for lists, by subject and by sponsor, of those bills which have received initial approval.

Appeal is still available for those not receiving initial approval, with the Legislative Council to meet on those items December 6 at 10:00 a.m. The list of titles being appealed is here.

Upcoming Specialty Society Meetings

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

 

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

UPCOMING SPECIALTY SOCIETY MEETINGS

February 1-2, 2020
Maine Society of Anesthesiologists Annual Meeting

Sugarloaf Mountain Hotel & Conference Center – Carrabassett Valley, ME
Contact: Lisa Montagna at 207-620-4015 or mesahq@gmail.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

March 25, 2020
Richard Engel, MD, FACP 2nd Annual Primary Care Symposium
Maine Chapter, American College of Physicians and MMC Department of Medicine

Maine Medical Center – Portland, ME – 8:00am – 12:00pm
Contact: Warene Eldridge at 207-215-7118 or mainechapteracp@gmail.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
American Academy of Pediatrics, Maine Chapter Annual Meeting and Spring Conference

Hilton Garden Inn and Conference Center – Freeport, ME
Contact:  Dee Kerry 207-480-4185 or dakerry@aapnet

 

 

 

 

  


 

8-Hour Free Live Course for Buprenorphine Waiver Training @MMC - January 27th

The IMAT Team is offering training for those interested in seeking their waiver to prescribe buprenorphine in the treatment of opioid use disorder. To obtain the waiver to prescribe, physicians are required to take 8 hours of training.  NPs and PAs can also take this course and receive credit for 8 hours.  This will then apply to their 24 hour training requirement.

8 Hour Live Course for Buprenorphine Waiver Training

Monday, January 27th, 7:30 AM-5:00 PM

MMC Dana 9

The IMAT Team is offering training for those interested in seeking their waiver to prescribe buprenorphine in the treatment of opioid use disorder. To obtain the waiver to prescribe, physicians are required to take 8 hours of training.  NPs and PAs can also take this course and receive credit for 8 hours.  This will then apply to their 24 hour training requirement.

The free course is open to attending physicians, residents, fellows and APPs.  The training does not expire, so residents can wait to submit an application for a buprenorphine waiver once they have an active DEA license.

To register, please contact:  Cheryl Harris @ charris@mainehealth.org.  Any questions regarding course content or waiver application, please contact Kristen Silvia MD @ silvik@mmc.org.

CME

Maine Medical Center designates this educational activity for a maximum of 8.0 AMA PRA Category 1 Credit(s)™. Participants should only claim credit commensurate with the extent of their participation in the activity.  These hours apply to the State of Maine biannual opioid education requirements.

Funding for this initiative was made possible (in part) by grant no. 1H79TI081968 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


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

10th Annual Maine Patient Safety Academy - March 30, 2020

This all-day conference will focus on the interprofessional nature of patient safety, with the theme:  Vision 2020 - Looking at the Future of Patient Safety

This all-day conference will focus on the interprofessional nature of patient safety, with the theme:  Vision 2020—Looking at the Future of Patient Safety    

What:  10th annual Maine Patient Safety Academy

When: Monday, March 30, 2020

Where: University of Southern Maine, Abromson Center

Cost:  $60 general | $25 students and faculty

Website FMI and to register: http://mainepatientsafetyacademy.org/


Orthopedic Surgeon Opportunity in Beautiful New England

Our Northern Light Inland Hospital and Northern Light Sebasticook Valley Hospital Network seeks a BC/BE General or Hand Orthopedic Surgeon to join our Orthopedic Specialist team. 

Our Northern Light Inland Hospital and Northern Light Sebasticook Valley Hospital Network seeks a BC/BE General or Hand Orthopedic Surgeon to join our Orthopedic Specialist team.  This position will be split between the two hospitals and the scope of practice will primarily focus on hand and upper extremity surgery, while also including a component of general orthopedics.  Extensive hand surgery experience is a must!  The ideal candidate will have a desire for community outreach and promoting collaborative relationships with other physicians in the community.  The preferred candidate will also have the interest to live within the hospital service area.

For confidential consideration, please contact:
Nick Huff, DASPR, CST
Provider Recruiter
Email: providerjobs@northernlight.org
Phone:207-973-5358
Or apply directly to: https://northernlighthealth.org/Careers/Position/60311/Orthopedic%20Surgeon

3/16/20

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

01/13/20


Family Medicine Physician

Northern Light Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care, a modern practice located just off I-95 in Pittsfield. 

Northern Light Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care, a modern practice located just off I-95 in Pittsfield.  This is an excellent opportunity to come join a team of well-established, quality-driven providers serving the greater Pittsfield community.  Our team of advanced practitioners 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 oldfashioned 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.  Work schedule is 4 days per week, with limited telephone call from home. This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable.
 

Sebasticook Valley Hospital (SVH) is a 25-bed, regional Critical Access Hospital for the more than 30,000 residents living in our footprint.  Our neighbors count on us as a resource for healthcare and health information.  SVH is part of Northern Light Health, an integrated health system serving the great state of Maine.     For confidential consideration, please contact: Sherry Tardy, physician recruiter: Northern Light Health-Provider Recruitment at PRoviderjobs@northernlight.org or 207.973.5358 (office).

1/27/20

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.

12/30/19

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

1/6/19

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 - Portland, ME

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.

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/