Maine Medicine Weekly Update - January 29, 2020
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U.S. Now Has Five Confirmed Cases of Wuhan Coronavirus with More Suspected Cases Under Investigation

There are now five confirmed cases of the Wuhan coronavirus in the U.S. and more suspected cases under investigation.

 

[From AMA Morning Rounds 01/27/20]

USA Today (1/26, Bacon) reports there are now five confirmed cases of the Wuhan coronavirus in the U.S. and more suspected cases under investigation. The five confirmed cases have been reported in Washington, Chicago, Arizona, and two in southern California.

CNN (1/26, Karimi) reports that all five cases “had recently traveled to Wuhan, the epicenter of the outbreak.”

Meanwhile, STAT (1/24, Begley) reports scientists around the world are analyzing the Wuhan coronavirus, also known as 2019-nCoV, and have already sequenced the DNA extracted from almost two dozen samples taken from different patients. The scientists hope to better understand the virus in order to contain the virus and potentially develop a vaccine.

Maine CDC Resources on Coronavirus

The Maine Center for Disease Control and Prevention (Maine CDC) can offer resources to the association’s members on the 2019 novel coronavirus that was first identified in Wuhan, China, in December 2019. 

 

[From Maine CDC]

The Maine Center for Disease Control and Prevention (Maine CDC) can offer resources to the association’s members on the 2019 novel coronavirus that was first identified in Wuhan, China, in December 2019. Providers with patients who have respiratory illness and recent travel to China should contact Maine CDC at 1-800-821-5821.

Maine CDC staff continue to work closely with public health officials from the federal government and other states on this novel coronavirus. As part of that effort, Maine CDC regularly updates our coronavirus webpage with information about the 2019 novel coronavirus. Visit the webpage at: www.maine.gov/dhhs/coronavirus.

Information about an upcoming webinar to update and field questions from clinicians and other affected staff will be distributed in the near future.


 

Vaccine Referendum Update

Vote “No” on March 3rd to protect Maine’s children and public health. Support the “No on 1” campaign by clicking and donating to the Maine Families for Vaccines PAC.

 

We are less than 5 weeks away from the March 3rd referendum seeking to repeal the new vaccine law that eliminates nonmedical exemptions. The MMA has been working with over 50 other groups as part of the Maine Families for Vaccines coalition in order to defeat this repeal effort.

In the past week or so the proponents of the repeal have put up signs arguing for people to vote “Yes”, with the tag line “Reject Big Pharma.” This misleading message has resulted, paradoxically, in hundreds of people reaching out to the “No” campaign asking how they can help defeat the referendum. “No on One” signs have just arrived and will be appearing around the state soon, with the message “Protect Maine’s children.”

The “No on One” campaign will be holding a campaign rollout event this coming Tuesday, February 4th, at 10:30 a.m. in the Welcome Center at the State House in Augusta. Members of the coalition groups, including MMA members, are invited to join in the event to demonstrate support for public health. If there was ever a time to block your calendars this is it! Seating will begin at 10 am, and lawn signs will be available.

Finally, these campaigns are costly. The “Yes” side has been far more successfully in raising money to support its messaging than has the “No” campaign. Please help with this effort by clicking and donating to the Maine Families for Vaccines PAC.

Anyone can vote on March 3rd regardless of party affiliation. Don’t forget to vote to protect Maine’s children!

Maine's Weekly Influenza Report

Maine's weekly influenza surveillance report ending January 25, 2020. 

 

At a Glance:

  • Geographic Spread: Widespread
  • # Hospitalizations: 29
  • # Outbreaks: 5

These reports are posted online at https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/influenza/influenza-surveillance-weekly-updates.shtml

If you have any questions or suggestions please contact influenza.dhhs@maine.gov

 

 

 

U.S. Surgeon General Calls for Greater Use of Smoking Cessation Tools That Have Been Proven Effective

In an interview, Dr. Adams said, 40% “of smokers don’t get advised to quit. That was a shocking statistic to me, and it’s a little embarrassing as a health professional.” 

 

[From AMA Morning Rounds 01/24/20]

The New York Times (1/23, Kaplan) says that on Thursday, the U.S. Surgeon General’s office released a report (PDF) on smoking cessation highlighting the variety of proven smoking cessation tools available to smokers. U.S. Surgeon General Dr. Jerome Adams “urged smokers to use a range of cessation methods that have been proven effective – and cautioned that e-cigarettes have not.” In an interview, Dr. Adams said, 40% “of smokers don’t get advised to quit. That was a shocking statistic to me, and it’s a little embarrassing as a health professional.” The report also “recommended that doctors and public health officials devote more attention to offering smoking cessation assistance to gay and transgender people, Native Americans, people with mental illness diagnoses and several other groups with high smoking rates.”

CNN (1/23, Howard) reports Dr. Adams said that physicians need to encourage their patients to quit smoking and that the number of smokers who do not receive such counsel from their physicians “jumped out” at him. The article says that “behavioral counseling has been found to increase chances of quitting smoking and seven medications have been approved for helping adults quit smoking: five forms of nicotine replacement therapy and two non-nicotine medications, varenicline and bupropion, according to advice from the surgeon general.”

MedPage Today (1/23, Frieden) reports that “the percentage of Americans who smoke – 14%, or 34 million people – is at an all-time low, but smoking still remains the number one cause of preventable disease, death, and disability” in the U.S., according to the report from the Surgeon General.

10 Terms Every Doctor Should Know About BP

Now is the time to fight back harder with better tools. This brief glossary will help guide you through different terms to make strides in improving blood pressure control.

 

[AMA Morning Rounds 01/27/20]

Closing the BP control gap

The AMA has developed online tools and resources created using the latest evidence-based information to support physicians to help diagnose and manage their patients’ high BP. These resources are available to all physicians and health systems as part of  Target: BP™, a national initiative co-led by the AMA and American Heart Association (AHA).

Now is the time to fight back harder with better tools. This brief glossary will help guide you through different terms to make strides in improving blood pressure control.

Self-measured blood pressure

Often referred to as “home blood pressure monitoring,” self-measured blood pressure (SMBP) occurs when a patient measures their blood pressure outside of a clinical setting. SMBP enables physicians to better diagnose and manage hypertension while also helping patients take an active role in the process.

Having patients measure their own blood pressure at home can improve the accuracy in making a diagnosis of hypertension, and for those patients who have it, can help get their blood pressure under control.

Automated office blood pressure

For the most accurate BP readings measured in an ambulatory clinical setting, it is recommended that physicians use automated office blood pressure (AOBP) measurements. The use of AOBP devices validated for clinical accuracy helps physicians and health care professionals obtain accurate, representative BP measurements.

An AOBP device can be programmed to take and average three or more readings, which is now the preferred approach for evaluating office BP over using auscultation for most patients. To ensure the patient and staff member are not talking during BP measurement—and to improve workflow efficiency— unattended AOBP is preferred over attended BP in many practice settings.

Unattended AOBP is when AOBP is preformed without clinical staff present in the room during the BP measurements.

White coat hypertension

You’ve most certainly heard about white coat hypertension (WCH), which occurs in patients without an existing diagnosis of hypertension. WCH is when the BP measurements in-office are in the hypertensive range and BP measurements out-of-office are not in the hypertensive range.

The use of SMBP or 24-hour ambulatory BP monitoring is required to make a diagnosis in patients with suspected hypertension based on office BP measurements. High in-office BP measurements can also occur due to patients not being properly positioned.

For example, if a patient’s feet are not flat on the ground, they are talking during the measurement or their arm is not supported with the BP cuff at heart level, it can lead to high BP readings. By understanding how BP measurements can go wrong, you can take steps to improving accuracy.

Alerting response

This response is a phenomenon due to the presence of a healthcare professional that produces a transient rise in BP in the patient. The alerting response is often associated with patients feeling nervous or anxious when their doctor is in the room. Using AOBP or SMBP instead of manual readings can help reduce the alerting response.

Single-pill combination therapy

It is important to partner with patients to simplify antihypertensive medication regimens whenever possible. This can be accomplished with once daily dosing, increased use of low cost generic medications and through using more single-pill combination therapy, which can improve adherence in patients taking antihypertensive medications.

Single-pill combination therapy incorporates two or more antihypertensive medications into one pill, which is more convenient for patients and has been shown to get people to goal BP faster than when they take two medication classes that aren’t combined.

This can help improve BP control rates without increasing the risk of adverse events. Better BP control would lead to the prevention of many heart attacks, strokes and other complications associated with uncontrolled hypertension.

Normal, elevated, hypertension stages

A joint task force formed by the American College of Cardiology (ACC) and the AHA released the 2017 guideline for high BP in adults. The ACC and AHA partnered with many other organizations representing physicians and other health professionals to create the new guideline.

The 2017 ACC/AHA guideline for high BP in adults provides four BP categories based on the average of two or more in-office readings on 2 or more occasions:

  • Normal: Lower than 120 mm Hg systolic BP (SBP) and 80 mm Hg diastolic BP (DBP).
  • Elevated: 120–129 mm Hg SBP and lower than 80 mm Hg DBP.
  • Stage 1 hypertension: 130–139 mm Hg SBP or 80–89 mm Hg DBP.
  • Stage 2 hypertension: Higher than or equal to 140 mm Hg SBP or 90 mm Hg DBP.

DASH eating plan

Under the ACC/AHA hypertension guideline more people will have hypertension, but that doesn’t mean medication is the only option. For most of the patients with Stage 1 hypertension, healthy lifestyle changes—not medications—are recommended to treat hypertension. Healthy lifestyle changes are recommended for all patients with elevated or high BP, including those who also are prescribed antihypertensive medications.

This is where the dietary approaches to stop hypertension (DASH) diet can be recommended. The DASH diet is low in saturated fat and high in vegetables and fruits. DASH can help a patient lose weight and allow them to maintain a healthier diet.

Reduction in salt intake is an important lifestyle change, along with increasing potassium rich foods in the diet (in those that do not need to limit potassium intake), increasing exercise and limiting alcohol consumption to two drinks a day for men and one drink a day for women who drink alcohol.

Nearly half of adults in the U.S. have hypertension. And while significant progress has been made in reducing high BP, blood-pressure control remains far from ideal.

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).

Next MMA Legislative Call Will Be Tuesday, February 4th

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 next MMA Legislative Committee weekly conference call for the Second Regular Session of the 129th Maine Legislature will take place Tuesday, February 4th 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 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.

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. 

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 129th Maine Legislature will take place Tuesday, February 4th, at 8:00 p.m. via Zoom. You may now join the meeting with your computer, or continue to connect by phone only. Please use the following Zoom meeting information. This will remain the same for every weekly call during the session.

 Time: Feb 4, 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
 
 
A list of the bills to be discussed during the weekly call will be e-mailed to committee members and those interested on Tuesday mornings. If you would like to be added to this e-mail list, please contact Sarah Lepoff at  slepoff@mainemed.com.


State House Highlights of the Week

MMA member, Dr. Jay Naliboff and new MMA Director of Communications and Government Affairs, Dan Morin testified in support of LD 1948, An Act To Prohibit, Except in Emergency Situations, the Performance Without Consent of Pelvic Examinations on Unconscious or Anesthetized Patients. 

 

 

MMA member, Dr. Jay Naliboff and new MMA Director of Communications and Government Affairs, Dan Morin testified in support of LD 1948, An Act To Prohibit, Except in Emergency Situations, the Performance Without Consent of Pelvic Examinations on Unconscious or Anesthetized Patients. The bill would explicitly state in law that informed consent is required prior to administering or supervising a pelvic examination on an anesthetized or unconscious patient. Starting in 2004, states began passing laws mandating certain standards for pelvic examination under anesthesia, similar to the bill before you today. A snapshot in time from 2019 showed seven states (California, Hawaii, Illinois, Iowa, Oregon, Utah, and Virginia) with such laws, and others are considering them. Maryland is another that has recently adopted a similar law. Maryland’s law prohibits, “any health care practitioner or medical student from performing a pelvic, prostate, or rectal examination on a patient who is under anesthesia or unconscious, unless informed consent was obtained . . .” Committee members did raise that option and it surely will be considered at a future work session.

MMA government affairs staff discussed the bill in detail on our weekly legislative calls, and worked closely with various stakeholders, including the bill sponsor, in the days leading up to hearing to come up with alternatives to statutory additions, including existing BOL and/or BOM rules that seemingly would cover instances of deviation from standard of care and prompt inquiry, investigation and potential discipline. In the end, however, a deliberate decision was made to support the bill.

MMA also testified in support of the following bills:

LD 1934—An Act Regarding Prior Authorization for Medication-assisted Treatment for Opioid Use Disorder under the MaineCare Program. The bill mirrors the law that was passed for commercial insurers last year prohibiting prior authorization for medication-assisted treatment for opioid use disorder except it also adds the prohibition for the MaineCare program. (MMA testimony)

LD 1957—An Act To Provide Women Access to Affordable Postpartum Care

Extends MaineCare from 60 days to 12 months following delivery of a baby. (MMA testimony from Dr. Connie Adler). You can watch Dr. Adler”s testimony on the Maine Medical Association’s Facebook page.

LD 2025—Act To Authorize Emergency Medical Services Personnel To Provide Treatment within Their Scope of Practice in a Hospital Setting with the Permission of the Hospital

Authorize an EMS provider to treat a patient of the hospital in a hospital setting that is within their scope of practice. MMA offered verbal testimony in support the potential options for hospitals to direct this process after consultation with a number of MMA ACEP members, including Legislative Committee Co-Chair, Jay Mullen, M.D.

MMA offered testimony Neither for Nor Against:

LD 1961—An Act To Establish the Trust for a Healthy Maine

Establishes the Trust for a Healthy Maine from tobacco settlement & other sources governed by a board of trustees appointed by the Governor and legislative leaders. (MMA Testimony)

A significant focus of MMA in the coming week will be the hearing on Governor Mills’ health care reform bill. Although a complex bill, LD 2007 in a nutshell deals with various aspects of coverage, including cost sharing, plan design transparency, merger of the individual & small group markets, extension of a reinsurance option into the small group market, & a plan to move Maine from https://www.healthcare.gov/  to a state-based ACA marketplace exchange. (LD 2007 Fact Sheet). Board member, Dr. Karen Sayler is scheduled to testify on behalf of the MMA.

As always, please do not hesitate to contact Dan Morin at dmorin@mainemed.com or (207) 480-4199 with any questions, comments or concerns about these bills or any piece of legislation. We’d love your feedback and willingness to be involved in physician advocacy. Don’t let other make decisions for you on how, where, and what you can practice. We need your help, and your stories. 

 

 

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 8-9, 2020
Northern New England Urology Conference

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 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
Sexual Health Issues in Psychiatric and Medical Practice

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

 

 

 

 

  


 

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

Understanding Social Security - Webinar on Thursday, February 13 at 6pm

You are invited to attend a free Financial Well-Being Education Program on February 13th at 6pm, presented by Baystate Financial.

Understanding Social Security

The decisions you make regarding your Social Security retirement benefits should not be based on a one-size-fits-all assumption.  This webinar session will help you:

  • Understand your retirement benefit eligibility
  • Identify when best to file for benefits
  • Consider your options regarding spousal benefits
Thursday, February 13, 2020
6:00-7:00pm
Hosts: Christopher Perry, Robert Larochelle, Lawrence Perry

Please RSVP to 207-770-2028 or vmichaud@baystatefinancial.com by February 12, 2020.

For more information, contact:
Christopher Perry
Baystate Financial
75 Leighton Road #3
Falmouth, ME 04105
cperry@baystatefinancial.com
www.baystatefinancialmaine.com

There is nothing you have to do to prepare for this session.  This session is simply to provide you with knowledge and insight so you can make informed decisions about your finances.  We hope you'll join us.

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/


Medical Director, Primary Care Physician

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.

The Physician Director of Primary Care will collaborate with the Practice Director for Primary Care to form a dyad partnership in leading our primary care team, as well as provider peripheral oversight for our Walk-In Care and university health center locations.

Northern Light Sebasticook Valley Health 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.

For confidential consideration, please contact:
Sherry Tardy, Physician recruiter
Northern Light Health -Provider Recruitment
PRoviderjobs@NorthernLight.org 207-973-5358 (Office)

3/4/20

Physician - Nasson Health Care

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 March 27, 2020.

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

3/25/20

Nurse Practitioner - Nasson Health Care

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 March 27, 2020.

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

3/25/20

Psychiatric Nurse Practitioner - Nasson Health Care

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 diagnoses, conducts therapy and prescribes medication for patients with substance use disorder, psychiatric disorders and medical organic brain disorders.
  • 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 psychiatric or 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 March 27, 2020.

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

3/25/20

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

2/12/20

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.

4/15/20

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

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/