Maine Medicine Weekly Update - Monday, July 12, 2021
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FDA, CDC & Dr. Fauci: No need for COVID vaccine boosters yet despite Pfizer request

  • This weekend Dr. Fauci said there is no need to get a COVID-19 vaccine booster shot, according to current data by the US CDC and US FDA.
  • The Washington Post reported over the weekend (subscription required) that Pfizer officials intend to soon brief government health officials about the need for a coronavirus vaccine booster shot.
  • Facebook Live discussion on booster shots with Johns Hopkins professors
  • Some patients are already seeking booster shots. Is that necessary—or safe?

    • This weekend Dr. Fauci said there is no need to get a COVID-19 vaccine booster shot, according to current data by the US CDC and US FDA.
    • The Washington Post reported over the weekend (subscription required) that Pfizer officials intend to soon brief government health officials about the need for a coronavirus vaccine booster shot.

    Pfizer announced earlier in the week that they would seek regulatory approval from the FDA for a booster because they anticipate that people will need a third dose six to 12 months after receiving the current two-shot regimen. The FDA and US CDC released a joint statement after Pfizer’s announcement which included the following, “Americans who have been fully vaccinated do not need a booster shot at this time. FDA, CDC, and NIH are engaged in a science-based, rigorous process to consider whether or when a booster might be necessary.”

    Appearing on the Sunday morning broadcast of On CNN’s “State of the Union,” Dr. Fauci responded to a question from the show’s host with the following:

    “… right now, given the data and the information we have, we do not need to give people a third shot, a boost, superimposed upon the two doses you get with the mRNA and the one dose you get with J&J. But that doesn't mean we stop there. They continue. I mean, there are studies being done now ongoing as we speak about looking at the feasibility about if and when we should be boosting people. So, this isn't something that we say, no, we don't need a boost right now, the story has ended forever. No, there's a lot of work going on to examine this in real time to see if we might need a boost. But, right now, given the data that the CDC and the FDA has, they don't feel that we need to tell people right now you need to be boosted.”

    Later in the interview, Dr. Fauci added:

    “Before you get that data, there will always be people, well-meaning people, and well-meaning companies, who will say, you know, the way we look at the situation, it looks like you might need a booster, so let's go ahead and give a booster. But that's not a formal recommendation. I mean, even individual physicians, we know some physicians right now that are saying, I want to take the extra step, go the extra mile with someone who might actually have a lower level of immunity. Those are the things that are out there. But if you're looking at formal recommendations from organizations, it's always based on data. And as we have said so many times, Jake, data evolves. You get more information as the time goes by.”

    Full CNN interview transcript here.

    For more discussion on booster shots, we’ve included a recent Facebook Live discussion with Johns Hopkins Bloomberg School of Public Health professors, William John Moss, M.D., (also Executive Director, International Vaccine Access Center) and Anna P. Durbin, M.D.

    They point out that, so far, preliminary data show lasting efficacy for all three vaccines authorized in the US. There is also emerging data that all three are quite effective against the delta variant which, for the time being, rules out an immediate need for second-generation COVID vaccines tweaked for specific variants. But, they warned, the focus should be on getting as many people vaccinated around the world as possible so that we are not facing a new variant that may skirt immune responses to currently available vaccines.

    Article of interest:

    Some patients are already seeking booster shots. Is that necessary—or safe? (Advisory.com)

     

    Maine DHHS & CDC seeking physician input; Tuesday webinar & web-based survey

    As part of Maine CDC’s ongoing efforts to promote COVID-19 vaccination to increase the number of people vaccinated in Maine, ME DHHS is looking for your input on how we can support increased COVID vaccination in medical practices & other health care settings. 

    As part of Maine CDC’s ongoing efforts to promote COVID-19 vaccination to increase the number of people vaccinated in Maine, ME DHHS is looking for your input on how we can support increased COVID vaccination in medical practices & other health care settings. 

    The MMA has been advocating a widespread plan to have COVID vaccines readily accessible in physician offices since the beginning of 2021, and as outlined in another MMWU article this week (Unvaccinated people would prefer to get vaccinated at their doctor’s office), it is well recognized that offering COVID vaccination in medical practices and health care settings should be a key part of an ongoing strategy to get to the remaining ~30% of eligible Mainers who remain unvaccinated.

    To help advance this work, Maine DHHS and CDC are asking for input from Maine clinicians on the most significant barriers to offering vaccination in medical practices & health care settings, and what steps we could take to better support your efforts moving forward. 

    Specifically, they would like to solicit the direct input of clinicians on these issues on an upcoming webinar on Tues, July 13 (7:30AM), as well as through a brief web-based survey: https://forms.office.com/g/eS3C4AEbht

    To that end, state public health leaders will use the next COVID Vaccine Clinicians Info Session to focus on this issue on Tues, July 13 from 7:30-8:30A (note: they will be extending the normal 30’ session to 1hr), using the following Zoom link:

    >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 

    Join Zoom Meeting
    https://zoom.us/j/6218434986?pwd=dEJoNEVRSkVSN2dwZlJ5WEl3WjJsZz09

    Meeting ID: 621 843 4986
    Passcode: 338847
    One tap mobile: +13017158592,,6218434986#,,,,,,0#,,338847#

    Registration Open for MMA’s 168th Annual Membership Meeting (Sep 10-12)

    When the COVID-19 pandemic stalled travel and eliminated in person meetings, MMA leaders quickly adjusted and took the 2020 meeting online. The 2020 MMA Virtual General Membership Meeting took place in mid-October.

     

    When the COVID-19 pandemic stalled travel and eliminated in person meetings, MMA leaders quickly adjusted and took the 2020 meeting online. The 2020 MMA Virtual General Membership Meeting took place in mid-October.

    The 2021 Annual Membership Meeting will be hybrid model at the Jordan Hotel and Conference Center in Newry, Maine (Sunday River) on Friday, September 10, through September 12.

    Register here.

    We know many members are ready to gather in person for timely and useful information from experts and participate in discussions that allow for detailed questions, informal learning from colleagues and peers in a social setting, and generally catching up with friends or making new ones.

    MMA leadership and staff continue to work with resort staff to ensure a safe experience in accordance with current pandemic guidelines. For those who are not comfortable gathering for meetings, we will make key portions of the meeting available remotely.

    The theme of the Annual Session is, “Equality, Equity, and Our Evolving Health Care System” and the CME Program will focus on this theme with a keynote presentation by “Bowtie” Todd Jenkins, Ph.D. entitled, Moving from Diversity to Inclusion. You can learn more about “Bowtie” Todd’s life and work at www.bowtieleadership.com.

    Register here.

    What we’re looking forward to:

    ·       The meeting will open on Friday evening with a casual reception and BBQ dinner followed by ‘smores around the fire pits.

    ·       The General Membership meeting and CME Program will take place through early afternoon on Saturday.

    ·       Saturday afternoon activities also will include an optional MICIS opioid prescribing presentation and a meeting of the Maine Society of Anesthesiologists.

    ·       MMA Past Presidents will have a reception in their honor on Saturday afternoon and all attendees will gather for a reception and Awards Dinner on Saturday evening.

    ·       The Awards Dinner will feature presentation of the President’s Award for Distinguished Service and the Mary Floyd Cushman, M.D. Award for Distinguished Humanitarian Service, and the inauguration of the 169th President of the Maine Medical Association. President Karen Saylor, M.D. will pass the gavel and present the Presidential Medal to Jeffrey Barkin, M.D., President-Elect.

    ·       Following a family breakfast on Sunday morning, the closing CME session will be an open forum for discussion of the issues and ideas raised during the presentations on Saturday.

    ·       Recreational opportunities include yoga on both Saturday and Sunday mornings, a group hike and wine tasting on Saturday afternoon, and spa treatments available throughout the weekend.

    Register here.

     

    Unvaccinated people would prefer to get vaccinated at their doctor’s office

    A recently released nationwide poll of more than 12,000 Americans on COVID-19 vaccine uptake done by The African American Research Collaborative (AARC) and the Commonwealth Fund with funding from the Robert Wood Johnson and W.K. Kellogg foundations found that unvaccinated people would prefer to get vaccinated at their doctor’s office and far fewer would prefer other locations. More than half (53 percent) would first choose their doctor’s office followed by a retail pharmacy (17%), a town or county health clinic (13%), and large public vaccination sites (only 10%).

    A recently released nationwide poll of more than 12,000 Americans on COVID-19 vaccine uptake done by The African American Research Collaborative (AARC) and the Commonwealth Fund with funding from the Robert Wood Johnson and W.K. Kellogg foundations found that unvaccinated people would prefer to get vaccinated at their doctor’s office and far fewer would prefer other locations. More than half (53 percent) would first choose their doctor’s office followed by a retail pharmacy (17%), a town or county health clinic (13%), and large public vaccination sites (only 10%).

    Other important findings:

    • Larger percentages of unvaccinated Black and Native American respondents agreed that discrimination from medical professionals makes them less likely to get a COVID-19 vaccine.
    • Protecting loved ones, supporting local businesses, and restoring social gatherings are among the most popular messages among unvaccinated respondents.
    • Nearly a third of parents say they will not sign up their child for a COVID-19 vaccination when it becomes available.
    • Parents’ concerns about signing up their child for the COVID-19 vaccine largely rest on the safety of the vaccine for children.

    Notice of Rulemaking: Immunization requirements for Maine school children

    BRIEF SUMMARY: The Department of Health and Human Services - Maine Center for Disease Control and Prevention (DHHS) and the Maine Department of Education (DOE) are jointly proposing these routine technical rule changes to implement P. L. 2019, Ch. 154: An Act to Protect Maine Children and Students from Preventable Disease by Repealing Certain Exemptions from the Laws Governing Immunization Requirements (the “Act”). The Act prohibits the rule from including any provision governing medical exemptions and repeals the exemption from required immunization for school students who object, based solely on a sincere religious belief or philosophical reason, effective September 1, 2021, with exemptions for certain students. 

    AGENCY: Department of Health and Human Services Maine Center for Disease Control and Prevention; Department of Education

    CHAPTER NUMBER AND TITLE: 10-144 CMR, Chapter 261: Immunization Requirements For School Children (DHHS) / 05-071 CMR, Chapter 126: Immunization Requirements For School Children (DOE)

    TYPE OF RULE:   Routine Technical  

    PROPOSED RULE NUMBER (leave blank; to be assigned by Secretary of State): 2021-P116, P117

    BRIEF SUMMARY: The Department of Health and Human Services - Maine Center for Disease Control and Prevention (DHHS) and the Maine Department of Education (DOE) are jointly proposing these routine technical rule changes to implement P. L. 2019, Ch. 154: An Act to Protect Maine Children and Students from Preventable Disease by Repealing Certain Exemptions from the Laws Governing Immunization Requirements (the “Act”). The Act prohibits the rule from including any provision governing medical exemptions and repeals the exemption from required immunization for school students who object, based solely on a sincere religious belief or philosophical reason, effective September 1, 2021, with exemptions for certain students.

    Those students who may have declined immunizations based on religious or philosophical objection and are otherwise not eligible for exemptions permitted under Maine’s immunization laws, including those attending elementary or secondary schools for pre-kindergarten instruction, will be subject to current immunization requirements for the certain specified diseases.

    This rule proposes to require schools to include in their annual report any stricter immunization requirements that may be adopted by ordinance or policy, in addition to the immunization status of all students, including immune students, exempt and non-immunized excluded students.

    Additionally, these proposed rule changes include new and revised definitions; add a vaccine schedule for pre-kindergarten students; clarify existing authority and responsibility to dismiss or exclude a child from school when there is a public health threat (20-A MRS § 6301; 22 MRS ch. 250); and clarify superintendent and school authority and responsibility related to recordkeeping and attendance tracking for those students exempt from immunization requirements.

    Finally, changes are proposed to the format of the rule for conformity with Maine CDC rulemaking standards.

    Date, time and location of PUBLIC HEARING (if any): Virtual Public Hearing on July 26, 2021 at 9:00 am

    https://mainestate.zoom.us/j/86404327981?pwd=TXdOalFzT1YyakJVdlZTTXdRNEVKZz09

    Meeting ID: 864 0432 7981 Passcode: XeNRq!D2 Hearings may be conducted virtually until July 30, 2021, in accordance with  1 MRS §403-A (C)(PL 2020 c. 617).

    COMMENT DEADLINE: August 5, 2021 at 5:00 pm

    CONTACT PERSON FOR THIS FILING (include name, mailing address, telephone, fax, TTY, email):

    DHHS-Maine CDC: Bridget Bagley; 286 Water Street, 11 State House Station, Augusta, ME, 04333-0011; Tel: 207-287-4490 or 711; Fax: 287-2887; bridget.bagley@maine.gov

    CONTACT PERSON FOR SMALL BUSINESS IMPACT STATEMENT (if different):

    FINANCIAL IMPACT ON MUNICIPALITIES OR COUNTIES (if any): None anticipated.

    STATUTORY AUTHORITY FOR THIS RULE: 20-A M.R.S. §6358(1); 22 M.R.S. §806

    SUBSTANTIVE STATE OR FEDERAL LAW BEING IMPLEMENTED (if different): PL 2019, c. 154

    AGENCY WEBSITE:  http://www.maine.gov/dhhs/mecdc/rules/

    Feds asked to investigate of Alzheimer's drug approval; FDA revises recommendations for drug

    The acting head of the Food and Drug Administration (FDA) has asked for a federal investigation into the agency's controversial approval of Biogen Inc.’s Alzheimer’s drug, Aduhelm. This after two congressional committees announced they will have hearings on the FDA’s approval of the drug last month.

    The acting head of the Food and Drug Administration (FDA) has asked for a federal investigation into the agency's controversial approval of Biogen Inc.’s Alzheimer’s drug, Aduhelm. This after two congressional committees announced they will have hearings on the FDA’s approval of the drug last month.

    Maine Medicine’s Weekly Update covered the approval in June.

    Critics say there is no clear evidence the drug will slow the cognitive decline of Alzheimer's patients, which is what the drug is designed to do. There are also serious concerns over the $56,000 per patient price tag, and what it could do to the financial solvency of the Medicare program, which covers most Alzheimer's patients in the U.S. In addition, a recent Stat News reported lays out an alleged path of undue pharmaceutical company influence may have led to the approval.

    Inside ‘Project Onyx’: How Biogen used an FDA back channel to win approval of its polarizing Alzheimer’s drug

    Also this week, the FDA revised usage guidance for Abuhelm to cover only patients to only patients with milder forms of Alzheimer’s disease. The FDA had initially granted wide-label approval.

    “Treatment with ADUHELM should be initiated in patients with mild cognitive impairment or mild dementia stage of disease,  the population in which treatment was initiated in clinical trials. There are no safety or effectiveness data on initiating treatment at earlier or later stages of the disease than were studied.”

    In a media statement, a physician employed by Biogen, said, “Based on our ongoing conversations with prescribing physicians, FDA and patient advocates, we submitted this label update with the goal to further clarify the patient population that was studied across the three ADUHELM clinical trials that supported approval. We are committed to continue to listen to the community’s needs as clinical practice adapts to this important, first-in-class treatment option.”

    Additional information and resources (click title for source infromation):

    FDA Grants Accelerated Approval for Alzheimer’s Drug

    FDA’s Decision to Approve New Treatment for Alzheimer’s Disease

    FDA’s Accelerated Approval Pathway

    FDA’s Fast Track Process

    Cassidy, Warren Call for Hearing on New Alzheimer’s Disease Drug Aduhelm

    Biden Executive Order covers non-compete agreements, hospital mergers, and prescription prices

    Although numerous media reports indicate the President’s Executive Order earlier this week would ban noncompete agreements used by employers, it only, “encourages the FTC to ban or limit non-compete agreements.” The order also “encourages” the Federal Trade Commission (FTC) to work on the issue of hospital consolidations and directs the Food and Drug Administration (FDA) to work with states on importing prescription drugs from Canada and develop a plan to lower drug prices in 45 days.

    Although numerous media reports indicate the President’s Executive Order earlier this week would ban noncompete agreements used by employers, it only, “encourages the FTC to ban or limit non-compete agreements.” The order also “encourages” the Federal Trade Commission (FTC) to work on the issue of hospital consolidations and directs the Food and Drug Administration (FDA) to work with states on importing prescription drugs from Canada and develop a plan to lower drug prices in 45 days.

    The White House’s public fact sheet on the Executive Order offers no specifics to any non-compete restrictions the Biden Administration would ultimately like to see. Any action by the FTC will require a rulemaking process which normally take a considerable period of time and is unlikely to result in a complete ban on the use of non-competes. The formal Executive Order has not yet been posted to the Federal Register’s webpage for EOs.

    Hospital & Insurance Carrier Mergers/Consolidation

    The Executive Order, which contains 72 initiatives covering more than a dozen federal agencies, also focuses on mergers and consolidation. However, as with the non-compete component, the Executive Order simply ‘encourages’ the FTC to work on the issue of hospital consolidation, arguing that this practice can be harmful to patients.

    According to the White House statement, 10 health care systems control a quarter of the market, due to mergers and consolidation in the health insurance industry has meant that many consumers have little choice.

    Hospital Pricing Transparency

    The EO directs HHS to support existing hospital price transparency rules and to finish implementing bipartisan federal legislation to address surprise hospital billing.

    Insurance Marketplace Exchanges

    The EO directs HHS to standardize plan options in the National Health Insurance Marketplace so people can comparison shop more easily.

    The White House expressed concerns related to comparison shopping for plans on exchanges because they are too complicated, have many different services covered and numerous deductible options.

    Prescription Drug Prices

    ·      Directs the Food and Drug Administration to work with states and tribes to safely import prescription drugs from Canada, pursuant to the Medicare Modernization Act of 2003.

    ·      Directs the Health and Human Services Administration (HHS) to increase support for generic and biosimilar drugs, which provide low-cost options for patients.

    ·      Directs HHS to issue a comprehensive plan within 45 days to combat high prescription drug prices and price gouging.

    ·      Encourages the FTC to ban “pay for delay” (when drug companies agree not to compete) and similar agreements by rule.

    Current Maine law on non-compete agreements

    Law regarding non-compete agreements currently varies by state. A new Maine law was in enacted in 2019 concerning non-competes. The current state law allows non-competes, “only to the extent that they are reasonable and are no broader than necessary to protect one or more of the following legitimate business interests of the employer:

    • The employer’s trade secrets.
    • The employer’s confidential information that does not qualify as a trade secret; or
    • The employer’s goodwill.

    In addition, the 2019 Maine law bars an employer from non-competes for employees earning wages at or below 400% of the federal poverty level (approximately $50,000 a year) and also contains an exception for allopathic and osteopathic physicians.

    Except for M.D.’s and D.O.’s, “the terms of a noncompete agreement do not take effect until after one year of the employee's employment with the employer or a period of 6 months from the date the agreement was signed, whichever is later.”

    It also bans no-raid agreements (called “restrictive employment agreements”) in Maine. Note: For any Maine non-compete agreement that predates September 18, 2019, no changes are required.

    Top JAMA and NEJM articles of the week

    AAFP: Direct Primary Care Was the Change She Needed

    Jennifer Harader, M.D., (Topeka, KS) will be one of the speakers at the July American Academy of Family Physicians Direct Primary Care Summit (virtual). She describes how changing to direct primary care increased her scope of practice, improved her work-life balance, and saved her career.

    Jennifer Harader, M.D., (Topeka, KS) will be one of the speakers at the July American Academy of Family Physicians Direct Primary Care Summit (virtual). She describes how changing to direct primary care increased her scope of practice, improved her work-life balance, and saved her career.

    Here story is AAFP’s Family Doc Focus article.

    Maine Secretary of State Seeking Physician Volunteers

    Secretary of State, Shenna Bellows is asking the Maine Medical Association to provide recommendations to fill vacancies on the Medical Advisory Board for licensing drivers in the State of Maine.

     

    Secretary of State, Shenna Bellows is asking the Maine Medical Association to provide recommendations to fill vacancies on the Medical Advisory Board for licensing drivers in the State of Maine.

    The Medical Advisory Board is comprised of physicians and motor vehicle staff and consists of 8-10 physicians from various specialties. State law requires the board include the specialties of cardiology, gerontology, internal medicine, neurology or neurosurgery, ophthalmology. Psychiatry, family medicine, and rehabilitative medicine.

    The board advises the Secretary of State on matters relating to medical conditions, vision standards, and driving. The board, or individuals may also be asked to evaluate reports submitted by clinicians on whether a person is medically competent to operate a motor vehicle on public roads.

    By law, the board must meet at least every 2 years, but traditionally has met twice a year, usually on the first Friday of April and November from noon to 3:00 p.m. Expense reimbursement is provided.

    Please reach out directly to MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com or by phone at (207) 480-4199 if you, or a colleague may be interested.

    SUPPORT for ME: Strengthening Substance Use Disorder Treatment and Recovery Services for MaineCare Members

    SUPPORT for ME is a statewide effort to improve SUD treatment and recovery services for all Mainers.

     

    SUPPORT for ME is a statewide effort to improve SUD treatment and recovery services for all Mainers, with a particular focus on the following: 

    • Adolescents and youth (12-21) 

    • Individuals transitioning from care settings (e.g., leaving incarceration) 

    • American Indian / Alaska Native Nations 

    • Rural populations 

    PROJECT GOAL: 

    This planning grant aims to increase MaineCare providers’ capacity to deliver Substance Use Disorder (SUD) treatment and recovery services. 

    WHY? 

    Maine has one of the top 10 highest drug overdose rates in the country. In 2019, there were 380 drug overdose deaths, with over 80% due to opioids, nearly always in combination with other drugs or alcohol. 

    For more information, visit: https://www.maine.gov/dhhs/oms/about-us/projects-initiatives/support-for-me 

    or contact Joanie Klayman (joan.klayman@maine.gov

     

     

     

    Are You a Professional Who Works with Individuals in Maine Who Have a Substance Use Disorder? We Want to Hear From You!

    The Maine Department of Health and Human Services’ SUPPORT for ME initiative, in collaboration with the University of Southern Maine, is hosting virtual group discussions for Maine providers who deliver services to people with substance use disorder (SUD).

     

    The Maine Department of Health and Human Services’ SUPPORT for ME initiative, in collaboration with the University of Southern Maine, is hosting virtual group discussions for Maine providers who deliver services to people with substance use disorder (SUD). 

    You are invited to share your feedback about the resources available in Maine to address SUD by taking part in this important group discussion online or by phone. The session will last no longer than 60 minutes. Any identifying information of focus group participants will be closely protected and kept confidential. Your feedback about your experiences as a provider will help identify how to improve treatment and recovery services in Maine. We’d like to hear from you! 

    Virtual Focus Group Dates and Times (Each focus group will be limited to 10 participants) 

    Recovery support and social service providers:

    Wednesday, June 30, 2021, 12:00PM

    Tuesday, July 13, 2021, 8:00AM

    Medical providers:

    Thursday, July 15, 2021, 7:30AM

    Tuesday, July 20, 2021, 12:00PM

    Behavioral health providers, currently providing SUD services:

    Tuesday, July 13, 2021, 7:30AM

    Behavioral health providers working with individuals with SUD, but not providing SUD-specific services:

    Wednesday, July 21, 2021, 12:00PM

    Youth-oriented SUD services:

    Tuesday, July 20, 2021, 11:30AM

    Harm reduction service providers:

    Thursday, July 15, 2021, 9:00AM

    To register, go to: http://bit.ly/maineproviderfocusgroup

     

     

    Maine Community Action Partnership: Did You Know?

    Did you know that almost half of parents surveyed say they are more concerned about the COVID-19 vaccine than they are of the vaccine itself?  That’s an alarming statistic, but a full 71% of all parents said they would be more likely to get their child vaccinated if in-person school could be “normal”.

     


    Did you know that almost half of parents surveyed say they are more concerned about the COVID-19 vaccine than they are of the vaccine itself?  That’s an alarming statistic, but a full 71% of all parents said they would be more likely to get their child vaccinated if in-person school could be “normal”.

    This information offers us opportunities to educate parents and their kids about the benefits of the vaccine. A study by the de Beaumont Foundation has found the most effective messaging when addressing these concerns:

    Vaccinating children can help the country reach herd immunity and can protect children from the mental and physical effects of lockdowns and other restrictions.

    Parents can protect their children from needing hospitalization or have lasting COVID-19 symptoms. There are documented deaths in children due to COVID-19, and the long-term impact of the virus remains unknown.

    Medical science has proven that other vaccines keep dangerous diseases and viruses away from our children. The COVID-19 vaccine is no different.

    Vaccinated children can go back to school – in person and without masks – to get the education they want, need, and deserve.

    We hope you find this information helpful when speaking to your patients.

    For more information visit https://debeaumont.org/changing-the-covid-conversation/poll-vaccine-perceptions-among-parents-of-teenagers/   

    Or contact me at mleary@mecap.org

     

    MMA Mary Cushman, MD Award for Humanitarian Service

    The Mary Cushman, MD Award is presented each year by the Maine Medical Association to recognize the humanitarian service of medical volunteers who serve in Maine, the US or abroad.  Nominations for the 2021 award are due by July 23, 2021.

     

    Nominations for the 2021 Mary Cushman Award for Humanitarian Service are due by July 23, 2021.

    The Maine Medical Association presents the Mary F. Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer each year to recognize the service of medical volunteers who serve in Maine, the US or abroad.  The award was established in 2003 in recognition of the MMA's 150th anniversary.

    Priority consideration is given to:

    • the nomination of a Maine physician who is a member of the Maine Medical Association
    • nominations submitted by members of the Maine Medical Association
    • nominations that, for international volunteering, include training people in other countries to provide care in their own communities.

    Nominations for the 2021 Mary Cushman Award are due by Friday, July 23, 2021.  The award is announced at the MMA Annual Session in September and includes a $1,000 donation to the institution or organization of the recipient's choice.

    2021 Mary Cushman, MD Award Nomination Form

    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 11, 2021
    Maine Society of Anesthesiologists Fall Business Meeting

    (Held in conjunction with the Maine Medical Association’s Annual Meeting)

    The Jordon Hotel, Sunday River Resort, Newry, ME from 2:00pm – 5:00pm
    Contact: Lisa Montagna 207-620-4015 or mesahq@gmail.com

    September 24, 2021
    Maine Society of Eye Physicians and Surgeons Fall Business Meeting
    (Held in conjunction with the 20th 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 24-26, 2021
    20th Annual Downeast Ophthalmology Symposium
    (Presented by the Maine Society of Eye Physicians and Surgeons)
    Harborside Hotel & Marina – Bar Harbor, ME
    Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

    October 21-22, 2021
    Sleep, Health, and Cognition - A Lifecycle Perspective

    (Presented by the Maine Association of Psychiatric Physicians)
     Hilton Garden Inn – Freeport, Maine
    Contact: Dianna Poulin 207-622-7743 or dpoulin@mainemed.com

    March 18-20, 2022
    Northern New England Urological Symposium

    (Presented by the Maine Urological Association)
    Grand Summit Resort Hotel & Conference Center – Newry, Maine
    Contact: Dianna Poulin 207-480-4194 or dpoulin@mainemed.com

     

     

     

     

     

     

      


     

    AAP EQIPP Course: Immunizations - Strategies for Success (for RURAL Health Providers)

    The recently revised EQIPP immunization course is designed to identify immunization rates in your practice, uncover barriers to immunization delivery systems, and provide techniques to overcome those barriers using clear aims that reflect expert principles and proven quality improvement methods and tools.

     

    The recently revised EQIPP immunization course is designed to identify immunization rates in your practice, uncover barriers to immunization delivery systems, and provide techniques to overcome those barriers using clear aims that reflect expert principles and proven quality improvement methods and tools. 

    The online course features two tracks; the 19–23-month-old track and the adolescent track with data collection activities specific to each population. The course is eligible for PI CME, NAPNAP, MOC Part 2, and MOC Part 4 credits. 

    The course is free to AAP members - and for a limited time, is being offered free to ALL rural health clinicians in Maine (Pediatricians AND Family Practice) through an AAP initiative.  Additional course information is available here

    For rural health care providers that are non-AAP members and interested in taking this immunization course, contact Melissa Ponce at mponce@aap.org for additional information and to have your course fee waived through the Supporting Pediatricians to Improve HPV and Pediatric Influenza Vaccination Rates Initiative - again, the EQIPP immunization course is open to all Maine physicians serving youth, and the course fee is being waived for ruralhealth clinicians!

    SUPPORT for ME Training and Technical Assistance Initiative

    The Maine Medical Association- Center for Quality Improvement, in partnership with the Maine Department of Health and Human Services, launched the SUPPORT for ME Training and Technical Assistance initiative.

     


    The Maine Medical Association- Center for Quality Improvement, in partnership with the Maine Department of Health and Human Services, launched the SUPPORT for ME Training and Technical Assistance initiative. 

    This initiative is funded by the Centers for Medicare and Medicaid Services (CMS) and is designed to support the Department’s goals to enhance Maine’s response to the opioid epidemic through increased access to vital treatment and services for substance use disorder (SUD), including opioid use disorder (OUD). 

    Navigate to this link for more details: SUPPORT for ME TA 

    or email either skring@mainemed.com,kcole@mainemed.com 

     

     

    Working with Children & Adolescents? Maine Pediatric & Behavioral Health Partnership (MPBHP) Webinar Series (July thru December 2nd Wednesday of month)

    The Maine Pediatric & Behavioral Health Partnership (MPBHP) is a partnership between Maine Centers for Disease Control (CDC), Northern Light Acadia Hospital, and MaineHealth. MPBHP is offering a webinar series for medical providers who work with children and adolescents and you will earn Continuing Medical Education (CME) credit.

     

    The Maine Pediatric & Behavioral Health Partnership (MPBHP) is a partnership between Maine Centers for Disease Control (CDC), Northern Light Acadia Hospital, and MaineHealth. MPBHP is offering a webinar series for medical providers who work with children and adolescents and you will earn Continuing Medical Education (CME) credit. 

    The 2021 Learning Series schedule will include webinars on the 2nd  Wednesday of each month from 7:30 – 8:30 AM. For more information, please see the topics offered in the list below and how to register for the sessions. 

    Therapeutic Interviewing - July 14, 2021 

    Register in advance for this webinar: 

    https://mainestate.zoom.us/webinar/register/WN_n3O026CLQN6R8-F8ilwYug 

    ADHD – August 11, 2021 

    Register in advance for this webinar: 

    https://mainestate.zoom.us/webinar/register/WN_1IgwbEdSS8mrceGhLyTCxw 

    Depression – September 8, 2021 Register in advance for this webinar: 

    https://mainestate.zoom.us/webinar/register/WN_I7m60qy4Q4O-budFnkVEdw 

    Eating Disorders – October 14, 2021 

    Register in advance for this webinar: 

    https://mainestate.zoom.us/webinar/register/WN_J7oOGRT1QVS1wPv3gxwtxA 

    Psychosis – November 10, 2021 

    Register in advance for this webinar: 

    https://mainestate.zoom.us/webinar/register/WN_Ip8s_YGpS2iJkVHJ6vVn4w 

    Trauma – December 8, 2021 

    Register in advance for this webinar: 

    https://mainestate.zoom.us/webinar/register/WN_9DAt1INbTy2n5s5uscTnXw  

    See the flyer below for details about the Autism webinar on June 2nd: 

    Training Invite Flyer Autism Spectrum Disorder June 2 2021docx.pdf 

    Maine Pediatric & Behavioral Health Partnership (MPBHP) Training Videos MPBHP is also offering on-demand trainings for CME credit. You simply click on the training link, watch the training video, and complete the evaluation. See the below for details about training topics offered, links to the training videos, and details about how to earn CME credit. 

    Approaching Psychiatric Issues in Primary Care  

    On Demand Link: 

    https://mainestate.zoom.us/rec/share/JDVV3FdbQC5NcNsKomvmmX-hQvNJQSEzE7kmvdO26-ow_UK0a_-IbEDRVGcy208.aCtp2L7gTx9V7NeO?startTime=1615379178000 

    Post Training Evaluation: To log your attendance in CloudCME, please TEXT attendance code 75868 to 207-808-7704. Go to MaineHealth Continuing Education (cloud-cme.com). Sign in and complete the evaluation and receive your CME credit. 

    Suicide Risk Management 

    On Demand Link: 

    https://mainestate.zoom.us/rec/share/DaFX8Z4sWnXxWDLpIOpO6hoHbzlKlfeB5rwtJFl_8r7YKmand5jGBkjYJ9icLpJt.YdpURvDhySVyllE2?startTime=1618399283000 

    Post Training Evaluation: To log your attendance in CloudCME, please TEXT attendance code 75099 to 207-808-7704. Go to MaineHealth Continuing Education (cloud-cme.com). Sign in and complete the evaluation and receive your CME credit. 

    Anxiety  

    On Demand Link: 

    https://mainestate.zoom.us/rec/share/xmkThwBZsn-piWjLe5HF1X6QY-Kf8TQ_dcJnczG5q156VnIW6BeWMP0wtITOuw07.atoGuge84OT5_BKb?startTime=1620818853000

    Post Training Evaluation: To log your attendance in CloudCME, please text the attendance code 75919 to 207-808-7704. Go to MaineHealth Continuing Education (cloud-cme.com). Sign in and complete the evaluation and receive your CME credit. 

    Additional Training Opportunities: 

    MaineHealth is hosting a lunch and learn series. For session dates, topics, and to register, see Pediatric Psychiatry and Behavioral Health in Primary Care Learning Series webpage.

     

     

    Register Now: Governor Mills’ 3rd Annual Opioid Response Summit on July 15th

    Governor Janet Mills will host her 3rd Annual Opioid Response Summit on Thursday, July 15. The annual summit is part of the state’s commitment to fighting the opioid epidemic, and convenes leaders from around Maine to share ideas, strategies, and best practices to help Maine people affected by this crisis.

     

    Governor Janet Mills will host her 3rd Annual Opioid Response Summit on Thursday, July 15. The annual summit is part of the state’s commitment to fighting the opioid epidemic, and convenes leaders from around Maine to share ideas, strategies, and best practices to help Maine people affected by this crisis. 

    The full-day program will feature live presentations, poster sessions, and prerecorded panel discussions, with the voices of persons in recovery featured prominently again this year. 

    The summit’s theme, “Perseverance, Prevention and Promise” reflects the resolve of our state to continue to work together to promote and achieve wellness and recovery in all communities across our great state. 

    We will hear from Attorney General Aaron Frey and the Director of Maine CDCP Nirav Shah, MD, J.D. 

    The afternoon will feature a panel discussion with leaders in opioid response from the Biden-Harris Administration. 

    There will be twelve breakout sessions throughout the day covering topics across the domains of Prevention, Treatment, Harm-Reduction and Recovery Support. 

    Some of topics that will be covered are: 

    •             Treatment Courts, Culturally Appropriate Care 

    •             Adverse Childhood Events 

    •             Infants Plan of Safe Care 

    •             Connections Between Suicide and Accidental Overdoses 

    •             Medication Assisted Treatment in Maine’s Prison System 

    •             Recovery Friendly Worksites 

    •             Compassionate Tapering 

    •             Recovery Pathways 

    •             Challenges of the Pandemic 

    •             The Maine MOM Initiative 

    •             The Role of Law Enforcement in Arrests, Seizures and Overdose Prevention 

    Click here to find out more on breakouts. 

    While all the content will be available on a virtual platform, registrants who would like to participate in the Summit in a group may contact one of the fifteen recovery centers in the state which will be hosting participants subject to the individual capacity of each center. The centers that are open and participating in the Summit are located in Portland, Lewiston, Brewer, Bridgton, Bath, Boothbay Harbor, Machias, Calais, Caribou, Houlton, Millinocket, Lincoln, Rumford, Rockland and Ellsworth. 

    These sites will have hosts/moderators from the state available to assist registrants. 

    Click here to find a Center closest to you. 

    The conversations will continue following the summit with registrants having access to online content and monthly events featuring Maine presenters focusing on prevention, treatment strategies, voices of recovery, and emerging issues. View previous recordings. 

    Thursday, July 15, 2021 

    8:00 AM- 3:30 PM Eastern 

    Live Virtual Event 

    $35 Registration Fee includes summit attendance, film viewing with panel discussion and continuing education credit. 6 Continuing Education Credits - For more information on credits offered. 

    REGISTER HERE 

    For questions, please contact Katherine Coutu at katherine.coutu@maine.gov

     

    Physician (BC/BE in Family Medicine) - Strong Area Health Center

    Strong Area Health Center seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills. In addition, an X waver is desirable.

    Strong Area Health Center seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills. In addition, an X waver is desirable. The selected candidate will provide outpatient medical care to individuals and families of all ages in our NCQA certified Patient-Centered Medical Home with integrated behavioral health services and general dentistry. The health center, which was established in 2003, offers care of chronic and acute illnesses, physicals, laboratory services, substance use and mental health counseling, and community resource referrals.

    Each year, 1800 patients from Strong, Phillips, New Vineyard, Farmington, and surrounding towns access services. The selected candidate will receive a $10,000 SIGN-ON BONUS, competitive salary and benefits, malpractice coverage, pension plan with employer match, relocation, and loan repayment opportunities. EOE.

    Strong Area Health Center is part of HealthReach Community Health Centers, a system of 11 Federally Qualified Health Centers in Central and Western Maine established in 1975 offering accessible, high quality healthcare with integrated behavioral health, psychiatric medication management, and referrals. HealthReach accepts Medicare, MaineCare and major insurances and a sliding fee program is available to uninsured and underinsured residents as well as assistance with applications for programs that help with the cost of health care and medications including the Health Insurance Marketplace.

    Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME  04901 ~ 207.660.9908 ~ Fax 207.660.9901 ~ Communications@HealthReach.org ~ www.StrongCHC.org

    7/23/21

    Physician (BC/BE in Family Medicine) - Richmond Area Health Center

    Richmond Area Health Center seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills. In addition, an X waver is desirable.

    Richmond Area Health Center seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills. In addition, an X waver is desirable. The selected candidate will provide outpatient medical care to individuals and families of all ages in our NCQA certified Patient-Centered Medical Home with integrated behavioral health services. The health center, which was established in 1977, offers care of chronic and acute illnesses, physicals, laboratory services, substance use and mental health counseling, and community resource referrals.

    Each year, over 2,000 patients of all ages access health center services. They come from Richmond, Gardiner, Litchfield, Dresden, Bowdoinham, as well as Augusta and surrounding communities. The selected candidate will receive a SIGN-ON BONUS, competitive salary and benefits, malpractice coverage, pension plan with employer match, relocation, and loan repayment opportunities. EOE.

    Richmond Area Health Center is part of HealthReach Community Health Centers, a system of 11 Federally Qualified Health Centers in Central and Western Maine established in 1975 offering accessible, high quality healthcare with integrated behavioral health, psychiatric medication management, and referrals. HealthReach accepts Medicare, MaineCare and major insurances and a sliding fee program is available to uninsured and underinsured residents as well as assistance with applications for programs that help with the cost of health care and medications including the Health Insurance Marketplace.

    Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME  04901 ~ 207.660.9908 ~ Fax 207.660.9901 ~ Communications@HealthReach.org ~ www.RichmondCHC.org

    7/23/21

    Help educate new physicians – join our accredited Family Medicine Residency Program as faculty

    Northern Light Eastern Maine Medical Center's Family Medicine Residency program is seeking a BC, full-spectrum Family Medicine provider to join our dynamic faculty in Bangor, Maine. 

    Northern Light Eastern Maine Medical Center's Family Medicine Residency program is seeking a BC, full-spectrum Family Medicine provider to join our dynamic faculty in Bangor, Maine. Our residency program offers a "best of both worlds" place to teach and learn Family Medicine: a tertiary care, quality hospital with an unopposed, rural medicine training focus, and leadership rooted in Family Medicine and heavily invested in the success of the program. We also have Osteopathic recognition and offer a full-spectrum curriculum.

    Why Northern Light Health?

    • Competitive compensation, benefits, and PTO packages
    • Sign-on and relocation bonuses
    • Student loan reimbursement programs - up to 20K per year with no maximum benefit!
    • Leadership opportunities, if desired

    More about our Residency Program: https://northernlighthealth.org/familymedicineresidency

    If you are interested in learning more about our Family Medicine Residency Faculty opportunities, please email ProviderJobs@northernlight.org.

    8/27/21

    Join our region-leading Neuroscience/Stroke Center

    Northern Light Eastern Maine Medical Center’s Neuroscience Center in the vibrant small city of Bangor, Maine seeks to expand its Neurology Department. 

    Northern Light Eastern Maine Medical Center’s Neuroscience Center in the vibrant small city of Bangor, Maine seeks to expand its Neurology Department. A BC/BE neurologist with or without subspecialty interests (incl. strokologist/neurohospitalist) will be considered.

    Why Northern Light Eastern Maine Medical Center?

    • Competitive compensation/benefits package
    • Student loan reimbursement programs – up to $20k per year with no maximum benefit
    • Sign-on and relocation bonuses
    • CME allowance
    • Leadership and teaching opportunities, if desired

    NL Eastern Maine Medical Center is a 411-bed regional tertiary care center, Joint Commission-accredited Stroke Center, and ACS-verified Level II Trauma Center that offers a full spectrum of inpatient and outpatient services. Bangor serves as the regional hub for medicine, the arts, and commerce, and offers easy access to Maine’s spectacular coast, lakes, and mountains, including Acadia National Park.

    If you are interested in learning more about our neurology opportunities, please email ProviderJobs@northernlight.org.

    8/27/21

    Contract Clinical Advisor - Healthcare Coalition of Maine

    We are searching for a detail oriented, highly skilled and motivated Contract - Clinical Advisor (clinically active physician, advanced practice provider, or registered nurse) to provide clinical leadership to the Healthcare Coalition of Maine and serve as a liaison between the Coalition and medical directors/medical leadership at health care facilities, supporting entities, and EMS agencies!


    We are searching for a detail oriented, highly skilled and motivated Contract Clinical Advisor to serve the Healthcare Coalition of Maine (HCCME), a membership group composed of hospitals, EMS, emergency management, public health, and other stakeholders. HCCME is responsible for providing statewide coordination of healthcare emergency preparedness and response services in accordance with ASPR Hospital Preparedness Program.

    Required Experience:

    • 5+ years’ experience as a clinically active physician, advanced practice provider, or registered nurse residing in Maine
    • Knowledge of medical surge issues, basic familiarity with chemical, biological, radiological, nuclear, and explosives (CBRNE), trauma, burn, and pediatric emergency response principles
    • Excellent communication, Microsoft Office skills
    • Awareness of Coalitions

    This position will require:

    • Flexible working style, ability to adapt to changing priorities
    • Self-directed work, limited oversight, teamwork
    • Domestic travel which may include weekends; Majority of travel within Maine.
    • Valid, unexpired drivers’ license
    • Clean driving record

    For more information and to apply - https://www.mainehccs.com/s/Clinical_Advisor_Job_Posting_HCCME.pdf

    8/13/21

    Medical Director

    Sacopee Valley Health Center, a Federally Qualified Health Center, is seeking an experienced, Board Certified Physician to become our next Medical Director.

    Sacopee Valley Health Center, a Federally Qualified Health Center, is seeking an experienced, Board Certified Physician to become our next Medical Director.

    The qualified candidate will oversee all clinical programs. You will lead an interdisciplinary team of physicians, NPs, PAs, mental health providers, dentists, and specialty providers, along with social workers, to assist in integrating services for patients. You will be expected to model a culture of inclusion and accountability.

    Full time, flexible work week, part time considered.

    Join our multidisciplinary team including behavioral health and dental care in Western Maine. We are located just 45 minutes from Portland and enjoy four seasons of recreation.

    You will earn a competitive salary with benefits including relocation assistance, health and dental insurance, generous time off, holidays and vacations, participation in a retirement plan, and more. You are eligible to apply for federal loan repayment and will receive dedicated CME days and funds.

    Contact us today to learn more:
    Send resume to lwatson@svhc.org or mail to:
    Chief Operating Officer, Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068

    7/30/21