The Maine Osteopathic Association's Weekly E-Newsbriefs:

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This Week's E-Newsbrief:     

  

Welcome to your MOA E-news Brief for October 12th, 2018!

The Highlights: MOA Midwinter Symposium 2019 Room Block Open: Call the Holiday Inn by the Bay to Reserve Your Room (Details Below), Legislative Updates: Trump Pens Controversial Op-Ed on Medicare for All, Senate Democrats Fail to Overturn Short-term Health Plan Expansion, New Female Osteopathic Leadership Announced on the ACGME Board and National Advisory Council for Complimentary and Integrative Health, ABFM Creates Examination Alternative Option for 2019, Public Health: Maine Medical Center Offers FREE Mammograms in the month of October, Practice Management: New CDC Guide on Opioids for Chronic Pain, DPC- the New Frontier of Healthcare, event listings, classified ads /job postings, professional opportunities & more! 


MOA News 

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The 2016-2018 CME Cycle is Coming to a Close...check out this week's Featured Program!

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.75 AOA Category 1-A Credits. Purchase online and watch this program anywhere, anytime. Just $30.00! Available here.

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2019 MOA Midwinter Symposium: February 8-10th, 2019
Holiday Inn by the Bay, Portland, ME


Holiday Inn by the Bay

The Room Block is now OPEN! Call today to reserve your hotel room.
Rates start at $119.00, Call 207-775-2311

Make sure to mention that you are coming for our event to get the best rate.

Meeting & registration details will be available soon! 

If you have any questions about this meeting or would like to make suggestions on content, speakers, etc. please contact the MOA office at 207-623-1101 or email info@mainedo.org


Other 2019 MOA Events:

  • June 7-9th, 2019: 108th MOA Annual Convention at the Samoset Resort in Rockport, ME

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  • The MOA is dedicated to promoting our profession at the state level, educating patients about osteopathy, and providing high quality members services like CME programs. In fact, we are Maine’s only voice for osteopathic medicine. 
  • The MOA Payor/Payee Committee is the only one of its kind in the entire country and we have had major victory with National Government Services, a Medicare audit contractor and protecting reimbursement for OMT. Even if you don’t do a lot of OMT in your practice, this is important from a policy perspective because we were able to organize & successfully execute an advocacy campaign that impacted a policy decision at a federal level. 

Click here to download our member application

 


 

PSR Maine
*The MOA is a Sponsor of this event.

NEXT FRIDAY – Join us for an extraordinary opportunity to hear from someone who has shaped public health policy and saved the lives of children around the world.

Dr. Philip Landrigan is coming to Maine for a special event about pesticides and his new book – Children and Environmental Toxins: What Everyone Needs to Know. 

 

Friday, October 19, 2018

5:30PM reception, 6:30PM talk (followed by Q&A)

Innovation Hall, UNE Portland campus

Pre-registration HERE

Dr. Landrigan is an international leader in public health and preventive medicine. He is a pediatrician and epidemiologist and his pioneering research on the effects of lead poisoning in children led the US government to mandate removal of lead from gasoline. His leadership of a National Academy of Sciences Committee on pesticides in children’s diets resulted in the passage of the Food Quality Protection Act in 1996, a major US federal pesticide law and the first environmental statute to contain specific protections for infants and children.


Advocacy/ Legislative Update

President Trump Publishes Op-Ed on Medicare for All
 
President Trump published an Op-Ed in USA Today Wednesday: "Democrats 'Medicare for All' Plan will demolish promises to seniors". The piece has been found to have a number of factual inaccuracies and has caused quite a stir in the media.

President Trump Signs Bills Banning “Gag Clauses.”
AOA Morning Brief, Friday, October 12th, 2018

The New York Times (10/10) reports that on Wednesday, President Trump signed bipartisan legislation that would ban so-called “gag clauses” and allow “pharmacists to tell consumers when they could actually save money by paying the full cash price for prescription drugs rather than using health insurance with large co-payments, deductibles and other out-of-pocket costs.” Pharmacists “say they have often been forbidden to share information on drug pricing with customers” because of the gag clauses imposed on them “by companies that manage drug benefits for insurers and employers.” One bill bans gag clauses in commercial insurance and the other applies to outpatient drug coverage in Medicare, either through its fee-for-service program or Medicare Advantage plans.


Senate Democrats Fail To Overturn Trump’s Expansion Of Short-Term Health Plans.
AOA Morning Brief, Friday, October 12th, 2018

The Washington Post (10/10) reports that on Wednesday, Senate Democrats were one vote shy “in a bid to overturn the Trump administration’s expansion of short-term health insurance plans that do not have to cover preexisting conditions and certain kinds of health care that the Affordable Care Act requires.” Yet by forcing the Senate to vote on the matter of “junk” plans, as Democrats call them, they “managed to put a spotlight on a key issue they argue will cut their way in next month’s midterm elections, where control of both the House and the Senate are in play.” The article says Sen. Susan Collins (R-ME) joined Democrats in voting for the resolution, but another GOP vote was needed for Democrats to prevail.


Save the Date: Physician's Day at the Maine Legislature is set for March 13th, 2019

Image result for maine legislatureEvery other year, osteopathic and allopathic physicians, physician assistants, residents, medical students, and legislators come together at the Maine State Capitol to engage in discussions on important health policy issues including access to affordable, quality healthcare for all Mainers. We hope you will join your colleagues on Wednesday, March 13, 2019 from 8-4 p.m. Whether you’ve attended Physicians’ Day at the Legislature several times or never before, it is important for clinicians to visit with legislative members to represent your profession and your patients outside of the clinical setting.

An agenda and further details will be made available as we get closer to the event.

National Advocacy Day:

DO Day in DC: March 20, 2019. Details here.


News to Use 

Karen J. Nichols, DO, first osteopathic physician to serve in a leadership position on the ACGME Board.
The DO. By AOA STAFF Email, WEDNESDAY, OCT. 10, 2018

AOA Past President Karen J. Nichols, DO, is the new vice chair of the Accreditation Council for Graduate Medical Education’s (ACGME) Board of Directors.

The ACGME Board elected Dr. Nichols when it met last month. Dr. Nichols is the first DO to serve in a leadership position on the ACGME Board.

Dr. Nichols also currently serves on the AOA’s President’s Advisory Council. She was the dean of Midwestern University/Chicago College of Osteopathic Medicine from 2002 to 2018. She was also the first female president of the AOA, the Arizona Osteopathic Medical Association and the American College of Osteopathic Internists.

She is a graduate of Kansas City University College of Osteopathic Medicine (KCU-COM) and holds an honorary doctorate of humane letters from KCU-COM.



Kendi Hensel, DO, PhD, will serve on the National Advisory Council for Complimentary and Integrative Health.
The DO. By ASHLEY ALTUS Email, FRIDAY, OCT. 5, 2018

U.S. Health and Human Services Secretary Alex Azar II has invited a DO to serve on the National Advisory Council for Complimentary and Integrative Health of the National Institutes of Health.

Kendi Hensel, DO, PhD, an associate professor in osteopathic manipulative medicine at the University of North Texas Health Science Center/Texas College of Osteopathic Medicine, will serve on the council through July 2022.

Dr. Hensel is the 2018-2019 president-elect of the American Academy of Osteopathy. She also serves on the AOA’s Bureau of Osteopathic Clinical Education and Research as a research taskforce chair for OMM/OMT.


American Board of Family Medicine Creates Examination Alternative Option for 2019
October 9, 2018, Contact: Robert Cattoi, 859-335-7507

The American Board of Family Medicine (ABFM) is pleased to announce a pilot program to begin in January 2019 that will assess the value and feasibility of a longitudinal assessment option to the 10-year secure examination. Jerry Kruse, MD, Chair of the ABFM Board of Directors, announced this news today to family physicians attending the 2018 American Academy of Family Physicians Congress of Delegates in New Orleans. Physicians who are current with continuous certification and are due to take the examination in 2019 would be eligible to participate in the pilot. Dr. Kruse stated, “based on the popular Continuous Knowledge Self-Assessment (CKSA) platform, the longitudinal assessment pathway will deliver 25 questions online each quarter to those Diplomates who choose this new option. This approach is more aligned with the ongoing changes in medicine and draws upon adult learning principles, combined with modern technology, to promote learning, retention and transfer of information.  Over time, we will be able to assess the core clinical knowledge of board-certified family physicians and recognize the vast majority who work to keep up to date to take care of their patients.”

This summer, the ABFM contracted with the University of Florida to conduct an independent, randomized survey of Diplomates who recently took the 10-year examination, to inquire about their interest in a variety of options to the exam. The most popular choice voiced by respondents was for a longitudinal assessment model.

A combination of physician experience with the CKSA platform, feedback from Diplomates over time, the independent survey, and information gleaned from the experience of other ABMS boards, all contributed to ABFM’s design of the new online, longitudinal assessment process that will serve as the exam option for this pilot.

The ABFM has two years of Diplomate experience with the CKSA platform. Feedback from the more than 24,000 family physicians who have participated in CKSA has consistently shown that this model provides continuous, systematic learning and identification of knowledge gaps, and is highly rated as a useful and convenient platform.

“We believe that longitudinal assessment can meet many of the needs and desires we have heard voiced by family physicians,” said Dr. Warren Newton, incoming President and CEO of ABFM. “It will provide questions on a regular, longitudinal basis, in a format that is much more convenient—a few questions at a time, in the place and time of your choice. You may use clinical references during the assessment, much like you do in practice. You will not need to travel to a test center, nor spend additional time and money on preparatory courses. And, we believe that longitudinal assessment will support your desire for continued learning and practice improvement.”

The pilot program was approved by the ABFM Board of Directors earlier this month. In November, it will be presented for approval to the American Board of Medical Specialties’ (ABMS) Committee on Continuing Certification. More details will be forthcoming after this final approval step from ABMS. Throughout the pilot, regular feedback will be sought from participants, which will be used to inform program modifications for the future.


Justice Department Approves CVS, Aetna Merger.
AOA Morning Brief, Friday, October 12th, 2018

The Wall Street Journal (10/10, Subscription Publication) reports that on Wednesday, the Department of Justice gave its approval to CVS Health Corp.’s acquisition of Aetna Inc.

        USA Today (10/10) reports, “CVS must divest Aetna’s Medicare Part D prescription drug plan business for individuals as part of the process, the DOJ said.” These “companies’ proposal to divest that business to WellCare Health Plans would satisfy the DOJ’s competition concerns, the agency said.” USA Today adds, “CVS Health said its acquisition of Aetna, announced in December 2017, is expected to close within the early part of the fourth quarter of 2018.”

        The Washington Post (10/10) reports, “Critics of the CVS-Aetna deal had worried that the merger could lead to higher drug prices for Medicare Part D beneficiaries.” Meanwhile, “opponents such as the American Medical Association also said the acquisition could increase insurance premiums and out-of-pocket expenses more broadly.”


Image result for eastern maine healthcareEastern Maine Healthcare Systems Renamed Northern Light Health 
Maine Medicine Weekly Update, Monday, October 1, 2018

Eastern Maine Healthcare Systems currently operates nine hospitals across northern, eastern and southern Maine, along with a variety of primary care and specialty practices, long term care, home health and hospice facilities and ground and air emergency transport. Its name change to Northern Light Health reflects that new geographic and operational status.

On Monday, Inland Hospital will become Northern Light Inland Hospital, Sebasticook Valley Health in Pittsfield will become Northern Light Sebasticook Valley Hospital and Charles A. Dean Memorial Hospital in Greenville will become Northern Light CA Dean Hospital. Inland Family Care on The Concourse in downtown Waterville will become Northern Light Primary Care, Inland Rheumatology will be Northern Light Rheumatology, and so on. Inland has 14 primary care and specialty care practices in and around Waterville.

Mercy Hospital in Portland will become Northern Light Mercy Hospital, the Aroostook Medical Center in Presque Isle will be Northern Light A.R. Gould Hospital, partly its original name, and hospitals with the word “memorial” in them will lose that word. So, for instance, Blue Hill Memorial Hospital will be Northern Light Blue Hill Hospital.


Attorney General Releases Overdose Death Numbers for First Half of 2018 

The regular reports on overdose deaths in the state is prepared by Marcella Sorg, PhD., of the University of Maine's Margaret Chase Smith Policy Center.  
 
As has been the case in recent years, most of the 180 overdose deaths were caused by the synthetic opioid fentanyl. The 180 deaths is actually a slight decrease from the first half of 2017 when 185 drug-related deaths were reported. By the end of 2017, a total of 418 overdose deaths had occurred, representing a significant increase from the 376 deaths in 2016. The increase from 2016 to 2017 was higher than all but five other states.
 
Other facts of interest in the report:
 
The average age of the decedents was 42, fairly consistent with previous years.
 
Seventy-one percent of victims were male, an increase from previous years.
 
Eight percent of the deaths were attributed to suicide. 


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Free "Know Your Doctor" Wheels Available!

photoThe “Know Your Doctor” wheel is an advocacy tool for use by members of the Scope of Practice Partnership (SOPP) to help legislators understand the differences in education and training between physicians and non-physicians. The wheel turns in a circle to highlight the education and training of non-physicians compared to physicians.  

The SOPP was founded in 2007 by AOA, the AMA and other state and specialty medical organizations to provide resources to help members combat inappropriate scope of practice expansion attempts by non-physician clinicians in their states. Membership is free for state medical societies, and currently 38 osteopathic state affiliates participate. The SOPP is funding “Know Your Doctor” wheels for use by its members during medical society lobbying days in 2018-2019, at no cost to SOPP members. This tool should only be used for legislative and regulatory advocacy. The wheels will be co-branded by the AMA and your organization.

Get this tool FOR FREE from the MOA! Just call 207-623-1101 and we would be happy to ship copies to your office. Great for


YOUR Health

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We're in this together. Resources to Know About:


Public Health

Report Shows Employer-based Health Care Plans Costs Continue to Rise
 
Kaiser Family Foundation released its 2018 Annual Survey of Employer Health Benefits. The survey shows what you would expect: the cost of health insurance has increased for both employers and employees. The Portland Press Herald editorialized about this, pointing out that the 150 million Americans with employer-based coverage should be part of the discussion of health care reform.
 

 

Image result for breast cancer awareness monthMaine Medical Center Offers FREE Mammograms in October

Eligibility: Uninsured women over the age of 40 with no history of active breast problems from October 15 - November 1. 2018 at our Breast Care Center in Scarborough.  Registration is required.  To register or for more information, call 207-396-8443.

Click here to download a flyer to share with patients, friends & family!

 


HPV Vaccine Now Approved For Men And Women Aged 27 To 45, FDA Says.
AOA Morning Brief, Wednesday, October 10th, 2018

The New York Times (10/5) reported that “the HPV vaccine...is now approved for men and women from 27 to 45-years-old, the Food and Drug Administration said” yesterday.

        CNN (10/5) reports that the agency “said it based the expansion on results of a study of 3,200 women followed over 3½ years.” The research “found that Gardasil 9 was 88% effective in the prevention of vulvar, vaginal and cervical precancerous lesions, cervical cancer and genital warts caused by the nine HPV strains.” CNN adds, “The effectiveness of the vaccine in men was ‘inferred’ from the data on women as well as a clinical trial of 150 men ages 27 to 45 who received a three-dose vaccination regimen over a six-month period.”

        The Washington Post (10/5) reported, “The approval ‘represents an important opportunity to help prevent HPV-related diseases and cancers in a broader age range,’ said Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research.”


ME Public Hlth Assoc
MPHA 34th Annual Conference: Addiction & the State of Public Health in Maine @ Augusta Civic Center
 
Oct 16 @ 8:00 am – 5:00 pm

Please join us for the Maine Public Health Association’s 2018 Annual Conference, “Addiction and the State of Public Health in Maine.” MPHA’s annual conference is the largest statewide meeting dedicated to public health in Maine. We attract 300+ public health professionals from across the state, and feature the latest science, policy, andprogramming related to public health in Maine.

 


Practice Management​

New CDC Guide on Opioids for Chronic Pain

The Centers for Disease Control and Prevention's (CDC) National Center for Injury Prevention and Control has developed and released the Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain.

The quality improvement (QI) measures provided in the resource are meant to be flexible so that health care systems and practice leaders can pick interventions that will work best for their practice and patient population. They are offered as voluntary measures that could help incorporate the evidence in clinical workflow.


How to code for immunization refusal
AAFPThursday Oct 04, 2018

To ensure compliance with quality initiatives and facilitate continuity of care, immunization refusal should be captured in patients’ records using one of the following ICD-10 codes:

• For immunization refusal due to religious belief or group pressure, report code Z28.1, “Immunization not carried out because of patient decision for reasons of belief or group pressure.”

• For immunization refusal due to another reason, such as the discomfort of injections, report code Z28.21, “Immunization not carried out because of patient refusal.”

• For immunization refusal by a parent or other caregiver for a child, report code Z28.82, “Immunization not carried out because of caregiver refusal.”

Read answers to readers’ Coding & Documentation questions in every issue of FPM.


Obtaining Hospital Medical Records Can Be Difficult, Costly, Study Indicates.
AOA Morning Brief, Wednesday, October 10th, 2018

Reuters (10/9) reports researchers investigating ease of access to personal health information in US hospitals found that there is a need for hospitals to standardize access and improve compliance with laws regarding patients’ rights to their medical records. The study, published in JAMA Network Open, focused “on 86 hospitals ranked best in the country by US News and World Report.” Researchers “often found disagreement between forms to request information and what was said over the phone. On the forms, just 44 out of 83 hospitals gave patients the option of getting their entire medical record, while all hospitals that could be reached by phone offered the entire medical record.” Additionally, researchers found costs for the records ranged from $0 to more than $500.


DCP: The New Frontier of Health Care

ACOFP recently featured Dr. Kimberly Legg Corba, who has practiced medicine in Pennsylvania’s Lehigh Valley for 15 years and had transitioned into her DPC practice, Green Hills Direct Family Care, in 2016. Dr. Corba is a local and national trailblazer who travels nationally to speak and lobby for legislative action to promote patient choice and curtail health insurance interference in the doctor-patient relationship.

Direct Primary Care practices are independently owned and operated by physicians who use a membership fee model instead of health insurance and co-pays. Cutting out the insurance middle-man means more time spent with patients, better patient-doctor control over medical decisions, and more privacy, since the doctor does not have to report to them.

Read the full article Dr. Corba’s experience in Direct Primary Care.


2019 CPT code set released

The American Medical Association has released its 2019 Current Procedural Terminology (CPT®) code set, which includes 335 changes reflecting the CPT Editorial Panel and the health care community's combined annual effort to capture and describe the latest scientific and technological advances in medical, surgical and diagnostic services. 

The changes include three new remote patient monitoring codes and two new inter-professional internet consultation codes, reflecting how health care professionals can more effectively and efficiently use technology to connect with patients at home and gather data for care management and coordination. The AMA's Digital Medicine Payment Advisory Group provided recommendations on these and other new codes to better integrate digital medicine modalities into clinical practice. 

Additional new codes for 2019 include revised codes for skin biopsy, fine needle aspiration, leadless pacemaker procedures, breast MRI with computer aided detection and psychological and neuropsychological testing.

New CPT category I codes are effective for reporting as of Jan. 1, 2019. The Centers for Medicare and Medicaid Services is proposing to cover the new CPT codes and adopting, for the most part, recommendations from the RVS Update Committee for cost year 2019 on the Medicare Physician Fee Schedule.   

To assist the health care system in an orderly annual transition to a new CPT code set, the AMA releases each new edition four months ahead of the Jan. 1 operational date and develops an insider's view with detailed information on the new code changes.


We have Military Health History Pocket Cards for Clinicians! 
Contact the MOA office to Receive Some for Your office! We would be happy to send them to you.
Ask these questions of military service members and all Veterans:

It is important to know whether a patient or an immediate family member has military service. You know that your patients at VA have had military service. It is also important to ask your patients outside of VA "Have you or a loved one served in the military?"

Asking Veterans these questions will provide you with information helpful in understanding patients' medical problems and concerns, and in establishing rapport and therapeutic partnerships with military service members and Veterans. Answers may also provide a basis for timely referral to specialized medical resources.

Unique Health Risks for Each Era of Military Service

Or Download here: Military Health History Pocket Card


 

Image result for hospitality homesFYI: A Resource for Families of Your Patients Receiving Care in the Boston Area

Hospitality Homes is a nonprofit organization that provides short-term housing in volunteer host homes for families and friends of patients receiving medical care in the Boston area. Our services are free of charge and are made possible by the generosity of our volunteer hosts and supporters. 

Founded in 1983, Hospitality Homes was the first program of its kind in the nation. Since then we have served more than 15,300 families. The need for convenient, caring, and cost-free accommodations for patients’ family members increases every year.

Hospitality hosts do not provide meals or transportation.  A few of them live within walking distance of the major hospitals; most live in ares with access to public transportation (subway or buses).  Hospitality Homes charges no fees.  We rely on donations from guests and others to sustain the program. 

Hospitality Homes is available to people of all races, nationalities, and faiths, provide the guest:

  • Lives far enough away from the hospital so that commuting is difficult. 

  • Can provide help translating if English is not the first language of the family members.

  • Has a permanent home to return to.

  • Is an important support person for the patient.

  • Is not likely to put the host family at risk


Image result for one beat cprImage result for maine osteopathic association

NEW Offer From One Beat-- Save $$ On a Phillips HeartStart Defibrillator

Normal Retail Price: $1,354.00
Price for MOA Members: $975.00, plus $12.00 Shipping

Save more than 20% !!

* OVER HALF THE VICTIMS OF THE MOST COMMON CAUSE OF SUDDEN CARDIAC ARREST CAN SURVIVE WHEN TREATED EARLY WITH CPR AND SHOCK FROM A DEFIBRILLATOR.

Order NOW! Complete this order form and mail to the MOA Office with payment. 


MaineHealth Announces 2018-19 Tobacco Treatment Training Program 

The MaineHealth Center for Tobacco Independence (CTI) provides a variety of trainings and educational programs for health care professionals throughout the state of Maine. CTI is pleased to announce the 2018-19 Training and Educational offerings, training descriptions and additional information is available in the attached brochure and at: http://www.cti-trainingmaine.org/home

These training opportunities are available to provide healthcare professionals with the knowledge and skills to successfully engage their patients/clients with proven strategies for lasting tobacco abstinence. Advice and assistance from health care professionals remains a powerful tool for helping tobacco users quit.

The 2018-19 Training program includes:

·       Electronic Cigarettes & Vaping: Implications for Tobacco Prevention & Treatment (April 10th, Rockland)

·       Annual Tobacco Treatment and Prevention Conference (June 17-18th, South Portland)

Continuing Education Credits will be available for all trainings.


 

Reminder from the Maine Board of Licensure on Chapter 2 Joint Physician Assistant Rule.

 

Board rule Chapter 2 is a joint rule with the Board of Licensure in Medicine and pertains to the licensure, registration, scope of practice, supervision, notification, and continuing education requirements for PAs who are supervised by either an allopathic or osteopathic physician. Any PA licensed and registered in Maine and rendering medical services under the supervision of a Maine-licensed physician must be familiar with these rules.

 

In particular, the Osteopathic Board of Licensure would like to remind physicians and PAs alike of the following provisions of this rule:
 

Change of Primary Supervising Physician(S)

 

A.        A physician assistant licensed by the Board, upon changing a primary supervising physician, shall notify the Board in writing within ten (10) calendar days by submitting a uniform form approved by the Board, which shall include:

 

(1)        The name, business address, and telephone number of the new primary supervising physician(s); and

 

(2)        A statement that the new primary supervising physician has agreed to accept responsibility for all acts of the physician assistant and has signed a written plan of supervision that meets the requirements of this rule.

Fines may be assessed for failure to notify the board of a Change in Primary Supervising Physician(s) within the 10 day period specified.


Upcoming Events​

 

 

 

2018 MOA Programs Available Online On-Demand NOW!
 

New Programs Added Daily! Including MOA Content from the Annual Convention.

To View & purchase these and other osteopathic CME programs, visit DOcme!
Do CME Banner

 

 

MICIS 3-hour Opioid CME Presentations - Augusta 10/16, Wells 10/17, Portland 11/26 

All licensees who prescribe opioids must take 3 hours of CME on opioid prescribing every two years.

Improving Opioid Prescribing and Patient Safety

This 3-hour presentation is an updated version of the broad clinical and legal review of opioid prescribing in Maine first presented by MICIS in 2017.

The Maine Board of Licensure in Medicine has established a new CME rule which is currently effective. All its licensees, whether MDs or Physician Assistants, must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not. No BOLIM licensee is exempt from this requirement.  

MICIS, a program of the Maine Medical Association, is scheduling five 3-hour presentations on opioid prescribing in different regions of the state which are designed to fulfill this requirement.  Registration is open for:  

AUGUSTA: Tuesday, October 16 at the Augusta Civic Center REGISTER HERE
WELLS: Wednesday, October 17 at Village By The Sea REGISTER HERE
PORTLAND: Monday, November 26 at Fireside Inn REGISTER HERE
Presentations were held in Brewer on August 21 and Auburn on September 12.  


Caring for ME Upcoming Events:

Delivering Compassionate & High-Quality Care for Hospitalized Individuals with SUD/OUD

SpeakersFrank Chessa, Amy McAuliffeMelia Knowles-Coursin

Tuesday, October 23, 201812:00 PM – 1:00 PM EST Register Here

Urine Drug Screening
Speaker: Jonathan Fellers, MD
Tuesday, November 20, 2018: 12:00 PM - 1:00 PM EST Register Here
 
MICISOpioid Use Disorder and Medication Assisted Recovery: Caring for Our Communities
Speaker: Elisabeth Fowlie Mock
Tuesday, November 27, 201812:00 PM - 1:00 PM EST Register Here
 
MICIS: Co-Prescribing Benzodiazepines and Opioids: The Black Box of Increased Overdose Risk
Speaker: Elisabeth Fowlie Mock
Tuesday, December 11, 201812:00 PM - 1:00 PM EST Register Here
 
Southern Maine Harm Reduction Conference – Fri, Oct 26, Portland: Please see attached for information about the first annual Southern Maine Harm Reduction Conference, a collaboration between the City of Portland's Public Health Division, the Collaborative SBIRT Training Grant and The University of New England! Please forward this along to anyone who may be interested in attending. CME/CEUs will be available and scholarships will be available for anyone needing one. In addition to workshops and panel discussions throughout the day, there will be resource tables highlighting Southern Maine's recovery and harm reduction-focused agencies, HIV and Hepatitis C testing, naloxone trainings, and an interactive educational exhibit exploring the concept of safer substance use spaces. Check out http://safeshapesif.com/

Pen Bay Medical Center - "Half-and-Half" Course for Buprenorphine Waiver Training - Fri, Dec 14, Rockport: The IMAT (Integrated Medication Assisted Therapy) 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. We are offering the Half-and-Half format (4.25 hours of face-to-face training with an instructor followed by 3.75 hours of on-your-own on-line 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. To register, please contact: Cathy Hopler at chopler@pbmc.org


IDENTIFYING SUBSTANCE ABUSE EARLY SAVES LIVES!

Maine AAP offering regional training for Pediatric Providers

SBIRT and Motivational Interviewing

The Maine AAP will be offering one day Saturday sessions in several regions of Maine, providing training and coaching to Pediatricians and Pediatric Specialists in SBIRT (Screening, Brief Intervention and Referral to Treatment) and effective conversational skills in Motivational Interviewing.  Plan to join us for the session in your region. 

Confirmed Dates for all sessions:

 Saturday, October 20, 2018 - Central Maine Medical Center, Lewiston - REGISTER NOW

Saturday, December 8, 2018 - Presque Isle/Northern Maine 

Saturday, February 2, 2019 - Bangor

Saturday, March 2, 2019 - Machias

Saturday, April 6, 2018 - Saco/Biddeford

Please save the date if you are interested in one of the other area trainings - these are confirmed locations and dates and registration will open when the venues are secured. 

Instructor: Stephen R. Andrew LCSWLADC, CCS, CGP is a storyteller, consultant, trainer, co-author of Game Plan: A Man's Guide to Achieving Emotional Fitness, and Chief Energizing Officer of Health Education & Training Institute. He maintains a compassion-focused private practice in Portland, Maine (USA) where he also facilitates a variety of men's, co-ed, couples, and caregiver groups. Stephen has been a member of the International Motivational Interviewing Network of Trainers (MINT) since 2003 as well as a MIA-STEP (Motivational Interviewing Assessment; Supervisor Tools for Enhancing Proficiency) trainer for the New England ATTC. Stephen has been MITI trained and has over 100 hours of training in Motivational Interviewing. He provides coaching and training domestically and internationally for social service agencies, health care providers, substance abuse counselors, criminal justice, and other groups.


OCTOBER 2018

Healthcare Quality and Safety 2018
Sheraton Boston Hotel • Oct 15 - 16, 2018
Boston, MA
Harvard Medical School and Brigham & Women's Hospital


Within both ambulatory and inpatient settings, there is mounting pressure to improve quality, safety, and efficiency. The key question, however, is how. This conference provides education, strategies, how-tos and specific guidance to address this challenge.

Learn More Here!


Maine Concussion Management Initiative final training program for 2018 on October 16 

The Maine Concussion Management Initiative has its final training program for 2018 on October 16 at the annual conference of the Brain Injury Association of America-Maine Chapter. MCMI will be a presenter and not the sponsor / organizer. MCMI training is listed as the Youth Concussion Track.

The BIAA-Maine Chapter conference will be held at the Double Tree by Hilton in South Portland. The conference runs from 8:00am to 4:30pm. The MCMI Youth Concussion Track will have Level 1 from 9:30am to 1:00pm and Level 2 from 1:30pm to 4:30pm.

You will need to register online for the conference at: www.biausa.org/2018maineconference

            - for a course brochure – click on the highlighted 2018 BIAA-ME Conference Brochure

            - to register, scroll down to Professional Registration, click and follow the directions

Here is a limit of 30 for the Youth Concussion Track, so you might want to register early.

Level 1 is the Introduction to Concussions and Concussion Management. Level 2 is Advance Concussion Management that includes interpreting neurocognitive tests. Level 1 is a prerequisite for Level 2. MCMI training is appropriate for physicians, nurse practitioners, physician assistants, neuro-psychologists, athletic trainers, physical therapists, occupational therapists, school nurses, athletic directors, and coaches.

For any questions – please contact: Jan Salis, PT, ATC, at jsalis@aol.com or 207-577-2018.


ME Public Hlth Assoc
MPHA 34th Annual Conference: Addiction & the State of Public Health in Maine @ Augusta Civic Center
Oct 16 @ 8:00 am – 5:00 pm

Please join us for the Maine Public Health Association’s 2018 Annual Conference, “Addiction and the State of Public Health in Maine.” MPHA’s annual conference is the largest statewide meeting dedicated to public health in Maine. We attract 300+ public health professionals from across the state, and feature the latest science, policy, and programming related to public health in Maine.


 

W3Schools

The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy
Upcoming Events:
Research Symposium: October 17, 2018
Clinical Conference: October 18 - 20, 2018

Honduras Prolotherapy Service-Learning Trip
March 1 - 15, 2019

Cost. Please contact us (http://hhpfoundation.org/) to learn more about special rates available for residents and fellows.

Prolotherapy Booklet

Event Information Packet


PSR Maine
*The MOA is a Sponsor of this event.

SAVE THE DATE – Join us for an extraordinary opportunity to hear from someone who has shaped public health policy and saved the lives of children around the world.

Dr. Philip Landrigan is coming to Maine for a special event about pesticides and his new book – Children and Environmental Toxins: What Everyone Needs to Know. 

 

Friday, October 19, 2018

5:30PM reception, 6:30PM talk (followed by Q&A)

Innovation Hall, UNE Portland campus

Pre-registration HERE

 

Dr. Landrigan is an international leader in public health and preventive medicine. He is a pediatrician and epidemiologist and his pioneering research on the effects of lead poisoning in children led the US government to mandate removal of lead from gasoline. His leadership of a National Academy of Sciences Committee on pesticides in children’s diets resulted in the passage of the Food Quality Protection Act in 1996, a major US federal pesticide law and the first environmental statute to contain specific protections for infants and children.

COM CME 2018


 

NOVEMBER 2018

Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3 

SAVE THE DATE: Northern New England Society of Addiction Medicine

2018 Annual Conference & Meeting

November 2 & 3, 2018 (Friday evening, all day Saturday)

Conference registration forms will be available later

Trapp Family Lodge, Stowe, Vermont, www.trappfamily.com – please contact the Lodge for reservations

Conference rate:  $187, rate available for 11/4 and 11/5
 

Please request conference rate for NNESAM


Introduction to Lean in Healthcare Full-Day Workshop on Friday, November 9 
 

Are you frustrated by poor communication and waste in your work processes? Lean has recently transformed the way many hospitals and health systems operate. This full-day workshop on November 9 in Portland provides those who lead hospitals, health centers, practices, and related service industries with an introduction to Lean thinking and process improvement tools. The first half of the day will cover the principles of Lean thinking and provide several exercises so participants can compare traditional processes to Lean processes. The second half of the day will share an overview of some of the important Lean tools and challenge the class to identify applications for Lean in their organization.

Lean Healthcare East has over 30 years combined experience in leading organizational transformation and have many engaging exercises and examples to share from their experiences implementing Lean improvements at hospitals and other healthcare related organizations. Click here to learn more and register for the workshop. If you have questions or want to schedule a workshop at your practice please contact the Lean Healthcare East team.


Division of Disease Surveillance Annual Infectious Disease Conference - November 14th 

Since 1983, the Maine Center for Disease Control and Prevention, Division of Disease Surveillance, Department of Health and Human Services has organized an annual infectious disease conference targeting public health issues of emerging concern to medical practitioners throughout the state. Presentation topics will focus on a range of infectious diseases.

DATE: November 14, 2018

LOCATION: Augusta Civic Center, Augusta, ME 

AGENDA: 
  7:45 - Participant and Exhibitor Registration Poster Set-up
  8:15 - Welcome
  8:30 - Top 10 - Updates and Epidemiolog and STDs - Dr. Katherine Hsu, MD, MPH, FAAP
10:45 - Break / Visit Exhibits & Posters
11:00 - Antibiotic Stewardship - Minkey WungwattanaPharmDBCPS-AQ ID
12:00 - Lunch & Pump Handle Awards, Visit Exhibitors & Posters
  1:15 - Infectious Disease Hazards of Occupational and Recreational Needle Use - Panel Discussion
  2:15 - Tuberculosis Diagnosis - Prevention and Treatment - Elizabeth A. Talbot, MD
  3:15 - Break / Visit Exhibits & Posters
  3:30 - What About Rabies? - Rachel Fiske, DVM
  4:30 - Adjourn
Please check the event website for agenda updates and additional speaker information.

Continuing Education:

  • Nurse Continuing Education

  • Continuing Medical Education

  • American Osteopathic Association

  • American Academy Family Physicians Continuing Education

  • Pharmacy Continuing Education

  • General Continuing Education 

Intended Audience:

  • Healthcare Providers - Immunization Program Staff, Clinicians, Hospital & Nursing Leaders, Health Policy Makers, Public Health Workers, Healthcare Administrators, Infection Control Practitioners, Pharmacists and Laboratorians.

  • Medical Office Staff - Practice Managers, Nurses, Case Managers, Medical Assistants, Health Educators, Pharmacy and Laboratory Staff.

  • Others interested in emerging infectious diseases of public health significance including public health educators, partners in public health, and students of public health, nursing or medicine.

Questions should be directed to 207-626-3615 or adcare@adcareme.org.

For more information and to register online visit:  http://www.cvent.com/d/4gqcxk



RowanSOM 3 Day CME Conference
November 15-17, 2018
Kalahari Resorts and Convention Center
Pocono Manor, PA
15 Category 1-A CME Credits
14 AMA PRA Category 1 Credits

Topics includes:  Prevention & OMM / Business / Psych
To register or for more information, please visit:  www.rowan.edu/som/cme


Questions, please contact: Tara Shontz, CME Coordinator at 856-566-6358 / 856-272-2617 or by email at cme@rowan.edu.


Image result for save the date clipart
MOA Midwinter Symposium 2019

February 8-10th, 2019

Holiday Inn byt he Bay Portland, ME

Details to Come Soon!


OSTEOPATHIC CRANIAL ACADEMY CME OFFERINGS

 

February 16-20, 2019 Midwinter Introductory Course in

Osteopathy in the Cranial Field

Course Director: Zina Pelkey DO FCA

Associate Director: Daniel A. Shadoan DO

Crowne Plaza Astor

New Orleans, Louisiana

 

February 22-24, 2019 Pediatric Course

Course Director: Margaret A. Sorrel DO FCA

Associate Director: Mary Anne Morelli-Haskell DO FACOP

Crowne Plaza Astor

New Orleans, Louisiana

 

The Osteopathic Cranial Academy

3535 E. 96th Street, Suite 101    Indianapolis, IN 46240

(317) 581-0411    FAX: (317) 580-9299

E-mail: info@cranialacademy.org   

Web site: www.cranialacademy.org

 


27th Annual Family Medicine Update & Annual Meeting
April 3 - 6, 2019 in Bar Harbor, Maine

Schedule Includes:
- April 3 th – 1-5pm - KSA Study Group
- April 4 th & 5 th – 8am – 5pm each day –
- 27 th Annual Family Medicine Update
-Annual Business Meeting
- Sat. April 6 th – (Tentative) Opoid
Education Session – FREE to MAFP Members! (meets Maine Licensure CME requirements)

Full brochure & registration information available after January 15, 2019 on the web at:
www.maineafp.org


Need a Change of Scenery? Find Osteopathic CME Live Programs All Over the US!

Download NOW! Android Users: Google Play Store      Apple Users: Apple Store


Classified Ads

Seeking Medical Director for Family Medical Practice in Waterville, ME 

Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.  We are looking for an individual with a commitment to providing care to an underserved population, as well as a strong interest in team building, mentorship, and collaboration.  The weekly schedule would involve 16 hours of direct patient contact, with the remainder of time dedicated to practice leadership and care coordination.  Elmwood Primary Care has considerable behavioral health support, including a psychiatric nurse practitioner, a licensed clinical social worker providing counseling services, and social work services within the practice.  We strive to improve the health and well-being of our patients and the community as a whole, and we wish to find someone who shares this desire.  Interested candidates should email Tiffiny Parker, Physician Recruiter at tiffiny.parker@mainegeneral.org.

10/29/18


PCHC wants to add more Family Physicians at Multiple Locations! 
 

PCHC is recruiting Family MedicinPCHC is recruiting Family Medicine Physicians for locations in Belfast, Old Town, and Bangor. e Physicians for locations in Belfast, Old Town, and Bangor. This is your chance to work for a nationally recognized FQHC that is a leader in integrated primary care!

  • Come and join our team at Seaport Community Health Center and become a part of a vibrant and active coastal community!

  • Work and play minutes away from the flagship university of the University of Maine System by working at our Helen Hunt Health Center!

  • Become a part of the health center where it all began, Penobscot Community Health Center located in the heart of Bangor, Maine!

We are the largest and most comprehensive FQHC in Maine and the 2nd largest in New England. PCHC offers family medicine, psychiatry, mental health, pediatrics, specialty services, physical therapy, pharmacy, social work, lab, x-ray, and a large public health dental center -- all within our organization. If your passion is in community health, there is no place else to be. Questions? Contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com.

10/29/18


Physician – Leeds 

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Leeds location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

Requirements
Current Maine license. Proficiency with electronic medical records.

Benefits
Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

10/29/18


Internal Medicine MD or DO (BE/BC) 

Franklin Health Internal Medicine is an office based Internal Medicine practice tucked in the beautiful western mountains of Maine, and owned by Franklin Memorial Hospital, a member of Maine Health. FH Internal Medicine provides office based adult medicine services and preventive and diagnostic cardiovascular services and serves a population of approximately 40,000.

FHIM providers average 15 to 18 patients with ages ranging from 18 to end-of –life. Expectation is 36 hours a week with 32 patient contact hours. The office is located on the Franklin Memorial Hospital campus, a 65-bed, acute care community hospital with a 40-member medical staff.  In addition to an annual base salary, physicians are offered significant additional income potential, as well as student loan repayment and relocation assistance.   

Please contact Donna Lafean, Recruiter, MaineHealth/Franklin at (207) 779-2185 or dlafean@mmc.org.

10/15/18


Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director 

Tucked in the beautiful western mountains of Farmington, Maine, this full-time position with have an average of 14 patients per day and call is provided by our own local Evergreen Crisis Team, providing 24 hour crisis service coverage. The candidate would be the Lead provider for the Practice, IOP Program Director, Medical Director/Board member of our Crisis program, and Suboxone prescriber.

Patient volume draws from a wide geographic region with 40,000 people.  This evolving practice now offers ECT treatment and has a shared medical record with primary care practices in a patient centered medical home model. The provider would work with 2 Nurse Practitioners and a team of clinical professionals in our Medical Arts Building attached to Franklin Memorial Hospital, a 65-bed, acute care community hospital with a 40-member medical staff offering exceptional benefits and compensation packages.

Contact Donna Lafean, Recruiter, MaineHealth/Franklin at dlafean@mmc.org.

10/15/18


Clinical Cardiology Opportunity 

Maine Medical Partners MaineHealth Cardiology is seeking an invasive clinical cardiologist (non-interventional) for their practice located in their Augusta and Waterville, Maine locations.  Selected candidates will join a growing team of over 50 cardiologists who provide inpatient, outpatient and consultative services. 

Maine Medical Partners MaineHealth Cardiology is a growing practice, with office locations in Augusta, Waterville, Lewiston, Rockport, and Scarborough, and is affiliated with the nationally recognized cardiac services at Maine Medical Center and its parent organization MaineHealth

This integrated practice includes Maine General Health, Maine’s third largest health care system.  The Alfond Center for Health, MaineGeneral Medical Center’s state-of-the art, 192-bed regional hospital, has a cardiac catheterization lab and full on site imaging, including echocardiography and nuclear testing.  The Augusta/Waterville practice consists of 9 cardiologists and 2 advanced practice providers.

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.

10/1/18


Medical Director/Family Practice Physician - Relocate to Beautiful Southwestern Maine

Sacopee Valley Health Center has a position available for a Medical Director/Family Practice Physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area. This position allows for the medical director to apply leadership skills while partnering with health center staff and colleagues to provide optimal health care for our patients on a daily basis. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment. We are located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Linda Watson, Director of Operations or, (lwatson@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org Sacopee Valley Health Center is an equal opportunity provider and employer.

10/8/18


 Medical Office Space Available April 2018, Falmouth, ME

Two Doctors of Osteopathy are looking for a third practitioner to share their office suite. We have up to 3-4 offices available including two exam rooms, a lab, and an office. The building is a small, two suite, single story, Class A, Energy Star rated facility in West Falmouth just off exit 53 of the Maine Turnpike (I95). Amenities include a shared kitchen/lunchroom, staff bathroom, bright waiting room with skylights, beautiful landscaping, outdoor lunch area, and 25 dedicated parking spaces. Ideally we'd like to find a family practice doc who is an osteopath or a nutritionist/life coach type of practitioner. There may be an opportunity to purchase equipment and furnishings from the outgoing doctor. The lease is triple net and includes operating expenses which we expect to decrease in years to come as we make energy efficiency improvements over time. Rent for all four offices would be $2025/month. Three offices would be $1561/month. Availability starts April 2018, possibly earlier.

Contact info:  Karen L. Roberts, D.O., office:  541-9285; cell: 462-0997.


Opportunities at the VA for Volunteer Physicians

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.


Classified Ads are free for MOA members.
Email ad information to office@mainedo.org

© Copyright 2018
Maine Osteopathic Association, PO Box 315, Manchester, ME 04351
www.mainedo.org | P. 207.623.1101 |  F. 207.623.4228