February 2016 - Massachusetts Psychiatric Society

Transcription

Committee for Women
MASSACHUSETTS
PSYCHIATRIC SOCIETY
PO Box 549154
Waltham, MA 02454-9154
ADDRESS SERVICE REQUESTED
Issue 139 November/December 2013
Issue
139 November/December
2013
Issue
February 2016
Issue
139160
November/December
2013
www.psychiatry-mps.org
FROM THE PRESIDENT
Membership: Joining in!
Membership: Joining
Joining
in! and Parity: Are We Getting Closer?
Coverage
in!
Membership:
What does a professional society provide to its overlapped. One of the more exciting develop-
MPS Calendar of Events
November 15, 2013 at 12:00 NOON at MPS
Rohn S. Friedman, MD
[email protected]
SEMPS - Risk Management w/Jim Hilliard
February 3, 2016 at 6:00 PM at Alberto’s, 360 Main Street,
Hyannis MA
[email protected]
Chairs and Council
February 9, 2016 at 6:30 PM at MMS - Berkshire 1st Floor
[email protected]
Awards Committee
February 10, 2016 at 7:00 PM at MMS - Middlesex West 3st
Floor
[email protected]
Healthcare Systems and Finance
February 16, 2016 at 6:30 PM at MMS - Middlesex 2st Floor
[email protected]
WMPS - “Can Examination of (Haitian) Vodou in Different Light Open Doors of Potential
Collaboration Long Closed in The Mental
Health Field?” w/Jennifer Severe, MD
February 17, 2016 at 6:00 PM at Delaney House, Holyoke
MA
[email protected]
Executive Committee
February 23, 2016 at 6:30 PM at MMS - Middlesex Central
2st Floor
[email protected]
Health Information Technology Committee
February 25, 2016 at 6:30 PM at MMS - Room TBD
[email protected]
Council
March 8, 2016 at 6:30 PM at MMS - Charles River 1st Floor
[email protected]
2016 Risk Avoidance and Risk Management
Update
March 12, 2016 from 8:30 AM to 3:30 PM at MMS
[email protected]
March 15, 2016 at 6:30 PM at MMS - Middlesex 2st Floor
[email protected]
Public Sector Committee
March 17, 2016 at 7:00 PM at MMS - Room TBD
[email protected]
Executive Committee
March 22, 2016 at 6:30 PM at MMS - Middlesex Central 2st
Floor
[email protected]
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From the President ............................................................... 1
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MPS
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www.psychiatry-mps.org15
MPS Bulletin - February 2016
PO Box 549154
Phone: 781-237-8100
Fax: 781-464-4896
RESIDENT FELLOW MEMBER
CORNER
Rebecca Mae Allen, M.D., MPH
Rohn S. Friedman, M.D.
President
Mark J. Hauser, M.D.
President-Elect
Gregory G. Harris, M.D., MPH
Immediate Past-President
Siu Ping Chin Feman, M.D.
Secretary
Bruce Black, M.D.
Treasurer
Gary Chinman, M.D.
Sr. APA Representative 2015-2016
Patrick Aquino, M.D.
APA Representative 2015-2016
John Bradley, M.D.
Michelle Durham, M.D., MPH
Marshall Forstein, M.D.
2015-2018
Astrid Derosiers, M.D.
2014—2017
David Gitlin, M.D.
2014-2017
Eran D. Metzger, M.D.
2015-2018
Arthur Papas, M.D.
2013-2016
Pedro Politzer, M.D.
2014-2016
RESIDENT FELLOW MEMBERS
2015-2017
Marc A. Whaley, M.D.
President
Donald A. Smith, M.D.
President
M. Cornelia Cremens, M.D., MPH
Lynda Layer, CAE
Administrative Director
Mayuri Patel
Coordinator, Member Relations
Julie Kealey
Continuing Medical
Education Coordinator
Complimenting the Alternatives (or, Think- also a reality of the world in which we practice.
ing Differently About Supplements)
An early experience in my pre-medical years hit
this point home. I visited a clinic in Ecuador
As long as we choose treatments with good which was lauded at the time as a successful inscientific evidence, it is illogical and does our tegrative medical setting. It was largely funded
patients a disservice to limit our recommenda- by US money. The menu – and yes, it was a
tions based on preconceived notions of what is menu, on a board with names of treatments and
a drug. But, I have approached the subject of prices – was divided into two halves: Western
dietary supplements warily.
and traditional. The halves were equal in length
with similar prices, most set at around a week’s
To start, I must admit that I am not a fan of the wages for a typical lower middle class resident
labels “integrative,” “alternative,” or “compli- of the region. I sat in on two traditional medimentary” medicine. These terms imply one of cine sessions. The first was fairly benign. The
two things: (1) there is not enough evidence to practitioner had a dimly lit small office filled
support the use of the treatment in mainstream with herbs, some of which she chewed in a
medicine, or (2) medical doctors are too closed- complicated procedure involving chanting and,
minded to use the treatment despite strong evi- as a finale, she sprayed a fine mist of herbaldence of efficacy, necessitating naturopathic ized spittle at the patient. The second was, to
and other “alternative” practitioners to pick me, horrifying. A middle aged woman came in
up the slack. Both implications are equally with her family, and the practitioner sat her on a
problematic. I do not want to be prescribing a chair in the center of a large, sparse room with
medication that has not been adequately stud- a tile floor. He took a live guinea pig, held it
ied, and I also do not want to believe that a just under its head, and began walking around
well-supported treatment would be rejected by the woman in the chair, shaking the guinea pig
“Western medicine” just because it is perceived vigorously while intoning words. The guinea
to be from a certain category (natural? herbal?). pig squealed in terror, but in a minute its neck
Of course, like all medical traditions, “Western snapped, at which point the practitioner pulled
medicine” has a long history of using remedies over a utilitarian plastic bucket and began cutfrom plants. I’m sure everyone reading this ting the skin off the guinea pig, making a show
will be able to think of an example, but here are of examining the animal’s body carefully while
two: aspirin is an archetypal tree-based medi- asking the patient a very normal set of questions
cine, originally used in ancient Egypt and now to get a history of presenting illness. He later
solidly in the realm of the mainstream, and opi- explained to me that he used the blood clotting
um is from poppies, first cultivated in ancient in the corpse as clues to the location of the paMesopotamia. Likewise, I think it is a problem tient’s malady. He told her she had a liver probof lack of education and misleading marketing lem and sent her for a blood draw. Naturally, I
when certain chemicals are labeled as “natural,” did not leave that clinic with a very positive imwith the implication that they are somehow in- pression of alternative treatments. The kicker?
trinsically safe (especially with rounded green Every practitioner in that clinic, Western or trafont and leaf-shapes slipped into the lettering). ditional in label, wore thigh-length white coats.
Again, examples abound of dangerous “natural” chemicals, but I think about the “natural” I am honestly not sure, these days, where the
poisons arsenic, cyanide, and botulism toxin. I line is drawn between complimentary/alternacringe at the word “natural” when considering tive and traditional/Western. Diet advice from
the history of medicine, particularly the “natu- MD’s (Mediterranean, plant-based, etc) and
ral” rate of death from childbirth and the “natu- referrals to nutritionists are common. Vitamin
ral” amount of pain people used to suffer from B12 levels are a standard part of a depression
chronic, relatively minor injuries and illnesses, workup. Melatonin is utilized by primary care
like infections and tooth decay. Historical lists physicians and sleep specialists alike (and I preof causes of death are morbidly fascinating
scribe it often). It seems that more and more
(see:http://thesocietypages.org/socimag- dietary supplements have made their way into
es/2012/06/25/historical-changes-in-causes-of- standard, mainstream practice, with strong evideath/).
dence behind them, like folic acid, omega-3 and
-6 fatty acids, and DHA. In the meantime, the
The division between Western/mainstream/ law has not caught up. In theory, the FDA monstandard and complimentary/alternative is arbi- itors the safety and labeling accuracy of dietary
trary, and in my opinion highly faulty, but it is supplements, and the US Federal Trade Com-
Lahey Health Behavioral Services | Lahey Hospital & Medical Center
Exciting Opportunities
For Psychiatrists
Lahey Health Behavioral Services provides comprehensive mental health services in
more than 30 locations throughout Eastern Massachusetts. Our behavioral health
model promotes the delivery of care in the community setting, closely integrating
behavioral health with services provided throughout the Lahey Health system, which
includes a tertiary hospital and medical center, multiple community hospitals, and
vast networks of primary, senior and home care services.
With a broad range of programs, including inpatient and outpatient services,
we have opportunities that match your professional interests and offer room for
growth.
Join our team and be a part of a new model of behavioral health
care in Massachusetts!
Opportunities
Full-time and Part-time Psychiatrists,
Adult Outpatient and Addiction Services
We are seeking BE/BC psychiatrists interested in joining our team of fulland part-time providers. Providers in outpatient settings provide individual
assessments, family interventions and individual/group psychopharmacological
treatment. They consult with PCPs, pediatricians, schools and other behavioral health
and human services providers, as well as provide supervision to nurse practitioners.
Opportunities also exist for psychiatrists with addiction treatment expertise to provide
direct patient care in both inpatient and outpatient addiction treatment settings. Ideal
candidates will be fellowship trained in addiction psychiatry, but other medical specialties with
addictions experience will be considered.
Full-time Psychiatrist, Adult Inpatient
BayRidge Hospital; Lynn, Massachusetts
We are seeking a full-time BE/BC psychiatrist for the admission
unit who will primarily work up newly admitted patients with no
responsibility for ongoing patient care. This Monday-Friday position
offers predictable hours and no required night call.
Full-time Psychiatrists, Adult Outpatient
Lahey Hospital & Medical Center;
Burlington, Massachusetts
We are seeking candidates for our outpatient adult practice,
with consultation-liaison service responsibilities as well. The
Department of Psychiatry includes a strong multi-disciplinary
team of psychiatrists, clinical psychologists, clinical nurse
specialists and licensed clinical social workers.
Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154
Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org
Beverly Hospital; Beverly Massachusetts
We are seeking candidates for Medical Director of our Beverly
Hospital site, which includes an 18-bed medically oriented
inpatient unit, consultation liaison service and a partial hospital
program at a 200+-bed hospital that is ranked among the top
100 hospitals by Truven Health. Clinical duties will be primarily on
consultation liaison service. Candidates must be board certified
with more than five years’ experience. Consultative liaison
fellowship training is a plus.
Moonlighting Opportunities
Lucrative night and weekend psychiatric call opportunities are
available at BayRidge, Beverly and Addison Gilbert Hospitals.
For consideration or more information contact:
Kate Schnabel, Senior Physician Recruiter, Lahey Health • 781.744.5193 • [email protected]
Learn more at LaheyHealth.org/Careers
(continued on page 4)
781-237-8100
Medical Director,
Beverly Hospital Psychiatry
781-237-8100
14
BC/BE Child and Adult Psychiatrists Needed In Our
Affiliated Community Mental Health Centers
Both full- and part-time physician leadership and staff
physician opportunities are currently available in our
community mental health center in Central MA.
Medical Director
Job Summary: The Medical Director is responsible for
overall management of all medical matters for the North
Suffolk Mental Health Association. Ensures continuous
Quality Improvement of all Medical matters and standards
for the Agency. Reports to the Chief Executive Director
(CEO). Works closely with the Chief Operating Officer
(COO), Director of Compliance and Quality Improvement,
all Senior Managers, the Department of Mental Health
Medical Director and the Massachusetts General Hospital
Department of Psychiatry.
POSITION REQUIREMENTS:
Education and Experience Required:
Five years of professional experience, current and valid
registration as a physician under the Massachusetts Board
of Registration in Medicine. Board Certified by the
American Board of Psychiatry.
License to practice medicine in the Commonwealth of
Massachusetts; five years of clinical experience and
prior demonstrated competency in management and
administrative roles. Board certification in Psychiatry.
Addictions experience required. Experience in community
and public sector mental health required. Buprenorphine
waiver preferred. Please contact : Jason Romano
Phone: 617.912.7917 - Fax: 617.912.7971
[email protected]
Community Healthlink (CHL) is a dynamic, multi-service
organization committed to establishing, maintaining and
restoring the dignity, well being and overall mental health
of individuals and families in Central MA. It provides a
wide range of services to individuals suffering from mental
illness, developmental disabilities and substance abuse
issues, including youth and family services, residential
services, adult outpatient services, and homeless and
inpatient services. CHL is staffed by a mission oriented,
multi-disciplinary team of psychiatrists, psychologists,
nurses, social workers and other dedicated health care
providers all committed to providing comprehensive,
high quality care. Come join the dedicated team of
professionals at CHL and help make a difference in the
lives of some of Central Massachusetts’ most challenged
individuals and families.
CHL psychiatrists receive competitive salaries and
comprehensive benefits packages. Faculty appointments,
commensurate with training and experience, are available
as well, as is the opportunity to teach UMass Medical
Students, Residents and Fellows.
For additional information about CHL, please
visit our website: www.communityhealthlink.org.
Interested candidates (J-1 and H-1B candidates are
welcome to apply) are encouraged to submit their
CVs and letters of interest to: Kathy Anderson at:
[email protected].
Arbour Hospital, Arbour-Fuller Hospital, and Pembroke Hospital have outstanding
opportunities for
(continued from page 1)
themselves and often forego treatment
or go out of network.
2. Disparate rates of denial. NAMI reports that mental health and substance
abuse treatment is denied at twice
the rate of medical and surgical treatments. The criteria for medical necessity are often arbitrary and opaque.
Prior authorization is required for
admission and treatment for mental
health and substance abuse in ways
without parallel in the medical and
surgical realms.
3. Disparate pharmacy benefit management. Narrow formularies, in particular restricting antipsychotics, are
combined with fail first or step therapy requirements and tier 3 copays to
make it difficult or impossible for patients to receive essential psychiatric
medications in a timely and affordable
manner.
The Problem of Enforcement
Parity legislation has created a regulatory
framework that is highly complex and
requires heavy-duty data analysis. For
MHPAEA a parity analysis involves six
classifications (inpatient in network, inpatient out of network, outpatient in network,
outpatient out of network, emergency care,
and prescription drugs). Any type of financial or treatment limitation for mental
health must apply to substantially all (defined as 2/3) medical and surgical benefits
in that classification, and the level of the
limitation can be no more restrictive than
the predominant level (that applying to half
or more of the medical and surgical benefits) in that classification. It is not feasible
for a patient or provider to obtain and parse
the data essential for a parity analysis.
There has also been a fragmentation of responsibility for parity enforcement. If a
parity complaint involves a fully insured
group plan or an individual policy, patients
or providers would go to the Massachusetts
Department of Insurance; for MassHealth
they would go to the MassHealth Customer
Service; for a self-insured employer plan
they would go to the United States Department of Labor. The US Department
of Health and Human Services also has a
share of the enforcement responsibility.
To this end, MPS has been meeting with
state and federal officials to raise our concerns and advocate more assertive and coordinated enforcement of parity. We have
filed legislation to require transparency and
establish a data clearinghouse. We have
joined with other professional and consumer organizations in the Mental Health
Parity Coalition to promote parity. We ask
you to report to us specifics of disparities
we can use to make the case with legislators and officials. Parity is closer, but we
have work to do.
In the face of such complexity and fragmentation, we need
1. disclosure and transparency of health Rohn S. Friedman, MD
plan policies and decision-making, President,
including clear descriptions of ben- Massachusetts Psychiatric Society
efits, medical necessity criteria, prior
authorization policies, and reasons for
denials
2. public reporting of data, making information such as the number of physicians in each specialty in a plan’s
network, the number of claims filed
by each, the rates of denial and of outof-network claims for med-surg and
MHSA services, and medical necessity criteria readily available
3. a central clearinghouse which can collect this data, have the expertise to do
the necessary data analysis, and unite
or coordinate the fragmented enforcers
Inpatient Psychiatrists
Arbour Health System provides a
continuum of care that includes
evaluation, crisis stabilization
and treatment for children,
adolescents and adults with
mental illness, dual diagnosis
and/or addiction disorders.
All hospitals are accredited
by The Joint Commission and
licensed by the Massachusetts
Department of Mental Health.
www.arbourhealth.com
Enjoy highly competitive compensation and benefits, a schedule that allows for work-life
balance, and the stability of working for the largest private mental health system in
Massachusetts.
• Reasonable caseload
• Weekday schedule with no call or weekend work required
• Paid moonlighting available for additional compensation
• A benefits package that includes: health and dental insurance, retirement savings
with company match, paid time off including CME allowance
Arbour Hospital is a 136-bed psychiatric hospital in the Jamaica Plain section of Boston.
The hospital has inpatient units for adolescents and adults including a dedicated unit for
substance abuse/dual diagnosis and a high intensity unit. The Quincy Center, a satellite of
Arbour Hospital, has an adult psychiatric unit. The hospital also offers partial hospitalization
programs, outpatient and community-based services.
Arbour-Fuller Hospital is a 103-bed hospital in South Attleboro, Massachusetts. Inpatient
units treat adolescents and adults. The hospital also has an adult inpatient intellectual disabilities specialty unit as well as an adult acute residential treatment program. The hospital
also offers an adult partial hospitalization program and community-based services.
Pembroke Hospital in Pembroke, Massachusetts, is a 120-bed psychiatric hospital with
services include adolescent, adult and older adult inpatient as well as partial hospitalization
programs for adolescents and adults. Inpatient and outpatient electro-convulsive therapy
services are available. The hospital is currently recruiting for adult psychiatrists including
those with addictions or geropsychiatry specialties.
MPS IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS
General Member:
Bibi Alamiri, MD
Jon Wesley Boyd, MD
David John Dybdal, MD
David Fish, MD
Uma Naidoo, MD
James Mathew Recht, MD Steven Schlozman, MD
Resident Fellow Member:
Mitchell Crawford, MD
David Sturman, MD
Anna Weissman, MD
Transfer In:
Yadira Alonso, MD
Teresita G. Balderas, MD
Kara Brown, MD
Michelle Chaney, MD
Amber Frank, MD
Stephanie Hernandez, DO
Marcela V. Horvitz-Lennon, MD
For more information on these or other openings, contact the Office of Physician
Recruitment by phone: 617-390-1224, or e-mail: [email protected]
781-237-8100
781-237-8100
4
13
mission oversees truthfulness in advertising. The legal category
of “dietary supplement” is defined in the Dietary Supplement
Health and Education Act of 1994 as “a product (other than tobacco) intended to supplement the diet that bears or contains one
or more of the following dietary ingredients: (A) a vitamin; (B)
a mineral; (C) an herb or other botanical; (D) an amino acid; (E)
a dietary substance for use by man to supplement the diet by increasing the total dietary intake; or (F) a concentrate, metabolite,
constituent, extract, or combination of any ingredient described in
clause (A), (B), (C), (D), or (E).”
(https://ods.od.nih.gov/About/DSHEA_Wording.aspx). By law,
supplement labeling “may not claim to diagnose, mitigate, treat,
cure, or prevent a specific disease or class of diseases,” but a stroll
through any natural food store or GMC will illustrate how intelligently manufacturers have dealt with this limitation.
–
German Commission E ( http://cms.herbalgram.org/
commissione/index.html)
–
American Herbal Pharmacopoeia ( http://www.herbal-
ahp.org/order_online.htm)
–
American Botanical Council ( http://abc.herbalgram.
org/site/PageServer)
–ConsumerLab.com
Liability also might be a concern when going off-book with treatment recommendations. In a nutshell, the liability issues are almost exactly the same for dietary supplements as for regular drugs.
There must be a thorough diagnostic evaluation; there must be
evidence behind the treatment recommendations; there must not
be neglect of standard treatments; and there must be careful and
well documented informed consent.
The 1994 law was written to bring supplement regulation more
in line with the standard for food than for drugs. But what happens when a “mineral,” “herb,” or “botanical” is actually as effective, or as dangerous, as a prescription drug? Not much. Like
food, dietary supplements do not have to demonstrate any efficacy
or safety prior to marketing, and can only be removed from the
market if the FDA shoulders the burden of proof that the supplement is harmful. Ingredient amount and quality is not monitored
as closely as with drugs, and dietary supplement manufacturers
are allowed to keep the exact amounts of each ingredient in their
preparations as proprietary information. Thus, we have a market where some plant-based medicines are regulated as food, and
some as drugs.
What supplements to recommend is in many ways beyond the
scope of a short newsletter column. I will end, however, with a
few suggestions, compliments of Dr. Barry Fogel:
1. Give huperzine A (200 micrograms QD or BID) to mitigate
anticholinergic side effects of various prescription psychotropics.
2. Give methylfolate supplementation to people on lamotrigine,
to mitigate executive dysfunction related to central effects of
inhibited folate metabolism.
3. Give curcumin to people with atypical depression with somatic symptoms suggesting chronic inflammation – either
alone or to augment SSRIs. Dr. Fogel sent me six articles on
curcumin, and the evidence is indeed strong.
Nevertheless – I have come to think that we should consider dietary supplements as part of our psychiatric tool kit. Although I
have only been a doctor for 4.5 years and my board certification
is as new as it gets, I have already experienced the intense frustration and helplessness of treating patients who just do not get
better. This year, I have a supervisor, Dr. Barry Fogel, who is a
bit of a Renaissance man. If I were to try to summarize his curriculum vitae, I would not do it justice, so I will simply state that
he is a Harvard and Brigham affiliated neurologist and psychiatrist
who teaches, does clinical work, writes books, and has started a
few companies. Along with Dr. Donna Greenberg, he edited an
enormous book published last year called “Psychiatric Care of the
Medical Patient.” Kindle informs me that the typical time to read
this 1,812 page book is 119 hours and 57 minutes. Needless to
say, it is quite thorough, and it is extremely high quality writing.
In supervision the past six months, Dr. Fogel has regularly been
encouraging me to push boundaries in considering how to help
patients. For instance, on his advice I ordered psychotropic pharmacogenomic testing for two of my patients, and it was surprisingly helpful.
In sum, it seems that complimentary/alternative and traditional/
Western remedies are divided more by culture than science, and
the division is getting outdated. I have come around from a rather
anti-alternative medicine stance to carefully adding dietary supplements to the list of treatments I have to offer patients, and I
have so far been pleasantly surprised at the amount and quality
of research available to support some non-prescription remedies.
If this article has piqued your interest in the topic of supplements,
I recommend this chapter in Dr. Fogel’s book:
Gerbarg, Patricia L. & Brown, Richard P. (2015). Therapeutic
Nutrients, Herbs, and Hormones. In Fogel, Barry & Greenberg,
Donna (Eds.), Psychiatric Care of the Medical Patient (chapter
28).. New York, NY: Oxford University Press.
Dr. Fogel has opened my mind to the use of dietary supplements
in psychiatry. However, safety has been my biggest concern in
recommending any dietary supplements to my patients, even vitamins. Despite the limitations of government regulation in the
United States, which is paltry compared to, say, Germany or Canada, there are several reliable resources for checking on the safety
of specific supplements:
–
FDA website (www.fda.gov/Food/Dietary Supplements/
Alerts)
–
“Alerts and Advisories” section of the National Center for Complementary and Alternative medicine (www.nc
cam.nih.gov/news/alerts)
–
Dietary Supplement Labels Database at The National Institute of Health National Library of Medicine (www.
dietarysupplements.nlm.nih.gov/dietary)
781-237-8100
Boston University School of Medicine/Boston Medical Center
Department of Psychiatry
The Boston University School of Medicine/Boston Medical Center Department of Psychiatry seeking Child
Adolescent Psychiatrist
Child/Adolescent Psychiatrist: Full or part-time position for a dynamic program in the Division of Child and
Adolescent Psychiatry. Responsibilities include patient care in the outpatient setting, clinical consultation to the
pediatric emergency department and pediatric units, and teaching of residents, medical students and trainees in
psychiatry, psychology, social work and mental health counseling. Opportunities are also available for research. This
position could include leadership activities for the qualified applicant. The successful applicant will wish to participate
in the shaping of a child-centered, family-focused, culturally competent, community-linked child psychiatry program
targeted at the needs of Boston’s most vulnerable children. Applicants must be board eligible or certified in child and
adolescent psychiatry.
Boston Medical Center is a private, not-for-profit, 482 bed academic medical center serving a diverse, multicultural
patient population. Boston Medical Center is the largest safety net hospital in New England and is dedicated to
providing accessible health care. As the main teaching affiliate of Boston University School of Medicine, Boston
Medical Center is devoted to training future generations of health care professionals.
Interested applicants should send a letter detailing relevant experience and a current CV to Lisa Fortuna, MD, Medical
Director, Child and Adolescent Psychiatry, c/o BU Psychiatry, 85 E. Newton Street, Suite 802, Boston, MA 02118 or by
email to [email protected]
Academic appointment is commensurate with experience. Salary is competitive and benefits are excellent. Boston
University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action employer.
The Boston University Medical Center Community Psychiatry Fellowship
The Boston University Medical Center Community Psychiatry Fellowship is a half-time clinical training
experience to expand a fellow’s knowledge base of community psychiatry. The fellowship may be combined
with a Master of Public Health from Boston University School of Public Health with tuition support. The
program is designed with the interest of the fellow with rotations in many areas of public psychiatry including
the Boston Emergency Service Team (urgent care, community based assessment, jail diversion, emergency
psychiatry at Boston Medical Center), outpatient community services, intermediate care, policy development
through DMH Central Office, and an elective. The goal of the fellowship is to develop leaders in community
and public psychiatry.
Eligibility
Graduates or PGY4 residents from an ACGME accredited psychiatry residency program are eligible to apply
to the fellowship. Applicants must possess a full or limited Massachusetts Medical License by the time the
program commences in July.
Application Process
Please send a CV and cover letter addressed to David Henderson MD, Interim Program Director, Community
Psychiatry Fellowship and Chair, Department of Psychiatry, c/o Joan Taglieri, 85 East Newton Street, Suite
802, Boston, MA 02118 or email to [email protected].
Boston University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action
employer.
781-237-8100
12
DEPARTMENT OF PSYCHIATRY –
MASSACHUSETTS GENERAL HOSPITAL –
HARVARD MEDICAL SCHOOL
Health Information Technology (HIT) is a broad term that has a slightly different meaning for each MPS member. At
this January’s inaugural meeting of the MPS HIT Committee, members each discussed what areas at the intersection of
psychiatry and technology most interested them. The diversity of responses ranging from encrypted text messages to
telepsychiatry, smartphone apps to electronic medical records, social media guidelines to sharing medical records was
impressive. Such diversity points towards the challenges of HIT, but also the opportunity for MPS to provide members
a forum to share, support, and learn about these various digital tools.
ATTENDING POSITIONS AND HOSPITALIST/
BEHAVIORAL HEALTH INTEGRATION
DEVELOPMENT PROGRAM
The MGH Department of Psychiatry has outstanding
attending opportunities in Emergency, Outpatient
(General and Specialty), Addictions, ConsultLiaison, and Inpatient Psychiatry. In addition the
department is pleased to announce a new Hospitalist/
Behavioral Health Integration Development Program
preparing candidates for leadership roles in inpatient
psychiatry and collaborative care in academic and
community settings. Rated among the leading
psychiatry departments by US News and World
Report, the Department is committed to excellence
in patient care, education, research and community
service. Candidates should be: board certified/board
eligible in Psychiatry and qualified for an academic
appointment at Harvard Medical School at the
rank of Instructor or above. Fellowship training in
relevant areas including addiction, consult-liaison,
neuropsychiatry, or geriatric psychiatry and a record of
scholarly productivity are highly desirable. Interested
individuals should apply to Jonathan E. Alpert MD
PhD, Associate Chief of Psychiatry (jalpert@mgh.
harvard.edu). The Massachusetts General Hospital
is an affirmative action/equal opportunity employer.
Minorities and women are strongly urged to apply.
Update from the Health Information Technology Committee
BAY COVE Human Services, Inc in Boston
is looking for a Community Psychiatrist. The
Community Psychiatrist will serve a diverse
population of individuals in various community
settings including the Michael J. Gill Mental Health
and Wellness Clinic, Center House Day Treatment,
and the Community Flexible Support (CBFS) system
of care which serves Department of Mental Health
(DMH) clients with serious mental illness. Qualified
applicants may become Tufts faculty for the teaching
of PGY III Tufts residents who rotate through Bay
Cove for their Community Psychiatry rotation. 1520 hours; no call. For more information about this
job opening, visit Baycove.org.
Just as HIT covers many different areas of technology, it also connects many areas of healthcare and psychiatry. At
our meeting questions arose about using electronic medical records for psychotherapy, smartphone apps in substance
abuse, and telepsychiatry to consult with new patients. While a list of HIT tools and resources for psychiatry would
be pages long, simply understanding that all these various technologies serve a common purpose of improving care is
more important.
In order to better learn what HIT means to MPS members, one initial role of the committee will be to conduct a survey
of the membership. Surveying MPS members about use, concerns, and questions regarding technology will ensure that
this new committee can be responsive and best help members. And in order to be most responsive, we will begin to fully
utilize the MPS website, www.psychiatry-mps.org, and make it your destination for resources and answers.
Another early project of the committee will be to develop guidelines to help in the evaluation of smartphone apps.
While it may be currently impossible to create a rating scale that is guaranteed to always find the best app, following
the right guidelines can help you avoid downloading digital snake oil. If there are any apps that you particularly like and
find helpful, we would love to hear from you as we begin identify the common elements of good apps.
Our next, and second, meeting will be on Thursday, February 25th. As always, we encourage all MPS members
to attend regardless of experience with technology. In the meantime, be sure to visit the MPS website frequently
for updates and the latest information.
PSYCHIATRY POSITIONS
Beth Israel Deaconess Medical Center in Boston, a 500+ bed tertiary care teaching hospital of Harvard Medical
School, is recruiting staff psychiatrists for positions on the Consultation-Liaison Service and Inpatient Service.
In addition, moonlighting opportunities are available on both services. The Department of Psychiatry is a major
teaching site for Harvard Medical School and the Harvard Longwood Psychiatry Residency Training Program;
positions will include opportunities for teaching medical students and residents. Underrepresented minorities
are encouraged to apply. Harvard Medical School appointment at an appropriate rank is available.
1. STAFF PSYCHIATRIST ON THE INPATIENT PSYCHIATRY UNIT. This is a full-time position
within the Department of Psychiatry that includes clinical care, teaching, and supervision on an active 25
bed inpatient teaching unit.
2. STAFF PSYCHIATRIST ON THE PSYCHIATRIC CONSULTATION SERVICE. This is a half-time
position within the Department of Psychiatry that includes clinical care, teaching, and supervision on a busy
service that sees 2200 Emergency Department and 1000 Inpatient Medical-Surgical consultations annually.
Certification (or eligibility) in Psychosomatic Medicine is desirable.
3. ATTENDING PSYCHIATRISTS FOR WEEKEND AND HOLIDAY COVERAGE OF THE
INPATIENT PSYCHIATRY UNIT AND THE PSYCHIATRIC CONSULTATION SERVICE. Must
have a full license and be board-certified. Coverage includes morning rounds onsite and off-site telephone
backup to the resident.
Please send a letter of interest and CV to William Greenberg, MD, Chief of Psychiatry, by email:
[email protected].
781-237-8100
Public Sector Inpatient Psychiatrist
Unique opportunity at the Lemuel Shattuck Hospital for a full time inpatient
psychiatrist to provide continuing care to Boston Metropolitan Area DMH
patients within an urban public health general teaching hospital. Join an
expert, collegial group of colleagues. Teaching and mentoring opportunities
and academic appointment at Tufts potentially available. No weekend or
night call. This is a State Block, union position. Contact Audrey GrahamSmith by fax 617-971-3195 to apply or Dr. Amy Lisser, Chief of Psychiatry
Shattuck Hospital for further information 617-971-3177.
An Equal Opportunity/Affirmative Action Employer. Females, minorities,
veterans and persons with disabilities are strongly encouraged to apply.
781-237-8100
6
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Join your colleagues who have chosen
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of Child and Adolescent Psychiatry.
Superior protection provided by Allied World Assurance Company rated “A” by A.M. Best Co.
Access to a Risk Management Team during business hours and a 24/7 emergency hotline
Telepsychiatry, ECT coverage and Forensic Psychiatric Services are included
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Interest-Free Quarterly Payments / Credit Cards accepted
American Academy of
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Worcester, MA seeks a BC/BE Psychiatrist for its University
Hospital Outpatient Clinic. Candidates should have strong
academic credentials and sound clinical skills, and interest in
pursuing academic opportunities in either training or research.
An academic appointment, commensurate with experience, is
available. Interested applicants (J-1 and H-1B candidates are
welcome to apply) are encouraged to submit CVs and letters of
interest to: [email protected]
The Department of Psychiatry at UMass Memorial Health
Care is currently seeking a full time BC/BE Attending
Psychiatrist to join the team on the 27 bed adult inpatient unit at
UMass Memorial Medical Center, the academic teaching hospital
and clinical partner of the University of Massachusetts Medical
School. Primary duties involve direct clinical care and support
of the academic mission of the Department and the Medical
Center including educational responsibilities and the opportunity
to participate in research. The position provides the opportunity
for involvement in a full range of clinical and academic pursuits.
A faculty appointment, commensurate with experience, is also
available.
Come join Dr. Alan Brown, Vice Chairman of Clinical Services,
Dr. Douglas Ziedonis, Department Chair, and other prominent
members of the Psychiatry Department in their ongoing pursuit of
clinical and academic excellence. Interested candidates (J-1 and
H-1B candidates are welcome to apply) should submit CVs and
Letter of Intent to [email protected],
Attention: Kathleen Anderson. Candidates are also encouraged
to visit the Psychiatry Department’s website at: www.umassmed.
edu/psychiatry.
Behavioral Health Clinic Available Clinic consultant for hire
to establish outpatient Behavioral health practice or clinic for
11
Children, Adolescents, Adults. Experienced with all clinic regs,
Licensure, Joint Commission, BCBS, etc.
Available To set up entire practice with systems, from policies
And procedures to billing and accounting.
Please call Business Behavioral Health Network at
781-762-1419
Exciting opportunity for part-time substance abuse/mental
health practice in NORTH CONWAY, NH. Skiing, hiking,
biking, nature’s playground. Flexible schedule, $140/hr. with
guarantee of 6 hours/day. Will need Suboxone certification. Also
could have FULL-TIME private practice in same office to do
general mental health. Currently 2-3 month waiting list for adult
and child psychiatry services so market is wide open.
PathwaysforBetterLiving.com, 603-356-3400.
Family and Community Resources, Inc.
FCR seeks licensed, board certified psychiatrist
Family and Community Resources, Inc., a small non-profit trauma
and domestic violence focused mental health center is in need of
a P/T Psychiatrist/Medical Director for 8 hrs/week. Responsible
for providing patient diagnostics, medication management, staff
training as well as clinic coordination in conjunction with the
clinic director. Day(s) and hours flexible.
Qualifications:
Medical degree from an accredited school of medicine
Licensed in psychiatry in the state of Massachusetts
Board certified in Adult Psychiatry; Child Psychiatry a plus
Location: Brockton, MA
Please send CVs to: [email protected]
w w w . A A C A P . O R G
Boston Area Psychiatrist Reviewer – Consultant
Come join a well-established and outstanding group of psychiatrists providing utilization management
and case consultation in the Health and Medical Management division of Blue Cross Blue Shield of
Massachusetts. Our model of utilization management is one of collegial, respectful and consultative
interactions with psychiatrists, psychologists, social workers and other providers for promoting the
efficient use of evidence-based practices.
Blue Cross Blue Shield of Massachusetts is a highly successful HMO with a commitment to placing our
members’ health first. With our coverage reaching over 2.7 million members and an increasing behavioral
health concentration, we are seeking a physician reviewer to work part-time. We offer flexible hours and
will consider individuals with post-training clinical experience and Board Certification in general psychiatry.
Additional expertise and certification in addictions and or child/adolescent psychiatry are highly desirable.
Interested parties are encouraged to apply on our website at: www.bluecrossma.com/careers
or contact Heather Franey at: [email protected]
Our commitment to building a
diverse workplace is without question.
We are an Equal Opportunity Employer.
781-237-8100
Blue Cross Blue Shield of Massachusetts is an Independent
Licensee of the Blue Cross and Blue Shield Association
Child Psychiatrist Opportunity, Near Boston, MA
North Shore Medical Center (NSMC) has an exciting opportunity for a child psychiatrist to join a thriving and
growing psychiatric service in Salem, MA about 15 miles north of Boston. NSMC is part of the prestigious
Partners HealthCare System, and the Department of Psychiatry is closely aligned with the Massachusetts
General Hospital (MGH). The department provides a full spectrum of care, including adult inpatient psychiatry,
an older adult inpatient unit, a child inpatient unit, a partial hospitalization program, and several outpatient
clinics. Our department is also a hub for the Massachusetts Child Psychiatry Access Project (MCPAP), a grant
supported outpatient consultation service for area pediatricians. We have a vibrant educational program, and
teaching opportunities are available. Physicians in the department enjoy a collegial and supportive practice
environment.
Our department is presently engaged in creating a 120 bed “Center for Excellence” in collaboration with the
MGH Department of Psychiatry, which will include an expansion of outpatient services as well. Physicians
in the department can expect to be engaged and have input into the creation and design of this exciting new
program.
At present we have an opportunity for a Child Psychiatrist to join our group. There are opportunities for this
to be an inpatient or outpatient position, depending on the appropriate candidate’s interest and experience, and
matching this with Department needs. The call schedule is very reasonable and requires no in-house coverage.
A clinical appointment at MGH and the potential for a Harvard Medical School appointment are available for
the qualified candidate.
Interested candidates should forward their CV to Louis Caligiuri, Director of Physician Services at
[email protected].
781-237-8100
MPS Bulletin
- February 2016
10
BUSINESS SERVICES
BUSINESS
SERVICES
Hea
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MEDICAL CREDENTIALING SPECIALISTS
LEGAL ADVICE
FOR PSYCHIATRISTS
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Andrew L. Hyams, Esq.
Mr. Hyams, former General Counsel to the Bd.
of Reg. in Medicine, and Mr. Kerstein provide
legal services to psychiatrists and other health
professionals in the following areas:
• Licensing Board Complaints and Applications
• Medicare/Medicaid Audits
• Patient Confidentiality
• Provider and Employer Contracts
• Civil/Criminal Litigation
As a service to Bulletin readers, we offer one
free 15-minute consultation to discuss any general legal concerns.
Kerstein, Coren & Lichtenstein, LLP
60 Walnut Street, Wellesley, MA 02481
www.KCLwww.KCL-law.com
969--7139
(617) 969

SPECIALIZED BILLING SERVICES
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♦
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www.specializedbillingservices.com
THE
DEADLINE FOR
THE
DEADLINE
FORTHE
THE
JANUARY 2014
MPS
NEWSLETTER
IS
MARCH 2016
MPS
NEWSLETTER
IS
DECEMBER
15, 2013.
FEBRUARY
15,ADVERTISING
2016. FOR
FOR
ADDITIONAL
ADDITIONAL
ADVERTISING
INFORMATION,
PLEASE
CONTACT THE
INFORMATION, PLEASE CONTACT
MPS OFFICE AT: (781) 237-8100
THE MPS OFFICE AT (781) 237-8100
OR
OR
[email protected]
[email protected]
• PROVIDER CREDENTIALING
• APPLICATION PROCESS
Billing
Specialists, AND
Inc. • Healthcare
HEALTH PLAN
ENROLLMENT
LINKAGE
Providing Billing Services to the Mental Health Community
• NPI AND PROVIDER NUMBERS
• NATIONAL AND MULTI-STATE Billing. . .
SERVICES
• CAQH REGISTRY
It’s what MAINTENANCE
we do.
• STATE OF THE ART SOFTWARE
Every mental health
professional
needs
Please call
us to discuss
feea great
arrangements.
Credentialing
Services
are
priced
billing service. For over 15either by
application or on a monthly flat fee basis
Billing
dependingyears,
on the Healthcare
scope of services
requested.
Specialists has been
IN ADDITION TO OUR CREDENTIALING
exceptional
SERVICES,providing
WE OFFER
MEDICAL BILLING
SERVICES
TO to
PHYSICIANS,
HOSPITALS,
service
over 100 practices
GROUP PRACTICES, CLINICS, ETC.
in Massachusetts.
FOR CLIENTS WHO PURCHASE OUR
MEDICAL BILLING SERVICES, WE
OFFER
CREDENTIALING
AS PART OF
Contact
us for more information!
THAT PACKAGE.
Office: (781) 784-4123
(781) 784-0996
PRACTICE Fax:
MEDICINE,
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AT
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♦ PROVIDER
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Please call us to discuss fee arrangements.
Credentialing Services are priced either by
application PSYCHIATRIST
or on a monthly flat fee basis
depending on the scope of services requested.
IN ADDITION
TO OUR
CREDENTIALING
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Psychiatric
Services
SERVICES, WE OFFER
MEDICALin BILLING
PSYCHIATRISTS:
Interested
flexible
SERVICES
TO PHYSICIANS,
hours,
competitive
pay rates, andHOSPITALS,
a schedule
GROUP
PRACTICES,
CLINICS, ETC. FOR
that
fits your
needs?
CLIENTS WHO PURCHASE OUR MEDICAL
Qualified
psychiatristsWEneeded
provide
BILLING SERVICES,
OFFERtoCREDENovernight,
weekend,
holiday
moonlightTIALING AS
PART OFand
THAT
PACKAGE.
ing coverage at area hospitals, clinics, and othMEDICINE,
THEinformation
REST.
erPRACTICE
psychiatric
facilities.WE
ForDO
more
please call Jessica D’Angio at (617)864-7452
US FOR MORE INFORMATION AT
orCALL
at [email protected]
(617) 244244-3322
STAFFwww.sbscincorporated.com/
PSYCHIATRIST POSTIONS.
Full and part-time positions are available for
ADULT PSYCHIATRISTS in our outpatient OF
clinicsFI
in Framingham,
Marlboro
C E SPACE
and satellites. Advocates is a full-service,
non-profit system serving individuals with
Brookline: and developmental disabilities
psychiatric
Attractive,
comfortable,
reasonably priced
and
other challenges
in quiet,
a strength-based,
3 suite office nearand
Coolidge
Corner has opening
person-centered
multi-disciplinary
for a fullExcellent
time or physicians
two 1/2 time
setting.
areclinicians
honored, as of
January
2014.a warm,
Street friendly
parking practice
and nearenT. Call
and
we offer
Jim Harburger
MD, is617-232-3822
vironment.
Compensation
competitive or
email
[email protected]
and
benefits
are available for 30 hours +.
Contact in confidence Chris Gordon, MD,
Medical Director at 508.628.6652 or at
[email protected]
PSYCHIATRISTS
ATTENDING PSYCHIATRIST
Tewksbury Hospital is looking for a full time
Tewksbury
Hospital The
is a Joint
Commisinpatient psychiatrist.
position
is on a DMH
sion
accredited
Department
of Public
intermediate
care unit
working with
a wide varieHealth
hospital
located
23 milesmental
ty of patients
with
severe about
and persistent
north
Boston,
MA
near
the intersecillness.ofNo
managed
care
or after-hours
on-call.
tion
of
Interstates
495
and
93.
Median LOS about 200 days. Competitive com-
pensation.
WorkChoices
with an excellent and personaTwo
Life Style
ble group of psychiatrists.
1. Salary: $210,000 base for board cerFor information
contact:
tified
psychiatrist
with 1-2 overnight
call
shifts
per month.
Anthony
Vagnucci,
MD Recent salary
increases,
generousTewksbury
signing bonus,
Chief of Psychiatry,
Hospitalexcellent
fringe x2863
benefits, generous allow978-851-7321
ance
for license and board certification
[email protected]
fees, CME fees and 6 weeks leave time
for full or part time psychiatrists. You
STAFF PSYCHIATRIST POSTIONS. Full
will
work on a DMH intermediate care
and part-time
positions
are available
ADULT
unit
where you
can treat
people for
with
PSYCHIATRISTS
in
our
outpatient
clinics
chronic persistent mental illness with in
Framingham,
satellites. Advocates
both
therapy Marlboro
as well asand
medication
due
Incthe
is median
a full-service,
non-profit
system
to
200 days
LOS. Work
withserving
individuals
andgroup
developmental
an
excellentwith
andpsychiatric
personable
of
disabilities and other challenges in a strengthpsychiatrists.
based, person-centered and multi-disciplinary
2.
Salary:
$185,350
same as
withand we
setting.
Excellent
physicians
areabove
honored,

no
overnight/weekend
call. environment.
offer
a warm, friendlyonpractice
Fax: 781-464-4896
7
ASK PHS - A Doctor I Am Treating Cannot Stop Drinking
Steve Adelman, MD – PHS Director
Question from a Central Massachusetts Psychiatrist: I’m a
general psychiatrist (not an addiction psychiatrist) and I am concerned about a physician patient of mine who has a serious drinking problem. I’d like to refer him to PHS for an assessment. I
think that he needs to connect up with other doctors in recovery
and he would probably benefit from a long-term monitoring program. We have been working together for several years (weekly
psychodynamic psychotherapy plus meds for dysthymia) and I am
worried that a referral to PHS would somehow rupture our longstanding, positive therapeutic relationship because I am not an addiction psychiatrist and PHS has reputation for referring its clients
to experts. I am also worried about jeopardizing this physician’s
medical license. Help!
The purpose of our recommendations is to help the physician
overcome his or her challenges in an enduring and lasting fashion, such that a substance use disorder or other significant health
challenge does not jeopardize the health and well-being of both
the physician and his or her patients. Although PHS sometimes
(but not always) recommends specialized treatment programs and
providers, we are very respectful of a physician’s longstanding
treatment relationships, and we always do everything possible to
strengthen and sustain ongoing treatment relationships in a collaborative fashion.
The best way to learn about PHS is to contact us whenever you
have relevant questions and concerns. Please feel free to draw
on our specialized experience and knowledge whenever you are
Answer: When physicians with serious drinking problems cannot treating physicians with challenges that have the potential to sidestop drinking either on their own, or with the help of an outpatient line them and sabotage their careers.
psychiatrist, it is typically only a matter of time before the drinking progresses to the point where it begins to interfere with the
doctor’s ability to practice medicine. It is of critical importance to I invite you to email me your questions about PHS. Please do
the physician, as well as to his patients, colleagues and loved ones, not send me any information about an identifiable physician colthat he stop drinking before alcohol begins impeding his ability to league or patient. If your question is of general interest, we may
deliver good medical care. Once active substance mis-use inter- answer it here in this column. Otherwise, I will respond to your
feres with a doctor’s performance at work, a cascade of adverse email individually. I can be reached at [email protected] or at
events may be set in motion, jeopardizing patient safety as well as 781-434-7404.
the physician’s professional viability.
-----------------------------------------------------------------------------This situation furnishes you with an opportunity to assist your
doctor-patient by collaborating with PHS. The first step is to con- Physician Health Services (PHS) is a nonprofit corporation of the
tact PHS to describe the situation at hand. At the time of that Massachusetts Medical Society, that provides a safe, confidential
phone call, we will tell you about our referral, intake and assess- environment designed to help identify, refer to treatment, guide
ment processes. There is no need for you to identify the physician and monitor the recovery of physicians and medical students with
at the time of this initial phone call. The goal of the phone call is health concerns.
acquaint you with what we do, and to help you assist your patient
by making the case that specialized help is available for him or her
at Physician Health Services.

What kind of help is available to this physician at PHS? A
Compensation
is competitive
and benefits
Contact
Anthony
Vagnucci,
MD, are
range of possibilities exists, and PHS will work with this phyavailable of
for 20Psychiatry,
hours +.
Chief
Tewksbury
sician, should he or she choose to make use of our services, to

Hospital,
978-851-7321
x2863,
explore a variety of options. At the very least, the physician may
Are you
Contact in confidence Chris Gordon, MD, Medi
[email protected]
contact PHS anonymously and hear directly about our confidencal
Director
at
508.628.6652
or
at
eligible
tial physician support groups. We will also describe what might
[email protected].
Tewksbury
Hospital
unfold
at
PHS
should
he
or
she
choose
to
come
in
for
an
intake
and interested
 appointment.
 at the Delaney House in Holyoke, Dr. Ben Liptzin will present
Half-time Psychiatrist (20 hours per
Cambridge Psychiatric Services
week)
          
in applying for
PSYCHIATRISTS:
Excellent
salary and fringe benefits,
We


 This talk
discussdesires
the potential
will 
schedule an intake
appointment
if thewill
physician
signing bonus and generous leave time
an in-person
and is willing
to identify himself
or herself.
roles for psychiatrists
asmeeting
Accountable
Care Organizations
develop
as a result of
Fellow
Interested in flexible hours, competitive pay
for
half-time psychiatrists. Positions
Knowing
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trackallofover the
rates,
and
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schedule
that
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needs?
the
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Care
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which
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health
reform
available on a DMH intermediate
or
things.
Once the physician
has identified
himself
or herself,risk
PHSby caring
organizations
will be expected
to take
on financial
care
unit psychiatrists
working with
a wide
variety over- country. These
Qualified
needed
to provide
works for and with the physician. Nothing about this physician
with a fixedoutward,
amountwithout
of money.
It is expected
that psychiatric
of
patients
with
persistentcover- for a population
Distinguished
night,
weekend,
andsevere
holidayand
moonlighting
is communicated
the express
written consent
of
mental
illness
areclinics,
available.
bephysician.
integratedA common
into primary
care
using
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variety
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organizational
age at area
hospitals,
and other No
psychiat- services willthe
misconception is that PHS is an arm of
Fellow Status?
managed
care or after hours on-call.
ric facilities.
models. This
willThis
describe
ways
forWe
practicing
psychiatrists
to learn more
thetalk
BRM.
is not the
case.
are a confidential,
peer review
Median LOS about 200 days. Work
programinand
we local
aim to
assist physicians
before they come to the
about these models
their
service
area.
For more
information
call group
with
an excellent
and please
personable
attention of the BRM.
Jessica
D’Angio at 617-864-7452
of
psychiatrists.
Contact Anthony
We will host a reception starting at 6 with dinner being served at 6:30PM. The
Contact the MPS Office.
or at [email protected]
Vagnucci,
MD, Chief of Psychiatry,
program will If
start
7:30 PM. The comes
Massachusetts
Society designates
youratphysician-patient
to PHS forPsychiatric
an intake appointment,
Tewksbury Hospital, 978-851-7321
we will
written
communicate
you. TM
When
Category with
1 Credit
. Physicians
for arequest
maximum
ofconsent
1 AMAtoPRA
Adult psychiatrist
for part or full time. Private this live activity
x2863,
[email protected]
provide
us with consentwith
to check
in withofclinicians
and
only the credit
commensurate
the extent
their participation
in
Group Practice of MD’s & PhD’s. CBT exclu- should claimphysicians
We would be glad to assist you
others
who may provide
us with information
that helps usbytothe
detersively. Services
needed include
diagnostics and the activity. The
BC/BE
Psychiatrist
for University
Massachusetts
Psychiatric
Society is accredited
Massachu
mine the nature and severity of the problem, we use this additional
Hospital
Outpatient Clinic
med management.
in completing your application.
setts Medicalinformation
Society to provide
continuing
medical education
physicians.
to formulate
recommendations
that are for
intended
to
UMass
Medical
Contact: Memorial
Peter W. Moran,
Ph.D.Center/
Cornerstone
assist thefor
physician
in overcoming
the challenges
at hand.
With pay by
University
of Massachusetts
the meal
and the CME
credits. You
can either
Behavioral Health,
469 Chandler Medical
St., Worcester, The cost is $25.00
the physician’s permission, we will share our recommendations
School
Department
of Psychiatry in
MA 01602
or [email protected]
check, cash or
credit card on Wednesday night.
with you.
Massachusetts Psychiatric Society ♦ 40 Washington Street,
Suite 201 ♦ Wellesley,
MASociety
02481-1802
Massachusetts
Psychiatric
PO Box 549154
781-237-8100 ♦ Fax: 781-237-7625 ♦ Email: [email protected] ♦ [email protected]
781-237-8100
9


781-237-8100
8
9
MPS News
SAVE THE DATES
SATURDAY, MARCH 12, 2016
2016 Risk Avoidance and Risk Management Update
Massachusetts Medical Society, Waltham, MA
A postcard announcement with conference details will be mailed soon
SATURDAY, JUNE 11, 2016
Annual Psychotherapy Conference
SAVE THE DATE
MPS Annual Meeting & Dinner
April 26, 2016
Please save the date for the MPS Annual Meeting & Dinner scheduled for Tuesday, April 26, 2016 at the Massachusetts Medical Society, the new home of the
Massachusetts Psychiatric Society. The cocktail reception will start at 5:30pm
and dinner will begin promptly at 6:30pm. A detailed postcard announcement
will be mailed soon. We look forward to welcoming the membership to our new
office space.
MPS Member Elected President of APA’s Women’s Caucus
Maureen Sayres Van Niel, MD, a member of MPS, was recently elected president of the
National Women’s Caucus of the American Psychiatric Association for a two-year term. The
caucus is a division of the APA Assembly and it represents the interests of the more than
13,000 women members of the APA. The caucus aims to address issues relevant to women
members, including providing ideas to those at district branches who would like to offer
special services for women members. If you have questions or ideas for national or local
women’s programs, please contact Dr. Van Niel at [email protected] or the MPS
CME Coordinator, Julie Kealey at [email protected].
781-237-8100
SAVE
ON YOUR APA/DB
MEMBERSHIP DUES
Looking for Ways to Save Time and
Money on Your Membership Dues?
Check Out These Ways to Save:
Lump Sum Dues—Pay a one-time amount for APA national
dues for your lifetime. Never worry about annual renewal
increases or invoices again. DB/SA dues continue to be
billed annually.
Scheduled Payment Plan—Have your APA and District Branch
dues automatically charged to your credit card in monthly,
quarterly, biannual, or annual installments. No interest or
service fees.
Couples Discount—If you are married to another APA
member (or live in the same household), share your print
copy of AJP and you’ll each get a 15% discount on your APA
national dues.
Ready to Start Saving?
Contact APA Member Services for
more information and to sign up.
781-237-8100
Call: 703-907-7300; 888-35-PSYCH
8
9
MPS News
SAVE THE DATES
SATURDAY, MARCH 12, 2016
2016 Risk Avoidance and Risk Management Update
A postcard announcement with conference details will be mailed soon
SATURDAY, JUNE 11, 2016
Annual Psychotherapy Conference
SAVE THE DATE
MPS Annual Meeting & Dinner
April 26, 2016
Please save the date for the MPS Annual Meeting & Dinner scheduled for Tuesday, April 26, 2016 at the Massachusetts Medical Society, the new home of the
Massachusetts Psychiatric Society. The cocktail reception will start at 5:30pm
and dinner will begin promptly at 6:30pm. A detailed postcard announcement
will be mailed soon. We look forward to welcoming the membership to our new
office space.
MPS Member Elected President of APA’s Women’s Caucus
Maureen Sayres Van Niel, MD, a member of MPS, was recently elected president of the
National Women’s Caucus of the American Psychiatric Association for a two-year term. The
caucus is a division of the APA Assembly and it represents the interests of the more than
13,000 women members of the APA. The caucus aims to address issues relevant to women
members, including providing ideas to those at district branches who would like to offer
special services for women members. If you have questions or ideas for national or local
women’s programs, please contact Dr. Van Niel at [email protected] or the MPS
CME Coordinator, Julie Kealey at [email protected].
781-237-8100
SAVE
ON YOUR APA/DB
MEMBERSHIP DUES
Looking for Ways to Save Time and
Money on Your Membership Dues?
Check Out These Ways to Save:
Lump Sum Dues—Pay a one-time amount for APA national
dues for your lifetime. Never worry about annual renewal
increases or invoices again. DB/SA dues continue to be
billed annually.
Scheduled Payment Plan—Have your APA and District Branch
dues automatically charged to your credit card in monthly,
quarterly, biannual, or annual installments. No interest or
service fees.
Couples Discount—If you are married to another APA
member (or live in the same household), share your print
copy of AJP and you’ll each get a 15% discount on your APA
national dues.
Ready to Start Saving?
Contact APA Member Services for
more information and to sign up.
781-237-8100
Call: 703-907-7300; 888-35-PSYCH
MPS Bulletin
- February 2016
10
BUSINESS SERVICES
BUSINESS
SERVICES
Hea
SPECIALIZED CREDENTIALING
SERVICES
LEGAL ADVICE
FOR PSYCHIATRISTS
Milton L. Kerstein, Esq.
Andrew L. Hyams, Esq.
Mr. Hyams, former General Counsel to the Bd.
of Reg. in Medicine, and Mr. Kerstein provide
legal services to psychiatrists and other health
professionals in the following areas:
• Licensing Board Complaints and Applications
• Medicare/Medicaid Audits
• Patient Confidentiality
• Provider and Employer Contracts
• Civil/Criminal Litigation
As a service to Bulletin readers, we offer one
free 15-minute consultation to discuss any general legal concerns.
Kerstein, Coren & Lichtenstein, LLP
60 Walnut Street, Wellesley, MA 02481
www.KCLwww.KCL-law.com
969--7139
(617) 969

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www.specializedbillingservices.com
THE
DEADLINE FOR
THE
DEADLINE
FORTHE
THE
JANUARY 2014
MPS
NEWSLETTER
IS
MARCH 2016
MPS
NEWSLETTER
IS
DECEMBER
15, 2013.
FEBRUARY
15,ADVERTISING
2016. FOR
FOR
ADDITIONAL
ADDITIONAL
ADVERTISING
INFORMATION,
PLEASE
CONTACT THE
INFORMATION, PLEASE CONTACT
MPS OFFICE AT: (781) 237-8100
THE MPS OFFICE AT (781) 237-8100
OR
OR
[email protected]
[email protected]
• PROVIDER CREDENTIALING
• APPLICATION PROCESS
Billing
Specialists, AND
Inc. • Healthcare
HEALTH PLAN
ENROLLMENT
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Providing Billing Services to the Mental Health Community
• NPI AND PROVIDER NUMBERS
• NATIONAL AND MULTI-STATE Billing. . .
SERVICES
• CAQH REGISTRY
It’s what MAINTENANCE
we do.
• STATE OF THE ART SOFTWARE
Every mental health
professional
needs
Please call
us to discuss
feea great
arrangements.
Credentialing
Services
are
priced
billing service. For over 15either by
application or on a monthly flat fee basis
Billing
dependingyears,
on the Healthcare
scope of services
requested.
Specialists has been
IN ADDITION TO OUR CREDENTIALING
exceptional
SERVICES,providing
WE OFFER
MEDICAL BILLING
SERVICES
TO to
PHYSICIANS,
HOSPITALS,
service
over 100 practices
GROUP PRACTICES, CLINICS, ETC.
in Massachusetts.
FOR CLIENTS WHO PURCHASE OUR
MEDICAL BILLING SERVICES, WE
OFFER
CREDENTIALING
AS PART OF
Contact
us for more information!
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PRACTICE Fax:
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Credentialing Services are priced either by
application PSYCHIATRIST
or on a monthly flat fee basis
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IN ADDITION
TO OUR
CREDENTIALING
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Psychiatric
Services
SERVICES, WE OFFER
MEDICALin BILLING
PSYCHIATRISTS:
Interested
flexible
SERVICES
TO PHYSICIANS,
hours,
competitive
pay rates, andHOSPITALS,
a schedule
GROUP
PRACTICES,
CLINICS, ETC. FOR
that
fits your
needs?
CLIENTS WHO PURCHASE OUR MEDICAL
Qualified
psychiatristsWEneeded
provide
BILLING SERVICES,
OFFERtoCREDENovernight,
weekend,
holiday
moonlightTIALING AS
PART OFand
THAT
PACKAGE.
ing coverage at area hospitals, clinics, and othMEDICINE,
THEinformation
REST.
erPRACTICE
psychiatric
facilities.WE
ForDO
more
please call Jessica D’Angio at (617)864-7452
US FOR MORE INFORMATION AT
orCALL
at [email protected]
(617) 244244-3322
STAFFwww.sbscincorporated.com/
PSYCHIATRIST POSTIONS.
Full and part-time positions are available for
ADULT PSYCHIATRISTS in our outpatient OF
clinicsFI
in Framingham,
Marlboro
C E SPACE
and satellites. Advocates is a full-service,
non-profit system serving individuals with
Brookline: and developmental disabilities
psychiatric
Attractive,
comfortable,
reasonably priced
and
other challenges
in quiet,
a strength-based,
3 suite office nearand
Coolidge
Corner has opening
person-centered
multi-disciplinary
for a fullExcellent
time or physicians
two 1/2 time
setting.
areclinicians
honored, as of
January
2014.a warm,
Street friendly
parking practice
and nearenT. Call
and
we offer
Jim Harburger
MD, is617-232-3822
vironment.
Compensation
competitive or
email
[email protected]
and
benefits
are available for 30 hours +.
Contact in confidence Chris Gordon, MD,
Medical Director at 508.628.6652 or at
[email protected]
PSYCHIATRISTS
ATTENDING PSYCHIATRIST
Tewksbury Hospital is looking for a full time
Tewksbury
Hospital The
is a Joint
Commisinpatient psychiatrist.
position
is on a DMH
sion
accredited
Department
of Public
intermediate
care unit
working with
a wide varieHealth
hospital
located
23 milesmental
ty of patients
with
severe about
and persistent
north
Boston,
MA
near
the intersecillness.ofNo
managed
care
or after-hours
on-call.
tion
of
Interstates
495
and
93.
Median LOS about 200 days. Competitive com-
pensation.
WorkChoices
with an excellent and personaTwo
Life Style
ble group of psychiatrists.
1. Salary: $210,000 base for board cerFor information
contact:
tified
psychiatrist
with 1-2 overnight
call
shifts
per month.
Anthony
Vagnucci,
MD Recent salary
increases,
generousTewksbury
signing bonus,
Chief of Psychiatry,
Hospitalexcellent
fringe x2863
benefits, generous allow978-851-7321
ance
for license and board certification
[email protected]
fees, CME fees and 6 weeks leave time
for full or part time psychiatrists. You
STAFF PSYCHIATRIST POSTIONS. Full
will
work on a DMH intermediate care
and part-time
positions
are available
ADULT
unit
where you
can treat
people for
with
PSYCHIATRISTS
in
our
outpatient
clinics
chronic persistent mental illness with in
Framingham,
satellites. Advocates
both
therapy Marlboro
as well asand
medication
due
Incthe
is median
a full-service,
non-profit
system
to
200 days
LOS. Work
withserving
individuals
andgroup
developmental
an
excellentwith
andpsychiatric
personable
of
disabilities and other challenges in a strengthpsychiatrists.
based, person-centered and multi-disciplinary
2.
Salary:
$185,350
same as
withand we
setting.
Excellent
physicians
areabove
honored,

no
overnight/weekend
call. environment.
offer
a warm, friendlyonpractice
Fax: 781-464-4896
7
ASK PHS - A Doctor I Am Treating Cannot Stop Drinking
Steve Adelman, MD – PHS Director
Question from a Central Massachusetts Psychiatrist: I’m a
general psychiatrist (not an addiction psychiatrist) and I am concerned about a physician patient of mine who has a serious drinking problem. I’d like to refer him to PHS for an assessment. I
think that he needs to connect up with other doctors in recovery
and he would probably benefit from a long-term monitoring program. We have been working together for several years (weekly
psychodynamic psychotherapy plus meds for dysthymia) and I am
worried that a referral to PHS would somehow rupture our longstanding, positive therapeutic relationship because I am not an addiction psychiatrist and PHS has reputation for referring its clients
to experts. I am also worried about jeopardizing this physician’s
medical license. Help!
The purpose of our recommendations is to help the physician
overcome his or her challenges in an enduring and lasting fashion, such that a substance use disorder or other significant health
challenge does not jeopardize the health and well-being of both
the physician and his or her patients. Although PHS sometimes
(but not always) recommends specialized treatment programs and
providers, we are very respectful of a physician’s longstanding
treatment relationships, and we always do everything possible to
strengthen and sustain ongoing treatment relationships in a collaborative fashion.
The best way to learn about PHS is to contact us whenever you
have relevant questions and concerns. Please feel free to draw
on our specialized experience and knowledge whenever you are
Answer: When physicians with serious drinking problems cannot treating physicians with challenges that have the potential to sidestop drinking either on their own, or with the help of an outpatient line them and sabotage their careers.
psychiatrist, it is typically only a matter of time before the drinking progresses to the point where it begins to interfere with the
doctor’s ability to practice medicine. It is of critical importance to I invite you to email me your questions about PHS. Please do
the physician, as well as to his patients, colleagues and loved ones, not send me any information about an identifiable physician colthat he stop drinking before alcohol begins impeding his ability to league or patient. If your question is of general interest, we may
deliver good medical care. Once active substance mis-use inter- answer it here in this column. Otherwise, I will respond to your
feres with a doctor’s performance at work, a cascade of adverse email individually. I can be reached at [email protected] or at
events may be set in motion, jeopardizing patient safety as well as 781-434-7404.
the physician’s professional viability.
-----------------------------------------------------------------------------This situation furnishes you with an opportunity to assist your
doctor-patient by collaborating with PHS. The first step is to con- Physician Health Services (PHS) is a nonprofit corporation of the
tact PHS to describe the situation at hand. At the time of that Massachusetts Medical Society, that provides a safe, confidential
phone call, we will tell you about our referral, intake and assess- environment designed to help identify, refer to treatment, guide
ment processes. There is no need for you to identify the physician and monitor the recovery of physicians and medical students with
at the time of this initial phone call. The goal of the phone call is health concerns.
acquaint you with what we do, and to help you assist your patient
by making the case that specialized help is available for him or her
at Physician Health Services.

What kind of help is available to this physician at PHS? A
Compensation
is competitive
and benefits
Contact
Anthony
Vagnucci,
MD, are
range of possibilities exists, and PHS will work with this phyavailable of
for 20Psychiatry,
hours +.
Chief
Tewksbury
sician, should he or she choose to make use of our services, to

Hospital,
978-851-7321
x2863,
explore a variety of options. At the very least, the physician may
Are you
Contact in confidence Chris Gordon, MD, Medi
[email protected]
contact PHS anonymously and hear directly about our confidencal
Director
at
508.628.6652
or
at
eligible
tial physician support groups. We will also describe what might
[email protected].
Tewksbury
Hospital
unfold
at
PHS
should
he
or
she
choose
to
come
in
for
an
intake
and interested
 appointment.
 at the Delaney House in Holyoke, Dr. Ben Liptzin will present
Half-time Psychiatrist (20 hours per
Cambridge Psychiatric Services
week)
          
in applying for
PSYCHIATRISTS:
Excellent
salary and fringe benefits,
We


 This talk
discussdesires
the potential
will 
schedule an intake
appointment
if thewill
physician
signing bonus and generous leave time
an in-person
and is willing
to identify himself
or herself.
roles for psychiatrists
asmeeting
Accountable
Care Organizations
develop
as a result of
Fellow
Interested in flexible hours, competitive pay
for
half-time psychiatrists. Positions
Knowing
the
name
of the
doctor simply
helpscare
us keep
trackallofover the
rates,
and
a
schedule
that
fits
your
needs?
the
Accountable
Care
Act
which
is
stimulating
health
reform
available on a DMH intermediate
or
things.
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D’Angio at 617-864-7452
of
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We will host a reception starting at 6 with dinner being served at 6:30PM. The
Contact the MPS Office.
or at [email protected]
Vagnucci,
MD, Chief of Psychiatry,
program will If
start
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mine the nature and severity of the problem, we use this additional
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med management.
in completing your application.
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recommendations
that are for
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Contact: Memorial
Peter W. Moran,
Ph.D.Center/
Cornerstone
assist thefor
physician
in overcoming
the challenges
at hand.
With pay by
University
of Massachusetts
the meal
and the CME
credits. You
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Behavioral Health,
469 Chandler Medical
St., Worcester, The cost is $25.00
the physician’s permission, we will share our recommendations
School
Department
of Psychiatry in
MA 01602
or [email protected]
check, cash or
credit card on Wednesday night.
with you.
Massachusetts Psychiatric Society ♦ 40 Washington Street,
Suite 201 ♦ Wellesley,
MASociety
02481-1802
Massachusetts
Psychiatric
PO Box 549154
781-237-8100 ♦ Fax: 781-237-7625 ♦ Email: [email protected] ♦ [email protected]
781-237-8100
9


781-237-8100
6
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Leaders In Professional Liability / Malpractice Insurance
Where Superior
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Join your colleagues who have chosen
to be represented by our professional
team, which is endorsed by the two
most prominent associations in your
profession - the American Psychiatric
Association and American Academy
of Child and Adolescent Psychiatry.
Superior protection provided by Allied World Assurance Company rated “A” by A.M. Best Co.
Access to a Risk Management Team during business hours and a 24/7 emergency hotline
Telepsychiatry, ECT coverage and Forensic Psychiatric Services are included
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Interest-Free Quarterly Payments / Credit Cards accepted
American Academy of
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Worcester, MA seeks a BC/BE Psychiatrist for its University
Hospital Outpatient Clinic. Candidates should have strong
academic credentials and sound clinical skills, and interest in
pursuing academic opportunities in either training or research.
An academic appointment, commensurate with experience, is
available. Interested applicants (J-1 and H-1B candidates are
welcome to apply) are encouraged to submit CVs and letters of
interest to: [email protected]
The Department of Psychiatry at UMass Memorial Health
Care is currently seeking a full time BC/BE Attending
Psychiatrist to join the team on the 27 bed adult inpatient unit at
UMass Memorial Medical Center, the academic teaching hospital
and clinical partner of the University of Massachusetts Medical
School. Primary duties involve direct clinical care and support
of the academic mission of the Department and the Medical
Center including educational responsibilities and the opportunity
to participate in research. The position provides the opportunity
for involvement in a full range of clinical and academic pursuits.
A faculty appointment, commensurate with experience, is also
available.
Come join Dr. Alan Brown, Vice Chairman of Clinical Services,
Dr. Douglas Ziedonis, Department Chair, and other prominent
members of the Psychiatry Department in their ongoing pursuit of
clinical and academic excellence. Interested candidates (J-1 and
H-1B candidates are welcome to apply) should submit CVs and
Letter of Intent to [email protected],
Attention: Kathleen Anderson. Candidates are also encouraged
to visit the Psychiatry Department’s website at: www.umassmed.
edu/psychiatry.
Behavioral Health Clinic Available Clinic consultant for hire
to establish outpatient Behavioral health practice or clinic for
11
Children, Adolescents, Adults. Experienced with all clinic regs,
Licensure, Joint Commission, BCBS, etc.
Available To set up entire practice with systems, from policies
And procedures to billing and accounting.
Please call Business Behavioral Health Network at
781-762-1419
Exciting opportunity for part-time substance abuse/mental
health practice in NORTH CONWAY, NH. Skiing, hiking,
biking, nature’s playground. Flexible schedule, $140/hr. with
guarantee of 6 hours/day. Will need Suboxone certification. Also
could have FULL-TIME private practice in same office to do
general mental health. Currently 2-3 month waiting list for adult
and child psychiatry services so market is wide open.
PathwaysforBetterLiving.com, 603-356-3400.
Family and Community Resources, Inc.
FCR seeks licensed, board certified psychiatrist
Family and Community Resources, Inc., a small non-profit trauma
and domestic violence focused mental health center is in need of
a P/T Psychiatrist/Medical Director for 8 hrs/week. Responsible
for providing patient diagnostics, medication management, staff
training as well as clinic coordination in conjunction with the
clinic director. Day(s) and hours flexible.
Qualifications:
Medical degree from an accredited school of medicine
Licensed in psychiatry in the state of Massachusetts
Board certified in Adult Psychiatry; Child Psychiatry a plus
Location: Brockton, MA
Please send CVs to: [email protected]
w w w . A A C A P . O R G
Boston Area Psychiatrist Reviewer – Consultant
Come join a well-established and outstanding group of psychiatrists providing utilization management
and case consultation in the Health and Medical Management division of Blue Cross Blue Shield of
Massachusetts. Our model of utilization management is one of collegial, respectful and consultative
interactions with psychiatrists, psychologists, social workers and other providers for promoting the
efficient use of evidence-based practices.
Blue Cross Blue Shield of Massachusetts is a highly successful HMO with a commitment to placing our
members’ health first. With our coverage reaching over 2.7 million members and an increasing behavioral
health concentration, we are seeking a physician reviewer to work part-time. We offer flexible hours and
will consider individuals with post-training clinical experience and Board Certification in general psychiatry.
Additional expertise and certification in addictions and or child/adolescent psychiatry are highly desirable.
Interested parties are encouraged to apply on our website at: www.bluecrossma.com/careers
or contact Heather Franey at: [email protected]
Our commitment to building a
diverse workplace is without question.
We are an Equal Opportunity Employer.
781-237-8100
Blue Cross Blue Shield of Massachusetts is an Independent
Licensee of the Blue Cross and Blue Shield Association
Child Psychiatrist Opportunity, Near Boston, MA
North Shore Medical Center (NSMC) has an exciting opportunity for a child psychiatrist to join a thriving and
growing psychiatric service in Salem, MA about 15 miles north of Boston. NSMC is part of the prestigious
Partners HealthCare System, and the Department of Psychiatry is closely aligned with the Massachusetts
General Hospital (MGH). The department provides a full spectrum of care, including adult inpatient psychiatry,
an older adult inpatient unit, a child inpatient unit, a partial hospitalization program, and several outpatient
clinics. Our department is also a hub for the Massachusetts Child Psychiatry Access Project (MCPAP), a grant
supported outpatient consultation service for area pediatricians. We have a vibrant educational program, and
teaching opportunities are available. Physicians in the department enjoy a collegial and supportive practice
environment.
Our department is presently engaged in creating a 120 bed “Center for Excellence” in collaboration with the
MGH Department of Psychiatry, which will include an expansion of outpatient services as well. Physicians
in the department can expect to be engaged and have input into the creation and design of this exciting new
program.
At present we have an opportunity for a Child Psychiatrist to join our group. There are opportunities for this
to be an inpatient or outpatient position, depending on the appropriate candidate’s interest and experience, and
matching this with Department needs. The call schedule is very reasonable and requires no in-house coverage.
A clinical appointment at MGH and the potential for a Harvard Medical School appointment are available for
the qualified candidate.
Interested candidates should forward their CV to Louis Caligiuri, Director of Physician Services at
[email protected].
781-237-8100
12
DEPARTMENT OF PSYCHIATRY –
MASSACHUSETTS GENERAL HOSPITAL –
HARVARD MEDICAL SCHOOL
Health Information Technology (HIT) is a broad term that has a slightly different meaning for each MPS member. At
this January’s inaugural meeting of the MPS HIT Committee, members each discussed what areas at the intersection of
psychiatry and technology most interested them. The diversity of responses ranging from encrypted text messages to
telepsychiatry, smartphone apps to electronic medical records, social media guidelines to sharing medical records was
impressive. Such diversity points towards the challenges of HIT, but also the opportunity for MPS to provide members
a forum to share, support, and learn about these various digital tools.
ATTENDING POSITIONS AND HOSPITALIST/
BEHAVIORAL HEALTH INTEGRATION
DEVELOPMENT PROGRAM
The MGH Department of Psychiatry has outstanding
attending opportunities in Emergency, Outpatient
(General and Specialty), Addictions, ConsultLiaison, and Inpatient Psychiatry. In addition the
department is pleased to announce a new Hospitalist/
Behavioral Health Integration Development Program
preparing candidates for leadership roles in inpatient
psychiatry and collaborative care in academic and
community settings. Rated among the leading
psychiatry departments by US News and World
Report, the Department is committed to excellence
in patient care, education, research and community
service. Candidates should be: board certified/board
eligible in Psychiatry and qualified for an academic
appointment at Harvard Medical School at the
rank of Instructor or above. Fellowship training in
relevant areas including addiction, consult-liaison,
neuropsychiatry, or geriatric psychiatry and a record of
scholarly productivity are highly desirable. Interested
individuals should apply to Jonathan E. Alpert MD
PhD, Associate Chief of Psychiatry (jalpert@mgh.
harvard.edu). The Massachusetts General Hospital
is an affirmative action/equal opportunity employer.
Minorities and women are strongly urged to apply.
Update from the Health Information Technology Committee
BAY COVE Human Services, Inc in Boston
is looking for a Community Psychiatrist. The
Community Psychiatrist will serve a diverse
population of individuals in various community
settings including the Michael J. Gill Mental Health
and Wellness Clinic, Center House Day Treatment,
and the Community Flexible Support (CBFS) system
of care which serves Department of Mental Health
(DMH) clients with serious mental illness. Qualified
applicants may become Tufts faculty for the teaching
of PGY III Tufts residents who rotate through Bay
Cove for their Community Psychiatry rotation. 1520 hours; no call. For more information about this
job opening, visit Baycove.org.
Just as HIT covers many different areas of technology, it also connects many areas of healthcare and psychiatry. At
our meeting questions arose about using electronic medical records for psychotherapy, smartphone apps in substance
abuse, and telepsychiatry to consult with new patients. While a list of HIT tools and resources for psychiatry would
be pages long, simply understanding that all these various technologies serve a common purpose of improving care is
more important.
In order to better learn what HIT means to MPS members, one initial role of the committee will be to conduct a survey
of the membership. Surveying MPS members about use, concerns, and questions regarding technology will ensure that
this new committee can be responsive and best help members. And in order to be most responsive, we will begin to fully
utilize the MPS website, www.psychiatry-mps.org, and make it your destination for resources and answers.
Another early project of the committee will be to develop guidelines to help in the evaluation of smartphone apps.
While it may be currently impossible to create a rating scale that is guaranteed to always find the best app, following
the right guidelines can help you avoid downloading digital snake oil. If there are any apps that you particularly like and
find helpful, we would love to hear from you as we begin identify the common elements of good apps.
Our next, and second, meeting will be on Thursday, February 25th. As always, we encourage all MPS members
to attend regardless of experience with technology. In the meantime, be sure to visit the MPS website frequently
for updates and the latest information.
PSYCHIATRY POSITIONS
Beth Israel Deaconess Medical Center in Boston, a 500+ bed tertiary care teaching hospital of Harvard Medical
School, is recruiting staff psychiatrists for positions on the Consultation-Liaison Service and Inpatient Service.
In addition, moonlighting opportunities are available on both services. The Department of Psychiatry is a major
teaching site for Harvard Medical School and the Harvard Longwood Psychiatry Residency Training Program;
positions will include opportunities for teaching medical students and residents. Underrepresented minorities
are encouraged to apply. Harvard Medical School appointment at an appropriate rank is available.
1. STAFF PSYCHIATRIST ON THE INPATIENT PSYCHIATRY UNIT. This is a full-time position
within the Department of Psychiatry that includes clinical care, teaching, and supervision on an active 25
bed inpatient teaching unit.
2. STAFF PSYCHIATRIST ON THE PSYCHIATRIC CONSULTATION SERVICE. This is a half-time
position within the Department of Psychiatry that includes clinical care, teaching, and supervision on a busy
service that sees 2200 Emergency Department and 1000 Inpatient Medical-Surgical consultations annually.
Certification (or eligibility) in Psychosomatic Medicine is desirable.
3. ATTENDING PSYCHIATRISTS FOR WEEKEND AND HOLIDAY COVERAGE OF THE
INPATIENT PSYCHIATRY UNIT AND THE PSYCHIATRIC CONSULTATION SERVICE. Must
have a full license and be board-certified. Coverage includes morning rounds onsite and off-site telephone
backup to the resident.
Please send a letter of interest and CV to William Greenberg, MD, Chief of Psychiatry, by email:
[email protected].
781-237-8100
Public Sector Inpatient Psychiatrist
Unique opportunity at the Lemuel Shattuck Hospital for a full time inpatient
psychiatrist to provide continuing care to Boston Metropolitan Area DMH
patients within an urban public health general teaching hospital. Join an
expert, collegial group of colleagues. Teaching and mentoring opportunities
and academic appointment at Tufts potentially available. No weekend or
night call. This is a State Block, union position. Contact Audrey GrahamSmith by fax 617-971-3195 to apply or Dr. Amy Lisser, Chief of Psychiatry
Shattuck Hospital for further information 617-971-3177.
An Equal Opportunity/Affirmative Action Employer. Females, minorities,
veterans and persons with disabilities are strongly encouraged to apply.
781-237-8100
4
13
mission oversees truthfulness in advertising. The legal category
of “dietary supplement” is defined in the Dietary Supplement
Health and Education Act of 1994 as “a product (other than tobacco) intended to supplement the diet that bears or contains one
or more of the following dietary ingredients: (A) a vitamin; (B)
a mineral; (C) an herb or other botanical; (D) an amino acid; (E)
a dietary substance for use by man to supplement the diet by increasing the total dietary intake; or (F) a concentrate, metabolite,
constituent, extract, or combination of any ingredient described in
clause (A), (B), (C), (D), or (E).”
(https://ods.od.nih.gov/About/DSHEA_Wording.aspx). By law,
supplement labeling “may not claim to diagnose, mitigate, treat,
cure, or prevent a specific disease or class of diseases,” but a stroll
through any natural food store or GMC will illustrate how intelligently manufacturers have dealt with this limitation.
–
German Commission E ( http://cms.herbalgram.org/
commissione/index.html)
–
American Herbal Pharmacopoeia ( http://www.herbal-
ahp.org/order_online.htm)
–
American Botanical Council ( http://abc.herbalgram.
org/site/PageServer)
–ConsumerLab.com
Liability also might be a concern when going off-book with treatment recommendations. In a nutshell, the liability issues are almost exactly the same for dietary supplements as for regular drugs.
There must be a thorough diagnostic evaluation; there must be
evidence behind the treatment recommendations; there must not
be neglect of standard treatments; and there must be careful and
well documented informed consent.
The 1994 law was written to bring supplement regulation more
in line with the standard for food than for drugs. But what happens when a “mineral,” “herb,” or “botanical” is actually as effective, or as dangerous, as a prescription drug? Not much. Like
food, dietary supplements do not have to demonstrate any efficacy
or safety prior to marketing, and can only be removed from the
market if the FDA shoulders the burden of proof that the supplement is harmful. Ingredient amount and quality is not monitored
as closely as with drugs, and dietary supplement manufacturers
are allowed to keep the exact amounts of each ingredient in their
preparations as proprietary information. Thus, we have a market where some plant-based medicines are regulated as food, and
some as drugs.
What supplements to recommend is in many ways beyond the
scope of a short newsletter column. I will end, however, with a
few suggestions, compliments of Dr. Barry Fogel:
1. Give huperzine A (200 micrograms QD or BID) to mitigate
anticholinergic side effects of various prescription psychotropics.
2. Give methylfolate supplementation to people on lamotrigine,
to mitigate executive dysfunction related to central effects of
inhibited folate metabolism.
3. Give curcumin to people with atypical depression with somatic symptoms suggesting chronic inflammation – either
alone or to augment SSRIs. Dr. Fogel sent me six articles on
curcumin, and the evidence is indeed strong.
Nevertheless – I have come to think that we should consider dietary supplements as part of our psychiatric tool kit. Although I
have only been a doctor for 4.5 years and my board certification
is as new as it gets, I have already experienced the intense frustration and helplessness of treating patients who just do not get
better. This year, I have a supervisor, Dr. Barry Fogel, who is a
bit of a Renaissance man. If I were to try to summarize his curriculum vitae, I would not do it justice, so I will simply state that
he is a Harvard and Brigham affiliated neurologist and psychiatrist
who teaches, does clinical work, writes books, and has started a
few companies. Along with Dr. Donna Greenberg, he edited an
enormous book published last year called “Psychiatric Care of the
Medical Patient.” Kindle informs me that the typical time to read
this 1,812 page book is 119 hours and 57 minutes. Needless to
say, it is quite thorough, and it is extremely high quality writing.
In supervision the past six months, Dr. Fogel has regularly been
encouraging me to push boundaries in considering how to help
patients. For instance, on his advice I ordered psychotropic pharmacogenomic testing for two of my patients, and it was surprisingly helpful.
In sum, it seems that complimentary/alternative and traditional/
Western remedies are divided more by culture than science, and
the division is getting outdated. I have come around from a rather
anti-alternative medicine stance to carefully adding dietary supplements to the list of treatments I have to offer patients, and I
have so far been pleasantly surprised at the amount and quality
of research available to support some non-prescription remedies.
If this article has piqued your interest in the topic of supplements,
I recommend this chapter in Dr. Fogel’s book:
Gerbarg, Patricia L. & Brown, Richard P. (2015). Therapeutic
Nutrients, Herbs, and Hormones. In Fogel, Barry & Greenberg,
Donna (Eds.), Psychiatric Care of the Medical Patient (chapter
28).. New York, NY: Oxford University Press.
Dr. Fogel has opened my mind to the use of dietary supplements
in psychiatry. However, safety has been my biggest concern in
recommending any dietary supplements to my patients, even vitamins. Despite the limitations of government regulation in the
United States, which is paltry compared to, say, Germany or Canada, there are several reliable resources for checking on the safety
of specific supplements:
–
FDA website (www.fda.gov/Food/Dietary Supplements/
Alerts)
–
“Alerts and Advisories” section of the National Center for Complementary and Alternative medicine (www.nc
cam.nih.gov/news/alerts)
–
Dietary Supplement Labels Database at The National Institute of Health National Library of Medicine (www.
dietarysupplements.nlm.nih.gov/dietary)
781-237-8100
Boston University School of Medicine/Boston Medical Center
Department of Psychiatry
The Boston University School of Medicine/Boston Medical Center Department of Psychiatry seeking Child
Adolescent Psychiatrist
Child/Adolescent Psychiatrist: Full or part-time position for a dynamic program in the Division of Child and
Adolescent Psychiatry. Responsibilities include patient care in the outpatient setting, clinical consultation to the
pediatric emergency department and pediatric units, and teaching of residents, medical students and trainees in
psychiatry, psychology, social work and mental health counseling. Opportunities are also available for research. This
position could include leadership activities for the qualified applicant. The successful applicant will wish to participate
in the shaping of a child-centered, family-focused, culturally competent, community-linked child psychiatry program
targeted at the needs of Boston’s most vulnerable children. Applicants must be board eligible or certified in child and
adolescent psychiatry.
Boston Medical Center is a private, not-for-profit, 482 bed academic medical center serving a diverse, multicultural
patient population. Boston Medical Center is the largest safety net hospital in New England and is dedicated to
providing accessible health care. As the main teaching affiliate of Boston University School of Medicine, Boston
Medical Center is devoted to training future generations of health care professionals.
Interested applicants should send a letter detailing relevant experience and a current CV to Lisa Fortuna, MD, Medical
Director, Child and Adolescent Psychiatry, c/o BU Psychiatry, 85 E. Newton Street, Suite 802, Boston, MA 02118 or by
email to [email protected]
Academic appointment is commensurate with experience. Salary is competitive and benefits are excellent. Boston
University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action employer.
The Boston University Medical Center Community Psychiatry Fellowship
The Boston University Medical Center Community Psychiatry Fellowship is a half-time clinical training
experience to expand a fellow’s knowledge base of community psychiatry. The fellowship may be combined
with a Master of Public Health from Boston University School of Public Health with tuition support. The
program is designed with the interest of the fellow with rotations in many areas of public psychiatry including
the Boston Emergency Service Team (urgent care, community based assessment, jail diversion, emergency
psychiatry at Boston Medical Center), outpatient community services, intermediate care, policy development
through DMH Central Office, and an elective. The goal of the fellowship is to develop leaders in community
and public psychiatry.
Eligibility
Graduates or PGY4 residents from an ACGME accredited psychiatry residency program are eligible to apply
to the fellowship. Applicants must possess a full or limited Massachusetts Medical License by the time the
program commences in July.
Application Process
Please send a CV and cover letter addressed to David Henderson MD, Interim Program Director, Community
Psychiatry Fellowship and Chair, Department of Psychiatry, c/o Joan Taglieri, 85 East Newton Street, Suite
802, Boston, MA 02118 or email to [email protected].
Boston University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action
employer.
781-237-8100
14
BC/BE Child and Adult Psychiatrists Needed In Our
Affiliated Community Mental Health Centers
Both full- and part-time physician leadership and staff
physician opportunities are currently available in our
community mental health center in Central MA.
Medical Director
Job Summary: The Medical Director is responsible for
overall management of all medical matters for the North
Suffolk Mental Health Association. Ensures continuous
Quality Improvement of all Medical matters and standards
for the Agency. Reports to the Chief Executive Director
(CEO). Works closely with the Chief Operating Officer
(COO), Director of Compliance and Quality Improvement,
all Senior Managers, the Department of Mental Health
Medical Director and the Massachusetts General Hospital
Department of Psychiatry.
POSITION REQUIREMENTS:
Education and Experience Required:
Five years of professional experience, current and valid
registration as a physician under the Massachusetts Board
of Registration in Medicine. Board Certified by the
American Board of Psychiatry.
License to practice medicine in the Commonwealth of
Massachusetts; five years of clinical experience and
prior demonstrated competency in management and
administrative roles. Board certification in Psychiatry.
Addictions experience required. Experience in community
and public sector mental health required. Buprenorphine
waiver preferred. Please contact : Jason Romano
Phone: 617.912.7917 - Fax: 617.912.7971
[email protected]
Community Healthlink (CHL) is a dynamic, multi-service
organization committed to establishing, maintaining and
restoring the dignity, well being and overall mental health
of individuals and families in Central MA. It provides a
wide range of services to individuals suffering from mental
illness, developmental disabilities and substance abuse
issues, including youth and family services, residential
services, adult outpatient services, and homeless and
inpatient services. CHL is staffed by a mission oriented,
multi-disciplinary team of psychiatrists, psychologists,
nurses, social workers and other dedicated health care
providers all committed to providing comprehensive,
high quality care. Come join the dedicated team of
professionals at CHL and help make a difference in the
lives of some of Central Massachusetts’ most challenged
individuals and families.
CHL psychiatrists receive competitive salaries and
comprehensive benefits packages. Faculty appointments,
commensurate with training and experience, are available
as well, as is the opportunity to teach UMass Medical
Students, Residents and Fellows.
For additional information about CHL, please
visit our website: www.communityhealthlink.org.
Interested candidates (J-1 and H-1B candidates are
welcome to apply) are encouraged to submit their
CVs and letters of interest to: Kathy Anderson at:
[email protected].
Arbour Hospital, Arbour-Fuller Hospital, and Pembroke Hospital have outstanding
opportunities for
themselves and often forego treatment
or go out of network.
2. Disparate rates of denial. NAMI reports that mental health and substance
abuse treatment is denied at twice
the rate of medical and surgical treatments. The criteria for medical necessity are often arbitrary and opaque.
Prior authorization is required for
admission and treatment for mental
health and substance abuse in ways
without parallel in the medical and
surgical realms.
3. Disparate pharmacy benefit management. Narrow formularies, in particular restricting antipsychotics, are
combined with fail first or step therapy requirements and tier 3 copays to
make it difficult or impossible for patients to receive essential psychiatric
medications in a timely and affordable
manner.
The Problem of Enforcement
Parity legislation has created a regulatory
framework that is highly complex and
requires heavy-duty data analysis. For
MHPAEA a parity analysis involves six
classifications (inpatient in network, inpatient out of network, outpatient in network,
outpatient out of network, emergency care,
and prescription drugs). Any type of financial or treatment limitation for mental
health must apply to substantially all (defined as 2/3) medical and surgical benefits
in that classification, and the level of the
limitation can be no more restrictive than
the predominant level (that applying to half
or more of the medical and surgical benefits) in that classification. It is not feasible
for a patient or provider to obtain and parse
the data essential for a parity analysis.
There has also been a fragmentation of responsibility for parity enforcement. If a
parity complaint involves a fully insured
group plan or an individual policy, patients
or providers would go to the Massachusetts
Department of Insurance; for MassHealth
they would go to the MassHealth Customer
Service; for a self-insured employer plan
they would go to the United States Department of Labor. The US Department
of Health and Human Services also has a
share of the enforcement responsibility.
To this end, MPS has been meeting with
state and federal officials to raise our concerns and advocate more assertive and coordinated enforcement of parity. We have
filed legislation to require transparency and
establish a data clearinghouse. We have
joined with other professional and consumer organizations in the Mental Health
Parity Coalition to promote parity. We ask
you to report to us specifics of disparities
we can use to make the case with legislators and officials. Parity is closer, but we
have work to do.
In the face of such complexity and fragmentation, we need
1. disclosure and transparency of health Rohn S. Friedman, MD
plan policies and decision-making, President,
including clear descriptions of ben- Massachusetts Psychiatric Society
efits, medical necessity criteria, prior
authorization policies, and reasons for
denials
2. public reporting of data, making information such as the number of physicians in each specialty in a plan’s
network, the number of claims filed
by each, the rates of denial and of outof-network claims for med-surg and
MHSA services, and medical necessity criteria readily available
3. a central clearinghouse which can collect this data, have the expertise to do
the necessary data analysis, and unite
or coordinate the fragmented enforcers
Inpatient Psychiatrists
Arbour Health System provides a
continuum of care that includes
evaluation, crisis stabilization
and treatment for children,
adolescents and adults with
mental illness, dual diagnosis
and/or addiction disorders.
All hospitals are accredited
by The Joint Commission and
licensed by the Massachusetts
Department of Mental Health.
www.arbourhealth.com
Enjoy highly competitive compensation and benefits, a schedule that allows for work-life
balance, and the stability of working for the largest private mental health system in
Massachusetts.
• Reasonable caseload
• Weekday schedule with no call or weekend work required
• Paid moonlighting available for additional compensation
• A benefits package that includes: health and dental insurance, retirement savings
with company match, paid time off including CME allowance
Arbour Hospital is a 136-bed psychiatric hospital in the Jamaica Plain section of Boston.
The hospital has inpatient units for adolescents and adults including a dedicated unit for
substance abuse/dual diagnosis and a high intensity unit. The Quincy Center, a satellite of
Arbour Hospital, has an adult psychiatric unit. The hospital also offers partial hospitalization
programs, outpatient and community-based services.
Arbour-Fuller Hospital is a 103-bed hospital in South Attleboro, Massachusetts. Inpatient
units treat adolescents and adults. The hospital also has an adult inpatient intellectual disabilities specialty unit as well as an adult acute residential treatment program. The hospital
also offers an adult partial hospitalization program and community-based services.
Pembroke Hospital in Pembroke, Massachusetts, is a 120-bed psychiatric hospital with
services include adolescent, adult and older adult inpatient as well as partial hospitalization
programs for adolescents and adults. Inpatient and outpatient electro-convulsive therapy
services are available. The hospital is currently recruiting for adult psychiatrists including
those with addictions or geropsychiatry specialties.
MPS IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS
General Member:
Bibi Alamiri, MD
Jon Wesley Boyd, MD
David John Dybdal, MD
David Fish, MD
Uma Naidoo, MD
James Mathew Recht, MD Steven Schlozman, MD
Resident Fellow Member:
Mitchell Crawford, MD
David Sturman, MD
Anna Weissman, MD
Transfer In:
Yadira Alonso, MD
Teresita G. Balderas, MD
Kara Brown, MD
Michelle Chaney, MD
Amber Frank, MD
Stephanie Hernandez, DO
Marcela V. Horvitz-Lennon, MD
For more information on these or other openings, contact the Office of Physician
Recruitment by phone: 617-390-1224, or e-mail: [email protected]
781-237-8100
781-237-8100
PO Box 549154
Phone: 781-237-8100
Fax: 781-464-4896
RESIDENT FELLOW MEMBER
CORNER
Rohn S. Friedman, M.D.
President
Mark J. Hauser, M.D.
President-Elect
Gregory G. Harris, M.D., MPH
Immediate Past-President
Secretary
Bruce Black, M.D.
Treasurer
Gary Chinman, M.D.
Sr. APA Representative 2015-2016
Patrick Aquino, M.D.
John Bradley, M.D.
Michelle Durham, M.D., MPH
Marshall Forstein, M.D.
2015-2018
Astrid Derosiers, M.D.
2014—2017
David Gitlin, M.D.
2014-2017
Eran D. Metzger, M.D.
2015-2018
Arthur Papas, M.D.
2013-2016
Pedro Politzer, M.D.
2014-2016
RESIDENT FELLOW MEMBERS
2015-2017
Marc A. Whaley, M.D.
President
Donald A. Smith, M.D.
President
M. Cornelia Cremens, M.D., MPH
Lynda Layer, CAE
Administrative Director
Mayuri Patel
Coordinator, Member Relations
Julie Kealey
Continuing Medical
Education Coordinator
Complimenting the Alternatives (or, Think- also a reality of the world in which we practice.
ing Differently About Supplements)
An early experience in my pre-medical years hit
this point home. I visited a clinic in Ecuador
As long as we choose treatments with good which was lauded at the time as a successful inscientific evidence, it is illogical and does our tegrative medical setting. It was largely funded
patients a disservice to limit our recommenda- by US money. The menu – and yes, it was a
tions based on preconceived notions of what is menu, on a board with names of treatments and
a drug. But, I have approached the subject of prices – was divided into two halves: Western
dietary supplements warily.
and traditional. The halves were equal in length
with similar prices, most set at around a week’s
To start, I must admit that I am not a fan of the wages for a typical lower middle class resident
labels “integrative,” “alternative,” or “compli- of the region. I sat in on two traditional medimentary” medicine. These terms imply one of cine sessions. The first was fairly benign. The
two things: (1) there is not enough evidence to practitioner had a dimly lit small office filled
support the use of the treatment in mainstream with herbs, some of which she chewed in a
medicine, or (2) medical doctors are too closed- complicated procedure involving chanting and,
minded to use the treatment despite strong evi- as a finale, she sprayed a fine mist of herbaldence of efficacy, necessitating naturopathic ized spittle at the patient. The second was, to
and other “alternative” practitioners to pick me, horrifying. A middle aged woman came in
up the slack. Both implications are equally with her family, and the practitioner sat her on a
problematic. I do not want to be prescribing a chair in the center of a large, sparse room with
medication that has not been adequately stud- a tile floor. He took a live guinea pig, held it
ied, and I also do not want to believe that a just under its head, and began walking around
well-supported treatment would be rejected by the woman in the chair, shaking the guinea pig
“Western medicine” just because it is perceived vigorously while intoning words. The guinea
to be from a certain category (natural? herbal?). pig squealed in terror, but in a minute its neck
Of course, like all medical traditions, “Western snapped, at which point the practitioner pulled
medicine” has a long history of using remedies over a utilitarian plastic bucket and began cutfrom plants. I’m sure everyone reading this ting the skin off the guinea pig, making a show
will be able to think of an example, but here are of examining the animal’s body carefully while
two: aspirin is an archetypal tree-based medi- asking the patient a very normal set of questions
cine, originally used in ancient Egypt and now to get a history of presenting illness. He later
solidly in the realm of the mainstream, and opi- explained to me that he used the blood clotting
um is from poppies, first cultivated in ancient in the corpse as clues to the location of the paMesopotamia. Likewise, I think it is a problem tient’s malady. He told her she had a liver probof lack of education and misleading marketing lem and sent her for a blood draw. Naturally, I
when certain chemicals are labeled as “natural,” did not leave that clinic with a very positive imwith the implication that they are somehow in- pression of alternative treatments. The kicker?
trinsically safe (especially with rounded green Every practitioner in that clinic, Western or trafont and leaf-shapes slipped into the lettering). ditional in label, wore thigh-length white coats.
Again, examples abound of dangerous “natural” chemicals, but I think about the “natural” I am honestly not sure, these days, where the
poisons arsenic, cyanide, and botulism toxin. I line is drawn between complimentary/alternacringe at the word “natural” when considering tive and traditional/Western. Diet advice from
the history of medicine, particularly the “natu- MD’s (Mediterranean, plant-based, etc) and
ral” rate of death from childbirth and the “natu- referrals to nutritionists are common. Vitamin
ral” amount of pain people used to suffer from B12 levels are a standard part of a depression
chronic, relatively minor injuries and illnesses, workup. Melatonin is utilized by primary care
like infections and tooth decay. Historical lists physicians and sleep specialists alike (and I preof causes of death are morbidly fascinating
scribe it often). It seems that more and more
(see:http://thesocietypages.org/socimag- dietary supplements have made their way into
es/2012/06/25/historical-changes-in-causes-of- standard, mainstream practice, with strong evideath/).
dence behind them, like folic acid, omega-3 and
-6 fatty acids, and DHA. In the meantime, the
The division between Western/mainstream/ law has not caught up. In theory, the FDA monstandard and complimentary/alternative is arbi- itors the safety and labeling accuracy of dietary
trary, and in my opinion highly faulty, but it is supplements, and the US Federal Trade Com-
Lahey Health Behavioral Services | Lahey Hospital & Medical Center
Exciting Opportunities
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Lahey Health Behavioral Services provides comprehensive mental health services in
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Opportunities
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We are seeking BE/BC psychiatrists interested in joining our team of fulland part-time providers. Providers in outpatient settings provide individual
assessments, family interventions and individual/group psychopharmacological
treatment. They consult with PCPs, pediatricians, schools and other behavioral health
and human services providers, as well as provide supervision to nurse practitioners.
Opportunities also exist for psychiatrists with addiction treatment expertise to provide
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candidates will be fellowship trained in addiction psychiatry, but other medical specialties with
addictions experience will be considered.
Full-time Psychiatrist, Adult Inpatient
BayRidge Hospital; Lynn, Massachusetts
We are seeking a full-time BE/BC psychiatrist for the admission
unit who will primarily work up newly admitted patients with no
responsibility for ongoing patient care. This Monday-Friday position
offers predictable hours and no required night call.
Full-time Psychiatrists, Adult Outpatient
Lahey Hospital & Medical Center;
Burlington, Massachusetts
We are seeking candidates for our outpatient adult practice,
with consultation-liaison service responsibilities as well. The
Department of Psychiatry includes a strong multi-disciplinary
team of psychiatrists, clinical psychologists, clinical nurse
specialists and licensed clinical social workers.
Beverly Hospital; Beverly Massachusetts
We are seeking candidates for Medical Director of our Beverly
Hospital site, which includes an 18-bed medically oriented
inpatient unit, consultation liaison service and a partial hospital
program at a 200+-bed hospital that is ranked among the top
100 hospitals by Truven Health. Clinical duties will be primarily on
consultation liaison service. Candidates must be board certified
with more than five years’ experience. Consultative liaison
fellowship training is a plus.
Moonlighting Opportunities
Lucrative night and weekend psychiatric call opportunities are
available at BayRidge, Beverly and Addison Gilbert Hospitals.
For consideration or more information contact:
Kate Schnabel, Senior Physician Recruiter, Lahey Health • 781.744.5193 • [email protected]
Learn more at LaheyHealth.org/Careers
(continued on page 4)
781-237-8100
Medical Director,
Beverly Hospital Psychiatry
781-237-8100
Committee for Women
MASSACHUSETTS
PSYCHIATRIC SOCIETY
PO Box 549154
ADDRESS SERVICE REQUESTED
Issue 139 November/December 2013
Issue
139 November/December
2013
Issue
February 2016
Issue
139160
November/December
2013
FROM THE PRESIDENT
Membership: Joining in!
Membership: Joining
Joining
in! and Parity: Are We Getting Closer?
Coverage
in!
Membership:
What does a professional society provide to its overlapped. One of the more exciting develop-
November 15, 2013 at 12:00 NOON at MPS
Rohn S. Friedman, MD
[email protected]
SEMPS - Risk Management w/Jim Hilliard
February 3, 2016 at 6:00 PM at Alberto’s, 360 Main Street,
Hyannis MA
[email protected]
Chairs and Council
February 9, 2016 at 6:30 PM at MMS - Berkshire 1st Floor
[email protected]
Awards Committee
February 10, 2016 at 7:00 PM at MMS - Middlesex West 3st
Floor
[email protected]
February 16, 2016 at 6:30 PM at MMS - Middlesex 2st Floor
[email protected]
WMPS - “Can Examination of (Haitian) Vodou in Different Light Open Doors of Potential
Collaboration Long Closed in The Mental
Health Field?” w/Jennifer Severe, MD
February 17, 2016 at 6:00 PM at Delaney House, Holyoke
MA
[email protected]
Executive Committee
February 23, 2016 at 6:30 PM at MMS - Middlesex Central
2st Floor
[email protected]
Health Information Technology Committee
February 25, 2016 at 6:30 PM at MMS - Room TBD
[email protected]
Council
March 8, 2016 at 6:30 PM at MMS - Charles River 1st Floor
[email protected]
2016 Risk Avoidance and Risk Management
Update
March 12, 2016 from 8:30 AM to 3:30 PM at MMS
[email protected]
March 15, 2016 at 6:30 PM at MMS - Middlesex 2st Floor
[email protected]
Public Sector Committee
March 17, 2016 at 7:00 PM at MMS - Room TBD
[email protected]
Executive Committee
March 22, 2016 at 6:30 PM at MMS - Middlesex Central 2st
Floor
[email protected]
members?
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much
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psychiatry
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(Continued on page 3)
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(continued
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3)
From the President ............................................................... 1
Fromthe
thePresident
President...............................................................
............................................................... 11
From
MIT
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From
the President
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MIT
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2
MIT
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Managed
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Resident
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.......................................................224
ManagedCare
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.......................................................... 4
Managed
MPSC/L
New
Members.............................................................3
MPS
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Meeting Update ................................. 45
MPSC/L
C/LCommittee
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MeetingUpdate
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................................. 55
MPS
from HIT
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InUpdate
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............................................................ 66
In
MPS Veterans Resources Committee Meeting Update ...... 7
MPSVeterans
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...... 77
MPS
MPS
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9
Ask PHS
- Steve ....................................................................
Adelman, MD...........................................7
MPS
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....................................................................
99
MPS
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.............................................................. 14
MPSClassifieds
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.............................................................. 14
MPS
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16
MPS
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16
MPS
MPSCalendar
Calendar.......................................................................
....................................................................1616

February 2016 - Massachusetts Psychiatric Society

Transcription

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