Pre-requisite: Open to Family Medicine residents PGY2 or above
Duration for Elective: 4 weeks
Rotation Director: Lisa Miller, MD
Educational Objective
To Provide the GME learner with a rural addiction medicine outpatient and inpatient practice experience embedded in a multi-physician and nurse practitioner primary care practice. Western Maine Comprehensive Addiction Medicine (CAM) Program is a specialty consult service located in Western Maine. Western Maine Primary Care is an opioid health home, a level three patient centered medical home (PCMH) and a designated Rural Health Center.
Experiences and Procedures
- Our service, which consists of one physician, one advance practice professional, a behavioral health clinician and two peer support specialists, is committed to providing evidenced based quality care; advancing education of health care providers including residents and medical students; and participating in translational research
- Work with a fellowship trained and dual boarded family and addiction medicine physician providing consults on patients that include comprehensive assessments and development of treatment plans for all substance use disorders (opioid, stimulant, alcohol, cannabis, nicotine)
- Provide Hepatitis C treatment and follow up
- Provide perinatal substance use treatment partnering with the Maine MOM program
- Provide inpatient consults for substance use disorder and related complications for patients admitted at Stephen’s Memorial Hospital; a 32 bed critical access hospital
- Initiate and sustain preventative care for patients with complex substance use disorders
- Attend recovery groups that occur on site multiple times per week
- Learn about and coordinate higher level of care referrals ie to inpatient withdrawal management, intensive outpatient programming (IOP), partial hospitalization programming, psychiatry and/or methadone
- Manage opioid use disorder through the use of long acting medication options including naltrexone and long acting injectable buprenorphine
- Work with several family medicine physicians who provide medication for opioid use disorder (MOUD) services to patients with opioid use disorder prescribing and monitoring Suboxone (buprenorphine-naloxone) treatment
- Incorporate preventative/primary care and chronic disease management into the overall care of those patients with complex substance use disorders
Housing
Western Maine Health is associated with Stephens Memorial Hospital. Limited housing is available on the Stephens Memorial Campus on a first-come first-served basis.
Job Openings
MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org
