Elective Information – Palliative Care at Pen Bay Medical Center

Pre-requisite: PGY2 or above in any discipline

Duration for Elective: 2 weeks

Rotation Directors: Marjorie Zyirek-Bacon, MD

Contact MERGE to sign up for this elective rotation

Educational Objective

To provide the GME learner with clinical experience in rural palliative inpatient, outpatient, and home-based palliative care as well as inpatient and home hospice. 

Experiences and Procedures

  • Work with an interdisciplinary team, consisting of two fellowship trained physicians, a social worker, and a hospice chaplain.
  • Provide inpatient palliative care consults at Waldo Hospital and Pen Bay Hospital.
  • Round at Sussman Hospice House.
  • See ambulatory palliative patients in clinic.
  • Participate in home based palliative care visits.
  • Attend educational team meetings as timing allows including: weekly Interdisciplinary Team Discussion (IDT), monthly bereavement meeting, monthly oncology case presentations, monthly ethics meeting.

Housing

Depending on the season, this rotation may have housing available at no cost to the learner. When housing is not available through the rotation, residents may be reimbursed for housing expenses by the MERGE Collaborative. See the MERGE Housing Reimbursement Policy for more information.

Pen Bay Medical Center

Pen Bay Medical Center

Jackman Community Health Center

  • Elective Educational Objective: To provide the GME learner with clinical experience in an isolated rural primary care medical practice with unique additional exposure to acute emergent care, as the nearest emergency departments are 60-90 minutes away, and tertiary care is 2.5 hours away.
  • Rotation Director: Patricia Doyle, MD
  • Rotation Requirements: PGY2 and above
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Jackman Community Health Center

Franklin Memorial Hospital - Hospitalist IM

  • Elective Educational Objective: To provide the opportunity for rural inpatient care in a 65-bed hospital. Residents will work closely with a hospitalist providing evidence-based quality care in an acute care in a rural hospital setting including managing patients both on the ward as well as in our 4-bed intensive care unit.
  • Rotation Director: Nick Perros, MD
  • Rotation Requirements: Mid-PGY2 or above, Internal Medicine or Family Medicine
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply
Franklin Health filer

Blue Hill Primary Care

  • Elective Educational Objective: To provide the GME learner with a modern rural general family medicine outpatient practice experience with an interprofessional team of Physicians, Nurse Practitioners, Physician Assistants, Nurses, Licensed Clinical Social Workers, and Diabetes Educators affiliated with a Critical Access Hospital on the Coast of Maine.
  • Rotation Director: Mike Murnick, MD
  • Rotation Requirements: PGY2 and above
  • Open Job Opportunities: Family Medicine Physician (2)
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Blue Hill Hospital

Megunticook Family Medicine – Direct Primary Care

  • Elective Educational Objective: To provide the GME learner with experience in solo or small, rural, general family medicine, Direct Primary Care (DPC) practice. Megunticook Family Medicine has been an independent DPC practice since 2015.
  • Rotation Director: Brian Pierce, MD
  • Rotation Requirements: PGY2 and above
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Megunticook Family Medicine

HealthReach Community Health Centers – Geriatrics

  • Elective Educational Objective: To provide the GME learner with clinical experience in care of older adults in a primary care setting, with a particular focus on the diagnosis and management of cognitive impairment. Rotation will include Clinical experience working with patients and families affected by common geriatric syndromes (polypharmacy, advanced comorbid illness, falls/frailty, cognitive impairment, etc), as well as experience in promoting wellness in older adults. Residents will perform focused consultation for cognitive impairment/evaluation of dementia.
  • Rotation Director: Amy Madden, MD
  • Rotation Requirements: PGY2 and above
  • Job Openings: Family Medicine Physician (7)
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HealthReach Belgrade

HealthReach Community Health Centers – SUD

  • Elective Educational Objective: To provide the GME learner with clinical experience in management of substance use disorders in rural settings using a team-based approach. This rotation will include Clinical experience working with patients receiving SUD treatment at multiple rural health center sites, 1:1 education with addiction medicine specialists embedded in rural health centers, and exposure to team-based model of care working with other professionals at the sites, including Behavioral Health Consultants and Connectors.
  • Rotation Director: Amy Madden, MD
  • Rotation Requirements: PGY2 and above
  • Job Openings: Family Medicine Physician (7)
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HealthReach Belgrade

Western Maine Health – OB/GYN

  • Elective Educational Objective: To provide the GME learner with clinical experience in a rural, full scope, OBGYN practice. This rotation will provide multiple surgical opportunities each week in addition to a resident-based outpatient schedule which would include: contraception management, gynecological consultation and obstetrical care.
  • Rotation Director: Jeannette Andrews, DO
  • Rotation Requirements: PGY 3 or 4 OBGYN residents or Family Medicine residents with a passion for women’s health and who have performed >30 obstetrical deliveries
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
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Stephens Memorial Hospital

Franklin Health Internal Medicine

  • Elective Educational Objective: Franklin Health Internal Medicine is a multidisciplinary outpatient clinic providing comprehensive primary care to a large rural catchment of patients. During this unique rotation, trainees will be exposed to a wide breadth of outpatient internal medicine in the rural western mountains of Maine.
  • Rotation Director: Stephen Goss, DO
  • Rotation Requirements: PGY2 or above, Internal Medicine or Family Medicine
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply
Franklin Health filer

Franklin Health Behavioral Services - Psychiatry

  • Elective Educational Objective: To provide the trainee with a full spectrum outpatient rural psychiatry experience. 
  • Rotation Director: Kristen Mazoki, DO
  • Rotation Requirements: PGY2 or above in Psychiatry, Family Medicine, or Internal Medicine
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
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Franklin Health filer

Franklin Memorial Hospital – Emergency Department

  • Elective Educational Objective: To gain knowledge in diagnosis and management of a broad variety of pathology in a rural emergency department setting, become comfortable with diagnosing and managing medical and traumatic emergencies in a setting where all needed resources may not be readily available, and learn how to get the patient to the appropriate resources while still providing equitable care for others awaiting treatment and or disposition.
  • Rotation Director: Jodi Conrad, MD
  • Rotation Requirements: PGY2 or Above in Emergency Medicine, Family Medicine, Pediatric, Internal Medicine, and Surgery
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply
Franklin Health filer

Western Maine Health – Addiction

  • Elective Educational Objective: To Provide the GME learner with a general rural family medicine outpatient practice experience in a multi-physician and nurse practitioner primary care practice with a focus on rural addiction medicine outpatient experience.
  • Rotation Director: Lisa Miller, MD
  • Rotation Requirements: PGY2 or Above
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply
Western Maine Health

Western Maine Health – Primary Care

  • Elective Educational Objective: To Provide the GME learner with a general rural family medicine outpatient practice experience in a multi-physician and nurse practitioner primary care practice. Western Maine Primary Care is a level three patient centered medical home (PCMH) and a designated Rural Health Center.
  • Rotation Director: Laura LaRosa, MD
  • Rotation Requirements: PGY2 or Above
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply
Western Maine Health