December 22, 2017 – Oh, Those 7 Words!

 

Charles Rothberg, MD - MSSNY President
PRESIDENT’S MESSAGE

Charles Rothberg, MD
December 22, 2017
Volume 17
Number 47

MLMIC Insurance for Physicians


Dear Colleagues: 

Last Friday, the Washington Post reported that an unnamed “analyst” said, at a meeting on December 14, unnamed officials told CDC workers that they were “banned” from the use of seven words: entitlement, diversity, vulnerable, transgender, science-based, evidence-based and fetus.

Other sources later reported that it was not accurate to say that CDC had been “ordered” not to use the seven words. The “corrected” story was that agency budget analysts were told that some words and phrasing might be more likely to win support for the CDC’s budget in the current Congress.

After careful consideration, I thought I should end this year on a note of well-intentioned levity.

According to my entitlement as president of MSSNY, I am proud to report that in my inaugural speech, one of my “Three Pillars” specified that “the future must include ALL contributors to adverse health outcomes—gender, LGBTQ, geography, poverty and even physician diversity…For example, while there is very little research on transgender people in New York State, it is clear they struggle with discrimination, poor access to education and employment and a lack of economic opportunities that impact their health status and access to health care services… Failure to examine any one group’s adverse health outcomes compromises the solutions for all of the other groups.”

For the CDC to leave physicians out of the loop of word elimination and directed only to their own employees, it leaves physicians vulnerable as we try to explain that all our medical decisions are not only science-based, but also evidence-based as we were taught in medical school. When politics intercedes with science, it is no longer science.

Even a child knows that—maybe even a precocious fetus.

I hope the late comedian George Carlin, author of the “Seven Words You Can’t Say on Television” is listening and chortling along with us.

I wish you and your families a Happy and Healthy New Year!

Sincerely,

Charles Rothberg, MD
MSSNY President

Please send your comments to comments@mssny.org



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WHAT CAN I DO?

Please Urge Governor Cuomo to Veto Disastrous Liability Expansion Bill and Work for Comprehensive Reform Instead
All physicians are urged to contact the Governor to continue to urge that he veto legislation (S.6800/A.8516) that would significantly expand the time to bring a medical malpractice lawsuit, in circumstances based upon an “alleged negligent failure to diagnose a malignant tumor or cancer”.  Please urge him to work to develop comprehensive legislation that addresses the many deficiencies of New York’s malpractice adjudication system, particular given that New York overwhelmingly has the highest medical liability costs in the country.  You can send a letter to the Governor here and call 518-474-8390.

S.6800 is the only bill remaining that has passed both Houses of the Legislature in 2017 but has not been delivered to the Governor.  It is required to be delivered to the Governor by the end of 2017.  However, the State Constitution provides the Governor with up to an additional 30 days to consider legislation if the Legislature adjourns its Session within 10 days of a bill being delivered to the Governor.   As a practical matter, this likely means that the Legislature and the Governor will be having discussions on this legislation in January after the beginning of the new Legislative Session.  Therefore, we need physicians to keep up their contacts to the Governor urging the need for comprehensive medical liability reform legislation, rather than one-sided bills that will add to our already exorbitant costs and exacerbate already challenging access to care issues for patients.

House Passes Resolution to Fund Federal Government through January 19
Last night, the United States House of Representatives and Senate passed a Continuing Resolution to fund the federal government through January 19, 2018. Importantly, the bill included extended funding for the Children’s Health Insurance Program (CHIP) through March 31, 2018, among other provisions. It also importantly contains provisions to prevent Medicare sequestration cuts to physician and hospital payments that otherwise may have been required as a result of the major tax reform legislation passed by Congress earlier this week.  The Act also includes provisions that would extend the Community Health Centers program, National Health Service Corps program, and program for Teaching Health Centers that operate GME programs, as well as the Special Diabetes Program for Type 1 Diabetes and Special Diabetes Program for Indians, with funding available for the first and second fiscal quarters of 2018. It is expected to be signed into law by the President. 

OBS Reporting Requirement Delayed Until April
Physicians with accredited Office Based Surgery (OBS) practices should soon be receiving a letter from the New York State Department of Health (DOH) requesting they report information regarding the total number of procedures performed in their OBS setting for 2017.  While DOH initially proposed to require OBS practices to begin reporting this information starting January 1, after meeting with MSSNY and specialty society representatives, the DOH indicated that it intends to pursue a regulation to impose such a requirement, with the requested time period for making this reporting not beginning until March 31, 2018 (and running through June 30, 2018).

Earlier this year MSSNY reported in its e-news and News of New York regarding this DOH proposal.

Past-MSSNY President Dr. William Rosenblatt had raised concerns at meetings of the NYS Office-Based Surgery Advisory Committee that such a burdensome reporting requirement was unnecessary when much of this information is already collected by one of the major OBS accrediting bodies.  Moreover, there were serious concerns with the proposed requirement to report this information by CPT code, when many OBS practice do not regularly include the CPT code in when detailing the procedural information in their medical record systems.  These concerns were also raised by MSSNY Board of Trustees member Dr. Andrew Kleinman at a recent meeting with DOH along with representatives of MSSNY, New York State Society of Plastic Surgeons and the New York Chapter of the American College of Physicians.

To reduce physician administrative burdens associated with complying with this requirement, DOH staff have indicated that there are considering the physician community’s suggestion that the information be collected from the accrediting body, as well as permitting reporting by procedure name instead of CPT code.  DOH is also requesting that the information be reported via the HERDS application of the Health Commerce System (HCS).  Discussions are ongoing how to reduce the challenges of physicians using the HERDS system.

As this issue remains fluid, please remain alert for further updates as MSSNY and its General Counsel, (the Garfunkel Wild law firm) continues to dialogue with DOH staff on this issue.

New Member Benefit:
Discount Tickets to Knicks and Rangers Games

We are pleased to provide MSSNY members with special access to discounted tickets for upcoming Rangers & Knicks games. This offer provides savings off of individual game tickets and can be shared with your friends & family. Your tickets will be emailed to you 48 hours prior to the start of each game. For all questions and to purchase, please reach out to cole.schlesinger@msg.com or by phone at 212-631-5739 or go to their website here.

MSSNY Participates in DOH Meeting to Discuss Physician Profile and Collaborative Drug Therapy Expansion
This week MSSNY staff participated in a meeting convened by the NYS Department of Health with several health provider organizations to discuss legislative proposals for which MSSNY has previously have expressed concerns.  These included legislation to expand the information required to be included on the NYS Physician Profile and legislation to significantly expand the scope of the existing physician-pharmacist Collaborative Drug Therapy (CDT) program.  These proposals will likely be given great attention during the 2018 Legislative Session.

Regarding the physician profile proposal, the legislation would require the Physician Profile to include a) the office hours of the physician’s primary practice location b) whether they are accepting new patients c) the availability of assistive technology, and d) health plan participation information that would be provided by the DOH.  In addition, it would require physicians to complete a workforce survey when they complete their profile update.  MSSNY, along with representatives of the NY Chapter of the American College of Physicians, expressed concerns that many of these proposed additional Profile items do not lend themselves to a fixed answer unlike other existing Profile items.  It could require frequent updating when there a changes made by a health system, or large group practice, which could create extraneous administrative reporting requirements at a time when physicians are already overwhelmed with administrative tasks that interfere with the time needed for patient care delivery.  MSSNY also raised concerns that the Profile could contain inaccurate health plan participation information, given that physicians often raise concerns about being listed inappropriately.

Regarding the CDT proposal, DOH is seeking to expand the existing demonstration program scheduled to expire in 2018, which is currently limited to pharmacists employed by Article 28 facilities.  DOH would like to expand the program to include pharmacists not connected to Article 28 facilities and to permit nurse practitioners to participate in CDT with pharmacists.  MSSNY noted the existing demonstration program has been positive so far, but expressed concern that, of the 46 other states implementing similar CDT programs, very few have permitted these arrangements between NPs and pharmacists.


Your membership yields results and will continue to do so. When your 2018 invoice arrives, please renew.
KEEP MSSNY STRONG!


YPS/RFS/MSS SAVE THE DATE

Save the date for the joint YPS/RFS/MSS Annual Meetings on Saturday, February 3, 2018 at the Courtyard Marriott, 1800 Privado Road, Westbury.
Colleagues will discuss policy, participate in important presentations, and hold section leadership elections. Lectures will include an interactive dialogue/discussion on Physician Burnout and a presentation, Your Medical Records: An Asset or Liability? Your Employment Contract: Protecting Yourself Before You Sign…Or At Least Know What’s In It.”* Webinar available. MSS RSVP to mreyes@mssny.org. RFS and YPS RSVP sbennett@mssny.org. RSVP sbennett@mssny.org

*The Medical Society of the State of New York (MSSNY) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

MSSNY designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

WEBINARS

 “Mental Health and Disasters Overview” CME Webinar on January 17, 2018; Registration Now Open

Upcoming in MSSNY’s Medical Matters continuing medical education (CME) webinar series is: Mental Health and Disasters Overview”.  This webinar will take place on Wednesday, January 17, 2018 at 7:30 a.m.   Craig Katz, MD Clinical Professor of Psychiatry and Medical Education at the Icahn School of Medicine at Mount Sinai in New York City since 2000 will conduct this presentationRegister for this webinar here.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are:

  • Explore the psychological impact of mass trauma.
  • Provide physicians with a strong background on both the psychological symptoms and syndromes specific to mass trauma.
  • Prepare physicians to conduct acute assessments and interventions.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Medicare/Medicaid/CMS

Medicare Preventive Services
For those of you interested in an educational tool on Medicare Preventive Services, please click here.

This is a 37-Page tool from CMS Medicare outlining the HCPCS procedure codes, ICD-10 codes and Medicare patient responsibility for deductible and/or coinsurance for each preventive service covered by Medicare.  The document also defines the frequency that each service is available.  This should be helpful to those of you treating Medicare patients.

MACRA QPP Information
2018 is fast approaching, which will mean some changes to Medicare’s Quality Payment Program (QPP).  Physicians who weren’t exempted based on treating less than 100 Medicare patients or receiving less than $30,000 in approved charges will have to submit their 2017 data by March 31, 2018.

To read more about the 2018 changes, CME credit courses on QPP and other resources, go to the CMS QPP website here. You can also link to IPRO at www.NYQPPHELP.ORG  for additional information. To directly request IPRO’s technical assistance, go here. If you use twitter, follow IPRO for other important updates@ipro_qpp.

Low Volume Appeals Settlement Option Call — Tuesday, Jan. 9 1:30 to 2:30 pm ET
Register for Medicare Learning Network events.

As part of the broader HHS commitment to improving the Medicare appeals process, CMS will make available a settlement option for providers and suppliers (appellants) with fewer than 500 appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council (the Council) at the Departmental Appeals Board.

During this call, learn about the low volume appeals settlement option and how the settlement process will work. CMS speakers discuss how to identify whether you are eligible and which of your pending appeals may be settled. Visit the Low Volume Appeals Initiative webpage for more information.

This call will not include a question and answer session. Submit questions in advance to MedicareSettlementFAQs@cms.hhs.gov. Questions may be addressed during the call or used for materials following the call.

WORKERS COMP REGISTRATION

Workers Compensation Will Be Proposing a Drug Formulary
Next week, the NYS WCB will be producing a drug formulary for WC claimants.  It will be formally proposed next week, but not implemented until 7/1/18.  It is anticipated to be consistent with the Medical Treatment Guidelines (MTGs).  It is expected that patients stabilized on non-formulary medications can continue after 7/1/18, but after 1/1/19 will require a Prior Authorization. WC Carriers will have 4 days to review requests for non-preferred drug, but a patient can get 4-day supply of pain medication or muscle relaxant in interim. The PROPOSED WC drug formulary will be subject to public comment after publication in the State Register.

Please look for more information on this next week from the WCB in their WC Board notices. The WCB website is here.

Workers Compensation Health Provider Registration Is Now Open
The Workers’ Compensation Board has initiated a registration process to update the list of medical providers who are authorized to treat injured workers. The updated list will ensure that an injured worker can easily identify Board authorized providers.

Authorized providers are required to register by January 15, 2018Providers who have not registered by the deadline will:

  • Be removed from the public directory of authorized providers
  • Become ineligible for the Board’s disputed bill process.

The up-to-date list will ensure that an injured worker can easily identify Board authorized providers.
How to Register
The Board is using the existing New York State Health Commerce System (HCS) for the registration process and future updates to your registration information. You will need to create an HCS account if you do not already have one. Information on creating an account can be found on the New York State Department of Health website.

Existing HCS account users – How to Access the Registration Form

  1. Log in here.
    2. Select My Content > All Applications from the Main Menu.
    3. Select P from Browse by list, and then add Person-based Electronic Response Data System (PERDS) to your application list by selecting + under the column add/remove.
    4. On the top of the page, select Home.
    5. On the home page, select Refresh My Applications List.
    If PERDS does not appear in My Applications List call (800)-781-2362, option 6.
    6. Select PERDS on the My Applications list to open it.
    7. Select the Data Entry tab located on the top left of page.
    8. In the Activity field, select WCB Registration from the drop-down list.
    9. The following default values will be shown:
Activity:  WCB Registration
Form:  WCB Registration for Health Care Provider
Data Entity Type:  WCB Provider
Data Entity Name:  Please Select Name
  1. Select the Search WCB Provider button.

Search Entity (Validation of Information)
When you select the Search WCB Provider button, you are brought to the Search Entity page. On this page, please do the following:

  1. The field Entity Id must be left blank for your initial registration.
    2. Select the Profession from the drop-down list.
    3. Complete the License Number, Birth Month and Birth Day fields.
    4. Select the Search button.
    5. If your information is correct, an Entity Id is displayed below the blue Search Entity line. Keep this number for your records. It is not stored in the registration form.
    6. If the name that appears on the page is the same as it is on your license, click the Select button to proceed. If it is incorrect, select the Name Field Help icon for further assistance.

Complete the Registration Form
Complete your registration, be sure to click the Save All, Review & Submit and Submit to DOH buttons. This will ensure you are found on the public directory of authorized providers and remain eligible for the Board’s disputed medical bill process.

If you are registering multiple providers on their behalf, do not close the PERDS application after you register the first provider. For each subsequent provider:

  1. Select the Home tab located at the top left of the page (next to the Data Entry tab).
    2. Follow steps 7-10 in the How to Access the Registration Form section.
    3. Follow steps 1-5 described above in the Search Entity (Validation of Information) section.

If you do not have computer access to complete the registration online, you may request a paper copy be mailed to you by contacting the NYS Workers’ Compensation Board Medical Director’s Office at (800)-781-2362, option 6.

Questions?
For instructions that include screen shots of the registration process, please see the PDF link at the bottom of this email titled “Health Provider Registration Instructions” or email wcbcustomersupport@wcb.ny.gov with the subject “Provider Registration Instructions”.

If you have general questions regarding health care provider registration, please contact the NYS Workers’ Compensation Board Medical Director’s Office at (800)-781-2362, option 6.


GARFUNKEL WILD, P.C.
GENERAL COUNSEL TO MSSNY

 GW’s attorneys can advise and represent you in matters including: OPMC; compliance issues; employment disputes; real estate leases and purchases; wills and estate planning; corporate transactions; litigation and arbitrations; audits and investigations; and payor disputes.
Offices in Albany and Great Neck, New York
516.393.223


Women Outnumber Men Enrolling In Medical School
New data released Monday show that the number of women enrolling in medical school has exceeded the number of male first-year students for the first time.

According to the Association of American Medical Colleges, women represented 50.7% of the more than 21,000 new medical school enrollees in 2017. Men still make up 51% of total enrollment in U.S. medical schools in 2017, but the number of women applying to medical school has been on the rise in recent years, compared to a decline in male applicants.

The number of female first-year medical students increased by 3.2% in 2017 over the previous year, and has grown by more than 9% since 2015 while the number of male enrollees fell by 2.3% over the past two years.

The changing demographic reflects an overall shift in priorities for physicians, as more hope to achieve a positive work-life balance. A recent AAMC survey of first-year medical school students found 47% of respondents reported having a good work-life balance as their top consideration when they were ready to start their career.

Potential employers increasingly use incentives like flexible work hours to entice physicians to join their ranks. A growing number of doctors leaving the profession have cited increased anxiety as a factor in their decision, with about half of physicians reporting plans to retire, reduce their hours or leave their clinical positions as a result, according to a 2016 report from the Physicians Foundation.

Potential employers have noticed the change. More companies are offering flexible work hours to entice physicians to join their ranks.

Roughly a third of physicians in the U.S. are women.

MLMIC: New Public Health Law Allows NPs to Write DNR/ MOLST Orders
On November 29, Governor Cuomo signed Senate Bill S1869A into law, amending the New York State Public Health Law to allow attending nurse practitioners (NPs) to sign Do Not Resuscitate (DNR) orders and Medical Orders for Life-Sustaining Treatment (MOLST). The law goes into effect on May 28, 2018, at which time patients will have the option of making healthcare decisions with a healthcare provider of their choice, including nurse practitioners who are acting as primary care providers. Under the existing law, only an attending physician may sign DNR and MOLST orders on behalf of patients and their families.

The new law acknowledges that nurse practitioners are increasingly serving as primary care providers, especially in the nursing home setting, that NPs possess the required expertise and training to execute DNR and MOLST orders, and that end-of-life decisions will no longer require an order from a physician with whom the patient may not have had an established relationship.

To read Bill S1869A in its entirety, please click here and select “text” in the tool bar.

Tip of the Week

By Jacqueline Thelian, CPC, CPC-I, CHCA, Medco Consultants, Inc.

Hundreds of Laboratory Codes See a Reduction on Reimbursement for 2018

Many of the common laboratory tests performed in physicians’ practices such as CBC (85025) Comprehensive Metabolic Panel (80053) Prothrombin (85610) and hundreds of others are set to for a 10% payment reduction and an additional 115 codes will see a 9% reduction in reimbursement.

The new fees will go into effect on January 1, 2018. The reduction is due to the Protecting Access to Medicare Act (PAMA) 2014 which instructs Medicare to bring the lab rates in line with the lab rates reimbursed by private payers.

Many physicians running labs are doing so on a very slim profit margin and the reduction will bring the sustainability of in office laboratory testing in question.

More information on the laboratory reduction as well as the 2018 Laboratory fee schedule visit the CMS website https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/PAMA-Regulations.html

Source:

  • Current Procedural Terminology (CPT) 2018
  • CMS Laboratory Fee Schedule 2018

If you have a coding or compliance question you would like to have answered please send your question to MSSNY at eskelly@mssny.org, and complete the subject line with Tip of the Week.

CLASSIFIEDS

RENTAL/LEASING SPACE


Space Available in North Bronx
● Medical Office for Rent
● Located on the Grand Concourse (walking distance from all major transportation)
● 2 Examination Rooms
● Large Waiting Area
● Private Doctor’s Office
● Fully equipped with new furniture
Contact info: jp@bronxheart.com // 718-584-0797


Want to Work in NYC but Live 100 Yards from the Atlantic Ocean?
Ocean views abound in this beautiful Rockaway Beach 1 family brick home. 5 bedrooms, 3 bathrooms. 60×100, detached 1 car garage, central air, sprinkler, alarm, large rear deck and heated pool. New finished basement, master bedroom on main floor and full bath. Tons of storage, solar panels. Beautiful front porch with ocean views. Located in Rockaway beach on a block 100 yards from the ocean! $1,750,000. Call 718-634-6004.

Upper East Side Plastic Surgery Office Available for Rent or Share
Beautifully equipped Plastic Surgery office available for part-time share along with Quad A-certified OR available for rent. Located in a lovely carriage house on the Upper East Side in close proximity to Lenox Hill Hospital and MEETH and conveniently located near all NYC mass transit. 1 exam room/OR and Recovery room along with large administrative space. Free WIFI. Available for full or half-days. Suits Plastic/Cosmetic Surgeons/ DERM/ ENT/or other Medical MDs. Please contact Kim at Kim@madisonps.com (212) 628-7600.

For Rent or Share – Woodbury, Long Island
Beautiful recently renovated Plastic Surgery office available for part-time share and AAAA-certified (by end of summer). OR available for rent. Centrally located
on Long Island.Close to expressways. 3 exam rooms, 1 procedure room /OR.
Waiting room, break room and personal office. Free WIFI. Available for full or half-days. Suits Plastic/Cosmetic Surgeons/Derm/ENT/
ObGyn/Podiatry or other Medical MDs.
Contact Patricia at info@cosmetichg.com
or 631-318-4008

PHYSICIAN OPPORTUNITIES


Paging Primary Care MDs Who Love Technology
98point6 is a Seattle startup who wants your input. We’re seeking practicing physicians to join our council and help shape the next generation of primary care. If the fusion of health care and technology inspires you, please apply here.


Medical Director: Binghamton University College Physician (SL-6)
Department: Student Health ServicesLocations:   Binghamton, NYPosted: Oct 24, ’17Type:  Full-timeRef. No.: 49225The Decker Student Health Services Center at Binghamton University (The State University of New York at Binghamton) invites New York State Medical or Osteopathic Board Certified Physicians (Internal Medicine, Family Practice) to apply for a full-time, twelve-month position. This position plans, directs, supervises, and participates in the outpatient medical care of undergraduates and graduate students of a diverse student base.  The person will have excellent, primary care diagnostic skills as well as experience and proficiency in common outpatient surgical procedures, EKG and pulmonary function study interpretation, office laboratory and clinical microscopy.  This position functions as an on-site medical consultant and collaborative physician to the professional staff that includes 10 nurses, 5 nurse practitioners and 7 physicians.The individual will have five years of clinical experience after residency training and experience with staff oversight and leadership.The Medical Director provides the university campus with infectious disease direction (e.g. meningitis, measles and tuberculosis) and emergency management; participates on the Crisis Response Team; provides direction and consultation to the Dean of Students, University Counseling Center and Residential Life.  This person will be responsible for accreditation activities including; completion of internal and external benchmark studies peer chart review; completion of assessment plans, survey and risk management reports; meeting with site visitors; and following through on recommendations.Requirements: Required qualifications: NYS Board Certified Medical or Osteopathic Physicians (Internal Medicine, Family Practice) from an accredited institution; 5 years of clinical experience after residency; NYS medical license and DEA certificate that are free from special conditions or limitations. Salary: commensurate with qualifications and experience. Preferred qualifications are, but not limited to: college health familiarity; experience with diverse populations; electronic health record navigation; quality assurance, and continuous quality improvement; public health and policy experience. Payroll information can be found on our website http://www.binghamton.edu/human-resources/payroll/Cover letters may be addressed “To the Search Committee.” Postings active on the website accept applications until closure. For information on the Dual Career Program, please visit:
https://www.binghamton.edu/human-resources/dual-career-program/
Application Instructions:Deadline for Internal Applicants:  11/07/2017 Deadline for External Applicants:  Open until filled Review of applications will begin immediately and continue until the vacancy is filled.Persons interested in this position should apply online.Please submit: 1. Resume 2.Cover letter, and 3.Contact information for three professional references You may add additional files/documents after uploading your resume. After you fill out your contact information, you will be directed to the upload page. Please login to check/edit your profile or to upload additional documents: http://binghamton.interviewexchange.com/login.jsp Payroll information can be found on our website http://www.binghamton.edu/human-resources/payroll/
Additional Information:Offers of employment may be contingent upon successful completion of a pre-employment background check and verification of degree(s) and credentials.Binghamton University is a tobacco-free campus.Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation.  If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.govEqual Opportunity/Affirmative Action Employer
The State University of New York is an Equal Opportunity/Affirmative Action Employer.  It is the policy of Binghamton University to provide for and promote equal opportunity employment, compensation, and other terms and conditions of employment without discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, veteran or military service member status, marital status, domestic violence victim status, genetic predisposition or carrier status, or arrest and/or criminal conviction record unless based upon a bona fide occupational qualification or other exception.
As required by title IX and its implementing regulations Binghamton University does not discriminate on the basis of sex in the educational programs and activities which it operates.  This requirement extends to employment and admission.  Inquiries about sex discrimination may be directed to the University Title IX Coordinator or directly to the Office of Civil Rights (OCR).  Contact information for the Title IX Coordinator and OCR, as well as the University’s complete Non-Discrimination Notice may be found here. The State University of New York is an Equal Opportunity/Affirmative Action Employer.  As required by title IX and its implementing regulations Binghamton University does not discriminate on the basis of sex in the educational programs and activities which it operates.  This requirement extends to employment and admission.  Inquiries about sex discrimination may be directed to the University Title IX Coordinator or directly to the Office of Civil Rights (OCR).  Contact information for the Title IX Coordinator and OCR, as well as the University’s complete Non-Discrimination Notice may be found here.

Medical Director – AIDS Institute
Minimum Qualifications:
Current license and registration to practice medicine in New York State and board certification AND either a Master’s Degree in Public Health or two years of experience in an HIV program or public health program.Preferred Qualifications:
Master’s Degree in Public Health.  Five years of experience including clinical service in an HIV program or clinical fellowship program (infectious diseases/HIV medicine).  Experience in quality management/quality improvement.  Knowledge of the HIV health care delivery system in New York State. Experience in/knowledge of the New York State Ending the Epidemic initiative.  Experience in STD prevention and care, drug user health, and/or LGBT health.  Experience in health policy development, analysis and evaluation.  Experience with evolving health information technologies.  Experience in health program management and administration.
Responsibilities: The Medical Director, AIDS Institute, plays a significant role in shaping HIV, hepatitis C, and STD care and services, drug user health, and LGBT health care throughout New York State.Please click the link below for more information pertaining to this position and to apply: “https://careers-healthresearch.icims.com/jobs/search?ss=1&hashed=-435829071” Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans

Multiple Physician Positions with DOHMH Office of School Health
Office of School Health is the largest program of the New York City Department of Health and Mental Hygiene (DOHMH). This bureau is responsible for managing the health issues and promoting the well-being of the over 1.3 million children and adolescents enrolled in New York City’s 1700 school buildings.

Positions with the Office of School Health (OSH) combine clinical skills and public health training.

Adolescent School Health Physician
This position offers to the interested physician the opportunity to help address the clinical and public health needs of adolescents in NYC high schools. The physician will work with the innovative Connecting Adolescents to Comprehensive Health Care (CATCH) Program, which provides select reproductive health services to adolescents in select NYC high schools. In addition, the physician will provide medical care and public health services through additional programs offered to adolescents by the Office of School Health.

Under the supervision of the High School Supervising Physician, the Adolescent School Health Physician’s responsibilities will include but are not limited to:

  • Provide CATCH reproductive health services in select high schools.
  • Perform mandated physical examinations (New Admission Exams, Sports Physicals, and Working Paper Physicals).
  • Function as a liaison for students with community health providers to resolve medical issues that affect school performance.
  • Support the development and implementation of initiatives that promote positive health behaviors and reduce high risk behaviors in the adolescent population.
  • Serve as a consultant to the school nurse and administration on school related health concerns.
  • Provide clinical assistance in the event of an environmental or communicable disease occurrence.
  • Function as a liaison for students with community health providers to resolve medical issues that affect school performance.
  • Support all medical initiatives established by the Office of School Health, e.g. programs and protocols in asthma, reproductive health, obesity and diabetes.
  • Maintain good public relations and communicate effectively within the school community and community-based organizations.
  • Keep abreast of health management policy statements and emerging clinical research related to school health.
  • Participate in OSH research activities.
  • Work within the mandates, policies and protocols of the Office of School Health.
  • Attend all mandated DOHMH and OSH trainings.

To Apply: Please email your resume and cover letter to Dr. Caroline Volel: osh@health.nyc.gov OR  Apply online at https://a127-jobs.nyc.gov/.  In the Job ID search bar, enter: job ID number # 277208. 

School Health Field Physician
Under the direction of the Supervising Physician, the School Health Physician’s will:

  • Improve the health of school children through case management of chronic disease, preventive health screening and counseling, health education, and referrals.
  • Perform mandated physical examination (new entrant, sport physical, working paper physicals.
  • Develop relationships with community health providers in order to optimize medical management of students with health issues.
  • Attend to the health needs of your assigned school community.
  • Utilize the Automated Student Health Record (ASHR) to maintain adequate student health records.
  • Serve as a consultant to the school nurse and administration on school related health concerns.
  • Support the development of school educational and prevention programs promoting the health and wellness of all students.
  • Provide clinical assistance in the event of an environmental or communicable disease occurrence.
  • Develop and maintain professional relationships within the school community.
  • Support all medical initiatives put forth by the Office of School Health, e.g. Asthma, Reproductive health, Obesity and Diabetes initiatives.
  • Provide trainings/presentations to school staff, community organizations, or parents.
  • Stay abreast of health management policy statements and emerging research within the health community related to school health.
  • Participate in School Health research and quality improvement activities.
  • Participate in all mandated DOHMH and Office of School Health trainings and professional development sessions.
  • Attend all program meetings and Continuing Medical Education classes provided by the Office of School Health.

To Apply: Please email your resume and cover letter to Dr. Caroline Volel:osh@health.nyc.gov OR Apply online at https://a127-jobs.nyc.gov/.  In the Job ID search bar, enter: job ID number # 279844. 

Supervising School Health Physician 
Job Description
Under the supervision of the Deputy Medical Director, the Supervising Medical Doctor’s responsibilities will include but not be limited to:

  • Supervise School Health Physicians.
  • Work within the mandates, policies and protocols of the Office of School Health (OSH).
  • Attend to the health needs of a designated school community.
  • Utilize the Automated Student Health Record (ASHR) to maintain accurate student health records.
  • Serve as a consultant to the school nurse and school administrative staff regarding school related health concerns.
  • Support the development of school educational and prevention programs promoting the health and wellness of students.
  • Participate in policy development and revisions as indicated.
  • Provide clinical assistance in the event of an environmental or communicable disease occurrence.
  • Function as a liaison for students with community health providers to resolve health issues that affect school functioning.
  • Develop and maintain professional relationships within the school community and the community at large.
  • Support all medical initiatives put forth by the Office of School Health, e.g. Asthma, Reproductive health, Obesity and Diabetes Initiatives.
  • Keep abreast of health management policy statements and emerging research within the health community affecting school health.
  • Assist with or provide trainings/presentations to school health physicians, nurses, school staff, community organizations or parents
  • Participate in School Health research and quality improvement activities
  • Participate in all mandated DOHMH and Office of School Health trainings and professional development sessions
  • Attend all program meetings and Continuing Medical Education classes provided by the Office of School Health.

To Apply: Please email your resume and cover letter to Dr. Caroline Volel: osh@health.nyc.gov  OR  Apply online at https://a127-jobs.nyc.gov/.  In the Job ID search bar, enter: job ID number # 277026


MEDICAL EQUIPMENT


Retiring from pediatrics. I have medical equipment to donate: examining table, pediatric examining table with a scale, medical scale, examining instruments and miscellaneous office items. Forest Hills. Call 718 275-5858 or email mkolak59@gmail.com


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355