May 20, 2016 – Date of Discovery on Table NOW!

 

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
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May 20,  2016
Volume 16, Number 19

Dear Colleagues:

This week, I was in Albany with almost 100 other physicians representing their specialty medical societies together with MSSNY.  We walked the halls of the State Capitol to advocate on issues near and dear to all New York physicians, regardless of specialty, location of practice, or region.

Of significant importance was our collective advocacy against a date of discovery exception to our statute of limitations. Actuarial analysis of such a bill shows that it will increase medical liability premiums by as much as 15%.

Given that our medical liability premiums far exceed premiums paid by our colleagues anywhere in the nation, and that New York leads the rest of the country in the amount of total medical liability payouts, we physicians and hospitals simply cannot absorb higher premium costs.  Many of the legislators with whom we met had not yet made a decision on whether to support the bill.

As I wrote last week, that’s why it is imperative that we all let our legislators know the huge adverse impact to our health care system if this legislation is enacted.

You can send a letter from right here.

As a group, we also urged support for meaningful changes to the e-prescribing law and urged the defeat of legislation that would inappropriately expand the scopes of practice of many non-physician health professionals.  With so much happening at the end of a legislative session, we urge that you take the time to read our MSSNY Enews carefully, follow our Twitter and Facebook posts, and contact your legislators immediately where we request it.

There are thousands of bills under consideration by lawmakers in Albany, many of which we oppose.

Please remember that your action can really be the difference between a bill passing or not, and is absolutely critical to our success!

Malcolm Reid, MD, MPP
MSSNY President

Please send your comments to comments@mssny.org

MLMIC


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Do Not Wait – Tell Your Legislators to Reject the 15% Medical Liability Tax Proposal
All physicians must continue to contact their legislators to urge them to oppose legislation (A.285-A, Weinstein/S.6596, DeFrancisco) that could increase by another 15% your already exorbitant medical liability premiums by changing the Statute of limitations to a “Date of Discovery” rule.   A letter to your Senator and Assemblymember can be sent from here.  In light of the huge financial pressures already facing physicians prompted by excessive government mandates, reduction in insurer payments and networks, and rapidly rising patient cost-sharing responsibilities, it is essential that you express to your elected representatives that “stand-alone” legislation driving further liability increases cannot be tolerated and could seriously impact access to care for patients.

This message was reiterated to legislators in the State Capitol this week as many physicians representing MSSNY and different specialty societies came to Albany to advocate to address concerns shared across the profession.

In response to this threat, MSSNY and other groups have publicly highlighted the huge and unsustainable liability burden already assumed by New York physicians, and the threat this legislation poses to the already precarious stability of many New York hospitals and medical liability insurers.  MSSNY together with numerous other specialty medical societies have joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad campaign highlighting the disastrous consequences to our healthcare system should such a large expansion in the right to sue be permitted by the State Legislature.   The ads have appeared in City & State, Politico New York, and the Albany Times-Union.

Please remind your legislators of the seriously adverse consequences to patient care should this legislation be enacted!

Urge Passage of Legislation to Enable Override of Insurer “Fail First” Medication Policies
Concerned about health insurer policies that require your patients to “fail first” on certain prescription medications before they are able to take the medication that you believe is most medically appropriate to improve their health?  MSSNY is working together with a number of patient advocacy groups in support of legislation (A.2834-A, Titone/S.3419-B, Young) to provide physicians with an expeditious manner to override an insurer “fail first” policy when it is in the best interest of their patients’ health.  Several patient and physician advocacy organizations including MSSNY representatives will be participating in a press conference (along with the bill sponsors) and lobby day this Monday, May 23 to generate action on this legislation before the Session ends in four weeks.  To send a letter in support of this legislation click here.                                  (AUSTER, DEARS)

Legislation to Reduce E-Prescribing Exception Reporting Burden Needs Your Support; Bill on Assembly Codes Committee this Tuesday
Physicians are urged to contact their legislators to urge that they support legislation (A. 9335A, Gottfried) to ease the onerous reporting burden on physicians every single time that they need to issue a paper prescription.  The Bureau of Narcotics Enforcement announced that when a physician invokes one of the three statutory exceptions and write a paper script because:  their technology or power has failed; the prescription will be filled outside of New York; or it would be impractical for the patient to obtain medications in a timely manner, they must electronically submit to the department an onerous amount of information about the issuance of the paper prescription.  DOH asks that each time a paper prescription is written, the prescriber must electronically inform the DOH of their name, address, phone number, email address, license number, patient’s initials and reason for the issuance of the paper prescription. This creates an onerous burden for all physicians, particularly in situations where there is a protracted technological failure, and the physician needs to report dozens upon dozens of paper prescriptions. In fact, Surescripts has stated publicly that there is a 3-6% e-prescription transmission failure rate. This means that in the state of New York anywhere between 7.6 million to 15 million e-prescriptions will fail every year and each prescriber involved with these failures who subsequently write a paper prescription will need to file this information with the state.  In some small communities, even the patient’s initials can convey information that will enable others who access this information to identify the patient who will receive the medication.

A much more preferable alternative is to allow physicians and other prescribers to make a notation in the patient’s chart indicating that they have invoked one of the three statutory exceptions.   It is important to know that the 12 exceptions released by the DOH Commissioner 10 days before e-prescribing went into effect, do not require reporting to the DOH.   The same should hold true for the issuance of paper prescriptions when one of the three statutory exemptions apply.  This legislation has passed the Senate twice but remains stalled in the Assembly Codes Committee.

Please urge your legislators to pass this bill by sending a letter located on the MSSNY grassroots action center.                                              (DEARS, CLANCY)

CME Mandate Bill Passes NYS Senate; on Health Committee
Senate Bill 4348/Assembly Bill 355, sponsored by Senator Kemp Hannon and Assemblywoman Linda Rosenthal and which would create a continuing medical education mandate for practitioners with prescribing privileges passed the New York State Senate this week and is on Assembly Health Committee for Monday. It is important for physicians to contact their elected representative to urge that they vote against this mandate! Call and send an email through MSSNY’s Grassroots Action Center by going here.

Under the bill’s provisions, every two years, physicians would need to complete three hours of continuing medical education that involves pain management. The curricula must include but is not limited to: I-STOP and drug enforcement administration requirements for prescribing control substances; pain management; appropriate prescribing; managing acute pain; palliative medicine; preventative, screening and signs of addiction; responses to abuse and addiction; and end-of-life care.

MSSNY has strongly opposed this measure in previous legislative sessions. While continuing medical education is valuable to physicians in keeping up-to-date on new clinical information, and physicians throughout the state voluntarily take continuing medical education for continued professional development in those areas that pertain to their individualized practice, this bill fails to recognize that the Medical Society of the State of New York, the specialty societies, the American Board of Medical Specialties, and the American Osteopathic Association have all been aggressively promoting voluntary CME on pain management and that there is other course work that addresses many of the above issues.  Moreover, this mandate could potentially apply to many physicians who do not regularly prescribe opioid medications.                                        (CLANCY, DEARS)

Bill to Limit Pain Medication Passes NYS Senate; Moves Out of Assembly Health Committee;

  1. 6091b/A.8601-A, sponsored by Senator Kemp Hannon and Assemblymember John McDonald, passed the New York State Senate this week. The bill would limit the initial prescription by a physician or other prescriber of Schedule II or III Controlled Substances, to a 5-day supply for patients suffering acute pain. MSSNY strongly opposes this legislation.

Despite substantial opposition, the bill was reported from the Assembly Health Committee to the Codes Committee.  MSSNY thanks the following members of the Health Committee for voting against the bill:

Edward Braunstein (D-Queens); Janet Duprey (R-Clinton County); Andrew Hevesi (D-Queens); Charles Lavine (D-Nassau County); David McDonough (R-Nassau County); Crystal People-Stokes (D-Erie County); Andrew Raia (R-Suffolk County); Robin Schimminger (D-Erie County); Phil Steck (D-Albany/Schenectady counties); Matthew Titone (D-Staten Island); Ray Walter (R-Erie/Niagara Counties)

Physician action is needed to prevent this bill from becoming law.  Physicians are urged to call their state assembly members today and indicate opposition to this measure.

Assemblymembers can be found here.
Members of the Assembly Codes Committee are listed here.

Physicians can also send a letter to their members by logging onto MSSNY’s Grass Roots Action Center.

This legislation would effectively prevent a physician from exercising his/her clinical judgement on behalf of the patient.   Moreover, this action would set a dangerous precedent in New York State and represents an enormous encroachment of the New York State Legislature into the practice of medicine.   A physician’s clinical judgment in addressing the unique needs of the individual patient should always prevail to ensure that patients receive the most appropriate and effective medication in a timely manner.

The Medical Society agrees with the concerns expressed by some that there have been instances when prescribers have authorized doses for opioid medications in excess of what was needed to address a patient’s medical condition.  Therefore, to address this concern, MSSNY has been working with the American Medical Association and other state medical societies across the country to urge Congress to pass legislation that would enable a physician to authorize a “partial fill” of a controlled substance prescription, thereby reducing the likelihood of unused medications being left in medicine cabinets.

Furthermore, the development of guidance for pain management must be addressed from the broadest spectrum and be generally applicable to all physician practices without being too specific or proscriptive as to how pain should be treated.                                                    (CLANCY, DEARS, AUSTER, MCPARTLON)

NYS Senate Issues Opiate Report and Passes Numerous Legislative Proposals; Governor’s “Listening Tour” on Opioid Abuse To Continue Through Next Week
The New York State Senate Joint Task Force on Heroin and Opioid Addiction on May 17, 2016 released its report legislative recommendations to address shortcomings in the state’s existing opioid prevention and treatment-delivery strategies. There were 35 legislative proposals that the task force recommended that the Senate take action.  The majority of these proposals passed the Senate on the same day that the report was issued.

While the recommendations contained a number of important initiatives to address the opioid abuse epidemic, it also called for the enactment of several measures opposed by MSSNY including:

  • An across the Board pain management CME mandate;
  • A 5-day limit on an initial prescription for a Schedule 2 or 3 controlled substance to address acute pain;
  • Statutorily mandating, prior to prescribing a Schedule 2 controlled substance, that physicians document that they advised their patients the risks of taking such medications

For a review of the report and the legislative proposal go here.

Additionally, a series of “listening tours” have been held throughout the week and are expected to go through next week across by Governor’s Andrew Cuomo’s Task Force.   It is expected that the Governor will release his findings by June and it is expected that it will contain legislative proposals to address the opioid issue. (CLANCY)


Health Care Organizations Urge Inclusion of E-Cigarettes in Clean Indoor Air Act—Advocacy Day To Be Held May 24th
A group of health care organizations, including the Medical Society of the State of New York, have come together to advocate for the placement of E-Cigarettes under the New York State Clean Indoor Air Act. The group, comprised of national and state organizations includes the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, Roswell Park Cancer Institute, New York State Association of County Health Officials, Campaign for Tobacco-Free Kids, New York State Public Health Association, and the Medical Society of the State of New York, among others.

While New York State has prohibited the sale of E-Cigarettes to minors under the age of 18, indoor use of E-Cigarettes in public places is still permitted. MSSNY supports legislation and urges its members to support legislation (A.5955, Rosenthal/S.2202, Hannon) to place E-Cigarettes under the New York State’s Clean Indoor Air Act.

To send a letter in support of this legislation click here.                                  (CLANCY, MCPARTLON)


New York Kicks Butts Campaign to Be Held May 31-June 6th
The Medical Society of the State of New York has joined with the American Cancer Society, the American Lung Association, and Tobacco Free Kids and a variety of other affiliated health organizations and businesses to encourage New York City residents to quit smoking.  The New York Kick Butts campaign will be held May 31-June 6th and New York City physicians are asked to discuss with patients smoking cessation treatment options.  By offering medication and counseling, physicians can help patients to double their quit rates.

Helpful tools can be found on line at PlanMyQuit.com/NYC or by calling the New York State Smokers’ Quit line at 1-866-NY-QUITS (697-8487) or by just dialing 311.   Additional resources can also be found at NYSmokeFree.com.  Physicians can find an information flyer here.

Patient information here.

There is also a new 5 Steps to Quit Smoking flier in both ENGLISH and SPANISH found on the resources page of nykicksbutts.org.  Additional information can also be found here.
(CLANCY)


CMS Administrator Seeks to Allay Concerns About Disparate Impact of Medicare VBP Programs on Smaller Physician Practices
CMS Acting Administrator Andy Slavitt testified before the US House Ways and Means Committee to address concerns raised by many Representatives regarding the impact to small physician practices of the proposed rule to implement the MIPS value-based Medicare payment program enacted by Congress last year. 

Slavitt was responding to concerns expressed by many physician organizations, including MSSNY, regarding the chart on p.676 of the proposed regulation that concluded that the overwhelming majority of solo and small physician practices would face cuts under the MIPS program.  Specifically, he noted that    “Despite what the table shows, data shows that physicians in small and solo practices can do just as well as in practices larger than that”.  Moreover, he noted that the now infamous p.676 chart was skewed because it was based upon Medicare reporting data from 2014, when many small practice physicians did not even report on quality measures, but that “reporting will get far easier going forward”.  This includes the “opportunity to report in groups and in a more automated way”.

In conjunction with the testimony, last week CMS also released a “fact sheet” that details the flexibility and support available to assist small and rural physician practices in participating in the MIPS and APM Medicare value-based payment components of the MACRA law passed by Congress in 2015, and which will be applicable to patient care delivered in 2017.  The “fact sheet” is available here.

The CMS fact sheet  highlighted the proposed exemptions from the MIPS payment adjustment for physicians who have less than or equal to $10,000 in Medicare charges and less than or equal to 100 Medicare patients, as well as changes to the existing PQRS and Meaningful Use reporting requirements to reduce some of the hassles smaller practice physicians have experienced.  Furthermore, CMS staff reiterated these points in a conference call convened by the AMA with state medical societies this week.

To read a brief, but detailed, AMA summary of the proposed regulations, click here.

And to view a high level summary of the proposed regulation from CMS, click here.

Please take the opportunity to review these documents and share with us your comments and concerns.

While payment adjustments under the MIPS and APMs will not be applied to physician Medicare payments until 2019, the positive or negative adjustments will be based upon care delivered to Medicare patients in 2017.  Beginning in 2019 under MIPS, Medicare payments could be adjusted up or down by 4%, and up to +/- 9% by 2022, with additional bonus payments possible for “exceptional performance”.

Comments on the proposed regulation are due to CMS by June 27.  MSSNY will be working with the AMA, specialty medical associations and other state medical associations on developing comments to CMS to address concerns with the proposal.
(AUSTER)


Ensuring Medicare Home Health Eligibility: The Shared Responsibility Across The Continuum of Care 

WEBINAR HOSTED BY NATIONAL GOVERNMENT SERVICES (NGS)—JUNE 2ND FROM 10-11:30AM

REGISTER HERE

A free webinar on Medicare home care eligibility and documentation requirements for all settings of care will be held June 2, from 10 to 11:30 a.m., by Medical Society of the State of New York, HANYS, Home Care Association of New York State, and National Government Services (NGS).

CMS requires that establishing patients’ Medicare eligibility and supplying supporting medical record documentation for post-acute home care services be a shared responsibility between referring providers—hospital, nursing home, and practitioners—and the receiving home care agency.

The referring entity—hospital or nursing home—and ordering practitioner must review and document the patient’s status at the time of discharge in the context of Medicare’s home care eligibility criteria, and provide that information as part of the patient transition to the receiving home care agency.

All staff involved with planning and implementing a patient’s transition to post-acute home care services are urged to attend this valuable program.

Online registration for this June 2 webinar is provided by NGS. Registrants are invited to email their pre-webinar questions for speakers to jmcpartlon@mssny.org before May 26.

REGISTER HERE.
(MCPARTLON)


Zika CME Webinar to Be Held June 8 at 6 P.M.; Physician Registration Now Open
The Medical Society, in conjunction with the New York State Department of Health will conduct a Medical Matters webinar on the  “Zika Virus: An Evolving Story–UPDATE” on Wednesday June 8th  at 6 p.m.   Registration for this program is now open here. Click on the upcoming tab and select the programs.

MSSNY conducted the original program in March 2016, but this program will provide updates to the ever changing story of Zika.

The educational objectives for this program are: 1) Describe the epidemiology of Zika Virus infection;

2) Understand the modes of transmission; 3) Understand how to advise patients; and 4) Learn methods for prevention of infection.  William Valenti, MD, chair of MSSNY’s Infectious Disease Committee, and Elizabeth Dufort, MD, Medical Director, Division of Epidemiology from the New York State Department of Health will conduct this presentation.

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.

Further information or assistance in registering for any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN)


PTSD and TBI in Returning Veterans:  June Webinars
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on two remaining dates listed below from May through June. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

  • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities
  • Outline treatment options including evidence-based psychotherapy and pharmacotherapy
  • Discuss barriers to treatment, including those unique to military culture, and how to overcome them
  • Outline the process of recovery and post-traumatic growth

To register for this program, click on a date below and fill out the registration form

Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM                                                                          (ELPERIN, DEARS)

For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:       

pschuh@mssny.org ldears@mssny.org      mauster@mssny.org  
pclancy@mssny.org jmcpartlon@mssny.org    

enews large

Majority of Patients Happy with Primary Care Physicians
The physician-patient relationship remains strong, with nine out of 10 U.S. adults noting high levels of satisfaction with their primary care physician (PCP). This is according to a new national patient survey commissioned by the Physicians Foundation, of which MSSNY is a charter member. However, patients cite increasing concern and frustration with their ability to manage rising healthcare costs and medical debt, with many indicating that they have avoided treatment plans, routine or specialty check-ups, or prescriptions as a result. These behaviors have far reaching implications relative to healthcare access, costs, resource utilization and overall patient health outcomes.

According to the research, 95 percent of patients surveyed are satisfied or very satisfied with their PCP’s ability to explain information in a manner they understand, while 96 percent feel their physicians are respectful of them. Moreover, 93 percent were satisfied or very satisfied with how well their PCP listened to them during their most recent exam, with 92 percent noting high levels of satisfaction relative to how well their doctor knew their medical history.

However, the findings show that patients who saw a primary care physician for their most recent routine exam are not fully adhering to treatment plans, avoiding routine check-ups or opting not to take prescription medication due to rising healthcare costs. Sixty-two percent of U.S. adults are concerned with being able to pay for medical treatment if they get sick or injured. Almost half (48 percent) are not confident they could afford care should they become seriously ill. In addition, more than a quarter of U.S. adults (28 percent) have skipped a medical test, treatment or follow-up or avoided a visit to the doctor for a medical problem in the past 12 months because of costs. Twenty-seven percent of patients have avoided filling a prescription in the past 12 months, noting costs as a primary factor.

More Physicians Participating In Direct Primary Care Model
The AP (5/19) reports more and more physicians “have begun to provide subscription-like service to patients, a model known as direct primary care,” which allows patients to pay a fixed monthly fee, and receive unlimited visits. Like “concierge medicine for the rich, direct primary care can appeal to middle and low-income patients who struggle with high deductibles or can’t afford insurance at all.” The article mentions a Virginia physician who charges a monthly fee of $60 for people over 31, $30 for adults 30 and under, and $15 for children whose parents participate in his program.


Trial Supports Intensive BP Lowering in Nondiabetic Elders
Intensive blood-pressure reduction lowers cardiovascular events and mortality in nondiabetic older adults, according to a prespecified subanalysis from SPRINT. The findings were published in JAMA and presented at the American Geriatrics Society’s annual meeting.

In SPRINT, roughly 2600 adults aged 75 and older with increased CV risk but without diabetes or histories of stroke were randomized to intensive BP control (systolic target,

The researchers calculated that 25% of cancers in women and 33% in men might not have occurred if everyone adopted the healthy lifestyle. Similarly, 48% of cancer deaths in women and 44% in men might have been averted. When comparing the healthy group to the U.S. white population in general, the reductions were even greater. Lung and esophageal cancers saw the greatest reductions.

Editorialists write: “As a society, we need to avoid procrastination induced by thoughts that chance drives all cancer risk or that new medical discoveries are needed to make major gains against cancer, and instead we must embrace the opportunity to reduce our collective cancer toll by implementing effective prevention strategies and changing the way we live.”

JAMA Oncology article (Free)

JAMA Oncology editorial (Free) 


Marijuana Licensees Looking to Expand Prescribers to PAs and NPs
The five companies awarded licenses to grow and sell medical marijuana in New York have joined forces to lobby lawmakers for changes to the state’s Compassionate Care Act.

“We’re going around giving an update to the program [and] sharing some of our impressions and talking about ways that we think the program can be improved,” said Ari Hoffnung, chief executive officer of Vireo Health, one of the five companies that have formed the Medical Cannabis Industry Association.

The four others are PharmaCann, Etain, Columbia Care and Bloomfield Industries.

One of the changes to the law the group will lobby for is to allow nurse practitioners and physician assistants to certify seriously ill patients to be eligible for medical marijuana. As it’s written, the law only allows physicians to certify patients. (Politico, 5/18)


CMS Offering YouTube Program for Innovation Day on Tuesday, May 24

Transforming Clinical Practice Initiative

Are you a clinician or health care professional who wants to:

  • Maximize your understanding of Medicare reimbursement changes?
  • Utilize quality measures and use the data for practice improvement?
  • Optimize the health outcomes of your patients?
  • Strategize with like-minded health care professionals on practice efficiencies?

If you answered “yes” to any of these questions, then you need to be at Innovation Day on May 24th to learn from leaders in practice transformation!

Click here to register.

  • Date: May 24, 2016
  • Time: 10 a.m. – 3:45 p.m. ET (Registration opens at 9 a.m.)
  • Presenters:
  • CMS
  • American College of Physicians
  • Health Partners of Delmarva
  • National Nursing Centers Consortium
  • QIN-QIO Telligen
  • VHQC
  • Vizient Alliance

Join on YouTube

For more information on the TCPI, click here.


NYC Pharmacy Offers Two- Hour Delivery Just for Prescription Drugs
The New York Post (5/17, Covert) reports that even though there is “a Duane Reade seemingly on every corner,” Capsule, a new pharmacy startup, “believes there is a better, faster and cheaper way to deliver prescription drugs.” The company is launching in New York City today, “promising free, two-hour delivery for prescriptions anywhere in the city except Staten Island.” The company will operate from one location in Manhattan, “a strategy that will not only slash its rent but help prevent out-of-stock medications, co-founder and CEO Eric Kinariwala told The Post.” In addition, the company will only offer prescription drugs, rather than also offering other “drugstore staples.”


JAMA: 30% of Top Women Clinician-Researchers Experienced Sexual Harassment
A research letter published in JAMA on Tuesday in which researchers discussed a survey that found that up to “30 percent of top women clinician-researchers have experienced blatant sexual harassment on the job.” The researchers also found that 66 percent of women who responded to the survey recount personal experiences of gender bias, and 70 percent say they perceived gender bias in the field. Among the 1,700 male and female participants, only 10 percent of men reported gender bias. Prescription Medicine Delivery Service Launches Today In New York City.


CLASSIFIED


121 EAST 60TH ST – 6TH FL OFFICE ROOM FOR RENT
Professional Co-op office in an established part time Doctors office. Recently re-done, waiting area with a full time receptionist for your clients. The elegant lobby is attended 24-hours and offers live operator answering service for your clients, and more. Available Monday through Sunday (Monthly $2,000). Please call to schedule an appointment. 212-355-7017
121 E 60thst

Spacious, Newly Renovated Medical Office to Sublet Near the United Nations
Handicapped accessible, Wi-Fi ready, separate reception area 1 to 3 rooms rooms available, 1 to 7 days per week Ideal for ophthalmologist/optometrist with onsite optical dispensary Could easily suit other specialties Excellent value, long-term lease available if desired Contact Dr. Scott Weissman email scott.weissmanmd@gmail.com  cell 914 772-5581


Recently Renovated Medical Office Space Available June, 2016
Desirable Midtown Manhattan Building located between Park and Madison Avenues. Please Call Mr. Mel Farrell At 212. 696.7107 for further information.


Office to Share/Rent
Medical Co-op Building located on East 60th Street, NYC. Includes one consult room and 2 examination rooms, waiting room, 2 bathrooms, plus 2 medical assistants. Space for one secretary. Available 2.5 days per week.  Free internet and Wi-Fi. For more information, contact mamdocs9B@gmail.com or (212) 230-1144.


Want to Rent your Medical Office? Need to Lease Space to Expand your Practice?
Clineeds is an online platform designed to help physicians find or rent medical office space. Listing is completely FREE! Sign up today at http://clineeds.com/signup. We take care of the rest!


Office Rental 30 Central Park South 
Two fully equipped exam rooms, two certified operating rooms, bathrooms and consultation room. Shared secretarial and waiting rooms. Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1300 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com


Medical Office For Rent – 715 West 170 Street
Two to five examination rooms available plus Reception,secretarial areas. Two bathrooms and entrances. Ethernet and cable ready. $4000 – $9500/ month. 917.861.8273 drdese@gmail.com Can build to suit including accredited O.R.s


Physician Opportunities

Columbia University – Associate Vice President for Health Services
Reporting to the Vice President for Campus Services, the Associate Vice President for Health Services (AVP) provides leadership for health policy, programs, outreach, facilities, finances, and health programming on the Morningside Campus of Columbia University. Serving the total health, health information, disability, sexual assault, sexual misconduct, and wellness needs of over 25,000 students, the AVP serves as a principal advisor on health affairs to the Vice President for Campus Services, the Executive Vice President for Facilities & Operations, and the Senior Executive Vice President.

The position requires a minimum of 10 years experience in health/human services or a related setting with at least five years of senior leadership at a director level or above. MD, DO, PhD, or equivalent clinical degree in a health related field is required. Additional requirements include: experience in crisis management coupled with ability to manage confidential information in a sensitive manner and use of sound judgment; ability to manage and lead collaboration with diverse constituencies, including traditionally underserved communities; demonstrated ability to provide leadership in complex institutions and to work with health providers and a wide range of University and contracted personnel; and evidence of strong customer service orientation with proven methods of soliciting, responding to, and managing feedback.

Review of applications will begin June 6, 2016, and will continue until the position is filled. The full position announcement, including application instructions, is available on the Spelman Johnson website at http://www.spelmanandjohnson.com/position/associate-vice-president-health-services 

Columbia University is an equal opportunity/affirmative action — Race/Gender/Disability/Veterans employer.


New York Life Seeks Experienced Medical Director
New York Life is seeking an experienced Medical Director. Full time physician (M.D. or D.O.) needed for our underwriting department in Manhattan. At least 3-5 years Internal Medicine or Family Practice required. Competitive industry salary, excellent benefits, outstanding culture. Visit: https://career8.successfactors.com/sfcareer/jobreqcareer?jobId=30244&company=NYLPRD&username=


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