Doing Right for Patients & Members

 

Thomas J. Madejski, MD MSSNY President
PRESIDENT’S MESSAGE
Thomas J. Madejski, MD
MSSNY President
MAY 4, 2018
Volume 18
Number 17

Doing Right by Our Patients and Our Members

Dear Colleagues:

I related to you last week my testimony before the Assembly Health Committee explaining MSSNY’s policy on physician assisted suicide/aid in dying. I testified to MSSNY’s existing policy, which was last reviewed and updated at our 2015 House of Delegates.  Our HOD explicitly indicated that physicians should not participate in physician assisted suicide or euthanasia.

Contentious Issue

I acknowledged that this is a difficult and contentious issue amongst our members, and that there are reasoned arguments on both sides.  My testimony indicated what MSSNY’s present policy is, and that there has not been any attempt to change that policy.

MSSNY was asked at the last House of Delegates to conduct a survey of our members’ attitudes toward physician assisted suicide/aid in dying.  Of note, the 2017 resolution DID NOT ask MSSNY to change its policy; just that a survey be conducted. I testified that the survey has been completed and that the results are being analyzed and reviewed by the MSSNY Bioethics Committee.

MSSNY routinely conducts surveys on many different issues throughout the course of the year.  We use various instruments and recognize that all surveys have inherent bias and methodological issues.  We consider the information and potential flaws of all the data that we use when we formulate policy.

Under Consideration Now in NY

The Medical Aid in Dying Act (S3151/ A2383) is currently under consideration during this legislative session.  Our Council and Bioethics Committee did not have an opportunity to discuss their work prior to the completion of public hearings. After discussion with MSSNY leadership and staff, I wanted to provide as much information as we could to aid the legislators in their deliberations, acknowledging that we had not completed our consideration of the information.

No good deed goes unpunished.

In response to my testimony, organizations that support aid in dying accused MSSNY of mishandling the survey. The organizations are: Compassion and Choices; End of Life Choices New York; Death with Dignity National Center; and Death with Dignity-Albany.

I testified at the hearing that MSSNY is committed to improving care for all of our patients, especially those near the end of their life.  One of the core principles of the practice of medicine is the easing of suffering, and I acknowledged in my testimony that sometimes physicians may hasten a patient’s death in an attempt to ease their pain.

My job as MSSNY President is to represent MSSNY policy— which I believe I did.

Response

The organizations chose to attack us, rather than work with MSSNY to improve the care of our patients at end of life.  I think it is important to respond to some of the criticism in an attempt to clear the air, and hopefully move forward together:

  • The organizations indicated we released information “unexpectedly.” MSSNY members who are part of the Aid in Dying movement have been asking for information, and questioning why MSSNY wasn’t giving out results. Again, we continue to work on the analysis, but with time constraints and pending legislation, I felt it was important to try and give some information about the results, fully acknowledging that these were preliminary conclusions and will be reviewed further.
  • The organizations indicated that MSSNY did not produce an unbiased survey.  Our Bioethics Committee took great care in creating a survey instrument to minimize bias, and created an instrument that would help to inform leadership on the concerns of MSSNY members.
  • The organizations were concerned that non-MSSNY members participated in the survey.  MSSNY became aware of this early in the survey process.  In fact, Compassion and Choices interfered in the survey process only hours after MSSNY released the survey and several days later we learned that the Catholic Conference was also sending out the MSSNY survey. The organizations don’t indicate that MSSNY legal counsel had to have a discussion with organizations advocating for and against Aid in Dying to cease and desist redistributing the survey to their non-MSSNY members.
  • MSSNY shares Assemblymember Paulin’s concern about the participation of non-MSSNY members and will consider that in our evaluation of the data.
  • One of the difficulties in discussing physician assisted suicide/aid in dying is conflation of related issues. The organizations quoted a number of different studies, but does not seem to be concerned about sources of bias in their parsing of data favorable to their position.
  • Those organizations indicated that it defies logic that a majority of MSSNY physicians oppose medical aid in dying in the light of other national surveys. If that is truly the case, then why be concerned with our process? Then why are the organizations so vested in our process?    We have a very democratic and open process in determining policy through our House of Delegates.

I have already tasked some of our committees with reviewing the issues related to death and dying.  This issue will also be discussed at the MSSNY Council Meeting.

MSSNY has been advocating for the care of patients, the proper practice of medicine, and the betterment of public health since 1807. The last time the majority of MSSNY members spoke through our House of Delegates they opposed physician assisted suicide. That policy has not changed.

NY Is a Policy Leader 

New York State is a national leader in educating physicians and creating health care policy.  I think we can work together to create policy and systems of care that ease our patients’ suffering without creating additional disparities in care.

As President of MSSNY, I am committed to leading a discussion amongst all physicians on how best to care for patients at end of life.

Excelsior!

I am interested in hearing your comments on this topic: comments@mssny.org.

Thomas J. Madejski, MD 
MSSNY President


Dr. Donald Moore, host of the well-attended, all-day HIT Symposium at Brooklyn Boro Hall on Saturday, April 28. Dr. Sal Volpe, Dr. Parag Mehta were featured speakers.


MLMIC Insurance

Capital Update

MSSNY Joins Patient Groups to Advocate to Prevent Mid-Year Formulary Changes
This week MSSNY representatives participated with representatives of several other patient advocacy groups as well as the bill sponsors in a press conference and legislative meetings in support of legislation (A.2317-C, People-Stokes/S.5022-C, Serino) that would (in most cases) prohibit a health insurer from making a change to their prescription drug formulary or moving a prescription drug to a higher tier during a policy year.  The legislation passed the Assembly unanimously this week, and is before the Senate Insurance Committee.

The measure is supported by many patient and physician advocacy groups, including the Global Healthy Living Foundation, Lupus and Allied Diseases Association, NAACP, AARP, New Yorkers for Accessible Health Coverage, the Epilepsy Foundation, the Arthritis Foundation, the American Cancer Society, the National Association on Mental Illness-NY, the NY Chapter of the American College of Physicians, the NYS Osteopathic Medical Society, and the American College of Rheumatology.  This week’s event received significant media coverage, including through Newsday and Capital Tonight.

Also participating in the press conference and meetings were parents of children with chronic diseases who shared stories of the impact of these mid-year formulary changes.

The press release referenced a survey released by the Global Healthy Living Foundation found that 65% of New Yorkers reported that their insurance company switched their medication to a drug that was different from the one their physician prescribed; 86% reported paying more out-of-pocket for their prescription medications due to formulary changes; and 93% reported that the medication they were switched to worked worse than the original prescribed medication.

MSSNY President Dr. Thomas Madejski stated the following for the press release:Continuation of a medication regimen prescribed by a patient’s treating physician is critical to assuring a patient’s recovery from illness, maintaining their health, or preventing worsening of their condition. Unexpected changes to a medication formulary could result in significantly higher out-of-pocket costs for patients. This could seriously interfere with their continued ability to obtain these needed medications.  Insurance company formulary changes are not made with the intimate knowledge of the patient’s personal physician.  Additionally, this legislation would help to protect consumers from unforeseen higher cost-sharing requirements.  (AUSTER, BELMONT)

Update on the Patient-Centered Medical Home Program – Physicians Concerned that Some PMPM Cuts Going Forward
To respond to State Budget constraints, earlier this year the NYS Health Department announced its intent to implement a huge cut in Medicaid payments to physicians participating in the Patient-Centered Medical Home program. Specifically, DOH intended to slash the current $7.50 Per Member Per Month (PMPM) payment for each Medicaid patients to $2.00 for May and June.  The amount would increase to $5 or $5.50 PMPM in July but would also have required that each PCMH participant have a Level 1 Value-Based Payment (VBP) contract with a Medicaid Managed Care plan.

If permitted to go forward, these cuts and new requirements would likely have forced many physicians out of the Medicaid PCMH program, which in turn would have significantly impaired access to primary care services for many patients insured through Medicaid.   As a result of these concerns, MSSNY worked together with the New York Chapters of the American College of Physicians, Academy of Family Physicians and American Academy of Pediatrics, as well as the Community Healthcare Association of New York State (CHCANYS), to successfully advocate for the Legislature to include $20 million in the State Budget to prevent these Medicaid payment cuts from being implemented.

While a NYS Assembly summary of the final State Budget noted that these funds were intended to “reject a reduction in reimbursement rates for patient centered medical home services”, that point has been disputed by the NYSDOH.     This week DOH released a letter noting payment changes to the PCMH program starting in May.  We are pleased that, DOH has indicated that it was not going forward with its original proposal to require PCMH participants to have VBP contract by July 1.  However, of significant concern, the letter indicated that there are still going to be cuts to Medicaid PCMH payment, as follows:

  1. Effective May 1, 2018 – June 30, 2018, the MMC PCMH PMPM for providers recognized under NCQA 2014 Level 3, NCQA 2017, or NYS PCMH standards will be $5.75.
  1. Effective July 1, 2018 to the end of SFY 18-19, the MMC PCMH PMPM for providers recognized under NCQA 2014 Level 3, NCQA 2017, or NYS PCMH standards will be $6.00.
  1. Effective May 1, 2018, the PCMH incentive payments for providers recognized under NCQA’s 2014 Level 2 standards will be permanently eliminated for both MMC and FFS.

MSSNY continues to work with the ACP, AFP, AAP and CHCANYS to express significant concerns to the Legislature, DOH and Governor’s Office with these PCMH cuts, even at a reduced level, in spite of the action taken by the Legislature.  Physicians are urged to contact the Governor and their legislators to express their concerns here(AUSTER) 

MSSNY Urges for Extension of Committee for Physicians Health Program
This week the Senate Health Committee unanimously advanced legislation (S.8093, Hannon) to the Senate floor that would extend for an additional 5 years the continued operations of the MSSNY Committee for Physicians Health (CPH) program.  Authorization for several key components of the program expired on March 31, 2018.   Identical legislation (A.10221, Gottfried) is before the Assembly Health Committee.

The CPH is a program designed to confront and assist physicians thought to be suffering from alcoholism, substance abuse or mental illness.   Since the inception of this program, CPH has assisted thousands of physicians in returning healthy to medical practice.  The work of the CPH program is an important public service both to our health care system as well as the general public. As a result, the State Budget annually includes an appropriation of $990,000 for the program, which is generated from a $30 assessment on all physicians’ biennial registration fees.

The program has traditionally been extended by the Legislature in 3 or 5 year “demonstration programs” with the most recent extension in 2013.  The recently enacted State Budget included a provision to create another “demonstration program” until 2023.  However, it omitted other provisions historically extended at the same time that are essential to its functioning that could greatly impair its operations unless immediate action is taken.  These includes provisions that set forth the CPH program’s reporting requirements to the Office of Professional Medical Conduct (OPMC), provisions to ensure liability protections for the physician Committee members for work performed in the scope of CPH, and necessary confidentiality protections for the program given the sensitivity of the work they perform.   These protections are absolutely essential to the continued functioning of the program to ensure that physicians with the appropriate expertise are willing to serve on the Committee, as well as to assure that the program has the ability to report sensitive information to OPMC when warranted by the circumstances.
(DIVISION OF GOVERNMENTAL AFFAIRS)

Physicians Encouraged to Take Survey; Bending the Diabetes Curve CME Course Available Online
The Medical Society of the State of New York has partnered with the American Medical Association to bring its Prevent Diabetes STAT initiative to New York.  MSSNY has developed a short survey to sample physician’s knowledge of the National Diabetes Prevention Program (DPP) and the Prevent Diabetes STAT program. The survey also serves as a platform to physicians to express what specific boundaries they have experienced or anticipate experiencing regarding the implementation of the DPP and/or Prevent Diabetes STAT. Participation in this survey is essential to the development of various educational components that will benefit both the physician and patient communities. Click here to take the one-minute survey.

Bending the Diabetes Curve webinar is now available to view online; click here. By educating physicians and connecting more patients to evidence-based lifestyle change programs, this diabetes initiative will help bridge the gap between clinical care settings and communities to reduce the incidence of type 2 diabetes.

Webinar: Bending the Diabetes Curve

Faculty: Geoffrey Moore, MD & Sarah Nosal, MD

Educational Objectives:

  • Describe the trends in Type 2 diabetes and implications for clinical practice
  • Review evidence that supports referring patients with prediabetes to lifestyle change program
  • Outline the considerations for implementing a diabetes prevention initiative in a physician practice
  • Describe NYS specific incidents of prediabetes and diabetes in adult population
  • Understand the reimbursements mechanisms for DPP

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 each of these live activities 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.

Additional information or assistance with registration may be obtained by contacting Carrie Harring at charring@mssny.org.  (HARRING)

Register now for the Medical Society of the State of New York’s May 2018 Medical Matters CME Webinar Program
The Medical Society of the State of New York is pleased to announce its free Continuing Medical Education (CME) webinar for May, 2018.  Participation in this webinar will earn physicians one CME credit free of charge.

May 16 at 7:30am – Medical Matters: Physically and Biologically Derived Chemical Agents: An Overview

Register for this webinar here.
Faculty: Arthur Cooper, MD

Educational Objectives:

  • Acquire a basic understanding of physically and biologically derived chemical agents
  • Identify types of physically and biologically derived chemical agents used as chemical weapons
  • Understand the indicators of each type of chemical agent
  • Describe the treatment of each type of chemical agent
  • Identify local and state resources

To view all of MSSNY’s scheduled programs, click here and select “Upcoming”.

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 each of these live activities 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.

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

Medical Society of the State of New York Announces May and June CME Webinar Schedule
The Medical Society of the State of New York is pleased to announce its free Continuing Medical Education (CME) webinars for May and June.  Participation in the webinars will earn physicians one CME credit free of charge.   The webinar schedule for May and June is as follows: 

May 24th at 7:30amCurrent Concepts in Concussion for Pediatric and Adult Patients

Register for this webinar here.
Faculty: Deborah Light, MD & John Pugh, MD, PhD

Educational Objectives:

  • Identify signs and symptoms indicative of concussion as well as red flags that indicate alternate or more severe pathology;
  • Outline an appropriate management plan for a patient presenting with concussion including a return to “normal life” protocol;
  • Describe methods for the primary and secondary prevention of concussion;
  • Identify patients who would benefit from referral to a concussion specialist

June 20th at 12:30pmMedical Matters: Children’s Mental Health After Disaster
Register for this webinar here.
Faculty: Linda Chokroverty, MD

Educational Objectives:

  • Enhance physicians’ understanding of the impact of disaster on children’s and family mental health
  • Improve physician skills to address potential psychiatric problems in children and families following a disaster

To view all of MSSNY’s scheduled programs, click here and select “Training Center” and “Upcoming”.

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 each of these live activities 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. 

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

Warmer Weather Means More Disease
As the summer months and warmer weather draw near, there is the inevitable onslaught of pests that cause disease.  The New York Times reported on Tuesday, May 1st that the incidence of diseases transmitted by mosquito, tick and flea bites has more than tripled in the United States between 2004 and 2016, with nine such diseases newly discovered or introduced in the U.S. since 2004.

Prepare yourself for the season by going to https://cme.mssny.org for MSSNY’s free CME courses on Mosquito Borne diseases and Zika Virus.   If you do not already have an account, you will need to create one.  And while you’re there, check out all of MSSNY’s CME offerings. (Hoffman)


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   mauster@mssny.org  pclancy@mssny.org  


eNews

Insys’ Controversial Opioid Sales Tactic Examined
In an 8,112-word feature, the New York Times (5/2) spotlights Insys Therapeutics’ controversial opioid sales practices and outreach to physicians to push its fentanyl drug, Subsys. “The Insys speaker program was central to Insys’ rapid rise as a Wall Street darling, and it was also central to the onslaught of legal troubles that now surround the company,” and seven former top executives “now await trial on racketeering charges in federal court in Boston.” The pieces profiles Insys founder John Kapoor who “flirted with legal trouble throughout his long career as a pharmaceutical entrepreneur” and “bankrolled Insys almost entirely on his own for over a decade” as he pursued the Food and Drug Administration’s approval for Subsys.

Three Nonprofit Insurers in Western New York Posted Higher Profits For 2017
The Buffalo (NY) News (4/30) reports, “Three of Western New York’s major nonprofit health insurers performed better in 2017, each of them helped by gains in investments and lower administrative expenses.” The article says Independent Health posted a surplus of $22.4 million for 2017, compared to $13 million in 2016, while HealthNow New York had “a $55 million surplus, up from $4.2 million in 2016, on revenue of $2.5 billion.” For its part, Univera Healthcare had net income “of $182.3 million last year, up from $99.5 million in 2016, on total premium revenue of $5.6 billion.”

Calling All IMGs! Symposium on May 23 at Jacobi Medical Center in the Bronx
Essen Health Care will host an IMG Symposium on May 23 from 5-8 pm at Jacobi Medical Center in the Bronx. Topics range from Navigating Residency: What to Expect to Residency Application and Interview Tips; and from Primary Care Pathway to IMG Onboarding and Training. IMGs are invited to participate in a pre-symposium networking from 5-6 pm. RSVP at internship@essenmd.com or by calling 929.239.4160. Click here for more information on the symposium

WORKERS COMP

Workers’ Comp: Schedule Loss of Use Informational Webinars
As part of the 2017 executive budget, Workers’ Compensation law §15(3)(x) required the Workers’ Compensation Board to implement new Permanency Impairment Guidelines for Schedule Loss of Use (SLU) evaluations. The new 2018 SLU Guidelines took effect January 1, 2018.

The Board’s Medical Director and Senior Policy Advisor, Elain Sobol Berger, MD, JD will provide training in the 2018 Guidelines’ approach to assessing SLU permanent impairment. Case studies will demonstrate how to apply the SLU principles and objective criteria in making an SLU determination.

There will be four webinars, so you can register for the time that works best for you. Each webinar will last approximately one hour and will include time for questions and answers. Space is limited, so please register early. When you click ‘register here’, you will be taken to a general information page. You must click ‘Register’ on the bottom of that page to sign up.

Register

Wednesday, May 16, 8:30 a.m. – 9:45 a.m. Register here
Wednesday, May 16, 4:00 p.m. – 5:15 p.m. Register here
Wednesday, May 23, 8:30 a.m. – 9:45 a.m. Register here
Wednesday, May 23, 4:00 p.m. – 5:15 p.m. Register here 

More information

For more information on the Schedule Loss of Use Guidelines, please see Subject No. 046-1011. The enabling regulation is set forth at 12 NYCRR 325-1.6, and is also available at the Board’s website.

FDA

FDA Suggests Reexamination of Safe Harbor Protecting Drug Rebates
Bloomberg News (5/3) reports Food and Drug Administration Commissioner Scott Gottlieb, MD, asked whether the legality of drug-plan rebates should be reconsidered. Dr. Gottlieb asked if the federal government should reexamine the safe harbor provision that prevents such rebates from being considered kickbacks.

Reuters (5/3) reports that Dr. Gottlieb has repeatedly criticized the common industry practice of setting high list prices for drugs, which are then lowered for health insurers through large rebates. Dr. Gottlieb asked in remarks prepared for a Food and Drug Law Institute conference, “What if we took on this system directly, by having the federal government reexamine the current safe harbor for drug rebates under the Anti-Kickback Statute?”

CMS

New Yorkers Will Be Getting New Medicare Cards Soon
CMS has three ways for card recipients to find out when they should expect new Medicare card in the mail:

  • Check out the map on Medicare.gov/NewCard. Remember, once card mailings begin in New York, it will take about a month from start to finish.
  • Keep an eye on email. CMS will send an email update when new Medicare cards start mailing in your state.
  • Log in to MyMedicare.gov account to see if a new card has been mailedSign up now at MyMedicare.gov —  it’s a free, secure, and easy way to access all your Medicare information in one place.

Brexit Starting to Drain U.K. Health Workforce
The National Health Service is bracing for an exodus of European doctors and nurses, POLITICO Europe reports. A new survey of 68 NHS hospitals and other care institutions found 1 in five have already altered recruitment plans, despite the U.K. not being scheduled to leave for another year. More than a third say the workforce impact of Brexit has been negative. The NHS relies heavily on non-British European doctors and nurses. Polls indicated one of the factors driving support for Brexit was improved funding for the U.K.’s taxpayer-funded health service. The Vote Leave campaign claimed free movement from the EU was creating unsustainable demands on health services. (Politico 5/1/18)

Uninsured Can Get Appointments but Cannot Pay Average Cost of $160
The US uninsurance rate has nearly been cut in half under the Affordable Care Act, and access to care has improved for the newly insured, but less is known about how the remaining uninsured have fared. In 2012–13 and again in 2016 Health Affairs conducted an experiment in which trained auditors called primary care offices, including federally qualified health centers, in ten states. The auditors portrayed uninsured patients seeking appointments and information on the cost of care and payment arrangements. In both time periods, about 80% of uninsured callers received appointments, provided they could pay the full cash amount. However, fewer than one in seven callers in both time periods received appointments for which they could make a payment arrangement to bring less than the full amount to the visit. Visit prices in both time periods averaged about $160. Trends were largely similar across states, despite their varying changes in the uninsurance rate. Federally qualified health centers provided the highest rates of primary care appointment availability and discounts for uninsured low-income patients. (Health Affairs April 2018) https://bit.ly/2HETH3K


Classified

RENTAL/LEASING SPACE

Thriving  Internal Medicine Practice for Sale by the Physician.
Has been growing exponentially, with number of patients doubling over last two years.
Has the visits-volume and the potential space & hours to keep expanding
The physician will stay to overlap for at least one year to personally transition all the practice’s patients, to seamlessly transfer all insurance account and to assist with acquirement of hospital privileges

Well established location at street level, with dedicated handicap entrance, easy access to public transportation, a parking lot and within one mile from all three leading local hospitals.
Fully credentialed as a medical practice site with all health insurances in the market, and compliant with Americans with Disability Act requirements. Office space lease guaranteed for extended period of time. Call 917-596-8936


Are You Trying to Lease Your Medical Office or Sell Your Medical Practice? Trying to Sell New or Used Medical Equipment?
Clineeds, the new online platform designed for medical providers. With Clineeds you can lease your medical officeshared your office spacebuy and sell used medical equipment, or post healthcare job opportunities. LISTING IS FREE! Why wait? Click here to sign-up: www.clineeds.com/sign-up


Beautiful NYC Medical Office — Long-term Share
Bright, big consultation room and one or two exam rooms in large,  tastefully furnished office in first-rate building. 58th Street between Park and Lexington. Near transportation.  Smaller, windowed consultation room and exam room also available. Rent by the day or week, beginning June 1 or sooner. $180 per day or $5500 per months. Perfect for internist, rheumatologist, physical medicine, ob-gyn and others. Superb front desk and office management available, along with many amenities including internet, ultrasound, EMG, kitchen, optional C-arm. Call Carol: 917-856-6402.


For Rent – Medical Office 715 W 170 Street New York
Ground floor just completed build out 4 exam rooms with sinks and wall cabinets
Waiting and reception areas, windows throughout.
Street and private entrances, two bathrooms and storage/lab/staff room.
One block to bus and two blocks to Presbyterian Medical Center and subway.
$1900-$7900/ month for one to 4 exam rooms.
Drdese@gmail.com or 917.8618273


For Share – Plastic Surgeon’s Office Facing Central Park Ground Floor Lobby Entrance/Private exit
One to three exam rooms, consult/private office and procedure room for full or part time use.
Elegant, modern and spacious secretarial, waiting and two exam rooms.
Accredited operating rooms and recovery rooms on site.
One block to bus and 20 feet to subways.
$1275-$3750/day monthly for one to three exam rooms.
Drdese@gmail.com or 917.861.8273


Office Space – Sutton Place
Newly renovated medical office. Windows in every room looks out to a park like setting on the plaza level. 2-4 exam rooms/offices available, possible procedure room or gym. Separate reception and waiting area, use of 3 bathrooms and a shower. Central air and wireless. All specialties welcome. Public transportation nearby. Please call 212-772-6011 or e-mail: advocate@medicalpassport.org



PHYSICIAN OPPORTUNITIES


Private Multidisciplinary Medical Group Seeking Full Time or Part Time Podiatrist and Full Time or Part Time Internal Medicine/Family Practice/Allergy & Immunology Physicians.
Midtown, Union Square & Lower Manhattan locations. Attractive base salary plus comprehensive benefits package. E-mail CV to tsrgexpress@gmail.com. No recruiters please.


Chief of Medical Services
MINIMUM QUALIFICATIONS: Possession of a license and current registration to practice medicine in New York State, plus six years of experience in the practice of medicine, two years of which must be in an administrative or supervisory capacity. Appointee must be eligible for and maintain eligibility for full and unconditional participation in Medicaid and Medicare programs. Appropriate certification by an American Medical Specialty Board and one year of post certification experience in that specialty can be substituted for four years of general experience.
PREFERRED QUALIFICATIONS: Board certification in Geriatric Medicine and/or Certification as a Medical Director (AMDA), and experience in a long-term care facility.
RESPONSIBILITIES: Serve as Medical Director of a 242-bed skilled nursing facility for veterans and their dependents. Provide medical leadership and oversight ensuring the delivery of quality health care services while also ensuring compliance with clinical, statutory and regulatory standards.Send resume to:  NYS Veterans Home, Attn: Human Resources, 4207 State Highway 220, Oxford, NY 13830

The New York State Veterans Home at Oxford is a 242-bed skilled nursing facility operated by the NYS Department of Health located in Chenango County. It is an Affirmative Action/Equal Opportunity Employer. 


Family Practice Physician – Schenectady/Amsterdam, NY
Hometown Health Centers is a Federally Qualified Community Health Center in the Upstate, Schenectady and Amsterdam, NY areas. Bi-lingual in English/Spanish is a plus.  Excellent total compensation package.  No hospital rounding. Flexible and part-time schedules available.  Sign-on bonus. For additional information please send inquiries or resumes to href=”mailto:jobs@hhchc.org”>jobs@hhchc.org. www.hometownhealthcenters.org


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