EXECUTIVE COMMITTEE EMTALA, the ER and Parity for ... · tween psychiatry and psychotherapy can be saved? The featured psychiatrist of the March 6 th NYT article, Dr. Levin described

Issue 116Issue 116Issue 116Issue 116

JulyJulyJulyJuly----August 2011August 2011August 2011August 2011

EXECUTIVE COMMITTEE EXECUTIVE COMMITTEE EXECUTIVE COMMITTEE EXECUTIVE COMMITTEE

Donald B. Condie, M.D.

President

Alex Sabo, M.D.

President-Elect

Marie H. Hobart, M.D.

Immediate Past-President

Cornelia Cremens, M.D.

Secretary

Sarah Langenfeld, M.D.

Treasurer

Anthony J. Rothschild, M.D.

Sr. APA Representative 2011-2014

APA REPRESENTATIVES APA REPRESENTATIVES APA REPRESENTATIVES APA REPRESENTATIVES Caroline Fisher, MD, PhD

APA Representative 2010-2013

Gregory M. Harris, MD, MPH


John Palmieri, M.D.


MPS COUNCILORS MPS COUNCILORS MPS COUNCILORS MPS COUNCILORS Sheldon Benjamin, M.D.

2011—2014

S. Nassir Ghaemi, MD, MPH

2009—2012

James Harburger, M.D.

2010—2013

Mark J. Hauser, M.D.

2011-2014

Janet E. Osterman, MD, MS

2009-2012

Arthur Papas, M.D.

2010-2013

Member In Training Representative Member In Training Representative Member In Training Representative Member In Training Representative

Isis Burgos-Chapman, M.D.

2011-2013

SOUTHEASTERN MASS. CSOUTHEASTERN MASS. CSOUTHEASTERN MASS. CSOUTHEASTERN MASS. CHAPTER HAPTER HAPTER HAPTER Marc A. Whaley, M.D., President

WESTERN MASS. CHAPTEWESTERN MASS. CHAPTEWESTERN MASS. CHAPTEWESTERN MASS. CHAPTERRRR Stephen G. Kessler, M.D., President

MPS STAFFMPS STAFFMPS STAFFMPS STAFF Beverly Sheehan Dupuis

Executive Director

Mayuri Patel

Executive Office and Membership

Administrator

Julie Kealey

Continuing Medical Education

Coordinator

On June 27, Paul Summergrad (a past president of MPS) and I testified before the Massachusetts legislature’s Joint Committee on Mental Health and Substance Abuse, now chaired by Sen. Keenan of Quincy and Rep. Malia of Jamaica Plain. The committee had requested testimony as part of an Oversight Hearing prompted in part by MPS sponsorship of an amendment [offered by Sen. Keenan ] to the Sen-ate budget which would have required insurance pay-ment at the full inpatient rate for patients “boarding” in the ER pending psychiatric admission, and also required payment for psychiatric consultations done while the patient remains in the ER. This situation of patients boarding for days in ERs across the state has become an increasingly difficult problem and ER physicians are especially frustrated by what they see as cumbersome authorization requirements for psy-chiatric admission which are not applied for any other category of diagnosis leading to backups and long ER stays. The committee heard from Commissioner Leadholm from DMH as well as many other stakeholders including Blue Cross, Tufts, UBH, Neighborhood Health Plan, Beacon Health Strategies, and Network Health, among others. ER physicians from UMass, Cambridge, and Quincy gave the strongest testimony, declaring in no uncertain terms that “parity does not exist in Massachusetts.” They point-ed out that no other diagnosis outside psychiatry re-quires a separate screening team and phone calls to remote insurance employees who decide–without ever seeing the patient–whether or not to authorize payment for psychiatric admission. The Department of Public Health entered this conversa-tion with a January letter (available on our website) that interprets the EMTALA (Emergency Medical Treatment of Active Labor Act) as requiring admission once psychiatric patients have been stabilized to any available psychiatric bed regardless of insurance coverage. This federal law threatens loss of all Medicare reimbursement to any hos-pital found to be in violation. The issues raised by the treatment of some psychiatric patients who are rejected by hospitals as “too acute” to be hospitalized are extremely complex. Young, psychotic

(Continued on page 2)

MIT Corner Pages 3-4

Update on Chapter 10 of the Acts of 1992

Pages 4-5

APA News Pages 6-7

MPS Classifieds Pages 8-11

MPS Calendar Page 12

Massachusetts Psychiatric Society, 40 Washington Street, Wellesley Hills, MA 02481 Phone: 781-237-8100 Fax: 781-237-7625

EMTALA, the ER and Parity for PsychiatryEMTALA, the ER and Parity for PsychiatryEMTALA, the ER and Parity for PsychiatryEMTALA, the ER and Parity for Psychiatry

Visit the MPS Website Visit the MPS Website Visit the MPS Website Visit the MPS Website

www.psychiatrywww.psychiatrywww.psychiatrywww.psychiatry----mps.orgmps.orgmps.orgmps.org

Inside this issue:Inside this issue:Inside this issue:Inside this issue:

Donald B. Condie, MDDonald B. Condie, MDDonald B. Condie, MDDonald B. Condie, MD

Page 2 MPS Bulletin—July-August 2011

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 02481-1802

Phone: (781) 237-8100 ♦ Fax: (781) 237-7625 ♦ Email: [email protected]

and potentially aggressive male patients clearly represent a risk that some inpatient units are not staffed to safely contain, but the paradox of declaring such a patient too difficult for hospitalization says a great deal about difficulties in our field. There are plans under consideration for two private units for psychiatric patients requiring “intensive care”, but these units have not yet been opened. The larger question of why inpatient psychiatric care has become so unprofitable that units have closed over the last few years was not addressed at the June 27 hearing but is certainly a contributing factor to current ER backups. Another factor contributing to these backups has been the closure of DMH continuing care beds which have acted in the past as a safety valve for transfer of patients from private acute units once it is determined that they require longer-term care. Disincentives for hospitals to request transfer of such patients sometimes result in the paradox of discharge without sufficient treatment, leading to cyclical admissions. Noncompliance with medications by chronic patients, decimation of community services such as PACT (Program for Assertive Community Treatment) teams and CBFS (Community Based Flexible Services) due to proposed budget cuts, and closure of Clubhouse services have all con-tributed to current problems in the adult hospital system by removing community supports necessary to prevent relapse. For children and adolescents, the problems are also complicated. Long delays in admission to psychiatric hospitals especially at certain times of year have become routine for children requiring psychiatric inpatient care. At other times of year, some children’s inpatient services run a low census making use of these services difficult to predict and therefore provide. Despite this litany of bad news, the good news from this hearing was that the legislature is listening and seems poised to take actions in an attempt to remedy some of the worst problems. Particular attention was paid during the hearing to the issue of for-profit carveouts and their management of psychiatric inpatient benefits which is seen as intrusive and redundant by both ER physicians and many psychiatrists. Whether or not the legislature will act upon these concerns and what actions they might take will depend upon continu-ing advocacy by all members of MPS, especially those living in districts whose representatives or senators serve on the Joint Committee. A list of those on the committee can be found at http://www.malegislature.gov/Committees/Joint/J18 and I would urge any MPS member living in the district of one of these legislators to contact that legislator’s office and make your own individual concerns about these matters known.

(President’s Report—Continued from page 1) In my experience, individual legislators do respond to constituents concerns and if we do not advocate for these issues that affect our patients and hamper our ability to care for our patients, those concerns will be addressed based on the voices of others less experienced. This will be a long process and the insurance company interests certainly have made their perspectives known. Still to come is the question of how proposals for “payment reform” might intersect with issues such as this. I ended my written testimony (available on the website) with several recommendations, the most important of which was to collect data about insurance carrier, carveout type, length of stay in the ER and eventual disposition, as well as rates of readmission following hospitalization. We hope to have further meetings with members of the committee to continue to discuss these concerns. As always, stay tuned. Donald B. Condie, MD

President

Executive Director ReportExecutive Director ReportExecutive Director ReportExecutive Director Report

Bev Sheehan DupuisBev Sheehan DupuisBev Sheehan DupuisBev Sheehan Dupuis

MPS GOING GREENMPS GOING GREENMPS GOING GREENMPS GOING GREEN The MPS would like to offer to our members an opportunity to receive their MPS newsletter by email. There are several advantages to this:

• You will receive the newsletter sooner (by about one week) ;

• All links will be “live” so you can go directly to the link;

• You will be helping to save the environment; and

• You will be helping to cut costs of publication.

We recognize that many members will want to continue to receive their newsletter in the mail. This will continue to be an option as long as there are members who wish to receive their newsletter in this fashion. For those of you who would prefer to receive your newsletter by email, you will need to contact the MPS office by email ([email protected]) . The newsletter is not in the public domain because it is a member benefit, you will need to log onto the MPS Website (www.psychiatry-mps.org) with your username and password when you click on the link in the email regarding the newsletter. We hope that members who have been asking us to do this for several years will be pleased with this option and others will consider this option as well.

CONTACT INFORMATION CHANGECONTACT INFORMATION CHANGECONTACT INFORMATION CHANGECONTACT INFORMATION CHANGE As a reminder, please be sure to let the MPS know when any of your contact information changes. It seems lately when we


MPS Bulletin—July-August 2011 Page 3


Phone: (781) 237-8100 ♦ Fax: (781) 237-7625 ♦ Email: Psychiatry-MPS.org

MemberMemberMemberMember----inininin----Training CornerTraining CornerTraining CornerTraining Corner

Isis BurgosIsis BurgosIsis BurgosIsis Burgos----Chapman, MD Chapman, MD Chapman, MD Chapman, MD

“Can the Marriage Be Saved?”“Can the Marriage Be Saved?”“Can the Marriage Be Saved?”“Can the Marriage Be Saved?”

Psychotherapy has been bound to

Psychiatry much like the stethoscope

has to Cardiology. In recent years,

however, there has been a shift towards

what some would call “biological”

psychiatry, and along with that, the

belief that psychiatrist do not need to

learn psychotherapy given other available treatments such as

pharmacotherapy, ECT and Deep Brain Stimulation. More

recently there have been articles such as the March 6, 2011

front page story of The New York Times titled, “Talk Doesn’t

Pay, So Psychiatry Turns Instead to Drug Therapy,” which

have generated some debate about the current state of psy-

chotherapy and its relation to modern psychiatric practice.

Reading this article and the subsequent commentaries pub-

lished by individuals such as Dr. Ronald Pies led me to ques-

tion the role of psychotherapy in my current training and how

it might impact my future career. Like Claude Friedmann did

in his 1978 commentary, I too wonder if the marriage be-

tween psychiatry and psychotherapy can be saved?

The featured psychiatrist of the March 6th NYT article, Dr.

Levin described his practice as a “bus station” which is fright-

ening for someone like me who purposely chose a career in

psychiatry to escape the hustle and bustle that has become a

staple of primary care. I chose psychiatry because it was

and continues to be important that I thoroughly get to know

my patients and have ample time to focus on their core

needs. Furthermore, I was compelled to pursue a specialty

that valued the importance of treating the whole patient by

making full use of the biopsychosocial model. Unfortunately,

it seems our profession is shifting away from these ideals

toward a quick diagnosis, prescription administration and

patient departure.

There seems to be a constant splitting of psychopharmacolo-

gy and psychotherapy and their respective teachings. Often I

hear people talking about how they are only going to pre-

scribe medications or only do therapy. Much like Glen Gab-

bard MD, I wonder, “is it possible to obtain optimal compli-

ance with psychopharmacology regiment without under-

standing psychotherapeutic principles? Can you manage a

suicidal patient expertly without some understanding of

countertransference? Can you provide the best possible inpa-

tient treatment if you know nothing about group dynamics as

applied to inpatient staff and patient interactions and have

not learned the basic principles of family therapy?” [2].

As a fourth year medical student I recall being asked about

what I hoped to gain from a psychiatry residency program and

my standard answer was, “a program that offers a balanced

approach between psychotherapy and psychopharmacology

training”. Without realizing it, I fell into the trap of dichoto-

mizing psychotherapy and psychopharm much like others

who have a tendency to split the mind and body. Why is this?

When exactly did this drastic separation take place? Could

anything have been done to prevent this?

With the many changes that have taken place in our society

since the 1960’s we need to find a way of making psycho-

therapy relevant again. Our social climate today is much dif-

ferent in that few people have the time or resources to see a

therapist numerous times per week or even weekly. My sense

is that we need to rethink how psychotherapy is taught in our

residency programs if we have any hope of saving this mar-

riage. It may be worthwhile to consider combining psycho-

therapy and psychopharmacology seminars because the real-

ity is that in actual practice it is difficult to be a well-rounded

psychiatrist without simultaneously making use of these two

therapeutic tools. It is also important to point out how basic

therapeutic skills come into play while working in other set-

tings outside of outpatient psychiatry such as the Consulta-

tion and Liaison Psychiatry, Nursing Homes and Emergency

Rooms.

Practicing, aspiring and especially psychiatrists in training

need to realize that “human behavior is too complex to be

treated from one point of view alone” [1]. Regardless of

where our careers lead us, we will have to deal with transfer-

ence, countertransference, resistance, etc because at the

end of the day we are still psychiatrists. In 1978, Dr. Claude

Friedmann wrote about there being an imminent divorce be-

tween psychiatry and psychotherapy. For the imminence of

this divorce to be eliminated the teaching of psychotherapy

needs to be streamlined. As Friedmann wrote, “it will take a

lot of work to keep the marriage together. I vote we try” [1].

Works Cited:Works Cited:Works Cited:Works Cited: [1]Friedmann, MD, Claude T.H. “Psychiatry and Psychotherapy—Is a Divorce Imminent?” Western Journal of Medicine 129.2 (1978): 156-59. [2]Http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1238296/pdf/westjmed00252-0092.pdf

[2] Gabbard, MD, Glen O. “How Not to Teach Psychotherapy.” Academic Psychiatry 29.4 (2005): 332-38. http://ap.psychiatryonline.org/cgi/reprint/29/4/332.

[3] Harris, Gardiner. “Talk Doesn't Pay, So Psychiatry Turns Instead to Drug Therapy.” The New York Times 6 Mar. 2011: 1-4. 5 Mar. 2011. http://www.nytimes.com/2011/03/06/health/policy/06doctors.html?pagewanted=1&_r=1>.

[4] Pies, MD, Ronald W. “Psychotherapy Is Alive and Talking in Psychiatry - Psychiatric Times.” Web. 13 June 2011. http://www.psychiatrictimes.com/display/article/10168/1819880.





Member-in-Training Corner (Continued from page 3)

Please join me in congratulating our recently selected MIT as MPS Committee Co-Leaders: VA CommitteeVA CommitteeVA CommitteeVA Committee Laura Bajor, MD and Fawad Taj, MD Public Sector CommitteePublic Sector CommitteePublic Sector CommitteePublic Sector Committee Michelle Durham, MD, MPH Substance Abuse CommitteeSubstance Abuse CommitteeSubstance Abuse CommitteeSubstance Abuse Committee Brian Hurley, MD Consult Liaison CommitteeConsult Liaison CommitteeConsult Liaison CommitteeConsult Liaison Committee Janet Shu, MD Committee on Women Committee on Women Committee on Women Committee on Women Janet Shu, MD College Health Committee College Health Committee College Health Committee College Health Committee Carlene MacMillan, MD Geriatrics Committee Geriatrics Committee Geriatrics Committee Geriatrics Committee Isis Burgos-Chapman, MD Child Psychiatry Committee Child Psychiatry Committee Child Psychiatry Committee Child Psychiatry Committee Anne Redburn, MD Organizational Psychiatry Committee Organizational Psychiatry Committee Organizational Psychiatry Committee Organizational Psychiatry Committee Ashwini Nadkarni, MD

Media/Communications Task Force Committee Media/Communications Task Force Committee Media/Communications Task Force Committee Media/Communications Task Force Committee Ben Herbstman, MD

Forensics Committee Forensics Committee Forensics Committee Forensics Committee Brian Falls, MD

Update on Chapter 10 of the Acts of 1992: Update on Chapter 10 of the Acts of 1992: Update on Chapter 10 of the Acts of 1992: Update on Chapter 10 of the Acts of 1992: Psychiatrists Supervising Nurse Mental Health Psychiatrists Supervising Nurse Mental Health Psychiatrists Supervising Nurse Mental Health Psychiatrists Supervising Nurse Mental Health Clinical Specialists to Issue Prescriptions and Clinical Specialists to Issue Prescriptions and Clinical Specialists to Issue Prescriptions and Clinical Specialists to Issue Prescriptions and

Other Treatment Orders Other Treatment Orders Other Treatment Orders Other Treatment Orders

James TJames TJames TJames T. . . . Hilliard, Esq.Hilliard, Esq.Hilliard, Esq.Hilliard, Esq.

Chapter 10 of the Acts of 1992 authorizes nurses practicing in “expanded roles” to prescribe Schedule II through VI Con-trolled Substances and to order tests and other “therapeutics measures” under the supervision of a physician. Since the passage of Chapter 10, the Boards of Registration in Medicine and Nursing and the Department of Public Health have each issued regulations setting forth the procedures which must be followed by issuing such prescriptions.

What the New Chapter 10 Law allows is nurses practicing in the expanded roles (i.e. nurse/midwife; nurse-practitioners; nurse-anesthetists and psychiatric nurse mental health clini-cal specialists) to issue written and oral prescriptions for Schedule II through VI Controlled Substances as well as to order tests and therapeutic measures. The law requires, however, that the nurse be supervised by a physician pursuant to a written agreement. As the legislation authorizes “psychiatric nurse mental health clinical specialists” to issue prescriptions, the purpose' of this article is to acquaint the members of the Massachusetts Psychiatric Society with the specific requirements of the law and the recently promulgat-ed regulations and to provide guidance for those psychiatrists who are considering entering into “supervision agreements” with psychiatric nurse mental health clinical specialists (hereinafter referred to as “nurses”).

Requirements which must be met before a nurse may enter into an agreement for supervision, the Board of Registration in Nursing has issued regulations requiring that a nurse, to be eligible to enter into an agreement with a supervising phy-sician for the prescription of Class II through VI medication, must: 1. Hold a valid Registered Nurse license; 2. be certified in the expanded role by the Board of Registration in Nursing (psychiatric nurse mental health clinical specialist); 3. Have completed 24 contact hours in pharmacotherapeutics; 4. Hold a valid registration from the Department of Public Health, Division of Food and Drug, for prescription writing; 5. have registered with the United States Drug Enforcement Administration; and 6. Maintain professional liability insur-ance $100,000-$300,000, except in those cases where the practice is limited to federal, state, county or municipal healthcare facilities.

Supervising Physician Conditions, the Board of Registration in Medicine has defined a “supervising physician” for purposes of the law/Chapter 10 as one who holds an unrestricted full license and has completed training in psychiatry approved by the Accreditation Council for Graduate Medical Education (ACGME) or the Royal College of Physicians and Surgeon of Canada or is Board Certified in psychiatry. In addition, psychiatrists who will be acting as a “supervising physician” must hold a valid registration to issue controlled substances from the Massachusetts Department

try to contact members we find that the telephone numbers have changed and that their mailing address has changed. The MPS pays to have the post office give us address chang-es, so if you call us and let us know you will be helping us to save some of your dues so that we can provide additional services to the membership.

WEBSITE CHANGESWEBSITE CHANGESWEBSITE CHANGESWEBSITE CHANGES Over the course of the summer we will be updating and changing our webpage. Most of our new updates are on the home page which now lists upcoming meetings, and also the latest testimony that MPS or other psychiatric organizations offer, in addition to information that you might find helpful. We update this page at least weekly and you will be able to find archived information on other pages of the website. We hope that you will like the changes, and if you have sugges-tions, please don’t hesitate to contact the MPS office. We have a part time person working with us this summer to help us make these changes.

One of the MOST EXCITING MOST EXCITING MOST EXCITING MOST EXCITING changes on the website is on the Members Only CME Programs page. There you will find all the handouts from the 2011 Risk Management program in April. You will also be able to hear the presentations and the question and answer sessions. This is the first step in our process to offer online CME programming to our members. We want people to view the handouts, test out the audio and let us know any feedback you may have. We are a ways from being able to do this, but your input is very important!

We are also updating our committee information. The infor-mation for each committee will include their chairs, Co-chairs, and MIT co-chairs, as well as information on what the com-mittees are currently working on. Please take a few minutes to look at the committee subpages and again give us feedback. The website and newsletter are done for your benefit. If there are things you want to see on either, please let us know. We don’t guarantee that we will be able to meet all the requests but we will certainly give it our best shot to address your needs as best we can. On behalf of the MPS Staff, have a safe and happy summer and we look forward to seeing everyone in the Fall!

Executive Director Report (Continued from page 2)




of Public Health and be registered with the United States Drug Enforcement Administration.

Requirements of the Supervisory Relationship, once the psy-chiatrist has agreed to provide supervision to a nurse, the regulations of both the Boards of Registration in Medicine and Nursing require that the nurse and the supervising physi-cian mutually develop and agree upon guidelines to govern the supervisory relationship. These guidelines must be in writing and shall include, at a minimum, the following: 1. the identity of the supervising physician; 2. a defined mechanism for the delegation of the supervisory authority to another phy-sician when the primary physician is unavailable, which mechanisms must specify the duration and scope of the dele-gation; 3. a specific description of the nature and scope of the nurse’s practice; 4. an identification of the types of medi-cation(s) to be prescribed, and any limitations upon the nurse’s prescribing authority, and a description of the circum-stances in which physician consultation or referral is required prior to prescribing a medication; 5. a description of-established procedures for the treatment of common medical conditions which the nurse may encounter; 6. provisions for managing emergencies; 7. a defined mechanism to monitor the nurse’s prescribing practices, including documentation of review by the supervising physician at least every three months, which review must be documented; 8. protocols for the initiation of intravenous therapies and Schedule II drug; 9. specify the frequency of review of initial prescription of controlled substances; the initial prescription of Schedule II drugs must be reviewed within 96 hours; and 10. Conform to the Department of Public Health at 105 CMR 700.00 et seq., M.G.L .Chapter 112, Sections 80E or 80G, and 244 CMR 4.00 et seq., as applicable. The Boards of Registration in Medicine (“BRM”) and Nursing have the right, at anytime, to review these written guidelines and to require that copies thereof be provided to such Board(s) at any time and may discipline any physician or nurse who fails to provide such guidelines.

General Requirements of a Supervisory Relationship, the reg-ulations issue by the BRM further require that “supervising psychiatrists” review the nurse’s prescriptive practices at least every three (3) months and provide on-going direction to the nurse with to such practices (or delegate such review and direction to another licensee of the BRM with credentials sim-ilar to the supervising psychiatrists. This periodic review by the psychiatrist of the nurse's prescriptive practices must be in writing and must be retained by the psychiatrist for inspec-tion by the BRM at anytime. Failure to maintain this requires documentation in an appropriate fashion may subject any member to disciplinary action. Although the regulations do not stipulate the number of nurses a psychiatrist may super-vise at anytime, it does specifically require that psychiatrists only enter into supervisory agreements with those nurses for whom the psychiatrist is able to provide supervision con-sistent with the regulations taking into the account factors including, but not limited to geographical proximity, practice setting, volume and complexity of the patient, population and the experience, training and availability of the supervising physician and the nurse.

“Credentialing” and Supervision, a psychiatrist who enters into a supervisory agreement with a nurse will be undertaking a major responsibility which could result in adverse conse-quences if not managed appropriately. To that end, the psy-chiatrist entering into such an arrangement should establish his/her own credentialing process to ensure those who are to be supervised are appropriately trained and qualified. It is my recommendation that, in order to minimize his/her legal ex-posure, the supervisory psychiatrist should confirm and re-view the credentials of each nurse prior to entering into a guideline agreement and such credentialing should include, at a minimum, the following: 1. Proof of registration as an RN and certification in the expanded role by the Board of Regis-tration in Nursing; 2. Proof of DEA and Food and Drug Admin-istration certification; 3. Evidence of professional malpractice liability insurance with coverage of at least $100-$300,000 or agreement stipulating the nurse’s practice is limited to a federal, state, county or municipal health care facility; 4. At least two (2) references from current or immediate past em-ployers where the nurse had practiced in an expanded role; 5.Requests for disclosure of disciplinary action or pending claims before the Board of Registration in Nursing or pending lawsuits (and a review by the psychiatrist of any such actions or claims); and 6. A statement signed by the nurse, under oath, disclosing any history of impairment from drugs or alco-hol or the non- existence or absence of any such impairment. Even though a supervising psychiatrist may observe these precautions he/she must appreciate the importance of close-ly supervising the nurse's activity in engaging in prescriptive practices and any evidence of impertinence and/or negli-gence in prescriptive practices must receive the immediate attention of and appropriate action by the psychiatrist to do otherwise may expose the psychiatrist to labiality for the nurse's negligent prescriptive practices, on a theory of negli-gent supervision

I would recommend that any psychiatrist considering a super-visory arrangement with a nurse seek legal counsel familiar with the law and regulations in this area prior to engaging into any such arrangement.

SAVE THE DATES

Saturday, October 1, 2011Saturday, October 1, 2011Saturday, October 1, 2011Saturday, October 1, 2011 22nd Annual Fall Program and Psychopharmacology Update “Mental Health Needs of Returning Veterans” Massachusetts Medical Society, Waltham MA Saturday, October 22, 2011 (Half day program)Saturday, October 22, 2011 (Half day program)Saturday, October 22, 2011 (Half day program)Saturday, October 22, 2011 (Half day program) EHR and E&M Update Massachusetts Medical Society, Waltham MA Monday, December 5, 2011Monday, December 5, 2011Monday, December 5, 2011Monday, December 5, 2011 CBT Workshop Massachusetts Medical Society, Waltham MA




APA Social Media Named as Top Mental Health Expert by HuffingtonPost.APA Social Media Named as Top Mental Health Expert by HuffingtonPost.APA Social Media Named as Top Mental Health Expert by HuffingtonPost.APA Social Media Named as Top Mental Health Expert by HuffingtonPost.

The American Psychiatric Association was recently recognized as a top mental health expert to follow on Twitter by the Huffing-tonPost. @APAPsychiatric currently has more than 3,000 followers and sends out “tweets” throughout the day (including weekends) on APA news, industry trends, and the latest dialogue within the mental illness community. The APA’s Facebook page, another resource for members to utilize, is updated daily with breaking mental health news, profiles on APA leadership,

and real-time APA meeting updates.

APA’s public / patient focused site HealthyMinds.org and blog Healthy Minds Healthy Lives include social media components as well: APA Healthy Minds Facebook page and @APAHealthyMinds on Twitter (2,500+ followers). If members have questions or would like to participate as a blogger for Healthy Minds Healthy Lives, they should contact Jennifer Dart, Special Projects

Manager in the APA’s Communications Office ([email protected] or 703-907-8536).

APF Accepting Applications: Alexander Gralnick, M.D. Award for Research in SchizophreniaAPF Accepting Applications: Alexander Gralnick, M.D. Award for Research in SchizophreniaAPF Accepting Applications: Alexander Gralnick, M.D. Award for Research in SchizophreniaAPF Accepting Applications: Alexander Gralnick, M.D. Award for Research in Schizophrenia

The American Psychiatric Foundation (APF) invites submissions for the Alexander Gralnick, M.D., Award. Applications must be received by September 1, 2011. The award acknowledges research achievements in the treatment of schizophrenia, emphasizing early diagnosis and treatment and the psychosocial aspects of the disease process. Additional preference will be given to researchers working in a psychiatric facility. This award is named after the late Alexander Gralnick, M.D., and an endowment was provided by the Gralnick Foundation in memory of Dr. Alexander Gralnick's work and interest in the field of schizophrenia. Members can find details online via www.psychfoundation.org/ or contact Linda Bueno at [email protected]

(703-907-8519).

Online Registration Open for IPS: APA's Leading Educational Conference on Public, Community, and Clinical PsychiatryOnline Registration Open for IPS: APA's Leading Educational Conference on Public, Community, and Clinical PsychiatryOnline Registration Open for IPS: APA's Leading Educational Conference on Public, Community, and Clinical PsychiatryOnline Registration Open for IPS: APA's Leading Educational Conference on Public, Community, and Clinical Psychiatry COMPREHENSIVE AND COORDINATED CARE: BRINGING IT ALL BACK HOME is the theme of IPS 2011. The 63rd Institute on Psychiatric Services (IPS) meeting will be held October 27 to 30 at the San Francisco Marriott Marquis. Members who register

online (www.psych.org/IPS) by July 29 will receive discounts. Advance registration closes on October 7, 2011. The IPS meeting offers up to 32 category 1 CME credits as well as CE/CEU credits intended to pro-vide training and support for psychiatrists and other mental health practitioners. The IPS 2011 Prelimi-nary Program can be accessed via www.psych.org/IPS .

DBSA Launches 2011 Facing Us Video ContestDBSA Launches 2011 Facing Us Video ContestDBSA Launches 2011 Facing Us Video ContestDBSA Launches 2011 Facing Us Video Contest

The Depression and Bipolar Support Alliance (DBSA) has asked the APA to help promote this year’s Facing Us Video Contest.

Download the flyer for details or read more below:

Inspire others and share your recovery story! Each one of us has a story—stories of hope, fear, humor, strug-gle, and triumph—stories of recovery. Put a new “face” on recovery when you share your personal journey towards wellness. Be a part of the 2011 Facing Us Video Contest in a way that's as unique as you are: deliv-er a personal monologue; sing it in a song; say it with a poem; act out a play with friends; use illustration or

animation; or create a comedy act. Judging will be based on the impact of submissions rather than the quality of filming. Be-tween May 21, 2011 and September 5, 2011, you can submit your video online at www.facinguscontest.org/ and have a

chance to win cash prizes of $500 (1st place), $300 (2nd place) and $200 (3rd place).

Centers for Medicare & Medicaid Services Provides up to $500 million for "Partnership for Patients"Centers for Medicare & Medicaid Services Provides up to $500 million for "Partnership for Patients"Centers for Medicare & Medicaid Services Provides up to $500 million for "Partnership for Patients"Centers for Medicare & Medicaid Services Provides up to $500 million for "Partnership for Patients"

The U.S. Department of Health and Human Services (HHS) announced late June that up to $500 million in Partnership for Pa-tients funding will be available to help hospitals, physicians, and health care organizations to improve care and stop millions of preventable injuries and complications related to health care acquired conditions and unnecessary readmissions. This funding,

made available by the Affordable Care Act, will be awarded by the Centers for Medicare & Medicaid Services (CMS) Innovation.




American Journal of Psychiatry American Journal of Psychiatry American Journal of Psychiatry American Journal of Psychiatry Once Again Sees Boost in Impact Factor to 12.759, Remains Tops in Total CitationsOnce Again Sees Boost in Impact Factor to 12.759, Remains Tops in Total CitationsOnce Again Sees Boost in Impact Factor to 12.759, Remains Tops in Total CitationsOnce Again Sees Boost in Impact Factor to 12.759, Remains Tops in Total Citations

The American Journal of Psychiatry has an impact factor of 12.759, a rise from last year's 12.522, and 2-point rise from the previous year's 10.545, according to the recently released Journal Citation Reports for 2010, published by Thomson Reuters. AJP, a publication of the American Psychiatric Association, ranks second among 126 journals in psychiatry. The impact factor has become the proxy determination of the relative worth of the research a journal publishes. It is a citation-to-article ratio, with the numerator representing the total number of citations to articles published in a two-year period, and the denominator being the total number of articles published in that two-year period. For more information, please read news release posted on psych.org.

CMS Addresses APA Members' Concerns with ECMS Addresses APA Members' Concerns with ECMS Addresses APA Members' Concerns with ECMS Addresses APA Members' Concerns with E----Prescribing Incentive Program Proposed RulePrescribing Incentive Program Proposed RulePrescribing Incentive Program Proposed RulePrescribing Incentive Program Proposed Rule

Several states' regulations now prohibit physicians from writing electronic prescriptions for controlled substances. These state regulations have remained in effect despite the rollout of the federal law's E-Prescribing Incentive Program and the passage of a federal law allowing for electronic prescribing of controlled substances. The Centers for Medicare and Medicaid Services (CMS) has responded to calls by the APA and the American Medical Association to expand the list of exemptions available to physicians under the Medicare E-Prescribing Incentive Program to include an exemption for physicians practicing in states with regulations that currently prohibit the writing of electronic prescriptions for controlled substances. On June 1, 2011, CMS issued a proposed rule that contains a list of additional exemptions for which physicians can apply. To avoid the 2012 e-prescribing financial penalty, physicians can report through an online web portal their eligibility for exemp-tions from electronic prescribing due to local, state, or federal law or regulation. The deadline for reporting is October 1, 2011. The CMS rule proposes the following exemptions to the E-Prescribing Incentive Program for physicians: • Physician's practice is in a rural area without high-speed internet access. • Physician's practice is in area without access to pharmacies for electronic prescribing. • Physician registered for Medicare/Medicaid EHR Incentive Program by certified EHR tech. • Physician infrequently prescribes. • There are insufficient opportunities to report e-prescribing measure due to program limitations. The APA thanks its New York members for bringing to its attention the mismatch between New York's current regulations and the federal law, which presently permits the electronic prescription of controlled substances. The APA will be commenting on CMS's proposed E-Prescribing Incentive Program hardship exemption rule during a comment period that closes on July 25,

2011.

Psychiatrists Elected to Influential Posts at the American Medical AssociationPsychiatrists Elected to Influential Posts at the American Medical AssociationPsychiatrists Elected to Influential Posts at the American Medical AssociationPsychiatrists Elected to Influential Posts at the American Medical Association Denver psychiatrist Jeremy A. Lazarus, M.D. was named president-elect of the AMA during its Annual Meet-ing of the House of Delegates in Chicago (June 18-22). Dr. Lazarus, speaker of the AMA House of Dele-gates and a past speaker of the APA Assembly, is only the second psychiatrist to be president of the AMA. The first was Rock Slyester, M.D., who was installed as the 93rd president of the AMA on May 16, 1939. “It’s a reflection of the respect that our profession has attained within the AMA, so I will be honored to be the second psychiatrist to be president,” Dr. Lazarus told Psychiatric News. In addition to private practice,

he is a clinical professor of psychiatry at the University of Colorado, Denver School of Medicine.

Several APA member psychiatrists were elected or re-elected to key AMA positions at the Annual Meeting of the House of Delegates. Patrice A. Harris, M.D., (GA) was elected to the AMA Board of Trustees. Dr. Harris is a former member of the APA Board of Trustees and a former president of the Black Psychiatrists of America. John “Jack” McIntyre, M.D., (NY) former APA President, was re-elected to the AMA Council on Medical Service; and Stuart Gitlow, M.D., (NH) was re-elected to the AMA Council on Science & Public Health.


Phone: (781) 237-8100 ♦ Fax: (781) 237-7625 ♦ Email : [email protected]

CLASSIFIED LISTINGSCLASSIFIED LISTINGSCLASSIFIED LISTINGSCLASSIFIED LISTINGS———— JULYJULYJULYJULY----AUGUST 2011AUGUST 2011AUGUST 2011AUGUST 2011

THE DEADLINE FOR THE THE DEADLINE FOR THE THE DEADLINE FOR THE THE DEADLINE FOR THE SEPTEMBER SEPTEMBER SEPTEMBER SEPTEMBER 2011 2011 2011 2011

MPS NEWSLETTER IS AUGUST 15, 2011. MPS NEWSLETTER IS AUGUST 15, 2011. MPS NEWSLETTER IS AUGUST 15, 2011. MPS NEWSLETTER IS AUGUST 15, 2011.

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LEGAL ADVICE

FOR PSYCHIATRISTS

Milton L. Kerstein, Esq.

Andrew L. Hyams, Esq.

Mr. Hyams, former General Counsel to the Bd.

of Reg. in Medicine, and Mr. Kerstein provide

legal services to psychiatrists and other health

professionals in the following areas:

• Licensing Board Complaints and Applica-

tions

• Medicare/Medicaid Audits

• Patient Confidentiality

• Provider and Employer Contracts

• Civil/Criminal Litigation

As a service to Bulletin readers, we offer one

free 15-minute consultation to discuss any

general legal concerns.

Kerstein, erstein, erstein, erstein, CCCCoren &oren &oren &oren & Lichtenstein, LLP Lichtenstein, LLP Lichtenstein, LLP Lichtenstein, LLP

60 Walnut St.60 Walnut St.60 Walnut St.60 Walnut St. Wellesley, MA, 02481Wellesley, MA, 02481Wellesley, MA, 02481Wellesley, MA, 02481

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(617) 969(617) 969(617) 969(617) 969----7139713971397139

OFFICE SPACE

BrooklineBrooklineBrooklineBrookline----Weekday, Saturday & Evening Weekday, Saturday & Evening Weekday, Saturday & Evening Weekday, Saturday & Evening

Hours Hours Hours Hours ---- Coolidge Corner/Beacon Street office

space available for rent in 4, 8 or 12 hour

slots. Saturdays also available. High speed

internet/wifi and printer included. T and

handicap accessible. On street parking. Call

or e-mail: Gregory G. Harris, MD, MPH

617-983-0076 [email protected]

BelmontBelmontBelmontBelmont----Full-time and/or Part-time

psychotherapy office rental in attractive

Colonial home converted for mental health

professionals. On bus line with convenient

parking. Call: (617) 484-8378.

Harvard SquareHarvard SquareHarvard SquareHarvard Square - Full-time office space partially furnished in professional psycho-therapy suite, one block from T. Please call Lisa Pierce at 617-945-5190 to schedule a

visit or E-Mail: [email protected].

Amazing opportunity for a psychiatrist Amazing opportunity for a psychiatrist Amazing opportunity for a psychiatrist Amazing opportunity for a psychiatrist to build a private practice to build a private practice to build a private practice to build a private practice the old fash-ion way. Practice independently but join 2-experienced Child/Adolescent, Adult Psy-chiatrist/Psychoanalysts. Hamilton is 25 miles North of Boston. Beautiful Beaches

PSYCHIATRISTS

PSYCHOPHARMACOLOGISTPSYCHOPHARMACOLOGISTPSYCHOPHARMACOLOGISTPSYCHOPHARMACOLOGIST

Southeastern Psychiatric Associates, a

respected, thriving South Shore outpatient

practice of psychiatrists and therapists is

looking for a full or part time physician to

help with the excess of referrals we currently

have to turn away! We maintain the highest

standards but also try to keep a pleasant

and relaxed atmosphere. Our excellent

support staff works hard to ensure that

providers can spend maximum time with

their patients. Offices are located in

Randolph, at Carney Hospital and in Central

Square, Cambridge. Cambridge hours are

limited. Compensation is highly competitive.

Contact Leonard Marcus, MD.

617-696-7727 phone, 617-696-8387 fax

or [email protected].

and country roads. Magnificent office space

(furnished or unfurnished) Share kitchen

private bathroom and waiting area, parking,

walk to town. Top Floor, Elevator. All inclu-

sive rent $900 per month. We have been

there since 1977. Call Jay @ 617 566-5202.

Large sunny Coolidge Corner officeLarge sunny Coolidge Corner officeLarge sunny Coolidge Corner officeLarge sunny Coolidge Corner office, 4 win-dows, quiet, first floor, well furnished with couch, and 4 comfortable chairs, oriental rug, two desks and large bookshelves. Access to large waiting room via double doors. One paneled wall with stained glass window and large Jade plant. Adequate on street parking. Adjacent to newly opened Brookline Ballet Studio. Seven Eleven on the corner. Dental and medical offices on either side of the bldg. Address, 1419 Beacon Street, directly across from the summit T stop on Green Line, C train.

Please reply to Willard S. Kahn, M.D. 617-731-9138 or 617-527-8819. 3/4 time or less, hours flexible. Suitable for all men-tal health professionals. Immediate occu-pancy. Total office rent is $965, including concierge fee, all services and utilities -- individual rent, of course, proportional to time contacted for.




ADVOCATES, INC. CHILD AND CORRECTIONS ADVOCATES, INC. CHILD AND CORRECTIONS ADVOCATES, INC. CHILD AND CORRECTIONS ADVOCATES, INC. CHILD AND CORRECTIONS

PSYCHIATRIST POSTIONS. PSYCHIATRIST POSTIONS. PSYCHIATRIST POSTIONS. PSYCHIATRIST POSTIONS. Full and part-time posi-

tions are available for PSYCHIATRISTS at our sites

throughout the Metro West area. Advocates Inc is a

full-service, non-profit system serving individuals with

psychiatric and developmental disabilities and other

challenges in a strength-based, person-centered and

multi-disciplinary setting. Excellent physicians are

honored, and we offer a warm, friendly practice envi-

ronment. Compensation is highly competitive and

benefits are available for 20 hours +. Contact in con-

fidence Chris Gordon, MD, Medical Director at

508.628.6652 or at [email protected].

Norwood Hospital Department Norwood Hospital Department Norwood Hospital Department Norwood Hospital Department of Psychiatry is

seeking a board certified or eligible psychiatrist for

weekend coverage. Lucrative income potential. Con-

tact: Norman Tabroff, MD 781-278-6512.

Tewksbury Hospital Tewksbury Hospital Tewksbury Hospital Tewksbury Hospital is looking for full time inpa-

tient psychiatrists. The positions are on DMH interme-diate care units working with a wide variety of patients with severe and persistent mental illness. No man-aged care or after-hours on-call. Median LOS about 200 days. Competitive compensation. Work with an excellent and personable group of psychiatrists. For information contact Anthony Vagnucci, MD, Chief of Psychiatry, Tewksbury Hospital, 978-851-7321

x2863, [email protected].

BROCKTON, MABROCKTON, MABROCKTON, MABROCKTON, MA. 40-hr position for BC/BE* psy-

chiatrist in Joint Commission accred. CMHC with com-

prehensive outpatient, PACT, case management,

CBFS, and 24-hour on-site emergency services.

CMHC is part of MA DMH Southeastern Area. Active

medical staff and Harvard-affiliated psychiatry resi-

dency training program. Responsibilities include out-

patient psychiatric evaluations, psychopharm. mgmt.,

treatment planning, consultation to treatment teams.

Compet. salary, benefits, daytime, flex schedule, no

nightcall. Available 3/10. Board certification required

(*can accept BE only if plan in place for board cert

exams). Transitional age youth or forensic experience,

and/or Spanish speaking desirable. Send CVs to Terri

Harpold, MD, Brockton Multi-Service Center, 165

Quincy St., Brockton, MA 02302 or email to there-

[email protected]

The Figman Psychiatric Group The Figman Psychiatric Group The Figman Psychiatric Group The Figman Psychiatric Group in the Raynham

Woods Medical Center (near Rts. 24, 495, and 95),

with over 2,500 active patients receives on average

twenty-five referrals each week. We seek full or part-

time child/adult psychiatrists for med management,

as well as nurse practitioners and therapists. Please

call Dr. Figman at 617-201-8935 or send C.V.

to [email protected].

The Department of Psychiatry at Mount Auburn Hospital, The Department of Psychiatry at Mount Auburn Hospital, The Department of Psychiatry at Mount Auburn Hospital, The Department of Psychiatry at Mount Auburn Hospital, affiliated with

Harvard Medical School, is recruiting for a full-time position as attending

psychiatrist on our geriatric psychiatry inpatient unit. The 15 bed unit,

fully accredited by DMH, provides acute treatment to geriatric patients

with a variety of psychiatric disorders. The full medical resources of our

general hospital are utilized in the care of our patients. Responsibilities

include attending patients on the unit, consultation to the medi-

cal/surgical services of the hospital, and participation in the teaching

activities of the Department. Fellowship training in geriatric psychiatry is

preferred. A clinical appointment in psychiatry at Harvard Medical

School is anticipated. Please send letter of interest and cv to: Joseph

D’Afflitti, M.D., Chair, Department of Psychiatry, Mount Auburn Hospital,

330 Mount Auburn Street, Cambridge, MA 02138; tel: 617 499-5008;

email: [email protected].

Lowell Treatment Center is part of Arbour Health System Lowell Treatment Center is part of Arbour Health System Lowell Treatment Center is part of Arbour Health System Lowell Treatment Center is part of Arbour Health System , the largest provider of behavioral health care in Massachu-setts. Lowell Treatment Center is adding an adult inpatient unit to our adolescent inpatient service. We are currently seeking on-call/on site, Physicians to provide weeknight and weekend medi-cal coverage. In addition, we have on-call/onsite opportunities at Arbour -Fuller in South Attleboro,Arbour HRI in Brookline, West-wood Lodge in Westwood and Pembroke Hospital.

The Department of Psychiatry at the Beth Israel Dea-The Department of Psychiatry at the Beth Israel Dea-The Department of Psychiatry at the Beth Israel Dea-The Department of Psychiatry at the Beth Israel Dea-coness Medical Centerconess Medical Centerconess Medical Centerconess Medical Center is recruiting psychiatrists for current

openings in Ambulatory Psychiatry (expertise in addictions, neu-ropsychiatry, or geriatrics desirable), Inpatient Psychiatry (salaried weekday staff as well as weekend coverage), and Con-

sultation-Liaison Psychiatry.

Beth Israel Deaconess Medical Center in Boston, MA is a 500+ bed tertiary care teaching hospital of Harvard Medical School. The Department of Psychiatry maintains a diverse 25 bed inpatient unit, a robust Emergency Department and Consul-tation-Liaison Service, as well as an active outpatient prac-tice. Interest and experience in research is desirable. The De-partment of Psychiatry is a major teaching site for Harvard Med-ical School and the Harvard Longwood Psychiatry Residency Training Program; all positions will include opportunities for teaching medical students and residents. Underrepresented minorities, especially those who speak Spanish, are encouraged to apply. Harvard Medical School appointment at an appropriate

rank is available.

Please contact William Greenberg, MD, Chief of Psychiatry, by email: [email protected] including a statement of

interest and CV.

Lucrative Moonlighting Opportunities available at many Massa-Lucrative Moonlighting Opportunities available at many Massa-Lucrative Moonlighting Opportunities available at many Massa-Lucrative Moonlighting Opportunities available at many Massa-

chusetts Hospitalschusetts Hospitalschusetts Hospitalschusetts Hospitals. Variety of work available including weekend

rounding, on call by beeper, in hospital overnight and attending vacation

coverage. More information at moon.competenceu.com, or call Martha

Manfredi or Mark J. Hauser, M.D. at On-Site Psychiatric Services, Inc.

617-969-6331, or voice mail 617-969-6350.




Y.O.U., Inc., a leading child welfare and behavioral health organization, is a community psychiatric facility providing outpatient counseling as well as residential, behavioral health and community-based services.

BC/BE Child/Adolescent Psychiatrists

We are seeking candidates interested in working on one or more established comprehensive treatment programs in the social, psychological, educational, vocational, and other preventative & rehabilitation areas. Residential treatment program and outpa-tient counseling opportunities currently exist at multiple locations throughout central MA. Live and work in a major metropolitan area offering excellent schools, cultural amenities and open spaces, plus easy access to Boston and Providence!

What professionals like about Y.O.U., Inc.

• Full or part-time opportunities with diversified workload.

• Competitive compensation package, starting at $200,000 for full-time.

• As a health professional shortage area, we are an approved agency under the Federal Loan Repayment Program for NHSC.

• Relocation expenses paid!

For immediate consideration, email your vita and references to: [email protected]

EOE

Psychiatry Opportunity on the South Shore of MAPsychiatry Opportunity on the South Shore of MAPsychiatry Opportunity on the South Shore of MAPsychiatry Opportunity on the South Shore of MA

Taighsolais, Inc., is an innovative outpatient mental health clinic serving the greater South Shore. We are located in a very nice setting in Plymouth, where we treat a wide range of patients with a large variety of mental and behavioral disorders. Our services are comprehensive and designed to address all aspects of a person’s well-being. The clinicians at Taighsolais, Inc.,

are capable and reliable.

We have grown substantially over the past two years and are now looking for an additional psychiatrist full-

or part-time.

This job offers excellent compensation with potential

for partial ownership.

This position will remain open until filled. Contact Dr.

Rudolph if interested at:

Mark Rudolph, MDMark Rudolph, MDMark Rudolph, MDMark Rudolph, MD c/o Taighsolais, Inc.c/o Taighsolais, Inc.c/o Taighsolais, Inc.c/o Taighsolais, Inc.

36 Cordage Park Circle, Unit 12336 Cordage Park Circle, Unit 12336 Cordage Park Circle, Unit 12336 Cordage Park Circle, Unit 123 Plymouth, MA 02360Plymouth, MA 02360Plymouth, MA 02360Plymouth, MA 02360

508508508508----927927927927----6920692069206920 or Fax to (508) 689or Fax to (508) 689or Fax to (508) 689or Fax to (508) 689----7695 7695 7695 7695

Harvard University Health Services 75 Mount Auburn Street, Cambridge, MA 02138

Psychiatrist As a member of the Mental Health team, you will provide assessment and clinical

care to a diverse population of Harvard students and their dependents. Responsibilities

include facilitating the evaluation, diagnosis, treatment, consultation and referral of

students for appropriate care; counseling and providing outreach and education;

maintaining quality assurance and improvement activities; and participating on

committees and in weekly team meetings. You may also supervise psychiatric

residents and precept Clinical Nurse Specialists.

To apply, please visit http://www.employment.harvard.edu

and search using Auto Req ID #24080BR.

Harvard University is an Affirmative Action/

Equal Opportunity Employer.diverse community dynamic career dedicated colleagues

Harvard University Health Services



to Heal,

to Care,

to EducateUniquely comprehensive multi-specialty Campus Health Facility –

serving students, staff, and faculty – offers a quality work lifestyle,

unbeatable benefits, and unparalleled academic resources.

Requirements: Candidates must be M.D.s with Board

Certification in Psychiatry, strong psychopharmacological

skills, and experience in team management/leadership or

quality improvement. Experience or an interest in working

with diverse populations as part of a multidisciplinary team

is essential. Candidates must possess sensitivity to and

experience with working among diverse cultures and must

be committed to prevention, education, and outreach

around student concerns. Foreign language skills are highly

desirable, especially in Chinese, Japanese or Spanish.

Experience with the following would also be considered

favorably: urgent care, crisis intervention, student health,

short-term focal therapy, behavioral, group, eating disorder,

and substance abuse skills. Experience in an RVU practice

is preferred. This position participates in after hours

on call, including weekends, and urgent care schedules.




DEPARTMENT OF PSYCHIATRY DEPARTMENT OF PSYCHIATRY DEPARTMENT OF PSYCHIATRY DEPARTMENT OF PSYCHIATRY –––– MASSACHUSETTS GENERAL MASSACHUSETTS GENERAL MASSACHUSETTS GENERAL MASSACHUSETTS GENERAL HOSPITAL HOSPITAL HOSPITAL HOSPITAL –––– HARVARD MEDICAL HARVARD MEDICAL HARVARD MEDICAL HARVARD MEDICAL SCHOOL SCHOOL SCHOOL SCHOOL ––––Associate Director for the Associate Director for the Associate Director for the Associate Director for the Center for Anxiety and Traumatic Center for Anxiety and Traumatic Center for Anxiety and Traumatic Center for Anxiety and Traumatic

Stress DisordersStress DisordersStress DisordersStress Disorders

The MGH Department of Psychiatry is recruiting for an Associate Director of our Anxiety and Traumatic Stress Disorders Clinical and Research Program. Candidates should be: a) board certified/board eligible psychiatrists with expertise in clinical research and the pharmacothera-py care of patients with anxiety and traumatic stress disorders; b) dedicated to excellence in clinical care, research, teaching and mentorship; c) committed to advancing care through clinical research; and d) qualified for an academic appointment at Harvard Medical School at the rank of Assistant Professor or above. Previous administrative/clinical leadership experience as well as current and/or prior clinical research grant success is highly desirable. Interested individuals should apply to Naomi Simon, MD, MSc, Director of the Center for Anxi-ety and Traumatic Stress Disorders at MGH ([email protected]). The Massachusetts General Hos-pital is an affirmative action/equal opportunity employer.

Minorities and women are strongly urged to apply.

The Department of Psychiatry at Cape Cod Hospital The Department of Psychiatry at Cape Cod Hospital The Department of Psychiatry at Cape Cod Hospital The Department of Psychiatry at Cape Cod Hospital is looking

for Board-eligible or certified psychiatrists to moonlight on weekends (Friday, 5 p.m. to Monday, 8 a.m.). Included among re-sponsibilities: performing admissions and rounds on 20-bed unit, dictating admission evaluations, writing occasional boarder orders, and conducting histories and physicals. Excellent compensation. Will reimburse CCH credentialing fees. Please contact Mary Fisher

at 508-862-5845 if interested.

High Point Treatment Center in Plymouth High Point Treatment Center in Plymouth High Point Treatment Center in Plymouth High Point Treatment Center in Plymouth has Doctor On Call

positions available to cover their 16 bed Inpatient Psychiatry Unit. The on premises job has duty hours on weeknights 7pm-6am to allow for travel from and back to Boston. The weekend shift is 24 hours from 8a-8a. Competitive Pay. Please call Mark J. Hauser, M.D. or Martha Manfredi to discuss this opportunity at 617-969-

6331 or voice mail at 617-969-6350.

Tufts Medical CenterTufts Medical CenterTufts Medical CenterTufts Medical Center

Tufts University School of MedicineTufts University School of MedicineTufts University School of MedicineTufts University School of Medicine

Adult and Child Psychiatry AttendingsAdult and Child Psychiatry AttendingsAdult and Child Psychiatry AttendingsAdult and Child Psychiatry Attendings

The Department of Psychiatry at Tufts Medical Center is seeking an Adult Psychiatrist to serve as an attending psychi-atrist at the Doctor Solomon Carter Fuller Mental Health Cen-ter, a 60-bed forensic and continuing care hospital operated by the Department of Mental Health of the Commonwealth of

Massachusetts in Boston.

We are also recruiting for two child psychiatrists, including one to serve as Chief of the Consultation-Liaison service at

the Floating Hospital for Children.

These positions will include an academic appointment at Tufts University School of Medicine. Please forward CV in

confidence by email to: [email protected]

North ShoreNorth ShoreNorth ShoreNorth Shore--------Northeast Hospital Corp, Northeast Hospital Corp, Northeast Hospital Corp, Northeast Hospital Corp, a local nonprofit medical and

psychiatric system on Boston’s North Shore, has openings for full time and part time inpatient attending psychiatrists and night/weekend on call psychiatrists at BayRidge Hospital and Beverly Hospital. The Hospitals are teaching sites for Boston University School of Medicine, and for the inpatient psychiatrist positions, there is no required night call, a competitive salary, and a full benefit package including generous time off as well as reimbursement for malpractice insurance and CME expenses. The lucrative night/weekend on-call opportunities can be scheduled to fit your needs, and both on-site and call from home options are available. Contact Barry Ginsberg, M.D., Chief and Administrative Director, NHC Dept. of Psychiatry, 60 Granite Street, Lynn MA 01904. Phone (781) 477-6964, Fax (781) 477-6967, email bginsber@nhs-

healthlink.org.

GENERAL PSYCHIATRIST

LAHEY CLINIC

BURLINGTON, MA

Lahey Clinic is seeking a full time general psychiatrist to join its Department of

Psychiatry and Behavioral Medicine. The department is comprised of 35 full and

part time clinicians (MDs, CNSs, LICSWs and PhDs). In addition to providing outpatient

treatment in the department, the physician will support our Consultation Liaison Team

conducting inpatient consultations on complicated medical/psychiatric cases. We

are especially interested in applicants with experience or interest in this area of

practice. There is an on call component with the position and that occurs approximately

five times a year. Lahey Clinic does not have an inpatient psychiatric service.

Lahey Clinic is a 317-bed, state-of-the-art hospital and outpatient clinic and Level

II Trauma Center. We are a physician-directed multispecialty group practice of 500

physicians and a major teaching hospital for Tufts University School of Medicine.

Lahey Clinic’s Community Group Practice serves surrounding communities with thirteen

community practice sites. Lahey Clinic maintains 12 ACGME accredited and 11 ACGME

affiliated residency and fellowship programs for more than 130 Residents and Fellows.

At Lahey Clinic you will enjoy a collaborative work environment focused on integrated

patient care and innovation. Candidates must be eligible for licensure in the state

of Massachusetts and be board-certified/board-eligible through the American Board

of Neurology and Psychiatry.

Qualified candidates should forward letter of interest and CV to:

Mary Anna Sullivan MD

Chair, Department of Psychiatry and Behavioral Medicine

Lahey Cinic

41 Mall Road

Burlington, MA 018056

Email: [email protected]

www.lahey.orgLahey Clinic is an Equal Opportunity/Affirmative Action Employer.

MPS Calendar of EventsMPS Calendar of EventsMPS Calendar of EventsMPS Calendar of Events

Media Communication Task Force July 11 at 7PM at MPS [email protected]

Council July 12 at 7PM at MPS [email protected]

Managed Care Committee July 19 at 7PM at MPS [email protected]

College Health July 21 at 7PM at MPS [email protected]

Executive Committee July 26 at 7PM at MPS [email protected]

Council September 13 at 7PM at MPS [email protected]

Managed Care Committee September 20 at 7PM at MPS [email protected]

Public Sector September 22 at 6:30PM at

26 Queen Street, 5th Floor, Worcester

[email protected]

Executive Committee September 27 at 7PM at MPS [email protected]

The MPS College Mental Health Committee will meet on July 21, 2011, at 7:00PM, at the MPS, 40 Washington Street, Suite 201, Wellesley, MA 02481 Our agenda will include discussion about the Americans with Disabilities Act Amendments Act of 2008, its implications on the college psychiatrist, and how we can support our membership and college mental health clinicians in matters related to this issue, and a discussion about the recent increased interest in mental health screening and use of advance communications technology in mental health treatment and management on college campuses, again with a focus on how we

can be of support to our college health community.

We welcome all MPS members who have interest in the psychiat-ric treatment and health of college students. Light dinner will be

served.

MPS is now on Facebook MPS is now on Facebook MPS is now on Facebook MPS is now on Facebook

and Twitter!! and Twitter!! and Twitter!! and Twitter!!

We have created Facebook and Twitter accounts for the Massachusetts Psychiatric Society that will be used to post upcoming MPS events and news relevant to the members.

If you have a Facebook and/or Twitter account, consider becoming a fol-lower of the MPS pages. This will allow you to receive timely status updates and hopeful-ly becoming more active in the organization.

To “like” on Facebook, search for “Massachusetts Psychiatric Society” the same way you would search for a friend and then click on the “like” button. For Twitter, go to https://twitter.com/MAPsychSociety and become a “follower”. Keep in mind these sites just went up so the content is limited at this time.

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Documents

EXECUTIVE COMMITTEE EMTALA, the ER and Parity for ... · tween psychiatry and psychotherapy can be saved? The featured psychiatrist of the March 6 th NYT article, Dr. Levin described