Internal Medicine

VISION STATEMENT
To deliver the highest quality healthcare in a compassionate and nurturing environment throughout Aroostook County

MISSION STATEMENT
We are a community of providers committed to excellence in patient-centered healthcare and to improving the lives of those we serve. We are actively engaged in advancing the health and wellness needs of people in Aroostook County, including the unserved and underserved.

Internal Medicine Opportunity

Pines Health Services is a physician practice management organization comprised of 32 physicians and 13 mid-level providers. Pines’ northern Maine locations include Caribou (5 primary care and specialty offices), Presque Isle, Washburn, Fort Fairfield and Van Buren. In the Fall of 2007, the practice was designated as a Federally Qualified Health Center, providing enhanced access to health care services for all members of the community, and allowing the practice to employ providers holding H-1B and J-1 visas. Pines received a multi-year New Access Points grant from the Federal government in the fall of 2007. Our inaugural fully integrated electronic medical record system became operational in 2011.

For over 33 years Pines Health Services has provided care to a service area population numbering about 35,000 people. Pines Health Services has a dedicated, volunteer Board of Directors, and a strong, supportive relationship with Cary Medical Center. Pines providers are active members and leaders of Cary’s Medical Staff.

Our clinical staff is fully engaged in quality improvement, earning multiple blue ribbons from the Maine Health Alliance. We are a designated preferred provider for State of Maine employees, and have been recognized by Anthem Blue Cross / Blue Shield as a preferred provider based on the demonstrated quality of care provided to our patients. Pines primary care offices are located in Caribou (2), Presque Isle, Van Buren, Fort Fairfield and Washburn. In November 2013, our Caribou, Presque Isle and Van Buren health centers achieved Level 3 Patient Centered Medical Home designation from the National Committee on Quality Assurance (NCQA). The vast majority of our providers are already recognized by the NCQA for the Heart, Stroke and Diabetes recognition programs. Pines health centers participate in the MaineCare Health Homes initiative, as well as the Community Care Partnership of Maine, an Accountable Care Organization. Pines has been recognized as a National Quality Leader (one of 61 health centers across the nation, the top 5%) two years in a row by the Health Resources and Services Administration (HRSA).

Unlimited potential exists for Internists to join our practice as we expand our health centers to serve additional patients and communities. The communities we serve are economically, culturally, and socially inviting. Internal Medicine opportunities can be traditional (involving a mix of roughly 90 percent outpatient and 10 percent inpatient) or outpatient only. Higher salaries are offered to Internists selecting a traditional practice.

As an employee of Pines Health Services, the successful Internal Medicine candidate will receive a competitive salary, generous health and welfare benefits package, professional liability insurance, relocation assistance, licensing, DEA registration, and medical education loan repayment (if applicable). Physicians also receive an annual allowance for professional society memberships, subscriptions (print and online), and Continuing Medical Education. All of our primary care health centers are approved for participation in the National Health Service Corps Loan Repayer program. Immigration assistance provided by expert legal counsel is provided at the expense of the practice for candidates needing a J-1 waiver, H-1B visa or permanent resident (green) card.

Practice Characteristics

6 Internists (including 3 Hospitalists) and 6 Family Practice physicians at Pines Health Centers in Presque Isle, Van Buren and Caribou.
Hospitalists provide 24/7 inpatient coverage, including weekends, at Cary Medical Center
7 full-time mid-level primary care providers in Presque Isle, Fort Fairfield and Caribou
A telephone triage system to screen after-hours calls.
Specialists available in Pines Caribou offices include urology, orthopedics and sports medicine, general surgery, ophthalmology, and hematology/oncology. Pines pathologists work at Cary Medical Center’s clinical laboratory.
Access to Cary Medical Center outpatient clinics including Cardiology, Pulmonology, Endocrinology, Neurosurgery, Ear, Nose and Throat, Pediatric Cardiology, Pediatric Nephrology, Pediatric Gastroenterology, and Rheumatology, along with diabetes counseling (delivered at Pines Caribou Health Center) and nutritional therapy

Expectations – grow the practice resulting from retirees and families moving into the area, and to support the growth of local industry, including the Defense Financing and Accounting Service (DFAS), the Maine Military Authority and an influx in the number of U.S. Border Patrol officers.

The Opportunity:

Status: Full-time: 8-hour shifts, 5 days per week (option #1); 10-hour shifts, 4 days per week (option #2); Weekend hours are provided at our Caribou Health Center, and may become part of the Presque Isle Health Center schedule in response to the health care access needs of our communities. Evening hours are provided at both health centers.
Patients: Patient profile includes a large cohort of elderly patients with co-morbidities
On-Call Rotation – Traditional position: approximately one weeknight every 4 weeks assisting hospitalists, infrequent back-up required on weekends

Qualifications of applicants:

Board Certified or board eligible on defined track to become Board Certified
Allopathic and osteopathic physicians will be considered equally
American born and trained physicians and foreign-born physicians who have completed a US residency and/or fellowship will be considered equally. H-1B and J-1 visa candidates will be considered.
In-practice physicians, residents or fellows, and military-trained physicians will be considered equally

Cary Medical Center

OUR MISSION STATEMENT
We are caring people committed to excellence in patient centered health care and community well-being.

OUR VISION STATEMENT
We aspire to create a healthier community. Cary nurtures a supportive, professional environment to the benefit of patients, visitors, staff members, medical providers, and volunteers.

Cary Medical Center is 65-bed acute care hospital in Caribou, Maine. Well-known for its patient-centered services, the hospital and its staff have won numerous state and national awards for quality in both customer service and clinical performance. The Cary family includes approximately 540 employees, 60 active medical staff providers, 100 courtesy and consulting physicians, and 75 volunteers.

In collaboration with Pines Health Services, Cary Medical Center services include: general and vascular surgery, pediatrics, 24-hour emergency medicine, obstetrics and gynecology, orthopedics and sports medicine, cancer care, physical and occupational therapy, neurology, one-day surgery, family practice, sports medicine, cardiac and pulmonary rehabilitation, occupational health, internal medicine, ophthalmology, urology, radiology, pathology, and a wide variety of specialty clinics (see list below).

In recent years, significant investments in technology have been made to enhance patient services, reduce the risk of medical errors, and to improve access to health information. At Cary Medical Center, we’ve proven that you can have the most modern medical technology while providing personal, compassionate care. This high tech, high touch approach to healthcare separates Cary Medical Center from many hospitals in the United States. In fact, Cary Medical Center has been listed in the top 2% of hospitals in the nation for health information and patient safety technology.

Technologies implemented at Cary Medical Center include:

Renovation project completed summer of 2016 to update all ACU Rooms and Nurses Station. (all private rooms with the addition of two adjoining Palliative Care Rooms); Renovations to continue with all Maternal/Child Rooms and ICU Rooms
Construction of the new Jefferson Cary Cancer Center in 2014
Construction of a new Women’s Imaging Center with Digital Mammography and Stereotactic Biopsy capabilities completed December, 2012
Construction of a new Orthopedic Surgery and Sports Medicine Suite on campus completed November, 2012
New Siemen’s Mammomat Inspiration Full-Field Digital Mammography System
New MammoTest Digital Stereotactic Breast Biopsy System
64-slice CT and Digital Radiographic Imaging
Phillips 1.5T MRI Fixed Base Unit, utilizing 40mT gradients
Fixed Base Bone Densitometry service
Northern Maine’s first Lithotripsy services
Signature Series Nuclear Medicine system
Advanced Sonography equipment
Computerized physician order entry (CPOE)
Automated medication dispensing
Electronic nursing documentation
Advanced endoscopy equipment
PACS imaging
Medication bar coding
Automated laboratory diagnostic equipment

Cary Medical Center is also home to the first Veterans Administration Outpatient Clinic located in a private rural hospital. Additionally, the hospital’s campus hosts a 40-bed long term care facility and a 30-bed residential care facility operated by the Maine Veterans Home.

Cary operates a 9-bed intermediate care facility for mentally challenged adults in Van Buren, Maine, where Pines Health Services also maintains a community health center. The hospital offers numerous outpatient specialty clinics including a Wound/Ostomy and Continence Clinic, Memory Clinic, and Pain Management Service. In 2013 we added two new permanent full-time Oncologists to our Provider Staff for the first time in Cary’s history, and in June 2015, our Specialty Clinic area was renovated to accommodate our new Jefferson Cary Cancer Center.

Cary features the Center for Women and Children’s Health, operated by Pines Health Services, the most comprehensive pediatric and OB/GYN program in Northern Maine. The hospital is a leader in health education and promotion, and features a Nationally Accredited Diabetes Education Program and Mammography Service.

Cary features all private patient rooms, a family centered maternity program, and a modern one-day surgery unit. The hospital provides the largest outpatient rehabilitation service in Northern Maine including a multi-stage cardiac and pulmonary rehabilitation program. In 2012 we opened our new Women’s Imaging Center and Orthopedic Surgery and Sports Medicine Suite. And, with the addition of our Hematologist/Oncologists and the Jefferson Cary Cancer Center, our Outpatient Rehabilitation Services staff have teamed together to provide a new comprehensive and specialized Oncology Rehabilitation Program involving physical, occupational and speech therapies, and a comprehensive navigator program for our patients.

List of Cary Awards, (2009- 2017)

2017 “A” Hospital Safety Score by the Leapfrog Group, (One of only 63 hospitals from more than 2,500 in the nation to earn the ‘A’ grade since the inception of the grading process in 2012.)
2017 Women’s Choice Award – America’s Best Hospitals for Patient Experience in Obstetrics, (4th time we have received the award, also received in 2013, 2015, and 2016)
2017 Kris Doody, RN and Chief Executive Officer at Cary Medical Center, was named by the Becker’s Hospital Review as one of “60 rural hospital CEOs to know”. Becker’s Healthcare is the leading source of cutting-edge business and legal information for healthcare industry leaders. Becker’s Hospital Review is published 12 time each year and reaches nearly 20,000 healthcare leaders.
Kris Doody, RN, CEO was awarded the 2017 Board of Trustee Award by The American Hospital Association (AHA). The award is presented to individuals or groups who have made substantial and noteworthy contributions to the work of the AHA.
Kris Doody, RN, Cary CEO, named 2016 CEO of the Year by Quorum Health Resources
2016 “A” Hospital Safety Score by the Leapfrog Group (One of only 72 hospitals nationwide to have achieved Straight A’s from the Hospital Safety Score since 2012.
2016 Women’s Choice Award – America’s Best Hospitals for Patient Experience in Obstetrics, (3rd time we have received the award, also received in 2013 and 2015)
2015 Top Rural Hospital Award by the Leapfrog Group (One of only 98 Top Hospitals recognized and selected from more than 1600 hospitals nationwide participating in The Leapfrog Group’s annual survey. The list includes:
- 24 Top Rural Hospitals
- 62 Top Urban Hospitals
- 12 Top Children’s Hospitals
2015 “A” Hospital Safety Score by the Leapfrog Group (One of only 133 hospitals in the country to have achieved Straight A’s from the Hospital Safety Score since 2012.)
2015 AVATAR Exceeding Patient Expectations Award (10th year in a row)
2015 AVATAR Exemplary Service Overall Best Performer Award (5th year in a row)
2015 Gold Recognition for Cary’s National Hospital Organ Donation Campaign, U.S. Department of Health & Human Services
2015 Gold Star Standards of Excellence Award, Maine Tobacco Free Hospital Network
2015 Women’s Choice Award – America’s Best Hospitals for Patient Experience in Obstetrics, (2^nd time we have received the award, also received in 2013)
2014 AVATAR Exceeding Patient Expectations Award (9 years in a row)
2014 AVATAR Exemplary Service Overall Best Performer Award (4th year in a row) Named a 2014 Healthstrong Hospital by IVantage Health Analytics
2014 “A” Hospital Safety Score by the Leapfrog Group
2014 Top Hospitals HealthGrades
2014 Quorum Health Resources Leadership in Quality Award
2014 Women’s Choice Award – America’s Best Breast Centers
2014 NDNQI/ANA Outstanding Commitment to Patient Care Award
2013 AVATAR Exceeding Patient Expectations Award (8 years in a row)
2013 AVATAR Exemplary Service Overall Best Performer Award (3rd year in a row)
2013 Women’s Choice Award – America’s Best Hospitals for Patient Experience in Obstetrics
2013 “Case In Point” Case Management Society of America Platinum Award for Inpatient & Outpatient Case Management Programs
2013 Maine Department of Environmental Protection Governor’s Award for Environmental Excellence – Community Safe Sharps Disposal Program
2013 Quorum Health Resources Leadership in Quality Award
2012 AVATAR Exceeding Patient Expectations Award (7 years in a row)
2012 AVATAR Exemplary Service Overall Best Performer Award (2nd year in a row)
2012 “A” Hospital Safety Score by the Leapfrog Group
2011 AVATAR Exceeding Patient Expectations Award (6 years in a row)
2011 AVATAR Overall Best Performer Award
2011 HCAHPS Best Performer Award for Nursing Communications
Cary received the American Hospital Association’s (AHA) “Award of Honor” in 2011 for service to America’s veterans. The award is given to organizations and individuals in recognition of exemplary contributions to the health and well-being of people through leadership on major health policies or social initiatives.
Robert Lester, RPh., Pharmacist at Cary Medical Center, was awarded the Maine Society of Health-System Pharmacists highest and most prestigious award, the Marco Gasbarrone Lifetime Achievement Award in 2011.
Sarah Anderson, CPhT, a Certifield Pharmacy Technican at Cary Medical Center received the 2011 Technician of the Year Award from the Maine Society of Health-System Pharmacists.
Betty Walker, Cary Volunteer and Seniority Program Coordinator, was named the Maine Hospital Association’s 2011 Caregiver of the Year.
The Downeast Association of Physician Assistants (DEAPA) recognized Lori Eckerstorfer, PA-C, as the Outstanding Health Care Professional of 2011.
The Maine Primary Care Association (MPCA) awarded Dr. Samuela Manages the 2010 Karen J. Hallee, MD Memorial Award for New Medical Professionals.
Dr. Carl Flynn, a Family Practice physician with Pines Health Services and at the time, President of the Medical Staff at Cary Medical Center, was named Maine’s 2010 Family Physician of the Year by the Maine Academy of Family Physicians (MAFP).
Jason Tremblay, Pharm. D., Pharmacy Director at Cary Medical Center, was named the 2009 Maine Pharmacist of the Year by the Maine Society of Health System Pharmacists.
Cary and Pines received the 2009-2010 “Director’s Award,” (the highest award presented by the State’s Immunization Program), from the Maine Immunization Program, a Division of the Maine Centers for Disease Control and Prevention. The award was given in recognition for their public and school based clinics as part of their annual H1N1 and Seasonal Flu Vaccination Program.
The Maine Department of Labor and the Bureau of Labor Standards presented Cary Medical Center with a SHAPE Award, (Safety and Health Award for Public Employers for Dec. 2009-Dec. 2011) Cary was the first hospital to receive the award in Maine.
The Senior Management team at Cary Medical Center was named the 2009 Top Leadership Team in the nation for the ‘Small Hospital Division’ by HealthLeaders, an industry trade magazine that reaches over 40,000 healthcare leaders in the United States.
In 2009 Cary Medical Center was recognized as being one of the top 50 rural hospitals in the nation for their complete and compliant coding practices in Ingenix’s fifth annual study of inpatient coding performance.

Caribou, Maine

Caribou, Maine, is the most northeastern city within the United States, and has a population of approximately 9,000 people. This dynamic community is economically, culturally, and socially inviting. Caribou promotes and aggressively pursues innovative business and economic development, and welcomes, supports and responds to the diversity of new people and new ideas. Caribou prides itself on the high quality of its public school system, extremely low crime rate and family-oriented community activities.

The residents of Caribou recognize children as their future, and share collective responsibility for the nurturing and education of each generation. The community boasts a new multi-million dollar Recreation and Wellness Center that offers programs and activities for all ages, including a basketball court, walking/running track, field trips and game rooms. A comprehensive weight/fitness center and indoor pool are planned for the next phases of this facility. Cary Medical Center has been a catalyst in this effort.

An excellent school system is available and offers outstanding academics, athletics, music, the arts, and extracurricular activities. The student-to-teacher ratio is 14:1. Family ties are strong, self-respect and respect for others is instilled, trust and courtesy are a way of life, and the pace of life is consistent with these ideals.

This community celebrates the values and lessons of a multi-cultural heritage that serves as its strength and foundation in a progressive, modern world. Caribou offers an outstanding environment in which to raise a family. Enjoy breathtaking sunsets on nearby lakes. The ocean is within easy travel distance.

Aroostook County provides great hunting and fishing, as well as a multitude of outdoor activities, including camping, biking, canoeing, kayaking, hiking, snowmobiling and downhill and cross-country skiing. The Maine Winter Sports Center was developed as a premier cross-country skiing venue. The Center has hosted several World Cup, Paralympics and Biathlon World Cup events since 2004. Rural northern Maine enjoys a four-season environment, abundant opportunities for relaxed living, welcoming friendly communities, and a variety of recreational pursuits within minutes (rather than the typical hours). A regional airport is available in nearby Presque Isle.