MASSACHUSETTS Committee forWomen Psychiatry Psychiatry Welcoming Psychotherapy to Back Sector Public 5—CarleneDSM McMillan, MD Western Massachusetts Psychiatric - Committee Meeting Geriatric Managed Care Risk Management Update on Cape the Managed Care Council Managed Care Committee Executive PSYCHIATRIC SOCIETY PO Box 549154 Waltham, MA 02454-9154

ADDRESS SERVICE REQUESTED

Issue 139 November/December 2013 Issue 139 November/December 2013 IssueIssue 139 160 November/December February 2016 2013 FROM THE PRESIDENT www.psychiatry-mps.org November 15, 2013 at 12:00 at NOON2013 15, November MPS at December 7, 2013 at 8:30AM at 7, 2013 December MMSat 7:00 at MPSPM2013 at 21, November November 20, at 6:15 PM at Delaney House, Holyoke, 7:00 at MPSPM2013 at 19, November MA Hyannis Hyannis, at ConferenceCenter November 16, 2013 at 8:30 AM at The Resort and January 21, 2014 7:0021, at MPSPM January at 2014 7:0014, at MPSPM January at 2013 7:00 17, at MPSPMDecember at November 20, 2013 at 8: at 2013 MPSPM 00 20, Novemberat December 10, 2013 7:00 10, at PMDecember at Rohn S. Friedman, MD MPS Calendar of Events Membership: Joining in! Membership: JoiningCoverage in! and Parity: Are We Getting Closer? Membership:What does a professional Joining society provide in! to its overlapped. One of the more exciting develop- professionally away from others in this small, members?What does This a professional question seems society simple provide on to the its mentsoverlapped. has been One the of role the of more the MIT, exciting an initiative develop- yetprofessionally vital work setting away from and for others residents in this to small, learn What One does of a our professional major priorities society provide at MPS to itshas overlapped.health and Onesubstance of the moreabuse exciting treatment, develop- in- andprofessionally the quantitative away fromtreatment others limitations in this small, surface, but in depth is complex. 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The and policies its two Chaptersthat did isnot the cover opportunity mental tohealth be fessional development, and is appreciated by the cuseddisciplinary on the more group opaque of physicians nonquantitative to address the towith mentor colleagues and/or with be shared mentored, interest, and to to network, make a assistChairs in whodeveloping have aprograms. MIT Co-Chair/Leader I will attempt to to GroupGroup leaders leaders continue continue to to work work with with an an inter- inter- withand colleagues substance with abuse shared (MHSA) interest, to or network, covered ChairsThe Mental who haveHealth a MITParity Co-Chair/Leader and Addictions to treatmentongoing limitations problems of(NQTL), patients including: boarded in the differenceto mentor in and/or our profession. be mentored, All and of these to make were a giveassist a insuccinct developing summary programs. of the currentI will attempt activities to disciplinarydisciplinary group group of of physicians physicians to to address address the the to mentorthem with and/or separate be mentored, andth more and to restrictive make a assistEquity in developingAct (MHPAEA) programs. of I 2008 will attempt required to Emergency Departments across the Common- evidentdifference at the in ourSeptember profession. 10 AllChairs of theseand Coun- were ofgive the a succinct Committees summary and Interestof the current Groups. activities In an ongoingongoing problems problems of of patients patients boarded boarded in in the the differenceannual in and our profession.lifetime th maximums, All of these werelevels givethat a ifsuccinct MHSA summary were covered, of the current there activities could 1. wealth.EmergencyDisparate Meetings Departmentsnetwork gather adequacy C/L across psychiatrists, (phantom the Common- Psy- cilevident Meeting at the as September Chairs of 10 th Interest Chairs Groups and Coun- and effortof the to Committees conserve space and and Interest reading Groups. time, I In will an Emergency Departments across the Common- evidentof copayment,at the September maximum 10 Chairs inpatient and Coun- days ofnot the be Committees separate anddeductibles Interest Groups.and out-of- In an chosomaticnetworks). Medicine Health fellows,plans must and provide residents to Committeescil Meeting as and Chairs their of Interest Member-in-Training Groups and listeffort only to theconserve name ofspace the group.and reading time, I will wealth.wealth. Meetings Meetings gather gather C/L C/L psychiatrists, psychiatrists, Psy- Psy- cil and Meeting outpatient as Chairs visits, of Interestand prior Groups authoriza and - effortpocket to limits,conserve and space the andplans reading had totime, comply I will networkchosomaticpatients and with Medicineto provide a sufficient fellows, educational and number and residents profes- of to

MA MA (MIT)Committees Co-Chairs/Leaders and their met Member-in-Training to give and listen Committeestion requirements. and their Over Member-in-Training the last two de - list withlist only only financial the the name name parityof of the the (equalgroup. group. copays, deduct- chosomaticphysicians Medicine in each fellows,specialty; and networks residents to to the vastly varied and important work of the Special Committees and Interest Groups sionalnetwork development and to provide programs. educational A recent and profes- well- MPS Calendar of Events (MIT)(MIT)cades Co-Chairs/LeadersCo-Chairs/Leaders at both the state metmet and toto give givenational and and listen listenlevel, ibles) and treatment parity (both quantita- networkmust andbe comparableto provide educational on the med-surg and profes- MPSto the interest vastly varied groups and and important committees. work In of addi- the AlcoholismSpecial Committees and the Addictions and Interest Interest Groups Group is sionalattendedsional development development program discussed programs. programs. medical A A recent recentmarijuana. well- well- to thethere vastly have varied been and serious important efforts work to address of the Specialtively measurable Committees treatment and Interest limitations Groups like attended and the program MHSA discussed sides. medical We have marijuana. all SEMPS - Risk Management w/Jim Hilliard February 3, 2016 at 6:00 PM at Alberto’s, 360 Main Street, [email protected] tion,MPS Iinterest had the groups honor and of attending committees. meetings In addi- of aAlcoholism longstanding and active the Addictions group with Interest 5 dinner Group meet- is attendedDisaster program Readiness discussed Committee medical marijuana. is a well- [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] MPSthe interest absence groups and and disparities committees. in Incoverage addi- Alcoholismmaximum andnumber the Addictions of visits Interest or maximum Group is heard from patients their experience of our two Chapter, Southeastern Massachusetts ings a year, each with an educational program Hyannis MA tion,tion,for I I had hadmental the the honor honorhealth of of and attending attending substance meetings meetings abuse. of of anumbera longstanding longstanding of inpatient active active group groupdays with andwith 5nonquantita 5 dinner dinner meet- meet-- organizedDisastergetting group Readinessa provider that was Committeelist vital and inthen responding is mak a - well- to Chapter and Western Massachusetts Chapter and opportunities for networking and support. It Disaster Readiness Committee is a well- ourour two two Chapter, Chapter, Southeastern Southeastern Massachusetts Massachusetts ingstiveings atreatment a year, year, each each limitations with with an an educational educational especially program programman- theorganizeding needs dozens of group our of membership phonethat was calls, vital and onlyin the responding tocommunity find to is well attended by, with good involvement of, organized group that was vital in responding to Chairs and Council February 9, 2016 at 6:30 PM at MMS - Berkshire 1st Floor [email protected] ChapterwhereChapterMilestones I was and and able Western Western in to the meet Battle Massachusetts Massachusettswith leaders and Chapter Chapter mem- andagedand opportunities opportunities care techniques for for networking networking of prior authorization, and and support. support. It It inthe that theneeds the immediate of contact our membership aftermathinformation and of the theis incorcommunity Marathon- bers of the Chapters to learn of their interests. I MITis well and attended medical by,students. with good involvement of, the needs of our membership and the community wherewhereMassachusetts I I was was able able to to meet wasmeet with awith leader leaders leaders in and mandatingand mem- mem- ismedical well attended necessity by, withcriteria, good and involvement formulary of, bombinginrect, the the immediate this psychiatrist past spring. aftermath is not of actually the Marathon in willbers reportof the toChapters all members to learn the of vibrant their interests.and excit- I MIT and medical students. in the immediate aftermath of the Marathon st berssome of the mental Chapters health to learn coverage of their interests.as early Ias MITdesign). and medical students. bombingthe network, this past the spring. provider is not taking Awards Committee February 10, 2016 at 7:00 PM at MMS - Middlesex West 3 [email protected] Child and Adolescent Psychiatry Interest Group bombingForensics this Interest past spring. Group (formerly the Commit- ingwill opportunitiesreport to all members for members the vibrant to not and only excit- pay Floor will2000 report and to all in membersestablishing the vibrant universal and excit-health- isChild reorganizing and Adolescent and gettingPsychiatry restarted Interest with Group an teeForensicsnew on Psychiatry patients, Interest orand Group the the next Law)(formerly available meets the periodical- Commit-ap- theiring opportunities dues, but to join for in. members to not only pay ChildChild and and Adolescent Adolescent Psychiatry Psychiatry Interest Interest Group Group Forensics Interest Group (formerly the Commit- ing care opportunities in 2006, forbut membersmost of tothe not current only envi pay - increasedTheis reorganizing Affordable interest and Care from getting Act MIT (ACA) restarted and early in with 2010 career an lytee pointment to on address Psychiatry is timely in and 6 weeks. issuesthe Law) that Low meets may rates periodical- affect of the theirtheirronment dues, dues, but but flows to to join join fromin. in. federal legislation. In isextended reorganizing the parity and getting requirements restarted to with more an tee reimbursement,on Psychiatry and including the Law) notmeets covering periodical- st Interest Groups and most Committees are open psychiatrists.increased interest This fromgroup MIT has many and early projects career in membership.ly to address timelyOne recent issues that issue may dealt affect with the Healthcare Systems and Finance February 16, 2016 at 6:30 PM at MMS - Middlesex 2 Floor [email protected] increased interest from MIT and early career ly to address timely issues that may affect the to all1996 members. the Mental Going Health forward, Parity we Act plan (MHPA) to use developmenthealthpsychiatrists. plans, with This but planned groupmore has meetingsimportantly, many open projects tothe all in proposedmembership.certain E&M legislation One codes recent aboutwhich issue theare covered process dealt with for InterestInterest Groups Groups and and most most Committees Committees are are open open psychiatrists. This group has many projects in membership. One recent issue dealt with ourmandated newsletter that as aggregate a forum for lifetime Interest and Groups annu - membersACA aimed with interestsat providing in Child near-universal and Adolescent involuntaryproposedfor med-surg legislation hospitalization. services about or Of the paying note, process thefor MIT for toto allall members.members. Going Going forward,forward, wewe planplan toto useuse developmentdevelopment withwith planned planned meetings meetings open open to to all all proposed legislation about the process for WMPS - “Can Examination of (Haitian) Vo- February 17, 2016 at 6:00 PM at Delaney House, Holyoke [email protected] andal Committees dollar limits to forprovide mental the healthmembership and physi with - Psychiatry.coverage and included mental health and co-leaderinvoluntarythose codes is a hospitalization. lawyerat a lower who rate, adds Of as note,to well the the group’sas MIT ourour newsletter newsletter as as a a forum forum for for Interest Interest Groups Groups membersmembers with with interests interests in in Child Child and and Adolescent Adolescent involuntary hospitalization. Of note, the MIT dou in Different Light Open Doors of Potential MA informationandcal Committees health and could currentto provide not events differ. the withmembership Although all Chairs with orthe substancePsychiatry. abuse coverage as one of the discussionco-leaderonerous isofpaperwork aforensic lawyer issues. who requirements adds to the are group’s Collaboration Long Closed in The Mental and MHPACommittees did notto provide cover themany membership plans, did with not Psychiatry.Collegeten essential Mental health Health benefits Interest for Group individual is in its co-leader among isthe a lawyerreasons who that adds mental to the health group’s ainformation designee writing and current a brief events annual with column. all Chairs These or discussion of forensic issues. informationapply to and substance current events abuse, with did all not Chairs require or and small group plans as well as plans pur- discussionGeriatrics networks of Committee forensicare inadequate. issues. meets every Whereas other month Health Field?” w/Jennifer Severe, MD new columns will give the membership an op- thirdCollege year Mental and is Health focused Interest on issues Group about is in the its aa designeedesignee writingwriting aa briefbrief annual annual column. column. These These College Mental Health Interest Group is in its withGeriatrics one of Committeeits core activities meets being every CME other educa- month coverage for mental health, and did not mentalchasedthird year healthon andthe needs isMarketplaces focused of students on issuescreatedin colleges about under and the GeriatricsGeriatricsprimary Committee Committeecare doctors meets can every refer other their month portunitynew columns to learnwill give about the our membership varied Interest an op- third year and is focused on issues about the tional presentations. The group deals with any newaddress columns issues will give like the authorization membership anrequire op- - universities.Obamacare.mental health At needs present, of students psychiatrists in colleges constitute and withwithpatients one one of of itsto its colleaguescore core activities activities with being being confidence CME CME educa- educa- Executive Committee February 23, 2016 at 6:30 PM at MMS - Middlesex Central [email protected] Groupsportunity and to Committees learn about that our may varied meet Interest their mental health needs of students in colleges and issues that may affect the practice of geriatric st portunityments toor copays, learn about it was our an opening varied Interest salvo in 5% of college center leadership. This tionalthat presentations.they are in the The patient’s group dealsnetwork, with any 2 Floor interestGroups or and spark Committees curiosity andthat will may complement meet their universities.universities. At At present, present, psychiatrists psychiatrists constitute constitute tional presentations. The group deals with any Groupsthe effort and Committeesto reduce disparities that may in meet the cover their - groupProgress5% of college meets and regularlycounseling Remaining to center provide Disparities leadership. educational This issuespsychiatryissueswith that thatthe mayand maymuch has affect affect narrowerbeen the the very practice practice busyMHSA of of geriatriclatenet geriatric - with theinterest list of or ongoing spark curiosity meetings and that will are complementon the back 5% of college counseling center leadership. This several bills before the legislature that would interestage of or mental spark curiosity illness. and will complement programsThesegroup meetsmilestone of topics regularly legislative relevant to provideto andthis regulatorywork educational setting psychiatrypsychiatryworks, andit and is has hasimpossible been been very very busyfor busy primary of of late late with with Health Information Technology Committee February 25, 2016 at 6:30 PM at MMS - Room TBD [email protected] pagethe list of ofour ongoing newsletter. meetings that are on the back group meets regularly to provide educational require undue burden to provide any necessary of ongoing meetings that are on the back andactionsprograms age have group,of topics encouraged such relevant as social tosubstantially this media, work ADHD, setting all severalseveralcare offices bills bills before before to refer the the legislaturepatients legislature reliably that that would to would page of our newsletter. programs of topics relevant to this work setting psychiatric medication for a geriatric patient pageThe In Chairsof 1999 our newsletter. andPresident Council Clinton Meeting ordered was a large the Fedand - andhealth other age plans group,mental to suchhealthcover as topics. mental social It media,also health is a ADHD, forumand requirerequiresomeone undue undue who burden burden is in to tonetwork provide provide and any any avail necessary necessary- and age group, such as social media, ADHD, inpsychiatric any setting medication (e.g., hospital, for a nursing geriatric facility, patient st interactiveTheeral Chairs Employee and group Council with Health ChairsMeeting Benefits connecting was a large (FEHB) with and forsubstanceand mutualother mental supportabuse health and for topics. psychiatristshave largelyIt also whois elimia forum often- psychiatricable in a medication clinically forappropriate a geriatric time patient Council March 8, 2016 at 6:30 PM at MMS - Charles River 1 Floor [email protected] The Chairs and Council Meeting was a large and and other mental health topics. It also is a forum assisted living facility). otherinteractiveProgram Chairs group to notingimplement with Chairs where parity connecting their for interests mental with work natedfor mutual inthe settings different support that forcopays are psychiatrists geographicallyand deductibles who often and inin frame. any any setting setting This (e.g.,forces (e.g., hospital, hospital,patients nursing nursingto fend facility,for facility, interactive group with Chairs connecting with for mutual support for psychiatrists who often (Continued on page 3) other Chairs noting where their interests work in settings that are geographically and assistedassisted living living facility). facility). other Chairs noting where their interests work in settings that are geographically and (Continued on page 3) 2016 Risk Avoidance and Risk Management March 12, 2016 from 8:30 AM to 3:30 PM at MMS [email protected] (continued(Continued on page on page 3) 3) Update From the President ...... 1 MPS Veterans Resources Committee Meeting Update ...... 7 From the President ...... 1 MPS Veterans Resources Committee Meeting Update ...... 7 FromMITFrom Corner the the President President ...... 1 1 2 MPSMPSAsk PHSVeterans Classifieds - Steve Resources ...... Adelman, Committee MD...... 7 Meeting...... Update ...... 7 9 Healthcare Systems and Finance March 15, 2016 at 6:30 PM at MMS - Middlesex 2st Floor [email protected] MIT Corner ...... 2 MPS Classifieds ...... 9 MITManagedResident Corner CareFellow ...... Update Corner ...... 2 2 4 MPSMPS Classifieds NewNews...... 8 Members ...... 149 Managed Care Update ...... 4 MPS New Members ...... 14 Public Sector Committee March 17, 2016 at 7:00 PM at MMS - Room TBD [email protected] ManagedMPSMPS C/L New CareCommittee Members...... 3 Update Meeting ...... Update ...... 4 5 MPSMPS New CalendarClassifieds...... 10 Members ...... 14 16 MPS C/L Committee Meeting Update ...... 5 MPS Calendar ...... 16 MPSInUpdate Transitional C/L fromCommittee HIT Space Committee...... 5 Meeting ...... Update ...... 5 6 MPSMPS Calendar Calendar ...... 16 16 st Executive Committee March 22, 2016 at 6:30 PM at MMS - Middlesex Central 2 [email protected] In Transitional Space ...... 6 Floor In Transitional Space ...... 6

MPS Bulletin - February 2016 www.psychiatry-mps.org 15 PO Box 549154 Waltham, MA 02454-9154 Phone: 781-237-8100 Lahey Health Behavioral Services | Lahey Hospital & Medical Center Fax: 781-464-4896 www.psychiatry-mps.org RESIDENT FELLOW MEMBER CORNER Rohn S. Friedman, M.D. Exciting Opportunities President Rebecca Mae Allen, M.D., MPH Mark J. Hauser, M.D. President-Elect For Psychiatrists Gregory G. Harris, M.D., MPH Complimenting the Alternatives (or, Think- also a reality of the world in which we practice. Lahey Health Behavioral Services provides comprehensive mental health services in Immediate Past-President ing Differently About Supplements) An early experience in my pre-medical years hit more than 30 locations throughout Eastern Massachusetts. Our behavioral health this point home. I visited a clinic in Ecuador model promotes the delivery of care in the community setting, closely integrating As long as we choose treatments with good which was lauded at the time as a successful in- Siu Ping Chin Feman, M.D. behavioral health with services provided throughout the Lahey Health system, which Secretary scientific evidence, it is illogical and does our tegrative medical setting. It was largely funded patients a disservice to limit our recommenda- by US . The menu – and yes, it was a includes a tertiary hospital and medical center, multiple community hospitals, and Bruce Black, M.D. vast networks of primary, senior and home care services. Treasurer tions based on preconceived notions of what is menu, on a board with names of treatments and a drug. But, I have approached the subject of prices – was divided into two halves: Western With a broad range of programs, including inpatient and outpatient services, Gary Chinman, M.D. dietary supplements warily. and traditional. The halves were equal in length Sr. APA Representative 2015-2016 with similar prices, most set at around a week’s we have opportunities that match your professional interests and offer room for To start, I must admit that I am not a fan of the wages for a typical lower middle class resident growth. labels “integrative,” “alternative,” or “compli- of the region. I sat in on two traditional medi- Join our team and be a part of a new model of behavioral health Patrick Aquino, M.D. mentary” medicine. These terms imply one of cine sessions. The first was fairly benign. The APA Representative 2015-2016 two things: (1) there is not enough evidence to practitioner had a dimly lit small office filled care in Massachusetts! John Bradley, M.D. support the use of the treatment in mainstream with herbs, some of which she chewed in a APA Representative 2015-2016 medicine, or (2) medical doctors are too closed- complicated procedure involving chanting and, Opportunities Michelle Durham, M.D., MPH minded to use the treatment despite strong evi- as a , she sprayed a fine mist of herbal- APA Representative 2015-2017 dence of efficacy, necessitating naturopathic ized spittle at the patient. The second was, to Full-time and Part-time Psychiatrists, and other “alternative” practitioners to pick me, horrifying. A middle aged woman came in Adult Outpatient and Addiction Services Marshall Forstein, M.D. up the slack. Both implications are equally with her family, and the practitioner sat her on a APA Representative 2014-2017 We are seeking BE/BC psychiatrists interested in joining our team of full- problematic. I do not want to be prescribing a chair in the center of a large, sparse room with medication that has not been adequately stud- a tile floor. He took a live guinea pig, held it and part-time providers. Providers in outpatient settings provide individual ied, and I also do not want to believe that a just under its head, and began walking around assessments, family interventions and individual/group psychopharmacological Siu Ping Chin Feman, M.D. well-supported treatment would be rejected by the woman in the chair, shaking the guinea pig treatment. They consult with PCPs, pediatricians, schools and other behavioral health 2015-2018 “Western medicine” just because it is perceived vigorously while intoning words. The guinea and human services providers, as well as provide supervision to nurse practitioners. Astrid Derosiers, M.D. to be from a certain category (natural? herbal?). pig squealed in terror, but in a minute its neck Opportunities also exist for psychiatrists with addiction treatment expertise to provide 2014—2017 Of course, like all medical traditions, “Western snapped, at which point the practitioner pulled medicine” has a long history of using remedies over a utilitarian plastic bucket and began cut- direct patient care in both inpatient and outpatient addiction treatment settings. Ideal David Gitlin, M.D. candidates will be fellowship trained in addiction psychiatry, but other medical specialties with 2014-2017 from plants. I’m sure everyone reading this ting the skin off the guinea pig, making a show will be able to think of an example, but here are of examining the animal’s body carefully while addictions experience will be considered. Eran D. Metzger, M.D. two: aspirin is an archetypal tree-based medi- asking the patient a very normal set of questions 2015-2018 cine, originally used in ancient Egypt and now to get a history of presenting illness. He later Full-time Psychiatrist, Adult Inpatient Medical Director, Arthur Papas, M.D. solidly in the realm of the mainstream, and opi- explained to me that he used the blood clotting BayRidge Hospital; Lynn, Massachusetts Beverly Hospital Psychiatry 2013-2016 um is from poppies, first cultivated in ancient in the corpse as clues to the location of the pa- Mesopotamia. Likewise, I think it is a problem tient’s malady. He told her she had a liver prob- We are seeking a full-time BE/BC psychiatrist for the admission Beverly Hospital; Beverly Massachusetts Pedro Politzer, M.D. 2014-2016 of lack of education and misleading marketing lem and sent her for a blood draw. Naturally, I unit who will primarily work up newly admitted patients with no We are seeking candidates for Medical Director of our Beverly when certain chemicals are labeled as “natural,” did not leave that clinic with a very positive im- responsibility for ongoing patient care. This Monday-Friday position Hospital site, which includes an 18-bed medically oriented RESIDENT FELLOW MEMBERS with the implication that they are somehow in- pression of alternative treatments. The kicker? offers predictable hours and no required night call. trinsically safe (especially with rounded green Every practitioner in that clinic, Western or tra- inpatient unit, consultation liaison service and a partial hospital Rebecca Mae Allen, M.D., MPH font and leaf-shapes slipped into the lettering). ditional in label, wore thigh-length white coats. program at a 200+-bed hospital that is ranked among the top 2015-2017 Again, examples abound of dangerous “natu- Full-time Psychiatrists, Adult Outpatient 100 hospitals by Truven Health. Clinical duties will be primarily on ral” chemicals, but I think about the “natural” I am honestly not sure, these days, where the Lahey Hospital & Medical Center; consultation liaison service. Candidates must be board certified poisons arsenic, cyanide, and botulism toxin. I line is drawn between complimentary/alterna- Burlington, Massachusetts with more than five years’ experience. Consultative liaison Marc A. Whaley, M.D. cringe at the word “natural” when considering tive and traditional/Western. Diet advice from President We are seeking candidates for our outpatient adult practice, fellowship training is a plus. the history of medicine, particularly the “natu- MD’s (Mediterranean, plant-based, etc) and with consultation-liaison service responsibilities as well. The ral” rate of death from childbirth and the “natu- referrals to nutritionists are common. Vitamin Moonlighting Opportunities ral” amount of pain people used to suffer from B12 levels are a standard part of a depression Department of Psychiatry includes a strong multi-disciplinary Donald A. Smith, M.D. chronic, relatively minor injuries and illnesses, workup. Melatonin is utilized by primary care team of psychiatrists, clinical psychologists, clinical nurse Lucrative night and weekend psychiatric call opportunities are President like infections and tooth decay. Historical lists physicians and sleep specialists alike (and I pre- specialists and licensed clinical social workers. available at BayRidge, Beverly and Addison Gilbert Hospitals. of causes of death are morbidly fascinating scribe it often). It seems that more and more M. Cornelia Cremens, M.D., MPH (see:http://thesocietypages.org/socimag- dietary supplements have made their way into es/2012/06/25/historical-changes-in-causes-of- standard, mainstream practice, with strong evi- For consideration or more information contact: death/). dence behind them, like folic acid, omega-3 and Kate Schnabel, Senior Physician Recruiter, Lahey Health • 781.744.5193 • [email protected] Lynda Layer, CAE -6 fatty acids, and DHA. In the meantime, the Administrative Director The division between Western/mainstream/ law has not caught up. In theory, the FDA mon- standard and complimentary/alternative is arbi- itors the safety and labeling accuracy of dietary Mayuri Patel trary, and in my opinion highly faulty, but it is supplements, and the US Federal Trade Com- Learn more at LaheyHealth.org/Careers Coordinator, Member Relations (continued on page 4) Julie Kealey Continuing Medical Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Education Coordinator 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 14 MPS Bulletin - February 2016 www.psychiatry-mps.org 3 BC/BE Child and Adult Psychiatrists Needed In Our (continued from page 1) Affiliated Community Mental Health Centers themselves and often forego treatment or more of the medical and surgical ben- To this end, MPS has been meeting with or go out of network. efits) in that classification. It is not feasible state and federal officials to raise our con- Both full- and part-time physician leadership and staff 2. Disparate rates of denial. NAMI re- for a patient or provider to obtain and parse cerns and advocate more assertive and co- physician opportunities are currently available in our ports that mental health and substance the data essential for a parity analysis. ordinated enforcement of parity. We have community mental health center in Central MA. abuse treatment is denied at twice filed legislation to require transparency and the rate of medical and surgical treat- There has also been a fragmentation of re- establish a data clearinghouse. We have Medical Director Community Healthlink (CHL) is a dynamic, multi-service ments. The criteria for medical neces- sponsibility for parity enforcement. If a joined with other professional and con- Job Summary: The Medical Director is responsible for organization committed to establishing, maintaining and sity are often arbitrary and opaque. parity complaint involves a fully insured sumer organizations in the Mental Health overall management of all medical matters for the North restoring the dignity, well being and overall mental health Prior authorization is required for group plan or an individual policy, patients Parity Coalition to promote parity. We ask Suffolk Mental Health Association. Ensures continuous of individuals and families in Central MA. It provides a admission and treatment for mental or providers would go to the Massachusetts you to report to us specifics of disparities Quality Improvement of all Medical matters and standards wide range of services to individuals suffering from mental health and substance abuse in ways Department of Insurance; for MassHealth we can use to make the case with legisla- for the Agency. Reports to the Chief Executive Director illness, developmental disabilities and substance abuse without parallel in the medical and they would go to the MassHealth Customer tors and officials. Parity is closer, but we (CEO). Works closely with the Chief Operating Officer issues, including youth and family services, residential surgical realms. Service; for a self-insured employer plan have work to do. (COO), Director of Compliance and Quality Improvement, services, adult outpatient services, and homeless and 3. Disparate pharmacy benefit manage- they would go to the United States De- all Senior Managers, the Department of Mental Health inpatient services. CHL is staffed by a mission oriented, ment. Narrow formularies, in par- partment of Labor. The US Department Medical Director and the Massachusetts General Hospital multi-disciplinary team of psychiatrists, psychologists, ticular restricting antipsychotics, are of Health and Human Services also has a Department of Psychiatry. nurses, social workers and other dedicated combined with fail first or step thera- share of the enforcement responsibility. providers all committed to providing comprehensive, py requirements and tier 3 copays to POSITION REQUIREMENTS: high quality care. Come join the dedicated team of make it difficult or impossible for pa- In the face of such complexity and frag- Education and Experience Required: professionals at CHL and help make a difference in the tients to receive essential psychiatric mentation, we need Five years of professional experience, current and valid lives of some of Central Massachusetts’ most challenged medications in a timely and affordable 1. disclosure and transparency of health Rohn S. Friedman, MD registration as a physician under the Massachusetts Board individuals and families. manner. plan policies and decision-making, President, of Registration in Medicine. Board Certified by the including clear descriptions of ben- Massachusetts Psychiatric Society CHL psychiatrists receive competitive salaries and The Problem of Enforcement efits, medical necessity criteria, prior American Board of Psychiatry. comprehensive benefits packages. Faculty appointments, License to practice medicine in the Commonwealth of commensurate with training and experience, are available Parity legislation has created a regulatory authorization policies, and reasons for Massachusetts; five years of clinical experience and as well, as is the opportunity to teach UMass Medical framework that is highly complex and denials prior demonstrated competency in management and Students, Residents and Fellows. requires heavy-duty data analysis. For 2. public reporting of data, making in- administrative roles. Board certification in Psychiatry. MHPAEA a parity analysis involves six formation such as the number of phy- Addictions experience required. Experience in community For additional information about CHL, please classifications (inpatient in network, inpa- sicians in each specialty in a plan’s and public sector mental health required. Buprenorphine visit our website: www.communityhealthlink.org. tient out of network, outpatient in network, network, the number of claims filed waiver preferred. Please contact : Jason Romano Interested candidates (J-1 and H-1B candidates are outpatient out of network, emergency care, by each, the rates of denial and of out- Phone: 617.912.7917 - Fax: 617.912.7971 welcome to apply) are encouraged to submit their and prescription drugs). Any type of fi- of-network claims for med-surg and [email protected] CVs and letters of interest to: Kathy Anderson at: nancial or treatment limitation for mental MHSA services, and medical neces- [email protected]. health must apply to substantially all (de- sity criteria readily available fined as 2/3) medical and surgical benefits 3. a central clearinghouse which can col- in that classification, and the level of the lect this data, have the expertise to do limitation can be no more restrictive than the necessary data analysis, and unite Arbour Hospital, Arbour-Fuller Hospital, and Pembroke Hospital have outstanding the predominant level (that applying to half or coordinate the fragmented enforcers opportunities for Inpatient Psychiatrists Enjoy highly competitive compensation and benefits, a schedule that allows for work-life balance, and the stability of working for the largest private mental health system in Massachusetts. MPS IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS • Reasonable caseload • Weekday schedule with no call or weekend work required • Paid moonlighting available for additional compensation General Member: Resident Fellow Member: Transfer In: • A benefits package that includes: health and dental insurance, retirement savings Bibi Alamiri, MD Mitchell Crawford, MD Yadira Alonso, MD with company match, paid time off including CME allowance Jon Wesley Boyd, MD David Sturman, MD Teresita G. Balderas, MD Arbour Hospital is a 136-bed psychiatric hospital in the Jamaica Plain section of Boston. David John Dybdal, MD Anna Weissman, MD Kara Brown, MD The hospital has inpatient units for adolescents and adults including a dedicated unit for substance abuse/dual diagnosis and a high intensity unit. The Quincy Center, a satellite of David Fish, MD Michelle Chaney, MD Arbour Hospital, has an adult psychiatric unit. The hospital also offers partial hospitalization Uma Naidoo, MD Amber Frank, MD programs, outpatient and community-based services. James Mathew Recht, MD Stephanie Hernandez, DO Arbour-Fuller Hospital is a 103-bed hospital in South Attleboro, Massachusetts. Inpatient Arbour Health System provides a Steven Schlozman, MD Marcela V. Horvitz-Lennon, MD continuum of care that includes units treat adolescents and adults. The hospital also has an adult inpatient intellectual dis- evaluation, crisis stabilization abilities specialty unit as well as an adult acute residential treatment program. The hospital and treatment for children, also offers an adult partial hospitalization program and community-based services. adolescents and adults with Pembroke Hospital in Pembroke, Massachusetts, is a 120-bed psychiatric hospital with mental illness, dual diagnosis and/or addiction disorders. services include adolescent, adult and older adult inpatient as well as partial hospitalization All hospitals are accredited programs for adolescents and adults. Inpatient and outpatient electro-convulsive therapy by The Joint Commission and services are available. The hospital is currently recruiting for adult psychiatrists including licensed by the Massachusetts those with addictions or geropsychiatry specialties. Department of Mental Health. For more information on these or other openings, contact of Physician www.arbourhealth.com Recruitment by phone: 617-390-1224, or e-mail: [email protected]

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 4 MPS Bulletin - February 2016 www.psychiatry-mps.org 13 (continued from page 2) mission oversees truthfulness in advertising. The legal category – German Commission E ( http://cms.herbalgram.org/ of “dietary supplement” is defined in the Dietary Supplement commissione/index.html) Health and Education Act of 1994 as “a product (other than to- – American Herbal Pharmacopoeia ( http://www.herbal- bacco) intended to supplement the diet that bears or contains one ahp.org/order_online.htm) or more of the following dietary ingredients: (A) a vitamin; (B) – American Botanical Council ( http://abc.herbalgram. a mineral; (C) an herb or other botanical; (D) an amino acid; (E) org/site/PageServer) Boston University School of Medicine/Boston Medical Center a dietary substance for use by man to supplement the diet by in- – ConsumerLab.com Department of Psychiatry creasing the total dietary intake; or (F) a concentrate, metabolite, constituent, extract, or combination of any ingredient described in Liability also might be a concern when going off-book with treat- clause (A), (B), (C), (D), or (E).” ment recommendations. In a nutshell, the liability issues are al- The Boston University School of Medicine/Boston Medical Center Department of Psychiatry seeking Child (https://ods.od.nih.gov/About/DSHEA_Wording.aspx). By law, most exactly the same for dietary supplements as for regular drugs. Adolescent Psychiatrist supplement labeling “may not claim to diagnose, mitigate, treat, There must be a thorough diagnostic evaluation; there must be Child/Adolescent Psychiatrist: Full or part-time position for a dynamic program in the Division of Child and cure, or prevent a specific disease or class of diseases,” but a stroll evidence behind the treatment recommendations; there must not through any natural food store or GMC will illustrate how intel- be neglect of standard treatments; and there must be careful and Adolescent Psychiatry. Responsibilities include patient care in the outpatient setting, clinical consultation to the ligently manufacturers have dealt with this limitation. well documented informed consent. pediatric emergency department and pediatric units, and teaching of residents, medical students and trainees in psychiatry, psychology, social work and mental health counseling. Opportunities are also available for research. This The 1994 law was written to bring supplement regulation more What supplements to recommend is in many ways beyond the position could include leadership activities for the qualified applicant. The successful applicant will wish to participate in line with the standard for food than for drugs. But what hap- scope of a short newsletter column. I will end, however, with a in the shaping of a child-centered, family-focused, culturally competent, community-linked child psychiatry program pens when a “mineral,” “herb,” or “botanical” is actually as ef- few suggestions, compliments of Dr. Barry Fogel: targeted at the needs of Boston’s most vulnerable children. Applicants must be board eligible or certified in child and fective, or as dangerous, as a prescription drug? Not much. Like 1. Give huperzine A (200 micrograms QD or BID) to mitigate food, dietary supplements do not have to demonstrate any efficacy anticholinergic side effects of various prescription psychotro- adolescent psychiatry. or safety prior to marketing, and can only be removed from the pics. Boston Medical Center is a private, not-for-profit, 482 bed academic medical center serving a diverse, multicultural market if the FDA shoulders the burden of proof that the supple- 2. Give methylfolate supplementation to people on lamotrigine, ment is harmful. Ingredient amount and quality is not monitored to mitigate executive dysfunction related to central effects of patient population. Boston Medical Center is the largest safety net hospital in New England and is dedicated to as closely as with drugs, and dietary supplement manufacturers inhibited folate metabolism. providing accessible health care. As the main teaching affiliate of Boston University School of Medicine, Boston are allowed to keep the exact amounts of each ingredient in their 3. Give curcumin to people with atypical depression with so- Medical Center is devoted to training future generations of health care professionals. preparations as proprietary information. Thus, we have a mar- matic symptoms suggesting chronic inflammation – either ket where some plant-based medicines are regulated as food, and alone or to augment SSRIs. Dr. Fogel sent me six articles on Interested applicants should send a letter detailing relevant experience and a current CV to Lisa Fortuna, MD, Medical some as drugs. curcumin, and the evidence is indeed strong. Director, Child and Adolescent Psychiatry, c/o BU Psychiatry, 85 E. Newton Street, Suite 802, Boston, MA 02118 or by email to [email protected] Nevertheless – I have come to think that we should consider di- In sum, it seems that complimentary/alternative and traditional/ etary supplements as part of our psychiatric tool kit. Although I Western remedies are divided more by culture than science, and Academic appointment is commensurate with experience. Salary is competitive and benefits are excellent. Boston have only been a doctor for 4.5 years and my board certification the division is getting outdated. I have come around from a rather University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action employer. is as new as it gets, I have already experienced the intense frus- anti-alternative medicine stance to carefully adding dietary sup- tration and helplessness of treating patients who just do not get plements to the list of treatments I have to offer patients, and I better. This year, I have a supervisor, Dr. Barry Fogel, who is a have so far been pleasantly surprised at the amount and quality bit of a Renaissance man. If I were to try to summarize his cur- of research available to support some non-prescription remedies. riculum vitae, I would not do it justice, so I will simply state that he is a Harvard and Brigham affiliated neurologist and psychiatrist If this article has piqued your interest in the topic of supplements, who teaches, does clinical work, writes books, and has started a I recommend this chapter in Dr. Fogel’s book: few companies. Along with Dr. Donna Greenberg, he edited an Gerbarg, Patricia L. & Brown, Richard P. (2015). Therapeutic enormous book published last year called “Psychiatric Care of the Nutrients, Herbs, and Hormones. In Fogel, Barry & Greenberg, Medical Patient.” Kindle informs me that the typical time to read Donna (Eds.), Psychiatric Care of the Medical Patient (chapter The Boston University Medical Center Community Psychiatry Fellowship this 1,812 page book is 119 hours and 57 minutes. Needless to 28).. New York, NY: Oxford University Press. say, it is quite thorough, and it is extremely high quality writing. The Boston University Medical Center Community Psychiatry Fellowship is a half-time clinical training In supervision the past six months, Dr. Fogel has regularly been experience to expand a fellow’s knowledge base of community psychiatry. The fellowship may be combined encouraging me to push boundaries in considering how to help with a Master of Public Health from Boston University School of Public Health with tuition support. The patients. For instance, on his advice I ordered psychotropic phar- program is designed with the interest of the fellow with rotations in many areas of public psychiatry including macogenomic testing for two of my patients, and it was surpris- the Boston Emergency Service Team (urgent care, community based assessment, jail diversion, emergency ingly helpful. psychiatry at Boston Medical Center), outpatient community services, intermediate care, policy development Dr. Fogel has opened my mind to the use of dietary supplements through DMH Central Office, and an elective. The goal of the fellowship is to develop leaders in community in psychiatry. However, safety has been my biggest concern in and public psychiatry. recommending any dietary supplements to my patients, even vi- tamins. Despite the limitations of government regulation in the Eligibility United States, which is paltry compared to, say, Germany or Can- Graduates or PGY4 residents from an ACGME accredited psychiatry residency program are eligible to apply ada, there are several reliable resources for checking on the safety of specific supplements: to the fellowship. Applicants must possess a full or limited Massachusetts Medical License by the time the – FDA website (www.fda.gov/Food/Dietary Supplements/ program commences in July. Alerts) – “Alerts and Advisories” section of the National Center Application Process for Complementary and Alternative medicine (www.nc Please send a CV and cover letter addressed to David Henderson MD, Interim Program Director, Community cam.nih. gov/news/alerts) Psychiatry Fellowship and Chair, Department of Psychiatry, c/o Joan Taglieri, 85 East Newton Street, Suite – Dietary Supplement Labels Database at The National Institute of Health National Library of Medicine (www. 802, Boston, MA 02118 or email to [email protected]. dietarysupplements.nlm.nih.gov/dietary) Boston University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action employer.

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 12 MPS Bulletin - February 2016 www.psychiatry-mps.org 5

DEPARTMENT OF PSYCHIATRY – MASSACHUSETTS GENERAL HOSPITAL – Update from the Health Information Technology Committee HARVARD MEDICAL SCHOOL Health Information Technology (HIT) is a broad term that has a slightly different meaning for each MPS member. At ATTENDING POSITIONS AND HOSPITALIST/ BEHAVIORAL HEALTH INTEGRATION this January’s inaugural meeting of the MPS HIT Committee, members each discussed what areas at the intersection of DEVELOPMENT PROGRAM psychiatry and technology most interested them. The diversity of responses ranging from encrypted text messages to telepsychiatry, smartphone apps to electronic medical records, social media guidelines to sharing medical records was The MGH Department of Psychiatry has outstanding impressive. Such diversity points towards the challenges of HIT, but also the opportunity for MPS to provide members attending opportunities in Emergency, Outpatient a forum to share, support, and learn about these various digital tools. (General and Specialty), Addictions, Consult- Liaison, and Inpatient Psychiatry. In addition the Just as HIT covers many different areas of technology, it also connects many areas of healthcare and psychiatry. At department is pleased to announce a new Hospitalist/ BAY COVE Human Services, Inc in Boston our meeting questions arose about using electronic medical records for psychotherapy, smartphone apps in substance Behavioral Health Integration Development Program is looking for a Community Psychiatrist. The abuse, and telepsychiatry to consult with new patients. While a list of HIT tools and resources for psychiatry would preparing candidates for leadership roles in inpatient be pages long, simply understanding that all these various technologies serve a common purpose of improving care is psychiatry and collaborative care in academic and Community Psychiatrist will serve a diverse community settings. Rated among the leading more important. psychiatry departments by US News and World population of individuals in various community Report, the Department is committed to excellence settings including the Michael J. Gill Mental Health In order to better learn what HIT means to MPS members, one initial role of the committee will be to conduct a survey in patient care, education, research and community of the membership. Surveying MPS members about use, concerns, and questions regarding technology will ensure that service. Candidates should be: board certified/board and Wellness Clinic, Center House Day Treatment, this new committee can be responsive and best help members. And in order to be most responsive, we will begin to fully eligible in Psychiatry and qualified for an academic and the Community Flexible Support (CBFS) system utilize the MPS website, www.psychiatry-mps.org, and make it your destination for resources and answers. appointment at Harvard Medical School at the of care which serves Department of Mental Health rank of Instructor or above. Fellowship training in Another early project of the committee will be to develop guidelines to help in the evaluation of smartphone apps. relevant areas including addiction, consult-liaison, (DMH) clients with serious mental illness. Qualified While it may be currently impossible to create a rating scale that is guaranteed to always find the best app, following neuropsychiatry, or geriatric psychiatry and a record of applicants may become Tufts faculty for the teaching scholarly productivity are highly desirable. Interested the right guidelines can help you avoid downloading digital snake oil. If there are any apps that you particularly like and individuals should apply to Jonathan E. Alpert MD of PGY III Tufts residents who rotate through Bay find helpful, we would love to hear from you as we begin identify the common elements of good apps. PhD, Associate Chief of Psychiatry (jalpert@mgh. Cove for their Community Psychiatry rotation. 15- harvard.edu). The Massachusetts General Hospital Our next, and second, meeting will be on Thursday, February 25th. As always, we encourage all MPS members is an affirmative action/equal opportunity employer. 20 hours; no call. For more information about this to attend regardless of experience with technology. In the meantime, be sure to visit the MPS website frequently Minorities and women are strongly urged to apply. job opening, visit Baycove.org. for updates and the latest information.

PSYCHIATRY POSITIONS Beth Israel Deaconess Medical Center in Boston, a 500+ bed tertiary care teaching hospital of Harvard Medical Public Sector Inpatient Psychiatrist School, is recruiting staff psychiatrists for positions on the Consultation-Liaison Service and Inpatient Service. In addition, moonlighting opportunities are available on both services. The Department of Psychiatry is a major teaching site for Harvard Medical School and the Harvard Longwood Psychiatry Residency Training Program; positions will include opportunities for teaching medical students and residents. Underrepresented minorities Unique opportunity at the Lemuel Shattuck Hospital for a full time inpatient are encouraged to apply. Harvard Medical School appointment at an appropriate rank is available. psychiatrist to provide continuing care to Boston Metropolitan Area DMH 1. STAFF PSYCHIATRIST ON THE INPATIENT PSYCHIATRY UNIT. This is a full-time position patients within an urban public health general teaching hospital. Join an within the Department of Psychiatry that includes clinical care, teaching, and supervision on an active 25 bed inpatient teaching unit. expert, collegial group of colleagues. Teaching and mentoring opportunities 2. STAFF PSYCHIATRIST ON THE PSYCHIATRIC CONSULTATION SERVICE. This is a half-time and academic appointment at Tufts potentially available. No weekend or position within the Department of Psychiatry that includes clinical care, teaching, and supervision on a busy service that sees 2200 Emergency Department and 1000 Inpatient Medical-Surgical consultations annually. night call. This is a State Block, union position. Contact Audrey Graham- Certification (or eligibility) in Psychosomatic Medicine is desirable. 3. ATTENDING PSYCHIATRISTS FOR WEEKEND AND HOLIDAY COVERAGE OF THE Smith by fax 617-971-3195 to apply or Dr. Amy Lisser, Chief of Psychiatry INPATIENT PSYCHIATRY UNIT AND THE PSYCHIATRIC CONSULTATION SERVICE. Must Shattuck Hospital for further information 617-971-3177. have a full license and be board-certified. Coverage includes morning rounds onsite and off-site telephone backup to the resident. Please send a letter of interest and CV to William Greenberg, MD, Chief of Psychiatry, by email: An Equal Opportunity/Affirmative Action Employer. Females, minorities, [email protected]. veterans and persons with disabilities are strongly encouraged to apply.

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 6 MPS Bulletin - February 2016 www.psychiatry-mps.org 11 Worcester, MA seeks a BC/BE Psychiatrist for its University Children, Adolescents, Adults. Experienced with all clinic regs, Hospital Outpatient Clinic. Candidates should have strong Licensure, Joint Commission, BCBS, etc. academic credentials and sound clinical skills, and interest in Available To set up entire practice with systems, from policies American Professional Agency, Inc. pursuing academic opportunities in either training or research. And procedures to billing and accounting. An academic appointment, commensurate with experience, is Please call Business Behavioral Health Network at Leaders In Professional Liability / Malpractice Insurance available. Interested applicants (J-1 and H-1B candidates are 781-762-1419 welcome to apply) are encouraged to submit CVs and letters of interest to: [email protected] Exciting opportunity for part-time substance abuse/mental health practice in NORTH CONWAY, NH. Skiing, hiking, The Department of Psychiatry at UMass Memorial Health biking, nature’s playground. Flexible schedule, $140/hr. with Care is currently seeking a full time BC/BE Attending guarantee of 6 hours/day. Will need Suboxone certification. Also Where Superior Psychiatrist to join the team on the 27 bed adult inpatient unit at could have FULL-TIME private practice in same office to do UMass Memorial Medical Center, the academic teaching hospital general mental health. Currently 2-3 month waiting list for adult Protection and clinical partner of the University of Massachusetts Medical and child psychiatry services so market is wide open. School. Primary duties involve direct clinical care and support PathwaysforBetterLiving.com, 603-356-3400. Meets Exceptional of the academic mission of the Department and the Medical Center including educational responsibilities and the opportunity Family and Community Resources, Inc. Service to participate in research. The position provides the opportunity FCR seeks licensed, board certified psychiatrist for involvement in a full range of clinical and academic pursuits. Family and Community Resources, Inc., a small non-profit trauma Join your colleagues who have chosen Superior protection provided by Allied World Assurance Company rated “A” by A.M. Best Co. A faculty appointment, commensurate with experience, is also and domestic violence focused mental health center is in need of available. a P/T Psychiatrist/Medical Director for 8 hrs/week. Responsible to be represented by our professional Access to a Risk Management Team during business hours and a 24/7 emergency hotline team, which is endorsed by the two Come join Dr. Alan Brown, Vice Chairman of Clinical Services, for providing patient diagnostics, medication management, staff training as well as clinic coordination in conjunction with the most prominent associations in your Telepsychiatry, ECT coverage and Forensic Psychiatric Services are included Dr. Douglas Ziedonis, Department Chair, and other prominent members of the Psychiatry Department in their ongoing pursuit of clinic director. Day(s) and hours flexible. profession - the American Psychiatric clinical and academic excellence. Interested candidates (J-1 and Association and American Academy Fire Damage Legal Liability and Medical Payment coverage included Qualifications: H-1B candidates are welcome to apply) should submit CVs and Medical degree from an accredited school of medicine of Child and Adolescent Psychiatry. Interest-Free Quarterly Payments / Credit Cards accepted Letter of Intent to [email protected], Licensed in psychiatry in the state of Massachusetts Attention: Kathleen Anderson. Candidates are also encouraged Board certified in Adult Psychiatry; Child Psychiatry a plus to visit the Psychiatry Department’s website at: www.umassmed. edu/psychiatry. Location: Brockton, MA American Academy of Please send CVs to: [email protected] Child Adolescent Behavioral Health Clinic Available Clinic consultant for hire 1-877-740-1777 Psychiatry to establish outpatient Behavioral health practice or clinic for www.APAmalpractice.com w w w . A A C A P . O R G

Boston Area Psychiatrist Reviewer – Consultant

Come join a well-established and outstanding group of psychiatrists providing utilization management and case consultation in the Health and Medical Management division of Blue Cross Blue Shield of Child Psychiatrist Opportunity, Near Boston, MA Massachusetts. Our model of utilization management is one of collegial, respectful and consultative North Shore Medical Center (NSMC) has an exciting opportunity for a child psychiatrist to join a thriving and interactions with psychiatrists, psychologists, social workers and other providers for promoting the growing psychiatric service in Salem, MA about 15 miles north of Boston. NSMC is part of the prestigious efficient use of evidence-based practices. Partners HealthCare System, and the Department of Psychiatry is closely aligned with the Massachusetts General Hospital (MGH). The department provides a full spectrum of care, including adult inpatient psychiatry, an older adult inpatient unit, a child inpatient unit, a partial hospitalization program, and several outpatient Blue Cross Blue Shield of Massachusetts is a highly successful HMO with a commitment to placing our clinics. Our department is also a hub for the Massachusetts Child Psychiatry Access Project (MCPAP), a grant members’ health first. With our coverage reaching over 2.7 million members and an increasing behavioral supported outpatient consultation service for area pediatricians. We have a vibrant educational program, and health concentration, we are seeking a physician reviewer to work part-time. We offer flexible hours and teaching opportunities are available. Physicians in the department enjoy a collegial and supportive practice environment. will consider individuals with post-training clinical experience and Board Certification in general psychiatry. Additional expertise and certification in addictions and or child/adolescent psychiatry are highly desirable. Our department is presently engaged in creating a 120 bed “Center for Excellence” in collaboration with the MGH Department of Psychiatry, which will include an expansion of outpatient services as well. Physicians in the department can expect to be engaged and have input into the creation and design of this exciting new Interested parties are encouraged to apply on our website at: www.bluecrossma.com/careers program. or contact Heather Franey at: [email protected] At present we have an opportunity for a Child Psychiatrist to join our group. There are opportunities for this to be an inpatient or outpatient position, depending on the appropriate candidate’s interest and experience, and Our commitment to building a matching this with Department needs. The call schedule is very reasonable and requires no in-house coverage. A clinical appointment at MGH and the potential for a Harvard Medical School appointment are available for diverse workplace is without question. the qualified candidate.

We are an Equal Opportunity Employer. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Interested candidates should forward their CV to Louis Caligiuri, Director of Physician Services at [email protected].

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 10 MPS Bulletinwww.psychiatry-mps.org - February 2016 9 www.psychiatry-mps.org 7 ADULT PSYCHIATRISTS in our out- ASK PHS - A Doctor I Am Treating Cannot Stop Drinking BUSINESSBUSINESS SERVICES SERVICES patient OFFICEclinics in Framingham, SPACE Marlboro and satellites. Advocates is a full-service, Steve Adelman, MD – PHS Director non-profit system serving individuals with LEGAL ADVICE SPECIALIZED CREDENTIALINGHea SERVICES Brookline: MEDICAL CREDENTIALING SPECIALISTS psychiatric and developmental disabilities Question from a Central Massachusetts Psychiatrist: I’m a The purpose of our recommendations is to help the physician FOR PSYCHIATRISTS Attractive, comfortable, quiet, reasonably priced and other challenges in a strength-based, general psychiatrist (not an addiction psychiatrist) and I am con- overcome his or her challenges in an enduring and lasting fash- person-centered3 suite office near andCoolidge multi-disciplinary Corner has opening Milton L. Kerstein, Esq. • PROVIDER CREDENTIALING cerned about a physician patient of mine who has a serious drink- ion, such that a substance use disorder or other significant health setting.for a full Excellent time or physicians two 1/2 time are clinicianshonored, as of ing problem. I’d like to refer him to PHS for an assessment. I challenge does not jeopardize the health and well-being of both Andrew L. Hyams, Esq. • APPLICATION PROCESS January 2014. Street parking and near T. Call Healthcare Billing Specialists, Inc. and we offer a warm, friendly practice en- think that he needs to connect up with other doctors in recovery the physician and his or her patients. Although PHS sometimes Mr. Hyams, former General Counsel to the Bd. • HEALTH PLAN ENROLLMENT AND vironment.Jim Harburger Compensation MD, is 617-232-3822 competitive or and he would probably benefit from a long-term monitoring pro- (but not always) recommends specialized treatment programs and LINKAGE email [email protected] of Reg. in Medicine, and Mr. Kerstein provide Providing Billing Services to the Mental Health Community and benefits are available for 30 hours +. gram. We have been working together for several years (weekly providers, we are very respectful of a physician’s longstanding legal services to psychiatrists and other health • NPI AND PROVIDER NUMBERS Contact in confidence Chris Gordon, MD, psychodynamic psychotherapy plus meds for dysthymia) and I am treatment relationships, and we always do everything possible to • NATIONAL AND MULTI-STATE Medical Director at 508.628.6652 or at professionals in the following areas: Billing. . . worried that a referral to PHS would somehow rupture our long- strengthen and sustain ongoing treatment relationships in a col- SERVICES [email protected] standing, positive therapeutic relationship because I am not an ad- laborative fashion. • Licensing Board Complaints and Applications • CAQH REGISTRYIt’s what MAINTENANCEwe do. diction psychiatrist and PHS has reputation for referring its clients • Medicare/Medicaid Audits • STATE OF THE ART SOFTWARE ATTENDING PSYCHIATRIST to experts. I am also worried about jeopardizing this physician’s The best way to learn about PHS is to contact us whenever you Every mental health Tewksbury Hospital is looking for a full time • Patient Confidentiality Tewksburyinpatient psychiatrist. Hospital Theis a Jointposition Commis is on a- DMH medical license. Help! have relevant questions and concerns. Please feel free to draw Please callprofessional us to discuss needs fee a greatarrangements. sion accredited Department of Public on our specialized experience and knowledge whenever you are • Provider and Employer Contracts intermediate care unit working with a wide varie- Credentialingbilling Services service. are For priced over 15 either by Healthty of patients hospital with located severe about and persistent 23 miles mental Answer: When physicians with serious drinking problems cannot treating physicians with challenges that have the potential to side- • Civil/Criminal Litigation application or on a monthly flat fee basis northillness. of No Boston, managed MA care near or after-hoursthe intersec on-call.- stop drinking either on their own, or with the help of an outpatient line them and sabotage their careers. depending years,on the Healthcarescope of services Billing requested. As a service to Bulletin readers, we offer one tionMedian of Interstates LOS about 495200 anddays. 93. Competitive com- psychiatrist, it is typically only a matter of time before the drink-

free 15-minute consultation to discuss any gen- Specialists has been pensation. Work with an excellent and persona- ing progresses to the point where it begins to interfere with the IN ADDITION TO OUR CREDENTIALING Two Life Style Choices doctor’s ability to practice medicine. It is of critical importance to I invite you to email me your questions about PHS. Please do eral legal concerns. providing exceptional ble group of psychiatrists. SERVICES, WE OFFER MEDICAL BILLING 1. Salary: $210,000 base for board cer- the physician, as well as to his patients, colleagues and loved ones, not send me any information about an identifiable physician col- Kerstein, Coren & Lichtenstein, LLP SERVICES service TO toPHYSICIANS, over 100 practices HOSPITALS, tifiedFor information psychiatrist contact: with 1-2 overnight that he stop drinking before alcohol begins impeding his ability to league or patient. If your question is of general interest, we may 60 Walnut Street, Wellesley, MA 02481 GROUP PRACTICES, CLINICS, ETC. 60 Walnut Street, Wellesley, MA 02481 in Massachusetts. callAnthony shifts Vagnucci, per month. MD Recent salary deliver good medical care. Once active substance mis-use inter- answer it here in this column. Otherwise, I will respond to your www.KCLwww.KCL----law.comlaw.com FOR CLIENTS WHO PURCHASE OUR increases,Chief of Psychiatry, generous Tewksbury signing bonus, Hospital ex - feres with a doctor’s performance at work, a cascade of adverse email individually. I can be reached at [email protected] or at MEDICAL BILLING SERVICES, WE events may be set in motion, jeopardizing patient safety as well as 781-434-7404. (617) 969969----71397139 cellent978-851-7321 fringe x2863benefits, generous allow- OFFERContact CREDENTIALING us for more information! AS PART OF [email protected] for license and board certification the physician’s professional viability. THAT PACKAGE. Office: (781) 784-4123 fees, CME fees and 6 weeks leave time ------ for full or part time psychiatrists. You This situation furnishes you with an opportunity to assist your Fax: (781) 784-0996 STAFF PSYCHIATRIST POSTIONS. Full PRACTICE MEDICINE, WE DO THE REST. will work on a DMH intermediate care doctor-patient by collaborating with PHS. The first step is to con- Physician Health Services (PHS) is a nonprofit corporation of the Email: [email protected] unitand part-timewhere you positions can treatare available people forwith ADULT PSYCHIATRISTS in our outpatient clinics in tact PHS to describe the situation at hand. At the time of that Massachusetts Medical Society, that provides a safe, confidential CALL US FOR MORE INFORMATION chronic persistent mental illness with phone call, we will tell you about our referral, intake and assess- environment designed to help identify, refer to treatment, guide Web: www.hcbilling.com Framingham, Marlboro and satellites. Advocates SPECIALIZED BILLING SERVICES AT both therapy as well as medication due ment processes. There is no need for you to identify the physician and monitor the recovery of physicians and medical students with Inc is a full-service, non-profit system serving (617) 244-3322 to the median 200 days LOS. Work with at the time of this initial phone call. The goal of the phone call is health concerns. PSYCHIATRIC BILLING SPECIALISTS anindividuals excellent with and psychiatric personable and group developmental of SPECIALIZEDwww.sbscincorporated.com/ CREDENTIALING SERVICES acquaint you with what we do, and to help you assist your patient psychiatrists.disabilities and other challenges in a strength- by making the case that specialized help is available for him or her ♦ EXCELLENT COLLECTION RATES MEDICAL CREDENTIALING SPECIALISTS based, person-centered and multi-disciplinary 2. Salary: $185,350 same as above with at Physician Health Services. ♦ UNDERSTANDABLE REPORTING AND setting. Excellent physicians are honored, and we  ♦ PROVIDER CREDENTIALING no overnight/weekend on call. MANAGEMENT TOOLS OFFICE SPACE offer a warm, friendly practice environment. What kind of help is available to this physician at PHS? A ♦ APPLICATION PROCESS Compensation is competitive and benefits are ♦ STATE-OF-THE ART BILLING SOFTWARE Contact Anthony Vagnucci, MD, range of possibilities exists, and PHS will work with this phy- ♦ HEALTH PLAN ENROLLMENT AND Chiefavailable offor 20Psychiatry, hours +. Tewksbury ♦ Boston, Back Bay. Several offices for sub- sician, should he or she choose to make use of our services, to BANKING SERVICES LINKAGE Hospital, 978-851-7321 x2863, explore a variety of options. At the very least, the physician may let in prestigious psych/med building on Contact in confidence Chris Gordon, MD, Medi- Are you ♦ CREDENTIALING CONSULTATION AND ♦ NPI AND PROVIDER NUMBERS [email protected] contact PHS anonymously and hear directly about our confiden-  Marlborough Street near Public Gardens. cal Director at 508.628.6652 or at ASSISTANCE ♦ NATIONAL AND MULTI-STATE tial physician support groups. We will also describe what might eligible Whole and half days. All with beautiful [email protected]. ♦ detailing,SERVICES fireplaces and high ceilings. Col- Tewksbury Hospital unfold at PHS should he or she choose to come in for an intake CUSTOMER SERVICE, CUSTOMER SERVICE, Half-time Psychiatrist (20 hours per    at the Delaney House in Holyoke, Dr. Ben Liptzin will present CUSTOMER SERVICE !! legial♦ atmosphere.CAQH REGISTRY $300-350/day/month. MAINTENANCE appointment. and interested week)Cambridge Psychiatric Services            Practice Medicine and We’ll Do the Rest. Contact:♦ STATE [email protected] OF THE ART SOFTWARE ExcellentPSYCHIATRISTS: salary and fringe benefits, We  will schedule an intake  appointment  This talkif the will physician discuss desires the potential in applying for Call us for more information at signing bonus and generous leave time Please call us to discuss fee arrangements. Interested in flexible hours, competitive pay roles for psychiatristsan in-person as meeting Accountable and is willing Care Organiz to identifyations himself develop or herself. as a result of (617) 244-3322 for half-time psychiatrists. Positions Fellow Credentialing Services are priced either by rates, and a schedule that fits your needs? the AccountableKnowing Care the Act name which of the is stimulatingdoctor simply healt helpsh care us keep reform track all of over the

 available on a DMH intermediate Ask about our discount program application or on a monthly flat fee basis things. Once the physician has identified himself or herself, PHS or PSYCHIATRIST careQualified unit psychiatristsworking with needed a wide to providevariety over- country. These organizations will be expected to take on financial risk by caring depending on the scope of services requested. works for and with the physician. Nothing about this physician ofnight, patients weekend, with and severe holiday and moonlighting persistent cover- for a population with a fixed amount of money. It is expected that psychiatric is communicated outward, without the express written consent of Distinguished mentalage at area illness hospitals, are clinics, available. and other Nopsychiat- services will the be physician. integrated A common into primary misconception care using is that a varietyPHS is an of arm organizational of www.specializedbillingservices.com CambridgeIN ADDITION Psychiatric TO OUR Services CREDENTIALING managed care or on-call. SERVICES, WE OFFER MEDICAL BILLING ric facilities. models. Thisthe talk BRM. will This describe is not the ways case. for We practicin are a confidential,g psychiatrists peer toreview learn more Fellow Status? PSYCHIATRISTS: Interested in flexible Median LOS about 200 days. Work hours,SERVICES competitive TO PHYSICIANS, pay rates, and HOSPITALS, a schedule For more information please call about these modelsprogram in and their we localaim toservice assist physiciansarea. before they come to the GROUP PRACTICES, CLINICS, ETC. FOR with an excellent and personable group THETHE DEADLINE DEADLINE FOR THE THE that fits your needs? Jessica D’Angio at 617-864-7452 attention of the BRM. CLIENTS WHO PURCHASE OUR MEDICAL of psychiatrists. Contact Anthony We will host a reception starting at 6 with dinner being served at 6:30PM. The JANUARY 2014MARCH MPS 2016 NEWSLETTER IS Qualified psychiatrists needed to provide Vagnucci,or at [email protected] MD, Chief of Psychiatry, Contact the MPS Office. BILLING SERVICES, WE OFFER CREDEN- program will Ifstart your at physician-patient 7:30 PM. The comesMassachusetts to PHS for Psychiatric an intake appointment, Society designates MPSDECEMBER NEWSLETTER 15, 2013. IS overnight,TIALING AS weekend, PART OF and THAT holiday PACKAGE. moonlight - Tewksbury Hospital, 978-851-7321 this live activitywe willfor arequest maximum written of consent 1 AMA to PRA communicate Category with1 Credit you. TM When. Physicians FEBRUARY 15, 2016. FOR ing coverage at area hospitals, clinics, and oth- x2863,Adult psychiatrist [email protected] for part or full time. Private FOR ADDITIONAL ADVERTISING PRACTICE MEDICINE, WE DO THE REST. Group Practice of MD’s & PhD’s. CBT exclu- should claimphysicians only the credit provide commensurate us with consent with to check the extent in with of clinicians their participation and in ADDITIONAL ADVERTISING er psychiatric facilities. For more information We would be glad to assist you INFORMATION, PLEASE CONTACT THE please call Jessica D’Angio at (617)864-7452 BC/BEsively. Services Psychiatrist needed includefor University diagnostics and the activity. Theothers Massachusetts who may provide Psychiatric us with information Society is accredited that helps us by to the deter Massachu- INFORMATION, PLEASE CONTACT mine the nature and severity of the problem, we use this additional MPS OFFICE AT: (781) 237-8100 or CALL at [email protected] US FOR MORE INFORMATION AT Hospitalmed management. Outpatient Clinic setts Medical Society to provide continuing medical education for physicians. in completing your application. THE MPS OFFICE AT (781) 237-8100 (617) 244244----3322332233223322 UMassContact: Memorial Peter W. Moran,Medical Ph.D. Center/ Cornerstone information to formulate recommendations that are intended to OROR STAFF www.sbscincorporated.com/ PSYCHIATRIST POSTIONS. UniversityBehavioral Health, of Massachusetts 469 Chandler MedicalSt., Worcester, The cost is $25.00assist the forphysician the meal in overcoming and the CME the challenges credits. Youat hand. can eitherWith pay by the physician’s permission, we will share our recommendations [email protected]@PSYCHIATRY-MPS.ORG Full and part-time positions are available for SchoolMA 01602 Department or [email protected] of Psychiatry in check, cash orwith credit you. card on Wednesday night.

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 02481-1802 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 ♦ Fax: 781-237-7625 ♦781-237-8100 Email: [email protected] Fax: 781-464-4896 ♦ [email protected] Email: [email protected] www.psychiatry-mps.org  781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org



 Antonio Eduardo Bullon, MD Tatjana Dujmic, MD Janet Kennedy, MD The American Psychiatric Association offers FREE monthly webinars for Christopher Joseph Lukonis, MD physicians who have waivers to treat opioid dependence in officebased Fremonta L. Meyer, MD settings and other interested clinicians. The presentations address cutting Zafar N. Naqvi, MD edge topics in treating substance use disorders and feature nationally George Ellsworth, MD prominent clinical experts, researchers, and government officials. Alaa M. Elrefai, MD Michael Braverman, MD Elizabeth Koby, MD Ajay D. Wassan, MD  Amanda Sims, MD Sponsored by the American Osteopathic Academy of Addiction Medicine

 (AOAAM) Amber Frank, MD Course Director: Stephen A. Wyatt, DO Charotte Scott Hogan, MD Contact Information: Lara Renucci [email protected] or 7085728006 Stephanie Cincotta, MD Daiana Harper, MD   Ann Hess, MD Sponsored by the American Osteopathic Academy of Addiction Medicine David Buxton, MD (AOAAM) Laura Sponseller, MD Course Director: William Morrone, DO Margaret E. Tompsett, MD Contact Information: Lara Renucci [email protected] or 7085728006 Karen LeBlane, MD Gaston Baslet, MD Sara Coffey, MD  Marika Wrzosek, MD http://www.pcssb.org/educationalandtrainingresources/upcoming John P. Glazer, MD training/ Dwight Smith, MD Hsiang S Huang MD

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 7812378100 ♦ Fax: 7812377625 ♦ Email: mps@psychiatrymps.org ♦ www.@psychiatrymps.org 8 MPS Bulletin - February 2016 www.psychiatry-mps.org 9 MPS News

SAVE THE DATES SATURDAY, MARCH 12, 2016 2016 Risk Avoidance and Risk Management Update SAVE Massachusetts Medical Society, Waltham, MA ON YOUR APA/DB A postcard announcement with conference details will be mailed soon SATURDAY, JUNE 11, 2016 MEMBERSHIP DUES Annual Psychotherapy Conference Massachusetts Medical Society, Waltham, MA Looking for Ways to Save Time and Money on Your Membership Dues?

SAVE THE DATE MPS Annual Meeting & Dinner Check Out These Ways to Save: April 26, 2016 Lump Sum Dues—Pay a one-time amount for APA national Please save the date for the MPS Annual Meeting & Dinner scheduled for Tues- dues for your lifetime. Never worry about annual renewal day, April 26, 2016 at the Massachusetts Medical Society, the new home of the increases or invoices again. DB/SA dues continue to be Massachusetts Psychiatric Society. The cocktail reception will start at 5:30pm billed annually. and dinner will begin promptly at 6:30pm. A detailed postcard announcement

will be mailed soon. We look forward to welcoming the membership to our new Scheduled Payment Plan—Have your APA and District Branch office space. dues automatically charged to your credit card in monthly, quarterly, biannual, or annual installments. No interest or service fees.

Couples Discount—If you are married to another APA member (or live in the same household), share your print MPS Member Elected President of APA’s Women’s Caucus copy of AJP and you’ll each get a 15% discount on your APA Maureen Sayres Van Niel, MD, a member of MPS, was recently elected president of the national dues. National Women’s Caucus of the American Psychiatric Association for a two-year term. The caucus is a division of the APA Assembly and it represents the interests of the more than 13,000 women members of the APA. The caucus aims to address issues relevant to women members, including providing ideas to those at district branches who would like to offer special services for women members. If you have questions or ideas for national or local women’s programs, please contact Dr. Van Niel at [email protected] or the MPS Ready to Start Saving? CME Coordinator, Julie Kealey at [email protected]. Contact APA Member Services for Call: 703-907-7300; 888-35-PSYCH more information and to sign up. Email: [email protected]

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 8 MPS Bulletin - February 2016 www.psychiatry-mps.org 9 MPS News

SAVE THE DATES SATURDAY, MARCH 12, 2016 2016 Risk Avoidance and Risk Management Update SAVE Massachusetts Medical Society, Waltham, MA ON YOUR APA/DB A postcard announcement with conference details will be mailed soon SATURDAY, JUNE 11, 2016 MEMBERSHIP DUES Annual Psychotherapy Conference Massachusetts Medical Society, Waltham, MA Looking for Ways to Save Time and Money on Your Membership Dues?

SAVE THE DATE MPS Annual Meeting & Dinner Check Out These Ways to Save: April 26, 2016 Lump Sum Dues—Pay a one-time amount for APA national Please save the date for the MPS Annual Meeting & Dinner scheduled for Tues- dues for your lifetime. Never worry about annual renewal day, April 26, 2016 at the Massachusetts Medical Society, the new home of the increases or invoices again. DB/SA dues continue to be Massachusetts Psychiatric Society. The cocktail reception will start at 5:30pm billed annually. and dinner will begin promptly at 6:30pm. A detailed postcard announcement

will be mailed soon. We look forward to welcoming the membership to our new Scheduled Payment Plan—Have your APA and District Branch office space. dues automatically charged to your credit card in monthly, quarterly, biannual, or annual installments. No interest or service fees.

Couples Discount—If you are married to another APA member (or live in the same household), share your print MPS Member Elected President of APA’s Women’s Caucus copy of AJP and you’ll each get a 15% discount on your APA Maureen Sayres Van Niel, MD, a member of MPS, was recently elected president of the national dues. National Women’s Caucus of the American Psychiatric Association for a two-year term. The caucus is a division of the APA Assembly and it represents the interests of the more than 13,000 women members of the APA. The caucus aims to address issues relevant to women members, including providing ideas to those at district branches who would like to offer special services for women members. If you have questions or ideas for national or local women’s programs, please contact Dr. Van Niel at [email protected] or the MPS Ready to Start Saving? CME Coordinator, Julie Kealey at [email protected]. Contact APA Member Services for Call: 703-907-7300; 888-35-PSYCH more information and to sign up. Email: [email protected]

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 10 MPS Bulletinwww.psychiatry-mps.org - February 2016 9 www.psychiatry-mps.org 7 ADULT PSYCHIATRISTS in our out- ASK PHS - A Doctor I Am Treating Cannot Stop Drinking BUSINESSBUSINESS SERVICES SERVICES patient OFFICEclinics in Framingham, SPACE Marlboro and satellites. Advocates is a full-service, Steve Adelman, MD – PHS Director non-profit system serving individuals with LEGAL ADVICE SPECIALIZED CREDENTIALINGHea SERVICES Brookline: MEDICAL CREDENTIALING SPECIALISTS psychiatric and developmental disabilities Question from a Central Massachusetts Psychiatrist: I’m a The purpose of our recommendations is to help the physician FOR PSYCHIATRISTS Attractive, comfortable, quiet, reasonably priced and other challenges in a strength-based, general psychiatrist (not an addiction psychiatrist) and I am con- overcome his or her challenges in an enduring and lasting fash- person-centered3 suite office near andCoolidge multi-disciplinary Corner has opening Milton L. Kerstein, Esq. • PROVIDER CREDENTIALING cerned about a physician patient of mine who has a serious drink- ion, such that a substance use disorder or other significant health setting.for a full Excellent time or physicians two 1/2 time are clinicianshonored, as of ing problem. I’d like to refer him to PHS for an assessment. I challenge does not jeopardize the health and well-being of both Andrew L. Hyams, Esq. • APPLICATION PROCESS January 2014. Street parking and near T. Call Healthcare Billing Specialists, Inc. and we offer a warm, friendly practice en- think that he needs to connect up with other doctors in recovery the physician and his or her patients. Although PHS sometimes Mr. Hyams, former General Counsel to the Bd. • HEALTH PLAN ENROLLMENT AND vironment.Jim Harburger Compensation MD, is 617-232-3822 competitive or and he would probably benefit from a long-term monitoring pro- (but not always) recommends specialized treatment programs and LINKAGE email [email protected] of Reg. in Medicine, and Mr. Kerstein provide Providing Billing Services to the Mental Health Community and benefits are available for 30 hours +. gram. We have been working together for several years (weekly providers, we are very respectful of a physician’s longstanding legal services to psychiatrists and other health • NPI AND PROVIDER NUMBERS Contact in confidence Chris Gordon, MD, psychodynamic psychotherapy plus meds for dysthymia) and I am treatment relationships, and we always do everything possible to • NATIONAL AND MULTI-STATE Medical Director at 508.628.6652 or at professionals in the following areas: Billing. . . worried that a referral to PHS would somehow rupture our long- strengthen and sustain ongoing treatment relationships in a col- SERVICES [email protected] standing, positive therapeutic relationship because I am not an ad- laborative fashion. • Licensing Board Complaints and Applications • CAQH REGISTRYIt’s what MAINTENANCEwe do. diction psychiatrist and PHS has reputation for referring its clients • Medicare/Medicaid Audits • STATE OF THE ART SOFTWARE ATTENDING PSYCHIATRIST to experts. I am also worried about jeopardizing this physician’s The best way to learn about PHS is to contact us whenever you Every mental health Tewksbury Hospital is looking for a full time • Patient Confidentiality Tewksburyinpatient psychiatrist. Hospital Theis a Jointposition Commis is on a- DMH medical license. Help! have relevant questions and concerns. Please feel free to draw Please callprofessional us to discuss needs fee a greatarrangements. sion accredited Department of Public on our specialized experience and knowledge whenever you are • Provider and Employer Contracts intermediate care unit working with a wide varie- Credentialingbilling Services service. are For priced over 15 either by Healthty of patients hospital with located severe about and persistent 23 miles mental Answer: When physicians with serious drinking problems cannot treating physicians with challenges that have the potential to side- • Civil/Criminal Litigation application or on a monthly flat fee basis northillness. of No Boston, managed MA care near or after-hoursthe intersec on-call.- stop drinking either on their own, or with the help of an outpatient line them and sabotage their careers. depending years,on the Healthcarescope of services Billing requested. As a service to Bulletin readers, we offer one tionMedian of Interstates LOS about 495200 anddays. 93. Competitive com- psychiatrist, it is typically only a matter of time before the drink-

free 15-minute consultation to discuss any gen- Specialists has been pensation. Work with an excellent and persona- ing progresses to the point where it begins to interfere with the IN ADDITION TO OUR CREDENTIALING Two Life Style Choices doctor’s ability to practice medicine. It is of critical importance to I invite you to email me your questions about PHS. Please do eral legal concerns. providing exceptional ble group of psychiatrists. SERVICES, WE OFFER MEDICAL BILLING 1. Salary: $210,000 base for board cer- the physician, as well as to his patients, colleagues and loved ones, not send me any information about an identifiable physician col- Kerstein, Coren & Lichtenstein, LLP SERVICES service TO toPHYSICIANS, over 100 practices HOSPITALS, tifiedFor information psychiatrist contact: with 1-2 overnight that he stop drinking before alcohol begins impeding his ability to league or patient. If your question is of general interest, we may 60 Walnut Street, Wellesley, MA 02481 GROUP PRACTICES, CLINICS, ETC. 60 Walnut Street, Wellesley, MA 02481 in Massachusetts. callAnthony shifts Vagnucci, per month. MD Recent salary deliver good medical care. Once active substance mis-use inter- answer it here in this column. Otherwise, I will respond to your www.KCLwww.KCL----law.comlaw.com FOR CLIENTS WHO PURCHASE OUR increases,Chief of Psychiatry, generous Tewksbury signing bonus, Hospital ex - feres with a doctor’s performance at work, a cascade of adverse email individually. I can be reached at [email protected] or at MEDICAL BILLING SERVICES, WE events may be set in motion, jeopardizing patient safety as well as 781-434-7404. (617) 969969----71397139 cellent978-851-7321 fringe x2863benefits, generous allow- OFFERContact CREDENTIALING us for more information! AS PART OF [email protected] for license and board certification the physician’s professional viability. THAT PACKAGE. Office: (781) 784-4123 fees, CME fees and 6 weeks leave time ------ for full or part time psychiatrists. You This situation furnishes you with an opportunity to assist your Fax: (781) 784-0996 STAFF PSYCHIATRIST POSTIONS. Full PRACTICE MEDICINE, WE DO THE REST. will work on a DMH intermediate care doctor-patient by collaborating with PHS. The first step is to con- Physician Health Services (PHS) is a nonprofit corporation of the Email: [email protected] unitand part-timewhere you positions can treatare available people forwith ADULT PSYCHIATRISTS in our outpatient clinics in tact PHS to describe the situation at hand. At the time of that Massachusetts Medical Society, that provides a safe, confidential CALL US FOR MORE INFORMATION chronic persistent mental illness with phone call, we will tell you about our referral, intake and assess- environment designed to help identify, refer to treatment, guide Web: www.hcbilling.com Framingham, Marlboro and satellites. Advocates SPECIALIZED BILLING SERVICES AT both therapy as well as medication due ment processes. There is no need for you to identify the physician and monitor the recovery of physicians and medical students with Inc is a full-service, non-profit system serving (617) 244-3322 to the median 200 days LOS. Work with at the time of this initial phone call. The goal of the phone call is health concerns. PSYCHIATRIC BILLING SPECIALISTS anindividuals excellent with and psychiatric personable and group developmental of SPECIALIZEDwww.sbscincorporated.com/ CREDENTIALING SERVICES acquaint you with what we do, and to help you assist your patient psychiatrists.disabilities and other challenges in a strength- by making the case that specialized help is available for him or her ♦ EXCELLENT COLLECTION RATES MEDICAL CREDENTIALING SPECIALISTS based, person-centered and multi-disciplinary 2. Salary: $185,350 same as above with at Physician Health Services. ♦ UNDERSTANDABLE REPORTING AND setting. Excellent physicians are honored, and we  ♦ PROVIDER CREDENTIALING no overnight/weekend on call. MANAGEMENT TOOLS OFFICE SPACE offer a warm, friendly practice environment. What kind of help is available to this physician at PHS? A ♦ APPLICATION PROCESS Compensation is competitive and benefits are ♦ STATE-OF-THE ART BILLING SOFTWARE Contact Anthony Vagnucci, MD, range of possibilities exists, and PHS will work with this phy- ♦ HEALTH PLAN ENROLLMENT AND Chiefavailable offor 20Psychiatry, hours +. Tewksbury ♦ Boston, Back Bay. Several offices for sub- sician, should he or she choose to make use of our services, to BANKING SERVICES LINKAGE Hospital, 978-851-7321 x2863, explore a variety of options. At the very least, the physician may let in prestigious psych/med building on Contact in confidence Chris Gordon, MD, Medi- Are you ♦ CREDENTIALING CONSULTATION AND ♦ NPI AND PROVIDER NUMBERS [email protected] contact PHS anonymously and hear directly about our confiden-  Marlborough Street near Public Gardens. cal Director at 508.628.6652 or at ASSISTANCE ♦ NATIONAL AND MULTI-STATE tial physician support groups. We will also describe what might eligible Whole and half days. All with beautiful [email protected]. ♦ detailing,SERVICES fireplaces and high ceilings. Col- Tewksbury Hospital unfold at PHS should he or she choose to come in for an intake CUSTOMER SERVICE, CUSTOMER SERVICE, Half-time Psychiatrist (20 hours per    at the Delaney House in Holyoke, Dr. Ben Liptzin will present CUSTOMER SERVICE !! legial♦ atmosphere.CAQH REGISTRY $300-350/day/month. MAINTENANCE appointment. and interested week)Cambridge Psychiatric Services            Practice Medicine and We’ll Do the Rest. Contact:♦ STATE [email protected] OF THE ART SOFTWARE ExcellentPSYCHIATRISTS: salary and fringe benefits, We  will schedule an intake  appointment  This talkif the will physician discuss desires the potential in applying for Call us for more information at signing bonus and generous leave time Please call us to discuss fee arrangements. Interested in flexible hours, competitive pay roles for psychiatristsan in-person as meeting Accountable and is willing Care Organiz to identifyations himself develop or herself. as a result of (617) 244-3322 for half-time psychiatrists. Positions Fellow Credentialing Services are priced either by rates, and a schedule that fits your needs? the AccountableKnowing Care the Act name which of the is stimulatingdoctor simply healt helpsh care us keep reform track all of over the

 available on a DMH intermediate Ask about our discount program application or on a monthly flat fee basis things. Once the physician has identified himself or herself, PHS or PSYCHIATRIST careQualified unit psychiatristsworking with needed a wide to providevariety over- country. These organizations will be expected to take on financial risk by caring depending on the scope of services requested. works for and with the physician. Nothing about this physician ofnight, patients weekend, with and severe holiday and moonlighting persistent cover- for a population with a fixed amount of money. It is expected that psychiatric is communicated outward, without the express written consent of Distinguished mentalage at area illness hospitals, are clinics, available. and other Nopsychiat- services will the be physician. integrated A common into primary misconception care using is that a varietyPHS is an of arm organizational of www.specializedbillingservices.com CambridgeIN ADDITION Psychiatric TO OUR Services CREDENTIALING managed care or after hours on-call. SERVICES, WE OFFER MEDICAL BILLING ric facilities. models. Thisthe talk BRM. will This describe is not the ways case. for We practicin are a confidential,g psychiatrists peer toreview learn more Fellow Status? PSYCHIATRISTS: Interested in flexible Median LOS about 200 days. Work hours,SERVICES competitive TO PHYSICIANS, pay rates, and HOSPITALS, a schedule For more information please call about these modelsprogram in and their we localaim toservice assist physiciansarea. before they come to the GROUP PRACTICES, CLINICS, ETC. FOR with an excellent and personable group THETHE DEADLINE DEADLINE FOR THE THE that fits your needs? Jessica D’Angio at 617-864-7452 attention of the BRM. CLIENTS WHO PURCHASE OUR MEDICAL of psychiatrists. Contact Anthony We will host a reception starting at 6 with dinner being served at 6:30PM. The JANUARY 2014MARCH MPS 2016 NEWSLETTER IS Qualified psychiatrists needed to provide Vagnucci,or at [email protected] MD, Chief of Psychiatry, Contact the MPS Office. BILLING SERVICES, WE OFFER CREDEN- program will Ifstart your at physician-patient 7:30 PM. The comesMassachusetts to PHS for Psychiatric an intake appointment, Society designates MPSDECEMBER NEWSLETTER 15, 2013. IS overnight,TIALING AS weekend, PART OF and THAT holiday PACKAGE. moonlight - Tewksbury Hospital, 978-851-7321 this live activitywe willfor arequest maximum written of consent 1 AMA to PRA communicate Category with1 Credit you. TM When. Physicians FEBRUARY 15, 2016. FOR ing coverage at area hospitals, clinics, and oth- x2863,Adult psychiatrist [email protected] for part or full time. Private FOR ADDITIONAL ADVERTISING PRACTICE MEDICINE, WE DO THE REST. Group Practice of MD’s & PhD’s. CBT exclu- should claimphysicians only the credit provide commensurate us with consent with to check the extent in with of clinicians their participation and in ADDITIONAL ADVERTISING er psychiatric facilities. For more information We would be glad to assist you INFORMATION, PLEASE CONTACT THE please call Jessica D’Angio at (617)864-7452 BC/BEsively. Services Psychiatrist needed includefor University diagnostics and the activity. Theothers Massachusetts who may provide Psychiatric us with information Society is accredited that helps us by to the deter Massachu- INFORMATION, PLEASE CONTACT mine the nature and severity of the problem, we use this additional MPS OFFICE AT: (781) 237-8100 or CALL at [email protected] US FOR MORE INFORMATION AT Hospitalmed management. Outpatient Clinic setts Medical Society to provide continuing medical education for physicians. in completing your application. THE MPS OFFICE AT (781) 237-8100 (617) 244244----3322332233223322 UMassContact: Memorial Peter W. Moran,Medical Ph.D. Center/ Cornerstone information to formulate recommendations that are intended to OROR STAFF www.sbscincorporated.com/ PSYCHIATRIST POSTIONS. UniversityBehavioral Health, of Massachusetts 469 Chandler MedicalSt., Worcester, The cost is $25.00assist the forphysician the meal in overcoming and the CME the challenges credits. Youat hand. can eitherWith pay by the physician’s permission, we will share our recommendations [email protected]@PSYCHIATRY-MPS.ORG Full and part-time positions are available for SchoolMA 01602 Department or [email protected] of Psychiatry in check, cash orwith credit you. card on Wednesday night.

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 02481-1802 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 ♦ Fax: 781-237-7625 ♦781-237-8100 Email: [email protected] Fax: 781-464-4896 ♦ [email protected] Email: [email protected] www.psychiatry-mps.org  781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org



 Antonio Eduardo Bullon, MD Tatjana Dujmic, MD Janet Kennedy, MD The American Psychiatric Association offers FREE monthly webinars for Christopher Joseph Lukonis, MD physicians who have waivers to treat opioid dependence in officebased Fremonta L. Meyer, MD settings and other interested clinicians. The presentations address cutting Zafar N. Naqvi, MD edge topics in treating substance use disorders and feature nationally George Ellsworth, MD prominent clinical experts, researchers, and government officials. Alaa M. Elrefai, MD Michael Braverman, MD Elizabeth Koby, MD Ajay D. Wassan, MD  Amanda Sims, MD Sponsored by the American Osteopathic Academy of Addiction Medicine

 (AOAAM) Amber Frank, MD Course Director: Stephen A. Wyatt, DO Charotte Scott Hogan, MD Contact Information: Lara Renucci [email protected] or 7085728006 Stephanie Cincotta, MD Daiana Harper, MD   Ann Hess, MD Sponsored by the American Osteopathic Academy of Addiction Medicine David Buxton, MD (AOAAM) Laura Sponseller, MD Course Director: William Morrone, DO Margaret E. Tompsett, MD Contact Information: Lara Renucci [email protected] or 7085728006 Karen LeBlane, MD Gaston Baslet, MD Sara Coffey, MD  Marika Wrzosek, MD http://www.pcssb.org/educationalandtrainingresources/upcoming John P. Glazer, MD training/ Dwight Smith, MD Hsiang S Huang MD

Massachusetts Psychiatric Society ♦ 40 Washington Street, Suite 201 ♦ Wellesley, MA 024811802 7812378100 ♦ Fax: 7812377625 ♦ Email: mps@psychiatrymps.org ♦ www.@psychiatrymps.org 6 MPS Bulletin - February 2016 www.psychiatry-mps.org 11 Worcester, MA seeks a BC/BE Psychiatrist for its University Children, Adolescents, Adults. Experienced with all clinic regs, Hospital Outpatient Clinic. Candidates should have strong Licensure, Joint Commission, BCBS, etc. academic credentials and sound clinical skills, and interest in Available To set up entire practice with systems, from policies American Professional Agency, Inc. pursuing academic opportunities in either training or research. And procedures to billing and accounting. An academic appointment, commensurate with experience, is Please call Business Behavioral Health Network at Leaders In Professional Liability / Malpractice Insurance available. Interested applicants (J-1 and H-1B candidates are 781-762-1419 welcome to apply) are encouraged to submit CVs and letters of interest to: [email protected] Exciting opportunity for part-time substance abuse/mental health practice in NORTH CONWAY, NH. Skiing, hiking, The Department of Psychiatry at UMass Memorial Health biking, nature’s playground. Flexible schedule, $140/hr. with Care is currently seeking a full time BC/BE Attending guarantee of 6 hours/day. Will need Suboxone certification. Also Where Superior Psychiatrist to join the team on the 27 bed adult inpatient unit at could have FULL-TIME private practice in same office to do UMass Memorial Medical Center, the academic teaching hospital general mental health. Currently 2-3 month waiting list for adult Protection and clinical partner of the University of Massachusetts Medical and child psychiatry services so market is wide open. School. Primary duties involve direct clinical care and support PathwaysforBetterLiving.com, 603-356-3400. Meets Exceptional of the academic mission of the Department and the Medical Center including educational responsibilities and the opportunity Family and Community Resources, Inc. Service to participate in research. The position provides the opportunity FCR seeks licensed, board certified psychiatrist for involvement in a full range of clinical and academic pursuits. Family and Community Resources, Inc., a small non-profit trauma Join your colleagues who have chosen Superior protection provided by Allied World Assurance Company rated “A” by A.M. Best Co. A faculty appointment, commensurate with experience, is also and domestic violence focused mental health center is in need of available. a P/T Psychiatrist/Medical Director for 8 hrs/week. Responsible to be represented by our professional Access to a Risk Management Team during business hours and a 24/7 emergency hotline team, which is endorsed by the two Come join Dr. Alan Brown, Vice Chairman of Clinical Services, for providing patient diagnostics, medication management, staff training as well as clinic coordination in conjunction with the most prominent associations in your Telepsychiatry, ECT coverage and Forensic Psychiatric Services are included Dr. Douglas Ziedonis, Department Chair, and other prominent members of the Psychiatry Department in their ongoing pursuit of clinic director. Day(s) and hours flexible. profession - the American Psychiatric clinical and academic excellence. Interested candidates (J-1 and Association and American Academy Fire Damage Legal Liability and Medical Payment coverage included Qualifications: H-1B candidates are welcome to apply) should submit CVs and Medical degree from an accredited school of medicine of Child and Adolescent Psychiatry. Interest-Free Quarterly Payments / Credit Cards accepted Letter of Intent to [email protected], Licensed in psychiatry in the state of Massachusetts Attention: Kathleen Anderson. Candidates are also encouraged Board certified in Adult Psychiatry; Child Psychiatry a plus to visit the Psychiatry Department’s website at: www.umassmed. edu/psychiatry. Location: Brockton, MA American Academy of Please send CVs to: [email protected] Child Adolescent Behavioral Health Clinic Available Clinic consultant for hire 1-877-740-1777 Psychiatry to establish outpatient Behavioral health practice or clinic for www.APAmalpractice.com w w w . A A C A P . O R G

Boston Area Psychiatrist Reviewer – Consultant

Come join a well-established and outstanding group of psychiatrists providing utilization management and case consultation in the Health and Medical Management division of Blue Cross Blue Shield of Child Psychiatrist Opportunity, Near Boston, MA Massachusetts. Our model of utilization management is one of collegial, respectful and consultative North Shore Medical Center (NSMC) has an exciting opportunity for a child psychiatrist to join a thriving and interactions with psychiatrists, psychologists, social workers and other providers for promoting the growing psychiatric service in Salem, MA about 15 miles north of Boston. NSMC is part of the prestigious efficient use of evidence-based practices. Partners HealthCare System, and the Department of Psychiatry is closely aligned with the Massachusetts General Hospital (MGH). The department provides a full spectrum of care, including adult inpatient psychiatry, an older adult inpatient unit, a child inpatient unit, a partial hospitalization program, and several outpatient Blue Cross Blue Shield of Massachusetts is a highly successful HMO with a commitment to placing our clinics. Our department is also a hub for the Massachusetts Child Psychiatry Access Project (MCPAP), a grant members’ health first. With our coverage reaching over 2.7 million members and an increasing behavioral supported outpatient consultation service for area pediatricians. We have a vibrant educational program, and health concentration, we are seeking a physician reviewer to work part-time. We offer flexible hours and teaching opportunities are available. Physicians in the department enjoy a collegial and supportive practice environment. will consider individuals with post-training clinical experience and Board Certification in general psychiatry. Additional expertise and certification in addictions and or child/adolescent psychiatry are highly desirable. Our department is presently engaged in creating a 120 bed “Center for Excellence” in collaboration with the MGH Department of Psychiatry, which will include an expansion of outpatient services as well. Physicians in the department can expect to be engaged and have input into the creation and design of this exciting new Interested parties are encouraged to apply on our website at: www.bluecrossma.com/careers program. or contact Heather Franey at: [email protected] At present we have an opportunity for a Child Psychiatrist to join our group. There are opportunities for this to be an inpatient or outpatient position, depending on the appropriate candidate’s interest and experience, and Our commitment to building a matching this with Department needs. The call schedule is very reasonable and requires no in-house coverage. A clinical appointment at MGH and the potential for a Harvard Medical School appointment are available for diverse workplace is without question. the qualified candidate.

We are an Equal Opportunity Employer. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Interested candidates should forward their CV to Louis Caligiuri, Director of Physician Services at [email protected].

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 12 MPS Bulletin - February 2016 www.psychiatry-mps.org 5

DEPARTMENT OF PSYCHIATRY – MASSACHUSETTS GENERAL HOSPITAL – Update from the Health Information Technology Committee HARVARD MEDICAL SCHOOL Health Information Technology (HIT) is a broad term that has a slightly different meaning for each MPS member. At ATTENDING POSITIONS AND HOSPITALIST/ BEHAVIORAL HEALTH INTEGRATION this January’s inaugural meeting of the MPS HIT Committee, members each discussed what areas at the intersection of DEVELOPMENT PROGRAM psychiatry and technology most interested them. The diversity of responses ranging from encrypted text messages to telepsychiatry, smartphone apps to electronic medical records, social media guidelines to sharing medical records was The MGH Department of Psychiatry has outstanding impressive. Such diversity points towards the challenges of HIT, but also the opportunity for MPS to provide members attending opportunities in Emergency, Outpatient a forum to share, support, and learn about these various digital tools. (General and Specialty), Addictions, Consult- Liaison, and Inpatient Psychiatry. In addition the Just as HIT covers many different areas of technology, it also connects many areas of healthcare and psychiatry. At department is pleased to announce a new Hospitalist/ BAY COVE Human Services, Inc in Boston our meeting questions arose about using electronic medical records for psychotherapy, smartphone apps in substance Behavioral Health Integration Development Program is looking for a Community Psychiatrist. The abuse, and telepsychiatry to consult with new patients. While a list of HIT tools and resources for psychiatry would preparing candidates for leadership roles in inpatient be pages long, simply understanding that all these various technologies serve a common purpose of improving care is psychiatry and collaborative care in academic and Community Psychiatrist will serve a diverse community settings. Rated among the leading more important. psychiatry departments by US News and World population of individuals in various community Report, the Department is committed to excellence settings including the Michael J. Gill Mental Health In order to better learn what HIT means to MPS members, one initial role of the committee will be to conduct a survey in patient care, education, research and community of the membership. Surveying MPS members about use, concerns, and questions regarding technology will ensure that service. Candidates should be: board certified/board and Wellness Clinic, Center House Day Treatment, this new committee can be responsive and best help members. And in order to be most responsive, we will begin to fully eligible in Psychiatry and qualified for an academic and the Community Flexible Support (CBFS) system utilize the MPS website, www.psychiatry-mps.org, and make it your destination for resources and answers. appointment at Harvard Medical School at the of care which serves Department of Mental Health rank of Instructor or above. Fellowship training in Another early project of the committee will be to develop guidelines to help in the evaluation of smartphone apps. relevant areas including addiction, consult-liaison, (DMH) clients with serious mental illness. Qualified While it may be currently impossible to create a rating scale that is guaranteed to always find the best app, following neuropsychiatry, or geriatric psychiatry and a record of applicants may become Tufts faculty for the teaching scholarly productivity are highly desirable. Interested the right guidelines can help you avoid downloading digital snake oil. If there are any apps that you particularly like and individuals should apply to Jonathan E. Alpert MD of PGY III Tufts residents who rotate through Bay find helpful, we would love to hear from you as we begin identify the common elements of good apps. PhD, Associate Chief of Psychiatry (jalpert@mgh. Cove for their Community Psychiatry rotation. 15- harvard.edu). The Massachusetts General Hospital Our next, and second, meeting will be on Thursday, February 25th. As always, we encourage all MPS members is an affirmative action/equal opportunity employer. 20 hours; no call. For more information about this to attend regardless of experience with technology. In the meantime, be sure to visit the MPS website frequently Minorities and women are strongly urged to apply. job opening, visit Baycove.org. for updates and the latest information.

PSYCHIATRY POSITIONS Beth Israel Deaconess Medical Center in Boston, a 500+ bed tertiary care teaching hospital of Harvard Medical Public Sector Inpatient Psychiatrist School, is recruiting staff psychiatrists for positions on the Consultation-Liaison Service and Inpatient Service. In addition, moonlighting opportunities are available on both services. The Department of Psychiatry is a major teaching site for Harvard Medical School and the Harvard Longwood Psychiatry Residency Training Program; positions will include opportunities for teaching medical students and residents. Underrepresented minorities Unique opportunity at the Lemuel Shattuck Hospital for a full time inpatient are encouraged to apply. Harvard Medical School appointment at an appropriate rank is available. psychiatrist to provide continuing care to Boston Metropolitan Area DMH 1. STAFF PSYCHIATRIST ON THE INPATIENT PSYCHIATRY UNIT. This is a full-time position patients within an urban public health general teaching hospital. Join an within the Department of Psychiatry that includes clinical care, teaching, and supervision on an active 25 bed inpatient teaching unit. expert, collegial group of colleagues. Teaching and mentoring opportunities 2. STAFF PSYCHIATRIST ON THE PSYCHIATRIC CONSULTATION SERVICE. This is a half-time and academic appointment at Tufts potentially available. No weekend or position within the Department of Psychiatry that includes clinical care, teaching, and supervision on a busy service that sees 2200 Emergency Department and 1000 Inpatient Medical-Surgical consultations annually. night call. This is a State Block, union position. Contact Audrey Graham- Certification (or eligibility) in Psychosomatic Medicine is desirable. 3. ATTENDING PSYCHIATRISTS FOR WEEKEND AND HOLIDAY COVERAGE OF THE Smith by fax 617-971-3195 to apply or Dr. Amy Lisser, Chief of Psychiatry INPATIENT PSYCHIATRY UNIT AND THE PSYCHIATRIC CONSULTATION SERVICE. Must Shattuck Hospital for further information 617-971-3177. have a full license and be board-certified. Coverage includes morning rounds onsite and off-site telephone backup to the resident. Please send a letter of interest and CV to William Greenberg, MD, Chief of Psychiatry, by email: An Equal Opportunity/Affirmative Action Employer. Females, minorities, [email protected]. veterans and persons with disabilities are strongly encouraged to apply.

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 4 MPS Bulletin - February 2016 www.psychiatry-mps.org 13 (continued from page 2) mission oversees truthfulness in advertising. The legal category – German Commission E ( http://cms.herbalgram.org/ of “dietary supplement” is defined in the Dietary Supplement commissione/index.html) Health and Education Act of 1994 as “a product (other than to- – American Herbal Pharmacopoeia ( http://www.herbal- bacco) intended to supplement the diet that bears or contains one ahp.org/order_online.htm) or more of the following dietary ingredients: (A) a vitamin; (B) – American Botanical Council ( http://abc.herbalgram. a mineral; (C) an herb or other botanical; (D) an amino acid; (E) org/site/PageServer) Boston University School of Medicine/Boston Medical Center a dietary substance for use by man to supplement the diet by in- – ConsumerLab.com Department of Psychiatry creasing the total dietary intake; or (F) a concentrate, metabolite, constituent, extract, or combination of any ingredient described in Liability also might be a concern when going off-book with treat- clause (A), (B), (C), (D), or (E).” ment recommendations. In a nutshell, the liability issues are al- The Boston University School of Medicine/Boston Medical Center Department of Psychiatry seeking Child (https://ods.od.nih.gov/About/DSHEA_Wording.aspx). By law, most exactly the same for dietary supplements as for regular drugs. Adolescent Psychiatrist supplement labeling “may not claim to diagnose, mitigate, treat, There must be a thorough diagnostic evaluation; there must be Child/Adolescent Psychiatrist: Full or part-time position for a dynamic program in the Division of Child and cure, or prevent a specific disease or class of diseases,” but a stroll evidence behind the treatment recommendations; there must not through any natural food store or GMC will illustrate how intel- be neglect of standard treatments; and there must be careful and Adolescent Psychiatry. Responsibilities include patient care in the outpatient setting, clinical consultation to the ligently manufacturers have dealt with this limitation. well documented informed consent. pediatric emergency department and pediatric units, and teaching of residents, medical students and trainees in psychiatry, psychology, social work and mental health counseling. Opportunities are also available for research. This The 1994 law was written to bring supplement regulation more What supplements to recommend is in many ways beyond the position could include leadership activities for the qualified applicant. The successful applicant will wish to participate in line with the standard for food than for drugs. But what hap- scope of a short newsletter column. I will end, however, with a in the shaping of a child-centered, family-focused, culturally competent, community-linked child psychiatry program pens when a “mineral,” “herb,” or “botanical” is actually as ef- few suggestions, compliments of Dr. Barry Fogel: targeted at the needs of Boston’s most vulnerable children. Applicants must be board eligible or certified in child and fective, or as dangerous, as a prescription drug? Not much. Like 1. Give huperzine A (200 micrograms QD or BID) to mitigate food, dietary supplements do not have to demonstrate any efficacy anticholinergic side effects of various prescription psychotro- adolescent psychiatry. or safety prior to marketing, and can only be removed from the pics. Boston Medical Center is a private, not-for-profit, 482 bed academic medical center serving a diverse, multicultural market if the FDA shoulders the burden of proof that the supple- 2. Give methylfolate supplementation to people on lamotrigine, ment is harmful. Ingredient amount and quality is not monitored to mitigate executive dysfunction related to central effects of patient population. Boston Medical Center is the largest safety net hospital in New England and is dedicated to as closely as with drugs, and dietary supplement manufacturers inhibited folate metabolism. providing accessible health care. As the main teaching affiliate of Boston University School of Medicine, Boston are allowed to keep the exact amounts of each ingredient in their 3. Give curcumin to people with atypical depression with so- Medical Center is devoted to training future generations of health care professionals. preparations as proprietary information. Thus, we have a mar- matic symptoms suggesting chronic inflammation – either ket where some plant-based medicines are regulated as food, and alone or to augment SSRIs. Dr. Fogel sent me six articles on Interested applicants should send a letter detailing relevant experience and a current CV to Lisa Fortuna, MD, Medical some as drugs. curcumin, and the evidence is indeed strong. Director, Child and Adolescent Psychiatry, c/o BU Psychiatry, 85 E. Newton Street, Suite 802, Boston, MA 02118 or by email to [email protected] Nevertheless – I have come to think that we should consider di- In sum, it seems that complimentary/alternative and traditional/ etary supplements as part of our psychiatric tool kit. Although I Western remedies are divided more by culture than science, and Academic appointment is commensurate with experience. Salary is competitive and benefits are excellent. Boston have only been a doctor for 4.5 years and my board certification the division is getting outdated. I have come around from a rather University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action employer. is as new as it gets, I have already experienced the intense frus- anti-alternative medicine stance to carefully adding dietary sup- tration and helplessness of treating patients who just do not get plements to the list of treatments I have to offer patients, and I better. This year, I have a supervisor, Dr. Barry Fogel, who is a have so far been pleasantly surprised at the amount and quality bit of a Renaissance man. If I were to try to summarize his cur- of research available to support some non-prescription remedies. riculum vitae, I would not do it justice, so I will simply state that he is a Harvard and Brigham affiliated neurologist and psychiatrist If this article has piqued your interest in the topic of supplements, who teaches, does clinical work, writes books, and has started a I recommend this chapter in Dr. Fogel’s book: few companies. Along with Dr. Donna Greenberg, he edited an Gerbarg, Patricia L. & Brown, Richard P. (2015). Therapeutic enormous book published last year called “Psychiatric Care of the Nutrients, Herbs, and Hormones. In Fogel, Barry & Greenberg, Medical Patient.” Kindle informs me that the typical time to read Donna (Eds.), Psychiatric Care of the Medical Patient (chapter The Boston University Medical Center Community Psychiatry Fellowship this 1,812 page book is 119 hours and 57 minutes. Needless to 28).. New York, NY: Oxford University Press. say, it is quite thorough, and it is extremely high quality writing. The Boston University Medical Center Community Psychiatry Fellowship is a half-time clinical training In supervision the past six months, Dr. Fogel has regularly been experience to expand a fellow’s knowledge base of community psychiatry. The fellowship may be combined encouraging me to push boundaries in considering how to help with a Master of Public Health from Boston University School of Public Health with tuition support. The patients. For instance, on his advice I ordered psychotropic phar- program is designed with the interest of the fellow with rotations in many areas of public psychiatry including macogenomic testing for two of my patients, and it was surpris- the Boston Emergency Service Team (urgent care, community based assessment, jail diversion, emergency ingly helpful. psychiatry at Boston Medical Center), outpatient community services, intermediate care, policy development Dr. Fogel has opened my mind to the use of dietary supplements through DMH Central Office, and an elective. The goal of the fellowship is to develop leaders in community in psychiatry. However, safety has been my biggest concern in and public psychiatry. recommending any dietary supplements to my patients, even vi- tamins. Despite the limitations of government regulation in the Eligibility United States, which is paltry compared to, say, Germany or Can- Graduates or PGY4 residents from an ACGME accredited psychiatry residency program are eligible to apply ada, there are several reliable resources for checking on the safety of specific supplements: to the fellowship. Applicants must possess a full or limited Massachusetts Medical License by the time the – FDA website (www.fda.gov/Food/Dietary Supplements/ program commences in July. Alerts) – “Alerts and Advisories” section of the National Center Application Process for Complementary and Alternative medicine (www.nc Please send a CV and cover letter addressed to David Henderson MD, Interim Program Director, Community cam.nih. gov/news/alerts) Psychiatry Fellowship and Chair, Department of Psychiatry, c/o Joan Taglieri, 85 East Newton Street, Suite – Dietary Supplement Labels Database at The National Institute of Health National Library of Medicine (www. 802, Boston, MA 02118 or email to [email protected]. dietarysupplements.nlm.nih.gov/dietary) Boston University School of Medicine/Boston Medical Center is an equal opportunity/affirmative action employer.

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 14 MPS Bulletin - February 2016 www.psychiatry-mps.org 3 BC/BE Child and Adult Psychiatrists Needed In Our (continued from page 1) Affiliated Community Mental Health Centers themselves and often forego treatment or more of the medical and surgical ben- To this end, MPS has been meeting with or go out of network. efits) in that classification. It is not feasible state and federal officials to raise our con- Both full- and part-time physician leadership and staff 2. Disparate rates of denial. NAMI re- for a patient or provider to obtain and parse cerns and advocate more assertive and co- physician opportunities are currently available in our ports that mental health and substance the data essential for a parity analysis. ordinated enforcement of parity. We have community mental health center in Central MA. abuse treatment is denied at twice filed legislation to require transparency and the rate of medical and surgical treat- There has also been a fragmentation of re- establish a data clearinghouse. We have Medical Director Community Healthlink (CHL) is a dynamic, multi-service ments. The criteria for medical neces- sponsibility for parity enforcement. If a joined with other professional and con- Job Summary: The Medical Director is responsible for organization committed to establishing, maintaining and sity are often arbitrary and opaque. parity complaint involves a fully insured sumer organizations in the Mental Health overall management of all medical matters for the North restoring the dignity, well being and overall mental health Prior authorization is required for group plan or an individual policy, patients Parity Coalition to promote parity. We ask Suffolk Mental Health Association. Ensures continuous of individuals and families in Central MA. It provides a admission and treatment for mental or providers would go to the Massachusetts you to report to us specifics of disparities Quality Improvement of all Medical matters and standards wide range of services to individuals suffering from mental health and substance abuse in ways Department of Insurance; for MassHealth we can use to make the case with legisla- for the Agency. Reports to the Chief Executive Director illness, developmental disabilities and substance abuse without parallel in the medical and they would go to the MassHealth Customer tors and officials. Parity is closer, but we (CEO). Works closely with the Chief Operating Officer issues, including youth and family services, residential surgical realms. Service; for a self-insured employer plan have work to do. (COO), Director of Compliance and Quality Improvement, services, adult outpatient services, and homeless and 3. Disparate pharmacy benefit manage- they would go to the United States De- all Senior Managers, the Department of Mental Health inpatient services. CHL is staffed by a mission oriented, ment. Narrow formularies, in par- partment of Labor. The US Department Medical Director and the Massachusetts General Hospital multi-disciplinary team of psychiatrists, psychologists, ticular restricting antipsychotics, are of Health and Human Services also has a Department of Psychiatry. nurses, social workers and other dedicated health care combined with fail first or step thera- share of the enforcement responsibility. providers all committed to providing comprehensive, py requirements and tier 3 copays to POSITION REQUIREMENTS: high quality care. Come join the dedicated team of make it difficult or impossible for pa- In the face of such complexity and frag- Education and Experience Required: professionals at CHL and help make a difference in the tients to receive essential psychiatric mentation, we need Five years of professional experience, current and valid lives of some of Central Massachusetts’ most challenged medications in a timely and affordable 1. disclosure and transparency of health Rohn S. Friedman, MD registration as a physician under the Massachusetts Board individuals and families. manner. plan policies and decision-making, President, of Registration in Medicine. Board Certified by the including clear descriptions of ben- Massachusetts Psychiatric Society CHL psychiatrists receive competitive salaries and The Problem of Enforcement efits, medical necessity criteria, prior American Board of Psychiatry. comprehensive benefits packages. Faculty appointments, License to practice medicine in the Commonwealth of commensurate with training and experience, are available Parity legislation has created a regulatory authorization policies, and reasons for Massachusetts; five years of clinical experience and as well, as is the opportunity to teach UMass Medical framework that is highly complex and denials prior demonstrated competency in management and Students, Residents and Fellows. requires heavy-duty data analysis. For 2. public reporting of data, making in- administrative roles. Board certification in Psychiatry. MHPAEA a parity analysis involves six formation such as the number of phy- Addictions experience required. Experience in community For additional information about CHL, please classifications (inpatient in network, inpa- sicians in each specialty in a plan’s and public sector mental health required. Buprenorphine visit our website: www.communityhealthlink.org. tient out of network, outpatient in network, network, the number of claims filed waiver preferred. Please contact : Jason Romano Interested candidates (J-1 and H-1B candidates are outpatient out of network, emergency care, by each, the rates of denial and of out- Phone: 617.912.7917 - Fax: 617.912.7971 welcome to apply) are encouraged to submit their and prescription drugs). Any type of fi- of-network claims for med-surg and [email protected] CVs and letters of interest to: Kathy Anderson at: nancial or treatment limitation for mental MHSA services, and medical neces- [email protected]. health must apply to substantially all (de- sity criteria readily available fined as 2/3) medical and surgical benefits 3. a central clearinghouse which can col- in that classification, and the level of the lect this data, have the expertise to do limitation can be no more restrictive than the necessary data analysis, and unite Arbour Hospital, Arbour-Fuller Hospital, and Pembroke Hospital have outstanding the predominant level (that applying to half or coordinate the fragmented enforcers opportunities for Inpatient Psychiatrists Enjoy highly competitive compensation and benefits, a schedule that allows for work-life balance, and the stability of working for the largest private mental health system in Massachusetts. MPS IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS • Reasonable caseload • Weekday schedule with no call or weekend work required • Paid moonlighting available for additional compensation General Member: Resident Fellow Member: Transfer In: • A benefits package that includes: health and dental insurance, retirement savings Bibi Alamiri, MD Mitchell Crawford, MD Yadira Alonso, MD with company match, paid time off including CME allowance Jon Wesley Boyd, MD David Sturman, MD Teresita G. Balderas, MD Arbour Hospital is a 136-bed psychiatric hospital in the Jamaica Plain section of Boston. David John Dybdal, MD Anna Weissman, MD Kara Brown, MD The hospital has inpatient units for adolescents and adults including a dedicated unit for substance abuse/dual diagnosis and a high intensity unit. The Quincy Center, a satellite of David Fish, MD Michelle Chaney, MD Arbour Hospital, has an adult psychiatric unit. The hospital also offers partial hospitalization Uma Naidoo, MD Amber Frank, MD programs, outpatient and community-based services. James Mathew Recht, MD Stephanie Hernandez, DO Arbour-Fuller Hospital is a 103-bed hospital in South Attleboro, Massachusetts. Inpatient Arbour Health System provides a Steven Schlozman, MD Marcela V. Horvitz-Lennon, MD continuum of care that includes units treat adolescents and adults. The hospital also has an adult inpatient intellectual dis- evaluation, crisis stabilization abilities specialty unit as well as an adult acute residential treatment program. The hospital and treatment for children, also offers an adult partial hospitalization program and community-based services. adolescents and adults with Pembroke Hospital in Pembroke, Massachusetts, is a 120-bed psychiatric hospital with mental illness, dual diagnosis and/or addiction disorders. services include adolescent, adult and older adult inpatient as well as partial hospitalization All hospitals are accredited programs for adolescents and adults. Inpatient and outpatient electro-convulsive therapy by The Joint Commission and services are available. The hospital is currently recruiting for adult psychiatrists including licensed by the Massachusetts those with addictions or geropsychiatry specialties. Department of Mental Health. For more information on these or other openings, contact the Office of Physician www.arbourhealth.com Recruitment by phone: 617-390-1224, or e-mail: [email protected]

Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org

MPS Bulletin - February 2016 www.psychiatry-mps.org 15 PO Box 549154 Waltham, MA 02454-9154 Phone: 781-237-8100 Lahey Health Behavioral Services | Lahey Hospital & Medical Center Fax: 781-464-4896 www.psychiatry-mps.org RESIDENT FELLOW MEMBER CORNER Rohn S. Friedman, M.D. Exciting Opportunities President Rebecca Mae Allen, M.D., MPH Mark J. Hauser, M.D. President-Elect For Psychiatrists Gregory G. Harris, M.D., MPH Complimenting the Alternatives (or, Think- also a reality of the world in which we practice. Lahey Health Behavioral Services provides comprehensive mental health services in Immediate Past-President ing Differently About Supplements) An early experience in my pre-medical years hit more than 30 locations throughout Eastern Massachusetts. Our behavioral health this point home. I visited a clinic in Ecuador model promotes the delivery of care in the community setting, closely integrating As long as we choose treatments with good which was lauded at the time as a successful in- Siu Ping Chin Feman, M.D. behavioral health with services provided throughout the Lahey Health system, which Secretary scientific evidence, it is illogical and does our tegrative medical setting. It was largely funded patients a disservice to limit our recommenda- by US money. The menu – and yes, it was a includes a tertiary hospital and medical center, multiple community hospitals, and Bruce Black, M.D. vast networks of primary, senior and home care services. Treasurer tions based on preconceived notions of what is menu, on a board with names of treatments and a drug. But, I have approached the subject of prices – was divided into two halves: Western With a broad range of programs, including inpatient and outpatient services, Gary Chinman, M.D. dietary supplements warily. and traditional. The halves were equal in length Sr. APA Representative 2015-2016 with similar prices, most set at around a week’s we have opportunities that match your professional interests and offer room for To start, I must admit that I am not a fan of the wages for a typical lower middle class resident growth. labels “integrative,” “alternative,” or “compli- of the region. I sat in on two traditional medi- Join our team and be a part of a new model of behavioral health Patrick Aquino, M.D. mentary” medicine. These terms imply one of cine sessions. The first was fairly benign. The APA Representative 2015-2016 two things: (1) there is not enough evidence to practitioner had a dimly lit small office filled care in Massachusetts! John Bradley, M.D. support the use of the treatment in mainstream with herbs, some of which she chewed in a APA Representative 2015-2016 medicine, or (2) medical doctors are too closed- complicated procedure involving chanting and, Opportunities Michelle Durham, M.D., MPH minded to use the treatment despite strong evi- as a finale, she sprayed a fine mist of herbal- APA Representative 2015-2017 dence of efficacy, necessitating naturopathic ized spittle at the patient. The second was, to Full-time and Part-time Psychiatrists, and other “alternative” practitioners to pick me, horrifying. A middle aged woman came in Adult Outpatient and Addiction Services Marshall Forstein, M.D. up the slack. Both implications are equally with her family, and the practitioner sat her on a APA Representative 2014-2017 We are seeking BE/BC psychiatrists interested in joining our team of full- problematic. I do not want to be prescribing a chair in the center of a large, sparse room with medication that has not been adequately stud- a tile floor. He took a live guinea pig, held it and part-time providers. Providers in outpatient settings provide individual ied, and I also do not want to believe that a just under its head, and began walking around assessments, family interventions and individual/group psychopharmacological Siu Ping Chin Feman, M.D. well-supported treatment would be rejected by the woman in the chair, shaking the guinea pig treatment. They consult with PCPs, pediatricians, schools and other behavioral health 2015-2018 “Western medicine” just because it is perceived vigorously while intoning words. The guinea and human services providers, as well as provide supervision to nurse practitioners. Astrid Derosiers, M.D. to be from a certain category (natural? herbal?). pig squealed in terror, but in a minute its neck Opportunities also exist for psychiatrists with addiction treatment expertise to provide 2014—2017 Of course, like all medical traditions, “Western snapped, at which point the practitioner pulled medicine” has a long history of using remedies over a utilitarian plastic bucket and began cut- direct patient care in both inpatient and outpatient addiction treatment settings. Ideal David Gitlin, M.D. candidates will be fellowship trained in addiction psychiatry, but other medical specialties with 2014-2017 from plants. I’m sure everyone reading this ting the skin off the guinea pig, making a show will be able to think of an example, but here are of examining the animal’s body carefully while addictions experience will be considered. Eran D. Metzger, M.D. two: aspirin is an archetypal tree-based medi- asking the patient a very normal set of questions 2015-2018 cine, originally used in ancient Egypt and now to get a history of presenting illness. He later Full-time Psychiatrist, Adult Inpatient Medical Director, Arthur Papas, M.D. solidly in the realm of the mainstream, and opi- explained to me that he used the blood clotting BayRidge Hospital; Lynn, Massachusetts Beverly Hospital Psychiatry 2013-2016 um is from poppies, first cultivated in ancient in the corpse as clues to the location of the pa- Mesopotamia. Likewise, I think it is a problem tient’s malady. He told her she had a liver prob- We are seeking a full-time BE/BC psychiatrist for the admission Beverly Hospital; Beverly Massachusetts Pedro Politzer, M.D. 2014-2016 of lack of education and misleading marketing lem and sent her for a blood draw. Naturally, I unit who will primarily work up newly admitted patients with no We are seeking candidates for Medical Director of our Beverly when certain chemicals are labeled as “natural,” did not leave that clinic with a very positive im- responsibility for ongoing patient care. This Monday-Friday position Hospital site, which includes an 18-bed medically oriented RESIDENT FELLOW MEMBERS with the implication that they are somehow in- pression of alternative treatments. The kicker? offers predictable hours and no required night call. trinsically safe (especially with rounded green Every practitioner in that clinic, Western or tra- inpatient unit, consultation liaison service and a partial hospital Rebecca Mae Allen, M.D., MPH font and leaf-shapes slipped into the lettering). ditional in label, wore thigh-length white coats. program at a 200+-bed hospital that is ranked among the top 2015-2017 Again, examples abound of dangerous “natu- Full-time Psychiatrists, Adult Outpatient 100 hospitals by Truven Health. Clinical duties will be primarily on ral” chemicals, but I think about the “natural” I am honestly not sure, these days, where the Lahey Hospital & Medical Center; consultation liaison service. Candidates must be board certified poisons arsenic, cyanide, and botulism toxin. I line is drawn between complimentary/alterna- Burlington, Massachusetts with more than five years’ experience. Consultative liaison Marc A. Whaley, M.D. cringe at the word “natural” when considering tive and traditional/Western. Diet advice from President We are seeking candidates for our outpatient adult practice, fellowship training is a plus. the history of medicine, particularly the “natu- MD’s (Mediterranean, plant-based, etc) and with consultation-liaison service responsibilities as well. The ral” rate of death from childbirth and the “natu- referrals to nutritionists are common. Vitamin Moonlighting Opportunities ral” amount of pain people used to suffer from B12 levels are a standard part of a depression Department of Psychiatry includes a strong multi-disciplinary Donald A. Smith, M.D. chronic, relatively minor injuries and illnesses, workup. Melatonin is utilized by primary care team of psychiatrists, clinical psychologists, clinical nurse Lucrative night and weekend psychiatric call opportunities are President like infections and tooth decay. Historical lists physicians and sleep specialists alike (and I pre- specialists and licensed clinical social workers. available at BayRidge, Beverly and Addison Gilbert Hospitals. of causes of death are morbidly fascinating scribe it often). It seems that more and more M. Cornelia Cremens, M.D., MPH (see:http://thesocietypages.org/socimag- dietary supplements have made their way into es/2012/06/25/historical-changes-in-causes-of- standard, mainstream practice, with strong evi- For consideration or more information contact: death/). dence behind them, like folic acid, omega-3 and Kate Schnabel, Senior Physician Recruiter, Lahey Health • 781.744.5193 • [email protected] Lynda Layer, CAE -6 fatty acids, and DHA. In the meantime, the Administrative Director The division between Western/mainstream/ law has not caught up. In theory, the FDA mon- standard and complimentary/alternative is arbi- itors the safety and labeling accuracy of dietary Mayuri Patel trary, and in my opinion highly faulty, but it is supplements, and the US Federal Trade Com- Learn more at LaheyHealth.org/Careers Coordinator, Member Relations (continued on page 4) Julie Kealey Continuing Medical Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Massachusetts Psychiatric Society PO Box 549154 Waltham, MA 02454-9154 Education Coordinator 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org 781-237-8100 Fax: 781-464-4896 Email: [email protected] www.psychiatry-mps.org MASSACHUSETTS Committee forWomen Psychiatry Psychiatry Welcoming Psychotherapy to Back Sector Public 5—CarleneDSM McMillan, MD Western Massachusetts Psychiatric - Committee Meeting Geriatric Managed Care Risk Management Update on Cape the Managed Care Council Managed Care Committee Executive PSYCHIATRIC SOCIETY PO Box 549154 Waltham, MA 02454-9154

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Issue 139 November/December 2013 Issue 139 November/December 2013 IssueIssue 139 160 November/December February 2016 2013 FROM THE PRESIDENT www.psychiatry-mps.org November 15, 2013 at 12:00 at NOON2013 15, November MPS at December 7, 2013 at 8:30AM at 7, 2013 December MMSat 7:00 at MPSPM2013 at 21, November November 20, at 6:15 PM at Delaney House, Holyoke, 7:00 at MPSPM2013 at 19, November MA Hyannis Hyannis, at ConferenceCenter November 16, 2013 at 8:30 AM at The Resort and January 21, 2014 7:0021, at MPSPM January at 2014 7:0014, at MPSPM January at 2013 7:00 17, at MPSPMDecember at November 20, 2013 at 8: at 2013 MPSPM 00 20, Novemberat December 10, 2013 7:00 10, at PMDecember at Rohn S. Friedman, MD MPS Calendar of Events Membership: Joining in! Membership: JoiningCoverage in! and Parity: Are We Getting Closer? Membership:What does a professional Joining society provide in! to its overlapped. 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MIT Co-Chair/Leader I will attempt to to GroupGroup leaders leaders continue continue to to work work with with an an inter- inter- withand colleagues substance with abuse shared (MHSA) interest, to or network, covered ChairsThe Mental who haveHealth a MITParity Co-Chair/Leader and Addictions to treatmentongoing limitations problems of(NQTL), patients including: boarded in the differenceto mentor in and/or our profession. be mentored, All and of these to make were a giveassist a insuccinct developing summary programs. of the currentI will attempt activities to disciplinarydisciplinary group group of of physicians physicians to to address address the the to mentorthem with and/or separate be mentored, andth more and to restrictive make a assistEquity in developingAct (MHPAEA) programs. of I 2008 will attempt required to Emergency Departments across the Common- evidentdifference at the in ourSeptember profession. 10 AllChairs of theseand Coun- were ofgive the a succinct Committees summary and Interestof the current Groups. activities In an ongoingongoing problems problems of of patients patients boarded boarded in in the the differenceannual in and our profession.lifetime th maximums, All of these werelevels givethat a ifsuccinct MHSA summary were covered, of the current there activities could 1. wealth.EmergencyDisparate Meetings Departmentsnetwork gather adequacy C/L across psychiatrists, (phantom the Common- Psy- cilevident Meeting at the as September Chairs of 10 th Interest Chairs Groups and Coun- and effortof the to Committees conserve space and and Interest reading Groups. time, I In will an Emergency Departments across the Common- evidentof copayment,at the September maximum 10 Chairs inpatient and Coun- days ofnot the be Committees separate anddeductibles Interest Groups.and out-of- In an chosomaticnetworks). Medicine Health fellows,plans must and provide residents to Committeescil Meeting as and Chairs their of Interest Member-in-Training Groups and listeffort only to theconserve name ofspace the group.and reading time, I will wealth.wealth. Meetings Meetings gather gather C/L C/L psychiatrists, psychiatrists, Psy- Psy- cil and Meeting outpatient as Chairs visits, of Interestand prior Groups authoriza and - effortpocket to limits,conserve and space the andplans reading had totime, comply I will networkchosomaticpatients and with Medicineto provide a sufficient fellows, educational and number and residents profes- of to

MA MA (MIT)Committees Co-Chairs/Leaders and their met Member-in-Training to give and listen Committeestion requirements. and their Over Member-in-Training the last two de - list withlist only only financial the the name name parityof of the the (equalgroup. group. copays, deduct- chosomaticphysicians Medicine in each fellows,specialty; and networks residents to to the vastly varied and important work of the Special Committees and Interest Groups sionalnetwork development and to provide programs. educational A recent and profes- well- MPS Calendar of Events (MIT)(MIT)cades Co-Chairs/LeadersCo-Chairs/Leaders at both the state metmet and toto give givenational and and listen listenlevel, ibles) and treatment parity (both quantita- networkmust andbe comparableto provide educational on the med-surg and profes- MPSto the interest vastly varied groups and and important committees. work In of addi- the AlcoholismSpecial Committees and the Addictions and Interest Interest Groups Group is sionalattendedsional development development program discussed programs. programs. medical A A recent recentmarijuana. well- well- to thethere vastly have varied been and serious important efforts work to address of the Specialtively measurable Committees treatment and Interest limitations Groups like attended and the program MHSA discussed sides. medical We have marijuana. all SEMPS - Risk Management w/Jim Hilliard February 3, 2016 at 6:00 PM at Alberto’s, 360 Main Street, [email protected] tion,MPS Iinterest had the groups honor and of attending committees. meetings In addi- of aAlcoholism longstanding and active the Addictions group with Interest 5 dinner Group meet- is attendedDisaster program Readiness discussed Committee medical marijuana. is a well- [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] MPSthe interest absence groups and and disparities committees. in Incoverage addi- Alcoholismmaximum andnumber the Addictions of visits Interest or maximum Group is heard from patients their experience of our two Chapter, Southeastern Massachusetts ings a year, each with an educational program Hyannis MA tion,tion,for I I had hadmental the the honor honorhealth of of and attending attending substance meetings meetings abuse. of of anumbera longstanding longstanding of inpatient active active group groupdays with andwith 5nonquantita 5 dinner dinner meet- meet-- organizedDisastergetting group Readinessa provider that was Committeelist vital and inthen responding is mak a - well- to Chapter and Western Massachusetts Chapter and opportunities for networking and support. It Disaster Readiness Committee is a well- ourour two two Chapter, Chapter, Southeastern Southeastern Massachusetts Massachusetts ingstiveings atreatment a year, year, each each limitations with with an an educational educational especially program programman- theorganizeding needs dozens of group our of membership phonethat was calls, vital and onlyin the responding tocommunity find to is well attended by, with good involvement of, organized group that was vital in responding to Chairs and Council February 9, 2016 at 6:30 PM at MMS - Berkshire 1st Floor [email protected] ChapterwhereChapterMilestones I was and and able Western Western in to the meet Battle Massachusetts Massachusettswith leaders and Chapter Chapter mem- andagedand opportunities opportunities care techniques for for networking networking of prior authorization, and and support. support. It It inthe that theneeds the immediate of contact our membership aftermathinformation and of the theis incorcommunity Marathon- bers of the Chapters to learn of their interests. I MITis well and attended medical by,students. with good involvement of, the needs of our membership and the community wherewhereMassachusetts I I was was able able to to meet wasmeet with awith leader leaders leaders in and mandatingand mem- mem- ismedical well attended necessity by, withcriteria, good and involvement formulary of, bombinginrect, the the immediate this psychiatrist past spring. aftermath is not of actually the Marathon in willbers reportof the toChapters all members to learn the of vibrant their interests.and excit- I MIT and medical students. in the immediate aftermath of the Marathon st berssome of the mental Chapters health to learn coverage of their interests.as early Ias MITdesign). and medical students. bombingthe network, this past the spring. provider is not taking Awards Committee February 10, 2016 at 7:00 PM at MMS - Middlesex West 3 [email protected] Child and Adolescent Psychiatry Interest Group bombingForensics this Interest past spring. Group (formerly the Commit- ingwill opportunitiesreport to all members for members the vibrant to not and only excit- pay Floor will2000 report and to all in membersestablishing the vibrant universal and excit-health- isChild reorganizing and Adolescent and gettingPsychiatry restarted Interest with Group an teeForensicsnew on Psychiatry patients, Interest orand Group the the next Law)(formerly available meets the periodical- Commit-ap- theiring opportunities dues, but to join for in. members to not only pay ChildChild and and Adolescent Adolescent Psychiatry Psychiatry Interest Interest Group Group Forensics Interest Group (formerly the Commit- ing care opportunities in 2006, forbut membersmost of tothe not current only envi pay - increasedTheis reorganizing Affordable interest and Care from getting Act MIT (ACA) restarted and early in with 2010 career an lytee pointment to on address Psychiatry is timely in and 6 weeks. issuesthe Law) that Low meets may rates periodical- affect of the theirtheirronment dues, dues, but but flows to to join join fromin. in. federal legislation. In isextended reorganizing the parity and getting requirements restarted to with more an tee reimbursement,on Psychiatry and including the Law) notmeets covering periodical- st Interest Groups and most Committees are open psychiatrists.increased interest This fromgroup MIT has many and early projects career in membership.ly to address timelyOne recent issues that issue may dealt affect with the Healthcare Systems and Finance February 16, 2016 at 6:30 PM at MMS - Middlesex 2 Floor [email protected] increased interest from MIT and early career ly to address timely issues that may affect the to all1996 members. the Mental Going Health forward, Parity we Act plan (MHPA) to use developmenthealthpsychiatrists. plans, with This but planned groupmore has meetingsimportantly, many open projects tothe all in proposedmembership.certain E&M legislation One codes recent aboutwhich issue theare covered process dealt with for InterestInterest Groups Groups and and most most Committees Committees are are open open psychiatrists. This group has many projects in membership. One recent issue dealt with ourmandated newsletter that as aggregate a forum for lifetime Interest and Groups annu - membersACA aimed with interestsat providing in Child near-universal and Adolescent involuntaryproposedfor med-surg legislation hospitalization. services about or Of the paying note, process thefor MIT for toto allall members.members. Going Going forward,forward, wewe planplan toto useuse developmentdevelopment withwith planned planned meetings meetings open open to to all all proposed legislation about the process for WMPS - “Can Examination of (Haitian) Vo- February 17, 2016 at 6:00 PM at Delaney House, Holyoke [email protected] andal Committees dollar limits to forprovide mental the healthmembership and physi with - Psychiatry.coverage and included mental health and co-leaderinvoluntarythose codes is a hospitalization. lawyerat a lower who rate, adds Of as note,to well the the group’sas MIT ourour newsletter newsletter as as a a forum forum for for Interest Interest Groups Groups membersmembers with with interests interests in in Child Child and and Adolescent Adolescent involuntary hospitalization. Of note, the MIT dou in Different Light Open Doors of Potential MA informationandcal Committees health and could currentto provide not events differ. the withmembership Although all Chairs with orthe substancePsychiatry. abuse coverage as one of the discussionco-leaderonerous isofpaperwork aforensic lawyer issues. who requirements adds to the are group’s Collaboration Long Closed in The Mental and MHPACommittees did notto provide cover themany membership plans, did with not Psychiatry.Collegeten essential Mental health Health benefits Interest for Group individual is in its co-leader among isthe a lawyerreasons who that adds mental to the health group’s ainformation designee writing and current a brief events annual with column. all Chairs These or discussion of forensic issues. informationapply to and substance current events abuse, with did all not Chairs require or and small group plans as well as plans pur- discussionGeriatrics networks of Committee forensicare inadequate. issues. meets every Whereas other month Health Field?” w/Jennifer Severe, MD new columns will give the membership an op- thirdCollege year Mental and is Health focused Interest on issues Group about is in the its aa designeedesignee writingwriting aa briefbrief annual annual column. column. These These College Mental Health Interest Group is in its withGeriatrics one of Committeeits core activities meets being every CME other educa- month coverage for mental health, and did not mentalchasedthird year healthon andthe needs isMarketplaces focused of students on issuescreatedin colleges about under and the GeriatricsGeriatricsprimary Committee Committeecare doctors meets can every refer other their month portunitynew columns to learnwill give about the our membership varied Interest an op- third year and is focused on issues about the tional presentations. The group deals with any newaddress columns issues will give like the authorization membership anrequire op- - universities.Obamacare.mental health At needs present, of students psychiatrists in colleges constitute and withwithpatients one one of of itsto its colleaguescore core activities activities with being being confidence CME CME educa- educa- Executive Committee February 23, 2016 at 6:30 PM at MMS - Middlesex Central [email protected] Groupsportunity and to Committees learn about that our may varied meet Interest their mental health needs of students in colleges and issues that may affect the practice of geriatric st portunityments toor copays, learn about it was our an opening varied Interest salvo in 5% of college counseling center leadership. This tionalthat presentations.they are in the The patient’s group dealsnetwork, with any 2 Floor interestGroups or and spark Committees curiosity andthat will may complement meet their universities.universities. At At present, present, psychiatrists psychiatrists constitute constitute tional presentations. The group deals with any Groupsthe effort and Committeesto reduce disparities that may in meet the cover their - groupProgress5% of college meets and regularlycounseling Remaining to center provide Disparities leadership. educational This issuespsychiatryissueswith that thatthe mayand maymuch has affect affect narrowerbeen the the very practice practice busyMHSA of of geriatriclatenet geriatric - with theinterest list of or ongoing spark curiosity meetings and that will are complementon the back 5% of college counseling center leadership. This several bills before the legislature that would interestage of or mental spark curiosity illness. and will complement programsThesegroup meetsmilestone of topics regularly legislative relevant to provideto andthis regulatorywork educational setting psychiatrypsychiatryworks, andit and is has hasimpossible been been very very busyfor busy primary of of late late with with Health Information Technology Committee February 25, 2016 at 6:30 PM at MMS - Room TBD [email protected] pagethe list of ofour ongoing newsletter. meetings that are on the back group meets regularly to provide educational require undue burden to provide any necessary the list of ongoing meetings that are on the back andactionsprograms age have group,of topics encouraged such relevant as social tosubstantially this media, work ADHD, setting all severalseveralcare offices bills bills before before to refer the the legislaturepatients legislature reliably that that would to would page of our newsletter. programs of topics relevant to this work setting psychiatric medication for a geriatric patient pageThe In Chairsof 1999 our newsletter. andPresident Council Clinton Meeting ordered was a large the Fedand - andhealth other age plans group,mental to suchhealthcover as topics. mental social It media,also health is a ADHD, forumand requirerequiresomeone undue undue who burden burden is in to tonetwork provide provide and any any avail necessary necessary- and age group, such as social media, ADHD, inpsychiatric any setting medication (e.g., hospital, for a nursing geriatric facility, patient st interactiveTheeral Chairs Employee and group Council with Health ChairsMeeting Benefits connecting was a large (FEHB) with and forsubstanceand mutualother mental supportabuse health and for topics. psychiatristshave largelyIt also whois elimia forum often- psychiatricable in a medication clinically forappropriate a geriatric time patient Council March 8, 2016 at 6:30 PM at MMS - Charles River 1 Floor [email protected] The Chairs and Council Meeting was a large and and other mental health topics. It also is a forum assisted living facility). otherinteractiveProgram Chairs group to notingimplement with Chairs where parity connecting their for interests mental with work natedfor mutual inthe settings different support that forcopays are psychiatrists geographicallyand deductibles who often and inin frame. any any setting setting This (e.g.,forces (e.g., hospital, hospital,patients nursing nursingto fend facility,for facility, interactive group with Chairs connecting with for mutual support for psychiatrists who often (Continued on page 3) other Chairs noting where their interests work in settings that are geographically and assistedassisted living living facility). facility). other Chairs noting where their interests work in settings that are geographically and (Continued on page 3) 2016 Risk Avoidance and Risk Management March 12, 2016 from 8:30 AM to 3:30 PM at MMS [email protected] (continued(Continued on page on page 3) 3) Update From the President ...... 1 MPS Veterans Resources Committee Meeting Update ...... 7 From the President ...... 1 MPS Veterans Resources Committee Meeting Update ...... 7 FromMITFrom Corner the the President President ...... 1 1 2 MPSMPSAsk PHSVeterans Classifieds - Steve Resources ...... Adelman, Committee MD...... 7 Meeting...... Update ...... 7 9 Healthcare Systems and Finance March 15, 2016 at 6:30 PM at MMS - Middlesex 2st Floor [email protected] MIT Corner ...... 2 MPS Classifieds ...... 9 MITManagedResident Corner CareFellow ...... Update Corner ...... 2 2 4 MPSMPS Classifieds NewNews...... 8 Members ...... 149 Managed Care Update ...... 4 MPS New Members ...... 14 Public Sector Committee March 17, 2016 at 7:00 PM at MMS - Room TBD [email protected] ManagedMPSMPS C/L New CareCommittee Members...... 3 Update Meeting ...... Update ...... 4 5 MPSMPS New CalendarClassifieds...... 10 Members ...... 14 16 MPS C/L Committee Meeting Update ...... 5 MPS Calendar ...... 16 MPSInUpdate Transitional C/L fromCommittee HIT Space Committee...... 5 Meeting ...... Update ...... 5 6 MPSMPS Calendar Calendar ...... 16 16 st Executive Committee March 22, 2016 at 6:30 PM at MMS - Middlesex Central 2 [email protected] In Transitional Space ...... 6 Floor In Transitional Space ...... 6