Pennsylvania Psychiatrist - April 2018

PENNSYLVANIA

APRIL 2018

P S YC H I AT R I S T NEWSLETTER OF THE PENNSYLVANIA PSYCHIATRIC SOCIETY

PRESIDENT’S MESSAGE As I write this message, part of the state has just weathered its fourth March Nor’easter, and, as you read this, I hope it feels more like spring which signals a cycle of renewal, hope, energy, celebrations, traditions, and holidays. To echo an earlier message, the PA Psychiatric Society works for our members and advocates for psychiatrists and those individuals we treat all year long.

In this article, I will highlight what was discussed and debated at our last Council meeting on February 24, 2018, and review some of the key content of the APA/District Branch Presidents/Executive Directors meeting held on February 7, 2018.

As a reminder, Council is an open meeting for all PaPS members. You can bring a resident or ECP with you, and you don’t have to be a chapter president or committee chair to attend. I encourage all members to attend, to learn and to give their voice. We need you at the table or on the phone. The following is a listing of many (but is not exhaustive) of the major topics discussed at the February Council Meeting: • The benefits of PaPS membership - it is good for psychiatrists and good for patients alike. Can we leverage this message and educate employers (perhaps target larger ones such as health systems), so employers and academic departments would contribute to or pay in full the dues for their employed psychiatrists?

• Significant variability across counties in how 302 involuntary commitment processes are handled and interpreted, with concerns that some counties are changing the requirements.

Involuntary commitment procedures need to remain centralized throughout the commonwealth and PaPS will be following up on this issue.

• Expansion of Scope of Practice - Senate Bill 530 which expands the scope of practice to allow diagnosis of mental health disorders by licensed professional counselors. Since the meeting, a letter from the co-chairs of Government Relations Committee, was sent to the chair of House Professional Licensure Committee and the entire House, clearly indicating the implications of not having an accurate diagnosis on the well-being of patients, including the potential of missing a medical diagnosis.

• Meeting the needs of membership and recruitment and engagement of participants from the DevelopMental Leaders Retreat.

by Gail A. Edelsohn, MD, MSPH, DLFAPA • Review of the budget and alignment of the budget with

identified priorities of PaPS. More to come as work on the 2019 budget evolves.

• Requesting guidance from APA regarding their perspective on safe injection sites.

Here are the highlights of the selected agenda items from the February APA/District Branch Presidents/Executive Directors meeting: • Well-Being/Burnout - Dr. Everett noted the establishment of a Board Work Group on Well-Being and Burnout led by Dr. Rick Summers. More information and resources on the topic can be found at www.psychiatry.org/wellbeing.

• Establishment of the workgroup on innovation that would include applicable technologies and innovations such as telemedicine, augmented therapy, and activity monitoring apps.

• Online Medication Assisted Treatment (MAT) course on buprenorphine prescribing www.psychiatry.org/ buprenorphinetraining • Toolkit on collaborative care and reimbursement www. psychiatry.org/psychiatrists/practice/professional-interests/ integrated-care/medicaid-payment-and-collaborative-caremodel • Addressing Residency Training Slots, Recruiting Medical Students, and International Medical Graduates - APA has been very active, supported bipartisan legislation, The Resident Physician Shortage Reduction Act 2017; APA Fellowships – 24 % of fellows are IMGs • APA Position Statement on Homicide Prevention and Gun Violence/Control can be found at www.psychiatry.org/home/ policy-finder I want to acknowledge our members who hold leadership positions across the chapters and at the state level for your dedication. I would also like to thank our executive staff of PaPS for their ongoing commitment to the work of the Society.

Please feel free to contact me with concerns, ideas, and questions as the door remains open, edelsohnga@ccbh.com or 215-601-6266.

Thank you for the honor of serving as your president.

Best wishes,

Gail

TABLE OF CONTENTS 2 | Are Quirky Innovators Better?

3 | Legal Insight 4 | Activity Update 6 | Early Career Psychiatrist Update 6 | Welcome New Members 8 | Education 9 | Chapter Highlights 10 | Donate to PAC 10 | Classified Ads

Don’t miss what PaPS is working on for you!

Check out the Activity Update on page 4.

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EDITOR’S COLUMN Are Quirky Innovators Better?

by Edward C. Leonard, Jr., MD, DLFAPA I greatly enjoyed reading Quirky: The Remarkable Story of the Traits, Foibles, and Genius of Breakthrough Innovators Who Changed the World. Melissa A. Schilling, PhD, the author, searches for commonalities among seven “serial innovators,” who created “one game-changing innovation after another” in science and technology: Marie Curie, Thomas Edison, Albert Einstein, Benjamin Franklin, Steve Jobs, Dean Kamen, Elon Musk, and Nikola Tesla. It is interesting that neither of the two medical innovators (Curie and Kamen) were trained as physicians.

Schilling holds an endowed professorship at New York University’s business school, and her textbook Strategic Management of Technological Innovation is in its fifth edition. Quirky presents findings in an easy-to-understand format where repetition clarifies. The author wanted to study all important innovators but information available was too variable to quantify. So, she decided to study subjects who had created many significant innovations and had biographies, autobiographies, or interviews providing similar details.

These breakthrough originators generally were self-taught and found their projects rewarding for their own sake. They challenged or ignored conventional wisdom and education. They shared extreme faith in their ability to succeed. Many needed little sleep and all displayed high energy. Most were driven to work double shifts on their projects for months or years. A sense of separateness and extreme social detachment is seen as encouraging the isolation in which they zealously pursued their goals. None admired consensus or sought it.

The book stands on its own, but I wonder if its conclusions apply to researchers in our field. Will psychiatry foster serial innovators at this May’s annual meeting in New York City, where the theme is Building Well-Being Through Innovation? Perhaps the 2018 Psychiatry Innovation Lab will encourage single-project innovators who later may have additional ideas. The Lab and an adjacent Innovation Zone provide an opportunity to network with a community of mental health innovators. A quick look at prior years’ entries finds no breakthrough concepts challenging basic science, but smaller innovations may help many patients. The prizes and funding offered may be small enough not to hamper innovators’ projects by imposing external economic controls. However, part of the APA approach resembles brainstorming and Quirky reports research showing the failure of brainstorming sessions to produce viable innovations. Also, the APA approach is highly social, and serial innovators seemed to produce best in isolation.

Read Quirky and consider for yourself how its conclusions might inform ongoing efforts to break through the barriers to less suffering and more functioning for our patients.

by Julia Coelho, Esquire McNees Wallace & Nurick LLC, PaPS General Counsel

LEGAL INSIGHT

Telemedicine and Multi-State Physician Licensure: Is there light at the end of the tunnel?

Long gone are the days when a patient’s only option to obtain health care services was to make an in-person appointment, sometimes having to wait several months for the first available slot and having to travel long distances to the physician’s brickand-mortar office. Telemedicine, or more specifically as it pertains to the field of psychiatry, telepsychiatry, has experienced significant growth in the last few years. It is generally regarded as a convenient, easily accessible and affordable alternative to the traditional in-person delivery of health care services. In a nutshell, telemedicine is the delivery of health care services via telecommunications technology which may include videoconferencing, remote monitoring, electronic consults, and wireless communications.

Psychiatry is often ranked among the top specialties for which telemedicine is used. Drivers behind the growing demand for telepsychiatry include: i) shortage of mental health professionals, especially in isolated geographic regions; ii) patient reluctance to seek care in a traditional office setting due to the social stigma associated with mental health issues; and iii) ease of accessibility for patients who otherwise might not have been able to obtain mental health services in a traditional office setting, such as patients who are convalescing at home, patients with physical disabilities who require transportation assistance, and patients who live in remote, rural areas. While telemedicine may effectively eliminate geographic barriers between physicians and their patients, it does not (yet) eliminate state-specific legal requirements for physicians desiring to practice medicine across state lines.

Physician licensure laws are among the key compliance issues facing telemedicine providers. With certain exceptions, all states and U.S. territories have laws requiring a person practicing medicine to obtain a license allowing that person to deliver health care services

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to patients within that state or territory. When it comes to physician licensing laws, licensure requirements always “follow the patient.” The physician must comply with the licensure requirements of the state or territory in which the patient is physically located. For example, a psychiatrist providing a videoconference consultation out of his Pennsylvania office to a patient in his or her Virginia home is required to have a Virginia medical license prior to providing the telemedicine consultation.

These licensure requirements have had a chilling effect on the interstate practice of medicine. To streamline the licensing process, nine states currently offer special licenses for telemedicine providers.

Yet other states recognize exceptions for out-of-state physicians providing consultations to in-state physicians or permit out-ofstate physicians to obtain licensure by endorsement. Finally, and perhaps the most robust effort to date to facilitate physician licensure in multiple states, twenty-two states have enacted legislation authorizing each state to enter the Interstate Medical Licensure Compact (“Compact”).

The Compact is a legal agreement among states that offers an expedited pathway to medical licensure in multiple states. Under the Compact, a physician desiring to acquire licenses in other member states applies to the physician’s “home state,” who reviews the physician’s qualifications to determine whether the physician meets all the requirements of the Compact. If approved, the home state then issues a letter of qualification that is sent to the “receiving” member states, who then issue state-specific licenses upon receiving the letter of qualification. The Compact was signed into law in Pennsylvania on October 16, 20161, but implementation has been delayed. Once implemented, the Compact should significantly ease the burden on Pennsylvania physicians seeking multi-state licensure. Until then, Pennsylvania-licensed physicians desiring to provide telemedicine services to patients in other states must carefully review and take steps to comply with the applicable licensure laws of such states.

See Act 112 of 2016, available at: http://www.legis.state.pa.us/cfdocs/legis/li/uconsCheck. cfm?yr=2016&sessInd=0&act=112 1

We are looking for a FT/PT psychiatrist who is interested in serving as our medical director. Please send CVs along with salary requirements to DrGMarchando@gmail.com or call Gina Marchando, Executive Director at (954) 608.3965.

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ACTIVITY UPDATE

by Deborah Shoemaker, Executive Director and Lobbyist

We Will Fight Them…in 2018 Contrary to widespread belief, I hate to fight. I feel like we have been forced to defend our positions more than ever fighting for the things we hold near and dear to our hearts.

For the last few years, the Society has been wrestling to keep our state and chapters solvent, battling uphill against declining membership dues, and increased state and chapter expenses. We ended the year with another deficit. For this reason, your state Council leadership is now taking a detailed look at how the Society runs our educational programs, our state and chapter projects, our grassroots advocacy efforts, and our overall mission. At our last Council meeting, your leadership reviewed this year’s proposed budget, often going line-per-line to reduce our expenses to a manageable level. A motion to have our Budget Committee and Long-Range Planning co-chairs delve into our financial situation and review our current scope of work was passed.

Work has commenced, so be prepared to provide your thoughts, concerns, and suggestions as to how YOUR Society should move in the future. PaPS is only as effective as its members, so if we are not meeting your needs, please let our leadership know.

We also continue to fight for the fundamental principles that psychiatrists and their patients hold dear: ensuring that the appropriate health care professionals are providing the most evidenced-based, clinically effective care within their scope of practice; ensuring that onerous, unnecessary, and overburdensome policies/procedures do not impede patient care (including delaying or restricting access to medications and treatments/services); ensuring that the appropriate confidentiality protections are in place to allow minors to consent to their own treatment at times when they are unable or afraid to ask for help from their loved ones; and ensuring that individuals in need of inpatient mental health and substance use treatment are not being forced in situations where their commitment will do more harm than good. I will detail our “fight plan” to get you up to speed.

Our Fight to Protect the Role of the Physician Fighting against scope of practice expansion is nothing new. As you know, we have been working with our colleagues to oppose the ability of certified registered nurse practitioners and physician assistants to independently practice within the commonwealth. Although our colleagues at the Pennsylvania Medical Society are doing the “heavy lift” on those bills, we join their opposition as appropriate.

However, we have been in the fight of our life over the past few sessions to protect non-physician practitioners from diagnosing mental illness and substance use concerns as detailed within the DSM-5. We have been told by licensed clinical social workers (LCSWs), marriage and family therapists (MFTs) and licensed professional

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counselors (LPCs) that “they already do it” and “cannot get reimbursed by insurance unless they can put a DSM-5/ICD-10 diagnosis on the form.” That may be true, however, we still hold fast to the belief that only physicians and licensed clinical psychologists (via diagnostic testing) are trained and have the appropriate experience to diagnose mental illness and substance use. In past sessions, we were somewhat silent on certain aspects of this issue. Circumstances beyond our control this past fall forced us into action. We recently reaffirmed our position to members of the House Professional Licensure Committee and the entire House. Although we have been informed that this is a “done deal,” we made our voice known and have gotten a few inquiries by House members about our position. Stay tuned.

Our Fight to Protect Patients from Barriers to Care The Society has been working with our medical specialty colleagues and within PAMED on proposed legislation related to out-of-network “surprise” billing, prior authorization, and unfair insurance practices that impede access to medication, treatments or services or would overcharge patients for services rendered within a treatment regimen.

Efforts have been made at the state and national level to eliminate or reduce prior authorization requirements for individuals seeking substance use treatment. It is a good start. However, we have a long way to go to get where we need to be to ensure that everyone who wants treatment gets the most appropriate treatment in the most clinically appropriate setting without restriction.

Our Fight to Protect Confidentiality As of late, legislators have gotten wild with introducing legislation to amend the Minor’s Consent Act or related Acts to allow parents/ guardians to consent for their children regardless of their intention to seek treatment. House Bill 17 was introduced earlier this session to address a constituent’s concerns with a parent wanting their child to get treatment for substance use against their will. In the fall, we took action, writing a note to the sponsor. Since then, the bill has stalled but numerous others have been introduced to address constituent concerns. We are looking closely at these bills and will initiate Calls to Action as appropriate. We are keenly aware that all these bills are well-intended but stop short of the practical aspects of why the Minors Consent Act was necessary in the first place. Most times minors confide in their parents or parental structure when they need help, but there are times where it is not possible to go that route. Although the current law is somewhat ambiguous and there are provisions that allow for breaking that confidentiality, we must protect those times when it is not so cut and dry. As you would guess, our position is often scrutinized and misunderstood. However, we will keep reviewing and providing clinical commentary as appropriate to ensure that individual rights are protected.

Our Fight Against Inappropriate Involuntary Commitment for Substance Use This battle has taken us to the trenches of the emergency department, the inpatient substance use facility, our communities, in other words… the entire commonwealth. Unless this is the first time reading my activity updates, it is a no-brainer to state that the Society’s primary focus over the past few years has been fighting to combat

the opioid and heroin overdose epidemic. Our battles have taken us statewide to assist in drafting voluntary prescribing guidelines in a variety of practice areas: • to assist in developing medical school curriculum on opioid prescribing • collaborating with law enforcement • medical colleagues • state officials and other crucial stakeholders on advisory committees to draft reports for policymakers to effect change.

We have been working within a group of our medical friends to express our opposition to any type of involuntary commitment for substance use. Our coalition, currently comprised of PaPS and the PA College of Emergency Physicians, PAMED, and the Hospital and Healthsystem Association of PA (HAP), met at least once and drafted a letter that will be going to legislators solidifying our concerns with proposed changes to commitment laws that would allow forced treatment at time of presenting at an emergency department or dedicated licensed substance use facility. As you know, these are not locked facilities and we have not found any research that has demonstrated that involuntary substance use treatment works.

Although the state legislature is in somewhat of a holding pattern currently on moving this type of bill, we remain prepared to jump into action as soon as we catch wind of movement.

Our Fight Against Inappropriate Involuntary Commitment for Assisted Outpatient Treatment (AOT) On another front, we have been extremely vocal and staunch in our opposition to efforts to amend the current Mental Health Procedures Act (MHPA-Act) to allow for AOT. The Society has been at the forefront of opposing all amendments to the MHPA for a variety of reasons including the serious deprivation of civil rights during a commitment and the need for only physicians and licensed clinical psychologists to perform competency evaluations to determine if this level of treatment is the most clinically appropriate for the individual. After House Bill 1233 passed the state House, the Society sprung into action, meeting with the bill’s sponsor, Senator Greenleaf’s office (sponsor of a companion bill in that chamber) and other stakeholders advocating for its passage. Dr. Gail Edelsohn (PaPS President), Dr. Kenneth Certa (PaPS Government Relations Committee Co-Chair), Lois Hagarty (outside lobbyist), and I met with Representative Murt late last summer to detail our concerns with his bill, noting the lack of uniformity between counties in understanding and utilizing the current Act, the ability to already do AOT, but, most importantly, our concerns of allowing Qualified Professionals to perform competency evaluations and the counties to determine who could perform this critical assessment. Although Representative Murt was cordial, his mind was focused on moving his bill regardless of our persuasive clinical rationale.

To bring you up to speed, House Bill 1233 was committed to the Senate Health and Human Services Committee last fall where it sat until March 20th. As part of due process, Chairwoman Lisa Baker asked her executive director to commence a workgroup to try to hash out our differences prior to any further action. As you would guess, we stood strong with our consumer allies at the ACLU, Disabilities Rights PA (formerly Disabilities Rights Network), the PA Mental Health Consumers Association, Mental Health Association in PA, and others to oppose the bill. The Treatment Advocacy Center, the County Commissioners Association of PA, and others support this bill, noting that there is no need for additional funding and that this will save scores of lives. The bill came out of committee as amended and is set for full Senate consideration as early as March 26th. Although it is probably a “done deal” we made our concerns known offering up our

willingness to help in the future as the bill is either enacted or serves some other purpose.

As one doctor noted, “…we will fight them in the air, we will fight them on the seas, we will fight them in the trenches…” something like that was said. Know that our fight is for our patients, for what is in their best interests to get them to where they need to be to recover and lead the full lives they are meant to live without bias or stigma. If you are willing to assist in this fight, contact me. We might not win every fight. Lately, I feel like we come out bruised and even worse from the wear. But at the end of the day, I do not mind getting bruised if it is fair fight and we have stood for what is right.

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EARLY CAREER PSYCHIATRIST UPDATE

by Hetty Eisenberg, MD, MPH As I may be an unfamiliar face to some of you, I want to take this opportunity to introduce myself as your new statewide Early Career Psychiatry (ECP) representative. Since 2016, I have been working on the PTSD clinical team at the Philadelphia VA Medical Center, while also serving on the clinical faculty at the University of Pennsylvania. My professional passions include working with patients with prior traumas; teaching and mentoring medical students and residents; cross-cultural and well-being issues; and political advocacy. In 2016, I moved to Philadelphia from San Francisco, having done all my medical and public health training in California. I’m originally from New Jersey, but I moved west to complete my training at Stanford and UCSF. Prior to joining the Philadelphia VA, I served as a medical director for the Transitional Age Youth program for the SF Department of Public Health, as well as a psychiatric consultant for an international NGO’s regional office. My husband and I were eager to return east to be closer to our families, and we feel at home in Pennsylvania. I am very excited to serve as your state-wide ECP representative, so that I can help to foster connections with all of you as well as represent our views in Harrisburg.

I recently attended the APA Area 3 meeting, where I was fortunate

to meet Dr. Rahul Malhotra, the Area 3 ECP representative, as well as Dr. Beiju Gandhi, the Area 3 ECP deputy representative. One of my first steps will be to reach out to our chapter ECP representatives, so I can learn more about what is important to ECPs in each chapter.In addition, collaborating with the Pennsylvania Medical Society (PAMED) will also be important. There is an upcoming meeting for ECP’s within PAMED on April 19th. Details can be found here: www.pamedsoc.org/ EarlyCareer. I hope to see you there!

There are several state issues with momentum. The opioid crisis has been receiving significant attention, so it is a crucial time to advocate for the creation and expansion of clinical infrastructure—allocation of resources that will support tackling the opioid crisis as well as other related challenges such as access to care and parity. In addition, as gun violence takes center stage, providing education about the relationship between mental health and violence would offer an opportunity to speak up for our patients. Professionally, issues pertaining to the scope of practice of our mental health colleagues, will likely impact the balance of the team-based approach with which we have grown skillfully. At the APA level, advocating for ending the rule of 95, which sharply decreases dues for long-time members, may be a way for our Pennsylvania Psychiatric Society to address our own budget constraints.

These are just a few areas of interest that I have identified so far, and I am eager to learn from all of you about what you feel are the most pressing issues impacting ECPs. I would love to hear from you!

Welcome New Members We welcome the following new PaPS members and congratulate those Members-In-Training who have recently achieved General Member status (effective January 1, 2018- March 26, 2018) CENTRAL Members in Training Andrew Davis, MD Azka Munawar, MD

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PHILADELPHIA Members in Training Julian M. Artunduaga, DO Michael T. Faschan, MD Katarzyna Liwski, DO Kathryn J. Newton, DO

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Courtney Y. Saw, MD Sunny X. Tang, MD Tara Thompson-Felix, MD General Members Arpita Goswami Banerjee, MD Heather V. John, MD, PhD

PITTSBURGH Members in Training Nicole E. Bates, MD

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Distinguished Fellow Reminder The APA and PaPS sent out a notification to all members who were eligible to apply for Distinguished Fellow status. The completed paperwork will need to be submitted online as per the instructions above by Friday, May 11, 2018. If you are eligible and would like to apply, please contact us at papsych@papsych.org for any questions you may have.

Society Events Check out the

PaPS Calendar for the most up to date list of events.

EDUCATION April Course of the Month Cannabinoids and Psychosis Cannabis has been used as a therapeutic agent for millennia and was part of the United States pharmacopeia until the 20th century. Recent progress in understanding neurobiology of the endocannabinoid signaling system has provided an improved scientific basis for examining the mechanisms of therapeutic action of the cannabinoids. This presentation reviews the endocannabinoid system and discusses the potential benefits of cannabidiol. Presented

by Mohini Ranganathan, MD of the Yale School of Medicine. https://www.psychiatry. org/psychiatrists/education/apa-learningcenter/members-course-of-the-month Mandatory CME Requirements Prior to Activating or Renewing your License Are you aware that there are two sets of mandatory CME credits that must be satisfied before you renew or apply for your initial medical license? The mandatory child abuse credits have been around for more than one renewal cycle, but the mandatory opioid education credits are brand new.

Child Abuse Credits A few years ago, the Society collaborated

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with our partners at the PA Medical Society to create a course that satisfied those mandated reporter CME credits. Act 31 of 2014 requires three mandatory hours of CME prior to receiving an initial license and two hours of mandatory CME prior to a license renewal. To comply with this requirement, you must participate in only certain approved CME courses approved by the Department of Human Services (DHS). For a list of approved courses, click on this link: http://www.dos.pa.gov/ ProfessionalLicensing/BoardsCommissions/ Pages/Act-31-Mandated-Child-AbuseRecognition-and-Reporting-ContinuingEducation-Providers.aspx.

If you are a member of PAMED, their course is free and satisfies this requirement. Although all physicians benefitted from complimentary access to this course last renewal cycle, free access is now only given to PAMED members.

For more information, or to join PAMED, contact www.pamedsoc.org.

A list of approved courses is available on www.keepkidssafe.pa.gov (look under Mandated Reporters). After doing some research, we were informed that, if a course is on DHS’ approved list, it does not have to be

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CME accredited.

Opioid Education The enactment of Act 124 of 2016 requires mandatory CME credits in certain areas of substance use prescribing and management.

If applying for an initial license, you must receive at least four hours of Board-approved education consisting of two hours in pain management or the identification of addiction and two hours in the practices of prescribing or dispensing of opioids. To renew your license, you must obtain at least two hours of continuing education in pain management, the identification of addiction or the practices of prescribing or dispensing of opioids. The CME credits must be in AMA PRA Category 1 or two approved activities.

Here is a link to information on this new requirement.

NOTE: For those of you who attended our recent Philadelphia Psychiatric Society Addictions conference, our program counts toward these requirements.

For more information, do not hesitate to contact the PaPS office at 1.800.422.2900 or via email at papsych@papsych.org.

CHAPTER HIGHLIGHTS

PHILADELPHIA CHAPTER The Philadelphia chapter has been busy hosting three early spring events. The 4th Annual Addictions Symposium was held on March 3rd at Jefferson University Hospital. The attendees braved the winter weather to hear presentations on non-opioid pain management, medication assisted recovery, MAT for opioid use disorder, a panel discussion on cannabis, and much more.

ADDICTIONS SYMPOSIUM

The 16th Annual Colloquium of Scholars was held at Drexel University College of Medicine on April 14th. Poster presentations along with great presentations on comorbid depressions, pros and cons of prescribing benzodiazepines for long-term use, and much more were enjoyed by the attendees.

Coming up on April 21st PPS’s Committee on Women are hosting the Women’s Annual Health Brunch at the Inn at Swarthmore from 8 a.m. to noon. The keynote speaker for the event is Dr. Anita Everett, APA president. Please register here for the event.

Our annual election took place and our new officers for the 2018-19 term will be formally installed at the PPS Annual Business Meeting in June. The list of officers can be found here.

We are accepting nominations for the Benjamin Rush Awards. The deadline for nominations is April 27, 2018. All nominations must be accompanied by a nomination letter as well as the candidate’s curriculum vitae. Nominations can be emailed to philapsych@ papsych.org or sent via mail to Philadelphia Psychiatric Society, 777 East Park Drive, PO Box 8820, Harrisburg, PA 17105-8820. The list of awards and previous recipients can be found on our chapter page on the PaPS website.

CENTRAL CHAPTER CPPS will host a CME event presented by PRMS on April 17th at PAMED. “Psychopharmacology – Risk Management and Legal Implications of Prescribing” will begin at 6:45 pm. The 2018-19 officers will be formally installed at the Annual Business Meeting/Council Meeting held at 5:45 pm prior to the CME event. A list of the officers can be found here.

NORTHEASTERN CHAPTER Jeanne Rinehouse, MD I hope that everyone is surviving the snow and cold temperatures.

Our first quarter CME was held at Geisinger Medical College in Scranton on April 11th from 6-9 pm. “Dinner and a Movie” featured The United States of Leland for 3.0 CME credits. Prior to the presentation, the council met to take nominations and to vote for next term’s secretary/treasurer and PaPS delegate/councilor positions. We will announce the 2018-19 officers on our web page.

LEHIGH VALLEY CHAPTER CME Event “Psychopharmacology – Risk Management and Legal Implications of Prescribing” Wednesday, May 16, 2018 6:45 pm – 8:15 pm Penn State Lehigh Valley, Board Room Register Now!

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Make Your Voice Heard!

Donate to the PAC! A contribution to the Pennsylvania Psychiatric Physicians’ Political Action Committee (PPP-PAC) puts you and the Pennsylvania Psychiatric Society (PaPS) in front of the commonwealth’s key leaders and policymakers. Legislative, regulatory, and executive decisions made in Harrisburg affect your profession and your daily practices. Here’s how PaPS represents you and the profession of psychiatry at the state capitol: • We monitor adherence to federal parity requirements for public and private insurers • We advocate scope of practice for non-physician providers and support for team-based care • We collaborate with stakeholders on improving the Maintenance of Certification (MOC) program • We advocate for consumer confidentiality and medical records issues • We collaborate with stakeholders on improving policies, procedures, and legislation to reduce stigma • We advocate for early intervention and training on suicide prevention and mental illness, and • We provide clinical expertise to oppose legislation that negatively impacts consumers struggling with substance use, co-occurring disorders, and mental health issues.

PPP-PAC funds are used to enhance PaPS’ relationships with key legislators who support our causes and to assist in initiating dialogue with key officials in need of additional education and clinical expertise. PaPS’ political contributions, through PPP-PAC donations, are some of the most valuable tools we have for opening doors or enhancing current affiliations. By law, PaPS may not use membership dues to make political contributions. We may only use PPP-PAC funds for this purpose. Please help the Society deliver your message by sending a personal donation today. Make an investment in your profession and in your future.

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Department of Psychiatry is currently recruiting board eligible/ certified psychiatrists for inpatient and outpatient positions in both adult and child psychiatry.

We are a growing, vibrant department in a strong academic medical center. We host specialty clinical and research programs, including research that crosses the translational spectrum. Our educational programs include adult psychiatry residency, child fellowship, psychology internship, externship and post-doctoral fellows. We have a strong collaboration with basic and clinical science in other neuroscience disciplines across several Penn State campuses.

With our clinical partner, the Pennsylvania Psychiatric Institute, the Department staffs several outpatient and partial hospital programs for children and adults, 89 inpatient beds, ECT and other neuromodulation services, specialty sleep and eating-disorders programs, and expanding psychiatric consultation and integrated care programs for Hershey Medical Center.

Successful candidates should have strong teaching as well as clinical skills and, optimally, potential for scientific and scholarly achievement.

We offer an attractive compensation package commensurate with qualifications. Tenure-track positions are possible. May be eligible for J-1 Waiver.

For consideration, send your CV to: Jenna Spangler, Physician Recruiter Phone: 717-531-4271 Email: jspangler2@pennstatehealth.psu.edu The Penn State Health Milton S. Hershey Medical Center is committed to affirmative action, equal opportunity and the diversity of its workforce.

Equal Opportunity Employer – M/W/V/D MHM Services, Inc., in partnership with The Pennsylvania Department of Corrections, Philadelphia Department of Prisons, and the Commonwealth of Pennsylvania, provides comprehensive mental health services for the underserved. MHM, one of the nation’s largest providers of mental healthcare, is seeking Psychiatrists for PRN, P/T, or F/T hours at various facilities throughout Pennsylvania near Philadelphia, Pittsburgh, Harrisburg, State College, Erie, and more. Enjoy the practice of Psychiatry free from the constraints of insurance and 3rd party billing. Competitive compensation and flexible work hours with no required nights, weekends or holidays. For details contact: Tory Anderson, tory@mhmcareers.com, 717-296-1875.

NorthEast Treatment Centers provides a continuum of behavioral health and social services to individuals and families in the greater Philadelphia region. NET is seeking a P/T Psychiatrist for its Adult Services to provide medical diagnosis and treatment of patients including psychiatric evaluation and medication management.

Must be PA licensed as a Medical Physician and be either certified in addiction medicine by ASAM; board certified in addiction psychiatry; or have at least three years of experience providing services to those addicted to alcohol or other drugs, including at least one year in a pharmacotherapy program.

For consideration, send resumes to: donna.holliday@net-centers.org Human Services Center, one of the largest Community Mental Health Centers in western Pennsylvania, located approximately 50 miles north of Pittsburgh, in scenic, rural, western Pennsylvania, is seeking a licensed psychiatrist for our Adult Services. Physician will provide medical diagnosis and treatment of patients including psychiatric evaluation, medication management and medication groups. Must be PA licensed and certified in Medicare and Medicaid. Salary, hours and benefits will be negotiated with successful candidate.

For consideration, send your CV to: John Baird, HR Manager, Email: jbaird@humanservicescenter.net, Phone: 724-510-3268