Longitudinal Integrated Clerkship (LIC)

lic map web 6 15The Tufts University School of Medicine - Maine Medical Center Program (TUSM-MMC) 3rd year Longitudinal Integrated Clerkship (LIC) began placing Maine Track students at urban and rural hospital sites within Maine in May of 2011. LIC students participate in the comprehensive care of patients over time, thus developing continuing learning relationships with these patients' clinicians, and meeting the majority of the year's core clinical competencies across multiple disciplines simultaneously. This program is only for third year undergraduate medical students who are enrolled in the TUSM-MMC program. Students may submit their preference for third year LIC and placement is chosen by lottery.

Core Concepts

  • Students live in a rural community or in Portland for nine months, are assigned to core discipline preceptors at their hospital, and develop their own panel of patients throughout the clerkship.
  • Patient contact occurs at multiple junctures of patient care including routine office visits, home visits, subspecialty evaluations, office or hospital-based procedures, hospital care, emergency care, and ancillary staff evaluations.
  • Contact with core discipline preceptors, sub-specialists and teams of care is creatively woven throughout the student’s typical weekly schedule.
  • The typical learning mode is longitudinal, individualized (student one-on-one with attending), and patient-based.
  • The students follow their patients to appointments, participate in their procedures, and play a part in relevant case conferences.
  • The opportunity to participate in committees, medical staff meetings, and quality improvement programs at the site hospitals.

This model embodies the concept of educational continuity in terms of continuity of care, continuity of education and continuity of supervision. The students benefit from a view of each patient as a “whole” person while participating in the comprehensive care of their patients over time (continuity of care). In addition, each student will have a core group of faculty that will be dedicated to the student’s professional development over an extended period of time (continuity of education and supervision). It is a learning experience that is reflective of what they are likely to experience as a physician, includes authentic feedback and evaluation processes, and the opportunity to develop strong professional mentoring relationships.

Locations

Portland, ME

Located on the coast with easy access to the western lakes region and mountains, Portland is the largest city in Maine with a population of approximately 64,000 people. It has much to offer in the sports arenas with its own minor league baseball team, the Portland Sea Dogs, and hockey team, the Portland Pirates. The downtown art district is anchored by the Portland Museum of Art, located in a building designed by I.M. Pei. Just down Congress Street is the Maine College of Art , which trains artists of the future and draws some of the best contemporary artists in the world to its gallery, the Institute of Contemporary Art.

If it is music you are looking for, Portland offers a wide variety of venues. The Cumberland County Civic Center hosts big-name acts such as Eric Clapton and Elton John while the 1,900-seat Merrill Auditorium draws performers such as Lyle Lovett and Jerry Seinfeld. The Portland Stage Company is the professional theatre in the area and the Portland Symphony Orchestra and the Portland Opera Repertory Theater offer numerous classical music performances.

Portland is located on the western side of Casco Bay. The bay's 220 islands make it the perfect place for kayaking, sailing, or fishing. There are cross-country ski areas within 15 minutes of the city and two major downhill ski areas within a two-hour drive. The Sebago Lake Region, 20 miles northwest of the city, offers opportunities for canoeing, fishing, and swimming as well.

 

Bath, ME

Bath is situated on the coast of Maine, just 30 miles north of Portland. It is a community of approximately 9,000 people. Situated along the Kennebec River, Bath has a very active cultural center for a small town, housing its Center for the Arts in an 1846 wooden gothic church. At the mouth of the Kennebec River, historic Fort Popham stands guard. Nearby Popham Beach and Reid State Park in Georgetown offer miles of sandy beach and rocky cliffs. You might even find some harbor seals hanging out at the Fort Popham State Historic Site! In 2005 the National Trust named Bath one of "America's Dozen Distinctive Destinations" due to its small, historic, and relatively unspoiled New England charm.

The principal hospital for Bath and Brunswick is Mid Coast Hospital, which provides care to 22 neighboring communities constituting a population of roughly 80,000 people. The acute care facility is located in Brunswick. The hospital opened its new state of the art facility in December 2001.

Mid Coast Hospital is a full-service hospital with thirty-six medical/surgical, eight intensive care, seven maternity, eleven psychiatric, and sixteen sub-acute care beds. The emergency room sees approximately 20,000 patients a year.

The active medical staff includes over twenty-five primary care internists, family practitioners, and pediatricians as well as specialists in cardiology, endocrinology, neurology, oncology, pulmonology, and gastro-enterology. There are several general and specialty surgeons and other medical specialists in house as well. The hospital offers patients access to a CT scanner, MRI, x-ray, and ultrasound as well as an outpatient surgery center, rehabilitation programs, 24-hour emergency services, and a brand new maternity care center.

In 1987 Mid Coast Hospital joined forces with other local healthcare providers to form Mid Coast Health Services. The affiliation now includes CHANS Home Health Care, Mid Coast Medical Group, Mid Coast Senior Health Center, and Thornton Oaks Retirement Community.

Mid Coast Medial Group serves the towns of Bath, Brunswick, and Topsham, specializing in obstetrics, gynecology, internal medicine, endocrinology, addiction medicine, and primary care. There are currently thirteen physicians and five nursing staff working for this very busy and growing practice. The Brunswick site, which focuses solely on obstetrics and gynecology, recently moved into a new Women's Health Care Center office building. The practice in Bath is the largest of its three sites with eight physicians providing top-notch care to hundreds of patients. Mid Coast Medical Group prides itself on providing community-based, state of the art health care. Mid Coast Hospital is located 32 miles from Maine Medical Center and  approximately 42 minutes drive. Housing is available for on-call and winter months only.

Practitioners

Nancy Hasenfus, M.D. graduated from Tufts University School of Medicine in 1981 and then completed her residency at Maine Medical Center. She has also earned a Masters Degree in Education and a Ph.D. in Psychology, both at the University of Maine. After three years in the National Service Corps in Mississippi, Dr. Hasenfus entered the practice of primary care internal medicine in Bath. After several years of private practice she joined Mid Coast Medical Group in 1997. She enjoys discussing medicine with students and residents, as it helps her to see issues from a different point of view. She also feels it is important to provide a supportive atmosphere for students to encourage learning.

Scott French, M.D. is a graduate of the University of Wisconsin at Madison who completed his residency training at Maine Medical Center. Dr. French worked at hospitals in Wisconsin and in Rhode Island before joining Mid Coast Medical Group in 2006. His interests include cooking, mountain biking, and sea kayaking.

Matthew Hanna, M.D. graduated from the University of Kansas Medical School and did his residency training at Maine Medical Center. Dr. Hanna joined Mid Coast Medical Group in 1999. He enjoys working with students and residents and stresses independence and having fun. He volunteers at a free teen clinic and enjoys travel, camping, and photography.

Benjamin Herman, M.D. earned his degree at Johns Hopkins University School of Medicine in Baltimore, where he also completed his residency in 2003. He worked for two years as an attending physician and hospitalist at the Greater Baltimore Medical Center before joining Mid Coast Medical Group. Dr. Herman is board certified in Internal Medicine.

James Rines, M.D.
graduated from the University of Vermont College of Medicine and completed his residency in Internal Medicine at Maine Medical Center. He then spent a year working in Thailand before opening his private practice in Bath. In 1997, he also joined Mid Coast Medical Group.

Damariscotta, ME

The Miles Memorial Hospital campus is located in Damariscotta, a small community located in Midcoast Maine approximately 55 miles north of Portland. With a population of over 3,000 people, this picturesque town sits off Route 1 on the Damariscotta River at the head of Pemaquid Peninsula. It is the commercial center for several surrounding towns with fishing, boat building, farming, and light industry as the traditional employment activities in the area. Its "twin city," Newcastle," is just over the Main Street Bridge that spans the Damariscotta River. Summer tourism is a major industry as well, supporting a service sector and a number of skilled artisans. The population is diverse with both seasonal and year-round residents. Many of the seasonal residents obtain a significant share of their medical care from local health services.

Swimming, salt and fresh water sailing, boating, canoeing, golfing, and fishing all await visitors to the Damariscotta region. Excursion boats visit the many islands and harbors in the area regularly and the lighthouse at Pemaquid Point is also a favorite destination. On your time off, try Kayaking down the Damariscotta River or even taking a Boat Cruise. At nearby Colonial Pemaquid Historical Site is Fort Pemaquid (1692), an artifacts museum with access to excavations as well as a picnic pier. In the off-season autumn walks in the woodlands areas and ice fishing are favorite recreational activities.

 

Boothbay Harbor

The LincolnHealth – St. Andrews Campus and St. Andrews Village campuses are in Boothbay Harbor. For more than a century, Boothbay Harbor has been a favorite summer destination for tourists and summer residents alike. With its beautiful harbor bustling with commercial and pleasure vessels alike. Boothbay is home to wide variety of cultural and educational organizations such as the Boothbay Harbor Opera House, the Boothbay Region Art Foundation, the Coastal Maine Botanical Gardens, and the Marine Resources Aquarium. The Boothbay region is well served by its primary and secondary schools the Boothbay Region High School and the Boothbay Region Elementary School.

Boothbay is also home to one of the best recreational facilities in the region, the Boothbay Region YMCA, along with other organizations such as the Boothbay Harbor Yacht Club and the Boothbay Country Club with its excellent 18-hole golf course.

 

Miles Memorial Hospital

Built in 1941, Miles Memorial Hospital is the principal hospital serving Lincoln County. It is a 38-bed acute care hospital with four ICU/CCU beds, an obstetrics unit, and a fully staffed 24-hour-a-day emergency department. The hospital offers patients access to general, day, and orthopedic surgery, obstetric care, cardiac rehabilitation, physical, occupational, and speech therapy, x-ray, ultrasound, CT scanning, MRI, and a variety of laboratory services.

As part of Miles Health Care, Miles Memorial Hospital houses skilled and intermediate nursing facilities, a congregate living center for retirees, home health, hospice services, an assisted living facility, and a women’s health care center. The medical staff includes six internists, eight family practitioners, two general surgeons, an ophthalmologist, three pediatricians, an anesthesiologist, a radiologist, three orthopedists, and two OB/GYNs.

The physicians at Miles Medical Group perform interventional procedures in-house such as thoracentesis, electrical cardioversion, and bone marrow biopsies and are available for consultation as requested by other physicians at Miles Memorial Hospital. With an integrated campus, they are closely involved with the nearby nursing home and assisted-living facilities and several of the internists make house calls.

In a medical community with few specialists, internists have a wide scope of operation and enjoy a good deal of variety in their daily practice, especially providing care in the areas of anesthesiology, emergency medicine, general surgery, orthopedics, obstetrics, and gynecology.

 

Practitioners

Amy Etzweiler, M.D. attended medical school at Case Western Reserve University in Cleveland, Ohio, graduating with her medical degree in 1997. She then went on to complete her residency training at the University of Pennsylvania Hospital system in Philadelphia. Dr. Etzweiler has worked at Lincoln Medical Partners since 2003.

Kristin Kentopp, M.D., MPH went to Tufts University School of Medicine for her medical training and did her residency at Maine Medical Center. She has also obtained a Masters in Public Health from the University of Southern Maine. Dr. Kentopp is board certified in Internal Medicine and speaks six languages, including French, German, and Dutch. She has been working at Lincoln Medical Partners since 1997 when she finished her residency training.

Rockport, ME

"Between the Gulf of Mexico and the Bay of Fundy, there are only two spots where the mountains dip into the sea and rise directly from the water's edge" (Maine and its Scenic Gems, Portland, 1989). One of these spots is Rockport, on the western arm of the Penobscot Bay. Midcoast Maine is an extremely popular tourist area with a summer population explosion, adding to its local resident population of 3,000. Originally a fishing and farming area, there are now a large number of retirees. One unique aspect of the area is its many offshore islands, including Vinalhaven, North Haven, Islesboro, Monhegan, and Matinicus.

The quiet village is a gathering place for artists and musicians. The Rockport Opera House hosts a variety of events in addition to musical performances and Rockport College offers classes to those interested in photography, filmmaking, and video media. The Farnsworth Art Museum and Wyeth Center specialize in Maine and American Art. The nearby Rockland Breakwater and Lighthouse makes for a beautiful walk and a visit to the coast will prove to you why the region is called the Schooner Capital of the World.

Penobscot Bay Medical Center is located: 84 miles from Maine Medical Center. The drive time is just under 2 hours and housing is available (assuming your rotation is confirmed 3 months in advance).

 

About Penobscot Bay Medical Center

Penobscot Bay Medical Center is a 109-bed hospital located on Penobscot Bay in Rockport, northeast of Portland on coastal Route 1. Both internists and family practitioners provide primary care. The center is also a regional secondary care referral center, with most of the medical and surgical subspecialties. There is a long-standing referral pattern for tertiary care with Maine Medical Center. The hospital has a medical staff of over 85 physicians and more than 95% are board-certified in their practice specialty.

The facility includes a birthing center, cancer care center, day surgery unit, 24-hour emergency department, medical/surgical inpatient unit, special care unit, and four operating rooms. The hospital is a part of Pen Bay Health Care, which also includes Kno-Wal-Lin Home Care and Hospice, the Knox Center for Long-Term Care, and Mid-Coast Mental Health.

 

Practitioners

Mark Eggena, M.D. received his medical degree from the University of California, Los Angeles and did his residency training at the University of California, San Francisco. He subsequently completed a three-year fellowship in Infectious Disease at the same location. Dr. Eggena's special interests include HIV/AIDS care, primary care, and travel medicine.

Archibald Green, D.O.
completed a rotating internship at the University of New England in Biddeford, Maine before going on to his residency at Norwalk hospital in Connecticut. He is board certified in Internal Medicine.

Cheryl Liechty, M.D.
is a graduate of Mount Sinai Medical School in New York City. She completed her residency training at the University of California at San Francisco and a fellowship in Infectious Disease at the University of California as well. She is board certified in Internal Medicine and has additional certification in Infectious Disease.

 

Preceptor

Richard Kahn, M.D. is a graduate of Tufts University School of Medicine. His internship and residency were at Maine Medical Center, including chief residency in internal medicine. He was Board-certified in 1973 and has practiced general internal medicine in the area since then. His particular interests include the history of medicine and biomedical ethics. Dr. Kahn believes “doctor means teacher” (and learner), to/from patients, students and other health care providers. He wants students and residents to see and feel how an outpatient primary care career can be just as interesting as one in a medical center. He puts students at ease and encourages them to be themselves, reminding them that the preceptors, too, are students and have been through the same experiences. Residents should consider themselves peers of their preceptors, for teaching goes in both directions. Dr. Kahn considers himself a 38th year resident.

 

Rotation Information

Dr. Kahn admits all of his own patients at Penobscot Bay Medical Center and he has students/residents join him for admissions as well as occasional Saturday rounds. No call is required with this rotation. Dr. Kahn's office is open from 9:00am to 5:00pm daily and he provides students with both office and hospital orientations on the first day of the rotation. Residents and students will be provided with an ID badge that they can use for meals at the hospital cafeteria. They will also have use of the hospital's library and Internet capabilities.

Housing is available for residents at the Camden Riverhouse Inn & Hotel in Camden. The Inn has a limited housekeeping service, Internet access, satellite TV, a fitness room, and laundry facilities. Housing is available for students at the home of one of the active staff physicians at the hospital - location will vary.

The Penobscot Bay Physicians Building holds 8 general internal medicine physicians who work with Penobscot Bay Internal Medicine. Several of these physicians also have certification in such subspecialties as infectious disease, gastroenterology, rheumatology, hematology/oncology, geriatrics, and pulmonary medicine. Many are in solo practice, but provide coverage for one another.

The internists' group meets weekly to present cases to one another in addition to Penobscot Bay Medical Center's weekly clinical conferences and monthly tumor and mortality conferences. Daily practice provides ample opportunity for informal meetings and consultations.

While Dr. Laura Trask is the primary Maine Practice Network physician at Penobscot Bay Internal Medicine, students work with multiple physicians when rotating at this location. Office hours are Monday through Friday from 9:00am - 5:00pm. Inpatient work and nursing home visits are not a requirement of this rotation, but students can request these additional opportunities if desired. Night and weekend call is also not required. The practice provides a relaxed atmosphere where students and residents get to do primary HPI/work-ups, present to attendings, and then formulate a differential diagnosis and plan with a discussion following. The practice sees many geriatric patients.

The office has wireless Internet access and a dedicated workspace for students/residents. The site also has electronic medical records. Residents and students will be provided with an ID badge that they can use for meals at the hospital cafeteria. They will also have use of the hospital's library and Internet capabilities. The Medical Staff Office at Penobscot Bay Medical Center oversees each student/resident hospital orientation and one of the physicians will provide an orientation to the Internal Medicine office.

Mount Desert Island, ME

Mount Desert Island Hospital, a 25-bed critical access facility, serves this community and the surrounding areas. Founded in 1897, the hospital is located in the center of Bar Harbor and offers the advantage of a small, walkable community with a friendliness that is rare in our fast-paced, hectic world.

Mount Desert Island is one of Maine's most beautiful and renowned locations. Offering some of the most scenic shoreline in the United States, it is home to Acadia National Park, a 41,000 acre gem of granite cliffs, deep lakes and dense evergreen forests.

The area offers exceptional outdoor opportunities, particularly for boating, which has been described by experienced sailors as some of the best in the world. Archipelagos that include scores of uninhabited islands, astounding scenery, and a pristine environment, all provide an experience that is without equal.

Lewiston, ME

Located on the banks of the Androscoggin River, Lewiston and neighboring Auburn form the business and cultural center of Androscoggin County as well as the second largest metropolitan area in Maine. With numerous world-class telecommunications and manufacturing companies, Lewiston is enjoying an economic renaissance. Lewiston is the home of world-renowned Bates College and provides a choice of four other colleges in the vicinity.

With its own Public Theatre, several nearby golf courses, and the largest bird sanctuary in New England, Lewiston has much to offer for rest and relaxation. Lewiston also hosts its own hockey team, the Lewiston Maine-iacs, and every year hosts the Great Falls Balloon Festival, a 3-day event where hot air balloons from around the country take to the skies. Even a stroll through the downtown streets using the county's Walking Tour directions as a guide is an educational and fun experience for everyone.

Lewiston's vitality and cultural richness are reasons the area was selected as the national headquarters of the Forum Francophone des Affaires, an international trade group of French-speaking nations. An early favorite for Canadian and European immigrants, French is still commonly spoken in the area. There has most recently been an insurgence of Somali immigrants to the area as well. The population of Lewiston is approximately 40,000.

St. Mary's Regional Medical Center is located 39 miles from Maine Medical Center. The drive time is approximately 55 minutes and housing is available in winter.

About St. Mary’s Regional Medical Center

St. Mary's Regional Medical Center is a 233-bed acute care facility that brings the best of medical technology, human compassion, preventive services, and a "whole person approach" to serve the needs of the Androscoggin County area and all of Maine. The hospital provides medical, surgical, obstetrics, gynecology, orthopedics, pediatrics, ambulatory care, and emergency services. They also provide patient’s access to a family birthing unit, physical therapy, a psychiatric program, eating disorders clinic, breast health program, and a breathing center. St. Mary's also runs the Raphael House for HIV/AIDS patients and the Renaissance House for residential treatment.

St. Mary's Hospital is a member of Covenant Health Systems, which also includes St. Marguerite d'Youville Pavilion, the state's largest nursing home, Maison Marcotte, an independent living center for the elderly and disabled, and WorkMed Occupational Services, which provides comprehensive worksite services to businesses throughout Androscoggin County.

St. Mary's Medical Associates, a division of Community Clinical Services, is an internal medicine practice composed of six internists and one physician assistant. They provide inpatient, outpatient, and nursing home care to patients, specializing in diagnosis and nonsurgical treatment of conditions affecting both adolescents and adults. St. Mary's Medical Associates is a Federally Qualified Health center, which allows them to offer sliding fee discounts and pharmacy discounts to qualified patients.

Practitioners

Anne Brown, M.D., F.A.C.P. received her bachelor’s degree from Bates College, Lewiston, ME, 1988 and did her post-graduate education at University of Vermont School of Medicine, Burlington VT, 1992. She finished her residency at Ochsner Medical Foundation, New Orleans, LA in 1995 and was chief resident from 1995-1996. Dr. Brown is board certified in Internal Medicine and is a Fellow of American College of Physicians.

Jeff Brown, M.D., F.A.C.P. received his bachelor’s degree from University of Massachusetts, Amherst, MA, 1979 and received his medical degree from SUNY Downstate College of Medicine, Brooklyn, NY, 1983. He did his residency training at State University of New York at Buffalo in Buffalo NY, finishing in 1986. Dr. Brown is board certified in Internal Medicine and is a Fellow of the American College of Physicians. He is married and has three children.

Seth Gordon, M.D.
received his bachelor’s degree from SUNY at Binghamton, NY, 1979. He was enrolled in Pre-Medical Sciences at Columbia University, New York from 1985-1988 and received his medical degree from Brown University, Providence, RI, 1992. He did his residency training at The Mary Imogene Bassett Hospital, Cooperstown, NY, 1992-1995 and is a member of the American Board of Internal Medicine.

Satya Singh, M.D. received his M.G.M. degree from the Medical College of Jamshedpur, India. He completed his Internal Medicine residency in Nephrology at Anugrah Seva Sadan in Patna, India and was Chief Resident at Morristown Hospital in New Jersey. Dr. Singh is married and has two school-aged children.

Richard Kappelmann, M.D. went to the University of Florida undergraduate and received medical degrees from the University of Santiago and the University of Florida. Internship and Internal Medicine residency training were completed at Yale University affiliate St. Raphael Hospital in New Haven, Connecticut. Dr. Kappelmann has been in practice since 1990.

Skowhegan, ME

Skowhegan is a community of 9,000 people located 20 miles north of Waterville and a 90-minute drive north of Portland. It is the county seat for Somerset County. Located on the Kennebec River at the site of two large waterfalls, Skowhegan gets its name from the Indian word for "gathering place," a place where Native Americans would come to fish. The ready availability of fresh water and hydroelectric power supports a number of local industries, including logging, shoe manufacturing, and large modern paper mills.

Geographically, Skowhegan sits at the foot of the White Mountains and boasts vistas of rolling foothills and mountains. There is ready access to water sports on Lake Wesserunsett and on the Kennebec River where class IV and V rapids entice many rafting and boating enthusiasts. Cross-country and downhill skiing are easily accessible. Sugarloaf/USA is just 50 minutes away.

Skowhegan is also home to Senator Margaret Chase Smith, the first women U.S. Senator. The Margaret Chase Smith Museum, located on 15 acres overlooking the Kennebec River, holds much of her memorabilia. The town is also home to the Skowhegan School of Painting and Sculpture which hosts a vast summer program for aspiring artists.

Redington-Fairview General Hospital is located 92 miles from Maine Medical Center. The drive time is approximately 1 hour and 45 minutes and housing is available.

 

About Redington-Fairview General Hospital

Redington-Fairview General Hospital (RFGH) is a 65-bed acute care hospital with a six-bed ICU/CCU, a full range of diagnostic services, and a 24-hour emergency room. The hospital provides care for approximately 31,000 residents in central Maine. Specialties include pulmonary rehab, cardiac rehab, stress testing, surgical services, and rehab and fitness services.
The hospital employs over 500 professional and technical employees, including 40 physicians. The medical staff includes, among others, nine internists, three general and two orthopedic surgeons, two cardiologists, a gastroenterologist, a neurologist, two pediatricians, an ophthalmologist, an anesthesiologist, and a pathologist. In-patient Internal Medicine is covered by two hospitalists, one of who is critical care trained.

 

Practitioners

Oto Prokop, M.D. also graduated from the University of P.J. Safarik School of Medicine in Slovakia and did his residency training at the University of South Alabama, Mobile. During 2000-2001 he served as a Chief Medical Resident at the same institution. He would like to use his experience and service as a preceptor for medical students coming to do their community practice rotations.

Roger Renfrew, M.D. is a graduate of the University of Vermont School of Medicine. He did his residency training in Internal Medicine at St. Elizabeth's Hospital in Boston and the University of Minnesota. Dr. Renfrew has been practicing primary care internal medicine in Skowhegan since 1979. He has served as a champion for the community practice experience for students and is an enthusiastic preceptor. He is board certified in both Internal Medicine and Geriatrics.

Norway, ME

Norway and the Oxford Hills community are located in the foothills of the White Mountains, 50 miles north of Portland. A permanent population of about 7,000 can nearly triple on a winter weekend when the Sunday River and Mount Abram ski areas are in full operation. Norway was once the "Snowshoe Capital of the World" because of the large number of snowshoes manufactured in the town. Now tourism is the major employer, both winter and summer.

There are numerous lakes in the area and excellent hiking locally and in the White Mountains. There are also a number of light industries, including shoe manufacturing, wood products, a woolen mill, a mobile home builder, and a comprehensive high school, which serves eight communities. The town hosts an annual sidewalk art show as well as a year round Art Center. Other than skiing and hiking residents of the area enjoy snowmobiling, fishing, boating, antiques shopping, and blueberry and apple picking. The Oxford Casino recently opened and is a short 10-minute drive from Norway.

Stephens Memorial Hospital - Western Maine Health a member of MaineHealth is located 45 miles from Maine Medical Center. The drive time is approximately 1 hour and housing is available.

 

About Stephens Memorial Hospital

Stephens Memorial Hospital, an affiliate of Western Maine Health Care Corporation is a 50-bed acute care facility serving the medical needs of some 25,000 people living in an area that extends from Bethel and Harrison to Mechanic Falls and into New Hampshire. The hospital has a 4-bed ICU/CCU, three operating suites, a 24-hour emergency room, an obstetrics unit, and a physical rehabilitation department. The medical staff is composed of five family practitioners, six internists, three general and seven orthopedic surgeons, three pediatricians, six emergency room physicians, three obstetrician/gynecologists, three radiologists, two anesthesiologists, and two pathologists.

The Oxford Hills Internal Medicine (OHIM) group provides a broad range of outpatient and inpatient services to approximately 12,000 patients. This includes primary and consultative services in a number of specialty areas. Members of the group have expertise in areas such as oncological care, critical care/ventilator management, upper and lower GI endoscopy, and bronchoscopy, as well as standard internal medicine diagnostic procedures. This affords the student or resident the opportunity to see the ability of an internist to extend his/her range of practice in a community that lacks sub-specialists.

 

Practitioners

Brian M. Nolan, M.D. graduated from the University of Vermont Medical School. He did his residency training at Cedars Sinai Medical Center in Los Angeles and joined OHIM in August of 1999.

Peter R. Harbage, M.D., F.A.C.P. graduated from the University of Maryland School of Medicine. He did his residency in internal medicine at Boston City Hospital. Dr. Harbage joined the Oxford Hills group in 1985 and performs sigmoidoscopies and colonoscopies in addition to his general internal medicine duties.

Francis X. Kieliszek, M.D., F.A.C.P also graduated from the University of Maryland School of Medicine. He completed his residency training in internal medicine at the Strong Memorial Hospital in Rochester, NY. Following a year as chief medical resident at Strong, he joined OHIM in 1990. Dr. Kieliszek is a Fellow of the American College of Physicians.

David J. Kumaki, M.D., F.A.C.P. received his medical degree from Columbia University College of Physicians and Surgeons. He then did his internal medicine residency training at Boston City Hospital, followed by a year of cardiology fellowship training at Maine Medical Center. Dr. Kumaki chose Oxford Hills as a place to practice because of experiences he had in rural medicine during his training. He brings a special interest in cardiovascular and lipid disease management to the practice of primary care medicine. He joined OHIM in 1993.

William L. Medd, M.D., F.A.C.P. graduated from the University of Rochester School of Medicine. He did his residency training in internal medicine at Strong Memorial Hospital, Rochester, NY and the Grady Memorial/Atlanta VA-affiliated hospitals in Atlanta, GA. He has special expertise in the areas of practice management, malpractice, and risk management. Dr. Medd and Dr. Ware founded OHIM in 1974.

Barbara J. Seaborg, M.D.
joined Oxford Hills Internal Medicine in 2007. She is a graduate of the Medical College of Virginia and completed her internship and residency training at the University of Iowa Hospitals and Clinics. Dr. Seaborg worked for 13 years at Kennebec Internal Medicine Associates in Augusta, Maine before moving to Norway.

Farmington, ME

Farmington, Wilton, Jay, and Livermore Falls are neighboring communities nestled in the foothills of west central Maine. These towns form the commercial and industrial center for about 40,000 people living across an extensive, rural geographic area. Farmington was originally settled in 1794 and served as a farming community and trading center. Adult medicine physicians in these communities service this entire region. The economy is based on forest products and tourism. Major employers include International Paper, James River Otis, the University of Maine, Bass Shoe, Franklin Memorial Hospital, and area school districts.

Farmington has a population of approximately 7,000 and is within one hour’s drive of three major ski areas and seven golf courses. In addition to skiing, Sugarloaf/USA offers snowboarding, snowshoeing, ice-skating, turbo tubing, and a sports and fitness center like no other. In the summer months you can enjoy their golf course, white water rafting, guided adventures, and their antigravity center. Local Titcom Mountain also offers alpine and cross-country skiing for all skill levels. Farmington, a very popular recreation area, also boasts excellent sailing, hiking, canoeing, hunting, and fishing. The University of Maine's Farmington campus brings a rich cultural diversity to the community. Franklin Memorial Hospital is located 92 miles from Maine Medical Center. The drive time is approximately 1 hour 45 minutes and housing is available.

 

About Franklin Memorial Hospital

Franklin Memorial Hospital is a 70-bed, acute care, community hospital located in Farmington. The hospital serves the needs of people in Franklin and northern Androscoggin counties. This progressive facility was selected by the American Hospital Association as a case study in community health network development. It was Maine's first hospital to offer prenatal nurse home visits to all first-time parents and has recently instituted a Contract for Care program which allows former patients to work off unpaid bills.

In addition to standard medical and surgical units, the hospital has a 5-bed ICU/CCU, a 12-bed outpatient surgical unit, a 3-suite operating room, 24-hour emergency services, and modern, fully staffed laboratory, radiology and physical therapy departments. The forty-seven member medical staff includes resident physicians in family and internal medicine, pediatrics, otolaryngology, ophthalmology, emergency medicine, obstetrics and gynecology, general and orthopedic surgery, pathology, psychiatry, radiology, rheumatology, anesthesiology and urology. The hospital is a part of the Franklin Community Health Network, which has joined together Franklin Health Medical Associates, Evergreen Behavioral Services, the Healthy Community Coalition, and the Western Maine Physicians Hospital Organization.

Franklin Health Internal Medicine is multi-specialty group practice in Farmington with strong inpatient care component to the adult medicine rotation. The office is located in the Mt. Blue Health Center next to Franklin Memorial Hospital.

 

Practitioners

Stephen Goss, D.O. joined Pine Tree Internal Medicine in 2002. He is a graduate of Philadelphia College of Osteopathic Medicine. He completed his residency in general internal medicine at the Philadelphia College of Osteopathic Medicine Consortium. Dr. Goss’ interests include critical care medicine, diabetes, and preventive medicine and he is licensed as both a physician and a surgeon.

Stacy Hershfeld, D.O. graduated from Philadelphia College of Osteopathic Medicine. She completed her residency at the Philadelphia College of Osteopathic Medicine Consortium and joined Pine Tree Internal Medicine in 2002. Dr. Hershfeld’s interests include geriatrics and nutrition, pulmonary and critical care medicine, preventive medicine, and women's health issues.

Robert O’Reilly, D.O. is a graduate of Kirksville College of Osteopathic Medicine. He completed his internal medicine residency at Albert Einstein Medical Center in Philadelphia. He joined Pine Tree Internal Medicine in 2002. Dr. O’Reilly’s special interests include primary care, dermatology, diabetes, and preventive medicine. He is a board certified internist with 15 years experience from the Philadelphia area where he practiced in hospital, office, and nursing home settings.

David Rice, M.D.
received his medical degree from Texas Tech University Health Science School of Medicine and completed his residency training at Scott and White Hospital in Texas. He has practiced in both inpatient and outpatient settings for over 13 years in Texas before moving to Maine in 2007.

NEW 2017 Caribou and Augusta