Stipends, Benefits, and Job Description

MaineHealth is committed to providing adequate financial support of residents/fellows so that they are able to fulfill the responsibilities of their educational programs. Resident/fellows’ stipend will correspond to the level of training the trainee is assigned to, such that a resident/fellow is paid for the program year job they are doing.

All residents/fellows will receive either a full or partial stipend from MaineHealth. All residents/fellows will be provided with a written contract outlining the terms and conditions of their appointment to the residency program. This written contract will not require the trainee to sign any agreement not to compete with MaineHealth after leaving its residency program. Resident applicants will be informed in writing of the benefits for residents. The cost of benefits will follow MaineHealth employee guidelines for full vs. part time employees, regardless of schedule.

Consistent with the MaineHealth Leave of Absence Policy for Residents, if a resident takes an approved leave of absence prior to their last year of postgraduate training, advancement to the next postgraduate level, and the subsequent commensurate increase in pay level, will occur when the resident satisfactorily completes the postgraduate level during which the leave of absence occurred.

Changes in the yearly GME budget [i.e., FTE positions] should be budget-neutral, while acknowledging the need for flexibility due to special or unusual circumstances. No resident interdepartmental transfer requests will be allowed unless the “donating” department is willing to give up that resident slot going forward, or the “accepting” department has an open slot; if the accepting department is at full complement, it must decrease one slot the subsequent year. Any increase in resident complement which is not budget-neutral can be waived if other institutional or external funding can be secured for the GME budget for the total number of additional resident years.

MaineHealth will commit salary support for any resident or fellow who needs to extend their residency or fellowship program to meet board accreditation requirements.

Position Summary

This is highly skilled, professional, patient care work, responsible within the parameters defined by regulation of the State of Maine, MaineHealth Maine Medical Center Foundation and the Accreditation Council for Graduate Medical Education for the 24-hour assessment and management of those patients presented to the physician for evaluation and treatment of medical, surgical and psychiatric service while advancing knowledge, skill, and professional attitude through formal educational program.  This employee will be required to workday, evening, overnight and weekend shifts.  Shifts may exceed 12 hours in duration.  All work hours will comply with the ACGME “Clinical Experience and Education” specifications (Common Program Requirements, Section VI.F.  cprresidency_2023.pdf (acgme.org)

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Medical degree MD or DO.
2. License/Certifications: N/A
3. Experience: N/A
4. Ability to effectively establish and maintain interpersonal communicative relationships with staff physicians, nurses, patients, families and other hospital personnel. Analytical abilities necessary to obtain medical histories, conduct physical examinations, prepare treatment plans and treat assigned patients with appropriate guidance and direction.
5. Departments may have specific technical standards regarding admission, promotion and graduation.

Essential Functions

May perform other duties as assigned.

Values in Action

Overall Values Rating Patient Centered

• Act with compassion and kindness.
  • Listen actively and validate concerns; focus on the individual's needs.
  • Communicate effectively with patients and families.
  • Treat everyone with respect and courtesy; acknowledge cultural differences.
  • Be empowered to advocate and speak up for patient and client safety.
  • Partner with patients, families and care teams to develop a shared plan.

Respect

• Recognize all patients, visitors and co-workers as valued members of the healthcare team.
  • Listen actively and respond thoughtfully.
  • Treat others as you would want to be treated.
  • Embrace diversity, acknowledging each person's uniqueness.
  • Be empathetic, compassionate and kind.
  • Foster a professional and healing atmosphere.
     

Integrity

• Demonstrate professionalism at all times, regardless of the behavior of others.
  • Maintain confidentiality and respect the privacy of all.
  • Develop and maintain a culture of trust and accountability.
  • Act with honesty and transparency at all levels of the organization.
  • Model behavior that is consistently honest and ethical.
  • Acknowledge mistakes as opportunities to learn and grow.

Excellence

• Consistently seek improvements in processes and performance.
  • Set high standards.
  • Strive to exceed expectations with every interaction.
  • Lead by example.
  • Pursue opportunities to learn and grow personally and professionally.
  • Work collaboratively as a team.

Ownership

• Follow up and follow through.
  • Look beyond our individual roles to do what is necessary to get the job done successfully.
  • Take responsibility for our actions and our collective outcomes.
  • Approach challenges with optimism.
  • Represent our organization in a positive light.
  • Promote an accountable, fair and supportive environment.

Innovation

• Welcome change with a positive attitude.
  • Inspire others and foster creativity.
  • Be courageous.
  • Encourage diverse perspectives.
  • Invest in people, technology and research.
  • Commit to lifelong learning and educating.

Functional Demands

• Overall Physical Demand Rating:
  • Medium - Exerting up to 20-S0lbs of force occasionally or 10-25Ibs of force frequently or up to l0lbs of force constantly
• Care Provider:
  • Direct - Hands-on patient care
• Exertional:
  • Lift/Carry less than l0lbs: C
  • Lift/Carry 10-25Ibs: 0
  • Lift/Carry 25-S0lbs: 0
• Positions/Postures/Mobility:
  • Reaching above shoulders: 0
  • Reaching arms extended: F
  • Grip/pinch/grasp: C
  • Palm down work: F
  • Fine motor skills: C
  • Keyboarding: 0
  • Writing: 0
  • Repetitive arm movements: C
  • Static standing: C
  • Dynamic standing: F
  • Walking: 0
  • Sitting: F
  • Bending/twisting at waist: 0
  • Ascend/descend stairs: 0
  • Balancing: F
  • Bend/Twist neck: 0
  • Bimanual dexterity: C
  • Reaching below knee level: 0
• Sensory:
  • Hearing
  • Near vision
  • Distance vision
  • Color discrimination
  • Depth perception
  • Talking
• Cognitive:
  • Produce at a set pace or rate
  • Following verbal instructions
  • Following written instructions
  • Critical decision making
  • Working under deadlines
  • Performing multiple tasks simultaneously
  • Working in a fast-paced environment
  • Working independently
  • Remembering accurately
  • Performing tedious/exacting work
  • Effectively cope with potentially stressful situations
• Work Environment:
  • Driving a motor vehicle
  • Operating hand/power tools
  • Working outdoors
  • Temperatures above 80d
  • Temperatures less than 32d
  • Low light environment
• Potential exposure to:
  • Bloodborne Pathogens
  • Biological agents (bacteria/virus, etc.)
  • Chemicals
  • Ionizing radiation
  • Latex (airborne or solid)
• Personal Protective Equipment required:
  • Respirator
  • Latex Gloves
  • Non-latex gloves
  • Face shields/surgical mask
  • Goggles
  • UV goggles/eye shields
  • Lead shields/aprons
  • Fluid resistant gowns/suits
  • Seatbelt

House Staff Stipend Schedule: AY 24-25

Effective 07/01/2024

*These amounts are effective 07/01/2024, however, all budget proposals are subject to MaineHealth and MaineHealth Board of Trustees approval for the coming fiscal year.

Residency Stipends

Fellowship Stipends

• MaineHealth 2025 Healthy Saver Plan
• MaineHealth 2025 Healthy Select Plan
• MaineHealth 2025 Health Plan Biweekly Payroll Deduction Rates
• MaineHealth 2025 Total Rewards Package

Health Insurance Requirements for Exchange Visitors

Under US Department of State requirements, all J-1 Exchange Visitors (including J-1 students and J-1 scholars) and their J-2 dependent family members are required to have insurance that meets or exceeds the requirements listed in the table below. Failure to maintain adequate insurance may lead to termination of J-1 / J-2 status. For this reason, it is essential that you understand and obtain adequate insurance coverage that meets the J visa obligations.

J-1 / J-2 Insurance Requirements

Insurance plans must provide you and any J-2 family members with benefits to cover medical expenses. In addition, the plan must include a low deductible per accident or illness, and coverage for expenses including medical evacuation to your home country and repatriation of remains in the case of death.

If your insurance plan provides only medical benefits but does not provide for medical evacuation or repatriation of remains, you may need to purchase a supplemental insurance plan that covers these requirements.

Role of MaineHealth:

• MaineHealth serves as the host employer for J-1 visitors but is not their sponsor.
• Organizations like CIEE and ECFMG act as sponsors and provide additional information and support regarding insurance requirements.

How to Obtain J-1 Insurance Coverage

• MaineHealth offers Aetna’s Healthy Select Plan. This plan was compliant with the 500.00 deductible requirement and was typically selected by our J-1 visitors.
  • Important Enrollment Changes for 2025
    • In 2025, the deductible for Aetna’s Healthy Select Plan will increase from $500.00 to $600.00 making it non-compliant with J-1 Visa requirements. While MaineHealth is a host and not a sponsor, MaineHealth will offer an HRA plan with a $100 annual contribution for J-1 Visa CTMs to maintain compliance.
• Please note that there is another plan, Aetna’s high deductible Healthy Saver Plan, which does not comply with the J-1 requirements and J-1 visitors should not enroll in that plan.
• J-1 visitor care team member can call the HR Support Center at  (207-661-4000) prior to December 15, 2024, if they want to change their health plan election to Aetna’s Healthy Select Plan.

There are additional insurance resources available through marketplace insurance: https://www.healthcare.gov/

Any insurance plan used to meet J-1 visa requirements must either be backed by the full faith and credit of your home government, or underwritten by a corporation having one of the following industry ratings:

• A.M. Best rating of A- or above
• McGraw Hill Financial/Standard & Poor’s Claims- paying Ability rating of A- or above
• Weiss Research, Inc. rating of ‘B+’ or above
• Fitch Ratings, Inc. rating of A- or above
• Moody’s Investor Services rating of A3 or above.