Medical Health

ROBERT ERIC HOCHFELDER, D.C.

**** ** ****** **** ***

Miami Lakes, FL 33016

Phone: 305-***-****

E-mail: *************@*****.***

CHIROPRACTIC PHYSICIAN

Patient-focused chiropractic doctor licensed and board certified in the State of Florida. More than 27 years of clinical experience, including providing care in collaborative, co-management teams to provide a thorough and optimal treatment and care environment.

Proficient in multiple manual and instrument techniques dependent upon the patient population.

Exhibit professional and engaging demeanor; work with integrity, empathy, and compassion. Skilled at ordering and interpreting x-rays and digital diagnostic imaging, as well as laboratory tests, to discern underlying health issues. Expert in the treatment and management of patients with spine and extremity musculoskeletal conditions. More than once have identified life-threatening illnesses through routine examinations, and referred patient for treatment that mitigated severity of disease. Trained in Basic Life Support (BLS) measures and concussion/traumatic brain injury recognition and treatment.

Interpret and apply state and federal regulations; provide regulatory oversight for clinics. Experienced in laboratory testing and medical investigation; knowledge of qualitative and quantitative methods and techniques to analyze and interpret data, identify health status (clinical laboratory medicine), collect and prepare samples, and document test conclusions. Possess expert written and oral communication skills. Obtained exposure in research and teaching environments. Able to work flexible or extended schedules. Outstanding work ethic; work effectively in pressured or time-sensitive environments. Exhibit care and compassion with each patient as exhibited by my claims free and discipline free record.

PROFESSIONAL EXPERIENCE

CHIROPRACTIC PHYSICIAN/MEDICAL DIRECTOR June 1989–August 2014

Self-employed

175 Fontainebleau Blvd, Suite 2-G3, Miami, FL, 33172

Independent Contractor

American Medical & Rehabilitation Center Sept. 2014-Pres.

Demonstrates professionalism in delivering quality patient care. Practice clinical chiropractic medicine, overseeing treatment plans for 500 simultaneous patients using rehabilitative treatment to include chiropractic manipulation, physical therapy, nutritional therapy, acupuncture, and other therapeutic modalities. Perform standard manipulation and soft tissue procedures, providing care appropriate to the age of patients served. Familiar with chiropractic care provided for patients utilizing prosthetic limbs. Able to provide Basic Life Support (BLS) response in clinical setting.

Develop plans of care and administer treatment to patients. Apply sound judgment and arrive at accurate conclusions and diagnoses. Provide effective patient care to include manual and mechanical chiropractic manipulation techniques to spine and extremities, support taping (kinesiotape) to spinal and extra-spinal structures for support and rehabilitation outcomes, electro-acupuncture, needle acupuncture, laser acupuncture, auricular therapy, dermal cupping technique and tapping needle techniques. Provide physical therapy including hot packs, ice, electrical muscle stimulation, ultrasound, and traction. Utilize functional nutrition therapy and therapeutic exercises including active and passive therapeutic stretching, thera-band resistance exercise, activities of daily living, and proprioceptive neuromuscular facilitation techniques. Educate patients regarding wellness and disease prevention. Act according to ethical standards.

Convene as necessary with specialty physicians, contracted providers and community healthcare providers to develop a collaborative partnership for patient care. Work independently and on contract to larger, health care centers operating in a staff model setting whereby routine medical and ancillary health care are provided in one location and orchestrated by a primary care physician. Serve as referring physician when necessary, providing diagnosis’s and identifying appropriate follow up examination. Worked at CAC-Ramsey (now CAC-Florida Medical Centers), one of Florida’s largest health care providers with eleven full service, multi-specialty medical centers.

Perform complete and thorough patient systems examinations. Gather information on past and present health status, medical and surgical history. Determine extent of illness or injury and medical necessity of referral if clinically warranted. Systematically obtain patient information through various History and Physical examination procedures, laboratory and diagnostic testing procedures. Review and interpret data findings, radiology reports, as well as raw medical images. Order tests and interprets results of laboratory analysis, x-ray, Computed Tomography (CT) scan, Magnetic resonance imaging (MRI); needle EMG studies and neuro-vestibular tests. Perform comprehensive organ system examination involving Integumentary, skeletal, muscular, immunologic, lymphatic, urinary, cardiovascular, digestive, respiratory, neurologic, endocrinological and reproductive.

Ensure quality and effectiveness of medical care. Re-assess and revise plan of care to meet changing needs of patient. Incorporate research and evidence-based healthcare findings into practice. Treatment results are closely monitored to attain most efficient and cost-effective outcome.

Use automated systems to communicate with patients and other practitioners and to effectuate clinic billing processes. Familiar with electronic medical record systems and the integration of related processes into patient care in a full-service, integrated setting. Prepare reports of findings from diagnostic and examination results and discuss with patient, physicians or other health care provider in the care team. Devise and initiate plans of treatment. Generate reports to determine clinical status and communicate with other doctors and healthcare providers. Possess excellent written and oral communication skills. Clearly, concisely and accurately convey important medical, nutritional, rehabilitative and health information.

Provide patient instruction and formal training classes to support an integrated environment of informative learning and continuous improvement. Certified Monitor in the State of Florida, providing instruction and development to other doctors. In early part of career, participated in research activities at Life University. Supervise 15 clinical/office staff and provide guidance to therapists, other doctors and clinic owners. Coach and encourage employees and provide performance feedback. Promote teamwork. Offer suggestions for dispute/conflict resolution. Promote and exhibit principals of equal employment opportunity (EEO). Demonstrate team commitment by rotating and covering for other doctors as needed, working off-hour and weekend shifts, as well as holidays, as priorities demand.

Provide regulatory oversight in clinical setting. Ensure all operations are run legally and in compliance with laws, practices and procedures. Check licenses, monitor contracts, review billing and office procedures and protocols. Ensure compliance with local, state and federal regulatory organizations and professional organizations.

Oral and written communication: Conduct patient interviews; obtain data from other healthcare professionals; convey critical information to patients. Collaborate daily with other doctors and therapists. Regularly engage in cross-discipline communication, reporting updates and making recommendations to medical staff and other multidisciplinary professionals. Address individuals, small groups and large groups with health and wellness presentations. Prepare and present material at community education events. Possess excellent interpersonal skills. Demonstrate expertise in written communication including report writing for legal proceedings (forensic), clinical practice, regulatory agencies and other professionals. Highly accurate and attentive to detail.

Key accomplishments:

Recognized with appreciation for participation in Dade County School System teacher health fairs for 5 years. Together with various specialists (physicians, dentists, podiatrists, etc.) engaged in health and wellness presentations and demonstrations. Talked to participants about health benefits of chiropractic.

Earned several appreciation awards as a State of Florida Board of Chiropractic Examiner.

Served as Medical Director for four diagnostic and Healthcare centers, ensuring regulatory compliance and educating staff on policy and procedures to effectuate compliance.

INDEPENDENT MEDICAL EVALUATOR/PEER REVIEW PHYSICIAN January 1993–December 2006

Self-employed

State of Florida

Analyzed medical records of other physicians to determine presence of inaccuracies and if standardized protocols and procedures were followed. Performed Independent Medical Evaluations (IME) and Peer Medical Record Reviews at the request of Insurance Carriers to determine medical necessity of continued care and clinical appropriateness of care.

Inspected and examined physical factors of individual patients to determine abnormalities as part of IME process. Gathered medical history information and performed in-depth physical examination and complete systems evaluation. Performed neurological (central and peripheral nervous systems) evaluation and recorded results; measured orthopedic ranges of motion using inclinometry and goniometry, then comparing with standard normative values according to American Medical Association (AMA) guides for impairment rating. Drew medical conclusions and provided opinion on level of abnormality or pathology present.

Drafted advisory reports, which included history, physical examination, medical record review and professional opinion to support my findings and recommendations. These reports were used in legal proceedings including depositions, affidavits and courtroom evidence.

Testified as expert witness in legal proceedings following IMEs. Thorough knowledge of deposition and courtroom procedures related to giving testimony. Consulted with counsel to prepare documents for legal action. Reviewed case files and devised strategies.

Key accomplishments:

Performed approximately 7000 Independent Medical Evaluations with resultant reports.

Analyzed 8000 peer medical records and generated opinion reports.

CONSULTANT January 1994–May 2008

Florida Department of Health – Medical Quality Assurance

Miami, FL

Applied knowledge of board certification rules and regulations to administer Florida State Board Examination to doctors seeking licensure in Florida. Selected for exemplary practice record; must be free of disciplinary actions.

Discrepancy Review: Analyzed discrepancies that arose related to individual practical examination performance between doctors who score the exam. Exercised sound and careful judgment to resolve discrepant material, thus protecting the state’s credibility. Part of three-physician team to evaluate tapes of examination procedure in question. Discussed errant procedures and proper protocol; made decisions based upon scientific facts or norms. Doctors who fail the exam are entitled to review of the corrected exam the purpose the review committee convenes. Further actions can include a hearing before an Administrative Judge, meaning all review decisions must be accurate in analysis and conclusion and able to stand up to judicial review and expert testimony. Perform research to substantiate decisions; follow fair and accurate processes.

Examination Development: Perform substantial research to design new examination questions for the question pool for future exams. Used experience and analysis of disease processes to devise simulated scenarios to test applicants. Construct cases scenarios and paint clinical picture of signs, symptoms and patient presentation related to a particular disease or condition. Devised simulations and correct answers that covered physical examination procedures required for diagnosis (Diagnostic imaging, laboratory, special testing procedures, etc.) and concomitant treatment plans.

Board of Chiropractic Medicine Monitor: Appointed by the Board of Chiropractic Medicine to review medical records of doctors cited by an Administrative Judge for failure to maintain adequate patient records according to Florida Statute (460.413(m)). Monthly record reviews are performed to determine compliance with specific Florida Statutes and reported back to the Board of Chiropractic Medicine.

EDUCATION

DOCTOR OF CHIROPRACTIC, 1988. Cleveland Chiropractic College, Los Angeles, CA.

219 semester hours/4280 hours; 3.45 / 4.0; cum laude

Relevant coursework included:

Research Methodology, Public Health, Serology, Clinical Lab Diagnosis, Toxicology, Pathology, Anatomy, Physiology, Clinical Diagnosis, Neurophysiology, Nutritional Chemistry, Microbiology, X-ray, Physics and Diagnostic Imagining, Biochemistry, Histology, Neuroanatomy, Chiropractic Manipulative Techniques and Professional Ethics.

Teaching experience- Taught Anatomy & Physiology to lower classman chiropractic students at Cleveland Chiropractic College. Led study groups and tutored chiropractic doctorate students in Anatomy and cadaver dissection laboratory. Assisted Instructors in teaching first year chiropractic technique classes to students.

Certification in acupuncture, 2002. Shanghai Research Institute of Acupuncture

Shanghai, China.

Fellowship-International Academy of Medical Acupuncture

ASSOCIATE OF ARTS IN PRE-MED/ Biology, 1984. Miami Dade College, Miami, FL.

LICENSES AND CERTIFICATIONS

Licensed Doctor of Chiropractic (CH5984), Florida Department of Health (Business and Professional Regulation-BPR), 1989

Certification in Phlebotomy, Florida Department of Health (BPR), 1989

Certification in Physical Therapy, Florida Department of Health (BPR), 1989

Certification in Manipulation under Anesthesia, New York Chiropractic College, 1995

Certification in Acupuncture, Florida Department of Health (BPR), 2002 Certification in Orthotics –Sole Support- 2013

Certified Medical Examiner, National Registry of Certified Medical Examiners-2014

Current Florida driver’s license

PROFESSIONAL TRAINING

Chiropractic Medicine

*BrainlineMilitary-Identifying and Treating Concussion/mTBI in Service Members and Veterans- Professional training for healthcare workers.

Complete regular Continuing Medical Education (CME). Topics have included:

*Business/Practice Management, Florida Chiropractic Association Seminar – Continuing Medical Education

*Medicare Documentation/Coding, Florida Chiropractic Association

*Risk Management, OUM Chiropractic Program (Malpractice)

HIV/AIDS

*Risk management, Florida Chiropractic Association, Florida Chiropractic Society, Florida Chiropractic Physicians Association

*Health Insurance Protection and Accountability Act (HIPAA) compliance education training and Security Risk Analysis

*Prevention of Medical Errors

*Disability and Impairment Rating-AMA Guides 5th Edition

*Chiropractic Forensics

*Medical Ethics

*Clinical Laboratory Medicine

*Diagnostic Radiology/Imaging

*Clinical Diagnosis

*Pathology

*Motor Vehicle Accident Reconstruction/Biomechanics

*Orthopedics

*Clinical Nutrition

*Therapeutic Rehabilitation

*Neuromusculoskeletal Medicine-University of Bridgeport

*Soft Tissue Technique to treat Post Surgical Joint Replacement

*Rotator Cuff Injury Evaluation and Management

*Evidence Based Approach to Kinesiology Taping

*Clean Needle Technique and Blood Borne Pathogens

*DOT urine drug testing qualification-Alpha Pro Solutions, Inc.

*Clinical Anatomy

*Neurology

*Physical Therapy

*Non-DOT urine drug testing- Quest Laboratory

*Neuromechanical Impulse Adjusting Technique

*Lumbar Spine Distraction (COX) Technique

*Thompson Terminal Point Technique

*Activator Methods Technique

*Extremity Adjusting Technique-Upper extremity-advanced, Lower extremity-advanced

*Scoliosis Bracing –Scope Method

*Nationally Registered-Certified Medical Examiner – USDOT-Federal Motor Carrier Safety Administration

General Leadership Development

Professional Coaching, non-credit, Florida International University, 2007-2008

Speech Communication/Public Speaking, 3 credit hours, Miami-Dade College, 1995.

HONORS AND RECOGNITIONS

Cum Laude, (Honors)-Cleveland Chiropractic College, 1988

Certificate of Honor for Excellence in Scholarship, Cleveland Chiropractic College.

Certificate of Honor for Clinical Excellence and Leadership, Cleveland Chiropractic College.

Elected to, “Who’s Who Among Student's in American Universities & Colleges,” 1988-1989

PROFESSIONAL MEMBERSHIPS

American Public Health Association (APHA) since 2008.

Florida Chiropractic Association (FCA) 2004, 2006 - Present.

International Academy of Medical Acupuncture (IAMA) since 2002

Florida Chiropractic Physicians Association (FCPA) since 2012

PRESENTATIONS

Chiropractic and Health – Ideal Health Network, Miami, FL, 2003. Health Lecture Series East Ridge Retirement Village. Miami, FL, 1992.

*Effects of Aging on Health

*Osteoporosis and Exercise

*Exercise and Nutrition

*Athletics and the aging body

*Stress Management

*Low impact exercise training

FOREIGN LANGUAGE

Spanish: Advanced Level (Spoken)

Spanish: Intermediate Level (Read and Written)

SPECIAL INTERESTS

Toastmasters International, 1983-1989

Professional Coaching (Life and Business Coaching program, Florida International University), 2007 – Present

Scholarly Reading (Medical, Biblical & Historical-Roman Empire)

VOLUNTEER SERVICE

Feeding/Assisting the poor of Miami-St Louis Catholic Church, 1978-1984

Camillus House, Medical Evaluations – Volunteer, Miami, FL, 1991-1992.

Health care mission trip-Santo Domingo, Dominican Republic, June 2001

Flag Football League, First Aid/Athletic Trainer Volunteer, Miami, FL, 2003-2004.

Catholic Hospice Patient Visitation, Miami, FL, 2007-2009.

Community Health & Education Screenings-200 hours

Athletic Trainer, Our Lady of the Lakes girl’s basketball and volleyball teams, 2012-2014

Medical Trainer, Rebelle Travel Volleyball team, 2014-present

Coordinator, Pre-Baptism Preparation-Our Lady of the Lakes Catholic Church, 2013

Emmaus Volunteer-Our Lady of the Lakes Catholic Church, 2013-present

Catechist-Our Lady of the Lakes Catholic Church, 2014-present

Extraordinary Eucharistic Minister-Our Lady of the Lakes Catholic Church, 2015-present

Contact this candidate