Sim Hoffman has been working as a Medical Director at various medical groups around Los Angeles for nearly twenty years. The field of medical management is growing, with an increased need for medical management in hospitals, managed care organizations, long-term care facilities, and other organizations. These types of positions require more than attendance at a medical school, they require specific training to be successful. Here are the steps you need to take to enter into the field of medical management.
1.You need to become a board-certified physician in order to be able to gain the respect of the physicians you manage.
2.Gain the practical knowledge, you need to become a clinician by practicing medicine for three to five years. You don’t need to practice full time, but you do need to have experience dealing with patients, insurance companies, and government regulations.
3.Serve on task forces and committees to gain experience performing management tasks.
4.Take management courses and participate in seminars. This will teach you the basics of management.
5.Improve your communication and listening skills.
6.Get to know people at the hospital and various medical associations. Networking can give you your best chance of landing a job as a Medical Director.
Experienced and competent Medical Directors are in high demand. Whether you are a practicing physician or resident thinking about starting your career as a Medical Director, these easy steps can get you started on the right path. Sim Hoffman is the Managing Director at Advanced Professional Imaging Medical Group in Buena Park, California.
Also can read: Sim Hoffman – Key Considerations for Starting a Private Practice in Radiology
When physicians need to detect injuries, lesions, or tumors on the spine, they have a radiologist like Sim Hoffman perform a myelogram. This is a type of radiological technique that is used to build up an image of the spinal cord. Due to the mineral content of the spine, it can be extremely tough to find any kind of issue or injury.
The procedure begins with a spinal tap being performed on the lower region of the spine. Once this is completed, the radiologist injects a contrasting dye into the spine. At this point, you may be placed on a rotating table and strapped into place. The table is then rotated, so the patient is upside down for a few moments, before being returned to a normal position. This allows the contrast dye time to spread through the spine. From here, x-rays are taken of the affected area and a blood patch is used to seal the wound made to the spinal column.
This type of procedure may be completed in order to diagnose a variety of different disorders that are related to the spine. If you have numbness in your arms or legs your doctor may request a CT myelogram. It is also used to check for spinal stenosis or a narrowing of the spine. It is also used to determine if you have any tumors or infections along your spinal canal.
While myelograms aren’t used very often these days, it can be a great tool for radiologists like Sim Hoffman to build a three-dimensional, computer generated image of the spine. If you have been experiencing spinal pain, and diagnostic tests like a CT scan or MRI are inconclusive, you may have to undergo a myelogram procedure.
Also can read: Sim Hoffman – Types of Medical Diagnostic Imaging Technologies
A leading radiology expert in the United States, Sim Hoffman is naturally fascinated by the potential of molecular imaging. In simple terms, the premise of the method is to one day be able to successfully identify local biological processes with the help of medical imaging. The body has an inflammation somewhere that the radiologist wants to see? The doctor wants to understand certain metabolic processes? The answer to these medical conundrums can be molecular imaging.
We Are Not Actually That Far
Molecular imaging is more than a concept. In fact, it is already used in some form, mainly in the oncology field. Pharmaceutical companies are basing some of their medical solutions on this technology. There are ongoing clinical trials that could change the process of imaging evaluation, as we know it.
Cardiovascular Molecular Imaging
What’s available in the field of oncology, is not much more than a mere concept when it comes to cardiovascular imaging. With that said, the metabolic imaging of the myocardium (heart muscle) is already available. It involves the injection of a contrast material that contains glucose into the arteries of the patient. Then the imaging technology shows the glucose uptake of the myocardium. Even some inflammatory processes can be detected that way, but the technology is simply not refined yet to really work as a wide-spread molecular imaging solution.
Fighting the good fight in the last several decades, Sim Hoffman fully understands the impact that a readily available, diverse molecular imaging technology could mean to the field of medicine, and to science in general.
Also can read: Sim Hoffman – A CT or MRI can be Valuable after Specific Concussions
As an expert radiologist, Sim Hoffman follows the standard protocols. When it comes to concussions, the guidelines usually don’t require CT or MRI imaging, but in certain cases, they are in fact the recommended procedure.
Not all Concussions Were Created Equal
Certain concussions are more problematic than others, in some cases not even producing major symptoms despite their serious nature. Regardless, their identification is only possible through a careful medical evaluation of the case, along with its unique circumstances. Taking a CT or MRI is recommended when some or a combination of the following symptoms occurs:
There are signs that could make the presence of a possible intracranial injury likely
- Symptoms suddenly worsen
- Lingering impairment, especially if the symptoms gradually worsen
- Having difficulties while trying to speak or not remembering one’s language
- Vision problems
- Worsening coordination or lacking fine motor skills (the patient is not capable of touching their nose for example)
- One of the eyelids start to close
- The patient is having difficulties swallowing
- The patient is having trouble staying awake or feels drowsy
- The patient has seizures
- Persistent symptoms (they should usually go away in a week, or maximum 10 days)
When there is a chance for an intracranial hemorrhage, CT is the way to go, whereas MRI’s are the better choice when the patient needs imaging one or two days after the incident. An experienced radiologist like Sim Hoffman will identify the warning signs early on.
Also can read: Sim Hoffman on Obstetric Ultrasound Scans
Sim Hoffman knows that as new medical imaging technologies develop, our understanding of the human brain will considerably improve. Magnetic Resonance Imaging was invented by Paul C. Lauterbur in September, 1971, but the factors that led to the invention of the device have been described much earlier than that, in the 50’s by a scientist named Erik Odeblad.
As far as the functional use of the technology goes, fMRI (Functional Magnetic Resonance Imaging) has only been around in the last 25 years, since the very beginning of the 1990’s. It has become the dominating brain-mapping solution, mainly because it does not require the patients to be drugged during the procedure, or to be exposed to radiation which can prove harmful later on. Once the technology got approved, what was used for research purposes initially turned into a useful clinical tool for the field of neurosurgery.
The Technology’s Role in Medical Decision Making
MRI’s biggest benefit lies in its capability to assist the medical decision making process, with special emphasis on surgical solutions. The image results of an MRI examination can help determine the best course of action, often saving lives in the process. Functional Magnetic Resonance Imaging can also be repeated on certain patients with non-aggressive tumors, allowing their doctors to reevaluate the benefits of some, often extremely risky, surgical procedures. As a leading expert in the field of radiology, Sim Hoffman hopes that the future of medical imaging solutions will be bright, and that new innovations will emerge that will potentially help the whole field of medicine.
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