Lessons in Orthopaedic Leadership: An AOA Podcast

The healthcare landscape is transforming at lightning speed, with consolidation reshaping how orthopaedic care is delivered across America. In this eye-opening conversation, Dr. David Jevsevar, CEO of OrthoVirginia, shares his unique perspective gained from navigating nearly every side of this complex equation—from private practice founder to hospital executive to leader of one of the nation's premier orthopaedic mega groups.

Whether you're contemplating your first practice or considering a job change, this conversation offers invaluable guidance from those who've successfully navigated multiple transitions. AOA Emerging Leader Aaron Brandt, MD, had a discussion with Antonia Chen, MD, FAOA, and Clayton Nuelle, MD, about transitioning jobs early in your career, and how to decide what your non-negotiables are for your workplace environment. What drives these transitions? As our guests reveal, it's often a combination of "push factors" moving you away from your current situation and "pull factors" drawing you toward new opportunities. Despite the statistic that over 50% of surgeons change their first job within three years, these transitions are rarely discussed openly, leaving many physicians feeling isolated when considering a move.Both physicians share candid insights about creating personal lists of "negotiables" versus "non-negotiables" when evaluating both current and potential positions.  Both surgeons advocate for transparency with leadership when considering opportunities and leveraging mentorship networks to find positions aligned with your evolving career goals. They also discuss practical considerations like understanding contract terms around tail insurance, signing bonuses, and trailing collections before making any move.

Douglas W. Lundy, MD, MBA, FACS, FAOA, discussed the future of orthopaedic trauma with William T. Obremskey, MD, FAOA, Director of Orthopaedic Trauma at Vanderbilt University Medical Center. Dr. Obremskey shares his vision for the future of orthopaedic trauma surgery, focusing on reducing complications through advanced technologies and improved practices.Perhaps most thought-provoking is Dr. Obremskey's perspective that some of the most impactful advances may not come from fancy technology at all—but from addressing underlying patient factors like smoking cessation and blood sugar control that dramatically affect healing outcomes. The future of trauma care involves both cutting-edge science and fundamental public health initiatives working in tandem.

Peter Murray, MD, FAOA, from the Mayo Clinic shares his groundbreaking insights on hand surgery and leadership. Discover how this unique specialty, sitting at the crossroads of general, plastic, and orthopaedic surgery, is not only evolving but also leading advancements in areas like wound management and peripheral nerve reconstruction. Dr. Murray sheds light on the exciting integration of genetic and regenerative medicine within hand surgery, emphasizing the growing demand for skilled surgeons in this dynamic field.Explore the cutting-edge developments in orthopaedic fracture treatment, where traditional methods meet innovative techniques. Learn about the transformative role of PCR testing in diagnosing atypical infections and the evolution of treatments for distal radial fractures. From the effectiveness of Volar plates to the promising use of spanning wrist plates for older patients, our discussion highlights a pivotal shift towards less invasive, more adaptable solutions that hold the promise of better patient outcomes.Finally, we turn our attention to the future of hand therapy and the evolving landscape of hand surgery education. The essential role of certified hand therapists is emphasized, along with emerging therapies like desensitization and mirror therapy. We also contemplate the training of future hand surgeons, where the balance between competency-based education and traditional residency models comes into play. Ending on a note of gratitude, we celebrate the camaraderie among orthopaedic professionals, acknowledging the AOA's support and relishing in 11 years of meaningful exchanges.

Charlie Saltzman, MD, a leader in foot and ankle surgery and former chair of the University of Utah's Department of Orthopaedics, joins Douglas W. Lundy, MD, MBA, FACS, FAOA, to discuss the future of orthopaedic surgery. Dr. Saltzman shares insights on leadership, collective vision, and community engagement to create thriving teams and advance medical programs.Join us as we discuss transformative innovations, from potential osteoarthritis treatments to trauma reduction via self-driving cars. Discover how advancements in bone healing and ankle replacements are shaping patient care and redefining the future of orthopaedics.

Charlie Saltzman, MD, a leader in foot and ankle surgery and former chair of the University of Utah's Department of Orthopaedics, joins Douglas W. Lundy, MD, MBA, FACS, FAOA, to discuss the future of orthopaedic surgery.  Dr. Saltzman shares insights on leadership, collective vision, and community engagement to create thriving teams and advance medical programs.Join us as we discuss transformative innovations, from potential osteoarthritis treatments to trauma reduction via self-driving cars. Discover how advancements in bone healing and ankle replacements are shaping patient care and redefining the future of orthopaedics.

AOA Emerging Leader, Aaron Brandt, MD, sits down with Professor Bethany Adams (Villanova) and Mimi Peterson, MD (MGH), to discuss the power of allyship and privilege in orthopaedic surgery.  This discussion highlights the importance of DEI forums in fostering challenging yet vital conversations, supported by a three-year curriculum addressing allyship, DEI burnout, and the business aspects of DEI. Effective allyship is a continuous journey.Explore strategies to drive DEI initiatives with limited resources, leveraging ERGs, collective allyship, and tools like reminder cards to turn intentions into actions. Learn how leaders can create environments where allyship thrives through shared learning and support.

Douglas W. Lundy, MD, MBA, FACS, FAOA, sits down with Hassan R. Mir, MD, MBA, FACS, FAOA to discuss the ethical dynamics and transformative potential of physician-industry relationships. Through his wealth of experience in leadership roles, Dr. Mir guides us through the intricacies of aligning personal passion with professional commitments in the medical field. He opens up about maintaining integrity through transparent, fair market value agreements, and how the "front page test" can serve as a guiding principle for ethical business interactions. Prioritizing patient care while cultivating meaningful industry partnerships stands at the forefront of our discussion, offering a blueprint for those navigating this complex landscape.As we delve into the evolving roles of physicians as educators, advisors, and innovators within the industry, Dr. Mir sheds light on the balance needed for those aspiring to leadership positions. We explore how younger physicians can effectively engage with the industry through teaching, networking, and research, while also addressing ethical considerations and the importance of transparent disclosure practices. This episode is packed with insights on navigating the rewarding world of physician-industry engagement, the challenges national organizations face in maintaining funding, and the mutual benefits that arise from these vital partnerships. Join us in this compelling conversation to learn strategies for harnessing the potential of physician-industry collaborations.

Join Douglas W. Lundy, MD, MBA, FACS, FAOA, and Catherine Boudreaux-Hayes, the Senior Director of Government Relations at the American Association of Orthopaedic Surgeons, for a thought-provoking discussion about the evolving landscape of orthopedic surgery. As legislative changes continue to redefine the roles of healthcare providers, especially in rural areas where primary care is lacking, Catherine offers a deep dive into the motivations and implications of these shifts. You'll gain insight into how these changes could affect not just providers but the broader healthcare system.Their conversation also confronts the challenges of integrating a diverse range of healthcare professionals into orthopedic practices. Physician assistants and nurse practitioners are increasingly taking on complex cases, but is this always in the best interest of patient safety and care quality? They explore these dynamics, alongside the economic pressures and rising medical education costs that are reshaping the training of future healthcare professionals. Dr. Lundy and Catherine discussed the need for structured pathways to navigate these changes, ensuring that patient care remains both effective and safe amidst an evolving medical workforce.Looking ahead, they also examine the future of allied health professions and their expanding roles. From chiropractors gaining independence to pharmacists looking to diagnose, the landscape is shifting under our feet. Catherine sheds light on the potential implications of these changes, including how technology, like robotics, might redefine traditional practices in orthopedics. As we anticipate a physician shortage, the conversation underscores the importance of proactive legislative planning to balance innovation with the realities of a changing healthcare environment.

Unlock the future of orthopaedic surgery as Arun Aneja, MD, PhD, a trailblazer in trauma surgery, unveils groundbreaking advancements in surgical implants. Explore how technology is reshaping the field with fourth-generation intramedullary nails and antibiotic-coated implants that promise to treat complex fractures and minimize complications. Discover the innovative biphasic plates designed to adapt dynamically to the healing needs of fractures, offering a glimpse into a more personalized approach to patient care. Dr. Aneja's pioneering insights reveal the transformative potential of these technologies, redefining the landscape of orthopaedic trauma surgery, one innovation at a time.Delve into crucial topics such as antibiotic stewardship in orthopaedic procedures, where Dr. Aneja emphasizes the importance of responsible usage to combat resistance. Learn about the cutting-edge attachment of antibiotics to implants for sustained release and the use of growth factors to enhance bone healing. Consider the balance between the benefits of emergent technologies and their financial implications on healthcare systems. This episode serves as an enlightening journey through the latest orthopaedic innovations, offering listeners a detailed look into the exciting trajectory of trauma surgery and its future implications.

Unlock the future of orthopaedic surgery with our enlightening conversation featuring James L. Cook, DVM, PhD, OTSC, a pioneering expert in regenerative orthopaedics. Learn about the transformative potential of cutting-edge treatments, including the innovative combination of Hyaluronic Acid (HA) and Platelet-Rich Plasma (PRP) for joint health. Dr. Cook sheds light on the importance of evidence-based practices, regulatory challenges with mesenchymal stem cells, and the perils of unverified "stem cell" treatments. We emphasize the need for clear guidelines and insurance coverage to responsibly advance this promising field, ensuring patient safety and efficacy.Discover the groundbreaking advancements in biologic joint regeneration, from the promising results of PRP and Bone Marrow Aspirate Concentrate (BMAC) to the future of biological grafts and tissue-engineered solutions. Dr. Cook discusses the necessity of standardization for consistent outcomes and highlights the crucial role of comprehensive care centers. We also delve into the financial considerations and insurance hurdles that patients face, stressing the importance of integrating these innovative treatments into mainstream orthopaedic care. Join us for an insightful exploration of how regenerative orthopaedics is poised to revolutionize patient care and the future of orthopaedic surgery.

Discover the transformative changes on the horizon for orthopaedic coding and payment models with our esteemed guest, Dr. Adam Bruggeman. Covered are the new CMS-mandated procedural-based bundles, specifically the "team" bundle affecting 25% of US hospitals. Dr. Bruggeman sheds light on the financial and administrative hurdles these mandates bring and compares them to the cost-saving success of physician-led bundles.Prepare yourself for an in-depth exploration of the evolving landscape of hospital-based healthcare bundles and their profound implications for orthopaedic surgeons. The conversation reveals how these new regulations might shift financial risks between hospitals and doctors, leading to a rare alignment of interests in opposing mandatory bundles. We also dive into the CMMI's push for value-based care and its potential impact on the sustainability of Medicare, putting a spotlight on the delicate balance of cost and care quality.Join us as Dr. Bruggeman shares his expert views on the future of medical coding, particularly within the contexts of fee-for-service models and ambulatory surgery centers. From CPT and ICD-10 codes to the Resource-Based Relative Value Scale (RUC), we cover the complexities that define this space. We also discuss the slow shift towards value-based care and the promising, albeit underused, concept of condition-based bundles. This episode is packed with insights and foresight into the future of orthopaedic surgery and healthcare reimbursement models.

Can orthopaedic surgeons balance the demands of their profession while navigating complex healthcare systems? Join us as we explore this and more with our special guest, Felix H. “Buddy” Savoie, III, MD, FAOA. Dr. Savoie pulls back the curtain on the dedication required in orthopedic surgery, the challenges of maintaining high standards in patient care despite restrictive regulations, and how different operational models impact the quality of care provided. This isn't just about bones and joints—it's about the heart and soul surgeons pour into their work.Learn more about global healthcare systems in Great Britain, South Africa, Canada, Australia, and New Zealand. Discover the strengths and pitfalls of national health services and why New Zealand's system stands out for its efficiency. Dr. Savoie sheds light on the significant delays in care in the UK and Canada, and underscores the critical importance of effective communication between physicians and administrators. His insights into rural healthcare challenges, medical training methodologies, and the role of budget constraints offer a well-rounded perspective on the global state of healthcare.Looking ahead, we discuss the future landscape of orthopaedic surgery, from the evolution of Medicare reimbursements to the potential for employment models and unionization. Dr. Savoie emphasizes the urgent need for legislative changes to ensure sustainable medical practices, while also highlighting the importance of innovation and member engagement within professional healthcare organizations. Whether you're a medical professional or an enthusiast, this episode offers valuable insights into advocacy, the economics of practice, and the evolving field of orthopaedic surgery. Tune in to gain a comprehensive understanding of the future of healthcare from one of its leading voices.

Curious about how the future of orthopaedic surgery scholarly publications is shaping up? This episode features a deep dive with Marc F. Swiontkowski, MD, FAOA who provides an authoritative look at the challenges and opportunities facing the field. From the unintended consequences of open access mandates leading to a surge in subpar journals and paper mills, to the crucial rise in retracted manuscripts due to poor peer review, Dr. Swiontkowski explores every avenue. Also covered is the role of hybrid open access models and the complexities surrounding preprint servers, especially in the wake of the COVID-19 pandemic. This is an unmissable conversation that underscores the need for rigorous peer review and global cooperation to maintain the integrity of orthopaedic research. In another compelling segment, the pitfalls and limitations of using large clinical databases and registries in medical research is assessed. Learn how missing data and skewed populations can skew your conclusions and why it's crucial to approach these resources with a critical eye. The misuse of statistical methods by some researchers to chase positive associations without a clear research question, and how this can dilute scientific rigor is also discussed. Finally, how academic journals may inflate their impact factors and the transformative—and sometimes troubling—role of AI in academic publishing is explored. This episode is packed with invaluable insights for anyone vested in the future of orthopaedic surgery research and publications.

Unlock the future of orthopaedic residency training as Dr. Douglas W. Lundy sits down with Dr. J. Lawrence Marsh, a leading voice in the field and chair of the Department of Orthopedic Surgery at the University of Iowa Hospitals and Clinics. Dr. Marsh shares a treasure trove of insights on the paradigm shift from a time-based to a competency-based education system, already gaining momentum in countries like Canada, Australia, and the UK. Listen to Dr. Marsh's firsthand experience and wisdom on what these changes mean for the next generation of orthopaedic residents in the US and how they are set to revolutionize medical training.Discover the intriguing challenges of granting more independence to exceptionally skilled surgical residents and how this can widen the competency gap between them and their peers. We explore the logistical and operational hurdles in transitioning to a competency-based training system and why a well-defined curriculum is critical. Organizations like the ACGME and orthopaedic boards are taking significant steps to implement this new framework, and we discuss the delicate balance needed to integrate competency-based attributes within the traditional time-based structure.Stay ahead of the curve with the latest advancements in residency training, particularly through practice-based assessments and real-time evaluations using mobile technology. These innovations promise to significantly enhance skill acquisition and feedback, generating vast amounts of data to improve training standards. From basic models to cutting-edge VR simulations, we delve into the essential role of technology in preparing residents for complex surgical tasks. Finally, we contemplate the external forces driving rapid transformation in medical education, emphasizing the urgency for change within the next three years. Join us for an enlightening conversation that promises to reshape the future of orthopaedic education.

How is artificial intelligence revolutionizing orthopaedic surgery, and what can big data teach us about improving patient outcomes across different healthcare systems? In our latest episode, we feature insights from Dr. Wayne Sebastianelli, a leading expert in orthopaedics, as he discusses the transformative role of AI and big data in advancing orthopaedic care. Dr. Sebastianelli provides a comparative analysis of international big data registries, highlighting the differences between systems in the United Kingdom, New Zealand, and the United States, and the impact these systems have on patient care. We also explore the challenges of managing extensive data and the implications of different healthcare models on orthopaedic practices. Leadership development and emotional intelligence are pivotal in ensuring the future success of orthopaedists. Listen as Dr. Sebastianelli shares his vision on balancing manpower and honing leadership skills within the field of orthopaedics. We dive into the collaborative efforts of the AOA, AAOS, and ABOS in addressing key issues like compensation and advocacy while emphasizing the critical role of AI in reducing administrative burdens. Dr. Sebastianelli's rich experiences and leadership roles offer valuable perspectives on preparing the next generation of practitioners. Join us for an enlightening conversation that celebrates Dr. Sebastianelli's contributions and looks ahead to the evolving landscape of orthopedic surgery.

Douglas W. Lundy, MD, MBA, FAOA, interviewed Jim Barber, MD who is an accomplished orthopaedic surgeon who practices in Douglas, Georgia. Dr. Barber shares his compelling journey, the various leadership roles he has embraced, and his experiences enriching a close-knit community despite the geographical limitations of a small town. His story illuminates the challenges and rewards of rural healthcare, showing how one dedicated individual can make a significant impact both locally and nationally. Drs. Lundy and Barber tackle the evolving landscape of rural solo private practice, touching on the mounting pressures from insurance companies, the complexities of electronic medical records, and the growing need for larger teams. Dr. Barber offers his thoughts on state support programs, value-based care, and the pressures of consolidation, while reflecting on the changing dynamics of physician collegiality and scope of practice. Through innovative collaboration with local hospitals and Medicare shared savings programs, various pathways are explored for sustainability and the importance of staying positive and proactive in this challenging environment.

Aaron Brandt, MD, spoke with Anthony Catanzano, MD, a Pediatric Spine and Neuromuscular Surgeon at Duke University, and Erin Honcharuk, MD, a Pediatric Deformity Surgeon at Johns Hopkins University, to discuss the Board Certification Process and their methods for preparation.While the boards can be a stressful process, all three orthopaedic surgeons emphasized that the examiners want to make sure that you are practicing safe medicine. Drs. Brandt, Honcharuk, and Catanzano highlighted the importance of using proper documentation, redacting all identifying data, and thoroughly reviewing the ABOS guidelines. Using proper documentation will set you and your patient up for future success. Throughout the conversation, they share valuable insights and personal stories about how mentors and colleagues played pivotal roles in their board preparation. Tune in for essential tips and advice to help you navigate this challenging process with confidence. 

Douglas W. Lundy, MD, MBA, FAOA, interviewed Karl Koenig, MD, FAOA, Executive Director and Adult Reconstruction Surgeon at Musculoskeletal Institute for the University of Texas at Austin, to discuss Shifts in Medicare. Dr. Koenig touched on the different views for Medicare shifting payment systems and managing budget issues. While America has spent large amounts of money on healthcare, Dr. Koenig believes the payment system needs to be adjusted to improve patient outcomes. It is discussed how Medicare is trying to move in a different direction by creating relationships between the specialists and Accountable Care Organizations (ACOs), so they can work together and achieve the same goals. Drs. Lundy and Koenig transitioned to a discussion on bundle payments; and explained the pros and cons for both physicians and patients. Overall, Dr. Koenig stated there are different views on Medicare, but the goal is to have the surgeons' incentives be more aligned with the patients, to give them the best care possible.  

Alexander Aleem, MD, FAOA, interviewed Dr. Danny P. Goel, CEO of PrecisionOS, who currently practices in Vancouver, B.C. and is a Clinical Professor in the Department of Orthopedic Surgery at the University of British Columbia, to discuss the role of virtual reality training and surgical simulation in orthopaedics.Virtual Reality (VR) training is impacting orthopaedics for both residents and educators. The ease of access and affordability of virtual reality education allows residents to practice and be better prepared in the OR, while also allowing the educators to assess the resident's performance and teach them the best habits and actions to operate at the highest level. While typical training methods give haptic feedback to residents, virtual reality allows both haptic and real data feedback to assess competency. In addition to the different types of feedback that VR provides, it also can help foster mentorship both live or on demand, which helps promote a synchronous learning experience for the mentor and mentee. Dr. Goel expresses his excitement and optimism about the future role that VR and AI will play in the world of orthopaedics to provide the best training to future orthopaedic surgeons.

Dr. Aaron Brandt sat down with James R. Ficke, MD, FACS, FAOA, Department Chair of Johns Hopkins, and Joseph R. Hsu, MD, FAOA, Trauma and Deformity Surgeon at Carolinas Medical Center in Atrium Health in Charlotte, to discuss meaningful mentorship during early career. This conversation focuses on what they believe led them on a path to success, and how they have gotten the most out of both experiences – being a mentor and as a mentee. Their discussion communicates the importance of honesty and vulnerability when making relationships, and how this gives both parties the ability to trust one another. Throughout their chat, Drs. Brandt, Ficke, and Hsu, share numerous stories on how their relationships began, and the ways they were able to capitalize on being their genuine selves.  

Douglas W. Lundy, MD, MBA, FAOA, discussed generational shifts and worldview changes in orthopaedics with Lisa Lattanza, MD, FAOA, Chair of Department of Orthopaedics and Rehabilitation at Yale School of Medicine. Dr. Lattanza sees a lot of similarities between the residents of today, and those during her time of residency. Although there are generational differences in technology and practices, there are many positive changes that allow orthopaedic surgeons to become competent and successful in their practice. Young faculty prefers to have a culture that supports their professional and personal lives, allowing them to develop their leadership skills and become a working member of society. Some of the major differences between generations are the faster adaptation to technology and the increased effort to support diversity amongst the orthopaedic profession. Both factors allow for orthopaedic surgeons to become better poised to solve issues in medicine, use more forward thinking, and expand their leadership to a more inclusive culture. 

Douglas W. Lundy, MD, MBA, FAOA, spoke with Scott Porter, MD, FAOA, Orthopaedic Oncologist and Vice Chair of Operations in the Department of Orthopaedics at Prisma Health, Greenville, South Carolina, to discuss how changes in compensation will affect access to patient care in the future. Throughout the discussion, the concepts of rationing healthcare, bundling, and the future of compensation models are evaluated. Dr. Porter explains that compensation affects physician behavior which directly impacts access to patient care. The limitation or creation of access to patient care is created by the physician, while rationing healthcare is only due to overconsumption.Dr. Porter describes his ideal situation for future patient care, which involves a way to fund a healthcare account owned by the patient. This can be used as a means to pay for healthcare in the future, which can also be gifted and transferred to others. In conclusion, Dr. Porter states that it is not a matter of whether changes in compensation will affect access to patient care, but how it will influence access.

Deana Mercer, MD, FAOA, Professor at the University of New Mexico at Albuquerque and Hand and Upper Extremity Surgeon, spoke with Douglas W. Lundy MD, MBA, FAOA, to discuss the misogynistic culture of the orthopaedic specialty. Dr. Mercer explains the changing norms of society and how young orthopaedic surgeons can adjust their views to succeed. Rather than focusing on diversity, biases, and difficulties, orthopaedic departments need to give women the tools to succeed, build their confidence, and empower them to be successful orthopaedic surgeons. Dr. Mercer believes that all prospective orthopaedic surgeons need to engage, challenge others, and be a part of the discussion. 

Dr. Alex Jahangir, MD, FAOA, an Orthopaedic Trauma Surgeon at Vanderbilt University Medical Center, spoke with Dr. Douglas W. Lundy, MD, MBA, FAOA, about the governmental influence on change of culture in orthopaedics.Dr. Jahangir shared his experience as the Chair of the Board of Health and the COVID-19 Taskforce, during the global pandemic. Taking on this government position allowed Dr. Jahangir to see what matters most to the community of Nashville regarding Health and Safety. He found that physicians need to build relationships with patients so they can have trust in the methods that doctors advocate for. A sense of trust and transparency between government officials and the community are also a necessity to address everyone's issues. Dr. Jahangir is optimistic about the future of orthopaedics and believes that establishing good relationships and civil discourse are an investment in the successful future of the orthopaedic profession.  

Drs. Douglas W. Lundy, MD, MBA, FAOA and Aaron Brandt, MD, sat down with Dr. Matthew R. Schmitz, MD, FAOA to discuss the development of two new Lessons in Leadership Podcast Series. Dr. Lundy discussed his intention to interview different leaders on the topic of the future in orthopaedics. This primarily involves changes in culture, employment, and technology—factors that have a major effect on the careers of orthopaedic surgeons. Dr. Brandt indicates that different leaders will be interviewed on the best ways to develop skills early in their practice. This includes addressing the importance of meaningful mentorships, finding success at your first job, and being as productive and efficient as possible. By interviewing these leaders about their early career best practices, Dr. Brandt's goal is to give young orthopaedic surgeons valuable and relevant information as they evolve in their practice. 

Matthew R. Schmitz, MD, FAOA, sat down with the Chief of Surgery at the University of Pennsylvania, Neil P. Sheth, MD, FAOA, to discuss ways that young orthopaedic surgeons can be efficient early in their practice. Throughout their conversation, they articulate three key points to being efficient: managing your attention and energy, finding a work-life balance, and using your time wisely by creating good habits. Not only do they share their tips on finding efficiency early in your career, but they provide real life examples of how they implemented these points in their own lives. 

AOA President, Ann Van Heest, MD, FAOA, connected with Australian Orthopaedic Association (AOA) Past President, Dr. Chris Morrey, to discuss their new programs that have been put into place to diversify the orthopaedic specialty, how the AOA is trying to improve healthcare in regional/rural areas, and how they implemented competency based training into their healthcare system. The Australian Orthopaedic Association is hopeful that the future of orthopaedics will continue to improve by training a diverse, competent fleet of surgeons. to provide equitable healthcare. 

AOA President Ann Van Heest, MD, FAOA, connected with New Zealand Orthopaedic Association (NZOA) President, Haemish Crawford, FRACS, to discuss the structure of orthopaedics in New Zealand, the status of the workforce, and the best way to provide value to young orthopaedic surgeons. The discussion led to an in-depth conversation about the challenges New Zealand orthopaedic surgeons are dealing with, including a lack of healthcare providers, inability to find employment after training, and the lack of resources needed to create a better infrastructure. 

AOA President Ann Van Heest, MD, FAOA, connected with Canadian Orthopaedic Association (COA) Past President, Laurie Hiemstra, MD, PhD, FRCSC, to discuss her unusual path to leadership, her plan for improving diversity in orthopaedics, and the most pressing critical issues affecting the COA. While waitlisting and licensure issues between provinces continue to be a challenge within the orthopaedic specialty, Dr. Hiemstra made it her goal to advocate for underrepresented groups, unify the community, and help develop competent young orthopaedic leaders. 

AOA President Ann Van Heest, MD, FAOA, connected with British Orthopaedic Association (BOA) Past President, Deborah Eastwood, MB, FRCS, to share her path to leadership, the importance of early involvement in your orthopaedic career, and the critical issues facing the BOA today.  Dr. Eastwood discusses key topics such as backlog of cases, unhappiness with the system due to disruption from industrial action, lack of autonomy, and diversity, equity, and inclusion within orthopaedics. With these important matters facing the orthopaedic community, Dr. Eastwood is optimistic that the BOA is headed in the right direction towards a more diverse and representative medical profession. 

AOA President Ann Van Heest, MD, FAOA, connected with South African Orthopaedic Association (SAOA) Past President, Dr. Basil Vrettos, to discuss his path to leadership, the importance of mentorship, the issues that face South African orthopaedists, and the intense training process to become an orthopaedic surgeon in South Africa.Mentorship has played a vital role in the career of Dr. Vrettos–he believes a mentorship is a two-way street in which both the mentor and mentee can equally learn from each other. It was the influence of his mentors that led to his effort to lead the organization, push for a more diverse profession, and address the critical issues facing the SAOA. 

Host Alexander Aleem, MD, FAOA, welcomed Tanner Mitton, CEO and Alex Thomson, President of Medicratic, a company developed to offer a software solution to address Residency and Fellowship applicant evaluations. Tanner and Alex discuss how a trip to a medical conference in Philadelphia turned into the development of Medicratic. After a deeper discussion on the challenges of the resident application process, Tanner and Alex decided there had to be a more efficient way for Program Directors to go through the large number of applicants. With hundreds of applicants, and a surplus of criteria to filter through, Medicratic allows Program Directors to teach the software the exact traits that they are looking for in a resident that fits the unique mission of their institution.  

2023-2024 AOA President, Ann Van Heest, MD, FAOA, joins host Charles A. Goldfarb, MD, FAOA, to deliver a history and background on the Orthopaedic Carousel.Dr. Van Heest explains the exciting process of the Orthopaedic Carousel as she joins each of the English Speaking Orthopaedic Society presidents at their respective annual meetings.  Follow the podcast series to learn how the Orthopaedic Carousel serves as an international think tank to understand how the respective societies and members confront issues that challenge the care of musculoskeletal patients. The Carousel also addresses the future of orthopaedic surgery with a goal to identify common critical issues that may benefit from continued international collaboration.

J. Benjamin Jackson III, MD, MBA, FAOA (APEX 2023 Cohort) sat down with APEX Cohort members: Christopher E. Gross, MD, FAOA (APEX 2023 Cohort), Kamran S. Hamid, MD, MPH, FAOA (APEX 2023 Cohort), and David E. Lazarus, MD, FAOA (APEX 2020-2021 Cohort), to discuss their experience with the APEX program. They talked about their reasons for joining the program, the lessons they have learned, and the skills they can utilize as they progress in their careers. 

Douglas W. Lundy, MD, FAOA, MBA, joins hosts Alexander Aleem, MD, FAOA, and Charles A. Goldfarb, MD, FAOA, to deliver key insights derived from developing the first symposium session at the 2023 AOA Annual Leadership Meeting.Dr. Lundy outlines the emerging market trends and disruptive forces impacting healthcare delivery, which will be amplified in the annual meeting symposium, The Changing Environment/Dynamic of Healthcare.  He discusses the unique backgrounds and perspectives offered by symposium panelists David S. Jevsevar, MD, FAOA, Thomas L. Miller, MD, and Scott Porter, MD, MBA, FAOA.

Cohosts Alexander Aleem, MD, FAOA, and Charles A. Goldfarb, MD, FAOA interview David Ring, MD, PhD, FAOA, about his role as Moderator for Symposium 5: Culture of Safety Across All Professional Endeavors, at the 2023 AOA Annual Meeting.Dr. Ring discusses his personal experience with culture of safety and how it has evolved in the fifteen years that he spent at Massachusetts General Hospital as the chair of orthopaedic and patient safety committee. He shared his perspective on the importance of patient safety and how doctors can help each other in order to create a safer hospital system. David Ring, MD, PhD, FAOA is a board-certified orthopedic surgeon and the Upper Extremity Clinical Director of UT Health Austin's Musculoskeletal Institute. He specializes in hand to shoulder surgery, of which common problems include pain, numbness, injury, infection, or a bump. Additionally, Dr. Ring is a professor in the Dell Medical School Department of Surgery and Perioperative Care and a courtesy professor in both the Dell Medical School Department of Health Social Work and the Dell Medical School Department of Psychiatry and Behavioral Sciences.

How can orthopaedic surgeons play an  important  leadership role in the bone health care of patients?  Kelly Krohn, MD, FACR, CCD, is a board certified and fellowship trained rheumatologist with The CORE Institute.  Dr. Krohn shares powerful illustrations of the importance of integrating bone health specialist perspectives into orthopaedic practice.Kyle Jeray, MD, FAOA, Chair at Prisma Health – Upstate, is an active AOA leader and strong champion for the AOA Own the Bone program.  Dr. Jeray shares why orthopaedic surgeons should take ownership of their patient's bone health and outlines steps to running successful bone fragility fracture prevention programs.============================================================Visit the AOA at www.ownthebone.org for more information on the Own the Bone program's education and resources for orthopaedic surgeons and their teams in establishing a bone health service.

Cohost Alexander Aleem, MD, FAOA, interviews podcast cohost, Charles A. Goldfarb, MD, FAOA, about his role as chair of the 2023 AOA Annual Meeting in an exclusive event preview.Dr. Goldfarb discusses the important symposia topics featured at the meeting, including sessions on the impact of gun violence on orthopaedics, curbing bad behavior within teams, and promoting leadership among orthopaedic faculty.  He shares details on other meeting highlights such as special guest speakers, two new forums for department chairs and vice chairs, ePosters display and presentation, and numerous networking opportunities.Dr. Goldfarb is a Professor and Executive Vice Chair at Washington University. He's been consistently recognized as Best Doctor in America since 2007 and has been recognized as a physician with the Top 10% Patient Satisfaction Scores at Washington University School of Medicine since 2012. He received the Palma Chironis Award for Teaching Excellence in 2016, and the Lee T. Ford Award for Academic Achievement in 2014. He was awarded the Sterling Bunnell Traveling Fellowship in Hand Surgery by the American Society for Surgery of the Hand in 2009.

Guest host Jonathan Braman, MD, FAOA interviews C. McCollister Evarts, MD, FAOA to discuss how to thrive in orthopaedic positions, the traits great orthopaedic leaders have in common, and the importance of diversity in our profession. Dr. Evarts shares his leadership development path  and the reasons behind his strong devotion towards the American Orthopedic Association. Dr. Evarts' longevity in the profession and his myriad of leadership roles give him a unique perspective to share with all orthopaedic surgeons. He has served as Chair of two Orthopaedic Departments and CEO and Dean to two academic health centers. Dr. Evarts served as AOA President in 1985. He has also served as President of the Hip Society, American Board of Orthopaedic Surgery, and OMeGA Medical Grants Association. Dr. Evarts is a member of the Institute of Medicine and has been the recipient of many honors and awards—including the AOA's Distinguished Contributions to Orthopaedics Award in 2006.

How can healthcare firms overcome interior barriers? Is value-based care a viable option in Orthopaedics? What changes are required for growth? Can the organization's management structure effect the success of the firm?Alexander W. Aleem, MD, FAOA, and Charles Goldfarb, MD, FAOA host a special AOA podcast with John Eklund, PhD, MBA, DPhil, Assistant Professor at USC Marshall School of Business. Eklund discusses the importance of organizational structure and implementing efficient management practices into your everyday business. His experience as a management consultant gives a unique perspective into the growth of healthcare organizations and contributes to his expertise for adversity management. Dr. Eklund emphasizes that companies need to better allocate their resources and strategically eliminate the elements that do not provide the organization with value. 

Trends and Innovations in Orthopaedics: A CEO's Perspective Hosts Charles A. Goldfarb, MD, FAOA and Alexander Aleem, MD sit down with Cheryl Blanchard, BS, MS, PhD, president and CEO of Anika Therapeutics, to discuss how the company is driving technological innovations to benefit patients, orthopaedic surgeons, payors, and health care organizations.Dr. Blanchard discusses how new orthopaedic trends impact the development process and shape product offerings. She describes how the 2020 acquisitions of Arthrosurface and Parcus Medical have dramatically shortened Anika's innovation cycles to deliver greater value to physicians, patients, and shareholders.  The conversation touches on Dr. Blanchard's career journey, merging her expertise in medicine, engineering, and business to becoming a leader of a multi-national orthopaedics corporation.  She provides perspectives on challenging yourself professionally, including experiencing new things and not being afraid to accept a challenge.Dr. Blanchard assumed the role of Anika's president and chief executive officer in April 2020. She has served as president and CEO of Microchips Biotech, held senior executive positions at Zimmer-Biotech, and provided strategic consulting services to medical device companies and private equity clients. Dr. Blanchard currently serves as director of Vigil Neuroscience and Daré Bioscience.  Dr. Blanchard received her M.S. and Ph.D. in Materials Science and Engineering from the University of Texas at Austin and received her B.S. in Ceramic Engineering from Alfred University.Anika (NASDAQ: ANIK) is a global joint preservation company committed to delivering meaningful advancements in early intervention orthopedic care, including osteoarthritis pain management, regenerative solutions, soft tissue repair, and bone preserving joint technologies.

Guest host Alexander J. Ghanayem, MD, FAOA interviews Dane Salazar, MD, FAOA, about the benefits of advanced degrees for orthopaedic surgeons. Dr. Salazar is an accomplished shoulder and elbow surgeon at Loyola University in Chicago who recently completed his advanced degree. Salazar notes that surgeons enter the workforce with little formal exposure to business concepts. He reflects on how advanced studies help increase business acumen, sharpen leadership skills, and refine strategic thinking abilities. Dr. Ghanayem and Dr. Salazar discuss the optimum time to return to the classroom and a myriad of program options available to emerging leaders, mid-career managers, and advanced practitioners.  Degree and certificate options are explored, including the MBA, MJ, JD, MPH, and the AOA|USC APEX Leadership Certificate Program.  

How does signaling add value in the application process to both applicants and orthopaedic surgery residency programs?  What are the answers to the most frequently asked questions about participation in the Association of American Medical Colleges (AAMC) Supplemental ERAS® application for the upcoming 2022-2023 residency recruitment cycle, which includes preference signaling?  And how did the AOA's Council of Orthopaedic Residency Directors (CORD) arrive at the maximum number of 30 signal preferences?Alexander W. Aleem, MD, FAOA, hosts a special AOA podcast with S. Trent Guthrie, MD, FAOA, Residency Program Director for Henry Ford Hospital, and Tessa Balach, MD, FAOA, Associate Professor at The University of Chicago Department of Orthopedic Surgery and Rehabilitation Medicine.  Dr. Balach, Chair of the CORD/Academics Committee and Dr. Guthrie, leader of the AOA/CORD signaling work group, discuss the advantages of signaling,  the importance of academic advisors in decision-making, and practical tips for students in navigating the process. 

On today's episode of Lessons in Orthopedic Leadership, our hosts Dr. Charles A. Goldfarb, MD, FAOA and Dr. Alexander Aleem, MD interview Dr. Steven Frick. Dr. Frick is the Division Chief of Pediatric Orthopaedics at Stanford University and is the Program Chair for the AOA's 135th Annual Leadership Meeting in Providence this June. Dr. Frick tells us all about the meaningful, cutting edge content that has been assembled and the opportunities to connect in-person after the pandemic prevented that for a couple of years.The AOA Program Committee relied on membership to submit content ideas for symposia and forums, and this year's meeting contains a focus on the need for more diversity in orthopaedics, a look at the future of orthopaedics for up and coming leaders, and how different organizations can work in tandem.The first symposium will be about how to build a great orthopaedic department for the next decade, and we'll hear the data on some challenges that face orthopaedic leaders who are building their departments. Secondly, there will be a very interesting symposium on how artificial intelligence can help us in our clinics.The third symposium is about gender justice in academic medicine, with Charles Day, MD, MBA, FAOA,  Ann E. Van Heest, MD, FAOA, Kim Templeton, MD, FAOA, and Lisa Lattanza, MD, FAOA.Symposium four will explore the importance of good science and the foundational necessity of excellent research.Symposium five will be all about the role of the AOA and how different organizations should relate and encourage leadership in the world of orthopedics.Symposium six will dissect the topic of leadership and education during and after Covid 19. Dr. Frick reminds us on the episode that a leader's role is to adapt and move forward; the pandemic has changed things and it's important to define how to lead and teach in this new normal. In addition to those topics, come join us to hear from external talent that will lead us to tackle our leadership challenges in new and better ways.Register for the meeting:https://www.aoassn.org/2022-annual-leadership-meeting/Read more on Dr. Frick:www.stanfordchildrens.org/en/doctor/steven-l-frick 

On this episode of the AOA Lessons in Orthopaedic leadership, Charles Goldfarb, MD, FAOA and Alexander Aleem, MD speak to Tessa Balach, MD, FAOA and Mary Mulcahey, MD, FAOA. Drs. Balach and Mulcahey will co-chair the CORD Conference on the 25th of March in Chicago and the Summer CORD Conference in Providence, June 17-18, 2022.After a brief introduction, the Drs. Balach and Mulcahey speak about the boom in resident leadership development, noting the breadth of knowledge that applicants and residents have about the world ahead of them. Drs. Balach and Mulcahey discuss  how teaching leadership and soft skills brings excitement to their roles, noting these skills are also transferrable outside of academic medicine. They share how coaching, providing advice and feedback, as well as teaching leadership subconsciously through role modeling are all important topics for resident education.  We learn how focusing on topics related to emotional intelligence and growth mindset can allow us to take advantage of other opportunities. Dr. Goldfarb shares a statement he read recently from Harvard Business Review that said in coaching and giving feedback it is important that both parties be in the right frame of mind to give and receive feedback. The group advise Residents to not be afraid to ask your program director about what opportunities are out there for you. Drs. Balach and Mulcahey share  information about the upcoming CORD Conference and how they are extremely looking forward to the debate style discussions!If you enjoyed this episode, please be sure to subscribe so you never miss a new episode, and leave us a 5 star review so we can grow and reach a wider community, helping us to keep doing what we're doing. Thanks for listening! Music:Special thanks to Peter Martin of Peter Martin Music, Inc (@iampetermartin) for the jazz introduction and conclusion

On this episode of the A0A's Podcast: Lessons in Orthopaedic Leadership, Drs. Charles Goldfarb and Alexander Aleem are joined by Dr. Douglas Lundy to discuss imposter syndrome, leadership skills, advocacy, and much more. Dr. Lundy shares how he started his leadership journey in the army and what he learned from his trauma fellowship. The three discuss how leadership is a skill that needs to be developed and how irresistible leadership opportunities are when it calls on people. They talk about how important colleagues and friends are and how impactful it is that the giants of the orthopaedic profession are so willing to share their knowledge and experiences. Dr. Lundy hopes to inspire you to work for what you want and encourages you not to allow yourself to fall into a lull. Later never comes, so take action now.  Leadership Insights:Prove you can do the little things so that people have the confidence in you to do the bigger thingsHave the ability to effectively bring groups of people together Be able to work with people at every levelEnvision what the future of your work could be and how to get there Know that mistakes will be made, but they can provide the greatest opportunity for learning. Music:Special thanks to Peter Martin of Peter Martin Music, Inc (@iampetermartin) for the jazz introduction and conclusion

James Herndon, MD, MBA, FAOA shares insights from his newly published title, "Birth of a Specialty:  A History of Orthopaedics at Harvard and Its Teaching Hospitals." About Birth of a Specialty:  A History of Orthopaedics at Harvard and Its Teaching HospitalsBirth of a Specialty presents a comprehensive history of the specialty focused on US contributions and including the orthopaedic surgeons at Harvard Medical School (HMS) and its major teaching hospitals.Volume 1 addresses the early surgical landscape, the development of the specialization of orthopaedics, and the history of orthopaedics at HMS. The history of HMS discusses the creation of the orthopaedic department, curriculum, and residency program, the emergence of sports medicine, as well as the infamous murder of Dr. George Parkman at the school in 1849 and contributions by surgeons to the case.Volumes 2, 3 and 4, present the history of orthopaedics at each of Harvard's teaching hospitals; with volume 2 focused on Boston Children's Hospital, volume 3 on Massachusetts General Hospital, and volume 4 on Brigham and Women's Hospital, Beth Israel Deaconess Medical Center and Boston City Hospital.Each hospital section begins by discussing the origins of the institution; the evolution of orthopaedic department status at each hospital; the contributions of many great orthopaedic surgeons; and the transition from the twentieth to the twenty-first century, including recruitment of orthopaedic chairpersons at each of the hospitals. It ends with a discussion of the role of Harvard orthopaedic surgeons in the world wars.About James Herndon, MD, MBA, FAOAJames H. Herndon, MD, MBA, FAOA is the William H. & Johanna A. Harris Distinguished Professor of Orthopaedic Surgery at Harvard Medical School, Massachusetts General Hospital; and Chairman Emeritus of the Department of Orthopaedic Surgery in Partners Healthcare System (Mass General Brigham), Boston. He has long been a leader in orthopaedics, chairing departments of orthopaedic surgery at Brown University/Rhode Island Hospital and the University of Pittsburgh Medical School and Medical Center (UPMC). He also served as vice president of medical services at UPMC and as associate senior vice chancellor for the health sciences at the University of Pittsburgh.He has influenced the direction of orthopaedics through leadership positions with national organizations such as the American Academy of Orthopaedic Surgeons (AAOS), the American Orthopaedic Association, the Journal of Bone and Joint Surgery, and the Academic Orthopaedic Society.More information can be found here.**The AOA thanks Peter E. Randall Publisher for its generous support of this episode.**

Laura Forese, MD, MPH, joins the AOA Lessons in Orthopaedic Leadership to discuss what orthopaedic leadership looks like from the C-Suite. About Dr. Forese: Dr. Forese is the Executive Vice President and Chief Operating Officer of NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. The only hospital in the country affiliated with two top-ranked medical schools, Columbia University Vagelos College of Physicians & Surgeons and Weill Cornell Medicine, NewYork-Presbyterian Hospital is consistently recognized as a top 10 hospital in the nation and the #1 hospital in New York by U.S. News and World Report, as well as a best place to work by Forbes, Fortune, and Glassdoor. Dr. Forese has ultimate operational responsibility for the NewYork-Presbyterian enterprise, including 10 hospital campuses, 200 primary and specialty care clinics and medical groups, more than 45,000 employees and affiliated physicians, and more than $9 billion in revenue. Her transparent and reassuring leadership as COO, including providing near daily video reports to the NYP workforce during the COVID-19 emergency, has been an important element of NYP's efficacy in confronting the pandemic. Under Dr. Forese's leadership, NewYork-Presbyterian launched an innovative suite of digital health services called NYP OnDemand, implemented groundbreaking employee programs for paid parental leave and respite care, and achieved significant gains in patient satisfaction scores as well as employee engagement and front-line empowerment by focusing on building a culture of respect. As President of the NewYork-Presbyterian Regional Hospital Network, Dr. Forese expanded the organization's presence in Westchester County, Queens and Brooklyn, bringing high-quality community hospitals into the network, and she established the NewYork-Presbyterian Medical Groups to expand NewYork-Presbyterian's primary and specialty care throughout the region. Among Dr. Forese's top priorities and accomplishments is the regionalization and standardization of financial, operational, and clinical practices across the enterprise so that every patient receives the same exceptional standard of care no matter where they go in the NewYork-Presbyterian system. Active in multiple healthcare and civic organizations, Dr. Forese chairs the hospital board of the NIH Clinical Research Hospital in Bethesda, MD; she is also a Trustee of Princeton University, a board member of the Mother Cabrini Health Foundation and of LiveOnNY, and previously served on the board of a healthcare related public company.  She has been named among the 100 most influential people in healthcare nationally, the top 25 women leaders, and the 50 most influential physician executives each by Modern Healthcare magazine. Dr. Forese has also been named among the 50 most powerful women in New York by Crain's Business, and has been honored as Mother of the Year by the American Cancer Society.    An orthopedic surgeon, Dr. Forese graduated summa cum laude and Phi Beta Kappa from Princeton University and Alpha Omega Alpha from Columbia College of Physicians & Surgeons, and she holds a management degree from Columbia's Mailman School of Public Health.   She is married to Dr. Robert Downey, a thoracic surgeon and they have 3 adult children.

AOA's 2021 keynote speaker, author of The Grit Factor: Courage, Resilience and Leadership in the Most Male Dominated Organization in the World, and the founder of The Grit Institute, Shannon Huffman Polson  joins AOA hosts Charles A. Goldfarb, MD, FAOA, and Alexander Aleem, MD  to discuss grit in leadership. Shannon Huffman Polson shares her experience to discuss topics such as:Improving diversity in a male dominated fieldBuilding gritLeading by exampleThe role of mentorship in creating resilienceLimitations of gritLearn more about Shannon Huffman Polson's work here.Music:Special thanks to Peter Martin of Peter Martin Music, Inc (@iampetermartin) for the jazz introduction and conclusion. 

Brandi Hartley, MD FAOA  joins AOA hosts Charles A. Goldfarb, MD, FAOA, and Alexander Aleem, MD  to discuss away rotations. Dr. Hartley shares her experience as Residency Program Director  for University of Louisville's  to discuss topics such as:Importance of away rotationsVirtual rotation recruitment sessions and Zoom fatigueDecreased applicant numbers and students backing out of externshipsCOPA's recommendations to eliminate away rotationsThe future of away rotationsMusic:Special thanks to Peter Martin of Peter Martin Music, Inc (@iampetermartin) for the jazz introduction and conclusion.