Thanks for joining us for the orthoPAc podcast, hosted by Sam Dyer, president of the Physician Assistants in Orthopaedic Surgery. Discussions each week on up to date orthopedic topics for the busy clinician.
Physician Assistants in Orthopaedic Surgery | Sam Dyer, PA-C, MHS
The orthoPA-c podcast is a truly exceptional addition to the world of medical podcasts. As a healthcare professional myself, I was immediately drawn to this podcast due to its focus on advancing the physician assistant profession in orthopedics. After listening to an episode on mentorship and another episode discussing psychological safety in the operating room, I can confidently say that this podcast exceeded my expectations.
One of the best aspects of this podcast is the leadership it provides for PAs in the orthopedic field. The host, who is clearly knowledgeable and experienced in his field, offers valuable insights and guidance for fellow PAs looking to excel in their careers. The discussions on mentorship were particularly helpful, as they shed light on the importance of building relationships with other healthcare professionals and seeking out opportunities for growth and development.
Another standout aspect of this podcast is its commitment to educating listeners on various topics from a renowned PA's perspective. The episodes are well-researched and provide up-to-date information that is relevant to both seasoned PAs and those just starting their careers. This commitment to education not only benefits PAs but also contributes to elevating patient care by ensuring that healthcare providers stay informed about advancements in orthopedics.
While it is difficult to find any negative aspects of this podcast, one minor downside may be its relatively new presence in the podcasting world. As such, the number of episodes available may be limited compared to more established podcasts. However, this does not detract from the quality of the content provided thus far, and I am confident that future episodes will continue delivering valuable insights for PAs working in orthopedics.
In conclusion, The orthoPA-c podcast is a much-needed resource for physician assistants working in orthopedics. It offers leadership, education, and a platform for discussions on important topics within the field. I highly recommend it to any PA looking to expand their knowledge and advance their career in orthopedics. With its informative content and commitment to the PA profession, this podcast has definitely earned its place among the top medical podcasts out there.
Timothy Bert, MD, Sports Medicine Fellowship Trained Orthopaedic Surgeon, specializes in arthroscopic technique. Part 4 includes a discussion of cam lesions and the connenction to osteoarthritis. Dr. Bert covers hip pathology further in the most recent Ortho in the West conference. His talk will be available for free at PAOS.org as the video of the month for June 2025. Virtual Category I CME packages available at PAOS.org for members, and AAPA.org for nonmembers.
Timothy Bert, MD, Sports Medicine Fellowship Trained Orthopaedic Surgeon, specializes in arthroscopic techniques and discusses hip conditions in adolescent patients in part three. Dr. Bert covers hip pathology further in the most recent Ortho in the West conference. Virtual CME will be available at PAOS.org for members, and AAPA.org for nonmembers.
Timothy Bert, MD, Sports Medicine Fellowship Trained Orthopaedic Surgeon, specializes in arthroscopic techniques and discusses hip conditions and The Beighton Scoring System in part two. Dr. Bert covers hip pathology further in the most recent Ortho in the West conference. Virtual CME will be available at PAOS.org for members, and AAPA.org for nonmembers.
Timothy Bert, MD, Sports Medicine Fellowship Trained Orthopaedic Surgeon, specializes in arthroscopic techniques and discusses hip conditions with Sam, Chuck, and Miles. Dr. Bert covers hip pathology further in the most recent Ortho in the West conference. Virtual CME will be available at PAOS.org for members, and AAPA.org for nonmembers.
James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. In Part 2, Jim discusses considerations for opening your own practice, the various models for reimbursement, and the future role of PAs in primary and specialty care. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/
James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. He shares his experience running an APP practice in an underserved community in part 1 of his interview with Sam. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/
Vanessa Smith, MS, PA-C discusses treatment for hand injuries involving the nail bed as well as trigger finger, including the evidence for epinephrine and lidocaine use in the finger. Vanessa is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist.
In Part 3, we cover neurectomy, or denervation, of the thumb carpometacarpal (CMC) joint, and begin a discussion on treating trigger fingers. Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist.
Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist. How do we counsel patients on arthritis? In part 2, Vanessa elaborates on the nonsurgical treatments for CMC Joint Arthritis and key educational ideas such as behavioral modification.
Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist. In today's episode, she discusses ways of explaining osteoarthritis to patients and the nonsurgical treatments available in the "toolbox."
Sam and Chuck discuss how Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic. In the final episode of the series, they discuss systemic diseases and medications that can cause musculoskeletal pain.
Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to recognize when a patient needs to be referred to another provider. When it comes to the pelvis and the hip joint, what other things might present as musculoskeletal pain? Sam and Chuck discuss some experiences.
Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to know what to include in your differential. When do you refer out or send to the Emergency Department? In Part 2, Sam and Chuck discuss pain symptoms from the low back to cervical spine.
Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to know what to include in your differential. In Part 1, Sam and Chuck discuss a case and some non-MSK causes of back pain.
Miles Gilbreath, PA-C, speaks with 2024 Susan Lindahl Memorial Scholarship Winner Haven C. Donovan LAT, ATC, PA-S of DeSales University about the clinical pearl she wrote on Lisfranc diagnosis. 2025 scholarship applications are now being accepted! Check out PAOS.org/scholarship to learn more about this resource for PA students interested in a career in orthopaedics.
Join Miles, Chuck, and Sam in the final installment of their discussion on Return to Play. When someone is experiencing degenerative changes, how can we communicate with them effectively and empathetically about their condition? How can we work with them to help them continue or modify the ways they stay active?
Chuck, Sam, and Miles discuss lumbar strains and other spine injuries, and the role of physical therapy in return to activity. Join the PAOS for a CME conference in 2025! More information at PAOS.org.
Sam, Chuck, and Miles discuss the variables to consider with an athlete's return to activity. When a patient has a fracture or other acute injury, it's important to discuss expectations for return to play and what factors may affect that timeline.
Ortho PAs Sam Dyer, Chuck Dowell, and Miles Gilbreath discuss what to go over with patients when it comes to returning to activity after surgery. What is important to know about each surgeon's protocols? How does a patient's strength and activity level impact a decision on when to have surgery, what procedure to have, and what to try after surgery.
The 2024 report is out now! One of the most important benefits of membership to Physician Assistants in Orthopedic Surgery is the Annual Practice and Compensation Survey report. When you're asking for a salary increase, find yourself in this report and have good data of what other ortho PAs with your responsibilities make. Check out how this differs by region or state! Sam talks with Kevin Whorton about the newest report and the continuing trends of the profession. If you are not a member of the PAOS, join today! PAOS.org
What conversations do you have with your patients regarding return to activity? In Part 1, Sam, Chuck and Miles discuss steroid injections, and how a patient's goals can dictate a course of action. For a runner with knee osteoarthritis, what is important to consider?
Chuck Dowell, PA-C covers an interesting find in ortho urgent care. When there is a chronic injury in an athlete, consider a functional evaluation. Next week, back with Sam, Chuck, and Miles for a discussion on return to play.
Chuck Dowell, PA-C, discusses a commonly missed lower extremity injury. Remember, don't just focus on what appears to be the location of injury, but palpate above and below. Is there soft tissue or structural damage to these areas?
Chuck, Miles, and Sam discuss mistakes in orthopaedics and how to ensure the best care for our patients. Part 4 of 4 includes a discussion of fracture follow-up.
What Happens When Stuff Happens - Part 3 by Physician Assistants in Orthopaedic Surgery | Sam Dyer, PA-C, MHS
Sam Dyer, PA-C, Chuck Dowell, PA-C, and Miles Gilbreath, PA-C, share examples of mistakes in orthopedic care. Part 2 includes what happens with missed fractures, fracture angulation, and when things don't go the way you want them to.
Sam Dyer, PA-C, Chuck Dowell, PA-C, and Miles Gilbreath, PA-C, share examples of mistakes in orthopedic care. Part 1 starts with a discussion of intra-artiular injections. What is in our control with sterile preparation, side-effects and patient expectations? How do we learn when we do have a mistake or a disappointing outcome?
Chuck Dowell, PA-C, discusses a recent Ortho Urgent Care case about a two year old complaining of lack of use of the left arm after an injury playing with her older brother.
Sam shares highlights from a previous PAOS conference presentation on arthritis of the elbow. Niloofar Dehghan, MD is an orthopedic surgeon specializing in Shoulder Care, Elbow Care, Fractures & Trauma. Follow along with the presentation on our youtube channel: https://youtu.be/LQrEbzFHnjA PAOS members have access to the videos of all previous PAOS conferences up to 2022. Check out the Learning Central for links to these videos! Category 1 CME is available for 2023 and 2024 conferences at PAOS.org for members at a discount, and at AAPA.org for non-members.
Sam shares highlights from a previous PAOS conference presentation on arthritis of the elbow. Niloofar Dehghan, MD is an orthopedic surgeon specializing in Shoulder Care, Elbow Care, Fractures & Trauma. To view the imaging that goes along with this presentation, check out our youtube channel: https://youtu.be/qBrAgIi-6U4 PAOS members have access to the videos of all previous PAOS conferences up to 2022. Check out the Learning Central for links to these videos! Category 1 CME is available for 2023 and 2024 conferences at PAOS.org for members at a discount, and at AAPA.org for non-members.
Chuck Dowell, PA-C speaks with 2024 Scholarship Winner Graham Parks, PA-S, on his research review of the Subscapularis-sparing Approach for Anatomical TSA. While the limited exposure of this approach makes it challenging for surgeons to learn, it allows for early unrestricted motion. What do we know so far about how it compares to the traditional approach? What are some considerations for patient selection?
Part 1 of 2. Christina Thomas, PA-S is one of our 2024 scholarship winners and shares with us her presentation. Chuck Dowell, PA-C, hosts this series of interviews with Susan Lindahl Memorial Scholarship recipients. Learn more PAOS.org about this annual scholarship opportunity for PA students interested in orthopedics.
Part 1 of 2. Christina Thomas, PA-S is one of our 2024 scholarship winners and shares with us her presentation. Chuck Dowell, PA-C, hosts this series of interviews with Susan Lindahl Memorial Scholarship recipients. Learn more PAOS.org about this annual scholarship opportunity for PA students interested in orthopedics.
A discussion with Jennifer Orozco-Kolb, Chief Medical Officer of the American Academy of Physician Associates. OUR 200TH EPISODE! In Part 2 we discuss Optimal Team Practice, the future of the profession, and how PAs are improving healthcare access.
A discussion with Jennifer Orozco-Kolb, Chief Medical Officer of the American Academy of Physician Associates. OUR 200TH EPISODE! In Part 1, we discuss the PA Licensure compact, name change, and how far the profession has come.
Chuck Dowell, PA-C discusses the increase in pickleball injuries seen with the increasing popularity of the sport. Achilles tendon ruptures and gastroc injuries or Achilles tendinopathy injuries are common. In this case study, a novice pickleball player was pushing off on his right leg, felt a pop within the right calf/Achilles tendon area, and was unable to continue to play. When do we need to do an ultrasound? When can Physical Therapy begin? How do we counsel the patient on recovery time?
Chuck Dowell, PA-C, shares a case study of a common condition to orthopedic urgent care. How do you talk to a patient about a "Popeye deformity" as they consider surgical vs nonsurgical treatment? We cover mechanism of injury, physical exam, and options for treatment for proximal and distal biceps tears. Guest host Chuck Dowell, MS, PA-C, ATC is Lead Physician Assistant at Colorado Springs Orthopaedics Group Express Care.
Join us next week for new clinical content! Sam discusses his opinion of the American Medical Association's campaign against the PA name change, ability to change specialties, and scope of practice. Ortho Boot Camp registration is now open! Check out PAOS.org for more info about the new offerings this year for those new to the profession or the ortho specialty.
As we return from the annual conference, a further discussion on the history of the American Medical Association and its impact on current challenges in healthcare.
What are some treatment options for patients who have had back surgery but still experience pain? Dr. Baranello, an Interventional Pain Management Specialist at EmergeOrtho in Durham, NC, discusses Neuromodulation. Part 4 concludes our interview with a case study and a discussion of patient selection. If you're in Nashvile this week for the Annual PAOS conference, come by the desk and say hi!
Sam weighs in on an open letter from the American Academy of Physician Associates (AAPA) to American Medical Association (AMA) and their recent "scope creep" rhetoric. The letter is available to read and sign here: https://www.aapa.org/news-central/2024/07/aapa-calls-on-ama-to-put-a-stop-to-campaign-against-pas/
Dr. Baranello is an Interventional Pain Management Specialist at EmergeOrtho. Part 3 of our interview is a discussion of the trial and implant process for the spinal cord stimulator or other neuromodulation device. Limited spaces left! Join us in Nashville for the annual PAOS conference. More info and registration at PAOS.org.
Dr. Robert Baranello the importance of patient selection when using neurmodulation. Part 2 identifies the patient criteria, as well as covers the Gate Control Theory pain and its application in Spinal Cord stimulation and other form of neuromodulation. Dr. Baranello is an Interventional Pain Management Specialist at EmergeOrtho. For more information from Dr. Baranello, check out Https://www.robertbaranellomd.wordpress.com/ https://www.instagram.com/baranello_paindoc/ Register for our next conference at PAOS.org! Join us in Nashville in September - spaces are filling quickly!
Dr. Robert Baranello discusses the growing field of neurmodulation. In part 1, he covers some of the indications for Spinal Cord Stimulation, Peripheral Nerve Stimulation, Ganglion Root Stimulation, and more. Dr. Baranello practices Interventional Pain Management at the Durham office of EmergeOrtho. For more information, check out Https://www.robertbaranellomd.wordpress.com/ https://www.instagram.com/baranello_paindoc/ Register for our next conference at PAOS.org! Join us in Nashville in September - spaces are filling quickly!
Sam shares some considerations for ortho PAs and NPs for ways we can improve the orthopedic care we provide for patients that may not have insurance, may be underinsured, or may have other barriers to care. As he researches for a talk on radiology, he finds some interesting studies about what can make our visits more effective. Join the PAOS in Nashville for the annual conference! Register at PAOS.org.
Today we share a recording of Dr. Brad Ellison from our Charlotte conference. Dr. Ellison is a board-certified fellowship-trained hip and knee reconstruction specialist. He spoke at our Charlotte conference "Arthritis to Arthroplasty" about imaging of the hip. We have several years of conferences available for members to view for free. Please see our Learning Central for links.
Sam shares some of his favorite interviews. This week is Dr. Virginia Casey's discussion of the pediatric elbow fracture and considerations for treating this difficult injury. Dr. Casey is an orthopedic surgeon specializing in pediatrics and medical director of OrthoCarolina. Her talks are available in our library of virtual content, including prior years that members may view for free!
Sam has written a Manual for Onboarding APPs, which is available for free for PAOS members on the Learning Center. Today we revisit his collection of "Practice Pearls" for new PAs or those new to orthopedics. Check out the entire onboarding manual on the PAOS website by clicking on CME and Learning Center. The PDF is available for download in the Resource Library.
Sam shares some of the practical considerations around the death of a loved one.
In the final part of our interview with Dr. Hall, we discuss supplements and other important considerations for adolescent athletes. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org. Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine.
Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.