Afleveringen
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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.
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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.
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Zijn er afleveringen die ontbreken?
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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. -
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.
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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.
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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.
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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.
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