What happens when a respected orthopaedic chair steps away from the big title to get back to the OR, residents, and real day-to-day impact? We sit down with Dr. Keith Kenter to unpack a rare leadership arc—building an academic culture in Kalamazoo, navigating post-COVID administrative sprawl, and ultimately returning to Missouri to reclaim core values: teaching, operating, and mentoring. It’s a candid look at ego, identity, and the quiet power of influence without authority.

Dr. Kenter shares how he elevated scholarly activity, promoted faculty, and designed a longitudinal musculoskeletal education program, then watched his role expand across multiple surgical services until the clinical work he loved slipped out of reach. Family, foresight, and timing opened a door at Mizzou, where strong culture and deep bench strength offered collaboration, patient-first focus, and the daily satisfaction of training the next generation.

If the story resonates, follow the show, share with a colleague, and leave a review with your biggest “leading up” takeaway. Your feedback helps more clinicians find conversations that move our profession forward.

Dr. Rick Wright explores the future of orthopaedic sports medicine, focusing on promising developments in cartilage replacement, meniscus substitution, ACL repair, and innovative rotator cuff treatments. His expert insights reveal how these advancements could transform patient care while addressing the economic realities of implementing cutting-edge treatments.

The healthcare workforce crisis is reshaping American medicine in profound ways that will impact both providers and patients for decades to come. In this eye-opening conversation, Dr. Thomas L Miller, Chief Medical Officer at the University of Utah, reveals how healthcare institutions are navigating the aftermath of what he calls "a bird's eye view of the future" following the pandemic-induced Great Resignation.

What happens when devastating cancer diagnoses transform into manageable chronic conditions? Dr. Terry Peabody, Chair of Orthopaedic Surgery at Northwestern University and past AOA president, takes us on a compelling journey through the evolving landscape of musculoskeletal oncology.

Dr. Peabody shares profound leadership wisdom gained from mentors who taught him that true leadership means "bringing people along with you, not pulling up the ladder." This philosophy has shaped his approach to both patient care and professional development throughout his distinguished career.

Whether you're a healthcare professional or someone whose life has been touched by cancer, this episode offers valuable insights into how leadership, technology, and compassion are shaping the future of orthopaedic oncology. 

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.

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.

Want a real look at how independent orthopaedic groups thrive while hospitals buy up urgent cares, primary care, and the referral rails? Dr. Doug Lundy, AOA host, sits down with Dr. Kimmerly, president at Peachtree Orthopedics in Atlanta, to unpack how a 44-physician practice stays nimble, patient-centered, and profitable in a market dominated by large systems and complex EHR ecosystems. The story isn’t about being the biggest—it’s about building a vertically integrated experience that moves patients from access to outcome with speed and clarity.

If this resonated, follow the show, share it with a colleague who’s weighing independence vs employment, and leave a quick review with your biggest takeaway. Your feedback helps more surgeons find conversations that matter.

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.  

What if a health system could be massive and still feel local to every patient it serves? We sit down with Dr. MaCalus Hogan, chair of orthopedic surgery at UPMC, to unpack how a hybrid model—academic, community-employed, and private partners—can deliver scale without sameness. Dr. Hogan shares the leadership habits that shaped his path (mentorship, humility, listening first) and how those habits translate into practical decisions that align surgeons, hospitals, and health plans around value.

We pull back the curtain on horizontal integration—building trust and shared standards across regions—before moving into vertical integration that connects financing, bundles, post-acute care, and data. Dr. Hogan explains how UPMC leveraged CJR-era lessons to create surgeon-built programs for quality and cost, mirrored within a 4M+ member health plan. Expect clear insights on center-of-excellence designations, optimizing post-acute spend, and the realities of TEAMS participation. We also dig into consolidation with eyes wide open: comparing contracts, unlocking economies of scale, and reinvesting savings into community access points like ambulatory surgery centers and subspecialty services where patients actually live.

Looking 15–20 years ahead, Dr. Hogan argues the big will get bigger, but winners will collaborate, not copy-and-paste. Markets differ, payer mixes shift, and culture matters. The future favors systems that listen locally and act decisively—standardizing where it helps, flexing where it counts. If you care about orthopedic leadership, bundles, payer alignment, and how to grow without breaking what works, this conversation offers a grounded playbook.

Enjoy the episode? Follow, share with a colleague, and leave a review with your biggest takeaway—what’s one integration move your market needs next?

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. 

A new chair’s first year can feel like drinking from a fire hose—until the patterns emerge. Dr. Doug Lundy speaks with Dr. Jennifer Wolf, Chair of Orthopaedic Surgery and Rehabilitation Medicine at the University of Chicago, to unpack what truly shifts when your role becomes building others: the politics you don’t see until you’re in the seat, the communication cadence that keeps a department aligned, and the quiet decisions that make or break culture.

We also delve into the structural elements of leadership: when to appoint vice chairs, how to select division chiefs fairly and why an application process can reveal motivation more effectively than seniority. 

Whether you’re a surgeon aspiring to leadership or a chair refining your playbook, this conversation offers lessons on culture, structure, and strategy—delivered with humility and practical insight. Subscribe, share with a colleague ready to lead, and leave a review noting the one leadership practice you’d adopt tomorrow.

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. 

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.  

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.

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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.

The future of orthopaedic practice won’t be won by the highest offer or the loudest brand—it’ll be won by groups that can bend without breaking. Dr. Doug Lundy sits down with Dr. Alex Vaccaro of Rothman to unpack how a true megagroup navigates shrinking CMS rates, anesthesia shortages, hiring wars, and private equity. 

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 Orthopaedic 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.