This episode explores the essentials of effective doctor-patient communication in today’s rapidly changing healthcare landscape, particularly in an era influenced by “Dr. Google” and increased patient access to information. Dr. Katie Schabel, Professor of Orthopaedic Surgery at Oregon Health and Science University, draws from her experience as both a clinician and educator to discuss practical strategies for building trust, demonstrating empathy, and fostering shared decision-making with patients. Topics include the “four E's” of communication - engage, empathize, educate, and enlist - as well as tips for tackling complex conversations around surgical risks, optimization, and misinformation found online. Host: Robert Orfaly, MD, MBA, Editor in Chief, AAOS NowGuest: Katie Schabel, MD, Professor of Orthopaedic Surgery, Oregon Health and Science University
This episode focuses on the evolving process of Maintenance of Certification (MOC) for orthopedic surgeons, highlighting its transition to a more flexible and continuous learning experience. Dr. Gregory McComis, ABOS Director and chair of the ABOS Maintenance of Certification Committee, joins interviewer Dr. Doug Lundy to break down key elements of the MOC program—including professional standing, lifelong learning, performance in practice, and cognitive expertise. Dr. McComis also outlines recent updates, such as the introduction of the Web-Based Longitudinal Assessment (WLA), the move toward a “continuing certification process,” and changes to certification cycles. Together, they discuss how these advancements are designed to help surgeons maintain high standards of care while addressing common challenges and misperceptions. Host: Dr. Doug Lundy, AAOS Now Editorial Board/Former ABOS DirectorGuest: Dr. Gregory McComis, ABOS Director and Chair of the ABOS Maintenance of Certification Committee
This episode offers an in-depth look at the vital role of the AAOS Board of Counselors (BOC) in orthopaedic advocacy and practice. New BOC Chair Dr. Michael Leddy III joins interviewer Dr. Stuart Fischer to share his personal journey in orthopaedics, including how involvement in state societies helped prepare him for national leadership. Together, they discuss pressing issues facing the profession such as scope of practice challenges, prior authorization hurdles, and ongoing Medicare reimbursement concerns. Dr. Leddy outlines the Board’s collaborative grant programs that support state societies and highlights recent advocacy successes—like increased funding and strategic sharing of resources between states. The episode also explores efforts to strengthen communication and partnerships across the orthopaedic community, promote engagement at the National Orthopaedic Leadership Conference, and encourage early career involvement in advocacy. Dr. Leddy invites listeners to the upcoming AAOS Annual Meeting in New Orleans and emphasizes the importance of bi-directional communication and grassroots participation within the Academy. Host: Dr. Stuart Fischer, AAOS Now Editorial BoardGuest: Dr. Michael Leddy III, Chair, AAOS Board of Counselors
As we approach International Women’s Day 2023, this episode from the vault discusses the power that women bring to orthopaedic advocacy. AAOS leader, political pro, and seasoned advocate Claudette Lajam, MD, FAAOS, explains how their unique empathy towards patients and perspective on issues are invaluable to policy discussions and advancing musculoskeletal care. According to Dr. Lajam, it’s a matter of having women at the table, being aware of opportunities, and contributing in a way that pulls on each individual’s strengths. Guest: Claudette Lajam, MD, FAAOS, NYU Langone Orthopedic Center Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council
A myriad of important health policy decisions impacting orthopaedic surgery are made at the state-level, including health insurance regulation, certificate-of-need and scope of practice issues, to name only a few. In this episode, orthopaedic hand surgeon and Georgia State Senator Kay Kirkpatrick, MD, FAAOS shares her perspective on state advocacy, the importance of being engaged on state issues, and the recently passed legislation to reform prior authorization. Guest: The Honorable Kay Kirkpatrick, MD, FAAOS, Senator, Georgia State Senate Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
This episode provides a comprehensive preview of the 2026 AAOS Annual Meeting, set to take place in New Orleans. Special guests Dr. Matthew Provencher, Chair of the Annual Meeting Oversight Committee, and Dr. Michael Leddy, Chair of the Board of Counselors, join host Dr. Stuart Fischer to discuss the meticulous planning required for one of the world’s largest medical gatherings. They cover new data-driven changes aimed at maximizing attendee engagement, including more efficient session lengths and the elimination of ICL registration fees, making education more accessible than ever. The episode highlights the importance of member feedback in shaping the meeting’s offerings, plans for innovative features such as an advanced navigation app, and exciting technological upgrades for hands-on learning. With expert insights and local perspective, the hosts share everything attendees can look forward to -- from educational sessions and networking opportunities, to unique New Orleans attractions and tips for making the most of time in The Big Easy. Host: Dr. Stuart Fischer Guests: Dr. Matthew Provencher, Chair, Annual Meeting Oversight Committee; Dr. Michael Leddy, Chair, Board of Counselors Production and Editing: Matt DeWolf
This episode highlights the influential role of the Orthopaedic Political Action Committee (OrthoPAC) in amplifying the voices of orthopaedic surgeons on Capitol Hill and advancing patient care. Dr. Wayne Johnson, Chair of OrthoPAC, shares insights on the committee’s mission, its major legislative victories—including payment reform and surprise billing—and its ongoing efforts to address key challenges like Medicare reimbursement cuts, prior authorization burdens, and advocacy for physician-owned hospitals. The discussion also explores the importance of bipartisan collaboration, mentorship, and how orthopaedic surgeons at all career stages can get involved in advocacy efforts. Host: Dr. Richard Schaefer, Editorial Board Member, AAOS NowGuest: Dr. Wayne Johnson, Chair, AAOS Orthopaedic Political Action Committee
This episode explores the ongoing challenges and potential solutions surrounding Medicare physician payment reform and the sustainability of orthopedic practices. Dr. Robert Orfaly, editor in chief of AAOS Now, is joined by Dr. Adam Bruggeman, Chair of the AAOS Advocacy Council, to discuss the history of payment models from the sustainable growth rate (SGR) to MACRA, the impact of budget neutrality, and the consequences of stagnant reimbursement rates. Dr. Bruggeman shares insights into how these financial pressures are threatening the viability of independent and group practices, driving consolidation, and affecting patient access to care. The conversation highlights current advocacy efforts to secure inflationary updates for physician payments and emphasizes the importance of physician engagement and storytelling in influencing health policy. Host: Robert Orfaly, MD, Editor in Chief, AAOS NowGuest: Adam Bruggeman, MD, Chair, AAOS Advocacy Council
The American Academy of Orthopaedic Surgeons (AAOS) recently went through a comprehensive multi-year process to re-imagine its core focus and aspirational state to be the trusted leaders in advancing musculoskeletal health. Members of the AAOS Presidential Line provide behind-the-scenes perspective that explores the need for change, and how these changes provide a foundation for greater collaboration, innovation, learning opportunities and benefits for current and future members, patients and the larger musculoskeletal community. More on AAOS’ proposed governance changes: https://www.aaos.org/about/meet-aaos/proposed-governance-changes/ Moving Forward: AAOS Board of Directors Approves New Strategic Plan, (AAOS Now, April 2024): https://www.aaos.org/aaosnow/2024/march-april/commentary/commentary01/ Look Towards the Future, (AAOS Now, August 2024), https://www.aaos.org/aaosnow/2024/aug/youraaos/youraaos01 Host: Valerae O. Lewis, MD, FAAOS, AAOS Membership Council Chair Guests: Paul Tornetta III, MD, PhD, FAAOS, AAOS President Annunziato (Ned) Amendola, MD, FAAOS, AAOS First Vice President Joel Mayerson, MD, FAAOS, FAOA, AAOS Board of Councilors Chair
This episode covers an array of topics related to increasing consolidation within the healthcare system, from banning non-competes to tightening cybersecurity. OrthoForum CEO Karen Simonton offers her perspective and wealth of knowledge, having worked with orthopaedic groups over the last decade, on how this changing landscape is impacting private practices and their ability to provide care. Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council Guest: Karen Simonton, CEO, OrthoForum
Comedian and ophthalmologist Dr. Will Flanary, better known as Dr. Glaucomflecken by his 4 million followers on social media, recently sat down for an exclusive interview during the AAOS 2024 Annual Meeting. He shared his story of going from patient to accidental healthcare advocate and explained how he uses medical satire to entertain and bring attention to key public policy issues. Guest: Will Flanary, MD, AKA Dr. Glaucomflecken, comedian and ophthalmologist Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council More links to Dr. Glaucomflecken: YouTube Website Twitter TikTok Instagram
Recorded on Monday, February 12 at the AAOS 2024 Annual Meeting, this episode sits down with the current and former chairs of the AAOS Orthopaedic PAC to celebrate its 25th anniversary. They discuss its new logo and tagline, key milestones and advocacy victories over the years, the importance of political engagement for physicians, as well as on-site opportunities at the meeting for AAOS members to learn more. Guests: Wayne Johnson MD, FAAOS, FACS, Chair, AAOS Orthopaedic PAC; Stuart Weinstein, MD, FAAOS, Past-Chair, AAOS Orthopaedic PAC Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
In this episode, returning guest and health policy researcher Brian Miller, MD, talks about the opportunity physicians have to improve care for patients outside of their regular practice. From engaging in advocacy efforts to lending their unique perspective in policy discussions, doctors can be instrumental in finding creative solutions to today’s challenges like artificial intelligence, vertically integrated systems and stark law reform. Guest: Brian Miller, MD, MBA, MPH, Nonresident Fellow at the American Enterprise Institute Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
In this episode, we talk about the future of orthopaedics and the policy challenges facing our newest surgeons. Resident leader Kevin Weisz, MD, who recently attended the National Orthopaedic Leadership Conference in Washington, D.C., shares his perspective on issues such as prior authorization, safety in the workplace, as well as reimbursement. Guest: Kevin Weisz, MD, Member, Health Policy Committee and PAC Executive Council Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
Now more than ever, physicians are experiencing instability and uncertainty in their payment reimbursement. This episode addresses the gap between physician reimbursements and the rising costs of running a medical practice continues to widen in addition to other important legislative issues. Representative Mariannette Miller-Meeks (IA-02) has been a champion for finding a long-term solution to put physicians back on level playing field with the rising costs of medicine. As a lead sponsor of Strengthening Medicare for Patients and Providers Act (H.R. 2474) she’s helping to avoid a yearly race to get Congress to intervene and protect patients’ access to Medicare. Guests: Representative Mariannette Miller-Meeks (IA-02) Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
As the shift towards value-based healthcare reform gains momentum, there will be major strategic and organizational changes to how care delivery is redesigned, measured, and reimbursed. This episode delves into the realm of value-based care, exploring fundamental concepts related to alternative payment models in clinical orthopaedics, and how Patient Reported Outcome Measures impact individual patient care, as well as their role in new population health measures with the Centers for Medicare & Medicaid Services. Guests: Eric Makhni, MD, MBA, FAAOS with the Henry Ford Health and Prakash Jayakumar, MD, PHD with the University of Texas at Austin, Dell Medical School Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
Episode Summary: The House of Delegates is the legislative and policy-making body within the American Medical Association (AMA). In this episode, orthopaedic surgeon and AMA Board of Trustees Member Dr. Michael Suk explains how the specialty is represented within the House of Medicine and how initiatives to advance the quality of musculoskeletal care are shared by both organizations. More on the AMA Recovery Plan for America’s Physicians can be found here. Guest: Michael Suk, MD, JD, MPH, MBA, FAAOS, Chair-elect, American Medical Association Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
Lengthy prior authorization processes delay care for patients and contribute to physician burnout. Using Texas as a case study, this episode explains how solutions like the federal version of the state’s GOLD Card law would streamline approvals for medically necessary care as well as make insurance requirements more electronic and transparent. More on AAOS’ prior authorization advocacy efforts: aaos.org/advocacy/advocacy-action-center/prior-authorization Previous podcast episode on prior authorization: aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-19 2023 Orthopaedic Advocacy Week: aaos.org/advocacy/get-involved/orthopaedic-advocacy-week Guest: Christine Kean, COO, The San Antonio Orthopaedic Group Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
Innovation in orthopaedic care faces stiff headwinds, but the relationships among stakeholders are not zero-sum. Following the in-person AAOS/FDA Townhall during the 2023 AAOS Annual Meeting in Las Vegas, leaders from both organizations sat down for an intimate conversation on the ways we can evolve together to improve patient care. They emphasized the need for collaboration, innovation, and reliable data to improve patient outcomes and shape the future of the field. Listen as we delve into the topic of innovation in orthopaedic medical devices, products and technology. More from AAOS on devices. Biologics and technology: https://www.aaos.org/quality/biologics/ More on AAOS’ advocacy efforts: https://www.aaos.org/advocacy/federal-advocacy-issues/drugs-devices-and-fda/ Guests: David Jevsevar, MD, MBA, FAAOS, Chair of Research and Quality Council, AAOS; Captain Raquel Peat, PhD, MPH, Director, Office of Orthopedic Devices, FDA Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
The debate over the pros and cons of physician-owned hospitals has spanned over a decade. Now as momentum builds in Congress to repeal restrictions on their growth and expansion, this episode explains how they help meet a growing demand for services, particularly in rural and underserved areas, and are an important piece of increasing competition in the healthcare delivery system. Previous episode on physician-owned hospitals: https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-7/ Guest: Blake Curd, MD, FAAOS, Past President of Physician Hospitals of America Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council