What makes a great orthopaedic leader? Dr. Alex Ghanayem, fresh off his term as the 137th President of the American Orthopaedic Association (AOA), shares candid reflections on leadership, legacy, and the future of orthopaedic surgery in this thought-provoking conversation with podcast host, Dr. Doug Lundy.

Dr. Ghanayem brings refreshing humility to his assessment of presidential leadership, emphasizing that the organization's strength lies in its committee members and chairs doing the essential work. His greatest satisfaction came not from personal accomplishment but from identifying emerging leaders who will guide orthopaedics through future challenges.

Hear the advice that resonates far beyond orthopaedics: balance subspecialty expertise with broader engagement, develop interests outside medicine (like Dr. Ghanayem’s own wildlife photography), and recognize that leadership service provides returns far exceeding what you invest.

Listen to discover how orthopaedic leadership principles might transform your own approach to medicine and career development.

Moving beyond typical discussions of value-based care, Dr. Mather reframes the entire conversation. "Value-based care is financial innovation to solve important healthcare problems," he explains. These problems extend far beyond cost control to address clinician burnout, prior authorization burdens, care gaps, declining profitability, and health equity. For surgeons planning their careers, understanding this broader context proves essential.

The discussion dives deep into why procedural bundles like CJR and BPCI have limitations despite their promise. "Bundles are a building block," Mather notes, explaining their volatility problems and how they've made value-based care appear to be a "joints and spine initiative" rather than engaging entire practices. He then explores the complex world of condition-based bundles, global risk, and capitation models, illustrating why the shift from fee-for-service feels like "entering a dark forest" for many surgeons.

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.

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.