『AAOS Now Podcast』のカバーアート

AAOS Now Podcast

AAOS Now Podcast

著者： American Academy of Orthopaedic Surgeons | American Association of Orthopaedic Surgeons
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The AAOS Now podcast is a monthly series that spotlights hotly debated issues and controversial trends in orthopaedic surgery. Each episode presents nuanced perspectives to inspire further discourse, inform your decision-making — and maybe even change your mind. Part of The Bone Beat Orthopaedic Podcast Channel. Brought to you by the American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons.© 2020-2026 American Association of Orthopaedic Surgeons. All rights reserved. 政治・政府 政治学 衛生・健康的な生活 身体的病い・疾患
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  • The Limits of Orthopaedic Surgery: A Critique of Heroic Salvage Measures

    The Limits of Orthopaedic Surgery: A Critique of Heroic Salvage Measures
    2026/07/27
    In this episode of the AAOS Now Podcast, host Ahmed Emara, MD, speaks with Nathan Mesko, MD, FAAOS, to explore the limits of orthopaedic surgery and the difficult decisions surrounding “heroic” measures. Dr. Mesko draws on 13 years of experience in orthopaedic oncology and joint reconstruction to unpack what "heroic" really means in surgery. He argues that heroism has less to do with technical difficulty – ”can I perform this procedure” – and more to do with what a patient is being asked to endure to reach a surgeon's envisioned outcome. Throughout the conversation, Dr. Mesko returns to a central idea: Surgical capability should always be outpaced by wisdom. He walks through how to recognize when the push toward a heroic operation is being driven by the surgeon rather than the patient, and he offers concrete techniques for having honest, humane conversations with patients around amputation, cancer diagnoses, and end of life. He also discusses the emotional toll of these decisions, including guilt, escalation of commitment, and how surgeons can build the humility and self-forgiveness needed for a sustainable career. The episode closes with a personal story that illustrates why staying present with a patient and not turning away from them, even after a frustrating conversation, can matter even more than the surgery itself. Key topics covered: Defining "heroic" measures in orthopaedic surgery and how that threshold shifts over a surgeon's career as the surgeon matures, including the evolution from saying "yes" to every procedure to knowing when to say "no” The challenges of actually getting informed consent for maiming or life-altering procedures, such as sacral resections and proximal femoral replacements, given the challenge of explaining to patients how much the procedure will impact their daily life Recognizing when surgical momentum is being driven by the surgeon rather than the patient, including escalation of commitment and the sunken cost fallacy in surgical decision-making The value of physically equalizing the conversation, such as pulling up a chair and sitting down rather than towering over the patient, to build trust and openness The importance of listening to patients before recommending treatment options to ensure that the treatment aligns with the patient’s goals and personal wishes Strategies for guarding against unnecessary repeat interventions, including peer consultation and pausing after setbacks Rethinking success in orthopaedics beyond X-rays and implant longevity, including patient-reported outcomes Managing surgeon guilt, self-forgiveness, and separating outcomes from the integrity of the decision-making process The importance of never leaving a patient without a clear next step or follow-up plan Listeners are encouraged to reflect not only on how they operate, but on how and why they decide to operate at all. Host: Ahmed Emara, MD, member, AAOS Now Editorial BoardGuest: Nathan Mesko, MD, FAAOS, Vice Chair of Global Clinical Operations, Center Director for Orthopaedic Oncology, and Associate Professor, departments of Orthopaedics (Integrated Surgical Institute) and Hematology/Oncology, Cleveland Clinic
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    43 分
  • Registries: What Happens When Orthopaedic Surgeons Own the Data?

    Registries: What Happens When Orthopaedic Surgeons Own the Data?
    2026/06/24
    In this episode of the AAOS Now Podcast, host Stuart J. Fischer, MD, FAAOS, speaks with two leaders in orthopaedic data science about how physician-controlled registries are transforming outcomes measurement, implant evaluation, and clinical decision-making. From the early vision of a national joint replacement registry to a new real-time data partnership with Epic, the conversation traces how far the registries have come and where they are headed. Drs. James Huddleston and Steven Glassman share concrete examples of how registry data is driving practice change. They also address how the data supports Clinical Practice Guidelines and research, why surgeon and patient information is protected from outside access, and what the integration of AI and patient-reported outcomes means for the next generation of orthopaedic registries. Key Topics Covered in This Episode: Origins and goals of the AAOS registry portfolio: How orthopaedic surgeons built a physician-controlled data infrastructure to protect procedures and drive evidence-based care Data sources and infrastructure: AJRR's use of hospital and ASC submissions, Medicare claims for complete follow-up on Medicare patients, and a new Epic Community Registries partnership for real-time data capture Registry scale and participation gaps: Why AJRR has surpassed five million procedures while spine, shoulder and elbow, and musculoskeletal oncology registries are still building volume Real-world clinical impact: How AJRR data has influenced cementless knee adoption, robotics use in unicompartmental arthroplasty, and the growth of triple-tapered femoral stems in hip replacement Research and CPG applications: How the Registry Analytics Institute supports physician-led and industry-sponsored research, with strict controls on data dissemination Patient-reported outcomes: The longstanding role of PROMs in spine and the challenges of scaling PROM collection for hip and knee under new government mandates Data privacy: Why registry data remains de-identified and inaccessible to insurers and government agencies, and what individual surgeon dashboards can offer International comparisons and ISAR: How AJRR benchmarks against registries in England, Wales, and beyond, and why U.S.-specific data remains essential AI and the future of registries: How AJRR is piloting AI-powered EHR extraction to improve data completeness without human intervention About Our Guests: James Huddleston III, MD, FAAOS, is Professor of Orthopaedic Surgery at Stanford Hospital; Co-Chair of the AAOS Registry Oversight Committee; and Chair of the American Joint Replacement Registry Steering Committee Steven D. Glassman, MD, FAAOS, is Professor of Orthopaedic Surgery at the University of Louisville School of Medicine; Medical Director at the Norton Leatherman Spine Center; Chair of the AAOS Registry Oversight Committee; and past Chair of the American Spine Registry Executive Committee
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    40 分
  • The Ortho Surgery Match Game: Signaling, Away Rotations, Research Years, and More

    The Ortho Surgery Match Game: Signaling, Away Rotations, Research Years, and More
    2026/05/29
    In this episode of the AAOS Now Podcast, host Richard Schaefer, MD, FAAOS, sits down with two of orthopaedic surgery's most dedicated advocates for medical student mentorship, William Levine, MD, FAAOS, and Amiethab Aiyer, MD, FAAOS, for a candid conversation about the residency Match process. The discussion tackles the nuts, bolts, and controversies of today's highly competitive application landscape, including how signaling helps students whittle down the number of programs they apply to, why away rotations may have gotten out of hand, and whether every student really needs to do a research year. Drs. Levine and Aiyer share how their decades-long professional relationship helped shape their commitment to guiding the next generation of orthopaedic surgeons. They explain that mentorship is a bidirectional partnership in which the mentee must put forth more than just a desire to learn. They talk about the importance of building a diverse "board" of mentors across institutions. And they encourage students to seek out mentors, including near-peers, who have their “finger on the pulse” of the rapidly-evolving Match process. The episode closes with a candid challenge to prospective applicants: Before attempting to match into orthopaedic surgery, ask yourself why you want to be an orthopaedic surgeon. According to Dr. Levine, mentors should require all of their mentees to answer that question — and if the answer is iffy, encourage them to consider a different specialty. Key Topics Covered in this Episode How the residency Match process works: from application to Match Day Building a mentorship "board": why one mentor isn't enough and how to cultivate relationships across institutions Mentorship as a bidirectional partnership: what mentees must bring to the relationship The origin of OrthoMentor: how Drs. Levine and Aiyer began collaborating to fill a nationwide advising void and how students at institutions with limited advising resources can still access current, accurate guidance Signaling and application caps: understanding the data behind limiting program applications (yes, 100 applications is too many) Away rotations: how many to do and why cohort strategy matters when applying Research years: when they help, when they don't, and what to look for in a productive year Schools without home programs: unique challenges and where to find current guidance Pursuing the right path: why students should reflect on their motivations before pursuing a career in orthopaedic surgery, and why where you train isn’t as important as what you do with the opportunity About Our Guests William N. Levine, MD, FAAOS, the Frank E. Stinchfield Professor and Chair, Department of Orthopaedic Surgery, Columbia University College of Physicians and Surgeons; Chief of the Orthopaedics Service at New York-Presbyterian/Columbia University Medical Center; and Editor-in-Chief Emeritus, Journal of the American Academy of Orthopaedic Surgeons Amiethab Aiyer, MD, FAAOS, Division Chief of foot and ankle surgery and Associate Professor, Department of Orthopaedic Surgery, Johns Hopkins School of Medicine; Deputy Editor, Journal of the American Academy of Orthopaedic Surgeons
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    40 分
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