『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
エピソード
  • Challenging the Medicare Physician Fee Schedule (MPFS) Proposed Rule

    Challenging the Medicare Physician Fee Schedule (MPFS) Proposed Rule
    2026/09/11
    This episode may include content about the American Association of Orthopaedic Surgeons, its advocacy efforts, and the Political Action Committee of the American Association of Orthopaedic Surgeons (OrthoPAC). In this episode of the AAOS Now Podcast, host Doug Lundy, MD, MBA, FAAOS, sits down with Joel Mayerson, MD, FAAOS, Chair of the AAOS Advocacy Council to discuss the calendar year 2027 Medicare Physician Fee Schedule (MPFS) proposed rule, which AAOS considers one of the most significant threats to orthopaedic practice in decades. Dr. Mayerson explains why this moment is different from past fee schedule fights. He walks through the specific provisions driving AAOS’ concern, starting with the proposed 20 percent reduction in valuation for major arthroplasty codes, including total knee, total hip, and total shoulder arthroplasty, as well as shoulder hemiarthroplasty. He also details a proposed change to the Modifier 25 payment policy that would reduce reimbursement when an evaluation and management service and a procedure happen on the same day. This is followed by a discussion of proposed changes to practice expense RVU calculations. Throughout the episode, Dr. Mayerson emphasizes that these policies will have devastating real-world consequences not only on orthopaedic surgeons, but on the patients they are committed to serving. He explains how independent and rural practices that aren’t able to absorb the additional costs will either close or be consolidated into large systems, leaving fewer options for patients; how Medicare beneficiaries could face longer waits and reduced access to care; and how without timely access to care, simple problems will progress to chronic or debilitating problems, leading to more ER visits and hospitalizations. Rather than negotiating quietly behind the scenes, Dr. Mayerson explains that AAOS is taking a firm public stance: The Academy is calling for a full pause on the proposed cuts and a return to 2026 payment values while a more collaborative, data-driven solution is developed. The episode closes with a call to action. Dr. Mayerson urges every AAOS member to get involved, whether through the AAOS Advocacy Action Center, participation in OrthoPAC, or engagement with their state and specialty societies. As Dr. Mayerson emphasizes, advocacy is an extension of patient care. Every letter, comment, and conversation with a legislator helps protect the house of orthopaedics and ensure access to musculoskeletal care for patients across the country. Host: Doug Lundy, MD, MBA, FAAOS, Deputy Editor, AAOS Now, and Chair, AAOS Now Podcast Workgroup Guest: Joel Mayerson, MD, FAAOS, Chair, AAOS Advocacy Council; Professor of orthopaedic surgery, Associate Chief Medical Officer, and Medical Director of Perioperative Services and Sarcoma Services, The Arthur G. James Cancer Hospital ("The James") at The Ohio State University Wexner Medical Center; Director, Division of Musculoskeletal Oncology, The Ohio State University Department of Orthopaedics
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    30 分
  • The ABOS Knowledge, Skills, and Behavior Program: How Valuable Are the Assessments?

    The ABOS Knowledge, Skills, and Behavior Program: How Valuable Are the Assessments?
    2026/08/19
    In this episode of the AAOS Now Podcast, host Doug Lundy, MD, MBA, FAAOS, sits down with two guests who offer differing perspectives about the American Board of Orthopaedic Surgery (ABOS) Knowledge, Skills, and Behavior (KSB) Program. David F. Martin, MD, Executive Director of the ABOS, offers the board's perspective on why the Knowledge, Skills, and Behavior (KSB) Program exists, why it is now required, and where it's headed; Ellen Lutnick, MD, a PGY5 at the University of Buffalo and chair of the AAOS Resident Assembly Executive Committee, shares her experience of living with the program day to day. Together, they trace the KSB Program from its 2018 launch through its 2025 requirement for residents entering the ABOS Part I exam pathway. Dr. Martin explains that the program grew out of decades of interest in competency-based medical education and a recognition that time alone doesn't guarantee a resident has developed adequate orthopaedic knowledge, surgical skill, and professional behavior. He walks through why the ABOS made participation mandatory, how the program integrates with ACGME case logging, and the distinction between formative feedback – meant to help residents improve – and summative feedback, like board exams, that produces a pass or fail outcome. Dr. Lutnick describes how the program was rolled out at Buffalo, what it's actually like to request feedback after or before a case, and how she's learned to be strategic about which cases to submit for evaluation. She also speaks candidly about receiving feedback she disagreed with, how professional behavior assessments surface blind spots, and what other residents have told her they would like to see change about the KSB Program. The conversation closes with a look at where the program might go next, including whether the ABOS will eventually tie participation to specific performance scores rather than just completion numbers. Dr. Martin encourages residents to reach out with feedback so ABOS can continue to make the assessments even more helpful and easier to incorporate into a resident’s busy schedule. Key topics covered in this episode: The origins of the KSB Program and its roots in competency-based medical education Why the ABOS chose to make KSB participation a requirement for the Part I exam Integration between the ABOS case entry system and the ACGME The difference between formative and summative assessment in residency training Strategies to help residents decide which cases to submit for surgical skills evaluation How professional behavior assessments are designed to identify outliers rather than track linear growth The role of verbal vs. written feedback in resident education Resident perspectives on receiving and processing critical feedback Survey fatigue and efforts to streamline the evaluation process What residents want to see improved, including access to individual professional behavior results Where the program may be headed, including the possibility of performance-based scoring requirements Residents starting to navigate the KSB Program will find real value in hearing how a peer has learned to use the tool strategically, not just to meet a requirement, but to actively shape the feedback they receive. Host: Doug Lundy, MD, MBA, FAAOS, Deputy Editor, AAOS Now; Chair, AAOS Now Podcast Workgroup Guests: David F. Martin, MD, Executive Director, American Board of Orthopaedic Surgery; Professor, Orthopaedic Surgery and Rehabilitation (Winston-Salem), Wake Forest University School of Medicine Ellen Lutnick, MD, Chair, AAOS Resident Assembly Executive Committee; PGY5 and Resident Research Coordinator, University of Buffalo Department of Orthopaedics and Sports Medicine
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    37 分
  • 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
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