the orthoPA-c

PAs in Leadership - A Primary Care Perspective - Part 1 Apr 23, 2025

James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. He shares his experience running an APP practice in an underserved community in part 1 of his interview with Sam. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/

A review of common hand conditions and management by a hand PA - Part 4 Apr 16, 2025

Vanessa Smith, MS, PA-C discusses treatment for hand injuries involving the nail bed as well as trigger finger, including the evidence for epinephrine and lidocaine use in the finger. Vanessa is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist.

A review of common hand conditions and management by a hand PA - Part 3 Apr 09, 2025

In Part 3, we cover neurectomy, or denervation, of the thumb carpometacarpal (CMC) joint, and begin a discussion on treating trigger fingers. Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist.

A review of common hand conditions and management by a hand PA - Part 2 Mar 30, 2025

Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist. How do we counsel patients on arthritis? In part 2, Vanessa elaborates on the nonsurgical treatments for CMC Joint Arthritis and key educational ideas such as behavioral modification.

A review of common hand conditions and management by a hand PA - Part 1 Mar 25, 2025

Vanessa Smith, MS, PA-C is a hand specialist who created OrthoRefresh.com as an educational tool for providers in primary care and orthopaedics needing a refresher on treating the hand and wrist. In today's episode, she discusses ways of explaining osteoarthritis to patients and the nonsurgical treatments available in the "toolbox."

Non-orthopedic causes of Musculoskeletal Pain - Part 4 Mar 16, 2025

Sam and Chuck discuss how Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic. In the final episode of the series, they discuss systemic diseases and medications that can cause musculoskeletal pain.

Non-orthopedic Causes of Musculoskeletal Pain - Part 3 Mar 11, 2025

Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to recognize when a patient needs to be referred to another provider. When it comes to the pelvis and the hip joint, what other things might present as musculoskeletal pain? Sam and Chuck discuss some experiences.

Non-orthopedic Causes of Musculoskeletal Pain - Part 1 Mar 04, 2025

Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to know what to include in your differential. In Part 1, Sam and Chuck discuss a case and some non-MSK causes of back pain.

Non-orthopedic Causes of Musculoskeletal Pain - Part 2 Mar 03, 2025

Non-orthopedic causes of pain can present in an orthopedic urgent care or clinic setting and it's important to know what to include in your differential. When do you refer out or send to the Emergency Department? In Part 2, Sam and Chuck discuss pain symptoms from the low back to cervical spine.

Preventing the Misdiagnosis of Lisfranc Injury: A Clinical Pearl Feb 19, 2025

Miles Gilbreath, PA-C, speaks with 2024 Susan Lindahl Memorial Scholarship Winner Haven C. Donovan LAT, ATC, PA-S of DeSales University about the clinical pearl she wrote on Lisfranc diagnosis. 2025 scholarship applications are now being accepted! Check out PAOS.org/scholarship to learn more about this resource for PA students interested in a career in orthopaedics.

Part 5 - Return To Sport - with Arthritis Feb 12, 2025

Join Miles, Chuck, and Sam in the final installment of their discussion on Return to Play. When someone is experiencing degenerative changes, how can we communicate with them effectively and empathetically about their condition? How can we work with them to help them continue or modify the ways they stay active?

Return to Activity - Part 4 - Spine Stuff Feb 12, 2025

Chuck, Sam, and Miles discuss lumbar strains and other spine injuries, and the role of physical therapy in return to activity. Join the PAOS for a CME conference in 2025! More information at PAOS.org.

Return to Activity - Part 3 - After An Acute Injury Jan 29, 2025

Sam, Chuck, and Miles discuss the variables to consider with an athlete's return to activity. When a patient has a fracture or other acute injury, it's important to discuss expectations for return to play and what factors may affect that timeline.

Return to Activity - Part 2 - After Orthopedic Surgery Jan 22, 2025

Ortho PAs Sam Dyer, Chuck Dowell, and Miles Gilbreath discuss what to go over with patients when it comes to returning to activity after surgery. What is important to know about each surgeon's protocols? How does a patient's strength and activity level impact a decision on when to have surgery, what procedure to have, and what to try after surgery.

The PAOS Annual Practice And Compensation Survey 2024 Jan 15, 2025

The 2024 report is out now! One of the most important benefits of membership to Physician Assistants in Orthopedic Surgery is the Annual Practice and Compensation Survey report. When you're asking for a salary increase, find yourself in this report and have good data of what other ortho PAs with your responsibilities make. Check out how this differs by region or state! Sam talks with Kevin Whorton about the newest report and the continuing trends of the profession. If you are not a member of the PAOS, join today! PAOS.org

Return to Activity - Part 1 - After An Injection Jan 08, 2025

What conversations do you have with your patients regarding return to activity? In Part 1, Sam, Chuck and Miles discuss steroid injections, and how a patient's goals can dictate a course of action. For a runner with knee osteoarthritis, what is important to consider?

Case Study - Scapular Dyskinesis and Functional Evaluation Jan 01, 2025

Chuck Dowell, PA-C covers an interesting find in ortho urgent care. When there is a chronic injury in an athlete, consider a functional evaluation. Next week, back with Sam, Chuck, and Miles for a discussion on return to play.

Case Study: Reviewing Maisonneuve Fx Dec 25, 2024

Chuck Dowell, PA-C, discusses a commonly missed lower extremity injury. Remember, don't just focus on what appears to be the location of injury, but palpate above and below. Is there soft tissue or structural damage to these areas?

What Happens When Stuff Happens - Part 4 Dec 18, 2024

Chuck, Miles, and Sam discuss mistakes in orthopaedics and how to ensure the best care for our patients. Part 4 of 4 includes a discussion of fracture follow-up.

What Happens When Stuff Happens - Part 3 Dec 11, 2024

What Happens When Stuff Happens - Part 3 by Physician Assistants in Orthopaedic Surgery | Sam Dyer, PA-C, MHS, Chuck Dowell, MS, PA-C, ATC, and Miles Gilbreath, PA-C, MCHS

What Happens When Stuff Happens - Part 2 Dec 04, 2024

Sam Dyer, PA-C, Chuck Dowell, PA-C, and Miles Gilbreath, PA-C, share examples of mistakes in orthopedic care. Part 2 includes what happens with missed fractures, fracture angulation, and when things don't go the way you want them to.

What happens when stuff happens - Part 1 Nov 24, 2024

Sam Dyer, PA-C, Chuck Dowell, PA-C, and Miles Gilbreath, PA-C, share examples of mistakes in orthopedic care. Part 1 starts with a discussion of intra-artiular injections. What is in our control with sterile preparation, side-effects and patient expectations? How do we learn when we do have a mistake or a disappointing outcome?

Case Study: Pediatric Elbow Pain Nov 20, 2024

Chuck Dowell, PA-C, discusses a recent Ortho Urgent Care case about a two year old complaining of lack of use of the left arm after an injury playing with her older brother.

Elbow Arthritis and Arthroplasty - Part 2 Nov 11, 2024

Sam shares highlights from a previous PAOS conference presentation on arthritis of the elbow. Niloofar Dehghan, MD is an orthopedic surgeon specializing in Shoulder Care, Elbow Care, Fractures & Trauma. Follow along with the presentation on our youtube channel: https://youtu.be/LQrEbzFHnjA PAOS members have access to the videos of all previous PAOS conferences up to 2022. Check out the Learning Central for links to these videos! Category 1 CME is available for 2023 and 2024 conferences at PAOS.org for members at a discount, and at AAPA.org for non-members.

Elbow Arthritis and Arthroplasty - Part 1 Nov 04, 2024

Sam shares highlights from a previous PAOS conference presentation on arthritis of the elbow. Niloofar Dehghan, MD is an orthopedic surgeon specializing in Shoulder Care, Elbow Care, Fractures & Trauma. To view the imaging that goes along with this presentation, check out our youtube channel: https://youtu.be/qBrAgIi-6U4 PAOS members have access to the videos of all previous PAOS conferences up to 2022. Check out the Learning Central for links to these videos! Category 1 CME is available for 2023 and 2024 conferences at PAOS.org for members at a discount, and at AAPA.org for non-members.

A research review of the Subscapularis-sparing Approach for Anatomical TSA Oct 30, 2024

Chuck Dowell, PA-C speaks with 2024 Scholarship Winner Graham Parks, PA-S, on his research review of the Subscapularis-sparing Approach for Anatomical TSA. While the limited exposure of this approach makes it challenging for surgeons to learn, it allows for early unrestricted motion. What do we know so far about how it compares to the traditional approach? What are some considerations for patient selection?

Comprehensive treatment of dysplasia with a periacetabluar osteotomy & arthroscopy - Part 2 Oct 23, 2024

Part 1 of 2. Christina Thomas, PA-S is one of our 2024 scholarship winners and shares with us her presentation. Chuck Dowell, PA-C, hosts this series of interviews with Susan Lindahl Memorial Scholarship recipients. Learn more PAOS.org about this annual scholarship opportunity for PA students interested in orthopedics.

Case Review: Comprehensive treatment of dysplasia with a periacetabluar osteotomy and arthroscopy Oct 16, 2024

Part 1 of 2. Christina Thomas, PA-S is one of our 2024 scholarship winners and shares with us her presentation. Chuck Dowell, PA-C, hosts this series of interviews with Susan Lindahl Memorial Scholarship recipients. Learn more PAOS.org about this annual scholarship opportunity for PA students interested in orthopedics.

Past, present and future of PAs - OUR 200TH EPISODE! Part 2 of 2 Oct 09, 2024

A discussion with Jennifer Orozco-Kolb, Chief Medical Officer of the American Academy of Physician Associates. OUR 200TH EPISODE! In Part 2 we discuss Optimal Team Practice, the future of the profession, and how PAs are improving healthcare access.

Past, present and future of PAs - OUR 200TH EPISODE! Part 1 of 2 Oct 09, 2024

A discussion with Jennifer Orozco-Kolb, Chief Medical Officer of the American Academy of Physician Associates. OUR 200TH EPISODE! In Part 1, we discuss the PA Licensure compact, name change, and how far the profession has come.

A common lower extremity pickleball injury Oct 02, 2024

Chuck Dowell, PA-C discusses the increase in pickleball injuries seen with the increasing popularity of the sport. Achilles tendon ruptures and gastroc injuries or Achilles tendinopathy injuries are common. In this case study, a novice pickleball player was pushing off on his right leg, felt a pop within the right calf/Achilles tendon area, and was unable to continue to play. When do we need to do an ultrasound? When can Physical Therapy begin? How do we counsel the patient on recovery time?

Review of proximal and distal biceps tears Sep 25, 2024

Chuck Dowell, PA-C, shares a case study of a common condition to orthopedic urgent care. How do you talk to a patient about a "Popeye deformity" as they consider surgical vs nonsurgical treatment? We cover mechanism of injury, physical exam, and options for treatment for proximal and distal biceps tears. Guest host Chuck Dowell, MS, PA-C, ATC is Lead Physician Assistant at Colorado Springs Orthopaedics Group Express Care.

Last Word On The AMA Scope Creep For Now Sep 18, 2024

Join us next week for new clinical content! Sam discusses his opinion of the American Medical Association's campaign against the PA name change, ability to change specialties, and scope of practice. Ortho Boot Camp registration is now open! Check out PAOS.org for more info about the new offerings this year for those new to the profession or the ortho specialty.

More on the AMA's "Scope Creep" Campaign Sep 12, 2024

As we return from the annual conference, a further discussion on the history of the American Medical Association and its impact on current challenges in healthcare.

Strategies in Interventional Pain Management - Neuromodulation - Part 4 Sep 04, 2024

What are some treatment options for patients who have had back surgery but still experience pain? Dr. Baranello, an Interventional Pain Management Specialist at EmergeOrtho in Durham, NC, discusses Neuromodulation. Part 4 concludes our interview with a case study and a discussion of patient selection. If you're in Nashvile this week for the Annual PAOS conference, come by the desk and say hi!

Strategies in Interventional Pain Management - Neuromodulation - Part 3 Sep 03, 2024

Dr. Baranello is an Interventional Pain Management Specialist at EmergeOrtho.Part 3 of our interview is a discussion of the trial and implant process for the spinal cord stimulator or other neuromodulation device. Limited spaces left! Join us in Nashville for the annual PAOS conference. More info and registration at PAOS.org.

"Scope Creep," Patient Safety Or Loss Of Market Share And Money? Aug 28, 2024

Sam weighs in on an open letter from the American Academy of Physician Associates (AAPA) to American Medical Association (AMA) and their recent "scope creep" rhetoric. The letter is available to read and sign here: https://www.aapa.org/news-central/2024/07/aapa-calls-on-ama-to-put-a-stop-to-campaign-against-pas/

Strategies in Interventional Pain Management - Neurmodulation - Part 2 Aug 14, 2024

Dr. Robert Baranello shares the importance of patient selection when using neuromodulation. Part 2 identifies the patient criteria, as well as covers the Gate Control Theory pain and its application in Spinal Cord stimulation and other form of neuromodulation. Dr. Baranello is an Interventional Pain Management Specialist at EmergeOrtho. For more information from Dr. Baranello, check out Https://www.robertbaranellomd.wordpress.com/ https://www.instagram.com/baranello_paindoc/ Register for our next conference at PAOS.org! Join us in Nashville in September - spaces are filling quickly!

Strategies in Interventional Pain Management - Neurmodulation - Part 1 Aug 07, 2024

Dr. Robert Baranello discusses the growing field of neurmodulation. In part 1, he covers some of the indications for Spinal Cord Stimulation, Peripheral Nerve Stimulation, Ganglion Root Stimulation, and more. Dr. Baranello practices Interventional Pain Management at the Durham office of EmergeOrtho. For more information, check out Https://www.robertbaranellomd.wordpress.com/ https://www.instagram.com/baranello_paindoc/ Register for our next conference at PAOS.org! Join us in Nashville in September - spaces are filling quickly!

Improving Radiology Access to the Uninsured Jul 31, 2024

Sam shares some considerations for ortho PAs and NPs for ways we can improve the orthopedic care we provide for patients that may not have insurance, may be underinsured, or may have other barriers to care. As he researches for a talk on radiology, he finds some interesting studies about what can make our visits more effective. Join the PAOS in Nashville for the annual conference! Register at PAOS.org.

Radiographic Evaluation of the Hip - Brad Ellison, MD Jul 25, 2024

Today we share a recording of Dr. Brad Ellison from our Charlotte conference. Dr. Ellison is a board-certified fellowship-trained hip and knee reconstruction specialist. He spoke at our Charlotte conference "Arthritis to Arthroplasty" about imaging of the hip. We have several years of conferences available for members to view for free. Please see our Learning Central for links.

From The Archives - Pediatric Elbow Jul 17, 2024

Sam shares some of his favorite interviews. This week is Dr. Virginia Casey's discussion of the pediatric elbow fracture and considerations for treating this difficult injury. Dr. Casey is an orthopedic surgeon specializing in pediatrics and medical director of OrthoCarolina. Her talks are available in our library of virtual content, including prior years that members may view for free!

From the Archives: Practice Pearls Jul 10, 2024

Sam has written a Manual for Onboarding APPs, which is available for free for PAOS members on the Learning Center. Today we revisit his collection of "Practice Pearls" for new PAs or those new to orthopedics. Check out the entire onboarding manual on the PAOS website by clicking on CME and Learning Center. The PDF is available for download in the Resource Library.

"What I Would Rather Not Think About But Have To" Jul 03, 2024

Sam shares some of the practical considerations around the death of a loved one.

Practical Approach To Adolescent Sports Nutrition - Part 3 Jun 26, 2024

In the final part of our interview with Dr. Hall, we discuss supplements and other important considerations for adolescent athletes. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org. Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine.

Practical Approach To Adolescent Sports Nutrition - Part 2 Jun 19, 2024

Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Practical Approach To Adolescent Sports Nutrition - Part 1 Jun 12, 2024

Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine. How can we advise our athletes on best practices for fueling? Dr. Randon Hall shares the basics and how to communicate with patients and their families. What is carb-loading? What is the golden hour? What should athletes be doing several days before a game, during a game, and after to refuel? Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Obesity Medicine and Optimizing the Ortho Surgery Patient - Part 4 Jun 05, 2024

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In the final part of this interview, we discuss considerations for ortho surgery. How do you adjust weight-loss medications before surgery, and when can the patient resume? What side effects are important to discuss? How do you go about discussing weight loss with your patients? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

Obesity Medicine and Optimizing the Ortho Surgery Patient - Part 3 May 29, 2024

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In Part 3, we discuss GLPs and what health risks are associated with GLPs. What are considerations for a holistic treatment of the patient? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

Obesity Medicine and Optimizing the Ortho Surgery Patient - Part 2 May 22, 2024

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In Part 2, we discuss the significant risks associated with surgery and the obese patient. How can we optimize the health of these patient and reduce these risks? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

Obesity Medicine and Optimizing the Ortho Surgery Patient, Part 1 May 15, 2024

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In Part 1, we cover the basics of obesity medicine and new developments. What are the limitations of a measurement such as Body Mass Index (BMI)? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

Olecranon Bursitis Pearls May 08, 2024

Chuck Dowell, PA-C shares a recent ortho urgent care case. Forty-five year old male presenting to clinic with acute onset of fluid collection in the left elbow.

Knee Effusion Pearls May 01, 2024

Chuck Dowell, PA-C, returns to the podcast for an Ortho Urgent Care case. What to consider for Knee Effusions, including diagnosis, joint aspiration and treatment.

Sports Overuse Injuries in Pediatric Orthopedics - Part 5 Apr 24, 2024

To conclude our interview with Pediatric Sports Medicine physician Dr. Hall, we discuss little Leaguer's shoulder and the importance of precision in any diagnosis of an overuse injury. Videos from Ortho in the West will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Sports Overuse Injuries in Pediatric Orthopedics - Part 4 Apr 17, 2024

In Part 4 of a discussion of overuse injuries, Pediatric Sports Medicine physician Dr. Randon Hall covers upper extremity conditions such as Gymnast's Wrist and Little Leaguer's Elbow. Dr. Hall presented on two topics at our recent CME conference, Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Sports Overuse Injuries in Pediatric Orthopedics - Part 3 Apr 10, 2024

Dr. Randon Hall shares approaches to athletes and their families in the diagnosis and treatment of overuse injuries. In part 3, discussion includes various conditions of the knee. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Sports Overuse Injuries in Pediatric Orthopedics - Part 2 Apr 03, 2024

Dr. Randon Hall shares approaches to athletes and their families in the diagnosis and treatment of overuse injuries. Are there more effective ways we could be treating shin splints? What kind of imaging is important for 5th MTT apophysitis? Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Sports Overuse Injuries in Pediatric Orthopedics - Part 1 Mar 27, 2024

Dr. Randon Hall shares approaches to athletes and their families in the diagnosis and treatment of overuse injuries. In Part 1, discussion includes Posterior Tibialis Tendinitis, Peroneus Brevis Tendinitis, the role of DME, and the importance of specificity in the physical exam. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

The Difficult Primary Hip - Part 2 Mar 20, 2024

Jacob Drew, MD, specializes in the hip and spoke at one of our earlier Charlotte conferences. Today is the second installment from his talk, covering hip dysplasia and other factors that can impact surgical planning and treatment plans. PAOS members, check out the Learning Central for free resources such as this talk and a library of previous conferences. https://paos.mycrowdwisdom.com/diweb/gateway Join the PAOS today and access free resources for ortho PAs and NPs! https://paos.org/page/MemberTypes

The Difficult Primary Hip - Part 1 Mar 13, 2024

Today we share part of a talk from an earlier PAOS conference given by Dr. Jacob Drew. What are some factors that can complicate a hip replacement and how can we come up with the best surgical plan? PAOS members, check out the Learning Central for free resources! https://paos.mycrowdwisdom.com/diweb/gateway Join the PAOS today! https://paos.org/page/MemberTypes

What is causing this young athlete's wrist pain? - Part 2 Mar 06, 2024

Pediatric Orthopedic PA Haley Jacobs, MSPAS, PA-C, shares her recent article in JAAPA about a gymnast she treats for wrist pain. In part 2, she covers imaging, diagnosis, treatment, as well as growth plates and considerations unique to gymnasts.

What is causing this young athlete's wrist pain? - Part 1 Feb 28, 2024

Pediatric Orthopedic specialist Haley Jacobs, MSPAS, PA-C, shares her recent article in JAAPA about a gymnast she treats for wrist pain. In part 1 of the interview, we cover the presentation and physical exam. Stay tuned next week for the imaging, diagnosis, treatment, and discussion of growth plates.

An uncommon shoulder injury that is commonly missed - Part 2 Feb 21, 2024

Chuck Dowell, PA-C, joins Sam to discuss a recent Urgent Care case. Part 2 covers how to reduce a posterior shoulder dislocation, the gunslinger brace, surgical indications, and long-term outcomes.

An uncommon shoulder injury that is commonly missed - Part 1 Feb 14, 2024

Chuck Dowell, PA-C, joins Sam to discuss a recent case from his practice's Urgent Care, where he serves as Lead Physician Assistant. In part 1 of the discussion, they cover the importance understanding the mechanism of injury in this frequently missed injury.

What's the Diagnosis? Case Studies from Urgent Care Feb 07, 2024

Sam shares injuries that he commonly sees in Orthopedic Urgent Care. Join us in San Antonio for an MSK workshop in May! Registration open now at PAOS.org.

My thoughts on the PANRE-LA + New MSK Ultrasound Conference Jan 31, 2024

Sam shares his recent experience with the Physician Assistant National Recertifying Examination-Longitudinal Assessment (PANRE-LA) as well as news on a new conference this May in San Antonio! Learn more about the 2024 PAOS conferences on our website! paos.org/events

Jobs Outside Of Clinical Practice + Ortho In The West Jan 24, 2024

Karla Frick, PA-C, is speaking at Ortho in the West on opportunities for PAs beyond clinic. She shares what to consider when becoming a consultant, working in the medical/legal field, becoming an adjunct instructor, or forming your own business. Karla is also the CME Chair for Ortho in the West, and discusses the highlights for this upcoming conference. Limited spaces still available at PAOS.org/events

PAOS Practice And Compensation Survey 2023 Jan 17, 2024

NEW! Kevin Whorton stops by to discuss the findings of the 2023 Practice and Compensation Survey. This report is an excellent resource for Ortho PAs negotiating a change in compensation or career. Compare your numbers with other PAs in your specialty, your region and your level of experience. The Practice and Compensation Survey is free for all PAOS members, and well worth the cost of membership! Learn more here: paos.org/joinpaos Limited spaces remain for Ortho in the West! Register for our subspecialty conference (and be sure to reserve your room and book your flight at the same time) Start here: paos.org/events

Top 3 of 2023 - #1 - Treatments of Proximal Humerus Fractures, Part 1 Jan 10, 2024

Tim Thompson, PA-C, discusses proximal humerus fractures and considerations for treatment. Tim also covered proximal humerus fractures at the 2023 Ortho in the West conference. Join us at Ortho in the West 2024, happening in February in Phoenix, AZ.

Top 3 of 2023 - #2 - Guidelines for Coding and Billing, Part 4 Jan 03, 2024

Of our top 10 interviews from 2023, we're sharing Sam's 3 favorites. In the final installment on E&M coding, Sam and Cindi Crenshaw, CPC, cover details on billing specific to orthopedics, including medications. Be sure to listen to the rest of the interview on the orthoPAc! Check out PAOS.org for Category I Enduring Credit CME, including Cindy Crenshaw's discussion of Coding Updates. Nonmembers may purchase PAOS on Demand at AAPA.org.

Top 3 of 2023 - #3 - Nuts and Bolts of Trauma Imaging, Part 1 Dec 27, 2023

Of our top 10 interviews from 2023, we're sharing Sam's 3 favorites, starting with Chad Silverberg, DO. Dr. Silverberg is a fellowship-trained Musculoskletal Radiologist and spoke at our 2023 subspecialty conference, Extremities in the Carolinas, on the Basics of Trauma Imaging. Be sure to listen to the rest of the interview with Dr. Silverberg on the orthoPAc! Included here are three slides to accompany this discussion: https://youtu.be/s_6YbaBkcZI Check out PAOS.org for Category I Enduring Credit CME, including Dr. Silverberg's two talks on MRI. Nonmembers may purchase PAOS on Demand at AAPA.org.

Orthopaedic Management of Genu Varum and Valgum Deformities in Africa Dec 21, 2023

Kristin Freitas, PA-S, is one of our 2023 Susan Lindahl Memorial Scholarship winners. She shares with us her research on orthopaedic treatment and prevention of Rickets in Sub-Saharan Africa. Learn more about the scholarship here: paos.org/scholarship

Case Study: Fibula Nerve Neuroplasty and Osteoplasty for Limb Length Discrepancy Dec 14, 2023

Lucy Bowers, PA-S. is a 2023 winner of the Susan Lindahl Memorial Scholarship. Here, she discusses her poster presentation. Learn more about the scholarship for future Ortho PAs here: https://paos.org/scholarship

Hand Injuries Not To Miss - Part 3 - Compartment Syndrome, Pediatric Injuries and more Dec 06, 2023

Chris Carrier, PA-C shares with us more clinical pearls on the diagnosis and management of hand injuries. With a distal radius fracture, how much angular deformity can you accept at different age groups, knowing that the fracture will remodel?

Hand Injuries Not To Miss - Part 2 - Hook of Hamate Fractures, Flexor Tenosynovitis and more Nov 29, 2023

Chris Carrier, PA-C, specializes in hand and wrist. He presented recently at our Ortho Boot Camp and we asked him to join us on the podcast to cover important considerations for hand injuries. In part 2, we discuss a case of a professional baseball player with pain while swinging the bat and a case of a cat bite.

Hand Injuries Not To Miss - Part 1 - Finger Pilon Fracture, Seymour Fracture, Perilunate Dislocation Nov 22, 2023

Chris Carrier, PA-C, specializes in hand and wrist. He presented recently at our Ortho Boot Camp and we asked him to join us on the podcast to cover important considerations for hand injuries. In part 1, we discus a displaced intraarticular middle phalanx base fracture and the importance of the v sign in a PIP joint fracture, the Seymour fracture, and the perilunate injuries.

Hip Pain in Athletes - Part 3 Nov 15, 2023

This week Sam is back with Dr. G. Peter Maiers II, a sports medicine specialist with a specialty in hip and knee injuries. As head team physician for the Indianapolis Colts, Dr. Maiers utilizes the same methods and techniques developed for athletes to treat those who are injured at home, at play or in the workplace. He is actively performing research on the arthroscopic treatment of hip impingement and arthroscopic ACL reconstruction. For part three they will discuss more of Dr. Maiers' clinical experience with different hip conditions and how they are managed.

Hip Pain in Athletes - Part 2 Nov 08, 2023

This week Sam is back with Dr. G. Peter Maiers II, a sports medicine specialist with a specialty in hip and knee injuries. As head team physician for the Indianapolis Colts, Dr. Maiers utilizes the same methods and techniques developed for athletes to treat those who are injured at home, at play or in the workplace. He is actively performing research on the arthroscopic treatment of hip impingement and arthroscopic ACL reconstruction. For part two they will discuss Dr. Maiers' clinical experience with different hip conditions and how they are managed.

Hip Pain in Athletes - Part 1 Nov 01, 2023

For the next series of episodes Sam will be joined by Dr. G. Peter Maiers II, a Sports Medicine Specialist with a specialty in hip and knee injuries. For part one they will discuss Dr. Maiers' standard workup for the painful hip in a patient who is an athlete.

Advocacy and Reimbursement Updates; a conversation with Michael L. Powe from the AAPA - Part 6 Oct 25, 2023

Sam is back for the final installment with Michael L. Powe, the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. This episode, Sam and Michael discuss modifiers, the MedPAC, 99024 postoperative coding and demonstrating PA value.

Advocacy and Reimbursement Updates; a conversation with Michael L. Powe from the AAPA - Part 5 Oct 18, 2023

Part five with Michael L. Powe, the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. This episode Sam and Michael discuss PA scope of practice and medicare billing rules.

Advocacy and Reimbursement Updates; a conversation with Michael L. Powe from the AAPA - Part 4 Oct 11, 2023

Sam is back this week for part four with Michael L. Powe, the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. This episode they discuss payer policies for PA services.

Advocacy and Reimbursement Updates; a conversation with Michael L. Powe from the AAPA - Part 3 Oct 04, 2023

Part 3. Michael L. Powe is the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. He recently discussed fraud and abuse at the annual conference Ortho in Indy, and covers it with Sam here.

Advocacy and Reimbursement Updates; a conversation with Michael L. Powe from the AAPA Pt. 2 Sep 27, 2023

Part II. Sam and Michael L. Powe (vice president of reimbursement and professional advocacy for the American Academy of Physician Assistants) continue their conversation on PA practice and reimbursement. This episode they cover the CMS changes to coding and billing.

Advocacy and Reimbursement Updates; a conversation with Michael L. Powe from the AAPA Sep 20, 2023

Part 1: PA Advocacy Updates This episode, Sam talks with Michael L. Powe who is vice president of reimbursement and professional advocacy for the American Academy of Physician Assistants. They discuss PA and NP Medicare payments, the ABSA or (the American Board of Surgical Assistance) and how it might potentially affect PA practice, the CMS fee schedule and CMS interest in post-op visits, and what the implications are for PAs, as well as the hot topic of the provider nondiscrimination provision.

Revisiting a conversation with the golf doctor Sep 13, 2023

Sam highlights an earlier conversation with Dr. Bill Mallon; professional golfer, orthopaedic surgeon, Olympic historian, and published author. Dr. Mallon is the editor-in-chief of the Journal of Shoulder and Elbow Surgery. Today's episode is about treatments of the shoulder, including history of certain procedures and techniques.

Elbow Osteoarthritis and PAOS Fall Updates Sep 06, 2023

Who gets elbow OA? Sam sums up the evaluation and treatment of this condition. Male laborers in middle age are many of the patients that will present with this more unusual OA. Arthroscopic debridement or open incision? The Elbow OA talk from Dr. Hamid is on the Learning Center. Meetings from previous years, including this one, are free for members PAOS as a reference library. Conferences from this year are available as well -- Earn Category 1 CME credits from home! PAOS Members can purchase CME at the PAOS Learning Center: https://paos.mycrowdwisdom.com/diweb/gateway PAs who are not PAOS members may find these videos available on the AAPA website: https://www.aapa.org/cme-central/cme-on-demand/paos-on-demand/

The PANRE Longitudinal Assessment Aug 30, 2023

Sam discusses the Physician Assistant National Recertification Exam (PANRE) Longitudinal Assessment, which is a take home exam, as an alternative to the regularly proctored exam. It's important to between PANRE and PANRE-LA several years prior to your recertification.

RECAP: Total Ankle Arthroplasty Aug 23, 2023

While we're in Indianapolis for the PAOS Annual Conference, we are sharing a popular interview from earlier this year. Parts 2 and 3 of "Ankle Arthroplasty: Where is the Love" is a conversation with foot and ankle surgeon Jason Patterson, MD and is based on his presentation at our subspecialty conference. Videos of all of our conferences are available at PAOS.org for discounted enduring credit CME. If you're not a member of the PAOS, join today! Or check out "PAOS on Demand" at AAPA.org

Financial advice for PAs, from a PA - Part 3 Aug 16, 2023

Part 3 of 3 - Sam talks with PA Kristin Burton about personal finance for healthcare professionals. Make sure to attend the New PA panel at our annual conference if you're just starting out and want to learn more about the business of being a PA! See you next week! For more from Kristin Burton, check out www.strivewithkristin.com/

Financial advice for PAs, from a PA - Part 2 Aug 09, 2023

Sam talks with PA Kristin Burton about personal finance for healthcare professionals. Make sure to attend the New PA panel at our annual conference if you're just starting out and want to learn more about the business of being a PA! For more from Kristin Burton, check out https://www.strivewithkristin.com/

Financial advice for PAs, from a PA - Part 1 Aug 02, 2023

Sam talks with PA Kristin Burton about personal finance for healthcare professionals. Make sure to attend the New PA panel at our annual conference if you're just starting out and want to learn more about the business of being a PA! For more from Kristin Burton, check out https://www.strivewithkristin.com/

Improving Access To Workers Compensation For Injured Federal Workers Jul 26, 2023

Tate Heuer, VP of Federal Advocacy at the AAPA, shares with us an important way PAs and NPs are limited in caring for federal workers comp patients and efforts to change this. Learn more! https://www.aapa.org/advocacy-central/

Nuts and Bolts of Trauma Imaging, Part 4 Jul 19, 2023

Chad Silverberg, DO, MRMD, discusses what to look for in an MRI. Firbrocartilage, muscle strains, and more. Each month the PAOS provides a video for free - link on our homepage! For July 2023, it is one of Dr. Silverberg's talk from Extremities in the Carolinas this Spring1

Nuts and Bolts of Trauma Imaging, Part 3 Jul 12, 2023

Chad Silverberg, DO, MRMD, discusses what to look for in an MRI. What does a Cuff tear have to do with the three stooges? Each month the PAOS provides a video for free - link on our homepage! For July 2023, it is one of Dr. Silverberg's talk from Extremities in the Carolinas this Spring1

Wolff's law and Mechanostat theory of MR Imaging, What does it mean? Jul 05, 2023

Nuts and bolts of trauma imaging, Part 2. Chad Silverberg, DO, discusses Wolff's Law and the Mechanostat theory and how we should think about bone adaptation when we interpret images. His full talk at Extremities in the Carolinas is available at PAOS.org to view for free for July 2023 as our "Video of the Month!" Link on the homepage carousel.

Nuts and Bolts of Trauma Imaging, Part 1 Jun 28, 2023

Chad Silverberg, DO is a fellowship-trained Musculoskletal Radiologist and recently spoke at our subspecialty conference, Extremities in the Carolinas, on the Basics of Trauma Imaging. Included here are three slides to accompany this discussion: https://youtu.be/s_6YbaBkcZI Check out PAOS.org for our next CME conference as well as conference videos for Category I Enduring Credit! Nonmembers may purchase PAOS on Demand at AAPA.org.

23rd Annual PAOS Meeting: Ortho In Indy! Jun 21, 2023

Join us in Indianapolis August 21-25! In this episode, we talk to Scott and Sarah about our upcoming conference. ScottJolman, D.SC., PA-C, Lt Colonel US Army (retired), is the Conference Chair of the PAOS annual meetings. Sarah Bolander D.M.Sc., PA-C, associate professor at Midwestern U andLynchburg U, is the Workshop Coordinator. Be sure to register for the conference and any workshops soon! Reserve your room (and book your flight!) at the same time. More info on the PAOS website - https://paos.org/events/event_list.asp

Controlling Postoperative Pain, Part 4 Jun 14, 2023

Part 4 of 4 part interview with Nick Patterson, PharmD, BCPS. David N. (Nick) Patterson spoke at our subspecialty conference, Ortho in the West. Our Ortho in the West videos are now available for purchase for enduring credit CME at PAOS.org. Or join us in Indianapolis for our annual meeting August 21-25! Registration is open now.

Controlling Postoperative Pain, Part 3 Jun 07, 2023

Discussion of alternatives to opioids and what to consider for the challenges of individual patients, including dosages. Part 3 of 4 part interview with Nick Patterson, PharmD, BCPS. David N. (Nick) Patterson spoke at our subspecialty conference, Ortho in the West. Our Ortho in the West videos are now available for purchase for enduring credit CME at PAOS.org. Or join us in Indianapolis for our annual meeting August 21-25! Registration is open now.

Controlling Postoperative Pain, Part 2 May 31, 2023

What are the goals of therapy when managing postoperative pain? Part 2 of 4 part interview with Nick Patterson, PharmD, BCPS. David N. (Nick) Patterson spoke at our subspecialty conference, Ortho in the West. Our Ortho in the West videos are now available for purchase for enduring credit CME at PAOS.org. Or join us in Indianapolis for our annual meeting August 21-25! Registration is open now.

Controlling Postoperative Pain, Part 1 May 24, 2023

What are the goal of therapy when managing postoperative pain? Part 1 of 4 part interview with Nick Patterson, PharmD, BCPS. David N. (Nick) Patterson was a popular speaker at our Denver annual conference and came back for our subspecialty conference, Ortho in the West. Our Ortho in the West videos are now available for purchase for enduring credit CME at PAOS.org.

Femoral Acetabular Impingement, Part 3 May 17, 2023

Dr. Tim Bert is a fellowship trained orthopedic surgeon and recently spoke at the PAOS subspecialty conference, Ortho in the West. Part 3 of 3. Discussion of operative intervention, including surgical outcomes and typical post-op courses.

Femoral Acetabular Impingement, Part 2 May 10, 2023

Dr. Tim Bert is a fellowship trained orthopedic surgeon and recently spoke at the PAOS subspecialty conference, Ortho in the West. Part 2 of 3. What are we looking for on XR? Are there patients that benefit from PT? How can an IA injection aid in the diagnosis? Here's a video about the measurements discussed in this episode, the LCEA, the ACEA, and Alpha Channel: https://youtu.be/YfS-QhUO_UU

Femoral Acetabular Impingement, Part 1 May 03, 2023

Dr. Tim Bert is a fellowship trained orthopedic surgeon and recently spoke at the PAOS subspecialty conference, Ortho in the West. What is FAI and what causes it? What are the risk factors? What is the difference between CAM and pincer impingement? Are there common concomitant injuries or pathologies associated with FAI? What would be a typical patient who we might see with this problem? Part 1 of 3.

"Ankle Arthroplasty: Where is the Love?" with Dr. Jason Patterson - Part 3 Apr 26, 2023

Part 3 of 3. Nuts and bolts of ankle arthroplasty. Jason Patterson, MD is an orthopedic surgeon who specializes in foot and ankle and practices in the active, outdoorsy community of Phoenix, AZ. Dr. Patterson recently gave a talk at our Phoenix meeting titled “Ankle Arthroplasty, where is the love?” which will be available at PAOS.org for discounted enduring credit CME. "PAOS on Demand" is also available for non-PAOS members at AAPA.org

"Ankle Arthroplasty: Where is the Love?" with Dr. Jason Patterson - Part 2 Apr 19, 2023

Part 2 of 3. Jason Patterson, MD is an orthopedic surgeon who specializes in foot and ankle and practices in the active, outdoorsy community of Phoenix, AZ. Dr. Patterson recently gave a talk at our Phoenix meeting titled “Ankle Arthroplasty, where is the love?” which will be available at PAOS.org for discounted enduring credit CME. "PAOS on Demand" is also available for non-PAOS members at AAPA.org

"Ankle Arthroplasty: Where is the Love?" with Dr. Jason Patterson - Part 1 Apr 12, 2023

Jason Patterson, MD is an orthopedic surgeon who specializes in foot and ankle and practices in the active, outdoorsy community of Phoenix, AZ. Dr. Patterson recently gave a talk at our Phoenix meeting titled “Ankle Arthroplasty, where is the love?”, and agreed to come on our podcast to discuss foot and ankle arthroplasty. Part 1 of 3 - Lesser toes to the greater toe - nonoperative treatment, arthrodesis, fusion, and more.

Treatments of Proximal Humerus Fractures, Part 2 Apr 05, 2023

Tim Thompson, PAC, discusses proximal humerus fractures and considerations for treatment in part 2 of 2. He also discusses career options for PAs beyond clinical practice and ways to explore what's out there. Tim recently gave a talk on proximal humerus fractures and the treatments of proximal humerus fractures at our meeting Ortho in the West, Feb 23, in PHX. Check out our homepage for a link to our video of the month, featuring this talk.

Treatments of Proximal Humerus Fractures, Part 1 Mar 29, 2023

Tim Thompson, PA-C, discusses proximal humerus fractures and considerations for treatment. Tim recently gave a talk on proximal humerus fractures and the treatments of proximal humerus fractures at our meeting Ortho in the West, Feb 23, in PHX. He discussed several types of treatments and surgeries but admitted he couldn't say what the best treatment is for every fracture because so much depends on the patient's goals and expectations from the surgery. What are the pros and cons of each surgical repair?

Palliative and Supportive Care and Orthopedics, Part 2 Mar 22, 2023

Ashley Reasey, MPAS, PA-C practices Palliative and Supportive care. She discusses with Sam what to consider as we treat and communicate with patients and their families facing hip fracture and other injuries and conditions. Part 2 of 2.

Palliative and Supportive Care and Orthopedics, Part 1 Mar 15, 2023

Ashley Reasey, MPAS, PA-C practices Palliative and Supportive care. She discusses with Sam what to consider as we treat and communicate with patients and their families facing hip fracture and other injuries and conditions. Part 1 of 2.

Thoughts on leadership, a PA emeritus opinion and experience - Part 2 of 2 Mar 08, 2023

New interview next week on Palliative Care and orthopedics! Here is part 2 of a conversation between Sam and PA Emeritus Mike Weber, as they discuss how to get involved in leadership in the profession.

Thoughts on leadership, a PA emeritus opinion and experience - Part 1 Mar 01, 2023

Mike Weber, PA-C Emeritus, talks leadership with Sam and what to consider when taking a leadership role.

"What's in a Name?" Medical Eponyms Feb 22, 2023

An episode on Eponyms with host Sam Dyer, PA-C, MHS.

2022 PAOS Practice and Compensation Survey Highlights, Part 2 Feb 15, 2023

Highlights from the newly published Practice and Compensation survey from the PAs in Orthopaedic Surgery. Specific to PAs practicing in orthopedics, the annual survey is a great tool for negotiating a salary or a raise. Kevin Whorton shares what trends he is seeing in the profession based on PAOS members and non-members who completed the survey in 2022. This publication is included in membership to the PAOS.

2022 PAOS Practice and Compensation Survey Highlights, Part 1 Feb 08, 2023

Kevin Whorton of Whorton marketing and research discuses the most recent compensation survey. This survey is available to PAOS members at no cost!

2023 Guidelines for Coding and Billing - Part 4 Feb 01, 2023

In the final installment on E&M coding, Sam and Cindi Crenshaw, CPC, cover details on billing specific to orthopedics, including medications.

2023 Guidelines for Billing and Coding - Part 3 Jan 25, 2023

We discuss further details of E&M coding and considerations for what we might commonly see in an orthopedic setting. Cindi Crenshaw, CPC, covers more on MDM levels and what is important for us to have in our notes.

2023 Guidelines for Billing and Coding - Part 2 Jan 18, 2023

Cindi Crenshaw, CPC, presents at our Charlotte conferences on the latest in E&M Coding. She joined us on the orthoPAc to cover what's new in 2023. In Part 2, we begin a discussion on Medical Decision-Making (MDM) and the three categories. Here is the link discussed in the episode: https://www.ama-assn.org/system/files/2019-06/cpt-revised-mdm-grid.pdf Join us in Phoenix for our 4th annual subspecialty conference Ortho in the West! https://paos.org/events/EventDetails.aspx?id=1690664&group=

2023 Guidelines for Billing and Coding - Part 1 Jan 11, 2023

Cindi Crenshaw, CPC, shares what PAs and NPs need to know about the new E&M Coding guidelines for 2023. It's important to know how to code for Time or Medical Decision Making (MDM.) In Part 1, we discuss what's involved in billing for Time. Usually in orthopaedics, we would use MDM, but in what circumstances is it better to use Time? Are these mutually exclusive? What's new in 2023 in the Evaluation and Management (E&M) Services Guidelines? Cindi Crenshaw, CPC, is with OrthoCarolina and presented recently at our Ortho Boot Camp. Make sure to join us at an upcoming conference for more on the latest coding and billing! https://paos.org/events If you enjoy our podcast, please subscribe and please take a moment to leave a review. Thank you for listening to the orthoPAc!

Top 3 of 2022 - #1 Distal Radius FX - a discussion on X-ray findings, measurements and reductions Jan 04, 2023

To end the year, we are sharing the most popular episodes of 2022. The #1 most listened to track of last year was one of Sam's introduction to Distal Radius Fractures - a discussion on X-ray findings, measurements and reductions. Be sure to subscribe to learn more on diagnosing and treating orthopedic problems and what the busy clinician needs to know!

Top 3 of 2022 - #2 - Physical Medicine and Rehabilitation Dec 28, 2022

To end the year, we are sharing the most popular episodes of 2022. The #2 most listened to track this year was part of an interview with PM&R Physician Dr. Toone. Be sure to listen to the rest of the interview with Dr. Toone - all earlier episodes of the orthoPAc are free!

Top 3 of 2022 - #3 - Trauma, triaging trauma, and management of the multiple trauma patient Dec 21, 2022

To end the year, we are sharing the most popular episodes of 2022. The #3 most listened to track this year was part 2 of an interview with orthopedic trauma surgeon Lisa Cannada, MD. Trauma, triaging trauma, and management of the multiple trauma patient - Part 2. Be sure to listen to the rest of the interview with Dr. Cannada on the orthoPAc!

Orthopedic Urgencies and Emergencies, Part 3 Dec 14, 2022

At our recent Ortho Boot Camp, we covered Orthopedic Urgencies and Emergencies with Kaitlyn Muldoon, PA-C, CAQ-OS, MSPAS, ATC. In part 3 of her interview, she shares with Sam more on Knee Dislocations and Supracondylar Humerus Fractures. Registration is open now for Ortho in the West, happening in Phoenix February 17-19, 2023! You do not need to be a member of the PAOS to attend. More info on our 2023 conferences here: https://paos.org/events/event_list.asp

Orthopedic Urgencies and Emergencies, Part 2 Dec 07, 2022

Part 2 with Kaitlyn Muldoon, PA-C, CAQ-OS, MSPAS, ATC, covering pelvic ring fractures. Registration is open now for Ortho in the West, happening in Phoenix February 17-19, 2023! https://paos.org/events/event_list.asp

Orthopedic Urgencies and Emergencies, Part 1 Nov 30, 2022

Compartment Syndrome and Flexor Tenosynovitis are discussed in part 1 of this interview with Kaitlyn Muldoon, PA-C, CAQ-OS, MSPAS, ATC. How do you recognize Acute Compartment Syndrome? What are Kanavel's signs? Registration is open now for Ortho in the West, happening in Phoenix February 17-19, 2023! https://paos.org/events/event_list.asp

The Female Athlete Triad - Part 3 Nov 23, 2022

Sports medicine physician Aubrey Armento, MD, and sports nutritionist Amanda McCarthy discuss treatments for Female Athlete Triad in part 3 of our 3 part interview.

The Female Athlete Triad - Part 2 Nov 16, 2022

The Female Athlete Triad is important to consider for ortho PAs and NPs treating athletes. Sports medicine physician Aubrey Armento, MD, and sports nutritionist Amanda McCarthy cover more on disordered eating and bone health in part 2 of a 3 part interview.

The Female Athlete Triad - Part 1 Nov 09, 2022

What does low energy availability mean and how is it relevant in the female athlete triad? In Part 1 of 3, Sam speaks with sports medicine physician Aubrey Armento, MD, and sports nutritionist Amanda McCarthy about what to look for as ortho PAs and NPs treating athletes.

Basics of Orthopedic Oncology - Part 3 Nov 02, 2022

Kate Senkosky, PA-C, discusses with Sam some basics of the evaluation and management of bone lesions. In part three of the interview, they also discuss Limb Salvage. Kate Senkosky, PA-C spoke with the PAOS at this year's annual conference. Audio-visual available for purchase for category 1 enduring credit CME at PAOS.org (coming soon to AAPA.org for non-PAOS members).

Basics of Orthopedic Oncology - Part 2 Oct 26, 2022

Kate Senkosky, PA-C, discusses with Sam some basics of the evaluation and management of bone lesions. Sarcomas, Carcinomas, metastatic disease - when do we need to make a referral? Kate Senkosky, PA-C also spoke with the PAOS at this year's annual conference. Audio-visual available for purchase for category 1 enduring credit CME at PAOS.org (coming soon to AAPA.org for non-PAOS members).

Basics of Orthopedic Oncology - Part 1 Oct 19, 2022

Kate Senkosky, PA-C, discusses with Sam some basics of the evaluation and management of bone lesions. Sarcomas, Carcinomas, metastatic disease - when do we need to make a referral? Kate Senkosky, PA-C also spoke with the PAOS at this year's annual conference. Audio-visual available for purchase for category 1 enduring credit CME at PAOS.org (coming soon to AAPA.org for non-PAOS members).

Innovations in Pediatric Spine - Part 3 Oct 12, 2022

Pediatric orthopedic spine surgeon Dr. Jaren Riley discusses scoliosis and preservation of spine motion. In Part III, Dr. Riley covers VBT vs fusion and considerations for the family in deciding what treatment option works best to reach their goals.

Innovations in Pediatric Spine - Part 2 Oct 05, 2022

Pediatric orthopedic spine surgeon Dr. Jaren Riley discusses scoliosis and preservation of spine motion. In Part II, Dr. Riley covers the basics of Vertebral Body Tethering. Stay tuned for part 3 for more on how to discuss VBT vs fusion with families and considerations today for this new procedure.

Innovations In Pediatric Spine - Part 1 Sep 28, 2022

Pediatric orthopedic spine surgeon Dr. Jaren Riley discusses scoliosis and preservation of spine motion. In Part 1, a discussion of the history of surgical treatment for scoliosis. What do the data show on physical therapy for pain relief and for addressing the shape of the spine? What is the role of bracing? What considerations are important when discussing fusion with our patients? PAOS members may purchase the CME videos from PAOS in the Mile High City, which includes a talk with Dr. Riley on innovative spine treatment for pediatrics, at the Learning Center on the website (and you can become a member on our website!) Nonmembers will be able to purchase PAOS on Demand at the AAPA site! https://paos.org/

From the PAOS Annual Conference: Minimally Invasive Achilles Repair with Joshua Metzl, MD Sep 21, 2022

"PAOS in the Mile High City" took place in August. Here is a sneak peek of one of the talks from the conference on minimally invasive achilles repair. Includes a discussion of the PARS(Percutaneous Achilles Repair System.) Dr. Metzl serves as head Orthopedic physician for the Colorado Ballet. He is also the assistant team physician for the Denver Broncos and Colorado Rockies. Join the PAOS at an upcoming conference: https://paos.org/events/event_list.asp

From the PAOS Annual Conference: Orthobiologics with Dr. Rachel Frank Sep 14, 2022

Rachel Frank, MD, covered the latest research and practices in biologics at the PAOS Annual Conference. Today we share an excerpt from her talk, covering PRP, stem cell, and HA injections. Join the PAOS at an upcoming conference: https://paos.org/events/event_list.asp

Injection Techniques - Shoulder and Knee Sep 07, 2022

Today, Sam Dyer covers the basics of musculoskeletal injections, sharing some pearls on injecting the knee and shoulder. Join us in Charlotte on November 4-6! PAOS Orthopedic Boot Camp is an introductory course for physician assistants and nurse practitioners to learn basic principles of orthopedic assessment and evaluation This course teaches the principles and techniques of proper assessment, physical examination, and common joint/bursa injection techniques. The course is geared towards the PA/NP new to orthopedics with less than 3 years experience.

Skeletal Traction outside the OR - Part 2 Aug 31, 2022

John Kodosky, PA-C, discusses with Sam the advances, best practices, and indications for skeletal traction prior to / outside the OR.

Scholarship winner discusses paper on Novel Meniscus Implant Aug 24, 2022

Congratulations to Tessa Lilley, PA-S, of Northeastern University! Tessa was one of two winners of the Susan Lindahl Memorial Scholarship. If you're in Denver when this airs, be sure to check out her work -- Preserved Lower Extremity Alignment Using a Novel Meniscus Implant. Stay tuned next week for part 2 of our Skeletal Traction interview!

Scholarship Winner discusses Paper on Periprosthetic Joint Infection Aug 17, 2022

Congratulations to Victoria Tam, PA-S, of Rutgers University! Victoria was one of two winners of the Susan Lindahl Memorial Scholarship, and she'll be presenting her paper next week at the annual PAOS conference on PJI. Stay tuned next week for an interview with our other scholarship winner - and the week after that we'll return to part 2 of our Skeletal Traction interview!

Skeletal traction outside the OR - Part 1 Aug 10, 2022

John Kodosky, PA-C, discusses with Sam the advances, best practices, and indications for skeletal traction prior to / outside the OR.

Multimodal Analgesia for the Orthopedic Patient, Part 4 Aug 03, 2022

Rawad Hamzi, MD, presented at the PAOS conference, Extremities in the Carolinas on multimodal analgesia in orthopedics. Dr. Hamzi is an Assistant professor in the Department of Anesthesiology, Atrium Health Wake Forest Baptist, Section of Regional Anesthesia and acute pain management.

Multimodal Analgesia for the Orthopedic Patient, Part 3 Jul 27, 2022

Rawad Hamzi, MD, presented at the PAOS conference, Extremities in the Carolinas on multimodal analgesia in orthopedics. Dr. Hamzi is an Assistant professor in the Department of Anesthesiology, Atrium Health Wake Forest Baptist, Section of Regional Anesthesia and acute pain management.

Multimodal Analgesia for the Orthopedic Patient, Part 2 Jul 20, 2022

Rawad Hamzi, MD, presented at the PAOS conference, Extremities in the Carolinas on multimodal analgesia in orthopedics. In Part 2, Sam and Dr. Hamzi discuss the usage of acetaminophen, NSAIDs, gabapentinoids and antidepressants for the purposes of multimodal analgesia. Dr. Hamzi is an Assistant professor in the Department of Anesthesiology, Atrium Health Wake Forest Baptist, Section of Regional Anesthesia and acute pain management.

Multimodal Analgesia for the Orthopedic Patient, Part 1 Jul 13, 2022

Rawad Hamzi, MD, presented at the PAOS conference, Extremities in the Carolinas on multimodal analgesia in orthopedics. In Part 1, Sam asks about pathways of pain, why Buprenorphine is prescribed, and coexisting factors influencing patients with OA. Dr. Hamzi is an Assistant professor in the Department of Anesthesiology, Atrium Health Wake Forest Baptist, Section of Regional Anesthesia and acute pain management.

Common Lower Extremity Fractures in Pediatrics, Part 2 Jul 06, 2022

To see the xray discussed in this episode see our youtube or website: https://youtu.be/J1fblmjkZg4 Pediatric Orthopedic Surgeon Dr. Virginia Casey discusses fracture care and considerations for treating the pediatric population. Dr. Casey recently presented at Extremities in the Carolinas, the PAOS subspecialty conference. These CME videos will be available for enduring credit - on the PAOS website for members, and on the AAPA learning central for non-paos members.

Common Lower Extremity Fractures in Pediatrics - Part 1 of 2 Jun 29, 2022

Sam is back this week with Dr. Virginia Casey to discuss her methods and tips for treating pediatric lower extremity fractures

Common Upper Extremity Fractures in Pediatrics - Part 2 of 2 Jun 22, 2022

Pediatric Orthopedic Surgeon Dr. Virginia Casey discusses fracture care and considerations for treating the pediatric population. Dr. Casey recently presented at Extremities in the Carolinas, the PAOS subspecialty conference. These CME videos will be available for enduring credit for PAOS members at PAOS.org and for nonmembers at the AAPA Learning Central.

Common Upper Extremity Fractures in Pediatrics - Part 1 of 2 Jun 15, 2022

Pediatric Orthopedic Surgeon Dr. Virginia Casey discusses fracture care and considerations for treating the pediatric population. Dr. Casey recently presented at Extremities in the Carolinas, the PAOS subspecialty conference. These CME videos will be available for enduring credit.

SB345 update Jun 08, 2022

This week Sam has information and updates on SB345, a bill regarding PA practice in North Carolina, which is currently before the NC general assembly.

VR, AR, and MR, cutting edge ‘realities’ in orthopedics. Part III of III Jun 01, 2022

Sam is joined by Dr. Stefano Bini to discuss current and future applications of Virtual Reality, Augmented Reality and Mixed Reality in the field of orthopedics

VR, AR, and MR, cutting edge ‘realities’ in orthopedics. Part II of III May 25, 2022

Sam is joined by Dr. Stefano Bini to discuss current and future applications of Virtual Reality, Augmented Reality and Mixed Reality in the field of orthopedics

VR, AR, and MR, cutting edge ‘realities’ in orthopedics. Part 1-3 May 18, 2022

Sam is joined by Dr. Stefano Bini to discuss current and future applications of Virtual Reality, Augmented Reality and Mixed Reality in the field of orthopedics

Musculoskeletal Injections Pt. II May 11, 2022

Sam is back this week to share his tips and tricks for Musculoskeletal Injections, Part II of II.

Musculoskeletal Injections Pt.I May 04, 2022

This week, Sam shares his tips and tricks for musculoskeletal injections. Part I of II

Esports, Part 2 Apr 27, 2022

As esports become a more prominent form of competition, Edward Rosero, DO, discusses treatment of professional gamers and his recent publication. Part 2 of 2.

Esports - Part I Apr 20, 2022

Edward Rosero, DO, discusses what to consider when treating professionals in competitive gaming, or esports. Part 1 of 2.

Basic MSK radiology; how to order the correct study Apr 13, 2022

Sam shares his tips and tricks on when to order radiographic studies, MRI, CT and ultrasound.

Finger and Toe Fracture Reduction Apr 06, 2022

Sam covers the basics on reducing fractures of the finger and toe and what you might find in an Orthopedic Urgent Care setting. He also shares some of the subjects for the upcoming PAOS conference, Extremities in the Carolinas. Registration is open now: https://paos.org/events

A trauma surgeon discusses the crisis in Ukraine and how you can help Mar 30, 2022

Roman Hayda, MD speaks with Sam about orthopedic equipment needed in Ukraine for wounds and fracture care and what orthopedic surgeons are seeing. Please go to AUMF.org for more: "American Ukrainian Medical Foundation AUMF, in cooperation with UMANA - Ukrainian Medical Association of North America, and Canada-Ukraine Foundation (CUF), is working on obtaining surgical equipment for the management of complex extremity injuries from the war in Ukraine: external fixators and negative pressure wound care (wound VAC). 1. Surgical sets for external fixation of extremity fractures (new or used*), 2. Steinman pins (4, 5, and 6 mm), 3. Devices for negative pressure wound care (wound VAC), 4. Disposable materials for wound VAC (sponges, tubing, and occlusive adhesive dressing). There are four areas where you can help: 1. Equipment (companies manufacturers, hospitals, and individual orthopedic surgeons) 2. Logistics from the US to Ukraine 3. Funding: bit.ly/AUMF2 4. Contacts to obtain the above How will the funds be used: 1. Purchase of the equipment 2. Shipment to Ukraine * Currently, AUMF can only ship new equipment. We do not have a capability to handle used equipment. However, we can get you in contact with orthopedic surgeons in Ukraine to discuss their needs."

Need money? A discussion of basic financial terminology and your personal wealth management plan III Mar 23, 2022

Part Three of a discussion on the basics of investing and retirement planning for the medical professional.

Need money? A discussion of basic financial terminology and your personal wealth management plan II Mar 16, 2022

Part Two of a discussion on the basics of investing and retirement planning for the medical professional.

Need money? A discussion of basic financial terminology and your personal wealth management plan Mar 09, 2022

Part One of a discussion on basics of investing and retirement planning for the medical professional.

A morning chat with my mentor - Pt 2 Mar 02, 2022

Sam catches up with his mentor, Dr. Ed Preston and discusses mentoring in medicine and the origins of the PA profession.

A morning chat with my mentor - Part 1 Feb 23, 2022

Sam catches up with Dr. Preston, discussing mentoring in the health profession and the origins of the PA profession.

Distal Radius Fractures - a discussion on X-ray findings, measurements and reductions - Part 2 Feb 16, 2022

Sam discusses tips on reducing and treating distal radius fractures Part II of II

Distal Radius Fractures - a discussion on X-ray findings, measurements and reductions - Part 1 Feb 09, 2022

Sam discusses tips on reducing and treating distal radius fractures Part I of II

2021 PAOS Practice and Salary Survey Highlights Feb 02, 2022

Kevin Whorton of Whorton Marketing and Research discusses his findings from the 2021 Practice and Salary Survey. PAOS members receive this annual report at no charge, full of great information.

Physical Medicine and Rehabilitation part two Jan 26, 2022

Dr. Deitra Williams-Toone has been practicing pain medicine since 2005 and is board certified in anesthesiology and pain medicine. Her areas of expertise include interventional pain management including modalities such as radiofrequency ablation and spinal cord stimulation.

Physical Medicine and Rehabilitation part one Jan 19, 2022

Dr. Deitra Williams-Toone has been practicing pain medicine since 2005 and is board certified in anesthesiology and pain medicine. Her areas of expertise include interventional pain management including modalities such as radiofrequency ablation and spinal cord stimulation.

Working toward equality in orthopedics, a talk on diversity and safety Jan 12, 2022

Dr. Lisa Cannada is an orthopedic surgeon specializing in trauma. She is a founder of #SpeakUpOrtho, an online forum dedicated to improving equity in orthopedics.

Trauma, triaging trauma, and management of the multiple trauma patient - Part 2 Jan 05, 2022

Dr. Lisa Cannada is an orthopaedic surgeon with over twenty years of experience in a Level One trauma center. She goes over triage and important considerations for orthopaedic trauma. What's all the hype regarding suprapatellar nailing? For more with Dr. Cannada, check out our virtual CME from last year's subspecialty conference, Extremities in the Carolinas!

Trauma, triaging trauma, and management of the multiple trauma patient - Part 1 Dec 29, 2021

Dr. Lisa Cannada is an orthopaedic surgeon with over twenty years of experience in a Level One trauma center. She goes over triage and important considerations for orthopaedic trauma. How do you determine what needs to be addressed right away versus what needs to wait? For more with Dr. Cannada, check out our virtual CME from last year's subspecialty conference, Extremities in the Carolinas!

Considerations for Shoulder Reconstruction, Part 3 Dec 22, 2021

Part 3 of a 3 part interview with shoulder and knee specialist William Silver, MD. When is a revision surgery needed for a reverse shoulder? What might be in store in the future for shoulder reconstruction? Dr. Silver is Medical Director of the Triangle Region of EmergeOrtho.

Considerations for Shoulder Reconstruction - Part 2 Dec 15, 2021

Orthopedic Surgeon William Silver, MD discusses the important considerations for the placement of an implant. When might a hemi or reverse shoulder be indicated? Why might a TSA fail? Dr. Silver practices at EmergeOrtho in Durham, NC.

Considerations for Shoulder Reconstruction, Part 1 Dec 08, 2021

William Silver, MD is a board certified Orthopedic Surgeon specializing in the knee and shoulder, with fellowship training in Sports Medicine. In part one of his interview, Dr. Silver discusses common exam findings and joint preservation strategies. Includes discussion on the etiology of various shoulder conditions including OA, RA, RTCA, osteonecrosis, and more.

Practice Pearls, Part 1 Dec 01, 2021

Sam shares some tips he's learned over the years as an Ortho PA. Sam has written a manual for PAs new to orthopaedics, which includes these Pearls. PAOS members can access this manual with their login at PAOS.org. Tune in to the orthoPAc next week for an interview on Shoulder Replacement!

Thoughts on the preparticipation physical; don’t miss these missable diagnoses | Sam Dyer, PA-C Nov 24, 2021

Sam discusses the pre-participation evaluation for clearance to participate in school sports.

Bilateral lateral femoral condyle OCD lesions. A case study and literature review. Nov 17, 2021

Madeline McHugh, PA-S, was one of the Susan Lindahl Memorial Scholarship winners for 2021. You may have seen her poster at the conference in Nashville! She shares her case study on bilateral lateral femoral condyle OCD lesions.

Part II: What SB 345 could mean for PAs practicing on NC - with Truett Smith and Marc Katz (NCAPA) Nov 10, 2021

Part 2: SB 345 and what it could mean for PAs practicing on NC - a continuing discussion with Truett Smith MAPS, PA-C, DFAAPA and Marc Katz PA-C, DFAAPA, both past presidents of the NC Academy of Physician Assistants.

Part I: the role of state academies and legislative advocacy - Truett Smith and Marc Katz, NCAPA Nov 03, 2021

Part 1: the role of state academies and legislative advocacy - a discussion with Truett Smith PA-C, DFAAPA and Marc Katz PA-C, DFAAPA, both past presidents of the NC Academy of Physician Assistants. Stay tuned for Part 2 next week - SB 345 and what it could mean for PAs practicing in NC - a continuing discussion with Truett Smith and Marc Katz from the NCAPA

Psychological Safety in the workplace and the OR Oct 27, 2021

Part II of an interview with Carmen Quatman, MD, PhD, as she discusses her introduction to research as well as a current topic of interest, psychological safety. PAOS Ortho Boot Camp is happening next month in Charlotte, NC. Please see PAOS.org for registration.

Geriatric orthopedic considerations and ancillary resources for care of your elderly patients Oct 20, 2021

Carmen Quatman, MD, PhD, is an orthopedic surgeon specializing in trauma care, with fellowship training in geriatric orthopedic trauma. In part one of a two part interview, she discusses important considerations for geriatric patients, to better help them be safe at home and have as high a quality of life as possible.

Cultural humility, implicit bias, and health disparities; let’s start a conversation - Part 2 Oct 13, 2021

Shani Fleming spoke at our annual conference in Nashville this year, leading a discussion on cultural humility, and Sam invited her to discuss equity, diversity, and inclusion further on the orthoPAc. In part 2 of the discussion, Shani invites us to consider implicit bias. Shani Fleming has devoted her career to promoting cultural competence and addressing social justice within the health care community. Fleming holds significant clinical experience as a physician assistant (PA), including working in family medicine, adolescent medicine, infectious disease, and urgent care. She teaches in the University of Maryland Graduate School PA program and Intercultural Leadership certificate program. Fleming represents faculty of the Graduate School as a member of the President’s Diversity Advisory Council.

Cultural humility, implicit bias, and health disparities; let’s start a conversation - Part 1 Oct 06, 2021

Shani Fleming has devoted her career to promoting cultural competence and addressing social justice within the health care community. Fleming holds significant clinical experience as a physician assistant (PA), including working in family medicine, adolescent medicine, infectious disease, and urgent care. She teaches in the University of Maryland Graduate School PA program and Intercultural Leadership certificate program. Fleming represents faculty of the Graduate School as a member of the President’s Diversity Advisory Council. Shani Fleming also spoke at PAOS 2021, leading a discussion on cultural humility.

1.5 Years out of school, one new PA's thoughts on student debt, loans, and practice Sep 29, 2021

Miguel Serrato, MS,MHA, PA-C, ATC, is a PAOS member and is in his second year as a practicing orthopaedic PA. He shares with Sam some of the considerations that PAs have regarding financing PA school and student loans. Miguel won the Susan Lindahl Memorial Scholarship in 2019. The Susan Lindahl Memorial Scholarship was established in 1998. Susan, the wife of our founding president Joe Lindahl, passed away following a battle with a brain tumor in 1997. This scholarship fund was established in her honor recognizing the sacrifices Susan and Joe underwent getting the PAOS off the ground and sustaining the organization in the early years. The establishment of this memorial scholarship fund was to cultivate and attract young physician assistant students into the field of orthopaedics.

Athletic Injuries of the Foot - Part 2 Sep 22, 2021

Orthopedic Surgeon Nicholas Viens, MD, specializes in the Foot and Ankle. Discussion of surgical and nonsurgical treatments for common and less common injuries seen in the athlete.

Athletic Injuries of the Foot - Part 1 Sep 15, 2021

Foot and Ankle Orthopedic Surgeon Nicholas Viens, MD discusses common and not so common foot injuries, including stress fractures, turf toe and plantar fasciitis.

Multidirectional shoulder instability (MDI) - Part 2 Sep 08, 2021

Orthopaedic Surgeon Alexander Bitzer, MD, is fellowship-trained in Sports Medicine with a focus on upper extremity. In Part 2 of a 2 part interview, Dr. Bitzer discusses the treatment of MDI, and the challenges in helping an athlete return to sport after surgical or non-surgical treatment. Our annual conference is going on this week! Follow us on social media and check out #PAOS2021!

Multidirectional shoulder instability (MDI) - Part 1 Sep 01, 2021

Orthopaedic Surgeon Alexander Bitzer, MD, is fellowship-trained in Sports Medicine with a focus on upper extremity. In Part 1 of a 2 part interview, Dr. Bitzer discusses the physical exam and diagnosis of MDI, especially as it relates to the overhead throwing athlete.

Femoroacetabular Impingement (FAI) - Part 2 - Treatment Aug 25, 2021

Orthopaedic Surgeon Alex Bitzer, fellowship-trained in sports medicine, speaks with us about the treatments for FAI in part two of his discussion on the orthoPAc. Dr. Bitzer also joined us at Extremities in the Carolinas: Trauma for General Orthopaedics earlier this year. Catch him in the CME package available on our website! Not a member of the PAOS? AAPA Learning Central will have this CME package soon too.

Femoroacetabular impingement (FAI) - Part 1 - Diagnosis Aug 18, 2021

In part 1 of a 2 part interview, fellowship-trained orthopaedic surgeon Dr. Alex Bitzer discusses the diagnosis of FAI, providing an overview of clinical exam and diagnostic imaging. Dr. Bitzer provides a presentation on FAI during our subspecialty conference, Extremities in the Carolinas. PAOS members may purchase enduring credit CME from this conference at PAOS.org, and will be available for AAPA members at the AAPA Learning Central.

Lessons learned from owning your own practice and thoughts on retirement; a PA's perspective Aug 11, 2021

For our fiftieth episode, Mike Weber, PA-C Emeritus discusses the formation of his orthopaedic practice in Fairbanks, Alaska, and his experience of retiring after a long career as an ortho PA.

The PA Title Change Aug 04, 2021

Lisa Gables, CPA, the CEO of the American Academy of PAs, discusses a big recent development for PAs and some of the other findings on patient perception and shareholder ideas. More on the title change vote: https://www.aapa.org/title-change/

Outpatient Hip and Knee Replacements Jul 28, 2021

The Outpatient Joint Replacement Center of America is a private practice specializing in same-day, minimally invasive surgery. Orthopaedic Surgeon Philip “Flip” Clifford, MD, AAHKS, AAOS and Physician Assistant Director Paulina “Mattie” Collier PA-C speak with Sam about outpatient joint replacement and how patient education is key.

Building An Orthopaedic Practice Jul 21, 2021

The Outpatient Joint Replacement Center of America is a private practice specializing in same-day, minimally invasive surgery. Orthopaedic Surgeon Philip “Flip” Clifford, MD, AAHKS, AAOS and Physician Assistant Director Paulina “Mattie” Collier PA-C speak with Sam about what it's like to begin your own practice. They talk patient referral patterns, insurance and billing, and other important things to consider when hanging your own shingle as a private orthopaedic practice. When it comes to Adult Joint Reconstruction, what are effective ways to reach your community?

Work-Up Of The Painful Total Joint Jul 14, 2021

Orthopaedic Surgeon Richard Rutherford, MD, discusses what to do when a patient presents with a painful total joint. Please also see our earlier episode with Dr. Rutherford with more details on the infected total joint.

Non-operative options for knee and hip osteoarthritis Jul 07, 2021

Orthopaedic Surgeon Richard Rutherford is fellowship trained in Adult Joint Reconstruction, and he returns to the orthoPAc for further discussion on knee and hip OA. For patients who are not good candidates for a joint replacement, or who need to delay surgery, what treatments do we discuss with patients? What do recent studies in orthopaedics and radiology say about the safety and efficacy of these treatments? Join us next week as Dr. Rutherford discusses work-up of the painful total joint!

From 2020: Starting a conversation; racism and gender inequality in healthcare - Part II Jun 30, 2021

Last year, Sam spoke with NCCPA President/CEO Dawn Morton-Rias, Ed.D, PA-C on the orthoPAc. We are excited to announce that she will be at our annual conference to discuss disparities in healthcare. Starting a conversation; racism and gender inequality in healthcare - where we are, why are we here, and next steps.

From 2020: Starting a conversation; racism and gender inequality in healthcare - Part I Jun 30, 2021

Last year, Sam spoke with NCCPA President/CEO Dawn Morton-Rias, Ed.D, PA-C on the orthoPAc. We are excited to announce that she will be at our annual conference to discuss disparities in healthcare. Starting a conversation; racism and gender inequality in healthcare - where we are, why are we here, and next steps.

Update: PAOS in the Music City! Jun 23, 2021

The twenty-first annual PAOS conference is September 6 through September 10, 2021 in Nashville, Tennessee. Continuing Education Chair Scott R. Jolman, D.Sc., PA-C and Sarah L Bolander, D.M.Sc., PA-C, DFAAPA join Sam to share what we can expect at the conference this year! Registration is open now for PAOS members and nonmembers: https://paos.org/events/event_list.asp

Value in Healthcare Jun 16, 2021

Matthew Hannibal, MD, MBA, FAAOS gives us a quick overview of the concept of value as it applies to healthcare and recent incentive programs. When we say "value-based care," what do we mean? How will data impact the future of population health as well as treatment decisions?

Athletic Injuries of the Ankle - Part II Jun 09, 2021

Dr. Nicholas Viens discusses common and uncommon ankle injuries seen in athletes and indications for various sugical and nonsurgical treatments. Part II of II.

Athletic Injuries of the Ankle - Part I Jun 02, 2021

When athletes have an ankle injury, recovery takes time, and many factors play into a decision about surgery. Orthopaedic Surgeon Nicholas Viens specializes in foot and ankle surgery and discusses with Sam common and not so common conditions of the ankle that often affect athletes.

Aberrant Behaviors in Acute and Chronic Pain Medicine May 26, 2021

Pain Psychiatrist David Marks, MD discusses risk stratification for prescribing opioid medication. When it comes to aberrant behavior, what is indicative of a problem like addiction, and what is indicative of a patient truly trying to more effectively manage their pain?

"Best of the orthoPAc" May 19, 2021

For the Spring PAOS conference week, we've put together some highlights from the past six months of our podcast. Extremities in the Carolinas is this Friday and Saturday, May 21 and 22. Join the conversation on social media with #PAOSSpring21! We'll be back next week with Aberrancies in Pain Management and then Common and Uncommon Ankle Injuries in Athletes.

Update On Osteoporosis Diagnosis And Management May 12, 2021

May is National Osteoporosis Month. Sam talks with Catherine Sweeney, PA-C, CCD about secondary fracture prevention and how to identify patients that should be screened. Discussion of diagnosis, current methods of osteoporosis management, and fracture liaison services in an orthopaedic setting.

Axial low back pain from a spine surgeon's perspective - Part II May 05, 2021

Discussion of surgeries for the spine and what to look out for when post-op spine patients come into urgent care.

What's the Diagnosis? With Answers Apr 30, 2021

Thank you for helping us reach 20,000 listens on the orthoPAc podcast! This bonus episode is a case study based on our interview with Dr. Virginia Casey, Evaluation of a Limping Child. In this version, Sam presents the case and diagnosis, and then asks and answers three multiple choice questions about the work-up.

Axial low back pain from a spine surgeon's perspective - Part I Apr 28, 2021

Dr. Matthew Hannibal discusses how we can do better as providers to coordinate care and what research suggests about diagnosing and treating low back pain.

Hand Panel Case #2 & #3: Cervical vs Peripheral Neuropathy & Ulnar Sided Wrist Pain Apr 21, 2021

Sam presents two more cases to Hand Surgeons Alexia Soria and Marshall Kuremsky as they discuss double-crush syndrome and approaches to conservative treatment to conditions of the elbow and wrist.

Hand Panel - Case #1 - Pediatric trauma and the dissatisfied patient Apr 14, 2021

Hand Surgeons Dr. Alexia Soria and Dr. Marshall Kuremsky discuss a sports medicine case and provide tips on speaking with anxious families.

Evaluation of a limping child Apr 07, 2021

Dr. Virginia Casey, Orthopaedic Surgeon specializing in Pediatrics, discusses the work-up of a child presenting with a limp and the various considerations for your history, physical exam, and diagnosis. Part 2 of 2 part interview with Dr. Casey of OrthoCarolina. Dr. Casey will also be speaking at Extremities in the Carolinas: Trauma for General Orthopedics, our upcoming conference in May in Charlotte! Registration open now -- https://paos.org/events/EventDetails.aspx?id=1416435&group= Previous conferences are available for members on the PAOS Learning Center: https://paos.mycrowdwisdom.com/diweb/gateway Non members may purchase PAOS CME on the AAPA site: https://www.aapa.org/cme-central/cme-on-demand/paos-on-demand/

The Pediatric Elbow Injury Mar 31, 2021

Part one of a two part interview with Dr. Virginia Casey, Orthopaedic Surgeon specializing in Pediatrics. Workup of commonly seen elbow injuries in the pediatric population. Dr. Casey is at the OrthoCarolina Pediatric Center and will be speaking at the PAOS conference, Extremities in the Carolinas: Trauma for General Orthopedics. Registration is open now for virtual and limited in-person attendance: https://paos.org/events/EventDetails.aspx?id=1416435&group= Learn more about the orthoPAc podcast, hosted by Sam Dyer, PA-C, MHS, here: paos.org/orthoPAcPodcast

The Wage Gap Between Male and Female PAs Mar 24, 2021

For Equal Pay Day, Sam interviews Noel Smith and Tim McCall, PhD about their recent publication in JAAPA and their research on the wage gap between male and female PAs. More information for PAs on negotiating, policy change, and more, on the AAPA: https://www.aapa.org/career-central/wage-parity/

A conversation with Richard Bruch, MD Mar 17, 2021

A discussion of state and federal advocacy with Dr. Richard Bruch, Team Orthopaedic Physician of the Durham Bulls since 1980. Dr. Bruch shares his background and ways medical practitioners can get involved in advocacy work. Dr. Bruch was named the AAOS 2020 Distinguished Congressional Ambassador at the Advocacy Resources Committee meeting during the National Orthopaedic Leadership Conference. The award is given to an AAOS member who has demonstrated excellence in advocacy on behalf of orthopaedic priorities. More about the orthoPAc podcast here: paos.org/orthoPAcPodcast

Train Your Brain To Tame Your Pain - Part III Mar 10, 2021

Final episode in a series with Les Phillips on mental/attentional techniques to calm pain and reduce stress.

Train Your Brain to Tame Your Pain, Part II Mar 03, 2021

Les Phillips, PhD shares with Sam what is involved in attention-based practices aimed at reducing pain. In part 2 of this 3 part series, we discuss the research on clinical applications of hypnosis, mindfulness, and more.

Train Your Brain To Tame Your Pain - Part I Feb 24, 2021

Sam speaks with Les Phillips, PhD on pain psychology and its application within orthopaedics. Part one of a three part series. https://paos.org/page/orthoPAcPodcast

Common Hand And Wrist Fractures, Part II Feb 17, 2021

Board certified Orthopaedic Surgeon Alexia Soria, MD speaks with Sam about common injuries in an urgent care setting, including nailbed injuries and metacarpal fractures, and indications for conservative care vs surgery.

Common Hand And Wrist Fractures, Part I Feb 10, 2021

Orthopaedic Surgeon Alexia Soria talks with Sam about common hand and wrist injuries we may see in the Urgent Care setting. Dr. Soria practices at EmergeOrtho-Triangle Region. As a board certified, fellowship trained orthopaedic surgeon, she specializes in hand, wrist, and elbow.

Best Practices To Reduce Legal Risk Feb 03, 2021

Attorneys Sara Lincoln and Scott Addison of Lincoln Derr, PLLC, in Charlotte, NC, discuss how PAs can minimize legal risk in Part 3 in a series on medical malpractice. The orthoPAc podcast is a weekly discussion on up-to-date orthopaedic topics for the busy clinician. Sit back, relax and listen while we attempt to fill in the gaps between education, current events and real world practice. New episodes out every Wednesday! https://paos.org/page/orthoPAcPodcast The Physician Assistants in Orthopaedic Surgery (PAOS) is a professional organization dedicated to providing common direction for PAs in orthopaedics. Discounted CME for members! https://paos.org/

Medmal insurance, are you covered? Jan 27, 2021

Attorneys Sara Lincoln and Scott Addison of Lincoln Derr, PLLC, in Charlotte, NC, discuss their work defending medical providers and walk us through what to look for in medmal insurance coverage. The orthoPAc podcast is a weekly discussion on up-to-date orthopaedic topics for the busy clinician. Sit back, relax and listen while we attempt to fill in the gaps between education, current events and real world practice. New episodes out every Wednesday! https://paos.org/page/orthoPAcPodcast The Physician Assistants in Orthopaedic Surgery (PAOS) is a professional organization dedicated to providing common direction for PAs in orthopaedics. Discounted CME for members! https://paos.org/

Anatomy Of A Lawsuit Jan 20, 2021

Attorneys Sara Lincoln and Scott Addison of Lincoln Derr, PLLC, in Charlotte, NC, discuss their work defending medical providers and walk us through what happens in the event of a lawsuit. The orthoPAc podcast is a weekly discussion on up-to-date orthopaedic topics for the busy clinician. Sit back, relax and listen while we attempt to fill in the gaps between education, current events and real world practice. New episodes out every Wednesday! https://paos.org/page/orthoPAcPodcast The Physician Assistants in Orthopaedic Surgery (PAOS) is a professional organization dedicated to providing common direction for PAs in orthopaedics. Discounted CME for members! https://paos.org/

Orthobiologics - Part III Jan 13, 2021

Sam talks with Bryan Saltzman, MD about cell-based therapies, covering present applications and future possibilities. Why is "Stem Cell Therapy" a misleading name?

Orthobiologics - Part II Jan 06, 2021

Sports Medicine Orthopaedic Surgeon Bryan Saltzman goes into further detail on Platelet Rich Plasma, from indications for Leukocyte Poor and Leukocyte Rich, to what protocol patients should follow before and after receiving this injection.

Orthobiologics - Part I Dec 30, 2020

Dr. Bryan Saltzman is an Orthopaedic Surgeon specializing in Sports Medicine. In part one of Sam's conversation with him, he discusses his own research and other recent literature about the efficacy of orthobiologics for various orthopaedic conditions and procedures. Dr. Saltzman spoke at the most recent PAOS subspecialty conference Extremities in the Carolinas - available for enduring credit category 1 CME.

PAOS Practice and Salary Survey Highlights 2020 Dec 23, 2020

Sam speaks with Kevin Whorton, who heads up the annual practice and salary survey for the PAOS. What do the numbers say about PAs practicing in Orthopaedic Surgery in 2020? The survey is part of membership in the Physician Assistants in Orthopaedic Surgery. It is also available for purchase for non-members.

Diagnosis and work up of a suspected total joint infection Dec 16, 2020

Sam speaks with Dr. Richard Rutherford, an orthopaedic surgeon fellowship trained in adult joint reconstruction, about how to work up a suspected total joint infection and what happens.

Risk stratification in the medical management of chronic pain Dec 09, 2020

Part III - Sam speaks with Dr. David Marks about pain psychiatry and what we might see in orthopaedics. What tools are available to help us as we treat acute and chronic pain?

Paradigm changes in the management of pain; how we got to the opioid crises Dec 02, 2020

Part II of Sam's conversation with Dr. David Marks about his work as a Pain Psychiatrist from the "fifth vital sign" to current guidelines.

The Four A's of Pain Treatment shouldn't be a PITA Nov 25, 2020

David Marks, MD, is a pain psychiatrist, discussing the difference between acute and chronic pain, and the 4 A's of analgesia, in part 1 of a 3 part discussion.

Need a raise? Better benefits? Advice on contract and salary negotiation Nov 18, 2020

Lisa Shock, DrPH, MHS, PA-C speaks with Sam about how to find a new job and what you need to negotiate.

Navigating PA school in the pandemic Nov 11, 2020

Earlier this semester, Sam talked with Laura Gerstner, MHA, MSHS, PA-C, about the impact that COVID-19 has had upon PA students in the class of 2020 and 2021 and some of the adjustments made. Laura is the Director of Clinical Education of the Physician Assistant Program at Campbell University.

Getting into PA school, a primer for aspiring PAs Nov 11, 2020

Laura Gerstner, MHA, MSHS, PA-C is the Director of Clinical Education of the Physician Assistant Program at Campbell University. She discusses with Sam what makes a PA school application stand out.

Bill Mallon; professional golfer, orthopedic surgeon, Olympic historian and published author Part II Nov 04, 2020

Sam speaks with Dr. Bill Mallon; professional golfer, orthopaedic surgeon, Olympic historian, and published author. Dr. Mallon is the editor-in-chief of the Journal of Shoulder and Elbow Surgery. Today's episode is about treatments of the shoulder, including history of certain procedures and techniques, and case studies. In this episode we also provide a preview of an interview with Rick Merklinger of the Johnson and Johnson Institute, discussing Ethicon Wound Care and new edcational resources for PAs: https://jnjinstitute.com/en-us/online-profed-resources/physician-assistant

NCCPA’s PILOT Alternative to PANRE and its potential impact on recertification Oct 28, 2020

Dawn Morton-Rias, president and CEO of the National Commission on Certification of Physician Assistants (NCCPA) discusses the PANRE take home pilot and how it fits into future PA recertification.

Optimal Team Practice - What is it and what does it mean for your practice? Oct 28, 2020

Dave Mittman, PA, DFAAPA, is the Immediate Past President of the American Academy of Physician Assistants, and discusses with Sam his work on Optimal Team Practice and the future.

Uncommonly Common Foot Fractures - Midfoot and Forefoot Oct 21, 2020

Sam and Nicholas Viens, MD, fellowship-trained foot and ankle surgeon, discuss what to consider with foot fractures, especially those that are often misdiagnosed or missed. Dr. Viens practices in Chapel Hill and Durham, NC at EmergeOrtho.

Rheumatology in Orthopaedics Oct 14, 2020

Rheumatologist Linda Belhorn discusses Rheumatology in orthopedics: differential diagnosis, screening labs and referrals, and current treatments

Physical Therapy 101; best practices for utilizing PT services in your clinic Oct 14, 2020

It's Physical Therapy Month! Sam's guest, Eric Chapman, PT, MHA, Cert MDT, CKTP, is a Physical Therapist and Director of Rehabilitation and Advanced Practice Providers at EmergeOrtho.

Bill Mallon; professional golfer, orthopedic surgeon, Olympic historian, and published author Part I Oct 07, 2020

Sam speaks with Dr. Bill Mallon; professional golfer, orthopaedic surgeon, Olympic historian, and published author. Dr. Mallon is the editor-in-chief of the Journal of Shoulder and Elbow Surgery. Today's episode is about treatment of the elbow - stay tuned for an upcoming episode about treatment of the shoulder!

Burned... out.. How did I get here and how do I get back? Sep 30, 2020

Jeanine Gargiulo, PA-C speaks with Sam about clinician burn-out, and what signs to look for in yourself or your coworkers.

Uncommonly Common Foot Fractures - Hindfoot Sep 23, 2020

Sam talks with Dr. Nicholas Viens about foot fractures, from exam and xray to surgical indications. What should we look for when presented with a hindfoot injury? Stay tuned for another episode with Dr. Viens soon, to discuss the midfoot and forefoot.

Starting a conversation; racism and gender inequality in healthcare - Part II Sep 16, 2020

Sam speaks with NCCPA President/CEO Dawn Morton-Rias, Ed.D, PA-C. Starting a conversation; racism and gender inequality in healthcare - where we are, why are we here, and next steps.

Starting a conversation; racism and gender inequality in healthcare - Part 1 Sep 16, 2020

Sam speaks with NCCPA President/CEO Dawn Morton-Rias, Ed.D, PA-C. Starting a conversation; racism and gender inequality in healthcare - where we are, why are we here, and next steps.

COVID in the Bronx - one PA's experience in the epicenter of the outbreak Sep 09, 2020

Alyssa Zantello, PA-C, shares with Sam her experience in the early outbreak of the COVID-19 pandemic. When her outpatient orthopaedic clinic slowed down, she spent six weeks treating COVID patients in New York alongside other PAs and NPs from around the country.

Spondylosis, Spondylolysis and Spondylolisthesis - What it all means and options for treatment Sep 09, 2020

Andrew Zimmerman, PA-C specializes in the spine, and talks with Sam about the terms Spondylosis, Spondylolysis and Spondylolisthesis. Discussion of surgical procedures including 360 fusion (ALIF / PLIF)

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