Early Exposure and Education Increases Likeliness of Orthopaedic Surgeons Supporting Advocacy and Policy Efforts

William Hill, MPH

Advocacy is vital to the future of medicine as a profession. Founded by the Academy in 1997, the American Association of Orthopaedic Surgeons—together with the Office of Government Relations (OGR)—advocates on Capitol Hill throughout the year on behalf of all orthopaedic surgeons. The support of the AAOS Orthopaedic Political Action Committee (PAC), founded in 1999, further bolsters the impact of AAOS’ advocacy and legislative efforts.

A Federal Task Force: Another Way to Serve My Country

John J. McGraw, MD, FAAOS, COL (retired), U.S. Army Medical Corps

On May 30, 2018, along with 12 other healthcare experts on pain management, I raised my right hand to defend the Constitution and become a Special Government Employee as part of the Department of Health and Human Services’ Pain Management Best Practices Inter-agency Task Force. The designation provides no salary; however, travel expenses and per diem are reimbursed.

My Experience with Advocacy During the In-District Event

Ryan N. Harris, DO, FAAOS

I had no significant experience in advocacy before the Academy’s In-District Event that took place in August. I can definitely see myself engaging in future meetings for the benefit of not only my patients but also my fellow providers.

Congressional Committees Greatly Impact Legislative Processes and Orthopaedics

Douglas W. Lundy, MD, MBA, FAAOS

Orthopaedic surgeons are very smart people who graduated in the top of their medical school classes, yet sometimes our understanding of concepts outside of medicine is not as comprehensive.

It Is Time to Meet with Members of Congress

Douglas W. Lundy, MD, MBA, FAAOS

Many of us are willing to set aside our personal politics and advocate on both sides of the aisle for the policy issues affecting our patients and our ability to practice.

AAOS Leverages Grassroots Advocacy to Benefit Members

Douglas W. Lundy, MD, MBA, FAAOS

Grassroots advocacy is a collective movement focused on engaging the populace at the local level to drive political change through the united voice of the constituents.

A No-nonsense Explanation of the Impending Cuts to Your Medicare Reimbursements

Douglas W. Lundy, MD, MBA, FAAOS

I have been studying healthcare policy for the past 15 years. Even after all this time, I still find some of the rules and legislation that come out of Washington, D.C., to be incredibly confusing and unnecessarily complex.

Healthcare Accessibility Is an Issue that Demands Attention

Douglas W. Lundy, MD, MBA, FAAOS

Editor’s note: This article is part of a yearlong series, throughout 2022, focusing on the work of the Advocacy Council to improve the practice of orthopaedic surgery. This article and the previous installment specifically address access to quality care.

AAOS’ Response to Medicare Payment Reform Is Nuanced

Douglas W. Lundy, MD, MBA, FAAOS

Editor’s note: This article is part of a yearlong series, Advocacy 201, which focuses on the work of the Advocacy Council to improve the practice of orthopaedic surgery.

Why Should Employed Surgeons Care about Advocacy Issues?

Douglas W. Lundy, MD, MBA, FAAOS

Editor’s note: This article is the final installment of the series Advocacy 201, which focused on the work of the Advocacy Council to improve the practice of orthopaedic surgery.

Learn More about Advocacy at the AAOS 2021 Annual Meeting

Douglas W. Lundy, MD, MBA, FAAOS

I encourage you to consider four advocacy opportunities at the Annual Meeting: the OrthoPAC booth in the Exhibit Hall, the OrthoPAC Donor Luncheon, the OrthoPAC Resident Leadership Reception, and meeting your state orthopaedic society leaders.

Advocacy Does Not Start and Stop at the National Level

Douglas W. Lundy, MD, MBA, FAAOS; Travis P. Lindley

I’ll make the case that the work of state legislators, like those who serve “under the Gold Dome” in Atlanta in my home state, is equally important to orthopaedic surgeons and our patients.

The U.S. Supreme Court Can Influence the Healthcare System

Douglas W. Lundy, MD, MBA, FAAOS

The U.S. Supreme Court is rarely in the spotlight, but when it is, there is often a political agenda at work attempting to influence its decisions or interpret its rulings.

Year in Review: AAOS’ Advocacy Efforts Prove Successful

Douglas W. Lundy, MD, MBA, FAAOS

The AAOS Office of Government Relations (OGR) is wrapping up one of the most unusual years that lobbying organizations have experienced in American politics.

Letter to Representatives: AAOS Supports the ‘SAVE’ Act

Editor’s note: The following letter was sent by AAOS leadership to U.S. Representatives Madeleine Dean (D-Pa.) and Larry Bucshon, MD (R-Ind.) in response to the Safety from Violence for Healthcare Employees (SAVE) Act of 2022.

A Review of Regulatory Bodies Overseeing U.S. Health Care

Douglas W. Lundy, MD, FAAOS

As the incoming chair of the AAOS Advocacy Council, I will endeavor to communicate these issues plainly so that we can all better understand how legislative and regulatory actions affect how we care for patients and, more importantly, what we can do to influence these changes in a positive direction.

Unified Advocacy Agenda: How Do We Decide What We Are for or Against?

Douglas W. Lundy, MD, FAAOS

Editor’s note: This article is part of a yearlong series written by the Advocacy Council chair dedicated to introducing advocacy and explaining key concepts to AAOS members.

Do Not Attend a Political Fundraiser Without a Plan

Douglas W. Lundy, MD, MBA, FAAOS; Steven B. Wertheim, MD, FAAOS

Although some people dislike the concept of political fundraisers, they are central to the U.S. political process, and a functional understanding of them is integral to being fully vested in that process.

The AAOS Medical Liability Committee

Douglas W. Lundy, MD, MBA, FAAOS

In 2006, I was an AAOS Leadership Fellow attending the National Orthopaedic Leadership Conference in Washington, D.C. David Halsey, MD, FAAOS, was chair of the AAOS Council on Advocacy at that time, and I was awed by the tremendous impact that the Council’s work had on our ability to practice our art.

Orthopaedic Surgeons and Congressional Leaders Collaborate at the National Orthopaedic Leadership Conference

Douglas W. Lundy, MD, MBA, FAAOS

Since the first NOLC meeting in 1990, leaders from AAOS have been assembling in our nation’s capital to advocate orthopaedic issues before members of Congress, as well as conducting the business of AAOS. This is one of the most critical meetings of AAOS every year.

Resident Shares How OrthoPAC Fellowship Opened Her Eyes to the Importance of Advocacy Engagement

Sarah Nelson, MD

During my two-year tenure as the Resident Fellow on the Political Action Committee of the American Association of Orthopaedic Surgeons Executive Committee, I gained valuable experience and knowledge of why orthopaedic surgeons need to be engaged in advocacy from the beginning of our careers.

Decoding Campaign Finances: Navigating the Complexities of Hard and Soft Dollars

Cassim M. Igram, MD, FAAOS

One frequently asked question received from AAOS members who want to donate to OrthoPAC is, “What is the difference between ‘hard’ and ‘soft’ dollars?”

‘A Reflection of My Time as the OrthoPAC Resident Fellow’

Kevin Cronin, MD

After being named the latest Orthopaedic Political Action Committee (OrthoPAC) Resident Fellow on the AAOS PAC Executive Committee in the spring of 2019, I knew there were big shoes to fill.

Biologics: Hope, Market Pressures, Evidence, Guidelines, and Equipoise

Ronald A. Navarro, MD, FAAOS, FAOA; Gary E. Friedlaender, MD, FAAOS, FAOA, FORS

Through the application of rigorous scientific methodology, evidence-based practice, and advances in safe and effective technology, many important new solutions to serious health issues are being addressed with orthobiologic products.

The Fate of the Ailing Ankle: Arthrodesis Versus Arthroplasty

Robert L. Parisien, MD; Jason P. Tartaglione, MD; Shaun Kink, MD; Michael Aynardi, MD; Lew C. Schon, MD; Christopher W. DiGiovanni, MD

This "Face Off" presents the most compelling arguments in support of both ankle arthrodesis and total ankle replacement (TAR) in the management of end-stage ankle arthritis. Although it seems increasingly clear that both arthrodesis and arthroplasty will have their place in the treatment of ankle arthritis, both procedures come with particular advantages, disadvantages, and associated complications.

OVT Review: Techniques for a Unicompartmental Knee Arthroplasty with a Fixed Bearing Implant

Neil P. Sheth, MD, FAAOS, FACS

Editor’s note: The following article is a review of a video available via the AAOS Orthopaedic Video Theater. AAOS Now will routinely review “OVT plus” videos, which are vetted by topic experts and offer CME. For more information, visit www.aaos.org/OVT.

Subacromial Balloon Arthroplasty for Irreparable Rotator Cuff Tear

Thomas Fleeter, MD, MBA, FAAOS

Editor’s note: The following article is a review of a video available via the AAOS Orthopaedic Video Theater. AAOS Now will routinely review “OVT plus” videos, which are vetted by topic experts and offer CME. For more information, visit www.aaos.org/OVT.

Am I Safe to Perform Surgery?

Michael R. Marks, MD, MBA

The following case report is true. It is mine. I am sharing it to shed light on an area of patient safety that all physicians and surgeons must consider. If we do indeed learn best from the mistakes others make, I hope this will be a lesson for thousands of surgeons. My surgery As a fellowship-trained spine surgeon, I have great empathy and sympathy for my patients, because I have also sustained disk herniations and radiculopathy.

Novel Solutions for a Complex Problem: How Do We Build Stronger Orthopaedic Care in Rural Areas

Lisa Ronback, MD, FAAOS, FRCSC; James Barber, MD, FAAOS

Imagine you are a 59-year-old orthopaedic surgeon who is on call every second night at your rural hospital.

Sound Off: The Role of the Periosteum in Pediatric Supracondylar Fractures: Periosteal Versus Bony Hinge

Edward Abraham, MD, FAAOS

Editor’s note: This article is in response to a recommendation by Mercer Rang, MD, regarding the periosteal hinge theory’s role in the treatment of pediatric supracondylar fractures.

OVT Review: Direct Anterior Approach for Hip Hemiarthroplasty

Neil P. Sheth, MD, FAAOS, FACS

There has been increased enthusiasm for total hip arthroplasty through the direct anterior approach. The literature demonstrates that this approach results in less postoperative pain, quicker recovery, excellent functional outcomes, and fewer postoperative complications, including instability.

A Look into the History of Modern Limb Lengthening

Stuart A. Green, MD, FAAOS

At that moment, Dr. Gavriil Abramovich Ilizarov realized that he had unlocked from within bone a previously unknown capacity to create new osseous tissue with appropriate conditions of soft-tissue–sparing osteotomy, a stable external fixator, a short delay to commence the healing process, and then gradual distraction of the cut bone ends at an appropriate rate and rhythm.

Overweight and Obesity Are Often Overlooked by Surgeons

Nicholas J. Meyer, MD

As orthopaedic surgeons, we love to fix things.

Wrong-Side Procedure in the Modern Era

Robert J. MacArthur, MD

Bob MacArthur reached out to me with a compelling story of medical error. People often wonder how a wrong-side procedure can occur in the era of Universal Protocol and two decades of "operate through your initials"/"sign your site." This story will demonstrate how. It's a real lesson in the importance of a culture of safety. Bob and I hope that you will learn from this experience. On Feb.

Face-Off: Smart Phones in the OR

Recently, patient deaths and other adverse events in the operating room have been attributed to distraction among physicians and operating room staff when they use their own smart phones for non–patient-care-related activities in the operating room. Should they be banned? and Bopha Crea, MD, face off with their views on the issue. Point: Recognize the Risks Dwight W.

In an Effort to Cut Costs, Domestic Medical Tourism Takes Off

Eeric Truumees, MD

Editor’s note: This editorial concludes a two-part series on medical tourism. The first editorial appeared in the May issue of AAOS Now. Visit www.aaosnow.org to read more. Medical tourism refers to patient travel specifically for medical wellness services. Part one of this editorial discussed the issue of patients traveling abroad for orthopaedic and other healthcare services. Primary drivers for such trips include costs and access to care.

Governance: What and Why Now?

Kristy L. Weber, MD

AAOS is in a time of dynamic change. It is critical for organizations, whether for-profit or not, to regularly evaluate their strategy, governance, and core values to stay relevant. The Board of Directors took a deep dive in the areas of strategy and governance in 2018, culminating in the approval of a new five-year Strategic Plan in December 2018 and adoption of governance principles in September 2018 (both documents are available at www.aaos.org/strategicplan).

How Medical Student Debt Impacts Specialty Choice and MD Income

Eeric Truumees, MD, FAAOS

In the first part of this editorial, I assessed whether U.S. orthopaedists are paid too much and compared our incomes to those of other professions across the nation and world. Here, I’ll examine the role of altruism and the impact of student debt on the attractiveness of medicine in general and orthopaedic surgery specifically.

2020 Annual Meeting in Orlando: Discovery, Diverse Educational Opportunities … and Disney

Kristy L. Weber, MD, FAAOS

Change is happening in the Academy. The Board-approved strategic plan, available at www.aaos.org/strategicplan, requires a new level of focus on metrics and objectives needed to achieve our three strategic goals. You will find aspects of each of the goals actualized at the upcoming AAOS 2020 Annual Meeting in Orlando, Fla., March 24–28, 2020.

Physician Perspectives and Overall Professional Culture

Eeric Truumees, MD, FAAOS

Over the past several months, we have covered topics and received letters about articles that I would not initially have considered controversial.

A Focus on Members: Mission Critical!

Kristy L. Weber, MD, FAAOS

The mission statement of AAOS is: “Serving our profession to provide the highest quality musculoskeletal care.” Since reaffirming this mission and creating our five-year Strategic Plan in December 2018, AAOS has focused substantial resources and effort toward improving the member experience. This will continue to be a priority.

Speaking the Same Language

Eeric Truumees, MD, FAAOS

Editor’s note: With this issue, I’d like to introduce the new AAOS Now deputy editor, Julie Balch Samora, MD, PhD, MPH, FAAOS. We are excited to have her join our Editorial Board and offer a fresh, new perspective to our editorial processes. She contributed to and supports the message of this editorial. Dr. Samora’s professional details are listed at the end of the editorial; to learn more about her new role, see sidebar

AAOS Responds to COVID-19 Pandemic, Makes Progress on 2020 Goals

Joseph A. Bosco III, MD, FAAOS

The AAOS Board of Directors did not have a playbook at the ready specifically designed to address a global pandemic and a stoppage of elective surgeries, but we did spend the better part of the past two years focused on how to approach strategic thinking and planning.

Welcome to the ‘Daily Edition,’ from Safe Social Distance

Eeric Truumees, MD, FAAOS; Julie Balch Samora, MD, PhD, MPH, FAAOS

The COVID-19 pandemic led to the cancellation of the AAOS 2020 Annual Meeting. As AAOS has converted much of the Annual Meeting into a virtual event, we have created this Special Edition solely covering the meeting, focusing on the reporting that would have appeared in the onsite publication. Our goal for this Special Edition is to keep members informed of orthopaedic advances, study findings, and other Annual Meeting content.

Financial Fears and the COVID-19 Response

Eeric Truumees, MD, FAAOS; Julie Balch Samora, MD, PhD, MPH, FAAOS

Although the first major wave of COVID-19 may have peaked in most of the United States, we are still coming to grips with the impact of the pandemic on orthopaedic surgery and, particularly, its finances.

The Healthcare System’s Evolution Challenges Orthopaedics

Eeric Truumees, MD, FAAOS

By nature, many of us are cautious of fundamental changes to the healthcare system. Recognizing that there have been several changes in the past 20 years, many of us already carry an element of change fatigue.

AAOS Now Editorial Board Continues to Enhance Magazine

Julie Balch Samora, MD, PhD, MPH, FAAOS; Eeric Truumees, MD, FAAOS

AAOS Now is the Academy’s primary member communications vehicle and the No. 1 nonpeer-reviewed print magazine in the entire orthopaedics market.

The Academy Isn’t Finished with 2020 Just Yet

Joseph A. Bosco III, MD, FAAOS

I would not blame anyone if they are already looking toward 2021, hoping for a fresh start. The AAOS Board of Directors (BoD) shares similar optimism, but we are not finished with 2020 just yet.

Reminiscing on Six Great Years with AAOS Now

Eeric Truumees, MD, FAAOS

This is my last editor’s message for AAOS Now. It has been a signal honor to serve AAOS Now as the editor-in-chief designee since 2014.

COVID-19 Vaccines Provide Hope

Joseph A. Bosco III, MD, FAAOS; Andrew H. Schmidt, MD, FAAOS

While the healthcare system will still be under immense pressure over the upcoming months, we can finally start to look ahead with a sense of optimism in respect to our patients’ musculoskeletal care and long-term sustainability of our practices.

A Tribute to the Past and a Positive Future Ahead

Robert M. Orfaly, MD, FAAOS

In this spirit, I will begin my first editor’s message expressing my sincere gratitude for the opportunity to serve the AAOS membership in this capacity.

Pandemic Poses Challenges but Does Not Deter AAOS

Joseph A. Bosco III, MD, FAAOS

The COVID-19 pandemic created tremendous challenges for all of us, both personally and professionally. Although it is easy to let what was out of our control dampen our spirits, it is critical to not lose sight of the good that is all around us. Focusing on the positives will get us across the finish line with respect to this terrible infectious disease.

The Loss of Human Connection Is Disconcerting

Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA

Although I have never considered myself overly social, I have realized that I actually need in-person connections. Fortunately, I’m optimistic that our medical societies, including AAOS, will resume safe, socially distanced, in-person events in the near future.

New and Classic Learning Opportunities Are as Exciting as Ever

Robert M. Orfaly, MD, MBA, FAAOS

To a surgeon who graduated a while ago, like me, the most striking change is in the types of knowledge necessary to succeed in the current and future healthcare environment.

39,000 Reasons to Come to San Diego

Daniel K. Guy, MD, FAAOS

Our slow return to normalcy echoes Bob Dylan’s lyrics, “The times, they are a-changin’.” As COVID-19 restrictions are lifted across the country, an overwhelming sense of optimism fills the air.

No One Path Is the Same When It Comes to Getting Value from AAOS Membership

Robert M. Orfaly, MD, MBA, FAAOS

As we continue to adjust to a new normal in the wake of the COVID-19 pandemic, each of us strives to maintain our personal and professional connections.

Advocacy Never Sleeps

Daniel K. Guy, MD, FAAOS

The activities and education at the AAOS 2021 Annual Meeting helped set the table for our upcoming 2021 Combined National Orthopaedic Leadership Conference (NOLC)/Fall Meeting, which will be held Sept. 26–29 in Washington, D.C.

It’s Time for Physicians to Talk about Our Mental Health

Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA

I thought I was a first-rate surgeon, with years of superb outcomes and happy patients and families. However, during the summer of 2020, I had a college athlete experience a terrible outcome after a simple first dorsal compartment release.

AAOS’ Education Portfolio Continues to Expand and Support Members at Every Career Stage

Daniel K. Guy, MD, FAAOS

AAOS has always been focused on education. A review of our history and Annual Meetings highlights the importance we place on sharing ideas to promote better care of our patients.

From the Ashes, the Phoenix Rises

Robert M. Orfaly, MD, MBA, FAAOS

As 2021 comes to a close, we can reflect on what has clearly been a very difficult year.

Benefits of Membership Are Invaluable

Daniel K. Guy, MD, FAAOS

Value is a word used in many contexts these days. When applied to healthcare in general, value has become a formula used to equate the outcome of care versus the cost to provide that care.

Partnerships Were Key to a Successful 2021

Daniel K. Guy, MD, FAAOS

When I was reminded that this article would be my last President’s Message, it was suggested that I recap my tenure and summarize AAOS’ most significant accomplishments or ponder the future of AAOS. Given the choice, I have decided to touch on both and focus on the importance of partnership within orthopaedics.

The Glass Is Half Full: Orthopaedic Surgeons Can Benefit from Optimism and a Social Network for Health and Well-being

Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA

I have considered myself a Pollyanna since early childhood, much thanks to my mother, who has always seen the world through an optimistic lens.

AAOS 2022 Annual Meeting in Chicago Helps Attendees ‘Reach New Heights’

Felix H. “Buddy” Savoie III, MD, FAAOS

By all accounts, the AAOS 2022 Annual Meeting, held March 22 to 26 at McCormick Place in Chicago, was a resounding success.

The Road Increasingly Traveled toward Orthopaedic Residency

Robert M. Orfaly, MD, MBA, FAAOS

With summer around the corner, it is the season of graduations and new beginnings for many individuals and families.

AAOS Continues Its Progress on Many Critical Initiatives

Felix H. “Buddy” Savoie III, MD, FAAOS

AAOS continues to work hard for the benefit of you and your patients.

What Recharges Your Batteries?

Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA

I recently have spent time considering what outside of medicine makes me happy and recharges my batteries when I’m mentally, physically, and emotionally exhausted.

Doing Nothing Is Not Acceptable

Felix H. “Buddy” Savoie III, MD, FAAOS

“Why get involved? Why say anything?” In the past few months, I have been asked these questions in various forms more than I can count.

Keeping Our Patients and Ourselves Safe

Robert M. Orfaly, MD, MBA, FAAOS

AAOS Now will cover nonclinical subjects that may be controversial but are clearly on the minds of many members. One such topic will initiate our special coverage this month, as the issue of healthcare workplace safety has been thrust into the spotlight.

The 2022 Combined National Orthopaedic Leadership Conference/Fall Meeting Scores Big for Orthopaedic Surgeons

Felix H. “Buddy” Savoie III, MD, FAAOS

Your AAOS has continued to work tirelessly for its members and our patients during the election season.

A Look Back at 2022: A Year Like No Other, Again

Robert M. Orfaly, MD, MBA, FAAOS

As we approach the end of another year, it is common practice to take stock of the events of the recent past that have shaped our lives as we look forward to the future.

Reflection: The COVID-19 Pandemic Has Changed Orthopaedic Surgery

Ronald A. Navarro, MD, FAAOS, FAOA

In the withdrawal following the throes of the pandemic, orthopaedic surgeons are searching for what comes next. The aftermath of COVID-19 on healthcare and its workforce will be long studied. The intersection of a selectively lethal infection, unprecedented social disruption, and the coincident emergence and innovations in telehealth has changed the practice of orthopaedics.

Communication: The Message and the Medium

Alexandra E. Page, MD, FAAOS

What should the AAOS Now of the future look like, and how should it be accessed?

AAOS Hosts Its Most Successful Annual Meeting since 2019

Kevin J. Bozic, MD, MBA, FAAOS

It is with great humility and enthusiasm that I begin my tenure as the 2023–2024 AAOS president, having just completed an exciting AAOS 2023 Annual Meeting, held March 7 to 11 at the Venetian Convention & Expo Center in Las Vegas.

Echoes of Sir William Osler

Robert M. Orfaly, MD, MBA, FAAOS

Another year’s Match Day has come and gone for the latest crew of graduating medical students.

A Debate for the ‘Ages’

Robert M. Orfaly, MD, MBA, FAAOS

Generalizing this month’s discussion on ageism, I asked myself questions regarding where the line is drawn between patient and physician responsibilities for a successful therapeutic relationship and how best to balance sometimes divergent needs.

Killing Hope: A Resident’s Difficult but Necessary Reflection on How to Navigate Patient Expectations

Janice Bonsu, MD, MPH

My hardest consultation to date was for a young girl with a traumatic hand amputation.

This Is Not a Job

Alexandra E. Page, MD, FAAOS

Distinguishing a profession from a job is riddled with subjectivity and semantics. To me, it relates to the specialization, education, and training required. Professions have ethics and standards that define their practice and are typically self-regulated.

We Are Stronger Together

Kevin J. Bozic, MD, MBA, FAAOS

While many similar organizations are fighting for market share, financial viability, capacity to meet member needs, and sustained relevancy, AAOS has persevered and continues to thrive.

How Should Orthopaedic Surgeons Responsibly Introduce Innovation?

Robert M. Orfaly, MD, MBA, FAAOS

The theme of this month’s edition of AAOS Now focuses on innovation. I therefore think it is appropriate to offer some potential controversy and invite a conversation about how and when innovation gets introduced into our practices.

Annual Meeting Attendees Should Mark Their Schedules for OrthoDome, OrthoPitch, AI, and VIPER Sessions

Kevin J. Bozic, MD, MBA, FAAOS

If you are looking for cutting-edge innovation and groundbreaking research, you will not find a better venue than the AAOS 2024 Annual Meeting.

Valuing Balance: When Combatting Burnout, Surgeons Must Consider What Really Matters

Alexandra E. Page, MD, FAAOS

Despite the focus on value in medicine, how often do surgeons consider what a value equation might look like for their personal and professional lives?

It’s D-Lightful, D-Licious, D-Lovely: It’s D-Vitamin

Alexandra E. Page, MD, FAAOS

With apologies to Cole Porter, “I feel a sudden urge to sing, the kind of ditty that invokes the …” virtues of vitamin D!.

Advancing Quality and Innovation in Orthopaedics: A Look into AAOS Initiatives

Paul Tornetta III, MD, PhD, FAAOS

With AAOS’ ongoing commitment to enhancing the health of patients with musculoskeletal conditions and promoting innovation in orthopaedics, we continue to evolve the tools and resources available to members.

Global Shortages in Healthcare Professionals: How Do We Reach Human Resource Sustainability in Our Practices?

Robert M. Orfaly, MD, MBA, FAAOS

The theme of this month’s edition of AAOS Now is environmental sustainability, with several excellent articles to spur individual thought and group discussion on the environmental impact of the decisions we all make in our healthcare systems.

Lifelong Learning Benefits Our Patients

Paul Tornetta III, MD, PhD, FAAOS

As surgeons, we are all caretakers, and we must put the needs of others ahead of our own.

Tip Your Reps: The Service Is Worth the Price

Alexandra E. Page, MD, FAAOS

Orthopaedic implant distribution can involve complex, multi-tiered organizations, but I will focus on the person we know from direct contact in our offices and ORs: the industry representative.

The Medicare Crisis: A Call to Action for Orthopaedic Surgeons

Paul Tornetta III, MD, PhD, FAAOS

As orthopaedic surgeons, we dedicate our careers to improving the lives of our patients, many of whom rely on Medicare for their healthcare needs.

From PPE to Saline: How Do We Fix the Healthcare Supply Chain?

Robert M. Orfaly, MD, MBA, FAAOS

Supply-chain disruptions and shortages now seem almost commonplace.

Lifelong Learning and Lessons

Paul Tornetta III, MD, PhD, FAAOS

This year, the AAOS Annual Meeting returns to San Diego and its regular March timeframe. San Diego is a favorite location for many, and the meeting promises to provide educational experiences for all attendees.

Vigilante: Prior Authorization Pushes Too Far

Alexandra E. Page, MD, FAAOS

At the writing of this column, the killing of UnitedHealthcare CEO Brian Thompson looms large in the news.

AAOS 2025 Brings New Meaning to ‘March Madness’

Annunziato (Ned) Amendola, MD, FAAOS

I can honestly say that the AAOS 2025 Annual Meeting delivered its own brand of excitement, inspiration, and meaningful impact.

AAOS Refines Its Advocacy Strategy and Tactics to Respond to COVID-19 and Beyond

Joseph A. Bosco III, MD, FAAOS

Advocacy has taken center stage since the COVID-19 pandemic hit our country earlier this year. First, healthcare providers were asked to stop performing elective surgeries in order to preserve personal protective equipment and hospital beds needed for the surge of COVID-19 patients. As a result, hospitals and private practices needed financial relief and sweeping regulatory changes to stay afloat and provide care during these unprecedented circumstances.

The Most Successful Organizations Embrace Diversity

Kevin J. Bozic, MD, MBA, FAAOS

In order for us to survive and thrive as an organization, we need talented volunteer leaders and dedicated staff who are strategic, collaborative, creative, forward-thinking, and committed to continuous learning and constant evolution.

Considering the Whole Patient

Omolola Fakunle, BS

The following letter is in response to the article titled, “High Prevalence of Depression Found in Shoulder Surgery Patients,” which was published in the September issue of AAOS Now.

Starting the Diversity Conversation

Lesley J. Anderson, MD, FAAOS

The following letter is in response to the article “Are We Inclusive or Exclusive?” which was written by Julie Balch Samora, MD, PhD, FAAOS, and Lisa Cannada, MD, FAAOS, and published in the October issue of AAOS Now.

In Favor of Innovation

Jordan Stoll, MD

Editor’s note: The following letter is in response to the article “Point/Counterpoint: Effective Implant Development,” which was written by Bruce H. Ziran, MD, FACS, and Douglas W. Lundy, MD, MBA, FACS, FAAOS, and published in the October 2019 issue of AAOS Now.

The Physician’s Role in Limiting Fake News

Clay Spitler, MD, FAAOS; Scott Mabry, MD; Brent Ponce, MD, FAAOS

Editor’s note: The following letter addresses the release of information and disinformation following a public injury to a professional sports player.

We Need to Expand Efforts to Increase Diversity

Gary W. Stewart, MD, FAAOS

Editor’s note: The following letter is in response to an editorial written in Science.

Celebrating Diversity Encourages Future Orthopaedic Surgeons

Tyler Tetreault, MD

Editor’s note: The following letter is in response to a series of articles focused on the LGBTQ (lesbian, gay, bisexual, transgender, and queer [or questioning]) community that were recently published in AAOS Now.

List Outlines Gamers’ 15 Most Common Injuries and Ailments

Corey J. Csakai, DC, CSCS

Editor’s note: The following letter is in response to the articles “eSports Gamers Emerge as the Newest Orthopaedic Patient” and “Orthopaedic Surgeons Weigh In on eSports and Gaming-related Musculoskeletal Injuries,” which appeared in the May and June issues of AAOS Now, respectively.

Should We Endorse Groups Outside of Medical Organizations in the Name of Diversity?

Marc I. Malberg, MD, FAAOS

Editor’s note: The following letter is in response to the article “A Public Health Crisis: Racism and Racial Disparities,” which appeared in the June issue of AAOS Now.

A Deep Dive Into Issues Particular to Caring for Muslim Patients

Omer Ilahi, MD, FAAOS

Editor’s note: This letter is in response to an August AAOS Now article (“Providing Religiously and Culturally Competent Care”) in which Julie Balch Samora, MD, PhD, MPH, FAAOS, interviewed Deena Kishawi, MD, a post-graduate year-1 obstetrics and gynecology resident and practicing Muslim.

Readers Observe Conflict of Interest in Hallux Valgus Article

Timothy Charlton, MD, FAAOS; Glenn Pfeffer, MD, FAAOS; Jeremy Chan, MD

We are writing regarding the recent AAOS Now article on hallux valgus correction and the use of the Lapidus procedure. Although we appreciate the attempt to highlight modern developments in hallux valgus surgery, numerous aspects of the article are concerning.

Sound Off: Sponsorship of Female Surgeons Needs to Be Intentional

Ariana Lott, MD; David Ring, MD, PhD, FAAOS; Megan Conti Mica, MD, FAAOS

The benefits of diversity and representation can be realized if we are intentional about increasing sponsorship of female orthopaedic surgeons.

Orthopaedics Pioneered Robotics in Surgery

Brian Day, MD

In the AAOS Now article about the emergence of robotics in orthopaedics, when stating that “orthopaedic surgery has been comparatively slower in its development and adoption of parallel technology,” the authors may not have been aware that orthopaedics led the world in pioneering the introduction of robotics into the realm of surgery.

Lessons Learned from a Dog

Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA

Meeting the newest member of our family (Luna) has turned our lives upside down, for the better, and she has already taught me five important life lessons.

Keep Recurring Meetings Virtual

Amit Jain, MD; Casey Jo Humbyrd, MD, MBE, FAAOS

A virtual-only approach should apply to many meetings—particularly recurring weekly educational meetings and administrative conferences, which are the backbone of the academic orthopaedic mission.

The Final Cut: An Educational Call to Arms: Recovering from the Impact of COVID-19

Karl C. Roberts, MD, FAAOS; Kent Kern, MD

Almost two years into the COVID- 19 pandemic, the impact on resident education is still being measured and poses a risk to the ongoing development of our learners.

Managing Surgeon Stress from Poor Outcomes Is Critical

Peter D. Pardubsky, MD, FAAOS, FASSH

Editor’s note: The following letter is in response to the October 2021 AAOS Now Editor’s Message, “It’s Time for Physicians to Talk about Our Mental Health” by Deputy Editor Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA.

John M. Rhee, MD, the 2021 CSRS President, Emphasizes How Critical Education Is to the Society’s Mission

John M. Rhee, MD, FAAOS

The following article is an abbreviated version of the presidential address that John M. Rhee, MD, FAAOS, the 2021 president of the Cervical Spine Research Society (CSRS), delivered at the society’s 49th Annual Meeting on Dec. 3, 2021, in Atlanta.

How Will AAOS Choose Its Leaders: Top Down or Bottom Up?

Ed Toriello, MD, FAAOS; Ramon Jimenez, MD, FAAOS

Editor’s note: The following letter is in response to the February 2022 AAOS Now article “How Does AAOS Choose Its Leaders?” by Kristy L. Weber, MD, FAAOS.

AAHKS President Bryan D. Springer, MD, Reflects on the Association’s Pillars, Looks to the Future

Bryan D. Springer, MD, FAAOS

Editor’s note: This message was originally published in the spring 2022 issue of AAHKS Update, the quarterly newsletter of the American Association of Hip and Knee Surgeons (AAHKS).

Own the Pus: We All Need to Help Stem the Tide of Infections

Michael S. Sridhar, MD, FAAOS

Many orthopaedic surgeons are familiar with something like the following vignette.

Reader Comments on Delaying ACLR and Arthrofibrosis

K. Donald Shelbourne, MD

Editor’s note: The following letter is in response to the August 2022 AAOS Now article titled “Delaying ACL Reconstruction by Seven Weeks or More Is Associated with Lower Risk of Arthrofibrosis” by Ariel DeMaio.

Professionalism and Second Opinions: When Physicians Badmouth Other Physicians

Thomas Fleeter, MD, MBA, FAAOS

Although it may be tempting to pass judgment on another physician when providing a second opinion, it reflects poorly on the treating physician when that physician assails another provider without the other physician’s knowledge or a full set of records.

Medical Gaslighting: How Can Orthopaedic Surgeons Better Listen to Their Patients?

Thomas Fleeter, MD, MBA, FAAOS

In the classic 1944 film Gaslight, Ingrid Bergman stars as a young woman who is gradually driven toward insanity by her abusive and manipulative husband.

AAOS 2023 Annual Meeting Is Shaping Up to Be a Spectacular Event

Felix H. “Buddy” Savoie III, MD, FAAOS

The orthopaedic event of the year, the AAOS 2023 Annual Meeting, is right around the corner. Join me and some of the best and brightest in the profession in Las Vegas, March 7 to 11, at the Venetian Convention and Expo Center.

How Committed Are You? Respecting the Choice of Limb Reconstruction

Jessica Rivera, MD, PHD, FAAOS

“How committed are you to this guy’s foot?” This was the question my plastic surgery colleague asked me one evening over the phone after seeing a gentleman in clinic whom I had referred.

We Are Human; It Is OK to Forgive Ourselves

Gregory G. Gallant, MD, MBA, FAAOS

Something very tragic happened to me recently. Unfortunately, my older brother's brain and cardiac function were severely compromised. I had to make the very difficult decision to have him extubated, which allowed him to pass peacefully.

Board Proposes Amendment to AAOS SOPs

Robert M. Orfaly, MD, MBA, FAAOS

The AAOS Board of Directors (BoD) has proposed an amendment to the AAOS Standard of Professionalism (SOP) regarding Professional Relationships to add wording on harassment, bullying, and discrimination as unacceptable behaviors that fall under the professional conduct standard.

RJOS President Christen M. Russo, MD, Celebrates 40 Years of Promoting Women in Orthopaedics

Editor’s note: The following article is an abbreviated version of the speech Christen M. Russo, MD, FAAOS, FAOA, president of the Ruth Jackson Orthopaedic Society (RJOS), delivered at the RJOS Annual Meeting and 40th Anniversary Event on March 7 in Las Vegas, Nev.

Ageism Negatively Impacts the Surgeon-Patient Relationship

Thomas Fleeter, MD, MBA, FAAOS

The following letter is in response to the article titled “Study Investigates Surgeon Factors Associated with Patient Satisfaction Scores after Orthopaedic Care,” by Rebecca Araujo, in this edition of AAOS Now.

Gun Violence Claims the Life of Another Orthopaedic Surgeon

Kevin J. Bozic, MD, MBA, FAAOS

Regardless of our political views, I hope we can all agree that we can no longer stand by and bear witness to the brutal murders of our colleagues in their places of work.

Academic versus Private Practice: Weighing the Pros and Cons

Cassim M. Igram, MD, FAAOS

Should an orthopaedic surgeon pursue academic medicine or private practice? Thirty years ago, I was completing my fellowship and pondering that question as I weighed several offers.

Simple Steps to Connect with Patients May Prove Helpful in the Face of Future Liability

Edward R. McDevitt, MD, FAAOS

I would like to suggest to readers an additional tip for avoiding medial liability suits that has helped me tremendously during my career: Call your patients the night of their surgery.

Teach Your ‘Children’: How to Encourage Orthopaedic Residents to Get Engaged in Advocacy

Cassim M. Igram, MD, FAAOS

Teaching your residents about the importance of advocacy is an ongoing process.

Are Orthopaedic Generalists a Dying Breed?

Leslie Schwindel, MD, FAAOS

Long gone are the days of the smalltown doctor, the generalist who makes house calls with a black bag and accepts payment in the form of baked goods and fresh eggs.

Fight Burnout by Reconnecting with What Motivates You

Suzanne Stevens, MD, FAAOS

Editor’s note: This letter is in response to the article “Resilience Alone Cannot Address Orthopaedic Surgeon Burnout, Moral Injury,” by Mary Carnduff, MD, MBA, FAAOS, which was published in the October 2023 issue of AAOS Now.

Some Thoughts on How to Deal with Complications in Practice

Gregory G. Gallant, MD, MBA, FAAOS

I am hoping that younger and even older physicians reading this article will take my advice and perhaps cope better when confronted with complications and bad outcomes.

Balancing Resident Training with Complication Risk and Liability

Paul S. Issack, MS, MD, PhD, FAAOS, FACS, FAOA

How do we balance resident training with the expected commission of errors and the associated complication risk? It starts with a shared responsibility between the teaching attending surgeon and the junior resident.

DAIR, Double DAIR, and DAPRI Procedures: Where Are the Unseen Bacteria?

Daniel R. Schlatterer, DO, MBA, FAAOS

One of the most devasting complications after total knee replacement is periprosthetic joint infection.

Soup or Syringes?

Stuart A. Green, MD, FAAOS

Editor’s note: The Final Cut is a recurring editorial series written by a member of the AAOS Now Editorial Board.

RJOS Supports the Pursuit of Parenthood for all Orthopaedic Surgeons

Corinna C. Franklin, MD

RJOS supports all who choose to become parents—through childbearing, surrogacy, or adoption—and is proud to provide resources about successfully navigating this decision during one’s orthopaedic career.

Nurturing the Physician-Patient Relationship

Thomas Fleeter, MD, MBA, FAAOS

Trust is at the heart of every physician-patient relationship. However, several factors in recent years have contributed to the erosion of the physician-patient relationship.

Rural Orthopaedic Surgeon Offers Perspective on Musculoskeletal Oncology

Leslie Schwindel, MD, FAAOS

At the very least, I believe it’s important to recognize when something is not a normal or expected finding and when to refer to a higher level of care.

Standardization Is Innovation

Ronald A. Navarro, MD, FAAOS, FAOA

There is an intersection of innovation and value, where change is created that adds value.

A Lesson from Henrik Ibsen

Stuart A. Green, MD, FAAOS

As the curtain fell on An Enemy of the People, I understood for the first time why Henrik Ibsen’s 1882 play continues to resonate with audience members, especially those in healthcare who must, day in and day out, battle with authorization personnel, hospital administrators, and other officials who fail to comprehend the danger of invading organisms and other urgencies.

Finding One’s Legacy: How to Approach the Question of Retirement from Orthopaedics

Leslie Schwindel, MD, FAAOS

As I write this, my grandmother passed away about 6 weeks ago. She was 94 years old and suffering from severe dementia before she fractured her hip. She was my last remaining grandparent, and her passing caused me to reflect a great deal on the purpose of life.

Data Presented in Fellowship Choice Article Are Concerning

Lisa K. Cannada, MD, FAAOS

This letter concerns the accuracy of the article titled, “New Survey Data Illustrate Developing Trends in Fellowship Choice” which was written by Sanar Yokhana, MD; Ryan J. Kozlowski, MD; Ali Omari, BS; Muhammad T. Padela, MD, MSc; Zain Sayeed, MD, MHA; and Sam Nasser, MD, and published in the November 2018 issue of AAOS Now.

Misuse of the Term ‘Violence’

Brian A. Shaw, MD, FAAP, FAAOS

The following letter is in response to the article “A Top-down Approach Is Needed to Address Lateral Violence Among Residents,” which was written by Alan M. Reznik, MD, MBA, FAAOS, and published in the October issue of AAOS Now.

Neologisms

John DeWeese, MD, FAAOS

Editor’s note: The following letter is in response to the article “A Top-down Approach Is Needed to Address Lateral Violence Among Residents,” which was written by Alan M. Reznik, MD, MBA, FAAOS, and published in the October 2019 issue of AAOS Now.

Let’s Renew the Commitment to Proficiency-based Training Using VR

W. Dilworth Cannon, MD, FAAOS

Editor’s note: The following letter is in response to the article “Immersive Virtual Reality: A Paradigm Shift in Education and Training,” which was written by Ryan Lohre, MD, and Danny P. Goel, MD, MSc, FRCSC, and published in the January issue of AAOS Now

Specialization Has Changed Orthopaedics

Stuart J. Fischer, MD, FAAOS

Looking back over the past 40 years, there have been many changes in the practice of orthopaedic surgery.

Sound Off: Men, It’s Time to Be Comfortable Giving Up Some Seats at the Table

Ryan K. Harrison, MD, FAAOS

We live in a country that declared “all men are created equal.” Even at the time of that declaration, it wasn’t necessarily true.

Difficult Question: Should We Have Further Postponed Sports?

Edward R. McDevitt, MD, FAAOS

The conundrum is that we do not know how this virus will affect our athletes in the long run. It is too new, and it is an unusual coronavirus.

Raymond W. Liu, MD, Addresses LLRS Members at the Society’s Annual Meeting

Raymond W. Liu, MD, FAAOS

Editor’s note: The following article is an abbreviated version of the speech Raymond Liu, MD, FAAOS, president of the Limb Lengthening and Reconstruction Society, presented at the society’s annual meeting on July 17, 2021, in New York, N.Y.

A Growth versus Status Quo Mindset

Kristy L. Weber, MD, FAAOS

Editor’s note: The following letter is in response to “How Will AAOS Choose Its Leaders: Top Down or Bottom Up?” (see above) by Ed Toriello, MD, FAAOS, and Ramon Jimenez, MD, FAAOS.

RJOS President Mary K. Mulcahey, MD: ‘Be Intentional, Be Visible, and Be Fierce’

Editor’s note: The following article is an abbreviated version of the speech Mary K. Mulcahey, MD, FAAOS, FAOA, the current president of the Ruth Jackson Orthopaedic Society (RJOS), presented at the RJOS Annual Meeting on March 22 in Chicago.

LLRS President L. Reid Nichols, MD, Seeks to Forge Bright Path for Limb Deformity and Reconstruction Education

L. Reid Nichols, MD, FAAOS, FAOA

I am truly honored to serve as the 33rd incoming president of the LLRS. I look at the list of amazing leaders in the field of limb deformity and reconstruction who have preceded me, and I am honored to be among them and to be able to serve for the next year with the support of First Vice President Stephen Quinnan, MD, FAAOS, and Second Vice President Chris Iobst, MD, FAAOS.

OTA President Michael T. Archdeacon, MD, Discusses the Importance of Leading by Example

Michael T. Archdeacon, MD, FAAOS

I have the privilege of speaking to you today having served as the 37th president of our association - the OTA.

Courts and Conferences: Recent Rulings Challenge Our Obligation to Support Patient Access to All Healthcare

Casey Jo Humbyrd, MD, FAAOS

Editor’s note: AAOS Now encourages open commentary on issues which impact orthopaedics and the practice of medicine. Letters reflect the opinions of the authors.

AAOS Standards of Professionalism Amendment: the Right Purpose, the Wrong Process

B. Sonny Bal, MD, JD, PHD, MBA, FAAOS; Lisa K. Cannada, MD, FAAOS, FAOA; Mary I. O’Connor, MD, FAAOS; Ramon L. Jimenez, MD, FAAOS; Edward A. Toriello, MD, FAAOS

To be clear, we support AAOS’s efforts to combat DBSH; however, we have serious concerns regarding using the current process with the newly proposed standards.

Mobility Should Be the New Fifth Vital Sign

Michael S. Sridhar, MD, FAAOS; Michael J. Colello, MD

In its 1999 national pain-management strategy, the Veterans Health Administration identified pain as the fifth vital sign to join the classic four of temperature, heart rate, respiration rate, and blood pressure.

Resident Shares Time Management Tips for Orthopaedic Surgery Trainees

Janice M. Bonsu, MD, MPH

As a third-year resident, I grappled with the intricate act of juggling my constantly changing rotation schedule with academic, research, and family commitments.

Even If It Ain’t Broke, We Can Still Make It Better

We should be the leaders who develop new techniques and put them into practice. Often there is no evidence for a new procedure, but we do innovative things that are sensible and will benefit patients.

Of Course, There Is a (New) Test to Confirm Your Diagnosis

Shafic Sraj, MD, MBA, FAAOS; John Taras, MD, FAAOS

We should think about the purpose and added value of the diagnostic tests we are ordering.

How Artificial Intelligence May Improve Compassion in Orthopaedic Surgery

David C. Ring, MD, PhD

Editor’s note: The following letter is in response to the article titled, “Applying the Four Basic Principles of Medical Ethics to Artificial Intelligence,” which was published in the July issue of AAOS Now.

Surgeon Responds to Controversy Surrounding Surgeons for Strays

John Keating, MD, FAAOS

The following letter is in response to feedback John Keating, MD, FAAOS, received from the veterinarian community after the article “Animal Rescue: Orthopaedic Surgeon Helps Stray Animals in Need of Surgical Care” was published in the June issue of AAOS Now. The article described his nonprofit, Surgeons for Strays, which treated injured homeless animals or those in shelters.

What You Need to Know About Bilateral Carpal Tunnel Syndrome and Amyloidosis

Newt Hasson, MD, FAAOS

Editor’s note: The following letter seeks to highlight an article published in The Journal of Hand Surgery.

Clarifying Credentials

Eric Vanderhooft, MD, FAAOS

Editor’s note: This letter is in response to the November 2019 article published in AAOS Now titled, “AAOS Invests in the FAAOS Designation.”.

Christopher Shaffrey, MD, Set to Serve as the Scoliosis Research Society’s President

Christopher Shaffrey, MD, FAAOS

Editor’s note: The following article is an abbreviated version of the speech Christopher Shaffrey, MD, FAAOS, president of the Scoliosis Research Society (SRS), presented at the society’s 57th Annual Meeting on Sept. 15, 2021, in St. Louis, Mo.

OTA Past President Heather Vallier, MD, Speaks about the Courage to Heal

Heather A. Vallier, MD, FAAOS

I am honored to have served as president of the OTA—to work with you, represent you, and implement strategies to further our mission.

ASES President Peter B. MacDonald, MD, Shares the Organization’s Upcoming Offerings and Initiatives

Peter B. MacDonald, MD, FRCSC

In the past several months, ASES has introduced several new programs. The initiatives listed below provide a brief overview of the latest developments at this society.

AAOS Standards of Professionalism Amendment: the Right Purpose with an Already Vetted Process

Thomas Fleeter, MD, MBA, FAAOS; Andrea Herzka, MD, FAAOS; Julie Balch Samora, MD, PHD, MPH, FAAOS

This change is long overdue and will help improve the culture of orthopaedics. Members who are impacted by this behavior will have a forum to have their concerns evaluated by a group of their peers.

Pride Ortho Leaves Lasting Impression on Medical Student

Lucas W. Ashley, MS

As a gay medical student from a rural town in North Carolina, without access to an orthopaedic surgery residency program at my school, I found the opportunity to attend the AAOS 2024 Annual Meeting in San Francisco both exhilarating and intimidating.

Payers, I’m More Interested in My Value Than Yours

Jay Crawford, MD

Editor’s note: The following letter is in response to the Editor’s Message titled, “Are We Paid Too Much?” which was written by Eeric Truumees, MD, FAAOS, and published in the September issue of AAOS Now.

The Final Cut: Outgoing AAOS Now Editorial Board Member Reflects on Three-year Term

Lisa K. Cannada, MD, FAAOS, FAOA

“Volunteer for a magazine as an orthopaedic surgeon?”.

OTA Past President Michael McKee, MD, Looks at Orthopaedics from Both Sides of the 49th Parallel

Michael D. McKee, MD, FRCS(C)

The 49th parallel is the commonly used term for the 5,525-mile border between Canada and the United States which roughly parallels the 49th line of latitude. I am often asked about the similarities and differences in orthopaedic care between our two countries.

SRS President Serena S. Hu, MD, Plans to Expand the Organization’s Impact

Serena S. Hu, MD

I am very honored and humbled to become the 53rd president of the SRS.

Face-Off: Tenotomy Versus Tenodesis

Xavier A. Duralde, MD; Walter B. McClelland Jr, MD

The biceps tendon is a frequent contributor to shoulder pain and functional limitation. Although this pathology can be seen occasionally in isolation, in the majority of cases, it occurs concurrent with rotator cuff disorders. Abnormality of the biceps can take many forms, including tendinosis, tenosynovitis, partial or complete tear, hypertrophy, instability, and SLAP (superior labrum anterior to posterior) lesions. Biceps tendon pathology may be treated in several ways.

Face Off: Surgical Versus Nonsurgical Treatment of Acute Achilles Tendon Ruptures

Robert L. Parisien, MD, Christopher C. Dodson, MD; David P. Trofa, MD; William N. Levine, MD

The Achilles tendon (AT) is the most commonly ruptured tendon in the human body. The incidence of AT ruptures has increased in recent decades, with the number of reported ruptures per 100,000 people in North America now ranging from 5.5 to 9.9. Most acute AT ruptures occur as a result of trauma or athletic activity. Other described mechanisms include unexpected dorsiflexion, push-off with the knee in extension and forced dorsiflexion of a plantarflexed foot.

Face Off: Open Versus Endoscopic Carpal Tunnel Release

Carpal tunnel syndrome (CTS)—a compressive neuropathy resulting in numbness and paresthesia—is recognized as one of the most common hand disorders. CTS manifests most commonly in middle-aged and elderly women, with a general population prevalence of 50 cases per 1,000 subjects. Carpal tunnel release (CTR) has become the most common hand and wrist procedure performed in the United States, with an estimated 400,000 patients undergoing open or endoscopic surgery every year.

Whatever Happened to 2014?

S. Terry Canale, MD

It seems that both the legislative and executive branches of the federal government (the president and Congress) have decided to adopt a “policy of postponements,” as David J. Rothkopf calls it. So important issues have been postponed until after the midterm elections, or until the lame-duck session, or until the 114th Congress takes office, or maybe even postponed until after the 2016 presidential elections so that someone else in the White House can deal with the issues.

Hot Topics for 2015

Eeric Truumees, MD

In his 2014 wrap-up (“Whatever Happened to 2014?”), S. Terry Canale, MD, suggested that many of 2014’s hot-button issues have been deferred to 2015. After reading his excellent review, one question and one thought arose. First, the question: Which of these deferments are susceptible to further delay?

Change Accelerating in 2016

Eeric Truumees, MD

After a year (2015) during which long-awaited changes suddenly came to fruition, it seems that these changes, for good and for bad, will accelerate in the coming year. In 2015, Congress finally stopped the insane, annual "doc fix" due to the SGR (sustainable growth rate) formula by passing MACRA—the Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act. Now even legislative acronyms include acronyms.

Sound Off: What Will Never Be the Same for Surgeons After the COVID-19 Pandemic?

Robert A. Schultz, MD, FAAOS; Paul F. Lachiewicz, MD, FAAOS

The present viral pandemic has certainly produced radical changes in all aspects of professional and personal life within days and weeks. Will this “present shock” have lasting effects on our profession of orthopaedic surgery and the entire field of medicine? Will many things “never be the same” again, as some elected officials and experts have claimed?

A Resident Sets Aside Disappointment to Embrace New Norm

Jennifer R. Sharp, DO

On the night of March 22, I was supposed to be on a red-eye flight from Portland, Ore., to Orlando, Fla., to attend the AAOS 2020 Annual Meeting. Like the rest of the country, though, my plans changed, and instead I sit here reflecting on what the most recent weeks have entailed.

A Resident’s Perspective on Education During the COVID-19 Pandemic

Liana J. Tedesco, MD

COVID-19 has turned the world upside down. As the virus spread across the United States, every person had to take a step back and reevaluate within the context of a new normal. With elective surgery canceled to preserve personal protective equipment and maximize intensive care unit (ICU) capacity, many orthopaedic surgery residents were redeployed to assist in emergency rooms and ICUs. With new roles in the hospital, and social distancing preventing large group learning, we have had to reexamine our plans for continued resident education. We had to take inventory of our resources and take advantage of the technology at our disposal.

How Did We Only Have 1 Percent of the Masks Needed to Fight COVID-19?

Carl L. Herndon, MD

Spring came early in New York City this year, but you wouldn’t have known that by reading the news. Instead, you read of mounting cases of the dreaded SARS-CoV-2 and its associated illness, COVID-19.

Redeployed Resident Answers Call to Action

Neil V. Shah, MD, MS

I have always admired those who have the courage to serve our nation as members of the uniformed services. Just several weeks ago, I listened intently to wartime stories of veterans during my Veterans Affairs (VA) rotation. I could see their internal conflict; many struggled to reconcile cherished memories of brotherhood and camaraderie during their tours with often devastating memories of war and combat. I never thought I would experience war firsthand. However, on March 1, the first case of the novel coronavirus (COVID-19) was reported in New York, and shortly thereafter, I was at “war” with an invisible enemy.

Will COVID-19 Set Us Further Behind in Improving Diversity in Orthopaedics?

Olohirere Ezomo, MPH ; Julius K. Oni, MD, FAAOS; Mary I. O’Connor, MD, FAAOS, FAOA

Another victim of the pandemic may be the recruitment of diverse students into orthopaedics.

Use LinkedIn to Advance Your Career, Not Sabotage It

Lisa Apolinski

Understanding what works and what hinders in the world of LinkedIn can help people avoid obstacles for engagement.

The Educational Power of Surgical Videos Will Be on Full Display at the AAOS 2023 Annual Meeting

Andrew H. Schmidt, MD, FAAOS

Welcome to Education Now—your destination for learning about what’s new, what’s next, and what’s trending in orthopaedic education. With the AAOS Annual Meeting just around the corner, this month’s column will focus on new video enhancements at the meeting and how to prepare to create your best meeting experience.

How Orthopaedic Surgeons Think: Lessons Learned from How Doctors Think by Jerome Groopman, MD

Thomas Fleeter, MD, MBA, FAAOS

Nearly 20 years ago, author and physician Jerome Groopman, MD, wrote a book titled How Doctors Think, which detailed the decision-making processes used by physicians in patient care. His lessons remain germane today.

Discover AAOS Podcasts: Expert Viewpoints on Hot Topics for On-the-go Listening

Andrew H. Schmidt, MD, FAAOS

The Academy’s portfolio of podcasts offers something for everyone.

Empathy and Engagement Are Key Elements of Successful Healthcare Communication

Katie Schabel, MD, FAAOS

Empathetic communication improves patients’ adherence to treatment plans, helps them adopt healthier behaviors (like my patient), and even saves time.

Improving Visibility and Promoting Women to Serve on Orthopaedic Journal Editorial Boards

Mary K. Mulcahey, MD, FAAOS; Lisa K. Cannada, MD, FAAOS

The numbers of women in orthopaedic surgery continue to be concerning, with orthopaedic surgery having the lowest percentage of trainees among surgical specialties.

Ongoing Pursuit of Excellence: Surgeons Can Advance Orthopaedic Surgery through Self-Reflection and Improvement

Sean Tabaie, MD, MBA, FAAOS

There comes a point when we must pause, reflect, and ask ourselves, “Is there a better way to do this?”

At 65 Years Old, Stuart L. Weinstein, MD, Says He Was Too Busy and Too Happy to Think about Retirement

Stuart L. Weinstein, MD, FAAOS

Although certain factors regarding retirement may be beyond one’s control, thoughtful planning and continual reevaluation of appropriate timing should begin preferably when one reaches mid-career level.

How Can Orthopaedic Surgeons Know When It Is Time to Retire?

Cassim M. Igram, MD, FAAOS

Recognizing when it is time to retire can be difficult.

Andrew King, MD, Offers Tips on Becoming an ‘Orthopaedic Elder’ after Retirement

Andrew King, MD

There are several ways to retire.

Orthopaedic Organizations Denounce Racism and Discrimination

Eric Ward Carson, MD, FAAOS; Anthony E. Johnson, MD, FAAOS; Dawn LaPorte, MD, FAAOS; Monica Maria Payares, MD, FAAOS

The Ruth Jackson Orthopaedic Society (RJOS), J. Robert Gladden Orthopaedic Society (JRGOS), American Association of Latino Orthopaedic Surgeons (AALOS), and the Academy are devoted to creating equity in orthopaedic surgery and combating healthcare disparities. It is with heavy hearts that we take this time to denounce not only the acts of overt racism of the past few weeks, but also the systemic racism and continued discrimination in our country.

We Hear You. We Feel You. We Are Learning From You.

Anthony E. Johnson, MD, FAAOS

Leadership is the ability to influence others to achieve a common goal. Leadership roles may be formal, appointed positions or informal peer leadership (a.k.a., “key opinion leaders”). At the core, every patient encounter is a leadership opportunity, as the medical team seeks to influence the patient to achieve a common goal (movement from a diseased or injured state to a healthy state, free from the effects of the disease or injury), while respecting the patient’s autonomy and considering as many modifiable social determinants of health as possible. Thus, all members of AAOS—from resident to emeritus—are leaders within their respective spheres of influence.

My Son Wants to Be an Orthopaedic Surgeon: Should I Be Happy?

William A. J. Ross Jr, MD, FAAOS

My son has revealed to me that he wants to be an orthopaedic surgeon, and my happiness about that is tinged with sadness.

Sound Off: Fasting during Ramadan as an Orthopaedic Surgeon

Sean A. Tabaie, MD, FAAOS

As my alarm sounded at 4 a.m. on April 2, I was quicker to wake up than other days. It was the first day of Ramadan, signifying a monthlong observance and fast. I was optimistic for this year’s fast—it was April, the temperature outside was still mild, and the days weren’t super long. I soon realized that over the course of the month, the period between dawn and dusk would increase to close to 15 hours long. This was going to be a challenge, I thought.

Behind the Mask: Experiences During Medical Education

William Ross, MD, FAAOS

Current events have highlighted the systemic inequity, bias, and discrimination that are endemic to health care in this country, affecting both patients and the physicians who care for them.

She for She: Moving Forward Together

Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA

Editor’s note: Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA, is the 2021 president of the Ruth Jackson Orthopaedic Society. The following content is an excerpt from her incoming presidential address presented on March 29. The complete version is available at aaosnow.org.

Sound Off: A Better Understanding of the Term ‘Asian’ Is Needed

Omer Ilahi, MD, FAAOS

Of common terms used to classify ethnicity for purposes of scientific study or diversity metrics, perhaps no term is as confusing as, as excluding as, and less specific than the term “Asian.”

Near-peer Mentorship Can Help Address Gender Disparities

Laura Bashour, MD, MS, MA

This article is part one of a three-part series on the experiences of female residents pursuing a career in orthopaedic surgery and barriers they may encounter.

Building a Pipeline of Near-peer Mentors in Orthopaedic Surgery

Laura Bashour, MD, MS, MA

Editor’s note: This article is part two of a three-part series on the experiences of female residents pursuing a career in orthopaedic surgery and barriers they may encounter. Part one appeared in the July issue of AAOS Now and discussed gender disparities in training. Part three will discuss the near-peer mentorship program at Dell Medical School at the University of Texas at Austin.

‘My experience in the premedical program’

Ariel Silverman, BA

I spent the summer after my sophomore year of college participating in the Orthopaedic Pre-Medical Summer Fellowship at BronxCare Health System. The program’s impact was nothing short of life-changing.

A Reflection on Black Women in Medicine

Joshua Cummings

As a Black man in medicine with a goal of increasing diversity, I believe it necessary to continue celebrating and educating about Black history throughout the year. Also, as a medical student whose mentor, a Black orthopaedic surgeon, is dedicated to bringing more women into the field, I believe focusing on women in medicine is a great place to start to help accomplish that task.

Sound Off: Being ‘Out’ in Ortho Can Relieve Anxiety

Jaime Bellamy, DO, FAAOS

When I was a medical student, I finally accepted myself as lesbian and was “out” in the lesbian, gay, bisexual, transgender, queer (LGBTQ) community.

One Surgeon’s Journey from Bystander to Ally to Advocate

George Damon Gantsoudes, MD, FAAOS

I cannot tell you what it takes, specifically, to be called an ally of women and underrepresented minorities (URM) in orthopaedic surgery. I can tell you, however, that the perception that one must fit into a rigid archetype to be considered one is untrue.

Orthopaedic Surgeons Can Curb COVID-19 Vaccine Hesitancy

James A. Hill, MD, FAAOS

If all the time I spend talking to patients who ask me about COVID-19 vaccine prevents just one patient from getting COVID-19, then it was time well spent.

AAOS, AAOS Now Deliver COVID-19 Resources and News

Julie Balch Samora, MD, PhD, MPH, FAAOS

It is an absolute privilege to join the AAOS Now Editorial Board and serve as the new deputy editor.

International Graduates Face Unique Challenges, Opportunities

Shafic Sraj, MD

International medical graduates (IMGs) represent 24 percent of U.S. physicians, with greater representation in select areas, such as family medicine, internal medicine, and pediatrics.

Douglas W. Lundy, MD, MBA, Shares Highlights, Key Lessons from Recent Orthopaedic Mission Trip to Angola

Douglas W. Lundy, MD, MBA, FAAOS

I have been serving in short-term missions in the developing world since 2003—especially in Africa. So, I had the preconceived notion that I was completely accustomed to that environment and that I was more or less immune to the inevitable culture shock

When Is the Right Time to Step Aside?

Douglas W. Lundy, MD, MBA, FAAOS

After long and meaningful discussions with my wife of 25 years, we decided that it was best for me to resign from my role as copresident of Resurgens Orthopaedics in Atlanta, one of the largest orthopaedic practices in the country.

Medical Practices Face Labor Shortages During Pandemic

Ajay Srivastava, MD; Jim Long, MA, CMPE

Recruitment and retention of qualified personnel are notoriously challenging in healthcare, particularly in private practice.

Artificial Intelligence Is Changing Orthopaedics

Jonathan Dubin, MD, FAAOS

The following is an output from ChatGPT when asked, “Can you help write an AAOS Now article on the impact of artificial intelligence?”

Are Procedure-Based Bundled Payments Leading to the Commoditization of Elective Orthopaedic Care?

Tanmaya D. Sambare, MD; John Andrawis, MD, MBA; Nicholas J. Giori, MD, PhD, FAAOS; Karl M. Koenig, MD, MS, FAAOS

With the increasing economic burden of the healthcare system, healthcare payment reform has been a primary topic of academic and political discus-sion for the past decade, and newer models of reimbursement are steadily being implemented.

Specific Actions Must Be Taken in Order to Mitigate Workplace Violence in Outpatient Clinical Settings

Alfonso Mejia, MD, MPH, FAAOS

Violence is an epidemic in America—no place more so than in the healthcare workplace.

The EMR: Is It All It’s Cracked Up to Be?

John P. Lubicky, MD, FAAOS, FAAP, FAOA

I cut my teeth in medicine before CT, MRI, intraoperative navigation, cellphones, and of course, the electronic medical record (EMR).

The Digital ‘Front Door’: Is It Opening or Closing on Our Patients?

Karl Marc Koenig, MD, MS, FAAOS; Eric F. Swart, MD, FAAOS

As independent tradespeople, we must provide value for those with whom we are contracted—such as patients, insurers, large employer organizations, and the federal government. Unfortunately, these two “contracts” are not always aligned.

Social Determinants of Health, Payment Reform, and the Role of the Orthopaedic Surgeon

Tanmaya D. Sambare, MD; John Andrawis, MD, MBA; Ronald A. Navarro, MD, FAAOS, FAOA; Karl M. Koenig, MD, MS, FAAOS

Lack of access to housing, food, transportation, and employment has significant effects on both healthy patients and those managing chronic diseases.

Fictional Scenario Underscores How Non-compete Clauses Can Contribute to a Culture of Hospital Disloyalty to Physicians

David Bennett, MD, FAAOS

Increasingly, I hear stories from all over the United States that sound much like Dr. Doe’s story in one way or another; just substitute “workspace” for block time, clinic staff, remuneration cuts, or termination.

Orthopaedic Surgeon Recounts Her Journey with Infertility

Shanjean Lee, MD

My partner, Mikey, and I wanted to start a family but weren’t sure whether we were ready yet. I was 36 years old at the time.

‘My Own Joint Replacement Was a Reality Check!’

Meredith L. Grogan Moore, BS

Dr. Bozic discusses the recovery process, the impact of the experience on the care of his own patients, the relevance of patient-reported outcomes measures (PROMs), and what other providers can glean from this insider experience.

A Brush with Cancer: Insights from the Other Side

Douglas W. Lundy, MD, MBA, FAAOS

Fortunately, many of us do not have to experience the “other side” of the healthcare system very often, but I’m sure many could recount fascinating insights when a loved one is a patient in the healthcare system. Although many people believe that physicians are clueless as to the patient’s plight, that is far from the truth.

Antiquated Maternity Leave Policies Can Deter Med Students

Emma P. Dwyer, MD; Megan Anne Conti Mica, MD, FAAOS

Women represent slightly more than half of U.S. medical students. Despite the steady rise of female medical students, orthopaedic surgery continues to have one of the lowest representations of female surgeons, as only 5 percent of orthopaedic surgeons and 14 percent of residents are women. Surgery and medicine should be genderless careers. However, to understand why there remains a paucity of one gender, one must understand the root cause of why women are not entering orthopaedic surgery.

Book Details Financial Barriers to Optimal Orthopaedic Care

John P. Lubicky, MD, FAAOS

I survived my first plunge doing a book review for AAOS Now (“A Book Review of ‘Scalpel’s Cut,’ a Fictional Thriller by Richard A. Brown, MD,” November 2018), so I decided to take on “Healthcare from the Trenches: an Insider Account of the Complex Barriers of U.S. Healthcare from the Providers and Patients’ Perspective” by orthopaedic surgeon Alejandro Badia, MD, FAAOS.

Foundations for Success in Orthopaedic Surgery Empowers Readers to Navigate the Modern Healthcare System

Douglas W. Lundy, MD, MBA, FAAOS

I firmly believe that our current educational system is outstanding at training medical students to become competent orthopaedic surgeons.

Family Planning Poses Challenges for Orthopaedic Surgeons

Selina Poon, MD, MPH, FAAOS

Work-life balance is often discussed, but significantly less advice is offered for those balancing planning a family with developing a career in orthopaedic surgery. AAOS, with the endorsement of the Ruth Jackson Orthopaedic Society and the Diversity Advisory Board, which reports to the AAOS Board of Directors and the Membership Council, hosted a webinar on May 6, titled “Family Planning for the Orthopaedic Surgeon.”

Sound Off: Call It What It Is—It is an Osteoporotic Fracture

Mary Crowe, DO, MPAS, MHSA

For years, orthopaedic surgeons and AAOS have made good-faith efforts to mitigate the costs and morbidities associated with fragility fractures in the United States, which has become an overwhelming task.

Communication Breakdown: A Personal Account

Michael R. Marks, MD, MBA

Editor’s note: This article concludes a two-part series on shared decision making and patient-centered care. The previous article, “Communication Skills Are Critical to Improving Patient-centered Care and Shared Decision Making.” In 2018, my wife was involved in a serious skiing accident and had to be taken down the mountain in a sled by the ski patrol and transported by ambulance to a local hospital.

Communication Skills Are Critical to Improving Patient-centered Care and Shared Decision Making

Michael R. Marks, MD, MBA

This is part one of a two-part series on shared decision making. Part two, which will appear in the November issue of AAOS Now, will present an illustrative case where missing the basic tenets of shared decision making led to an unsatisfactory patient experience. Physicians cannot ignore the nontechnical, soft skills and still be successful In 1998, AAOS conducted an image perception survey, the results of which revealed that the public viewed orthopaedic surgeons as “high-tech and low-touch.”

Vigilance in Joint Implant Recalls and Reporting Is Critical to Enhancing Patient Safety

John W. Krumme, MD; Cemil C. Gedik, MD; JONATHAN Dubin, MD, FAAOS

How does a medical device approved by the FDA fail? How can surgeons better protect patients?

Surgeons Explain Effectiveness of Generic Implant Use in Orthopaedic Trauma and Associated Cost Savings

Brian P. Cunningham, MD, FAAOS, FAOA; Stephen A. Doxey, DO

In 2016, an Orthopaedic Trauma Association (OTA) survey reported that the majority (72 percent) of orthopaedic trauma surgeons knew about generic implants, but incorporation across the trauma community was limited.

A Personal Tale of Opioid Overprescribing

Megan Conti Mica, MD

I awoke to a text message at 11 p.m. on a Monday night from one of the trainers. I thought it was about an athlete with a hand or elbow injury needing urgent surgical intervention. But, half asleep, I read: “Please call regarding patient that was assaulted over the weekend and attempted suicide today by taking a large amount of hydrocodone. She is in the intensive care unit (ICU).” I sat up, completely awake. After a quick phone conversation, there was no need to look up the patient.

Sound Off: The True Rookie

Brandon Fisher, MD

Though daunting, being part of a new residency (or fellowship) program can provide a unique educational experience.

Sound Off: A Fellowship Applicant’s Ideal Virtual Interview Day

Charlie Wilson, MD

Along with hundreds of other orthopaedic surgery residents, I participated in the first-ever virtual fellowship interview season during the 2020–2021 academic year.

Residents Are Best Evaluated through In-person Experiences

Lisa K. Cannada, MD, FAAOS, FAOA; Monica Kogan, MD, FAOA; William Levine, MD, FAAOS, FAOA

Audition (away) rotations during the fourth year of medical school represent an important opportunity to increase matching potential for medical students.

ROCK and ResStudy Team Up to Form a Comprehensive Path to the Orthopaedic In-Training Examination®

Andrew H. Schmidt, MD, FAAOS

Editor’s note: This article is part of an ongoing series, Education Now, which highlights ongoing and upcoming educational programming from AAOS.

Words of Wisdom for Orthopaedic Surgery Graduates Entering the Workforce

Matthew Wells, DO; Richard Berger, MD, FAAOS

Richard Berger, MD, FAAOS, professor at Rush University Medical Center in Chicago, shares his words of wisdom for orthopaedic surgery graduates who are entering the workforce.

Preparing Our Future Workforce: Residents Offer Perspective on Sustainability in Orthopaedic Surgery

Olivia Grothaus, MD; Cameron Wallace, MD; Daniel C. Lewis, MD; Logan E. Radtke, MD

Discussions surrounding climate change and the importance of creating a sustainable future to preserve the health of our patients and communities are becoming commonplace.

360-Degree Perspective: Improving Hospital Orientation with Interactive Virtual Tour

Kevin Feltz, MD

A member of the Sioux Falls faculty (Nathan Skelley, MD) developed a virtual tour of the Sanford Health medical campus to provide a better onboarding experience for the Sanford Health orthopaedic residents.

Collaboration for Success: Fostering Ownership and Teamwork in Residency Programs

Melissa Wheeler, MA; Jeffrey Junko, MD, FAAOS

Orthopaedic residency training is intense and requires a high level of teamwork to achieve success.

Sound Off: Promoting OR Efficiency and Education: A Resident’s Perspective

Elizabeth A. Duckworth, MD, MBA

With rates of anxiety, depression, burnout, suicide, and departure from the profession at record highs among orthopaedic surgeons, it is a sobering time to enter a profession that initially sparked joy for so many.

Breaking Down Barriers: Promoting Paternity Leave in Residency

Michael DeRogatis, MD, MS; Margaret Higgins, MD; Dawn LaPorte, MD, FAAOS

Paternity leave has historically been overlooked as an option during residency and often is associated with a negative stigma.

From Mentee to Mentor: The Importance of Mentorship in Orthopaedic Surgery Residency Training

Chierika Ukogu, MD

As my third year of residency draws to a close, I, like many other residents, am entering into a period of deep self-reflection and introspection in an effort to craft a statement of purpose that itemizes the reasons why I am passionate about a certain subspecialty and, further, why I should be selected as a program’s future fellow.

AAOS 2021 Annual Meeting: ‘The Road Taken’

Daniel K. Guy, MD, FAAOS

I am pleased to announce the overwhelming success of the AAOS 2021 Annual Meeting. It was the largest orthopaedic meeting held since the onset of the COVID-19 pandemic.

Making Sense of Maintenance of Certification

Gerald R. Williams Jr, MD

Since 1986, maintenance of certification (MOC) has been a major issue for orthopaedic surgeons. It was then that the American Board of Medical Specialties (ABMS)—the governing board for medical specialties such as orthopaedics—introduced the MOC concept. As a result, the American Board of Orthopaedic Surgery (ABOS)—one of the ABMS member boards—began developing a unique certification pathway for orthopaedic surgeons.

Turning the AAOS Education Strategy into Reality

Gerald R. Williams Jr, MD

In my October column, I explored the ways in which our members' educational needs are changing and outlined the Academy's overarching strategies for meeting those needs. As I noted, the technologies that are now part of our daily lives—including smart phones, tablets, and other handheld devices—have taken the place of many traditional educational platforms as learners' appetites for smaller "bites" of content have grown.

Will We Soon Be A Few Orthopaedists Short?

Eeric Truumees, MD

For several years, the Association of American Medical Colleges (AAMC) and other bodies in organized medicine have predicted a looming shortage of orthopaedic surgeons. So, it was no surprise that , explored this topic during a symposium on graduate medical education (GME) at the recent National Orthopaedic Leadership Conference (NOLC) in Washington, D.C. (See cover story, "Orthopaedic Surgeons Press Congress for Action.") Dr.

Measuring Quality in Orthopaedics: What Lies Ahead?

Gerald R. Williams Jr, MD

Orthopaedists and other medical professionals are keenly aware of the shift that has been occurring in recent years from volume-based to value-based care—a shift that gained even more attention with the repeal of the Sustainable Growth Rate (SGR) and the creation of its replacement, the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.

Clearing the "Final Hurdles" to Getting Hired

Eeric Truumees, MD

This month's issue of features an excellent article on finding a job as an orthopaedic surgeon (see "Tips for Evaluating and Obtaining Employment.") by and Alan W. Davis, MD. Although the piece is directed mainly at residents and fellows, I hope everyone reads it because it provides an excellent overview of the current landscape in terms of practice opportunities. I suspect, for many of you, this landscape has changed quite a bit since you graduated from residency.

How Valuable Are Healthcare Quality Rankings?

Eeric Truumees, MD

In 2010, the passage of the Patient Protection and Affordable Care Act required the U.S. Centers for Medicare & Medicaid Services (CMS) to create Physician Compare (www.medicare.gov/physiciancompare), a site that aims to "provide information for consumers to encourage informed healthcare decisions" and "create explicit incentives for physicians to maximize performance."

Education Challenges and Opportunities

Gerald R. Williams Jr, MD

From its beginnings in 1933, your AAOS has always been the leading educational or­ganization for orthopaedic surgeons. Education is one of the seven domains in the Academy's strategic plan, and most activities—from the Annual Meeting to webinars—are geared to meeting your educational needs. More than 2,500 volunteers are involved in education-oriented activities, as authors, reviewers, faculty, and committee members.

The Conversation I Hate to Have

Eeric Truumees, MD

Chicago's O'Hare airport is often the site of impromptu medical conferences. As I was returning from a Spine Summit hosted by the North American Spine Society, I met several orthopaedic surgeons—including AAOS President and —who had attended a patient safety meeting in Rosemont. Edward Dohring, MD, who had attended the Spine Summit, was also present. While waiting for our flights, we discussed issues surrounding patient safety, particularly those relating to breaking "bad news."

Making Healthcare Advocacy a Priority

William J. Maloney, MD

William J. Maloney, MD 2017 will no doubt be a major year for healthcare reform. President Donald J. Trump and Republicans in Congress have pledged that it will be a top priority, while legislators have crafted a framework for the potential replacement of the Affordable Care Act (ACA).

Help Build Strong Bones for Life

Alan S. Hilibrand, MD

With kids returning to school and a more structured lifestyle, now is the perfect time to reinforce the link between exercise and bone health in your practices and communities. We know that children who routinely play sports, ride bikes, or even just play outside are healthier—and often happier—than children who are sedentary.

The Academy Takes First Steps Toward Building National Family of Orthopaedic Registries

William J. Maloney, MD

As you may already know, in October, the Academy announced its intent to create a national family of clinical data registries for a broad range of orthopaedic conditions and procedures. This initiative is by no means a small endeavor. In fact, it is one of the Academy's boldest moves in recent history, and it reinforces our on-going commitment to quality.

Responses to 'Women in Orthopaedics: The Attraction is Mutual'

Robert R. Slater Jr, MD

It was with interest that I read "Women in Orthopaedics: The Attraction Is Mutual." I was encouraged by the evidence of progress presented by Drs. Cannada and Teuscher regarding more women becoming interested in training to practice orthopaedics and become leaders in the field. The data referenced by the authors show similar trends to those presented in another recent study by Van Heest et al.

Lessons in Saying "No"

Eeric Truumees, MD; Jeffrey M. Smith, MD

James Altucher, entrepreneur and chess master Although saying "no" rarely feels like a great option, many of us forget that it is an option. As orthopaedic surgeons, we are constantly asked to "volunteer" for a committee or to cover an on-call day for a colleague. And because we know that someday we may be asking a colleague to serve with us or to cover our on-call day, we almost always say "yes." Yet the many demands in our lives make it impossible for us to always acquiesce.

Doctors Are Fed Up With MOC

William J. Maloney, MD

In recent years, many orthopaedic surgeons have expressed strong dissatisfaction with the Maintenance of Certification (MOC) process of the American Board of Orthopaedic Surgery (ABOS), and in particular its onerous high stakes exam process.

Do You Believe in Integrative Medicine?

Eeric Truumees, MD

In January, Daniel Neides, MD, medical director and chief operating officer of the Cleveland Clinic Wellness Institute, posted a column widely viewed as anti-vaccine on a local news site. A mild media circus erupted. Soon after, Dr. Neides issued an apology, and the hospital system—whose name and logo were included in his byline—disavowed the column, promising that “appropriate disciplinary action would be taken” against Dr. Neides.

Patients, Paperwork, and Politics

Eeric Truumees, MD

Eeric Truumees, MD "You did not enter this profession to be bean-counters and paper-pushers. You entered this profession to be healers—and that's what our healthcare system should let you be." —President Barack Obama, June 2009, speaking to the American Medical Association (AMA) "Obamacare … is going to be amazingly destructive. … I have a friend who's a doctor, and he said to me, 'Donald, I never saw anything like it. I have more accountants than I have nurses. It's a disaster.

A Surgeon's Attitude Resilience is Critical When Responding to Constant Crises

Eeric Truumees, MD; Jeffrey M. Smith, MD

The last few months have offered us a host of calamities to add to the daily crises afflicting surgeons. To reflect our coverage of orthopaedic aspects tied to the recent hurricanes and the mass-casualty event in Las Vegas, this editor's message has gone through several last-minute modifications. Originally, we intended to discuss attitude resilience as a mechanism to address the stressors common to orthopaedic daily practice.

Healthcare Reform: Where Do We Go from Here?

William J. Maloney, MD

In the April edition of AAOS Now, I commented that 2017 would no doubt be a major year for healthcare reform. Indeed, the intense focus on repealing and/or replacing the Affordable Care Act (ACA) has occupied much of the legislative and public debate thus far this year. After initially pulling a bill from the floor for a vote, the House of Representatives in May passed its version of the ACA repeal by a vote of 217–213, with 20 Republicans voting against.

Volunteering Is a Privilege and Our Duty

David A. Halsey, MD

As orthopaedic surgeons, we have made a near-lifelong commitment to use our intellect and physical abilities to care for patients suffering from a wide variety of ailments and injuries. The results of our work are evident in the patients we serve, but our passion and devotion can—and should—extend well past the walls of our practices. One of the best and most rewarding ways to take advantage of our gifts and maximize our impact is to volunteer.

Board of Directors’ Thoughtful, Strategic Approach Bolsters Member Value Proposition

David A. Halsey, MD

Academy simultaneously announces new and enhanced member benefits as well as an annual membership dues increase As many of you already know, I’m deeply passionate about the Academy and am committed to the success of the organization, as well as all its members. And when it comes to serving on the AAOS Board of Directors, I naturally want to make decisions so that the Academy can be “everything for everyone.” It sounds good and noble, right?

There Is No Room for Partisanship in Orthopaedics

David A. Halsey, MD

Given the recent midterm elections and the upcoming presidential election in 2020, it is difficult to avoid political rhetoric and ignore the general population’s growing displeasure, regardless of your party affiliation. Mass media are zeroed in on topics calling for bipartisanship and challenging one-sided policies and divisiveness in general. Don’t worry; I’m not going to weigh in on the current state of U.S. politics, but I do see some similarities—both good and bad—with orthopaedics.

Academy Starts 2018 With New Vision for Its Education Strategy

William J. Maloney, MD

Over the years, the Academy has built quite an impressive list of member benefits that continues to evolve as the healthcare landscape shifts and the needs of our members change. And at the heart of what the Academy provides is education.

Celebrity Doctors

Eeric Truumees, MD

Celebrity doctors come in several flavors, but they are important to the rest of us through their outsized impact on patient perceptions of their conditions, treatments options, and expectations for outcome. And, in recent years, their influence has spread with the number of media channels available to them. In 2010, the Los Angeles Times noted, “Today’s celebrity docs not only tweet and blog, they also have Facebook fan pages, websites, and bestselling books.

Blurred Lines

Eeric Truumees, MD

I recently returned from the AAOS National Orthopaedic Leadership Conference (NOLC) in Washington, D.C. As always, I heard several great symposia, floor discussions, and debates. It started with an excellent presentation by AAOS Senior Manager of Biomedical Research and Regulation Katherine Sale, MPH, who discussed the current state of stem cell utilization in the United States. In AAOS Now, we have covered stem cells in the past and will certainly do so in the future.

Advocacy Never Stops, and Neither Will We

David A. Halsey, MD

Once every year, hundreds of orthopaedic surgeons from around the country visit Washington, D.C., to meet with their congressional representatives as part of the American Association of Orthopaedic Surgeons (AAOS) National Orthopaedic Leadership Conference (NOLC). This year’s NOLC is upon us, taking place the first week of June.

The Rules for Opioid Prescribing are Critical and Confusing

Eeric Truumees, MD

Over the last few years, there has been a steady increase in the number of articles in the medical press and academic journals on the opioid crisis. Some of them relate to changes in the federal response, but often state-wide, pharmacy company, and hospital system initiatives are presented.

The Rules for Opioid Prescribing in 2018

Eeric Truumees, MD

In the March issue of AAOS Now, frustrated by my own ignorance of the web of conflicting laws and regulations around opioid prescribing, I offered a framework to better understand our roles as orthopaedic surgeons. With this column, I’d like to explore the “real-world” risks of ill-considered prescribing and some best practices to mitigate those risks.

Tort Reform and the Impact on Medical Malpractice

Eeric Truumees, MD

This editorial column concludes a two-part series on medical malpractice lawsuits and payouts. Insights following a record malpractice payout In July, the largest single patient medical malpractice payout occurred: A then-10-year-old girl underwent scoliosis surgery. Postoperatively, she experienced pain and neurological dysfunction. The plaintiffs contended that the surgeon ignored the complaints and went on vacation (twice).

A Record Payout from a Broken Malpractice System

Eeric Truumees, MD

This article is the first part of a two-part series. The second part will be featured in the November issue of AAOS Now and will focus on how healthcare reform and burnout can impact malpractice. In early July, we learned of the largest single payout to a patient for medical malpractice. The case involved spine surgery, so my friends—both those in health care and not—asked me to comment.

It’s Time to Bridge the Gap for Women in Orthopaedics

Kristy L. Weber, MD

I grew up in St. Louis with my brother, participated on the swim team, raised family pets, and played outside more often than inside. I attended public schools through college, and my summers were spent canoeing, backpacking, and developing personal relationships at camps without the distraction of technology. I was a good student and developed a résumé of academic and community activities.

2018: Academy Delivers on ‘Form Follows Function’ Promise

David A. Halsey, MD

When I stood in front of the membership during the AAOS 2018 Annual Meeting in New Orleans and outlined the Board of Directors’ goals for the year ahead, I had complete confidence that the combination of strong leadership, dedicated member volunteers, and talented staff would fulfill the Board’s aggressive agenda. And I was correct.

The Rise of Open Access Journals Is Marred by Predatory Journals

Eeric Truumees, MD

As with patients’ online “research” of their conditions and treatment options, “the rise of predatory journals in [the] internet era gave birth [to] another problem of searching relevant authentic information in a vast sea of heavily contaminated, fake, plagiarized, or manipulated data in the name of biomedical researches,” according to an article by Sharma and Verma.

Physicians Must Identify Predatory Journals

Eeric Truumees, MD

This editorial concludes a two-part series on open access journals and predatory journals. The first editorial appeared in the January issue of AAOS Now. Over the past several years, the orthopaedic literature has absorbed an avalanche of new journal offerings, many utilizing an online-only, open access format. Many are legitimate and useful scientific vehicles, often sponsored by a major orthopaedic subspecialty organization.

Growing International Medical Tourism Affects U.S. Healthcare System and Patients

Eeric Truumees, MD

Editor’s note: This editorial is the first in a two-part series. The second part will be featured in the July issue of AAOS Now and focus on domestic medical tourism. The number of Americans traveling for elective orthopaedic surgery is growing. Although the number of those seeking care abroad remains relatively small, the rate of domestic medical tourism is rapidly rising.

How Does AAOS Choose Its Leaders?

Kristy L. Weber, MD, FAAOS

New members of the 2022 AAOS Board of Directors (BoD) will start their terms of service in March after the membership formally votes on the slate of nominees at the Business Meeting. The selection process for members to serve on the BoD can seem mysterious.

Report from the AAOS Nominating Committee: Meet the 2024 Slate of Nominees

Daniel K. Guy, MD, FAAOS

With great admiration for my colleagues, I am pleased to offer this report on behalf of the AAOS Nominating Committee, which is responsible for selection of the 2024 slate of nominees to the AAOS Board of Directors and American Board of Orthopaedic Surgery (ABOS).

Modernizing Our Culture

Paul Tornetta III, MD, PhD, FAAOS

This article will explore the 2024-2028 Strategic Plan's Culture goal, helping members build a strong understanding of our evolving strategic direction.

Preventing Common Winter Injuries

Alan S. Hilibrand, MD

The winter and holiday seasons are times for celebration, decorations, travel, and in many parts of the country, a white blanket of beautiful snow. Unfortunately, this time of year also heralds shoveling, icy sidewalks, falls, back pain, and other orthopaedic injuries.

Preventing Common Summer Injuries

Alan S. Hilibrand, MD

In May, as our thoughts turn to summer and warmer weather, we are also reminded of the orthopaedic injuries that frequently occur this time of year. Fortunately, the Academy offers numerous resources, information, and tips to help orthopaedic surgeons educate their patients and communities about potential summer hazards—from bicycles and lawnmowers to distracted walking and driving.

Honoring Our Military Veteran Members

Alan S. Hilibrand, MD

On Nov. 11, Americans will once again observe Veterans Day, honoring the millions of men and women who have served in our country's armed forces throughout the world. This day is especially important for AAOS members who are veterans, or are currently serving and providing life-saving care to military personnel, their families, veterans, and civilians.

When Adventure and Safety Collide

Peter Pollack

"If you tell somebody to quit smoking or to wear a seatbelt, nobody listens to you because it's boring," explained Stuart E. Fromm, MD. "I wanted to do something that was exciting." Dr. Fromm, an orthopaedic surgeon in the Black Hills region of South Dakota, produced and directed "The Ultimate Adventure—Yin and Yang," a 40-minute action film that emphasizes both the thrills of extreme sports and its safety concerns.

Promote the Academy’s Safe Driving Message with Your Patients and Community

Alan S. Hilibrand, MD

Nearly 8 years ago, the Academy launched the Decide to Drive, a distracted driving awareness campaign with the message: “Behind the wheel, there is no such thing as a small distraction.” The campaign, in partnership with the Auto Alliance, has won numerous awards and helped to spotlight the dangers of distracted driving. We have a responsibility to foster an ongoing conversation about the dangers of distracted driving.

Help Bring Communities in Motion to New Orleans in 2018

Alan S. Hilibrand, MD

Each year, orthopaedic surgeons from around the world attend the AAOS Annual Meeting to learn the latest in musculoskeletal research, skills, and technology, as well as connect and network with colleagues. However, one of the highlights for me is the one-day event that gives our orthopaedic community the opportunity to give back to the local community within the annual meeting host city.

A Fresh Look at Culture Could Increase Female and Underrepresented Minority Orthopaedist

Carrie Kollias, MD, FRCSC

The recent article “The Pregnant Orthopaedic Surgeon: Risks and Precautions” rightly addresses that pregnancy is not an insurmountable obstacle for women choosing a career in orthopaedics. I am a practicing orthopaedic surgeon and mother of two children, and pregnancy did not factor into my career choice in my mid-20s. After reading this article, I am curious to know how many surgeons have used pregnancy to justify the lack of gender diversity within orthopaedics.

Promote the Academy's Safe Driving Message with Your Patients and Community

Alan S. Hilibrand, MD, MBA

Nearly 8 years ago, the Academy launched the Decide to Drive distracted driving awareness campaign with the message: "Behind the wheel, there is no such thing as a small distraction." The campaign, in partnership with the Auto Alliance, has won numerous awards, received hundreds of media placements, and helped to spotlight the dangers of distracted driving.

An RCT of FAI Surgery Versus Physical Therapy: What Does It Really Teach Us?

Jeffrey J. Nepple, MD, MS; Scott C. Faucett, MD, MS; Christopher M. Larson, MD

The following letter is in response to a news brief included in the Feb. 21 issue of AAOS Headline News Now titled “Study: How does arthroscopy compare to PT for FAI?” Letters to the editor are encouraged; please send correspondence to aaoscomm@aaos.org. Randomized, controlled trials (RCTs) represent the highest level of evidence and have a powerful ability to guide treatment recommendations. Although RCTs minimize selection bias, they are subject to other biases.

The Mindset Needed for a Forward-thinking Organization

Gerald R. Williams Jr, MD, FAAOS; Stuart L. Weinstein, MD, FAAOS

Forward thinking, defined by Merriam-Webster as “thinking about and planning for the future,” is a core component of a board of directors’ strategic planning function.

Academy Leadership and the CEO: How This Partnership Spells Success for AAOS

Kristy L. Weber, MD, FAAOS

The AAOS is a large nonprofit organization with approximately 39,000 members and a yearly operating budget of around $70 million.

AAOS Issues Editorial to Address Offensive Advertisement

Paul Tornetta III, MD, PhD, FAAOS; Valerae O. Lewis, MD FAAOS; Holly Tyler-Paris Pilson, MD, FAAOS; Robert M. Orfaly, MD, MBA, FAAOS; Thomas E. Arend, Jr.

We are writing to apologize for content that appeared in the January 2024 and March/April 2024 issues of AAOS Now.

Excellence in Orthopaedic Reporting Honored

Alan S. Hilibrand, MD

One of my favorite Academy events is the Media Orthopaedic Reporting Excellence (MORE) Awards, held during the annual National Orthopaedic Leadership Conference (NOLC) in Washington D.C. The MORE Awards honor writers and producers who accurately report on musculoskeletal breakthroughs, treatments, common conditions, safety concerns, and injury prevention efforts.

Contemplating Place and Power

Richard Gross, MD

More years ago than I care to calculate, I was among a group of college freshmen nearing the end of a fraternity "hell night." We were each given a candle and told to present it to one of the fraternity brothers assembled around us. Each of the fraternity brothers described a choice to which we could commit our efforts. I remember only one, which was actually one of the wrong choices, "place and power."

Building Better Bones

Alan S. Hilibrand, MD

With the end of summer heralding the return to school and more consistent family schedules, the AAOS is again offering numerous resources, information, and tips to educate patients, their families, and communities about the importance of nutrition and exercise in building and maintaining bone health.

Keeping A Nation in Motion®, One Community at a Time

Alan S. Hilibrand, MD

Each year, orthopaedic surgeons and allied health professionals gather at the AAOS Annual Meeting because it is a tremendous opportunity for learning and networking. Since 2000, it has also been an opportunity for attendees to give back to the communities and patients they serve. AAOS volunteers have proudly helped build 17 Safe and Accessible Playgrounds in eight different cities, creating safer places where kids with and without disabilities can play together.

Give the Gift of Safety

Alan S. Hilibrand, MD, MBA

The holiday season is upon us! With many of our patients planning to travel or preparing for visits from friends and family, now is an ideal time to talk to them about fall proofing their homes. As orthopaedic surgeons, we understand how dangerous falls can be, especially for elderly patients who are at a greater risk of hip fractures. According to the National Hospital Discharge Survey, more than 90 percent of hip fractures are caused by falls, often with devastating consequences.

A Book Review of ‘Scalpel’s Cut,’ a Fictional Thriller by Richard A. Brown, MD

John P. Lubicky, MD, FAAOS, FAAP, FAOA

Up until about 15 years ago, my nonorthopaedic reading consisted of fiction, particularly Stephen King, John Grisham, and Patricia Cromwell books. I then switched entirely to non-fiction topics—biographies, politics, business, and nutrition/fitness. But when the opportunity to review “Scalpel’s Cut,” written by Richard A. Brown, MD, presented itself, I thought, “Why not? I’ll do it.” I really enjoyed reading this thriller and couldn’t put it down, despite its incredulous plot and storyline.

Disputed Use of Routine Ultrasound Screening in Total Knee Arthroplasty Patients

Mark A. Snyder, MD, FAOA

The following letter is in response to an article published in the February 2018 issue of AAOS Now titled “Preventing VTE After Elective TJA.” Letters to the editor are encouraged; please send correspondence to aaoscomm@aaos.org. I applaud author Antonia F.

Your Voice Matters: Help Shape the Future of AAOS by Participating in the Member Value and Satisfaction Survey

Valerae O. Lewis, MD, FAAOS

To identify areas of success and areas where improvements can be made, the AAOS Membership Council has worked to ensure that the survey is easy and quick to complete.

Setting AAOS Now Straight

I read "After the Error" by and Robert J. MacArthur, MD, in the June 2017 issue of AAOS Now, and found it almost unbelievable. The repercussions Dr. MacArthur suffered are amazing. I have read some statistics about the effectiveness of the "Sign Your Site" protocol and have been surprised that errors still occur. I started practice at a time when this protocol had not been established.

Become an Author on ANationinMotion.org

Alan S. Hilibrand, MD

Last month, I wrote about the upcoming launch of “Communities in Motion,” a new extension of the Academy’s A Nation in Motion ® public awareness campaign. The program has two primary components: an in-person community event on March 14, during the 2017 Annual Meeting in San Diego, and an online resource, ANationinMotion.org/communities. Both components empower children and adults to take control of their bone and joint health by staying active and eating healthy.

Setting AAOS Now Straight

Dear Dr. Truumees: I read with great interest your editorial in the March issue of AAOS Now. I believe you did a very good job addressing integrative medicine and espousing a common sense approach, which I think is too often lost with most orthopaedic practitioners. Your article was balanced and pointed out integrative medicine approaches that are being used by orthopaedists in this country.

Help Your Patients Prevent Orthopaedic Injuries

Alan S. Hilibrand, MD

As orthopaedic surgeons, our job is to repair broken, torn, and damaged bones and tissue. But as compassionate physicians, we are also committed to helping our patients, their families, and all Americans avoid musculoskeletal injuries and conditions. In 2000, the Academy launched the Prevent Injuries America! (PIA) campaign to teach our patients and the public how to build and maintain strong bones, and avoid injury while living an active life.

Why Doctors Don’t Call In Sick When They Should

Jennifer M. Weiss, MD

Research from Florida Atlantic University and Cleveland State University has found a direct correlation between preventative health care and the number of paid sick days to which an employee is entitled. Workers with more than 10 paid sick days annually access preventative care more frequently than those without paid sick days. Preventative care, in turn, leads to better overall mental and physical health. Doctors in private practice function like small business owners.

Submit an "Ortho-pinion" to Help Keep our Nation in Motion

Alan S. Hilibrand, MD

ANationinMotion.org provides inspirational patient stories and tips for orthopaedic surgeons on treating musculoskeletal conditions, avoiding injuries, maintaining bone and joint health, and navigating recovery. Much of the content comes from you, our orthopaedic surgeon members, when you contribute your expertise through an Ortho-pinion—a relatively short bylined article on an orthopaedic-related topic of interest to patients.

MORE Awards Honor Excellence in Orthopaedic Reporting

Jennifer M. Weiss, MD

Expert storytellers promote accurate and positive orthopaedic care through journalism Earlier this summer, AAOS recognized 23 orthopaedic stories with a 2018 Media Orthopaedic Reporting Excellence (MORE) Award. Winners were selected for their accurate reporting of musculoskeletal health breakthroughs, treatments, common conditions, safety concerns, and injury-prevention efforts. Those honored included writers, producers, and freelance journalists from print, broadcast, and online media outlets.

Preventing Bicycle Injuries

Alan S. Hilibrand, MD

I encounter bicyclists nearly every day on my way to and from work in downtown Philadelphia, as well as in my own neighborhood. I'm frustrated when I see riders darting in and out of traffic, not signaling before they turn, and generally creating potentially dangerous situations on crowded roads and sidewalks. However, the AAOS Public Service Announcement (PSA) campaign, developed in partnership with the Orthopaedic Trauma Association, has given me a new perspective on bicycle safety.

Fostering Innovation in Orthopaedics

Padraic R. Obma, MD; Reed Felton; Alan Davis, MD

Orthopaedic surgeons are passionate about our specialty and often have innovative ideas about how to improve orthopaedic implants, workflow, and the overall patient experience. These ideas have the potential to positively affect medicine and the care of patients, particularly in today's changing healthcare environment. It's important, therefore, that orthopaedic surgeons know how to move ideas from concept to product. In this article, we highlight several factors to consider along the way.

Support for the ‘Tap Test’

Lisa K. Cannada, MD

The application of this test in a patient population is necessary for its validation. I recently had a case of an ankle fracture fixation with syndesmosis injury, after reading this article. I completed intraoperative stress testing for evaluation of the syndesmosis after plate fixation of the lateral malleolus using the manual stress test, Cotton test, and “tap test.”

Which is Correct: OrthopEdics or OrthopAEdics?

Nikolaos Christodoulou MD, PhD

After many years of debate, the question of which term, orthopEdics or orthopAEdics, is correct remains unanswered. The well-known English term OrthopAEdics, derived from the French term "Orthopédie," originated in 1741 by Nikolas Andry. It refers to the prevention of deformities in children, based on the Greek words "ορθός/orthos" (straight) and "paidion" or "paedion" (child). ΟrthopEdics (ΟρθοπEδική in Greek) is more inclusive of all age groups.

Building Connections in Orthopaedics Through Social Media

Jennifer M. Weiss, MD

On July 27, the AAOS Communications Cabinet spent the day at AAOS headquarters in Rosemont, Ill., focusing on you, the Academy membership. Our goal is to support you throughout your careers as you care for patients. By now, many of you have entered the age of social media. But are you aware that AAOS has a social media presence?

AAOS Communications Cabinet Balances Focus on ‘External’ and ‘Internal’ Audiences

Jennifer M. Weiss, MD

In March, I started my term as chair of the AAOS Communications Cabinet. Since then, I have given a tremendous amount of thought to the state of the cabinet in 2018. I have served on the Communications Cabinet twice before and began my service as a member of the Leadership Fellows Program in 2010. I then transitioned into the member-at-large role.

In an Effort to Cut Costs, Domestic Medical Tourism Has Taken Off

Eeric Truumees, MD

This editorial concludes a two-part series on medical tourism. The first editorial appeared in the May issue of AAOS Now. Visit www.aaos.org/aaosnow to read more. Medical tourism refers to patient travel specifically for medical wellness services. Part one of this editorial discussed the issue of patients traveling abroad for orthopaedic and other healthcare services. Primary drivers for such trips include costs and access to care.

#MovingForward: Learn More about Proposed AAOS Governance Changes

Paul Tornetta III, MD, PHD, FAAOS

AAOS is at a pivotal moment. With proposed governance changes on the horizon, we have the opportunity to modernize leadership and ensure a stronger future for our profession.

Setting AAOS Now Straight

Regarding the recent AAOS Now article "Study: No Advantage to Liposomal Bupivacaine for TKA" (April 2017 issue) about work presented at the AAOS annual meeting by DeClaire et al, there appears to be a significant methodologic problem that likely resulted in a misleading outcome.

Communities in Motion Heads to New Orleans

Alan S. Hilibrand, MD

According to a CNN.com article, each New Year, nearly one in four Americans make resolutions that include improving their level of fitness and activity. On the first day of the 2018 AAOS Annual Meeting, we have an opportunity to help a New Orleans community do the same, and improve their bone and joint health in the process. In 2017, the AAOS engaged children and parents with a pilot Communities in Motion event held during the Annual Meeting in San Diego.

Spread the Word About the Dangers of Distracted Driving, Walking

Alan S. Hilibrand, MD

In 2009, AAOS launched the "Decide to Drive" program to educate children, teens, and adults about the dangers of distracted driving. Last year, AAOS expanded its injury-prevention efforts to include distracted walking with the "Digital Deadwalkers" campaign.

Fellowship Accreditation: Finding the Way Forward

Gerald R. Williams Jr, MD

When I gave my incoming presidential address at the AAOS Annual Meeting in Orlando, I touched on the topic of fellowship accreditation—specifically, the unaccredited programs that provide orthopaedic fellowship training across the country.  Just how prevalent are these programs? According to 2015 match statistics, there are currently 480 fellowship programs and 943 fellowship positions nationwide. When osteopathic programs are included, the numbers are even larger.

Your AAOS—Leading the Way in Improving Orthopaedic Quality

David D. Teuscher, MD

What an exciting, eventful year this has been! Since I assumed the presidency at the 2015 AAOS Annual Meeting in Las Vegas, there's been a whirlwind of activity on multiple fronts. Fortunately, I have had two capable wingmen— first vice-president; and second vice-president—at my side. The AAOS is now well-settled in its new headquarters building in Rosemont, Ill.

Time—and Change—Marches On

Eeric Truumees, MD

In January, smelling change in the air, I attempted to make some predictions for evolving hot topics for AAOS Now in 2016. This focus on change continues with this, our March issue. For starters, the AAOS office of government relations in Washington, D.C., provides an excellent overview of the evolution of the Meaningful Use program. (See "Meaningful Use Update."

Sound Off: Why Orthopaedic Surgeons Need a Curriculum

Richard H. Gross, MD

When I was preparing for my certification boards in the early 1970s, the process was fairly simple. Orthopaedics had just three main journals—The Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, and Orthopedic Clinics of North America—so "keeping up" with the literature was not an impossible task. Specialization was in its infancy and fellowships were few, so the knowledge base was implicitly aimed at the competence of a community orthopaedic surgeon.

Combatting Opioid Misuse

Alan S. Hilibrand, MD

As many of you know, the Academy recently launched a new public service advertisement (PSA) campaign on the dangers of opioid misuse. This campaign includes display and radio ads urging doctors and patients to exercise caution in prescribing and taking opioids. The campaign was distributed to hundreds of outdoor billboard/sign companies and radio stations across the United States.

Are Your Patients Visiting Reliable Websites for Information?

Alan S. Hilibrand, MD

A new study, presented at the AAOS 2017 Annual Meeting, confirmed what many orthopaedic surgeons already know: Most of their patients use the Internet to research symptoms, conditions, and procedures, and that the information they are accessing may not be reliable.

Welcome and Thank You

Daniel K. Guy, MD, FAAOS

I welcome you to Chicago and the AAOS 2022 Annual Meeting. I know this year’s event will have great impact for those in attendance, and we are glad you are here.

Help Build a Safe and Accessible Playground in Orlando

Alan S. Hilibrand, MD

Every day, we orthopaedic surgeons help restore our patients' mobility. We encourage our patients—especially children—to build strong bones for life with exercise and physical activity. For the past 16 years, the Academy has demonstrated our commitment to bone and joint health by donating a Safe and Accessible Playground to the host cities of our Annual Meetings. Safer play structures help prevent children from getting severely injured on the playground.

Distracted Walking: A Serious Issue for All

Alan S. Hilibrand, MD

Thanks to a significant amount of research and promotion, the AAOS has increased Americans' awareness that distracted driving is causing crashes, injuries, and even deaths. It's an important public safety issue that the AAOS has championed for more than 5 years. In 2015, the Academy expanded its injury prevention efforts to include distracted walking—pedestrians focused on their cell phones, bopping to the music in their ear buds, or otherwise not paying attention to their surroundings.