Choosing a specialty in orthopedics seems straightforward when you're in training. In reality, it's rarely that simple.
In this episode of Healthcare Unscripted, Dr. Hunter Greene steps into his new role as host, sitting down with sports medicine surgeon Dr. Dustin Richter to talk about fellowship training, building a practice, and what life actually looks like once residency is over.
The conversation explores how surgeons find their niche, whether subspecialization is always necessary, and why the first few years in practice often look very different from what new graduates expect. Dr. Richter shares how mentorship shaped his career, the realities of building referral networks, and why most young surgeons spend years developing the practice they ultimately want.
They also discuss academic versus private practice careers, the growing trend toward fellowship training, and how advances in technology, robotics, and artificial intelligence may influence the future of orthopedic surgery.
Perhaps most importantly, the episode focuses on the lessons that aren't taught during training. From managing complications and leaning on mentors to understanding scheduling, referrals, patient selection, and long-term career growth, Dr. Richter offers practical advice for residents, fellows, and early-career surgeons navigating the transition into practice.
Whether you're still deciding on a specialty or already building your career, this episode offers an honest look at what comes after training and how to create a practice that's both successful and sustainable.