S2E32: The Ouch Moment with Steve Schutzer, MD, Advanced Orthopedics New England and host Dr. Nick.

Surgery should be an option but one for consideration later after other tools have failed. Increasingly medicine is moving to this model but the specialty of orthopedics that deals with problems in bones and muscles has been slower to move toward a more holistic approach where surgery is not the first option. How do we make this a wider standard of care? As you will hear this more integrated approach is a win for everyone. It is a win for patients who are getting the best that medicine and orthopedics have to offer. But even in a fee-for-service world, it is best for orthopedic surgeons and hospitals, helping remove the long waits and wasted resources on inappropriate care selections. Instead, this allows orthopedic surgeons to focus on the patients that need them most.

Your better pill to swallow is to rethink the delivery of specialized orthopedic services and intercept those patients that have traditionally been referred in and often clog up the specialist referral network. Create solutions that answer the question quickly and efficiently for patients – what do they have and where should they go, thereby freeing up your specialist resources to treat the patients who need and will benefit from the highly skilled resources quickly.

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