Nick Fletcher talks with Lindley Wall, chief of pediatric orthopedics at Washington University, about leadership, being a chief in the mid career stage, the POSNA leadership program (PLP), and some controversial topics in pediatric hand surgery (asked by a non-hand surgeon). 

Mike Busch from Children's Healthcare of Atlanta (CHOA) talks to his partner Nick Fletcher about his career as one of the country's first pediatric sports medicine surgeons, the growth of the Atlanta Scottish Rite practice and his groups' transition to CHOA, and the next phase of his life as he winds down to retirement. 

Dr. Chris Iobst from Nationwide Children's Hospital joins Nick Fletcher from CHOA to talk about his career as a limb lengthening surgeon which was almost cut short prematurely by two major health issues. Dr. Iobst opens up about how his feelings of invincibility as a surgeon and unwillingness to make time for his health and wellness almost ended with tragic results. Chris shares the lessons learned from his health scares and how he has sought to change his outlook on life and his medical practice to better take care of himself and his patients. This is an episode you won't want to miss. 

Join Nick Fletcher as he is joined by former POSNA president Steve Frick from OrthoCarolina as well as Steve's long time friend and current POSNA president, Kevin Shea. The three of us have a terrific discussion centered on leadership, surgeon improvement, program development, education, foot and ankle surgery, and Steve's incredible journey across the country and back.

Nick Fletcher speaks with Jen Bauer from Seattle Children's about mentorship and being a mentee, managing complications, tackling cervical spine surgery, career development and finding balance. The interview finishes with an exciting lightning round discussion about hot topics in spine and a primer on wing foiling. 

In this special episode, Scott Rosenfeld, MD from Texas Children's Hospital and POSNA historian sits down with 2025 POSNA Distinguished Achievement Award winner Frances Farley, MD to talk about her illustrious career at Mott's Children's Hospital at the University of Michigan and recent transition to Chief Medical Officer of the Shriner's Children's Hospital system. 

Nick Fletcher sits down with Pablo Castaneda, Chief of International Surgery at Texas Children's Hospital in Houston and hip surgeon extraordinaire to talk about his transitions from Mexico City where he performed over 1000 surgeries for DDH, to NYU where he led a team as they grew a department within a new freestanding pediatric hospital in NYC, and back to Houston where he recently started a new venture helping grow the international footprint of TCH. Other highlights include discussions about early vs late reconstruction of developmentally dislocated hips, PAO's with or without arthroscopy, and how to manage complex deformity in older patients with Perthes. 

Nick Fletcher talks to Kevin Neal from Nemours in Jacksonville, Florida about his winding path to pediatric orthopedics, how CPT codes are generated and RVU's are assigned in medicine, as well as the POSNA compensation survey and how this can impact our specialty. 

Nick Fletcher welcomes Tony Herring, his former fellowship director, onto the podcast. Listen to Dr. Herring's stories about the origins of the famous Monday night conference at Texas Scottish Rite, building a team of superstars in Dallas,  his work with the limb deficiency clinic including an incredible experience on one of his annual ski trips with his amputee patients, and making award winning movies. You won't want to miss this episode with an absolute legend in pediatric orthopedics. 

The truly incomparable Peter Newton, chief of orthopedics and scoliosis at Rady Children's Hospital, joins Nick Fletcher to talk about his remarkable career innovating spine surgery, developing a research program, growing the Harms Study Group, and leading organizations including the SRS and POSNA. He also discusses his own experience with surgeon health and wellness and the process of transitioning into the next phase of his career.