Fracture fixed, problem solved? Not even close. Dr. Andrea Spiker sits down with two orthopedic leaders, Dr. Marc Swiontkowski and Dr. Kyle Jeray, who helped turn a quiet crisis—osteoporosis-related fractures—into a national movement that’s changing how surgeons practice, teach, and lead.

You’ll hear the untold origin story of Own the Bone and why it succeeded where earlier efforts stalled: simple, reliable interventions, clear follow-up, and a registry that reveals what works. There’s a proven playbook, real people at the AOA ready to help, and shared best practices that make programs sustainable.

Owning bone health is an act of professionalism and empathy—treating the person behind the fracture and preventing the next one. If you’ve wondered how to move from “bone broke, me fix” to truly comprehensive care, this conversation gives you the history, the tools, and the push to start today.

Visit the JBJS Orthopaedic Forum to read Dr. Jeray’s presidential address: https://journals.lww.com/jbjsjournal/abstract/2025/11050/out_of_left_field__leadership_lessons_i_didn_t_see.18.aspx.

David Martin, MD, FAOA takes us on a profound exploration of orthopaedic board certification's past, present, and future landscape. As Executive Medical Director of the American Board of Orthopaedic Surgery (ABOS), Dr. Martin provides podcast host, Dr. Douglas Lundy, rare insights into how the certification process shapes both individual surgeons and the entire profession. Dr. Martin articulates a clear vision that balances competing priorities: "We need to increase the value of board certification and decrease the burden." This tension – maintaining rigorous standards while respecting surgeons' time constraints – drives the evolution of assessment methods. The podcast reveals how the ABOS approaches this challenge.

Whether you're a medical student considering orthopaedics, a resident preparing for boards, or an experienced surgeon maintaining certification, this conversation offers valuable perspective on why rigorous professional standards matter – not just for career advancement, but for patient safety and the profession's continued autonomy. Subscribe now to hear more thought-provoking discussions about the future of orthopaedic surgery.

What if the biggest breakthroughs in joint care are stalled not by science, but by budgets? We sit down with Dr. Josh Jacobs to trace the future of orthopaedic research across funding realities, scientific frontiers, and the mission to keep surgeon scientists in the game. It’s a candid look at how NIH indirect cuts, DOD reductions, and shifting hospital margins collide with the urgent need to tackle periprosthetic joint infection, chronic pain, and the rising burden of osteoarthritis.

Dr. Jacobs explains why NIAMS remains a vital engine for musculoskeletal research, how advocacy can reshape priorities, and why better grant quality—paired with clinically informed study sections—may be the fastest way to win a larger share of federal dollars.

If you care about the future of joint replacement, surgeon scientist careers, and truly personalized musculoskeletal care, this conversation connects the policy dots with the lab and the OR. Subscribe, share with a colleague who writes grants, and leave a review with your take on where orthopedic research dollars should go next.

What happens when a respected orthopaedic chair steps away from the big title to get back to the OR, residents, and real day-to-day impact? We sit down with Dr. Keith Kenter to unpack a rare leadership arc—building an academic culture in Kalamazoo, navigating post-COVID administrative sprawl, and ultimately returning to Missouri to reclaim core values: teaching, operating, and mentoring. It’s a candid look at ego, identity, and the quiet power of influence without authority.

Dr. Kenter shares how he elevated scholarly activity, promoted faculty, and designed a longitudinal musculoskeletal education program, then watched his role expand across multiple surgical services until the clinical work he loved slipped out of reach. Family, foresight, and timing opened a door at Mizzou, where strong culture and deep bench strength offered collaboration, patient-first focus, and the daily satisfaction of training the next generation.

If the story resonates, follow the show, share with a colleague, and leave a review with your biggest “leading up” takeaway. Your feedback helps more clinicians find conversations that move our profession forward.

Want a real look at how independent orthopaedic groups thrive while hospitals buy up urgent cares, primary care, and the referral rails? Dr. Doug Lundy, AOA host, sits down with Dr. Kimmerly, president at Peachtree Orthopedics in Atlanta, to unpack how a 44-physician practice stays nimble, patient-centered, and profitable in a market dominated by large systems and complex EHR ecosystems. The story isn’t about being the biggest—it’s about building a vertically integrated experience that moves patients from access to outcome with speed and clarity.

If this resonated, follow the show, share it with a colleague who’s weighing independence vs employment, and leave a quick review with your biggest takeaway. Your feedback helps more surgeons find conversations that matter.

What if a health system could be massive and still feel local to every patient it serves? We sit down with Dr. MaCalus Hogan, chair of orthopedic surgery at UPMC, to unpack how a hybrid model—academic, community-employed, and private partners—can deliver scale without sameness. Dr. Hogan shares the leadership habits that shaped his path (mentorship, humility, listening first) and how those habits translate into practical decisions that align surgeons, hospitals, and health plans around value.

We pull back the curtain on horizontal integration—building trust and shared standards across regions—before moving into vertical integration that connects financing, bundles, post-acute care, and data. Dr. Hogan explains how UPMC leveraged CJR-era lessons to create surgeon-built programs for quality and cost, mirrored within a 4M+ member health plan. Expect clear insights on center-of-excellence designations, optimizing post-acute spend, and the realities of TEAMS participation. We also dig into consolidation with eyes wide open: comparing contracts, unlocking economies of scale, and reinvesting savings into community access points like ambulatory surgery centers and subspecialty services where patients actually live.

Looking 15–20 years ahead, Dr. Hogan argues the big will get bigger, but winners will collaborate, not copy-and-paste. Markets differ, payer mixes shift, and culture matters. The future favors systems that listen locally and act decisively—standardizing where it helps, flexing where it counts. If you care about orthopedic leadership, bundles, payer alignment, and how to grow without breaking what works, this conversation offers a grounded playbook.

Enjoy the episode? Follow, share with a colleague, and leave a review with your biggest takeaway—what’s one integration move your market needs next?

A new chair’s first year can feel like drinking from a fire hose—until the patterns emerge. Dr. Doug Lundy speaks with Dr. Jennifer Wolf, Chair of Orthopaedic Surgery and Rehabilitation Medicine at the University of Chicago, to unpack what truly shifts when your role becomes building others: the politics you don’t see until you’re in the seat, the communication cadence that keeps a department aligned, and the quiet decisions that make or break culture.

We also delve into the structural elements of leadership: when to appoint vice chairs, how to select division chiefs fairly and why an application process can reveal motivation more effectively than seniority.

Whether you’re a surgeon aspiring to leadership or a chair refining your playbook, this conversation offers lessons on culture, structure, and strategy—delivered with humility and practical insight. Subscribe, share with a colleague ready to lead, and leave a review noting the one leadership practice you’d adopt tomorrow.