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the orthoPA-c

the orthoPA-c

330 episodes — Page 3 of 7

What Happens When Stuff Happens - Part 2

Sam Dyer, PA-C, Chuck Dowell, PA-C, and Miles Gilbreath, PA-C, share examples of mistakes in orthopedic care. Part 2 includes what happens with missed fractures, fracture angulation, and when things don't go the way you want them to.

Dec 4, 202413 min

What happens when stuff happens - Part 1

Sam Dyer, PA-C, Chuck Dowell, PA-C, and Miles Gilbreath, PA-C, share examples of mistakes in orthopedic care. Part 1 starts with a discussion of intra-artiular injections. What is in our control with sterile preparation, side-effects and patient expectations? How do we learn when we do have a mistake or a disappointing outcome?

Nov 24, 202413 min

Case Study: Pediatric Elbow Pain

Chuck Dowell, PA-C, discusses a recent Ortho Urgent Care case about a two year old complaining of lack of use of the left arm after an injury playing with her older brother.

Nov 20, 202411 min

Elbow Arthritis and Arthroplasty - Part 2

Sam shares highlights from a previous PAOS conference presentation on arthritis of the elbow. Niloofar Dehghan, MD is an orthopedic surgeon specializing in Shoulder Care, Elbow Care, Fractures & Trauma. Follow along with the presentation on our youtube channel: https://youtu.be/LQrEbzFHnjA PAOS members have access to the videos of all previous PAOS conferences up to 2022. Check out the Learning Central for links to these videos! Category 1 CME is available for 2023 and 2024 conferences at PAOS.org for members at a discount, and at AAPA.org for non-members.

Nov 11, 202416 min

Elbow Arthritis and Arthroplasty - Part 1

Sam shares highlights from a previous PAOS conference presentation on arthritis of the elbow. Niloofar Dehghan, MD is an orthopedic surgeon specializing in Shoulder Care, Elbow Care, Fractures & Trauma. To view the imaging that goes along with this presentation, check out our youtube channel: https://youtu.be/qBrAgIi-6U4 PAOS members have access to the videos of all previous PAOS conferences up to 2022. Check out the Learning Central for links to these videos! Category 1 CME is available for 2023 and 2024 conferences at PAOS.org for members at a discount, and at AAPA.org for non-members.

Nov 4, 202414 min

A research review of the Subscapularis-sparing Approach for Anatomical TSA

Chuck Dowell, PA-C speaks with 2024 Scholarship Winner Graham Parks, PA-S, on his research review of the Subscapularis-sparing Approach for Anatomical TSA. While the limited exposure of this approach makes it challenging for surgeons to learn, it allows for early unrestricted motion. What do we know so far about how it compares to the traditional approach? What are some considerations for patient selection?

Oct 30, 202410 min

Comprehensive treatment of dysplasia with a periacetabluar osteotomy & arthroscopy - Part 2

Part 1 of 2. Christina Thomas, PA-S is one of our 2024 scholarship winners and shares with us her presentation. Chuck Dowell, PA-C, hosts this series of interviews with Susan Lindahl Memorial Scholarship recipients. Learn more PAOS.org about this annual scholarship opportunity for PA students interested in orthopedics.

Oct 23, 202412 min

Case Review: Comprehensive treatment of dysplasia with a periacetabluar osteotomy and arthroscopy

Part 1 of 2. Christina Thomas, PA-S is one of our 2024 scholarship winners and shares with us her presentation. Chuck Dowell, PA-C, hosts this series of interviews with Susan Lindahl Memorial Scholarship recipients. Learn more PAOS.org about this annual scholarship opportunity for PA students interested in orthopedics.

Oct 16, 20249 min

Past, present and future of PAs - OUR 200TH EPISODE! Part 2 of 2

A discussion with Jennifer Orozco-Kolb, Chief Medical Officer of the American Academy of Physician Associates. OUR 200TH EPISODE! In Part 2 we discuss Optimal Team Practice, the future of the profession, and how PAs are improving healthcare access.

Oct 9, 202416 min

Past, present and future of PAs - OUR 200TH EPISODE! Part 1 of 2

A discussion with Jennifer Orozco-Kolb, Chief Medical Officer of the American Academy of Physician Associates. OUR 200TH EPISODE! In Part 1, we discuss the PA Licensure compact, name change, and how far the profession has come.

Oct 9, 202417 min

A common lower extremity pickleball injury

Chuck Dowell, PA-C discusses the increase in pickleball injuries seen with the increasing popularity of the sport. Achilles tendon ruptures and gastroc injuries or Achilles tendinopathy injuries are common. In this case study, a novice pickleball player was pushing off on his right leg, felt a pop within the right calf/Achilles tendon area, and was unable to continue to play. When do we need to do an ultrasound? When can Physical Therapy begin? How do we counsel the patient on recovery time?

Oct 2, 202414 min

Review of proximal and distal biceps tears

Chuck Dowell, PA-C, shares a case study of a common condition to orthopedic urgent care. How do you talk to a patient about a "Popeye deformity" as they consider surgical vs nonsurgical treatment? We cover mechanism of injury, physical exam, and options for treatment for proximal and distal biceps tears. Guest host Chuck Dowell, MS, PA-C, ATC is Lead Physician Assistant at Colorado Springs Orthopaedics Group Express Care.

Sep 25, 202411 min

Last Word On The AMA Scope Creep For Now

Join us next week for new clinical content! Sam discusses his opinion of the American Medical Association's campaign against the PA name change, ability to change specialties, and scope of practice. Ortho Boot Camp registration is now open! Check out PAOS.org for more info about the new offerings this year for those new to the profession or the ortho specialty.

Sep 18, 202413 min

More on the AMA's "Scope Creep" Campaign

As we return from the annual conference, a further discussion on the history of the American Medical Association and its impact on current challenges in healthcare.

Sep 12, 202418 min

Strategies in Interventional Pain Management - Neuromodulation - Part 4

What are some treatment options for patients who have had back surgery but still experience pain? Dr. Baranello, an Interventional Pain Management Specialist at EmergeOrtho in Durham, NC, discusses Neuromodulation. Part 4 concludes our interview with a case study and a discussion of patient selection. If you're in Nashvile this week for the Annual PAOS conference, come by the desk and say hi!

Sep 4, 20248 min

Strategies in Interventional Pain Management - Neuromodulation - Part 3

Dr. Baranello is an Interventional Pain Management Specialist at EmergeOrtho.Part 3 of our interview is a discussion of the trial and implant process for the spinal cord stimulator or other neuromodulation device. Limited spaces left! Join us in Nashville for the annual PAOS conference. More info and registration at PAOS.org.

Sep 3, 202412 min

"Scope Creep," Patient Safety Or Loss Of Market Share And Money?

Sam weighs in on an open letter from the American Academy of Physician Associates (AAPA) to American Medical Association (AMA) and their recent "scope creep" rhetoric. The letter is available to read and sign here: https://www.aapa.org/news-central/2024/07/aapa-calls-on-ama-to-put-a-stop-to-campaign-against-pas/

Aug 28, 202410 min

Strategies in Interventional Pain Management - Neurmodulation - Part 2

Dr. Robert Baranello shares the importance of patient selection when using neuromodulation. Part 2 identifies the patient criteria, as well as covers the Gate Control Theory pain and its application in Spinal Cord stimulation and other form of neuromodulation. Dr. Baranello is an Interventional Pain Management Specialist at EmergeOrtho. For more information from Dr. Baranello, check out Https://www.robertbaranellomd.wordpress.com/ https://www.instagram.com/baranello_paindoc/ Register for our next conference at PAOS.org! Join us in Nashville in September - spaces are filling quickly!

Aug 14, 20247 min

Strategies in Interventional Pain Management - Neurmodulation - Part 1

Dr. Robert Baranello discusses the growing field of neurmodulation. In part 1, he covers some of the indications for Spinal Cord Stimulation, Peripheral Nerve Stimulation, Ganglion Root Stimulation, and more. Dr. Baranello practices Interventional Pain Management at the Durham office of EmergeOrtho. For more information, check out Https://www.robertbaranellomd.wordpress.com/ https://www.instagram.com/baranello_paindoc/ Register for our next conference at PAOS.org! Join us in Nashville in September - spaces are filling quickly!

Aug 7, 20248 min

Improving Radiology Access to the Uninsured

Sam shares some considerations for ortho PAs and NPs for ways we can improve the orthopedic care we provide for patients that may not have insurance, may be underinsured, or may have other barriers to care. As he researches for a talk on radiology, he finds some interesting studies about what can make our visits more effective. Join the PAOS in Nashville for the annual conference! Register at PAOS.org.

Jul 31, 202411 min

Radiographic Evaluation of the Hip - Brad Ellison, MD

Today we share a recording of Dr. Brad Ellison from our Charlotte conference. Dr. Ellison is a board-certified fellowship-trained hip and knee reconstruction specialist. He spoke at our Charlotte conference "Arthritis to Arthroplasty" about imaging of the hip. We have several years of conferences available for members to view for free. Please see our Learning Central for links.

Jul 25, 202419 min

From The Archives - Pediatric Elbow

Sam shares some of his favorite interviews. This week is Dr. Virginia Casey's discussion of the pediatric elbow fracture and considerations for treating this difficult injury. Dr. Casey is an orthopedic surgeon specializing in pediatrics and medical director of OrthoCarolina. Her talks are available in our library of virtual content, including prior years that members may view for free!

Jul 17, 202412 min

From the Archives: Practice Pearls

Sam has written a Manual for Onboarding APPs, which is available for free for PAOS members on the Learning Center. Today we revisit his collection of "Practice Pearls" for new PAs or those new to orthopedics. Check out the entire onboarding manual on the PAOS website by clicking on CME and Learning Center. The PDF is available for download in the Resource Library.

Jul 10, 20248 min

"What I Would Rather Not Think About But Have To"

Sam shares some of the practical considerations around the death of a loved one.

Jul 3, 202417 min

Practical Approach To Adolescent Sports Nutrition - Part 3

In the final part of our interview with Dr. Hall, we discuss supplements and other important considerations for adolescent athletes. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org. Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine.

Jun 26, 20248 min

Practical Approach To Adolescent Sports Nutrition - Part 2

Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Jun 19, 20246 min

Practical Approach To Adolescent Sports Nutrition - Part 1

Chuck Dowell, PA-C, is the guest host for this series with Dr. Hall on Adolescent Sports Nutrition. As a former athlete, Chuck has specialized in Sports Medicine as well as Urgent Care Medicine. How can we advise our athletes on best practices for fueling? Dr. Randon Hall shares the basics and how to communicate with patients and their families. What is carb-loading? What is the golden hour? What should athletes be doing several days before a game, during a game, and after to refuel? Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Jun 12, 202412 min

Obesity Medicine and Optimizing the Ortho Surgery Patient - Part 4

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In the final part of this interview, we discuss considerations for ortho surgery. How do you adjust weight-loss medications before surgery, and when can the patient resume? What side effects are important to discuss? How do you go about discussing weight loss with your patients? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

Jun 5, 20248 min

Obesity Medicine and Optimizing the Ortho Surgery Patient - Part 3

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In Part 3, we discuss GLPs and what health risks are associated with GLPs. What are considerations for a holistic treatment of the patient? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

May 29, 20249 min

Obesity Medicine and Optimizing the Ortho Surgery Patient - Part 2

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In Part 2, we discuss the significant risks associated with surgery and the obese patient. How can we optimize the health of these patient and reduce these risks? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

May 22, 20249 min

Obesity Medicine and Optimizing the Ortho Surgery Patient, Part 1

Josh Porter, PA-C, stops by to discuss his work in preventative medicine, specifically obesity medicine, and considerations for optimizing the ortho surgical patient. In Part 1, we cover the basics of obesity medicine and new developments. What are the limitations of a measurement such as Body Mass Index (BMI)? Josh is a PA with experience in orthopedics and emergency medicine and he's a former board of director members for the PAOS. Today, he owns a clinic specializing in hormone optimization and recovery services for healthy aging and preventive medicine. He spoke at the Phoenix conference on Optimizing the Orthopedic Surgery Patient, available now with the Phoenix AV package for virtual CME.

May 15, 202413 min

Olecranon Bursitis Pearls

Chuck Dowell, PA-C shares a recent ortho urgent care case. Forty-five year old male presenting to clinic with acute onset of fluid collection in the left elbow.

May 8, 202412 min

Knee Effusion Pearls

Chuck Dowell, PA-C, returns to the podcast for an Ortho Urgent Care case. What to consider for Knee Effusions, including diagnosis, joint aspiration and treatment.

May 1, 202412 min

Sports Overuse Injuries in Pediatric Orthopedics - Part 5

To conclude our interview with Pediatric Sports Medicine physician Dr. Hall, we discuss little Leaguer's shoulder and the importance of precision in any diagnosis of an overuse injury. Videos from Ortho in the West will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Apr 24, 20245 min

Sports Overuse Injuries in Pediatric Orthopedics - Part 4

In Part 4 of a discussion of overuse injuries, Pediatric Sports Medicine physician Dr. Randon Hall covers upper extremity conditions such as Gymnast's Wrist and Little Leaguer's Elbow. Dr. Hall presented on two topics at our recent CME conference, Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Apr 17, 202411 min

Sports Overuse Injuries in Pediatric Orthopedics - Part 3

Dr. Randon Hall shares approaches to athletes and their families in the diagnosis and treatment of overuse injuries. In part 3, discussion includes various conditions of the knee. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Apr 10, 202415 min

Sports Overuse Injuries in Pediatric Orthopedics - Part 2

Dr. Randon Hall shares approaches to athletes and their families in the diagnosis and treatment of overuse injuries. Are there more effective ways we could be treating shin splints? What kind of imaging is important for 5th MTT apophysitis? Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Apr 3, 202413 min

Sports Overuse Injuries in Pediatric Orthopedics - Part 1

Dr. Randon Hall shares approaches to athletes and their families in the diagnosis and treatment of overuse injuries. In Part 1, discussion includes Posterior Tibialis Tendinitis, Peroneus Brevis Tendinitis, the role of DME, and the importance of specificity in the physical exam. Dr. Hall is a primary care sports medicine physician who practices in pediatric orthopedics. He presented on two topics at Ortho in the West. Videos for this conference will be available for purchase for Category I CME at AAPA.org and for a discount for PAOS members at PAOS.org.

Mar 27, 202412 min

The Difficult Primary Hip - Part 2

Jacob Drew, MD, specializes in the hip and spoke at one of our earlier Charlotte conferences. Today is the second installment from his talk, covering hip dysplasia and other factors that can impact surgical planning and treatment plans. PAOS members, check out the Learning Central for free resources such as this talk and a library of previous conferences. https://paos.mycrowdwisdom.com/diweb/gateway Join the PAOS today and access free resources for ortho PAs and NPs! https://paos.org/page/MemberTypes

Mar 20, 202417 min

The Difficult Primary Hip - Part 1

Today we share part of a talk from an earlier PAOS conference given by Dr. Jacob Drew. What are some factors that can complicate a hip replacement and how can we come up with the best surgical plan? PAOS members, check out the Learning Central for free resources! https://paos.mycrowdwisdom.com/diweb/gateway Join the PAOS today! https://paos.org/page/MemberTypes

Mar 13, 202414 min

What is causing this young athlete's wrist pain? - Part 2

Pediatric Orthopedic PA Haley Jacobs, MSPAS, PA-C, shares her recent article in JAAPA about a gymnast she treats for wrist pain. In part 2, she covers imaging, diagnosis, treatment, as well as growth plates and considerations unique to gymnasts.

Mar 6, 20248 min

What is causing this young athlete's wrist pain? - Part 1

Pediatric Orthopedic specialist Haley Jacobs, MSPAS, PA-C, shares her recent article in JAAPA about a gymnast she treats for wrist pain. In part 1 of the interview, we cover the presentation and physical exam. Stay tuned next week for the imaging, diagnosis, treatment, and discussion of growth plates.

Feb 28, 20248 min

An uncommon shoulder injury that is commonly missed - Part 2

Chuck Dowell, PA-C, joins Sam to discuss a recent Urgent Care case. Part 2 covers how to reduce a posterior shoulder dislocation, the gunslinger brace, surgical indications, and long-term outcomes.

Feb 21, 20248 min

An uncommon shoulder injury that is commonly missed - Part 1

Chuck Dowell, PA-C, joins Sam to discuss a recent case from his practice's Urgent Care, where he serves as Lead Physician Assistant. In part 1 of the discussion, they cover the importance understanding the mechanism of injury in this frequently missed injury.

Feb 14, 202412 min

What's the Diagnosis? Case Studies from Urgent Care

Sam shares injuries that he commonly sees in Orthopedic Urgent Care. Join us in San Antonio for an MSK workshop in May! Registration open now at PAOS.org.

Feb 7, 202410 min

My thoughts on the PANRE-LA + New MSK Ultrasound Conference

Sam shares his recent experience with the Physician Assistant National Recertifying Examination-Longitudinal Assessment (PANRE-LA) as well as news on a new conference this May in San Antonio! Learn more about the 2024 PAOS conferences on our website! paos.org/events

Jan 31, 20248 min

Jobs Outside Of Clinical Practice + Ortho In The West

Karla Frick, PA-C, is speaking at Ortho in the West on opportunities for PAs beyond clinic. She shares what to consider when becoming a consultant, working in the medical/legal field, becoming an adjunct instructor, or forming your own business. Karla is also the CME Chair for Ortho in the West, and discusses the highlights for this upcoming conference. Limited spaces still available at PAOS.org/events

Jan 24, 202412 min

PAOS Practice And Compensation Survey 2023

NEW! Kevin Whorton stops by to discuss the findings of the 2023 Practice and Compensation Survey. This report is an excellent resource for Ortho PAs negotiating a change in compensation or career. Compare your numbers with other PAs in your specialty, your region and your level of experience. The Practice and Compensation Survey is free for all PAOS members, and well worth the cost of membership! Learn more here: paos.org/joinpaos Limited spaces remain for Ortho in the West! Register for our subspecialty conference (and be sure to reserve your room and book your flight at the same time) Start here: paos.org/events

Jan 17, 202411 min

Top 3 of 2023 - #1 - Treatments of Proximal Humerus Fractures, Part 1

Tim Thompson, PA-C, discusses proximal humerus fractures and considerations for treatment. Tim also covered proximal humerus fractures at the 2023 Ortho in the West conference. Join us at Ortho in the West 2024, happening in February in Phoenix, AZ.

Jan 10, 202412 min

Top 3 of 2023 - #2 - Guidelines for Coding and Billing, Part 4

Of our top 10 interviews from 2023, we're sharing Sam's 3 favorites. In the final installment on E&M coding, Sam and Cindi Crenshaw, CPC, cover details on billing specific to orthopedics, including medications. Be sure to listen to the rest of the interview on the orthoPAc! Check out PAOS.org for Category I Enduring Credit CME, including Cindy Crenshaw's discussion of Coding Updates. Nonmembers may purchase PAOS on Demand at AAPA.org.

Jan 3, 202410 min