the orthoPA-c

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/

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!

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!

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.

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.

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!

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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

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.

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.

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.

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.

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.

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

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

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

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.

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.

Of our top 10 interviews from 2023, we're sharing Sam's 3 favorites, starting with Chad Silverberg, DO. Dr. Silverberg is a fellowship-trained Musculoskletal Radiologist and spoke at our 2023 subspecialty conference, Extremities in the Carolinas, on the Basics of Trauma Imaging. Be sure to listen to the rest of the interview with Dr. Silverberg on the orthoPAc! Included here are three slides to accompany this discussion: https://youtu.be/s_6YbaBkcZI Check out PAOS.org for Category I Enduring Credit CME, including Dr. Silverberg's two talks on MRI. Nonmembers may purchase PAOS on Demand at AAPA.org.

Kristin Freitas, PA-S, is one of our 2023 Susan Lindahl Memorial Scholarship winners. She shares with us her research on orthopaedic treatment and prevention of Rickets in Sub-Saharan Africa. Learn more about the scholarship here: paos.org/scholarship

Lucy Bowers, PA-S. is a 2023 winner of the Susan Lindahl Memorial Scholarship. Here, she discusses her poster presentation. Learn more about the scholarship for future Ortho PAs here: https://paos.org/scholarship

Chris Carrier, PA-C shares with us more clinical pearls on the diagnosis and management of hand injuries. With a distal radius fracture, how much angular deformity can you accept at different age groups, knowing that the fracture will remodel?

Chris Carrier, PA-C, specializes in hand and wrist. He presented recently at our Ortho Boot Camp and we asked him to join us on the podcast to cover important considerations for hand injuries. In part 2, we discuss a case of a professional baseball player with pain while swinging the bat and a case of a cat bite.

Chris Carrier, PA-C, specializes in hand and wrist. He presented recently at our Ortho Boot Camp and we asked him to join us on the podcast to cover important considerations for hand injuries. In part 1, we discus a displaced intraarticular middle phalanx base fracture and the importance of the v sign in a PIP joint fracture, the Seymour fracture, and the perilunate injuries.

This week Sam is back with Dr. G. Peter Maiers II, a sports medicine specialist with a specialty in hip and knee injuries. As head team physician for the Indianapolis Colts, Dr. Maiers utilizes the same methods and techniques developed for athletes to treat those who are injured at home, at play or in the workplace. He is actively performing research on the arthroscopic treatment of hip impingement and arthroscopic ACL reconstruction. For part three they will discuss more of Dr. Maiers' clinical experience with different hip conditions and how they are managed.

This week Sam is back with Dr. G. Peter Maiers II, a sports medicine specialist with a specialty in hip and knee injuries. As head team physician for the Indianapolis Colts, Dr. Maiers utilizes the same methods and techniques developed for athletes to treat those who are injured at home, at play or in the workplace. He is actively performing research on the arthroscopic treatment of hip impingement and arthroscopic ACL reconstruction. For part two they will discuss Dr. Maiers' clinical experience with different hip conditions and how they are managed.

For the next series of episodes Sam will be joined by Dr. G. Peter Maiers II, a Sports Medicine Specialist with a specialty in hip and knee injuries. For part one they will discuss Dr. Maiers' standard workup for the painful hip in a patient who is an athlete.

Sam is back for the final installment with Michael L. Powe, the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. This episode, Sam and Michael discuss modifiers, the MedPAC, 99024 postoperative coding and demonstrating PA value.

Part five with Michael L. Powe, the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. This episode Sam and Michael discuss PA scope of practice and medicare billing rules.

Sam is back this week for part four with Michael L. Powe, the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. This episode they discuss payer policies for PA services.

Part 3. Michael L. Powe is the Vice president of Reimbursement and Professional Advocacy for the American Academy of Physician Associates. He recently discussed fraud and abuse at the annual conference Ortho in Indy, and covers it with Sam here.

Part II. Sam and Michael L. Powe (vice president of reimbursement and professional advocacy for the American Academy of Physician Assistants) continue their conversation on PA practice and reimbursement. This episode they cover the CMS changes to coding and billing.

Part 1: PA Advocacy Updates This episode, Sam talks with Michael L. Powe who is vice president of reimbursement and professional advocacy for the American Academy of Physician Assistants. They discuss PA and NP Medicare payments, the ABSA or (the American Board of Surgical Assistance) and how it might potentially affect PA practice, the CMS fee schedule and CMS interest in post-op visits, and what the implications are for PAs, as well as the hot topic of the provider nondiscrimination provision.

Sam highlights an earlier conversation with Dr. Bill Mallon; professional golfer, orthopaedic surgeon, Olympic historian, and published author. Dr. Mallon is the editor-in-chief of the Journal of Shoulder and Elbow Surgery. Today's episode is about treatments of the shoulder, including history of certain procedures and techniques.