The ‘double-edged sword’ of orthopedic consolidation

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For orthopedic surgeons, consolidation in the industry can be both an opportunity and a threat to independence. 

Depending on the surgeon and their goals, being employed by a consolidator can provide stability and a safety net. However, there are still opportunities for physicians to thrive in private practice settings, two surgeons told Becker’s.

Ask Orthopedic Surgeons is a weekly series of questions posed to orthopedic surgeons around the country about clinical, business and policy issues affecting spine care. Becker’s invites all orthopedic surgeon and specialist responses.

Next question: How are you integrating advanced imaging or diagnostics into your workflow?

Please send responses to Cameron Cortigiano at ccortigiano@beckershealthcare.com by 5 p.m. CT on Aug. 18.

Editor’s note: Responses have been lightly edited for clarity and length.

Question: Do you see consolidation as a threat or an opportunity for orthopedic independence?

Ronald Gardner, MD. Founder of Gardner Orthopedics (Fort Myers, Fla.): It is both. For the poorly motivated, less capable and/or uninspired, being employed by a hospital system or university or large conglomerate for RVU [relative value units] compensation is a safety net for a paycheck and job security. For the motivated, capable, creative and inspired, private practice is still an opportunity to excel!

Madhish Patel, DO. Orthopedic Surgeon at Gardner Orthopedics (Fort Myers, Fla.): This is a “double-edged sword.” The success or failure is defined on an individual and personal basis, depending on what their goals/anticipated needs are versus the organization’s.

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