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Physician recruitment isn't the only obstacle for spine practices and health systems. Surgical technicians have been another challenging position to recruit for.

The continuing wave of orthopedic and spine procedures to ASC settings has one surgeon concerned about the impact that will have on both surgeons and patients.

Dallas-based United Surgical Partners International reported joint replacement procedures at its surgery centers jumped 20% year over year in the fourth quarter, and were up 15% for the full year.

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