Fuld transskription af Leading Orthopaedics Together with Frederick M. Azar, MD, FAOA

00:04:54.240 --> 00:04:55.600 And then, of course, unity. 00:04:55.680 --> 00:05:03.120 I really think that as we seem to become more divided with subspecialties and our silos, that unity is even more important now than it ever has been. 00:05:03.279 --> 00:05:12.399 And I think that we look less than 3% of physicians, if we're not together, we can certainly be focused on our subspecial societies and the organizations we care about. 00:05:12.639 --> 00:05:16.879 We have to be unified collectively to really face what's in front of us. 00:05:17.040 --> 00:05:18.399 So it's pretty exciting times. 00:05:18.480 --> 00:05:20.959 I wish I could start all over again because it was a fun ride. 00:05:21.040 --> 00:05:23.600 It's not over yet, but it's the future is so bright. 00:05:23.759 --> 00:05:26.240 And I think it's even brighter than it has been in the past. 00:05:27.199 --> 00:05:35.360 So let's go back a minute to when you were president of the Academy, without question, the largest orthopedic group or orthopedic organization we have in the country. 00:05:35.600 --> 00:05:42.959 What are some of the wisdom or the gleanings that you took from Academy when you were Academy president about the importance? 00:05:43.040 --> 00:05:59.759 And you've already mentioned some of them about the importance of unity, but anything else strike you in terms of the importance of organizational orthopedics from the conglomeration, the consolidated viewpoint of the Academy versus AOSSM or Posna or AUKUS or something like that? 00:06:00.319 --> 00:06:04.319 Well, I think that an organization like the Academy speaks collectively for everyone. 00:06:04.480 --> 00:06:09.920 And I think that there's value to me, the three that certainly subsessionally societies are very important. 00:06:10.000 --> 00:06:12.000 I've been fortunate to be involved with some of them. 00:06:12.160 --> 00:06:25.040 I will say that when I think about the Academy and I think about the AOA and I think about the ABOS, those are the ones that seem to be out there in front doing things that have a broader picture of what's going on in the world. 00:06:25.120 --> 00:06:26.240 They all have different missions. 00:06:26.319 --> 00:06:32.959 And I think that we think about what the AOA does, the AOA's really into leadership development and develop some resources to that. 00:06:33.439 --> 00:06:39.519 The Academy is about education and advocacy, and that's a big part of what they do. 00:06:39.600 --> 00:06:43.040 And of course, the ABOS is really all about serving the public. 00:06:43.120 --> 00:06:47.279 The missions are providing safe and ethical and effective practice for the big surgery. 00:06:47.439 --> 00:06:49.120 And these all fit together. 00:06:49.360 --> 00:06:52.959 There's no competition in those three because they really they complement one another. 00:06:53.199 --> 00:06:59.120 You've got the AOA developing leaders and vision, the academy providing education and advocacy and practice management support. 00:06:59.279 --> 00:07:07.680 You've got the ABOS ensuring the standards and certification and protecting the public and ensuring the trust in the public of our brand and who we are. 00:07:07.839 --> 00:07:13.519 So the AOA helps shape the future, the Academy supports the present, the ABOS safeguards the standards of our profession. 00:07:13.680 --> 00:07:14.560 So those are the things. 00:07:14.720 --> 00:07:17.360 Unity has always been a big deal with the Academy. 00:07:17.519 --> 00:07:23.920 The specialty societies are really important, but collectively, we need a single voice to speak for us. 00:07:24.000 --> 00:07:27.839 And we can't do that if we're siloed in our subspecialties. 00:07:29.439 --> 00:07:43.360 So now that I'm in hospital employment, as opposed to before, and other times just trying to talk to folks through the academy, through the Trauma Association, through the AOA, I run up against this narrative more often. 00:07:43.439 --> 00:07:46.319 It's not too often, but it's more often than I'd like to hear it. 00:07:46.480 --> 00:07:59.360 And what I hear is, hey man, I'd love to be involved, but my hospital, my employer, whatever, compensates me or reimburses me only for so many memberships. 00:07:59.600 --> 00:08:02.720 And this just isn't in my wheelhouse anymore. 00:08:02.800 --> 00:08:12.480 I don't what they're basically saying is they don't see value paying their own money to be in the organization if their employer is not gonna compensate them for that. 00:08:12.639 --> 00:08:17.519 What would you say to those folks that are you and I are Southerners? 00:08:17.680 --> 00:08:19.040 They're basically poor mouthing, right? 00:08:19.199 --> 00:08:19.680 There it is. 00:08:20.000 --> 00:08:22.399 What do we say to those folks when they say stuff like that? 00:08:22.879 --> 00:08:28.800 Well, I think that when I think about this discussion today, to me it's about the younger or the pig surgeons. 00:08:28.959 --> 00:08:30.959 So that's what I think that's what we were focusing on. 00:08:31.120 --> 00:08:34.559 I think that the rest of us had our time to do what we want to do. 00:08:34.720 --> 00:08:37.759 And it's up to us to try and mentor and pass things on. 00:08:38.480 --> 00:08:44.799 I think that the healthcare environment is so complex, just like you said, I always like to say healthcare deliveries like politics, it's local. 00:08:44.960 --> 00:08:47.360 You do what's best for you in your community to practice. 00:08:47.440 --> 00:08:55.440 There are really half a dozen or so practice models that are out there, and whatever works in your community is what you have to do to be in that community. 00:08:55.519 --> 00:08:56.799 And I respect that. 00:08:57.120 --> 00:09:06.080 But if you're thinking about the orthopedic surgery with healthcare becoming so much more complex, and the days of meeting-based societies, I think are over. 00:09:06.159 --> 00:09:12.879 It's more and more now like knowledge networks

of the information is flowing and you don't have to fly somewhere to get it. 00:09:13.039 --> 00:09:16.960 So it's really what's changing is how it's delivered, how that value is delivered. 00:09:17.120 --> 00:09:23.039 So you don't, yeah, you have if you're limited in the time you have a way to do that, that's really not a big deal. 00:09:23.360 --> 00:09:29.679 I think that the societies have to recognize that and realize that people aren't just gonna jump on a flame and fly to get this information. 00:09:30.000 --> 00:09:39.759 How we provide and deliver value and content knowledge needs to meet our diplomates and our academy members where we are. 00:09:40.000 --> 00:09:46.159 And I think for the young people, uh, I think a lot of young surgeons feel overwhelmed because it's so much more complicated than when we started. 00:09:46.399 --> 00:09:48.320 And we talk about work-life balance. 00:09:48.399 --> 00:09:49.440 I don't love that phrase. 00:09:49.519 --> 00:09:51.519 Um, to me, work is a part of your life. 00:09:51.600 --> 00:09:52.799 That's what we do. 00:09:53.039 --> 00:09:55.759 I like to maybe more focus on your priorities. 00:09:56.000 --> 00:10:04.559 Priorities are really foundational to the priorities we prescribe that we prescribe here, at least, is we talk about faith and family and patient care. 00:10:04.720 --> 00:10:06.720 And that medicine is a vocation. 00:10:06.879 --> 00:10:08.799 It's not a job, it's a calling. 00:10:09.039 --> 00:10:13.600 And you may say, okay, you got my family number two there, patients number three. 00:10:13.840 --> 00:10:15.120 How do I balance that? 00:10:15.360 --> 00:10:18.240 Well, the way you balance is you bring your family along with this. 00:10:18.720 --> 00:10:20.240 It is a vocation, it's a calling. 00:10:20.480 --> 00:10:22.720 Bring them along with serving our patients. 00:10:22.879 --> 00:10:24.559 Uh they're side by side with us. 00:10:24.799 --> 00:10:28.879 Patients aren't prioritized over them, they're part of the whole experience of what we're trying to do. 00:10:29.039 --> 00:10:34.720 So you have to have some foundational fundamentals about how you're going to approach your life. 00:10:34.879 --> 00:10:36.799 And we chose orthopedic surgery. 00:10:36.879 --> 00:10:38.559 It's not a nine-to-five job. 00:10:38.799 --> 00:10:43.279 And we take care of people that don't expect to be where they are on certain days. 00:10:43.519 --> 00:10:52.639 And so having those sort of priorities and having an institution where you're at where there's a mission and a vision and their core values that you can lean into to address things is really important. 00:10:52.879 --> 00:11:00.320 So I think that we have to, for the younger surgeons, they want purpose, they want efficiency, they want impact. 00:11:00.559 --> 00:11:04.879 These hierarchical committee structures and meetings are really a thing of the past. 00:11:05.120 --> 00:11:17.519 And but I think that if we can appeal to our younger members, uh, the younger generation, first of all, I think they're really deeply committed to patient care and to the profession, but they're also very thoughtful about how they're going to invest their time. 00:11:17.759 --> 00:11:19.360 So organizations need to respect that. 00:11:19.440 --> 00:11:24.559 So engagement has to be meaningful, has to be efficient, and has to be clearly tied to impact. 00:11:24.720 --> 00:11:28.000 And that I think that we can appeal to these young members that way. 00:11:29.120 --> 00:11:34.799 Really, you're calling for an entire overhaul of the organizational structure of our national organizations. 00:11:35.039 --> 00:11:55.440 Now, we have noted that these specialty societies seem to be doing increasingly better after the pandemic, whereas some of the more global organizations uh are getting a hit on, like I know that we're not picking on the academy, but the academy has taken a significant hit after the pandemic in terms of attendance. 00:11:55.679 --> 00:11:59.360 Without question, the academy drives significant value to its members. 00:11:59.519 --> 00:12:06.480 But to your point, people are trying to get that value through different pathways than they were previously. 00:12:06.639 --> 00:12:19.679 Is there other advice that you would give to any national society in terms of how to you've given a lot right there, but is there anything else that you would address to say that what people should do in terms of addressing the new paradigm? 00:12:20.080 --> 00:12:23.200 Well, I would say certainly respect what the subspecial societies are doing. 00:12:23.360 --> 00:12:26.639 Look, it's we're all so much more specialized, even when we started this. 00:12:26.799 --> 00:12:29.039 Every decade we seem to get more specialized. 00:12:29.200 --> 00:12:36.480 And these subspecies societies do bring a deeper level of expertise, more focused education, and more technical innovation. 00:12:36.639 --> 00:12:40.799 And there's also professional identity that our people want. 00:12:41.039 --> 00:12:44.320 The advocacy part is trickier because we have to be unified with that. 00:12:44.480 --> 00:12:49.200 Now, again, some of this stuff happens at a state level, but a lot of it happens at a federal level, national level. 00:12:49.360 --> 00:12:58.240 And I think to appeal to these individuals, yes, there's value in what you do in the subspecial societies, but instead of competition, this is not a competitive thing. 00:12:58.399 --> 00:13:00.159 The mothership is the academy. 00:13:00.240 --> 00:13:02.000 It just speaks for everybody. 00:13:02.159 --> 00:13:03.120 And it's pretty nimble. 00:13:03.200 --> 00:13:04.799 It's a lot more nimble now than it used to be. 00:13:05.679 --> 00:13:11.679 10 or 12 years ago, they recognized that content was the future for education, and they really shifted to that. 00:13:11.840 --> 00:13:17.919 But the Academy and any other umbrella organizations really does provide really excellent

professional leadership. 00:13:18.080 --> 00:13:24.559 Subspecial societies can really focus more on clinical science innovation, but there's tremendous value in having us unified. 00:13:24.799 --> 00:13:27.679 And the advocacy part is something the academy can provide. 00:13:27.840 --> 00:13:34.399 The education part you can get from your subspecial societies, but the academies can certainly work with those subspecies societies to help get it out. 00:13:34.639 --> 00:13:37.120 Research initiatives are still an opportunity. 00:13:37.440 --> 00:13:48.399 Advocacy, again, and patient-reported outcomes, things like that, the public trust, our brand, the marketing, getting information out to who we are to add value to our society is really important. 00:13:48.559 --> 00:13:52.879 That's easier to do collectively than it is through a subspecialty society. 00:13:53.919 --> 00:13:59.679 Now, you and I have also been in multiple leadership opportunities throughout our careers. 00:13:59.759 --> 00:14:09.600 And what I've found is that in my day job where I get paid to lead there, there seems to be what's the word? 00:14:09.759 --> 00:14:19.840 There's like an increased amount of competence, bandwidth, and understanding that I received through leadership within the societies. 00:14:20.000 --> 00:14:23.360 So yeah, I get a lot from when I was leading at Resurgence, what I'm leading here at St. 00:14:23.519 --> 00:14:26.720 Luke's, places like that, absolutely, 100%. 00:14:27.120 --> 00:14:35.519 However, I will find myself at times pulling stuff in that I learned at the AOA, at the Academy, at the Trauma Association, at the ACS. 00:14:36.080 --> 00:14:46.240 If there's a decreased interest, or if the national societies are not providing those opportunities that sometimes come up through the committees and other things, are we cheating people out of leadership development? 00:14:46.720 --> 00:15:01.200 There's definitely some tremendous cross-pollination that happens for things that we learned from one another when we're in a meeting, when we're networking, whether it's through social networking or at a dinner, a faculty dinner or something, we're at, we learn a lot of stuff. 00:15:01.360 --> 00:15:02.879 And that part is really important. 00:15:03.039 --> 00:15:08.960 It certainly helped me in my leadership here in my practice and learning from people outside of here. 00:15:09.120 --> 00:15:10.639 It's helped me for sure. 00:15:10.799 --> 00:15:11.759 And you miss that. 00:15:11.919 --> 00:15:16.480 That's something that's not really necessarily, it's not a didactic way of learning things. 00:15:16.720 --> 00:15:18.480 But it's there's tremendous value there. 00:15:18.639 --> 00:15:29.840 It's very gratifying to first of all have these friendships and colleagues, as you know, uh in orthopedics, because we all eventually, if you go two or three people down, we all sort of know each other, we're connected, which is kind of cool. 00:15:30.000 --> 00:15:31.360

But there is a lot to be learned. 00:15:31.519 --> 00:15:49.519 If we put ourselves out there and we're doing it for the right reasons, trying to do something to give back to our profession and trying to do it not for personal development, for a professional development of yourself, but really trying to do something to get back to our profession, you do get the blessing of being uh personal development as you go. 00:15:49.600 --> 00:15:50.720 But you have to do it for the right reasons. 00:15:50.879 --> 00:15:54.399 The volunteerism thing, when I started out, I'm probably like you, I was told never say no. 00:15:54.480 --> 00:15:55.519 I never said no. 00:15:55.759 --> 00:15:57.519 And that doesn't exist anymore. 00:15:57.600 --> 00:15:58.320 And that's okay. 00:15:58.480 --> 00:16:00.000 That's just not where we are now. 00:16:00.240 --> 00:16:14.080 But if you do it for the right reasons, while you want to be involved, get back to your profession, and you want to learn some leadership skills, and you put yourselves out there, whether it's a special society or a bigger national organization, but you're gonna benefit from it. 00:16:14.240 --> 00:16:19.279 And you're gonna learn things that will help you in your own practice in your own life in many different ways. 00:16:20.399 --> 00:16:23.360 So, how big is and y'all, Campbell Clinic's huge? 00:16:23.440 --> 00:16:25.039 How many folks do y'all have down there? 00:16:25.679 --> 00:16:27.120 Well, we're now in three states. 00:16:27.200 --> 00:16:28.879 We've got about 1,200 employees. 00:16:29.039 --> 00:16:31.519 That's a whole nother discussion that avoid private equity. 00:16:31.600 --> 00:16:36.879 It's more of an affiliate model, more like it, more like an MSO that we've expanded to. 00:16:36.960 --> 00:16:42.720 We've been in Mississippi and Tennessee, we're now in Virginia, and we crossed the entire state with some practices. 00:16:42.960 --> 00:16:43.840 That's another discussion. 00:16:43.919 --> 00:16:50.879 But it's a lot of the things that I know I've learned from these organizations that I've volunteered in and not been compensated for. 00:16:50.960 --> 00:16:56.000 I've just learned, I gave my time, have really helped me and helped our practice. 00:16:56.080 --> 00:17:01.679 I think I have other partners that have done leadership to that have helped our practice being involved at different levels. 00:17:01.840 --> 00:17:07.119 It doesn't have to be a national level, it didn't have to be a subspecial society, it can be state level or local. 00:17:07.359 --> 00:17:12.799 You want to get involved in things that you're interested in doing for the right reasons, not for this is who I am. 00:17:12.960 --> 00:17:14.240 That's the wrong reason to do it. 00:17:14.400 --> 00:17:20.799 You got to have the desire to do it, you got to have the wisdom that it takes, whatever it is, the skills to make it work. 00:17:21.039 --> 00:17:24.960 And you have to have the purpose to do it the right reason, and you'll do well at it. 00:17:25.200 --> 00:17:27.759 And uh you got to put the time in to do it. 00:17:28.000 --> 00:17:29.519 It's about attitude and effort. 00:17:29.680 --> 00:17:33.599 It's not just something somebody hands you and you're checking a box to get to the next place. 00:17:33.759 --> 00:17:35.359 That is not the reason to do it. 00:17:35.599 --> 00:17:36.319 Yes, sir. 00:17:36.720 --> 00:17:38.799 Well, let's talk about Campbell Clinic in Memphis, then. 00:17:38.880 --> 00:17:40.400 How many folks do y'all have around there? 00:17:40.720 --> 00:17:42.319 We have 90 providers. 00:17:42.400 --> 00:17:56.559 We've uh about two dozen of them are PAs, and we also have uh I think the latest count is nine family practice sports docs, and we've got several physiotrists and a bunch of orthopedic surgeons and cover all this up specially. 00:17:56.720 --> 00:18:06.000 So we've been pretty fortunate to navigate through these tough times because we are a private practice we're founded in 1909 by Dr. 00:18:06.079 --> 00:18:06.880 Campbell. 00:18:07.039 --> 00:18:10.000 We're the University of Tennessee Department of Orthopic Surgery. 00:18:10.160 --> 00:18:14.960 And so we've able to balance that and we hope to continue to go on for another 100 plus years. 00:18:15.119 --> 00:18:18.079 And so that's what we're always planning with along the horizon. 00:18:18.240 --> 00:18:20.000 And it's been a blessing for me to be here. 00:18:20.079 --> 00:18:22.480 It's been a great experience for me for sure. 00:18:23.279 --> 00:18:30.720 What I'm belaboring to get to here is Campbell Clinic is well known for the number of leaders that y'all have generated out of there. 00:18:30.799 --> 00:18:32.160 Of course, there's you, there's Dr. 00:18:32.240 --> 00:18:33.440 Beatty who was involved in there. 00:18:33.519 --> 00:18:33.759 Dr. 00:18:33.839 --> 00:18:34.799 Canale, how many other? 00:18:35.039 --> 00:18:38.559 I mean, there's a bunch of folks that y'all have had at the national level come out there. 00:18:38.640 --> 00:18:39.839 Anybody on missing? 00:18:40.240 --> 00:18:41.440 No, it goes back a long way. 00:18:41.599 --> 00:18:41.759 Dr. 00:18:41.839 --> 00:18:43.680 Campbell was one of the founding members of the academy. 00:18:43.839 --> 00:18:45.599 He was the first elected academy president. 00:18:45.680 --> 00:18:56.799 And but we've been involved in AOA, ABOS, many of the subspecialty societies, probably most prolific in the Posno because we've got all of our pediatric docs are pretty academic. 00:18:57.119 --> 00:18:59.119 But you have to be in a place that nurtures that. 00:18:59.200 --> 00:19:02.240 We've got a guy right now on traveling fellowship, and you have to support that. 00:19:02.400 --> 00:19:05.039 That's got to be a part of what's important to your priorities. 00:19:05.119 --> 00:19:06.799 And it's harder and harder today to do that. 00:19:06.880 --> 00:19:10.799 And especially 80% of physicians in the United States work

for somebody. 00:19:11.200 --> 00:19:13.440 And it was 20% not that long ago. 00:19:13.599 --> 00:19:15.200 So the paradigms change, and that's okay. 00:19:15.359 --> 00:19:23.680 It's like I say, you do what's best for you and your community, but you still need to be involved because if you're not involved, you somebody's gonna make that decision for you. 00:19:23.759 --> 00:19:26.000 And you know how that is, it's the seat at the table. 00:19:26.960 --> 00:19:29.039 You're on the menu if you don't have a seat at the table. 00:19:29.200 --> 00:19:33.039 So that's a political talk, but that's true. 00:19:33.279 --> 00:19:40.880 And if you want to have a role in the future of your profession, you have to be involved somehow. 00:19:41.039 --> 00:19:44.720 Again, it can be at the local level, but you don't have to go national. 00:19:44.880 --> 00:19:53.119 You can be whatever you desire to do to give back and to advocate for our patients and for our profession, there's an opportunity there. 00:19:53.279 --> 00:19:56.960 And the fact that we're physicians, whether you like it or not, people look at us as leaders. 00:19:57.200 --> 00:20:00.880 The fact that we are professionals, they assume that we have some leadership skills. 00:20:00.960 --> 00:20:03.680 And by the way, you can't go out there and proclaim you're a leader. 00:20:04.079 --> 00:20:10.640 Other people define what you do in your actions and words define you as a leader, and other people would designate you as a leader. 00:20:10.799 --> 00:20:12.559 You don't just say I'm gonna be a leader. 00:20:12.799 --> 00:20:15.440 But it doesn't hurt, though, to say I want to develop some leadership skills. 00:20:15.519 --> 00:20:16.079 That's okay. 00:20:16.240 --> 00:20:17.039 That's what you want to do. 00:20:17.119 --> 00:20:22.079 I remember taking a Kellogg course through the AOA at some point when the AOAs had great courses over the years. 00:20:22.240 --> 00:20:25.759 Um it was pretty formative for me to be able to have access to that. 00:20:26.000 --> 00:20:30.240 But I did it because I wanted to get better at to learn some leadership skills. 00:20:30.480 --> 00:20:36.000 So I think that it's so much easier now these days, you can just give like a TED talk or get something online. 00:20:36.079 --> 00:20:38.000 You don't have to show up anywhere to get this stuff. 00:20:38.079 --> 00:20:41.039 So take advantage of that and try and give back to our profession. 00:20:41.119 --> 00:20:43.519 And at the end of the day, it's all about our patients that we serve. 00:20:43.680 --> 00:20:50.079 And we're not gonna be able to serve it very well if we just got our head in the sand and we're letting somebody else make decisions for us. 00:20:50.319 --> 00:20:53.920 That's just not sustainable for our profession. 00:20:55.200 --> 00:20:59.200 So you but as you said, y'all are a private practice model. 00:20:59.359 --> 00:21:12.319 Yeah, y'all are able to consistently put people not only just in organizations, but folks in organizations that are so bought in they rise to the top of these organizations after years of commitment to that. 00:21:12.480 --> 00:21:23.119 What's the secret sauce at Camel Clinic that you guys have figured out on how y'all get folks to join, not only just join the organizations, but become involved, get involved in organizational leadership. 00:21:23.279 --> 00:21:26.000 What's the culture that y'all have formed that's enabling that? 00:21:26.160 --> 00:21:28.240 How can we spread that across the country? 00:21:28.480 --> 00:21:29.519 Well, I hit on it earlier. 00:21:29.599 --> 00:21:33.039 It really does start with our priorities of faith and family and the care of our patients. 00:21:33.200 --> 00:21:40.960 We have a mission statement, we have a vision statement, our core values are excellence and integrity and compassion, innovation, commitment, legacy, and unity. 00:21:41.200 --> 00:21:43.839 We don't just have them on the wall somewhere. 00:21:44.000 --> 00:21:45.599 We really do try and live those. 00:21:45.680 --> 00:21:53.119 Uh, and we're not perfect and we make mistakes, but the net result is something like leadership is really promoted. 00:21:53.200 --> 00:21:55.680 We try and mentor, and mentoring is really important, giving back. 00:21:55.839 --> 00:21:57.759 I had tremendous mentors myself. 00:21:58.079 --> 00:21:59.599 I've been really blessed over the years. 00:22:00.160 --> 00:22:02.319 Because of that, and I have not forgotten that. 00:22:02.480 --> 00:22:06.480 And so I really feel like a big part of what I'm supposed to be doing is mentoring others. 00:22:06.720 --> 00:22:09.200 So we have really good internal mentoring in our practice. 00:22:09.359 --> 00:22:16.240 The way it works is we have there basically subspecialty mentoring mentoring that goes on, but we also mentor across the subspecialty. 00:22:16.319 --> 00:22:18.480 So it's very collaborative and we support that. 00:22:18.640 --> 00:22:25.680 And again, like I said, we support you want to go to your traveling, you need to go do a traveling fellowship at some point if you want to get involved in the society and you want to have do some leadership. 00:22:25.839 --> 00:22:29.200 We obviously do a lot of writing and editing and publishing too. 00:22:29.359 --> 00:22:33.039 And Campbell's operative is something we just launched edition 15. 00:22:33.200 --> 00:22:36.559 And that world continues to change every five years we launch it. 00:22:36.640 --> 00:22:36.960 It's different. 00:22:37.119 --> 00:22:38.960 So we're already looking for 16. 00:22:39.119 --> 00:22:41.920 That's going to be so much more different than what it is, 15 is. 00:22:42.000 --> 00:22:46.240 So things like that that we're fiduciaries of that it's passed down. 00:22:46.319 --> 00:22:49.839 That culture, which is a challenge, the culture is always a challenge. 00:22:50.160 --> 00:22:51.680 But that's something that we work really hard on. 00:22:51.759 -->

00:22:52.400 We focus on it. 00:22:52.480 --> 00:22:53.920 You have to invest in that, though. 00:22:54.079 --> 00:22:56.400 You can't just say, well, we're going to have a good culture. 00:22:56.559 --> 00:22:57.200 You have to invest in it. 00:22:57.359 --> 00:23:06.480 There are a number of things we do, not just among ourselves, but with our employees, our trainees, we make business decisions that benefit our patients, our employees, and our trainees. 00:23:06.640 --> 00:23:09.039 If it costs us more, that's just what we do. 00:23:09.279 --> 00:23:13.920 And that culture of taking care of our patients and our trainees and our employees is really important. 00:23:14.079 --> 00:23:17.839 I think it if you do that, the rest of the stuff will come. 00:23:19.519 --> 00:23:19.920 All right. 00:23:20.000 --> 00:23:22.319 So where do you see the organizations? 00:23:22.400 --> 00:23:34.160 You've touched on this already, but if we could just sum stuff up here, where do you see the organizations 15, 20 years from now, in terms of involvement of our obviously our younger doctors at that point in time? 00:23:34.240 --> 00:23:35.119 What will it look like? 00:23:35.359 --> 00:23:37.200 What will the thing be there? 00:23:37.279 --> 00:23:47.680 And what can we do as more senior leaders to encourage our younger partners and younger leaders to get more involved to develop such an organization as that? 00:23:48.079 --> 00:23:52.960 I remember doing a 2030 talk about four or five years ago, and I went back and looked at it. 00:23:53.119 --> 00:24:02.319 I think if you look at 2040, think about data-driven orthopedics and think about global collaboration and think about leadership development. 00:24:02.799 --> 00:24:04.799 That's going to be a big part of the future. 00:24:05.039 --> 00:24:10.160 Obviously, the unity of our profession is going to be first and foremost for the profession to survive. 00:24:10.319 --> 00:24:12.880 And we can do that with our sub-specialty societies. 00:24:13.039 --> 00:24:13.759 Absolutely do that. 00:24:13.839 --> 00:24:15.200 We collaborate together. 00:24:15.440 --> 00:24:24.240 But many times we need a common voice, and that's where the Academy, the AOA, ABOS come in, those big three, I think, will really to serve our profession in different ways. 00:24:24.319 --> 00:24:25.759 And they all complement one another. 00:24:26.000 --> 00:24:32.480 I think that uh shared data is going to be such a big part of the future and adaptability and innovation. 00:24:32.880 --> 00:24:36.319 We're very innovative already, and that's just become even more important. 00:24:36.880 --> 00:24:43.759 Every generation of orthopedic surgeons inherits uh the profession from those who came before us. 00:24:44.240 --> 00:24:47.119 And we also have a responsibility to improve it. 00:24:47.839 --> 00:24:51.440 Professional organizations uh are where the stewardship happens. 00:24:51.680 --> 00:25:02.799 The future of orthopedics will be shaped by surgeons who not only care for our patients in the operating room, but who also invest their time and leadership in the institutions that guide our profession. 00:25:05.039 --> 00:25:06.079 Thank you so much, Fred. 00:25:06.160 --> 00:25:08.400 And it's been an absolute pleasure talking with Dr. 00:25:08.480 --> 00:25:14.079 Fred Azar at the Campbell Clinic about the future of organizational involvement in orthopedic surgery. 00:25:14.240 --> 00:25:14.400 Dr. 00:25:14.559 --> 00:25:16.720 Azar, sir, thank you for being on the podcast. 00:25:16.960 --> 00:25:17.920 Thanks for having me. 00:25:18.079 --> 00:25:18.720 Appreciate it. 00:25:18.960 --> 00:25:20.160 Yeah, buddy, so good to see you. 00:25:20.240 --> 00:25:22.079 I'll see you soon at the meeting coming up. 00:25:22.240 --> 00:25:27.839 And y'all join us again for other episodes in this future orthopedic surgery podcast series.