12,000 Surgeries Later: Why I Stopped Chasing Volume скачать в хорошем качестве

12,000 Surgeries Later: Why I Stopped Chasing Volume

In this video, orthopedic surgeon Dr. Tyler Goldberg reflects on a 25-year career in orthopedic surgery, including 12,000+ hip and knee replacement surgeries, and explains how volume-driven medicine, RVUs, and assembly-line healthcare eventually force experienced surgeons to rethink how they practice. This is a candid, surgeon-to-surgeon discussion about physician burnout, surgical mastery, career evolution, and why many orthopedic surgeons begin seeking alignment, ownership, and intention after decades in the OR. People often ask, “How do you really know you’ve done over 12,000 surgeries?” This video answers that question — and more importantly, explores what changes after thousands of cases. Dr. Goldberg walks through his career chronologically, from early post-fellowship years, through extended high-volume orthopedic practice, to the inflection point when the question shifts from How many surgeries can I do? to How well do I want to do them? Along the way, he addresses realities most surgeons recognize immediately: volume-driven orthopedic practice RVUs as a proxy for value declining reimbursement and rising administrative pressure the hidden cost of nonstop surgical throughput why experience eventually creates the privilege of choice This video is for orthopedic surgeons, joint replacement surgeons, and physicians who have built strong careers and are quietly asking deeper questions about longevity, fulfillment, burnout, and the future of surgical practice. You’ll Learn How orthopedic surgeons actually track lifetime surgical volume What 12,000+ surgeries teach you about judgment and responsibility Why nonstop volume eventually erodes surgical craft The difference between slowing down and leveling up How experience changes what excellence looks like Why alignment matters more than productivity late in a career How surgeons begin redesigning practice without abandoning medicine After decades in the operating room, the lesson becomes clear: Excellence isn’t about doing more surgeries. It’s about doing the right amount — really well. Video Chapters 00:00 – How Do You Really Know You’ve Done 12,000 Surgeries? 00:32 – Why Most Surgeons Don’t Track Their Case Volume 01:05 – Surgical Logbooks: Every Case, Every Patient 02:10 – Austin Diagnostic Clinic: Early Career After Fellowship 03:15 – Learning Judgment, Humility, and Responsibility 04:05 – Texas Orthopedics: Fourteen Years of High-Volume Practice 05:10 – Efficiency, Pace, and Relentless Volume 06:20 – Austin Orthopedic Institute: A Philosophical Shift 07:25 – Outgrowing a Model Without Anything Being Broken 08:35 – When the Question Changes: How Many vs How Well 09:30 – Why the Hamster Wheel Stops Serving Surgeons 10:20 – Choosing Fewer Surgeries With Greater Intention 11:25 – Experience Creates the Privilege of Choice 12:30 – Excellence Is Doing the Right Amount 13:35 – What These Books Actually Represent 14:30 – This Isn’t Slowing Down, It’s Leveling Up 15:20 – A Message to Surgeons Entering the Next Chapter 16:15 – NAOCA and Redesigning a Career With Alignment A Message to Orthopedic Surgeons If you’re watching this and thinking, “I’ve felt that shift too…” If you’ve built a strong career, done thousands of cases, and are wondering what the next chapter looks like — you’re not alone. That realization is exactly why NAOCA exists. NAOCA helps orthopedic surgeons redesign how they practice without abandoning their identity, hospital relationships, or standards — adding intentional, concierge-based pathways inside existing practices. 📩 Email me directly: founder@orthopedic-concierge.com One joint surgeon to another. NAOCA Links 🌐 NAOCA Website https://orthopedic-concierge.com/ 📞 Contact the NAOCA Team https://orthopedic-concierge.com/cont... 🦴 Join NAOCA (Surgeons Only) https://orthopedic-concierge.com/surg... 📸 Follow NAOCA on Instagram   / naoca.conciergeorthopedics