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Dr. Tyler Goldberg, an experienced orthopedic surgeon, highlights a significant gap in modern medicine: the absence of entrepreneurship training for physicians. He argues that while surgeons master their craft, they lack the career coaching needed to design their professional paths. This discussion is crucial for any doctor in healthcare seeking to shape their future in orthopedic surgery. Orthopedic surgeons spend 15 years mastering surgery—but almost no time learning how to design a career. In this video, orthopedic surgeon Dr. Tyler Goldberg explains why entrepreneurship—not volume, RVUs, or efficiency—is the missing skill breaking modern orthopedic careers. We spend our entire training learning how to operate… …but zero minutes learning how to operate a career. Nobody teaches surgeons the most important skill in modern orthopedics: Entrepreneurship. Not business school entrepreneurship. Not marketing. Not spreadsheets. But the ability to design your career instead of inheriting one. I’m Dr. Tyler Goldberg, founder of NAOCA, and in this video I break down why orthopedic surgeons were never trained to think like builders—and why that gap is driving burnout, identity erosion, and misalignment across the profession. This conversation is not about money. It’s about autonomy. Craftsmanship. Identity. And building a practice model that doesn’t destroy you physically or emotionally. In this video, we cover: Why surgeons are trained for compliance, not creation The difference between thinking in metrics vs thinking in models How RVUs and volume suppress entrepreneurial instincts The mindset shift that led me to concierge orthopedics Why surgeons are naturally entrepreneurial—and were trained to forget it How entrepreneurship is really identity engineering Why reclaiming control doesn’t require quitting or burning everything down Entrepreneurship for surgeons isn’t about starting companies. It’s about asking better questions: “Is there a better way to practice?” “Does this model protect my time and judgment?” “Am I being rewarded for craftsmanship—or speed?” Concierge orthopedics wasn’t built from spreadsheets. It was built from identity clarity. And that’s the opportunity in front of surgeons willing to think like architects instead of cogs. 🎥 VIDEO CHAPTERS 00:00 – Why Surgeons Were Never Taught Entrepreneurship 00:42 – The Missing Skill in Orthopedic Training 01:28 – Surgeons Are Trained for Compliance, Not Creation 02:40 – Why the System You Inherited Is Collapsing 03:30 – Thinking in Models vs Thinking in Metrics 04:50 – “I Don’t Have a Career Problem—I Have a Model Problem” 06:10 – Why Concierge Orthopedics Became Obvious 07:25 – Surgeons Are Naturally Entrepreneurial 09:00 – Identity Is the Core of Surgeon Entrepreneurship 10:30 – Entrepreneurship Is a Lens, Not a Leap 11:45 – How Surgeons Take Their Careers Back 🔗 Connect With NAOCA 🌐 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 📩 If this video resonates, email me directly at founder@orthopedic-concierge.com . Tell me what part of entrepreneurship you’re ready to step into. One joint surgeon to another.