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David Martin, MD, FAOA takes us on a profound exploration of orthopaedic board certification's past, present, and future landscape. As Executive Medical Director of the American Board of Orthopaedic Surgery (ABOS), Dr. Martin provides podcast host, Dr. Douglas Lundy, rare insights into how the certification process shapes both individual surgeons and the entire profession. Dr. Martin articulates a clear vision that balances competing priorities: "We need to increase the value of board certification and decrease the burden." This tension – maintaining rigorous standards while respecting surgeons' time constraints – drives the evolution of assessment methods. The podcast reveals how the ABOS approaches this challenge. Whether you're a medical student considering orthopaedics, a resident preparing for boards, or an experienced surgeon maintaining certification, this conversation offers valuable perspective on why rigorous professional standards matter – not just for career advancement, but for patient safety and the profession's continued autonomy. Subscribe now to hear more thought-provoking discussions about the future of orthopaedic surgery.