OrthoBzi 24: How Ambulatory Surgery Centers (ASCs) Work w/ Dr. Spector
Release Date: 02/10/2026
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Orthopedic surgery is in the middle of a quiet but powerful shift. Procedures that once required hospital admission are increasingly being performed in Ambulatory Surgery Centers (ASCs), and this change is transforming patient experience, physician autonomy, and the business of orthopedic care. In our latest podcast episode, Dr. Spector joins us to discuss why ASCs are becoming a dominant force in modern orthopedics. In this episode, we break down: Why more orthopedic procedures are moving out of hospitals. How ASCs are transforming patient experience, efficiency, and recovery. ...
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The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! In this episode we have Dr. Samuel Fuller, a resident at University at Buffalo, Matthew Corsi, a resident at Corewell East/Beaumont RO, Jalen Warren, a resident at Case Western Reserve University, Matthew Alben, a resident at University at Buffalo, and Danil Chernov, a second-year medical student at University at Buffalo. They discuss Injuries in Throwing Athletes....
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We dissect the hidden truths of orthopedic practice, from team building to practice management, physician burnout, and more. We explore insights with Dr. Atanda about the skills that aren’t taught in medical school but are crucial for success. We discuss some of the general things and concepts you need to know about billing and. coding. Dr.Atanda gives us a great overview of some things that you may not have known! Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of...
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PART 2I n this episode, we’re joined by Dr. Andrew Zhang, and we explore Lumbar Interbody fusion. We discuss indications, relevant anatomy, differences between ALIF, OLIF, XLIF, + much much more. Dr. Zhang is a board-certified, dual fellowship-trained orthopaedic surgeon specializing in spine surgery. He has a clinical interest in treating complex spinal deformity in adult and pediatric patients, including scoliosis and kyphosis, as well as robotic surgery, minimally invasive techniques, and the latest technology such as endoscopic spine surgery. His patient-centered approach involves...
info_outlineNailed It Ortho
In this episode, we’re joined by Dr. Andrew Zhang, and we explore Lumbar Interbody fusion. We discuss indications, relevant anatomy, differences between ALIF, OLIF, XLIF, + much much more. Dr. Zhang is a board-certified, dual fellowship-trained orthopaedic surgeon specializing in spine surgery. He has a clinical interest in treating complex spinal deformity in adult and pediatric patients, including scoliosis and kyphosis, as well as robotic surgery, minimally invasive techniques, and the latest technology such as endoscopic spine surgery. His patient-centered approach involves...
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In this episode, our guest, Dr. Atanda, discusses the administrative tasks you will need to complete as a new attending, from credentialing and licensing to insurance setup and beyond, to stay compliant and start your new role with confidence. Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine,...
info_outlineNailed It Ortho
The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! In this episode we have Dr. Samuel Fuller, a resident at University at Buffalo, Dr. Alexander Macfarlane, a current shoulder & Elbow fellow, Teja Polisetty, a resident at Harvard University, Brad Hawayek, a resident at the University of Buffalo, Matthew Corsi, a resident at Corewell East/Beaumont RO, Jalen Warren, a resident at Case Western Reserve University, and...
info_outlineNailed It Ortho
We dissect the hidden truths of orthopedic practice, from team building to practice management, physician burnout, and more. We explore insights with Dr. Atanda about the skills that aren’t taught in medical school but are crucial for success. Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. Dr. Atanda is a graduate of the University of Pennsylvania School of...
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In this episode, we’re joined by Dr. Kassam to explore the origins and evolution of Reverse Shoulder Arthroplasty (RSA), from its early rationale in treating RTC arthropathy to the groundbreaking Grammont design. We discuss the core components of RSA, the critical role of center of rotation (COR), glenoid and humeral lateralization, and their impact on biomechanics. We also talk about surgical considerations like scapular notching prevention, baseplate positioning, inlay vs onlay humeral stems, and the significance of neck-shaft angles. Dr. Hafiz Kassam is a board-certified orthopedic...
info_outlineOrthopedic surgery is in the middle of a quiet but powerful shift. Procedures that once required hospital admission are increasingly being performed in Ambulatory Surgery Centers (ASCs), and this change is transforming patient experience, physician autonomy, and the business of orthopedic care.
In our latest podcast episode, Dr. Spector joins us to discuss why ASCs are becoming a dominant force in modern orthopedics. In this episode, we break down:
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Why more orthopedic procedures are moving out of hospitals.
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How ASCs are transforming patient experience, efficiency, and recovery.
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OrthoCarolina’s bold strategy to double down on ASCs and physician-led care.
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The real financial differences between ASCs and hospitals for patients, insurers, and providers.
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Certificate of need, and the role it plays in ASCs.
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How ASCs and hospital partnerships work.
A board-certified fellowship-trained Orthopedic spine surgeon, Dr. Spector has enjoyed a 17-year tenure with OrthoCarolina, holding multiple leadership positions, including Chief Executive Officer, Chief Quality Officer, member of the Executive Committee, chairman of the Quality/Value Committee, and co-fellowship director at the OrthoCarolina Spine Center. In 2020, Dr. Spector earned his MBA from Duke University Fuqua School of Business and was previously selected to participate in the American Orthopedic Association Leadership Program, conducted in collaboration with the University of Chicago Booth School of Business. Dr. Spector currently serves as a Board Member of the Lumbar Spine Research Society and previously held the position of President of the North Carolina Spine Society.
Dr. Spector began serving as CEO of OrthoCarolina in 2024. Dr. Spector has continued to practice orthopedic surgery while active as the OrthoCarolina CEO.