OrthoBiz 24: How Ambulatory Surgery Centers (ASCs) Work w/ Dr. Spector
Release Date: 02/10/2026
Nailed It Ortho
Don't miss these pediatric elbow injuries again! Articles: Supracondylar Humerus Fractures - Supracondylar Humerus Fx statpearls- Radiologic Considerations- Ped Supracondylar assessment: https://pubmed.ncbi.nlm.nih.gov/40544198/
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Most surgeons spend years building their reputation, their practice, and their brand but never take the steps to legally protect it. In this episode, we discuss how trademark law and business structures play a critical role in safeguarding what you’ve worked so hard to build. From understanding the difference between LLCs and S-Corps to knowing when it’s time to file for a trademark, this conversation explains the essentials in a way that actually makes sense. If you’re growing a personal brand, running a private practice, or thinking about stepping into business, this episode will help...
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Here is another episode from our Monday Missteps. Back by popular demand! We go over mistakes that have been made in the field of orhtopaedic surgery, and try to learn from one another about them! Are you heading to AAOS 2026 in March? Stop by booth 830 and chat with the consultants at St. John Associates Physician Recruiting. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 30 years of combined experience in the market and hundreds of matches in all ortho subspecialties. Their services are always free to job seeking...
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In this episode, we sit down with Dr. Biggs to explore a powerful shift in orthopedic care, moving from traditional opioid-heavy pain management to a more effective, patient-centered, non-opioid approach. From his journey into joint replacement surgery to building a thriving private practice, Dr. Biggs shares real-world insights on what it takes to evolve as a surgeon in today’s changing healthcare landscape. The heart of this conversation looks into perioperative pain management and how a multimodal strategy is transforming patient recovery. Goal of episode: To develop a baseline knowledge...
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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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Today we discuss Alternative revenue streams for physicians! So what are some things doctors can do outside of the clinic to make some revenue? We discuss some things in this episode! 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, completed an internship and orthopedic surgery residency...
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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 2 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, 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_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.