Finding a good orthopedic surgeon, or any good physician for that matter, is significantly more challenging than looking for a good mechanic or finding the best restaurant. While many new physician review sites have emerged in the last 5 years, from a physician’s perspective, these websites leave a lot to be desired.
Online review sites like healthgrades.com can highlight great physicians, but this is certainly not the only source I would use to vet a good orthopedic surgeon or physician. Many physicians that I trust and refer family to have terrible online reputations. Most physicians do not dedicate any time to monitor their online reputation. Consequently, a few sour apples (which is inevitable in any service oriented field) often tend to dominate the available reviews and skew the perception of the physician. For most good physicians, majority of patient referrals come through word of mouth. Consequently, not all physicians are interested in spending time to cultivate their online reputation.
Where does that leave the consumer? This makes it very challenging to vet a good orthopedic surgeon outside of using review sites. I have found using the following tactics in conjunction with information gleaned on review sites can help identify good orthopedic surgeons in your community.
Verify the provider’s credentials.
First and foremost you want to make sure your orthopedic surgeon has the appropriate credentials to treat you. Not all orthopedic surgeons are created equal. Some will have additional specialized training in a particular discipline such as hand surgery, sports medicine injuries, spine surgery, etc. Be aware there are some sub specializations have similar names but reflect a different type of training. One confusing example is primary care sports medicine training versus orthopedic sports medicine training. Depending on the skill set you are seeking, certain training may be more relevant than others. If you are comparing doctors, you can also compare the quality of the institutions where the doctor received their training. Any training program that involves a high volume hospital likely gave the physician an opportunity to learn their craft effectively. Professional associations like the American Academy of Orthopedic Surgeons also maintain a searchable database of their members.
Vet their technical skill.
Don’t be afraid to check how much experience your orthopedic surgeon has with a given procedure. Call and ask their office how many of the specific surgery of interest the doctor has done. You may not necessarily get a straight answer on the phone, but asking how many of a particular case a surgeon does a month may give you an objective way of comparing one surgeon’s body of experience with anothers. If you are investigating a problem relevant to a Medicare population, a round about way of checking how many Medicare patients a physician is seeing is by utilizing the public medicare claims database (visit it here: Medicare Unmasked: Behind the Numbers). Use it with a grain of salt. A lot of physicians limit their Medicare insurance exposure so it may not tell the full story; but if your target doctor sees >50th percentile of volume of medicare patients for their region, you can bet they are getting lots of word of mouth referrals amongst the Medicare peer group.
Determine their years of experience.
The prime for an orthopedic surgeon is generally ages 40-50. By age 40 the surgeon has had enough repetitions to hone their skills. At this age they are still eager to embrace new technologies and introduce it to their practice. After age 50, not all surgeons, but for some, human nature takes hold, and the tendency is to fall into a routine and become more complacent as new things emerge. Obviously this does not describe everyone and is a gross generalization, but avoiding the most senile of surgeons is probably a wise idea.
Beware of snake oil salesmen.
In training I was taught it is good practice to never be the first, but also never be the last to adopt new technologies. If the physician you are considering is more eager to sell the all new cure-all treatment that hasn’t yet been vetted by the professional colleagues and organizations, in lieu of more established successful therapies, I would be very weary. For new technologies we often don’t necessarily completely understand their positive AND negative effects. Studies and comparisons help us establish what truly is the standard of care. I personally prefer to let the early adopters work out the problems in the technology. Once the technology has passed first muster of the orthopedic community, then only do I integrate it. The one exception to this is when dealing with salvage situations or when one has exhausted all therapeutic means. In these circumstances, with the lack of any better alternative, it may make sense to try a more experimental or novel technique. But if your condition does not fit that criteria, I would be averse to any physician eager to peddle an expensive, out of pocket, non-insurance approved treatment. Typically these snake oil physicians can be identified on the basis of their web site alone. If you find a dazzling website entirely focused on some new esoteric therapy, I would not see them no matter how great their reviews are. A great example of hype in orthopedic surgery is the hyperbole surrounding stem cell injections. While research is promising, no one has demonstrated that stem cells can be directed to grow new cartilage where needed, undo arthritis, restore ligaments, elongate tendons, tone muscles, strengthen bones, reverse aging, insert other preposterous claim here, etc. At this point we understand that stem cells can produce living tissues, but we don’t know how to necessarily coax them into the appropriate and desired pathways for producing tissues. It’s a bit akin to trying to build a house (desired living tissue) with a pile of wood chips (the stem cells) as opposed to tried and true logs.
Use the most under utilized resource, occupational and physical therapists in your community.
When I was looking for jobs, a strategy I would use to identify reliable physicians in the community was calling up the local therapists and asking “Who does the best ACL reconstruction in the area?” or “Who would you trust with your knee surgery?” to try and find out who were the reputable docs in the area that I might want to work with. Often after only 3 or 4 phone calls I could get a pretty good idea of who the trusted docs were whose names would keep on popping up. Physical therapists are great judges of orthopedic surgeon outcomes since they see patients often before and after their surgery.
Reach out to local athletic trainers.
This strategy piggy backs off the one above. Athletic trainers at your club sport or at school see a high frequency of sports injuries. All experienced trainers deal with orthopedic surgeons while managing their athletes. They will know first hand which doctors are getting their athletes back on the field.
Ask nurses.
Nurses, like other medical providers described above, are interacting with physicians all the time. Nurses also often witness patient and physician interactions. Operating room nurses in particular have likely seen a doctor’s reaction to adverse situations when things don’t necessarily go as planned. This inside information is valuable. Solicit a friendly nurses opinion and they will readily share who they think the better physicians are. Although they may not necessarily work with an orthopedic surgeon, there is a good chance they do know an orthopedic nurse, or someone who does know an orthopedic surgeon well.
Check with your friends.
Orthopedic injuries are pretty common. Check with your friends network. Many can likely offer good recommendations.
Search the doctor online.
Just googling the doctors name can reveal a wealth of information. It will pull up the reviews available online for them. Like I mentioned earlier, I use review sites as one element in my physician screening process. Obviously someone who has 10+ negative reviews raises red flags. I don’t put too much stock in reviews when there are less than 5. That is just not a fair sampling. Someone with several great reviews is definitely hard to ignore.
I hope you find some of these tips helpful. Feel free to drop a comment below if there is something you think I missed that should have been included.
It’s interesting that you should determine their years of experience. I had a friend that always had problems with his feet, and has recently considered having them surgically fixed. I will have to let him know to look for experience. Thanks.
Thanks for visiting! While it’s certainly not the only thing to consider, experience is important– particularly with a hard to make diagnosis or rare conditions. Routine stuff like foot arthritis or tendon dysfunction, most docs will be pretty comfortable with, but when you start looking at more exotic diagnoses like avascular necrosis, that’s when an experienced surgeon who has seen it before may be more useful.
I am happy to have found this information about how to find the best orthopedic surgeon. It is good to know that online review sites can point on in the right direction when searching for an orthopedic surgeon. It would be wise to check these sites as well as ask for references from friends and family. Something else to consider would be to find someone who is experienced with solving the problem you need to be fixed.
Thanks for stopping by. Good points. Seeking unique expertise is particularly important for rare conditions. Academic medical centers often focus on treating rare conditions that community orthopedists may not see very often.
I’ve never thought to reach out to local athletic trainers in order to find referrals for orthopedic physician referrals! That’s a great tip, the next time I talk to my mom about finding a proper orthopedist I’ll encourage her to reach out to athletic trainers and nurses she knows. Is it true that it is difficult to find orthopedists that your insurance will cover?
It can be hit or miss finding an orthopedist within your plan. This day and age there are soo many varieties and flavors of insurance, each with their own restrictions and limitations, that the short answer is it depends. Some plans have quite a bit of flexibility in the orthopedic provider you choose. Other plans control costs by having you only work with their preferred providers “in-network”. Therefore, some plans can be very restrictive in who you can and can’t see. Often large medical systems or networks tend to have the greatest clout with insurance companies and are sought by many consumers, and therefore are usually found in the major plans. Smaller private practices have fewer insurance companies they contract with, and so access there may be limited. Hope that helps and thanks for swinging by!
I love to play soccer whenever i have time, but sometimes it gets hard when I get pain in my legs and feet. I think it is very useful that we are able to verify the doctor’s credentials making it easier to choose a care provider. It is also important to realize that technology is advancing quick, allowing care providers to give their patients the care they need, so choosing someone with the right equipment is also important.
Thanks for visiting. Agreed. Access to appropriate equipment and latest technology is important.
I really like the article’s advice to ask local physical therapists about orthopedic surgeons. It makes a really good point that they see the patient before and after the surgery, so they have an unbiased, professional opinion about the success of the surgery. It is especially beneficial since physical therapy is closely related to orthopedics in it’s function.
Thanks for stopping by. PTs are in a unique position given the volume of patients they take care of from different orthopedists…they definitely have their pulse on the community.
I like that you mentioned that by age 40 a surgeon has had enough repetitions to hone their skills. I think that if I was going to a surgeon then I would want them to have a lot of experience. I think that if you are questioning your doctor’s experience then you can ask around to find out about others experiences with that doctor.
Thanks for stopping by and contributing!
My sister has been having some problems with her knees recently. She has been looking into where she can find some help managing her pain level. I didn’t realize how important it is to take years of experience into account to ensure they have refined their skills and still use modern techniques. I wonder if there are other sources of help out there for orthopaedic issues, like videos or books.
Thanks for stopping by. I often direct my patients to orthoinfo.aaos.org. I find it to be a good resource for patients.
I agree that you would want to find out how experienced an orthopedic surgeon is before you choose them. It would seem that you would need to check their experience because this tells you how many similar cases they have seen. My husband needs orthopedic knee surgery so we’ll have to find someone who has been operating for a long time to help out.
Thanks for visiting! Good luck in your search!
I like how the article makes a point about how doing your research when finding an orthopedic surgeon is important. I especially like how it mentions that you should determine their years of experience. I’ve read that it’s also important to look at the doctor’s history in order to determine their history of success. Is that true?
Thanks for visiting! Can you elaborate what you mean by their “history of success”? Are you referring to their reputation? Are you referring to the caliber of the institutions where they were trained?
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I like how you suggested verifying the orthopedic doctor’s credentials. My mom is going in for knee surgery next week. Thanks for the information on ways to find a good orthopedic expert.
Great Post about orthopedic surgeon. Thanks for sharing.
Thanks for stopping by!
Great Post about choosing the best orthopedic surgeon. With anything in life, the more information you have, the more confident you will feel when moving forward with the best surgeon performing a total knee replacement surgery. Thanks for sharing.
Thanks for stopping by!
You’ve got great tips for finding the best orthopedic doctor. I love how you said that it’s good to check how much experience they have. We’re hoping to find one for our son, so I’ll be sure to find someone with experience with children!
Thanks for the tip to find an orthopedic surgeon that is around the age of 40-50. I need an orthopedic surgeon to operate on my hands after getting into an accident at work. I’ll be sure to find a surgeon that has plenty of experience and the right credentials.
Glad you found it helpful!
Thank you for stating that you should verify the provider’s credentials when looking for an orthopedic surgeon. My son needs to have surgery on his ankle, so we’re looking for a surgeon. I will definitely utilize all of your great tips and information when trying to find the best orthopedic surgeon possible for my son.
Thanks for stopping by. Good luck with the search!