One of my mentors, well into his 70s at the time of my fellowship, when presented with a dorsal ganglion, still presented the traditional option of hitting it with a book. I saw him do it just once, but he flashed a grin, said, “I have a special book for this,” went back to his office and returned with an…

Failure in life - no matter how great or small - can provide a transformational opportunity for growth. In fact, most if not all innovation is the result of trial and error, a consequential response or iteration, and so forth. Indeed, in medicine, progress has relied on the scientific method forever. However, our bad surgical outcomes are often stigmatized as…

Fellowship training in hand surgery has become increasingly popular, resulting in a significant number of applicants failing to obtain a fellowship position.  From 2012-2014, 25% of applicants did not match.  In 2016, there were 199 applicants for only 166 positions; this left 17% of applicants unmatched.1  This competitive environment has led to applicants applying to an increasingly larger number of…

It is well known that there is a substantial effort to reduce healthcare costs.  These reductions can occur by decreasing reimbursements to both the healthcare facility and directly to the physician. As many physicians receive direct benefit from the healthcare facility in the form of profit-sharing, salary, payment for call, etc., it is in our best interests, as physicians, to…