OrthoCarolina has recently hired Joshua Smith, M.D. as one of their new physicians to support the increasing needs of its patients and communities. He is one of ten physicians who have joined the OrthoCarolina team.
Joshua Smith Joins OrthoCarolina

Smith is fellowship-trained in hand, shoulder and elbow. He is based in Hickory, North Carolina.
He told OTW, “My first steps have been meeting with hospital administrators, therapists, and office staff to ensure that my transition into practice is as seamless as possible.”
“Superior training emphasizing exceptional patient care and outcomes is critical when we make physician hiring decisions,” OrthoCarolina CEO Bruce Cohen, M.D. said about the recent additions to the team.
He added, “Company culture is a significant part of the OrthoCarolina career experience, and we select our physician roles with medical leaders willing to serve and be part of a robust, highly effective team.”
OrthoCarolina physicians specialize in the areas of foot and ankle, hand, hip and knee, shoulder and elbow, spine, sports medicine and pediatrics. With 160 physicians at more than 40 locations across the Carolinas, many OrthoCarolina providers are also trained in orthopedic subspecialties, offering comprehensive orthopedic care.
“As our company continues to expand, we strategically look for physicians to fill specific roles and needs in the regions and communities we serve,” said Cathie McDonald, COO of OrthoCarolina.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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