While on call, a 55‑year‑old patient presented with progressive hip pain and limited mobility after a fall, with inconclusive X‑rays.

I needed to identify the underlying pathology and decide whether conservative management or surgery was indicated.

Ordered MRI, consulted radiology, identified a displaced femoral neck fracture with acetabular involvement, discussed options with the multidisciplinary team, and explained risks/benefits to the patient.

The patient underwent a total hip arthroplasty, regained full function within six months, and reported a 95% satisfaction score.

In a rapidly evolving field, maintaining up‑to‑date knowledge is essential for optimal patient outcomes.

Continuously integrate new evidence and technologies into my practice.

Subscribe to major journals (JBJS, The Bone & Joint Journal), attend annual AAOS meetings, participate in hands‑on workshops for robotic-assisted knee arthroplasty, and lead a monthly journal club for our department.

Implemented robotic navigation for knee replacements, reducing alignment errors by 15% and improving patient satisfaction scores.

A 68‑year‑old patient developed a deep surgical site infection two weeks after a total knee replacement.

Identify the source, control the infection, and preserve joint function while maintaining patient trust.

Ordered labs and cultures, initiated broad‑spectrum IV antibiotics, consulted infectious disease, performed irrigation and debridement, and kept the patient informed daily about progress and next steps.

Infection resolved without need for prosthesis removal; patient discharged with oral antibiotics and achieved 120° knee flexion at three‑month follow‑up.

A 45‑year‑old active patient with a symptomatic rotator cuff tear expressed fear of surgery and preferred conservative therapy.

Help the patient understand risks, benefits, and realistic outcomes of both options.

Reviewed imaging together, explained natural history of untreated tears, presented success rates and recovery timelines for arthroscopic repair, discussed potential complications, and offered a trial of physical therapy with a clear re‑evaluation point.

Patient chose surgery after two weeks, underwent arthroscopic repair, and returned to full activity within four months, reporting high satisfaction.

During a complex spinal fusion, the anesthesiologist and I disagreed on the timing of intra‑operative neuromonitoring alerts.

Ensure patient safety while maintaining a collaborative environment.

Paused the case, facilitated a brief discussion to clarify monitoring thresholds, reviewed the protocol together, and agreed on a unified response plan. Afterwards, debriefed the team to reinforce communication standards.

The surgery proceeded without neurologic injury, and the team reported improved mutual trust in subsequent cases.

A PGY‑2 resident was assigned to manage a distal radius fracture with associated median nerve compression.

Guide the resident to develop a comprehensive treatment plan and perform the surgery safely.

Reviewed the case together, demonstrated the surgical approach, supervised the reduction and fixation, provided real‑time feedback, and discussed postoperative care and nerve monitoring.

The resident successfully completed the procedure, the patient recovered full nerve function, and the resident expressed increased confidence for future cases.