New patient referrals to our clients: 824,646 Referrals as of 03/26/2019

Academy of Chiropractic’s

MD Relationship Program

MD Meetings - the SURGEON

Clinical Consultation 

From:  William J Owens Jr DC DAAMLP


What the Surgeons Need - PART 2


So ultimately those three things, 1: the change from structural to physiology on the pain management cycle, 2: the reduction in collections, and then 3: was a rise in medical malpractice premiums. We saw the surgeons need to focus on what they do best, which is surgery that increased and even when they have a physician assistants and nurse practitioners, it's important to understand that those providers within the surgical practice are really there just to examine and evaluate for surgery. They're not there to manage. The surgeon no longer manages these cases and you can look around your community, you know, every community is a little bit different, as far as how far along in this process they are. But we used to see physical therapy and all these multidisciplinary providers in surgical practices, but now not so much because those surgeons can't afford to manage spine cases, particularly those with mechanical spine pain.

Now this is where it gets interesting. So medical malpractice for a surgeon, a neurosurgeon, is about $350,000 a year in New York.  If they've had up to two complaints, meaning they had a case that they had to defend against regardless of whether it was true or not, they're paying about $600,000 a year. So imagine the first $10,000 a week that comes into a surgical practice just goes to pay professional liability premiums. They can't afford to see 100 or a $200 visit, right? To manage a case, they have to be doing surgery. Premiums for orthopedic surgeons are about 250,000 and up. So their focus has really become procedural. And what's interesting to know, and this is one of the things that we teach you guys in the program and that you'll work with me on, is that an average surgeon will do surgery on about eight percent spine cases.  So about eight percent of their practice will typically be surgical cases, and that's where they want to spend their time.

So chiropractic serves a very, very important purpose. Now you have to understand some of the most important research that's coming out in surgical research is about fusions in medically necessary cases. The number one reason that those cases fail to make clinically valid improvements is because there was a biomechanical problem in the spine either at that region or at a region adjacent to that part of the spine being fused. So essentially what happens is they're fusing a compensated segment, and they're aware of that. So our outreach to the surgeon is really about triaging and case management. And that's what the surgeon really needs and understands. So while we're reaching out to the primary care world, they have a very specific problem that I'll brush on in subsequent podcasts and when we talk to the pain management doctor, they have other needs as well.  Each segment of medicine has unique issues that if we can solve them, will help a lot of patients.




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