Instead, these contracts are being awarded to other types of providers. Thus, health care delivery systems are being created which deny patients with musculoskeletal problems access to the type of care which is most appropriate for their conditions. The American Academy of Orthopaedic Surgeons opposes any arrangement in which orthopaedic surgeons are excluded from the provision of musculoskeletal care. We believe that this type of arrangement detracts from the overall continuity and quality of musculoskeletal care that we, as a specialty, are best qualified to deliver and which our patients need and deserve. Orthopaedic surgeons are trained in the diagnosis and treatment of disorders affecting the bones, joints, and soft tissues of the entire spine, the upper extremities including the hand, and the lower extremities including the foot.
Orthopaedic surgeons treat patients of all ages requiring acute and chronic care.
They are trained in the cost-effective use and interpretation of laboratory and musculoskeletal imaging tests and procedures, the use of prostheses, orthoses, and physical modalities as well as the appropriate referral to allied health care providers. By virtue of their medical background and training, orthopaedic surgeons can coordinate the resolution of musculoskeletal problems, including certain neurological and rheumatological conditions, in conjunction with primary care providers. The Academy further asserts that orthopaedic surgeons are by training, qualifying exams, and experience, preeminent providers of musculoskeletal care. The scope of practice for orthopaedic surgeons is broad and well defined and should be recognized as such. Orthopaedic surgeons should counter attempts by any managed care organization or other payor, or provider network to exclude orthopaedic surgeons from providing musculoskeletal care for specific anatomical areas.