Episode # 36 • 05 Dec 2023
MSK IR in Private Practice: Challenges & Opportunities
In this BackTable MSK episode, host Dr. Jacob Fleming discusses the future of musculoskeletal radiology with Dr. Glade Roper of VIP Specialists in Visalia, California. Dr. Roper is an MSK radiologist who specializes in minimally invasive procedures.
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Timestamps
00:00 - Introduction
03:00 - Dr. Roper’s Career Path in MSK Radiology
09:10 - Practicing in the OBL and ASC Settings
18:19 - Clinic Presence and Collaboration with Advanced Practice Providers
22:18 - Practice Marketing and Referral Patterns
32:18 - New Developments in Endoscopic Spine and Neuromodulation Procedures
43:30 - Patient Access to Procedures
52:58 - The Future of MSK Radiology Training Pathways
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More about this episode
The doctors explore the potential of musculoskeletal interventional radiology in private practice, with emphasis on the role of device companies’ training, marketing, and the role of minimally invasive procedures in a patient’s treatment algorithm. They also cover procedural topics such as endoscopic disc procedures and peripheral nerve stimulation. Dr. Roper highlights both the advantages and challenges of starting an outpatient-based lab (OBL). Throughout the episode, Dr. Roper shares the story of how he decided to pursue MSK radiology and his perspective on balancing his medical practice with his family life.
Bone cement: Serious adverse events, some with fatal outcome, associated with the use of bone cements for vertebroplasty, kyphoplasty and sacroplasty include myocardial infarction, cardiac arrest, cerebrovascular accident, pulmonary embolism and cardiac embolism. Although it is rare, some adverse events have been known to occur beyond one year post-operatively. Additional risks exist with the use of bone cement. Please see the IFU for a complete list of potential risks.
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