Personal/Private/Non-Academic Practice Attributes

A reference for trauma surgeons entering a community practice...

Varying Practice Models

Support from Partners

Ancillary Help (PA/NP/PT)



Varying practice models


Following are variouis practice models where a traumatologist can survive:

  • Group Orthopaedic Practice (trauma is one of many subspecialties)
  • Subspecialist Orthopaedic Trauma Group (small group of orthopaedic traumatologists)
  • Solo Practice (hospital-supported or independent)
  • Hospitalist / Surgicalist (hospital employees)
  • Large Multi-Specialty Group Practice (i.e. Kaiser)

Support From Partners

Support from partners for mentorship and practice is ideal.

Educate non-trauma partners that trauma is financially feasible and desirable (1)

Complex cases require experience not always possessed by recent graduates. Seek help of other traumatologists.

Ancillary Help (PA/NP/PT)

One PA per Full Time Equivalent (FTE) trauma surgeon. Whether or not the hospital supports this financially, it is revenue-neutral to revenue-gaining concept, depending on use.

Having multiple PA's for a larger practice will help retention of those PA's. Call is shared, rounds are covered by PA with MD backup/review. OR assist frees another MD to do more/separate work. Therapy (PT) as part of a larger group practice, provided trauma payor mix supports it (area/locale dependent).


1. Financial Impact of a Dedicated Orthopaedic Traumatologist on a Private Group Practice

Journal of Orthopaedic Trauma, June 2010 - Volume 24 - Issue 6 - pp 350-354)