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Articles by Michael Suk,
Activity
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We are ready to innovate the care you give to patients for #kneeArthroplasty #kneetrauma and #kneesports . This is a movement not a course that will…
We are ready to innovate the care you give to patients for #kneeArthroplasty #kneetrauma and #kneesports . This is a movement not a course that will…
Liked by Michael Suk, MD, JD, MPH, MBA, FACS, FACHE
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I’m back. After three months of hiking, reading, tackling deferred maintenance, and going all-in on family life, I’m stepping back into the arena.…
I’m back. After three months of hiking, reading, tackling deferred maintenance, and going all-in on family life, I’m stepping back into the arena.…
Liked by Michael Suk, MD, JD, MPH, MBA, FACS, FACHE
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Just got back from the first-ever Nature & Health National Alliance Conference, feeling grateful and inspired. A heartfelt thank you to the…
Just got back from the first-ever Nature & Health National Alliance Conference, feeling grateful and inspired. A heartfelt thank you to the…
Liked by Michael Suk, MD, JD, MPH, MBA, FACS, FACHE
Experience & Education
Licenses & Certifications
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Fellow of the American College of Healthcare Executives (FACHE)
American College of Healthcare Executives
Issued -
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Diplomate of the American College of Lifetstyle Medicine
American College of Lifestyle Medicine
Issued -
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Fellow of the College of Physicians of Philadelphia
The College of Physicians of Philadelphia
Issued -
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Fellow of the American Academy of Orthopaedic Surgeons
American Academy of Orthopaedic Surgeons (AAOS)
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Publications
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Minimally Invasive Plate Osteosynthesis for Periprosthetic and Interprosthetic Fractures Associated with Knee Arthroplasty: Surgical Technique and Review of Current Literature.
Journal of Knee Surgery
With the increasing number of total knee arthroplasties (TKAs) being performed, the incidence of periprosthetic fractures adjacent to a TKA is rising. Minimally invasive plate osteosynthesis (MIPO) has proven to be successful for the biological fixation of many fractures. Advances in surgical instrumentation and techniques made MIPO possible for more complex fractures. Periprosthetic fractures are always complicated by problems of soft tissue incisions, scarring, and, of course, the…
With the increasing number of total knee arthroplasties (TKAs) being performed, the incidence of periprosthetic fractures adjacent to a TKA is rising. Minimally invasive plate osteosynthesis (MIPO) has proven to be successful for the biological fixation of many fractures. Advances in surgical instrumentation and techniques made MIPO possible for more complex fractures. Periprosthetic fractures are always complicated by problems of soft tissue incisions, scarring, and, of course, the arthroplasty components. MIPO techniques may be particularly suited to these injuries and may make the surgical repair of these fractures safer and more reliable. In this review, case examples are used to define the indications, preoperative planning, implant selection, complications, limitations, and challenges of MIPO for the treatment of periprosthetic fractures about the knee. When considering MIPO for any fracture, we recommend prioritizing an acceptable reduction with biological fixation and resorting to mini-open or open approach when necessary to achieve it. Awareness of the learning curve of the surgical technique, advances in implant designs, the tips and tricks involved, and the limitations of the MIPO is of paramount importance from the orthopaedic surgeon's perspective.
Other authorsSee publication -
3 Ways to Make Electronic Health Records Less Time-Consuming for Physicians
Harvard Business Review
Physicians in the United States are justifiably upset by the amount of time they spend using electronic health records (EHRs). This is true across primary care physicians and specialists, and it contributes to physician burnout. The annual cost of physicians spending half of their time using EHRs is over $365 billion (a billion dollars per day) — more than the United States spends treating any major class of diseases and about equal to what the country spends on public primary and secondary…
Physicians in the United States are justifiably upset by the amount of time they spend using electronic health records (EHRs). This is true across primary care physicians and specialists, and it contributes to physician burnout. The annual cost of physicians spending half of their time using EHRs is over $365 billion (a billion dollars per day) — more than the United States spends treating any major class of diseases and about equal to what the country spends on public primary and secondary education instruction. This is a problem that can be solved now by taking three steps.
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How Often Are Protocols Followed at Level I Trauma Centers?
Journal of Surgical Orthopaedic Advances
This study analyzes adherence to an evidence-based protocol established at two level I trauma centers to determine its effect on clinical decision making. The centers' trauma databases were retrospectively studied and 51 patients with long bone fractures were identified who required revascularization and orthopaedic intervention and survived long enough to receive an index intervention. An arterial shunt was the protocol's first step; the preprotocol rate of shunting was 9.5%, while the…
This study analyzes adherence to an evidence-based protocol established at two level I trauma centers to determine its effect on clinical decision making. The centers' trauma databases were retrospectively studied and 51 patients with long bone fractures were identified who required revascularization and orthopaedic intervention and survived long enough to receive an index intervention. An arterial shunt was the protocol's first step; the preprotocol rate of shunting was 9.5%, while the postprotocol rate of shunting was 3.3%. The protocol's next step was external fixation; among the cases managed without a shunt, external fixation was the index intervention in 63.2% of the preprotocol cases and 31.0% of the postprotocol cases. Definitive vascular surgery was routinely performed before external fixation in 28.6% of the preprotocol cases and 56.7% of the postprotocol cases. This study demonstrates that this evidence-based protocol had no effect on the management of patients with combined orthopaedic and vascular injuries. Protocols should never supersede clinical judgment, but poor protocol adherence may represent a need for trauma centers to routinely review their protocols' compliance and efficacy.
Other authorsSee publication -
Percutaneous and Mucocutaneous Exposure Among Orthopaedic Surgeons: Immediate Management and Compliance With CDC Protocol.
Journal of Orthopaedic Trauma
Orthopaedic surgeons are at a high risk of sustaining a percutaneous or mucocutaneous exposure to blood and body fluids. The Center for Disease Control and Prevention recommends a wash with soap and water and notification of the concerned hospital authorities after any percutaneous/mucocutaneous exposure, but a systematic amenability with these guidelines is not always seen. This cross-sectional study was undertaken to determine current knowledge and practices of orthopaedic surgeons in case of…
Orthopaedic surgeons are at a high risk of sustaining a percutaneous or mucocutaneous exposure to blood and body fluids. The Center for Disease Control and Prevention recommends a wash with soap and water and notification of the concerned hospital authorities after any percutaneous/mucocutaneous exposure, but a systematic amenability with these guidelines is not always seen. This cross-sectional study was undertaken to determine current knowledge and practices of orthopaedic surgeons in case of a percutaneous sharp injury exposure, emphasizes the immediate first aid steps taken after an exposure, the degree of reporting, and to explore the reasons for noncompliance. Finally, we sought to create awareness about the prevailing Center for Disease Control and Prevention guidelines after any exposure to blood or body fluids.
This study demonstrates that orthopaedic surgeons of all levels of training are at high risk of occupational exposure to blood-borne pathogens. Moreover, despite the level of training, the majority of surgeons do not follow the recommended steps, although we do not know the reasons for such behavior. Also, there is a low awareness of the significant risk of hepatitis transmission among orthopaedic surgeons treating a population with a high prevalence of undiagnosed hepatitis.Other authorsSee publication -
What makes an intertrochanteric fracture unstable in 2015? Does the lateral wall play a role in the decision matrix?
Journal of Othopaedic Trauma
Intertrochanteric (IT) fractures pose a tremendous burden to the healthcare system. Although consistently good results are obtained while treating stable IT fractures, treatment failure rates with unstable fractures are much higher, and hence, it is imperative to identify unstable patterns. Presently, the conventionally classified unstable configurations (fracture with posteromedial comminution, reverse oblique, IT with subtrochanteric extension) and the recently added fracture patterns (IT…
Intertrochanteric (IT) fractures pose a tremendous burden to the healthcare system. Although consistently good results are obtained while treating stable IT fractures, treatment failure rates with unstable fractures are much higher, and hence, it is imperative to identify unstable patterns. Presently, the conventionally classified unstable configurations (fracture with posteromedial comminution, reverse oblique, IT with subtrochanteric extension) and the recently added fracture patterns (IT fractures with avulsed greater trochanter and lateral wall breach) qualify as unstable IT fractures; however, the list is certainly not exhaustive. Disruption of lateral wall converts an IT fracture into a reverse oblique fracture equivalent and should be given a strong consideration in the decision matrix.
Other authorsSee publication -
Orthopaedic trauma in the Anabaptist community: epidemiology and hospital charges.
Journal of Agromedicine
This study aims to define the epidemiology of orthopaedic trauma in the rural Anabaptist community and analyze the hospital charges associated with their treatment. The authors performed a retrospective review of 79 Amish and 40 Mennonite patients who had been seen in their rural level I trauma center emergency department for an orthopaedic injury from January 2006 to May 2013. Data collection included baseline demographics, injury mechanism and severity, injury complex, operative…
This study aims to define the epidemiology of orthopaedic trauma in the rural Anabaptist community and analyze the hospital charges associated with their treatment. The authors performed a retrospective review of 79 Amish and 40 Mennonite patients who had been seen in their rural level I trauma center emergency department for an orthopaedic injury from January 2006 to May 2013. Data collection included baseline demographics, injury mechanism and severity, injury complex, operative interventions, outcomes, and hospital charges. Amish and Mennonite groups were similar except for a higher percentage of males in the Mennonite group. For Amish patients, occupational injuries (52%) and buggy accidents (16%) accounted for the highest percentage of admissions. Eighty-seven percent sustained at least one fracture, most commonly of the hand (11%). Amish patients were statistically more likely to sustain fractures of the spine, and Mennonite patients were more likely to sustain fractures of the foot and femur. Over half of patients required surgery (58%). Total hospital charges did not differ based between the groups. Amish patients completed outpatient follow-up less frequently than Mennonite patients. Anabaptist patients are at risk for a variety of orthopaedic injuries related to their unique lifestyle and vocations. Socioreligious beliefs must be taken into consideration when educating these patients regarding postinjury care, as attendance at outpatient follow-up is low. Understanding the types of injuries that these patients sustain can help create strategies to prevent costly transportation and agricultural accidents within the Anabaptist community.
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The reporting of functional outcome instruments in the Journal of Orthopaedic Trauma over a 5-year period.
Journal of Orthopaedic Trauma
Orthopaedic journals, such as the Journal of Orthopaedic Trauma, frequently publish studies reporting functional outcome instruments, but little information has been provided regarding the validity and overall strength of these instruments. This study analyzes the trends in reported functional outcome instruments in articles published in the Journal of Orthopaedic Trauma over a 5-year period and examines the utilization rate, "overall" strength, and validity of these functional outcome…
Orthopaedic journals, such as the Journal of Orthopaedic Trauma, frequently publish studies reporting functional outcome instruments, but little information has been provided regarding the validity and overall strength of these instruments. This study analyzes the trends in reported functional outcome instruments in articles published in the Journal of Orthopaedic Trauma over a 5-year period and examines the utilization rate, "overall" strength, and validity of these functional outcome instruments for the populations being studied.
Even though the 56% utilization rate of functional outcome instruments in The Journal of Orthopaedic Trauma is much higher than other journals, it is still low given the importance of measuring and attaining excellent functional outcomes. It is clear that future effort should be given to validating outcome measures for correct evaluation of orthopaedic trauma patients.Other authorsSee publication -
We need better care coordination for polytraumatized patients.
American Journal of Orthopaedics
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TEFTOM: A Promising General Trauma Expectation/Outcome Measure-Results of a Validation Study on Pan-American Ankle and Distal Tibia Trauma Patients.
ISRN orthopedics
Background. In orthopedics, there is no instrument specifically designed to assess patients' expectations of their final surgery outcome in general trauma populations. We developed the Trauma Expectation Factor Trauma Outcome Measure (TEFTOM) to investigate the fulfilment of patients' expectations one year after surgery as a measure of general trauma surgical outcomes. The aim of this paper was to assess the psychometric characteristics of this new general trauma outcome measure. Methods. The…
Background. In orthopedics, there is no instrument specifically designed to assess patients' expectations of their final surgery outcome in general trauma populations. We developed the Trauma Expectation Factor Trauma Outcome Measure (TEFTOM) to investigate the fulfilment of patients' expectations one year after surgery as a measure of general trauma surgical outcomes. The aim of this paper was to assess the psychometric characteristics of this new general trauma outcome measure. Methods. The questionnaire was tested in 201 ankle and distal tibia fracture patients scheduled for surgery. Patients were followed up for twelve months. The TEFTOM questionnaire was evaluated for its criterion validity, internal consistency, reproducibility, and responsiveness. Results. TOM showed good criterion validity against the American Academy of Orthopaedic Surgeons Foot and Ankle Scale (Pearson's correlation coefficient = 0.69-0.77). Internal consistency was acceptable for TEF (Cronbach's alpha = 0.65-0.76) and excellent for TOM (Cronbach's alpha = 0.76-0.85). Reproducibility was moderate to very good (intraclass coefficient correlation (ICC) ≥0.67) for TEF and very good (ICC ≥0.92) for TOM. TOM also proved to be responsive to changes in patients' condition over time (Wald test; P < 0.001). Conclusions. TEFTOM is a promising tool for measuring general trauma outcomes in terms of patients' expectation fulfilment that proved to be valid, internally consistent, reproducible, and responsive to change.
Other authorsSee publication -
Surgical dislocation of the hip for fractures of the femoral head.
Journal of Orthopaedic Trauma
Traumatic dislocations of the hip are high-energy injuries that frequently occur with fractures of the femoral head. Controversy exists regarding many aspects of the treatment of these fractures, but following reduction, large displaced head fragments require open reduction and internal fixation. Traditionally, an anterior approach to the hip joint has been used for surgical access to the femoral head, but this incision often results in limited visualization and subsequent difficulty with…
Traumatic dislocations of the hip are high-energy injuries that frequently occur with fractures of the femoral head. Controversy exists regarding many aspects of the treatment of these fractures, but following reduction, large displaced head fragments require open reduction and internal fixation. Traditionally, an anterior approach to the hip joint has been used for surgical access to the femoral head, but this incision often results in limited visualization and subsequent difficulty with anatomic reduction. Recently, a surgical hip dislocation technique has been described for acetabular fractures and deformities of the proximal femur. At our institution, this technique has been used for femoral head fractures resulting in superior visualization and fracture stabilization. This article details the technique and its application.
Other authorsSee publication
Patents
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Airfoils and Machines Incorporating Airfoils
Issued US 10766544
Various embodiments of an airfoil and machines with airfoils are disclosed. The airfoils include a thicker leading airfoil portion and a thinner trailing airfoil portion. In one embodiment, the leading airfoil portion is formed by bending a body of the airfoil back toward itself. In another embodiment, the leading airfoil portion has a solid geometry and includes two elliptic surfaces. To prevent detachment of airflow, the leading airfoil portion includes at least two arc portions or surfaces…
Various embodiments of an airfoil and machines with airfoils are disclosed. The airfoils include a thicker leading airfoil portion and a thinner trailing airfoil portion. In one embodiment, the leading airfoil portion is formed by bending a body of the airfoil back toward itself. In another embodiment, the leading airfoil portion has a solid geometry and includes two elliptic surfaces. To prevent detachment of airflow, the leading airfoil portion includes at least two arc portions or surfaces that act to direct the airflow down to the trailing airfoil portion in a manner that stabilizes vortexes that may form in the region of changing thickness.
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Golf Club Head with Airfoil
Issued US 10,751,583
A golf club head for a driver is disclosed. The golf club head includes a face portion and a rearward end portion. An upward facing surface in a crown portion of the golf club head curves up towards the rearward end portion to keep airflow from separating from the crown portion. A downward facing surface on a sole portion of the golf club includes an airfoil that helps keep air stuck to the sole portion of the golf club head. The airfoil portion extends from a toe portion to a heel portion of…
A golf club head for a driver is disclosed. The golf club head includes a face portion and a rearward end portion. An upward facing surface in a crown portion of the golf club head curves up towards the rearward end portion to keep airflow from separating from the crown portion. A downward facing surface on a sole portion of the golf club includes an airfoil that helps keep air stuck to the sole portion of the golf club head. The airfoil portion extends from a toe portion to a heel portion of the golf club head to help maintain smooth airflow across the entirety of the golf club head during a swing.
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Adjustable Proprioceptive Neuromuscular Trainer
Issued US 10,434,371
Proprioceptive neuromuscular training device for exercisers that improves balance and coordination throughout the kinetic chain. Comprised of a center assembly containing two pivots connecting a top surface to a bottom surface. A top pivot is set within the top surface, a lower pivot is set medial the top surface and the base surface. Both pivots combined eliminate multiaxial deviation creating appropriate musculoskeletal responses. There are slide and lock assemblies with multiple locking…
Proprioceptive neuromuscular training device for exercisers that improves balance and coordination throughout the kinetic chain. Comprised of a center assembly containing two pivots connecting a top surface to a bottom surface. A top pivot is set within the top surface, a lower pivot is set medial the top surface and the base surface. Both pivots combined eliminate multiaxial deviation creating appropriate musculoskeletal responses. There are slide and lock assemblies with multiple locking points mounted to the base surface. The slide and lock assembly is comprised of an adjustable angle stop containing a protrusion that locks into a groove to either restrict or increase the multiaxial motion of the top surface based on positioning relative to the center assembly.
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As a new member of the Health System Board at ChristianaCare, I attended their annual Leadership Retreat today in Wilmington, DE. Among the many…
As a new member of the Health System Board at ChristianaCare, I attended their annual Leadership Retreat today in Wilmington, DE. Among the many…
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If you’d told the freshman version of me—the first in my family to step onto a college campus—that I’d someday stroll back into Happy Valley as the…
If you’d told the freshman version of me—the first in my family to step onto a college campus—that I’d someday stroll back into Happy Valley as the…
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Yesterday was a reminder of why every Texas physician needs to be a member of the Texas Medical Association. When the House Committee on Public…
Yesterday was a reminder of why every Texas physician needs to be a member of the Texas Medical Association. When the House Committee on Public…
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We congratulate Gen. Dan Caine, White House Fellows Class of 2005-06, on his confirmation as Chairman of the Joint Chiefs of Staff. #leadership…
We congratulate Gen. Dan Caine, White House Fellows Class of 2005-06, on his confirmation as Chairman of the Joint Chiefs of Staff. #leadership…
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100% with you Adam J. Bruggeman, MD, MHA, FAAOS, FAOA . Let’s address this for what it is: sheer and shameful protectionism with the aim to subvert…
100% with you Adam J. Bruggeman, MD, MHA, FAAOS, FAOA . Let’s address this for what it is: sheer and shameful protectionism with the aim to subvert…
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Proud to have testified yesterday in the Texas legislature for the ability of Physician Assistants and Advanced Practice Nurses to be immediately…
Proud to have testified yesterday in the Texas legislature for the ability of Physician Assistants and Advanced Practice Nurses to be immediately…
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400 medical students This morning I had the distinct pleasure to introduce physician advocacy to a packed room of 400 medical students at the annual…
400 medical students This morning I had the distinct pleasure to introduce physician advocacy to a packed room of 400 medical students at the annual…
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We congratulate Ms. Somers Farkas on her nomination to be Ambassador to Malta. Ms. Farkas served as an appointed member of the President's…
We congratulate Ms. Somers Farkas on her nomination to be Ambassador to Malta. Ms. Farkas served as an appointed member of the President's…
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💪🏼week 2 check-in Transitioning to AGH has been both exhilarating and enlightening. I’m diving deep into our mission to empower healthcare…
💪🏼week 2 check-in Transitioning to AGH has been both exhilarating and enlightening. I’m diving deep into our mission to empower healthcare…
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MGMA along with 100+ physician organizations sent a letter to the hill advocating for reversing the 2025 2.83% Medicare physician payment cut &…
MGMA along with 100+ physician organizations sent a letter to the hill advocating for reversing the 2025 2.83% Medicare physician payment cut &…
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Happy International Women’s Day 🎉 Wonderful day with these amazing women presenting at the Lehigh Valley Lifestyle Medicine Symposium 🤩 Melissa…
Happy International Women’s Day 🎉 Wonderful day with these amazing women presenting at the Lehigh Valley Lifestyle Medicine Symposium 🤩 Melissa…
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Excited for this today 💫 ☮️🌱💤🏃🏻♀️🤗🧠 https://lnkd.in/g6zdsekv Kellyn Foundation American College of Lifestyle Medicine Meagan Grega, MD…
Excited for this today 💫 ☮️🌱💤🏃🏻♀️🤗🧠 https://lnkd.in/g6zdsekv Kellyn Foundation American College of Lifestyle Medicine Meagan Grega, MD…
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