Decisions and Incisions: A Value-Driven Practice Framework for Academic Surgeons

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As value-based health care transitions from theory to practice, academic surgeons are confronted with unique challenges in order to meet clinical demands while dedicating efforts to the pursuit of academia. There are 3 coexistent missions that have traditionally comprised “academic” surgery: patient care, education, and research. Although many value-driven patient-care delivery models have been proposed and implemented, it is less clear how the education and research missions of academic medicine are aligned with value1. In this forum, we define for the orthopaedic surgeon how to maximize value in these 3 missions within the context of a learning health-care system2.
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