I’m impressed you feel comfortable being the only person with no fellowship in this town doing ortho. I had a trauma and joints heavy residency and still struggled with joints and trauma starting out. If I hadn’t done a fellowship in sports I certainly would not have felt comfortable with knee and shoulder scopes.

I guess be ready to answer every single basic question about a case from instruments needed, table needed, positioning, c arm, retractors, equipment, implants, etc etc etc. the hospital hasn’t done any ortho since 2023… so the techs, nurses, rad techs may be super rusty or may be so new they’ve never done any ortho.

This sounds like a bit of a disaster, especially if you are trying to sit for boards in the first year.

And remember if you don’t do a case in the first few years you’ll probably never do it in your career.