SymposiumCognitive-Behavioral and Self-Management Strategies for the ClinicianObremskey, William T. MD, MPH, MMHCAuthor Information Vanderbilt Department of Orthopaedics, Nashville, TN The author declares that there is nothing to disclose. For reprint requests, or additional information and guidance on the techniques described in the article, please contact William T. Obremskey, MD, MPH, MMHC, at [email protected] or by mail at Vanderbilt Orthopedic Trauma, 1215 21st Avenue South, Suite 4200 Medical Center East—South Tower, Nashville, TN 37232-8774. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Techniques in Orthopaedics: December 2016 - Volume 31 - Issue 4 - p 235-243 doi: 10.1097/BTO.0000000000000191 Buy Metrics Abstract Most clinicians realize that many factors have a large effect on long-term outcome of patients. Patient factors such as age, sex, socioeconomic level, level of education, social support systems, as well as patient’s psychological makeup may drive the long-term outcome more than an injury or musculoskeletal condition, or the intervention by the clinician. We have attempted to identify many of these factors and address some of the information and literature to be able to help clinicians understand the impact these “other factors” have on patient outcomes. In other words, we have stated that it is “not just the x-rays.” In total patient care to address issues that also drive patient outcomes, it is important to take a multiprolonged approach in addition to taking care of yourself to help take care of your patient’s. You need to: (1) prevent and deal with pain; (2) prevent and deal with narcotic abuse; (3) Empower and employ the patient and families; (4) talk about psychiatric and cognitive deficits and problems; (5) refer for appropriate help; and (6) address work and life issues in every patient, every time. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.