Private insurance is designed to provide more timely and cost-effective medical care. With the increase in healthcare deductibles, however, patients are delaying operative management of a variety of pathologies toward the end of the fiscal year with the hopes of having met their deductible. In this retrospective review, the authors assess the operative timing of common orthopedic upper extremity surgeries between publicly and privately insured patients at both university and physician-owned medical institutions.

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Collaboration between college instructors who teach the same similar courses at a public university resulted in higher student engagement. This qualitative study provided a beneficial platform for both instructors and their students with regard to student engagement, multimodal curricular materials, and topics for reflective essays. The study focused on the collaborators memo notes, student samples (reflective essays and digital presentations) and technology integration.