Several sub-specialities of non-Surgical MDs play an important role in the care of fragility fracture patients. Geriatricians provide the medical management component of orthopaedic-geriatric co-care services. In some countries where geriatric medicine is not widely present, hospitalists or internal medicine doctors may deliver this aspect of care. National geriatrics associations are playing a leading role in the development of fragility fracture guidelines and establishment of national fragility fracture registries throughout the world. Endocrinologists and rheumatologists often take a leadership role in development of Fracture Liaison Services, and serve as their institution’s ‘Lead Clinician in Osteoporosis’.
Non-Surgical MDs are well represented in the FFN membership, at 26% of the current FFN membership. FFN members are spread across the world’s regions, with Non-Surgical MD members in Europe, Asia-Pacific, Middle East, North America and Latin America. Non-surgical MDs also made up to approximately 13% of FFN Global Congress delegates in 2012 and 2013.