Who We Are
Orthopedic & Sports Medicine Institute is a 20+ year old, physician-owned practice in New Braunfels with satellite offices in Yoakum, Hallettsville, Seguin, Cuero, and Kenedy. Three board-certified orthopedic surgeons and two physician assistants — Sydney Georg, PA-C and Ben Swanner, PA-C — working full continuum alongside the surgeons. Small, tight-knit clinical staff. We see the same patients year after year, and the PAs are often the ones patients ask for by name.
What we want
These are the non-negotiables. They apply to every role in the practice, from front desk to fellowship-trained surgeon.
- Reliability. You show up, on time, every day. Patients are counting on the schedule. The practice is counting on you being where you said you'd be.
- Honesty with patients and with each other. Plain language. No spin. If something went sideways, you say so.
- Ownership. If a ball drops, someone picks it up without being told. "Not my job" doesn't work here.
- Kindness under pressure. Clinic days get full. Surgeries run long. The test is how you treat the person in front of you when it's 4:45 and the waiting room is still half-full.
- Clinical competence for your role. Licensed, credentialed, and current. We verify. We don't cut corners on that.
- Discretion. HIPAA, obviously. But also the quieter kind — you don't talk about patients in the hallway, at lunch, or at the gas station.
What we like
Not required. But if any of this sounds like you, we'd probably get along.
- People who stay. Our best employees have been here a long time. Short-term stops on the way to somewhere bigger aren't really our thing.
- Quiet competence. You do the work well, you don't make a production out of it, and you don't need constant feedback to know you're doing a good job.
- Curiosity about orthopedics. You don't have to be a surgeon to find a rotator cuff interesting. Staff who care about what they're looking at on the x-ray tend to become the ones patients remember.
- Connection to the community. New Braunfels, Seguin, Cuero, Kenedy, Hallettsville, Yoakum — the small-town network matters here. People who grew up nearby, or moved here on purpose, tend to fit.
- A sense of humor. It's a long day in clinic. We'd rather work with people who can laugh about it.
- Teachability. The surgeons here teach. If you're someone who wants to learn the anatomy, the procedures, the reasoning — you'll get it.
- Mechanical interest. Orthopedics is carpentry on people. Folks who like working with their hands outside of work — woodshop, ranching, mechanics, athletics — usually like the feel of this place.
What the work looks like
The PA role at OSI is built around one surgeon. You pair up, and you work their clinic with them — rooming the patient after the MA, going through the history, examining, reviewing imaging, writing the note, and talking the patient through the plan alongside the surgeon. Injections, casting, splinting, suture removal, and post-op follow-up are part of the day. Over time, you become the person who knows the patient's story as well as the surgeon does.
OR involvement is procedure-specific. PAs at OSI assist on specific procedures alongside the surgeon — the assist scope is set per-surgeon and per-procedure, and it's worked out over time rather than dictated. It is not the majority of your week. This is a clinic-heavy role, by design.
Teaching happens in real time. The surgeons talk through the anatomy, the decision tree, and the reasoning in the exam room. Over a few years, a PA here develops a real clinical feel for orthopedics — not just a script for common visits.
Continuity is the point. Patients come back at six weeks, six months, and six years. You see the whole arc. That is unusual in orthopedics, and it's what most of the PAs here say they like about the job.
Lifestyle
No hospital call for PAs. Clinic hours are the clinic hours. OR days run with the surgeon's schedule. New Braunfels sits north of San Antonio, surrounded by ranch country and the Guadalupe River. Cost of living is low, short commutes, and the community is the kind where patients recognize you at H-E-B.
Get in touch
If any of this sounds like it might fit, send a CV and a short note about what you're looking for to info@osinb.com, or call (830) 625-0009. Orthopedic experience is preferred, but the right newer PA with the right temperament is a conversation we'll have.