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, two physician assistants, and a small clinical staff. We own the practice. No hospital system above us, no private equity behind us. Decisions about how the OR runs, how clinic runs, and who we hire get made in this building.
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
A typical week at OSI is a split between clinic and the OR, with the mix shaped around your case book. Clinic is based in New Braunfels with satellite days rotating through Yoakum, Hallettsville, Seguin, Cuero, and Kenedy as volumes warrant. Operating is done primarily at CHRISTUS Santa Rosa New Braunfels and Resolute Health; Dr. Twitero also operates at Guadalupe Regional Medical Center out of Seguin. We have our own block time and we protect it.
Patient population is full-spectrum community ortho: farmwork and industrial injuries, falls, weekend-warrior tears, arthritis, post-op follow-up. A good mix of urgent and elective work, and people who stick with the practice across years and decades. You'll build a real panel and see it through.
Partnership is the expectation, not an edge case. The current surgeons are partners. The practice was built so that a new surgeon who fits the group and the community has a real path to ownership — not a perpetual employed track.
Autonomy is real. You run your clinic the way you run your clinic. Nobody is dictating RVU targets from a regional headquarters. The trade-off is that with autonomy comes ownership mentality: you're part of the group, and the group runs the place together.
Lifestyle and call
This is rural-and-small-town orthopedics, not 24/7 academic trauma. New Braunfels sits north of San Antonio, surrounded by ranch country and day-trippers on the Guadalupe River. Cost of living is low, people know each other, and you can actually get to know your patients. Short commutes, no traffic.
Call is shared among the group — general-ortho coverage rotated across the surgeons, with specialty emergencies handled by whoever fits. Not a level-1 trauma center. Not a case-per-hour shop. People move slower here, and patients appreciate a surgeon who takes the time.
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. No formal application, no funnel — we'd rather have a real conversation.