Dr. Shaleen Vira

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79 appearances 1 recordings 1 series first heard Feb 2026 last heard 19 Feb

Dr. Shaleen Vira’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Feb 2026 with 1.

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Becker’s Healthcare -- Spine and Orthopedic Podcast · Spine Surgery Growth, Robotics, and Building Anti Fragile Systems with Dr. Shaleen Vira · 19 Feb 2026 podcast

getting too used to, whether it's navigation or getting too used to a robot, will that result in case cancellation if that robot or if that alarm or navigation breaks down or is not working on that day, you know?

And so I look critically at systems and developing Banner as an institution to be anti-fragile, meaning can we function, can we do these cases, can everybody in our department do these cases with or without robots and

Capital decisions should be based on being additive and making the system more anti-fragile or more resilient, as opposed to making decisions that lead to fragility or dependence.

Yeah, so one of the – and I'm not an expert on this particular subject.

I kind of borrow from one of our business school professors, Karthik Hosnager at the Wharton School, where he talks about AI and how that's de-skilling different workers in the tech world.

And so I kind of adapted some of his teachings to propose some of these guardrails that we're working on.

You know, one is human-first planning rounds, you know, define trajectories and bailout options before using a robot or before using a navigation, you know, protecting core skills.

So freehand screw placement, you know, reasoning based on fluoro shots, intraoperative adaptability, that should remain as the cornerstone of how we train residents and fellows and how we advise our junior faculty.

you know, analog quotas and drills, you know, routine off robot, off practice.

That's one of the ideas that I adapted from Professor Hostnager about, you know, providing opportunities for cases that obviously do not use a robot and stuff.

And so that keeps your precision and keeps all of our skills up to date.

And that ensures resilience and credentialing emphasis on baseline mastery before robotic usage.

And so if a robot becomes the only path a surgeon feels comfortable taking, that's not progress, that's fragility.

Yeah, it's interesting.

2024 and 2025, you see the tech world outside of our space changing.

the AI arms race by a lot of the big tech companies, you know, and valuations have skyrocketed based on the growing adoption of AI.

Now, I think in 2026, what we see from the tech industry is that we're looking at ROI now, not just adoption.

And so I think that is also the parallel universe happening in Spain.

One is capital discipline and medtech adoption.

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