The Site Targets General Orthopedics Instead of the Practice's Hand-Surgery Scope
Observable evidence: Core landing pages emphasize broad orthopedic language, while conditions and procedures the surgeon actually manages have incomplete, duplicate, or missing coverage. Search Console may also show a mismatch between the queries producing impressions and the specialist services the practice wants patients to understand.
Consequence: Patients may have difficulty confirming that the surgeon evaluates their specific hand or upper-extremity problem, and search systems receive less precise page-level context about the practice's specialty.
Correction: Create or revise pages only for real services. Use patient-friendly wording alongside clinical terminology, explain when evaluation is appropriate, connect related condition and treatment pages, and avoid implying that a search query proves a patient is a surgical candidate.
Owner: SEO lead for intent mapping, hand surgeon or qualified reviewer for clinical scope, and web editor for implementation.
Verification: Confirm that every target page corresponds to an actual service, is internally linked, can be indexed as intended, and accurately reflects the surgeon's scope.
Severity: critical
Medical Pages Do Not Show Who Wrote or Reviewed Them
Observable evidence: Procedure guides or educational pages present medical information without a visible author, reviewer, biography link, credential context, review date, or revision record.
Consequence: A patient cannot easily identify who is accountable for the information, and the practice has weaker editorial provenance for consequential health content. E-E-A-T should be treated as a quality concept, not as a hidden score that can be measured from the outside.
Correction: Assign appropriate authorship or medical review, verify professional credentials before publication, link to a complete surgeon profile, and document when important content is re-reviewed.
Owner: Designated clinician for medical accountability and content operations for bylines, biographies, references, and update records.
Verification: Sample high-traffic clinical pages and reconcile visible credentials, affiliations, authorship, and reviewer information against the practice's records.
Severity: high
Second-Opinion or Revision Information Does Not Match Real Intake
Observable evidence: The practice evaluates complex prior-treatment cases but the site does not explain what a second-opinion visit involves, which records may be needed, what the surgeon can assess, or that evaluation may lead to nonoperative care, testing, referral, or no change in treatment.
Consequence: People researching persistent symptoms after prior care may be unable to determine whether the practice is suitable, while overly promotional copy can create expectations that the clinician has not evaluated.
Correction: If the service is genuinely offered, publish a clear explanation of intake, records, evaluation boundaries, and possible next-step categories without promising revision surgery or a different diagnosis.
Owner: Hand surgeon for clinical scope, patient-access team for intake requirements, and content lead for wording.
Verification: Compare the published page with current scheduling scripts and clinical workflows, then confirm that snippets and calls to action do not overstate candidacy or outcomes.
Severity: medium
Local Pages Describe a Market Instead of Real Patient Access
Observable evidence: The website either lacks useful information for real regional patients or publishes near-duplicate city pages for places where the practice has no genuine office or distinct access information. The source previously referenced a 20 to 50 mile radius, but that range is an internal example rather than a universal service-area rule.
Consequence: Patients may see incomplete or confusing access information, and thin city pages can make the site harder to maintain accurately.
Correction: Maintain accurate Google Business Profile information for genuine offices. Create a dedicated location page only for a real location with useful location-specific details such as address, hours, parking, surgeon availability, referral requirements, and services available there. Regional content should add distinct patient value rather than swap place names.
Owner: Practice operations for location facts, SEO lead for local architecture, and appropriate reviewer for advertising or service-area statements.
Verification: Reconcile location pages, profile details, directories, appointment workflows, and onsite contact information, then remove or merge pages that do not represent meaningful access.
Severity: high
Procedure Content Is Too Shallow for a Health Decision
Observable evidence: A complex treatment page is reduced to roughly 200-word copy that omits indications, alternatives, risk context, preparation, recovery considerations, follow-up, or questions a patient would reasonably ask before consultation. The source also proposed a 1,000-word threshold, but word count alone does not establish usefulness or search quality.
Consequence: Patients may need to leave the site for essential context, and the practice loses an opportunity to explain how it approaches evaluation and treatment. Bounce rate or dwell time should be interpreted as analytics observations, not as automatic ranking signals.
Correction: Expand pages according to the clinical topic, not a length quota. Include appropriate anatomy, evaluation context, conservative and surgical options where relevant, material limitations, recovery considerations, and links to related resources.
Owner: Clinician for medical accuracy, content editor for clarity, and design team for diagrams or media.
Verification: Compare the page against common consultation questions, review comments, current instructions, and internal search data, then confirm that important claims are current and supportable.
Severity: high
Structured Data Does Not Match Visible Practice Information
Observable evidence: Schema is invalid, generic, inconsistent across templates, or contains specialty, credential, organization, or practitioner claims that users cannot verify on the visible page.
Consequence: Machine-readable information may be less consistent with the site's real entities. Structured data should not be treated as a guaranteed route to a Knowledge Panel, Map Pack placement, rich result, or ranking improvement.
Correction: Use relevant Schema.org types only when the values accurately mirror visible content and official practice records. Keep surgeon, organization, specialty, credential, and location facts synchronized with the pages patients read.
Owner: Technical SEO or developer for implementation, with operations and clinician review for entity facts.
Verification: Validate syntax, compare key properties with visible content, test affected templates after deployment, and monitor Search Console for markup errors.
Severity: medium
Recovery Questions Are Missing From the Patient Information Set
Observable evidence: A procedure page explains the operation but offers little reviewed information about recovery, follow-up, activity changes, therapy, warning signs, or the questions patients commonly raise before deciding whether to schedule. The source included a 6-Week recovery example for cubital tunnel release; any published timeframe should be reconciled with the surgeon's current guidance and individual variability.
Consequence: Patients may rely on information from sources that do not reflect the practice's postoperative instructions or may misunderstand what recovery can involve.
Correction: Publish reviewed recovery education for procedures the practice actually performs, distinguish general education from individualized advice, explain what can vary, and tell patients when to contact the care team.
Owner: Treating surgeon and clinical staff for recovery guidance, with content operations for presentation and updates.
Verification: Reconcile the public page with current postoperative materials and clinical workflows, record the review, and update it when instructions change.
Severity: medium