A structured collaboration framework for complex cases.
Tándem was built precisely for the moment when you need a solution you cannot deliver alone, without losing the relationship, the prosthetics, the follow-up or the trust you have already built.
Five ways to work together. One for every professional moment.
Tándem formalises five distinct models of collaboration, agreed in writing on a per-case basis.
AI operate · you assist
I travel to your practice and perform the surgery on your patient. Ideal when the patient prefers not to travel and you want to keep everything within your practice.
BYou operate · I mentor
I travel to your practice and guide you through theatre, step by step. Ideal if you have experience and want to step up to a complex case with a safety net.
CYou operate · I mentor
You travel with your patient and operate in my theatre under my direct mentorship. Combine training with treatment of your own case.
DI operate · you learn
You travel with your patient, I perform the surgery and you observe live in theatre. Resolve a case once considered impossible and learn the technique.
EObserver programme
No patient of your own. Immersion days observing complex surgeries at my clinic. A first encounter with advanced technique before your first complex case.
Complex implantology without investing in infrastructure or losing patients.
For your patients
Access to techniques they previously could only find by travelling to specialist centres. Cases you were about to decline or refer externally, now resolved within your practice.
For your practice
Expand your treatment catalogue without investing in an operating theatre, surgical instrumentation or intensive training. You retain the prosthetics revenue and all follow-up income.
For your career
Each tandem case includes complete clinical documentation and the possibility of co-authorship in publications or clinical cases presented at congresses. You build a portfolio as you work.
“Complex surgical care and advanced hard and soft tissue management are rarely the work of a single pair of hands. The most predictable and meaningful outcomes are achieved through collaboration, where experience, careful judgement and shared clinical vision come together in service of the patient.”
We work alongside clinicians in a true co-treatment model, offering advanced surgical support, meticulous planning and open communication throughout every stage of care. Our philosophy is grounded not only in technical excellence but in the belief that the highest standards of care are reached when knowledge is shared and responsibility is carried together.
Dr David Madruga, Co-director
A referral that respects the relationship
If you have a case in mind, send it.
We will review it and respond within forty-eight hours with a recommended collaboration model and an honest assessment of whether Tándem is the right route.