Dr. Esch graduated from Northwestern University Medical School and completed his orthopedic residency at Northwestern University. This was followed by two years as a Naval orthopedic Surgeon in San Diego along with the first Marine Division in Vietnam. Dr. Esch is Board Certified in orthopedic Surgery and a member of the American Shoulder and Elbow Surgeons. He belongs to numerous professional organizations. In 2000-2001, he served as President of the Arthroscopy Association of North America. He has also served as Assistant Clinical Professor of the Department of orthopedics at the UCSD School of Medicine. In addition, he was named one of the best doctors in America by Woodward/White, Inc. For over 24 years, he has chaired the renowned Shoulder Institute in San Diego. He has also lectured extensively on shoulder surgery in the United States, Australia, Asia, Mexico, South America and Europe. Dr. Esch and his wife of over 46 years, Diantha have four children and eight grandchildren.