 We're here at the Vail International Shoulder Summit. It's our second meeting and we have shoulder specialists and former trainees and fellows and researchers from around the country and really from around the world. They're here today to share their ideas on an open forum to talk about tough cases, new techniques and topics in shoulder surgery. Vail itself is an international destination so the Vail International Shoulder Summit reflects the best of what we do internationally to better the care of shoulder surgery. One of the great things about this meeting is we've invited all the alumni of the Stevin Clinic and Stevin Phillip on Research Institute to come back when they come here as fellows and we share with them but then they go out and gain some experience and come back and share their ideas with us so we learn from them now. I learned more from meetings in a format like this which is an open discussion format amongst colleagues and friends where we can talk about the things that we do well, the things that we struggle with and how we can improve and I think that's one of the biggest benefits of this meeting is we really learn from each other. The more I can understand about what's happening in the operating room and things that the surgeon is focused on or emphasizing maybe in the surgical approach I can then carry that over to rehab and working together with the surgeon and we can achieve an optimal outcome for the patients. It's just a great venue. Everyone here I think takes something away from it.