 Team science is what is required to make transformative discoveries, so I'm meeting people here that I'm going to collaborate with. Because of the cross-disciplinary diversity we get specifically at this meeting you're really able to bring in new ideas and take things in a new direction. For these translational steps you have to have big populations of people and so we're all going to have to work together in order to answer all of these questions. So I think that we have to pick the right thing for the patient to do and train the next generation of surgeons and scientists to think broadly and also capture the essence of patient care. So the standard return to sports assessment people are using now the same for everybody so again it's that idea of personalized approach to medicine. Cross-collaboration potential is enormous so much I'm taking notes constantly ideas are just coming rapid fire. This meeting is very unique we're able to bring the best basic science researchers, translational researchers and the best clinical minds together. As I view the faculty, the attendees as the mount Olympus of orthopedics it is truly a five-star assembly of thought leaders in the field. I'm hoping that having this forum will have a faster path to finding solutions to this complex problem. It's about sharing information and most importantly sharing the correct information. A meeting like this you have everybody in the same room and we all think differently but at the end of the day this is what makes this meeting very different.