I hope you take them all down and can implement them all, everything that Michael taught you, 30 years for us to learn. So I'm here to announce something to you. So we think that we're gonna put our proverbial money where our mouth is. And you all know that we had a million dollar campaign, right, several years ago to raise money. Is that, are you aware of that? How many people are aware of the million dollars campaign? I won't ask you if you donate it or not because it doesn't matter. In that campaign, we raised money to do some unique things. And one of the ideas that came out of the presidential line was to give an award to the emerging leaders to establish a multi-center grant. So this campaign, there'll be a large multi-center award that'll be open to people to compete with on a big level. And there's going to be a six-figure award for you, the emerging leaders, to be able to award, to put together a multi-center group, a team, that we expect to start that team and that team to do great things. Because individuals don't do great things. And one of your second bullet points was outcomes and research. And I don't think you can do outcomes and research by yourself. And I think if you did it by yourself, then it doesn't matter. It doesn't matter if you did it, can Kyle duplicate it, can Sal duplicate it, can anyone duplicate it? So we want you to put together a multi-center team. There'll be more details on that. And so we want to establish, we want to try to establish other groups like Moon and Mars to be able to do that. And we realize that that's a six-year process, five to six-year process. And the first process is establishing a group, a context, a leader, and individuals, what they want to work on. Establish things to be able to put the group together to do something. And we'll give you the playbook on that. That's not a problem. But establish that. It doesn't have to be only emerging leaders, but the emerging leaders have to lead this group and decide what you want to do and work as a team. Get a commitment. And hopefully that team will get some preliminary data. And then that team will then compete later on. Our hope is in two to three years, that team will then compete for an even bigger award so that we can really do some great research on outcomes particularly, but a great research in general to lead our field forward. And so that's the goal. And that took three presidents to put it together. The first president to raise money. It's another president to say we should do this. And a third president to deliver it. So that's three fifths of the presidential line. I think one of the things that you have to realize, and I think one of the confusing things about leadership and teams, leadership doesn't mean that everyone has to agree on everything. Leadership means that everyone hears a voice. Everyone sees a vision. Everyone agrees to the goal. And then you have an intense discussion. You have an intense debate. And when that debate's done, you lead in direction together. And I think that's in essence the art of leadership. And it's very difficult for physicians to do it because you are trained to work as individuals. You are trained to be the best student in high school, the best student in college, the best student in medical school, to get the best residency, to get the best fellowship, get the best job. And now we're telling you all that is wrong. Now you have to play team. And that takes a very, but it is team. Once you get out in practice, being as you're in practice, it is teamwork. You have to work with a team of individuals together. And so leadership is about being a leader of teams and taking a lot of flack at times, but being able to keep that team focused in the right direction. So you'll have some at the end of the day. There'll be more, many more things and things we have to teach you and learn in playbook. But we want to understand that we put, we value this extremely. And it was very gratifying to see number two on your list was outcomes in research, outcomes in evidence-based medicine. And you really can't have high evidence, right? If you don't have prospective studies. So we're not asking you to do a, we're not looking for a randomized trial. We're not looking for a one-off. We're looking something that has established groups that work together. So whether it's moon or Mars or it's rock or it's shoulder or whatever, we're trying to establish a, something that is important to you. What you think is going to be really important in the future. What outcomes do you not, do we not know about? What outcomes take a whole team to do it together? Okay? So that's something to think about. So it's kind of, it's kind of forcing you to be leaders and play team together, which is very interesting. But it did take three presidents' ideas to come up with this. It wasn't my idea. It was a group idea of people. And I think that's one of the things that is very special about this organization is if you look at the five presidents that are currently, the five presidents that are here on the presidential line, they're very different people. There's no question we're different people in different strengths, different weaknesses. But there's an intense discussion and that discussion, usually when we have that discussion, it usually leads to something better. It usually leads to something we didn't individually think about, but by having a group think, by having a chat and discussion about it, we realized that we can come up with something even better. And I think that is the real value that's the real value of having teams. The reason why they have to be diverse, if you don't have the right ideas and the right questions on the table, you may not, it doesn't matter what you do, you may not get the right goal. And so you really have to have the input. So I'm welcome to take any questions, just a few questions, a minute or two, and then I'll let you begin your exciting day. Someone has to ask me a question. You know what the rule is, right? If you don't ask me a question, I get to call on people. So it's much more dangerous that way. Kyle, what do you want to know about the research project? So is this something that you're looking at like a fresh start from the ground up? Yeah. It's a fresh start from the ground up, or it could be an offshoot. It's really what you do, but it's more like a fresh start. Something that we, I don't know what the question is that you think are gonna be really important. What's gonna be important five and 10 years from now, right? And what you think is gonna be, what's important to you? And we'll help you guide it because ultimately we want the question to be at least broad enough to be able to get some external funding. That's the goal, to establish to do that. Yes, another Michael. Have you thought about, I'm sure you have, how proposals will be received and processed to determine what we want? We thought a lot about the, it'll go through the research committee. It'll be a special pathway. We have the pathway for the huge project that we wanna do, but this pathway, we're gonna let you help mold it. We're gonna let you help pick it. We have to always worry about conflict, but we're gonna let you pick ideal and mold that project and put a team together. Anyone else? Come on, those are great questions. You gotta have a question. Think about it. You cannot be afraid to have open discussion. I think that's the one thing. You have so many advantages in your generation, but you need to have open, honest dialogue. Sal? Is there any specific theme that you're looking for mostly, or is it really open to any kind of research question? It's open to any research or outcomes question. We'll have more meetings. We'll discuss this as you put, maybe it's not the whole committee, as you put things together. You have a lot of tools to do it. You have tools that we never had when we were growing up. You have Red Cap, you have iPhone, you have electronics. It's really a matter of what is most interesting and what can then be pitched on a larger scale. It's not a one-off. It's just sort of, so the individuals, there are many different groups out there that have done this. Rock is a group, and Pluto's a group, and you probably know what Moon is. You probably know what Mars is. Mars came out of Moon because revisions were the worst outcome of ACLs, and so no one had enough revision. So it turned out to be 53 sites and 81 doctors, half the people in private practice and not in academics doing Mars. And so that's kind of what we're looking at. We're trying to look at what's something you can do and do in a big way that's really important and you're passionate about that makes a difference to society and to the sports medicine community. We do not want to impose our ideas. We want your ideas. We want you to work together, and we will be happy to mentor that forward. But we want your ideas to go forward and see what you can do. It doesn't mean, and most of it's failure rather than success. You only see the success. You don't realize all the failure behind the scenes. So I can't tell you about all the failures that I've had in Moon or in Mars because that would take, we would have to be in a different environment, and we would have to have a bar and some tequila and whatever, because I'd have to forget what I said. But it's all about surviving failure. It really is. It's all about surviving failure. It's all about having interaction. It's all about staying true to the cause, and I think that's really what life's about, and I think sometimes you learn more by the failures you've had. Well, you do learn more by the failures you have than the successes you have because the failures teach you lessons. You just have to survive them. Michael. So for example, just like a little bit general on the timeframe, maybe, and then we haven't necessarily. Yes. So we're looking to do this, have a group within a year to have a project and have something vetted out within a year so that we can announce that at next year's 50th anniversary. So we're gonna announce the big multicenter award is gonna be a few hundred thousand dollars. So we're looking to do that together to be able to vet this out over the next year. We'll set up a timeline to do this and put it together. So you really have to start working on it, thinking about it now. And we really want, I mean, there are many topics and I think that really the key in my mind from a leader but also from a researcher is you really need a group of individuals that are diverse because they ask different questions. And research is not about getting the result. You have to ask the right question and the right outcome. And we saw a great talk the other day about the difference between pitch controls for baseball and the lack of pitch controls for softball. And not that baseball, most of the people violated them but still there's some attempt at looking at injury. So there may be other aspects of sports or outcomes that we don't talk about. There may be things that I'm not aware of. I'm sure there's many things I'm not aware of. So it's really up to you to come together with that and we'll have more details after this meeting. So I think that shows you how important you are in all aspects of what you do and all aspects of this group and this committee that we think you are to the AOSSM. So, yes? In your experience setting all these up, do you think, would you recommend the best way to do it is kind of chat with a few people in this room, guys and girls that have a similar idea and kind of do it together? Is that the most successful way, do you think, to do this? We will mentor you in the process. That's not a problem. This will be mentored along the way. But as far as you figuring out how you want to do this, whether you wanna have different groups do different ideas, pitch those ideas and put them together, how you wanna do that, we're leaving that up to you. But whenever we'll mentor, we'll certainly mentor. The group is gonna be mentored. It's not gonna be left on its own. There'll be timelines that we'll establish. There'll be leaders we establish and so forth. Just coming up with ideas and maybe, it doesn't mean everyone, the group only can be emerging leaders. It could be led by emerging leaders and have people outside. It could be, you could decide on one proposal. You could decide to have four proposals from different groups. It doesn't, and even if you had four proposals and only one was chosen, it doesn't mean the other three weren't better. The other three should say, wait a second, we've come a long way, put something together, and then maybe next year another proposal comes together. So there's no, you can't look, I don't want, don't look at it as a win-loss. Look at it as an exercise, and that exercise is important because the first time you do something, you're probably not gonna have success. You just have to come back and do it again. Yeah, go ahead, yes. Can I just add to that? But could this grant support more than one project? Or are we just gonna focus on one project to start with? Do we have like two proposals that we wanna kind of pursue? It depends. We're all, I mean, I see it as one project because in one project, if you're gonna group, it's multi-center, and so in a multi-center project, you're gonna have, the first steps you're gonna have to do is get an idea, hone down an idea or ideas. You're gonna have to do some iterator agreement to show that if you're calling XX amongst seven different people, that there's an iterator agreement on this. And so you're gonna follow, you're pretty much gonna follow the Moon-Mars playbook and the playbook of other multi-center studies. So the first thing is get an, is the concept and idea and leadership. The biggest, the biggest roadblock is not the fact of getting engagement. That has been well shown by the many multi-center groups. The biggest thing is getting someone to be able to take charge of it and they have to write the grants and get money. That's the number one roadblock that we've seen over the last 20 years. Michael. And I would just say that really like think, like big picture, I think that's very important. And everyone comes to this with different experiences. Some people are really familiar with this process. Some people are less familiar. So we can even provide like general guidelines on how you would think through this. I think that might be helpful for everyone. Yeah. But the point that Kurt has made again so perfectly is that this is earmarked for an emerging leaders project. This is money that's earmarked for emerging leaders. And that's so important. And I know Kurt has felt so strongly about this. So I applaud you for that. The whole presidential line feels strongly about this. I don't wanna, again, one person doesn't do anything. Teams do everything. I mean, I think there are a lot of things that are, there may be emerging sports now that have not gotten their fair share of research and fair share of outcomes and fair share of tracking. I don't see this being a randomized trial. I see this being a prospective cohort of which can be the branching point for many randomized trials. And so I think that we're happy to, later on after this meeting, if there's more detail you want, then you can get a group of us on the phone. You can get Rick or myself or a couple of people on the phone and we can take you through the trials and tribulations, all the successes and failures and just iron it out. So it's a fun process. I mean, I think that some of the people that I've worked with for years are certainly my best friends and colleagues for 25 years. And I think it's really, it doesn't mean that we all get along at times. It doesn't mean we all disagree. It doesn't mean we don't argue intensely. We do, but it's kept within the confines of about the research question and so forth. Yes? Do you have a particular group size in mind? Like something might be too big or something's too small. Do you have a range that you're for? Nothing's too big. Because in the beginning, you just got to put the group together and you have to put the group together and do some multirater studies, the ideas and so forth. So nothing is too big. That's the beauty of the world we live in with electronics, makes the world small, right? So nothing is too big. Big is, the complexity is more an issue than the size. So complexity, meaning you want to capture x-rays or you want to capture biologic markers, that's something that's a different story. But size for capturing PROs, size for capturing baseline data, size of that, that's not a problem. I would think of things that you think is not, I would think of areas that are important in athletes and people that have not been well looked at and have not been well researched. Now, whether that's an angle for, there's certain sports, gender-related sports that haven't got exposure or whether there's certain aspects of techniques or populations that haven't been looked at, that could be an idea. I don't want to give any more ideas. Because it really, part of the fun is doing it yourself. Part of the fun is hashing it out and seeing what it is. And I think that that's part of the fun and that's the reason why we want people of all kinds, we want everyone at the table, right? The other thing is you're sitting at a round table, why are you sitting at a, what's important about a round table versus a square table or other table? There's no hierarchy in a round table. Every research meeting I have is a round table. I don't ever want to sit at a square table or any table at the head of the table. Because when you're having a meeting and you're discussing things, it's all about having everyone having voice, everyone being heard. Someone, in the end, you have to come up with a decision, but you don't want hierarchy. Hierarchy is not a way to do that. So you know there's, you know well there's underserved, there are underserved areas, there are things that haven't been explored that can be explored that are things that, but it has to be your passion. You do it because you're passionate about it. You don't do it because you make money. You don't do it because you become famous or whatever. You do it because you want to answer the question. And I think that one of the past presidents, Alan Anderson, who unfortunately died, my close friend in town, my competitor in Nashville, from when I was at Vanderbilt, 22 years, my close friend one time said to me, do you know why you do research? I thought it was kind of odd because he's done research, but not a lot, and I've done a lot more, and I'm thinking, well, let me ask him. He says, because you have to, Kurt. I'm like, what do you mean? He says, you have to answer the question. That's why you do the research project. You want to know the answer. You want to make difference for people. So I know there's got to be a lot of bright ideas in here, so we're going to let you bring them out, and discuss them among yourselves. So thank you. Thank you.

initiative

emerging leaders

sports medicine

multi-center grant

teamwork