AOSSM, a championship team. It is truly a great honor and a privilege to represent you in our 50th celebratory year. What a world-class team AOSSM has become in a half a century. I'd like to honor personally all the past presidents that have helped me, guided me, and led me over the last few years. Thank you so much. We have a special guest here. I want to honor all the 69 founding members, but Major Gladden is here, one of our founding members in the audience, and I hope we can put a light on Major Gladden. Thank you for being here. We wouldn't be here without you. Round of applause, please. An organization that is 50 years old, unfortunately, has members that have departed our ranks, so I'd like to have a moment of reflection and silence for those that have left us. We have a special honor, a surprise honor for Bruce Ryder, 20 years of service, and so we're honoring him by an annual scholarship that's selected to an individual international national as the Bruce Ryder scholarship to attend the AOSSM meeting. Thank you, Dr. Ryder, for your 20 years of service as a master editor of our journal. Before I begin my address, there are some people to thank. First, my wife and family. Second, we have an awesome presidential line that works as a team, the board of directors, the committee chairs, and the professional team. This meeting doesn't take place, certainly, without that group. I want to thank my partners at Cleveland Clinic for the greatest job, thank my colleagues at Vanderbilt Sports Medicine Orthopedics for the first 20 years of my career. I have to thank all the multi-center teams I participated and worked with. It's truly been one of the most fun things I've ever done in life. There are countless colleagues and friends in my career. Certainly you have molded me and helped me, and I'm appreciative. And to all the fellows, residents, and medical students I've learned from and had the pleasure to educate, thank you so much. Now, let's celebrate 50 years. That's a long time, 1972 to 2022. I don't think any of the founders early on would think it would grow to this. Half century ago, they started this, but it's the member engagement of each of you that make AOSSM what it is, and truly the engagement makes us where we are. It's the collective talents for over 50 years that have developed into a championship team, a world leader in sports medicine and research. But in the future, things will change. We'll still be a team. The teams will be more inclusive, more diverse, and that will be our key to success. I want to look back over the last 50 years and think about what some of the greatest athletes said about teams. Now these are not, you may disagree with them, but these are some of the athletes I thought were great athletes. First, I'm going to start in the 70s. One of my favorite players when I was young, Dallas Cowboy quarterback, Roger Stolbach. And he was quoted saying, having the right people in the right places, working together. Michael Jordan dominated basketball and perhaps one of the greatest athletes of all time, not just in the 80s. And he was quoted as saying, talent wins games, but teamwork and intelligence wins championships. Tanya Hamm was a star, a media darling and a soccer star. And she definitely revolutionized some of the aspects of women playing soccer. And she was quoted as saying, I'm a member of a team. I rely on the team. I defer to it, sacrifice for it because the team, not the individual, is the ultimate champion. Certainly, she helped popularize women's soccer. But there's something else that helped all women's sports that is also 50 years old. That is Title IX, certainly a huge impact on our field and on women's athletics. And Title IX's other aspect is a huge impact on education. Serena Williams dominates women's tennis and singles tennis. But she also was an outstanding and a dominant doubles with career slam wins. And she was quoted as saying, every woman's success should be an inspiration to another. We are strongest when we work together and cheer each other on. And finally, anyone who watched the Olympics in 2016 cannot forget this face. Simone Biles commenting on being the team. The team comes first. This was talking about. This is the most highly decorated gymnastic. And what a wonderful face. So what are the greatest athletes of all times think? They don't think about themselves. They all recognize that their success is team success. And it depends on players, coaches, medical staff, strength and conditioning staff, and equipment. So now I'd like to switch gears. I want to look at some of the highlights for the last 50 years. Certainly not all of them. We would be here a long, long time. But we'll look at some of them that I thought were most relevant. We'll start with our founding fathers, our past presidents, growth of fellowships, journals, research funding, and the intangibles that make up the AOSSM culture. Our founding members, really quite bold. They separated from the academy and said, we need to do something. We need to have our own society in sports medicine. We need to have our own meeting in sports medicine, the annual meeting. They created the annual meeting, which is basically the art and science of medicine. Same way it is today. They created a forum for education and what initiatives they had. Very, very bold. And also at this time in 1972, independently, several members began a scientific journal we know today about AGSM, which also celebrates its 50th anniversary. And we'll talk about that more a little later. I want to thank our past presidents. Each past president has left an indelible mark on AOSSM, has shepherded our society through 50 years of tremendous change. If you think about what's changed in society and healthcare, it's incredible. To the advent of arthroscopy, MRI, electronic medical records, internet, iPhone, CAQ. I'm sure there are many, many more things that we could name. Thank you. Orthopedic specialization is something that has rapidly evolved over time. In 1990, almost 50% of orthopedic surgeons considered themselves a generalist. Now it's down about 20%. If you look at orthopedics that consider themselves generalists with a special interest, that's also declined. And so obviously specialization is taking off. In 2016, the last time it was measured by the academy, 60%, and it continues to grow. Most orthopedic surgeons now consider themselves specialists, and this will have huge implications on how we educate, what meetings they go to, and what they attend. Our fellowships, one of the crown jewels of what we do. Our fellowships have doubled in 20 years, from 58 sites to 90 sites, from 128 fellows to 225 fellows. Our journals, another crown jewel of what we have. We're very fortunate to have these journals. And if you look at the evolution of the journals, AJSM started in 72, and then 2009, we had Sports Health, 2013, OJSM Open Journal, and then VJSM. So if we look at AJSM, in 2021, on an annual basis, 1.4 million downloads. If you look at Sports Health, 2 million downloads on an annual basis, quite impressive. And now you can see the impact of what an open journal allows. That's 2.5 million downloads per month, tremendous. And finally, as we've evolved, VJSM was started, and VJSM in 2021 has 27,000 views of its videos. So our journals are tremendous. We have been very fortunate. We have only had three editors of AJSM, Dr. Houston, Dr. Leach, and Dr. Ryder. When you have that kind of sound leadership and stability, it's no wonder they are the premier journal. Research grant funding, near and dear to my heart, AOSSM has invested in one of the first societies to promote research growth and funding. In our first year, we looked at it in 1988 to 1992, five grants, $75,000. But if you look at our last four years, 2018 to 2022, $2,075,000. How did that happen? That happened with industry support. It also happened with the million-dollar drive, which we'll talk about more. And one of the crown jewels of our research funding has been the IKDC, IKDC-CAT, and the MARS study. And it's the fact that we can have this kind of support that leads us to our historic sports medicine research grant, which I'll tell you about later. There are intangible member values, part of the culture of what we have, from fun events at the meeting, to gathering of team physicians for collaboration discussion, to fellowship training, to being a mentor, to being mentored, if that's possible for me. And friendships, for indelible friendships we have that we know from meeting people. And finally, to personalized surgical training. So where is AOSSM in the present? Our logo from 1972, our logo 2022, 50 years later. Our professional team is outstanding. This meeting and what goes on in this meeting is largely responsible for professional team led by our CEO, Greg Doomer. It is truly outstanding. They've done a great job. So if you see them outside and you meet them, thank them if you enjoyed the meeting, because it's really it's their hard work that puts on such an outstanding program. We have a new website from new technology, entirely new platform. I hope you have seen it. There's some unique features on that. This is version 1.0, so we'll get better with time. And one of the things is at one place where you can click in as a member and find all the articles that appeared in our journals over the last 50 years. AOSSM runs by leadership engagement and it runs by you all that are there and that participate in this society. Education and research and self-assessment. Many members. There's a presidential line, board of directors and a medical publishing board. All told, there's 198 people engaged in an annual basis and having the society promote education and research. If you look at our members engagement in journals, if you just look at our editors, assistant and associate editors, editorial board, 448 people. If you look at the reviewers, there's several thousand reviewers. So everyone who reviews an article has contributed to society and we can't run a journal, can't thank you enough for your efforts in reviewing the article. And our medical publishing team with Bruce Reiter is seen right there at the picture on the right. What about members participation in the meeting? There's 503 members there. There are 50 reviewers for the abstracts, which are a tremendous number, 155 posters, 154 moderators, podium presentation, 176. And I have to thank the program committee, which this year was led by Rick Wright and Cassandra Lee for such an outstanding program. We're truly indebted. Now, if we put all the people that are engaged in society together, if we take the leadership, the journals and participation, it's over a thousand people. So if you look to your right or look to your left, that person's engaged in society. We want to engage you all because the health, the engagement of you, each member makes our society strong. Our research portfolio is significant. We have research awards for O'Donoghue, Cabot and excellence that are manuscript based. The clinical study is the Mars seed funding from this society. If you're in the first session, engage 23 of our members, 55% in private practice at 52 sites in NIH funded study that was led by Rick Wright, funding twice, and has had multiple publications. And finally, we did the original IKDC, very forward thinking. And now we invested in the computer adapted IKDC. We also do annual and sponsored grants and think tanks. And this would only is possible because of in the future and going more and getting bigger is because of the philanthropic funding that was spearheaded by Neil Altrage, the two to one match with Stanley Drucker Miller and Ken Langone called the million dollar drive. And everyone who contributed to that match that we are very grateful. Picture to the right is the ad hoc review committee for the multicenter award. And what we wanted to do in a multicenter award, which was patterned off Mars was to take an established multicenter group, give them funding so they can go on and get external funding like the DOD and NIH. So we had four outstanding presentations and our review committee consisted of people from the Academy, from OREF, and from AOSSM. And the winner is Jupiter 4.0, risk factors for failure of isolated medial patellofemoral reconstruction, Dr. Stubenstein, Dr. Parook. This combination is a collaboration that was with the AOSSM, AAOS, OREF, and AIRCAST, and it's a novel collaboration. In fact, it works so well, the Academy now is using this model to give out grant awards in support, in matching with other subspecialties in the future. So congratulations to the Jupiter team. The next award we want to give out is the emerging leaders multicenter award. And what we wanted to do here was to take a group that wasn't established and provide them seed funding to get together, to work together, to build up an infrastructure by which they can do. And this gets awarded to Eric Bowman for the management of UCL injuries and throwers, a prospective multicenter cohort. This was Jim Bradley's idea, it shows how the presidential line works. On a call, he had a great idea, and I think then we put it together and awarded this grant. So congratulations to this group and Eric Bowman, who will lead it. What about the next 50 years? Where are we going? What are we going to do? And I think Isaac Newton said it better than anyone else, if I've seen further than others, it's by standing upon the shoulders of giants. What should we do? We should act boldly like our founders. We should hardwire our core values. We should create a dynamic strategic plan. And now you're thinking this slide must be out of order. What the heck does the Dow Jones average teach us about this presentation? The Dow Jones average, as most people know, it affects your portfolio and retirement portfolio and everything you do. It's made up of 30 largest industrial companies in America. But the relevance is in 1972, there were 30 companies in this. Fifty years later, how many of those 30 companies are still at the premier level in the largest companies? It's only three, 27 have dropped out, 90% have fallen away in 50 years. So AJSM should really celebrate the fact that during this time, they have grown, they've become world-class and gotten better, and that's a tremendous achievement. But we also must be humble. We don't want to be one of the 90% 50 years later to fall out, and that's why you need a strategic plan. And that's why you need to keep your eye on the ball, you keep your eye on changing education, what's happening. Just like our journals have pivoted and grown, the society has to pivot and grown to the changing needs of our members and to our patients. The strategic plan was a board approved year-long process. We set up a committee, a steering committee that was diverse and inclusive, and this steering committee that was commissioned by the board to do qualitative, quantitative research along with an external consultant. They met virtually. They spent one day in person in January doing the first draft, met virtually again to hone the draft down, and then this draft was presented to the board in April meeting. The board looked at it, made modifications, and the board unanimously approved this at our spring board meeting. And I'm very grateful for all the people who spent extra time on the steering committee to do this. What is our vision for the future? We want to treat athletes and people of all ages and abilities to enjoy active and productive lives. How will we do this? We will facilitate world-leading evidence-based diagnosis treatment, guiding a safe return to physical activity for all orthopedic sports medicine surgeons. We will hardwire AOSSM core values that make up the culture of organization. We will continue to look for lifelong learning focused on scientific and practice innovation. We will encourage mentorship, development of the next generation of leaders. We will lead in clinical and research collaborations that are team-based, patient-focused care. We will show compassion for patients, families, co-workers, and we will be an advocate for personal, professional, and institutional diversity and inclusion. These are our values. These haven't changed over 50 years and should never change over the next 50. We have two pillars in AOSSM. First is education. Second is research. Our goal in education is to acquire knowledge. We want to learn, apply evidence-based care in treating athletes for all active people. We have a unique website that allows a customization of personalized care for each member to look at their website and to try the educational contents they need at different points in their career. We want to create partnerships. We want to increase diversity of our educators and instructors. In research, we want to lead to discovery of independently vetted techniques and therapies to improve patient outcomes. You want to drive multi-center research. We want to mentor new and emerging sports medicine surgeons and professionals. We want to collaborate with partner institutions like the Academy, maybe the Arthritis Foundation, maybe the NIH. We want to diversify our funding sources. There's a foundational community by which we work, and this community should represent a diverse, inclusive, engaged, and supportive fellowship of peers that are committed to advancing the care of athletes and the profession of orthopedic sports medicine. They really come down to three buckets, practitioner inclusion, AOSM, member value, and the sports and the team physician. What we mean by practitioner inclusion is we want to support all orthopedic surgeons that are treating sports and active lifestyle injuries to know the best care and the best clinical practices. For member value, we want to customize it so that we are the right education for the right point in that member's time throughout their lifespan of treating and being an orthopedic sports medicine physician. And for the team physician, we all know that the care of the athlete today that used to be one physician on the sideline now is a multiple physicians, and a lot of physicians that are not, a lot of people that are not physicians, including our partners in physical therapy and athletic training, and now exercise coaches. We want to provide a forum so we continue to educate them as they lead teams or participate in teams so we can get the safest return to care and the safest long-term athletes care for the athletes. We're very fortunate and very celebratory. Our past accomplishments are significant. Our current position is excellent, but this has provided us an outstanding opportunity that should be used to advance us further, to advance us into care as a world leader of education and research. This will require membership engagement. This will require work from our journals, our industry partners, and philanthropy. I want to give a shout out to all the people who support all industry partners and a special recognition to our platinum sponsors who make up our corporate advisory board here. Without industry support, we couldn't do the kind of programming that we have at this meeting. And a lot of industry support was the initial grants that established many other grants for our society and our society members that have been funded at the NIH and other higher levels. Finally, the future. It's bright. We have a very bright future for the next 50 years. Our strategic goals will require teamwork, working as teams. Our society and teams will be inclusive and more diverse, and it'll be our members' talents, active participation within teams, and will enable AASM to achieve the best outcomes for athletes and patients. So get engaged, join a team, lead a team, help a team, contribute to a team. Thank you very much.

American Orthopedic Society for Sports Medicine

50th anniversary celebration

scholarship

teamwork

future

diversity and inclusion