The Long Beach and Boston offices came together for a week long retreat to discuss current developments and methodological issues in our field. The topics we covered included: presenting psychometric results, systematic and pragmatic literature reviews, exit interviews, scoring in psychometric studies, current COA issues with the FDA, ensuring consistency across PROs, conceptual equivalency studies and user experience/user interface and usability testing. The retreat was held in Red Rocks area of Las Vegas and the team enjoyed time hiking in the desert and hanging out on the Las Vegas strip.