key: cord-0045406-ouvz0jtw authors: Golladay, Gregory J. title: New Precedents date: 2020-06-15 journal: Arthroplast Today DOI: 10.1016/j.artd.2020.05.015 sha: 45a6a48f4c9a2354fd3216bf2e1832640a8be75d doc_id: 45406 cord_uid: ouvz0jtw nan In the last issue, the editorial was about gratitude. This issue finds us in the midst of a global coronavirus pandemic. I am humbled and grateful for my colleagues, who have stepped up to the challenges we have all faced. While elective total joint practices have been largely put on hold, arthroplasty surgeons have taken on new roles and have adapted new strategies to continue caring for patients in the response to COVID-19. Telemedicine for patient encounters and remote platforms for patient engagement and rehabilitation have at least temporarily become essential tools in our collective armamentaria [1] . In many centers, clinical research has been put on hold, except for projects related to COVID-19. We have also had to adapt our educational efforts within social distancing guidelines. An article in press is available which provides guidance for surgeons regarding arthroplasty in the midst of the pandemic [2] . The June 2020 issue marks the first in the history of Arthroplasty Today to be published with article-based publishing. This means that the articles are posted and paginated and are made available to any reader immediately, which designates Arthroplasty Today as "Gold open access" by Elsevier. While surgical case volumes have been down, investigators have been busy -we have had more than double the volume of submissions year-to-date compared to 2019. This is due in part to Journal of Arthroplasty facilitating transfer of articles to Arthroplasty Today for our consideration. We have also seen an increase in international submissions, which is a testament to the power of open access and to our reaching out to authors globally. I am grateful for an outstanding corps of reviewers and our deputy and associate editors who have done an amazing job of keeping the journal's peer review process streamlined and efficient. Our peer review manager, Taylor Bowen, and Sara Miller and Ginny Pittman of Elsevier have been spectacular. Our time to decision is approximately 30 days as a result of this combined effort, which is a tremendous benefit and service to our authors. We are expanding our continuing medical education (CME) offerings, with 8 more quizzes to be made available by year's end. Sigita Wolfe, Thomas J. Blumenfeld, MD and Brett R. Levine, MD, MS have done great work in making this cost-effective and timeefficient continuing educational opportunity a reality for our readers. We look forward to increased participation in this valueadded resource by our readership. The future of arthroplasty in the wake of the coronavirus pandemic is bound to be different than any of us could have envisioned. At least some degree of remote learning and remote patient care are likely to continue for the foreseeable future. AAHKS has increased remote learning opportunities through webinars including the Fellows Online COVID-19 AAHKS Learning (FOCAL) put together by William G. Hamilton, MD and Antonia F. Chen, MD, MBA, and implemented by Natalie R. Loper, BA. I encourage our readers to incorporate the sessions into their educational programs and to encourage their learners to participate. The recordings are complimentary and available at www.AAHKS.org. In the end, the pandemic has taught us to be adaptable and resilient. I am grateful to be a part of a specialty so adept and collectively strong. Together, we will emerge evolved to provide quality care and education in a new paradigm. Stay safe! Establishing Telemedicine in an Academic total joint arthroplasty practice: needs and opportunities highlighted by the COVID-19 pandemic Arthroplasty during the COVID-10 pandemic on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY-NC-ND license The author declares there are no conflicts of interest.