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There was a significant change in the distribution of the level of evidence of podium presentations over time (χ = 24.6, P= .02). The proportion of level I studies has increased between 2015 and 2019 (from 3.9% to 11.8%) with a concomitant decrease in level IV studies (from 42.3% to 21.6%) over that time period. There has been a significant improvement in the levels of evidence of podium presentations at the AAHKS Annual Meeting from 2015 to2019. There has been a significant improvement in the levels of evidence of podium presentations a