NIAMS is committed to advancing the fields of musculoskeletal, rheumatic, and skin diseases research and ensuring that our investments result in tangible benefits in terms of the Nation's health. The scientific retreat is an important component in the Institute's annual planning process, as it provides scientific staff and invited guests, including researchers and lay representatives, with an opportunity to have in-depth discussions on specific needs, gaps, and opportunities in the extramural research community. By continually scanning the current state-of-the-science, the Institute is able to evaluate its research portfolios and focus efforts in areas that may not otherwise be pursued without the support of the National Institutes of Health (NIH).