“…However, we described additional factors that may also play a role in the drop of active twitter engagement such as the use of alternative social media platforms, 1 changes in overall twitter usage, 3 and lack of quality content. 3 We also offer several recommendations for how to improve Twitter engagement with surgical conferences, such as the creation of an organizational Twitter account, 1 promotion via physician influencers, 1,4,5 advertisement of meetings and related hashtags, 1,3-5 inclusion of interactive elements into tweets, 3,4 assigning a designated social media and communications team to promote and monitor social media activity, 4,5 creation of social media stations to improve ease of access, 4 and inclusion of interactive Twitter sessions into presentations. 4 One crucially important factor that may significantly impact Twitter engagement and knowledge dissemination is the quality, accuracy, and reliability of the information that is being shared.…”