A baseline neurocognitive exam measures an athlete's cognitive function (e.g. his ability to think) before the season, generating a score to serve as a reference point (a "baseline" in the vernacular of concussion management) against which to compare scores on tests performed after a young athlete sustains a head injury in practice or game play. This has been the both goal and intent of Neuro cognitive testing. The reality has evolved to something very consistently different and tragic, as this is one of many studies that have come to this conclusion. This is a very a unfortunate reality in high contact sports. MSG has endorsed the IPAS technology that takes not only the athletes ability to skew the exam out of the equation, but additionally removes the subjectivity of those types of testing. Currently, they still have a role as we, as a medical community, continue to learn more about this crisis. A concussion is not an event, it is an evolving process. MSG remains dedicated to providing education to application of how individuals can avoid Brain injuries and concussions, in addition to how they can be more accurately diagnosed with precision. This data and knowledge will arm more health care providers with the tools they need to make all forms of high contacts sports a much safer environment.