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Imagine being able to predict the weather next winter with 100% accuracy. Impossible, right? Yet the belief that we can predict which athletes will get injured based on some form of screening test is not uncommon. The challenge of predicting injury prediction was a prevailing theme at the 2017 IOC World Conference on Prevention of Illness and Injury in Sport. As elucidated during Roald Bahr’s keynote lecture and in his paradigm-shifting BJSM publication, 1 a reason why prediction is impossible is actually quite simple—current screening tests do not pass standard tests for utility.