This document summarizes a symposium discussion on reproducibility and reliability issues in biomedical research. The key points are: 1) There is a widespread perception that much of the scientific literature may be untrue due to problems like small sample sizes, questionable research practices, and conflicts of interest. 2) Journals, universities, and research culture also contribute by incentivizing quantity over quality, impact factors, and "sexy" findings over important confirmations. 3) Proposed solutions discussed fixing incentives to reward reliability over productivity, preregistration, collaboration over competition, and adopting standards from fields like particle physics where the bar for a "significant" result is much higher. 4)