1 00:00:05,400 --> 00:00:09,160 >>I'D LIKE TO CALL TO ORDER THE 2 00:00:09,160 --> 00:00:15,560 56th MEETING OF THE NIH ADVISORY 3 00:00:15,560 --> 00:00:19,400 COMMITTEE ON WOMEN'S HEALTH AND 4 00:00:19,400 --> 00:00:23,120 I'M SAMIA NOURSI AND THE 5 00:00:23,120 --> 00:00:24,160 EXECUTIVE SECRETARY OF THIS 6 00:00:24,160 --> 00:00:24,520 COMMITTEE. 7 00:00:24,520 --> 00:00:26,640 THE MEETING IS OPEN TO THE 8 00:00:26,640 --> 00:00:31,440 PUBLIC VIA LIVE BROADCAST ON THE 9 00:00:31,440 --> 00:00:32,720 NIH VIDEOCAST NETWORK AND 10 00:00:32,720 --> 00:00:34,880 RECORDED FOR ARCHIVES AND FUTURE 11 00:00:34,880 --> 00:00:39,640 ON DEMAND VIEWING BY THE PUBLIC. 12 00:00:39,640 --> 00:00:41,760 IF YOU'RE A MEMBER OF THE PUBLIC 13 00:00:41,760 --> 00:00:44,480 YOU MAY SUBMIT YOUR QUESTIONS IN 14 00:00:44,480 --> 00:00:51,120 WRITING TO ME AT 15 00:00:51,120 --> 00:00:52,680 SAMIA.NOURSI@NIH.gov AND YOU'LL 16 00:00:52,680 --> 00:00:54,200 RECEIVE A RESPONSE FROM ME 17 00:00:54,200 --> 00:00:54,480 DIRECTLY. 18 00:00:54,480 --> 00:00:57,080 WE ARE ALL PARTICIPATING 19 00:00:57,080 --> 00:00:57,400 REMOTELY. 20 00:00:57,400 --> 00:00:59,400 THE ADVISORY COMMITTEE AND OUR 21 00:00:59,400 --> 00:01:01,880 INVITED GUEST PRESENTERS ARE 22 00:01:01,880 --> 00:01:03,000 PARTICIPATING THROUGH ZOOM AND 23 00:01:03,000 --> 00:01:03,880 NOW I'M GOING TO TURN TO OUR 24 00:01:03,880 --> 00:01:10,960 MEMBERS. 25 00:01:10,960 --> 00:01:14,640 YOU ARE SPECIAL GOVERNMENT 26 00:01:14,640 --> 00:01:17,200 EMPLOYEES, SGES WHICH MEANS YOUR 27 00:01:17,200 --> 00:01:19,080 SUBJECT TO THE SAME ETHIC RULES 28 00:01:19,080 --> 00:01:21,880 APPLIED TO GOVERNMENT EMPLOYEES. 29 00:01:21,880 --> 00:01:23,680 THESE RULES ARE DESCRIBED IN THE 30 00:01:23,680 --> 00:01:26,280 PAMPHLET ENTITLED STANDARDS OF 31 00:01:26,280 --> 00:01:27,760 ETHICAL CONDUCT FOR EMPLOYEE OF 32 00:01:27,760 --> 00:01:31,280 THE EXECUTIVE BRANCH. 33 00:01:31,280 --> 00:01:32,640 YOU RECEIVED A COPY OF THIS 34 00:01:32,640 --> 00:01:34,360 DOCUMENT WHEN YOU WERE 35 00:01:34,360 --> 00:01:34,680 APPOINTED. 36 00:01:34,680 --> 00:01:36,240 AT EVERY MEETING WE'D LIKE TO 37 00:01:36,240 --> 00:01:37,760 REVIEW THE STEPS WE TAKE AND THE 38 00:01:37,760 --> 00:01:42,520 PROCESS WE FOLLOW TO IDENTIFY 39 00:01:42,520 --> 00:01:44,800 AND ADDRESS ANY CONFLICT BETWEEN 40 00:01:44,800 --> 00:01:47,840 YOUR RESPONSIBILITY AND PUBLIC 41 00:01:47,840 --> 00:01:48,080 INTEREST. 42 00:01:48,080 --> 00:01:49,080 AS YOU KNOW, BEFORE EVERY 43 00:01:49,080 --> 00:01:51,240 MEETING YOU PROVIDE US WITH A 44 00:01:51,240 --> 00:01:55,040 GREAT DEAL OF INFORMATION ABOUT 45 00:01:55,040 --> 00:01:57,160 YOUR PROFESSIONAL, PERSONAL AND 46 00:01:57,160 --> 00:01:57,760 FINANCIAL INTERESTS. 47 00:01:57,760 --> 00:02:01,560 WE USE THIS AS THE FOUNDATION 48 00:02:01,560 --> 00:02:03,280 FOR ASSESSING WHETHER YOU HAVE 49 00:02:03,280 --> 00:02:04,880 REAL, POTENTIAL OR APPARENT 50 00:02:04,880 --> 00:02:05,760 CONFLICTS OF INTEREST THAT COULD 51 00:02:05,760 --> 00:02:08,480 COMPROMISE YOUR ABILITY TO BE 52 00:02:08,480 --> 00:02:12,480 OBJECTIVE ON GIVING ADVISE 53 00:02:12,480 --> 00:02:13,400 DURING COMMITTEE MEETINGS. 54 00:02:13,400 --> 00:02:16,080 IF THE NEED FOR YOUR INDIVIDUAL 55 00:02:16,080 --> 00:02:17,680 SERVICE ARE PLAYED AND POTENTIAL 56 00:02:17,680 --> 00:02:19,880 CONFLICTS OF INTERESTS WE HAVE 57 00:02:19,880 --> 00:02:21,080 IDENTIFIED, WE WILL ISSUE YOU A 58 00:02:21,080 --> 00:02:22,800 WAIVER OR RECUSE YOU FROM A 59 00:02:22,800 --> 00:02:24,920 PARTICULAR PORTION OF THE 60 00:02:24,920 --> 00:02:25,160 MEETING. 61 00:02:25,160 --> 00:02:26,880 WE USUALLY WAIVE CONFLICTS OF 62 00:02:26,880 --> 00:02:28,120 INTEREST FOR GENERAL MATTERS 63 00:02:28,120 --> 00:02:29,200 BECAUSE WE BELIEVE YOUR ABILITY 64 00:02:29,200 --> 00:02:31,520 TO BE OBJECTIVE WILL NOT BE 65 00:02:31,520 --> 00:02:32,680 AFFECTED BY YOUR FINANCIAL 66 00:02:32,680 --> 00:02:32,960 INTERESTS. 67 00:02:32,960 --> 00:02:36,560 WE ALSO RELY A GREAT DEAL. 68 00:02:36,560 --> 00:02:38,400 YOU NEED TO BE ATTENTIVE DURING 69 00:02:38,400 --> 00:02:40,400 THE MEETINGS TO THE POSSIBILITY 70 00:02:40,400 --> 00:02:42,120 THAT AN ISSUE WOULD ARISE THAT 71 00:02:42,120 --> 00:02:44,480 COULD AFFECT OR APPEAR TO AFFECT 72 00:02:44,480 --> 00:02:45,480 YOUR FINANCIAL INTERESTS WITH 73 00:02:45,480 --> 00:02:47,840 RESPECT TO A SPECIFIC PARTY OR 74 00:02:47,840 --> 00:02:48,080 MATTER. 75 00:02:48,080 --> 00:02:50,560 IF THIS HAPPENS, YOU'LL BE ASKED 76 00:02:50,560 --> 00:02:53,440 TO ASKED TO RECUSE YOURSELF FROM 77 00:02:53,440 --> 00:02:56,040 THAT PORTION OF THE MEETING. 78 00:02:56,040 --> 00:02:57,400 BEFORE INTRODUCTION I'LL BRIEFLY 79 00:02:57,400 --> 00:03:00,480 REVIEW BEST PRACTICES FOR OUR 80 00:03:00,480 --> 00:03:02,080 ZOOM PARTICIPANTS. 81 00:03:02,080 --> 00:03:04,160 PLEASE MUTE YOUR MIC IF NOT 82 00:03:04,160 --> 00:03:05,480 SPEAKING AND WHEN SPEAK STATE 83 00:03:05,480 --> 00:03:06,560 YOUR NAME BEFORE MAKING 84 00:03:06,560 --> 00:03:08,840 COMMENTS, MOTIONS OR 85 00:03:08,840 --> 00:03:09,200 RECOMMENDATIONS. 86 00:03:09,200 --> 00:03:11,040 FOR OUR RECORDING PURPOSES. 87 00:03:11,040 --> 00:03:13,600 TRY TO USE A HEADSET WITH A MIC 88 00:03:13,600 --> 00:03:15,080 WHEN SPEAKING. 89 00:03:15,080 --> 00:03:16,240 THAT WILL USUALLY PROVIDE THE 90 00:03:16,240 --> 00:03:18,400 LEAST AMOUNT OF AUDIO FEEDBACK. 91 00:03:18,400 --> 00:03:21,600 TURN OFF YOUR VIDEO IF YOU ARE 92 00:03:21,600 --> 00:03:22,960 NOT SPEAKING TO PRESERVE 93 00:03:22,960 --> 00:03:23,840 INTERNET BANDWIDTH. 94 00:03:23,840 --> 00:03:24,560 IF YOU HAVE A QUESTION OR WOULD 95 00:03:24,560 --> 00:03:26,840 LIKE TO MAKE A COMMENT, PLEASE 96 00:03:26,840 --> 00:03:28,440 UTILIZE THE CHAT FEATURE. 97 00:03:28,440 --> 00:03:30,800 THE ZOOM CHAT WILL BE KEPT AS 98 00:03:30,800 --> 00:03:31,400 PART OF THE OFFICIAL MEETING 99 00:03:31,400 --> 00:03:38,200 RECORD. 100 00:03:38,200 --> 00:03:40,640 WE WILL BE VOTING -- DURING THE 101 00:03:40,640 --> 00:03:41,840 VOTE A MULTIPLE CHOICE QUESTION 102 00:03:41,840 --> 00:03:44,240 WILL APPEAR ON YOUR SCREEN. 103 00:03:44,240 --> 00:03:50,000 PLEASE SELECT YOUR RESPONSE. 104 00:03:50,000 --> 00:03:57,920 I WOULD LIKE NOW TO WELCOME OUR 105 00:03:57,920 --> 00:04:00,960 NEWEST ACRWH MEMBERS. 106 00:04:00,960 --> 00:04:05,120 DR. GARNET ANDERSON DIRECTOR OF 107 00:04:05,120 --> 00:04:07,120 PUBLIC HEALTH SCIENCES DIVISION 108 00:04:07,120 --> 00:04:10,320 AND 40th ANNIVERSARY ENDOWED 109 00:04:10,320 --> 00:04:12,440 CHAIR AT FRED HUTCHINSON CANCER 110 00:04:12,440 --> 00:04:12,800 RESEARCH CENTER. 111 00:04:12,800 --> 00:04:18,760 WELCOME. 112 00:04:18,760 --> 00:04:24,080 DR. IRENE ANINYE. 113 00:04:24,080 --> 00:04:25,480 WELCOME. 114 00:04:25,480 --> 00:04:32,160 AND DR. AMANDA BRUEGL IN THE 115 00:04:32,160 --> 00:04:32,840 OREGON HEALTH SCIENCE UNIVERSITY 116 00:04:32,840 --> 00:04:36,480 SCHOOL OF MEDICINE. 117 00:04:36,480 --> 00:04:36,720 WELCOME. 118 00:04:36,720 --> 00:04:38,440 WE LOOK FORWARD TO WORKING 119 00:04:38,440 --> 00:04:39,880 CLOSELY WITH YOU IN THE COMING 120 00:04:39,880 --> 00:04:45,040 YEARS. 121 00:04:45,040 --> 00:04:46,680 I WOULD ALSO LIKE TO STATE 122 00:04:46,680 --> 00:04:49,240 FAREWELL TO THE ACRWH MEMBERS 123 00:04:49,240 --> 00:04:51,360 THAT WILL BE RETIRING THIS YEAR. 124 00:04:51,360 --> 00:04:55,320 DR. ROGER FILLINGGIM. 125 00:04:55,320 --> 00:04:59,680 DR. GELLAR, DR. LANGER, 126 00:04:59,680 --> 00:05:06,920 DR. McCARTHY AND DR. RIOS. 127 00:05:06,920 --> 00:05:08,160 YOUR FEEDBACK HAS BEEN 128 00:05:08,160 --> 00:05:09,960 INVALUABLE TO OUR OFFICE AND I 129 00:05:09,960 --> 00:05:11,320 HOPE WE'LL CONTINUE TO WORK 130 00:05:11,320 --> 00:05:12,480 TOGETHER IN THE FUTURE. 131 00:05:12,480 --> 00:05:14,520 AS I GO THROUGH THE ROSTER, WHEN 132 00:05:14,520 --> 00:05:16,680 YOU HEAR YOUR NAME, PLEASE 133 00:05:16,680 --> 00:05:19,880 UNMUTE YOUR MIC AND INTRODUCE 134 00:05:19,880 --> 00:05:23,880 YOURSELVES BY NAME AND WHAT 135 00:05:23,880 --> 00:05:35,920 INSTITUTION YOU REPRESENT. 136 00:05:35,920 --> 00:05:39,280 STARTING WITH DR. ANDERSON. 137 00:05:39,280 --> 00:05:42,400 >> SOCIETY FOR WOMEN'S HEALTH 138 00:05:42,400 --> 00:05:42,840 RESEARCH. 139 00:05:42,840 --> 00:05:44,440 >> THANK YOU. 140 00:05:44,440 --> 00:05:48,880 DR. BRUEGL. 141 00:05:48,880 --> 00:05:50,960 >> SHE HASN'T JOINED YET. 142 00:05:50,960 --> 00:05:52,280 >> OKAY. 143 00:05:52,280 --> 00:05:55,320 DR. FILLINGGIM. 144 00:05:55,320 --> 00:05:59,680 >> HI, UNIVERSITY OF FLORIDA. 145 00:05:59,680 --> 00:06:04,720 >> DR. GELLAR. 146 00:06:04,720 --> 00:06:09,360 >> ABOUT MORNING, PROFESSOR OF 147 00:06:09,360 --> 00:06:10,360 OBSTETRICS AND GYNECOLOGY 148 00:06:10,360 --> 00:06:14,000 UNIVERSITY OF ILLINOIS, CHICAGO. 149 00:06:14,000 --> 00:06:15,760 >> THANK YOU. 150 00:06:15,760 --> 00:06:19,280 >> UNIVERSITY OF MICHIGAN ANN 151 00:06:19,280 --> 00:06:20,280 ARBOR. 152 00:06:20,280 --> 00:06:20,920 >> THANK YOU. 153 00:06:20,920 --> 00:06:23,200 DR. KLINE. 154 00:06:23,200 --> 00:06:30,080 >> HI, I AM AT THE JOHNS HOPKINS 155 00:06:30,080 --> 00:06:32,320 BLOOMBERG SCHOOL OF PUBLIC 156 00:06:32,320 --> 00:06:33,480 HEALTH IN BALTIMORE. 157 00:06:33,480 --> 00:06:38,200 >> DR. LANGER. 158 00:06:38,200 --> 00:06:42,520 >> I AM AT THE HARVARD CHAN 159 00:06:42,520 --> 00:06:43,880 SCHOOL OF PUBLIC HEALTH. 160 00:06:43,880 --> 00:06:50,200 >> DR. McCARTHY. 161 00:06:50,200 --> 00:07:15,200 >> I'M DR. McGREGOR AN ASSOCIATE 162 00:07:15,200 --> 00:07:15,520 PROFESSOR. 163 00:07:15,520 --> 00:07:16,680 >> DR. REGENSTEINER. 164 00:07:16,680 --> 00:07:18,400 >> I'M PROFESSOR OF MEDICINE AT 165 00:07:18,400 --> 00:07:19,880 THE UNIVERSITY OF COLORADO, 166 00:07:19,880 --> 00:07:22,480 SCHOOL OF MEDICINE, DIRECTOR OF 167 00:07:22,480 --> 00:07:24,560 THE FAMILY CENTER FOR WOMEN'S 168 00:07:24,560 --> 00:07:25,200 HEALTH RESEARCH. 169 00:07:25,200 --> 00:07:26,200 >> THANK YOU. 170 00:07:26,200 --> 00:07:31,000 DR. ROBINSON. 171 00:07:31,000 --> 00:07:32,400 >> I'M MICHELLE ROBINSON. 172 00:07:32,400 --> 00:07:36,680 I'M A DEAN AT THE UNIVERSITY OF 173 00:07:36,680 --> 00:07:38,480 ALABAMA BIRMINGHAM. 174 00:07:38,480 --> 00:07:43,840 >> THANK YOU, DR. ROBINSON. 175 00:07:43,840 --> 00:07:46,280 >> DR. SAVOSKI. 176 00:07:46,280 --> 00:07:47,880 >> I'M AT THE UNIVERSITY OF 177 00:07:47,880 --> 00:07:52,680 PITTSBURGH, THANK YOU. 178 00:07:52,680 --> 00:07:54,360 >> DR. SHAW. 179 00:07:54,360 --> 00:07:58,080 >> THEY HAVEN'T JOINED YET. 180 00:07:58,080 --> 00:08:03,280 >> DR. SIMON. 181 00:08:03,280 --> 00:08:09,600 >> DR. TEMPLETON. 182 00:08:09,600 --> 00:08:10,960 >> THEY HAVEN'T JOINED YET. 183 00:08:10,960 --> 00:08:12,640 >> WE HAVE A QUORUM. 184 00:08:12,640 --> 00:08:14,640 WE HAVE MORE HOUSEKEEPING ITEMS 185 00:08:14,640 --> 00:08:15,680 BEFORE MOVING ON WITH THE 186 00:08:15,680 --> 00:08:15,880 MEETING. 187 00:08:15,880 --> 00:08:17,640 YOU WERE SENT THE MINUTES FROM 188 00:08:17,640 --> 00:08:19,880 OUR LAST MEETING OCTOBER 21, 189 00:08:19,880 --> 00:08:21,480 2021. 190 00:08:21,480 --> 00:08:23,280 IT'S FOR YOUR REVIEW. 191 00:08:23,280 --> 00:08:24,920 IS THEY ARE MOTION ON THE TABLE 192 00:08:24,920 --> 00:08:26,520 TO ACCEPT THE OCTOBER 21, 2021 193 00:08:26,520 --> 00:08:33,840 MINUTES AS WRITTEN? 194 00:08:33,840 --> 00:08:36,280 >> I MOVE TO ACCEPT THE MINUTES. 195 00:08:36,280 --> 00:08:39,280 >> THANK YOU, DR. REGENSTEINER. 196 00:08:39,280 --> 00:08:39,680 SUBMITTED. 197 00:08:39,680 --> 00:08:40,920 DO I HEAR A SECOND. 198 00:08:40,920 --> 00:08:43,360 >> SECOND. 199 00:08:43,360 --> 00:08:49,680 >> THANK YOU, DR. KLINE. 200 00:08:49,680 --> 00:08:51,920 WE'LL SECOND THE MOTION. 201 00:08:51,920 --> 00:08:54,880 THE POLL HAS BEEN OPEN. 202 00:08:54,880 --> 00:08:59,680 IF YOU ARE IN FAVOR, OPPOSED OR 203 00:08:59,680 --> 00:09:00,680 ABSTAIN RECORD YOUR RESPONSE 204 00:09:00,680 --> 00:09:01,280 NOW. 205 00:09:01,280 --> 00:09:01,800 YOU'LL HAVE 30 SECONDS TO 206 00:09:01,800 --> 00:09:27,880 RESPOND. 207 00:09:27,880 --> 00:09:31,080 SO THE POLL HAS CLOSED. 208 00:09:31,080 --> 00:09:33,840 DO WE HAVE THE VOTE, SARAH? 209 00:09:33,840 --> 00:09:36,120 >> YES, WITH NINE FAVOR. 210 00:09:36,120 --> 00:09:37,200 >> THANK YOU. 211 00:09:37,200 --> 00:09:39,080 THE OCTOBER 21, 2021 MEETING 212 00:09:39,080 --> 00:09:43,880 MINUTES HAVE BEEN ACCEPTED WITH 213 00:09:43,880 --> 00:09:44,280 EIGHT IN FAVOR. 214 00:09:44,280 --> 00:09:46,560 NOW, I'D LIKE TO SHARE WITH YOU 215 00:09:46,560 --> 00:09:48,520 SOME GOOD NEWS. 216 00:09:48,520 --> 00:09:51,800 IN OCTOBER 2015 THE GOVERNMENT 217 00:09:51,800 --> 00:09:55,880 ACCOUNTABILITY OFFICE, GAO, 218 00:09:55,880 --> 00:09:58,080 RELEASED A REPORT CALLED BETTER 219 00:09:58,080 --> 00:10:01,320 OVERSIGHT TO ENSURE CONTINUING 220 00:10:01,320 --> 00:10:02,640 PROGRESS WITH WOMEN IN HEALTH 221 00:10:02,640 --> 00:10:02,880 RESEARCH. 222 00:10:02,880 --> 00:10:07,760 THAT WAS A GAO1613. 223 00:10:07,760 --> 00:10:09,840 IN THAT REPORT THEY REPORTED ON 224 00:10:09,840 --> 00:10:11,640 THE EXEMPTION OF THE NIH EFFORTS 225 00:10:11,640 --> 00:10:15,000 TO INCLUDE AND MONITOR WOMEN'S 226 00:10:15,000 --> 00:10:17,080 ENROLLMENT IN WOMEN IN CLINICAL 227 00:10:17,080 --> 00:10:19,600 RESEARCH AND ASSESSMENT ON HOW 228 00:10:19,600 --> 00:10:21,160 NIH-FUNDED CLINICAL STUDIES ARE 229 00:10:21,160 --> 00:10:25,080 DESIGNED AND CONDUCTED TO 230 00:10:25,080 --> 00:10:26,120 ANALYZE POTENTIAL SEX 231 00:10:26,120 --> 00:10:27,760 DIFFERENCES WHEN APPLICABLE. 232 00:10:27,760 --> 00:10:31,160 THEY RECOMMENDED THE NIH REPORT 233 00:10:31,160 --> 00:10:32,680 MORE DETAILED DATA ON WOMEN'S 234 00:10:32,680 --> 00:10:35,320 ENROLLMENT IN NIH-FUNDED 235 00:10:35,320 --> 00:10:36,800 RESEARCH AND COLLECT AND ANALYZE 236 00:10:36,800 --> 00:10:39,840 AND REPORT DATA ON THE EXTENT TO 237 00:10:39,840 --> 00:10:41,080 WHICH THESE STUDIES INCLUDE 238 00:10:41,080 --> 00:10:42,480 ANALYSIS OF POTENTIAL 239 00:10:42,480 --> 00:10:43,040 DIFFERENCES BETWEEN MEN AND 240 00:10:43,040 --> 00:10:45,280 WOMEN. 241 00:10:45,280 --> 00:10:49,520 NIH AGREED WITH GAO'S REPORT AND 242 00:10:49,520 --> 00:10:50,920 RECOMMENDATIONS AND IMPLEMENTED 243 00:10:50,920 --> 00:10:52,400 THE FIVE RECOMMENDATIONS. 244 00:10:52,400 --> 00:10:56,840 WITH THE RELEASE OF THE NIH 245 00:10:56,840 --> 00:10:57,960 REPORT OF THE ADVISORY COMMITTEE 246 00:10:57,960 --> 00:11:02,200 ON RESEARCH ON WOMEN'S HEALTH, 247 00:11:02,200 --> 00:11:11,480 FISCAL YEAR 20 19-2020 AND NOW 248 00:11:11,480 --> 00:11:12,640 ALL THE RECOMMENDATIONS ARE 249 00:11:12,640 --> 00:11:13,960 OFFICIALLY CLOSED BY GAO. 250 00:11:13,960 --> 00:11:18,680 I'D LIKE TO THANK ALL WHO WORKED 251 00:11:18,680 --> 00:11:20,400 TO CLEAR THIS AND OUR COLLEAGUES 252 00:11:20,400 --> 00:11:22,680 FROM OER. 253 00:11:22,680 --> 00:11:25,400 NOW, I WOULD LIKE TO INTRODUCE 254 00:11:25,400 --> 00:11:30,000 THE CHAIR OF THIS COMMITTEE AND 255 00:11:30,000 --> 00:11:31,760 THE DIRECTOR OF ORWH DR. JANINE 256 00:11:31,760 --> 00:11:32,000 CLAYTON. 257 00:11:32,000 --> 00:11:35,080 DR. CLAYTON. 258 00:11:35,080 --> 00:11:36,280 >> THANK YOU, DR. NOURSI AND 259 00:11:36,280 --> 00:11:38,560 GOOD MORNING, EVERYONE. 260 00:11:38,560 --> 00:11:41,760 LET ME BRING UP THE SLIDES HERE. 261 00:11:41,760 --> 00:11:43,840 IT'S MY PLEASURE TO BE WITH YOU 262 00:11:43,840 --> 00:11:47,400 HERE TODAY. 263 00:11:47,400 --> 00:11:49,000 >> SARAH, CAN YOU CONFIRM YOU 264 00:11:49,000 --> 00:11:52,000 HAVE THE CORRECT VIEW THERE? 265 00:11:52,000 --> 00:11:52,800 >> CORRECT. 266 00:11:52,800 --> 00:11:54,120 >> GREAT. 267 00:11:54,120 --> 00:11:54,880 THANK YOU SO MUCH, EVERYONE AND 268 00:11:54,880 --> 00:11:58,480 GOOD MORNING. 269 00:11:58,480 --> 00:12:00,440 THIS IS ONE AN IMPORTANT PART OF 270 00:12:00,440 --> 00:12:02,520 WHAT WE DO EVERY YEAR AT THE 271 00:12:02,520 --> 00:12:04,520 ADVISORY COMMITTEE MEETING IS TO 272 00:12:04,520 --> 00:12:07,280 PROVIDE FOR YOU A REPORT ON OUR 273 00:12:07,280 --> 00:12:08,880 PROGRESS FROM THE PREVIOUS 274 00:12:08,880 --> 00:12:10,960 MEETING AND OVERALL. 275 00:12:10,960 --> 00:12:13,800 SO OUR DIRECTOR'S REPORT I'M 276 00:12:13,800 --> 00:12:15,280 MRIEFD TO DELIVER THAT TODAY. 277 00:12:15,280 --> 00:12:16,200 -- PLEASED TO DELIVER THAT 278 00:12:16,200 --> 00:12:16,400 TODAY. 279 00:12:16,400 --> 00:12:18,520 I WANT TO WELCOME EVERYONE FROM 280 00:12:18,520 --> 00:12:19,480 THE PUBLIC AND ADVISORY 281 00:12:19,480 --> 00:12:21,920 COMMITTEE MEMBERS AND ORWH 282 00:12:21,920 --> 00:12:22,560 MEMBERS AND NIH COLLEAGUES AS 283 00:12:22,560 --> 00:12:24,880 WELL AS MEMBERS OF THE GENERAL 284 00:12:24,880 --> 00:12:26,280 PUBLIC TO THE MEETING. 285 00:12:26,280 --> 00:12:27,600 WE'RE STILL ADJUSTING TO THE 286 00:12:27,600 --> 00:12:30,080 WORLD WE'RE LIVING IN NOW AND 287 00:12:30,080 --> 00:12:32,080 WE'RE ALL HOPEFUL THINGS WILL 288 00:12:32,080 --> 00:12:33,480 CONTINUE TO IMPROVE. 289 00:12:33,480 --> 00:12:35,560 I HOPE WE WILL BE ABLE TO BE 290 00:12:35,560 --> 00:12:39,640 TOGETHER IN PERSON AT OUR NEXT 291 00:12:39,640 --> 00:12:39,880 MEETING. 292 00:12:39,880 --> 00:12:43,440 MANY OF YOU HAVE JUGGLED LOTS OF 293 00:12:43,440 --> 00:12:45,440 RESPONSIBILITIES AT HOME AND AT 294 00:12:45,440 --> 00:12:47,320 WORK AND WANT TO ACKNOWLEDGE 295 00:12:47,320 --> 00:12:48,040 YOUR CONTRIBUTIONS AND 296 00:12:48,040 --> 00:12:48,640 RESILIENCE AS WE MOVE THROUGH 297 00:12:48,640 --> 00:12:49,840 THIS. 298 00:12:49,840 --> 00:12:56,800 HERE'S AN OUTLINE OF MY REMARKS. 299 00:12:56,800 --> 00:12:59,480 I'LL TALK ABOUT SLEEP AND 300 00:12:59,480 --> 00:13:01,880 PROVIDE ORWH UPDATES AND TALK 301 00:13:01,880 --> 00:13:02,680 ABOUT OUR SCIENTIFIC 302 00:13:02,680 --> 00:13:03,800 COLLABORATIONS AT A HIGH LEVEL 303 00:13:03,800 --> 00:13:08,320 AND WHAT'S NEW IN SEX AND 304 00:13:08,320 --> 00:13:10,680 GENDER, SCIENCE CAREERS FROM THE 305 00:13:10,680 --> 00:13:12,080 ORWH PERSPECTIVE AND TALK ABOUT 306 00:13:12,080 --> 00:13:13,880 OUR PROGRAM'S FUNDING WHETHER I 307 00:13:13,880 --> 00:13:15,800 DO EACH FALL AND THEN I'LL 308 00:13:15,800 --> 00:13:16,680 CLOSE. 309 00:13:16,680 --> 00:13:19,200 BEFORE I BEGIN, IT IS WITH GREAT 310 00:13:19,200 --> 00:13:23,040 SADNESS I SHARE WITH YOU THE 311 00:13:23,040 --> 00:13:27,880 NEWS THAT WE LOST DR. REBECCA 312 00:13:27,880 --> 00:13:29,600 DEL CARMEN-WIGGINS. 313 00:13:29,600 --> 00:13:32,480 SHE WAS A VALUED MEMBER OF TEAM 314 00:13:32,480 --> 00:13:35,600 ORWH AND SHE WORKED ON THE BASIC 315 00:13:35,600 --> 00:13:37,280 TRANSLATIONAL SECTION AN 316 00:13:37,280 --> 00:13:38,160 IMPORTANT ROLE RELATED TO POLICY 317 00:13:38,160 --> 00:13:39,640 IMPLEMENTATION. 318 00:13:39,640 --> 00:13:42,640 SHE WAS A CO-LEAD FOR THE SCORE 319 00:13:42,640 --> 00:13:45,320 PROGRAM AND HAD SPENT OVER 30 320 00:13:45,320 --> 00:13:46,080 YEARS AT NIH. 321 00:13:46,080 --> 00:13:51,400 I HAD THE PRIVILEGE OF GIVING 322 00:13:51,400 --> 00:13:54,440 HER HER 30-YEAR PIN WHEN WE WERE 323 00:13:54,440 --> 00:13:55,640 STILL IN THE OFFICE. 324 00:13:55,640 --> 00:13:59,880 HER MENTAL HEALTH EXPERTISE WAS 325 00:13:59,880 --> 00:14:01,200 WIDELY RECOGNIZED AND 326 00:14:01,200 --> 00:14:03,960 REPRESENTED THE ADOLESCENT BRAIN 327 00:14:03,960 --> 00:14:06,760 COGNITIVE DEVELOPMENT STUDY. 328 00:14:06,760 --> 00:14:07,920 WE REALLY MISS REBECCA. 329 00:14:07,920 --> 00:14:11,000 WE ENJOYED HER POSITIVITY AND 330 00:14:11,000 --> 00:14:13,360 CALM MANNER AND CHEERFUL 331 00:14:13,360 --> 00:14:14,760 DEMEANOR AND HELPFULNESS AND 332 00:14:14,760 --> 00:14:17,560 WILL MISS HER GREATLY. 333 00:14:17,560 --> 00:14:20,200 I'D LIKE TO SHARE A POEM THAT 334 00:14:20,200 --> 00:14:23,880 REMINDS US OF REBECCA ENTITLED 335 00:14:23,880 --> 00:14:27,880 SOMETHING BEAUTIFUL RENANZ. 336 00:14:27,880 --> 00:14:29,080 THE TIDE RECEDES BUT LEAVES 337 00:14:29,080 --> 00:14:31,120 BEHIND GREAT SEA SHELLS ON THE 338 00:14:31,120 --> 00:14:31,320 SAND. 339 00:14:31,320 --> 00:14:33,280 THE SUN GOES DOWN BUT GENTLE 340 00:14:33,280 --> 00:14:35,080 WARMTH STILL LINGERS ON THE 341 00:14:35,080 --> 00:14:35,640 LAND. 342 00:14:35,640 --> 00:14:39,440 THE MUSIC STOPS AND YET IT ECHOS 343 00:14:39,440 --> 00:14:41,840 SWEET GRAINS FOR EVERY JOY THAT 344 00:14:41,840 --> 00:14:42,400 PASSES SOMETHING BEAUTIFUL 345 00:14:42,400 --> 00:15:02,240 REMAINS. 346 00:15:02,240 --> 00:15:03,800 NOW, WE KNOW SLEEP MATTERS AND 347 00:15:03,800 --> 00:15:05,880 THE CIRCADIAN RHYTHM AND THE 348 00:15:05,880 --> 00:15:11,480 24-HOUR CYCLE OUR BODY OPERATE 349 00:15:11,480 --> 00:15:13,080 ON ARE IMPORTANT AND IT WORKS IN 350 00:15:13,080 --> 00:15:14,640 EVERY CELL OF THE BODY. 351 00:15:14,640 --> 00:15:16,440 THE FORMER DIRECTOR OF THE 352 00:15:16,440 --> 00:15:17,640 NATIONAL CENTER FOR SLEEP 353 00:15:17,640 --> 00:15:19,400 DISORDERS AT NIH, SAID QUOTE, 354 00:15:19,400 --> 00:15:20,480 WHEN PEOPLE DON'T GET ENOUGH 355 00:15:20,480 --> 00:15:22,720 SLEEP, THEY DON'T GET A STRONG 356 00:15:22,720 --> 00:15:24,680 CIRCADIAN RHYTHM AND IF WE DON'T 357 00:15:24,680 --> 00:15:26,800 HAVE A STRONG CIRCADIAN RHYTHM 358 00:15:26,800 --> 00:15:29,120 THE CELLS IN OUR BODY DON'T GET 359 00:15:29,120 --> 00:15:29,720 ENOUGH ENERGY. 360 00:15:29,720 --> 00:15:31,560 THAT SUMS UP HOW IMPORTANT SLEEP 361 00:15:31,560 --> 00:15:34,880 IS TO ALL OF US AND THIS IS ONE 362 00:15:34,880 --> 00:15:36,920 OF HIS SLIDES WHICH I USED OVER 363 00:15:36,920 --> 00:15:40,120 AND OVER BECAUSE IT HIGHLIGHTS 364 00:15:40,120 --> 00:15:42,400 HOW IMPORTANT SLEEP IS TO SO 365 00:15:42,400 --> 00:15:44,200 MANY OTHER HEALTH CONDITIONS AND 366 00:15:44,200 --> 00:15:44,760 ISSUES. 367 00:15:44,760 --> 00:15:47,440 IT'S LINKED TO HYPERTENSION, 368 00:15:47,440 --> 00:15:48,480 DEPRESSION, HEART DISEASE AND 369 00:15:48,480 --> 00:15:50,040 OBESITY WHICH ARE IN TURN LINKED 370 00:15:50,040 --> 00:15:52,800 TO OTHER FACTORS AND RISKS SUCH 371 00:15:52,800 --> 00:15:54,920 AS DIABETES AND KIDNEY DISEASE 372 00:15:54,920 --> 00:15:57,280 OR EVEN CHRONIC PAIN AND 373 00:15:57,280 --> 00:15:59,280 FATIGUE. 374 00:15:59,280 --> 00:16:00,720 IF WE LOOK AT THIS SLEEP THROUGH 375 00:16:00,720 --> 00:16:02,920 A LENS OF THINGS THAT AFFECT ALL 376 00:16:02,920 --> 00:16:05,640 OF US, ACTIVITY, PSYCHOSOCIAL 377 00:16:05,640 --> 00:16:07,680 STRESS, GOOD OR NOT SO GOOD 378 00:16:07,680 --> 00:16:09,800 DIETS AND OUR CONNECT TO OUR 379 00:16:09,800 --> 00:16:12,640 SOCIAL NETWORK, WE KNOW ALL THIS 380 00:16:12,640 --> 00:16:13,800 CAN AFFECT OUR SLEEP QUALITY. 381 00:16:13,800 --> 00:16:15,880 IF WE ADD THE LAYER OF DIMENSION 382 00:16:15,880 --> 00:16:17,640 OF A SEX AND GENDER LENS ON TOP 383 00:16:17,640 --> 00:16:22,000 OF THAT, WE REALIZE THAT 384 00:16:22,000 --> 00:16:25,320 PUBERTY, MENSTRUATION, MENOPAUSE 385 00:16:25,320 --> 00:16:27,080 AND FEMALE SPECIFIC STAGES OF 386 00:16:27,080 --> 00:16:31,160 LIFE ADD A LAYER OF COMPLEXITY. 387 00:16:31,160 --> 00:16:32,080 WE KNOW HOW IMPORTANT SLEEP TO 388 00:16:32,080 --> 00:16:34,080 FEELING GOOD AND PERFORMING OUR 389 00:16:34,080 --> 00:16:35,880 BEST BUT I WANT TO ADD PROPER 390 00:16:35,880 --> 00:16:39,040 SLEEP IS CENTRAL TO GOOD HEALTH. 391 00:16:39,040 --> 00:16:40,680 SLEEP DEFICIENCY IS LINKED TO 392 00:16:40,680 --> 00:16:42,720 MANY CONDITIONS AS A MENTIONED. 393 00:16:42,720 --> 00:16:51,560 IN FACT, IT WAS THE SLEEP AID 394 00:16:51,560 --> 00:16:54,440 AMBIEN TO LOWER THE DOSAGE FOR 395 00:16:54,440 --> 00:16:56,840 WOMEN THAT BROUGHT THE ATTENTION 396 00:16:56,840 --> 00:16:58,480 TO SLEEP AND SLEEP DISORDERS TO 397 00:16:58,480 --> 00:17:00,320 THE GENERAL PUBLIC'S ATTENTION. 398 00:17:00,320 --> 00:17:02,080 THIS SLIDE HIGHLIGHTS SOME OF 399 00:17:02,080 --> 00:17:03,880 THE DIFFERENCES BETWEEN MEN AND 400 00:17:03,880 --> 00:17:05,360 WOMEN AND THIS HIGHLIGHTS THE 401 00:17:05,360 --> 00:17:07,080 LIFE COURSE OF WOMEN FROM LEFT 402 00:17:07,080 --> 00:17:07,840 TO RIGHT. 403 00:17:07,840 --> 00:17:11,680 THE CHILDHOOD THROUGH PUBERTY, 404 00:17:11,680 --> 00:17:20,360 REPRODUCTIVE YEARS, PERI 405 00:17:20,360 --> 00:17:21,160 PERIMENOPAUSE AND WOMEN HAVE 406 00:17:21,160 --> 00:17:23,640 DISTINCT SLEEP CHALLENGES AND 407 00:17:23,640 --> 00:17:24,840 RESPOND DIFFERENTLY TO SLEEP 408 00:17:24,840 --> 00:17:25,160 DISORDERS. 409 00:17:25,160 --> 00:17:26,880 IN THE RED YOU CAN SEE WAKE 410 00:17:26,880 --> 00:17:28,280 AFTER SLEEP ONSET AND YOU CAN 411 00:17:28,280 --> 00:17:31,000 SEE FROM CHILDHOOD TO ADULTS, 412 00:17:31,000 --> 00:17:34,120 THAT WAKING AFTER SLEEP ONSET 413 00:17:34,120 --> 00:17:36,680 INCREASES THE TOTAL SLEEP TIME 414 00:17:36,680 --> 00:17:37,920 DECREASES THAT'S THE LIGHT BLUE 415 00:17:37,920 --> 00:17:42,760 BAR AND AT THE BOTTOM YOU SEE 416 00:17:42,760 --> 00:17:44,000 ESTROGEN AND PROGESTERONE LEVELS 417 00:17:44,000 --> 00:17:45,520 AND HOW THEY CHANGE AND IT'S 418 00:17:45,520 --> 00:17:47,520 IMPORTANT TO CONSIDER THE 419 00:17:47,520 --> 00:17:49,320 HORMONAL AND LIFE STAGE CHANGES 420 00:17:49,320 --> 00:17:50,680 AS WE APPROACH SLEEP RESEARCH 421 00:17:50,680 --> 00:17:55,680 HERE AT NIH. 422 00:17:55,680 --> 00:17:57,640 IT'S MY PLEASURE TO INTRODUCE TO 423 00:17:57,640 --> 00:18:00,440 YOU ALL DR. BROWN THE DIRECTOR 424 00:18:00,440 --> 00:18:05,520 OF THE NATIONAL CENTER ON SLEEP 425 00:18:05,520 --> 00:18:06,560 DISORDERS RESEARCH HOW MUCH IN 426 00:18:06,560 --> 00:18:07,160 THE NATIONAL HEART, LUNG AND 427 00:18:07,160 --> 00:18:07,880 BLOOD INSTITUTE AND THEY HAVE A 428 00:18:07,880 --> 00:18:10,600 NEW PLAN THAT TARGETS SEX 429 00:18:10,600 --> 00:18:12,840 DIFFERENCES AND SETS HIGH 430 00:18:12,840 --> 00:18:14,080 PRIORITY RESEARCH AREAS. 431 00:18:14,080 --> 00:18:15,480 WE'RE PARTICULARLY EXCITED TO 432 00:18:15,480 --> 00:18:17,280 SEE UNDER THE GOALS BEYOND 433 00:18:17,280 --> 00:18:19,160 STUDYING SLEEP AND CIRCADIAN 434 00:18:19,160 --> 00:18:21,360 RHYTHM MECHANISMS UNDERLYING 435 00:18:21,360 --> 00:18:23,880 HEALTH DISEASE AND UNDERSTANDING 436 00:18:23,880 --> 00:18:25,240 SLEEP'S ROLE IN HEALTH 437 00:18:25,240 --> 00:18:27,520 DISPARITIES INCLUDING WOMEN'S 438 00:18:27,520 --> 00:18:30,800 HEALTH AND WE SEE THAT GOAL 4 439 00:18:30,800 --> 00:18:32,000 SETS OUT HOW PRIORITY RESEARCH 440 00:18:32,000 --> 00:18:35,200 AREAS THAT INCLUDE SEX AND 441 00:18:35,200 --> 00:18:36,080 GENDER DIFFERENCES. 442 00:18:36,080 --> 00:18:39,320 HERE'S A QUOTE FROM THE PLAN 443 00:18:39,320 --> 00:18:43,440 WHICH INCORPORATES CROSS-CUTTING 444 00:18:43,440 --> 00:18:44,080 PRIORITIES ADDRESSING MINORITY 445 00:18:44,080 --> 00:18:48,200 HEALTH DISPARITIES AND SEX AS A 446 00:18:48,200 --> 00:18:51,240 VARIABLE ARTICULATED IN THE PLAN 447 00:18:51,240 --> 00:18:53,880 AS IS INCLUSION ACROSS THE LIFE 448 00:18:53,880 --> 00:18:55,600 SPAN AND THE OPIOID EPIDEMIC AND 449 00:18:55,600 --> 00:18:59,560 ITS SLEEP CONSEQUENCES. 450 00:18:59,560 --> 00:19:03,440 NOW MOVE TO ORWH AND NIH 451 00:19:03,440 --> 00:19:03,680 UPDATES. 452 00:19:03,680 --> 00:19:05,960 SO WE HAVE LEADERSHIP UPDATES TO 453 00:19:05,960 --> 00:19:08,560 SHARE WITH YOU. 454 00:19:08,560 --> 00:19:10,320 AS YOU KNOW, DR. LAWRENCE TABAK 455 00:19:10,320 --> 00:19:13,480 IS NOW THE ACTING NIH DISTRICT. 456 00:19:13,480 --> 00:19:18,280 DR. TARA SCHWETS IS THE ACTING 457 00:19:18,280 --> 00:19:20,600 PRINCIPLE INVESTIGATOR AND DR. 458 00:19:20,600 --> 00:19:22,000 DRDR. 459 00:19:22,000 --> 00:19:29,080 DR. AKLIN IS THE ASSOCIATE DEEP 460 00:19:29,080 --> 00:19:32,520 -- DIRECTOR AND WE WELCOME A 461 00:19:32,520 --> 00:19:35,880 NEW DIRECTOR OF NIDCR. 462 00:19:35,880 --> 00:19:38,360 ANOTHER IMPORTANT UPDATE IS OUR 463 00:19:38,360 --> 00:19:42,640 RANKING FROM NIH AS A HIGH 464 00:19:42,640 --> 00:19:43,720 PERFORMER IN THE GLOBAL HEALTH 465 00:19:43,720 --> 00:19:44,480 5050 REPORT. 466 00:19:44,480 --> 00:19:46,720 THIS SAY REPORT THAT ASSESSES 467 00:19:46,720 --> 00:19:47,800 GENDER-RELATED POLICIES, 468 00:19:47,800 --> 00:19:50,480 PRACTICES AND OUTCOMES OF THE 469 00:19:50,480 --> 00:19:53,680 200 LEADING ORGANIZATIONS ACTIVE 470 00:19:53,680 --> 00:19:56,240 AND GLOBAL AND EXAMINED WHETHER 471 00:19:56,240 --> 00:19:59,040 AND HOW THEY'RE ADDRESSING 472 00:19:59,040 --> 00:19:59,760 EQUALITY AND OPPORTUNITY AND 473 00:19:59,760 --> 00:20:01,640 THOSE WHO BENEFIT FROM THE 474 00:20:01,640 --> 00:20:04,280 GLOBAL HEALTH SYSTEM AND NIH WAS 475 00:20:04,280 --> 00:20:07,360 ONE OF 37 HIGH-PERFORMING 476 00:20:07,360 --> 00:20:08,360 ORGANIZATIONS PUTTING IT IN THE 477 00:20:08,360 --> 00:20:11,120 TOP 30% OF ORGANIZATIONS. 478 00:20:11,120 --> 00:20:13,760 WE CERTAINLY STILL HAVE WORK TO 479 00:20:13,760 --> 00:20:15,560 DO BUT WE ARE SO PLEASED THAT IN 480 00:20:15,560 --> 00:20:18,200 TERMS OF OUR COMMITMENT TO 481 00:20:18,200 --> 00:20:19,640 GENDER EQUALITY, PUBLIC 482 00:20:19,640 --> 00:20:22,600 DEFINITION OF GENDER AND THE 483 00:20:22,600 --> 00:20:23,840 OTHER VARIABLES IN TEAL ON THE 484 00:20:23,840 --> 00:20:26,760 BOTTOM RIGHT, THESE ARE THE 485 00:20:26,760 --> 00:20:29,120 AREAS WHERE NIH PERFORMED WELL 486 00:20:29,120 --> 00:20:30,520 AND WE SCORED HIGHLY. 487 00:20:30,520 --> 00:20:32,080 I'M PLEASED TO SHARE THIS 488 00:20:32,080 --> 00:20:34,680 INFORMATION WITH YOU AND LOOK 489 00:20:34,680 --> 00:20:35,840 FORWARD TO CONTINUING TO IMPROVE 490 00:20:35,840 --> 00:20:39,720 OUR PERFORMANCE THERE. 491 00:20:39,720 --> 00:20:41,440 SIMILARLY, AS YOU HEARD FROM 492 00:20:41,440 --> 00:20:43,480 DR. NOURSI, THE NIH REPORT OF 493 00:20:43,480 --> 00:20:44,520 THE ADVISORY COMMITTEE ON 494 00:20:44,520 --> 00:20:46,720 RESEARCH ON WOMEN'S HEALTH, THIS 495 00:20:46,720 --> 00:20:50,240 GROUP FISCAL YEARS 2019, 2020 496 00:20:50,240 --> 00:20:55,680 KNOWN AS THE BIENNIAL REPORT WAS 497 00:20:55,680 --> 00:20:55,960 RELEASED. 498 00:20:55,960 --> 00:20:56,880 THANK YOU ADVISORY COMMITTEE 499 00:20:56,880 --> 00:20:59,680 MEMBERS FOR YOUR AMAZING WORK IN 500 00:20:59,680 --> 00:21:00,600 CREATING THIS IMPORTANT 501 00:21:00,600 --> 00:21:00,880 DOCUMENT. 502 00:21:00,880 --> 00:21:04,160 IT HIGHLIGHTS EACH OF THE 27 503 00:21:04,160 --> 00:21:06,000 INSTITUTES AND CENTER'S EFFORTS 504 00:21:06,000 --> 00:21:09,080 RELATED TO WOMEN'S HEALTH OR 505 00:21:09,080 --> 00:21:11,720 ORWH'S ACTIVITIES, INCLUSION 506 00:21:11,720 --> 00:21:13,640 POLICIES AND PRESENTS 507 00:21:13,640 --> 00:21:15,080 INFORMATION ON NIH'S WOMEN'S 508 00:21:15,080 --> 00:21:17,680 HEALTH RESEARCH FUNDING 509 00:21:17,680 --> 00:21:18,000 EXPENDITURES. 510 00:21:18,000 --> 00:21:20,080 AND FOR THE FIRST TIME WE HAVE A 511 00:21:20,080 --> 00:21:21,600 NEW SECTION ON THE NIH WORKFORCE 512 00:21:21,600 --> 00:21:23,080 AND NIH GRANTEES. 513 00:21:23,080 --> 00:21:24,560 I'M GOING TO SHARE A LITTLE BIT 514 00:21:24,560 --> 00:21:25,160 OF THAT NEW INFORMATION WITH 515 00:21:25,160 --> 00:21:27,560 YOU. 516 00:21:27,560 --> 00:21:29,840 HERE YOU CAN SEE THIS FIGURE 517 00:21:29,840 --> 00:21:32,560 WHICH REPRESENTS FISCAL YEAR 518 00:21:32,560 --> 00:21:35,440 2020 DATA ON THE SCIENTIFIC AND 519 00:21:35,440 --> 00:21:37,000 INFRASTRUCTURE MAKEUP OF THE NIH 520 00:21:37,000 --> 00:21:38,760 WORKFORCE. 521 00:21:38,760 --> 00:21:39,480 EXTRAMURAL ON THE LEFT AND 522 00:21:39,480 --> 00:21:41,240 INTRAMURAL ON THE RIGHT. 523 00:21:41,240 --> 00:21:43,920 THE DARK BLUE BARS REPRESENT IN 524 00:21:43,920 --> 00:21:46,120 SCIENTIFIC OCCUPATIONS. 525 00:21:46,120 --> 00:21:47,880 THE ORANGE BARS REPRESENT MALES 526 00:21:47,880 --> 00:21:50,200 IN SCIENTIFIC OCCUPATIONS AND 527 00:21:50,200 --> 00:21:51,040 THE LIGHTER BARS REPRESENT 528 00:21:51,040 --> 00:21:53,080 INFRASTRUCTURE OCCUPATIONS. 529 00:21:53,080 --> 00:21:57,280 YOU CAN SEE IN THE EXTRAMURAL 530 00:21:57,280 --> 00:21:59,440 SIDE THERE'S GREATER NUMBERS OF 531 00:21:59,440 --> 00:22:00,480 FEMALES IN THE EXTRAMURAL 532 00:22:00,480 --> 00:22:01,880 WORKFORCE AT NIH THAN MALES. 533 00:22:01,880 --> 00:22:04,440 IT'S MORE DIVERSE FROM A GENDER 534 00:22:04,440 --> 00:22:04,960 PERSPECTIVE. 535 00:22:04,960 --> 00:22:07,880 BUT IF YOU LOOK AT INTRAMURAL, 536 00:22:07,880 --> 00:22:10,360 WE SEE THE OPPOSITE PATTERN WITH 537 00:22:10,360 --> 00:22:11,880 GREATER NUMBER OF MALES IN 538 00:22:11,880 --> 00:22:16,320 SCIENTIFIC OCCUPATIONS MORE 539 00:22:16,320 --> 00:22:18,480 SIMILAR WHAT WE SEE AND THOUGHT 540 00:22:18,480 --> 00:22:21,120 IT WAS IMPORTANT TO SHARE THE 541 00:22:21,120 --> 00:22:22,160 DIFFERENCES BY EXTRAMURAL AND 542 00:22:22,160 --> 00:22:24,520 INTRAMURAL AND THAT DATA IS 543 00:22:24,520 --> 00:22:26,440 INCLUDED IN THE BIENNIAL REPORT. 544 00:22:26,440 --> 00:22:28,920 HERE'S DATA ON GRANTEES ON 545 00:22:28,920 --> 00:22:30,440 INVESTIGATORS THAT WE FUND AND 546 00:22:30,440 --> 00:22:33,480 THIS IS JUST WOMEN IN THIS 547 00:22:33,480 --> 00:22:35,040 GRAPH. 548 00:22:35,040 --> 00:22:37,600 WE SEE GREATER PARITY IN CAREERS 549 00:22:37,600 --> 00:22:39,640 IN THE MIDDLE RESEARCH CAREERS 550 00:22:39,640 --> 00:22:41,200 AND WE SEE PARITY BEYOND 50% 551 00:22:41,200 --> 00:22:43,120 WOMEN ARE GETTING MORE OF THOSE 552 00:22:43,120 --> 00:22:44,960 K AWARDS THAN MEN AND HAVE FOR 553 00:22:44,960 --> 00:22:46,680 SEVERAL YEARS. 554 00:22:46,680 --> 00:22:47,960 THESE ARE FOUR YEARS SUMMARIZED 555 00:22:47,960 --> 00:22:50,640 IN THE SLIDE. 556 00:22:50,640 --> 00:22:52,280 YOU CAN SEE AN INCREASE IN THE 557 00:22:52,280 --> 00:22:55,160 PROPORTION OF WOMEN GRANTEES OR 558 00:22:55,160 --> 00:22:57,520 CENTER GRANTS INCREASED 26% OVER 559 00:22:57,520 --> 00:23:00,760 THE LAST FOUR YEARS. 560 00:23:00,760 --> 00:23:03,120 A SOMEWHAT SMALLER INCREASE IN 561 00:23:03,120 --> 00:23:06,880 RPGs, 9.4%. 562 00:23:06,880 --> 00:23:08,600 NO CHANGE IN SPIR, BUSINESS AND 563 00:23:08,600 --> 00:23:15,200 INNOVATION AWARDS HERE. 564 00:23:15,200 --> 00:23:17,560 HERE WE'RE LOOKING AT WOMEN 565 00:23:17,560 --> 00:23:20,680 RESEARCHERS AND RO1 EQUIVALENT 566 00:23:20,680 --> 00:23:22,240 GRANT SUCCESS FOR OVER A 567 00:23:22,240 --> 00:23:24,440 FOUR-YEAR PERIOD BY RACE AND 568 00:23:24,440 --> 00:23:24,680 ETHNICITY. 569 00:23:24,680 --> 00:23:27,080 SO 2016 ON THE LEFT, 2020 ON THE 570 00:23:27,080 --> 00:23:27,600 RIGHT. 571 00:23:27,600 --> 00:23:31,880 AND WHAT YOU CAN SEE IS THAT FOR 572 00:23:31,880 --> 00:23:34,760 RO1 EQUIVALENT GRANTS BY WAY OF 573 00:23:34,760 --> 00:23:35,760 BACKGROUND THE SUCCEED RATES 574 00:23:35,760 --> 00:23:37,360 AMONG WOMEN GENERALLY IS LOWER 575 00:23:37,360 --> 00:23:40,400 THAN THAT OF MEN AND THEN FOR 576 00:23:40,400 --> 00:23:41,800 FEMALES FROM UNDER REPRESENTED 577 00:23:41,800 --> 00:23:43,800 RACIAL AND ETHNIC GROUPS WERE 578 00:23:43,800 --> 00:23:46,880 GENERALLY LOWER THAN THAT OF ALL 579 00:23:46,880 --> 00:23:48,800 FEMALE INVESTIGATORS COMBINED. 580 00:23:48,800 --> 00:23:50,200 BLACK FEMALE INVESTIGATORS SAW 581 00:23:50,200 --> 00:23:53,400 THE LOWEST SUCCESS RATE FROM 582 00:23:53,400 --> 00:23:56,240 UNDER REPRESENTED GROUPS RANGING 583 00:23:56,240 --> 00:24:00,440 FROM 12% AND 18.1%. 584 00:24:00,440 --> 00:24:01,800 THESE ARE QUITE UNSTABLE AND 585 00:24:01,800 --> 00:24:04,560 CHANGING OVER FOUR YEARS AND THE 586 00:24:04,560 --> 00:24:05,640 ONSET OF THE PANDEMIC IS HERE AS 587 00:24:05,640 --> 00:24:06,280 WELL. 588 00:24:06,280 --> 00:24:08,280 WE SAW DIFFERENCES IN THE 589 00:24:08,280 --> 00:24:09,960 SUCCESS RATE OF ASIAN 590 00:24:09,960 --> 00:24:12,360 INVESTIGATORS THAT WENT UP AND 591 00:24:12,360 --> 00:24:15,000 BACK DOWN AND THEN HISPANIC 592 00:24:15,000 --> 00:24:16,600 FEMALE INVESTIGATORS DID 593 00:24:16,600 --> 00:24:17,520 INCREASE OVER TIME. 594 00:24:17,520 --> 00:24:27,080 I WANTED TO SHARE WITH YOU THIS 595 00:24:27,080 --> 00:24:27,360 D 596 00:24:27,360 --> 00:24:28,240 DISAGGREGATED DATA AND THIS IT 597 00:24:28,240 --> 00:24:31,880 THE TYPE OF THE ICEBERG IN THE 598 00:24:31,880 --> 00:24:40,760 INFORMATION IN THE BINE -- BUY 599 00:24:51,320 --> 00:24:53,440 REPORT AND WE LOOKED AT THE 600 00:24:53,440 --> 00:24:55,960 POLICIES AND CAREER ISSUES AND 601 00:24:55,960 --> 00:24:57,120 SUMMARIZED SOME OF THE WAYS ORWH 602 00:24:57,120 --> 00:24:58,120 HAS ADVANCED EFFORTS. 603 00:24:58,120 --> 00:24:59,680 TAKE A LOOK AT THAT PUBLICATION 604 00:24:59,680 --> 00:25:01,880 AND YOU'LL GET A NICE SUMMARY OF 605 00:25:01,880 --> 00:25:04,680 INFORMATION AND ADVANCES WE WANT 606 00:25:04,680 --> 00:25:09,480 TO BRING TO YOUR ATTENTION THREE 607 00:25:09,480 --> 00:25:10,680 INCLUSION-RELATED REPORTS. 608 00:25:10,680 --> 00:25:13,640 THE GAO REPORT DR. NOURSI 609 00:25:13,640 --> 00:25:16,360 SUMMARIZED FOR YOU IS LISTED 610 00:25:16,360 --> 00:25:19,520 HERE, A NATIONAL ACADEMIES OF 611 00:25:19,520 --> 00:25:25,600 AND ENGINEERING REPORT ON SEX 612 00:25:25,600 --> 00:25:27,000 AND GENDER TERMINOLOGY AND 613 00:25:27,000 --> 00:25:28,880 GENDER IDENTITY AND SEXUAL 614 00:25:28,880 --> 00:25:30,480 ORIENTATION AND OUTLINED GUIDING 615 00:25:30,480 --> 00:25:36,560 PRINCIPLES AND I DO WANT TO CITE 616 00:25:36,560 --> 00:25:40,080 AN EQUATOR NETWORK STUDIED WITH 617 00:25:40,080 --> 00:25:42,280 SEX AND GENDER CONCEPTS INTO 618 00:25:42,280 --> 00:25:43,800 PUBLISHED REPORTING GUIDELINES 619 00:25:43,800 --> 00:25:47,640 AND LOOKED AT 407 GUIDELINES, 620 00:25:47,640 --> 00:25:49,320 57% ALMOST 58% MENTIONED AT 621 00:25:49,320 --> 00:25:52,840 LEAST ONE SEX AND GENDER RELATED 622 00:25:52,840 --> 00:25:57,000 WORD, 13.8 MENTIONED SEX, 11% 623 00:25:57,000 --> 00:25:59,280 MENTIONED GENDER. 624 00:25:59,280 --> 00:26:01,360 ONLY THE SEX AND GENDER EQUITY 625 00:26:01,360 --> 00:26:03,760 AND RESEARCH GUIDELINES MET THE 626 00:26:03,760 --> 00:26:05,880 CRITERIA FOR CORRECT USE OF SEX 627 00:26:05,880 --> 00:26:11,680 AND GENDER CONTEXT AND THIS 628 00:26:11,680 --> 00:26:12,960 REPORT RECOMMENDED THAT THEY 629 00:26:12,960 --> 00:26:14,880 SHOULD ENCOURAGE DEVELOPERS TO 630 00:26:14,880 --> 00:26:19,760 UPDATE GUIDANCE AND PROVIDE MORE 631 00:26:19,760 --> 00:26:22,280 OPERATIVE INFORMATION AND YOU'LL 632 00:26:22,280 --> 00:26:24,320 HEAR FROM THE NIH INCLUSION 633 00:26:24,320 --> 00:26:25,880 OFFICER TODAY FOR A FULL REPORT 634 00:26:25,880 --> 00:26:30,520 ON NIH INCLUSION. 635 00:26:30,520 --> 00:26:31,680 NEXT WE'LL MOVE INTO THE 636 00:26:31,680 --> 00:26:32,560 SCIENTIFIC COLLABORATIONS I'D 637 00:26:32,560 --> 00:26:35,200 LIKE TO SHARE WITH YOU. 638 00:26:35,200 --> 00:26:37,800 THE NIH APPROVE INITIATIVE. 639 00:26:37,800 --> 00:26:39,440 YOU HEARD ABOUT BEFORE WE'RE NOW 640 00:26:39,440 --> 00:26:41,240 IN YEAR THREE. 641 00:26:41,240 --> 00:26:43,960 AN NIH WIDE PROGRAMS THAT SEEKS 642 00:26:43,960 --> 00:26:46,960 TO PREVENT MATERNAL DEATHS AND 643 00:26:46,960 --> 00:26:49,040 HEALTH EQUITY BEFORE AND AFTER 644 00:26:49,040 --> 00:26:51,520 PREGNANCY AND AFTER THE YEARS WE 645 00:26:51,520 --> 00:26:54,320 FOCUSSED ON BIOLOGICAL AND 646 00:26:54,320 --> 00:26:57,240 BEHAVIORAL AND SOCIAL, CULTURAL 647 00:26:57,240 --> 00:26:59,480 AND OTHER STRUCTURES 648 00:26:59,480 --> 00:27:01,280 CONTRIBUTING TO MORBIDITY AND 649 00:27:01,280 --> 00:27:02,880 MORTALITY AND LEADING CAUSES 650 00:27:02,880 --> 00:27:06,480 MUCH DEATH LIKE CARDIOVASCULAR 651 00:27:06,480 --> 00:27:09,920 DISEASE AND INFECTIONS SUCH AS 652 00:27:09,920 --> 00:27:11,520 COVID-19, IMPORTANTLY MENTAL 653 00:27:11,520 --> 00:27:12,760 HEALTH CONDITIONS, SUBSTANCE 654 00:27:12,760 --> 00:27:13,840 USE, DIABETES AND OBESITY HAVE 655 00:27:13,840 --> 00:27:15,680 BEEN AREAS OF FOCUS OVER THE 656 00:27:15,680 --> 00:27:16,480 LAST SEVERAL YEARS. 657 00:27:16,480 --> 00:27:21,560 WE ALSO INCORPORATED 658 00:27:21,560 --> 00:27:23,880 GEOGRAPHICAL DIFFERENCES AND THE 659 00:27:23,880 --> 00:27:26,040 IMPORTANCE IN OBSTETRICAL HEALTH 660 00:27:26,040 --> 00:27:27,080 AND SOCIAL DETERMINATES OF 661 00:27:27,080 --> 00:27:27,520 HEALTH. 662 00:27:27,520 --> 00:27:29,880 WE HAVE CONTRIBUTED OVER $20 663 00:27:29,880 --> 00:27:32,480 MILLION SUPPORTING 58 AWARDS AND 664 00:27:32,480 --> 00:27:35,200 THE RECIPIENTS HAVE BEEN AT 43 665 00:27:35,200 --> 00:27:38,560 INSTITUTIONS ACROSS 21 STATES. 666 00:27:38,560 --> 00:27:44,680 AND THE FY22 NIH BUDGET INCLUDES 667 00:27:44,680 --> 00:27:46,320 THE GROUP AND WE'LL WORK WITH 668 00:27:46,320 --> 00:27:47,880 THE TASK FORCE I HAVE THE 669 00:27:47,880 --> 00:27:49,840 PRIVILEGE OF CO-CHAIRING WITH 670 00:27:49,840 --> 00:27:51,360 THE DIRECTOR OF NICHD AND ONE OF 671 00:27:51,360 --> 00:27:53,720 THE O.D. DIRECTORS. 672 00:27:53,720 --> 00:27:55,480 HERE'S A LITTLE BIT OF A CLOSER 673 00:27:55,480 --> 00:27:57,840 LOOK AT SOME OF THE FUNDING 674 00:27:57,840 --> 00:28:01,880 ACTIVITIES FOR THE GROUP AND THE 675 00:28:01,880 --> 00:28:02,920 SPECIFIC NOTICES OF SPECIAL 676 00:28:02,920 --> 00:28:06,240 INTEREST AND OUR ORWH EFFORTS IN 677 00:28:06,240 --> 00:28:06,480 IMPROVE. 678 00:28:06,480 --> 00:28:08,480 FOR FY21 WE FOCUSSED ON 679 00:28:08,480 --> 00:28:11,880 INEQUITIES IN BIRTH OUTCOMES 680 00:28:11,880 --> 00:28:12,720 WITH NICHD. 681 00:28:12,720 --> 00:28:18,480 OPIOID USE WITH NIDA, COVID-19 682 00:28:18,480 --> 00:28:22,040 AND PREGNANCY WITH NHLBI AND 683 00:28:22,040 --> 00:28:23,320 RACIAL DISCRIMINATION WITH NIMH 684 00:28:23,320 --> 00:28:25,280 AND WE FOCUSSED ON WELLNESS AND 685 00:28:25,280 --> 00:28:27,560 PREVENTIVE SERVICES LAST YEAR 686 00:28:27,560 --> 00:28:30,480 WITH A DIGITAL TOOL FOR 687 00:28:30,480 --> 00:28:31,720 LIBRARIANS AND LIBRARY PATRONS 688 00:28:31,720 --> 00:28:34,120 AND HELPS TO GET INFORMATION 689 00:28:34,120 --> 00:28:35,360 ABOUT PREVENTION INTO THE PUBLIC 690 00:28:35,360 --> 00:28:38,280 IN A MORE ACCESSIBLE WAY. 691 00:28:38,280 --> 00:28:40,880 WE HEARD FROM THE IMPROVE 692 00:28:40,880 --> 00:28:43,120 GRANTEES IN FEBRUARY AND IN 693 00:28:43,120 --> 00:28:44,440 JANUARY HAD A WORKSHOP ON 694 00:28:44,440 --> 00:28:46,760 TECHNOLOGY TO IMPROVE MATERNAL 695 00:28:46,760 --> 00:28:49,160 HEALTH IN THE COMMUNITY. 696 00:28:49,160 --> 00:28:50,080 AND THE INTERSTITIAL SLIDES 697 00:28:50,080 --> 00:28:51,880 YOU'LL HAVE MORE DETAILS ABOUT 698 00:28:51,880 --> 00:28:53,640 ACTIVITIES. 699 00:28:53,640 --> 00:28:55,480 IN ADDITION, WE COLLABORATED 700 00:28:55,480 --> 00:28:56,840 WITH THE NATIONAL INSTITUTE OF 701 00:28:56,840 --> 00:28:58,000 MEDICAL SCIENCES AND THEIR IDEA 702 00:28:58,000 --> 00:29:00,160 STATES PROGRAM TO DEVELOP A 703 00:29:00,160 --> 00:29:01,440 WOMEN'S HEALTH RESEARCH PROGRAM 704 00:29:01,440 --> 00:29:03,960 AS PART OF IDEA STATE. 705 00:29:03,960 --> 00:29:06,360 AND TO HAVE ISSUED TWO FUNDING 706 00:29:06,360 --> 00:29:08,880 OPPORTUNITIES AND HIGHLIGHTED 707 00:29:08,880 --> 00:29:11,480 THE FUNDING HERE ABOUT $9 708 00:29:11,480 --> 00:29:15,000 MILLION AWARDED IN 18 IDEA 709 00:29:15,000 --> 00:29:17,000 STATES WITH 34 GRANTS AND ORWH 710 00:29:17,000 --> 00:29:18,720 FUNDED EIGHT OF SHOWS. 711 00:29:18,720 --> 00:29:20,920 MANY INSTITUTES AND CENTERS 712 00:29:20,920 --> 00:29:22,400 WORKED TOGETHER ON THAT AND THE 713 00:29:22,400 --> 00:29:23,880 TOPICS ARE LISTED HERE. 714 00:29:23,880 --> 00:29:26,160 YOU CAN SEE THEY RANGE FROM 715 00:29:26,160 --> 00:29:27,880 SEXUAL AND REPRODUCTIVE HEALTH 716 00:29:27,880 --> 00:29:30,960 TO FETAL GROWTH AND INCLUDE 717 00:29:30,960 --> 00:29:32,000 MATERNAL OBESITY. 718 00:29:32,000 --> 00:29:33,360 MATERNAL HEALTH WAS PRIORITIZED 719 00:29:33,360 --> 00:29:35,080 IN THE WOMEN'S HEALTH PROGRAM. 720 00:29:35,080 --> 00:29:36,880 I'LL HIGHLIGHT TWO OF THOSE 721 00:29:36,880 --> 00:29:37,360 HERE. 722 00:29:37,360 --> 00:29:38,320 AT MARSHALL UNIVERSITY THEY'RE 723 00:29:38,320 --> 00:29:40,480 LOOKING AT THE RISK OF MATERNAL 724 00:29:40,480 --> 00:29:48,920 IN PREGNANT WOMEN AND WITH 725 00:29:48,920 --> 00:29:50,080 OBESITY-SOCIE 726 00:29:50,080 --> 00:29:50,680 OBESITY-ASSOCIATED METABOLIC 727 00:29:50,680 --> 00:29:53,280 DISORDER AND IN LSU, THEY'RE 728 00:29:53,280 --> 00:29:54,720 LOOKING AT WHETHER WEIGHT LOSS 729 00:29:54,720 --> 00:29:57,560 AND EARLY PREGNANCY CAN ALTER 730 00:29:57,560 --> 00:30:00,280 GENETIC PROGRAMMING AND 731 00:30:00,280 --> 00:30:02,520 ATTENUATE THE RISK FOR ADULT 732 00:30:02,520 --> 00:30:04,880 ONSET METABOLIC DISEASE IN 733 00:30:04,880 --> 00:30:08,080 FEMALE OFFSPRING IN A MOUSE 734 00:30:08,080 --> 00:30:08,280 MODEL. 735 00:30:08,280 --> 00:30:14,600 THIS YEAR MARKS THE FIFTH 736 00:30:14,600 --> 00:30:18,080 ENFORCE ANNIVERSARY OF THE UNDER 737 00:30:18,080 --> 00:30:19,640 STUDIED POPULATIONS OF WOMEN. 738 00:30:19,640 --> 00:30:21,840 WE NOW INCLUDE INFORMATION ABOUT 739 00:30:21,840 --> 00:30:23,360 THE U3 FRAMEWORK. 740 00:30:23,360 --> 00:30:27,840 A PAGE FOR RESEARCHERS WITH 741 00:30:27,840 --> 00:30:30,520 DETAILS ABOUT THE FUNDING 742 00:30:30,520 --> 00:30:31,840 OPPORTUNITY ANNOUNCEMENTS AND 743 00:30:31,840 --> 00:30:33,960 EASY TO NAVIGATE TILES THAT 744 00:30:33,960 --> 00:30:36,080 EXPLORE PREVIOUS AND CURRENT 745 00:30:36,080 --> 00:30:37,280 PROJECTS AS WELL AS THE U3 746 00:30:37,280 --> 00:30:38,480 HEALTH LECTURE SERIES. 747 00:30:38,480 --> 00:30:41,880 THIS MAP IS ALSO INCLUDED 748 00:30:41,880 --> 00:30:43,120 HIGHLIGHTING THE SITES OF U3 749 00:30:43,120 --> 00:30:44,960 INVESTIGATORS AN YOU CAN LOOK AT 750 00:30:44,960 --> 00:30:48,800 PROJECTS BY THE U3 POPULATIONS 751 00:30:48,800 --> 00:30:50,480 AND SO THIS INFORMATION IS 752 00:30:50,480 --> 00:30:52,120 AVAILABLE TO YOU AND WE WILL BE 753 00:30:52,120 --> 00:30:55,040 FEATURING A U3 INVESTIGATOR 754 00:30:55,040 --> 00:30:57,280 QUARTERLY ON OUR WEBSITE. 755 00:30:57,280 --> 00:31:00,840 HERE WE'RE FEATURING THE WARTON 756 00:31:00,840 --> 00:31:03,120 DISTINGUISHED CHAIR AND 757 00:31:03,120 --> 00:31:04,280 GYNECOLOGY AND PROFESSOR AND 758 00:31:04,280 --> 00:31:05,640 CHAIR OF DEPARTMENT OF 759 00:31:05,640 --> 00:31:07,400 GYNECOLOGY AND REPRODUCTIVE 760 00:31:07,400 --> 00:31:09,720 MEDICINE AT UNIVERSITY OF TEXAS 761 00:31:09,720 --> 00:31:13,920 AND THE ANDERSON CANCER CENTER. 762 00:31:13,920 --> 00:31:15,440 MATERNAL MORBIDITY AND MORTALITY 763 00:31:15,440 --> 00:31:19,120 IS AN AREA WE HAVE A TOPIC WE 764 00:31:19,120 --> 00:31:19,760 HAVE BEEN PRIORITIZING AND I'M 765 00:31:19,760 --> 00:31:21,080 PLEASED TO SHARE MORE DETAILS 766 00:31:21,080 --> 00:31:24,560 WITH YOU ABOUT THE PATHWAYS TO 767 00:31:24,560 --> 00:31:26,840 PREVENTION PROGRAM OR P2P A 768 00:31:26,840 --> 00:31:28,440 PROGRAM LED BY THE NIH OFFICE OF 769 00:31:28,440 --> 00:31:29,760 DISEASE PREVENTION. 770 00:31:29,760 --> 00:31:30,760 WE'RE COLLABORATING WITH OTHER 771 00:31:30,760 --> 00:31:33,480 INSTITUTES AND CENTERS THAT HAVE 772 00:31:33,480 --> 00:31:34,880 PLAYED A LEADING ROLE IN 773 00:31:34,880 --> 00:31:36,520 IDENTIFYING THIS AREA AS AN AREA 774 00:31:36,520 --> 00:31:40,120 OF IMPORTANCE FOR PREVENTION 775 00:31:40,120 --> 00:31:40,920 RESEARCH AND WILL BE HOST 776 00:31:40,920 --> 00:31:42,880 WORKSHOP AT THE END OF THIS YEAR 777 00:31:42,880 --> 00:31:45,560 IDENTIFYING RISKS AND 778 00:31:45,560 --> 00:31:47,840 INTERVENTIONS TO OPTIMIZE POST 779 00:31:47,840 --> 00:31:50,840 PARTUM HEALTH. 780 00:31:50,840 --> 00:31:52,800 WE KNOW 60% OF MATERNAL DEATHS 781 00:31:52,800 --> 00:31:54,240 ARE PREVENTIBLE AND OVER HALF 782 00:31:54,240 --> 00:31:57,920 OCCUR AFTER THE DAY OF DELIVERY 783 00:31:57,920 --> 00:32:03,880 AND UP TO THE YEAR FIRST YEAR 784 00:32:03,880 --> 00:32:05,400 POSTPART 785 00:32:05,400 --> 00:32:05,680 POSTPARTUM. 786 00:32:05,680 --> 00:32:06,840 HERE'S A SCHEMATIC OF THE 787 00:32:06,840 --> 00:32:08,920 PROCESS AND WE'RE HERE WHERE THE 788 00:32:08,920 --> 00:32:09,920 CONTENT AREA OF EXPERTS HAVE 789 00:32:09,920 --> 00:32:11,920 BEEN MEETING AND LEADING UP TO 790 00:32:11,920 --> 00:32:15,480 OUR P2P WORKSHOP. 791 00:32:15,480 --> 00:32:18,720 AS PART OF THE COMPONENTS OF THE 792 00:32:18,720 --> 00:32:20,800 P2P WORKSHOP AND NIH PORTFOLIO 793 00:32:20,800 --> 00:32:23,880 ANALYSIS HAS PERFORMED, A 794 00:32:23,880 --> 00:32:26,280 SYSTEMATIC REVIEW AND REPORT IS 795 00:32:26,280 --> 00:32:27,400 GENERATED, PRESENTATIONS AND 796 00:32:27,400 --> 00:32:28,320 AUDIENCE PARTICIPATION ARE 797 00:32:28,320 --> 00:32:30,280 INCLUDED AND THE PANEL REPORT IS 798 00:32:30,280 --> 00:32:31,880 GENERATE AN INDEPENDENT PANEL. 799 00:32:31,880 --> 00:32:33,840 I WANT TO SHARE WITH YOU THE 800 00:32:33,840 --> 00:32:35,960 QUESTIONS BEING USED TO FRAME 801 00:32:35,960 --> 00:32:38,280 THE WORKSHOP AND ARC SYSTEMATIC 802 00:32:38,280 --> 00:32:39,080 EVIDENCE REVIEW. 803 00:32:39,080 --> 00:32:43,280 THE QUESTIONS ARE AT A BIRTH'S 804 00:32:43,280 --> 00:32:46,560 ENTRY INTO PRE-NATAL CARE WHAT 805 00:32:46,560 --> 00:32:52,880 COMBINATIONS OF FACTORS HAVE THE 806 00:32:52,880 --> 00:32:55,280 GREATEST AFFECT ON POSTPART UM 807 00:32:55,280 --> 00:32:57,160 OUTCOME AND DO THEY VARY BY RACE 808 00:32:57,160 --> 00:32:58,880 AND ETHNICITY AND THE QUESTIONS 809 00:32:58,880 --> 00:33:00,160 WERE ASKED IMMEDIATELY BEFORE 810 00:33:00,160 --> 00:33:03,000 AND AFTER DELIVERY AND BEFORE 811 00:33:03,000 --> 00:33:03,480 RELEASE FROM CARE. 812 00:33:03,480 --> 00:33:05,960 PLEASE STAY TUNED AND WE'LL BE 813 00:33:05,960 --> 00:33:06,720 ABLE TO SHARE INFORMATION ABOUT 814 00:33:06,720 --> 00:33:08,760 THE EXACT DATE OF THAT WORKSHOP 815 00:33:08,760 --> 00:33:12,280 WITH YOU WHEN THAT IS AVAILABLE. 816 00:33:12,280 --> 00:33:13,440 NEXT I'D LIKE TO SHARE WHAT'S 817 00:33:13,440 --> 00:33:15,880 NEW IN SEX AND GENDER. 818 00:33:15,880 --> 00:33:18,400 AND I'M GOING TO HIGHLIGHT ONE 819 00:33:18,400 --> 00:33:23,480 OF OURSELF AND GENDER RO1 820 00:33:23,480 --> 00:33:25,520 INVESTIGATORS, DR. JULIE SIMARD 821 00:33:25,520 --> 00:33:30,520 SHE'S PERFORMING CUTTING-EDGE 822 00:33:30,520 --> 00:33:32,520 RESEARCH AND UNCOVERING SEX AND 823 00:33:32,520 --> 00:33:34,520 GENDER END CRITICAL AREA AND 824 00:33:34,520 --> 00:33:37,960 LOOKING AT THE OVERRELIANCE IN 825 00:33:37,960 --> 00:33:40,480 THE POTENTIAL INCLUSIVE BIAS 826 00:33:40,480 --> 00:33:43,360 THAT MAY RESULT IN PERPETUATING 827 00:33:43,360 --> 00:33:44,800 DIAGNOSTIC DELAYS AND POOR 828 00:33:44,800 --> 00:33:48,760 MANAGEMENT FOR CERTAIN PATIENTS 829 00:33:48,760 --> 00:33:51,880 BASED ON OUR EVIDENCE BASE AND 830 00:33:51,880 --> 00:33:53,880 CLINICIANS USE SHORTCUTS IN 831 00:33:53,880 --> 00:33:57,360 DECISION MAKING FOR CONDITIONS 832 00:33:57,360 --> 00:34:00,000 THAT DO NOT HAVE DEFINITIVE 833 00:34:00,000 --> 00:34:04,600 DIAGNOSTIC TESTS AND RESEARCH 834 00:34:04,600 --> 00:34:07,880 SHOWS REPEATED ERRORS CAN LEAD 835 00:34:07,880 --> 00:34:09,880 TO CONFIRMATION BIAS IN EVIDENCE 836 00:34:09,880 --> 00:34:11,080 BASED BASED MEDICINE. 837 00:34:11,080 --> 00:34:13,400 SHE'S LOOKING AT WHEN PATIENTS 838 00:34:13,400 --> 00:34:16,480 DEVIATE FROM THE NORM BY SEX, 839 00:34:16,480 --> 00:34:18,680 GENDER, RACE AND ETHNICITY 840 00:34:18,680 --> 00:34:23,880 AFFECTS DO THEY HAVE ON THE 841 00:34:23,880 --> 00:34:25,920 PATIENT'S DIAGNOSES AND WHAT ARE 842 00:34:25,920 --> 00:34:28,800 CLINICIANS PERSPECTIVES 843 00:34:28,800 --> 00:34:29,400 REGARDING THESE DIFFERENTIAL 844 00:34:29,400 --> 00:34:32,400 DIAGNOSES. 845 00:34:32,400 --> 00:34:34,040 WE KNOW HYPERTENSION AS A 846 00:34:34,040 --> 00:34:38,280 SPECIFIC TOPIC HAS A 847 00:34:38,280 --> 00:34:41,160 DISPROPORTIONATE IMPACT ON 848 00:34:41,160 --> 00:34:42,080 AFRICAN AMERICAN WOMEN. 849 00:34:42,080 --> 00:34:43,000 AMONG AFRICAN AMERICAN WOMEN 850 00:34:43,000 --> 00:34:46,280 AGES 20 YEARS AND OLDER, NEARLY 851 00:34:46,280 --> 00:34:47,520 50%, HALF, HAVE HEART DISEASE 852 00:34:47,520 --> 00:34:51,040 AND MORE THAN 50% OF BLACK WOMEN 853 00:34:51,040 --> 00:34:54,480 OVER 20 HAVE HYPERTENSION. 854 00:34:54,480 --> 00:34:55,400 THIS TRANSLATES TO AFRICAN 855 00:34:55,400 --> 00:34:57,440 AMERICAN WOMEN BEING TWICE AS 856 00:34:57,440 --> 00:34:58,320 LIKELY TO HAVE STROKE AS 857 00:34:58,320 --> 00:35:00,000 COMPARED TO NON-HISPANIC WHITE 858 00:35:00,000 --> 00:35:02,320 WOMEN AND THE DATA ARE 859 00:35:02,320 --> 00:35:04,760 PARTICULARLY DISTURBING TO ME 860 00:35:04,760 --> 00:35:06,560 AND I HOLD THEM UP IN AS MANY 861 00:35:06,560 --> 00:35:08,280 STUDIES AS I CAN TO BRING 862 00:35:08,280 --> 00:35:09,640 ATTENTION TO THIS AREA. 863 00:35:09,640 --> 00:35:12,960 DR. GARY GIBBONS THE DIRECTOR OF 864 00:35:12,960 --> 00:35:16,520 NHLBI WILL BE SPEAKING TODAY AND 865 00:35:16,520 --> 00:35:17,360 THIS NHLBI RESEARCH DEMONSTRATE 866 00:35:17,360 --> 00:35:22,080 THE PANDEMIC HAS BEEN LINKED TO 867 00:35:22,080 --> 00:35:23,400 INCREASES IN BLOOD PRESSURE 868 00:35:23,400 --> 00:35:27,880 GREATEST AMONG WOMEN. 869 00:35:27,880 --> 00:35:31,880 THE BAR GRAPH SHOWS WOMEN AND 870 00:35:31,880 --> 00:35:37,760 MEN AND THE RED BAR IS COMPARED 871 00:35:37,760 --> 00:35:39,000 TO 2019. 872 00:35:39,000 --> 00:35:43,360 WE SEE THIS PARTICULARLY LARGE 873 00:35:43,360 --> 00:35:45,880 AND DIVERSE STUDY. 874 00:35:45,880 --> 00:35:47,840 IMPORTANTLY, WEIGHT GAIN WAS NOT 875 00:35:47,840 --> 00:35:50,280 THE REASON FOR THIS INCREASE IN 876 00:35:50,280 --> 00:35:51,960 HYPERTENSION. 877 00:35:51,960 --> 00:35:55,800 WE NEED TO LOOK AT THIS BECAUSE 878 00:35:55,800 --> 00:35:58,320 HYPERTENSION CAN TRANSLATE INTO 879 00:35:58,320 --> 00:35:59,760 CONSEQUENCES, CARDIOVASCULAR 880 00:35:59,760 --> 00:36:01,160 CONSEQUENCES, STROKE, HEART 881 00:36:01,160 --> 00:36:03,560 FAILURE, ETCETERA, LATER IN LIFE 882 00:36:03,560 --> 00:36:07,880 AND THIS SAY BROAD IMPACT 883 00:36:07,880 --> 00:36:08,320 REPORT. 884 00:36:08,320 --> 00:36:09,880 WE KNOW COVID-19 PANDEMIC HAS 885 00:36:09,880 --> 00:36:13,480 HAD SEX DIFFERENCES IN ITS 886 00:36:13,480 --> 00:36:15,120 IMPACT AND SO WE ARE NOW OUT ON 887 00:36:15,120 --> 00:36:16,680 THE STREET A REQUEST FOR 888 00:36:16,680 --> 00:36:19,560 INFORMATION ON THE INTERSECTION 889 00:36:19,560 --> 00:36:21,040 OF COVID-19 THE PANDEMIC ON LONG 890 00:36:21,040 --> 00:36:23,280 COVID AND ON WOMEN'S HEALTH. 891 00:36:23,280 --> 00:36:25,080 WE'RE LOOKING FOR THE INPUT FROM 892 00:36:25,080 --> 00:36:27,520 THE PUBLIC ON SEX DISPARITIES ON 893 00:36:27,520 --> 00:36:31,360 CLINICAL OUTCOMES, ON THE HEALTH 894 00:36:31,360 --> 00:36:32,800 CONSEQUENCES OF COVID-19 AND 895 00:36:32,800 --> 00:36:34,680 LONG COVID, SEX AND GENDER 896 00:36:34,680 --> 00:36:38,280 DIFFERENCES, REPRODUCTIVE HEALTH 897 00:36:38,280 --> 00:36:39,560 ISSUES, INTIMATE PARTNER 898 00:36:39,560 --> 00:36:41,080 VIOLENCE RELATED CONSEQUENCES, 899 00:36:41,080 --> 00:36:42,240 THE CONTEXT OF DISEASE TREATMENT 900 00:36:42,240 --> 00:36:46,120 AND THAT'S OUT ON THE STREET AND 901 00:36:46,120 --> 00:36:48,200 RESPONSES ARE DUE MAY 6. 902 00:36:48,200 --> 00:36:49,480 HELP US GET THE WORD OUT AND TO 903 00:36:49,480 --> 00:36:54,760 RECEIVE INPUT. 904 00:36:54,760 --> 00:36:58,120 HERE'S ANOTHER IMPORTANT RELATED 905 00:36:58,120 --> 00:37:01,200 PIECE OF INFORMATION ONLY ABOUT 906 00:37:01,200 --> 00:37:04,080 40% OF U.S. WOMEN WHO GAVE BIRTH 907 00:37:04,080 --> 00:37:06,600 IN 2019 HAD GOOD HEART HEALTH 908 00:37:06,600 --> 00:37:10,760 PRIOR TO THEIR PREGNANCY AND 909 00:37:10,760 --> 00:37:11,960 THAT IS A CHANGE IN THE 910 00:37:11,960 --> 00:37:14,080 PROPORTION OF PEOPLE WHO HAD 911 00:37:14,080 --> 00:37:17,000 GOOD HEALTH PRIOR TO BIRTH. 912 00:37:17,000 --> 00:37:18,600 YOUNGER WOMEN WERE MORE LIKELY 913 00:37:18,600 --> 00:37:21,640 TO HAVE GOOD HEART HEALTH AND 914 00:37:21,640 --> 00:37:22,400 THERE WERE GEOGRAPHIC 915 00:37:22,400 --> 00:37:23,480 DIFFERENCES WITH WOMEN LOCATED 916 00:37:23,480 --> 00:37:25,120 IN THE SOUTH AND MIDWEST AS 917 00:37:25,120 --> 00:37:27,160 BEING LESS LIKELY TO HAVE GOOD 918 00:37:27,160 --> 00:37:30,680 HEART HEALTH GOING INTO 919 00:37:30,680 --> 00:37:31,880 PREGNANCY TO RECEIVE STATE-LEVEL 920 00:37:31,880 --> 00:37:33,440 DIFFERENCES AND WE SEE 921 00:37:33,440 --> 00:37:34,720 DIFFERENCES BY MEDICAID 922 00:37:34,720 --> 00:37:36,680 ENROLLMENT AND EDUCATIONAL 923 00:37:36,680 --> 00:37:37,760 ATTAINMENT. 924 00:37:37,760 --> 00:37:40,680 SO THESE ARE DATA THAT AGAIN 925 00:37:40,680 --> 00:37:41,960 ALSO WERE NHLBI FUNDED. 926 00:37:41,960 --> 00:37:44,280 SO YOU'LL HEAR MORE ABOUT THEM 927 00:37:44,280 --> 00:37:44,480 LATER. 928 00:37:44,480 --> 00:37:47,320 THIS RESEARCH WAS FUNDED BY 929 00:37:47,320 --> 00:37:49,440 NHLBI, NIMH AND THE NATIONAL 930 00:37:49,440 --> 00:37:51,840 CANCER INSTITUTE AND LOOKED AT 931 00:37:51,840 --> 00:37:53,280 THE NURSES HEALTH STUDY OVER A 932 00:37:53,280 --> 00:37:54,280 LONG PERIOD, A LARGE NUMBER OF 933 00:37:54,280 --> 00:37:56,400 WOMEN AT THE CONSEQUENCES OF 934 00:37:56,400 --> 00:38:00,080 BOTH SEXUAL ASSAULT AND SEXUAL 935 00:38:00,080 --> 00:38:00,560 HARASSMENT. 936 00:38:00,560 --> 00:38:03,680 WE KNOW EXPERIENCES OF SEXUAL 937 00:38:03,680 --> 00:38:06,680 VIOLENCE WERE COMMON ABOUT 22% 938 00:38:06,680 --> 00:38:09,320 OF WOMEN IN THE STUDY EXPERIENCE 939 00:38:09,320 --> 00:38:11,880 SEXUAL ASSAULT AND 12% 940 00:38:11,880 --> 00:38:13,200 EXPERIENCE WORKPLACE SEXUAL 941 00:38:13,200 --> 00:38:13,800 HARASSMENT AND 6% EXPERIENCE 942 00:38:13,800 --> 00:38:18,080 BOTH. 943 00:38:18,080 --> 00:38:21,200 ABOUT 21% OF THE WOMEN REPORTED 944 00:38:21,200 --> 00:38:23,360 DEVELOPING HYPERTENSION OVER THE 945 00:38:23,360 --> 00:38:25,520 FOLLOW-UP PERIOD OF SEVEN YEARS. 946 00:38:25,520 --> 00:38:27,280 WOMEN WHO EXPERIENCED BOTH 947 00:38:27,280 --> 00:38:29,680 SEXUAL ASSAULT AND HARASSMENT 948 00:38:29,680 --> 00:38:32,200 HAD THE HIGHEST RISK FOLLOWED BY 949 00:38:32,200 --> 00:38:34,760 WOMEN WHO EXPERIENCED WORKPLACE 950 00:38:34,760 --> 00:38:36,400 SEXUAL HARASSMENT AND BY WOMEN 951 00:38:36,400 --> 00:38:38,080 WHO EXPERIENCE SEXUAL ASSAULT. 952 00:38:38,080 --> 00:38:41,280 WE NOW KNOW ASSAULT, HARASSMENT 953 00:38:41,280 --> 00:38:43,200 HAVE DIRECT HEALTH CONSEQUENCES 954 00:38:43,200 --> 00:38:45,800 AND WE HAVE A TARGET WE CAN AIM 955 00:38:45,800 --> 00:38:47,560 AT IN TERMS OF HYPERTENSION AS 956 00:38:47,560 --> 00:38:50,520 AN AREA THAT WE NEED TO FOCUS ON 957 00:38:50,520 --> 00:38:52,600 FOR THE IMPORTANT HEALTH 958 00:38:52,600 --> 00:38:55,560 CONSEQUENCES OF HARASSMENT AND 959 00:38:55,560 --> 00:38:55,920 SEXUAL VIOLENCE. 960 00:38:55,920 --> 00:38:57,880 I WANT TO GIVE YOU A HIGH-LEVEL 961 00:38:57,880 --> 00:38:59,120 UPDATE ON SOME OF THE 962 00:38:59,120 --> 00:39:02,080 ASSESSMENTS THAT WE HAVE ENGAGED 963 00:39:02,080 --> 00:39:05,920 IN TO ADDRESS SABV 964 00:39:05,920 --> 00:39:07,120 IMPLEMENTATION AND WE SEE 965 00:39:07,120 --> 00:39:09,760 SIGNIFICANT EFFORTS TO MOVE SABV 966 00:39:09,760 --> 00:39:11,480 FROM CONCEPT TO POLICY TO 967 00:39:11,480 --> 00:39:14,440 PRACTICE AND WE SEE GROWING 968 00:39:14,440 --> 00:39:15,480 SUPPORT IN THE BIOMEDICAL 969 00:39:15,480 --> 00:39:16,480 RESEARCH COMMUNITY AND REALIZE 970 00:39:16,480 --> 00:39:18,200 THIS WAS A MAJOR CHANGE AND 971 00:39:18,200 --> 00:39:18,520 MAJOR SHIFT. 972 00:39:18,520 --> 00:39:20,080 WE STARTED WITH DEVELOPING THE 973 00:39:20,080 --> 00:39:22,360 POLICY AS YOU KNOW THAT COVERS 974 00:39:22,360 --> 00:39:24,280 DESIGN, ANALYSIS AND REPORTING, 975 00:39:24,280 --> 00:39:27,080 SEX AS A BIOLOGICAL VARIABLE FOR 976 00:39:27,080 --> 00:39:28,520 INVESTIGATORS WORKING WITH 977 00:39:28,520 --> 00:39:31,160 ANIMALS AND HUMANS THAT ARE NIH 978 00:39:31,160 --> 00:39:31,400 FUNDED. 979 00:39:31,400 --> 00:39:33,280 WE DEVELOPED RESOURCES FOR NIH 980 00:39:33,280 --> 00:39:34,240 STAFF, APPLICANTS, PEER 981 00:39:34,240 --> 00:39:36,360 REVIEWERS AND AWARDEES AND SOME 982 00:39:36,360 --> 00:39:39,160 ARE LISTED HERE. 983 00:39:39,160 --> 00:39:40,960 WHETHER IT'S FAQs, ROAD SHOWS WE 984 00:39:40,960 --> 00:39:43,680 HAVE PRESENTED AT, WORK SHOP, 985 00:39:43,680 --> 00:39:45,600 DEVELOPING THE SABV PRIMER AND 986 00:39:45,600 --> 00:39:47,640 INSTRUCTION GUIDES AND GUIDANCE 987 00:39:47,640 --> 00:39:50,280 AND MOVED INTO PRESENTING TO YOU 988 00:39:50,280 --> 00:39:51,640 REVIEWS AND PROGRESS REPORTS SO 989 00:39:51,640 --> 00:39:57,440 WE REVIEWED OUR FIVE-YEAR 990 00:39:57,440 --> 00:40:01,920 PROGRESS AT NIH AND PARTICIPATED 991 00:40:01,920 --> 00:40:04,640 IN PUBLICATION WITH THE 992 00:40:04,640 --> 00:40:07,440 INTEGRATION OF SEX AND GENDER 993 00:40:07,440 --> 00:40:08,680 INTO BIOMEDICAL RESEARCH AND 994 00:40:08,680 --> 00:40:10,240 WE'RE NOW PERFORMING ASSESSMENTS 995 00:40:10,240 --> 00:40:11,680 TO LOOK AT HOW WELL WE'RE DOING 996 00:40:11,680 --> 00:40:13,880 IN TERMS OF APPLICANTS, 997 00:40:13,880 --> 00:40:15,160 PEER-REVIEW, FUNDED 998 00:40:15,160 --> 00:40:18,520 INVESTIGATORS AND STAFF TO A 999 00:40:18,520 --> 00:40:20,560 VARIETY OF MEANS AND LANDSCAPE 1000 00:40:20,560 --> 00:40:24,040 ANALYSIS AND CHECKLIST STUDY AND 1001 00:40:24,040 --> 00:40:26,800 SRO SURVEY AND I'LL SHARE A 1002 00:40:26,800 --> 00:40:28,040 LITTLE BIT ABOUT THE LANDSCAPE 1003 00:40:28,040 --> 00:40:28,840 ANALYSIS HERE. 1004 00:40:28,840 --> 00:40:30,560 HERE WE LOOKED AT APPLICATIONS 1005 00:40:30,560 --> 00:40:33,760 AND SUMMARY STATEMENTS BETWEEN 1006 00:40:33,760 --> 00:40:37,880 2011 AND 2021 TO COVER THE TIME 1007 00:40:37,880 --> 00:40:42,320 WHERE SABV POLICY WENT INTO 1008 00:40:42,320 --> 00:40:44,240 AFFECT AND USED TEXT FINDING AND 1009 00:40:44,240 --> 00:40:54,600 LOOK FOR MALE, AND SEX AS A 1010 00:40:54,600 --> 00:40:56,520 BIOLOGICAL TEXT AND APPLICATIONS 1011 00:40:56,520 --> 00:40:58,680 THAT INCLUDE INVERTEBRATE 1012 00:40:58,680 --> 00:41:00,080 ANIMALS AND ONLY. 1013 00:41:00,080 --> 00:41:02,280 AND WE LOOKED AT THE PERCENTAGE 1014 00:41:02,280 --> 00:41:05,680 OF NIH AWARDS THAT USING THOSE 1015 00:41:05,680 --> 00:41:05,960 TERMS. 1016 00:41:05,960 --> 00:41:10,680 ON THE LEFT ON THE X AXIS IS 1017 00:41:10,680 --> 00:41:11,200 TIME. 1018 00:41:11,200 --> 00:41:13,320 IN BLUE IS MALE AND GREEN IS 1019 00:41:13,320 --> 00:41:16,280 FEMALE AND RED IS MALE AND 1020 00:41:16,280 --> 00:41:17,240 FEMALE AS TEXT WORDS. 1021 00:41:17,240 --> 00:41:19,320 YOU CAN SEE WITH THE ONSET OF 1022 00:41:19,320 --> 00:41:21,680 THE SABV POLICY WE SEE A 1023 00:41:21,680 --> 00:41:23,840 SIGNIFICANT INCREASE IN THE USE 1024 00:41:23,840 --> 00:41:25,680 OF THE TERMS MALE AND FEMALES 1025 00:41:25,680 --> 00:41:30,360 AND FEMALES THAT WENT FROM BELOW 1026 00:41:30,360 --> 00:41:32,760 50% TO ABOVE YEARLY 90% THERE 1027 00:41:32,760 --> 00:41:35,080 AND THEN ON THE RIGHT YOU CAN 1028 00:41:35,080 --> 00:41:37,000 SEE A CORRESPONDING DECREASE IN 1029 00:41:37,000 --> 00:41:42,160 THE USE OF THE TERMS MALES NOT 1030 00:41:42,160 --> 00:41:44,280 FEMALE OR FEMALE NOT MALE 1031 00:41:44,280 --> 00:41:46,840 CORRESPONDING TO SINGLE-SEX 1032 00:41:46,840 --> 00:41:47,120 STUDIES. 1033 00:41:47,120 --> 00:41:51,000 WE SEE A PATTERN SHIFTING THE 1034 00:41:51,000 --> 00:41:56,160 WAY PEOPLE ARE CONDUCTING 1035 00:41:56,160 --> 00:41:57,520 RESEARCH AND CONTINUE TO SUPPORT 1036 00:41:57,520 --> 00:41:59,840 A SEMINOLE CHANGE IN RESEARCH 1037 00:41:59,840 --> 00:42:01,360 AND MEDICINE. 1038 00:42:01,360 --> 00:42:07,080 AND I'LL BE DLAT DELIGHTED TO SHARE MORE 1039 00:42:07,080 --> 00:42:09,080 INFORMATION WITH YOU AS WE 1040 00:42:09,080 --> 00:42:14,920 COMPLETE OTHER ASSESSMENT. 1041 00:42:14,920 --> 00:42:16,840 NOW HAD GLOBAL REACH. 1042 00:42:16,840 --> 00:42:20,440 YOU WILL HEAR FROM DR. ELIZABETH 1043 00:42:20,440 --> 00:42:22,280 BARR ABOUT OUR EDUCATION PROGRAM 1044 00:42:22,280 --> 00:42:26,000 WHETHER IT'S BENCH TO BEDSIDE 1045 00:42:26,000 --> 00:42:30,480 COURSE OR PRIMER OR DASHBOARD. 1046 00:42:30,480 --> 00:42:31,840 WE HAVE REACHED INDIVIDUALS IN 1047 00:42:31,840 --> 00:42:34,880 MANY COUNTRIES AND AT MANY 1048 00:42:34,880 --> 00:42:36,960 LEVELS FROM STUDENTS TO 1049 00:42:36,960 --> 00:42:38,360 PROFESSORS, FROM RESEARCHERS TO 1050 00:42:38,360 --> 00:42:39,400 CLINICIANS. 1051 00:42:39,400 --> 00:42:40,760 WE'RE EXCITED ABOUT THAT. 1052 00:42:40,760 --> 00:42:43,840 AND WE REACHED 48 COUNTRIES NOW 1053 00:42:43,840 --> 00:42:45,160 WITH OUR TOOLS. 1054 00:42:45,160 --> 00:42:46,840 THE BENCH TO BEDSIDE COURSE WAS 1055 00:42:46,840 --> 00:42:48,360 DEVELOPED IN COLLABORATION WITH 1056 00:42:48,360 --> 00:42:50,920 THE FDA OFFICE OF WOMEN'S HEALTH 1057 00:42:50,920 --> 00:42:53,240 AND IT PROVIDES A THOROUGH UP TO 1058 00:42:53,240 --> 00:42:55,200 DATE UNDERSTANDING OF SEX AND 1059 00:42:55,200 --> 00:42:58,080 GENDER INFLUENCES IN HEALTH AND 1060 00:42:58,080 --> 00:42:59,800 DISEASE AND HAVE CONTINUING 1061 00:42:59,800 --> 00:43:01,480 MEDICAL EDUCATION CREDIT 1062 00:43:01,480 --> 00:43:04,360 AVAILABLE AND THE SABV TRAIN THE 1063 00:43:04,360 --> 00:43:06,440 TRAINER COURSE WAS THE MOST 1064 00:43:06,440 --> 00:43:10,280 RECENT ADDITION TO OUR HEALTH 1065 00:43:10,280 --> 00:43:14,320 EDUCATION AND PROVIDES GUIDANCE 1066 00:43:14,320 --> 00:43:18,120 FOR VIRTUAL AND ONE-ON-ONE 1067 00:43:18,120 --> 00:43:22,920 TRAINING TO HELP ANYONE SUPPORT 1068 00:43:22,920 --> 00:43:23,840 SABV EDUCATION IN RESEARCH AND 1069 00:43:23,840 --> 00:43:30,280 IN THE PUBLIC. 1070 00:43:30,280 --> 00:43:31,840 WE ALSO SEE GROWING GLOBAL 1071 00:43:31,840 --> 00:43:34,080 INTEREST IN SEX AND GENDER AND 1072 00:43:34,080 --> 00:43:36,480 IT'S MY PRIVILEGE TO DELIVER TM 1073 00:43:36,480 --> 00:43:39,080 BEFORE THE U.K. HOUSE OF COMMONS 1074 00:43:39,080 --> 00:43:40,480 SCIENCE AND TECHNOLOGY COMMITTEE 1075 00:43:40,480 --> 00:43:43,520 LAST YEAR DECEMBER 1. 1076 00:43:43,520 --> 00:43:48,160 IT'S A NON-PARTISAN CAUCUS 1077 00:43:48,160 --> 00:43:50,040 LOOKING AT REPRODUCIBILITY AND 1078 00:43:50,040 --> 00:43:51,080 RIGOR IN SCIENCE. 1079 00:43:51,080 --> 00:43:56,920 I HAD THE PRIVILEGE OF JOINING 1080 00:43:56,920 --> 00:44:00,200 THE KINGS FUND PODCAST WHEN WE 1081 00:44:00,200 --> 00:44:03,520 ADDRESSED WOMEN'S HEALTH 1082 00:44:03,520 --> 00:44:06,120 INEQUALITIES AND THE IMPACT ON 1083 00:44:06,120 --> 00:44:07,680 THEIR DIAGNOSIS, TREATMENT AND 1084 00:44:07,680 --> 00:44:09,680 CARE AND THE U.K. IS PREPARING 1085 00:44:09,680 --> 00:44:13,040 TO RELEASE A STRATEGY ON WOMEN'S 1086 00:44:13,040 --> 00:44:13,280 HEALTH. 1087 00:44:13,280 --> 00:44:14,880 A GOVERNMENT-WIDE STRATEGY ON 1088 00:44:14,880 --> 00:44:16,200 WOMEN'S HEALTH. 1089 00:44:16,200 --> 00:44:17,400 SUBSEQUENTLY, ONE OF THE U.K. 1090 00:44:17,400 --> 00:44:20,840 RESEARCH BODIES ADOPTED IN SABV 1091 00:44:20,840 --> 00:44:22,280 POLICY AND MEDICAL RESEARCH 1092 00:44:22,280 --> 00:44:27,880 COUNCIL IS PART OF THE U.K.'S 1093 00:44:27,880 --> 00:44:35,320 GOVERNMENT UNIT EED KINGDOM AND 1094 00:44:35,320 --> 00:44:37,280 INNOVATION WORK AND WILL INVOLVE 1095 00:44:37,280 --> 00:44:39,640 TISSUES AND PERMIT SINGLE-SEX 1096 00:44:39,640 --> 00:44:43,520 STUDIES WHERE STRONG 1097 00:44:43,520 --> 00:44:47,080 JUSTIFICATION IS PROVIDED. 1098 00:44:47,080 --> 00:44:48,160 IN THE UPPER RIGHT THERE'S 1099 00:44:48,160 --> 00:44:53,880 REQUIREMENTS FOR SEX AND GENDER 1100 00:44:53,880 --> 00:44:55,760 INTEGRATION ACROSS A VARIETY OF 1101 00:44:55,760 --> 00:44:55,960 TOOLS. 1102 00:44:55,960 --> 00:44:59,880 THEY HAVE GENDER EQUALITY PLANS 1103 00:44:59,880 --> 00:45:01,440 WITH CRITERIA FOR HORIZON 1104 00:45:01,440 --> 00:45:02,360 EUROPE. 1105 00:45:02,360 --> 00:45:05,120 THAT'S ANOTHER EXAMPLE OF THE 1106 00:45:05,120 --> 00:45:05,760 GLOBAL CONSIDERATION OF SEX AND 1107 00:45:05,760 --> 00:45:10,440 GENDER. 1108 00:45:10,440 --> 00:45:11,600 MOVING INTO THIS SECTION I'LL 1109 00:45:11,600 --> 00:45:13,600 TALK ABOUT SOME OF THE CAREERS 1110 00:45:13,600 --> 00:45:16,680 ISSUES AND I'M REALLY EXCITED TO 1111 00:45:16,680 --> 00:45:20,240 SHARE WITH YOU ALONG WITH MY 1112 00:45:20,240 --> 00:45:22,680 CO-AUTHORS, MARIE BERNARD AND 1113 00:45:22,680 --> 00:45:26,320 KELLY KENHAGGEN THE PUBLICATION 1114 00:45:26,320 --> 00:45:28,920 ENTITLED COMMUNITY VOICES, NIH 1115 00:45:28,920 --> 00:45:35,360 WORKING TOWARDS INCLUSIVE 1116 00:45:35,360 --> 00:45:38,200 EXCELLENCE BY PROMOTING WOMEN IN 1117 00:45:38,200 --> 00:45:39,360 S.T.E.M. 1118 00:45:39,360 --> 00:45:42,280 THE DATA CONTINUES TO SHOCK US 1119 00:45:42,280 --> 00:45:43,880 WITH WOMEN RECEIVE HALF LIFE 1120 00:45:43,880 --> 00:45:45,520 SCIENCES Ph.D. AND GETTING HALF 1121 00:45:45,520 --> 00:45:46,880 THE MEDICAL DEGREES IN THE 1122 00:45:46,880 --> 00:45:48,040 UNITED STATES, WOMEN ARE NOT 1123 00:45:48,040 --> 00:45:49,160 PROGRESSING INTO LEADERSHIP 1124 00:45:49,160 --> 00:45:52,560 POSITIONS AT THE RATE EXPECTED, 1125 00:45:52,560 --> 00:45:53,960 THEY'RE PAID LESS IN SCIENCE AND 1126 00:45:53,960 --> 00:45:56,360 WOMEN OF COLOR ARE DRAMATICALLY 1127 00:45:56,360 --> 00:45:59,800 UNDER REPRESENTED IN ALL CAREER 1128 00:45:59,800 --> 00:46:00,040 STAGES. 1129 00:46:00,040 --> 00:46:01,920 ALL WOMEN COPE WITH SEXUAL 1130 00:46:01,920 --> 00:46:02,960 HARASSMENT AND GENDER 1131 00:46:02,960 --> 00:46:04,240 DISCRIMINATION AND IN MEDICINE 1132 00:46:04,240 --> 00:46:06,480 THE RATES ARE HIGHER THAN OTHER 1133 00:46:06,480 --> 00:46:08,880 FIELD AND THE PANDEMIC HAS OF 1134 00:46:08,880 --> 00:46:11,280 COURSE ALSO HAD A 1135 00:46:11,280 --> 00:46:12,520 DISPROPORTIONATE IMPACT ON WOMEN 1136 00:46:12,520 --> 00:46:15,080 AND THIS IS A REASON TO REDOUBLE 1137 00:46:15,080 --> 00:46:17,280 OUR EFFORTS TO SUPPORT AND 1138 00:46:17,280 --> 00:46:18,240 PROMOTE WOMEN IN SCIENCE. 1139 00:46:18,240 --> 00:46:21,360 WE PUT FORWARD OUR NOTION THE 1140 00:46:21,360 --> 00:46:23,400 COMPONENTS OF INCLUSIVE 1141 00:46:23,400 --> 00:46:31,080 EXCELLENCE INTERACT TO FOSTER A 1142 00:46:31,080 --> 00:46:31,920 DIVERSE SCIENTIFIC ECO SYSTEM IN 1143 00:46:31,920 --> 00:46:35,360 THE WORKFORCE. 1144 00:46:35,360 --> 00:46:40,640 WE HIGHLIGHT FIVE AREAS AND GIVE 1145 00:46:40,640 --> 00:46:40,880 EXAMPLES. 1146 00:46:40,880 --> 00:46:43,640 I SEE AT 12:00 THE ENHANCED 1147 00:46:43,640 --> 00:46:46,840 FLEXIBILITY OPTIONS WHETHER IT'S 1148 00:46:46,840 --> 00:46:48,800 RE-ENTRY AND RE-INTEGRATION 1149 00:46:48,800 --> 00:46:50,840 PROGRAMS YOU'LL HEAR ABOUT LATER 1150 00:46:50,840 --> 00:46:54,080 TODAY AND STOP THE CLOCK 1151 00:46:54,080 --> 00:46:55,400 PROVISIONS OR CHILDCARE 1152 00:46:55,400 --> 00:46:59,080 SUPPLEMENTS WE NOW PROVIDE FOR 1153 00:46:59,080 --> 00:47:01,280 NSRAs OR AT 3:00 POSITION 1154 00:47:01,280 --> 00:47:04,960 CULTURE OF INCLUSION AND COHORT 1155 00:47:04,960 --> 00:47:06,000 HIRING AND THE DISTINGUISHED 1156 00:47:06,000 --> 00:47:08,640 SCHOLARS PROGRAM, OUR FIRST 1157 00:47:08,640 --> 00:47:11,280 PROGRAM AND UNITE INITIATIVE 1158 00:47:11,280 --> 00:47:13,240 ACTIVITIES. 1159 00:47:13,240 --> 00:47:17,640 DEMONSTRABLE LEADERSHIP SUPPORT 1160 00:47:17,640 --> 00:47:18,680 AND THE FORMER NIH DIRECTOR 1161 00:47:18,680 --> 00:47:21,760 STATEMENT HE WOULD NOT 1162 00:47:21,760 --> 00:47:25,960 PARTICIPATE IN THAT INCLUDED 1163 00:47:25,960 --> 00:47:29,240 SO-CALLED MANALES, ALL MALE 1164 00:47:29,240 --> 00:47:32,000 PANELS AND HAD A RIPPLE AFFECT 1165 00:47:32,000 --> 00:47:34,880 ON OTHER LEADERS AND NIH EQUITY 1166 00:47:34,880 --> 00:47:37,040 ASSESSMENTS WE PERFORM 1167 00:47:37,040 --> 00:47:37,360 INTRAMURALLY. 1168 00:47:37,360 --> 00:47:40,480 THE WORKING GROUP ON WOMEN AND 1169 00:47:40,480 --> 00:47:41,800 BIOMEDICAL CAREERS I CONTINUE TO 1170 00:47:41,800 --> 00:47:43,880 CO-CHAIR WITH THE NIH DIRECTOR 1171 00:47:43,880 --> 00:47:45,600 WITH ACTING DIRECTOR DR. FRANCIS 1172 00:47:45,600 --> 00:47:49,640 COLLINS -- EXCUSE ME, ACTING 1173 00:47:49,640 --> 00:47:55,520 DIRECTOR LAWRENCE TABAK AND 1174 00:47:55,520 --> 00:47:57,280 ACTION-ORIENTED ACCOUNTABILITY 1175 00:47:57,280 --> 00:48:00,280 HAS TO DO WITH OUR REPORTING 1176 00:48:00,280 --> 00:48:01,680 POLICIES AND INVESTIGATIVE 1177 00:48:01,680 --> 00:48:03,280 PROCEDURES ARE LIST HEARD. 1178 00:48:03,280 --> 00:48:05,440 EXPECTATIONS FOR CODES OF 1179 00:48:05,440 --> 00:48:07,680 CONDUCT AT NIH-SPONSORED 1180 00:48:07,680 --> 00:48:09,480 CONFERENCES AND THE SAFE 1181 00:48:09,480 --> 00:48:11,280 ENVIRONMENT BEING ESTABLISHED AS 1182 00:48:11,280 --> 00:48:15,720 AN EXPLICIT CONDITION OF NIH 1183 00:48:15,720 --> 00:48:17,120 AWARDS AND RESEARCH ON 1184 00:48:17,120 --> 00:48:18,240 INTERVENTIONS AND BEST PRACTICES 1185 00:48:18,240 --> 00:48:21,080 WHETHER IT'S THE CAUSAL FACTORS 1186 00:48:21,080 --> 00:48:23,640 IN INTERVENTIONS THAT WE PUT OUT 1187 00:48:23,640 --> 00:48:29,360 MANY YEARS AGO AND THE 1188 00:48:29,360 --> 00:48:31,920 CONSEQUENT EVIDENCE GENERATED OR 1189 00:48:31,920 --> 00:48:33,480 THE PRIZE WE ESTABLISHED AT ORWH 1190 00:48:33,480 --> 00:48:37,440 AS A WORKING GROUP ON WOMEN IN 1191 00:48:37,440 --> 00:48:38,720 BIOMEDICAL CAREERS WHERE WE 1192 00:48:38,720 --> 00:48:39,920 RECOGNIZED INSTITUTIONS AND 1193 00:48:39,920 --> 00:48:44,200 EFFORTS THAT ADVANCED GENDER 1194 00:48:44,200 --> 00:48:44,480 DIVERSITY. 1195 00:48:44,480 --> 00:48:47,360 THE NIH UNITE INITIATIVE IS ALSO 1196 00:48:47,360 --> 00:48:49,480 WORKING TO END STRUCTURAL RACISM 1197 00:48:49,480 --> 00:48:50,320 AND CONSEQUENCES IN THE RESEARCH 1198 00:48:50,320 --> 00:48:54,560 ECO SYSTEM. 1199 00:48:54,560 --> 00:48:56,360 I HAD THE PLEASURE TO ADDRESS 1200 00:48:56,360 --> 00:49:01,640 HEALTH DISPARITIES AND ADVANCE 1201 00:49:01,640 --> 00:49:03,080 HEALTH EQUITY WORKING GROUP AND 1202 00:49:03,080 --> 00:49:05,880 THEY PUT OUT TWO FUNDING 1203 00:49:05,880 --> 00:49:07,200 ANNOUNCEMENTS AND HAS ONE ON THE 1204 00:49:07,200 --> 00:49:08,680 STREET NOW SUPPORTING INNOVATIVE 1205 00:49:08,680 --> 00:49:11,280 RESEARCH PROJECTS TO INTENDED TO 1206 00:49:11,280 --> 00:49:13,840 HAVE AN IMPACT IN DEVELOPING OR 1207 00:49:13,840 --> 00:49:15,800 DISSEMINATING INTERVENTIONS TO 1208 00:49:15,800 --> 00:49:19,120 REDUCE OR ELIMINATE HEALTH 1209 00:49:19,120 --> 00:49:21,160 DISPARITIES AND ADVANCE HEALTH 1210 00:49:21,160 --> 00:49:21,440 EQUITY. 1211 00:49:21,440 --> 00:49:23,880 THIS IS FOCUSSED ON 1212 00:49:23,880 --> 00:49:26,840 MINORITY-SERVING INSTITUTIONS. 1213 00:49:26,840 --> 00:49:30,680 WE PRESENTED A CONCEPT FOR 1214 00:49:30,680 --> 00:49:30,880 CAMPUS. 1215 00:49:30,880 --> 00:49:34,040 IT STANDS FOR COMMUNITY 1216 00:49:34,040 --> 00:49:39,400 PARTNERSHIPS TO ADVANCEMENT FOR 1217 00:49:39,400 --> 00:49:51,920 SOCIETY THIS TO DEPLOY 1218 00:49:51,920 --> 00:49:52,880 STRUCTURAL INTERVENTIONS THAT 1219 00:49:52,880 --> 00:49:54,160 LEVERAGED MULTI-SECTOR 1220 00:49:54,160 --> 00:49:55,880 PARTNERSHIPS TO REDUCE HEALTH 1221 00:49:55,880 --> 00:49:56,160 DISPARITIES. 1222 00:49:56,160 --> 00:49:56,920 STAY TUNED FOR MORE INFORMATION 1223 00:49:56,920 --> 00:50:02,080 ON THAT COMING SOON. 1224 00:50:02,080 --> 00:50:04,280 ORWH CREATED A DIVERSE VOICES 1225 00:50:04,280 --> 00:50:08,320 SEMINAR SERIES AND OUR RECENT 1226 00:50:08,320 --> 00:50:15,320 SEMINAR WE HOSTED DR. TODD WHO 1227 00:50:15,320 --> 00:50:18,640 AND DR. MUJAHID THAT SPOKE TO 1228 00:50:18,640 --> 00:50:19,160 ENVIRONMENTAL JUSTICE. 1229 00:50:19,160 --> 00:50:20,720 THAT'S AVAILABLE ON OUR WEBSITE 1230 00:50:20,720 --> 00:50:21,760 BUT I WANT TO HIGHLIGHT ONE OF 1231 00:50:21,760 --> 00:50:27,920 THE EXAMPLES OF THE WAYS WE ARE 1232 00:50:27,920 --> 00:50:31,080 PUTTING OUT DIVERSE PERSPECTIVES 1233 00:50:31,080 --> 00:50:32,200 AND ENSURING THE HEALTH AFFECTS 1234 00:50:32,200 --> 00:50:37,880 OF THE PANDEMIC AND OTHER HEALTH 1235 00:50:37,880 --> 00:50:40,840 CONDITIONS ARE IN UNDER STUDIED 1236 00:50:40,840 --> 00:50:42,440 POPULATIONS ARE DISSEMINATE. 1237 00:50:42,440 --> 00:50:43,680 COMING TO THE LAST SECTION, I 1238 00:50:43,680 --> 00:50:45,640 WANT TO MAKE SURE I SHARE WITH 1239 00:50:45,640 --> 00:50:50,680 YOU INFORMATION ABOUT LAST 1240 00:50:50,680 --> 00:50:55,200 YEAR'S ORWH RESEARCH PROGRAMS. 1241 00:50:55,200 --> 00:50:56,080 IT'S ONE OF MY FAVORITE THINGS 1242 00:50:56,080 --> 00:50:58,280 TO DO IS TO SHARE WITH YOU THE 1243 00:50:58,280 --> 00:51:03,720 HARD WORK DONE OVER THE LAST 1244 00:51:03,720 --> 00:51:05,000 YEAR TO MAKE THESE FUNDS AS HARD 1245 00:51:05,000 --> 00:51:05,880 AS POSSIBLE TO ADVANCE THE 1246 00:51:05,880 --> 00:51:06,920 HEALTH OF WOMEN. 1247 00:51:06,920 --> 00:51:08,680 ON THE LEFT YOU CAN SEE OUR 1248 00:51:08,680 --> 00:51:11,840 FUNDING HISTORY SINCE WE WERE 1249 00:51:11,840 --> 00:51:15,880 FOUNDED IN 1990. 1250 00:51:15,880 --> 00:51:18,920 AND YOU CAN SEE ON THE RIGHT THE 1251 00:51:18,920 --> 00:51:21,080 BREAKDOWN OF RESEARCH FUNDING. 1252 00:51:21,080 --> 00:51:23,280 YOU CAN SEE A FAIRLY FLAT 1253 00:51:23,280 --> 00:51:25,080 FUNDING PATTERN IN THE MIDDLE. 1254 00:51:25,080 --> 00:51:26,280 ROUGHLY A THIRD GOES TO A 1255 00:51:26,280 --> 00:51:27,560 PROGRAM AND A THIRD TO THE SCORE 1256 00:51:27,560 --> 00:51:31,000 PROGRAM AND A THIRD TO OTHER 1257 00:51:31,000 --> 00:51:35,280 PROGRAMS AT THE I.C.s WHERE WE 1258 00:51:35,280 --> 00:51:39,440 EITHER CO-FUND RESEARCH THEY'RE 1259 00:51:39,440 --> 00:51:42,280 LEADING OR THE SEX AND GENDER 1260 00:51:42,280 --> 00:51:50,200 RO1 A COLLABORATIVE EFFORT. 1261 00:51:50,200 --> 00:51:54,160 YOU CAN TAKE A LOOK THERE AT THE 1262 00:51:54,160 --> 00:51:57,920 GRANULAR DATA AND THE THANK YOU 1263 00:51:57,920 --> 00:51:59,560 NEWEST SET OF PROGRAMS. 1264 00:51:59,560 --> 00:52:04,000 YOU CAN SEE THE BIRCH PROGRAM 1265 00:52:04,000 --> 00:52:05,080 AND ORWH SIGNATURE PROGRAM 1266 00:52:05,080 --> 00:52:08,520 REPRESENT THE MAJORITY OF THOSE 1267 00:52:08,520 --> 00:52:14,000 EXPENDITURES BUT ALSO THE 1268 00:52:14,000 --> 00:52:18,160 RE-ENTRY SUPPLEMENT AND SUPPORT 1269 00:52:18,160 --> 00:52:19,320 NICHD'S ADMINISTRATIVE 1270 00:52:19,320 --> 00:52:20,760 SUPPLEMENTS FOR CONTINUITY FOR 1271 00:52:20,760 --> 00:52:22,600 RPGs AND K AWARDEES. 1272 00:52:22,600 --> 00:52:24,840 A PROGRAM WAS CREATED BY THE 1273 00:52:24,840 --> 00:52:27,080 WORKING GROUP ON WOMEN IN 1274 00:52:27,080 --> 00:52:28,800 BIOMEDICAL CAREERS WITH CO-LEADS 1275 00:52:28,800 --> 00:52:29,680 WITH THE OFFICE OF EXTRAMURAL 1276 00:52:29,680 --> 00:52:30,880 RESEARCH AND WE PROVIDED THE 1277 00:52:30,880 --> 00:52:32,640 FIRST SET OF FUNDING FOR THAT 1278 00:52:32,640 --> 00:52:35,120 AND HAVE OVER THE LAST TWO YEARS 1279 00:52:35,120 --> 00:52:38,680 SUPPORTED THAT. 1280 00:52:38,680 --> 00:52:39,480 ALONG WITH THE INSTITUTES AND 1281 00:52:39,480 --> 00:52:48,080 CENTERS. 1282 00:52:48,080 --> 00:52:51,200 IF YOU WATCH THE IT LOOK AT OUR 1283 00:52:51,200 --> 00:52:53,800 OVERALL INVESTMENTS THE BIRCH IS 1284 00:52:53,800 --> 00:52:56,360 INDICATED ON THE LEFT WITH 1285 00:52:56,360 --> 00:52:56,680 NICHD. 1286 00:52:56,680 --> 00:52:58,240 THEY ADMINISTER THE BIRCH 1287 00:52:58,240 --> 00:52:59,200 PROGRAM AND COLLABORATES WITH US 1288 00:52:59,200 --> 00:53:02,560 ON THE PROGRAM AND YOU CAN SEE 1289 00:53:02,560 --> 00:53:06,080 NIA HAS AS THE LEADING I.C. 1290 00:53:06,080 --> 00:53:08,880 RECEIVED ORWH CO-FOUNDING 1291 00:53:08,880 --> 00:53:14,400 SUPPORT AND NIDDK, NIDA AND NIHM 1292 00:53:14,400 --> 00:53:15,720 AND NHLBI. 1293 00:53:15,720 --> 00:53:25,520 IF YOU REMOVE THE BIRCWH FUNDING 1294 00:53:25,520 --> 00:53:26,320 IT 1295 00:53:26,320 --> 00:53:27,280 IT'S EASIER TO SEE. 1296 00:53:27,280 --> 00:53:29,760 HERE DIVIDED BY THE SIGNATURE 1297 00:53:29,760 --> 00:53:32,160 PROGRAMS STARTING WITH THE 1298 00:53:32,160 --> 00:53:33,680 BIRCWH ON TOP AND OTHER CAREER 1299 00:53:33,680 --> 00:53:38,760 PROGRAMS AND SCORE PROGRAM AND 1300 00:53:38,760 --> 00:53:44,960 OUR COLLABORATORS THERE AND 1301 00:53:44,960 --> 00:53:48,960 OURSELF AND GENDER RO1. 1302 00:53:48,960 --> 00:53:51,000 YOU'LL HEAR MORE THIS AFTERNOON 1303 00:53:51,000 --> 00:53:52,960 AND THE SUPPLEMENT PROGRAM WHICH 1304 00:53:52,960 --> 00:53:56,560 WE PRECEDE THE SABV POLICY AND 1305 00:53:56,560 --> 00:54:00,160 OUR U3 SUPPLEMENT AND OTHER I.C. 1306 00:54:00,160 --> 00:54:02,360 CO-FUNDS ARE EXAMPLES WHERE AN 1307 00:54:02,360 --> 00:54:03,480 INSTITUTE COMES TO ORWH TO 1308 00:54:03,480 --> 00:54:05,240 REQUEST CO-FUNDING FOR A 1309 00:54:05,240 --> 00:54:06,040 RELEVANT ACTIVITY THEY ARE 1310 00:54:06,040 --> 00:54:12,440 LEADING. 1311 00:54:12,440 --> 00:54:14,480 THIS YEAR SOON IN ABOUT A MONTH 1312 00:54:14,480 --> 00:54:18,280 WE WILL HAVE THE SIXTH ANNUAL 1313 00:54:18,280 --> 00:54:18,680 SYMPOSIUM. 1314 00:54:18,680 --> 00:54:20,960 THIS IS OUR SIGNATURE EVENT 1315 00:54:20,960 --> 00:54:23,880 DURING NATIONAL WOMEN'S HEALTH 1316 00:54:23,880 --> 00:54:29,160 AND HONORS DR. VIVIAN PINN WE'RE 1317 00:54:29,160 --> 00:54:31,080 FOCUSSING ON THE IMPACT OF 1318 00:54:31,080 --> 00:54:32,680 COVID-19 AND THE PANDEMIC ON THE 1319 00:54:32,680 --> 00:54:41,720 CAREERS OF WOMEN SCIENTISTS AND 1320 00:54:41,720 --> 00:54:44,080 WE'RE EXCITED ABOUT THAT. 1321 00:54:44,080 --> 00:54:47,600 OTHER UPCOMING EVENTS FOR HIRN 1322 00:54:47,600 --> 00:54:51,920 AND WOMEN'S HEALTH, NIEHS IS 1323 00:54:51,920 --> 00:54:54,400 HOSTING THEIR 8th ANNUAL WOMEN'S 1324 00:54:54,400 --> 00:54:55,760 HEALTH AWARENESS EVENT AND 1325 00:54:55,760 --> 00:54:57,520 HAVING A WORKSHOP ON 1326 00:54:57,520 --> 00:54:59,480 ENVIRONMENTAL IMPACTS ON HEALTH 1327 00:54:59,480 --> 00:55:00,760 DISPARITIES AND REPRODUCTIVE 1328 00:55:00,760 --> 00:55:03,320 HEALTH AT THE END OF APRIL. 1329 00:55:03,320 --> 00:55:05,120 THE VOICES OF ORWH AND WE HAVE 1330 00:55:05,120 --> 00:55:06,520 ONE IN JULY AND SEPTEMBER 1331 00:55:06,520 --> 00:55:09,640 FOCUSSED ON COVID IN JULY AND 1332 00:55:09,640 --> 00:55:11,320 VIOLENCE IN SEPTEMBER AND AGAIN 1333 00:55:11,320 --> 00:55:13,760 MEETING WITH YOU HERE AGAIN AT 1334 00:55:13,760 --> 00:55:15,880 THE MEETING IN OCTOBER AT THE 1335 00:55:15,880 --> 00:55:21,160 BEGINNING OF THE NEXT FISCAL 1336 00:55:21,160 --> 00:55:23,560 YEAR. 1337 00:55:23,560 --> 00:55:26,160 IT'S EXCITING TO END WITH YOU IN 1338 00:55:26,160 --> 00:55:31,520 SHARING THE MANY WAYS ORWH IS 1339 00:55:31,520 --> 00:55:33,080 REACHING OUT AND CONNECTING WITH 1340 00:55:33,080 --> 00:55:35,360 MORE STAKEHOLDERS WHETHER 1341 00:55:35,360 --> 00:55:37,080 THROUGH OUR MULTIPLE E LEARNING 1342 00:55:37,080 --> 00:55:40,200 TOOLS AND RESOURCES LISTED ON 1343 00:55:40,200 --> 00:55:41,280 THE RIGHT THROUGH SOCIAL MEDIA 1344 00:55:41,280 --> 00:55:45,040 OR EVENTS THROUGH OUR QUARTERLY 1345 00:55:45,040 --> 00:55:46,880 PUBLICATION WOMEN'S HEALTH IN 1346 00:55:46,880 --> 00:55:49,840 FOCUS AT NIH ARE WE FEATURE 1347 00:55:49,840 --> 00:55:51,000 RESEARCH SUPPORTED AND SPOTLIGHT 1348 00:55:51,000 --> 00:55:53,680 SCIENTISTS PERFORMING WOMEN'S 1349 00:55:53,680 --> 00:55:55,280 HEALTH RESEARCH, FEATURE 1350 00:55:55,280 --> 00:55:58,040 INSTITUTIONAL PRACTICES THAT 1351 00:55:58,040 --> 00:55:59,600 SUPPORT GENDER, EQUITY, FEATURE 1352 00:55:59,600 --> 00:56:01,840 WOMEN SCIENTISTS AND CLINICIANS 1353 00:56:01,840 --> 00:56:03,640 OR A MONTHLY PULSE E-MAIL. 1354 00:56:03,640 --> 00:56:07,720 YOU CAN SIGN UP TO RECEIVE THIS 1355 00:56:07,720 --> 00:56:08,320 INFORMATION AT THE URL LISTED 1356 00:56:08,320 --> 00:56:11,480 HERE. 1357 00:56:11,480 --> 00:56:15,280 IT'S NOW MY PLEASURE TO TURN THE 1358 00:56:15,280 --> 00:56:18,160 VIRTUAL MICROPHONE OVER BACK 1359 00:56:18,160 --> 00:56:29,160 OVER TO DR. SAMIA NOURSI. 1360 00:56:29,160 --> 00:56:30,440 >> THANK YOU FOR YOUR REPORT. 1361 00:56:30,440 --> 00:56:32,400 I'D LIKE TO ACKNOWLEDGE THE 1362 00:56:32,400 --> 00:56:35,680 ATTENDANCE OF DOCTORS SIMON AND 1363 00:56:35,680 --> 00:56:38,880 SHAW WHO JOINED US. 1364 00:56:38,880 --> 00:56:42,840 WELCOME, DR. SIMON AND DR. SHAW. 1365 00:56:42,840 --> 00:56:47,880 WE'RE A LITTLE BIT AHEAD OF 1366 00:56:47,880 --> 00:56:48,160 SCHEDULE. 1367 00:56:48,160 --> 00:56:54,320 IT'S GREAT. 1368 00:56:54,320 --> 00:56:55,720 OUR NEXT PRESENTATION WILL BE 1369 00:56:55,720 --> 00:56:57,720 REQUESTING CONVENING A WORKING 1370 00:56:57,720 --> 00:57:02,400 GROUP TO ADVICE THE ACRHW AND 1371 00:57:02,400 --> 00:57:06,200 DIRECTOR ON THE DEVELOPMENT OF 1372 00:57:06,200 --> 00:57:08,200 THE 2024 TO 2028 NIH-WIDE 1373 00:57:08,200 --> 00:57:10,320 STRATEGIC PLAN ON RESEARCH ON 1374 00:57:10,320 --> 00:57:14,240 THE HEALTH OF WOMEN. 1375 00:57:14,240 --> 00:57:16,000 I'D LIKE TO PROVIDE YOU WITH A 1376 00:57:16,000 --> 00:57:18,520 BACKGROUND AND SUMMARY OF 1377 00:57:18,520 --> 00:57:19,200 ACTIVITIES THAT LED TO WHERE WE 1378 00:57:19,200 --> 00:57:22,640 ARE RIGHT NOW. 1379 00:57:22,640 --> 00:57:25,560 AS YOU ALL MAY RECALL, WE HAVE 1380 00:57:25,560 --> 00:57:29,920 DEVELOPED A GUIDE ON THAT 1381 00:57:29,920 --> 00:57:32,200 2019-2023 TRANS-NIH STRATEGIC ON 1382 00:57:32,200 --> 00:57:34,000 WOMEN'S HEALTH RESEARCH. 1383 00:57:34,000 --> 00:57:35,600 SINCE WE STOPPED USING THE WORD 1384 00:57:35,600 --> 00:57:38,560 TRANS-NIH AND ARE NOW GOING TO 1385 00:57:38,560 --> 00:57:42,760 CALL IT NIH-WIDE STRATEGIC PLAN. 1386 00:57:42,760 --> 00:57:46,120 SO AT THAT TIME WE DEVELOPED A 1387 00:57:46,120 --> 00:57:47,920 GUIDE AND THIS GUIDE WAS SHARED 1388 00:57:47,920 --> 00:57:50,360 WITH ALL THE I.C.s AND DEVELOPED 1389 00:57:50,360 --> 00:57:53,280 WITH THE I.C.s AND IT WAS 1390 00:57:53,280 --> 00:57:57,000 INTENDED TO ASSIST WITH 1391 00:57:57,000 --> 00:57:59,560 IMPLEMENTATION AND EVALUATION OR 1392 00:57:59,560 --> 00:58:01,600 OTHER PLAN FOR INCLUSION OF 1393 00:58:01,600 --> 00:58:02,080 WOMEN'S HEALTH RESEARCH 1394 00:58:02,080 --> 00:58:05,160 ACTIVITIES. 1395 00:58:05,160 --> 00:58:07,880 AN ADDITION, WE PUBLISHED A 1396 00:58:07,880 --> 00:58:10,400 PAPER IN 2021 HIGHLIGHTING THE 1397 00:58:10,400 --> 00:58:13,160 GUIDE DEVELOPMENT PROCESS TITLED 1398 00:58:13,160 --> 00:58:14,400 DEVELOPING THE PROCESS AND 1399 00:58:14,400 --> 00:58:16,680 TRACKING THE IMPLEMENTATION AND 1400 00:58:16,680 --> 00:58:17,800 EVALUATION OF THE NATIONAL 1401 00:58:17,800 --> 00:58:18,920 INSTITUTES OF HEALTH STRATEGIC 1402 00:58:18,920 --> 00:58:19,440 PLAN FOR WOMEN'S HEALTH 1403 00:58:19,440 --> 00:58:23,040 RESEARCH. 1404 00:58:23,040 --> 00:58:25,560 TO ASSIST IN THAT EVALUATION OF 1405 00:58:25,560 --> 00:58:31,240 THE PLAN, ORWH COLLABORATED WITH 1406 00:58:31,240 --> 00:58:32,080 ANOTHER OFFICE. 1407 00:58:32,080 --> 00:58:34,440 IT'S THE OFFICE OF EVALUATION 1408 00:58:34,440 --> 00:58:36,600 PERFORMANCE AND REPORTING TO 1409 00:58:36,600 --> 00:58:39,760 CREATE A DATA CALLED WHAT FORM 1410 00:58:39,760 --> 00:58:50,400 ON MODULE IN THE START PLATFORM. 1411 00:58:50,400 --> 00:58:54,920 THEY CAN SUPPLEMENT EXISTING 1412 00:58:54,920 --> 00:58:56,480 REPORTING DATA. 1413 00:58:56,480 --> 00:58:59,200 CALLS HAVE BEEN COMPLETED TO 1414 00:58:59,200 --> 00:59:01,240 DATE BY STAFF WHICH ESTABLISHED 1415 00:59:01,240 --> 00:59:01,720 A DATABASE FOR FEATURE 1416 00:59:01,720 --> 00:59:04,920 EVALUATION. 1417 00:59:04,920 --> 00:59:10,360 EVALUATION OF THE 2020, 2019 TO 1418 00:59:10,360 --> 00:59:12,960 2023 PLAN WILL CONTRIBUTE TO THE 1419 00:59:12,960 --> 00:59:16,280 CREATION OF THE 2024-2028 PLAN. 1420 00:59:16,280 --> 00:59:17,600 THE PROCESS TO DEVELOP NEW GOALS 1421 00:59:17,600 --> 00:59:19,840 AND THE NEXT ITERATION OF THE 1422 00:59:19,840 --> 00:59:22,440 STRATEGIC PLAN IS UNDERWAY. 1423 00:59:22,440 --> 00:59:29,240 ONE KEY PIECE IS THE CREATION OF 1424 00:59:29,240 --> 00:59:31,480 THE ACRWH WORKING GROUP TO 1425 00:59:31,480 --> 00:59:32,200 ASSIST US AND GUIDE US IN THE 1426 00:59:32,200 --> 00:59:35,320 PROCESS. 1427 00:59:35,320 --> 00:59:37,760 THE WORKING GROUP WILL ADDRESS 1428 00:59:37,760 --> 00:59:39,560 THE CURRENT STATE OF SCIENCE ON 1429 00:59:39,560 --> 00:59:42,360 THE HEALTH OF WOMEN, RESEARCH 1430 00:59:42,360 --> 00:59:45,680 GAPS AND IDENTITY GOALS AND 1431 00:59:45,680 --> 00:59:48,840 OBJECTIVES THAT ORWH NEEDS TO 1432 00:59:48,840 --> 00:59:49,440 PRIORITIZE FOR THE NEXT FIVE 1433 00:59:49,440 --> 00:59:51,400 YEARS. 1434 00:59:51,400 --> 00:59:53,280 IN ADDITION, THE WORKING GROUP 1435 00:59:53,280 --> 00:59:57,080 WILL REVIEW THE IMPLEMENTATION 1436 00:59:57,080 --> 01:00:02,040 OF THE 2019 TO 2023 TRANS-NIH 1437 01:00:02,040 --> 01:00:02,800 STRATEGIC PLAN ON RESEARCH ON 1438 01:00:02,800 --> 01:00:05,480 THE HEALTH OF WOMEN BY THE NIH 1439 01:00:05,480 --> 01:00:08,440 INSTITUTES, CENTERS AND OFFICES 1440 01:00:08,440 --> 01:00:10,720 AND THE EVALUATIONS OF THE 1441 01:00:10,720 --> 01:00:11,280 IMPLEMENTATIONS THAT THEY 1442 01:00:11,280 --> 01:00:17,000 CONDUCTED. 1443 01:00:17,000 --> 01:00:20,240 THE RECENTLY COMPLETED I.C. 1444 01:00:20,240 --> 01:00:23,600 REPORTS FOR THE BIENNIAL REPORT 1445 01:00:23,600 --> 01:00:25,440 WILL HAVE INFORMATION INCLUDING 1446 01:00:25,440 --> 01:00:27,160 HOW THE I.C.s HAVE ADDRESSED 1447 01:00:27,160 --> 01:00:28,600 STRATEGIC GOALS FROM THE CURRENT 1448 01:00:28,600 --> 01:00:30,800 STRATEGIC PLAN AND WILL INFORM 1449 01:00:30,800 --> 01:00:33,880 THE DEVELOPMENT OF THE NEXT ONE. 1450 01:00:33,880 --> 01:00:35,520 THE EVALUATION OF THE CURRENT 1451 01:00:35,520 --> 01:00:37,800 STATE OF SCIENCE AND NIH 1452 01:00:37,800 --> 01:00:41,560 PORTFOLIO COMBINED WITH THE 1453 01:00:41,560 --> 01:00:47,840 REVIEWS OF THE IMPLEMENTATIONS 1454 01:00:47,840 --> 01:00:52,920 AS RECEIVED WILL INFORM THE 1455 01:00:52,920 --> 01:00:55,760 UPCOMING 2024-2028. 1456 01:00:55,760 --> 01:00:56,480 WE'LL GATHER THE REPORTS AND 1457 01:00:56,480 --> 01:00:59,800 REPORTS CREATED AND 1458 01:00:59,800 --> 01:01:01,000 IMPLEMENTATION THAT I.C.s SHARED 1459 01:01:01,000 --> 01:01:03,880 WITH US TO HELP US MOVE FORWARD 1460 01:01:03,880 --> 01:01:06,200 WITH THE NEXT NIH STRATEGIC 1461 01:01:06,200 --> 01:01:06,560 PLAN. 1462 01:01:06,560 --> 01:01:09,400 THE WORKING GROUP THAT WE WOULD 1463 01:01:09,400 --> 01:01:12,280 LIKE TO COMPOSE WILL INCLUDE 1464 01:01:12,280 --> 01:01:16,760 MEMBERS OF ACRWH, MEMBERS OF THE 1465 01:01:16,760 --> 01:01:19,640 NIH SCIENTIFIC COMMUNITY AS WELL 1466 01:01:19,640 --> 01:01:21,240 AS INDIVIDUALS FROM ACROSS HHS 1467 01:01:21,240 --> 01:01:23,880 WITH EXPERTISE AND RESEARCH ON 1468 01:01:23,880 --> 01:01:25,080 THE HEALTH OF WOMEN. 1469 01:01:25,080 --> 01:01:28,280 FOLLOWING THIS MEETING, MEMBERS 1470 01:01:28,280 --> 01:01:29,480 OF ACRWH WILL RECEIVE 1471 01:01:29,480 --> 01:01:30,960 INFORMATION ON HOW TO VOLUNTEER 1472 01:01:30,960 --> 01:01:35,880 FOR THE WORKING GROUP IF THEY 1473 01:01:35,880 --> 01:01:39,880 ARE INTERESTED AND HOPE YOU ARE. 1474 01:01:39,880 --> 01:01:41,240 AT THIS TIME I'D LIKE TO ASK 1475 01:01:41,240 --> 01:01:42,720 YOUR VOTE TO APPROVE THE 1476 01:01:42,720 --> 01:01:45,080 CREATION OF AN ACRWH WORKING 1477 01:01:45,080 --> 01:01:49,960 GROUP ON THE 2024-2028 NIH WIDE 1478 01:01:49,960 --> 01:01:51,880 STRATEGIC PLAN ON RESEARCH ON 1479 01:01:51,880 --> 01:01:55,080 BEHALF OF WOMEN. 1480 01:01:55,080 --> 01:01:57,360 IS THERE A MOTION ON THE TABLE 1481 01:01:57,360 --> 01:01:58,280 TO APPROVE A CREATION OF AN 1482 01:01:58,280 --> 01:02:02,200 ACRWH WORKING GROUP ON THE 2024 1483 01:02:02,200 --> 01:02:04,480 TO 2028 NIH-WIDE STRATEGIC PLAN 1484 01:02:04,480 --> 01:02:07,880 ON RESEARCH ON THE HEALTH OF 1485 01:02:07,880 --> 01:02:14,160 WOMEN? 1486 01:02:14,160 --> 01:02:15,880 >> SO MOVED. 1487 01:02:15,880 --> 01:02:16,480 >> SECOND. 1488 01:02:16,480 --> 01:02:17,600 THE MOTION IS SUBMITTED. 1489 01:02:17,600 --> 01:02:22,480 DO I HEAR A SECOND? 1490 01:02:22,480 --> 01:02:23,800 >> SECOND, DR. LANGER. 1491 01:02:23,800 --> 01:02:24,960 >> THANK YOU VERY MUCH. 1492 01:02:24,960 --> 01:02:26,080 THE POLL IS OPEN IT RESPOND IF 1493 01:02:26,080 --> 01:02:29,080 YOU'RE IN FAVOR, OPPOSED OR 1494 01:02:29,080 --> 01:02:29,320 ABSTAIN. 1495 01:02:29,320 --> 01:02:31,280 PLEASE ENTER YOUR RESPONSES NOW 1496 01:02:31,280 --> 01:02:31,880 AND YOU HAVE 30 SECONDS TO 1497 01:02:31,880 --> 01:03:00,440 RESPOND. 1498 01:03:00,440 --> 01:03:04,680 SO THE POLL CLOSED. 1499 01:03:04,680 --> 01:03:05,680 >> THERE'S 13 IN FAVOR. 1500 01:03:05,680 --> 01:03:07,480 >> THANK YOU. 1501 01:03:07,480 --> 01:03:09,160 THE CREATION OF THE ACRWH 1502 01:03:09,160 --> 01:03:18,080 WORKING GROUP ON THE 2024-2028 1503 01:03:18,080 --> 01:03:19,040 NIH STRATEGIC PLAN ON THE 1504 01:03:19,040 --> 01:03:20,280 RESEARCH ON HEALTH OF WOMEN. 1505 01:03:20,280 --> 01:03:25,480 WE APPRECIATE THAT AND YOU'LL 1506 01:03:25,480 --> 01:03:28,280 HEAR FROM US NEXT WEEK HOW TO 1507 01:03:28,280 --> 01:03:28,560 VOLUNTEER. 1508 01:03:28,560 --> 01:03:30,440 I'D LIKE TO TURN IT BACK TO 1509 01:03:30,440 --> 01:03:32,760 DR. CLAYTON TO INTRODUCE OUR 1510 01:03:32,760 --> 01:03:33,080 NEXT SPEAKER. 1511 01:03:33,080 --> 01:03:39,760 DR. CLAYTON. 1512 01:03:39,760 --> 01:03:41,440 >> DR. NOURSI, DO WE HAVE TIME 1513 01:03:41,440 --> 01:03:42,680 FOR ONE OR TWO QUESTIONS OR 1514 01:03:42,680 --> 01:03:43,600 SHOULD WE MOVE ON? 1515 01:03:43,600 --> 01:03:46,560 >> WE DEFINITELY HAVE TIME FOR A 1516 01:03:46,560 --> 01:03:49,840 FEW QUESTIONS ACTUALLY. 1517 01:03:49,840 --> 01:03:50,800 WE'RE AHEAD OF SCHEDULE. 1518 01:03:50,800 --> 01:03:51,480 >> GREAT. 1519 01:03:51,480 --> 01:03:57,280 I THINK THERE WAS A HAND UP 1520 01:03:57,280 --> 01:03:57,560 EARLIER. 1521 01:03:57,560 --> 01:04:03,080 IS THERE NORTHBOUND THAT HAD A 1522 01:04:03,080 --> 01:04:07,560 QUESTION EITHER ABOUT THE 1523 01:04:07,560 --> 01:04:09,040 WORKING GROUP OR ANY OTHER 1524 01:04:09,040 --> 01:04:09,640 QUESTIONS WE CAN ENTERTAIN AT 1525 01:04:09,640 --> 01:04:13,080 THIS POINT? 1526 01:04:13,080 --> 01:04:13,320 >> 1527 01:04:13,320 --> 01:04:15,880 >> YOU CAN UNMUTE YOURSELF AND 1528 01:04:15,880 --> 01:04:26,080 ASK A QUESTION. 1529 01:04:26,080 --> 01:04:31,960 >> I'D LIKE TO ASK A QUESTION 1530 01:04:31,960 --> 01:04:34,320 ABOUT THE PROBLEMS IN THE WOMEN 1531 01:04:34,320 --> 01:04:34,600 WORKFORCE. 1532 01:04:34,600 --> 01:04:38,360 HAS THERE BEEN RESEARCH TO 1533 01:04:38,360 --> 01:04:39,080 IDENTIFY WHERE IN THE CAREER 1534 01:04:39,080 --> 01:04:43,880 WOMEN ARE DROPPING OUT AND THE 1535 01:04:43,880 --> 01:04:50,680 UNDERLYING CAUSES OF THAT? 1536 01:04:50,680 --> 01:04:51,840 >> RESEARCH INDICATES WOMEN DROP 1537 01:04:51,840 --> 01:04:53,880 OUT AT KEY TRANSITION POINTS. 1538 01:04:53,880 --> 01:04:57,520 SO WHEN IT IS Ph.D. TO POST-DOC, 1539 01:04:57,520 --> 01:05:03,680 THAT TRANSITION, WOMEN LEAVE. 1540 01:05:03,680 --> 01:05:19,080 FROM POST-DOC TO RR01 AND ONES 1541 01:05:19,080 --> 01:05:21,040 WOMEN GET THE FIRST RPG THEY'RE 1542 01:05:21,040 --> 01:05:23,160 LESS LIKELY TO APPLY FOR RENEWAL 1543 01:05:23,160 --> 01:05:30,320 OR A SECOND. 1544 01:05:30,320 --> 01:05:32,480 WE KNOW THE YEARS TEND TO 1545 01:05:32,480 --> 01:05:35,120 OVERLAP WITH YEARS FAMILY 1546 01:05:35,120 --> 01:05:37,080 RESPONSIBILITIES AS WOMEN HAVING 1547 01:05:37,080 --> 01:05:39,160 CHILDREN OR CARING FOR OTHER 1548 01:05:39,160 --> 01:05:45,120 FAMILY MEMBERS ARE INCREASED WE 1549 01:05:45,120 --> 01:05:46,880 WANTED TO PROVIDED STRATEGIES 1550 01:05:46,880 --> 01:05:51,320 FOR WOMEN TO KEEP THEIR RESEARCH 1551 01:05:51,320 --> 01:05:58,240 GOING AND THAT'S WHAT THE 1552 01:05:58,240 --> 01:06:02,000 CONTINUITY SUPPLEMENTS DO. 1553 01:06:02,000 --> 01:06:03,720 AND WE SEE LOWER NUMBERS ACROSS 1554 01:06:03,720 --> 01:06:08,720 ALL RACIAL AND ETHNIC UNDER 1555 01:06:08,720 --> 01:06:11,840 REPRESENTED MINORITIES AND SEE 1556 01:06:11,840 --> 01:06:13,280 FACTORS WHICH ARE FINANCIAL 1557 01:06:13,280 --> 01:06:14,080 RESOURCES. 1558 01:06:14,080 --> 01:06:15,360 THAT'S ONE OF THE REASONS YOU 1559 01:06:15,360 --> 01:06:16,440 ASKED ABOUT REASONS. 1560 01:06:16,440 --> 01:06:20,480 WE HAVE CHILD BIRTH, FAMILY 1561 01:06:20,480 --> 01:06:21,040 RESPONSIBILITIES, WE HAVE 1562 01:06:21,040 --> 01:06:23,520 FINANCIAL RESOURCES. 1563 01:06:23,520 --> 01:06:25,760 SO PROGRAMS LIKE OUR LOAN 1564 01:06:25,760 --> 01:06:26,880 REPAYMENT PROGRAM ARE DESIGNED 1565 01:06:26,880 --> 01:06:28,880 TO SUPPORT INDIVIDUALS GOING 1566 01:06:28,880 --> 01:06:30,280 INTO A RESEARCH SUPPORTING FOR 1567 01:06:30,280 --> 01:06:34,920 RESEARCH CAREER AND WE EXPANDED 1568 01:06:34,920 --> 01:06:37,440 THAT PROGRAM NIH HAS AND SO 1569 01:06:37,440 --> 01:06:38,480 THOSE ARE SOME OF THE FACTORS 1570 01:06:38,480 --> 01:06:41,080 THAT ARE IN PLAY RIGHT NOW AND 1571 01:06:41,080 --> 01:06:43,640 I'LL END WITH THE OTHER FACTOR 1572 01:06:43,640 --> 01:06:45,280 THAT REALLY DOES HAVE TO BE SAID 1573 01:06:45,280 --> 01:06:46,600 AND THAT IS THE CULTURE AND 1574 01:06:46,600 --> 01:06:49,920 CLIMATE OF ACADEMIA. 1575 01:06:49,920 --> 01:06:53,560 THE CONSTANT NEED FOR APPLYING 1576 01:06:53,560 --> 01:06:54,800 FOR GRANTS. 1577 01:06:54,800 --> 01:06:59,040 THE COMPETITIVE ENVIRONMENT IN 1578 01:06:59,040 --> 01:06:59,920 TERMS OF THE PUBLISHING SO 1579 01:06:59,920 --> 01:07:02,600 CRITICAL TO PROMOTION AND TENURE 1580 01:07:02,600 --> 01:07:04,240 AND THE FACT THAT UNFORTUNATELY, 1581 01:07:04,240 --> 01:07:07,160 MANY OF OUR PROMOTION AND TENURE 1582 01:07:07,160 --> 01:07:09,920 PRACTICES DON'T INCORPORATE IN A 1583 01:07:09,920 --> 01:07:12,080 MEANINGFUL WAY MENTORING, 1584 01:07:12,080 --> 01:07:13,880 TEACHING THE DIVERSITY-RELATED 1585 01:07:13,880 --> 01:07:16,640 ACTIVITIES WHICH ARE SOME OF THE 1586 01:07:16,640 --> 01:07:18,760 ACTIVITIES THAT WE SEE WOMEN 1587 01:07:18,760 --> 01:07:21,800 ENGAGING IN MORE MEN. 1588 01:07:21,800 --> 01:07:23,520 SO THEN THERE'S THE PAY 1589 01:07:23,520 --> 01:07:23,800 INEQUITY. 1590 01:07:23,800 --> 01:07:25,520 SO YOU HAVE AN ENVIRONMENT THAT 1591 01:07:25,520 --> 01:07:27,480 MAY OR MAY NOT BE AS WELCOMING 1592 01:07:27,480 --> 01:07:31,440 OR SUPPORTIVE AND BE THE THERE'S 1593 01:07:31,440 --> 01:07:33,320 A PAY INEQUITY ISSUE. 1594 01:07:33,320 --> 01:07:34,200 WE SEE WOMEN LEAVING THE 1595 01:07:34,200 --> 01:07:38,440 SCIENTIFIC WORKFORCE AND GOING 1596 01:07:38,440 --> 01:07:41,120 TO OTHER S.T.E.M. JOBS WHICH IS 1597 01:07:41,120 --> 01:07:44,200 A REAL CHALLENGE. 1598 01:07:44,200 --> 01:07:45,520 THANKS FOR THAT QUESTION. 1599 01:07:45,520 --> 01:07:47,880 >> DR. CLAYTON, I JUST WANT TO 1600 01:07:47,880 --> 01:07:49,880 ALERT YOU, OUR NEXT SPEAKER JUST 1601 01:07:49,880 --> 01:07:51,640 JOINED, DR. GIBBONS IS HERE. 1602 01:07:51,640 --> 01:07:55,080 WE HAVE ONE QUESTION FROM 1603 01:07:55,080 --> 01:07:57,640 DR. McGREGOR. 1604 01:07:57,640 --> 01:07:58,880 MAYBE WE CAN TAKE THAT BEFORE WE 1605 01:07:58,880 --> 01:08:02,760 MOVE ON AND I'D LIKE TO 1606 01:08:02,760 --> 01:08:06,520 ACKNOWLEDGE DR. AMANDA BRUEGL 1607 01:08:06,520 --> 01:08:07,960 JOINED US. 1608 01:08:07,960 --> 01:08:10,080 WE'LL TAKE THE LAST QUESTION 1609 01:08:10,080 --> 01:08:11,520 FROM DR. IMAGINE GREGOR BEFORE 1610 01:08:11,520 --> 01:08:15,680 WE MOVE TO THE NEXT PART OF THE 1611 01:08:15,680 --> 01:08:16,160 MEETING. 1612 01:08:16,160 --> 01:08:18,360 >> THANK YOU. 1613 01:08:18,360 --> 01:08:19,840 IT SHOULDN'T BE -- FIRST, THANK 1614 01:08:19,840 --> 01:08:20,360 YOU. 1615 01:08:20,360 --> 01:08:22,800 I LOVE THE DIRECTOR'S REPORT. 1616 01:08:22,800 --> 01:08:26,520 I FEEL LIKE IT GIVES ME ALL THIS 1617 01:08:26,520 --> 01:08:38,760 NEW RESEARCH COMING OUT. 1618 01:08:38,760 --> 01:08:44,160 MY QUESTION IS IS THERE WILL THE 1619 01:08:44,160 --> 01:08:47,440 OFFICE BE CONSIDERING GENDER AS 1620 01:08:47,440 --> 01:08:48,480 A VARIABLE IN THE FUTURE? 1621 01:08:48,480 --> 01:08:51,200 >> I THINK GENDER IS INCLUDED 1622 01:08:51,200 --> 01:08:53,480 ALREADY IN THE WAY WE THINK 1623 01:08:53,480 --> 01:08:56,400 ABOUT HOW BOTH SEX AND GENDER 1624 01:08:56,400 --> 01:08:58,280 AFFECT HEALTH AND DISEASE. 1625 01:08:58,280 --> 01:09:01,280 ACTUALLY, THAT IS ARTICULATED IN 1626 01:09:01,280 --> 01:09:05,760 WHAT I CALL THE HYPER LINK FROM 1627 01:09:05,760 --> 01:09:09,000 THE ORIGINAL SABV POLICY AND IT 1628 01:09:09,000 --> 01:09:11,920 OUTLINES THE IMPORTANCE OF SEX 1629 01:09:11,920 --> 01:09:15,920 AND GENDER. 1630 01:09:15,920 --> 01:09:16,880 I THINK WE ALREADY TALKED BIT 1631 01:09:16,880 --> 01:09:19,160 AND IS THE FIELD IS ADVANCING SO 1632 01:09:19,160 --> 01:09:24,240 THERE'S NOW MORE AVAILABLE 1633 01:09:24,240 --> 01:09:27,080 INSTRUMENTS TO BE ABLE TO ASSESS 1634 01:09:27,080 --> 01:09:27,280 GENDER. 1635 01:09:27,280 --> 01:09:32,880 THAT'S A FAIRLY RECENT LAST YEAR 1636 01:09:32,880 --> 01:09:35,240 PUBLICATION AND JUST LIKE ANY 1637 01:09:35,240 --> 01:09:37,080 OTHER ADVANCE IN OUR FIELDS AS 1638 01:09:37,080 --> 01:09:42,440 MORE INFORMATION BECOMES 1639 01:09:42,440 --> 01:09:43,640 AVAILABLE, WE NEED TO SHIFT AND 1640 01:09:43,640 --> 01:09:45,440 INCORPORATE THAT INTO WAYS OF 1641 01:09:45,440 --> 01:09:45,800 WORKING. 1642 01:09:45,800 --> 01:09:47,880 I WOULD ASK IF YOU COULD BRING 1643 01:09:47,880 --> 01:09:51,760 THIS UP WHEN DR. BARR PRESENTS 1644 01:09:51,760 --> 01:09:52,960 THIS AFTERNOON AND SEE IF THAT 1645 01:09:52,960 --> 01:09:55,880 ANSWERS YOUR QUESTIONS IN TERMS 1646 01:09:55,880 --> 01:09:57,840 OF THE WAYS WE HOPE TO ADVANCE 1647 01:09:57,840 --> 01:09:58,560 SEX AND GENDER CONSIDERATION. 1648 01:09:58,560 --> 01:10:03,880 THANKS FOR THE QUESTION. 1649 01:10:03,880 --> 01:10:06,160 IT'S NOW MY PLEASURE TO 1650 01:10:06,160 --> 01:10:07,400 INTRODUCE DR. GIBBONS. 1651 01:10:07,400 --> 01:10:10,440 DR. GIBBONS IS THE DIRECTOR OF 1652 01:10:10,440 --> 01:10:11,840 THE NATIONAL HEART, LUNG AND 1653 01:10:11,840 --> 01:10:13,320 BLOOD INSTITUTE WHERE WE 1654 01:10:13,320 --> 01:10:14,840 OVERSEES THE THIRD LARGEST 1655 01:10:14,840 --> 01:10:16,880 INSTITUTE AT NIH WITH AN ANNUAL 1656 01:10:16,880 --> 01:10:18,120 BUDGET OF APPROXIMATELY $3 1657 01:10:18,120 --> 01:10:22,360 BILLION AND A STAFF OF NEARLY 1658 01:10:22,360 --> 01:10:23,880 2100 FEDERAL EMPLOYEES, 1659 01:10:23,880 --> 01:10:26,400 CONTRACTORS AND VOLUNTEERS. 1660 01:10:26,400 --> 01:10:28,040 NHLBI PROVIDES GLOBAL LEADERSHIP 1661 01:10:28,040 --> 01:10:29,640 FOR RESEARCH, TRAINING AND 1662 01:10:29,640 --> 01:10:30,960 EDUCATION PROGRAMS TO PROMOTE 1663 01:10:30,960 --> 01:10:33,520 THE PREVENTION AND TREATMENT OF 1664 01:10:33,520 --> 01:10:35,400 HEART, LUNG AND BLOOD DISEASES 1665 01:10:35,400 --> 01:10:37,600 INCLUDING SLEEP AND ENHANCE THE 1666 01:10:37,600 --> 01:10:39,000 HEALTH OF ALL INDIVIDUALS SO 1667 01:10:39,000 --> 01:10:41,880 THEY CAN LIVE LONGER AND MORE 1668 01:10:41,880 --> 01:10:42,920 FULL LIVES. 1669 01:10:42,920 --> 01:10:45,200 SINCE BEING NAMED DIRECTOR OF 1670 01:10:45,200 --> 01:10:47,480 NHLBI, HE HAS ENHANCED THE 1671 01:10:47,480 --> 01:10:49,080 INVESTMENT IN FUNDAMENTAL 1672 01:10:49,080 --> 01:10:51,000 DISCOVERY SCIENCE, STEADILY 1673 01:10:51,000 --> 01:10:53,280 INCREASING THE PAY LINE AND 1674 01:10:53,280 --> 01:10:55,040 NUMBER OF AWARDS FOR ESTABLISHED 1675 01:10:55,040 --> 01:10:57,720 AND EARLY STAGE INVESTIGATORS. 1676 01:10:57,720 --> 01:10:59,160 HIS COMMITMENT TO NURTURING THE 1677 01:10:59,160 --> 01:11:01,440 NEXT GENERATIONS OF SCIENTISTS 1678 01:11:01,440 --> 01:11:03,160 IS MANIFESTED IN EXPANDED 1679 01:11:03,160 --> 01:11:05,480 FUNDING FOR CAREER DEVELOPMENT 1680 01:11:05,480 --> 01:11:07,760 AND LOAN REPAYMENT AWARDS AS 1681 01:11:07,760 --> 01:11:09,480 WELL AS INITIATIVES TO 1682 01:11:09,480 --> 01:11:11,080 FACILITATE THE TRANSITION TO 1683 01:11:11,080 --> 01:11:11,680 INDEPENDENT RESEARCH AWARDS IN 1684 01:11:11,680 --> 01:11:13,400 THE OVERALL COMMITMENT TO 1685 01:11:13,400 --> 01:11:16,240 DIVERSITY, EQUITY AND INCLUSION. 1686 01:11:16,240 --> 01:11:19,080 DR. GIBBONS PROVIDES LEADERSHIP 1687 01:11:19,080 --> 01:11:20,080 TO ADVANCE SEVERAL NIH 1688 01:11:20,080 --> 01:11:22,280 INITIATIVES AND OFTEN CALLED ON 1689 01:11:22,280 --> 01:11:26,200 TO LEAD IMPORTANT ACTIVITIES AND 1690 01:11:26,200 --> 01:11:27,640 MADE SCIENTIFIC CONTRIBUTIONS IN 1691 01:11:27,640 --> 01:11:29,200 THE FIELD OF VASCULAR BIOLOGY 1692 01:11:29,200 --> 01:11:31,400 AND THE PATHOGENESIS OF VASCULAR 1693 01:11:31,400 --> 01:11:32,120 DISEASES. 1694 01:11:32,120 --> 01:11:35,200 HIS RESEARCH FOCUSES ON 1695 01:11:35,200 --> 01:11:35,800 INVESTIGATIVE RELATIONSHIPS 1696 01:11:35,800 --> 01:11:38,280 BETWEEN CLINICAL PHENOTYPES, 1697 01:11:38,280 --> 01:11:39,560 BEHAVIOR, MOLECULAR INTERACTIONS 1698 01:11:39,560 --> 01:11:41,280 AND SOCIAL DETERMINATES ON GENE 1699 01:11:41,280 --> 01:11:45,640 EXPRESSION AND THEIR 1700 01:11:45,640 --> 01:11:46,520 CONTRIBUTIONS TO CARDIOVASCULAR 1701 01:11:46,520 --> 01:11:46,960 DISEASE. 1702 01:11:46,960 --> 01:11:49,280 HE HAS RECEIVED SEVERAL PATENTS 1703 01:11:49,280 --> 01:11:51,120 FOR HIS REASON IN THE FIELD OF 1704 01:11:51,120 --> 01:11:54,880 ASTRO BIOLOGY AND ORIGINALLY 1705 01:11:54,880 --> 01:11:58,080 EARNED HIS UNDER GRADUATE DEGREE 1706 01:11:58,080 --> 01:12:02,520 FROM PRINCETON AND GRADUATED 1707 01:12:02,520 --> 01:12:05,480 MAGNUM CUM LAUDE FROM HARVARD 1708 01:12:05,480 --> 01:12:09,600 AND LED THE BRIGHAM AND WOMEN'S 1709 01:12:09,600 --> 01:12:09,880 HOSPITAL. 1710 01:12:09,880 --> 01:12:15,040 HE WAS A MEMBER OF HARVARD 1711 01:12:15,040 --> 01:12:18,600 MEDICAL SCHOOL BEFORE HE SERVED 1712 01:12:18,600 --> 01:12:19,880 AS MOREHOUSE MEDICAL SCHOOL 1713 01:12:19,880 --> 01:12:22,080 WHERE HE SERVED AS THE 1714 01:12:22,080 --> 01:12:23,680 CHAIRPERSON OF THE DEPARTMENT OF 1715 01:12:23,680 --> 01:12:25,480 PHYSIOLOGY AND PROFESSOR OF 1716 01:12:25,480 --> 01:12:27,800 PHYSIOLOGY AND MEDICINE AT THE 1717 01:12:27,800 --> 01:12:29,520 SCHOOL OF MEDICINE. 1718 01:12:29,520 --> 01:12:31,480 WHILE AT MOREHOUSE, HE ALSO 1719 01:12:31,480 --> 01:12:36,280 SERVED AS THE MEMBER OF THE 1720 01:12:36,280 --> 01:12:38,200 NHLBI COUNCIL AND HAS RECEIVED 1721 01:12:38,200 --> 01:12:38,880 AWARDS INCLUDING ELECTION TO THE 1722 01:12:38,880 --> 01:12:45,120 NATIONAL ACADEMIES, SELECTION TO 1723 01:12:45,120 --> 01:12:51,000 FOUNDATIONS AND A PUGH 1724 01:12:51,000 --> 01:12:52,280 FOUNDATION BIOMEDICAL SCHOLAR. 1725 01:12:52,280 --> 01:12:55,000 IT'S MY PLEASURE TO WELCOME 1726 01:12:55,000 --> 01:12:57,320 DR. GIBBONS TO OUR ADVISORY 1727 01:12:57,320 --> 01:12:58,320 GROUP TODAY. 1728 01:12:58,320 --> 01:13:01,280 >> WOW, DR. CLAYTON. 1729 01:13:01,280 --> 01:13:04,440 THANK YOU VERY MUCH FOR THAT 1730 01:13:04,440 --> 01:13:06,320 OVERLY GENEROUS VERSION OF MY 1731 01:13:06,320 --> 01:13:06,600 BIO. 1732 01:13:06,600 --> 01:13:08,880 THINK THERE'S STILL TIME LEFT. 1733 01:13:08,880 --> 01:13:11,880 I APPRECIATE THE INVITATION AND 1734 01:13:11,880 --> 01:13:15,520 OPPORTUNITY TO PRESENT TO YOUR 1735 01:13:15,520 --> 01:13:16,760 BOARD TODAY. 1736 01:13:16,760 --> 01:13:19,080 WE HAVE A VERY CLOSE 1737 01:13:19,080 --> 01:13:20,320 COLLABORATIVE RELATIONSHIP THE 1738 01:13:20,320 --> 01:13:22,960 OFFICE OF RESEARCH FOR WOMEN'S 1739 01:13:22,960 --> 01:13:25,560 HEALTH AND WE CHERISH THAT 1740 01:13:25,560 --> 01:13:27,880 RELATIONSHIP AND IT'S REALLY AN 1741 01:13:27,880 --> 01:13:29,600 OPPORTUNITY MAYBE TO SHARE AND 1742 01:13:29,600 --> 01:13:31,880 HOPEFULLY SEE HOW WE CAN FURTHER 1743 01:13:31,880 --> 01:13:33,000 ENHANCE THAT COLLABORATION AND 1744 01:13:33,000 --> 01:13:35,160 IT'S EMBEDDED IN THE TITLE OF 1745 01:13:35,160 --> 01:13:37,680 THE SLIDE, ADVANCING SHARED 1746 01:13:37,680 --> 01:13:42,680 PRIORITIES FOR ELIMINATING 1747 01:13:42,680 --> 01:13:44,280 HEALTH INEQUITIES AND IMPROVING 1748 01:13:44,280 --> 01:13:45,400 WOMEN'S HEALTH. 1749 01:13:45,400 --> 01:13:49,960 I ALWAYS START WITH MY TASK IN 1750 01:13:49,960 --> 01:13:51,560 THE PRIVILEGED ROLE I PLAY AS A 1751 01:13:51,560 --> 01:13:54,120 PUBLISH SERVANT IN LEADING THE 1752 01:13:54,120 --> 01:13:57,560 NHLBI AND OUR MISSION TO TURN 1753 01:13:57,560 --> 01:14:00,480 DISCOVERY SCIENCE THAT ENHANCES 1754 01:14:00,480 --> 01:14:01,840 HUMAN HEALTH. 1755 01:14:01,840 --> 01:14:03,080 WE ALWAYS HAD THIS TOUCH STONE 1756 01:14:03,080 --> 01:14:07,840 OF THE ENDURING PRINCIPLES TO 1757 01:14:07,840 --> 01:14:09,080 DRIVE OUR PORTFOLIO AND AGENDA 1758 01:14:09,080 --> 01:14:13,200 THAT ALWAYS BEGINS WITH THOSE 1759 01:14:13,200 --> 01:14:16,360 WHO DO THE WORK VALUING 1760 01:14:16,360 --> 01:14:19,480 DISCOVERY SCIENCES AS THE 1761 01:14:19,480 --> 01:14:22,360 BEDROCK AND MAINTAINS ACROSS THE 1762 01:14:22,360 --> 01:14:24,360 PORTFOLIOS THAT SPANS THE 1763 01:14:24,360 --> 01:14:27,880 SPECTRUM OF SCIENCE FROM BASIC, 1764 01:14:27,880 --> 01:14:28,400 TRANSLATIONAL, CLINICAL, 1765 01:14:28,400 --> 01:14:30,080 POPULATION SCIENCE, 1766 01:14:30,080 --> 01:14:33,240 COMMUNITY-BASED RESEARCH. 1767 01:14:33,240 --> 01:14:35,160 AS WAS MENTIONED A PASSION IS TO 1768 01:14:35,160 --> 01:14:38,360 TRAIN A DIVERSE GENERATION OF 1769 01:14:38,360 --> 01:14:39,760 LEADERS IN SCIENCE AND ANOTHER 1770 01:14:39,760 --> 01:14:41,880 COUPLE OF PASSIONS THAT RELATES 1771 01:14:41,880 --> 01:14:44,360 TO SUPPORTING IMPLEMENTATION 1772 01:14:44,360 --> 01:14:46,560 SCIENCE THAT EMPOWERS PATIENTS 1773 01:14:46,560 --> 01:14:49,720 AND ENABLES PARTNERS TO IMPROVE 1774 01:14:49,720 --> 01:14:51,560 HEALTH OF THE NATION BUT FROM 1775 01:14:51,560 --> 01:14:55,880 THE LEVEL OF THE COMMUNITY AND 1776 01:14:55,880 --> 01:14:56,280 THE REAL WORLD. 1777 01:14:56,280 --> 01:15:01,040 AND TO EVENTUALLY INNOVATE 1778 01:15:01,040 --> 01:15:01,920 HEALTH INEQUITIES IN THE U.K. 1779 01:15:01,920 --> 01:15:09,880 AND AROUND -- U.S. AND AROUND 1780 01:15:09,880 --> 01:15:11,920 THE WORLD AND TOUCHES OUR 1781 01:15:11,920 --> 01:15:12,320 PORTFOLIO. 1782 01:15:12,320 --> 01:15:15,440 TOWARD THAT END I'LL TRY TO 1783 01:15:15,440 --> 01:15:17,080 BRIEFLY TOUCH ON A FEW DIFFERENT 1784 01:15:17,080 --> 01:15:19,520 THEMES THAT I HOPE IS RELEVANT 1785 01:15:19,520 --> 01:15:21,880 AND OF INTEREST TO THIS BODY 1786 01:15:21,880 --> 01:15:28,480 THAT FOCUSES ON WOMEN'S HEALTH 1787 01:15:28,480 --> 01:15:31,680 AND OUR RESEARCH PORTFOLIO THAT 1788 01:15:31,680 --> 01:15:34,840 LOOKS AT THE INTERSECTION WITH 1789 01:15:34,840 --> 01:15:35,280 HEALTH EQUITY. 1790 01:15:35,280 --> 01:15:37,320 FIRST RELATES TO THE IMPORTANCE 1791 01:15:37,320 --> 01:15:43,080 OF EQUITY IN TERMS OF THE 1792 01:15:43,080 --> 01:15:44,960 BIOMEDICAL RESEARCH WORKFORCE. 1793 01:15:44,960 --> 01:15:47,360 THE IMPORTANCE OF INCLUSIVE 1794 01:15:47,360 --> 01:15:49,320 EXCELLENCE IN THAT BIOMEDICAL 1795 01:15:49,320 --> 01:15:50,000 WORKFORCE TO DRIVE THE SUCCESS 1796 01:15:50,000 --> 01:15:55,840 OF OUR MISSION. 1797 01:15:55,840 --> 01:15:59,880 WE ALL RECOGNIZE WE HAVE BOTH 1798 01:15:59,880 --> 01:16:01,640 SUCCESSES AND PERSISTENT 1799 01:16:01,640 --> 01:16:01,920 CHALLENGES. 1800 01:16:01,920 --> 01:16:04,680 SOME OF WHICH HAVE BEEN ALLUDED 1801 01:16:04,680 --> 01:16:07,600 TO AND WE RECOGNIZE THOUGH A LOT 1802 01:16:07,600 --> 01:16:09,240 OF STRIDES HAVE BEEN MADE THAT 1803 01:16:09,240 --> 01:16:12,240 WE STILL HAD SOME CHALLENGES IN 1804 01:16:12,240 --> 01:16:16,520 PROMOTING INCLUSIVE EXCELLENCE. 1805 01:16:16,520 --> 01:16:19,480 WE KNOW TALENT IS WIDELY 1806 01:16:19,480 --> 01:16:21,600 DISPERSED AND COMES FROM EVERY 1807 01:16:21,600 --> 01:16:24,320 CORNER OF OUR SOCIETY AND THAT 1808 01:16:24,320 --> 01:16:26,800 CLEARLY WE NEED THE BEST AND 1809 01:16:26,800 --> 01:16:30,400 BRIGHTEST TO ADDRESS THE 1810 01:16:30,400 --> 01:16:31,480 CHALLENGES IMPLICIT IN 1811 01:16:31,480 --> 01:16:32,400 FULFILLING OUR MISSION. 1812 01:16:32,400 --> 01:16:34,400 CLEARLY WE HAVE SOME CHALLENGES 1813 01:16:34,400 --> 01:16:41,240 IN TERMS OF SEX GENDER INCLUSION 1814 01:16:41,240 --> 01:16:42,640 WITHIN OUR PORTFOLIO. 1815 01:16:42,640 --> 01:16:44,960 AND PART OF THE LAST 1816 01:16:44,960 --> 01:16:50,120 CONVERSATION IN PART AND WE 1817 01:16:50,120 --> 01:16:53,080 RECOGNIZE AND THERE'S NEWS IN 1818 01:16:53,080 --> 01:16:55,920 THE PIPELINE AND AS DR. CLAYTON 1819 01:16:55,920 --> 01:16:58,680 MENTIONED THE KEY TRANSITION 1820 01:16:58,680 --> 01:17:00,680 POINTS WHERE THERE ARE 1821 01:17:00,680 --> 01:17:01,160 DIFFICULTIES WITH THE 1822 01:17:01,160 --> 01:17:04,680 CONVERGENCE OF ACTIVITIES THAT 1823 01:17:04,680 --> 01:17:06,760 INDIVIDUALS HAVE BALANCING LIFE 1824 01:17:06,760 --> 01:17:07,440 CIRCUMSTANCES WITH THE 1825 01:17:07,440 --> 01:17:10,280 CHALLENGING CAREER OF BEING AN 1826 01:17:10,280 --> 01:17:14,120 ACADEMIC AND A RESEARCHER AND 1827 01:17:14,120 --> 01:17:16,680 TRYING TO BE SURE YOU ARE 1828 01:17:16,680 --> 01:17:19,880 PURSUING EXCELLENCE IN ALL THE 1829 01:17:19,880 --> 01:17:28,080 REALMS. 1830 01:17:28,080 --> 01:17:29,400 TO THAT END WE'VE BEEN TRACKING 1831 01:17:29,400 --> 01:17:31,560 IN THE PORTFOLIO AND THIS IS THE 1832 01:17:31,560 --> 01:17:33,920 NHLBI PERSPECTIVE BUT THIS SHOWS 1833 01:17:33,920 --> 01:17:38,280 YOU SOME TRENDS IN OUR AWARD 1834 01:17:38,280 --> 01:17:40,400 DATA BY SEX AND GENDER AND YOU 1835 01:17:40,400 --> 01:17:43,080 CAN SEE THE TRENDS FOR THE LAST 1836 01:17:43,080 --> 01:17:46,360 SEVERAL YEARS FOR ALL RO1s AND 1837 01:17:46,360 --> 01:17:50,080 NHLBI AND YOU CAN SEE THE FEMALE 1838 01:17:50,080 --> 01:17:54,040 TO MALE DIFFERENCES AND 1839 01:17:54,040 --> 01:17:56,160 DISPARITIES AND WHAT GIVES US A 1840 01:17:56,160 --> 01:17:58,840 LITTLE HOPE THAT INCLUDES A LOT 1841 01:17:58,840 --> 01:18:00,360 OF THE ESTABLISHED INVESTIGATORS 1842 01:18:00,360 --> 01:18:05,600 BUT IF YOU BREAK OUT IN THE NEXT 1843 01:18:05,600 --> 01:18:07,920 ELEMENT THERE THE RO1s AND EARLY 1844 01:18:07,920 --> 01:18:12,840 STAGE INVESTIGATORS, CAN YOU SEE 1845 01:18:12,840 --> 01:18:15,880 A SUBSTANTIAL INCREASE IN GOING 1846 01:18:15,880 --> 01:18:19,440 TOWARDS PARITY BY SEX GENDER. 1847 01:18:19,440 --> 01:18:21,800 AND AS YOU MOVE EARLIER IN THE 1848 01:18:21,800 --> 01:18:25,080 PIPELINE WHAT OUR K AWARDS AND 1849 01:18:25,080 --> 01:18:28,040 NHLBI YOU CAN SEE WE'RE CLOSER 1850 01:18:28,040 --> 01:18:32,480 TO SOMETHING APPROACHING PARITY 1851 01:18:32,480 --> 01:18:34,240 AS WELL AS IN THE TRAINING 1852 01:18:34,240 --> 01:18:42,480 AWARDS THE Fs, FOR EXAMPLE. 1853 01:18:42,480 --> 01:18:47,880 YOU CAN SEE CLOSER TO PARITY. 1854 01:18:47,880 --> 01:18:49,280 SIMILARLY, AS DR. CLAYTON 1855 01:18:49,280 --> 01:18:53,680 ALLUDED TO, I THINK BOTH THE 1856 01:18:53,680 --> 01:18:54,480 CHALLENGES AND OPPORTUNITIES FOR 1857 01:18:54,480 --> 01:18:57,520 NIH AS STEWARDS OF THE BIOMARKER 1858 01:18:57,520 --> 01:19:00,080 WORKFORCE IS TO SEE WHAT WE CAN 1859 01:19:00,080 --> 01:19:04,280 DO TO CONTINUE TO NOT ONLY PRIME 1860 01:19:04,280 --> 01:19:07,080 THE PUMP IN THAT DEVELOPMENT 1861 01:19:07,080 --> 01:19:09,000 PATHWAY BUT ALSO TO LOOK AT HOW 1862 01:19:09,000 --> 01:19:14,360 WE COULD BE MORE EFFECTIVE AND 1863 01:19:14,360 --> 01:19:16,080 SUPPORTIVE OF THESE EARLY CAREER 1864 01:19:16,080 --> 01:19:21,280 INVESTIGATORS PURSUING THIS 1865 01:19:21,280 --> 01:19:25,040 PATHWAY SUCH THAT THEY STAY IN 1866 01:19:25,040 --> 01:19:26,480 AND THIS IS THEIR DESIRE OR 1867 01:19:26,480 --> 01:19:30,800 PASSION BECAUSE WE ENSURED THE 1868 01:19:30,800 --> 01:19:33,880 SYSTEM IS SUPPORTIVE OF THEIR 1869 01:19:33,880 --> 01:19:44,800 EFFORTS. 1870 01:19:44,800 --> 01:19:46,080 SWITCHING TO OUR RESEARCH 1871 01:19:46,080 --> 01:19:47,040 PORTFOLIO OF INCLUSIVE 1872 01:19:47,040 --> 01:19:47,360 EXCELLENCE. 1873 01:19:47,360 --> 01:19:49,960 NOT ONLY IS IT IMPORTANT WE HAVE 1874 01:19:49,960 --> 01:19:53,680 A DIVERSE AND TALENTED 1875 01:19:53,680 --> 01:19:59,600 WORKFORCE, BUT DIVERSITY AND IN 1876 01:19:59,600 --> 01:20:01,160 INCLUSION IS IMPORTANT IN THE 1877 01:20:01,160 --> 01:20:03,200 PARTICIPATION OF THE RESEARCH AS 1878 01:20:03,200 --> 01:20:04,920 WELL OF THE SCIENTISTS BUT IN 1879 01:20:04,920 --> 01:20:09,760 ACTUALLY CONDUCTING THE SCIENCE 1880 01:20:09,760 --> 01:20:14,360 AND TOWARD THAT END I'M PROUD I 1881 01:20:14,360 --> 01:20:19,880 HEARD A LEGACY AT THE NHLBI THAT 1882 01:20:19,880 --> 01:20:21,560 GOES BACK TO THE FOUNDING IN 1883 01:20:21,560 --> 01:20:23,840 WHICH ONE OF THE EARLIEST 1884 01:20:23,840 --> 01:20:27,840 RESEARCH PROGRAMS WAS THE ICONIC 1885 01:20:27,840 --> 01:20:33,920 FRAMINGHAM HEART STUDY THAT WAS 1886 01:20:33,920 --> 01:20:36,200 A RESEARCH NICHD TO ADDRESS THE 1887 01:20:36,200 --> 01:20:39,080 PANDEMIC OF THAT TIME WHICH WAS 1888 01:20:39,080 --> 01:20:43,680 THE INCREASED INCIDENTS OF 1889 01:20:43,680 --> 01:20:47,840 CORONARY HEART DISEASE 1890 01:20:47,840 --> 01:20:49,160 SUPPLANTING CORONARY DISEASE OF 1891 01:20:49,160 --> 01:20:50,760 WOMEN AND MEN AND FROM THE 1892 01:20:50,760 --> 01:20:53,120 BEGINNING FRAMINGHAM WAS 1893 01:20:53,120 --> 01:20:55,400 INCLUSIVE OF BOTH MALES AND 1894 01:20:55,400 --> 01:20:59,720 FEMALES AS RESEARCH 1895 01:20:59,720 --> 01:21:00,080 PARTICIPANTS. 1896 01:21:00,080 --> 01:21:03,520 IT WAS AMONG THE FIRST TO SEE 1897 01:21:03,520 --> 01:21:09,000 SEX-SPECIFIC DIFFERENCES IN RISK 1898 01:21:09,000 --> 01:21:10,840 AND OUTCOMES THAT REALLY STAND 1899 01:21:10,840 --> 01:21:14,360 THE TEST OF TIME UP TO TODAY AND 1900 01:21:14,360 --> 01:21:19,880 UNDER SCORES THE IMPORTANCE MUCH 1901 01:21:19,880 --> 01:21:21,480 INCLUSION AS PART OF 1902 01:21:21,480 --> 01:21:28,040 UNDERSTANDING DISCOVERY SCIENCE 1903 01:21:28,040 --> 01:21:33,200 AND PUT THE NHLBI ON THE PATHWAY 1904 01:21:33,200 --> 01:21:34,840 TO BE GOOD STRATEGIC PARTNERS 1905 01:21:34,840 --> 01:21:35,960 WITH THE OFFICE OF RESEARCH AND 1906 01:21:35,960 --> 01:21:39,440 WOMEN'S HEALTH AND WE CELEBRATE 1907 01:21:39,440 --> 01:21:41,000 THEIR SUCCESS IN WHICH I BELIEVE 1908 01:21:41,000 --> 01:21:42,360 WE'VE BEEN GOOD COLLABORATIVE 1909 01:21:42,360 --> 01:21:47,480 PARTNERS FROM THE INCEPTION 1910 01:21:47,480 --> 01:21:53,360 HOPEFULLY DR. CLAYTON WILL 1911 01:21:53,360 --> 01:21:56,200 UPDATE AND THERE'S A WOMEN'S 1912 01:21:56,200 --> 01:22:01,520 HEALTH INITIATIVE STARTED IN THE 1913 01:22:01,520 --> 01:22:06,800 1990s AND AND THE NHLBI SOON 1914 01:22:06,800 --> 01:22:10,520 INHERITED THE WOMEN'S HEALTH 1915 01:22:10,520 --> 01:22:15,760 INITIATIVE AND WE HOSTED TO THIS 1916 01:22:15,760 --> 01:22:19,880 DAY AND NOT ONLY DID WE HAVE THE 1917 01:22:19,880 --> 01:22:20,880 INCREDIBLE RETURN ON INVESTMENT 1918 01:22:20,880 --> 01:22:22,680 THE RESEARCH PROGRAM HAS HAD AND 1919 01:22:22,680 --> 01:22:27,960 THE TARGETED ISSUES RELEVANT TO 1920 01:22:27,960 --> 01:22:31,000 WOMEN'S HEALTH INCLUSIVE OF AL 1921 01:22:31,000 --> 01:22:32,120 STUDIES AND CLINICAL TRIALS THAT 1922 01:22:32,120 --> 01:22:37,880 HAD IMPLICATIONS ON THE CARE OF 1923 01:22:37,880 --> 01:22:39,880 WOMEN AND CONTINUES TO BEARS 1924 01:22:39,880 --> 01:22:40,080 FRUIT. 1925 01:22:40,080 --> 01:22:45,120 WE CONTINUED TO MIX THE BALANCE 1926 01:22:45,120 --> 01:22:47,440 OF OBSERVATIONAL STUDIES COUPLED 1927 01:22:47,440 --> 01:22:48,280 TO INTERVENTIONS TO IMPACT 1928 01:22:48,280 --> 01:22:56,280 WOMEN'S HEALTH AND THEIR LIVES. 1929 01:22:56,280 --> 01:22:58,080 IN THIS REGARD THERE'S THE 1930 01:22:58,080 --> 01:22:59,600 ASSOCIATION OF PHYSICAL 1931 01:22:59,600 --> 01:23:04,880 ACTIVITIES AND OUTCOMES IN TERMS 1932 01:23:04,880 --> 01:23:06,560 OF CARDIOVASCULAR HEALTH. 1933 01:23:06,560 --> 01:23:09,440 CLEARLY IT WAS EVIDENT AND SOME 1934 01:23:09,440 --> 01:23:10,880 MIGHT SAY TO BE EXPECTED MAY BE 1935 01:23:10,880 --> 01:23:15,880 A BENEFIT AS AN ASSOCIATION IN 1936 01:23:15,880 --> 01:23:17,880 OBSERVATIONAL STUDY AND THE KEY 1937 01:23:17,880 --> 01:23:19,080 TEST IS TO SEE WHETHER WOMEN IN 1938 01:23:19,080 --> 01:23:23,760 THEIR LATER YEARS OF LIFE AND 1939 01:23:23,760 --> 01:23:26,280 THE LIFE SPAN WHETHER PHYSICAL 1940 01:23:26,280 --> 01:23:28,200 ACTIVITY STILL IMPROVES OUTCOMES 1941 01:23:28,200 --> 01:23:30,480 AND GIVEN THE POTENTIAL FRAILTY 1942 01:23:30,480 --> 01:23:33,080 ISSUES THERE WAS SOME QUESTION 1943 01:23:33,080 --> 01:23:37,080 IN CLINICAL EQUIPOISE IN TERMS 1944 01:23:37,080 --> 01:23:39,080 OF RELATIVE SAFETY OF EXERCISE 1945 01:23:39,080 --> 01:23:40,920 IN THIS CONTEXT AND IT'S AN 1946 01:23:40,920 --> 01:23:47,800 ONGOING STUDY THAT WE'RE 1947 01:23:47,800 --> 01:23:49,840 CONDUCTING EMBEDDED WITHIN THE 1948 01:23:49,840 --> 01:23:50,480 WOMEN'S HEALTH INITIATIVE 1949 01:23:50,480 --> 01:23:51,600 TESTING WHETHER PHYSICAL 1950 01:23:51,600 --> 01:23:54,440 ACTIVITY INTERVENTION IS STILL 1951 01:23:54,440 --> 01:23:57,000 EFFECTIVE IN ENHANCING HEALTH 1952 01:23:57,000 --> 01:24:01,920 OUTCOMES AMONGST OLDER WOMEN. 1953 01:24:01,920 --> 01:24:03,880 AND WE LOOK FORWARD TO THE 1954 01:24:03,880 --> 01:24:05,800 RESULT HELP US GUIDE WOMEN 1955 01:24:05,800 --> 01:24:07,880 ACROSS THE LIFE SPAN IN WAYS 1956 01:24:07,880 --> 01:24:14,200 THEY CAN CONTINUE TO THRIVE. 1957 01:24:14,200 --> 01:24:17,240 AND LIVE HEALTHIER LIVES. 1958 01:24:17,240 --> 01:24:20,920 LET ME PIVOT AND REQUEST WE 1959 01:24:20,920 --> 01:24:23,720 UPDATE ON SOME OF THE ACTIVITIES 1960 01:24:23,720 --> 01:24:24,720 RELATED TO COVID-19 AND THEIR 1961 01:24:24,720 --> 01:24:31,640 IMPACT ON WOMEN'S HEALTH. 1962 01:24:31,640 --> 01:24:33,480 THOORDZ END, I DON'T NEED TO 1963 01:24:33,480 --> 01:24:37,240 TELL THIS AUDIENCE THE 1964 01:24:37,240 --> 01:24:39,440 DISRUPTIVE AFFECTS COVID-19 HAS 1965 01:24:39,440 --> 01:24:40,680 HAD ON NEARLY EVERY AC SPECT OF 1966 01:24:40,680 --> 01:24:43,000 OUR LIVES AND THERE'S A NUMBER 1967 01:24:43,000 --> 01:24:45,680 OF FACTORS THAT CONTINUE TO BE 1968 01:24:45,680 --> 01:24:47,880 OF CONCERN. 1969 01:24:47,880 --> 01:24:50,160 OBVIOUSLY THE VIRUS AND IT'S 1970 01:24:50,160 --> 01:24:52,120 IMPACT I WON'T DWELL ON BUT 1971 01:24:52,120 --> 01:24:58,280 RELATED TO OUR TOPICS TODAY IN 1972 01:24:58,280 --> 01:24:59,880 OUR PORTFOLIO ON HEART, LUNG, 1973 01:24:59,880 --> 01:25:02,280 SLEEP DISORDERS YOU SEE THE 1974 01:25:02,280 --> 01:25:03,320 COLLABORATIVE AFFECTS OF 1975 01:25:03,320 --> 01:25:04,840 COVID-19 ON A NUMBER OF 1976 01:25:04,840 --> 01:25:06,960 DIFFERENT ELEMENTS. 1977 01:25:06,960 --> 01:25:10,600 IN THIS CASE LOOKING AT BLOOD 1978 01:25:10,600 --> 01:25:11,600 PRESSURE AND BLOOD PRESSURE 1979 01:25:11,600 --> 01:25:14,880 CONTROLS IN THIS CONTEXT OF THE 1980 01:25:14,880 --> 01:25:15,360 PANDEMIC. 1981 01:25:15,360 --> 01:25:17,760 AND YOU CAN SEE PARTICULARLY FOR 1982 01:25:17,760 --> 01:25:23,600 WOMEN SOME MAJOR CHALLENGES HERE 1983 01:25:23,600 --> 01:25:26,480 IN TERMS OF THE DIFFICULTY OF 1984 01:25:26,480 --> 01:25:29,240 THE RISK FACTOR MANAGEMENT IN 1985 01:25:29,240 --> 01:25:31,920 THIS CONTEXT AND PERHAPS SOME OF 1986 01:25:31,920 --> 01:25:37,760 THE STRESSORS THAT COME TO BEAR 1987 01:25:37,760 --> 01:25:39,680 IN THE CONTEXT OF A PANDEMIC AND 1988 01:25:39,680 --> 01:25:42,760 PERHAPS THE DIFFERENTIAL IMPACT 1989 01:25:42,760 --> 01:25:45,280 OF THE PANDEMIC ON WOMEN IN 1990 01:25:45,280 --> 01:25:48,080 PARTICULAR AS WE'VE ALL 1991 01:25:48,080 --> 01:25:51,240 STRUGGLED WITH WORK LIFE 1992 01:25:51,240 --> 01:25:52,160 BALANCE. 1993 01:25:52,160 --> 01:25:59,760 LORD KNOWS I HAVE A ADULT 1994 01:25:59,760 --> 01:26:00,760 CHILDREN BUT STAFF ATTEMPTING TO 1995 01:26:00,760 --> 01:26:05,840 WORK AND DO ALL THE OTHER ARC 1996 01:26:05,840 --> 01:26:09,080 ACTIVITIES IT'S CLEARLY BEEN A 1997 01:26:09,080 --> 01:26:11,080 STRESSFUL PERIOD AND WILL HAVE A 1998 01:26:11,080 --> 01:26:12,240 SUBSTANTIAL IMPACT NOT ONLY 1999 01:26:12,240 --> 01:26:15,160 RELATED TO COVID AND THE VIRUS 2000 01:26:15,160 --> 01:26:21,360 ITSELF BUT OTHER COLLATERAL 2001 01:26:21,360 --> 01:26:21,680 AFFECTS. 2002 01:26:21,680 --> 01:26:24,960 TOWARD THAT END NOT ONLY HAVE 2003 01:26:24,960 --> 01:26:30,160 THE BROAD IMPLICATIONS BUT WE'RE 2004 01:26:30,160 --> 01:26:33,120 ASKED TO ADDRESS SOME OTHER 2005 01:26:33,120 --> 01:26:35,920 ELEMENTS OF COVID'S IMPACT. 2006 01:26:35,920 --> 01:26:40,040 ONE HAS BEEN ON POTENTIAL OF SEX 2007 01:26:40,040 --> 01:26:41,440 DIFFERENCES TO NOT ONLY AFFECT 2008 01:26:41,440 --> 01:26:46,480 EXPOSURE AND OUTCOMES OF 2009 01:26:46,480 --> 01:26:48,640 COVID-19 BUT SOME OF THE 2010 01:26:48,640 --> 01:26:51,880 SEQUELAE AND THE POST-ACUTE 2011 01:26:51,880 --> 01:26:55,480 SEQUELAE AND COMPLICATIONS OF 2012 01:26:55,480 --> 01:26:58,520 COVID IN WHICH THERE MAY EVEN BE 2013 01:26:58,520 --> 01:27:00,000 GREATER SEX SPECIFIC DIFFERENCES 2014 01:27:00,000 --> 01:27:02,960 PARTICULARLY AS WE LEARN MORE 2015 01:27:02,960 --> 01:27:06,440 ABOUT HOW THE VIRUS NOT ONLY 2016 01:27:06,440 --> 01:27:08,440 ATTACKS THE LUNGS AND THE HEART 2017 01:27:08,440 --> 01:27:11,200 AS A STANDARD RESPIRATORY 2018 01:27:11,200 --> 01:27:12,520 ILLNESS AND INFECTION BUT THE 2019 01:27:12,520 --> 01:27:14,960 EFFECT IT'S HAVING IN TERMS OF 2020 01:27:14,960 --> 01:27:16,560 MULTIPLE SYSTEMS AND 2021 01:27:16,560 --> 01:27:18,800 PARTICULARLY THE IMMUNE SYSTEM 2022 01:27:18,800 --> 01:27:20,760 AND THE ACTIVATION AND SOME 2023 01:27:20,760 --> 01:27:25,440 SUBSETS TO CONDITIONS THAT 2024 01:27:25,440 --> 01:27:26,880 APPEAR TO HAVE ALMOST AN 2025 01:27:26,880 --> 01:27:28,160 AUTOIMMUNE BASIS TO THEM AND THE 2026 01:27:28,160 --> 01:27:33,160 AUDIENCE IS FAMILIAR WITH A BODY 2027 01:27:33,160 --> 01:27:34,560 OF EVIDENCE THAT SHOWS A 2028 01:27:34,560 --> 01:27:37,680 DISPROPORTIONATE IMPACT ON 2029 01:27:37,680 --> 01:27:39,280 IMMUNE DISEASE ON WOMEN AS SHOWN 2030 01:27:39,280 --> 01:27:42,360 ON THE LEFT PANEL. 2031 01:27:42,360 --> 01:27:44,320 THIS HAS BEEN A CONSISTENT SORT 2032 01:27:44,320 --> 01:27:45,560 OF OBSERVATION. 2033 01:27:45,560 --> 01:27:51,280 SO AS WE ANTICIPATE AND ALREADY 2034 01:27:51,280 --> 01:27:54,440 SEE EVIDENCE OF AUTOIMMUNE 2035 01:27:54,440 --> 01:27:58,040 CLUSTER OF POST-ACUTE SEQUELAE 2036 01:27:58,040 --> 01:28:01,000 OF COVID WE'RE BEING VIGILANT IN 2037 01:28:01,000 --> 01:28:03,520 ASSESSING SEX-SPECIFIC 2038 01:28:03,520 --> 01:28:05,280 DIFFERENCES AS WE LEARN MORE 2039 01:28:05,280 --> 01:28:07,880 ABOUT NOT ONLY WHAT HAPPENS 2040 01:28:07,880 --> 01:28:09,800 ACUTELY WITH COVID-19 BUT AGAIN 2041 01:28:09,800 --> 01:28:14,560 AS WE ADDRESS ISSUES OF LONG 2042 01:28:14,560 --> 01:28:16,280 COVID AND THE INTERSECTION WITH 2043 01:28:16,280 --> 01:28:17,680 WOMEN'S HEALTH AND SEX AS A 2044 01:28:17,680 --> 01:28:24,520 BIOLOGICAL VARIABLE. 2045 01:28:24,520 --> 01:28:29,440 MANY ARE AWARE LONG-HAULERS 2046 01:28:29,440 --> 01:28:35,200 OVERLAPSED WITH OTHER ORGAN AND 2047 01:28:35,200 --> 01:28:39,000 MULTI-SYSTEM SYNDROMES THOUGHT 2048 01:28:39,000 --> 01:28:48,240 TO HAVE A MYELITIS AND CHRONIC 2049 01:28:48,240 --> 01:28:53,440 FATIGUE SYNDROME AND THERE'S 2050 01:28:53,440 --> 01:28:59,480 BEEN EVIDENCE OF IMMUNE SYMPTOMS 2051 01:28:59,480 --> 01:29:02,480 AND GREATER PREVALENCE IN WOMEN 2052 01:29:02,480 --> 01:29:07,520 AND RAYNAUD'S PHENOMENON AND 2053 01:29:07,520 --> 01:29:07,920 MYALGIAS. 2054 01:29:07,920 --> 01:29:09,440 TOWARDS THAT END WE RECOGNIZE 2055 01:29:09,440 --> 01:29:13,440 THAT NOT ONLY DO SOME OF THOSE 2056 01:29:13,440 --> 01:29:19,200 SYMPTOMS OVERLAP WITH POST-ACUTE 2057 01:29:19,200 --> 01:29:20,840 SEQUELAE OF COVID PAST OR LONG 2058 01:29:20,840 --> 01:29:29,120 COVID BUT SOME SPECIAL CASES OF 2059 01:29:29,120 --> 01:29:31,760 PASC AMONG CHILDREN AND MISC. 2060 01:29:31,760 --> 01:29:35,200 THIS EMERGED THE FIRST FEW 2061 01:29:35,200 --> 01:29:40,280 MONTHS OF THE EPIDEMIC IN WHICH 2062 01:29:40,280 --> 01:29:45,440 CHILDREN WHO APPEARED TO HAVE 2063 01:29:45,440 --> 01:29:49,440 BEEN EXPOSED TO COVID AND AS A 2064 01:29:49,440 --> 01:29:51,320 RESULT OF COV2 WOULD PRESENT 2065 01:29:51,320 --> 01:29:56,160 MANY WEEKS LATER, FOUR TO EIGHT 2066 01:29:56,160 --> 01:29:59,720 WEEKS LATER WITH A SYMPTOMATIC 2067 01:29:59,720 --> 01:30:00,080 COMPLICATIONS. 2068 01:30:00,080 --> 01:30:01,840 MANY OF WHICH INVOLVED THE 2069 01:30:01,840 --> 01:30:03,880 CARDIOVASCULAR SYSTEM, DECLINES 2070 01:30:03,880 --> 01:30:06,440 IN EJECTION FRACTION, HEART 2071 01:30:06,440 --> 01:30:11,160 FAILURE, OFTEN REQUIRING 2072 01:30:11,160 --> 01:30:12,840 INTENSIVE CARE ADMISSION AND 2073 01:30:12,840 --> 01:30:15,920 TREATMENT WITH MEDICATIONS SUCH 2074 01:30:15,920 --> 01:30:20,880 AS IBIG TO HOPEFULLY ADDRESS 2075 01:30:20,880 --> 01:30:32,640 IMMUNE ACTIVATION AND BE IMMUNE 2076 01:30:32,640 --> 01:30:35,440 MODULES AND THAT'S BEEN OBSERVED 2077 01:30:35,440 --> 01:30:41,120 AND WE'RE SEEING SEX DIFFERENCES 2078 01:30:41,120 --> 01:30:43,080 AND HOW THAT'S PLAYING OUT AS 2079 01:30:43,080 --> 01:30:46,120 WE'RE UNDERSTANDING THE IMMUNE 2080 01:30:46,120 --> 01:30:48,600 MECHANISMS ACTIVATED AS A RESULT 2081 01:30:48,600 --> 01:30:52,440 OF SARS COV2 INFECTION AND WHAT 2082 01:30:52,440 --> 01:30:55,440 THAT MAY DO DOWNSTREAM TO 2083 01:30:55,440 --> 01:30:57,640 POST-ACUTE SEQUELAE IN TERMS OF 2084 01:30:57,640 --> 01:30:58,320 ORGAN DAMAGE AND SYMPTOMS. 2085 01:30:58,320 --> 01:31:03,400 SO IN SOME CASES, SOME 2086 01:31:03,400 --> 01:31:04,960 SITUATIONS IT'S A SPECIAL CASE 2087 01:31:04,960 --> 01:31:07,880 OF LONG COVID, IF YOU WILL. 2088 01:31:07,880 --> 01:31:11,400 INDEED, WE'RE STARTING TO GET 2089 01:31:11,400 --> 01:31:15,920 EMERGING DATA NOW ABOUT LONG 2090 01:31:15,920 --> 01:31:17,440 COVID AND WE'RE CLOSELY 2091 01:31:17,440 --> 01:31:18,760 MONITORING FOR SEX-SPECIFIC 2092 01:31:18,760 --> 01:31:23,280 DIFFERENCES IN LONG COVID. 2093 01:31:23,280 --> 01:31:24,400 I MUST SAY THOUGH WE'D LIKE TO 2094 01:31:24,400 --> 01:31:27,880 NAIL THAT DOWN, I THINK IT'S 2095 01:31:27,880 --> 01:31:31,880 STILL A BIT EARLY DAYS AS WE 2096 01:31:31,880 --> 01:31:37,080 DEVELOP AND SEE MORE SYSTEMATIC 2097 01:31:37,080 --> 01:31:39,800 AND EFFECTIVE SAMPLING OF THOSE 2098 01:31:39,800 --> 01:31:46,600 AFFECTED TO CHARACTERIZE THIS. 2099 01:31:46,600 --> 01:31:49,280 CURRENTLY UNFORTUNATELY, MANY 2100 01:31:49,280 --> 01:31:51,680 STUDIES ARE SKEWED TOWARDS 2101 01:31:51,680 --> 01:31:55,680 HOSPITALIZED PATIENTS OR NOT. 2102 01:31:55,680 --> 01:31:57,560 MAYBE YOU'VE SEEN A SERIES OUT 2103 01:31:57,560 --> 01:31:58,840 OF THE V.A. HOSPITAL SYSTEM FOR 2104 01:31:58,840 --> 01:32:02,280 EXAMPLE AT GOOD SCALE BUT 2105 01:32:02,280 --> 01:32:03,440 EVERYONE ALSO APPRECIATES THAT'S 2106 01:32:03,440 --> 01:32:09,040 A SKEWED POPULATION FOR LOOKING 2107 01:32:09,040 --> 01:32:10,680 AT SEX DIFFERENCE. 2108 01:32:10,680 --> 01:32:11,880 MORE RESEARCH NEEDS TO BE DONE 2109 01:32:11,880 --> 01:32:14,440 TO UNDERSTAND ANY PARTICULAR 2110 01:32:14,440 --> 01:32:16,480 PATTERNS AMONG WOMEN SUFFERING 2111 01:32:16,480 --> 01:32:19,880 FROM LONG COVID RELATIVE TO 2112 01:32:19,880 --> 01:32:37,440 OTHER GROUPS. 2113 01:32:37,440 --> 01:32:43,400 WE HAVE RECOVER TO ENHANCE 2114 01:32:43,400 --> 01:32:43,680 RECOVERY. 2115 01:32:43,680 --> 01:32:47,400 THIS INITIATIVE THAT RECEIVES 2116 01:32:47,400 --> 01:32:48,720 CONGRESSIONAL APPROPRIATION TO 2117 01:32:48,720 --> 01:32:50,480 IMPROVE OUR UNDERSTANDING OF AND 2118 01:32:50,480 --> 01:32:53,360 ABILITY TO PREDICT, TREAT AND 2119 01:32:53,360 --> 01:32:55,880 PREVENT THE POST-ACUTE SEQUELAE 2120 01:32:55,880 --> 01:32:57,280 OF COVID. 2121 01:32:57,280 --> 01:33:02,400 WITH THE SAME KEY SCIENTIFIC 2122 01:33:02,400 --> 01:33:06,000 AIMS TO UNDERSTAND THE CLINICAL 2123 01:33:06,000 --> 01:33:07,680 SPECTRUM AND BIOLOGY AND TO 2124 01:33:07,680 --> 01:33:10,080 DEFINE THE RISK FACTORS, 2125 01:33:10,080 --> 01:33:14,080 INCIDENTS AND PREVALENCE AND SUB 2126 01:33:14,080 --> 01:33:14,920 PHENOTYPES OF LONG COVID AS WELL 2127 01:33:14,920 --> 01:33:20,120 AS STUDY PATHOGENESIS OVER TIME 2128 01:33:20,120 --> 01:33:24,640 AND RELATIONSHIP TO OTHER ORGAN 2129 01:33:24,640 --> 01:33:26,080 DYSFUNCTION AND DISORDER TO 2130 01:33:26,080 --> 01:33:27,240 DISSECT OUT THE SYNDROME WHICH 2131 01:33:27,240 --> 01:33:35,880 MAY IN FACT BE CLUST ERS -- 2132 01:33:35,880 --> 01:33:37,120 CLUSTERS OF MANY PROCESSES AND 2133 01:33:37,120 --> 01:33:39,680 IDENTIFY INTERVENTIONS THAT CAN 2134 01:33:39,680 --> 01:33:42,600 HOPEFULLY PREVENT, PREEMPT OR 2135 01:33:42,600 --> 01:33:46,120 TREAT THE CONDITION. 2136 01:33:46,120 --> 01:33:47,840 WE'RE TRYING TO DO THIS 2137 01:33:47,840 --> 01:33:50,440 INITIATIVE RAPIDLY AND GUIDED BY 2138 01:33:50,440 --> 01:33:51,840 CERTAIN PRINCIPLES. 2139 01:33:51,840 --> 01:33:56,400 ONE IS TO BE PATIENT-CENTERED IN 2140 01:33:56,400 --> 01:34:00,480 WHICH RESEARCH PARTICIPANTS ARE 2141 01:34:00,480 --> 01:34:01,720 PARTNERS IN THIS AND HAVE BEEN 2142 01:34:01,720 --> 01:34:03,720 FROM THE CONCEPTION OF THE 2143 01:34:03,720 --> 01:34:05,400 INITIATIVE WITH PATIENTS FOR 2144 01:34:05,400 --> 01:34:10,160 EXAMPLE ENGAGED AND REPRESENTED 2145 01:34:10,160 --> 01:34:14,120 IN EVERY LEVEL FROM THE LOCAL 2146 01:34:14,120 --> 01:34:15,800 SITES THROUGH THE TASK GROUPS 2147 01:34:15,800 --> 01:34:19,520 AND PROTOCOL DEVELOPMENT, TRIAL 2148 01:34:19,520 --> 01:34:22,520 DESIGNS, STEERING COMMITTEE, THE 2149 01:34:22,520 --> 01:34:24,080 EXECUTIVE COMMITTEE AND EVERY 2150 01:34:24,080 --> 01:34:26,160 ELEMENT WITH AGAIN THE DRIVING 2151 01:34:26,160 --> 01:34:29,800 PRINCIPLE BEING INCLUSIVE AND 2152 01:34:29,800 --> 01:34:34,880 ENGAGING OF THE DIVERSE SET OF 2153 01:34:34,880 --> 01:34:37,400 STAKEHOLDERS AND PARTNERS IN 2154 01:34:37,400 --> 01:34:39,000 THIS PROGRAM AND TO RECOGNIZE 2155 01:34:39,000 --> 01:34:41,480 WE'RE GOING TO HAVE TO BE NIMBLE 2156 01:34:41,480 --> 01:34:45,320 AND ADAPTIVE. 2157 01:34:45,320 --> 01:34:48,320 AND ALTHOUGH WE'RE MEETING THE 2158 01:34:48,320 --> 01:34:51,320 SENSE OF URGENCY OF PATIENTS TO 2159 01:34:51,320 --> 01:34:56,440 THEIR SUFFERING, WE KNOW WE HAVE 2160 01:34:56,440 --> 01:34:57,080 TO BE DACHT AS WE LEARN WITH THE 2161 01:34:57,080 --> 01:35:11,400 VIRUS GOING FORWARD. 2162 01:35:11,400 --> 01:35:12,920 MY PRESENTATION CHANGED SO 2163 01:35:12,920 --> 01:35:13,720 HOPEFULLY EVERYONE'S SEEING THIS 2164 01:35:13,720 --> 01:35:14,080 OKAY. 2165 01:35:14,080 --> 01:35:18,440 AND ULTIMATELY TO LEVERAGE EVERY 2166 01:35:18,440 --> 01:35:23,440 SOURCE OF RESEARCH RESOURCES 2167 01:35:23,440 --> 01:35:25,920 TOWARDS THIS END. 2168 01:35:25,920 --> 01:35:28,840 LET ME WRAP UP WITH ONE FINAL 2169 01:35:28,840 --> 01:35:31,880 EXAMPLE OF OUR COLLABORATIVE AND 2170 01:35:31,880 --> 01:35:34,240 SHARED INTEREST THAT RELATE TO 2171 01:35:34,240 --> 01:35:44,240 ADVANCING MATERNAL HEALTH. 2172 01:35:44,240 --> 01:35:47,160 AS WE PIVOT FROM COVID, WE CAN'T 2173 01:35:47,160 --> 01:35:50,440 PIVOT VERY FAR AND WE'RE HAVING 2174 01:35:50,440 --> 01:35:51,560 CHALLENGES WITH BLOOD PRESSURE 2175 01:35:51,560 --> 01:35:54,560 CONTROL DURING THE PANDEMIC, 2176 01:35:54,560 --> 01:35:59,920 THERE'S ALSO BEEN A RISE IN 2177 01:35:59,920 --> 01:36:04,800 MATERNAL MORTALITY AND IT 2178 01:36:04,800 --> 01:36:07,880 APPEARS TO BE EXACERBATING 2179 01:36:07,880 --> 01:36:09,080 HEALTH DISPARITIES IN THE SPACE 2180 01:36:09,080 --> 01:36:13,440 AS SHOWN ON THE LEFT IN WHICH 2181 01:36:13,440 --> 01:36:14,120 UNFORTUNATELY THE UNITED STATES 2182 01:36:14,120 --> 01:36:17,840 HAS A DISTURBINGLY HIGH MATERNAL 2183 01:36:17,840 --> 01:36:22,840 MORBIDITY AND MORTALITY RELATIVE 2184 01:36:22,840 --> 01:36:25,320 TO OUR PEER HIGH-INCOME 2185 01:36:25,320 --> 01:36:26,880 COUNTRIES IT'S PARTICULARLY 2186 01:36:26,880 --> 01:36:29,840 PROBLEMATIC IN COMMUNITIES OF 2187 01:36:29,840 --> 01:36:31,800 COLOR, AFRICAN AMERICAN, LATINO, 2188 01:36:31,800 --> 01:36:36,520 AMERICAN INDIAN AND CLEARLY IS 2189 01:36:36,520 --> 01:36:43,760 ONE OF THE AREAS WE SHARE A HIGH 2190 01:36:43,760 --> 01:36:45,600 PRIORITY AND INTEREST WITH ORWH 2191 01:36:45,600 --> 01:36:57,520 IN THE SPACE. 2192 01:36:57,520 --> 01:36:59,400 MATERNAL HEALTH AND MORBIDITY 2193 01:36:59,400 --> 01:37:00,040 AND MORTALITY COME BACK TO OUR 2194 01:37:00,040 --> 01:37:08,680 PORTFOLIO. 2195 01:37:08,680 --> 01:37:11,240 NOT ONLY ARE THERE HYPERTENSION 2196 01:37:11,240 --> 01:37:12,640 BUT BLEEDING DISORDERS AND 2197 01:37:12,640 --> 01:37:13,520 MYOPATHY. 2198 01:37:13,520 --> 01:37:17,520 ALL THOSE ARE ELEMENTS OF THE 2199 01:37:17,520 --> 01:37:18,240 NHLBI MISSION AND THEREFORE 2200 01:37:18,240 --> 01:37:26,280 CRITICAL FOR US TO LEAN IN. 2201 01:37:26,280 --> 01:37:30,880 WE HAVE TAKEN A LIFE SPAN LENS 2202 01:37:30,880 --> 01:37:36,960 TO WOMEN'S HEALTH AND SEE 2203 01:37:36,960 --> 01:37:41,960 PREGNANCY DURING THE 2204 01:37:41,960 --> 01:37:44,160 REPRODUCTIVE AGE PERIODS AS A 2205 01:37:44,160 --> 01:37:45,680 CRITICAL EVENT AND SOMETIMES 2206 01:37:45,680 --> 01:37:48,720 SERVES AS A STRESS TEST THAT 2207 01:37:48,720 --> 01:37:50,440 IDENTIFIES WOMEN WITH LONG-TERM 2208 01:37:50,440 --> 01:37:51,320 RISK TRAJECTORIES FOR 2209 01:37:51,320 --> 01:37:52,000 CARDIOVASCULAR DISEASE AND 2210 01:37:52,000 --> 01:37:57,080 THAT'S WHAT'S EMERGED FROM THE 2211 01:37:57,080 --> 01:37:58,560 EPIDEMIOLOGIC DATA AND LOOKING 2212 01:37:58,560 --> 01:38:01,440 AT RISK FACTOR FOR PREGNANCY 2213 01:38:01,440 --> 01:38:03,560 OUTCOMES THEY OVERLAP WITH THE 2214 01:38:03,560 --> 01:38:07,120 RISK FACTORS FOR HEART DISEASE, 2215 01:38:07,120 --> 01:38:09,720 HIGH BLOOD PRESSURE, OBSTRUCTIVE 2216 01:38:09,720 --> 01:38:16,280 SLEEP APNEA, DIABETES AND 2217 01:38:16,280 --> 01:38:20,280 INSULIN RESISTANCE AND SMOKING 2218 01:38:20,280 --> 01:38:22,680 AND DIABETES AND GIVEN THE 2219 01:38:22,680 --> 01:38:24,200 SECULAR TRENDS OBSERVED THAT 2220 01:38:24,200 --> 01:38:27,960 WOMEN ARE BECOMING PREGNANT 2221 01:38:27,960 --> 01:38:30,880 LATER CHRONOLOGICALLY IN AGE AND 2222 01:38:30,880 --> 01:38:33,520 THEREFORE MAY TEND TO HAVE AN 2223 01:38:33,520 --> 01:38:37,080 INCREASED PREVALENCE OF THE RISK 2224 01:38:37,080 --> 01:38:39,720 FACTORS AND CO-MORBID CONDITIONS 2225 01:38:39,720 --> 01:38:41,520 SUCH AS OBESITY AND HIGH BLOOD 2226 01:38:41,520 --> 01:38:41,800 PRESSURE. 2227 01:38:41,800 --> 01:38:47,760 INDEED, UP TO 10% OF PREGNANCIES 2228 01:38:47,760 --> 01:38:55,080 ARE COMPLICATE D BY HYPER TENSIVE 2229 01:38:55,080 --> 01:38:56,680 DISORDER AND MANY THINGS MAN 2230 01:38:56,680 --> 01:39:00,760 TEST IN WOMEN DURING PREGNANCY 2231 01:39:00,760 --> 01:39:04,040 SUCH AS PREECLAMPSIA EVEN IF IT 2232 01:39:04,040 --> 01:39:05,720 RESOLVES WITHIN THE POSTPARTUM 2233 01:39:05,720 --> 01:39:10,400 PERIOD IT IDENTIFIES WOMEN ON A 2234 01:39:10,400 --> 01:39:12,680 TRAJECTORY TO EVENTUALLY DEVELOP 2235 01:39:12,680 --> 01:39:14,960 PRIMARY HYPERTENSION LATER IN 2236 01:39:14,960 --> 01:39:17,680 LIFE MOREOVER IT STARTS TO 2237 01:39:17,680 --> 01:39:19,440 IDENTIFY THE CHILD THAT WAS IN 2238 01:39:19,440 --> 01:39:21,280 UTERO DURING THE PREGNANCY AND 2239 01:39:21,280 --> 01:39:23,800 THAT CHILD IS AT HIGHER RISK TO 2240 01:39:23,800 --> 01:39:24,440 DEVELOP HIGH BLOOD PRESSURE 2241 01:39:24,440 --> 01:39:25,280 LATER IN LIFE. 2242 01:39:25,280 --> 01:39:28,960 THIS IS A CRITICAL WINDOW BOTH 2243 01:39:28,960 --> 01:39:31,200 OF UNDERSTANDING THAT 2244 01:39:31,200 --> 01:39:32,760 TRAJECTORY, IDENTIFYING THOSE AT 2245 01:39:32,760 --> 01:39:36,600 RISK IN THAT TRAJECTORY AND 2246 01:39:36,600 --> 01:39:38,000 HOPEFULLY INTERVENING IN A WAY 2247 01:39:38,000 --> 01:39:39,640 THAT CAN CHANGE THAT TRAJECTORY 2248 01:39:39,640 --> 01:39:45,080 AND ENHANCE THE LIFE AND HEALTH 2249 01:39:45,080 --> 01:39:45,720 AND THRIVING OF THE WOMAN AND 2250 01:39:45,720 --> 01:39:51,240 CHILD. 2251 01:39:51,240 --> 01:39:56,400 TO THAT END WE'RE EXCITED TO BE 2252 01:39:56,400 --> 01:40:02,280 CONSIDERED AS A PARTNER IN THE 2253 01:40:02,280 --> 01:40:04,240 IMPROVE INITIATIVE AND IMPROVE 2254 01:40:04,240 --> 01:40:07,480 EFFORT DR. CLAYTON PLAYS A KEY 2255 01:40:07,480 --> 01:40:09,200 LEADERSHIP ROLE MANY OF US 2256 01:40:09,200 --> 01:40:14,280 BELIEVE IS A GREAT OPPORTUNITY 2257 01:40:14,280 --> 01:40:16,480 TO OPTIMIZE HEALTH OF ALL WOMEN 2258 01:40:16,480 --> 01:40:18,720 AND PARTICULARLY WOMEN OF 2259 01:40:18,720 --> 01:40:19,960 REPRODUCTIVE AGE BOTH BEFORE, 2260 01:40:19,960 --> 01:40:22,520 DURING AND AFTER PREGNANCY. 2261 01:40:22,520 --> 01:40:25,520 AND A WHOLISTIC WAY IT'S NOT 2262 01:40:25,520 --> 01:40:30,680 LIMITED TO THE LABOR AND 2263 01:40:30,680 --> 01:40:33,200 DELIVERY SWEET AND TO PURSUE 2264 01:40:33,200 --> 01:40:33,920 IMPLEMENTING A MATERNAL HEALTH 2265 01:40:33,920 --> 01:40:39,880 AND PREGNANCY OUTCOME VISION FOR 2266 01:40:39,880 --> 01:40:40,720 EVERYONE. 2267 01:40:40,720 --> 01:40:44,480 AND HOPEFULLY DEVELOP A 2268 01:40:44,480 --> 01:40:46,200 PORTFOLIO OF PROGRAMS TO OBSERVE 2269 01:40:46,200 --> 01:40:47,560 AND GET A BETTER UNDERSTANDING 2270 01:40:47,560 --> 01:40:49,680 OF THE DRIVERS OF MATERNAL 2271 01:40:49,680 --> 01:40:52,560 HEALTH AND MORBIDITY AND 2272 01:40:52,560 --> 01:40:53,760 MORTALITY BUT ALSO PROVIDE A 2273 01:40:53,760 --> 01:40:55,600 MEANS TO MAKE A DIFFERENCE AND 2274 01:40:55,600 --> 01:40:57,800 HAVE AN IMPACT ON THOSE 2275 01:40:57,800 --> 01:40:59,880 DISPARITY STATISTICS I SHOWED 2276 01:40:59,880 --> 01:41:04,360 BEFORE. 2277 01:41:04,360 --> 01:41:08,160 PROGRAMS WE THINK ARE RELEVANT 2278 01:41:08,160 --> 01:41:09,680 TO THE UMBRELLA INCLUDE SOME OF 2279 01:41:09,680 --> 01:41:25,160 THOSE INDICATED. 2280 01:41:25,160 --> 01:41:28,160 WE'RE BUILDING ON ASSETS AND 2281 01:41:28,160 --> 01:41:30,480 LOOKING AT OUTCOMES OF WOMEN IN 2282 01:41:30,480 --> 01:41:34,640 PREGNANCY AND IDENTIFIED RISK 2283 01:41:34,640 --> 01:41:35,680 FACTORS AND SHOULDN'T BE A 2284 01:41:35,680 --> 01:41:37,080 SURPRISE AT THIS POINT IN THE 2285 01:41:37,080 --> 01:41:42,440 TALK, AGAIN, BLOOD PRESSURE IS 2286 01:41:42,440 --> 01:41:54,520 AN IMPORTANT RISK OF OUTCOMES 2287 01:41:54,520 --> 01:41:59,840 AND MOREOVER, I'LL NOTE THE 2288 01:41:59,840 --> 01:42:03,880 INTERPLAY WITH GESTATIONAL GT AAL 2289 01:42:03,880 --> 01:42:09,520 DIABETES, IDENTIFYING A CLUSTER 2290 01:42:09,520 --> 01:42:19,800 OR ADVERSE AT-RISK POPULATION 2291 01:42:19,800 --> 01:42:21,840 AND IT'S HIGHLY LIKELY 2292 01:42:21,840 --> 01:42:23,520 INTERVENTIONS ALONG THE AXIS ARE 2293 01:42:23,520 --> 01:42:30,000 LIKELY TO HAVE A MAJOR IMPACT. 2294 01:42:30,000 --> 01:42:32,720 TOWARDS THAT END, AGAIN, STUDIES 2295 01:42:32,720 --> 01:42:39,880 OBSERVED THE DISTURBING TREND IN 2296 01:42:39,880 --> 01:42:40,600 PRE-PREGNANCY HYPERTENSION. 2297 01:42:40,600 --> 01:42:42,680 FURTHER YOU MAY BE ABLE TO 2298 01:42:42,680 --> 01:42:45,640 DETECT FROM THE BLUE VERSUS THE 2299 01:42:45,640 --> 01:42:50,240 RED THE GRADIENT OF RURAL WOMEN 2300 01:42:50,240 --> 01:42:55,480 RELATIVE TO THOSE IN URBAN 2301 01:42:55,480 --> 01:42:56,280 SETTINGS. 2302 01:42:56,280 --> 01:42:57,880 IT'S IMPORTANT TO CONSIDER WOMEN 2303 01:42:57,880 --> 01:42:59,480 AND MATERNAL HEALTH 2304 01:42:59,480 --> 01:43:02,480 HOLISTICALLY, BEFORE, DURING AND 2305 01:43:02,480 --> 01:43:06,120 AFTER PREGNANCY GIVEN THE 2306 01:43:06,120 --> 01:43:11,000 TRAJECTORY AND RISK PROFILE AND 2307 01:43:11,000 --> 01:43:14,440 TO THAT END THE PREGNANCY TRIAL 2308 01:43:14,440 --> 01:43:20,440 AND EVALUATE THE BENEFITS AND 2309 01:43:20,440 --> 01:43:23,880 LOOK AT CHRONIC HYPERTENSION 2310 01:43:23,880 --> 01:43:29,080 DURING PREGNANCY. 2311 01:43:29,080 --> 01:43:31,680 AND THERE'S TREATMENT IN WHICH 2312 01:43:31,680 --> 01:43:35,040 IT WAS TO ACHIEVE LESS THAN 140 2313 01:43:35,040 --> 01:43:40,000 OVER 90 AND TEST WHETHER THAT 2314 01:43:40,000 --> 01:43:43,080 LEAD TO ADVERSE PREGNANCY 2315 01:43:43,080 --> 01:43:47,520 OUTCOMES WITHOUT PROMISING FETAL 2316 01:43:47,520 --> 01:43:50,280 GROWTH AND THERE'S A STUDY THAT 2317 01:43:50,280 --> 01:43:52,280 I BELIEVE IS COMING OUT IN THE 2318 01:43:52,280 --> 01:43:57,400 NEW ENGLAND JOURNAL NEXT WEEK OR 2319 01:43:57,400 --> 01:44:05,560 NEXT HOT OFF THE PRESSES AND 2320 01:44:05,560 --> 01:44:08,520 NOTE THE OBSTETRICIANS HAVE BEEN 2321 01:44:08,520 --> 01:44:11,200 CONSIDERED BLOOD PRESSURES ABOVE 2322 01:44:11,200 --> 01:44:14,280 140 OVER 90 AS WILD THOUGH FOR 2323 01:44:14,280 --> 01:44:16,320 EVERY OTHER ADULT WHO DOESN'T 2324 01:44:16,320 --> 01:44:21,560 HAVE TO BE PREGNANT WE'VE KNOWN 2325 01:44:21,560 --> 01:44:23,400 FOR YEARS THAT A LOWER BLOOD 2326 01:44:23,400 --> 01:44:24,440 PRESSURE GIVES YOU BETTER 2327 01:44:24,440 --> 01:44:24,680 OUTCOMES. 2328 01:44:24,680 --> 01:44:28,840 THIS IS AN AREA WHERE THERE'S AN 2329 01:44:28,840 --> 01:44:32,520 OPPORTUNITY TO ADVANCE THE CARE 2330 01:44:32,520 --> 01:44:35,080 OF WOMEN AGAIN BOTH BEFORE, 2331 01:44:35,080 --> 01:44:36,960 DURING AND AFTER PREGNANCY IN 2332 01:44:36,960 --> 01:44:39,880 WAYS TO REDUCE THEIR RISK OF 2333 01:44:39,880 --> 01:44:41,160 PREGNANCY OUTCOMES AS WELL AS 2334 01:44:41,160 --> 01:44:44,080 PUT THEM ON A TRAJECTORY TO 2335 01:44:44,080 --> 01:44:44,680 BETTER CARDIOVASCULAR HEALTH 2336 01:44:44,680 --> 01:44:47,480 OVER TIME. 2337 01:44:47,480 --> 01:44:50,480 AND SO WE'RE VERY EXCITED ABOUT 2338 01:44:50,480 --> 01:44:56,200 WHAT WE THINK WILL BE A 2339 01:44:56,200 --> 01:44:59,280 PRACTICE-CHANGING CLINICAL THAT 2340 01:44:59,280 --> 01:45:02,480 HAS MAJOR IMPLICATION FOR 2341 01:45:02,480 --> 01:45:08,440 ADVANCING MATERNAL HEALTH. 2342 01:45:08,440 --> 01:45:10,320 AS WE PURSUE THE TRIALS TO 2343 01:45:10,320 --> 01:45:15,600 ADVANCE WOMEN'S HEALTH, THERE'S 2344 01:45:15,600 --> 01:45:20,480 AN OPPORTUNITY TO ENSURE IT GETS 2345 01:45:20,480 --> 01:45:23,880 TRANSLATED TO ENSURE THERE'S 2346 01:45:23,880 --> 01:45:27,040 ACTUALLY UPTAKE OF THIS EVIDENCE 2347 01:45:27,040 --> 01:45:29,080 BASE TO ENSURE IT IS DONE WITH 2348 01:45:29,080 --> 01:45:32,200 THE LENS OF HEALTH EQUITY TO 2349 01:45:32,200 --> 01:45:33,760 REACH THE POPULATIONS AT 2350 01:45:33,760 --> 01:45:39,080 GREATEST RISK AND TOWARDS THAT 2351 01:45:39,080 --> 01:45:40,880 END, THE NHLBI IS ALSO ENGAGED 2352 01:45:40,880 --> 01:45:43,440 IN PUTTING TOGETHER THE ENRICH 2353 01:45:43,440 --> 01:45:49,080 PROGRAM THAT TARGETS A COMMUNITY 2354 01:45:49,080 --> 01:45:50,280 EMBEDDED EVIDENCE-BASED 2355 01:45:50,280 --> 01:45:52,000 INTERVENTION APPROACH TO 2356 01:45:52,000 --> 01:45:53,680 APPROACH HEALTH DISPARITIES. 2357 01:45:53,680 --> 01:45:56,080 THIS IS TAKING ADVANTAGE OF WHAT 2358 01:45:56,080 --> 01:45:58,440 WE ALREADY KNOW WORKS AND 2359 01:45:58,440 --> 01:46:02,560 PLATFORMS WE ALREADY KNOW WORKS. 2360 01:46:02,560 --> 01:46:03,880 IN PARTICULAR THE HRSA HOME 2361 01:46:03,880 --> 01:46:04,760 VISIT PROGRAM. 2362 01:46:04,760 --> 01:46:10,480 IN THIS CASE IS BEING LEVERAGED 2363 01:46:10,480 --> 01:46:14,040 TO TEST THIS INTERVENTION WITH 2364 01:46:14,040 --> 01:46:18,040 SEVERAL MODALITIES A AT THE 2365 01:46:18,040 --> 01:46:20,880 CORE, DIET, SLEEP, STRESS 2366 01:46:20,880 --> 01:46:23,520 MANAGEMENT AND THE AMERICAN 2367 01:46:23,520 --> 01:46:28,040 HEART ASSOCIATION SIMPLE SEVEN 2368 01:46:28,040 --> 01:46:30,080 THAT WILL HELP THESE MOTHERS 2369 01:46:30,080 --> 01:46:32,400 ENGAGE IN HEALTHY LIFESTYLE 2370 01:46:32,400 --> 01:46:34,440 CHOICES WITH AN APPRECIATION FOR 2371 01:46:34,440 --> 01:46:35,720 THE SOCIAL DETERMINATES OF 2372 01:46:35,720 --> 01:46:37,520 HEALTH INDICATORS AND ENSURING 2373 01:46:37,520 --> 01:46:41,680 IT'S A WRAP-AROUND PROGRAM OF 2374 01:46:41,680 --> 01:46:45,480 SUPPORT THAT RECOGNIZES THE HOME 2375 01:46:45,480 --> 01:46:47,080 ENVIRONMENT AND RESPONSE TO 2376 01:46:47,080 --> 01:46:51,880 PARENTING WITH INDEED A NURSE 2377 01:46:51,880 --> 01:46:52,920 VISITING MODEL TO FACILITATE 2378 01:46:52,920 --> 01:46:56,520 THAT HOME ENVIRONMENT NOT ONLY 2379 01:46:56,520 --> 01:46:58,280 FOR WOMAN BUT FOR CHILDREN AND 2380 01:46:58,280 --> 01:47:03,560 THE CHILD AS WELL AND TO ENSURE 2381 01:47:03,560 --> 01:47:06,640 ACCESS TO HEALTH CARE COUNSEL, 2382 01:47:06,640 --> 01:47:07,680 SUPPORT GROUPS TREATMENT 2383 01:47:07,680 --> 01:47:09,080 DELIVERY THAT GOES BEYOND THE 2384 01:47:09,080 --> 01:47:12,040 LABOR AND DELIVERY SUITE. 2385 01:47:12,040 --> 01:47:17,400 WE'RE DELIGHTED TO HAVE PARTNERS 2386 01:47:17,400 --> 01:47:19,160 ACROSS INSTITUTES, CENTERS AND 2387 01:47:19,160 --> 01:47:21,480 OFFICE AND APPRECIATE THE 2388 01:47:21,480 --> 01:47:24,440 PARTNERSHIP OF OFFICE OF 2389 01:47:24,440 --> 01:47:28,120 RESEARCH AND WOMEN'S HEALTH AS 2390 01:47:28,120 --> 01:47:29,200 PART OF THE ADVANCEMENT OF 2391 01:47:29,200 --> 01:47:38,200 MATERNAL HEALTH. 2392 01:47:38,200 --> 01:47:44,120 ANOTHER ASPECT OF ADVANCING 2393 01:47:44,120 --> 01:47:47,320 MATERNAL HEALTH APPRECIATES 2394 01:47:47,320 --> 01:47:48,040 ANOTHER INTERSECTION WITH SLEEP 2395 01:47:48,040 --> 01:47:50,480 AS AN IMPORTANT FACTOR IN WHICH 2396 01:47:50,480 --> 01:47:53,040 THERE MAY BE SEX-SPECIFIC 2397 01:47:53,040 --> 01:47:55,560 ELEMENTS AS WELL AS THE 2398 01:47:55,560 --> 01:47:56,760 INTERSECTION WITH RACE AND 2399 01:47:56,760 --> 01:47:57,720 ETHNICITY IN THE SOCIAL 2400 01:47:57,720 --> 01:47:58,720 DETERMINATES OF HEALTH. 2401 01:47:58,720 --> 01:48:01,160 SHOWN ON THE LEFT YOU CAN SEE 2402 01:48:01,160 --> 01:48:03,560 THE PREVALENCE OF SLEEP 2403 01:48:03,560 --> 01:48:05,800 DISTURBANCES DURING PREGNANCY BY 2404 01:48:05,800 --> 01:48:10,840 RACE ETHNICITY. 2405 01:48:10,840 --> 01:48:15,440 AGAIN, IT'S EVIDENT WHERE SHORT 2406 01:48:15,440 --> 01:48:19,080 SLEEP IS SHOWING RACIAL ETHNIC 2407 01:48:19,080 --> 01:48:22,280 DIFFERENCES AND WE KNOW FROM A 2408 01:48:22,280 --> 01:48:24,520 LARGE BODY OF EVIDENCE SLEEP 2409 01:48:24,520 --> 01:48:28,040 AFFECTS ALMOST EVERY SYSTEM IN 2410 01:48:28,040 --> 01:48:30,480 OUR BODIES AND PLAYS AN 2411 01:48:30,480 --> 01:48:31,960 IMPORTANT DRIVER ROLE IN 2412 01:48:31,960 --> 01:48:35,880 OBESITY, DIABETES, HIGH BLOOD 2413 01:48:35,880 --> 01:48:39,880 PRESSURE, HEART DISEASE AND SO 2414 01:48:39,880 --> 01:48:44,440 CLEARLY THIS MAY BE A KEY DRIVER 2415 01:48:44,440 --> 01:48:47,440 IN TERMS WHATEVER WE'RE SEEING 2416 01:48:47,440 --> 01:48:49,080 IN ADVERSE OUTCOMES IN PREGNANT 2417 01:48:49,080 --> 01:48:50,480 WOMEN AND PARTICULARLY PREGNANT 2418 01:48:50,480 --> 01:48:54,280 WOMEN OF COLOR. 2419 01:48:54,280 --> 01:48:57,920 YOU CAN SEE WOMEN WHO HAD THESE 2420 01:48:57,920 --> 01:49:01,280 SLEEP DISORDER ARE IN HIGHER 2421 01:49:01,280 --> 01:49:03,120 RISK FOR INCIDENT HIGH BLOOD 2422 01:49:03,120 --> 01:49:06,280 PRESSURE AND METABOLIC SYNDROMSYNDROME. 2423 01:49:06,280 --> 01:49:07,880 YOU SEE THE CONFLUENCE AND 2424 01:49:07,880 --> 01:49:13,520 CONVERGENCE OF RISK AND FACTORS 2425 01:49:13,520 --> 01:49:14,640 DRIVING THESE MAJOR 2426 01:49:14,640 --> 01:49:36,040 DISPROPORTIONATE IMPACTS. 2427 01:49:36,040 --> 01:49:43,120 SIMILARLY IT'S BECOME EVIDENT 2428 01:49:43,120 --> 01:49:44,400 SOMETHING MY GENDER DIDN'T 2429 01:49:44,400 --> 01:49:47,200 APPRECIATE IN WOMEN DURING 2430 01:49:47,200 --> 01:49:49,200 PREGNANCY DEVELOP SLEEP DISORDER 2431 01:49:49,200 --> 01:49:51,080 BREATHING PATTERNS AND 2432 01:49:51,080 --> 01:49:56,960 OBSTRUCTIVE SLEEP APNEA IN 2433 01:49:56,960 --> 01:49:57,480 PREGNANCY. 2434 01:49:57,480 --> 01:49:59,360 I SUPPOSE THAT'S SOMETHING WE 2435 01:49:59,360 --> 01:50:04,440 SHOULD HAVE INTUITIVELY 2436 01:50:04,440 --> 01:50:06,720 CONSIDERED GIVEN BODY CHANGE AND 2437 01:50:06,720 --> 01:50:10,720 HOW YOU BREATHE WHILE PREGNANT 2438 01:50:10,720 --> 01:50:12,240 AS WELL AS PREDISPOSING FACTORS 2439 01:50:12,240 --> 01:50:13,120 SUCH AS OBESITY. 2440 01:50:13,120 --> 01:50:15,720 THERE'S A SIGNIFICANT INCIDENTS 2441 01:50:15,720 --> 01:50:19,880 AND INDEED WE HAVE GONE FROM 2442 01:50:19,880 --> 01:50:21,440 OBSERVATIONAL TO INTERVENTION 2443 01:50:21,440 --> 01:50:26,960 AND TOWARD THAT END, CONDUCTED A 2444 01:50:26,960 --> 01:50:34,760 TRIAL WITH CPAC TO ADDRESS SLEEP 2445 01:50:34,760 --> 01:50:38,440 APNEA IN PREGNANT WOMEN AS A 2446 01:50:38,440 --> 01:50:39,960 RANDOMIZED TRIAL AND ADDRESSING 2447 01:50:39,960 --> 01:50:42,880 WHETHER BE AN INTERVENTION FOR 2448 01:50:42,880 --> 01:50:46,360 OBSTRUCTIVE SLEEP APNEA CAN 2449 01:50:46,360 --> 01:50:47,160 IMPROVE HEALTH OUTCOMES AND 2450 01:50:47,160 --> 01:50:53,280 WE'RE LOOKING FORWARD TO THE 2451 01:50:53,280 --> 01:50:55,880 IMPACT OF THAT WE HOPE IS AS 2452 01:50:55,880 --> 01:51:01,480 SIGNIFICANT. 2453 01:51:01,480 --> 01:51:07,320 LET ME START TO WRAP UP BY 2454 01:51:07,320 --> 01:51:08,760 PIVOTING TOWARD ANOTHER FINAL 2455 01:51:08,760 --> 01:51:10,280 EXAMPLE OF OUR MATERNAL HEALTH 2456 01:51:10,280 --> 01:51:15,520 PORTFOLIO IN WHICH WE HOPE TO GO 2457 01:51:15,520 --> 01:51:20,520 EVEN DEEPER INTO A WHOLISTIC 2458 01:51:20,520 --> 01:51:26,400 APPROACH TO WOMEN'S HEALTH AND 2459 01:51:26,400 --> 01:51:29,160 PARTICULARLY WOMEN IN 2460 01:51:29,160 --> 01:51:31,360 REPRODUCTIVE YEARS TO EMBRACE 2461 01:51:31,360 --> 01:51:35,840 THE SOCIAL-ECOLOGICAL FRAME OF 2462 01:51:35,840 --> 01:51:38,600 MATERNAL HEALTH. 2463 01:51:38,600 --> 01:51:42,320 WE ADDRESS WOMEN NOT ONLY AS 2464 01:51:42,320 --> 01:51:44,600 INDIVIDUALS THAT MAY BE ACROSS 2465 01:51:44,600 --> 01:51:48,080 THE DESK FROM A CLINICIAN BUT 2466 01:51:48,080 --> 01:51:54,240 REALLY SEES WOMEN MORE 2467 01:51:54,240 --> 01:52:00,640 HOLISTICALLY AND EMBEDDED IN THE 2468 01:52:00,640 --> 01:52:02,440 FAMILY AND LOOK AT SOCIAL 2469 01:52:02,440 --> 01:52:03,560 DETERMINATES AND THE BUILT 2470 01:52:03,560 --> 01:52:06,560 ENVIRONMENT AND HOW THEY 2471 01:52:06,560 --> 01:52:08,280 INTERPLAY TO AFFECT WOMEN'S 2472 01:52:08,280 --> 01:52:16,440 HEALTH AND HEALTH TRAJECTORY. 2473 01:52:16,440 --> 01:52:19,680 HOW CAN WE BEST ENABLE WOMEN TO 2474 01:52:19,680 --> 01:52:24,920 THRIVE AND RELATED TO THE SOCIAL 2475 01:52:24,920 --> 01:52:28,880 DETERMINATES OF HEALTH ARE ON A 2476 01:52:28,880 --> 01:52:31,760 RISK PROFILE TO HAVE THESE 2477 01:52:31,760 --> 01:52:32,640 UNFORTUNATE OUTCOMES AND ARE 2478 01:52:32,640 --> 01:52:36,240 THERE WAYS TO TAKE A MORE 2479 01:52:36,240 --> 01:52:41,000 HOLISTIC APPROACH THAT SURROUNDS 2480 01:52:41,000 --> 01:52:42,680 AND WRAPS AROUND WOMEN IN A 2481 01:52:42,680 --> 01:52:47,840 SUPPORTIVE COMMUNITY EMBEDDED 2482 01:52:47,840 --> 01:52:49,480 WAY SUCH THAT WOMEN AND CHILD 2483 01:52:49,480 --> 01:52:51,520 CAN BOTH THRIVE EVEN IN THE 2484 01:52:51,520 --> 01:52:55,240 CONTEXT OF A COMMUNITY THAT HAS 2485 01:52:55,240 --> 01:52:55,680 A LOT OF ADVERSITY. 2486 01:52:55,680 --> 01:53:00,560 CAN WE BUILD THE RESILIENCE? 2487 01:53:00,560 --> 01:53:02,560 CAN WE TAKE AN APPROACH THAT 2488 01:53:02,560 --> 01:53:03,720 INCLUDES THE SOCIAL DETERMINATES 2489 01:53:03,720 --> 01:53:08,520 OF HEALTH AND TARGETS RESEARCH 2490 01:53:08,520 --> 01:53:10,680 TO LOCAL COMMUNITY NEEDS 2491 01:53:10,680 --> 01:53:11,400 LEVERAGES COMMUNITY PLATFORMS 2492 01:53:11,400 --> 01:53:15,480 AND ASSETS AND PARTNERS TO 2493 01:53:15,480 --> 01:53:17,320 PROMOTE INCLUSIVE PARTICIPATION 2494 01:53:17,320 --> 01:53:20,200 IN WOMEN'S HEALTH RESEARCH AND 2495 01:53:20,200 --> 01:53:22,920 PROMOTES UPTAKE OF KNOWN 2496 01:53:22,920 --> 01:53:25,120 INTERVENTIONS THAT HAVE BENEFIT 2497 01:53:25,120 --> 01:53:26,880 FOR THAT COMMUNITY. 2498 01:53:26,880 --> 01:53:27,560 PARTICULARLY THE COMMUNITIES 2499 01:53:27,560 --> 01:53:34,640 MOST ADVERSELY AFFECTS BY THESE 2500 01:53:34,640 --> 01:53:36,240 CHALLENGES USING THE 2501 01:53:36,240 --> 01:53:38,000 COMMUNITY-ENGAGED RESEARCH AND 2502 01:53:38,000 --> 01:53:39,560 PARTNERSHIPS BASED ON TRUST AND 2503 01:53:39,560 --> 01:53:41,280 ADDRESSING THE INFORMATION, 2504 01:53:41,280 --> 01:53:41,880 INCREASING THE TRUST IN THE 2505 01:53:41,880 --> 01:53:45,640 SCIENCE AND PARTICIPATION IN IT 2506 01:53:45,640 --> 01:53:47,400 AND THEN ACCELERATING THE UPTAKE 2507 01:53:47,400 --> 01:53:49,960 OF BENEFICIAL INTERVENTIONS IN 2508 01:53:49,960 --> 01:53:51,040 THE COMMUNITY NEEDS. 2509 01:53:51,040 --> 01:53:53,080 I THINK IN MANY WAYS WOMEN'S 2510 01:53:53,080 --> 01:53:56,840 HEALTH IS A GREAT OPPORTUNITY TO 2511 01:53:56,840 --> 01:53:58,280 BECOME INCREASINGLY COMMUNITY 2512 01:53:58,280 --> 01:53:58,760 ENGAGED PARTICULARLY IN 2513 01:53:58,760 --> 01:54:13,480 COMMUNITIES OF COLOR. 2514 01:54:13,480 --> 01:54:18,480 WE'RE IN THE PROCESS OF 2515 01:54:18,480 --> 01:54:19,720 IMPROVING THE HEALTH WITH THE 2516 01:54:19,720 --> 01:54:21,360 RECOGNITION THERE'S HOT SPOTS OF 2517 01:54:21,360 --> 01:54:26,480 MATERNAL MORBIDITY AND 2518 01:54:26,480 --> 01:54:28,280 MORTALITY. 2519 01:54:28,280 --> 01:54:30,120 WE KNOW THERE'S MANY HIGH-RISK 2520 01:54:30,120 --> 01:54:31,440 COMMUNITIES TODAY AND CAN WE 2521 01:54:31,440 --> 01:54:33,360 DEVELOP A COMMUNITY ENGAGED 2522 01:54:33,360 --> 01:54:36,040 APPROACH WITH INTERVENTION 2523 01:54:36,040 --> 01:54:39,200 STRATEGIES THAT GO BEYOND THE 2524 01:54:39,200 --> 01:54:43,840 LABOR AND DELIVERY SUITE WITH 2525 01:54:43,840 --> 01:54:45,680 OTHER APPROACHES TO ENSURING 2526 01:54:45,680 --> 01:54:49,640 THEY HAVE ACCESS TO HEALTHY 2527 01:54:49,640 --> 01:54:52,920 LIFESTYLE AND INFORMATION AND 2528 01:54:52,920 --> 01:54:54,560 EDUCATION, NUTRITION AND CAN WE 2529 01:54:54,560 --> 01:54:58,400 DO THIS IN A WAY THAT PROVIDES 2530 01:54:58,400 --> 01:55:00,920 THE SOCIAL SUPPORT PROBABLY 2531 01:55:00,920 --> 01:55:02,840 NECESSARY FOR THAT TO BE 2532 01:55:02,840 --> 01:55:04,480 SUSTAINABLE AND SUCCESSFUL. 2533 01:55:04,480 --> 01:55:10,720 WE ARE ENGAGED IN THIS WITH FOUR 2534 01:55:10,720 --> 01:55:13,080 PROGRAMS SHOWN HERE UNDERWAY 2535 01:55:13,080 --> 01:55:15,240 CURRENTLY PURSUING THE 2536 01:55:15,240 --> 01:55:15,880 COMMUNITY-ENGAGED APPROACH TO 2537 01:55:15,880 --> 01:55:26,880 MATERNAL HEALTH. 2538 01:55:26,880 --> 01:55:30,080 I'VE TRIED TO INDICATE TO END ON 2539 01:55:30,080 --> 01:55:32,280 A WHAT-IF FORWARD LOOKING NOTE 2540 01:55:32,280 --> 01:55:38,480 OF HOW CAN WE CHANGE THESE 2541 01:55:38,480 --> 01:55:40,360 HEALTH INEQUITIES STATISTICS 2542 01:55:40,360 --> 01:55:44,000 SPECIFICALLY RELATED TO MATERNAL 2543 01:55:44,000 --> 01:55:49,560 AND CAN HAVE ANY AGENDA THAT 2544 01:55:49,560 --> 01:55:51,840 ADDRESSES DISPARITIES THROUGH A 2545 01:55:51,840 --> 01:55:54,080 LIFE COURSE, HOLISTIC APPROACH. 2546 01:55:54,080 --> 01:55:59,240 A COMMUNITY-CARE APPROACH. 2547 01:55:59,240 --> 01:56:02,080 AND I ENVISION A HYPOTHETICAL 2548 01:56:02,080 --> 01:56:04,280 WOMEN, CAMILLA WHO LIVES IN 2549 01:56:04,280 --> 01:56:06,960 RURAL LOUISIANA, PREDOMINANTLY 2550 01:56:06,960 --> 01:56:08,760 AFRICAN AMERICAN COMMUNITY WITH 2551 01:56:08,760 --> 01:56:10,120 LIMITED ACCESS TO HEALTH CARE 2552 01:56:10,120 --> 01:56:11,920 AND HEALTHY FOOD. 2553 01:56:11,920 --> 01:56:14,400 SHE EXPERIENCES HIGH BLOOD 2554 01:56:14,400 --> 01:56:17,680 PRESSURE AND PREECLAMPSIA IN HER 2555 01:56:17,680 --> 01:56:20,240 FIRST PREGNANCY AND REQUIRED 2556 01:56:20,240 --> 01:56:21,440 PROLONGED HOSPITALIZATION. 2557 01:56:21,440 --> 01:56:22,960 CAMILLA WORKS WITH THE COMMUNITY 2558 01:56:22,960 --> 01:56:26,520 HEALTH WORKER TO GET ACCESS TO 2559 01:56:26,520 --> 01:56:30,720 WIC AND SNAP BENEFITS THROUGH A 2560 01:56:30,720 --> 01:56:32,480 LOCAL CLINIC AND IT'S SOCIAL 2561 01:56:32,480 --> 01:56:37,720 OUTREACH COMPONENT. 2562 01:56:37,720 --> 01:56:43,880 IS GIVEN GUIDANCE TO USE MORE 2563 01:56:43,880 --> 01:56:46,040 FRUITS AND VEGETABLE FORWARDS 2564 01:56:46,040 --> 01:56:49,360 HER FAMILY AND HAS BEEN ADVISED 2565 01:56:49,360 --> 01:56:51,080 AND GIVEN TOOL OF 2566 01:56:51,080 --> 01:56:51,960 SELF-MANAGEMENT AND SCHEDULING 2567 01:56:51,960 --> 01:56:56,520 OF FEEDINGS WITH HER PARTNER SO 2568 01:56:56,520 --> 01:56:59,520 SHE CAN GET A GOOD NIGHT'S SLEEP 2569 01:56:59,520 --> 01:57:05,120 AND PRACTICE GOOD SLEEP HYGIENE. 2570 01:57:05,120 --> 01:57:07,400 SHE'S ALSO MEASURING AND 2571 01:57:07,400 --> 01:57:10,800 MANAGING HER BLOOD PRESSURE WITH 2572 01:57:10,800 --> 01:57:13,920 REPORTS BACK TO THE CLINIC. 2573 01:57:13,920 --> 01:57:16,240 ALL THESE ARE MEANS BY WHICH WE 2574 01:57:16,240 --> 01:57:18,160 CAN CHANGE THE TRAJECTORY OF 2575 01:57:18,160 --> 01:57:19,480 CAMILLA'S LIFE AND THE LIFE OF 2576 01:57:19,480 --> 01:57:24,360 HER SECOND CHILD AND HER FAMILY. 2577 01:57:24,360 --> 01:57:26,080 I THINK THE EVIDENCE BASE WILL 2578 01:57:26,080 --> 01:57:31,000 EMERGE FROM THE STUDIES I'VE 2579 01:57:31,000 --> 01:57:33,280 INDICATED AND CAN BE TESTED WITH 2580 01:57:33,280 --> 01:57:36,320 IMPLEMENTATION IN REAL WORLD IN 2581 01:57:36,320 --> 01:57:38,520 COMMUNITIES DISPROPORTIONATELY 2582 01:57:38,520 --> 01:57:41,080 AFFECT. 2583 01:57:41,080 --> 01:57:42,520 IN SO DOING I THINK WE'LL 2584 01:57:42,520 --> 01:57:44,560 FULFILL OUR MISSION TO TURN 2585 01:57:44,560 --> 01:57:45,320 DISCOVERY SCIENCE INTO HEALTH 2586 01:57:45,320 --> 01:57:47,880 FOR ALL. 2587 01:57:47,880 --> 01:57:55,280 THANK YOU FOR YOUR ATTENTION. 2588 01:57:55,280 --> 01:57:56,600 >> THANK YOU. 2589 01:57:56,600 --> 01:57:57,280 >> THANK YOU, SO MUCH 2590 01:57:57,280 --> 01:57:58,480 DR. GIBBONS. 2591 01:57:58,480 --> 01:58:01,320 I LOVE THE ECO SYSTEM. 2592 01:58:01,320 --> 01:58:07,280 I APPRECIATE YOU COVERING SO 2593 01:58:07,280 --> 01:58:12,120 MANY COMPLEX ISSUES THROUGH THE 2594 01:58:12,120 --> 01:58:13,920 LENS OF WOMEN BEING CENTERED. 2595 01:58:13,920 --> 01:58:19,320 IT LOOKS LIKE DR. KLINE HAS A 2596 01:58:19,320 --> 01:58:24,800 QUESTION FOR YOU. 2597 01:58:24,800 --> 01:58:29,000 >> NO, I JUST WANTED TO TURN THE 2598 01:58:29,000 --> 01:58:29,680 CAMERA ON. 2599 01:58:29,680 --> 01:58:32,520 THANK YOU, DR. GIBBONS FOR AN 2600 01:58:32,520 --> 01:58:35,880 INCREDIBLE WALK THROUGH WHAT HIS 2601 01:58:35,880 --> 01:58:37,160 INSTITUTE DOES. 2602 01:58:37,160 --> 01:58:40,040 >> BECAUSE OF YOUR COVID WORK 2603 01:58:40,040 --> 01:58:42,120 THAT YOU'RE VERY INTERESTED IN 2604 01:58:42,120 --> 01:58:44,960 HEARING ABOUT RECOVER AND WE'RE 2605 01:58:44,960 --> 01:58:48,680 EXCITED TO SEE THAT THE ROBUST 2606 01:58:48,680 --> 01:58:56,760 INVESTMENT SO DR. RIOS. 2607 01:58:56,760 --> 01:58:59,480 YOU HAVE A QUESTION? 2608 01:58:59,480 --> 01:59:02,040 SHE'S AN ADVISORY COMMITTEE 2609 01:59:02,040 --> 01:59:02,280 MEMBER. 2610 01:59:02,280 --> 01:59:16,720 GO AHEAD. 2611 01:59:16,720 --> 01:59:18,720 >> THANK YOU FOR THAT. 2612 01:59:18,720 --> 01:59:23,600 AND THE 140 OVER 90 WE HAVE TO 2613 01:59:23,600 --> 01:59:24,560 BRING IT DOWN FOR THAT 2614 01:59:24,560 --> 01:59:35,800 POPULATION OF DOCTORS. 2615 01:59:35,800 --> 01:59:37,000 I'VE BEEN INVOLVED WITH CLIMATE 2616 01:59:37,000 --> 01:59:42,200 CHANGE AND SEE THAT IS NOT IN 2617 01:59:42,200 --> 01:59:47,880 YOUR SLIDES AND LOOK MORE INTO 2618 01:59:47,880 --> 01:59:49,480 THIS BUT THEN SPEAK TO THE 2619 01:59:49,480 --> 01:59:55,320 NATIONAL ACADEMIES WILL HAVE A 2620 01:59:55,320 --> 01:59:58,480 MEETING ON FUTURE RESEARCH 2621 01:59:58,480 --> 01:59:59,080 DIRECTION ON ENVIRONMENTAL 2622 01:59:59,080 --> 02:00:00,640 HEALTH AND DISPARITIES. 2623 02:00:00,640 --> 02:00:07,680 I'D LOVE TO SEE THIS MATERNAL 2624 02:00:07,680 --> 02:00:09,240 HEALTH AND FACTORS, BLOOD 2625 02:00:09,240 --> 02:00:10,320 PRESSURE, SLEEP, BE A PART OF 2626 02:00:10,320 --> 02:00:11,480 THAT FUTURE. 2627 02:00:11,480 --> 02:00:13,360 I THINK THE SLIDE ABOUT THE 2628 02:00:13,360 --> 02:00:17,560 RURAL COULD CONNECT IT TO 2629 02:00:17,560 --> 02:00:17,880 ENVIRONMENTAL. 2630 02:00:17,880 --> 02:00:20,080 JUST WONDERING IF YOU'VE HAD 2631 02:00:20,080 --> 02:00:23,200 ANY -- 2632 02:00:23,200 --> 02:00:25,520 >> IT'S A GREAT POINT, DR. RIOS. 2633 02:00:25,520 --> 02:00:26,680 I APPRECIATE THAT. 2634 02:00:26,680 --> 02:00:32,360 MY TALK WAS ALREADY LONG ENOUGH. 2635 02:00:32,360 --> 02:00:44,240 AND THIS IS TOP OF MIND WE'VE 2636 02:00:44,240 --> 02:00:46,800 BEEN ENGAGED THINKING ABOUT THE 2637 02:00:46,800 --> 02:00:51,880 IMPACT OF ENVIRONMENT ON HEALTH. 2638 02:00:51,880 --> 02:00:55,880 AND AS YOU ARE AWARE AND YOU'RE 2639 02:00:55,880 --> 02:00:59,440 A PEDIATRICIAN, ASTHMA'S A BIG 2640 02:00:59,440 --> 02:01:00,480 PART OF OUR PORTFOLIO. 2641 02:01:00,480 --> 02:01:04,080 IT'S ONE THAT HAS THE 2642 02:01:04,080 --> 02:01:05,800 INTERSECTION WITH COMMUNITIES OF 2643 02:01:05,800 --> 02:01:08,480 COLOR WITH A HIGHER PREVALENCE 2644 02:01:08,480 --> 02:01:10,320 AND AS YOU ALSO KNOW ASTHMA'S 2645 02:01:10,320 --> 02:01:12,840 AFFECTED BY THE ENVIRONMENTAL 2646 02:01:12,840 --> 02:01:14,080 CONDITIONS, AIR POLLUTION, 2647 02:01:14,080 --> 02:01:16,920 ALLERGENS, ETCETERA. 2648 02:01:16,920 --> 02:01:19,080 AND THAT IS CLEARLY ON THE 2649 02:01:19,080 --> 02:01:21,360 PATHWAY TO BEING DRAMATICALLY 2650 02:01:21,360 --> 02:01:23,840 AFFECTED BY CLIMATE CHANGE AS A 2651 02:01:23,840 --> 02:01:27,120 COMPONENT OF THAT. 2652 02:01:27,120 --> 02:01:30,120 AIR QUALITY IS COMPROMISED AND 2653 02:01:30,120 --> 02:01:32,080 IT GETS COMPROMISED INCREASINGLY 2654 02:01:32,080 --> 02:01:34,040 WITH THE WILDFIRES AND 2655 02:01:34,040 --> 02:01:35,000 EVERYTHING ASSOCIATED WITH 2656 02:01:35,000 --> 02:01:36,520 CLIMATE CHANGE CLEARLY. 2657 02:01:36,520 --> 02:01:41,080 WE ALSO KNOW AND THERE'S DATA 2658 02:01:41,080 --> 02:01:42,840 THAT INDICATES THAT 2659 02:01:42,840 --> 02:01:44,880 CONCENTRATION OF PARTICULATE 2660 02:01:44,880 --> 02:01:48,280 MATTERS IS INCREASED IF YOU DO A 2661 02:01:48,280 --> 02:01:50,480 NATIONAL MAP OF COUNTY-LEVEL 2662 02:01:50,480 --> 02:01:52,680 RESOLUTION WITHIN CERTAIN 2663 02:01:52,680 --> 02:01:54,520 COMMUNITIES. 2664 02:01:54,520 --> 02:01:57,480 AND AT THIS POINT IT WOULDN'T 2665 02:01:57,480 --> 02:02:01,800 SURPRISE THIS AUDIENCE IT'S 2666 02:02:01,800 --> 02:02:03,960 CONCENTRATES IN RACIAL-ETHNIC 2667 02:02:03,960 --> 02:02:04,480 COMMUNITIES. 2668 02:02:04,480 --> 02:02:09,720 THOSE OF US WHO ARE FAMILIAR 2669 02:02:09,720 --> 02:02:13,080 WITH THESE CONTEXT CONTEXTS WE KNOW 2670 02:02:13,080 --> 02:02:20,880 WHERE THE PARKING LOTS FOR THE 2671 02:02:20,880 --> 02:02:31,920 BUS COMPANIES AND AND THESE ARE 2672 02:02:31,920 --> 02:02:32,240 C 2673 02:02:32,240 --> 02:02:33,040 CONCENTRATED IN COMMUNITIES OF 2674 02:02:33,040 --> 02:02:33,240 COLOR. 2675 02:02:33,240 --> 02:02:35,960 WE CAN'T GET INTO BUT WE'RE 2676 02:02:35,960 --> 02:02:41,000 CONTEMPLATING INITIATIVES IN THE 2677 02:02:41,000 --> 02:02:48,680 SPACE AND WE HAVE BEEN WORKING 2678 02:02:48,680 --> 02:02:51,480 WITH LEADERSHIP AND WE'RE 2679 02:02:51,480 --> 02:02:52,880 MARSHALLING EFFORTS TO SEE ON 2680 02:02:52,880 --> 02:02:57,480 WHAT A TRANS-NIH BASIS WE CAN DO 2681 02:02:57,480 --> 02:03:07,280 TO LINK UP LINK UP FACTORS TO 2682 02:03:07,280 --> 02:03:07,920 SOCIAL DETERMINATES OF HEALTH 2683 02:03:07,920 --> 02:03:10,800 AND HEART AND LUNG DISEASES ARE 2684 02:03:10,800 --> 02:03:12,640 VERY MUCH A PART OF THAT AND A 2685 02:03:12,640 --> 02:03:13,560 KEY PART OF OUR RESEARCH 2686 02:03:13,560 --> 02:03:23,640 AGENDAS. 2687 02:03:23,640 --> 02:03:25,160 SOR 2688 02:03:25,160 --> 02:03:28,600 SORRY, I CAN'T ELABORATE. 2689 02:03:28,600 --> 02:03:30,560 >> THERE'S A WORKSHOP ON THE 2690 02:03:30,560 --> 02:03:33,360 ENVIRONMENTAL IMPACT OF WOMEN'S 2691 02:03:33,360 --> 02:03:38,280 HEALTH DISPARITIES AND 2692 02:03:38,280 --> 02:03:39,840 REPRODUCTIVE HEALTH THROUGH 2693 02:03:39,840 --> 02:03:41,080 THROUGH NIEHS. 2694 02:03:41,080 --> 02:03:46,160 WE'LL HAVE THAT THE IN THE 2695 02:03:46,160 --> 02:03:46,600 MATERIALS. 2696 02:03:46,600 --> 02:03:52,320 >> DR. REGENSTEINER DO YOU HAVE 2697 02:03:52,320 --> 02:03:52,880 A QUESTION? 2698 02:03:52,880 --> 02:03:56,480 >> IN TERMS OF THE WOMEN'S 2699 02:03:56,480 --> 02:03:58,240 HEALTH INITIATIVE IT HAD THE 2700 02:03:58,240 --> 02:03:59,600 EFFECT OF LESS RESEARCH ON THE 2701 02:03:59,600 --> 02:04:04,320 ROLE OF ESTROGEN IN POST-MEN 2702 02:04:04,320 --> 02:04:07,000 POST-MENOPAUSAL WOMEN. 2703 02:04:07,000 --> 02:04:09,440 WHAT'S GOING ON AT NHLBI WITH 2704 02:04:09,440 --> 02:04:11,960 WOMEN AND HEART DISEASE AND 2705 02:04:11,960 --> 02:04:12,840 OLDER WOMEN. 2706 02:04:12,840 --> 02:04:15,560 IS THERE THOUGHT TO DOING MORE 2707 02:04:15,560 --> 02:04:18,040 RESEARCH WITH ESTROGEN WHICH 2708 02:04:18,040 --> 02:04:19,040 REMAINS HIGHLY CONTROVERSIAL, AS 2709 02:04:19,040 --> 02:04:19,640 YOU KNOW. 2710 02:04:19,640 --> 02:04:24,840 >> IT'S A GREAT QUESTION. 2711 02:04:24,840 --> 02:04:35,840 IT'S SOMETHING THAT I THINK WE 2712 02:04:35,840 --> 02:04:39,880 ALWAYS WANT TO CONTINUAL LY WHAT 2713 02:04:39,880 --> 02:04:41,640 WE'RE DOING WITH WOMEN'S HEALTH 2714 02:04:41,640 --> 02:04:46,240 AND I ALLUDED TO SOME STUDIES 2715 02:04:46,240 --> 02:04:51,480 WE'RE DOING AND WE'RE TRYING TO 2716 02:04:51,480 --> 02:04:55,680 ADDRESS WOMEN AT THAT LATER 2717 02:04:55,680 --> 02:04:58,960 STAGE OF LIFE AND WHAT IS MOST 2718 02:04:58,960 --> 02:05:00,200 EFFECTIVE AND I SPOKE ON THE 2719 02:05:00,200 --> 02:05:01,560 EXERCISE INTERVENTION. 2720 02:05:01,560 --> 02:05:05,680 WE DON'T HAVE ANYTHING 2721 02:05:05,680 --> 02:05:11,880 SPECIFICALLY RELATED TO 2722 02:05:11,880 --> 02:05:14,440 IMAGINING POST-MENOPAUSAL ISSUES 2723 02:05:14,440 --> 02:05:16,760 BIT I SUSPECT THEY'LL CONTINUE 2724 02:05:16,760 --> 02:05:22,400 TO BE INVOLVED. 2725 02:05:22,400 --> 02:05:24,880 PART IS APPRECIATING 2726 02:05:24,880 --> 02:05:26,560 APPRECIATING THE MECHANISTIC 2727 02:05:26,560 --> 02:05:29,640 ELEMENTS OF ADVERSE RISK AND 2728 02:05:29,640 --> 02:05:31,480 ADDRESSING SYMPTOMS BUT IN A WAY 2729 02:05:31,480 --> 02:05:38,520 THAT CAN BE MORE SAFE AND SO I 2730 02:05:38,520 --> 02:05:43,560 THINK THAT'S WHERE HAVING THE 2731 02:05:43,560 --> 02:05:46,240 DISCOVERY PHASE AND CYCLE 2732 02:05:46,240 --> 02:05:47,360 LOOKING TO DO THINGS MORE 2733 02:05:47,360 --> 02:05:49,480 EFFECTIVE THAN 20 YEARS AGO. 2734 02:05:49,480 --> 02:05:52,320 HOPEFULLY YOU ALSO CERTAIN WE 2735 02:05:52,320 --> 02:05:55,080 THINK IT'S ALSO IMPORTANT NOT 2736 02:05:55,080 --> 02:05:59,120 ONLY IN THE MENOPAUSAL, 2737 02:05:59,120 --> 02:06:00,040 POST-MENOPAUSAL PERIOD TO MOVE 2738 02:06:00,040 --> 02:06:02,640 EARLIER IN THE TRAJECTORY 2739 02:06:02,640 --> 02:06:11,360 BECAUSE WE KNOW A LOT OF THAT 2740 02:06:11,360 --> 02:06:14,800 ELEMENTS WE STARTED MIDDLE AGED 2741 02:06:14,800 --> 02:06:16,640 ON HAVE GENESIS EARLIER AND WHAT 2742 02:06:16,640 --> 02:06:21,960 WE'RE HOPING TO PREVENT AND 2743 02:06:21,960 --> 02:06:23,880 CHANGE THE TRAJECTORY WELL 2744 02:06:23,880 --> 02:06:26,960 BEFORE THE ONSET OF MENOPAUSE 2745 02:06:26,960 --> 02:06:28,520 AND CHANGING THAT TRAJECTORY CAN 2746 02:06:28,520 --> 02:06:33,280 HAVE THE LIFE LONG BENEFIT IF WE 2747 02:06:33,280 --> 02:06:34,480 GET THEM ON THE RIGHT 2748 02:06:34,480 --> 02:06:34,800 TRAJECTORY. 2749 02:06:34,800 --> 02:06:37,880 WE'RE TRYING TO UNDERSTAND THE 2750 02:06:37,880 --> 02:06:42,160 RISK, MOVING EARLIER AND 2751 02:06:42,160 --> 02:06:44,080 HOPEFULLY PREEMPTIVELY IN A WAY 2752 02:06:44,080 --> 02:06:45,480 THAT CHANGES HOW WE APPROACH 2753 02:06:45,480 --> 02:06:50,840 WOMEN IN LATER LIFE. 2754 02:06:50,840 --> 02:06:53,720 >> MUSE I AM TO MY EARS. 2755 02:06:53,720 --> 02:06:59,840 IT'S SO ALIVE WITH THE LIFE 2756 02:06:59,840 --> 02:07:02,800 COURSE PERSPECTIVE ORWH HAS BEEN 2757 02:07:02,800 --> 02:07:07,920 PUTTING FORWARD MANY YEARS AND 2758 02:07:07,920 --> 02:07:12,480 WE'RE DELIGHTED TO HAVE YOU AND 2759 02:07:12,480 --> 02:07:13,880 WE'LL HAVE DR. LANGER HAVE THE 2760 02:07:13,880 --> 02:07:15,480 LAST QUESTION FOR DR. GIBBONS 2761 02:07:15,480 --> 02:07:16,920 AND THEN MOVE ON TO THE NEXT 2762 02:07:16,920 --> 02:07:17,240 AGENDA ITEM. 2763 02:07:17,240 --> 02:07:23,160 >> THANK YOU SO MUCH. 2764 02:07:23,160 --> 02:07:29,840 THANK YOU FOR A WONDERFUL 2765 02:07:29,840 --> 02:07:30,160 PRESENTATION. 2766 02:07:30,160 --> 02:07:31,080 I APPRECIATE THE OVERCOLLUSION 2767 02:07:31,080 --> 02:07:32,880 IN SCIENCE IN YOUR OVERALL 2768 02:07:32,880 --> 02:07:33,400 EFFORT. 2769 02:07:33,400 --> 02:07:38,000 I WONDERED IN WHAT WAY YOU ARE 2770 02:07:38,000 --> 02:07:45,560 WORKING OR PROMOTING THAT 2771 02:07:45,560 --> 02:07:46,720 PREGNANCY IS NOT ONLY GOOD FOR 2772 02:07:46,720 --> 02:07:48,200 THE BODY AND MIND AND EVERYTHING 2773 02:07:48,200 --> 02:07:51,280 ELSE BUT ALSO AN OPPORTUNITY. 2774 02:07:51,280 --> 02:07:55,920 THERE WAS A TIME WHEN MOST WOMEN 2775 02:07:55,920 --> 02:07:57,280 HAVE UTILIZED A HEALTH CARE. 2776 02:07:57,280 --> 02:07:59,680 THERE'S BIG CHALLENGES LIKE 2777 02:07:59,680 --> 02:08:02,640 LIMITED COVERAGE THAT MEDICAID 2778 02:08:02,640 --> 02:08:06,200 PROVIDES DURING THE POSTPARTUM 2779 02:08:06,200 --> 02:08:09,480 PERIOD AND SCATTERED HEALTH 2780 02:08:09,480 --> 02:08:14,880 SYSTEM THAT DON'T ALLOW WOMEN 2781 02:08:14,880 --> 02:08:22,480 WHO ARE VULNERABLE TO FOLLOW-UP 2782 02:08:22,480 --> 02:08:24,920 IN THE POST-PARTUM PERIOD AND 2783 02:08:24,920 --> 02:08:25,160 BEYOND. 2784 02:08:25,160 --> 02:08:32,680 >> ANOTHER GREAT POINT. 2785 02:08:32,680 --> 02:08:34,880 THAT IS PART OF THE HOPE OR 2786 02:08:34,880 --> 02:08:40,040 VISION OF SOME OF THESE PROGRAMS 2787 02:08:40,040 --> 02:08:43,880 TO TEST SOME OF THE MODELS AND 2788 02:08:43,880 --> 02:08:46,880 PROVIDE AN EVIDENCE BASE TO NOT 2789 02:08:46,880 --> 02:08:52,960 ONLY GET EFFICACY IN TRIALS BUT 2790 02:08:52,960 --> 02:08:56,680 WE ALSO SHOWED CERTAIN MODELS OF 2791 02:08:56,680 --> 02:08:59,960 ENGAGING WOMEN AND CARING FOR 2792 02:08:59,960 --> 02:09:02,600 WOMEN OUTSIDE OF THE CLINIC 2793 02:09:02,600 --> 02:09:06,400 WALLS IN SUSTAINABLE WAYS THAT 2794 02:09:06,400 --> 02:09:08,600 WE BELIEVE LEVERAGES LOCAL 2795 02:09:08,600 --> 02:09:10,200 COMMUNITY ASSETS AND REALLY 2796 02:09:10,200 --> 02:09:16,080 EMPOWERED AND ENABLES WOMEN 2797 02:09:16,080 --> 02:09:19,720 MAYBE AN OPPORTUNITY TO EXTEND 2798 02:09:19,720 --> 02:09:21,200 WHAT YOU'RE SAYING RECOGNIZING 2799 02:09:21,200 --> 02:09:24,960 THE PRAGMENTATION WHERE THE 2800 02:09:24,960 --> 02:09:26,080 HEALTH CARE SYSTEM TENDS TO 2801 02:09:26,080 --> 02:09:31,280 OPERATE WHAT WE CALL WRAPPING 2802 02:09:31,280 --> 02:09:32,520 AROUND OF COMMUNITY OF EMBEDDED 2803 02:09:32,520 --> 02:09:35,840 CARE TO ADDRESS SOME OF THAT AND 2804 02:09:35,840 --> 02:09:37,280 EXTEND SOME OF THAT, FILL IN 2805 02:09:37,280 --> 02:09:39,440 SOME OF THE GAPS. 2806 02:09:39,440 --> 02:09:40,840 INDEED WE'VE HAD SOME 2807 02:09:40,840 --> 02:09:45,560 PRELIMINARY DISCUSSIONS WITH NEW 2808 02:09:45,560 --> 02:09:51,040 ADMINISTRATOR OF CMS THAT IS 2809 02:09:51,040 --> 02:09:53,640 INTERESTED IN LOOKING AT SOME OF 2810 02:09:53,640 --> 02:10:00,080 THE MODELS WHEREBY WE CAN CHANGE 2811 02:10:00,080 --> 02:10:02,520 THE REIMBURSEMENT TO FOCUS ON 2812 02:10:02,520 --> 02:10:04,440 WOMEN AND THEIR OUTCOMES 2813 02:10:04,440 --> 02:10:07,160 RELATIVE TO HOW DOCTORS ARE 2814 02:10:07,160 --> 02:10:09,920 ARRANGING THEIR VISITS AND 2815 02:10:09,920 --> 02:10:10,480 GETTING REIMBURSED. 2816 02:10:10,480 --> 02:10:13,160 AGAIN, IF WE LOOK AT THIS 2817 02:10:13,160 --> 02:10:16,880 HOLISTICALLY EVEN WITH A 2818 02:10:16,880 --> 02:10:19,120 VALUE-BASED CARE LENS WE THINK 2819 02:10:19,120 --> 02:10:21,720 IT WILL STILL COME BACK TO 2820 02:10:21,720 --> 02:10:25,040 THINGS THAT WORK FOR WOMEN 2821 02:10:25,040 --> 02:10:26,760 HOLISTICALLY AND FIT WITHIN A 2822 02:10:26,760 --> 02:10:31,680 PREVENTIVE SELF-MANAGEMENT KIND 2823 02:10:31,680 --> 02:10:32,040 OF FRAMEWORK. 2824 02:10:32,040 --> 02:10:38,760 YOU USE ETCH -- EXTENDERS LIKE 2825 02:10:38,760 --> 02:10:41,440 HEALTH WORKERS IN A 2826 02:10:41,440 --> 02:10:43,840 COST-EFFECTIVE WAY AND IF WE CAN 2827 02:10:43,840 --> 02:10:44,640 DEMONSTRATE THOSE THINGS MAYBE 2828 02:10:44,640 --> 02:10:47,840 IT CAN BE A BASIS FOR HRSA AND 2829 02:10:47,840 --> 02:10:53,080 CMS TO BE GREAT PARTNERS. 2830 02:10:53,080 --> 02:10:55,680 THAT'S OUR ROLE IN TURNING 2831 02:10:55,680 --> 02:10:56,560 DISCOVERY SCIENCE AND TO FIGURE 2832 02:10:56,560 --> 02:10:59,880 OUT HOW TO MAKE THAT WORK IN THE 2833 02:10:59,880 --> 02:11:02,800 REAL WORLD. 2834 02:11:02,800 --> 02:11:05,680 THAT'S THE ONLY WAY WE MOVE THE 2835 02:11:05,680 --> 02:11:06,120 NEEDLE. 2836 02:11:06,120 --> 02:11:12,520 >> THANK YOU SO MUCH, GARY. 2837 02:11:12,520 --> 02:11:14,880 OF COURSE I KNEW YOU WOULD NOT 2838 02:11:14,880 --> 02:11:17,200 DISAPPOINT AND YOU ACTUALLY CAME 2839 02:11:17,200 --> 02:11:18,880 WITH SO MUCH GREATER INFORMATION 2840 02:11:18,880 --> 02:11:23,280 THAT IS SO ALIGNED WITH WHERE 2841 02:11:23,280 --> 02:11:23,680 WE'RE GOING. 2842 02:11:23,680 --> 02:11:25,480 IT'S BEEN A PRIVILEGE TO WORK 2843 02:11:25,480 --> 02:11:27,880 WITH YOU AND I STEPPED INTO BIG 2844 02:11:27,880 --> 02:11:30,720 SHOES AS I BECAME DIRECTOR AND 2845 02:11:30,720 --> 02:11:33,840 IT'S BEEN MY PLEASURE TO GROW 2846 02:11:33,840 --> 02:11:34,480 OUR RELATIONSHIP WITH ORWH AND 2847 02:11:34,480 --> 02:11:38,080 NHLBI AND I LOOK FORWARD TO 2848 02:11:38,080 --> 02:11:40,000 CONTINUING TO WORK TOGETHER TO 2849 02:11:40,000 --> 02:11:42,360 IMPROVE THE HEALTH OF ALL WOMEN. 2850 02:11:42,360 --> 02:11:44,320 WE'RE SO EXCITED TO HAVE YOU 2851 02:11:44,320 --> 02:11:45,480 JOIN US TODAY. 2852 02:11:45,480 --> 02:11:46,120 THANK YOU VERY MUCH. 2853 02:11:46,120 --> 02:11:48,920 WE APPRECIATE YOU. 2854 02:11:48,920 --> 02:11:50,240 >> THANK YOU SO MUCH. 2855 02:11:50,240 --> 02:11:51,720 ALWAYS A PLEASURE AND LOOK 2856 02:11:51,720 --> 02:11:53,320 FORWARD TO ONGOING 2857 02:11:53,320 --> 02:11:54,440 COLLABORATION. 2858 02:11:54,440 --> 02:11:55,320 MUCH APPRECIATED. 2859 02:11:55,320 --> 02:11:55,800 THANK YOU. 2860 02:11:55,800 --> 02:11:56,720 >> THANKS, GARY. 2861 02:11:56,720 --> 02:11:59,880 I'LL TURN IT BACK OVER TO 2862 02:11:59,880 --> 02:12:01,080 DRDR. 2863 02:12:01,080 --> 02:12:05,120 DR. NOURSI THE EXECUTIVE 2864 02:12:05,120 --> 02:12:07,400 SECRETARY TO MOVE US TO THE NEXT 2865 02:12:07,400 --> 02:12:07,680 SECTION. 2866 02:12:07,680 --> 02:12:09,760 >> I APPRECIATE THAT. 2867 02:12:09,760 --> 02:12:15,320 I'D LIKE TO HAND THIS ACTUALLY 2868 02:12:15,320 --> 02:12:21,600 OFF TO OUR HEALTH POLICY IN THE 2869 02:12:21,600 --> 02:12:24,680 TO INTRODUCE OUR NEXT SPEAKER. 2870 02:12:24,680 --> 02:12:28,280 >> HELLO, EVERYONE. 2871 02:12:28,280 --> 02:12:37,080 I'M PLEASED TO INTRODUCE MS. 2872 02:12:37,080 --> 02:12:37,640 CORBETT IN THE OFFICE OF 2873 02:12:37,640 --> 02:12:39,080 RESEARCH OER. 2874 02:12:39,080 --> 02:12:42,960 SHE PROVIDES OVERSIGHT TO THE 2875 02:12:42,960 --> 02:12:44,360 NIH EFFORT TO ENSURE THE 2876 02:12:44,360 --> 02:12:45,840 INCLUSION OF WOMEN, MINORITIES 2877 02:12:45,840 --> 02:12:47,680 AND INDIVIDUALS ACROSS THEIR 2878 02:12:47,680 --> 02:12:50,840 LIFE SPAN IN NIH-DEFINED 2879 02:12:50,840 --> 02:12:52,120 CLINICAL RESEARCH. 2880 02:12:52,120 --> 02:12:55,360 PRIOR TO JOINING OER, MS. 2881 02:12:55,360 --> 02:12:56,680 CORBETT LED EFFORTS TO INCREASE 2882 02:12:56,680 --> 02:12:59,600 THE EFFICIENCY AND TRANSPARENCY 2883 02:12:59,600 --> 02:13:01,040 OF CLINICAL RESEARCH THROUGH 2884 02:13:01,040 --> 02:13:07,280 ENHANCED RECRUITMENT MONITORING 2885 02:13:07,280 --> 02:13:10,560 AND INCREASE EFFORTS AS A HEALTH 2886 02:13:10,560 --> 02:13:11,960 POLICY ANALYST IN THE NATIONAL 2887 02:13:11,960 --> 02:13:15,880 INSTITUTE OF MENTAL HEALTH AT 2888 02:13:15,880 --> 02:13:17,960 NIMH OFFICE OF CLINICAL RESEARCH 2889 02:13:17,960 --> 02:13:22,680 AND CLINIC TRIALS OPERATIONS AND 2890 02:13:22,680 --> 02:13:23,280 BIOSTATISTIC BRANCH. 2891 02:13:23,280 --> 02:13:30,200 SHE BEGAN HER CAREER AT OFFICE 2892 02:13:30,200 --> 02:13:32,080 FOR DISPARITIES IN GLOBAL MENTAL 2893 02:13:32,080 --> 02:13:35,160 HEALTH, FORMERLY THE OFFICE FOR 2894 02:13:35,160 --> 02:13:39,080 SPATIAL POPULATIONS WHERE SHE 2895 02:13:39,080 --> 02:13:44,400 COORDINATED PROGRAMS RELATED TO 2896 02:13:44,400 --> 02:13:46,800 DIVERSITY IN CLINICAL RESEARCH 2897 02:13:46,800 --> 02:13:47,520 AND CONDUCTED PORTFOLIO ANALYSES 2898 02:13:47,520 --> 02:13:50,480 IN THE AREAS OF MENTAL HEALTH 2899 02:13:50,480 --> 02:13:50,800 DISPARITIES. 2900 02:13:50,800 --> 02:13:55,560 SHE HAS A MASTER'S DEGREE IN 2901 02:13:55,560 --> 02:13:56,760 PUBLIC HEALTH FROM JOHNS HOPKINS 2902 02:13:56,760 --> 02:13:59,880 SCHOOL OF PUBLIC HEALTH AND 2903 02:13:59,880 --> 02:14:00,920 BACHELOR'S DEGREE IN POLITICAL 2904 02:14:00,920 --> 02:14:07,480 SCIENCE FROM THE UNIVERSITY OF 2905 02:14:07,480 --> 02:14:07,720 ILLINOIS. 2906 02:14:07,720 --> 02:14:13,320 WELCOME, MS. CORBETT. 2907 02:14:13,320 --> 02:14:22,200 >> THANK YOU. 2908 02:14:22,200 --> 02:14:26,320 >> I WANT TO ACKNOWLEDGE 2909 02:14:26,320 --> 02:14:28,800 DR. TEMPLETON JOINED US. 2910 02:14:28,800 --> 02:14:31,400 >> I APPRECIATE THE 2911 02:14:31,400 --> 02:14:31,720 INTRODUCTION. 2912 02:14:31,720 --> 02:14:33,160 IT'S ALWAYS GREAT TO BE BACK AND 2913 02:14:33,160 --> 02:14:37,600 LET YOU KNOW WHAT NIH IS DOING 2914 02:14:37,600 --> 02:14:38,520 ON INCLUSION. 2915 02:14:38,520 --> 02:14:41,360 I'M JUST GOING TO GIVE YOU A 2916 02:14:41,360 --> 02:14:43,120 BRIEF OVERVIEW OF NIH INCLUSION 2917 02:14:43,120 --> 02:14:43,880 POLICIES. 2918 02:14:43,880 --> 02:14:46,960 WE HAVE TWO. 2919 02:14:46,960 --> 02:14:48,720 THE FIRST IS ON THE INCLUSION OF 2920 02:14:48,720 --> 02:14:50,680 WOMEN AND MINORITIES AND NIH 2921 02:14:50,680 --> 02:14:51,080 RESEARCH. 2922 02:14:51,080 --> 02:14:52,560 THIS POLICY REQUIRES THAT WOMEN 2923 02:14:52,560 --> 02:14:54,720 AND MEMBERS OF RACIAL AND ETHNIC 2924 02:14:54,720 --> 02:14:57,040 MINORITY GROUPS BE INCLUDED IN 2925 02:14:57,040 --> 02:14:59,240 ALL NIH-FUNDED CLINICAL RESEARCH 2926 02:14:59,240 --> 02:15:01,720 STUDIES UNLESS THERE'S A 2927 02:15:01,720 --> 02:15:02,400 COMPELLING RATIONALE FOR 2928 02:15:02,400 --> 02:15:02,680 EXCLUSION. 2929 02:15:02,680 --> 02:15:04,280 THE POLICY HAS BEEN IN PLACE FOR 2930 02:15:04,280 --> 02:15:08,600 A LONG TIME SINCE 1994. 2931 02:15:08,600 --> 02:15:11,280 WE HAD POLICIES DATING BACK TO 2932 02:15:11,280 --> 02:15:14,080 THE 80s ENCOURAGING WOMEN TO BE 2933 02:15:14,080 --> 02:15:19,000 INCLUDED IN NIH STUDIES. 2934 02:15:19,000 --> 02:15:23,400 IT ALSO REQUIRES ADDITIONAL 2935 02:15:23,400 --> 02:15:27,840 ANALYSES FOR PHASED 3 CLINICAL 2936 02:15:27,840 --> 02:15:30,280 TRIALS THOSE BROAD BASED 2937 02:15:30,280 --> 02:15:31,040 INTERVENTIONAL STUDIES AND 2938 02:15:31,040 --> 02:15:32,720 COMPARE AN INTERVENTION AND 2939 02:15:32,720 --> 02:15:35,200 OFTEN THE AIM IS TO CHANGE 2940 02:15:35,200 --> 02:15:35,560 HEALTH POLICY. 2941 02:15:35,560 --> 02:15:37,240 THEY MUST BE DESIGNED TO PERMIT 2942 02:15:37,240 --> 02:15:41,000 ANALYSIS BY SEX OR GENDER, RACE 2943 02:15:41,000 --> 02:15:42,240 AND ETHNICITY. 2944 02:15:42,240 --> 02:15:45,280 AND MORE RECENTLY IN 2017, NIH 2945 02:15:45,280 --> 02:15:49,400 IMPLEMENTED SOME ADDITIONAL 2946 02:15:49,400 --> 02:15:57,000 REQUIREMENTS FOR NIH-DEFINED 2947 02:15:57,000 --> 02:16:00,920 PHASED TRIAL AND MUST REPORT 2948 02:16:00,920 --> 02:16:02,480 RESULT OF THE SEES IN 2949 02:16:02,480 --> 02:16:06,080 CLINICALTRIALS.gov. 2950 02:16:06,080 --> 02:16:08,600 WE HAVE OUR INCLUSION ACROSS THE 2951 02:16:08,600 --> 02:16:10,200 LIFE SPAN POLICY. 2952 02:16:10,200 --> 02:16:11,920 IT'S MORE RECENT AND REQUIRES 2953 02:16:11,920 --> 02:16:17,640 INDIVIDUALS OF ALL AGES MUST BE 2954 02:16:17,640 --> 02:16:20,360 INCLUDED IN NIH FUNDED STUDIES. 2955 02:16:20,360 --> 02:16:22,440 WE PREVIOUSLY HAD HAD AN 2956 02:16:22,440 --> 02:16:24,920 INCLUSION OF CHILDREN POLICY 2957 02:16:24,920 --> 02:16:27,680 SINCE 1998 STARTING WITH 2958 02:16:27,680 --> 02:16:29,480 APPLICATIONS SUBMITTED FOR DUE 2959 02:16:29,480 --> 02:16:31,520 DATES JANUARY 25, 2019 OR LATER. 2960 02:16:31,520 --> 02:16:33,080 THOSE APPLICATIONS ARE REQUIRED 2961 02:16:33,080 --> 02:16:33,880 TO INCLUDE INDIVIDUALS OF ALL 2962 02:16:33,880 --> 02:16:40,280 AGES. 2963 02:16:40,280 --> 02:16:40,760 THERE'S AN ADDITIONAL 2964 02:16:40,760 --> 02:16:42,840 REQUIREMENT FOR APPLICATIONS 2965 02:16:42,840 --> 02:16:44,200 THAT COME UNDER INCLUSION ACROSS 2966 02:16:44,200 --> 02:16:47,440 THE LIFE SPAN AND THEY HAVE TO 2967 02:16:47,440 --> 02:16:48,600 SUBMIT INDIVIDUAL LEVEL DATA ON 2968 02:16:48,600 --> 02:16:52,080 PARTICIPANT SEX OR GENDER, RACE 2969 02:16:52,080 --> 02:16:55,960 ETHNICITY AND AGE OF ENROLLMENT 2970 02:16:55,960 --> 02:16:57,120 AND PROGRESS REPORTS. 2971 02:16:57,120 --> 02:16:59,120 NIH HAS BEEN COLLECTING DATA IN 2972 02:16:59,120 --> 02:17:01,120 THE AGGREGATE FOR SOME TIME BUT 2973 02:17:01,120 --> 02:17:03,400 THIS WAS A SHIFT TO SUBMITTING 2974 02:17:03,400 --> 02:17:05,480 INDIVIDUAL LEVEL DATA AND WE 2975 02:17:05,480 --> 02:17:06,480 JUST BEGAN COLLECTING DATA ON 2976 02:17:06,480 --> 02:17:08,320 AGE AT ENROLLMENT AND I'LL SHARE 2977 02:17:08,320 --> 02:17:09,240 SOME WITH YOU A BIT LATER IN THE 2978 02:17:09,240 --> 02:17:17,200 TALK. 2979 02:17:17,200 --> 02:17:18,600 IN THE LAST SEVERAL YEARS, NIH 2980 02:17:18,600 --> 02:17:20,800 HAS BEEN BUSY IMPLEMENTING 2981 02:17:20,800 --> 02:17:24,720 RECOMMENDATIONS THAT CAME OUT OF 2982 02:17:24,720 --> 02:17:25,920 GAO REPORT IN 2015. 2983 02:17:25,920 --> 02:17:30,040 BACK THEN THEY CONCLUDED BETTER 2984 02:17:30,040 --> 02:17:34,600 OVERSIGHT WAS NEEDED TO ENSURE 2985 02:17:34,600 --> 02:17:35,200 CONTINUED PROGRESS INCLUDING 2986 02:17:35,200 --> 02:17:37,560 RESEARCH AND INCLUDED A NUMBER 2987 02:17:37,560 --> 02:17:39,320 OF RECOMMENDATIONS FOR NIH TO 2988 02:17:39,320 --> 02:17:46,120 IMPROVE THAT OVERSIGHT. 2989 02:17:46,120 --> 02:17:47,520 IN ALL THERE WERE FIVE 2990 02:17:47,520 --> 02:17:47,880 RECOMMENDATIONS. 2991 02:17:47,880 --> 02:17:51,720 THESE WERE ALLUDED TO 2992 02:17:51,720 --> 02:17:52,480 DR. CLAYTON'S TALK EARLIER. 2993 02:17:52,480 --> 02:17:55,680 THE FIRST OF THOSE WERE TO MAKE 2994 02:17:55,680 --> 02:17:58,120 I.C. LEVEL ENROLLMENT DATA 2995 02:17:58,120 --> 02:18:00,400 READILY AVAILABLE THROUGH PUBLIC 2996 02:18:00,400 --> 02:18:00,600 MEANS. 2997 02:18:00,600 --> 02:18:01,680 NIH DID THAT THROUGH OUR 2998 02:18:01,680 --> 02:18:02,600 WEBSITE. 2999 02:18:02,600 --> 02:18:05,080 THE DATA ARE NOT AVAILABLE IN 3000 02:18:05,080 --> 02:18:06,240 THE NIH REPORT SITE AND 3001 02:18:06,240 --> 02:18:08,160 RECOMMENDATIONS CLOSED AND ASKED 3002 02:18:08,160 --> 02:18:10,960 US TO EXAMINE APPROACHES FOR 3003 02:18:10,960 --> 02:18:12,560 MORE DETAILED ENROLLMENT DATA AT 3004 02:18:12,560 --> 02:18:14,560 THE CONDITION LEVEL AND THESE 3005 02:18:14,560 --> 02:18:16,880 ARE ALSO AVAILABLE AND THAT 3006 02:18:16,880 --> 02:18:18,440 RECOMMENDATION IS CLOSED. 3007 02:18:18,440 --> 02:18:20,280 THE THIRD RECOMMENDATION WAS TO 3008 02:18:20,280 --> 02:18:22,640 ENSURE THE PROGRAM OFFICERS HAVE 3009 02:18:22,640 --> 02:18:25,440 A MEANS OF RECORDING THEIR 3010 02:18:25,440 --> 02:18:28,680 MONITORING AWARDEES PLANS FOR 3011 02:18:28,680 --> 02:18:31,120 PROGRESS FOR IN PROGRESS IN 3012 02:18:31,120 --> 02:18:31,960 CONDUCTING ANALYSIS OF POTENTIAL 3013 02:18:31,960 --> 02:18:33,880 SEX DIFFERENCES. 3014 02:18:33,880 --> 02:18:34,880 SEVERAL YEARS AGO, NIH 3015 02:18:34,880 --> 02:18:37,280 INTRODUCED A CHECKLIST FOR 3016 02:18:37,280 --> 02:18:40,280 PROGRAM OFFICERS TO MONITOR 3017 02:18:40,280 --> 02:18:44,200 THOSE PLANS IN CONDUCTING 3018 02:18:44,200 --> 02:18:45,680 ANALYSES OF POTENTIAL SEX 3019 02:18:45,680 --> 02:18:45,960 DIFFERENCES. 3020 02:18:45,960 --> 02:18:49,560 THE GAO FURTHER RECOMMEND THE OF 3021 02:18:49,560 --> 02:18:50,840 NIH COLLECT AND SUMMARIZE DATA 3022 02:18:50,840 --> 02:19:03,880 FOR AWARDEES OF ANALYSES FOR 3023 02:19:03,880 --> 02:19:07,480 SPECIAL SEX DIRCHBL -- 3024 02:19:07,480 --> 02:19:09,320 DIFFERENCES AND WE REPORT THE 3025 02:19:09,320 --> 02:19:10,880 DATA IN A REGULAR REPORT TO 3026 02:19:10,880 --> 02:19:13,200 CONGRESS AND IF YOU SEE THE 3027 02:19:13,200 --> 02:19:14,480 REPORT IN THE MOST RECENT REPORT 3028 02:19:14,480 --> 02:19:17,840 YOU'LL SEE DATA ON STUDIES THAT 3029 02:19:17,840 --> 02:19:19,920 REQUIRE ANALYSIS ON SEX OR 3030 02:19:19,920 --> 02:19:28,920 GENDER. 3031 02:19:28,920 --> 02:19:31,320 HI 3032 02:19:31,320 --> 02:19:34,000 NIH HAD A WORKSHOP IN SEPTEMBER 3033 02:19:34,000 --> 02:19:35,280 2020 INCLUDING A NUMBER OF 3034 02:19:35,280 --> 02:19:39,680 STAKEHOLDERS FROM RESEARCHERS, 3035 02:19:39,680 --> 02:19:43,160 PROVIDERS, ADVOCACY GROUPS AND 3036 02:19:43,160 --> 02:19:45,280 MIM MEMBERS OF ACADEMIA AND 3037 02:19:45,280 --> 02:19:46,760 OTHER FEDERAL AGENCIES TO TALK 3038 02:19:46,760 --> 02:19:48,760 ABOUT HOW THE POLICY WAS BEING 3039 02:19:48,760 --> 02:19:50,600 IMPLEMENTED AND WERE THE BEST 3040 02:19:50,600 --> 02:19:54,320 STRATEGIES FOR MOVING FORWARD 3041 02:19:54,320 --> 02:19:55,280 FOR DIVERSE CLINICAL TRIALS IN 3042 02:19:55,280 --> 02:19:55,720 PARTICULAR. 3043 02:19:55,720 --> 02:19:58,880 THERE WERE A NUMBER OF THEMES 3044 02:19:58,880 --> 02:20:01,680 THAT CAME FROM THE WORKSHOP AND 3045 02:20:01,680 --> 02:20:03,480 I SHARED THESE OFTEN WITH 3046 02:20:03,480 --> 02:20:04,560 RESEARCHERS IN THE COMMUNITY AND 3047 02:20:04,560 --> 02:20:06,760 WANTED TO SHARE THEM WITH YOU. 3048 02:20:06,760 --> 02:20:11,360 AMONG THE THEMES MENTIONED TO 3049 02:20:11,360 --> 02:20:13,440 IMPROVE INCLUSION AND NIH TRIALS 3050 02:20:13,440 --> 02:20:15,160 INCLUDING SELECTING TRIAL 3051 02:20:15,160 --> 02:20:16,120 OUTCOMES THAT REFLECT 3052 02:20:16,120 --> 02:20:16,720 PARTICIPANT CONCERNS. 3053 02:20:16,720 --> 02:20:21,280 IT WAS MENTIONED AT THE WORKSHOP 3054 02:20:21,280 --> 02:20:23,200 WHEN WE'RE DESIGNING A TRIAL ZI 3055 02:20:23,200 --> 02:20:25,520 TO REMEMBER TO ASK QUESTIONS 3056 02:20:25,520 --> 02:20:26,520 IMPORTANT TO THE PEOPLE WHO WILL 3057 02:20:26,520 --> 02:20:31,400 BE PARTICIPATING IN THE TRIAL 3058 02:20:31,400 --> 02:20:36,000 AND THAT MEANS CAREFULLY LOOKING 3059 02:20:36,000 --> 02:20:38,960 AT TRIAL OUTCOME AND LOOKING AT 3060 02:20:38,960 --> 02:20:42,200 PARTICIPANTS AND INCLUSION AND 3061 02:20:42,200 --> 02:20:42,800 EXCLUSION CRITERIA. 3062 02:20:42,800 --> 02:20:49,000 SO FOR MANY YEARS WE DID SEE 3063 02:20:49,000 --> 02:20:51,080 EXPLICIT CRITERIA FOR , GENDER, 3064 02:20:51,080 --> 02:20:55,080 RACE, ETHNICITY OR AGE AND WE DO 3065 02:20:55,080 --> 02:20:57,560 STILL SEE THOSE SOMETIMES BUT WE 3066 02:20:57,560 --> 02:20:59,640 ALSO SEE OTHER INCLUSION 3067 02:20:59,640 --> 02:21:02,520 CRITERIA SUCH AS COMORBIDITIES 3068 02:21:02,520 --> 02:21:05,440 THAT MAY LIMIT INCLUSION TO 3069 02:21:05,440 --> 02:21:06,480 GROUPS DISPROPORTIONATELY. 3070 02:21:06,480 --> 02:21:11,480 THIS WAS ADDRESSED AT THE 3071 02:21:11,480 --> 02:21:11,880 MEETING. 3072 02:21:11,880 --> 02:21:16,280 THE FDA TALKED ABOUT INCLUSION 3073 02:21:16,280 --> 02:21:18,160 AND EXCLUSION CRITERIA AND HOW 3074 02:21:18,160 --> 02:21:26,520 THAT SHOULD BE ADJUSTED THROUGH 3075 02:21:26,520 --> 02:21:29,480 THE PHASES. 3076 02:21:29,480 --> 02:21:33,000 ALSO WAS INCLUDING GROUPS WITH 3077 02:21:33,000 --> 02:21:34,760 WOMEN AND CHILDREN WITH 3078 02:21:34,760 --> 02:21:35,120 PARTICIPATION. 3079 02:21:35,120 --> 02:21:37,800 NIH HAS BEEN INVOLVED IN NUMBERS 3080 02:21:37,800 --> 02:21:40,760 WITH OHRP AND OTHERS MAKING SURE 3081 02:21:40,760 --> 02:21:43,960 RESEARCHERS AND IRBs TAKE INTO 3082 02:21:43,960 --> 02:21:46,200 ACCOUNT THE POTENTIAL BENEFITS 3083 02:21:46,200 --> 02:21:47,760 OF RESEARCH PARTICIPATION AND 3084 02:21:47,760 --> 02:21:52,720 THE KNOWLEDGE TO BE GAINED BY 3085 02:21:52,720 --> 02:21:54,840 THE RESEARCH AND WEIGH THOSE 3086 02:21:54,840 --> 02:21:57,560 WITH THE RISK OF INCLUSION OF 3087 02:21:57,560 --> 02:21:59,640 CERTAIN GROUPS. 3088 02:21:59,640 --> 02:22:02,280 MINIMIZING PARTICIPANT AND 3089 02:22:02,280 --> 02:22:04,840 CAREGIVER BURDEN AND STUDY 3090 02:22:04,840 --> 02:22:05,520 PROCEDURES, HOW MANY TIMES DOES 3091 02:22:05,520 --> 02:22:08,000 THE PARTICIPANT HAVE TO GO TO 3092 02:22:08,000 --> 02:22:08,240 VISITS. 3093 02:22:08,240 --> 02:22:10,600 CAN WE DO THINGS THAT ARE 3094 02:22:10,600 --> 02:22:14,560 CONVENIENT FOR PARTICIPANTS AND 3095 02:22:14,560 --> 02:22:16,240 CAREGIVERS LIKE TELEHEALTH AND 3096 02:22:16,240 --> 02:22:18,360 PROVIDE LANGUAGE SERVICES AND 3097 02:22:18,360 --> 02:22:19,640 THOSE THINGS WERE DISCUSSED AT 3098 02:22:19,640 --> 02:22:23,440 THE MEETING AS WELL. 3099 02:22:23,440 --> 02:22:25,080 ANOTHER POINT WAS CONSIDERING 3100 02:22:25,080 --> 02:22:25,800 THE DIVERSITY OF GROUPS. 3101 02:22:25,800 --> 02:22:30,800 MOST GROUPS ARE NOT A MONOLITH. 3102 02:22:30,800 --> 02:22:31,880 THEY'RE DIVERSE. 3103 02:22:31,880 --> 02:22:34,040 WOMEN COME WITH DIFFERENT SIZES 3104 02:22:34,040 --> 02:22:37,080 AND COMORBIDITIES AND DIETS AND 3105 02:22:37,080 --> 02:22:37,960 COGNITIVE STATUS. 3106 02:22:37,960 --> 02:22:39,320 THIS IS AN IMPORTANT 3107 02:22:39,320 --> 02:22:42,040 CONSIDERATION AS WE THINK ABOUT 3108 02:22:42,040 --> 02:22:43,680 INCLUSION HOLISTICALLY. 3109 02:22:43,680 --> 02:22:49,760 AND IT WAS MENTIONED TO ASSESS 3110 02:22:49,760 --> 02:22:53,520 RECRUITMENT AND MAKE ASSESSMENTS 3111 02:22:53,520 --> 02:22:54,440 AND THESE ARE CONTINUING. 3112 02:22:54,440 --> 02:22:57,560 ALSO IF YOU WANT TO READ THE 3113 02:22:57,560 --> 02:22:58,240 FULL REPORT THIS IS AVAILABLE ON 3114 02:22:58,240 --> 02:23:05,440 OUR WEBSITE. 3115 02:23:05,440 --> 02:23:07,720 OER HAS ISSUED COMMUNICATIONS. 3116 02:23:07,720 --> 02:23:14,280 WE HAVE TRAINING AVAILABLE FOR 3117 02:23:14,280 --> 02:23:16,200 RESEARCHERS AND OTHER STAFF 3118 02:23:16,200 --> 02:23:19,480 THERE'S AN OPEN MIC BLOG IN THE 3119 02:23:19,480 --> 02:23:20,280 EXTRAMURAL NEXUS. 3120 02:23:20,280 --> 02:23:23,880 IT'S A GREAT WAY TO GET UPDATES 3121 02:23:23,880 --> 02:23:25,680 ABOUT NOT ONLY NEW NIH POLICIES 3122 02:23:25,680 --> 02:23:28,480 AND PROCEDURES BUT ALSO NIH'S 3123 02:23:28,480 --> 02:23:30,560 THINKING ON VARIOUS ISSUES, 3124 02:23:30,560 --> 02:23:32,160 CLARIFICATION OF ANY POINTS THAT 3125 02:23:32,160 --> 02:23:37,040 MAY HAVE BE OF CONFUSION AND 3126 02:23:37,040 --> 02:23:40,240 WE'VE HAD SEVERAL ARTICLES ON 3127 02:23:40,240 --> 02:23:41,680 INCLUSION-RELATED MATTERS. 3128 02:23:41,680 --> 02:23:43,640 I CONDUCT TRAINING EVERY YEAR AT 3129 02:23:43,640 --> 02:23:47,000 OUR NIH ENVIRONMENT SEMINAR. 3130 02:23:47,000 --> 02:23:48,280 THEY USED TO BE NIH VIRTUAL 3131 02:23:48,280 --> 02:23:50,280 SEMINARS WHERE WE USED TO TALK 3132 02:23:50,280 --> 02:23:52,200 TO RESEARCHERS, ADMINISTRATORS 3133 02:23:52,200 --> 02:23:53,240 AND OTHERS IN THE COMMUNITY 3134 02:23:53,240 --> 02:23:55,360 ABOUT SUBMITTING AN NIH GRANT 3135 02:23:55,360 --> 02:23:58,200 APPLICATION, POLICIES AND 3136 02:23:58,200 --> 02:23:59,000 PROCEDURES AT NIH. 3137 02:23:59,000 --> 02:24:03,480 A COUPLE YEARS AGO, WE STARTED A 3138 02:24:03,480 --> 02:24:04,880 WORKSHOP ON INCLUSION WHICH IS 3139 02:24:04,880 --> 02:24:09,120 NOW A STAND ALONE WORKSHOP AND 3140 02:24:09,120 --> 02:24:11,360 HAD PREVIOUSLY COMBINED WITH 3141 02:24:11,360 --> 02:24:14,280 HUMAN SUBJECTS RESEARCH. 3142 02:24:14,280 --> 02:24:20,080 WE'RE ABLE TO REACH A NUMBER OF 3143 02:24:20,080 --> 02:24:24,120 PEOPLE S YOU ARE MOST RECENT HAD 3144 02:24:24,120 --> 02:24:27,240 OVER 24,000 REGISTRANT. 3145 02:24:27,240 --> 02:24:28,560 WE'VE REACHED LARGE NUMBERS OF 3146 02:24:28,560 --> 02:24:30,840 PEOPLE AND HAVE GOTTEN GREAT 3147 02:24:30,840 --> 02:24:32,880 FEEDBACK HOW THE SEMINARS ARE 3148 02:24:32,880 --> 02:24:35,680 NOW MORE ACCESSIBLE TO 3149 02:24:35,680 --> 02:24:36,000 INDIVIDUALS. 3150 02:24:36,000 --> 02:24:38,400 WE ALSO HAVE OPPORTUNITIES FOR 3151 02:24:38,400 --> 02:24:39,760 ONE-ON-ONE DISCUSSIONS. 3152 02:24:39,760 --> 02:24:43,080 WE HAD A POLICY OFFICER SESSION 3153 02:24:43,080 --> 02:24:44,080 WHERE PEOPLE CAN ASK ME WHAT'S 3154 02:24:44,080 --> 02:24:53,240 ON THEIR MIND. 3155 02:24:53,240 --> 02:24:54,880 IT'S BEEN A GREAT WAY TO HAVE 3156 02:24:54,880 --> 02:24:57,960 OUTREACH TO THE COMMUNITY. 3157 02:24:57,960 --> 02:25:05,280 I NOW WANT TO SHIFT AND TALK A 3158 02:25:05,280 --> 02:25:08,000 LITTLE BIT ABOUT WHAT OUR DATA 3159 02:25:08,000 --> 02:25:08,280 LOOKS LIKE. 3160 02:25:08,280 --> 02:25:12,480 OUR I.C.s HAVE BEEN WORKING ON 3161 02:25:12,480 --> 02:25:13,440 THEIR REPORTS. 3162 02:25:13,440 --> 02:25:16,760 THE REPORTS COVER FISCAL YEARS 3163 02:25:16,760 --> 02:25:18,240 2019 THROUGH 2021. 3164 02:25:18,240 --> 02:25:20,360 I WANTED TO SHARE TO GET AN IDEA 3165 02:25:20,360 --> 02:25:21,800 HOW NIH IS DOING. 3166 02:25:21,800 --> 02:25:36,880 THIS SLIDE SHOWS THE INCLUSION 3167 02:25:36,880 --> 02:25:38,680 INCLUSION OF WOMEN HAS INCREASED 3168 02:25:38,680 --> 02:25:41,880 A BIT AND INCREASED TO 51% IN 20 3169 02:25:41,880 --> 02:25:44,680 AND IS NOW UP TO ALMOST 59% IN 3170 02:25:44,680 --> 02:25:53,120 PHYSICAL YEAR 2021. 3171 02:25:53,120 --> 02:25:56,440 IF WE LOOK AT OUR NIH DEFINED 3172 02:25:56,440 --> 02:25:58,080 PHASE 3 CLINICAL TRIALS, WOMEN 3173 02:25:58,080 --> 02:26:01,880 ARE A HIGHER PROPORTION OF 3174 02:26:01,880 --> 02:26:02,760 PARTICIPANTS THAN IN OUR 3175 02:26:02,760 --> 02:26:03,200 CLINICAL RESEARCH. 3176 02:26:03,200 --> 02:26:08,360 IT'S BEEN CONSISTENT FOR A 3177 02:26:08,360 --> 02:26:13,960 NUMBER OF YEARS TRIAL. 3178 02:26:13,960 --> 02:26:16,880 WE HAVE MORE FEMALE ONLY PHASE 3 3179 02:26:16,880 --> 02:26:18,800 TRIALS THAN MALE ONLY. 3180 02:26:18,800 --> 02:26:24,840 WE HAD A CONSISTENT TREND ABOUT 3181 02:26:24,840 --> 02:26:26,680 61% FROM FISCAL YEARS '19 3182 02:26:26,680 --> 02:26:32,920 THROUGH 2021. 3183 02:26:32,920 --> 02:26:37,800 THIS SLIDE ENROLLMENT BY RACE 3184 02:26:37,800 --> 02:26:41,960 FROM FISCAL YEARS 19 TO 2021. 3185 02:26:41,960 --> 02:26:44,440 THE LARGEST RACIAL GROUPS IN ALL 3186 02:26:44,440 --> 02:26:45,440 YEARS WERE WHITE. 3187 02:26:45,440 --> 02:26:48,360 WHITE PARTICIPANTS MADE UP ABOUT 3188 02:26:48,360 --> 02:26:50,200 66% OF PARTICIPANTS IN FISCAL 3189 02:26:50,200 --> 02:26:51,560 YEARS 2019. 3190 02:26:51,560 --> 02:26:54,680 THAT DECREASED ABOUT 61% IN 2020 3191 02:26:54,680 --> 02:26:56,600 AND WENT BACK UP A BIT TO 64% IN 3192 02:26:56,600 --> 02:27:02,800 2021. 3193 02:27:02,800 --> 02:27:05,320 THE NEXT RACIAL GROUP IS BLACK 3194 02:27:05,320 --> 02:27:07,880 OR AFRICAN AMERICAN AND WE SAW A 3195 02:27:07,880 --> 02:27:12,280 DECREASE FROM FISCAL YEAR 2019 3196 02:27:12,280 --> 02:27:13,480 TO 2021 WHERE IT'S NOW 13% IN 3197 02:27:13,480 --> 02:27:21,880 THE GRAY. 3198 02:27:21,880 --> 02:27:23,720 THE THIRD LARGEST RACIAL GROUP 3199 02:27:23,720 --> 02:27:25,520 IS ASIAN. 3200 02:27:25,520 --> 02:27:28,320 WE'VE SEEN AN INCREASE IN ASIAN 3201 02:27:28,320 --> 02:27:31,200 PARTICIPANTS IF YOU LOOK THERE 3202 02:27:31,200 --> 02:27:33,840 IN THE ORANGE IN FISCAL 2019 WE 3203 02:27:33,840 --> 02:27:35,320 HAVE 3% OF PARTICIPANTS 3204 02:27:35,320 --> 02:27:37,200 IDENTIFIED TO ASIAN AND THAT 3205 02:27:37,200 --> 02:27:38,840 INCREASED IN 2020 TO ABOUT 12 3206 02:27:38,840 --> 02:27:42,600 PATIENCE AND NOW UP TO ABOUT 5%. 3207 02:27:42,600 --> 02:27:46,800 WE DO HAVE SMALLER BUT STEADY 3208 02:27:46,800 --> 02:27:50,880 PERCENTAGE OF AMERICAN INDIAN OR 3209 02:27:50,880 --> 02:27:53,480 ALASKAN NATIVE AND THAT IS BEEN 3210 02:27:53,480 --> 02:27:55,760 CONSISTENT A BIT OF DECREASE IN 3211 02:27:55,760 --> 02:27:59,400 FISCAL 2021 AND NATIVE HAWAIIAN 3212 02:27:59,400 --> 02:28:03,000 OR PACIFIC ISLANDERS IT'S .2% TO 3213 02:28:03,000 --> 02:28:06,920 .3% AND IT WAS IN 2019 AND 2020 3214 02:28:06,920 --> 02:28:09,000 AND NOW UP TO 8. 3215 02:28:09,000 --> 02:28:12,440 WE HAVE A HIGH PROPORTION OF 3216 02:28:12,440 --> 02:28:13,480 NOT-REPORTED RACE AND HAVE SEEN 3217 02:28:13,480 --> 02:28:14,680 AN INCREASE IN RECENT YEARS AS 3218 02:28:14,680 --> 02:28:19,640 WE HAVE MORE AND MORE RESEARCH 3219 02:28:19,640 --> 02:28:23,000 BEING DONE WITH E.H.R.s AND HAVE 3220 02:28:23,000 --> 02:28:24,400 HIGHER NUMBERS OF UNREPORTED 3221 02:28:24,400 --> 02:28:30,720 PARTICIPANTS IN THE DATA. 3222 02:28:30,720 --> 02:28:33,600 IF WE LOOKED AT NIH DEFINED 3223 02:28:33,600 --> 02:28:35,880 PHASE 3 CLINICAL TRIALS WE SEE 3224 02:28:35,880 --> 02:28:38,240 SIMILAR TRENDS THEN DATA TEND TO 3225 02:28:38,240 --> 02:28:40,480 MORE MORE THAN OUR CLINICAL 3226 02:28:40,480 --> 02:28:43,080 RESEARCH DATA GIVEN THE SMALLER 3227 02:28:43,080 --> 02:28:45,960 NUMBERS AND STUDIES INCLUDE. 3228 02:28:45,960 --> 02:28:47,600 FOR NIH DEFINED PHASE 3 TRIALS 3229 02:28:47,600 --> 02:28:50,800 AND HAD A HIGHER PROPORTION OF 3230 02:28:50,800 --> 02:28:51,880 WHITE PARTICIPANTS IN OUR 3231 02:28:51,880 --> 02:28:52,520 U.S. TRIALS. 3232 02:28:52,520 --> 02:28:56,120 ABOUT 73% IN FISCAL 2019. 3233 02:28:56,120 --> 02:29:02,600 THAT DROPPED TO 63% IN 2020 UP 3234 02:29:02,600 --> 02:29:07,560 TO 75% IN 2021. 3235 02:29:07,560 --> 02:29:15,400 AGAIN, BLACK OR AFRICAN AMERICAN 3236 02:29:15,400 --> 02:29:16,640 PARTICIPANTS ARE THE NEXT 3237 02:29:16,640 --> 02:29:19,920 HIGHEST GROUP AND IT'S NOW DOWN 3238 02:29:19,920 --> 02:29:34,520 TO 14%. 3239 02:29:34,520 --> 02:29:39,080 AND WE HAD A LOWER PERCENTAGE TO 3240 02:29:39,080 --> 02:29:42,760 2.3 IN 2021. 3241 02:29:42,760 --> 02:29:44,560 WE SEE SMALLER NUMBERS OF 3242 02:29:44,560 --> 02:29:48,280 AMERICAN INDIAN AND ALASKAN 3243 02:29:48,280 --> 02:29:53,960 NATIVE AND INCREASE IN NATIVE 3244 02:29:53,960 --> 02:29:55,880 HAWAIIAN AND WE HAVE A SMALLER 3245 02:29:55,880 --> 02:29:58,520 NUMBER OF UNKNOWN OR UNREPORTED 3246 02:29:58,520 --> 02:29:59,640 IN OUR PHASE 3s THAN OTHER 3247 02:29:59,640 --> 02:30:02,200 RESEARCH. 3248 02:30:02,200 --> 02:30:12,280 AND NOTABLY AN INCREASE IN 1.4% 3249 02:30:12,280 --> 02:30:16,920 IN 2019 AND INCREASE IN 2020 AND 3250 02:30:16,920 --> 02:30:25,120 WAS AT 3.4% IN 2020. 3251 02:30:25,120 --> 02:30:28,680 NOW I'D LIKE TO MOVE TO OUR 3252 02:30:28,680 --> 02:30:31,280 CLINICAL RESEARCH ENROLLMENT BY 3253 02:30:31,280 --> 02:30:31,880 ETHNICITY. 3254 02:30:31,880 --> 02:30:35,480 IN FISCAL YEAR 2019, ABOUT 9% OF 3255 02:30:35,480 --> 02:30:36,880 PARTICIPANTS IDENTIFIED AS 3256 02:30:36,880 --> 02:30:38,280 HISPANIC OR LATINO. 3257 02:30:38,280 --> 02:30:39,480 THAT'S THE AREA IN THE ORANGE ON 3258 02:30:39,480 --> 02:30:42,520 THE PIE GRAPH. 3259 02:30:42,520 --> 02:30:45,600 IN 2020 THAT INCREASED TO 10.9% 3260 02:30:45,600 --> 02:30:49,680 AND THEN WAS FAIRLY CONSISTENT 3261 02:30:49,680 --> 02:30:53,720 IN 2021 ABOUT 10.5% IDENTIFIED 3262 02:30:53,720 --> 02:30:55,120 AS HISPANIC OR LATINO. 3263 02:30:55,120 --> 02:30:58,920 ON THE NEXT SLIDE WE CAN LOOK AT 3264 02:30:58,920 --> 02:31:00,480 NIH-DEFINED PHASE 3 CLINICAL 3265 02:31:00,480 --> 02:31:00,680 TRIAL. 3266 02:31:00,680 --> 02:31:08,480 WE SAW QUITE A BIT OF A JUMP IN 3267 02:31:08,480 --> 02:31:09,320 HISPANIC OR LATINO 3268 02:31:09,320 --> 02:31:09,680 PARTICIPATION. 3269 02:31:09,680 --> 02:31:11,560 IT'S MOSTLY DUE TO ONE STUDY. 3270 02:31:11,560 --> 02:31:13,760 IT DOESN'T NECESSARILY MEAN A 3271 02:31:13,760 --> 02:31:14,720 HUGE INCREASE ACROSS THE 3272 02:31:14,720 --> 02:31:15,200 PORTFOLIO. 3273 02:31:15,200 --> 02:31:18,600 ABOUT 8.7% IN FISCAL 2019 3274 02:31:18,600 --> 02:31:22,000 INCREASED TO 17% IN 2020 AND A 3275 02:31:22,000 --> 02:31:28,520 LARGE JUMP IN 2021. 3276 02:31:28,520 --> 02:31:40,120 ALMOST 40% THAT WERE U.S. BASED 3277 02:31:40,120 --> 02:31:41,480 PHASE 3 CLINICAL TRIALS. 3278 02:31:41,480 --> 02:31:43,680 I'D LIKE TO SHOW YOU NEW DATA ON 3279 02:31:43,680 --> 02:31:46,920 AGE AT ENROLLMENT. 3280 02:31:46,920 --> 02:31:50,000 THIS IS THE FIRST TIME NIH HAD 3281 02:31:50,000 --> 02:31:52,400 DATA AVAILABLE FOR AGE AT 3282 02:31:52,400 --> 02:31:53,480 ENROLLMENT AND YOU'RE ONE OF THE 3283 02:31:53,480 --> 02:31:55,480 FIRST GROUPS TO SEE IT. 3284 02:31:55,480 --> 02:32:00,280 NIH BEGAN COLLECTING THE DATA 3285 02:32:00,280 --> 02:32:01,880 WITH OUR INCLUSION ACROSS THE 3286 02:32:01,880 --> 02:32:05,880 LIFE SPAN STARTED JANUARY 25, 3287 02:32:05,880 --> 02:32:07,840 2019 OR LATER. 3288 02:32:07,840 --> 02:32:09,160 WE STARTED RECEIVING PROGRESS 3289 02:32:09,160 --> 02:32:10,920 REPORTS FROM THE APPLICATIONS. 3290 02:32:10,920 --> 02:32:16,880 THIS IS THE FIRST SNAPSHOT OF 3291 02:32:16,880 --> 02:32:17,240 DATA. 3292 02:32:17,240 --> 02:32:24,080 IT'S NOT A LARGE NUMBER BUT 3293 02:32:24,080 --> 02:32:29,080 GIVES AN IDEA OF ENROLLMENT BY 3294 02:32:29,080 --> 02:32:29,400 AGE. 3295 02:32:29,400 --> 02:32:30,880 THIS SHOWS PARTICIPANTS UNDER 18 3296 02:32:30,880 --> 02:32:34,480 AND 58% WERE ADULTS 18 TO 64 AND 3297 02:32:34,480 --> 02:32:36,320 ABOUT 19% WERE OLDER ADULTS, 65 3298 02:32:36,320 --> 02:32:48,480 OR OLDER. 3299 02:32:48,480 --> 02:32:51,000 3% WERE UNKNOWN OR UNREPORTED I 3300 02:32:51,000 --> 02:32:54,320 WON'T THROUGH ALL THE 3301 02:32:54,320 --> 02:32:59,480 PERCENTAGES BUT THE AGE GROUPS 3302 02:32:59,480 --> 02:33:05,200 WERE DEVELOPED BY NIH ACROSS OUR 3303 02:33:05,200 --> 02:33:08,280 FIRST MEETING IN 2017. 3304 02:33:08,280 --> 02:33:11,120 MANY PARTICIPANTS EXPRESSED 3305 02:33:11,120 --> 02:33:12,480 THEIR IDEAS ABOUT IMPORTANT AGE 3306 02:33:12,480 --> 02:33:14,480 GROUPS FOR DEVELOPMENT AND WE 3307 02:33:14,480 --> 02:33:15,840 ALSO RECEIVED INPUT THROUGH AN 3308 02:33:15,840 --> 02:33:17,840 RFI WE PUT OUT THAT YEAR. 3309 02:33:17,840 --> 02:33:19,680 WE DID LISTEN CAREFULLY TO ALL 3310 02:33:19,680 --> 02:33:23,720 THE FEEDBACK WE RECEIVED AND 3311 02:33:23,720 --> 02:33:25,080 THESE LARGELY REFLECT THE 3312 02:33:25,080 --> 02:33:26,240 FEEDBACK RECEIVED. 3313 02:33:26,240 --> 02:33:30,440 ONE THING TO NOTE IS THE AGE 3314 02:33:30,440 --> 02:33:31,920 GROUPS BECAUSE THEY'RE BASED ON 3315 02:33:31,920 --> 02:33:33,520 IMPORTANT DEVELOPMENTAL 3316 02:33:33,520 --> 02:33:33,840 MILESTONES. 3317 02:33:33,840 --> 02:33:36,480 THEY'RE NOT NECESSARILY UNIFORM 3318 02:33:36,480 --> 02:33:36,760 CATEGORIES. 3319 02:33:36,760 --> 02:33:38,280 THERE MAY BE A DIFFERENT NUMBER 3320 02:33:38,280 --> 02:33:40,400 OF YEARS IN EACH CATEGORY. 3321 02:33:40,400 --> 02:33:41,840 BECAUSE ONE LOOKS HIGHER OR 3322 02:33:41,840 --> 02:33:43,520 LOWER DOES NOT NECESSARY MEAN 3323 02:33:43,520 --> 02:33:46,440 ENROLLMENT FOR THAT GROUP 3324 02:33:46,440 --> 02:33:47,440 OVERALL WAS MORE OR LESS THAN 3325 02:33:47,440 --> 02:33:57,800 ANOTHER SPECIFIC AGE. 3326 02:33:57,800 --> 02:34:02,400 WE HAVE A HEALTHY REPRESENTATION 3327 02:34:02,400 --> 02:34:06,600 OF CHILDREN 1-5 AND 6-12 AND 3328 02:34:06,600 --> 02:34:10,000 SOME WAS DUE TO THE AGE 3329 02:34:10,000 --> 02:34:16,120 GROUPINGS WITH 16 TO 3330 02:34:16,120 --> 02:34:20,040 17-YEAR-OLDS AND NOT SURPRISED 3331 02:34:20,040 --> 02:34:21,680 MOST PARTICIPANTS ARE MIDDLE AGE 3332 02:34:21,680 --> 02:34:23,880 AND WE SEE HIGHER BARS IF WE 3333 02:34:23,880 --> 02:34:26,280 LOOK AT THE 55 TO 64 AGE GROUP 3334 02:34:26,280 --> 02:34:28,320 THE LARGEST AGE GROUP 3335 02:34:28,320 --> 02:34:29,520 REPRESENTED ABOUT 16% OF 3336 02:34:29,520 --> 02:34:30,880 PARTICIPANTS IN THE AGE GROUP. 3337 02:34:30,880 --> 02:34:34,920 THAT DECREASES AS PARTICIPANTS 3338 02:34:34,920 --> 02:34:35,880 ARE OLDER. 3339 02:34:35,880 --> 02:34:45,200 ALSO THE CATEGORIES NARROW. 3340 02:34:45,200 --> 02:34:49,720 NIS IS -- THIS IS EXCITING AND 3341 02:34:49,720 --> 02:34:51,120 HOPE TO LEARN MORE HOW AGE IS 3342 02:34:51,120 --> 02:34:52,480 REPRESENTED IN OUR PORTFOLIO. 3343 02:34:52,480 --> 02:34:54,760 IF YOU'D LIKE TO LEARN MORE 3344 02:34:54,760 --> 02:34:57,280 ABOUT THESE DATA YOU CAN GO TO 3345 02:34:57,280 --> 02:34:59,280 OUR REPORT THE NIH REPORT 3346 02:34:59,280 --> 02:34:59,520 WEBSITE. 3347 02:34:59,520 --> 02:35:02,080 WE DO HAVE A PAGE FOR INCLUSION 3348 02:35:02,080 --> 02:35:04,400 OF WOMEN AND MINORITIES AND 3349 02:35:04,400 --> 02:35:06,400 THERE YOU CAN LOOK AT OUR NIH 3350 02:35:06,400 --> 02:35:07,360 INCLUSION DATA BY RESEARCH 3351 02:35:07,360 --> 02:35:21,200 CONDITION AND DISEASE CATEGORY. 3352 02:35:21,200 --> 02:35:24,080 THE DATA IS AVAILABLE BY 3353 02:35:24,080 --> 02:35:26,680 DIFFERENT CATEGORIES AND IF YOU 3354 02:35:26,680 --> 02:35:27,640 ARE INTERESTED IN THE DATA TAKE 3355 02:35:27,640 --> 02:35:28,480 A LOOK. 3356 02:35:28,480 --> 02:35:29,880 WE RECENTLY UPDATED THE SITE 3357 02:35:29,880 --> 02:35:32,280 WITH OUR FISCAL YEAR 2019 3358 02:35:32,280 --> 02:35:43,480 THROUGH 2021 DATA. 3359 02:35:43,480 --> 02:35:46,160 AS I START TO WRAP UP I WANT TO 3360 02:35:46,160 --> 02:35:46,880 TALK WITH THE CURRENT EFFORTS 3361 02:35:46,880 --> 02:35:48,760 GOING ON AND HOPEFULLY THEY'LL 3362 02:35:48,760 --> 02:35:52,160 INFORM SOME OF OUR NEXT STEPS AT 3363 02:35:52,160 --> 02:35:53,600 NIH. 3364 02:35:53,600 --> 02:35:54,720 ONE OF EFFORTS THAT IS THE 3365 02:35:54,720 --> 02:35:57,160 REPORT BY THE NATIONAL ACADEMIES 3366 02:35:57,160 --> 02:36:00,040 OF SCIENCES, ENGINEERING AND 3367 02:36:00,040 --> 02:36:03,840 MEDICINE, THEY WILL BE RELEASING 3368 02:36:03,840 --> 02:36:06,120 A REPORT ON VERY SOON IN THE 3369 02:36:06,120 --> 02:36:09,960 NEXT MONTH OR SO SO KEEP AN EYE 3370 02:36:09,960 --> 02:36:11,920 OUT FOR REPRESENTING WOMEN IN 3371 02:36:11,920 --> 02:36:13,720 CLINICAL TRIALS AND RESEARCH. 3372 02:36:13,720 --> 02:36:15,880 THE COMMITTEE HAS BEEN WORKING 3373 02:36:15,880 --> 02:36:17,160 DILIGENTLY IN THE LAST YEAR AND 3374 02:36:17,160 --> 02:36:21,760 A HALF AND HELD THREE PUBLIC 3375 02:36:21,760 --> 02:36:24,080 MEETINGS NOW ON INCLUSION FOR 3376 02:36:24,080 --> 02:36:25,680 WOMEN AND UNDER REPRESENTED 3377 02:36:25,680 --> 02:36:26,600 MINORITIES AND THE GROUP HAS 3378 02:36:26,600 --> 02:36:29,000 BEEN WORKING HARD ON THIS 3379 02:36:29,000 --> 02:36:29,840 REPORT. 3380 02:36:29,840 --> 02:36:31,880 NIH VERY MUCH LOOKS FORWARD TO 3381 02:36:31,880 --> 02:36:32,560 THE RECOMMENDATIONS WHICH WILL 3382 02:36:32,560 --> 02:36:35,480 FOCUS ON INSTITUTIONAL 3383 02:36:35,480 --> 02:36:37,160 STRATEGIES TO INCREASE INCLUSION 3384 02:36:37,160 --> 02:36:41,760 AS WELL AS LOOKING AT COST AND 3385 02:36:41,760 --> 02:36:44,200 HOW INCLUSION MAY AFFECT HEALTH 3386 02:36:44,200 --> 02:36:44,840 AND COST ASSOCIATED WITH HEALTH 3387 02:36:44,840 --> 02:36:58,240 CARE. 3388 02:36:58,240 --> 02:36:59,920 ANOTHER EFFORT ON A DIVERSITY 3389 02:36:59,920 --> 02:37:02,120 PROJECT LOOKING AT 3390 02:37:02,120 --> 02:37:05,040 ORGANIZATIONAL-LEVEL STRATEGIES 3391 02:37:05,040 --> 02:37:06,480 FOR INCLUSION THAT THAT GROUP 3392 02:37:06,480 --> 02:37:08,600 HAS STAKEHOLDERS FROM INDUSTRY 3393 02:37:08,600 --> 02:37:12,680 AND ACADEMIA AND ADVOCACY AND 3394 02:37:12,680 --> 02:37:14,560 MANY OTHER GROUPS AND THEY ARE 3395 02:37:14,560 --> 02:37:18,640 WORKING ON CTTI WILL BE PUTTING 3396 02:37:18,640 --> 02:37:19,240 OUT RECOMMENDATIONS BASED ON 3397 02:37:19,240 --> 02:37:25,480 THAT REPORT. 3398 02:37:25,480 --> 02:37:29,080 FINALLY YOU MAY BE FAMILIAR WITH 3399 02:37:29,080 --> 02:37:30,680 AN NIH EFFORT. 3400 02:37:30,680 --> 02:37:33,080 NHLBI AND NIHD HAVE BEEN LEADING 3401 02:37:33,080 --> 02:37:37,120 THE EFFORT TO REACH OUT TO 3402 02:37:37,120 --> 02:37:38,880 COMMUNITIES ABOUT COVID-19 3403 02:37:38,880 --> 02:37:40,680 RESEARCH AND MUCH EFFORT IS 3404 02:37:40,680 --> 02:37:41,520 FOCUSSED ON VACCINE AND 3405 02:37:41,520 --> 02:37:43,000 EDUCATION AND EDUCATION ABOUT 3406 02:37:43,000 --> 02:37:45,080 BOOSTERS, EDUCATION ABOUT 3407 02:37:45,080 --> 02:37:45,600 VACCINES IN CHILDREN. 3408 02:37:45,600 --> 02:37:48,880 THIS SITE HAS A NUMBER OF 3409 02:37:48,880 --> 02:37:50,080 HELPFUL RESOURCES. 3410 02:37:50,080 --> 02:37:51,880 IF YOU HAVEN'T SEEN IT I 3411 02:37:51,880 --> 02:37:57,920 ENCOURAGE YOU TO TAKE A LOOK. 3412 02:37:57,920 --> 02:37:59,960 I'LL CONCLUDE BY DIRECTING YOU 3413 02:37:59,960 --> 02:38:01,560 TO OUR WEBSITE WHERE YOU CAN 3414 02:38:01,560 --> 02:38:02,640 NAVIGATE TO MANY THINGS I TALKED 3415 02:38:02,640 --> 02:38:07,080 ABOUT TO LEARN MORE ABOUT OUR 3416 02:38:07,080 --> 02:38:08,600 POLICIES OR FIND MORE ABOUT OUR 3417 02:38:08,600 --> 02:38:08,800 DATA. 3418 02:38:08,800 --> 02:38:11,480 WITH THAT, I WANT TO THANK YOU 3419 02:38:11,480 --> 02:38:13,080 ALL FOR GIVING ME THE 3420 02:38:13,080 --> 02:38:14,240 OPPORTUNITY TO SPEAK AND I'M 3421 02:38:14,240 --> 02:38:26,600 HAPPY TO ANSWER ANY QUESTIONS. 3422 02:38:26,600 --> 02:38:28,600 >> THANKS, SO MUCH, DAWN. 3423 02:38:28,600 --> 02:38:30,760 IT LOOKS LIKE DR. KLEIN HAS A 3424 02:38:30,760 --> 02:38:33,440 QUESTION. 3425 02:38:33,440 --> 02:38:33,960 >> THANK YOU. 3426 02:38:33,960 --> 02:38:36,680 I CAN'T HELP BUT TAKE A MOMENT 3427 02:38:36,680 --> 02:38:39,680 TO ACKNOWLEDGE YOU GOT YOUR MPH 3428 02:38:39,680 --> 02:38:40,480 HERE WHERE I'M SITTING AT THE 3429 02:38:40,480 --> 02:38:42,200 SCHOOL OF PUBLIC HEALTH. 3430 02:38:42,200 --> 02:38:43,880 I WANT YOU TO KNOW YOU STARTED 3431 02:38:43,880 --> 02:38:49,400 OFF WARMING MY HEART. 3432 02:38:49,400 --> 02:38:50,680 I FOUND SO MUCH OF WHAT YOU 3433 02:38:50,680 --> 02:38:51,920 PRESENTED TO BE VERY 3434 02:38:51,920 --> 02:38:55,600 INTERESTING. 3435 02:38:55,600 --> 02:39:00,680 ESPECIALLY THE PHASE 3 TRIALS 3436 02:39:00,680 --> 02:39:08,200 AND THE NEED FOR CONSIDERING SEX 3437 02:39:08,200 --> 02:39:09,680 AND GENDER AND RACE AND 3438 02:39:09,680 --> 02:39:10,720 ETHNICITY AND THOUGH I 3439 02:39:10,720 --> 02:39:12,880 UNDERSTAND WHAT'S HAPPENING FOR 3440 02:39:12,880 --> 02:39:14,080 NIH-FUNDED TRIALS CAN YOU SPEAK 3441 02:39:14,080 --> 02:39:15,680 TO THE IMPACT THIS MIGHT HAVE ON 3442 02:39:15,680 --> 02:39:18,480 COMPANIES AND WHERE MY HEAD IS 3443 02:39:18,480 --> 02:39:20,240 IS ABOUT THE COVID-19 VACCINES 3444 02:39:20,240 --> 02:39:22,000 AND ALL THE COMPANIES AND THEIR 3445 02:39:22,000 --> 02:39:23,720 PHASE 3 TRIALS THAT REALLY DID 3446 02:39:23,720 --> 02:39:40,600 NOT ADEQUATELY ADDRESS THIS. 3447 02:39:40,600 --> 02:39:42,040 >> THEY'VE WORKED ON INCREASING 3448 02:39:42,040 --> 02:39:48,720 DATA ON PHASE 3 AND OTHER PHASED 3449 02:39:48,720 --> 02:39:56,480 TRIALS. 3450 02:39:56,480 --> 02:40:00,200 WHILE NIH DOESN'T HAVE DIRECT 3451 02:40:00,200 --> 02:40:03,400 CONTROL OVER NON-NIH TRIALS, ONE 3452 02:40:03,400 --> 02:40:05,880 THING THAT'S COME UP QUITE A BIT 3453 02:40:05,880 --> 02:40:07,080 IS PERHAPS INDUSTRY AND OTHERS 3454 02:40:07,080 --> 02:40:08,520 MAY FOLLOW NIH'S LEAD. 3455 02:40:08,520 --> 02:40:10,280 WE'VE BEEN LOOKING AT WHAT'S 3456 02:40:10,280 --> 02:40:13,120 BEEN WORKING HERE, WHERE THE 3457 02:40:13,120 --> 02:40:14,520 CHALLENGES ARE HERE AND OUTSIDE 3458 02:40:14,520 --> 02:40:15,680 NIH AND I THINK WE HOPE WE CAN 3459 02:40:15,680 --> 02:40:20,920 LEARN FROM EACH OTHER. 3460 02:40:20,920 --> 02:40:22,680 I CAN STAY I'VE BEEN INVOLVED IN 3461 02:40:22,680 --> 02:40:26,920 EFFORTS WHERE WE'RE TRYING TO 3462 02:40:26,920 --> 02:40:29,120 SHARE BEST PRACTICES SO OUR 3463 02:40:29,120 --> 02:40:29,800 ENTIRE CLINICAL TRIAL ENTERPRISE 3464 02:40:29,800 --> 02:40:30,920 CAN IMPROVE. 3465 02:40:30,920 --> 02:40:32,400 >> I DO. 3466 02:40:32,400 --> 02:40:35,840 I HOPE YOU GUYS END UP SETTING 3467 02:40:35,840 --> 02:40:39,280 THE STANDARD BY WHICH OTHER 3468 02:40:39,280 --> 02:40:39,840 COMPANIES INCLUDING 3469 02:40:39,840 --> 02:40:40,360 INTERNATIONALLY MAY PAY 3470 02:40:40,360 --> 02:40:43,960 ATTENTION AND FOLLOW. 3471 02:40:43,960 --> 02:40:47,840 THANK YOU. 3472 02:40:47,840 --> 02:40:49,760 >> THANK YOU FOR HIGHLIGHTING 3473 02:40:49,760 --> 02:40:51,280 THE ISSUE BECAUSE SOMETIMES WHEN 3474 02:40:51,280 --> 02:40:52,280 PEOPLE EVALUATE INCLUSION 3475 02:40:52,280 --> 02:40:58,240 THEY'RE NOT AWARE OF THE VARIOUS 3476 02:40:58,240 --> 02:41:01,840 REQUIREMENTS AND HOW THEY DIFFER 3477 02:41:01,840 --> 02:41:07,240 AND FROM A RIGOR PERSPECTIVE WE 3478 02:41:07,240 --> 02:41:08,440 WANT AS MUCH AS INFORMATION 3479 02:41:08,440 --> 02:41:10,520 AVAILABLE FOR AS MANY TYPES OF 3480 02:41:10,520 --> 02:41:12,480 PEOPLE AFFECTED BY DISEASE AND 3481 02:41:12,480 --> 02:41:15,520 CONDITIONS TO INFORM SEX AND 3482 02:41:15,520 --> 02:41:20,080 GENDER AWARE DECISION MAKING. 3483 02:41:20,080 --> 02:41:21,680 AND RECOGNIZING RAGE, ETHNICITY, 3484 02:41:21,680 --> 02:41:24,400 AGE AND EVEN AS WE MOVE FORWARD 3485 02:41:24,400 --> 02:41:27,840 NOT JUST FROM AN INCLUSION 3486 02:41:27,840 --> 02:41:28,480 PERSPECTIVE, SOCIAL DETERMINATES 3487 02:41:28,480 --> 02:41:29,160 OF HEALTH AND HOW THEY'RE 3488 02:41:29,160 --> 02:41:31,800 IMPORTANT FOR OUTCOMES. 3489 02:41:31,800 --> 02:41:33,360 AND DON AND I HAVE HAD THESE 3490 02:41:33,360 --> 02:41:34,080 CONVERSATIONS MANY TIMES HOW 3491 02:41:34,080 --> 02:41:38,280 THIS IS REALLY NOT ABOUT 3492 02:41:38,280 --> 02:41:39,000 COUNTING PEOPLE. 3493 02:41:39,000 --> 02:41:41,480 AT THE CORE THE ISSUES ARE ABOUT 3494 02:41:41,480 --> 02:41:43,280 DOING THE BEST SCIENCE TO 3495 02:41:43,280 --> 02:41:44,080 GENERATE THE BEST EVIDENCE TO 3496 02:41:44,080 --> 02:41:50,080 INFORM THE BEST CARE. 3497 02:41:50,080 --> 02:41:53,640 AND IT'S PART OF THAT AND BUT 3498 02:41:53,640 --> 02:41:55,880 NOT ALL OF THAT. 3499 02:41:55,880 --> 02:41:58,560 I WANT TO GIVE MS. CORBETT A 3500 02:41:58,560 --> 02:42:00,920 SHOUT OUT SHE'S BEEN AN 3501 02:42:00,920 --> 02:42:02,280 INCLUSION DIVERSITY OFFICER FOR 3502 02:42:02,280 --> 02:42:04,480 SOME YEARS BUT IT'S BEEN OUR 3503 02:42:04,480 --> 02:42:05,720 PLEASURE TO WORK CLOSELY WITH 3504 02:42:05,720 --> 02:42:08,560 HER OVER THE LAST FEW YEARS AS 3505 02:42:08,560 --> 02:42:11,640 I'VE BEEN CO-CHAIRING THE 3506 02:42:11,640 --> 02:42:12,320 INCLUSION GOVERNANCE COMMITTEE 3507 02:42:12,320 --> 02:42:14,720 FIRST WITH DR. MARIE BERNARD AND 3508 02:42:14,720 --> 02:42:16,000 NOW WITH DR. COOPER. 3509 02:42:16,000 --> 02:42:18,760 I WANTED TO MENTION TO THE 3510 02:42:18,760 --> 02:42:19,880 ADVISORY COMMITTEE WHEN 3511 02:42:19,880 --> 02:42:24,520 DR. BERNARD WAS RECENTLY 3512 02:42:24,520 --> 02:42:27,280 ACCEPTED THE POSITION OF CHIEF 3513 02:42:27,280 --> 02:42:31,720 OFFICER FOR THE DIVERSITY AND 3514 02:42:31,720 --> 02:42:33,280 INCLUSION GROUP AND DR. HOOPER 3515 02:42:33,280 --> 02:42:35,240 WHO HAS SPOKEN TO THIS ADVISORY 3516 02:42:35,240 --> 02:42:37,880 COMMITTEE AND THE DEPUTY 3517 02:42:37,880 --> 02:42:44,880 DIRECTOR OF NIMHD NOW MY 3518 02:42:44,880 --> 02:42:46,040 CO-CHAIR ON THE INCLUSION 3519 02:42:46,040 --> 02:42:47,240 GOVERNANCE COMMITTEE AND PART OF 3520 02:42:47,240 --> 02:42:51,400 THE GOVERNANCE STRUCTURE AND 3521 02:42:51,400 --> 02:42:53,720 HELPS TO OVERSEE MONITORING 3522 02:42:53,720 --> 02:42:55,840 ADHERENCE AND DAWN HAS HAD A 3523 02:42:55,840 --> 02:42:56,920 CRITICAL ROLE ALL ALONG. 3524 02:42:56,920 --> 02:43:00,400 I WANTED TO SHARE THAT WITH MY 3525 02:43:00,400 --> 02:43:01,240 ADVISORY COMMITTEE. 3526 02:43:01,240 --> 02:43:05,480 WITHOUT DAWN WE COULD NOT HAVE 3527 02:43:05,480 --> 02:43:07,040 THE STATUS IN THE ANNUAL REPORT 3528 02:43:07,040 --> 02:43:08,400 SHE REFERENCED. 3529 02:43:08,400 --> 02:43:13,360 THANK YOU, DAWN. 3530 02:43:13,360 --> 02:43:17,080 WE APPRECIATE I YOU 3531 02:43:17,080 --> 02:43:17,760 >> THANK YOU. 3532 02:43:17,760 --> 02:43:23,840 >> I'M LOOK FOR HANDS RAISED. 3533 02:43:23,840 --> 02:43:24,080 THANK YOU. 3534 02:43:24,080 --> 02:43:37,440 DR. GELLAR. 3535 02:43:37,440 --> 02:43:38,680 >> THANKS FOR THE PRESENTATION. 3536 02:43:38,680 --> 02:43:40,520 I'VE BEEN DOING THE WORK FOR A 3537 02:43:40,520 --> 02:43:43,680 WHILE AND INCLUSION IS OBVIOUSLY 3538 02:43:43,680 --> 02:43:46,320 CRITICAL AND ABSOLUTELY 3539 02:43:46,320 --> 02:43:51,080 NECESSARY BUT NOT SUFFICIENT. 3540 02:43:51,080 --> 02:43:56,280 WE NEED TO MAKE SURE AND I DON'T 3541 02:43:56,280 --> 02:43:58,200 THINK THE BURDEN FALLS ON NIH 3542 02:43:58,200 --> 02:44:00,960 BUT ALL OF US AS LEADERS ON 3543 02:44:00,960 --> 02:44:02,480 RESEARCH TO MAKE SURE SHOWS 3544 02:44:02,480 --> 02:44:04,640 CONDUCTING THE RESEARCH DO THE 3545 02:44:04,640 --> 02:44:09,880 ANALYSIS BY SEX AND GENDER AND 3546 02:44:09,880 --> 02:44:11,360 RACE AND ETHNICITY AND THEN 3547 02:44:11,360 --> 02:44:15,640 REPORT IT IN THE PUBLICATIONS. 3548 02:44:15,640 --> 02:44:17,200 THAT'S WHERE WE FALL DOWN. 3549 02:44:17,200 --> 02:44:17,720 >> 3550 02:44:17,720 --> 02:44:19,320 >> THANK YOU, DR. GELLAR. 3551 02:44:19,320 --> 02:44:21,880 YOUR WORK HAS BEEN HELPFUL AS 3552 02:44:21,880 --> 02:44:26,840 WE'VE BEEN THINKING ABOUT THESE 3553 02:44:26,840 --> 02:44:28,520 ISSUES AND LOOKING TO SEE 3554 02:44:28,520 --> 02:44:31,080 INCLUSION DOES NOT NECESSARILY 3555 02:44:31,080 --> 02:44:32,440 LEAD TOE MORE INFORMATION HOW 3556 02:44:32,440 --> 02:44:34,560 INTERVENTIONS WORK IN DIFFERENT 3557 02:44:34,560 --> 02:44:35,880 POPULATIONS AND SOMETHING NIH IS 3558 02:44:35,880 --> 02:44:44,000 TAKING SERIOUSLY. 3559 02:44:44,000 --> 02:44:45,360 AND THERE'S TRIALS REGARDING SEX 3560 02:44:45,360 --> 02:44:47,200 AND ETHNICITY. 3561 02:44:47,200 --> 02:44:51,720 WE DO HAVE THE NEW REQUIREMENT 3562 02:44:51,720 --> 02:44:52,400 FOR CLINICAL TRIALS AND THEY 3563 02:44:52,400 --> 02:44:53,960 NEED TO PROPOSE THE RESULTS AND 3564 02:44:53,960 --> 02:44:55,080 WE'RE SEEING THE FIRST TRIALS 3565 02:44:55,080 --> 02:44:55,920 STARTING TO COME UNDER THE 3566 02:44:55,920 --> 02:45:00,040 POLICY. 3567 02:45:00,040 --> 02:45:02,640 WE'RE HOPING WE'LL SEE MORE AND 3568 02:45:02,640 --> 02:45:05,680 MORE AND NOT ONLY HOPING BUT 3569 02:45:05,680 --> 02:45:08,320 ACTIVELY TRYING TO TAKE STEPS TO 3570 02:45:08,320 --> 02:45:13,560 ENSURE THE INFORMATION IS 3571 02:45:13,560 --> 02:45:15,840 DISSEMINATE 3572 02:45:15,840 --> 02:45:18,560 DISSEMINATED AND WE HAVE OTHERS 3573 02:45:18,560 --> 02:45:21,560 IN OUR DISCUSSIONS TO TRY TO SET 3574 02:45:21,560 --> 02:45:22,240 STANDARDS. 3575 02:45:22,240 --> 02:45:23,200 WE DID SEE THE NEW ENGLAND 3576 02:45:23,200 --> 02:45:29,000 JOURNAL OF MEDICINE HAS NEW 3577 02:45:29,000 --> 02:45:31,360 POLICIES SO WE DID APPRECIATE 3578 02:45:31,360 --> 02:45:32,280 YOUR EFFORTS AND OTHER'S EFFORTS 3579 02:45:32,280 --> 02:45:37,360 TO FRY TO MAKE THIS THE 3580 02:45:37,360 --> 02:45:37,640 STANDARD. 3581 02:45:37,640 --> 02:45:39,920 YOU'RE RIGHT, IF ALL WE DO IS 3582 02:45:39,920 --> 02:45:43,840 COLLECT DATA AND DON'T LOOK AT 3583 02:45:43,840 --> 02:45:46,760 IT TO UNDERSTAND HOW 3584 02:45:46,760 --> 02:45:47,880 INTERVENTIONS WORK THEN I DON'T 3585 02:45:47,880 --> 02:45:48,640 WE'VE ACHIEVED THE GOALS OF THE 3586 02:45:48,640 --> 02:46:01,960 POLICY. 3587 02:46:01,960 --> 02:46:03,800 >> I SECOND THE ATTESTATION IT'S 3588 02:46:03,800 --> 02:46:06,080 BEEN HELPFUL TO HAVE THAT IN THE 3589 02:46:06,080 --> 02:46:07,960 PUBLIC DOMAIN AND AT MULTIPLE 3590 02:46:07,960 --> 02:46:09,120 TIME POINTS OVER TIME. 3591 02:46:09,120 --> 02:46:12,240 I'M PERSONALLY LOOKING FORWARD 3592 02:46:12,240 --> 02:46:14,120 TO SEEING THE TRIALS COVERED BY 3593 02:46:14,120 --> 02:46:18,520 THE NEW POLICY AND WHAT WE CAN 3594 02:46:18,520 --> 02:46:20,040 LEARN FROM CLINICALTRIALS.gov 3595 02:46:20,040 --> 02:46:21,720 BUT THAT'S NOT ENOUGH EITHER. 3596 02:46:21,720 --> 02:46:23,880 PUBLICATIONS ARE THE POINT OF 3597 02:46:23,880 --> 02:46:32,520 THE REALM WE UNDERSTAND THAT AND 3598 02:46:32,520 --> 02:46:34,480 CONDITION TO WORK WITH PUBLISHER 3599 02:46:34,480 --> 02:46:36,520 AND WONDER IF THE COMMITTEE HAS 3600 02:46:36,520 --> 02:46:40,680 OTHER IDEAS FOR PATHWAYS TO 3601 02:46:40,680 --> 02:46:41,320 IMPROVE THAT. 3602 02:46:41,320 --> 02:46:43,880 WE'D BE HAPPY TO HEAR THOSE AND 3603 02:46:43,880 --> 02:46:46,200 DISCUSS STRATEGIES AND ONE IS 3604 02:46:46,200 --> 02:46:47,320 THROUGH PROFESSIONAL SOCIETIES 3605 02:46:47,320 --> 02:46:50,800 AND ASSOCIATES WHO ARE OFTEN 3606 02:46:50,800 --> 02:46:52,120 JOURNAL PUBLISHERS. 3607 02:46:52,120 --> 02:46:55,160 YOU SAW I USED THE STUDY I CITED 3608 02:46:55,160 --> 02:46:57,240 WITH EQUATOR. 3609 02:46:57,240 --> 02:46:58,760 THE WAY YOU'RE ABLE TO MINE MORE 3610 02:46:58,760 --> 02:47:04,200 DATA NOW MEANS WE CAN LOOK AT 3611 02:47:04,200 --> 02:47:13,280 THIS IN DIFFERENT WAYS. 3612 02:47:13,280 --> 02:47:18,680 AND WE LOOK AT HOW CRITICAL IT 3613 02:47:18,680 --> 02:47:24,560 IS TO UNDERSTANDING AND HOW IT 3614 02:47:24,560 --> 02:47:27,080 WORKS IN WOMEN AND MEN OR HOW 3615 02:47:27,080 --> 02:47:29,960 IT'S REQUIRED TO LOOK AT THE 3616 02:47:29,960 --> 02:47:31,320 INFORMATION BY SEX AND BASIC 3617 02:47:31,320 --> 02:47:32,280 DESCRIPTIVE STATISTICS IS AT 3618 02:47:32,280 --> 02:47:34,920 LEAST A START FOR THE PRIMARY 3619 02:47:34,920 --> 02:47:35,640 OUTCOME MEASURE. 3620 02:47:35,640 --> 02:47:41,520 SO WE HAVE STILL HAVE A WAYS TO 3621 02:47:41,520 --> 02:47:53,640 GO BUT WE DO UPTAKE AN 3622 02:47:53,640 --> 02:47:59,640 NEUROSCIENCE WHICH IS ONE OF THE 3623 02:47:59,640 --> 02:48:01,280 FIELDS THAT HASN'T HAD AS MUCH 3624 02:48:01,280 --> 02:48:04,280 AS PROGRESS BUT OTHER SOCIETIES 3625 02:48:04,280 --> 02:48:05,440 MAY BE A PATHWAY FOR US? 3626 02:48:05,440 --> 02:48:19,320 OTHER QUESTIONS FOR DAWN? 3627 02:48:19,320 --> 02:48:22,280 >> THANK YOU, DR. TEMPLETON. 3628 02:48:22,280 --> 02:48:23,400 >> JUST RESPONDING TO THE 3629 02:48:23,400 --> 02:48:23,960 COMMENT PREVIOUSLY ABOUT 3630 02:48:23,960 --> 02:48:31,280 REACHING OUT TO PUBLISHERS WE'RE 3631 02:48:31,280 --> 02:48:33,120 WORKING ON THIS AND I APPRECIATE 3632 02:48:33,120 --> 02:48:34,640 THE ORGANIZING COMMITTEE. 3633 02:48:34,640 --> 02:48:35,760 WE'RE ORGANIZING A MEETING THAT 3634 02:48:35,760 --> 02:48:38,880 WILL HAVE REPRESENTATION OF THE 3635 02:48:38,880 --> 02:48:40,760 PUBLISHERS AND EDITORIAL BOARDS 3636 02:48:40,760 --> 02:48:44,560 OF THE MAJOR MUSCULOSKELETAL 3637 02:48:44,560 --> 02:48:46,760 JOURNALS SCHEDULED FOR MARCH OF 3638 02:48:46,760 --> 02:48:47,640 NEXT YEAR. 3639 02:48:47,640 --> 02:48:48,640 WE'RE STILL IN THE PLANNING 3640 02:48:48,640 --> 02:48:52,920 PHASES TO TALK ABOUT WHAT SEX 3641 02:48:52,920 --> 02:48:56,480 GENDER AND THE MUSCULOSKELETAL 3642 02:48:56,480 --> 02:49:02,880 HEALTH IT'S ABOUT 25% TO 30% AT 3643 02:49:02,880 --> 02:49:06,760 BEST TO TALK ABOUT THE RELEVANT 3644 02:49:06,760 --> 02:49:10,280 GUIDELINES AND COME UP WITH A 3645 02:49:10,280 --> 02:49:25,040 POLICY IN ORTHOPEDICS IN 3646 02:49:25,040 --> 02:49:25,760 MUSCULOEXC 3647 02:49:25,760 --> 02:49:27,600 MUSCULOSKELETAL HEALTH AND 3648 02:49:27,600 --> 02:49:28,640 REACHING OUT EARLY IN THE 3649 02:49:28,640 --> 02:49:33,040 PROCESS SO THERE'S NOT A 3650 02:49:33,040 --> 02:49:34,320 POST-DOC ANALYSIS BUT 3651 02:49:34,320 --> 02:49:35,680 INCORPORATE IT EARLIER ON AND 3652 02:49:35,680 --> 02:49:36,880 ARE THERE PLACES WHERE JOURNALS 3653 02:49:36,880 --> 02:49:38,400 CAN BE THE SOURCE OF INFORMATION 3654 02:49:38,400 --> 02:49:40,320 AND DO MORE OUTREACH TO 3655 02:49:40,320 --> 02:49:46,680 RESEARCHERS AND AUTHORS. 3656 02:49:46,680 --> 02:49:54,680 >> THANK YOU, I'M EXCITED 3657 02:49:54,680 --> 02:50:05,240 DR. TEMPKIN WILL BE PART OF IT. 3658 02:50:05,240 --> 02:50:09,680 DISCIPLINE SPECIFIC GROUPS AND 3659 02:50:09,680 --> 02:50:16,440 WE GREATLY APPRECIATE THAT AND 3660 02:50:16,440 --> 02:50:21,480 TO TOUCH ON COMMENTS MADE BEFORE 3661 02:50:21,480 --> 02:50:23,880 A 3662 02:50:23,880 --> 02:50:25,840 AND WE'LL DO OUR PHOTO IN A 3663 02:50:25,840 --> 02:50:32,040 SECOND IF YOU CAN STAY AROUND. 3664 02:50:32,040 --> 02:50:35,240 I THINK YOU MENTIONED INCLUSION 3665 02:50:35,240 --> 02:50:38,840 WASN'T ENOUGH. 3666 02:50:38,840 --> 02:50:44,520 IT'S REQUIRED AND WE HAVE SEX 3667 02:50:44,520 --> 02:50:46,680 AND GENDER CONSIDERATIONS AS 3668 02:50:46,680 --> 02:50:51,600 WELL AS RACE, ETHNICITY AND AGE 3669 02:50:51,600 --> 02:50:53,840 NORD TO DRIVE INCLUSIVE 3670 02:50:53,840 --> 02:50:55,160 EXCELLENCE AND DRIVE INNOVATION 3671 02:50:55,160 --> 02:50:58,680 AND TO DRIVE RIGOR AND TO 3672 02:50:58,680 --> 02:50:59,720 GENERATE RELEVANT DATA TO 3673 02:50:59,720 --> 02:51:00,280 IMPROVE THE HEALTH OF ALL 3674 02:51:00,280 --> 02:51:05,480 PEOPLE. 3675 02:51:05,480 --> 02:51:08,560 AND WE'RE PART OF A LARGE ECO 3676 02:51:08,560 --> 02:51:08,800 SYSTEM. 3677 02:51:08,800 --> 02:51:14,280 AS MUCH AS WE DO FUND A LOT OF 3678 02:51:14,280 --> 02:51:15,440 WE DON'T FUND ALL AND OTHER 3679 02:51:15,440 --> 02:51:17,160 FUNDERS PLAY A SIGNIFICANT ROLE 3680 02:51:17,160 --> 02:51:19,080 AND THE PUBLICATION OF THE POINT 3681 02:51:19,080 --> 02:51:21,400 OF ENROLLMENT AND THE DATA IS 3682 02:51:21,400 --> 02:51:21,720 DISSEMINATED. 3683 02:51:21,720 --> 02:51:23,000 UNTIL WE HAVE THAT ALL DONE WE 3684 02:51:23,000 --> 02:51:25,320 STILL HAVE LOTS OF WORK TO DO AS 3685 02:51:25,320 --> 02:51:31,200 A COLLECTIVE. 3686 02:51:31,200 --> 02:51:32,280 THANK YOU SO MUCH FOR JOINING US 3687 02:51:32,280 --> 02:51:38,120 FOR UPDATES AND I DO BELIEVE AND 3688 02:51:38,120 --> 02:51:39,840 I WANT TO ACKNOWLEDGE THE 3689 02:51:39,840 --> 02:51:40,400 AMAZING PRESENTATION AND I 3690 02:51:40,400 --> 02:51:42,400 BELIEVE WE WANT TO TAKE OUR 3691 02:51:42,400 --> 02:51:43,480 VIRTUAL GROUP PHOTO NOW. 3692 02:51:43,480 --> 02:51:51,760 IS THAT RIGHT, SARAH? 3693 02:51:51,760 --> 02:51:52,960 >> THANK YOU FOR EVERYONE TO 3694 02:51:52,960 --> 02:51:56,160 JOIN US. 3695 02:51:56,160 --> 02:51:57,920 I'D LIKE TO ASK THAT ACRWH 3696 02:51:57,920 --> 02:51:59,880 MEMBERS TO STAY ON AND PUT YOUR 3697 02:51:59,880 --> 02:52:01,680 CAMERA ON TO TAKE YOUR PICTURE. 3698 02:52:01,680 --> 02:52:11,880 THANK YOU VERY MUCH. 3699 02:52:11,880 --> 02:52:30,120 >> THANK YOU VERY MUCH. 3700 02:52:30,120 --> 02:52:31,240 DR. SIMON. 3701 02:52:31,240 --> 02:52:34,760 >> I HAVE MEMBERS WITHOUT THEIR 3702 02:52:34,760 --> 02:52:35,680 CAMERA ON. 3703 02:52:35,680 --> 02:52:40,920 PLEASE, DR. SIMON, DR. SHAW, 3704 02:52:40,920 --> 02:52:45,120 DR. RIOS, IF YOU ARE ON, CAN YOU 3705 02:52:45,120 --> 02:52:46,480 PLEASE PUT YOUR CAMERA ON. 3706 02:52:46,480 --> 02:52:48,720 >> IF YOU ARE ABLE TO DO SO, 3707 02:52:48,720 --> 02:53:09,480 WE'D GREATLY APPRECIATE IT. 3708 02:53:09,480 --> 02:53:10,240 >> THANK YOU. 3709 02:53:10,240 --> 02:53:13,000 IT LOOKS LIKE WE GOT MOST FOLKS. 3710 02:53:13,000 --> 02:53:16,480 I'LL GO AHEAD AND TAKE THE PHOTO 3711 02:53:16,480 --> 02:53:17,920 IF EVERYBODY CAN GIVE ME THEIR 3712 02:53:17,920 --> 02:53:30,320 BEST SMILES, THREE, TWO, ONE. 3713 02:53:30,320 --> 02:53:33,200 I'VE GOT YOU. 3714 02:53:33,200 --> 02:53:35,720 THANK YOU, EVERYONE. 3715 02:53:35,720 --> 02:53:37,280 DR. NOURSI IS IT OKAY TO ADJOURN 3716 02:53:37,280 --> 02:53:38,000 FOR LUNCH. 3717 02:53:38,000 --> 02:53:39,240 >> YES. 3718 02:53:39,240 --> 02:53:40,320 COME BACK AT 1:00. 3719 02:53:40,320 --> 02:53:44,840 WE WILL HAVE A ROTATOR SLIDES 3720 02:53:44,840 --> 02:53:46,360 DURING THE TIME ENJOY IT. 3721 02:53:46,360 --> 02:53:47,800 IT INCLUDES HIGHLIGHTS FROM 3722 02:53:47,800 --> 02:53:48,320 EVENTS AND PUBLICATIONS, 3723 02:53:48,320 --> 02:53:51,120 ETCETERA. 3724 02:53:51,120 --> 02:53:52,160 WITH HOPE YOU'LL LOOK AT IT IN 3725 02:53:52,160 --> 02:53:53,440 THE MEANTIME WE'LL SEE YOU ALL 3726 02:53:53,440 --> 02:53:54,200 AT 1:00. 3727 02:53:54,200 --> 02:53:59,760 THANK YOU, ALL. 3728 02:53:59,760 --> 02:54:01,000 >> WELCOME BACK. 3729 02:54:01,000 --> 02:54:05,280 I HOPE YOU ENJOYED YOUR LUNCHES 3730 02:54:05,280 --> 02:54:09,480 AND THE SLIDE SHOW OF EVENTS AND 3731 02:54:09,480 --> 02:54:10,040 PUBLICATIONS ORWH HAS BEEN 3732 02:54:10,040 --> 02:54:13,920 INVOLVED WITH. 3733 02:54:13,920 --> 02:54:15,400 ALSO I'D LIKE TO CALL THE 3734 02:54:15,400 --> 02:54:19,760 MEETING BACK TO ORDER AND 3735 02:54:19,760 --> 02:54:22,800 INTRODUCE DR. SARAH TEMKIN AND 3736 02:54:22,800 --> 02:54:23,440 JUDY REGENSTEINER JOINING ME FOR 3737 02:54:23,440 --> 02:54:28,600 THE NEXT PRESENTATION. 3738 02:54:28,600 --> 02:54:30,880 DR. TEMKIN M.D. IS THE ASSOCIATE 3739 02:54:30,880 --> 02:54:33,120 DIRECTOR FOR CLINICAL RESEARCH 3740 02:54:33,120 --> 02:54:38,120 AT THE ORWH. 3741 02:54:38,120 --> 02:54:42,000 SHE PROVIDES CLINIC EXPERT IN 3742 02:54:42,000 --> 02:54:45,520 CANCER CONTROL, SUPPORTIVE 3743 02:54:45,520 --> 02:54:50,840 CONTROL AND THERAPEUTICS FOR 3744 02:54:50,840 --> 02:54:54,280 FEMALE SPECIFIC MALIGNANCIES AND 3745 02:54:54,280 --> 02:54:56,000 THEIR TEAM OVERSEE THE 3746 02:54:56,000 --> 02:54:59,240 SUPPLEMENT DR. CLAYTON MENTIONED 3747 02:54:59,240 --> 02:55:01,680 EARLIER AS WELL AS THE OFFICE'S 3748 02:55:01,680 --> 02:55:02,440 INTERPROFESSIONAL DEVELOPMENT 3749 02:55:02,440 --> 02:55:02,680 PROGRAM. 3750 02:55:02,680 --> 02:55:05,040 DR. TEMKIN HAS THOUGHTFULLY 3751 02:55:05,040 --> 02:55:06,040 CONTRIBUTED TO NATIONAL 3752 02:55:06,040 --> 02:55:09,000 CONVERSATIONS ABOUT CANCER 3753 02:55:09,000 --> 02:55:14,320 PREVENTION AND EQUITY IN CANCER 3754 02:55:14,320 --> 02:55:14,760 CARE. 3755 02:55:14,760 --> 02:55:17,440 SHE HAS PROVIDED A VOICE FOR 3756 02:55:17,440 --> 02:55:19,880 EQUITY IN THE PHYSICIAN WORK 3757 02:55:19,880 --> 02:55:23,040 WORKFORCE AND ATTUNED TO 3758 02:55:23,040 --> 02:55:23,640 SURGEONS AND GYNECOLOGIST WHO'S 3759 02:55:23,640 --> 02:55:32,720 ARE WOMEN. 3760 02:55:32,720 --> 02:55:35,600 DR. REGENSTEINER'S EXPERTISE IS 3761 02:55:35,600 --> 02:55:40,040 IN THE CARDIOVASCULAR AFFECTS OF 3762 02:55:40,040 --> 02:55:43,840 DIABETES WITH A SPECIFIC FOCUS 3763 02:55:43,840 --> 02:55:47,800 ON WOMEN WITH TYPE II DIABETES. 3764 02:55:47,800 --> 02:55:54,240 HER LAB HAS BEEN FUNDED FOR OVER 3765 02:55:54,240 --> 02:55:55,880 20 YEARS AND HAS 120 RESEARCH 3766 02:55:55,880 --> 02:55:58,520 PUBLICATIONS AND KNOWN FOR HER 3767 02:55:58,520 --> 02:55:59,640 RESEARCH ON PERIPHERAL ARTERIAL 3768 02:55:59,640 --> 02:56:02,520 DISEASE. 3769 02:56:02,520 --> 02:56:05,440 SHE IS CURRENTLY PRINCIPLE 3770 02:56:05,440 --> 02:56:06,760 INVESTIGATOR FOR THE UNIVERSITY 3771 02:56:06,760 --> 02:56:10,240 OF COLORADO SCHOOL OF MEDICINE 3772 02:56:10,240 --> 02:56:15,040 PROGRAM OF NIH BIRCWH GRANT AND 3773 02:56:15,040 --> 02:56:17,480 PROGRAM DIRECTOR OF THE DORIS 3774 02:56:17,480 --> 02:56:19,360 DUKE CHARITABLE FOUNDATION FUND 3775 02:56:19,360 --> 02:56:22,480 TO RETAIN CLINICAL SCIENTISTS. 3776 02:56:22,480 --> 02:56:26,600 AT THE LOUDEN FAMILY CENTER FOR 3777 02:56:26,600 --> 02:56:29,240 RESEARCH SHE LEADS AN 3778 02:56:29,240 --> 02:56:30,000 INTERDISCIPLINARY TEAM OF 3779 02:56:30,000 --> 02:56:33,120 RESEARCHERS FOCUSSED ON WOMEN'S 3780 02:56:33,120 --> 02:56:38,160 HEALTH AND SEX DIFFERENCE 3781 02:56:38,160 --> 02:56:45,040 RESEARCH. 3782 02:56:45,040 --> 02:56:51,840 WELCOME. 3783 02:56:51,840 --> 02:57:00,200 I PARTS PA-- PARTICIPATED IN 3784 02:57:00,200 --> 02:57:05,200 PUTTING THE MEETING TOGETHER AND 3785 02:57:05,200 --> 02:57:09,440 WE HAVE FUTURE PLANS WITH THE 3786 02:57:09,440 --> 02:57:10,440 MEETING AND NEXT STEPS. 3787 02:57:10,440 --> 02:57:12,640 IN FISCAL YEARS 2021 REPORT THE 3788 02:57:12,640 --> 02:57:17,680 HOUSE AND SENATE APPROPRIATIONS 3789 02:57:17,680 --> 02:57:26,160 COMMITTEE NIH CONVENE RESEARCH 3790 02:57:26,160 --> 02:57:33,680 IN RISING RATES OF MATERNAL AND 3791 02:57:33,680 --> 02:57:38,960 MORTALITY, SECOND, RISING RATES 3792 02:57:38,960 --> 02:57:41,360 OF CERVICAL CANCER IN WOMEN AND 3793 02:57:41,360 --> 02:57:42,160 SURVIVAL RATES. 3794 02:57:42,160 --> 02:57:44,440 ORWH DEVELOPED A STRATEGY TO 3795 02:57:44,440 --> 02:57:46,840 COLLECT INPUT ON THE THREE AREAS 3796 02:57:46,840 --> 02:57:52,000 FROM EXPERTS IN WOMEN'S HEALTH 3797 02:57:52,000 --> 02:57:54,520 MEMBERS OF THE PUBLIC AND 3798 02:57:54,520 --> 02:57:56,000 INSTITUTE CENTERS AND OFFICES 3799 02:57:56,000 --> 02:57:59,320 AND MEMBERS OF THE COMMITTEE. 3800 02:57:59,320 --> 02:58:02,600 THE WOMEN'S HEALTH CONFERENCE 3801 02:58:02,600 --> 02:58:08,320 WORKING GROUP WHC WAS FORMED TO 3802 02:58:08,320 --> 02:58:16,400 REVIEW AND DISCUSS ACTIVITIES 3803 02:58:16,400 --> 02:58:19,720 AND PLAN A REPORT. 3804 02:58:19,720 --> 02:58:22,120 OCTOBER LAST YEAR, THERE WAS A 3805 02:58:22,120 --> 02:58:23,000 CO-HOSTING OF THE CONFERENCE 3806 02:58:23,000 --> 02:58:25,200 WHICH WE TITLED ADVANCING NIH 3807 02:58:25,200 --> 02:58:27,400 RESEARCH ON THE HEALTH OF WOMEN 3808 02:58:27,400 --> 02:58:29,440 IN 2021 CONFERENCE. 3809 02:58:29,440 --> 02:58:41,480 IN CONJUNCTION WITH THE ACRWH 3810 02:58:41,480 --> 02:58:45,320 MEETING AND WE VOTED ON 3811 02:58:45,320 --> 02:58:45,880 OPPORTUNITIES FOR FUTURE 3812 02:58:45,880 --> 02:58:49,640 RESEARCH ON WOMEN'S HEALTH, 3813 02:58:49,640 --> 02:58:52,680 MATERNITY MORBIDITY AND 3814 02:58:52,680 --> 02:58:56,640 MORTALITY AND CERVICAL CANCER 3815 02:58:56,640 --> 02:58:58,000 AND RISING RATES OF CHRONIC 3816 02:58:58,000 --> 02:59:00,200 DEBILITATING CONDITIONS. 3817 02:59:00,200 --> 02:59:13,640 AS WE STARTED THE PROCESS WE 3818 02:59:13,640 --> 02:59:16,640 FORMED A COMMITTEE AND 3819 02:59:16,640 --> 02:59:18,280 HARMONIZED THE DATA COMING FROM 3820 02:59:18,280 --> 02:59:20,240 THE THREE CLUSTERS. 3821 02:59:20,240 --> 02:59:23,400 EACH WAS CO-LED WITH SUBJECT 3822 02:59:23,400 --> 02:59:28,800 MATTER EXPERTS FROM NIH AND 3823 02:59:28,800 --> 02:59:33,360 SCIENTISTS AND SUBJECT MATTER 3824 02:59:33,360 --> 02:59:38,200 EXPERTS FROM ACROSS NIH AND 3825 02:59:38,200 --> 02:59:40,360 OTHER AGENCIES FROM WITHIN NIH 3826 02:59:40,360 --> 02:59:42,880 AND HHS AND HRSA AND CENTER FOR 3827 02:59:42,880 --> 02:59:45,800 MEDICARE AND MEDICAID AND THE 3828 02:59:45,800 --> 02:59:52,120 DEPARTMENT OF VETERANS AFFAIRS. 3829 02:59:52,120 --> 02:59:54,040 EACH CLUSTER HAS RELEVANT 3830 02:59:54,040 --> 02:59:55,880 RESEARCH PORTFOLIOS, HELD 3831 02:59:55,880 --> 02:59:58,800 DISCUSSIONS ON ITS RESPECTIVE 3832 02:59:58,800 --> 03:00:00,640 TOPIC AREAS AND PRESENTED 3833 03:00:00,640 --> 03:00:02,600 ANALYSIS FINDING AND 3834 03:00:02,600 --> 03:00:05,520 RECOMMENDATION TO THE ACRWH 3835 03:00:05,520 --> 03:00:08,080 WOMEN'S HEALTH WORKING GROUP. 3836 03:00:08,080 --> 03:00:09,880 WHERE POSSIBLE THE RECORDS FOR 3837 03:00:09,880 --> 03:00:11,840 NIH FUNDING ON SPECIFIC RESEARCH 3838 03:00:11,840 --> 03:00:15,840 TOPICS WHICH WE CALL OUR CTC IS 3839 03:00:15,840 --> 03:00:17,520 RESEARCH CONDITIONS AND DISEASE 3840 03:00:17,520 --> 03:00:18,680 CATEGORIZATION WAS USED AS 3841 03:00:18,680 --> 03:00:20,640 METRIC FOR FUNDING. 3842 03:00:20,640 --> 03:00:23,480 AND WE ARE PLEASED TO SAY ON 3843 03:00:23,480 --> 03:00:28,600 BEHALF OF DR. REGENSTEINER AND 3844 03:00:28,600 --> 03:00:31,600 TEMKIN OUR EXECUTIVE SUMMARY WAS 3845 03:00:31,600 --> 03:00:32,520 CLEARED YESTERDAY FOR 3846 03:00:32,520 --> 03:00:32,840 PUBLICATION. 3847 03:00:32,840 --> 03:00:38,480 IT'S THERE AS A LINK. 3848 03:00:38,480 --> 03:00:41,520 IT'S POSTED ON THE WEBSITE. 3849 03:00:41,520 --> 03:00:43,840 I'D LIKE TO TURN IT TO 3850 03:00:43,840 --> 03:00:52,520 DR. KEMKIN FOR THE NEXT SLIDES. 3851 03:00:52,520 --> 03:00:53,080 >> THANK YOU. 3852 03:00:53,080 --> 03:00:59,080 I'LL REVIEW SOME OF THE 3853 03:00:59,080 --> 03:01:04,480 ACTIVITI 3854 03:01:04,480 --> 03:01:05,120 ACTIVITI 3855 03:01:05,120 --> 03:01:07,240 ACTIVITIES MAINLY FOR THE 3856 03:01:07,240 --> 03:01:10,160 CLUSTERS AND DESCRIBE THE 3857 03:01:10,160 --> 03:01:13,040 OPPORTUNITIES DISCUSSED. 3858 03:01:13,040 --> 03:01:15,040 AS PART OF FULFILLING THE 3859 03:01:15,040 --> 03:01:16,520 REQUEST THE ACTIVITIES WERE 3860 03:01:16,520 --> 03:01:18,560 REVIEWED FISCAL YEAR 2020 WAS 3861 03:01:18,560 --> 03:01:21,320 THE MOST RECENT YEAR WE HAD DATA 3862 03:01:21,320 --> 03:01:24,640 AND IN THAT YEAR 10.8% OF THE 3863 03:01:24,640 --> 03:01:27,800 OVERALL NIH BUDGET SUPPORTED 3864 03:01:27,800 --> 03:01:29,080 RESEARCH ON WOMEN'S HEALTH THE 3865 03:01:29,080 --> 03:01:30,640 INSTITUTE CENTERS AND OFFICES 3866 03:01:30,640 --> 03:01:32,800 WITH THE LARGEST ABSOLUTE 3867 03:01:32,800 --> 03:01:37,880 FUNDING AMOUNTS WERE THE ONES 3868 03:01:37,880 --> 03:01:40,680 WITH THE LARGEST AMOUNTS OF 3869 03:01:40,680 --> 03:01:44,720 FUNDING TO WOMEN'S HEALTH 3870 03:01:44,720 --> 03:01:47,000 RESEARCH THE NHLBI AND NCI. 3871 03:01:47,000 --> 03:01:50,040 WHEN EVALUATED BY PERCENTAGE, 3872 03:01:50,040 --> 03:01:55,600 NICHD, NIAMS AND NIMHD HAD THE 3873 03:01:55,600 --> 03:01:56,640 LARGEST FRACTION OF THEIR BUDGET 3874 03:01:56,640 --> 03:02:04,640 TO WOMEN'S HEALTH AND THESE WERE 3875 03:02:04,640 --> 03:02:13,240 29%, 28%, 25% RESPECTIVE. 3876 03:02:13,240 --> 03:02:14,440 MATERNAL MORBIDITY WERE TOPIC 3877 03:02:14,440 --> 03:02:16,640 THAT OUR GROUP FOCUSSED ON 3878 03:02:16,640 --> 03:02:19,440 ACCORDING TO RECENTLY RELEASED 3879 03:02:19,440 --> 03:02:20,640 FIGURES THE MATERNAL MORBIDITY 3880 03:02:20,640 --> 03:02:23,320 AND MORTALITY CRISIS HAS 3881 03:02:23,320 --> 03:02:27,000 CONTINUED TO WORSEN IN THE 3882 03:02:27,000 --> 03:02:28,960 UNITED STATES. 3883 03:02:28,960 --> 03:02:31,280 MATERNAL MORTALITY 3884 03:02:31,280 --> 03:02:35,040 DISPROPORTIONATELY AFFECTS BLACK 3885 03:02:35,040 --> 03:02:37,560 AND HISPANIC AND ALASKAN NATIVE 3886 03:02:37,560 --> 03:02:39,640 PATIENTS COMPARED TO 3887 03:02:39,640 --> 03:02:42,680 NON-HISPANIC WHITE PATIENTS. 3888 03:02:42,680 --> 03:02:44,680 BLACK AND AMERICAN INDIAN AND 3889 03:02:44,680 --> 03:02:47,440 ALASKAN NATIVE BEAR THE HIGHEST 3890 03:02:47,440 --> 03:02:48,880 SHORT AND LONG-TERM CONSEQUENCES 3891 03:02:48,880 --> 03:02:52,000 ASSOCIATED WITH NEAR-MISS EVENTS 3892 03:02:52,000 --> 03:02:55,440 AND UNEXPECTED COMPLICATIONS 3893 03:02:55,440 --> 03:03:02,680 WITH PREGNANCY AND POSTPARTUM 3894 03:03:02,680 --> 03:03:03,760 PERIOD. 3895 03:03:03,760 --> 03:03:05,960 THE NIH IS INVESTING RESEARCH IN 3896 03:03:05,960 --> 03:03:06,760 RESPONSE TO THIS PUBLIC HEALTH 3897 03:03:06,760 --> 03:03:11,080 CRISIS. 3898 03:03:11,080 --> 03:03:15,240 A CATEGORY THAT DESCRIBES 3899 03:03:15,240 --> 03:03:16,720 MATERNAL HEALTH SPENDING ON 3900 03:03:16,720 --> 03:03:19,560 RESEARCH WAS CREATED IN 2013 TO 3901 03:03:19,560 --> 03:03:23,360 CAPTURE PROJECTS THAT FOCUS ON 3902 03:03:23,360 --> 03:03:25,040 PRE-PREGNANCY THROUGH THE END OF 3903 03:03:25,040 --> 03:03:28,160 THE FIRST YEAR POSTPARTUM AND IN 3904 03:03:28,160 --> 03:03:29,840 2020 AN ADDITIONAL CATEGORY FOR 3905 03:03:29,840 --> 03:03:32,240 MATERNAL MORBIDITY AND MORTALITY 3906 03:03:32,240 --> 03:03:34,960 WAS CREATED TO CAPTURE THE 3907 03:03:34,960 --> 03:03:36,760 UNIQUE SET OF MATERNAL HEALTH 3908 03:03:36,760 --> 03:03:38,080 TOPICS AND RESEARCH PROJECTS 3909 03:03:38,080 --> 03:03:40,720 THAT ARE SPECIFICALLY RELATED TO 3910 03:03:40,720 --> 03:03:43,120 PREGNANCY COMPLICATIONS AND 3911 03:03:43,120 --> 03:03:43,640 DEATHS ASSOCIATED WITH 3912 03:03:43,640 --> 03:03:47,680 PREGNANCY. 3913 03:03:47,680 --> 03:03:49,840 YOU CAN SEE THE DOLLAR AMOUNTS 3914 03:03:49,840 --> 03:03:50,720 ON THE SLIDE. 3915 03:03:50,720 --> 03:03:53,520 IN FY2020 MULTIPLE INSTITUTES 3916 03:03:53,520 --> 03:04:01,320 AND CENTERS INCLUDING NICHD, 3917 03:04:01,320 --> 03:04:03,840 NHLBI, NIDDK SUPPORTED LARGE 3918 03:04:03,840 --> 03:04:07,000 PROJECTS SPECIFIC TO MMM. 3919 03:04:07,000 --> 03:04:10,000 WE HEARD FROM DR. GIBBONS ABOUT 3920 03:04:10,000 --> 03:04:15,320 THE EFFORTS WITHIN NHLBI TO 3921 03:04:15,320 --> 03:04:20,720 ADDRESS MATERNAL MORBIDITY AND 3922 03:04:20,720 --> 03:04:35,000 MORTALITY THERE WASIMENT 3923 03:04:35,000 --> 03:04:37,720 IMPLEMENTATION OF THE IMPROVE 3924 03:04:37,720 --> 03:04:39,000 INITIATIVE AND SUPPORT RESEARCH 3925 03:04:39,000 --> 03:04:41,520 AIMED AT PREVENTING MATERNAL 3926 03:04:41,520 --> 03:04:43,040 DEATH AND IMPROVING THE HEALTH 3927 03:04:43,040 --> 03:04:45,080 OF WOMEN BEFORE, DURING AND 3928 03:04:45,080 --> 03:04:47,480 AFTER PREGNANCY. 3929 03:04:47,480 --> 03:04:48,880 THE INSTITUTIONAL DEVELOPMENT 3930 03:04:48,880 --> 03:04:52,280 AWARD OR IDEA PROGRAM IS A 3931 03:04:52,280 --> 03:04:52,920 CONGRESSIONALLY MANDATED PROGRAM 3932 03:04:52,920 --> 03:04:54,640 WITH THE GOAL OF BUILDING 3933 03:04:54,640 --> 03:04:56,760 RESEARCH CAPACITY IN STATES AND 3934 03:04:56,760 --> 03:04:59,240 GEOGRAPHIC REGIONS THAT HAVE 3935 03:04:59,240 --> 03:05:00,640 HISTORICALLY HAD LOW LEVELS OF 3936 03:05:00,640 --> 03:05:02,280 NIH FUNDING. 3937 03:05:02,280 --> 03:05:04,520 THESE INCLUDE 23 STATES IN 3938 03:05:04,520 --> 03:05:07,400 PUERTO RICO AND IN FY20, 13 3939 03:05:07,400 --> 03:05:08,200 AWARDS ON MATERNAL MORBIDITY AND 3940 03:05:08,200 --> 03:05:16,080 MORTALITY WERE SUPPORTED. 3941 03:05:16,080 --> 03:05:18,120 OUR SECOND TOPIC WAS CHRONIC 3942 03:05:18,120 --> 03:05:21,320 DEBILITATING CONDITIONS IN 3943 03:05:21,320 --> 03:05:21,560 WOMEN. 3944 03:05:21,560 --> 03:05:25,480 WE'VE NOT ONLY SEEN RISING RATES 3945 03:05:25,480 --> 03:05:27,280 OF WOMEN AND WOMEN ARE MORE 3946 03:05:27,280 --> 03:05:28,640 LIKELY TO HAVE CHRONIC 3947 03:05:28,640 --> 03:05:29,440 CONDITIONS THAN MEN. 3948 03:05:29,440 --> 03:05:31,520 WOMEN ARE AFFECTED BY DIFFERENT 3949 03:05:31,520 --> 03:05:32,760 CHRONIC DISEASES THAN MEN AND 3950 03:05:32,760 --> 03:05:35,080 MORE LIKELY TO HAVE MULTIPLE 3951 03:05:35,080 --> 03:05:37,320 CHRONIC CONDITIONS COMPARED TO 3952 03:05:37,320 --> 03:05:37,880 MEN. 3953 03:05:37,880 --> 03:05:44,800 SEVERAL CHALLENGES AROSE ON THE 3954 03:05:44,800 --> 03:05:46,640 TOP 3955 03:05:46,640 --> 03:05:48,040 TOPIC INCLUDING THE DEFINITION 3956 03:05:48,040 --> 03:05:50,920 SPECIFIC TO WOMEN AND THE 3957 03:05:50,920 --> 03:05:53,880 UNAVAILABILITY OF THE RCDC 3958 03:05:53,880 --> 03:05:55,560 CATEGORY TO ASSESS SUPPORT THERE 3959 03:05:55,560 --> 03:05:57,960 ARE THE VARIOUS CONDITIONS WHICH 3960 03:05:57,960 --> 03:06:11,000 FALL UNDER THE BROAD TOPIC. 3961 03:06:11,000 --> 03:06:13,160 CMS HAS DATA TO CREATE A 3962 03:06:13,160 --> 03:06:14,840 FRAMEWORK ON CHRONIC 3963 03:06:14,840 --> 03:06:16,480 DEBILITATING CONDITIONS IN WOMEN 3964 03:06:16,480 --> 03:06:19,840 AND IN 2010 HHS DEFINED CHRONIC 3965 03:06:19,840 --> 03:06:21,080 ILLNESSES AS CONDITIONS THAT 3966 03:06:21,080 --> 03:06:23,920 LAST A YEAR OR MO AND REQUIRE 3967 03:06:23,920 --> 03:06:25,600 ONGOING MEDICAL ATTENTION AND/OR 3968 03:06:25,600 --> 03:06:28,360 LIMIT ACTIVITIES OF DAILY LIVING 3969 03:06:28,360 --> 03:06:30,480 AND ULTIMATELY THIS WAS THE 3970 03:06:30,480 --> 03:06:32,000 DEFINITION WE USED TO DESCRIBE 3971 03:06:32,000 --> 03:06:47,840 NIH ACTIVITIES IN THIS REALM. 3972 03:06:47,840 --> 03:06:50,520 WE CREATED A FRAMEWORK FOR 3973 03:06:50,520 --> 03:06:51,680 FEMALE SPECIFIC CONDITIONS. 3974 03:06:51,680 --> 03:06:55,840 CONDITIONS MORE COMMON IN WOMEN 3975 03:06:55,840 --> 03:06:59,560 AND/OR HAVE HIGHER MORBIDITY IN 3976 03:06:59,560 --> 03:07:01,120 WOMEN THOSE CONDITIONS TYPICALLY 3977 03:07:01,120 --> 03:07:03,000 NEGLECTED IN WOMEN AND HAVE HIGH 3978 03:07:03,000 --> 03:07:04,560 MORBIDITY IN WOMEN. 3979 03:07:04,560 --> 03:07:05,720 BECAUSE OF QUANTITATIVE REVIEW 3980 03:07:05,720 --> 03:07:10,640 OF THE TOPIC WAS NOT FELT TO BE 3981 03:07:10,640 --> 03:07:11,760 FEASIBLE WE PERFORMED A SURVEY 3982 03:07:11,760 --> 03:07:12,840 OF THE INSTITUTES AND CENTERS 3983 03:07:12,840 --> 03:07:18,360 THAT PARTICIPATED IN OUR CLUSTER 3984 03:07:18,360 --> 03:07:20,400 WORKING GROUPS RELATED TO WOMEN 3985 03:07:20,400 --> 03:07:22,520 THE WOMEN'S HEALTH CONFERENCE. 3986 03:07:22,520 --> 03:07:24,000 THIS INFORMAL SURVEY 3987 03:07:24,000 --> 03:07:28,240 DEMONSTRATED NEARLY HALF OF 3988 03:07:28,240 --> 03:07:29,480 WOMEN'S HEALTH RESEARCH ON 3989 03:07:29,480 --> 03:07:31,080 CHRONIC CONDITIONS FOCUSSED ON 3990 03:07:31,080 --> 03:07:32,760 CONDITIONS MORE COMMON ON WOMEN. 3991 03:07:32,760 --> 03:07:34,320 A QUARTER ON THOSE POTENTIALLY 3992 03:07:34,320 --> 03:07:37,240 NEGLECTED IN WOMEN. 3993 03:07:37,240 --> 03:07:39,600 15% ON HIGH MORBIDITY CONDITIONS 3994 03:07:39,600 --> 03:07:41,080 AND 11% ON FEMALE SPECIFIC 3995 03:07:41,080 --> 03:07:41,400 CONDITIONS. 3996 03:07:41,400 --> 03:07:43,640 THERE WERE A FEW PROJECTS 3997 03:07:43,640 --> 03:07:46,200 IDENTIFIED THAT FOCUSSED ON 3998 03:07:46,200 --> 03:07:47,560 MULTI-MORBIDITY OR OVERLAPPING 3999 03:07:47,560 --> 03:07:50,640 AND INTERSECTING CONDITIONS AND 4000 03:07:50,640 --> 03:07:51,840 AS MEASURED BY DISABILITY 4001 03:07:51,840 --> 03:07:56,400 ADJUSTED LIFE YEARS OR DAILY 4002 03:07:56,400 --> 03:07:58,240 AMONG THE U.S. FEMALE POPULATION 4003 03:07:58,240 --> 03:08:00,640 WHICH WE USED AS A PROXY FOR THE 4004 03:08:00,640 --> 03:08:04,480 BURDEN OF DISEASES AMONG WOMEN 4005 03:08:04,480 --> 03:08:06,840 IT VARIED FROM $17 FOR LOWER 4006 03:08:06,840 --> 03:08:08,960 BACK PAIN TO ALMOST $26,000 PER 4007 03:08:08,960 --> 03:08:15,680 DAILY FOR HIV. 4008 03:08:15,680 --> 03:08:19,800 ANOTHER TOPIC OF FOCUS WAS 4009 03:08:19,800 --> 03:08:21,080 CERVICAL CANCER SURVIVAL DESPITE 4010 03:08:21,080 --> 03:08:23,360 THE AVAILABILITY OF SCREENING 4011 03:08:23,360 --> 03:08:28,880 AND PREVENTION WITH AN HPV 4012 03:08:28,880 --> 03:08:31,920 VACCINE SINCE 2006. 4013 03:08:31,920 --> 03:08:34,880 THE AGE ADJUSTED DEATH RATE FELL 4014 03:08:34,880 --> 03:08:40,680 SLIGHTLY FROM 2009 AND 2018 BY 4015 03:08:40,680 --> 03:08:49,400 .7% ANNUALLY. 4016 03:08:49,400 --> 03:08:52,640 LESS IS A LESS IMPROVEMENT THAN 4017 03:08:52,640 --> 03:08:56,000 BREAST AND OTHER CANCERS AND 4018 03:08:56,000 --> 03:08:58,160 BLACK PATIENTS ARE 30% MORE 4019 03:08:58,160 --> 03:08:59,560 LIKELY TO BE DIAGNOSED WITH 4020 03:08:59,560 --> 03:09:03,080 CERVICAL CANCER AT 75% MORE LIKE 4021 03:09:03,080 --> 03:09:07,040 TO DIE OF ZEEDZ. 4022 03:09:07,040 --> 03:09:07,160 4023 03:09:09,440 --> 03:09:10,560 -- DISEASE. 4024 03:09:10,560 --> 03:09:13,280 PROGRESS HAS BEEN UNEVEN ACROSS 4025 03:09:13,280 --> 03:09:14,560 THE UNITED STATES AND ON THE 4026 03:09:14,560 --> 03:09:19,320 LEFT SIDE IS THE RECENT REPORT 4027 03:09:19,320 --> 03:09:26,360 THAT DEMONSTRATED MY 4028 03:09:26,360 --> 03:09:29,600 DISAGGREGATE INCOME LOWER INCOME 4029 03:09:29,600 --> 03:09:32,200 AREAS HAD HAD A SLIGHT DECREASE 4030 03:09:32,200 --> 03:09:35,080 IN INCIDENTS SINCE 2010. 4031 03:09:35,080 --> 03:09:38,480 THE NIH SUPPORTS MULTIPLE 4032 03:09:38,480 --> 03:09:40,680 PROJECTS RELATED TO CERVICAL 4033 03:09:40,680 --> 03:09:44,320 CANCER ON PROJECTS CATEGORIZED 4034 03:09:44,320 --> 03:09:51,800 WITHIN THE CERVICAL CANCER RCDC 4035 03:09:51,800 --> 03:09:58,480 THE NCI FUNDS OVER 80% OF THE 4036 03:09:58,480 --> 03:10:04,440 TOTAL PROJECTS RELATED TO 4037 03:10:04,440 --> 03:10:05,280 CERVICAL CANCER AND NICHD HAVE 4038 03:10:05,280 --> 03:10:07,160 PROJECTS RELATED TO SCREENING 4039 03:10:07,160 --> 03:10:10,400 AND PREVENTION OF HPV RELATED 4040 03:10:10,400 --> 03:10:10,640 DISEASE. 4041 03:10:10,640 --> 03:10:15,720 THE RCDC INCLUDES A WIDE VARIETY 4042 03:10:15,720 --> 03:10:17,480 OF TOPICS INCLUDES BASIC 4043 03:10:17,480 --> 03:10:19,640 SCIENCES AND TRANSLATIONAL AND 4044 03:10:19,640 --> 03:10:20,960 CLINICAL AND HEALTH SERVICES 4045 03:10:20,960 --> 03:10:24,400 RESEARCH RELATED TO 4046 03:10:24,400 --> 03:10:27,040 PRE-MALIGNANT DISEASE AS WELL AS 4047 03:10:27,040 --> 03:10:27,720 INVASIVE DISEASE AND RESEARCH ON 4048 03:10:27,720 --> 03:10:28,640 SCREENING PREVENTION AND 4049 03:10:28,640 --> 03:10:42,840 TREATMENT. 4050 03:10:42,840 --> 03:10:46,160 AND IN JULY OF 2021 A REQUEST 4051 03:10:46,160 --> 03:10:48,040 FOR INFORMATION FROM THE PUBLIC 4052 03:10:48,040 --> 03:10:51,960 WAS PUBLISHED IN THE FEDERAL 4053 03:10:51,960 --> 03:10:55,160 REGISTER 247 COMMENTS WERE ED. 4054 03:10:55,160 --> 03:10:56,920 THEY WERE SUBMITTED BY' VARIETY 4055 03:10:56,920 --> 03:10:58,800 OF OF A VARIETY OF INDIVIDUALS 4056 03:10:58,800 --> 03:11:00,640 FROM RESEARCHERS, MEMBERS OF THE 4057 03:11:00,640 --> 03:11:04,640 PUBLIC, PATIENTS, AWARENESS AND 4058 03:11:04,640 --> 03:11:07,160 ADVOCACY GROUP AND PROFESSIONAL 4059 03:11:07,160 --> 03:11:08,640 SOCIETIES AND HEALTH CARE 4060 03:11:08,640 --> 03:11:09,400 PROFESSIONAL ORGANIZATIONS. 4061 03:11:09,400 --> 03:11:11,160 THE 10 MOST FREQUENTLY 4062 03:11:11,160 --> 03:11:12,600 IDENTIFIED KEY WORDS WERE 4063 03:11:12,600 --> 03:11:14,000 MATERNAL MORBIDITY, MORTALITY, 4064 03:11:14,000 --> 03:11:17,400 RACIAL DISPARITIES, ACCESS TO 4065 03:11:17,400 --> 03:11:20,000 CARE, HEALTH CARE PROFESSIONAL 4066 03:11:20,000 --> 03:11:21,880 TRAINING, MENTAL HEALTH, LACK OR 4067 03:11:21,880 --> 03:11:22,440 AFRICAN AMERICAN WOMEN AND 4068 03:11:22,440 --> 03:11:23,920 SCREENING AND QUALITY OF CARE 4069 03:11:23,920 --> 03:11:26,840 AND TIME TO DIAGNOSIS AND SOCIAL 4070 03:11:26,840 --> 03:11:31,400 DETERMINATES OF HEALTH. 4071 03:11:31,400 --> 03:11:33,760 OF THE 247 COMMENTS RECEIVED 4072 03:11:33,760 --> 03:11:35,600 THERE CHRONIC DEBILITATING 4073 03:11:35,600 --> 03:11:36,680 CONDITIONS AND AMONG THE 4074 03:11:36,680 --> 03:11:39,440 COMMENTS WERE FOCUSSED ON FEMALE 4075 03:11:39,440 --> 03:11:40,440 SPECIFIC CONDITIONS. 4076 03:11:40,440 --> 03:11:43,520 CONDITIONS POTENTIALLY UNDER 4077 03:11:43,520 --> 03:11:45,520 STUDIED AMONG WOMEN AND THOSE 4078 03:11:45,520 --> 03:11:47,200 WITH GREATER MORBIDITY AND 4079 03:11:47,200 --> 03:11:49,120 FOCUSSED ON HEART DISEASE OR 4080 03:11:49,120 --> 03:11:52,680 DIABETES THAT CAUSE HIGH 4081 03:11:52,680 --> 03:11:54,400 MORBIDITY AMONG WOMEN. 4082 03:11:54,400 --> 03:11:56,320 THE NEXT SLIDE AND THEN I'LL 4083 03:11:56,320 --> 03:11:58,360 TURN IT OVER TO 4084 03:11:58,360 --> 03:11:58,760 DR. REGENSTEINER. 4085 03:11:58,760 --> 03:12:00,840 THE RESULTS OF THIS CONFERENCE 4086 03:12:00,840 --> 03:12:04,200 WERE BOTH STUNNING AND 4087 03:12:04,200 --> 03:12:04,480 EDUCATIONAL. 4088 03:12:04,480 --> 03:12:05,240 STUNNING IN THE SENSE THAT 4089 03:12:05,240 --> 03:12:08,160 RESEARCH IS URGENTLY NEEDED AS 4090 03:12:08,160 --> 03:12:12,040 DETERMINED FROM LOOKING AT THE 4091 03:12:12,040 --> 03:12:12,240 DATA. 4092 03:12:12,240 --> 03:12:14,000 THE FIRST IDEA WE NEED TO DO AS 4093 03:12:14,000 --> 03:12:18,720 A THEME IS IMPLEMENTING BEST 4094 03:12:18,720 --> 03:12:20,120 PRACTICES THAT ARE EVIDENCE 4095 03:12:20,120 --> 03:12:22,280 BASED AND MORE HOLISTIC AND 4096 03:12:22,280 --> 03:12:22,960 PATIENT-CENTERED CARE NODE TO BE 4097 03:12:22,960 --> 03:12:28,520 A FOCUS OF WHAT WE DO. 4098 03:12:28,520 --> 03:12:30,240 EXAMPLES INCLUDE SAFETY BUNDLES 4099 03:12:30,240 --> 03:12:32,920 IN MATERNAL MORTALITY AND 4100 03:12:32,920 --> 03:12:35,840 MORTALITY AND SAFETY BUNDLES ARE 4101 03:12:35,840 --> 03:12:37,840 A CLUSTER OF EVIDENCE-BASED 4102 03:12:37,840 --> 03:12:38,480 PRACTICES THAT CAN IMPROVE AN 4103 03:12:38,480 --> 03:12:43,960 OUTCOME. 4104 03:12:43,960 --> 03:12:47,480 WE USE DATA FOR SEX-SPECIFIC 4105 03:12:47,480 --> 03:12:48,640 GUIDELINES BECAUSE THEY'RE NOW 4106 03:12:48,640 --> 03:12:50,160 HIGHLY INADEQUATE AND THERE'S 4107 03:12:50,160 --> 03:12:52,840 FEW SEX-SPECIFIC GUIDELINES FOR 4108 03:12:52,840 --> 03:12:54,920 CARE FOR EXAMPLE IN 4109 03:12:54,920 --> 03:12:55,560 CARDIOVASCULAR DISEASE OR MOST 4110 03:12:55,560 --> 03:12:58,640 OTHER CONDITIONS. 4111 03:12:58,640 --> 03:13:02,000 IN TERMS OF CERVICAL CANCER 4112 03:13:02,000 --> 03:13:04,000 SURVIVAL VACCINES HAVE BEEN 4113 03:13:04,000 --> 03:13:06,360 AVAILABLE SINCE 2006 YET HALF 4114 03:13:06,360 --> 03:13:07,560 ADOLESCENTS HAVE COMPLETE THE 4115 03:13:07,560 --> 03:13:08,160 VACCINE SERIES. 4116 03:13:08,160 --> 03:13:11,840 CLEARLY A LOT OF WORK TO DO IN 4117 03:13:11,840 --> 03:13:12,840 THE AREA. 4118 03:13:12,840 --> 03:13:14,840 IN ADDITION TO IMPLEMENTING BEST 4119 03:13:14,840 --> 03:13:20,040 PRACTICES WE ALSO CLEARLY NEED 4120 03:13:20,040 --> 03:13:28,320 TO ADDRESS CARE INEQUITIES. 4121 03:13:28,320 --> 03:13:32,640 EXAMPLES INCLUDE FOR INSTANCE 4122 03:13:32,640 --> 03:13:35,640 PREGNANCY RELATES DEATHS OCCUR 4123 03:13:35,640 --> 03:13:40,080 HIGHER THAN NATIVE AMERICAN AND 4124 03:13:40,080 --> 03:13:41,840 ALASKA NATIVE AMERICANS AND 4125 03:13:41,840 --> 03:13:48,920 THERE'S RISKS FOR 4126 03:13:48,920 --> 03:13:51,720 MULTI-MORBIDITY WHICH IS COMMON. 4127 03:13:51,720 --> 03:13:54,680 BLACK CERVICAL CANCER PATIENTS 4128 03:13:54,680 --> 03:13:57,520 ARE LIKELY TO BE DIAGNOSED WITH 4129 03:13:57,520 --> 03:13:59,640 ADVANCED OR METASTATIC DISEASE. 4130 03:13:59,640 --> 03:14:02,360 THERE'S AN URGENT NEED TO BETTER 4131 03:14:02,360 --> 03:14:04,640 UNDERSTAND AND TREAT AND PREVENT 4132 03:14:04,640 --> 03:14:13,200 INEQUITIES. 4133 03:14:13,200 --> 03:14:14,440 THIRD OF ALL, INTENTIONAL 4134 03:14:14,440 --> 03:14:16,080 RESEARCH IS NEED. 4135 03:14:16,080 --> 03:14:19,520 WE IDENTIFIED TWO COMPONENT. 4136 03:14:19,520 --> 03:14:23,480 THERE'S AN OVER RELIANCE ON MALE 4137 03:14:23,480 --> 03:14:25,040 CLINICAL RESEARCH SUBJECTS AND 4138 03:14:25,040 --> 03:14:26,160 LEFT GAPS IN DISORDERS AND 4139 03:14:26,160 --> 03:14:30,160 DISEASES THAT OCCUR IN WOMEN. 4140 03:14:30,160 --> 03:14:37,080 WHILE THIS STILL PERSISTS, STILL 4141 03:14:37,080 --> 03:14:42,160 MUCH OF THE TREATMENT IN THE 4142 03:14:42,160 --> 03:14:44,480 BASED ON STUDIES DONE IN MEN. 4143 03:14:44,480 --> 03:14:46,640 MANY CHRONIC AND DEBILITATING 4144 03:14:46,640 --> 03:14:52,840 CONDITIONS INCLUDING MENOPAUSE 4145 03:14:52,840 --> 03:14:59,160 AND ENDOMETRIOSIS AND FIBROIDS 4146 03:14:59,160 --> 03:15:02,480 HAVE FEWER STUDIES. 4147 03:15:02,480 --> 03:15:07,680 THERE NEEDS TO BE CLINICAL 4148 03:15:07,680 --> 03:15:09,840 OUTCOMES DATA TIED TO MENOPAUSE 4149 03:15:09,840 --> 03:15:10,600 AND OTHERS FROM A DIVERSE 4150 03:15:10,600 --> 03:15:11,640 POPULATION OF WOMEN. 4151 03:15:11,640 --> 03:15:13,680 A CONTINUED NEED FOR RESEARCH 4152 03:15:13,680 --> 03:15:15,280 THAT INCLUDES WOMEN IN 4153 03:15:15,280 --> 03:15:15,840 REASONABLE NUMBERS TO DRAW 4154 03:15:15,840 --> 03:15:17,640 CONCLUSIONS. 4155 03:15:17,640 --> 03:15:20,840 IN ADDITION, DESPITE SEX AS A 4156 03:15:20,840 --> 03:15:25,720 BIOLOGICAL VARIABLE, THE SABV 4157 03:15:25,720 --> 03:15:26,760 POLICY, GAPS REMAIN IN 4158 03:15:26,760 --> 03:15:28,360 UNDERSTANDING OF SEX 4159 03:15:28,360 --> 03:15:28,640 DIFFERENCES. 4160 03:15:28,640 --> 03:15:31,600 WE ALSO REALLY NEED TO THINK AS 4161 03:15:31,600 --> 03:15:32,240 SOMEBODY POINTED OUT MORE AND 4162 03:15:32,240 --> 03:15:37,440 MORE ABOUT GENDER. 4163 03:15:37,440 --> 03:15:39,120 THE MANY ROLES AND ISSUES WE 4164 03:15:39,120 --> 03:15:40,120 HAVE TO TAKE TO UNDERSTAND 4165 03:15:40,120 --> 03:15:44,480 GENDER BUT WE HAVE TO DO THAT. 4166 03:15:44,480 --> 03:15:46,600 CONTINUED APPLICATION AND 4167 03:15:46,600 --> 03:15:48,240 ENFORCEMENT OF SABV POLICY AND 4168 03:15:48,240 --> 03:15:51,000 UPTAKE OF GENDER CONCEPTS WILL 4169 03:15:51,000 --> 03:15:52,840 ALLOW FURTHER UNDERSTANDING OF 4170 03:15:52,840 --> 03:15:55,880 HOW SEX INFLUENCES 4171 03:15:55,880 --> 03:15:56,240 PATHOPHYSIOLOGY. 4172 03:15:56,240 --> 03:16:00,720 THIS WILL PAVE FOR IMPROVED 4173 03:16:00,720 --> 03:16:01,720 PREVENTION AND TREATMENT 4174 03:16:01,720 --> 03:16:05,560 STRATEGY IN WHAT PRESENTS AND 4175 03:16:05,560 --> 03:16:06,600 REQUIRES DIFFERENT THERAPIES 4176 03:16:06,600 --> 03:16:07,640 THAN WOMEN THAN MEN. 4177 03:16:07,640 --> 03:16:08,960 WE'RE NOW TO THE QUESTIONS 4178 03:16:08,960 --> 03:16:09,200 PORTION. 4179 03:16:09,200 --> 03:16:11,240 I WANT TO THANK NIH. 4180 03:16:11,240 --> 03:16:12,640 THIS WAS AN AMAZING OPPORTUNITY 4181 03:16:12,640 --> 03:16:17,480 I WAS HONORED TO PARTICIPATE IN 4182 03:16:17,480 --> 03:16:22,520 AND COLEAD IN THE CONFERENCE AND 4183 03:16:22,520 --> 03:16:38,280 THANKS TO MY COLLEAGUES I DON'T 4184 03:16:38,280 --> 03:16:41,080 KNOW WHO'S MODERATING QUESTIONS. 4185 03:16:41,080 --> 03:16:43,360 >> I WILL MODERATE DR. CLAYTON 4186 03:16:43,360 --> 03:16:44,800 UNLESS YOU WANT TO DO THAT. 4187 03:16:44,800 --> 03:16:47,840 >> THAT WOULD BE GREAT. 4188 03:16:47,840 --> 03:16:52,760 THANK YOU, I APPRECIATE IT. 4189 03:16:52,760 --> 03:17:03,160 >> WE HAVE TIME FOR QUESTIONS 4190 03:17:03,160 --> 03:17:08,240 >> THANK YOU. 4191 03:17:08,240 --> 03:17:13,680 JUDY, THIS IS AN INCREDIBLE BODY 4192 03:17:13,680 --> 03:17:14,280 OF WORK. 4193 03:17:14,280 --> 03:17:17,080 WHEN I LOOK AT THE OFFICE OF 4194 03:17:17,080 --> 03:17:19,440 WOMEN'S HEALTH WHEN THEY DISCUSS 4195 03:17:19,440 --> 03:17:20,640 MATERNAL MORTALITY INCLUDING 4196 03:17:20,640 --> 03:17:22,440 ETHNIC AND RACIAL DISPARITIES, 4197 03:17:22,440 --> 03:17:25,040 I'M NEVER SEEING INFECTIOUS 4198 03:17:25,040 --> 03:17:29,120 DISEASES BROUGHT INTO THIS 4199 03:17:29,120 --> 03:17:32,160 THOUGH WE KNOW THAT FOR EXAMPLE, 4200 03:17:32,160 --> 03:17:33,920 EVERY YEAR WITH SEASONAL FLU 4201 03:17:33,920 --> 03:17:35,560 PREGNANT WOMEN ARE MORE LIKELY 4202 03:17:35,560 --> 03:17:37,080 TO HAVE COMPLICATIONS AND IT'S A 4203 03:17:37,080 --> 03:17:42,160 MISSED OPPORTUNITY TO LOOK 4204 03:17:42,160 --> 03:17:44,360 THROUGH THAT RACIAL AND ETHNIC 4205 03:17:44,360 --> 03:17:50,080 LENS TO SEE IF ACCESS TO CARE OR 4206 03:17:50,080 --> 03:17:54,000 OTHER SOCIAL DETERMINATES HEALTH 4207 03:17:54,000 --> 03:18:00,240 AFFECT THAT AND WE SEE INCREASED 4208 03:18:00,240 --> 03:18:01,040 MORTALITY DURING THE COVID-19 4209 03:18:01,040 --> 03:18:18,400 PANDEMIC WE CAN RAISE AWARENESS 4210 03:18:18,400 --> 03:18:20,000 AROUND LOTS THAT INCREASE THIS. 4211 03:18:20,000 --> 03:18:22,360 >> INFECTIOUS DISEASE IN 4212 03:18:22,360 --> 03:18:28,400 PREGNANCY IS SUCH AN IMPORTANT 4213 03:18:28,400 --> 03:18:29,640 ISSUE AND THE SARS COV2 PANDEMIC 4214 03:18:29,640 --> 03:18:32,200 MADE IT MORE PARENT TO THE 4215 03:18:32,200 --> 03:18:32,560 GENERAL PUBLIC. 4216 03:18:32,560 --> 03:18:34,720 I DON'T KNOW IT WAS AS WISELY 4217 03:18:34,720 --> 03:18:36,880 RECOGNIZED BUT I'LL SHARE THE 4218 03:18:36,880 --> 03:18:40,680 FIRST NOESI FOR IMPROVED 4219 03:18:40,680 --> 03:18:42,280 INCLUDED THREE MAJOR FOCUS 4220 03:18:42,280 --> 03:18:42,680 AREAS. 4221 03:18:42,680 --> 03:18:43,760 THEY WERE CARDIOVASCULAR 4222 03:18:43,760 --> 03:18:47,640 DISEASE, INFECTION AND IMMUNITY 4223 03:18:47,640 --> 03:18:49,840 ABDOMEN TAL HEALTH WAS A THIRD 4224 03:18:49,840 --> 03:18:51,040 ONE. 4225 03:18:51,040 --> 03:18:52,880 INFECTION AND IMMUNITY WAS 4226 03:18:52,880 --> 03:18:55,000 PROMINENTLY PLACED IN THAT 4227 03:18:55,000 --> 03:18:55,400 PARTICULAR NOSI. 4228 03:18:55,400 --> 03:18:57,240 THAT'S A NARROW FUNDING 4229 03:18:57,240 --> 03:18:59,360 OPPORTUNITY. 4230 03:18:59,360 --> 03:19:00,800 I WILL RECOGNIZE THAT. 4231 03:19:00,800 --> 03:19:02,960 IT WAS AN ADMINISTRATIVE 4232 03:19:02,960 --> 03:19:04,640 SUPPLEMENT THOUGH FAIRLY LARGE 4233 03:19:04,640 --> 03:19:06,040 BUDGETS WERE ALLOWED FOR THAT. 4234 03:19:06,040 --> 03:19:08,720 BUT I DID WANT TOO REASSURE YOU 4235 03:19:08,720 --> 03:19:09,840 THAT HAS BEEN RECOGNIZED BUT I 4236 03:19:09,840 --> 03:19:14,600 DO WANT TO SEE IF OTHERS HAVE 4237 03:19:14,600 --> 03:19:18,120 THOUGHTS ON OPPORTUNITIES TO 4238 03:19:18,120 --> 03:19:19,000 INCORPORATE INFECTION AND I 4239 03:19:19,000 --> 03:19:20,640 DON'T KNOW HOW YOU FEEL ABOUT 4240 03:19:20,640 --> 03:19:22,360 INFECTION AND INFLAMMATION. 4241 03:19:22,360 --> 03:19:25,360 WE PUT INFECTION AND IMMUNITY 4242 03:19:25,360 --> 03:19:27,600 BECAUSE WE FEEL LIKE THEY'RE TWO 4243 03:19:27,600 --> 03:19:29,920 SIDES OF THE SAME COIN. 4244 03:19:29,920 --> 03:19:34,000 I'M GETTING A DOUBLE THUMBS UP 4245 03:19:34,000 --> 03:19:36,520 AS A WAY TO BRING MORE EXPERTISE 4246 03:19:36,520 --> 03:19:40,000 AND CONVERSATION TO MATERNAL 4247 03:19:40,000 --> 03:19:41,440 HEALTH FROM OUR MICROBIOLOGY 4248 03:19:41,440 --> 03:19:43,800 COLLEAGUES AND RHEUMATOLOGY AND 4249 03:19:43,800 --> 03:19:44,360 IMMUNOLOGY COLLEAGUES. 4250 03:19:44,360 --> 03:19:49,200 I'M GETTING LOTS OF SMILES SO I 4251 03:19:49,200 --> 03:19:51,000 THINK I'M MUST BE -- 4252 03:19:51,000 --> 03:19:52,320 >> IT'S PARTLY THE FOCUS ON 4253 03:19:52,320 --> 03:19:58,720 CONGRESS WE FOCUSSED ON IN THIS 4254 03:19:58,720 --> 03:19:59,360 PARTICULAR CONVERSATION WHICH 4255 03:19:59,360 --> 03:20:01,240 WAS MORBIDITY, MORTALITY AND 4256 03:20:01,240 --> 03:20:02,880 CHRONIC CONDITIONS IN WOMEN. 4257 03:20:02,880 --> 03:20:04,400 YOUR WORK IS INCREDIBLY 4258 03:20:04,400 --> 03:20:09,280 IMPORTANT AND THE FIELD IS 4259 03:20:09,280 --> 03:20:10,640 INCREDIBLY IMPORTANT. 4260 03:20:10,640 --> 03:20:12,520 I THINK THE WORK OF CONGRESS 4261 03:20:12,520 --> 03:20:13,240 DICTATED THE CONFERENCE. 4262 03:20:13,240 --> 03:20:18,960 >> THANK YOU FOR CLARIFYING 4263 03:20:18,960 --> 03:20:28,200 THAT. 4264 03:20:28,200 --> 03:20:29,520 >> YOU GET INTO MATERNAL 4265 03:20:29,520 --> 03:20:30,440 MORBIDITY DESCRIBED BECAUSE 4266 03:20:30,440 --> 03:20:33,240 THEY'RE THE NEAR MISS LEAD TO 4267 03:20:33,240 --> 03:20:34,040 MORTALITY AND THAT DOESN'T MEAN 4268 03:20:34,040 --> 03:20:38,160 THAT ALTHOUGH ISSUES ARE NOT 4269 03:20:38,160 --> 03:20:38,640 IMPORTANT. 4270 03:20:38,640 --> 03:20:40,840 TYPICALLY I USUALLY USE AN 4271 03:20:40,840 --> 03:20:42,160 ICEBERG SLIDE TO SHOW ALL THE 4272 03:20:42,160 --> 03:20:50,000 OTHER THINGS BENEATH THAT. 4273 03:20:50,000 --> 03:20:55,640 I HEARD DR. GIBBONS TALK ABOUT 4274 03:20:55,640 --> 03:21:04,640 THE WORK OF THIS AND WE WORKED 4275 03:21:04,640 --> 03:21:05,760 ON VACCINATION AND IMMUNIZATION 4276 03:21:05,760 --> 03:21:11,680 IS THE ONLY WAY TO PREEMPT POOR 4277 03:21:11,680 --> 03:21:36,760 OUTCOMES. 4278 03:21:36,760 --> 03:21:39,640 >> THERE WAS DISCUSSION ABOUT 4279 03:21:39,640 --> 03:21:41,720 EXTENDING HPV VACCINATION 4280 03:21:41,720 --> 03:21:44,280 THROUGH LESSONS LEARNED FROM 4281 03:21:44,280 --> 03:21:46,440 COVID VACCINATION AND ALSO 4282 03:21:46,440 --> 03:21:48,240 ALTERNATE DELIVERY AND 4283 03:21:48,240 --> 03:21:53,680 SURVEILLANCE METHODS FOR 4284 03:21:53,680 --> 03:21:55,640 SCREENING. 4285 03:21:55,640 --> 03:21:57,920 I WANT TO THANK YOU FOR THE 4286 03:21:57,920 --> 03:21:58,720 LESSONED LEARNED FROM COVID 4287 03:21:58,720 --> 03:22:06,120 BECAUSE THAT SHOULD INFUSE ALL 4288 03:22:06,120 --> 03:22:07,400 THREE TOPICS. 4289 03:22:07,400 --> 03:22:10,520 >> SO I MENTIONED INFECTION AND 4290 03:22:10,520 --> 03:22:11,960 IMMUNITY WAS IMPROVED BUT I WANT 4291 03:22:11,960 --> 03:22:15,440 TO MAKE SURE YOU'RE ALSO AWARE 4292 03:22:15,440 --> 03:22:16,680 INFECTION IMMUNITY IS INCLUDED 4293 03:22:16,680 --> 03:22:18,280 IN THE CHALLENGES AND OTHER 4294 03:22:18,280 --> 03:22:19,240 MATERNAL HEALTH OPPORTUNITIES. 4295 03:22:19,240 --> 03:22:20,480 WE'LL PUT THAT INFORMATION IN 4296 03:22:20,480 --> 03:22:26,520 THE CHAT SO EVERYBODY CAN ACCESS 4297 03:22:26,520 --> 03:22:26,840 THAT. 4298 03:22:26,840 --> 03:22:29,000 AND SO FOR POINT OF CARE 4299 03:22:29,000 --> 03:22:29,840 DIAGNOSTICS AND TECHNOLOGY 4300 03:22:29,840 --> 03:22:32,640 DEVELOPMENT AS WELL. 4301 03:22:32,640 --> 03:22:34,960 THANK YOU. 4302 03:22:34,960 --> 03:22:37,120 I'LL TURN IT BACK TO SAMIA. 4303 03:22:37,120 --> 03:22:39,200 >> THANK YOU, DR. CLAYTON. 4304 03:22:39,200 --> 03:22:43,840 I WAS GOING TO LET EVERYBODY 4305 03:22:43,840 --> 03:22:45,520 KNOW DR. THOMAS POSTED 4306 03:22:45,520 --> 03:22:47,600 INFORMATION. 4307 03:22:47,600 --> 03:22:48,800 WE HAVE ONE MINUTE LEFT 4308 03:22:48,800 --> 03:22:49,440 DR. SIMON. 4309 03:22:49,440 --> 03:22:51,120 I SEE YOUR HANDS ARE UP SO WE 4310 03:22:51,120 --> 03:22:53,440 CAN TAKE YOUR QUESTION AND THAT 4311 03:22:53,440 --> 03:22:56,680 WOULD BE LAST BEFORE WE MOVE IT 4312 03:22:56,680 --> 03:23:01,000 ON THE NEXT SESSION. 4313 03:23:01,000 --> 03:23:02,000 >> THANK YOU. 4314 03:23:02,000 --> 03:23:04,040 THIS IS A GREAT PRESENTATION. 4315 03:23:04,040 --> 03:23:05,440 I HAVE A QUESTION AND I 4316 03:23:05,440 --> 03:23:07,360 APOLOGIZE IF I DIDN'T HEAR IT, 4317 03:23:07,360 --> 03:23:08,680 BUT THE LOGISTICS OF THE REPORT 4318 03:23:08,680 --> 03:23:13,440 FROM THE CONFERENCE, HOW IS IT 4319 03:23:13,440 --> 03:23:14,840 GOING TO BE DISTRIBUTED? 4320 03:23:14,840 --> 03:23:17,040 I KNOW THERE'S AN EXECUTIVE 4321 03:23:17,040 --> 03:23:19,160 SUMMARY AND THEN A FULL REPORT. 4322 03:23:19,160 --> 03:23:21,000 ARE BOTH OF THOSE THINGS THE 4323 03:23:21,000 --> 03:23:23,000 FULL REPORT AND EXEC SUMMARY 4324 03:23:23,000 --> 03:23:23,800 GOING TO CONGRESS? 4325 03:23:23,800 --> 03:23:28,480 IS THAT PART OF THE REPORTING 4326 03:23:28,480 --> 03:23:29,440 PROCESS? 4327 03:23:29,440 --> 03:23:34,800 >> THERE'S SO MUCH RICHNESS IN 4328 03:23:34,800 --> 03:23:38,360 ALL OF THAT. 4329 03:23:38,360 --> 03:23:39,640 THERE'S IMPORTANT CONTEXT AND 4330 03:23:39,640 --> 03:23:42,920 INFORMATION THAT COMPLIMENTS THE 4331 03:23:42,920 --> 03:23:44,520 EXECUTIVE SUMMARY'S GOOD BUT 4332 03:23:44,520 --> 03:23:46,520 IT'S NOT GOOD ENOUGH TO GIVE THE 4333 03:23:46,520 --> 03:23:47,080 INFORMATION I BELIEVE THAT 4334 03:23:47,080 --> 03:23:53,440 CONGRESS NEEDS. 4335 03:23:53,440 --> 03:24:00,320 >> "WAS GOING TO LET YOU ANSWER. 4336 03:24:00,320 --> 03:24:06,000 >> SARA. 4337 03:24:06,000 --> 03:24:11,920 >> I WORK ON TOPICS RELATED TO 4338 03:24:11,920 --> 03:24:12,800 VACCINE. 4339 03:24:12,800 --> 03:24:18,240 RIGHT NOW THE EXECUTIVE SUMMARY 4340 03:24:18,240 --> 03:24:23,240 IS GOING TO CONGRESS. 4341 03:24:23,240 --> 03:24:27,800 THE REPORT IS BEING VETTED 4342 03:24:27,800 --> 03:24:29,120 THROUGH ORWH LEADERSHIP AND THEN 4343 03:24:29,120 --> 03:24:30,440 SHARED WITH YOU AND THEN GOING 4344 03:24:30,440 --> 03:24:38,440 TO THE LEGISLATIVE OFFICE. 4345 03:24:38,440 --> 03:24:40,440 WE TRY TO BE DIRECT AND ELOQUENT 4346 03:24:40,440 --> 03:24:41,680 IN THE REPORTS AND TRY TO SEND 4347 03:24:41,680 --> 03:24:46,720 THE MESSAGE TO CONGRESS WHAT IS 4348 03:24:46,720 --> 03:24:47,680 LEFT TO BE DONE WITH REGARD TO 4349 03:24:47,680 --> 03:24:49,000 RESEARCH ON WOMEN HEALTH WITH 4350 03:24:49,000 --> 03:24:51,480 THE ROLE OF THE OFFICE OF 4351 03:24:51,480 --> 03:24:57,040 LEGISLATION IS TO MAKE SURE IT'S 4352 03:24:57,040 --> 03:25:08,280 WORDED IN A WAY THAT ARTICULATES 4353 03:25:08,280 --> 03:25:09,480 WHAT WE ARE DOING TO IMPROVE THE 4354 03:25:09,480 --> 03:25:11,920 HEALTH OF WOMEN AND THAT IS OUR 4355 03:25:11,920 --> 03:25:12,640 ROLE. 4356 03:25:12,640 --> 03:25:13,720 EVENTUALLY AFTER A PERIOD OF 4357 03:25:13,720 --> 03:25:15,480 TIME WHERE THE CLEARANCES ARE 4358 03:25:15,480 --> 03:25:17,600 OBTAINED, IT WILL BE SHARED WITH 4359 03:25:17,600 --> 03:25:23,000 CONGRESS AND WE HOPE THAT THE 4360 03:25:23,000 --> 03:25:24,120 LANGUAGE THERE WILL BE REALLY 4361 03:25:24,120 --> 03:25:24,840 ALLUDE TO THE IMPORTANCE OF THE 4362 03:25:24,840 --> 03:25:28,600 WORK WE NEED TO DO IN THOSE 4363 03:25:28,600 --> 03:25:31,480 SPECIFIC AREAS. 4364 03:25:31,480 --> 03:25:33,640 >> THANK YOU BUT I'M STILL 4365 03:25:33,640 --> 03:25:33,880 CONFUSED. 4366 03:25:33,880 --> 03:25:36,840 SO THE FULL REPORT CANNOT GO TO 4367 03:25:36,840 --> 03:25:39,640 CONGRESS -- IT WILL GO, YEAH. 4368 03:25:39,640 --> 03:25:47,000 THE FULL REPORT WILL GO AS WELL. 4369 03:25:47,000 --> 03:25:49,800 THE PLAN IS TO SHARE IT WITH OUR 4370 03:25:49,800 --> 03:25:53,560 LEGISLATIVE OFFICE WITHIN A 4371 03:25:53,560 --> 03:25:55,640 MONTH OR SO BECAUSE WARE WORKING 4372 03:25:55,640 --> 03:25:59,160 ON IT INTERNALLY AND IT DEPENDS 4373 03:25:59,160 --> 03:26:00,440 ON WHAT CHANGES AND REVISIONS WE 4374 03:26:00,440 --> 03:26:08,480 NEED TO MAKE. 4375 03:26:08,480 --> 03:26:09,840 IT'S A MATTER OF HOW LONG IT 4376 03:26:09,840 --> 03:26:10,920 TAKES TO REFLECT WHAT'S GOING ON 4377 03:26:10,920 --> 03:26:14,960 AND BE ABLE TO SHARE WITH THE 4378 03:26:14,960 --> 03:26:16,480 PUBLIC DOES THAT ANSWER THE 4379 03:26:16,480 --> 03:26:16,760 QUESTION? 4380 03:26:16,760 --> 03:26:20,920 >> YEAH, I ALSO WANT TO SAY FROM 4381 03:26:20,920 --> 03:26:21,840 AN ADVISORY COMMITTEE 4382 03:26:21,840 --> 03:26:23,240 PERSPECTIVE I PERSONALLY THINK 4383 03:26:23,240 --> 03:26:25,520 THAT REPORT'S SO RICH AND 4384 03:26:25,520 --> 03:26:28,320 DESERVES TO BE CONNECTED 4385 03:26:28,320 --> 03:26:33,400 IMMEDIATELY TO THE EXECUTIVE 4386 03:26:33,400 --> 03:26:34,920 SUMMARY BECAUSE IT'S IMPORTANT 4387 03:26:34,920 --> 03:26:36,640 TO HAVE EVERYBODY ON THE SAME 4388 03:26:36,640 --> 03:26:37,520 PAGE WHILE READING IT EACH 4389 03:26:37,520 --> 03:26:40,640 MEMBER OF CONGRESS AND THEIR 4390 03:26:40,640 --> 03:26:49,800 TEAMS. 4391 03:26:49,800 --> 03:26:50,880 THERE'S ANYTHING WE CAN DO TO 4392 03:26:50,880 --> 03:26:53,680 SUPPORT THE PROCESS AND 4393 03:26:53,680 --> 03:27:03,840 ENCOURAGE THINGS GO TOGETHER AS 4394 03:27:03,840 --> 03:27:04,960 A FAMILY UNIT I'D BE HAPPY TO 4395 03:27:04,960 --> 03:27:05,160 HELP. 4396 03:27:05,160 --> 03:27:11,520 LET US KNOW. 4397 03:27:11,520 --> 03:27:13,280 WE ARE RELYING ON YOU TO HELP US 4398 03:27:13,280 --> 03:27:14,760 AND IT'S A REPORT AND 4399 03:27:14,760 --> 03:27:19,600 RECOMMENDATION OF OUR ADVISORY 4400 03:27:19,600 --> 03:27:25,640 COMMITTEE BECAUSE WE'LL BE 4401 03:27:25,640 --> 03:27:29,240 LEANING ON YOU TO MAKE SURE 4402 03:27:29,240 --> 03:27:34,680 THEY'RE SHARED WITH THE STAKE 4403 03:27:34,680 --> 03:27:34,920 HOLDERS. 4404 03:27:34,920 --> 03:27:40,000 THANK YOU FOR OFFERING. 4405 03:27:40,000 --> 03:27:46,240 WE'RE AS COMMITTED TO HAVING A 4406 03:27:46,240 --> 03:27:50,600 REPORT PUBLISHED WE WANT ALL THE 4407 03:27:50,600 --> 03:27:52,080 WORK DONE TO PUT THE VIM 4408 03:27:52,080 --> 03:27:56,640 TOGETHER TO BE AVAILABLE TO THE 4409 03:27:56,640 --> 03:27:56,880 PUBLIC. 4410 03:27:56,880 --> 03:28:00,520 >> THANK YOU, EVERYBODY. 4411 03:28:00,520 --> 03:28:02,880 >> I'LL TURN IT BACK TO 4412 03:28:02,880 --> 03:28:03,440 DR. CLAYTON FOR THE NEXT 4413 03:28:03,440 --> 03:28:08,840 SESSION. 4414 03:28:08,840 --> 03:28:09,000 OKAY. 4415 03:28:09,000 --> 03:28:19,040 SEE WHERE WE ARE. 4416 03:28:19,040 --> 03:28:22,640 WE ARE AT DR. TIGNO'S 4417 03:28:22,640 --> 03:28:22,960 PRESENTATION. 4418 03:28:22,960 --> 03:28:24,960 THANK YOU FOR THE ROBUST 4419 03:28:24,960 --> 03:28:26,440 DISCUSSION AND THANK YOU FOR THE 4420 03:28:26,440 --> 03:28:28,160 WOMEN'S HEALTH CONFERENCE UPDATE 4421 03:28:28,160 --> 03:28:29,720 AND WE'RE THRILLED THE EXECUTIVE 4422 03:28:29,720 --> 03:28:34,880 SUMMARY IS AVAILABLE NOW ON THE 4423 03:28:34,880 --> 03:28:35,120 WEBSITE. 4424 03:28:35,120 --> 03:28:38,480 IF YOU HAVEN'T READ THAT TAKE A 4425 03:28:38,480 --> 03:28:38,800 LOOK. 4426 03:28:38,800 --> 03:28:41,160 DR. TIGNO IS THE ASSOCIATE 4427 03:28:41,160 --> 03:28:45,320 DIRECTOR FOR CAREERS AT ORWH. 4428 03:28:45,320 --> 03:28:49,840 PRIOR TO HER CURRENT POSITION 4429 03:28:49,840 --> 03:28:51,720 SHE WAS A PROGRAM OFFICER AT THE 4430 03:28:51,720 --> 03:28:53,720 NHLBI AND AT THE NATIONAL 4431 03:28:53,720 --> 03:28:54,840 INSTITUTE FOR NURSING RESEARCH. 4432 03:28:54,840 --> 03:28:57,960 SHE HAS PUBLISHED WIDELY IN THE 4433 03:28:57,960 --> 03:29:00,800 AREAS OF BIO PHYSICS AND 4434 03:29:00,800 --> 03:29:02,080 OBESITY, DIABETES AND 4435 03:29:02,080 --> 03:29:04,640 MICROCIRCULATION AND AGING AND 4436 03:29:04,640 --> 03:29:06,680 COMMUNITY-BASED EPIDEMIOLOGY AND 4437 03:29:06,680 --> 03:29:08,480 ANALYSIS AND HERBAL MEDICINE AND 4438 03:29:08,480 --> 03:29:09,640 WOMEN'S HEALTH. 4439 03:29:09,640 --> 03:29:10,800 HER CURRENT EFFORTS ARE DIRECTED 4440 03:29:10,800 --> 03:29:12,000 TOWARDS SUPPORTING THE 4441 03:29:12,000 --> 03:29:14,720 ADVANCEMENT OF WOMEN IN 4442 03:29:14,720 --> 03:29:16,400 BIOMEDICAL CAREERS AND PROMOTING 4443 03:29:16,400 --> 03:29:17,640 DIVERSITY AND INCLUSION IN 4444 03:29:17,640 --> 03:29:20,640 ACADEMIA AND WILL PRESENT A 4445 03:29:20,640 --> 03:29:21,160 CONCEPT CLEARANCE FOR US. 4446 03:29:21,160 --> 03:29:30,360 WELCOME. 4447 03:29:30,360 --> 03:29:33,640 >> THANK YOU AND GOOD AFTERNOON. 4448 03:29:33,640 --> 03:29:36,040 MY NAME IS DR. TIGNO THE 4449 03:29:36,040 --> 03:29:38,160 ASSOCIATE FOR CAREERS AND IT'S 4450 03:29:38,160 --> 03:29:41,200 MY PLEASURE TO PRESENT OUR 4451 03:29:41,200 --> 03:29:43,600 PROPOSAL TOWARDS THE RE-ISSUANCE 4452 03:29:43,600 --> 03:29:44,480 OF TWO IMPORTANT FUNDING 4453 03:29:44,480 --> 03:29:46,000 OPPORTUNITIES WHICH WERE 4454 03:29:46,000 --> 03:29:47,920 MENTIONED EARLIER THIS MORNING. 4455 03:29:47,920 --> 03:29:50,360 THEY'RE THE ADMINISTRATIVE 4456 03:29:50,360 --> 03:29:51,840 SUPPLEMENTS TO PROMOTE RESEARCH 4457 03:29:51,840 --> 03:29:54,480 CONTINUITY AND RETENTION FOR 4458 03:29:54,480 --> 03:29:58,120 MENTORED CAREER ACADEMIC AWARD 4459 03:29:58,120 --> 03:30:05,680 RECIPIENTS AND THE CONTINUITY OF 4460 03:30:05,680 --> 03:30:14,000 RESEARCH PROJECT GRANTS. 4461 03:30:14,000 --> 03:30:20,520 THE OVER ARCHING GOAL OF NOT 4462 03:30:20,520 --> 03:30:23,640 O.D.024 AND 55 IS FOR THE 4463 03:30:23,640 --> 03:30:25,520 BIOMEDICAL RESEARCH WORKFORCE BY 4464 03:30:25,520 --> 03:30:26,840 SUPPORTING THE TRANSITION AND 4465 03:30:26,840 --> 03:30:28,640 RETENTION OF INVESTIGATORS AT 4466 03:30:28,640 --> 03:30:32,640 TWO CRITICAL JUNCTURES IN THEIR 4467 03:30:32,640 --> 03:30:33,040 BIOMEDICAL CAREERS. 4468 03:30:33,040 --> 03:30:36,280 ONE BEING THE TRANSITION FROM A 4469 03:30:36,280 --> 03:30:37,160 MENTORED CAREER DEVELOPMENT 4470 03:30:37,160 --> 03:30:39,000 KNOWN AS THE K AWARD TO AN 4471 03:30:39,000 --> 03:30:39,640 INDEPENDENT RESEARCH PROJECT 4472 03:30:39,640 --> 03:30:41,160 AWARD. 4473 03:30:41,160 --> 03:30:44,840 AND THE OTHER IS THE STAGE AT 4474 03:30:44,840 --> 03:30:46,240 WHICH THE INVESTIGATOR ATTEMPTS 4475 03:30:46,240 --> 03:30:49,200 TO SECURE A SUSTAINED RESEARCH 4476 03:30:49,200 --> 03:30:50,560 SUPPORT IN THE FORM OF THE 4477 03:30:50,560 --> 03:30:54,200 RENEWAL OF THE FIRST RPG OR BY 4478 03:30:54,200 --> 03:30:56,640 OBTAINING A SECOND RO1 OR RO1 4479 03:30:56,640 --> 03:30:59,440 EQUIVALENT AWARD. 4480 03:30:59,440 --> 03:31:02,360 THE STAGES WERE IDENTIFIED FROM 4481 03:31:02,360 --> 03:31:03,520 DATA-DRIVEN STUDIES THAT FOLLOW 4482 03:31:03,520 --> 03:31:07,400 THE CAREERS OF MORE THAN 6,000 4483 03:31:07,400 --> 03:31:10,400 SCIENTISTS FROM THE 4484 03:31:10,400 --> 03:31:11,000 POST-DOCTORAL FELLOWSHIP STAGE 4485 03:31:11,000 --> 03:31:13,280 TO BECOMING A PRINCIPLE 4486 03:31:13,280 --> 03:31:13,640 INVESTIGATOR. 4487 03:31:13,640 --> 03:31:18,320 AN IMPORTANT STAGE IN THE CAREER 4488 03:31:18,320 --> 03:31:20,040 LIFE IN LIFE SCIENCES. 4489 03:31:20,040 --> 03:31:24,080 WHAT EMERGED FROM THE STUDY WAS 4490 03:31:24,080 --> 03:31:28,280 THE GENDER GAP IN THE LIFE 4491 03:31:28,280 --> 03:31:29,400 SCIENCES OCCURS DURING THE TWO 4492 03:31:29,400 --> 03:31:31,120 TRANSITION PERIODS FROM K TO R 4493 03:31:31,120 --> 03:31:41,400 OR THE RENEWAL OF THE FIRST R. 4494 03:31:41,400 --> 03:31:44,720 AND BECOMING P.I.s AT A LOWER 4495 03:31:44,720 --> 03:31:47,880 RATE THAN MEN. 4496 03:31:47,880 --> 03:31:52,040 WHILE THE CONTINUITY PROGRAMS 4497 03:31:52,040 --> 03:31:54,520 ARE OPEN ELIGIBILITY IS TIED TO 4498 03:31:54,520 --> 03:31:55,840 QUALIFYING LIFE EVENTS DURING 4499 03:31:55,840 --> 03:31:58,280 THE PROJECT PERIOD OF THE GRANT 4500 03:31:58,280 --> 03:32:01,000 AND THESE INCLUDE CHILD BIRTH, 4501 03:32:01,000 --> 03:32:03,520 ADOPTION, PRIMARY CARE GIVING 4502 03:32:03,520 --> 03:32:04,920 RESPONSIBILITIES FOR AN AILING 4503 03:32:04,920 --> 03:32:07,240 SPOUSE, CHILD, PARTNER OR MEMBER 4504 03:32:07,240 --> 03:32:09,320 OF THE IMMEDIATE FAMILY. 4505 03:32:09,320 --> 03:32:11,640 BY DEFINING THESE EVENTS, THESE 4506 03:32:11,640 --> 03:32:13,360 SUPPLEMENTS WERE INTENDED TO BE 4507 03:32:13,360 --> 03:32:15,240 OF GREATER BENEFIT TO WOMEN 4508 03:32:15,240 --> 03:32:17,560 SINCE WOMEN ARE MORE LIKELY THAN 4509 03:32:17,560 --> 03:32:20,640 MEN TO SITE FAMILY 4510 03:32:20,640 --> 03:32:22,240 RESPONSIBILITIES AS A REASON FOR 4511 03:32:22,240 --> 03:32:23,920 LEAVING THE WORKFORCE. 4512 03:32:23,920 --> 03:32:26,240 THIS PROGRAM IS DESIGNED TO 4513 03:32:26,240 --> 03:32:29,360 SUSTAIN ONGOING NIH FUNDED 4514 03:32:29,360 --> 03:32:32,640 RESEARCH AS WELL AS TO IMPROVE 4515 03:32:32,640 --> 03:32:34,880 GENDER EQUITY AT CAREER STAGES 4516 03:32:34,880 --> 03:32:37,880 WHEN MORE WOMEN THAN MEN LEAVE 4517 03:32:37,880 --> 03:32:39,120 THEIR RESEARCH CAREERS OR CHANGE 4518 03:32:39,120 --> 03:32:41,200 THEIR CAREER TRAJECTORIES. 4519 03:32:41,200 --> 03:32:44,680 THESE TWO CONCEPTS AS MENTIONED 4520 03:32:44,680 --> 03:32:46,440 EARLIER BY DR. CLAYTON WERE 4521 03:32:46,440 --> 03:32:47,720 DEVELOPED BY THE WOMEN IN 4522 03:32:47,720 --> 03:32:51,720 BIOMEDICAL CAREERS AND ARE 4523 03:32:51,720 --> 03:32:54,400 PARTLY RESPONSIVE TO THE NASEM 4524 03:32:54,400 --> 03:33:16,000 PROMISING PRACTICES REPORT. 4525 03:33:16,000 --> 03:33:19,560 AND THE BUDGET REQUEST FOR THESE 4526 03:33:19,560 --> 03:33:22,240 SUPPLEMENTS WOULD NOT EXCEED 4527 03:33:22,240 --> 03:33:25,680 $50,000 BUT THE APPROPRIATE 4528 03:33:25,680 --> 03:33:26,520 INDIRECTS. 4529 03:33:26,520 --> 03:33:29,680 THE QUALIFYING LIFE EVENT WAS 4530 03:33:29,680 --> 03:33:32,160 DURING THE PARENT AWARD WHEN THE 4531 03:33:32,160 --> 03:33:33,880 QUALIFYING LIFE EVENT IS PENDING 4532 03:33:33,880 --> 03:33:35,640 BUT EXPECTED TO INCUR IN THE 4533 03:33:35,640 --> 03:33:37,640 PROJECT PERIOD, THE APPLICATION 4534 03:33:37,640 --> 03:33:40,120 MAY BE SUBMITTED IN ADVANCE ON 4535 03:33:40,120 --> 03:33:40,320 EVENT. 4536 03:33:40,320 --> 03:33:43,000 FOR PARENT AWARDS THAT HAVE 4537 03:33:43,000 --> 03:33:45,120 MULTIPLE P.I.s THAT IS WHERE THE 4538 03:33:45,120 --> 03:33:48,640 R AWARDS, ANY OF THE P.I.s 4539 03:33:48,640 --> 03:33:52,120 MEETING THE ELIGIBILITY CRITERIA 4540 03:33:52,120 --> 03:34:00,640 IS ALLOWED TO APPLY. 4541 03:34:00,640 --> 03:34:07,240 AND THERE'S A TOLL OF 192 4542 03:34:07,240 --> 03:34:08,920 SUPPLEMENTS ISSUED. 4543 03:34:08,920 --> 03:34:12,160 THIS PROGRAM WAS ANTICIPATED TO 4544 03:34:12,160 --> 03:34:13,960 HAVE BROAD IMPACT BECAUSE THERE 4545 03:34:13,960 --> 03:34:16,800 ARE SO MANY DIFFERENT TYPES OF 4546 03:34:16,800 --> 03:34:19,080 RESEARCH PROJECT GRANTS AS WELL 4547 03:34:19,080 --> 03:34:21,000 AS K AWARDS THAT WERE ELIGIBLE 4548 03:34:21,000 --> 03:34:23,640 TO APPLY. 4549 03:34:23,640 --> 03:34:29,040 HERE'S THE LIST OF THE K AND RPG 4550 03:34:29,040 --> 03:34:29,680 AWARDS ELIGIBLE MAYBE SOME OF 4551 03:34:29,680 --> 03:34:31,280 THE MECHANISMS MAY NOT BE 4552 03:34:31,280 --> 03:34:32,080 ENTIRELY FAMILIAR. 4553 03:34:32,080 --> 03:34:34,520 FOR INSTANCE, WE HAVE THE K38 4554 03:34:34,520 --> 03:34:38,640 WHICH IS A NEWER K AWARD WHICH 4555 03:34:38,640 --> 03:34:43,400 IS EMPLOYED BY THE NHLBI AND NCI 4556 03:34:43,400 --> 03:34:48,920 AND NIA AND NIDA. 4557 03:34:48,920 --> 03:34:51,200 THE K43 IS CALLED THE GLOBAL 4558 03:34:51,200 --> 03:34:56,640 EMERGING LEADER AWARD AND ISSUED 4559 03:34:56,640 --> 03:35:02,320 BY THE FOGARTY INSTITUTE AND 4560 03:35:02,320 --> 03:35:03,880 DESIGNED FOR CLINICALLY TRAINED 4561 03:35:03,880 --> 03:35:04,640 HEALTH PROFESSIONALS WHO ARE 4562 03:35:04,640 --> 03:35:24,680 ESIs. 4563 03:35:24,680 --> 03:35:26,880 AND THERE'S INVESTIGATORS WITHIN 4564 03:35:26,880 --> 03:35:29,520 THEIR DEGREE AND OPT TO FORGO 4565 03:35:29,520 --> 03:35:34,920 POST-DOCTORAL TRAINING. 4566 03:35:34,920 --> 03:35:37,040 AND NIH SPENDING DURING THE TWO 4567 03:35:37,040 --> 03:35:39,560 YEARS THAT THIS PROGRAM HAS BEEN 4568 03:35:39,560 --> 03:35:43,840 AROUND TOTALLED $10.5 MILLION 4569 03:35:43,840 --> 03:35:45,560 AND THIS IS BASED ON THE 4570 03:35:45,560 --> 03:35:46,840 CATEGORY OF THE PARENT GRANT. 4571 03:35:46,840 --> 03:35:49,600 THIS CAN BE OBSERVED MORE K 4572 03:35:49,600 --> 03:35:53,440 AWARDEES WERE AWARDED THAN R 4573 03:35:53,440 --> 03:35:53,680 AWARDEES. 4574 03:35:53,680 --> 03:35:55,360 THIS REFLECTS A NUMBER OF 4575 03:35:55,360 --> 03:35:56,000 APPLICATIONS SUBMITTED FOR EACH 4576 03:35:56,000 --> 03:36:02,280 CATEGORY. 4577 03:36:02,280 --> 03:36:07,680 AND WHEN THE ELIGIBILITY FOR THE 4578 03:36:07,680 --> 03:36:11,240 PROGRAM WAS DRAFTED AND FOR THE 4579 03:36:11,240 --> 03:36:19,840 TWO YEARS COMBINED AND MEN WERE 4580 03:36:19,840 --> 03:36:20,640 ALSO ELIGIBLE. 4581 03:36:20,640 --> 03:36:21,440 APPLICATIONS ARE TO BE REVIEWED 4582 03:36:21,440 --> 03:36:23,360 BY THE INSTITUTE OR CENTER OF 4583 03:36:23,360 --> 03:36:25,880 THE PARENT AWARD AND DIFFERENT 4584 03:36:25,880 --> 03:36:27,080 I.C.s MAY HAVE DIFFERENT 4585 03:36:27,080 --> 03:36:28,720 FREQUENCIES OF ACCEPTING 4586 03:36:28,720 --> 03:36:31,360 APPLICATIONS AND DIFFERENT 4587 03:36:31,360 --> 03:36:35,880 DEADLINES DURING THE YEAR AND A 4588 03:36:35,880 --> 03:36:37,680 REQUIRED PERIOD ON THE REMAINING 4589 03:36:37,680 --> 03:36:40,040 AWARD AND THERE'S VARIABILITY IN 4590 03:36:40,040 --> 03:36:42,320 THE ISSUANCE OF AWARDS BY 4591 03:36:42,320 --> 03:36:43,440 DIFFERENT I.C.s. 4592 03:36:43,440 --> 03:36:46,520 BUT IN GENERAL PROJECTS WITH 4593 03:36:46,520 --> 03:36:47,520 NO-COST EXTENSIONS ARE NOT 4594 03:36:47,520 --> 03:36:48,480 ELIGIBLE TO APPLY. 4595 03:36:48,480 --> 03:36:52,320 DESPITE THE RESTRICTIONS AND THE 4596 03:36:52,320 --> 03:36:54,080 CRITERIA FOR QUALIFYING LIFE 4597 03:36:54,080 --> 03:36:57,560 EVENT SUCCESS RATES WERE 64% FOR 4598 03:36:57,560 --> 03:36:59,680 OUR LEVEL AND 57% FOR K 4599 03:36:59,680 --> 03:37:07,240 AWARDEES. 4600 03:37:07,240 --> 03:37:10,600 AND OF THE APPLICANTS WHO ED 4601 03:37:10,600 --> 03:37:15,600 SUPPLEMENTS THE MAJORITY HAD K23 4602 03:37:15,600 --> 03:37:18,640 AWARD INTENDED FOR CLINICIANS 4603 03:37:18,640 --> 03:37:19,800 FOR RESEARCH. 4604 03:37:19,800 --> 03:37:23,640 THEY WERE FOLLOWED BY K1 4605 03:37:23,640 --> 03:37:31,680 AWARDEES AND K08s. 4606 03:37:31,680 --> 03:37:34,120 THE TWO FUNDING OPPORTUNITIES 4607 03:37:34,120 --> 03:37:38,200 ENJOYED WIDE UTILIZATION AND 4608 03:37:38,200 --> 03:37:45,240 EMPLOYED BY I.C.s. 4609 03:37:45,240 --> 03:37:48,440 15 OF THE 150 WERE FUND ORWH AND 4610 03:37:48,440 --> 03:37:51,720 CAN BE SEEN OF ALL THE 4611 03:37:51,720 --> 03:37:54,000 INSTITUTES AND NIDDK AWARDED THE 4612 03:37:54,000 --> 03:37:57,840 MOST K-LEVEL SUPPLEMENTS 4613 03:37:57,840 --> 03:38:02,240 FOLLOWED BY NHLBI AND NIMH. 4614 03:38:02,240 --> 03:38:04,680 THERE WERE 42R LEVEL RESIPIENTS, 4615 03:38:04,680 --> 03:38:07,080 14 OF WHOM WERE FUNDED BY ORWH. 4616 03:38:07,080 --> 03:38:12,120 AMONG THE R AWARDS, NIGMS ISSUED 4617 03:38:12,120 --> 03:38:19,080 THE MOST FOLLOWED BY NIDA AND AS 4618 03:38:19,080 --> 03:38:21,360 MENTIONED THE AWARD DECISIONS 4619 03:38:21,360 --> 03:38:26,640 ARE MADE BY THE I.C.s AND 4620 03:38:26,640 --> 03:38:28,080 SEVERAL FACTORS DICTATE THE 4621 03:38:28,080 --> 03:38:29,480 ISSUANCE INCLUDING THE 4622 03:38:29,480 --> 03:38:31,120 PRIORITIES, BUDGETS, DEFINITIONS 4623 03:38:31,120 --> 03:38:34,440 OF ELIGIBILITIES AND TIMING AND 4624 03:38:34,440 --> 03:38:35,080 ISSUANCE AS WELL AS THE VETTING 4625 03:38:35,080 --> 03:38:42,880 PROCESS. 4626 03:38:42,880 --> 03:38:45,480 BASED ON RACE AMONG RECIPIENTS 4627 03:38:45,480 --> 03:38:47,440 MOST WERE WHITES FOLLOWED BY 4628 03:38:47,440 --> 03:38:48,400 ASIANS AND THEN BLACKS. 4629 03:38:48,400 --> 03:38:53,000 THIS IS SIMILAR TO THE 4630 03:38:53,000 --> 03:38:54,240 DISTRIBUTION OF NIH PRINCIPLE 4631 03:38:54,240 --> 03:38:57,440 INVESTIGATORS BY RACE AS 4632 03:38:57,440 --> 03:39:02,160 REPORTED BY THE DATA BOOK WHERE 4633 03:39:02,160 --> 03:39:04,320 MOST GRANTS ISSUED FORCH 4634 03:39:04,320 --> 03:39:08,800 RESEARCH AND TRAINING GRANTS. 4635 03:39:08,800 --> 03:39:10,520 IN THE LANGUAGE IN THE FUNDING 4636 03:39:10,520 --> 03:39:12,440 OPPORTUNITY ANNOUNCEMENT, THE 4637 03:39:12,440 --> 03:39:16,640 SUGGESTED USE OF THE FUNDS WERE 4638 03:39:16,640 --> 03:39:18,640 FOR COMPUTATIONAL SERVICES, 4639 03:39:18,640 --> 03:39:20,640 SUPPLIES, EQUIPMENT AND SUPPORT 4640 03:39:20,640 --> 03:39:21,920 OF ADDITIONAL SCIENTIFIC STAFF 4641 03:39:21,920 --> 03:39:24,360 TO SUSTAIN THE P.D.s OR P.I.s 4642 03:39:24,360 --> 03:39:27,040 RESEARCH DURING THE CRITICAL 4643 03:39:27,040 --> 03:39:27,360 LIFE EVENT. 4644 03:39:27,360 --> 03:39:29,480 BASED ON THE NARRATIVE OF THE 4645 03:39:29,480 --> 03:39:31,480 APPLICATIONS, MOST THE FUNDS 4646 03:39:31,480 --> 03:39:35,000 WERE USED TO HIRE ADDITIONAL 4647 03:39:35,000 --> 03:39:35,640 PERSONNEL. 4648 03:39:35,640 --> 03:39:37,440 THIS INCLUDED RESEARCH 4649 03:39:37,440 --> 03:39:41,720 ASSISTANCE, TECHNICIANS, 4650 03:39:41,720 --> 03:39:53,480 RESEARCH COORDINATORS AND POST 4651 03:39:53,480 --> 03:40:05,840 DOCS AND INFORMATICIAN AND THERE 4652 03:40:05,840 --> 03:40:07,800 WERE CARE GIVING FOR SPOUSE AND 4653 03:40:07,800 --> 03:40:09,640 MEMBERS OF THE FAMILY. 4654 03:40:09,640 --> 03:40:11,120 LITERATURE SHOWS PREGNANCY AND 4655 03:40:11,120 --> 03:40:14,720 CHILD BIRTH IN PARTICULAR IS A 4656 03:40:14,720 --> 03:40:15,520 SIGNIFICANT CONTRIBUTOR TO THE 4657 03:40:15,520 --> 03:40:16,400 UNDER EMPLOYMENT OF WOMEN 4658 03:40:16,400 --> 03:40:17,920 SCIENTISTS AND ENGINEERS. 4659 03:40:17,920 --> 03:40:20,480 THE DEMANDS OF CHILD BIRTH AND 4660 03:40:20,480 --> 03:40:22,000 SUBSEQUENT CARE GIVING 4661 03:40:22,000 --> 03:40:24,080 RESPONSIBILITIES TRIGGER CHANGES 4662 03:40:24,080 --> 03:40:26,160 TO CAREER GOALS AND ALTER 4663 03:40:26,160 --> 03:40:29,680 RESEARCH CAREER TRAJECTORIES. 4664 03:40:29,680 --> 03:40:31,000 THEREFORE RETAINING 4665 03:40:31,000 --> 03:40:32,240 INVESTIGATORS DURING THE LIFE 4666 03:40:32,240 --> 03:40:35,560 EVENT IS CRUCIAL TO PROTECTING 4667 03:40:35,560 --> 03:40:37,840 GROWTH AND THE RESEARCH 4668 03:40:37,840 --> 03:40:40,000 INVESTMENT AND RETAINING HIGHLY 4669 03:40:40,000 --> 03:40:40,720 TRAINED CAREER SCIENTISTS IN THE 4670 03:40:40,720 --> 03:40:42,720 INVESTIGATOR POOL. 4671 03:40:42,720 --> 03:40:45,600 REPORTS COMING FROM THE 4672 03:40:45,600 --> 03:40:48,920 DIFFERENT PARTICIPATING I.C.s 4673 03:40:48,920 --> 03:40:51,240 CONFIRM 73% OF APPLICANTS SITE 4674 03:40:51,240 --> 03:40:53,760 CHILD BIRTH AS A JUSTIFICATION 4675 03:40:53,760 --> 03:40:59,000 FOR REQUESTING SUPPLEMENTS. 4676 03:40:59,000 --> 03:41:03,200 FOR CARE GIVING IN THE VARIOUS 4677 03:41:03,200 --> 03:41:08,880 FORMS IS CITED NEXT AND THE 4678 03:41:08,880 --> 03:41:10,920 PROGRAM US AN IMPORTANT 4679 03:41:10,920 --> 03:41:13,000 MECHANISM BY WHICH TO ASSIST 4680 03:41:13,000 --> 03:41:16,040 EARLY CAREER SCIENTIST WHO'S HAD 4681 03:41:16,040 --> 03:41:17,960 TO ASSURE CARE GIVING 4682 03:41:17,960 --> 03:41:22,240 RESPONSIBILITIES DURING THE 4683 03:41:22,240 --> 03:41:22,960 PANDEMIC. 4684 03:41:22,960 --> 03:41:27,120 OTHER CITATIONS WERE STAYING 4685 03:41:27,120 --> 03:41:28,400 HOME FOR THE SAFETY OF THE 4686 03:41:28,400 --> 03:41:30,160 CHILDREN DURING THE COVID-19 AND 4687 03:41:30,160 --> 03:41:32,000 BEING THE SOLE CAREGIVER FOR THE 4688 03:41:32,000 --> 03:41:33,680 CHILDREN WHEN THE SPOUSE 4689 03:41:33,680 --> 03:41:35,240 ACCEPTED A POSITION AT A 4690 03:41:35,240 --> 03:41:39,800 DIFFERENT LOCATION, PTSD IN FACT 4691 03:41:39,800 --> 03:41:44,400 WAS THERE AND STEM FROM WORK OF 4692 03:41:44,400 --> 03:41:47,240 THE ORDs AND ADOPTION WAS CITED 4693 03:41:47,240 --> 03:41:49,000 AND CARE GIVING THAT RESULT FROM 4694 03:41:49,000 --> 03:41:53,280 THE COVID-RELATED SCHOOL 4695 03:41:53,280 --> 03:41:53,840 CLOSURES. 4696 03:41:53,840 --> 03:41:55,320 SPOUSE CARE GIVING FOR CHILDREN 4697 03:41:55,320 --> 03:41:57,840 DIAGNOSED WITH MENTAL ILLNESS. 4698 03:41:57,840 --> 03:42:01,480 BASED ON OUR ONGOING EVALUATION 4699 03:42:01,480 --> 03:42:10,000 THE PROGRAM GARNERED WIDE 4700 03:42:10,000 --> 03:42:12,240 ACCEPTANCE AND THEY CAN BE 4701 03:42:12,240 --> 03:42:14,000 ISSUED FROM THE TIME OF 4702 03:42:14,000 --> 03:42:15,240 SUBMISSION OF THE APPLICATION 4703 03:42:15,240 --> 03:42:19,840 AND AS SHOWN BY THE DATA, THESE 4704 03:42:19,840 --> 03:42:20,640 SUPPLEMENTS SUPPORT 4705 03:42:20,640 --> 03:42:22,160 INVESTIGATORS INSENSITIVE 4706 03:42:22,160 --> 03:42:23,680 PERIODS IN THEIR LIFE WHEN THEIR 4707 03:42:23,680 --> 03:42:24,400 RESEARCH PRODUCTIVITY AND 4708 03:42:24,400 --> 03:42:27,000 CAREERS ARE AT RISK. 4709 03:42:27,000 --> 03:42:31,080 WE THEREFORE REQUEST THE ORWH 4710 03:42:31,080 --> 03:42:36,000 AND NIH BE ALLOWED TO CONTINUE 4711 03:42:36,000 --> 03:42:39,600 THE ISSUANCE OF THESE NOTICES 4712 03:42:39,600 --> 03:42:41,720 WHICH ARE POUND TO EXPIRE IN THE 4713 03:42:41,720 --> 03:42:46,640 COMING YEAR. 4714 03:42:46,640 --> 03:42:56,600 THE MECHANISM WILL ADD ELIGIBLE 4715 03:42:56,600 --> 03:42:57,200 GRANTS AND CONSIDERING OTHER 4716 03:42:57,200 --> 03:43:00,200 QUALIFYING LIFE EVENTS. 4717 03:43:00,200 --> 03:43:02,520 WE REGULARLY MEET WITH OUR 4718 03:43:02,520 --> 03:43:04,440 PARTICIPATING I.C.s FOR 4719 03:43:04,440 --> 03:43:04,720 FEEDBACK. 4720 03:43:04,720 --> 03:43:07,160 THE NEGATIVE AND LONG-TERM 4721 03:43:07,160 --> 03:43:09,840 IMPACT OF COVID FURTHER PROVIDES 4722 03:43:09,840 --> 03:43:11,720 A COMPELLING NEED TO RE-ISSUE 4723 03:43:11,720 --> 03:43:24,640 THE FUNDING OPPORTUNITY. 4724 03:43:24,640 --> 03:43:26,840 THERE'S THE TRANS-NIH STRATEGIC 4725 03:43:26,840 --> 03:43:28,240 PLAN FOR WOMEN'S HEALTH RESEARCH 4726 03:43:28,240 --> 03:43:30,640 AND THE FOURTH GOAL WHICH IS TO 4727 03:43:30,640 --> 03:43:31,840 PROMOTE TRAINING AND CAREERS TO 4728 03:43:31,840 --> 03:43:36,520 DEVELOP A WELL-TRAINED ROBUST 4729 03:43:36,520 --> 03:43:37,480 WORKFORCE AND ADVANCE THE 4730 03:43:37,480 --> 03:43:39,560 SCIENCE OF WOMEN'S HEALTH AND 4731 03:43:39,560 --> 03:43:44,000 SUPPORT NIH BY STRATEGIC PLAN TO 4732 03:43:44,000 --> 03:43:46,240 DEVELOP AND PLAIN TAIN 4733 03:43:46,240 --> 03:43:47,320 SCIENTIFIC RESEARCH CAPACITY AS 4734 03:43:47,320 --> 03:43:50,000 WELL AS ENHANCE THE BEHAVIORAL 4735 03:43:50,000 --> 03:43:51,760 RESEARCH WORKFORCE AND ENHANCING 4736 03:43:51,760 --> 03:43:52,720 WOMEN'S HEALTH. 4737 03:43:52,720 --> 03:43:57,680 AND LAST BUT NOT LEAST ADDRESSES 4738 03:43:57,680 --> 03:43:59,440 THE NATIONAL STRATEGY ON GENDER 4739 03:43:59,440 --> 03:44:00,920 EQUITY RELEASED BY THE WHITE 4740 03:44:00,920 --> 03:44:07,920 HOUSE IN OCTOBER LAST YEAR AND 4741 03:44:07,920 --> 03:44:09,920 INCLUDES CLOSING GENDER GAPS IN 4742 03:44:09,920 --> 03:44:11,560 SCIENCE, TECHNOLOGY, ENGINEERING 4743 03:44:11,560 --> 03:44:20,640 AND MATHEMATICS. 4744 03:44:20,640 --> 03:44:25,560 WITH THAT I'D LIKE TO OPEN IT UP 4745 03:44:25,560 --> 03:44:30,080 FOR QUESTIONS. 4746 03:44:30,080 --> 03:44:31,720 THANK YOU FOR THE OPPORTUNITY TO 4747 03:44:31,720 --> 03:44:31,960 PRESENT. 4748 03:44:31,960 --> 03:44:34,480 >> SHE IS TAKING QUESTIONS NOW 4749 03:44:34,480 --> 03:44:35,640 AND YOU CAN PUT THEM IN THE CHAT 4750 03:44:35,640 --> 03:44:47,000 BOX AND WE'LL GO THROUGH THEM. 4751 03:44:47,000 --> 03:44:47,120 4752 03:44:47,120 --> 03:44:49,960 >> I WANT TO MAKE SURE 4753 03:44:49,960 --> 03:44:52,640 DR. ANDERSON GOT HER QUESTION 4754 03:44:52,640 --> 03:44:55,720 ANSWERED. 4755 03:44:55,720 --> 03:44:57,120 I SUPPORT THE PROGRAM. 4756 03:44:57,120 --> 03:44:58,760 I'M WONDERING ABOUT THE 4757 03:44:58,760 --> 03:45:04,160 FOLLOW-UP OF THE RECIPIENTS. 4758 03:45:04,160 --> 03:45:07,080 ARE YOU PLANNING TO DETERMINE 4759 03:45:07,080 --> 03:45:08,480 HOW IT'S EFFECTIVE IN KEEPING 4760 03:45:08,480 --> 03:45:14,880 THE WORKFORCE LONG-TERM. 4761 03:45:14,880 --> 03:45:16,840 WE HAVE AN ONGOING EVALUATION OF 4762 03:45:16,840 --> 03:45:18,600 THE PROGRAM. 4763 03:45:18,600 --> 03:45:26,280 PRIOR TO REISS-ISSUANCE. 4764 03:45:26,280 --> 03:45:29,000 >> IT'S TOO EARLY TO DO 4765 03:45:29,000 --> 03:45:29,960 EXTENSIVE FOLLOW-UP MAYBE AFTER 4766 03:45:29,960 --> 03:45:32,640 A NUMBER OF YEARS WE'LL BE IN A 4767 03:45:32,640 --> 03:45:33,880 BETTER PLACE TO ASSESS THE 4768 03:45:33,880 --> 03:45:34,480 IMPACT BUT THANK YOU FOR YOUR 4769 03:45:34,480 --> 03:45:45,240 QUESTION. 4770 03:45:45,240 --> 03:45:48,640 >> DR. ROBINSON, YOU HAVE A 4771 03:45:48,640 --> 03:45:48,960 QUESTION. 4772 03:45:48,960 --> 03:45:52,640 >> MY QUESTION WAS SIMILAR TO 4773 03:45:52,640 --> 03:45:53,240 DR. ANDERSON'S. 4774 03:45:53,240 --> 03:45:58,000 I'M GOING TO ASK IT ON THE OTHER 4775 03:45:58,000 --> 03:46:03,000 END THE, T GRANTS IS SOMETIMES A 4776 03:46:03,000 --> 03:46:04,840 MECHANISM USED BY WOMEN AS A 4777 03:46:04,840 --> 03:46:06,320 PRE-K AWARD. 4778 03:46:06,320 --> 03:46:08,320 IS THERE DATA BEING GATHERED ON 4779 03:46:08,320 --> 03:46:10,360 THAT END TO LOOK AT WHAT THE 4780 03:46:10,360 --> 03:46:12,160 STATISTICS ARE FOR THE TRAINING 4781 03:46:12,160 --> 03:46:12,880 GRANTS AND HOW THAT MIGHT FEED 4782 03:46:12,880 --> 03:46:21,920 INTO THE K AWARDS? 4783 03:46:21,920 --> 03:46:29,120 >> MY FORMER I.C. HAD TRAINING 4784 03:46:29,120 --> 03:46:32,320 GRANTS AND A HANDLED MANY BUT 4785 03:46:32,320 --> 03:46:35,400 IT'S DIFFICULT TO DO THAT 4786 03:46:35,400 --> 03:46:35,880 ASSESSMENT. 4787 03:46:35,880 --> 03:46:37,720 I THINK IT HAS TO BE I.C. 4788 03:46:37,720 --> 03:46:42,560 DIRECTED BECAUSE THEY HAVE THE 4789 03:46:42,560 --> 03:46:47,680 DATA ON THE ACTUAL GRANTEES, THE 4790 03:46:47,680 --> 03:46:53,680 TRAINEES OF THE PROGRAMS. 4791 03:46:53,680 --> 03:46:58,040 WEIR GOING FEEDBACK FROM THE 4792 03:46:58,040 --> 03:47:03,680 I.C.s AND TRYING TO TRACK THE 4793 03:47:03,680 --> 03:47:05,320 TRAINEES WHICH IS EASIER THAN 4794 03:47:05,320 --> 03:47:09,640 THE GRANTEES OF THE T32s BECAUSE 4795 03:47:09,640 --> 03:47:11,680 THEY'RE IN THE NAME OF THE 4796 03:47:11,680 --> 03:47:26,000 TRAINEES THEMSELVES. 4797 03:47:26,000 --> 03:47:29,200 >> THERE'S A QUESTION ABOUT THE 4798 03:47:29,200 --> 03:47:31,640 IMPORTANCE IN DIVERSITY AND 4799 03:47:31,640 --> 03:47:33,120 MENTORING FOR FUTURE WORKFORCE 4800 03:47:33,120 --> 03:47:34,920 AND THE QUESTION IS MINORITY 4801 03:47:34,920 --> 03:47:35,840 SUPPLEMENTS AND ABOUT THE 4802 03:47:35,840 --> 03:47:40,960 PERSONS AS FACULTY. 4803 03:47:40,960 --> 03:47:43,440 >> I WAS RELATING TO THESE 4804 03:47:43,440 --> 03:47:48,600 PARTICULAR PEOPLE BEING SUPPORT 4805 03:47:48,600 --> 03:47:51,520 NIH TO DO INCREASE THE RESEARCH 4806 03:47:51,520 --> 03:47:53,600 OF WOMEN IN THEIR CAREERS. 4807 03:47:53,600 --> 03:47:54,320 ARE YOU CONSIDERING OTHER WAYS 4808 03:47:54,320 --> 03:48:00,360 TO HELP CHANGE THE SYSTEM? 4809 03:48:00,360 --> 03:48:05,400 >> DEFINITELY AND IT'S THE GOAL 4810 03:48:05,400 --> 03:48:07,080 OF THE ORWH WHERE WE SEEK 4811 03:48:07,080 --> 03:48:08,240 REPRESENTATION FROM OUR 4812 03:48:08,240 --> 03:48:12,360 DIFFERENT COMMUNITIES ESPECIALLY 4813 03:48:12,360 --> 03:48:13,520 THOSE UNDER SERVED WHICH INCLUDE 4814 03:48:13,520 --> 03:48:15,120 WOMEN ESPECIALLY WOMEN OF COLOR. 4815 03:48:15,120 --> 03:48:18,440 WHENEVER WE DO ANY KIND OF 4816 03:48:18,440 --> 03:48:21,080 ASSESSMENT, WE ALWAYS INCLUDE 4817 03:48:21,080 --> 03:48:26,400 THE DIVERSITY PERSPECTIVE AS 4818 03:48:26,400 --> 03:48:27,680 PART OF THE ASSESSMENT AND WE 4819 03:48:27,680 --> 03:48:35,640 ARE WORKING TO IMPROVE THE 4820 03:48:35,640 --> 03:48:37,840 REPRESENTATION OF OTHERS GROUPS. 4821 03:48:37,840 --> 03:48:43,160 THAT'S A MAJOR CONSIDERATION FOR 4822 03:48:43,160 --> 03:48:43,320 US. 4823 03:48:43,320 --> 03:48:45,080 >> 4824 03:48:45,080 --> 03:48:45,840 >> NEXT. 4825 03:48:45,840 --> 03:48:50,200 >> THANK YOU SO MUCH FOR LEADING 4826 03:48:50,200 --> 03:48:51,440 THIS INCREDIBLY IMPORTANT 4827 03:48:51,440 --> 03:48:52,520 INITIATIVE TO TARGET THE 4828 03:48:52,520 --> 03:48:53,240 TRANSITION POINTS WE KNOW PEOPLE 4829 03:48:53,240 --> 03:48:55,240 ARE VULNERABLE AND THE LIFE 4830 03:48:55,240 --> 03:48:57,200 EVENTS EVERYONE NEEDS TO LIVE 4831 03:48:57,200 --> 03:48:58,640 THROUGH SO WE CAN HARNESS THE 4832 03:48:58,640 --> 03:49:01,800 TALENT OF EVERYBODY IN THE 4833 03:49:01,800 --> 03:49:02,080 POPULATION. 4834 03:49:02,080 --> 03:49:04,360 HATS OFF TO YOU. 4835 03:49:04,360 --> 03:49:06,000 MY QUESTION IS NIH IS CREATE 4836 03:49:06,000 --> 03:49:07,200 BEING AN INCREDIBLY IMPORTANT 4837 03:49:07,200 --> 03:49:10,840 PART OF THE ECO SYSTEM OF 4838 03:49:10,840 --> 03:49:12,960 ACADEMIC MEDICINE AS A FUNDER. 4839 03:49:12,960 --> 03:49:15,440 I WONDER IF THERE ARE OTHER 4840 03:49:15,440 --> 03:49:20,120 THINGS THAT OTHERS CAN AND 4841 03:49:20,120 --> 03:49:23,120 SHOULD ALSO BE DOING I LOVE THAT 4842 03:49:23,120 --> 03:49:26,440 YOU LOOKED AT THE NARRATIVES TO 4843 03:49:26,440 --> 03:49:28,440 LOOK AT THE DISRUPTIONS IN THE 4844 03:49:28,440 --> 03:49:28,760 AWARDS. 4845 03:49:28,760 --> 03:49:32,640 DO YOU HAVE DATA OR INTENTION 4846 03:49:32,640 --> 03:49:33,440 OFF GATHERING DATA TO 4847 03:49:33,440 --> 03:49:34,200 UNDERSTANDING THE EXPERIENCE OF 4848 03:49:34,200 --> 03:49:35,120 THESE INDIVIDUALS AND OTHER 4849 03:49:35,120 --> 03:49:36,320 THINGS THAT MAY BE HELPFUL TO 4850 03:49:36,320 --> 03:49:40,880 THEM IN ADDITION TO THE 4851 03:49:40,880 --> 03:49:41,760 PERSONNEL SUPPORT AND WHAT 4852 03:49:41,760 --> 03:49:43,680 THEY'RE ABLE TO FUND THROUGH THE 4853 03:49:43,680 --> 03:49:44,560 IMPORTANT SUPPLEMENTS? 4854 03:49:44,560 --> 03:49:45,760 IS THERE OTHER STUFF IN THE 4855 03:49:45,760 --> 03:49:52,480 STRUCTURES OF THEIR INSTITUTIONS 4856 03:49:52,480 --> 03:49:54,240 OR SOCIETY TO LEARN FROM PEOPLE 4857 03:49:54,240 --> 03:49:55,440 WHO SELF-IDENTIFIED AS BEING IN 4858 03:49:55,440 --> 03:50:02,120 THIS SITUATION? 4859 03:50:02,120 --> 03:50:03,960 >> I'M SURE THAT'S A TOPIC WE'D 4860 03:50:03,960 --> 03:50:05,720 LOVE TO INVESTIGATE IN THE 4861 03:50:05,720 --> 03:50:05,960 FUTURE. 4862 03:50:05,960 --> 03:50:12,120 NIH CAN'T DO IT ON ITS OWN. 4863 03:50:12,120 --> 03:50:16,680 WE NEED BUY IN FROM EXTRAMURAL 4864 03:50:16,680 --> 03:50:21,680 PARTNERS AND THE DIFFERENT 4865 03:50:21,680 --> 03:50:24,560 UNIVERSITY 4866 03:50:24,560 --> 03:50:28,640 UNIVERSITIES AND ACROSS THE 4867 03:50:28,640 --> 03:50:30,240 COUNTRY AND THE SOCIAL 4868 03:50:30,240 --> 03:50:33,680 STRUCTURE, SHALL WE SAY, WHERE 4869 03:50:33,680 --> 03:50:35,760 THERE IS A MORE WELCOMING AND 4870 03:50:35,760 --> 03:50:36,680 SUPPORTIVE ENVIRONMENT ACROSS 4871 03:50:36,680 --> 03:50:41,040 THE ECO SYSTEMS. 4872 03:50:41,040 --> 03:50:42,080 IT INCLUDES SECTORS OUTSIDE OF 4873 03:50:42,080 --> 03:50:47,480 ACADEMIA. 4874 03:50:47,480 --> 03:50:50,640 >> DOES THAT ANSWER YOUR 4875 03:50:50,640 --> 03:50:50,880 QUESTION? 4876 03:50:50,880 --> 03:50:53,440 >> IT DOES. 4877 03:50:53,440 --> 03:50:55,560 WHEN NIH ACT LIKE THIS IT MAKES 4878 03:50:55,560 --> 03:50:58,320 THE INSTITUTIONS TAKE HEED AND 4879 03:50:58,320 --> 03:51:00,080 GETS ALL OF SOCIETY TO ACT. 4880 03:51:00,080 --> 03:51:00,800 >> THANK YOU. 4881 03:51:00,800 --> 03:51:01,640 WE'LL MOVE ON. 4882 03:51:01,640 --> 03:51:04,680 DR. ANDERSON YOU HAD YOUR HAND 4883 03:51:04,680 --> 03:51:10,600 UP? 4884 03:51:10,600 --> 03:51:13,360 >> THE RECENT AWARDEES COULD 4885 03:51:13,360 --> 03:51:14,920 BECOME A COHORT WHERE YOU 4886 03:51:14,920 --> 03:51:16,680 COLLECT SUCH DATA AND WOULD BE 4887 03:51:16,680 --> 03:51:19,080 INTERESTED IN THINGS LIKE LOCAL 4888 03:51:19,080 --> 03:51:21,160 INSTITUTIONS PROVIDING ON-SITE 4889 03:51:21,160 --> 03:51:26,200 DAYCARE AND THINGS THAT CAN 4890 03:51:26,200 --> 03:51:26,880 FACILITATE A YOUNG MOTHER 4891 03:51:26,880 --> 03:51:34,120 CONTINUING HER EFFORTS. 4892 03:51:34,120 --> 03:51:36,680 AND KNOWING WHY SECTORS OF OUR 4893 03:51:36,680 --> 03:51:38,240 WORKFORCE ARE IMPACTED. 4894 03:51:38,240 --> 03:51:43,720 I HEARD ABOUT THE CLINICAL 4895 03:51:43,720 --> 03:51:44,000 RESEARCHERS. 4896 03:51:44,000 --> 03:51:46,080 I'M ALSO INTERESTED IN THE BENCH 4897 03:51:46,080 --> 03:51:47,240 SCIENTISTS VERSUS THE POPULATION 4898 03:51:47,240 --> 03:51:48,680 SCIENCE TESTS BECAUSE I THINK 4899 03:51:48,680 --> 03:51:50,440 THERE'S DIFFERENT CULTURES IN 4900 03:51:50,440 --> 03:51:51,240 THOSE AND IT WOULD BE 4901 03:51:51,240 --> 03:51:53,000 INTERESTING TO KNOW WHETHER ONE 4902 03:51:53,000 --> 03:51:58,240 IS WORSE OR BETTER IN PROMOTING 4903 03:51:58,240 --> 03:51:58,600 ENVIRONMENTS. 4904 03:51:58,600 --> 03:51:59,760 >> I CAN ONLY SPEAK FOR THE 4905 03:51:59,760 --> 03:52:03,360 FIRST TWO YEARS OF THE AWARD 4906 03:52:03,360 --> 03:52:04,680 BECAUSE AS YOU HAVE SEEN FROM 4907 03:52:04,680 --> 03:52:06,680 THE BAR GRAPHS, MOST OF THOSE 4908 03:52:06,680 --> 03:52:08,720 WHO APPLIED WERE K23 AWARDEE 4909 03:52:08,720 --> 03:52:09,720 WHICH IS MEANS THEY WERE 4910 03:52:09,720 --> 03:52:11,160 CLINICIANS AND THEY WERE 4911 03:52:11,160 --> 03:52:12,600 INVOLVED IN PATIENT-ORIENTED 4912 03:52:12,600 --> 03:52:12,920 RESEARCH. 4913 03:52:12,920 --> 03:52:15,720 NEXT IN LINE WERE THE K01s DOING 4914 03:52:15,720 --> 03:52:23,240 BASIC RESEARCH. 4915 03:52:23,240 --> 03:52:25,440 MOSTLY Ph.D.s AND CLINICIANS 4916 03:52:25,440 --> 03:52:27,560 DOING BASIC RESEARCH. 4917 03:52:27,560 --> 03:52:30,440 SO I THINK IMPACTS EVERYBODY AND 4918 03:52:30,440 --> 03:52:35,720 CERTAINLY THAT IS ONE OF OUR 4919 03:52:35,720 --> 03:52:39,600 INTERESTS IN THE COMING YEARS TO 4920 03:52:39,600 --> 03:52:41,440 DATE THEY'VE ONLY HAD 192 AWARDS 4921 03:52:41,440 --> 03:52:43,000 FOR BOTH MECHANISMS. 4922 03:52:43,000 --> 03:52:45,520 WE DO NOT HAVE THE SAMPLE SIZE I 4923 03:52:45,520 --> 03:52:48,200 THINK TO BE ABLE TO DO SUCH AN 4924 03:52:48,200 --> 03:52:49,040 EM TENSIVE EVALUATION AT THIS 4925 03:52:49,040 --> 03:52:54,600 POINT. 4926 03:52:54,600 --> 03:52:55,400 THAT'S ON THE HORIZON. 4927 03:52:55,400 --> 03:53:00,360 THANK YOU FOR COMMENT. 4928 03:53:00,360 --> 03:53:02,720 >> DR. CLAYTON, DO YOU WANT TO 4929 03:53:02,720 --> 03:53:06,720 SAY ANYTHING BEFORE WE LOAD THE 4930 03:53:06,720 --> 03:53:07,120 CONCEPT? 4931 03:53:07,120 --> 03:53:08,640 >> NO, THANK YOU AND TO 4932 03:53:08,640 --> 03:53:14,440 EVERYBODY FOR A ROBUST 4933 03:53:14,440 --> 03:53:14,720 DISCUSSION. 4934 03:53:14,720 --> 03:53:19,440 >> WE'LL VOTE TO APPROVE THE 4935 03:53:19,440 --> 03:53:22,560 RE-ISSUANCE FOR THE SUPPLEMENT 4936 03:53:22,560 --> 03:53:24,440 TO PROMOTE RESEARCH RETENTION 4937 03:53:24,440 --> 03:53:30,960 FOR K AWARD RECIPIENTS AND 4938 03:53:30,960 --> 03:53:31,560 CONTINUITY OF BIOMEDICAL 4939 03:53:31,560 --> 03:53:33,640 RESEARCH AMONG FIRST-TIME 4940 03:53:33,640 --> 03:53:35,160 RECIPIENTS OF NIH RPGs. 4941 03:53:35,160 --> 03:53:36,720 IS THERE A MOTION ON THE TABLE 4942 03:53:36,720 --> 03:53:39,520 TO APPROVE THE CONCEPT CLEARANCE 4943 03:53:39,520 --> 03:53:43,280 FOR THE RE-ISSUANCE OF 4944 03:53:43,280 --> 03:53:44,840 ADMINISTRATIVE SUPPLEMENT TO 4945 03:53:44,840 --> 03:53:47,720 PROMOTE RESEARCH CONTINUITY FOR 4946 03:53:47,720 --> 03:53:51,920 MENTORED CAREER DEVELOPMENT, K 4947 03:53:51,920 --> 03:53:53,720 AWARD RECIPIENTS AMONG FIRST 4948 03:53:53,720 --> 03:54:00,240 TIME RECIPIENTS OF NIH RPGs. 4949 03:54:00,240 --> 03:54:02,240 >> SO MOVED. 4950 03:54:02,240 --> 03:54:06,440 >> THANK YOU, DR. ANDQUANERSON. 4951 03:54:06,440 --> 03:54:08,640 DO I HEAR A SECOND. 4952 03:54:08,640 --> 03:54:15,600 THANK YOU. 4953 03:54:15,600 --> 03:54:18,120 A POLL IS OPEN FOR TO YOU VOTE. 4954 03:54:18,120 --> 03:54:20,640 ENCE TER YOUR RESPONSE AND 4955 03:54:20,640 --> 03:54:21,160 YOU'LL HAVE 30 SECONDS TO 4956 03:54:21,160 --> 03:55:03,840 RESPOND. 4957 03:55:03,840 --> 03:55:05,680 >> THE RE-ISSUANCE CONCEPT 4958 03:55:05,680 --> 03:55:07,000 CLEARANCE HAS BEEN ACCEPTED WITH 4959 03:55:07,000 --> 03:55:10,800 12 IN FAVOR. 4960 03:55:10,800 --> 03:55:11,680 THANK YOU, EVERYONE AND I WOULD 4961 03:55:11,680 --> 03:55:12,680 LIKE TO TURN IT BACK TO 4962 03:55:12,680 --> 03:55:17,680 DR. CLAYTON. 4963 03:55:17,680 --> 03:55:18,840 >> THANK YOU. 4964 03:55:18,840 --> 03:55:20,480 AT THIS TIME I'D LIKE TO 4965 03:55:20,480 --> 03:55:22,440 INTRODUCE DR. SHARON HUNTER 4966 03:55:22,440 --> 03:55:28,160 ASSOCIATE DIRECTOR FOR BASIC AND 4967 03:55:28,160 --> 03:55:29,040 TRANSLATIONAL RESEARCH AT ORWH. 4968 03:55:29,040 --> 03:55:31,440 SO IT LOOKS LIKE HER SLIDES ARE 4969 03:55:31,440 --> 03:55:31,840 COMING UP. 4970 03:55:31,840 --> 03:55:33,840 SHE LEADS A TEAM OF 4971 03:55:33,840 --> 03:55:35,240 ADMINISTRATOR IN THE DEVELOPMENT 4972 03:55:35,240 --> 03:55:37,680 AND ADMINISTRATION AND 4973 03:55:37,680 --> 03:55:41,680 MANAGEMENT OF THE ORWH SCORE 4974 03:55:41,680 --> 03:55:43,880 PROGRAMS ON SEX DIFFERENCES AND 4975 03:55:43,880 --> 03:55:46,200 ADMINISTRATIVE OR SEX AND GENDER 4976 03:55:46,200 --> 03:55:46,800 ADMINISTRATIVE SUPPLEMENT 4977 03:55:46,800 --> 03:55:50,600 PROGRAM AND NIH'S FIRST EVER RO1 4978 03:55:50,600 --> 03:55:53,640 ON SEX AND GENDER CALLED THE 4979 03:55:53,640 --> 03:55:54,840 INTERSECTION OF SEX AND GENER 4980 03:55:54,840 --> 03:55:56,440 INFLUENCES ON HEALTH AND 4981 03:55:56,440 --> 03:55:56,640 DISEASE. 4982 03:55:56,640 --> 03:55:59,760 SHE'S BEEN A POINT OF CONTACT 4983 03:55:59,760 --> 03:56:05,000 FOR MANY EFFORTS TO ENHANCE SEX 4984 03:56:05,000 --> 03:56:07,360 AS A BIOLOGICAL VARIABLE AND 4985 03:56:07,360 --> 03:56:11,760 SHE'LL PRESENT A CONCEPT ON THE 4986 03:56:11,760 --> 03:56:16,640 RE-ISSUANCE ON HEALTH AND 4987 03:56:16,640 --> 03:56:17,000 DISEASE RESEARCH. 4988 03:56:17,000 --> 03:56:19,480 WELCOME. 4989 03:56:19,480 --> 03:56:21,120 >> THANK YOU, DR. CLAYTON AND 4990 03:56:21,120 --> 03:56:21,440 COUNCIL. 4991 03:56:21,440 --> 03:56:25,680 I'D LIKE TO SEEK YOUR INPUT ON 4992 03:56:25,680 --> 03:56:29,240 THE RE-ISSUANCE OF THE RO1 THE 4993 03:56:29,240 --> 03:56:30,680 INTERSECTION OF SEX AND GENDER 4994 03:56:30,680 --> 03:56:31,280 INFLUENCES ON THE HEALTH AND 4995 03:56:31,280 --> 03:56:36,360 DISEASE RESEARCH. 4996 03:56:36,360 --> 03:56:39,320 DR. DELCARMEN WIGGINS WAS THE 4997 03:56:39,320 --> 03:56:43,000 LEAD AND THE TIRELESS ADVOCATE 4998 03:56:43,000 --> 03:56:44,840 FOR THIS NIH INITIATIVE AND THIS 4999 03:56:44,840 --> 03:56:46,880 UNIQUE FUNDING OPPORTUNITY HAS 5000 03:56:46,880 --> 03:56:49,720 NOT ONLY STIMULATED CUTTING EDGE 5001 03:56:49,720 --> 03:56:57,360 RESEARCH BUT PROVIDED UNEXPECTED 5002 03:56:57,360 --> 03:56:58,480 DIVIDENDS TO THE COMMUNITY AT 5003 03:56:58,480 --> 03:57:01,600 LARGE THE TOPIC ARE THREE. 5004 03:57:01,600 --> 03:57:03,000 FIRST, THE ORIGINAL RATIONALE 5005 03:57:03,000 --> 03:57:04,640 AND GOALS FOR SUPPORTING 5006 03:57:04,640 --> 03:57:05,360 RESEARCH AT THE INTERSECTION OF 5007 03:57:05,360 --> 03:57:07,440 SEX AND GENDER INFLUENCES ON 5008 03:57:07,440 --> 03:57:11,720 HEALTH AND DISEASE, AND SECOND 5009 03:57:11,720 --> 03:57:13,720 I'D LIKE TO DISCUSS THIS REQUEST 5010 03:57:13,720 --> 03:57:16,440 FOR APPLICATION PUBLISHED IN 5011 03:57:16,440 --> 03:57:17,680 SEPTEMBER OF 2019 FOLLOWING THE 5012 03:57:17,680 --> 03:57:22,520 FIRST CONCEPT CLEARANCE. 5013 03:57:22,520 --> 03:57:29,320 THAT WAS ENTITLED RO1OD-19-029 5014 03:57:29,320 --> 03:57:33,160 AND SEX AND GENDER INFLUENCES ON 5015 03:57:33,160 --> 03:57:34,320 HEALTH AND DISEASE. 5016 03:57:34,320 --> 03:57:38,560 I'D LIKE TO PROVIDE A REPORT AND 5017 03:57:38,560 --> 03:57:41,880 LESSONS LEARN AND DISCUSS 5018 03:57:41,880 --> 03:57:44,680 CONSIDERATION FOR RE-ISSUANCE OF 5019 03:57:44,680 --> 03:57:51,720 THE RO1. 5020 03:57:51,720 --> 03:57:56,440 WHEN WE FIRST BROUGHT THIS 5021 03:57:56,440 --> 03:57:59,720 FORWARD WE FOCUSSED ON THE 5022 03:57:59,720 --> 03:58:01,440 HEALTH OF WOMEN. 5023 03:58:01,440 --> 03:58:03,520 OTHER REASONS REASONS TO SPONSOR 5024 03:58:03,520 --> 03:58:05,240 A PROGRAM BASED ON THE UNIQUE 5025 03:58:05,240 --> 03:58:07,720 NICHE IT WOULD FIRST ENCOURAGE 5026 03:58:07,720 --> 03:58:08,960 NEW RESEARCH ON THE DIFFERENTIAL 5027 03:58:08,960 --> 03:58:11,720 AFFECTS OF SEX AND GENDER AND 5028 03:58:11,720 --> 03:58:16,840 THE INTERSECTION OF WOMEN'S 5029 03:58:16,840 --> 03:58:23,240 HEALTH AND INCREASE AND SUPPORT 5030 03:58:23,240 --> 03:58:24,320 DISEASE AGNOSTIC TOPICS TO 5031 03:58:24,320 --> 03:58:25,240 ADVANCE WOMEN'S HEALTH AND 5032 03:58:25,240 --> 03:58:26,640 PROVIDE AN OPPORTUNITY TO 5033 03:58:26,640 --> 03:58:30,520 CONDUCT TRANS-DISCIPLINARY 5034 03:58:30,520 --> 03:58:32,600 RESEARCH ORDINARILY BEYOND THE 5035 03:58:32,600 --> 03:58:35,000 SCOPE OF ANY ONE NIH INSTITUTE 5036 03:58:35,000 --> 03:58:35,560 OR CENTER. 5037 03:58:35,560 --> 03:58:41,440 AND LAST BUT NOT LEAST AWARE 5038 03:58:41,440 --> 03:58:43,960 THIS INITIATIVE HAD THE CAPACITY 5039 03:58:43,960 --> 03:58:49,920 TO SATISFY MANDATES IN THE 21st 5040 03:58:49,920 --> 03:58:50,840 CENTURIES CURES ACT AND THE 5041 03:58:50,840 --> 03:58:52,680 STRATEGIC PLAN OF WOMEN'S HEALTH 5042 03:58:52,680 --> 03:58:57,280 RESEARCH. 5043 03:58:57,280 --> 03:59:00,240 IN ADDITION, THIS NEW INITIATIVE 5044 03:59:00,240 --> 03:59:03,960 WAS TO BUILD ON CURRENT PROGRAMS 5045 03:59:03,960 --> 03:59:05,480 LIKE THE SPECIALIZED CENTER ON 5046 03:59:05,480 --> 03:59:07,760 SEX DIFFERENCES AND OUR ORWH 5047 03:59:07,760 --> 03:59:09,360 SUPPLEMENT PROGRAM SUPPORTING 5048 03:59:09,360 --> 03:59:11,680 SEX AND GENDER RESEARCH AND THE 5049 03:59:11,680 --> 03:59:13,080 RESEARCH OF UNDER REPRESENTED 5050 03:59:13,080 --> 03:59:15,680 AND UNDER STUDIED POPULATIONS TO 5051 03:59:15,680 --> 03:59:17,800 ADVANCE BUT NOT ONLY SEX AND 5052 03:59:17,800 --> 03:59:18,840 GENDER BUT IMPORTANT THE 5053 03:59:18,840 --> 03:59:22,000 INTEGRATION OF SEX AND GENDER 5054 03:59:22,000 --> 03:59:46,160 CONSIDERATIONS INTO RESEARCH. 5055 03:59:46,160 --> 03:59:49,480 THIS NEW INITIATIVE WAS 5056 03:59:49,480 --> 03:59:54,200 PUBLISHED AS RFA-OD-19-029 AND 5057 03:59:54,200 --> 03:59:56,400 THIS FOA IS DESIGNED TO 5058 03:59:56,400 --> 03:59:57,560 STIMULATE RESEARCH TO 5059 03:59:57,560 --> 03:59:59,080 INCORPORATE OR ENHANCE OUR 5060 03:59:59,080 --> 04:00:03,400 INFORMATION OF THE INFLUENCE OF 5061 04:00:03,400 --> 04:00:06,320 SEX AND GENDER AND THEIR 5062 04:00:06,320 --> 04:00:08,680 INTERSECTIONALITY ACROSS THE 5063 04:00:08,680 --> 04:00:10,480 BROAD ARRAY OF SCIENTIFIC 5064 04:00:10,480 --> 04:00:14,240 DISCIPLINES. 5065 04:00:14,240 --> 04:00:15,320 APPLICATIONS MUST ADDRESS THE 5066 04:00:15,320 --> 04:00:20,280 INTERSECTION OF SEX AND GENDER 5067 04:00:20,280 --> 04:00:24,600 IN HEALTH AND DISEASE RELATED 5068 04:00:24,600 --> 04:00:26,160 VARIABLES AND VARIABLES AS WELL 5069 04:00:26,160 --> 04:00:28,240 AS THE INTERSECTION OF SEX AND 5070 04:00:28,240 --> 04:00:32,600 GENDER RELATED VARIABLES AND 5071 04:00:32,600 --> 04:00:37,240 ALSO HAD TO ADDRESS THE 2019, 5072 04:00:37,240 --> 04:00:38,640 2023, TRANS-NIH STRATEGIC PLAN 5073 04:00:38,640 --> 04:00:40,960 FOR WOMEN'S HEALTH RESEARCH. 5074 04:00:40,960 --> 04:00:54,360 THE GOA 5075 04:00:54,360 --> 04:00:56,640 ON THE RIGHT YOU SEE THE GOALS 5076 04:00:56,640 --> 04:01:01,640 AND OBJECTIVES OF THE PLAN. 5077 04:01:01,640 --> 04:01:04,200 ON THE RIGHT, WE SEE IN ADDITION 5078 04:01:04,200 --> 04:01:06,000 TO ADDRESSING GOAL 1 OBJECTIVES 5079 04:01:06,000 --> 04:01:07,880 THE APPLICATIONS SUBMITTED IN 5080 04:01:07,880 --> 04:01:11,600 RESPONSE TO THE FUNDING 5081 04:01:11,600 --> 04:01:14,560 OPPORTUNITY WERE TO ENCOURAGE 5082 04:01:14,560 --> 04:01:16,640 CONSIDERATION HEALTH DISPARITY 5083 04:01:16,640 --> 04:01:18,280 POPULATIONS BECAUSE WOMEN ARE 5084 04:01:18,280 --> 04:01:19,040 DISPROPORTIONATELY AFFECT SOME 5085 04:01:19,040 --> 04:01:21,840 CONDITIONS AND DISEASES IN TERMS 5086 04:01:21,840 --> 04:01:23,000 OF INCIDENTS, DIAGNOSES AND 5087 04:01:23,000 --> 04:01:23,840 COURSE AND RESPONSE TO 5088 04:01:23,840 --> 04:01:24,080 TREATMENT. 5089 04:01:24,080 --> 04:01:25,640 IN ADDITION, APPLICANTS WERE 5090 04:01:25,640 --> 04:01:30,440 ALSO ENCOURAGED TO CONSIDER THE 5091 04:01:30,440 --> 04:01:31,920 LIFE SPAN. 5092 04:01:31,920 --> 04:01:34,320 AS WE KNOW THE HEALTH OF GIRLS 5093 04:01:34,320 --> 04:01:35,880 AND WOMEN IS AFFECT THE 5094 04:01:35,880 --> 04:01:36,520 DEVELOPMENT AND PSYCHOLOGICAL 5095 04:01:36,520 --> 04:01:44,960 AGE. 5096 04:01:44,960 --> 04:01:48,000 IN ADDITION THERE'S LOOKING AT 5097 04:01:48,000 --> 04:01:51,280 LIFE IN THE ELDERLY YEARS AND 5098 04:01:51,280 --> 04:01:52,720 REPRODUCTIVE LIFE AND THE 5099 04:01:52,720 --> 04:01:55,960 MENOPAUSAL TRANSITION AND THE 5100 04:01:55,960 --> 04:01:57,840 ELDERLY AND FRAIL ELDERLY. 5101 04:01:57,840 --> 04:01:59,320 DISCUSS OF LIFE COURSE, LIFE 5102 04:01:59,320 --> 04:02:00,160 SPAN IS AN IMPORTANT ELEMENT FOR 5103 04:02:00,160 --> 04:02:07,200 THIS INITIATIVE. 5104 04:02:07,200 --> 04:02:09,000 ALSO, THE INITIATIVE INCORPORATE 5105 04:02:09,000 --> 04:02:11,960 INCORPORATES OR ENHANCING OUR 5106 04:02:11,960 --> 04:02:13,360 UNDERSTANDING OF THE INFLUENCE 5107 04:02:13,360 --> 04:02:17,240 OF SEX AND GENDER AND THE 5108 04:02:17,240 --> 04:02:20,680 INTERSECTIONALITY ACROSS A BROAD 5109 04:02:20,680 --> 04:02:25,360 ARRAY OF SCIENTIFIC DISCIPLINES. 5110 04:02:25,360 --> 04:02:26,800 THIS IS REFLECTED IN THE 5111 04:02:26,800 --> 04:02:30,840 INSTITUTES AND CENTERS AT NIH. 5112 04:02:30,840 --> 04:02:32,880 LASTLY, WE WERE FORTUNATE EXPAND 5113 04:02:32,880 --> 04:02:35,760 THE INITIATIVE TO INCLUDE 5114 04:02:35,760 --> 04:02:40,760 INVESTIGATIONS TO ADDRESS 5115 04:02:40,760 --> 04:02:48,920 CUTTING-EDGE STUDIES ON THE 5116 04:02:48,920 --> 04:02:51,160 UNDERSTANDING ON THE DEVELOPMENT 5117 04:02:51,160 --> 04:02:52,880 AND ADMINISTRATION OF 5118 04:02:52,880 --> 04:02:55,360 THERAPEUTIC VACCINES AND THE 5119 04:02:55,360 --> 04:02:58,400 INVESTIGATIONS WITH SEX AND 5120 04:02:58,400 --> 04:03:00,560 GENDER DIFFERENCES AND ACCESS TO 5121 04:03:00,560 --> 04:03:06,360 CARE THAT IS DIAGNOSIS, 5122 04:03:06,360 --> 04:03:08,400 TREATMENT AND HOSPITAL ADMISSION 5123 04:03:08,400 --> 04:03:10,360 OF COVID-19 AFFECTED INDIVIDUALS 5124 04:03:10,360 --> 04:03:11,800 AND WE HOPE IT WOULD ENCOURAGE 5125 04:03:11,800 --> 04:03:13,920 THE INVESTIGATION OF SEX AND 5126 04:03:13,920 --> 04:03:15,720 GENDER INFLUENCES ON THE OUTCOME 5127 04:03:15,720 --> 04:03:16,960 OF PATIENT INTERACTIONS WITH 5128 04:03:16,960 --> 04:03:35,920 HEALTH CARE PROVIDERS. 5129 04:03:35,920 --> 04:03:37,000 WITH THE PUBLICATION WE HAVE 5130 04:03:37,000 --> 04:03:39,640 THREE RECEIVE DATES. 5131 04:03:39,640 --> 04:03:41,000 GIVEN IT WAS PUBLISHED AND HAD A 5132 04:03:41,000 --> 04:03:42,360 SHORT TIME BEFORE THE FIRST 5133 04:03:42,360 --> 04:03:46,560 RECEIPT DATE WE HAD A ROBUST 5134 04:03:46,560 --> 04:03:47,640 RESPONSE FOR EACH OF THE DISEASE 5135 04:03:47,640 --> 04:03:48,200 STATES. 5136 04:03:48,200 --> 04:03:52,680 YOU SEE FOR THE FIRST DATE IN 5137 04:03:52,680 --> 04:03:56,640 FISCAL 2020 WE RECEIVED 5138 04:03:56,640 --> 04:03:59,920 APPLICATIONS FOR AND FOR FUNDED 5139 04:03:59,920 --> 04:04:03,640 AND A 2021 WE RECEIVED 46 5140 04:04:03,640 --> 04:04:04,800 APPLICATIONS AND NINE WERE 5141 04:04:04,800 --> 04:04:06,120 FUNDED AND THIS YEAR WE RECEIVED 5142 04:04:06,120 --> 04:04:08,680 ANOTHER 46 APPLICATIONS AND THEY 5143 04:04:08,680 --> 04:04:09,920 WERE SUBMITTED AS PART OF THE 5144 04:04:09,920 --> 04:04:13,560 THIRD AND FINAL CYCLE WERE JUST 5145 04:04:13,560 --> 04:04:15,280 REVIEWED LATE LAST WEEK SO CAN'T 5146 04:04:15,280 --> 04:04:18,240 UPDATE YOU ON THAT JUST YET. 5147 04:04:18,240 --> 04:04:23,280 TO DATE FOR 2002 AND 2021 AND 5148 04:04:23,280 --> 04:04:26,680 THE INVESTMENT HAS BEEN $9 5149 04:04:26,680 --> 04:04:38,320 MILLION WITH AN OVERALL SUCCESS 5150 04:04:38,320 --> 04:04:41,320 RATE. 5151 04:04:41,320 --> 04:04:43,080 THANK YOU TO THE PARTNERS THAT 5152 04:04:43,080 --> 04:04:43,680 CONTRIBUTE AND FUNDING OF THE 5153 04:04:43,680 --> 04:04:50,080 INVESTIGATORS. 5154 04:04:50,080 --> 04:04:52,440 THIS SHOWS A NUMBER OF 5155 04:04:52,440 --> 04:04:53,160 APPLICATIONS SUBMITTED BY 5156 04:04:53,160 --> 04:04:54,200 INSTITUTE PARTNERS. 5157 04:04:54,200 --> 04:05:01,800 THE BIG WINNER IS NHLBI WITH 5158 04:05:01,800 --> 04:05:04,440 OVER 24% AFTER APPLICATIONS 5159 04:05:04,440 --> 04:05:05,920 SUBMITTED FOR THE THREE RECEIPT 5160 04:05:05,920 --> 04:05:10,280 DATES. 5161 04:05:10,280 --> 04:05:13,440 WHAT'S REMARKABLE IS NHLBI 5162 04:05:13,440 --> 04:05:14,760 JOINED THE INITIATIVE NOT IN THE 5163 04:05:14,760 --> 04:05:16,640 FIRST ROUND BUT BEGINNING WITH 5164 04:05:16,640 --> 04:05:21,720 THE SECOND RECEIPT DATE. 5165 04:05:21,720 --> 04:05:31,000 VERY REMARKABLE. 5166 04:05:31,000 --> 04:05:33,480 THE EXPANSION OF THE INITIATIVE 5167 04:05:33,480 --> 04:05:34,200 BETWEEN INCLUDE COVID ARE IN THE 5168 04:05:34,200 --> 04:05:39,080 SECOND ROUND OF APPLICATIONS. 5169 04:05:39,080 --> 04:05:41,440 THE SEX AND GENDER MINORITY 5170 04:05:41,440 --> 04:05:45,200 RESEARCH OFFICE ALSO SIGNED ON 5171 04:05:45,200 --> 04:05:47,440 TO THIS INITIATIVE AND EXPRESSED 5172 04:05:47,440 --> 04:05:50,400 THEIR INTEREST IN CO-FUNDING 5173 04:05:50,400 --> 04:05:50,680 APPLICATION. 5174 04:05:50,680 --> 04:05:53,440 ONE THING TO NOTE THAT SPEAKS TO 5175 04:05:53,440 --> 04:05:59,160 THE IMPORT OF THIS IS NIA SIGNED 5176 04:05:59,160 --> 04:06:02,760 ALL THREE ROUNDS BUT IN THE 5177 04:06:02,760 --> 04:06:04,400 SECOND ROUND THE LIMITED 5178 04:06:04,400 --> 04:06:06,520 APPLICATIONS TO THOSE RELEVANT 5179 04:06:06,520 --> 04:06:07,240 TO ALZHEIMER'S DISEASE ONLY IN 5180 04:06:07,240 --> 04:06:08,840 THE SECOND ROUND. 5181 04:06:08,840 --> 04:06:10,720 I THINK DUE IN PART TO THAT THE 5182 04:06:10,720 --> 04:06:14,400 NUMBER OF APPLICATIONS SUBMITTED 5183 04:06:14,400 --> 04:06:15,600 IN THE SECOND ROUND TO THE 5184 04:06:15,600 --> 04:06:16,200 MISSION WERE REDUCED BY OVER 5185 04:06:16,200 --> 04:06:22,920 HALF. 5186 04:06:22,920 --> 04:06:26,280 I THINK THIS DEVELOPMENT AND THE 5187 04:06:26,280 --> 04:06:29,240 FACT THAT NHLBI HAD SO MANY 5188 04:06:29,240 --> 04:06:31,600 APPLICATIONS WITH ONLY TWO 5189 04:06:31,600 --> 04:06:32,440 RECEIPT DATES SPEAKS TO THE 5190 04:06:32,440 --> 04:06:36,000 IMPORTANCE OF THE INITIATIVE AND 5191 04:06:36,000 --> 04:06:38,640 INTEREST IN THIS SCIENTIFIC 5192 04:06:38,640 --> 04:06:40,840 RESEARCH TOPIC IN THE BIOMEDICAL 5193 04:06:40,840 --> 04:06:55,360 COMMUNITY. 5194 04:06:55,360 --> 04:06:57,000 AT THE BOTTOM WE SEE THE OVERALL 5195 04:06:57,000 --> 04:06:59,320 NUMBER OF APPLICATIONS HAVE 5196 04:06:59,320 --> 04:07:00,160 REMAINED STABLE OVER THE THREE 5197 04:07:00,160 --> 04:07:04,840 RECEIPT DATES. 5198 04:07:04,840 --> 04:07:06,640 WHEN YOU CONSIDER THE NUMBER OF 5199 04:07:06,640 --> 04:07:08,840 NEW AND EARLY STAGE APPLICANTS, 5200 04:07:08,840 --> 04:07:14,400 THEY REPRESENT AN INCREASING 5201 04:07:14,400 --> 04:07:17,600 PERCENTAGE OF THE APPLICANT 5202 04:07:17,600 --> 04:07:17,800 POOL. 5203 04:07:17,800 --> 04:07:20,440 YOU CAN SEE THAT HERE GOING TO 5204 04:07:20,440 --> 04:07:21,560 24 NEW OR EARLY STAGE 5205 04:07:21,560 --> 04:07:26,440 INVESTIGATORS OVER THE THREE 5206 04:07:26,440 --> 04:07:30,200 YEARS OF THE RFA. 5207 04:07:30,200 --> 04:07:31,760 THE BOTTOM LINE IS WE HAVE TO 5208 04:07:31,760 --> 04:07:35,200 DATE AN OVERALL SUCCESS RATE OF 5209 04:07:35,200 --> 04:07:40,000 APPLICANTS OF 17% BUT THE 5210 04:07:40,000 --> 04:07:43,200 SUCCESS RATE OF NEW AND EARLY 5211 04:07:43,200 --> 04:07:45,160 STAGE INVESTIGATORS IS 30% WHICH 5212 04:07:45,160 --> 04:07:47,240 TOPS THE NEW INVESTIGATOR 5213 04:07:47,240 --> 04:07:47,880 SUCCESS RATE. 5214 04:07:47,880 --> 04:07:51,000 AND MOREOVER, NEW AND EARLY 5215 04:07:51,000 --> 04:07:51,960 STAGE INVESTIGATORS REPRESENTED 5216 04:07:51,960 --> 04:07:54,240 ALMOST HALF OF THE AWARDEES FOR 5217 04:07:54,240 --> 04:07:55,640 THE PROGRAM WHICH I THINK AGAIN 5218 04:07:55,640 --> 04:07:57,280 SPEAKS TO THE COMPETITIVENESS OF 5219 04:07:57,280 --> 04:07:59,200 THE NEW INVESTIGATORS AND THE 5220 04:07:59,200 --> 04:07:59,680 IMPORT OF THIS FIELD OF 5221 04:07:59,680 --> 04:08:10,360 RESEARCH. 5222 04:08:10,360 --> 04:08:11,520 IN THE NEXT TWO SLIDES I 5223 04:08:11,520 --> 04:08:12,680 HIGHLIGHT THE TITLES OF THE 5224 04:08:12,680 --> 04:08:15,120 FUNDED AWARDS YOU CAN SEE SO THE 5225 04:08:15,120 --> 04:08:18,480 TITLES AND TOPIC AND THE 5226 04:08:18,480 --> 04:08:20,280 INSTITUTES THAT SUPPORTED THE 5227 04:08:20,280 --> 04:08:23,320 APPLICATIO 5228 04:08:23,320 --> 04:08:23,920 APPLICATIONS. 5229 04:08:23,920 --> 04:08:28,760 DR. CLAYTON, I KNOW HERE THAT IN 5230 04:08:28,760 --> 04:08:32,640 THE CLASS OF 2020 IS A NEW 5231 04:08:32,640 --> 04:08:34,160 INVESTIGATOR, DR. IS A MARD WHO 5232 04:08:34,160 --> 04:08:36,000 DR. CLAYTON HIGHLIGHTED IN HER 5233 04:08:36,000 --> 04:08:50,440 DIRECTOR'S REPORT. 5234 04:08:50,440 --> 04:08:52,760 THESE ARE THE INVESTIGATORS 5235 04:08:52,760 --> 04:08:54,480 FUNDED AND YOU CAN SEE HERE VERY 5236 04:08:54,480 --> 04:08:57,080 DIVERSE TOPICS FUNDED BY SEVERAL 5237 04:08:57,080 --> 04:08:58,720 NIH INSTITUTES. 5238 04:08:58,720 --> 04:09:04,840 AGAIN, HERE WE SAW 50% OF THE 5239 04:09:04,840 --> 04:09:10,120 AWARDEES WERE NEW INVESTIGATORS. 5240 04:09:10,120 --> 04:09:12,840 I'D ALSO LIKE TO SAY A NUMBER OF 5241 04:09:12,840 --> 04:09:14,320 THESE INVESTIGATORS HAVE BEEN 5242 04:09:14,320 --> 04:09:15,040 TAPPED TO SERVE ON NIH STUDY 5243 04:09:15,040 --> 04:09:19,000 SECTIONS. 5244 04:09:19,000 --> 04:09:20,280 WITH THIS I'D LIKE TO HIGHLIGHT 5245 04:09:20,280 --> 04:09:25,680 THE WORK OF ANOTHER NEW 5246 04:09:25,680 --> 04:09:28,840 INVESTIGATOR, DR. SILVERIA. 5247 04:09:28,840 --> 04:09:31,000 SHE IS AN ASSOCIATE PROFESSOR AT 5248 04:09:31,000 --> 04:09:31,480 INDIANA UNIVERSITY IN 5249 04:09:31,480 --> 04:09:36,760 BLOOMINGTON. 5250 04:09:36,760 --> 04:09:39,160 HER OBSERVATION WAS ASTHMA 5251 04:09:39,160 --> 04:09:41,400 IMPACTS SEX DIFFERENTLY THROUGH 5252 04:09:41,400 --> 04:09:44,600 THE DEVELOP AND PRE AND POST 5253 04:09:44,600 --> 04:09:46,240 PUBERTY AS WELL AS THE MENSTRUAL 5254 04:09:46,240 --> 04:09:46,560 CYCLE. 5255 04:09:46,560 --> 04:09:49,840 STARTING AROUND PUBERTY AND 5256 04:09:49,840 --> 04:09:52,640 PEAKING DURING MIDLIFE, WOMEN 5257 04:09:52,640 --> 04:09:56,200 HAVE HIGHER RATES OF ASTHMA 5258 04:09:56,200 --> 04:09:58,920 ASKA 5259 04:09:58,920 --> 04:09:59,640 ASKA 5260 04:09:59,640 --> 04:10:04,440 AS -- EXACERBATIONS AND 5261 04:10:04,440 --> 04:10:06,600 MECHANISMS CONTROLLED BY 5262 04:10:06,600 --> 04:10:08,440 HORMONES CONTRIBUTE TO 5263 04:10:08,440 --> 04:10:10,360 DIFFERENCES IN AIRWAY ACTIVITY 5264 04:10:10,360 --> 04:10:12,520 IN RESPONSE TO ENVIRONMENTAL 5265 04:10:12,520 --> 04:10:13,480 STIMULI. 5266 04:10:13,480 --> 04:10:18,080 HER STUDY ENTITLED GONADAL 5267 04:10:18,080 --> 04:10:22,960 HORMONES OF SEX MEDIATORS IN 5268 04:10:22,960 --> 04:10:27,800 ASTHMA IS CO-FUNDED BY THE 5269 04:10:27,800 --> 04:10:28,440 NATIONAL HEART, LUNG AND BLOOD 5270 04:10:28,440 --> 04:10:29,640 INSTITUTE AND THIS IS THE FIRST 5271 04:10:29,640 --> 04:10:32,240 STUDY TO LOOK AT THIS IN ASTHMA 5272 04:10:32,240 --> 04:10:34,800 PHENOTYPES IN MALE AND FEMALE 5273 04:10:34,800 --> 04:10:35,400 LUNG CONTRIBUTING TO THE 5274 04:10:35,400 --> 04:10:42,160 CHARACTERIZATION OF SEX AND 5275 04:10:42,160 --> 04:10:48,200 GENDER SPECIFIC FACTORS FOR 5276 04:10:48,200 --> 04:10:58,800 FEMINIZING THIS IN MICROBIOLOGY 5277 04:10:58,800 --> 04:11:01,520 AND THERE'S THE USE OF THE MOUSE 5278 04:11:01,520 --> 04:11:07,200 MODEL AS WELL AS HUMAN CELLS 5279 04:11:07,200 --> 04:11:14,840 THAT WEREEXPOSED IN AN ASTHMA 5280 04:11:14,840 --> 04:11:19,240 PARADIGM IN A MOUSE MODEL AND TO 5281 04:11:19,240 --> 04:11:23,080 IMPROVE CLINICAL PRACTICALS FOR 5282 04:11:23,080 --> 04:11:28,320 CISGENDER AND TRANSGENDER 5283 04:11:28,320 --> 04:11:35,440 COHORT. 5284 04:11:35,440 --> 04:11:38,120 IN THE SHORT THREE RECEIPT DATES 5285 04:11:38,120 --> 04:11:40,800 THE SEX AND GENDER RO1 HAS 5286 04:11:40,800 --> 04:11:46,360 SUCCESSFULLY MET ITS OBJECTIVES. 5287 04:11:46,360 --> 04:11:47,440 TO SIMULATE RESEARCH TO 5288 04:11:47,440 --> 04:11:49,160 UNDERSTAND THE INFLUENCE OF SEX 5289 04:11:49,160 --> 04:11:52,120 AND GENDER AND INTERSECTIONALITY 5290 04:11:52,120 --> 04:11:54,480 IN HEALTH OUTCOMES ACROSS A 5291 04:11:54,480 --> 04:12:00,160 BROAD ARRAY OF SCIENTIFIC DIN 5292 04:12:00,160 --> 04:12:03,240 DISCIPLINES TO LOOK AT SEX-BASED 5293 04:12:03,240 --> 04:12:04,680 VARIABLES INCLUDING THE 5294 04:12:04,680 --> 04:12:06,080 EVALUATION OF SEX AS A VARIABLE 5295 04:12:06,080 --> 04:12:07,760 AND SEX-BASED COMPARISONS OR 5296 04:12:07,760 --> 04:12:14,120 CONDITIONS IN MALES AND AND 5297 04:12:14,120 --> 04:12:15,200 BIOLOGY DIFFERENCES LIKE 5298 04:12:15,200 --> 04:12:16,840 HORMONES OR ANATOMY OR 5299 04:12:16,840 --> 04:12:24,840 BIOMARKERS. 5300 04:12:24,840 --> 04:12:26,280 ASSESSMENT OF PSYCHOSOCIAL 5301 04:12:26,280 --> 04:12:28,080 VARIABLES RELEVANT TO HEALTH 5302 04:12:28,080 --> 04:12:29,560 CONDITIONS, MEASURES OF SOCIALLY 5303 04:12:29,560 --> 04:12:31,720 CONSTRUCTIVE ROLES, EXPERIENCES, 5304 04:12:31,720 --> 04:12:35,840 IDENTITIES OR BEHAVIOR OF GIRLS 5305 04:12:35,840 --> 04:12:37,000 AND WOMEN BOYS, MEN OR GENDER 5306 04:12:37,000 --> 04:12:44,840 DIVERSE PEOPLE. 5307 04:12:44,840 --> 04:12:53,520 IN ADDITION THE RFA HAS HAD 5308 04:12:53,520 --> 04:12:57,840 UNEXPECTED BUT POSITIVE 5309 04:12:57,840 --> 04:13:00,000 DEVELOPMENTS TO ADVANCE WOMEN'S 5310 04:13:00,000 --> 04:13:17,800 HEALTH. 5311 04:13:17,800 --> 04:13:20,600 IT HAS IDENTIFIED A CADRE OF 5312 04:13:20,600 --> 04:13:23,960 REVIEWERS IN EXPERTISE IN SEX 5313 04:13:23,960 --> 04:13:25,040 AND GENDER AND THE INTERSECTION 5314 04:13:25,040 --> 04:13:32,840 OF SEX AND GENDER IN RESEARCH. 5315 04:13:32,840 --> 04:13:34,440 IT STIMULATED RESEARCH IN UNDER 5316 04:13:34,440 --> 04:13:38,000 STUDIED POPULATIONS AND WITH 5317 04:13:38,000 --> 04:13:40,680 EXPANSION TO INCLUDE COVID, THE 5318 04:13:40,680 --> 04:13:43,240 SEX GENDER RO1 ADVANCES RESEARCH 5319 04:13:43,240 --> 04:13:47,440 ON THE CONSIDERATION OF SEX AND 5320 04:13:47,440 --> 04:13:47,880 GENDER RESEARCH AND 5321 04:13:47,880 --> 04:14:06,200 INTERSECTIONALITY IN SARS COV2. 5322 04:14:06,200 --> 04:14:10,000 THIS HAS REACHED A DIVIDEND FOR 5323 04:14:10,000 --> 04:14:11,440 THE SCIENTIFIC COMMUNITY AT 5324 04:14:11,440 --> 04:14:11,640 LARGE. 5325 04:14:11,640 --> 04:14:14,640 FOR FUTURE DIRECTIONS WE 5326 04:14:14,640 --> 04:14:16,080 RECOMMEND RE-ISSUANCE OF SEX AND 5327 04:14:16,080 --> 04:14:18,520 GENDER INFLUENCES ON HEALTH AND 5328 04:14:18,520 --> 04:14:20,320 DISEASE RESEARCH AS AN RO1 5329 04:14:20,320 --> 04:14:22,040 MECHANISM AND WITH THAT WE WOULD 5330 04:14:22,040 --> 04:14:22,760 ENCOURAGE ADDITIONAL INSTITUTES 5331 04:14:22,760 --> 04:14:25,960 AND CENTERS TO PARTNER WHICH I 5332 04:14:25,960 --> 04:14:34,240 THINK IS QUITE POSSIBLE. 5333 04:14:34,240 --> 04:14:36,880 AS PART OF THE FUTURE INITIATIVE 5334 04:14:36,880 --> 04:14:38,440 WE RECOMMEND EXPANDING THE 5335 04:14:38,440 --> 04:14:40,840 SCIENTIFIC AREAS OF INTEREST TO 5336 04:14:40,840 --> 04:14:42,480 NOW INCLUDE COVID-19 AND TO 5337 04:14:42,480 --> 04:14:46,440 HIGHLIGHT THE FACT THAT WE HAVE 5338 04:14:46,440 --> 04:14:49,160 AN OPPORTUNITY HERE TO LEVERAGE 5339 04:14:49,160 --> 04:14:51,160 AND CURATE LARGE SEX AND GENDER 5340 04:14:51,160 --> 04:14:53,240 DATA SET AND WOULD LIKE TO 5341 04:14:53,240 --> 04:14:57,240 FACILITATE NA IN A FUTURE 5342 04:14:57,240 --> 04:14:57,560 INITIATIVE. 5343 04:14:57,560 --> 04:15:00,320 WE HAVE A WEALTH OF CUTTING EDGE 5344 04:15:00,320 --> 04:15:01,840 TOPICS AND WE'D LIKE TO 5345 04:15:01,840 --> 04:15:03,680 HIGHLIGHT THAT WITH OUR NEW 5346 04:15:03,680 --> 04:15:04,200 INVESTIGATORS IN A NEW 5347 04:15:04,200 --> 04:15:16,760 INVESTIGATORS FORUM. 5348 04:15:16,760 --> 04:15:18,760 WE'D LIKE TO THANK OUR BE 5349 04:15:18,760 --> 04:15:20,000 SCIENTIFIC PARTNERS AND WE'RE 5350 04:15:20,000 --> 04:15:21,360 LOOKING FOR MORE WITH YOUR 5351 04:15:21,360 --> 04:15:22,240 CONCURRENCE FOR THE NEW 5352 04:15:22,240 --> 04:15:25,600 INITIATIVE AND WITH THAT I WILL 5353 04:15:25,600 --> 04:15:26,080 STOP AND TAKE QUESTIONS. 5354 04:15:26,080 --> 04:15:36,600 THANK YOU VERY MUCH. 5355 04:15:36,600 --> 04:15:41,280 >> FEEL FREE TO L UTILIZE THE 5356 04:15:41,280 --> 04:15:42,520 CHAT AND WE HAVE A FEW MINUTES 5357 04:15:42,520 --> 04:16:00,440 FOR QUESTIONS. 5358 04:16:00,440 --> 04:16:01,160 DR. ANDERSON. 5359 04:16:01,160 --> 04:16:02,080 >> THANK YOU. 5360 04:16:02,080 --> 04:16:03,040 GREAT TO SEE THIS. 5361 04:16:03,040 --> 04:16:04,360 I'M VERY SUPPORTIVE. 5362 04:16:04,360 --> 04:16:05,960 I HAVE A QUESTION FOR 5363 04:16:05,960 --> 04:16:06,640 CLARIFICATION. 5364 04:16:06,640 --> 04:16:08,600 FOR CONDITIONS THAT OCCUR IN 5365 04:16:08,600 --> 04:16:11,240 BOTH MEN AND WOMEN, ARE THE 5366 04:16:11,240 --> 04:16:12,640 PROPOSALS REQUIRED TO ADDRESS 5367 04:16:12,640 --> 04:16:19,920 BOTH SEXES OR CAN THERE BE 5368 04:16:19,920 --> 04:16:27,200 SEX-SPECIFIC PROPOSALS? 5369 04:16:27,200 --> 04:16:28,640 >> AS LONG AS THEY ADDRESS SEX 5370 04:16:28,640 --> 04:16:35,080 AND GENDER. 5371 04:16:35,080 --> 04:16:36,680 THEY HAVE TO ADDRESS BOTH SEX 5372 04:16:36,680 --> 04:16:40,840 AND GENDER AND ADDRESS THE 5373 04:16:40,840 --> 04:16:41,240 GENDER VARIABLE. 5374 04:16:41,240 --> 04:16:49,680 >> THANK YOU. 5375 04:16:49,680 --> 04:16:50,800 >> ALL RIGHT. 5376 04:16:50,800 --> 04:16:53,240 DR. CLAYTON, IS IT OKAY IF WE 5377 04:16:53,240 --> 04:17:01,200 MOVE ON TO TAKE THE VOTE? 5378 04:17:01,200 --> 04:17:10,760 I DON'T SEE OTHER QUESTIONS. 5379 04:17:10,760 --> 04:17:12,160 >> THANK YOU DR. ANDAND 5380 04:17:12,160 --> 04:17:13,200 DR. HUNTER. 5381 04:17:13,200 --> 04:17:17,440 WE'LL MOVE TON VOTE AND APPROVE 5382 04:17:17,440 --> 04:17:18,520 THE CONCEPT CLEARANCE FOR SEX 5383 04:17:18,520 --> 04:17:21,880 AND GENDER INFLUENCES ON HEALTH 5384 04:17:21,880 --> 04:17:24,640 AND DISEASE RO1 RE-ISSUANCE. 5385 04:17:24,640 --> 04:17:25,680 IS THERE A MOTION ON THE TABLE 5386 04:17:25,680 --> 04:17:29,280 TO APPROVE THE CONCEPT CLEARANCE 5387 04:17:29,280 --> 04:17:32,440 NOR THE INTEROCEPTION ON HEALTH 5388 04:17:32,440 --> 04:17:38,640 AND DISEASE RO1 RE-ISSUANCE. 5389 04:17:38,640 --> 04:17:42,000 >> I MOVE. 5390 04:17:42,000 --> 04:17:45,160 >> DR. REGENSTEINER HAS 5391 04:17:45,160 --> 04:17:46,000 SUBMITTED THE MOTION. 5392 04:17:46,000 --> 04:17:47,960 DO I HEAR A SECOND? 5393 04:17:47,960 --> 04:17:52,160 >> I SECOND. 5394 04:17:52,160 --> 04:17:54,120 >> THANK YOU. 5395 04:17:54,120 --> 04:17:59,920 A POLL HAS BEENTO RESPOND. 5396 04:17:59,920 --> 04:18:01,440 ENTER NOW AS YOU'LL HAVE ONLY 30 5397 04:18:01,440 --> 04:18:38,080 SECONDS TO RESPOND. 5398 04:18:38,080 --> 04:18:38,680 ALL RIGHT. 5399 04:18:38,680 --> 04:18:44,360 DO WE HAVE A RECORD OF THE 5400 04:18:44,360 --> 04:18:46,200 VOTES? 5401 04:18:46,200 --> 04:18:48,840 THE RE-ISSUANCE HAS BEEN 5402 04:18:48,840 --> 04:18:54,840 ACCEPTED WITH 13 IN FAVOR. 5403 04:18:54,840 --> 04:18:56,520 THANKS, AGAIN, EVERYONE. 5404 04:18:56,520 --> 04:19:00,520 IT'S MY PLEASURE TO WELCOME 5405 04:19:00,520 --> 04:19:01,040 DR. BARR. 5406 04:19:01,040 --> 04:19:03,760 SHE'S A SOCIAL AND BEHAVIORAL 5407 04:19:03,760 --> 04:19:06,800 SCIENTIST ADMINISTRATOR AT ORWH. 5408 04:19:06,800 --> 04:19:09,560 SHE COORDINATES ORWH 5409 04:19:09,560 --> 04:19:10,320 INTERPROFESSIONAL EDUCATION 5410 04:19:10,320 --> 04:19:12,760 EFFORTS, CO-LEADS THE DIVERSE 5411 04:19:12,760 --> 04:19:16,840 VOICES SPEAKER SERIES AND 5412 04:19:16,840 --> 04:19:18,200 SUPPORTS EFFORTS TO GENDER 5413 04:19:18,200 --> 04:19:20,360 VARIABLES IN HEALTH RESEARCH. 5414 04:19:20,360 --> 04:19:23,640 HER BACKGROUND IS IN 5415 04:19:23,640 --> 04:19:25,360 COMMUNITY-CENTERED RESEARCH, HIV 5416 04:19:25,360 --> 04:19:28,840 TREATMENT AND REPRODUCTIVE 5417 04:19:28,840 --> 04:19:30,000 JUSTICE AND GENDER-BASED 5418 04:19:30,000 --> 04:19:30,240 VIOLENCE. 5419 04:19:30,240 --> 04:19:35,800 WELCOME. 5420 04:19:35,800 --> 04:19:36,400 >> THANK YOU. 5421 04:19:36,400 --> 04:19:42,000 I'M TO SEEK INPUT ON A NEW 5422 04:19:42,000 --> 04:19:43,640 PROGRAM GALVANIZING HEALTH 5423 04:19:43,640 --> 04:19:44,560 EQUITY THROUGH DIVERSE AND 5424 04:19:44,560 --> 04:19:52,840 EDUCATIONAL RESOURCE OR GENDER. 5425 04:19:52,840 --> 04:19:55,040 THIS SHOWS THE STRATEGIC GOALS 5426 04:19:55,040 --> 04:19:56,440 OUTLINED IN THE TRANS-NIH 5427 04:19:56,440 --> 04:19:57,000 STRATEGIC PLAN FOR WOMEN'S 5428 04:19:57,000 --> 04:20:01,760 HEALTH RESEARCH. 5429 04:20:01,760 --> 04:20:02,840 GOAL FOUR TO PROMOTE TRAINING 5430 04:20:02,840 --> 04:20:04,040 AND CAREER TO ADVANCE SCIENCE 5431 04:20:04,040 --> 04:20:09,400 FOR THE HEALTH OF WOMEN IS OF 5432 04:20:09,400 --> 04:20:15,360 PARTICULAR RELEVANCE FOR THIS 5433 04:20:15,360 --> 04:20:15,680 PRESENTATION. 5434 04:20:15,680 --> 04:20:17,520 KNOWLEDGE OF SEX AND GENDER 5435 04:20:17,520 --> 04:20:19,360 INFLUENCES SHOULD BE INTEGRATED 5436 04:20:19,360 --> 04:20:22,200 WITH THE SKILLS THAT NURTURE 5437 04:20:22,200 --> 04:20:22,760 EFFECTIVE RESEARCHERS AND 5438 04:20:22,760 --> 04:20:25,480 DEVELOPMENT AND IMPLEMENTATION 5439 04:20:25,480 --> 04:20:26,560 OF EDUCATIONAL TRAINING PROGRAMS 5440 04:20:26,560 --> 04:20:28,880 WILL BE NEEDED TO UPDATE THE 5441 04:20:28,880 --> 04:20:32,120 KNOWLEDGE AND SKILL OF CURRENT 5442 04:20:32,120 --> 04:20:32,760 BIOMEDICAL RESEARCHERS AS WELL 5443 04:20:32,760 --> 04:20:35,920 AS THOSE RETURNING TO OR 5444 04:20:35,920 --> 04:20:41,240 ENTERING THE WORKFORCE. 5445 04:20:41,240 --> 04:20:42,600 IT HAS BEEN WELL DOCUMENTED THAT 5446 04:20:42,600 --> 04:20:44,520 TRAINING ON SEX AND GENDER IN 5447 04:20:44,520 --> 04:20:46,880 HEALTH IS LACKING. 5448 04:20:46,880 --> 04:20:48,080 EXISTING DATA SUGGESTS THE 5449 04:20:48,080 --> 04:20:51,320 CONCEPTS OF SEX AND GENDER IN 5450 04:20:51,320 --> 04:20:54,000 HEALTH ARE UNDER EXPLORED ACROSS 5451 04:20:54,000 --> 04:20:57,320 HEALTH RELATED FIELD INCLUDING 5452 04:20:57,320 --> 04:21:00,040 MEDICAL EDUCATION, PHARMACY 5453 04:21:00,040 --> 04:21:06,440 CURRICULA AND EMERGENCY MEDICINE 5454 04:21:06,440 --> 04:21:09,200 RESIDENCY PROGRAMS RECENT 5455 04:21:09,200 --> 04:21:13,080 STUDIES FOUND LESS THAN HALF OF 5456 04:21:13,080 --> 04:21:14,520 PHARMACY FACULTY TAUGHT ON 5457 04:21:14,520 --> 04:21:16,240 GENDERER OR SEX-RELATED 5458 04:21:16,240 --> 04:21:16,840 DIFFERENCE. 5459 04:21:16,840 --> 04:21:18,840 A STUDY FOUND THAT MEDICAL 5460 04:21:18,840 --> 04:21:20,600 STUDENTS HAVE A STRONG DESIRE 5461 04:21:20,600 --> 04:21:24,080 FOR SEX AND GENDER-SPECIFIC 5462 04:21:24,080 --> 04:21:25,880 TRAINING HOWEVER, LESS THAN HALF 5463 04:21:25,880 --> 04:21:29,520 FEEL PREPARED TO APPLY KNOWLEDGE 5464 04:21:29,520 --> 04:21:29,840 CLINICALLY. 5465 04:21:29,840 --> 04:21:32,760 THE IMPLICATIONS OF THIS DEARTH 5466 04:21:32,760 --> 04:21:39,280 OF TRAINING ARE WIDE RANGING. 5467 04:21:39,280 --> 04:21:40,440 COORDINATED EFFORTS HAVE BEEN 5468 04:21:40,440 --> 04:21:41,720 IDENTIFIED AS CRUCIAL TO MOVING 5469 04:21:41,720 --> 04:21:44,240 THE NEEDLE ON SEX AND GENDER 5470 04:21:44,240 --> 04:21:46,040 SPECIFIC TRAINING FOR 5471 04:21:46,040 --> 04:21:48,040 INDIVIDUALS AT ALL CAREER STAGES 5472 04:21:48,040 --> 04:21:59,080 IN HEALTH-RELATED FIELD. 5473 04:21:59,080 --> 04:22:00,960 I WOULD LIKE TO TURN TO 5474 04:22:00,960 --> 04:22:01,520 INTERPROFESSIONAL EDUCATION 5475 04:22:01,520 --> 04:22:07,120 EFFORTS. 5476 04:22:07,120 --> 04:22:09,440 OUR PROGRAM IS CURRENTLY PRICED 5477 04:22:09,440 --> 04:22:12,560 OF FIVE OFFERINGS. 5478 04:22:12,560 --> 04:22:14,040 FIRST IS BENCH TO BEDSIDE 5479 04:22:14,040 --> 04:22:15,800 INTEGRATING SEX AND GENDER TO 5480 04:22:15,800 --> 04:22:16,840 IMPROVE HUMAN HEALTH DEVELOPED 5481 04:22:16,840 --> 04:22:23,040 IN PARTNERSHIP WITH THE FDA 5482 04:22:23,040 --> 04:22:24,560 OFFICE OF WOMEN'S HEALTH AND 5483 04:22:24,560 --> 04:22:26,160 COURSE EXAMPLES FROM BASIC 5484 04:22:26,160 --> 04:22:26,880 SCIENCE THROUGH CLINICAL TRIALS 5485 04:22:26,880 --> 04:22:28,520 AND TRANSLATION INTO SCIENCE TO 5486 04:22:28,520 --> 04:22:31,040 PROVIDE AN UNDERSTANDING OF THE 5487 04:22:31,040 --> 04:22:31,880 IMPORTANCE OF CONSIDERING THE 5488 04:22:31,880 --> 04:22:34,400 INFLUENCE OF SEX AND GENDER 5489 04:22:34,400 --> 04:22:35,120 ACROSS THE RESEARCH SPECTRUM AND 5490 04:22:35,120 --> 04:22:37,840 BEYOND. 5491 04:22:37,840 --> 04:22:40,040 THROUGH THE MODULE THE COURSE 5492 04:22:40,040 --> 04:22:41,200 FOCUSES ON KEY HEALTH CONDITIONS 5493 04:22:41,200 --> 04:22:43,800 ON WHICH SEX AND GENDER HAVE AN 5494 04:22:43,800 --> 04:22:44,120 IMPACT. 5495 04:22:44,120 --> 04:22:52,840 THE MODULES ARE SHOWN HERE AND 5496 04:22:52,840 --> 04:22:53,840 IMMUNOLOGY, CARDIOVASCULAR 5497 04:22:53,840 --> 04:22:54,920 DISEASE AND PULMONARY DISEASE 5498 04:22:54,920 --> 04:22:55,880 AND MENTAL HEALTH. 5499 04:22:55,880 --> 04:22:58,800 AS DR. CLAYTON ANNOUNCED 5500 04:22:58,800 --> 04:22:59,440 EARLIER, WE ARE THRILLED TO 5501 04:22:59,440 --> 04:23:01,400 SHARE WITH YOU THE NEWS THAT 5502 04:23:01,400 --> 04:23:04,840 THROUGH THE JOINT PROVIDERSHIP 5503 04:23:04,840 --> 04:23:07,560 OF JOHNS HOPKINS SCHOOL OF 5504 04:23:07,560 --> 04:23:13,440 MEDICINE AND NIH THEY DESIGNATED 5505 04:23:13,440 --> 04:23:23,160 BENCH TO BEDSIDE FOR CREDITS AND 5506 04:23:23,160 --> 04:23:24,680 OTHERS ARE THE NATIONAL 5507 04:23:24,680 --> 04:23:26,080 CERTIFICATION PROGRAM AND THE 5508 04:23:26,080 --> 04:23:28,160 NATIONAL COMMISSION ON VERT 5509 04:23:28,160 --> 04:23:29,280 FICTION OF PHYSICIAN ASSISTANTS 5510 04:23:29,280 --> 04:23:34,960 SO WE'RE EXCITED ABOUT THAT 5511 04:23:34,960 --> 04:23:35,400 DEVELOPMENT. 5512 04:23:35,400 --> 04:23:38,640 WHEN THE CME LAUNCHED LAST MONTH 5513 04:23:38,640 --> 04:23:41,240 WE BUILT SURVEYS BUILT IN THE 5514 04:23:41,240 --> 04:23:43,320 AND THEY'LL TRACK LEARNERS' 5515 04:23:43,320 --> 04:23:44,200 ATTITUDES AND KNOWLEDGE ABOUT 5516 04:23:44,200 --> 04:23:46,200 SEX AND GENDER AND USED FOR 5517 04:23:46,200 --> 04:23:54,760 ONGOING PROGRAM EVALUATION. 5518 04:23:54,760 --> 04:23:58,440 AND THE SECOND IS THE NATIONAL 5519 04:23:58,440 --> 04:24:01,960 INSTITUTE OF SCIENCES AND THE 5520 04:24:01,960 --> 04:24:04,840 PRIMER INCLUDES FOUR INTERACTIVE 5521 04:24:04,840 --> 04:24:07,880 MODULE WALK USERS HOW TO 5522 04:24:07,880 --> 04:24:10,000 CONSIDER SEX AS A BIOLOGICAL 5523 04:24:10,000 --> 04:24:11,040 VARIABLE IN THE SPECTRUM. 5524 04:24:11,040 --> 04:24:14,840 THE FOUR MODULES OF THE COURSE 5525 04:24:14,840 --> 04:24:16,400 CLARIFY THE REQUIREMENT OF THE 5526 04:24:16,400 --> 04:24:19,840 NIH, SABV POLICY AS WELL AS 5527 04:24:19,840 --> 04:24:20,480 ADDRESSING MONTHS AND PERCEIVED 5528 04:24:20,480 --> 04:24:32,840 CHALLENGES TO IMPLEMENTATION. 5529 04:24:32,840 --> 04:24:36,640 WE HAD A COURSE DESIGNED FOR THE 5530 04:24:36,640 --> 04:24:38,640 RESEARCH COMMUNED AND 5531 04:24:38,640 --> 04:24:40,320 RESEARCHERS AND GRANT APPLICANTS 5532 04:24:40,320 --> 04:24:42,040 AND TRAINING TO ACCOUNT FOR AND 5533 04:24:42,040 --> 04:24:45,600 TEACH THE SABV POLICY. 5534 04:24:45,600 --> 04:24:47,720 THE COURSE HAS SIX MODULES THAT 5535 04:24:47,720 --> 04:24:50,400 COVER A RANGE OF TRAINING 5536 04:24:50,400 --> 04:24:51,800 SETTINGS INCLUDING IN PERSON 5537 04:24:51,800 --> 04:24:52,360 TRAINING AND ENVIRONMENT 5538 04:24:52,360 --> 04:24:52,840 TRAINING AND ONE-ON-ONE 5539 04:24:52,840 --> 04:25:00,600 TRAINING. 5540 04:25:00,600 --> 04:25:05,600 AND SEX AND GENDER RELATED 5541 04:25:05,600 --> 04:25:08,360 DIFFERENCES IN HEALTH A TRAINING 5542 04:25:08,360 --> 04:25:11,320 THAT'S A POWER POINT WITH AN 5543 04:25:11,320 --> 04:25:14,160 ACCOMPANYING FACILITATOR'S GUIDE 5544 04:25:14,160 --> 04:25:15,680 FOR INDIVIDUAL OR GROUP 5545 04:25:15,680 --> 04:25:20,040 TRAININGS AND THE MATERIALS 5546 04:25:20,040 --> 04:25:23,360 PRESENT CONCEPTS INCLUDING THE 5547 04:25:23,360 --> 04:25:25,760 PERSPECTIVES OF GENDER AND 5548 04:25:25,760 --> 04:25:26,520 CONSISTENT AND ACCURATE 5549 04:25:26,520 --> 04:25:27,440 TERMINOLOGY AND REQUIREMENTS 5550 04:25:27,440 --> 04:25:29,040 RELATED TO SEX AND GENDER. 5551 04:25:29,040 --> 04:25:30,360 I'LL SPEAK ABOUT UPDATES IN 5552 04:25:30,360 --> 04:25:30,960 PROGRESS FOR THIS TRAINING ON 5553 04:25:30,960 --> 04:25:41,840 THE NEXT SLIDE. 5554 04:25:41,840 --> 04:25:45,840 WE ALSO CURATE AND MAINTAIN A 5555 04:25:45,840 --> 04:25:47,680 LIST OF RESOURCES FROM ACROSS 5556 04:25:47,680 --> 04:25:49,840 NIH AND HHS AND NON-FEDERAL 5557 04:25:49,840 --> 04:25:59,360 RESOURCES. 5558 04:25:59,360 --> 04:26:00,320 THE INTRODUCTORY TRAINING IS 5559 04:26:00,320 --> 04:26:04,560 CURRENT LLY UNDERGOING A REVISION 5560 04:26:04,560 --> 04:26:05,960 AND ADDING CONTENT THAT 5561 04:26:05,960 --> 04:26:07,520 ELABORATES ON THE MULTIPLE 5562 04:26:07,520 --> 04:26:08,600 DOMAINS OF GENDER INCLUDING 5563 04:26:08,600 --> 04:26:10,840 GENDER IDENTITY AND NORMS AND 5564 04:26:10,840 --> 04:26:12,920 ROLES, GENDER RELATIONS AND 5565 04:26:12,920 --> 04:26:16,000 GENDER INEQUITY. 5566 04:26:16,000 --> 04:26:18,400 WE'RE ALSO EXPANDING THE 5567 04:26:18,400 --> 04:26:21,120 TRAINING DISCUSSION OF 5568 04:26:21,120 --> 04:26:22,640 INTERSECTIONALITY AND SOCIAL 5569 04:26:22,640 --> 04:26:23,920 DETERMINATES OF HEALTH AND 5570 04:26:23,920 --> 04:26:25,840 ADDING CONTENT ON FEMALE 5571 04:26:25,840 --> 04:26:27,440 SPECIFIC CONDITION AND RECENT 5572 04:26:27,440 --> 04:26:28,800 ADVANCES AND NOTABLE 5573 04:26:28,800 --> 04:26:29,440 PUBLICATIONS ON SEX DIFFERENCES 5574 04:26:29,440 --> 04:26:32,720 AND HEALTH. 5575 04:26:32,720 --> 04:26:34,840 WE EXPECT TO COMPLETE THE 5576 04:26:34,840 --> 04:26:37,120 CONTENT REVISION THIS SUMMER AND 5577 04:26:37,120 --> 04:26:37,680 WILL SHARE THOSE AS THEY'RE 5578 04:26:37,680 --> 04:26:41,840 AVAILABLE. 5579 04:26:41,840 --> 04:26:44,240 I'M PLEAD TO REPORT OUR CURRENT 5580 04:26:44,240 --> 04:26:44,960 EFFORTS HAVE WIDE APPEAL AND 5581 04:26:44,960 --> 04:26:48,520 BROAD REACH. 5582 04:26:48,520 --> 04:26:50,720 AS OF MARCH 1, OVER 1600 5583 04:26:50,720 --> 04:26:52,840 INDIVIDUALS HAVE REGISTERED FOR 5584 04:26:52,840 --> 04:26:56,840 A COURSE VIA THE ORWH COURSE 5585 04:26:56,840 --> 04:26:58,040 DASHBOARD. 5586 04:26:58,040 --> 04:26:59,640 NEARLY 600 LEARNERS HAVE STARTED 5587 04:26:59,640 --> 04:27:06,320 OR COMPLETED A MODULE OF THE 5588 04:27:06,320 --> 04:27:09,440 SABV PRIMER AND SOME HAVE TARTED 5589 04:27:09,440 --> 04:27:14,160 THE MODULE OF BENCH TO BEDSIDE. 5590 04:27:14,160 --> 04:27:17,640 LEARNERS HAVE AFFILIATION IN 48 5591 04:27:17,640 --> 04:27:17,920 COUNTRIES. 5592 04:27:17,920 --> 04:27:20,400 WE'RE EXCITED TO SEE THE HIGH 5593 04:27:20,400 --> 04:27:24,440 LEVEL OF INTEREST IN OUR E 5594 04:27:24,440 --> 04:27:28,440 LEARNING EFFORTS AND A WANT TO 5595 04:27:28,440 --> 04:27:31,440 EXPRESS OUR GRATITUDE TO THE 5596 04:27:31,440 --> 04:27:32,840 AUTHORIZE AND THE STAFF THAT 5597 04:27:32,840 --> 04:27:39,520 CONTRIBUTED TO THIS PROGRAM. 5598 04:27:39,520 --> 04:27:44,320 OPPORTUNITIES TO EXPAND OUR 5599 04:27:44,320 --> 04:27:46,360 PROGRAM REMAIN. 5600 04:27:46,360 --> 04:27:47,400 WE RECEIVED NEARLY 250 COMMENTS 5601 04:27:47,400 --> 04:27:49,600 IN RESPONSE TO THE REQUEST FOR 5602 04:27:49,600 --> 04:27:51,720 INFORMATION PUBLISHED PRIOR TO 5603 04:27:51,720 --> 04:27:53,360 ADVANCING NIH RESEARCH ON THE 5604 04:27:53,360 --> 04:27:56,040 HEALTH OF WOMEN, A 2021 5605 04:27:56,040 --> 04:27:56,800 CONFERENCE. 5606 04:27:56,800 --> 04:27:59,040 ONE IN FIVE COMMENTERS 5607 04:27:59,040 --> 04:28:00,280 IDENTIFIED PROVIDER TRAINING AS 5608 04:28:00,280 --> 04:28:00,920 AN PRIORITY FOR ADVANCING THE 5609 04:28:00,920 --> 04:28:07,640 HEALTH OF WOMEN. 5610 04:28:07,640 --> 04:28:09,800 A PATIENT TESTIMONY INCLUDED 5611 04:28:09,800 --> 04:28:11,680 THAT DOCTORS NEED TO BE TRAINED 5612 04:28:11,680 --> 04:28:13,440 IN LISTENING TO AND CARING FOR 5613 04:28:13,440 --> 04:28:15,280 WOMEN WITH CHRONIC ISSUES. 5614 04:28:15,280 --> 04:28:16,840 A PROVIDER GROUP COMMENTED, 5615 04:28:16,840 --> 04:28:18,720 QUOTE, WHILE I AM PROVING THE 5616 04:28:18,720 --> 04:28:20,520 CARE DELIVERED TO ALL PATIENTS 5617 04:28:20,520 --> 04:28:21,400 WHO PRESENT TO THE EMERGENCY 5618 04:28:21,400 --> 04:28:23,440 DEPARTMENT WILL IMPROVE CARE FOR 5619 04:28:23,440 --> 04:28:24,680 WOMEN, SPECIAL ATTENTION SHOULD 5620 04:28:24,680 --> 04:28:27,760 BE PAID TO SEX AND GENDER 5621 04:28:27,760 --> 04:28:29,360 DIFFERENCES IN HEALTH AND 5622 04:28:29,360 --> 04:28:31,080 DISEASE BETWEEN INDIVIDUALS AND 5623 04:28:31,080 --> 04:28:33,400 ACROSS POPULATIONS THROUGHOUT 5624 04:28:33,400 --> 04:28:39,840 THE HEALTH EDUCATION CONTINUUM. 5625 04:28:39,840 --> 04:28:41,440 FINALLY, IN ORDER TO CREATE A 5626 04:28:41,440 --> 04:28:44,440 SUSTAINABLE PIPELINE FOR WOMEN'S 5627 04:28:44,440 --> 04:28:45,920 HEALTH RESEARCH DEDICATED 5628 04:28:45,920 --> 04:28:47,080 RESOURCES AND TRAINING 5629 04:28:47,080 --> 04:28:48,200 MECHANISMS SHOULD BE DEVELOPED 5630 04:28:48,200 --> 04:28:52,720 TO ENGAGE THE NEXT GENERATION OF 5631 04:28:52,720 --> 04:28:55,040 LEADERS IN SCIENCE AND MEDICINE 5632 04:28:55,040 --> 04:28:58,160 COGNIZANT OF THE BIOLOGICAL AND 5633 04:28:58,160 --> 04:28:59,680 SOCIAL DETERMINATES OF HEALTH 5634 04:28:59,680 --> 04:29:05,960 IMPARTED BY SEX AND GENDER. 5635 04:29:05,960 --> 04:29:08,040 AS ONE EFFORT TO ADDRESS THE 5636 04:29:08,040 --> 04:29:11,640 IDENTIFIED GAPS I'LL INTRODUCE 5637 04:29:11,640 --> 04:29:12,760 GALVANIZING HEALTH EQUITY 5638 04:29:12,760 --> 04:29:16,840 THROUGH NOVEL AND DIVERSE 5639 04:29:16,840 --> 04:29:19,080 EDUCATIONAL RESOURCES OR GENDER. 5640 04:29:19,080 --> 04:29:20,280 THE OBJECTIVE IS TO SUPPORT THE 5641 04:29:20,280 --> 04:29:22,200 DEVELOPMENT OF COURSES FOR 5642 04:29:22,200 --> 04:29:23,520 SKILLS DEVELOPMENT AND CURRICULA 5643 04:29:23,520 --> 04:29:28,800 AND METHOD RELATED TO SEX AND/OR 5644 04:29:28,800 --> 04:29:29,040 GENDER. 5645 04:29:29,040 --> 04:29:31,000 THE TARGET AUDIENCE FOR COURSES, 5646 04:29:31,000 --> 04:29:33,800 CURRICULA AND METHOD IS 5647 04:29:33,800 --> 04:29:35,480 INTENTIONALLY BROAD AND INCLUDES 5648 04:29:35,480 --> 04:29:37,680 INDIVIDUALS AT ANY AND EVERY 5649 04:29:37,680 --> 04:29:38,560 CAREER STAGE. 5650 04:29:38,560 --> 04:29:40,840 SOME POTENTIAL AUDIENCES ARE 5651 04:29:40,840 --> 04:29:43,520 LISTED HERE AND INCLUDE 5652 04:29:43,520 --> 04:29:44,480 RESEARCHERS, CLINICIANS AND 5653 04:29:44,480 --> 04:29:46,440 HEALTH CARE PROVIDERS, 5654 04:29:46,440 --> 04:29:47,800 UNDERGRADUATE STUDENTS, GRADUATE 5655 04:29:47,800 --> 04:29:51,520 STUDENTS AND MEDICAL, DENTAL, 5656 04:29:51,520 --> 04:29:54,600 VETERINARY, NURSING, PUBLIC 5657 04:29:54,600 --> 04:29:56,960 HEALTH AND OTHER ALLIED STUDENTS 5658 04:29:56,960 --> 04:30:03,160 AND POST-DOCTORAL FELLOWS AND 5659 04:30:03,160 --> 04:30:03,360 MORE. 5660 04:30:03,360 --> 04:30:05,840 IN MATERIALS OF DISSEMINATION, 5661 04:30:05,840 --> 04:30:06,840 COURSES AND CURRICULA WILL BE 5662 04:30:06,840 --> 04:30:10,160 MADE PUBLIC AVAILABLE THROUGH 5663 04:30:10,160 --> 04:30:10,840 THE ORWH INTERPROFESSIONAL 5664 04:30:10,840 --> 04:30:19,040 EDUCATION PORTAL. 5665 04:30:19,040 --> 04:30:22,400 METHOD ARE LISTED HERE AND 5666 04:30:22,400 --> 04:30:24,400 INCLUDE MULTI-DIMENSIONAL AND 5667 04:30:24,400 --> 04:30:27,000 LIFE-COURSE APPROACHES. 5668 04:30:27,000 --> 04:30:28,800 INNOVATIVE METHODOLOGIES AND 5669 04:30:28,800 --> 04:30:32,600 ADVOCACY AND COMMUNITY-BASED 5670 04:30:32,600 --> 04:30:34,480 EDUCATION AS WELL AS OTHER 5671 04:30:34,480 --> 04:30:37,560 TOPICS RELEVANT TO THE TRANS-HIP 5672 04:30:37,560 --> 04:30:39,240 TRAFFIC PLAN FOR WOMEN'S HEALTH 5673 04:30:39,240 --> 04:30:40,040 RESEARCH. 5674 04:30:40,040 --> 04:30:41,160 WE ENGAGED IN DISCUSSION WITH 5675 04:30:41,160 --> 04:30:43,040 OUR ICO PARTNERS AND PRESENTED 5676 04:30:43,040 --> 04:30:44,640 THIS CONCEPT FOR DISCUSSION AT 5677 04:30:44,640 --> 04:30:48,000 THE COORDINATING COMMITTEE ON 5678 04:30:48,000 --> 04:30:51,440 RESEARCH ON WOMEN'S HEALTH. 5679 04:30:51,440 --> 04:30:55,880 AND FINALLY, BEFORE I CLOSE, I 5680 04:30:55,880 --> 04:30:58,000 WANTED TO KALE YOUR ATTENTION TO 5681 04:30:58,000 --> 04:30:59,040 A WORKSHOP ORWH WILL BE HOSTING 5682 04:30:59,040 --> 04:31:01,120 IN COLLABORATION WITH MANY OF 5683 04:31:01,120 --> 04:31:04,840 OUR OCIO PARTNERS OCTOBER 26 5684 04:31:04,840 --> 04:31:05,440 THIS YEAR. 5685 04:31:05,440 --> 04:31:08,640 THE VIRTUAL SCIENTIFIC WORKSHOP 5686 04:31:08,640 --> 04:31:11,440 WILL CONVENE THE COMMUNITY AND 5687 04:31:11,440 --> 04:31:13,600 NIH PROGRAM STAFF AND OTHER 5688 04:31:13,600 --> 04:31:15,720 STAKEHOLDERS TO DISCUSS METHODS 5689 04:31:15,720 --> 04:31:17,320 AND BEST PRACTICES FOR BIOMARKER 5690 04:31:17,320 --> 04:31:20,560 AND SOCIO BEHAVIORAL RESEARCH ON 5691 04:31:20,560 --> 04:31:22,240 GENDER ROLES AND NORMS AND 5692 04:31:22,240 --> 04:31:22,640 GENDER INEQUITY. 5693 04:31:22,640 --> 04:31:28,320 THE WORKSHOP EMERGED OUT OF A 5694 04:31:28,320 --> 04:31:30,240 SERIES OF NIH ROUNDTABLE 5695 04:31:30,240 --> 04:31:33,000 DISCUSSIONS AND THE PLANNING 5696 04:31:33,000 --> 04:31:35,080 COMMITTEE INCLUDES ORWH AS WELL 5697 04:31:35,080 --> 04:31:42,240 AS REPRESENTATIVES FROM 10 5698 04:31:42,240 --> 04:31:42,720 INSTITUTES. 5699 04:31:42,720 --> 04:31:45,720 WE LOOK FORWARD TO SHARING 5700 04:31:45,720 --> 04:31:50,840 ADDITIONAL DETAILS AS THEY'RE 5701 04:31:50,840 --> 04:31:55,160 AVAILABLE. 5702 04:31:55,160 --> 04:31:56,520 WITH THAT THANK YOU AND I'M 5703 04:31:56,520 --> 04:31:57,320 HAPPY TO ANSWER QUESTIONS AS I 5704 04:31:57,320 --> 04:32:08,680 AM ABLE. 5705 04:32:08,680 --> 04:32:11,480 >> THANK YOU, DR. BARR. 5706 04:32:11,480 --> 04:32:12,800 DR. McGREGOR, DID YOU HAVE 5707 04:32:12,800 --> 04:32:13,080 QUESTIONS? 5708 04:32:13,080 --> 04:32:14,080 >> THANK YOU FOR THAT. 5709 04:32:14,080 --> 04:32:19,400 I FEEL AS SOON AS WE START TO 5710 04:32:19,400 --> 04:32:26,680 CATCH UP SEX AS A BIOLOGICAL 5711 04:32:26,680 --> 04:32:28,640 VARIABLE IS TANGIBLE AND SO WE 5712 04:32:28,640 --> 04:32:30,040 CREATE ALL THE STRUCTURES AND 5713 04:32:30,040 --> 04:32:32,840 NOW YOUR WORK IS TRYING TO 5714 04:32:32,840 --> 04:32:35,440 INCLUDE GENDER INTO THAT. 5715 04:32:35,440 --> 04:32:39,040 I RECENTLY DID A RESEARCH 5716 04:32:39,040 --> 04:32:40,920 PROJECT WHERE AS THE BEGINNING 5717 04:32:40,920 --> 04:32:42,480 PART OF THE DEMOGRAPHICS I 5718 04:32:42,480 --> 04:32:44,600 COLLECT THE DEMOGRAPHICS OF 5719 04:32:44,600 --> 04:32:46,840 FACULTY AND STUDENTS IN THE 5720 04:32:46,840 --> 04:32:51,960 MEDICAL SCHOOL AND I OFFERED AS 5721 04:32:51,960 --> 04:32:58,840 MANY OPTIONS AS POSSIBLE SO IF 5722 04:32:58,840 --> 04:33:00,640 SOMEONE IDENTIFIES IN A SPECIFIC 5723 04:33:00,640 --> 04:33:03,400 WAY THEY WOULD RECOGNIZE AND SEE 5724 04:33:03,400 --> 04:33:08,560 THEIR BOX AND CHECK IT. 5725 04:33:08,560 --> 04:33:12,480 WHAT I DISCOVERED WAS THAT THE 5726 04:33:12,480 --> 04:33:14,280 STUDENTS AND THAT GENERATION ARE 5727 04:33:14,280 --> 04:33:16,360 INCREASINGLY LOOKING AT 5728 04:33:16,360 --> 04:33:21,600 THEMSELVES ON THE ENTIRE 5729 04:33:21,600 --> 04:33:35,240 SPECTRUM AND MORE VARIABLE. 5730 04:33:35,240 --> 04:33:36,520 IT'S NOT JUST MAN WOMEN AND 5731 04:33:36,520 --> 04:33:37,920 PEOPLE ARE SAYING THEY SHOULD BE 5732 04:33:37,920 --> 04:33:44,840 REFERRING TO BIRTHING PEOPLE TO 5733 04:33:44,840 --> 04:33:58,720 UNDERSTAND IT'S EVOLVING BEYOND 5734 04:33:58,720 --> 04:34:03,960 BINARY AND THE IT'S ALSO VERY 5735 04:34:03,960 --> 04:34:10,400 CHALLENGING TO LOOK AT LOOK AT 5736 04:34:10,400 --> 04:34:13,760 REASON WHEN THE TERMS ARE USED 5737 04:34:13,760 --> 04:34:14,120 INTERCHANGEABLY. 5738 04:34:14,120 --> 04:34:19,720 I THINK THERE NEEDS TO BE A LOT 5739 04:34:19,720 --> 04:34:23,040 OF CLARITY AROUND THOSE TERMS 5740 04:34:23,040 --> 04:34:25,720 AND FUTURE ORIENTED AND HOW 5741 04:34:25,720 --> 04:34:27,680 WE'LL COLLECT DATA IF THERE'S A 5742 04:34:27,680 --> 04:34:27,960 SPECTRUM. 5743 04:34:27,960 --> 04:34:29,920 I'D LOVE ANY THOUGHTS. 5744 04:34:29,920 --> 04:34:31,440 >> THANKS FOR THAT QUESTION. 5745 04:34:31,440 --> 04:34:32,800 THOSE ARE REALLY IMPORTANT 5746 04:34:32,800 --> 04:34:37,360 ISSUES. 5747 04:34:37,360 --> 04:34:40,840 IN TERMS OF THE SEX ORIENTATION 5748 04:34:40,840 --> 04:34:44,840 AND GENDER QUESTION OUR 5749 04:34:44,840 --> 04:34:47,600 COLLEAGUES ARE DOING EXCELLENT 5750 04:34:47,600 --> 04:34:49,840 WORK IN TERMS OF ADVANCING BEST 5751 04:34:49,840 --> 04:34:52,640 PRACTICES AROUND DATA COLLECTION 5752 04:34:52,640 --> 04:34:54,600 IN THAT REGARD AND WHAT HAS BEEN 5753 04:34:54,600 --> 04:35:00,280 SOMETIMES NOT AS PRESENT THOSE 5754 04:35:00,280 --> 04:35:01,920 DISCUSSIONS ARE THE OTHER 5755 04:35:01,920 --> 04:35:04,240 DOMAINS OF GENDER WITH STRONG 5756 04:35:04,240 --> 04:35:13,640 AND PROFOUND IMPACTS ON HEALTH. 5757 04:35:13,640 --> 04:35:17,840 THE WAYS CULTURAL AND POLITICAL 5758 04:35:17,840 --> 04:35:19,400 FORCES CAN INFLUENCE GENDER 5759 04:35:19,400 --> 04:35:20,240 BEHAVIORS AND OPPORTUNITIES AND 5760 04:35:20,240 --> 04:35:23,920 THOSE ARE REAL INFLUENCES ON 5761 04:35:23,920 --> 04:35:26,440 HEALTH. 5762 04:35:26,440 --> 04:35:27,960 THAT WHEN GENDER IS ONLY 5763 04:35:27,960 --> 04:35:29,640 UNDERSTAND AS GENDER IDENTITY WE 5764 04:35:29,640 --> 04:35:32,800 MISS THE NUANCES OF GENDER NORMS 5765 04:35:32,800 --> 04:35:34,280 AND INEQUITIES. 5766 04:35:34,280 --> 04:35:39,920 OUR HOPE IS TO CALL ATTENTION TO 5767 04:35:39,920 --> 04:35:42,440 THE IMPORTANCE WORK BEING DONE 5768 04:35:42,440 --> 04:35:47,160 AND DEVELOP AND IMPLEMENT 5769 04:35:47,160 --> 04:35:48,680 PRECISE LANGUAGE BECAUSE IF YOU 5770 04:35:48,680 --> 04:35:50,520 THINK ABOUT SEX AS A BIOLOGICAL 5771 04:35:50,520 --> 04:35:52,080 VARIABLE WE THINK IT'S NEATER OR 5772 04:35:52,080 --> 04:36:00,000 MORE BINARY BUT SEX AS A 5773 04:36:00,000 --> 04:36:08,320 BIOLOGICAL BARRIERS INCLUDE 5774 04:36:08,320 --> 04:36:10,440 HORMONES ETCETERA DEPENDS ON 5775 04:36:10,440 --> 04:36:11,680 GENDER ROLES OR POWER RELATIONS 5776 04:36:11,680 --> 04:36:14,240 ARE RELEVANT TO THE STUDY MAY 5777 04:36:14,240 --> 04:36:15,320 BUBBLE TO THE SURFACE. 5778 04:36:15,320 --> 04:36:19,240 WE'RE HOPEFUL WE CAN SUPPORT A 5779 04:36:19,240 --> 04:36:21,240 BROAD RANGE OF EFFORTS TO 5780 04:36:21,240 --> 04:36:28,160 ADVANCE GENDER-RELATED RESEARCH. 5781 04:36:28,160 --> 04:36:29,000 >> THANK YOU. 5782 04:36:29,000 --> 04:36:30,440 THE DIRECTOR OF THE OFFICE IS 5783 04:36:30,440 --> 04:36:31,240 WITH US. 5784 04:36:31,240 --> 04:36:32,440 DR. PARKER AND I WANTED TO SEE 5785 04:36:32,440 --> 04:36:45,640 IF SHE WANTS TO ADD ANYTHING. 5786 04:36:45,640 --> 04:36:47,960 >> A COMPLICATED ISSUE AND WE 5787 04:36:47,960 --> 04:36:53,400 SAY THAT WORD IN OUR OFFICE 5788 04:36:53,400 --> 04:36:54,960 MULTIPLE TIMES A DAY. 5789 04:36:54,960 --> 04:36:56,760 WE ALSO KNOW HOW IMPORTANT IT IS 5790 04:36:56,760 --> 04:36:58,360 TO ACCURATELY CAPTURE FOLKS IN 5791 04:36:58,360 --> 04:36:59,520 OUR STUDIES. 5792 04:36:59,520 --> 04:37:02,640 FOR THOSE WHO HAVEN'T HEARD, 5793 04:37:02,640 --> 04:37:05,840 SGMRO WITH 18 OF OUR OTHER 5794 04:37:05,840 --> 04:37:07,000 COLLEAGUES AT NIH INCLUDING THE 5795 04:37:07,000 --> 04:37:08,840 OFFICE OF RESEARCH ON WOMEN'S 5796 04:37:08,840 --> 04:37:13,240 HEALTH FUNDED IN 2021 A REPORT 5797 04:37:13,240 --> 04:37:16,520 OUT OF THE NATIONAL ACADEMIES OF 5798 04:37:16,520 --> 04:37:17,040 SCIENCE, ENGINEERING AND 5799 04:37:17,040 --> 04:37:20,840 MEDICINE AND LOOK HOW TO BEST 5800 04:37:20,840 --> 04:37:24,040 MEASURE GENDER IDENTITY AND 5801 04:37:24,040 --> 04:37:25,720 SEXUAL ORIENTATION. 5802 04:37:25,720 --> 04:37:26,800 THAT REPORT CAME OUT EARLIER IN 5803 04:37:26,800 --> 04:37:27,640 THE MONTH AND I'LL PUT THAT 5804 04:37:27,640 --> 04:37:41,680 REPORT IN THE CHAT. 5805 04:37:41,680 --> 04:37:44,080 THE EVIDENCE WAS REVIEWED AND 5806 04:37:44,080 --> 04:37:46,720 ONE MAIN CONCERN AS THEY WORK 5807 04:37:46,720 --> 04:37:48,000 WORKING ON THE REPORT WAS 5808 04:37:48,000 --> 04:37:52,880 THINKING ABOUT OUR NEEDS HAVING 5809 04:37:52,880 --> 04:38:01,000 TO DO WITH CLINICAL SPACES NOT 5810 04:38:01,000 --> 04:38:03,160 JUST AT NIH BUT HOPING IT WILL 5811 04:38:03,160 --> 04:38:06,480 INFORM OTHER FEDERAL AGENCY. 5812 04:38:06,480 --> 04:38:08,360 ONE MAIN CONCERN WAS ADDRESSING 5813 04:38:08,360 --> 04:38:09,440 THE QUESTIONS BEING RECOMMENDED 5814 04:38:09,440 --> 04:38:11,960 ARE QUESTIONS THAT CAN BE 5815 04:38:11,960 --> 04:38:17,960 UNDERSTOOD BY THE GENERAL 5816 04:38:17,960 --> 04:38:23,520 POPULATION. 5817 04:38:23,520 --> 04:38:28,000 WE KNOW THERE'S HUGE SHIFTS. 5818 04:38:28,000 --> 04:38:30,640 A RECENT GALLUP POLL SHOWED GEN 5819 04:38:30,640 --> 04:38:35,960 Z I THINK FOLKS BORN AFTER '96 5820 04:38:35,960 --> 04:38:38,800 OR '99 MOST IDENTIFIED AS A 5821 04:38:38,800 --> 04:38:40,120 SEXUAL OR GENDER MINORITY. 5822 04:38:40,120 --> 04:38:43,800 BECAUSE WE'RE SEEING THE HUGE 5823 04:38:43,800 --> 04:38:45,080 DEMOGRAPHIC SHIFT WE KNOW THERE 5824 04:38:45,080 --> 04:38:46,840 ARE REAL CHALLENGES BUT WHEN YOU 5825 04:38:46,840 --> 04:38:50,920 ASK THE QUESTIONS ON SURVEYS IF 5826 04:38:50,920 --> 04:38:52,360 THE GENERAL POPULATION OF 5827 04:38:52,360 --> 04:38:54,000 CISGENDER AND STRAIGHT FOLKS 5828 04:38:54,000 --> 04:38:56,840 DON'T UNDERSTAND THE QUESTION, A 5829 04:38:56,840 --> 04:39:04,440 LITTLE BIT OF ERROR CAN CAUSE 5830 04:39:04,440 --> 04:39:05,240 SERIOUS PROBLEMS IN DATA 5831 04:39:05,240 --> 04:39:06,760 ANALYSIS AND WE'RE WORKING WITH 5832 04:39:06,760 --> 04:39:08,920 OTHER DEPARTMENTS TO THINK HOW 5833 04:39:08,920 --> 04:39:10,560 BEST TO IMPLEMENT THE 5834 04:39:10,560 --> 04:39:11,200 RECOMMENDATIONS COMING OUT OF 5835 04:39:11,200 --> 04:39:16,840 THE ACADEMIES BUT IN PARTICULAR 5836 04:39:16,840 --> 04:39:20,840 WE'RE INTERESTED IN THE FURTHER 5837 04:39:20,840 --> 04:39:29,440 NEEDS TO HAPPEN AND LAYS OUTS 5838 04:39:29,440 --> 04:39:30,040 OPPORTUNITIES HOW TO DO THIS 5839 04:39:30,040 --> 04:39:32,440 BEST. 5840 04:39:32,440 --> 04:39:37,560 I HOPE FOLKS CHECK OUT THE 5841 04:39:37,560 --> 04:39:38,160 REPORT. 5842 04:39:38,160 --> 04:39:42,040 IF YOU HAVE QUESTIONS WE'RE 5843 04:39:42,040 --> 04:39:47,720 ALWAYS HAPPY TO CHAT WITH FOLKS. 5844 04:39:47,720 --> 04:39:48,360 >> THANK YOU. 5845 04:39:48,360 --> 04:39:49,640 I HOPE THIS ANSWERS YOUR 5846 04:39:49,640 --> 04:39:50,040 QUESTION. 5847 04:39:50,040 --> 04:39:52,480 ARE THERE ANY OTHER QUESTIONS 5848 04:39:52,480 --> 04:39:54,880 FOR DR. BARR REGARDING THE 5849 04:39:54,880 --> 04:40:00,840 CONCEPT THAT SHE SHARED WITH US? 5850 04:40:00,840 --> 04:40:02,160 DR. ROBINSON, DID YOU HAVE A 5851 04:40:02,160 --> 04:40:02,920 QUESTION FOR DR. BARR? 5852 04:40:02,920 --> 04:40:04,840 >> YES, THANK YOU FOR SHOWING US 5853 04:40:04,840 --> 04:40:07,240 SO MANY RESOURCES. 5854 04:40:07,240 --> 04:40:10,480 IT LOOKED VERY COMPREHENSIVE AND 5855 04:40:10,480 --> 04:40:11,440 THANK YOU DR. BARR. 5856 04:40:11,440 --> 04:40:14,360 MY QUESTION ABOUT THE RESOURCES. 5857 04:40:14,360 --> 04:40:16,440 ARE THEY MEANT TO BE CUMULATIVE 5858 04:40:16,440 --> 04:40:17,280 IN NATURE? 5859 04:40:17,280 --> 04:40:20,560 DID THE KNOWLEDGE BUILD ON EACH 5860 04:40:20,560 --> 04:40:23,920 OTHER OR MORE MEANT FOR DISCREET 5861 04:40:23,920 --> 04:40:24,760 KNOWLEDGE AND CONTENT. 5862 04:40:24,760 --> 04:40:26,760 I'LL GO TO THIS MODULE OR CAN 5863 04:40:26,760 --> 04:40:29,480 YOU BUILD ON YOUR KNOWLEDGE AND 5864 04:40:29,480 --> 04:40:31,640 BE CERTIFIED AFTER YOU'VE GONE 5865 04:40:31,640 --> 04:40:32,320 THROUGH A CERTAIN NUMBER OF 5866 04:40:32,320 --> 04:40:40,200 MODULES? 5867 04:40:40,200 --> 04:40:42,160 >> THERE'S A BEAUTIFUL VISION TO 5868 04:40:42,160 --> 04:40:47,440 HAVE A WOMEN'S HEALTH 5869 04:40:47,440 --> 04:40:48,120 CERTIFICATION. 5870 04:40:48,120 --> 04:40:48,840 PRESENT 5871 04:40:48,840 --> 04:40:51,800 PRESENTLY IT'S A SLIGHTLY 5872 04:40:51,800 --> 04:40:52,720 DIFFERENT AUDIENCE. 5873 04:40:52,720 --> 04:40:54,040 IF YOU'RE INTERESTED IN 5874 04:40:54,040 --> 04:40:57,240 IMMUNOLOGY, THAT MAY BE THE ONLY 5875 04:40:57,240 --> 04:40:58,520 MODULE YOU COMPLETE AND WOULDN'T 5876 04:40:58,520 --> 04:41:00,240 HAVE REASON TO REVIEW THE MENTAL 5877 04:41:00,240 --> 04:41:08,040 HEALTH MODULE, FOR EXAMPLE. 5878 04:41:08,040 --> 04:41:09,560 SIMILARLY EACH MODULE IS 5879 04:41:09,560 --> 04:41:12,040 INDEPENDENT WITH THE TRAIN THE 5880 04:41:12,040 --> 04:41:14,120 TRAINERS THOUGH THAT RESEARCH IS 5881 04:41:14,120 --> 04:41:19,360 RELEVANT FOR TEACHING THE SABV 5882 04:41:19,360 --> 04:41:21,120 POLICY BUT GENERALLY IN THE 5883 04:41:21,120 --> 04:41:23,600 COVID-19 ERA AS MANY FOLKS HAVE 5884 04:41:23,600 --> 04:41:26,000 HAD TO REFRESH THEIR ONLINE 5885 04:41:26,000 --> 04:41:26,840 TEACHING SKILLS THERE'S BEST 5886 04:41:26,840 --> 04:41:30,760 PRACTICES THAT COULD BE DRAWN ON 5887 04:41:30,760 --> 04:41:32,840 SO EACH COURSE HAS A SLIGHTLY 5888 04:41:32,840 --> 04:41:34,640 DIFFERENT AUDIENCE BUT WE TRY TO 5889 04:41:34,640 --> 04:41:36,840 WEAVE THROUGH WITH THE 5890 04:41:36,840 --> 04:41:37,480 FOUNDATIONAL PRINCIPLES THAT GID 5891 04:41:37,480 --> 04:41:37,760 OUR WORK. 5892 04:41:37,760 --> 04:41:42,440 >> THANK YOU. 5893 04:41:42,440 --> 04:41:44,800 >> THANK YOU, DR. BARR AND 5894 04:41:44,800 --> 04:41:45,040 ROBINSON. 5895 04:41:45,040 --> 04:41:46,640 WE HAVE A FEW MORE MINUTES FOR 5896 04:41:46,640 --> 04:41:48,040 ADDITIONAL QUESTIONS IF THERE 5897 04:41:48,040 --> 04:41:59,840 ARE ANY. 5898 04:41:59,840 --> 04:42:01,920 >> I HAVE A COMMENT. 5899 04:42:01,920 --> 04:42:05,200 >> SURE, DR. GELLAR. 5900 04:42:05,200 --> 04:42:07,640 >> I THINK ALL OF US THINK ABOUT 5901 04:42:07,640 --> 04:42:12,960 THIS A LOT THESE DAYS AND I 5902 04:42:12,960 --> 04:42:16,320 THINK ACKNOWLEDGING THIS WHEN 5903 04:42:16,320 --> 04:42:18,040 WRITING PAPERS OR DOING TALKS OR 5904 04:42:18,040 --> 04:42:22,680 ANY KIND OF PUBLICATION THAT 5905 04:42:22,680 --> 04:42:23,920 ACKNOWLEDGING IT IN SOME WAY AND 5906 04:42:23,920 --> 04:42:29,440 NOT SURE ANY OF US KNOW THE 5907 04:42:29,440 --> 04:42:34,520 RIGHT ANSWER BUT THE AWARENESS 5908 04:42:34,520 --> 04:42:35,480 AND COMPLEXITY IS IMPORTANT. 5909 04:42:35,480 --> 04:42:37,440 IF I'M DOING -- I DO WORK IN 5910 04:42:37,440 --> 04:42:39,440 MATERNAL HEALTH AS MANY OF YOU 5911 04:42:39,440 --> 04:42:39,640 KNOW. 5912 04:42:39,640 --> 04:42:44,880 IF I'M DOING SOMETHING THAT'S 5913 04:42:44,880 --> 04:42:48,040 STAND ALONE SO AS NOT TO INCLUDE 5914 04:42:48,040 --> 04:42:49,400 I SAY PREGNANT PERSONS. 5915 04:42:49,400 --> 04:42:51,360 IF I'M DOING A TALK, I MAY TALK 5916 04:42:51,360 --> 04:42:53,240 ABOUT IT DIFFERENTLY BUT I CAN 5917 04:42:53,240 --> 04:42:58,160 ACKNOWLEDGE IT IN THE TALK AND 5918 04:42:58,160 --> 04:43:00,360 HAVE A CONVERSATION I WE'RE ALL 5919 04:43:00,360 --> 04:43:01,720 TRYING TO FIGURE THIS OUT BUT 5920 04:43:01,720 --> 04:43:07,040 I'M GLAD WE'RE TALKING ABOUT IT 5921 04:43:07,040 --> 04:43:07,360 SO THANKS. 5922 04:43:07,360 --> 04:43:10,200 >> DID YOU WANT TO SAY ANYTHING 5923 04:43:10,200 --> 04:43:10,840 IN RESPONSE? 5924 04:43:10,840 --> 04:43:12,040 >> THANK YOU FOR THAT COMMENT. 5925 04:43:12,040 --> 04:43:16,720 I AGREE THAT LANGUAGE AS 5926 04:43:16,720 --> 04:43:17,680 SCIENTIFIC CHANGES CONTINUE AND 5927 04:43:17,680 --> 04:43:21,000 GENDER PARTICULARLY AS A SOCIAL 5928 04:43:21,000 --> 04:43:23,320 CONSTRUCT CAN VARY ACROSS 5929 04:43:23,320 --> 04:43:24,440 CULTURES, CONTEXT AND TIMES. 5930 04:43:24,440 --> 04:43:26,640 WE LIVE AN CULTURE CONTEXT TO 5931 04:43:26,640 --> 04:43:28,600 TIME SO THERE CAN BE VARIATION 5932 04:43:28,600 --> 04:43:30,440 WITHIN OUR OWN LIVES IN THE WAYS 5933 04:43:30,440 --> 04:43:32,080 WE TALK ABOUT GENDER. 5934 04:43:32,080 --> 04:43:36,280 AND SO I AGREE THAT 5935 04:43:36,280 --> 04:43:38,280 ACKNOWLEDGING AND DOING THE BEST 5936 04:43:38,280 --> 04:43:44,160 THAT WE CAN TO USE PRECISE 5937 04:43:44,160 --> 04:43:45,360 WELL-CONTEXTUALIZED LANGUAGE AS 5938 04:43:45,360 --> 04:43:45,800 APPROPRIATE. 5939 04:43:45,800 --> 04:43:49,480 >> THANK YOU, ELIZABETH. 5940 04:43:49,480 --> 04:43:52,080 I SEE DR. REGENSTEINER WANTS TO 5941 04:43:52,080 --> 04:43:56,160 SAY SOMETHING. 5942 04:43:56,160 --> 04:43:58,040 >> I HAVE A QUESTION AND I 5943 04:43:58,040 --> 04:44:01,240 ALWAYS WANT TO BE INCLUSIVE BUT 5944 04:44:01,240 --> 04:44:04,920 ACCORDING TO SEX AS A BIOLOGICAL 5945 04:44:04,920 --> 04:44:06,320 VARIABLE THERE'S WOMEN AND MEN 5946 04:44:06,320 --> 04:44:11,960 WHO ARE VERY DIFFERENT GENDERS. 5947 04:44:11,960 --> 04:44:15,880 I'M STRUGGLING A BIT AND WANT TO 5948 04:44:15,880 --> 04:44:19,640 BE INCLUSIVE BUT SEX IS A 5949 04:44:19,640 --> 04:44:21,520 BIOLOGY AND WITH GENDER THERE 5950 04:44:21,520 --> 04:44:22,840 ARE MANY DIFFERENT GENDERS 5951 04:44:22,840 --> 04:44:28,240 POTENTIALLY SO HOW DO WE TALK 5952 04:44:28,240 --> 04:44:32,080 ABOUT THAT AND WE MAIN INCLUSIVE 5953 04:44:32,080 --> 04:44:33,200 BUT CORRECT IN OUR USE OF SEX 5954 04:44:33,200 --> 04:44:38,440 AND GENDER? 5955 04:44:38,440 --> 04:44:39,800 >> THAT YOU. 5956 04:44:39,800 --> 04:44:44,920 THAT'S AN ISSUE WE COVER IN THE 5957 04:44:44,920 --> 04:44:48,840 INTRODUCTORY TRAINING AS TO THE 5958 04:44:48,840 --> 04:44:50,240 RESOURCES LINKED FOR EXAMPLE, 5959 04:44:50,240 --> 04:44:52,560 THERE'S A NICE JOB EXPLAINING 5960 04:44:52,560 --> 04:44:53,960 WHEN TO USE WHICH TERMS SO 5961 04:44:53,960 --> 04:44:55,760 GENERALLY IF YOU'RE TALKING 5962 04:44:55,760 --> 04:44:57,520 ABOUT A SOCIAL OR CULTURAL 5963 04:44:57,520 --> 04:45:02,920 VARIABLE, YOU WOULD WANT TO USE 5964 04:45:02,920 --> 04:45:09,280 GENDER TERMS AND THE CANADIAN 5965 04:45:09,280 --> 04:45:11,960 RESEARCH FACILITY HAS FANTASTIC 5966 04:45:11,960 --> 04:45:12,240 TRAININGS. 5967 04:45:12,240 --> 04:45:16,680 IN TERMS OF GENDER IDENTITY OF 5968 04:45:16,680 --> 04:45:17,800 WIDELY AFFECTED BEST PRACTICES 5969 04:45:17,800 --> 04:45:20,880 TO USE THE LANGUAGE THE PATIENT 5970 04:45:20,880 --> 04:45:22,560 USES IF THAT'S THE LANGUAGE USED 5971 04:45:22,560 --> 04:45:23,400 TO DESCRIBE THEM. 5972 04:45:23,400 --> 04:45:25,280 IN TERMS OF THE OTHER GENDER 5973 04:45:25,280 --> 04:45:27,840 VARIABLES LIKE GENDER NORMS OR 5974 04:45:27,840 --> 04:45:30,120 GENDER POWER RELATIONS, THERE 5975 04:45:30,120 --> 04:45:33,560 ARE AS DR. CLAYTON NOTED, NEWLY 5976 04:45:33,560 --> 04:45:38,720 EMERGED WELL-VALIDATED MEASURES 5977 04:45:38,720 --> 04:45:40,160 TO EVALUATE SOME OF THOSE 5978 04:45:40,160 --> 04:45:42,760 STRUCTURAL SEXISM OR THE IMPACT 5979 04:45:42,760 --> 04:45:44,280 PARTICULARLY ON A GLOBAL HEALTH 5980 04:45:44,280 --> 04:45:46,120 SETTING OF GENDER INEQUITIES ON 5981 04:45:46,120 --> 04:45:46,440 HEALTH. 5982 04:45:46,440 --> 04:45:52,240 AS THOSE CAN BE ADOPTED AND 5983 04:45:52,240 --> 04:45:56,600 ADAPTED FOR OTHER CONTEXT THEY 5984 04:45:56,600 --> 04:45:58,080 CAN GIVE LANGUAGE TO GENDER 5985 04:45:58,080 --> 04:46:04,720 BEYOND GENDER IDENTITY. 5986 04:46:04,720 --> 04:46:06,000 >> THANK YOU. 5987 04:46:06,000 --> 04:46:11,960 THERE ARE 12 COMMENTS IN THE 5988 04:46:11,960 --> 04:46:14,760 CHAT. 5989 04:46:14,760 --> 04:46:17,320 >> I CAN ASK DR. TEMPLETON WHAT 5990 04:46:17,320 --> 04:46:18,840 SHE HAS TO SAY. 5991 04:46:18,840 --> 04:46:22,360 >> THIS IS A CRITICALLY 5992 04:46:22,360 --> 04:46:23,000 IMPORTANT ISSUE. 5993 04:46:23,000 --> 04:46:27,240 EVEN IN AREAS WE SEE MORE AND 5994 04:46:27,240 --> 04:46:27,880 MORE SUCH AS HEALTH CARE 5995 04:46:27,880 --> 04:46:29,320 PROFESSIONAL BURNOUT. 5996 04:46:29,320 --> 04:46:34,800 A LOT OF THE DRIVERS OF BURNOUT 5997 04:46:34,800 --> 04:46:35,920 AS THOUGH PROFESSIONALS DON'T 5998 04:46:35,920 --> 04:46:39,280 FEEL THEY LOCK IN THE WORKPLACE 5999 04:46:39,280 --> 04:46:43,400 AND FACE MICROAGGRESSION AS WE 6000 04:46:43,400 --> 04:46:44,920 LOOK AT STUDIES OF HEALTH CARE 6001 04:46:44,920 --> 04:46:46,680 OR PHYSICIAN BURNOUT YOU HAVE TO 6002 04:46:46,680 --> 04:46:51,920 INCLUDE WHEN YOU'RE ASKING ABOUT 6003 04:46:51,920 --> 04:46:53,600 THEIR GENDER, YOU HAVE TO 6004 04:46:53,600 --> 04:46:55,400 INCLUDE THE SPECTRUM BECAUSE IF 6005 04:46:55,400 --> 04:46:56,600 YOU DON'T YOU'LL BE MISSING A 6006 04:46:56,600 --> 04:46:58,120 LOT AND MANY PRIOR STUDIES OF 6007 04:46:58,120 --> 04:46:59,160 BURNOUT DIDN'T LOOK AT 6008 04:46:59,160 --> 04:47:01,200 DIFFERENCES BETWEEN A MAN AND A 6009 04:47:01,200 --> 04:47:03,360 WOMAN AND WE GOT BEYOND THE 6010 04:47:03,360 --> 04:47:06,200 POINT OF ASKING BEYOND THAT BUT 6011 04:47:06,200 --> 04:47:18,280 BE MORE INCLUSIVE. 6012 04:47:18,280 --> 04:47:19,680 >> THANK YOU VERY MUCH. 6013 04:47:19,680 --> 04:47:21,360 KAREN, DID YOU WANT TO ADD 6014 04:47:21,360 --> 04:47:21,640 ANYTHING? 6015 04:47:21,640 --> 04:47:22,600 DR. PARKER? 6016 04:47:22,600 --> 04:47:24,320 DO YOU WANT TO ADD ANYTHING TO 6017 04:47:24,320 --> 04:47:33,840 THAT? 6018 04:47:33,840 --> 04:47:36,240 >> SEX ISN'T ALWAYS AS NEAT AS 6019 04:47:36,240 --> 04:47:37,800 WE WANT IT TO BE AND IT'S NOT 6020 04:47:37,800 --> 04:47:43,640 ALWAYS A BINARY CONSTRUCT. 6021 04:47:43,640 --> 04:47:44,240 >> THANK YOU. 6022 04:47:44,240 --> 04:47:45,520 UNLESS WE HAVE ANY OTHER 6023 04:47:45,520 --> 04:47:46,880 COMMENTS OR QUESTIONS, I'D LIKE 6024 04:47:46,880 --> 04:47:48,120 TO MOVE ON TO VOTE ON THE 6025 04:47:48,120 --> 04:47:51,040 CONCEPT. 6026 04:47:51,040 --> 04:47:55,760 ANY COMMENTS, QUESTIONS? 6027 04:47:55,760 --> 04:47:56,160 ALL RIGHT. 6028 04:47:56,160 --> 04:47:58,040 AT THIS TIME WE'LL MOVE ON TO 6029 04:47:58,040 --> 04:48:00,320 VOTE APPROVE THE CONCEPT 6030 04:48:00,320 --> 04:48:03,240 CLEARANCE FOR THE GALVANIZING 6031 04:48:03,240 --> 04:48:05,200 HEALTH REQUEST THROUGH NOVEL AND 6032 04:48:05,200 --> 04:48:09,280 DIVERSE EDUCATIONAL RESOURCES 6033 04:48:09,280 --> 04:48:09,520 GENDER. 6034 04:48:09,520 --> 04:48:16,560 IS THERE A MOTION TO APPROVE THE 6035 04:48:16,560 --> 04:48:25,400 CONCEPT CLEARANCE? 6036 04:48:25,400 --> 04:48:26,640 >> SO MOVED. 6037 04:48:26,640 --> 04:48:30,080 MICHELLE ROBINSON. 6038 04:48:30,080 --> 04:48:30,440 >> SECOND. 6039 04:48:30,440 --> 04:48:34,440 >> DR. TEMPLETON SECONDED THE 6040 04:48:34,440 --> 04:48:35,680 MOTION. 6041 04:48:35,680 --> 04:48:40,120 WE'RE OPENING A POLL. 6042 04:48:40,120 --> 04:48:42,760 INDICATE IF YOU'RE IN FAVOR, 6043 04:48:42,760 --> 04:48:43,640 OPPOSED OR ABSTAIN AND HAVE YOU 6044 04:48:43,640 --> 04:49:18,040 30 SECONDS. 6045 04:49:18,040 --> 04:49:23,160 >> YOU HAVE 13 IN FAVOR. 6046 04:49:24,880 --> 04:49:29,480 >> IT'S BEEN ACCEPTED WITH 13 IN 6047 04:49:29,480 --> 04:49:29,760 FAVOR. 6048 04:49:29,760 --> 04:49:32,080 THANK YOU EVERYONE AND DR. BARR. 6049 04:49:32,080 --> 04:49:35,760 NOW I'D LIKE TO WELCOME BACK 6050 04:49:35,760 --> 04:49:38,240 DR. TEMKIN FOR THE FINAL 6051 04:49:38,240 --> 04:49:43,040 CLEARANCE CONCEPT CLEARANCE 6052 04:49:43,040 --> 04:49:49,800 PRESENTATION THIS AFTERNOON. 6053 04:49:49,800 --> 04:49:50,280 >> THANK YOU. 6054 04:49:50,280 --> 04:49:54,040 I'M GOING TALK ABOUT THE U3 6055 04:49:54,040 --> 04:49:54,720 RESEARCH PROGRAM EXPANSION TO 6056 04:49:54,720 --> 04:49:56,120 EMPHASIZE UNDER STUDIED 6057 04:49:56,120 --> 04:49:56,680 CONDITIONS RELEVANT TO THE 6058 04:49:56,680 --> 04:50:04,200 HEALTH OF WOMEN. 6059 04:50:04,200 --> 04:50:06,440 THE U3 SUPPLEMENT PROGRAM HAS 6060 04:50:06,440 --> 04:50:08,640 BEEN AN ORWH SIGNATURE PROGRAM 6061 04:50:08,640 --> 04:50:10,840 SINCE 2017 AND IT'S PURPOSE IS 6062 04:50:10,840 --> 04:50:11,960 TO SUPPORT RESEARCH THAT'S 6063 04:50:11,960 --> 04:50:16,840 FOCUSSED ON POPULATIONS OF WOMEN 6064 04:50:16,840 --> 04:50:18,480 WHO ARE UNDER STUDIED AND UNDER 6065 04:50:18,480 --> 04:50:20,280 REPRESENTED AND UNDER REPORTED. 6066 04:50:20,280 --> 04:50:22,480 THE PURPOSE OF THIS CONCEPT I'M 6067 04:50:22,480 --> 04:50:27,000 GOING DISCUSS NIS AFTERNOON IS 6068 04:50:27,000 --> 04:50:33,080 TO EXPAND ORWH PROGRAMMING FOR 6069 04:50:33,080 --> 04:50:34,240 SUPPORT FOR WOMEN IN CONDITIONS 6070 04:50:34,240 --> 04:50:36,040 UNDER STUDIED AND THIS ALIGNS 6071 04:50:36,040 --> 04:50:37,720 WITH THE STRATEGIC PLAN GOAL 6072 04:50:37,720 --> 04:50:39,720 NUMBER 1 TO ADVANCE RIGOROUS 6073 04:50:39,720 --> 04:50:44,040 RESEARCH RELEVANT TO THE HEALTH 6074 04:50:44,040 --> 04:50:49,520 OF WOMEN AND OBJECTIVE 1.5. 6075 04:50:49,520 --> 04:50:53,000 TO EXPAND THE RESEARCH ON FEMALE 6076 04:50:53,000 --> 04:50:55,040 SPECIFIC CONDITIONS AND DISEASES 6077 04:50:55,040 --> 04:51:00,640 INCLUDING REPRODUCTIVE STAGES 6078 04:51:00,640 --> 04:51:01,520 AND MATERNAL AND GYNECOLOGIC 6079 04:51:01,520 --> 04:51:06,760 HEALTH. 6080 04:51:06,760 --> 04:51:09,840 THE U3 FRAMEWORK IN WHICH THE 6081 04:51:09,840 --> 04:51:10,760 SUPPLEMENT PROGRAM WAS DESIGNED 6082 04:51:10,760 --> 04:51:12,040 WAS DEVELOPED TO DRAW ATTENTION 6083 04:51:12,040 --> 04:51:14,440 TO THE LACK OF RESEARCH ON 6084 04:51:14,440 --> 04:51:15,960 PERSISTENT DISPARITIES IN 6085 04:51:15,960 --> 04:51:21,400 WOMEN'S HEALTH AND HEALTH CARE 6086 04:51:21,400 --> 04:51:26,800 AND TO SUPPORT RESEARCH AND 6087 04:51:26,800 --> 04:51:28,640 EVIDENCE-BASED PROGRAMS AND 6088 04:51:28,640 --> 04:51:32,840 EXPLOSION THE WAYS IN WHICH 6089 04:51:32,840 --> 04:51:43,760 SOCIAL DETERMINATE DETERMINATIONS AFFECT 6090 04:51:43,760 --> 04:51:44,120 COMMUNITY. 6091 04:51:44,120 --> 04:51:48,040 THIS PROGRAM OVER THE LAST FOUR 6092 04:51:48,040 --> 04:51:52,840 YEARS HAS SUPPORTED RESEARCH ON 6093 04:51:52,840 --> 04:51:55,920 MANY UNDER STUDIED CONDITIONS. 6094 04:51:55,920 --> 04:51:58,680 THE NUMBER OF PROGRAMS THAT HAVE 6095 04:51:58,680 --> 04:52:02,560 BEEN SUPPORTED BETWEEN FY17 AND 6096 04:52:02,560 --> 04:52:05,040 FY21 IS 71 AND AS YOU CAN SEE 6097 04:52:05,040 --> 04:52:08,240 FROM THE MAP THE PROGRAMS HAVE 6098 04:52:08,240 --> 04:52:12,240 BEEN SUPPORTED IN GEOGRAPHICALLY 6099 04:52:12,240 --> 04:52:13,720 DIVERSE LOCATIONS AND WITH A 6100 04:52:13,720 --> 04:52:18,400 DIVERSE SET OF INVESTIGATORS. 6101 04:52:18,400 --> 04:52:20,800 THE PROJECTS THAT HAVE BEEN 6102 04:52:20,800 --> 04:52:22,040 FUNDED HAVE BEEN FUNDED WITH 6103 04:52:22,040 --> 04:52:25,640 SUPPORT FROM 16 I.C.s AND IN 6104 04:52:25,640 --> 04:52:27,880 FY21 THERE WERE 12 APPLICATIONS 6105 04:52:27,880 --> 04:52:28,840 FUNDED WITH SUPPORT FROM NINE 6106 04:52:28,840 --> 04:52:36,040 INSTITUTES AND CENTERS. 6107 04:52:36,040 --> 04:52:38,240 AN ADDITION TO BUILDING ON THE 6108 04:52:38,240 --> 04:52:39,960 U3 FRAMEWORK THE GOAL WAS TO 6109 04:52:39,960 --> 04:52:42,120 BUILD ON LAST YEAR'S WOMEN'S 6110 04:52:42,120 --> 04:52:44,840 HEALTH CONFERENCE. 6111 04:52:44,840 --> 04:52:47,040 RISING RATES OF CHRONIC 6112 04:52:47,040 --> 04:52:51,840 DEBILITATING CONDITIONS WAS 6113 04:52:51,840 --> 04:52:52,880 IDENTIFIED BY CONGRESS WAS 6114 04:52:52,880 --> 04:52:53,440 ADDRESSED BY WOMEN'S HEALTH 6115 04:52:53,440 --> 04:53:05,360 RESEARCH. 6116 04:53:05,360 --> 04:53:07,240 ONE IDENTITY IDENTIFIED WAS 6117 04:53:07,240 --> 04:53:08,320 INTENTIONAL RESEARCH THAT IS 6118 04:53:08,320 --> 04:53:18,800 CENTERED ON THE NEEDS OF WOMEN. 6119 04:53:18,800 --> 04:53:22,040 THIS SLIDE SHOWS IN MORE DETAIL 6120 04:53:22,040 --> 04:53:26,080 BY THE CMS CENTERS FOR MEDICARE 6121 04:53:26,080 --> 04:53:31,080 SERVICES DEFINITION, THERE ARE 6122 04:53:31,080 --> 04:53:38,160 SEVERAL CONDITIONS THAT COMMON 6123 04:53:38,160 --> 04:53:41,400 AMONGST WOMEN THAN MEN INCLUDING 6124 04:53:41,400 --> 04:53:45,720 ARTHRITIS, DEMENTIA AND 6125 04:53:45,720 --> 04:53:48,840 OSTEOPOROSIS AND ASTHMA AND THE 6126 04:53:48,840 --> 04:53:52,840 RED ARROWS INDICATE THE HIGHER 6127 04:53:52,840 --> 04:53:58,360 PREVALENCE AMONG FEMALES. 6128 04:53:58,360 --> 04:54:01,720 WE SPENT A FAIR AMOUNT OF TIME 6129 04:54:01,720 --> 04:54:02,440 TALKING ABOUT MULTI-MORBIDITY OR 6130 04:54:02,440 --> 04:54:04,480 THE CO-OCCURRENCE OF TWO OR MORE 6131 04:54:04,480 --> 04:54:06,320 CHRONIC DISEASES IN ONE 6132 04:54:06,320 --> 04:54:08,800 INDIVIDUAL WHICH IS ALSO MORE 6133 04:54:08,800 --> 04:54:12,640 COMMON IN WOMEN. 6134 04:54:12,640 --> 04:54:17,840 WOMEN ARE LIKELY TO ONE CHRONIC 6135 04:54:17,840 --> 04:54:23,600 CONDITION AND PARTLY THIS MAY BE 6136 04:54:23,600 --> 04:54:25,200 EXPLAINED BY INCREASED LONGEVITY 6137 04:54:25,200 --> 04:54:27,240 FOR WOMEN AND WOMEN'S SYMPTOMS 6138 04:54:27,240 --> 04:54:31,280 ARE OFTEN DESCRIBED AS ATYPICAL 6139 04:54:31,280 --> 04:54:33,040 WHICH MAY RESULT IN DIAGNOSTIC 6140 04:54:33,040 --> 04:54:35,800 DELAYS AND ULTIMATELY POORER 6141 04:54:35,800 --> 04:54:37,760 RESPONSES TO FIRST-LINE 6142 04:54:37,760 --> 04:54:38,640 TREATMENTS. 6143 04:54:38,640 --> 04:54:39,200 AND INTERACTIONS BETWEEN 6144 04:54:39,200 --> 04:54:42,840 CONDITIONS AND THE DEVELOPMENT 6145 04:54:42,840 --> 04:54:43,840 OF MULTI-MORBIDITY ARE POORLY 6146 04:54:43,840 --> 04:54:49,800 UNDERSTOOD IN WOMEN AND WE KNOW 6147 04:54:49,800 --> 04:54:52,320 THAT THE NETWORKS OF MORBIDITIES 6148 04:54:52,320 --> 04:54:56,840 AND DIAGNOSES ARE DIFFERENT IN 6149 04:54:56,840 --> 04:55:01,480 WOMEN THAN IN MEN. 6150 04:55:01,480 --> 04:55:04,240 IN CONSIDERING THE U-3 6151 04:55:04,240 --> 04:55:05,800 POPULATIONS AND DEBILITATING 6152 04:55:05,800 --> 04:55:09,960 CONDITIONS THERE'S MULTIPLE 6153 04:55:09,960 --> 04:55:10,280 INTERSECTIONS. 6154 04:55:10,280 --> 04:55:12,800 RACE INFLUENCES THE INCIDENTS OF 6155 04:55:12,800 --> 04:55:16,560 MORBIDITY AND BLACK WOMEN HAVE 6156 04:55:16,560 --> 04:55:17,640 SIGNIFICANTLY HIGHER RATES OF 6157 04:55:17,640 --> 04:55:19,760 CARRYING A DIAGNOSIS OF THREE OR 6158 04:55:19,760 --> 04:55:20,840 MORE CHRONIC CONDITIONS COMPARED 6159 04:55:20,840 --> 04:55:23,040 TO ANY OTHER RACIAL GROUP THAT 6160 04:55:23,040 --> 04:55:23,480 WAS LOOKED AT IN THIS 6161 04:55:23,480 --> 04:55:32,840 PUBLICATION. 6162 04:55:32,840 --> 04:55:37,160 THIS IS ONE OF THE ONLY 6163 04:55:37,160 --> 04:55:39,280 PUBLICATION THAT DISAGGREGATES 6164 04:55:39,280 --> 04:55:59,360 BY RACE AND PREVALENCY OF 6165 04:55:59,360 --> 04:56:04,800 DISEASE AND IN OUR SNAPSHOT OF 6166 04:56:04,800 --> 04:56:09,720 NIH ACTIVITIES OF CHRONIC 6167 04:56:09,720 --> 04:56:14,320 CONDITIONS WE DID SEE ACTIVITY 6168 04:56:14,320 --> 04:56:15,640 SUPPORTING RESEARCH IN WOMEN. 6169 04:56:15,640 --> 04:56:17,240 HOWEVER, SUPPORT FOR CONDITIONS 6170 04:56:17,240 --> 04:56:23,760 WAS VARIED BETWEEN CONDITIONS 6171 04:56:23,760 --> 04:56:27,040 AND ACROSS UNDER THE INSTITUTES 6172 04:56:27,040 --> 04:56:29,280 AND CENTER AND THE NEEDS OF 6173 04:56:29,280 --> 04:56:39,920 WOMEN WAS LIMITED AND VIEWED 6174 04:56:39,920 --> 04:56:47,640 PROJECTS ON WOMEN AND -- FEW 6175 04:56:47,640 --> 04:56:51,800 PROJECTS ON MULTIMORBIDITY WERE 6176 04:56:51,800 --> 04:56:54,120 IDENTIFIED AND WHAT THE PUBLIC 6177 04:56:54,120 --> 04:56:56,840 COMMENTED FREQUENTLY ON IN 6178 04:56:56,840 --> 04:56:58,040 RESPONSES TO OUR REQUEST FOR 6179 04:56:58,040 --> 04:57:00,640 INFORMATION AROUND THE WOMEN'S 6180 04:57:00,640 --> 04:57:03,200 HEALTH CONFERENCE OF THE 247 6181 04:57:03,200 --> 04:57:09,000 COMMENTS RECEIVED, 182 MENTIONED 6182 04:57:09,000 --> 04:57:12,840 CHRONIC DEBILITATING AND FEMALE 6183 04:57:12,840 --> 04:57:16,600 SPECIFIC DISEASES FOLLOWED BY 6184 04:57:16,600 --> 04:57:18,600 THOSE THAT ARE POTENTIALLY UNDER 6185 04:57:18,600 --> 04:57:19,960 STUDIED AND THOSE MOST COMMON IN 6186 04:57:19,960 --> 04:57:23,760 WOMEN WITH THE FEWEST NUMBER OF 6187 04:57:23,760 --> 04:57:24,480 COMMENTS ON CONDITIONS WITH HIGH 6188 04:57:24,480 --> 04:57:25,200 MORBIDITY IN WOMEN. 6189 04:57:25,200 --> 04:57:33,840 ON THE SLIDE WE SEE THE MOWORDS 6190 04:57:33,840 --> 04:57:37,800 WERE ENDOMETRIOSIS, FIBROIDS AND 6191 04:57:37,800 --> 04:57:40,800 MENSTRUATION AND MENOPAUSE AND 6192 04:57:40,800 --> 04:57:43,160 FOR DISORDERS MORE COMMON IN 6193 04:57:43,160 --> 04:57:45,440 WOMEN WITH GREATER MORBIDITY IN 6194 04:57:45,440 --> 04:57:48,600 WOMEN WERE MENTAL HEALTH, 6195 04:57:48,600 --> 04:57:52,240 AUTOIMMUNE DISEASE AND HPV AND 6196 04:57:52,240 --> 04:57:52,680 TRAU 6197 04:57:52,680 --> 04:57:52,920 TRAUMA. 6198 04:57:52,920 --> 04:57:55,160 FOR THOSE DISEASES POTENTIALLY 6199 04:57:55,160 --> 04:57:58,040 UNDER STUDIED OUT WAS PAIN, 6200 04:57:58,040 --> 04:57:59,040 ENVIRONMENTAL EXPOSURES, 6201 04:57:59,040 --> 04:58:01,320 COVID-19 AND INFECTION. 6202 04:58:01,320 --> 04:58:04,160 AND AMONGST CONDITIONS THAT HAVE 6203 04:58:04,160 --> 04:58:06,080 HIGH MORBID AMONGST WOMEN, THE 6204 04:58:06,080 --> 04:58:09,200 MOST FREQUENTLY USED TERMS WERE 6205 04:58:09,200 --> 04:58:11,240 HEART DISEASE, SUBSTANCE USE, 6206 04:58:11,240 --> 04:58:18,080 HYPERTENSION AND OBESITY. 6207 04:58:18,080 --> 04:58:20,760 ON THE DAY AFTER THE WOMEN'S 6208 04:58:20,760 --> 04:58:24,080 HEALTH CONFERENCE THE ADVISORY 6209 04:58:24,080 --> 04:58:26,240 COMMITTEE MET AND SUMMARIZED THE 6210 04:58:26,240 --> 04:58:28,080 PROCEEDINGS AND VOTED ON THIS 6211 04:58:28,080 --> 04:58:32,680 SET OF OPPORTUNITIES FOR NIH 6212 04:58:32,680 --> 04:58:38,480 RESEARCH ON CHRONIC DEBILITATING 6213 04:58:38,480 --> 04:58:42,120 CONDITIONS AMONGST WOMEN. 6214 04:58:42,120 --> 04:58:44,440 I HILTED SEVERAL THAT RESEARCH 6215 04:58:44,440 --> 04:58:45,440 SCHAUBED LINED WITH THE NEEDS OF 6216 04:58:45,440 --> 04:58:48,240 WOMEN AND THAT INCLUDES STUDY 6217 04:58:48,240 --> 04:58:49,840 OBJECTIVES AND END POINTS AND 6218 04:58:49,840 --> 04:58:53,800 THERE COULD BE AN INCREASE IN 6219 04:58:53,800 --> 04:58:57,240 RESEARCH ACTIVITY SPECIFIC TO 6220 04:58:57,240 --> 04:59:00,120 DISEASES THAT ARE FEMALE FIFK 6221 04:59:00,120 --> 04:59:04,760 AND MEN PAUSE AND AGING AND 6222 04:59:04,760 --> 04:59:11,080 RESEARCH COULD BE ENCOURAGED 6223 04:59:11,080 --> 04:59:12,840 AROUND MULTIMORBIDITY IN WOMEN. 6224 04:59:12,840 --> 04:59:16,840 OVER THE FOUR YEARS OF THE U3 6225 04:59:16,840 --> 04:59:20,400 SUPPLEMENT PROGRAM, ACTUALLY 6226 04:59:20,400 --> 04:59:22,480 THERE HAS BEEN A FAIR AMOUNT OF 6227 04:59:22,480 --> 04:59:24,240 SUPPORT AMONGST THE 71 SUPPORTED 6228 04:59:24,240 --> 04:59:26,640 PROJECTS FOR MANY OF THESE 6229 04:59:26,640 --> 04:59:30,560 CONDITIONS THAT ARE UNDER 6230 04:59:30,560 --> 04:59:31,160 STUDIED AMONGST WOMEN. 6231 04:59:31,160 --> 04:59:32,360 AND LISTED HERE ARE SUBJECTS 6232 04:59:32,360 --> 04:59:35,080 THAT HAVE BEEN SUPPORTED ON 6233 04:59:35,080 --> 04:59:36,920 MENOPAUSE, TRAUMA AND MENTAL 6234 04:59:36,920 --> 04:59:40,960 HEALTH, MUSCULOSKELETAL DISEASE 6235 04:59:40,960 --> 04:59:47,560 AND MULTIMORBIDITY AND 6236 04:59:47,560 --> 04:59:53,440 FEMALE-SPECIFIC CONDITIONS AND 6237 04:59:53,440 --> 04:59:54,440 INFLAMMATION AND IMMUNITY. 6238 04:59:54,440 --> 04:59:56,840 AND WE'RE LOOKING AT CONDITIONS 6239 04:59:56,840 --> 04:59:58,160 RELATIVE TO THE HEALTH OF WOMEN 6240 04:59:58,160 --> 05:00:04,640 USING THE U3 FRAMEWORK WHICH WAS 6241 05:00:04,640 --> 05:00:05,240 DEVELOPED FOR THE SUPPLEMENT 6242 05:00:05,240 --> 05:00:06,440 PROGRAM AND DEVELOP A NEW 6243 05:00:06,440 --> 05:00:08,040 FUNDING OPPORTUNITY TO SUPPORT 6244 05:00:08,040 --> 05:00:12,160 RESEARCH ON UNDER STUDIED 6245 05:00:12,160 --> 05:00:15,200 CONDITIONS THAT AFFECT WOMEN. 6246 05:00:15,200 --> 05:00:15,800 THE SPECIFIC CONDITIONS OF 6247 05:00:15,800 --> 05:00:20,960 INTEREST INCLUDE MENOPAUSE, 6248 05:00:20,960 --> 05:00:22,640 MUSCULOSKELETAL DISEASE, 6249 05:00:22,640 --> 05:00:24,600 INFLAMMATION AND IMMUNITY AND 6250 05:00:24,600 --> 05:00:25,600 FEMALE-SPECIFIC CONDITIONS AND 6251 05:00:25,600 --> 05:00:27,640 AS WE HOPEFULLY DEMONSTRATED, 6252 05:00:27,640 --> 05:00:30,960 THESE ARE BUILDING UPON OUR OWN 6253 05:00:30,960 --> 05:00:36,160 EXPERIENCE WITH OUR U-3 6254 05:00:36,160 --> 05:00:37,080 SUPPLEMENT PROGRAM AS WELL AS 6255 05:00:37,080 --> 05:00:39,200 THE CURRENT REVIEW OF THE NIH 6256 05:00:39,200 --> 05:00:40,840 ACTIVITY IN THE SPACE AND THE 6257 05:00:40,840 --> 05:00:47,400 PUBLIC COMMENTS. 6258 05:00:47,400 --> 05:00:48,840 WE'D LIKE TO ENCOURAGE 6259 05:00:48,840 --> 05:00:53,640 PARTICIPATION OF U3 POPULATIONS 6260 05:00:53,640 --> 05:00:55,040 AND SUPPORT IN THE POPULATIONS 6261 05:00:55,040 --> 05:00:56,680 WITH THE HIGHEST BURDENS OF 6262 05:00:56,680 --> 05:01:01,280 UNDER STUDIED CONDITIONS. 6263 05:01:01,280 --> 05:01:03,640 OUR PLAN WITH THIS PROPOSAL IS 6264 05:01:03,640 --> 05:01:04,880 TO PARTNER WITH INTERESTED 6265 05:01:04,880 --> 05:01:08,560 INSTITUTES AND CENTER AND 6266 05:01:08,560 --> 05:01:09,200 ENCOURAGE RESEARCH ON THE 6267 05:01:09,200 --> 05:01:10,640 CONDITIONS WHICH HAVE BEEN 6268 05:01:10,640 --> 05:01:13,160 IDENTIFIED AS UNDER STUDIED AS 6269 05:01:13,160 --> 05:01:16,840 WELL AS ON POPULATIONS THAT 6270 05:01:16,840 --> 05:01:18,440 TRADITIONALLY HAVE FALLEN INTO 6271 05:01:18,440 --> 05:01:21,240 THE U3 DEFINITION. 6272 05:01:21,240 --> 05:01:22,440 I'M HAPPY TO TAKE ANY QUESTION 6273 05:01:22,440 --> 05:01:43,960 OR COMMENTS ON THIS PROPOSAL. 6274 05:01:43,960 --> 05:01:45,800 >> FEEL FREE TO UTILIZE THE 6275 05:01:45,800 --> 05:01:46,440 CHAT. 6276 05:01:46,440 --> 05:01:47,480 >> GREAT PRESENTATION AND AN 6277 05:01:47,480 --> 05:01:48,000 IMPORTANT PROJECT. 6278 05:01:48,000 --> 05:01:53,280 I JUST WANTED TO CLARIFY 6279 05:01:53,280 --> 05:01:55,240 SOMETHING AND MAYBE IF I DIDN'T 6280 05:01:55,240 --> 05:01:58,320 UNDERSTAND, I'M SORRY. 6281 05:01:58,320 --> 05:02:00,600 THE CROSS SECTION BETWEEN 6282 05:02:00,600 --> 05:02:02,360 FEMALE-SPECIFIC CONDITIONS AND 6283 05:02:02,360 --> 05:02:03,440 OTHER CONDITIONS SUCH AS 6284 05:02:03,440 --> 05:02:05,520 INFLAMMATION AND IMMUNITY, YOU 6285 05:02:05,520 --> 05:02:10,040 TALKED ABOUT CHRONIC CONDITIONS 6286 05:02:10,040 --> 05:02:19,920 BUT THESE TWO INTER SESECT 6287 05:02:19,920 --> 05:02:22,680 INFLAMMATION IS A MORE CHRONIC 6288 05:02:22,680 --> 05:02:24,160 CONDITION AND WHEN INFLAMMATION 6289 05:02:24,160 --> 05:02:27,040 WORSENS DUE TO PREGNANCY BECAUSE 6290 05:02:27,040 --> 05:02:28,720 OF BIOLOGY WOULD THAT QUALIFY TO 6291 05:02:28,720 --> 05:02:30,360 BE PART OF THE U3 PROJECT OR 6292 05:02:30,360 --> 05:02:38,160 NOT? 6293 05:02:38,160 --> 05:02:39,520 >> I'LL TAKE A STAB AT THIS AND 6294 05:02:39,520 --> 05:02:41,000 THANK YOU FOR THE QUESTION. 6295 05:02:41,000 --> 05:02:46,520 THE ORIGINAL FRAMEWORK FOR THE 6296 05:02:46,520 --> 05:02:47,080 U3 SUPPLEMENT PROGRAM DID 6297 05:02:47,080 --> 05:02:48,880 INCLUDE PREGNANCY RELATED 6298 05:02:48,880 --> 05:02:49,840 RESEARCH AND THERE'S BEEN A FAIR 6299 05:02:49,840 --> 05:02:54,680 AMOUNT OF FUNDING FOR PREGNANCY 6300 05:02:54,680 --> 05:02:55,720 RELATED CONDITIONS IN 6301 05:02:55,720 --> 05:02:57,040 POPULATIONS UNDER STUDIED AND 6302 05:02:57,040 --> 05:02:57,640 UNDER REPRESENTED AND UNDER 6303 05:02:57,640 --> 05:03:07,240 SERVED. 6304 05:03:07,240 --> 05:03:09,320 IN BUILDING THE WOMEN'S HEALTH 6305 05:03:09,320 --> 05:03:10,840 CONFERENCE CONDITIONS WERE A 6306 05:03:10,840 --> 05:03:14,640 SEPARATE CATEGORY THAN 6307 05:03:14,640 --> 05:03:14,880 PREGNANCY. 6308 05:03:14,880 --> 05:03:16,520 THOUGH WE CAN HAVE A LONG 6309 05:03:16,520 --> 05:03:19,760 CONVERSATION ABOUT PREGNANCY 6310 05:03:19,760 --> 05:03:23,200 LASTING TO ONE-YEAR POST PARTUM, 6311 05:03:23,200 --> 05:03:26,040 WE DEFINED THOSE CHRONIC 6312 05:03:26,040 --> 05:03:31,600 CONDITIONS AS LASTING OVER ONE 6313 05:03:31,600 --> 05:03:35,040 YEAR AND SO WE CAN HAVE A 6314 05:03:35,040 --> 05:03:36,440 DISCUSSION TO INCLUDE PREGNANCY 6315 05:03:36,440 --> 05:03:38,040 IN THE PROGRAM HOWEVER, I DON'T 6316 05:03:38,040 --> 05:03:40,480 THINK THAT WAS THE ORIGINAL -- 6317 05:03:40,480 --> 05:03:49,160 THE WAS THE IDEA OF THIS. 6318 05:03:49,160 --> 05:03:51,160 >> I JUST THINK IF YOU DON'T 6319 05:03:51,160 --> 05:03:53,000 THINK IT'S THE RIGHT IDEA IT 6320 05:03:53,000 --> 05:04:07,840 SHOULD BE INCLUDED SPECIFICALLY 6321 05:04:07,840 --> 05:04:10,200 >> THE SPECIFIC CONTEXT OF 6322 05:04:10,200 --> 05:04:12,240 PREGNANCY YOU WERE ASKING WOULD 6323 05:04:12,240 --> 05:04:17,880 THAT BE EXCLUDED FROM THE NEW 6324 05:04:17,880 --> 05:04:18,480 FUNDING OPPORTUNITY? 6325 05:04:18,480 --> 05:04:20,960 >> SHE WAS TALKING ABOUT FIVE 6326 05:04:20,960 --> 05:04:26,600 CONDITIONS IN ONE OF HER SLIDES 6327 05:04:26,600 --> 05:04:37,720 AND I DON'T CALL MY QUESTION IS 6328 05:04:37,720 --> 05:04:39,440 INTERSECTS WITH INFLAMMATORY 6329 05:04:39,440 --> 05:04:42,120 DISEASE AND MANY IMMUNE 6330 05:04:42,120 --> 05:04:42,840 DISORDERS WORSENS OR IMPROVES 6331 05:04:42,840 --> 05:04:46,520 DURING PREGNANCY AND IF YOU WANT 6332 05:04:46,520 --> 05:04:49,240 TO EXCLUDE IT OR NOT IT'S FINE. 6333 05:04:49,240 --> 05:04:51,520 >> I APPRECIATE THAT AND LOOKS 6334 05:04:51,520 --> 05:04:55,640 LIKE SARAH WANTS TO RESPOND. 6335 05:04:55,640 --> 05:04:57,320 >> I THINK THE LIST OF 6336 05:04:57,320 --> 05:05:00,120 CONDITIONS IS NOT MEANT TO BE 6337 05:05:00,120 --> 05:05:05,160 EXHAUSTIVE OR EXCLUSIVE. 6338 05:05:05,160 --> 05:05:06,840 THOSE ARE THE CONDITIONS WE 6339 05:05:06,840 --> 05:05:08,400 IDENTIFIED IN THE WOMEN'S HEALTH 6340 05:05:08,400 --> 05:05:11,840 ACTIVITIES AND FROM PUBLIC 6341 05:05:11,840 --> 05:05:13,400 COMMENTS AS SPECIFIC PLACES OF 6342 05:05:13,400 --> 05:05:13,600 NEED. 6343 05:05:13,600 --> 05:05:18,960 IF AN INVESTIGATOR WERE ABLE TO 6344 05:05:18,960 --> 05:05:23,880 MAKE A PROVIDER RATIONALE BY A 6345 05:05:23,880 --> 05:05:24,480 PREGNANCY RELATED RESEARCH 6346 05:05:24,480 --> 05:05:25,680 PROJECT MAY FIT THE DEFINITION. 6347 05:05:25,680 --> 05:05:26,800 I WOULD NOT PLAN TO SPECIFICALLY 6348 05:05:26,800 --> 05:05:32,760 EXCLUDE IT. 6349 05:05:32,760 --> 05:05:34,480 >> CONSISTENT WITH THE LIFE 6350 05:05:34,480 --> 05:05:35,320 COURSE PERSPECTIVE WE HAVE FOR 6351 05:05:35,320 --> 05:05:40,600 THE HEALTH OF WOMEN, DISSECTING 6352 05:05:40,600 --> 05:05:42,680 THE STAGES LIKE THAT IS NOT HOW 6353 05:05:42,680 --> 05:05:44,480 WE LIVE OUR LIVES. 6354 05:05:44,480 --> 05:05:47,440 EVERYTHING THAT WE HAVE BEFORE 6355 05:05:47,440 --> 05:05:48,840 AFFECTS OUR HEALTH AND THE MORE 6356 05:05:48,840 --> 05:05:52,000 WE CAN HAVE A MORE INTEGRATED 6357 05:05:52,000 --> 05:05:54,400 FRAMEWORK AS DR. GIBBON SAID 6358 05:05:54,400 --> 05:06:00,040 EARLIER HAVE THE OPPORTUNITY TO 6359 05:06:00,040 --> 05:06:13,240 INTERRUPT OR PREVENT THAT'S A 6360 05:06:13,240 --> 05:06:14,040 POU 6361 05:06:14,040 --> 05:06:14,760 POWERFUL APPROACH. 6362 05:06:14,760 --> 05:06:16,240 >> WE'RE IN GOOD TIME IF THERE 6363 05:06:16,240 --> 05:06:20,360 ARE ANY QUESTIONS TO DR. TEMKIN, 6364 05:06:20,360 --> 05:06:22,200 BEFORE WE MOVE ON TO VOTE, THIS 6365 05:06:22,200 --> 05:06:28,080 IS A GOOD TIME TO ASK. 6366 05:06:28,080 --> 05:06:28,760 I DON'T SEE ANYTHING IN THE 6367 05:06:28,760 --> 05:06:28,960 CHAT. 6368 05:06:28,960 --> 05:06:32,720 THANK YOU FOR YOUR QUESTION. 6369 05:06:32,720 --> 05:06:33,760 WE CAN MOVE ON. 6370 05:06:33,760 --> 05:06:36,680 WE WILL MOVE ON TO THE VOTE TO 6371 05:06:36,680 --> 05:06:40,320 APPROVE THE CONCEPT CLEARANCE 6372 05:06:40,320 --> 05:06:44,240 FOR THE ORWH U3 RESEARCH PROGRAM 6373 05:06:44,240 --> 05:06:45,520 EXTENSION TO EMPHASIZE UNDER 6374 05:06:45,520 --> 05:06:46,160 STUDIED CONDITIONS RELEVANT TO 6375 05:06:46,160 --> 05:06:47,600 THE HEALTH OF WOMEN. 6376 05:06:47,600 --> 05:06:48,920 IS THERE A MOTION ON THE TABLE 6377 05:06:48,920 --> 05:06:54,160 TO APPROVE THE CONCEPT CLEARANCE 6378 05:06:54,160 --> 05:06:56,840 FOR THE ORWH PROGRAM EXTENSION 6379 05:06:56,840 --> 05:06:58,000 TO EMPHASIZE UNDER STUDIED 6380 05:06:58,000 --> 05:07:02,720 CONDITIONS RELEVANT TO THE 6381 05:07:02,720 --> 05:07:08,600 HEALTH OF WOMEN? 6382 05:07:08,600 --> 05:07:09,080 >> SO MOVED. 6383 05:07:09,080 --> 05:07:10,640 >> THE MOTION IS SUBMITTED. 6384 05:07:10,640 --> 05:07:13,240 DO I HEAR A SECOND? 6385 05:07:13,240 --> 05:07:13,880 >> SECOND. 6386 05:07:13,880 --> 05:07:18,200 >> THANK YOU, DR. ANDERSON. 6387 05:07:18,200 --> 05:07:24,200 THE POLL HAS NOW BEEN RESPOND. 6388 05:07:24,200 --> 05:08:03,600 YOU HAVE 30 SECONDS. 6389 05:08:03,600 --> 05:08:15,160 >> 12 IN FAVOR. 6390 05:08:15,160 --> 05:08:16,800 >> THE CONCEPT CLEARANCE HAS 6391 05:08:16,800 --> 05:08:21,440 BEEN ACCEPTED WITH 12 IN FAVOR. 6392 05:08:21,440 --> 05:08:21,920 THANK YOU. 6393 05:08:21,920 --> 05:08:23,560 THANK YOU, DR. TEMKIN. 6394 05:08:23,560 --> 05:08:26,320 I'D LIKE TO TURN IT BACK TO THE 6395 05:08:26,320 --> 05:08:27,560 CHAIR OF THE COMMITTEE, 6396 05:08:27,560 --> 05:08:29,280 DR. JANINE CLAYTON. 6397 05:08:29,280 --> 05:08:30,920 >> THANK YOU SO MUCH, SAMIA. 6398 05:08:30,920 --> 05:08:31,400 THANK YOU, EVERYONE. 6399 05:08:31,400 --> 05:08:41,160 ALL THE PRESENTERS FOR THE CON 6400 05:08:41,160 --> 05:08:42,880 CONSEPTS AND TO THE ADVISORY 6401 05:08:42,880 --> 05:08:44,960 MEMBERS FOR ROBUST DISCUSSION. 6402 05:08:44,960 --> 05:08:48,040 WE RELY ON YOUR EXPERTISE TO 6403 05:08:48,040 --> 05:08:49,680 MAKE SURE WE'RE GOING IN THE 6404 05:08:49,680 --> 05:08:51,560 RIGHT DIRECTION AS WE APPRECIATE 6405 05:08:51,560 --> 05:08:53,440 THE AWESOME DISCUSSION THIS 6406 05:08:53,440 --> 05:08:53,680 AFTERNOON. 6407 05:08:53,680 --> 05:08:59,240 NOW IS THE TIME ON THE AGENDA 6408 05:08:59,240 --> 05:09:01,440 FOR OPEN DISCUSSION OF ANY 6409 05:09:01,440 --> 05:09:03,440 TOPICS AND ISSUES RELATED TO 6410 05:09:03,440 --> 05:09:06,960 ORWH WE WANT TO MAKE SURE YOU 6411 05:09:06,960 --> 05:09:08,680 HAVE AN OPPORTUNITY TO WEIGH IN. 6412 05:09:08,680 --> 05:09:11,120 WE APPRECIATE YOUR SUPPORT OF 6413 05:09:11,120 --> 05:09:12,240 THE ADVISORY COMMITTEE FOR THE 6414 05:09:12,240 --> 05:09:15,200 RESEARCH ON WOMEN'S HEALTH AT 6415 05:09:15,200 --> 05:09:16,520 NIH AND YOU'VE DONE A TREMENDOUS 6416 05:09:16,520 --> 05:09:20,040 AMOUNT OF WORK IN THE LAST YEAR 6417 05:09:20,040 --> 05:09:24,200 OR SO WITH THE CONFERENCE AND 6418 05:09:24,200 --> 05:09:25,960 BIENNIAL REPORT AND WORKING 6419 05:09:25,960 --> 05:09:26,160 GROUP. 6420 05:09:26,160 --> 05:09:27,640 THE FLOOR IS OPEN. 6421 05:09:27,640 --> 05:09:29,080 YOU CAN PUT COMMENTS IN THE CHAT 6422 05:09:29,080 --> 05:09:30,720 IF YOU'D LIKE AND YOU CAN ALSO 6423 05:09:30,720 --> 05:09:37,040 RAISE YOUR HAND ON ZOOM AND ALSO 6424 05:09:37,040 --> 05:09:40,640 TURN YOUR CAMERA ON AND LET US 6425 05:09:40,640 --> 05:09:45,080 KNOW YOU HAVE A COMMENT. 6426 05:09:45,080 --> 05:09:46,200 >> THANK YOU. 6427 05:09:46,200 --> 05:09:50,440 SO ONE THING I HAVE FUND 6428 05:09:50,440 --> 05:09:52,840 INTERESTING IN THE PRESENTATIONS 6429 05:09:52,840 --> 05:09:58,200 AND THIS GOES BACK TO THE BIRCWH 6430 05:09:58,200 --> 05:10:00,240 AND A TABLE SHOWING THERE ARE 6431 05:10:00,240 --> 05:10:03,240 TWO INSTITUTES, LET ME KNOW IF 6432 05:10:03,240 --> 05:10:07,920 I'M INCORRECT, ENGAGED THIS. 6433 05:10:07,920 --> 05:10:10,840 WHEN I THINK OF WHAT A 6434 05:10:10,840 --> 05:10:24,720 SUCCESSFUL PROGRAM AND I'M BIAS. 6435 05:10:24,720 --> 05:10:32,400 WE HAVE A BIRCWH JOHNS HOPKINS 6436 05:10:32,400 --> 05:10:36,840 AND I'D LIKE TO GAIN KNOWLEDGE 6437 05:10:36,840 --> 05:10:40,840 ON HOW TO GET THE PROGRAM TO 6438 05:10:40,840 --> 05:10:41,040 GROW. 6439 05:10:41,040 --> 05:10:43,440 >> IT'S ORWH AND NIDA. 6440 05:10:43,440 --> 05:10:46,000 WE'VE HAD SEVERAL I.C.s WHO 6441 05:10:46,000 --> 05:10:46,640 SUPPORTED A BIRCWH AWARD HERE 6442 05:10:46,640 --> 05:10:55,560 AND THERE. 6443 05:10:55,560 --> 05:10:57,520 NIEHS AND OTHERS BUT IT'S A CASE 6444 05:10:57,520 --> 05:10:59,080 BY CASE BASIS. 6445 05:10:59,080 --> 05:11:03,600 REMEMBER THE PHRASING IS THE 6446 05:11:03,600 --> 05:11:05,040 BIRCWH AND TO CONSIDER SEX AND 6447 05:11:05,040 --> 05:11:07,200 GENDER IN HEALTH AND DISEASE. 6448 05:11:07,200 --> 05:11:12,840 THE MAJORITY ARE WOMEN BUT NOT 6449 05:11:12,840 --> 05:11:13,840 ALL WOMEN. 6450 05:11:13,840 --> 05:11:16,640 THE TOPICS ARE HIGHLY RANGING. 6451 05:11:16,640 --> 05:11:20,720 THE CAREER DEVELOPMENT AWARD. 6452 05:11:20,720 --> 05:11:24,080 I THINK THE CONTEXT YOU ARE 6453 05:11:24,080 --> 05:11:25,920 TOUCHING UPON IS WHAT 6454 05:11:25,920 --> 05:11:30,680 CONSTITUTES WOMEN'S HEALTH 6455 05:11:30,680 --> 05:11:33,480 RESEARCH AND WHO FEELS THEY'RE 6456 05:11:33,480 --> 05:11:36,240 PART OF WOMEN'S HEALTH RESEARCH 6457 05:11:36,240 --> 05:11:38,000 AND MAYBE WHAT ARE IN WOMEN'S 6458 05:11:38,000 --> 05:11:38,520 HEALTH RESEARCH. 6459 05:11:38,520 --> 05:11:41,560 >> AND WHO OWNS THE TRAINING OF 6460 05:11:41,560 --> 05:11:42,600 THE NEXT GENERATION OF 6461 05:11:42,600 --> 05:11:53,200 INVESTIGATORS. 6462 05:11:53,200 --> 05:11:55,600 >> RIGHT. 6463 05:11:55,600 --> 05:12:00,560 AND NOT ALL SUPPORT AND THE 6464 05:12:00,560 --> 05:12:06,720 MECHANISM MAY ALSO BE A BARRIER. 6465 05:12:06,720 --> 05:12:08,200 FROM THE BIRCWH PERSPECTIVE WE 6466 05:12:08,200 --> 05:12:09,840 HAVE SEEN THE MECHANISM WORK 6467 05:12:09,840 --> 05:12:12,240 WELL TO PROVIDER THE SUPPORT AND 6468 05:12:12,240 --> 05:12:20,920 COHORT AFFECT AND THE CONTINUITY 6469 05:12:20,920 --> 05:12:25,840 JUNIOR FACULTY NEED. 6470 05:12:25,840 --> 05:12:31,640 IT HAS BEEN EFFECTIVE AND THE 6471 05:12:31,640 --> 05:12:34,520 FOLKS ARE GETTING HIGHER RATES 6472 05:12:34,520 --> 05:12:35,840 OF RPGs THAN OTHER PROGRAMS AND 6473 05:12:35,840 --> 05:12:39,000 DOING WELL. 6474 05:12:39,000 --> 05:12:42,040 I AGREE AND WOULD LOVE TO HAVE 6475 05:12:42,040 --> 05:12:44,880 THE FLOOR OPEN FOR ANYONE TO 6476 05:12:44,880 --> 05:12:48,880 COMMENT BECAUSE THE CRUX OF THE 6477 05:12:48,880 --> 05:12:52,360 MATTER SO WHO THINK THEY'RE A 6478 05:12:52,360 --> 05:12:54,840 PRIORITY OF WOMEN'S HEALTH 6479 05:12:54,840 --> 05:12:57,200 RESEARCH AND DR. TEMKIN SHOWED 6480 05:12:57,200 --> 05:12:59,040 YOU THE AMOUNT OF INVESTMENT. 6481 05:12:59,040 --> 05:13:04,840 IN TOTAL IT'S ABOUT 10% OF THE 6482 05:13:04,840 --> 05:13:12,000 TOTAL NIH BUDGET BUT EVERYONE IS 6483 05:13:12,000 --> 05:13:15,480 DOING WOMEN'S HEALTH RESEARCH SO 6484 05:13:15,480 --> 05:13:16,240 THEORETICALLY EVERYONE CAN BE 6485 05:13:16,240 --> 05:13:21,000 PART OF THE PROGRAM IF THEY SAW 6486 05:13:21,000 --> 05:13:22,920 IT THAT WAY. 6487 05:13:22,920 --> 05:13:24,240 >> HOW TO LEVERAGE WHAT YOU JUST 6488 05:13:24,240 --> 05:13:25,720 SAID TO GIVE MORE OWNERSHIP. 6489 05:13:25,720 --> 05:13:28,400 >> DO YOU HAVE AN IDEA OR 6490 05:13:28,400 --> 05:13:28,880 THOUGHT? 6491 05:13:28,880 --> 05:13:31,600 >> A QUICK COMMENT WHICH IS WHEN 6492 05:13:31,600 --> 05:13:34,160 I LOOKED AT THE GRANT OF WHICH 6493 05:13:34,160 --> 05:13:36,240 I.C.s ARE DOING WHAT PERCENT OF 6494 05:13:36,240 --> 05:13:38,240 WOMEN'S HEALTH RESEARCH, IF THEY 6495 05:13:38,240 --> 05:13:40,040 DID SEX-SPECIFIC ANALYSIS IT 6496 05:13:40,040 --> 05:13:44,840 WOULD BE 100% UNLESS IT WAS A 6497 05:13:44,840 --> 05:13:49,400 SEX-SPECIFIC CONDITION. 6498 05:13:49,400 --> 05:13:51,320 WHAT DO WE MEAN BY THEY'RE DOING 6499 05:13:51,320 --> 05:13:52,600 WOMEN'S HEALTH RESEARCH? 6500 05:13:52,600 --> 05:13:58,320 ARE THEY DOING REPRODUCTIVE 6501 05:13:58,320 --> 05:13:59,080 HEALTH RESEARCH? 6502 05:13:59,080 --> 05:14:01,080 WHAT CONSTITUTES WOMEN'S HEALTH 6503 05:14:01,080 --> 05:14:01,360 RESEARCH. 6504 05:14:01,360 --> 05:14:06,240 DO YOU THINK PERFORMING 6505 05:14:06,240 --> 05:14:08,040 SEX-SPECIFIC -- DO YOU THINK 6506 05:14:08,040 --> 05:14:13,640 SEX-SPECIFIC RESULTS IS WOMEN'S 6507 05:14:13,640 --> 05:14:15,640 HEALTH RESEARCH. 6508 05:14:15,640 --> 05:14:16,240 REQUIRED FOR PHASE 3 CLINICAL 6509 05:14:16,240 --> 05:14:23,240 RESEARCH. 6510 05:14:23,240 --> 05:14:28,680 I WOULD ARGUE CREATING 6511 05:14:28,680 --> 05:14:32,000 SEX-SPECIFIC RESULTS DOES NOT 6512 05:14:32,000 --> 05:14:36,200 CONSTITUTE AND WE WORK WITH THE 6513 05:14:36,200 --> 05:14:42,320 27 INSTITUTES AND CENTERS AND WE 6514 05:14:42,320 --> 05:14:43,880 THOUGHT ABOUT THIS AND WE DON'T 6515 05:14:43,880 --> 05:14:45,440 INCLUDE IN THE UNIVERSE OF 6516 05:14:45,440 --> 05:14:48,240 WOMEN'S HEALTH RESEARCH STUDYING 6517 05:14:48,240 --> 05:14:52,880 BOTH SEXES IS NOT SUFFICIENT. 6518 05:14:52,880 --> 05:15:08,040 I THINK WHAT WE MEAN AND I 6519 05:15:08,040 --> 05:15:09,560 THINK -- PLEASE ALLOW HER TO 6520 05:15:09,560 --> 05:15:11,440 COME IN THE MEETING. 6521 05:15:11,440 --> 05:15:17,000 >> SARAH, SHE MAY BE IN THE 6522 05:15:17,000 --> 05:15:19,400 WAITING ROOM. 6523 05:15:19,400 --> 05:15:20,560 SHE'S JOINING NOW. 6524 05:15:20,560 --> 05:15:24,640 FINISH THE THOUGHT, ALLISON, DO 6525 05:15:24,640 --> 05:15:28,760 YOU THINK CONFORMING ANALYSIS 6526 05:15:28,760 --> 05:15:30,200 CONSTITUTES WOMEN'S HEALTH 6527 05:15:30,200 --> 05:15:30,440 RESEARCH? 6528 05:15:30,440 --> 05:15:33,040 >> I THINK IT'S A GREAT 6529 05:15:33,040 --> 05:15:39,000 QUESTION. 6530 05:15:39,000 --> 05:15:41,840 MY FIRST THOUGHT WAS YES BECAUSE 6531 05:15:41,840 --> 05:15:43,440 THAT'S CONTRIBUTING TO 6532 05:15:43,440 --> 05:15:44,280 DISCOVERING SEX DIFFERENCES 6533 05:15:44,280 --> 05:15:48,280 WHICH WOMEN WILL BENEFIT FROM 6534 05:15:48,280 --> 05:15:54,640 LOOKING AT WHY. 6535 05:15:54,640 --> 05:15:56,240 MY FIRST THOUGHT WAS YES, IT 6536 05:15:56,240 --> 05:15:56,800 WAS. 6537 05:15:56,800 --> 05:15:58,240 >> I THINK WE SHOULD PUT THAT IN 6538 05:15:58,240 --> 05:15:59,720 THE PARKING LOT BECAUSE IT'S 6539 05:15:59,720 --> 05:16:01,520 SOMETHING WE SHOULD COME BACK TO 6540 05:16:01,520 --> 05:16:11,840 AS A COUNCIL BUT LET'S LET LET 6541 05:16:11,840 --> 05:16:13,720 DR. KLEIN IN. 6542 05:16:13,720 --> 05:16:15,840 SHE ALWAYS CHALLENGES US AND 6543 05:16:15,840 --> 05:16:18,520 FIND A WAY TO LEVERAGE THE 6544 05:16:18,520 --> 05:16:19,600 SUCCESS OF THE BIRCWH AND 6545 05:16:19,600 --> 05:16:22,040 ENLARGE THE TENT SO WE HAVE MORE 6546 05:16:22,040 --> 05:16:22,640 STAKEHOLDERS AND DISCIPLINES 6547 05:16:22,640 --> 05:16:30,800 PLAYING. 6548 05:16:30,800 --> 05:16:32,920 >> THANK YOU, EVERYONE, GOOD 6549 05:16:32,920 --> 05:16:35,360 AFTERNOON AND THANK YOU, 6550 05:16:35,360 --> 05:16:35,920 DRDR. 6551 05:16:35,920 --> 05:16:37,120 DR. KLEIN FOR THE QUESTION. 6552 05:16:37,120 --> 05:16:39,040 THERE'S EIGHT INSTITUTES AND 6553 05:16:39,040 --> 05:16:40,920 CENTERS THAT PARTICIPATE IN 6554 05:16:40,920 --> 05:16:41,160 BIRCWH. 6555 05:16:41,160 --> 05:16:43,440 WE HAVE TWO RFAs. 6556 05:16:43,440 --> 05:16:46,760 IN TERMS OF THE ROUNDS THEY'RE 6557 05:16:46,760 --> 05:16:48,040 BASICALLY CONTRIBUTING ABOUT 20% 6558 05:16:48,040 --> 05:16:49,440 TO 25% OF OUR FUNDING. 6559 05:16:49,440 --> 05:16:55,200 I'D LIKE TO GET THAT CORRECTED. 6560 05:16:55,200 --> 05:16:58,120 NICHD IS THE LEAD ADMINISTRATIVE 6561 05:16:58,120 --> 05:17:01,480 INSTITUTE AND NIDA HAS ONE OF 6562 05:17:01,480 --> 05:17:04,680 OUR PROGRAMS. 6563 05:17:04,680 --> 05:17:06,240 WE BASICALLY WORK WITH PAID 6564 05:17:06,240 --> 05:17:09,320 I.C.s. 6565 05:17:09,320 --> 05:17:13,200 IN TERMS OF EXPANDING THEM, 6566 05:17:13,200 --> 05:17:15,320 THERE'S SOME INSTITUTES THAT 6567 05:17:15,320 --> 05:17:18,480 HAVE K12s OF THEIR OWN AND 6568 05:17:18,480 --> 05:17:20,800 BECAUSE THEY'RE EXPENSIVE 6569 05:17:20,800 --> 05:17:23,480 PROJECTS, HOURS $648,000 PER 6570 05:17:23,480 --> 05:17:24,840 YEAR TOTAL COST AND THEY'RE 6571 05:17:24,840 --> 05:17:29,240 SIMILAR FOR THE INSTITUTES AND 6572 05:17:29,240 --> 05:17:29,440 CENTERS. 6573 05:17:29,440 --> 05:17:31,720 THEY HAVE ELECTED NOT TO JOIN US 6574 05:17:31,720 --> 05:17:33,040 BUT CONTRIBUTE AT LEAST SOME 6575 05:17:33,040 --> 05:17:34,960 MONEY FOR ONE SCHOLAR. 6576 05:17:34,960 --> 05:17:35,480 THAT'S HOW WE GET GREATER 6577 05:17:35,480 --> 05:17:45,920 PARTICIPATION. 6578 05:17:45,920 --> 05:17:47,480 I READ YOUR REPORT PUBLISHED IN 6579 05:17:47,480 --> 05:17:53,080 THE JOURNAL OF WOMEN'S HEALTH. 6580 05:17:53,080 --> 05:17:57,640 IT ALSO CLEARLY DOCUMENTED DATA 6581 05:17:57,640 --> 05:17:58,240 ABOUT THE DISPROPORTIONATE 6582 05:17:58,240 --> 05:17:59,960 AFFECT THE PANDEMIC HAS HAD ON 6583 05:17:59,960 --> 05:18:01,000 FEMALE FACULTY. 6584 05:18:01,000 --> 05:18:06,360 WHEN I THINK ABOUT THESE EARLY 6585 05:18:06,360 --> 05:18:08,440 AWAR 6586 05:18:08,440 --> 05:18:13,240 AWARDS AND SUPPORTING FACULTY 6587 05:18:13,240 --> 05:18:14,960 ESPECIALLY JUNIOR FEMALE FACULTY 6588 05:18:14,960 --> 05:18:16,840 I CAN'T HELP BUT THINK THERE MAY 6589 05:18:16,840 --> 05:18:19,040 BE WAYS TO LEVERAGE AND 6590 05:18:19,040 --> 05:18:21,600 INCREASE, ENGAGEMENT FROM THE 6591 05:18:21,600 --> 05:18:27,520 INSTITUTES IN THIS TYPE OF 6592 05:18:27,520 --> 05:18:29,640 PROGRAM IN A MOMENT WHEN MANY OF 6593 05:18:29,640 --> 05:18:32,280 US ARE TALKING ABOUT THE EXACT 6594 05:18:32,280 --> 05:18:33,040 ISSUE IN VERY DIVERSE AREAS OF 6595 05:18:33,040 --> 05:18:44,120 HEALTH SCIENCE. 6596 05:18:44,120 --> 05:18:46,520 >> I'LL REFER BACK TO COVID AS 6597 05:18:46,520 --> 05:18:49,600 THE MORE GENERAL ISSUE. 6598 05:18:49,600 --> 05:18:51,800 >> IN YOUR INSTITUTION, ABOUT 6599 05:18:51,800 --> 05:18:57,240 WHAT WOULD BE HELPFUL TO YOU TO 6600 05:18:57,240 --> 05:18:59,520 WITHIN YOUR INSTITUTION HELPING 6601 05:18:59,520 --> 05:19:02,160 OTHER DEPARTMENTS TO UNDERSTAND 6602 05:19:02,160 --> 05:19:04,040 THIS IS AN OPPORTUNITY? 6603 05:19:04,040 --> 05:19:06,960 MAYBE WE CAN FLIP IT AROUND AND 6604 05:19:06,960 --> 05:19:12,720 THEN SEE HOW TO GET THERE. 6605 05:19:12,720 --> 05:19:13,840 WHAT WOULD RAISE THEIR AWARENESS 6606 05:19:13,840 --> 05:19:14,720 AS AN OPPORTUNITY. 6607 05:19:14,720 --> 05:19:17,480 >> WHAT RAISES AWARENESS THIS AS 6608 05:19:17,480 --> 05:19:20,400 AN OPPORTUNITY IS HOW FAMILIAR 6609 05:19:20,400 --> 05:19:25,840 PROGRAMS ARE WITH K12 PROGRAMS. 6610 05:19:25,840 --> 05:19:31,360 I HAVE FOUND THE SCHOOL OF 6611 05:19:31,360 --> 05:19:32,840 MEDICINE IS AWARE AND 6612 05:19:32,840 --> 05:19:35,400 ACCOMPLISHED AT MANAGING K12 6613 05:19:35,400 --> 05:19:39,400 PROGRAMS AND SEES HOW THIS LIFTS 6614 05:19:39,400 --> 05:19:43,040 JUNIOR FACULTY PROVIDING THEM 6615 05:19:43,040 --> 05:19:44,040 WITH THE INFRASTRUCTURE. 6616 05:19:44,040 --> 05:19:46,480 THEY RELY ON US AS MENTORS IN A 6617 05:19:46,480 --> 05:19:48,800 PLACE LIKE THE SCHOOL OF PUBLIC 6618 05:19:48,800 --> 05:19:49,760 HEALTH WHERE I AM WHICH IS NOT 6619 05:19:49,760 --> 05:19:52,160 AS FAMILIAR WITH THE K12 6620 05:19:52,160 --> 05:19:52,640 PROGRAMS, A LITTLE MORE 6621 05:19:52,640 --> 05:19:57,560 LUKEWARM. 6622 05:19:57,560 --> 05:20:04,120 WE PARTICIPATE BUT WE EVEN HAVE 6623 05:20:04,120 --> 05:20:05,320 MATCHED FUNDS SO MAY MATCH 6624 05:20:05,320 --> 05:20:06,640 DOLLAR PER DOLLAR WHAT YOU GUYS 6625 05:20:06,640 --> 05:20:08,200 GIVE US SO WE CAN DOUBLE THE 6626 05:20:08,200 --> 05:20:13,000 NUMBER OF SCHOLARS. 6627 05:20:13,000 --> 05:20:20,800 THAT'S HOW MUCH AT JOHNS HOPKINS 6628 05:20:20,800 --> 05:20:22,840 WE BELIEVE IN THE PROGRAM I HOPE 6629 05:20:22,840 --> 05:20:24,600 THERE ARE WAYS TO INCREASE 6630 05:20:24,600 --> 05:20:25,440 INSTITUTE SUPPORT. 6631 05:20:25,440 --> 05:20:27,240 IT'S A SUCH A RICH PROGRAM AND 6632 05:20:27,240 --> 05:20:31,400 ONE THE DOLLAR AMOUNT DOESN'T 6633 05:20:31,400 --> 05:20:33,280 ADEQUATELY REFLECT WHAT THE 6634 05:20:33,280 --> 05:20:35,120 PROGRAM IS CAPABLE OF. 6635 05:20:35,120 --> 05:20:36,920 I'M GOING STOP BECAUSE JUDY HAS 6636 05:20:36,920 --> 05:20:38,040 HAD HER HAND UP. 6637 05:20:38,040 --> 05:20:42,040 >> THANK YOU FOR THE CHALLENGE, 6638 05:20:42,040 --> 05:20:46,440 SABRA, THANK YOU FOR THE 6639 05:20:46,440 --> 05:20:48,320 CHALLENGE AND THANK YOU FOR 6640 05:20:48,320 --> 05:20:55,880 BEING AVAILABLE. 6641 05:20:55,880 --> 05:20:58,280 >> I HAVE SEEN SO MUCH GOOD COME 6642 05:20:58,280 --> 05:21:01,240 FROM IT AND IF WE CAN CONTINUE 6643 05:21:01,240 --> 05:21:04,120 TO GROW THAT PROGRAM IT'S A GEM. 6644 05:21:04,120 --> 05:21:04,840 IT'S UNBELIEVABLE. 6645 05:21:04,840 --> 05:21:15,240 I WANTED TO ASK, LISA, I WAS 6646 05:21:15,240 --> 05:21:16,400 THINKING OF NHLBI CONTRIBUTE TO 6647 05:21:16,400 --> 05:21:17,920 BIRCWH AND I WONDERED ABOUT 6648 05:21:17,920 --> 05:21:18,120 THAT. 6649 05:21:18,120 --> 05:21:24,280 HAVE THEY AND HAVE I MISSED 6650 05:21:24,280 --> 05:21:27,400 THAT? 6651 05:21:27,400 --> 05:21:29,040 >> I DON'T WANT TO SPEAK FOR THE 6652 05:21:29,040 --> 05:21:31,480 INSTITUTE BUT IT HAS A LARGE K12 6653 05:21:31,480 --> 05:21:32,440 PROGRAM OF ITS OWN. 6654 05:21:32,440 --> 05:21:33,240 THAT'S THE FOCUS THEY WISH TO 6655 05:21:33,240 --> 05:21:45,760 CONTINUE. 6656 05:21:45,760 --> 05:21:53,240 >> EVACUATE -- HAVING BEEN TRE 6657 05:21:53,240 --> 05:21:55,040 TRAINING OFFICER OF NHLBI THEY 6658 05:21:55,040 --> 05:21:58,680 HAVE SET PRIORITIES AND NHLBI 6659 05:21:58,680 --> 05:22:04,080 HAS A TREMENDOUS NUMBER OF K 6660 05:22:04,080 --> 05:22:09,640 AWARDS BUT IN RECENT YEARS THE 6661 05:22:09,640 --> 05:22:12,200 K12 PROGRAMS IN THE MORE RECENT 6662 05:22:12,200 --> 05:22:17,440 YEARS HAVE BEEN FOCUSSED ON 6663 05:22:17,440 --> 05:22:18,760 IMPLEMENTATION SCIENCE RATHER 6664 05:22:18,760 --> 05:22:20,840 THAN ON THE SPECIFIC SCIENCE 6665 05:22:20,840 --> 05:22:23,400 AREA THAT IS WITHIN THE SCOPE OF 6666 05:22:23,400 --> 05:22:23,600 NHLBI. 6667 05:22:23,600 --> 05:22:26,080 MAYBE IN THE COMING YEARS 6668 05:22:26,080 --> 05:22:28,080 THEY'LL BE INTERESTED AGAIN 6669 05:22:28,080 --> 05:22:30,320 INVESTING IN A K12 BUT RIGHT NOW 6670 05:22:30,320 --> 05:22:33,480 I THINK THEIR BUDGET TIED UP FOR 6671 05:22:33,480 --> 05:22:36,000 THE NEXT FIVE YEARS ON PROGRAMS 6672 05:22:36,000 --> 05:22:51,440 THEY ALREADY HAVE IN PLACE. 6673 05:22:51,440 --> 05:22:52,720 >> THANK YOU FOR THE RICH 6674 05:22:52,720 --> 05:22:53,240 DISCUSSION. 6675 05:22:53,240 --> 05:22:58,120 I DO SEE THAT DR. TEMPLETON ALSO 6676 05:22:58,120 --> 05:23:04,160 ADDED A PLUS-1 TO ALLISON'S 6677 05:23:04,160 --> 05:23:06,000 COMMENT AND KIM, ARE YOU ABLE TO 6678 05:23:06,000 --> 05:23:07,400 UNMUTE AND MAKE YOUR COMMENT 6679 05:23:07,400 --> 05:23:08,320 YOURSELF? 6680 05:23:08,320 --> 05:23:10,680 >> I APPRECIATE THAT. 6681 05:23:10,680 --> 05:23:11,840 I APPRECIATE ALISON'S COMMENT 6682 05:23:11,840 --> 05:23:13,000 AND AGREE. 6683 05:23:13,000 --> 05:23:15,520 I THINK A SHIFT IN FOCUS IN WHAT 6684 05:23:15,520 --> 05:23:16,480 WE MEAN BY WOMEN'S HEALTH 6685 05:23:16,480 --> 05:23:19,800 RESEARCH BECAUSE IT HAS TO START 6686 05:23:19,800 --> 05:23:20,040 SOMEWHERE. 6687 05:23:20,040 --> 05:23:22,720 EVEN IF IT'S JUST COUNTING 6688 05:23:22,720 --> 05:23:23,840 INCIDENTS AND PREVALENCE AND 6689 05:23:23,840 --> 05:23:25,600 SEEING A DIFFERENCE USING THAT 6690 05:23:25,600 --> 05:23:28,840 AS THE WATCH TO START LOOKING AT 6691 05:23:28,840 --> 05:23:33,240 WHY. 6692 05:23:33,240 --> 05:23:37,680 LOOKING AT THE ISSUES WITH METAL 6693 05:23:37,680 --> 05:23:39,400 ON METAL ARTHROSCOPY AND WE SAW 6694 05:23:39,400 --> 05:23:42,040 ALMOST ALL THE FAILURES WERE IN 6695 05:23:42,040 --> 05:23:42,640 WOMEN AND YOU START EXPLORING 6696 05:23:42,640 --> 05:23:47,720 WHY. 6697 05:23:47,720 --> 05:23:49,880 THOUGH THERE WAS INCIDENTS OF 6698 05:23:49,880 --> 05:23:51,320 PREVALENCE IN FAILURE, THAT WAS 6699 05:23:51,320 --> 05:23:53,520 A TRUE WOMEN'S HEALTH RESEARCH 6700 05:23:53,520 --> 05:23:55,560 BECAUSE IT SHOWS THERE WAS A 6701 05:23:55,560 --> 05:23:56,040 DIFFERENCE AMONG WOMEN. 6702 05:23:56,040 --> 05:23:58,040 WHEN YOU TAKE IT TO THE NEXT 6703 05:23:58,040 --> 05:24:00,880 STEP THAT MAY GET MORE INTO WHAT 6704 05:24:00,880 --> 05:24:01,880 IS CONSIDERED WOMEN'S HEALTH 6705 05:24:01,880 --> 05:24:03,440 RESEARCH BUT I THINK IF THERE'S 6706 05:24:03,440 --> 05:24:05,960 A WAY TO EXPAND WHAT WE MEAN BY 6707 05:24:05,960 --> 05:24:11,800 THAT TO BE MORE INCLUSIVE OF 6708 05:24:11,800 --> 05:24:16,760 OTHER STUDIES. 6709 05:24:16,760 --> 05:24:19,040 DO OTHERS HAVE THOUGHTS TO WEIGH 6710 05:24:19,040 --> 05:24:21,360 IN ON HOW WE CONCEPTUALIZE 6711 05:24:21,360 --> 05:24:23,360 WOMEN'S HEALTH AND SEX AND 6712 05:24:23,360 --> 05:24:27,800 GENDER INFLUENCES IN HEALTH AND 6713 05:24:27,800 --> 05:24:28,040 DISEASE? 6714 05:24:28,040 --> 05:24:29,240 I PUT THAT TOGETHER IN ONE 6715 05:24:29,240 --> 05:24:31,560 PHRASE LIKE THAT OFTEN AND OFTEN 6716 05:24:31,560 --> 05:24:33,480 SAY WE UNDERSTAND SEX AND GENDER 6717 05:24:33,480 --> 05:24:35,040 INFLUENCES IN HEALTH AND DISEASE 6718 05:24:35,040 --> 05:24:36,560 WE CAN INFORM AND IMPROVE THE 6719 05:24:36,560 --> 05:24:40,080 HEALTH OF WOMEN. 6720 05:24:40,080 --> 05:24:45,680 THEY'RE ALL LINKED IN MY MIND IN 6721 05:24:45,680 --> 05:24:47,240 THAT WAY AS WELL BUT HOW WE 6722 05:24:47,240 --> 05:24:48,320 THINK THERE'S DIFFERENT WAYS TO 6723 05:24:48,320 --> 05:24:49,760 DO THAT. 6724 05:24:49,760 --> 05:24:51,160 I WELCOME ANYONE ELSE'S THOUGHTS 6725 05:24:51,160 --> 05:25:12,720 ON THAT. 6726 05:25:12,720 --> 05:25:15,000 >> THE EARLY STAGE IS IMPORTANT 6727 05:25:15,000 --> 05:25:17,640 IN A NEW AND SOMETHING VERY 6728 05:25:17,640 --> 05:25:18,280 MATURE. 6729 05:25:18,280 --> 05:25:21,040 A TOPIC THAT'S MATURE I PROBABLY 6730 05:25:21,040 --> 05:25:22,760 WOULDN'T FEEL LOOKING AT THE 6731 05:25:22,760 --> 05:25:24,440 GENDER DIFFERENCE WAS VERY 6732 05:25:24,440 --> 05:25:26,760 COMPELLING WITH WOMEN'S 6733 05:25:26,760 --> 05:25:27,040 RESEARCH. 6734 05:25:27,040 --> 05:25:29,240 I THINK THERE'S NUANCE IN THE 6735 05:25:29,240 --> 05:25:29,440 TOPIC. 6736 05:25:29,440 --> 05:25:39,320 >> THANKS FOR ADDING THAT. 6737 05:25:39,320 --> 05:25:41,040 AND WE HAVE THE RESPONSIBILITY 6738 05:25:41,040 --> 05:25:42,320 TO DESIGN THE TRIALS MORE 6739 05:25:42,320 --> 05:25:43,040 APPROPRIATELY TO LOOK FOR 6740 05:25:43,040 --> 05:25:52,040 AFFECTS IN MEN AND WOMEN. 6741 05:25:52,040 --> 05:25:54,120 THERE ARE NUANCES. 6742 05:25:54,120 --> 05:25:56,440 >> DR. CLAYTON, IN YOUR 6743 05:25:56,440 --> 05:25:57,520 DIRECTOR'S REPORT, WHICH I HAVE 6744 05:25:57,520 --> 05:25:59,720 TO AGREE WITH THE PERSON THAT 6745 05:25:59,720 --> 05:26:00,880 TALKED ABOUT THE BREADTH OF 6746 05:26:00,880 --> 05:26:02,560 INFORMATION WE GET FROM THAT 6747 05:26:02,560 --> 05:26:08,480 REPORT, BUT I LOVED HOW YOU IN 6748 05:26:08,480 --> 05:26:10,840 COR RATED WHAT SOME OF US THINK 6749 05:26:10,840 --> 05:26:12,240 OF AS A WELLNESS COMPONENT AND 6750 05:26:12,240 --> 05:26:13,200 THAT WAS SLEEP. 6751 05:26:13,200 --> 05:26:15,160 I WASN'T EXPECTING THAT BUT 6752 05:26:15,160 --> 05:26:20,040 THAT'S SO IMPORTANT TO WOMEN'S 6753 05:26:20,040 --> 05:26:22,160 HEALTH AND THERE'S OTHER MORE 6754 05:26:22,160 --> 05:26:25,240 RELATED TO WELLNESS LIKE SLEEP 6755 05:26:25,240 --> 05:26:27,000 AND BECAUSE OF THE IMPACT THAT 6756 05:26:27,000 --> 05:26:28,640 HAS ON WOMEN'S HEALTH AND 6757 05:26:28,640 --> 05:26:29,760 BECAUSE SLEEP PATTERNS ARE 6758 05:26:29,760 --> 05:26:31,600 DIFFERENT FOR MEN VERSUS WOMEN 6759 05:26:31,600 --> 05:26:33,240 BECAUSE SLEEP ISSUES CAN ALSO 6760 05:26:33,240 --> 05:26:35,760 DEVELOP DURING PREGNANCY, I WAS 6761 05:26:35,760 --> 05:26:36,640 WONDERING IF IT'S GOING TO BE 6762 05:26:36,640 --> 05:26:39,000 MORE FOCUSSED ON SOME OF THOSE 6763 05:26:39,000 --> 05:26:43,080 ASPECTS THAT WE DON'T NORMALLY 6764 05:26:43,080 --> 05:26:47,320 TALK ABOUT I WAS HAPPY STE THAT 6765 05:26:47,320 --> 05:26:50,640 AND GOING FORWARD ESPECIALLY 6766 05:26:50,640 --> 05:26:56,040 POST PANDEMIC IS OF INTEREST TO 6767 05:26:56,040 --> 05:26:56,880 THE PUBLIC HEALTH. 6768 05:26:56,880 --> 05:26:57,680 THANK YOU. 6769 05:26:57,680 --> 05:27:02,080 IT'S NOW BEING LED BY DR. BROWN. 6770 05:27:02,080 --> 05:27:03,600 >> THERE'S A NEW RESEARCH PLAN 6771 05:27:03,600 --> 05:27:09,960 WITH EXPLICIT ARTICULATION AND 6772 05:27:09,960 --> 05:27:16,840 ORWH SCIENTIFIC STAFF ARE 6773 05:27:16,840 --> 05:27:18,120 SPEAKING SO I EXPECT CONTINUED 6774 05:27:18,120 --> 05:27:19,120 CONNECTIONS WITH THE SLEEP 6775 05:27:19,120 --> 05:27:20,680 CENTER AS WE MOVE FORWARD. 6776 05:27:20,680 --> 05:27:26,000 WE HAVE SPONSORED SEVERAL 6777 05:27:26,000 --> 05:27:29,920 MEETINGS WITH THEM AND THERE'S A 6778 05:27:29,920 --> 05:27:32,360 COUPLE PUBLICATIONS BUT WE 6779 05:27:32,360 --> 05:27:35,440 GREATLY APPRECIATE THE FEEDBACK 6780 05:27:35,440 --> 05:27:41,960 ON WHAT IS OF INTEREST TO YOU 6781 05:27:41,960 --> 05:27:48,080 AND ALSO SLEEP IS EASILY 6782 05:27:48,080 --> 05:27:48,480 OVERLOOKED. 6783 05:27:48,480 --> 05:27:49,520 THAT'S ONE OF THE REASONS I KEPT 6784 05:27:49,520 --> 05:27:50,520 IT IN. 6785 05:27:50,520 --> 05:27:51,960 I COUNT HAVE PUT SOMETHING ON 6786 05:27:51,960 --> 05:27:57,640 THE SEX DIFFERENCES AND THE 6787 05:27:57,640 --> 05:28:00,200 CLOCK GENE EXPRESSION WHICH 6788 05:28:00,200 --> 05:28:01,960 EXISTS BUT I WANTED TO FOCUS ON 6789 05:28:01,960 --> 05:28:03,400 THE LIVED EXPERIENCE OF MANY 6790 05:28:03,400 --> 05:28:08,280 PEOPLE AND IT'S A COMMON 6791 05:28:08,280 --> 05:28:09,640 CHALLENGE AND IT'S A 6792 05:28:09,640 --> 05:28:10,400 QUINTESSENTIAL SEX DIFFERENCE 6793 05:28:10,400 --> 05:28:32,440 AND WOMEN'S TOPIC. 6794 05:28:32,440 --> 05:28:35,760 >> WE'RE COLLABORATING FOR NCCIH 6795 05:28:35,760 --> 05:28:39,240 ON THEIR WHOLE PERSON HEALTH 6796 05:28:39,240 --> 05:28:40,280 INITIATIVE. 6797 05:28:40,280 --> 05:28:42,840 MAY REMEMBER DR. LANGEVIN SPOKE 6798 05:28:42,840 --> 05:28:45,360 ON THAT IN A PREVIOUS MEETING. 6799 05:28:45,360 --> 05:28:47,120 THERE MAY BE FOLLOW-UP BUT WE'RE 6800 05:28:47,120 --> 05:28:48,000 COLLABORATING WITH HER ON THAT 6801 05:28:48,000 --> 05:29:00,520 AS WELL. 6802 05:29:00,520 --> 05:29:03,200 OTHER COMMENTS AND QUESTIONS. 6803 05:29:03,200 --> 05:29:11,520 I'M LOOKING AT HANDS UP. 6804 05:29:11,520 --> 05:29:13,760 ANYTHING YOU'D LIKE TO SEE AT A 6805 05:29:13,760 --> 05:29:14,440 FUTURE MEETING I APPRECIATE 6806 05:29:14,440 --> 05:29:16,480 DR. ROBINSON WEIGHING IN ON 6807 05:29:16,480 --> 05:29:35,000 THAT. 6808 05:29:35,000 --> 05:29:37,920 DR. NOURSI DO YOU HAVE FOLLOW-UP 6809 05:29:37,920 --> 05:29:40,080 AND YOU TOLD FOLKS TO E-MAIL YOU 6810 05:29:40,080 --> 05:29:42,000 DIRECTLY FOR THE WORKING GROUP? 6811 05:29:42,000 --> 05:29:44,840 >> YES. 6812 05:29:44,840 --> 05:29:47,560 THANK YOU FOR BRINGING THIS BACK 6813 05:29:47,560 --> 05:29:47,720 UP. 6814 05:29:47,720 --> 05:29:52,880 I MENTIONED WE WILL BE REACHING 6815 05:29:52,880 --> 05:29:55,760 OUT TO YOU ALL TO SERVE ON A 6816 05:29:55,760 --> 05:29:56,960 WORKING GROUP. 6817 05:29:56,960 --> 05:29:57,920 FOR THOSE THAT JOINED THE 6818 05:29:57,920 --> 05:29:58,880 WOMEN'S HEALTH CONFERENCE 6819 05:29:58,880 --> 05:30:02,720 WORKING GROUP WHERE IT HAD A 6820 05:30:02,720 --> 05:30:05,400 COMBINATION OF MEMBERS FROM 6821 05:30:05,400 --> 05:30:08,000 CCRWH AND OTHER ORGANIZATIONS 6822 05:30:08,000 --> 05:30:11,920 AND IT WILL BE A SIMILAR 6823 05:30:11,920 --> 05:30:13,440 COMPOSITION OF DIFFERENT 6824 05:30:13,440 --> 05:30:13,920 MEMBERS. 6825 05:30:13,920 --> 05:30:18,480 I ALREADY RECEIVED ONE VOLUNTEER 6826 05:30:18,480 --> 05:30:20,960 VIA E-MAIL WHO WANTS TO JOIN. 6827 05:30:20,960 --> 05:30:23,080 WE'LL BE REACHING OUT TO YOU AND 6828 05:30:23,080 --> 05:30:25,800 WE'RE HOPING SO WE ARE RIGHT NOW 6829 05:30:25,800 --> 05:30:29,320 IN THE PROCESS OF JUST PUTTING 6830 05:30:29,320 --> 05:30:32,240 THE FOUNDATION FOR HOW WE'RE 6831 05:30:32,240 --> 05:30:35,920 GOING TO APPROACH THE NEXT NIH 6832 05:30:35,920 --> 05:30:38,480 WIDE STRATEGIC PLAN AND IT WILL 6833 05:30:38,480 --> 05:30:43,280 INCLUDE SEVERAL COMPONENTS 6834 05:30:43,280 --> 05:30:49,520 CLEARLY AND IT WILL BE USING ALL 6835 05:30:49,520 --> 05:30:50,680 THE INFORMATION AND THE 6836 05:30:50,680 --> 05:30:51,920 IMPLEMENTATION ACROSS NIH. 6837 05:30:51,920 --> 05:30:55,240 I BELIEVE WE'LL REACH OUT TO YOU 6838 05:30:55,240 --> 05:30:57,000 NEXT WEEK WITH THE HOPE TO 6839 05:30:57,000 --> 05:30:57,680 CONVENE THE FIRST MEETING 6840 05:30:57,680 --> 05:30:59,200 SOMETIMES AT THE END OF MAY OR 6841 05:30:59,200 --> 05:31:03,240 BEGINNING OF JUNE. 6842 05:31:03,240 --> 05:31:05,000 SO WE CAN START BRAIN STORMING 6843 05:31:05,000 --> 05:31:10,880 HOW YOU PERCEIVE THE STRATEGIC 6844 05:31:10,880 --> 05:31:12,520 PLAN TO BE AND WHICH APPROACH TO 6845 05:31:12,520 --> 05:31:13,360 TAKE AND WHERE THE INFORMATION 6846 05:31:13,360 --> 05:31:21,960 WILL BE COMING. 6847 05:31:21,960 --> 05:31:23,280 WE'LL NEED IT TO BE DONE BY THE 6848 05:31:23,280 --> 05:31:24,480 END OF 2023. 6849 05:31:24,480 --> 05:31:29,680 BEHAVE TIME BUT THIS IS A TIME 6850 05:31:29,680 --> 05:31:39,920 TO START I'LL REACH OUT AND THE 6851 05:31:39,920 --> 05:31:41,040 BURDEN WOULD BE SPREAD OUT SO 6852 05:31:41,040 --> 05:31:43,080 YOU WOULD NOT BE EXPECTED TO DO 6853 05:31:43,080 --> 05:31:44,360 ANYTHING IMMEDIATELY. 6854 05:31:44,360 --> 05:31:50,000 LOOK FOR AN E-MAIL FROM US AND 6855 05:31:50,000 --> 05:32:06,000 MAINLY ONE FOCUS IS ON THE I.C. 6856 05:32:06,000 --> 05:32:09,760 REPORT IS THE BIENNIAL REPORT 6857 05:32:09,760 --> 05:32:10,520 INCLUDES REPORTS FROM THE 6858 05:32:10,520 --> 05:32:13,240 VARIOUS INSTITUTES ABOUT THE 6859 05:32:13,240 --> 05:32:15,520 WORK THEY'RE DOING TO WOMEN'S 6860 05:32:15,520 --> 05:32:15,760 HEALTH. 6861 05:32:15,760 --> 05:32:25,960 WE RELY ON YOUR EXPERTISE TO AN 6862 05:32:25,960 --> 05:32:28,200 WE'LL DIVIDE THE SECTIONS 6863 05:32:28,200 --> 05:32:30,480 ACCORDING TO YOUR EXPERTISE AND 6864 05:32:30,480 --> 05:32:32,640 HOPING YOU'LL SHED LIGHT ON WHAT 6865 05:32:32,640 --> 05:32:35,960 GAPS THE NIH INSTITUTES SHOULD 6866 05:32:35,960 --> 05:32:37,680 FOCUS ON FOR NEXT STRATEGIC 6867 05:32:37,680 --> 05:32:37,880 PLAN. 6868 05:32:37,880 --> 05:32:41,280 THAT'S THE FIRST THING WE WOULD 6869 05:32:41,280 --> 05:32:42,360 BE SEEKING YOUR HELP WITH. 6870 05:32:42,360 --> 05:32:46,040 LOOK FOR AN E-MAIL FROM ME OR 6871 05:32:46,040 --> 05:32:50,560 ONE OF MY SCIENCE POLICY 6872 05:32:50,560 --> 05:32:51,720 PLANNING AND SECTION STAFF AND I 6873 05:32:51,720 --> 05:32:59,240 HOPE YOU'LL JOIN US. 6874 05:32:59,240 --> 05:33:01,520 >> THANK YOU, I WILL ACKNOWLEDGE 6875 05:33:01,520 --> 05:33:02,600 YOU'RE STARTING EARLIER THAN 6876 05:33:02,600 --> 05:33:04,160 EVER BEFORE AND I APPRECIATE 6877 05:33:04,160 --> 05:33:06,560 THAT AND KNOW EVERYONE ELSE WILL 6878 05:33:06,560 --> 05:33:07,000 AS WELL. 6879 05:33:07,000 --> 05:33:10,880 THAT GIVES US MORE TIME TO THINK 6880 05:33:10,880 --> 05:33:14,320 CAREFULLY AND NOT BE RUSHED ON 6881 05:33:14,320 --> 05:33:14,480 IT. 6882 05:33:14,480 --> 05:33:16,880 AS YOU HIGHLIGHTED IN YOUR 6883 05:33:16,880 --> 05:33:19,840 PRESENTATION, WE HAVE SO MANY 6884 05:33:19,840 --> 05:33:21,080 SOURCES OF DATA AND WE HAVE DATA 6885 05:33:21,080 --> 05:33:23,840 FROM THE INSTITUTES AND CENTERS 6886 05:33:23,840 --> 05:33:28,440 BECAUSE OF THE NEW REPORTING 6887 05:33:28,440 --> 05:33:30,240 MODULE AND HAVE MORE TO INFORM 6888 05:33:30,240 --> 05:33:31,080 THIS PARTICULAR STRATEGIC PLAN. 6889 05:33:31,080 --> 05:33:36,520 I THINK IT'S GOING TO BE VERY 6890 05:33:36,520 --> 05:33:40,480 EXCITING TO HELP LAY OUT THE 6891 05:33:40,480 --> 05:33:43,240 FUTURE FOR NIH. 6892 05:33:43,240 --> 05:33:44,880 AND WE STARTED TO WORK ON THE 6893 05:33:44,880 --> 05:33:50,200 NIH WIDE STRATEGIC PLAN AND 6894 05:33:50,200 --> 05:33:53,400 WE'LL BE MAKE SURE THERE'S 6895 05:33:53,400 --> 05:33:56,440 SYNERGY BETWEEN THE TWO AND 6896 05:33:56,440 --> 05:33:58,920 WE'LL BUILD ON AND TRY TO INFUSE 6897 05:33:58,920 --> 05:34:00,040 AS MUCH AS WE CAN IN THE NIH 6898 05:34:00,040 --> 05:34:04,440 WIDE STRATEGIC PLAN. 6899 05:34:04,440 --> 05:34:06,080 IT WILL BE A GOAL. 6900 05:34:06,080 --> 05:34:06,760 YOU'RE RIGHT. 6901 05:34:06,760 --> 05:34:14,360 AS ALL OF YOU MAY KNOW, THIS IS 6902 05:34:14,360 --> 05:34:22,320 THE FIRST TIME I.C.s ARE 6903 05:34:22,320 --> 05:34:23,680 REPORTING AND WE HAVE NEVER HAD 6904 05:34:23,680 --> 05:34:24,920 THIS BEFORE AS WE DEVELOP THE 6905 05:34:24,920 --> 05:34:27,080 STRATEGIC PLAN SO THAT WOULD BE 6906 05:34:27,080 --> 05:34:28,600 AN INVALUABLE RESOURCE FOR US TO 6907 05:34:28,600 --> 05:34:31,880 SEE WHAT THEY HAVE DONE AND THE 6908 05:34:31,880 --> 05:34:37,680 MEETINGS THEY CONVENED AND THE 6909 05:34:37,680 --> 05:34:44,280 FOAs THEY'VE DEVELOPED. 6910 05:34:44,280 --> 05:34:46,560 >> THERE'S A NEW PROVISION THE 6911 05:34:46,560 --> 05:34:47,880 INSTITUTE AND CENTERS STRATEGIC 6912 05:34:47,880 --> 05:34:51,680 PLANS THEY DEVELOP ON THEIR OWN 6913 05:34:51,680 --> 05:34:53,480 MISSION AREAS MUST INCLUDE AN 6914 05:34:53,480 --> 05:34:54,400 ARTICULATION OF WHAT THEY'LL DO 6915 05:34:54,400 --> 05:34:56,440 TO ADVANCE WOMEN'S HEALTH AND 6916 05:34:56,440 --> 05:34:58,120 HEALTH DISPARITIES AND ADDRESS 6917 05:34:58,120 --> 05:34:58,880 HEALTH DISPARITY. 6918 05:34:58,880 --> 05:35:01,640 AS THOSE ARE COMING OUT AS WELL, 6919 05:35:01,640 --> 05:35:07,200 YOU'LL SEE INCREASED LANGUAGE IN 6920 05:35:07,200 --> 05:35:08,400 THE INSTITUTE SPECIFIC STRATEGIC 6921 05:35:08,400 --> 05:35:09,080 PLANS. 6922 05:35:09,080 --> 05:35:11,880 WE ALSO HAD JAMIE WHITE PUT IN 6923 05:35:11,880 --> 05:35:14,880 THE CHAT FOR THOSE WHO CAN 6924 05:35:14,880 --> 05:35:18,080 ACCESS THE LINK TO THE NHLBI-LED 6925 05:35:18,080 --> 05:35:19,120 SLEEP DISORDERS ADVISORY BOARD 6926 05:35:19,120 --> 05:35:19,560 MEETING. 6927 05:35:19,560 --> 05:35:24,880 IT'S THE PUBLIC MEETING THAT IS 6928 05:35:24,880 --> 05:35:30,960 TOMORROW WHERE THEY'LL BE 6929 05:35:30,960 --> 05:35:32,440 PRESENTATIONS FROM ORWH 6930 05:35:32,440 --> 05:35:38,440 COLLEAGUES AND WOMEN'S HEALTH IS 6931 05:35:38,440 --> 05:35:38,680 INCLUDED. 6932 05:35:38,680 --> 05:35:41,360 I'D LIKE TO TAKE A LOOK AND SEE 6933 05:35:41,360 --> 05:35:42,920 IF WE HAVE HANDS FOR ADDITIONAL 6934 05:35:42,920 --> 05:35:45,640 COMMENTS OR SUGGESTIONS THAT 6935 05:35:45,640 --> 05:35:48,000 ANYONE WOULD LIKE TO MAKE AND 6936 05:35:48,000 --> 05:35:49,600 FOR MANY PRESENTATIONS TODAY OR 6937 05:35:49,600 --> 05:35:56,920 PRESENTATIONS ORR IRI IRIC -- OR TOPICS 6938 05:35:56,920 --> 05:35:59,800 YOU'D LIKE TO SEE IN THE FUTURE. 6939 05:35:59,800 --> 05:36:01,080 PLEASE LET US KNOW. 6940 05:36:01,080 --> 05:36:01,400 SEEING NONE. 6941 05:36:01,400 --> 05:36:04,640 I DON'T SEE ANY OTHER QUESTIONS 6942 05:36:04,640 --> 05:36:09,200 IN THE CHAT. 6943 05:36:09,200 --> 05:36:10,880 DO WE HAVE ANYTHING ELSE TO 6944 05:36:10,880 --> 05:36:12,320 COVER BEFORE WE ADJOURN. 6945 05:36:12,320 --> 05:36:14,800 WE CAN CERTAINLY ADJOURN EARLY. 6946 05:36:14,800 --> 05:36:17,400 >> WE COVERED IT ALL. 6947 05:36:17,400 --> 05:36:20,440 >> ARE YOU OKAY WITH THAT, 6948 05:36:20,440 --> 05:36:23,920 DR. NOURSI. 6949 05:36:23,920 --> 05:36:26,080 >> YES, PEOPLE ASKED ABOUT THE 6950 05:36:26,080 --> 05:36:27,280 OCTOBER MEETING IF IT WILL BE IN 6951 05:36:27,280 --> 05:36:29,720 PERSON OR HYBRID AND WE'LL SHARE 6952 05:36:29,720 --> 05:36:31,080 INFORMATION AS WE GET GUIDANCE 6953 05:36:31,080 --> 05:36:32,880 FROM NIH. 6954 05:36:32,880 --> 05:36:35,280 THINGS ARE MOVING SO HOPEFULLY 6955 05:36:35,280 --> 05:36:37,400 NOTHING HITS OUR NATION WITH 6956 05:36:37,400 --> 05:36:39,080 REGARD TO ANY PANDEMIC OR ANY 6957 05:36:39,080 --> 05:36:43,400 OTHER THING SO MAYBE WE'LL BE IN 6958 05:36:43,400 --> 05:36:45,280 PERSON BUT YOU'LL KNOW WAY IN 6959 05:36:45,280 --> 05:36:47,160 ADVANCE AND AS DR. CLAYTON SAID 6960 05:36:47,160 --> 05:36:48,640 AND YOU ALL KNOW AND I SHARED 6961 05:36:48,640 --> 05:36:56,240 WITH YOU, WE ALL SHARED WITH YOU 6962 05:36:56,240 --> 05:36:57,560 EVERYTHING ON ACTIVITY ARE 6963 05:36:57,560 --> 05:37:02,480 HAPPENING AND TAKE THAT 6964 05:37:02,480 --> 05:37:04,080 OPPORTUNITY TO COMMUNICATE 6965 05:37:04,080 --> 05:37:05,160 ANYTHING YOU'D LIKE TO SEE IN 6966 05:37:05,160 --> 05:37:08,280 THE REPORTS OR AGENDA AS WE'RE 6967 05:37:08,280 --> 05:37:10,640 TRYING TO PUT THE AGENDA FOR 6968 05:37:10,640 --> 05:37:12,440 OCTOBER, SHARE IDEAS OR TOPIC 6969 05:37:12,440 --> 05:37:14,120 YOU'D LIKE TO SEE AND WE'LL 6970 05:37:14,120 --> 05:37:17,280 DISCUSS IT INTERNALLY AND 6971 05:37:17,280 --> 05:37:18,280 INDEFINITELY TAKE IT INTO 6972 05:37:18,280 --> 05:37:19,800 ACCOUNT AS WE ARE MOVING FORWARD 6973 05:37:19,800 --> 05:37:25,800 WITH THE AGENDA FOR THE FALL. 6974 05:37:25,800 --> 05:37:28,640 >> SO BEFORE WE CLOSE I DO WANT 6975 05:37:28,640 --> 05:37:32,080 TO THANK ALL OF THE EXCELLENT 6976 05:37:32,080 --> 05:37:32,360 PRESENTERS. 6977 05:37:32,360 --> 05:37:34,920 ALL OF THEM ARE NOT ON BUT THANK 6978 05:37:34,920 --> 05:37:36,800 THEM FOR THEIR PARTICIPATION IN 6979 05:37:36,800 --> 05:37:37,960 TODAY'S MEETING. 6980 05:37:37,960 --> 05:37:39,560 THIS PRESENTATIONS ARE CRITICAL 6981 05:37:39,560 --> 05:37:41,000 TO SHARING INFORMATION WITH OUR 6982 05:37:41,000 --> 05:37:42,280 ADVISORY COMMITTEE MEMBERS AND 6983 05:37:42,280 --> 05:37:45,000 WITH THE GENERAL PUBLIC ABOUT 6984 05:37:45,000 --> 05:37:48,040 THE VAST COMMITMENT THAT IS NIH 6985 05:37:48,040 --> 05:37:49,560 WIDE RELATED TO WOMEN'S HEALTH 6986 05:37:49,560 --> 05:37:55,440 AND SEX AND GENDER INFLUENCES IN 6987 05:37:55,440 --> 05:37:57,160 HEALTH AND DISEASE AND THANK YOU 6988 05:37:57,160 --> 05:37:58,600 ALL AS ADVISORY MEMBERS. 6989 05:37:58,600 --> 05:38:01,280 WE KNOW THIS IS EXTRA ON TOP OF 6990 05:38:01,280 --> 05:38:03,840 YOUR DAY JOB AND SOME HAD TO POP 6991 05:38:03,840 --> 05:38:04,880 IN FROM DOING VARIOUS THINGS AND 6992 05:38:04,880 --> 05:38:09,280 WE APPRECIATE EACH AND EVERY ONE 6993 05:38:09,280 --> 05:38:13,360 OF YOU AND YOUR WORK AND SUPPORT 6994 05:38:13,360 --> 05:38:15,080 OF ORWH AND BECAUSE OF YOU WE'RE 6995 05:38:15,080 --> 05:38:17,480 ABLE TO MOVE FORWARD IN NEW 6996 05:38:17,480 --> 05:38:17,800 DIRECTIONS. 6997 05:38:17,800 --> 05:38:19,600 AND SO BEFORE I END I ALSO WANT 6998 05:38:19,600 --> 05:38:25,680 TO THANK OUR AMAZING TEAM ORWH 6999 05:38:25,680 --> 05:38:27,840 FOLKS BEHIND THE SCENES AND OUR 7000 05:38:27,840 --> 05:38:30,080 CONTRACTORS AND COMMUNICATION 7001 05:38:30,080 --> 05:38:31,440 STAFF AND ALL TEAM ORWH. 7002 05:38:31,440 --> 05:38:34,080 THERE'S A LOT OF WORK THAT GOES 7003 05:38:34,080 --> 05:38:34,760 INTO ORGANIZING THESE MEETINGS 7004 05:38:34,760 --> 05:38:36,480 AND EVEN ON TOP OF THAT THERE'S 7005 05:38:36,480 --> 05:38:38,320 AN INCREDIBLE AMOUNT OF WORK 7006 05:38:38,320 --> 05:38:39,440 THAT GOES INTO THE SIGNATURE 7007 05:38:39,440 --> 05:38:41,320 PROGRAMS AND THE WORK THAT I WAS 7008 05:38:41,320 --> 05:38:42,720 ABLE TO PRESENT. 7009 05:38:42,720 --> 05:38:45,280 IT'S MY PLEASURE AND A PRIVILEGE 7010 05:38:45,280 --> 05:38:46,000 TO BE ABLE TO PRESENT THAT 7011 05:38:46,000 --> 05:38:47,080 DIRECT'S REPORT. 7012 05:38:47,080 --> 05:38:49,480 IT REALLY REPRESENTS AN AMAZING 7013 05:38:49,480 --> 05:38:51,680 AMOUNT OF WORK DONE BY 7014 05:38:51,680 --> 05:38:53,720 INCREDIBLE PEOPLE AT TEAM ORWH 7015 05:38:53,720 --> 05:38:56,480 AND SPECIAL THANKS TO DR. NOURSI 7016 05:38:56,480 --> 05:39:00,040 WHO HAS STOOD BY ME AS EXEC SEC 7017 05:39:00,040 --> 05:39:01,280 OF THE ORWH. 7018 05:39:01,280 --> 05:39:05,720 NOT A JOB SHE WAS ORIGINALLY 7019 05:39:05,720 --> 05:39:07,480 ASSIGNED SO SHE'S DONE AN 7020 05:39:07,480 --> 05:39:09,080 OUTSTANDING JOB. 7021 05:39:09,080 --> 05:39:12,680 THANK YOU VERY VERY MUCH AND HER 7022 05:39:12,680 --> 05:39:14,600 PARTNER, SARAH HEILMAN, SPECIAL 7023 05:39:14,600 --> 05:39:16,480 THANKS TO HER TOO. 7024 05:39:16,480 --> 05:39:21,680 ON BEHALF OF ORWH, THANK YOU 7025 05:39:21,680 --> 05:39:21,880 SARAH. 7026 05:39:21,880 --> 05:39:25,840 WE WILL SEE YOU ON OCTOBER 18 7027 05:39:25,840 --> 05:39:30,360 FOR THE 57th MEETING OF THE NIH 7028 05:39:30,360 --> 05:39:31,280 ADVISORY COMMIT FOR COMMITTEE ON 7029 05:39:31,280 --> 05:39:32,840 RESEARCH ON WOMEN'S HEALTH. 7030 05:39:32,840 --> 05:39:35,280 STAY SAFE AND HEALTHY ALL. 7031 05:39:35,280 --> 05:39:35,960 TODAY'S MEETING IS NOW 7032 05:39:35,960 --> 05:39:36,240 ADJOURNED. 7033 05:39:36,240 --> 00:00:00,000 THANK YOU.