1 00:00:04,840 --> 00:00:07,609 GOOD AFTERNOON, AND WELCOME. 2 00:00:07,609 --> 00:00:11,046 I'D LIKE TO CALL TO ORDER THE 3 00:00:11,046 --> 00:00:13,148 62nd MEETING OF THE NIH ADVISORY 4 00:00:13,148 --> 00:00:15,484 COMMITTEE ON RESEARCH ON WOMEN'S 5 00:00:15,484 --> 00:00:15,851 HEALTH. 6 00:00:15,851 --> 00:00:20,722 MY NAME IS VIVIAN OTA WANG THE 7 00:00:20,722 --> 00:00:22,791 ORWH DIRECTOR AND EXECUTIVE 8 00:00:22,791 --> 00:00:24,392 SECRETARY OF THIS COMMITTEE. 9 00:00:24,392 --> 00:00:26,528 THE MEETING IS OPEN TO THE 10 00:00:26,528 --> 00:00:29,598 PUBLIC BY LIVE BROADCAST ON THE 11 00:00:29,598 --> 00:00:31,566 NIH VIDEOCAST NETWORK AND 12 00:00:31,566 --> 00:00:34,369 RECORDED FOR OUR ARCHIVES AND 13 00:00:34,369 --> 00:00:35,337 FOR FUTURE ON DEMAND VIEWING BY 14 00:00:35,337 --> 00:00:36,004 THE PUBLIC. 15 00:00:36,004 --> 00:00:40,142 IF YOU'RE A MEMBER OF THE PUBLIC 16 00:00:40,142 --> 00:00:41,409 PER THE FEDERAL REGISTRY NOTICE 17 00:00:41,409 --> 00:00:42,878 YOU MAY SUBMIT YOUR QUESTIONS IN 18 00:00:42,878 --> 00:00:50,385 WRITING TO ME AT ACRWH@NIH.gov. 19 00:00:50,385 --> 00:00:51,019 WE'LL BE ADDRESSING THESE 20 00:00:51,019 --> 00:00:56,591 QUESTIONS AFTER THE MEETING. 21 00:00:56,591 --> 00:00:58,793 THIS MEETING IS ENVIRONMENT. 22 00:00:58,793 --> 00:01:00,462 THE ADVISORY COMMITTEE AND OUR 23 00:01:00,462 --> 00:01:01,897 INVITED GUEST PRESENTERS ARE 24 00:01:01,897 --> 00:01:04,332 PARTICIPATING THROUGH ZOOM. 25 00:01:04,332 --> 00:01:06,334 NOW, FOR A MESSAGE FOR OUR 26 00:01:06,334 --> 00:01:06,701 MEMBERS. 27 00:01:06,701 --> 00:01:10,105 AS MEMBERS OF THIS FEDERAL 28 00:01:10,105 --> 00:01:12,007 ADVISORY COMMITTEE, YOU ARE 29 00:01:12,007 --> 00:01:12,807 SPECIAL GOVERNMENT EMPLOYEES 30 00:01:12,807 --> 00:01:15,277 WHICH MEANS YOU'RE SUBJECT TO 31 00:01:15,277 --> 00:01:17,746 THE SAME ETHICS RULES THAT APPLY 32 00:01:17,746 --> 00:01:20,715 TO GOVERNMENT EMPLOYEES. 33 00:01:20,715 --> 00:01:22,250 THESE RULES ARE DESCRIBED IN THE 34 00:01:22,250 --> 00:01:25,120 PAMPHLET ENTITLED STANDARDS OF 35 00:01:25,120 --> 00:01:26,421 ETHICAL CONDUCT OF EMPLOYEES FOR 36 00:01:26,421 --> 00:01:26,922 THE EXECUTIVE BRANCH. 37 00:01:26,922 --> 00:01:30,392 YOU ED A COPY WHEN YOU WERE 38 00:01:30,392 --> 00:01:30,659 APPOINTED. 39 00:01:30,659 --> 00:01:34,429 AT EVERY MEETING WE'D LIKE TO 40 00:01:34,429 --> 00:01:38,300 REVIEW THE STEPS WE MAKE AND TO 41 00:01:38,300 --> 00:01:39,534 IDENTIFY AND ADDRESS PUBLIC 42 00:01:39,534 --> 00:01:40,168 RESPONSIBILITIES AN PRIVATE 43 00:01:40,168 --> 00:01:41,036 INTEREST. 44 00:01:41,036 --> 00:01:42,270 AS YOU KNOW, BEFORE EACH MEETING 45 00:01:42,270 --> 00:01:44,706 YOU PROVIDE US WITH A GREAT DEAL 46 00:01:44,706 --> 00:01:47,042 OF INFORMATION ABOUT YOUR 47 00:01:47,042 --> 00:01:47,842 PROFESSIONAL, PERSONAL AND 48 00:01:47,842 --> 00:01:49,110 FINANCIAL INTEREST. 49 00:01:49,110 --> 00:01:50,579 WE USE THIS INFORMATION AS A 50 00:01:50,579 --> 00:01:52,047 FOUNDATION FOR ASSESSING WHETHER 51 00:01:52,047 --> 00:01:55,016 YOU HAVE ANY REAL, POTENTIAL OR 52 00:01:55,016 --> 00:01:56,585 APPARENT CONFLICTS MUCH INTEREST 53 00:01:56,585 --> 00:01:57,886 THAT WOULD COMPROMISE YOUR 54 00:01:57,886 --> 00:02:02,157 ABILITY TO BE OBJECTIVE IN 55 00:02:02,157 --> 00:02:03,725 RECEIVING ADVICE. 56 00:02:03,725 --> 00:02:06,528 IF YOUR NEED FOR SERVICES 57 00:02:06,528 --> 00:02:07,762 OUTWEIGHS YOUR POTENTIAL 58 00:02:07,762 --> 00:02:09,731 CONFLICTS OF INTEREST IDENTIFIED 59 00:02:09,731 --> 00:02:10,799 WE WOULD ISSUE A WAIVER OR 60 00:02:10,799 --> 00:02:12,701 RECUSE YOU FROM A PARTICULAR 61 00:02:12,701 --> 00:02:14,636 PORTION OF THE MEETING. 62 00:02:14,636 --> 00:02:20,508 WE USUALLY WAVE THEM FOR GRENERL 63 00:02:20,508 --> 00:02:21,910 MATTERS BECAUSE WE BELIEVE YOUR 64 00:02:21,910 --> 00:02:23,878 ABILITY TO BE OBJECTIVE WILL NOT 65 00:02:23,878 --> 00:02:26,748 RELY ON FINANCIAL INTEREST. 66 00:02:26,748 --> 00:02:29,117 YOU NEED TO BE ATTENTIVE TO AN 67 00:02:29,117 --> 00:02:33,622 ISSUE THAT COULD ARISE OR COULD 68 00:02:33,622 --> 00:02:35,323 APPEAR TO AFFECT YOUR RESPECT TO 69 00:02:35,323 --> 00:02:37,559 A CERTAIN PARTY OR MATTER. 70 00:02:37,559 --> 00:02:39,160 YOU'LL BE ASKED TO RECUSE 71 00:02:39,160 --> 00:02:40,128 YOURSELF FROM THAT PORTION OF 72 00:02:40,128 --> 00:02:43,832 THE MEETING. 73 00:02:43,832 --> 00:02:49,471 BEFORE THE INTRODUCTIONS, I'LL 74 00:02:49,471 --> 00:02:56,578 BRIEFLY REVIEW BEST PACTS FOR 75 00:02:56,578 --> 00:02:57,579 PARTICIPANTS. 76 00:02:57,579 --> 00:03:01,016 FIRST MUTE YOUR MICROPHONE AND 77 00:03:01,016 --> 00:03:02,584 STATE YOUR NAME BEFORE COMMENTS 78 00:03:02,584 --> 00:03:03,718 OR RECOMMENDATIONS. 79 00:03:03,718 --> 00:03:07,022 THREE, TRY TO USE A HEADSET WITH 80 00:03:07,022 --> 00:03:08,623 A MICROPHONE WHEN SPEAKING 81 00:03:08,623 --> 00:03:09,924 USUALLY RESULTING IN THE 82 00:03:09,924 --> 00:03:12,127 CLEAREST SOUND AND LEAST AMOUNT 83 00:03:12,127 --> 00:03:12,761 OF AUDIO FEED BACK. 84 00:03:12,761 --> 00:03:13,962 FOURTH, IF YOU HAVE A QUESTION 85 00:03:13,962 --> 00:03:16,798 OR WOULD LIKE TO MAKE A COMMENT, 86 00:03:16,798 --> 00:03:22,470 PLEASE RAISE YOUR HAND. 87 00:03:22,470 --> 00:03:23,038 OKAY. 88 00:03:23,038 --> 00:03:30,845 NEXT I WOULD LIKE TO HAVE THE 89 00:03:30,845 --> 00:03:33,682 MEMBERS INTRODUCE YOURSELVES BY 90 00:03:33,682 --> 00:03:35,617 NAME AND WHAT INSTITUTION YOU 91 00:03:35,617 --> 00:03:35,884 REPRESENT. 92 00:03:35,884 --> 00:03:42,691 START WITH DR. ARNOLD. 93 00:03:42,691 --> 00:03:45,493 >> I'M ART ARNOLD AT UCLA AND DO 94 00:03:45,493 --> 00:03:46,961 ANIMAL RESEARCH STUDYING SEX 95 00:03:46,961 --> 00:03:51,933 DIFFERENCES IN DISEASE. 96 00:03:51,933 --> 00:04:02,277 >> THANK YOU 97 00:04:03,144 --> 00:04:05,613 >> AND I'M ALSO THE ASSOCIATE 98 00:04:05,613 --> 00:04:09,184 CHIEF CLINICAL OFFICER FOR THE 99 00:04:09,184 --> 00:04:10,318 WOMEN'S HOSPITAL AND DIVISION 100 00:04:10,318 --> 00:04:13,154 DIRECTOR FOR OUR GENERAL RISK 101 00:04:13,154 --> 00:04:13,355 GROUP. 102 00:04:13,355 --> 00:04:20,528 >> DR. NELLANDS. 103 00:04:20,528 --> 00:04:26,167 >> I'M AT THE SCHOOL OF 104 00:04:26,167 --> 00:04:26,835 EPIDEMIOLOGY AT COLUMBIA 105 00:04:26,835 --> 00:04:27,135 UNIVERSITY. 106 00:04:27,135 --> 00:04:32,240 >> DR. JONES. 107 00:04:32,240 --> 00:04:33,608 >> I'M DR. JONES REPRESENTING 108 00:04:33,608 --> 00:04:34,642 THE INVESTIGATION OF NORTH 109 00:04:34,642 --> 00:04:39,381 CAROLINA AT CHAPEL HILL AND 110 00:04:39,381 --> 00:04:40,515 SPECIALIZE IN SUBSTANCE USE 111 00:04:40,515 --> 00:04:41,549 DISORDER AND TREATMENT WITH 112 00:04:41,549 --> 00:04:45,653 WOMEN AND SEX DIFFERENCES IN 113 00:04:45,653 --> 00:04:47,756 PRENATAL EXPOSURE TO CHILDREN 114 00:04:47,756 --> 00:04:53,495 WITH SUBSTANCE USE PROBLEMS. 115 00:05:04,105 --> 00:05:08,510 >> DR. TEMPLETON. 116 00:05:08,510 --> 00:05:11,613 >> I'M AT THE PAST PRESIDENT OF 117 00:05:11,613 --> 00:05:16,651 THE AMERICAN WOMEN'S 118 00:05:16,651 --> 00:05:16,951 ASSOCIATION. 119 00:05:16,951 --> 00:05:19,220 >> I'M THE CHIEF SINCE OFFICER 120 00:05:19,220 --> 00:05:22,791 FOR THE SOCIETY FOR WOMEN'S 121 00:05:22,791 --> 00:05:32,867 HEALTH RESEARCH. 122 00:05:32,867 --> 00:05:37,105 >> I'M AN ASSOCIATE PROFESSOR AT 123 00:05:37,105 --> 00:05:38,807 LOUISIANA STATE UNIVERSITY AND 124 00:05:38,807 --> 00:05:41,342 MY LRCH FOCUS ON IN UTERO 125 00:05:41,342 --> 00:05:42,010 EXPOSURES TO DIFFERENT 126 00:05:42,010 --> 00:05:45,346 ENVIRONMENTAL POLLUTANTS AND HOW 127 00:05:45,346 --> 00:05:48,082 THAT AFFECTS LUNG DISEASES LATER 128 00:05:48,082 --> 00:05:48,917 IN LIFE ABLE FEMALE AND 129 00:05:48,917 --> 00:05:52,987 OFFSPRING. 130 00:05:52,987 --> 00:05:59,594 >> I'M DR. ANDERSON PROFESSOR 131 00:05:59,594 --> 00:06:01,262 AND SENIOR VICE PRESIDENT AT 132 00:06:01,262 --> 00:06:02,897 FRED HUTCH INSON CANCER CENTER. 133 00:06:02,897 --> 00:06:04,132 MY RESEARCH IS IN CHRONIC 134 00:06:04,132 --> 00:06:05,967 DISEASE PREVENTION AND I LEAD 135 00:06:05,967 --> 00:06:07,268 THE COORDINATING CENTER FOR THE 136 00:06:07,268 --> 00:06:10,805 WOMEN'S HEALTH INITIATIVE. 137 00:06:10,805 --> 00:06:14,242 >> DR. SIMON. 138 00:06:14,242 --> 00:06:18,379 >> GOOD AFTERNOON. 139 00:06:18,379 --> 00:06:22,517 I'M AN OB-GYN AT NORTHWESTERN 140 00:06:22,517 --> 00:06:24,219 UNIVERSITY AND DIRECT THE CENTER 141 00:06:24,219 --> 00:06:24,619 FOR HEALTH EQUITY 142 00:06:24,619 --> 00:06:33,294 TRANSFORMATION. 143 00:06:33,294 --> 00:06:36,397 >> I'M STEVE HIGGINS BEHAVIOR 144 00:06:36,397 --> 00:06:40,235 AND HEALTH AT THE UNIVERSITY OF 145 00:06:40,235 --> 00:06:40,935 VERMONT AND DO A LOT OF RESEARCH 146 00:06:40,935 --> 00:06:47,141 ON TOBACCO USE IN WOMEN AND 147 00:06:47,141 --> 00:06:52,413 ESPECIALLY PREGNANT WOMEN. 148 00:06:52,413 --> 00:06:57,352 >> THANK YOU. 149 00:06:57,352 --> 00:07:01,155 I'D LIKE TO THANK MEMBERS FOR 150 00:07:01,155 --> 00:07:03,024 THEIR SERVICE INCLUDING 151 00:07:03,024 --> 00:07:06,361 DR. ANINYE AND DR. ANDERSON. 152 00:07:06,361 --> 00:07:08,997 >> NOW I'D LIKE TO INTRODUCE THE 153 00:07:08,997 --> 00:07:10,498 CHAIR AND DIRECTOR OF THE OFFICE 154 00:07:10,498 --> 00:07:15,670 OF WOMEN'S HEALTH, DR. JANINE 155 00:07:15,670 --> 00:07:16,471 CLAYTON. 156 00:07:16,471 --> 00:07:21,442 >> THANK YOU, DR. OTA WANG. 157 00:07:21,442 --> 00:07:24,178 GOOD AFTERNOON AND WELCOME TO 158 00:07:24,178 --> 00:07:34,422 THE 62nd ANNUAL MEETING OF 159 00:07:34,422 --> 00:07:34,722 ACRWH. 160 00:07:34,722 --> 00:07:36,758 TODAY OUR AGENDA INCLUDES ONE 161 00:07:36,758 --> 00:07:37,792 MAIN AGENDA ITEM. 162 00:07:37,792 --> 00:07:44,866 AND THAT IS THE NATIONAL 163 00:07:44,866 --> 00:07:45,767 ACADEMIES ON THE RESEARCH OF 164 00:07:45,767 --> 00:07:47,468 WOMEN'S HEALTH FOLLOWED BY A 165 00:07:47,468 --> 00:07:50,138 SESSION OF QUESTION AND ANSWERS 166 00:07:50,138 --> 00:07:50,905 BETWEEN THE ACRWH MEMBERS AND 167 00:07:50,905 --> 00:07:54,409 OUR SPEAKERS. 168 00:07:54,409 --> 00:07:57,245 BY WAY OF BACKGROUND, I WANT TO 169 00:07:57,245 --> 00:07:58,680 HIGHLIGHT THE FACT THAT CONGRESS 170 00:07:58,680 --> 00:08:00,148 CALLED FOR AN ASSESSMENT OF NIH 171 00:08:00,148 --> 00:08:02,150 RESEARCH ON WOMEN'S HEALTH AND 172 00:08:02,150 --> 00:08:04,786 IN THE FISCAL YEAR '23 173 00:08:04,786 --> 00:08:06,354 CONSOLIDATED APPROPRIATIONS ACT 174 00:08:06,354 --> 00:08:08,222 INCLUDED $2 MILLION TO THE 175 00:08:08,222 --> 00:08:10,058 OFFICE OF RESEARCH ON WOMEN'S 176 00:08:10,058 --> 00:08:16,631 HEALTH OR ORWH TO IDENTIFY GAPS 177 00:08:16,631 --> 00:08:18,499 IN WOMEN'S HEALTH RESEARCH AND 178 00:08:18,499 --> 00:08:20,335 EXPLORE THE PROPORTION OF 179 00:08:20,335 --> 00:08:21,703 RESEARCH ON CONDITIONS THAT ARE 180 00:08:21,703 --> 00:08:24,839 MORE COMMON OR UNIQUE TOO WOMEN, 181 00:08:24,839 --> 00:08:25,740 ESTABLISH IT HOW THE CONDITIONS 182 00:08:25,740 --> 00:08:28,476 ARE DEFINED AND ENSURE IT 183 00:08:28,476 --> 00:08:30,511 CAPTURES CONDITIONS ACROSS TRE 184 00:08:30,511 --> 00:08:33,448 LIFE SPAN, EVALUATES SEX 185 00:08:33,448 --> 00:08:34,582 DIFFERENCES AND DETERMINE THE 186 00:08:34,582 --> 00:08:36,551 APPROPRIATE LEVEL OF FUNDING 187 00:08:36,551 --> 00:08:38,786 NEEDED TO ADDRESS GAPS OF 188 00:08:38,786 --> 00:08:40,655 WOMEN'S HEALTH RESEARCH AT NIH, 189 00:08:40,655 --> 00:08:41,189 END QUOTE. 190 00:08:41,189 --> 00:08:43,858 THE NATIONAL INSTITUTES OF 191 00:08:43,858 --> 00:08:45,994 HEALTH IS GRATEFUL TO THE 192 00:08:45,994 --> 00:08:47,061 NATIONAL ACADEMIES COMMITTEE FOR 193 00:08:47,061 --> 00:08:49,163 THEIR ATTENTION TO IMPROVE THE 194 00:08:49,163 --> 00:08:50,331 HEALTH OF WOMEN, AN IMPORTANT 195 00:08:50,331 --> 00:08:50,765 TOPIC. 196 00:08:50,765 --> 00:08:55,570 AND WE ACKNOWLEDGE AND THE 197 00:08:55,570 --> 00:08:56,604 FOCUSSED REPORT FOCUSSED ON 198 00:08:56,604 --> 00:08:58,239 IMPROVING WOMEN'S HEALTH. 199 00:08:58,239 --> 00:08:59,741 THE REPORT DETAILS HEALTH 200 00:08:59,741 --> 00:09:02,010 DISPARITIES AND CONDITIONS THAT 201 00:09:02,010 --> 00:09:04,112 ARE FEMALE SPECIFIC, 202 00:09:04,112 --> 00:09:04,779 DISPROPORTIONATELY AFFECT WOMEN 203 00:09:04,779 --> 00:09:06,848 OR PROGRESS DIFFERENTLY IN WOMEN 204 00:09:06,848 --> 00:09:08,282 OR PRESENT DIFFERENTLY AND 205 00:09:08,282 --> 00:09:10,351 SEVERAL APPROACHES TO 206 00:09:10,351 --> 00:09:11,285 STRENGTHENING WOMEN'S HEALTH 207 00:09:11,285 --> 00:09:15,023 RESEARCH AND PROPOSED ACTIONS. 208 00:09:15,023 --> 00:09:20,528 ON DECEMBER 5, 2024 THE NATIONAL 209 00:09:20,528 --> 00:09:24,165 ACADEMIES BRIEFED THE PUBLIC ON 210 00:09:24,165 --> 00:09:26,934 AT AN EVENT A NEW VISION FOR 211 00:09:26,934 --> 00:09:29,871 WOMEN'S HEALTH RESEARCH AT A 212 00:09:29,871 --> 00:09:31,039 TRANSFORMATIVE CHANGE AT THE 213 00:09:31,039 --> 00:09:32,306 NATIONAL INSTITUTE OF HEALTH. 214 00:09:32,306 --> 00:09:33,441 THE RECORDING IS AVAILABLE AT 215 00:09:33,441 --> 00:09:34,108 THE NATIONAL ACADEMIES WEBSITE 216 00:09:34,108 --> 00:09:39,881 AT THIS POINT I WANT TO 217 00:09:39,881 --> 00:09:46,921 ACKNOWLEDGE STAFF WHO SUPPORTED 218 00:09:46,921 --> 00:09:57,432 THE COMMITTEE FOR THE REPORT. 219 00:09:58,466 --> 00:10:01,636 HERE I WOULD LIKE TO ACKNOWLEDGE 220 00:10:01,636 --> 00:10:06,941 SHEILA BURKE AND DR. ALINA 221 00:10:06,941 --> 00:10:12,180 SALGANICOFF ARE THE CO-CHAIRS. 222 00:10:12,180 --> 00:10:15,817 MS. BURKE IS AT BAKER DONALDSON 223 00:10:15,817 --> 00:10:19,721 AND A FORMER ADJUNCT LECTURER 224 00:10:19,721 --> 00:10:21,389 AND EXECUTIVE DEAN OF THE JOHN 225 00:10:21,389 --> 00:10:27,028 F. KENNEDY SCHOOL OF GOVERNMENT 226 00:10:27,028 --> 00:10:28,830 AT HARVARD UNIVERSITY AND WORKED 227 00:10:28,830 --> 00:10:32,500 IN CHILD AND MATERNAL HEALTH 228 00:10:32,500 --> 00:10:37,839 POLICY AND WE'LL HEAR FROM 229 00:10:37,839 --> 00:10:43,144 DR. SALGANICOFF HAS SERVING ON 230 00:10:43,144 --> 00:10:44,912 NUMEROUS STATE AND NON-PROFIT 231 00:10:44,912 --> 00:10:47,849 ADVISORY COMMITTEES RELATED TO 232 00:10:47,849 --> 00:10:49,150 WOMEN'S HEALTH POLICY AND 233 00:10:49,150 --> 00:10:58,826 CONTRIBUTING MEMBER TO THE WOMEN 234 00:10:58,826 --> 00:11:01,896 WOMEN'S PREVENTIVE SERVICES 235 00:11:01,896 --> 00:11:02,630 INITIATIVE OF THE AMERICAN 236 00:11:02,630 --> 00:11:04,432 COLLEGE OF MEDICINE. 237 00:11:04,432 --> 00:11:07,368 AND PLEASED TO HAVE TWO 238 00:11:07,368 --> 00:11:09,003 COMMITTEES TO SHARE IN THE 239 00:11:09,003 --> 00:11:10,671 CONVERSATION. 240 00:11:10,671 --> 00:11:14,509 DR. SUSAN CHENG THE ERIKA J. 241 00:11:14,509 --> 00:11:17,712 GLAZER CHAIR IN WOMEN'S 242 00:11:17,712 --> 00:11:27,688 CARDIOVASCULAR HEALTH AT 243 00:11:27,688 --> 00:11:30,758 CEDARS-SINAI AND HAS HELD ROLLED 244 00:11:30,758 --> 00:11:33,694 AT THE AMERICAN COLLEGE OF 245 00:11:33,694 --> 00:11:36,631 CARDIOLOGY AND DR. SCHILLER 246 00:11:36,631 --> 00:11:38,266 ASSOCIATE PROFESSOR OF THE 247 00:11:38,266 --> 00:11:39,300 PSYCHIATRY AT UNIVERSITY OF 248 00:11:39,300 --> 00:11:41,736 NORTH CAROLINA CHAPEL HILL AND 249 00:11:41,736 --> 00:11:46,841 HAS EXPERTISE ON THE IMPACT OF 250 00:11:46,841 --> 00:11:50,745 OVARIAN HORMONES ON THE IMPACT 251 00:11:50,745 --> 00:11:52,413 OF THE LIFE SPAN OF WOMEN. 252 00:11:52,413 --> 00:11:55,917 I'D LIKE TO THANK THE CONSENSUS 253 00:11:55,917 --> 00:11:58,586 COMMITTEE FOR THEIR THOUGHTFUL 254 00:11:58,586 --> 00:12:00,621 DELIBERATIONS ON THE TOPIC AND 255 00:12:00,621 --> 00:12:06,294 EFFORTS THAT LED TO THIS REPORT. 256 00:12:06,294 --> 00:12:09,664 AS WE MOVE FORWARD I'M GOING TO 257 00:12:09,664 --> 00:12:11,933 TURN THE ENVIRONMENT MICROPHONE 258 00:12:11,933 --> 00:12:17,805 TO MY COLLEAGUES, DR. OTA WANG, 259 00:12:17,805 --> 00:12:21,108 WILL YOU DO FURTHER INTRODUCTION 260 00:12:21,108 --> 00:12:22,643 OF DR. GELLAR AND TEAM OR TURN 261 00:12:22,643 --> 00:12:23,211 IT OVER. 262 00:12:23,211 --> 00:12:33,621 >> WE CAN TURN IT OVER. 263 00:12:55,843 --> 00:12:57,478 >> WE'RE ANXIOUS TO ANSWER ANY 264 00:12:57,478 --> 00:12:58,946 QUESTIONS YOU MIGHT HAVE. 265 00:12:58,946 --> 00:13:00,114 AS DESCRIBED THERE'S FOUR OF US 266 00:13:00,114 --> 00:13:03,050 FROM THE COMMITTEE WITH YOU 267 00:13:03,050 --> 00:13:04,051 TODAY AND AGAIN EACH OF US IS 268 00:13:04,051 --> 00:13:05,453 MORE THAN HAPPY TO RESPONSE 269 00:13:05,453 --> 00:13:07,154 RESPOND TO QUESTIONS YOU MIGHT 270 00:13:07,154 --> 00:13:07,355 HAVE. 271 00:13:07,355 --> 00:13:10,024 NOTED ON THE SLIDE BEFORE YOU 272 00:13:10,024 --> 00:13:15,296 ARE THE FULL MEMBERS OF THE 273 00:13:15,296 --> 00:13:15,563 COMMITTEE. 274 00:13:15,563 --> 00:13:20,134 I WOULD NOTE IT COMPRISED 275 00:13:20,134 --> 00:13:28,843 LEADERS FROM A VARIETY OF FIELD 276 00:13:28,843 --> 00:13:30,811 OWN BONE HEALTH AND FEMALE 277 00:13:30,811 --> 00:13:36,417 SPECIFIC CANCERS AND OTHER 278 00:13:36,417 --> 00:13:37,752 SPECIALTIES AND NURSING, 279 00:13:37,752 --> 00:13:38,719 POPULATION HEALTH AND BEHAVIORAL 280 00:13:38,719 --> 00:13:40,821 HEALTH AND HEALTH DISPARITIES 281 00:13:40,821 --> 00:13:45,226 AND DATA AND MEASUREMENT. 282 00:13:45,226 --> 00:13:46,861 WE'LL BE MORE TO ANSWER 283 00:13:46,861 --> 00:13:47,862 QUESTIONS YOU HAVE HAVING LOOKED 284 00:13:47,862 --> 00:13:49,430 AT THE REPORT IN ALL THOSE 285 00:13:49,430 --> 00:13:51,032 AREAS. 286 00:13:51,032 --> 00:13:53,334 THE TASK I WOULD NOTE THAT WAS 287 00:13:53,334 --> 00:13:55,569 PROVIDED TO THE COMMITTEE AS 288 00:13:55,569 --> 00:13:57,471 DESCRIBED BY THE APPROPRIATIONS 289 00:13:57,471 --> 00:13:59,774 PROCESS WAS REALLY QUITE WIDE 290 00:13:59,774 --> 00:14:00,908 RANGING. 291 00:14:00,908 --> 00:14:03,177 WE WERE ASKED TO ANALYZE A 292 00:14:03,177 --> 00:14:04,645 PROPORTION OF RESEARCH THAT NIH 293 00:14:04,645 --> 00:14:07,248 FUNDS ON CONDITIONS THAT ARE 294 00:14:07,248 --> 00:14:07,982 FEMALE SPECIFIC. 295 00:14:07,982 --> 00:14:08,916 MORE COMMON IN WOMEN AND IMPACT 296 00:14:08,916 --> 00:14:16,290 WOMEN DIFFERENTLY. 297 00:14:16,290 --> 00:14:17,625 WE WERE ASKED TO LOOK AT THE 298 00:14:17,625 --> 00:14:20,361 LIFE SPAN AND LOOKING AT SEX 299 00:14:20,361 --> 00:14:21,529 DIFFERENCES BETWEEN ETHNIC AND 300 00:14:21,529 --> 00:14:23,030 RACIAL DISPARITIES AND DEFINE 301 00:14:23,030 --> 00:14:23,698 WOMEN'S HEALTH FOR THE PURPOSE 302 00:14:23,698 --> 00:14:24,966 OF THE REPORT. 303 00:14:24,966 --> 00:14:26,701 IN ADDITION THE COMMITTEE WAS 304 00:14:26,701 --> 00:14:28,502 ASKED TO PROVIDE RECOMMENDATIONS 305 00:14:28,502 --> 00:14:32,807 ON THE FOLLOWING, NIH RESEARCH 306 00:14:32,807 --> 00:14:34,308 PRIORITIES, NIH TRAINING AND 307 00:14:34,308 --> 00:14:35,543 EDUCATION EFFORTS NEEDED TO 308 00:14:35,543 --> 00:14:39,380 BUILD AND SUPPORT AND MAINTAIN A 309 00:14:39,380 --> 00:14:41,015 ROBUST WOMEN'S HEALTH RESEARCH 310 00:14:41,015 --> 00:14:43,017 WORKFORCE AS WELL AS TO 311 00:14:43,017 --> 00:14:46,787 EFFECTIVELY SOLICIT, REVIEW AND 312 00:14:46,787 --> 00:14:49,256 SORT WOMEN'S HEALTH RESEARCH. 313 00:14:49,256 --> 00:14:52,860 THE NIH STRUCTURE IN SUPPORT OF 314 00:14:52,860 --> 00:14:54,562 THOSE EFFORTS BOTH EXTRA AND 315 00:14:54,562 --> 00:14:56,931 INTRAMURAL, THERE'S SYSTEMS, 316 00:14:56,931 --> 00:14:59,667 REVIEW PROCESSES AND TO OPTIMIZE 317 00:14:59,667 --> 00:15:01,135 WOMEN'S HEALTH RESEARCH AND 318 00:15:01,135 --> 00:15:02,236 FINALLY TO RECOMMEND THE 319 00:15:02,236 --> 00:15:04,338 ALLOCATION OF FUNDING NEEDED TO 320 00:15:04,338 --> 00:15:07,641 ADDRESS GAPS IN WOMEN'S HEALTH 321 00:15:07,641 --> 00:15:09,210 RESEARCH AT NIH. 322 00:15:09,210 --> 00:15:10,845 FINALLY, WE WERE ASKED TO 323 00:15:10,845 --> 00:15:13,414 IDENTIFY METRICS THAT WOULD 324 00:15:13,414 --> 00:15:15,950 ENSURE THE RESEARCH IS TRACKED 325 00:15:15,950 --> 00:15:18,152 AND MEETS THE CONDITIONING 326 00:15:18,152 --> 00:15:27,361 HEALTH NEEDS OF WOMEN OVER TIME. 327 00:15:27,361 --> 00:15:29,463 IT WAS CONSOLIDATED BY THE 328 00:15:29,463 --> 00:15:30,431 APPROPRIATIONS ACT OF 2023 AND 329 00:15:30,431 --> 00:15:31,932 TOOK A ROBUST PROCESS TO INFORM 330 00:15:31,932 --> 00:15:33,000 OUR DELIBERATIONS. 331 00:15:33,000 --> 00:15:36,137 WE IDENTIFIED AND REVIEWED THE 332 00:15:36,137 --> 00:15:40,508 RELEVANT LITERATURE AND BUILT ON 333 00:15:40,508 --> 00:15:41,575 PASSED AS WELL AS ONGOING WORK 334 00:15:41,575 --> 00:15:43,110 RATHER THAN TRYING TO REINVENT 335 00:15:43,110 --> 00:15:43,611 THE WHEEL. 336 00:15:43,611 --> 00:15:45,980 OUR INFORMATION GATHERING ENDED 337 00:15:45,980 --> 00:15:49,250 IN PLAY OF 2024, I WOULD NOTE. 338 00:15:49,250 --> 00:15:50,518 HOWEVER, WE RECOGNIZED WORK ON 339 00:15:50,518 --> 00:15:53,054 WOMEN'S HEALTH HAS CONTINUED AND 340 00:15:53,054 --> 00:15:55,389 THAT THE NIH HAS UNDERTAKEN 341 00:15:55,389 --> 00:15:57,625 REFORMS TO STRENGTHEN WOMEN'S 342 00:15:57,625 --> 00:15:58,559 HEALTH RESEARCH SINCE THE TIME 343 00:15:58,559 --> 00:16:00,828 THAT ARE NOT REFLECTED IN THE 344 00:16:00,828 --> 00:16:02,730 REPORT BECAUSE OF THE TIME LINE 345 00:16:02,730 --> 00:16:06,934 THAT WE LAD TO GATHER 346 00:16:06,934 --> 00:16:07,334 INFORMATION. 347 00:16:07,334 --> 00:16:15,176 WE SOUGHT OUT EXTENSIVE RESEARCH 348 00:16:15,176 --> 00:16:16,477 AS WELL AS FEEDBACK FROM 349 00:16:16,477 --> 00:16:17,978 CLINICIANS AND PUBLIC AND 350 00:16:17,978 --> 00:16:19,814 THERE'S A NUMBER OF REFERENCES 351 00:16:19,814 --> 00:16:24,518 AND DESCRIPTIONS OF THEIR PERSON 352 00:16:24,518 --> 00:16:24,819 EXPERIENCES. 353 00:16:24,819 --> 00:16:26,554 WHAT THEY HOPED WE WOULD ACHIEVE 354 00:16:26,554 --> 00:16:28,689 IN DOING THIS REVIEW. 355 00:16:28,689 --> 00:16:30,357 WE ALSO UNDERTOOK A NOVEL 356 00:16:30,357 --> 00:16:33,561 ANALYSIS TO DETERMINE THE IMPACT 357 00:16:33,561 --> 00:16:35,296 AND GRANT FUNDING SPENT BY NIH, 358 00:16:35,296 --> 00:16:37,098 THE INSTITUTES AND THE CENTERS. 359 00:16:37,098 --> 00:16:40,901 AND TO DETERMINE THE IMPACT OF 360 00:16:40,901 --> 00:16:42,903 WOMEN'S HEALTH CONDITIONS IN THE 361 00:16:42,903 --> 00:16:46,574 YEARS OF LIVES LOST DUE TO 362 00:16:46,574 --> 00:16:47,208 MORTALITY AND YEARS LIVED WITH 363 00:16:47,208 --> 00:16:57,418 DISABILITY. 364 00:17:06,026 --> 00:17:07,828 WE UNDERWENT A REVIEW PROCESS 365 00:17:07,828 --> 00:17:11,165 AND THE FINAL IS A NINE-CHAPTER 366 00:17:11,165 --> 00:17:13,467 REPORT WITH 15 CONCLUSIONS AND 8 367 00:17:13,467 --> 00:17:14,401 RECOMMENDATIONS WE'LL REVIEW 368 00:17:14,401 --> 00:17:15,903 WITH YOU TODAY. 369 00:17:15,903 --> 00:17:19,440 I'LL NOW PASS IT LONG TO MY 370 00:17:19,440 --> 00:17:20,541 FELLOW COMMITTEE MEMBER 371 00:17:20,541 --> 00:17:28,048 DR. SCHILLER. 372 00:17:28,048 --> 00:17:29,483 >> WE ESTABLISHED DEFINITION TO 373 00:17:29,483 --> 00:17:30,551 CONDUCT OUR WORK. 374 00:17:30,551 --> 00:17:32,620 A FULL LIST IS AVAILABLE AT THE 375 00:17:32,620 --> 00:17:32,853 REPORT. 376 00:17:32,853 --> 00:17:35,656 WE BUILT ON AND ADAPTED EXISTING 377 00:17:35,656 --> 00:17:36,323 DEFINITIONS WHERE POSSIBLE. 378 00:17:36,323 --> 00:17:40,794 SO I JUST WANT TO GO OVER TWO TO 379 00:17:40,794 --> 00:17:44,365 START WE FDEFINED WOMEN'S HEALT 380 00:17:44,365 --> 00:17:47,334 AS THE PSYCHOLOGICAL AND 381 00:17:47,334 --> 00:17:49,703 CULTURAL AND SPIRITUAL AND 382 00:17:49,703 --> 00:17:51,005 HEALTH AND WELLNESS ACROSS THE 383 00:17:51,005 --> 00:17:51,572 LIFE COURSE. 384 00:17:51,572 --> 00:17:52,640 THIS INCLUDES THE EXPERIENCES 385 00:17:52,640 --> 00:17:55,142 AND NEEDS OF ALL PEOPLE WHO 386 00:17:55,142 --> 00:17:57,745 IDENTIFY AS A WOMAN, GIRL, 387 00:17:57,745 --> 00:18:03,784 FEMALE, NON-BINARY, TRANS GENDER 388 00:18:03,784 --> 00:18:06,187 MEN OR WOMEN GENDER FLUID OR TWO 389 00:18:06,187 --> 00:18:07,788 SPIRIT OR ASSIGNED FEMALE AT 390 00:18:07,788 --> 00:18:08,022 BIRTH. 391 00:18:08,022 --> 00:18:09,557 WE DEFINES WOMEN'S HEALTH 392 00:18:09,557 --> 00:18:11,859 RESEARCH AS THE SCIENTIFIC STUDY 393 00:18:11,859 --> 00:18:14,395 OF THE RANGE OF AND VARIABILITY 394 00:18:14,395 --> 00:18:15,896 IN WOMEN'S HEALTH AND THE 395 00:18:15,896 --> 00:18:18,666 MECHANISMS IN DISEASE AND 396 00:18:18,666 --> 00:18:21,702 NON-DISEASE STATE ACROSS THE 397 00:18:21,702 --> 00:18:22,136 LIFE COURSE. 398 00:18:22,136 --> 00:18:23,938 THIS CONSIDERS SEX AND GENDER, 399 00:18:23,938 --> 00:18:28,542 DISEASE RISK, PATHOPHYSIOLOGY, 400 00:18:28,542 --> 00:18:29,076 SYMPTOMS, DIAGNOSIS AND 401 00:18:29,076 --> 00:18:30,144 TREATMENT AND ADDRESSES 402 00:18:30,144 --> 00:18:31,312 INTERACTING CONCERNS RELATED TO 403 00:18:31,312 --> 00:18:34,548 WOMEN'S BODIES AND ROLES AND 404 00:18:34,548 --> 00:18:35,182 SOCIAL AND STRUCTURAL 405 00:18:35,182 --> 00:18:41,222 DETERMINATES AND SYSTEMS. 406 00:18:41,222 --> 00:18:43,757 THE U.S. IS A LEADER IN 407 00:18:43,757 --> 00:18:45,759 INNOVATION AND HEALTH 408 00:18:45,759 --> 00:18:50,164 DISCOVERIES BUT SCIENTIFIC 409 00:18:50,164 --> 00:18:51,065 ENTERPRISES HAVE NOT YIELDED 410 00:18:51,065 --> 00:18:52,800 IMPROVED WELL BEING FOR WOMEN 411 00:18:52,800 --> 00:18:57,871 AND GIRLS, HALF THE POPULATION 412 00:18:57,871 --> 00:18:58,539 BECAUSE IT'S USED MALE 413 00:18:58,539 --> 00:18:59,406 PARTICIPANTS TO THE NORM LEADING 414 00:18:59,406 --> 00:19:02,109 TO A GAP IN UNDERSTANDING FEMALE 415 00:19:02,109 --> 00:19:05,179 SPECIFIC PHYSIOLOGIC AND 416 00:19:05,179 --> 00:19:06,380 BIOLOGICAL DIFFERENCES FOR 417 00:19:06,380 --> 00:19:09,283 EXAMPLE HORMONAL AND CHROMOSOMAL 418 00:19:09,283 --> 00:19:09,583 DIFFERENCES. 419 00:19:09,583 --> 00:19:12,219 IT'S RESULTED IN A LACK OF 420 00:19:12,219 --> 00:19:14,521 COMPREHENSIVE DATA HOW FEMALE 421 00:19:14,521 --> 00:19:15,322 PHYSIOLOGY UNIQUELY CONTRIBUTES 422 00:19:15,322 --> 00:19:18,659 TO AND AFFECTED BY MENTAL AND 423 00:19:18,659 --> 00:19:19,893 PHYSICAL HEALTH DISORDERS AND 424 00:19:19,893 --> 00:19:21,362 THEIR TREATMENTS. 425 00:19:21,362 --> 00:19:22,963 THERE'S ALSO BEEN A LACK OF 426 00:19:22,963 --> 00:19:25,132 ATTENTION AND FUNDING FOR 427 00:19:25,132 --> 00:19:27,201 RESEARCH AND TO CONDITIONS 428 00:19:27,201 --> 00:19:29,470 SPECIFIC TO MORE COMMON AMONG OR 429 00:19:29,470 --> 00:19:31,538 AFFECT WOMEN AND GIRLS 430 00:19:31,538 --> 00:19:31,839 DIFFERENTLY. 431 00:19:31,839 --> 00:19:33,274 THIS HAS PARTICULARLY BEEN THE 432 00:19:33,274 --> 00:19:37,311 CASE FOR RACIALLY AND ETHNICALLY 433 00:19:37,311 --> 00:19:39,113 MINORITIZED WOMEN, MANY OF WHOM 434 00:19:39,113 --> 00:19:42,082 SUFFER OR DIE MORE OFTEN FROM 435 00:19:42,082 --> 00:19:42,716 FEMALE SPECIFIC CONDITIONS SUCH 436 00:19:42,716 --> 00:19:46,654 AS FIBROIDS, ENDOMETRIAL AND 437 00:19:46,654 --> 00:19:50,291 UTERINE CONDITIONS AND HEART 438 00:19:50,291 --> 00:19:51,191 DISEASE AND STROKE. 439 00:19:51,191 --> 00:19:54,328 ADVANCES IN WOMEN'S HEALTH 440 00:19:54,328 --> 00:19:55,262 RESEARCH CONTRIBUTE TO SPECIFIC 441 00:19:55,262 --> 00:19:56,196 PROGRESS AND INNOVATION. 442 00:19:56,196 --> 00:20:01,502 THERE'S BEEN ADVANCES IN WOMEN'S 443 00:20:01,502 --> 00:20:03,570 HEALTH THAT IMPROVED MEN'S 444 00:20:03,570 --> 00:20:05,506 HEALTH AND THERE'S BEEN GUIDANCE 445 00:20:05,506 --> 00:20:06,840 ON MEN'S BONE HEALTH AND 446 00:20:06,840 --> 00:20:09,410 RESEARCH ON BREAST CANCER HAS 447 00:20:09,410 --> 00:20:10,311 IMPROVED CARE FOR MEN WITH 448 00:20:10,311 --> 00:20:14,415 PROSTATE CANCER. 449 00:20:14,415 --> 00:20:15,983 WOMEN ARE VITAL TO A HEALTHY 450 00:20:15,983 --> 00:20:26,126 SOCIETY AND GROWING ECONOMY. 451 00:20:26,126 --> 00:20:28,862 ON AVERAGE NINE YEARS ARE 25% 452 00:20:28,862 --> 00:20:30,464 LONGER THAN MEN IMPACTING THEIR 453 00:20:30,464 --> 00:20:35,135 QUALITY OF LIFE AND 454 00:20:35,135 --> 00:20:36,303 PRODUCTIVITY. 455 00:20:36,303 --> 00:20:37,604 ENABLING HEALTH RESEARCH WILL 456 00:20:37,604 --> 00:20:39,006 HELP MEET WOMEN'S DIVERSE HEALTH 457 00:20:39,006 --> 00:20:42,643 NEEDS LEADING TO BETTER OUTCOME 458 00:20:42,643 --> 00:20:44,345 AND PARTICIPATION IN THE 459 00:20:44,345 --> 00:20:46,313 ECONOMY, SOCIETY, COMMUNITIES 460 00:20:46,313 --> 00:20:48,615 AND FAMILIES. 461 00:20:48,615 --> 00:20:49,416 HOWEVER, THE HISTORICAL 462 00:20:49,416 --> 00:20:51,385 EXCLUSION OF WOMEN FROM RESEARCH 463 00:20:51,385 --> 00:20:56,156 HAS LED TO PERSISTENT GAPS IN 464 00:20:56,156 --> 00:20:57,391 THE EVIDENCE BASED THAT STILL 465 00:20:57,391 --> 00:20:58,559 IMPACTS RESEARCH TODAY. 466 00:20:58,559 --> 00:21:00,694 WOMEN FACE INTERSECTING BARRIERS 467 00:21:00,694 --> 00:21:02,529 TO CARE INCLUDING ECONOMIC, 468 00:21:02,529 --> 00:21:04,798 GEOGRAPHY, INSTITUTIONAL, SOCIAL 469 00:21:04,798 --> 00:21:06,333 AND CULTURAL BARRIERS 470 00:21:06,333 --> 00:21:10,304 DISCRIMINATION AND BIAS, LACK OF 471 00:21:10,304 --> 00:21:10,971 EDUCATION AND HEALTH LITERACY 472 00:21:10,971 --> 00:21:11,839 AND STIGMA. 473 00:21:11,839 --> 00:21:14,108 THIS HAS LED TO A LACK OF HEALTH 474 00:21:14,108 --> 00:21:16,176 CARE KNOWLEDGE AND PREVENTIVE 475 00:21:16,176 --> 00:21:17,177 APPROACHES AND DIAGNOSTIC TOOLS 476 00:21:17,177 --> 00:21:21,081 AND TREATMENTS FOR MANY WOMEN'S 477 00:21:21,081 --> 00:21:21,615 HEALTH CONDITIONS. 478 00:21:21,615 --> 00:21:24,251 I'LL NOW PASS THIS TO MY FELLOW 479 00:21:24,251 --> 00:21:24,818 COMMITTEE MEMBER DR. SUSAN 480 00:21:24,818 --> 00:21:29,022 CHANG. 481 00:21:29,022 --> 00:21:31,258 >> WHEN THE COMMITTEE WAS ASKED 482 00:21:31,258 --> 00:21:39,032 WHEN ANALYZING THE PORTION OF 483 00:21:39,032 --> 00:21:49,243 RESEARCH -- 484 00:22:09,229 --> 00:22:13,600 >> THE WHICH THE WAS TASKED WITH 485 00:22:13,600 --> 00:22:14,735 ANALYZING THE RESEARCH. 486 00:22:14,735 --> 00:22:18,205 WE WERE NOT ABLE TO USE OUR 487 00:22:18,205 --> 00:22:18,839 PUBLICALLY AVAILABLE ANALYSIS 488 00:22:18,839 --> 00:22:21,475 AND SPECIFIC NIH DEFINITION USED 489 00:22:21,475 --> 00:22:24,445 BY THE RESEARCH CONDITION AND 490 00:22:24,445 --> 00:22:27,014 DISEASE CATEGORIZATION METHOD 491 00:22:27,014 --> 00:22:28,549 NOT PUBLICALLY AVAILABLE. 492 00:22:28,549 --> 00:22:30,284 FOR THIS REASON WE CONDUCTED OUR 493 00:22:30,284 --> 00:22:33,387 ANALYSIS OF NIH FUNDING FROM 494 00:22:33,387 --> 00:22:38,459 FISCAL 2013 TO 2023 AND 495 00:22:38,459 --> 00:22:40,861 DOWNLOADED INFORMATION FROM OVER 496 00:22:40,861 --> 00:22:42,362 8,000 GRANTS. 497 00:22:42,362 --> 00:22:45,199 THE COMMITTEE HAD ACCESS TO 498 00:22:45,199 --> 00:22:46,633 PUBLIC AVAILABLE DATA AND DID 499 00:22:46,633 --> 00:22:48,502 NOT HAVE ACCESS TO THE CONTENT 500 00:22:48,502 --> 00:22:51,004 OF THE GRANT PROPOSALS. 501 00:22:51,004 --> 00:22:55,275 WE USED A MULTI-METHOD AND STAGE 502 00:22:55,275 --> 00:22:58,412 APPROACH EMPIRICAL METHODS AND 503 00:22:58,412 --> 00:23:00,414 LARGE LANGUAGE MODEL TESTED. 504 00:23:00,414 --> 00:23:03,016 THE METHODS DEVELOPMENT AND 505 00:23:03,016 --> 00:23:07,888 VALIDATION PROCESS ARE APPENDED 506 00:23:07,888 --> 00:23:08,489 IN THE REPORT. 507 00:23:08,489 --> 00:23:11,225 THE SHARED FUNDING WAS 8.8% OF 508 00:23:11,225 --> 00:23:14,428 ALL NIH FUNDING GRANTED OVER THE 509 00:23:14,428 --> 00:23:15,596 TOTAL 11-YEAR PERIOD. 510 00:23:15,596 --> 00:23:17,431 THE SHARE OF FINDING FOR WOMEN'S 511 00:23:17,431 --> 00:23:20,534 HEALTH RESEARCH WAS 7.9% FOR 512 00:23:20,534 --> 00:23:22,669 FISCAL YEAR 2023, THE MOST 513 00:23:22,669 --> 00:23:24,204 RECENT ANALYZED. 514 00:23:24,204 --> 00:23:29,309 THERE WERE SEVERAL LIMITATIONS 515 00:23:29,309 --> 00:23:33,847 WE WERE LIMITED IN OUR ABILITY 516 00:23:33,847 --> 00:23:36,250 TO DISTINGUISH BETWEEN MATERNAL 517 00:23:36,250 --> 00:23:37,684 HEALTH GRAND RATHER THAN 518 00:23:37,684 --> 00:23:38,652 EXCLUSIVELY OR PRIMARILY ON 519 00:23:38,652 --> 00:23:39,720 INFANT HEALTH OUTCOMES. 520 00:23:39,720 --> 00:23:42,222 SUCH LIMITATION PLAY HAVE LED TO 521 00:23:42,222 --> 00:23:43,357 AN OVER ESTIMATE IN THE SHARE OF 522 00:23:43,357 --> 00:23:45,125 FUNDING ATTRIBUTED TO WOMEN'S 523 00:23:45,125 --> 00:23:49,830 HEALTH RESEARCH IN OUR ANALYSIS. 524 00:23:49,830 --> 00:23:52,599 AS SHOWN IN THE FIGURE, NIH 525 00:23:52,599 --> 00:23:57,271 GRANT FUNDING INCREASED 526 00:23:57,271 --> 00:24:06,847 SUBSTANTIAL LY TO $46 BILLION. 527 00:24:06,847 --> 00:24:08,015 THE PROPORTION OF FUNDING FOR 528 00:24:08,015 --> 00:24:12,052 WOMEN'S LEATH RESEARCH HAS 529 00:24:12,052 --> 00:24:20,994 REMAINED SMALL AND PROPORTION 530 00:24:20,994 --> 00:24:21,528 ATELY DECREASED. 531 00:24:21,528 --> 00:24:23,030 THE COMMITTEE ANALYZED GRANT 532 00:24:23,030 --> 00:24:24,932 FUNDING FOR HEALTH RESEARCH BY 533 00:24:24,932 --> 00:24:27,634 INSTITUTE, CENTER AND OFFICES 534 00:24:27,634 --> 00:24:29,503 AND FOUND A GENERALLY SMALL 535 00:24:29,503 --> 00:24:30,737 PROPORTION OF WOMEN'S HEALTH 536 00:24:30,737 --> 00:24:32,839 RESEARCH EXTENDED ACROSS THE 537 00:24:32,839 --> 00:24:34,641 FUNDING ORGANIZATIONS. 538 00:24:34,641 --> 00:24:37,444 THE INSTITUTES CENTER OFFICE OR 539 00:24:37,444 --> 00:24:38,779 ICO WITH THE LARGEST PROPORTION 540 00:24:38,779 --> 00:24:42,549 OF FUNDING FOR WOMEN'S HEALTH 541 00:24:42,549 --> 00:24:45,152 RESEARCH WAS NICHD WITH 37% OF 542 00:24:45,152 --> 00:24:46,954 GRANTS FUNDED AND ALLOCATED FOR 543 00:24:46,954 --> 00:24:48,655 WOMEN'S HEALTH RESEARCH. 544 00:24:48,655 --> 00:24:49,356 HOWEVER, WHILE MANY GRANTS 545 00:24:49,356 --> 00:24:52,059 INVOLVE THE STUDY OF WOMEN, A 546 00:24:52,059 --> 00:24:54,261 LARGER PORTION INCLUDED SOME OR 547 00:24:54,261 --> 00:24:56,563 A LARGE PART FOCUSSED ON CHILD 548 00:24:56,563 --> 00:24:57,965 OR FETAL HEALTH OUTCOMES. 549 00:24:57,965 --> 00:25:01,001 OTHER ICOs SPENT LESS THAN 20% 550 00:25:01,001 --> 00:25:02,936 AND MANY CASE LESS THAN 10% ON 551 00:25:02,936 --> 00:25:05,038 WOMEN'S HEALTH RESEARCH. 552 00:25:05,038 --> 00:25:07,441 OVER ALL, OUR SHOWED IT SPENT 553 00:25:07,441 --> 00:25:09,242 $33 BILLION ON WOMEN'S HEALTH 554 00:25:09,242 --> 00:25:10,844 RESEARCH OVER THE COURSE OF THE 555 00:25:10,844 --> 00:25:21,254 11-YEAR ANALYSIS PERIOD. 556 00:25:25,892 --> 00:25:27,961 AND THERE WERE FEMALE SPECIFIC 557 00:25:27,961 --> 00:25:30,297 CANCERS SUCH AS OVARIAN AND 558 00:25:30,297 --> 00:25:31,765 CERVICAL IN ADDITION TO 559 00:25:31,765 --> 00:25:34,534 PREGNANCY AND INFERTILITY AND 560 00:25:34,534 --> 00:25:38,305 MENOPAUSE AND PERIMENOPAUSE. 561 00:25:38,305 --> 00:25:42,409 CONDITIONS THAT AFFECT MEN WERE 562 00:25:42,409 --> 00:25:44,244 HIV AIDS, DIABETES AND 563 00:25:44,244 --> 00:25:45,979 DEPRESSIVE DISORDERS. 564 00:25:45,979 --> 00:25:48,649 THERE WERE LOW LEVELS OF FUNDING 565 00:25:48,649 --> 00:25:51,018 FOR FEMALE SPECIFIC CONDITIONS 566 00:25:51,018 --> 00:25:54,655 SUCH AS ENDOMETRIOSIS, FIBROIDS, 567 00:25:54,655 --> 00:25:58,525 ACLS, POSTPARTUM DEPRESSION AND 568 00:25:58,525 --> 00:26:00,427 UTERINE CANCER AND OTHERS AND 569 00:26:00,427 --> 00:26:03,030 THE COMMITTEE FOUND MANY 570 00:26:03,030 --> 00:26:06,166 CONDITIONS HAD RECEIVED 571 00:26:06,166 --> 00:26:09,736 RELATIVELY AFLAT AMOUNT OF 572 00:26:09,736 --> 00:26:19,880 FUNDING. 573 00:26:20,747 --> 00:26:23,750 >> IT'S NOT MEETING THE NEED FOR 574 00:26:23,750 --> 00:26:24,818 ADVANCES IN RESEARCH THAT 575 00:26:24,818 --> 00:26:25,752 DIRECTLY INFORM AND IMPROVE 576 00:26:25,752 --> 00:26:28,088 WOMEN'S HEALTH AND ALSO WE 577 00:26:28,088 --> 00:26:29,189 CONCLUDED THE NIH IS UNDER 578 00:26:29,189 --> 00:26:35,595 SPENDING ON WOMEN'S HEALTH 579 00:26:35,595 --> 00:26:36,997 LEADING TO KNOWLEDGE GAPS IN 580 00:26:36,997 --> 00:26:38,532 WOMEN'S HEALTH AND CONCLUDED 581 00:26:38,532 --> 00:26:40,467 INCREASED FUNDING ALONE IS NOT 582 00:26:40,467 --> 00:26:41,968 GOING TO BE ENOUGH TO MAKE 583 00:26:41,968 --> 00:26:43,570 SIGNIFICANT PROGRESS IN WOMEN'S 584 00:26:43,570 --> 00:26:46,406 HEALTH AND THE CURRENT STRUCTURE 585 00:26:46,406 --> 00:26:49,009 OF THE NIH LIMITS ITS ABILITY TO 586 00:26:49,009 --> 00:26:50,644 ADDRESS WOMEN'S HEALTH RESEARCH 587 00:26:50,644 --> 00:26:50,811 GAP. 588 00:26:50,811 --> 00:26:52,012 MANY CONDITIONS RELATIVE TO 589 00:26:52,012 --> 00:26:53,313 WOMEN'S LEATH DO NOT FALL WITHIN 590 00:26:53,313 --> 00:26:56,583 THE PURVIEW OF THE EXISTING 27 591 00:26:56,583 --> 00:26:58,952 INSTITUTES AND CENTERS RESULTING 592 00:26:58,952 --> 00:27:04,958 IN A DEPROER -- DEPRIORITIZATION 593 00:27:04,958 --> 00:27:05,425 OF THESE. 594 00:27:05,425 --> 00:27:11,364 THE FIGURES ED A HIGH LEVEL 595 00:27:11,364 --> 00:27:14,668 OVERVIEW OF ELEMENTS AUTOMATIC 596 00:27:14,668 --> 00:27:16,770 WE HAVE RESEARCH IN BREAKS 597 00:27:16,770 --> 00:27:20,941 THROUGH AND BUILD A WORKFORCE 598 00:27:20,941 --> 00:27:21,575 ULTIMA 599 00:27:21,575 --> 00:27:23,944 ULTIMATELY LEADING TO MEASURABLE 600 00:27:23,944 --> 00:27:25,312 IMPROVEMENTS AND STARTS AT THE 601 00:27:25,312 --> 00:27:27,581 TOP BY THE NIH DIRECTOR CHIEF 602 00:27:27,581 --> 00:27:28,515 RESPONSIBILITY FOR THE OVERSIGHT 603 00:27:28,515 --> 00:27:30,350 OF WOMEN'S HEALTH ACROSS THE 604 00:27:30,350 --> 00:27:31,251 INSTITUTES AND CENTERS IN ORDER 605 00:27:31,251 --> 00:27:34,354 TO HAVE A CENTRAL POINT OF 606 00:27:34,354 --> 00:27:35,388 ACCOUNTABILITY THE COMMITTEE 607 00:27:35,388 --> 00:27:37,958 ALSO RECOMMENDS THE INSTITUTES 608 00:27:37,958 --> 00:27:39,593 AND CENTERS AND THE NIH AS A 609 00:27:39,593 --> 00:27:41,328 WHOLE ALSO HAVE A RESPONSIBILITY 610 00:27:41,328 --> 00:27:44,431 FOR TRACKING, TRANSPARENCY AND 611 00:27:44,431 --> 00:27:45,265 ACCOUNTABILITY WHEN IT COMES TO 612 00:27:45,265 --> 00:27:46,333 THEIR RESPECTIVE ROLES IN 613 00:27:46,333 --> 00:27:46,867 SUPPORTING WOMEN'S HEALTH 614 00:27:46,867 --> 00:27:49,202 RESEARCH. 615 00:27:49,202 --> 00:27:51,438 THE COMMITTEE IDENTIFIED ACTION 616 00:27:51,438 --> 00:27:53,240 STEPS THAT CONGRESS AND THE NIH 617 00:27:53,240 --> 00:27:55,308 TAKE TO FILL WOMEN'S HEALTH 618 00:27:55,308 --> 00:27:56,676 RESEARCH GAPS AT THE NIH WHICH 619 00:27:56,676 --> 00:28:01,114 WE WILL NOW WALK YOU THROUGH. 620 00:28:01,114 --> 00:28:02,949 AS PART OF OUR CHARGE, YOU HEARD 621 00:28:02,949 --> 00:28:04,885 WE WERE ASKED TO LOOK AT THE NIH 622 00:28:04,885 --> 00:28:07,320 STRUCTURE AND HOW IT COULD BE 623 00:28:07,320 --> 00:28:08,255 IMPROVE TO ADVANCE WOMEN'S 624 00:28:08,255 --> 00:28:09,589 HEALTH RESEARCH AND CONCLUDED 625 00:28:09,589 --> 00:28:11,358 WITHOUT A CHANGE IN STRUCTURE, 626 00:28:11,358 --> 00:28:13,960 PROGRESS WILL CONTINUE TO BE 627 00:28:13,960 --> 00:28:16,830 SLOW AND STAGNANT FOR MANY 628 00:28:16,830 --> 00:28:17,430 CONDITIONS THAT AFFECT THE 629 00:28:17,430 --> 00:28:19,232 HEALTH AND QUALITY OF LIFE OF 630 00:28:19,232 --> 00:28:20,500 MILLIONS OF WOMEN IN THE 631 00:28:20,500 --> 00:28:21,001 COUNTRY. 632 00:28:21,001 --> 00:28:22,469 WE CONSIDERED SEVERAL STRUCTURAL 633 00:28:22,469 --> 00:28:23,036 OPTIONS. 634 00:28:23,036 --> 00:28:24,404 EVERYTHING'S ON THE TABLE AND 635 00:28:24,404 --> 00:28:26,573 AFTER WEIGHING THE PROS AND CONS 636 00:28:26,573 --> 00:28:30,977 OF EACH WE CONCLUDED NO SINGLE 637 00:28:30,977 --> 00:28:31,545 SOLUTION COULD ADDRESS THE 638 00:28:31,545 --> 00:28:35,715 SUPPORT NEED TO BUILD A ROBUST 639 00:28:35,715 --> 00:28:43,256 WOMEN'S HEALTH ENTERPRISE AT THE 640 00:28:43,256 --> 00:28:44,491 NIH AND RECOMMEND CONGRESS 641 00:28:44,491 --> 00:28:46,393 ELEVATE IT TO AN INSTITUTE TO 642 00:28:46,393 --> 00:28:50,230 LEAD AND CONDUCT RESEARCH ON 643 00:28:50,230 --> 00:28:52,933 CHROMOSOMAL DIFFERENCES, 644 00:28:52,933 --> 00:28:56,636 REPRODUCTIVE DIFFERENCES AND 645 00:28:56,636 --> 00:28:58,238 FEMALE SPECIFIC THAT DO NOT FALL 646 00:28:58,238 --> 00:29:01,107 UNDER THE PURVIEW OF OTHER 647 00:29:01,107 --> 00:29:03,643 I.C.s. 648 00:29:03,643 --> 00:29:14,087 WE RECOGNIZE IT WOULD REQUIRE A 649 00:29:14,087 --> 00:29:16,990 STATUTORY CHANGE OR NEW 650 00:29:16,990 --> 00:29:19,025 INSTITUTE AND RECOMMEND A NEW 651 00:29:19,025 --> 00:29:21,361 OFFICE OF THE DIRECTOR TO 652 00:29:21,361 --> 00:29:22,229 SUPPORT THE BIOMEDICAL 653 00:29:22,229 --> 00:29:23,463 DISCOVERIES IN WOMEN'S HEALTH 654 00:29:23,463 --> 00:29:24,698 AND SEX DIFFERENCES RESEARCH 655 00:29:24,698 --> 00:29:25,398 WITH A FOCUS ON 656 00:29:25,398 --> 00:29:27,734 INTERDISCIPLINARY RESEARCH. 657 00:29:27,734 --> 00:29:30,303 THE FUND SHOULD HAVE A DEDICATED 658 00:29:30,303 --> 00:29:32,472 INDEPENDENT BUDGET COMPARABLE TO 659 00:29:32,472 --> 00:29:34,474 THAT OF OTHER MAJOR NIH 660 00:29:34,474 --> 00:29:36,042 INITIATIVES SUCH AS THE COMMON 661 00:29:36,042 --> 00:29:39,312 FUND, CANCER MOONSHOT AND BRAIN 662 00:29:39,312 --> 00:29:39,813 INITIATIVE. 663 00:29:39,813 --> 00:29:44,150 FURTHER THE NIH DIRECTOR AND NIC 664 00:29:44,150 --> 00:29:45,585 DIRECTORS SHOULD PRIORITIZE IT 665 00:29:45,585 --> 00:29:47,921 TO A GREATER EXTENT. 666 00:29:47,921 --> 00:29:49,356 IT SHOULD ASSUME OVERSIGHT AND 667 00:29:49,356 --> 00:29:51,224 RESPONSIBILITY FOR THE WOMEN'S 668 00:29:51,224 --> 00:29:52,726 HEALTH RESEARCH PORTFOLIO ACROSS 669 00:29:52,726 --> 00:29:55,295 THE NIH WITH RESPECT TO FUNDING 670 00:29:55,295 --> 00:29:56,529 ALLOCATIONS AND IMPLEMENTATION 671 00:29:56,529 --> 00:29:58,098 OF PRIORITIES AND POLICIES 672 00:29:58,098 --> 00:29:59,633 RELEVANT TO WOMEN'S HEALTH SUCH 673 00:29:59,633 --> 00:30:04,104 AS SEX AS A BIOLOGICAL VARIABLE. 674 00:30:04,104 --> 00:30:05,071 I.C. DIRECTORS SHOULD INCREASE 675 00:30:05,071 --> 00:30:07,474 SUPPORT FOR WOMEN'S HEALTH 676 00:30:07,474 --> 00:30:09,276 RESEARCH THAT FALLS UNDER THEIR 677 00:30:09,276 --> 00:30:11,811 PER VIEW AND GIVEN THE LONG 678 00:30:11,811 --> 00:30:14,180 STANDING DISPARITIES THAT 679 00:30:14,180 --> 00:30:15,982 DISPROPORTIONATELY FACE WOMEN 680 00:30:15,982 --> 00:30:17,851 PARTICULARLY WOMEN OF COLOR WE 681 00:30:17,851 --> 00:30:19,753 RECOMMEND THE NATIONAL INSTITUTE 682 00:30:19,753 --> 00:30:22,355 OF MINORITY HEALTH AND HEALTH 683 00:30:22,355 --> 00:30:27,360 DISPARITIES EXPAND ITS ROLE TO 684 00:30:27,360 --> 00:30:28,595 INCLUDE WOMEN AND GIRLS TO LOOK 685 00:30:28,595 --> 00:30:30,397 AT DISPARITIES AND CONGRESS 686 00:30:30,397 --> 00:30:32,766 SHOULD APPROPRIATE ADDITIONAL 687 00:30:32,766 --> 00:30:35,802 FUNDING TO ADEQUATELY SUPPORT 688 00:30:35,802 --> 00:30:38,471 THE EFFORTS AND THE CHANGE 689 00:30:38,471 --> 00:30:41,207 DETAILED IN THE CHAPTER 9 OF THE 690 00:30:41,207 --> 00:30:43,777 REPORT AND NOW PASS IT BACK TO 691 00:30:43,777 --> 00:30:44,744 DR. SCHILLER. 692 00:30:44,744 --> 00:30:46,246 >> WOMEN'S HEALTH RESEARCH IS 693 00:30:46,246 --> 00:30:50,283 ESSENTIAL TO HAVE A ROBUST AND 694 00:30:50,283 --> 00:30:57,824 PRODUCTIVE NIH INTERMURAL AND 695 00:30:57,824 --> 00:31:00,360 EXTRAMURAL EXPERTISE IN CLINICAL 696 00:31:00,360 --> 00:31:03,029 TRIALS AND IMPLEMENTATION 697 00:31:03,029 --> 00:31:03,997 SCIENCE. 698 00:31:03,997 --> 00:31:07,000 I WON'T REVIEW ALL THE 699 00:31:07,000 --> 00:31:08,168 CONCLUSIONS BUT DUE TO CHRONIC 700 00:31:08,168 --> 00:31:10,937 LACK OF FUNDING ON SEX 701 00:31:10,937 --> 00:31:11,705 DIFFERENCES RESEARCH THERE'S NET 702 00:31:11,705 --> 00:31:13,206 ENOUGH OPPORTUNITIES TO GROW AND 703 00:31:13,206 --> 00:31:13,740 RETAIN THE WOMEN'S HEALTH 704 00:31:13,740 --> 00:31:17,577 WORKFORCE. 705 00:31:17,577 --> 00:31:20,280 AND THE WOMEN'S HEALTH RESEARCH 706 00:31:20,280 --> 00:31:22,916 LED TO AN INSUFFICIENT NUMBER OF 707 00:31:22,916 --> 00:31:23,416 RESEARCH INVESTIGATORS. 708 00:31:23,416 --> 00:31:33,326 A ROBUST INTRA AND EXTRAMURAL 709 00:31:33,326 --> 00:31:34,995 WORKFORCE IS NEEDED AND INSTILL 710 00:31:34,995 --> 00:31:36,096 CONFIDENCE IN STABLE FUNDING 711 00:31:36,096 --> 00:31:37,964 HOPEFULLY BUILDING AND RETAINING 712 00:31:37,964 --> 00:31:39,733 NEW RESEARCHERS TO THE FIELD OF 713 00:31:39,733 --> 00:31:40,800 WOMEN'S HEALTH. 714 00:31:40,800 --> 00:31:42,202 MENTORSHIP AND CAREER 715 00:31:42,202 --> 00:31:43,403 DEVELOPMENT ARE VITAL. 716 00:31:43,403 --> 00:31:45,572 STUDIES ON WOMEN'S HEALTH 717 00:31:45,572 --> 00:31:46,740 RESEARCH WORKFORCE PROGRAMS THAT 718 00:31:46,740 --> 00:31:48,608 INCLUDE MENTORSHIP SHOW GREAT 719 00:31:48,608 --> 00:31:51,644 EFFECTIVENESS SUCH AS THE 720 00:31:51,644 --> 00:31:53,413 BUILDING INTERDISCIPLINARY 721 00:31:53,413 --> 00:31:57,817 RESEARCH CAREERS IN WOMEN'S 722 00:31:57,817 --> 00:32:04,657 HEALTH OR BIRCH PROGRAM AND 723 00:32:04,657 --> 00:32:07,327 IMPACTING WHO IS AWARDED NIH 724 00:32:07,327 --> 00:32:08,061 GRANTS. 725 00:32:08,061 --> 00:32:13,366 THE COMMITTEE PROVIDES TWO 726 00:32:13,366 --> 00:32:16,269 RECOMMENDATIONS IN THIS AREA. 727 00:32:16,269 --> 00:32:18,171 FIRST, BASED ON THE THESE 728 00:32:18,171 --> 00:32:19,906 CONCLUSIONS THE COMMITTEE 729 00:32:19,906 --> 00:32:20,507 RECOMMENDS AUGMENTATION OF 730 00:32:20,507 --> 00:32:21,541 EXISTING PROGRAMS AND 731 00:32:21,541 --> 00:32:23,243 DEVELOPMENT OF NEW INITIATIVES 732 00:32:23,243 --> 00:32:25,278 TO ATTRACT, SUPPORT AND RETAIN 733 00:32:25,278 --> 00:32:27,013 WOMEN'S HEALTH RESEARCHERS AT 734 00:32:27,013 --> 00:32:30,216 ALL CAREER STAGES. 735 00:32:30,216 --> 00:32:33,686 SPECIFICALLY NIH SHOULD CREATE A 736 00:32:33,686 --> 00:32:35,555 NEW SUB CATEGORY FOR WOMEN'S 737 00:32:35,555 --> 00:32:36,189 HEALTH OR SEX DIFFERENCES 738 00:32:36,189 --> 00:32:39,859 INVESTIGATORS. 739 00:32:39,859 --> 00:32:42,028 AND FINANCIAL SUPPORT UP TO 10% 740 00:32:42,028 --> 00:32:44,397 FOR MENTORS ON ALL MENTORED 741 00:32:44,397 --> 00:32:46,966 GRANTS THAT SUPPORT CAREERS OF 742 00:32:46,966 --> 00:32:47,434 EARLY AND MID CAREER 743 00:32:47,434 --> 00:32:49,235 INVESTIGATORS IN WOMEN'S HEALTH 744 00:32:49,235 --> 00:32:54,574 AND SEX DIFFERENCES RESEARCH AND 745 00:32:54,574 --> 00:32:55,708 EXISTING AND EARLY MID YEAR 746 00:32:55,708 --> 00:32:57,544 GRANT MECHANISMS THAT SUPPORT 747 00:32:57,544 --> 00:33:00,480 GROWING AND DEVELOPING THE 748 00:33:00,480 --> 00:33:01,614 WOMEN'S HEALTH RESEARCH 749 00:33:01,614 --> 00:33:01,881 WORKFORCE. 750 00:33:01,881 --> 00:33:03,983 SUPPORT EARLY CAREER MENTORED 751 00:33:03,983 --> 00:33:06,453 INSTITUTIONAL K AWARDS FOR UP TO 752 00:33:06,453 --> 00:33:08,121 FIVE YEARS TO INCREASE RETENTION 753 00:33:08,121 --> 00:33:11,891 IN THE WOMEN'S HEALTH WORKFORCE. 754 00:33:11,891 --> 00:33:13,660 CREATING NEW EARLY CAREER 755 00:33:13,660 --> 00:33:14,527 MECHANISMS FOR WOMEN'S HEALTH 756 00:33:14,527 --> 00:33:16,863 RESEARCH CAN BE MODELLED ON 757 00:33:16,863 --> 00:33:20,200 EXISTING MECHANISMS SUCH AS THE 758 00:33:20,200 --> 00:33:22,969 STEVEN I KATZ AWARD AND GRANTS 759 00:33:22,969 --> 00:33:25,538 FOR EARLY MEDICAL AND TRANSITION 760 00:33:25,538 --> 00:33:27,874 TO AGING RESEARCH OR GEM STAR 761 00:33:27,874 --> 00:33:28,341 PROGRAM. 762 00:33:28,341 --> 00:33:30,276 IT'S ALSO ESSENTIAL TO ENSURE 763 00:33:30,276 --> 00:33:31,211 OPPORTUNITIES FOR MID CAREER 764 00:33:31,211 --> 00:33:32,712 INVESTIGATORS TO FURTHER REFINE 765 00:33:32,712 --> 00:33:34,881 THEIR SKILLS AND ALLOW THEM TO 766 00:33:34,881 --> 00:33:36,816 SUPPORT EARLY CAREER 767 00:33:36,816 --> 00:33:37,650 INVESTIGATORS. 768 00:33:37,650 --> 00:33:43,456 FOR EXAMPLE, THE K24, R35, UP 769 00:33:43,456 --> 00:33:44,224 ADMINISTRATIVE SUPPLEMENT AND 770 00:33:44,224 --> 00:33:45,558 OTHER MECHANISMS COULD BE 771 00:33:45,558 --> 00:33:46,359 EXPANDED OR NEW MECHANISMS 772 00:33:46,359 --> 00:33:52,765 DEVELOPED. 773 00:33:52,765 --> 00:33:53,867 SEVERAL WORKFORCE DEVELOPMENT 774 00:33:53,867 --> 00:33:55,101 PROGRAMS THE COMMITTEE REVIEWED 775 00:33:55,101 --> 00:33:57,303 HAVE BEEN EFFECTIVE AT LAUNCHING 776 00:33:57,303 --> 00:33:59,572 AND SUPPORTING RESEARCHERS' 777 00:33:59,572 --> 00:34:01,674 CAREERS BY ADDRESSING GAPS 778 00:34:01,674 --> 00:34:04,043 LEVERAGING PROVEN PROGRAMS NIH 779 00:34:04,043 --> 00:34:08,481 CAN HELP BUILD A ROBUST RESEARCH 780 00:34:08,481 --> 00:34:10,316 WORKFORCE CAPABLE OF ADDRESSING 781 00:34:10,316 --> 00:34:12,218 THE NEEDS OF WOMEN'S HEALTH AND 782 00:34:12,218 --> 00:34:14,487 THE OF WORKFORCE DEVELOPMENT 783 00:34:14,487 --> 00:34:16,156 PROGRAMS AND DEVELOPMENT OF NEW 784 00:34:16,156 --> 00:34:18,191 GRANT INITIATIVES SPECIFICALLY 785 00:34:18,191 --> 00:34:20,326 DESIGN TO PROMOTE 786 00:34:20,326 --> 00:34:21,628 INTERDISCIPLINARY SCIENCE AND 787 00:34:21,628 --> 00:34:24,330 CAREER DEVELOPMENT IN THE AREAS 788 00:34:24,330 --> 00:34:25,865 RELATED TO WOMEN'S HEALTH. 789 00:34:25,865 --> 00:34:28,101 BUILDING INTERDISCIPLINARY 790 00:34:28,101 --> 00:34:30,203 RESEARCH CAREERS IN WOMEN'S 791 00:34:30,203 --> 00:34:34,707 LEATH KNOWN AS THE BIRCWH 792 00:34:34,707 --> 00:34:37,944 PROGRAM AND SCORE PROGRAM AND 793 00:34:37,944 --> 00:34:40,780 THE WOMEN'S ROECHT HEALTH 794 00:34:40,780 --> 00:34:43,550 RESEARCH AND RESEARCH SCIENTIST 795 00:34:43,550 --> 00:34:44,450 DEVELOPMENT PROGRAM AND PROGRAM 796 00:34:44,450 --> 00:34:46,853 GRANTS THAT FOCUS ON WOMEN'S 797 00:34:46,853 --> 00:34:47,854 HEALTH RESEARCH. 798 00:34:47,854 --> 00:34:51,958 FOR EXAMPLE, NIH SHOULD DOUBLE 799 00:34:51,958 --> 00:34:55,495 THE NUMBER OF BIRCWH AND 800 00:34:55,495 --> 00:34:58,831 INCREASE IT TO $1.5 MILLION 801 00:34:58,831 --> 00:35:00,099 ANNUALLY AND PRIORITIZE AND 802 00:35:00,099 --> 00:35:02,302 PROMOTE PARTICIPATION OF WOMEN 803 00:35:02,302 --> 00:35:03,570 AND INVESTIGATORS FROM UNDER 804 00:35:03,570 --> 00:35:06,706 REPRESENTED COMMUNITIES. 805 00:35:06,706 --> 00:35:07,340 ANY EXPANSION SHOULD INCLUDE 806 00:35:07,340 --> 00:35:09,375 ADDITIONAL FUNDING TO ENSURE 807 00:35:09,375 --> 00:35:11,578 EXISTING RESEARCH BUDGETS ARE 808 00:35:11,578 --> 00:35:13,112 NOT REDUCED. 809 00:35:13,112 --> 00:35:17,016 THESE PROGRAMS SHOULD BE 810 00:35:17,016 --> 00:35:18,585 DISTRIBUTED ACROSS THE COUNTRY 811 00:35:18,585 --> 00:35:20,820 GEOGRAPHICALLY AND GRANTEE 812 00:35:20,820 --> 00:35:21,487 INSTITUTIONS SHOULD COLLABORATE 813 00:35:21,487 --> 00:35:23,590 WITH OTHER DISCIPLINES WITHTHEIR 814 00:35:23,590 --> 00:35:26,926 ORGANIZATION TO OFFER MENTEES A 815 00:35:26,926 --> 00:35:28,828 COMPREHENSIVE AND 816 00:35:28,828 --> 00:35:29,829 MULTI-DISCIPLINARY RESEARCH 817 00:35:29,829 --> 00:35:30,129 EXPERIENCE. 818 00:35:30,129 --> 00:35:32,999 I'LL NEW PASS THIS BACK TO 819 00:35:32,999 --> 00:35:43,543 COMMITTEE CO-CHAIR SHEILA BURKE. 820 00:35:48,248 --> 00:35:50,683 >> 821 00:35:50,683 --> 00:35:51,784 >> THE COMMITTEE CONSIDERED A 822 00:35:51,784 --> 00:35:55,021 VARIETY OF OPTIONS TO IMPROVE 823 00:35:55,021 --> 00:35:58,958 THE INVEST OF RESEARCH IN 824 00:35:58,958 --> 00:36:00,760 WOMEN'S HEALTH AND TO IMPLEMENT 825 00:36:00,760 --> 00:36:02,462 OUR RECOMMENDATIONS WE BELIEVE A 826 00:36:02,462 --> 00:36:04,864 NEW FUNDING IS NEEDED AS 827 00:36:04,864 --> 00:36:07,934 DESCRIBED BY DR. SALGANICOFF 828 00:36:07,934 --> 00:36:12,005 WITH A RAMP UP ULTIMATELY 829 00:36:12,005 --> 00:36:12,939 REACHING $3 BILLION IN YEARS 830 00:36:12,939 --> 00:36:15,975 THREE TO FIVE WHICH IS THE SAME 831 00:36:15,975 --> 00:36:17,410 INVESTMENT AS OTHER NIH SPECIAL 832 00:36:17,410 --> 00:36:18,745 NIFTS AND OTHER STUDENT-ATHLETES 833 00:36:18,745 --> 00:36:22,048 AT APPROXIMATELY $800 MILLION A 834 00:36:22,048 --> 00:36:25,051 YEAR IN LINE WITH THE FUNDING 835 00:36:25,051 --> 00:36:27,587 LEVELS OF MEDIUM SIZED 836 00:36:27,587 --> 00:36:30,523 INSTITUTES AND AS JUST DESCRIBED 837 00:36:30,523 --> 00:36:31,124 AN EXPANSION OF THE WORKFORCE 838 00:36:31,124 --> 00:36:33,393 PROGRAM FOR THE RAMP UP REACHING 839 00:36:33,393 --> 00:36:35,361 $74 REASON IN YEARS FOUR TO 840 00:36:35,361 --> 00:36:36,095 FIVE. 841 00:36:36,095 --> 00:36:37,597 OVER ALL THE COMMITTEE 842 00:36:37,597 --> 00:36:40,333 RECOMMENDS $15.7 BILLION IN NEW 843 00:36:40,333 --> 00:36:43,136 FUNDING OVER A FIVE-YEAR PERIOD. 844 00:36:43,136 --> 00:36:46,973 OVER THE FIVE YEAR PERIOD, THIS 845 00:36:46,973 --> 00:36:48,775 WOULD APPROXIMATELY DOUBLE THE 846 00:36:48,775 --> 00:36:51,277 AVERAGE NIH YEARLY INVESTMENT IN 847 00:36:51,277 --> 00:36:52,612 WOMEN'S HEALTH RESEARCH. 848 00:36:52,612 --> 00:36:54,314 WE RECOGNIZED THERE WILL ALSO BE 849 00:36:54,314 --> 00:36:56,282 ADDITIONAL FUNDS NEEDED FOR THE 850 00:36:56,282 --> 00:36:57,183 OPERATIONAL REQUIREMENTS, FOR 851 00:36:57,183 --> 00:37:00,153 EXAMPLE, THE OVERSIGHT OF THE 852 00:37:00,153 --> 00:37:01,354 OFFICE OF THE DIRECTOR AND 853 00:37:01,354 --> 00:37:03,323 INCREASED FUNDING FOR NATIONAL 854 00:37:03,323 --> 00:37:04,724 INSTITUTE ON MINORITY HEALTH AND 855 00:37:04,724 --> 00:37:06,993 HEALTH DISPARITIES. 856 00:37:06,993 --> 00:37:09,529 AFTER FIVE YEARS WE BELIEVE THAT 857 00:37:09,529 --> 00:37:12,098 PROGRESS WILL HAVE BEEN MADE BUT 858 00:37:12,098 --> 00:37:13,166 WE ALSO BELIEVE WE OUGHT TO 859 00:37:13,166 --> 00:37:14,567 ASSET AT THIS POINT WHETHER OR 860 00:37:14,567 --> 00:37:16,469 NOT WE ACHIEVED WHAT WE'D HOPED 861 00:37:16,469 --> 00:37:18,071 TO ACHIEVE AND WHAT THE 862 00:37:18,071 --> 00:37:18,738 APPROPRIATE LEVELS OF FUNDING 863 00:37:18,738 --> 00:37:22,508 WOULD BE GOING FOR WARD. 864 00:37:22,508 --> 00:37:23,776 -- FORWARD. 865 00:37:23,776 --> 00:37:24,877 SINCE RESEARCHERS HAVE ONLY 866 00:37:24,877 --> 00:37:26,012 BEGUN TO UNDERSTAND THE 867 00:37:26,012 --> 00:37:28,047 COMPLEXITIES OF SEX DIFFERENCES 868 00:37:28,047 --> 00:37:30,616 IN HEALTH AND NEGLECTED MANY OF 869 00:37:30,616 --> 00:37:32,318 THE FEMALE-SPECIFIC CONDITIONS, 870 00:37:32,318 --> 00:37:33,953 FUNDING NEEDED TO BRING THE 871 00:37:33,953 --> 00:37:36,089 KNOWLEDGE BASE UP TO PAR WITH 872 00:37:36,089 --> 00:37:38,591 THAT OF CONDITIONS FOR WHICH 873 00:37:38,591 --> 00:37:39,992 SCIENCE HAS IN FACT CONTRIBUTED 874 00:37:39,992 --> 00:37:43,996 TO A DEEP UNDERSTANDING OF 875 00:37:43,996 --> 00:37:44,697 PREVENTION, OF DIAGNOSIS AND 876 00:37:44,697 --> 00:37:45,932 TREATMENT IS SIGNIFICANT AND THE 877 00:37:45,932 --> 00:37:48,234 EFFORT WILL TAKE DECADES FOR 878 00:37:48,234 --> 00:37:49,402 EVEN MORE APPROPRIATE FUNDING 879 00:37:49,402 --> 00:37:51,003 BUT I WOULD UNDER SCORE AT THIS 880 00:37:51,003 --> 00:37:53,406 POINT FUNDING IS REALLY ONLY 881 00:37:53,406 --> 00:37:54,941 PART OF THE INVESTMENT AND ONLY 882 00:37:54,941 --> 00:37:56,709 PART OF WHAT WE ENVISION IS ALL 883 00:37:56,709 --> 00:37:59,946 THE RESTRUCTURING AND THE FOCUS 884 00:37:59,946 --> 00:38:01,114 AND RESPONSIBILITY ESSENTIALLY 885 00:38:01,114 --> 00:38:03,383 WE'RE LOOKING TO IMPROVE. 886 00:38:03,383 --> 00:38:04,584 I'LL NOW PASS THIS BACK TO 887 00:38:04,584 --> 00:38:07,854 DR. CHANG. 888 00:38:07,854 --> 00:38:08,788 >> THANK YOU. 889 00:38:08,788 --> 00:38:13,459 I WILL NOW DISCUSS OUR ACTION 890 00:38:13,459 --> 00:38:16,329 AREA TO STRENGTHEN OVERSIGHT AND 891 00:38:16,329 --> 00:38:18,731 PRIORITIZE FOR WOMEN'S HEALTH 892 00:38:18,731 --> 00:38:19,899 ACROSS NIH. 893 00:38:19,899 --> 00:38:21,067 THE RESEARCH CONDITION AND 894 00:38:21,067 --> 00:38:22,468 DISEASE CATEGORIZATION SYSTEM 895 00:38:22,468 --> 00:38:26,539 ALSO KNOWN AS RCDC WAS FOUND TO 896 00:38:26,539 --> 00:38:29,809 BE INADEQUATE FOR GUIDING BUDGET 897 00:38:29,809 --> 00:38:31,878 ALLOCATION AND INFORMING THE 898 00:38:31,878 --> 00:38:34,447 PUBLIC AND CONGRESS FOR HOW MUCH 899 00:38:34,447 --> 00:38:37,950 SPENT ON WOMEN'S HEALTH RESEARCH 900 00:38:37,950 --> 00:38:46,225 AND WE HAVE RECOMMENDATIONS, 901 00:38:46,225 --> 00:38:48,094 ELIMINATING DUPLICATIVE 902 00:38:48,094 --> 00:38:48,394 CATEGORIES. 903 00:38:48,394 --> 00:38:50,129 SECOND, THE PROCESS FOR 904 00:38:50,129 --> 00:38:51,831 REVIEWING, REVIVING AND ADDING 905 00:38:51,831 --> 00:38:58,171 NEW RCDD CATEGORIES FOR WOMEN'S 906 00:38:58,171 --> 00:38:58,571 LEA 907 00:38:58,571 --> 00:39:00,173 HEALTH RESEARCH SHOULD BE UPDATE 908 00:39:00,173 --> 00:39:05,011 AND DATA ANALYSIS NEEDS TO BE 909 00:39:05,011 --> 00:39:06,212 MORE TRANSPARENT AND 910 00:39:06,212 --> 00:39:08,781 TRANSFERRABLE AND USE PARAMETERS 911 00:39:08,781 --> 00:39:10,450 AND IDENTIFY AND CATEGORIZE THE 912 00:39:10,450 --> 00:39:11,851 CONTENT OF THE GRANT. 913 00:39:11,851 --> 00:39:14,220 RIGOROUS TESTING REVEALED THE 914 00:39:14,220 --> 00:39:15,655 APPROACH OFFERS EQUAL OR 915 00:39:15,655 --> 00:39:20,126 SUPERIOR ACCURACY WHEN COMPARED 916 00:39:20,126 --> 00:39:24,297 TO EVALUATION WHEN A APPLIED TO 917 00:39:24,297 --> 00:39:26,799 AFTER AMOUNT OF DATA AND THE 918 00:39:26,799 --> 00:39:27,700 ANALYSIS MAY BE USED BY NIH TO 919 00:39:27,700 --> 00:39:30,470 TEST APPROACHES FOR USE OF 920 00:39:30,470 --> 00:39:31,070 SIMILAR OR BROADER FUNDING 921 00:39:31,070 --> 00:39:33,606 ANALYSTSES. 922 00:39:33,606 --> 00:39:34,907 -- ANALYSISES. 923 00:39:34,907 --> 00:39:39,178 THE COMMITTEE CONCLUDED THE NIH 924 00:39:39,178 --> 00:39:41,013 PRIORITIZATION PROCESS HAS NOT 925 00:39:41,013 --> 00:39:43,216 ESTABLISHED A COHESIVE 926 00:39:43,216 --> 00:39:44,116 CROSS-AGENCY SET OF PRIORITIES 927 00:39:44,116 --> 00:39:45,184 FOR WOMEN'S HEALTH RESEARCH. 928 00:39:45,184 --> 00:39:47,453 FOR EXAMPLE, WOMEN'S HEALTH 929 00:39:47,453 --> 00:39:49,555 RESEARCH IS RARELY MENTIONED IN 930 00:39:49,555 --> 00:39:51,757 I.C. STRATEGIC PLANS AND NIH 931 00:39:51,757 --> 00:39:55,695 DOES NOT HAVE A COMPREHENSIVE 932 00:39:55,695 --> 00:39:57,730 PRIORITIZATION PROCESS TO USE 933 00:39:57,730 --> 00:40:00,600 DATA AND INPUT. 934 00:40:00,600 --> 00:40:01,567 THEREFORE THE COMMITTEE 935 00:40:01,567 --> 00:40:05,037 RECOMMENDS THE NIH DIRECTOR 936 00:40:05,037 --> 00:40:11,344 SHOULD DEVELOP A BIANNUAL 937 00:40:11,344 --> 00:40:13,479 PROCESS TO IDENTIFIED RESEARCH 938 00:40:13,479 --> 00:40:15,381 PRIORITIES AND FUNDING FOR 939 00:40:15,381 --> 00:40:15,982 WOMEN'S HEALTH RESEARCH AND 940 00:40:15,982 --> 00:40:17,783 SHOULD BE REPORTED PUBLICALLY 941 00:40:17,783 --> 00:40:20,219 AND SHOULD LEAD TO REQUEST FOR 942 00:40:20,219 --> 00:40:21,587 APPLICATIONS, NOTICES OF SPECIAL 943 00:40:21,587 --> 00:40:22,321 INTEREST AND PROGRAM 944 00:40:22,321 --> 00:40:27,260 ANNOUNCEMENTS. 945 00:40:27,260 --> 00:40:29,228 THE COMMITTEE WAS ASKED TO 946 00:40:29,228 --> 00:40:30,596 PROVIDE RESEARCH PRIORITY GIVEN 947 00:40:30,596 --> 00:40:33,165 THE BREADTH OF CONDITIONS THAT 948 00:40:33,165 --> 00:40:37,904 IMPACT WOMEN, THE COMMITTEE DOES 949 00:40:37,904 --> 00:40:39,005 NOT PROVIDE SPECIFIC CONDITIONS 950 00:40:39,005 --> 00:40:40,172 TO BE STUDIED. 951 00:40:40,172 --> 00:40:42,308 INSTEAD OF RECOMMENDATION NUMBER 952 00:40:42,308 --> 00:40:43,576 8 WE DESCRIBED AREAS FOR 953 00:40:43,576 --> 00:40:44,911 PRIORITIZATION NEEDED TO ADVANCE 954 00:40:44,911 --> 00:40:49,482 WOMEN'S HEALTH RESEARCH ACROSS 955 00:40:49,482 --> 00:40:52,051 THE SPECTRUM INCLUDING BASIC, 956 00:40:52,051 --> 00:40:53,619 CLINICAL, PRECLINICAL AND 957 00:40:53,619 --> 00:40:54,253 POPULATION AND IMPLEMENTATION 958 00:40:54,253 --> 00:40:54,620 SCIENCE. 959 00:40:54,620 --> 00:41:01,861 THIS IS DETAILED IN CHAPTER 9. 960 00:41:01,861 --> 00:41:07,133 EXAMPLES INCLUDE HORMONAL 961 00:41:07,133 --> 00:41:08,134 PROFILES TO UNDERSTAND THE 962 00:41:08,134 --> 00:41:11,704 MECHANISMS OF SEX DIFFERENCES 963 00:41:11,704 --> 00:41:21,213 AND PATHOBIOLOGY AND AFFECTING 964 00:41:21,213 --> 00:41:25,918 DEPRESSIVE DISORDER, 965 00:41:25,918 --> 00:41:26,986 ENDOMETRIOSIS AND OTHERS TO 966 00:41:26,986 --> 00:41:29,355 REDUCE THE AMOUNT OF TIME WOMEN 967 00:41:29,355 --> 00:41:31,524 ARE IN DEBILITATING CONDITIONS 968 00:41:31,524 --> 00:41:33,225 AND THOSE THAT CAUSE EARLY 969 00:41:33,225 --> 00:41:34,827 MORTALITY SUCH AS CARDIOVASCULAR 970 00:41:34,827 --> 00:41:37,196 DISEASE AND FEMALE SPECIFIC 971 00:41:37,196 --> 00:41:37,863 CANCERS. 972 00:41:37,863 --> 00:41:40,066 CHAPTER 9 OF THE REPORT INCLUDES 973 00:41:40,066 --> 00:41:41,434 SUGGESTED MEASURES FOR TRACKING 974 00:41:41,434 --> 00:41:43,636 AND ACCOUNTABILITY TO ENSURE THE 975 00:41:43,636 --> 00:41:46,439 ADVANCEMENT OF WOMEN'S HEALTH 976 00:41:46,439 --> 00:41:47,673 RESEARCH IN THREE AREAS. 977 00:41:47,673 --> 00:41:50,543 NUMBER ONE, FUNDING ALLOCATION 978 00:41:50,543 --> 00:41:55,648 TRENDS, NUMBER TWO, WOMEN'S 979 00:41:55,648 --> 00:41:56,682 HEALTH WORKFORCE TRENDS 980 00:41:56,682 --> 00:41:58,417 INCLUDING NIH STAFF FOR STAFF 981 00:41:58,417 --> 00:42:00,620 AND ENDOMETRIAL RESEARCHERS AND 982 00:42:00,620 --> 00:42:02,622 THREE, RESEARCH PROCESS OUTPUT 983 00:42:02,622 --> 00:42:03,389 AND IMPACT. 984 00:42:03,389 --> 00:42:06,392 FOR EXAMPLE, TRACKING THE EXTENT 985 00:42:06,392 --> 00:42:11,297 TO WHICH GRANTS FULFILL THE IL 986 00:42:11,297 --> 00:42:12,798 FEMALE IN STUDIES AND SEX AND 987 00:42:12,798 --> 00:42:14,133 GENDER DIFFERENCES IN STUDY 988 00:42:14,133 --> 00:42:16,769 RESULTS AND REPORTING THE 989 00:42:16,769 --> 00:42:17,036 FINDINGS. 990 00:42:17,036 --> 00:42:18,304 I'LL NOW TURN THIS BACK TO 991 00:42:18,304 --> 00:42:23,643 DR. SCHILLER. 992 00:42:23,643 --> 00:42:26,012 >> THEY ARE DID NOT DISCUSS THE 993 00:42:26,012 --> 00:42:26,646 COMMITTEE RECOMMENDATIONS FOR 994 00:42:26,646 --> 00:42:28,981 PROGRAMS AND POLICIES SUCH AS 995 00:42:28,981 --> 00:42:31,083 PEER REVIEW AND SEX AS A 996 00:42:31,083 --> 00:42:31,751 BIOLOGICAL VARIABLE POLICY TO 997 00:42:31,751 --> 00:42:37,390 SUPPORT WOMEN'S HEALTH RESEARCH. 998 00:42:37,390 --> 00:42:38,891 THE PEER REVIEW PROCESS IS 999 00:42:38,891 --> 00:42:40,993 COMPLEX WITH THE CENTER FOR 1000 00:42:40,993 --> 00:42:44,130 SCIENTIFIC REVIEWS HAVING THE 1001 00:42:44,130 --> 00:42:44,897 HUGE RESPONSIBILITY OF 1002 00:42:44,897 --> 00:42:46,565 OVERSEEING TENS OF THOUSANDS OF 1003 00:42:46,565 --> 00:42:48,467 GRANTS EACH YEAR THROUGH A 1004 00:42:48,467 --> 00:42:50,736 RIGOROUS AND THOROUGH PROCESS ON 1005 00:42:50,736 --> 00:42:52,438 VARIED TOPICS AND AREAS. 1006 00:42:52,438 --> 00:42:54,306 THE COMMITTEE CONCLUDED THAT IT 1007 00:42:54,306 --> 00:42:59,245 IS ESSENTIAL FOR CSR STAFF, IC 1008 00:42:59,245 --> 00:43:01,213 PROGRAM SERVICE MEMBERS AND 1009 00:43:01,213 --> 00:43:02,782 COUNCIL MEMBERS AND PEER 1010 00:43:02,782 --> 00:43:05,284 REVIEWERS TO INCLUDE THOSE WITH 1011 00:43:05,284 --> 00:43:05,818 WOMEN'S LEATH EXPERTISE. 1012 00:43:05,818 --> 00:43:07,653 BASED ON PUBLICALLY AVAILABLE 1013 00:43:07,653 --> 00:43:08,454 INFORMATION IT WAS DIFFICULT FOR 1014 00:43:08,454 --> 00:43:10,356 THE COMMITTEE TO DETERMINE THE 1015 00:43:10,356 --> 00:43:12,625 TYPES OF EXPERTISE HELD BY NIH 1016 00:43:12,625 --> 00:43:12,825 STAFF. 1017 00:43:12,825 --> 00:43:14,760 THE COMMITTEE FOUND THERE IS NO 1018 00:43:14,760 --> 00:43:16,062 SPECIFIC STUDY SECTION FOR 1019 00:43:16,062 --> 00:43:18,264 WOMEN'S HEALTH OR SEX 1020 00:43:18,264 --> 00:43:19,532 DIFFERENCES RESEARCH OTHER THAN 1021 00:43:19,532 --> 00:43:21,167 THAT FOCUSSED ON PREGNANCY AND 1022 00:43:21,167 --> 00:43:24,537 MATERNAL HEALTH. 1023 00:43:24,537 --> 00:43:26,706 THE NIH CENTER FOR SCIENTIFIC 1024 00:43:26,706 --> 00:43:28,708 REVIEW WHICH OVERSEES MUCH OF 1025 00:43:28,708 --> 00:43:30,843 THE PEER REVIEW PROCESS HAS 1026 00:43:30,843 --> 00:43:37,149 TAKEN STRIDES TO IMPROVE THE 1027 00:43:37,149 --> 00:43:40,753 EXPERTISE ON THE PANELS AND A 1028 00:43:40,753 --> 00:43:45,024 LARGE PROPORTION OF GRANTS ARE 1029 00:43:45,024 --> 00:43:49,595 BY PANELS AND NOT STUDY SECTIONS 1030 00:43:49,595 --> 00:43:51,530 ING STANDEE STUDY SECTION DO NOT 1031 00:43:51,530 --> 00:43:53,966 HAVE THE EXPERTISE TO REVIEW 1032 00:43:53,966 --> 00:43:56,035 WOMEN'S HEALTH RESEARCH GRANTS. 1033 00:43:56,035 --> 00:43:57,770 THE COMMITTEE THEREFORE 1034 00:43:57,770 --> 00:43:59,772 RECOMMENDS THAT NIH CONTINUE TO 1035 00:43:59,772 --> 00:44:03,509 STRENGTHEN ITS EFFORTS TO ENSURE 1036 00:44:03,509 --> 00:44:04,543 BALANCED REPRESENTATION AND 1037 00:44:04,543 --> 00:44:05,277 APPROPRIATE EXPERTISE WHEN 1038 00:44:05,277 --> 00:44:06,912 EVALUATING GRANT PROPOSALS ON 1039 00:44:06,912 --> 00:44:09,548 WOMEN'S HEALTH AND SEX 1040 00:44:09,548 --> 00:44:10,382 DIFFERENCES RESEARCH. 1041 00:44:10,382 --> 00:44:12,985 IT SHOULD ALSO EMPLOYEE DATA 1042 00:44:12,985 --> 00:44:13,586 SCIENCE METHODS AND USE 1043 00:44:13,586 --> 00:44:16,288 PROFESSIONAL NETWORKS TO 1044 00:44:16,288 --> 00:44:18,424 IDENTIFY EXPERTS AND RECRUIT 1045 00:44:18,424 --> 00:44:20,993 RECENTLY FUNDED INVESTIGATORS. 1046 00:44:20,993 --> 00:44:22,895 SECOND, EXPAND THE EARLY CAREER 1047 00:44:22,895 --> 00:44:25,531 REVIEWER PROGRAM, THIRD, WORK 1048 00:44:25,531 --> 00:44:29,769 WITH NIH-FUNDED INSTITUTIONS TO 1049 00:44:29,769 --> 00:44:32,071 IDENTIFY QU 1050 00:44:32,071 --> 00:44:33,639 IDENTIFY QUALIFIED INDIVIDUALS 1051 00:44:33,639 --> 00:44:36,008 WITH EXPERTISE IN WOMEN'S HEALTH 1052 00:44:36,008 --> 00:44:41,947 AND BUILD IN THE INTRA AND 1053 00:44:41,947 --> 00:44:45,317 EXTRAMURAL WORKFORCE AND MAKE 1054 00:44:45,317 --> 00:44:49,588 SURE THEY'RE REVIEWED BY 1055 00:44:49,588 --> 00:44:50,623 APPROPRIATE INDIVIDUALS. 1056 00:44:50,623 --> 00:44:55,694 AND NOW SEX AS A BIOLOGICAL 1057 00:44:55,694 --> 00:44:55,961 VARIABLE. 1058 00:44:55,961 --> 00:45:01,901 >> IT'S KNOWN AS SABV INTENDED 1059 00:45:01,901 --> 00:45:03,135 TO RECOGNIZE THE IMPORTANCE OF 1060 00:45:03,135 --> 00:45:05,304 SEX IN RESEARCH AND ADDRESS THE 1061 00:45:05,304 --> 00:45:09,575 TENDENCY TO EXCLUDE OR EXCLUDE 1062 00:45:09,575 --> 00:45:15,047 FEMALES IN PRE CLINICAL RESEARCH 1063 00:45:15,047 --> 00:45:16,182 AND DESPITE THE INITIATIVE TO 1064 00:45:16,182 --> 00:45:17,983 INCLUDE THIS UPTAKE IN 1065 00:45:17,983 --> 00:45:18,517 APPLICATION HAS BEEN SUB 1066 00:45:18,517 --> 00:45:26,192 OPTIMAL. 1067 00:45:26,192 --> 00:45:31,597 A IT'S IN THE INCLUDED IN A 1068 00:45:31,597 --> 00:45:33,566 MEANINGFUL WAY AND LANGUAGE AND 1069 00:45:33,566 --> 00:45:35,835 IMPLEMENTATION IS THE NO NOT 1070 00:45:35,835 --> 00:45:38,504 GEARED TOWARDS GENDER AND GENDER 1071 00:45:38,504 --> 00:45:40,039 IDENTITY AND STATUS. 1072 00:45:40,039 --> 00:45:43,576 THERE'S CURRENTLY NO MECHANISM 1073 00:45:43,576 --> 00:45:45,911 AT NIH FOR ASSESSING HOW SABV 1074 00:45:45,911 --> 00:45:50,349 GRANTS ARE EVALUATED AND LACK OF 1075 00:45:50,349 --> 00:45:52,451 ACCOUNTABILITY AND SUBSTANTIAL 1076 00:45:52,451 --> 00:45:55,321 INVESTMENTS IN KNOWLEDGE AND AT 1077 00:45:55,321 --> 00:45:57,323 PRESENT NO CONSEQUENCES FOR 1078 00:45:57,323 --> 00:45:59,358 GRANTEES IF THEY DO NOT 1079 00:45:59,358 --> 00:46:05,531 IMPLEMENT FOR SABV AND NO 1080 00:46:05,531 --> 00:46:08,634 INCENTIVES TO DO SO AND DO NOT 1081 00:46:08,634 --> 00:46:11,370 INCLUDE IT WOULD AT ADEQUATE 1082 00:46:11,370 --> 00:46:12,872 FUNDING AND IT'S USUALLY NOT 1083 00:46:12,872 --> 00:46:14,707 WITHIN THE CONSTRAINTSES OF THE 1084 00:46:14,707 --> 00:46:16,242 FUND STRUCTURE AND NEED TO LOOK 1085 00:46:16,242 --> 00:46:22,414 AT HOW COSTS CAN PRODUCED LESS 1086 00:46:22,414 --> 00:46:25,317 BALANCED AND LESS VIGOROUS 1087 00:46:25,317 --> 00:46:26,785 RESEARCH AND CAN OCCUR GREATER 1088 00:46:26,785 --> 00:46:29,855 COSTS OVER THE LONG TERM. 1089 00:46:29,855 --> 00:46:32,258 THOUGH NIH HAS DEVELOPED READING 1090 00:46:32,258 --> 00:46:34,326 AND TRAINING MATERIALS ON THE 1091 00:46:34,326 --> 00:46:34,960 APPLICATION RESEARCH THERE IS 1092 00:46:34,960 --> 00:46:39,965 PROOM ROOM FOR IMPROVEMENT AND 1093 00:46:39,965 --> 00:46:45,304 WHERE SABV MAY NOT BE INTUITIVE 1094 00:46:45,304 --> 00:46:48,574 AND INCLUDE POLICY AND REQUIRING 1095 00:46:48,574 --> 00:46:50,576 RESEARCHERS TO BE ACCOUNTABLE 1096 00:46:50,576 --> 00:46:51,877 FOR PROPOSING AND CONNECTING SEX 1097 00:46:51,877 --> 00:46:54,380 SPECIFIC ANALYSES. 1098 00:46:54,380 --> 00:46:56,115 THE COMMITTEE THEREFORE 1099 00:46:56,115 --> 00:46:57,249 RECOMMEND TO SUPPORT EFFECTIVE 1100 00:46:57,249 --> 00:46:59,051 RECOMMENDATION OF THE POLICY THE 1101 00:46:59,051 --> 00:47:00,853 NIH SHOULD EXPAND EDUCATION AND 1102 00:47:00,853 --> 00:47:04,390 TRAINING RESOURCES FOR 1103 00:47:04,390 --> 00:47:06,292 INVESTIGATORS ON HOW TO 1104 00:47:06,292 --> 00:47:10,496 IMPLEMENT SABV ACROSS ALL TYPES 1105 00:47:10,496 --> 00:47:12,464 OF SCIENCE AND SYSTEMICALLY 1106 00:47:12,464 --> 00:47:17,536 REVIEW IN THE GRANT PROCESS AS 1107 00:47:17,536 --> 00:47:20,940 PART OF THE PROCESS GRANTEES 1108 00:47:20,940 --> 00:47:23,475 SHOULD BE EVALUATED IN THE 1109 00:47:23,475 --> 00:47:24,843 ORIGINALLY PROPOSED PROCESS AND 1110 00:47:24,843 --> 00:47:27,513 EXPAND THE POLICY OF HUMAN 1111 00:47:27,513 --> 00:47:29,081 STUDIES TO INCLUDE GENDER, 1112 00:47:29,081 --> 00:47:35,020 GENDER IDENTITY AND ANALYSES AND 1113 00:47:35,020 --> 00:47:45,197 REPORTING. 1114 00:47:50,469 --> 00:47:52,571 THE COMMITTEE RECOMMENDS THE NIH 1115 00:47:52,571 --> 00:47:55,774 ENSURE THE GRANTS BE EXEMPT FROM 1116 00:47:55,774 --> 00:47:57,943 ACROSS THE BOARD BUDGET CUTS TO 1117 00:47:57,943 --> 00:47:59,878 PROTECT SAMPLE SIZES AND 1118 00:47:59,878 --> 00:48:01,513 ANALYSES TO STUDY SEX 1119 00:48:01,513 --> 00:48:06,719 DIFFERENCES. 1120 00:48:06,719 --> 00:48:11,657 ACCESS TO ADMINISTRATIVE CUTS 1121 00:48:11,657 --> 00:48:13,359 AND UNDER GO STREAMLINE PROCESS 1122 00:48:13,359 --> 00:48:16,095 FOR REQUESTING HIGHER BUDGETS. 1123 00:48:16,095 --> 00:48:16,662 ADDITIONALLY, INTRAMURAL 1124 00:48:16,662 --> 00:48:17,730 RESEARCHERS SHOULD HAVE A 1125 00:48:17,730 --> 00:48:20,132 PARALLEL STRUCTURE AND SUPPORT 1126 00:48:20,132 --> 00:48:23,769 FOR INCLUDING SABV IN THEIR 1127 00:48:23,769 --> 00:48:25,504 RESEARCH. 1128 00:48:25,504 --> 00:48:34,680 COMMITTEE CO-CHAIR DR. BURKE 1129 00:48:34,680 --> 00:48:37,716 WILL PROVIDE FINAL REMARKS. 1130 00:48:37,716 --> 00:48:40,552 >> MUCH RESEARCH IS NEEDED TO 1131 00:48:40,552 --> 00:48:41,954 ADVANCE WOMEN'S HEALTH CARE IN 1132 00:48:41,954 --> 00:48:42,788 THE UNITED STATES. 1133 00:48:42,788 --> 00:48:44,590 I'D LIKE TO UNDER SCORE A COUPLE 1134 00:48:44,590 --> 00:48:47,026 POINTS MADE IN THE REPORT. 1135 00:48:47,026 --> 00:48:50,029 ONE, INCREASED FINANCIAL 1136 00:48:50,029 --> 00:48:52,731 INVESTMENT IS ONLY A FIRST STEP. 1137 00:48:52,731 --> 00:48:54,199 AS EVIDENT IN OUR 1138 00:48:54,199 --> 00:48:55,334 RECOMMENDATIONS OTHER WORK TO BE 1139 00:48:55,334 --> 00:48:56,702 DONE TO ENSURE RESEARCH DOLLARS 1140 00:48:56,702 --> 00:48:59,171 AND STUDIES THAT INCLUDE BOTH 1141 00:48:59,171 --> 00:49:02,374 MEN AND WOMEN ARE MAXIMIZED BY 1142 00:49:02,374 --> 00:49:04,276 CONSISTENT IMPLEMENTATION OF SEX 1143 00:49:04,276 --> 00:49:06,979 AS A BIOLOGICAL VARIABLE POLICY, 1144 00:49:06,979 --> 00:49:11,483 IMPROVED REPRESENTATION OF 1145 00:49:11,483 --> 00:49:13,252 WOMEN'S HEALTH AND SEX REVIEW 1146 00:49:13,252 --> 00:49:20,659 AND AT THE STAFF LEVEL AT NIH 1147 00:49:20,659 --> 00:49:22,694 AND IMPROVING QUALITY OF LIFE 1148 00:49:22,694 --> 00:49:27,366 AND MORBIDITY AND MORTALITY FOR 1149 00:49:27,366 --> 00:49:29,068 WOMEN INCLUDES ACCOUNTABILITY AS 1150 00:49:29,068 --> 00:49:30,202 WE'VE OUTLINED. 1151 00:49:30,202 --> 00:49:33,338 ON THE FOUNDATIONAL ASPECTS OF 1152 00:49:33,338 --> 00:49:34,373 WOMEN'S HEALTH IS FAR BEYOND 1153 00:49:34,373 --> 00:49:36,508 WHERE WE BELIEVE IT SHOULD BE 1154 00:49:36,508 --> 00:49:41,113 AND THIS IS NOT A ONE AND DONE 1155 00:49:41,113 --> 00:49:41,947 TYPE OF INVESTMENT. 1156 00:49:41,947 --> 00:49:43,449 RATHER WILL NEED TO BE ADDRESSED 1157 00:49:43,449 --> 00:49:45,884 OVER A LONG PERIOD OF TIME. 1158 00:49:45,884 --> 00:49:47,586 AGAIN, HOWEVER, WITH WHAT WE 1159 00:49:47,586 --> 00:49:49,555 BELIEVE TO BE AN INFLUX OF 1160 00:49:49,555 --> 00:49:51,557 FUNDING AT OF ACCOUNTABILITY AND 1161 00:49:51,557 --> 00:49:53,125 PRIORITIZATION WE BELIEVE MANY 1162 00:49:53,125 --> 00:49:55,494 OF THE BREAKTHROUGHS WE'VE 1163 00:49:55,494 --> 00:49:57,162 DESCRIBED CAN IN FACT BE 1164 00:49:57,162 --> 00:49:57,529 ACHIEVED. 1165 00:49:57,529 --> 00:50:00,132 AND FINALLY, BY INVESTING MORE 1166 00:50:00,132 --> 00:50:01,300 FOCUSSED, COMPREHENSIVE RESEARCH 1167 00:50:01,300 --> 00:50:03,802 ON WOMEN'S HEALTH, WE DO BELIEVE 1168 00:50:03,802 --> 00:50:05,971 WE ARE IMPROVING NOT ONLY THE 1169 00:50:05,971 --> 00:50:08,407 LIVES OF MILLIONS OF WOMEN BUT 1170 00:50:08,407 --> 00:50:10,976 STRENGTHENING THE FOUNDATION OF 1171 00:50:10,976 --> 00:50:12,111 HEALTH CARE FOR EVERYONE. 1172 00:50:12,111 --> 00:50:14,880 THE BENEFITS OF THE ADVANCEMENTS 1173 00:50:14,880 --> 00:50:16,615 WILL EXTEND FAR BEYOND THE 1174 00:50:16,615 --> 00:50:17,983 RESEARCH INFLUENCING BETTER 1175 00:50:17,983 --> 00:50:19,318 POLICIES, MORE EFFECTIVE 1176 00:50:19,318 --> 00:50:21,620 TREATMENTS AND ULTIMATELY 1177 00:50:21,620 --> 00:50:24,389 CREATING, WE BELIEVE, A 1178 00:50:24,389 --> 00:50:25,924 HEALTHIER SOCIETY FOR FUTURE 1179 00:50:25,924 --> 00:50:26,225 GENERATIONS. 1180 00:50:26,225 --> 00:50:27,593 WE BELIEVE NOW IS THE TIME TO 1181 00:50:27,593 --> 00:50:27,759 ACT. 1182 00:50:27,759 --> 00:50:29,194 WE BELIEVE IT WILL TAKE A LONG 1183 00:50:29,194 --> 00:50:31,430 PERIOD OF TIME TO ACHIEVE THE 1184 00:50:31,430 --> 00:50:34,166 RESULTS WE HAVE IN MIND BUT WE 1185 00:50:34,166 --> 00:50:35,968 HAVE TO BEGIN SOMEWHERE AND 1186 00:50:35,968 --> 00:50:37,736 BELIEVE IT'S A FIRST STEP. 1187 00:50:37,736 --> 00:50:40,839 LET ME PAUSE THERE AND ASK IF 1188 00:50:40,839 --> 00:50:41,673 YOU HAVE QUESTIONS OF THE 1189 00:50:41,673 --> 00:50:50,315 COMMITTEE MEMBERS. 1190 00:50:50,315 --> 00:50:53,185 >> DR. OTA WANG ARE YOU SET TO 1191 00:50:53,185 --> 00:51:03,428 MODERATE Q&A? 1192 00:51:10,636 --> 00:51:12,971 LET ME KNOW IF THERE'S -- THERE 1193 00:51:12,971 --> 00:51:13,539 YOU GO. 1194 00:51:13,539 --> 00:51:20,512 DR. ARNOLD. 1195 00:51:20,512 --> 00:51:23,882 >> THANK YOU FOR THE IMPRESSIVE 1196 00:51:23,882 --> 00:51:24,483 PRESENTATION. 1197 00:51:24,483 --> 00:51:25,417 THE REPORT SOUNDS TERRIFIC AND 1198 00:51:25,417 --> 00:51:25,918 CONGRATULATIONS TO THE 1199 00:51:25,918 --> 00:51:32,724 COMMITTEE. 1200 00:51:32,724 --> 00:51:34,359 I WANTED TO ASK ABOUT TRAINING 1201 00:51:34,359 --> 00:51:36,595 IN WOMEN'S HEALTH RESEARCH. 1202 00:51:36,595 --> 00:51:38,530 WAS THERE ATTENTION GIVEN TO 1203 00:51:38,530 --> 00:51:43,502 AUGMENTED FUNDING OR NEW 1204 00:51:43,502 --> 00:51:46,104 PROGRAMS OF TRAINING BECAUSE NOT 1205 00:51:46,104 --> 00:51:48,273 ONLY DO WE HAVE TO TRAIN STUDY 1206 00:51:48,273 --> 00:51:51,510 SECTION MEMBERS ABOUT THE 1207 00:51:51,510 --> 00:51:53,312 IMPORTANCE OF THIS OR THE IMPACT 1208 00:51:53,312 --> 00:51:54,846 OF SEX DIFFERENCES RESEARCH BUT 1209 00:51:54,846 --> 00:51:56,615 ALSO WE HAVE A NEW GENERATION 1210 00:51:56,615 --> 00:51:58,116 COMING UP WHICH ARE STILL BEING 1211 00:51:58,116 --> 00:52:01,787 TRAINED BY PEOPLE WHO DON'T 1212 00:52:01,787 --> 00:52:03,355 BELIEVE THAT SEX DIFFERENCES ARE 1213 00:52:03,355 --> 00:52:03,789 VERY IMPORTANT. 1214 00:52:03,789 --> 00:52:07,826 SO WAS THERE A PLACE IN YOUR 1215 00:52:07,826 --> 00:52:10,862 REPORT FOR AUGMENTED TRAINING 1216 00:52:10,862 --> 00:52:11,129 PROGRAMS? 1217 00:52:11,129 --> 00:52:14,032 >> CRYSTAL OR SUSAN? 1218 00:52:14,032 --> 00:52:15,901 >> THAT'S A SUPER QUESTION, ART. 1219 00:52:15,901 --> 00:52:20,539 THE COST OF TRAINING AS YOU KNOW 1220 00:52:20,539 --> 00:52:21,039 IS SUBSTANTIAL. 1221 00:52:21,039 --> 00:52:23,108 WE WEREN'T ASKED TO LOOK AT THE 1222 00:52:23,108 --> 00:52:26,178 COST OF TRAINING THAT'S INTERNAL 1223 00:52:26,178 --> 00:52:27,846 TO NIH OR SPECIFIC TO NIH 1224 00:52:27,846 --> 00:52:28,413 PROGRAMS. 1225 00:52:28,413 --> 00:52:29,414 WE WERE ASKED SPECIFICALLY TO 1226 00:52:29,414 --> 00:52:31,750 LOOK AT THE GRANT FUNDING. 1227 00:52:31,750 --> 00:52:34,419 IT WASN'T PART OF OUR ANALYSIS 1228 00:52:34,419 --> 00:52:35,087 IN TERMS OF THE COST AND 1229 00:52:35,087 --> 00:52:37,689 RECOMMENDED FUNDING FOR THE 1230 00:52:37,689 --> 00:52:38,890 TRAINING PROGRAMS. 1231 00:52:38,890 --> 00:52:41,426 WE DO OUTLINE IN DETAIL THE 1232 00:52:41,426 --> 00:52:44,863 TYPES OF EXTENDED EFFORTS MORE 1233 00:52:44,863 --> 00:52:48,867 EXPANSIVE AND MORE DETAILED IN 1234 00:52:48,867 --> 00:52:49,768 COMPREHENSIVE EFFORTS YOU'RE 1235 00:52:49,768 --> 00:52:51,703 TOUCHING ON WITH RESPECT TO 1236 00:52:51,703 --> 00:52:52,437 TRAINING IN SABV. 1237 00:52:52,437 --> 00:52:54,406 WE ALSO TRIED TO PUT MORE 1238 00:52:54,406 --> 00:52:57,509 EMPHASIS IN PARTICULAR NOT ONLY 1239 00:52:57,509 --> 00:52:59,278 THEN THE GREAT WORK ALREADY 1240 00:52:59,278 --> 00:53:00,779 BEING DONE BY NIH AND INSTITUTES 1241 00:53:00,779 --> 00:53:02,481 AND CENTERS TO INCREASE 1242 00:53:02,481 --> 00:53:03,582 PRODUCTIVITY IN THE AREA AND ON 1243 00:53:03,582 --> 00:53:08,854 THE EMERGING FIELDS IN SCIENCE 1244 00:53:08,854 --> 00:53:10,856 WHERE CONSIDERATIONS ARE NOT 1245 00:53:10,856 --> 00:53:20,666 THAT INTUITIVE ONLY TO KEEP UP. 1246 00:53:20,666 --> 00:53:25,203 >> THAT WAS PART OF 1247 00:53:25,203 --> 00:53:28,874 RECOMMENDATION SEVEN. 1248 00:53:29,174 --> 00:53:30,509 >> CHAPTER 3 PROVIDES A FAIR 1249 00:53:30,509 --> 00:53:32,244 AMOUNT OF INFORMATION IN TERMS 1250 00:53:32,244 --> 00:53:33,111 OF TRAINING SABV. 1251 00:53:33,111 --> 00:53:39,418 YOU MAY WANT TO TAKE A LOOK AT. 1252 00:53:39,418 --> 00:53:41,453 >> GREAT, THANK YOU. 1253 00:53:41,453 --> 00:53:44,990 ARE THERE OTHER AC OR ORWH 1254 00:53:44,990 --> 00:53:47,025 MEMBERS MEMBERS THAT WOULD LIKE 1255 00:53:47,025 --> 00:53:49,194 TO ASK THE COMMITTEE CO-CHAIR. 1256 00:53:49,194 --> 00:53:53,165 DR. SIMON. 1257 00:53:53,165 --> 00:53:54,032 >> HI, EVERYBODY. 1258 00:53:54,032 --> 00:53:55,467 GOOD TO SEE SOME OF YOU THAT I 1259 00:53:55,467 --> 00:53:55,734 KNOW. 1260 00:53:55,734 --> 00:53:57,436 THANK YOU FOR THE REPORT. 1261 00:53:57,436 --> 00:54:00,405 I WANT TO MAKE A COMMENT. 1262 00:54:00,405 --> 00:54:04,776 I THINK THAT THIS REPORT IS 1263 00:54:04,776 --> 00:54:07,679 QUITE AMAZING AND WELL 1264 00:54:07,679 --> 00:54:11,183 ARTICULATED AND I WANTED TO JUST 1265 00:54:11,183 --> 00:54:12,351 APPLAUD THE COMMITTEE FOR THE 1266 00:54:12,351 --> 00:54:14,386 AMOUNT OF WORK THAT GOES INTO 1267 00:54:14,386 --> 00:54:15,954 THESE TYPES OF REPORTS. 1268 00:54:15,954 --> 00:54:19,591 SO THANK YOU VERY MUCH. 1269 00:54:19,591 --> 00:54:21,093 I ALSO WANT TO APPLAUD OR 1270 00:54:21,093 --> 00:54:22,260 ADVISORY COMMITTEE BECAUSE I 1271 00:54:22,260 --> 00:54:24,596 THINK THIS IS A PRODUCT THAT WE 1272 00:54:24,596 --> 00:54:25,464 SHOULD BE PROUD OF. 1273 00:54:25,464 --> 00:54:29,935 THANK YOU ALL, I APPRECIATE IT. 1274 00:54:29,935 --> 00:54:34,139 >> THANK YOU. 1275 00:54:34,139 --> 00:54:36,608 >> DR. ANDERSON. 1276 00:54:36,608 --> 00:54:38,944 >> I ALSO WANT TO THANK YOU. 1277 00:54:38,944 --> 00:54:43,248 I THINK THIS IS A TERRIFIC 1278 00:54:43,248 --> 00:54:45,317 REPORT AND HARD TO ARGUE WITH 1279 00:54:45,317 --> 00:54:47,753 ANY OF IT AND A QUESTION OF 1280 00:54:47,753 --> 00:54:48,920 CURIOSITY IS ABOUT THE BUDGET 1281 00:54:48,920 --> 00:54:49,221 INCREASE. 1282 00:54:49,221 --> 00:54:51,723 LOTS OF LONG STANDING NEEDS 1283 00:54:51,723 --> 00:54:52,057 HERE. 1284 00:54:52,057 --> 00:54:53,658 THERE'S A SENSE OF URGENCY AMONG 1285 00:54:53,658 --> 00:54:55,327 WOMEN AND WOMEN'S HEALTH 1286 00:54:55,327 --> 00:54:56,628 RESEARCHERS AND YET SPENDING 1287 00:54:56,628 --> 00:54:59,398 MONEY VERY QUICKLY OFTEN ISN'T 1288 00:54:59,398 --> 00:55:02,501 SPENT WELL SO I'M JUST WONDERING 1289 00:55:02,501 --> 00:55:05,370 WHAT YOUR PHILOSOPHY IS OR WHAT 1290 00:55:05,370 --> 00:55:08,740 PRINCIPLES YOU USED TO PROPOSE 1291 00:55:08,740 --> 00:55:10,142 THE LEVEL OF BUDGET INCREASE 1292 00:55:10,142 --> 00:55:13,178 OVER THIS FIVE-YEAR PERIOD? 1293 00:55:13,178 --> 00:55:19,351 >> I'LL MAKE AN INITIAL COMMENT 1294 00:55:19,351 --> 00:55:21,286 AND YOU'RE CORRECT, THIS NEEDS 1295 00:55:21,286 --> 00:55:23,622 TO BE DONE OVER TIME. 1296 00:55:23,622 --> 00:55:27,759 WE ENVISION A RAMP UP OTHER THAN 1297 00:55:27,759 --> 00:55:30,328 A HUGE AMOUNT OF MONEY AT THE 1298 00:55:30,328 --> 00:55:35,033 OUTSET AND WOULD TAKE TIME TO 1299 00:55:35,033 --> 00:55:36,635 BUILDING RESOURCE AND CAPACITY 1300 00:55:36,635 --> 00:55:38,537 WITHIN THE NIH THE HIRING OF 1301 00:55:38,537 --> 00:55:39,805 STAFF AND TRAINING OF STAFF. 1302 00:55:39,805 --> 00:55:42,407 SO OUR VISION IS NOT IN FACT IT 1303 00:55:42,407 --> 00:55:46,011 WOULD OCCUR ALL AT ONCE BUT OVER 1304 00:55:46,011 --> 00:55:48,346 A THREE TO FIVE-YEAR PERIOD AND 1305 00:55:48,346 --> 00:55:49,114 ENVISION AT THE END OF THE 1306 00:55:49,114 --> 00:55:50,449 PERIOD LOOKING TO SEE WHETHER WE 1307 00:55:50,449 --> 00:55:52,284 HAVE IN FACT ACHIEVED WHAT WE'D 1308 00:55:52,284 --> 00:55:54,820 HOPED, WHETHER THE MONEY IN FACT 1309 00:55:54,820 --> 00:55:58,056 HAS BEEN WELL USED AND TARGETED 1310 00:55:58,056 --> 00:55:59,925 AND WHETHER ADDITIONAL FUNDS OR 1311 00:55:59,925 --> 00:56:01,827 NECESSARY OR MOVING OF FUNDS 1312 00:56:01,827 --> 00:56:03,094 AROUND ARE NECESSARILY BUT YOUR 1313 00:56:03,094 --> 00:56:06,131 POINT'S A GOOD ONE. 1314 00:56:06,131 --> 00:56:08,934 >> AND TO ADD THAT WE RECOGNIZE 1315 00:56:08,934 --> 00:56:13,038 THAT BUDGETARY ISSUES ARE REALLY 1316 00:56:13,038 --> 00:56:14,906 THE MOST DIFFICULT INVESTIGATORS 1317 00:56:14,906 --> 00:56:17,742 CAN FACE AND SO THAT'S WHY WE 1318 00:56:17,742 --> 00:56:22,147 REALLY PRIORITIZED AS PART OF 1319 00:56:22,147 --> 00:56:24,783 THE MULTI-PRONGED TO INCREASE 1320 00:56:24,783 --> 00:56:26,418 FUNDING NOT ONLY FOR THE NEW 1321 00:56:26,418 --> 00:56:31,122 INSTITUTE BUT FOR A NEW FUND AS 1322 00:56:31,122 --> 00:56:31,323 WELL. 1323 00:56:31,323 --> 00:56:33,158 SO TO PROVIDE AN INCENTIVE AND 1324 00:56:33,158 --> 00:56:36,928 RECOGNIZING IN MANY CASES, 1325 00:56:36,928 --> 00:56:40,398 GRANTS ARE CUT AND MANY CASES 1326 00:56:40,398 --> 00:56:41,366 WOMEN'S HEALTH OR SEX 1327 00:56:41,366 --> 00:56:43,602 DIFFERENCES ENDS UP AS WE SAY ON 1328 00:56:43,602 --> 00:56:45,337 THE CUTTING ROOM FLOOR AND THAT 1329 00:56:45,337 --> 00:56:47,639 THEN IS A REALLY MAJOR 1330 00:56:47,639 --> 00:56:48,240 LIMITATION TO WOMEN'S HEALTH 1331 00:56:48,240 --> 00:56:58,416 RESEARCH. 1332 00:57:04,422 --> 00:57:06,658 >> WE HAVE DR. JONES. 1333 00:57:06,658 --> 00:57:10,228 >> I WANT TO AMPLIFY WHAT A 1334 00:57:10,228 --> 00:57:11,763 STELLAR PIECE OF WORK THIS IS 1335 00:57:11,763 --> 00:57:13,632 AND CAN'T IMAGINE ALL THE TIME 1336 00:57:13,632 --> 00:57:19,037 THAT WENT INTO IT AND THE CARE 1337 00:57:19,037 --> 00:57:25,610 AND HOW DO WE ALL HELP YOU 1338 00:57:25,610 --> 00:57:27,746 EDUCATE OTHERS AND HELP GET THIS 1339 00:57:27,746 --> 00:57:30,315 OUT AND AMPLIFY IT AND WHAT IS 1340 00:57:30,315 --> 00:57:31,316 YOUR COMMUNICATION PLAN AND HOW 1341 00:57:31,316 --> 00:57:33,285 CAN OUR MEMBERS HELP WITH THAT. 1342 00:57:33,285 --> 00:57:38,657 >> ALINA DID YOU WANT TO COMMENT 1343 00:57:38,657 --> 00:57:39,124 ? 1344 00:57:39,124 --> 00:57:40,725 >> THANK YOU FOR YOUR OFFER AND 1345 00:57:40,725 --> 00:57:41,459 KIND WORDS. 1346 00:57:41,459 --> 00:57:43,562 ON BEHALF OF THE COMMITTEE IT 1347 00:57:43,562 --> 00:57:46,531 WAS TRULY A LABOR OF LOVE FOR US 1348 00:57:46,531 --> 00:57:48,099 TO DO THE WORK AND IT WAS A 1349 00:57:48,099 --> 00:57:51,002 PRIVILEGE AND HONOR TO BE ABLE 1350 00:57:51,002 --> 00:57:51,570 TO CONTRIBUTE. 1351 00:57:51,570 --> 00:57:54,940 I THINK THERE ARE MANY WAYS THIS 1352 00:57:54,940 --> 00:57:58,343 COMMITTEE AND MESSAGE CAN BE 1353 00:57:58,343 --> 00:57:59,044 AMPLIFIED, PROFESSIONAL 1354 00:57:59,044 --> 00:58:00,011 CONFERENCES, WHEN YOU DO 1355 00:58:00,011 --> 00:58:01,746 TRAINING, WHEN YOU DO RESEARCH 1356 00:58:01,746 --> 00:58:05,984 IN APPLICATIONS, THERE ARE MANY 1357 00:58:05,984 --> 00:58:06,785 MANY DIFFERENT WAYS THAT THIS 1358 00:58:06,785 --> 00:58:09,287 THE FINDINGS OF THIS REPORT 1359 00:58:09,287 --> 00:58:11,690 PIECES OF IT WHERE THE REPORT IN 1360 00:58:11,690 --> 00:58:15,293 WHOLE CAN BE AMPLIFIED AND 1361 00:58:15,293 --> 00:58:17,028 COMMENTARIES IN JOURNALS AND 1362 00:58:17,028 --> 00:58:20,131 OTHER SUPPORTIVE WORK AS WELL. 1363 00:58:20,131 --> 00:58:22,767 WE'RE PLANNING TO DO THAT AS 1364 00:58:22,767 --> 00:58:29,274 PART OF OUR WORK BUT CLEARLY THE 1365 00:58:29,274 --> 00:58:30,241 COMMITTEE AND NATIONAL ACADEMIES 1366 00:58:30,241 --> 00:58:32,143 OF SCIENCES CAN'T DO THAT 1367 00:58:32,143 --> 00:58:34,746 WITHOUT THE AMPLIFICATION OF THE 1368 00:58:34,746 --> 00:58:40,418 BROADER RESEARCH COMMUNITY. 1369 00:58:40,418 --> 00:58:43,521 >> THANK YOU, DR. TEMPLETON. 1370 00:58:43,521 --> 00:58:44,623 >> IT'S BEEN AN INTERESTING AND 1371 00:58:44,623 --> 00:58:45,757 IMPORTANT DISCUSSION. 1372 00:58:45,757 --> 00:58:51,162 MY QUESTION IS ON THE MENTION OF 1373 00:58:51,162 --> 00:58:55,333 WHAT CONDITIONS WOULD BE 1374 00:58:55,333 --> 00:58:57,168 ADDRESSED BY THE INSTITUTE. 1375 00:58:57,168 --> 00:58:58,870 YOU SAID CONDITIONS THAT ARE NOT 1376 00:58:58,870 --> 00:59:01,439 COVERED BY OTHER INSTITUTES AND 1377 00:59:01,439 --> 00:59:01,673 CENTERS. 1378 00:59:01,673 --> 00:59:02,907 MY QUESTION IS WHAT IS THE 1379 00:59:02,907 --> 00:59:06,978 VISION OF THE COMMITTEE ON HOW 1380 00:59:06,978 --> 00:59:10,382 THAT WOULD PLAY OUT. 1381 00:59:10,382 --> 00:59:14,452 WILL SOMEONE BE KEEPING TRACK OF 1382 00:59:14,452 --> 00:59:16,454 INSTITUTES AND CENTERS AND DOES 1383 00:59:16,454 --> 00:59:18,023 IT HAVE TO BE RESEARCH THAT 1384 00:59:18,023 --> 00:59:20,825 SOLELY CONFINED TO WOMEN I THINK 1385 00:59:20,825 --> 00:59:22,727 IS SOMETHING AND I APPRECIATE 1386 00:59:22,727 --> 00:59:25,196 THE INCLUSION OF OSTEOARTHRITIS 1387 00:59:25,196 --> 00:59:27,165 BUT IT'S MORE COMMON IN WOMEN 1388 00:59:27,165 --> 00:59:29,134 BUT WITH DIFFERENT RISK FACTORS, 1389 00:59:29,134 --> 00:59:32,971 PRESENTATION AND OUTCOMES AND 1390 00:59:32,971 --> 00:59:33,338 TREATMENT. 1391 00:59:33,338 --> 00:59:36,341 FOR EXAMPLE, IF NIAMS IS FUNDING 1392 00:59:36,341 --> 00:59:39,044 RESEARCH BOTH INCLUDING WOMEN 1393 00:59:39,044 --> 00:59:40,845 AND WOMEN AND SEX-BASED 1394 00:59:40,845 --> 00:59:42,213 DIFFERENCES WOULD THAT NOT BE 1395 00:59:42,213 --> 00:59:44,783 WITHIN THE INSTITUTE OR THINKING 1396 00:59:44,783 --> 00:59:47,018 ONLY OF CONDITIONS THAT OR 1397 00:59:47,018 --> 00:59:47,686 RESEARCH PROJECTS THAT ONLY 1398 00:59:47,686 --> 00:59:49,320 FOCUS ON WOMEN OR IF THEY 1399 00:59:49,320 --> 00:59:52,023 INCLUDE WOMEN, IS THAT THOUGHT 1400 00:59:52,023 --> 00:59:54,859 TO BE SUFFICIENT AND THUS NOT 1401 00:59:54,859 --> 00:59:56,161 GOING UNDER THE NEW INSTITUTE? 1402 00:59:56,161 --> 00:59:58,063 >> YOU RAISE A VERY IMPORTANT 1403 00:59:58,063 --> 00:59:59,664 QUESTION AND I KNOW ONE THAT 1404 00:59:59,664 --> 01:00:08,540 OTHERS WILL LOOK AT AS WELL. 1405 01:00:08,540 --> 01:00:10,141 ONE, RRM THE ROLE OF THE 1406 01:00:10,141 --> 01:00:12,210 DIRECTOR OF NIH WE BELIEVED TO 1407 01:00:12,210 --> 01:00:15,346 BE CRITICAL GOING FORWARD. 1408 01:00:15,346 --> 01:00:17,482 THAT ISN'T OVERSEEING WHAT IS 1409 01:00:17,482 --> 01:00:18,616 GOING ON IN THE OTHER INSTITUTES 1410 01:00:18,616 --> 01:00:20,852 AND CENTERS AND WORKING WITH 1411 01:00:20,852 --> 01:00:22,754 THEM TO DEVELOP THEIR OWN 1412 01:00:22,754 --> 01:00:24,055 STRATEGY AND OWN AGENDA FOR THE 1413 01:00:24,055 --> 01:00:26,591 COMING YEAR AND LOOKING AT WHAT 1414 01:00:26,591 --> 01:00:28,193 IN FACT IS OCCURRING. 1415 01:00:28,193 --> 01:00:29,661 THE NEW INSTITUTE, WE BELIEVE, 1416 01:00:29,661 --> 01:00:31,563 WILL HAVE THE OPPORTUNITY TO 1417 01:00:31,563 --> 01:00:33,932 FOCUS ON THE AREAS NOT CURRENTLY 1418 01:00:33,932 --> 01:00:35,700 COVERED BY THE OTHER INSTITUTES 1419 01:00:35,700 --> 01:00:38,303 BUT BY NO MEANS SUGGESTS THERE 1420 01:00:38,303 --> 01:00:40,138 SHOULDN'T BE COLLABORATION, 1421 01:00:40,138 --> 01:00:40,438 COOPERATION. 1422 01:00:40,438 --> 01:00:43,508 THE NEW FUND WE IDENTIFY WE VIEW 1423 01:00:43,508 --> 01:00:45,443 AS A TOOL THAT COULD POTENTIALLY 1424 01:00:45,443 --> 01:00:48,379 BE USED TO INCENTIVIZE OTHER 1425 01:00:48,379 --> 01:00:49,748 INSTITUTES AND CENTERS TO FOCUS 1426 01:00:49,748 --> 01:00:51,149 ON OTHER CONDITIONS THAT MAY 1427 01:00:51,149 --> 01:00:53,885 WELL TOUCH ON AREAS WITH OTHER 1428 01:00:53,885 --> 01:00:54,185 INSTITUTES. 1429 01:00:54,185 --> 01:00:57,355 SO IT ISN'T SIMPLY ALL WITHIN 1430 01:00:57,355 --> 01:00:59,758 ONE BUT RATHER THE DIRECTOR TO 1431 01:00:59,758 --> 01:01:01,126 TAKE A LOOK AT THE 1432 01:01:01,126 --> 01:01:02,327 RESPONSIBILITY OF EACH OF THE 1433 01:01:02,327 --> 01:01:05,163 INSTITUTES AND CENTERS TRACKING 1434 01:01:05,163 --> 01:01:06,664 WHAT'S OCCURRING AND WHAT'S 1435 01:01:06,664 --> 01:01:07,899 ENVISIONED IN TERMS OF THEIR 1436 01:01:07,899 --> 01:01:10,101 AGENDAS FOR THE COMING YEAR AND 1437 01:01:10,101 --> 01:01:10,902 FINDING OPPORTUNITIES FOR 1438 01:01:10,902 --> 01:01:11,970 COLLABORATION WHICH MAY BE 1439 01:01:11,970 --> 01:01:14,839 FUNDED BY THE NEW FUND OR MAY 1440 01:01:14,839 --> 01:01:16,574 WELL OCCUR WITHIN THE NEW 1441 01:01:16,574 --> 01:01:16,808 CENTER. 1442 01:01:16,808 --> 01:01:18,276 SO IT'S GOING TO OCCUR IN A 1443 01:01:18,276 --> 01:01:20,145 VARIETY OF WAYS, I THINK. 1444 01:01:20,145 --> 01:01:21,880 AGAIN, MY COLLEAGUES MAY WANT TO 1445 01:01:21,880 --> 01:01:22,614 COMMENT AS WELL. 1446 01:01:22,614 --> 01:01:24,349 >> I'LL ADD ONE THING. 1447 01:01:24,349 --> 01:01:25,483 WE WERE VERY DATA DRIVEN. 1448 01:01:25,483 --> 01:01:27,652 IF YOU LOOK AT THE FUNDING 1449 01:01:27,652 --> 01:01:28,453 ANNOUNCEMENTS CHAPTER THERE'S 1450 01:01:28,453 --> 01:01:31,022 TWO MAJOR CONCLUSIONS THAT CAN 1451 01:01:31,022 --> 01:01:32,991 BE DRAWN FROM ALL THE DATA 1452 01:01:32,991 --> 01:01:34,459 INCLUDING THE APPENDIX. 1453 01:01:34,459 --> 01:01:36,861 THE FIRST IS CURRENT FUNDING FOR 1454 01:01:36,861 --> 01:01:45,603 WOMEN'S HEALTH RESEARCH IS 1455 01:01:45,603 --> 01:01:49,707 PROPORTIONATELY LOW AND 1456 01:01:49,707 --> 01:01:50,742 DISAPPEARING FROM OF ACROSS 1457 01:01:50,742 --> 01:01:51,476 INSTITUTE. 1458 01:01:51,476 --> 01:01:55,346 IF WE COULD SOMEHOW MAGICALLY 1459 01:01:55,346 --> 01:02:01,452 AUGMENT THE PER -- PROPORTION OF 1460 01:02:01,452 --> 01:02:02,687 WOMEN'S HEALTH RESEARCH ACROSS 1461 01:02:02,687 --> 01:02:07,392 ALL INSTITUTES, 8%, 10% WOULD 1462 01:02:07,392 --> 01:02:09,761 THAT FIX EVERYTHING AND THE 1463 01:02:09,761 --> 01:02:10,829 CONCLUSION OF THE COMMITTEE WAS 1464 01:02:10,829 --> 01:02:12,030 IT WOULDN'T BE SUFFICIENT AND 1465 01:02:12,030 --> 01:02:14,232 THE SET OF RECOMMENDATIONS WERE 1466 01:02:14,232 --> 01:02:19,337 NOT AS SIMPLE AS THAT. 1467 01:02:19,337 --> 01:02:26,811 >> DR. NOEL. 1468 01:02:26,811 --> 01:02:29,681 >> I FOUND THE WORK INTERESTING. 1469 01:02:29,681 --> 01:02:32,183 TO PIGGYBACK ON DR. JONES A 1470 01:02:32,183 --> 01:02:35,520 QUESTIONS AND REGARDING SEX AS A 1471 01:02:35,520 --> 01:02:39,991 BIOLOGICAL VARIABLE, THE REPORT 1472 01:02:39,991 --> 01:02:43,461 HIGHLIGHTED MANY 1473 01:02:43,461 --> 01:02:43,828 RECOMMENDATIONS. 1474 01:02:43,828 --> 01:02:48,499 HOW CAN NIH OR EVEN THIS 1475 01:02:48,499 --> 01:02:49,734 COMMITTEE HELP TO HAVING BETTER 1476 01:02:49,734 --> 01:02:53,104 REPORT OF SEX AS A BIOLOGICAL 1477 01:02:53,104 --> 01:02:54,639 VARIABLE WHETHER I KNOW WE CAN'T 1478 01:02:54,639 --> 01:02:56,941 REALLY DO ANYTHING AT THE LEVEL 1479 01:02:56,941 --> 01:02:59,444 OF SAY STUDY DESIGN BUT IN TERMS 1480 01:02:59,444 --> 01:03:01,279 OF REPORTING THE DATA. 1481 01:03:01,279 --> 01:03:02,046 WHAT ARE THE SOLUTION IN THAT 1482 01:03:02,046 --> 01:03:12,156 AREA? 1483 01:03:18,796 --> 01:03:20,932 >> AT THE END OF THE DAY ONE 1484 01:03:20,932 --> 01:03:30,942 MAJOR ISSUE IS ACCOUNT. 1485 01:03:30,942 --> 01:03:33,077 AND EMPHASIS IS ON 1486 01:03:33,077 --> 01:03:34,012 ACCOUNTABILITY. 1487 01:03:34,012 --> 01:03:36,547 REPORTING REQUIRES BY THE NIH 1488 01:03:36,547 --> 01:03:38,750 WHICH AT PRESENT IS PROBABLY 1489 01:03:38,750 --> 01:03:42,053 ABOUT HALFWAY THERE WE BELIEVE. 1490 01:03:42,053 --> 01:03:44,322 AND THAT'S WHY WE PUT IN THE 1491 01:03:44,322 --> 01:03:46,090 RECOMMENDATIONS MORE COULD BE 1492 01:03:46,090 --> 01:03:47,425 DONE PARTICULARLY WITH RESPECT 1493 01:03:47,425 --> 01:03:57,735 TO ACCOUNTABILITY. 1494 01:03:58,970 --> 01:04:01,639 >> DR. ANINYE. 1495 01:04:01,639 --> 01:04:03,741 >> I ATTENDED SOME OF THE 1496 01:04:03,741 --> 01:04:05,209 MEETINGS AND IT'S A THOUGHTFUL 1497 01:04:05,209 --> 01:04:06,778 REPORT YOU PUT TOGETHER. 1498 01:04:06,778 --> 01:04:10,081 I KNOW YOU MENTIONED EARLY ON 1499 01:04:10,081 --> 01:04:11,215 THAT THERE WAS NOT ONE 1500 01:04:11,215 --> 01:04:13,785 PARTICULAR FIX. 1501 01:04:13,785 --> 01:04:15,954 SO YOU GAVE THIS COMBINATION OF 1502 01:04:15,954 --> 01:04:17,822 RECOMMENDATIONS BUT I KNOW WITH 1503 01:04:17,822 --> 01:04:20,558 SOME THERE'S PRETTY BIG GRANT 1504 01:04:20,558 --> 01:04:24,128 CHALLENGES IN SOME OF THOSE AS 1505 01:04:24,128 --> 01:04:25,463 FAR AS BECOMING AN IC OR THE 1506 01:04:25,463 --> 01:04:27,165 AMOUNT OF FUNDING. 1507 01:04:27,165 --> 01:04:29,701 MY QUESTION IS TO YOU IS WHILE 1508 01:04:29,701 --> 01:04:32,270 WANTING TO PROPOSE 1509 01:04:32,270 --> 01:04:34,372 RECOMMENDATIONS FOR FIXES BEING 1510 01:04:34,372 --> 01:04:35,940 WHAT WERE KEY CHALLENGES YOU 1511 01:04:35,940 --> 01:04:38,242 ADDRESSED EVEN IN YOUR 1512 01:04:38,242 --> 01:04:40,111 RECOMMENDATIONS YOU MAY BE ABLE 1513 01:04:40,111 --> 01:04:41,479 TO HIGHLIGHT TO GET AHEAD OF TO 1514 01:04:41,479 --> 01:04:41,946 ACTION SOME OF THESE 1515 01:04:41,946 --> 01:04:47,719 RECOMMENDATIONS? 1516 01:04:47,719 --> 01:04:52,223 >> YOU RAISE AN INTERESTING 1517 01:04:52,223 --> 01:04:52,490 QUESTION. 1518 01:04:52,490 --> 01:04:53,825 WE ALSO LOOKED AT THE QUESTION 1519 01:04:53,825 --> 01:04:56,194 OF WHAT COULD BE DONE MORE 1520 01:04:56,194 --> 01:04:58,930 QUICKLY OR READILY WITHOUT 1521 01:04:58,930 --> 01:05:01,933 HAVING A CONGRESSIONAL PROCESS, 1522 01:05:01,933 --> 01:05:03,334 STATUTORY CHANGES IN THE NUMBER 1523 01:05:03,334 --> 01:05:04,235 OF INSTITUTES. 1524 01:05:04,235 --> 01:05:05,970 WHAT IS IN THE PURVIEW OF THE 1525 01:05:05,970 --> 01:05:07,939 EXISTING STRUCTURE TO IMPROVE 1526 01:05:07,939 --> 01:05:08,639 THE SITUATION? 1527 01:05:08,639 --> 01:05:13,611 AND THERE IS NO QUESTION THAT 1528 01:05:13,611 --> 01:05:15,079 HEIGHTENED SENSE OF TRACKING, 1529 01:05:15,079 --> 01:05:16,781 THE OFFICE OF THE ESSENTIALLY 1530 01:05:16,781 --> 01:05:17,915 TAKING RESPONSIBILITY FOR 1531 01:05:17,915 --> 01:05:19,450 WORKING WITH EACH OF THE 1532 01:05:19,450 --> 01:05:21,252 INSTITUTES AND CENTERS TO MAKE 1533 01:05:21,252 --> 01:05:22,687 SURE THAT WOMEN'S HEALTH CARE 1534 01:05:22,687 --> 01:05:25,056 WAS PART OF THEIR AGENDA GOING 1535 01:05:25,056 --> 01:05:26,457 FORWARD SO THE ACCOUNTABILITY 1536 01:05:26,457 --> 01:05:27,825 ISSUE EQUALLY WOULD BE IMPORTANT 1537 01:05:27,825 --> 01:05:29,127 AND SOMETHING THAT COULD BE DONE 1538 01:05:29,127 --> 01:05:34,499 IN THE ABSENCE OF NEW FUNDING. 1539 01:05:34,499 --> 01:05:36,601 REALLY WHAT'S TRACKING NOW WE 1540 01:05:36,601 --> 01:05:38,403 THOUGHT WAS IMPORTANT BUT WE 1541 01:05:38,403 --> 01:05:39,670 DON'T IMAGINE ALL THIS OCCURRING 1542 01:05:39,670 --> 01:05:41,706 AT ONCE AND IN FACT IT MAY NOT. 1543 01:05:41,706 --> 01:05:43,574 YOU MAY FIND THE PEER REVIEW 1544 01:05:43,574 --> 01:05:44,609 PROCESS, FOR EXAMPLE, UNDER GOES 1545 01:05:44,609 --> 01:05:46,778 A REVIEW AND THERE'S ADDITIONAL 1546 01:05:46,778 --> 01:05:48,446 ATTENTION PLACED ON PEOPLE 1547 01:05:48,446 --> 01:05:50,615 REVIEWING THE GRANTS AND THE 1548 01:05:50,615 --> 01:05:52,784 GRANTS ESSENTIALLY RESPONDING TO 1549 01:05:52,784 --> 01:05:54,719 THE ISSUES OF WHETHER IT'S SABV 1550 01:05:54,719 --> 01:05:56,587 POLICY OR WHETHER OR NOT IT'S 1551 01:05:56,587 --> 01:05:57,321 THE INDIVIDUALS REVIEWING. 1552 01:05:57,321 --> 01:06:00,158 I THINK THERE'S A NUMBER OF 1553 01:06:00,158 --> 01:06:07,198 THOSE KINDS OF STEPS WE COULD 1554 01:06:07,198 --> 01:06:08,099 ENVISION CALLED OCCUR EVEN IN 1555 01:06:08,099 --> 01:06:10,802 THE ABSENCE OF MAJOR CHANGE. 1556 01:06:10,802 --> 01:06:12,870 AM I FORGETTING ANYTHING ELSE? 1557 01:06:12,870 --> 01:06:16,441 >> IN THIS CURRENT CLIMATE AS 1558 01:06:16,441 --> 01:06:19,077 THE AN EXCELLENT QUESTION TO 1559 01:06:19,077 --> 01:06:19,243 ASK. 1560 01:06:19,243 --> 01:06:22,046 THERE'S A LOT OF THOSE ISSUES. 1561 01:06:22,046 --> 01:06:22,847 WE RECOGNIZE THERE'S BEEN 1562 01:06:22,847 --> 01:06:25,883 EFFORTS UNDERWAY AT THE NIH OVER 1563 01:06:25,883 --> 01:06:30,054 THE LAST-FEW MONTHS TO TRY TO 1564 01:06:30,054 --> 01:06:39,030 STRENGTHEN AND IMPROVE THE NIH'S 1565 01:06:39,030 --> 01:06:41,132 EFFORTS AROUND SABV AND OTHER 1566 01:06:41,132 --> 01:06:46,137 ISSUES AND I THINK RECOGNITION I 1567 01:06:46,137 --> 01:06:48,506 THINK WHAT'S GOING TO TO BE A 1568 01:06:48,506 --> 01:06:51,042 HOLE OF NIH EFFORT AND EVERY 1569 01:06:51,042 --> 01:06:54,245 I.C. AND OFFICE HAS SOMETHING TO 1570 01:06:54,245 --> 01:06:55,947 CONTRIBUTE AND THINK THE REPORT 1571 01:06:55,947 --> 01:06:57,615 HAS GOOD OPTIONS. 1572 01:06:57,615 --> 01:07:01,552 WE REALLY TOOK A DEEP DIVE. 1573 01:07:01,552 --> 01:07:04,422 I THINK WE ALL LEARNED A LOT 1574 01:07:04,422 --> 01:07:06,090 THOUGH WE CAME IN WITH A LOT OF 1575 01:07:06,090 --> 01:07:09,861 KNOWLEDGE ON THE ISSUES AND 1576 01:07:09,861 --> 01:07:11,529 THERE'S A LOT OF TRAFFIC 1577 01:07:11,529 --> 01:07:12,830 NAVIGATE IN THE REPORT WE HOPE 1578 01:07:12,830 --> 01:07:17,502 WILL SERVE AS GUIDANCE AS THE 1579 01:07:17,502 --> 01:07:20,571 NIH MOVES FORWARD IN IMPROVING 1580 01:07:20,571 --> 01:07:22,106 ITS EFFORTS IN WOMEN'S HEALTH 1581 01:07:22,106 --> 01:07:22,440 RESEARCH. 1582 01:07:22,440 --> 01:07:23,975 >> AND WOULD LIKE TO HIGHLIGHT 1583 01:07:23,975 --> 01:07:25,176 THE TRAINING OPPORTUNITIES WE 1584 01:07:25,176 --> 01:07:27,645 RECOMMENDED ARE A GREET PLACE TO 1585 01:07:27,645 --> 01:07:27,945 START. 1586 01:07:27,945 --> 01:07:31,048 IT'S NOT AN ENORMOUS AMOUNT OF 1587 01:07:31,048 --> 01:07:33,251 MONEY BUT WOULD SPECIALLY 1588 01:07:33,251 --> 01:07:35,386 DEVELOP THE WORKFORCE TO DO THIS 1589 01:07:35,386 --> 01:07:36,354 WORK SHOULD ADDITIONAL FUNDING 1590 01:07:36,354 --> 01:07:44,729 BE AVAILABLE IN THE FUTURE. 1591 01:07:44,729 --> 01:07:48,266 >> IT WOULD BE SHORT-SIGHTED TO 1592 01:07:48,266 --> 01:07:50,968 SAY THE NIH COULD DO THIS WOULD 1593 01:07:50,968 --> 01:07:51,402 ADDITIONAL FUNDING. 1594 01:07:51,402 --> 01:07:53,437 WE CAME UP WITH THE ESTIMATES 1595 01:07:53,437 --> 01:07:54,505 BECAUSE WE RECOGNIZE THERE NEEDS 1596 01:07:54,505 --> 01:07:55,072 TO BE MORE OF AN INVESTMENT 1597 01:07:55,072 --> 01:07:58,509 THERE. 1598 01:07:58,509 --> 01:08:04,715 WE RECOGNIZE THERE ARE FINANCIAL 1599 01:08:04,715 --> 01:08:05,750 CHOICES AND LIMITATIONS BUT 1600 01:08:05,750 --> 01:08:08,886 THERE'S NOT A LOT OF MORE THAT 1601 01:08:08,886 --> 01:08:11,022 CAN BE SQUEEZED. 1602 01:08:11,022 --> 01:08:11,756 THERE NEEDS TO BE MORE FINANCIAL 1603 01:08:11,756 --> 01:08:12,323 SUPPORT FOR WOMEN'S HEALTH 1604 01:08:12,323 --> 01:08:16,894 RESEARCH. 1605 01:08:16,894 --> 01:08:18,596 >> I'D TURN IT OVER TO A 1606 01:08:18,596 --> 01:08:22,266 QUESTION IN THE CHAT BEFORE I 1607 01:08:22,266 --> 01:08:24,569 TURN TO DR. ARNOLD. 1608 01:08:24,569 --> 01:08:26,971 THIS IS DR. AGUIRRE. 1609 01:08:26,971 --> 01:08:28,072 THANK YOU SO MUCH FOR ALL YOUR 1610 01:08:28,072 --> 01:08:29,540 WORK, I PARTICULARLY LOVED THE 1611 01:08:29,540 --> 01:08:31,042 FIRST RECOMMENDATION OF CREATING 1612 01:08:31,042 --> 01:08:33,511 A WOMEN'S HEALTH RESEARCH I.C. 1613 01:08:33,511 --> 01:08:36,714 WHAT DOES THAT MEAN FOR THE 1614 01:08:36,714 --> 01:08:38,683 CURRENT ORWH OFFICE? 1615 01:08:38,683 --> 01:08:41,252 HOW WILL GRANTS SPECIFIC TO THIS 1616 01:08:41,252 --> 01:08:42,253 NEW I.C. DISTINGUISHED FROM 1617 01:08:42,253 --> 01:08:52,663 GRANTS FROM OTHER I.C.s? 1618 01:08:55,833 --> 01:09:00,204 >> THIS IS RELATED TO A QUESTION 1619 01:09:00,204 --> 01:09:03,407 EARLIER HOW A PURVIEW IS 1620 01:09:03,407 --> 01:09:05,910 DISTRIBUTED ACROSS THE EXISTING 1621 01:09:05,910 --> 01:09:08,279 I.C.s AND THEY ARE HAVE THEIR 1622 01:09:08,279 --> 01:09:11,482 OWN UNIQUE SET OF PRIORITIES AND 1623 01:09:11,482 --> 01:09:16,254 MANY OF THEM ALREADY INCLUDE 1624 01:09:16,254 --> 01:09:17,922 WOMEN'S HEALTH RESEARCH 1625 01:09:17,922 --> 01:09:21,425 PRIORITIES AND WE CAN SEE HOW 1626 01:09:21,425 --> 01:09:22,526 MUCH IS ALLOCATED TO GRANT 1627 01:09:22,526 --> 01:09:25,830 FUNDING REMAINS LOW. 1628 01:09:25,830 --> 01:09:28,766 WE ANTICIPATE OR WE'D HOPE IF 1629 01:09:28,766 --> 01:09:31,402 THE RECOMMENDATIONS WERE TO BE 1630 01:09:31,402 --> 01:09:33,271 FOLLOWED THROUGH THERE'D BE 1631 01:09:33,271 --> 01:09:36,274 RECOMMENDATIONS ACROSS ALL I.C. 1632 01:09:36,274 --> 01:09:38,409 AND THE NEW I.C. WOULD AS 1633 01:09:38,409 --> 01:09:39,877 PRIORITY THOSE DISEASES AND 1634 01:09:39,877 --> 01:09:41,512 CONDITIONS THAT DON'T NATURALLY 1635 01:09:41,512 --> 01:09:42,580 HAVE A HOME. 1636 01:09:42,580 --> 01:09:45,883 IN PARTICULAR AS MENTIONED IN 1637 01:09:45,883 --> 01:09:48,019 THE REPORT AS WELL AS IN THE 1638 01:09:48,019 --> 01:09:48,953 PRESENTATION, WE RECOGNIZE THE 1639 01:09:48,953 --> 01:09:51,689 NEED FOR INTERDISCIPLINARY 1640 01:09:51,689 --> 01:09:52,857 COLLABORATION WHICH IS NOT 1641 01:09:52,857 --> 01:09:56,527 ALWAYS POSSIBLE GIVEN THE 1642 01:09:56,527 --> 01:09:56,994 CURRENT STRUCTURE. 1643 01:09:56,994 --> 01:09:58,896 EVERY I.C. HAS SO MUCH ON ITS 1644 01:09:58,896 --> 01:10:00,998 PLATE AND TO DO IN TERMS OF 1645 01:10:00,998 --> 01:10:02,700 FOCUSSING ON ITS SET OF 1646 01:10:02,700 --> 01:10:04,802 PRIORITIES. 1647 01:10:04,802 --> 01:10:05,836 INTERDISCIPLINARY COLLABORATION 1648 01:10:05,836 --> 01:10:09,240 IS WE WOULD HOPE AS PART OF THE 1649 01:10:09,240 --> 01:10:11,008 RECOMMENDATIONS WOULD BE A FOCUS 1650 01:10:11,008 --> 01:10:21,385 AT THE HIGHEST LEVEL. 1651 01:10:22,486 --> 01:10:26,490 >> I WOULD JUST ADD THAT MANY OF 1652 01:10:26,490 --> 01:10:30,161 THE ROLES AND RESPONSIBILITIES 1653 01:10:30,161 --> 01:10:31,429 OF THE CURRENT OFFICE WOULD BE 1654 01:10:31,429 --> 01:10:32,463 ELEVATED TO THE NEW INSTITUTE 1655 01:10:32,463 --> 01:10:38,502 AND DIRECTOR'S OFFICE. 1656 01:10:38,502 --> 01:10:41,405 SO, THOSE WOULD NO GO AWAY AND 1657 01:10:41,405 --> 01:10:42,640 BELIEVE THERE NEEDS TO BE AN 1658 01:10:42,640 --> 01:10:43,908 INSTITUTE WITH A RESEARCH BUDGET 1659 01:10:43,908 --> 01:10:46,877 AND ALSO HOUSES THE EXPERTISE IN 1660 01:10:46,877 --> 01:10:47,845 WOMEN'S HEALTH RESEARCH. 1661 01:10:47,845 --> 01:10:50,281 THE CURRENT OFFICE OF WOMEN'S 1662 01:10:50,281 --> 01:10:53,250 HEALTH IS JUST NOT FUNDED AND 1663 01:10:53,250 --> 01:10:55,319 STAFFED TO THE NUMBERS OF 1664 01:10:55,319 --> 01:11:00,224 RESEARCHERS AND THE LEVELS OF 1665 01:11:00,224 --> 01:11:02,793 EXPERTISE THAT WE BELIEVE IS 1666 01:11:02,793 --> 01:11:05,296 NEEDED STRUCTURALLY THAT'S A 1667 01:11:05,296 --> 01:11:15,673 LIMITATION RIGHT NOW. 1668 01:11:18,442 --> 01:11:21,245 >> DR. MIELENZ. 1669 01:11:21,245 --> 01:11:23,381 >> I WANT TO APPLAUD THE 1670 01:11:23,381 --> 01:11:27,752 COMMITTEE FOR YOUR EXCELLENT 1671 01:11:27,752 --> 01:11:29,286 EFFORTS AND OUTPUTS OF OTHERS 1672 01:11:29,286 --> 01:11:31,222 HAVE SAID AND MY QUESTION 1673 01:11:31,222 --> 01:11:34,425 FOLLOWS ALONG NICELY FROM THE 1674 01:11:34,425 --> 01:11:37,261 CHAT I WONDERED IN YOUR 1675 01:11:37,261 --> 01:11:38,028 RECOMMENDATION ABOUT 1676 01:11:38,028 --> 01:11:39,196 TRANSITIONING THE OFFICE TO AN 1677 01:11:39,196 --> 01:11:40,831 I.C. AS ONE OF YOUR 1678 01:11:40,831 --> 01:11:42,066 RECOMMENDATIONS. 1679 01:11:42,066 --> 01:11:43,634 WAS THERE ANY DISCUSSION ON 1680 01:11:43,634 --> 01:11:47,571 EXAMPLES OF OFFICES THAT HAVE 1681 01:11:47,571 --> 01:11:50,908 TRANSITIONED TO I.C.s AND ANY 1682 01:11:50,908 --> 01:11:52,410 SUCCESSES OR BARRIERS AROUND 1683 01:11:52,410 --> 01:11:52,977 THAT TRANSITION? 1684 01:11:52,977 --> 01:11:55,112 I WONDERED IF THAT CAME UP IN 1685 01:11:55,112 --> 01:12:05,356 CONVERSATION. 1686 01:12:11,295 --> 01:12:13,798 >> WE LOOKED AT ADDITIONAL I.C.s 1687 01:12:13,798 --> 01:12:14,665 AND THERE WAS CONSIDERATION 1688 01:12:14,665 --> 01:12:17,301 GIVEN AS TO THE IMPORTANCE OF 1689 01:12:17,301 --> 01:12:22,106 BOTH TARGETING AND FUNDING AND 1690 01:12:22,106 --> 01:12:22,973 RESPONSIBILITY AND 1691 01:12:22,973 --> 01:12:23,340 ACCOUNTABILITY. 1692 01:12:23,340 --> 01:12:26,243 IN FACT MOVING TO AN I.C. THAT 1693 01:12:26,243 --> 01:12:28,245 HAS AUTHORITY, THAT HAS FUNDING 1694 01:12:28,245 --> 01:12:34,452 TO INCENTIVIZE OTHERS TO PARTNER 1695 01:12:34,452 --> 01:12:37,221 WITH THEM WAS A CRITICAL ELEMENT 1696 01:12:37,221 --> 01:12:38,289 TO HIGHLIGHT THE IMPORTANCE OF 1697 01:12:38,289 --> 01:12:39,623 THE WORK IN THE AREA. 1698 01:12:39,623 --> 01:12:40,758 ESSENTIALLY THE CREATION OF AN 1699 01:12:40,758 --> 01:12:41,792 INSTITUTE THE AUTHORITY OF AN 1700 01:12:41,792 --> 01:12:44,395 INSTITUTE , THE FUNDING OF AN 1701 01:12:44,395 --> 01:12:45,996 INSTITUTE AND FRANKLY THE 1702 01:12:45,996 --> 01:12:47,965 DIRECTOR HOLDING THE INSTITUTE 1703 01:12:47,965 --> 01:12:49,633 ACCOUNTABLE FOR THE WORK TO BE 1704 01:12:49,633 --> 01:12:51,402 DONE WE THOUGHT WAS AN IMPORTANT 1705 01:12:51,402 --> 01:12:52,069 PART OF WHAT NEEDED TO BE 1706 01:12:52,069 --> 01:12:54,305 CONSIDERED. 1707 01:12:54,305 --> 01:12:57,208 >> AND I WOULD SAY THE NATIONAL 1708 01:12:57,208 --> 01:12:58,476 INSTITUTE ON MINORITY HEALTH AND 1709 01:12:58,476 --> 01:13:00,144 HEALTH DISPARITIES WAS 1710 01:13:00,144 --> 01:13:02,413 ORIGINALLY AN OFFICE ELEVATED TO 1711 01:13:02,413 --> 01:13:03,147 AN INSTITUTE. 1712 01:13:03,147 --> 01:13:07,485 THERE IS PRECEDENT FOR THAT. 1713 01:13:07,485 --> 01:13:18,262 >> WITH GRE THAT, GREAT, THANK , 1714 01:13:19,663 --> 01:13:24,468 AR -- DR. ARNOLD. 1715 01:13:24,468 --> 01:13:30,441 >> WE HEARD ABOUT THE COMPLEXITY 1716 01:13:30,441 --> 01:13:33,277 OF WHO WILL COVER THIS AND WHERE 1717 01:13:33,277 --> 01:13:35,412 WILL THE REPORT GO AND WHO WILL 1718 01:13:35,412 --> 01:13:37,248 TAKE THE NEXT STEP? 1719 01:13:37,248 --> 01:13:38,516 IT'S GOING TO TAKE YEARS, I 1720 01:13:38,516 --> 01:13:43,521 WOULD THINK, TO GET THE 1721 01:13:43,521 --> 01:13:44,321 CONGRESSIONAL SUPPORT AND ALL 1722 01:13:44,321 --> 01:13:45,823 THE THINGS TO GET A NEW 1723 01:13:45,823 --> 01:13:46,090 INSTITUTE. 1724 01:13:46,090 --> 01:13:49,026 THERE'S QUICKER WAYS TO GET 1725 01:13:49,026 --> 01:13:50,394 MONEY HOPEFULLY QUICKER WAYS TO 1726 01:13:50,394 --> 01:13:53,397 GET MORE MONEY TO THE OFFICE OF 1727 01:13:53,397 --> 01:13:56,233 RESEARCH ON WOMEN'S HEALTH BUT 1728 01:13:56,233 --> 01:13:57,301 WHAT'S GOING TO HAPPEN NOW? 1729 01:13:57,301 --> 01:13:59,003 >> WELL, THE REPORT IS 1730 01:13:59,003 --> 01:13:59,336 COMPLETED. 1731 01:13:59,336 --> 01:14:01,305 WE SUBMITTED THE REPORT. 1732 01:14:01,305 --> 01:14:02,673 COMMITTED IT BOTH TO THE OFFICE 1733 01:14:02,673 --> 01:14:04,408 OF WOMEN'S HEALTH RESEARCH AS 1734 01:14:04,408 --> 01:14:05,876 WELL AS THE COMMITTEES. 1735 01:14:05,876 --> 01:14:08,379 WE BRIEFED THE CONGRESSIONAL 1736 01:14:08,379 --> 01:14:08,679 COMMITTEES. 1737 01:14:08,679 --> 01:14:10,981 WE'VE BRIEFED THE WHITE HOUSE. 1738 01:14:10,981 --> 01:14:17,254 SO OUR NEXT STEPS ARE MAKING 1739 01:14:17,254 --> 01:14:21,625 SURE MAKE REPORT IS OUT TO THE 1740 01:14:21,625 --> 01:14:24,962 PUBLIC AND RESPONDS TO THE 1741 01:14:24,962 --> 01:14:27,831 ASSIGNMENT AND THERE'S 1742 01:14:27,831 --> 01:14:29,099 PUBLICATIONS, PARTICIPATING IN 1743 01:14:29,099 --> 01:14:30,000 CONVERSATIONS, ENCOURAGING OTHER 1744 01:14:30,000 --> 01:14:32,436 TO DO SO BUT THE NEXT STEP IS 1745 01:14:32,436 --> 01:14:34,371 REALLY A CONGRESSIONAL STEP IN 1746 01:14:34,371 --> 01:14:35,606 SOME RESPECTS AS IT HAS TO DO 1747 01:14:35,606 --> 01:14:41,011 WITH FUNDING OR THE CREATION OF 1748 01:14:41,011 --> 01:14:43,080 AN INSTITUTE CLEARLY WITHIN 1749 01:14:43,080 --> 01:14:45,749 CONGRESS'S PURVIEW. 1750 01:14:45,749 --> 01:14:46,550 AND WHETHER THERE'S INCREASE IN 1751 01:14:46,550 --> 01:14:47,685 TRAINING AND IDENTIFICATION OF 1752 01:14:47,685 --> 01:14:50,354 THE ISSUES, THE RESPONSIBILITY 1753 01:14:50,354 --> 01:14:52,156 OF THE DIRECTOR IN TERMS OF 1754 01:14:52,156 --> 01:14:56,226 OVERSIGHT, ALL OF WHICH WOULD 1755 01:14:56,226 --> 01:14:57,861 FALL BACK ON NIH HOW TO TAKE THE 1756 01:14:57,861 --> 01:15:07,638 REPORT AND MOVE IT FORWARD. 1757 01:15:07,638 --> 01:15:09,473 >> I WANT TO BRING ATTENTION TO 1758 01:15:09,473 --> 01:15:12,543 A COMMENT AMY PUT IN THE CLASS 1759 01:15:12,543 --> 01:15:15,012 THAT STATES NIMHD WAS ORIGINALLY 1760 01:15:15,012 --> 01:15:17,014 IN OFFICE THEN CENTER THEN 1761 01:15:17,014 --> 01:15:17,281 INSTITUTE. 1762 01:15:17,281 --> 01:15:20,017 THAT EXAMPLE AND OTHER RELEVANT 1763 01:15:20,017 --> 01:15:20,985 INFORMATION IS AVAILABLE IN 1764 01:15:20,985 --> 01:15:22,519 CHAPTER 3. 1765 01:15:22,519 --> 01:15:28,659 ARE THERE EARTH -- OTHER 1766 01:15:28,659 --> 01:15:29,893 QUESTIONS FROM THE ACRWH 1767 01:15:29,893 --> 01:15:30,594 MEMBERS? 1768 01:15:30,594 --> 01:15:32,463 ASHLEY, I MAY ALSO PUT YOU ON 1769 01:15:32,463 --> 01:15:34,365 THE SPOT IF THERE ARE ANY 1770 01:15:34,365 --> 01:15:36,700 QUESTIONS SUBMITTED DURING THE 1771 01:15:36,700 --> 01:15:41,271 TIME AT THE ACRWH MAILBOX. 1772 01:15:41,271 --> 01:15:42,840 >> DR. OTA WANG. 1773 01:15:42,840 --> 01:15:44,108 NO QUESTIONS WERE SUBMITTED TO 1774 01:15:44,108 --> 01:15:44,408 THE MAILBOX. 1775 01:15:44,408 --> 01:15:48,812 >> OKAY. 1776 01:15:48,812 --> 01:15:50,748 DR. ARNOLD IS THAT A LEGACY HAND 1777 01:15:50,748 --> 01:15:51,515 OR DO YOU HAVE ANOTHER QUESTION 1778 01:15:51,515 --> 01:15:55,285 FOR US? 1779 01:15:55,285 --> 01:15:58,188 >> SORRY. 1780 01:15:58,188 --> 01:15:59,323 I WAS JUST LEFT UP. 1781 01:15:59,323 --> 01:15:59,523 SORRY. 1782 01:15:59,523 --> 01:16:09,600 >> THANK YOU. 1783 01:16:09,600 --> 01:16:10,634 OKAY. 1784 01:16:10,634 --> 01:16:13,237 WELL, THANK YOU SO MUCH FOR THE 1785 01:16:13,237 --> 01:16:14,838 GREAT QUESTIONS AND RESPONSE 1786 01:16:14,838 --> 01:16:15,773 SESSION. 1787 01:16:15,773 --> 01:16:20,811 DR. CLAYTON, I WOULD LIKE TO 1788 01:16:20,811 --> 01:16:24,048 TURN IT OVER TO YOU. 1789 01:16:24,048 --> 01:16:26,250 >> THANK YOU, DR. OTA WANG AND 1790 01:16:26,250 --> 01:16:30,621 LET ME THANK THE COMMITTEE 1791 01:16:30,621 --> 01:16:35,392 LEADERSHIP DR. SALGANICOFF AND 1792 01:16:35,392 --> 01:16:37,494 DR. BURKE AND DR. AMY GILLER AND 1793 01:16:37,494 --> 01:16:40,431 OTHERS FOR THE WORK AND THE 1794 01:16:40,431 --> 01:16:42,700 ENTIRE COMMITTEE FOR THE 1795 01:16:42,700 --> 01:16:44,068 THOUGHTFUL WORK AND APPROACH OF 1796 01:16:44,068 --> 01:16:45,469 THIS IMPORTANT TOPIC. 1797 01:16:45,469 --> 01:16:46,470 WE WANT TO EXPRESS OUR 1798 01:16:46,470 --> 01:16:49,339 APPRECIATION FOR THE EFFORTS AND 1799 01:16:49,339 --> 01:16:51,575 YOUR THOUGHTFUL DELIBERATIONS AN 1800 01:16:51,575 --> 01:16:52,776 COMPREHENSIVE APPROACH. 1801 01:16:52,776 --> 01:16:55,179 I WANT TO APPRECIATE THE TALKS 1802 01:16:55,179 --> 01:16:56,647 THAT WERE PROVIDED TODAY AS PART 1803 01:16:56,647 --> 01:16:58,382 OF THE ADVISORY COMMITTEE AND 1804 01:16:58,382 --> 01:17:00,184 WANT TO ACKNOWLEDGE THE 1805 01:17:00,184 --> 01:17:02,386 IMPORTANT WORK OF THIS ADVISORY 1806 01:17:02,386 --> 01:17:04,488 COMMITTEE AND YOUR ROLE WHICH IS 1807 01:17:04,488 --> 01:17:06,857 CRITICAL TO WOMEN'S HEALTH 1808 01:17:06,857 --> 01:17:08,959 RESEARCH ADVANCEMENT AT NIH SO 1809 01:17:08,959 --> 01:17:10,327 THANK YOU FOR YOUR EFFORTS, 1810 01:17:10,327 --> 01:17:12,896 ACRWH AND I WANT TO ACKNOWLEDGE 1811 01:17:12,896 --> 01:17:16,166 THE ORWH STAFF AND SCIENTISTS 1812 01:17:16,166 --> 01:17:18,235 AND BEHIND THE SCENES OR 1813 01:17:18,235 --> 01:17:20,471 CONTRACT SUPPORT FOR MAKING THIS 1814 01:17:20,471 --> 01:17:21,338 MEETING POSSIBLE. 1815 01:17:21,338 --> 01:17:24,541 SO ON BEHALF OF ORWH, THANK YOU 1816 01:17:24,541 --> 01:17:27,077 ALL AND WE LOOK FORWARD TO 1817 01:17:27,077 --> 01:17:29,780 SEEING YOU AT THE 63rd MEETING 1818 01:17:29,780 --> 01:17:30,881 OF THE ADVISORY COMMITTEE ON THE 1819 01:17:30,881 --> 01:17:32,616 RESEARCH ON WOMEN'S HEALTH HELD 1820 01:17:32,616 --> 01:17:36,286 ON APRIL 8, 2025 WHICH WILL BE A 1821 01:17:36,286 --> 01:17:37,855 HYBRID MEETING. 1822 01:17:37,855 --> 01:17:42,559 AND WISHING YOU ALL A SAFE AND 1823 01:17:42,559 --> 01:17:44,027 HEALTHY HOLIDAY SEASON AND 1824 01:17:44,027 --> 01:17:45,929 TODAY'S MEETING IS NOW 1825 01:17:45,929 --> 01:17:46,196 ADJOURNED. 1826 01:17:46,196 --> 01:17:46,797 THANK YOU VERY MUCH, EVERYONE. 1827 01:17:46,797 --> 01:17:46,864 1828 01:17:47,431 --> 01:17:57,608 >> THANK YOU.