1 00:00:07,084 --> 00:00:09,219 I'M GOING TO CALL THIS MEETING 2 00:00:09,219 --> 00:00:12,022 OF THE 128 th MEETING OF THE 3 00:00:12,022 --> 00:00:13,624 ADVISORY COMMITTEE TO THE 4 00:00:13,624 --> 00:00:15,359 DIRECTOR AT THE NATIONAL 5 00:00:15,359 --> 00:00:17,561 INSTITUTES OF HEALTH TO ORDER. 6 00:00:17,561 --> 00:00:19,096 AND MAYBE WE CAN START. 7 00:00:19,096 --> 00:00:21,031 MAYBE CORY, CAN WE START WITH 8 00:00:21,031 --> 00:00:23,166 YOU AND I'LL HAVE ALL THE 9 00:00:23,166 --> 00:00:27,638 COUNCIL MEMBERS INTRODUCE YOUR 10 00:00:27,638 --> 00:00:37,914 SELVES QUICKLY. 11 00:00:50,761 --> 00:00:54,331 -- DISABILITY AND HEALTH AND 12 00:00:54,331 --> 00:01:01,805 FOCUSSED ON ADVANCING EQUITY. 13 00:01:01,805 --> 00:01:02,939 >> COULD YOU YOU USE YOUR 14 00:01:02,939 --> 00:01:04,708 MICROPHONE, PLEASE. 15 00:01:04,708 --> 00:01:15,252 >> ALEXA KIMBALL CEO OF A LARGE 16 00:01:15,919 --> 00:01:17,220 FACULTY PRACT AND WORKING WITH 17 00:01:17,220 --> 00:01:19,256 MARIE BERNARD ON THE WORKING 18 00:01:19,256 --> 00:01:25,962 GROUP ON AND WITH HARVARD 19 00:01:25,962 --> 00:01:31,902 MEDICAL. 20 00:01:31,902 --> 00:01:36,973 >> MY PURCHASE IS ON PRIVACY 21 00:01:36,973 --> 00:01:41,511 TECHNOLOGIES AND DATA SHARING IN 22 00:01:41,511 --> 00:01:42,612 A.I. FAIRNESS. 23 00:01:42,612 --> 00:01:46,583 >> ATUL BUTTE A PROFESSOR AND 24 00:01:46,583 --> 00:01:48,218 RESEARCHER AND INSTITUTE 25 00:01:48,218 --> 00:01:58,328 DIRECTOR AT UCSF AND. 26 00:01:58,328 --> 00:02:01,131 >> MONICA BERTAGNOLLI, NIH 27 00:02:01,131 --> 00:02:01,398 DIRECTOR. 28 00:02:01,398 --> 00:02:05,635 >> LARRY TABAK, PRINCIPLE 29 00:02:05,635 --> 00:02:06,903 DIRECTOR NIH. 30 00:02:06,903 --> 00:02:15,078 >> CHIEF OF STAFF. 31 00:02:15,078 --> 00:02:25,355 >> I'M GISSELLE CORBIE, SENIOR 32 00:02:25,355 --> 00:02:31,528 VICE PROVOST UNC SCHOOL OF 33 00:02:31,528 --> 00:02:32,596 MEDICINE. 34 00:02:32,596 --> 00:02:34,798 >> I WORK ON THE CENTER FOR AIDS 35 00:02:34,798 --> 00:02:37,601 RESEARCH AND MY RESEARCH MOSTLY 36 00:02:37,601 --> 00:02:43,206 FOCUSES ON NIH PREVENTION AND 37 00:02:43,206 --> 00:02:48,478 SUBSTANCE USE IN LGBTQ YOUTH. 38 00:02:48,478 --> 00:02:54,117 >> I'M A DIRECTOR AT THE HOWARD 39 00:02:54,117 --> 00:02:55,485 HUGHES INSTITUTE AND WORK ON 40 00:02:55,485 --> 00:02:56,887 EMOTIONS AND HEALTH AND DISEASE. 41 00:02:56,887 --> 00:02:58,889 >> WE HAVE A FEW COUNCIL MEMBERS 42 00:02:58,889 --> 00:02:59,356 ON ZOOM. 43 00:02:59,356 --> 00:03:09,900 MAYBE WE CAN START WITH HOWARD. 44 00:03:21,878 --> 00:03:32,289 >> MY FLIGHT GOT CANCELED I 45 00:03:36,960 --> 00:03:39,529 APOLOGIZE FOR NOT BEING THERE. 46 00:03:39,529 --> 00:03:40,630 >> WE UNDERSTAND. 47 00:03:40,630 --> 00:03:41,865 ARE THERE ANY COUNCIL MEMBERS WE 48 00:03:41,865 --> 00:03:42,866 DIDN'T ACKNOWLEDGE? 49 00:03:42,866 --> 00:03:44,267 WITH THAT LET ME TURN IT OVER TO 50 00:03:44,267 --> 00:03:48,305 DR. TABAK. 51 00:03:48,305 --> 00:03:50,106 >> THANK YOU, EVERYBODY AND GOOD 52 00:03:50,106 --> 00:03:50,507 MORNING. 53 00:03:50,507 --> 00:03:53,276 A FEW HOUSEKEEPING THINGS. 54 00:03:53,276 --> 00:03:57,614 FIRST AS YOU KNOW THE MEETING IS 55 00:03:57,614 --> 00:04:00,484 OPEN TO THE PUBLIC INCLUDING THE 56 00:04:00,484 --> 00:04:02,385 PRESS AND BEING WEBCAST. 57 00:04:02,385 --> 00:04:03,854 PRESENTATIONS AND SUPPLEMENTAL 58 00:04:03,854 --> 00:04:09,659 MATERIALS ARE POSTED ACD WEBSITE 59 00:04:09,659 --> 00:04:11,127 SHOULD HAVE HAPPENED AND IF IT 60 00:04:11,127 --> 00:04:14,564 HASN'T SHOULD BE SHORTLY. 61 00:04:14,564 --> 00:04:16,032 THIS MEETING WAS ANNOUNCED IN 62 00:04:16,032 --> 00:04:17,968 THE FEDERAL REGISTER. 63 00:04:17,968 --> 00:04:20,070 WE DID RECEIVE PUBLIC COMMENT 64 00:04:20,070 --> 00:04:25,342 AND ACD MEMBERS CAN REVIEW ON 65 00:04:25,342 --> 00:04:26,810 THEIR SHARE FILE SITE. 66 00:04:26,810 --> 00:04:28,545 ACD MEMBERS AND PRESENTERS AS 67 00:04:28,545 --> 00:04:31,348 YOU HEARD ARE USING A HYBRID 68 00:04:31,348 --> 00:04:32,449 FORMAT BOTH IN PERSON AND ON 69 00:04:32,449 --> 00:04:34,050 ZOOM TO CONDUCT OUR MEETING 70 00:04:34,050 --> 00:04:34,784 TODAY AND TOMORROW. 71 00:04:34,784 --> 00:04:38,088 IF YOU ARE ON ZOOM, PLEASE RAISE 72 00:04:38,088 --> 00:04:40,490 YOUR HAND VIRTUALLY RATHER THAN 73 00:04:40,490 --> 00:04:42,759 CHAT TO POSE A QUESTION OR MAKE 74 00:04:42,759 --> 00:04:44,060 A COMMENT OR QUESTION. 75 00:04:44,060 --> 00:04:46,630 WHEN AN ACD MEMBER DOES WISH TO 76 00:04:46,630 --> 00:04:48,532 MAKE A COMMENT, PLEASE TURN ON 77 00:04:48,532 --> 00:04:50,700 YOUR VIDEO AND MIC SO WE ARE 78 00:04:50,700 --> 00:04:53,236 RECORDING MORE THAN JUST THE 79 00:04:53,236 --> 00:04:57,140 BLACK BOX WITH YOUR NAME ON IT. 80 00:04:57,140 --> 00:04:58,875 A PHOTOGRAPHER'S GOING TO BE 81 00:04:58,875 --> 00:05:00,076 HERE FROM ABOUT 11:00 TO THE 82 00:05:00,076 --> 00:05:01,711 LUNCH BREAK. 83 00:05:01,711 --> 00:05:04,648 THEY WILL TAKE I'M TOLD CANDID 84 00:05:04,648 --> 00:05:07,417 PHOTOS -- OKAY. 85 00:05:07,417 --> 00:05:09,152 BE ON YOUR BEST BEHAVIOR. 86 00:05:09,152 --> 00:05:16,593 A GROUP PHOTO AT THE START OF 87 00:05:16,593 --> 00:05:17,127 LUNCH. 88 00:05:17,127 --> 00:05:18,728 HOWEVER, THERE'S ONE CURVE ABOUT 89 00:05:18,728 --> 00:05:24,100 LUNCH, OUR PLANS TO BRING IN 90 00:05:24,100 --> 00:05:25,435 LUNCH HIT A SNAFU AND WE'LL HAVE 91 00:05:25,435 --> 00:05:27,370 TO GO TO THE CAFETERIA. 92 00:05:27,370 --> 00:05:29,606 IF YOU PREFER NOT TO NAVIGATE 93 00:05:29,606 --> 00:05:31,341 THE CAMPUS LET US KNOW AND WE'LL 94 00:05:31,341 --> 00:05:32,842 SECURE SOMETHING FOR YOU AND 95 00:05:32,842 --> 00:05:36,346 BRING IT BACK OR DO POT LUCK OR 96 00:05:36,346 --> 00:05:37,113 TELL US WHAT YOU'D LIKE. 97 00:05:37,113 --> 00:05:38,882 WITH THAT I'LL TURN IT BACK TO 98 00:05:38,882 --> 00:05:43,086 DR. BERTAGNOLLI. 99 00:05:43,086 --> 00:05:44,187 >> EXCELLENT. 100 00:05:44,187 --> 00:05:46,489 LET'S JUST NOW GO AHEAD AND 101 00:05:46,489 --> 00:05:49,626 START FIRST WITH NEIL SHAPIRO TO 102 00:05:49,626 --> 00:05:51,962 GIVE US A BUDGET UPDATE. 103 00:05:51,962 --> 00:05:53,330 >> YOU DO YOURS FIRST. 104 00:05:53,330 --> 00:05:54,497 YOU HAVE BETTER CONTEXT. 105 00:05:54,497 --> 00:05:55,332 >> SOUNDS GOOD. 106 00:05:55,332 --> 00:05:58,268 I'LL GO FIRST. 107 00:05:58,268 --> 00:05:59,970 STAY DOWN, NEIL. 108 00:05:59,970 --> 00:06:00,537 WE'LL START WITH ME. 109 00:06:00,537 --> 00:06:05,909 OKAY. 110 00:06:05,909 --> 00:06:07,577 WELL, TODAY I'M GOING TO START 111 00:06:07,577 --> 00:06:12,148 BY TELLING YOU ABOUT A FEW NIH 112 00:06:12,148 --> 00:06:15,285 LEADERSHIP CHANGES, AWARDS AND 113 00:06:15,285 --> 00:06:17,554 EVENTS AND DISCUSS FOLLOW-UP TO 114 00:06:17,554 --> 00:06:19,889 THE ACD WORK GROUP 115 00:06:19,889 --> 00:06:20,557 RECOMMENDATIONS AND CLOSE WITH 116 00:06:20,557 --> 00:06:22,425 SCIENCE HIGHLIGHTS. 117 00:06:22,425 --> 00:06:26,696 SO LEADERSHIP CHANGES. 118 00:06:26,696 --> 00:06:33,103 DR. NEUZIL JOINED THE FOGARTY 119 00:06:33,103 --> 00:06:35,639 CENTER AS THE NEW DIRECTOR. 120 00:06:35,639 --> 00:06:37,941 SHE WAS PREVIOUSLY AN ENDOWED 121 00:06:37,941 --> 00:06:42,979 DIRECTOR OF VACCINOLOGY AND 122 00:06:42,979 --> 00:06:43,947 CHIEF OF THE GEOGRAPHIC MEDICINE 123 00:06:43,947 --> 00:06:45,749 AT THE UNIVERSITY OF MARYLAND 124 00:06:45,749 --> 00:06:47,717 SCHOOL OF MEDICINE AND OUR SIN 125 00:06:47,717 --> 00:06:49,953 EAR THANKS TO DR. KILLMARKS WHO 126 00:06:49,953 --> 00:06:51,921 SERVED AS THE ACTING DIRECTOR 127 00:06:51,921 --> 00:06:56,893 SINCE JANUARY 2023. 128 00:06:56,893 --> 00:07:00,096 DR. MOONEY BECAME DIRECTOR OF 129 00:07:00,096 --> 00:07:01,431 THE CENTER FOR INFORMATION 130 00:07:01,431 --> 00:07:03,066 TECHNOLOGY IN MID MARCH. 131 00:07:03,066 --> 00:07:06,603 HE SPENT HIS CAREER DEVELOPING 132 00:07:06,603 --> 00:07:08,071 EFFECTIVE AND COLLABORATIVE 133 00:07:08,071 --> 00:07:10,273 COMPUTER SYSTEMS TO SUPPORT 134 00:07:10,273 --> 00:07:12,542 BIOMEDICAL RESEARCH AND WAS 135 00:07:12,542 --> 00:07:14,911 PREVIOUSLY A PROFESSOR OF 136 00:07:14,911 --> 00:07:15,779 INFORMATICS AT THE UNIVERSITY OF 137 00:07:15,779 --> 00:07:21,785 WASHINGTON SCHOOL OF MEDICINE. 138 00:07:21,785 --> 00:07:26,489 THANK YOU TO DIRECTOR DE SOUZA 139 00:07:26,489 --> 00:07:29,693 WHO WAS ACTING DIRECTOR. 140 00:07:29,693 --> 00:07:34,564 AFTER SERVING AT THE DIRECTOR OF 141 00:07:34,564 --> 00:07:37,067 MENTAL HEALTH DR. GORDON WILL 142 00:07:37,067 --> 00:07:39,235 DEPART FROM HIS POSITION TO 143 00:07:39,235 --> 00:07:40,336 RETURN TO COLUMBIA UNIVERSITY 144 00:07:40,336 --> 00:07:42,772 CHAIRING THE DEPARTMENT OF 145 00:07:42,772 --> 00:07:43,339 PSYCHIATRY. 146 00:07:43,339 --> 00:07:45,075 HE HAS OVERSEEN AN EXTENSIVE 147 00:07:45,075 --> 00:07:46,242 PORTFOLIO OF RESEARCH AND 148 00:07:46,242 --> 00:07:48,578 PROMOTED WIDE RANGING PRIORITIES 149 00:07:48,578 --> 00:07:51,381 INCLUDING SUICIDE PREVENTION 150 00:07:51,381 --> 00:07:53,783 RESEARCH, EXPANDING EFFORTS IN 151 00:07:53,783 --> 00:07:55,318 NEURAL CIRCUIT RESEARCH, 152 00:07:55,318 --> 00:07:56,553 INCREASING INVESTMENTS IN 153 00:07:56,553 --> 00:07:59,656 MATHEMATICAL AND THEORETICAL 154 00:07:59,656 --> 00:08:00,390 APPROACHES TO HEALTH RESEARCH 155 00:08:00,390 --> 00:08:02,525 AND DEVELOPING EARLY-STAGE 156 00:08:02,525 --> 00:08:03,827 INTERVENTIONS FOR PATIENTS AT 157 00:08:03,827 --> 00:08:05,028 RISK FOR SCHIZOPHRENIA. 158 00:08:05,028 --> 00:08:07,330 HE HAS BEEN A VERY INSPIRING 159 00:08:07,330 --> 00:08:10,133 LEADER AND WE WILL MISS HIM. 160 00:08:10,133 --> 00:08:16,172 WE ARE ALSO GRATEFUL TO THE 161 00:08:16,172 --> 00:08:18,575 CURRENT DEPUTY DIRECTOR WHO HAS 162 00:08:18,575 --> 00:08:21,311 AGREED TO SERVE AS ACT BEING 163 00:08:21,311 --> 00:08:23,213 DIRECTOR WHILE THE SEARCH IS 164 00:08:23,213 --> 00:08:24,481 UNDERWAY. 165 00:08:24,481 --> 00:08:28,551 NOW AWARDS. 166 00:08:28,551 --> 00:08:33,623 FOUR NIHHERS RECEIVED 2023 167 00:08:33,623 --> 00:08:35,225 PRESIDENTIAL RANK AWARDS THE 168 00:08:35,225 --> 00:08:38,595 HIGHEST HONOR TO CAREER CIVILIAN 169 00:08:38,595 --> 00:08:42,098 EMPLOYEES. 170 00:08:42,098 --> 00:08:45,034 CONGRATULATIONS TO KEITH, 171 00:08:45,034 --> 00:08:55,512 COLLEEN, CAMILLE AND JERRY. 172 00:09:00,784 --> 00:09:05,522 THREE NCI SCIENTISTS WERE 173 00:09:05,522 --> 00:09:08,525 AWARDED HHS DEPARTMENTAL AWARDS 174 00:09:08,525 --> 00:09:12,529 AND DR. LINEHAN AND HE AND HIS 175 00:09:12,529 --> 00:09:17,634 RESEARCH GROUP DISCOVERED THE 176 00:09:17,634 --> 00:09:20,303 LINDOW GENE RESPONSIBLE FOR A 177 00:09:20,303 --> 00:09:24,007 KIDNEY CANCER AND A COMMON FORM 178 00:09:24,007 --> 00:09:26,943 OF SPORADIC KIDNEY CANCER. 179 00:09:26,943 --> 00:09:28,311 THEY DESCRIBED THE PATHWAY 180 00:09:28,311 --> 00:09:32,182 INVOLVED IN SENSING OXYGEN. 181 00:09:32,182 --> 00:09:34,284 THE 2019 NOBEL PRIZE WAS AWARD 182 00:09:34,284 --> 00:09:35,819 FORD THIS WORK AND HIS WORK WAS 183 00:09:35,819 --> 00:09:37,320 CITED BY THE NOBEL COMMITTEE AS 184 00:09:37,320 --> 00:09:37,854 BEING CRITICAL TO THEIR 185 00:09:37,854 --> 00:09:45,094 FINDINGS. 186 00:09:45,094 --> 00:09:52,869 AND ANDRE NUSSENZWEIG UNCOVERED 187 00:09:52,869 --> 00:09:53,770 MOLECULAR PATHWAYS AND A 188 00:09:53,770 --> 00:09:57,207 CONTRIBUTOR TO THE STUDY OF DNA 189 00:09:57,207 --> 00:10:07,750 REPAIR AND DR. WIDEMANN GOT THE 190 00:10:08,618 --> 00:10:14,524 MERITIOUS AWARD HELPING TO 191 00:10:14,524 --> 00:10:15,225 GENERATE THE NEXT GENERATION OF 192 00:10:15,225 --> 00:10:19,329 STEIN SCIENTISTS AND ENABLING 193 00:10:19,329 --> 00:10:21,831 MANY DISCOVERIES IN HER GROUP. 194 00:10:21,831 --> 00:10:23,266 EVENTS NEXT. 195 00:10:23,266 --> 00:10:24,968 WE WERE HONORED TO HOST 196 00:10:24,968 --> 00:10:26,569 PRESIDENT BIDEN LAST DECEMBER ON 197 00:10:26,569 --> 00:10:30,273 THE 14th OVERLAPPING WITH THE 198 00:10:30,273 --> 00:10:33,343 LAST ACD AT THE NIH CLINICAL 199 00:10:33,343 --> 00:10:35,245 CENTER TO DISCUSS REDUCING THE 200 00:10:35,245 --> 00:10:37,113 COST OF PRESCRIPTION DRUGS. 201 00:10:37,113 --> 00:10:40,550 THESE PHOTOS WERE TAKEN AT THE 202 00:10:40,550 --> 00:10:42,352 WHITE HOUSE DEMO DAY BY THE 203 00:10:42,352 --> 00:10:44,020 OFFICE OF SCIENCE AND POLICY 204 00:10:44,020 --> 00:10:45,288 LAST YEAR WHERE NIH AND OTHER 205 00:10:45,288 --> 00:10:48,825 AGENCIES WERE ABLE TO SHOW OFF 206 00:10:48,825 --> 00:10:51,561 INNOVATIONS SUPPORTED BY FEDERAL 207 00:10:51,561 --> 00:10:51,861 INVESTMENTS. 208 00:10:51,861 --> 00:10:53,830 IN LATE JANUARY WE HAD A MEETING 209 00:10:53,830 --> 00:10:58,301 WITH THE GATES FOUNDATION TO 210 00:10:58,301 --> 00:10:59,369 SUPPORT AND DEVELOP 211 00:10:59,369 --> 00:11:00,236 INFRASTRUCTURE FOR PUBLIC HEALTH 212 00:11:00,236 --> 00:11:01,137 PROGRAMS INTERNATIONALLY. 213 00:11:01,137 --> 00:11:07,310 I DISCUSSED THE CRITICAL NEED TO 214 00:11:07,310 --> 00:11:11,347 EXPAND THE EVIDENCE BASE FOR 215 00:11:11,347 --> 00:11:14,851 CLINICAL CARE EVERYWHERE AND I 216 00:11:14,851 --> 00:11:17,520 TRAVELED TO ATLANTA WITH FIRST 217 00:11:17,520 --> 00:11:21,291 LADY DR. JILL BIDEN WITH THE 218 00:11:21,291 --> 00:11:24,527 WOMEN'S HEALTH RESEARCH SHE 219 00:11:24,527 --> 00:11:26,462 HELPED LAUNCH. 220 00:11:26,462 --> 00:11:28,064 AND WE VISITED SEVERAL 221 00:11:28,064 --> 00:11:29,165 UNIVERSITIES AND RESEARCH 222 00:11:29,165 --> 00:11:30,867 CENTERS IN THE LAST HALF YEAR. 223 00:11:30,867 --> 00:11:34,270 IN FEBRUARY I VISITED THE 224 00:11:34,270 --> 00:11:38,508 UNIVERSITY OF ALABAMA 225 00:11:38,508 --> 00:11:42,312 BIRMINGHAM, THE HIRSK STATE 226 00:11:42,312 --> 00:11:46,015 SCHOOL OF MEDICINE AND I GAVE A 227 00:11:46,015 --> 00:11:47,417 LECTURE ON FUNDING PROCESS AND 228 00:11:47,417 --> 00:11:51,554 DISCUSSED MY HOPES FOR THE 229 00:11:51,554 --> 00:11:53,323 AGENCY'S DIRECTION. 230 00:11:53,323 --> 00:11:54,924 IN MARCH I WENT ON A TRIP TO 231 00:11:54,924 --> 00:11:56,526 WEST VIRGINIA. 232 00:11:56,526 --> 00:12:00,997 THE PHOTO SHOWS ME WITH DR. MING 233 00:12:00,997 --> 00:12:02,932 LEI AT THE WEST VIRGINIA 234 00:12:02,932 --> 00:12:05,034 UNIVERSITY SCHOOL OF MEDICINE IN 235 00:12:05,034 --> 00:12:07,337 MORGANTOWN, WEST VIRGINIA. 236 00:12:07,337 --> 00:12:08,705 I VISITED DIFFERENT PARTS OF THE 237 00:12:08,705 --> 00:12:09,439 WEST VIRGINIA HEALTH SCIENCES 238 00:12:09,439 --> 00:12:10,907 CAMPUS. 239 00:12:10,907 --> 00:12:16,279 IN APRIL, I VISITED THE BROAD 240 00:12:16,279 --> 00:12:19,315 INSTITUTE IN CAMBRIDGE, 241 00:12:19,315 --> 00:12:23,453 MASSACHUSETTS. 242 00:12:23,453 --> 00:12:26,756 I'M IN A PICTURE WITH POLICY 243 00:12:26,756 --> 00:12:29,325 MAKERS AND WITH THE DIRECTOR OF 244 00:12:29,325 --> 00:12:30,760 THE BROAD INSTITUTE AND M.I.T. 245 00:12:30,760 --> 00:12:33,129 AND HARVARD AND THE CO-PRINCIPAL 246 00:12:33,129 --> 00:12:35,298 INVESTIGATOR OF THE ALL OF US 247 00:12:35,298 --> 00:12:35,999 NEW ENGLAND CONSORTIUM. 248 00:12:35,999 --> 00:12:39,068 IN APRIL, I ALSO HELPED 249 00:12:39,068 --> 00:12:42,071 CELEBRATE THE 75th ANNIVERSARY 250 00:12:42,071 --> 00:12:44,574 OF THE FRAMINGHAM HEART STUDY 251 00:12:44,574 --> 00:12:45,408 SUPPORTED BY NHLBI. 252 00:12:45,408 --> 00:12:48,344 75 YEARS, THREE GENERATIONS. 253 00:12:48,344 --> 00:12:50,113 REALLY AMAZING. 254 00:12:50,113 --> 00:12:51,748 THIS PHOTO SHOWS FROM THE LEFT, 255 00:12:51,748 --> 00:12:54,851 BOSTON UNIVERSITY SCHOOL OF 256 00:12:54,851 --> 00:12:55,318 MEDICINE DEAN AND 257 00:12:55,318 --> 00:12:55,918 U.S. REPRESENTATIVE KATHERINE 258 00:12:55,918 --> 00:13:01,624 CLARK. 259 00:13:01,624 --> 00:13:03,326 I HAD THE OPPORTUNITY TO SPEAK 260 00:13:03,326 --> 00:13:04,794 WITH MANY INTERESTING PEOPLE. 261 00:13:04,794 --> 00:13:08,931 THIS PHOTO SHOWS ME GETTING TO 262 00:13:08,931 --> 00:13:10,666 CHAT WITH DR. VINCE SER ONE OF 263 00:13:10,666 --> 00:13:12,235 THE FATHERS OF THE INTERNET WHO 264 00:13:12,235 --> 00:13:15,138 HOLDS THE POSITION OF CHIEF 265 00:13:15,138 --> 00:13:17,640 INTERNET EVANGELIST FOR GOOGLE. 266 00:13:17,640 --> 00:13:20,610 THIS WAS FOR THE ANNUAL CULTURAL 267 00:13:20,610 --> 00:13:21,878 LECTURE AT NIH IN MARCH. 268 00:13:21,878 --> 00:13:24,781 WE TALKED ABOUT THE PROMISES AND 269 00:13:24,781 --> 00:13:26,315 PERILS OF ARTIFICIAL 270 00:13:26,315 --> 00:13:27,083 INTELLIGENCE IN BIOMEDICAL 271 00:13:27,083 --> 00:13:29,152 RESEARCH AND HEALTH CARE 272 00:13:29,152 --> 00:13:30,319 DELIVERY. 273 00:13:30,319 --> 00:13:36,325 IN FEBRUARY WE HAD A CHANCE TO 274 00:13:36,325 --> 00:13:38,594 CELEBRATE DR. ALTER WHO RECEIVE 275 00:13:38,594 --> 00:13:40,329 THE NOBEL PRIZE IN 2020 AND HAD 276 00:13:40,329 --> 00:13:44,267 A SOCIALLY DISTANCE AWARD 277 00:13:44,267 --> 00:13:46,269 CEREMONY DUE TO THE COVID-19 278 00:13:46,269 --> 00:13:46,536 PANDEMIC. 279 00:13:46,536 --> 00:13:48,671 THIS YEAR WE GATHERED TO 280 00:13:48,671 --> 00:13:51,207 CELEBRATE A NEW EXHIBIT THAT 281 00:13:51,207 --> 00:13:52,542 COMMEMORATES HIS WORK 282 00:13:52,542 --> 00:13:53,843 DISCOVERING THE HEPATITIS C 283 00:13:53,843 --> 00:13:56,179 VIRUS AND TRANSFORMING THE 284 00:13:56,179 --> 00:13:58,648 SAFETY OF THE BLOOD SUPPLY. 285 00:13:58,648 --> 00:13:59,949 I'D ALSO LIKE TO SPEND TIME 286 00:13:59,949 --> 00:14:03,052 DISCUSSING HOW WE FOLLOWED UP ON 287 00:14:03,052 --> 00:14:05,955 ACD WORKING GROUP 288 00:14:05,955 --> 00:14:06,322 RECOMMENDATIONS. 289 00:14:06,322 --> 00:14:08,658 SPECIFICALLY THOSE INVOLVING 290 00:14:08,658 --> 00:14:10,827 TRAINING, DISABILITY AND NOVEL 291 00:14:10,827 --> 00:14:11,527 ALTERNATIVE METHODS WE'RE NOW 292 00:14:11,527 --> 00:14:15,531 CALLING NEW APPROACH METHODS. 293 00:14:15,531 --> 00:14:19,368 FIRST UPDATES ON ADVANCING 294 00:14:19,368 --> 00:14:20,803 POST-DOCTORAL TRAINING 295 00:14:20,803 --> 00:14:23,840 RECOMMENDATIONS FROM THE NIH ACD 296 00:14:23,840 --> 00:14:24,173 WORKING GROUP. 297 00:14:24,173 --> 00:14:27,143 IN APRIL, WE ANNOUNCED A LARGE 298 00:14:27,143 --> 00:14:28,845 INCREASE IN POST-DOCTORAL 299 00:14:28,845 --> 00:14:29,145 STIPENDS. 300 00:14:29,145 --> 00:14:31,447 THE MINIMUM SALARY IS BEING 301 00:14:31,447 --> 00:14:34,450 INCREASED TO JUST OVER $61,000. 302 00:14:34,450 --> 00:14:38,054 WE ARE COMMITTED TO REACHING THE 303 00:14:38,054 --> 00:14:39,956 RECOMMENDED $70,000 STIPEND OVER 304 00:14:39,956 --> 00:14:43,159 THE NEXT THREE TO FIVE YEARS. 305 00:14:43,159 --> 00:14:45,962 TO SUPPORT FAMILY FRIENDLY WORK 306 00:14:45,962 --> 00:14:47,563 ENVIRONMENTS, NIH IS ALSO 307 00:14:47,563 --> 00:14:48,698 INCREASING THE CHILDCARE SUPPORT 308 00:14:48,698 --> 00:14:51,634 TO $3,000 BEGINNING WITH THE 309 00:14:51,634 --> 00:14:56,706 FISCAL YEAR '24 AWARDS. 310 00:14:56,706 --> 00:14:59,108 WE'VE ALSO TIGHTENED THE 311 00:14:59,108 --> 00:15:00,943 DEFINITION OF POST-DOCTORAL 312 00:15:00,943 --> 00:15:02,578 SCHOLAR TO BE CLEAR IT'S A 313 00:15:02,578 --> 00:15:05,114 TERM-LIMITED POSITION OF 314 00:15:05,114 --> 00:15:06,949 MENTORED RESEARCH AND 315 00:15:06,949 --> 00:15:08,084 PROFESSIONAL DEVELOPMENT TO 316 00:15:08,084 --> 00:15:10,586 PREPARE FOR AN INDEPENDENT 317 00:15:10,586 --> 00:15:10,920 CAREER. 318 00:15:10,920 --> 00:15:12,755 WE'RE ALSO CLARIFYING POLICIES. 319 00:15:12,755 --> 00:15:15,458 FOR EXAMPLE, RECOMMENDED FUNDING 320 00:15:15,458 --> 00:15:17,827 LEVELS ARE MINIMUMS NOT 321 00:15:17,827 --> 00:15:18,261 MAXIMUMS. 322 00:15:18,261 --> 00:15:20,563 INSTITUTIONS ARE WELCOMED TO 323 00:15:20,563 --> 00:15:21,964 SUPPLEMENT STIPENDS WITH 324 00:15:21,964 --> 00:15:23,132 NON-FEDERAL FUNDING. 325 00:15:23,132 --> 00:15:27,236 SCHOLARS CAN BE HIRED AS 326 00:15:27,236 --> 00:15:27,503 EMPLOYEES. 327 00:15:27,503 --> 00:15:34,677 TIME SPENT AS A POST-DOCTORAL 328 00:15:34,677 --> 00:15:38,247 SCHOLAR DOES NOT EXCLUDE SOMEONE 329 00:15:38,247 --> 00:15:41,851 FROM THE LOAN FORGIVENESS AND 330 00:15:41,851 --> 00:15:43,052 ENSURING RESEARCH ENVIRONMENTS 331 00:15:43,052 --> 00:15:44,153 FREE OF HARASSMENT AND FOSTER 332 00:15:44,153 --> 00:15:46,556 DIVERSE PERSPECTIVES. 333 00:15:46,556 --> 00:15:50,159 WE'RE GATHERING INPUT TO FORM 334 00:15:50,159 --> 00:15:52,195 ADDITIONAL ACD WORKING GROUP 335 00:15:52,195 --> 00:15:52,995 RECOMMENDATIONS AND FINALIZING 336 00:15:52,995 --> 00:15:56,265 AN RFI. 337 00:15:56,265 --> 00:15:58,034 WE'RE DEVELOPING IMPLEMENTATION 338 00:15:58,034 --> 00:15:59,302 TEAMS TO ADDRESS RECOMMENDATIONS 339 00:15:59,302 --> 00:16:00,203 SUCH AS THOSE SHOWN HERE 340 00:16:00,203 --> 00:16:03,206 CREATING AND EXPANDING WAYS TO 341 00:16:03,206 --> 00:16:06,375 SUPPORT THE FULL TALENT TOOL OF 342 00:16:06,375 --> 00:16:07,310 POST-DOCTORAL SCHOLARS. 343 00:16:07,310 --> 00:16:09,845 FACILITATE THE TRANSITION OF 344 00:16:09,845 --> 00:16:11,847 SCHOLARS TO THEIR NEXT CAREER 345 00:16:11,847 --> 00:16:13,516 STAGE INCLUDING THOSE CAREERS 346 00:16:13,516 --> 00:16:18,020 OUTSIDE ACADEMIA AND PROMOTING 347 00:16:18,020 --> 00:16:18,955 AND TRAINING AND PROFESSIONAL 348 00:16:18,955 --> 00:16:19,689 DEVELOPMENT OF SCHOLARS AND 349 00:16:19,689 --> 00:16:23,159 THEIR MENTORS. 350 00:16:23,159 --> 00:16:24,627 NEXT I'D LIKE TO PROVIDE AN 351 00:16:24,627 --> 00:16:27,430 UPDATE ON HOW WE FOLLOWED UP ON 352 00:16:27,430 --> 00:16:29,699 RECOMMENDATIONS FROM THE ACD SUB 353 00:16:29,699 --> 00:16:33,035 GROUP ON INDIVIDUALS WITH 354 00:16:33,035 --> 00:16:33,369 DISABILITIES. 355 00:16:33,369 --> 00:16:35,338 ONE RECOMMENDATION WAS TO REMOVE 356 00:16:35,338 --> 00:16:39,375 THE LANGUAGE ABOUT REDUCING 357 00:16:39,375 --> 00:16:43,145 DISABILITY FROM THE NIH MISSION 358 00:16:43,145 --> 00:16:43,412 STATEMENT. 359 00:16:43,412 --> 00:16:48,751 SINCE FOR SOME, THIS COULD BE 360 00:16:48,751 --> 00:16:51,287 PERCEIVED AS PERPETUATING ABLIST 361 00:16:51,287 --> 00:16:54,223 BELIEFS THAT DISABLED PEOPLE ARE 362 00:16:54,223 --> 00:16:58,995 FLAWED AND NEED TO BE FIXED 363 00:16:58,995 --> 00:17:01,864 CONSIDERING INPUT FROM NIH 364 00:17:01,864 --> 00:17:02,598 LEADERS AND SUBJECT MATTER 365 00:17:02,598 --> 00:17:04,533 EXPERTS A PROPOSED REVISED 366 00:17:04,533 --> 00:17:06,335 MISSION STATEMENT WAS DEVELOPED 367 00:17:06,335 --> 00:17:09,005 WHICH IS, TO SEEK FUNDAMENTAL 368 00:17:09,005 --> 00:17:11,507 KNOWLEDGE ABOUT THE NATURE AND 369 00:17:11,507 --> 00:17:12,742 BEHAVIOR OF LIVING SYSTEMS AND 370 00:17:12,742 --> 00:17:15,778 TO APPLY THAT KNOWLEDGE TO 371 00:17:15,778 --> 00:17:17,280 OPTIMIZE HEALTH AND PREVENT OR 372 00:17:17,280 --> 00:17:24,320 REDUCE ILLNESS FOR ALL PEOPLE. 373 00:17:24,320 --> 00:17:29,625 NIH THEN ISSUED AN RFI FOR THE 374 00:17:29,625 --> 00:17:31,694 PROPOSED REVISED MISSION 375 00:17:31,694 --> 00:17:32,328 STATEMENT. 376 00:17:32,328 --> 00:17:33,829 WE RECEIVED 480 RESPONSES AND 377 00:17:33,829 --> 00:17:36,532 WILL RELEASE A PUBLIC REPORT IN 378 00:17:36,532 --> 00:17:38,534 THE COMING WEEK. 379 00:17:38,534 --> 00:17:43,272 INTERESTINGLY HOWEVER, WE 380 00:17:43,272 --> 00:17:45,741 RECEIVED MANY STRONG OPPOSING 381 00:17:45,741 --> 00:17:46,642 VIEWS. 382 00:17:46,642 --> 00:17:48,411 40% OF RESPONDENTS FELT 383 00:17:48,411 --> 00:17:50,279 DISABILITY SHOULD BE ADDED BACK 384 00:17:50,279 --> 00:17:51,981 TO THE MISSION STATEMENT. 385 00:17:51,981 --> 00:17:54,717 EITHER AS IT WAS OR USING 386 00:17:54,717 --> 00:17:56,952 DIFFERENT WORDING SUCH AS 387 00:17:56,952 --> 00:18:01,390 OPTIMIZED FUNCTION OR MAXIMIZE 388 00:18:01,390 --> 00:18:01,657 ABILITIES. 389 00:18:01,657 --> 00:18:04,994 I THINK THIS RFI SHOWED WE NEED 390 00:18:04,994 --> 00:18:06,595 MORE INPUT BEFORE FINALIZING THE 391 00:18:06,595 --> 00:18:10,333 MISSION STATEMENT AND PLAN TO 392 00:18:10,333 --> 00:18:11,867 HAVE MORE ROUNDTABLES FOR MORE 393 00:18:11,867 --> 00:18:13,369 COMMUNITY INPUT BEFORE MAKING A 394 00:18:13,369 --> 00:18:17,740 FINAL DECISION. 395 00:18:17,740 --> 00:18:21,344 I'D LIKE TO PROVIDE AN UPDATE ON 396 00:18:21,344 --> 00:18:22,678 RECOMMENDATIONS ON THE ACD SUB 397 00:18:22,678 --> 00:18:24,947 GROUP ON INDIVIDUALS WITH 398 00:18:24,947 --> 00:18:25,581 DISABILITIES. 399 00:18:25,581 --> 00:18:27,149 WE ESTABLISHED A DISABILITY 400 00:18:27,149 --> 00:18:28,551 SUBCOMMITTEE IN 2024 TO 401 00:18:28,551 --> 00:18:31,053 COORDINATE AND CONSULT ON 402 00:18:31,053 --> 00:18:34,323 ACTIVITIES RELATED TO THE NIH 403 00:18:34,323 --> 00:18:36,525 DEI STRATEGIC PLAN INCLUDING 404 00:18:36,525 --> 00:18:38,160 ACCESSIBILITY. 405 00:18:38,160 --> 00:18:41,997 WITHIN THE OFFICE OF THE 406 00:18:41,997 --> 00:18:44,333 DIRECTOR, THE DIVISION OF 407 00:18:44,333 --> 00:18:45,067 PROGRAM COORDINATION PLANNING 408 00:18:45,067 --> 00:18:46,402 AND STRATEGIC INITIATIVES IS 409 00:18:46,402 --> 00:18:48,404 BRINGING ON A SENIOR LEADER TO 410 00:18:48,404 --> 00:18:50,072 SUPPORT NIH WIDE ACTIVITIES ON 411 00:18:50,072 --> 00:18:53,142 DISABILITIES RESEARCH. 412 00:18:53,142 --> 00:18:55,277 WE WILL HAVE CONVERSATIONS 413 00:18:55,277 --> 00:18:56,946 ACROSS NIH STARTING THIS SUMMER 414 00:18:56,946 --> 00:18:58,781 ABOUT HOW TO COORDINATE AND 415 00:18:58,781 --> 00:18:59,615 ELEVATE RESEARCH FOR THE 416 00:18:59,615 --> 00:19:01,984 DISABILITIES COMMUNITY. 417 00:19:01,984 --> 00:19:05,521 THESE WILL BE DONE IN CLOSE 418 00:19:05,521 --> 00:19:07,056 COLLABORATION WITH SUBJECT 419 00:19:07,056 --> 00:19:08,524 MATTER EXPERTS AT NIMHD, NICHD 420 00:19:08,524 --> 00:19:09,658 AND OTHERS. 421 00:19:09,658 --> 00:19:12,762 WE'RE ALSO CONDUCTING AN 422 00:19:12,762 --> 00:19:13,863 ANALYSIS TO BETTER UNDERSTAND 423 00:19:13,863 --> 00:19:16,699 OUR CURRENT INVESTMENTS IN THIS 424 00:19:16,699 --> 00:19:18,033 AREA. 425 00:19:18,033 --> 00:19:20,536 WE EXPECT TO DEVELOP AN OVER 426 00:19:20,536 --> 00:19:21,570 ARCHING PLAN FOR COORDINATING 427 00:19:21,570 --> 00:19:23,406 NIH DISABILITIES RESEARCH AND TO 428 00:19:23,406 --> 00:19:26,842 WRITE A COMMENTARY TO SHARE 429 00:19:26,842 --> 00:19:27,143 PRIORITIES. 430 00:19:27,143 --> 00:19:30,379 AND FINALLY, I JUST WANT TO 431 00:19:30,379 --> 00:19:32,548 ACKNOWLEDGE THAT THE 432 00:19:32,548 --> 00:19:35,985 DISABILITIES COMMUNITY IS. 433 00:19:35,985 --> 00:19:38,020 INCREDIBLY DIVERSE AND ALTHOUGH 434 00:19:38,020 --> 00:19:41,924 IT IS VERY EXCITING AND WE TAKE 435 00:19:41,924 --> 00:19:43,726 THIS ON WITH GREAT ENERGY, THIS 436 00:19:43,726 --> 00:19:47,897 IS A BIG TASK AND WILL REQUIRE 437 00:19:47,897 --> 00:19:50,833 ENGAGEMENT OF REALLY LITERALLY 438 00:19:50,833 --> 00:19:52,067 EVERY PART OF NIH IN ORDER TO 439 00:19:52,067 --> 00:19:55,371 MAKE SURE WE'RE SERVING THE 440 00:19:55,371 --> 00:19:57,840 COMMUNITY PROPERLY. 441 00:19:57,840 --> 00:20:01,677 NOVEL ALTERNATIVE METHODS. 442 00:20:01,677 --> 00:20:03,145 AT THE LAST ACD MEETING IN 443 00:20:03,145 --> 00:20:04,547 DECEMBER WE HEARD FROM THE 444 00:20:04,547 --> 00:20:08,150 WORKING GROUP ON CATALYZING THE 445 00:20:08,150 --> 00:20:12,421 DEVELOPMENT AND USE OF NOVEL 446 00:20:12,421 --> 00:20:13,956 ALTERNATIVE METHODS WHICH ISSUED 447 00:20:13,956 --> 00:20:17,259 A REPORT AND SEVEN 448 00:20:17,259 --> 00:20:17,626 RECOMMENDATIONS. 449 00:20:17,626 --> 00:20:20,729 NOTE, WHILE THE WORKING GROUP 450 00:20:20,729 --> 00:20:27,303 USED NOVEL ALTERNATIVE METHODS 451 00:20:27,303 --> 00:20:29,972 OR NAMS THE REPORT DEFINED THESE 452 00:20:29,972 --> 00:20:35,578 AS INSILICO, INCHEMICO AND IN 453 00:20:35,578 --> 00:20:36,545 VITRO METHODS TO FIND AND 454 00:20:36,545 --> 00:20:40,382 REPLACE THE USE OF ANIMALS AND 455 00:20:40,382 --> 00:20:41,016 EMPHASIZE THOSE WITH THE 456 00:20:41,016 --> 00:20:43,118 GREATEST POTENTIAL FOR HUMAN 457 00:20:43,118 --> 00:20:43,853 RELEVANCE. 458 00:20:43,853 --> 00:20:45,621 I ACCEPTED THE RECOMMENDATIONS 459 00:20:45,621 --> 00:20:46,388 AND ISSUED A SUPPORTIVE 460 00:20:46,388 --> 00:20:48,257 STATEMENT IN FEBRUARY. 461 00:20:48,257 --> 00:20:49,625 OVER ALL THE REPORT SET FORTH A 462 00:20:49,625 --> 00:20:52,962 VISION FOR AN INTEGRATED ECO 463 00:20:52,962 --> 00:20:56,332 SYSTEM TO CATALYZE SCIENTIFIC 464 00:20:56,332 --> 00:20:56,599 DISCOVERY. 465 00:20:56,599 --> 00:20:58,434 EACH RECOMMENDATION WAS TIED TO 466 00:20:58,434 --> 00:20:59,802 A HIGH PRIORITY NEED AND 467 00:20:59,802 --> 00:21:00,836 INTERPLAY IS OUTLINED HERE IN 468 00:21:00,836 --> 00:21:04,573 THE DIAGRAM. 469 00:21:04,573 --> 00:21:09,979 SUCCESSFUL INTEGRATION ACROSS 470 00:21:09,979 --> 00:21:14,650 APPROACHES IN COMBINATORIAL NAMS 471 00:21:14,650 --> 00:21:17,319 AND RECOMMENDATION FIVE, WITH 472 00:21:17,319 --> 00:21:21,457 ACCESS TO INTEROPERABLE DATA 473 00:21:21,457 --> 00:21:23,759 SETS, RECOMMENDATION TWO. 474 00:21:23,759 --> 00:21:27,296 PART OF THE RECOMMENDATION IS 475 00:21:27,296 --> 00:21:28,397 EFFECTIVE TECHNOLOGY 476 00:21:28,397 --> 00:21:29,231 DISSEMINATION, RECOMMENDATION 477 00:21:29,231 --> 00:21:31,133 THREE AND ENGAGEMENT WITH END 478 00:21:31,133 --> 00:21:34,770 USERS TO MAKE SURE THE APPROACH 479 00:21:34,770 --> 00:21:36,205 IS SOCIALLY RESPONSIBLE, 480 00:21:36,205 --> 00:21:37,406 RECOMMENDATION SIX AND FIT FOR 481 00:21:37,406 --> 00:21:37,640 PURPOSE. 482 00:21:37,640 --> 00:21:45,314 THERE MUST BE AVENUES FOR 483 00:21:45,314 --> 00:21:47,082 COMPREHENSIVE TRAINING AND 484 00:21:47,082 --> 00:21:47,683 WORKSHOPS AND INFRASTRUCTURE 485 00:21:47,683 --> 00:21:51,453 PEOPLE CAN USE TO LEARN. 486 00:21:51,453 --> 00:21:54,423 THIS SYNTHESIS ACROSS MODELS AND 487 00:21:54,423 --> 00:21:58,694 FIELDS ENABLES A VIRTUOUS CYCLE 488 00:21:58,694 --> 00:22:00,996 WHERE APPROACH METHODS RESEARCH 489 00:22:00,996 --> 00:22:02,698 INFORMS WORK IN OTHER MODELS. 490 00:22:02,698 --> 00:22:05,401 ALSO INFORMS HUMAN HEALTH FROM 491 00:22:05,401 --> 00:22:06,602 WHICH WE CAN USE BIOMEDICAL DATA 492 00:22:06,602 --> 00:22:09,838 TO FURTHER IMPROVE MODELS. 493 00:22:09,838 --> 00:22:15,277 IMPLEMENTATION PLANNING IS 494 00:22:15,277 --> 00:22:16,545 UNDERWAY AND ASSESS 495 00:22:16,545 --> 00:22:18,314 PRIORITIZATION AND FEASIBILITY 496 00:22:18,314 --> 00:22:19,815 AND IDENTIFY WHICH ARE MOST 497 00:22:19,815 --> 00:22:21,650 APPROPRIATE FOR INVOLVEMENT AND 498 00:22:21,650 --> 00:22:23,118 ENGAGING THROUGH AN ONGOING DATA 499 00:22:23,118 --> 00:22:25,521 CALL TO ALL OF NIH AROUND WORK 500 00:22:25,521 --> 00:22:28,057 IN THIS AREA AND WITH ICOs 501 00:22:28,057 --> 00:22:28,657 EXPECTED TO HAVE PARTICULARLY 502 00:22:28,657 --> 00:22:31,894 HEAVY LIFTS HERE. 503 00:22:31,894 --> 00:22:34,363 SO FOR EXAMPLE, NLM AND THE 504 00:22:34,363 --> 00:22:37,600 OFFICE OF DATA SCIENCE STRATEGY 505 00:22:37,600 --> 00:22:41,003 FOR DATA, NIE HS FOR THEIR 506 00:22:41,003 --> 00:22:42,771 INVOLVEMENT OF TOXICOLOGY. 507 00:22:42,771 --> 00:22:46,742 AFTER COMPLETING THIS STEP WE'LL 508 00:22:46,742 --> 00:22:48,410 DEVELOP METRICS TO TRACK 509 00:22:48,410 --> 00:22:48,677 PROGRESS. 510 00:22:48,677 --> 00:22:49,912 A LOT OF WORK IS ALREADY 511 00:22:49,912 --> 00:22:51,246 UNDERWAY AND I PARTICULARLY 512 00:22:51,246 --> 00:22:53,582 WOULD LIKE TO HIGHLIGHT A COMMON 513 00:22:53,582 --> 00:22:56,552 FUND PROGRAM TARGETING AT 514 00:22:56,552 --> 00:23:01,590 EXACTLY THIS AREA. 515 00:23:01,590 --> 00:23:04,226 THE COMMON FUND PROGRAM 516 00:23:04,226 --> 00:23:06,362 COMPLEMENT ANIMAL RESEARCH AND 517 00:23:06,362 --> 00:23:06,996 EXPERIMENTATION OR COMPLEMENTARY 518 00:23:06,996 --> 00:23:07,630 IS MAKING GREAT STRIDES IN THIS 519 00:23:07,630 --> 00:23:09,198 AREA. 520 00:23:09,198 --> 00:23:13,402 THE PROGRAM ALIGNS WITH ACD 521 00:23:13,402 --> 00:23:15,971 RECOMMENDATIONS AND SPANS NIH 522 00:23:15,971 --> 00:23:19,842 WITH REPRESENTATION FROM 23ICOs. 523 00:23:19,842 --> 00:23:22,044 THE MISSION IS TO CATALYZE THE 524 00:23:22,044 --> 00:23:24,847 DEVELOPMENT, STANDARDIZATION, 525 00:23:24,847 --> 00:23:27,316 VALIDATION AND USE OF 526 00:23:27,316 --> 00:23:28,951 HUMAN-BASED NEW APPROACH 527 00:23:28,951 --> 00:23:30,719 METHODOLOGIES THAT WILL 528 00:23:30,719 --> 00:23:32,788 TRANSFORM THE WAY WE DO BASIC 529 00:23:32,788 --> 00:23:33,355 TRANSLATIONAL AND CLINICAL 530 00:23:33,355 --> 00:23:40,929 SCIENCES. 531 00:23:40,929 --> 00:23:46,635 THE PROGRAM SPEEDS THE USE OF 532 00:23:46,635 --> 00:23:51,273 HUMAN-BASED NAMS. 533 00:23:51,273 --> 00:23:52,775 COMPLEMENT-ARIE HAD A RETREAT 534 00:23:52,775 --> 00:23:55,344 AND RAN A PROGRAM FOR NEW 535 00:23:55,344 --> 00:23:56,879 APPROACH IN NAMES A $1 MILLION 536 00:23:56,879 --> 00:24:02,051 TOTAL WAS AWARDED TO 20 DIVERSE 537 00:24:02,051 --> 00:24:03,952 TEAMS SOLUTIONS PROPOSE NEW WAYS 538 00:24:03,952 --> 00:24:05,554 TO CONDUCT BASIC RESEARCH, 539 00:24:05,554 --> 00:24:07,556 UNCOVER DISEASE MECHANISMS AN 540 00:24:07,556 --> 00:24:12,528 TRANSLATE KNOWLEDGE INTO 541 00:24:12,528 --> 00:24:15,764 PRODUCTS AND PRACTICE. 542 00:24:15,764 --> 00:24:17,633 PRIVATE-PUBLIC PARTNERSHIPS WITH 543 00:24:17,633 --> 00:24:19,568 THE NIH. 544 00:24:19,568 --> 00:24:21,970 WE'RE EXCITED TO SEE HOW THESE 545 00:24:21,970 --> 00:24:23,005 RECOMMENDATIONS ADVANCE THE AREA 546 00:24:23,005 --> 00:24:25,708 OF SCIENCE AND ALSO DEMONSTRATES 547 00:24:25,708 --> 00:24:29,144 ON A VERY COMPREHENSIVE LEVEL 548 00:24:29,144 --> 00:24:31,380 NIH'S COMMITMENT TO THE 549 00:24:31,380 --> 00:24:35,517 APPROPRIATE AND ETHICAL USE OF 550 00:24:35,517 --> 00:24:41,123 ANIMALS FOR BIOMEDICAL RESEARCH. 551 00:24:41,123 --> 00:24:43,192 I'D LIKE TO SAY WORDS ABOUT THE 552 00:24:43,192 --> 00:24:44,359 PROGRAMS AND INITIATIVES. 553 00:24:44,359 --> 00:24:46,929 I'LL TOUCH ON THE FIRST FOUR 554 00:24:46,929 --> 00:24:47,930 BRIEFLY SINCE YOU'LL HEAR MORE 555 00:24:47,930 --> 00:24:50,532 DURING THE REST OF THE MEETING. 556 00:24:50,532 --> 00:24:55,070 FIRST, CARE FOR HEALTH. 557 00:24:55,070 --> 00:24:56,138 WE'RE ALL DEEPLY CONCERNED ABOUT 558 00:24:56,138 --> 00:24:59,208 THE OVER ALL HEALTH OF THE 559 00:24:59,208 --> 00:24:59,575 U.S. POPULATION. 560 00:24:59,575 --> 00:25:02,044 IT IS NOT AS GOOD AS IT SHOULD 561 00:25:02,044 --> 00:25:04,113 BE AND WE'RE NOT ON THE RIGHT 562 00:25:04,113 --> 00:25:05,047 TRACK. 563 00:25:05,047 --> 00:25:08,550 AS THE GRAPH SHOWS THE LIFE 564 00:25:08,550 --> 00:25:12,121 EXPECTANCY AND LOWER THAN SOME 565 00:25:12,121 --> 00:25:13,422 CONSIDERABLY POORER NATION. 566 00:25:13,422 --> 00:25:16,525 THIS IS THOUGH WE SPEND MUCH 567 00:25:16,525 --> 00:25:21,063 MUCH MORE ON OUR HEALTH SYSTEM. 568 00:25:21,063 --> 00:25:22,664 WE ALSO ACKNOWLEDGE AS ONE OF 569 00:25:22,664 --> 00:25:25,100 OUR CORE PRINCIPLES THAT OUR 570 00:25:25,100 --> 00:25:29,138 WORK IS NOT FINISHED WHEN WE 571 00:25:29,138 --> 00:25:30,139 DELIVER SCIENTIFIC DISCOVERIES. 572 00:25:30,139 --> 00:25:32,474 OUR WORK IS ONLY FINISHED WHEN 573 00:25:32,474 --> 00:25:34,710 ALL PEOPLE ARE LIVING LONG AND 574 00:25:34,710 --> 00:25:35,611 HEALTHY LIVES. 575 00:25:35,611 --> 00:25:38,313 SO, I'M VERY EXCITED THAT LAST 576 00:25:38,313 --> 00:25:41,049 WEEK WE LAUNCHED IN PILOT FORM A 577 00:25:41,049 --> 00:25:44,486 PROGRAM THAT IS VERY CLOSE TO MY 578 00:25:44,486 --> 00:25:44,686 HEART. 579 00:25:44,686 --> 00:25:46,221 YOU WILL HEAR MORE ABOUT THIS 580 00:25:46,221 --> 00:25:46,755 PROGRAM LATER TODAY. 581 00:25:46,755 --> 00:25:49,424 CARE FOR HEALTH WILL ALLOW NIH 582 00:25:49,424 --> 00:25:52,528 TO CONNECT WITH PRIMARY CARE 583 00:25:52,528 --> 00:25:53,729 PROVIDERS AND THEIR PATIENTS 584 00:25:53,729 --> 00:25:59,635 GIVING THEM AC STES TO RESEARCH 585 00:25:59,635 --> 00:26:01,270 SAYS TO RESEARCH AND THE 586 00:26:01,270 --> 00:26:03,639 OPPORTUNITY TO PARTICIPATE IN 587 00:26:03,639 --> 00:26:05,140 CLINICAL TRIALS AND FOCUS ON THE 588 00:26:05,140 --> 00:26:08,310 POPULATIONS EXPERIENCING THE 589 00:26:08,310 --> 00:26:10,112 CHALLENGES IN HEALTH PRIMARILY 590 00:26:10,112 --> 00:26:11,814 RESPONSIBLE FOR OUR DECLINING 591 00:26:11,814 --> 00:26:15,851 LIFE EXPECTANCY. 592 00:26:15,851 --> 00:26:17,786 NEXT I'D LIKE TO BRIEFLY DISCUSS 593 00:26:17,786 --> 00:26:21,857 THE WOMEN'S HEALTH RESEARCH. 594 00:26:21,857 --> 00:26:24,626 ON MARCH 18 I JOINED OTHER NIH 595 00:26:24,626 --> 00:26:25,861 LEADERS WHEN PRESIDENT BIDEN 596 00:26:25,861 --> 00:26:28,130 SIGNED AN EXECUTIVE ORDER TO 597 00:26:28,130 --> 00:26:29,765 PRIORITIZE WOMEN'S HEALTH 598 00:26:29,765 --> 00:26:31,400 RESEARCH ACROSS THE FEDERAL 599 00:26:31,400 --> 00:26:33,535 RESEARCH PORTFOLIO. 600 00:26:33,535 --> 00:26:37,372 THIS FOLLOWED HIS STATE OF THE 601 00:26:37,372 --> 00:26:39,074 UNION ADDRESS LAYING OUT A 602 00:26:39,074 --> 00:26:40,209 VISION FOR TRANSFORMING WOMEN'S 603 00:26:40,209 --> 00:26:41,310 HEALTH RESEARCH. 604 00:26:41,310 --> 00:26:44,479 THE EXECUTIVE ORDER INITIATED AN 605 00:26:44,479 --> 00:26:49,251 NIH WIDE EFFORT TO INVEST $200 606 00:26:49,251 --> 00:26:52,054 MILLION IN FISCAL YEAR 2025 TO 607 00:26:52,054 --> 00:26:54,289 FUND PROJECT IN WOMEN'S HEALTH 608 00:26:54,289 --> 00:26:54,556 RESEARCH. 609 00:26:54,556 --> 00:26:55,991 THE NEW DIRECTIVES WILL MAKE 610 00:26:55,991 --> 00:26:59,461 SURE IT'S INTEGRATED AND 611 00:26:59,461 --> 00:27:00,162 PRIORITIZED ACROSS THE FEDERAL 612 00:27:00,162 --> 00:27:01,396 GOVERNMENT INCLUDING IN THE 613 00:27:01,396 --> 00:27:04,533 DEPARTMENT OF DEFENSE, THE V.A., 614 00:27:04,533 --> 00:27:06,335 THE NATIONAL SCIENCE FOUNDATION 615 00:27:06,335 --> 00:27:07,202 AS WELL AS OTHER AGENCIES IN THE 616 00:27:07,202 --> 00:27:08,537 DEPARTMENT OF HEALTH AND HUMAN 617 00:27:08,537 --> 00:27:09,872 SERVICES. 618 00:27:09,872 --> 00:27:11,173 WE'LL HEAR MORE ABOUT WOMEN'S 619 00:27:11,173 --> 00:27:13,609 HEALTH RESEARCH AND POLICIES 620 00:27:13,609 --> 00:27:19,882 FROM DOCTORS TARA SCHWETZ AND 621 00:27:19,882 --> 00:27:20,849 DR. CLAYTON. 622 00:27:20,849 --> 00:27:22,584 NEXT, RECOVER. 623 00:27:22,584 --> 00:27:23,485 YOU'LL HEAR MORE LATER IN THE 624 00:27:23,485 --> 00:27:24,953 MEETING BUT I WANT TO TOUCH ON 625 00:27:24,953 --> 00:27:26,555 THE PROGRAM BRIEFLY BECAUSE IT 626 00:27:26,555 --> 00:27:27,789 IS SO IMPORTANT AND SO MANY 627 00:27:27,789 --> 00:27:31,126 PEOPLE ARE COUNTING ON IT. 628 00:27:31,126 --> 00:27:33,195 AS YOU CAN SEE FROM THE SLIDE WE 629 00:27:33,195 --> 00:27:35,063 HAVEN'T BEEN JUST SITTING ON OUR 630 00:27:35,063 --> 00:27:35,597 HANDS. 631 00:27:35,597 --> 00:27:38,767 RECOVER IS ONE THEIR WORLD'S 632 00:27:38,767 --> 00:27:39,868 LARGEST AND MOST DIVERSE LONG 633 00:27:39,868 --> 00:27:43,171 COVID COHORTS AND THE ONLY ONE 634 00:27:43,171 --> 00:27:44,840 THAT IS DEEPLY CHARACTERIZED. 635 00:27:44,840 --> 00:27:48,343 RECOVER HAS CREATED A NETWORK OF 636 00:27:48,343 --> 00:27:49,978 NEARLY 300 RESEARCH SITES WHICH 637 00:27:49,978 --> 00:27:52,214 ARE UNIVERSITIES, HOSPITALS AND 638 00:27:52,214 --> 00:27:53,949 CLINICS WHERE HUNDREDS OF LONG 639 00:27:53,949 --> 00:27:55,417 COVID RESEARCHERS ACROSS THE 640 00:27:55,417 --> 00:27:58,453 NATION ARE WORKING WITH NEARLY 641 00:27:58,453 --> 00:28:01,423 90,000 ADULT AND PEDIATRIC 642 00:28:01,423 --> 00:28:02,891 RESEARCH PARTICIPANTS CONDUCTING 643 00:28:02,891 --> 00:28:04,459 MEDICAL EVALUATIONS AND 644 00:28:04,459 --> 00:28:06,561 COLLECTING DATA AND BIO 645 00:28:06,561 --> 00:28:06,828 SPECIMENS. 646 00:28:06,828 --> 00:28:07,896 AND THEN ANALYZING AND SHARING 647 00:28:07,896 --> 00:28:10,966 THE DATA AND RESULTS BROADLY 648 00:28:10,966 --> 00:28:13,035 WITH THE RESEARCH COMMUNITY, 649 00:28:13,035 --> 00:28:15,337 PHYSICIANS, PATIENTS AND THE 650 00:28:15,337 --> 00:28:15,837 PUBLIC. 651 00:28:15,837 --> 00:28:17,673 RECOVER CLINICAL TRIALS ARE 652 00:28:17,673 --> 00:28:19,675 ADAPTIVE MEANING THEY ARE DESIGN 653 00:28:19,675 --> 00:28:21,643 TO EVALUATE MULTIPLE TREATMENT 654 00:28:21,643 --> 00:28:22,010 SIMULTANEOUSLY. 655 00:28:22,010 --> 00:28:23,412 THIS METHOD ENABLES THE BEST 656 00:28:23,412 --> 00:28:25,414 TREATMENTS TO GET TO PATIENTS 657 00:28:25,414 --> 00:28:31,119 MORE QUICKLY THAN IN TRADITIONAL 658 00:28:31,119 --> 00:28:31,420 TRIALS. 659 00:28:31,420 --> 00:28:33,188 IMPORTANTLY, THEY'RE ALSO 660 00:28:33,188 --> 00:28:35,991 DESIGNED WITH SOLID END POINTS 661 00:28:35,991 --> 00:28:41,129 TO DELIVER DEFINITIVE RESULTS. 662 00:28:41,129 --> 00:28:41,964 SOMETHING THAT THAT IS VERY 663 00:28:41,964 --> 00:28:45,968 DIFFICULT WITH A DISEASE AS 664 00:28:45,968 --> 00:28:49,805 COMPLEX AND HETEROGENEOUS AS 665 00:28:49,805 --> 00:28:51,473 LONG COVID. 666 00:28:51,473 --> 00:28:53,275 INTERVENTION CAN IN THE BE 667 00:28:53,275 --> 00:28:54,609 SHOWING PROMISE QUICKLY THE 668 00:28:54,609 --> 00:28:56,011 TRIALS CAN QUICKLY PIVOT TO TEST 669 00:28:56,011 --> 00:28:59,181 NEW INTERVENTIONS. 670 00:28:59,181 --> 00:29:01,416 IN FEBRUARY THE PROJECT RECEIVED 671 00:29:01,416 --> 00:29:07,422 AN INFUSION OF ADDITIONAL $15 672 00:29:07,422 --> 00:29:10,659 MILLION AND WE ANNOUNCED 673 00:29:10,659 --> 00:29:11,693 CLINICAL TRIALS AND THE PROGRESS 674 00:29:11,693 --> 00:29:12,527 IN TREATING LONG COVID TOMORROW 675 00:29:12,527 --> 00:29:16,031 MORNING. 676 00:29:16,031 --> 00:29:16,231 BRAIN. 677 00:29:16,231 --> 00:29:19,401 YOU'LL HEAR MORE ABOUT THE BRAIN 678 00:29:19,401 --> 00:29:22,904 INITIATIVE FROM THE PROGRAM 679 00:29:22,904 --> 00:29:24,539 DIRECTOR DR. NGAI AND BRIEFLY 680 00:29:24,539 --> 00:29:29,678 TOUCHED ON IT NOW. 681 00:29:29,678 --> 00:29:30,679 THIS INITIATIVE HAS TRANSFORMED 682 00:29:30,679 --> 00:29:31,646 THE FIELD IN WAYS WE COULDN'T 683 00:29:31,646 --> 00:29:34,549 HAVE PREDICTED WHEN WE STARTED. 684 00:29:34,549 --> 00:29:35,717 THE INITIATIVE BUILT AND SHARE 685 00:29:35,717 --> 00:29:37,119 TOOLS TO OFFER A NEW LENS ON THE 686 00:29:37,119 --> 00:29:37,886 BRAIN. 687 00:29:37,886 --> 00:29:40,155 IN SHORT, WE HAVE NOW MUCH 688 00:29:40,155 --> 00:29:44,426 BETTER MAPS TO NAVIGATE THE 689 00:29:44,426 --> 00:29:45,227 WORLD'S MOST COMPLEX COMPUTER. 690 00:29:45,227 --> 00:29:48,764 BRAIN HAS GIVEN RESEARCHERS THE 691 00:29:48,764 --> 00:29:50,298 FLEXIBILITY TO BUILD TEAMS OF 692 00:29:50,298 --> 00:29:52,200 EXPERTS IN DIFFERENT FIELDS LIKE 693 00:29:52,200 --> 00:29:54,236 A START-UP ENVIRONMENT. 694 00:29:54,236 --> 00:29:57,873 THE MULTI-DISCIPLINARY TEAMS 695 00:29:57,873 --> 00:30:00,542 MADE RESEARCH FASTER AND MORE 696 00:30:00,542 --> 00:30:01,410 EFFICIENT BRINGING TREATMENTS 697 00:30:01,410 --> 00:30:07,783 CLOSER IN REACH. 698 00:30:07,783 --> 00:30:09,785 NOW TO THE CANCER MOON SHOT 699 00:30:09,785 --> 00:30:13,188 SUPPORTED THROUGH THE 21st 700 00:30:13,188 --> 00:30:14,523 CENTURY'S CURES ACT HELPED FUEL 701 00:30:14,523 --> 00:30:17,959 THE WORK THAT LED TO A LARGE 702 00:30:17,959 --> 00:30:21,329 BODY OF ACCOMPLISHMENTS. 703 00:30:21,329 --> 00:30:24,533 PUBLICATIONS, 78 PATENT 704 00:30:24,533 --> 00:30:25,734 APPLICATIONS, 89 CLINICAL 705 00:30:25,734 --> 00:30:26,001 TRIALS. 706 00:30:26,001 --> 00:30:30,472 NEW NETWORKS THAT ACHIEVED 707 00:30:30,472 --> 00:30:30,939 SIGNIFICANT ADVANCES 708 00:30:30,939 --> 00:30:32,240 PARTICULARLY IN CELL THERAPY FOR 709 00:30:32,240 --> 00:30:36,044 SOLID TUMORS, IDENTIFYING NEW 710 00:30:36,044 --> 00:30:41,249 ANTIGEN TARGETS, ENGINEERING AND 711 00:30:41,249 --> 00:30:47,055 MORE EFFICIENT EFFECTIVE T CELLS 712 00:30:47,055 --> 00:30:51,159 AND OVERCOMING T CELL 713 00:30:51,159 --> 00:30:51,560 EXHAUSTION. 714 00:30:51,560 --> 00:30:52,561 POWERFUL INFRASTRUCTURE 715 00:30:52,561 --> 00:30:54,763 INCLUDING THE DATA COMMONS THAT 716 00:30:54,763 --> 00:30:56,098 BRINGS TOGETHER MASSIVE AMOUNTS 717 00:30:56,098 --> 00:30:57,165 OF DATA IN THE CLOUD AND MAKES 718 00:30:57,165 --> 00:31:00,068 IT EASIER FOR SCIENTISTS TO 719 00:31:00,068 --> 00:31:00,569 CONDUCT ANALYSES. 720 00:31:00,569 --> 00:31:06,174 THE HUMAN TUMOR ATLAS NETWORK 721 00:31:06,174 --> 00:31:08,577 CHANGES OUR ABILITY TO 722 00:31:08,577 --> 00:31:10,112 UNDERSTAND THE BIOLOGY OF 723 00:31:10,112 --> 00:31:11,813 PRECANCERS AND HOW THEY EVOLVE 724 00:31:11,813 --> 00:31:13,482 AND HOW TUMORS INTERACT WITH THE 725 00:31:13,482 --> 00:31:15,450 CELLS AND TISSUES AROUND THEM. 726 00:31:15,450 --> 00:31:19,654 NEW THERAPIES FOR ENDOMETRIAL 727 00:31:19,654 --> 00:31:21,656 CANCER AND HODGKIN LYMPHOMA. 728 00:31:21,656 --> 00:31:26,261 THE FIRST FDA APPROVED DRUG FOR 729 00:31:26,261 --> 00:31:30,799 SOFT PART SARCOMA A RARE CANCER 730 00:31:30,799 --> 00:31:33,268 THAT ATTACKS MAIM ADOLESCENT AND 731 00:31:33,268 --> 00:31:35,837 YOUNG ADULT PATIENTS. 732 00:31:35,837 --> 00:31:39,241 AND THE MOONSHOT WAS RE-IGNITED 733 00:31:39,241 --> 00:31:42,377 BY PRESIDENT BIDEN IN 2022. 734 00:31:42,377 --> 00:31:43,912 THIS EMPHASIZES AN ALL OF 735 00:31:43,912 --> 00:31:44,946 GOVERNMENT APPROACH WHERE 736 00:31:44,946 --> 00:31:48,016 EVERYONE HAS A ROLE. 737 00:31:48,016 --> 00:31:55,423 THE NEW GOALS ARE A -- 738 00:31:55,423 --> 00:32:03,899 ATTAINABLE AND IT WILL TAKE 739 00:32:03,899 --> 00:32:04,533 CONTINUED INVESTMENT AND 740 00:32:04,533 --> 00:32:12,307 STRATEGIC COLLABORATION. 741 00:32:12,307 --> 00:32:14,376 NCI/NIH IS MEETING THE GOALS AND 742 00:32:14,376 --> 00:32:16,378 ACHIEVING THE GOALS OF THE 743 00:32:16,378 --> 00:32:19,447 CANCER MOONSHOT AND THE 744 00:32:19,447 --> 00:32:21,449 COMPREHENSIVE ALL OF SOCIETY 745 00:32:21,449 --> 00:32:23,518 NATIONAL CANCER PLAN REQUIRES 746 00:32:23,518 --> 00:32:25,353 BEING INNOVATIVE DESPITE 747 00:32:25,353 --> 00:32:27,722 HEADWINDS AND BREAKING DOWN 748 00:32:27,722 --> 00:32:30,692 SILOS AND ENGAGING EVERY PERSON 749 00:32:30,692 --> 00:32:32,394 IN REDUCING SUFFERING FROM 750 00:32:32,394 --> 00:32:32,627 CANCER. 751 00:32:32,627 --> 00:32:34,262 NUMBER OF NEW INITIATIVES HAVE 752 00:32:34,262 --> 00:32:37,732 LAUNCHED SINCE THE RE-IGNITE. 753 00:32:37,732 --> 00:32:41,269 CANCER MOON SHOT SCHOLARS SEEK 754 00:32:41,269 --> 00:32:49,778 TO DIVERSIFY THE R01 PORTFOLIO 755 00:32:49,778 --> 00:32:50,845 INCREASING DIVERSE BACKGROUNDS. 756 00:32:50,845 --> 00:32:53,248 THE VANGUARD STUDY WILL LAUNCH 757 00:32:53,248 --> 00:32:56,384 IN 2025 TO EVALUATE WHETHER 758 00:32:56,384 --> 00:32:57,819 MULTI-CANCER DETECTION TESTS AND 759 00:32:57,819 --> 00:32:59,788 EMERGING TECHNOLOGIES ACTUALLY 760 00:32:59,788 --> 00:33:03,959 HELP TO EXTEND PEOPLE'S LIVES 761 00:33:03,959 --> 00:33:06,695 AND UNDERSTAND HOW TO USE THEM 762 00:33:06,695 --> 00:33:08,330 SO THEY BENEFIT EVERYONE. 763 00:33:08,330 --> 00:33:11,967 TRACE OR THE TELERESEARCH 764 00:33:11,967 --> 00:33:13,001 CENTERS OF CLEANSE INITIATIVE 765 00:33:13,001 --> 00:33:17,305 SUPPORTS FOUR CENTERS TO DEVELOP 766 00:33:17,305 --> 00:33:20,809 AN EVIDENCE-BASED APPROACHES TO 767 00:33:20,809 --> 00:33:23,511 CANCER CARE AND SPANNING 768 00:33:23,511 --> 00:33:25,247 PREVENTION TO SURVIVORSHIP AND 769 00:33:25,247 --> 00:33:30,185 ENGAGING OUR RURAL COMMUNITIES. 770 00:33:30,185 --> 00:33:34,456 THE ARPA-H COLLABORATION BETWEEN 771 00:33:34,456 --> 00:33:37,626 ARPA-H, NCI, NCATS, NIDA AND THE 772 00:33:37,626 --> 00:33:38,727 OFFICE OF THE NATIONAL 773 00:33:38,727 --> 00:33:39,060 COORDINATORS. 774 00:33:39,060 --> 00:33:42,163 THE GOAL IS TO MAKE IT EASIER TO 775 00:33:42,163 --> 00:33:43,398 CONNECT BIOMEDICAL RESEARCH DATA 776 00:33:43,398 --> 00:33:46,701 FROM THOUSANDS OF SOURCES AND TO 777 00:33:46,701 --> 00:33:49,537 OVERCOME BARRIERS CAUSED BY 778 00:33:49,537 --> 00:33:52,474 INCOMPATIBLE DATA DIALECTS. 779 00:33:52,474 --> 00:33:54,309 IT THE THREAD TOGETHER RESEARCH 780 00:33:54,309 --> 00:33:55,310 TO HELP THE SCIENTIFIC COMMUNITY 781 00:33:55,310 --> 00:33:57,612 FIND AND SHARE MEDICAL INSIGHTS 782 00:33:57,612 --> 00:34:00,081 MORE EASILY SO WE BREAK DOWN 783 00:34:00,081 --> 00:34:02,350 RESEARCH SILOS, LEARN FROM THE 784 00:34:02,350 --> 00:34:03,952 EXPERIENCES OF MORE PATIENTS AND 785 00:34:03,952 --> 00:34:07,422 DELIVER HEALTH SOLUTIONS TO 786 00:34:07,422 --> 00:34:08,790 PEOPLE MORE QUICKLY. 787 00:34:08,790 --> 00:34:11,026 NAVIGATE IS A COLLABORATION 788 00:34:11,026 --> 00:34:13,295 BETWEEN NCI AND VETERAN AFFAIRS 789 00:34:13,295 --> 00:34:16,965 TO INCREASE THE ENROLLMENT OF 790 00:34:16,965 --> 00:34:19,901 VETERANS WITH CANCER TO NCI 791 00:34:19,901 --> 00:34:20,769 FUNDED CLINICAL TRIAL. 792 00:34:20,769 --> 00:34:22,937 THE V.A. MANAGES IT OWN LARGE 793 00:34:22,937 --> 00:34:24,739 PROGRAM INCLUDING MORE THAN 100 794 00:34:24,739 --> 00:34:27,742 SITES NATIONWIDE FOR DISEASES 795 00:34:27,742 --> 00:34:29,411 THAT INCLUDE CANCER BUT IT'S 796 00:34:29,411 --> 00:34:31,212 FACILITIES OFTEN FACE CHALLENGES 797 00:34:31,212 --> 00:34:31,746 INITIATING AND COMPLETING 798 00:34:31,746 --> 00:34:33,615 TRIALS. 799 00:34:33,615 --> 00:34:35,817 THE PROGRAM IS EXPECTED TO 800 00:34:35,817 --> 00:34:38,620 ENHANCE ACCRUALS TO TRIALS 801 00:34:38,620 --> 00:34:39,988 CARRIED OUT THROUGH THE NATIONAL 802 00:34:39,988 --> 00:34:41,890 CLINICAL TRIALS NETWORK AND THE 803 00:34:41,890 --> 00:34:45,060 NCI COMMUNITY ONCOLOGY RESEARCH 804 00:34:45,060 --> 00:34:46,928 PROGRAM HELPING COMPLETE TRIALS 805 00:34:46,928 --> 00:34:51,866 IN A MORE TIMELY WAY WHILE 806 00:34:51,866 --> 00:34:53,401 ADVANCING THE HEALTH OF VETERANS 807 00:34:53,401 --> 00:34:57,072 WITH CANCER. 808 00:34:57,072 --> 00:35:00,542 THE INVESTIGATION OF RAS/RAF 809 00:35:00,542 --> 00:35:02,510 LIFE CYCLE IS A COLLABORATION 810 00:35:02,510 --> 00:35:03,345 BETWEEN THE DEPARTMENT OF ENERGY 811 00:35:03,345 --> 00:35:10,518 AND NCI FOCUSSING ON MOLECULAR 812 00:35:10,518 --> 00:35:13,822 UNDERSTANDING OF THE ACTIVATION. 813 00:35:13,822 --> 00:35:18,927 USING MACHINE LEARNING TO 814 00:35:18,927 --> 00:35:26,434 CAPTURE THE EFFORT OF 815 00:35:26,434 --> 00:35:27,068 INTERACTIONS INCLUDING THE AT 816 00:35:27,068 --> 00:35:28,269 THE CELL MEMBRANE. 817 00:35:28,269 --> 00:35:30,205 THIS IS TAKING OUR UNDERSTANDING 818 00:35:30,205 --> 00:35:33,675 OF THE SIGNAL TRANSDUCTION 819 00:35:33,675 --> 00:35:34,642 PATHWAY WHOSE ABERRANT 820 00:35:34,642 --> 00:35:36,544 ACTIVATION PLAYS A ROLE IN SO 821 00:35:36,544 --> 00:35:41,683 MANY CANCERS THAT WE'RE NOT 822 00:35:41,683 --> 00:35:43,485 SUCCESSFUL IN TREATING TO 823 00:35:43,485 --> 00:35:46,421 GREATER RESOLUTION THAN BEFORE. 824 00:35:46,421 --> 00:35:48,523 SMOKE-FREE NATIVE IS A 825 00:35:48,523 --> 00:35:54,262 COLLABORATION TO SEND FREE TEXT 826 00:35:54,262 --> 00:35:56,264 MESSAGES TO HELP AMERICAN 827 00:35:56,264 --> 00:35:59,868 INDIANS AND ALASKAN NATIVES QUIT 828 00:35:59,868 --> 00:36:02,504 SPOKING TOBACCO. 829 00:36:02,504 --> 00:36:03,872 AWARDS TO IMPROVE EQUITY IN 830 00:36:03,872 --> 00:36:05,106 CANCER SCREENING REPRESENT THE 831 00:36:05,106 --> 00:36:08,042 FIRST OF ITS KIND PARTNERSHIP 832 00:36:08,042 --> 00:36:09,944 AMONG HEALTH CENTERS AND NCI 833 00:36:09,944 --> 00:36:12,447 CANCER CENTER TO CLOSE THE 834 00:36:12,447 --> 00:36:14,649 SCREENING GAP FOR UNDER SERVED 835 00:36:14,649 --> 00:36:16,251 COMMUNITIES, DECREASE THE IMPACT 836 00:36:16,251 --> 00:36:17,986 OF PREVENTIBLE CANCERS AND 837 00:36:17,986 --> 00:36:21,956 SUPPORT PATIENTS AND CAREGIVERS. 838 00:36:21,956 --> 00:36:23,691 WE TALKED EARLIER ABOUT THE NEED 839 00:36:23,691 --> 00:36:26,194 FOR MORE WOMEN'S HEALTH 840 00:36:26,194 --> 00:36:26,728 RESEARCH. 841 00:36:26,728 --> 00:36:29,364 WE ALSO NEED MORE RESEARCH THAT 842 00:36:29,364 --> 00:36:31,032 ADDRESSES HEALTH AND WELL BEING 843 00:36:31,032 --> 00:36:34,002 ACROSS THE ENTIRE LIFE SPAN. 844 00:36:34,002 --> 00:36:34,836 CHILDREN HAVE SPECIFIC HEALTH 845 00:36:34,836 --> 00:36:38,506 ISSUES AND ADOLESCENCE IS A TIME 846 00:36:38,506 --> 00:36:39,707 OF MANY CHALLENGES. 847 00:36:39,707 --> 00:36:41,543 I'D LIKE IT TALK ABOUT NIH 848 00:36:41,543 --> 00:36:43,111 RESEARCH THAT APPLIES TO 849 00:36:43,111 --> 00:36:46,381 CHILDREN AND ADOLESCENTS. 850 00:36:46,381 --> 00:36:47,382 FIRST, WE KNOW MANY PARENTS 851 00:36:47,382 --> 00:36:50,452 ACROSS THE COUNTRY ARE CONCERNED 852 00:36:50,452 --> 00:36:52,187 ABOUT THE AFFECTS OF DIGITAL 853 00:36:52,187 --> 00:36:54,722 MEDIA AND SCREEN TIME ON THEIR 854 00:36:54,722 --> 00:36:55,924 CHILDREN AND TEENS. 855 00:36:55,924 --> 00:36:57,225 NIH SUPPORTS A BROAD RANGE OF 856 00:36:57,225 --> 00:36:58,993 RESEARCH TO UNDERSTAND THE 857 00:36:58,993 --> 00:37:00,528 EFFECTS MUCH TECHNOLOGY AND 858 00:37:00,528 --> 00:37:02,797 DIGITAL MEDIA ON CHILD 859 00:37:02,797 --> 00:37:03,465 DEVELOPMENT FROM PRESCHOOLERS TO 860 00:37:03,465 --> 00:37:06,968 TEENAGERS. 861 00:37:06,968 --> 00:37:07,902 RECENT FINDINGS INCLUDE TWO 862 00:37:07,902 --> 00:37:10,438 RESULTS FROM THE ADOLESCENT 863 00:37:10,438 --> 00:37:12,907 BRAIN AND COGNITIVE DEVELOPMENT 864 00:37:12,907 --> 00:37:17,312 OR ABCD STUDY. 865 00:37:17,312 --> 00:37:19,481 HIGHER SCREEN TIME USE IS 866 00:37:19,481 --> 00:37:21,683 ASSOCIATED WITH DISRUPTIVE 867 00:37:21,683 --> 00:37:24,986 BEHAVIOR DISORDERS AGES 9-11 AND 868 00:37:24,986 --> 00:37:28,022 DEVELOPING OBSESSIVE COMPULSIVE 869 00:37:28,022 --> 00:37:29,357 DISORDER AND INTERNALIZING 870 00:37:29,357 --> 00:37:32,994 PROBLEMS IN CHILDREN AGE 9-10. 871 00:37:32,994 --> 00:37:35,497 CYBER BULLYING IS ASSOCIATED 872 00:37:35,497 --> 00:37:38,066 WITH EATING DISORDER SYMPTOMS IN 873 00:37:38,066 --> 00:37:38,466 ADOLESCENTS. 874 00:37:38,466 --> 00:37:41,269 RESEARCH ALSO HIGHLIGHTS SOME 875 00:37:41,269 --> 00:37:42,537 POSITIVE USES. 876 00:37:42,537 --> 00:37:44,339 RESEARCHERS DEVELOPED A DIGITAL 877 00:37:44,339 --> 00:37:46,875 SCREENING TOOL TO IMPROVE EARLY 878 00:37:46,875 --> 00:37:47,976 DETECTION OF AUTISM. 879 00:37:47,976 --> 00:37:52,380 GOING BACK TO THE ABC STUDY, 880 00:37:52,380 --> 00:37:56,084 THIS IS A LONGITUDINAL STUDY OF 881 00:37:56,084 --> 00:37:59,454 12,000 CHILDREN 9-10 TO EARLY 882 00:37:59,454 --> 00:37:59,721 ADULTHOOD. 883 00:37:59,721 --> 00:38:01,656 THIS DIVERSE COHORT REPRESENTS 884 00:38:01,656 --> 00:38:03,291 THE RACIAL AND ETHNIC 885 00:38:03,291 --> 00:38:06,427 COMPOSITION OFF THE COUNTRY AND 886 00:38:06,427 --> 00:38:08,396 IT'S GOING TO ASSESS FACTORS 887 00:38:08,396 --> 00:38:10,565 THAT INFLUENCE INDIVIDUAL BRAIN 888 00:38:10,565 --> 00:38:12,634 DEVELOPMENT TRAJECTORIES AND 889 00:38:12,634 --> 00:38:15,937 FUNCTIONAL OUTCOMES. 890 00:38:15,937 --> 00:38:19,474 THE PREDICTING VIRAL ASSOCIATED 891 00:38:19,474 --> 00:38:24,512 INFLAMMATORY DISEASE SEVERITY IN 892 00:38:24,512 --> 00:38:28,550 CHILDREN WITH LABORATORY 893 00:38:28,550 --> 00:38:32,186 DIAGNOSTICS STUDY IS PART OF THE 894 00:38:32,186 --> 00:38:33,955 RAD X PROGRAM TO DEVELOP TOOLS 895 00:38:33,955 --> 00:38:37,492 TO UNDERSTAND THE SPECTRUM OF 896 00:38:37,492 --> 00:38:40,528 PEDIATRIC SARS COV2 ILLNESS 897 00:38:40,528 --> 00:38:41,896 INCLUDING THE NEW INFLAMMATORY 898 00:38:41,896 --> 00:38:45,533 SYSTEM IN CHILDREN MISC. 899 00:38:45,533 --> 00:38:48,336 NEARLY 250,000 PATIENTS WERE 900 00:38:48,336 --> 00:38:50,572 ENROLLED BY EIGHT INVESTIGATIVE 901 00:38:50,572 --> 00:38:52,240 TEAMS ACROSS 75 SITES IN 30 902 00:38:52,240 --> 00:38:52,840 STATES IN COLLABORATION WITH 903 00:38:52,840 --> 00:38:55,476 NATIONAL PARTNERS. 904 00:38:55,476 --> 00:38:56,544 -- INTERNATIONAL PARTNERS. 905 00:38:56,544 --> 00:38:59,480 THE RESULTS ARE THE STUDY 906 00:38:59,480 --> 00:39:01,916 IDENTIFIED SIGNATURES OF FIVE 907 00:39:01,916 --> 00:39:05,553 GENES THAT DISTINGUISH MISC FROM 908 00:39:05,553 --> 00:39:07,889 KAWASAKI DISEASE AND OTHER 909 00:39:07,889 --> 00:39:11,960 INFECTIONS AND SHOWING MISC AND 910 00:39:11,960 --> 00:39:14,829 KAWASAKI DISEASE MAY SHARE 911 00:39:14,829 --> 00:39:15,396 SIMILAR IMMUNOPATHOGENIC 912 00:39:15,396 --> 00:39:18,099 PATHWAYS BY IL15. 913 00:39:18,099 --> 00:39:21,102 ONE RESEARCH GROUP ALSO DESIGN A 914 00:39:21,102 --> 00:39:22,904 FIRST-GENERATION BIO SENSOR CHIP 915 00:39:22,904 --> 00:39:27,041 TO IDENTIFY NEW MISC BIOMARKER 916 00:39:27,041 --> 00:39:28,710 SIGNATURES FROM SMALL VOLUME OF 917 00:39:28,710 --> 00:39:31,479 A SALIVA SAMPLE AND A FEW 918 00:39:31,479 --> 00:39:33,348 RESEARCH TEAMS HAVE PRODUCTS ON 919 00:39:33,348 --> 00:39:38,186 THE PATH TO COMMERCIALIZATION. 920 00:39:38,186 --> 00:39:41,789 UNINTENTIONAL INJURIES ARE THE 921 00:39:41,789 --> 00:39:44,525 LEADING CAUSE OF DEATH AND 922 00:39:44,525 --> 00:39:46,094 DROWNING IS THE MOST COMMON 923 00:39:46,094 --> 00:39:46,561 INJURY DEATH. 924 00:39:46,561 --> 00:39:48,630 AS WE HEAD TO SUMMER THESE ARE 925 00:39:48,630 --> 00:39:51,799 STARK REMINDERS. 926 00:39:51,799 --> 00:39:54,102 NOTABLY SIGNIFICANT RACIAL AND 927 00:39:54,102 --> 00:39:57,138 SOCIO ECONOMIC DISPARITIES IN 928 00:39:57,138 --> 00:39:57,772 DROWNING DEATH RATES. 929 00:39:57,772 --> 00:40:00,408 NIH IS LOOKING INTO THE CAUSES 930 00:40:00,408 --> 00:40:01,676 ON DISPARITY AND WORKING ON 931 00:40:01,676 --> 00:40:04,846 SOLUTION TO IMPROVE OUTCOMES. 932 00:40:04,846 --> 00:40:07,281 RESEARCHERS ARE CURRENTLY 933 00:40:07,281 --> 00:40:10,051 INVESTIGATING A VIRTUAL REALITY 934 00:40:10,051 --> 00:40:10,818 LIFE GUARD SURVEILLANCE 935 00:40:10,818 --> 00:40:11,552 ENVIRONMENT INFORM TRAINING 936 00:40:11,552 --> 00:40:13,354 TOOLS AND STRATEGIES FOCUSSING 937 00:40:13,354 --> 00:40:15,890 ON HOW SWIMMING INSTRUCTION MAY 938 00:40:15,890 --> 00:40:17,825 AFFECT AUTISTIC CHILDREN'S 939 00:40:17,825 --> 00:40:19,494 SWIMMING AND WATER SAFETY SKILLS 940 00:40:19,494 --> 00:40:22,897 AND ASSESSING THE EFFECTIVENESS 941 00:40:22,897 --> 00:40:24,532 OF PUBLIC POLICY INTERVENTIONS 942 00:40:24,532 --> 00:40:25,333 IN REDUCING DISPARITIES IN 943 00:40:25,333 --> 00:40:28,102 DROWNING. 944 00:40:28,102 --> 00:40:34,108 NOW, TO CONSIDER THE YOUNGEST OF 945 00:40:34,108 --> 00:40:34,509 CHILDREN. 946 00:40:34,509 --> 00:40:38,579 MORE THAN HALF OF WOMEN WHO 947 00:40:38,579 --> 00:40:40,515 BREAST FEED TAKE AT LEAST ONE 948 00:40:40,515 --> 00:40:42,183 PRESCRIPTION DRUG THOUGH 2% OF 949 00:40:42,183 --> 00:40:44,185 COMMON MEDICATIONS HAVE BEEN 950 00:40:44,185 --> 00:40:45,386 TESTED FOR USE DURING BREAST 951 00:40:45,386 --> 00:40:45,620 FEEDING. 952 00:40:45,620 --> 00:40:51,025 FOR MANY MEDICATION S WE HAVE 953 00:40:51,025 --> 00:40:52,427 NO IDEA HOW MUCH DRUG IS 954 00:40:52,427 --> 00:40:56,531 TRANSFERRED TO THE INFANT. 955 00:40:56,531 --> 00:40:57,799 THE COMMON USED DRUGS IS WORKING 956 00:40:57,799 --> 00:41:00,068 TO BUILD EVIDENCE FOR MOMS AND 957 00:41:00,068 --> 00:41:01,703 DOCTORS TO INFORM THEIR 958 00:41:01,703 --> 00:41:02,870 DECISIONS WHEN BREAST FEEDING. 959 00:41:02,870 --> 00:41:05,840 THE STUDY COLLECTS SAMPLES FROM 960 00:41:05,840 --> 00:41:08,042 MOTHER AND BABY TO LEARN MORE 961 00:41:08,042 --> 00:41:11,245 HOW A DRUG IS TRANSFERRED OR NOT 962 00:41:11,245 --> 00:41:13,881 AND ULTIMATELY TO SHOW IF IT'S 963 00:41:13,881 --> 00:41:18,886 SAFE TO USE AND AT WHAT DOSE. 964 00:41:18,886 --> 00:41:21,923 WE HAVE DRUGS ENROLLED WITH THE 965 00:41:21,923 --> 00:41:23,157 CAPACITY TO STUDY ADDITIONAL 966 00:41:23,157 --> 00:41:23,458 DRUGS. 967 00:41:23,458 --> 00:41:26,194 MORE THAN 60% OF DRUGS USED IN 968 00:41:26,194 --> 00:41:27,595 CHILDREN ARE NOT LABELLED OR 969 00:41:27,595 --> 00:41:30,364 APPROVED FOR USE IN PEDIATRIC 970 00:41:30,364 --> 00:41:30,665 POPULATIONS. 971 00:41:30,665 --> 00:41:33,334 THE BEST PHARMACEUTICALS FOR 972 00:41:33,334 --> 00:41:40,942 CHILDREN ACT FIRST BECAME LAW IN 973 00:41:40,942 --> 00:41:41,375 2002. 974 00:41:41,375 --> 00:41:44,078 AT NIH WE PRIORITIZE WHICH DRUGS 975 00:41:44,078 --> 00:41:45,913 NEED FURTHER STUDY IN PEDIATRICS 976 00:41:45,913 --> 00:41:50,184 AND SPONSOR CLINICAL STUDIES OF 977 00:41:50,184 --> 00:41:51,119 THE PRIORITIZED DRUGS. 978 00:41:51,119 --> 00:41:53,020 THEY'RE CARRIED OUT IN LARGE 979 00:41:53,020 --> 00:41:54,222 PART BY THE PEDIATRIC CLINICAL 980 00:41:54,222 --> 00:41:55,389 TRIALS NETWORK. 981 00:41:55,389 --> 00:41:57,225 THIS INFRASTRUCTURE INCLUDES 982 00:41:57,225 --> 00:41:59,327 MORE THAN 300 CLINICAL SITES TO 983 00:41:59,327 --> 00:42:02,363 STUDY THE FORMULATION, DOSING, 984 00:42:02,363 --> 00:42:03,464 EFFICACY AND SAFETY OF DRUGS AS 985 00:42:03,464 --> 00:42:05,366 WELL AS THE DEVELOPMENT OF 986 00:42:05,366 --> 00:42:07,568 MEDICAL DEVICES USED IN 987 00:42:07,568 --> 00:42:08,236 PEDIATRIC PATIENTS. 988 00:42:08,236 --> 00:42:10,738 TO DATE THE PEDIATRIC TRIALS 989 00:42:10,738 --> 00:42:12,473 NETWORK HAS ENROLLED MORE THAN 990 00:42:12,473 --> 00:42:18,045 12, 500 PATIENTS IN 54 STUDIES 991 00:42:18,045 --> 00:42:19,280 ACROSS 21 THERAPEUTIC AREAS. 992 00:42:19,280 --> 00:42:21,682 27 PRODUCTS HAVE BEEN SUBMITTED 993 00:42:21,682 --> 00:42:24,318 TO THE FDA FOR REVIEW AND 20 994 00:42:24,318 --> 00:42:25,887 LABEL CHANGES HAVE MADE THE USE 995 00:42:25,887 --> 00:42:28,523 OF THESE MEDICATIONS SAFER IN 996 00:42:28,523 --> 00:42:30,591 CHILDREN. 997 00:42:30,591 --> 00:42:33,060 I WANT TO GO BACK ONE MORE TIME 998 00:42:33,060 --> 00:42:34,762 TO THE ADOLESCENT BRAIN 999 00:42:34,762 --> 00:42:37,331 COGNITIVE DEVELOPMENT STUDY. 1000 00:42:37,331 --> 00:42:39,066 THIS LONGITUDINAL STUDY BEGAN AS 1001 00:42:39,066 --> 00:42:41,569 A JOIN EFFORT OF MULTIPLE 1002 00:42:41,569 --> 00:42:44,005 INSTITUTES IN 2018. 1003 00:42:44,005 --> 00:42:45,006 INCLUDING NIDA, NATIONAL 1004 00:42:45,006 --> 00:42:50,978 INSTITUTE OF MENTAL HEALTH, 1005 00:42:50,978 --> 00:42:55,049 NIDCR, NHLBI AND OD AND OTHER 1006 00:42:55,049 --> 00:42:56,684 FEDERAL PARTNERS. 1007 00:42:56,684 --> 00:42:59,053 OVER 1,000 MANUSCRIPTS HAVE BEEN 1008 00:42:59,053 --> 00:43:01,455 PUBLISHED INCLUDING MANY 1009 00:43:01,455 --> 00:43:04,592 RESEARCHERS NOT FUNDED -- 1010 00:43:04,592 --> 00:43:07,528 INCLUDING MANY NOT FUNNED 1011 00:43:07,528 --> 00:43:10,131 THROUGH ABCD AND THEY'RE BEING 1012 00:43:10,131 --> 00:43:11,465 CITED FROM ORGANIZATIONS LIKE 1013 00:43:11,465 --> 00:43:12,200 THE URBAN INSTITUTE AND THE 1014 00:43:12,200 --> 00:43:14,468 WORLD HEALTH ORGANIZATION. 1015 00:43:14,468 --> 00:43:16,704 FOR EXAMPLE, ONE STUDY PUBLISHED 1016 00:43:16,704 --> 00:43:18,639 LAST YEAR, NATURE AND 1017 00:43:18,639 --> 00:43:20,341 COMMUNICATIONS FOUND ROBUST 1018 00:43:20,341 --> 00:43:21,676 STATE-LEVEL ANTI-POVERTY 1019 00:43:21,676 --> 00:43:23,811 PROGRAMS REDUCED THE DISPARITIES 1020 00:43:23,811 --> 00:43:26,314 IN BRAIN DEVELOPMENT, ANXIETY 1021 00:43:26,314 --> 00:43:27,448 AND DEPRESSION BETWEEN CHILDREN 1022 00:43:27,448 --> 00:43:28,516 FROM LOW AND HIGH-INCOME 1023 00:43:28,516 --> 00:43:29,717 FAMILIES. 1024 00:43:29,717 --> 00:43:32,053 THIS PAPER WAS CITED BY A REPORT 1025 00:43:32,053 --> 00:43:34,121 FROM THE URBAN INSTITUTE ABOUT 1026 00:43:34,121 --> 00:43:35,723 THE HIGH RETURN ON INVESTMENT 1027 00:43:35,723 --> 00:43:37,758 FROM PROGRAMS THAT REDUCE 1028 00:43:37,758 --> 00:43:39,093 POVERTY. 1029 00:43:39,093 --> 00:43:41,462 STUDIES LIKE THIS PROVIDE 1030 00:43:41,462 --> 00:43:43,865 REAL-WORLD EVIDENCE THAT 1031 00:43:43,865 --> 00:43:47,969 INTERVENING AND SOCIAL MEDIAS OF 1032 00:43:47,969 --> 00:43:49,937 HEALTH CAN AFFECT BRAIN 1033 00:43:49,937 --> 00:43:51,172 DEVELOPMENT AND SHOWED THE 1034 00:43:51,172 --> 00:43:53,574 IMPORTANCE OF DATA SHARING FROM 1035 00:43:53,574 --> 00:43:56,777 LARGE NIH INITIATIVES. 1036 00:43:56,777 --> 00:43:59,814 THE LAST PROGRAM I'D LIKE TO 1037 00:43:59,814 --> 00:44:02,717 TALK ABOUT IS RESEARCH IS 1038 00:44:02,717 --> 00:44:06,053 ALZHEIMER'S AND RELATED 1039 00:44:06,053 --> 00:44:06,387 DEMENTIAS. 1040 00:44:06,387 --> 00:44:09,523 IT'S LAID THE GROUND WORK FOR 1041 00:44:09,523 --> 00:44:11,292 ADVANCES IN ALZHEIMER'S AND 1042 00:44:11,292 --> 00:44:12,193 RELATED DEMENTIA RESEARCH 1043 00:44:12,193 --> 00:44:13,427 INCLUDING IMPROVING OUR 1044 00:44:13,427 --> 00:44:14,595 INFORMATION OF THE UNDERLYING 1045 00:44:14,595 --> 00:44:17,031 BIOLOGY OF THESE DISEASES AND 1046 00:44:17,031 --> 00:44:19,033 IDENTIFYING IMPORTANT NEW 1047 00:44:19,033 --> 00:44:20,501 TARGETS FOR PREVENTION AND 1048 00:44:20,501 --> 00:44:21,769 TREATMENT. 1049 00:44:21,769 --> 00:44:23,271 DEVELOPING NEW APPROACHES TO 1050 00:44:23,271 --> 00:44:25,139 TREATING AND PREVENTING 1051 00:44:25,139 --> 00:44:26,807 DEMENTIAS AROUND WE'RE ALSO 1052 00:44:26,807 --> 00:44:29,677 SEEING ADVANCES IN CLINICAL CARE 1053 00:44:29,677 --> 00:44:30,311 STRATEGIES AND SUPPORT SYSTEMS 1054 00:44:30,311 --> 00:44:34,248 FOR FAMILIES AND CAREGIVERS. 1055 00:44:34,248 --> 00:44:35,616 THE FIELD TODAY LOOKS VERY 1056 00:44:35,616 --> 00:44:36,584 DIFFERENT THAN IT DID JUST A FEW 1057 00:44:36,584 --> 00:44:39,020 YEARS AGO. 1058 00:44:39,020 --> 00:44:41,889 THIS TABLE COMPARES WHAT WE HAD 1059 00:44:41,889 --> 00:44:45,459 AT THE END OF 2023 VERSUS SEVEN 1060 00:44:45,459 --> 00:44:47,528 YEARS PRIOR IN 2016. 1061 00:44:47,528 --> 00:44:51,565 NOTE THAT 2016 IS WHEN NIH 1062 00:44:51,565 --> 00:44:53,267 STARTED RECEIVING LARGE 1063 00:44:53,267 --> 00:44:54,602 INCREASES IN CONGRESSIONAL 1064 00:44:54,602 --> 00:44:56,037 APPROPRIATIONS FOR ALZHEIMER'S 1065 00:44:56,037 --> 00:45:01,042 AND RELATED DEMENTIA RESEARCH. 1066 00:45:01,042 --> 00:45:02,576 AS A RESULT, NIH FUNDED RESEARCH 1067 00:45:02,576 --> 00:45:04,378 THE FIELD HAS MORE DIAGNOSTIC 1068 00:45:04,378 --> 00:45:06,380 TOOLS INCLUDING SOME LOW-COST 1069 00:45:06,380 --> 00:45:10,584 AND MINIMALLY INVASIVE BIOMARKER 1070 00:45:10,584 --> 00:45:10,785 TESTS. 1071 00:45:10,785 --> 00:45:13,888 FOR EXAMPLE, PROCLIVITY AD AND 1072 00:45:13,888 --> 00:45:18,059 PROCLIVITY AD2 WHICH CAN DETECT 1073 00:45:18,059 --> 00:45:22,396 AMYLOID AND TAU IN THE BLOOD. 1074 00:45:22,396 --> 00:45:23,798 THE TESTS MAY BE USEFUL FOR 1075 00:45:23,798 --> 00:45:24,365 DETECTION AND RESPONSE TO 1076 00:45:24,365 --> 00:45:24,632 TREATMENT. 1077 00:45:24,632 --> 00:45:27,134 THE FIELD HAS SEVERAL NEW 1078 00:45:27,134 --> 00:45:28,836 APPROACHES TO MANAGING SYMPTOMS 1079 00:45:28,836 --> 00:45:31,405 INCLUDING A FLU PHARMACOLOGIC 1080 00:45:31,405 --> 00:45:34,408 TREATMENT FOR AGITATION-RELATED 1081 00:45:34,408 --> 00:45:35,843 TO ALZHEIMER'S DISEASE AND 1082 00:45:35,843 --> 00:45:37,845 SEVERAL BEHAVIORAL AND CARE 1083 00:45:37,845 --> 00:45:40,414 INTERVENTIONS. 1084 00:45:40,414 --> 00:45:42,650 NOTABLY WE NOW HAVE AN FDA 1085 00:45:42,650 --> 00:45:44,552 APPROVED THERAPY FOR ALZHEIMER'S 1086 00:45:44,552 --> 00:45:46,687 DISEASE AS WELL AS ANOTHER ONE 1087 00:45:46,687 --> 00:45:49,090 CURRENTLY UNDER REVIEW, I 1088 00:45:49,090 --> 00:45:53,928 BELIEVE, RENTLY -- RECENTLY 1089 00:45:53,928 --> 00:45:54,195 APPROVE. 1090 00:45:54,195 --> 00:45:56,530 ONE IS AIM AT DIFFERENT STAGES 1091 00:45:56,530 --> 00:45:59,300 OF DISEASE INCLUDING ONE IN 1092 00:45:59,300 --> 00:46:03,304 COMBINATION WITH ANANTI-TAU 1093 00:46:03,304 --> 00:46:08,242 THERAPY AND MANY FARM KEY -- 1094 00:46:08,242 --> 00:46:10,311 PHARMACOLOGIC AND 1095 00:46:10,311 --> 00:46:11,545 NON-PHARMACOLOGIC INTERVENTIONS 1096 00:46:11,545 --> 00:46:14,615 SO THE FIELD HAS MADE STRIDES IN 1097 00:46:14,615 --> 00:46:19,420 UNDERSTANDING THE FACTORS 1098 00:46:19,420 --> 00:46:23,791 RELATED TO RISK AND PREVENTION. 1099 00:46:23,791 --> 00:46:25,726 AND MANY ARE EDUCATIONAL AND 1100 00:46:25,726 --> 00:46:27,294 SOCIAL STATUS TO WHERE SOMEONE 1101 00:46:27,294 --> 00:46:29,930 LIVES TO THEIR PHYSICAL ACTIVITY 1102 00:46:29,930 --> 00:46:30,131 LEVEL. 1103 00:46:30,131 --> 00:46:31,065 SEVERAL INTERVENTION APPROACHES 1104 00:46:31,065 --> 00:46:33,267 ARE BEING TESTED IN CLINICAL 1105 00:46:33,267 --> 00:46:34,268 TRIALS. 1106 00:46:34,268 --> 00:46:37,204 RECENT STUDIES HAVE ON THE 1107 00:46:37,204 --> 00:46:38,906 AGGRESSIVELY CONTROLLING BLOOD 1108 00:46:38,906 --> 00:46:41,475 PRESSURE, TAKING MULTI-VITAMINS 1109 00:46:41,475 --> 00:46:42,510 AND ADDRESSING HEARING 1110 00:46:42,510 --> 00:46:44,045 IMPAIRMENTS APPEAR TO REDUCE THE 1111 00:46:44,045 --> 00:46:48,282 RISK OF DEVELOPING DEMENTIA. 1112 00:46:48,282 --> 00:46:49,550 PERSONALIZED HEALTH COACHING 1113 00:46:49,550 --> 00:46:51,752 SHOWS PROMISE FOR IMPROVING 1114 00:46:51,752 --> 00:46:53,487 COGNITION AND REDUCING RISKS AND 1115 00:46:53,487 --> 00:46:54,655 OTHER INTERVENTIONS TARGETING 1116 00:46:54,655 --> 00:46:57,925 DIET, SLEEP AND ENVIRONMENTAL 1117 00:46:57,925 --> 00:46:59,693 EXPOSURES ARE ALSO UNDER 1118 00:46:59,693 --> 00:47:00,661 INVESTIGATION BY NIH FUNDED 1119 00:47:00,661 --> 00:47:04,498 RESEARCHERS. 1120 00:47:04,498 --> 00:47:08,536 SO, NOW, BEFORE WRAPPING UP I'LL 1121 00:47:08,536 --> 00:47:10,337 CLOSE WITH A FEW BRIEF SCIENCE 1122 00:47:10,337 --> 00:47:10,771 HIGHLIGHT. 1123 00:47:10,771 --> 00:47:13,307 THESE ARE TOPICS FEATURED IN MY 1124 00:47:13,307 --> 00:47:15,943 BLOG OVER THE LAST FEW MONTHS. 1125 00:47:15,943 --> 00:47:21,615 APRIL 16 WE HAD A POST ABOUT A 1126 00:47:21,615 --> 00:47:30,925 NEW MACHINE LEARNING APPROACH 1127 00:47:30,925 --> 00:47:32,827 TO DELIVER FASTER DIAGNOSIS FOR 1128 00:47:32,827 --> 00:47:36,764 RARE GENTIC DISORDERS. 1129 00:47:36,764 --> 00:47:40,034 FEBRUARY 13 I DESCRIBED WORK BY 1130 00:47:40,034 --> 00:47:41,602 NIH SCIENTIST TO PRODUCE AN 1131 00:47:41,602 --> 00:47:43,537 ATLAS SHOWING THE PATTERNS OF 1132 00:47:43,537 --> 00:47:45,306 GENE ACTIVITY THAT TAKE PLACE IN 1133 00:47:45,306 --> 00:47:47,341 DIFFERENT TYPES OF CELLS OF THE 1134 00:47:47,341 --> 00:47:48,075 PLACENTA DURING LABOR. 1135 00:47:48,075 --> 00:47:50,010 THE STUDY WAS THE FIRST TO 1136 00:47:50,010 --> 00:47:52,079 ANALYZE GENE ACTIVITY IN THE 1137 00:47:52,079 --> 00:47:55,082 PLACENTA AT THE SINGLE-CELL 1138 00:47:55,082 --> 00:47:56,250 LEVEL TO BETTER UNDERSTAND THE 1139 00:47:56,250 --> 00:47:56,984 COMMUNICATION THAT OCCURS 1140 00:47:56,984 --> 00:48:00,488 BETWEEN MATERNAL AND FETAL CELLS 1141 00:48:00,488 --> 00:48:03,390 AND TISSUES DURING LABOR. 1142 00:48:03,390 --> 00:48:05,292 THESE RESEARCHERS FOUND CELLS IN 1143 00:48:05,292 --> 00:48:07,361 THE MEMBRANES WHICH RUPTURE AS 1144 00:48:07,361 --> 00:48:12,533 PART OF LABOR AND DELIVERY SHOW 1145 00:48:12,533 --> 00:48:18,772 GREAT CHANGES IN MRNA CELLS AND 1146 00:48:18,772 --> 00:48:20,040 INFLAMMATORY SIGNALS PLAYED A 1147 00:48:20,040 --> 00:48:22,810 ROLE IN SUSTAINING LABOR. 1148 00:48:22,810 --> 00:48:23,744 THE IMPORTANCE OF THIS IN THE 1149 00:48:23,744 --> 00:48:25,546 FUTURE, WE MAY BE ABLE TO 1150 00:48:25,546 --> 00:48:28,983 MONITOR CHANGES IN GENE ACTIVITY 1151 00:48:28,983 --> 00:48:32,253 PATTERNS IN THE BLOODSTREAM 1152 00:48:32,253 --> 00:48:34,889 BEFORE LABOR SO HEALTH CARE 1153 00:48:34,889 --> 00:48:37,258 PROVIDERS CAN INTERVENE IF 1154 00:48:37,258 --> 00:48:38,959 NECESSARY, FOR EXAMPLE, TO 1155 00:48:38,959 --> 00:48:40,261 PREVENT PRETERM BIRTH. 1156 00:48:40,261 --> 00:48:42,763 MY APRIL 25 POST WAS ABOUT A 1157 00:48:42,763 --> 00:48:44,532 STUDY THAT SUGGESTED AN ANTIBODY 1158 00:48:44,532 --> 00:48:46,267 TREATMENT TARGETED TO THE BRAIN 1159 00:48:46,267 --> 00:48:48,536 COULD BLOCK THE INTERACTION 1160 00:48:48,536 --> 00:48:54,141 BETWEEN APOE PROTEINS AND LILIB4 1161 00:48:54,141 --> 00:48:57,378 RECEPTORS ENABLING MICROGLIA 1162 00:48:57,378 --> 00:48:59,513 IMMUNE CELLS TO CLEAR AWAY 1163 00:48:59,513 --> 00:49:01,882 AMYLOID PLAQUE THEN FIRST 1164 00:49:01,882 --> 00:49:04,285 APPROVED DRUG FOR TREATING 1165 00:49:04,285 --> 00:49:05,853 ALZHEIMER'S REDUCES AMYLOID 1166 00:49:05,853 --> 00:49:06,987 PLAQUE SO IT SEEMS TO BE A 1167 00:49:06,987 --> 00:49:09,557 PROMISING APPROACH. 1168 00:49:09,557 --> 00:49:12,526 NEXT MY POST ON MAY 30 HAD 1169 00:49:12,526 --> 00:49:14,728 BEAUTIFUL GRAPHICS ACCOMPANYING 1170 00:49:14,728 --> 00:49:15,796 IT PROVIDED BY THE RESEARCHERS. 1171 00:49:15,796 --> 00:49:18,899 IT WAS ABOUT A STUDY SUPPORTED 1172 00:49:18,899 --> 00:49:20,100 IN PART BY THE NIH BRAIN 1173 00:49:20,100 --> 00:49:21,202 INITIATIVE IN WHICH RESEARCHERS 1174 00:49:21,202 --> 00:49:23,237 TOOK A PORTION OF THE HUMAN 1175 00:49:23,237 --> 00:49:25,472 BRAIN THAT'S ABOUT THE SIZE OF 1176 00:49:25,472 --> 00:49:28,108 HALF A GRAIN OF RICE AND CREATED 1177 00:49:28,108 --> 00:49:31,111 THE MOST DETAILED NANO SCALE 1178 00:49:31,111 --> 00:49:33,681 RESOLUTION RECONSTRUCTION OF IT. 1179 00:49:33,681 --> 00:49:37,551 THIS TINY PIECE OF HEALTHY BRAIN 1180 00:49:37,551 --> 00:49:41,789 CONTAINED ABOUT 57,000 CELLS OF 1181 00:49:41,789 --> 00:49:44,058 DIFFERENT TYPES, 230 MILLIMETERS 1182 00:49:44,058 --> 00:49:46,727 OF BLOOD VESSELS AND 150 MILLION 1183 00:49:46,727 --> 00:49:50,531 NEURAL CONNECTIONS ALONG WITH 1184 00:49:50,531 --> 00:49:52,533 PROTECTIVE MYELIN. 1185 00:49:52,533 --> 00:49:58,239 THE RESEARCHERS USED ELECTRONIC 1186 00:49:58,239 --> 00:50:00,874 MICROSCOPY IN VIVID DETAIL. 1187 00:50:00,874 --> 00:50:04,011 THIS IS WHERE RESEARCHERS WILL 1188 00:50:04,011 --> 00:50:05,346 PRODUCE AN EQUALLY DETAILED MAP 1189 00:50:05,346 --> 00:50:07,681 OF A COMPLETE MOUSE BRAIN ABOUT 1190 00:50:07,681 --> 00:50:10,985 100 TIMES BIGGER THAN THE TINY 1191 00:50:10,985 --> 00:50:12,486 HUMAN BRAIN FRAGMENT USED HERE. 1192 00:50:12,486 --> 00:50:14,255 WITH THAT I WILL CLOSE. 1193 00:50:14,255 --> 00:50:15,990 I APPRECIATE THE OPPORTUNITY TO 1194 00:50:15,990 --> 00:50:17,358 SPEAK WITH YOU TODAY AND I'D BE 1195 00:50:17,358 --> 00:50:19,727 VERY HAPPY TO TAKE YOUR 1196 00:50:19,727 --> 00:50:29,536 QUESTIONS. 1197 00:50:29,536 --> 00:50:32,273 MAYBE WE CAN LET NEIL AND KATE 1198 00:50:32,273 --> 00:50:33,340 PRESENT FIRST AND THEN TAKE 1199 00:50:33,340 --> 00:50:33,607 QUESTIONS. 1200 00:50:33,607 --> 00:50:43,617 NEIL, YOU'RE UP. 1201 00:50:43,617 --> 00:50:43,751 E 1202 00:50:43,751 --> 00:50:44,518 >> GOOD MORNING. 1203 00:50:44,518 --> 00:50:50,991 THANK YOU FOR ADVANCING. 1204 00:50:50,991 --> 00:50:53,661 SO FIRST, LET ME GIVE A WRAP-UP 1205 00:50:53,661 --> 00:50:55,529 OF WHAT HAS HAPPENED IN THE 1206 00:50:55,529 --> 00:50:56,530 APPROPRIATIONS AREA SINCE WE 1207 00:50:56,530 --> 00:51:00,534 LAST MET IN DECEMBER. 1208 00:51:00,534 --> 00:51:02,670 FORTUNATELY BACK IN MARCH OUR 1209 00:51:02,670 --> 00:51:05,139 FULL YEAR APPROPRIATION PASSED. 1210 00:51:05,139 --> 00:51:06,974 THAT'S WHAT'S OFTEN CALLED AN 1211 00:51:06,974 --> 00:51:09,143 OMNIBUS IN THIS CASE THERE WERE 1212 00:51:09,143 --> 00:51:11,879 TWO BILLS THAT HAD DISCRETIONARY 1213 00:51:11,879 --> 00:51:13,847 APPROPRIATIONS THE ANNUAL AMOUNT 1214 00:51:13,847 --> 00:51:17,284 FOR AGENCIES INCLUDING NIH. 1215 00:51:17,284 --> 00:51:20,554 THAT WAS AFTER A RATHER LENGTHY 1216 00:51:20,554 --> 00:51:21,422 PERIOD OF CONTINUING 1217 00:51:21,422 --> 00:51:21,722 RESOLUTIONS. 1218 00:51:21,722 --> 00:51:23,757 WE HAD FOUR THIS YEAR AND TOOK 1219 00:51:23,757 --> 00:51:25,759 US INTO MARCH WHEN THE FISCAL 1220 00:51:25,759 --> 00:51:27,561 YEAR STARTS OCTOBER 1. 1221 00:51:27,561 --> 00:51:35,035 SO WE WERE OPERATING UNDER A 1222 00:51:35,035 --> 00:51:36,270 TEMPORARY SITUATION MUCH OF THE 1223 00:51:36,270 --> 00:51:37,404 YEAR WHICH IS ALWAYS A 1224 00:51:37,404 --> 00:51:37,671 CHALLENGE. 1225 00:51:37,671 --> 00:51:40,207 BUT WE DO HAVE OUR FINAL 1226 00:51:40,207 --> 00:51:40,641 APPROPRIATIONS NOW. 1227 00:51:40,641 --> 00:51:45,179 THE OTHER THING I WANTED TO 1228 00:51:45,179 --> 00:51:46,380 MENTION IS TYPE I DIABETES 1229 00:51:46,380 --> 00:51:47,781 FUNDING IS SEPARATE. 1230 00:51:47,781 --> 00:51:49,283 IT'S CONSIDERED MANDATORY OR NOT 1231 00:51:49,283 --> 00:51:55,522 PART OF THIS ANNUAL 1232 00:51:55,522 --> 00:52:05,966 DISCRETIONARY BUT CAN GET 1233 00:52:09,937 --> 00:52:11,205 REVIEWED AND WENT THROUGH 1234 00:52:11,205 --> 00:52:12,806 CONTINUING RESOLUTIONS THROUGH 1235 00:52:12,806 --> 00:52:14,908 THE END OF THE CALENDAR YEAR AND 1236 00:52:14,908 --> 00:52:17,544 CONGRESS WAS ANTICIPATING WE 1237 00:52:17,544 --> 00:52:19,213 COULD BE UNDER A C.R. BEGINNING 1238 00:52:19,213 --> 00:52:20,881 OF NEXT FISCAL YEAR SO THE 1239 00:52:20,881 --> 00:52:23,417 DIABETES FUND WERE EXTENDED 1240 00:52:23,417 --> 00:52:24,151 THROUGH THAT PERIOD BEYOND JUST 1241 00:52:24,151 --> 00:52:25,052 THIS FISCAL YEAR. 1242 00:52:25,052 --> 00:52:33,060 THE AMOUNT WAS INCREASED TO $195 1243 00:52:33,060 --> 00:52:33,293 MILLION. 1244 00:52:33,293 --> 00:52:36,730 FOR THE LAST SEVERAL YEARS IT 1245 00:52:36,730 --> 00:52:40,534 WAS $150 MILLION AND WE PROPOSED 1246 00:52:40,534 --> 00:52:42,302 A HIGHER AMOUNT AND SO THEY'RE 1247 00:52:42,302 --> 00:52:45,105 STARTING TO MOVE IN THAT 1248 00:52:45,105 --> 00:52:46,540 INCREASED DIRECTION WE'VE BEEN 1249 00:52:46,540 --> 00:52:47,775 PROPOSING AND I'LL TALK MORE 1250 00:52:47,775 --> 00:52:49,309 ABOUT THAT LATER. 1251 00:52:49,309 --> 00:52:50,811 WE WERE HOPING IT WOULD 1252 00:52:50,811 --> 00:52:51,078 CONTINUE. 1253 00:52:51,078 --> 00:52:55,282 ONE THING THAT CONGRESS DID NOT 1254 00:52:55,282 --> 00:52:58,085 PASS WAS ANOTHER REQUEST 1255 00:52:58,085 --> 00:53:00,521 MANDATORY SEPARATE FROM THE 1256 00:53:00,521 --> 00:53:03,490 ANNUAL DISCRETIONARY FUNDS FOR 1257 00:53:03,490 --> 00:53:05,392 PANDEMIC PREPAREDNESS. 1258 00:53:05,392 --> 00:53:07,961 THAT WOULD HAVE ALLOWED US TO 1259 00:53:07,961 --> 00:53:08,996 CONTINUE WORK ON THE COVID 1260 00:53:08,996 --> 00:53:11,031 RESEARCH BUT EXPANDING IT TO 1261 00:53:11,031 --> 00:53:13,333 MORE VIRAL FAMILIES TRYING TO 1262 00:53:13,333 --> 00:53:16,303 PREPARE FOR A FUTURE. 1263 00:53:16,303 --> 00:53:17,738 HOPEFULLY A PANDEMIC THAT 1264 00:53:17,738 --> 00:53:20,441 DOESN'T OCCUR BUT SO FAR WE 1265 00:53:20,441 --> 00:53:21,008 HAVEN'T RECEIVED ADDITIONAL 1266 00:53:21,008 --> 00:53:29,850 FUNDING FOR THAT. 1267 00:53:29,850 --> 00:53:31,952 SO THIS IS A QUICK SUMMARY OF 1268 00:53:31,952 --> 00:53:33,320 WHAT CONGRESS DID FOR '24. 1269 00:53:33,320 --> 00:53:36,523 YOU CAN SEE THE PROGRAM LEVEL WE 1270 00:53:36,523 --> 00:53:37,925 LIST HERE THAT'S THE BROADEST 1271 00:53:37,925 --> 00:53:41,562 MEASURE OF OUR BUDGET INCLUDING 1272 00:53:41,562 --> 00:53:43,630 ALL SOURCES INCLUDING THE 1273 00:53:43,630 --> 00:53:45,566 MANDATORY FUNDS I'D MENTIONED 1274 00:53:45,566 --> 00:53:45,799 BEFORE. 1275 00:53:45,799 --> 00:53:47,668 A COUPLE THINGS TO POINT OUT. 1276 00:53:47,668 --> 00:53:51,371 ONE, THIS WAS A TIGHT YEAR. 1277 00:53:51,371 --> 00:53:55,476 WE HAD BEEN GOING FOR THE LAST 1278 00:53:55,476 --> 00:54:00,547 SEVERAL YEARS TO FISCAL '23 WE 1279 00:54:00,547 --> 00:54:02,249 WERE FORTUNATE TO RECEIVE 1280 00:54:02,249 --> 00:54:02,516 INCREASED. 1281 00:54:02,516 --> 00:54:04,551 THIS YEAR THAT WASN'T POSSIBLE 1282 00:54:04,551 --> 00:54:08,856 BECAUSE OF THE DISCRETIONARY 1283 00:54:08,856 --> 00:54:11,158 CAPS THAT WERE SET FOR OVER A 1284 00:54:11,158 --> 00:54:12,526 TWO-YEAR PERIOD. 1285 00:54:12,526 --> 00:54:13,927 BUT WITH STRONG CONGRESSIONAL 1286 00:54:13,927 --> 00:54:16,096 SUPPORT THE APPROPRIATIONS 1287 00:54:16,096 --> 00:54:18,732 COMMITTEE WAS ABLE TO PROVIDE 1288 00:54:18,732 --> 00:54:21,301 NEW FUNDING WE DID NOT HAVE 1289 00:54:21,301 --> 00:54:23,403 BEFORE IN THE REGULAR 1290 00:54:23,403 --> 00:54:24,705 DISCRETIONARY AMOUNT. 1291 00:54:24,705 --> 00:54:27,207 SO THAT WAS CONSIDERED AN 1292 00:54:27,207 --> 00:54:29,576 ACCOMPLISHMENT THEY WERE ABLE TO 1293 00:54:29,576 --> 00:54:34,414 DO DESPITE THESE SPENDING CAPS. 1294 00:54:34,414 --> 00:54:35,582 THAT'S THE GOOD NEWS. 1295 00:54:35,582 --> 00:54:37,551 THE BAD NEWS IS OUR FUNDING FROM 1296 00:54:37,551 --> 00:54:39,987 THE CURES ACT THIS WAS FUNDING 1297 00:54:39,987 --> 00:54:43,557 THAT IS SORT OF AN INTERESTING 1298 00:54:43,557 --> 00:54:43,824 CREATURE. 1299 00:54:43,824 --> 00:54:50,764 IT IS NOT SUBJECT TO 1300 00:54:50,764 --> 00:54:52,533 DISCRETIONARY CAPS SO IT'S 1301 00:54:52,533 --> 00:54:55,035 EASIER FOR CONGRESS TO PROVIDE 1302 00:54:55,035 --> 00:54:56,703 THAT AND HARDER TO REPLACE IT TO 1303 00:54:56,703 --> 00:54:59,273 SHIFT TO THE REGULAR BASE IT'S 1304 00:54:59,273 --> 00:55:00,474 NOW COUNTING AGAINST THE CAPS 1305 00:55:00,474 --> 00:55:05,379 WHERE THE CURES ACT FUNDING DID 1306 00:55:05,379 --> 00:55:05,846 NOT. 1307 00:55:05,846 --> 00:55:08,048 DESPITE OUR BEST EFFORTS THEY 1308 00:55:08,048 --> 00:55:12,519 WERE NOT ABLE TO BACK FILL THE 1309 00:55:12,519 --> 00:55:16,056 AMOUNT REDUCED IN THE 10 YEARS 1310 00:55:16,056 --> 00:55:18,692 CURES PROFILE WHICH WILL END 1311 00:55:18,692 --> 00:55:20,160 COMPLETELY IN 2026. 1312 00:55:20,160 --> 00:55:24,164 BUT 2023 WAS THE LAST YEAR FOR 1313 00:55:24,164 --> 00:55:25,499 THE CANCER MOONSHOT. 1314 00:55:25,499 --> 00:55:26,967 THE TWO OTHER PROGRAMS 1315 00:55:26,967 --> 00:55:28,802 CONTINUING, THE ALL OF US 1316 00:55:28,802 --> 00:55:29,937 RESEARCH PROGRAM AND BRAIN 1317 00:55:29,937 --> 00:55:31,538 INITIATIVE ARE THE ONES THAT 1318 00:55:31,538 --> 00:55:34,007 CONTINUE TO HAVE SOME CURES 1319 00:55:34,007 --> 00:55:39,079 FUNDING IN '25 AND '26. 1320 00:55:39,079 --> 00:55:42,316 SO IT'S A CHALLENGE ABOUT A 40% 1321 00:55:42,316 --> 00:55:45,686 DECREASE FOR ALL OF US IN BRAIN 1322 00:55:45,686 --> 00:55:47,187 AND THE MOONSHOT DOES NOT HAVE 1323 00:55:47,187 --> 00:55:48,322 CURES FUNDING. 1324 00:55:48,322 --> 00:55:49,222 THAT'S SOMETHING WE ARE WORKING 1325 00:55:49,222 --> 00:55:59,700 HARD TO COPE WITH THIS YEAR. 1326 00:56:00,167 --> 00:56:04,171 THIS GIVES A MORE SPECIFIC BREAK 1327 00:56:04,171 --> 00:56:06,573 DOWN TO INSTITUTES AND CENTERS. 1328 00:56:06,573 --> 00:56:09,409 THERE WAS NOT A GENERAL ACROSS 1329 00:56:09,409 --> 00:56:11,545 THE BOARD INCREASE SO MOST THE 1330 00:56:11,545 --> 00:56:12,946 INSTITUTES AND CENTERS FUNDING 1331 00:56:12,946 --> 00:56:16,516 IS FLAT TO WHERE IT WAS IN 1332 00:56:16,516 --> 00:56:18,952 FISCAL 2023. 1333 00:56:18,952 --> 00:56:24,091 THESE AREAS DID GET MORE OR LESS 1334 00:56:24,091 --> 00:56:24,625 FUNDING. 1335 00:56:24,625 --> 00:56:26,126 ALZHEIMER'S DISEASE A SMALLER 1336 00:56:26,126 --> 00:56:31,565 AMOUNT THAN PRIOR YEARS BUT 1337 00:56:31,565 --> 00:56:36,536 CONGRESS CONTINUED TO WANT TO 1338 00:56:36,536 --> 00:56:39,906 BUILD THAT AND 120 MILLION FOR 1339 00:56:39,906 --> 00:56:41,775 NCI THAT MAY HELP DEALING WITH 1340 00:56:41,775 --> 00:56:44,511 THE LACK OF CURES FUNDS FOR THE 1341 00:56:44,511 --> 00:56:45,178 MOONSHOT. 1342 00:56:45,178 --> 00:56:46,747 OBVIOUSLY A SMALLER AMOUNT AS 1343 00:56:46,747 --> 00:56:51,485 YOU CAN SEE BELOW HAD BEEN A 1344 00:56:51,485 --> 00:56:53,253 $216 MILLION FOR MOONSHOT AND 1345 00:56:53,253 --> 00:56:55,522 THESE ARE THE DECREASES TO BRAIN 1346 00:56:55,522 --> 00:56:58,825 AND ALL OF US. 1347 00:56:58,825 --> 00:56:59,926 MENTAL HEALTH RESEARCH WAS A 1348 00:56:59,926 --> 00:57:02,496 PRIORITY FOR THE ADMINISTRATION 1349 00:57:02,496 --> 00:57:03,096 AND CONGRESS. 1350 00:57:03,096 --> 00:57:05,265 SO IN THE '24 BILL CONGRESS WAS 1351 00:57:05,265 --> 00:57:09,102 ABLE TO INCREASE THAT BY $75 1352 00:57:09,102 --> 00:57:10,637 MILLION AND THE COMMON FUND GOT 1353 00:57:10,637 --> 00:57:11,204 A DECREASE. 1354 00:57:11,204 --> 00:57:13,573 I THINK THAT WAS PARTLY BECAUSE 1355 00:57:13,573 --> 00:57:16,543 IT HAD RECEIVED AN INCREASE THE 1356 00:57:16,543 --> 00:57:19,579 PRIOR YEAR HAD GONE UP $65 1357 00:57:19,579 --> 00:57:21,048 MILLION AND TOOK BACK $50 1358 00:57:21,048 --> 00:57:23,116 MILLION OF THAT TO MAKE THE 1359 00:57:23,116 --> 00:57:23,684 NUMBERS WORK. 1360 00:57:23,684 --> 00:57:28,121 IT WAS EXPRESSED TO US THERE WAS 1361 00:57:28,121 --> 00:57:31,558 NO INTENTION ON CONGRESS' PART 1362 00:57:31,558 --> 00:57:34,528 TO DEEMPHASIZE THE COMMON FUND. 1363 00:57:34,528 --> 00:57:38,965 AS MONICA HAD MENTIONED BEFORE, 1364 00:57:38,965 --> 00:57:42,369 WANTED TO TALK ABOUT THE RECOVER 1365 00:57:42,369 --> 00:57:42,669 INITIATIVE. 1366 00:57:42,669 --> 00:57:44,071 TOGETHER WITH THOSE 1367 00:57:44,071 --> 00:57:44,871 DISCRETIONARY CAPS AND AS PART 1368 00:57:44,871 --> 00:57:47,207 OF THE OVER ALL PACKAGE IN THE 1369 00:57:47,207 --> 00:57:49,710 FISCAL RESPONSIBILITY ACT, THERE 1370 00:57:49,710 --> 00:57:53,980 WERE SOME MAJOR REVISIONS OF 1371 00:57:53,980 --> 00:57:55,849 REMAINING COVID SUPPLEMENTAL 1372 00:57:55,849 --> 00:57:56,416 APPROPRIATIONS. 1373 00:57:56,416 --> 00:57:58,919 WE HAVEN'T RESPONDED A NEW COVID 1374 00:57:58,919 --> 00:57:59,586 SUPPLEMENTAL APPROPRIATION IN A 1375 00:57:59,586 --> 00:58:01,021 COUPLE YEARS. 1376 00:58:01,021 --> 00:58:02,055 THE AMOUNTS THAT WERE STILL 1377 00:58:02,055 --> 00:58:03,957 OUTSTANDING IN SOME CASES 1378 00:58:03,957 --> 00:58:07,160 CONGRESS HAS RESCINDED. 1379 00:58:07,160 --> 00:58:09,596 THAT HAS MET PRETTY INTENSE 1380 00:58:09,596 --> 00:58:11,465 COMPETITION FOR WHAT FUNDS 1381 00:58:11,465 --> 00:58:14,935 REMAIN FROM THOSE PRIOR YEAR 1382 00:58:14,935 --> 00:58:15,335 BILLS. 1383 00:58:15,335 --> 00:58:17,304 AND RECOVER INITIATIVE HAS BEEN 1384 00:58:17,304 --> 00:58:20,340 NIH'S TOP PRIORITY IN TERMS OF 1385 00:58:20,340 --> 00:58:21,742 ADVOCATING FOR A PORTION OF 1386 00:58:21,742 --> 00:58:25,011 THOSE FUNDS TO BE ALLOCATED BY 1387 00:58:25,011 --> 00:58:28,148 HHS FOR THIS TYPE OF RESEARCH. 1388 00:58:28,148 --> 00:58:31,518 AS MONICA MENTIONED THERE WAS 1389 00:58:31,518 --> 00:58:33,453 $515 MILLION ABOVE THE INITIAL 1390 00:58:33,453 --> 00:58:35,021 AMOUNT. 1391 00:58:35,021 --> 00:58:37,190 I MENTIONED IN DECEMBER THE $200 1392 00:58:37,190 --> 00:58:38,558 MILLION WE WERE ABLE TO OBTAIN 1393 00:58:38,558 --> 00:58:39,926 LAST YEAR. 1394 00:58:39,926 --> 00:58:41,628 WE GOT ANOTHER $215 MILLION. 1395 00:58:41,628 --> 00:58:43,563 WE'LL BE ABLE TO CONTINUE TO 1396 00:58:43,563 --> 00:58:45,332 MAKE PROGRESS THERE IN TERMS OF 1397 00:58:45,332 --> 00:58:45,899 CLINICAL TRIALS AND OTHER 1398 00:58:45,899 --> 00:58:53,440 ACTIVITIES. 1399 00:58:53,440 --> 00:58:59,346 THE OTHER THING THAT HAPPENED 1400 00:58:59,346 --> 00:59:05,285 THIS SPRING IS RELIEVING -- 1401 00:59:05,285 --> 00:59:06,520 RELEASING THE PRESIDENT'S BUDGET 1402 00:59:06,520 --> 00:59:09,389 AND WE ALWAYS HOPE TO HAVE A 1403 00:59:09,389 --> 00:59:10,423 BUDGET PASSED AND IT'S ONLY 1404 00:59:10,423 --> 00:59:12,359 HAPPENED ON SCHEDULE ONCE IN THE 1405 00:59:12,359 --> 00:59:15,362 LAST 20 YEARS. 1406 00:59:15,362 --> 00:59:17,264 CHANCES ARE IT WILL BE LATER IN 1407 00:59:17,264 --> 00:59:19,032 AN ELECTION YEAR REMAINS TO BE 1408 00:59:19,032 --> 00:59:19,332 SEEN. 1409 00:59:19,332 --> 00:59:21,134 THESE ARE THE PROPOSALS AND 1410 00:59:21,134 --> 00:59:24,304 PRIORITIES EXPRESSED WE HOPE TO 1411 00:59:24,304 --> 00:59:27,340 SEE IN THE '25 BILL. 1412 00:59:27,340 --> 00:59:31,378 WE TRIED TO RESTORE THE CANCER 1413 00:59:31,378 --> 00:59:33,113 MOONSHOT, IN FACT INCREASE IT TO 1414 00:59:33,113 --> 00:59:37,584 HIT THE AMBITIOUS TARGETS OF THE 1415 00:59:37,584 --> 00:59:38,952 MOONSHOT AND ADDITIONAL OTHER 1416 00:59:38,952 --> 00:59:43,223 INITIATIVES I'LL MENTION IN A 1417 00:59:43,223 --> 00:59:43,590 SECOND. 1418 00:59:43,590 --> 00:59:44,524 WE WERE ABLE TO REQUEST SMALL 1419 00:59:44,524 --> 00:59:45,525 ACROSS THE BOARD INCREASE FOR 1420 00:59:45,525 --> 00:59:47,994 INSTITUTES AND CENTERS IN 1421 00:59:47,994 --> 00:59:52,165 ADDITION TO SPECIFIC INITIATIVE 1422 00:59:52,165 --> 00:59:54,134 PRIORITIES AND WE RE-PROPOSED 1423 00:59:54,134 --> 00:59:55,035 THE PANDEMIC INITIATIVE. 1424 00:59:55,035 --> 00:59:56,469 WE STILL THINK IT WOULD BE VERY 1425 00:59:56,469 --> 00:59:59,339 IMPORTANT TO BE ABLE TO PREPARE 1426 00:59:59,339 --> 00:59:59,840 IN THE WAY THAT WE HAVE 1427 00:59:59,840 --> 01:00:07,647 REQUESTED. 1428 01:00:07,647 --> 01:00:10,550 SO IS THESE ARE DETAILS OF WHAT 1429 01:00:10,550 --> 01:00:11,685 WE WERE ABLE TO INCLUDE IN THE 1430 01:00:11,685 --> 01:00:13,587 PRESIDENT'S BUDGET. 1431 01:00:13,587 --> 01:00:16,957 FOR THE CANCER MOONSHOT IN 1432 01:00:16,957 --> 01:00:20,894 ADDITION TO BRINGING BACK THE 1433 01:00:20,894 --> 01:00:24,197 LEVELS FROM 2023 WE REQUESTED A 1434 01:00:24,197 --> 01:00:26,766 TOTAL OF $716 IN THE MANUAL 1435 01:00:26,766 --> 01:00:27,400 DISCRETIONARY APPROPRIATIONS BUT 1436 01:00:27,400 --> 01:00:28,969 THAT BY ITSELF WOULDN'T BE 1437 01:00:28,969 --> 01:00:31,438 ENOUGH TO ACHIEVE A 50% 1438 01:00:31,438 --> 01:00:33,273 REDUCTION AS PROPOSED. 1439 01:00:33,273 --> 01:00:36,543 SO WE ALSO HAVE AN ADDITIONAL 1440 01:00:36,543 --> 01:00:43,483 NEARLY $1.5 BILLION WE'VE 1441 01:00:43,483 --> 01:00:45,652 REQUESTED AS MANDATORY FUNDING 1442 01:00:45,652 --> 01:00:47,821 FOR THIS YEAR AND NEXT YEAR TO 1443 01:00:47,821 --> 01:00:49,189 ACHIEVE THE MOONSHOT GOALS. 1444 01:00:49,189 --> 01:00:55,729 WE ALSO PROPOSED TO PRE STORE -- 1445 01:00:55,729 --> 01:00:56,429 RESTORE THE BRAIN INITIATIVE AND 1446 01:00:56,429 --> 01:00:58,465 RESEARCH FUNDING PROGRAM TO THE 1447 01:00:58,465 --> 01:01:00,934 LEVEL OF 2023 BETWEEN REGULAR 1448 01:01:00,934 --> 01:01:04,170 AND CURES ACT FUNDS. 1449 01:01:04,170 --> 01:01:05,338 WHAT THAT WOULD MEAN ESSENTIALLY 1450 01:01:05,338 --> 01:01:07,774 IS CONVERTING THE CURES ACT 1451 01:01:07,774 --> 01:01:10,243 MONEY TO THE REGULAR 1452 01:01:10,243 --> 01:01:12,545 DISCRETIONARY BASE SO IT WILL BE 1453 01:01:12,545 --> 01:01:17,183 ABLE TO CONTINUE AS THE CURES 1454 01:01:17,183 --> 01:01:18,952 ACT GOES AWAY IN THE NEXT TWO 1455 01:01:18,952 --> 01:01:19,152 YEAR. 1456 01:01:19,152 --> 01:01:20,420 THE OTHER INCREASES THAT ARE 1457 01:01:20,420 --> 01:01:24,057 MENTIONED AND THESE ARE COMPARED 1458 01:01:24,057 --> 01:01:25,759 TO WHAT CONGRESS PROVIDED IN 1459 01:01:25,759 --> 01:01:27,193 2024, WE CONTINUE TO TRY TO 1460 01:01:27,193 --> 01:01:30,363 WRAPPING UP OUR MENTAL HEALTH 1461 01:01:30,363 --> 01:01:32,465 RESEARCH AND THAT COVERS 1462 01:01:32,465 --> 01:01:34,668 DIAGNOSTICS, TREATMENT, ENHANCED 1463 01:01:34,668 --> 01:01:36,770 PRECISION TO MENTAL HEALTH CARE. 1464 01:01:36,770 --> 01:01:38,638 ALSO WE'RE TRYING TO EXPAND A 1465 01:01:38,638 --> 01:01:41,608 DOUBLING OF THE OFFICE OF 1466 01:01:41,608 --> 01:01:43,743 WOMEN'S HEALTH BUDGET. 1467 01:01:43,743 --> 01:01:46,746 THEN WITH TYPE I DIABETES AS 1468 01:01:46,746 --> 01:01:48,581 MENTIONED BEFORE WE ARE 1469 01:01:48,581 --> 01:01:55,422 REQUESTING $260 MILLION FOR 1470 01:01:55,422 --> 01:01:55,889 2025. 1471 01:01:55,889 --> 01:01:59,092 COMPARED IT'S ANOTHER 64 BUT 1472 01:01:59,092 --> 01:02:01,928 ABOUT $100 MILLION ABOVE THE 1473 01:02:01,928 --> 01:02:05,098 ANNUALIZED LEVEL CONGRESS 1474 01:02:05,098 --> 01:02:09,269 PROVIDED IN 2024 UP ADDITION TO 1475 01:02:09,269 --> 01:02:10,770 THE NATIONAL LIBRARY OF MEDICINE 1476 01:02:10,770 --> 01:02:11,071 INITIATIVE. 1477 01:02:11,071 --> 01:02:12,572 WITH THAT LET ME STOP AND HAND 1478 01:02:12,572 --> 01:02:22,782 OFF TO KATE. 1479 01:02:59,419 --> 01:03:02,422 >> GREAT. 1480 01:03:02,422 --> 01:03:07,127 GOOD MORNING, EVERYBODY. 1481 01:03:07,127 --> 01:03:10,263 KATE KLIMCZAK OFFICE OF THE 1482 01:03:10,263 --> 01:03:11,364 LEGISLATIVE POLICY AND GREAT TO 1483 01:03:11,364 --> 01:03:15,201 BE HERE TO TALK ABOUT THE 1484 01:03:15,201 --> 01:03:16,770 INCREDIBLE WORK NIH HAS BEEN 1485 01:03:16,770 --> 01:03:19,072 DOING TO SHARE THE WORK GOING ON 1486 01:03:19,072 --> 01:03:20,440 AT NIH WITH OUR CONGRESSIONAL 1487 01:03:20,440 --> 01:03:20,707 PARTNERS. 1488 01:03:20,707 --> 01:03:22,609 I'M GOING TO GIVE A BRIEF 1489 01:03:22,609 --> 01:03:22,842 UPDATE. 1490 01:03:22,842 --> 01:03:24,544 I KNOW WE'RE AT TIME SOW I'LL GO 1491 01:03:24,544 --> 01:03:26,079 AS QUICKLY AS I CAN. 1492 01:03:26,079 --> 01:03:27,480 THERE ARE A FEW HIGHLIGHTS I DID 1493 01:03:27,480 --> 01:03:28,748 WANT TO MAKE SURE I SHARED WITH 1494 01:03:28,748 --> 01:03:32,118 YOU ALL. 1495 01:03:32,118 --> 01:03:36,523 SO, AS DIRECTOR BERTAGNOLLI 1496 01:03:36,523 --> 01:03:41,861 FLOAT -- NOTED SHE'S SPENT TIME 1497 01:03:41,861 --> 01:03:44,130 ENGAGING WITH OUR CONGRESSIONAL 1498 01:03:44,130 --> 01:03:44,364 MEMBERS. 1499 01:03:44,364 --> 01:03:47,434 WE HAVE SINCE LAST NOVEMBER 1500 01:03:47,434 --> 01:03:50,303 WE'VE HAD AND I THINK THIS 1501 01:03:50,303 --> 01:03:51,371 NUMBER INCREASED SINCE THEN BUT 1502 01:03:51,371 --> 01:03:53,373 OVER 40 MEETINGS AND CALLS WITH 1503 01:03:53,373 --> 01:03:55,608 CONGRESSIONAL MEMBERS AND WE'VE 1504 01:03:55,608 --> 01:03:58,645 DONE MULTIPLE CAMPUS AND 1505 01:03:58,645 --> 01:04:00,413 DISTRICT SITE VISITS WITH NIH 1506 01:04:00,413 --> 01:04:03,817 GRANTEES AND OFTEN CONGRESSIONAL 1507 01:04:03,817 --> 01:04:05,251 MEMBERS IN THOSE DISTRICTS OR 1508 01:04:05,251 --> 01:04:07,587 STATES HAVE COME AND 1509 01:04:07,587 --> 01:04:09,489 PARTICIPATED IN THE SITE VISITS 1510 01:04:09,489 --> 01:04:11,891 TO LEARN ABOUT THE NIH WORK 1511 01:04:11,891 --> 01:04:15,762 GOING ON IN THEIR STATE OR 1512 01:04:15,762 --> 01:04:17,363 DISTRICT AS WELL. 1513 01:04:17,363 --> 01:04:20,834 DIRECTOR BERTAGNOLLI NOTED A FEW 1514 01:04:20,834 --> 01:04:28,408 BUT HERE'S A PICTURE FROM OUR 1515 01:04:28,408 --> 01:04:30,143 VISIT AND THERE WAS 1516 01:04:30,143 --> 01:04:34,547 REPRESENTATIVE ATORHALT AND 1517 01:04:34,547 --> 01:04:36,516 CONNECTED WITH REPRESENTATIVE 1518 01:04:36,516 --> 01:04:38,785 SEWELL WHILE IN BIRMINGHAM. 1519 01:04:38,785 --> 01:04:40,019 DURING THE VISITS THEY'VE BEEN 1520 01:04:40,019 --> 01:04:41,454 AN OPPORTUNITY FOR US TO LEARN 1521 01:04:41,454 --> 01:04:42,689 ABOUT A LOT OF THE ISSUES THAT 1522 01:04:42,689 --> 01:04:43,256 ARE IMPORTANT TO MEMBERS OF 1523 01:04:43,256 --> 01:04:48,428 CONGRESS. 1524 01:04:48,428 --> 01:04:50,897 JUST A BRIEF SNAPSHOT OF TOPICS 1525 01:04:50,897 --> 01:04:52,198 THAT HAVE COME UP WITH DIRECTOR 1526 01:04:52,198 --> 01:04:53,633 MEETINGS WITH MEMBERS. 1527 01:04:53,633 --> 01:04:57,203 MATERNAL HEALTH, MENTAL HEALTH, 1528 01:04:57,203 --> 01:05:01,241 SUBSTANCE ABUSE, WOMEN'S HEALTH, 1529 01:05:01,241 --> 01:05:02,609 CANCER RESEARCH, RURAL HEALTH 1530 01:05:02,609 --> 01:05:05,345 AND LONG COVID ARE JUST A FEW OF 1531 01:05:05,345 --> 01:05:07,280 THE HIGHLIGHTS. 1532 01:05:07,280 --> 01:05:08,414 MEMBERS HAVE HAD MANY ISSUES BUT 1533 01:05:08,414 --> 01:05:11,251 THOSE ARE A FEW OF THE TOPICS 1534 01:05:11,251 --> 01:05:12,318 THAT HAVE CONSISTENTLY COME UP 1535 01:05:12,318 --> 01:05:14,187 AS PRIORITY AREAS FOR MEMBERS 1536 01:05:14,187 --> 01:05:21,928 AND THEIR CONSTITUENTS. 1537 01:05:21,928 --> 01:05:24,631 SINCE WE LAST MET IN DECEMBER 1538 01:05:24,631 --> 01:05:28,768 THERE'S CONTINUED TO BE SOME 1539 01:05:28,768 --> 01:05:31,604 CHANGES IN CONGRESSIONAL -- I'M 1540 01:05:31,604 --> 01:05:35,408 SORRY. 1541 01:05:35,408 --> 01:05:40,413 THERE HAVE CONTINUED TO BE SOME 1542 01:05:40,413 --> 01:05:44,017 CHANGES AND CHURN IN CAPITOL 1543 01:05:44,017 --> 01:05:46,853 HILL A FEW FLAGS I WANT TO MAKE 1544 01:05:46,853 --> 01:05:50,023 SURE EVERYBODY WAS AWARE OF. 1545 01:05:50,023 --> 01:05:54,227 HOUSE SPEAKER JOHNSON HAS FACED 1546 01:05:54,227 --> 01:05:55,295 OCCASIONAL CHALLENGES AS SPEAKER 1547 01:05:55,295 --> 01:05:56,596 OF TO THE HOUSE BUT REMAINS 1548 01:05:56,596 --> 01:05:57,030 SPEAKER. 1549 01:05:57,030 --> 01:05:59,732 WE HAVE HAD A CHANGE IN 1550 01:05:59,732 --> 01:06:01,601 LEADERSHIP FOR THE HOUSE 1551 01:06:01,601 --> 01:06:02,635 APPROPRIATIONS COMMITTEE. 1552 01:06:02,635 --> 01:06:09,175 THE FORMER CHAIRWOMAN GRANGER 1553 01:06:09,175 --> 01:06:11,644 STEPPED DOWN AND REPLACED BY 1554 01:06:11,644 --> 01:06:12,111 REPRESENTATIVE COLE. 1555 01:06:12,111 --> 01:06:15,215 THAT MAY BE FAMILIAR TO MANY. 1556 01:06:15,215 --> 01:06:21,221 HE HAS PREVIOUSLY CHAIRED THE 1557 01:06:21,221 --> 01:06:26,059 HOUSE SUBCOMMITTEE HHS AND NIH 1558 01:06:26,059 --> 01:06:27,193 AND FAMILIAR WITH NIH 1559 01:06:27,193 --> 01:06:28,761 PROGRAMMING AND HAS NOW CHAIRED 1560 01:06:28,761 --> 01:06:29,996 THE FULL HOUSE APPROPRIATIONS 1561 01:06:29,996 --> 01:06:30,263 COMMITTEE. 1562 01:06:30,263 --> 01:06:33,299 WE LOOK FORWARD TO WORKING WITH 1563 01:06:33,299 --> 01:06:36,536 HIM IN THE FY2025 APPROPRIATIONS 1564 01:06:36,536 --> 01:06:39,172 PROCESS. 1565 01:06:39,172 --> 01:06:40,673 CONTINUING TO NOTE SURE YOU'RE 1566 01:06:40,673 --> 01:06:42,108 SEEING THIS IN THE PRESS BUT 1567 01:06:42,108 --> 01:06:44,410 PARTICULARLY ON THE HOUSE SIDE 1568 01:06:44,410 --> 01:06:45,178 IT'S VERY NARROW. 1569 01:06:45,178 --> 01:06:49,249 THE REPUBLICANS HAVE A NARROW 1570 01:06:49,249 --> 01:06:50,617 MARGIN AND THERE CONTINUES TO BE 1571 01:06:50,617 --> 01:06:56,522 MULTIPLE VACANCIES THAT CHANGE 1572 01:06:56,522 --> 01:06:57,790 THE MARGINS. 1573 01:06:57,790 --> 01:06:58,891 RIGHT NOW THERE'S FOUR 1574 01:06:58,891 --> 01:06:59,259 VACANCIES. 1575 01:06:59,259 --> 01:07:02,195 THERE WAS AN ELECTION JUNE 11 SO 1576 01:07:02,195 --> 01:07:04,097 THAT WILL CHANGE SLIGHTLY AND I 1577 01:07:04,097 --> 01:07:06,332 HIGHLIGHT THAT BECAUSE IT MEANS 1578 01:07:06,332 --> 01:07:08,501 IT MAKES THE PATH FOR PASSAGE OF 1579 01:07:08,501 --> 01:07:12,538 LEGISLATION FOR THE HOUSE 1580 01:07:12,538 --> 01:07:17,977 COMPLICATED. 1581 01:07:17,977 --> 01:07:23,983 I JUST WANTED TO EMPHASIZE THE 1582 01:07:23,983 --> 01:07:25,351 INCREASES RECEIVED IN '24 AND 1583 01:07:25,351 --> 01:07:26,519 PROVIDES A SNAPSHOT OF THE 1584 01:07:26,519 --> 01:07:30,423 PRIORITIES OF MANY MEMBERS OF 1585 01:07:30,423 --> 01:07:31,224 CONGRESS PARTICULARLY 1586 01:07:31,224 --> 01:07:32,058 APPROPRIATORS AN THINGS 1587 01:07:32,058 --> 01:07:35,628 IMPORTANT TO THEM, IDEA, HEAL, 1588 01:07:35,628 --> 01:07:38,931 IMPROVE, DIABETES, THESE ARE ALL 1589 01:07:38,931 --> 01:07:42,435 KEY PROGRAMS AT NIH THAT HAVE 1590 01:07:42,435 --> 01:07:43,269 SIGNIFICANT CONGRESSIONAL 1591 01:07:43,269 --> 01:07:44,470 SUPPORT AND SAW THAT COME 1592 01:07:44,470 --> 01:07:46,372 THROUGH IN '24. 1593 01:07:46,372 --> 01:07:50,677 TO REITERATE WHAT NEIL SAID, THE 1594 01:07:50,677 --> 01:07:53,780 $300 MILLION INCREASE WE WERE 1595 01:07:53,780 --> 01:07:58,451 ABLE TO RECEIVE LAST YEAR IS 1596 01:07:58,451 --> 01:08:01,621 REALLY NOTABLE AND I THINK 1597 01:08:01,621 --> 01:08:02,989 SPEAKS TO HOW HOW MUCH 1598 01:08:02,989 --> 01:08:03,623 CONGRESSIONAL SUPPORT THERE IS 1599 01:08:03,623 --> 01:08:13,933 FOR NIH RIGHT NOW. 1600 01:08:22,508 --> 01:08:24,744 IT WAS A GREAT OUTCOME FOR THE 1601 01:08:24,744 --> 01:08:27,113 AGENCY TO HAVE GOTTEN THE 1602 01:08:27,113 --> 01:08:28,014 INCREASE. 1603 01:08:28,014 --> 01:08:30,583 LOOKING AHEAD TO FY25. 1604 01:08:30,583 --> 01:08:32,051 NEIL WALKED THROUGH WHAT WAS IN 1605 01:08:32,051 --> 01:08:34,487 OUR BUDGET AND WANTED TO SHARE A 1606 01:08:34,487 --> 01:08:37,123 COUPLE WEEKS AGO DIRECTOR 1607 01:08:37,123 --> 01:08:38,825 BERTAGNOLLI HAD HER FIRST BUDGET 1608 01:08:38,825 --> 01:08:40,293 HEARING IN FRONT OF THE SENATE 1609 01:08:40,293 --> 01:08:40,893 APPROPRIATIONS COMMITTEE AND 1610 01:08:40,893 --> 01:08:44,797 JOINED BY A FEW OF HER 1611 01:08:44,797 --> 01:08:46,366 COLLEAGUES. 1612 01:08:46,366 --> 01:08:51,571 DR. RATHMEL AND HODES AND 1613 01:08:51,571 --> 01:08:52,071 GIBB 1614 01:08:52,071 --> 01:08:52,305 GIBBONS. 1615 01:08:52,305 --> 01:08:54,307 IT WAS A WELL ATTENDED AND 1616 01:08:54,307 --> 01:08:57,910 GENERALLY POSITIVE HEARING AND 1617 01:08:57,910 --> 01:09:01,647 HIGHLIGHTED A FEW OF THE TOPICS 1618 01:09:01,647 --> 01:09:03,282 THAT CAME UP QUITE A LITTLE BIT, 1619 01:09:03,282 --> 01:09:06,152 AGAIN, LONG COVID, CANCER 1620 01:09:06,152 --> 01:09:07,086 RESEARCH, ALZHEIMER'S DISEASE, 1621 01:09:07,086 --> 01:09:09,088 SUBSTANCE ABUSE DISORDERS. 1622 01:09:09,088 --> 01:09:11,624 AGAIN, JUST TO GIVE A SENSE OF 1623 01:09:11,624 --> 01:09:14,127 THE ISSUES THAT ARE IMPORTANT TO 1624 01:09:14,127 --> 01:09:14,594 CONGRESSIONAL MEMBERS. 1625 01:09:14,594 --> 01:09:17,497 WE'RE UNLIKELY TO HAVE A HOUSE 1626 01:09:17,497 --> 01:09:19,232 HEARING THIS YEAR. 1627 01:09:19,232 --> 01:09:24,170 THE HOUSE HAS BEGUN THE FY25 1628 01:09:24,170 --> 01:09:26,272 APPROPRIATIONS PROCESS. 1629 01:09:26,272 --> 01:09:28,908 HERE'S A TENTATIVE TIME LINE FOR 1630 01:09:28,908 --> 01:09:31,611 MARK-UPS FOR THE BILL THAT WILL 1631 01:09:31,611 --> 01:09:32,145 FUND OUR AGENCY. 1632 01:09:32,145 --> 01:09:33,379 ALL SUBJECT TO CHANGE BUT THIS 1633 01:09:33,379 --> 01:09:36,516 IS WHAT WE'RE HEARING RIGHT NOW 1634 01:09:36,516 --> 01:09:40,520 IS THE TENTATIVE TIME LINE. 1635 01:09:40,520 --> 01:09:43,923 VERY QUICKLY JUST WANTED TO ALSO 1636 01:09:43,923 --> 01:09:45,391 TALK A LITTLE BIT ABOUT ANOTHER 1637 01:09:45,391 --> 01:09:49,662 LEGISLATIVE PRIORITY THAT WE 1638 01:09:49,662 --> 01:09:52,532 HAVE BEEN WORKING ON BECAUSE THE 1639 01:09:52,532 --> 01:09:56,536 DIRECTOR ALLUDED TO A.I., 1640 01:09:56,536 --> 01:09:58,971 MACHINE LEARNING, BIG DATA IS 1641 01:09:58,971 --> 01:10:00,072 SOMETHING WE HERE AT NIH HAVE 1642 01:10:00,072 --> 01:10:01,908 BEEN WORKING ON MANY YEARS. 1643 01:10:01,908 --> 01:10:03,075 BUT IN THE LAST COUPLE YEARS 1644 01:10:03,075 --> 01:10:08,714 CONGRESS HAS BEGUN TO TAGE A 1645 01:10:08,714 --> 01:10:09,315 SIGNIFICANT INTEREST IN THE 1646 01:10:09,315 --> 01:10:10,416 TOPIC THINKING HOW THEY WANT TO 1647 01:10:10,416 --> 01:10:12,118 REGULATE IT AND FUND IT AND WHAT 1648 01:10:12,118 --> 01:10:13,352 GUARDRAILS PLAY BE NEEDED. 1649 01:10:13,352 --> 01:10:18,224 WE'RE WORKING HARD TO MAKE SURE 1650 01:10:18,224 --> 01:10:19,325 THAT NIH BIOMEDICAL RESEARCH 1651 01:10:19,325 --> 01:10:21,027 REMAINS A PART OF THAT 1652 01:10:21,027 --> 01:10:21,961 CONVERSATION WHENEVER IT HAPPENS 1653 01:10:21,961 --> 01:10:23,196 ON THE HILL. 1654 01:10:23,196 --> 01:10:28,468 EARLIER THIS YEAR THE SENATE 1655 01:10:28,468 --> 01:10:30,570 RELEASED A BIPARTISAN ROAD MAP 1656 01:10:30,570 --> 01:10:32,772 FOR A.I. POLICY AND HIGHLIGHTED 1657 01:10:32,772 --> 01:10:34,440 NIH AS A CRITICAL PIECE OF THE 1658 01:10:34,440 --> 01:10:34,874 WORK NEEDED THERE. 1659 01:10:34,874 --> 01:10:38,277 WE HAVE PARTICIPATED IN NUMEROUS 1660 01:10:38,277 --> 01:10:40,179 CONGRESSIONAL BRIEFINGS, 1661 01:10:40,179 --> 01:10:42,248 WEBINARS, DEMONSTRATIONS ON THE 1662 01:10:42,248 --> 01:10:44,617 HILL TO MAKE THAT CASE. 1663 01:10:44,617 --> 01:10:46,319 THIS IS ONE AREA WHERE THERE'S A 1664 01:10:46,319 --> 01:10:47,787 POTENTIAL FOR CONGRESSIONAL 1665 01:10:47,787 --> 01:10:54,260 ACTIVITY BUT WE WILL HAVE TO 1666 01:10:54,260 --> 01:10:59,165 SEE. 1667 01:10:59,165 --> 01:11:02,201 AND IT'S AN ELECTION YEAR SO 1668 01:11:02,201 --> 01:11:03,402 OBVIOUSLY THAT WILL 1669 01:11:03,402 --> 01:11:09,308 SIGNIFICANTLY AFFECT THE 1670 01:11:09,308 --> 01:11:10,409 DYNAMICS ON CAPITOL HILL. 1671 01:11:10,409 --> 01:11:11,344 THERE WILL BE A FOCUS ON 1672 01:11:11,344 --> 01:11:14,180 PRESIDENTIAL CAMPAIGNS. 1673 01:11:14,180 --> 01:11:16,482 MEMBERS WILL BE EAGER TO SPEND 1674 01:11:16,482 --> 01:11:17,583 TIME UP THEIR DISTRICTS. 1675 01:11:17,583 --> 01:11:19,685 WE CAN EXPECT TO SEE A LOT OF 1676 01:11:19,685 --> 01:11:21,220 MESSAGING BILLS FROM MEMBERS IS 1677 01:11:21,220 --> 01:11:23,122 SOMETHING THAT USUALLY HAPPENS. 1678 01:11:23,122 --> 01:11:24,590 A FEW NOTES, THIS PARTICULAR 1679 01:11:24,590 --> 01:11:26,893 CONGRESS IS ON TRACK FOR THE 1680 01:11:26,893 --> 01:11:28,494 MOST RETIREMENTS IN OVER A 1681 01:11:28,494 --> 01:11:28,794 DECADE. 1682 01:11:28,794 --> 01:11:31,664 THAT MEANS WE'RE LIKELY TO SEE A 1683 01:11:31,664 --> 01:11:33,633 LOT OF CHURN AND NEW MEMBERS 1684 01:11:33,633 --> 01:11:36,869 NEXT YEAR AND THE 119th 1685 01:11:36,869 --> 01:11:37,136 CONGRESS. 1686 01:11:37,136 --> 01:11:39,605 TO DATE 49 MEMBERS OF THE HOUSE 1687 01:11:39,605 --> 01:11:41,574 ANNOUNCED THEY'RE NOT SEEKING 1688 01:11:41,574 --> 01:11:43,676 RE-ELECTION AND 10 MEMBERS IN 1689 01:11:43,676 --> 01:11:47,179 THE HOUSE. 1690 01:11:47,179 --> 01:11:48,681 JUST WANTED TO FLAG THAT. 1691 01:11:48,681 --> 01:11:49,815 THE OTHER PIECE OF LEGISLATION 1692 01:11:49,815 --> 01:11:52,685 WE'RE TRACKING IS APPROPRIATIONS 1693 01:11:52,685 --> 01:11:57,623 AND THE FY25 PROCESS UNLIKELY TO 1694 01:11:57,623 --> 01:12:00,026 GET DONE BY THE END OF THE 1695 01:12:00,026 --> 01:12:01,327 FISCAL YEAR AND WE'LL HAVE TO 1696 01:12:01,327 --> 01:12:04,263 WAIT UNTIL THE ELECTIONS IN 1697 01:12:04,263 --> 01:12:06,299 NOVEMBER TO SEE HOW THINGS 1698 01:12:06,299 --> 01:12:07,066 SETTLE AND HOW CONGRESS 1699 01:12:07,066 --> 01:12:08,968 APPROACHES FUNDING FOR THE NEXT 1700 01:12:08,968 --> 01:12:10,937 FISCAL YEAR BEFORE THE END OF 1701 01:12:10,937 --> 01:12:11,237 THE SESSION. 1702 01:12:11,237 --> 01:12:21,547 I WILL END THERE. 1703 01:12:24,550 --> 01:12:25,718 >> THANK YOU, KATE. 1704 01:12:25,718 --> 01:12:27,753 NOW KATE, NEIL AND I WILL BE 1705 01:12:27,753 --> 01:12:30,122 HAPPY TO TAKE ANY QUESTIONS. 1706 01:12:30,122 --> 01:12:30,423 CORY. 1707 01:12:30,423 --> 01:12:34,093 >> I HAVE A COUPLE OF COMMENTS 1708 01:12:34,093 --> 01:12:36,429 AND THEN A QUESTION REGARDING 1709 01:12:36,429 --> 01:12:39,398 THE REMOVAL OF THE ABLIST 1710 01:12:39,398 --> 01:12:43,135 LANGUAGE FROM THE NIH MISSION. 1711 01:12:43,135 --> 01:12:44,003 I UNDERSTAND THIS MEETING IS 1712 01:12:44,003 --> 01:12:45,838 OPEN TO THE PUBLIC SO AS A 1713 01:12:45,838 --> 01:12:49,008 MEASURE OF INCLUSIVITY OR 1714 01:12:49,008 --> 01:12:50,443 INCLUSION FOR PEOPLE WHO MAY BE 1715 01:12:50,443 --> 01:12:56,082 BLIND OR VISUALLY IMPAIRED, I'LL 1716 01:12:56,082 --> 01:12:59,619 GIVE A BRIEF DESCRIPTION I'M AN 1717 01:12:59,619 --> 01:13:01,787 AFRICAN AMERICAN MALE, MID AGE 1718 01:13:01,787 --> 01:13:09,528 AND USE THE PRONOUNS HE OR HIM. 1719 01:13:09,528 --> 01:13:14,800 MY COMMENT REGARDING THIS 1720 01:13:14,800 --> 01:13:19,705 POTENTIAL REMOVAL INCLUDE 1721 01:13:19,705 --> 01:13:24,276 CONTEXTUAL PIECES RELATING TO 1722 01:13:24,276 --> 01:13:27,747 THE SUBGROUP ON INDIVIDUALS WITH 1723 01:13:27,747 --> 01:13:29,181 DISABILITIES RATIONALE FOR 1724 01:13:29,181 --> 01:13:30,316 MAKING THE RECOMMENDATION WHICH 1725 01:13:30,316 --> 01:13:36,522 HAS TO DO WITH WHAT HAS BEEN 1726 01:13:36,522 --> 01:13:41,861 SAID THE SOCIAL, CULTURAL, 1727 01:13:41,861 --> 01:13:44,030 ECOLOGICAL MODEL AS SEEING 1728 01:13:44,030 --> 01:13:49,902 DISABILITY AS AN LIVED CONDITION 1729 01:13:49,902 --> 01:13:57,410 WHICH THE LIVES OF PEOPLE WITH S 1730 01:13:57,410 --> 01:13:59,979 IN TERMS OF BARRIER TO ACCESS 1731 01:13:59,979 --> 01:14:01,180 AND QUALITY OF HEALTH THE 1732 01:14:01,180 --> 01:14:02,114 DISABILITY IS REALLY NOT SEEN AS 1733 01:14:02,114 --> 01:14:06,752 THE PROBLEM. 1734 01:14:06,752 --> 01:14:12,525 THE PROBLEM IS THROUGH THIS 1735 01:14:12,525 --> 01:14:15,494 MODEL LENS SOCIETAL ATTITUDES AS 1736 01:14:15,494 --> 01:14:21,267 IT RELATES TO PEOPLE WITH 1737 01:14:21,267 --> 01:14:21,600 DISABILITIES. 1738 01:14:21,600 --> 01:14:29,408 I THINK THAT'S THE INITIAL 1739 01:14:29,408 --> 01:14:31,677 RATIONALE THAT CAME FROM THE 1740 01:14:31,677 --> 01:14:32,912 SUBCOMMITTEE AND IT'S IMPORTANT 1741 01:14:32,912 --> 01:14:36,716 TO KEEP IN MIND AS NIH CONSIDERS 1742 01:14:36,716 --> 01:14:39,318 THE REMOVAL OF THE LANGUAGE THE 1743 01:14:39,318 --> 01:14:41,387 SOCIAL ECOLOGICAL MODEL IS IN 1744 01:14:41,387 --> 01:14:43,723 LINE WITH OTHER FEDERAL AND 1745 01:14:43,723 --> 01:14:47,927 NATIONAL ORGANIZATIONS AS THEY 1746 01:14:47,927 --> 01:14:52,231 SEE DISABILITY FOR EXAMPLE THE 1747 01:14:52,231 --> 01:14:54,667 CDC HAS CONSIDERED ADOPTION AND 1748 01:14:54,667 --> 01:14:57,002 HAS LANGUAGE AROUND THIS 1749 01:14:57,002 --> 01:14:57,770 PARTICULAR MODEL IN THE 1750 01:14:57,770 --> 01:15:00,106 ENVIRONMENT AS THE ISSUE RATHER 1751 01:15:00,106 --> 01:15:02,408 THAN THE INDIVIDUAL WITH THE 1752 01:15:02,408 --> 01:15:03,542 DISABILITY AS WELL AS THE U.N. 1753 01:15:03,542 --> 01:15:06,612 SO THERE ARE ORGANIZATIONS THAT 1754 01:15:06,612 --> 01:15:07,980 ARE MOVING DISABILITY FORWARD 1755 01:15:07,980 --> 01:15:10,349 AND ENHANCING UNDERSTANDING OF 1756 01:15:10,349 --> 01:15:13,085 DISABILITY AND BARRIERS FOR 1757 01:15:13,085 --> 01:15:14,987 DISABILITIES AND IN THIS REGARD 1758 01:15:14,987 --> 01:15:17,490 SPECIFIC TO HEALTH CARE ACCESS 1759 01:15:17,490 --> 01:15:19,525 AND HEALTH EQUITY UP THAT 1760 01:15:19,525 --> 01:15:19,759 REGARD. 1761 01:15:19,759 --> 01:15:25,164 AND THE SECOND POINT I'D LIKE TO 1762 01:15:25,164 --> 01:15:28,501 MAKE IS NIH HAS RECOGNIZED THE 1763 01:15:28,501 --> 01:15:30,870 DISABILITY POPULATION AS A 1764 01:15:30,870 --> 01:15:31,804 HEALTH DISPARITY POPULATION. 1765 01:15:31,804 --> 01:15:37,143 SO I THINK IT'S IMPORTANT THAT 1766 01:15:37,143 --> 01:15:40,079 THE MISSION ALIGNS WITH THIS NEW 1767 01:15:40,079 --> 01:15:44,183 PARADIGM AS IT RELATES TO UNDER 1768 01:15:44,183 --> 01:15:45,785 SERVED POPULATIONS IN NIH. 1769 01:15:45,785 --> 01:15:50,289 AS A MARGINALIZED, UNDER SERVED 1770 01:15:50,289 --> 01:15:52,124 POPULATION IT'S IMPORTANT THE 1771 01:15:52,124 --> 01:15:54,393 DISABILITY COMMUNITY SEES ITSELF 1772 01:15:54,393 --> 01:15:57,763 AS BEING INCLUSIVE WITHIN THE 1773 01:15:57,763 --> 01:16:02,034 ENTIRE MISSION OF NIH AND THEN I 1774 01:16:02,034 --> 01:16:05,971 HAVE A QUESTION OR A COMMENT. 1775 01:16:05,971 --> 01:16:08,974 IT HAS TO DO AND I APPRECIATED 1776 01:16:08,974 --> 01:16:11,143 YOUR VERY COMPREHENSIVE REPORT 1777 01:16:11,143 --> 01:16:14,747 BUT IT HAS TO DO WITH OUTREACH 1778 01:16:14,747 --> 01:16:17,283 AND HOW WILL NIH OUTREACH AND 1779 01:16:17,283 --> 01:16:19,718 TALKING ABOUT CONTINUING TO GET 1780 01:16:19,718 --> 01:16:24,523 INPUT FROM THE COMMUNITY. 1781 01:16:24,523 --> 01:16:28,227 THIS WAS A PUSHBACK OF 40% 1782 01:16:28,227 --> 01:16:30,763 CONSIDERABLE OPPOSITION 1783 01:16:30,763 --> 01:16:32,898 DEPENDING ON WHO THE OPPOSITION 1784 01:16:32,898 --> 01:16:34,400 WAS FROM. 1785 01:16:34,400 --> 01:16:37,269 WHICH STARTER GROUPS AND MY 1786 01:16:37,269 --> 01:16:43,609 QUESTION WOULD BE THIS IS AN 1787 01:16:43,609 --> 01:16:44,543 INCREDIBLY IMPORTANT ISSUE TO 1788 01:16:44,543 --> 01:16:47,513 THE DISABILITY COMMUNITY AND THE 1789 01:16:47,513 --> 01:16:50,182 INTERSECTION OF THE DISABILITY 1790 01:16:50,182 --> 01:16:52,551 COMMUNITY AND THE LGBTQ AND 1791 01:16:52,551 --> 01:16:53,886 ETHNIC MINORITIES AND BLACK 1792 01:16:53,886 --> 01:16:55,721 AMERICANS WITH DISABILITIES IN 1793 01:16:55,721 --> 01:16:57,523 RURAL AREAS, IT SPANS THE 1794 01:16:57,523 --> 01:16:58,157 SPECTRUM. 1795 01:16:58,157 --> 01:17:00,025 THIS IS A VERY IMPORTANT ISSUE 1796 01:17:00,025 --> 01:17:05,164 IN TERMS OF ACCESS AND ALIGNING 1797 01:17:05,164 --> 01:17:07,099 THE HEALTH DISABILITY POPULATION 1798 01:17:07,099 --> 01:17:09,301 WITH NIH'S MISSION. 1799 01:17:09,301 --> 01:17:11,070 REALLY MY QUESTION OR COMMENT IS 1800 01:17:11,070 --> 01:17:13,739 HOW DOES NIH PLAN TO OUTREACH TO 1801 01:17:13,739 --> 01:17:16,542 ALL THESE MARGINALIZED 1802 01:17:16,542 --> 01:17:17,109 INTERSECTIONAL POPULATIONS 1803 01:17:17,109 --> 01:17:19,511 WITHIN THE DISABILITY CONTEXT SO 1804 01:17:19,511 --> 01:17:21,513 THE AGENCY MAKES SURE THE VOICES 1805 01:17:21,513 --> 01:17:23,182 ARE HEARD, RIGHT. 1806 01:17:23,182 --> 01:17:26,852 YOU EMPOWER THOSE INDIVIDUALS 1807 01:17:26,852 --> 01:17:29,355 AFFECTED IN THE UNDER SERVED 1808 01:17:29,355 --> 01:17:32,324 COMMUNITIES TO ENSURE THEY'RE 1809 01:17:32,324 --> 01:17:34,326 HAVING INPUT ON IT SEEMS LIKE A 1810 01:17:34,326 --> 01:17:36,795 BIG QUESTION NOW WHETHER OR NOT 1811 01:17:36,795 --> 01:17:37,796 THE MISSION WILL BE CHANGED. 1812 01:17:37,796 --> 01:17:41,767 WE NEED TO ENSURE THAT WE HEAR 1813 01:17:41,767 --> 01:17:42,768 THOSE VOICES. 1814 01:17:42,768 --> 01:17:45,905 >> THANK YOU VERY MUCH FOR THAT 1815 01:17:45,905 --> 01:17:46,171 DR. MOORE. 1816 01:17:46,171 --> 01:17:48,140 YOU'RE EXACTLY RIGHT. 1817 01:17:48,140 --> 01:17:51,610 WE PUT OUT AN RFI BUT IT WAS OUT 1818 01:17:51,610 --> 01:17:52,511 TO THE GENERAL COMMUNITY. 1819 01:17:52,511 --> 01:17:56,949 GOT A BUNCH OF RESPONSES BACK. 1820 01:17:56,949 --> 01:17:59,018 SOME SAID I'M A PERSON WITH A 1821 01:17:59,018 --> 01:18:01,086 DISABILITY AND I THINK THIS OR 1822 01:18:01,086 --> 01:18:02,121 THAT AND SOME DIDN'T. 1823 01:18:02,121 --> 01:18:04,523 I THINK THE NEXT STEP WE NEED TO 1824 01:18:04,523 --> 01:18:06,959 DO IS TO DO STAKEHOLDER MEETINGS 1825 01:18:06,959 --> 01:18:09,995 WITH THE DISABILITY COMMUNITY 1826 01:18:09,995 --> 01:18:13,732 SPECIFICALLY AND OF COURSE NOT 1827 01:18:13,732 --> 01:18:19,438 TO FORGET THE COMPOUNDED ISSUES 1828 01:18:19,438 --> 01:18:21,206 OF THOSE WITH INTERSECTIONAL 1829 01:18:21,206 --> 01:18:22,041 DISPARITIES AS WELL. 1830 01:18:22,041 --> 01:18:31,750 SO THAT'S WHAT WE'LL BE DOING. 1831 01:18:31,750 --> 01:18:33,319 THAT'S THE COMMUNITY WE'RE HERE 1832 01:18:33,319 --> 01:18:38,590 TO SERVE AND WANT TO BE 1833 01:18:38,590 --> 01:18:39,658 SENSITIVE TO WHAT THEY WOULD 1834 01:18:39,658 --> 01:18:42,728 LIKE TO SEE FRANKLY AND HOW 1835 01:18:42,728 --> 01:18:43,862 WE'LL MAKE OUR CHOICE. 1836 01:18:43,862 --> 01:18:49,034 WE WERE SURPRISED BUT THERE'S A 1837 01:18:49,034 --> 01:18:50,602 LOT OF REASONS WHY. 1838 01:18:50,602 --> 01:18:52,071 SOME COULD BE NOT UNDERSTANDING 1839 01:18:52,071 --> 01:18:54,940 BUT I THINK WE'LL FIND OUT BY A 1840 01:18:54,940 --> 01:18:55,741 DEEPER DIVE. 1841 01:18:55,741 --> 01:18:58,811 THAT'S WHY WE COMPLETELY DELAYS 1842 01:18:58,811 --> 01:18:59,011 THIS. 1843 01:18:59,011 --> 01:19:01,613 AND IS TARA HERE? 1844 01:19:01,613 --> 01:19:02,514 SHE'LL TAKE OVER. 1845 01:19:02,514 --> 01:19:04,016 SHE'S DOING THE REAL WORK. 1846 01:19:04,016 --> 01:19:05,851 >> YOU HIT ON SOME REALLY 1847 01:19:05,851 --> 01:19:07,186 CRITICAL POINTS AND EXACTLY WHAT 1848 01:19:07,186 --> 01:19:09,288 WE'RE THINKING ABOUT HERE. 1849 01:19:09,288 --> 01:19:11,991 I WANTED TO MENTION WE WERE 1850 01:19:11,991 --> 01:19:15,127 HOPING TO ARRANGE ROUNDTABLES 1851 01:19:15,127 --> 01:19:16,762 WITH THE COMMUNITY TO BETTER 1852 01:19:16,762 --> 01:19:19,298 UNDERSTAND ALL THE ISSUES. 1853 01:19:19,298 --> 01:19:25,738 THIS IS A SPACE THAT WE WORKED 1854 01:19:25,738 --> 01:19:29,108 IN SORT OF IN VARIOUS WAYS 1855 01:19:29,108 --> 01:19:31,310 ACROSS NIH FOR A LONG TIME AND 1856 01:19:31,310 --> 01:19:34,613 TRYING TO TAKE A STEP BACK AND 1857 01:19:34,613 --> 01:19:36,415 TAKE A BROADER PERSPECTIVE AND 1858 01:19:36,415 --> 01:19:40,119 COORDINATING WITH DIANA'S TEAM 1859 01:19:40,119 --> 01:19:43,722 AT NCRR AND THE DESIGNATION AS A 1860 01:19:43,722 --> 01:19:48,527 HEALTH DISPARITIES POPULATION 1861 01:19:48,527 --> 01:19:49,762 A 1862 01:19:49,762 --> 01:19:58,837 AND CENTERS IN PARTICULAR. 1863 01:19:58,837 --> 01:20:03,942 AND WE'RE GRATEFUL SOMEONE WHO 1864 01:20:03,942 --> 01:20:07,079 IS RETIRING FROM ACL WILL COME 1865 01:20:07,079 --> 01:20:10,049 TO NIH TO SERVE AS AN ADVISER 1866 01:20:10,049 --> 01:20:12,451 FOR US AND WILL BE A GREAT 1867 01:20:12,451 --> 01:20:14,219 SOURCE OF INFORMATION AS WE MOVE 1868 01:20:14,219 --> 01:20:16,422 FORWARD AND HELP US THINK HOW TO 1869 01:20:16,422 --> 01:20:26,965 ENGAGE WITH THE COMMUNITY MORE. 1870 01:20:30,536 --> 01:20:30,669 1871 01:20:30,669 --> 01:20:31,804 >> THANK YOU FOR THE OVERVIEW. 1872 01:20:31,804 --> 01:20:34,540 I HAD A SIMILAR QUESTION AROUND 1873 01:20:34,540 --> 01:20:37,409 THE WOMEN'S HEALTH INITIATIVE OR 1874 01:20:37,409 --> 01:20:38,310 THE WOMEN'S HEALTH FUNDING 1875 01:20:38,310 --> 01:20:46,118 OPPORTUNITIES. 1876 01:20:46,118 --> 01:20:49,254 I'M GOING TO DEFER TO BRIAN 1877 01:20:49,254 --> 01:20:50,956 BECAUSE YOU'LL BE ABLE IT MORE 1878 01:20:50,956 --> 01:20:52,291 ELOQUENTLY ADDRESS THE ISSUE. 1879 01:20:52,291 --> 01:20:56,895 IT SEEMS IN SOME WAYS THE 1880 01:20:56,895 --> 01:21:01,500 FRAMING OF THIS WORK IS A 1881 01:21:01,500 --> 01:21:03,569 PARADIGM THAT SUGGESTS ONLY TWO 1882 01:21:03,569 --> 01:21:08,140 GENDERS AND NEED IT THINK MORE 1883 01:21:08,140 --> 01:21:12,511 EXPANSIVELY AND TO ENSURE THE 1884 01:21:12,511 --> 01:21:13,378 IDENTITIES AND THE 1885 01:21:13,378 --> 01:21:16,482 INTERSECTIONAL WORK FOR 1886 01:21:16,482 --> 01:21:17,883 ESPECIALLY THE TRANS WOMEN AND 1887 01:21:17,883 --> 01:21:19,785 THE HEINOUS MORTALITY RATE OF 1888 01:21:19,785 --> 01:21:21,820 THAT POPULATION IS ALSO INCLUDED 1889 01:21:21,820 --> 01:21:24,223 IN THIS WORK. 1890 01:21:24,223 --> 01:21:26,458 INCLUDED IN THE WAY THIS IS 1891 01:21:26,458 --> 01:21:29,528 ROLLED OUT AND THE WAY WE FOCUS 1892 01:21:29,528 --> 01:21:32,531 AND ENSURE THIS WORK ADDRESSES 1893 01:21:32,531 --> 01:21:33,031 THESE POPULATIONS. 1894 01:21:33,031 --> 01:21:38,904 I JUST WANTED TO MAKE SURE THAT 1895 01:21:38,904 --> 01:21:41,240 THAT WAS SAID BECAUSE AS A 1896 01:21:41,240 --> 01:21:45,777 PRIMARY CARE PHYSICIAN I'M 1897 01:21:45,777 --> 01:21:48,046 EXCITED ABOUT THE CARE 1898 01:21:48,046 --> 01:21:49,548 INITIATIVE HOWEVER, IN MY OWN 1899 01:21:49,548 --> 01:21:51,150 PRACTICE I SEE THE DISPARITIES 1900 01:21:51,150 --> 01:21:53,785 AND INEQUALITIES THAT 1901 01:21:53,785 --> 01:21:55,287 REVERBERATE BEYOND WHAT'S 1902 01:21:55,287 --> 01:21:57,089 HAPPENING UNDER THE SKIN AND 1903 01:21:57,089 --> 01:22:02,261 INFLUENCED BY THE ENVIRONMENT IN 1904 01:22:02,261 --> 01:22:05,464 WHICH WHERE SEXUAL AND GENDER 1905 01:22:05,464 --> 01:22:07,499 MINORITIES ARE SITUATED. 1906 01:22:07,499 --> 01:22:08,400 >> WONDERFUL COMMENT AND THANK 1907 01:22:08,400 --> 01:22:10,202 YOU FOR THAT. 1908 01:22:10,202 --> 01:22:12,404 I'M GOING TO -- I'LL GO STRAIGHT 1909 01:22:12,404 --> 01:22:15,807 TO TARA AND MAYBE DIANA TO SAY A 1910 01:22:15,807 --> 01:22:16,375 FEW WORDS ON THIS. 1911 01:22:16,375 --> 01:22:23,115 BEFORE WE DO, I WANT TO SAY 1912 01:22:23,115 --> 01:22:28,887 WE'RE ISSUING A CHANGE TO OUR 1913 01:22:28,887 --> 01:22:31,790 REPORTING OF RACE OF SEX TO 1914 01:22:31,790 --> 01:22:33,692 INCLUDE NOW GENDER. 1915 01:22:33,692 --> 01:22:35,928 AND I DON'T KNOW IF YOU'VE BEEN 1916 01:22:35,928 --> 01:22:39,898 ABLE TO SEE THAT BUT TO START 1917 01:22:39,898 --> 01:22:41,800 COLLECTING THIS DATA WHICH IS 1918 01:22:41,800 --> 01:22:42,067 CRITICAL. 1919 01:22:42,067 --> 01:22:44,770 AT LEAST THE FIRST ITERATION OF 1920 01:22:44,770 --> 01:22:46,305 THIS COMPLEX PROCESS IS NOW 1921 01:22:46,305 --> 01:22:48,540 GOING OUT WHICH I THINK WE'LL 1922 01:22:48,540 --> 01:22:53,545 FIND INCREDIBLY HELPFUL JUST 1923 01:22:53,545 --> 01:22:55,080 UNDERSTANDING THAT AND HOPEFULLY 1924 01:22:55,080 --> 01:22:57,950 IT WILL BE SELF-REPORTED BUT 1925 01:22:57,950 --> 01:22:58,850 WE'RE GETTING READY TO LAUNCH 1926 01:22:58,850 --> 01:23:00,419 THAT AND TARA. 1927 01:23:00,419 --> 01:23:02,487 >> I WAS GOING TO EMPHASIZE AS 1928 01:23:02,487 --> 01:23:04,923 THEY HIT ON THE CRITICAL POINTS. 1929 01:23:04,923 --> 01:23:06,725 THAT INTERSECTIONALITY WITH 1930 01:23:06,725 --> 01:23:08,026 CORY'S QUESTION COMES UP IN A 1931 01:23:08,026 --> 01:23:09,962 LOT OF DIFFERENT SPACES. 1932 01:23:09,962 --> 01:23:12,531 WE KNOW FOR SURE THAT THE SOCIAL 1933 01:23:12,531 --> 01:23:15,867 DETERMINATES OF HEALTH PLAY A 1934 01:23:15,867 --> 01:23:17,603 MAJOR ROLE IN CONTRIBUTING TO 1935 01:23:17,603 --> 01:23:19,171 HEALTH OUTCOMES IN THOSE 1936 01:23:19,171 --> 01:23:19,571 POPULATIONS. 1937 01:23:19,571 --> 01:23:22,341 I WAS JUST E-MAILING EARLIER 1938 01:23:22,341 --> 01:23:23,942 THIS MORNING WITH OUR DIRECTOR 1939 01:23:23,942 --> 01:23:26,778 OF THE SEXUAL AND GENDER 1940 01:23:26,778 --> 01:23:28,513 MINORITY RESEARCH OFFICE TALKING 1941 01:23:28,513 --> 01:23:33,252 ABOUT OUR APPROACH TO OUR SOJI 1942 01:23:33,252 --> 01:23:35,287 DATA ACTION PLAN MONICA REFERRED 1943 01:23:35,287 --> 01:23:35,454 TO. 1944 01:23:35,454 --> 01:23:37,789 MORE TO COME ON THAT BECAUSE 1945 01:23:37,789 --> 01:23:39,157 THAT WILL BE COMING UP SOON. 1946 01:23:39,157 --> 01:23:40,792 THAT OFFICE HAS DONE GREAT WORK 1947 01:23:40,792 --> 01:23:43,028 IN THIS SPACE IN PARTNERING WITH 1948 01:23:43,028 --> 01:23:44,529 VARIOUS OFFICES AND INSTITUTES 1949 01:23:44,529 --> 01:23:47,266 AND CENTERS ACROSS NIH BECAUSE 1950 01:23:47,266 --> 01:23:49,434 AS WE'VE SAID THERE'S A LOT OF 1951 01:23:49,434 --> 01:23:50,035 INTERSECTIONALITY HERE AND 1952 01:23:50,035 --> 01:23:50,702 EVERYONE ISN'T JUST ONE THING 1953 01:23:50,702 --> 01:23:52,371 AND WE NEED TO TRY TO MAKE SURE 1954 01:23:52,371 --> 01:23:56,675 WE CAPTURE THOSE ASPECTS. 1955 01:23:56,675 --> 01:24:00,245 >> I'M DIANA BIANCHI THE 1956 01:24:00,245 --> 01:24:00,812 DIRECTOR OF THE NATIONAL 1957 01:24:00,812 --> 01:24:03,181 INSTITUTE OF CHILD HEALTH AND 1958 01:24:03,181 --> 01:24:04,516 DEVELOPMENT. 1959 01:24:04,516 --> 01:24:07,719 WE COVER A SUBSTANTIAL AMOUNT OF 1960 01:24:07,719 --> 01:24:10,489 WOMEN'S HEALTH RESEARCH. 1961 01:24:10,489 --> 01:24:13,225 WE ARE ALSO LOOKING AT THE 1962 01:24:13,225 --> 01:24:13,925 SPECTRUM OF REPRODUCTIVE HEALTH 1963 01:24:13,925 --> 01:24:18,196 AND ARE LOOKING AT THINGS FROM A 1964 01:24:18,196 --> 01:24:23,635 LENS OF WHAT SET OF OCCRGANS YO 1965 01:24:23,635 --> 01:24:25,637 ARE BOTHER WITH AND A SEPARATE 1966 01:24:25,637 --> 01:24:27,172 DISCUSSION FROM HOW YOU IDENTIFY 1967 01:24:27,172 --> 01:24:27,673 SOCIALLY. 1968 01:24:27,673 --> 01:24:29,007 WE HAVE RESEARCH IN BOTH AREAS 1969 01:24:29,007 --> 01:24:31,743 AND LOOKING AT THE 1970 01:24:31,743 --> 01:24:32,244 INTERSECTIONALITY. 1971 01:24:32,244 --> 01:24:33,445 I'D LIKE TO MAKE NOTE OF THE 1972 01:24:33,445 --> 01:24:39,284 FACT THAT ALL OF OUR LANGUAGE, 1973 01:24:39,284 --> 01:24:41,620 PARTICULARLY AROUND MATERNAL 1974 01:24:41,620 --> 01:24:43,655 HEALTH HAS GONE FROM PREGNANT 1975 01:24:43,655 --> 01:24:47,259 WOMEN TO PREGNANT INDIVIDUALS TO 1976 01:24:47,259 --> 01:24:48,527 REFLECT THE FACT THAT WE 1977 01:24:48,527 --> 01:24:50,262 ACKNOWLEDGE NOT EVERYONE WHO 1978 01:24:50,262 --> 01:24:52,531 IDENTIFIED AS A WOMAN IS HAVING 1979 01:24:52,531 --> 01:24:55,067 A CHILD. 1980 01:24:55,067 --> 01:24:57,169 >> I DON'T THINK IT'S LOST ON 1981 01:24:57,169 --> 01:25:00,972 ANYONE IN THE ROOM OR LISTENING 1982 01:25:00,972 --> 01:25:03,208 IN PART MY COMMENTS ARE TO 1983 01:25:03,208 --> 01:25:05,110 ENCOURAGE THE RESEARCH AS 1984 01:25:05,110 --> 01:25:07,546 SCIENTISTS IN THIS AREA AND NOT 1985 01:25:07,546 --> 01:25:09,915 BE SWAYED BY THE FORCES THAT ARE 1986 01:25:09,915 --> 01:25:11,283 OUTSIDE OF OUR SCIENTIFIC 1987 01:25:11,283 --> 01:25:16,288 COMMUNITY THAT ARE ASKING US TO 1988 01:25:16,288 --> 01:25:17,189 MUTE THE IMPORTANCE OF THIS 1989 01:25:17,189 --> 01:25:17,489 POPULATION. 1990 01:25:17,489 --> 01:25:19,791 >> I CAN HANDLE THAT ONE. 1991 01:25:19,791 --> 01:25:22,027 AND THE POINT IS WE NEED ALL 1992 01:25:22,027 --> 01:25:25,364 PEOPLE TO LIVE LONG AND HEALTHY 1993 01:25:25,364 --> 01:25:26,164 LIVES. 1994 01:25:26,164 --> 01:25:27,299 THERE'S TWO THINGS. 1995 01:25:27,299 --> 01:25:29,401 WE NEED ALL PEOPLE TO LIVE LONG 1996 01:25:29,401 --> 01:25:30,635 AND HEALTHY LIVES AND WE CAN'T 1997 01:25:30,635 --> 01:25:32,137 DO THAT BY OURSELVES. 1998 01:25:32,137 --> 01:25:34,706 WE HAVE TO DO THAT BY ENGAGING 1999 01:25:34,706 --> 01:25:35,073 WITH THEM. 2000 01:25:35,073 --> 01:25:37,843 SO WE HAVE TO MEET THEM WHERE 2001 01:25:37,843 --> 01:25:38,977 THEY ARE. 2002 01:25:38,977 --> 01:25:40,746 SO IT'S KIND OF IRRELEVANT WHAT 2003 01:25:40,746 --> 01:25:41,847 ANY OF US THINK. 2004 01:25:41,847 --> 01:25:43,849 IT'S ABOUT WHO WE'RE HERE TO 2005 01:25:43,849 --> 01:25:47,419 SERVE AND WE'RE HERE TO SERVE 2006 01:25:47,419 --> 01:25:47,886 EVERYBODY. 2007 01:25:47,886 --> 01:25:51,256 THAT'S THE WAY I THINK WE AVOID 2008 01:25:51,256 --> 01:25:53,358 GETTING INTO THAT TRAP. 2009 01:25:53,358 --> 01:25:57,028 >> I HAD A COMMENT RELATED. 2010 01:25:57,028 --> 01:25:59,264 I THINK IT'S COMMENT HOW 2011 01:25:59,264 --> 01:26:00,499 CLINICAL TRIALS IN OBSERVATIONAL 2012 01:26:00,499 --> 01:26:02,434 STUDIES SUCH AS ALL OF US ARE 2013 01:26:02,434 --> 01:26:05,971 TRYING TO BE AS INCLUSIVE AS 2014 01:26:05,971 --> 01:26:10,075 POSSIBLE IN EVEN MAKE UP FOR THE 2015 01:26:10,075 --> 01:26:10,876 DISPARITIES RELATES TO 2016 01:26:10,876 --> 01:26:12,544 RECRUITMENT THAT HAVE HAPPENED 2017 01:26:12,544 --> 01:26:16,148 IN THE PAST. 2018 01:26:16,148 --> 01:26:21,486 THERE WILL STILL BE DIFFERENCES 2019 01:26:21,486 --> 01:26:24,356 ON THE OTHER HAND WHEN A DRUG 2020 01:26:24,356 --> 01:26:26,792 GETS APPROVED, FOR EXAMPLE, IT 2021 01:26:26,792 --> 01:26:27,426 GETS APPROVED FOR EVERYONE. 2022 01:26:27,426 --> 01:26:30,662 AND THE EFFICACY AND THE 2023 01:26:30,662 --> 01:26:33,365 SURVEILLANCE OF THE EFFICACY AND 2024 01:26:33,365 --> 01:26:39,004 EVEN SAFETY OF THOSE MEDICATIONS 2025 01:26:39,004 --> 01:26:43,074 IN UNDER REPRESENTED GROUPS IS 2026 01:26:43,074 --> 01:26:44,843 ONLY SOMETHING WE CAN FIND OUT 2027 01:26:44,843 --> 01:26:46,111 FROM REAL WORLD EVIDENCE AND 2028 01:26:46,111 --> 01:26:47,379 ELECTRONIC HEALTH RECORDS AND 2029 01:26:47,379 --> 01:26:48,079 THOSE THINGS. 2030 01:26:48,079 --> 01:26:49,848 IT'S A GOOD COMPLEMENT TO ALL 2031 01:26:49,848 --> 01:26:55,821 THE GREAT WORK AND CLINICAL 2032 01:26:55,821 --> 01:27:01,326 TRIALS AND OBSERVATIONAL TRIALS 2033 01:27:01,326 --> 01:27:02,461 AND COMPONENTS IS KNOWING WHEN 2034 01:27:02,461 --> 01:27:07,566 SOMETHING'S AVAILABLE TRULY TO 2035 01:27:07,566 --> 01:27:07,833 EVERYONE. 2036 01:27:07,833 --> 01:27:12,137 >> THANK YOU. 2037 01:27:12,137 --> 01:27:13,305 WE'RE HEAVILY ENGAGED WITH THE 2038 01:27:13,305 --> 01:27:14,673 FDA AS A PARTNER. 2039 01:27:14,673 --> 01:27:17,309 THEY HAVE A LEGISLATIVE MANDATE 2040 01:27:17,309 --> 01:27:22,481 TO USE REAL WORLD DATA TO MAKE 2041 01:27:22,481 --> 01:27:22,948 REGULATORY DECISIONS. 2042 01:27:22,948 --> 01:27:25,016 THE CLINICAL CARE ENVIRONMENT 2043 01:27:25,016 --> 01:27:26,985 DOESN'T ALLOW THE BEST DATA TO 2044 01:27:26,985 --> 01:27:28,119 BE DELIVERED. 2045 01:27:28,119 --> 01:27:36,528 WE HAVE VERY SERIOUS DEDICATED 2046 01:27:36,528 --> 01:27:43,034 ISSUES AND BE INCLUSIVE OF THE 2047 01:27:43,034 --> 01:27:43,268 DATA. 2048 01:27:43,268 --> 01:27:47,138 WE CAN NO LONGER AFFORD TO HAVE 2049 01:27:47,138 --> 01:27:48,874 DATA ONLY FROM BIG MAJOR MEDICAL 2050 01:27:48,874 --> 01:27:49,107 CENTERS. 2051 01:27:49,107 --> 01:27:49,841 WE'VE GOT TO GET DEEP IN 2052 01:27:49,841 --> 01:27:58,483 COMMUNITIES. 2053 01:27:58,483 --> 01:28:00,519 ONE OF THE MAIN USES IS WHAT YOU 2054 01:28:00,519 --> 01:28:03,688 TALKED ABOUT A USE CASE WITH THE 2055 01:28:03,688 --> 01:28:05,724 FDA TO DO POSTMARKET WORK ALONG 2056 01:28:05,724 --> 01:28:06,258 THE LINES OF WHAT YOU'RE 2057 01:28:06,258 --> 01:28:16,501 INTERESTED IN. 2058 01:28:18,036 --> 01:28:20,338 >> I'D INCLUDE PREGNANT AND 2059 01:28:20,338 --> 01:28:21,506 LACTATING WOMEN AND CHILDREN. 2060 01:28:21,506 --> 01:28:23,842 DR. BERTAGNOLLI SHOWED INNING 2061 01:28:23,842 --> 01:28:25,877 HER SLIDES THE BEST PRACTICE FOR 2062 01:28:25,877 --> 01:28:30,148 PHARMACEUTICALS FOR CHILDREN ACT 2063 01:28:30,148 --> 01:28:31,383 AS WELL AS INFORMATION ON THE 2064 01:28:31,383 --> 01:28:33,218 CUDDLE STUDY BUT WITH HAVE A 2065 01:28:33,218 --> 01:28:35,453 LARGE INITIATIVE LOOKING AT 2066 01:28:35,453 --> 01:28:36,655 MEDICATIONS TAKEN BY PREGNANT 2067 01:28:36,655 --> 01:28:39,624 AND LACTATING PEOPLE BECAUSE 2068 01:28:39,624 --> 01:28:41,893 THERE IS A SHOCKINGLY LOW AMOUNT 2069 01:28:41,893 --> 01:28:43,295 OF INFORMATION AVAILABLE FOR 2070 01:28:43,295 --> 01:28:43,929 THOSE POPULATIONS SO THEY ARE 2071 01:28:43,929 --> 01:28:47,098 UNDER SERVED AS WELL. 2072 01:28:47,098 --> 01:28:48,133 AND THE BEST PHARMACEUTICALS IN 2073 01:28:48,133 --> 01:28:49,334 CHILDREN'S ACT WHICH IS 2074 01:28:49,334 --> 01:28:55,840 SUPPORTED BY ALL OF THE I.C.s 2075 01:28:55,840 --> 01:28:57,342 HAS SITES IN WELL OVER 100 2076 01:28:57,342 --> 01:28:59,511 DIFFERENT HOSPITALS AND CLINICS 2077 01:28:59,511 --> 01:29:03,949 THAT SERVE UNDER SERVED 2078 01:29:03,949 --> 01:29:04,215 CHILDREN. 2079 01:29:04,215 --> 01:29:05,917 SO WE'RE TRYING AS BEST AS WE 2080 01:29:05,917 --> 01:29:07,953 CAN TO ADDRESS THOSE 2081 01:29:07,953 --> 01:29:11,790 POPULATIONS. 2082 01:29:11,790 --> 01:29:18,496 >> ARE THERE QUESTIONS? 2083 01:29:18,496 --> 01:29:21,666 I DON'T SEE HANDS RAISED IN OUR 2084 01:29:21,666 --> 01:29:23,768 VIDEO TEAM EITHER SO -- YES, WE 2085 01:29:23,768 --> 01:29:23,935 DO. 2086 01:29:23,935 --> 01:29:24,536 OKAY. 2087 01:29:24,536 --> 01:29:30,742 DR. CHANG. 2088 01:29:30,742 --> 01:29:32,043 >> THANK YOU FOR THE GREAT WORK 2089 01:29:32,043 --> 01:29:33,678 AT THE NIH. 2090 01:29:33,678 --> 01:29:37,315 THE BUDGET -- IS IT JUST TO 2091 01:29:37,315 --> 01:29:38,016 UNDERSTAND SPECIFIC CUTS JUST TO 2092 01:29:38,016 --> 01:29:43,321 THE PROGRAMS YOU HIGHLIGHTED OR 2093 01:29:43,321 --> 01:29:45,757 DO YOU EXPECT AN IMPACT ON 2094 01:29:45,757 --> 01:29:47,425 EXTERNAL AWARDS AND PAY LINES. 2095 01:29:47,425 --> 01:29:48,693 I WANT TO SUPPORT THE 2096 01:29:48,693 --> 01:29:49,327 OPPORTUNITIES FOR EARLY CAREER 2097 01:29:49,327 --> 01:29:50,161 SCIENTISTS. 2098 01:29:50,161 --> 01:30:00,572 >> I CAN TAKE THIS ONE. 2099 01:30:01,239 --> 01:30:04,542 THOUGH WE'RE GRATEFUL FOR OUR 2100 01:30:04,542 --> 01:30:10,115 SUPPORTERS IN APPROPRIATIONS 2101 01:30:10,115 --> 01:30:12,484 THERE WAS NOT ONLY LIMITED 2102 01:30:12,484 --> 01:30:14,819 AMOUNT IN SHARING BUT THERE'S 2103 01:30:14,819 --> 01:30:16,755 BEEN SOME PAIN DISTRIBUTED IN 2104 01:30:16,755 --> 01:30:19,491 MANY OF THE I.C.s IN THE 2105 01:30:19,491 --> 01:30:29,501 DIRECTION OF TYPE 5 REDUCTIONS. 2106 01:30:29,501 --> 01:30:31,836 AND NCI IS AN EXAMPLE AND 2107 01:30:31,836 --> 01:30:32,070 OTHERS. 2108 01:30:32,070 --> 01:30:34,606 ONE THING WE DID DO THOUGH IS WE 2109 01:30:34,606 --> 01:30:39,611 ALL UNDERSTAND IN A TIME OF 2110 01:30:39,611 --> 01:30:42,947 CHALLENGE THE SEGMENT OF OUR 2111 01:30:42,947 --> 01:30:43,848 COMMUNITY THAT GETS HURT WORSE 2112 01:30:43,848 --> 01:30:45,116 ARE YOUNG PEOPLE. 2113 01:30:45,116 --> 01:30:47,485 WE MADE A DEDICATED EFFORT 2114 01:30:47,485 --> 01:30:53,858 ACROSS ALL THE INSTITUTES AND 2115 01:30:53,858 --> 01:30:56,528 CENTER TO RESERVE FUNDING TO 2116 01:30:56,528 --> 01:31:00,432 YOUNG INVESTIGATORS AND JUNIOR 2117 01:31:00,432 --> 01:31:00,732 RESEARCHERS. 2118 01:31:00,732 --> 01:31:03,168 EVERY YEAR WE'VE SET A TARGET 2119 01:31:03,168 --> 01:31:06,971 GOAL FOR FUNDING OF YOUNG 2120 01:31:06,971 --> 01:31:07,305 INVESTIGATORS. 2121 01:31:07,305 --> 01:31:08,573 LAST YEAR WE EXCEEDED OUR GOAL 2122 01:31:08,573 --> 01:31:13,778 BY 200 OR SOMETHING. 2123 01:31:13,778 --> 01:31:15,413 THIS YEAR WE HAVE THE SAME GOAL. 2124 01:31:15,413 --> 01:31:18,717 IN SPITE OF THE REDUCTION WE 2125 01:31:18,717 --> 01:31:20,385 MADE A COMMITMENT TO TRY TO 2126 01:31:20,385 --> 01:31:24,522 REACH AND HAVE NO REDUCTIONS FOR 2127 01:31:24,522 --> 01:31:31,029 JUNIOR INVESTIGATORS. 2128 01:31:31,029 --> 01:31:31,563 YES. 2129 01:31:31,563 --> 01:31:34,332 >> THEMATICALLY CONNECTED I KNOW 2130 01:31:34,332 --> 01:31:37,836 IN THE LAST FEW MEETINGS WE'VE 2131 01:31:37,836 --> 01:31:40,004 BEEN SOMEWHAT BRINGING UP 2132 01:31:40,004 --> 01:31:41,339 CONCERN THE PAY FOR POSTDOCS AND 2133 01:31:41,339 --> 01:31:43,842 MAY SEE POSITIONS START TO 2134 01:31:43,842 --> 01:31:44,142 RETRACT. 2135 01:31:44,142 --> 01:31:46,544 WE MAY NOT HAVE A COMPLETELY 2136 01:31:46,544 --> 01:31:48,446 HOLISTIC VIEW BUT WONDERING IF 2137 01:31:48,446 --> 01:31:49,848 WE HAVE EARLY INDICATIONS OF 2138 01:31:49,848 --> 01:31:52,550 WHAT'S HAPPENING? 2139 01:31:52,550 --> 01:31:54,285 >> I DON'T THINK WE CAN TELL 2140 01:31:54,285 --> 01:31:54,719 YET. 2141 01:31:54,719 --> 01:31:55,854 I DON'T. 2142 01:31:55,854 --> 01:31:57,422 IT'S TOO NEW. 2143 01:31:57,422 --> 01:32:00,525 THESE WERE JUST ANNOUNCED A 2144 01:32:00,525 --> 01:32:10,702 MONTH AGO. 2145 01:32:13,872 --> 01:32:16,508 WE KNOW WHEN WE FUND RESEARCH, 2146 01:32:16,508 --> 01:32:19,177 IT OFTEN -- THE FUNDING IS 2147 01:32:19,177 --> 01:32:20,378 SUPPLEMENTED BY ACADEMIC 2148 01:32:20,378 --> 01:32:21,646 INSTITUTIONS TO A SIGNIFICANT 2149 01:32:21,646 --> 01:32:25,817 DEGREE. 2150 01:32:25,817 --> 01:32:27,085 WE ACKNOWLEDGE THAT. 2151 01:32:27,085 --> 01:32:31,756 EVERY TIME I GET TO MEET WITH A 2152 01:32:31,756 --> 01:32:34,592 DEAN OR UNIVERSITY PRESIDENT OR 2153 01:32:34,592 --> 01:32:36,694 UNIVERSITY CHAIR I ASK THEM WHAT 2154 01:32:36,694 --> 01:32:40,031 HELPS THEM MORE. 2155 01:32:40,031 --> 01:32:42,000 WHAT'S THE BETTER APPROACH AS 2156 01:32:42,000 --> 01:32:43,268 FAR AS BECAUSE THEY'RE THE ONLY 2157 01:32:43,268 --> 01:32:45,203 ONES WHO KNOW HOW THIS WILL ALL 2158 01:32:45,203 --> 01:32:45,537 WORK. 2159 01:32:45,537 --> 01:32:48,106 WHAT HELPS YOU MORE? 2160 01:32:48,106 --> 01:32:52,210 IS IT LOWER GRANTS OR BIGGER 2161 01:32:52,210 --> 01:32:52,877 GRANTS? 2162 01:32:52,877 --> 01:32:55,847 OF COURSE IT'S MORE AND BIGGER. 2163 01:32:55,847 --> 01:33:02,086 OF COURSE. 2164 01:33:02,086 --> 01:33:03,922 UNIFORMLY EVERY TIME IT'S BEEN 2165 01:33:03,922 --> 01:33:07,025 MORE BECAUSE THE OPPORTUNITY TO 2166 01:33:07,025 --> 01:33:08,526 HAVE SOMEONE HAVE THE NIH 2167 01:33:08,526 --> 01:33:12,997 FUNDING WITH THE OTHER BENEFITS 2168 01:33:12,997 --> 01:33:15,667 IS MORE IMPORTANT THAN HAVING 2169 01:33:15,667 --> 01:33:16,835 THE GRANT AS BIG AS IT NEEDS TO 2170 01:33:16,835 --> 01:33:20,405 DO EVERYTHING THEY NEED FOR THAT 2171 01:33:20,405 --> 01:33:20,638 PERSON. 2172 01:33:20,638 --> 01:33:23,408 I CAN TELL YOU A LOT OF THEM ARE 2173 01:33:23,408 --> 01:33:25,376 ALREADY SUPPLEMENTING THE 2174 01:33:25,376 --> 01:33:26,477 POSTDOC SALARIES, OF COURSE. 2175 01:33:26,477 --> 01:33:29,380 I THINK SALARY IS AN ISSUE WHERE 2176 01:33:29,380 --> 01:33:31,850 WE KNOW THAT OUR GRANTEE 2177 01:33:31,850 --> 01:33:33,184 INSTITUTIONS ARE BACK FILLING A 2178 01:33:33,184 --> 01:33:43,494 LOT FOR THE WORK. 2179 01:33:46,364 --> 01:33:48,566 ANY OTHER QUESTIONS? 2180 01:33:48,566 --> 01:33:49,534 IF THERE ARE NONE WE'LL STOP AND 2181 01:33:49,534 --> 01:33:52,904 TAKE A BREAK AND TAKE A PICTURE, 2182 01:33:52,904 --> 01:33:54,205 I THINK. 2183 01:33:54,205 --> 01:33:56,107 CHARLIE, ARE YOU READY FOR US? 2184 01:33:56,107 --> 01:33:58,142 WE'LL COME OFF SCREEN FOR A 2185 01:33:58,142 --> 01:33:58,343 WHILE. 2186 01:33:58,343 --> 01:34:00,545 WE'LL GO TO A BREAK HERE AND GO AHEAD WITH OUR PICTURE. 2187 01:34:00,545 --> 01:34:10,955 2188 01:34:01,764 --> 01:34:03,099 >> WELCOME BACK, EVERYONE. 2189 01:34:03,099 --> 01:34:07,437 WE'LL CONTINUE ON WITH OUR 2190 01:34:07,437 --> 01:34:07,670 MEETING. 2191 01:34:07,670 --> 01:34:15,979 FIRST I'D LIKE CONSIDER -- 2192 01:34:15,979 --> 01:34:22,051 DR. ALSATR TO INTRODUCE HERSELF. 2193 01:34:22,051 --> 01:34:26,856 >> I SHOULD HAVE TAKEN THE ME 2194 01:34:26,856 --> 01:34:27,957 METRO. 2195 01:34:27,957 --> 01:34:30,159 I'M A PROFESSOR OF MEDICINE AND 2196 01:34:30,159 --> 01:34:30,994 EPIDEMIOLOGY AT COLUMBIA 2197 01:34:30,994 --> 01:34:36,566 UNIVERSITY AND ALSO AN EXECUTIVE 2198 01:34:36,566 --> 01:34:39,235 VICE PRESIDENT FOR COLUMBIA 2199 01:34:39,235 --> 01:34:39,469 GLOBAL. 2200 01:34:39,469 --> 01:34:40,470 IT'S A PLEASURE TO BE WITH YOU 2201 01:34:40,470 --> 01:34:40,670 TODAY. 2202 01:34:40,670 --> 01:34:46,175 >> THANK YOU VERY MUCH. 2203 01:34:46,175 --> 01:34:49,112 NEXT, WE'LL HEAR FROM DR. MARIE 2204 01:34:49,112 --> 01:34:50,880 BERNARD AND DR. ALISON GAMMIE ON 2205 01:34:50,880 --> 01:35:01,357 AN UPDATE FROM THE ACD WGD 2206 01:35:06,562 --> 01:35:06,796 CONSORTIUM. 2207 01:35:06,796 --> 01:35:09,966 >> IT'S MY PLEASURE TO CO-CHAIR 2208 01:35:09,966 --> 01:35:13,703 THE WORKING GROUP WITH 2209 01:35:13,703 --> 01:35:19,275 DR. KIMBALL AND WE HAD A VIBRANT 2210 01:35:19,275 --> 01:35:19,809 MEETING AGAIN YESTERDAY. 2211 01:35:19,809 --> 01:35:21,944 THE TWO ITEMS I'D LIKE TO BRING 2212 01:35:21,944 --> 01:35:26,516 FORWARD ARE UPDATE ON THE NIH 2213 01:35:26,516 --> 01:35:27,683 UNITE INITIATIVE. 2214 01:35:27,683 --> 01:35:30,219 THERE WAS A PROGRESS REPORT 2215 01:35:30,219 --> 01:35:30,953 RELEASED YESTERDAY AND 2216 01:35:30,953 --> 01:35:32,722 DR. GAMMIE WILL GIVE A FINAL 2217 01:35:32,722 --> 01:35:33,289 REPORT ON THE DIVERSITY 2218 01:35:33,289 --> 01:35:38,694 CONSORTIUM. 2219 01:35:38,694 --> 01:35:42,398 THE NEWS FROM UNIT IS WE'VE HAD 2220 01:35:42,398 --> 01:35:44,700 TRANSITION IN LEADERSHIP. 2221 01:35:44,700 --> 01:35:48,271 WE'RE GRATEFUL TO DR. BYRNES AND 2222 01:35:48,271 --> 01:35:50,840 DR. JOHNSON AND DR. TABAK WHO 2223 01:35:50,840 --> 01:35:53,576 HAVE BEEN CO-CHAIRS OF UNITE AND 2224 01:35:53,576 --> 01:35:55,378 HAD THE PRIVILEGE OF CHAIRING 2225 01:35:55,378 --> 01:35:57,080 WITH THEM THE LAST MANY YEARS. 2226 01:35:57,080 --> 01:35:59,048 DR. JOHNSON AND DR. TABAK WERE 2227 01:35:59,048 --> 01:36:03,219 FOUNDING CO-CHAIRS AND 2228 01:36:03,219 --> 01:36:05,688 DR. SCHWETZ SERVED IN BETWEEN 2229 01:36:05,688 --> 01:36:07,490 WHEN DR. TABAK WAS THE ACTING 2230 01:36:07,490 --> 01:36:10,660 DIRECTOR OF THE NIH. 2231 01:36:10,660 --> 01:36:19,702 WE HAD VIBRANT LEADERSHIP. 2232 01:36:19,702 --> 01:36:21,904 WE'VE BEEN ON A JOURNEY THAT'S A 2233 01:36:21,904 --> 01:36:23,339 MARATHON AND TRANSITIONING TO 2234 01:36:23,339 --> 01:36:24,607 NEW LEADERSHIP. 2235 01:36:24,607 --> 01:36:29,078 I'M JOINED BY DR. AYEBO FROM THE 2236 01:36:29,078 --> 01:36:29,912 NATIONAL INSTITUTE OF ALLERGY 2237 01:36:29,912 --> 01:36:36,486 AND INFECTIOUS DISEASE AND MS. 2238 01:36:36,486 --> 01:36:44,293 HOOVER FROM THE NATIONAL NIDDK 2239 01:36:44,293 --> 01:36:50,700 AND MOHAMMED AND CAMILLE HAVE 2240 01:36:50,700 --> 01:36:52,401 BEEN ON FROM THE ONSET AND 2241 01:36:52,401 --> 01:36:55,872 PRIVILEGED TO WORK WITH THEM AS 2242 01:36:55,872 --> 01:37:04,247 WE LOOK AT UNITE 2.0. 2243 01:37:04,247 --> 01:37:08,017 UNITE IS A PEOPLE-FOCUSSED AND 2244 01:37:08,017 --> 01:37:11,888 DATA-DRIVEN INITIATIVE. 2245 01:37:11,888 --> 01:37:13,589 DATA IS DRIVING ALL THAT WE'RE 2246 01:37:13,589 --> 01:37:15,958 DOING INCLUDING LOOKING AT 2247 01:37:15,958 --> 01:37:17,760 HEALTH DISPARITIES, MINORITY 2248 01:37:17,760 --> 01:37:22,632 HEALTH RESEARCH NOTE AT ALL TO 2249 01:37:22,632 --> 01:37:25,835 SUPPLANT THE WORK AND WE'VE 2250 01:37:25,835 --> 01:37:30,306 LOOKED AT OUR INTERNAL AND 2251 01:37:30,306 --> 01:37:35,378 EXTERNAL WORKFORCE WITH A RACIAL 2252 01:37:35,378 --> 01:37:39,615 EQUITY LENS YOU'LL SEE IT'S LED 2253 01:37:39,615 --> 01:37:44,120 TO INITIATIVES AND A RISING TIDE 2254 01:37:44,120 --> 01:37:47,056 LIFTS ALL BOAT AND I THINK WHAT 2255 01:37:47,056 --> 01:37:48,491 YOU'LL SEE IN WHAT'S BEEN 2256 01:37:48,491 --> 01:37:48,758 DEVELOPED. 2257 01:37:48,758 --> 01:37:49,659 FROM THE STANDPOINT OF MINORITY 2258 01:37:49,659 --> 01:37:51,627 HEALTH AND HEALTH DISPARITIES 2259 01:37:51,627 --> 01:37:54,397 RESEARCH, OUR GOAL HAS BEEN TO 2260 01:37:54,397 --> 01:37:57,967 ENSURE NIH INSTITUTES AND 2261 01:37:57,967 --> 01:37:58,634 CENTERS PRIORITIZE HEALTH 2262 01:37:58,634 --> 01:38:00,836 MINORITY RESEARCH WITHIN 2263 01:38:00,836 --> 01:38:02,672 CLINICAL TRIALS AND HUME 2264 01:38:02,672 --> 01:38:03,639 ANSUBJECT RESEARCH. 2265 01:38:03,639 --> 01:38:04,473 OUTCOMES ARE THINGS LIKE THE 2266 01:38:04,473 --> 01:38:09,612 COMMUNITY PARTNERSHIPS TO 2267 01:38:09,612 --> 01:38:11,080 ADVANCE SCIENCE AND SOCIETY 2268 01:38:11,080 --> 01:38:13,216 INITIATIVE THIS COMMON FUND 2269 01:38:13,216 --> 01:38:16,485 INITIATIVE WAS UNITE INSPIRED. 2270 01:38:16,485 --> 01:38:21,324 WHEN IT WAS INTRODUCED TO THE 2271 01:38:21,324 --> 01:38:23,092 DIRECTOR IN 2021 THERE WAS A 2272 01:38:23,092 --> 01:38:24,627 COMMON FUND INITIATIVE FOR A 2273 01:38:24,627 --> 01:38:25,361 TRANSFORMATIVE HEALTH 2274 01:38:25,361 --> 01:38:26,996 DISPARITIES RESEARCH AND BY THE 2275 01:38:26,996 --> 01:38:35,238 END OF FISCAL YEAR 21 A PROMISE 2276 01:38:35,238 --> 01:38:38,441 TO FUND PROJECTS AND UNITES WERE 2277 01:38:38,441 --> 01:38:39,976 CLEAR IT WAS NOT SUFFICIENT 2278 01:38:39,976 --> 01:38:43,279 INVESTMENT AND OVER THE COURSE 2279 01:38:43,279 --> 01:38:47,550 OF YEARS A BROADER RANGE OF 2280 01:38:47,550 --> 01:38:49,352 NIHERS WORKED ON THE COMPASS 2281 01:38:49,352 --> 01:38:50,653 INITIATIVE ON 25 COMMUNITIES 2282 01:38:50,653 --> 01:38:52,221 ACROSS THE COUNTRY LAST FISCAL 2283 01:38:52,221 --> 01:38:57,360 YEAR GOT FUNDING FROM UNITE -- 2284 01:38:57,360 --> 01:38:58,794 NIH TO PROBLEMS THEY IDENTIFIED 2285 01:38:58,794 --> 01:39:04,467 THAT MAY ACCOUNT FOR DISPARITIES 2286 01:39:04,467 --> 01:39:08,471 AND IT'S A WONDERFUL EXPERIMENT 2287 01:39:08,471 --> 01:39:15,211 FOR NIH TO SEE IF WE CAN MOVE 2288 01:39:15,211 --> 01:39:15,878 THE NEEDLE. 2289 01:39:15,878 --> 01:39:17,146 ADDITIONALLY RECENTLY WE HAVE 2290 01:39:17,146 --> 01:39:20,016 BEEN ABLE TO ANNOUNCE A CHANGE 2291 01:39:20,016 --> 01:39:22,518 IN THE WAY THAT WE ACCOUNT FOR 2292 01:39:22,518 --> 01:39:26,222 MINORITY HEALTH AND HEALTH 2293 01:39:26,222 --> 01:39:27,690 DISPARITIES RESEARCH. 2294 01:39:27,690 --> 01:39:30,259 WE HAVE RCDC SYSTEM THAT 2295 01:39:30,259 --> 01:39:32,395 ACCOUNTS FOR EVERYTHING WE DO. 2296 01:39:32,395 --> 01:39:34,897 THESE AREAS WERE MANUALLY 2297 01:39:34,897 --> 01:39:37,099 CURATED IN THE PAST. 2298 01:39:37,099 --> 01:39:39,001 UNITE MEMBERS WITH NIMHD AND THE 2299 01:39:39,001 --> 01:39:43,239 OFFICE OF BUDGET HERE AT NIH AND 2300 01:39:43,239 --> 01:39:47,376 OTHER NIHERS WORKED HARD TO 2301 01:39:47,376 --> 01:39:48,511 DISENTANGLE THE DATA REPORTED 2302 01:39:48,511 --> 01:39:50,212 THAT WAS MINORITY HEALTH 2303 01:39:50,212 --> 01:39:54,984 DISPARITIES RESEARCH VERSUS 2304 01:39:54,984 --> 01:40:00,122 INFRASTRUCTURE VERSUS WORKFORCE 2305 01:40:00,122 --> 01:40:01,190 AND THERE'S NOW FIVE INITIATIVES 2306 01:40:01,190 --> 01:40:02,658 TO ALLOW FOR GREATER REPORTING. 2307 01:40:02,658 --> 01:40:04,460 THOSE ARE HIGHLIGHTED IN THE 2308 01:40:04,460 --> 01:40:06,862 PROGRESS REPORT. 2309 01:40:06,862 --> 01:40:12,835 MANY MORE JUST GOOGLE NIH INE 2310 01:40:12,835 --> 01:40:19,442 ITE AND -- RESEARCH ECO SYSTEM. 2311 01:40:19,442 --> 01:40:21,210 WE HAD HIGHLIGHTED IN THE 2312 01:40:21,210 --> 01:40:22,912 PROGRESS REPORT THOUGH IT'S 2313 01:40:22,912 --> 01:40:25,348 UNITE ADJACENT. 2314 01:40:25,348 --> 01:40:29,018 IT HAD GOTTEN STARTED DEVELOPING 2315 01:40:29,018 --> 01:40:31,821 UNITE AND THE NOFO WAS UNVEILED 2316 01:40:31,821 --> 01:40:35,024 BEFORE BEING REVEALED TO THE 2317 01:40:35,024 --> 01:40:39,061 PUBLIC AND THE INSTITUTE FOR 2318 01:40:39,061 --> 01:40:42,131 TRANSFORMATIONAL INFORMATIONAL 2319 01:40:42,131 --> 01:40:44,467 PROGRAM INTENDED TO BRING 2320 01:40:44,467 --> 01:40:47,370 FACULTY WHO HAVE INTEREST IN 2321 01:40:47,370 --> 01:40:48,471 DIVERSITY, EQUITY AND INCLUSION 2322 01:40:48,471 --> 01:40:49,338 AND ACCESSIBILITY. 2323 01:40:49,338 --> 01:40:52,508 IT'S NOT NECESSARILY THEIR 2324 01:40:52,508 --> 01:40:57,747 RESEARCH FOCUS BUT AN 2325 01:40:57,747 --> 01:40:59,014 APPLICATION AND THE ENVIRONMENT 2326 01:40:59,014 --> 01:41:00,750 IS EVALUATED TO MAKE SURE IT'S 2327 01:41:00,750 --> 01:41:03,285 AN INCLUSIVE ENVIRONMENT WHERE 2328 01:41:03,285 --> 01:41:05,621 ALL FEEL THEY BELONG AND GIVEN 2329 01:41:05,621 --> 01:41:08,424 EXTRA RESOURCES AND SUPPORTED TO 2330 01:41:08,424 --> 01:41:11,794 THE POINT OF BECOMING TENURED 2331 01:41:11,794 --> 01:41:13,462 FACULTY MEMBERS WITH FUNDING. 2332 01:41:13,462 --> 01:41:17,266 WE DID THE SOLICITATION IN THREE 2333 01:41:17,266 --> 01:41:17,466 WAYS. 2334 01:41:17,466 --> 01:41:19,335 THE THIRD AND LAST SET WERE 2335 01:41:19,335 --> 01:41:20,536 AWARDED LAST SUMMER. 2336 01:41:20,536 --> 01:41:22,338 YOU SEE THE DISTRIBUTION OF THE 2337 01:41:22,338 --> 01:41:24,473 INSTITUTIONS INVOLVED HERE. 2338 01:41:24,473 --> 01:41:27,710 WE THINK IT'S A GREAT 2339 01:41:27,710 --> 01:41:28,010 EXPERIMENT. 2340 01:41:28,010 --> 01:41:32,248 IF SUCCESSFUL AT THE END OF 2341 01:41:32,248 --> 01:41:33,516 THIS -- IT'S SUPPORTED FOR 2342 01:41:33,516 --> 01:41:36,285 INITIALLY FIVE YEARS AND CAN BE 2343 01:41:36,285 --> 01:41:38,354 RENEWED FOR ANOTHER FIVE YEARS 2344 01:41:38,354 --> 01:41:40,022 AS ALWAYS THE CASE WITH COMMON 2345 01:41:40,022 --> 01:41:41,590 FUND INITIATIVES AND IN 10 YEARS 2346 01:41:41,590 --> 01:41:45,261 IT WILL BE 180 NEW FACULTY WHO 2347 01:41:45,261 --> 01:41:45,995 HAVE BEEN SUPPORTED BY THE 2348 01:41:45,995 --> 01:41:51,133 INITIATIVE. 2349 01:41:51,133 --> 01:41:54,336 ADDITIONALLY, IN FISCAL YEAR '23 2350 01:41:54,336 --> 01:41:56,238 THERE WERE NUMEROUS 2351 01:41:56,238 --> 01:41:57,973 ANNOUNCEMENTS THAT WERE PUT OUT 2352 01:41:57,973 --> 01:41:59,141 RELATED TO UNITE. 2353 01:41:59,141 --> 01:42:01,143 THERE WAS A SCIENCE EDUCATION 2354 01:42:01,143 --> 01:42:02,044 PARTNERSHIP AWARD PROGRAM WHICH 2355 01:42:02,044 --> 01:42:04,480 IS SOMETHING THAT WAS LED BY THE 2356 01:42:04,480 --> 01:42:05,214 NATIONAL INSTITUTE OF GENERAL 2357 01:42:05,214 --> 01:42:07,082 MEDICAL SCIENCES FOR MANY YEARS 2358 01:42:07,082 --> 01:42:10,719 AS THE K-12 PROGRAM AND EXPANDED 2359 01:42:10,719 --> 01:42:12,755 TO INCLUDE NOW 19 CENTER AND 2360 01:42:12,755 --> 01:42:13,155 OFFICES. 2361 01:42:13,155 --> 01:42:15,991 THE IMPORTANCE OF THIS BEING 2362 01:42:15,991 --> 01:42:19,562 THAT WE RECOGNIZE SCIENCE 2363 01:42:19,562 --> 01:42:24,467 IDENTITIES DEVELOP VERY EARLY 2364 01:42:24,467 --> 01:42:25,401 POTENTIALLY AS EARLY AS MIDDLE 2365 01:42:25,401 --> 01:42:28,471 SCHOOL AND OUTREACH IS 2366 01:42:28,471 --> 01:42:28,737 IMPORTANT. 2367 01:42:28,737 --> 01:42:30,973 THAT'S UNITE RELATED INITIATIVE 2368 01:42:30,973 --> 01:42:32,074 AS WELL AS RESEARCH WITH 2369 01:42:32,074 --> 01:42:36,245 ACTIVITIES RELATED TO DIVERSITY. 2370 01:42:36,245 --> 01:42:44,086 THIS IS AN R01 OPPORTUNITY FOR 2371 01:42:44,086 --> 01:42:46,889 FOSTERING AND BELONGING AND NOT 2372 01:42:46,889 --> 01:42:48,491 HAD A SIGNIFICANT NIH GRANT 2373 01:42:48,491 --> 01:42:49,725 AWARD. 2374 01:42:49,725 --> 01:42:53,996 THIS GIVES THE OPPORTUNITY FOR 2375 01:42:53,996 --> 01:42:59,935 R01 FUNDING AND A GRANT FOR 2376 01:42:59,935 --> 01:43:05,341 RESOURCE LIMITED NIHS. 2377 01:43:05,341 --> 01:43:07,209 DEFINITION VARIES BY THE NOFO 2378 01:43:07,209 --> 01:43:08,944 AND DEFINED AS AN INSTITUTION 2379 01:43:08,944 --> 01:43:11,280 WITH $50 MILLION OR LESS ON 2380 01:43:11,280 --> 01:43:13,015 AVERAGE OF NIH GRANT FUNDING IN 2381 01:43:13,015 --> 01:43:14,183 THE PRIOR THREE YEARS. 2382 01:43:14,183 --> 01:43:15,150 THE THING UNIQUE ABOUT THIS 2383 01:43:15,150 --> 01:43:16,318 OPPORTUNITY IS NOT ONLY THIS 2384 01:43:16,318 --> 01:43:18,754 FOCUS ON RESOURCE-LIMITED 2385 01:43:18,754 --> 01:43:19,788 INSTITUTIONS BUT THE OPPORTUNITY 2386 01:43:19,788 --> 01:43:24,026 FOR GRANT FUNDING WHETHER THE 2387 01:43:24,026 --> 01:43:25,728 INSTITUTION IS LOOKING AT 2388 01:43:25,728 --> 01:43:27,530 RESEARCH OR FOR HIGHER LEVEL 2389 01:43:27,530 --> 01:43:31,600 EDUCATIONAL PROGRAMS. 2390 01:43:31,600 --> 01:43:41,176 THERE'S THE STRENGTHENING 2391 01:43:41,176 --> 01:43:42,778 RESEARCH OPPORTUNITIES FOR 2392 01:43:42,778 --> 01:43:46,415 GRANTS WITH LESS THAN $3 MILLION 2393 01:43:46,415 --> 01:43:52,087 IN RPG FUNDING RECOGNIZING IT 2394 01:43:52,087 --> 01:43:53,722 THE HELP MAKE SURE WE'RE 2395 01:43:53,722 --> 01:43:56,458 BRINGING IN A BROAD RANGE OF 2396 01:43:56,458 --> 01:43:59,862 SCIENTISTS AND TRAINEES. 2397 01:43:59,862 --> 01:44:02,498 THEN THERE'S THE AND 2398 01:44:02,498 --> 01:44:03,966 INSTITUTIONS AWARD. 2399 01:44:03,966 --> 01:44:05,668 DESIGN TO ALLOW INSTITUTION TO 2400 01:44:05,668 --> 01:44:07,269 LOOK BACK AT THEIR ENVIRONMENT 2401 01:44:07,269 --> 01:44:09,104 AND MAKE SURE IT'S INCLUSIVE OF 2402 01:44:09,104 --> 01:44:10,706 ALL AND ALL FEEL THEY BELONG AND 2403 01:44:10,706 --> 01:44:12,608 WHERE THEY FIND DEFICITS TO MAKE 2404 01:44:12,608 --> 01:44:13,742 INTERVENTIONS TO ADDRESS THIS. 2405 01:44:13,742 --> 01:44:17,813 IN MY MIND THIS IS KIND OF LIKE 2406 01:44:17,813 --> 01:44:19,048 THE FIRST INITIATIVE LIGHT. 2407 01:44:19,048 --> 01:44:22,051 IF AN INSTITUTION IS ABLE TO 2408 01:44:22,051 --> 01:44:24,086 COMPETE FOR THE THESE FUNDS AND 2409 01:44:24,086 --> 01:44:28,023 GET THEM FROM NIH THEY CAN 2410 01:44:28,023 --> 01:44:30,292 POTENTIALLY GET PHILANTHROPIC 2411 01:44:30,292 --> 01:44:31,894 FUNDS AND BASICALLY HAVE A FIRST 2412 01:44:31,894 --> 01:44:32,127 AWARD. 2413 01:44:32,127 --> 01:44:34,997 IN TERMS OF PROMOTING EQUITY IN 2414 01:44:34,997 --> 01:44:36,799 THE INTERNAL NIH WORKFORCE. 2415 01:44:36,799 --> 01:44:38,000 WE LOOKED AT OPPORTUNITIES THERE 2416 01:44:38,000 --> 01:44:39,668 AND HAVE A LOT OF DATA AND 2417 01:44:39,668 --> 01:44:40,769 ENCOURAGE YOU TO READ WHAT'S IN 2418 01:44:40,769 --> 01:44:41,070 THE REPORT. 2419 01:44:41,070 --> 01:44:43,772 A COUPLE HIGHLIGHTS. 2420 01:44:43,772 --> 01:44:45,808 WE HAVE THE MEDICAL STUDENT 2421 01:44:45,808 --> 01:44:47,443 OPPORTUNITIES FOR ADVANCED 2422 01:44:47,443 --> 01:44:48,744 RESEARCH INITIATIVE STARTED LAST 2423 01:44:48,744 --> 01:44:49,211 YEAR. 2424 01:44:49,211 --> 01:44:52,915 IT WAS A PARTNERSHIP WITH THE 2425 01:44:52,915 --> 01:44:54,016 NIH OFFICE OF INTRAMURAL 2426 01:44:54,016 --> 01:44:55,918 TRAINING AND EDUCATION AND 2427 01:44:55,918 --> 01:44:57,353 BROUGHT 16 MEDICAL STUDENTS TO 2428 01:44:57,353 --> 01:45:00,022 NIH CAMPUS LAST SUMMER AND 2429 01:45:00,022 --> 01:45:00,756 REPLICATED AGAIN THIS YEAR BEING 2430 01:45:00,756 --> 01:45:06,528 LAUNCHED LAST MONTH. 2431 01:45:06,528 --> 01:45:07,997 A GREAT OPPORTUNITY TO BRING 2432 01:45:07,997 --> 01:45:13,068 PEOPLE TO NIH AND SHOW THEM THE 2433 01:45:13,068 --> 01:45:14,269 FUTURE OF RESEARCHERS. 2434 01:45:14,269 --> 01:45:17,740 WE ALSO LOOKED AT OUR DATA AND 2435 01:45:17,740 --> 01:45:21,977 SAW AMONG OUR STAFF WERE THE GS5 2436 01:45:21,977 --> 01:45:22,845 TO 11 LEVEL. 2437 01:45:22,845 --> 01:45:26,015 QUITE A DIVERSE GROUP OF STAFF 2438 01:45:26,015 --> 01:45:26,248 MEMBERS. 2439 01:45:26,248 --> 01:45:29,318 THERE WEREN'T AS MANY 2440 01:45:29,318 --> 01:45:29,952 OPPORTUNITIES FOR TRAINING AS 2441 01:45:29,952 --> 01:45:32,988 FOR THOSE OF THE GS4 AND HIGHER 2442 01:45:32,988 --> 01:45:33,255 LEVEL. 2443 01:45:33,255 --> 01:45:34,657 WE ESTABLISHED AN EMERGING 2444 01:45:34,657 --> 01:45:36,492 TALENT PROGRAM TO MAKE SURE WE 2445 01:45:36,492 --> 01:45:39,328 GIVE THOSE OPPORTUNITIES TO 2446 01:45:39,328 --> 01:45:39,962 FACILITATE UPWARD MOBILITY FOR 2447 01:45:39,962 --> 01:45:41,330 ALL OF OUR STAFF. 2448 01:45:41,330 --> 01:45:47,536 AND THEN IN THE REALM OF DATA WE 2449 01:45:47,536 --> 01:45:51,006 HAVE HAD EXTERNAL AND INTERNAL 2450 01:45:51,006 --> 01:45:56,478 SCIENTIFIC COMMUNITY TO GET AN 2451 01:45:56,478 --> 01:45:59,181 UNDERSTANDING OF WHAT IS BEING 2452 01:45:59,181 --> 01:46:01,316 TRANSLATED TO ACTION, WHAT NEEDS 2453 01:46:01,316 --> 01:46:01,984 TO BE LEARNED. 2454 01:46:01,984 --> 01:46:03,752 WHAT OTHER INFORMATION WE NEED 2455 01:46:03,752 --> 01:46:04,319 TO GATHER. 2456 01:46:04,319 --> 01:46:08,524 WE HAD SOME 1300 PARTICIPANTS 2457 01:46:08,524 --> 01:46:11,593 AND REFER YOU TO THE DOCUMENT 2458 01:46:11,593 --> 01:46:13,495 REFERENCED WITHIN THE PROGRESS 2459 01:46:13,495 --> 01:46:13,762 REPORT. 2460 01:46:13,762 --> 01:46:16,198 IT'S LED TO A NUMBER OF THINGS I 2461 01:46:16,198 --> 01:46:16,765 MENTIONED BEING DONE WITHIN 2462 01:46:16,765 --> 01:46:21,136 UNITE. 2463 01:46:21,136 --> 01:46:25,174 I'LL CLOSE BY SAYING THAT 2464 01:46:25,174 --> 01:46:29,678 UNITE'S COMMITMENT FOR BEING A 2465 01:46:29,678 --> 01:46:32,881 DRIVING FORCE WITHIN NIH IS 2466 01:46:32,881 --> 01:46:33,515 UNWAVE 2467 01:46:33,515 --> 01:46:34,083 UNWAVERING. 2468 01:46:34,083 --> 01:46:39,188 I WOULD ALSO LIKE TO MENTION 2469 01:46:39,188 --> 01:46:44,860 THAT THERE WAS ALSO A REPORT ON 2470 01:46:44,860 --> 01:46:55,404 PROGRESS FROM PERFECT MY OFFICE. 2471 01:47:16,592 --> 01:47:16,658 2472 01:47:16,658 --> 01:47:18,761 >> I'LL TALK ABOUT THE 2473 01:47:18,761 --> 01:47:20,462 CONSORTIUM AS IT MOVES INTO ITS 2474 01:47:20,462 --> 01:47:21,430 FINAL PHASE. 2475 01:47:21,430 --> 01:47:23,332 TO GIVE YOU A LITTLE BIT OF THE 2476 01:47:23,332 --> 01:47:25,601 BACKGROUND OF THE PROGRAM. 2477 01:47:25,601 --> 01:47:27,870 IN 2012, THE NIH ADVISORY 2478 01:47:27,870 --> 01:47:30,105 COMMITTEE TO THE DIRECTOR 2479 01:47:30,105 --> 01:47:32,474 WORKING GROUP ON DIVERSITY IN 2480 01:47:32,474 --> 01:47:33,041 THE BIOMEDICAL RESEARCH 2481 01:47:33,041 --> 01:47:34,076 WORKFORCE MADE RECOMMENDATIONS 2482 01:47:34,076 --> 01:47:41,116 IN RESPONSE TO STUDIES SHOWING 2483 01:47:41,116 --> 01:47:42,985 DISPARITIES IN THE NIH GRANT 2484 01:47:42,985 --> 01:47:43,385 FUNDED WORKFORCE. 2485 01:47:43,385 --> 01:47:46,088 AS PART THEIR IMPLEMENTATION OF 2486 01:47:46,088 --> 01:47:47,256 THE RECOMMENDATIONS THE COMMON 2487 01:47:47,256 --> 01:47:50,125 FUND ESTABLISHED THE ENHANCING 2488 01:47:50,125 --> 01:47:50,959 DIVERSITY OF THE NIH FUNDED 2489 01:47:50,959 --> 01:47:52,861 WORKFORCE ALSO KNOWN AS THE 2490 01:47:52,861 --> 01:47:56,331 DIVERSITY PROGRAM CONSORTIUM. 2491 01:47:56,331 --> 01:47:58,100 I'LL BE REFERRING TO THAT 2492 01:47:58,100 --> 01:48:02,237 THROUGHOUT THE TALK. 2493 01:48:02,237 --> 01:48:10,312 AS THE DIVERSITY CONSORTIUM DPC 2494 01:48:10,312 --> 01:48:11,513 FOR SHORT. 2495 01:48:11,513 --> 01:48:12,614 THE IDEA WAS TO TAKE A 2496 01:48:12,614 --> 01:48:16,485 SCIENTIFIC APPROACH IN ENHANCING 2497 01:48:16,485 --> 01:48:20,355 DIVERSITY IN THE BIOMEDICAL 2498 01:48:20,355 --> 01:48:22,090 WORKFORCE AND THERE'S STUDENT 2499 01:48:22,090 --> 01:48:24,693 LEVEL, FACULTY AND INSTITUTIONAL 2500 01:48:24,693 --> 01:48:27,362 LEVEL IMPACT. 2501 01:48:27,362 --> 01:48:29,898 ANOTHER INNOVATION IS TO 2502 01:48:29,898 --> 01:48:31,834 INTEGRATE SOCIAL SCIENCE 2503 01:48:31,834 --> 01:48:32,334 RESEARCH IN PARTICULAR 2504 01:48:32,334 --> 01:48:36,872 PSYCHOSOCIAL INTERVENTIONS IN 2505 01:48:36,872 --> 01:48:39,007 THE PROFESSION OF TRAINING AND 2506 01:48:39,007 --> 01:48:40,275 MENTORING STUDENT AND FACULTY. 2507 01:48:40,275 --> 01:48:42,678 A KEY COMPONENT IS RIGOROUS 2508 01:48:42,678 --> 01:48:43,745 ASSESSMENT AND EVALUATION OF 2509 01:48:43,745 --> 01:48:46,114 THESE TRAINING AND MENTORING 2510 01:48:46,114 --> 01:48:48,517 INTERVENTIONS THAT ARE 2511 01:48:48,517 --> 01:48:49,484 IMPLEMENTED ACROSS THE PROGRAM. 2512 01:48:49,484 --> 01:48:52,688 AND THE LONG-TERM IMPACT OF THE 2513 01:48:52,688 --> 01:48:56,491 PROGRAM WILL BE IN THE BROAD 2514 01:48:56,491 --> 01:48:57,826 DISSEMINATION OF THE 2515 01:48:57,826 --> 01:48:58,460 EVIDENCE-INFORMED APPROACHES TO 2516 01:48:58,460 --> 01:49:04,399 TRAINING AND MENTORING. 2517 01:49:04,399 --> 01:49:09,738 IT WAS IN TWO PHASES. 2518 01:49:09,738 --> 01:49:12,674 NIH PLAYED A MAJOR ROLE AS THEY 2519 01:49:12,674 --> 01:49:14,443 WERE ALL COOPERATIVE AGREEMENTS. 2520 01:49:14,443 --> 01:49:15,944 THERE WERE THE BUILDING 2521 01:49:15,944 --> 01:49:18,347 INFRASTRUCTURE LEADING TO 2522 01:49:18,347 --> 01:49:18,881 DIVERSITY SITES. 2523 01:49:18,881 --> 01:49:23,018 TEN SITES ACROSS THE COUNTRY. 2524 01:49:23,018 --> 01:49:24,486 REPRESENTING DIFFERENT 2525 01:49:24,486 --> 01:49:27,756 INSTITUTION TIMES AND STUDENT 2526 01:49:27,756 --> 01:49:28,056 POPULATIONS. 2527 01:49:28,056 --> 01:49:32,127 THE NATIONAL MENTORING NETWORK 2528 01:49:32,127 --> 01:49:32,694 COMPRISED OF RESEARCH AND 2529 01:49:32,694 --> 01:49:40,102 SERVICE CORPS FOR THE FIRST 2530 01:49:40,102 --> 01:49:42,671 INCLUDING MENTOR AND GRANT 2531 01:49:42,671 --> 01:49:44,740 WRITING TRAINING AND THE 2532 01:49:44,740 --> 01:49:46,541 COORDINATION CENTER AS THE NAME 2533 01:49:46,541 --> 01:49:48,477 SUGGESTS THEY COORDINATED THE 2534 01:49:48,477 --> 01:49:53,282 ACTIVITIES AND CONSORTIUM WIDE 2535 01:49:53,282 --> 01:49:55,684 EVALUATIONS AS WELL AS HELPING 2536 01:49:55,684 --> 01:49:58,654 EACH SIGHT DEVELOP THEIR OWN 2537 01:49:58,654 --> 01:49:59,121 PROTOCOLS. 2538 01:49:59,121 --> 01:50:00,489 HIGHLIGHTS FROM PHASE 1 FOR THE 2539 01:50:00,489 --> 01:50:09,398 DIVERSITY PROGRAM CONSORTIUM. 2540 01:50:09,398 --> 01:50:11,033 THEY DEVELOPED PLANS SITE 2541 01:50:11,033 --> 01:50:12,434 SPECIFIC AND CONSORTIUM WIDE. 2542 01:50:12,434 --> 01:50:14,903 THEY GOT TOGETHER AND DEFINED 2543 01:50:14,903 --> 01:50:17,072 HALLMARKS OF SUCCESS. 2544 01:50:17,072 --> 01:50:18,874 THIS IS AN IMPORTANT SET OF 2545 01:50:18,874 --> 01:50:19,474 HALLMARKS AVAILABLE TO THE 2546 01:50:19,474 --> 01:50:20,475 BROADER COMMUNITY FROM THIS 2547 01:50:20,475 --> 01:50:23,312 POINT ON. 2548 01:50:23,312 --> 01:50:25,814 THEY ALSO DEFINED WHAT MEASURES 2549 01:50:25,814 --> 01:50:27,416 THEY WOULD USE TO VERIFY THEY 2550 01:50:27,416 --> 01:50:28,050 HAD REACHED THE HALLMARKS OF 2551 01:50:28,050 --> 01:50:31,520 SUCCESS. 2552 01:50:31,520 --> 01:50:33,922 THEY CREATED A DATA SHARING 2553 01:50:33,922 --> 01:50:38,727 AGREEMENT, DEVELOPED AND 2554 01:50:38,727 --> 01:50:41,363 EMPLOYED A TRACKING SYSTEM AND 2555 01:50:41,363 --> 01:50:42,097 THERE'S A NUMBER OF PROGRAMS 2556 01:50:42,097 --> 01:50:44,399 GOING ON AND HAD A TRACKING 2557 01:50:44,399 --> 01:50:45,133 SYSTEM DEVELOPED TO KEEP TRACK 2558 01:50:45,133 --> 01:50:49,371 OF ALL THE INTERVENTIONS. 2559 01:50:49,371 --> 01:50:53,709 THEY COLLECTED SITE SPECIFIC AND 2560 01:50:53,709 --> 01:50:56,278 CONSORTIUM-WIDE DATA AND THOUGH 2561 01:50:56,278 --> 01:50:57,846 IT WAS EARLY DAYS IN THE PROGRAM 2562 01:50:57,846 --> 01:51:00,515 ABLE TO PUBLISH METHODS PAPERS 2563 01:51:00,515 --> 01:51:02,351 AND EARLY OUTCOMES. 2564 01:51:02,351 --> 01:51:06,221 I MENTIONED THERE ARE TWO 2565 01:51:06,221 --> 01:51:06,455 PHASES. 2566 01:51:06,455 --> 01:51:07,889 AS THEY TRANSITIONED INTO THE 2567 01:51:07,889 --> 01:51:10,125 SECOND PHASE IT WASN'T A 2568 01:51:10,125 --> 01:51:13,095 COMPETITION AND THE FOCUS WAS ON 2569 01:51:13,095 --> 01:51:14,863 COMPLETION OF THE STUDIES, 2570 01:51:14,863 --> 01:51:19,968 SUSTAINABILITY, SO MOVING FROM A 2571 01:51:19,968 --> 01:51:24,473 PLACE OF NIH FUNDING TO 2572 01:51:24,473 --> 01:51:25,540 SUSTAINABLE ACTIVITIES AND 2573 01:51:25,540 --> 01:51:29,044 DISSEMINATING OUT THE FINDINGS. 2574 01:51:29,044 --> 01:51:31,113 THE BUILD SITE AND COORDINATION 2575 01:51:31,113 --> 01:51:32,381 AND EVALUATION CENTER CAME IN 2576 01:51:32,381 --> 01:51:34,149 THROUGH A LIMITED COMPETITION 2577 01:51:34,149 --> 01:51:38,387 BUT ALL DID COMPETE. 2578 01:51:38,387 --> 01:51:39,888 THE NATIONAL RESEARCH MENTORING 2579 01:51:39,888 --> 01:51:42,524 NETWORK RESOURCE CENTER WAS AN 2580 01:51:42,524 --> 01:51:43,425 OPEN COMPETITION SITES ACROSS 2581 01:51:43,425 --> 01:51:44,493 THE COUNTRY WERE ELIGIBLE TO 2582 01:51:44,493 --> 01:51:47,929 APPLY FOR. 2583 01:51:47,929 --> 01:51:50,098 THEN THERE WAS A NEW DIRECTION 2584 01:51:50,098 --> 01:51:52,100 FOR THE NATIONAL RESEARCH 2585 01:51:52,100 --> 01:51:53,201 MENTORING NETWORK IN THE SECOND 2586 01:51:53,201 --> 01:51:58,106 PHASE TO FOCUS ON DEVELOPING A 2587 01:51:58,106 --> 01:51:59,641 STRONG EVIDENCE BASE FOR 2588 01:51:59,641 --> 01:52:00,776 EFFECTIVE MENTORING 2589 01:52:00,776 --> 01:52:01,109 INTERVENTIONS. 2590 01:52:01,109 --> 01:52:03,011 IN THE CENTER OF THESE RESEARCH 2591 01:52:03,011 --> 01:52:04,112 AWARDS WAS A DATA COORDINATION 2592 01:52:04,112 --> 01:52:06,615 CENTER. 2593 01:52:06,615 --> 01:52:08,350 THEN THERE WAS A NEW COMPONENT 2594 01:52:08,350 --> 01:52:10,385 ADDED FROM THE LESSONS LEARNED 2595 01:52:10,385 --> 01:52:14,623 IN PHASE 1 A CAPACITY BUILDING 2596 01:52:14,623 --> 01:52:16,091 COMPONENT TO RECOGNIZE THAT 2597 01:52:16,091 --> 01:52:17,559 SITES NEED TO DEVELOP CAPACITY 2598 01:52:17,559 --> 01:52:21,329 TO BE ABLE TO ACCEPT AND 2599 01:52:21,329 --> 01:52:22,931 ADMINISTER NIH AWARDS AND THERE 2600 01:52:22,931 --> 01:52:25,600 WAS ALSO A DISSEMINATION AND 2601 01:52:25,600 --> 01:52:26,935 TRANSLATION AWARD AND THE IDEA 2602 01:52:26,935 --> 01:52:29,838 WAS TO START TO DISSEMINATE OUT 2603 01:52:29,838 --> 01:52:32,474 SOME EARLY SUCCESSES IN THE 2604 01:52:32,474 --> 01:52:34,142 INTERVENTIONS. 2605 01:52:34,142 --> 01:52:36,812 SO FOR PHASE 2 SOME HIGHLIGHTS 2606 01:52:36,812 --> 01:52:38,480 WERE THAT THE BUILD SITES 2607 01:52:38,480 --> 01:52:40,482 CONTINUED THEIR INTERVENTIONS 2608 01:52:40,482 --> 01:52:41,983 AND THEY TRANSITIONED INTO 2609 01:52:41,983 --> 01:52:44,486 SUSTAINABILITY LEVELS OF 2610 01:52:44,486 --> 01:52:45,454 ACTIVITIES. 2611 01:52:45,454 --> 01:52:48,056 THEY COLLECTED BOTH SITE LEVEL 2612 01:52:48,056 --> 01:52:49,357 AND CONSORTIUM WIDE DATA. 2613 01:52:49,357 --> 01:52:51,626 FOR THE NATIONAL RESEARCH 2614 01:52:51,626 --> 01:52:52,961 MENTORING NETWORK RESOURCE 2615 01:52:52,961 --> 01:52:55,030 CENTER, THEY BOTH SUSTAINED 2616 01:52:55,030 --> 01:52:57,766 EFFORTS THEY HAD INITIALLY AND 2617 01:52:57,766 --> 01:53:00,469 EXPANDED SOME OF THEIR OFFERINGS 2618 01:53:00,469 --> 01:53:01,136 DURING THIS TIME. 2619 01:53:01,136 --> 01:53:03,538 THE NATIONAL RESEARCH MENTORING 2620 01:53:03,538 --> 01:53:05,574 NETWORK RESEARCH PROJECTS WERE 2621 01:53:05,574 --> 01:53:09,644 IMPLEMENTED AND CONDUCTED AND 2622 01:53:09,644 --> 01:53:11,213 THE DATA COORDINATION CENTER 2623 01:53:11,213 --> 01:53:13,115 BROUGHT THE GROUP TOGETHER TO 2624 01:53:13,115 --> 01:53:13,882 HAVE COMMON MEASURES THEY WERE 2625 01:53:13,882 --> 01:53:16,218 USING IN THEIR STUDIES. 2626 01:53:16,218 --> 01:53:20,455 THEY COORDINATED DATA COLLECTION 2627 01:53:20,455 --> 01:53:25,427 AND THEY'RE MANAGING A DATA 2628 01:53:25,427 --> 01:53:26,061 PORTAL. 2629 01:53:26,061 --> 01:53:28,430 THERE WAS A SPONSORED 2630 01:53:28,430 --> 01:53:31,099 DEVELOPMENT PROGRAM THAT WILL BE 2631 01:53:31,099 --> 01:53:31,633 CONTINUED WITH THE UNITE 2632 01:53:31,633 --> 01:53:33,935 INITIATIVE AND THAT'S GREAT IT 2633 01:53:33,935 --> 01:53:38,039 HEAR IT'S HELPING INSTITUTIONS 2634 01:53:38,039 --> 01:53:38,840 DEVELOP THEIR SPONSORED 2635 01:53:38,840 --> 01:53:39,641 PROGRAM'S ADMINISTRATION. 2636 01:53:39,641 --> 01:53:40,475 THE DISSEMINATION AND 2637 01:53:40,475 --> 01:53:45,313 TRANSLATION AWARDS WERE LAUNCHED 2638 01:53:45,313 --> 01:53:47,315 AND IMPLEMENTED AND WE WERE ABLE 2639 01:53:47,315 --> 01:53:48,550 TO TEST INTERVENTIONS AT OTHER 2640 01:53:48,550 --> 01:53:51,253 SITES ACROSS THE COUNTRY. 2641 01:53:51,253 --> 01:53:53,288 IMPORTANTLY THEY BEGAN TO 2642 01:53:53,288 --> 01:53:54,656 PUBLISH MANY OF THEIR 2643 01:53:54,656 --> 01:53:55,457 INTERVENTIONS AND OUTCOMES AND 2644 01:53:55,457 --> 01:53:56,458 I'LL TALK ABOUT THAT IN A 2645 01:53:56,458 --> 01:54:00,462 MINUTE. 2646 01:54:00,462 --> 01:54:03,632 IN THE NEXT FEW SLIDE I'D LIKE 2647 01:54:03,632 --> 01:54:06,101 TO GIVE YOU A SCALE AND SCOPE OF 2648 01:54:06,101 --> 01:54:08,336 THE COMPLEX PROGRAM. 2649 01:54:08,336 --> 01:54:10,639 IT'S GOING TO BE CHALLENGING IN 2650 01:54:10,639 --> 01:54:12,474 THE TIME WE HAVE BUT TURNING TO 2651 01:54:12,474 --> 01:54:15,010 THE RESOURCE CENTERS YOU CAN SEE 2652 01:54:15,010 --> 01:54:17,512 FROM THE DASHBOARD OVER 30,000 2653 01:54:17,512 --> 01:54:18,446 ACTIVE MEMBERS ARE INVOLVED IN 2654 01:54:18,446 --> 01:54:21,416 THE MENTORING NETWORK AND THAT 2655 01:54:21,416 --> 01:54:22,918 INCLUDES NEARLY 16,000 MENTEES 2656 01:54:22,918 --> 01:54:23,351 SPECIFICALLY. 2657 01:54:23,351 --> 01:54:26,221 AS I MENTIONED THERE ARE 2658 01:54:26,221 --> 01:54:27,589 RESOURCES AVAILABLE, 2659 01:54:27,589 --> 01:54:29,991 OPPORTUNITIES TO MENTOR WITH 2660 01:54:29,991 --> 01:54:31,726 INDIVIDUALS WITH A MENTORING 2661 01:54:31,726 --> 01:54:33,061 RELATIONSHIP WITH INDIVIDUALS 2662 01:54:33,061 --> 01:54:36,464 ACROSS THE COUNTRY AS WELL 2663 01:54:36,464 --> 01:54:39,100 COURSES AVAILABLE ON THE SITE. 2664 01:54:39,100 --> 01:54:44,472 FOR THE NATIONAL RESEARCH 2665 01:54:44,472 --> 01:54:47,175 MENTORING NETWORK, NRMN THEY 2666 01:54:47,175 --> 01:54:49,711 REACHED THOUSANDS OF INDIVIDUALS 2667 01:54:49,711 --> 01:54:50,779 THROUGH OUTREACH OF VARIOUS 2668 01:54:50,779 --> 01:54:54,950 PROGRAMS AND YOU CAN SEE THE 2669 01:54:54,950 --> 01:54:56,651 RANGE ACROSS THE PATHWAY OF 2670 01:54:56,651 --> 01:54:59,020 INDIVIDUALS REACHED AND GOING 2671 01:54:59,020 --> 01:55:00,889 DOWN ON THE LEFT COLUMN BROADER 2672 01:55:00,889 --> 01:55:02,691 RANGE OF ACTIVITIES THEY MADE 2673 01:55:02,691 --> 01:55:03,225 AVAILABLE TO THE BROADER 2674 01:55:03,225 --> 01:55:07,662 COMMUNITY. 2675 01:55:07,662 --> 01:55:09,464 FOR THE NATIONAL RESEARCH 2676 01:55:09,464 --> 01:55:11,666 MENTORING NETWORK RESEARCH 2677 01:55:11,666 --> 01:55:12,634 PROJECTS AN DATA COORDINATION 2678 01:55:12,634 --> 01:55:13,635 IT'S TRYING TO GIVE A SENSE OF 2679 01:55:13,635 --> 01:55:19,007 THE SCOPE OF STUDIES. 2680 01:55:19,007 --> 01:55:22,577 THERE WERE 11 RESEARCH INCLUDING 2681 01:55:22,577 --> 01:55:25,046 OVER 6,000 PARTICIPANTS REACHING 2682 01:55:25,046 --> 01:55:26,214 ABOUT 350 DIFFERENT 2683 01:55:26,214 --> 01:55:28,116 ORGANIZATIONS ACROSS THE 2684 01:55:28,116 --> 01:55:30,051 COUNTRY. 2685 01:55:30,051 --> 01:55:31,720 AND IMPORTANTLY THEY'VE ALREADY 2686 01:55:31,720 --> 01:55:37,192 HAVE A STRONG PUBLICATION BASE 2687 01:55:37,192 --> 01:55:41,663 CONTRIBUTING TO THE EVIDENCE 2688 01:55:41,663 --> 01:55:41,963 BASE. 2689 01:55:41,963 --> 01:55:43,598 TO GIVE A SENSE OF THE 2690 01:55:43,598 --> 01:55:45,734 INDIVIDUALS WHO PARTICIPATED, 2691 01:55:45,734 --> 01:55:47,168 YOU CAN SEE THE DEMOGRAPHICS OF 2692 01:55:47,168 --> 01:55:48,937 THE INDIVIDUALS AND IN THE 2693 01:55:48,937 --> 01:55:51,039 SPIRIT OF THE DIVERSITY PROGRAM 2694 01:55:51,039 --> 01:55:54,409 CONSORTIUM YOU CAN SEE A BROAD 2695 01:55:54,409 --> 01:55:55,644 RANGE OF DEMOGRAPHIC GROUPS 2696 01:55:55,644 --> 01:55:57,279 PARTICULARLY INDIVIDUALS FROM 2697 01:55:57,279 --> 01:55:57,946 UNDER REPRESENTED GROUPS THAT 2698 01:55:57,946 --> 01:56:01,950 WERE INVOLVED IN THESE STUDIES. 2699 01:56:01,950 --> 01:56:03,385 TURNING TO THE BUILD INITIATIVE 2700 01:56:03,385 --> 01:56:05,553 TO GIVE A SENSE ONCE AGAIN OF 2701 01:56:05,553 --> 01:56:08,523 THE NATIONAL SCOPE, WE'RE 2702 01:56:08,523 --> 01:56:13,428 SHOWING YOU A GLIMPSE OF THE 2703 01:56:13,428 --> 01:56:18,566 BUILD PROGRAM INVOLVING OVER 100 2704 01:56:18,566 --> 01:56:19,868 INSTITUTIONS. 2705 01:56:19,868 --> 01:56:21,102 THERE WERE 10 PRIMARY BUILD SITE 2706 01:56:21,102 --> 01:56:23,104 AND THERE WERE RESEARCH 2707 01:56:23,104 --> 01:56:24,472 INTENSIVES SHOWN IN BLUE OR 2708 01:56:24,472 --> 01:56:27,442 PATHWAY PARTNERS SHOWN IN 2709 01:56:27,442 --> 01:56:27,676 YELLOW. 2710 01:56:27,676 --> 01:56:28,877 AND YOU CAN ONCE AGAIN GET A 2711 01:56:28,877 --> 01:56:32,347 SENSE OF THE NATIONAL REACH. 2712 01:56:32,347 --> 01:56:34,516 IN TERMS OF THE CHARACTERISTIC 2713 01:56:34,516 --> 01:56:35,817 OF THESE INSTITUTIONS, 2714 01:56:35,817 --> 01:56:38,887 IMPORTANTLY A LARGE NUMBER OF 2715 01:56:38,887 --> 01:56:40,121 THESE INSTITUTIONS HAVE A 2716 01:56:40,121 --> 01:56:42,824 HISTORIC MISSION OF SERVING 2717 01:56:42,824 --> 01:56:45,293 INDIVIDUALS FROM UNDER REPRE 2718 01:56:45,293 --> 01:56:46,561 REPRESENTED GROUPS AND SHOWING 2719 01:56:46,561 --> 01:56:48,496 THE DASHBOARD OF THESE 2720 01:56:48,496 --> 01:56:51,099 INSTITUTIONS HERE. 2721 01:56:51,099 --> 01:56:53,668 I MENTIONED THEY'VE ALREADY 2722 01:56:53,668 --> 01:56:55,337 STARTED TO PUBLISH THEIR 2723 01:56:55,337 --> 01:56:58,039 INTERVENTIONS AND THIS IS AGAIN 2724 01:56:58,039 --> 01:57:00,909 A DASHBOARD SHOWING THE RANGE OF 2725 01:57:00,909 --> 01:57:01,242 PUBLICATIONS. 2726 01:57:01,242 --> 01:57:02,877 EACH COLOR REPRESENTS A 2727 01:57:02,877 --> 01:57:05,113 DIFFERENT BUILD SITE FOR A 2728 01:57:05,113 --> 01:57:08,350 SITE-SPECIFIC INTERVENTION. 2729 01:57:08,350 --> 01:57:11,086 THE DARK GRAY BARS REPRESENT THE 2730 01:57:11,086 --> 01:57:12,387 CONSORTIUM WIDE EVALUATION 2731 01:57:12,387 --> 01:57:17,792 PRODUCTS THAT WERE PUBLISHED AND 2732 01:57:17,792 --> 01:57:20,161 THE LIGHT BLUE BARS REPRESENT 2733 01:57:20,161 --> 01:57:21,363 SPECIAL ISSUE PUBLICATIONS 2734 01:57:21,363 --> 01:57:24,966 COMING ACROSS THE CONSORTIUM TO 2735 01:57:24,966 --> 01:57:25,467 PUBL 2736 01:57:25,467 --> 01:57:25,867 PUBLISH. 2737 01:57:25,867 --> 01:57:28,103 I'VE BEEN MENTIONED THEY TOOK A 2738 01:57:28,103 --> 01:57:29,804 SCIENTIFIC APPROACH TO 2739 01:57:29,804 --> 01:57:31,339 UNDERSTANDING TRAINING AND 2740 01:57:31,339 --> 01:57:31,840 MENTORING INTERVENTIONS. 2741 01:57:31,840 --> 01:57:34,743 I JUST WANTED TO GIVE YOU AN 2742 01:57:34,743 --> 01:57:35,310 EXAMPLE. 2743 01:57:35,310 --> 01:57:38,079 SHOWING YOU A LOGIC MODEL FOR A 2744 01:57:38,079 --> 01:57:39,147 STUDENT LEVEL. 2745 01:57:39,147 --> 01:57:42,684 THEY WOULD GATHER INDEPENDENT 2746 01:57:42,684 --> 01:57:44,386 VARIABLES INCLUDING DEMOGRAPHIC 2747 01:57:44,386 --> 01:57:47,055 INFORMATION, OTHER ACADEMIC 2748 01:57:47,055 --> 01:57:47,422 INDICATORS. 2749 01:57:47,422 --> 01:57:48,790 AND THEN ACROSS THE VARIOUS 2750 01:57:48,790 --> 01:57:51,426 SITES THERE ARE ACTIVITIES AND 2751 01:57:51,426 --> 01:57:54,062 INTERVENTIONS THE STUDENTS WOULD 2752 01:57:54,062 --> 01:57:55,330 GO THROUGH. 2753 01:57:55,330 --> 01:57:57,298 THEN I MENTIONED THE HALLMARKS 2754 01:57:57,298 --> 01:57:58,366 OF SUCCESS. 2755 01:57:58,366 --> 01:58:00,468 HERE'S SOME CONSIDERED THE SHORT 2756 01:58:00,468 --> 01:58:02,437 TO MEDIUM HALLMARKS OF SUCCESS. 2757 01:58:02,437 --> 01:58:04,506 THEY INCLUDE THINGS YOU MIGHT 2758 01:58:04,506 --> 01:58:07,442 THINK INCLUDING ENGAGEMENT IN 2759 01:58:07,442 --> 01:58:07,909 RESEARCH, SCIENTIFIC 2760 01:58:07,909 --> 01:58:10,111 PRESENTATIONS BUT THEY ALSO HAVE 2761 01:58:10,111 --> 01:58:12,247 SOME OF THOSE PSYCHOSOCIAL 2762 01:58:12,247 --> 01:58:14,549 FACTORS I MENTIONED EARLIER IN 2763 01:58:14,549 --> 01:58:15,850 THE TALK INCLUDING ENHANCED 2764 01:58:15,850 --> 01:58:16,584 SCIENCE IDENTITY AND SENSE OF 2765 01:58:16,584 --> 01:58:26,361 BELONGING. 2766 01:58:26,361 --> 01:58:29,431 AND COMPLETION OF AN 2767 01:58:29,431 --> 01:58:30,698 UNDERGRADUATE BIOMEDICAL DEGREE 2768 01:58:30,698 --> 01:58:32,801 AUTHORSHIP ON PAPERS AND 2769 01:58:32,801 --> 01:58:34,068 MATRICULATION TO GRADUATE SCHOOL 2770 01:58:34,068 --> 01:58:35,470 AND SO ON. 2771 01:58:35,470 --> 01:58:40,475 TO GIVE A SENSE OF THE TYPES AND 2772 01:58:40,475 --> 01:58:44,479 SCOPE FOR THE CONSORTIUM WIDE 2773 01:58:44,479 --> 01:58:51,519 STUDY FOR THE BUILD SITES, A HAD 2774 01:58:51,519 --> 01:58:54,889 A MAJOR SOURCE IS THROUGH 2775 01:58:54,889 --> 01:58:56,658 SURVEYS AND SHOWING THE 2776 01:58:56,658 --> 01:58:58,193 INDIVIDUALS WHO PARTICIPATED IN 2777 01:58:58,193 --> 01:59:08,736 TWO OR MORE OVER 37,000 STUDENTS 2778 01:59:14,242 --> 01:59:16,811 AND DATA THEY WERE ABLE TO 2779 01:59:16,811 --> 01:59:20,615 OBTAIN REACHING NEARLY 35,000 2780 01:59:20,615 --> 01:59:21,983 INDIVIDUALS. 2781 01:59:21,983 --> 01:59:24,452 I MENTIONED THE TRACKER EARLIER. 2782 01:59:24,452 --> 01:59:29,624 YOU SEE IT HERE NEARLY 600 2783 01:59:29,624 --> 01:59:32,193 ACTIVITIES AND A LARGE NUMBER OF 2784 01:59:32,193 --> 01:59:33,294 ROSTERS OVER 30,000 2785 01:59:33,294 --> 01:59:33,795 PARTICIPANTS. 2786 01:59:33,795 --> 01:59:35,830 ONCE AGAIN YOU CAN GET A SENSE 2787 01:59:35,830 --> 01:59:40,034 OF THE COMPLEXITY OF THIS 2788 01:59:40,034 --> 01:59:41,269 PROGRAM AND HOW MUCH WORK WENT 2789 01:59:41,269 --> 01:59:42,971 INTO THESE VARIOUS 2790 01:59:42,971 --> 01:59:43,538 INTERVENTIONS. 2791 01:59:43,538 --> 01:59:47,208 AN IMPORTANT SOURCE OF DATA IS 2792 01:59:47,208 --> 01:59:50,411 ALSO THE QUALITATIVE DATA 2793 01:59:50,411 --> 01:59:52,146 GATHERED TO THE BUILD SITES 2794 01:59:52,146 --> 01:59:53,615 INCLUDING INTEGRATED CASE 2795 01:59:53,615 --> 01:59:55,250 STUDIES, FOCUS GROUPS WITH 2796 01:59:55,250 --> 01:59:57,785 STUDENTS AND FACULTY AND 2797 01:59:57,785 --> 02:00:00,488 INTERVIEWS OF INSTITUTIONAL 2798 02:00:00,488 --> 02:00:04,492 LEADERS AND SUPPLEMENTING THAT 2799 02:00:04,492 --> 02:00:08,930 WITH RECORDS. 2800 02:00:08,930 --> 02:00:11,499 IT'S A LONGITUDINAL STUDY 2801 02:00:11,499 --> 02:00:14,302 TRACKING STUDENT AND FACULTY 2802 02:00:14,302 --> 02:00:14,669 CAREERS. 2803 02:00:14,669 --> 02:00:15,336 THERE'S DETAILED INFORMATION ON 2804 02:00:15,336 --> 02:00:17,138 PARTICIPATION AND ACTIVITIES. 2805 02:00:17,138 --> 02:00:19,173 A BROAD GROUP OF STUDENTS AND 2806 02:00:19,173 --> 02:00:21,242 FACULTY PARTICIPANTS ARE 2807 02:00:21,242 --> 02:00:21,509 INVOLVED. 2808 02:00:21,509 --> 02:00:24,012 THERE'S AN EXTREMELY LARGE 2809 02:00:24,012 --> 02:00:24,879 COMPARISON GROUP. 2810 02:00:24,879 --> 02:00:30,385 THIS WILL ALLOW FOR PROPENSITY 2811 02:00:30,385 --> 02:00:31,119 MATCHING SO THERE'S A STRONG 2812 02:00:31,119 --> 02:00:34,822 COMPARATOR GROUP. 2813 02:00:34,822 --> 02:00:37,492 THE OUTCOMES ON THE HALLMARKS OF 2814 02:00:37,492 --> 02:00:39,127 SUCCESS INCLUDE PSYCHOSOCIAL, 2815 02:00:39,127 --> 02:00:40,161 EDUCATIONAL AND CAREER-FOCUSSED 2816 02:00:40,161 --> 02:00:42,096 OUTCOMES. 2817 02:00:42,096 --> 02:00:45,066 TO DATE THE ENHANCED DIVERSITY 2818 02:00:45,066 --> 02:00:47,869 STUDY HAS 95 PUBLICATIONS OR 2819 02:00:47,869 --> 02:00:48,503 DATA BRIEFS AVAILABLE TO THE 2820 02:00:48,503 --> 02:00:53,841 PUBLIC. 2821 02:00:53,841 --> 02:00:54,642 IMPORTANTLY, AN IMPORTANT 2822 02:00:54,642 --> 02:00:55,810 COMPONENT FOR COMMON FUND 2823 02:00:55,810 --> 02:00:58,146 INITIATIVES IS THROUGH A 2824 02:00:58,146 --> 02:00:58,947 SUSTAINABILITY PIECE IN THEY'RE 2825 02:00:58,947 --> 02:01:00,548 PLANNING TO DEPOSIT THE DATA IN 2826 02:01:00,548 --> 02:01:02,216 THE INTERUNIVERSITY CONSORTIUM 2827 02:01:02,216 --> 02:01:04,485 FOR POLITICAL AND SOCIAL SCIENCE 2828 02:01:04,485 --> 02:01:07,055 RESEARCH. 2829 02:01:07,055 --> 02:01:09,657 THIS IS A PLACE SOCIAL 2830 02:01:09,657 --> 02:01:11,960 SCIENTISTS GO FOR DATA AND THE 2831 02:01:11,960 --> 02:01:14,596 GREAT THING IS THIS WILL LEAVE 2832 02:01:14,596 --> 02:01:15,396 IT AVAILABLE TO RESEARCHERS FOR 2833 02:01:15,396 --> 02:01:19,934 A LONG TIME TO COME. 2834 02:01:19,934 --> 02:01:22,170 TO GIVE A FEW GLIMPSES INTO THE 2835 02:01:22,170 --> 02:01:23,504 DATA IT WILL BE HARD TO GIVE A 2836 02:01:23,504 --> 02:01:25,006 SENSE OF IT ALL. 2837 02:01:25,006 --> 02:01:26,374 TO ONCE AGAIN SHOW THE 2838 02:01:26,374 --> 02:01:29,210 DEMOGRAPHICS OF THE INDIVIDUALS 2839 02:01:29,210 --> 02:01:31,079 WHO ARE INVOLVED. 2840 02:01:31,079 --> 02:01:32,480 THERE ARE TWO SETS OF BUILD 2841 02:01:32,480 --> 02:01:33,081 STUDENTS. 2842 02:01:33,081 --> 02:01:35,383 THE BUILD STUDENTS WHO EITHER 2843 02:01:35,383 --> 02:01:40,154 RECEIVE A FULL STIPEND OR 2844 02:01:40,154 --> 02:01:41,422 REMISSION AND THOSE WHO RECEIVED 2845 02:01:41,422 --> 02:01:43,658 A WAGE MAYBE THEY DID A SUMMER 2846 02:01:43,658 --> 02:01:45,593 PROGRAM OR WORKED IN A LAB 2847 02:01:45,593 --> 02:01:46,961 PART-TIME AND THOSE ARE SHOWN IN 2848 02:01:46,961 --> 02:01:50,498 THE MIDDLE COLUMNS AND THERE'S 2849 02:01:50,498 --> 02:01:51,599 COMPARATOR DATA FROM THE 2850 02:01:51,599 --> 02:01:54,235 NATIONAL SCIENCE FOUNDATION ON 2851 02:01:54,235 --> 02:01:56,471 INDIVIDUALS EARNING BIOMEDICAL 2852 02:01:56,471 --> 02:01:56,804 DEGREES. 2853 02:01:56,804 --> 02:01:57,705 THE DIFFERENT COLORS REPRESENT 2854 02:01:57,705 --> 02:01:59,974 DEMOGRAPHIC GROUPS AND WHAT YOU 2855 02:01:59,974 --> 02:02:02,510 CAN SEE IN THE GRAPH IS THAT THE 2856 02:02:02,510 --> 02:02:05,113 PARTICIPATION OF THE BUILD 2857 02:02:05,113 --> 02:02:05,913 STUDENTS HAS LARGE 2858 02:02:05,913 --> 02:02:07,715 REPRESENTATION OF INDIVIDUALS 2859 02:02:07,715 --> 02:02:10,551 WHO ARE TYPICALLY UNDER 2860 02:02:10,551 --> 02:02:11,185 REPRESENTED IN THE BIOMEDICAL 2861 02:02:11,185 --> 02:02:12,320 RESEARCH WORKFORCE. 2862 02:02:12,320 --> 02:02:15,556 THIS WAS VERY MUCH A GOAL OF THE 2863 02:02:15,556 --> 02:02:20,028 PROGRAM WAS TO UNDERSTAND WHAT 2864 02:02:20,028 --> 02:02:21,529 FACTORS AFFECT PERSISTENCE FOR 2865 02:02:21,529 --> 02:02:23,931 INDIVIDUALS IN THIS GROUP. 2866 02:02:23,931 --> 02:02:26,801 TO GIVE YOU A 30,000-FOOT VIEW 2867 02:02:26,801 --> 02:02:29,370 OF THE CHANGES YOU CAN SEE AT 2868 02:02:29,370 --> 02:02:31,139 THE THREE LEVELS WILL START WITH 2869 02:02:31,139 --> 02:02:32,240 THE INSTITUTIONAL CHANGE IN 2870 02:02:32,240 --> 02:02:34,208 OFFERINGS AND POLICIES. 2871 02:02:34,208 --> 02:02:36,344 THIS INCLUDES CULTURALLY 2872 02:02:36,344 --> 02:02:39,247 RELEVANT TRAINING FOR ENGAGING 2873 02:02:39,247 --> 02:02:41,549 DIVERSE POPULATIONS. 2874 02:02:41,549 --> 02:02:42,817 COMPREHENSIVE ADVISING AND 2875 02:02:42,817 --> 02:02:44,952 OVERSIGHT OF STUDENT SUCCESS. 2876 02:02:44,952 --> 02:02:48,189 INNOVATIVE FORCES EMBEDDED IN 2877 02:02:48,189 --> 02:02:50,058 THE CURRICULUM. 2878 02:02:50,058 --> 02:02:54,095 SUPPORTIVE LEARNING COMMUNITIES, 2879 02:02:54,095 --> 02:02:56,464 ALTERATIONS AND RENOVATIONS TO 2880 02:02:56,464 --> 02:02:57,298 STIMULATE RESEARCH. 2881 02:02:57,298 --> 02:03:02,603 FINANCIAL SUPPORT FOR STUDENTS 2882 02:03:02,603 --> 02:03:03,738 AND FACULTY RESEARCH. 2883 02:03:03,738 --> 02:03:06,007 IMPORTANTLY TRAINING AND 2884 02:03:06,007 --> 02:03:07,942 MENTORING REWARDED IN TENURE AND 2885 02:03:07,942 --> 02:03:09,010 PROMOTION DECISIONS. 2886 02:03:09,010 --> 02:03:10,578 SO TAKING TRAINING AND MENTORING 2887 02:03:10,578 --> 02:03:14,949 SERIOUSLY AT THE ORGANIZATION. 2888 02:03:14,949 --> 02:03:20,888 SOME EXAMPLES OF FACULTY 2889 02:03:20,888 --> 02:03:23,825 FINDINGS INCLUDE INCREASED 2890 02:03:23,825 --> 02:03:25,960 RESEARCH PRODUCTIVITY AND 2891 02:03:25,960 --> 02:03:28,162 SHOWING A DASHBOARD HERE. 2892 02:03:28,162 --> 02:03:32,166 ONCE AGAIN THE DIFFERENT COLORS 2893 02:03:32,166 --> 02:03:35,069 REPRESENT DIFFERENT BUILD SITES 2894 02:03:35,069 --> 02:03:36,637 AND PILOT RESEARCH PROGRAM WHERE 2895 02:03:36,637 --> 02:03:42,310 THEY GAVE PILOT PROJECT MONEY 2896 02:03:42,310 --> 02:03:46,781 FOR RESEARCH AND SEEING 2897 02:03:46,781 --> 02:03:47,949 PUBLICATIONS FROM THE PILOT 2898 02:03:47,949 --> 02:03:48,216 PROJECTS. 2899 02:03:48,216 --> 02:03:51,652 ALSO IMPORTANTLY, THIS ALLOWED 2900 02:03:51,652 --> 02:03:57,291 THESE FACULTY MEMBERS TO SECURE 2901 02:03:57,291 --> 02:04:00,461 INDEPENDENT FUNDING AND LOOKING 2902 02:04:00,461 --> 02:04:02,196 AT THE DIFFERENT INSTITUTES AND 2903 02:04:02,196 --> 02:04:04,232 CENTERS IN THE BLUE CIRCLES. 2904 02:04:04,232 --> 02:04:09,003 THE SIZE REPRESENTS HOW MANY 2905 02:04:09,003 --> 02:04:11,806 AWARDS WERE GIVEN TO FACULTY FOR 2906 02:04:11,806 --> 02:04:13,441 THEIR SUBSEQUENT RESEARCH. 2907 02:04:13,441 --> 02:04:18,946 EXAMPLES OF THE STUDENT FINDINGS 2908 02:04:18,946 --> 02:04:21,082 INCLUDE THAT INCREASES TO 2909 02:04:21,082 --> 02:04:29,590 EXPOSURE AND MENTORSHIP AND 2910 02:04:29,590 --> 02:04:33,127 PARTICIPATION AND INTENDED TO 2911 02:04:33,127 --> 02:04:34,061 PURSUE BIOMEDICAL RESEARCH 2912 02:04:34,061 --> 02:04:37,999 CAREERS AND FIRST YEAR PERS 2913 02:04:37,999 --> 02:04:39,867 PERSISTENCE IN SCIENCE MAJORS. 2914 02:04:39,867 --> 02:04:43,471 I'LL GIVE ONE EXAMPLE OF A DATA 2915 02:04:43,471 --> 02:04:45,406 BRIEF FOR THE PSYCHOSOCIAL 2916 02:04:45,406 --> 02:04:46,174 MEASURES. 2917 02:04:46,174 --> 02:04:47,475 YOU'RE SEEING FOUR DIFFERENT 2918 02:04:47,475 --> 02:04:49,110 WAYS THE SURVEYS ASK ABOUT 2919 02:04:49,110 --> 02:04:52,313 SCIENCE IDENTITY. 2920 02:04:52,313 --> 02:04:53,681 YOU'LL SEE THE BUILD 2921 02:04:53,681 --> 02:04:54,882 PARTICIPANTS ON TOP AND THEN 2922 02:04:54,882 --> 02:04:57,218 BELOW THAT THE COMPARATOR 2923 02:04:57,218 --> 02:04:57,919 GROUPS. 2924 02:04:57,919 --> 02:04:59,587 AND THE LEFT MOST BARS REPRESENT 2925 02:04:59,587 --> 02:05:08,462 STRONGLY AGREE WITH THE 2926 02:05:08,462 --> 02:05:10,832 STATEMENT TO THE RIGHT STRONGLY 2927 02:05:10,832 --> 02:05:12,033 DISAGREE AND ACROSS THE MEASURES 2928 02:05:12,033 --> 02:05:14,602 THERE WAS A SIGNIFICANT 2929 02:05:14,602 --> 02:05:16,137 DIFFERENCE BETWEEN THE BUILD 2930 02:05:16,137 --> 02:05:17,572 PARTICIPANTS AND THE COMPARATOR 2931 02:05:17,572 --> 02:05:19,841 GROUPS IN TERMS OF SCIENCE 2932 02:05:19,841 --> 02:05:21,442 IDENTITY WITH A STRONG P VALUE 2933 02:05:21,442 --> 02:05:23,177 AND THIS IS PARTLY BECAUSE IT'S 2934 02:05:23,177 --> 02:05:24,478 SUCH A LARGE STUDY AND THERE'S A 2935 02:05:24,478 --> 02:05:34,689 LARGE SAMPLE SIZE. 2936 02:05:34,689 --> 02:05:36,490 IT'S BEEN ASSOCIATED WITH THE 2937 02:05:36,490 --> 02:05:37,558 BIOMEDICAL WORKFORCE AND SEEING 2938 02:05:37,558 --> 02:05:42,263 THAT IN TERMS OF MORE TANGIBLE 2939 02:05:42,263 --> 02:05:43,064 OUTCOMES INCLUDING EARNING A 2940 02:05:43,064 --> 02:05:44,365 BIOMEDICALLY RELATED DEGREE. 2941 02:05:44,365 --> 02:05:46,968 ONCE AGAIN THE COLORS ARE 2942 02:05:46,968 --> 02:05:50,037 REFLECTING DIFFERENT BUILD SITES 2943 02:05:50,037 --> 02:05:54,976 OVER TIME AND THESE ARE STUDENTS 2944 02:05:54,976 --> 02:05:57,411 WHO OBTAIN A BIOMEDICAL 2945 02:05:57,411 --> 02:05:57,845 BACHELOR'S DEGREE. 2946 02:05:57,845 --> 02:05:59,046 THE RATE ISN'T BECAUSE IT'S 2947 02:05:59,046 --> 02:06:00,481 GOING DOWN. 2948 02:06:00,481 --> 02:06:01,449 IT'S REFLECTING HOW THE SITES 2949 02:06:01,449 --> 02:06:04,619 ARE MOVING TO MORE SUSTAINABLE 2950 02:06:04,619 --> 02:06:05,720 MODELS OVER TIME. 2951 02:06:05,720 --> 02:06:07,655 FOR THE NUMBER OF STUDENTS 2952 02:06:07,655 --> 02:06:09,457 THEY'RE ABLE TO SUPPORT. 2953 02:06:09,457 --> 02:06:15,029 THE TAKEAWAY FROM THIS IS 93% 2954 02:06:15,029 --> 02:06:15,930 EITHER GRADUATED YOUR ON THEIR 2955 02:06:15,930 --> 02:06:22,203 WAY TO GRADUATING AND IF COMPARE 2956 02:06:22,203 --> 02:06:26,107 THIS GOING FROM 29% GRADUATION 2957 02:06:26,107 --> 02:06:28,209 TO 57% THEY'RE DOING 2958 02:06:28,209 --> 02:06:30,278 SIGNIFICANTLY BETTER IN TERMS OF 2959 02:06:30,278 --> 02:06:33,114 EARNING BIOMEDICAL DEGREES. 2960 02:06:33,114 --> 02:06:35,082 ANOTHER IMPORTANT INDICATOR THE 2961 02:06:35,082 --> 02:06:37,118 STUDENTS ARE INTERESTED IN 2962 02:06:37,118 --> 02:06:40,421 RESEARCH IS THEY GO ON TO EARN 2963 02:06:40,421 --> 02:06:42,056 HIGHER DEGREES IN THE BIOMEDICAL 2964 02:06:42,056 --> 02:06:42,423 FIELD. 2965 02:06:42,423 --> 02:06:44,458 TO DATE 47% OF BUILD GRADUATES 2966 02:06:44,458 --> 02:06:46,827 ARE CURRENTLY SEEKING HIGHER 2967 02:06:46,827 --> 02:06:49,330 DEGREES OR HAVE EARNED A HIGHER 2968 02:06:49,330 --> 02:06:51,699 DEGREE AND IT'S SHOWING YOU ON 2969 02:06:51,699 --> 02:06:54,001 THE RIGHT SIDE THE VARIOUS 2970 02:06:54,001 --> 02:06:56,470 DEGREES THEY GO ON TO SEEK 2971 02:06:56,470 --> 02:06:57,805 INITIALLY WHAT WE WILL NEED TO 2972 02:06:57,805 --> 02:07:01,042 WAIT FOR TIME AS WE KNOW IT CAN 2973 02:07:01,042 --> 02:07:04,211 TAKE 10 TO 15 YEARS TO HAVE A 2974 02:07:04,211 --> 02:07:14,755 FULL SENSE OF HOW MANY STUDENTS 2975 02:07:15,022 --> 02:07:16,891 WILL GO TO EARN HIGHER DEGREES. 2976 02:07:16,891 --> 02:07:23,497 I WANT TO ZOOM IN AT THE IMPACT 2977 02:07:23,497 --> 02:07:24,765 AT THE WILL HAVE LEVEL AND THERE 2978 02:07:24,765 --> 02:07:25,866 WAS A SOCIAL MEDIA CAMPAIGN 2979 02:07:25,866 --> 02:07:26,701 CALLED THE FACE OF SCIENCE WHICH 2980 02:07:26,701 --> 02:07:30,104 IS VERY LIKELY TO LIVE ON BEYOND 2981 02:07:30,104 --> 02:07:32,907 THE DIVERSITY PROGRAM 2982 02:07:32,907 --> 02:07:33,207 CONSORTIUM. 2983 02:07:33,207 --> 02:07:36,477 IF YOU HAVE A MOMENT TO CHECK 2984 02:07:36,477 --> 02:07:43,884 THE TESTIMONIALS YOU REALIZE THE 2985 02:07:43,884 --> 02:07:45,386 INCREDIBLE IMPACT OF THE PROGRAM 2986 02:07:45,386 --> 02:07:47,555 AND THE STUDENTS DO A GREAT JOB 2987 02:07:47,555 --> 02:07:49,457 AND IT'S INCREDIBLY INSPIRING. 2988 02:07:49,457 --> 02:07:51,993 NOW THE MOST IMPORTANT PART FOR 2989 02:07:51,993 --> 02:07:53,127 OUR COMMON FUND INITIATIVE HOW 2990 02:07:53,127 --> 02:07:59,433 DO WE SUSTAIN THE EFFORTS BEYOND 2991 02:07:59,433 --> 02:08:00,234 THE FUNDING. 2992 02:08:00,234 --> 02:08:04,238 MARIE DID AN AMAZING JOB TALKING 2993 02:08:04,238 --> 02:08:05,906 ABOUT THE UNITE INITIATIVE AND A 2994 02:08:05,906 --> 02:08:07,408 WONDERFUL SYNERGY WHERE THE 2995 02:08:07,408 --> 02:08:11,712 INITIATIVES PARTICULARLY AT THE 2996 02:08:11,712 --> 02:08:12,980 INSTITUTIONAL LEVEL HAVE ALLOWED 2997 02:08:12,980 --> 02:08:15,016 FOR SUSTAINABILITY OF ALL THE 2998 02:08:15,016 --> 02:08:16,550 EFFORTS OF THE DIVERSITY PROGRAM 2999 02:08:16,550 --> 02:08:17,318 CONSORTIUM. 3000 02:08:17,318 --> 02:08:19,387 AND THE PUBLICATIONS AND OTHER 3001 02:08:19,387 --> 02:08:24,658 LESSONS LEARNED ARE GOING TO BE 3002 02:08:24,658 --> 02:08:28,629 HIGHLY IMPACTFUL FOR THE UNITE 3003 02:08:28,629 --> 02:08:28,929 INITIATIVE. 3004 02:08:28,929 --> 02:08:31,532 I WANT TO QUICKLY SHOW YOU THERE 3005 02:08:31,532 --> 02:08:32,533 ARE WAYS TO SUSTAIN EVERY 3006 02:08:32,533 --> 02:08:36,003 ELEMENT OF THE DIVERSITY PROGRAM 3007 02:08:36,003 --> 02:08:37,872 CONSORTIUM AT THE STUDENT, 3008 02:08:37,872 --> 02:08:39,340 FACULTY AND INSTITUTIONAL LEVEL. 3009 02:08:39,340 --> 02:08:44,445 SOME ARE LONG STANDING PROGRAMS 3010 02:08:44,445 --> 02:08:45,679 FOR STUDENT SUPPORT. 3011 02:08:45,679 --> 02:08:48,482 SOME ARE LONG STANDING AND NEW 3012 02:08:48,482 --> 02:08:49,483 INITIATIVES THAT AFFECT 3013 02:08:49,483 --> 02:08:52,353 INDIVIDUALS ATHE THE FACULTY 3014 02:08:52,353 --> 02:08:52,586 LEVEL. 3015 02:08:52,586 --> 02:08:53,587 RESEARCH PROJECT GRANTS 3016 02:08:53,587 --> 02:08:55,556 INDIVIDUALS ARE ABLE TO APPLY 3017 02:08:55,556 --> 02:08:58,225 FOR AND NOW A LOT OF ACTIVITY 3018 02:08:58,225 --> 02:09:00,227 AROUND SUPPORTING INSTITUTIONS 3019 02:09:00,227 --> 02:09:00,694 PARTICULARLY EMERGING 3020 02:09:00,694 --> 02:09:06,700 INSTITUTIONS. 3021 02:09:06,700 --> 02:09:10,538 IN TERMS OF RESOURCES DEVELOPED 3022 02:09:10,538 --> 02:09:11,972 AND AVAILABLE TO THE BROADER 3023 02:09:11,972 --> 02:09:12,239 COMMUNITY. 3024 02:09:12,239 --> 02:09:14,141 THERE ARE WAYS THROUGH WHAT WE 3025 02:09:14,141 --> 02:09:16,110 CALL RESEARCH INSTITUTION OR R25 3026 02:09:16,110 --> 02:09:19,447 AWARDS AT IQMS THE INNOVATIVE 3027 02:09:19,447 --> 02:09:20,147 PROGRAMS TO ENHANCE RESEARCH 3028 02:09:20,147 --> 02:09:22,116 TRAINING AS A WAY TO MAKE THE 3029 02:09:22,116 --> 02:09:23,484 RESOURCES AVAILABLE TO THE 3030 02:09:23,484 --> 02:09:29,457 BROADER COMMUNITY. 3031 02:09:29,457 --> 02:09:30,624 IN TERMS OF THE SCIENTIFIC 3032 02:09:30,624 --> 02:09:35,763 APPROACH WE HAVE TWO RESEARCH 3033 02:09:35,763 --> 02:09:39,600 PORTFOLIOS AT NIGMS AND 3034 02:09:39,600 --> 02:09:42,436 INSTITUTES AND CENTERS HAVE BEEN 3035 02:09:42,436 --> 02:09:44,572 LOOKING AT INTERVENTIONS AND 3036 02:09:44,572 --> 02:09:45,639 WORKFORCE DATA ANALYSIS. 3037 02:09:45,639 --> 02:09:46,607 IF THAT THE THE TYPE OF 3038 02:09:46,607 --> 02:09:49,376 RESEARCH THE INDIVIDUALS WANT TO 3039 02:09:49,376 --> 02:09:49,543 DO. 3040 02:09:49,543 --> 02:09:51,545 SO ANYBODY INTERESTED IN 3041 02:09:51,545 --> 02:09:52,113 CONTINUING THE SCIENTIFIC 3042 02:09:52,113 --> 02:09:52,713 COMPONENT THERE'S A PLACE FOR 3043 02:09:52,713 --> 02:09:55,883 THEM. 3044 02:09:55,883 --> 02:09:57,218 FINALLY AND IMPORTANTLY 3045 02:09:57,218 --> 02:09:57,551 DISSEMINATION. 3046 02:09:57,551 --> 02:09:59,453 HOW TO GET THE WORD OUT TO THE 3047 02:09:59,453 --> 02:10:01,355 BROADER COMMUNITY. 3048 02:10:01,355 --> 02:10:02,890 ONCE AGAIN THEY ARE CAN COME IN 3049 02:10:02,890 --> 02:10:05,559 FOR INNOVATIVE PROGRAMS TO 3050 02:10:05,559 --> 02:10:06,494 ENHANCE RESEARCH TRAINING AND 3051 02:10:06,494 --> 02:10:08,429 THEN THERE ARE NATIONAL MEETINGS 3052 02:10:08,429 --> 02:10:10,264 THEY COULD HOST FOR THE BROADER 3053 02:10:10,264 --> 02:10:11,999 SCIENTIFIC COMMUNITY. 3054 02:10:11,999 --> 02:10:14,135 I JUST WANT TO END ONCE AGAIN 3055 02:10:14,135 --> 02:10:18,439 WITH SAYING THIS WAS AN AMAZING 3056 02:10:18,439 --> 02:10:19,340 NIH WIDE INITIATIVE. 3057 02:10:19,340 --> 02:10:24,245 A HUGE NUMBER OF INDIVIDUALS 3058 02:10:24,245 --> 02:10:25,579 HAVE PUT ANYWHERE FROM 8 TO 10 3059 02:10:25,579 --> 02:10:27,781 YEARS OF THEIR LIFE TO MAKING 3060 02:10:27,781 --> 02:10:29,283 SURE THIS WAS A SUCCESSFUL 3061 02:10:29,283 --> 02:10:29,750 PROGRAM. 3062 02:10:29,750 --> 02:10:31,619 THIS DOES NOT INCLUDE THE 3063 02:10:31,619 --> 02:10:35,356 THOUSANDS OF PEOPLE INVOLVED 3064 02:10:35,356 --> 02:10:36,657 ACROSS THE COUNTRY WHO 3065 02:10:36,657 --> 02:10:37,958 IMPLEMENTED THIS INNOVATIVE 3066 02:10:37,958 --> 02:10:41,028 PROGRAM AND CAME TOGETHER AS A 3067 02:10:41,028 --> 02:10:43,164 CONSORTIUM AND HAVE HAD 3068 02:10:43,164 --> 02:10:43,964 SIGNIFICANT IMPACT. 3069 02:10:43,964 --> 02:10:46,600 SO WITH THAT I'LL END AND MARIE 3070 02:10:46,600 --> 02:10:51,805 AND I CAN TAKE QUESTIONS. 3071 02:10:51,805 --> 02:10:51,939 6: 3072 02:10:51,939 --> 02:10:55,309 >> THANK YOU, DR. GAMMIE. 3073 02:10:55,309 --> 02:10:56,177 SO THIS IS NOW OPEN FOR 3074 02:10:56,177 --> 02:10:56,477 DISCUSSION. 3075 02:10:56,477 --> 02:10:58,679 QUESTIONS? 3076 02:10:58,679 --> 02:11:00,481 DR. KIMBALL. 3077 02:11:00,481 --> 02:11:03,751 >> I'LL JUST COMMENT FROM OUR 3078 02:11:03,751 --> 02:11:04,385 MEETING YESTERDAY AS WELL AND 3079 02:11:04,385 --> 02:11:06,787 REITERATE THE COMMENTS I MADE TO 3080 02:11:06,787 --> 02:11:10,958 SOME EXTENT, WHAT AN AMAZINGLY 3081 02:11:10,958 --> 02:11:11,492 COMPREHENSIVE LONG-TERM 3082 02:11:11,492 --> 02:11:12,726 SUSTAINABLE HAS BEEN TAKEN FOR 3083 02:11:12,726 --> 02:11:13,527 ALL OF THIS. 3084 02:11:13,527 --> 02:11:16,163 IT'S AT EVERY LEVEL ALL THE 3085 02:11:16,163 --> 02:11:16,430 TIME. 3086 02:11:16,430 --> 02:11:18,432 EVERYTHING FROM PEOPLE TO 3087 02:11:18,432 --> 02:11:20,901 FUNDING TO RESOURCES AND I 3088 02:11:20,901 --> 02:11:22,403 PARTICULARLY LOVE THE 3089 02:11:22,403 --> 02:11:23,971 SUSTAINABILITY SLIDE WHICH 3090 02:11:23,971 --> 02:11:25,272 ANSWERS THE QUESTION IF WE HELP 3091 02:11:25,272 --> 02:11:27,875 IN ONE DIMENSION OR ONE PHASE, 3092 02:11:27,875 --> 02:11:30,244 HOW DO WE MAKE SURE WE HAVE 3093 02:11:30,244 --> 02:11:30,878 ENDURING IMPACT. 3094 02:11:30,878 --> 02:11:31,612 WE TALKED A LITTLE BIT YESTERDAY 3095 02:11:31,612 --> 02:11:34,181 ABOUT THE SURROGATES FOR SUCCESS 3096 02:11:34,181 --> 02:11:35,749 AS WE SEE PEOPLE MOVE THROUGH 3097 02:11:35,749 --> 02:11:38,152 THE PIPELINE IN THE EARLY 3098 02:11:38,152 --> 02:11:43,023 SUCCESSES THAT WE'RE IDAHO -- 3099 02:11:43,023 --> 02:11:43,757 IDENTIFYING PEOPLE CELEBRATE 3100 02:11:43,757 --> 02:11:44,858 THAT AND LOOK AT WHERE THE 3101 02:11:44,858 --> 02:11:47,695 IMPACT IS LIKELY TO BE AND WHERE 3102 02:11:47,695 --> 02:11:50,698 IT WILL GO IN THE FUTURE. 3103 02:11:50,698 --> 02:11:50,898 BRAVO. 3104 02:11:50,898 --> 02:11:58,973 IT'S INCREDIBLE TO WORK FOR. 3105 02:11:58,973 --> 02:12:01,675 >> I WILL ECHO WHAT YOU SAID 3106 02:12:01,675 --> 02:12:05,246 IT'S INCREDIBLE EFFORTS. 3107 02:12:05,246 --> 02:12:07,014 CONGRATULATIONS TO BOTH OF YOU. 3108 02:12:07,014 --> 02:12:09,583 IT'S MEASURING SUSTAINABILITY 3109 02:12:09,583 --> 02:12:11,552 STRICTLY AND OFTEN COMPLICATED 3110 02:12:11,552 --> 02:12:13,754 AND OFTEN THE FUNDING ENDS AND 3111 02:12:13,754 --> 02:12:15,756 THEN THERE'S NO OTHER MECHANISMS 3112 02:12:15,756 --> 02:12:17,958 FOR MEASURING SUSTAINABILITY 3113 02:12:17,958 --> 02:12:19,660 BEYOND THE END OF THE FUNDING OF 3114 02:12:19,660 --> 02:12:21,729 A PROJECT OR INITIATIVE. 3115 02:12:21,729 --> 02:12:25,299 I'M CURIOUS HOW YOU ARE PLANNING 3116 02:12:25,299 --> 02:12:28,302 TO MEASURE SUSTAINABILITY BEYOND 3117 02:12:28,302 --> 02:12:37,978 THE INITIATIVE? 3118 02:12:37,978 --> 02:12:39,680 >> THAT'S CHALLENGING. 3119 02:12:39,680 --> 02:12:41,148 WE CAN TRACK HOW THEY'RE DOING 3120 02:12:41,148 --> 02:12:48,155 AND I CAN GIVE YOU SOME EARLY 3121 02:12:48,155 --> 02:12:48,756 SUCCES 3122 02:12:48,756 --> 02:12:50,324 SUCCESSES BECAUSE THEY KNEW THE 3123 02:12:50,324 --> 02:12:54,995 END WAS COMING. 3124 02:12:54,995 --> 02:12:56,196 THE AWARDS END THIS MONTH BUT 3125 02:12:56,196 --> 02:12:57,464 THEY OFFICIALLY END THE END OF 3126 02:12:57,464 --> 02:12:57,765 THIS MONTH. 3127 02:12:57,765 --> 02:13:01,702 THEY CAME IN FOR THE STUDENT 3128 02:13:01,702 --> 02:13:02,002 PROGRAMS. 3129 02:13:02,002 --> 02:13:08,942 SO THIS INCLUDES THE URISE 3130 02:13:08,942 --> 02:13:10,277 PROGRAM TO SUSTAIN THE STUDENT 3131 02:13:10,277 --> 02:13:10,778 INITIATIVES. 3132 02:13:10,778 --> 02:13:11,879 INDIVIDUALS ARE COMING IN FOR 3133 02:13:11,879 --> 02:13:14,548 RESEARCH ON INTERVENTIONS GRANT 3134 02:13:14,548 --> 02:13:16,283 TO CONTINUE THE SCIENTIFIC 3135 02:13:16,283 --> 02:13:17,217 COMPONENT OF IT. 3136 02:13:17,217 --> 02:13:21,722 WE'RE ALREADY -- WE CAN ALREADY 3137 02:13:21,722 --> 02:13:23,223 TRACE SOME OF THE SUSTAINABILITY 3138 02:13:23,223 --> 02:13:23,490 INTEREST. 3139 02:13:23,490 --> 02:13:26,026 I'LL BE CANDID, THEY WON'T BE 3140 02:13:26,026 --> 02:13:28,295 ABLE TO SUSTAIN IT AT THE LEVEL. 3141 02:13:28,295 --> 02:13:32,800 THESE WERE BIG AWARDS. 3142 02:13:32,800 --> 02:13:35,903 IT'S BEEN HEARTENING TO SEE THE 3143 02:13:35,903 --> 02:13:36,470 ORGANIZATIONAL COMMITMENT 3144 02:13:36,470 --> 02:13:38,205 BECAUSE THEY GATHERED DATA AND 3145 02:13:38,205 --> 02:13:40,307 IT WAS SO TANGIBLE DATA THEY 3146 02:13:40,307 --> 02:13:43,911 COULD BRING EITHER TO THEIR 3147 02:13:43,911 --> 02:13:52,019 STATE LEGISLATORSS OR OTHER 3148 02:13:52,019 --> 02:13:55,189 ENDOWMENT ENTITIES AND WHEN YOU 3149 02:13:55,189 --> 02:13:56,523 COLLECT DATA YOU CAN LEVERAGE 3150 02:13:56,523 --> 02:13:58,592 OTHER FUNDING SOURCES BECAUSE 3151 02:13:58,592 --> 02:13:59,993 PEOPLE SEE THE DATA AND RESPOND 3152 02:13:59,993 --> 02:14:00,994 TO IT. 3153 02:14:00,994 --> 02:14:03,230 THAT ALSO IS A GREAT LESSON 3154 02:14:03,230 --> 02:14:03,464 LEARNED. 3155 02:14:03,464 --> 02:14:04,698 WE'LL DO OUR BEST. 3156 02:14:04,698 --> 02:14:06,467 IT'S GOING TO BE CHALLENGING BUT 3157 02:14:06,467 --> 02:14:08,335 I THINK IT'S AN IMPORTANT THING 3158 02:14:08,335 --> 02:14:09,803 TO TRY TO MEASURE. 3159 02:14:09,803 --> 02:14:14,108 >> THANK YOU. 3160 02:14:14,108 --> 02:14:24,318 DR. CORBIE. 3161 02:14:26,687 --> 02:14:28,622 >> MY QUESTION HAS TO DO WITH 3162 02:14:28,622 --> 02:14:29,623 SCALABILITY. 3163 02:14:29,623 --> 02:14:31,425 MUCH OF WHAT YOU TALKED ABOUT 3164 02:14:31,425 --> 02:14:33,560 ONE SUSTAINABILITY HAS TO DO 3165 02:14:33,560 --> 02:14:34,395 WITH MAINTAINING FUNDING FOR 3166 02:14:34,395 --> 02:14:40,901 EXISTING PROGRAMS. 3167 02:14:40,901 --> 02:14:43,837 WHAT WORK HAS BEEN DONE FOR THE 3168 02:14:43,837 --> 02:14:45,739 COMPONENT TO BE SCALED TO 3169 02:14:45,739 --> 02:14:47,040 INSTITUTIONS, ORGANIZATIONS THAT 3170 02:14:47,040 --> 02:14:50,110 ARE INTERESTED IN DOING THIS 3171 02:14:50,110 --> 02:14:53,414 WORK BUT EITHER DON'T NEED TO 3172 02:14:53,414 --> 02:14:55,449 APPLY FOR ADDITIONAL FUNDING 3173 02:14:55,449 --> 02:15:00,287 MIGHT BE AT A POINT BUT A POINT 3174 02:15:00,287 --> 02:15:00,988 TO BE ABLE TO IMPLEMENT THAT 3175 02:15:00,988 --> 02:15:03,190 MINIMAL COMPONENT OF THE 3176 02:15:03,190 --> 02:15:03,524 INTERVENTION. 3177 02:15:03,524 --> 02:15:04,558 THE FIRST AWARDS WERE GREAT IF 3178 02:15:04,558 --> 02:15:14,802 YOU GOT THEM. 3179 02:15:17,604 --> 02:15:18,705 THERE'S A TREMENDOUS GROUND 3180 02:15:18,705 --> 02:15:19,740 SWELL OF INTEREST IN THE FIRST 3181 02:15:19,740 --> 02:15:19,973 AWARDS. 3182 02:15:19,973 --> 02:15:22,276 WHAT CAN WE TAKE FROM THE FIRST 3183 02:15:22,276 --> 02:15:23,310 AWARDS AND BUILD GRANTS AND ALL 3184 02:15:23,310 --> 02:15:26,380 THESE OTHER AWARDS THAT WE CAN 3185 02:15:26,380 --> 02:15:28,982 THEN PUT INTO PLACE AND I'M 3186 02:15:28,982 --> 02:15:29,650 PARTICULARLY INTERESTED IN THE 3187 02:15:29,650 --> 02:15:34,021 MEASURES OF SUCCESS THAT CAN BE 3188 02:15:34,021 --> 02:15:36,023 LEVERAGED AT AN INSTITUTIONAL 3189 02:15:36,023 --> 02:15:36,690 LEVEL TO SPREAD ACROSS AND MAYBE 3190 02:15:36,690 --> 02:15:38,392 HAVE AS WE THINK ABOUT OUR 3191 02:15:38,392 --> 02:15:40,561 DIVERSITY PLANS OR WHAT HAVE YOU 3192 02:15:40,561 --> 02:15:42,362 THAT PEOPLE PEOPLE CAN START TO 3193 02:15:42,362 --> 02:15:45,365 IMPLEMENT NOW SO THEY'RE READY 3194 02:15:45,365 --> 02:15:46,333 AND CAN DEMONSTRATE THAT THEY'RE 3195 02:15:46,333 --> 02:15:47,534 POISED TO BE ABLE TO GO FOR 3196 02:15:47,534 --> 02:15:55,843 WHATEVER THE NEXT THING IS. 3197 02:15:55,843 --> 02:15:56,510 >> THANK YOU BECAUSE IT GIVES ME 3198 02:15:56,510 --> 02:15:58,879 A CHANCE TO TALK ABOUT WHAT I 3199 02:15:58,879 --> 02:16:00,481 THINK WILL BE PAIN IMPORTANT 3200 02:16:00,481 --> 02:16:01,648 DELIVERABLE AND THAT INCLUDES 3201 02:16:01,648 --> 02:16:03,851 THE HALLMARKS OF SUCCESS. 3202 02:16:03,851 --> 02:16:06,119 THEY THOUGHT CAREFULLY AT THE 3203 02:16:06,119 --> 02:16:07,888 STUDENT FACULTY AND 3204 02:16:07,888 --> 02:16:08,489 INSTITUTIONAL LEVEL WHAT ARE 3205 02:16:08,489 --> 02:16:14,995 INDICATORS OF SUCCESS. 3206 02:16:14,995 --> 02:16:18,632 THEN HOW TO MEASURE THEM AND IF 3207 02:16:18,632 --> 02:16:19,833 YOU'RE A SCIENTIST YOU WANT TO 3208 02:16:19,833 --> 02:16:21,535 MEASURE IT BUT SAY YOU DON'T 3209 02:16:21,535 --> 02:16:23,637 HAVE THE SURVEY QUESTIONS OR 3210 02:16:23,637 --> 02:16:24,972 IDEAS OF WHICH INSTITUTIONAL 3211 02:16:24,972 --> 02:16:26,106 DATA TO GATHER. 3212 02:16:26,106 --> 02:16:36,583 THAT IS A HUGE DELIVERABLE. 3213 02:16:38,218 --> 02:16:40,854 A GROUP GOT TOGETHER AND SAID 3214 02:16:40,854 --> 02:16:49,496 LET'S USE COMMON MEASURES TO 3215 02:16:49,496 --> 02:16:51,498 AGGREGATE OUR DATA AND IF YOU 3216 02:16:51,498 --> 02:16:53,967 WANT TO MEASURE SCIENCE IDENTITY 3217 02:16:53,967 --> 02:16:59,106 OR SOME OF THE PSYCHOSOCIAL 3218 02:16:59,106 --> 02:17:01,375 MEASURES OR SO YOU'RE NOT HAVING 3219 02:17:01,375 --> 02:17:07,047 TO REINVENT THE WHEELS FOR THE 3220 02:17:07,047 --> 02:17:08,482 INTERMEDIARIES OF SUCCESS OR 3221 02:17:08,482 --> 02:17:10,317 HALLMARKS OF SUCCESS. 3222 02:17:10,317 --> 02:17:12,986 >> AND SPEAKING SPECIFICALLY TO 3223 02:17:12,986 --> 02:17:16,323 THE QUESTION OF FIRST, SHAMELESS 3224 02:17:16,323 --> 02:17:16,690 SELF-PROMOTION. 3225 02:17:16,690 --> 02:17:21,461 THERE WILL BE A WORKFORCE 3226 02:17:21,461 --> 02:17:22,296 DIVERSITY SEMINAR A WEEK FROM 3227 02:17:22,296 --> 02:17:25,032 TODAY IN HOW TO FOSTER INCLUSIVE 3228 02:17:25,032 --> 02:17:26,199 ENVIRONMENTS. 3229 02:17:26,199 --> 02:17:27,367 DR. GAMMIE WILL BE A SPEAKER 3230 02:17:27,367 --> 02:17:28,468 TALKING ABOUT THE DIVERSITY 3231 02:17:28,468 --> 02:17:32,472 PROGRAM CONSORTIUM AND TO THE 3232 02:17:32,472 --> 02:17:34,107 P.I. ON THE EVALUATION CENTER 3233 02:17:34,107 --> 02:17:35,809 FIRST WILL BE TALKING ABOUT 3234 02:17:35,809 --> 02:17:40,948 WHERE THINGS STAND WITH REGARDS 3235 02:17:40,948 --> 02:17:43,283 TO THAT INITIATIVE AS WELL AS 3236 02:17:43,283 --> 02:17:45,519 THE INVESTIGATOR FROM ROCHESTER 3237 02:17:45,519 --> 02:17:48,488 INSTITUTE OF TECHNOLOGY ONE OF 3238 02:17:48,488 --> 02:17:52,326 THE WINNERS OF THE DEIA PRIZE 3239 02:17:52,326 --> 02:17:55,028 TALKING PROMOTING INCLUSIVE 3240 02:17:55,028 --> 02:17:57,030 ENVIRONMENTS FOR DEAF AND HARD 3241 02:17:57,030 --> 02:17:58,332 OF HEARING POPULATIONS AND 3242 02:17:58,332 --> 02:17:59,466 ANOTHER ABOUT A PROGRAM SIMILAR 3243 02:17:59,466 --> 02:18:05,872 TO WHAT WE'RE DOING WITH FIRST. 3244 02:18:05,872 --> 02:18:08,275 IF YOU'RE INTERESTED UP HEARING 3245 02:18:08,275 --> 02:18:14,147 HOW THIS CAN BE MORE GENERALIZED 3246 02:18:14,147 --> 02:18:17,718 GO TO DIVERSITY.NIH.gov AND I'D 3247 02:18:17,718 --> 02:18:23,423 MENTION THE ACT NOFO. 3248 02:18:23,423 --> 02:18:34,201 THAT FUND IING AND I CAN APPLY R 3249 02:18:45,012 --> 02:18:46,013 THE FIRST AWARD. 3250 02:18:46,013 --> 02:18:47,814 >> THANK YOU FOR THE PHENOMENAL 3251 02:18:47,814 --> 02:18:48,281 WORK. 3252 02:18:48,281 --> 02:18:53,987 THOSE WHO HAVE LED SCIENTIFIC 3253 02:18:53,987 --> 02:18:59,292 TEAMS OVER THE YEARS SEE HOW 3254 02:18:59,292 --> 02:19:01,094 TEAMS COME UP WITH SCIENTIFIC 3255 02:19:01,094 --> 02:19:03,630 PROBLEMS AND IT'S IMPORTANT TO 3256 02:19:03,630 --> 02:19:07,634 TACKLE THE ISSUES OF THE DAY AND 3257 02:19:07,634 --> 02:19:10,771 HAPPY TO SEE THE PROGRAMS. 3258 02:19:10,771 --> 02:19:13,540 I WANT TO SAY CAN WE DO MORE AS 3259 02:19:13,540 --> 02:19:15,542 WELL AND HAVE A COUPLE 3260 02:19:15,542 --> 02:19:18,979 SUGGESTIONS ABOUT THAT. 3261 02:19:18,979 --> 02:19:20,480 SO RECENTLY THE NORTHWESTERN 3262 02:19:20,480 --> 02:19:24,751 INSTITUTE FOR SEXUAL AND GENDER 3263 02:19:24,751 --> 02:19:29,423 HEALTH AND WELL-BEING WHICH I 3264 02:19:29,423 --> 02:19:30,757 DIRECT CONVENED LGBTQ PEOPLE AND 3265 02:19:30,757 --> 02:19:32,659 HAVE A REPORT THAT CAME OUT DAYS 3266 02:19:32,659 --> 02:19:33,593 AGO ON THE TOPIC. 3267 02:19:33,593 --> 02:19:38,699 I WANT TO MENTION A COUPLE 3268 02:19:38,699 --> 02:19:40,300 THINGS FROM THE REPORT AND ASK 3269 02:19:40,300 --> 02:19:42,736 ABOUT THE INCLUSION OF THE 3270 02:19:42,736 --> 02:19:43,136 POPULATION. 3271 02:19:43,136 --> 02:19:45,038 THE CDC DATA SHOWS AMONGST YOUNG 3272 02:19:45,038 --> 02:19:51,645 PEOPLE, 15% IDENTIFY AS LGB AND 3273 02:19:51,645 --> 02:19:52,312 ADDITIONAL YOUNG PEOPLE 3274 02:19:52,312 --> 02:19:55,982 IDENTIFYING AS TRANSGENDER OR 3275 02:19:55,982 --> 02:19:56,383 NON BINARY. 3276 02:19:56,383 --> 02:20:04,324 THE RESEARCH THAT EXISTS TODAY 3277 02:20:04,324 --> 02:20:10,864 SHOWS LGBTQ ARE 20% LESS 3278 02:20:10,864 --> 02:20:13,066 REPRESENTED IN S.T.E.M. FELDS 3279 02:20:13,066 --> 02:20:14,835 AND BE IN S.T.E.M. OCCUPATIONS 3280 02:20:14,835 --> 02:20:20,474 WHEN THEY ENTER CAREERS AND MORE 3281 02:20:20,474 --> 02:20:24,411 LIKELY TO EXPERIENCE HARASSMENT 3282 02:20:24,411 --> 02:20:29,916 AND LGBTQ PEOPLE AT THE NIH HAVE 3283 02:20:29,916 --> 02:20:31,184 THE HIGHEST LEVEL OF HARASSMENT 3284 02:20:31,184 --> 02:20:32,452 AT OUR OWN INSTITUTION AND THIS 3285 02:20:32,452 --> 02:20:33,453 STARTS EARLY. 3286 02:20:33,453 --> 02:20:36,289 LIKE THE DATA YOU SHOWED ON 3287 02:20:36,289 --> 02:20:38,792 RACIAL AND ETHNIC MINORITY 3288 02:20:38,792 --> 02:20:40,494 YOUTH, THIS STARTS EARLY IN THE 3289 02:20:40,494 --> 02:20:41,928 PIPELINE. 3290 02:20:41,928 --> 02:20:46,299 OUR RESEARCH WITH HIGH SCHOOL 3291 02:20:46,299 --> 02:20:47,968 STUDENTS SHOWS LGBTQ TEENS 3292 02:20:47,968 --> 02:20:50,437 EXPERIENCE BULLYING AND VIOLENCE 3293 02:20:50,437 --> 02:20:52,339 AND THOSE EXPERIENCES ARE 3294 02:20:52,339 --> 02:20:54,875 NEGATIVELY ASSOCIATED WITH THEIR 3295 02:20:54,875 --> 02:20:59,079 INTENTIONS TO ENTER S.T.E.M. 3296 02:20:59,079 --> 02:20:59,813 CAREER. 3297 02:20:59,813 --> 02:21:01,815 YOU'VE SHOWN THE PERSUASIONS 3298 02:21:01,815 --> 02:21:02,048 MATTER. 3299 02:21:02,048 --> 02:21:03,717 WHAT I GET IS A LOT OF QUESTIONS 3300 02:21:03,717 --> 02:21:08,155 FROM EARLY CAREER RESEARCHERS 3301 02:21:08,155 --> 02:21:10,223 THAT ARE LGBTQ ASKING WHERE THEY 3302 02:21:10,223 --> 02:21:12,058 FIT IN THE WORK YOU JUST 3303 02:21:12,058 --> 02:21:12,392 DESCRIBED. 3304 02:21:12,392 --> 02:21:13,293 I'D LIKE IT HEAR A LITTLE BIT 3305 02:21:13,293 --> 02:21:16,429 ABOUT THAT AND MAYBE OFFER A FEW 3306 02:21:16,429 --> 02:21:25,105 RECOMMENDATIONS. 3307 02:21:25,105 --> 02:21:27,340 THE ENHANCED DIVERSITY STUDY AND 3308 02:21:27,340 --> 02:21:28,675 NATIONAL RESEARCH MENTORING 3309 02:21:28,675 --> 02:21:33,013 NETWORK STUDIES ARE GATHERING A 3310 02:21:33,013 --> 02:21:38,485 LOT OF INFORMATION AND HAVE 3311 02:21:38,485 --> 02:21:42,923 THOUGHTFUL QUESTIONS. 3312 02:21:42,923 --> 02:21:45,659 AND BECAUSE OF THE STATISTICAL 3313 02:21:45,659 --> 02:21:51,665 POWER INTERSINCE -- INTERSENSES 3314 02:21:51,665 --> 02:21:52,666 AND SUCH. 3315 02:21:52,666 --> 02:21:55,769 THE DATA IS THERE AND -- 3316 02:21:55,769 --> 02:21:56,503 INTERSECTION DATA IS THERE AND 3317 02:21:56,503 --> 02:21:57,771 WE'RE IN THE EARLY DAYS OF 3318 02:21:57,771 --> 02:22:01,474 ANALYZING THIS AND KNOWING THE 3319 02:22:01,474 --> 02:22:03,176 DATA ARE THERE AND TRACK THE 3320 02:22:03,176 --> 02:22:04,477 INTERVENTIONS AND OUTCOMES OF 3321 02:22:04,477 --> 02:22:06,213 INDIVIDUALS FROM THIS GROUP I 3322 02:22:06,213 --> 02:22:08,348 THINK IS REALLY KEY. 3323 02:22:08,348 --> 02:22:18,859 ONE OF THE CHALLENGES IS THAT 3324 02:22:22,462 --> 02:22:25,232 AND WE HAVE NATIONAL DATA OF 3325 02:22:25,232 --> 02:22:26,032 UNDER REPRESENTATION AND IT'S 3326 02:22:26,032 --> 02:22:27,400 WONDERFUL TO SEE YOUR STUDIES 3327 02:22:27,400 --> 02:22:31,972 AND THINK WE CAN PUSH FORWARD TO 3328 02:22:31,972 --> 02:22:33,874 HAVE ACKNOWLEDGEMENT OF 3329 02:22:33,874 --> 02:22:36,509 DIFFERENT CATEGORIES. 3330 02:22:36,509 --> 02:22:38,311 WE ALWAYS SAY THE NIH DIVERSITY 3331 02:22:38,311 --> 02:22:39,713 ARE JUST EXAMPLES. 3332 02:22:39,713 --> 02:22:41,514 THEY'RE NOT EXCLUSIONARY. 3333 02:22:41,514 --> 02:22:42,515 IT DOESN'T MEAN THEY'RE THE ONLY 3334 02:22:42,515 --> 02:22:43,683 GROUPS UNDER REPRESENTED AND I 3335 02:22:43,683 --> 02:22:44,484 WANT TO HIGHLIGHT THAT. 3336 02:22:44,484 --> 02:22:49,456 WE ALWAYS TRY TO HIGHLIGHT THAT. 3337 02:22:49,456 --> 02:22:50,891 THOSE ARE EXAMPLES. 3338 02:22:50,891 --> 02:22:52,692 DON'T THINK THAT MEANS NIH 3339 02:22:52,692 --> 02:22:54,261 DOESN'T CARE ABOUT THE BROAD 3340 02:22:54,261 --> 02:22:56,463 RANGE OF GROUPS UNDER 3341 02:22:56,463 --> 02:22:57,063 REPRESENTED IN THE BIOMEDICAL 3342 02:22:57,063 --> 02:23:03,837 RESEARCH WORKFORCE. 3343 02:23:03,837 --> 02:23:06,039 AND THE DATA IS THERE WE JUST 3344 02:23:06,039 --> 02:23:09,042 HAVE TO HAVE MORE ANALYSES. 3345 02:23:09,042 --> 02:23:11,044 >> I WOULD LOVE TO GET UPDATES 3346 02:23:11,044 --> 02:23:16,416 ON HOW THOSE ANALYSES ARE 3347 02:23:16,416 --> 02:23:17,117 COMING. 3348 02:23:17,117 --> 02:23:18,785 SOME IN OUR COMMUNITY WOULD SAY 3349 02:23:18,785 --> 02:23:19,953 WE HEARD ABOUT DATA BEING 3350 02:23:19,953 --> 02:23:21,087 COLLECTED IN THE PAST AND 3351 02:23:21,087 --> 02:23:22,355 SOMETIMES IT DOESN'T GET 3352 02:23:22,355 --> 02:23:24,457 ANALYZED OR REPORTED SO GLAD TO 3353 02:23:24,457 --> 02:23:26,693 HEAR THAT'S THE INTENTION AND 3354 02:23:26,693 --> 02:23:34,367 GRAD WE CAN GET AN WHY UP 3355 02:23:34,367 --> 02:23:35,769 UPDATE AND IT BE MORE CLEAR 3356 02:23:35,769 --> 02:23:39,406 ABOUT INCLUSION WHEN COLLECTED 3357 02:23:39,406 --> 02:23:41,041 AND WONDER WHETHER A SUB GROUP 3358 02:23:41,041 --> 02:23:43,176 OF THIS COMMITTEE FOCUSSED ON 3359 02:23:43,176 --> 02:23:45,745 THIS ISSUE WOULD BE HELPFUL TO 3360 02:23:45,745 --> 02:23:48,481 DIG IN MORE DEEPLY. 3361 02:23:48,481 --> 02:23:51,418 >> I THINK IT REPRESENTS WE HAVE 3362 02:23:51,418 --> 02:23:58,391 THE DATA AT THE DIVERSITY 3363 02:23:58,391 --> 02:24:03,897 PROGRAM IN TERMS OF COMMENTS AND 3364 02:24:03,897 --> 02:24:07,500 THOSE SORTS OF THINGS I THINK 3365 02:24:07,500 --> 02:24:09,769 THERE'S ALWAYS AN OPPORTUNITY TO 3366 02:24:09,769 --> 02:24:10,370 COLLECT MORE DATA. 3367 02:24:10,370 --> 02:24:12,238 >> DR. MOORE. 3368 02:24:12,238 --> 02:24:13,473 >> YES. 3369 02:24:13,473 --> 02:24:19,546 I CONCUR WITH WHAT'S BEEN SAID 3370 02:24:19,546 --> 02:24:30,023 IN TERMS OF THE MENTORSHIP 3371 02:24:32,025 --> 02:24:37,764 INITIATIVE IT REFLECTS 3372 02:24:37,764 --> 02:24:42,936 COMPREHENSIVE STRATEGY AND I DO 3373 02:24:42,936 --> 02:24:47,507 WONDER IN TERMS OF HOW MIGHT THE 3374 02:24:47,507 --> 02:24:48,875 INITIATIVE IMPACT OR HOW MIGHT 3375 02:24:48,875 --> 02:24:51,144 YOU BE ABLE TO FRAME THE 3376 02:24:51,144 --> 02:24:52,379 BENEFITS OF THESE PARTICULAR 3377 02:24:52,379 --> 02:24:56,216 INITIATIVES AROUND HEALTH 3378 02:24:56,216 --> 02:24:56,516 DISPARITIES. 3379 02:24:56,516 --> 02:25:04,391 SO I SEE THE LARGER PROBLEM WE 3380 02:25:04,391 --> 02:25:08,495 HAVE HEALTH DISPARITY ISSUES AND 3381 02:25:08,495 --> 02:25:10,163 ONE IS STRATEGY IS DIVERSIFYING 3382 02:25:10,163 --> 02:25:15,368 THE WORKFORCE AND INCREASING THE 3383 02:25:15,368 --> 02:25:20,807 PIPELINE TO THE WORKFORCE FROM 3384 02:25:20,807 --> 02:25:23,476 THE LIVED EXPERIENCE AND WE CAN 3385 02:25:23,476 --> 02:25:24,344 THE PROBLEMS IN DISPARITY. 3386 02:25:24,344 --> 02:25:27,013 I'M WONDER IF YOU HAVE THOUGHT 3387 02:25:27,013 --> 02:25:28,381 ABOUT THE WONDERFUL WORK YOU'VE 3388 02:25:28,381 --> 02:25:34,354 DONE AND THE IMPACTS YOU HAD IN 3389 02:25:34,354 --> 02:25:40,160 TERMS OF CAPACITY BUILDING AND 3390 02:25:40,160 --> 02:25:40,894 PRESENTATIONS AND INCREASED 3391 02:25:40,894 --> 02:25:43,063 SCIENCE IDENTITY AND ALL THESE 3392 02:25:43,063 --> 02:25:45,432 POSITIVE OUTCOMES AS IT RELATES 3393 02:25:45,432 --> 02:25:48,168 TO RESEARCH SKILL BUILDING FOR 3394 02:25:48,168 --> 02:25:50,437 THESE PARTICULAR STUDENTS BUT 3395 02:25:50,437 --> 02:25:52,038 DOES THAT -- AND I UNDERSTAND 3396 02:25:52,038 --> 02:25:57,410 THE LONGITUDINAL STUDY AS YOU 3397 02:25:57,410 --> 02:25:59,045 STATED YOU MAY NOT BE ABLE TO 3398 02:25:59,045 --> 02:26:02,148 SEE IMPACTS EVEN WITH THE 3399 02:26:02,148 --> 02:26:04,217 SCIENTISTS UNTIL 10 OR 15 YEARS 3400 02:26:04,217 --> 02:26:05,785 LATER BUT IN TERMS OFF THE 3401 02:26:05,785 --> 02:26:07,387 INTERMEDIATE AND LONG-TERM 3402 02:26:07,387 --> 02:26:11,157 IMPACTS ON THE HEALTH EQUITY AND 3403 02:26:11,157 --> 02:26:16,396 HEALTH DISPARITIES HOW MIGHT WE 3404 02:26:16,396 --> 02:26:18,431 BE ABLE TO FRAME WHAT YOU'VE 3405 02:26:18,431 --> 02:26:24,504 DONE IN TERMS OF BENEFITS AND WE 3406 02:26:24,504 --> 02:26:35,048 HAVE THE PROBLEM DISPARITIES FOR 3407 02:26:35,415 --> 02:26:36,549 THOSE LONG-TERM IMPACT BY THE 3408 02:26:36,549 --> 02:26:38,251 WORK YOU'VE DONE AND SOMETHING 3409 02:26:38,251 --> 02:26:39,752 TO THINK ABOUT IN THE 3410 02:26:39,752 --> 02:26:42,489 LONGITUDINAL APPROACH I THINK IS 3411 02:26:42,489 --> 02:26:44,457 A VERY STRONG APPROACH. 3412 02:26:44,457 --> 02:26:46,659 AS YOU ALL PRESENTED ON EVERY 3413 02:26:46,659 --> 02:26:47,494 CORNER YOU TIPPED THE THOUGHTS 3414 02:26:47,494 --> 02:26:50,763 IN MY OPINION IN TERMS OF THE 3415 02:26:50,763 --> 02:26:52,198 STRENGTH AND VALIDITY OF THE 3416 02:26:52,198 --> 02:26:52,465 RESEARCH. 3417 02:26:52,465 --> 02:26:58,371 I THINK THE QUESTION IS SO WHAT, 3418 02:26:58,371 --> 02:27:00,974 RIGHT? 3419 02:27:00,974 --> 02:27:08,314 CAN WITH ARE -- WE REDUCE HEALTH 3420 02:27:08,314 --> 02:27:08,615 DISPARITIES. 3421 02:27:08,615 --> 02:27:10,250 >> WE'RE GATHERING THE DATA ON 3422 02:27:10,250 --> 02:27:12,819 THE TOPIC AREAS OF THE PILOT 3423 02:27:12,819 --> 02:27:13,386 PROJECTS AND THE STUDENT 3424 02:27:13,386 --> 02:27:16,389 RESEARCH TOPICS. 3425 02:27:16,389 --> 02:27:19,759 WE CAN START TO LOOK AT EARLY 3426 02:27:19,759 --> 02:27:20,460 DAYS. 3427 02:27:20,460 --> 02:27:21,928 THE RESEARCH IS WHAT FIELD 3428 02:27:21,928 --> 02:27:23,463 STUDENTS GO INTO. 3429 02:27:23,463 --> 02:27:24,931 I'LL GIVE AN ANECDOTE. 3430 02:27:24,931 --> 02:27:26,900 I KNOW IT'S NOT ALWAYS HELPFUL 3431 02:27:26,900 --> 02:27:30,170 BUT WITH PARTICIPATING IN ONE OF 3432 02:27:30,170 --> 02:27:33,206 THE BUILD MEETINGS AND STUDENT 3433 02:27:33,206 --> 02:27:37,243 TESTIMONIALS WHEN THEY'RE 3434 02:27:37,243 --> 02:27:39,045 INVOLVED IN CLINICAL STUDIES AND 3435 02:27:39,045 --> 02:27:40,880 GETTING OUT IN THE COMMUNITIES 3436 02:27:40,880 --> 02:27:43,483 AN GETTING INDIVIDUALS TO 3437 02:27:43,483 --> 02:27:45,018 PARTICIPATE THE FACT THEY'RE 3438 02:27:45,018 --> 02:27:48,488 FROM A SIMILAR GROUP AND THE 3439 02:27:48,488 --> 02:27:51,124 STUDENT RECRUITING THE STUDY 3440 02:27:51,124 --> 02:27:52,192 PARTICIPANTS RESONATES WITH THE 3441 02:27:52,192 --> 02:27:54,761 INDIVIDUALS WE HAVE HIGHER 3442 02:27:54,761 --> 02:27:55,094 PARTICIPATION. 3443 02:27:55,094 --> 02:28:00,466 IT'S ALL THE OBVIOUS THINGS YOU 3444 02:28:00,466 --> 02:28:07,674 CAN THINK OF. 3445 02:28:07,674 --> 02:28:09,242 AS A SCIENTIST WE'VE HELPED THE 3446 02:28:09,242 --> 02:28:11,377 STUDY BECAUSE I CAN INCREASE THE 3447 02:28:11,377 --> 02:28:13,813 PARTICIPATION I THINK WAS 3448 02:28:13,813 --> 02:28:15,348 IMPACTFUL AT THE STUDENT LEVEL 3449 02:28:15,348 --> 02:28:19,252 AND MAY INCREASE PERSISTENCE 3450 02:28:19,252 --> 02:28:21,187 GOING FORWARD. 3451 02:28:21,187 --> 02:28:28,261 THAT WAS A TANGIBLE CASE WHERE 3452 02:28:28,261 --> 02:28:31,631 PARTICIPATION MATTERED FOR THE 3453 02:28:31,631 --> 02:28:31,864 STUDENT. 3454 02:28:31,864 --> 02:28:33,166 THAT'S SOMETHING TO KEEP OUR EYE 3455 02:28:33,166 --> 02:28:34,167 ON AND IT'S FINE IF SOMEBODY 3456 02:28:34,167 --> 02:28:36,169 WANTS TO GO ON AND STUDY BASIC 3457 02:28:36,169 --> 02:28:36,469 SCIENCE. 3458 02:28:36,469 --> 02:28:40,406 THAT'S ALSO GREAT AND A WIN FOR 3459 02:28:40,406 --> 02:28:42,809 SCIENCE AS WELL. 3460 02:28:42,809 --> 02:28:44,577 YOU THINK THERE ARE WINS IN MANY 3461 02:28:44,577 --> 02:28:46,045 ARENAS. 3462 02:28:46,045 --> 02:28:48,514 >> I THINK WE'LL GO TO 3463 02:28:48,514 --> 02:28:59,025 DR. SOLOMON FIRST ON THE WEB. 3464 02:28:59,392 --> 02:29:00,460 WELCOME FIRST OF ALL AND DO YOU 3465 02:29:00,460 --> 02:29:02,161 WANT TO INTRODUCE YOURSELF AND 3466 02:29:02,161 --> 02:29:02,829 YOU PUT SOMETHING IN THE CHAT 3467 02:29:02,829 --> 02:29:04,364 WE'D LOVE TO HEAR. 3468 02:29:04,364 --> 02:29:09,602 >> THANK YOU AND I -- I'M SORRY 3469 02:29:09,602 --> 02:29:11,638 I COULDN'T BE THERE IN PERSON 3470 02:29:11,638 --> 02:29:14,507 BUT NICE TO HEAR WHAT YOU'VE 3471 02:29:14,507 --> 02:29:16,409 BEEN UP TO. 3472 02:29:16,409 --> 02:29:20,046 I'M TEISLA SOLMAN AT THE 3473 02:29:20,046 --> 02:29:21,180 UNIVERSITY OF ARIZONA IF THE 3474 02:29:21,180 --> 02:29:24,484 DEPARTMENT OF FAMILY MEDICINE 3475 02:29:24,484 --> 02:29:26,219 AND MEMBER OF THE CHOCTAW NATION 3476 02:29:26,219 --> 02:29:29,489 OF OKLAHOMA. 3477 02:29:29,489 --> 02:29:34,394 I WANT TO SAY IMPORTANT THAT WE 3478 02:29:34,394 --> 02:29:39,599 CONTINUE THE PATH AS WE ARE 3479 02:29:39,599 --> 02:29:41,534 GROWING YOUNG SCIENTISTS AND 3480 02:29:41,534 --> 02:29:43,970 I'VE DONE MANY OF THESE AND 3481 02:29:43,970 --> 02:29:45,238 PROUD OF THE FUNDING NIH 3482 02:29:45,238 --> 02:29:47,340 PROVIDED THROUGH MANY MECHANISMS 3483 02:29:47,340 --> 02:29:50,376 AND ONE FROM THE NATIONAL 3484 02:29:50,376 --> 02:29:51,944 INSTITUTE OF GENERAL MEDICAL 3485 02:29:51,944 --> 02:29:52,245 SCIENCES. 3486 02:29:52,245 --> 02:29:54,480 I'M OF THE AGE NOW AND HAVE 3487 02:29:54,480 --> 02:29:55,882 THESE JUNIOR FACULTY WORKING 3488 02:29:55,882 --> 02:30:04,624 WITH ME ON ALL OF THIS. 3489 02:30:04,624 --> 02:30:06,993 IT'S IMPORTANT WE SEE THE 3490 02:30:06,993 --> 02:30:08,995 EVIDENCE THE INFORMATION AND 3491 02:30:08,995 --> 02:30:10,163 DATA AND ANALYSIS TURN INTO 3492 02:30:10,163 --> 02:30:16,402 POLICIES AN PROTOCOLS INTERNALLY 3493 02:30:16,402 --> 02:30:27,113 AND EXTERNALLY THAT SUSTAINS AND 3494 02:30:28,414 --> 02:30:31,050 HOW DO WE DO THAT INTERNALLY 3495 02:30:31,050 --> 02:30:32,385 WHETHER THROUGH HIRING, WHETHER 3496 02:30:32,385 --> 02:30:35,755 IT'S THROUGH PROJECTS THAT WE DO 3497 02:30:35,755 --> 02:30:37,557 AND WITHOUT CREATE BEING QUOTAS 3498 02:30:37,557 --> 02:30:39,158 WE DON'T NEED QUOTAS BUT WE NEED 3499 02:30:39,158 --> 02:30:41,828 TO BUILD A CULTURE OF INCLUSION 3500 02:30:41,828 --> 02:30:42,462 THAT'S NATURALLY THERE. 3501 02:30:42,462 --> 02:30:43,863 THAT WOULD BE MY ENCOURAGEMENT 3502 02:30:43,863 --> 02:30:44,097 TO YOU. 3503 02:30:44,097 --> 02:30:54,273 THANK YOU. 3504 02:30:54,507 --> 02:30:56,676 >> OUR JOB IS TO SERVE ALL AND 3505 02:30:56,676 --> 02:30:58,811 THIS IS AN IMPORTANT EFFORT TO 3506 02:30:58,811 --> 02:31:00,279 REACHING THAT OUTCOME. 3507 02:31:00,279 --> 02:31:03,983 WE NEED SCIENTISTS AND FISSIONS 3508 02:31:03,983 --> 02:31:10,289 WHO REPRESENT ALL IN ORDER TO 3509 02:31:10,289 --> 02:31:12,492 SERVE ALL AND WANTED TO 3510 02:31:12,492 --> 02:31:15,395 CELEBRATE THE WORK BEING DONE. 3511 02:31:15,395 --> 02:31:18,631 I'M EXCITED WHEN I GET NEWS 3512 02:31:18,631 --> 02:31:19,999 FLASHES THAT SAY LOOK AMOUNT 3513 02:31:19,999 --> 02:31:21,167 WHAT NIH DISCOVERED WHETHER IT'S 3514 02:31:21,167 --> 02:31:23,603 A NEW PICTURE OF THE BRAIN OR 3515 02:31:23,603 --> 02:31:24,470 SOMETHING ALONG THE AREA OF 3516 02:31:24,470 --> 02:31:27,440 CANCER. 3517 02:31:27,440 --> 02:31:32,011 AIM -- I'M WONDERING HOW WE CAN 3518 02:31:32,011 --> 02:31:33,813 DO THE SAME JOB WITH THE VIGOR 3519 02:31:33,813 --> 02:31:35,882 AND SHARING WITH THE COMMUNITY. 3520 02:31:35,882 --> 02:31:40,420 THERE'S A FASCINATING POLL 3521 02:31:40,420 --> 02:31:44,056 YESTERDAY THAT SAID 1 OF 8 BLACK 3522 02:31:44,056 --> 02:31:46,392 AMERICANS FEEL INSTITUTIONS ARE 3523 02:31:46,392 --> 02:31:47,560 CONSPIRING AGAINST THEM. 3524 02:31:47,560 --> 02:31:49,595 WHERE WE WANT TO CLOSE GAPS 3525 02:31:49,595 --> 02:31:51,364 EXAMPLES OF THIS WORK AND 3526 02:31:51,364 --> 02:31:53,266 COMMUNITIES BEING AWARE THAT OUR 3527 02:31:53,266 --> 02:31:55,034 INSTITUTIONS ARE DOING MORE TO 3528 02:31:55,034 --> 02:31:56,502 DRAW EVERYBODY IN WHETHER IT'S 3529 02:31:56,502 --> 02:31:58,171 INNER CITY BALTIMORE OR OKLAHOMA 3530 02:31:58,171 --> 02:32:00,473 ON A FARM. 3531 02:32:00,473 --> 02:32:03,342 THIS IDEA THAT DRAMATIC FOCUS 3532 02:32:03,342 --> 02:32:05,077 EFFORTS OVER A DECADE OR MORE 3533 02:32:05,077 --> 02:32:07,213 ARE BEING DONE TOWARDS THIS. 3534 02:32:07,213 --> 02:32:08,915 I'M WONDERING HOW WE CAN COMMUNE 3535 02:32:08,915 --> 02:32:10,216 THIS MORE BROADLY AND HIGHLIGHT 3536 02:32:10,216 --> 02:32:12,185 IT WITH THE SAME VIGOR WE 3537 02:32:12,185 --> 02:32:13,419 HIGHLIGHT THE SCIENCE OR THE 3538 02:32:13,419 --> 02:32:16,422 BASIC SCIENCE OR CLINICAL 3539 02:32:16,422 --> 02:32:17,924 TRIALS? 3540 02:32:17,924 --> 02:32:22,395 >> IT'S A WONDERFUL POINT. 3541 02:32:22,395 --> 02:32:23,830 THERE WERE A GREAT TEAM OF 3542 02:32:23,830 --> 02:32:24,497 COMMUNICATION TEAMS ACROSS THE 3543 02:32:24,497 --> 02:32:27,366 SITES AND THEY WOULD PUT OUT 3544 02:32:27,366 --> 02:32:28,401 NEWSLETTERS AND HAD SOCIAL MEDIA 3545 02:32:28,401 --> 02:32:30,403 CAMPAIGNS AND OTHER SUCH THINGS. 3546 02:32:30,403 --> 02:32:31,904 WITH ALL FUNDING THAT'S COMING 3547 02:32:31,904 --> 02:32:33,272 TO AN END. 3548 02:32:33,272 --> 02:32:35,141 AND SO WE DO HAVE TO THINK ABOUT 3549 02:32:35,141 --> 02:32:36,442 WAYS TO HIGHLIGHT AND 3550 02:32:36,442 --> 02:32:37,210 PARTICULARLY AS THE RESEARCH 3551 02:32:37,210 --> 02:32:40,112 COMES OUT I LOVE THE IDEA OF 3552 02:32:40,112 --> 02:32:41,881 HAVING INTERVENTIONS RESEARCH 3553 02:32:41,881 --> 02:32:43,950 COMING OUT AS WELL IN THE 3554 02:32:43,950 --> 02:32:46,419 TRAINING SPACE AND THE 3555 02:32:46,419 --> 02:32:47,887 BEHAVIORAL INTERVENTIONS TO 3556 02:32:47,887 --> 02:32:49,188 INCREASE PERSISTENCE. 3557 02:32:49,188 --> 02:32:50,056 IT'S A WONDERFUL IDEA. 3558 02:32:50,056 --> 02:32:52,391 WE'LL CONTINUE TO THINK ABOUT 3559 02:32:52,391 --> 02:32:53,025 WAYS. 3560 02:32:53,025 --> 02:32:54,160 >> ANOTHER THING I THINK THAT IS 3561 02:32:54,160 --> 02:32:57,530 IT REALLY IMPORTANT WE CAN TAKE 3562 02:32:57,530 --> 02:32:59,098 TO HEART IS WHAT WE LEARNED HERE 3563 02:32:59,098 --> 02:33:00,099 WE NEED TO INTEGRATE TO 3564 02:33:00,099 --> 02:33:01,434 EVERYTHING WE DO. 3565 02:33:01,434 --> 02:33:04,370 IT'S NOT JUST WE DO THESE 3566 02:33:04,370 --> 02:33:05,037 INITIATIVES AND THAT'S THE ONLY 3567 02:33:05,037 --> 02:33:06,372 PLACE THIS HAPPENS. 3568 02:33:06,372 --> 02:33:08,941 WE NEED TO INTEGRATE THE 3569 02:33:08,941 --> 02:33:11,210 INSIGHTS INTO EVERYTHING WE DO. 3570 02:33:11,210 --> 02:33:13,112 CARE FOR HEALTH BEING ONE OF 3571 02:33:13,112 --> 02:33:13,312 THEM. 3572 02:33:13,312 --> 02:33:15,448 I CAN DEFINITELY TELL YOU WE 3573 02:33:15,448 --> 02:33:17,016 NEED THIS KIND AND THE OTHER 3574 02:33:17,016 --> 02:33:19,485 THING IS I AM SO OFTEN ASKED, 3575 02:33:19,485 --> 02:33:22,321 HOW ARE WE GOING TO BUILD TRUST 3576 02:33:22,321 --> 02:33:23,189 WITH PEOPLE? 3577 02:33:23,189 --> 02:33:26,225 THIS IS ONE OF THE MOST POWERFUL 3578 02:33:26,225 --> 02:33:28,394 THINGS WE CAN DO TO BUILD TRUST 3579 02:33:28,394 --> 02:33:31,030 WITH PEOPLE AND I WOULD ARGUE 3580 02:33:31,030 --> 02:33:35,801 THAT WE ALSO NEED TO EMBRACE THE 3581 02:33:35,801 --> 02:33:37,703 STUDENT WHO DOESN'T NECESSARILY 3582 02:33:37,703 --> 02:33:40,206 THINK THE WAY THE BIOMEDICAL 3583 02:33:40,206 --> 02:33:43,509 RESEARCH COMMUNITY THINKS IF YOU 3584 02:33:43,509 --> 02:33:44,977 SEE WHAT I MEAN. 3585 02:33:44,977 --> 02:33:47,113 IT'S ABOUT EDUCATION AND THESE 3586 02:33:47,113 --> 02:33:50,316 ARE BUILDING BRIDGES THAT HELP 3587 02:33:50,316 --> 02:33:51,851 BRING THEIR PERSPECTIVES IN AND 3588 02:33:51,851 --> 02:33:54,320 LAST OF ALL WE TALK ABOUT 3589 02:33:54,320 --> 02:33:55,187 DIVERSE PERSPECTIVES. 3590 02:33:55,187 --> 02:33:59,559 THAT MEANS WE REALLY BETTER MEAN 3591 02:33:59,559 --> 02:34:07,166 DIVERSE PERSPECTIVES INCLUDING 3592 02:34:07,166 --> 02:34:10,069 PERSPECTIVES THAT MAY NOT SIT 3593 02:34:10,069 --> 02:34:12,471 WELL WITH EVERYONE BUT MAKING 3594 02:34:12,471 --> 02:34:15,541 THAT ENVIRONMENT OKAY HAS TO BE. 3595 02:34:15,541 --> 02:34:17,610 YOU ALL KNOW WE'RE ALSO THINKING 3596 02:34:17,610 --> 02:34:20,479 ABOUT. 3597 02:34:20,479 --> 02:34:21,280 OKAY. 3598 02:34:21,280 --> 02:34:23,382 WELL, THIS HAS BEEN WONDERFUL. 3599 02:34:23,382 --> 02:34:25,184 I CAN'T THANK YOU ENOUGH FIRST 3600 02:34:25,184 --> 02:34:27,186 FOR THE PRESENTATION AND SECOND 3601 02:34:27,186 --> 02:34:28,621 FOR THIS REALLY WONDERFUL 3602 02:34:28,621 --> 02:34:28,955 DISCUSSION. 3603 02:34:28,955 --> 02:34:30,957 AND SO NOW WE ARE GOING TO TAKE 3604 02:34:30,957 --> 02:34:35,161 A BREAK FOR LUNCH AND WE'LL BE 3605 02:34:35,161 --> 02:34:38,431 BACK HERE 1:15. 3606 02:34:38,431 --> 02:34:41,367 BACK AT 1:15. 3607 02:34:41,367 --> 02:34:41,601 THANKS. 3608 02:34:41,601 --> 02:34:48,641 >> SO FOLKS WILL BE WALKED OVER 3609 02:34:48,641 --> 02:34:52,979 IF YOU CAN'T MAKE THE WALK AND 3610 02:34:52,979 --> 02:34:56,215 LET OUR STAFF KNOW AND THEY'LL 3611 02:34:56,215 --> 02:34:57,883 GET SOMETHING IF YOU GIVE A HINT 3612 02:34:57,883 --> 02:34:58,985 WHAT YOU WANT OTHERWISE YOU'LL 3613 02:34:58,985 --> 02:34:59,986 GET A MYSTERY WHAT. 3614 02:34:59,986 --> 02:35:02,154 I DON'T KNOW WHO IS DOING THE 3615 02:35:02,154 --> 02:35:02,388 WALKING. 3616 02:35:02,388 --> 02:35:03,556 >> I'M DOING THE WALKING. 3617 02:35:03,556 --> 02:35:08,661 >> MONICA WILL WALK YOU TO BI 3618 02:35:08,661 --> 02:35:09,996 BUILDING 10 AND HAVE STAFF FOLKS 3619 02:35:09,996 --> 02:35:11,130 TO ACCOMPANY YOU. 3620 02:35:11,130 --> 02:35:16,638 SEE YOU AT 1:15. 3621 02:35:16,638 --> 02:35:17,605 INITIATIVE ACCELERATING 3622 02:35:17,605 --> 02:35:18,606 DISCOVERY TOWARD CURES, JOHN 3623 02:35:18,606 --> 02:35:23,311 NGAI, WHO IS THE DIRECTOR OF THE 3624 02:35:23,311 --> 02:35:25,280 BRAIN INITIATIVE WILL BE 3625 02:35:25,280 --> 02:35:25,580 PRESENTING. 3626 02:35:25,580 --> 02:35:26,481 >> THANKS, VERY MUCH. 3627 02:35:26,481 --> 02:35:27,882 A PLEASURE TO BE HERE TO TELL 3628 02:35:27,882 --> 02:35:29,250 YOU ABOUT COOL THINGS GOING ON 3629 02:35:29,250 --> 02:35:30,952 IN THE NIH BRAIN INITIATIVE, 3630 02:35:30,952 --> 02:35:36,291 WHEN WE'RE CELEBRATING OUR TENTH 3631 02:35:36,291 --> 02:35:37,959 YEAR OF THE INITIATIVE. 3632 02:35:37,959 --> 02:35:42,130 THE HUMAN BRAIN IS THE MOST 3633 02:35:42,130 --> 02:35:44,199 POWERFUL AND ENERGY EFFICIENT 3634 02:35:44,199 --> 02:35:48,036 COMPUTER KNOWN TO HUMANKIND, 3635 02:35:48,036 --> 02:35:49,904 COMPRISES 86 BILLION NEURONS, 3636 02:35:49,904 --> 02:35:52,073 TWICE AS MANY NON-ANIMAL CELLS, 3637 02:35:52,073 --> 02:35:53,308 TOGETHER MAKE TRILLIONS OR 3638 02:35:53,308 --> 02:35:54,943 HUNDREDS OF TRILLIONS OF 3639 02:35:54,943 --> 02:35:57,612 CONNECTIONS AND THEY UNDERPIN 3640 02:35:57,612 --> 02:36:03,718 OUR SENSATION OF MOTOR FUNCTION, 3641 02:36:03,718 --> 02:36:04,953 COGNITION, CONSCIOUSNESS, 3642 02:36:04,953 --> 02:36:05,587 SPIRITUALLY, RETRIEVE MEMORIES, 3643 02:36:05,587 --> 02:36:07,222 THE THINGS THAT MAKE US UNIQUELY 3644 02:36:07,222 --> 02:36:09,958 HUMAN AND EACH OF US UNIQUE FROM 3645 02:36:09,958 --> 02:36:11,926 EACH OTHER. 3646 02:36:11,926 --> 02:36:14,329 THE HUMAN BRAIN'S VERY 3647 02:36:14,329 --> 02:36:17,632 COMPLEXITY MAKES IT VULNERABLE 3648 02:36:17,632 --> 02:36:20,101 TO DISEASE. 3649 02:36:20,101 --> 02:36:21,770 AN OVERARCHING GOAL IS TO 3650 02:36:21,770 --> 02:36:23,872 UNDERSTAND HOW THE HUMAN BRAIN 3651 02:36:23,872 --> 02:36:27,709 GIVES RISE TO COMPLEX BEHAVIORS, 3652 02:36:27,709 --> 02:36:29,310 HOW IT MALFUNCTIONS IN DISEASE. 3653 02:36:29,310 --> 02:36:31,279 A MAJOR CHALLENGE IN ACHIEVING 3654 02:36:31,279 --> 02:36:34,015 THIS GOAL IS LACK OF TOOLS TO 3655 02:36:34,015 --> 02:36:35,683 MONITOR, MAP, MODULATE ACTIVITY 3656 02:36:35,683 --> 02:36:38,620 IN NEURAL CIRCUITS. 3657 02:36:38,620 --> 02:36:40,155 AND WITHOUT THIS UNDERSTANDING 3658 02:36:40,155 --> 02:36:45,427 WE REMAIN FAR FROM FINDING CURES 3659 02:36:45,427 --> 02:36:55,937 FOR DEVASTATING DISORDER LIKE 3660 02:36:57,005 --> 02:36:58,039 ALZHEIMER'S, EPILEPSY, BINGING, 3661 02:36:58,039 --> 02:37:00,642 SUBSTANCE USE DISORDER, IT'S 3662 02:37:00,642 --> 02:37:02,610 QUITE A LOT. 3663 02:37:02,610 --> 02:37:05,146 IN THE MEANTIME 1 IN 3 AMERICANS 3664 02:37:05,146 --> 02:37:08,516 ARE LIVING WITH A DISORDER OF 3665 02:37:08,516 --> 02:37:09,517 THE NERVOUS SYSTEM, WHICH MEANS 3666 02:37:09,517 --> 02:37:13,021 ALL YOU FOLKS WATCHING ON THE 3667 02:37:13,021 --> 02:37:14,122 VIDEOCAST, YOU HAVE ALMOST 3668 02:37:14,122 --> 02:37:15,757 CERTAINLY A FAMILY LOVED OR 3669 02:37:15,757 --> 02:37:18,726 LOVED ONE LIVING WITH A BRAIN 3670 02:37:18,726 --> 02:37:19,327 DISORDER. 3671 02:37:19,327 --> 02:37:20,395 WE'RE ALL WAITING DESPERATELY 3672 02:37:20,395 --> 02:37:21,796 FOR CURES THAT CANNOT COME SOON 3673 02:37:21,796 --> 02:37:22,697 ENOUGH. 3674 02:37:22,697 --> 02:37:29,070 THIS IN A NUTSHELL WAS NUTSHELL 3675 02:37:29,070 --> 02:37:30,872 WAS BIND THE BEHIND BEHIND IN 3676 02:37:30,872 --> 02:37:34,275 2013 TO DEVELOP TOOLS AND 3677 02:37:34,275 --> 02:37:36,144 RESOURCES TO ACCELERATE 3678 02:37:36,144 --> 02:37:42,383 DISCOVERIES FOR MUCH-NEEDED 3679 02:37:42,383 --> 02:37:43,451 SECURES. 3680 02:37:43,451 --> 02:37:45,453 THE BRAIN INITIATIVE IS TO 3681 02:37:45,453 --> 02:37:46,621 REVOLUTIONIZE OUR UNDERSTANDING 3682 02:37:46,621 --> 02:37:48,923 BY ACCELERATING DEVELOPMENT AND 3683 02:37:48,923 --> 02:37:49,491 APPLICATION OF INTEGRATIVE 3684 02:37:49,491 --> 02:37:50,925 TECHNOLOGIES, ANNOUNCED BY THE 3685 02:37:50,925 --> 02:37:53,094 WHITE HOUSE IN 2013, FIRST 3686 02:37:53,094 --> 02:37:56,364 AWARDS IN 2014, I WAS ONE OF THE 3687 02:37:56,364 --> 02:37:57,432 LUCKY GRANTEES IN 2014. 3688 02:37:57,432 --> 02:37:58,333 THIS REPRESENTS A PARTNERSHIP 3689 02:37:58,333 --> 02:38:00,768 BETWEEN FIVE U.S. FEDERAL 3690 02:38:00,768 --> 02:38:01,636 AGENCIES AND PRIVATE 3691 02:38:01,636 --> 02:38:03,271 FOUNDATIONS, ALL THE EFFORTS 3692 02:38:03,271 --> 02:38:04,806 THAT NIH HAS UNDERTAKEN SINCE 3693 02:38:04,806 --> 02:38:09,077 2014 HAVE BEEN GUIDED BY TWO 3694 02:38:09,077 --> 02:38:09,944 BRILLIANT STRATEGIC PLANS, 3695 02:38:09,944 --> 02:38:11,679 COMMISSIONED FROM WORKING GROUPS 3696 02:38:11,679 --> 02:38:13,248 OF THIS BODY, THE BRAIN 2025 3697 02:38:13,248 --> 02:38:15,517 REPORT WHICH WAS CHAIRED BY 3698 02:38:15,517 --> 02:38:17,719 DOCTORS BARDEN AND NEWSOM, AND 3699 02:38:17,719 --> 02:38:20,355 ISSUED IN 2014, FOLLOWED FIVE 3700 02:38:20,355 --> 02:38:21,990 YEARS LATER BY THE REPORTS 3701 02:38:21,990 --> 02:38:23,525 ISSUED IN 2019. 3702 02:38:23,525 --> 02:38:25,059 EVERYTHING WE'RE DOING YOU CAN 3703 02:38:25,059 --> 02:38:33,434 TRACE BACK TO THESE VISIONARY 3704 02:38:33,434 --> 02:38:33,701 DOCUMENTS. 3705 02:38:33,701 --> 02:38:35,670 THIS INVOLVES 10 OF THE 27 3706 02:38:35,670 --> 02:38:37,105 INSTITUTES AND CENTERS, SITUATED 3707 02:38:37,105 --> 02:38:41,376 FOR CROSS-CUTTING AND 3708 02:38:41,376 --> 02:38:42,343 ACCELERATED DISCOVERY BEYOND 3709 02:38:42,343 --> 02:38:46,748 CAPABILITY OF A SINGLE INSTITUTE 3710 02:38:46,748 --> 02:38:51,319 OR SYNERGY, TAPPING INTO ENERGY 3711 02:38:51,319 --> 02:38:54,489 TO ADDRESS CHALLENGES BY 3712 02:38:54,489 --> 02:38:56,257 DISORDERS, BENEFITING RESEARCH 3713 02:38:56,257 --> 02:39:03,464 THAT FALLS OUTSITE ANY ONE I.C. 3714 02:39:03,464 --> 02:39:05,433 MISSION. 3715 02:39:05,433 --> 02:39:10,271 TO DEVELOP NEW TOOLS, TO ACHIEVE 3716 02:39:10,271 --> 02:39:12,140 THIS GOAL IT'S IMPORTANT TO 3717 02:39:12,140 --> 02:39:13,975 LEVERAGE EMERGING TECHNOLOGIES 3718 02:39:13,975 --> 02:39:15,977 TO ENABLE DISCOVERIES ABOUT 3719 02:39:15,977 --> 02:39:18,813 NEURAL CIRCUIT FUNCTIONS, TO USE 3720 02:39:18,813 --> 02:39:21,015 THIS AS FOUNDATION FOR 3721 02:39:21,015 --> 02:39:23,585 STRATEGIES, AND MOST IMPORTANTLY 3722 02:39:23,585 --> 02:39:26,554 TO DISSEMINATE AND DEMOCRATIZE 3723 02:39:26,554 --> 02:39:28,423 FOR BASIC DISCOVERY AND CLINICAL 3724 02:39:28,423 --> 02:39:30,391 APPLICATION FOR THE THE BENEFIT 3725 02:39:30,391 --> 02:39:30,925 OF ALL. 3726 02:39:30,925 --> 02:39:33,995 AS DR. BERTAGNOLLI SAID, OUR JOB 3727 02:39:33,995 --> 02:39:34,762 IS NOT FINISHED WITH 3728 02:39:34,762 --> 02:39:36,631 DISCOVERIES, WE HAVE TO GET 3729 02:39:36,631 --> 02:39:40,134 THESE OUT THERE. 3730 02:39:40,134 --> 02:39:44,639 IT'S BEEN REMARKABLY PRODUCTIVE, 3731 02:39:44,639 --> 02:39:47,709 WE FUNDED 1600, AWARDS, ACROSS 3732 02:39:47,709 --> 02:39:49,410 25 INSTITUTIONS, PUBLISHED OVER 3733 02:39:49,410 --> 02:39:51,746 BY NOW OVER 8500 PAPERS, IN A 3734 02:39:51,746 --> 02:39:53,248 THOUSAND JOURNALS, DIVERSITY OF 3735 02:39:53,248 --> 02:39:54,916 JOURNALS, YOU CAN SEE THE CURVE 3736 02:39:54,916 --> 02:39:55,683 IS CLIMBING. 3737 02:39:55,683 --> 02:39:56,985 WE'RE PROUD AND EXCITED ABOUT 3738 02:39:56,985 --> 02:40:04,959 ALL THE GREAT RESEARCH BEING PUT 3739 02:40:04,959 --> 02:40:06,828 OUT THERE. THE PORTFOLIO IS 3740 02:40:06,828 --> 02:40:07,061 DIVERSE. 3741 02:40:07,061 --> 02:40:08,563 WE MANAGE IN DIFFERENT DOMAINS. 3742 02:40:08,563 --> 02:40:12,300 ON THE LEFT SIDE ARE SCIENTIFIC 3743 02:40:12,300 --> 02:40:13,167 DOMAINS DEVELOPING TOOLS, 3744 02:40:13,167 --> 02:40:14,802 TECHNOLOGIES, RESOURCES FOR 3745 02:40:14,802 --> 02:40:16,004 IDENTIFYING AND UNDERSTANDING 3746 02:40:16,004 --> 02:40:17,672 CELL AND CIRCUIT FUNCTIONS. 3747 02:40:17,672 --> 02:40:18,773 THESE ARE THE CONNECTIONS 3748 02:40:18,773 --> 02:40:26,514 BETWEEN OUR EARS THAT MAKE 3749 02:40:26,514 --> 02:40:26,914 EVERYTHING HAPPEN. 3750 02:40:26,914 --> 02:40:27,515 WE'RE DEVELOPING ABILITY TO 3751 02:40:27,515 --> 02:40:29,050 RECORD ACTIVITY, TO SEE WHAT'S 3752 02:40:29,050 --> 02:40:32,220 GOING ON IN CIRCUITS, VERY 3753 02:40:32,220 --> 02:40:34,289 IMPORTANTLY TO MODULATE EITHER 3754 02:40:34,289 --> 02:40:36,924 BY CHEMICAL MEANS, OPTICAL OR 3755 02:40:36,924 --> 02:40:43,965 ELECTRICAL MEANS, TO MODULATE TO 3756 02:40:43,965 --> 02:40:49,737 TEST OR MAKE HUMANS HAVE A 3757 02:40:49,737 --> 02:40:50,972 HEALTHIER LIFE. 3758 02:40:50,972 --> 02:40:51,739 SYSTEMS NEUROSCIENCE IS 3759 02:40:51,739 --> 02:40:52,940 UNDERSTANDING OF HOW CIRCUITS 3760 02:40:52,940 --> 02:40:56,110 AND OUR BRAIN GIVE RISE TO 3761 02:40:56,110 --> 02:40:57,845 AMAZING BEHAVIORS AND FUNCTIONS. 3762 02:40:57,845 --> 02:41:00,014 VERY IMPORTANTLY ONE THING THAT 3763 02:41:00,014 --> 02:41:01,182 BRAIN IS FOCUSED ON, A CHALLENGE 3764 02:41:01,182 --> 02:41:05,620 ACROSS THE OTHER ICs, TRYING 3765 02:41:05,620 --> 02:41:07,488 TO UNDERSTAND SYSTEMS AND 3766 02:41:07,488 --> 02:41:08,389 BEHAVIORAL NEUROSCIENCE IN 3767 02:41:08,389 --> 02:41:10,291 HUMANS USING A LOT OF THESE 3768 02:41:10,291 --> 02:41:11,426 NOVEL TOOLS. 3769 02:41:11,426 --> 02:41:13,828 THERE ARE FOUR CROSS-CUTTING 3770 02:41:13,828 --> 02:41:18,766 AREAS WE SUPPORT THAT ENABLE ALL 3771 02:41:18,766 --> 02:41:20,368 THESE SCIENTIFIC AREAS, WE IS 3772 02:41:20,368 --> 02:41:22,036 GROWING AND STRONG INTEREST IN 3773 02:41:22,036 --> 02:41:24,772 DATA SCIENCE AND INFORMATICS. 3774 02:41:24,772 --> 02:41:26,207 YOU CAN IMAGINE HOW MUCH DATA 3775 02:41:26,207 --> 02:41:27,942 WE'RE SPINNING OUT, WE HAVE TO 3776 02:41:27,942 --> 02:41:31,646 HARNESS THAT AND FEED THE A.I. 3777 02:41:31,646 --> 02:41:32,413 BEAST. 3778 02:41:32,413 --> 02:41:34,849 WE HAVE COMMITMENT TO HAVE THE 3779 02:41:34,849 --> 02:41:36,584 NEXT GENERATION OF LEADERS TO 3780 02:41:36,584 --> 02:41:39,320 TAKE ADVANCES OF TODAY AND 3781 02:41:39,320 --> 02:41:40,421 ADVANCE DISCOVERIES OF TOMORROW. 3782 02:41:40,421 --> 02:41:43,691 I'LL TOUCH A BIT ON OUR 3783 02:41:43,691 --> 02:41:45,226 NEUROETHICS PROGRAM LOOKING 3784 02:41:45,226 --> 02:41:47,962 CLOSELY AT THE RESOURCE AND 3785 02:41:47,962 --> 02:41:49,497 IMPLICATIONS ON SOCIETY AND 3786 02:41:49,497 --> 02:41:50,031 INDIVIDUALS. 3787 02:41:50,031 --> 02:41:52,867 AND THEN VERY IMPORTANTLY AS I 3788 02:41:52,867 --> 02:41:54,736 MENTIONED DISSEMINATION AND 3789 02:41:54,736 --> 02:41:55,536 COMMERCIALIZATION, TO GET THESE 3790 02:41:55,536 --> 02:41:57,372 OUT FOR THE BENEFIT OF ALL. 3791 02:41:57,372 --> 02:42:00,108 TODAY I'D LIKE TO LEAVE YOU WITH 3792 02:42:00,108 --> 02:42:02,210 THREE KEY TAKEAWAYS. 3793 02:42:02,210 --> 02:42:03,644 FIRST, BRAIN ADVANCEMENTS AND 3794 02:42:03,644 --> 02:42:05,446 TOOLS AND TECHNOLOGIES MAKE 3795 02:42:05,446 --> 02:42:07,148 THEIR WAY INTO THE CLINIC 3796 02:42:07,148 --> 02:42:08,316 ALREADY WITH POTENTIAL TO SEE 3797 02:42:08,316 --> 02:42:10,518 POSITIVE IMPACTS ON HUMAN HEALTH 3798 02:42:10,518 --> 02:42:12,286 ON THE LARGER SCALE. 3799 02:42:12,286 --> 02:42:14,455 THE SECOND IS THAT BRAIN TEAMS 3800 02:42:14,455 --> 02:42:15,790 ARE DEVELOPING RESOURCES AND 3801 02:42:15,790 --> 02:42:16,424 TECHNOLOGIES LAYING THE 3802 02:42:16,424 --> 02:42:18,726 FOUNDATION FOR FUTURE CURES. 3803 02:42:18,726 --> 02:42:20,595 WE NEED MORE INFORMATION ABOUT 3804 02:42:20,595 --> 02:42:21,796 MECHANISMS BEHIND NEURAL CIRCUIT 3805 02:42:21,796 --> 02:42:23,664 FUNCTION AND WHAT HAPPENS IN 3806 02:42:23,664 --> 02:42:26,401 DISEASE, TO FIND CURES AND 3807 02:42:26,401 --> 02:42:26,801 PREVENTION. 3808 02:42:26,801 --> 02:42:29,337 BRAIN IS CREATING A PARADIGM FOR 3809 02:42:29,337 --> 02:42:31,539 DOING SCIENCE, EXCITING THE PACE 3810 02:42:31,539 --> 02:42:32,940 OF DISCOVERY. 3811 02:42:32,940 --> 02:42:34,375 WE'VE BEEN SUCCESSFUL IN 3812 02:42:34,375 --> 02:42:36,444 ASSEMBLING BIG TEAMS TO ATTACK 3813 02:42:36,444 --> 02:42:38,212 PROBLEMS THAT NOT OTHERWISE BE 3814 02:42:38,212 --> 02:42:39,247 AS EFFECTIVELY APPROACHED. 3815 02:42:39,247 --> 02:42:43,017 LET ME RUN THROUGH THESE AREAS 3816 02:42:43,017 --> 02:42:44,685 FOR YOU IN TURN. 3817 02:42:44,685 --> 02:42:46,854 SO, WE'RE LOOKING AT DIFFERENT 3818 02:42:46,854 --> 02:42:48,055 WAYS OF TREATING BRAIN 3819 02:42:48,055 --> 02:42:48,623 DISORDERS. 3820 02:42:48,623 --> 02:42:50,591 MOST OF YOU ARE PROBABLY AWARE 3821 02:42:50,591 --> 02:42:51,526 OF DEEP BRAIN STIMULATION, WHICH 3822 02:42:51,526 --> 02:42:53,961 HAS BEEN AROUND FOR DECADES NOW, 3823 02:42:53,961 --> 02:42:55,163 TO TREAT SYMPTOMS OF PARKINSON'S 3824 02:42:55,163 --> 02:42:57,465 DISEASE AND OTHER MOVEMENT 3825 02:42:57,465 --> 02:42:58,332 DISORDERS. 3826 02:42:58,332 --> 02:43:00,868 IT'S BEEN THE GOLD STANDARD, 3827 02:43:00,868 --> 02:43:02,069 TREATING SYMPTOMS AT LEAST. 3828 02:43:02,069 --> 02:43:04,372 THESE DAYS, LAST TWO YEARS, 3829 02:43:04,372 --> 02:43:07,241 INFLECTION POINT IN RESEARCH TO 3830 02:43:07,241 --> 02:43:07,775 APPLY THESE STIMULATION 3831 02:43:07,775 --> 02:43:09,677 TECHNOLOGIES TO A VARIETY OF 3832 02:43:09,677 --> 02:43:12,046 OTHER CONDITIONS. 3833 02:43:12,046 --> 02:43:16,083 FOR EXAMPLE, DEPRESSION, 3834 02:43:16,083 --> 02:43:18,286 POSTTRAUMATIC STRESS DISORDER, 3835 02:43:18,286 --> 02:43:19,821 BRAIN INJURY, TRAUMATIC BRAIN 3836 02:43:19,821 --> 02:43:23,791 INJURY, STROKE RECOVERY, PAIN 3837 02:43:23,791 --> 02:43:26,394 MANAGEMENT, OCD, EATING CONTROL, 3838 02:43:26,394 --> 02:43:27,495 SUBSTANCE USE DISORDERS. 3839 02:43:27,495 --> 02:43:29,297 THIS ADVANCES IN THE LAST FEW 3840 02:43:29,297 --> 02:43:33,401 YEARS HAS BEEN A COUPLE THINGS. 3841 02:43:33,401 --> 02:43:37,438 ONE IS ABILITY TO MAP CIRCUITS 3842 02:43:37,438 --> 02:43:38,539 AND AREAS THAT COULD BENEFIT 3843 02:43:38,539 --> 02:43:39,340 FROM MODULATION. 3844 02:43:39,340 --> 02:43:42,243 THE OTHER IS ABILITY TO BOTH 3845 02:43:42,243 --> 02:43:44,245 RECORD AND STIMULATE THE BRAIN 3846 02:43:44,245 --> 02:43:48,716 DIFFERENT REGIONS, AND A.I. 3847 02:43:48,716 --> 02:43:50,051 TECHNOLOGIES TO BASICALLY 3848 02:43:50,051 --> 02:43:50,751 MEASURE BRAIN ACTIVITY IN 3849 02:43:50,751 --> 02:43:53,654 PATIENTS AND TURN IT INTO 3850 02:43:53,654 --> 02:43:54,622 ACTIONABLE ACTIVITY BIOMARKERS 3851 02:43:54,622 --> 02:43:56,924 THAT ENABLE RESEARCHERS NOW TO 3852 02:43:56,924 --> 02:43:58,025 TARGET THESE INDIVIDUALS AND 3853 02:43:58,025 --> 02:43:59,794 DIFFERENT STATES, TO PUSH THEM 3854 02:43:59,794 --> 02:44:01,863 INTO BETTER STATES. 3855 02:44:01,863 --> 02:44:04,599 THIS HAS BEEN AMAZING, AGAIN 3856 02:44:04,599 --> 02:44:05,666 THESE TECHNOLOGIES HAVE BEEN 3857 02:44:05,666 --> 02:44:08,069 AROUND FOR DECADES FOR MOVEMENT 3858 02:44:08,069 --> 02:44:09,170 DISORDERS. 3859 02:44:09,170 --> 02:44:11,138 ABOUT TEN YEARS AGO, IT WAS 3860 02:44:11,138 --> 02:44:12,073 SCIENCE FICTION. 3861 02:44:12,073 --> 02:44:13,441 RIGHT NOW WE'VE SEEN TOMORROW 3862 02:44:13,441 --> 02:44:14,976 COME TODAY. 3863 02:44:14,976 --> 02:44:18,379 IT'S BEEN QUITE REMARKABLE. 3864 02:44:18,379 --> 02:44:19,013 IN OTHER DEVELOPMENTS, 3865 02:44:19,013 --> 02:44:21,649 PERIPHERAL STIMULATION IS A 3866 02:44:21,649 --> 02:44:27,455 GREAT EXAMPLE OF A STUDY LED BY 3867 02:44:27,455 --> 02:44:29,524 UNIVERSITY OF PITTSBURGH, USING 3868 02:44:29,524 --> 02:44:36,197 EPIDURAL FINAL -- SPINAL 3869 02:44:36,197 --> 02:44:37,732 STIMULATION AFTER STROKE. 3870 02:44:37,732 --> 02:44:40,568 TWO STROKE PATIENTS WITH CHRONIC 3871 02:44:40,568 --> 02:44:42,103 UPPER LIMB PARESIS. 3872 02:44:42,103 --> 02:44:43,838 THE PATIENT HAD SUFFERED A 3873 02:44:43,838 --> 02:44:45,506 STROKE NINE YEARS PRIOR TO THIS 3874 02:44:45,506 --> 02:44:46,374 STUDY, OKAY? 3875 02:44:46,374 --> 02:44:48,342 SO THE IDEA HERE IS THAT 3876 02:44:48,342 --> 02:44:52,580 FOLLOWING THE STROKE, THE 3877 02:44:52,580 --> 02:44:53,481 SIGNALS COMING DOWN, 3878 02:44:53,481 --> 02:44:55,116 CORTICOSPINAL SYSTEM ARE 3879 02:44:55,116 --> 02:44:56,017 DIMINISHED, WEAK SIGNAL COMING 3880 02:44:56,017 --> 02:44:58,286 TO THE SPINAL CORD, IT WOULD 3881 02:44:58,286 --> 02:45:00,254 OTHERWISE BE ENGAGING LOCAL 3882 02:45:00,254 --> 02:45:01,689 CIRCUITS TO GOVERN MOVEMENT. 3883 02:45:01,689 --> 02:45:04,625 THE IDEA HERE IS PUT THESE 3884 02:45:04,625 --> 02:45:06,827 EPIDURAL STIMULATORS AROUND THE 3885 02:45:06,827 --> 02:45:09,330 SPINAL CORD, RELATIVELY LESS 3886 02:45:09,330 --> 02:45:13,167 INVASIVE THAN DEEP BRAIN 3887 02:45:13,167 --> 02:45:13,801 STIMULATION DEVICE, ACTUALLY 3888 02:45:13,801 --> 02:45:15,937 ALLOW THE PATIENT TO MOVE THEIR 3889 02:45:15,937 --> 02:45:18,339 ARM MUCH BETTER. 3890 02:45:18,339 --> 02:45:19,540 USING OBJECTIVE MEASURES OF 3891 02:45:19,540 --> 02:45:22,610 MUSCLE ACTIVATION, AS WELL AS 3892 02:45:22,610 --> 02:45:24,178 OTHER MEASURES OF DEXTERITY, 3893 02:45:24,178 --> 02:45:25,446 THEY SAW IMMEDIATE IMPACTS ON 3894 02:45:25,446 --> 02:45:28,716 THE ABILITY OF THE PATIENT TO 3895 02:45:28,716 --> 02:45:32,553 USE THEIR ARMS TO SELF-FEED WITH 3896 02:45:32,553 --> 02:45:33,454 NO TRAINING, EFFECTED LASTED 3897 02:45:33,454 --> 02:45:35,957 ABOUT FOUR WEEKS AFTER THE STUDY 3898 02:45:35,957 --> 02:45:36,724 CONCLUDED. 3899 02:45:36,724 --> 02:45:41,429 A PICTURE IS WORTH A A THOUSAND 3900 02:45:41,429 --> 02:45:44,799 WORDS, A VIDEO WORTH MORE. 3901 02:45:44,799 --> 02:45:46,801 SUFFERED A STROKE NINE YEARS 3902 02:45:46,801 --> 02:45:47,535 PRIOR. 3903 02:45:47,535 --> 02:45:50,972 YOU'LL SEE HER TASK HERE TO FEED 3904 02:45:50,972 --> 02:45:57,111 HERSELF THE CHICKEN NUGGET. 3905 02:45:57,111 --> 02:45:58,079 LOW DEXTERITY, LOW STRENGTH IN 3906 02:45:58,079 --> 02:45:59,280 THE ARM. 3907 02:45:59,280 --> 02:46:04,218 CAN BARELY STAB THIS THING. 3908 02:46:04,218 --> 02:46:05,586 STICK IT I GUESS IN THE HONEY 3909 02:46:05,586 --> 02:46:16,030 MUSTARD SAUCE RESEARCHERS 3910 02:50:38,492 --> 02:50:40,594 FROM 45 INSTITUTIONS AND SET THE 3911 02:50:40,594 --> 02:50:43,464 STAGE FOR COMPREHENSIVE ANALYSIS 3912 02:50:43,464 --> 02:50:45,866 OF COMPLETE MAMMALIAN BRAINS. 3913 02:50:45,866 --> 02:50:48,269 SO AGAIN DECEMBER 2023 THE GROUP 3914 02:50:48,269 --> 02:50:49,703 PUBLISHED CHARACTERIZATION OF 3915 02:50:49,703 --> 02:50:52,172 THE ENTIRE MOUSE BRAIN, BASED ON 3916 02:50:52,172 --> 02:50:54,608 ANALYSIS OF 32 MILLION CELLS, 3917 02:50:54,608 --> 02:50:55,376 THIS IS JUST RIDICULOUS NUMBER 3918 02:50:55,376 --> 02:50:58,913 IF YOU THINK ABOUT IT. 3919 02:50:58,913 --> 02:51:00,881 USING COMBINATION OF TECHNIQUES, 3920 02:51:00,881 --> 02:51:04,952 STATISTICAL ANALYSIS ONE COULD 3921 02:51:04,952 --> 02:51:06,153 IDENTIFY STATISTICALLY 5300 3922 02:51:06,153 --> 02:51:08,022 DISTINGUISHABLE CELL TYPES, 3923 02:51:08,022 --> 02:51:10,958 WHICH REPRESENTS ABOUT 5300 3924 02:51:10,958 --> 02:51:12,493 ACTIONABLE HYPOTHESES 3925 02:51:12,493 --> 02:51:14,028 RESEARCHERS CAN NOW TEST. 3926 02:51:14,028 --> 02:51:18,866 REVIEW OF THE ORGANIZATIONAL 3927 02:51:18,866 --> 02:51:19,366 PRINCIPLES UNDERLYING 3928 02:51:19,366 --> 02:51:19,867 DIVERSIFICATION. 3929 02:51:19,867 --> 02:51:21,468 I COULD GO ON FOR HOURS. 3930 02:51:21,468 --> 02:51:22,903 THIS WILL KEEP RESEARCHERS BUSY 3931 02:51:22,903 --> 02:51:25,839 FOR YEARS IF NOT DECADES, DIVING 3932 02:51:25,839 --> 02:51:26,941 INTO THIS AMAZING DATASET THAT'S 3933 02:51:26,941 --> 02:51:29,009 GOING TO SET THE STAGE FOR 3934 02:51:29,009 --> 02:51:30,444 RESEARCH NOT ONLY IN MODEL 3935 02:51:30,444 --> 02:51:33,614 SYSTEMS LIKE MICE BUT IN 3936 02:51:33,614 --> 02:51:37,117 NON-HUMAN PRIMATES AND HUMANS. 3937 02:51:37,117 --> 02:51:38,953 AND FINALLY, FROM THIS TRAUNCH 3938 02:51:38,953 --> 02:51:41,488 OF PAPERS, DRAFT HUMAN AND 3939 02:51:41,488 --> 02:51:47,061 NON-HUMAN PRIMATE BRAIN CELL 3940 02:51:47,061 --> 02:51:49,596 ATLAS, 21 PAPERS, UNPRECEDENTED 3941 02:51:49,596 --> 02:51:51,565 DEGREE OF RESOLUTION IN SPACE, 3942 02:51:51,565 --> 02:51:53,300 SPECIES, TIME, CELL TYPES 3943 02:51:53,300 --> 02:51:54,301 COMPRISE THESE BIG BRAINS. 3944 02:51:54,301 --> 02:51:56,270 PAVES THE WAY FOR A GREATER 3945 02:51:56,270 --> 02:51:57,438 UNDERSTANDING OF THE HUMAN BRAIN 3946 02:51:57,438 --> 02:52:02,176 AT THE CELLULAR LEVEL AND 3947 02:52:02,176 --> 02:52:02,409 DISEASE. 3948 02:52:02,409 --> 02:52:03,043 SUMMARIZING QUICKLY HERE, ABLE 3949 02:52:03,043 --> 02:52:05,779 TO LOOK AT ALL THIS DIVERSITY OF 3950 02:52:05,779 --> 02:52:07,648 CELL TYPES IN THESE BIG BRAINS 3951 02:52:07,648 --> 02:52:09,049 ACROSS SPACE. 3952 02:52:09,049 --> 02:52:12,119 USING NOT ONLY SINGLE CELL 3953 02:52:12,119 --> 02:52:12,553 TECHNIQUES, SPATIAL 3954 02:52:12,553 --> 02:52:13,120 TRANSCRIPTOMICS, WHICH AGAIN 3955 02:52:13,120 --> 02:52:15,422 WERE DEVELOPED IN THE BRAIN 3956 02:52:15,422 --> 02:52:16,790 INITIATIVE CELL CENSUS PROJECT. 3957 02:52:16,790 --> 02:52:17,558 IMPORTANTLY ACROSS SPECIES WE 3958 02:52:17,558 --> 02:52:20,227 CAN LEARN FROM MOTHER NATURE IF 3959 02:52:20,227 --> 02:52:22,096 WE LOOK ACROSS THESE SPECIES. 3960 02:52:22,096 --> 02:52:23,731 IN THIS CASE INVESTIGATORS 3961 02:52:23,731 --> 02:52:27,101 LOOKED AT BRAIN CELL TIMES THEY 3962 02:52:27,101 --> 02:52:28,002 FOUND MOLECULAR PROPERTIES IN 3963 02:52:28,002 --> 02:52:35,342 HUMANS AS WELL AS CLOSEST 3964 02:52:35,342 --> 02:52:37,177 RELATIVES, NON-HUMAN PRIMATE 3965 02:52:37,177 --> 02:52:37,845 LINEAGE. 3966 02:52:37,845 --> 02:52:38,479 NOT SURPRISING, QUITE 3967 02:52:38,479 --> 02:52:41,882 INTRIGUING, MANY OF THE 3968 02:52:41,882 --> 02:52:43,517 DIFFERENCES FOUND ARE FOUND IN 3969 02:52:43,517 --> 02:52:46,487 GENES THAT ENCODE PROTEINS AT 3970 02:52:46,487 --> 02:52:48,122 THE SYNAPSE WITH COMMUNICATION 3971 02:52:48,122 --> 02:52:48,989 FROM CELL TO CELL. 3972 02:52:48,989 --> 02:52:51,191 THIS IS A GREAT PLACE TO LOOK TO 3973 02:52:51,191 --> 02:52:54,628 SEE NOT ONLY WHAT MAKES US THE 3974 02:52:54,628 --> 02:52:56,030 SAME AND DIFFERENT AND, AGAIN, 3975 02:52:56,030 --> 02:52:57,031 UNIQUELY HUMAN. 3976 02:52:57,031 --> 02:52:58,999 VERY IMPORTANTLY, MANY OF THE 3977 02:52:58,999 --> 02:53:01,268 MOST DEVASTATING NEUROLOGIC AND 3978 02:53:01,268 --> 02:53:02,403 NEUROPSYCHIATRIC DISORDERS ARE 3979 02:53:02,403 --> 02:53:03,370 DEVELOPMENTAL DISORDERS. 3980 02:53:03,370 --> 02:53:05,973 AND AS I'M SURE YOU CAN 3981 02:53:05,973 --> 02:53:07,207 APPRECIATE WHAT'S DEVASTATING 3982 02:53:07,207 --> 02:53:10,144 SOCIETY TODAY ARE DISEASES OF 3983 02:53:10,144 --> 02:53:10,811 AGING AND NEURODEGENERATION, 3984 02:53:10,811 --> 02:53:11,812 CRITICAL WE HAVE AN 3985 02:53:11,812 --> 02:53:13,881 UNDERSTANDING OF THE CELLULAR 3986 02:53:13,881 --> 02:53:16,817 EVENTS AND MOLECULAR EVENTS 3987 02:53:16,817 --> 02:53:19,453 ACROSS THE LIFESPAN AND THE CELL 3988 02:53:19,453 --> 02:53:21,088 ATLAS NETWORK HAS STRONG 3989 02:53:21,088 --> 02:53:21,955 REPRESENTATION AMONG GROUPS 3990 02:53:21,955 --> 02:53:23,690 LOOKING AT HUMAN AND OTHER 3991 02:53:23,690 --> 02:53:25,692 MAMMALIAN DEVELOPMENT AS WELL AS 3992 02:53:25,692 --> 02:53:26,894 AGING, AND WE'LL LEARN A LOT 3993 02:53:26,894 --> 02:53:28,962 MORE ABOUT THE DRIVERS OF THESE 3994 02:53:28,962 --> 02:53:32,132 PROCESSES AS WE DIVE INTO THESE 3995 02:53:32,132 --> 02:53:33,233 PROJECTS MORE FULLY. 3996 02:53:33,233 --> 02:53:35,869 THIS SETS THE STAGE FOR THE 3997 02:53:35,869 --> 02:53:37,938 BRAIN INITIATIVE CELL ATLAS 3998 02:53:37,938 --> 02:53:40,441 NETWORK, WHICH BRINGS ME TO THE 3999 02:53:40,441 --> 02:53:42,309 BRAIN INITIATIVE TRANSFORMATIVE 4000 02:53:42,309 --> 02:53:43,310 PROJECTS. 4001 02:53:43,310 --> 02:53:48,282 IN 2022, WE DECIDED TO, WITH THE 4002 02:53:48,282 --> 02:53:50,084 INSPIRATION FROM BRAIN 2.0 4003 02:53:50,084 --> 02:53:51,185 REPORTS, INVESTED HEAVILY IN 4004 02:53:51,185 --> 02:53:53,921 LARGE PROJECTS WE FELT OR WE 4005 02:53:53,921 --> 02:53:54,888 EXPECTED WOULD ACTUALLY 4006 02:53:54,888 --> 02:53:56,223 TRANSFORM THE FIELD OF 4007 02:53:56,223 --> 02:53:57,224 NEUROSCIENCE RESEARCH FOR 4008 02:53:57,224 --> 02:53:58,859 DECADES IF NOT GENERATIONS TO 4009 02:53:58,859 --> 02:54:00,027 COME. 4010 02:54:00,027 --> 02:54:01,595 THESE ARE THREE INTERNET 4011 02:54:01,595 --> 02:54:04,798 PROJECTS, FIRST IS THE BRAIN 4012 02:54:04,798 --> 02:54:06,633 INITIATIVE CELL ATLAS NETWORK, 4013 02:54:06,633 --> 02:54:08,402 FOCUSING ON DEVELOPING COMPLETE 4014 02:54:08,402 --> 02:54:09,937 CELL ATLASES FOR HUMAN AND 4015 02:54:09,937 --> 02:54:11,038 NON-HUMAN PRIMATE IN ADDITION TO 4016 02:54:11,038 --> 02:54:13,440 FINISHING UP SOME WORK IN THE 4017 02:54:13,440 --> 02:54:14,741 OTHER MODEL SYSTEMS. 4018 02:54:14,741 --> 02:54:17,177 SECOND IS BRAIN CONNECT, 4019 02:54:17,177 --> 02:54:18,579 CONNECTIVITY ACROSS SCALES 4020 02:54:18,579 --> 02:54:20,781 NETWORK PROJECT, WHICH WILL 4021 02:54:20,781 --> 02:54:24,084 DEVELOP TOOLS TO PROVIDE FULL 4022 02:54:24,084 --> 02:54:24,852 DIAGRAM, CONNECTIONS BETWEEN 4023 02:54:24,852 --> 02:54:27,221 THESE MANY MILLIONS IF NOT 4024 02:54:27,221 --> 02:54:31,925 BILLIONS OF CELLS, IN THE BRAIN. 4025 02:54:31,925 --> 02:54:34,328 FINALLY ARMAMENTARIUM TOOL KIT 4026 02:54:34,328 --> 02:54:36,630 TO ALLOW -- GIVE RESEARCHERS 4027 02:54:36,630 --> 02:54:38,599 BETTER TOOLS TO PRECISELY 4028 02:54:38,599 --> 02:54:39,700 INTERROGATE AND MODULATE 4029 02:54:39,700 --> 02:54:40,801 SPECIFIC CELLS AND CIRCUITS IN 4030 02:54:40,801 --> 02:54:42,769 THE BRAIN, NOT ONLY TO BUILD 4031 02:54:42,769 --> 02:54:43,737 BETTER MODELS FOR NEUROCIRCUIT 4032 02:54:43,737 --> 02:54:46,807 FUNCTION BUT TO PAVE THE WAY FOR 4033 02:54:46,807 --> 02:54:47,808 FUTURE PRECISION CIRCUIT 4034 02:54:47,808 --> 02:54:49,543 THERAPIES INCLUDING, I HOPE, 4035 02:54:49,543 --> 02:54:51,178 PRECISION GENE THERAPIES. 4036 02:54:51,178 --> 02:54:53,847 SO I JUST ABOUT THE BRAIN 4037 02:54:53,847 --> 02:54:56,550 INITIATIVE CELL CENSUS PROJECTS. 4038 02:54:56,550 --> 02:55:00,621 AND AGAIN THIS HAS GIVEN RISE TO 4039 02:55:00,621 --> 02:55:04,224 THE CELL ATLAS NETWORK WITH THE 4040 02:55:04,224 --> 02:55:06,059 GOAL TO MOVE TO DRAW UP 4041 02:55:06,059 --> 02:55:09,029 KNOWLEDGE BASES FOR OTHER 4042 02:55:09,029 --> 02:55:10,764 RESEARCHERS TO UNDERSTAND HOW 4043 02:55:10,764 --> 02:55:11,331 NEURAL CIRCUITS FUNCTION IN 4044 02:55:11,331 --> 02:55:12,533 HEALTH AND DISEASE. 4045 02:55:12,533 --> 02:55:15,502 WE'VE SEEN BENEFITS ALREADY OF 4046 02:55:15,502 --> 02:55:17,571 THE BICCN AND BICAN INTO I.C.s 4047 02:55:17,571 --> 02:55:19,640 WE SUPPORT. 4048 02:55:19,640 --> 02:55:23,343 ONE EXAMPLE IS THE SCORCH 4049 02:55:23,343 --> 02:55:25,212 INITIATIVE BY NIDA, LOOKING AT 4050 02:55:25,212 --> 02:55:26,079 SYSTEMS FOR CELLULAR CHANGES 4051 02:55:26,079 --> 02:55:29,816 THAT HAPPEN IN MODELS OF 4052 02:55:29,816 --> 02:55:33,620 ADDICTION AND SUBSTANCE USE 4053 02:55:33,620 --> 02:55:34,188 DISORDERS. 4054 02:55:34,188 --> 02:55:37,824 VERY EXCITING IS THE SEATTLE 4055 02:55:37,824 --> 02:55:39,026 ALZHEIMER'S DISEASE PROJECT, 4056 02:55:39,026 --> 02:55:41,061 USING TOOLS DEVELOPED IN THE 4057 02:55:41,061 --> 02:55:42,429 BRAIN INITIATIVE NETWORK TO LOOK 4058 02:55:42,429 --> 02:55:43,830 AT CHANGES THAT HAPPEN IN THE 4059 02:55:43,830 --> 02:55:46,366 LARGE COHORT OF PATIENTS WHO 4060 02:55:46,366 --> 02:55:49,336 PASSED FROM ALZHEIMER'S, AND TO 4061 02:55:49,336 --> 02:55:50,771 UNDERSTAND DISEASE PROGRESSION, 4062 02:55:50,771 --> 02:55:52,272 HOPEFULLY TO LOOK AT DRIVERS, 4063 02:55:52,272 --> 02:55:54,141 NOT JUST THE END STAGE EVENTS 4064 02:55:54,141 --> 02:55:55,676 BUT DRIVERS OF THE DISEASE, IN 4065 02:55:55,676 --> 02:55:59,713 THE HOMES OF FINDING -- HOPES OF 4066 02:55:59,713 --> 02:56:00,814 FINDING MECHANISM AND PREVENTION 4067 02:56:00,814 --> 02:56:06,019 AND CURE, LAYING FOUNDATION FOR 4068 02:56:06,019 --> 02:56:09,056 FUTURE CURES. 4069 02:56:09,056 --> 02:56:10,224 THE BRAIN CONNECT, DR. 4070 02:56:10,224 --> 02:56:12,092 BERTAGNOLLI MENTIONED THIS 4071 02:56:12,092 --> 02:56:13,660 BEAUTIFUL STUDY EARLIER AS A 4072 02:56:13,660 --> 02:56:14,628 FORERUNNER TO THE CONNECTS 4073 02:56:14,628 --> 02:56:15,195 PROJECT. 4074 02:56:15,195 --> 02:56:20,534 THE IDEA IS TO DEVELOP TOOLS TO 4075 02:56:20,534 --> 02:56:21,501 ACCOMPLISH A DIAGRAM OF 4076 02:56:21,501 --> 02:56:22,502 MAMMALIAN BRAINS. 4077 02:56:22,502 --> 02:56:25,772 WE LAUNCHED THIS LAST FALL WITH 4078 02:56:25,772 --> 02:56:28,508 11 GRANTS, SUPPORTING RESEARCH 4079 02:56:28,508 --> 02:56:29,610 TEAMS AND COLLABORATORS ACROSS 4080 02:56:29,610 --> 02:56:31,378 40 UNIVERSITIES AND RESEARCH 4081 02:56:31,378 --> 02:56:31,812 INSTITUTIONS. 4082 02:56:31,812 --> 02:56:34,214 THEY WILL TOOLS OVER FIVE YEARS 4083 02:56:34,214 --> 02:56:37,150 TO SCALE UP TO ACCOMPLISH THIS 4084 02:56:37,150 --> 02:56:39,586 AMAZING PROJECT. 4085 02:56:39,586 --> 02:56:41,521 THE PROJECTS WILL DEVELOP 4086 02:56:41,521 --> 02:56:44,258 COMPLEMENTARY METHODS, THREE 4087 02:56:44,258 --> 02:56:53,333 CORE TECHNOLOGIES, FIRST 4088 02:56:53,333 --> 02:56:55,769 ELECTROMICROSCOPY, GIVINGIZE TO 4089 02:56:55,769 --> 02:56:58,138 THE IARPA PROJECT. 4090 02:56:58,138 --> 02:57:00,574 MOLECULAR TOOLS TO INCREASE 4091 02:57:00,574 --> 02:57:01,441 THROUGHPUT, MOLECULAR 4092 02:57:01,441 --> 02:57:02,976 INFORMATION ABOUT PROJECTIONS. 4093 02:57:02,976 --> 02:57:04,378 FINALLY TO DEVELOP NEXT 4094 02:57:04,378 --> 02:57:06,613 GENERATION OPTICAL TOOLS FOR 4095 02:57:06,613 --> 02:57:08,115 MAPPING OUT LONG RANGE 4096 02:57:08,115 --> 02:57:09,449 CONNECTIONS INCLUDING IN HUMAN 4097 02:57:09,449 --> 02:57:10,951 BRAINS, QUITE EXCITED ABOUT 4098 02:57:10,951 --> 02:57:11,518 THIS. 4099 02:57:11,518 --> 02:57:13,387 DR. BERTAGNOLLI HIGHLIGHTED THIS 4100 02:57:13,387 --> 02:57:16,790 AMAZING STUDY FROM THE LAB AT 4101 02:57:16,790 --> 02:57:20,494 HARVARD IN COLLABORATION WITH A 4102 02:57:20,494 --> 02:57:25,165 GROUP RECONSTRUCTING CONSTRUCTIS 4103 02:57:25,165 --> 02:57:28,168 IN A CUBIC MILLIMETER CHUNK OF 4104 02:57:28,168 --> 02:57:28,935 HUMAN CORTEX. 4105 02:57:28,935 --> 02:57:30,971 A LOT OF GREAT INFORMATION HERE, 4106 02:57:30,971 --> 02:57:37,177 TO PARAPHRASE ONE OF MY 4107 02:57:37,177 --> 02:57:39,346 CHILDHOOD AND ADULT, YOU CAN SEE 4108 02:57:39,346 --> 02:57:42,215 A LOT BY LOOKING, YOGI BERRA. 4109 02:57:42,215 --> 02:57:44,184 TO SCALE UP, TO ATTAIN A SIMILAR 4110 02:57:44,184 --> 02:57:46,553 MAP OF ENTIRE MOUSE BRAIN, 4111 02:57:46,553 --> 02:57:48,689 THAT'S ABOUT A 500-FOLD, THREE 4112 02:57:48,689 --> 02:57:51,658 ORDER OF MAGNITUDE INCREASE IN 4113 02:57:51,658 --> 02:57:52,059 COMPLEXITY. 4114 02:57:52,059 --> 02:57:54,494 THIS ONE LEADER OF HUMAN CORTEX, 4115 02:57:54,494 --> 02:57:56,797 A PETABYTE OF DATA, A THOUSAND 4116 02:57:56,797 --> 02:58:01,735 TERABYTES, A THOUSAND OF YOUR 4117 02:58:01,735 --> 02:58:07,307 LAPTOP COMPUTER'S HARD DRIVES, 4118 02:58:07,307 --> 02:58:08,375 ANOTHER THOUSAND FOLD, IF ONE 4119 02:58:08,375 --> 02:58:12,779 SCALED UP TO DO A HUMAN BRAIN, 4120 02:58:12,779 --> 02:58:16,249 ANOTHER THOUSAND FOLD OR 4121 02:58:16,249 --> 02:58:17,417 ZETA-BYTE, ENTIRE INTERNET OF 4122 02:58:17,417 --> 02:58:18,952 THE TRAFFIC OF THE WORLD IN ONE 4123 02:58:18,952 --> 02:58:19,386 WORLD. 4124 02:58:19,386 --> 02:58:20,787 THIS IS GOING TO REQUIRE 4125 02:58:20,787 --> 02:58:22,322 ADVANCES NOT ONLY IN 4126 02:58:22,322 --> 02:58:22,956 EXPERIMENTAL TECHNIQUES BUT IN 4127 02:58:22,956 --> 02:58:24,725 DATA SCIENCE AND A.I. 4128 02:58:24,725 --> 02:58:25,292 TECHNIQUES. 4129 02:58:25,292 --> 02:58:28,562 I THINK THIS FIELD WILL BENEFIT 4130 02:58:28,562 --> 02:58:29,996 AND DRIVE NEXT GENERATION A.I. 4131 02:58:29,996 --> 02:58:31,098 TECHNIQUES. 4132 02:58:31,098 --> 02:58:32,265 STAY TUNED. 4133 02:58:32,265 --> 02:58:35,836 WE'RE VERY EXCITED ABOUT THIS 4134 02:58:35,836 --> 02:58:36,803 PROJECT. 4135 02:58:36,803 --> 02:58:37,871 ARMAMENTARIUM FOR PRECISION 4136 02:58:37,871 --> 02:58:41,508 BRAIN CELL ACCESS, WE'RE 4137 02:58:41,508 --> 02:58:42,509 DISCOVERING FEED OTHER EFFORTS 4138 02:58:42,509 --> 02:58:47,547 THAT I JUST TALKED ABOUT. 4139 02:58:47,547 --> 02:58:49,516 AGAIN A CONSORTIUM THAT LAYERS 4140 02:58:49,516 --> 02:58:51,451 OVER THREE BASIC AREAS, ONE TO 4141 02:58:51,451 --> 02:58:54,421 DEVELOP ACCESS TOOLS. 4142 02:58:54,421 --> 02:58:56,990 RIGHT NOW OTHER PROJECTS ARE 4143 02:58:56,990 --> 02:59:00,894 FOCUSED ON AAV, THE WORKHORSE 4144 02:59:00,894 --> 02:59:06,566 FOR GENE THERAPY, APPLYING NOW 4145 02:59:06,566 --> 02:59:07,367 IN ANIMAL MODEL SYSTEMS. 4146 02:59:07,367 --> 02:59:09,069 WHAT DO YOU WANT TO PUT IN TO 4147 02:59:09,069 --> 02:59:14,007 MONITOR OR MANIPULATE? 4148 02:59:14,007 --> 02:59:16,209 THINGS LIKE OPTOGENETIC, CHEMO 4149 02:59:16,209 --> 02:59:20,347 GENETIC, GENE EDITORS, TO 4150 02:59:20,347 --> 02:59:21,448 DISSEMINATE THESE INTO VECTORS 4151 02:59:21,448 --> 02:59:23,216 TO BE USED FOR RESEARCH. 4152 02:59:23,216 --> 02:59:25,719 THE GROUP RIGHT NOW WE STARTED 4153 02:59:25,719 --> 02:59:29,756 WITH SIX PILOT PROJECTS, LOOKING 4154 02:59:29,756 --> 02:59:32,058 AT DEVELOPING BETTER ACCESS 4155 02:59:32,058 --> 02:59:35,996 TOOLS, SO FAR FOCUSING ON CAPSID 4156 02:59:35,996 --> 02:59:36,930 ENGINEERING USING COOL DIRECTED 4157 02:59:36,930 --> 02:59:38,532 EVOLUTION AND A.I. TECHNIQUES. 4158 02:59:38,532 --> 02:59:47,073 ALSO COMBINED WITH CELL CENSUS 4159 02:59:47,073 --> 02:59:50,243 INFORMATION TO EXTRACT SEQUENCES 4160 02:59:50,243 --> 02:59:51,745 TO PILOT CELL TYPES, THEY ARE 4161 02:59:51,745 --> 02:59:53,213 ALREADY SPITTING OUT A BUNCH OF 4162 02:59:53,213 --> 02:59:54,514 PAPERS, I UNDERSTAND THERE'S A 4163 02:59:54,514 --> 02:59:56,783 PACKAGE BEING PUT TOGETHER AS WE 4164 02:59:56,783 --> 02:59:57,150 SPEAK. 4165 02:59:57,150 --> 02:59:58,351 STAY TUNED FOR THAT. 4166 02:59:58,351 --> 03:00:01,188 OF COURSE WE NEED TO GET THESE 4167 03:00:01,188 --> 03:00:02,289 INTO PEOPLE'S HANDS. 4168 03:00:02,289 --> 03:00:04,357 ALSO WE NEED TO ENGAGE MORE OF 4169 03:00:04,357 --> 03:00:07,093 THE TALENT WE HAVE ACROSS THE 4170 03:00:07,093 --> 03:00:07,327 COUNTRY. 4171 03:00:07,327 --> 03:00:09,196 SO EXPERIMENT WE'RE RUNNING, SO 4172 03:00:09,196 --> 03:00:12,899 FAR PRELIMINARY RESULTS ARE 4173 03:00:12,899 --> 03:00:15,869 PRETTY GOOD, WE'VE COUPLED, 4174 03:00:15,869 --> 03:00:17,270 WE'VE COUPLED TOGETHER U01 4175 03:00:17,270 --> 03:00:20,106 TECHNOLOGY DEVELOPERS TOGETHER 4176 03:00:20,106 --> 03:00:22,042 WITH U24 TECHNOLOGY DEVELOPERS 4177 03:00:22,042 --> 03:00:27,280 AND DISTRIBUTORS THAT PAIR UP 4178 03:00:27,280 --> 03:00:30,984 THESE LABS WITH LABS FROM 4179 03:00:30,984 --> 03:00:32,118 INSTITUTIONS IN IDeA STATE 4180 03:00:32,118 --> 03:00:32,786 ELIGIBLE STATES. 4181 03:00:32,786 --> 03:00:34,421 SO THIS IS JUST GOING ON, WE 4182 03:00:34,421 --> 03:00:36,156 HAVE THE THIRD ONE WE'RE LOOKING 4183 03:00:36,156 --> 03:00:38,124 AT RIGHT NOW, HOPING TO BUILD A 4184 03:00:38,124 --> 03:00:40,560 LARGER NETWORK THAT BOTH ENGAGES 4185 03:00:40,560 --> 03:00:43,163 MORE RESEARCH CAPACITY IN THIS 4186 03:00:43,163 --> 03:00:45,265 COUNTRY, ALSO ALLOWS US TO GET 4187 03:00:45,265 --> 03:00:48,969 REAGENTS INTO PEOPLE'S HANDS. 4188 03:00:48,969 --> 03:00:50,070 STAY TUNED. 4189 03:00:50,070 --> 03:00:51,605 TOGETHER WE BELIEVE HE'S HAVE AN 4190 03:00:51,605 --> 03:00:53,373 IMPACT ON HOW WE'RE DOING 4191 03:00:53,373 --> 03:00:54,140 NEUROSCIENCE RESEARCH AND THINK 4192 03:00:54,140 --> 03:00:55,208 TOGETHER THEY WILL CHANGE THE 4193 03:00:55,208 --> 03:00:56,543 WAY WE GO ABOUT THIS. 4194 03:00:56,543 --> 03:00:58,845 IT'S NOT ONLY IN THE LAB BUT 4195 03:00:58,845 --> 03:01:00,247 ALSO IN THE CLINIC. 4196 03:01:00,247 --> 03:01:05,952 FOURTH BIG PROJECT WE STOOD UP, 4197 03:01:05,952 --> 03:01:07,020 BRAIN BEHAVIOR QUANTIFICATION 4198 03:01:07,020 --> 03:01:09,322 PROGRAM TO DEVELOP AND VALIDATE 4199 03:01:09,322 --> 03:01:12,826 NEXT GENERATION TOOLS, INCLUDING 4200 03:01:12,826 --> 03:01:14,694 A.I. APPROACHES, TO PRECISELY 4201 03:01:14,694 --> 03:01:16,396 QUANTIFY COMPLEX BEHAVIORS AND 4202 03:01:16,396 --> 03:01:17,330 COMBINE INFORMATION WITH 4203 03:01:17,330 --> 03:01:18,632 SIMULTANEOUS HIGH PRECISION 4204 03:01:18,632 --> 03:01:19,533 RECORDINGS OF INACTIVITY WHICH 4205 03:01:19,533 --> 03:01:21,234 WE GOOD AT NOW, IN ORDER TO GET 4206 03:01:21,234 --> 03:01:23,336 A BETTER IDEA OF THE CAUSALITY 4207 03:01:23,336 --> 03:01:24,538 BETWEEN WHAT HAPPENS BETWEEN 4208 03:01:24,538 --> 03:01:25,939 HERE AND WHAT HAPPENS IN TERMS 4209 03:01:25,939 --> 03:01:26,506 OF BEHAVIOR. 4210 03:01:26,506 --> 03:01:28,542 THIS IS A VERY EXCITING PROJECT. 4211 03:01:28,542 --> 03:01:31,111 WE HAVE A NUMBER OF DIFFERENT 4212 03:01:31,111 --> 03:01:35,916 WAYS APPROACHING THIS USING 4213 03:01:35,916 --> 03:01:40,287 ANIMAL MODELS, HUMAN MODELS, 4214 03:01:40,287 --> 03:01:43,156 DATA COORDINATION, AND THEORY 4215 03:01:43,156 --> 03:01:45,659 COMPUTATIONAL MODELS AND A.I. 4216 03:01:45,659 --> 03:01:45,959 APPROACHES. 4217 03:01:45,959 --> 03:01:47,861 WE JUST LAUNCHED AWARDS ON THIS. 4218 03:01:47,861 --> 03:01:51,031 ONE OF THE UNIQUE FACETS OF THE 4219 03:01:51,031 --> 03:01:52,465 BRAIN INITIATIVE IS THIS WINDOW 4220 03:01:52,465 --> 03:01:53,667 OF OPPORTUNITY IN STUDYING THE 4221 03:01:53,667 --> 03:01:57,337 HUMAN BRAIN, HOW IT STORES AND 4222 03:01:57,337 --> 03:01:58,271 RETRIEVES MEMORY, GENERATES AND 4223 03:01:58,271 --> 03:01:59,673 SO ON AND SO FORTH. 4224 03:01:59,673 --> 03:02:02,309 WHAT "BRAIN" IS DOING IN THIS 4225 03:02:02,309 --> 03:02:04,277 RESEARCH OPPORTUNITY IN HUMANS 4226 03:02:04,277 --> 03:02:06,913 PROGRAM IS WE ARE LEVERAGING THE 4227 03:02:06,913 --> 03:02:08,448 SITUATIONS WHERE PATIENTS ARE IN 4228 03:02:08,448 --> 03:02:09,983 THE HOSPITAL FOR SOME TREATMENT, 4229 03:02:09,983 --> 03:02:15,989 COULD BE AN EPILEPSY MONITORING 4230 03:02:15,989 --> 03:02:17,857 UNIT, INVASIVE RECORDING, OR 4231 03:02:17,857 --> 03:02:18,558 COULD BE INTRAOPERATIVE 4232 03:02:18,558 --> 03:02:19,859 RECORDINGS WHERE THE SURGEON 4233 03:02:19,859 --> 03:02:22,095 NEEDS TO KNOW WHAT PARTS OF THE 4234 03:02:22,095 --> 03:02:23,663 BRAIN, HEALTHY PARTS OF THE 4235 03:02:23,663 --> 03:02:26,166 BRAIN TO AVOID WHEN EXTRACTING A 4236 03:02:26,166 --> 03:02:28,034 PATHOLOGICAL PIECE. 4237 03:02:28,034 --> 03:02:28,969 WE'RE FORTUNATE SOME PATIENTS 4238 03:02:28,969 --> 03:02:31,304 ARE WILLING TO BE PARTNERS WITH 4239 03:02:31,304 --> 03:02:34,941 US IN RESEARCH TO DEDICATE THEIR 4240 03:02:34,941 --> 03:02:36,242 TIME, THEMSELVES, TOWARD HELPING 4241 03:02:36,242 --> 03:02:37,978 THIS UNDERSTANDING HOW THE HUMAN 4242 03:02:37,978 --> 03:02:39,079 BRAIN FUNCTIONS. 4243 03:02:39,079 --> 03:02:41,147 AND THIS IS REALLY QUITE 4244 03:02:41,147 --> 03:02:42,582 EXCITING, BUT ALSO RAISES 4245 03:02:42,582 --> 03:02:45,485 ETHICAL ISSUES WE NEED TO BE 4246 03:02:45,485 --> 03:02:46,853 COGNIZANT OF TO WORK RESPONSIBLY 4247 03:02:46,853 --> 03:02:52,225 WITH AN EYE TOWARD THE FUTURE OF 4248 03:02:52,225 --> 03:02:52,926 IMPLICATION, ETHICAL, LEGAL, 4249 03:02:52,926 --> 03:02:54,961 SOCIETAL IMPLICATIONS OF WHAT WE 4250 03:02:54,961 --> 03:02:55,295 DO. 4251 03:02:55,295 --> 03:02:56,696 WE HAVE A NEUROETHICS WORKING 4252 03:02:56,696 --> 03:02:58,331 GROUP THAT GIVES INPUT ON WHAT 4253 03:02:58,331 --> 03:02:59,866 WE'RE DOING, HELPS FLAG ISSUES 4254 03:02:59,866 --> 03:03:00,867 BEFORE THEY BECOME ISSUES. 4255 03:03:00,867 --> 03:03:03,470 WE HAVE A SET OF NEUROETHICS 4256 03:03:03,470 --> 03:03:04,804 GUIDING PRINCIPLES THAT GO JUST 4257 03:03:04,804 --> 03:03:07,307 BEYOND THE USUAL SAFETY AND 4258 03:03:07,307 --> 03:03:10,176 PRIVACY DOMAINS, ALSO AS WE 4259 03:03:10,176 --> 03:03:10,810 START TINKERING IN PEOPLE'S 4260 03:03:10,810 --> 03:03:12,779 BRAINS WE HAVE TO BE VERY 4261 03:03:12,779 --> 03:03:17,050 CONSCIOUS OF ISSUES ABOUT 4262 03:03:17,050 --> 03:03:18,585 AGENCY, AND SO FORTH, AND 4263 03:03:18,585 --> 03:03:20,787 IMPORTANCE OF ENGAGING THE 4264 03:03:20,787 --> 03:03:21,855 PUBLIC IN UNDERSTANDING AND 4265 03:03:21,855 --> 03:03:24,591 ENCOURAGING OR NOT ENCOURAGING 4266 03:03:24,591 --> 03:03:26,226 US TO PURSUE DIFFERENT RESEARCH, 4267 03:03:26,226 --> 03:03:28,762 WE HELD A NUMBER OF WORKSHOPS, 4268 03:03:28,762 --> 03:03:31,064 HAVE A DEDICATED TEAM OF PROGRAM 4269 03:03:31,064 --> 03:03:31,831 DIRECTORS FOCUSING ON 4270 03:03:31,831 --> 03:03:33,033 NEUROETHICAL ISSUES. 4271 03:03:33,033 --> 03:03:35,869 WE ALSO FUND SCHOLARLY RESEARCH 4272 03:03:35,869 --> 03:03:37,504 IN THE NEUROETHICS DOMAIN. 4273 03:03:37,504 --> 03:03:40,674 BRAIN IS PAVING THE WAY THERE. 4274 03:03:40,674 --> 03:03:42,008 HOW ARE WE GOING TO DEAL WITH 4275 03:03:42,008 --> 03:03:46,813 THIS HUGE TROVE OF DATA THAT'S 4276 03:03:46,813 --> 03:03:48,048 COMING OUR WAY? 4277 03:03:48,048 --> 03:03:49,883 A DECISION WAS MADE, A VERY GOOD 4278 03:03:49,883 --> 03:03:52,952 DECISION, TO STAND UP A SET OF 4279 03:03:52,952 --> 03:03:55,689 DATA ARCHIVES TO NOT JUST HOLD 4280 03:03:55,689 --> 03:04:03,463 BUT TO MAKE BRAIN DATA FAIR, 4281 03:04:03,463 --> 03:04:06,199 ACCESSIBLE INTRAOPERABLE AND 4282 03:04:06,199 --> 03:04:07,500 REUSABLE, A WORK IN PROGRESS 4283 03:04:07,500 --> 03:04:08,601 MAKING SURE THIS IS FOR THE 4284 03:04:08,601 --> 03:04:09,703 BENEFIT OF ALL. 4285 03:04:09,703 --> 03:04:11,471 BRAIN IS COMMITTED TO BUILDING A 4286 03:04:11,471 --> 03:04:12,205 STRONGER WORKFORCE. 4287 03:04:12,205 --> 03:04:15,508 THERE'S A GROWING BODY OF 4288 03:04:15,508 --> 03:04:18,044 EMPIRICAL STUDIES SHOWING THAT 4289 03:04:18,044 --> 03:04:20,046 TEAMS WITH DIVERSE PERSPECTIVES 4290 03:04:20,046 --> 03:04:21,548 TEND TO OUTPERFORM TEAMS 4291 03:04:21,548 --> 03:04:24,517 WITHOUT, IN TERMS OF CREATIVITY 4292 03:04:24,517 --> 03:04:26,152 AND EFFECTIVENESS, BRAIN TOOK A 4293 03:04:26,152 --> 03:04:27,821 BOLD STEP LOOKING AT THIS 4294 03:04:27,821 --> 03:04:29,022 CAREFULLY AND IMPLEMENTING WHAT 4295 03:04:29,022 --> 03:04:31,991 WE CALL A PLAN FOR ENHANCING 4296 03:04:31,991 --> 03:04:33,593 DIVERSE PERSPECTIVES, IN WHICH 4297 03:04:33,593 --> 03:04:35,061 WE ASK ACTUALLY WE REQUIRE 4298 03:04:35,061 --> 03:04:35,795 INVESTIGATORS TO TELL US HOW 4299 03:04:35,795 --> 03:04:38,231 THEY ARE GOING TO USE DIVERSE 4300 03:04:38,231 --> 03:04:41,801 PERSPECTIVES TO ADVANCE THEIR 4301 03:04:41,801 --> 03:04:42,802 SCIENCE. 4302 03:04:42,802 --> 03:04:44,104 SO, DIVERSE PERSPECTIVES CAN 4303 03:04:44,104 --> 03:04:45,438 INCLUDE PEOPLE WHO DO THE 4304 03:04:45,438 --> 03:04:46,539 RESEARCH, PEOPLE WHO ARE 4305 03:04:46,539 --> 03:04:48,041 PARTICIPATING IN THE RESEARCH AS 4306 03:04:48,041 --> 03:04:49,776 HUMAN SUBJECTS, AND THE PLACES 4307 03:04:49,776 --> 03:04:51,678 WHERE RESEARCH IS DONE. 4308 03:04:51,678 --> 03:04:54,080 THERE'S A NUMBER OF ACTUAL 4309 03:04:54,080 --> 03:04:55,849 STRATEGIES FOLKS CAN TAKE TO 4310 03:04:55,849 --> 03:04:57,484 IMPLEMENT, COULD INVOLVE 4311 03:04:57,484 --> 03:04:59,753 PERSONAL RECRUITMENT, MENTORING 4312 03:04:59,753 --> 03:05:01,955 AND TRAINING, AGAIN RESEARCH 4313 03:05:01,955 --> 03:05:03,256 PARTICIPANT RECRUITMENT, 4314 03:05:03,256 --> 03:05:04,257 ADVISORY BOARDS, OUTREACH 4315 03:05:04,257 --> 03:05:05,391 PARTNERSHIP AND DISSEMINATION. 4316 03:05:05,391 --> 03:05:06,893 WE'RE VERY EXCITED ABOUT THIS. 4317 03:05:06,893 --> 03:05:07,827 JUST STARTED THIS PROGRAM A FEW 4318 03:05:07,827 --> 03:05:08,595 YEARS AGO. 4319 03:05:08,595 --> 03:05:11,498 I THINK IT'S BEEN TAKEN UP BY 4320 03:05:11,498 --> 03:05:17,737 OVER 200 NOFOs ACROSS NIH, 4321 03:05:17,737 --> 03:05:21,541 EARLY DATA ON THE BRAIN 4322 03:05:21,541 --> 03:05:22,642 INITIATIVE NOFOs HAD SHOWN 4323 03:05:22,642 --> 03:05:24,110 MOVEMENT OF THE NEEDLE BRINGING 4324 03:05:24,110 --> 03:05:27,680 MORE DIVERSE TEAMS TO CARRY OUT 4325 03:05:27,680 --> 03:05:31,317 THIS FUNDAMENTAL RESEARCH. 4326 03:05:31,317 --> 03:05:33,586 OKAY. 4327 03:05:33,586 --> 03:05:35,021 THE THREE MAIN TAKEAWAYS, WE'RE 4328 03:05:35,021 --> 03:05:36,322 MAKING BIG ADVANCES ALREADY IN 4329 03:05:36,322 --> 03:05:37,657 THE CLINIC. 4330 03:05:37,657 --> 03:05:39,359 LAYING DOWN FOUNDATION FOR 4331 03:05:39,359 --> 03:05:41,027 FUTURE CURES, CREATING A 4332 03:05:41,027 --> 03:05:43,429 PARADIGM FOR DOING SCIENCE 4333 03:05:43,429 --> 03:05:46,533 THAT'S ACCELERATING PACE OF 4334 03:05:46,533 --> 03:05:47,734 DISCOVERY, ACTUALLY FOURTH 4335 03:05:47,734 --> 03:05:50,036 TAKEAWAY WE'RE EXCITED TO 4336 03:05:50,036 --> 03:05:51,871 CONTINUE TO BUILD MOMENTUM TO 4337 03:05:51,871 --> 03:05:53,072 BRING CURES FOR DEVASTATING 4338 03:05:53,072 --> 03:05:55,275 HUMAN BRAIN DISORDERS IN OUR 4339 03:05:55,275 --> 03:05:55,708 LIFETIME. 4340 03:05:55,708 --> 03:05:57,143 HOPEFULLY I HAVE TIME TO TAKE 4341 03:05:57,143 --> 03:05:57,410 QUESTIONS. 4342 03:05:57,410 --> 03:05:59,112 NEXT WEEK WE HAVE THE TENTH 4343 03:05:59,112 --> 03:05:59,979 ANNUAL BRAIN INITIATIVE 4344 03:05:59,979 --> 03:06:03,616 CONFERENCE, WE'RE VERY EXCITED 4345 03:06:03,616 --> 03:06:04,918 ABOUT THAT. 4346 03:06:04,918 --> 03:06:12,258 IT'S IN HYBRID FORMAT, WE HAVE A 4347 03:06:12,258 --> 03:06:16,796 REALLY PLENARY TALK, FIRST FROM 4348 03:06:16,796 --> 03:06:17,297 STANFORD, DECONSTRUCTING 4349 03:06:17,297 --> 03:06:18,164 SEROTONIN SYSTEM IN THE MOUSE 4350 03:06:18,164 --> 03:06:21,100 BRAIN AND A TALK ON UNPUBLISHED 4351 03:06:21,100 --> 03:06:23,837 DATA SHOULD BE EXCITING TO SEE. 4352 03:06:23,837 --> 03:06:24,804 WE'LL HAVE A PANEL DISCUSSION 4353 03:06:24,804 --> 03:06:27,240 MONDAY AFTERNOON BUILDING ON A 4354 03:06:27,240 --> 03:06:29,976 DECADE OF INNOVATION, HERE WE'LL 4355 03:06:29,976 --> 03:06:32,478 HAVE OUR FORMER DIRECTOR DR. 4356 03:06:32,478 --> 03:06:39,285 FRANCIS COLLINS TOGETHER WITH 4357 03:06:39,285 --> 03:06:41,721 CORDY BARDMAN AND BILL NEWSOM, 4358 03:06:41,721 --> 03:06:44,557 WHO WROTE THE RECORD, DR. 4359 03:06:44,557 --> 03:06:46,526 MONTOJO AND DR. EDDIE CHANG, 4360 03:06:46,526 --> 03:06:48,494 WE'RE LOOKING FORWARD TO GREAT 4361 03:06:48,494 --> 03:06:48,828 CONVERSATION. 4362 03:06:48,828 --> 03:06:51,898 ON TUESDAY MORNING WE'LL HAVE 4363 03:06:51,898 --> 03:06:53,299 ANOTHER PLENARY LECTURE FROM A 4364 03:06:53,299 --> 03:06:57,804 PIER 4365 03:06:57,804 --> 03:06:59,973 PIE -- A PIONEER TALKING ABOUT 4366 03:06:59,973 --> 03:07:01,841 THE BLOOD-BRAIN BARRIER, HOW 4367 03:07:01,841 --> 03:07:04,577 IT'S OUR FRIEND AND FOE. 4368 03:07:04,577 --> 03:07:07,146 LEARN MORE BY POPPING INTO YOUR 4369 03:07:07,146 --> 03:07:10,917 BROWSER BRAIN .GOV. 4370 03:07:10,917 --> 03:07:11,918 THANKS FOR YOUR ATTENTION AND 4371 03:07:11,918 --> 03:07:13,386 I'M HAPPY TO TAKE QUESTIONS IF 4372 03:07:13,386 --> 03:07:14,087 THERE'S TIME. 4373 03:07:14,087 --> 03:07:15,722 >> THANK YOU SO MUCH, JOHN. 4374 03:07:15,722 --> 03:07:22,428 WE HAVE A QUESTION FROM GARTH. 4375 03:07:22,428 --> 03:07:23,296 >> CLEARLY, YOU HAVE THOUGHT 4376 03:07:23,296 --> 03:07:28,868 ABOUT THE ISSUE OF EQUITY AND 4377 03:07:28,868 --> 03:07:30,737 DIVERSITY FROM THE COMPONENTS IN 4378 03:07:30,737 --> 03:07:33,439 TERMS OF DIVERSIFYING RESEARCH 4379 03:07:33,439 --> 03:07:34,340 INFRASTRUCTURE. 4380 03:07:34,340 --> 03:07:37,076 HOW WILL YOU DESCRIBE THAT MACRO 4381 03:07:37,076 --> 03:07:39,045 VISION AROUND EQUITY THAT YOU'RE 4382 03:07:39,045 --> 03:07:41,080 IMPLEMENTING, AND DO YOU SEE -- 4383 03:07:41,080 --> 03:07:43,216 >> I'M HAVING A HARD TIME 4384 03:07:43,216 --> 03:07:44,183 HEARING YOU. 4385 03:07:44,183 --> 03:07:47,053 >> SORRY, HOW WOULD YOU DESCRIBE 4386 03:07:47,053 --> 03:07:48,688 MACROVISION AROUND EQUITY, AS 4387 03:07:48,688 --> 03:07:50,189 YOU'RE MOVING FORWARD, I'LL KEEP 4388 03:07:50,189 --> 03:07:55,795 THE QUESTION SIMPLE. 4389 03:07:55,795 --> 03:08:00,066 >> EQUITY NEEDS TO BE LOOKED AT 4390 03:08:00,066 --> 03:08:00,934 THROUGH DIFFERENT LENSES 4391 03:08:00,934 --> 03:08:03,903 CONVERGING ON THE SAME END GOAL. 4392 03:08:03,903 --> 03:08:06,940 IT'S GOING TO BE IMPORTANT THAT 4393 03:08:06,940 --> 03:08:07,941 WHATEVER TOOLS, WHATEVER 4394 03:08:07,941 --> 03:08:09,609 DISCOVERIES WE MAKE WILL BENEFIT 4395 03:08:09,609 --> 03:08:12,879 NOT JUST THE PRIVILEGED FEW BUT 4396 03:08:12,879 --> 03:08:13,346 ALL. 4397 03:08:13,346 --> 03:08:18,117 I'LL SAY MY PERSONAL 4398 03:08:18,117 --> 03:08:20,653 PERSPECTIVE, YOU NEED TO 4399 03:08:20,653 --> 03:08:21,754 MINIMIZE VARIABILITY, I LATER 4400 03:08:21,754 --> 03:08:23,289 LEARNED MAYBE THAT'S NOT WAIT TO 4401 03:08:23,289 --> 03:08:25,158 LOOK AT IT. 4402 03:08:25,158 --> 03:08:27,327 WE'RE A DIVERSE POPULATION OF 4403 03:08:27,327 --> 03:08:27,560 HUMANS. 4404 03:08:27,560 --> 03:08:29,295 DIFFERENCES CAN TELL US A LOT, 4405 03:08:29,295 --> 03:08:34,367 BY, FOR EXAMPLE, IN THE CELL 4406 03:08:34,367 --> 03:08:36,436 CENSUS PROJECT WE INTENTIONALLY 4407 03:08:36,436 --> 03:08:38,271 DEMANDED THAT PART OF THE 4408 03:08:38,271 --> 03:08:39,806 RESEARCH BE FOCUSED ON DIVERSITY 4409 03:08:39,806 --> 03:08:42,208 OF HUMANS ON THE PLANET. 4410 03:08:42,208 --> 03:08:43,343 AND WHAT THIS WILL TELL US, A 4411 03:08:43,343 --> 03:08:45,645 COUPLE THINGS. 4412 03:08:45,645 --> 03:08:48,014 IT WILL TELL US I THINK SOME 4413 03:08:48,014 --> 03:08:50,216 SPECIFIC FEATURES THAT MIGHT BE 4414 03:08:50,216 --> 03:08:50,883 PARTICULAR TO CERTAIN 4415 03:08:50,883 --> 03:08:52,852 POPULATIONS, THAT COULD INFORM 4416 03:08:52,852 --> 03:08:54,587 US NOT ONLY ABOUT 4417 03:08:54,587 --> 03:08:55,888 VULNERABILITIES BUT RESILIENCE 4418 03:08:55,888 --> 03:08:57,357 OR ROBUSTNESS TO DISEASE. 4419 03:08:57,357 --> 03:08:59,959 AND ALSO BE ABLE TO TELL US 4420 03:08:59,959 --> 03:09:02,161 ABOUT THE BIOLOGICAL PROCESSES 4421 03:09:02,161 --> 03:09:03,629 THAT ARE ROBUST TO VARIATION, 4422 03:09:03,629 --> 03:09:05,865 COULD BE THE BASIS FOR CURES FOR 4423 03:09:05,865 --> 03:09:07,200 ALL HUMANS, NOT JUST A FEW. 4424 03:09:07,200 --> 03:09:08,735 THAT'S ONE APPROACH. 4425 03:09:08,735 --> 03:09:09,836 THE OTHER APPROACH, THE SCIENCE 4426 03:09:09,836 --> 03:09:11,871 WE DO IS A FUNCTION OF WHO IS 4427 03:09:11,871 --> 03:09:12,672 DOING THE SCIENCE. 4428 03:09:12,672 --> 03:09:15,608 THIS IS WHY WE FEEL IT'S SO 4429 03:09:15,608 --> 03:09:17,477 CRITICAL TO BRING IN DIVERSE 4430 03:09:17,477 --> 03:09:18,811 PERSPECTIVES, PEOPLE FROM 4431 03:09:18,811 --> 03:09:19,379 DIFFERENT SCIENTIFIC 4432 03:09:19,379 --> 03:09:21,114 BACKGROUNDS, WITH DIFFERENT LIFE 4433 03:09:21,114 --> 03:09:22,382 EXPERIENCES, DIFFERENT VIEWS OF 4434 03:09:22,382 --> 03:09:23,716 THE WORK THEY DO, FROM DIFFERENT 4435 03:09:23,716 --> 03:09:24,684 PARTS OF THE COUNTRY. 4436 03:09:24,684 --> 03:09:29,756 WE HAVE A VAST AMOUNT OF TALENT 4437 03:09:29,756 --> 03:09:31,057 ACROSS THE COUNTRY, AT LEAST IN 4438 03:09:31,057 --> 03:09:32,158 THE BRAIN INITIATIVE I DON'T 4439 03:09:32,158 --> 03:09:33,993 FEEL WE'RE TOPPING IN AS WELL AS 4440 03:09:33,993 --> 03:09:34,694 WE COULD. 4441 03:09:34,694 --> 03:09:38,631 THIS IS AN APPROACH TO MAKE SURE 4442 03:09:38,631 --> 03:09:39,399 THAT, AGAIN, RICHES WE OBTAIN 4443 03:09:39,399 --> 03:09:40,833 ARE FOR THE BENEFIT OF ALL, WE 4444 03:09:40,833 --> 03:09:42,502 NEED TO LOOK AT SCIENCE, 4445 03:09:42,502 --> 03:09:43,903 CRITICALLY ALSO LOOK AT WHO IS 4446 03:09:43,903 --> 03:09:51,010 DOING THE SCIENCE. 4447 03:09:51,010 --> 03:09:52,645 >> WE HEARD EARLIER, TALKING 4448 03:09:52,645 --> 03:09:54,814 ABOUT THE BUDGET -- FIRST OF 4449 03:09:54,814 --> 03:09:56,015 ALL, GREAT PRESENTATION, 4450 03:09:56,015 --> 03:09:57,550 INCREDIBLE SCIENCE, MAKING A 4451 03:09:57,550 --> 03:09:57,850 DIFFERENCE. 4452 03:09:57,850 --> 03:10:00,987 WE HEARD EARLIER IN THE BUDGET 4453 03:10:00,987 --> 03:10:05,324 PART ABOUT A $278 MILLION CUT TO 4454 03:10:05,324 --> 03:10:06,559 NEXT YEAR. 4455 03:10:06,559 --> 03:10:10,363 HOW DOES THAT AFFECT ALL OF THAT 4456 03:10:10,363 --> 03:10:10,596 SCIENCE? 4457 03:10:10,596 --> 03:10:11,464 >> RIGHT. 4458 03:10:11,464 --> 03:10:15,501 I'M STILL STANDING. 4459 03:10:15,501 --> 03:10:17,503 WE'RE STILL STANDING. 4460 03:10:17,503 --> 03:10:19,338 WE EXPERIENCED QUITE A CUT 4461 03:10:19,338 --> 03:10:22,742 COMPARED TO FY 23 BUDGET. 4462 03:10:22,742 --> 03:10:24,077 WE'RE STILL FUNDING GREAT 4463 03:10:24,077 --> 03:10:26,913 RESEARCH, OVER $4 MILLION OF 4464 03:10:26,913 --> 03:10:28,214 AMAZING RESEARCH, I CAN ASSURE 4465 03:10:28,214 --> 03:10:29,982 YOU NO MATTER WHERE THE NUMBER 4466 03:10:29,982 --> 03:10:31,517 IS WE'LL MAKE SURE EVERY DOLLAR 4467 03:10:31,517 --> 03:10:37,190 SIN VESTED VESTED -- IS INVEST. 4468 03:10:37,190 --> 03:10:38,291 WHAT THE FUTURE HOLDS, WE HAVE 4469 03:10:38,291 --> 03:10:40,059 TO TRIM BACK. 4470 03:10:40,059 --> 03:10:41,894 WE COULD NOT FUND NEARLY AS MANY 4471 03:10:41,894 --> 03:10:43,763 GREAT PROJECTS AS WE WANTED TO. 4472 03:10:43,763 --> 03:10:44,530 THAT HURT. 4473 03:10:44,530 --> 03:10:46,699 THAT HURT US ALL PERSONALLY, 4474 03:10:46,699 --> 03:10:48,234 HURT A LOT OF PEOPLE IN THE 4475 03:10:48,234 --> 03:10:48,768 FIELD. 4476 03:10:48,768 --> 03:10:50,002 THIS IS THE REALITY. 4477 03:10:50,002 --> 03:10:51,737 I JUST TELL PEOPLE THE BEST 4478 03:10:51,737 --> 03:10:53,706 THING WE CAN DO RIGHT NOW IS DO 4479 03:10:53,706 --> 03:10:55,475 THE BEST WORK WE CAN TO SHOW 4480 03:10:55,475 --> 03:10:55,908 PEOPLE THE BENEFIT. 4481 03:10:55,908 --> 03:10:57,877 IN TERMS OF WHAT THE FUTURE 4482 03:10:57,877 --> 03:11:07,220 HOLDS I'LL KICK OVER TO DR. 4483 03:11:07,220 --> 03:11:07,887 BERTAGNOLLI TO COMMENT. 4484 03:11:07,887 --> 03:11:09,856 I TOLD LARRY I WOULD KICK TO HIM 4485 03:11:09,856 --> 03:11:11,824 AND HE SAID HE WOULD KICK TO 4486 03:11:11,824 --> 03:11:11,991 YOU. 4487 03:11:11,991 --> 03:11:12,692 >> SOUNDS GOOD. 4488 03:11:12,692 --> 03:11:14,127 ANYONE ELSE? 4489 03:11:14,127 --> 03:11:14,393 QUESTIONS? 4490 03:11:14,393 --> 03:11:14,894 YES? 4491 03:11:14,894 --> 03:11:16,629 >> COULD YOU TALK ABOUT THE TYPE 4492 03:11:16,629 --> 03:11:18,598 OF SCIENCE YOU MIGHT NOT BE ABLE 4493 03:11:18,598 --> 03:11:19,132 TO FUND. 4494 03:11:19,132 --> 03:11:22,335 I'M IN THE BRAIN INITIATIVE 4495 03:11:22,335 --> 03:11:25,138 PORTFOLIO, A NOTICE ABOUT 4496 03:11:25,138 --> 03:11:25,805 RETRAINING GRANTS, SO WHAT 4497 03:11:25,805 --> 03:11:27,140 THINGS HAVE GONE AWAY THAT ARE 4498 03:11:27,140 --> 03:11:29,008 REALLY IMPORTANT TO THE WORK 4499 03:11:29,008 --> 03:11:31,644 BEING DONE? 4500 03:11:31,644 --> 03:11:34,380 >> I'M GOING TO COME BACK TO IT. 4501 03:11:34,380 --> 03:11:36,382 WE DECIDED WE MUST FUND PROJECTS 4502 03:11:36,382 --> 03:11:38,284 THAT ARE REALLY IN THE CORE, 4503 03:11:38,284 --> 03:11:39,752 SPEAK TO THE CORE MISSION VALUES 4504 03:11:39,752 --> 03:11:40,486 OF "BRAIN." 4505 03:11:40,486 --> 03:11:42,889 IT HAS TO BE INNOVATIVE, 4506 03:11:42,889 --> 03:11:44,323 SOMETHING NOT BEING DONE 4507 03:11:44,323 --> 03:11:46,058 ELSEWHERE, PROJECTS THAT THE 4508 03:11:46,058 --> 03:11:47,827 I.C.s ARE NOT OR LESS LIKELY 4509 03:11:47,827 --> 03:11:49,128 TO BE PICKING UP. 4510 03:11:49,128 --> 03:11:50,863 IT NEEDS TO BE INCLUSIVE. 4511 03:11:50,863 --> 03:11:53,399 IT NEEDS TO BE OPEN, WE NEED TO 4512 03:11:53,399 --> 03:11:55,168 MAKE SURE WE CAN REACH -- HAVE 4513 03:11:55,168 --> 03:11:58,538 AS GREAT A REACH AS WE CAN, IT 4514 03:11:58,538 --> 03:11:59,305 NEEDS TO BE ETHICAL. 4515 03:11:59,305 --> 03:12:01,707 SO ONE OF THE THINGS -- SO WE'RE 4516 03:12:01,707 --> 03:12:03,476 STILL FUNDING ACROSS THE ENTIRE 4517 03:12:03,476 --> 03:12:04,243 PORTFOLIO. 4518 03:12:04,243 --> 03:12:09,182 WE HAVE MADE A PRIORITY OF 4519 03:12:09,182 --> 03:12:10,683 TRANSFORMATIVE PROJECTS, BBQS, 4520 03:12:10,683 --> 03:12:11,417 TRAINING AND EARLY-STAGE 4521 03:12:11,417 --> 03:12:12,552 INVESTIGATORS, NOT ABLE TO DO AS 4522 03:12:12,552 --> 03:12:14,187 MUCH AS WE WANTED TO. 4523 03:12:14,187 --> 03:12:15,855 ACTUALLY THERE'S NO ONE PART OF 4524 03:12:15,855 --> 03:12:17,590 THE PORTFOLIO GETTING LEFT OUT. 4525 03:12:17,590 --> 03:12:20,226 THERE'S NOT AS MUCH OF IT TO GO 4526 03:12:20,226 --> 03:12:20,459 AROUND. 4527 03:12:20,459 --> 03:12:22,828 WE'RE EXCITED ABOUT WHAT WE'RE 4528 03:12:22,828 --> 03:12:29,302 FUNDING BUT NOT AS MUCH AS WE 4529 03:12:29,302 --> 03:12:29,702 COULD. 4530 03:12:29,702 --> 03:12:31,737 WE'RE HOPING IF MONEY IS 4531 03:12:31,737 --> 03:12:33,606 RESTORED, WE'RE KEEPING STUFF ON 4532 03:12:33,606 --> 03:12:35,141 DECK AND HOPEFULLY IF WE SEE 4533 03:12:35,141 --> 03:12:36,475 BETTER DAYS WE CAN GET THOSE 4534 03:12:36,475 --> 03:12:39,278 PROJECTS OUT THE DOOR BUT RIGHT 4535 03:12:39,278 --> 03:12:40,846 NOW WE HUNKER DOWN AND DO THE 4536 03:12:40,846 --> 03:12:44,684 BEST WE CAN STILL FUNDING 4537 03:12:44,684 --> 03:12:47,720 AMAZING SCIENCE. 4538 03:12:47,720 --> 03:12:51,224 >> OTHER QUESTIONS? 4539 03:12:51,224 --> 03:12:51,424 OKAY. 4540 03:12:51,424 --> 03:12:52,892 JOHN, THANK YOU SO MUCH. 4541 03:12:52,892 --> 03:12:54,527 >> THANKS SO MUCH. 4542 03:12:54,527 --> 03:12:58,464 >> GREAT. 4543 03:12:58,464 --> 03:13:02,168 NOW WE'RE GOING TO MOVE TO DR. 4544 03:13:02,168 --> 03:13:03,803 TARA SCHWETZ AND DR. JANINE 4545 03:13:03,803 --> 03:13:05,805 CLAYTON, OVERVIEW OF WOMEN'S 4546 03:13:05,805 --> 03:13:07,873 HEALTH RESEARCH AND POLICIES 4547 03:13:07,873 --> 03:13:17,950 ACROSS ALL OF NIH. 4548 03:13:17,950 --> 03:13:18,384 >> GREAT. 4549 03:13:18,384 --> 03:13:19,318 THANK YOU, EVERYONE. 4550 03:13:19,318 --> 03:13:20,319 GOOD AFTERNOON. 4551 03:13:20,319 --> 03:13:23,222 THIS IS THE FIRST OF THREE FOR 4552 03:13:23,222 --> 03:13:23,422 ME. 4553 03:13:23,422 --> 03:13:25,391 YOU'RE GOING TO HEAR A LITTLE 4554 03:13:25,391 --> 03:13:27,360 BIT FROM ME THIS AFTERNOON. 4555 03:13:27,360 --> 03:13:29,328 BUT WE WANTED TO TAKE A FEW 4556 03:13:29,328 --> 03:13:31,964 MINUTES TO TALK A LITTLE BIT 4557 03:13:31,964 --> 03:13:35,167 ABOUT SOME OF THE WORK THAT 4558 03:13:35,167 --> 03:13:38,137 WE'RE DOING IN THE OFFICE OF 4559 03:13:38,137 --> 03:13:39,672 RESEARCH ON WOMEN'S HEALTH, AND 4560 03:13:39,672 --> 03:13:41,173 MORE BROADLY ACROSS THE NIH. 4561 03:13:41,173 --> 03:13:44,143 ON THE TOPIC OF WOMEN'S HEALTH 4562 03:13:44,143 --> 03:13:44,644 RESEARCH. 4563 03:13:44,644 --> 03:13:46,779 I'M GOING TO START BY GIVING 4564 03:13:46,779 --> 03:13:48,648 HISTORY AND BACKGROUND AND TURN 4565 03:13:48,648 --> 03:13:51,384 IT OVER TO JANINE TO TALK MORE 4566 03:13:51,384 --> 03:13:52,785 ABOUT THE SPECIFIC INITIATIVES 4567 03:13:52,785 --> 03:13:53,786 AND ACTIVITIES, YOU ALREADY 4568 03:13:53,786 --> 03:13:55,321 HEARD ABOUT ONE FROM THIS 4569 03:13:55,321 --> 03:13:56,956 MORNING FROM DR. BERTAGNOLLI 4570 03:13:56,956 --> 03:13:59,258 ABOUT THE WHITE HOUSE WOMEN'S 4571 03:13:59,258 --> 03:14:02,828 HEALTH RESEARCH INITIATIVE. 4572 03:14:02,828 --> 03:14:03,029 OKAY. 4573 03:14:03,029 --> 03:14:05,064 SO, FIRST I'LL JUST EMPHASIZE 4574 03:14:05,064 --> 03:14:07,933 ACROSS THE WORLD WE SEE WOMEN 4575 03:14:07,933 --> 03:14:09,769 HAVE LONGER LIFE EXPECTANCIES 4576 03:14:09,769 --> 03:14:11,737 THAN MEN, IN PARTICULAR IN THE 4577 03:14:11,737 --> 03:14:13,839 UNITED STATES, FOR OVER A 4578 03:14:13,839 --> 03:14:16,575 CENTURY THIS HAS HELD TRUE FOR 4579 03:14:16,575 --> 03:14:19,211 WOMEN COMPARED TO MEN, WITH 4580 03:14:19,211 --> 03:14:21,480 LONGER LIFE EXPECTANCIES. 4581 03:14:21,480 --> 03:14:26,619 AND I THINK THAT IS A GREAT -- 4582 03:14:26,619 --> 03:14:29,488 YEAH, ALREADY A QUESTION. 4583 03:14:29,488 --> 03:14:30,056 OH, OKAY. 4584 03:14:30,056 --> 03:14:32,658 LET'S SEE. 4585 03:14:32,658 --> 03:14:33,659 4586 03:14:33,659 --> 03:14:38,898 I DON'T KNOW IF JORDAN OR -- ARE 4587 03:14:38,898 --> 03:14:44,036 WE SHARING THE SLIDES ON ZOOM? 4588 03:14:44,036 --> 03:14:45,571 >> NO SLIDES ON ZOOM RIGHT NOW. 4589 03:14:45,571 --> 03:14:46,672 >> HOLD ON. 4590 03:14:46,672 --> 03:14:49,608 BEAR WITH US ONE SECOND. 4591 03:14:49,608 --> 03:14:58,484 WHILE WE GET THAT GOING. 4592 03:14:58,484 --> 03:15:01,087 4593 03:15:01,087 --> 03:15:06,125 THIS IS THE GRAPH I WAS 4594 03:15:06,125 --> 03:15:08,127 REFERENCING A MOMENT AGO. 4595 03:15:08,127 --> 03:15:09,962 AS WE THINK ABOUT LONGER LIFE 4596 03:15:09,962 --> 03:15:11,063 EXPECTANCY FOR WOMEN, A GREAT 4597 03:15:11,063 --> 03:15:12,732 THING, BUT ON THE FLIP SIDE 4598 03:15:12,732 --> 03:15:15,234 WOMEN ARE MORE LIKELY TO HAVE 4599 03:15:15,234 --> 03:15:16,335 CHRONIC DISEASES. 4600 03:15:16,335 --> 03:15:20,906 IN FACT, MORE LIKELY TO HAVE 4601 03:15:20,906 --> 03:15:21,741 MULTIPLE MORBIDITY ASSOCIATED 4602 03:15:21,741 --> 03:15:22,908 WITH THAT. 4603 03:15:22,908 --> 03:15:24,744 AND THAT COULD OBVIOUSLY HAVE 4604 03:15:24,744 --> 03:15:27,680 GREAT IMPACT ON ALL THE QUALITY 4605 03:15:27,680 --> 03:15:29,548 OF LIFE AND VARIOUS HEALTH CARE 4606 03:15:29,548 --> 03:15:31,317 NEEDS THAT PEOPLE EXPERIENCE AND 4607 03:15:31,317 --> 03:15:31,717 FACE. 4608 03:15:31,717 --> 03:15:34,387 SO, YOU KNOW, WE ALSO SEE AND 4609 03:15:34,387 --> 03:15:36,355 KNOW THERE ARE BIOLOGICAL 4610 03:15:36,355 --> 03:15:37,656 DIFFERENCES, IN ADDITION TO 4611 03:15:37,656 --> 03:15:42,795 THOSE SOCIAL DETERMINANTS OF 4612 03:15:42,795 --> 03:15:43,863 HEALTH THAT HELP INFLUENCE AND 4613 03:15:43,863 --> 03:15:46,632 DETERMINE SORT OF THE ONSET AND 4614 03:15:46,632 --> 03:15:48,067 PROGRESSION AND TREATMENT OF 4615 03:15:48,067 --> 03:15:49,168 THESE VARIOUS DIFFERENT 4616 03:15:49,168 --> 03:15:51,237 DISEASES. 4617 03:15:51,237 --> 03:15:52,438 SO IT'S REALLY IMPORTANT TO 4618 03:15:52,438 --> 03:15:55,374 UNDERSTAND AND ENSURE THAT WOMEN 4619 03:15:55,374 --> 03:15:57,143 ARE INCLUDED IN RESEARCH AND 4620 03:15:57,143 --> 03:16:00,112 HELP US UNDERSTAND EVEN FURTHER 4621 03:16:00,112 --> 03:16:02,748 THE SEX AND GENDER DIFFERENCES 4622 03:16:02,748 --> 03:16:05,251 AS THEY ARE INCORPORATED INTO 4623 03:16:05,251 --> 03:16:05,618 RESEARCH. 4624 03:16:05,618 --> 03:16:09,522 WE THINK ABOUT THEM IN RESEARCH. 4625 03:16:09,522 --> 03:16:13,592 AND SO THE NIH HAS REALLY HAD A 4626 03:16:13,592 --> 03:16:15,795 FAIRLY LONG HISTORY OF 4627 03:16:15,795 --> 03:16:16,996 SUPPORTING WOMEN'S HEALTH 4628 03:16:16,996 --> 03:16:17,963 RESEARCH, AND IN PARTICULAR I 4629 03:16:17,963 --> 03:16:19,365 MEAN IT GOES BACK EVEN FURTHER 4630 03:16:19,365 --> 03:16:20,699 THAN THIS BUT WHEN WE THINK 4631 03:16:20,699 --> 03:16:23,402 ABOUT SOME OF THE POLICIES IN 4632 03:16:23,402 --> 03:16:25,304 PARTICULAR THAT WERE PUT IN 4633 03:16:25,304 --> 03:16:27,139 PLACE, YOU KNOW, THIS GOES BACK 4634 03:16:27,139 --> 03:16:29,108 TO THE '80s, OF COURSE WE'VE 4635 03:16:29,108 --> 03:16:32,511 BEEN DOING RESEARCH ON WOMEN'S 4636 03:16:32,511 --> 03:16:34,914 HEALTH SINCE BEFORE 1986, BUT I 4637 03:16:34,914 --> 03:16:38,217 WANT TO AT LEAST CALL OUT SOME 4638 03:16:38,217 --> 03:16:40,319 POLICIES ENACTED AND CERTAIN 4639 03:16:40,319 --> 03:16:41,387 ACTIVITIES THAT HAVE OCCURRED AS 4640 03:16:41,387 --> 03:16:42,188 A RESULT. 4641 03:16:42,188 --> 03:16:44,356 SO, BACK IN THE MID-'80s, 4642 03:16:44,356 --> 03:16:47,760 THERE WAS A POLICY THAT NIH 4643 03:16:47,760 --> 03:16:49,829 CREATED TO -- INCLUSION OF WOMEN 4644 03:16:49,829 --> 03:16:53,499 AND MINORITIES IN CLINICAL 4645 03:16:53,499 --> 03:16:54,667 RESEARCH, ENCOURAGED RESEARCHERS 4646 03:16:54,667 --> 03:16:57,803 TO DO THAT, INCLUDE WOMEN AND 4647 03:16:57,803 --> 03:16:59,038 MINORITY IN STUDIES, SO 4648 03:16:59,038 --> 03:17:02,007 IMPORTANT TO UNDERSTANDING 4649 03:17:02,007 --> 03:17:04,810 BIOLOGY AND HOW EVERYTHING 4650 03:17:04,810 --> 03:17:06,078 WORKS. 4651 03:17:06,078 --> 03:17:07,146 INCLUDING WHEN WE THINK ABOUT 4652 03:17:07,146 --> 03:17:08,948 CLINICAL TRIALS. 4653 03:17:08,948 --> 03:17:10,649 AND THEN IN 1990, THE OFFICE OF 4654 03:17:10,649 --> 03:17:12,718 RESEARCH ON WOMEN'S HEALTH WAS 4655 03:17:12,718 --> 03:17:13,018 ESTABLISHED. 4656 03:17:13,018 --> 03:17:15,454 WE HAD OUR FIRST DIRECTOR 4657 03:17:15,454 --> 03:17:17,990 APPOINTED FULL TIME, DR. VIVIAN 4658 03:17:17,990 --> 03:17:21,060 PINN, SHE WAS APPOINTED IN 1991. 4659 03:17:21,060 --> 03:17:24,663 AND A FEW YEARS LATER, THE 4660 03:17:24,663 --> 03:17:26,866 CONGRESS PASSED THE NIH 4661 03:17:26,866 --> 03:17:27,633 VITALIZATION ACT REQUIRING 4662 03:17:27,633 --> 03:17:29,702 INCLUSION OF WOMEN AND 4663 03:17:29,702 --> 03:17:30,703 MINORITIES IN NIH-FUNDED 4664 03:17:30,703 --> 03:17:31,370 RESEARCH. 4665 03:17:31,370 --> 03:17:33,772 AS I SAID, NIH HAD ALREADY BEEN 4666 03:17:33,772 --> 03:17:36,609 DOING IT FOR A DECADE AT THAT 4667 03:17:36,609 --> 03:17:39,678 POINT BUT THIS WAS A LAW THAT 4668 03:17:39,678 --> 03:17:46,452 CONGRESS PUT INTO LEGISLATION. 4669 03:17:46,452 --> 03:17:47,753 FAST FORWARD, NIH BUILT POLICY 4670 03:17:47,753 --> 03:17:48,754 AROUND SEX AS A BIOLOGICAL 4671 03:17:48,754 --> 03:17:53,926 VARIABLE, THAT THIS WAS A REALLY 4672 03:17:53,926 --> 03:17:56,862 LANDMARK POLICY AROUND RIGOR AND 4673 03:17:56,862 --> 03:17:59,632 REPRODUCIBILITY THAT REQUIRED 4674 03:17:59,632 --> 03:18:00,266 THERE WAS CONSIDERATION OF SEX 4675 03:18:00,266 --> 03:18:02,801 AS A BIOLOGICAL VARIABLE IN BOTH 4676 03:18:02,801 --> 03:18:05,738 ANIMAL AND HUMAN STUDIES, AND 4677 03:18:05,738 --> 03:18:06,939 JUSTIFICATION OF SINGLE SEX 4678 03:18:06,939 --> 03:18:08,574 STUDIES, SO STUDIES THAT ONLY 4679 03:18:08,574 --> 03:18:10,976 INCLUDED ONE SEX, THEY HAD TO 4680 03:18:10,976 --> 03:18:12,945 EXPLAIN WHY THAT WAS THE CASE. 4681 03:18:12,945 --> 03:18:15,381 AND THERE HAD TO BE A SCIENTIFIC 4682 03:18:15,381 --> 03:18:16,248 BASIS FOR IT. 4683 03:18:16,248 --> 03:18:18,350 AND THEN THAT SAME YEAR, 21ST 4684 03:18:18,350 --> 03:18:23,322 CENTURY CURES ACT WAS PASSED 4685 03:18:23,322 --> 03:18:27,359 INCLUDING LEGISLATION, 4686 03:18:27,359 --> 03:18:30,663 LEGISLATIVE LANGUAGE ON 4687 03:18:30,663 --> 03:18:31,230 REPORTING REQUIREMENTS AND 4688 03:18:31,230 --> 03:18:35,301 INCLUSION ACROSS THE LIFESPAN 4689 03:18:35,301 --> 03:18:37,136 POLICY INCLUDING CHILDREN AND 4690 03:18:37,136 --> 03:18:38,671 OLDER ADULTS TO BOLSTER THE WORK 4691 03:18:38,671 --> 03:18:40,606 WE'RE DOING IN THE CLINICAL 4692 03:18:40,606 --> 03:18:41,941 SPACE. 4693 03:18:41,941 --> 03:18:43,042 OKAY. 4694 03:18:43,042 --> 03:18:44,677 SO I THINK WHAT WE HAVE SEEN AS 4695 03:18:44,677 --> 03:18:46,078 A RESULT OF THESE CHANGES OVER 4696 03:18:46,078 --> 03:18:48,714 THE YEARS WE'VE SEEN A 4697 03:18:48,714 --> 03:18:51,150 SIGNIFICANT INCREASE IN 4698 03:18:51,150 --> 03:18:52,651 PROPORTION OF NIH-FUNDED 4699 03:18:52,651 --> 03:18:53,419 CLINICAL TRIALS REPORTING 4700 03:18:53,419 --> 03:18:54,286 OUTCOMES BY SEX. 4701 03:18:54,286 --> 03:18:57,256 AND IF YOU LOOK AT THESE DATA 4702 03:18:57,256 --> 03:19:02,628 HERE FROM 2023, YOU CAN SEE 4703 03:19:02,628 --> 03:19:06,098 ENROLLMENT LEVELS, AND FOR 4704 03:19:06,098 --> 03:19:08,801 OVERALL CLINICAL STUDIES WE HAVE 4705 03:19:08,801 --> 03:19:11,136 ABOUT 56.5% OF OUR CLINICAL 4706 03:19:11,136 --> 03:19:14,006 TRIALS PARTICIPANTS IDENTIFYING 4707 03:19:14,006 --> 03:19:16,842 AS FEMALES, AND OVER 2/3 OF 4708 03:19:16,842 --> 03:19:19,244 THOSE IN THE NIH-DEFINED PHASE 3 4709 03:19:19,244 --> 03:19:21,447 CLINICAL TRIALS ARE FEMALE. 4710 03:19:21,447 --> 03:19:23,315 SO THESE NUMBERS REFLECT I THINK 4711 03:19:23,315 --> 03:19:24,817 SOME VERY SIGNIFICANT SUCCESS 4712 03:19:24,817 --> 03:19:28,787 THAT WE'VE HAD WITH THOSE 4713 03:19:28,787 --> 03:19:29,321 POLICIES. 4714 03:19:29,321 --> 03:19:31,957 AND WE LOOK AT OUR OVERALL 4715 03:19:31,957 --> 03:19:33,692 INVESTMENT IN WOMEN'S HEALTH 4716 03:19:33,692 --> 03:19:36,996 ACROSS NIH, THESE ARE FY 23 4717 03:19:36,996 --> 03:19:39,264 NUMBERS, FINALIZED. 4718 03:19:39,264 --> 03:19:42,134 WE HAVE ABOUT $5 BILLION THAT 4719 03:19:42,134 --> 03:19:43,469 WE'RE COMMITTING TO SUPPORTING 4720 03:19:43,469 --> 03:19:46,305 WOMEN'S HEALTH RESEARCH, DEFINED 4721 03:19:46,305 --> 03:19:47,606 IN A PARTICULAR WAY, OF COURSE 4722 03:19:47,606 --> 03:19:49,041 AGAIN THERE'S A LOT MORE STUFF 4723 03:19:49,041 --> 03:19:51,110 THAT I THINK WE WOULD SAY THAT 4724 03:19:51,110 --> 03:19:54,179 AS A WHOLE WE'RE DOING TO 4725 03:19:54,179 --> 03:19:57,349 SUPPORT RESEARCH AND THAT 4726 03:19:57,349 --> 03:19:58,884 INCLUDES WOMEN IN TRIALS, 4727 03:19:58,884 --> 03:20:01,320 FOCUSED ON WOMEN'S HEALTH AND 4728 03:20:01,320 --> 03:20:02,621 WOMEN'S HEALTH ISSUES. 4729 03:20:02,621 --> 03:20:05,457 YOU CAN SEE THE VARIABILITY IN 4730 03:20:05,457 --> 03:20:08,127 THE COMMITMENT ACROSS THE 4731 03:20:08,127 --> 03:20:08,627 I.C.s. 4732 03:20:08,627 --> 03:20:09,395 THERE'S IS STRONG COMMITMENT 4733 03:20:09,395 --> 03:20:12,064 ACROSS ALL OF OUR INSTITUTES AND 4734 03:20:12,064 --> 03:20:15,801 CENTERS FOR SUPPORTING WOMEN'S 4735 03:20:15,801 --> 03:20:17,236 HEALTH RESEARCH, AND THAT'S 4736 03:20:17,236 --> 03:20:17,970 REFLECTED HERE. 4737 03:20:17,970 --> 03:20:19,405 ALL RIGHT. 4738 03:20:19,405 --> 03:20:21,807 AND WHEN WE TALK ABOUT WOMEN'S 4739 03:20:21,807 --> 03:20:23,542 HEALTH RESEARCH, WE OFTEN THINK 4740 03:20:23,542 --> 03:20:24,743 ABOUT IT IN THREE BUCKETS. 4741 03:20:24,743 --> 03:20:27,046 SO WE THINK ABOUT THINGS THAT 4742 03:20:27,046 --> 03:20:28,280 ARE FEMALE SPECIFIC, THERE'S 4743 03:20:28,280 --> 03:20:31,517 EXAMPLES ON THE RIGHT SIDE OF 4744 03:20:31,517 --> 03:20:34,053 THE SCREEN, INCLUDING 4745 03:20:34,053 --> 03:20:35,354 ENDOMETRIOSIS, CERVICAL CANCER, 4746 03:20:35,354 --> 03:20:35,688 MENOPAUSE. 4747 03:20:35,688 --> 03:20:38,757 THE SECOND BUCKET IS THOSE 4748 03:20:38,757 --> 03:20:40,325 THINGS THAT PREDOMINANTLY AFFECT 4749 03:20:40,325 --> 03:20:42,695 WOMEN, AUTOIMMUNE DISEASES FOR 4750 03:20:42,695 --> 03:20:42,928 INSTANCE 4751 03:20:42,928 --> 03:20:46,432 AND THEN THE THIRD THING IS -- 4752 03:20:46,432 --> 03:20:49,935 THIRD AREA IS CONDITIONS THAT 4753 03:20:49,935 --> 03:20:55,407 ARE UNDERSTUDIED IN WOMEN, COPD, 4754 03:20:55,407 --> 03:20:56,375 DEMENTIA, HIV. 4755 03:20:56,375 --> 03:20:59,945 AT NIH WE FUND A WIDE ARRAY OF 4756 03:20:59,945 --> 03:21:02,381 TOPICS THAT ARE KIND OF IN THESE 4757 03:21:02,381 --> 03:21:03,415 THREE BUCKETS, AGAIN THEY ARE 4758 03:21:03,415 --> 03:21:05,050 CALLED OUT HERE. 4759 03:21:05,050 --> 03:21:08,654 I'M NOT GOING INTO ANY DETAIL 4760 03:21:08,654 --> 03:21:10,923 BUT I WANTED TO EMPHASIZE THESE 4761 03:21:10,923 --> 03:21:12,491 ARE SOME TOPICS IN THE THREE 4762 03:21:12,491 --> 03:21:14,126 BUCKETS WE DO FUND AND SUPPORT 4763 03:21:14,126 --> 03:21:15,828 ACROSS ALL THE INSTITUTES AND 4764 03:21:15,828 --> 03:21:18,163 CENTERS, AND AGAIN THIS IS AN 4765 03:21:18,163 --> 03:21:20,799 NIH-WIDE APPROACH THAT WE'RE 4766 03:21:20,799 --> 03:21:23,635 TAKING TO SUPPORTING WOMEN'S 4767 03:21:23,635 --> 03:21:26,038 HEALTH RESEARCH. 4768 03:21:26,038 --> 03:21:27,806 AND TO REFLECT THAT, ADVISORY 4769 03:21:27,806 --> 03:21:30,109 COMMITTEE ON RESEARCH ON WOMEN'S 4770 03:21:30,109 --> 03:21:31,944 HEALTH PUTS OUT A BIENNIAL 4771 03:21:31,944 --> 03:21:34,213 REPORT AS WE REFER TO IT, AND 4772 03:21:34,213 --> 03:21:38,417 THEY HAVE IDENTIFIED A FEW AREAS 4773 03:21:38,417 --> 03:21:39,284 THAT ARE CROSS-CUTTING TOPICS, 4774 03:21:39,284 --> 03:21:40,686 THIS WAS A NEW FEATURE OF THIS 4775 03:21:40,686 --> 03:21:42,454 REPORT OVER THE LAST COUPLE 4776 03:21:42,454 --> 03:21:44,189 YEARS, AND THEY IDENTIFIED A 4777 03:21:44,189 --> 03:21:46,492 HANDFUL OF THOSE ISSUES, YOU CAN 4778 03:21:46,492 --> 03:21:47,926 SEE THAT ALIGNS NICELY WITH 4779 03:21:47,926 --> 03:21:50,329 FUNDING PRIORITIES FROM THE LAST 4780 03:21:50,329 --> 03:21:51,196 SLIDE. 4781 03:21:51,196 --> 03:21:54,600 LIKE AGING AUTOIMMUNE ZEUS, 4782 03:21:54,600 --> 03:21:55,701 -- 4783 03:21:55,701 --> 03:21:56,168 DISEASE, MORBIDITY AND 4784 03:21:56,168 --> 03:21:58,303 MORTALITY, SOCIAL DETERMINANTS 4785 03:21:58,303 --> 03:21:59,404 OF HEALTH. 4786 03:21:59,404 --> 03:22:02,040 AND ALSO NOTED IN THAT REPORT 4787 03:22:02,040 --> 03:22:04,143 THEY CALLED OUT THE WOMEN'S 4788 03:22:04,143 --> 03:22:05,310 HEALTH RESEARCH CONDUCTED ACROSS 4789 03:22:05,310 --> 03:22:07,813 ALL OF THE DIFFERENT INSTITUTES 4790 03:22:07,813 --> 03:22:09,481 AND CENTERS, PRIORITIES AND 4791 03:22:09,481 --> 03:22:10,282 SUCCESSES OF OUTCOMES THAT HAVE 4792 03:22:10,282 --> 03:22:12,851 COME OUT OF THE RESEARCH THAT 4793 03:22:12,851 --> 03:22:16,922 INSTITUTES AND CENTERS HAVE 4794 03:22:16,922 --> 03:22:18,357 FUNDED. 4795 03:22:18,357 --> 03:22:22,494 AS WELL AS OFFICES, AND TABLES I 4796 03:22:22,494 --> 03:22:24,029 SHED EARLIER, INCLUSION OF WOMEN 4797 03:22:24,029 --> 03:22:26,431 AND MINORITIES IN CLINICAL 4798 03:22:26,431 --> 03:22:29,701 RESEARCH AS WELL AS CONTRIBUTION 4799 03:22:29,701 --> 03:22:31,036 OF WOMEN TO THE WORKFORCE 4800 03:22:31,036 --> 03:22:32,471 DYNAMICS. 4801 03:22:32,471 --> 03:22:33,972 WE KNOW OF COURSE THAT, YOU 4802 03:22:33,972 --> 03:22:36,508 KNOW, THE RATE AT LEAST IN TERMS 4803 03:22:36,508 --> 03:22:39,678 OF WORKFORCE LOOK GOOD EARLY ON, 4804 03:22:39,678 --> 03:22:41,547 AS WOMEN ADVANCE IN THEIR 4805 03:22:41,547 --> 03:22:43,415 CAREERS, THEY SORT OF DROP OUT 4806 03:22:43,415 --> 03:22:46,451 OF THE LEADERSHIP LEVEL AND SO 4807 03:22:46,451 --> 03:22:48,787 THAT'S OBVIOUSLY AN AREA OF 4808 03:22:48,787 --> 03:22:50,189 FOCUS. 4809 03:22:50,189 --> 03:22:50,856 ALL RIGHT. 4810 03:22:50,856 --> 03:22:53,058 WHEN WE THINK ABOUT 4811 03:22:53,058 --> 03:22:55,027 CROSS-CUTTING THEMES, WHERE 4812 03:22:55,027 --> 03:22:57,196 RESEARCH IS URGENTLY NEEDED, WE 4813 03:22:57,196 --> 03:22:59,298 HAVE ANOTHER REPORT THAT SAME 4814 03:22:59,298 --> 03:23:03,435 ADVISORY COMMITTEE PUT OUT THAT 4815 03:23:03,435 --> 03:23:04,403 OUTLINED THREE AREAS OF 4816 03:23:04,403 --> 03:23:06,505 PARTICULAR FOCUS. 4817 03:23:06,505 --> 03:23:07,806 AND NEED. 4818 03:23:07,806 --> 03:23:12,177 IN PARTICULAR, IMPLEMENTING BEST 4819 03:23:12,177 --> 03:23:12,578 PRACTICES, THINGS 4820 03:23:12,578 --> 03:23:14,479 EVIDENCE-BASED, THAT WE CAN PUT 4821 03:23:14,479 --> 03:23:17,649 DATA AROUND TO HELP PROVIDE THAT 4822 03:23:17,649 --> 03:23:18,951 PATIENT-CENTERED CARE. 4823 03:23:18,951 --> 03:23:20,252 HELPING TO ADDRESS CARE 4824 03:23:20,252 --> 03:23:23,355 INEQUITIES, WE KNOW THERE ARE 4825 03:23:23,355 --> 03:23:25,858 DISPARITIES AND PARTICULARLY IN 4826 03:23:25,858 --> 03:23:26,692 POPULATIONS HISTORICALLY 4827 03:23:26,692 --> 03:23:28,060 UNDERSTUDIED AND 4828 03:23:28,060 --> 03:23:28,927 UNDERREPRESENTED AND 4829 03:23:28,927 --> 03:23:30,462 UNDERREPORTED IN RESEARCH. 4830 03:23:30,462 --> 03:23:32,631 AND THE THIRD AREA IS BEING 4831 03:23:32,631 --> 03:23:34,299 INTENTIONAL ABOUT THE RESEARCH 4832 03:23:34,299 --> 03:23:36,034 THAT IS SUPPORTED. 4833 03:23:36,034 --> 03:23:38,003 AS WE THINK ABOUT INCLUDING 4834 03:23:38,003 --> 03:23:41,173 WOMEN IN STUDY DESIGN AND 4835 03:23:41,173 --> 03:23:42,507 HYPOTHESES, ANALYSES, JUST BEING 4836 03:23:42,507 --> 03:23:44,910 REALLY INTENTIONAL ABOUT THAT 4837 03:23:44,910 --> 03:23:47,980 AND HELPING TO FULLY UNDERSTAND 4838 03:23:47,980 --> 03:23:50,182 THE GAPS AND DIFFERENCES THAT 4839 03:23:50,182 --> 03:23:53,151 EXIST IN TERMS OF SEX AS A 4840 03:23:53,151 --> 03:23:54,586 BIOLOGICAL VARIABLE. 4841 03:23:54,586 --> 03:23:56,088 AND FINALLY, MY FINAL SLIDE, TO 4842 03:23:56,088 --> 03:24:00,259 CALL OUT THAT WE HAVE OVER THE 4843 03:24:00,259 --> 03:24:01,927 LAST SEVERAL YEARS INCORPORATED 4844 03:24:01,927 --> 03:24:03,996 WOMEN'S HEALTH AS A 4845 03:24:03,996 --> 03:24:05,731 CROSS-CUTTING THEME IN THE 4846 03:24:05,731 --> 03:24:07,065 NIH-WIDE STRATEGIC PLAN, SO THIS 4847 03:24:07,065 --> 03:24:09,701 IS THE SECOND ITERATION OF THE 4848 03:24:09,701 --> 03:24:12,004 NIH-WIDE STRATEGIC PLAN THAT'S 4849 03:24:12,004 --> 03:24:17,709 RUN FROM FY 21 TO FY 25 AND 4850 03:24:17,709 --> 03:24:18,877 EMPHASIZES INTERDISCIPLINARY 4851 03:24:18,877 --> 03:24:21,079 PARTNERSHIPS NEEDED IN THIS 4852 03:24:21,079 --> 03:24:22,714 SPACE, REPORTING REQUIREMENTS, 4853 03:24:22,714 --> 03:24:25,884 AGAIN WE ALREADY MENTIONED 4854 03:24:25,884 --> 03:24:27,619 BEFORE ADVANCEMENTS OF WOMEN 4855 03:24:27,619 --> 03:24:28,086 SCIENTISTS. 4856 03:24:28,086 --> 03:24:31,123 WE ALSO PUT OUT A STRATEGIC PLAN 4857 03:24:31,123 --> 03:24:33,225 FOR RESEARCH ON WOMEN'S HEALTH 4858 03:24:33,225 --> 03:24:34,660 ACROSS THE AGENCY, VERY 4859 03:24:34,660 --> 03:24:36,929 SPECIFICALLY, AND AGAIN YOU'LL 4860 03:24:36,929 --> 03:24:39,031 SEE SOME OVERLAPS THERE BECAUSE 4861 03:24:39,031 --> 03:24:40,899 SOME CROSS-CUTTING THEMES 4862 03:24:40,899 --> 03:24:42,534 INCLUDED IN THAT INCLUDE 4863 03:24:42,534 --> 03:24:43,268 INTERDISCIPLINARY COLLABORATION 4864 03:24:43,268 --> 03:24:45,704 AS WELL, BUT ALSO THINGS LIKE 4865 03:24:45,704 --> 03:24:47,673 HOW WE CAN THINK ABOUT AND 4866 03:24:47,673 --> 03:24:52,778 SHOULD BE THINKING ABOUT 4867 03:24:52,778 --> 03:24:53,845 COMORBIDITY AND MULTI-MORBIDITY, 4868 03:24:53,845 --> 03:24:55,247 PRECISION MEDICINE, INCLUSION IN 4869 03:24:55,247 --> 03:24:58,317 STUDIES, AS WELL AS SEX AND 4870 03:24:58,317 --> 03:25:00,052 GENDER DIFFERENCE RESEARCH AND 4871 03:25:00,052 --> 03:25:01,086 PREVENTIVE CARE AND SERVICES 4872 03:25:01,086 --> 03:25:03,021 THAT ARE SO CRITICAL. 4873 03:25:03,021 --> 03:25:05,223 WITH THAT, I'M NOW GOING TO TURN 4874 03:25:05,223 --> 03:25:07,092 IT OVER TO JANINE TO TALK MORE 4875 03:25:07,092 --> 03:25:10,929 ABOUT SOME OF THE WORK THAT IS 4876 03:25:10,929 --> 03:25:15,867 BEING DONE, FACILITATED BY HER 4877 03:25:15,867 --> 03:25:17,836 OFFICE, ALSO BROADER NIH-WIDE 4878 03:25:17,836 --> 03:25:19,071 EFFORTS. 4879 03:25:19,071 --> 03:25:21,673 JANINE? 4880 03:25:21,673 --> 03:25:22,975 >> THANK YOU, TARA. 4881 03:25:22,975 --> 03:25:24,509 I'M GOING TO EXTEND DR. 4882 03:25:24,509 --> 03:25:26,244 SCHWETZ'S COMMENTS AND GIVE YOU 4883 03:25:26,244 --> 03:25:28,246 MORE DETAIL ON WOMEN'S HEALTH 4884 03:25:28,246 --> 03:25:29,314 RESEARCH ACROSS THE 27 4885 03:25:29,314 --> 03:25:30,549 INSTITUTES AND CENTERS AT NIH. 4886 03:25:30,549 --> 03:25:32,050 AND GIVE A LITTLE BIT MORE 4887 03:25:32,050 --> 03:25:34,152 DETAIL ON THE WHITE HOUSE 4888 03:25:34,152 --> 03:25:34,453 INITIATIVE. 4889 03:25:34,453 --> 03:25:35,988 I ALWAYS LIKE TO START WITH 4890 03:25:35,988 --> 03:25:36,355 DATA. 4891 03:25:36,355 --> 03:25:40,392 YOU HEARD FROM DR. SCHWETZ ABOUT 4892 03:25:40,392 --> 03:25:40,926 WELL-KNOWN LIFE EXPECTANCY 4893 03:25:40,926 --> 03:25:41,727 DIFFERENCES BETWEEN MEN AND 4894 03:25:41,727 --> 03:25:42,160 WOMEN. 4895 03:25:42,160 --> 03:25:43,695 WE'VE KNOWN FOR MANY YEARS WOMEN 4896 03:25:43,695 --> 03:25:45,097 LIVE LONGER THAN MEN. 4897 03:25:45,097 --> 03:25:46,865 BUT JUST BECAUSE WOMEN LIVE 4898 03:25:46,865 --> 03:25:48,266 LONGER THAN MEN DOESN'T MEAN 4899 03:25:48,266 --> 03:25:50,369 THEY HAVE A LONGER HEALTH SPAN. 4900 03:25:50,369 --> 03:25:52,637 WE REALLY NEED TO UNDERSTAND 4901 03:25:52,637 --> 03:25:54,172 WHAT'S BENEATH THE HEALTH SPAN. 4902 03:25:54,172 --> 03:25:57,042 THIS DATA FROM THE GLOBAL BURDEN 4903 03:25:57,042 --> 03:25:58,443 OF DISEASE, ON THE LEFT FEMALES, 4904 03:25:58,443 --> 03:26:02,047 MALES ON THE RIGHT. 4905 03:26:02,047 --> 03:26:02,447 DIFFERENT COLORS. 4906 03:26:02,447 --> 03:26:04,249 YOU DON'T NEED TO BE ABLE TO 4907 03:26:04,249 --> 03:26:04,583 READ THAT. 4908 03:26:04,583 --> 03:26:06,018 AGE ON THE Y-AXIS. 4909 03:26:06,018 --> 03:26:08,520 THIS IS DIFFERENCE IN YEARS 4910 03:26:08,520 --> 03:26:09,654 LIVED WITH DISABILITY BETWEEN 4911 03:26:09,654 --> 03:26:11,189 FEMALES AND MALES ACROSS THE 4912 03:26:11,189 --> 03:26:11,390 WORLD. 4913 03:26:11,390 --> 03:26:13,358 YOU CAN SEE DIFFERENT COLORS ON 4914 03:26:13,358 --> 03:26:14,793 EACH OF THE SIDES REPRESENTING 4915 03:26:14,793 --> 03:26:16,561 DIFFERENT DISEASES THAT ARE 4916 03:26:16,561 --> 03:26:19,731 CAUSING DISABILITY AND YOU CAN 4917 03:26:19,731 --> 03:26:20,932 SEE GREATER DISABILITY, GREATER 4918 03:26:20,932 --> 03:26:23,902 YEARS LIVED WITH DISABILITY FOR 4919 03:26:23,902 --> 03:26:25,237 FEMALES AT ALL AGES, IN 4920 03:26:25,237 --> 03:26:26,405 PARTICULAR 20 TO 49. 4921 03:26:26,405 --> 03:26:29,241 THIS GIVES US A SENSE OF WHAT WE 4922 03:26:29,241 --> 03:26:31,410 CAN LEARN BY DRILLING DOWN AND 4923 03:26:31,410 --> 03:26:34,079 TRYING TO UNDERSTAND WHAT'S 4924 03:26:34,079 --> 03:26:35,814 BENEATH DIFFERENCES ACROSS OUR 4925 03:26:35,814 --> 03:26:38,016 EFFORTS HERE AT NIH. 4926 03:26:38,016 --> 03:26:41,420 THE OFFICE OF RESEARCH ON 4927 03:26:41,420 --> 03:26:42,487 WOMEN'S HEALTH, ORWH, THE 4928 03:26:42,487 --> 03:26:44,790 MISSION TO EXPAND WOMEN'S 4929 03:26:44,790 --> 03:26:46,958 HEALTH, MAKE SURE GROUPS ARE 4930 03:26:46,958 --> 03:26:49,161 INCLUDED AND ADVANCE WOMEN IN 4931 03:26:49,161 --> 03:26:50,562 SCIENCE CAREERS. 4932 03:26:50,562 --> 03:26:52,998 NIH IN OUR LAST STRATEGIC PLAN 4933 03:26:52,998 --> 03:26:55,100 FOR WOMEN'S HEALTH PUT OUT AN 4934 03:26:55,100 --> 03:26:55,934 EXPECTATION. 4935 03:26:55,934 --> 03:26:59,538 WE ENVISION A TIME WHERE SEX AND 4936 03:26:59,538 --> 03:27:04,709 GENDER INTEGRATED ACROSS THE 4937 03:27:04,709 --> 03:27:06,445 BIOMEDICAL CONTINUUM, BASIC AND 4938 03:27:06,445 --> 03:27:08,447 RESEARCH, A WORLD WHERE EVERY 4939 03:27:08,447 --> 03:27:09,448 WOMAN RECEIVES EVIDENCE-BASED 4940 03:27:09,448 --> 03:27:10,749 DIAGNOSTICS TREATMENT AND CARE 4941 03:27:10,749 --> 03:27:12,084 TAILORED TO HER CIRCUMSTANCES, 4942 03:27:12,084 --> 03:27:15,020 GOALS, NEEDS, AND A WORLD WHERE 4943 03:27:15,020 --> 03:27:16,755 ALL WOMEN IN SCIENCE CAREERS 4944 03:27:16,755 --> 03:27:18,023 REACH FULL POTENTIAL INCLUDING 4945 03:27:18,023 --> 03:27:18,824 LEADERSHIP LEVEL. 4946 03:27:18,824 --> 03:27:20,158 EVERYTHING WE DO AT NIH HERE IN 4947 03:27:20,158 --> 03:27:21,793 THE OFFICE OF RESEARCH ON 4948 03:27:21,793 --> 03:27:22,894 WOMEN'S HEALTH IS IN 4949 03:27:22,894 --> 03:27:23,995 COLLABORATION WITH INSTITUTES 4950 03:27:23,995 --> 03:27:25,764 AND CENTERS, AND THIS NIH-WIDE 4951 03:27:25,764 --> 03:27:27,265 STRATEGIC PLAN FOR RESEARCH ON 4952 03:27:27,265 --> 03:27:31,970 THE HEALTH OF WOMEN OUTLINES THE 4953 03:27:31,970 --> 03:27:33,071 GOALS, NIH-WIDE GOALS, 4954 03:27:33,071 --> 03:27:36,241 INTERSECTING WITH THE INSTITUTE 4955 03:27:36,241 --> 03:27:37,476 AND CENTER STRATEGIC PLANS, AND 4956 03:27:37,476 --> 03:27:40,612 WE WORK WITH THEM IN PARTNERSHIP 4957 03:27:40,612 --> 03:27:44,783 THROUGH A COORDINATING 4958 03:27:44,783 --> 03:27:46,651 COMMITTEE, CCRWH, AND RESEARCH 4959 03:27:46,651 --> 03:27:48,420 PRIORITIES BY RESEARCH AGENDA 4960 03:27:48,420 --> 03:27:51,356 SETTING, DEVELOP WORKING GROUPS, 4961 03:27:51,356 --> 03:27:52,023 FUNDING OPPORTUNITIES, 4962 03:27:52,023 --> 03:27:52,891 WORKSHOPS, TO ACHIEVE THAT 4963 03:27:52,891 --> 03:27:55,193 VISION THAT I JUST MENTIONED TO 4964 03:27:55,193 --> 03:27:56,027 YOU. 4965 03:27:56,027 --> 03:27:57,429 IN THIS NEW NIH-WIDE STRATEGIC 4966 03:27:57,429 --> 03:27:59,231 PLAN FOR RESEARCH ON THE HEALTH 4967 03:27:59,231 --> 03:28:01,967 OF WOMEN WE HAVE EXPANDED 4968 03:28:01,967 --> 03:28:03,401 MULTI-DIMENSIONAL FRAMEWORK WE 4969 03:28:03,401 --> 03:28:05,170 INTRODUCED IN THE LAST PLAN. 4970 03:28:05,170 --> 03:28:07,772 AND AT THE BOTTOM YOU CAN SEE A 4971 03:28:07,772 --> 03:28:09,407 LIFE COURSE PERSPECTIVE. 4972 03:28:09,407 --> 03:28:12,043 YOU ALSO SEE BIOLOGICAL FACTORS 4973 03:28:12,043 --> 03:28:14,446 THAT WE ARE CRITICALLY 4974 03:28:14,446 --> 03:28:15,480 IMPORTANT -- THAT ARE CRITICALLY 4975 03:28:15,480 --> 03:28:16,548 IMPORTANT TO DETERMINING HEALTH. 4976 03:28:16,548 --> 03:28:19,284 WE KNOW SOCIAL AND ENVIRONMENTAL 4977 03:28:19,284 --> 03:28:21,586 EXPOSURES, SOCIAL DETERMINANTS 4978 03:28:21,586 --> 03:28:23,255 OF HEALTH, AND CONTEXT AFFECT 4979 03:28:23,255 --> 03:28:25,190 HEALTH AND DISEASE AS WELL. 4980 03:28:25,190 --> 03:28:26,725 IN ORDER TO LEARN AS MUCH AS WE 4981 03:28:26,725 --> 03:28:29,127 CAN ABOUT THE HEALTH OF WOMEN 4982 03:28:29,127 --> 03:28:33,832 AND ADDRESS ALL WOMEN IN A 4983 03:28:33,832 --> 03:28:35,033 PERSONALIZED WAY NEED TO 4984 03:28:35,033 --> 03:28:36,801 CONSIDER INTERSECTION OF 4985 03:28:36,801 --> 03:28:39,304 BIOLOGICAL FACTORS AND ASSOCIATE 4986 03:28:39,304 --> 03:28:39,538 FACTORS. 4987 03:28:39,538 --> 03:28:41,706 WE DO KNOW, FOR EXAMPLE, 4988 03:28:41,706 --> 03:28:51,116 EPIGENETIC FACTORS CAN HAVE 4989 03:28:51,116 --> 03:28:52,784 MULTI-GENERATIONAL CONSEQUENCES, 4990 03:28:52,784 --> 03:28:53,652 FOR EXAMPLE. 4991 03:28:53,652 --> 03:28:55,820 WE'RE COMPLEMENTARY TO SCIENCE 4992 03:28:55,820 --> 03:28:57,589 BEING CONDUCTED BY INSTITUTES 4993 03:28:57,589 --> 03:28:59,791 AND CENTERS, PARTNERING ON ORWH 4994 03:28:59,791 --> 03:29:00,325 SIGNATURE PROGRAMS. 4995 03:29:00,325 --> 03:29:02,727 FIRST ON THE FAR LEFT IS OUR 4996 03:29:02,727 --> 03:29:03,395 BUILDING INTERDISCIPLINARY 4997 03:29:03,395 --> 03:29:05,463 RESEARCH CAREERS IN WOMEN'S 4998 03:29:05,463 --> 03:29:06,698 HEALTH, A MENTORED CAREER 4999 03:29:06,698 --> 03:29:08,333 DEVELOPMENT PROGRAM, PURPOSE OF 5000 03:29:08,333 --> 03:29:10,735 WHICH IS TO EXPAND CADRE OF 5001 03:29:10,735 --> 03:29:12,037 PEOPLE DOING WOMEN'S HEALTH 5002 03:29:12,037 --> 03:29:12,370 RESEARCH. 5003 03:29:12,370 --> 03:29:16,942 WE HAVE NOW FUNDED OVER 800 5004 03:29:16,942 --> 03:29:18,610 SCHOLARS, BIRCWH SCHOLARS, WITH 5005 03:29:18,610 --> 03:29:21,146 EIGHT INSTITUTES, CENTERS, AND 5006 03:29:21,146 --> 03:29:21,680 OFFICES. 5007 03:29:21,680 --> 03:29:23,415 SECOND, SPECIALIZED CENTERS OF 5008 03:29:23,415 --> 03:29:28,353 RESEARCH EXCELLENCE ON SEX 5009 03:29:28,353 --> 03:29:29,854 DIFFERENCES, A DISEASING A NOT 5010 03:29:29,854 --> 03:29:31,456 PARTICULAR PROGRAM LOOKING AT 5011 03:29:31,456 --> 03:29:34,025 SEX DIFFERENCES IN HEALTH AND 5012 03:29:34,025 --> 03:29:34,593 DISEASE. 5013 03:29:34,593 --> 03:29:35,894 TWO ADMINISTRATIVE SUPPLEMENT 5014 03:29:35,894 --> 03:29:37,862 SUPPLEMENT PROGRAMS IN THE 5015 03:29:37,862 --> 03:29:38,496 MIDDLE. 5016 03:29:38,496 --> 03:29:39,831 NIH'S FIRST R01 ON INTERSECTION 5017 03:29:39,831 --> 03:29:44,035 OF SEX AND GENDER, AND MORE 5018 03:29:44,035 --> 03:29:46,304 RECENTLY R21 AND R01 FOCUSING ON 5019 03:29:46,304 --> 03:29:47,072 CHRONIC CONDITIONS IN WOMEN 5020 03:29:47,072 --> 03:29:49,674 HIGHLIGHTED IN THE REPORT DR. 5021 03:29:49,674 --> 03:29:50,075 SCHWETZ OUTLINED. 5022 03:29:50,075 --> 03:29:51,910 TO SEE A LITTLE BIT MORE ABOUT 5023 03:29:51,910 --> 03:29:54,212 WHERE WE ARE IN THE COUNTRY IN 5024 03:29:54,212 --> 03:29:57,048 TERMS OF BIRCWH PROGRAMS, SPREAD 5025 03:29:57,048 --> 03:29:59,317 THROUGHOUT THE COUNTRY, THEY 5026 03:29:59,317 --> 03:30:00,652 HAVE SUPPORTIVE TIME TO PURSUE 5027 03:30:00,652 --> 03:30:03,355 WOMEN'S HEALTH AND SEX 5028 03:30:03,355 --> 03:30:05,056 DIFFERENCES RESEARCH, CURRENTLY 5029 03:30:05,056 --> 03:30:07,659 19 ACTIVE PROGRAMS AND WE 5030 03:30:07,659 --> 03:30:10,061 SUPPORT 42 INSTITUTIONS SINCE 5031 03:30:10,061 --> 03:30:11,263 THE PROGRAM WAS INITIATED. 5032 03:30:11,263 --> 03:30:15,567 THIS IS A BUSY SLIDE, 5033 03:30:15,567 --> 03:30:16,635 INTENTIONALLY BUSY TO DISPLAY 5034 03:30:16,635 --> 03:30:19,671 RANGE OF SCIENCE BEING SUPPORTED 5035 03:30:19,671 --> 03:30:20,572 BY SPECIALIZED CENTERS OF 5036 03:30:20,572 --> 03:30:21,706 RESEARCH EXCELLENCE ON SEX 5037 03:30:21,706 --> 03:30:23,508 DIFFERENCES, WHETHER IT'S SEX 5038 03:30:23,508 --> 03:30:26,044 AND AGE DIFFERENCES IN IMMUNITY, 5039 03:30:26,044 --> 03:30:28,446 FOR EXAMPLE TO INFLUENZA, OR 5040 03:30:28,446 --> 03:30:30,215 STRESS AND NEURAL REGULATION, 5041 03:30:30,215 --> 03:30:35,153 REPRODUCTIVE AGING AND HEALTH 5042 03:30:35,153 --> 03:30:37,422 OUTCOMES AT THE BRIGHAM, 5043 03:30:37,422 --> 03:30:38,423 HYPERTENSION ACROSS THE HEALTH 5044 03:30:38,423 --> 03:30:40,058 SPAN THROUGH COMMUNITY OUTREACH 5045 03:30:40,058 --> 03:30:43,361 LOOKING AT HYPERTENSION RISK IN 5046 03:30:43,361 --> 03:30:44,229 WOMEN WITH AUTOIMMUNE DISEASE IN 5047 03:30:44,229 --> 03:30:44,529 PARTICULAR. 5048 03:30:44,529 --> 03:30:48,266 AND YOU CAN SEE THE VARIETY OF 5049 03:30:48,266 --> 03:30:50,902 AMAZING TOPICS AND INCREDIBLE 5050 03:30:50,902 --> 03:30:52,637 SCIENCE BEING SUPPORTED BY ORWH 5051 03:30:52,637 --> 03:30:55,707 AND THE INSTITUTES AND CENTERS 5052 03:30:55,707 --> 03:30:57,776 PROMINENTLY FEATURED HERE. 5053 03:30:57,776 --> 03:31:00,111 MORE RECENTLY, WE TOOK AN 5054 03:31:00,111 --> 03:31:01,313 ADDITIONAL LOOK FOLLOWING THE 5055 03:31:01,313 --> 03:31:04,049 U.S. CENSUS DATA BEING UPDATED, 5056 03:31:04,049 --> 03:31:04,916 EVERY TEN YEARS, THIS 5057 03:31:04,916 --> 03:31:06,985 INFORMATION IS PROVIDED WHERE WE 5058 03:31:06,985 --> 03:31:08,286 OUTLINED THE HEALTH OF 5059 03:31:08,286 --> 03:31:10,488 POPULATIONS OF WOMEN THAT ARE IN 5060 03:31:10,488 --> 03:31:13,558 THE NIH DESIGNATED HEALTH 5061 03:31:13,558 --> 03:31:14,726 DISPARITIES POPULATIONS, 5062 03:31:14,726 --> 03:31:15,727 UNDERSTUDIED POPULATIONS. 5063 03:31:15,727 --> 03:31:18,930 AND SO THIS DATA BOOK OUTLINES 5064 03:31:18,930 --> 03:31:22,967 SPECIFIC ATTENTION TO THOSE 5065 03:31:22,967 --> 03:31:25,270 POPULATIONS INCLUDING 5066 03:31:25,270 --> 03:31:26,037 SOCIOECONOMICALLY DISADVANTAGED 5067 03:31:26,037 --> 03:31:29,207 POPULATIONS, AS WELL AS 5068 03:31:29,207 --> 03:31:30,208 UNDERSEARCHED RURAL POPULATIONS, 5069 03:31:30,208 --> 03:31:31,810 DATA AVAILABLE THERE IN DETAIL. 5070 03:31:31,810 --> 03:31:34,346 YOU HEARD FROM DR. SCHWETZ ABOUT 5071 03:31:34,346 --> 03:31:36,881 SEX AS A BIOLOGICAL VARIABLE 5072 03:31:36,881 --> 03:31:38,550 POLICY, SUPPORTING NIH'S EFFORTS 5073 03:31:38,550 --> 03:31:40,819 TO ENHANCE REPRODUCIBILITY 5074 03:31:40,819 --> 03:31:45,190 THROUGH RIGOR AND TRANSPARENCY 5075 03:31:45,190 --> 03:31:46,558 INITIATED IN 2016. 5076 03:31:46,558 --> 03:31:48,393 AND HERE'S JUST A VERY HIGH 5077 03:31:48,393 --> 03:31:50,929 LEVEL VIEW OF SOME OF THE R01s 5078 03:31:50,929 --> 03:31:55,300 SUPPORTED ON THE INTERSECTION OF 5079 03:31:55,300 --> 03:31:57,369 SEX AND GENDER INFLUENCES, R01, 5080 03:31:57,369 --> 03:32:04,509 FOR EXAMPLE LOOKING AT 5081 03:32:04,509 --> 03:32:07,345 MENOPAUSE-DRIVEN DNA DAMAGE, 5082 03:32:07,345 --> 03:32:11,282 MALES AND FEMALES PROCESS PAIN 5083 03:32:11,282 --> 03:32:12,684 DIFFERENTLY, STRESS, 5084 03:32:12,684 --> 03:32:13,818 INFLAMMATION, CORONARY 5085 03:32:13,818 --> 03:32:14,886 ENDOTHELIAL INJURY, PREECLAMPSIA 5086 03:32:14,886 --> 03:32:17,322 HERE, AND SUBSTANCE USE AND 5087 03:32:17,322 --> 03:32:18,957 EPIGENETIC MODIFICATIONS AT THE 5088 03:32:18,957 --> 03:32:22,794 INTERSECTION OF SEX AND GENDER. 5089 03:32:22,794 --> 03:32:24,662 HIGHLIGHTING HERE A RESPONSE TO 5090 03:32:24,662 --> 03:32:26,731 CONGRESSIONAL REQUEST WE HOSTED 5091 03:32:26,731 --> 03:32:28,133 A WORKSHOP THAT RESULTED IN THE 5092 03:32:28,133 --> 03:32:30,235 REPORT ON CHRONIC DISEASES THAT 5093 03:32:30,235 --> 03:32:31,236 WAS HIGHLIGHTED EARLIER BY DR. 5094 03:32:31,236 --> 03:32:33,638 SCHWETZ AND HERE IS ONE OF THE 5095 03:32:33,638 --> 03:32:35,607 ACTIONS NIH TOOK. 5096 03:32:35,607 --> 03:32:37,142 IN COLLABORATION WITH THESE 5097 03:32:37,142 --> 03:32:39,110 INSTITUTES AND CENTERS, WE 5098 03:32:39,110 --> 03:32:41,079 INITIATED AN R21 AND R01 TO LOOK 5099 03:32:41,079 --> 03:32:42,847 AT CHRONIC DISEASES THAT ARE 5100 03:32:42,847 --> 03:32:45,250 UNDERSTUDIED AMONG WOMEN. 5101 03:32:45,250 --> 03:32:46,451 AS YOU HEARD, MULTI-MORBIDITY IS 5102 03:32:46,451 --> 03:32:47,852 MORE COMMON IN WOMEN THAN MEN. 5103 03:32:47,852 --> 03:32:50,588 WE NEED TO BETTER UNDERSTAND 5104 03:32:50,588 --> 03:32:51,589 THAT COMPLEX RELATIONSHIP 5105 03:32:51,589 --> 03:32:54,759 BETWEEN THOSE MULTIPLE DISEASES 5106 03:32:54,759 --> 03:32:56,227 WHEN THEY CO-OCCUR. 5107 03:32:56,227 --> 03:32:58,329 AS YOU KNOW, IN THE UNITED 5108 03:32:58,329 --> 03:32:59,697 STATES MATERNAL MORBIDITY AND 5109 03:32:59,697 --> 03:33:01,433 MORTALITY RATES HAVE BEEN 5110 03:33:01,433 --> 03:33:02,534 DISTURBINGLY HIGH. 5111 03:33:02,534 --> 03:33:05,069 HERE ARE DATA FROM CDC ON 5112 03:33:05,069 --> 03:33:06,838 MATERNITY MORTALITY RATES BY 5113 03:33:06,838 --> 03:33:08,139 RACE AND ETHNICITY, FOR TWO 5114 03:33:08,139 --> 03:33:08,773 YEARS. 5115 03:33:08,773 --> 03:33:12,076 YOU CAN SEE DIFFERENCES BY RACE 5116 03:33:12,076 --> 03:33:12,410 AND ETHNICITY. 5117 03:33:12,410 --> 03:33:14,245 NIH LEADERSHIP TOOK THIS ISSUE 5118 03:33:14,245 --> 03:33:15,914 ON SEVERAL YEARS AGO. 5119 03:33:15,914 --> 03:33:18,183 AND PUT RESOURCES TOGETHER TO 5120 03:33:18,183 --> 03:33:21,119 FORM A MATERNAL MORTALITY TASK 5121 03:33:21,119 --> 03:33:22,587 FORCE AND THEN THE "IMPROVE" 5122 03:33:22,587 --> 03:33:24,022 INITIATIVE WHICH RECEIVED 5123 03:33:24,022 --> 03:33:25,557 CONGRESSIONAL FUNDING. 5124 03:33:25,557 --> 03:33:28,827 IMPROVE INITIATIVE IS CO-LED BY 5125 03:33:28,827 --> 03:33:30,361 LEADERSHIP OF ORWH, NICHD, NINR, 5126 03:33:30,361 --> 03:33:34,065 AT THE CENTER OF THAT INITIATIVE 5127 03:33:34,065 --> 03:33:35,733 ARE MATERNAL HEALTH CENTERS OF 5128 03:33:35,733 --> 03:33:36,234 EXCELLENCE. 5129 03:33:36,234 --> 03:33:37,802 I'M PLEASED TO SHARE WE'RE NOW 5130 03:33:37,802 --> 03:33:39,137 FUNDING TEN CENTERS OF 5131 03:33:39,137 --> 03:33:40,238 EXCELLENCE AROUND THE COUNTRY, 5132 03:33:40,238 --> 03:33:43,274 MANY OF THEM IN LOCATIONS WHERE 5133 03:33:43,274 --> 03:33:45,276 THERE IS LITTLE OBSTETRIC CARE. 5134 03:33:45,276 --> 03:33:46,244 AND IN ADDITION TO THOUGH 5135 03:33:46,244 --> 03:33:49,113 CENTERPIECE THERE IS WERE A 5136 03:33:49,113 --> 03:33:53,151 VARIETY OF OTHER PROGRAMS, 5137 03:33:53,151 --> 03:33:53,885 DISSEMINATION AND 5138 03:33:53,885 --> 03:33:54,519 IMPLEMENTATION, RADX-TECH 5139 03:33:54,519 --> 03:33:55,753 CHALLENGE, COMMUNITY PROGRAM TO 5140 03:33:55,753 --> 03:33:58,857 NAME A FEW, THAT ARE ADDRESSING 5141 03:33:58,857 --> 03:33:59,791 COMMUNITY ENGAGEMENT AND 5142 03:33:59,791 --> 03:34:00,925 LISTENING TO THE COMMUNITIES 5143 03:34:00,925 --> 03:34:02,694 ABOUT WHAT ISSUES ARE MOST 5144 03:34:02,694 --> 03:34:03,428 IMPORTANT TO THEM. 5145 03:34:03,428 --> 03:34:07,265 SO THAT WE CAN ADDRESS THESE 5146 03:34:07,265 --> 03:34:09,334 ISSUES IN A PATIENT-CENTERED 5147 03:34:09,334 --> 03:34:10,768 COMMUNITY ENGAGED WAY. 5148 03:34:10,768 --> 03:34:14,639 WE ALSO HOST AN NIH MATERNAL 5149 03:34:14,639 --> 03:34:16,708 MORBIDITY AND MORTALITY WEB 5150 03:34:16,708 --> 03:34:18,243 PORTAL SHARING INFORMATION WITH 5151 03:34:18,243 --> 03:34:19,210 THE PUBLIC. 5152 03:34:19,210 --> 03:34:21,513 ONE OF THE EFFORTS THAT THE 5153 03:34:21,513 --> 03:34:22,280 OFFICE OF DISEASE PREVENTION 5154 03:34:22,280 --> 03:34:25,450 LEADS HERE AT NIH IS PATHWAYS TO 5155 03:34:25,450 --> 03:34:26,551 PREVENTION PROGRAM, A RIGOROUS 5156 03:34:26,551 --> 03:34:29,354 APPROACH LOOKING AT A VARIETY OF 5157 03:34:29,354 --> 03:34:30,722 ISSUES AND MATERNAL MORBIDITY 5158 03:34:30,722 --> 03:34:33,424 AND MORTALITY AND POSTPARTUM 5159 03:34:33,424 --> 03:34:37,929 HEALTH IN PARTICULAR, A SELECTED 5160 03:34:37,929 --> 03:34:40,999 AS A TOPIC OF INTEREST SEVERAL 5161 03:34:40,999 --> 03:34:42,433 YEARS AGO. 5162 03:34:42,433 --> 03:34:44,636 EVIDENCE REVIEW, INDEPENDENT 5163 03:34:44,636 --> 03:34:46,571 PANEL REPORT, FEDERAL PARTNERS 5164 03:34:46,571 --> 03:34:47,906 REPORT RELEASED MORE RECENTLY. 5165 03:34:47,906 --> 03:34:49,407 THE GRAPHIC ON THE RIGHT 5166 03:34:49,407 --> 03:34:52,710 HIGHLIGHTS ONE OF THE TOPICS 5167 03:34:52,710 --> 03:34:54,679 THAT IS SALIENT TO THIS REPORT, 5168 03:34:54,679 --> 03:34:57,315 THAT THE IMPORTANCE OF LOOKING 5169 03:34:57,315 --> 03:34:59,083 AT INDIVIDUAL SOCIAL CONTEXT AND 5170 03:34:59,083 --> 03:35:01,586 LIFE COURSE PERSPECTIVE IS GOING 5171 03:35:01,586 --> 03:35:03,988 TO BE CRUCIAL TO ADDRESSING THE 5172 03:35:03,988 --> 03:35:08,793 MATERNAL MORTALITY CRISIS IN 5173 03:35:08,793 --> 03:35:10,361 THIS COUNTRY. 5174 03:35:10,361 --> 03:35:12,230 ORWH WITH PARTNERS LET A 5175 03:35:12,230 --> 03:35:13,431 COLLABORATION WITH THE GATES 5176 03:35:13,431 --> 03:35:13,831 FOUNDATION. 5177 03:35:13,831 --> 03:35:15,400 LAST YEAR HOSTED A MEETING HERE. 5178 03:35:15,400 --> 03:35:19,537 AS A RESULT OF THAT, WITH THE 5179 03:35:19,537 --> 03:35:22,040 INPUT OF 250 INDIVIDUALS FROM 5180 03:35:22,040 --> 03:35:23,908 OVER 50 COUNTRIES DEVELOPED AN 5181 03:35:23,908 --> 03:35:24,809 OPPORTUNITY MAP. 5182 03:35:24,809 --> 03:35:27,078 THIS OPPORTUNITY MAP IS FOCUSED 5183 03:35:27,078 --> 03:35:29,514 ON INNOVATION, ANOTHER TOPIC OF 5184 03:35:29,514 --> 03:35:32,750 IMPORTANCE TO ORWH, AND IT 5185 03:35:32,750 --> 03:35:34,319 OUTLINES 50 EQUITABLE HIGH 5186 03:35:34,319 --> 03:35:35,954 RETURN OPPORTUNITIES TO ADVANCE 5187 03:35:35,954 --> 03:35:39,123 GLOBAL HEALTH INNOVATION FOR 5188 03:35:39,123 --> 03:35:39,757 WOMEN. 5189 03:35:39,757 --> 03:35:41,626 WE ALSO COLLABORATE WITH OTHER 5190 03:35:41,626 --> 03:35:43,494 OFFICES WITHIN THE NIH OFFICE OF 5191 03:35:43,494 --> 03:35:44,562 THE DIRECTOR, HERE I'M 5192 03:35:44,562 --> 03:35:46,564 HIGHLIGHTING AN OFFICE OF AIDS 5193 03:35:46,564 --> 03:35:50,034 RESEARCH COLLABORATION WHERE WE 5194 03:35:50,034 --> 03:35:51,603 ARE FOSTERING INTERDISCIPLINARY 5195 03:35:51,603 --> 03:35:53,137 INTERSECTIONAL RESEARCH AS WELL. 5196 03:35:53,137 --> 03:35:54,339 AND HERE IS A PUBLICATION 5197 03:35:54,339 --> 03:35:59,277 RECENTLY IN THE "THE LANCET" TT 5198 03:35:59,277 --> 03:36:00,712 ADDRESSED MULTIPLE DOMAINS, 5199 03:36:00,712 --> 03:36:02,480 SOCIAL AND STRUCTURAL 5200 03:36:02,480 --> 03:36:04,349 DETERMINANTS OF HEALTH, 5201 03:36:04,349 --> 03:36:06,851 POPULATION SPECIFIC ASPECTS LIKE 5202 03:36:06,851 --> 03:36:08,586 PREGNANT AND LACTATING PEOPLE, 5203 03:36:08,586 --> 03:36:15,727 INCLUDING LIFESPAN APPROACH AS 5204 03:36:15,727 --> 03:36:16,694 WELL AS MULTI-MORBIDITY. 5205 03:36:16,694 --> 03:36:19,330 THIS HAS BEEN PUT FORWARD BY 5206 03:36:19,330 --> 03:36:21,065 PRESIDENT BIDEN TO ADVANCE 5207 03:36:21,065 --> 03:36:23,034 WOMEN'S HEALTH RESEARCH, HERE 5208 03:36:23,034 --> 03:36:25,236 ARE KEY POINTS, YOU HEARD ABOUT 5209 03:36:25,236 --> 03:36:25,903 SOME EARLIER. 5210 03:36:25,903 --> 03:36:28,840 AT A HIGH LEVEL PRIORITIZING 5211 03:36:28,840 --> 03:36:32,443 INVESTMENT IN WOMEN'S HEALTH 5212 03:36:32,443 --> 03:36:34,112 RESEARCH, INTEGRATING ACROSS THE 5213 03:36:34,112 --> 03:36:40,752 CENTER PORTFOLIO, GALVANIZING 5214 03:36:40,752 --> 03:36:44,722 RESEARCH, ASSESSING UNMET NEEDS. 5215 03:36:44,722 --> 03:36:46,491 AND THIS EXECUTIVE ORDER EXTENDS 5216 03:36:46,491 --> 03:36:48,126 ACROSS-MULTIPLE U.S. GOVERNMENT 5217 03:36:48,126 --> 03:36:48,459 PARTNERS. 5218 03:36:48,459 --> 03:36:52,296 HERE ARE 11 FEDERAL AGENCIES, A 5219 03:36:52,296 --> 03:36:53,364 MULTI-AGENCY CROSS-CUTTING 5220 03:36:53,364 --> 03:36:55,433 EFFORT DESIGNED TO SUPPORT NEW 5221 03:36:55,433 --> 03:36:56,768 INTERDISCIPLINARY WOMEN'S HEALTH 5222 03:36:56,768 --> 03:36:57,702 RESEARCH AND BE TRANSFORMATIVE 5223 03:36:57,702 --> 03:36:59,404 IN THE PROCESS. 5224 03:36:59,404 --> 03:37:01,472 YOU CAN SEE OUR PARTNERS 5225 03:37:01,472 --> 03:37:02,573 OUTLINED HERE. 5226 03:37:02,573 --> 03:37:04,642 AT A HIGH LEVEL, A FEW OF THE 5227 03:37:04,642 --> 03:37:08,179 STEPS WE'VE TAKEN THUS FAR, 5228 03:37:08,179 --> 03:37:09,347 ALIGN WITH THIS EXECUTIVE ORDER, 5229 03:37:09,347 --> 03:37:12,550 ONE OF THE ORDERS IS SUPPORTING 5230 03:37:12,550 --> 03:37:13,851 INNOVATION, CROSS-SECTOR 5231 03:37:13,851 --> 03:37:14,185 COLLABORATION. 5232 03:37:14,185 --> 03:37:17,455 SO TO SUPPORT PRIVATE SECTOR 5233 03:37:17,455 --> 03:37:21,426 INNOVATION WE'RE MAKING 5234 03:37:21,426 --> 03:37:22,960 ADDITIONAL INVESTMENTS HERE, 5235 03:37:22,960 --> 03:37:24,362 INCREASING SBIR AND STTR 5236 03:37:24,362 --> 03:37:26,297 INVESTMENTS BY 50% TO BRIDGE THE 5237 03:37:26,297 --> 03:37:31,035 GAP BETWEEN PERFORMANCE OF THE 5238 03:37:31,035 --> 03:37:31,836 BASIC SCIENCE AND 5239 03:37:31,836 --> 03:37:32,403 COMMERCIALIZATIONING TAKING 5240 03:37:32,403 --> 03:37:33,805 RESEARCH TO THE PEOPLE MAKING 5241 03:37:33,805 --> 03:37:35,973 SURE THERE'S REAL WORLD CLINICAL 5242 03:37:35,973 --> 03:37:37,975 BENEFIT OF THE RESEARCH 5243 03:37:37,975 --> 03:37:39,277 RESUPPORTING, CREATING A FRONT 5244 03:37:39,277 --> 03:37:41,045 DOOR FOR FUNDING OPPORTUNITIES 5245 03:37:41,045 --> 03:37:42,914 ON WOMEN'S HEALTH, YOU CAN COME 5246 03:37:42,914 --> 03:37:44,782 TO THE SITE AND LEARN ABOUT 5247 03:37:44,782 --> 03:37:46,217 WOMEN'S HEALTH RESEARCH FUNDING 5248 03:37:46,217 --> 03:37:49,187 ACROSS ALL INSTITUTES AND 5249 03:37:49,187 --> 03:37:49,721 CENTERS. 5250 03:37:49,721 --> 03:37:51,856 CREATING COMPREHENSIVE RESEARCH 5251 03:37:51,856 --> 03:37:58,496 AGENDA ON MENOPAUSE, ORWH, 5252 03:37:58,496 --> 03:38:00,131 NHLBI, NIA AND OTHERS PARTNERING 5253 03:38:00,131 --> 03:38:01,332 ON PATHWAYS TO PREVENTION 5254 03:38:01,332 --> 03:38:03,101 PROGRAM FOCUSED ON MID-LIFE 5255 03:38:03,101 --> 03:38:04,936 HEALTH OF WOMEN AND MENOPAUSE 5256 03:38:04,936 --> 03:38:06,604 RESEARCH GAPS. 5257 03:38:06,604 --> 03:38:08,039 AND WE RECENTLY LAUNCHED OUR 5258 03:38:08,039 --> 03:38:09,907 FIRST EVER NOTICE OF SPECIAL 5259 03:38:09,907 --> 03:38:13,611 INTEREST LINKED TO EVERY SINGLE 5260 03:38:13,611 --> 03:38:14,679 NIH PARENT FUNDING OPPORTUNITY 5261 03:38:14,679 --> 03:38:16,781 ANNOUNCEMENT COGGER A WIDE RANGE 5262 03:38:16,781 --> 03:38:19,417 OF DISEASES, WIDE RANGE OF TYPES 5263 03:38:19,417 --> 03:38:21,052 OF SCIENCE AVAILABLE, AND WIDE 5264 03:38:21,052 --> 03:38:23,254 RANGE OF MECHANISMS. 5265 03:38:23,254 --> 03:38:25,656 SO WE'RE PROVIDING MULTIPLE 5266 03:38:25,656 --> 03:38:26,758 PATHWAYS FOR INVESTIGATORS AND 5267 03:38:26,758 --> 03:38:28,960 SCIENTISTS TO BE ABLE TO ACCESS 5268 03:38:28,960 --> 03:38:30,328 NIH FUNDING AND EMPHASIZING 5269 03:38:30,328 --> 03:38:32,764 WOMEN'S HEALTH RESEARCH IN THE 5270 03:38:32,764 --> 03:38:33,097 PROCESS. 5271 03:38:33,097 --> 03:38:34,198 YOU HEARD MID-LIFE HEALTH OF 5272 03:38:34,198 --> 03:38:38,770 WOMEN IS A TOPIC OF INTEREST IN 5273 03:38:38,770 --> 03:38:41,105 THE EXECUTIVE ORDER, A FEW 5274 03:38:41,105 --> 03:38:44,709 STATISTICS MORE THAN A MILLION 5275 03:38:44,709 --> 03:38:47,545 WOMEN ENTER MENOPAUSE EACH YEAR 5276 03:38:47,545 --> 03:38:51,149 IN THE UNITED STATES, 80 5277 03:38:51,149 --> 03:38:52,583 EXPERIENCE VASOMOTOR SYMPTOM. 5278 03:38:52,583 --> 03:38:55,520 IT'S A TRANSITION AND NORMAL 5279 03:38:55,520 --> 03:38:57,722 PART OF REPRODUCTIVE AGING, IT 5280 03:38:57,722 --> 03:39:00,124 CAN BE -- CAN COINCIDE WITH 5281 03:39:00,124 --> 03:39:01,159 MID-LIFE HEALTH USUALLY. 5282 03:39:01,159 --> 03:39:03,761 AT THAT POINT CAN BE A HEALTH 5283 03:39:03,761 --> 03:39:05,062 INFLECTION POINT. 5284 03:39:05,062 --> 03:39:07,799 AND IT CAN USHER IN THE ONSET OF 5285 03:39:07,799 --> 03:39:09,901 CHRONIC DISEASES OR EXACERBATION 5286 03:39:09,901 --> 03:39:11,102 OF CHRONIC DISEASES. 5287 03:39:11,102 --> 03:39:13,938 FOR EXAMPLE, EARLIER AGE OF 5288 03:39:13,938 --> 03:39:15,339 NATURAL MENOPAUSE IS ASSOCIATED 5289 03:39:15,339 --> 03:39:17,341 WITH HEART DISEASE AND 5290 03:39:17,341 --> 03:39:18,442 OSTEOPOROSIS RISK, WE WANT TO 5291 03:39:18,442 --> 03:39:19,744 MAKE SURE WE'RE UNDERSTANDING 5292 03:39:19,744 --> 03:39:21,712 THE RISK OF CHRONIC DISEASE OF 5293 03:39:21,712 --> 03:39:23,581 MID-LIFE HEALTH OF WOMEN AND AS 5294 03:39:23,581 --> 03:39:25,850 MANY STRATEGIES AS POSSIBLE TO 5295 03:39:25,850 --> 03:39:29,487 ADDRESS SYMPTOMS SUCH AS SLEEP 5296 03:39:29,487 --> 03:39:30,588 DISTURBANCE AND OTHERS. 5297 03:39:30,588 --> 03:39:32,456 THAT INFORMATION IS AVAILABLE ON 5298 03:39:32,456 --> 03:39:34,192 THIS WEBSITE INCLUDING RESEARCH 5299 03:39:34,192 --> 03:39:36,594 EFFORTS FROM ACROSS NIH, I'M 5300 03:39:36,594 --> 03:39:38,996 HIGHLIGHTING A RECENT 5301 03:39:38,996 --> 03:39:40,531 PUBLICATION WITH NIH CO-AUTHORS 5302 03:39:40,531 --> 03:39:42,300 SUMMARIZING ROBUST WORK DONE BY 5303 03:39:42,300 --> 03:39:44,802 NIH AND WOMEN'S HEALTH 5304 03:39:44,802 --> 03:39:46,470 INITIATIVE OVER THE MANY LAST 30 5305 03:39:46,470 --> 03:39:46,904 YEARS. 5306 03:39:46,904 --> 03:39:50,208 IN ADDITION TO THE OTHER EFFORTS 5307 03:39:50,208 --> 03:39:52,076 I MENTIONED, EXECUTIVE ORDER 5308 03:39:52,076 --> 03:39:54,378 CALLS FOR LOOKING AT BIOMARKERS 5309 03:39:54,378 --> 03:39:56,247 AND OTHER WAYS, OTHER PATHWAYS 5310 03:39:56,247 --> 03:39:58,115 TO DISCOVERY. 5311 03:39:58,115 --> 03:40:00,751 SO NIH HAS ANNOUNCED OUR 5312 03:40:00,751 --> 03:40:03,254 INTENTION TO EXPLORE BIOMARKER 5313 03:40:03,254 --> 03:40:04,589 DISCOVERY, TO PREVENT, DIAGNOSE, 5314 03:40:04,589 --> 03:40:06,757 TREAT CONDITIONS THAT AFFECT 5315 03:40:06,757 --> 03:40:07,124 WOMEN UNIQUELY. 5316 03:40:07,124 --> 03:40:09,026 THIS EFFORTS IS LED BY EUNICE 5317 03:40:09,026 --> 03:40:10,661 KENNEDY SHRIVER NATIONAL 5318 03:40:10,661 --> 03:40:13,297 INSTITUTE OF CHILD HEALTH AND 5319 03:40:13,297 --> 03:40:14,532 HUMAN DEVELOPMENT HIGHLIGHTED ON 5320 03:40:14,532 --> 03:40:16,067 THE RIGHT, ON THE STREET NOW 5321 03:40:16,067 --> 03:40:19,036 LOOKING AT WAYS TO UNDERSTAND 5322 03:40:19,036 --> 03:40:20,238 INITIATION OF ENDOMETRIOSIS, A 5323 03:40:20,238 --> 03:40:21,772 DISEASE THAT GOES UNDIAGNOSED 5324 03:40:21,772 --> 03:40:25,176 FOR MANY YEARS, PROGRESSION AND 5325 03:40:25,176 --> 03:40:25,543 PATHOPHYSIOLOGY. 5326 03:40:25,543 --> 03:40:27,044 AND OF COURSE IN THE DATA SPACE 5327 03:40:27,044 --> 03:40:32,950 WE'RE MAKING SURE WE CAN 5328 03:40:32,950 --> 03:40:34,252 STANDARDIZE DATA, LEARN MORE 5329 03:40:34,252 --> 03:40:35,887 FROM EVERY STUDY AND IMPROVE 5330 03:40:35,887 --> 03:40:42,793 DATASETS THAT ARE AVAILABLE TO 5331 03:40:42,793 --> 03:40:43,094 RESEARCHERS. 5332 03:40:43,094 --> 03:40:45,096 WE PUT TOGETHER INFORMATION 5333 03:40:45,096 --> 03:40:46,330 ABOUT NIH INVESTMENTS WHICH ARE 5334 03:40:46,330 --> 03:40:48,132 SUBSTANTIAL, IN ALL OF THESE 5335 03:40:48,132 --> 03:40:52,737 TOPICS, IN A SINGLE PLACE FOR 5336 03:40:52,737 --> 03:40:52,904 YOU. 5337 03:40:52,904 --> 03:40:55,139 MORE THAN 60 MILLION WOMEN ARE 5338 03:40:55,139 --> 03:40:56,941 LIVING WITH CARDIOVASCULAR 5339 03:40:56,941 --> 03:40:58,409 DISEASE INCLUDING HYPERTENSION, 5340 03:40:58,409 --> 03:41:00,511 YOU HEARD EARLIER THAT OVER 2/3 5341 03:41:00,511 --> 03:41:03,047 OF THE PEOPLE AFFECTED BY 5342 03:41:03,047 --> 03:41:05,249 ALZHEIMER'S DISEASE ARE WOMEN. 5343 03:41:05,249 --> 03:41:08,152 AND ABOUT 41% OF WOMEN HAVE 5344 03:41:08,152 --> 03:41:08,953 EXPERIENCED SEXUAL VIOLENCE, 5345 03:41:08,953 --> 03:41:10,588 PHYSICAL VIOLENCE, STALKING. 5346 03:41:10,588 --> 03:41:12,123 AND THAT HAS HEALTH 5347 03:41:12,123 --> 03:41:12,757 CONSEQUENCES. 5348 03:41:12,757 --> 03:41:13,991 THAT INFORMATION IS AVAILABLE. 5349 03:41:13,991 --> 03:41:16,594 AS WELL AS RESEARCH GAPS IN 5350 03:41:16,594 --> 03:41:17,328 THESE NIH FACTSHEETS. 5351 03:41:17,328 --> 03:41:19,096 AND IF YOU WANT TO LEARN MORE 5352 03:41:19,096 --> 03:41:21,198 ABOUT THIS INFORMATION, YOU CAN 5353 03:41:21,198 --> 03:41:23,301 CERTAINLY FOLLOW US ON SOCIAL 5354 03:41:23,301 --> 03:41:25,269 MEDIA AND THE INFORMATION IS 5355 03:41:25,269 --> 03:41:26,003 AVAILABLE HERE. 5356 03:41:26,003 --> 03:41:27,905 I WANT TO HIGHLIGHT ON THE RIGHT 5357 03:41:27,905 --> 03:41:34,245 LOWER PORTION OF THE SLIDE A 5358 03:41:34,245 --> 03:41:35,880 VARIETY OF HEALTH MATERIALS IN 5359 03:41:35,880 --> 03:41:38,282 COLLABORATION WITH THE FDA, 5360 03:41:38,282 --> 03:41:40,584 O.D., NATIONAL INSTITUTE OF 5361 03:41:40,584 --> 03:41:41,118 GENERAL MEDICAL SCIENCES, 5362 03:41:41,118 --> 03:41:42,887 AVAILABLE TO THE PUBLIC TO LEARN 5363 03:41:42,887 --> 03:41:45,723 ABOUT SEX AND GENDER INFLUENCES 5364 03:41:45,723 --> 03:41:47,024 SABV POLICY AND MORE. 5365 03:41:47,024 --> 03:41:48,359 I'M SURE DR. SCHWETZ AND I WOULD 5366 03:41:48,359 --> 03:41:49,360 BE HAPPY TO TAKE ANY QUESTIONS 5367 03:41:49,360 --> 03:41:50,127 YOU MIGHT HAVE. 5368 03:41:50,127 --> 03:41:52,730 THANKS. 5369 03:41:52,730 --> 03:41:53,631 >> THANK YOU, JANINE. 5370 03:41:53,631 --> 03:42:03,341 ANY QUESTIONS? 5371 03:42:03,341 --> 03:42:04,809 QUITE A COMPREHENSIVE REVIEW. 5372 03:42:04,809 --> 03:42:15,219 THERE'S A LOT GOING ON. 5373 03:42:15,686 --> 03:42:16,053 YES? 5374 03:42:16,053 --> 03:42:17,121 >> YES, COMPREHENSIVE. 5375 03:42:17,121 --> 03:42:19,123 >> TURN THE MIC ON. 5376 03:42:19,123 --> 03:42:20,024 >> SORRY. 5377 03:42:20,024 --> 03:42:23,060 THIS IS REMARKABLE WORK, VERY 5378 03:42:23,060 --> 03:42:23,494 IMPRESSIVE. 5379 03:42:23,494 --> 03:42:25,463 I'M JUST WONDERING YOU'RE 5380 03:42:25,463 --> 03:42:27,431 FOCUSING ON SO MANY CONDITIONS 5381 03:42:27,431 --> 03:42:31,235 AND SO ON THAT AFFECT WOMEN, AND 5382 03:42:31,235 --> 03:42:33,904 I DO WONDER HOW MUCH 5383 03:42:33,904 --> 03:42:36,073 CROSS-LEARNING THERE IS ACROSS 5384 03:42:36,073 --> 03:42:40,778 THE DIFFERENT RESEARCH GROUPS. 5385 03:42:40,778 --> 03:42:41,545 I'M MORE IN THE INFECTIOUS 5386 03:42:41,545 --> 03:42:43,247 DISEASE HIV KIND OF SPACE, AND 5387 03:42:43,247 --> 03:42:47,018 WE'VE LEARNED A LOT ABOUT HOW 5388 03:42:47,018 --> 03:42:50,721 YOU RECRUIT AND RETAIN WOMEN, ET 5389 03:42:50,721 --> 03:42:50,955 CETERA. 5390 03:42:50,955 --> 03:42:57,928 I ASSUME SOME ARE RELEVANT TO 5391 03:42:57,928 --> 03:43:01,332 CARDIOVASCULAR, I'M CURIOUS HOW 5392 03:43:01,332 --> 03:43:03,100 MUCH IS THE CROSS-RESEARCHER 5393 03:43:03,100 --> 03:43:03,367 LEARNING? 5394 03:43:03,367 --> 03:43:07,738 >> I THINK WHAT YOU'RE ASKING 5395 03:43:07,738 --> 03:43:08,806 ABOUT, CROSS-TOPIC 5396 03:43:08,806 --> 03:43:10,174 INTERDISCIPLINARY RESEARCH AND 5397 03:43:10,174 --> 03:43:12,109 HOW MUCH LEARNING THERE IS 5398 03:43:12,109 --> 03:43:13,744 ACROSS THOSE AREAS WITH 5399 03:43:13,744 --> 03:43:16,781 PARTICULAR ATTENTION TO HIV AND 5400 03:43:16,781 --> 03:43:18,549 INFECTIOUS DISEASE ON GLOBAL 5401 03:43:18,549 --> 03:43:19,316 BASIS. 5402 03:43:19,316 --> 03:43:22,920 >> I ACTUALLY MEANT BETWEEN HIV, 5403 03:43:22,920 --> 03:43:23,687 CARDIOVASCULAR DISEASE. 5404 03:43:23,687 --> 03:43:24,555 >> I SEE, GOT IT. 5405 03:43:24,555 --> 03:43:27,958 >> I'M SURE THEY ARE RELEVANT. 5406 03:43:27,958 --> 03:43:29,927 >> BETWEEN HIV, FOR EXAMPLE, AND 5407 03:43:29,927 --> 03:43:32,096 CARDIOVASCULAR DISEASE, SO 5408 03:43:32,096 --> 03:43:33,798 YOU'RE POINTING TO A CHALLENGE 5409 03:43:33,798 --> 03:43:35,499 AS WELL AS ONE OF THE AMAZING 5410 03:43:35,499 --> 03:43:36,801 STRENGTHS OF NIH. 5411 03:43:36,801 --> 03:43:39,336 EACH OF THE INSTITUTES HAS 5412 03:43:39,336 --> 03:43:40,638 INCREDIBLE DEPTH IN THE RESEARCH 5413 03:43:40,638 --> 03:43:41,806 IN THEIR MISSION AREAS. 5414 03:43:41,806 --> 03:43:44,608 AND SO ONE OF THE ROLES OF IS TO 5415 03:43:44,608 --> 03:43:46,444 HELP CONNECT THOSE DOTS. 5416 03:43:46,444 --> 03:43:47,445 THROUGH THAT NIH COORDINATING 5417 03:43:47,445 --> 03:43:48,412 COMMITTEE FOR RESEARCH ON 5418 03:43:48,412 --> 03:43:49,180 WOMEN'S HEALTH, THAT'S ONE OF 5419 03:43:49,180 --> 03:43:51,482 THE WAYS WE DO THAT. 5420 03:43:51,482 --> 03:43:54,552 BUT ALSO THE INSTITUTES LIKE 5421 03:43:54,552 --> 03:43:58,789 NIAID AND NHLBI DO SIGN ON TO 5422 03:43:58,789 --> 03:44:00,224 FUNDING OPPORTUNITIES THAT 5423 03:44:00,224 --> 03:44:00,891 SUPPORT INTERDISCIPLINARY 5424 03:44:00,891 --> 03:44:01,592 RESEARCH EFFORTS. 5425 03:44:01,592 --> 03:44:03,394 AND THAT'S ONE OF THE THINGS WE 5426 03:44:03,394 --> 03:44:07,998 DO WANT TO SEE INCREASINGS, BUT 5427 03:44:07,998 --> 03:44:09,967 MULTIPLE INSTITUTES AND CENTERS 5428 03:44:09,967 --> 03:44:12,269 SIGN ON WHEN THERE'S IDENTIFIED 5429 03:44:12,269 --> 03:44:15,239 AN AREA OR TOPIC ERESEARCH 5430 03:44:15,239 --> 03:44:16,006 QUESTION FOR WHICH 5431 03:44:16,006 --> 03:44:17,308 INTERDISCIPLINARY COLLABORATION 5432 03:44:17,308 --> 03:44:23,547 WOULD REALLY ADVANCE THE FIELD. 5433 03:44:23,547 --> 03:44:24,882 >> HOWARD? 5434 03:44:24,882 --> 03:44:25,116 THANKS. 5435 03:44:25,116 --> 03:44:26,517 >> YES, DR. CLAYTON, THANK YOU 5436 03:44:26,517 --> 03:44:28,486 FOR THIS PRESENTATION. 5437 03:44:28,486 --> 03:44:30,554 VERY IMPRESSIVE, IMPORTANT WORK. 5438 03:44:30,554 --> 03:44:32,857 STILL MANY UNMET NEEDS FOR 5439 03:44:32,857 --> 03:44:33,290 WOMEN'S HEALTH. 5440 03:44:33,290 --> 03:44:36,127 I WANT TO ASK ABOUT REGARDING 5441 03:44:36,127 --> 03:44:37,661 ALL THESE RFAs, DOES YOUR 5442 03:44:37,661 --> 03:44:40,531 OFFICE HAVE A BUDGET TO SUPPORT 5443 03:44:40,531 --> 03:44:42,766 ALL THESE R FAs OR DO YOU HAVE 5444 03:44:42,766 --> 03:44:45,870 TO CAJOLE I.C.s TO STEP UP IF 5445 03:44:45,870 --> 03:44:47,738 THERE HAPPENS TO BE AN 5446 03:44:47,738 --> 03:44:52,109 APPLICATION IN THEIR AREA, WHAT 5447 03:44:52,109 --> 03:44:54,745 WOULD HELP YOU GET YOUR WORK OUT 5448 03:44:54,745 --> 03:44:57,214 THERE AND EXTEND THIS PORTFOLIO? 5449 03:44:57,214 --> 03:44:58,883 >> DR. CHANG, THANK YOU FOR THAT 5450 03:44:58,883 --> 03:44:59,216 QUESTION. 5451 03:44:59,216 --> 03:45:01,452 WE WORK WITH ALL THE INSTITUTES 5452 03:45:01,452 --> 03:45:02,419 AND CENTERS. 5453 03:45:02,419 --> 03:45:04,822 WE'RE AN OFFICE IN O.D. 5454 03:45:04,822 --> 03:45:08,092 AND SO WE LEVERAGE OUR BUDGET BY 5455 03:45:08,092 --> 03:45:10,060 PARTNERING WITH THOSE INSTITUTES 5456 03:45:10,060 --> 03:45:11,929 AND CENTERS BY IDENTIFYING 5457 03:45:11,929 --> 03:45:12,930 OPPORTUNITIES FOR SCIENTIFIC 5458 03:45:12,930 --> 03:45:13,497 SYNERGY. 5459 03:45:13,497 --> 03:45:14,231 THE INSTITUTES AND CENTERS DO 5460 03:45:14,231 --> 03:45:17,635 SIGN ON TO THE FUNDING 5461 03:45:17,635 --> 03:45:19,170 OPPORTUNITIES AND WHEN 5462 03:45:19,170 --> 03:45:20,471 APPLICATIONS, MERITORIOUS 5463 03:45:20,471 --> 03:45:22,006 APPLICATIONS, COME IN, THAT IS 5464 03:45:22,006 --> 03:45:23,307 WHEN THE INSTITUTES AND CENTERS 5465 03:45:23,307 --> 03:45:26,377 STEP UP AND FUND THOSE RESEARCH 5466 03:45:26,377 --> 03:45:28,445 APPLICATIONS IN THEIR MISSION 5467 03:45:28,445 --> 03:45:30,214 AREA. 5468 03:45:30,214 --> 03:45:31,849 OFTEN ORWH WILL CO-FUND THOSE 5469 03:45:31,849 --> 03:45:33,484 APPLICATIONS WHICH IS ONE OF THE 5470 03:45:33,484 --> 03:45:35,586 WAYS TO MAKE THOSE LIMITED FUNDS 5471 03:45:35,586 --> 03:45:36,554 GO FARTHER. 5472 03:45:36,554 --> 03:45:38,088 SO IT REALLY DEPENDS ON SCIENCE 5473 03:45:38,088 --> 03:45:39,390 COMING IN. 5474 03:45:39,390 --> 03:45:41,258 WE DO SEE ROBUST INTEREST IN 5475 03:45:41,258 --> 03:45:43,561 WOMEN'S HEALTH RESEARCH RIGHT 5476 03:45:43,561 --> 03:45:45,095 NOW, AND OUR INSTITUTE AND 5477 03:45:45,095 --> 03:45:45,829 CENTER PARTNERS ARE STEPPING UP 5478 03:45:45,829 --> 03:45:48,799 IN A BIG WAY TO MOVE THAT 5479 03:45:48,799 --> 03:45:50,034 FORWARD. 5480 03:45:50,034 --> 03:45:52,670 I THINK THAT AS MANY 5481 03:45:52,670 --> 03:45:53,637 INTERDISCIPLINARY COLLABORATIVE 5482 03:45:53,637 --> 03:45:55,940 APPROACHES THAT WE CAN PROMOTE 5483 03:45:55,940 --> 03:45:57,908 WOULD MAKE THAT BE ABLE TO MOVE 5484 03:45:57,908 --> 03:45:58,809 A LITTLE MORE QUICKLY. 5485 03:45:58,809 --> 03:46:01,412 SO I HOPE THAT ANSWERS YOUR 5486 03:46:01,412 --> 03:46:01,679 QUESTION. 5487 03:46:01,679 --> 03:46:03,714 >> YEAH, I'LL JUST ADD -- GO 5488 03:46:03,714 --> 03:46:04,181 AHEAD, TARA. 5489 03:46:04,181 --> 03:46:05,015 >> SORRY. 5490 03:46:05,015 --> 03:46:07,318 I WAS GOING TO ADD TWO MORE 5491 03:46:07,318 --> 03:46:07,851 THINGS. 5492 03:46:07,851 --> 03:46:10,354 ONE, JUST TO EMPHASIZE WHAT 5493 03:46:10,354 --> 03:46:11,956 JANINE SAID THE ROLE OF ORWH AND 5494 03:46:11,956 --> 03:46:13,924 REALLY ALL OF THE OFFICES WITHIN 5495 03:46:13,924 --> 03:46:18,162 DPCPSI AND O.D. ARE TO HELP 5496 03:46:18,162 --> 03:46:18,896 COORDINATE AND CATALYZE SCIENCE 5497 03:46:18,896 --> 03:46:20,898 ACROSS THE AGENCY. 5498 03:46:20,898 --> 03:46:25,135 THAT'S OUR PRIMARY FUNCTION, TO 5499 03:46:25,135 --> 03:46:27,371 FACILITATE THAT 5500 03:46:27,371 --> 03:46:28,005 INTERDISCIPLINARY AND 5501 03:46:28,005 --> 03:46:28,672 CROSS-AGENCY SCIENCE. 5502 03:46:28,672 --> 03:46:32,076 THE SECOND THING I WOULD ADD IS 5503 03:46:32,076 --> 03:46:34,578 THAT THE -- YOU KNOW, EFFORTS 5504 03:46:34,578 --> 03:46:39,717 THAT WERE MENTIONED HERE TODAY 5505 03:46:39,717 --> 03:46:40,584 IN PARTICULAR, FOCUS ON ORWH 5506 03:46:40,584 --> 03:46:41,485 BECAUSE THAT WAS THE LENS WE 5507 03:46:41,485 --> 03:46:42,786 WERE TALKING ABOUT. 5508 03:46:42,786 --> 03:46:45,956 BY NO MEANS DOES ORWH OR ORWH'S 5509 03:46:45,956 --> 03:46:47,825 BUDGET REFLECT THE FULL SCOPE OF 5510 03:46:47,825 --> 03:46:49,159 THE WOMEN'S HEALTH ACTIVITIES 5511 03:46:49,159 --> 03:46:50,127 ACROSS NIH. 5512 03:46:50,127 --> 03:46:52,096 OBVIOUSLY THE INSTITUTES AND 5513 03:46:52,096 --> 03:46:52,963 CENTERS WILL INDIVIDUALLY STEP 5514 03:46:52,963 --> 03:46:54,598 UP AND SAY WE WANT TO FUND 5515 03:46:54,598 --> 03:46:57,368 RESEARCH IN THIS PARTICULAR AREA 5516 03:46:57,368 --> 03:46:58,769 RELATED TO WOMEN'S HEALTH. 5517 03:46:58,769 --> 03:47:00,638 THAT'S WHERE ORWH CAN HELP THEM 5518 03:47:00,638 --> 03:47:02,406 AND HELP THEM IDENTIFY OTHER 5519 03:47:02,406 --> 03:47:04,775 PARTNERS OR TO HELP RAISE 5520 03:47:04,775 --> 03:47:06,877 AWARENESS OR THINK ABOUT THE 5521 03:47:06,877 --> 03:47:07,645 SCIENCE FURTHER. 5522 03:47:07,645 --> 03:47:10,481 BUT I WANT TO EMPHASIZE THAT 5523 03:47:10,481 --> 03:47:14,652 POINT, ORWH ALONE IS NOT TAKING 5524 03:47:14,652 --> 03:47:16,153 ON THIS CHALLENGE. 5525 03:47:16,153 --> 03:47:17,721 >> I'LL REMIND YOU, TARA SHOWED 5526 03:47:17,721 --> 03:47:19,356 THIS AT THE BEGINNING. 5527 03:47:19,356 --> 03:47:24,595 IF YOU LOOK ACROSS NIH AND 5528 03:47:24,595 --> 03:47:25,796 I.C.s, IN 2023, THERE WAS 5529 03:47:25,796 --> 03:47:27,231 $4.6 BILLION THAT WAS SPENT 5530 03:47:27,231 --> 03:47:32,136 ACROSS THE DIFFERENT I.C.s 5531 03:47:32,136 --> 03:47:34,204 DIRECTED TOWARD EITHER HEALTH 5532 03:47:34,204 --> 03:47:36,206 ISSUES THAT WERE ONLY INVOLVED 5533 03:47:36,206 --> 03:47:38,509 WOMEN OR PRE-DOMINANTLY INVOLVED 5534 03:47:38,509 --> 03:47:38,842 WOMEN. 5535 03:47:38,842 --> 03:47:41,445 SO THERE WE DON'T HAVE TO CAJOLE 5536 03:47:41,445 --> 03:47:42,012 THEM. 5537 03:47:42,012 --> 03:47:44,848 THEY ARE PRETTY HEAVILY INVESTED 5538 03:47:44,848 --> 03:47:45,215 ALREADY. 5539 03:47:45,215 --> 03:47:48,352 WHAT'S REALLY IMPORTANT IS MAKE 5540 03:47:48,352 --> 03:47:49,553 SURE IT'S COORDINATED. 5541 03:47:49,553 --> 03:47:51,322 OTHER QUESTIONS? 5542 03:47:51,322 --> 03:47:51,588 YES? 5543 03:47:51,588 --> 03:47:53,724 GO AHEAD, BRIAN. 5544 03:47:53,724 --> 03:47:57,761 >> I WAS GOING TO DEVELOP ON THE 5545 03:47:57,761 --> 03:47:59,229 EARLIER QUESTION AROUND LESSONS 5546 03:47:59,229 --> 03:48:02,032 LEARNED IN ONE HEALTH DOMAIN, 5547 03:48:02,032 --> 03:48:03,133 WOMEN'S HEALTH, HOW THAT'S 5548 03:48:03,133 --> 03:48:03,467 SHARED. 5549 03:48:03,467 --> 03:48:06,103 I BELIEVE YOU'RE TALKING ABOUT 5550 03:48:06,103 --> 03:48:06,970 THE INTRAMURAL SIDE, GREAT 5551 03:48:06,970 --> 03:48:08,739 OPPORTUNITIES TO DO THAT. 5552 03:48:08,739 --> 03:48:09,807 ON THE EXTRAMURAL SIDE, YOU 5553 03:48:09,807 --> 03:48:12,142 KNOW, IF I APPLY FOR A GRANT ON 5554 03:48:12,142 --> 03:48:13,644 WOMEN'S HEALTH IN HIV, SOMEBODY 5555 03:48:13,644 --> 03:48:14,745 ELSE IS DOING SIMILAR WORK IN 5556 03:48:14,745 --> 03:48:15,512 CARDIOVASCULAR DISEASE WE MAY 5557 03:48:15,512 --> 03:48:17,981 NEVER TALK TO EACH OTHER ON THE 5558 03:48:17,981 --> 03:48:18,816 EXTRAMURAL SIDE. 5559 03:48:18,816 --> 03:48:21,452 I IMAGINE THESE CENTERS OF 5560 03:48:21,452 --> 03:48:22,319 EXCELLENCE THAT YOU'RE FUNDING, 5561 03:48:22,319 --> 03:48:24,755 THAT DO SEEM TO HAVE A DISEASE 5562 03:48:24,755 --> 03:48:27,491 FOCUS, DO THEY COME TOGETHER TO 5563 03:48:27,491 --> 03:48:31,428 SHARE LESSONS LEARNED, OR IS THE 5564 03:48:31,428 --> 03:48:35,132 BRIDGE PROGRAM AN EXAMPLE? 5565 03:48:35,132 --> 03:48:38,669 I ASSUME -- THE BIRCWH PROGRAM, 5566 03:48:38,669 --> 03:48:40,704 FROM WHAT I KNOW OF THE BIRCWH 5567 03:48:40,704 --> 03:48:43,540 PROGRAM IT'S A REALLY NICE 5568 03:48:43,540 --> 03:48:46,310 OPPORTUNITY TO SORT OF SEE 5569 03:48:46,310 --> 03:48:47,611 POPULATION-FOCUSED WORK ACROSS 5570 03:48:47,611 --> 03:48:49,046 DISEASES, THOSE INITIATIVES ARE 5571 03:48:49,046 --> 03:48:50,347 FAIRLY RARE AT NIH SO I'D LOVE 5572 03:48:50,347 --> 03:48:51,582 TO HEAR MORE ABOUT THAT. 5573 03:48:51,582 --> 03:48:54,752 >> THANK YOU FOR THAT QUESTION. 5574 03:48:54,752 --> 03:48:55,252 ABSOLUTELY. 5575 03:48:55,252 --> 03:48:58,055 BOTH BIRCWH AND SCORE MEET 5576 03:48:58,055 --> 03:49:00,657 INVESTIGATORS AND SCHOLARS, MEET 5577 03:49:00,657 --> 03:49:01,225 ANNUALLY FOR SCIENTIFIC 5578 03:49:01,225 --> 03:49:02,526 SYMPOSIUM WHERE INFORMATION IS 5579 03:49:02,526 --> 03:49:04,795 SHARED ACROSS THE CENTERS. 5580 03:49:04,795 --> 03:49:07,664 THEY ALSO MEET ONLINE MONTHLY, 5581 03:49:07,664 --> 03:49:09,933 WITH THE INSTITUTES AND PROGRAM 5582 03:49:09,933 --> 03:49:11,502 OFFICIALS, ON A MONTHLY WEBINAR 5583 03:49:11,502 --> 03:49:12,736 CALLED FOR THE SCORES. 5584 03:49:12,736 --> 03:49:14,438 THERE ARE MANY OPPORTUNITIES FOR 5585 03:49:14,438 --> 03:49:15,906 SHARING THAT INFORMATION. 5586 03:49:15,906 --> 03:49:18,208 I'LL ALSO ADD IN PARTNERSHIP 5587 03:49:18,208 --> 03:49:20,778 WITH NIGMS WE FORMED A NEW 5588 03:49:20,778 --> 03:49:21,812 WOMEN'S HEALTH RESEARCH PROGRAM 5589 03:49:21,812 --> 03:49:23,881 IN THE IDeA STATES, AND HAD 5590 03:49:23,881 --> 03:49:26,617 OUR FIRST WEBINAR WHERE THOSE 5591 03:49:26,617 --> 03:49:27,384 FOLKS PRESENTED THEIR WORK 5592 03:49:27,384 --> 03:49:31,121 ACROSS, AND THEY SHARED SCIENCE 5593 03:49:31,121 --> 03:49:32,790 ADVANCES ACROSS MULTIPLE IDeA 5594 03:49:32,790 --> 03:49:33,023 STATES. 5595 03:49:33,023 --> 03:49:34,291 MANY, MANY OPPORTUNITIES TO 5596 03:49:34,291 --> 03:49:36,360 SHARE INFORMATION. 5597 03:49:36,360 --> 03:49:38,095 AND ALSO THE SCORE RECENTLY HAD 5598 03:49:38,095 --> 03:49:39,096 A PUBLICATION THAT OUTLINES 5599 03:49:39,096 --> 03:49:40,431 THIS, WE WOULD BE HAPPY TO SHARE 5600 03:49:40,431 --> 03:49:44,902 WITH YOU. 5601 03:49:44,902 --> 03:49:49,406 5602 03:49:49,406 --> 03:49:50,808 >> OTHER QUESTIONS? 5603 03:49:50,808 --> 03:49:51,008 OKAY. 5604 03:49:51,008 --> 03:49:52,009 WELL, THINK WE'RE GOING TO TAKE 5605 03:49:52,009 --> 03:49:53,444 A BREAK FOR 20 MINUTES, 25 5606 03:49:53,444 --> 03:49:54,878 MINUTES, AND WE'LL BE BACK. 5607 03:49:54,878 --> 03:49:56,483 THANK YOU. 5608 03:49:57,481 --> 03:50:07,524 5609 03:49:57,659 --> 03:50:02,364 >> I THINK WE'RE GOING TO 5610 03:50:02,364 --> 03:50:02,631 RECONVENE. 5611 03:50:02,631 --> 03:50:05,601 WELCOME TO THE LAST SESSION 5612 03:50:05,601 --> 03:50:05,801 TODAY. 5613 03:50:05,801 --> 03:50:07,870 WE'RE GOING TO START WITH THE 5614 03:50:07,870 --> 03:50:10,939 NEW NETWORK FOR RESEARCH AND 5615 03:50:10,939 --> 03:50:13,008 PRIMARY CARE SETTINGS, AND YOU 5616 03:50:13,008 --> 03:50:15,711 HEARD MY INTRODUCTION VERY 5617 03:50:15,711 --> 03:50:18,047 QUICKLY THAT KIND OF WHAT WAS 5618 03:50:18,047 --> 03:50:19,581 THE IMPETUS BEHIND THIS IS 5619 03:50:19,581 --> 03:50:21,417 REALLY FEEL LIKE WE NEED TO DO 5620 03:50:21,417 --> 03:50:22,751 SOMETHING ABOUT THE DISEASES OF 5621 03:50:22,751 --> 03:50:22,985 DESPAIR. 5622 03:50:22,985 --> 03:50:24,319 WE NEED TO BE IN THESE 5623 03:50:24,319 --> 03:50:25,721 COMMUNITIES WHERE THIS IS 5624 03:50:25,721 --> 03:50:26,155 HAPPENING. 5625 03:50:26,155 --> 03:50:28,123 WE NEED TO TAKE OWNERSHIP OF 5626 03:50:28,123 --> 03:50:29,458 THIS PROBLEM. 5627 03:50:29,458 --> 03:50:31,126 AND THE BEST WAY WE'VE THOUGHT 5628 03:50:31,126 --> 03:50:36,565 WAS FOCUS ON THE PRIMARY CARE 5629 03:50:36,565 --> 03:50:37,699 COMMUNITY AS A RESEARCH 5630 03:50:37,699 --> 03:50:39,301 COMMUNITY BECAUSE THAT'S WHO IS 5631 03:50:39,301 --> 03:50:42,805 ON THE FRONT LINES SEEING THESE 5632 03:50:42,805 --> 03:50:43,405 PROBLEMS. 5633 03:50:43,405 --> 03:50:44,306 WE REALIZE HOW CHALLENGING THAT 5634 03:50:44,306 --> 03:50:48,844 IS GOING TO BE. 5635 03:50:48,844 --> 03:50:50,579 AND WE'RE NOT APPROACHING -- 5636 03:50:50,579 --> 03:50:56,919 WE'RE APPROACHING CAME. 5637 03:50:56,919 --> 03:50:58,020 DR. TARA SCHWETZ WILL PRESENT 5638 03:50:58,020 --> 03:50:58,787 THE PLAN. 5639 03:50:58,787 --> 03:51:03,158 I LOOK FORWARD TO YOUR COMMENTS. 5640 03:51:03,158 --> 03:51:05,360 >> ARE WE UP AND SHARING SLIDES? 5641 03:51:05,360 --> 03:51:08,964 >> I THINK SO. 5642 03:51:08,964 --> 03:51:09,765 >> OKAY, GOOD. 5643 03:51:09,765 --> 03:51:11,300 ALL RIGHT. 5644 03:51:11,300 --> 03:51:12,701 WELL, GOOD AFTERNOON, AGAIN, 5645 03:51:12,701 --> 03:51:12,968 EVERYONE. 5646 03:51:12,968 --> 03:51:15,437 I'M BACK TO TALK ABOUT AN EFFORT 5647 03:51:15,437 --> 03:51:18,207 WE'RE REALLY EXCITED ABOUT, AND 5648 03:51:18,207 --> 03:51:21,343 WE JUST LAUNCHED LATE LAST WEEK 5649 03:51:21,343 --> 03:51:23,112 WHERE WE'RE SETTING UP A 5650 03:51:23,112 --> 03:51:25,080 NETWORK, CLINICAL RESEARCH 5651 03:51:25,080 --> 03:51:29,785 NETWORK IN PRIMARY CARE SETTING. 5652 03:51:29,785 --> 03:51:32,321 OH, OKAY. 5653 03:51:32,321 --> 03:51:36,558 WELL, SO, MONICA TOUCHED ON SOE 5654 03:51:36,558 --> 03:51:36,892 STUFF. 5655 03:51:36,892 --> 03:51:38,193 I'M GOING THROUGH THE FIRST 5656 03:51:38,193 --> 03:51:38,894 SLIDES QUICKLY. 5657 03:51:38,894 --> 03:51:41,930 THIS IS SOMETHING WE'RE ALL 5658 03:51:41,930 --> 03:51:43,899 AWARE OF THAT THE HEALTH OF THE 5659 03:51:43,899 --> 03:51:45,968 U.S. POPULATION IS DECLINING AND 5660 03:51:45,968 --> 03:51:48,437 OF COURSE THE DECLINE TENDS TO 5661 03:51:48,437 --> 03:51:52,541 BE STEEPEST AMONGST THOSE THAT 5662 03:51:52,541 --> 03:51:53,408 ARE UNDERSERVED AND 5663 03:51:53,408 --> 03:51:55,844 UNDERREPRESENTED IN THE COUNTRY, 5664 03:51:55,844 --> 03:51:58,881 AND IN CLINICAL RESEARCH IN 5665 03:51:58,881 --> 03:51:59,181 PARTICULAR. 5666 03:51:59,181 --> 03:52:02,184 AND THE LIFE EXPECTANCY IN THE 5667 03:52:02,184 --> 03:52:06,989 U.S. IS THE LOWEST, ONE OF THE 5668 03:52:06,989 --> 03:52:07,890 LOWEST AMONGST OUR OECD PEERS. 5669 03:52:07,890 --> 03:52:11,727 YOU CAN SEE THE U.S. ON THIS 5670 03:52:11,727 --> 03:52:15,697 CHART, AND I'M GOING TO SKIP 5671 03:52:15,697 --> 03:52:18,834 THROUGH THIS QUICKLY. 5672 03:52:18,834 --> 03:52:21,036 THIS IS LOOKING AT LIFE 5673 03:52:21,036 --> 03:52:24,339 EXPECTANCY VERSUS HEALTH 5674 03:52:24,339 --> 03:52:26,942 EXPENDITURES, THE U.S. IS AN 5675 03:52:26,942 --> 03:52:29,244 OUTLIER AMONGST MANY OTHER 5676 03:52:29,244 --> 03:52:29,578 COUNTRIES. 5677 03:52:29,578 --> 03:52:31,113 WE HAVE REALLY HIGH 5678 03:52:31,113 --> 03:52:32,948 EXPENDITURES, AND YET WE'RE 5679 03:52:32,948 --> 03:52:34,183 STILL NOT SEEING AS MUCH IN 5680 03:52:34,183 --> 03:52:39,521 TERMS OF GAINS IN LIFE 5681 03:52:39,521 --> 03:52:39,821 EXPECTANCY. 5682 03:52:39,821 --> 03:52:42,357 SO, WE WANTED TO THINK ABOUT HOW 5683 03:52:42,357 --> 03:52:44,560 WE CAN SHIFT THE NEEDLE ON THIS 5684 03:52:44,560 --> 03:52:46,995 AND ENGAGE AND WORK WITH SOME 5685 03:52:46,995 --> 03:52:49,364 POPULATIONS THAT WE KNOW ARE 5686 03:52:49,364 --> 03:52:50,899 TRADITIONALLY UNDERREPRESENTED 5687 03:52:50,899 --> 03:52:52,935 IN RESEARCH AND ARE ALSO 5688 03:52:52,935 --> 03:52:56,738 UNDERSERVED IN THE HEALTH CARE 5689 03:52:56,738 --> 03:52:56,972 SYSTEM. 5690 03:52:56,972 --> 03:52:57,839 AND DISPROPORTIONATELY IMPACTED 5691 03:52:57,839 --> 03:52:58,907 BY DISEASE AS WELL. 5692 03:52:58,907 --> 03:53:01,877 WE WANT TO THINK ABOUT BARRIERS 5693 03:53:01,877 --> 03:53:03,512 PEOPLE FACE TO ACCESSING 5694 03:53:03,512 --> 03:53:05,881 CLINICAL RESEARCH, AND YOU CAN 5695 03:53:05,881 --> 03:53:09,184 SEE HERE THIS SORT OF BARRIER 5696 03:53:09,184 --> 03:53:13,021 CHART HERE TO GETTING TO CARE. 5697 03:53:13,021 --> 03:53:13,889 PEOPLE EXPERIENCE BARRIERS 5698 03:53:13,889 --> 03:53:15,657 AROUND ACCESS THAT INCLUDES 5699 03:53:15,657 --> 03:53:17,626 THINGS LIKE TRANSPORTATION, 5700 03:53:17,626 --> 03:53:20,796 ACTUALLY GETTING TO THE SITES, 5701 03:53:20,796 --> 03:53:21,897 FINANCIAL CONSTRAINTS, IT COSTS 5702 03:53:21,897 --> 03:53:23,198 MONEY TO PARTICIPATE IN THESE 5703 03:53:23,198 --> 03:53:24,933 THINGS, WHETHER THAT'S IN TERMS 5704 03:53:24,933 --> 03:53:28,103 OF TIME OR, YOU KNOW, EVEN JUST 5705 03:53:28,103 --> 03:53:29,871 TRANSPORTATION COST, THINKING 5706 03:53:29,871 --> 03:53:32,941 ABOUT CHILD CARE 5707 03:53:32,941 --> 03:53:34,276 RESPONSIBILITIES IS ALSO AN 5708 03:53:34,276 --> 03:53:36,778 EFFORT THAT VECTOR INTO BOTH 5709 03:53:36,778 --> 03:53:39,514 LOGISTICS OF TRANSPORTATION AS 5710 03:53:39,514 --> 03:53:42,584 WELL AS FINANCIAL CONSTRAINTS, 5711 03:53:42,584 --> 03:53:46,088 AND THEN AGAIN TIME. 5712 03:53:46,088 --> 03:53:48,357 THE CONSTRAINTS AROUND PEOPLE'S 5713 03:53:48,357 --> 03:53:49,591 WORK SCHEDULE, OBVIOUSLY, IS 5714 03:53:49,591 --> 03:53:50,359 ANOTHER ISSUE. 5715 03:53:50,359 --> 03:53:51,860 AND THEN THE REPRESENTATION IN 5716 03:53:51,860 --> 03:53:58,767 THE WORKFORCE, LANGUAGE 5717 03:53:58,767 --> 03:53:59,868 BARRIERS, CULTURAL COMPETENCES, 5718 03:53:59,868 --> 03:54:03,572 PHYSICAL ACCESSIBILITY TO SITES. 5719 03:54:03,572 --> 03:54:06,074 AND THEN FINALLY AT LEAST 5720 03:54:06,074 --> 03:54:07,175 REPRESENTED HERE HEALTH LITERACY 5721 03:54:07,175 --> 03:54:09,611 AND TRUST IN THE RESEARCH THAT 5722 03:54:09,611 --> 03:54:10,579 IS BEING CONDUCTED. 5723 03:54:10,579 --> 03:54:12,547 AND OBVIOUSLY THERE ARE MANY, 5724 03:54:12,547 --> 03:54:13,982 MANY MORE BUT BASICALLY WHAT WE 5725 03:54:13,982 --> 03:54:18,020 WANT TO SAY IS THERE ARE LOTS OF 5726 03:54:18,020 --> 03:54:18,553 BARRIERS. 5727 03:54:18,553 --> 03:54:20,222 ONE OF THE THINGS WE WANT TO DO 5728 03:54:20,222 --> 03:54:23,525 IS HELP BREAK DOWN SOME OF THESE 5729 03:54:23,525 --> 03:54:25,260 BARRIERS BY HELPING TO LAUNCH 5730 03:54:25,260 --> 03:54:27,129 THIS NETWORK THAT YOU HEARD A 5731 03:54:27,129 --> 03:54:30,732 LITTLE BIT ABOUT THIS MORNING. 5732 03:54:30,732 --> 03:54:33,368 SO, TO HELP COMBAT THIS DECLINE 5733 03:54:33,368 --> 03:54:34,670 AND THESE INEQUITIES, WE 5734 03:54:34,670 --> 03:54:36,872 DESIGNED A PROGRAM TO EXPAND 5735 03:54:36,872 --> 03:54:39,641 RESEARCH OPPORTUNITIES TO WHERE 5736 03:54:39,641 --> 03:54:41,910 PEOPLE ACTUALLY SEEK CARE BY 5737 03:54:41,910 --> 03:54:43,545 INTEGRATING CLINICAL RESEARCH 5738 03:54:43,545 --> 03:54:46,415 FURTHER INTO PRIMARY CARE 5739 03:54:46,415 --> 03:54:47,115 SETTINGS. 5740 03:54:47,115 --> 03:54:50,185 WE WANT TO FACILITATE AND 5741 03:54:50,185 --> 03:54:52,120 ACCELERATE ADVANCES FOR ADOPTION 5742 03:54:52,120 --> 03:54:54,089 AND IMPLEMENTATION INTO EVERYDAY 5743 03:54:54,089 --> 03:54:57,592 CLINICAL CARE SETTINGS AND HELP 5744 03:54:57,592 --> 03:54:58,160 ULTIMATELY IMPROVE HEALTH 5745 03:54:58,160 --> 03:54:59,194 OUTCOMES FOR ALL AMERICANS. 5746 03:54:59,194 --> 03:55:01,530 THAT LAST POINT IS KEY. 5747 03:55:01,530 --> 03:55:02,631 YOU HEARD MONICA ECHO THAT 5748 03:55:02,631 --> 03:55:03,398 IMPORTANT AS WELL, THE 5749 03:55:03,398 --> 03:55:04,700 IMPORTANCE OF TRYING TO MAKE 5750 03:55:04,700 --> 03:55:11,707 SURE THAT THE WORK THAT WE DO IS 5751 03:55:11,707 --> 03:55:12,374 AVAILABLE TO EVERYONE. 5752 03:55:12,374 --> 03:55:15,210 THIS IS A SLIDE YOU SAW THIS 5753 03:55:15,210 --> 03:55:16,745 MORNING, I THINK IT NICELY 5754 03:55:16,745 --> 03:55:18,413 OUTLINES THE PROGRAM THAT WE'RE 5755 03:55:18,413 --> 03:55:21,683 LAUNCHING THIS CARE FOR HEALTH 5756 03:55:21,683 --> 03:55:22,451 INITIATIVE, COMMUNITIES 5757 03:55:22,451 --> 03:55:23,652 ADVANCING RESEARCH EQUITY FOR 5758 03:55:23,652 --> 03:55:24,152 HEALTH. 5759 03:55:24,152 --> 03:55:26,922 THINK ABOUT HOW WE CAN INTEGRATE 5760 03:55:26,922 --> 03:55:28,890 RESEARCH INTO THE CLINICAL CARE 5761 03:55:28,890 --> 03:55:30,325 ENVIRONMENT, TO HELP US AS WE 5762 03:55:30,325 --> 03:55:32,427 THINK ABOUT TRUST, BUILDING 5763 03:55:32,427 --> 03:55:36,131 TRUST IN COMMUNITIES TO ADDRESS 5764 03:55:36,131 --> 03:55:37,632 THE COMMUNITY'S NEEDS AND TO 5765 03:55:37,632 --> 03:55:39,034 IDENTIFY THOSE TOPICS THAT ARE 5766 03:55:39,034 --> 03:55:40,302 MOST IMPORTANT TO THE 5767 03:55:40,302 --> 03:55:43,605 COMMUNITIES THAT WE CAN HELP TO 5768 03:55:43,605 --> 03:55:45,574 TACKLE THE CHALLENGES THAT THEY 5769 03:55:45,574 --> 03:55:47,275 ARE EXPERIENCING EVERY DAY. 5770 03:55:47,275 --> 03:55:49,611 AND THEN WE WANT TO THINK ABOUT 5771 03:55:49,611 --> 03:55:50,612 THIS IN A LONGITUDINAL WAY, NOT 5772 03:55:50,612 --> 03:55:53,582 JUST IN TERMS OF HOW WE THINK 5773 03:55:53,582 --> 03:55:55,217 ABOUT COLLECTING DATA 5774 03:55:55,217 --> 03:55:56,251 LONGITUDINALLY BUT ALSO KIND OF 5775 03:55:56,251 --> 03:55:59,354 THE DURATION OF THE EFFORT BEING 5776 03:55:59,354 --> 03:56:01,690 A LONGITUDINAL EFFORT ACROSS 5777 03:56:01,690 --> 03:56:03,859 THINKING ABOUT HEALTH ACROSS THE 5778 03:56:03,859 --> 03:56:06,027 LIFESPAN, AND WE KNOW ONE OF THE 5779 03:56:06,027 --> 03:56:07,529 THINGS, SOME WERE TALKING ABOUT 5780 03:56:07,529 --> 03:56:10,198 THIS EARLIER, THAT'S GOING TO BE 5781 03:56:10,198 --> 03:56:10,899 CRITICAL TO LAUNCHING THIS 5782 03:56:10,899 --> 03:56:13,268 EFFORT IS TO THINK ABOUT THE 5783 03:56:13,268 --> 03:56:14,703 BURDEN OF THE PROVIDERS. 5784 03:56:14,703 --> 03:56:16,338 WE'RE TALKING ABOUT PRIMARY CARE 5785 03:56:16,338 --> 03:56:17,406 PROVIDERS HERE. 5786 03:56:17,406 --> 03:56:22,778 WE KNOW AND WE'VE HEARD THIS, 5787 03:56:22,778 --> 03:56:25,947 WE'VE HEARD A LOT ABOUT HOW 5788 03:56:25,947 --> 03:56:28,316 PROVIDERS ARE ALREADY OVERWORKED 5789 03:56:28,316 --> 03:56:29,351 AND OVERBURDENED, ONE OF THE 5790 03:56:29,351 --> 03:56:32,187 THINGS WE WANT TO NOT DO IS 5791 03:56:32,187 --> 03:56:33,488 PROVIDE ADDITIONAL BURDEN TO 5792 03:56:33,488 --> 03:56:34,823 THEM WHEN WE'RE ACTUALLY TRYING 5793 03:56:34,823 --> 03:56:35,924 TO REDUCE THAT. 5794 03:56:35,924 --> 03:56:39,528 SO THINKING ABOUT HOW WE CAN BE 5795 03:56:39,528 --> 03:56:41,163 CREATIVE IN USING VARIOUS 5796 03:56:41,163 --> 03:56:43,799 APPROACHES TO BE ABLE TO DO 5797 03:56:43,799 --> 03:56:44,232 THAT. 5798 03:56:44,232 --> 03:56:47,736 OF COURSE WHAT WE HOPE, WHAT 5799 03:56:47,736 --> 03:56:50,572 WE'RE HOPING IS INCREASE 5800 03:56:50,572 --> 03:56:51,139 ADHERENCE TO EVIDENCE-BASED 5801 03:56:51,139 --> 03:56:57,045 CARE, TO HELP IMPROVE EFFICIENCY 5802 03:56:57,045 --> 03:57:00,949 AND DELIVERY OF CARE. 5803 03:57:00,949 --> 03:57:01,416 OKAY. 5804 03:57:01,416 --> 03:57:04,052 SO, THE NETWORK REALLY IS TRYING 5805 03:57:04,052 --> 03:57:06,021 TO TAKE ON ALL OF THOSE THINGS. 5806 03:57:06,021 --> 03:57:09,658 WE WANT TO TALK ABOUT OUR 5807 03:57:09,658 --> 03:57:11,593 APPROACH TO IT, AND WHAT WE'RE 5808 03:57:11,593 --> 03:57:14,896 AIMING TO ACHIEVE WITH THIS. 5809 03:57:14,896 --> 03:57:17,165 SO WE ARE HOPING TO TRY TO 5810 03:57:17,165 --> 03:57:21,603 OVERCOME ALL THOSE BARRIERS I 5811 03:57:21,603 --> 03:57:23,305 INDICATED BY LEVERAGING THE 5812 03:57:23,305 --> 03:57:24,172 INFRASTRUCTURE WE HAVE ACROSS 5813 03:57:24,172 --> 03:57:28,043 NIH AND BEYOND TO BE ABLE TO 5814 03:57:28,043 --> 03:57:29,444 ENROLL, HELP EXPAND ENROLLMENT 5815 03:57:29,444 --> 03:57:32,080 IN EXISTING STUDIES AND WE WANT 5816 03:57:32,080 --> 03:57:33,281 TO START SMALL. 5817 03:57:33,281 --> 03:57:35,817 WE'RE NOT TRYING TO TAKE TOO BIG 5818 03:57:35,817 --> 03:57:40,288 OF A BITE OF AN APPLE HERE. 5819 03:57:40,288 --> 03:57:42,057 START SMALL, GO NARROW AND DEEP 5820 03:57:42,057 --> 03:57:44,459 WIRED THAN WIDER AND SHALLOW, 5821 03:57:44,459 --> 03:57:46,228 PROOF OF CONCEPT, WANT TO MAKE 5822 03:57:46,228 --> 03:57:47,329 SURE WE'RE SUCCESSFUL. 5823 03:57:47,329 --> 03:57:48,630 EVENTUALLY WHERE WE SEE THIS 5824 03:57:48,630 --> 03:57:50,832 DOING IS EXPANDING OUT WHERE WE 5825 03:57:50,832 --> 03:57:52,868 CAN ADD SITES AND BE ABLE TO 5826 03:57:52,868 --> 03:57:55,003 START NEW STUDIES RATHER THAN 5827 03:57:55,003 --> 03:57:57,506 JUST EXPANDING THOSE EXISTING 5828 03:57:57,506 --> 03:57:57,739 STUDIES. 5829 03:57:57,739 --> 03:57:58,940 AGAIN, WE'RE STARTING SMALL SO 5830 03:57:58,940 --> 03:58:00,909 WE CAN SHOW SUCCESS. 5831 03:58:00,909 --> 03:58:03,745 WE'RE GOING TO WORK EXISTING 5832 03:58:03,745 --> 03:58:05,714 RESEARCH NETWORKS AND WORK WITH 5833 03:58:05,714 --> 03:58:06,715 THOSE COLLABORATORS THAT WE 5834 03:58:06,715 --> 03:58:08,250 ALREADY HAVE, AND THE 5835 03:58:08,250 --> 03:58:11,052 INFRASTRUCTURE THAT WE'RE 5836 03:58:11,052 --> 03:58:12,621 ALREADY SUPPORTING TO THEN 5837 03:58:12,621 --> 03:58:15,023 EVENTUALLY BUILD OUT AND BRING 5838 03:58:15,023 --> 03:58:18,193 ON NEW COLLABORATORS AND NEW 5839 03:58:18,193 --> 03:58:18,960 COMMUNITY PARTNERS. 5840 03:58:18,960 --> 03:58:21,396 AND AGAIN, I TALKED ABOUT THIS 5841 03:58:21,396 --> 03:58:23,231 PREVIOUSLY, BUILDING TRUST WITH 5842 03:58:23,231 --> 03:58:24,432 THE COMMUNITIES IS CRITICAL TO 5843 03:58:24,432 --> 03:58:25,000 THIS EFFORT. 5844 03:58:25,000 --> 03:58:26,835 WE WANT TO BUILD IT IN A WAY 5845 03:58:26,835 --> 03:58:29,237 THAT IT'S FLEXIBLE AND THAT IT 5846 03:58:29,237 --> 03:58:30,906 ADDRESSES NEEDS OF THE 5847 03:58:30,906 --> 03:58:34,075 COMMUNITIES, MAKE SURE WE'RE 5848 03:58:34,075 --> 03:58:34,943 ANSWERING QUESTIONS COMMUNITIES 5849 03:58:34,943 --> 03:58:35,644 WANT ANSWERED. 5850 03:58:35,644 --> 03:58:37,546 THE IDEA BEHIND THIS IS TO 5851 03:58:37,546 --> 03:58:39,180 CREATE A MENU OF STUDIES THAT 5852 03:58:39,180 --> 03:58:41,082 THE SITES ARE ABLE TO LOOK AT 5853 03:58:41,082 --> 03:58:44,486 AND SAY, YOU KNOW, WE ARE REALLY 5854 03:58:44,486 --> 03:58:45,453 INTERESTED IN SUBSTANCE ABUSE SO 5855 03:58:45,453 --> 03:58:48,623 WE WANT TO DO A STUDY RELATED TO 5856 03:58:48,623 --> 03:58:50,158 THAT BUT THOSE OTHER AREAS, THEY 5857 03:58:50,158 --> 03:58:53,562 ARE NOT REALLY SOMETHING THAT 5858 03:58:53,562 --> 03:58:54,763 WE'RE PRIORITIZING RIGHT NOW. 5859 03:58:54,763 --> 03:58:57,065 SO BE ABLE TO ALLOW THE SITES TO 5860 03:58:57,065 --> 03:58:58,900 TAILOR TO THEIR NEEDS AND THEIR 5861 03:58:58,900 --> 03:59:00,335 CAPABILITIES BECAUSE THEY MAY 5862 03:59:00,335 --> 03:59:04,606 NOT BE ABLE TO LAUNCH A TRIAL, 5863 03:59:04,606 --> 03:59:06,441 YOU KNOW, THAT IS ON OFFER ON 5864 03:59:06,441 --> 03:59:08,643 THE MENU AT LEAST RIGHT NOW. 5865 03:59:08,643 --> 03:59:10,211 MAYBE THEY NEED A FEW YEARS TO 5866 03:59:10,211 --> 03:59:11,279 BUILD EXPERIENCE, MAYBE THEY ARE 5867 03:59:11,279 --> 03:59:12,614 IN THE PROCESS OF DOING 5868 03:59:12,614 --> 03:59:13,682 SOMETHING WHERE IT'S GOING TO 5869 03:59:13,682 --> 03:59:15,650 PROVIDE INFRASTRUCTURE TO BE 5870 03:59:15,650 --> 03:59:17,953 ABLE TO DO THAT, A YEAR OR TWO 5871 03:59:17,953 --> 03:59:19,487 DOWN THE ROAD. 5872 03:59:19,487 --> 03:59:21,456 AGAIN, THAT'S THE IDEA AROUND 5873 03:59:21,456 --> 03:59:22,424 FLEXIBILITY AND TAILORING. 5874 03:59:22,424 --> 03:59:25,193 AND REALLY TO HELP LOWER THE BAR 5875 03:59:25,193 --> 03:59:28,163 OF DOING RESEARCH IN PRIMARY 5876 03:59:28,163 --> 03:59:28,496 CARE SETTINGS. 5877 03:59:28,496 --> 03:59:30,665 AND WE'RE HOPING TO DO THIS, 5878 03:59:30,665 --> 03:59:32,000 STARTING THIS FISCAL YEAR. 5879 03:59:32,000 --> 03:59:34,936 SO WE'VE BEEN BUSY FOR THE LAST 5880 03:59:34,936 --> 03:59:37,339 COUPLE MONTHS. 5881 03:59:37,339 --> 03:59:38,940 NOW, IN ORDER TO ENSURE 5882 03:59:38,940 --> 03:59:40,442 SUCCESSFUL APPROACH WE HAVE TO 5883 03:59:40,442 --> 03:59:40,809 PARTNER. 5884 03:59:40,809 --> 03:59:42,644 AGAIN, WE WANT TO MAKE SURE 5885 03:59:42,644 --> 03:59:43,511 WE'RE BUILDING OFF THE RESOURCES 5886 03:59:43,511 --> 03:59:44,179 WE ALREADY HAVE. 5887 03:59:44,179 --> 03:59:46,881 WE DON'T HAVE TO START FROM 5888 03:59:46,881 --> 03:59:47,115 SCRATCH. 5889 03:59:47,115 --> 03:59:48,316 WE HAVE SOME REALLY GREAT 5890 03:59:48,316 --> 03:59:49,751 EFFORTS THAT ARE ALREADY 5891 03:59:49,751 --> 03:59:51,953 UNDERWAY THAT WE CAN UTILIZE 5892 03:59:51,953 --> 03:59:54,389 INCLUDING THE IDEA CLINICAL AND 5893 03:59:54,389 --> 03:59:57,125 TRANSLATIONAL RESEARCH NETWORK 5894 03:59:57,125 --> 03:59:58,760 THAT EXISTS, THAT NIGMS 5895 03:59:58,760 --> 04:00:00,195 SUPPORTS, CLINICAL AND 5896 04:00:00,195 --> 04:00:01,830 TRANSLATIONAL SCIENCES AWARDS 5897 04:00:01,830 --> 04:00:03,798 FUNDED THROUGH NCATS, THOSE WILL 5898 04:00:03,798 --> 04:00:06,434 BE TWO OF OUR MAJOR I THINK 5899 04:00:06,434 --> 04:00:08,069 PARTNERS IN THIS EFFORT. 5900 04:00:08,069 --> 04:00:12,674 AND THEN OF COURSE WE HAVE THE 5901 04:00:12,674 --> 04:00:20,015 COMMUNITY ENGAGED ALLIANCE AND 5902 04:00:20,015 --> 04:00:21,583 NIH COLLABORATORY THAT MAY HELP 5903 04:00:21,583 --> 04:00:23,952 SUPPORT THIS NETWORK AS WELL, 5904 04:00:23,952 --> 04:00:25,353 THE COLLABORATORY WITH 5905 04:00:25,353 --> 04:00:26,788 INFRASTRUCTURE AROUND PRAGMATIC 5906 04:00:26,788 --> 04:00:31,693 CLINICAL TRIALS, AND TRIAL 5907 04:00:31,693 --> 04:00:33,294 DESIGN, AND COMMUNITY ENGAGED 5908 04:00:33,294 --> 04:00:34,863 ALLIANCE, CEAL, TO HELP PROVIDE 5909 04:00:34,863 --> 04:00:37,165 EXPERTISE AND RESOURCES AND 5910 04:00:37,165 --> 04:00:38,700 OTHER THINGS THAT CAN PROVIDE 5911 04:00:38,700 --> 04:00:39,801 BEST PRACTICES AROUND WORKING 5912 04:00:39,801 --> 04:00:42,103 WITH COMMUNITIES, HELPING US 5913 04:00:42,103 --> 04:00:43,505 ENGAGE THE COMMUNITIES. 5914 04:00:43,505 --> 04:00:46,474 OUTSIDE OF NIH AS WE THINK ABOUT 5915 04:00:46,474 --> 04:00:48,576 WHAT IS AVAILABLE OUTSIDE OF 5916 04:00:48,576 --> 04:00:50,979 NIH, WE THINK THAT THERE ARE 5917 04:00:50,979 --> 04:00:54,049 OPPORTUNITIES TO LEVERAGE THINGS 5918 04:00:54,049 --> 04:00:56,017 LIKE THE PCORI-FUNDED PCORnet, 5919 04:00:56,017 --> 04:00:59,054 AND OF COURSE THERE ARE NUMEROUS 5920 04:00:59,054 --> 04:01:00,155 OTHER ACTIVITIES ACROSS HHS, AND 5921 04:01:00,155 --> 04:01:02,123 WHEN WE THINK ABOUT PARTNERING 5922 04:01:02,123 --> 04:01:06,594 WITH OTHER AGENCIES LIKE HRSA, 5923 04:01:06,594 --> 04:01:07,395 WITH THE FQHCs, AND, AGAIN, 5924 04:01:07,395 --> 04:01:09,330 YOU KNOW, WE WANT TO MAKE SURE 5925 04:01:09,330 --> 04:01:10,665 WE'RE DOING THIS THOUGHTFUL AND 5926 04:01:10,665 --> 04:01:12,400 SO WE'RE HAVING CONVERSATION WAS 5927 04:01:12,400 --> 04:01:14,169 SOME OF THESE ENTITIES BUT I 5928 04:01:14,169 --> 04:01:15,837 THINK THAT WHAT WE'LL SEE IS 5929 04:01:15,837 --> 04:01:19,774 DOWN THE ROAD WE CAN BE ENGAGE 5930 04:01:19,774 --> 04:01:20,975 THEM MUCH MORE EFFICIENTLY ONCE 5931 04:01:20,975 --> 04:01:23,411 WE GET THIS THING UP AND RUNNING 5932 04:01:23,411 --> 04:01:25,146 AND OFF THE GROUND. 5933 04:01:25,146 --> 04:01:27,782 ONE OF THE THINGS THAT I WANTED 5934 04:01:27,782 --> 04:01:31,152 TO MAKE SURE THAT I PERSONALLY 5935 04:01:31,152 --> 04:01:33,655 AM VERY EXCITED TO TALK ABOUT 5936 04:01:33,655 --> 04:01:36,624 TODAY IS TWO OF THE CRITICAL 5937 04:01:36,624 --> 04:01:38,493 PIECES OF OUR INFRASTRUCTURE 5938 04:01:38,493 --> 04:01:38,827 HERE. 5939 04:01:38,827 --> 04:01:41,863 WE BROUGHT ON DR. AMY PATTERSON 5940 04:01:41,863 --> 04:01:43,832 TO SERVE AS INTERIM SCIENTIFIC 5941 04:01:43,832 --> 04:01:45,600 AND MEDICAL DIRECTOR, AND SHE 5942 04:01:45,600 --> 04:01:48,236 COMES TO US FROM NHLBI, SHE'S 5943 04:01:48,236 --> 04:01:50,405 BEEN AROUND AT NIH FOR QUITE 5944 04:01:50,405 --> 04:01:51,606 SOME TIME. 5945 04:01:51,606 --> 04:01:55,343 IN THE O.D. AND NHLBI. 5946 04:01:55,343 --> 04:01:58,446 AND REALLY IS AN EXPERT IN 5947 04:01:58,446 --> 04:02:02,650 CLINICAL RESEARCH AND CLINICAL 5948 04:02:02,650 --> 04:02:03,918 TRIALS. 5949 04:02:03,918 --> 04:02:06,488 AND THEN TRINI AJAZI, WHO IS 5950 04:02:06,488 --> 04:02:08,022 JOINING US STARTING TECHNICALLY 5951 04:02:08,022 --> 04:02:10,625 ON SUNDAY, FROM THE ALLIANCE FOR 5952 04:02:10,625 --> 04:02:12,293 CLINICAL TRIALS AND ONCOLOGY, 5953 04:02:12,293 --> 04:02:14,129 SERVING AS OUR OPERATIONS 5954 04:02:14,129 --> 04:02:15,063 DIRECTOR FOR CARE FOR HEALTH AND 5955 04:02:15,063 --> 04:02:17,432 RESPONSIBLE FOR ALL OF THE 5956 04:02:17,432 --> 04:02:19,400 COMPONENTS AROUND THE OPERATION 5957 04:02:19,400 --> 04:02:21,736 OF THE NETWORK, YOU KNOW, 5958 04:02:21,736 --> 04:02:22,804 PLANNING, QUALITY MANAGEMENT. 5959 04:02:22,804 --> 04:02:25,340 SHE HAS A TON OF EXPERIENCE IN 5960 04:02:25,340 --> 04:02:27,308 REGULATORY COMPLIANCE FOR 5961 04:02:27,308 --> 04:02:27,642 TRIALS. 5962 04:02:27,642 --> 04:02:29,277 WE'RE REALLY EXCITED ABOUT 5963 04:02:29,277 --> 04:02:31,146 HAVING THESE TWO INDIVIDUALS ON 5964 04:02:31,146 --> 04:02:33,014 TO HELP BE THE KIND OF BOOTS ON 5965 04:02:33,014 --> 04:02:35,416 THE GROUND AND LEADERSHIP MAKING 5966 04:02:35,416 --> 04:02:36,851 THE DAY-TO-DAY DECISIONS FOR THE 5967 04:02:36,851 --> 04:02:38,153 EFFORT. 5968 04:02:38,153 --> 04:02:40,021 AND JUST AS WE TAKE A STEP BACK 5969 04:02:40,021 --> 04:02:41,890 AND THINK ABOUT CARE FOR HEALTH 5970 04:02:41,890 --> 04:02:43,558 OVERALL I WANTED TO PROVIDE A 5971 04:02:43,558 --> 04:02:45,360 LITTLE BIT OF INFORMATION ON HOW 5972 04:02:45,360 --> 04:02:47,495 WE'RE THINKING ABOUT THE KIND OF 5973 04:02:47,495 --> 04:02:49,564 VERY HIGH LEVEL GOVERNANCE OF 5974 04:02:49,564 --> 04:02:50,465 THIS PROGRAM. 5975 04:02:50,465 --> 04:02:54,302 SO, THERE'S AN NIH OVERSIGHT 5976 04:02:54,302 --> 04:02:55,703 COMMITTEE COMPOSED OF INSTITUTE 5977 04:02:55,703 --> 04:02:56,571 AND CENTER DIRECTORS, SOME 5978 04:02:56,571 --> 04:02:58,206 SITTING IN THE ROOM. 5979 04:02:58,206 --> 04:03:00,308 AND THEY ARE RESPONSIBLE FOR 5980 04:03:00,308 --> 04:03:04,012 HELPING TO PROVIDE GUIDANCE AND 5981 04:03:04,012 --> 04:03:06,114 OVERALL OVERSIGHT OF THE 5982 04:03:06,114 --> 04:03:06,881 EFFORTS. 5983 04:03:06,881 --> 04:03:09,083 I MENTIONED THE SCIENTIFIC AND 5984 04:03:09,083 --> 04:03:09,751 MEDICAL DIRECTOR, OFFICE 5985 04:03:09,751 --> 04:03:10,618 DIRECTOR, THEY ARE REALLY GOING 5986 04:03:10,618 --> 04:03:14,122 TO BE THE ONES MAKING THOSE 5987 04:03:14,122 --> 04:03:15,557 DECISIONS ABOUT WHAT STUDIES 5988 04:03:15,557 --> 04:03:17,292 MAKE SENSE FOR THE PROGRAM, AT 5989 04:03:17,292 --> 04:03:20,461 LEAST TO PUT ON THAT MENU, AND 5990 04:03:20,461 --> 04:03:21,763 WHAT -- YOU KNOW, TO HELP THE 5991 04:03:21,763 --> 04:03:23,965 SITES TO BE ABLE TO PROVIDE THE 5992 04:03:23,965 --> 04:03:25,600 INFRASTRUCTURE TO BE ABLE TO -- 5993 04:03:25,600 --> 04:03:28,436 AND RESOURCES TO BE ABLE TO DO 5994 04:03:28,436 --> 04:03:31,506 THE STUDIES THAT ARE ON OFFER, 5995 04:03:31,506 --> 04:03:32,974 IF YOU WILL. 5996 04:03:32,974 --> 04:03:36,311 AND THEN THE WORK OF THE 5997 04:03:36,311 --> 04:03:37,545 SCIENTIFIC AND MEDICAL DIRECTOR 5998 04:03:37,545 --> 04:03:39,414 WILL BE CLOSELY COORDINATED AND 5999 04:03:39,414 --> 04:03:41,149 INFORMED BY THE SCIENTIFIC 6000 04:03:41,149 --> 04:03:43,318 COMMITTEE THAT WE HAVE THAT'S 6001 04:03:43,318 --> 04:03:44,586 GOING TO PROVIDE RECOMMENDATIONS 6002 04:03:44,586 --> 04:03:47,322 AROUND STUDY AND SITE SELECTION 6003 04:03:47,322 --> 04:03:50,892 AND PROTOCOL OVERSIGHT. 6004 04:03:50,892 --> 04:03:54,629 AND THEN THIS IS SORT OF A HIGH 6005 04:03:54,629 --> 04:03:56,564 LEVEL OVERVIEW OF THE COMPONENTS 6006 04:03:56,564 --> 04:03:57,465 OF CARE FOR HEALTH. 6007 04:03:57,465 --> 04:03:59,234 I ALREADY TALKED ABOUT THE FIRST 6008 04:03:59,234 --> 04:03:59,868 TWO. 6009 04:03:59,868 --> 04:04:02,937 BUT OBVIOUSLY WE'RE THINKING 6010 04:04:02,937 --> 04:04:06,007 ABOUT THINGS LIKE THE IRB AND 6011 04:04:06,007 --> 04:04:08,743 THE SMB, AND HOW WE CAN CONTINUE 6012 04:04:08,743 --> 04:04:12,480 TO ENGAGE WITH THE COMMUNITY AND 6013 04:04:12,480 --> 04:04:14,449 ENSURE, AGAIN, WE KNOW THE 6014 04:04:14,449 --> 04:04:15,316 COMMUNITIES ARE NOT 6015 04:04:15,316 --> 04:04:16,084 ONE-SIZE-FITS-ALL EFFORTS BUT WE 6016 04:04:16,084 --> 04:04:18,186 WANT TO MAKE SURE WE'RE HEARING 6017 04:04:18,186 --> 04:04:19,254 FROM THE DIFFERENT COMMUNITIES 6018 04:04:19,254 --> 04:04:23,091 AND THAT WE ARE ABLE TO 6019 04:04:23,091 --> 04:04:24,525 FACILITATE AN EFFORT THAT IS IN 6020 04:04:24,525 --> 04:04:27,462 A LOT OF WAYS COMMUNITY DRIVEN 6021 04:04:27,462 --> 04:04:29,330 AND HELPS, AGAIN, TO IDENTIFY 6022 04:04:29,330 --> 04:04:33,268 SOLUTIONS FOR THE PROBLEMS THAT 6023 04:04:33,268 --> 04:04:34,269 COMMUNITIES ARE INTERESTED IN 6024 04:04:34,269 --> 04:04:37,005 SEEING, YOU KNOW, KIND OF 6025 04:04:37,005 --> 04:04:38,273 RESULTS FROM. 6026 04:04:38,273 --> 04:04:40,375 WE'RE THINKING ABOUT DOWN THE 6027 04:04:40,375 --> 04:04:41,476 ROAD INDUSTRY PARTNERS AS THIS 6028 04:04:41,476 --> 04:04:43,978 CONTINUES TO GROW AND DEVELOP 6029 04:04:43,978 --> 04:04:47,582 AND TO HELP ENGAGE WITH INDUSTRY 6030 04:04:47,582 --> 04:04:50,985 AND OTHERS OUTSIDE KIND OF THE 6031 04:04:50,985 --> 04:04:51,986 FEDERAL GOVERNMENT. 6032 04:04:51,986 --> 04:04:53,955 BUT SPECIFICALLY, I'M GOING TO 6033 04:04:53,955 --> 04:04:56,491 FOCUS MORE ON TODAY AS THE 6034 04:04:56,491 --> 04:04:57,258 NETWORK RESEARCH HUBS BECAUSE 6035 04:04:57,258 --> 04:04:58,893 THAT IS WHERE THE RUBBER IS 6036 04:04:58,893 --> 04:05:02,063 GOING TO MEET THE ROAD AND WHERE 6037 04:05:02,063 --> 04:05:03,932 WE'RE GOING TO TRY TO BUILD 6038 04:05:03,932 --> 04:05:06,567 CLINICAL SITES AND THEY ARE 6039 04:05:06,567 --> 04:05:08,336 GOING TO BE THE ONES, THE BOOTS 6040 04:05:08,336 --> 04:05:14,008 ON THE GROUND DOING THE WORK 6041 04:05:14,008 --> 04:05:20,048 WITH THE COMMUNITIES EACH AND 6042 04:05:20,048 --> 04:05:20,915 EVERY DAY. 6043 04:05:20,915 --> 04:05:23,885 WE'RE DEVELOPING THIS OUT. 6044 04:05:23,885 --> 04:05:26,087 WE HAVE A ROA ON THE STREET. 6045 04:05:26,087 --> 04:05:28,456 I'LL GET TO THAT BUT ESSENTIALLY 6046 04:05:28,456 --> 04:05:29,991 WHAT WE HAVE HERE IS A NETWORK 6047 04:05:29,991 --> 04:05:32,961 THAT'S GOING TO BE RESPONSIBLE 6048 04:05:32,961 --> 04:05:34,829 FOR CONDUCTING RESEARCH IN 6049 04:05:34,829 --> 04:05:36,030 PRIMARY CARE SETTINGS, IN 6050 04:05:36,030 --> 04:05:37,665 COLLABORATION WITH AND WORKING 6051 04:05:37,665 --> 04:05:40,168 CLOSELY WITH THE CLINICAL SITE 6052 04:05:40,168 --> 04:05:42,270 TO, AGAIN, LEVERAGE SOME 6053 04:05:42,270 --> 04:05:43,905 EXISTING STUDIES THAT WE HAVE AT 6054 04:05:43,905 --> 04:05:45,640 NIH THAT ARE ONGOING THAT CAN BE 6055 04:05:45,640 --> 04:05:49,577 ADDED TO THAT MENU THAT FIRST 6056 04:05:49,577 --> 04:05:55,516 YEAR AND THEN AS WE ADVANCE DOWN 6057 04:05:55,516 --> 04:05:57,952 THE ROAD BRING A NEW STUDIES, 6058 04:05:57,952 --> 04:05:59,320 IDENTIFIED BY THE COMMUNITY OR 6059 04:05:59,320 --> 04:06:00,621 THAT THE INSTITUTES AND CENTERS 6060 04:06:00,621 --> 04:06:10,498 ARE INTERESTED IN SUPPORTING. 6061 04:06:10,498 --> 04:06:11,366 PARTICIPANT AND COMMUNITY 6062 04:06:11,366 --> 04:06:12,567 ENGAGEMENT IS A CRITICAL PIECE 6063 04:06:12,567 --> 04:06:13,334 OF THE EFFORT. 6064 04:06:13,334 --> 04:06:15,536 AND WE WANT TO MAKE SURE THEY 6065 04:06:15,536 --> 04:06:17,372 ARE REALLY INVOLVED THROUGHOUT 6066 04:06:17,372 --> 04:06:18,373 THE PROCESS AND THROUGHOUT 6067 04:06:18,373 --> 04:06:26,147 MULTIPLE COMPONENTS OF THE 6068 04:06:26,147 --> 04:06:26,381 PROCESS. 6069 04:06:26,381 --> 04:06:27,548 AND SHARE APPROACHES AND 6070 04:06:27,548 --> 04:06:28,983 STRATEGIES FOR ENGAGEMENT. 6071 04:06:28,983 --> 04:06:32,153 OF COURSE IMPLEMENTING 6072 04:06:32,153 --> 04:06:33,021 INNOVATION IN CLINICAL STUDY 6073 04:06:33,021 --> 04:06:34,022 DESIGN IS IMPORTANT. 6074 04:06:34,022 --> 04:06:35,456 ONE THING WE'RE THINKING ABOUT 6075 04:06:35,456 --> 04:06:37,925 HOW WE CAN ENSURE THAT WE ARE 6076 04:06:37,925 --> 04:06:41,129 MINIMIZING THE BURDEN ON THE 6077 04:06:41,129 --> 04:06:44,966 PROVIDERS BECAUSE THAT'S GOING 6078 04:06:44,966 --> 04:06:48,136 TO BE -- IF WE PUT TOGETHER A 6079 04:06:48,136 --> 04:06:48,636 BRILLIANT STUDY THAT'S 6080 04:06:48,636 --> 04:06:50,238 IMPOSSIBLE TO DO FROM PROVIDER 6081 04:06:50,238 --> 04:06:52,407 PERSPECTIVE IT'S NOT GOING TO BE 6082 04:06:52,407 --> 04:06:54,475 SUCCESSFUL SO WANT TO BE SURE TO 6083 04:06:54,475 --> 04:06:56,110 CONSIDER THAT AS THESE ARE BEING 6084 04:06:56,110 --> 04:06:56,744 DEVELOPED PARTICULARLY AS WE 6085 04:06:56,744 --> 04:07:02,483 THINK ABOUT NEW STUDIES IN THE 6086 04:07:02,483 --> 04:07:03,184 PIPELINE. 6087 04:07:03,184 --> 04:07:03,785 PARTICIPATION, COORDINATED 6088 04:07:03,785 --> 04:07:04,452 INFRASTRUCTURE SUPPORTING 6089 04:07:04,452 --> 04:07:05,853 RESEARCH AND PRIMARY CARE 6090 04:07:05,853 --> 04:07:10,258 SETTINGS, THIS IS PROBABLY THE 6091 04:07:10,258 --> 04:07:11,659 MOST IMPORTANT PIECE, REALLY 6092 04:07:11,659 --> 04:07:15,730 PROVIDING A LOT OF THAT CLINICAL 6093 04:07:15,730 --> 04:07:17,031 AND CLINICAL TRIAL SUPPORT THAT 6094 04:07:17,031 --> 04:07:21,969 THE SITES MAY NOT HAVE DIRECTLY 6095 04:07:21,969 --> 04:07:23,704 AND MAY LEVERAGE FROM SITES THEY 6096 04:07:23,704 --> 04:07:30,611 ARE CONNECTED WITH IN THE 6097 04:07:30,611 --> 04:07:32,480 NETWORK OR THE RESOURCES WE 6098 04:07:32,480 --> 04:07:34,115 PROVIDE HERE AT NIH OR THROUGH 6099 04:07:34,115 --> 04:07:34,415 NIH. 6100 04:07:34,415 --> 04:07:35,983 I ALREADY MENTIONED THAT WE HAVE 6101 04:07:35,983 --> 04:07:37,752 A FUNDING OPPORTUNITY THAT'S OUT 6102 04:07:37,752 --> 04:07:38,619 ON THE STREET. 6103 04:07:38,619 --> 04:07:40,788 IT HAS BEEN OUT FOR THE LAST 6104 04:07:40,788 --> 04:07:43,324 MONTH AND A HALF OR SO. 6105 04:07:43,324 --> 04:07:45,193 AND WE'RE TRYING TO INVITE 6106 04:07:45,193 --> 04:07:47,261 APPLICATIONS FOR ORGANIZATIONS 6107 04:07:47,261 --> 04:07:48,796 TO SERVE AS NETWORK RESEARCH 6108 04:07:48,796 --> 04:07:49,497 HUBS. 6109 04:07:49,497 --> 04:07:50,765 THIS IS A TWO-YEAR PILOT. 6110 04:07:50,765 --> 04:07:54,035 WE'LL SEE HOW THIS GOES. 6111 04:07:54,035 --> 04:07:55,136 AGAIN, WE'RE STARTING SMALL, SO 6112 04:07:55,136 --> 04:07:58,306 WE'RE ONLY GOING TO FUND A 6113 04:07:58,306 --> 04:07:59,607 HANDFUL OF SITES TO PARTICIPATE 6114 04:07:59,607 --> 04:08:02,243 IN THIS EFFORT BECAUSE WE WANT 6115 04:08:02,243 --> 04:08:03,578 TO SHOW PROOF OF CONCEPT AND 6116 04:08:03,578 --> 04:08:05,413 SHOW WE CAN BE SUCCESSFUL IN 6117 04:08:05,413 --> 04:08:06,614 DOING THIS BEFORE WE START 6118 04:08:06,614 --> 04:08:11,452 SCALING IT UM AND OUT. 6119 04:08:11,452 --> 04:08:14,388 WE HAVE LIMITED ELIGIBILITY TO 6120 04:08:14,388 --> 04:08:16,791 ORGANIZATIONS THAT FOCUS ON 6121 04:08:16,791 --> 04:08:18,192 SERVING RURAL COMMUNITIES, AND 6122 04:08:18,192 --> 04:08:20,061 THIS IS DEFINED BY THOSE THAT 6123 04:08:20,061 --> 04:08:22,930 ARE LOCATED IN SPACE OR 6124 04:08:22,930 --> 04:08:24,432 JURISDICTIONS WITH AT LEAST 25% 6125 04:08:24,432 --> 04:08:26,734 OF THE CENSUS TRACT DEFINED AS 6126 04:08:26,734 --> 04:08:29,036 RURAL, AND THIS IS A HRSA 6127 04:08:29,036 --> 04:08:34,075 DEFINITION THAT WE'RE UTILIZING 6128 04:08:34,075 --> 04:08:35,376 FOR THIS PURPOSE. 6129 04:08:35,376 --> 04:08:37,478 WE WANT TO MAKE SURE THEY ARE 6130 04:08:37,478 --> 04:08:38,179 CONNECTED WITH EXISTING 6131 04:08:38,179 --> 04:08:40,414 INFRASTRUCTURE AT NIH. 6132 04:08:40,414 --> 04:08:45,887 SO WE HAVE -- OR ACROSS THE 6133 04:08:45,887 --> 04:08:47,955 BOARD, THEY MUST BE PART OF ONE 6134 04:08:47,955 --> 04:08:50,925 OF THE THREE NETWORKS HERE THAT 6135 04:08:50,925 --> 04:08:53,427 ARE LISTED, IDeA CTC, CTSA 6136 04:08:53,427 --> 04:08:54,529 PROGRAM, PCORnet. 6137 04:08:54,529 --> 04:08:55,630 AGAIN, YOU KNOW, JUST TRYING TO 6138 04:08:55,630 --> 04:08:58,266 MAKE SURE THAT WE'RE HITTING THE 6139 04:08:58,266 --> 04:09:01,002 PEOPLE THAT WE THINK WILL BE 6140 04:09:01,002 --> 04:09:02,970 MOST READY AND PRIMED TO BE ABLE 6141 04:09:02,970 --> 04:09:04,939 TO TAKE ON THIS CHALLENGE AND 6142 04:09:04,939 --> 04:09:07,775 WORK WITH US ON THIS. 6143 04:09:07,775 --> 04:09:10,511 AND THE DEADLINE IS TOMORROW. 6144 04:09:10,511 --> 04:09:12,713 SO WE HAD IT OUT FOR AS LONG AS 6145 04:09:12,713 --> 04:09:13,581 WE POSSIBLY COULD. 6146 04:09:13,581 --> 04:09:15,082 I KNOW WE'VE HEARD FROM THE 6147 04:09:15,082 --> 04:09:16,450 COMMUNITY THEY WISH IT WAS 6148 04:09:16,450 --> 04:09:16,684 LONGER. 6149 04:09:16,684 --> 04:09:18,052 I WISH IT WAS ABLE TO BE OUT 6150 04:09:18,052 --> 04:09:18,953 LONGER TOO. 6151 04:09:18,953 --> 04:09:22,356 IT WAS OUT FOR SIX WEEKS. 6152 04:09:22,356 --> 04:09:25,526 SO WE'VE BEEN TRYING TO HOLD 6153 04:09:25,526 --> 04:09:26,394 TECHNICAL ASSISTANCE WEBINARS TO 6154 04:09:26,394 --> 04:09:28,162 HELP PEOPLE ANSWER QUESTIONS AND 6155 04:09:28,162 --> 04:09:31,199 ENSURE THAT THEY ARE -- THEY 6156 04:09:31,199 --> 04:09:31,999 UNDERSTAND WHAT THE ELIGIBILITY 6157 04:09:31,999 --> 04:09:32,934 REQUIREMENTS ARE, WHAT WE'RE 6158 04:09:32,934 --> 04:09:35,069 LOOKING FOR. 6159 04:09:35,069 --> 04:09:38,005 THIS IS A ROA, USING OTHER 6160 04:09:38,005 --> 04:09:39,106 TRANSACTION, WE'RE BASICALLY IN 6161 04:09:39,106 --> 04:09:41,075 ADDITION TO FLEXIBILITY THAT I 6162 04:09:41,075 --> 04:09:42,176 MENTIONED BEFORE, WHAT WE'RE 6163 04:09:42,176 --> 04:09:44,779 GOING TO DO IS WE'RE GOING TO 6164 04:09:44,779 --> 04:09:45,580 THEN UNDERTAKE NEGOTIATIONS 6165 04:09:45,580 --> 04:09:48,416 PROCESS SO WE'LL BE ABLE TO WORK 6166 04:09:48,416 --> 04:09:51,152 WITH THE FOLKS THAT WE'VE 6167 04:09:51,152 --> 04:09:53,554 NARROWED, WE'LL NARROW IN ON TO 6168 04:09:53,554 --> 04:09:55,756 MAKE SURE THAT WE CAN -- 6169 04:09:55,756 --> 04:09:59,260 EVERYONE CAN BE SUCCESSFUL HERE. 6170 04:09:59,260 --> 04:10:01,562 AND AGAIN I MENTIONED IT'S A 6171 04:10:01,562 --> 04:10:04,365 TWO-YEAR PILOT, THE FIRST YEAR 6172 04:10:04,365 --> 04:10:05,833 WE'RE GOING TO FUND RESEARCH 6173 04:10:05,833 --> 04:10:07,635 NETWORK HUBS LEVERAGING THE 6174 04:10:07,635 --> 04:10:10,638 EXISTING STUDIES, STUDIES THAT 6175 04:10:10,638 --> 04:10:11,639 ARE ALREADY UNDERWAY. 6176 04:10:11,639 --> 04:10:15,109 AND THEY MIGHT BE STUDIES THAT 6177 04:10:15,109 --> 04:10:17,044 NEED TO EXPAND THEIR ACCRUAL. 6178 04:10:17,044 --> 04:10:18,846 THEY WANT TO -- THEY ARE NOT 6179 04:10:18,846 --> 04:10:21,349 DOING AS WELL AS THEY WOULD LIKE 6180 04:10:21,349 --> 04:10:23,451 WITH CERTAIN POPULATIONS IN 6181 04:10:23,451 --> 04:10:24,518 PARTICULAR RURAL POPULATIONS 6182 04:10:24,518 --> 04:10:25,419 SINCE THAT'S THE FOCUS. 6183 04:10:25,419 --> 04:10:27,054 THIS IS AN OPPORTUNITY TO 6184 04:10:27,054 --> 04:10:29,223 LEVERAGE THIS NETWORK WITH THOSE 6185 04:10:29,223 --> 04:10:29,457 STUDIES. 6186 04:10:29,457 --> 04:10:32,260 AND THEN AS WE KIND OF GET OUR 6187 04:10:32,260 --> 04:10:33,995 FEET WET AND AS I SAY WE'RE 6188 04:10:33,995 --> 04:10:35,396 BUILDING THE PLANE WHILE WE'RE 6189 04:10:35,396 --> 04:10:37,398 FLYING IT BUT ALSO BUILDING 6190 04:10:37,398 --> 04:10:41,969 ANOTHER PLANE WHILE IT'S ON THE 6191 04:10:41,969 --> 04:10:43,404 RUNWAY GETTING READY TO TAKE 6192 04:10:43,404 --> 04:10:44,839 OFF, THINKING ABOUT YEAR 2 AND 6193 04:10:44,839 --> 04:10:46,574 THE SECOND PLANE, HOW WE CAN 6194 04:10:46,574 --> 04:10:48,743 THINK ABOUT NEW STUDIES THAT ARE 6195 04:10:48,743 --> 04:10:50,278 GOING TO COME INTO THIS PROGRAM. 6196 04:10:50,278 --> 04:10:51,712 AND OF COURSE WE'RE ALWAYS GOING 6197 04:10:51,712 --> 04:10:53,681 TO BE THINKING ABOUT HOW WE CAN 6198 04:10:53,681 --> 04:10:56,317 DO THIS BETTER, HOW WE CAN 6199 04:10:56,317 --> 04:10:59,587 MODIFY IT AS WE GO, AND THAT'S 6200 04:10:59,587 --> 04:11:02,857 WHERE THAT FLEXIBILITY COMES 6201 04:11:02,857 --> 04:11:04,392 INTO PLAY. 6202 04:11:04,392 --> 04:11:07,795 AND THENLY SAY WE'VE SPENT A 6203 04:11:07,795 --> 04:11:09,096 LOT -- I WILL SAY WE'VE SPENT 6204 04:11:09,096 --> 04:11:10,631 TIME OVER A MONTH AND A HALF TO 6205 04:11:10,631 --> 04:11:12,033 LISTEN TO THE COMMUNITY, HELD 6206 04:11:12,033 --> 04:11:14,035 FOUR LISTENING SESSIONS ON A 6207 04:11:14,035 --> 04:11:22,643 VARIETY OF TOPICS, A HOST OF 6208 04:11:22,643 --> 04:11:24,845 PARTICIPANTS RANGING FROM 6209 04:11:24,845 --> 04:11:27,481 HOSPITAL SYSTEMS, RESEARCHERS, 6210 04:11:27,481 --> 04:11:28,516 PATIENTS AND COMMUNITY 6211 04:11:28,516 --> 04:11:29,216 ORGANIZATIONS, ACROSS THE 6212 04:11:29,216 --> 04:11:30,318 FEDERAL GOVERNMENT TO HEAR THEIR 6213 04:11:30,318 --> 04:11:31,852 THOUGHTS ON THIS IDEA, HELP US 6214 04:11:31,852 --> 04:11:33,921 POKE HOLES IN IT AND LET US KNOW 6215 04:11:33,921 --> 04:11:35,990 WHERE, YOU KNOW, THEY THINK FROM 6216 04:11:35,990 --> 04:11:39,060 THEIR EXPERIENCE WE'RE GOING TO 6217 04:11:39,060 --> 04:11:40,061 HAVE SOME CHALLENGES, HELP US 6218 04:11:40,061 --> 04:11:42,229 BIT OF AREAS THAT WE NEED TO 6219 04:11:42,229 --> 04:11:43,230 THINK THROUGH AS WE'RE 6220 04:11:43,230 --> 04:11:43,931 DEVELOPING THIS. 6221 04:11:43,931 --> 04:11:47,268 AND I WILL SAY WE'VE HAD SOME 6222 04:11:47,268 --> 04:11:49,570 REALLY INCREDIBLE SUGGESTIONS 6223 04:11:49,570 --> 04:11:51,972 AND FEEDBACK FROM THE GROUPS, 6224 04:11:51,972 --> 04:11:53,741 THOUGHTFUL CONVERSATIONS, ALL 6225 04:11:53,741 --> 04:11:55,476 THAT WENT INTO INFORMING A 6226 04:11:55,476 --> 04:11:57,878 PUBLIC WORKSHOP, A BIG PUBLIC 6227 04:11:57,878 --> 04:12:00,381 WORKSHOP THAT WE HELD LAST 6228 04:12:00,381 --> 04:12:02,917 FRIDAY, WE HAD 550 PEOPLE IN 6229 04:12:02,917 --> 04:12:06,220 ATTENDANCE, AND I THINK THEY 6230 04:12:06,220 --> 04:12:09,290 COUNTED THERE WERE OVER 100 6231 04:12:09,290 --> 04:12:11,292 QUESTIONS SUBMITTED, A GREAT 6232 04:12:11,292 --> 04:12:13,394 SHOWING AND I THINK THE TAKEHOME 6233 04:12:13,394 --> 04:12:15,629 FROM WHAT WE HEARD IN A LOT OF 6234 04:12:15,629 --> 04:12:18,299 WAYS IS A TREMENDOUS AMOUNT OF 6235 04:12:18,299 --> 04:12:19,734 SUPPORT FOR THIS IDEA, AND 6236 04:12:19,734 --> 04:12:21,669 MAKING SURE THAT WE'RE DOING IT 6237 04:12:21,669 --> 04:12:23,270 IN A REALLY THOUGHTFUL WAY AND 6238 04:12:23,270 --> 04:12:24,872 OF COURSE THAT GETS TO ONE OF 6239 04:12:24,872 --> 04:12:27,808 THE POINTS ABOUT HAVING THIS BE 6240 04:12:27,808 --> 04:12:29,577 A SUSTAINED AND ENDURABLE EFFORT 6241 04:12:29,577 --> 04:12:31,879 BECAUSE WHAT WE HEARD OVER AND 6242 04:12:31,879 --> 04:12:33,614 OVER AGAIN WAS THAT WE CAN'T 6243 04:12:33,614 --> 04:12:36,117 JUST ENGAGE THESE COMMUNITIES ON 6244 04:12:36,117 --> 04:12:40,287 A POP IN, POP OUT, ONE OFF 6245 04:12:40,287 --> 04:12:40,488 BASIS. 6246 04:12:40,488 --> 04:12:44,558 WE NEED TO MAKE SURE THIS IS 6247 04:12:44,558 --> 04:12:44,825 ENDURING. 6248 04:12:44,825 --> 04:12:45,893 THAT'S OUR INTENTION, WE'RE 6249 04:12:45,893 --> 04:12:47,194 TAKING IT TO THE HEART WITH THE 6250 04:12:47,194 --> 04:12:48,396 IDEA OF KEEPING IN MIND 6251 04:12:48,396 --> 04:12:50,030 PROVIDERS THAT WE'RE GOING TO BE 6252 04:12:50,030 --> 04:12:53,501 WORKING WITH IN THIS EFFORT ARE 6253 04:12:53,501 --> 04:12:54,468 ALREADY OVERBURDEN AND 6254 04:12:54,468 --> 04:12:56,804 OVERTAXED, AND WE NEED TO MAKE 6255 04:12:56,804 --> 04:12:58,539 SURE PROCESSES, THE STUDIES 6256 04:12:58,539 --> 04:12:59,640 WE'RE THINKING ABOUT HIT AT 6257 04:12:59,640 --> 04:13:01,942 THINGS THEY FEEL ARE IMPORTANT 6258 04:13:01,942 --> 04:13:03,444 AND THAT, YOU KNOW, ARE 6259 04:13:03,444 --> 04:13:07,948 STREAMLINED AS MUCH AS POSSIBLE 6260 04:13:07,948 --> 04:13:11,685 TO MAKE THEIR LIVES EASIER. 6261 04:13:11,685 --> 04:13:14,789 AT LEAST NOT TO ADD TO THEIR 6262 04:13:14,789 --> 04:13:15,990 VARIOUS DIFFERENT ACTIVITIES. 6263 04:13:15,990 --> 04:13:20,728 AND THEN MY LAST SLIDE. 6264 04:13:20,728 --> 04:13:22,530 WE'VE BEEN BUSY THIS PAST SPRING 6265 04:13:22,530 --> 04:13:23,364 TRYING TO DEVELOP THIS 6266 04:13:23,364 --> 04:13:24,632 COMMUNITY, HEAR FROM THE 6267 04:13:24,632 --> 04:13:25,499 COMMUNITY, GET THE FUNDING 6268 04:13:25,499 --> 04:13:30,771 OPPORTUNITY OUT SO WE CAN GET IT 6269 04:13:30,771 --> 04:13:31,138 LAUNCHED. 6270 04:13:31,138 --> 04:13:32,173 WE'RE HOPING TO DO NEGOTIATIONS 6271 04:13:32,173 --> 04:13:35,476 OVER THE NEXT MONTH OR SO WITH 6272 04:13:35,476 --> 04:13:37,445 THOSE THAT WE FEEL MAY BE 6273 04:13:37,445 --> 04:13:39,180 APPROPRIATE TO BRING INTO THIS 6274 04:13:39,180 --> 04:13:39,747 PROGRAM. 6275 04:13:39,747 --> 04:13:43,451 WE HAVE A BUDGET OF AROUND $5 6276 04:13:43,451 --> 04:13:45,186 MILLION FOR THIS YEAR, $30 6277 04:13:45,186 --> 04:13:47,021 MILLION IN TOTAL FOR THE TWO 6278 04:13:47,021 --> 04:13:49,390 YEARS, FISCAL YEAR 24 AND 25, WE 6279 04:13:49,390 --> 04:13:50,858 MAY HAVE SOME GENEROUS SUPPORT 6280 04:13:50,858 --> 04:13:52,059 FROM OTHER I.C. COLLEAGUES TO 6281 04:13:52,059 --> 04:13:53,294 EXPAND THAT OUT A LITTLE BIT 6282 04:13:53,294 --> 04:13:54,495 MORE BUT THAT'S WHAT WE'RE 6283 04:13:54,495 --> 04:13:55,496 COMMITTING TO NOW. 6284 04:13:55,496 --> 04:13:57,031 AGAIN, THE HOPE IS THAT WE CAN 6285 04:13:57,031 --> 04:14:00,734 CONTINUE TO BUILD THIS UP AND 6286 04:14:00,734 --> 04:14:02,937 RAMP UP OVER THE YEARS AND, YOU 6287 04:14:02,937 --> 04:14:05,906 KNOW, LEARN AS WE GO, SHOW 6288 04:14:05,906 --> 04:14:08,742 SUCCESS, AND IF WE WANT TO BE 6289 04:14:08,742 --> 04:14:11,111 BOLD AND TAKE A MULTI-YEAR 6290 04:14:11,111 --> 04:14:15,416 VISION ON THIS, I'D LIKE TO SEE 6291 04:14:15,416 --> 04:14:16,917 CREATION OF A WIDE NETWORK DOWN 6292 04:14:16,917 --> 04:14:18,652 THE ROAD. 6293 04:14:18,652 --> 04:14:20,554 WITH THAT I'LL TURN IT OVER -- 6294 04:14:20,554 --> 04:14:22,723 >> I JUST WANT TO ADD A FEW 6295 04:14:22,723 --> 04:14:24,358 THINGS QUICKLY. 6296 04:14:24,358 --> 04:14:26,660 I WANT TO ACKNOWLEDGE DR. JON 6297 04:14:26,660 --> 04:14:31,899 LORSCH, WHO IS A DIRECTOR NIGMS, 6298 04:14:31,899 --> 04:14:34,635 AND HE'S BEEN COORDINATING 6299 04:14:34,635 --> 04:14:37,371 RUNNING, ORGANIZING THE IDeA 6300 04:14:37,371 --> 04:14:39,907 CTN, WHICH IS A BIG -- MAKING 6301 04:14:39,907 --> 04:14:42,076 THIS POSSIBLE FRANKLY, ALSO DR. 6302 04:14:42,076 --> 04:14:45,713 JONI RUTTER OF NCATS AND 6303 04:14:45,713 --> 04:14:47,448 CTSAs, ALSO PART OF THIS. 6304 04:14:47,448 --> 04:14:49,083 WE COULDN'T DO THIS EXPERIMENT 6305 04:14:49,083 --> 04:14:51,852 IF WE DIDN'T ALREADY HAVE THE 6306 04:14:51,852 --> 04:14:53,487 NETWORKS THAT THEY HAVE 6307 04:14:53,487 --> 04:14:54,221 DEVELOPED. 6308 04:14:54,221 --> 04:14:55,556 SO WHAT'S DIFFERENT ABOUT WHAT 6309 04:14:55,556 --> 04:14:56,724 THEY ARE ALREADY DOING, WHAT ARE 6310 04:14:56,724 --> 04:15:02,229 WE TRYING TO DO THAT'S DIFFERENT 6311 04:15:02,229 --> 04:15:02,429 HERE? 6312 04:15:02,429 --> 04:15:03,864 WE'VE THROUGH LISTENING TO LOTS 6313 04:15:03,864 --> 04:15:06,600 OF TALKING TO PEOPLE WE THINK 6314 04:15:06,600 --> 04:15:08,569 THESE COMMUNITIES THAT ARE 6315 04:15:08,569 --> 04:15:10,104 REALLY -- THAT REALLY HAVE POOR 6316 04:15:10,104 --> 04:15:11,639 HEALTH DON'T HAVE ONE HEALTH 6317 04:15:11,639 --> 04:15:14,475 PROBLEM; THEY HAVE MANY, MANY, 6318 04:15:14,475 --> 04:15:14,808 MANY. 6319 04:15:14,808 --> 04:15:16,977 SO, RIGHT AWAY, NOT ONE I.C. CAN 6320 04:15:16,977 --> 04:15:18,412 GO IN THERE AND GIVE THEM 6321 04:15:18,412 --> 04:15:23,350 EVERYTHING THEY NEED. 6322 04:15:23,350 --> 04:15:24,852 WE REALLY NEED ACROSS ALL OF NIH 6323 04:15:24,852 --> 04:15:25,085 EFFORT. 6324 04:15:25,085 --> 04:15:26,487 NUMBER ONE. 6325 04:15:26,487 --> 04:15:27,488 NUMBER TWO, THESE ARE 6326 04:15:27,488 --> 04:15:29,590 COMMUNITIES THERE'S NOT A LOT OF 6327 04:15:29,590 --> 04:15:30,124 SPECIALISTS. 6328 04:15:30,124 --> 04:15:31,225 SOMETIMES IT'S THE NURSE 6329 04:15:31,225 --> 04:15:31,859 PRACTITIONERS, SOMETIMES IT'S 6330 04:15:31,859 --> 04:15:33,527 EVEN JUST A PUBLIC HEALTH 6331 04:15:33,527 --> 04:15:35,362 WORKER, YOU KNOW, WHO IS REALLY 6332 04:15:35,362 --> 04:15:38,098 THERE IN THE COMMUNITY. 6333 04:15:38,098 --> 04:15:41,835 SO WE'RE LOOKING FOR THE KIND 6334 04:15:41,835 --> 04:15:44,171 OF -- TO INTEGRATE RESEARCH INTO 6335 04:15:44,171 --> 04:15:46,140 WHAT'S REALITY FOR THESE 6336 04:15:46,140 --> 04:15:46,440 COMMUNITIES. 6337 04:15:46,440 --> 04:15:48,342 NOT WHAT WE MAKE UP AND THINK 6338 04:15:48,342 --> 04:15:51,612 WILL WORK BUT WHAT'S REALITY 6339 04:15:51,612 --> 04:15:52,146 THERE. 6340 04:15:52,146 --> 04:15:54,348 AND THE WAY WE'RE GOING TO -- 6341 04:15:54,348 --> 04:15:56,050 THE WAY WE'RE GOING TO LEARN IN 6342 04:15:56,050 --> 04:15:58,185 THIS TWO YEARS TO DO THAT IS 6343 04:15:58,185 --> 04:16:01,388 WE'RE GOING TO GET AS MANY 6344 04:16:01,388 --> 04:16:03,991 TRIALS AS WE'VE GOT, SUBSTANCE 6345 04:16:03,991 --> 04:16:07,161 ABUSE, YOU KNOW, MENTAL HEALTH, 6346 04:16:07,161 --> 04:16:08,195 DIABETES, HYPERTENSION, ALL 6347 04:16:08,195 --> 04:16:09,063 THESE -- OBESITY, ALL THE 6348 04:16:09,063 --> 04:16:11,465 PROBLEMS THAT WE THINK ARE 6349 04:16:11,465 --> 04:16:12,666 AFFECTING THESE COMMUNITIES, 6350 04:16:12,666 --> 04:16:14,101 MATERNAL HEALTH, ET CETERA, THAT 6351 04:16:14,101 --> 04:16:16,170 ARE APPROPRIATE FOR A PRIMARY 6352 04:16:16,170 --> 04:16:17,805 CARE ENVIRONMENT, CAN ALSO BE 6353 04:16:17,805 --> 04:16:19,873 JUST JOINING UP FOR "ALL OF US" 6354 04:16:19,873 --> 04:16:21,842 OR REALLY ANYTHING. 6355 04:16:21,842 --> 04:16:26,780 AND THEN WE GIVE THAT LIST TO 6356 04:16:26,780 --> 04:16:28,649 THOSE PROVIDERS AND THAT 6357 04:16:28,649 --> 04:16:31,919 COMMUNITY, AND SAY, WHAT OF THIS 6358 04:16:31,919 --> 04:16:35,089 KIND OF RESEARCH IS APPROPRIATE 6359 04:16:35,089 --> 04:16:36,724 FOR YOUR PATIENT POPULATION AND 6360 04:16:36,724 --> 04:16:37,291 YOUR SETTING? 6361 04:16:37,291 --> 04:16:39,460 AND THEY ARE GOING TO VOTE BY 6362 04:16:39,460 --> 04:16:40,561 WHAT THEY DECIDE TO PARTICIPATE 6363 04:16:40,561 --> 04:16:41,128 IN. 6364 04:16:41,128 --> 04:16:43,397 IT'S GOING TO BE VERY SIMPLE. 6365 04:16:43,397 --> 04:16:45,165 YOU KNOW, AND BY THE WAY, EACH 6366 04:16:45,165 --> 04:16:46,800 OF THESE STUDIES WILL COME WITH 6367 04:16:46,800 --> 04:16:48,335 ITS OWN SPECIFIC FUNDING. 6368 04:16:48,335 --> 04:16:51,271 SO IF IT'S SOMETHING JUST FILL 6369 04:16:51,271 --> 04:16:52,473 OUT A QUESTIONNAIRE, ONE LEVEL 6370 04:16:52,473 --> 04:16:54,108 OF FUNDING. 6371 04:16:54,108 --> 04:16:56,644 IF IT'S, YOU KNOW, SOME 6372 04:16:56,644 --> 04:16:59,046 PERINATAL CARE STUDY THAT HAS A 6373 04:16:59,046 --> 04:17:01,548 LOT OF INTERVENTION AND WHO 6374 04:17:01,548 --> 04:17:03,083 KNOW, HOUSE VISITS, THAT WOULD 6375 04:17:03,083 --> 04:17:04,952 COME WITH A MUCH HIGHER FUNDING 6376 04:17:04,952 --> 04:17:05,252 LEVEL. 6377 04:17:05,252 --> 04:17:07,054 AND WE WANT TO LEARN TWO THINGS 6378 04:17:07,054 --> 04:17:09,456 IN THIS NEXT TWO YEARS. 6379 04:17:09,456 --> 04:17:12,726 WE WANT TO LEARN WHAT THESE 6380 04:17:12,726 --> 04:17:14,361 COMMUNITIES VOTE -- YOU KNOW, 6381 04:17:14,361 --> 04:17:15,996 VOTE FOR BY WHAT THEY PICK AND 6382 04:17:15,996 --> 04:17:18,098 DECIDE TO DO, AND WE WANT TO 6383 04:17:18,098 --> 04:17:20,267 LEARN WHAT IT'S GOING TO TAKE TO 6384 04:17:20,267 --> 04:17:21,235 MAKE THEM SUCCESSFUL. 6385 04:17:21,235 --> 04:17:24,204 BECAUSE I DON'T THINK WE KNOW 6386 04:17:24,204 --> 04:17:25,806 ANY OF THIS, AND I CAN'T THINK 6387 04:17:25,806 --> 04:17:30,878 OF ANY WAY TO DO IT, OTHER THAN 6388 04:17:30,878 --> 04:17:33,714 JUST DOING A PILOT HERE, SEE 6389 04:17:33,714 --> 04:17:35,249 WHAT WE CAN DO. 6390 04:17:35,249 --> 04:17:36,350 THESE ARE EXISTING STUDIES, THEY 6391 04:17:36,350 --> 04:17:38,218 ARE ALREADY GOING IN OUR OTHER 6392 04:17:38,218 --> 04:17:38,519 I.C.s. 6393 04:17:38,519 --> 04:17:40,621 IT'S NOT GOING TO CRASH THIS 6394 04:17:40,621 --> 04:17:42,256 STUDY IF NOBODY PUTS A PATIENT 6395 04:17:42,256 --> 04:17:44,224 ON IT FROM THIS NEW INITIATIVE 6396 04:17:44,224 --> 04:17:45,659 BECAUSE IT'S STILL GOING ON IN 6397 04:17:45,659 --> 04:17:48,362 THE OTHER I.C.s. 6398 04:17:48,362 --> 04:17:50,898 BUT BY OFFERING IT HERE, WE'LL 6399 04:17:50,898 --> 04:17:54,068 BE ABLE TO USE THAT AS AN 6400 04:17:54,068 --> 04:17:55,703 OPPORTUNITY TO LEARN, AND THE 6401 04:17:55,703 --> 04:17:58,672 GOAL, THE GOAL IS REALLY TO KNOW 6402 04:17:58,672 --> 04:18:00,541 HOW TO PROPERLY RESOURCE THIS 6403 04:18:00,541 --> 04:18:02,943 KIND OF PRIMARY CARE COMMUNITY 6404 04:18:02,943 --> 04:18:06,647 WHICH IS TOUGH, WE ALL KNOW 6405 04:18:06,647 --> 04:18:07,114 THAT. 6406 04:18:07,114 --> 04:18:09,283 AND HOW TO PROVIDE THESE 6407 04:18:09,283 --> 04:18:11,885 COMMUNITIES WITH A SLATE OF 6408 04:18:11,885 --> 04:18:13,420 RESEARCH THAT ARE MEANINGFUL TO 6409 04:18:13,420 --> 04:18:17,157 THEM, THAT THEY CAN PICK. 6410 04:18:17,157 --> 04:18:23,397 I THINK WE CAN HOLD FOCUS 6411 04:18:23,397 --> 04:18:24,932 GROUPS, TILL THE COWS COME HOME 6412 04:18:24,932 --> 04:18:26,333 BUT WE'RE NOT GOING TO REALLY 6413 04:18:26,333 --> 04:18:27,434 UNDERSTAND WHAT'S GOING TO 6414 04:18:27,434 --> 04:18:29,937 MATTER TO THEM AND RESONATE WITH 6415 04:18:29,937 --> 04:18:33,373 THEM UNTIL WE TRY IT. 6416 04:18:33,373 --> 04:18:34,908 ANYWAY, THANKS TO YOU TWO AND 6417 04:18:34,908 --> 04:18:36,210 LOOK FORWARD TO QUESTIONS. 6418 04:18:36,210 --> 04:18:38,178 TARA, WHY DON'T YOU TAKE OVER 6419 04:18:38,178 --> 04:18:38,645 AGAIN. 6420 04:18:38,645 --> 04:18:41,348 >> I SEE LOTS OF HANDS. 6421 04:18:41,348 --> 04:18:44,518 I DON'T KNOW WHO IS FIRST. 6422 04:18:44,518 --> 04:18:47,788 >> I PUSHED THE BUZZER FIRST. 6423 04:18:47,788 --> 04:18:48,455 >> ALL RIGHT. 6424 04:18:48,455 --> 04:18:52,726 >> SO, FIRST OF ALL, I WANT TO 6425 04:18:52,726 --> 04:18:56,930 COMMEND YOUR BOLDS BOLDNESS AND 6426 04:18:56,930 --> 04:18:58,665 COURAGE, I'M A PRIMARY CARE DOC 6427 04:18:58,665 --> 04:19:00,400 WHO PRACTICES IN A FEDERALLY 6428 04:19:00,400 --> 04:19:01,001 QUALIFIED COMMUNITY HEALTH 6429 04:19:01,001 --> 04:19:03,170 CENTER, WHO IS ALSO PART OF OUR 6430 04:19:03,170 --> 04:19:05,572 CTSA WHO HAS BEEN PART OF PCORI 6431 04:19:05,572 --> 04:19:08,075 GRANTS, WHO NOW HAS A PROJECT IN 6432 04:19:08,075 --> 04:19:10,944 A SET OF RURAL PRIMARY CARE 6433 04:19:10,944 --> 04:19:12,346 CLINICS. 6434 04:19:12,346 --> 04:19:15,082 AND I CAN TELL YOU, YOU HAVE TO 6435 04:19:15,082 --> 04:19:18,485 BE READY TO FAIL FORWARD. 6436 04:19:18,485 --> 04:19:21,622 THE STRAIN ON NOT JUST THE 6437 04:19:21,622 --> 04:19:24,291 PROVIDER BUT THE CLINIC AND THE 6438 04:19:24,291 --> 04:19:26,326 NETWORK OF CLINICS IS 6439 04:19:26,326 --> 04:19:27,561 TREMENDOUS, PARTICULARLY COMING 6440 04:19:27,561 --> 04:19:29,096 OUT OF THE PANDEMIC, WHERE 6441 04:19:29,096 --> 04:19:30,464 THERE'S -- I MEAN WE FEEL LIKE 6442 04:19:30,464 --> 04:19:32,266 WE'RE OUT OF THE PANDEMIC BUT 6443 04:19:32,266 --> 04:19:35,669 THERE'S A LOT OF PENT-UP NEED. 6444 04:19:35,669 --> 04:19:37,905 THERE'S A LOT OF STRESSES ON 6445 04:19:37,905 --> 04:19:38,138 CLINICS. 6446 04:19:38,138 --> 04:19:40,440 THERE'S A LOT OF TURNOVER IN 6447 04:19:40,440 --> 04:19:41,141 THOSE CLINICS. 6448 04:19:41,141 --> 04:19:43,744 AND SO I THINK IT'S GREAT THAT 6449 04:19:43,744 --> 04:19:46,280 YOU'RE GOING TO WORK WITH FOLKS 6450 04:19:46,280 --> 04:19:48,148 ALREADY DOING THIS WORK BUT 6451 04:19:48,148 --> 04:19:49,683 REALIZE YOU'RE ALSO GETTING THE 6452 04:19:49,683 --> 04:19:52,085 HAVES AND NOT THE HAVE NOTES, 6453 04:19:52,085 --> 04:19:52,319 RIGHT? 6454 04:19:52,319 --> 04:19:53,921 YOU'RE BETTING PEOPLE THAT HAVE 6455 04:19:53,921 --> 04:19:55,455 ALREADY BEEN SUCCESSFUL IN 6456 04:19:55,455 --> 04:19:57,524 GETTING GRANTS, ENGAGING A 6457 04:19:57,524 --> 04:19:59,626 PRACTICE, THINKING ABOUT AND 6458 04:19:59,626 --> 04:20:01,261 PROPOSING A PROJECT THAT 6459 04:20:01,261 --> 04:20:07,601 PRACTICE HAS FIGURED OUT A WAY 6460 04:20:07,601 --> 04:20:08,035 TO MAKE IT WORK. 6461 04:20:08,035 --> 04:20:09,803 I WANT YOU TO LEVEL-SET FOR 6462 04:20:09,803 --> 04:20:10,003 THAT. 6463 04:20:10,003 --> 04:20:11,171 THE PRACTICE, NOT JUST THE 6464 04:20:11,171 --> 04:20:12,639 PROVIDER, IT'S GOING TO BE 6465 04:20:12,639 --> 04:20:13,407 IMPORTANT. 6466 04:20:13,407 --> 04:20:15,609 NOT JUST HOW DO YOU DECREASE THE 6467 04:20:15,609 --> 04:20:17,344 BARRIERS BUT HOW DO YOU 6468 04:20:17,344 --> 04:20:18,679 INCENTIVIZE THE WORK. 6469 04:20:18,679 --> 04:20:20,881 WHAT IS IT THAT'S IMPORTANT TO 6470 04:20:20,881 --> 04:20:22,716 THOSE PROVIDERS, TO THOSE 6471 04:20:22,716 --> 04:20:24,451 PATIENTS, THOSE SYSTEMS THAT 6472 04:20:24,451 --> 04:20:25,986 ALLOWS THEM TO SORT OF GET THE 6473 04:20:25,986 --> 04:20:27,387 FRICTION OUT OF THE WORK THEY 6474 04:20:27,387 --> 04:20:30,490 ARE ALREADY HAVING TO DO, QI 6475 04:20:30,490 --> 04:20:32,025 PROJECTS, ALL OF THE THINGS 6476 04:20:32,025 --> 04:20:33,961 THAT, YOU KNOW, THE WHEELCHAIR 6477 04:20:33,961 --> 04:20:35,529 THAT I GOT TO FIGURE OUT HOW TO 6478 04:20:35,529 --> 04:20:36,730 GET TO MY PATIENT WHO DOESN'T 6479 04:20:36,730 --> 04:20:39,032 HAVE A WAY TO PAY FOR IT, ALL 6480 04:20:39,032 --> 04:20:43,403 THESE THINGS THAT CREATE THE 6481 04:20:43,403 --> 04:20:44,171 FRICTION OF THE PRIMARY CARE I 6482 04:20:44,171 --> 04:20:47,407 HAVES IT THAT YOU'RE TRYING TO 6483 04:20:47,407 --> 04:20:48,809 INSERT YOUR SELF INTO. 6484 04:20:48,809 --> 04:20:50,344 I HAVE SO MANY NOTES. 6485 04:20:50,344 --> 04:20:54,948 THE OTHER THING TO THINK 6486 04:20:54,948 --> 04:21:01,488 ABOUT -- LISTEN, YOU KNOW HOW TO 6487 04:21:01,488 --> 04:21:02,489 REACH ME. 6488 04:21:02,489 --> 04:21:05,826 JUST DON'T REACH ME ON LIKE NEW 6489 04:21:05,826 --> 04:21:09,229 YEAR'S EVE. 6490 04:21:09,229 --> 04:21:11,098 THAT FOR ME, FQHCs I'VE BEEN 6491 04:21:11,098 --> 04:21:13,166 PRACTICING IN AND WORKING IN AS 6492 04:21:13,166 --> 04:21:15,035 A RESEARCHER, THESE ARE PARTS OF 6493 04:21:15,035 --> 04:21:17,004 A SYSTEMS OF CARE, THIS IS NOT 6494 04:21:17,004 --> 04:21:18,338 JUST THE PRIMARY CARE PRACTICE. 6495 04:21:18,338 --> 04:21:20,240 AND SO WE NEED TO ALSO BE 6496 04:21:20,240 --> 04:21:22,142 THINKING PARTICULARLY IF YOU'RE 6497 04:21:22,142 --> 04:21:23,343 HOPING TO ENGAGE PRACTICES THAT 6498 04:21:23,343 --> 04:21:26,413 ARE CARING FOR OUR MOST 6499 04:21:26,413 --> 04:21:29,583 VULNERABLE POPULATIONS, THAT 6500 04:21:29,583 --> 04:21:30,450 HAVE MULTIPLE COMORBIDITIES, I 6501 04:21:30,450 --> 04:21:32,085 CAN THINK OF THREE PATIENTS THAT 6502 04:21:32,085 --> 04:21:34,154 HAD ALL THE THINGS YOU JUST 6503 04:21:34,154 --> 04:21:36,590 LISTED, MONICA, TO THINK ABOUT 6504 04:21:36,590 --> 04:21:37,891 SYSTEMS OF CARE, HEALTH-RELATED 6505 04:21:37,891 --> 04:21:38,759 SOCIAL NEEDS BEYOND JUST WHAT'S 6506 04:21:38,759 --> 04:21:40,193 HAPPENING IN THE CLINIC AND HOW 6507 04:21:40,193 --> 04:21:48,769 DO WE ENGAGE THOSE SYSTEMS, 6508 04:21:48,769 --> 04:21:49,503 COMMUNITY-BASED, FAITH-BASED 6509 04:21:49,503 --> 04:21:50,904 ORGANIZATIONS PICKING UP THE 6510 04:21:50,904 --> 04:21:51,438 SLACK. 6511 04:21:51,438 --> 04:21:53,840 THE IDEA OF IRB AND 6512 04:21:53,840 --> 04:21:54,474 SELF-DETERMINATION SOME CLINICS 6513 04:21:54,474 --> 04:21:56,376 WILL TAP OUT, I CAN'T DO THIS, 6514 04:21:56,376 --> 04:21:58,345 WE ALREADY HAVE TOO MUCH GOING 6515 04:21:58,345 --> 04:21:58,512 ON. 6516 04:21:58,512 --> 04:22:02,482 YOU KNOW, WE'RE IN THE MIDST OF 6517 04:22:02,482 --> 04:22:05,786 A RENOVATION OR WHATEVER. 6518 04:22:05,786 --> 04:22:06,386 THINK ABOUT PRACTICE 6519 04:22:06,386 --> 04:22:07,020 FACILITATORS, BECAUSE THIS IS 6520 04:22:07,020 --> 04:22:08,722 GOING TO BE ON TOP OF WORK OTHER 6521 04:22:08,722 --> 04:22:09,489 PEOPLE ARE DOING. 6522 04:22:09,489 --> 04:22:11,792 HOW DOES THAT MAKE THAT HAPPEN? 6523 04:22:11,792 --> 04:22:13,126 ONE THING WE'RE FACING, IN 6524 04:22:13,126 --> 04:22:14,428 ADDITION TO ALL THE THINGS I'VE 6525 04:22:14,428 --> 04:22:15,862 TALKED ABOUT THAT WE'RE FACING 6526 04:22:15,862 --> 04:22:18,265 IN OUR OWN STUDY, IS CHANGES IN 6527 04:22:18,265 --> 04:22:20,100 THE ELECTRONIC MEDICAL RECORD 6528 04:22:20,100 --> 04:22:22,102 AND ELECTRONIC HEALTH RECORD. 6529 04:22:22,102 --> 04:22:24,271 THIS SORT OF GRAVITATION OR 6530 04:22:24,271 --> 04:22:25,372 MIGRATION TO THE MEAN, EVERYBODY 6531 04:22:25,372 --> 04:22:27,941 SEEMS TO BE MOVING TOWARDS EPIC 6532 04:22:27,941 --> 04:22:30,877 LITERALLY IN CLINIC FRIDAY MY 6533 04:22:30,877 --> 04:22:33,480 MEDICAL DIRECTOR SAID I'M 6534 04:22:33,480 --> 04:22:34,281 FRUSTRATED WITH MY EMR. 6535 04:22:34,281 --> 04:22:36,783 DON'T WORRY, WE'RE GOING TO EPIC 6536 04:22:36,783 --> 04:22:37,184 SOON. 6537 04:22:37,184 --> 04:22:39,186 OH MY GOD, I'M JUST NOW FIGURING 6538 04:22:39,186 --> 04:22:40,287 THIS OUT? 6539 04:22:40,287 --> 04:22:43,457 SO JUST REALIZE THAT IS PART OF 6540 04:22:43,457 --> 04:22:47,627 WHAT'S IN THE ECOSYSTEM FOR 6541 04:22:47,627 --> 04:22:49,162 PARTICULARLY FQHCs, I CAN'T 6542 04:22:49,162 --> 04:22:50,998 SPEAK TO OTHER PRIMARY CARE 6543 04:22:50,998 --> 04:22:51,365 PRACTICES. 6544 04:22:51,365 --> 04:22:54,201 AGAIN, REMEMBER WHAT YOU GET FOR 6545 04:22:54,201 --> 04:22:54,835 THE -- YOU'RE GETTING THE CREAM 6546 04:22:54,835 --> 04:22:58,438 OF THE CROP AND I KNOW BECAUSE I 6547 04:22:58,438 --> 04:23:01,341 HELPED WITH OUR PRACTICE-BASED 6548 04:23:01,341 --> 04:23:03,477 RESEARCH NETWORK AND THAT'S PART 6549 04:23:03,477 --> 04:23:06,313 OF OUR CTSA, THOSE PRACTICES 6550 04:23:06,313 --> 04:23:07,114 ACTUALLY ALREADY HAVE PROBABLY 6551 04:23:07,114 --> 04:23:08,849 15 YEARS WORTH OF TIME WORKING 6552 04:23:08,849 --> 04:23:10,017 TOGETHER WHICH IS GOING TO BE 6553 04:23:10,017 --> 04:23:11,118 DIFFERENT THAN WHAT I HOPE 6554 04:23:11,118 --> 04:23:13,487 YOU'RE GOING TO WANT LATER ON. 6555 04:23:13,487 --> 04:23:14,988 >> SO, THE OTHER THING I'LL ADD 6556 04:23:14,988 --> 04:23:21,962 TO WHAT YOU SAID IS THAT WE NEED 6557 04:23:21,962 --> 04:23:24,064 TO MAKE -- WE NEED TO 6558 04:23:24,064 --> 04:23:26,033 ACTUALLY -- BECAUSE THEY ARE 6559 04:23:26,033 --> 04:23:31,171 DOING RESEARCH, HAVE THESE 6560 04:23:31,171 --> 04:23:32,372 PRACTICES BE ACTUALLY BETTER, 6561 04:23:32,372 --> 04:23:34,674 BETTER FOR DOING THE RESEARCH. 6562 04:23:34,674 --> 04:23:39,813 THERE'S NOT ONLY BENEFIT -- OH, 6563 04:23:39,813 --> 04:23:41,681 YEAH, THE PRACTICES TRULY ARE 6564 04:23:41,681 --> 04:23:43,550 BETTER, GETTING MORE, ABLE TO DO 6565 04:23:43,550 --> 04:23:46,053 ROUTINE CARE, WHATEVER THAT 6566 04:23:46,053 --> 04:23:47,454 MEANS, IN THESE PRACTICES. 6567 04:23:47,454 --> 04:23:50,223 THERE IS NO ROUTINE CARE, I KNOW 6568 04:23:50,223 --> 04:23:50,891 THAT. 6569 04:23:50,891 --> 04:23:51,958 BUT BECAUSE WE'RE THERE, THEY 6570 04:23:51,958 --> 04:23:52,959 ARE DOING MUCH BETTER. 6571 04:23:52,959 --> 04:23:54,728 THAT'S GOT TO BE BUILT INTO THE 6572 04:23:54,728 --> 04:23:55,495 DESIGN OF THIS. 6573 04:23:55,495 --> 04:24:02,135 NOW YOU CAN SEE WHY WE'RE DOING 6574 04:24:02,135 --> 04:24:02,936 A PILOT. 6575 04:24:02,936 --> 04:24:05,539 >> I SEE YOUR HAND RAISED, I'M 6576 04:24:05,539 --> 04:24:05,739 SORRY. 6577 04:24:05,739 --> 04:24:10,143 WE'RE EARLY SO I HAVE MORE TIME 6578 04:24:10,143 --> 04:24:12,913 TO TALK. 6579 04:24:12,913 --> 04:24:14,347 I'M IN THE CLINIC, I WANT TO BE 6580 04:24:14,347 --> 04:24:15,515 THERE, BECAUSE I CARE ABOUT 6581 04:24:15,515 --> 04:24:16,183 THOSE PATIENTS. 6582 04:24:16,183 --> 04:24:19,019 I'M GOING TO NEED ANY RESEARCHER 6583 04:24:19,019 --> 04:24:20,353 THAT COMES IN, RIGHT, I WAS 6584 04:24:20,353 --> 04:24:21,988 CLEAR WITH OUR CLINIC DIRECTOR 6585 04:24:21,988 --> 04:24:24,724 AND CEO THAT WHEN I'M HERE, I'M 6586 04:24:24,724 --> 04:24:27,094 DOCK FOR FOR MY PATIENTS, NOT 6587 04:24:27,094 --> 04:24:28,562 RESEARCHER BECAUSE I WANT TO BE 6588 04:24:28,562 --> 04:24:31,298 HERE FOR THIS POPULATION. 6589 04:24:31,298 --> 04:24:32,632 ANY RESEARCHER COMING IN, EVEN 6590 04:24:32,632 --> 04:24:34,234 MY TEAM, I NEED THEM TO CARE AS 6591 04:24:34,234 --> 04:24:36,670 MUCH ABOUT THOSE PATIENTS AS I 6592 04:24:36,670 --> 04:24:37,871 DO. 6593 04:24:37,871 --> 04:24:38,572 >> ABSOLUTELY. 6594 04:24:38,572 --> 04:24:44,211 AGREED. 6595 04:24:44,211 --> 04:24:44,411 OKAY. 6596 04:24:44,411 --> 04:24:46,079 BRIAN -- KEEP GOING. 6597 04:24:46,079 --> 04:24:47,180 WHO IS NEXT? 6598 04:24:47,180 --> 04:24:48,482 WELL, WAIT. 6599 04:24:48,482 --> 04:24:49,249 BRIAN, YOU GO NEXT. 6600 04:24:49,249 --> 04:24:55,388 >> I'LL CO-SIGN ON EVERYTHING 6601 04:24:55,388 --> 04:24:56,923 GISELLE SAID. 6602 04:24:56,923 --> 04:24:58,225 PARTICULARLY THE POINT ABOUT 6603 04:24:58,225 --> 04:24:59,759 THE -- THE SYSTEMS ARE SO 6604 04:24:59,759 --> 04:25:02,062 STRESSED, IT'S NOT JUST 6605 04:25:02,062 --> 04:25:03,296 PROVIDERS AND, YOU KNOW, ONE OF 6606 04:25:03,296 --> 04:25:09,936 THE THINGS WE'VE LEARNED HAVING 6607 04:25:09,936 --> 04:25:12,372 JUST FINISHED UP COORDINATING 6608 04:25:12,372 --> 04:25:14,107 250 ENDING THE EPIDEMIC PROJECTS 6609 04:25:14,107 --> 04:25:16,943 FUNDED FOR FIVE YEARS ALL ABOUT 6610 04:25:16,943 --> 04:25:18,378 PARTNERSHIPS BETWEEN RESEARCH 6611 04:25:18,378 --> 04:25:20,247 ORGANIZATIONS, AND COMMUNITY 6612 04:25:20,247 --> 04:25:22,415 ORGANIZATIONS, IS THAT THAT 6613 04:25:22,415 --> 04:25:24,050 PARTNERSHIP FORMATION PART IS SO 6614 04:25:24,050 --> 04:25:25,619 IMPORTANT AND LIKE IF NOTHING 6615 04:25:25,619 --> 04:25:29,422 ELSE HAPPENS IN THE FIRST YEAR 6616 04:25:29,422 --> 04:25:30,524 BUT THAT RESEARCHER ACTUALLY 6617 04:25:30,524 --> 04:25:32,926 GETS TO BEGIN TO UNDERSTAND 6618 04:25:32,926 --> 04:25:34,561 LIVED REALITIES WHAT IT'S LIKE 6619 04:25:34,561 --> 04:25:36,196 WORKING IN CLINICS, STRAINS ON 6620 04:25:36,196 --> 04:25:36,963 CLINICS, SO RESEARCH QUESTIONS 6621 04:25:36,963 --> 04:25:38,331 ARE DESIGNED WITH AT LEAST A 6622 04:25:38,331 --> 04:25:40,167 LITTLE BIT OF A SENSE OF WHAT 6623 04:25:40,167 --> 04:25:42,769 THAT'S LIKE, IT'S JUST SO 6624 04:25:42,769 --> 04:25:43,036 IMPORTANT. 6625 04:25:43,036 --> 04:25:49,376 LIKE NOT RUSHING INTO THE FIRST 6626 04:25:49,376 --> 04:25:49,776 PROTOCOL. 6627 04:25:49,776 --> 04:25:52,812 NOW WE'RE READY TO GO, I THINK 6628 04:25:52,812 --> 04:25:55,315 JUST AGAIN LEVEL-SETTING THAT IF 6629 04:25:55,315 --> 04:25:57,951 YOU RUSH THAT PROCESS IT WILL 6630 04:25:57,951 --> 04:25:59,152 UNDERMINE THE NEXT STEPS. 6631 04:25:59,152 --> 04:26:00,587 THE OTHER THING I'M WONDERING 6632 04:26:00,587 --> 04:26:02,856 ABOUT THE POSSIBILITY OF 6633 04:26:02,856 --> 04:26:03,823 ENGAGING IMPLEMENTATION 6634 04:26:03,823 --> 04:26:04,591 SCIENTISTS IN THIS APPROACH. 6635 04:26:04,591 --> 04:26:06,793 SO LIKE IT SEEMS LIKE THIS IS SO 6636 04:26:06,793 --> 04:26:09,963 RIPE FOR IT, LIKE GISELLE'S 6637 04:26:09,963 --> 04:26:11,364 POINT ABOUT PRACTICE 6638 04:26:11,364 --> 04:26:11,698 FACILITATION. 6639 04:26:11,698 --> 04:26:13,900 RESEARCH NOW SHOWING IF YOU JUST 6640 04:26:13,900 --> 04:26:15,869 GIVE NUDGES TO EMR, YOU GET A 6641 04:26:15,869 --> 04:26:18,371 LITTLE BIT OF UPTAKE IN PRIMARY 6642 04:26:18,371 --> 04:26:21,107 CARE SETTINGS, IF YOU ADD 6643 04:26:21,107 --> 04:26:23,076 PRACTICE FACILITATION SOMETIMES 6644 04:26:23,076 --> 04:26:27,214 DOUBLES OR TRIPLES RESULTS. 6645 04:26:27,214 --> 04:26:29,883 DRAWING FROM IMPLEMENTATION 6646 04:26:29,883 --> 04:26:33,253 RESEARCH APPLIES TO CHANGE ABOUT 6647 04:26:33,253 --> 04:26:33,920 ENGAGING SCIENTIFICALLY, ALSO 6648 04:26:33,920 --> 04:26:36,189 THERE'S A LOT LEARNED THAT COULD 6649 04:26:36,189 --> 04:26:37,057 BE APPLIED BUT THERE'S ALSO A 6650 04:26:37,057 --> 04:26:38,725 LOT OF METHODS THAT ARE GOING TO 6651 04:26:38,725 --> 04:26:41,161 HAVE TO BE DRAWN FROM BECAUSE 6652 04:26:41,161 --> 04:26:43,663 THIS IS GOING TO BE NUTSY 6653 04:26:43,663 --> 04:26:45,966 COMPARED TO TRADITIONAL WAY 6654 04:26:45,966 --> 04:26:46,833 SCIENCE HAPPENS. 6655 04:26:46,833 --> 04:26:49,469 THERE'S GOING TO BE A LOT OF 6656 04:26:49,469 --> 04:26:50,237 CHANGE IN FLEXIBILITY. 6657 04:26:50,237 --> 04:26:53,740 IF YOU IMAGINE A CASE WITH A 6658 04:26:53,740 --> 04:26:54,908 PRACTICE FACILITATOR GOING TO 6659 04:26:54,908 --> 04:26:56,910 THE CLINIC TO HELP THEM 6660 04:26:56,910 --> 04:26:59,946 INTEGRATE THIS WORK IN THEIR 6661 04:26:59,946 --> 04:27:03,250 SYSTEM, UNDERSTAND THEIR SYSTEM, 6662 04:27:03,250 --> 04:27:04,184 EXPERT IN PRACTICE FACILITATION, 6663 04:27:04,184 --> 04:27:05,652 WE'LL SPEND SOME TIME AND THE 6664 04:27:05,652 --> 04:27:06,987 SOLUTION MAY LOOK DIFFERENT FROM 6665 04:27:06,987 --> 04:27:12,125 THIS CLINIC TO THAT CLINIC AND 6666 04:27:12,125 --> 04:27:13,093 DIFFERENT FROM TEN WEEKS LATER, 6667 04:27:13,093 --> 04:27:18,898 THE QUESTION OF HOW DO YOU TRACK 6668 04:27:18,898 --> 04:27:19,699 CHANGE IMPLEMENTATION 6669 04:27:19,699 --> 04:27:20,400 STRATEGIES. 6670 04:27:20,400 --> 04:27:22,068 WE WANT TO DRAW THOSE TOOLS IN, 6671 04:27:22,068 --> 04:27:24,037 HOW TO WE TRACK CHANGE IN 6672 04:27:24,037 --> 04:27:25,605 STRATEGIES OVER TIME. 6673 04:27:25,605 --> 04:27:27,207 SO, AGAIN, HAPPY TO ALSO HELP 6674 04:27:27,207 --> 04:27:29,509 AND PROVIDE TOOLS THAT HAVE BEEN 6675 04:27:29,509 --> 04:27:30,377 DEVELOPED IF USEFUL. 6676 04:27:30,377 --> 04:27:33,246 >> THANK YOU. 6677 04:27:33,246 --> 04:27:34,881 YES, GO AHEAD. 6678 04:27:34,881 --> 04:27:35,849 >> CHALLENGING TO CHANGE 6679 04:27:35,849 --> 04:27:37,083 BEHAVIOR ONCE IT'S SET, RIGHT? 6680 04:27:37,083 --> 04:27:38,818 HERE THERE'S AN OPPORTUNITY TO 6681 04:27:38,818 --> 04:27:41,655 TAP INTO THOSE WHOSE BEHAVIORS 6682 04:27:41,655 --> 04:27:43,957 TAKE SHAPE PARTICULARLY LOOKING 6683 04:27:43,957 --> 04:27:45,592 AT TRAINEES, THINKING ABOUT THE 6684 04:27:45,592 --> 04:27:47,460 PRESENT BUILDING THE FUTURE INTO 6685 04:27:47,460 --> 04:27:48,762 A PILOT LIKE THIS. 6686 04:27:48,762 --> 04:27:53,166 THINK ABOUT PRIMARY CARE 6687 04:27:53,166 --> 04:27:53,667 SPECIALTIES, PEDIATRICS, 6688 04:27:53,667 --> 04:27:54,701 PSYCHIATRY, A LOT OF OPPORTUNITY 6689 04:27:54,701 --> 04:27:55,935 TO TRAIN THE CHAMPIONS THAT 6690 04:27:55,935 --> 04:27:57,337 YOU'LL NEED DOWN THE LINE. 6691 04:27:57,337 --> 04:27:59,406 YOU CAN IMAGINE IT BEING SORT OF 6692 04:27:59,406 --> 04:28:00,740 THREE YEARS OF ONLINE MODULES 6693 04:28:00,740 --> 04:28:02,242 WHERE PEOPLE LEARN ABOUT WHAT 6694 04:28:02,242 --> 04:28:03,576 THE NIH IS DOING. 6695 04:28:03,576 --> 04:28:05,312 THEY LEARN ABOUT THE DIFFERENT 6696 04:28:05,312 --> 04:28:07,947 STUDIES ONGOING. 6697 04:28:07,947 --> 04:28:09,149 HOW TO INTEGRATE PRACTICE SO 6698 04:28:09,149 --> 04:28:11,451 WHEN DONE YOU HAVE COMMUNITY 6699 04:28:11,451 --> 04:28:13,453 HEALTH CHAMPION CERTIFICATE. 6700 04:28:13,453 --> 04:28:14,954 THAT'S SOMETHING FOR A RESIDENT 6701 04:28:14,954 --> 04:28:16,823 THAT'S ALL THE MOTIVATION TO ADD 6702 04:28:16,823 --> 04:28:17,590 TO YOUR C.V. 6703 04:28:17,590 --> 04:28:19,125 THINK ABOUT HOW TO BE STRATEGIC 6704 04:28:19,125 --> 04:28:22,395 IF YOU'RE SORT OF BUILDING THAT 6705 04:28:22,395 --> 04:28:23,296 FUTURE WORKFORCE, RELATIVELY LOW 6706 04:28:23,296 --> 04:28:24,798 COST, PICK TWO PEOPLE IN EVERY 6707 04:28:24,798 --> 04:28:26,333 STATE ALREADY IN A RURAL 6708 04:28:26,333 --> 04:28:26,733 COMMUNITY, RIGHT? 6709 04:28:26,733 --> 04:28:28,068 AS THEY ARE GOING THROUGH 6710 04:28:28,068 --> 04:28:33,340 MODULES YOU COULD USE THIS AS A 6711 04:28:33,340 --> 04:28:34,741 DATA COLLECTION INGEN, SO THERE 6712 04:28:34,741 --> 04:28:36,409 ARE WAYS OF INTEGRATING REALLY 6713 04:28:36,409 --> 04:28:38,345 LOW COST THINGS THAT ALSO TAKE 6714 04:28:38,345 --> 04:28:39,512 ADVANTAGE OF BUILDING TRAINING 6715 04:28:39,512 --> 04:28:41,348 SYSTEM THAT YOU'LL NEED FOR THE 6716 04:28:41,348 --> 04:28:42,082 FUTURE. 6717 04:28:42,082 --> 04:28:42,415 >> GREAT. 6718 04:28:42,415 --> 04:28:43,650 GREAT IDEA. 6719 04:28:43,650 --> 04:28:43,850 OKAY. 6720 04:28:43,850 --> 04:28:44,417 LET'S SEE. 6721 04:28:44,417 --> 04:28:53,593 UP TO GARTH AND WE'LL COME 6722 04:28:53,593 --> 04:28:54,928 AROUND THIS WAY. 6723 04:28:54,928 --> 04:28:59,265 >> WHAT DOES SUCCESS LOOK LIKE? 6724 04:28:59,265 --> 04:28:59,599 >> SUCCESS? 6725 04:28:59,599 --> 04:29:01,234 THE OUTLOOK FOR SUCCESS IS 6726 04:29:01,234 --> 04:29:02,335 DIFFERENT DEPENDING WHAT TIME 6727 04:29:02,335 --> 04:29:03,870 POINT WE'RE TALKING ABOUT. 6728 04:29:03,870 --> 04:29:04,971 SOME OF THE FOLKS HAVE ALREADY 6729 04:29:04,971 --> 04:29:06,840 TALKED ABOUT SOME THINGS WE 6730 04:29:06,840 --> 04:29:09,008 SHOULD KEEP IN MIND, YOU KNOW, 6731 04:29:09,008 --> 04:29:11,444 FOR THE FIRST YEAR OTHER TWO. 6732 04:29:11,444 --> 04:29:14,047 SUCCESS IN THE FIRST YEAR IS, 6733 04:29:14,047 --> 04:29:16,015 WELL, IN SOME WAYS I FEEL LIKE 6734 04:29:16,015 --> 04:29:17,417 WE'VE ALREADY BEEN SUCCESSFUL 6735 04:29:17,417 --> 04:29:19,853 BECAUSE WE LAUNCHED THE PROGRAM, 6736 04:29:19,853 --> 04:29:21,154 THAT WAS ONE SUCCESS WE WERE 6737 04:29:21,154 --> 04:29:22,455 AIMING FOR. 6738 04:29:22,455 --> 04:29:24,758 IN YEAR ONE GETTING THIS OFF THE 6739 04:29:24,758 --> 04:29:26,292 GROUND AND REALLY GETTING SOME 6740 04:29:26,292 --> 04:29:28,261 OF THOSE EXISTING STUDIES THAT 6741 04:29:28,261 --> 04:29:29,829 WE TALKED ABOUT UP AND RUNNING, 6742 04:29:29,829 --> 04:29:32,432 AND BEING ABLE TO PULL OUT SOME 6743 04:29:32,432 --> 04:29:34,167 OF THOSE LESSONS LEARNED, SO 6744 04:29:34,167 --> 04:29:36,803 THAT THEN FOR YEAR TWO THINKING 6745 04:29:36,803 --> 04:29:39,572 ABOUT BUILDING THE NEW STUDIES, 6746 04:29:39,572 --> 04:29:42,709 FOR THE NETWORK, THAT WE'RE ABLE 6747 04:29:42,709 --> 04:29:44,677 TO TAKE THOSE LESSONS LEARNED, 6748 04:29:44,677 --> 04:29:47,981 THINGS WE'VE PULLED OUT FROM 6749 04:29:47,981 --> 04:29:49,416 ACTUALLY BEING -- DOING THE WORK 6750 04:29:49,416 --> 04:29:51,785 AND BUILDING IT INTO THE SECOND 6751 04:29:51,785 --> 04:29:53,353 YEAR OF THE PILOT, THAT WOULD BE 6752 04:29:53,353 --> 04:29:55,622 THE SUCCESSES THAT I WOULD SAY 6753 04:29:55,622 --> 04:29:57,290 ARE THE VERY SHORT TERM. 6754 04:29:57,290 --> 04:30:01,594 THEY INDICATED IF WE WANTED TO 6755 04:30:01,594 --> 04:30:02,996 TAKE A VERY LONG-TERM VIEW I 6756 04:30:02,996 --> 04:30:05,732 THINK WE WANT TO SEE THIS PROVE 6757 04:30:05,732 --> 04:30:08,001 SUCCESSFUL AND GROW OUT TO BE 6758 04:30:08,001 --> 04:30:10,770 ABLE TO EXPAND OUT AND TO 6759 04:30:10,770 --> 04:30:14,908 NATIONWIDE NETWORK. 6760 04:30:14,908 --> 04:30:18,211 >> GARTH, SURGEONS HAVE TO BE 6761 04:30:18,211 --> 04:30:19,846 OPTIMISTS, I'LL SAY WHY ARE WE 6762 04:30:19,846 --> 04:30:20,713 DOING THIS? 6763 04:30:20,713 --> 04:30:22,148 BECAUSE SEGMENTS OF SOCIETY ARE 6764 04:30:22,148 --> 04:30:24,451 SUFFERING, AND THOSE ARE NOT THE 6765 04:30:24,451 --> 04:30:25,652 PLACES WHERE WE'RE DOING 6766 04:30:25,652 --> 04:30:26,219 RESEARCH. 6767 04:30:26,219 --> 04:30:30,924 AND WE'RE NEVER GOING TO SOLVE 6768 04:30:30,924 --> 04:30:32,459 THE PROBLEMS FOR APPALACHIA 6769 04:30:32,459 --> 04:30:34,527 UNLESS WE GET IN WITH OUR 6770 04:30:34,527 --> 04:30:34,961 RESEARCH. 6771 04:30:34,961 --> 04:30:38,465 I FEEL LIKE IT'S A MANDATE WE DO 6772 04:30:38,465 --> 04:30:38,798 THIS. 6773 04:30:38,798 --> 04:30:40,533 THE LONG-TERM SUCCESS WE START 6774 04:30:40,533 --> 04:30:42,368 SOLVING THE PROBLEMS FOR THESE 6775 04:30:42,368 --> 04:30:42,669 COMMUNITIES. 6776 04:30:42,669 --> 04:30:45,805 I MEAN, THAT'S THE WHOLE GOAL. 6777 04:30:45,805 --> 04:30:47,106 AND WE'LL KEEP PULLING PEOPLE 6778 04:30:47,106 --> 04:30:47,307 BACK. 6779 04:30:47,307 --> 04:30:52,779 IF AT THE END OF THE DAY WHAT 6780 04:30:52,779 --> 04:30:53,880 GETS BETTER MATERNAL HEALTH IS, 6781 04:30:53,880 --> 04:30:56,850 YOU KNOW, HEALTH WORKER THAT 6782 04:30:56,850 --> 04:30:59,352 GOES TO SOMEONE'S HOUSE AND 6783 04:30:59,352 --> 04:31:00,653 CHECKS THEIR BLOOD PRESSURE, 6784 04:31:00,653 --> 04:31:02,522 WHATEVER OUR RESEARCH TELLS US. 6785 04:31:02,522 --> 04:31:05,024 I BELIEVE IF WE GET THAT INTO 6786 04:31:05,024 --> 04:31:08,661 THE COMMUNITIES, AT LEAST START 6787 04:31:08,661 --> 04:31:09,829 INVESTIGATING WE CAN QUICKLY, 6788 04:31:09,829 --> 04:31:12,365 ESPECIALLY IF IT'S LIKE 6789 04:31:12,365 --> 04:31:15,401 IMPLEMENTATION TYPE WORK, WE CAN 6790 04:31:15,401 --> 04:31:17,937 HOPEFULLY START BENDING THE 6791 04:31:17,937 --> 04:31:19,806 NEEDLE EVEN RELATIVELY SOON, NOT 6792 04:31:19,806 --> 04:31:21,441 EVERYTHING BUT SOME THINGS. 6793 04:31:21,441 --> 04:31:23,309 SO THAT'S WHAT SUCCESS WOULD BE. 6794 04:31:23,309 --> 04:31:28,214 WE START SOLVING THESE PROBLEMS. 6795 04:31:28,214 --> 04:31:31,651 SO LET'S DO HOWARD. 6796 04:31:31,651 --> 04:31:32,485 OH, OKAY. 6797 04:31:32,485 --> 04:31:32,785 HOWARD -- 6798 04:31:32,785 --> 04:31:33,920 >> THANK YOU. 6799 04:31:33,920 --> 04:31:35,889 THIS IS A REALLY IMPORTANT 6800 04:31:35,889 --> 04:31:36,122 EFFORT. 6801 04:31:36,122 --> 04:31:38,958 IT'S SO GREAT TO SEE THIS 6802 04:31:38,958 --> 04:31:40,693 HAPPENING, TO REACH UNDERSERVED 6803 04:31:40,693 --> 04:31:40,994 POPULATIONS. 6804 04:31:40,994 --> 04:31:48,034 MY QUESTION IS ABOUT, YOU 6805 04:31:48,034 --> 04:31:51,337 INDICATED THERE'S A DIFFERENCE 6806 04:31:51,337 --> 04:31:52,872 IN MAYBE NEGOTIATING AWARDS TO 6807 04:31:52,872 --> 04:31:54,073 BE MADE WITH INSTITUTIONS THAT 6808 04:31:54,073 --> 04:31:56,142 MAY NOT HAVE HAD A TRACK RECORD 6809 04:31:56,142 --> 04:31:58,878 OF DEALING WITH NIH FUNDING, I 6810 04:31:58,878 --> 04:32:04,017 WONDER MAYBE YOU CAN SAY MORE 6811 04:32:04,017 --> 04:32:05,985 ABOUT FEEDBACK, NOT FUNDED, 6812 04:32:05,985 --> 04:32:07,420 CRITIQUES, BECAUSE MAYBE THE 6813 04:32:07,420 --> 04:32:10,356 APPLICANTS ARE NOT USED TO 6814 04:32:10,356 --> 04:32:12,559 KNOWING NIH GRANTS IS LIKE A 6815 04:32:12,559 --> 04:32:14,727 PROCESS, YOU HAVE TO MAYBE GO 6816 04:32:14,727 --> 04:32:15,728 MORE THAN ONCE. 6817 04:32:15,728 --> 04:32:19,265 THIS MIGHT BE AN AREA TO ENSURE 6818 04:32:19,265 --> 04:32:19,766 CONTINUED ENGAGEMENT AND 6819 04:32:19,766 --> 04:32:23,236 IMPROVEMENT FOR IMPACT OF THESE 6820 04:32:23,236 --> 04:32:23,570 AWARDS. 6821 04:32:23,570 --> 04:32:26,606 >> THANKS, BUT AT LEAST IN THE 6822 04:32:26,606 --> 04:32:28,675 BEGINNING AS GISELLE IDENTIFIED 6823 04:32:28,675 --> 04:32:31,077 WE'RE GOING OFF OF 6824 04:32:31,077 --> 04:32:33,613 ALREADY-FUNDED NETWORKS SUCH AS 6825 04:32:33,613 --> 04:32:38,117 IDeA AND CTSAs TO GET 6826 04:32:38,117 --> 04:32:38,451 STARTED. 6827 04:32:38,451 --> 04:32:40,853 ONCE WE LEARN WHAT IT TAKES 6828 04:32:40,853 --> 04:32:42,922 THROUGH THOSE PARTNERS HOPEFULLY 6829 04:32:42,922 --> 04:32:44,123 FRANKLY WE'LL BE FUNDED 6830 04:32:44,123 --> 04:32:44,857 ADEQUATELY. 6831 04:32:44,857 --> 04:32:46,826 THAT'S WHAT IT'S GOING TO TAKE. 6832 04:32:46,826 --> 04:32:51,331 IT'S GOING TO TAKE REALLY GREAT 6833 04:32:51,331 --> 04:32:55,835 FUNDING AND THESE PROGRAMS. 6834 04:32:55,835 --> 04:32:57,570 TARA SAID WE WANT TO GO NARROW 6835 04:32:57,570 --> 04:32:59,739 AND DEEP AND NOT WIDE AND THIN. 6836 04:32:59,739 --> 04:33:05,645 WE REALLY HAVE TO THINK ABOUT 6837 04:33:05,645 --> 04:33:05,979 THAT. 6838 04:33:05,979 --> 04:33:07,847 >> THAT'S OUR HOPE ANYWAY. 6839 04:33:07,847 --> 04:33:10,283 YEAH, THAT'S PARTLY WHY, HOWARD, 6840 04:33:10,283 --> 04:33:11,150 WE'RE UTILIZING THE OTHER 6841 04:33:11,150 --> 04:33:12,819 TRANSACTION PIECE TOO. 6842 04:33:12,819 --> 04:33:14,787 THAT GIVES US FLEXIBILITY IN 6843 04:33:14,787 --> 04:33:17,957 THAT PROCESS AS WELL. 6844 04:33:17,957 --> 04:33:23,096 >> THAT MAKES SENSE. 6845 04:33:23,096 --> 04:33:23,963 >> SOLOMON? 6846 04:33:23,963 --> 04:33:24,397 ARE YOU NEXT? 6847 04:33:24,397 --> 04:33:27,500 >> OH, I WAS JUST PUTTING IN A 6848 04:33:27,500 --> 04:33:27,934 COMMENT. 6849 04:33:27,934 --> 04:33:29,669 I THINK IT'S REITERATING WHAT 6850 04:33:29,669 --> 04:33:33,406 YOU'RE HEARING FROM FOLKS WHO 6851 04:33:33,406 --> 04:33:34,707 WORK IN COMMUNITY, AND THE OTHER 6852 04:33:34,707 --> 04:33:40,413 CONCEPT THAT COMES UP IS TRUST. 6853 04:33:40,413 --> 04:33:42,615 IT'S A START FOR BUILDING TRUST 6854 04:33:42,615 --> 04:33:43,783 WITHIN THE COMMUNITY. 6855 04:33:43,783 --> 04:33:45,818 WORKING WITH THOSE GROUPS THAT 6856 04:33:45,818 --> 04:33:47,654 HAVE A TRUST RELATIONSHIP WITH 6857 04:33:47,654 --> 04:33:49,722 THEIR COMMUNITY IS A SMART MOVE, 6858 04:33:49,722 --> 04:33:54,327 IN TERMS OF SUCCESS AND MOVING 6859 04:33:54,327 --> 04:33:56,429 OUTWARD AND SEEING HOW DOES THIS 6860 04:33:56,429 --> 04:33:58,798 GROW OUT, IT'S ALSO ASKING THE 6861 04:33:58,798 --> 04:34:00,900 QUESTION FOR THOSE THAT SOMEONE 6862 04:34:00,900 --> 04:34:02,201 CALLED TO THE HAVE NOTs, WHAT 6863 04:34:02,201 --> 04:34:04,937 DOES IT TAKE FOR THE HAVE NOTs 6864 04:34:04,937 --> 04:34:10,843 TO BUILD CAPACITY TO BE ABLE TO 6865 04:34:10,843 --> 04:34:13,379 BE THE HAVEs, SO WHAT DO WE 6866 04:34:13,379 --> 04:34:16,749 SNEAD WHAT CAN NIH DO TO BUILD 6867 04:34:16,749 --> 04:34:18,484 THAT CAPACITY WITHIN THAT 6868 04:34:18,484 --> 04:34:23,523 PARTICULAR COMMUNITY? 6869 04:34:23,523 --> 04:34:27,360 AND I THINK YOU SAID, YOU KNOW, 6870 04:34:27,360 --> 04:34:33,599 AGAIN WE'RE STARTING TO SEE MORE 6871 04:34:33,599 --> 04:34:35,568 CAPACITY BUILDING OPPORTUNITIES 6872 04:34:35,568 --> 04:34:38,137 IN 2024, AN IMPORTANT PIECE OF 6873 04:34:38,137 --> 04:34:44,877 WHATEVER YOU'RE GOING TO DO. 6874 04:34:44,877 --> 04:34:45,778 >> THANK YOU. 6875 04:34:45,778 --> 04:34:47,613 DR. KIM AND THEN BACK TO YOU AND 6876 04:34:47,613 --> 04:34:49,716 WE'LL FINISH UP. 6877 04:34:49,716 --> 04:34:50,683 >> SUPER, THANKS. 6878 04:34:50,683 --> 04:34:53,753 MY COMMENTS COME FROM 20 YEARS 6879 04:34:53,753 --> 04:34:55,188 OF CLINICAL TRIALS, AND THE FOUR 6880 04:34:55,188 --> 04:34:57,023 REASONS THAT SITES DON'T PICK TO 6881 04:34:57,023 --> 04:34:58,124 PARTICIPATE, I IMAGINE YOU'LL BE 6882 04:34:58,124 --> 04:35:00,860 ASKING THIS AS YOU SORT OF GO 6883 04:35:00,860 --> 04:35:01,694 THROUGH YOUR MENU, FASCINATING 6884 04:35:01,694 --> 04:35:04,130 TO THROW STUFF ON THE WALL AND 6885 04:35:04,130 --> 04:35:06,466 SEE WHAT GETS PEOPLE ENGAGED BUT 6886 04:35:06,466 --> 04:35:09,302 IT'S EITHER BECAUSE IT'S TOO 6887 04:35:09,302 --> 04:35:11,404 MUCH UPFRONT WORK FOR TOO FEW 6888 04:35:11,404 --> 04:35:13,005 PATIENTS, DOESN'T SEEM WORTH IT, 6889 04:35:13,005 --> 04:35:14,107 THIS IS AN OPPORTUNITY TO BE 6890 04:35:14,107 --> 04:35:16,109 RADICAL HOW DO WE TRAIN PEOPLE 6891 04:35:16,109 --> 04:35:18,377 IN GCP IF THEY ARE NOT ALREADY, 6892 04:35:18,377 --> 04:35:20,480 MEANING IRB PAPERWORK, HOW DO WE 6893 04:35:20,480 --> 04:35:27,887 EXPECT -- EXPEDITE GRANTS. 6894 04:35:27,887 --> 04:35:30,523 THE AMOUNT OF COMPENSATION FOR 6895 04:35:30,523 --> 04:35:32,158 PATIENTS AND PATIENT STIPEDDENS 6896 04:35:32,158 --> 04:35:34,794 ARE UNDERRESOURCED, A PLACE NOT 6897 04:35:34,794 --> 04:35:35,128 TO SHIRK. 6898 04:35:35,128 --> 04:35:36,863 THIRD THEY DON'T HAVE ENOUGH 6899 04:35:36,863 --> 04:35:37,230 PATIENTS. 6900 04:35:37,230 --> 04:35:39,031 WE'VE TALKED ABOUT HOW TO 6901 04:35:39,031 --> 04:35:39,832 NETWORK AROUND THAT. 6902 04:35:39,832 --> 04:35:42,001 FOURTH WE TALKED ABOUT ON THE 6903 04:35:42,001 --> 04:35:43,202 BREAK, IT'S JUST TOO COMPLICATED 6904 04:35:43,202 --> 04:35:44,070 A STUDY. 6905 04:35:44,070 --> 04:35:47,473 AS YOU PICK YOUR STUDIES, IF YOU 6906 04:35:47,473 --> 04:35:51,978 DON'T GET A LOT OF RAISED HANDS 6907 04:35:51,978 --> 04:35:53,146 TO BE INTROSPECTIVE WHICH ONES 6908 04:35:53,146 --> 04:35:54,714 ARE WE PUTTING IN THE FIELD AND 6909 04:35:54,714 --> 04:35:56,549 I WOULD LOOK AT REAL WORLD 6910 04:35:56,549 --> 04:35:57,650 EVIDENCE STUDIES PEOPLE ARE 6911 04:35:57,650 --> 04:35:58,851 STARTING TO DO, EVEN IN THE 6912 04:35:58,851 --> 04:36:00,153 U.K., RIGHT? 6913 04:36:00,153 --> 04:36:02,455 ALL THE DOCS ARE PARTICIPATING 6914 04:36:02,455 --> 04:36:03,856 IN THEIR DATABASE MANAGEMENT. 6915 04:36:03,856 --> 04:36:06,726 AND IT'S BECAUSE IT'S IN THEIR 6916 04:36:06,726 --> 04:36:08,361 WORKFLOW AND DOESN'T REALLY ADD. 6917 04:36:08,361 --> 04:36:08,661 >> YEP. 6918 04:36:08,661 --> 04:36:10,229 >> ONE LAST THING YOU MIGHT BE 6919 04:36:10,229 --> 04:36:13,065 ABLE TO LEVER IS THINK ABOUT 6920 04:36:13,065 --> 04:36:14,934 PLACES WHERE TOP HEALTH 6921 04:36:14,934 --> 04:36:16,235 MANAGEMENT HAS BECOME MORE 6922 04:36:16,235 --> 04:36:18,871 PREVALENT BECAUSE YOU CAN GIVE A 6923 04:36:18,871 --> 04:36:20,740 SITE A TWO-FER AND SAY I'M 6924 04:36:20,740 --> 04:36:22,141 ENROLLING YOU IN A DIABETES 6925 04:36:22,141 --> 04:36:25,311 PROGRAM AND YOU'RE GOING TO USE 6926 04:36:25,311 --> 04:36:27,446 VALUE PROPOSITION FROM CMS ON 6927 04:36:27,446 --> 04:36:28,915 GETTING HEMOGLOBIN AC 1 DOWN, 6928 04:36:28,915 --> 04:36:32,118 YOU HAVE A DOUBLE WIN. 6929 04:36:32,118 --> 04:36:33,319 IF THE FORCE APPROACH DOESN'T 6930 04:36:33,319 --> 04:36:35,454 WORK THOSE MAY BE THINGS CAN YOU 6931 04:36:35,454 --> 04:36:36,589 THINK ABOUT REDESIGN OF WHICH 6932 04:36:36,589 --> 04:36:37,690 STUDIES YOU'RE PUTTING OUT THERE 6933 04:36:37,690 --> 04:36:44,831 TO BE MORE VALUE ADDED. 6934 04:36:44,831 --> 04:36:45,364 >> GREAT. 6935 04:36:45,364 --> 04:36:46,799 >> THANK YOU VERY MUCH. 6936 04:36:46,799 --> 04:36:51,237 THIS IS EXTREMELY EXCITING. 6937 04:36:51,237 --> 04:36:53,873 YOU CAN TELL BY ALL OF US, VERY 6938 04:36:53,873 --> 04:36:57,376 ENGAGED. 6939 04:36:57,376 --> 04:36:58,477 IT'S KIND OF REMINDED ME, I 6940 04:36:58,477 --> 04:37:01,414 DON'T KNOW IF LARRY REMEMBERS 6941 04:37:01,414 --> 04:37:06,886 THIS, LATE 1980s, I'M SHOWING 6942 04:37:06,886 --> 04:37:08,221 MY AGE. 6943 04:37:08,221 --> 04:37:14,227 THERE WAS NIH ESTABLISHED THE 6944 04:37:14,227 --> 04:37:15,094 COMMUNITY PROGRAM, CLINICAL 6945 04:37:15,094 --> 04:37:18,264 RESEARCH ON AIDS, I WAS ONE OF 6946 04:37:18,264 --> 04:37:19,265 THE HAVE-NOT SITES. 6947 04:37:19,265 --> 04:37:19,732 HARLEM HOSPITAL. 6948 04:37:19,732 --> 04:37:21,767 THE IDEA HOW DO YOU GET RESEARCH 6949 04:37:21,767 --> 04:37:24,837 INTO THE COMMUNITY AWAY FROM 6950 04:37:24,837 --> 04:37:26,272 MAJOR MEDICAL CENTERS, TRULY THE 6951 04:37:26,272 --> 04:37:28,908 HAVE NOTs, I'VE NEVER HAD AN 6952 04:37:28,908 --> 04:37:30,409 NIH GRANT BEFORE THIS EVER IN MY 6953 04:37:30,409 --> 04:37:30,776 LIFE. 6954 04:37:30,776 --> 04:37:36,349 SO WERE ALL THE OTHER P.I.s AS 6955 04:37:36,349 --> 04:37:36,782 WELL. 6956 04:37:36,782 --> 04:37:39,185 AND I THINK THE BEGINNING, IT'S 6957 04:37:39,185 --> 04:37:40,586 INTERESTING THE APPROACH YOU'RE 6958 04:37:40,586 --> 04:37:42,355 TAKING IS FASCINATING BECAUSE 6959 04:37:42,355 --> 04:37:43,789 YOU'RE STARTING WITH THE 6960 04:37:43,789 --> 04:37:46,092 HAVEs, NOT THE HAVE NOTs, 6961 04:37:46,092 --> 04:37:48,394 AND THERE ARE ADVANTAGES BUT 6962 04:37:48,394 --> 04:37:52,765 THERE MIGHT BE DISADVANTAGES. 6963 04:37:52,765 --> 04:37:54,967 I THINK WHAT I'VE LEARNED, AND 6964 04:37:54,967 --> 04:37:58,905 WE'VE WRITTEN IT SOME THERE, A 6965 04:37:58,905 --> 04:38:00,873 FEW THINGS, I THINK THE STUDIES, 6966 04:38:00,873 --> 04:38:02,408 IT'S ALMOST THEY HAVE TO THINK 6967 04:38:02,408 --> 04:38:06,913 OF COMPLETELY DIFFERENT TYPE OF 6968 04:38:06,913 --> 04:38:07,280 STUDIES. 6969 04:38:07,280 --> 04:38:08,781 RATHER THAN TRADITIONAL STUDIES. 6970 04:38:08,781 --> 04:38:11,183 AND WHAT WE HAVE TO DO IS REALLY 6971 04:38:11,183 --> 04:38:16,222 BUILD, TOOK MONTHS AND MONTHS F 6972 04:38:16,222 --> 04:38:17,423 NOT YEARS TO BUILD, GET TRUST IN 6973 04:38:17,423 --> 04:38:19,025 THE COMMUNITY, GET THEM TO TELL 6974 04:38:19,025 --> 04:38:20,259 US THE QUESTIONS THEY HAD IN 6975 04:38:20,259 --> 04:38:22,128 MIND AND THEN DESIGNED THE 6976 04:38:22,128 --> 04:38:24,830 RIGOROUS BUT SIMPLE STUDIES AND 6977 04:38:24,830 --> 04:38:28,334 I FEEL LIKE THAT'S OUR 6978 04:38:28,334 --> 04:38:29,769 TRADITIONAL NIH STUDIES ARE 6979 04:38:29,769 --> 04:38:34,840 RIGOROUS BUT NOT SIMPLE. AND 6980 04:38:34,840 --> 04:38:35,574 THERE'S A TEMPTATION BY 6981 04:38:35,574 --> 04:38:38,110 RESEARCHERS IF THEY DESIGN THE 6982 04:38:38,110 --> 04:38:41,480 STUDIES TO PUT IN BELLS AND 6983 04:38:41,480 --> 04:38:42,515 WHISTLES WHICH MAKE IT DIFFICULT 6984 04:38:42,515 --> 04:38:44,116 FOR SITES TO BE ABLE TO 6985 04:38:44,116 --> 04:38:45,017 PARTICIPATE IN. 6986 04:38:45,017 --> 04:38:47,286 SO I DO THINK THINKING CAREFULLY 6987 04:38:47,286 --> 04:38:48,387 ABOUT THE EFFORT, WHAT IS THE 6988 04:38:48,387 --> 04:38:49,722 QUESTION WE'RE TRYING TO ANSWER 6989 04:38:49,722 --> 04:38:52,425 AND JUST FOCUS ON THAT AND AVOID 6990 04:38:52,425 --> 04:38:54,093 BELLS AND WHISTLES AS WE SAY 6991 04:38:54,093 --> 04:38:55,695 BECAUSE THAT OFTEN IS WHAT WILL 6992 04:38:55,695 --> 04:38:58,798 NOT MAKE IT HAPPEN. 6993 04:38:58,798 --> 04:39:00,633 I DO THINK, YOU KNOW, THE 6994 04:39:00,633 --> 04:39:06,305 SUCCESS, I FEEL LIKE WHAT WE 6995 04:39:06,305 --> 04:39:07,640 EXPERIENCE BY 15 YEARS OF DOING 6996 04:39:07,640 --> 04:39:09,408 THIS IS QUALITY OF CARE 6997 04:39:09,408 --> 04:39:09,675 IMPROVED. 6998 04:39:09,675 --> 04:39:13,879 THAT'S A WONDERFUL -- NOT JUST 6999 04:39:13,879 --> 04:39:14,714 RESEARCH WAS HIGH QUALITY BUT 7000 04:39:14,714 --> 04:39:17,850 QUALITY OF CARE IN THE COMMUNITY 7001 04:39:17,850 --> 04:39:19,785 ITSELF, IMPROVED SUBSTANTIALLY. 7002 04:39:19,785 --> 04:39:22,521 IT'S A WONDERFUL METRIC OF 7003 04:39:22,521 --> 04:39:23,789 SUCCESS THAT YOU'RE ELEVATING 7004 04:39:23,789 --> 04:39:25,157 THE QUALITATIVE CARE FOR 7005 04:39:25,157 --> 04:39:26,225 EVERYBODY, NOT JUST PARTICIPANTS 7006 04:39:26,225 --> 04:39:28,094 IN THE STUDY BUT EVERYBODY ELSE. 7007 04:39:28,094 --> 04:39:30,629 AND TRYING NOT TO HAVE THE 7008 04:39:30,629 --> 04:39:33,366 PARTICIPANTS IN THE RESEARCH 7009 04:39:33,366 --> 04:39:35,234 GETTING THAT CADILLAC VERSION, 7010 04:39:35,234 --> 04:39:37,903 THE OTHER PEOPLE GETTING THE 7011 04:39:37,903 --> 04:39:39,171 TOYOTA VERSION, WHATEVER THE 7012 04:39:39,171 --> 04:39:41,774 RIGHT -- BUT ANYWAY TO MAKE SURE 7013 04:39:41,774 --> 04:39:44,443 THAT THERE'S IN THE CLINICS THAT 7014 04:39:44,443 --> 04:39:46,178 DOESN'T BECOME THIS SEPARATION, 7015 04:39:46,178 --> 04:39:48,381 THE RESEARCH PARTICIPANT AND 7016 04:39:48,381 --> 04:39:49,815 NON-PARTICIPANT SO I THINK 7017 04:39:49,815 --> 04:39:51,117 THAT'S IMPORTANT. 7018 04:39:51,117 --> 04:39:54,620 THE OTHER THING WHICH WAS 7019 04:39:54,620 --> 04:39:56,155 WONDERFUL WAS THE CAPACITY IN 7020 04:39:56,155 --> 04:39:59,125 HAVING THE STAFF LEARN HOW TO DO 7021 04:39:59,125 --> 04:40:00,092 RESEARCH. 7022 04:40:00,092 --> 04:40:02,495 I FEEL LIKE INVESTMENTS IN A LOT 7023 04:40:02,495 --> 04:40:05,464 OF TRAINING AND MENTORSHIP 7024 04:40:05,464 --> 04:40:09,301 ESPECIALLY, AND PEOPLE ACQUIRING 7025 04:40:09,301 --> 04:40:11,170 THESE NEW SKILLS, ENORMOUS 7026 04:40:11,170 --> 04:40:12,505 EXCITEMENT ACQUIRING NEW SKILLS 7027 04:40:12,505 --> 04:40:17,843 AND THINKING OF THEMSELVES NOW, 7028 04:40:17,843 --> 04:40:19,979 THIS APPLIES TO NURSES, SOCIAL 7029 04:40:19,979 --> 04:40:22,782 WORKERS, CLERK IN THE CLINIC, 7030 04:40:22,782 --> 04:40:23,682 ACROSS THE BOARD. 7031 04:40:23,682 --> 04:40:26,852 I THOUGHT THAT WAS ALSO VERY, 7032 04:40:26,852 --> 04:40:27,286 VERY INTERESTING. 7033 04:40:27,286 --> 04:40:32,091 AND THEN, YOU KNOW, THE OTHER 7034 04:40:32,091 --> 04:40:38,431 WAS THE -- IS HAVING THE SITES 7035 04:40:38,431 --> 04:40:40,332 KIND OF HAVE AN IDENTITY 7036 04:40:40,332 --> 04:40:42,601 TOGETHER, BUILDING A NETWORK. 7037 04:40:42,601 --> 04:40:46,439 THAT BECAME A WONDERFUL IDENTITY 7038 04:40:46,439 --> 04:40:48,174 THAT WE HAD, AS, YOU KNOW, SORT 7039 04:40:48,174 --> 04:40:52,211 OF THE RENEGADES IN A WAY BUT 7040 04:40:52,211 --> 04:40:54,647 PEOPLE AT THE FRONTIER TRYING TO 7041 04:40:54,647 --> 04:40:56,148 BREAK NEW GROUND. 7042 04:40:56,148 --> 04:40:58,017 I THINK YOU'RE ESTABLISHING ALSO 7043 04:40:58,017 --> 04:40:59,318 COMMUNITY OF INDIVIDUALS WHO ARE 7044 04:40:59,318 --> 04:41:01,720 GOING TO FEEL THEY ARE DOING 7045 04:41:01,720 --> 04:41:03,689 SOMETHING, LIKE MONICA SAID, 7046 04:41:03,689 --> 04:41:04,690 COMPLETELY REVOLUTIONARY AND 7047 04:41:04,690 --> 04:41:06,392 MAKING A DIFFERENCE IN PEOPLE'S 7048 04:41:06,392 --> 04:41:08,494 LIVES, SO THERE ARE LOTS OF 7049 04:41:08,494 --> 04:41:12,465 LESSONS LEARNED FROM THIS 7050 04:41:12,465 --> 04:41:16,735 EXPERIENCE AND I'M SURE IN THE 7051 04:41:16,735 --> 04:41:21,006 NIH THERE'S A LOT OF WONDERFUL 7052 04:41:21,006 --> 04:41:21,540 EXPERIENCES. 7053 04:41:21,540 --> 04:41:26,245 I'M VERY EXCITEED ABOUT THIS 7054 04:41:26,245 --> 04:41:26,679 INITIATIVE. 7055 04:41:26,679 --> 04:41:27,246 >> THANK YOU. 7056 04:41:27,246 --> 04:41:27,713 >> THREE POINT. 7057 04:41:27,713 --> 04:41:28,647 THE INTENT IS GOOD. 7058 04:41:28,647 --> 04:41:30,182 I'M NOT GOING TO QUESTION THAT. 7059 04:41:30,182 --> 04:41:31,650 THE RIGHT THING TO DO. 7060 04:41:31,650 --> 04:41:35,821 THE FIRST POINT, I AGREE WITH 7061 04:41:35,821 --> 04:41:38,357 DR. CORBY, YOU'RE THREADING A 7062 04:41:38,357 --> 04:41:38,924 NEEDLE. 7063 04:41:38,924 --> 04:41:40,292 RURAL, UNDERSERVED, NO TRACK 7064 04:41:40,292 --> 04:41:41,927 RECORD, CAN RESPOND IN SIX 7065 04:41:41,927 --> 04:41:42,328 WEEKS. 7066 04:41:42,328 --> 04:41:43,729 >> WE DIDN'T SAY NO TRACK 7067 04:41:43,729 --> 04:41:44,797 RECORD. 7068 04:41:44,797 --> 04:41:47,500 WE SAID ALREADY ESTABLISHED 7069 04:41:47,500 --> 04:41:48,067 NETWORK SITES. 7070 04:41:48,067 --> 04:41:48,968 >> WITH EXISTING TRIAL. 7071 04:41:48,968 --> 04:41:50,803 >> WITH AN EXISTING TRIAL 7072 04:41:50,803 --> 04:41:52,338 NETWORKS ALREADY WORKING THROUGH 7073 04:41:52,338 --> 04:41:53,439 TWO DIFFERENT PROGRAMS. 7074 04:41:53,439 --> 04:41:54,740 >> A PILOT AT LEAST. 7075 04:41:54,740 --> 04:41:55,074 >> YEAH. 7076 04:41:55,074 --> 04:41:58,043 >> THE SECOND POINT THOUGH I 7077 04:41:58,043 --> 04:42:00,546 WANT TO MAKE IS THAT IS THERE A 7078 04:42:00,546 --> 04:42:02,314 DANGER OF CREATING ANOTHER 7079 04:42:02,314 --> 04:42:03,616 INFRASTRUCTURE SEPARATE FROM 7080 04:42:03,616 --> 04:42:04,617 PCORI AND IDeA. 7081 04:42:04,617 --> 04:42:05,684 >> NO. 7082 04:42:05,684 --> 04:42:06,485 >> NO? 7083 04:42:06,485 --> 04:42:08,220 >> THEY WILL BE INTEGRATED. 7084 04:42:08,220 --> 04:42:10,856 THEY WILL BE INTEGRATED. 7085 04:42:10,856 --> 04:42:11,957 >> THEY ARE NOT EVEN INTEGRATED 7086 04:42:11,957 --> 04:42:13,492 WITH EACH OTHER NOW. 7087 04:42:13,492 --> 04:42:16,662 >> THEY WILL NOT BE DUPLICATES. 7088 04:42:16,662 --> 04:42:16,929 >> OKAY. 7089 04:42:16,929 --> 04:42:19,665 THIRD POINT, AS AN APPLICANT, 7090 04:42:19,665 --> 04:42:23,035 IT'S VERY FRUSTRATING WHEN SHORT 7091 04:42:23,035 --> 04:42:24,370 TRIGGER OTR COMES OUT RIGHT 7092 04:42:24,370 --> 04:42:27,373 BEFORE SUMMER, IF I HEARD YOU 7093 04:42:27,373 --> 04:42:29,275 CORRECTLY, 500 FOLKS ON A ZOOM 7094 04:42:29,275 --> 04:42:31,777 FOR A COUPLE MILLION DOLLARS, IS 7095 04:42:31,777 --> 04:42:34,513 WHAT YOU'RE SAYING? 7096 04:42:34,513 --> 04:42:36,148 >> NOT FOR THE ROA SPECIFICALLY 7097 04:42:36,148 --> 04:42:38,217 BUT TO HEAR ABOUT THE NETWORK WE 7098 04:42:38,217 --> 04:42:40,953 WERE ABLE TO DISCUSS WITH THE 7099 04:42:40,953 --> 04:42:41,220 COMMUNITY. 7100 04:42:41,220 --> 04:42:42,388 >> JUST WORRIED ABOUT BUILDING 7101 04:42:42,388 --> 04:42:43,489 MORE FRUSTRATION THAN HOPE OUT 7102 04:42:43,489 --> 04:42:45,157 OF THIS ONE RIGHT NOW. 7103 04:42:45,157 --> 04:42:46,892 >> YEAH, WE'RE TRYING TO 7104 04:42:46,892 --> 04:42:47,760 LEVEL-SET EXPECT AGENTS. 7105 04:42:47,760 --> 04:42:49,261 THAT'S WHY YOU HEAR US SAY OVER 7106 04:42:49,261 --> 04:42:52,131 AND OVER AGAIN, THIS IS A PILOT. 7107 04:42:52,131 --> 04:42:53,766 WE'RE TRYING TO SMART SMALL. 7108 04:42:53,766 --> 04:42:55,868 WE RECOGNIZE WE'RE NOT ABLE TO 7109 04:42:55,868 --> 04:42:57,403 DO EVERYTHING FOR EVERYONE ALL 7110 04:42:57,403 --> 04:42:58,070 AT ONCE. 7111 04:42:58,070 --> 04:42:59,705 >> IT'S THE RIGHT THING TO DO 7112 04:42:59,705 --> 04:43:02,107 THOUGH, DESPITE THE COMMENTS. 7113 04:43:02,107 --> 04:43:03,976 >> THANK YOU. 7114 04:43:03,976 --> 04:43:04,843 YES. 7115 04:43:04,843 --> 04:43:06,278 >> I AGREE COMPLETELY. 7116 04:43:06,278 --> 04:43:08,581 THE EXPERIENCE WE'VE HAD, IT'S 7117 04:43:08,581 --> 04:43:11,850 BRINGING UP A NEW SITE, THAT 7118 04:43:11,850 --> 04:43:16,689 DOESN'T DO RESEARCH TO NETWORK, 7119 04:43:16,689 --> 04:43:19,959 DOES REQUIRE ALMOST LIKE A 7120 04:43:19,959 --> 04:43:21,160 MENTORSHIP RELATIONSHIP, SO 7121 04:43:21,160 --> 04:43:23,562 CONSIDERING FUNDING, HAVE IT'S 7122 04:43:23,562 --> 04:43:28,167 AND HAVE NOTs, SO THE SUCCESS 7123 04:43:28,167 --> 04:43:33,639 BOTH ARE AFTER CERTAIN TIMES 7124 04:43:33,639 --> 04:43:36,242 SERVING THE POPULATION YOU WANT 7125 04:43:36,242 --> 04:43:36,508 TO SERVE. 7126 04:43:36,508 --> 04:43:37,243 >> YES, VERY GOOD. 7127 04:43:37,243 --> 04:43:38,677 THAT'S THE LAST W0RD. 7128 04:43:38,677 --> 04:43:42,281 WE HAVE TO MOVE ALONG. 7129 04:43:42,281 --> 04:43:48,520 TARA, YOU AGAIN. 7130 04:43:48,520 --> 04:43:49,188 YAY! 7131 04:43:49,188 --> 04:43:49,822 INVESTIGATION OF CO-OCCURRING 7132 04:43:49,822 --> 04:43:51,423 CONDITIONS ACROSS THE LIFESPAN 7133 04:43:51,423 --> 04:43:52,691 TO UNDERSTAND DOWN SYNDROME, 7134 04:43:52,691 --> 04:43:53,959 PROJECT UPDATE, DR. BIANCHI IS 7135 04:43:53,959 --> 04:44:00,232 ALSO HERE. 7136 04:44:00,232 --> 04:44:00,599 THANK YOU. 7137 04:44:00,599 --> 04:44:10,409 >> I'LL WAIT WHILE THEY ARE 7138 04:44:10,409 --> 04:44:13,045 GETTING SLIDES LOADED. 7139 04:44:13,045 --> 04:44:14,446 IT'S ME AGAIN, THIS IS THE LAST 7140 04:44:14,446 --> 04:44:16,415 TIME YOU'LL HEAR FROM ME, TODAY 7141 04:44:16,415 --> 04:44:16,782 ANYWAY. 7142 04:44:16,782 --> 04:44:18,851 I'D LIKE TO TALK ABOUT AND 7143 04:44:18,851 --> 04:44:20,152 PROVIDE HISTORY AROUND ONE OF 7144 04:44:20,152 --> 04:44:22,554 THE EFFORTS THAT WE'RE PROUD OF 7145 04:44:22,554 --> 04:44:25,090 AT NIH, WHICH IS THE INCLUDE 7146 04:44:25,090 --> 04:44:26,058 PROJECT, INVESTIGATION OF 7147 04:44:26,058 --> 04:44:28,894 CO-OCCURRING CONDITIONS ACROSS 7148 04:44:28,894 --> 04:44:36,368 THE LIFESPAN TO UNDERSTAND DOWN 7149 04:44:36,368 --> 04:44:37,136 SYNDROME. 7150 04:44:37,136 --> 04:44:38,771 OKAY, GREAT. 7151 04:44:38,771 --> 04:44:42,941 SO, JUST WANTED TO AGAIN -- NIH 7152 04:44:42,941 --> 04:44:45,744 FORMED THE DOWN SYNDROME WORKING 7153 04:44:45,744 --> 04:44:47,546 GROUP IN 2005 TO HELP COORDINATE 7154 04:44:47,546 --> 04:44:52,384 ALL OF THESE EFFORTS AROUND DOWN 7155 04:44:52,384 --> 04:44:54,453 SYNDROME ACROSS NIH CO-CHAIRED 7156 04:44:54,453 --> 04:44:56,955 BY NICHD AND INVOLVED ABOUT TEN 7157 04:44:56,955 --> 04:44:59,124 OR SO OTHER INSTITUTES, CENTERS, 7158 04:44:59,124 --> 04:45:01,327 O.D. OFFICES. 7159 04:45:01,327 --> 04:45:06,231 AGAIN, THEY WERE DEVELOPING A 7160 04:45:06,231 --> 04:45:10,302 RESEARCH PLAN, FOCUSED ON TOPICS 7161 04:45:10,302 --> 04:45:12,404 OF COGNITION AND DEMENTIA WITHIN 7162 04:45:12,404 --> 04:45:14,139 DOWN SYNDROME COMMUNITY. 7163 04:45:14,139 --> 04:45:18,510 AND THIS WAS IN RESPONSE TO 7164 04:45:18,510 --> 04:45:20,045 VARIOUS CONGRESSIONAL EFFORTS AS 7165 04:45:20,045 --> 04:45:20,679 WELL. 7166 04:45:20,679 --> 04:45:22,815 BUT I THINK THERE WAS TRUE NEED 7167 04:45:22,815 --> 04:45:24,850 FOR THIS ACROSS THE ECOSYSTEM, 7168 04:45:24,850 --> 04:45:27,953 AND THAT'S PARTLY WHY YOU SEE 7169 04:45:27,953 --> 04:45:29,154 THE GALVANIZING OF NUMEROUS 7170 04:45:29,154 --> 04:45:30,889 INSTITUTES AND CENTERS ACROSS 7171 04:45:30,889 --> 04:45:33,659 NIH IN THIS SPACE. 7172 04:45:33,659 --> 04:45:38,330 SO AS WE ADVANCE DOWN THE YEARS, 7173 04:45:38,330 --> 04:45:40,599 2011, THE DOWN SYNDROME 7174 04:45:40,599 --> 04:45:43,135 CONSORTIUM WAS CREATED, AS A 7175 04:45:43,135 --> 04:45:45,237 SORT OF MORE ESTABLISHED AND 7176 04:45:45,237 --> 04:45:50,242 STRUCTURED COLLABORATIVE 7177 04:45:50,242 --> 04:45:52,678 APPROACH, BROUGHT TOGETHER 7178 04:45:52,678 --> 04:45:56,248 VARIOUS PARTNERS WHETHER THEY BE 7179 04:45:56,248 --> 04:45:59,351 VARIOUS INSTITUTES AND CENTERS, 7180 04:45:59,351 --> 04:46:00,119 DIFFERENT PROFESSIONAL 7181 04:46:00,119 --> 04:46:01,520 ORGANIZATIONS, ADVOCACY GROUPS, 7182 04:46:01,520 --> 04:46:04,156 FOUNDATIONS, AND OF COURSE ONE 7183 04:46:04,156 --> 04:46:06,458 THING THAT IS CRITICAL TO 7184 04:46:06,458 --> 04:46:07,226 "INCLUDE" BUT ALSO THE DOWN 7185 04:46:07,226 --> 04:46:08,761 SYNDROME EFFORTS THAT HAVE BEEN 7186 04:46:08,761 --> 04:46:11,397 ONGOING AT NIH FOR SOME TIME, 7187 04:46:11,397 --> 04:46:13,265 INCLUDING SELF-ADVOCATES AS PART 7188 04:46:13,265 --> 04:46:14,900 OF THE PROCESS. 7189 04:46:14,900 --> 04:46:17,503 AND PROVIDED CRITICAL INPUT INTO 7190 04:46:17,503 --> 04:46:19,171 THE DOWN SYNDROME RESEARCH PLAN 7191 04:46:19,171 --> 04:46:21,006 THAT'S BEEN DEVELOPED OVER THE 7192 04:46:21,006 --> 04:46:26,812 YEARS AS WELL AS DATA REGISTRIES 7193 04:46:26,812 --> 04:46:29,548 THAT EXIST. 7194 04:46:29,548 --> 04:46:31,183 EXCITINGLY IN 2018 CONGRESS 7195 04:46:31,183 --> 04:46:33,385 ESTABLISHED "INCLUDE" AND 7196 04:46:33,385 --> 04:46:34,052 PROVIDED RESOURCES TO SUPPORT 7197 04:46:34,052 --> 04:46:35,554 THIS EFFORT. 7198 04:46:35,554 --> 04:46:38,524 THIS IS REALLY FOCUSED IN 7199 04:46:38,524 --> 04:46:39,491 PARTICULAR ON CO-OCCURRING 7200 04:46:39,491 --> 04:46:43,562 CONDITIONS, THAT AFFECT 7201 04:46:43,562 --> 04:46:45,097 INDIVIDUALS WITH DOWN SYNDROME. 7202 04:46:45,097 --> 04:46:48,333 OVER THE YEARS WE HAVE RELEASED 7203 04:46:48,333 --> 04:46:49,601 RESEARCH PLANS ON DOWN SYNDROME, 7204 04:46:49,601 --> 04:46:52,538 YOU CAN SEE THE COVER PAGES HERE 7205 04:46:52,538 --> 04:46:54,306 AS WE'VE MOVED ALONG. 7206 04:46:54,306 --> 04:46:57,142 AND THE MOST RECENT PLAN, WHICH 7207 04:46:57,142 --> 04:47:01,313 IS ON THE RIGHT OF THE SCREEN, 7208 04:47:01,313 --> 04:47:03,715 PUBLISHED IN 2022, REFLECTS FIVE 7209 04:47:03,715 --> 04:47:05,484 BROAD THEMES THAT ARE ORGANIZED 7210 04:47:05,484 --> 04:47:07,619 INTO DIFFERENT GOALS AND 7211 04:47:07,619 --> 04:47:08,554 OBJECTIVES FOR DOWN SYNDROME 7212 04:47:08,554 --> 04:47:09,955 RESEARCH INCLUDING THINGS LIKE 7213 04:47:09,955 --> 04:47:12,057 FOCUSING ON THE BASIC RESEARCH, 7214 04:47:12,057 --> 04:47:14,359 BASIC AND FUNDAMENTAL UNDERSTAND 7215 04:47:14,359 --> 04:47:18,197 OF DOWN SYNDROME, COHORT 7216 04:47:18,197 --> 04:47:18,931 DEVELOPMENT, EPIDEMIOLOGY, THIRD 7217 04:47:18,931 --> 04:47:21,467 IS CLINICAL RESEARCH AND 7218 04:47:21,467 --> 04:47:23,101 CO-OCCURRING CONDITIONS. 7219 04:47:23,101 --> 04:47:27,272 FOURTH IS LIVING WITH AND AGING 7220 04:47:27,272 --> 04:47:29,141 WITH DOWN SYNDROME, SERVICES TO 7221 04:47:29,141 --> 04:47:29,775 SUPPORT THAT RESEARCH, 7222 04:47:29,775 --> 04:47:35,147 PARTICULARLY AS WE SEE THE 7223 04:47:35,147 --> 04:47:36,782 POPULATION LIFESPAN INCREASED, 7224 04:47:36,782 --> 04:47:39,184 AND LESS SEVERAL DECADES, PEOPLE 7225 04:47:39,184 --> 04:47:41,453 ARE LIVING LONGER LIVES 7226 04:47:41,453 --> 04:47:42,020 DEVELOPING THINGS LIKE 7227 04:47:42,020 --> 04:47:44,423 ALZHEIMER'S DISEASE AND THEN 7228 04:47:44,423 --> 04:47:44,890 PROVIDING RESEARCH 7229 04:47:44,890 --> 04:47:47,493 INFRASTRUCTURE AND TOOLS FOR THE 7230 04:47:47,493 --> 04:47:49,895 COMMUNITY. 7231 04:47:49,895 --> 04:47:52,197 AND SINCE ESTABLISHMENT OF 7232 04:47:52,197 --> 04:47:53,065 "INCLUDE," THE RESEARCH 7233 04:47:53,065 --> 04:47:55,400 COMMUNITY HAS MADE A GREAT DEAL 7234 04:47:55,400 --> 04:47:57,569 OF SUCCESS AND PROGRESS TOWARDS 7235 04:47:57,569 --> 04:47:59,438 UNDERSTANDING MANY OF THOSE 7236 04:47:59,438 --> 04:48:00,839 CO-OCCURRING CONDITIONS THAT 7237 04:48:00,839 --> 04:48:03,375 IMPACT THE HEALTH AND LIVES AND 7238 04:48:03,375 --> 04:48:06,211 WELL-BEING OF PEOPLE WITH DOWN 7239 04:48:06,211 --> 04:48:06,478 SYNDROME. 7240 04:48:06,478 --> 04:48:08,947 DIANA IS GOING TO TALK ABOUT 7241 04:48:08,947 --> 04:48:10,382 SOME EXCITING OUTCOMES IN 7242 04:48:10,382 --> 04:48:13,018 RESEARCH THAT IS CURRENTLY BEING 7243 04:48:13,018 --> 04:48:15,521 SUPPORTED THROUGH "INCLUDE." 7244 04:48:15,521 --> 04:48:19,992 SO I'LL LEAVE HER TO HAVE THE 7245 04:48:19,992 --> 04:48:21,593 FUN AND EXCITING TOPIC OF 7246 04:48:21,593 --> 04:48:22,761 TALKING ABOUT THE SCIENCE, BUT, 7247 04:48:22,761 --> 04:48:25,597 YOU KNOW, WE HAVE BROUGHT 7248 04:48:25,597 --> 04:48:27,900 TOGETHER THE INVESTIGATORS, WE 7249 04:48:27,900 --> 04:48:30,636 DID SO RECENTLY BACK IN APRIL, 7250 04:48:30,636 --> 04:48:32,804 BROUGHT TOGETHER 250 RESEARCHERS 7251 04:48:32,804 --> 04:48:34,540 ON THE CAMPUS TO TALK ABOUT 7252 04:48:34,540 --> 04:48:36,542 RESEARCH THAT THEY ARE DOING, 7253 04:48:36,542 --> 04:48:38,176 HELP FOSTER AND BUILD 7254 04:48:38,176 --> 04:48:41,480 COLLABORATION, AND TO TALK ABOUT 7255 04:48:41,480 --> 04:48:43,749 THE FUTURE RESEARCH DIRECTIONS 7256 04:48:43,749 --> 04:48:46,051 FOR DOWN SYNDROME RESEARCH. 7257 04:48:46,051 --> 04:48:49,321 AND IT WAS A REALLY GREAT 7258 04:48:49,321 --> 04:48:49,555 MEETING. 7259 04:48:49,555 --> 04:48:50,956 I WAS ABLE TO ATTEND BITS AND 7260 04:48:50,956 --> 04:48:53,258 PARTS BUT WHAT I SAW WAS 7261 04:48:53,258 --> 04:48:53,559 IMPRESSIVE. 7262 04:48:53,559 --> 04:48:56,828 AND REALLY GOT THE COMMUNITY TO 7263 04:48:56,828 --> 04:48:58,163 THINK FORWARD LOOKING ON THE 7264 04:48:58,163 --> 04:49:00,799 AREAS OF FOCUS FOR RESEARCH 7265 04:49:00,799 --> 04:49:01,900 MOVING FORWARD. 7266 04:49:01,900 --> 04:49:03,969 WE HAD A TREMENDOUS OUTPOURING 7267 04:49:03,969 --> 04:49:07,906 OF PEOPLE THAT █WERE INTERESTED 7268 04:49:07,906 --> 04:49:09,942 IN HAVING POSTERS AT THE EVENT, 7269 04:49:09,942 --> 04:49:12,644 ALMOST 70 POSTERS WERE 7270 04:49:12,644 --> 04:49:15,080 DISPLAYED, IMPORTANTLY WE HAD 7271 04:49:15,080 --> 04:49:18,050 ALMOST 30 SPEAKERS, INCLUDING 7272 04:49:18,050 --> 04:49:20,552 THREE SELF-ADVOCATES AND THOSE 7273 04:49:20,552 --> 04:49:21,887 PRESENTATIONS AND CONVERSATIONS 7274 04:49:21,887 --> 04:49:25,591 OF DIALOGUE THEY PARTICIPATED IN 7275 04:49:25,591 --> 04:49:29,528 WERE REALLY INSPIRING, AND ONE 7276 04:49:29,528 --> 04:49:31,163 OF THE ADVOCATES WHO 7277 04:49:31,163 --> 04:49:33,599 PARTICIPATED IN THE EVENT, DAVID 7278 04:49:33,599 --> 04:49:36,635 EGAN, WHO IS A WELL-KNOWN DOWN 7279 04:49:36,635 --> 04:49:39,037 SYNDROME RESEARCH ADVOCATE, HE 7280 04:49:39,037 --> 04:49:42,107 INVITED THE COMMUNITY TO THINK 7281 04:49:42,107 --> 04:49:43,842 ABOUT, YOU KNOW, JUST HOW BEING 7282 04:49:43,842 --> 04:49:46,712 HEALTHY IS A GOAL FOR EVERY 7283 04:49:46,712 --> 04:49:48,413 PERSON, ON THIS EARTH, INCLUDING 7284 04:49:48,413 --> 04:49:50,215 INDIVIDUALS WITH DOWN SYNDROME. 7285 04:49:50,215 --> 04:49:52,517 I THINK THAT REALLY ENCOMPASSES 7286 04:49:52,517 --> 04:49:55,253 THE MISSION OF AND WHAT DRIVES 7287 04:49:55,253 --> 04:49:56,888 "INCLUDE" AND THIS PROGRAM, YOU 7288 04:49:56,888 --> 04:49:58,991 KNOW, IN THE PAST AND AS WE 7289 04:49:58,991 --> 04:49:59,992 THINK ABOUT MOVING FORWARD. 7290 04:49:59,992 --> 04:50:02,160 SO WITH THAT I'M GOING TO TURN 7291 04:50:02,160 --> 04:50:06,098 IT OVER TO DR. BIANCHI TO TALK A 7292 04:50:06,098 --> 04:50:07,566 LITTLE BIT ABOUT SOME OF THE 7293 04:50:07,566 --> 04:50:13,538 SUCCESSES THAT HAVE COME OUT OF 7294 04:50:13,538 --> 04:50:13,872 THIS PROGRAM. 7295 04:50:13,872 --> 04:50:15,073 >> THANK YOU, TARA. 7296 04:50:15,073 --> 04:50:16,274 I KNOW IT'S BEEN A LONG DAY. 7297 04:50:16,274 --> 04:50:23,048 DO YOU NEED TO GET UP AND 7298 04:50:23,048 --> 04:50:23,382 STRETCH? 7299 04:50:23,382 --> 04:50:27,252 MY JOB IS TO MAKE YOU EXCITED 7300 04:50:27,252 --> 04:50:28,654 ABOUT WHAT WE'RE LEARNING ABOUT 7301 04:50:28,654 --> 04:50:31,156 THE "INCLUDE" INITIATIVE AS THE 7302 04:50:31,156 --> 04:50:32,591 PRIMARY CARE NETWORK, A GREAT 7303 04:50:32,591 --> 04:50:39,031 STORY IF YOU INFUSE MONEY INTO A 7304 04:50:39,031 --> 04:50:41,233 FIELD YOU CHANGE THE LIVES OF 7305 04:50:41,233 --> 04:50:42,868 DOWN SYNDROME BUT YOU'RE 7306 04:50:42,868 --> 04:50:44,503 LEARNING THINGS ABOUT CONDITIONS 7307 04:50:44,503 --> 04:50:45,404 PEOPLE WHO DON'T HAVE DOWN 7308 04:50:45,404 --> 04:50:47,572 SYNDROME ALSO HAVE SUCH AS 7309 04:50:47,572 --> 04:50:48,273 ALZHEIMER'S DISEASE. 7310 04:50:48,273 --> 04:50:52,411 SO, YOU MAY NOT BE A MEDICAL 7311 04:50:52,411 --> 04:50:54,379 GENETICIST AS I AM BUT I KNOW 7312 04:50:54,379 --> 04:50:57,516 THAT DR. KIMBALL IS GOING TO BE 7313 04:50:57,516 --> 04:50:58,617 VERY INTERESTED IN SOME OF THE 7314 04:50:58,617 --> 04:51:01,586 CLINICAL TRIALS THAT ARE BEING 7315 04:51:01,586 --> 04:51:04,222 DONE TO TREAT ALOPECIA ARIATA, 7316 04:51:04,222 --> 04:51:05,524 APPARENTLY MORE COMMON IN PEOPLE 7317 04:51:05,524 --> 04:51:06,858 WITH DOWN SYNDROME THAN PEOPLE 7318 04:51:06,858 --> 04:51:08,160 WHO DON'T HAVE DOWN SYNDROME. 7319 04:51:08,160 --> 04:51:10,962 I BEG YOU TO STAY AWAKE AND 7320 04:51:10,962 --> 04:51:18,870 HOPEFULLY I'LL KNOW HOW TO 7321 04:51:18,870 --> 04:51:19,938 ADVANCE THE SLIDES. 7322 04:51:19,938 --> 04:51:21,039 IT'S A LONG DAY. 7323 04:51:21,039 --> 04:51:22,874 I'M GOING TO FOCUS ON THE 7324 04:51:22,874 --> 04:51:23,909 ACCOMPLISHMENTS OF "INCLUDE" IN 7325 04:51:23,909 --> 04:51:25,010 THE LAST SIX YEARS. 7326 04:51:25,010 --> 04:51:26,912 BY THE WAY, DAVID EGAN IS NOT 7327 04:51:26,912 --> 04:51:32,451 JUST A RESEARCH ADVOCATE, HE'S A 7328 04:51:32,451 --> 04:51:33,185 SELF-ADVOCATE, CONTRIBUTING TO 7329 04:51:33,185 --> 04:51:34,519 RESEARCH SINCE HE WAS BORN. 7330 04:51:34,519 --> 04:51:37,556 HIS MOTHER WAS A Ph.D. 7331 04:51:37,556 --> 04:51:40,959 CANDIDATE, AT THE WEIZMANN 7332 04:51:40,959 --> 04:51:42,494 INSTITUTE, UNIVERSITY OF 7333 04:51:42,494 --> 04:51:44,463 WISCONSIN, HIS FAMILY HAS BEEN 7334 04:51:44,463 --> 04:51:47,199 INCREDIBLE, PARTICIPATING AT ALL 7335 04:51:47,199 --> 04:51:47,966 STAGES OF HIS LIFE. 7336 04:51:47,966 --> 04:51:51,136 I'M GOING TO TALK ABOUT WHAT 7337 04:51:51,136 --> 04:51:54,339 WE'RE DOING IN "INCLUDE," AND 7338 04:51:54,339 --> 04:51:56,174 THESE SLIDES WERE MADE A FEW 7339 04:51:56,174 --> 04:51:59,611 WEEKS AGO AND JUST LAST WEEK I 7340 04:51:59,611 --> 04:52:02,781 WAS PARTICIPATING IN THE TRISOMY 7341 04:52:02,781 --> 04:52:06,284 21 RESEARCH MEETINGS IN ROME, 7342 04:52:06,284 --> 04:52:08,253 AND AT THOSE MEETINGS PROBABLY 7343 04:52:08,253 --> 04:52:10,455 75% OF THE PEOPLE WHO WERE 7344 04:52:10,455 --> 04:52:11,857 PRESENTING HAD "INCLUDE" 7345 04:52:11,857 --> 04:52:12,190 FUNDING. 7346 04:52:12,190 --> 04:52:14,192 AND YOU COULD REALLY SEE THE 7347 04:52:14,192 --> 04:52:16,495 DIFFERENCE THAT THAT HAS MADE IN 7348 04:52:16,495 --> 04:52:17,896 THE LAST, AGAIN, SIX YEARS. 7349 04:52:17,896 --> 04:52:20,098 SO I'M GOING TO PICK OUT A 7350 04:52:20,098 --> 04:52:23,168 COUPLE ADVANCES IN BASIC 7351 04:52:23,168 --> 04:52:23,702 SCIENCE. 7352 04:52:23,702 --> 04:52:28,573 THE COHORT DEVELOPMENT, WE HAVE 7353 04:52:28,573 --> 04:52:29,708 13 ONGOING CLINICAL TRIALS, 7354 04:52:29,708 --> 04:52:31,676 FOCUS ON SHARED DATA RESOURCE, 7355 04:52:31,676 --> 04:52:34,646 AND HOW WE'RE INCREASING THE 7356 04:52:34,646 --> 04:52:36,248 WORKFORCE OF PEOPLE WORKING ON 7357 04:52:36,248 --> 04:52:36,615 DOWN SYNDROME. 7358 04:52:36,615 --> 04:52:39,584 MOST OF YOU KNOW THAT DOWN 7359 04:52:39,584 --> 04:52:44,289 SYNDROME IS THE MOST COMMON AUTO 7360 04:52:44,289 --> 04:52:46,792 SOMAL ANEUPLOIDY IN LIVE BORN 7361 04:52:46,792 --> 04:52:49,261 INFANTS, 1 IN 700 BIRTHS, AND 7362 04:52:49,261 --> 04:52:51,563 BECAUSE OF ADVANCES IN GENERAL 7363 04:52:51,563 --> 04:52:56,301 HEALTH AND SURGERY, FOR EXAMPLE, 7364 04:52:56,301 --> 04:52:58,503 50% OF INFANTS HAVE CONGENITAL 7365 04:52:58,503 --> 04:52:59,938 HEART DEFECTS, LIFESPAN HAS 7366 04:52:59,938 --> 04:53:00,705 DOUBLED. 7367 04:53:00,705 --> 04:53:02,674 PEOPLE WITH DOWN SYNDROME ARE 7368 04:53:02,674 --> 04:53:04,643 PROTECTED FROM SOME CONDITIONS 7369 04:53:04,643 --> 04:53:06,945 LIKE SOLID TUMORS, BUT VIRTUALLY 7370 04:53:06,945 --> 04:53:11,416 100% OF THEM GET ALZHEIMER'S 7371 04:53:11,416 --> 04:53:11,650 DISEASE. 7372 04:53:11,650 --> 04:53:12,951 SO THAT POPULATION RECOMMENDS AN 7373 04:53:12,951 --> 04:53:15,587 IMPORTANT COHORT WHO CAN TEACH 7374 04:53:15,587 --> 04:53:20,959 US ABOUT ALZHEIMER'S DISEASE, 7375 04:53:20,959 --> 04:53:26,865 ALSO ALLOW US TO SEE EFFECTS OF 7376 04:53:26,865 --> 04:53:27,632 THERAPY. 7377 04:53:27,632 --> 04:53:29,467 THEY RARELY GET MYOCARDIAL 7378 04:53:29,467 --> 04:53:30,602 INFARCTION AND WE DON'T KNOW 7379 04:53:30,602 --> 04:53:31,036 WHY. 7380 04:53:31,036 --> 04:53:33,538 THIS IS ANOTHER ADULT 7381 04:53:33,538 --> 04:53:35,407 SELF-ADVOCATE, MR. FRANK 7382 04:53:35,407 --> 04:53:39,678 STEPHENS WHO MEMORABLY SAID 7383 04:53:39,678 --> 04:53:41,379 WHILE TESTIFYING AT LABOR HHS 7384 04:53:41,379 --> 04:53:42,848 SUBCOMMITTEE HEARING, I'M A MAN 7385 04:53:42,848 --> 04:53:44,916 WITH DOWN SYNDROME, AND MY LIFE 7386 04:53:44,916 --> 04:53:47,018 HAS BEEN WORTH LIVING. 7387 04:53:47,018 --> 04:53:51,823 HE GAVE A SPEECH. 7388 04:53:51,823 --> 04:53:53,992 IT RESULTED IN A STANDING 7389 04:53:53,992 --> 04:53:54,226 OVATION. 7390 04:53:54,226 --> 04:53:55,760 IT'S EXTREMELY RARE TO HAVE A 7391 04:53:55,760 --> 04:54:01,132 STANDING OVATION FROM THE LABOR 7392 04:54:01,132 --> 04:54:01,533 HHS SUBCOMMITTEE. 7393 04:54:01,533 --> 04:54:02,634 THAT WAS THE BEGINNING OF 7394 04:54:02,634 --> 04:54:03,501 INFUSION OF FUNDS. 7395 04:54:03,501 --> 04:54:04,636 HE'S A TERRIFIC PERSON. 7396 04:54:04,636 --> 04:54:12,377 WE'VE MET HIM SEVERAL TIMES. 7397 04:54:12,377 --> 04:54:14,145 THE SELF-ADVOCATES ARE TRULY 7398 04:54:14,145 --> 04:54:14,379 AMAZING. 7399 04:54:14,379 --> 04:54:16,648 SO, ONCE -- THAT WAS IN 2017. 7400 04:54:16,648 --> 04:54:19,718 WE REALIZE WE WERE GOING TO GET 7401 04:54:19,718 --> 04:54:23,221 MONEY IN FISCAL YEAR 2018. 7402 04:54:23,221 --> 04:54:24,956 AND I REMEMBER A VERY INTENSE 7403 04:54:24,956 --> 04:54:26,157 WEEKEND WHERE WE SAID, OKAY, 7404 04:54:26,157 --> 04:54:27,759 WE'RE GOING TO GET MONEY, HOW 7405 04:54:27,759 --> 04:54:29,761 ARE WE GOING TO DO THIS? 7406 04:54:29,761 --> 04:54:32,063 AND WE KNEW THERE WERE BASIC 7407 04:54:32,063 --> 04:54:33,698 SCIENCE ADVANCES THAT NEEDED TO 7408 04:54:33,698 --> 04:54:35,901 BE MADE IN THE FIELD, THAT WOULD 7409 04:54:35,901 --> 04:54:37,869 BE RELATED TO THE FACT THAT NOT 7410 04:54:37,869 --> 04:54:41,339 ONLY ARE THERE THREE COPIES OF 7411 04:54:41,339 --> 04:54:43,842 GENES ON CHROMOSOME 21 AND 7412 04:54:43,842 --> 04:54:45,644 PEOPLE WITH DOWN SYNDROME BUT 7413 04:54:45,644 --> 04:54:46,444 THERE ARE DOWNSTREAM EFFECTS, A 7414 04:54:46,444 --> 04:54:51,016 LOT OF DYSREGULATED GENE 7415 04:54:51,016 --> 04:54:52,317 EXPRESSION IN DOWN SYNDROME. 7416 04:54:52,317 --> 04:54:53,852 A LOT OF SMALL STUDIES TOO. 7417 04:54:53,852 --> 04:54:56,922 WE NEEDED A WAY TO DEVELOP LARGE 7418 04:54:56,922 --> 04:54:59,424 COHORTS SO WE COULD DO BIG DATA 7419 04:54:59,424 --> 04:55:02,160 ANALYSES AND SO THAT WAS 7420 04:55:02,160 --> 04:55:03,795 COMPONENT 2, COHORT DEVELOPMENT. 7421 04:55:03,795 --> 04:55:06,331 AND THEN WE WANTED TO CHANGE THE 7422 04:55:06,331 --> 04:55:08,066 CULTURE, PEOPLE WITH GENETIC 7423 04:55:08,066 --> 04:55:10,502 CONDITIONS ARE ALMOST ALWAYS 7424 04:55:10,502 --> 04:55:11,770 EXCLUDED FROM CLINICAL TRIALS. 7425 04:55:11,770 --> 04:55:15,173 HERE THE NAME "INCLUDE." 7426 04:55:15,173 --> 04:55:16,808 A PUN, WE WANTED THEM TO BE 7427 04:55:16,808 --> 04:55:19,678 INCLUDED IN CLINICAL TRIALS. 7428 04:55:19,678 --> 04:55:22,180 AND AS DR. BERTAGNOLLI SAYS WE 7429 04:55:22,180 --> 04:55:23,815 WANT -- OUR WORK ISN'T DONE 7430 04:55:23,815 --> 04:55:26,551 UNTIL THE HEALTH OF ALL PEOPLE 7431 04:55:26,551 --> 04:55:27,752 IS IMPROVED. 7432 04:55:27,752 --> 04:55:31,289 AND THE OTHER THING I WANT TO 7433 04:55:31,289 --> 04:55:34,559 MENTION IS I'M OFTEN ASKED, YOU 7434 04:55:34,559 --> 04:55:36,628 KNOW, DOES DOWN SYNDROME OCCUR 7435 04:55:36,628 --> 04:55:37,729 EQUALLY IN ALL RACES? 7436 04:55:37,729 --> 04:55:38,830 ABSOLUTELY IT DOES. 7437 04:55:38,830 --> 04:55:40,799 THE REASON YOU DON'T NECESSARILY 7438 04:55:40,799 --> 04:55:42,968 SEE PEOPLE OF COLOR WITH DOWN 7439 04:55:42,968 --> 04:55:45,036 SYNDROME IS THEY DON'T GET 7440 04:55:45,036 --> 04:55:47,339 ACCESS TO CARE. 7441 04:55:47,339 --> 04:55:49,307 SO, YOU'LL SEE THIS IS A MAJOR 7442 04:55:49,307 --> 04:55:52,377 GOAL OF "INCLUDE" AS WELL. 7443 04:55:52,377 --> 04:55:53,244 SO WE'RE INVESTIGATING 7444 04:55:53,244 --> 04:55:55,246 CONDITIONS THAT BOTH AFFECT 7445 04:55:55,246 --> 04:55:57,749 PEOPLE WITH DOWN SYNDROME, AND 7446 04:55:57,749 --> 04:55:59,517 POTENTIALLY ARE PROTECTED IN 7447 04:55:59,517 --> 04:56:02,587 PEOPLE WITH DOWN SYNDROME, WE'RE 7448 04:56:02,587 --> 04:56:04,522 INCREASING THE WORKFORCE, AND WE 7449 04:56:04,522 --> 04:56:06,958 WANT TO ENGAGE PEOPLE WITH DOWN 7450 04:56:06,958 --> 04:56:09,461 SYNDROME AND THEIR FAMILY WHO 7451 04:56:09,461 --> 04:56:12,864 HAVE DIVERSE BACKGROUNDS TO 7452 04:56:12,864 --> 04:56:13,832 PARTICIPATE IN RESEARCH. 7453 04:56:13,832 --> 04:56:19,070 HERE IS THE EFFECT OF FUNDING. 7454 04:56:19,070 --> 04:56:24,509 THIS IS AMAZING. 7455 04:56:24,509 --> 04:56:33,218 FROM 2018 7456 04:56:33,218 --> 04:56:34,319 $60 MILLION, THEY DIDN'T CUT 7457 04:56:34,319 --> 04:56:35,286 ANYTHING LAST YEAR. 7458 04:56:35,286 --> 04:56:37,355 MAJORITY OF FUNDS SUPPORT BASIC 7459 04:56:37,355 --> 04:56:40,425 AND HIGH RISK DISCOVERY RESEARCH 7460 04:56:40,425 --> 04:56:42,293 STUDIES BUT ALSO INCREASED 7461 04:56:42,293 --> 04:56:42,961 CLINICAL TRIALS. 7462 04:56:42,961 --> 04:56:46,464 I'M GOING TO GIVE A COUPLE 7463 04:56:46,464 --> 04:56:47,966 EXAMPLES FROM EACH OF THE 7464 04:56:47,966 --> 04:56:49,834 COMPONENTS, AND I'LL GO INTO 7465 04:56:49,834 --> 04:56:52,904 DETAIL IN THE NEXT ONE. 7466 04:56:52,904 --> 04:56:55,306 IN BASIC SCIENCE, WE NOW KNOW 7467 04:56:55,306 --> 04:57:04,282 FOR SURE THAT THE SMALL CHANGES 7468 04:57:04,282 --> 04:57:08,586 THAT, DYSREGULATION OF 7469 04:57:08,586 --> 04:57:11,856 TRIPLICATIVE AND DOWNSTREAM HAVE 7470 04:57:11,856 --> 04:57:13,058 CUMULATIVE EFFECT, A VERY 7471 04:57:13,058 --> 04:57:14,059 COMPLEX DISORDER. 7472 04:57:14,059 --> 04:57:16,995 THERE'S BEEN A TREMENDOUS AMOUNT 7473 04:57:16,995 --> 04:57:18,296 OF ADVANCES IN CONGENITAL HEART 7474 04:57:18,296 --> 04:57:18,730 DISEASE. 7475 04:57:18,730 --> 04:57:20,065 AT THE MEETINGS THAT I ATTENDED 7476 04:57:20,065 --> 04:57:23,001 LAST WEEK IN ROME THERE WAS A 7477 04:57:23,001 --> 04:57:24,869 SESSION ON THE HEART, AND HERE'S 7478 04:57:24,869 --> 04:57:26,704 WHAT FUNDING DOES. 7479 04:57:26,704 --> 04:57:28,273 IT BRINGS IN RESEARCHERS FROM 7480 04:57:28,273 --> 04:57:29,340 OTHER FIELDS. 7481 04:57:29,340 --> 04:57:30,875 SO THERE WERE CARDIOLOGISTS 7482 04:57:30,875 --> 04:57:33,411 THERE WHO HAD NEVER WORKED ON 7483 04:57:33,411 --> 04:57:36,247 ANYTHING RELATED TO DOWN 7484 04:57:36,247 --> 04:57:36,514 SYNDROME. 7485 04:57:36,514 --> 04:57:38,516 IN FACT, WE'RE DOING CLINICAL 7486 04:57:38,516 --> 04:57:43,121 TRIALS IN MICE BUT SHOWING THAT 7487 04:57:43,121 --> 04:57:45,090 IF YOU INHIBITED DIRK 1-A ON 7488 04:57:45,090 --> 04:57:47,525 CHROMOSOME 2 IS PRESENT IN THREE 7489 04:57:47,525 --> 04:57:49,494 COPIES, YOU COULD RESCUE 7490 04:57:49,494 --> 04:57:50,562 CONGENITAL HEART DISEASE. 7491 04:57:50,562 --> 04:57:53,631 VERY, VERY EXCITING WORK. 7492 04:57:53,631 --> 04:57:55,934 NOT EVEN PUBLISHED YET. 7493 04:57:55,934 --> 04:57:59,337 WE'RE ALSO -- WE HAVE A NUMBER 7494 04:57:59,337 --> 04:58:01,106 OF LARGE COHORTS, PARTICULARLY 7495 04:58:01,106 --> 04:58:03,608 IN THE OLDER AGE PEOPLE WITH 7496 04:58:03,608 --> 04:58:06,044 DOWN SYNDROME, AND THEY ARE 7497 04:58:06,044 --> 04:58:08,546 VOLUNTEERING FOR STUDIES TO 7498 04:58:08,546 --> 04:58:10,081 IDENTIFY BIOMARKERS OF 7499 04:58:10,081 --> 04:58:10,482 NEURODEGENERATION. 7500 04:58:10,482 --> 04:58:14,385 SO THAT'S ALSO BEEN VERY, VERY 7501 04:58:14,385 --> 04:58:17,322 SUCCESSFUL. 7502 04:58:17,322 --> 04:58:21,926 THE BASIC SCIENCE COMPONENT ONE 7503 04:58:21,926 --> 04:58:24,529 OF THE FUNDED INVESTIGATORS IS 7504 04:58:24,529 --> 04:58:25,964 USING A 3D BIOPRINTING MODEL OF 7505 04:58:25,964 --> 04:58:27,832 HUMAN NEURAL TISSUES WITH 7506 04:58:27,832 --> 04:58:28,800 FUNCTIONAL CONNECTIVITY. 7507 04:58:28,800 --> 04:58:30,468 THIS INVESTIGATOR HAS BEEN DOING 7508 04:58:30,468 --> 04:58:34,172 IT IN ANOTHER GENETIC DISEASE, 7509 04:58:34,172 --> 04:58:38,243 ALEXANDER DISEASE, USING THIS 3D 7510 04:58:38,243 --> 04:58:38,510 PRINTING. 7511 04:58:38,510 --> 04:58:43,815 THE SLIDES ARE NOT AS COOL AS 7512 04:58:43,815 --> 04:58:45,016 JOHN NGAI'S WORK BUT THEY ARE 7513 04:58:45,016 --> 04:58:45,717 COOL. 7514 04:58:45,717 --> 04:58:48,319 THEY ARE USING BIOPRINTING MODEL 7515 04:58:48,319 --> 04:58:50,555 TO BE ABLE TO TEST DIFFERENT 7516 04:58:50,555 --> 04:58:54,993 DRUGS AND ALSO TO MODEL 7517 04:58:54,993 --> 04:58:57,295 PATHOLOGY IN DOWN SYNDROME. 7518 04:58:57,295 --> 04:58:58,963 HERE'S A BIG ADVANCE. 7519 04:58:58,963 --> 04:59:01,666 DOWN SYNDROME IS NOW BEING 7520 04:59:01,666 --> 04:59:03,735 THOUGHT OF AS AN 7521 04:59:03,735 --> 04:59:04,769 INTERFERONOPATHY. 7522 04:59:04,769 --> 04:59:04,936 WHY? 7523 04:59:04,936 --> 04:59:06,571 BECAUSE FOUR COPIES OF THE 7524 04:59:06,571 --> 04:59:09,541 INTERFERON GENES, FOUR OF THE 7525 04:59:09,541 --> 04:59:12,410 SIX, ARE ON CHROMOSOME 21. 7526 04:59:12,410 --> 04:59:15,580 SO, THE TREATMENT STRATEGIES ARE 7527 04:59:15,580 --> 04:59:18,850 NOW BEING DIRECTED TOWARDS 7528 04:59:18,850 --> 04:59:21,052 ADDRESSING AUTOIMMUNE DISORDERS. 7529 04:59:21,052 --> 04:59:25,857 SO, THIS IS ONE OF THE BASIC 7530 04:59:25,857 --> 04:59:27,825 SCIENCE STUDIES THAT BASICALLY 7531 04:59:27,825 --> 04:59:30,328 SHOWED BY MEASURING CYTOKINES, 7532 04:59:30,328 --> 04:59:32,063 DOCUMENTING, DESCRIBING DOWN 7533 04:59:32,063 --> 04:59:32,931 SYNDROME WITH INTERFERONOPATHY 7534 04:59:32,931 --> 04:59:34,499 BUT WE KNOW THAT BECAUSE OF THE 7535 04:59:34,499 --> 04:59:36,134 CONDITIONS THAT THEY GET. 7536 04:59:36,134 --> 04:59:38,269 YOU'LL SEE WHEN WE GET TO THE 7537 04:59:38,269 --> 04:59:40,405 CLINICAL TRIALS WHAT THEY ARE 7538 04:59:40,405 --> 04:59:40,872 DOING. 7539 04:59:40,872 --> 04:59:44,042 SO IN TERMS OF COHORTS, AGAIN, 7540 04:59:44,042 --> 04:59:45,577 PUTTING TOGETHER THE LARGE 7541 04:59:45,577 --> 04:59:47,979 POPULATIONS OF PEOPLE WITH DOWN 7542 04:59:47,979 --> 04:59:49,614 SYNDROME, THERE'S THE 7543 04:59:49,614 --> 04:59:51,816 ALZHEIMER'S BIOMARKER 7544 04:59:51,816 --> 04:59:53,518 CONSORTIUM, DOWN SYNDROME, ABCDF 7545 04:59:53,518 --> 04:59:56,788 STUDY, WHICH HAS 92 7546 04:59:56,788 --> 04:59:57,922 INVESTIGATORS, OVER 19 7547 04:59:57,922 --> 04:59:58,256 INSTITUTIONS. 7548 04:59:58,256 --> 05:00:01,326 THEY ARE, AGAIN, AS I ALREADY 7549 05:00:01,326 --> 05:00:07,565 SAID IDENTIFYING BIOMARKERS AND 7550 05:00:07,565 --> 05:00:09,968 HAVE A COHORT OF 600 ADULTS. 7551 05:00:09,968 --> 05:00:11,502 ADULTS WITH DOWN SYNDROME ARE A 7552 05:00:11,502 --> 05:00:14,138 MAJOR CONCERN NOW BECAUSE PEOPLE 7553 05:00:14,138 --> 05:00:16,107 ARE LIVING LONGER, BUT THEY ALSO 7554 05:00:16,107 --> 05:00:18,977 HAVE ALZHEIMER'S DISEASE. 7555 05:00:18,977 --> 05:00:20,712 SO THERE ARE MULTIPLE NEEDS 7556 05:00:20,712 --> 05:00:23,147 RELATED TO CARE AND IN SOME 7557 05:00:23,147 --> 05:00:24,649 CASES BECAUSE PARENTS HAVE BEEN 7558 05:00:24,649 --> 05:00:26,718 OLDER WHEN THEY HAD THE CHILD 7559 05:00:26,718 --> 05:00:27,752 WITH DOWN SYNDROME, THERE ARE 7560 05:00:27,752 --> 05:00:29,254 CONCERNS AS TO WHO IS GOING TO 7561 05:00:29,254 --> 05:00:32,523 BE TAKING CARE OF THESE PEOPLE. 7562 05:00:32,523 --> 05:00:36,394 SO, BECAUSE THE POPULATION HAS A 7563 05:00:36,394 --> 05:00:39,197 VIRTUALLY 100% PENETRANCE OF 7564 05:00:39,197 --> 05:00:40,198 DEVELOPING ALZHEIMER'S DISEASE, 7565 05:00:40,198 --> 05:00:42,267 THEY ARE PARTICIPATING IN 7566 05:00:42,267 --> 05:00:44,235 RESEARCH TO LOOK AT NEUROIMAGING 7567 05:00:44,235 --> 05:00:48,406 MARKERS AS WELL AS BLOOD-BASED 7568 05:00:48,406 --> 05:00:48,840 BIOMARKERS. 7569 05:00:48,840 --> 05:00:50,575 THEY ARE CO-ENROLLING THESE 7570 05:00:50,575 --> 05:00:52,243 SUBJECTS IN THE TRIAL READY 7571 05:00:52,243 --> 05:00:54,846 COHORT DOWN SYNDROME GROUP THAT 7572 05:00:54,846 --> 05:01:00,318 WILL BE RECRUITING FOR VARIOUS 7573 05:01:00,318 --> 05:01:01,119 MEDICATION TRIALS. 7574 05:01:01,119 --> 05:01:04,689 SO, THERE'S GOING TO BE A NEW 7575 05:01:04,689 --> 05:01:08,293 COHORT GROUP THAT WILL BE USED 7576 05:01:08,293 --> 05:01:11,696 FOR COMPREHENSIVE DEEP 7577 05:01:11,696 --> 05:01:12,697 PHENOTYPING, AND BIOSAMPLE 7578 05:01:12,697 --> 05:01:13,031 ACQUISITION. 7579 05:01:13,031 --> 05:01:14,999 AND AGAIN THESE MAY NOT BE AS 7580 05:01:14,999 --> 05:01:16,634 OLD AS THE ALZHEIMER'S GROUP, 7581 05:01:16,634 --> 05:01:21,372 THESE ARE PEOPLE OF ALL AGES. 7582 05:01:21,372 --> 05:01:23,741 IN TERMS OF CLINICAL TRIALS 7583 05:01:23,741 --> 05:01:26,711 PEOPLE WITH DOWN SYNDROME HAD 7584 05:01:26,711 --> 05:01:28,346 MORE COMPLICATIONS WITH 7585 05:01:28,346 --> 05:01:31,082 COVID-19, PARTLY BECAUSE OF 7586 05:01:31,082 --> 05:01:32,383 THEIR DYSREGULATED IMMUNE 7587 05:01:32,383 --> 05:01:32,617 SYSTEM. 7588 05:01:32,617 --> 05:01:33,818 SO THERE'S A LOT OF INFORMATION 7589 05:01:33,818 --> 05:01:36,754 THAT WAS GAINED FROM THAT, AS 7590 05:01:36,754 --> 05:01:38,122 WELL AS SPECIFIC TREATMENTS FOR 7591 05:01:38,122 --> 05:01:41,225 PEOPLE WITH DOWN SYNDROME WHO 7592 05:01:41,225 --> 05:01:42,226 HAD COVID-19. 7593 05:01:42,226 --> 05:01:46,064 IT MAY SEEM TRIVIAL BUT IT WAS 7594 05:01:46,064 --> 05:01:47,598 IMPORTANT FOR PEOPLE WHO COULD 7595 05:01:47,598 --> 05:01:48,900 NOT COMMUNICATE WHEN THEY 7596 05:01:48,900 --> 05:01:50,601 COULDN'T SEE, THEY NEEDED 7597 05:01:50,601 --> 05:01:52,070 GLASSES, THIS WAS -- YOU KNOW, 7598 05:01:52,070 --> 05:01:53,404 IT'S SOMETHING THAT'S VERY 7599 05:01:53,404 --> 05:01:54,672 PRACTICAL BUT IMPROVES THE LIVES 7600 05:01:54,672 --> 05:01:57,108 OF PEOPLE WITH DOWN SYNDROME. 7601 05:01:57,108 --> 05:02:00,511 SO THAT TRIAL WAS COMPLETED. 7602 05:02:00,511 --> 05:02:04,015 THERE HAVE ALSO BEEN NEW 7603 05:02:04,015 --> 05:02:06,084 COGNITIVE MEASURES THAT HAVE 7604 05:02:06,084 --> 05:02:09,821 BEEN DESIGNED AND TESTED, SO 7605 05:02:09,821 --> 05:02:11,089 PARTICULARLY IN NEURODEVELOPMENT 7606 05:02:11,089 --> 05:02:12,523 TO UNDERSTAND WHERE PARTICULAR 7607 05:02:12,523 --> 05:02:16,694 CHILD IS ALONG A SPECTRUM. 7608 05:02:16,694 --> 05:02:18,663 AND MANY OF THE TOOLS THAT HAVE 7609 05:02:18,663 --> 05:02:20,531 BEEN DEVELOPED HAVE ALSO BEEN 7610 05:02:20,531 --> 05:02:24,035 TRANSLATED INTO SPANISH. 7611 05:02:24,035 --> 05:02:25,670 SO, THESE ARE THE 13 CLINICAL 7612 05:02:25,670 --> 05:02:26,003 TRIALS. 7613 05:02:26,003 --> 05:02:27,205 AND PARTICULARLY FOR DR. KIMBALL 7614 05:02:27,205 --> 05:02:37,281 I WANT TO POINT OUT THAT JAK 7615 05:02:37,281 --> 05:02:38,616 INHIBITION IS ONGOING BUT 7616 05:02:38,616 --> 05:02:39,817 SUCCESSFUL. 7617 05:02:39,817 --> 05:02:42,854 PEOPLE WITH DOWN SYNDROME HAVE 7618 05:02:42,854 --> 05:02:45,757 INCREASED INCIDENCE OF ALOPECIA 7619 05:02:45,757 --> 05:02:49,594 ARIATA, PSORIASIS, AND SOME OF 7620 05:02:49,594 --> 05:02:50,995 THESE PATCHES OF BALDING, 7621 05:02:50,995 --> 05:02:53,164 AMAZING PICTURES, SO THIS IS 7622 05:02:53,164 --> 05:02:55,233 VERY CONCRETE AS WELL AS 7623 05:02:55,233 --> 05:02:57,068 TREATMENTS, CLINICAL TRIALS, 7624 05:02:57,068 --> 05:02:59,604 ADDRESSING SLEEP APNEA. 7625 05:02:59,604 --> 05:03:01,139 SO, BECAUSE PEOPLE WITH DOWN 7626 05:03:01,139 --> 05:03:07,044 SYNDROME HAVE A RELATIVELY FLAT 7627 05:03:07,044 --> 05:03:15,253 FACE, THEY HAVE TONGUE 7628 05:03:15,253 --> 05:03:16,554 PROTRUSION, THAT CREATES HYPOXIA 7629 05:03:16,554 --> 05:03:19,524 AND HAS NEGATIVE EFFECTS ON 7630 05:03:19,524 --> 05:03:19,924 THEIR DEVELOPMENT. 7631 05:03:19,924 --> 05:03:22,794 YOU CAN SEE HOW MANY CLINICAL 7632 05:03:22,794 --> 05:03:23,795 TRIALS THERE HAVE BEEN TO 7633 05:03:23,795 --> 05:03:25,963 ADDRESS THIS ISSUE. 7634 05:03:25,963 --> 05:03:27,398 WE MENTIONED ALZHEIMER'S 7635 05:03:27,398 --> 05:03:30,668 DISEASE, AND ANOTHER BIG PROBLEM 7636 05:03:30,668 --> 05:03:32,770 IS REGRESSION, SO PEOPLE WITH 7637 05:03:32,770 --> 05:03:35,173 DOWN SYNDROME WILL DEVELOP, A 7638 05:03:35,173 --> 05:03:36,607 CERTAIN PERCENTAGE WILL REGRESS 7639 05:03:36,607 --> 05:03:39,544 AFTER THEY HAVE ACHIEVED CERTAIN 7640 05:03:39,544 --> 05:03:40,511 PLATEAU IN DEVELOPMENT, SO 7641 05:03:40,511 --> 05:03:44,015 THAT'S ALSO BEING ADDRESSED WITH 7642 05:03:44,015 --> 05:03:44,215 THIS. 7643 05:03:44,215 --> 05:03:47,618 I MENTIONED THE JAK INHIBITORS, 7644 05:03:47,618 --> 05:03:55,960 THERE ARE ALSO MEDICAL 7645 05:03:55,960 --> 05:03:58,129 TREATMENTS, TAMOXATI NEXT, OXY 7646 05:03:58,129 --> 05:03:59,330 BUTIN, PROMISING FOR CHILDREN 7647 05:03:59,330 --> 05:04:07,338 WITH DOWN SYNDROME IN RANDOMIZED 7648 05:04:07,338 --> 05:04:09,841 TRIAL, RESEARCH PRESENTS 7649 05:04:09,841 --> 05:04:12,043 MEANINGFUL INSIGHTS INTO 7650 05:04:12,043 --> 05:04:14,679 PROGRESSION OF ALZHEIMER'S 7651 05:04:14,679 --> 05:04:17,582 DISEASE IN THIS POPULATION. 7652 05:04:17,582 --> 05:04:20,117 KIDS WITH DOWN SYNDROME, I KNOW 7653 05:04:20,117 --> 05:04:22,320 PEOPLE I KNOW THAT HAD SLEEP 7654 05:04:22,320 --> 05:04:24,355 APNEA TESTS IN THE HOSPITAL, 7655 05:04:24,355 --> 05:04:25,623 THEY REALLY DON'T LIKE IT. 7656 05:04:25,623 --> 05:04:27,158 YOU CAN'T SLEEP BECAUSE IT'S A 7657 05:04:27,158 --> 05:04:27,859 FOREIGN SETTING. 7658 05:04:27,859 --> 05:04:30,428 YOU CAN IMAGINE A CHILD WITH AN 7659 05:04:30,428 --> 05:04:31,295 INTELLECTUAL DISABILITY, IT'S 7660 05:04:31,295 --> 05:04:32,730 EVEN WORSE TO TRY TO BRING THEM 7661 05:04:32,730 --> 05:04:34,065 INTO THE HOSPITAL. 7662 05:04:34,065 --> 05:04:38,769 SO THERE HAVE BEEN STUDIES NOW 7663 05:04:38,769 --> 05:04:42,607 VIA "INCLUDE" TO SEE, YOU KNOW, 7664 05:04:42,607 --> 05:04:44,809 HOW IS GOOD HOME TESTING FOR 7665 05:04:44,809 --> 05:04:45,476 SLEEP APNEA. 7666 05:04:45,476 --> 05:04:47,111 IN FACT IT WORKS JUST AS WELL. 7667 05:04:47,111 --> 05:04:50,181 SO, THIS IS A MAJOR ADVANCE 7668 05:04:50,181 --> 05:04:51,883 BECAUSE NOT ONLY CAN CHILDREN 7669 05:04:51,883 --> 05:04:54,552 AND ADULTS WITH DOWN SYNDROME BE 7670 05:04:54,552 --> 05:04:56,087 TESTED FOR OBSTRUCTIVE SLEEP 7671 05:04:56,087 --> 05:04:58,589 APNEA BUT WE CAN MONITOR EFFECTS 7672 05:04:58,589 --> 05:05:00,024 OF TREATMENT. 7673 05:05:00,024 --> 05:05:03,961 SO THIS IS ALL -- IT'S A SMALL 7674 05:05:03,961 --> 05:05:07,798 STUDY BUT HAD SIGNIFICANT 7675 05:05:07,798 --> 05:05:10,635 RESULTS. 7676 05:05:10,635 --> 05:05:13,604 AND THEN DATA RESOURCES, SO 7677 05:05:13,604 --> 05:05:15,239 AGAIN THE SMALL INDIVIDUAL 7678 05:05:15,239 --> 05:05:17,608 TRIALS THAT HAVE BEEN DONE 7679 05:05:17,608 --> 05:05:19,710 HISTORICALLY HAVE NOT HAD THE 7680 05:05:19,710 --> 05:05:21,612 POWER OF PUTTING TOGETHER THESE 7681 05:05:21,612 --> 05:05:22,046 COHORTS. 7682 05:05:22,046 --> 05:05:23,881 SO FROM THE VERY BEGINNING, WITH 7683 05:05:23,881 --> 05:05:26,751 THE CREATION OF THE DATA 7684 05:05:26,751 --> 05:05:28,386 COORDINATING CENTER, THE INTENT 7685 05:05:28,386 --> 05:05:31,889 WAS TO PUT ALL THE DATA IN ONE 7686 05:05:31,889 --> 05:05:33,925 PLACE AND MAKE EVERYTHING 7687 05:05:33,925 --> 05:05:35,293 PUBLICLY AVAILABLE SO THAT 7688 05:05:35,293 --> 05:05:36,694 ANYBODY INTERESTED IN ANYTHING 7689 05:05:36,694 --> 05:05:40,197 RELATED TO DOWN SYNDROME COULD 7690 05:05:40,197 --> 05:05:44,235 ACCESS THE DATA AND MAKE 7691 05:05:44,235 --> 05:05:45,903 MEANINGFUL INSIGHTS FROM THERE. 7692 05:05:45,903 --> 05:05:55,813 AGAIN, IT'S PUBLICLY AVAILABLE. 7693 05:05:55,813 --> 05:05:57,915 SO IT'S THE INCLUDEDCC.ORG. 7694 05:05:57,915 --> 05:05:59,517 MY LABORATORY IS WORKING TO 7695 05:05:59,517 --> 05:06:00,551 IMPROVE COGNITION IN DOWN 7696 05:06:00,551 --> 05:06:01,018 SYNDROME. 7697 05:06:01,018 --> 05:06:04,822 I SAID THIS IS GREAT FOR HUMANS 7698 05:06:04,822 --> 05:06:06,691 BUT IT'S A BIG ISSUE FOR MOUSE 7699 05:06:06,691 --> 05:06:07,124 MODELS. 7700 05:06:07,124 --> 05:06:09,760 THERE ARE HUNDREDS OF MOUSE 7701 05:06:09,760 --> 05:06:10,962 MODELS, DOWN SYNDROME. 7702 05:06:10,962 --> 05:06:13,230 AND WE HAVE A HARD TIME 7703 05:06:13,230 --> 05:06:15,466 COMPARING THEM TO EACH OTHER. 7704 05:06:15,466 --> 05:06:18,502 AND I WANTED TO SEE SOMETHING 7705 05:06:18,502 --> 05:06:21,772 THAT, YOU KNOW, IF YOU'RE 7706 05:06:21,772 --> 05:06:22,306 STUDYING AMYLOID PRECURSOR 7707 05:06:22,306 --> 05:06:27,244 PROTEIN, FOR EXAMPLE, NOT ALL 7708 05:06:27,244 --> 05:06:28,879 THE MODELS HAVE APP. 7709 05:06:28,879 --> 05:06:33,684 IS THERE A WAY TO QUICKLY FIND 7710 05:06:33,684 --> 05:06:37,288 OUT IS IT TRIPLICATED OR HOW 7711 05:06:37,288 --> 05:06:39,690 DOES IT COMPARE OR IS A 7712 05:06:39,690 --> 05:06:40,358 PARTICULAR GENE EXPRESSED, I'M 7713 05:06:40,358 --> 05:06:43,327 HAPPY TO SAY IN ROME THEY HAD A 7714 05:06:43,327 --> 05:06:45,963 BETA VERSION OF THE SOFTWARE, 7715 05:06:45,963 --> 05:06:47,698 AND WE WERE ALL ENCOURAGED TO 7716 05:06:47,698 --> 05:06:50,201 PLAY WITH IT AND MAKE COMMENTS, 7717 05:06:50,201 --> 05:06:51,636 AND I THINK IT'S GOING TO BE A 7718 05:06:51,636 --> 05:06:53,170 GREAT ADVANCE AND A GREAT 7719 05:06:53,170 --> 05:06:56,774 ADDITION TO THE DATA 7720 05:06:56,774 --> 05:06:58,876 COORDINATING CENTER. 7721 05:06:58,876 --> 05:07:01,579 SO, AGAIN, THERE ARE -- WE'RE 7722 05:07:01,579 --> 05:07:03,681 NOT TALKING ABOUT 40 OR 50 7723 05:07:03,681 --> 05:07:04,115 INDIVIDUALS. 7724 05:07:04,115 --> 05:07:14,659 WE'VE GOT 4,000+ GENOMES, 1700+ 7725 05:07:16,560 --> 05:07:18,996 TRANSCRIPT OPENS, PROTEOMES, 7726 05:07:18,996 --> 05:07:20,297 EPIGENOMES, IMMUNE MAPS, 7727 05:07:20,297 --> 05:07:22,933 MICROBIOMES, SO THE MONEY HAS 7728 05:07:22,933 --> 05:07:25,036 BEEN WELL SPENT. 7729 05:07:25,036 --> 05:07:27,638 NOW, FAMILIES ARE VERY INVOLVED 7730 05:07:27,638 --> 05:07:31,909 IN DOWN SYNDROME. 7731 05:07:31,909 --> 05:07:33,744 SO DAVID EGAN, HIS MOTHER 7732 05:07:33,744 --> 05:07:36,480 KATHLEEN SERVED ON OUR ADVISORY 7733 05:07:36,480 --> 05:07:36,714 COUNCIL. 7734 05:07:36,714 --> 05:07:40,217 AT EVERY DOWN SYNDROME MEETING, 7735 05:07:40,217 --> 05:07:42,086 PARENTS ARE ACTIVELY INVOLVED. 7736 05:07:42,086 --> 05:07:45,923 AND THE DS CONNECT IS AN 7737 05:07:45,923 --> 05:07:48,225 OPPORTUNITY FOR BOTH PEOPLE WITH 7738 05:07:48,225 --> 05:07:51,295 DOWN SYNDROME AND THEIR FAMILIES 7739 05:07:51,295 --> 05:07:53,597 TO PARTICIPATE DIRECTLY IN 7740 05:07:53,597 --> 05:07:53,931 RESEARCH. 7741 05:07:53,931 --> 05:07:58,202 SO IT'S A WAY OF DOING 7742 05:07:58,202 --> 05:07:59,737 SURVEY-BASED RESEARCH, AND 7743 05:07:59,737 --> 05:08:01,939 REACHING OVER 5,000 PEOPLE WITH 7744 05:08:01,939 --> 05:08:02,807 DOWN SYNDROME. 7745 05:08:02,807 --> 05:08:04,542 SO THERE HAVE BEEN SOME VERY 7746 05:08:04,542 --> 05:08:05,409 INTERESTING QUESTIONS. 7747 05:08:05,409 --> 05:08:08,479 I KNOW THERE'S AT LEAST ONE 7748 05:08:08,479 --> 05:08:10,014 PUBLICATION IN THE PEDIATRIC 7749 05:08:10,014 --> 05:08:13,384 LITERATURE WHERE PARENTS WERE 7750 05:08:13,384 --> 05:08:14,585 ASKED WHAT KIND OF 7751 05:08:14,585 --> 05:08:15,820 NUTRICEUTICALS OR VITAMINS OR 7752 05:08:15,820 --> 05:08:18,089 SUPPLEMENTS ARE YOU GIVING YOUR 7753 05:08:18,089 --> 05:08:24,228 CHILD, AND IT WAS RATHER EYE 7754 05:08:24,228 --> 05:08:25,763 OPENING. 7755 05:08:25,763 --> 05:08:28,499 THE DS-CONNECT WAS ON A 7756 05:08:28,499 --> 05:08:30,134 CONTRACT, NOW MOVING TO A NEW 7757 05:08:30,134 --> 05:08:31,869 PLATFORM TO BE MORE SUSTAINABLE 7758 05:08:31,869 --> 05:08:36,674 AT THE UNIVERSITY OF COLORADO. 7759 05:08:36,674 --> 05:08:39,443 ANYBODY CAN REGISTER WITH A 7760 05:08:39,443 --> 05:08:39,844 RESEARCH QUESTION. 7761 05:08:39,844 --> 05:08:43,914 AND IT'S VERY EASY TO USE. 7762 05:08:43,914 --> 05:08:52,890 AND THEN IN TERMS OF THE 7763 05:08:52,890 --> 05:08:54,759 WORKFORCE, MORE THAN 76 TRAINEES 7764 05:08:54,759 --> 05:08:59,997 HAVE BENEFITED, PEOPLE ARE 7765 05:08:59,997 --> 05:09:01,766 FUNDED VIA T32, KL-2 SCHOLARS, 7766 05:09:01,766 --> 05:09:02,733 CARDIOLOGY IS GETTING INVOLVED 7767 05:09:02,733 --> 05:09:11,642 IN THE DOWN SYNDROME RESEARCH SO 7768 05:09:11,642 --> 05:09:14,478 PEDIATRIC HEART NETWORK FELLOW, 7769 05:09:14,478 --> 05:09:17,114 INDIVIDUAL K08 AND Q 23 AND DS3 7770 05:09:17,114 --> 05:09:18,082 DATA SCIENCE SCHOLARS PROGRAM 7771 05:09:18,082 --> 05:09:19,517 FOR PEOPLE OF DIVERSE 7772 05:09:19,517 --> 05:09:22,353 BACKGROUNDS WHO ARE ENTERING 7773 05:09:22,353 --> 05:09:25,389 INTO RESEARCH CAREERS IN DOWN 7774 05:09:25,389 --> 05:09:26,190 SYNDROME. 7775 05:09:26,190 --> 05:09:28,993 THEY GO TO COLORADO FOR TWO 7776 05:09:28,993 --> 05:09:31,362 WEEKS FOR SUMMER IN-PERSON 7777 05:09:31,362 --> 05:09:33,497 COURSE, AND THEY ARE LEARNING 7778 05:09:33,497 --> 05:09:37,201 HOW TO MANAGE THESE LARGE 7779 05:09:37,201 --> 05:09:37,768 DATASETS. 7780 05:09:37,768 --> 05:09:39,403 AND THESE KIDS WERE AT THE ROME 7781 05:09:39,403 --> 05:09:41,272 MEETING, AND THEY HAVE THEIR OWN 7782 05:09:41,272 --> 05:09:43,974 NETWORKING NOW, WHICH IS REALLY 7783 05:09:43,974 --> 05:09:44,809 EXCITING. 7784 05:09:44,809 --> 05:09:46,544 AND THEY HAVE REALLY BENEFITED 7785 05:09:46,544 --> 05:09:52,550 NOT ONLY FROM THE DIDACTICS AND 7786 05:09:52,550 --> 05:09:54,185 DATASETS BUT ALSO BE AWARE OF 7787 05:09:54,185 --> 05:09:57,254 THE FUTURE OF RESEARCH IN DOWN 7788 05:09:57,254 --> 05:09:57,521 SYNDROME. 7789 05:09:57,521 --> 05:10:00,090 THEY HAVE HAD 36 TRAINEES, AND 7790 05:10:00,090 --> 05:10:04,261 THEY HAVE A NEW GROUP COMING IN 7791 05:10:04,261 --> 05:10:04,562 NEXT SUMMER. 7792 05:10:04,562 --> 05:10:05,796 SO I'VE TALKED FAST BECAUSE I 7793 05:10:05,796 --> 05:10:08,299 KNOW IT'S LATE IN THE DAY AND 7794 05:10:08,299 --> 05:10:11,035 YOU PROBABLY WANT TO GET SOME 7795 05:10:11,035 --> 05:10:12,336 FRESH AIR. 7796 05:10:12,336 --> 05:10:15,406 BUT WE HAVE 18 OF OUR INSTITUTES 7797 05:10:15,406 --> 05:10:20,878 AND CENTERS AT NIH COLLABORATING 7798 05:10:20,878 --> 05:10:22,847 IN THE "INCLUDE" INITIATIVE, 50 7799 05:10:22,847 --> 05:10:25,149 FUNDING OPPORTUNITIES TO DATE, I 7800 05:10:25,149 --> 05:10:26,917 MENTIONED 13 CLINICAL TRIALS. 7801 05:10:26,917 --> 05:10:28,552 THERE'S DATA COORDINATING CENTER 7802 05:10:28,552 --> 05:10:30,621 FOR BOTH HUMANS AND RODENT 7803 05:10:30,621 --> 05:10:31,155 MODELS. 7804 05:10:31,155 --> 05:10:36,093 MAINLY MICE RIGHT NOW, NO RATS 7805 05:10:36,093 --> 05:10:37,061 YET. 7806 05:10:37,061 --> 05:10:40,030 76 NEW TRAINEES, AND 13 7807 05:10:40,030 --> 05:10:41,031 "INCLUDE" HOSTED COMMUNITY 7808 05:10:41,031 --> 05:10:42,132 ENGAGEMENT AND OUTREACH EFFORTS. 7809 05:10:42,132 --> 05:10:46,270 WE HAVE A MAJOR OUTREACH EFFORT 7810 05:10:46,270 --> 05:10:49,607 TO PEOPLE WHO ARE PRIMARILY 7811 05:10:49,607 --> 05:10:50,875 SPANISH SPEAKING. 7812 05:10:50,875 --> 05:10:52,076 AND OVER 450 PUBLICATIONS. 7813 05:10:52,076 --> 05:10:55,713 I THINK, AGAIN, IT'S AN EXAMPLE 7814 05:10:55,713 --> 05:10:57,781 OF A PROGRAM THAT WITH AN 7815 05:10:57,781 --> 05:11:00,317 INFUSION OF MONEY HAS BEEN VERY 7816 05:11:00,317 --> 05:11:02,820 SUCCESSFUL AND HAS REALLY TURNED 7817 05:11:02,820 --> 05:11:04,922 THE FIELD AROUND. 7818 05:11:04,922 --> 05:11:06,757 SO, WE HOPE THAT CONGRESS WILL 7819 05:11:06,757 --> 05:11:08,092 CONTINUE TO SUPPORT IT AND I'M 7820 05:11:08,092 --> 05:11:12,997 HAPPY TO TAKE ANY QUESTIONS. 7821 05:11:12,997 --> 05:11:14,098 THANK YOU. 7822 05:11:14,098 --> 05:11:14,398 >> GREAT. 7823 05:11:14,398 --> 05:11:16,400 THANK YOU, DIANA. 7824 05:11:16,400 --> 05:11:16,934 QUESTIONS? 7825 05:11:16,934 --> 05:11:17,501 YES. 7826 05:11:17,501 --> 05:11:21,772 >> I'M EXCITED ABOUT YOUR STUDY 7827 05:11:21,772 --> 05:11:23,641 >> ONE PERSON EXCITED. 7828 05:11:23,641 --> 05:11:25,476 >> I'LL TALK TO YOU OFFLINE. 7829 05:11:25,476 --> 05:11:30,948 >> DOESN'T GET BETTER THAN THAT. 7830 05:11:30,948 --> 05:11:31,382 OKAY. 7831 05:11:31,382 --> 05:11:36,987 >> SEAN HAS BEEN VERY PATIENT. 7832 05:11:36,987 --> 05:11:40,591 DR. SEAN MOONEY, NEW DIRECTOR AT 7833 05:11:40,591 --> 05:11:44,194 CIT WHO WITH DR. TABAK WANTS TO 7834 05:11:44,194 --> 05:11:45,663 PRESENT A PROPOSAL FOR YOU ALL. 7835 05:11:45,663 --> 05:11:47,264 >> SEAN, LET ME SAY A COUPLE 7836 05:11:47,264 --> 05:11:49,033 WORDS BEFORE YOU START. 7837 05:11:49,033 --> 05:11:55,639 FOR NEW MEMBERS OF THE ACD, ONE 7838 05:11:55,639 --> 05:11:57,808 OF THE REALLY -- THINGS YOU WILL 7839 05:11:57,808 --> 05:12:00,911 ENJOY IS PARTICIPATING IN 7840 05:12:00,911 --> 05:12:01,412 WORKING GROUPS. 7841 05:12:01,412 --> 05:12:05,182 BECAUSE A LOT OF THE ACTION IS 7842 05:12:05,182 --> 05:12:07,685 DONE SORT OF OFFLINE. 7843 05:12:07,685 --> 05:12:09,653 AND SEAN IS GOING TO PROPOSE A 7844 05:12:09,653 --> 05:12:11,522 WORKING GROUP FOR THE CENTER FOR 7845 05:12:11,522 --> 05:12:12,957 INFORMATION TECHNOLOGY AND HE 7846 05:12:12,957 --> 05:12:15,225 WILL EXPLAIN WHY, AND AT THE 7847 05:12:15,225 --> 05:12:18,963 VERY END I'LL JUST OFFER A BRIEF 7848 05:12:18,963 --> 05:12:22,032 CHARGE FOR YOU TO CONSIDER. 7849 05:12:22,032 --> 05:12:24,668 TYPICALLY ONE OR TWO MEMBERS OF 7850 05:12:24,668 --> 05:12:26,070 ACD CO-CHAIR A WORKING GROUP 7851 05:12:26,070 --> 05:12:27,805 WITH EITHER SOMEBODY FROM OFFICE 7852 05:12:27,805 --> 05:12:30,007 OF DIRECTOR OR INSTITUTE OR 7853 05:12:30,007 --> 05:12:32,076 CENTER DIRECTOR, AND THEN THE 7854 05:12:32,076 --> 05:12:33,510 REMAINDER OF THE COMMITTEE COMES 7855 05:12:33,510 --> 05:12:35,379 FROM PEOPLE WHO ARE NOT MEMBERS 7856 05:12:35,379 --> 05:12:39,316 OF THE ACD BUT COME ON AS AD HOC 7857 05:12:39,316 --> 05:12:42,586 INDIVIDUALS WHO HAVE SPECIAL 7858 05:12:42,586 --> 05:12:43,687 EXPERTISE, SO SEAN, PLEASE. 7859 05:12:43,687 --> 05:12:46,290 >> THANK YOU SO MUCH, LARRY. 7860 05:12:46,290 --> 05:12:46,890 I REALLY APPRECIATE THE 7861 05:12:46,890 --> 05:12:48,592 OPPORTUNITY TO SPEND TIME WITH 7862 05:12:48,592 --> 05:12:49,493 YOU TODAY, LOOKING FORWARD 7863 05:12:49,493 --> 05:12:52,329 HOPEFULLY TO WORKING WITH YOU IN 7864 05:12:52,329 --> 05:12:54,098 THE FUTURE. 7865 05:12:54,098 --> 05:12:56,400 I'M SEAN MOONEY, NEW DIRECTOR OF 7866 05:12:56,400 --> 05:12:57,368 THE CENTER FOR INFORMATION 7867 05:12:57,368 --> 05:13:00,104 TECHNOLOGY AT NIH. 7868 05:13:00,104 --> 05:13:01,171 I'M JUST PASSING ABOUT 2 1/2 7869 05:13:01,171 --> 05:13:02,740 MONTHS HERE. 7870 05:13:02,740 --> 05:13:04,808 OVER THE FIRST 2 1/2 MONTHS I'VE 7871 05:13:04,808 --> 05:13:07,544 HAD JUST AN ENORMOUS AMOUNT OF 7872 05:13:07,544 --> 05:13:10,047 FUN MEETING ALL OF THE REALLY 7873 05:13:10,047 --> 05:13:10,981 AWESOME HARD WORK THAT'S 7874 05:13:10,981 --> 05:13:14,318 HAPPENING WITHIN THE CENTER FOR 7875 05:13:14,318 --> 05:13:14,885 INFORMATION TECHNOLOGY THAT 7876 05:13:14,885 --> 05:13:18,622 SUPPORT COMMUTING -- COMPUTING 7877 05:13:18,622 --> 05:13:19,356 AT THE NIH. 7878 05:13:19,356 --> 05:13:20,991 I'M GOING TO TELL BUT SOME WORK 7879 05:13:20,991 --> 05:13:23,093 THAT WE DO OVER THE NEXT 20 7880 05:13:23,093 --> 05:13:24,328 MINUTES, OPPORTUNITIES COMING 7881 05:13:24,328 --> 05:13:26,263 UP, SOME THINGS THAT WE'RE 7882 05:13:26,263 --> 05:13:27,264 GENERALLY THINKING ABOUT. 7883 05:13:27,264 --> 05:13:29,233 THE KEY MESSAGE THAT I WANT TO 7884 05:13:29,233 --> 05:13:32,503 SEND TO YOU TODAY IS I NEED YOUR 7885 05:13:32,503 --> 05:13:32,736 HELP. 7886 05:13:32,736 --> 05:13:35,105 COMPUTING IS PART OF EVERYTHING 7887 05:13:35,105 --> 05:13:36,006 WE DO NOW. 7888 05:13:36,006 --> 05:13:38,308 AND WHAT I'M GOING TO DESCRIBE 7889 05:13:38,308 --> 05:13:40,144 IS THE GROWTH OF COMPUTING TO 7890 05:13:40,144 --> 05:13:41,311 SUPPORT THE KINDS OF PROJECTS 7891 05:13:41,311 --> 05:13:43,781 THAT WE WANT TO DO IN THE 7892 05:13:43,781 --> 05:13:45,215 FUTURE, NEEDS YOUR ADVICE. 7893 05:13:45,215 --> 05:13:47,484 CIT IS ONE OF THE 27 INSTITUTES 7894 05:13:47,484 --> 05:13:49,586 AND CENTERS OF THE NIH, ONE OF 7895 05:13:49,586 --> 05:13:53,757 THE FEW, MAYBE THE ONLY THAT 7896 05:13:53,757 --> 05:13:55,592 DOESN'T HAVE AN EXTERNAL ADVICE 7897 05:13:55,592 --> 05:13:58,095 TOOL TO GIVE US ADVICE BACK TO 7898 05:13:58,095 --> 05:14:01,331 US, I'M REALLY HOPING THAT WE 7899 05:14:01,331 --> 05:14:05,002 CAN LEVERAGE THIS TO DO EXACTLY 7900 05:14:05,002 --> 05:14:05,202 THAT. 7901 05:14:05,202 --> 05:14:07,204 SO EARLIER TODAY WE HEARD ABOUT 7902 05:14:07,204 --> 05:14:08,072 A PROJECT THAT THE BRAIN 7903 05:14:08,072 --> 05:14:14,211 INITIATIVE IS GOING TO BE 7904 05:14:14,211 --> 05:14:17,614 GENERATING, IMAGINE GENERATING A 7905 05:14:17,614 --> 05:14:21,452 ZETABYTE OF DATA IN A SINGLE 7906 05:14:21,452 --> 05:14:22,019 PROJECT. 7907 05:14:22,019 --> 05:14:25,055 A ZETABYTE, STAGGERING IN THE 7908 05:14:25,055 --> 05:14:26,423 TERMS OF WHAT WE NEED TO DO TO 7909 05:14:26,423 --> 05:14:28,459 THE PREPARE IN THE COMPUTING 7910 05:14:28,459 --> 05:14:28,759 WORLD. 7911 05:14:28,759 --> 05:14:32,629 WHAT I'LL DO IS START BY GIVING 7912 05:14:32,629 --> 05:14:33,597 INTRODUCTION INTO CIT AND NIH, 7913 05:14:33,597 --> 05:14:36,900 TALK ABOUT THE NEED FOR GUIDANCE 7914 05:14:36,900 --> 05:14:39,503 ON INFORMATION TECHNOLOGY, I'M 7915 05:14:39,503 --> 05:14:40,704 GOING TO CALL CYBER 7916 05:14:40,704 --> 05:14:41,805 INFRASTRUCTURE AND CYBERSECURITY 7917 05:14:41,805 --> 05:14:44,541 AND WE'LL TALK AT THE VERY END 7918 05:14:44,541 --> 05:14:47,277 ABOUT THE PROPOSED WORK GROUP 7919 05:14:47,277 --> 05:14:47,711 LOGISTICS. 7920 05:14:47,711 --> 05:14:50,914 AS I SAID BEFORE, ALL OF THE 7921 05:14:50,914 --> 05:14:53,851 BIOMEDICAL RESEARCH LIFE CYCLE 7922 05:14:53,851 --> 05:14:54,818 CONTAINS DATA, COMPUTERS, 7923 05:14:54,818 --> 05:14:56,019 SOFTWARE, ANALYTICS, HOW THEY 7924 05:14:56,019 --> 05:14:57,588 ARE ALL CONNECTED TOGETHER. 7925 05:14:57,588 --> 05:14:59,423 WE HAVE AN AMAZING WORKFORCE AT 7926 05:14:59,423 --> 05:15:02,693 THE NIH THAT CONTRIBUTES TO 7927 05:15:02,693 --> 05:15:04,661 SUPPORT COMPUTING, AND WE REALLY 7928 05:15:04,661 --> 05:15:06,730 HAVE THIS OPEN QUESTION OF HOW 7929 05:15:06,730 --> 05:15:08,532 DO WE CONTINUE TO SUSTAIN BEING 7930 05:15:08,532 --> 05:15:10,267 VERY ADVANCED IN TERMS OF 7931 05:15:10,267 --> 05:15:11,368 CULTIVATING THAT TECHNOLOGY THAT 7932 05:15:11,368 --> 05:15:14,004 WE PROVIDE, BUT ALSO HOW DO WE 7933 05:15:14,004 --> 05:15:15,639 MAINTAIN A CAPABLE WORKFORCE 7934 05:15:15,639 --> 05:15:18,275 THAT CAN DO THIS, OVER THE LONG 7935 05:15:18,275 --> 05:15:20,110 HAUL, AND REALLY SUPPORT THE 7936 05:15:20,110 --> 05:15:20,911 FUTURE ADVANCEMENTS THAT WE 7937 05:15:20,911 --> 05:15:27,351 EXPECT TO SEE IN COMPUTING SUCH 7938 05:15:27,351 --> 05:15:28,452 AS NEXT GENERATION, ADVANCED 7939 05:15:28,452 --> 05:15:28,986 ARTIFICIAL INTELLIGENCE 7940 05:15:28,986 --> 05:15:29,753 COMPUTING PLATFORMS AND THINGS 7941 05:15:29,753 --> 05:15:30,621 LIKE THAT. 7942 05:15:30,621 --> 05:15:33,991 WE DO HAVE A ROAD MAP TO START 7943 05:15:33,991 --> 05:15:34,191 WITH. 7944 05:15:34,191 --> 05:15:36,326 MY PREDECESSOR AND THE FORMER 7945 05:15:36,326 --> 05:15:38,962 DIRECTOR OF THE NATIONAL LIBRARY 7946 05:15:38,962 --> 05:15:41,999 OF MEDICINE PATTI BRENNAN AND 7947 05:15:41,999 --> 05:15:43,433 ANDREA NORRIS, MY PREDECESSOR, 7948 05:15:43,433 --> 05:15:45,169 WORKED TOGETHER TO DEVELOP A 7949 05:15:45,169 --> 05:15:48,338 STRATEGIC KIND OF VISIONARY 7950 05:15:48,338 --> 05:15:51,975 ROADMAP FOR DIGITAL NIH FUTURE 7951 05:15:51,975 --> 05:15:53,610 WHICH OPERATES FROM ABOUT 2023 7952 05:15:53,610 --> 05:15:54,244 TO 2028. 7953 05:15:54,244 --> 05:15:56,113 THAT DOCUMENT IS AVAILABLE. 7954 05:15:56,113 --> 05:15:57,848 YOU CAN GOOGLE AND DOWNLOAD IT, 7955 05:15:57,848 --> 05:16:02,786 AND REALLY IT'S A GREAT STARTING 7956 05:16:02,786 --> 05:16:03,620 POINT FOR INFORMATION TECHNOLOGY 7957 05:16:03,620 --> 05:16:05,622 AND HOW WE WANT TO MOVE FORWARD. 7958 05:16:05,622 --> 05:16:08,559 LET ME GIVE YOU SOME BACKGROUND, 7959 05:16:08,559 --> 05:16:10,561 IT'S GOING TO BE A 30-SECOND 7960 05:16:10,561 --> 05:16:14,598 OVERVIEW OF A VERY LONG 7961 05:16:14,598 --> 05:16:15,265 DOCUMENT. 7962 05:16:15,265 --> 05:16:18,435 THE WAY THEY FORMED DIGITAL NIH 7963 05:16:18,435 --> 05:16:20,070 FRAMEWORK, FORMULATED THE 7964 05:16:20,070 --> 05:16:22,806 FRAMEWORK, WAS ACROSS FOUR 7965 05:16:22,806 --> 05:16:26,944 ENTITIES, WITHIN THE NIH. 7966 05:16:26,944 --> 05:16:28,912 EXTRAMURAL PROGRAM, INTRAMURAL 7967 05:16:28,912 --> 05:16:30,681 BASIC RESEARCH, INTRAMURAL 7968 05:16:30,681 --> 05:16:31,715 CLINICAL RESEARCH, AND 7969 05:16:31,715 --> 05:16:33,517 ADMINISTRATION AND MANAGEMENT OF 7970 05:16:33,517 --> 05:16:34,184 THE NIH. 7971 05:16:34,184 --> 05:16:37,354 WITHIN THAT THEY HAD FIVE 7972 05:16:37,354 --> 05:16:38,655 RECOMMENDATIONS, FIRST THEY 7973 05:16:38,655 --> 05:16:43,694 PROPOSED THAT WE SHOULD HAVE A 7974 05:16:43,694 --> 05:16:44,695 COMMON ARCHITECTURE WITH 7975 05:16:44,695 --> 05:16:45,896 WELL-DEFINED STANDARDS IN TERMS 7976 05:16:45,896 --> 05:16:51,969 OF COMPUTING AND COMPUTING 7977 05:16:51,969 --> 05:16:53,203 RESOURCES. 7978 05:16:53,203 --> 05:16:58,041 CUTTING EDGE STORAGE, ANALYTICS, 7979 05:16:58,041 --> 05:16:58,909 COMPUTATIONAL INFRASTRUCTURE. 7980 05:16:58,909 --> 05:17:03,213 THEY PROPOSED WE HAVE INCREASED 7981 05:17:03,213 --> 05:17:03,847 COMPUTATIONALLY TECHNICALLY 7982 05:17:03,847 --> 05:17:05,716 COMPETENT WORKFORCE, AND I THINK 7983 05:17:05,716 --> 05:17:08,485 THAT FLUENCY IS SOMETHING I TALK 7984 05:17:08,485 --> 05:17:12,856 ABOUT A LOT, NOT ONLY THE 7985 05:17:12,856 --> 05:17:13,590 COMPUTATIONAL, TECHNOLOGY 7986 05:17:13,590 --> 05:17:16,293 WORKFORCE BUT ALSO THE 7987 05:17:16,293 --> 05:17:17,194 NON-TECHNOLOGY SCIENTIFIC 7988 05:17:17,194 --> 05:17:19,630 WORKFORCE SHOULD BE VERY FLUENT 7989 05:17:19,630 --> 05:17:20,731 IN CAPABILITIES OF INFORMATION 7990 05:17:20,731 --> 05:17:21,598 TECHNOLOGY AND THINGS WE'RE 7991 05:17:21,598 --> 05:17:23,800 TALKING ABOUT TODAY SO WE CAN 7992 05:17:23,800 --> 05:17:24,835 MAKE GOOD BUSINESS DECISIONS 7993 05:17:24,835 --> 05:17:29,339 ABOUT WHAT'S POSSIBLE IN THE 7994 05:17:29,339 --> 05:17:29,606 FUTURE. 7995 05:17:29,606 --> 05:17:30,741 POST-PANDEMIC A LOT OF 7996 05:17:30,741 --> 05:17:32,342 INDIVIDUALS WORK FROM A LOT OF 7997 05:17:32,342 --> 05:17:34,645 DIFFERENT PLACES, AS WE ALL 7998 05:17:34,645 --> 05:17:36,913 KNOW. 7999 05:17:36,913 --> 05:17:37,581 AND SUPPORTING THAT 8000 05:17:37,581 --> 05:17:39,683 WORK-ANYWHERE, ANYTIME PLACE THE 8001 05:17:39,683 --> 05:17:40,784 FUTURE IS REALLY IMPORTANT 8002 05:17:40,784 --> 05:17:43,053 BECAUSE IT SAYS -- SPEAKS TO 8003 05:17:43,053 --> 05:17:44,821 MORE COLLABORATION TOOLS, MORE 8004 05:17:44,821 --> 05:17:45,789 VIRTUALIZATION TOOLS, THINGS 8005 05:17:45,789 --> 05:17:47,224 LIKE THAT. 8006 05:17:47,224 --> 05:17:50,594 AND FINALLY WE NEED TO SUPPORT 8007 05:17:50,594 --> 05:17:51,695 STRONG AND ROBUST CYBERSECURITY 8008 05:17:51,695 --> 05:17:53,263 TO ENABLE OR RESEARCH TO HAPPEN 8009 05:17:53,263 --> 05:17:57,501 AS WE WOULD LIKE TO SEE IT 8010 05:17:57,501 --> 05:17:58,502 HAPPEN. 8011 05:17:58,502 --> 05:18:00,904 WE SUPPORT CLOUD TECHNOLOGIES, 8012 05:18:00,904 --> 05:18:01,638 SUPPORT HIGH PERFORMANCE 8013 05:18:01,638 --> 05:18:03,173 COMPUTING, SUPPORT A NUMBER OF 8014 05:18:03,173 --> 05:18:03,840 RESEARCH AND BUSINESS 8015 05:18:03,840 --> 05:18:05,509 APPLICATIONS FOR THE NIH. 8016 05:18:05,509 --> 05:18:08,779 WE SUPPORT RESEARCH COMPUTING 8017 05:18:08,779 --> 05:18:09,313 GENERALLY. 8018 05:18:09,313 --> 05:18:12,149 WE SUPPORT IDENTITY AND ACCESS 8019 05:18:12,149 --> 05:18:13,483 MANAGEMENT, IDENTITIES AND 8020 05:18:13,483 --> 05:18:14,885 ACCESS TO SYSTEMS FOR NIH 8021 05:18:14,885 --> 05:18:17,888 EMPLOYEES AS WELL AS FOR 8022 05:18:17,888 --> 05:18:20,924 EXTRAMURAL INVESTIGATORS. 8023 05:18:20,924 --> 05:18:22,225 WE SUPPORT A BROAD 8024 05:18:22,225 --> 05:18:23,093 ENTERPRISE-WIDE NETWORK THAT 8025 05:18:23,093 --> 05:18:24,661 I'LL TALK ABOUT IN A SECOND. 8026 05:18:24,661 --> 05:18:26,229 AND WE SUPPORT A NUMBER OF 8027 05:18:26,229 --> 05:18:28,899 COMPONENTS OF WHAT I LIKE TO 8028 05:18:28,899 --> 05:18:31,201 CALL CYBER INFRASTRUCTURE, 8029 05:18:31,201 --> 05:18:33,270 THAT'S HOW RESEARCH TECHNOLOGIES 8030 05:18:33,270 --> 05:18:35,605 INTEROPERATE AND WORK TOGETHER 8031 05:18:35,605 --> 05:18:36,473 IN THE INTERNET. 8032 05:18:36,473 --> 05:18:38,675 ACROSS THE INTERNET. 8033 05:18:38,675 --> 05:18:41,878 WE SUPPORT COLLABORATION TOOLS, 8034 05:18:41,878 --> 05:18:42,913 E-MAIL, ZOOM, MICROSOFT TEAMS, 8035 05:18:42,913 --> 05:18:44,448 THOSE SORTS OF THINGS. 8036 05:18:44,448 --> 05:18:47,551 AND FINALLY WE SUPPORT ROBUST 8037 05:18:47,551 --> 05:18:48,418 CYBERSECURITY TO PROTECT THE 8038 05:18:48,418 --> 05:18:49,953 WORK WE DO. 8039 05:18:49,953 --> 05:18:51,688 ONE OF THE THINGS WE HEAR ABOUT, 8040 05:18:51,688 --> 05:18:53,557 THESE WILL BE OVER THE NEXT 8041 05:18:53,557 --> 05:18:57,627 COUPLE SLIDES, SNAPSHOTS WHEN WE 8042 05:18:57,627 --> 05:18:59,363 THINK ABOUT WHAT OUR ROADMAP 8043 05:18:59,363 --> 05:19:01,665 MIGHT BE IS FIRST OF ALL YOU'VE 8044 05:19:01,665 --> 05:19:02,866 HEARD TODAY PROBABLY ABOUT FAIR 8045 05:19:02,866 --> 05:19:03,867 DATA. 8046 05:19:03,867 --> 05:19:05,969 WE HEARD ABOUT IT IN A COUPLE 8047 05:19:05,969 --> 05:19:06,937 TALKS THAT I'VE BEEN HERE IN THE 8048 05:19:06,937 --> 05:19:09,573 SECOND HALF OF THE DAY. 8049 05:19:09,573 --> 05:19:12,109 UNDERNEATH THERE, THE CONCEPT OF 8050 05:19:12,109 --> 05:19:13,610 BUILDING DATA RESOURCES, 8051 05:19:13,610 --> 05:19:15,278 ENABLING DATA SHARING, THERE ARE 8052 05:19:15,278 --> 05:19:17,814 LOTS OF COMPONENTS OF TECHNOLOGY 8053 05:19:17,814 --> 05:19:19,449 OF COMPUTERS WORKING TOGETHER TO 8054 05:19:19,449 --> 05:19:24,388 BE ABLE TO ENABLE DATA TO BE 8055 05:19:24,388 --> 05:19:25,355 MORE AVAILABLE, ACCESSIBLE, 8056 05:19:25,355 --> 05:19:26,123 INTRAOPERABLE, FINDABLE. 8057 05:19:26,123 --> 05:19:28,191 AND WE NEED TO THINK ABOUT LIKE 8058 05:19:28,191 --> 05:19:29,626 WHAT ARE THOSE COMPONENTS WE 8059 05:19:29,626 --> 05:19:31,194 SHOULD GO AFTER AS AN ENTERPRISE 8060 05:19:31,194 --> 05:19:33,263 AND WHAT ARE THE COMPONENTS THAT 8061 05:19:33,263 --> 05:19:35,098 MAYBE WE SHOULD NOT GO AFTER, 8062 05:19:35,098 --> 05:19:38,201 THIS IS AN AREA WE REALLY NEED 8063 05:19:38,201 --> 05:19:39,469 SOME ADVICE ON. 8064 05:19:39,469 --> 05:19:43,774 FURTHER, WE'D LIKE TO THINK OF 8065 05:19:43,774 --> 05:19:46,176 THE INDIVIDUAL COMPUTATIONAL 8066 05:19:46,176 --> 05:19:49,012 TOOLS LIKE MODULAR PLASTIC PLAY 8067 05:19:49,012 --> 05:19:50,547 BLOCKS THAT ALL FIT TOGETHER, 8068 05:19:50,547 --> 05:19:53,417 IT'S THE SCIENTISTS THAT BRING 8069 05:19:53,417 --> 05:19:58,121 TOGETHER THOSE BLOCKS, PUTS THEM 8070 05:19:58,121 --> 05:19:59,656 TOGETHER IN THE RIGHT WAY TO DO 8071 05:19:59,656 --> 05:20:00,957 THE RESEARCH THEY WANT TO DO. 8072 05:20:00,957 --> 05:20:02,592 WE LIKE TO THINK ABOUT THE 8073 05:20:02,592 --> 05:20:04,261 BLOCKS, WHAT MIGHT THOSE BLOCKS 8074 05:20:04,261 --> 05:20:06,863 BE, HOW MIGHT WE BUILD THEM, HOW 8075 05:20:06,863 --> 05:20:08,632 MIGHT WE PROVIDE THEM, AND WHAT 8076 05:20:08,632 --> 05:20:10,600 ARE THE GOOD AREAS FOR US TO GO 8077 05:20:10,600 --> 05:20:10,901 AFTER. 8078 05:20:10,901 --> 05:20:14,237 AND HOW DO WE SEE THE EVOLVING 8079 05:20:14,237 --> 05:20:15,972 NATURE OF SCIENCE IN TERMS OF 8080 05:20:15,972 --> 05:20:17,274 NEW TECHNOLOGIES THAT COME DOWN 8081 05:20:17,274 --> 05:20:20,544 THE PIKE, NEW OMICS 8082 05:20:20,544 --> 05:20:21,545 TECHNOLOGIES, NEW 8083 05:20:21,545 --> 05:20:23,079 HIGH-THROUGHPUT SINGLE CELL 8084 05:20:23,079 --> 05:20:24,714 ANALYSIS, GENERATES LOTS OF DATA 8085 05:20:24,714 --> 05:20:26,483 AND NEEDS WORKFLOWS FOR DOING 8086 05:20:26,483 --> 05:20:28,118 THAT ANALYSIS. 8087 05:20:28,118 --> 05:20:31,021 THERE'S THINGS LIKE SPECIALIZED 8088 05:20:31,021 --> 05:20:32,589 COMPUTING HARDWARE, GPUs, VERY 8089 05:20:32,589 --> 05:20:35,325 HIGHLY IN DEMAND, HARD TO GET 8090 05:20:35,325 --> 05:20:36,760 HOLD OF. 8091 05:20:36,760 --> 05:20:37,360 QUANTUM COMPUTING IS SOMETHING 8092 05:20:37,360 --> 05:20:39,563 THERE'S A LOT OF INTEREST IN 8093 05:20:39,563 --> 05:20:41,998 DOING INVESTIGATIONS AROUND, AND 8094 05:20:41,998 --> 05:20:45,502 THEN OF COURSE ADVANCED A.I. 8095 05:20:45,502 --> 05:20:46,703 METHODS SO WELL ADOPTED OVER THE 8096 05:20:46,703 --> 05:20:49,105 FIRST COUPLE OF YEARS THEY HAVE 8097 05:20:49,105 --> 05:20:50,740 BEEN AVAILABLE. 8098 05:20:50,740 --> 05:20:53,043 WE NEED MORE INTELLIGENCE 8099 05:20:53,043 --> 05:20:55,912 INVESTMENTS, STANDARDS FOR THOSE 8100 05:20:55,912 --> 05:20:59,082 PLATFORMS, HOW DO WE MAKE 8101 05:20:59,082 --> 05:21:00,951 COMPUTERS WORK TOGETHER TO 8102 05:21:00,951 --> 05:21:03,386 PROVIDE -- ENABLE RESEARCHERS TO 8103 05:21:03,386 --> 05:21:04,554 DO WHAT THEY WANT TO DO. 8104 05:21:04,554 --> 05:21:07,324 WE NEED TO THINK HOW DO WE 8105 05:21:07,324 --> 05:21:13,129 PROVIDE THESE NEXT GENERATION 8106 05:21:13,129 --> 05:21:15,966 A.I. PLATFORMS TO ACCESS -- 8107 05:21:15,966 --> 05:21:16,833 POTENTIALLY CONTROLLED ACCESS 8108 05:21:16,833 --> 05:21:19,236 DATA, BUILD WALLED GARDENS SO 8109 05:21:19,236 --> 05:21:21,404 INVESTIGATORS CAN WORK IN THOSE 8110 05:21:21,404 --> 05:21:22,272 ENVIRONMENTS AND DO THINGS 8111 05:21:22,272 --> 05:21:25,075 WITHOUT WORRYING THEIR DATA IS 8112 05:21:25,075 --> 05:21:26,543 GOING SOMEPLACE IT SHOULDN'T BE 8113 05:21:26,543 --> 05:21:26,943 GOING. 8114 05:21:26,943 --> 05:21:37,454 WE NEED TO BALANCE INNOVATION, 8115 05:21:40,056 --> 05:21:43,293 INTEROPERABILITY, CYBERSECURITY. 8116 05:21:43,293 --> 05:21:44,261 FINALLY EFFICIENCY IS A 8117 05:21:44,261 --> 05:21:46,129 CHALLENGE THAT WE ALL FACE. 8118 05:21:46,129 --> 05:21:49,533 WE HAVE A LOT OF SILOS, FRANKLY, 8119 05:21:49,533 --> 05:21:50,867 WITHIN THE RESEARCHER COMMUNITY, 8120 05:21:50,867 --> 05:21:53,036 AND I THINK THERE ARE LOTS OF 8121 05:21:53,036 --> 05:21:54,137 OPPORTUNITIES TO BE MORE 8122 05:21:54,137 --> 05:21:55,272 EFFICIENT WHILE STILL ENABLING 8123 05:21:55,272 --> 05:21:56,406 RESEARCHERS TO DO WHAT THEY WANT 8124 05:21:56,406 --> 05:21:57,307 TO DO. 8125 05:21:57,307 --> 05:22:00,577 AND BE SUCCESSFUL AT IT. 8126 05:22:00,577 --> 05:22:03,346 FINALLY, SOMETHING WE THINK A 8127 05:22:03,346 --> 05:22:04,481 LOT ABOUT IS IMPROVING I.T. 8128 05:22:04,481 --> 05:22:06,182 GOVERNANCE, HOW WE THINK ABOUT 8129 05:22:06,182 --> 05:22:08,184 HOW WE MAKE INVESTMENTS IN I.T. 8130 05:22:08,184 --> 05:22:09,386 AND I.T. PLATFORMS, ET CETERA, 8131 05:22:09,386 --> 05:22:11,021 THIS TALK TO THIS GROUP IS ONE 8132 05:22:11,021 --> 05:22:12,889 OF THOSE FIRST KEY COMPONENTS, 8133 05:22:12,889 --> 05:22:14,758 IN TERMS OF TRYING TO GET 8134 05:22:14,758 --> 05:22:15,859 OUTSIDE ADVICE IN TERMS OF WHAT 8135 05:22:15,859 --> 05:22:18,495 WE DO AND HOW WE DO IT. 8136 05:22:18,495 --> 05:22:20,997 I'M GOING TO BRIEFLY MENTION 8137 05:22:20,997 --> 05:22:24,701 SECURITY, THERE'S A BALANCE 8138 05:22:24,701 --> 05:22:27,203 BETWEEN ENABLING OUR MISSION, 8139 05:22:27,203 --> 05:22:28,638 AND RESTRICTING BASED ON THE 8140 05:22:28,638 --> 05:22:29,973 NEEDS OF SECURITY. 8141 05:22:29,973 --> 05:22:32,609 THIS IS ANOTHER AREA THAT WOULD 8142 05:22:32,609 --> 05:22:36,880 BE WORTH POTENTIALLY TALKING 8143 05:22:36,880 --> 05:22:37,414 ABOUT. 8144 05:22:37,414 --> 05:22:39,716 ALSO, HERE ON CAMPUS, THERE'S A 8145 05:22:39,716 --> 05:22:41,918 LOT OF OPPORTUNITIES FOR 8146 05:22:41,918 --> 05:22:43,987 CLINICAL RESEARCH. 8147 05:22:43,987 --> 05:22:48,792 IMPROVING THE ENTERPRISE OF 8148 05:22:48,792 --> 05:22:50,126 CLINICAL RESEARCH. 8149 05:22:50,126 --> 05:22:52,996 MANY I.C.s DO CLINICAL TRIALS 8150 05:22:52,996 --> 05:22:53,330 ON CAMPUS. 8151 05:22:53,330 --> 05:22:56,266 THERE'S A NUMBER OF DATA 8152 05:22:56,266 --> 05:22:58,368 RESOURCES, LOTS OF OPPORTUNITIES 8153 05:22:58,368 --> 05:22:59,836 FOR DATA GOVERNANCE, AND 8154 05:22:59,836 --> 05:23:01,438 BUILDING BETTER ACCESS TO DO 8155 05:23:01,438 --> 05:23:03,607 BETTER RESEARCH ON THAT DATA, 8156 05:23:03,607 --> 05:23:06,009 IMPROVING A.I. AND DATA SCIENCE 8157 05:23:06,009 --> 05:23:07,544 CAPABILITIES PLATFORMS HERE ON 8158 05:23:07,544 --> 05:23:10,614 CAMPUS, AS WELL AS POTENTIALLY 8159 05:23:10,614 --> 05:23:12,449 EVEN TRANSLATING THE RESEARCH 8160 05:23:12,449 --> 05:23:14,317 BACK INTO THE EHR HERE AT THE 8161 05:23:14,317 --> 05:23:15,218 CLINICAL CENTER OR WITH 8162 05:23:15,218 --> 05:23:17,187 AFFILIATE HEALTH SYSTEMS THAT WE 8163 05:23:17,187 --> 05:23:18,822 MAY BE PARTNERING WITH. 8164 05:23:18,822 --> 05:23:21,791 FOR EXAMPLE, THERE ARE MANY 8165 05:23:21,791 --> 05:23:22,959 REDCap INSTANCES ACROSS 8166 05:23:22,959 --> 05:23:25,261 CAMPUS, THESE ARE PIECES OF 8167 05:23:25,261 --> 05:23:26,696 SOFTWARE THAT ARE SCALABLE AND 8168 05:23:26,696 --> 05:23:28,431 WE HAVE LOTS OF DUPLICATION. 8169 05:23:28,431 --> 05:23:31,835 THIS MIGHT BE AN OPPORTUNITY TO 8170 05:23:31,835 --> 05:23:33,169 THINK ABOUT HARMONIZATION. 8171 05:23:33,169 --> 05:23:35,672 WE ARE VERY LITTLE CLINICAL 8172 05:23:35,672 --> 05:23:36,339 TRIAL MANAGEMENT ARCHITECTURE 8173 05:23:36,339 --> 05:23:38,308 HERE ACROSS THE I.C.s. 8174 05:23:38,308 --> 05:23:40,043 SOME HAVE INVESTED MORE THAN 8175 05:23:40,043 --> 05:23:41,444 OTHERS BUT THERE'S OPPORTUNITIES 8176 05:23:41,444 --> 05:23:42,879 TO THINK ABOUT CLINICAL TRIALS, 8177 05:23:42,879 --> 05:23:45,582 THINK ABOUT HOW WE IDENTIFY 8178 05:23:45,582 --> 05:23:47,684 ELIGIBLE PATIENTS, HOW DO WE 8179 05:23:47,684 --> 05:23:49,886 IMPROVE ENTERPRISE DATA SYSTEMS 8180 05:23:49,886 --> 05:23:52,389 AND I'VE ALREADY MENTIONED 8181 05:23:52,389 --> 05:23:54,791 INTEGRATION OF RESEARCH BACK. 8182 05:23:54,791 --> 05:23:57,427 LET ME TELL YOU ABOUT CIT TODAY 8183 05:23:57,427 --> 05:23:59,062 AND SOME SUCCESSES WE'VE DONE, 8184 05:23:59,062 --> 05:24:02,565 IS THIS THE RIGHT GROUP TO DOING 8185 05:24:02,565 --> 05:24:05,101 THIS SORT OF THING? 8186 05:24:05,101 --> 05:24:07,704 WE RUN A NETWORK NOW AN 8187 05:24:07,704 --> 05:24:10,040 ENTERPRISE NETWORK. 8188 05:24:10,040 --> 05:24:13,109 IT IS INCREDIBLY -- IT'S PRETTY 8189 05:24:13,109 --> 05:24:15,912 INCREDIBLE SHOP. 8190 05:24:15,912 --> 05:24:22,085 4300 MILES OF NETWORK, 30,000 8191 05:24:22,085 --> 05:24:24,054 CONNECTIONS EVERY DAY, SPANS A 8192 05:24:24,054 --> 05:24:25,955 NUMBER OF SITES, FROM LIKE THE 8193 05:24:25,955 --> 05:24:29,993 WIRELESS ACCESS POINTS IN THE 8194 05:24:29,993 --> 05:24:30,927 BUILDINGS TO LARGE 8195 05:24:30,927 --> 05:24:31,995 PROVIDER-GRADE ROUTERS THAT 8196 05:24:31,995 --> 05:24:32,896 SUPPORT LARGE AMOUNTS OF TRAFFIC 8197 05:24:32,896 --> 05:24:35,932 THAT WE USE TO SUPPORT THE NIH'S 8198 05:24:35,932 --> 05:24:36,199 MISSION. 8199 05:24:36,199 --> 05:24:38,368 WE ALSO SUPPORT ALL THE 8200 05:24:38,368 --> 05:24:40,570 COLLABORATION TOOLS THAT HAVE 8201 05:24:40,570 --> 05:24:43,339 GROWN OVER A PARTICULARLY DURING 8202 05:24:43,339 --> 05:24:45,942 THE PANDEMIC AND POST-PANDEMIC, 8203 05:24:45,942 --> 05:24:48,178 ZOOM/WEBEX TEAM INSTANCES 8204 05:24:48,178 --> 05:24:50,113 INITIATED MORE THAN 2.5 MILLION 8205 05:24:50,113 --> 05:24:52,549 MEETINGS LAST YEAR TO SUPPORT 8206 05:24:52,549 --> 05:24:53,683 THAT MISSION. 8207 05:24:53,683 --> 05:24:56,386 MORE THAN 100 MILLION GIGABYTES, 8208 05:24:56,386 --> 05:24:57,787 SORRY, ONE MILLION GIGABYTES IN 8209 05:24:57,787 --> 05:24:59,889 ONE DRIVE AND SHARE POINT. 8210 05:24:59,889 --> 05:25:03,059 WE ALSO SUPPORT HIGH PERFORMANCE 8211 05:25:03,059 --> 05:25:04,294 COMPUTER, 100,000 PROCESSORS, 8212 05:25:04,294 --> 05:25:05,128 IT'S AGING. 8213 05:25:05,128 --> 05:25:06,863 WE NEED A STRATEGY FOR THIS. 8214 05:25:06,863 --> 05:25:08,631 THAT SAID, THE NUMBER OF USERS 8215 05:25:08,631 --> 05:25:11,334 IN IT CONTINUES TO GROW EVERY 8216 05:25:11,334 --> 05:25:11,801 YEAR. 8217 05:25:11,801 --> 05:25:13,303 THE NUMBER OF PUBLICATIONS THAT 8218 05:25:13,303 --> 05:25:15,939 COME FROM IT GROW EVERY YEAR. 8219 05:25:15,939 --> 05:25:19,342 LAST YEAR THERE WAS 600 PAPERS. 8220 05:25:19,342 --> 05:25:21,511 AND THE NUMBER OF CPU HOURS 8221 05:25:21,511 --> 05:25:24,047 EVERY YEAR GREW UNTIL IT BECAME 8222 05:25:24,047 --> 05:25:27,484 SATURATED AND NOW IT'S GENERALLY 8223 05:25:27,484 --> 05:25:28,318 SATURATED ALL THE TIME. 8224 05:25:28,318 --> 05:25:31,488 FURTHER YOU MAY ALSO BE AWARE OF 8225 05:25:31,488 --> 05:25:34,858 THE STRIDES INITIATIVE AND THE 8226 05:25:34,858 --> 05:25:36,526 CLOUD WHICH SUPPORTS DISCOUNTED 8227 05:25:36,526 --> 05:25:38,161 ACCESS TO CLOUD COMPUTING 8228 05:25:38,161 --> 05:25:40,330 ENVIRONMENTS, A PARTNERSHIP WITH 8229 05:25:40,330 --> 05:25:43,066 THREE CLOUD VENDORS. 8230 05:25:43,066 --> 05:25:44,934 AND THERE ARE A LOT OF TYPES OF 8231 05:25:44,934 --> 05:25:45,935 DATA THAT ARE SUPPORTED, THIS 8232 05:25:45,935 --> 05:25:48,438 DATA IS A LITTLE BIT OUT OF DATE 8233 05:25:48,438 --> 05:25:49,973 BUT THERE ARE 300 MILLION 8234 05:25:49,973 --> 05:25:52,509 GIGABYTES OF DATA CURRENTLY IN 8235 05:25:52,509 --> 05:25:54,177 STRIDES, AND MORE THAN 2,000 8236 05:25:54,177 --> 05:25:56,446 RESEARCH PROGRAMS SUPPORTED BY 8237 05:25:56,446 --> 05:25:56,613 IT. 8238 05:25:56,613 --> 05:25:58,081 SO WE NEED TO THINK ABOUT THE 8239 05:25:58,081 --> 05:25:58,548 FUTURE. 8240 05:25:58,548 --> 05:26:00,416 WE NEED TO THINK ABOUT 8241 05:26:00,416 --> 05:26:01,017 BIOMEDICAL SCIENCE. 8242 05:26:01,017 --> 05:26:04,354 WE SPEND A LOT OF RESOURCES ON 8243 05:26:04,354 --> 05:26:05,555 DUPLICATE PLATFORMS NATIONALLY. 8244 05:26:05,555 --> 05:26:07,190 WE KNOW THIS. 8245 05:26:07,190 --> 05:26:09,592 IT'S VERY EXPENSIVE. 8246 05:26:09,592 --> 05:26:10,260 OFTENTIMES IT'S NOT 8247 05:26:10,260 --> 05:26:11,327 INTEROPERABLE EVEN THOUGH LOTS 8248 05:26:11,327 --> 05:26:16,166 OF OUR PARTS OF OR OUR STRATEGC 8249 05:26:16,166 --> 05:26:17,567 PLAN WANT TO BRING 8250 05:26:17,567 --> 05:26:18,568 INTEROPERABILITY, I DON'T THINK 8251 05:26:18,568 --> 05:26:19,869 IT'S SUSTAINABLE DUE TO GROWTH 8252 05:26:19,869 --> 05:26:21,838 OF I.T., DATA RESOURCE, A.I. 8253 05:26:21,838 --> 05:26:23,239 I DON'T THINK -- I DO WANT TO 8254 05:26:23,239 --> 05:26:25,241 SAY I DON'T THINK HAVING A 8255 05:26:25,241 --> 05:26:26,676 SINGLE PLATFORM TO SOLVE EVERY 8256 05:26:26,676 --> 05:26:27,544 PROBLEM IS REALISTIC, THAT'S NOT 8257 05:26:27,544 --> 05:26:28,311 GOING TO HAPPEN. 8258 05:26:28,311 --> 05:26:29,846 BUT I THINK WE CAN THINK ABOUT 8259 05:26:29,846 --> 05:26:31,481 WHAT TOOLS MIGHT BE THAT WE 8260 05:26:31,481 --> 05:26:34,317 MIGHT BE ABLE TO PROVIDE TO MAKE 8261 05:26:34,317 --> 05:26:35,318 IT EASIER FOR RESEARCHERS TO DO 8262 05:26:35,318 --> 05:26:37,053 WHAT THEY DO AND MAKE IT MORE 8263 05:26:37,053 --> 05:26:38,888 EFFICIENT FOR US TO DELIVER WHAT 8264 05:26:38,888 --> 05:26:43,526 WE NEED TO DO COMPUTATIONALLY. 8265 05:26:43,526 --> 05:26:46,896 I THINK ABOUT INFRASTRUCTURE A 8266 05:26:46,896 --> 05:26:47,063 LOT. 8267 05:26:47,063 --> 05:26:48,865 CYBER INFRASTRUCTURE SHOULD BE 8268 05:26:48,865 --> 05:26:51,601 MODULAR AND OPEN, LIKE TOY 8269 05:26:51,601 --> 05:26:51,935 BLOCKS. 8270 05:26:51,935 --> 05:26:53,670 SO INVESTIGATORS OUT IN 8271 05:26:53,670 --> 05:26:54,704 INTRAMURAL COMMUNITY OR 8272 05:26:54,704 --> 05:26:57,073 EXTRAMURAL WORLD CAN KIND OF 8273 05:26:57,073 --> 05:26:58,174 BRING THEM TOGETHER AND USE THEM 8274 05:26:58,174 --> 05:27:02,679 IN A WAY TO MAKE THEM BEST 8275 05:27:02,679 --> 05:27:03,346 BENEFITED. 8276 05:27:03,346 --> 05:27:04,647 EXAMPLE WOULD BE NIH RESEARCHER 8277 05:27:04,647 --> 05:27:10,887 YOU 8278 05:27:10,887 --> 05:27:11,988 AUTHENTICATION SERVICE TO 8279 05:27:11,988 --> 05:27:13,223 PROVIDE ACCESS TO COMPUTER 8280 05:27:13,223 --> 05:27:14,657 SYSTEMS. 8281 05:27:14,657 --> 05:27:17,827 YOU USE SINGLE SIGN-IN LOG-INS, 8282 05:27:17,827 --> 05:27:23,633 PERVASIVE WHERE YOU CAN USE 8283 05:27:23,633 --> 05:27:24,367 INSTITUTIONAL SIGN-IN, PROVIDED 8284 05:27:24,367 --> 05:27:26,236 TO ANYBODY THAT WANTS TO USE IT 8285 05:27:26,236 --> 05:27:29,205 AS WELL AS TOOLS FOR 8286 05:27:29,205 --> 05:27:31,941 AUTHORIZATION TO ENABLE ACCESS 8287 05:27:31,941 --> 05:27:34,577 TO SPECIFIC RESOURCES WITHIN 8288 05:27:34,577 --> 05:27:34,777 THEIR. 8289 05:27:34,777 --> 05:27:41,885 RAS IS HEAVILY USED AND 8290 05:27:41,885 --> 05:27:45,521 SUPPORTED WITHIN CIT. 8291 05:27:45,521 --> 05:27:46,589 WE WORK WITH THE NATIONAL 8292 05:27:46,589 --> 05:27:52,028 LIBRARY OF PLEAD SIN -- 8293 05:27:52,028 --> 05:27:53,596 MEDICINE, CIO, OFFICE OF DATA 8294 05:27:53,596 --> 05:27:53,863 STRATEGY. 8295 05:27:53,863 --> 05:27:56,766 THEY HELP FEED BACK THE KINDS OF 8296 05:27:56,766 --> 05:27:58,601 THINGS THAT CIT NEEDS TO DO, 8297 05:27:58,601 --> 05:28:02,538 NEEDS TO GO AFTER, HELP US MAKE 8298 05:28:02,538 --> 05:28:03,172 GOOD BUSINESS OPERATIONAL 8299 05:28:03,172 --> 05:28:04,407 DECISIONS BASED ON THE BUSINESS 8300 05:28:04,407 --> 05:28:06,042 NEEDS OF THE NIH. 8301 05:28:06,042 --> 05:28:09,879 OF COURSE, EVERY I.C. HAS THEIR 8302 05:28:09,879 --> 05:28:11,981 OWN MISSION-SPECIFIC INVESTMENTS 8303 05:28:11,981 --> 05:28:13,816 IN INFORMATION TECHNOLOGY AND 8304 05:28:13,816 --> 05:28:16,352 DATA, AND HOW WE KIND OF -- WHAT 8305 05:28:16,352 --> 05:28:18,621 PARTS WE COLLABORATE WITH, WHAT 8306 05:28:18,621 --> 05:28:20,056 PARTS WE SERVE IS, YOU KNOW, 8307 05:28:20,056 --> 05:28:22,358 AREAS THAT WE WOULD LOVE TO SEE 8308 05:28:22,358 --> 05:28:24,427 SOME DIRECTION ON. 8309 05:28:24,427 --> 05:28:27,630 AND FINALLY OF COURSE A.I. 8310 05:28:27,630 --> 05:28:30,466 PLATFORMS, WE'LL HEAR TOMORROW 8311 05:28:30,466 --> 05:28:33,102 ABOUT THE A.I. WORKING GROUP, 8312 05:28:33,102 --> 05:28:35,705 THERE'S INTEREST IN DATA AND HOW 8313 05:28:35,705 --> 05:28:37,573 WE SUPPORT THOSE PLATFORMS, THE 8314 05:28:37,573 --> 05:28:38,675 TECHNOLOGY, BRING THEM FORWARD 8315 05:28:38,675 --> 05:28:40,643 IS SOMETHING ELSE WE'D LOVE TO 8316 05:28:40,643 --> 05:28:41,544 GET FEEDBACK ON. 8317 05:28:41,544 --> 05:28:43,513 THERE'S A LOT OF GROWTH, A LOT 8318 05:28:43,513 --> 05:28:45,148 OF NEEDS FOR THAT TECHNOLOGY, 8319 05:28:45,148 --> 05:28:48,318 AND WE LOOK FORWARD TO HEARING 8320 05:28:48,318 --> 05:28:49,185 YOUR ADVICE. 8321 05:28:49,185 --> 05:28:49,852 ALL RIGHT. 8322 05:28:49,852 --> 05:28:51,688 SO I'M GOING TO FINISH UP. 8323 05:28:51,688 --> 05:28:53,656 THANK YOU FOR YOUR TIME. 8324 05:28:53,656 --> 05:28:55,091 THIS IS -- WE REALLY APPRECIATE 8325 05:28:55,091 --> 05:28:56,059 IT. 8326 05:28:56,059 --> 05:28:57,293 WE NEED A ROADMAP. 8327 05:28:57,293 --> 05:29:00,663 AS I MENTIONED, FOR THESE TOOLS, 8328 05:29:00,663 --> 05:29:03,833 CYBER INFRASTRUCTURE TOOLS, 8329 05:29:03,833 --> 05:29:05,134 ROADMAP THAT INVOLVES A.I. AND 8330 05:29:05,134 --> 05:29:06,336 DATA SCIENCE. 8331 05:29:06,336 --> 05:29:07,670 WE NEED YOUR INPUT ON STRATEGY 8332 05:29:07,670 --> 05:29:09,639 AND DIRECTION SINCE IT'S AN 8333 05:29:09,639 --> 05:29:11,941 EVOLVING -- IT WILL EVOLVE OVER 8334 05:29:11,941 --> 05:29:13,009 TIME, I'M STILL BRAND NEW. 8335 05:29:13,009 --> 05:29:14,911 AND I DO THINK WE CAN HAVE AN 8336 05:29:14,911 --> 05:29:17,080 IMPACT BOTH IN THE INTRAMURAL 8337 05:29:17,080 --> 05:29:18,648 AND THE EXTRAMURAL WORLD IN A 8338 05:29:18,648 --> 05:29:20,383 WAY THAT WILL BE WELCOMED. 8339 05:29:20,383 --> 05:29:23,019 SO WITH THAT I'LL FINISH UP, 8340 05:29:23,019 --> 05:29:25,221 HAPPY TO TAKE QUESTIONS AND I'LL 8341 05:29:25,221 --> 05:29:27,724 HAND IT OVER TO DR. TABAK. 8342 05:29:27,724 --> 05:29:30,126 >> YEAH, SO LET ME GO THROUGH 8343 05:29:30,126 --> 05:29:31,995 THE PROPOSED CHARGE AND THEN 8344 05:29:31,995 --> 05:29:34,964 WE'LL TAKE QUESTIONS. 8345 05:29:34,964 --> 05:29:35,698 >> SOUND GOOD. 8346 05:29:35,698 --> 05:29:40,303 >> SEAN, HELP ME BY ADVANCING. 8347 05:29:40,303 --> 05:29:43,573 SO, YEAH, SO THE CHARGE IS I 8348 05:29:43,573 --> 05:29:46,275 THINK FAIRLY STRAIGHTFORWARD, 8349 05:29:46,275 --> 05:29:47,844 SEAN INDICATED WITH THE 8350 05:29:47,844 --> 05:29:49,278 BACKGROUND, HE WANTS CRITICAL 8351 05:29:49,278 --> 05:29:53,016 INPUT ON I.T. AND CYBERSECURITY 8352 05:29:53,016 --> 05:29:56,519 GOVERNANCE, HE WANTS TO BE ABLE 8353 05:29:56,519 --> 05:29:57,920 TO BETTER ARTICULATE 8354 05:29:57,920 --> 05:29:59,989 HIGH-PRIORITY AREAS FOR NIH 8355 05:29:59,989 --> 05:30:03,292 INVESTMENT IN THESE DIFFERENT 8356 05:30:03,292 --> 05:30:05,228 FIELDS, WHICH ARE SO IMPORTANT. 8357 05:30:05,228 --> 05:30:07,130 WANTS TO VALIDATE OR PROVIDE 8358 05:30:07,130 --> 05:30:12,268 INSIGHT ON PROPOSED STRATEGIES 8359 05:30:12,268 --> 05:30:13,636 TO SUPPORT NEW DATA-GENERATING 8360 05:30:13,636 --> 05:30:16,773 TOOLS AND PLATFORM, EVALUATE OR 8361 05:30:16,773 --> 05:30:18,074 ESTABLISH PROPOSED PLATFORMS FOR 8362 05:30:18,074 --> 05:30:22,578 THE INTEROPERABILITY SO CRUCIAL. 8363 05:30:22,578 --> 05:30:23,813 NEXT PLEASE. 8364 05:30:23,813 --> 05:30:26,315 TO CONTINUE, THE NEED TO 8365 05:30:26,315 --> 05:30:29,152 IDENTIFY GAPS, CHALLENGES, AND 8366 05:30:29,152 --> 05:30:29,919 OPPORTUNITIES OF COURSE ON ALL 8367 05:30:29,919 --> 05:30:33,589 OF ISSUES RELATED TO WHAT IS A 8368 05:30:33,589 --> 05:30:35,491 NATIONAL BIOMEDICAL CYBER 8369 05:30:35,491 --> 05:30:38,361 INFRASTRUCTURE, TO EVALUATE AND 8370 05:30:38,361 --> 05:30:40,196 POTENTIALLY EXPAND THE 8371 05:30:40,196 --> 05:30:42,065 CLOUD-BASED TOOLS OR ENHANCE 8372 05:30:42,065 --> 05:30:45,668 ACCESS TO RICH DATASETS AND 8373 05:30:45,668 --> 05:30:47,203 ADVANCE COMPUTATIONAL 8374 05:30:47,203 --> 05:30:48,471 INFRASTRUCTURE, TOOLS AND 8375 05:30:48,471 --> 05:30:51,574 SERVICES, AND THAT'S OF COURSE 8376 05:30:51,574 --> 05:30:53,976 FOR THE WHOLE ECOSYSTEM, 8377 05:30:53,976 --> 05:30:55,078 IDENTIFY AND PROMOTE SOLUTIONS 8378 05:30:55,078 --> 05:30:58,147 TO THE VARIOUS CHALLENGES THAT 8379 05:30:58,147 --> 05:31:01,084 WE ALL FACE, VIS-A-VIS TRAINING, 8380 05:31:01,084 --> 05:31:02,085 RECRUITMENT, BROADENING 8381 05:31:02,085 --> 05:31:03,119 TECHNICAL WORKFORCE IN THIS 8382 05:31:03,119 --> 05:31:05,621 SPACE, AND THEN TO PROVIDE 8383 05:31:05,621 --> 05:31:08,991 INSIGHT AND FEEDBACK ON 8384 05:31:08,991 --> 05:31:10,827 RISK-BASED SUPER SECURITY 8385 05:31:10,827 --> 05:31:12,161 PROTECTIONS, AGAIN SEAN 8386 05:31:12,161 --> 05:31:15,665 EMPHASIZED NEED TO BALANCE THE 8387 05:31:15,665 --> 05:31:16,866 PERFECT SECURITY OF COURSE SHUTS 8388 05:31:16,866 --> 05:31:19,836 DOWN SCIENCE SO WE HAVE TO 8389 05:31:19,836 --> 05:31:20,169 BALANCE. 8390 05:31:20,169 --> 05:31:22,238 AND THEN FINALLY, THIS GROUP 8391 05:31:22,238 --> 05:31:24,507 WOULD SEEK BROAD INPUT FROM I.T. 8392 05:31:24,507 --> 05:31:26,075 AND SCIENTIFIC COMMUNITIES IN 8393 05:31:26,075 --> 05:31:28,778 BOTH THE PUBLIC AND PRIVATE 8394 05:31:28,778 --> 05:31:30,847 SECTOR, SO MUCH OF WHAT'S GOING 8395 05:31:30,847 --> 05:31:33,282 ON NOW IN CUTTING EDGE IS 8396 05:31:33,282 --> 05:31:34,684 PRIVATE SECTOR, OBVIOUSLY, 8397 05:31:34,684 --> 05:31:35,585 INCLUDE PERSPECTIVES FROM THOSE 8398 05:31:35,585 --> 05:31:39,956 WITH EXPERIENCE IN I.T., CYBER 8399 05:31:39,956 --> 05:31:41,257 INFRASTRUCTURE AND SECURITY, IN 8400 05:31:41,257 --> 05:31:43,559 BOTH RESEARCH AND CLINICAL 8401 05:31:43,559 --> 05:31:45,995 ENVIRONMENTS, THE GOAL IS TO 8402 05:31:45,995 --> 05:31:51,467 HAVE ONE OR TWO MEMBERS OF THE 8403 05:31:51,467 --> 05:31:52,368 ACD, WE'VE ALREADY SENTENCED ONE 8404 05:31:52,368 --> 05:31:55,204 OF YOU TO THIS EFFORT. 8405 05:31:55,204 --> 05:31:57,373 YOU CAN TELL ATUL IS THE VICTIM 8406 05:31:57,373 --> 05:31:57,940 HERE. 8407 05:31:57,940 --> 05:32:01,110 BUT THERE IS ROOM IF ONE 8408 05:32:01,110 --> 05:32:03,179 ADDITIONAL PERSON WOULD LIKE TO 8409 05:32:03,179 --> 05:32:03,412 INVOLVE. 8410 05:32:03,412 --> 05:32:04,947 VERY IMPORTANTLY WHAT YOU CAN 8411 05:32:04,947 --> 05:32:08,217 HELP SEAN AND ME WITH IS OTHER 8412 05:32:08,217 --> 05:32:09,519 PEOPLE YOU MIGHT IDENTIFY FROM 8413 05:32:09,519 --> 05:32:12,054 THE ACD OF COURSE BUT FROM 8414 05:32:12,054 --> 05:32:15,558 OUTSIDE BOTH IN INDUSTRY AS WELL 8415 05:32:15,558 --> 05:32:16,859 AS ACADEMIA. 8416 05:32:16,859 --> 05:32:22,431 THE GOAL WOULD BE TO HOLD 8417 05:32:22,431 --> 05:32:23,966 QUARTERLY, BIANNUAL MEETINGS TO 8418 05:32:23,966 --> 05:32:27,803 PROVIDE FEEDBACK ON EFFORTS. 8419 05:32:27,803 --> 05:32:29,872 WE'D LIKE AN INTERIM REPORT, THE 8420 05:32:29,872 --> 05:32:34,710 NEXT ACD MEETING IN JUNE, SO 8421 05:32:34,710 --> 05:32:37,246 ABOUT A YEAR WITH FINAL REPORT A 8422 05:32:37,246 --> 05:32:38,614 YEAR FROM THIS DECEMBER. 8423 05:32:38,614 --> 05:32:45,021 IN OTHER WORDS, 18 MONTHS. 8424 05:32:45,021 --> 05:32:47,623 THAT'S THE OVERALL CHARGE. 8425 05:32:47,623 --> 05:32:49,492 CRUCIALLY UPON TOPIC. 8426 05:32:49,492 --> 05:32:51,460 WE HOPE THE ACD WILL AGREE THIS 8427 05:32:51,460 --> 05:32:53,095 IS A WORTHY THING TO DO. 8428 05:32:53,095 --> 05:32:56,999 AND SO IF THERE ARE ANY SPECIFIC 8429 05:32:56,999 --> 05:32:59,802 QUESTIONS, SEAN'S PROBABLY GOING 8430 05:32:59,802 --> 05:33:01,003 TO HAVE TO ANSWER THEM BUT IF 8431 05:33:01,003 --> 05:33:07,243 YOU WANT TO OFFER THOSE KNOW 8432 05:33:07,243 --> 05:33:08,244 THAT WOULD BE GREAT. 8433 05:33:08,244 --> 05:33:09,779 YOU CAN'T WEASEL OUT. 8434 05:33:09,779 --> 05:33:14,350 >> I KNEW THIS WAS COMING. 8435 05:33:14,350 --> 05:33:17,587 I TALKED TO SEAN A COUPLE WEEKS 8436 05:33:17,587 --> 05:33:18,621 AGO. 8437 05:33:18,621 --> 05:33:21,257 FOR THE RECORD I TECHNICALLY 8438 05:33:21,257 --> 05:33:26,596 WORK AT CIT AS A SUMMER STUDENT, 8439 05:33:26,596 --> 05:33:27,797 BACK IN 1990. 8440 05:33:27,797 --> 05:33:31,100 BACK THEN IT WAS DCRT. 8441 05:33:31,100 --> 05:33:33,502 THEY HAD THEIR OWN INTRAMURAL 8442 05:33:33,502 --> 05:33:34,904 RESEARCH PROGRAM WITH 8443 05:33:34,904 --> 05:33:36,772 STATISTICS, GREAT FOLKS. 8444 05:33:36,772 --> 05:33:37,873 PARALLEL COMPUTERS. 8445 05:33:37,873 --> 05:33:40,376 I'M ENCOURAGED BY SEEING THE 8446 05:33:40,376 --> 05:33:41,811 SCOPE OF CIT POTENTIALLY 8447 05:33:41,811 --> 05:33:42,044 GROWING. 8448 05:33:42,044 --> 05:33:45,982 HOPEFULLY ALONG WITH THE SCOPE 8449 05:33:45,982 --> 05:33:48,184 OF NLM GROWING. 8450 05:33:48,184 --> 05:33:50,019 THAT'S A SEARCH ONGOING. 8451 05:33:50,019 --> 05:33:52,088 INSTEAD OF FOCUSING ON NIH 8452 05:33:52,088 --> 05:33:54,957 INFRASTRUCTURE, INVESTMENT 8453 05:33:54,957 --> 05:33:56,592 ROUTERS AND OPERATIONS, CIT CAN 8454 05:33:56,592 --> 05:33:59,562 ADD MORE ABOUT, SAY, AN 8455 05:33:59,562 --> 05:34:01,530 INTRAMURAL RESEARCH INVESTMENT 8456 05:34:01,530 --> 05:34:03,833 AND CERTAINLY EXTRAMURAL 8457 05:34:03,833 --> 05:34:04,467 INFRASTRUCTURE AND RESEARCH 8458 05:34:04,467 --> 05:34:05,368 OPPORTUNITIES, THAT WOULD NOT BE 8459 05:34:05,368 --> 05:34:12,141 A BAD THING AT ALL. 8460 05:34:12,141 --> 05:34:13,576 MINOR QUESTIONS, GPUs, AND 8461 05:34:13,576 --> 05:34:15,645 STRIDES, WE NEED THOSE BADLY, 8462 05:34:15,645 --> 05:34:16,946 I'M LOOKING AT SAVINGS. 8463 05:34:16,946 --> 05:34:21,017 WONDER HOW MUCH THE BUDGET IS 8464 05:34:21,017 --> 05:34:21,717 FOR STRIDES. 8465 05:34:21,717 --> 05:34:23,853 WE CAN HAVE A GRANT THAT EXCEEDS 8466 05:34:23,853 --> 05:34:28,124 THAT IN ONE HOUR NOW, IF NOT 8467 05:34:28,124 --> 05:34:29,692 PROPERLY TRAINED, I'VE GOT 8468 05:34:29,692 --> 05:34:33,062 QUESTIONS ABOUT ChatGPT USE ON 8469 05:34:33,062 --> 05:34:34,930 CAMPUS, CLINICAL CENTER'S 8470 05:34:34,930 --> 05:34:37,133 MEDICAL RECORDS, ANOTHER WHOLE 8471 05:34:37,133 --> 05:34:40,403 ISSUE THERE. 8472 05:34:40,403 --> 05:34:41,837 ITS EHR. 8473 05:34:41,837 --> 05:34:44,674 CYBERSECURITY, NO ONE CAN EVER 8474 05:34:44,674 --> 05:34:47,310 DO ENOUGH ON THAT. 8475 05:34:47,310 --> 05:34:49,912 JUST SPEAKING ON BEHALF OF NIH 8476 05:34:49,912 --> 05:34:56,385 AS AN ACD MEMBER I'M THRILLED 8477 05:34:56,385 --> 05:34:57,586 THEY GOT YOU TO RUN CIT. 8478 05:34:57,586 --> 05:34:59,221 YOU I DON'T HAVE TO ANSWER MY 8479 05:34:59,221 --> 05:34:59,655 QUESTIONS. 8480 05:34:59,655 --> 05:35:01,057 >> I APPRECIATE THAT. 8481 05:35:01,057 --> 05:35:03,159 HAPPY TO SHARE THE ANSWERS AS 8482 05:35:03,159 --> 05:35:09,398 FAR AS I KNOW ABOUT IT. . 8483 05:35:09,398 --> 05:35:10,800 >> WELL, OKAY. 8484 05:35:10,800 --> 05:35:12,101 OTHER QUESTIONS? 8485 05:35:12,101 --> 05:35:16,405 >> I WAS GOING TO SAY, THE 8486 05:35:16,405 --> 05:35:17,807 EXPANDED SCOPE IS EXCITING TOO. 8487 05:35:17,807 --> 05:35:21,110 IF I UNDERSTOOD WELL ON THE 8488 05:35:21,110 --> 05:35:24,914 RESEARCH EXTRAMURAL RESEARCH NOT 8489 05:35:24,914 --> 05:35:27,983 JUST MANAGING THE PROCESSES BUT 8490 05:35:27,983 --> 05:35:28,984 POSSIBLY CREATING THIS 8491 05:35:28,984 --> 05:35:32,121 ENVIRONMENT SUCH AS STRIDES OR 8492 05:35:32,121 --> 05:35:35,758 EXPANDING THAT THE RESEARCH 8493 05:35:35,758 --> 05:35:38,060 COMMUNITY IS ALL BUYING LITTLE 8494 05:35:38,060 --> 05:35:39,895 PIECES OF SMALL GPUs HERE AND 8495 05:35:39,895 --> 05:35:44,867 THERE, PERHAPS A MORE CONCERTED 8496 05:35:44,867 --> 05:35:46,302 EFFORT WOULD GET US MUCH FURTHER 8497 05:35:46,302 --> 05:35:47,636 AWAY ESPECIALLY IN THE 8498 05:35:47,636 --> 05:35:49,138 CONTROLLED ACCESS PORTION OF IT. 8499 05:35:49,138 --> 05:35:53,776 SO I THINK IT'S AN EXCITING 8500 05:35:53,776 --> 05:35:53,976 TIME. 8501 05:35:53,976 --> 05:35:56,812 >> I ALSO WANT TO CLARIFY, WE 8502 05:35:56,812 --> 05:35:57,246 CAN'T DO EVERYTHING. 8503 05:35:57,246 --> 05:36:00,049 I THINK THIS IS REALLY THE 8504 05:36:00,049 --> 05:36:02,451 IMPORTANCE OF THIS GROUP TO HELP 8505 05:36:02,451 --> 05:36:04,353 GUIDE US TO, YOU KNOW, SAY WHAT 8506 05:36:04,353 --> 05:36:06,655 WE CAN GO AT, WHAT WE SHOULD GO 8507 05:36:06,655 --> 05:36:09,158 AFTER, AND WE WILL BE 8508 05:36:09,158 --> 05:36:11,227 TRANSPARENT IN TERMS OF WHAT OUR 8509 05:36:11,227 --> 05:36:12,228 CONSTRAINTS ARE IN TERMS OF WHAT 8510 05:36:12,228 --> 05:36:14,230 WE CAN DO. 8511 05:36:14,230 --> 05:36:17,366 WE ALREADY HAVE A FOOTPRINT, IN 8512 05:36:17,366 --> 05:36:19,635 ALMOST EVERYTHING I DESCRIBED 8513 05:36:19,635 --> 05:36:22,371 TODAY TO SOME LEVEL AND GAVE 8514 05:36:22,371 --> 05:36:23,906 EXAMPLES IN MY PRESENTATION. 8515 05:36:23,906 --> 05:36:25,441 BUT REALLY LOOKING FORWARD TO 8516 05:36:25,441 --> 05:36:27,209 HEARING KIND OF HOW WE SHOULD 8517 05:36:27,209 --> 05:36:30,112 KIND OF -- WHAT DIRECTIONS WE 8518 05:36:30,112 --> 05:36:33,282 SHOULD GO INTO THAT ARE 8519 05:36:33,282 --> 05:36:33,549 OPPORTUNE. 8520 05:36:33,549 --> 05:36:36,085 >> WE'RE GOING TO TALK ABOUT NLM 8521 05:36:36,085 --> 05:36:37,520 TOMORROW BUT THIS IS A GOOD TIME 8522 05:36:37,520 --> 05:36:39,455 TO BRING UP THE FACT THAT DR. 8523 05:36:39,455 --> 05:36:41,657 MOONEY AND THE NEW DIRECTOR OF 8524 05:36:41,657 --> 05:36:45,294 THE NLM WILL BE PARTNERS, THEY 8525 05:36:45,294 --> 05:36:46,495 WILL BE LIKE THIS. 8526 05:36:46,495 --> 05:36:49,231 THEY HAVE TO BE LIKE THIS. 8527 05:36:49,231 --> 05:36:52,735 AND WE KNOW WE'RE RECRUITING FOR 8528 05:36:52,735 --> 05:36:53,402 THAT POSITION. 8529 05:36:53,402 --> 05:36:55,704 BUT WE HOPE TO HAVE THAT 8530 05:36:55,704 --> 05:36:56,806 POSITION FILLED, YOU KNOW, BE 8531 05:36:56,806 --> 05:36:58,641 PART OF THIS PARTNERSHIP AS YOU 8532 05:36:58,641 --> 05:37:02,745 GO FORWARD WITH ANY COMMITTEE. 8533 05:37:02,745 --> 05:37:05,548 I THINK IT'S IMPORTANT YOU BE 8534 05:37:05,548 --> 05:37:07,950 AWARE THAT THEY WILL BE 8535 05:37:07,950 --> 05:37:10,152 CO-PARTNERS IN BUILDING WHAT WE 8536 05:37:10,152 --> 05:37:12,087 NEED FOR THAT WHOLE ENTERPRISE. 8537 05:37:12,087 --> 05:37:13,556 >> WE INTEND -- THANK YOU FOR 8538 05:37:13,556 --> 05:37:14,857 THE SUPPORT. 8539 05:37:14,857 --> 05:37:17,359 WE INTEND TO BE COLLABORATIVE 8540 05:37:17,359 --> 05:37:18,694 AND WE ALSO SERVE. 8541 05:37:18,694 --> 05:37:22,064 WE REALLY WANT TO WORK WITH THE 8542 05:37:22,064 --> 05:37:22,965 BUSINESS, THE RESEARCH, TO 8543 05:37:22,965 --> 05:37:24,533 DIRECT HOW WE GO. 8544 05:37:24,533 --> 05:37:25,801 I'M LOOKING FORWARD TO WORKING 8545 05:37:25,801 --> 05:37:31,474 WITH THE NEW NLM DIRECTOR WHEN 8546 05:37:31,474 --> 05:37:32,041 THEY ARRIVE. 8547 05:37:32,041 --> 05:37:34,577 >> IT'S ALWAYS BEEN A MYSTERY TO 8548 05:37:34,577 --> 05:37:37,746 ME IS THERE AN INTERNAL 8549 05:37:37,746 --> 05:37:40,049 GOVERNANCE OR OVERSIGHT FOR CIT 8550 05:37:40,049 --> 05:37:44,420 WITH A BOARD THAT ILLUSTRATES 8551 05:37:44,420 --> 05:37:45,721 UNMET NEEDS, AND I'M CURIOUS 8552 05:37:45,721 --> 05:37:48,357 WHERE DOES THE CIT BUDGET COME 8553 05:37:48,357 --> 05:37:52,728 FROM, STRATEGIC BUDGET, OFFICES 8554 05:37:52,728 --> 05:37:58,868 OF DIRECTORS, IC CONTRIBUTION? 8555 05:37:58,868 --> 05:38:00,603 >> BUDGET DERIVED FROM A TYPE, 8556 05:38:00,603 --> 05:38:02,137 IF YOU WILL, FROM ALL OF NIH. 8557 05:38:02,137 --> 05:38:04,340 THEY DON'T HAVE A SEPARATE 8558 05:38:04,340 --> 05:38:06,509 CONGRESSIONAL APPROPRIATION. 8559 05:38:06,509 --> 05:38:11,780 THAT'S GOOD NEWS AND BAD NEWS. 8560 05:38:11,780 --> 05:38:13,582 IN TERMS OF OVERSIGHT THERE ARE 8561 05:38:13,582 --> 05:38:17,720 COMMITTEES THAT DEAL WITH FISCAL 8562 05:38:17,720 --> 05:38:19,455 ISSUES, THERE ARE COMMITTEES 8563 05:38:19,455 --> 05:38:24,727 THAT LOOK AFTER A VERY HIGH 8564 05:38:24,727 --> 05:38:26,428 LEVEL THE SCIENTIFIC NEEDS, 8565 05:38:26,428 --> 05:38:28,163 ADMINISTRATIVE NEEDS, BUT I 8566 05:38:28,163 --> 05:38:31,033 THINK WHAT THIS WORKING GROUP 8567 05:38:31,033 --> 05:38:34,069 THAT WE'RE PROPOSING WILL DO IS 8568 05:38:34,069 --> 05:38:37,239 FILL A TECHNICAL GAP WHICH WE I 8569 05:38:37,239 --> 05:38:40,409 THINK CURRENTLY BACK. 8570 05:38:40,409 --> 05:38:41,844 THERE ARE INDIVIDUALS WHO HAVE 8571 05:38:41,844 --> 05:38:43,712 EXPERTISE BUT SEAN IS LOOKING 8572 05:38:43,712 --> 05:38:47,449 FOR A CRITICAL MASS OF PEOPLE 8573 05:38:47,449 --> 05:38:50,386 WITH THIS UNIQUE EXPERTISE THAT 8574 05:38:50,386 --> 05:38:51,587 MIGHT ALLOW HIM TO BETTER 8575 05:38:51,587 --> 05:38:55,524 CHARITY, YOU KNOW, PUSHING THE 8576 05:38:55,524 --> 05:38:56,859 ENVELOPE A BIT MORE. 8577 05:38:56,859 --> 05:38:59,528 IS THAT ACCURATE? 8578 05:38:59,528 --> 05:39:00,696 >> THANK YOU, YES. 8579 05:39:00,696 --> 05:39:02,331 AND TO MANAGE THE PORTFOLIO OF 8580 05:39:02,331 --> 05:39:08,337 THINGS GOING ON IN CIT AS WELL. 8581 05:39:08,337 --> 05:39:10,973 >> AND I WOULD ASK, YOU KNOW, WE 8582 05:39:10,973 --> 05:39:12,708 HAVE TO LIVE WITHIN OUR MEANS, 8583 05:39:12,708 --> 05:39:14,043 OF COURSE. 8584 05:39:14,043 --> 05:39:16,779 AND AS SEAN SAID, WE CAN'T DO 8585 05:39:16,779 --> 05:39:17,780 EVERYTHING. 8586 05:39:17,780 --> 05:39:24,053 BUT I WOULD ALSO ASK THE 8587 05:39:24,053 --> 05:39:25,588 COMMITTEE TO THINK, BE 8588 05:39:25,588 --> 05:39:26,188 AMBITIOUS. 8589 05:39:26,188 --> 05:39:31,894 I MEAN, WE'RE HERE TO SERVE THE 8590 05:39:31,894 --> 05:39:32,528 BIOMEDICAL RESEARCH COMMUNITY. 8591 05:39:32,528 --> 05:39:34,730 AND SO THINK ABOUT WHAT WE NEED 8592 05:39:34,730 --> 05:39:37,800 TO DO HERE, AND WHAT CAN BE 8593 05:39:37,800 --> 05:39:39,568 LEVERAGED, AND HOW -- WHICH OF 8594 05:39:39,568 --> 05:39:42,371 COURSE THAT WILL ALWAYS NEED TO 8595 05:39:42,371 --> 05:39:42,838 HAPPEN. 8596 05:39:42,838 --> 05:39:44,573 HOW WE CAN BOTH PARTNER AND WHAT 8597 05:39:44,573 --> 05:39:51,046 WE NEED TO DO HERE, AND I'M JUST 8598 05:39:51,046 --> 05:39:57,820 SAYING, HELP US WITH WHAT YOU 8599 05:39:57,820 --> 05:40:02,191 THINK THE COMPUTING AND 8600 05:40:02,191 --> 05:40:05,694 CYBERSECURITY NEEDS OF NIH IN 8601 05:40:05,694 --> 05:40:10,633 2030 REALLY LOOK LIKE. 8602 05:40:10,633 --> 05:40:12,901 DON'T SKIMP. 8603 05:40:12,901 --> 05:40:15,204 >> I THOUGHT OF SOMETHING -- 8604 05:40:15,204 --> 05:40:15,537 THANK YOU. 8605 05:40:15,537 --> 05:40:16,739 EARLIER TODAY SOMEONE WAS 8606 05:40:16,739 --> 05:40:18,273 PRESENTING AND MENTIONED PEOPLE 8607 05:40:18,273 --> 05:40:25,381 GOT TOGETHER AND DECIDED TO USE 8608 05:40:25,381 --> 05:40:26,515 DATA COLLECTION, OFTEN WONDERED 8609 05:40:26,515 --> 05:40:30,052 THIS MASSIVE COLLECTION OF DATA 8610 05:40:30,052 --> 05:40:32,955 ACROSS MASSIVE NUMBERS OF 8611 05:40:32,955 --> 05:40:34,023 RESEARCH STUDIES, IS THERE 8612 05:40:34,023 --> 05:40:35,991 APPETITE FOR TRYING TO THINK OF 8613 05:40:35,991 --> 05:40:38,627 SOME -- I KNOW THERE'S SOME 8614 05:40:38,627 --> 05:40:40,529 PARAMETERS THAT ARE HARMONIZED 8615 05:40:40,529 --> 05:40:41,063 LIKE DEMOGRAPHICS, HOW WE 8616 05:40:41,063 --> 05:40:43,899 CONNECT DATA IN CLINICAL TRIALS, 8617 05:40:43,899 --> 05:40:44,767 DEMOGRAPHIC CHARACTERISTICS, BUT 8618 05:40:44,767 --> 05:40:47,202 IS THERE APPETITE FOR TRYING TO 8619 05:40:47,202 --> 05:40:48,270 THINK OF HARMONIZATION MORE 8620 05:40:48,270 --> 05:40:51,774 BROADLY TO BE ABLE TO DO THE 8621 05:40:51,774 --> 05:40:52,641 KIND OF LARGE DATA? 8622 05:40:52,641 --> 05:40:54,076 >> THOSE ACTIVITIES ARE GOING ON 8623 05:40:54,076 --> 05:40:55,177 AT ALL LEVELS. 8624 05:40:55,177 --> 05:40:58,347 NOW, WE COUNT ON PEOPLE WANTING 8625 05:40:58,347 --> 05:41:00,749 TO PARTICIPATE IN THOSE 8626 05:41:00,749 --> 05:41:02,384 ACTIVITIES. 8627 05:41:02,384 --> 05:41:04,053 AND WE'RE NOT FORCING ANYBODY. 8628 05:41:04,053 --> 05:41:09,158 BEWE DO THINK WE SEE A REAL 8629 05:41:09,158 --> 05:41:10,693 SHIFT IN WILLINGNESS TO 8630 05:41:10,693 --> 05:41:11,760 COLLABORATE WILLINGNESS TO 8631 05:41:11,760 --> 05:41:13,996 HARMONIZE AND SHARE DATA AND I 8632 05:41:13,996 --> 05:41:15,097 REALLY THINK THERE'S BEEN GREAT 8633 05:41:15,097 --> 05:41:18,233 PROGRESS MADE IN THIS AS PEOPLE 8634 05:41:18,233 --> 05:41:23,539 REALIZE THE BENEFITS. 8635 05:41:23,539 --> 05:41:23,806 >> OKAY. 8636 05:41:23,806 --> 05:41:27,810 SO WITH THAT, ALL RIGHT. 8637 05:41:27,810 --> 05:41:31,313 WHAT WE NEED IS A VOTE TO 8638 05:41:31,313 --> 05:41:33,849 APPROVE THIS NEW WORKING GROUP. 8639 05:41:33,849 --> 05:41:37,019 WE'LL NEED A VOTE, WHETHER TO 8640 05:41:37,019 --> 05:41:37,653 ENDORSE THIS RECOMMENDATION, SO 8641 05:41:37,653 --> 05:41:39,254 LET ME ASK CAN I HEAR A MOTION 8642 05:41:39,254 --> 05:41:41,657 FROM ONE OF THE MEMBERS? 8643 05:41:41,657 --> 05:41:42,691 >> SO MOVED. 8644 05:41:42,691 --> 05:41:42,958 >> OKAY. 8645 05:41:42,958 --> 05:41:46,295 I DO HEAR A SECOND? 8646 05:41:46,295 --> 05:41:48,263 >> I SECOND THAT. 8647 05:41:48,263 --> 05:41:48,697 >> OKAY. 8648 05:41:48,697 --> 05:41:53,969 LET ME SAY ANY OTHER COMMENTS OR 8649 05:41:53,969 --> 05:41:54,937 FURTHER DISCUSSION? 8650 05:41:54,937 --> 05:41:55,170 OKAY. 8651 05:41:55,170 --> 05:41:56,605 SO ALL IN AGREEMENT TO ENDORSE 8652 05:41:56,605 --> 05:41:58,006 THE CREATION OF THIS WORKING 8653 05:41:58,006 --> 05:41:59,441 GROUP PLEASE SAY AYE AND RAISE 8654 05:41:59,441 --> 05:42:02,745 YOUR HAND. 8655 05:42:02,745 --> 05:42:03,512 >> AYE. 8656 05:42:03,512 --> 05:42:05,481 >> CAN WE SEE THE SCREEN PLEASE? 8657 05:42:05,481 --> 05:42:08,217 WE HAVE MEMBERS ON THE 8658 05:42:08,217 --> 05:42:09,184 COMMITTEE. 8659 05:42:09,184 --> 05:42:11,620 >> I SEE A YES FROM -- LET'S 8660 05:42:11,620 --> 05:42:11,920 SEE. 8661 05:42:11,920 --> 05:42:17,626 YEAH, I SEE YES FROM OUR 8662 05:42:17,626 --> 05:42:19,661 MEMBERS, LOOKS LIKE IT'S 8663 05:42:19,661 --> 05:42:19,928 UNANIMOUS. 8664 05:42:19,928 --> 05:42:21,163 I'LL TAKE THIS PROPOSAL UNDER 8665 05:42:21,163 --> 05:42:23,532 ADVISEMENT, WORK WITH THE TEAM 8666 05:42:23,532 --> 05:42:25,501 TO SUPPORT THE CREATION AND 8667 05:42:25,501 --> 05:42:28,437 ACTIVITIES OF THE ITCC WORKING 8668 05:42:28,437 --> 05:42:28,670 GROUP. 8669 05:42:28,670 --> 05:42:30,639 SO WE'RE COMING TO A CLOSE HERE, 8670 05:42:30,639 --> 05:42:31,940 LAST FEW MINUTES BEFORE WE WRAP 8671 05:42:31,940 --> 05:42:32,207 UP. 8672 05:42:32,207 --> 05:42:34,209 I WANT TO TAKE A MOMENT TO 8673 05:42:34,209 --> 05:42:37,179 REALLY THANK ALL OF THE 8674 05:42:37,179 --> 05:42:39,047 WONDERFUL PRESENTERS TODAY, FOR 8675 05:42:39,047 --> 05:42:41,450 PROVIDING UPDATES TO NIH 8676 05:42:41,450 --> 05:42:42,985 PROGRAMS, HIGHLIGHTING UP AND 8677 05:42:42,985 --> 05:42:44,720 COMING NIH INITIATIVES, I ALSO 8678 05:42:44,720 --> 05:42:47,890 WANT TO THANK THE ACD MEMBERS 8679 05:42:47,890 --> 05:42:52,161 FOR PROVIDING YOUR VALUABLE 8680 05:42:52,161 --> 05:42:54,997 INPUT AND FEEDBACK, AND YOU'RE 8681 05:42:54,997 --> 05:42:56,331 INCREDIBLY BUSY PEOPLE, WE'RE SO 8682 05:42:56,331 --> 05:42:58,133 GRATEFUL THAT YOU PARTICIPATE IN 8683 05:42:58,133 --> 05:43:00,169 THIS PROCESS. 8684 05:43:00,169 --> 05:43:02,037 IT IS CRITICAL, CRITICALLY 8685 05:43:02,037 --> 05:43:03,438 IMPORTANT TO US MOVING FORWARD. 8686 05:43:03,438 --> 05:43:06,074 AS YOU CAN SEE I'VE TAKEN MANY 8687 05:43:06,074 --> 05:43:07,810 NOTES, SO IT'S BEEN REALLY GREAT 8688 05:43:07,810 --> 05:43:09,545 DISCUSSIONS AND INPUT FROM YOU 8689 05:43:09,545 --> 05:43:10,779 ALL TODAY. 8690 05:43:10,779 --> 05:43:13,949 AND LASTLY, I'D LIKE TO THANK 8691 05:43:13,949 --> 05:43:16,118 EVERYONE WHO TUNED IN ON THE 8692 05:43:16,118 --> 05:43:16,919 MEETING. 8693 05:43:16,919 --> 05:43:19,755 WE'LL RESUME THE ACD MEETING AT 8694 05:43:19,755 --> 05:43:21,190 9:15 TOMORROW, FRIDAY, JUNE 14. 8695 05:43:21,190 --> 05:43:22,891 WITH THAT WE'LL ADJOURN TILL 8696 05:43:22,891 --> 05:43:23,158 TOMORROW. 8697 05:43:23,158 --> 05:43:23,425 THANK YOU. 8698 05:43:23,425 --> 05:43:25,761 [END OF PROGRAM] 8699 05:43:25,761 --> 05:43:31,767 8700 05:43:31,767 --> 05:43:41,810