1 00:00:05,604 --> 00:00:08,074 OKAY, SO BEFORE THE NIH DIRECTOR 2 00:00:08,074 --> 00:00:09,809 OPENS THE MEETING, I'M GOING TO 3 00:00:09,809 --> 00:00:12,178 GO THROUGH SOME HOUSEKEEPING, 4 00:00:12,178 --> 00:00:12,745 OKAY? 5 00:00:12,745 --> 00:00:15,781 SO, JUST TO REMIND YOU ALL, THIS 6 00:00:15,781 --> 00:00:16,782 MEETING IS LIVE. 7 00:00:16,782 --> 00:00:21,220 WE ARE BEING LIVE STREAMED AND 8 00:00:21,220 --> 00:00:22,388 THESE MICs ARE PRETTY 9 00:00:22,388 --> 00:00:24,723 SENSITIVE SO EVEN IF YOUR MIC IS 10 00:00:24,723 --> 00:00:26,292 OFF, IF SOMEBODY ELSE IN THE 11 00:00:26,292 --> 00:00:28,761 ROOM HAS 1 ON, CONSIDER YOURSELF 12 00:00:28,761 --> 00:00:34,366 HAVING A HOT MIC. 13 00:00:34,366 --> 00:00:37,770 ALL OF THE MATERIALS THAT YOU 14 00:00:37,770 --> 00:00:40,272 WILL SEE AND ANY SUPPLEMENTAL 15 00:00:40,272 --> 00:00:45,544 MATERIALS ARE ON THE ACD WEBSITE 16 00:00:45,544 --> 00:00:47,646 AND THAT WILL BE POSTED VERY 17 00:00:47,646 --> 00:00:48,013 SHORTLY. 18 00:00:48,013 --> 00:00:51,450 THE MEETING WAS ANNOUNCED ON THE 19 00:00:51,450 --> 00:00:52,618 FEDERAL REGISTER ON 20 00:00:52,618 --> 00:00:54,253 NOVEMBER 17th, OF NOTE WE DID 21 00:00:54,253 --> 00:00:57,089 NOT RECEIVE PUBLIC COMMENT AND 22 00:00:57,089 --> 00:00:58,924 SO THERE IS NOTHING TO REVIEW IN 23 00:00:58,924 --> 00:01:02,828 THAT REGARD FOR THIS PARTICULAR 24 00:01:02,828 --> 00:01:03,062 MEETING. 25 00:01:03,062 --> 00:01:05,264 WE'RE GOING TO BE USING A HYBRID 26 00:01:05,264 --> 00:01:06,932 FORMAT THROUGHOUT THE MEETING. 27 00:01:06,932 --> 00:01:10,503 ACD MEMBERS AND PRESENTERS 28 00:01:10,503 --> 00:01:10,703 ALIKE. 29 00:01:10,703 --> 00:01:14,974 SINCE SOME OF OUR TEAM HAVE TO 30 00:01:14,974 --> 00:01:17,943 JOIN US VIRTUALLY ALTHOUGH IT IS 31 00:01:17,943 --> 00:01:19,211 WONDERFUL TO SEE SO MANY PEOPLE 32 00:01:19,211 --> 00:01:22,214 IN PERSON, SO THAT'S GREAT. 33 00:01:22,214 --> 00:01:26,619 WHEN YOU DO WISH TO MAKE A 34 00:01:26,619 --> 00:01:28,687 COMMENT, IF YOU'RE CONNECTED 35 00:01:28,687 --> 00:01:30,756 INTO ZOOM, RAISE YOUR HAND 36 00:01:30,756 --> 00:01:32,625 VIRTUALLY, IF NOT, JUST WAVE AT 37 00:01:32,625 --> 00:01:37,129 ME AND I'LL ACKNOWLEDGE YOU AND 38 00:01:37,129 --> 00:01:41,433 I THINK YOU MAY HAVE SEEN WHEN 39 00:01:41,433 --> 00:01:43,369 YOU ARRIVED, WHEN YOU EXIT THE 40 00:01:43,369 --> 00:01:46,505 ROOM TO YOUR RIGHT, THERE ARE 41 00:01:46,505 --> 00:01:52,311 RESTROOMS ON THIS FLOOR EMPLOY 42 00:01:52,311 --> 00:01:55,214 ANY OTHER QUESTIONS, BRITNEY AND 43 00:01:55,214 --> 00:01:56,749 CINDY CAN USUALLY ANSWER THEM 44 00:01:56,749 --> 00:01:59,151 MUCH QUICKER THAN I CAN. 45 00:01:59,151 --> 00:02:01,086 SO THEY'RE PROBABLY THE PEOPLE 46 00:02:01,086 --> 00:02:06,592 TO ASK. 47 00:02:06,592 --> 00:02:08,994 OKAY, SO LOGISTICS ASIDE, I WILL 48 00:02:08,994 --> 00:02:13,999 NOW TURN THE MEETING OVER TO 49 00:02:13,999 --> 00:02:14,500 DR. BERTAGNOLLI. 50 00:02:14,500 --> 00:02:16,035 >> THANK YOU SO MUCH DR. TABAK 51 00:02:16,035 --> 00:02:18,037 AND I ACTUALLY HAVE IN MY HAND A 52 00:02:18,037 --> 00:02:18,470 GAVEL. 53 00:02:18,470 --> 00:02:21,207 SO I WILL OFFICIALLY GAVEL IN 54 00:02:21,207 --> 00:02:23,275 THIS MEETING OF THE ADVISORY 55 00:02:23,275 --> 00:02:26,712 COMMITTEE TO THE DIRECTOR. 56 00:02:26,712 --> 00:02:27,513 THERE WE GO. 57 00:02:27,513 --> 00:02:28,914 I CAN'T TELL YOU HOW THRILLED I 58 00:02:28,914 --> 00:02:30,382 AM TO BE HERE WITH YOU TODAY AND 59 00:02:30,382 --> 00:02:34,119 WHAT I WANT TO DO FIRST IS LET'S 60 00:02:34,119 --> 00:02:35,054 JUST START WITH QUICK 61 00:02:35,054 --> 00:02:35,788 INTRODUCTIONS OF THE MEMBERS 62 00:02:35,788 --> 00:02:37,823 TODAY AND YOU KNOW WE ALSO HAVE 63 00:02:37,823 --> 00:02:40,125 OTHER SPECIAL GUESTS HERE TODAY, 64 00:02:40,125 --> 00:02:41,760 BUT YOU KNOW LET'S JUST GO AHEAD 65 00:02:41,760 --> 00:02:44,496 AND GO ARK ROUND THE TABLE HERE 66 00:02:44,496 --> 00:02:45,664 AND EVERYONE DO AN INTRODUCTION 67 00:02:45,664 --> 00:02:48,334 AND I WILL START FIRST. 68 00:02:48,334 --> 00:02:51,103 I AM MONICA BERTAGNOLLI, 69 00:02:51,103 --> 00:02:53,572 THRILLED TO BE HERE IN MY NEW 70 00:02:53,572 --> 00:02:55,207 ROLE AS NIH DIRECTOR AND ALSO 71 00:02:55,207 --> 00:02:57,743 THRILLED TO BE ABLE TO ANNOUNCE 72 00:02:57,743 --> 00:03:00,079 THAT DR. LARRY TABAK HAS AGROWED 73 00:03:00,079 --> 00:03:04,783 TO SERVE AS OUR PRINCIPAL DEPUTY 74 00:03:04,783 --> 00:03:06,819 DIRECTOR, YAY. 75 00:03:06,819 --> 00:03:09,355 [LAUGHTER] 76 00:03:09,355 --> 00:03:11,657 AND THAT DON BERKLOW HAS NOW 77 00:03:11,657 --> 00:03:14,860 JOINED US AS THE CHIEF OF STAFF. 78 00:03:14,860 --> 00:03:20,099 SO MAYBE WE BEING START OVER 79 00:03:20,099 --> 00:03:20,933 HERE IN. 80 00:03:20,933 --> 00:03:22,001 >> YEAH, PRESS THE BUTTON AND 81 00:03:22,001 --> 00:03:24,470 THAT SHOULD TURN IT ON. 82 00:03:24,470 --> 00:03:27,673 >> ALEXIA KIMBLE, I AM CEO OF 83 00:03:27,673 --> 00:03:28,641 HARVARD MEDICAL PHYSICIANS 84 00:03:28,641 --> 00:03:29,942 PRACTICE PLAN AFFILIATED WITH 85 00:03:29,942 --> 00:03:33,445 HARVARD AND THE ISRAEL DECONNIST 86 00:03:33,445 --> 00:03:37,316 MEDICAL CENTER, PRACTICING 87 00:03:37,316 --> 00:03:38,617 DERMATOLOGIST AND CLINICAL 88 00:03:38,617 --> 00:03:39,652 TRIALIST IN TRAINING. 89 00:03:39,652 --> 00:03:41,487 >> GOOD MORNING COREY MOORE, 90 00:03:41,487 --> 00:03:42,321 SERVING AS PRINCIPAL 91 00:03:42,321 --> 00:03:45,524 INVESTIGATOR FOR 2 RESEARCH AND 92 00:03:45,524 --> 00:03:46,892 TRAINING CENTERS FUNDED THROUGH 93 00:03:46,892 --> 00:03:48,294 THE NATIONAL EN--STRATEGIESITUTE 94 00:03:48,294 --> 00:03:51,597 ON DISABILITY AND INDEPENDENT 95 00:03:51,597 --> 00:03:53,632 LIVING AND LIVING RESEARCH. 96 00:03:53,632 --> 00:03:56,201 I'M AT LANG STON UNIVERSITY, 97 00:03:56,201 --> 00:04:02,308 HBCU IN OKLAHOMA, FLAD TO BE 98 00:04:02,308 --> 00:04:03,042 HERE. 99 00:04:03,042 --> 00:04:05,778 >> GOOD MORNING, FANTASTIC TO BE 100 00:04:05,778 --> 00:04:08,681 HERE, NEUROSCIENTIST, ENGINEER 101 00:04:08,681 --> 00:04:09,615 AND NEUROPSYCHIATRIST WITH DUKE 102 00:04:09,615 --> 00:04:10,916 UNIVERSITY AND INVESTIGATOR WITH 103 00:04:10,916 --> 00:04:12,584 HOWARD HUGH'S MEDICAL INSTITUTE 104 00:04:12,584 --> 00:04:14,353 NGOOD MORNING, WONDERFUL TO BE 105 00:04:14,353 --> 00:04:16,522 HERE AND WELCOME. 106 00:04:16,522 --> 00:04:17,923 AND I'M [INDISCERNIBLE], I'M THE 107 00:04:17,923 --> 00:04:19,792 PROFESSOR OF MEDICINE AND 108 00:04:19,792 --> 00:04:20,526 EPIDEMIOLOGY AT COLUMBIA 109 00:04:20,526 --> 00:04:23,562 UNIVERSITY, ALSO THE EXECUTIVE 110 00:04:23,562 --> 00:04:27,433 VICE PRESIDENT FOR COLUMBIA 111 00:04:27,433 --> 00:04:27,866 GLOBAL. 112 00:04:27,866 --> 00:04:30,336 >> GOOD MORNING I'M JOEL BEAUT, 113 00:04:30,336 --> 00:04:31,503 UNIVERSITY OF CALIFORNIA 114 00:04:31,503 --> 00:04:33,138 SAN FRANCISCO AS A DISTINGUISHED 115 00:04:33,138 --> 00:04:34,606 PROFESSOR AND INSTITUTE DIRECTOR 116 00:04:34,606 --> 00:04:37,309 WITH ABOUT A HUNDRED FACULTY AND 117 00:04:37,309 --> 00:04:38,711 DATA COMPUTATION, I'M ALSO THE 118 00:04:38,711 --> 00:04:42,247 CHIEF DATA SCIENTIST ACROSS THE 119 00:04:42,247 --> 00:04:43,515 ENTIRE UNIVERSITY OF CALIFORNIA 120 00:04:43,515 --> 00:04:44,950 HEALTH SYSTEM, ALL 6 SCHOOLS, 121 00:04:44,950 --> 00:04:47,152 RESEARCH IN DATA GENOMICS AND 122 00:04:47,152 --> 00:04:49,655 ELECTRONIC HEALTH RECORDS ISSUE 123 00:04:49,655 --> 00:04:50,356 TECHNICALLY A PEDIATRICIAN ON 124 00:04:50,356 --> 00:04:52,524 THE SIDE AND I'VE BEEN NIH 125 00:04:52,524 --> 00:04:56,562 FUNDED FOR 25 YEARS. 126 00:04:56,562 --> 00:04:58,831 NGOOD MORNING, EVERYONE, I'M 127 00:04:58,831 --> 00:05:00,933 HOWARD CHANG, PHYSICIAN 128 00:05:00,933 --> 00:05:01,633 SCIENTIST, PRACTICING 129 00:05:01,633 --> 00:05:02,801 DERMATOLOGIST AND GENOME 130 00:05:02,801 --> 00:05:04,970 SCIENTIST AND A MEMBER AT 131 00:05:04,970 --> 00:05:05,637 STANFORD UNIVERSITY AND 132 00:05:05,637 --> 00:05:07,740 INVESTIGATOR OF THE HOWARD 133 00:05:07,740 --> 00:05:08,273 HUGHES MEDICAL INSTITUTE. 134 00:05:08,273 --> 00:05:10,476 DPLAD TO BE HERE. 135 00:05:10,476 --> 00:05:12,010 >> GOOD MORNING EVERYBODY I'M 136 00:05:12,010 --> 00:05:13,579 BRIAN [INDISCERNIBLE], I'M ON 137 00:05:13,579 --> 00:05:15,080 THE FACULTY AT NORTHWESTERN 138 00:05:15,080 --> 00:05:16,448 UNIVERSITY WHERE I DIRECT THE 139 00:05:16,448 --> 00:05:18,350 THIRD CO CENTER FOR AIDS 140 00:05:18,350 --> 00:05:19,284 RESEARCH, PSYCHOLOGIST BY 141 00:05:19,284 --> 00:05:21,019 TRAINING, WE ALL SAY WHAT WE DO 142 00:05:21,019 --> 00:05:22,087 BY TRAINING AND THEN WE DO 143 00:05:22,087 --> 00:05:22,921 ANOTHER THING WHEN WE GET INTO 144 00:05:22,921 --> 00:05:26,392 THE FIELD AND I STUDIED THE 145 00:05:26,392 --> 00:05:29,928 ENDEMICS OF SUBSTANCE USE, HIV, 146 00:05:29,928 --> 00:05:35,134 VIOLENCE, MENTAL HEMGHT AMONG 147 00:05:35,134 --> 00:05:39,938 LGBTQ COMMUNITIES. 148 00:05:39,938 --> 00:05:41,840 >> AND GISWREL? 149 00:05:41,840 --> 00:05:46,545 >> GOOD MORNING AND 150 00:05:46,545 --> 00:05:47,379 CONGRATULATIONS DR. BERTAGNO 151 00:05:47,379 --> 00:05:51,750 LLI, WE ARE SO EXCITED TO HAVE 152 00:05:51,750 --> 00:05:57,856 YOU IN THIS ROLE, MY NAME IS 153 00:05:57,856 --> 00:05:58,357 GISCERTAINLY--CERTAINLY 154 00:05:58,357 --> 00:06:00,159 LLE CORBIE, I'VE BEEN DOING 155 00:06:00,159 --> 00:06:01,293 HEALTH COMMUNITY ENGAGEMENT 156 00:06:01,293 --> 00:06:03,061 RESEARCH FOR THE LAST 23 YEARS 157 00:06:03,061 --> 00:06:07,299 WITH THE POPULATIONS IN RURAL 158 00:06:07,299 --> 00:06:08,367 AFRICA AMERICAN POPULATIONS IN 159 00:06:08,367 --> 00:06:10,669 THE EASTERN PART OF OUR STATE, 160 00:06:10,669 --> 00:06:12,538 I'M THRILLED TO BE HERE AND ONLY 161 00:06:12,538 --> 00:06:14,039 REGRET I CAN'T BE HERE IN PERSON 162 00:06:14,039 --> 00:06:16,341 WITH YOU ALL, I HAVE SEVERAL 163 00:06:16,341 --> 00:06:17,309 COMMITMENTS LIEWT THE DAY SO I 164 00:06:17,309 --> 00:06:22,748 WILL BE IN AND OUT. 165 00:06:22,748 --> 00:06:24,616 NTHANK YOU. 166 00:06:24,616 --> 00:06:25,083 GARTH. 167 00:06:25,083 --> 00:06:27,686 >> GRAGHT GRAHAM, I AM SO 168 00:06:27,686 --> 00:06:29,855 THRILLED TO BE HERE VIRTUALLY 169 00:06:29,855 --> 00:06:33,058 AND I HAVE COVID SO I AM 170 00:06:33,058 --> 00:06:36,028 ATTENDING VIRTUALLY EMPLOY AM A 171 00:06:36,028 --> 00:06:37,796 CARDIOLOGIST, BACKGROUND IN 172 00:06:37,796 --> 00:06:40,632 HEALTH DISPARS RESEARCH, AND NOW 173 00:06:40,632 --> 00:06:42,501 I'M 1 OF THE DIRECTORS OF PUBLIC 174 00:06:42,501 --> 00:06:43,702 HEALTH AT GOOGLE WHERE WE'RE 175 00:06:43,702 --> 00:06:45,671 RUNNING A LOT OF THE ACTIVITIES 176 00:06:45,671 --> 00:06:48,474 WE'RE DOING AROUND HEALTHCARE 177 00:06:48,474 --> 00:06:49,842 PUBLIC HEALTH AND HOW WE USE 178 00:06:49,842 --> 00:06:51,910 TECH TO IMPROVE THE LIVES OF 179 00:06:51,910 --> 00:06:52,578 UNDERSERVED COMMUNITIES. 180 00:06:52,578 --> 00:06:56,014 >> HOPE YOU FEEL BETTER SOON. 181 00:06:56,014 --> 00:07:00,018 THANK YOU FOR BEING HERE IN 182 00:07:00,018 --> 00:07:03,922 SPITE OF BEING URNTD THE 183 00:07:03,922 --> 00:07:05,991 WEATHER. 184 00:07:05,991 --> 00:07:06,458 >> LUCILLA? 185 00:07:06,458 --> 00:07:07,159 >> LUCILA, [INDISCERNIBLE] WITH 186 00:07:07,159 --> 00:07:10,028 THE YALE SCHOOL OF MEDICINE 187 00:07:10,028 --> 00:07:12,130 BIOINFOMATTICS AND CHAIR OF BI 188 00:07:12,130 --> 00:07:12,931 ONY INFORMATIC ANDS DATA 189 00:07:12,931 --> 00:07:13,298 SCIENCE. 190 00:07:13,298 --> 00:07:15,968 MY RESEARCH IS PRIMARILY ON DATA 191 00:07:15,968 --> 00:07:18,837 SHARING DATA PRIVACY AND MACHINE 192 00:07:18,837 --> 00:07:19,338 LEARNING. 193 00:07:19,338 --> 00:07:27,179 >> OKAY, HAVE I LEFT ANYBODY 194 00:07:27,179 --> 00:07:27,346 OUT? 195 00:07:27,346 --> 00:07:27,880 OKAY, GREAT. 196 00:07:27,880 --> 00:07:29,915 >> LOOKS LIKE WE'RE GOOD, THANK 197 00:07:29,915 --> 00:07:32,551 YOU LARRY AND THANK YOU SO MUCH 198 00:07:32,551 --> 00:07:33,752 FOR ALL OF YOU BEING HERE TO 199 00:07:33,752 --> 00:07:35,053 HELP US WITH THIS VERY IMPORTANT 200 00:07:35,053 --> 00:07:36,722 ROLE WE ALL HAVE TODAY EMPLOY I 201 00:07:36,722 --> 00:07:38,090 THOUGHT, LET'S SEE HOW WE'RE 202 00:07:38,090 --> 00:07:40,392 DOING HERE WITH GETTING ON WITH 203 00:07:40,392 --> 00:07:50,536 SLIDES. 204 00:07:57,042 --> 00:08:00,345 THERE WE GO. 205 00:08:00,345 --> 00:08:01,480 THERE THEY ARE. 206 00:08:01,480 --> 00:08:03,148 YAY, THERE WE GO. 207 00:08:03,148 --> 00:08:04,783 OKAY, I THINK I HAVE THE ABILITY 208 00:08:04,783 --> 00:08:06,351 TO ADVANCE THEM SO LET'S SEE. 209 00:08:06,351 --> 00:08:12,491 WELL, OKAY, ID LIKE TO FIRST 210 00:08:12,491 --> 00:08:13,759 INTRODUCE MYSELF AND TO START BY 211 00:08:13,759 --> 00:08:15,427 SHOWING YOU WHERE I CAME FROM. 212 00:08:15,427 --> 00:08:17,930 I GREW UP ON A CATTLE RANCH IN 213 00:08:17,930 --> 00:08:19,364 CENTRAL WYOMING. 214 00:08:19,364 --> 00:08:21,800 IT WAS 18-MILES OF DIRT ROAD 215 00:08:21,800 --> 00:08:24,102 BEFORE YOU HIT PAVEMENT BUT 216 00:08:24,102 --> 00:08:26,738 FORTUNATELY IT WAS AN INCREDIBLY 217 00:08:26,738 --> 00:08:27,673 RICH ENVIRONMENT. 218 00:08:27,673 --> 00:08:30,609 I WOULD MOVE WITH MY MOM A 219 00:08:30,609 --> 00:08:32,811 HUNDRED MILES TO GO TO SCHOOL 220 00:08:32,811 --> 00:08:34,680 EVERY FALL, AND BACK AND FORTH 221 00:08:34,680 --> 00:08:36,081 ON THE WEEKENDS AND THEN COME 222 00:08:36,081 --> 00:08:37,082 BACK EVERY SUMMER AND FORTUNATE 223 00:08:37,082 --> 00:08:39,217 LOW AS YOU CAN SEE, I STILL HAVE 224 00:08:39,217 --> 00:08:41,587 THE ABILITY TO SPEND TIME THERE 225 00:08:41,587 --> 00:08:42,387 IN THE SUMMERS. 226 00:08:42,387 --> 00:08:45,457 THIS IS ALSO A PHOTO OF 2 EVENTS 227 00:08:45,457 --> 00:08:47,392 VERY RECENT EVENTS, MY SWEARING 228 00:08:47,392 --> 00:08:51,430 IN WITH MY HUSBAND ALEX AND THE 229 00:08:51,430 --> 00:08:53,966 SECRETARY OF HHS, JA'VIER 230 00:08:53,966 --> 00:08:56,001 BICETTA, AND THEN ALSO ASSISTING 231 00:08:56,001 --> 00:08:58,003 IN SURGERY AT THE CLINICAL 232 00:08:58,003 --> 00:09:01,006 CENTER WITH DR. STEPHANIE 233 00:09:01,006 --> 00:09:03,508 GOFF LAST WEEK, FORMER POST DOC 234 00:09:03,508 --> 00:09:06,044 AT MY LAB, AND TRAINEE AT 235 00:09:06,044 --> 00:09:06,979 BRIGHAM WOMEN'S HOSPITAL AND NOW 236 00:09:06,979 --> 00:09:09,181 SHE IS A SPECTACULAR SENIOR 237 00:09:09,181 --> 00:09:11,683 SURGEON IN THE CLINICAL CENTER 238 00:09:11,683 --> 00:09:13,285 WORKING WITH STEVE ROSENBERG'S 239 00:09:13,285 --> 00:09:14,953 GROUP TO REALLY DEVELOP 240 00:09:14,953 --> 00:09:17,089 IMMUNOTHERAPY FOR OUR PATIENTS 241 00:09:17,089 --> 00:09:19,658 SO WHAT AN HONOR TO COME BACK 242 00:09:19,658 --> 00:09:20,826 AND BE HER FIRST ASSISTANT. 243 00:09:20,826 --> 00:09:26,565 WHAT A PLEASURE FOR ANY MENTOR. 244 00:09:26,565 --> 00:09:28,667 CAN YOU DO THE NEXT SLIDE. 245 00:09:28,667 --> 00:09:31,169 THIS DOESN'T SEEM TO BE GOING. 246 00:09:31,169 --> 00:09:31,503 OKAY. 247 00:09:31,503 --> 00:09:33,872 WHAT DREW ME TO NIH WAS VERY 248 00:09:33,872 --> 00:09:35,807 SIMPLE, THE MISSION AND WORKING 249 00:09:35,807 --> 00:09:37,576 WHERE PEOPLE HAVE JUST 1 GOAL IN 250 00:09:37,576 --> 00:09:40,245 MIND, TO IMPROVE THE HEALTH OF 251 00:09:40,245 --> 00:09:41,313 AMERICAN PEOPLE. 252 00:09:41,313 --> 00:09:44,316 AND A GUIDING PRINCIPLE 253 00:09:44,316 --> 00:09:46,051 UNDERPINNING ALL THAT NIH DOES 254 00:09:46,051 --> 00:09:48,687 IS THE MANDATE THAT OUR JOB IS 255 00:09:48,687 --> 00:09:55,394 NOT DONE WHEN SCIENTIFIC 256 00:09:55,394 --> 00:09:57,095 DISCOVERIES ARE MADE, YOU'VE 257 00:09:57,095 --> 00:09:59,297 HEARD THIS BEFORE, WE ARE NOT 258 00:09:59,297 --> 00:10:00,132 THE NATIONAL INSTITUTES OF 259 00:10:00,132 --> 00:10:01,667 DISEASE, WE ARE THE NATIONAL 260 00:10:01,667 --> 00:10:03,101 ENITUTES OF HEALTH, AND THAT IS 261 00:10:03,101 --> 00:10:03,368 CRITICAL. 262 00:10:03,368 --> 00:10:06,338 RIGHT NOW WOE HAVE AN 263 00:10:06,338 --> 00:10:08,073 UNPRECEDENTED OPPORTUNITY TO 264 00:10:08,073 --> 00:10:10,475 EMBRACE AND CREASE ACCESS TO 265 00:10:10,475 --> 00:10:11,777 INNOVATION, HAS THERE EVER BEEN 266 00:10:11,777 --> 00:10:14,312 AN ENVIRONMENT LIKE WE ARE IN 267 00:10:14,312 --> 00:10:15,681 RIGHT NOW. 268 00:10:15,681 --> 00:10:16,481 FUNDAMENTAL SCIENCE REMAINS 269 00:10:16,481 --> 00:10:17,983 CRITICAL, YOU WILL HEAR A LOT 270 00:10:17,983 --> 00:10:21,086 FROM ME ABOUT APPLICATION TO THE 271 00:10:21,086 --> 00:10:24,756 CLINICAL ENVIRONMENT BUT PLEASE 272 00:10:24,756 --> 00:10:28,527 DO NOT EVER THINK THAT OUR 273 00:10:28,527 --> 00:10:29,428 COMMITMENT TO FUNDAMENTAL 274 00:10:29,428 --> 00:10:31,463 SCIENCE IS WAIVERRING IN ANY 275 00:10:31,463 --> 00:10:31,630 WAY. 276 00:10:31,630 --> 00:10:35,834 WE UOF THE --JUST WANT TO SEE 277 00:10:35,834 --> 00:10:37,469 THAT AMAZING RESEARCH POTENTIAL 278 00:10:37,469 --> 00:10:38,904 COMING OUT OF LABORATORIES GET 279 00:10:38,904 --> 00:10:40,072 TO PEOPLE FASTER AND SO YOU WILL 280 00:10:40,072 --> 00:10:41,039 HEAR SOME OF THAT. 281 00:10:41,039 --> 00:10:43,075 WHAT DO WE NEED TO DO? 282 00:10:43,075 --> 00:10:45,210 WELL WE HAVE SOME INTERESTING 283 00:10:45,210 --> 00:10:46,078 NEW OPPORTUNITIES. 284 00:10:46,078 --> 00:10:48,146 WE NEED TO CAPITALIZE ON 285 00:10:48,146 --> 00:10:49,114 LEARNING BASED ANALYTICAL TOOLS 286 00:10:49,114 --> 00:10:52,217 SO THAT WE CAN HARNESS DATA INTO 287 00:10:52,217 --> 00:10:53,652 ADVANCES THAT BENEFIT PROVIDERS 288 00:10:53,652 --> 00:10:54,052 AND PATIENTS. 289 00:10:54,052 --> 00:10:58,290 WE NEED TO MAKE CLINICAL TRIENS 290 00:10:58,290 --> 00:10:59,391 MORE EFFICIENT, MORE INCLIEWZIVE 291 00:10:59,391 --> 00:11:00,559 AND MORE RESPONSIVE TO THE 292 00:11:00,559 --> 00:11:01,493 ACTUAL NEEDS OF PEOPLE. 293 00:11:01,493 --> 00:11:06,865 AND WE NEED TO FOCUS ON HEALTH 294 00:11:06,865 --> 00:11:08,033 DELIVERY RESEARCH AND 295 00:11:08,033 --> 00:11:08,834 IMPLEMENTATION SCIENCE TO 296 00:11:08,834 --> 00:11:09,434 IMPROVE ACCESS. 297 00:11:09,434 --> 00:11:11,369 IT IS NOT ENOUGH IF WE'VE 298 00:11:11,369 --> 00:11:14,372 DISCOVERED A BRAND NEW AND 299 00:11:14,372 --> 00:11:16,608 REALLY VERY EFFECTIVE THERAPY OR 300 00:11:16,608 --> 00:11:17,042 PREVENTION MODALITY. 301 00:11:17,042 --> 00:11:19,111 IT HAS TO GET TO PEOPLE OR OUR 302 00:11:19,111 --> 00:11:22,848 YOB AT NIH IS NOT DONE. 303 00:11:22,848 --> 00:11:26,885 AND WE ALSO NEED TO FOCUS MORE 304 00:11:26,885 --> 00:11:31,156 ON TAKING ADVANT ANNUALS OF 305 00:11:31,156 --> 00:11:31,723 COMMONALITIES--ADVANTAGE OF 306 00:11:31,723 --> 00:11:32,324 COMMONALITIES ACROSS DISEASE 307 00:11:32,324 --> 00:11:35,393 AREAS THIS, IS A HUGE BENEFIT OF 308 00:11:35,393 --> 00:11:35,861 FUNDAMENTAL SCIENCE, 309 00:11:35,861 --> 00:11:37,262 UNDERSTANDING THERE ARE 310 00:11:37,262 --> 00:11:38,396 STRUCTURAL UNDERPINNING OF SO 311 00:11:38,396 --> 00:11:39,331 MANY DIFFERENT DISEASE AND THINK 312 00:11:39,331 --> 00:11:41,867 ABOUT HOW WE TARGET THAT FOR THE 313 00:11:41,867 --> 00:11:44,436 MULTIPLE END POINTS ACROSS OUR 314 00:11:44,436 --> 00:11:45,537 INSTITUTES AND CENTERS. 315 00:11:45,537 --> 00:11:47,405 DRIVERS OF DEC THAT AFFECT 316 00:11:47,405 --> 00:11:50,308 MULTIPLE ORGAN SYSTEMS SUCH AS 317 00:11:50,308 --> 00:11:52,110 INFLAMMATION, METABOLIC 318 00:11:52,110 --> 00:11:52,811 SYNDROME, IMMUNE DYSFUNCTION, 319 00:11:52,811 --> 00:11:55,046 THESE ARE THE WEALTH OF 320 00:11:55,046 --> 00:11:56,414 FUNDAMENTAL BIOLOGY, WE NEDRA TO 321 00:11:56,414 --> 00:11:59,184 DO BETTER AT MAKING SURE THAT IT 322 00:11:59,184 --> 00:12:02,420 IS--THAT THEY ARE USED TO THE 323 00:12:02,420 --> 00:12:03,688 BEST EFFECT. 324 00:12:03,688 --> 00:12:04,823 NEXT SLIDE, PLEASE. 325 00:12:04,823 --> 00:12:06,792 HERE'S A CHALLENGE AND THIS 1 326 00:12:06,792 --> 00:12:10,095 MAKES US ALL SAD, VERY SAD, A 327 00:12:10,095 --> 00:12:11,129 RECENT PEW STUDY SHOWED WHAT 328 00:12:11,129 --> 00:12:13,198 MANY OF US HAVE NOTICE INDEED 329 00:12:13,198 --> 00:12:14,966 OTHER WAYS, TRUST IN SCIENTISTS 330 00:12:14,966 --> 00:12:17,936 HAS DECLINED IN THE PAST FEW 331 00:12:17,936 --> 00:12:18,136 YEARS. 332 00:12:18,136 --> 00:12:19,905 I'D LIKE TO DO EVERYTHING THAT I 333 00:12:19,905 --> 00:12:22,641 POSSIBLE SEE CAN TO HELP RESTORE 334 00:12:22,641 --> 00:12:23,542 TRUST IN SCIENCE. 335 00:12:23,542 --> 00:12:26,411 I BELIEVE THAT MEANS THAT WE 336 00:12:26,411 --> 00:12:30,582 HAVE TO DIRECTLY ENGAGE PEOPLE 337 00:12:30,582 --> 00:12:31,383 IN SCIENCE PROMOTING EQUIT 338 00:12:31,383 --> 00:12:34,052 NEUROECTODERMAL OUR RESEARCH AND 339 00:12:34,052 --> 00:12:35,821 LEAVE MOW 1 OUT. 340 00:12:35,821 --> 00:12:38,757 WE WILL GO FAR TOWARD RESTORING 341 00:12:38,757 --> 00:12:40,058 TRUST IN SCIENCE WHEN PEOPLE WHO 342 00:12:40,058 --> 00:12:44,095 STAND TO BENEFIT FROM OUR 343 00:12:44,095 --> 00:12:44,930 RESEARCH BECOME RESEARCH 344 00:12:44,930 --> 00:12:46,097 PARTNERS WHEN WE DESIGN STUDIES 345 00:12:46,097 --> 00:12:47,265 THAT ENGAGE THEM AND RESPECT 346 00:12:47,265 --> 00:12:48,366 THEIR NEEDS AND WHEN PEOPLE SEE 347 00:12:48,366 --> 00:12:49,768 THAT THE RESULTS OF OUR WORK 348 00:12:49,768 --> 00:12:52,737 MAKE THEIR LIVES BETTER. 349 00:12:52,737 --> 00:12:54,673 WE NEED TO MEET PEOPLE WHERE 350 00:12:54,673 --> 00:12:56,908 THEY ARE AND REACH OUT TO PEOPLE 351 00:12:56,908 --> 00:12:57,709 UNDERREPRESENTED IN RESEARCH 352 00:12:57,709 --> 00:12:59,110 WHETHER THAT'S BECAUSE THEY LIVE 353 00:12:59,110 --> 00:13:01,213 FAR FROM A MAJOR MEDICAL CENTER 354 00:13:01,213 --> 00:13:04,149 OR IF THEY'RE PART OF A 355 00:13:04,149 --> 00:13:06,451 COMMUNITY THAT IS PARTICULARLY 356 00:13:06,451 --> 00:13:07,018 MISTRUSTFUL OF SCIENTISTS. 357 00:13:07,018 --> 00:13:10,889 WE NEED TO MEET PEOPLE AT THEIR 358 00:13:10,889 --> 00:13:12,390 CURRENT STATE OF BELIEF IN 1 359 00:13:12,390 --> 00:13:15,260 SCIENCE HAS TO OFFER THEM AND 360 00:13:15,260 --> 00:13:16,428 ENGAGE THEM DIRECTLY IN THE 361 00:13:16,428 --> 00:13:18,530 PROCESS OF MAKING LIFE BETTER 362 00:13:18,530 --> 00:13:21,766 FOR EVERYONE. 363 00:13:21,766 --> 00:13:22,567 NEXT SLIDE. 364 00:13:22,567 --> 00:13:24,236 SO TOPICS FOR TODAY, A BUSY 365 00:13:24,236 --> 00:13:26,538 SLIDE, I WILL JUST GO RIGHT PAST 366 00:13:26,538 --> 00:13:27,005 THIS. 367 00:13:27,005 --> 00:13:28,206 THIS IS A PREVIEW OF WHAT I PLAN 368 00:13:28,206 --> 00:13:29,841 TO COVER IN MY REPORT TODAY 369 00:13:29,841 --> 00:13:30,876 EMPLOY NEXT SLIDE. 370 00:13:30,876 --> 00:13:37,282 AND WE'RE GOING TO START, NEXT 371 00:13:37,282 --> 00:13:37,883 SLIDE, PLEASE. 372 00:13:37,883 --> 00:13:39,517 OKAY AND CAN YOU GO BEYOND THAT, 373 00:13:39,517 --> 00:13:44,756 WE WILL START BY GOING THROUGH 374 00:13:44,756 --> 00:13:47,192 LEADERSHIP CHANGES. 375 00:13:47,192 --> 00:13:51,029 AS I SAID, WE OWE LARRY TABAK 376 00:13:51,029 --> 00:13:54,099 FOR SERVING SO CAPABLY FOR 2 377 00:13:54,099 --> 00:13:56,001 YEARS AS ACTING NIH DIRECTOR. 378 00:13:56,001 --> 00:13:58,870 I CAN TELL YOU THERE HAVE BEEN 379 00:13:58,870 --> 00:14:02,340 NO CANS KICKED DOWN THE ROAD 380 00:14:02,340 --> 00:14:03,208 UNDER LARRY'S WATCH. 381 00:14:03,208 --> 00:14:04,843 HE HAS KEPT THIS ORGANIZATION 382 00:14:04,843 --> 00:14:06,278 ROBUST AND READY TO MOVE FOR 383 00:14:06,278 --> 00:14:07,646 QUICKLY AHEAD AND FOR THAT WE 384 00:14:07,646 --> 00:14:09,748 SHOULD ALL BE GRATEFUL. 385 00:14:09,748 --> 00:14:14,286 WHILE LARRY WAS ACTING DIRECTOR 386 00:14:14,286 --> 00:14:16,721 TARA SCHWETZ, SHE WAS ACTING AS 387 00:14:16,721 --> 00:14:17,555 PRINCIPAL DEPUTY DIRECTOR. 388 00:14:17,555 --> 00:14:21,026 SHE WILL NOW I'M VERY GRATEFUL 389 00:14:21,026 --> 00:14:25,196 TO SAY WILL LEAVE THE PROGRAM OF 390 00:14:25,196 --> 00:14:26,898 COORDINATION AND PLANNING AND 391 00:14:26,898 --> 00:14:28,199 STRATEGIC INITIATIVES IN THE 392 00:14:28,199 --> 00:14:30,568 OFFICE OF DIRECTOR. 393 00:14:30,568 --> 00:14:35,507 THANK YOU TARA. 394 00:14:35,507 --> 00:14:38,944 VERY WIDE RANGING MISSION TO 395 00:14:38,944 --> 00:14:39,978 IDENTIFY, MERGING SCIENTIFIC 396 00:14:39,978 --> 00:14:40,812 OPPORTUNITIES TO OVERSEE THE 397 00:14:40,812 --> 00:14:43,782 COMMON FUND FOR THE GOOD OF ALL 398 00:14:43,782 --> 00:14:47,752 AND TO COORDINATE AND SUPPORT 399 00:14:47,752 --> 00:14:49,287 ACROSS IC RESEARCH RELATED TO 400 00:14:49,287 --> 00:14:51,056 AIDS, WOMEN'S HEALTH, TRIBAL 401 00:14:51,056 --> 00:14:51,990 HEALTH, DATA SCIENCE, NUTRITION 402 00:14:51,990 --> 00:14:53,825 AND MORE AND THE MORE I THINK 403 00:14:53,825 --> 00:14:55,894 YOU'VE HEARD HEARD FROM ME. 404 00:14:55,894 --> 00:14:59,030 WE NEED TO THINK ABOUT THE 405 00:14:59,030 --> 00:15:00,231 COMMON UNDERPINNINGS OF DISEASE 406 00:15:00,231 --> 00:15:02,233 AND DO BETTER COORDINATION 407 00:15:02,233 --> 00:15:03,668 ACROSS ALL OF OUR PROGRAMS. 408 00:15:03,668 --> 00:15:04,836 SO THANK YOU TARA. 409 00:15:04,836 --> 00:15:07,072 JUST TO MENTION TARA HAS HELD 410 00:15:07,072 --> 00:15:08,673 MULTIPLE LEADERSHIPS AT NIH, 411 00:15:08,673 --> 00:15:10,241 BOTH WITHIN THE OFFICE OF THE 412 00:15:10,241 --> 00:15:14,245 DIRECTOR AND MULTIPLE ICs SO 413 00:15:14,245 --> 00:15:14,946 SHE'S--IN HER SPECTACULAR 414 00:15:14,946 --> 00:15:16,881 LEADERSHIP OVER THE LAST 2 YEARS 415 00:15:16,881 --> 00:15:18,583 SHE IS REALLY READY TO LEAVE IN 416 00:15:18,583 --> 00:15:20,452 IMPORTANT GROUP AND WE ALSO WANT 417 00:15:20,452 --> 00:15:23,755 TO THANK, GIVE A ROUND OF 418 00:15:23,755 --> 00:15:31,096 APPLAUSE TO ROBERT ISINGER SINCE 419 00:15:31,096 --> 00:15:33,698 OF DPC SI, THANK YOU. 420 00:15:33,698 --> 00:15:36,067 NEXT SLIDE DR. GENE MORAWRRKS 421 00:15:36,067 --> 00:15:39,237 ZO, JOINED THIS LAST FOUL. 422 00:15:39,237 --> 00:15:41,473 SHE'S HERE. 423 00:15:41,473 --> 00:15:45,443 SHE WILL OVERSEE NIAID'S 6.6 424 00:15:45,443 --> 00:15:46,611 BILLION DOLLAR BUDGET WHICH OF 425 00:15:46,611 --> 00:15:51,850 COURSE RESEARCH IN THE U.S. AND 426 00:15:51,850 --> 00:15:54,753 ACROSS NIAID'S 21 LABS BUT ALSO 427 00:15:54,753 --> 00:16:05,230 REALLY ACROSS THE GLOBE IN 428 00:16:06,498 --> 00:16:07,832 FECTIOUS DISEASE, AND PRIOR TO 429 00:16:07,832 --> 00:16:09,034 THAT WAS A PROFESSOR AT THE 430 00:16:09,034 --> 00:16:10,035 UNIVERSITY OF WASHINGTON IN 431 00:16:10,035 --> 00:16:10,402 SEALT. 432 00:16:10,402 --> 00:16:12,804 SHE HAS BEEN CONTINUOUSLY FUNDED 433 00:16:12,804 --> 00:16:16,107 AS A PI AND NIH GRANT SINCE 434 00:16:16,107 --> 00:16:16,474 1997. 435 00:16:16,474 --> 00:16:20,278 HER RESEARCH HAS FOCUSED ON THE 436 00:16:20,278 --> 00:16:21,112 HUMAN MICROBIOME SPECIFICALLY AS 437 00:16:21,112 --> 00:16:24,349 IT RELATES TO THE FEMALE 438 00:16:24,349 --> 00:16:26,751 REPRODUCTIVE TRACT INFECTIONS, 439 00:16:26,751 --> 00:16:28,787 AND HORMONAL CONTRACEPTION 440 00:16:28,787 --> 00:16:29,854 EMPLOY PREVENTION OF HIV 441 00:16:29,854 --> 00:16:32,257 INFECTION AND THE MANAGE AM OF 442 00:16:32,257 --> 00:16:33,658 OTHER SEXUALLY TRANSMITTED 443 00:16:33,658 --> 00:16:34,659 DISEASES AND ANTIBIOTIC 444 00:16:34,659 --> 00:16:36,227 RESISTANCE, SO CAN YOU SEE SHE 445 00:16:36,227 --> 00:16:41,433 JUST BRINGS A WEALTH OF CRITICAL 446 00:16:41,433 --> 00:16:43,234 KNOWLEDGE FOR THIS KEY 447 00:16:43,234 --> 00:16:44,402 INSTITUTE. 448 00:16:44,402 --> 00:16:44,969 NEXT SLIDE, PLEASE. 449 00:16:44,969 --> 00:16:49,040 I AM ALSO JUST THRILLED TO SAY, 450 00:16:49,040 --> 00:16:50,909 THAT PRESIDENT BIDEN HAS 451 00:16:50,909 --> 00:16:54,746 ANNOUNCED HIS INTENT TO APPOINT 452 00:16:54,746 --> 00:16:56,047 DR. KIM [INDISCERNIBLE] AS THE 453 00:16:56,047 --> 00:17:00,485 NCI DIRECTOR SO WE ARE EAGERLY 454 00:17:00,485 --> 00:17:01,719 AWAITING THE NEXT STEP TO MAKE 455 00:17:01,719 --> 00:17:03,621 THIS OFFICIAL FOR HER. 456 00:17:03,621 --> 00:17:06,691 SHE'S AN EXPERT IN KIDNEY CANCER 457 00:17:06,691 --> 00:17:09,527 AND IS AN IDEAL CANDIDATE TO 458 00:17:09,527 --> 00:17:11,863 LEAD THE CANCER MOONSHOT 459 00:17:11,863 --> 00:17:13,031 INITTATIVE THAT AIMS TO END 460 00:17:13,031 --> 00:17:14,766 CANCER AS WE KNOW IT. 461 00:17:14,766 --> 00:17:17,068 SHE'S CURRENTLY THE CHAIR AT 462 00:17:17,068 --> 00:17:18,536 VANDERBILT UNIVERSITY AND HER 463 00:17:18,536 --> 00:17:20,738 LAB FOCUSES ON THE MOLECULAR 464 00:17:20,738 --> 00:17:23,041 BIOLOGY OF KIDNEY CANC, HER LAB 465 00:17:23,041 --> 00:17:25,043 HAS DETECTED WAYS TO TREAT AND 466 00:17:25,043 --> 00:17:28,413 CURE CANCER USING MOLECULAR 467 00:17:28,413 --> 00:17:29,013 BIOMARKERS. 468 00:17:29,013 --> 00:17:31,049 IENTIOUS SPECIALLY ADMIRE OR 469 00:17:31,049 --> 00:17:31,883 DEDICATION FOR TRAINING, SO 470 00:17:31,883 --> 00:17:33,885 CRITICAL FOR A ROLE AT NIH, 471 00:17:33,885 --> 00:17:35,653 UNTIL 2022, SHE WAS ELECTED TO 472 00:17:35,653 --> 00:17:36,654 THE NATIONAL ACADEMY OF 473 00:17:36,654 --> 00:17:38,957 MEDICINE, SHE SERVED ON TD NCI'S 474 00:17:38,957 --> 00:17:40,158 BOARD OF SCIENTIFIC ADVISORS AND 475 00:17:40,158 --> 00:17:42,127 PART OF THE CANCER GENOMEAT 476 00:17:42,127 --> 00:17:43,394 LAS PINTAS PROGRAM SO SHE IS 477 00:17:43,394 --> 00:17:45,263 WELL AWARE OF THE CHALLENGES 478 00:17:45,263 --> 00:17:48,666 THAT THE NCI DIRECTOR WILL FACE 479 00:17:48,666 --> 00:17:54,139 AND I ALSO WANT TO THANK OUR 480 00:17:54,139 --> 00:17:56,374 DEAR COLLEAGUE AN INPIRRATIONAL 481 00:17:56,374 --> 00:17:59,210 LEADER DR. DOUG LOWY WHO IS 482 00:17:59,210 --> 00:18:01,646 EVERYBODY ISING AS NCI DIRECTOR, 483 00:18:01,646 --> 00:18:03,481 HIS FOURTH TIME, SORRY FOURTH 484 00:18:03,481 --> 00:18:08,353 TIME IN THAT ROLE UNTIL 485 00:18:08,353 --> 00:18:08,920 DR. RATHMELL TAKES OFFICE. 486 00:18:08,920 --> 00:18:12,624 SO A ROUND OF APPLAUSE FOR BOTH 487 00:18:12,624 --> 00:18:20,265 OF THEM. 488 00:18:20,265 --> 00:18:21,032 NEXT SLIDE. 489 00:18:21,032 --> 00:18:27,739 SO SOME RETIRE AM, DR. PATRICIA 490 00:18:27,739 --> 00:18:29,574 BRENNAN RETIRED AFTER BEING THE 491 00:18:29,574 --> 00:18:33,111 DIRECTOR FOR THE NLM. 492 00:18:33,111 --> 00:18:34,579 DR. BRENNAN WAS THE FIRST NURSE, 493 00:18:34,579 --> 00:18:35,947 INDUSTRIAL ENGINEER AND WOMAN TO 494 00:18:35,947 --> 00:18:37,182 LEAD THE NLM. 495 00:18:37,182 --> 00:18:41,553 SHE STARTED TO INTEGRATE HELT 496 00:18:41,553 --> 00:18:42,820 INFORMATION MANAGEMENT WITH 497 00:18:42,820 --> 00:18:43,421 ARTIFICIAL INTELIENCE AND 498 00:18:43,421 --> 00:18:45,356 MACHINE LEARNING AND DEEP 499 00:18:45,356 --> 00:18:46,958 LEARNING METHODS. 500 00:18:46,958 --> 00:18:50,828 WE'RE GRATEFUL TO DR. STEPHEN 501 00:18:50,828 --> 00:18:53,898 SHERRY FOR SERVING AS ACTING NLM 502 00:18:53,898 --> 00:18:55,900 DIRECTOR AT THIS TIME. 503 00:18:55,900 --> 00:19:00,305 HE PREVIOUSLY SERVED AS THE 504 00:19:00,305 --> 00:19:02,473 NLM'S CENTER FOR BIOTECHNOLOGY 505 00:19:02,473 --> 00:19:05,143 AND DATA FOR SCIENTIFIC 506 00:19:05,143 --> 00:19:05,410 RESOURCES. 507 00:19:05,410 --> 00:19:06,311 NEXT SLIDE. 508 00:19:06,311 --> 00:19:06,945 DR. KATE [INDISCERNIBLE] BECAME 509 00:19:06,945 --> 00:19:09,447 THE DIRECTOR OF THE NIH OFFICE 510 00:19:09,447 --> 00:19:11,182 OF LEGISLATIVE POLICY AND 511 00:19:11,182 --> 00:19:13,585 ANALYSIS ON OCTOBER 22nd. 512 00:19:13,585 --> 00:19:17,155 BEFORE THIS, SHE SPENT 4 YEARS 513 00:19:17,155 --> 00:19:22,060 AT FDA, ROB KALIFF IS GIVING ME 514 00:19:22,060 --> 00:19:24,495 GROVE OVER HAVING LOANED HER, 515 00:19:24,495 --> 00:19:25,296 BUT WE'RE GRATEFUL. 516 00:19:25,296 --> 00:19:27,265 THERE SHE SERVED AS DEPUTY 517 00:19:27,265 --> 00:19:29,701 RECTIFIEDOR FOR THE OFFICE OF 518 00:19:29,701 --> 00:19:30,535 APPROPRIATIONS AND ACTING 519 00:19:30,535 --> 00:19:33,137 DIRECTOR OF THE OFFICE SINCE 520 00:19:33,137 --> 00:19:34,572 JUNE 2022, BEFORE HERE TIME AT 521 00:19:34,572 --> 00:19:37,342 FDA, SHE WAS SENIOR LEGISLATIVE 522 00:19:37,342 --> 00:19:40,778 ANALYST IN THE NIH 523 00:19:40,778 --> 00:19:43,381 [INDISCERNIBLE] AND MANAGED 524 00:19:43,381 --> 00:19:44,549 NIH'S INTERACTIONS AND 525 00:19:44,549 --> 00:19:46,084 RELATIONSHIPS WITH THE 526 00:19:46,084 --> 00:19:46,651 CONGRESSIONAL APPROPRIATIONS 527 00:19:46,651 --> 00:19:46,918 COMMITTEE. 528 00:19:46,918 --> 00:19:48,953 WE'RE ALSO GRATEFUL TO MISS 529 00:19:48,953 --> 00:19:51,356 LAUREN HIGGINS AS SERVING AS 530 00:19:51,356 --> 00:19:53,791 ACTING DIRECTOR FOR OLPA AND NOW 531 00:19:53,791 --> 00:19:55,593 CONTINUING IN HER ROLE AS THE 532 00:19:55,593 --> 00:19:56,494 DEPUTY DIRECTOR. 533 00:19:56,494 --> 00:19:59,063 NEXT SLIDE, PLEASE. 534 00:19:59,063 --> 00:20:02,967 AND JUST STRAIGHT HOT OFF THE 535 00:20:02,967 --> 00:20:04,469 PRESS, ANNOUNCE AM WENT OUT 536 00:20:04,469 --> 00:20:05,837 TODAY THAT DR. [INDISCERNIBLE] 537 00:20:05,837 --> 00:20:07,372 HAS BEEN PROMOTED TO DIRECTOR 538 00:20:07,372 --> 00:20:09,340 FOR SCIENCE POLICY EMPLOY SERVED 539 00:20:09,340 --> 00:20:11,542 AS ACTING DIRECTOR OF THE OFFICE 540 00:20:11,542 --> 00:20:12,243 FOR SEVERAL YEARS. 541 00:20:12,243 --> 00:20:14,779 SHE HELPED LEAD THE DEVELOPMENT 542 00:20:14,779 --> 00:20:16,014 OF NUMEROUS HIGH IMPACT SCIENCE 543 00:20:16,014 --> 00:20:18,016 AND POLICY INITTIAIVE ITS AT NIH 544 00:20:18,016 --> 00:20:19,217 INCLUDING THE BRAIN INITIATIVE 545 00:20:19,217 --> 00:20:21,052 AND THE LAUNCH OF NCATS. 546 00:20:21,052 --> 00:20:22,120 WE'RE REALLY FORTUNATE TO COUNT 547 00:20:22,120 --> 00:20:25,390 ON HER ADVICE AND LEADERSHIP ON 548 00:20:25,390 --> 00:20:27,025 POLICY QUESTIONS THAT ARE 549 00:20:27,025 --> 00:20:30,662 CRITICAL TO NIH'S SUCCESS. 550 00:20:30,662 --> 00:20:33,698 NEXT SLIDE. 551 00:20:33,698 --> 00:20:34,866 DR. JAMES MOONY YOINED ON YELL 552 00:20:34,866 --> 00:20:36,634 30th TO LEAD THE OFFICE OF 553 00:20:36,634 --> 00:20:40,638 BEHAVIORIAL AND SOCIAL SCIENCES 554 00:20:40,638 --> 00:20:41,039 RESEARCH. 555 00:20:41,039 --> 00:20:43,608 SHE BRINGS MORE THAN 25 YEARS OF 556 00:20:43,608 --> 00:20:45,710 RESEARCH FOCUSED ON HEALTH 557 00:20:45,710 --> 00:20:46,878 DISPARITIES AND RESILIENCE 558 00:20:46,878 --> 00:20:47,779 ESPECIALLY AMONG POPULATIONS 559 00:20:47,779 --> 00:20:49,947 THAT HAVE BEEN SOCIALLY 560 00:20:49,947 --> 00:20:50,281 MARGINALIZED. 561 00:20:50,281 --> 00:20:53,651 HER RESEARCH IS EXAMINING 562 00:20:53,651 --> 00:20:55,520 BEHAVIORING ASPECTS OF CHRONIC 563 00:20:55,520 --> 00:20:56,788 ILLNESS USING MICKED METHODS AND 564 00:20:56,788 --> 00:20:57,622 CLINICAL TRIALS. 565 00:20:57,622 --> 00:20:59,057 SHE'S ALSO A CLINICAL 566 00:20:59,057 --> 00:21:00,325 PSYCHOLOGIST WHO JOINED THE NIH 567 00:21:00,325 --> 00:21:01,959 FROM THE UNIVERSITY OF 568 00:21:01,959 --> 00:21:02,627 WASHINGTON IN SEATTLE. 569 00:21:02,627 --> 00:21:04,829 SO WE ARE VERY THRILLED TO HAVE 570 00:21:04,829 --> 00:21:09,767 HER ON BOARD. 571 00:21:09,767 --> 00:21:11,636 NEXT SLIDE. 572 00:21:11,636 --> 00:21:12,804 ANDREW GRAHAMAR BEGAN SERVING AS 573 00:21:12,804 --> 00:21:14,138 THE OFFICE OF NUTRITIONAL 574 00:21:14,138 --> 00:21:14,939 RESEARCH IN SEPTEMBER. 575 00:21:14,939 --> 00:21:16,407 THIS OFFICE WORKS WITH ALL NIH 576 00:21:16,407 --> 00:21:18,776 EN--STRATEGIESITUTE ANDS CENTERS 577 00:21:18,776 --> 00:21:20,078 TO ADVANCE AND COORDINATE 578 00:21:20,078 --> 00:21:20,778 NUTRITION RESEARCH AND 579 00:21:20,778 --> 00:21:24,515 PARTICIPATE IN THE DEVELOPMENT 580 00:21:24,515 --> 00:21:28,019 OF NEW TRANS NIH FUNDING AND 581 00:21:28,019 --> 00:21:30,688 WORKSHOPS, DREW IS A PEDIATRIC 582 00:21:30,688 --> 00:21:32,056 ENDOCRINOLOGIST AND HAS A 583 00:21:32,056 --> 00:21:33,591 Ph.D. IN PHARMACOLOGY AS WELL. 584 00:21:33,591 --> 00:21:36,461 PREVIOUSLY HE WAS THE CHIEF OF 585 00:21:36,461 --> 00:21:38,763 THE PEDIATRIC GROWTH AND 586 00:21:38,763 --> 00:21:40,965 NUTRITION BRANCH AT NICHD. 587 00:21:40,965 --> 00:21:43,434 NEXT SLIDE. 588 00:21:43,434 --> 00:21:45,770 I ALSO ANNOUNCED DON BERKLOW IS 589 00:21:45,770 --> 00:21:47,839 OUR CHIEF OF STAFF, HE'S BEEN 590 00:21:47,839 --> 00:21:50,241 SELECTED AS CHIEF OF STAFF AFTER 591 00:21:50,241 --> 00:21:52,210 SERVING AS ACTIVE CHIEF SINCE 592 00:21:52,210 --> 00:21:53,611 APRIL 2021 SO WE'RE TBLAD TO 593 00:21:53,611 --> 00:21:58,282 FINALLY MAKE THIS OFFICIAL, 594 00:21:58,282 --> 00:21:58,483 JOHN. 595 00:21:58,483 --> 00:21:59,884 HE PROVIDES TRANSLATIONAL 596 00:21:59,884 --> 00:22:01,419 RESEARCH TEEJIC COUNCIL WITHIN 597 00:22:01,419 --> 00:22:04,722 NIH, CREATES AND MAINTAINS 598 00:22:04,722 --> 00:22:05,323 DEPARTMENTMENTAL RELATIONSHIPS 599 00:22:05,323 --> 00:22:07,925 WITHIN HEALTH AND HUMAN 600 00:22:07,925 --> 00:22:08,793 SERVICES, ABSOLUTELY CRITICAL 601 00:22:08,793 --> 00:22:10,495 FOR OUR EFFECTIVENESS IN OUR 602 00:22:10,495 --> 00:22:12,296 PLACE WITHIN THE REST OF 603 00:22:12,296 --> 00:22:15,032 GOVERNMENT AND THE AGENCY. 604 00:22:15,032 --> 00:22:17,135 JOHN LED THE OFFICE OF 605 00:22:17,135 --> 00:22:18,069 COMMUNICATIONS AND PUBLIC 606 00:22:18,069 --> 00:22:20,471 LIAISON FOR MANY YEARS AND HE 607 00:22:20,471 --> 00:22:22,006 HAS HELD PROGRESSIVE LEADERSHIP 608 00:22:22,006 --> 00:22:23,441 POSITIONS IN COMMUNICATION AT 609 00:22:23,441 --> 00:22:26,444 NIH SINCE YOINING NCI IN 1986. 610 00:22:26,444 --> 00:22:30,081 OKAY, INCOME SLIDE EMPLOY NOW, 611 00:22:30,081 --> 00:22:31,082 AWARDS. 612 00:22:31,082 --> 00:22:31,315 NEXT. 613 00:22:31,315 --> 00:22:33,151 I AM JUST THRILLED TO SAY THAT 614 00:22:33,151 --> 00:22:37,488 IN OCTOBER PRESIDENT BIDEN 615 00:22:37,488 --> 00:22:40,124 AWARDED DR. STEVEN ROSENBERG THE 616 00:22:40,124 --> 00:22:41,859 NATIONAL MED OF INNOVATION AND 617 00:22:41,859 --> 00:22:44,362 TECHNOLOGY, THE NATION'S HIGHEST 618 00:22:44,362 --> 00:22:45,530 HONOR FOR TECHNOLOGICAL 619 00:22:45,530 --> 00:22:46,197 ACHIEVEMENT. 620 00:22:46,197 --> 00:22:49,200 THIS AWARD RECOGNIZES HIS 621 00:22:49,200 --> 00:22:52,303 PIONEERING WORK TO DEVELOP THE 622 00:22:52,303 --> 00:22:52,937 FIRST EFFECTIVE IMMUNOTHERAPIES 623 00:22:52,937 --> 00:22:54,672 FOR PATIENTS WITH ADVANCED 624 00:22:54,672 --> 00:22:55,006 CANCER. 625 00:22:55,006 --> 00:22:58,109 HE JOINED NIH IN 1974 AS CHIEF 626 00:22:58,109 --> 00:22:59,310 OF THE SURGERY BRANCH AT THE 627 00:22:59,310 --> 00:23:00,945 CENTER FOR CANCER RESEARCH AT 628 00:23:00,945 --> 00:23:04,682 NCI, HE AND HIS TEAM WERE FIRST 629 00:23:04,682 --> 00:23:07,318 TO IDENTIFY THE ANTICANCER 630 00:23:07,318 --> 00:23:08,352 PROPERTIES OF INTERLEUKIN 2 631 00:23:08,352 --> 00:23:11,355 WHICH BECAME THE FIRST FDA ASHES 632 00:23:11,355 --> 00:23:15,827 PROVED IMMUNOTHERAPY TO 633 00:23:15,827 --> 00:23:17,428 CHARACTERIZE 2 INFILTRATING 634 00:23:17,428 --> 00:23:21,432 LYMPHOCYTES AND PROVIDE ADOPTIVE 635 00:23:21,432 --> 00:23:23,801 CELL TRANSFER IMMUNOTHERAPY AND 636 00:23:23,801 --> 00:23:24,869 INTRUS FOREIGN GENES INTO PEASHS 637 00:23:24,869 --> 00:23:26,537 OPENING THE FIELD OF HUMAN 638 00:23:26,537 --> 00:23:27,104 GENOME THERAPY. 639 00:23:27,104 --> 00:23:31,476 FIRST TO USE TBENETICALLY IMMUNE 640 00:23:31,476 --> 00:23:34,111 CELLS, OR CAR-Ts TO TREAT 641 00:23:34,111 --> 00:23:35,246 PATIENTS WITH LYMPHOMAS AND I 642 00:23:35,246 --> 00:23:40,051 HAVE TO SAY AS A FELLOW BRIGHAM 643 00:23:40,051 --> 00:23:41,118 WOMEN'S SURGICAL TRAINEE, HE HAS 644 00:23:41,118 --> 00:23:43,187 LONG BEEN A TBRAIT INSPIRATION 645 00:23:43,187 --> 00:23:47,291 TO ME EMPLOY NEXT SLIDE. 646 00:23:47,291 --> 00:23:48,559 NIH TBRANTEES, DR. CAITLIN 647 00:23:48,559 --> 00:23:52,063 [INDISCERNIBLE], AND DR. DREW 648 00:23:52,063 --> 00:23:55,099 WEISMAN HAVE JOINTLY BEEN 649 00:23:55,099 --> 00:23:59,370 AWARDED THE 2023 NOBEL PRIZE FOR 650 00:23:59,370 --> 00:24:00,404 NUCLEOTIDE BASED MODIFICATIONS 651 00:24:00,404 --> 00:24:03,140 THAT ENABLE THE EFFECTIVE 652 00:24:03,140 --> 00:24:04,242 DEVELOPMENT MRNA VACCINES 653 00:24:04,242 --> 00:24:05,276 AGAINST COVID-19. 654 00:24:05,276 --> 00:24:06,844 THEY BEGAN COLLABORATING AT THE 655 00:24:06,844 --> 00:24:09,947 UNIVERSITY OF PENNSYLVANIA IN 656 00:24:09,947 --> 00:24:10,748 1997. 657 00:24:10,748 --> 00:24:12,149 DR. [INDISCERNIBLE] RECEIVED 658 00:24:12,149 --> 00:24:13,584 FUNDING FROM NHLBI AND NIESHES 659 00:24:13,584 --> 00:24:16,454 NDS OVER THE COURSE OF HER 660 00:24:16,454 --> 00:24:21,158 CAREER AND DR. WI SEMAN HAS BEEN 661 00:24:21,158 --> 00:24:24,362 SUPPORTED BY NIBIB, NCI, AND 662 00:24:24,362 --> 00:24:26,230 DURING HIS TRAINING HE COMPLETED 663 00:24:26,230 --> 00:24:28,499 A FELLOWSHIP IN DR. TONY 664 00:24:28,499 --> 00:24:28,933 FAUCIEKS' LAB. 665 00:24:28,933 --> 00:24:29,600 NEXT SLIDE. 666 00:24:29,600 --> 00:24:31,102 THIS YEAR 2 RESEARCHERS FROM NIH 667 00:24:31,102 --> 00:24:32,637 WERE SELECTED TO THE NATIONAL 668 00:24:32,637 --> 00:24:34,305 ACADEMY OF SCIENCES AND 2 669 00:24:34,305 --> 00:24:35,606 INSTITUTE DIRECTORS WERE ELECTED 670 00:24:35,606 --> 00:24:39,110 TO THE NATIONAL ACADEMY OF 671 00:24:39,110 --> 00:24:39,377 MEDICINE. 672 00:24:39,377 --> 00:24:40,945 ANDREW [INDISCERNIBLE] IS CHIEF 673 00:24:40,945 --> 00:24:43,281 OF THE LABORATORY OF GENOME 674 00:24:43,281 --> 00:24:44,916 INTEGRITY IN THE NIH'S CENTER 675 00:24:44,916 --> 00:24:46,884 FOR CANCER RESEARCH AND THE 676 00:24:46,884 --> 00:24:49,987 STUDY'S DOUBLE STRANDED DNA 677 00:24:49,987 --> 00:24:51,656 BREAK REPAIR. 678 00:24:51,656 --> 00:24:56,861 JOHN O'SHAY IS SCIENTIFIC 679 00:24:56,861 --> 00:24:58,963 DIRECTOR AT NIAMS OVER SEEING 680 00:24:58,963 --> 00:25:00,131 THE INTRA MIEWR EVERL PROGRAM. 681 00:25:00,131 --> 00:25:01,732 HE ALWAYS CHIEF OF THE 682 00:25:01,732 --> 00:25:04,502 INFLAMMATION BRANCH AND STUDIES 683 00:25:04,502 --> 00:25:05,436 CYTOKINE SIGNALING TRANSDUCTION, 684 00:25:05,436 --> 00:25:07,204 BOTH HAVE BEEN ELECTED TO THE 685 00:25:07,204 --> 00:25:08,739 NAGGAL ACADEMY OF SCIENCES. 686 00:25:08,739 --> 00:25:11,809 MICHAEL CHANG IS A DIRECTOR OF 687 00:25:11,809 --> 00:25:14,612 NEI AND IS A PIONEER IS 688 00:25:14,612 --> 00:25:15,780 BIOMEDICAL INFORMATICS AND 689 00:25:15,780 --> 00:25:17,815 INTEGRATING DATA SCIENCE INTO 690 00:25:17,815 --> 00:25:18,516 PATIENT CARE. 691 00:25:18,516 --> 00:25:20,985 AND ERIC GREEN IS THE DIRECTOR 692 00:25:20,985 --> 00:25:23,521 OF NHGRI, AND WAS RECOGNIZED FOR 693 00:25:23,521 --> 00:25:25,790 DEVELOPING TECHNOLOGIES AND 694 00:25:25,790 --> 00:25:27,892 TOOLS TO TRANSLATE GENOMICS INTO 695 00:25:27,892 --> 00:25:29,327 CLINICAL PRACTICE BOTH ELECTED 696 00:25:29,327 --> 00:25:30,628 TO THE NATIONAL ACADEMY OF 697 00:25:30,628 --> 00:25:33,331 MEDICINE THIS YEAR. 698 00:25:33,331 --> 00:25:33,998 NEXT SLIDE. 699 00:25:33,998 --> 00:25:37,201 SO NOW TO SHOW A FEW PHOTOS OF 700 00:25:37,201 --> 00:25:39,670 VARIOUS VISITS AND EVENTS AT NIH 701 00:25:39,670 --> 00:25:41,973 SINCE THE LAST ACD MEETING. 702 00:25:41,973 --> 00:25:42,340 NEXT, PLEASE. 703 00:25:42,340 --> 00:25:45,109 THREE DAYS AFTER I BECAME NIH 704 00:25:45,109 --> 00:25:46,644 DIRECTOR I WAS PLEASED TO ATTEND 705 00:25:46,644 --> 00:25:49,246 A SIGNING FOR THE FIRST EVER 706 00:25:49,246 --> 00:25:50,348 INITIATIVE SIGNING ON WOMAN'S 707 00:25:50,348 --> 00:25:51,248 HEALTH RESEARCH. 708 00:25:51,248 --> 00:25:52,917 THIS INITIATIVE WILL BE LED BY 709 00:25:52,917 --> 00:25:55,553 DR. JILL BIDEN AND THE 710 00:25:55,553 --> 00:25:57,421 WHITE HOUSE GENDER POLICY 711 00:25:57,421 --> 00:25:57,888 COUNCIL. 712 00:25:57,888 --> 00:25:59,056 THE INITIATIVE INVOLVES AGENCIES 713 00:25:59,056 --> 00:26:00,324 ACROSS THE FEDERAL GOVERNMENT 714 00:26:00,324 --> 00:26:01,726 AND WILL MAKE RECOMMENDATIONS TO 715 00:26:01,726 --> 00:26:04,729 IMPROVE RESEARCH ON WOMEN'S 716 00:26:04,729 --> 00:26:05,496 HEALTH. 717 00:26:05,496 --> 00:26:05,863 NEXT SLIDE. 718 00:26:05,863 --> 00:26:07,898 ON OCTOBER 25th, IT WAS AN 719 00:26:07,898 --> 00:26:10,901 HONOR TO JOIN DR. TABAK, IN 720 00:26:10,901 --> 00:26:12,870 WELCOMING THE FIRST LADY OF THE 721 00:26:12,870 --> 00:26:14,572 UNITED STATES, DR. JILL BIDEN 722 00:26:14,572 --> 00:26:17,274 AND ALSO MISS YOADY HAYDEN OF 723 00:26:17,274 --> 00:26:19,477 AUSTRALIA TO THE NIH DURING 724 00:26:19,477 --> 00:26:21,779 THEITATE VISIT FROM THE 725 00:26:21,779 --> 00:26:23,180 AUSTRAILIAN PRIME MINISTER. 726 00:26:23,180 --> 00:26:24,815 WE SHARED NIH'S PROGRESS IN 727 00:26:24,815 --> 00:26:25,783 PEDIATRIC CANCER RESEARCH DURING 728 00:26:25,783 --> 00:26:27,685 A VISIT TO THE NIH CLINICAL 729 00:26:27,685 --> 00:26:29,754 CENTER AND ALSO PICTURED HERE, 730 00:26:29,754 --> 00:26:39,597 YOU WILL SEE THE CHILDREN'S INN, 731 00:26:39,597 --> 00:26:40,831 AND CEO DR. JAMES 732 00:26:40,831 --> 00:26:41,198 [INDISCERNIBLE]. 733 00:26:41,198 --> 00:26:41,866 NEXT SLIDE. 734 00:26:41,866 --> 00:26:43,934 THE ACD WORKING GROUP ON 735 00:26:43,934 --> 00:26:46,337 DIVERSITY AND SUBGROUP OF 736 00:26:46,337 --> 00:26:47,838 INDIVIDUALS WITH DISABILITIES 737 00:26:47,838 --> 00:26:48,639 ISSUED A REPORT LAST DECEMBER 738 00:26:48,639 --> 00:26:51,108 WHERE YOU ALL PROVIDED 739 00:26:51,108 --> 00:26:52,476 RECOMMENDATIONS CONCERNING HOW 740 00:26:52,476 --> 00:26:56,781 NIH CAN SUPPORT INCLUSION OF 741 00:26:56,781 --> 00:26:58,282 PEOPLE WITH DISABILITIES IN THE 742 00:26:58,282 --> 00:27:00,151 SCIENTIFIC RESEARCH AND IN THE 743 00:27:00,151 --> 00:27:01,118 RESEARCH ENTERPRISE. 744 00:27:01,118 --> 00:27:03,020 WE SINCERELY APPRECIATE THE 745 00:27:03,020 --> 00:27:05,189 SUBGROUPS EFFORTS IN EXAMINING 746 00:27:05,189 --> 00:27:06,490 THIS CRITICAL ISSUE IN DEPTH AND 747 00:27:06,490 --> 00:27:07,825 TODAY I WOULD LIKE TO DISCUSS 748 00:27:07,825 --> 00:27:10,227 THE PROGRESS THAT NE H HAS MADE 749 00:27:10,227 --> 00:27:11,529 ON YOUR SUGGESTIONS. 750 00:27:11,529 --> 00:27:12,129 NEXT SLIDE. 751 00:27:12,129 --> 00:27:14,098 ONE RECOMMENDATION WAS TO UPDATE 752 00:27:14,098 --> 00:27:14,999 THE CURRENT NIH MISSION AT THE 753 00:27:14,999 --> 00:27:18,135 SAME TIME TO REMOVE, REDUCING 754 00:27:18,135 --> 00:27:19,170 DISABILITY, BECAUSE THIS 755 00:27:19,170 --> 00:27:22,907 LANGUAGE COULD BE INTERPRETED AS 756 00:27:22,907 --> 00:27:24,208 PERPETUATING ABLEIST PLEEFS THAT 757 00:27:24,208 --> 00:27:25,009 PEOPLE WITH DISABILITIES ARE 758 00:27:25,009 --> 00:27:32,283 FLAWED AND NEED TO BE FIXED. 759 00:27:32,283 --> 00:27:33,784 IN RESPONSE WE'RE UPDATING OUR 760 00:27:33,784 --> 00:27:35,086 MISSION STATEMENT TO REFLECT 761 00:27:35,086 --> 00:27:36,487 BETTER THE SPIRIT OF THE 762 00:27:36,487 --> 00:27:38,222 AGENCY'S WORK TO HELP ALL PEOPLE 763 00:27:38,222 --> 00:27:39,457 MUCH THE PROPOSED NEW STATEMENT 764 00:27:39,457 --> 00:27:40,958 IS AS FOLLOWS. 765 00:27:40,958 --> 00:27:41,959 TO SEEK FUNDMENTAL KNOWLEDGE 766 00:27:41,959 --> 00:27:44,195 ABOUT THE NATURE AND BEHAVIOR OF 767 00:27:44,195 --> 00:27:48,232 LIVING SYSTEMS AND APPLY THAT 768 00:27:48,232 --> 00:27:50,000 KNOWLEDGE TO OPTIMIZE HEALTH AND 769 00:27:50,000 --> 00:27:52,937 PREVENT OR REDOUSE ILLNESS FOR 770 00:27:52,937 --> 00:27:54,538 ALL PEOPLE. 771 00:27:54,538 --> 00:28:05,082 --REDUCE ILLNESS FOR ALL PEOPLE. 772 00:28:19,263 --> 00:28:20,664 NEXT SLIDE, PLEASE. 773 00:28:20,664 --> 00:28:21,966 SUBGROUP ALSO RECOMMENDED THAT 774 00:28:21,966 --> 00:28:23,934 PEOPLE WITH DISABILITIES BE 775 00:28:23,934 --> 00:28:25,803 FORNLALLY DESIGNATED AS A HEALTH 776 00:28:25,803 --> 00:28:29,440 DISPARITY POPULATION POPULATIO. 777 00:28:29,440 --> 00:28:31,542 AFTER CAREFUL CONSIDERATION OF 778 00:28:31,542 --> 00:28:32,977 THE NATIONAL ADVISORY COUNCIL ON 779 00:28:32,977 --> 00:28:35,412 MINORITY HEALTH AND HEALTH 780 00:28:35,412 --> 00:28:36,180 DISPARITIES FINAL REPORT, INPUT 781 00:28:36,180 --> 00:28:37,748 FROM THE BUSINESS 782 00:28:37,748 --> 00:28:38,649 PROGRAMSABILITY COMMUNITY AND A 783 00:28:38,649 --> 00:28:42,653 REVIEW OF THE SCIENCE AND 784 00:28:42,653 --> 00:28:43,487 EVIDENCE, NIH FORMALLY 785 00:28:43,487 --> 00:28:44,288 DESIGNATED PEOPLE WITH 786 00:28:44,288 --> 00:28:46,157 DISABILITIES AS A POPULATION 787 00:28:46,157 --> 00:28:49,460 WITH HEALTH DISPARITIES ON 788 00:28:49,460 --> 00:28:54,331 SEPTEMBER 26th, 2023. 789 00:28:54,331 --> 00:28:56,767 THE NATIONAL INSTITUTE ON HEALTH 790 00:28:56,767 --> 00:28:58,435 ON MINORITY AND MINORITY 791 00:28:58,435 --> 00:28:59,804 DISPARITIES RELEASED A FUNDING 792 00:28:59,804 --> 00:29:01,772 OPPORTUNITY FOR RESEARCH ON 793 00:29:01,772 --> 00:29:03,340 FOCUS AND NOVEL INTERVENTIONS TO 794 00:29:03,340 --> 00:29:07,011 ADDRESS THE INTERSECTIONS OF 795 00:29:07,011 --> 00:29:09,079 DISABILITY, RACE, ETHNICITY AND 796 00:29:09,079 --> 00:29:11,615 SOCIOECONOMIC STATUS ON 797 00:29:11,615 --> 00:29:16,387 HEALTHCARE ACCESS AND HEALTH 798 00:29:16,387 --> 00:29:16,654 OUTCOMES. 799 00:29:16,654 --> 00:29:16,954 NEXT SLIDE. 800 00:29:16,954 --> 00:29:20,090 WE ARE IN THE PROCESS OF 801 00:29:20,090 --> 00:29:20,891 REVIEWING ADDITIONAL 802 00:29:20,891 --> 00:29:22,526 RECOMMENDATIONS FROM THE ACD 803 00:29:22,526 --> 00:29:24,295 SUBGROUP, MUCH OF WHAT WAS 804 00:29:24,295 --> 00:29:27,498 RECOMMENDED IS CONTAINED IN THE 805 00:29:27,498 --> 00:29:31,168 MARCH 2023 DEIA TRANSLATIONAL 806 00:29:31,168 --> 00:29:33,037 RESEARCH STRAY JECTORY STEINIC 807 00:29:33,037 --> 00:29:33,237 PLAN. 808 00:29:33,237 --> 00:29:34,772 AND WE ALSO HAD A STEERING 809 00:29:34,772 --> 00:29:36,874 COMMITTEE OF THE DEIA WORKING 810 00:29:36,874 --> 00:29:37,942 DPROWP TO INSURE GOING FORWARD 811 00:29:37,942 --> 00:29:39,476 THAT WE ADDRESS ALL THE 812 00:29:39,476 --> 00:29:41,312 RECOMMENDATIONS WITHIN THE 813 00:29:41,312 --> 00:29:41,779 REPORT. 814 00:29:41,779 --> 00:29:44,548 THE SUBGROUP FOCUSES ON CULTURE, 815 00:29:44,548 --> 00:29:45,983 ABLEISM, AND RESEARCH POLICIES 816 00:29:45,983 --> 00:29:46,417 AND SYSTEMS. 817 00:29:46,417 --> 00:29:50,688 AND LET ME JUST SAY AGAIN, THANK 818 00:29:50,688 --> 00:29:56,794 YOU TO THIS COUNCIL FOR YOUR 819 00:29:56,794 --> 00:29:58,662 INCREDIBLE SUPPORT IN THIS NEW 820 00:29:58,662 --> 00:30:00,130 EMPHASIS FOR NIH, WE THINK THIS 821 00:30:00,130 --> 00:30:03,901 IS A HUGE CONTRIBUTION. 822 00:30:03,901 --> 00:30:07,705 NEXT SLIDE. 823 00:30:07,705 --> 00:30:08,272 SIMPLIFIED REVIEW CRITERIA, 824 00:30:08,272 --> 00:30:09,740 SOMETHING EVERYONE WANTS TO SEE. 825 00:30:09,740 --> 00:30:10,808 NEXT SLIDE. 826 00:30:10,808 --> 00:30:13,244 THE NIH CENTER FOR SCIENTIFIC 827 00:30:13,244 --> 00:30:16,447 REVIEW PREPARED A PROPOSAL FOR 828 00:30:16,447 --> 00:30:18,749 SIMPLIFIED REVIEW CRITERIA WITH 829 00:30:18,749 --> 00:30:20,818 SIGNIFICANT INPUT FROM THE MAJOR 830 00:30:20,818 --> 00:30:22,152 EXTRAMURAL COMMUNITIES OF THE 831 00:30:22,152 --> 00:30:23,554 NIH INCLUDING OUR INSTITUTE AND 832 00:30:23,554 --> 00:30:24,221 CENTER LEADERS. 833 00:30:24,221 --> 00:30:28,792 LET ME BE CLEAR, THE GOAL IS TO 834 00:30:28,792 --> 00:30:32,029 FIND THE BEST SCIENCE, THE MOST 835 00:30:32,029 --> 00:30:33,097 INNOVATIVE SCIENCE, THE SCIENCE 836 00:30:33,097 --> 00:30:35,966 THAT'S GOING TO ACHIEVE OUR 837 00:30:35,966 --> 00:30:36,834 GOALS FOR HEALTH. 838 00:30:36,834 --> 00:30:40,204 AND THAT IS WHAT THIS SIMPLIFIED 839 00:30:40,204 --> 00:30:42,206 REVIEW CRITERIA IS DESIGNED TO 840 00:30:42,206 --> 00:30:42,873 DO. 841 00:30:42,873 --> 00:30:45,109 AN RFA CLOSED MARCH 2023 AND 842 00:30:45,109 --> 00:30:47,478 RECEIVED MORE THAN 800 RESPONSES 843 00:30:47,478 --> 00:30:50,714 FROM INDIVIDUALS AND SCIENTIFIC 844 00:30:50,714 --> 00:30:51,148 SOCIETIES. 845 00:30:51,148 --> 00:30:52,883 THE VAST MAJORITY OF RESPONSES 846 00:30:52,883 --> 00:30:56,553 SUPPORTED THE PROPOSED CHANGES 847 00:30:56,553 --> 00:30:57,821 BUT THE COMMUNITY REQUESTED 848 00:30:57,821 --> 00:30:59,790 COMMUNICATIONS BEFORE A NEW 849 00:30:59,790 --> 00:31:01,625 REVIEW FRAMEWORK IS IMPLEMENTED 850 00:31:01,625 --> 00:31:03,093 INCLUDING GUIDANCE AND TRAINING 851 00:31:03,093 --> 00:31:06,964 RESOURCES FOR REVOWERS AND NIH 852 00:31:06,964 --> 00:31:07,298 STAFF. 853 00:31:07,298 --> 00:31:08,732 THE SIMPLIFIED FRAMEWORK IS 854 00:31:08,732 --> 00:31:10,501 BETTER INTENDED TO FOCUS PEER 855 00:31:10,501 --> 00:31:12,369 REVIEWERSOT KEY QUESTIONS 856 00:31:12,369 --> 00:31:18,042 NEEDED, TO ASSESS SCIENTIFIC 857 00:31:18,042 --> 00:31:18,876 TECHNICAL MERIT. 858 00:31:18,876 --> 00:31:21,278 PUT SIMPLY, CAN AND SHOULD THE 859 00:31:21,278 --> 00:31:25,349 PROPOSED RESEARCH BE CONDUCTED? 860 00:31:25,349 --> 00:31:27,618 TO REDUCE UNDUE INFLUENCE OF 861 00:31:27,618 --> 00:31:32,389 SCIENTIFIC REPUTATION IN THE 862 00:31:32,389 --> 00:31:33,557 REVIEW PROCESS AGAIN WITH THE 863 00:31:33,557 --> 00:31:36,660 GOAL OF THE BEST SCIENCE, THE 864 00:31:36,660 --> 00:31:37,795 FRAMEWORK CHANGES THE EVALUATION 865 00:31:37,795 --> 00:31:39,229 OF INVESTIGATOR AND ENVIRONMENT 866 00:31:39,229 --> 00:31:42,266 TO EYE BINARY DECISION OF EITHER 867 00:31:42,266 --> 00:31:43,367 SUFFICIENT OR NOT SUFFICIENT IN 868 00:31:43,367 --> 00:31:48,339 THE CONTEXT OF THE PROPOSED 869 00:31:48,339 --> 00:31:48,839 RESEARCH. 870 00:31:48,839 --> 00:31:51,141 REVIEWERS WILL NOT NEED TO 871 00:31:51,141 --> 00:31:53,644 ASSESS POLICY COMPLIANCE AS MUCH 872 00:31:53,644 --> 00:31:56,213 AS IS ON THE PAST SO THEY CAN 873 00:31:56,213 --> 00:31:57,748 BETTER FOCUS ON CONSCIENCE AND 874 00:31:57,748 --> 00:31:58,882 TECHNICAL MERIT AND THIS DOESN'T 875 00:31:58,882 --> 00:32:04,154 MEAN WE NEED TO LESSEN UP OUR 876 00:32:04,154 --> 00:32:06,390 REVIEW OF POLICY COLCOMPLIANCE 877 00:32:06,390 --> 00:32:07,691 BUT ADMINISTRATE OF 878 00:32:07,691 --> 00:32:08,625 RESPONSIBILITIES RELATED TO THIS 879 00:32:08,625 --> 00:32:11,729 WILL SHIFT TO NIH STAFF, WE 880 00:32:11,729 --> 00:32:13,831 THINK THIS IS BETTER USE OF OUR 881 00:32:13,831 --> 00:32:16,333 RESEARCHERS TIME AND EXPERTISE. 882 00:32:16,333 --> 00:32:16,934 NEXT SLIDE. 883 00:32:16,934 --> 00:32:20,104 NEXT STEPS BETWEEN NOW AND YEN 884 00:32:20,104 --> 00:32:22,172 2025 WHEN WE SEE FULL IMPLEMENT 885 00:32:22,172 --> 00:32:22,406 EGG. 886 00:32:22,406 --> 00:32:24,475 THE ROLL OUT BEGAN WITH GUIDE 887 00:32:24,475 --> 00:32:26,577 NOTICE IN 2023, IN A STAFF 888 00:32:26,577 --> 00:32:29,313 WEBINAR AND PUBLIC WEBINAR AS 889 00:32:29,313 --> 00:32:31,181 CALLED FOR BY THE COMMUNITY IN 890 00:32:31,181 --> 00:32:32,783 THE RFI DEVELOPING PLANNING 891 00:32:32,783 --> 00:32:34,318 RESOURCES AND PLAN MANY 892 00:32:34,318 --> 00:32:36,453 COMMUNICATIONS LEADING UP TO THE 893 00:32:36,453 --> 00:32:37,187 IMPLEMENTATION DATE. 894 00:32:37,187 --> 00:32:38,622 ALL INFORMATION BACKGROUND, 895 00:32:38,622 --> 00:32:41,492 RESOURCES, WEBINAR RECORDING CAN 896 00:32:41,492 --> 00:32:44,661 BE FOUNDOT SIMPLIFYING REVIEW 897 00:32:44,661 --> 00:32:46,130 WEBPAGE. 898 00:32:46,130 --> 00:32:47,531 NEXT SLIDE. 899 00:32:47,531 --> 00:32:49,800 ARTIFICIAL INTELLIGENCE AT NIH, 900 00:32:49,800 --> 00:32:50,634 NEXT SLIDE. 901 00:32:50,634 --> 00:32:53,704 THE ARRIVAL OF MACHINE LEARNING 902 00:32:53,704 --> 00:32:58,409 METHODS FOR WIDE SPREAD PUBLIC 903 00:32:58,409 --> 00:33:00,577 USE HAS RAISED PUBLIC AND 904 00:33:00,577 --> 00:33:02,446 CONGRESSIONAL AWARENESS OF THE 905 00:33:02,446 --> 00:33:05,082 POSSIBILITIES FOR USING THESE 906 00:33:05,082 --> 00:33:09,053 ANALYTIC APPROACHES FOR 907 00:33:09,053 --> 00:33:10,254 BIOMEDICAL RESEARCH. 908 00:33:10,254 --> 00:33:12,456 OF COURSE, YOU ALL AROUND THE 909 00:33:12,456 --> 00:33:14,525 TABLE, RESEARCHERS AT NIH HAVE 910 00:33:14,525 --> 00:33:16,894 BEEN EMPLOYING THESE METHODS FOR 911 00:33:16,894 --> 00:33:17,728 QUITE SOMETIME. 912 00:33:17,728 --> 00:33:19,029 UNDERSTANDING THEIR IMPORTANCE 913 00:33:19,029 --> 00:33:21,932 TO ANALYZING COMPLEX DATA SETS 914 00:33:21,932 --> 00:33:25,002 DERIVING FROM OMICS RESEARCH, 915 00:33:25,002 --> 00:33:26,503 COMPUTATIONAL CHEMISTRY AND 916 00:33:26,503 --> 00:33:28,739 OTHER HIGH DENSITY DATA. 917 00:33:28,739 --> 00:33:30,374 NIH MADE SIGNIFICANT INVESTMENTS 918 00:33:30,374 --> 00:33:32,876 IN MAKING DIVERSE AI READY DATA 919 00:33:32,876 --> 00:33:33,510 AVAILABLE TO THE RESEARCH 920 00:33:33,510 --> 00:33:36,113 COMMUNITY AND IN SUPPORTING NEW 921 00:33:36,113 --> 00:33:37,948 COLLABORATIONS AMONG BIOMEDICAL 922 00:33:37,948 --> 00:33:40,684 RESEARCHERS AND AI EXPERTS. 923 00:33:40,684 --> 00:33:43,220 WE ARE ALSO CONTINUING TO 924 00:33:43,220 --> 00:33:45,889 DEVELOP PLANS TO DRAMATICALLY 925 00:33:45,889 --> 00:33:47,624 EXPAND NIH'S CAPABILITIES FOR 926 00:33:47,624 --> 00:33:51,128 DATA SHARING AND USE BY THE 927 00:33:51,128 --> 00:33:55,299 BROADEST POSSIBLE RESEARCH 928 00:33:55,299 --> 00:33:56,433 COMMUNITY. 929 00:33:56,433 --> 00:33:59,203 BEYOND THE FUNDAMENTAL SCIENCE 930 00:33:59,203 --> 00:34:00,604 REALM, AI ANALYTICS SHOW 931 00:34:00,604 --> 00:34:01,939 TREMENDOUS PROMISE AS AN 932 00:34:01,939 --> 00:34:03,974 APPROACH TO PRODUCING INSIGHTS 933 00:34:03,974 --> 00:34:08,412 THAT DIRECT CLINICAL CARE. 934 00:34:08,412 --> 00:34:10,080 AN INITIAL CLINICALAC DOPGZ OF 935 00:34:10,080 --> 00:34:13,217 AI IS IMPROVING IMAMG BASED 936 00:34:13,217 --> 00:34:13,917 DIAGNESTICS ALREADY, HELPING 937 00:34:13,917 --> 00:34:16,687 DETECT DISEASES AND PREDICTING 938 00:34:16,687 --> 00:34:20,224 BEHAVIOR AND NERVE RESPONSES TO 939 00:34:20,224 --> 00:34:20,924 STIMULI. 940 00:34:20,924 --> 00:34:22,326 HOWEVER, MORE WIDE RANGING USE 941 00:34:22,326 --> 00:34:25,729 OF AI METHODS TO DIRECT CLIPICAL 942 00:34:25,729 --> 00:34:27,164 CARE RAISES MANY IMPORTANT 943 00:34:27,164 --> 00:34:27,631 CONCERNS. 944 00:34:27,631 --> 00:34:30,434 WE KNOW THAT BIAS CAN BE 945 00:34:30,434 --> 00:34:32,236 INTRODUCED INTO MACHINE LEARNING 946 00:34:32,236 --> 00:34:36,073 METHODS, AND MODELS AND THAT 947 00:34:36,073 --> 00:34:37,241 CAREFUL STUDY DESIGN MUST 948 00:34:37,241 --> 00:34:40,677 ADDRESS THIS FOR INITANCE, BY 949 00:34:40,677 --> 00:34:42,813 INCLUDING DATA FROM ALL DEMON 950 00:34:42,813 --> 00:34:43,747 GRAPHIC GRUPS INCLUDING 951 00:34:43,747 --> 00:34:46,717 MINORITY, RURAL AND OTHER 952 00:34:46,717 --> 00:34:47,317 UNDERREPRESENTED COMMUNITIES. 953 00:34:47,317 --> 00:34:52,022 WE'VE ALSO HEARD THE HORROR 954 00:34:52,022 --> 00:34:53,423 STORIES ABOUT HOW A LONG 955 00:34:53,423 --> 00:34:55,058 LANGUAGE MODEL SEEM TO MAKE UP A 956 00:34:55,058 --> 00:34:58,262 RESULT THAT MADE NO SENSE. 957 00:34:58,262 --> 00:35:00,430 SO BEGINNING ABOUT A DECADE 958 00:35:00,430 --> 00:35:02,799 PRIOR TO MY ARRIVAL AT NIH, I 959 00:35:02,799 --> 00:35:07,771 PERSONALLY HAVE BEEN ACTIVELY 960 00:35:07,771 --> 00:35:09,273 INROFULLED IN THIS AREA, 961 00:35:09,273 --> 00:35:11,208 BRINGING THE BEST ACCURATE, 962 00:35:11,208 --> 00:35:14,811 CORRECT AND DIVERSE CLINICAL 963 00:35:14,811 --> 00:35:17,347 DATA TO OUR RESEARCH TEAMS AS A 964 00:35:17,347 --> 00:35:19,183 FOCUS FOR GOING FORWARD AND SO, 965 00:35:19,183 --> 00:35:23,921 I'M JUST VERY PLEASED TO SAY 966 00:35:23,921 --> 00:35:26,256 THAT THIS IS A KEY AREA OF 967 00:35:26,256 --> 00:35:27,991 PRIORITY FOR ME. 968 00:35:27,991 --> 00:35:29,493 AI PROMISES SHORTENING TIMES FOR 969 00:35:29,493 --> 00:35:31,562 NEW MEDICAL TREATMENTS AND 970 00:35:31,562 --> 00:35:33,530 IMPROVING SUCCESS RATES BUT WHAT 971 00:35:33,530 --> 00:35:37,935 IS HOLDING AI BACK IN THE 972 00:35:37,935 --> 00:35:38,569 BIOMEDICAL RESEARCH CONTEXT? 973 00:35:38,569 --> 00:35:42,472 SOME OF THE CHALLENGING INCLUDE, 974 00:35:42,472 --> 00:35:48,312 LACK OF DATA, LACK OF ACCESS TO 975 00:35:48,312 --> 00:35:49,479 CLINICAL AND HEALTHCARE DATA 976 00:35:49,479 --> 00:35:52,249 WITH CAREFUL AND ACCURATE 977 00:35:52,249 --> 00:35:53,317 ANNOTATION THAT REPRESENT THE 978 00:35:53,317 --> 00:35:54,484 FULL DIVERSITY OF THE AMERICAN 979 00:35:54,484 --> 00:35:55,385 PEOPLE. 980 00:35:55,385 --> 00:35:59,489 WE ARE TO ACKNOWLEDGE THAT IS A 981 00:35:59,489 --> 00:36:02,559 SIGNIFICANT LACK THAT WE HAVE TO 982 00:36:02,559 --> 00:36:03,026 FIX. 983 00:36:03,026 --> 00:36:05,128 LACK OF DATA ABOUT PEOPLE LIVING 984 00:36:05,128 --> 00:36:07,197 IN DIFFERENT CONTEXTS AND THE 985 00:36:07,197 --> 00:36:09,333 SOCIAL DETERMINANTS THAT AFFECT 986 00:36:09,333 --> 00:36:12,236 THEIR HELT, NEED FOR VALIDATED 987 00:36:12,236 --> 00:36:14,538 ETHICAL AND TRUSTWORTHY AI 988 00:36:14,538 --> 00:36:16,406 ALGORITHMS IN HEALTH SETTINGS, 989 00:36:16,406 --> 00:36:19,142 LACK OF DIVERSITY IN THE AI 990 00:36:19,142 --> 00:36:21,245 WORKFORCE AND CHALLENGES IN 991 00:36:21,245 --> 00:36:23,814 DISSEMINATING AI TECHNOLOGIES TO 992 00:36:23,814 --> 00:36:25,115 DIVERSE POPULATIONS. 993 00:36:25,115 --> 00:36:29,519 AND LAST OF ALL, I AM ACUTELY 994 00:36:29,519 --> 00:36:31,722 CONCERNED OVER LACK OF TRUST 995 00:36:31,722 --> 00:36:34,458 FROM THE PEOPLE WE'RE TRYING TO 996 00:36:34,458 --> 00:36:37,261 SERVE AS BEING A REAL IMPEDIMENT 997 00:36:37,261 --> 00:36:39,062 TO US BEING ABLE TO DELIVER 998 00:36:39,062 --> 00:36:40,230 RESULTS THAT MATTER FOR THEM, 999 00:36:40,230 --> 00:36:41,765 YOU KNOW I WILL JUST SAY AGAIN, 1000 00:36:41,765 --> 00:36:45,502 WE DO NOT WANT TO DELIVER 1001 00:36:45,502 --> 00:36:46,670 RESULTS ONLY FOR PEOPLE WHO 1002 00:36:46,670 --> 00:36:49,840 BELIEVE IN THE VALUE OF 1003 00:36:49,840 --> 00:36:51,275 BIOMEDICAL RESEARCH, WE WANTED 1004 00:36:51,275 --> 00:36:52,142 TO LEVER RESULS FOR EVERYBODY 1005 00:36:52,142 --> 00:36:55,112 AND THAT MEANS WE HAVE TO TACKLE 1006 00:36:55,112 --> 00:36:58,415 HEAD ON, THE TRUST ISSUE FOR 1007 00:36:58,415 --> 00:36:58,682 EVERYONE. 1008 00:36:58,682 --> 00:37:00,684 OKAY, I WILL GO THROUGH A FEW OF 1009 00:37:00,684 --> 00:37:03,320 THE NIH PROGRAMS WORKING TO 1010 00:37:03,320 --> 00:37:04,354 OVERCOME THE CHALLENGES 1011 00:37:04,354 --> 00:37:07,190 DESCRIBED HERE. 1012 00:37:07,190 --> 00:37:07,758 NEXT SLIDE. 1013 00:37:07,758 --> 00:37:08,959 BUSY SLIDE HERE BUT YOU WILL 1014 00:37:08,959 --> 00:37:11,128 HAVE IT AVAILABLE TO REVIEW. 1015 00:37:11,128 --> 00:37:12,763 THE NIH BRIDGE TO ARTIFICIAL 1016 00:37:12,763 --> 00:37:15,632 INTELLIGENCE OR BRIDGE TO AI 1017 00:37:15,632 --> 00:37:19,403 PROGRAM IS BASED ON THE REPORT 1018 00:37:19,403 --> 00:37:22,706 OF THE 2019 ACD AI WORKING 1019 00:37:22,706 --> 00:37:23,040 GROUP. 1020 00:37:23,040 --> 00:37:25,075 YOU CAN SEE, WE WILL PROVIDE YOU 1021 00:37:25,075 --> 00:37:28,145 WITH THE LINK REQUIRED TO ACCESS 1022 00:37:28,145 --> 00:37:28,378 THIS. 1023 00:37:28,378 --> 00:37:31,715 THE IDEA WITH BRIDGE TO AI IS TO 1024 00:37:31,715 --> 00:37:33,317 SET THE STAGE FOR WIDE SPREAD 1025 00:37:33,317 --> 00:37:35,252 ADOPTION OF THESE LEARNING 1026 00:37:35,252 --> 00:37:37,154 METHODS THAT ADDRESS COMPLEX 1027 00:37:37,154 --> 00:37:38,422 BIOMEDICAL CHALLENGES. 1028 00:37:38,422 --> 00:37:40,791 THE DELIVERABLES OF THE PROGRAM 1029 00:37:40,791 --> 00:37:43,427 FOCUS ON GATHERING FLAGSHIP 1030 00:37:43,427 --> 00:37:45,195 DATA, DEVELOPING BEST PRACTICE 1031 00:37:45,195 --> 00:37:47,064 GUIDELINES AND CRITERIA AND 1032 00:37:47,064 --> 00:37:49,099 DEVELOPING CURRICULA FOR HANDS 1033 00:37:49,099 --> 00:37:49,599 ON TRAINING. 1034 00:37:49,599 --> 00:37:51,902 THE PROGRAM IS STRUCTURED AROUND 1035 00:37:51,902 --> 00:37:54,404 4 DATA GENERATION PROGECS 1036 00:37:54,404 --> 00:37:54,971 ADDRESSING GRAND CHALLENGES 1037 00:37:54,971 --> 00:37:56,506 SHOWN ON THE SLIDE. 1038 00:37:56,506 --> 00:37:58,241 THESE PROJECTS ARE COORDINATED 1039 00:37:58,241 --> 00:38:00,544 AND INTEGRATED BY THE 1040 00:38:00,544 --> 00:38:02,045 CONSORTIUM'S BRIDGE CENTER, A 1041 00:38:02,045 --> 00:38:05,248 DEPICTION OF A ROAD ON THE RIGHT 1042 00:38:05,248 --> 00:38:06,583 SLIDE TOUCHES THE PROGRAM'S 1043 00:38:06,583 --> 00:38:08,885 ACCOMPLISH WANTS SO FAR. 1044 00:38:08,885 --> 00:38:11,355 DATA GENERATION, KEY AIM OF THE 1045 00:38:11,355 --> 00:38:13,757 PROGRAM IS TO GENERATE NEW 1046 00:38:13,757 --> 00:38:15,959 FLAGSHIP DATA SETS AND BEST 1047 00:38:15,959 --> 00:38:17,160 PRACTICES FOR MACHINE LEARNING 1048 00:38:17,160 --> 00:38:19,129 AND DATA GENERATION PROJECTS 1049 00:38:19,129 --> 00:38:24,234 HAVE BEGUN COLLECTING PILOT DATA 1050 00:38:24,234 --> 00:38:24,768 SETS. 1051 00:38:24,768 --> 00:38:25,502 COMMUNITY ENGAGEMENT, THE 1052 00:38:25,502 --> 00:38:28,004 PROGRAM ESTABLISHED A PUBLIC 1053 00:38:28,004 --> 00:38:30,173 PORTAL FOR THE PROGRAM, THE 1054 00:38:30,173 --> 00:38:32,476 BRIDGE CENTER STARTED A TRAINING 1055 00:38:32,476 --> 00:38:33,677 WEBINAR SERIES, REGULAR 1056 00:38:33,677 --> 00:38:35,212 PRESENTATIONS ON TOPICS RELATED 1057 00:38:35,212 --> 00:38:37,414 TO BEST PRACTICES IN AI AND 1058 00:38:37,414 --> 00:38:39,816 MACHINE LEARNING AND THE 1059 00:38:39,816 --> 00:38:41,685 CONSORTIUM HOSTING WORKSHOPS AND 1060 00:38:41,685 --> 00:38:42,819 SYMPOSIA TO GATHER DIVERSE 1061 00:38:42,819 --> 00:38:45,255 VOICES TO INSURE THAT ETHICAL, 1062 00:38:45,255 --> 00:38:47,691 LEGAL AND SOCIAL IMPLICATIONS OF 1063 00:38:47,691 --> 00:38:49,993 BIOMEDICAL AND BEHAVIORIAL AI 1064 00:38:49,993 --> 00:38:53,730 MACHINE LEARNING METHODS ARE 1065 00:38:53,730 --> 00:38:54,664 ADDRESSED. 1066 00:38:54,664 --> 00:38:55,732 FINALLY A JAMBOREE COMPETITION 1067 00:38:55,732 --> 00:38:58,034 IS BEING PLANNED FOR THE SPRING 1068 00:38:58,034 --> 00:38:59,870 WHERE AI MACHINE LEARNING EXPERT 1069 00:38:59,870 --> 00:39:01,204 CANS INTERACT WITH THE PILOT 1070 00:39:01,204 --> 00:39:06,576 DATA AND I WILL JUST EMPHASIZE 1071 00:39:06,576 --> 00:39:11,081 AGAIN, WE COOPERATE --CANNOT HAE 1072 00:39:11,081 --> 00:39:13,850 THIS BE JUST THE PEOPLE WHO 1073 00:39:13,850 --> 00:39:14,751 NATURALLY GRAVITATE TOWARD 1074 00:39:14,751 --> 00:39:16,186 ENGAINLING WITH US, WE NEED 1075 00:39:16,186 --> 00:39:18,455 EVERYONE'S HELP IN MAKING SURE 1076 00:39:18,455 --> 00:39:21,191 THIS WORK SERVES EVERYONE 1077 00:39:21,191 --> 00:39:26,029 INCLUDING THOSE FOR WHICH THESE 1078 00:39:26,029 --> 00:39:27,931 METHODS MIGHT PRODUCE ANXIETY OR 1079 00:39:27,931 --> 00:39:28,698 MISTRUST, ET CETERA. 1080 00:39:28,698 --> 00:39:30,667 SO YOU KNOW ANY AND ALL 1081 00:39:30,667 --> 00:39:33,737 APPROACHES TO ALL MAKING THAT 1082 00:39:33,737 --> 00:39:34,604 POSSIBLE WILL BE MOST WELCOME 1083 00:39:34,604 --> 00:39:38,642 FOR ALL OF US. 1084 00:39:38,642 --> 00:39:39,309 NEXT SLIDE. 1085 00:39:39,309 --> 00:39:40,544 A FEW MORE PROJECTS. 1086 00:39:40,544 --> 00:39:42,379 I WANT TO TOUCH ON A FEW OF THE 1087 00:39:42,379 --> 00:39:45,248 PROJECTS TO GIVE YOU A TASTE OF 1088 00:39:45,248 --> 00:39:46,683 THE BREDTH OF WHAT'S ANYTHING ON 1089 00:39:46,683 --> 00:39:48,218 SINCE YOU DELIVERED YOUR REPORT 1090 00:39:48,218 --> 00:39:48,785 IN 2019. 1091 00:39:48,785 --> 00:39:50,454 THE NUTRITION FOR PRECISION 1092 00:39:50,454 --> 00:39:52,956 HEALTH PROJECT IS PART OF THE 1093 00:39:52,956 --> 00:39:54,991 NIH COMMON FUND ITS GOAL IS TO 1094 00:39:54,991 --> 00:39:56,493 PREDICT ALGORITHMS THAT PREDICT 1095 00:39:56,493 --> 00:39:58,328 INDIVIDUAL RESPONSES TO FOOD AND 1096 00:39:58,328 --> 00:40:00,163 DIETARY PATTERNS. 1097 00:40:00,163 --> 00:40:01,865 THE PROJECT WILL LEVERAGE 1098 00:40:01,865 --> 00:40:03,366 ADVANCES IN AI, MICROBIOME 1099 00:40:03,366 --> 00:40:05,368 RESEARCH AND THE INFRASTRUCTURE 1100 00:40:05,368 --> 00:40:08,805 OF THE LARNL AND DIVERSE ALL OF 1101 00:40:08,805 --> 00:40:10,040 US PARTICIPANT PROGRAM. 1102 00:40:10,040 --> 00:40:11,508 THE NATIONAL EN--STRATEGIESITUTE 1103 00:40:11,508 --> 00:40:13,510 ON MINOR HEALTH AND HEALTH 1104 00:40:13,510 --> 00:40:15,278 DISPARITY SCIENCE COLLABORATIVE 1105 00:40:15,278 --> 00:40:17,881 FOR HEALTH DISPARITIES, AND AI 1106 00:40:17,881 --> 00:40:20,150 BIAS REDUCTION, WHAT A MOUTHFUL 1107 00:40:20,150 --> 00:40:21,785 OTHERWISE KNOWN AS SHARE IS A 1108 00:40:21,785 --> 00:40:25,055 CLOUD PLATFORM THAT HOLDS AI 1109 00:40:25,055 --> 00:40:27,524 READY DATA ON POPULATIONS AND 1110 00:40:27,524 --> 00:40:28,892 SOCIAL DETERMINANTS OF HEALTH 1111 00:40:28,892 --> 00:40:33,530 AND SERVES AS A RESOURCE FOR 1112 00:40:33,530 --> 00:40:35,699 TEST STRATEGIES TO MITIGATE BIAS 1113 00:40:35,699 --> 00:40:38,134 AND USE AI FOR HEALTH 1114 00:40:38,134 --> 00:40:39,536 DISPARITIES RESEARCH ESPECIALLY 1115 00:40:39,536 --> 00:40:40,871 FOR CHRONIC DISEASES. 1116 00:40:40,871 --> 00:40:42,939 THE NATIONAL EN--STRATEGIESITUTE 1117 00:40:42,939 --> 00:40:46,076 OF AGING CENTER FOR ALZHEIMERS 1118 00:40:46,076 --> 00:40:47,878 AND RELATED DEMENTIAS ALSO KNOWN 1119 00:40:47,878 --> 00:40:52,616 AS CARD AND AI COLLABORATIONS 1120 00:40:52,616 --> 00:40:54,784 BOTH USE THESE METHODS AS 1121 00:40:54,784 --> 00:40:55,819 FOUNDATION WILL PARTS OF HOW 1122 00:40:55,819 --> 00:40:57,153 THEY OPERATE. 1123 00:40:57,153 --> 00:40:59,890 FOR EXAMPLE, USING AI TECHNIQUES 1124 00:40:59,890 --> 00:41:00,824 CARD RESEARCHERS RECENTLY FOUND 1125 00:41:00,824 --> 00:41:06,630 THAT THERE MAY BE MORE GENETIC 1126 00:41:06,630 --> 00:41:09,032 OVERLAP BETWEEN ALZHEIMERS 1127 00:41:09,032 --> 00:41:10,200 PARKINSONS AND OTHER 1128 00:41:10,200 --> 00:41:11,001 NEURODEGENERATIVE DISEASES THAN 1129 00:41:11,001 --> 00:41:14,004 PRIOR ANALYSIS OF THE SAME DATA 1130 00:41:14,004 --> 00:41:16,206 SUGGESTED SO ALSO A REALLY 1131 00:41:16,206 --> 00:41:18,842 INCREASING RESULT THAT WILL LEAD 1132 00:41:18,842 --> 00:41:26,583 TO--THAT WILL LEAD TO MORE 1133 00:41:26,583 --> 00:41:26,850 RESEARCH. 1134 00:41:26,850 --> 00:41:28,785 A PROJECT UNDERWAY IS ALSO 1135 00:41:28,785 --> 00:41:30,120 DEVELOPING TECHNOLOGY WHERE AI 1136 00:41:30,120 --> 00:41:32,789 IS PAIRED WITH VOICE ASSISTED 1137 00:41:32,789 --> 00:41:34,224 TECHNOLOGY TO DETECT DEMENTIA IN 1138 00:41:34,224 --> 00:41:35,158 THE HOME SETTING. 1139 00:41:35,158 --> 00:41:36,860 THE NATIONAL INSTITUTE ON DRUG 1140 00:41:36,860 --> 00:41:38,295 ABUSE AND DEVELOPING AND 1141 00:41:38,295 --> 00:41:40,630 EVALUATING A MACHINE LEARNING 1142 00:41:40,630 --> 00:41:43,333 OPIOID PREDICTION AND RISK 1143 00:41:43,333 --> 00:41:44,134 STRATIFICATION EPLATFORM. 1144 00:41:44,134 --> 00:41:45,769 NCI IS PARTNERING WITH THE 1145 00:41:45,769 --> 00:41:47,504 DEPARTMENT OF ENRNLY TO ADVANCE 1146 00:41:47,504 --> 00:41:48,572 COMPUTE XG AI FOR CANCER 1147 00:41:48,572 --> 00:41:50,774 RESEARCH WITH A FOCUS ON DRUG 1148 00:41:50,774 --> 00:41:53,643 DISCOVERY IN PATIENT OUTCOMES. 1149 00:41:53,643 --> 00:41:55,245 THE NATIONAL INSTITUTE OF MENTAL 1150 00:41:55,245 --> 00:41:58,048 HEALTH HAS A PROGRAM USING AI, 1151 00:41:58,048 --> 00:42:00,083 TECHNIQUES TO BETTER UNDERSTAND 1152 00:42:00,083 --> 00:42:02,953 HOW NEURAL CIRCUITRY IS LINKED 1153 00:42:02,953 --> 00:42:03,420 TO BEHAVIORS. 1154 00:42:03,420 --> 00:42:06,556 NOT LISTED ON THE SLIDE, BUT THE 1155 00:42:06,556 --> 00:42:07,757 NATIONAL EYE INSTITUTE IS 1156 00:42:07,757 --> 00:42:10,827 ADVANCING THE USE OF AI IN 1157 00:42:10,827 --> 00:42:13,797 CLINICAL IMAGING TO ADVANCE 1158 00:42:13,797 --> 00:42:14,864 TELEMEDICINE, DIAGNOSIS AND 1159 00:42:14,864 --> 00:42:16,600 TREATMENT DECISIONS. 1160 00:42:16,600 --> 00:42:19,135 NCATS HAS A BIOMEDICAL DATA 1161 00:42:19,135 --> 00:42:21,004 TRANSLATOR THAT CONNECTS 1162 00:42:21,004 --> 00:42:21,938 COMPARTMENTALIZED DATA ACROSS 1163 00:42:21,938 --> 00:42:24,107 DISEASES AND DISCIPLINES USING 1164 00:42:24,107 --> 00:42:26,710 AI GUIDED KNOWLEDGE MAPPING TO 1165 00:42:26,710 --> 00:42:28,278 HELP REPURPOSE DRUGS, RECLASSIFY 1166 00:42:28,278 --> 00:42:30,113 DECS, AND POINT TO POSSIBLE 1167 00:42:30,113 --> 00:42:33,483 TREATMENTS FOR RARE OR DIFFICULT 1168 00:42:33,483 --> 00:42:36,820 TO TREAT DECS AND THE NLM IS 1169 00:42:36,820 --> 00:42:41,658 FUNDING EXTRAMURAL RESEARCHERS 1170 00:42:41,658 --> 00:42:43,126 WHO HAVE AAPPLIED AI MISSION 1171 00:42:43,126 --> 00:42:43,560 LEARNING APPROACHES. 1172 00:42:43,560 --> 00:42:44,761 I HOPE YOU CAN SEE THAT WE ARE 1173 00:42:44,761 --> 00:42:46,296 NOT LATE TO THIS PARTY. 1174 00:42:46,296 --> 00:42:48,932 WE REALLY HAVE THESE TECHNIQUES, 1175 00:42:48,932 --> 00:42:53,036 THESE ANALYTICS HAVE BEEN KNOWN 1176 00:42:53,036 --> 00:42:55,005 TO US FOR QUITE SOMETIME. 1177 00:42:55,005 --> 00:42:58,441 YOU ALL PRESENTED A ROADMAP FOR 1178 00:42:58,441 --> 00:43:00,377 US NOW 4 YEAR AGO THAT YOU CAN 1179 00:43:00,377 --> 00:43:02,245 SEE IS NOW WELL, UNDERWAY BUT WE 1180 00:43:02,245 --> 00:43:03,780 NEED TO KNOW WE NEED TO CONTINUE 1181 00:43:03,780 --> 00:43:05,649 TO INVEST IN RESEARCH AND 1182 00:43:05,649 --> 00:43:07,250 ESPECIALLY COMMUNITY ENGAGEMENT 1183 00:43:07,250 --> 00:43:08,985 TO INSURE THAT THESE NEW 1184 00:43:08,985 --> 00:43:12,188 TECHNOLOGIES ARE USED 1185 00:43:12,188 --> 00:43:15,458 RESPONSIBLY, SAFELY, EFFECTIVELY 1186 00:43:15,458 --> 00:43:17,761 AND ENCLUESIVELY AND I EXPECT 1187 00:43:17,761 --> 00:43:19,462 THAT NIH WILL CONTINUE TO LEAD 1188 00:43:19,462 --> 00:43:21,498 IN DEVELOPING AI FOR BIOMEDICAL 1189 00:43:21,498 --> 00:43:25,168 AND BEHAVIOR RESEARCH. 1190 00:43:25,168 --> 00:43:26,202 OKAY, NEXT SLIDE. 1191 00:43:26,202 --> 00:43:28,171 COUPLE PROGRAM ANDS INITIATIVES. 1192 00:43:28,171 --> 00:43:28,405 NEXT. 1193 00:43:28,405 --> 00:43:30,340 I WOULD LIKE TO PROVIDE AN 1194 00:43:30,340 --> 00:43:32,776 UPDATE ON THE COMMUNITY 1195 00:43:32,776 --> 00:43:33,810 PARTNERSHIPS TO ADVANCE SCIENCE 1196 00:43:33,810 --> 00:43:35,378 FOR SOCIETY OR THE 1197 00:43:35,378 --> 00:43:36,713 COMPASQUANTINO PROGRAM. 1198 00:43:36,713 --> 00:43:38,214 THE UNITE INITIATIVE INSPIRED 1199 00:43:38,214 --> 00:43:39,616 COMPASS AND YOU'LL HEAR MORE 1200 00:43:39,616 --> 00:43:41,418 FROM OUR UNITE CO-CHAIRS LATER 1201 00:43:41,418 --> 00:43:43,820 THIS MORNING, BUT I WANT TO TAKE 1202 00:43:43,820 --> 00:43:45,889 A MOMENT JUST TO EXPRESS MY 1203 00:43:45,889 --> 00:43:49,592 COMPLOAT SUPPORT FOR THE UNITE 1204 00:43:49,592 --> 00:43:49,893 INITIATIVE. 1205 00:43:49,893 --> 00:43:53,363 NIH MUST CONTINUE TO BE A LEADER 1206 00:43:53,363 --> 00:43:55,865 IN PROMOTING EQUITY AND ON 1207 00:43:55,865 --> 00:43:59,869 IDENTIFYING OPPORTUNITIES TO 1208 00:43:59,869 --> 00:44:01,705 ADDRESS STRUCTURAL RACISM WITHIN 1209 00:44:01,705 --> 00:44:04,574 NIH, WITHIN OUR OWN HOUSE, AND 1210 00:44:04,574 --> 00:44:06,976 ALSO THROUGHOUT THE BIOMEDICAL 1211 00:44:06,976 --> 00:44:07,911 AND BEHAVIORIAL RESEARCH 1212 00:44:07,911 --> 00:44:08,211 ENTERPRISE. 1213 00:44:08,211 --> 00:44:10,747 NOW THIS IS A 10 YEAR PROGRAM 1214 00:44:10,747 --> 00:44:11,681 SUPPORTED BY THE COMMON FUND 1215 00:44:11,681 --> 00:44:13,650 THAT AIMS TO ADVANCE HEALTH 1216 00:44:13,650 --> 00:44:15,819 EQUITY SO THAT EVERY PERSON CAN 1217 00:44:15,819 --> 00:44:17,787 ATTAIN THEIR FULL HEALTH 1218 00:44:17,787 --> 00:44:19,622 POTENTIAL AND NO 1 IS 1219 00:44:19,622 --> 00:44:22,025 DISADVANTAGED BECAUSE OF THEIR 1220 00:44:22,025 --> 00:44:23,893 RACIAL OR ETHNIC BACKGROUND OR 1221 00:44:23,893 --> 00:44:25,395 ANY OTHER CIRCUMSTANCES THAT 1222 00:44:25,395 --> 00:44:30,033 SHAPE THE CONDITION OF DAILY 1223 00:44:30,033 --> 00:44:30,400 LIFE. 1224 00:44:30,400 --> 00:44:32,936 COMPASS FOCUSED ON FACTORS THAT 1225 00:44:32,936 --> 00:44:36,139 CAN PROMOTE HEALTH, ECONOMIC 1226 00:44:36,139 --> 00:44:37,373 STABILITY, EMPLOYMENT 1227 00:44:37,373 --> 00:44:38,208 OPPORTUNITIES, HEALTHY FOOD, 1228 00:44:38,208 --> 00:44:40,643 SAFE SPACES, TRAN PORTATION, AND 1229 00:44:40,643 --> 00:44:43,713 QUALITY HEALTHCARE, I HAVE TO 1230 00:44:43,713 --> 00:44:44,280 SAY IT AGAIN. 1231 00:44:44,280 --> 00:44:45,615 OUR SCIENCE IS NOT DONE UNTIL 1232 00:44:45,615 --> 00:44:47,117 PEOPLE ARE LIVING LONG AND 1233 00:44:47,117 --> 00:44:48,418 HEALTHY LIVES AND IF WE ARE 1234 00:44:48,418 --> 00:44:51,721 GOING TO ACHIEVE THAT, THESE ARE 1235 00:44:51,721 --> 00:44:54,591 THE AREAS THAT OUR RESEARCH MUST 1236 00:44:54,591 --> 00:44:55,058 ENCOMPASS. 1237 00:44:55,058 --> 00:44:55,692 NEXT SLIDE. 1238 00:44:55,692 --> 00:44:56,760 THREE INITIATIVES WILL BE USED 1239 00:44:56,760 --> 00:44:58,828 TO ACHIEVE THE GOALS OF THE 1240 00:44:58,828 --> 00:45:00,964 COMPASS PROGRAM AS LISTED ON 1241 00:45:00,964 --> 00:45:02,165 THIS SLIDE. 1242 00:45:02,165 --> 00:45:05,568 IN SEPTEMBER 2023, NIH MADE 26 1243 00:45:05,568 --> 00:45:07,971 AWARDS TO LARGE COMMUNITY 1244 00:45:07,971 --> 00:45:08,938 ORGANIZATIONS AND A COORDINATING 1245 00:45:08,938 --> 00:45:12,475 CENTER AS PART OF A COMMUNITY 1246 00:45:12,475 --> 00:45:15,645 LED HEALTH EQUITY STRUCTURAL 1247 00:45:15,645 --> 00:45:17,046 INTERVENTIONS INITIATIVE. 1248 00:45:17,046 --> 00:45:19,415 THESE 26 AWARDS TOTAL 1249 00:45:19,415 --> 00:45:24,420 APPROXIMATELY 171 MILLION OVER 5 1250 00:45:24,420 --> 00:45:24,988 YEARS. 1251 00:45:24,988 --> 00:45:25,822 ILLUSTRATING OUR SIGNIFICANT 1252 00:45:25,822 --> 00:45:26,823 COMMITMENT TO THIS. 1253 00:45:26,823 --> 00:45:27,123 NEXT SLIDE. 1254 00:45:27,123 --> 00:45:28,525 JUST TO GIVE YOU A FEW EXAMPLES 1255 00:45:28,525 --> 00:45:31,394 OF THE PROJECTS THAT WERE FUNDED 1256 00:45:31,394 --> 00:45:34,030 UNDER COMPASS, 1 PROJECT 1257 00:45:34,030 --> 00:45:35,999 SUPPORTS ACCESS TO FOOD AND 1258 00:45:35,999 --> 00:45:36,900 UNDERSERVED RURAL COMMUNITIES, 1259 00:45:36,900 --> 00:45:39,569 THE TEAM WILL MEASURE WHETHER 1260 00:45:39,569 --> 00:45:41,304 INTERVENTIONS REDUCE HUNGER, 1261 00:45:41,304 --> 00:45:42,438 IMPROVE DIET QUALITY, IMPROVE 1262 00:45:42,438 --> 00:45:45,909 WEIGHT AND PROTECT PEOPLE FROM 1263 00:45:45,909 --> 00:45:49,445 CHRONIC DECS SUCH AS DIABETES 1264 00:45:49,445 --> 00:45:50,847 AND CARDIOVASCULAR DISEASE 1265 00:45:50,847 --> 00:45:54,350 EMPLOY ANOTHER PROJECT ASSESSES 1266 00:45:54,350 --> 00:45:55,985 WHETHER EARLY CHILDHOOD 1267 00:45:55,985 --> 00:45:57,120 STRATEGIES IMPROVE MENTAL HEALTH 1268 00:45:57,120 --> 00:45:59,556 FOR CHILDREN AND GUARDIANS. 1269 00:45:59,556 --> 00:46:02,225 AN ADDITIONAL PROJECT WILL 1270 00:46:02,225 --> 00:46:03,726 ASSESS WHETHER TELEHEALTH ACCESS 1271 00:46:03,726 --> 00:46:06,362 IN RURAL COMMUNITIES CAN PROMOTE 1272 00:46:06,362 --> 00:46:07,897 DISEASE MANAGEMENT FOR CANCER 1273 00:46:07,897 --> 00:46:10,567 DEPRESSION, DIABETES, HIGH BLOOD 1274 00:46:10,567 --> 00:46:13,369 PRESSURE, AND OTHER CHRONIC 1275 00:46:13,369 --> 00:46:14,938 DISEASES AMONG AGRICULTURAL 1276 00:46:14,938 --> 00:46:15,505 WORKERS, SOMETHING CERTAINLY 1277 00:46:15,505 --> 00:46:25,949 NEAR AND DEAR TO MY HEART. 1278 00:46:26,149 --> 00:46:29,886 OVERALL THIS ADDRESSES NIH'S 1279 00:46:29,886 --> 00:46:32,222 ADVANCEMENT TO HELT INIQUITIES 1280 00:46:32,222 --> 00:46:33,890 AND MEET PEOPLE WHERE THEY ARE. 1281 00:46:33,890 --> 00:46:34,858 NEXT SLIDE. 1282 00:46:34,858 --> 00:46:38,228 THE PRESIDENT AND FIRST LADY 1283 00:46:38,228 --> 00:46:38,895 REIGNITED THE CANCER MOONSHOT 1284 00:46:38,895 --> 00:46:39,429 LAST FEBRUARY. 1285 00:46:39,429 --> 00:46:42,165 THIS HAS HELPED TO GIVE CRITICAL 1286 00:46:42,165 --> 00:46:43,933 FOCUS TO ACHIEVING THESE GOALS 1287 00:46:43,933 --> 00:46:45,535 HERE, VERY AMBITIOUS GOALS, 1288 00:46:45,535 --> 00:46:47,303 DROPPING THE DEATH RIGHT BY 50% 1289 00:46:47,303 --> 00:46:48,538 IN THE NEXT 25 YEARS AND 1290 00:46:48,538 --> 00:46:52,041 IMPROVING THE LIVES OF PEOPLE 1291 00:46:52,041 --> 00:46:53,943 AND THEIR FAMILIES LIVING WITH 1292 00:46:53,943 --> 00:46:55,178 AND SURVIVING CANCER. 1293 00:46:55,178 --> 00:46:56,446 WE MADE SIGNIFICANT PROGRESS 1294 00:46:56,446 --> 00:46:57,614 THROUGH CANCER RESEARCH AND CARE 1295 00:46:57,614 --> 00:46:59,015 AND THESE GOALS ARE VERY 1296 00:46:59,015 --> 00:47:00,183 AMBITIOUS BUT THERE IS STILL 1297 00:47:00,183 --> 00:47:06,356 MUCH WE NEED TO LEARN ABOUT 1298 00:47:06,356 --> 00:47:06,789 CANCERS. 1299 00:47:06,789 --> 00:47:08,157 --ABOUT SOME CANCERS FOR WHICH 1300 00:47:08,157 --> 00:47:10,126 WE DON'T HAVE ADEQUATE 1301 00:47:10,126 --> 00:47:11,060 APPROACHES OR EVEN SCIENTIFIC 1302 00:47:11,060 --> 00:47:12,962 UNDERSTANDING THAT CAN HELP US 1303 00:47:12,962 --> 00:47:13,563 REACH THESE GOALS. 1304 00:47:13,563 --> 00:47:15,632 BUT THESE GOALS INN CLUED ALL 1305 00:47:15,632 --> 00:47:16,566 CANCERS ANDENTIOUS SPECIALLY 1306 00:47:16,566 --> 00:47:19,202 THOSE THAT STILL HAVE A POOR 1307 00:47:19,202 --> 00:47:21,371 PROGNOSIS, RARE CANCERS AND SOME 1308 00:47:21,371 --> 00:47:22,238 CHILDHOOD CANCERS. 1309 00:47:22,238 --> 00:47:25,308 WE WOULD MAKE MAJOR PROGRESS, 1310 00:47:25,308 --> 00:47:26,843 ALSO BY JUST INSURING THAT OUR 1311 00:47:26,843 --> 00:47:28,611 CURRENT STARRED ARDS OF CARE 1312 00:47:28,611 --> 00:47:30,013 REACH AND ARE ADOPTED BY ALL 1313 00:47:30,013 --> 00:47:32,215 PEOPLE WHO WOULD BENEFIT THEM 1314 00:47:32,215 --> 00:47:34,717 FROM THEM. 1315 00:47:34,717 --> 00:47:36,786 UNFORTUNATELY, WE STILL SEE 1316 00:47:36,786 --> 00:47:38,755 SERIOUS DISPARITIES BETWEEN 1317 00:47:38,755 --> 00:47:40,156 DIFFERENT POPULATIONS, DUE TO 1318 00:47:40,156 --> 00:47:41,891 CULTURAL AND STRUCTURAL BARRIERS 1319 00:47:41,891 --> 00:47:43,059 THAT STAND IN THE WAY. 1320 00:47:43,059 --> 00:47:44,460 AND ALTHOUGH WE CAN ACHIEVE REAL 1321 00:47:44,460 --> 00:47:47,764 GAINS IN THE NEAR TERM, THROUGH 1322 00:47:47,764 --> 00:47:48,965 POLICY ACTIONS, WE WON'T REACH 1323 00:47:48,965 --> 00:47:52,168 OUR GOALS WITHOUT RESEARCH. 1324 00:47:52,168 --> 00:47:54,103 FIFTEEN, WONDERFUL TO SEE THIS 1325 00:47:54,103 --> 00:47:58,041 ACKNOWLEDGED BY THE CURRENT 1326 00:47:58,041 --> 00:47:59,309 ADMINISTRATION. 1327 00:47:59,309 --> 00:47:59,909 NEXT SLIDE. 1328 00:47:59,909 --> 00:48:01,511 SO THE PRESIDENT AND FIRST LADY 1329 00:48:01,511 --> 00:48:02,812 HAVE CALLED FOR AN ALL OF 1330 00:48:02,812 --> 00:48:05,481 GOVERNMENT APPROACH, NOT JUST 1331 00:48:05,481 --> 00:48:07,216 NIH, TO THE CANCER MOONSHOT AND 1332 00:48:07,216 --> 00:48:10,086 THIS REQUIRES COLLECTIVE ACTIONS 1333 00:48:10,086 --> 00:48:10,453 ACTIONS 1334 00:48:10,453 --> 00:48:12,622 AND COORDINATION ACROSS ALL OF 1335 00:48:12,622 --> 00:48:14,457 GOVERNMENT TO MEET THE GOALS 1336 00:48:14,457 --> 00:48:17,694 SEEN HERE MUCH THE NATIONAL 1337 00:48:17,694 --> 00:48:19,095 CANCER PLAN WAS DEVELOPED BY THE 1338 00:48:19,095 --> 00:48:21,297 NCI AS A WAY OF COORDINATING 1339 00:48:21,297 --> 00:48:22,532 RESPONSE AMONG THE MANY, MANY 1340 00:48:22,532 --> 00:48:24,834 PARTNERS THAT ARE REQUIRED. 1341 00:48:24,834 --> 00:48:27,036 EACH OF THE 8 NATIONAL CANCER 1342 00:48:27,036 --> 00:48:29,405 PLAN GOALS DRIEBS WHAT SUCCESS 1343 00:48:29,405 --> 00:48:32,608 LOOKS LIKE AND ADDRESSES OUR 1344 00:48:32,608 --> 00:48:34,110 MOST SIGNIFICANT CHALLENGES IN 1345 00:48:34,110 --> 00:48:37,814 CANCER. 1346 00:48:37,814 --> 00:48:39,615 SENSE THE PLAN'S LAUNCH LAST 1347 00:48:39,615 --> 00:48:42,185 APRIL WE'VE ALREADY WITNESSED 1348 00:48:42,185 --> 00:48:43,152 INCREDIBLE NEW COLLABORATIONS 1349 00:48:43,152 --> 00:48:44,153 ACROSS THE CANCER COMMUNITY, 1350 00:48:44,153 --> 00:48:45,555 ACROSS GOVERNMENT AND ALL OF 1351 00:48:45,555 --> 00:48:46,656 SOCIETY IN PURSUIT OF THESE 1352 00:48:46,656 --> 00:48:46,856 GOALS. 1353 00:48:46,856 --> 00:48:49,392 AND WE LOOK FORWARD TO CONTINUED 1354 00:48:49,392 --> 00:48:50,827 PARTNERSHIP TO SPEED PROGRESS 1355 00:48:50,827 --> 00:48:54,797 TOWARD ENDING CANCER AS WE KNOW 1356 00:48:54,797 --> 00:48:54,964 IT. 1357 00:48:54,964 --> 00:48:55,832 NEXT SLIDE. 1358 00:48:55,832 --> 00:48:57,233 THE PRESIDENT'S CANCER PANEL HAS 1359 00:48:57,233 --> 00:48:59,002 BEEN CHARGED WITH MONITORING THE 1360 00:48:59,002 --> 00:49:00,203 ACTIVITIES OF THE NATIONAL 1361 00:49:00,203 --> 00:49:01,671 CANCER PLAN AND REPORTS TO THE 1362 00:49:01,671 --> 00:49:03,206 PRESIDENT ON PROGRESS AND 1363 00:49:03,206 --> 00:49:04,741 BARRIERS TO FURTHER SUCCESS IN 1364 00:49:04,741 --> 00:49:07,243 REDUCING THE BURDEN OF CANCER. 1365 00:49:07,243 --> 00:49:09,112 TO SUPPORT THIS IMPORTANT WORK, 1366 00:49:09,112 --> 00:49:10,880 THE PANEL CONVENED THE FIRST 1367 00:49:10,880 --> 00:49:12,949 NATIONAL CANCER PLAN STAKEHOLDER 1368 00:49:12,949 --> 00:49:14,684 MEETING ON SEPTEMBER 7th, 1369 00:49:14,684 --> 00:49:16,052 BROUGHT TOGETHER PARTICIPANT PRS 1370 00:49:16,052 --> 00:49:18,488 ACROSS THE CANCER COMMUNITY, 1371 00:49:18,488 --> 00:49:20,490 INCLUDING 12 ORGANIZATIONS, 1372 00:49:20,490 --> 00:49:21,858 REPRESENTING ONCOLOGY CARE 1373 00:49:21,858 --> 00:49:24,227 PROFESSIONALS, COMMUNITY CANCER 1374 00:49:24,227 --> 00:49:25,161 CENTERS, HEALTH INFORMATION 1375 00:49:25,161 --> 00:49:27,096 TECHNOLOGY SYSTEMS, AND THE 1376 00:49:27,096 --> 00:49:28,531 BUSINESS COMMUNITY AS WELL AS 1377 00:49:28,531 --> 00:49:31,934 GROUPS INVOLVED IN RESEARCH AND 1378 00:49:31,934 --> 00:49:32,435 ADVOCACY. 1379 00:49:32,435 --> 00:49:33,036 PRESENT ANTICIPATIONS AND 1380 00:49:33,036 --> 00:49:34,303 DISCUSSION FROM THE MEETING AS 1381 00:49:34,303 --> 00:49:37,073 WELL AS PUBLIC COMMENTS WILL 1382 00:49:37,073 --> 00:49:38,808 INFORM THE PANELS TO REPORT TO 1383 00:49:38,808 --> 00:49:40,309 THE PRESIDENT WHICH WILL 1384 00:49:40,309 --> 00:49:42,712 HIGHLIGHT OPPORTUNITIES TO 1385 00:49:42,712 --> 00:49:43,379 OPTIMIZE IMPLEMENTATION, 1386 00:49:43,379 --> 00:49:45,014 GOVERNMENT WIDE AND SOCIETY WIDE 1387 00:49:45,014 --> 00:49:49,652 OF THE NATIONAL CANCER PLAN. 1388 00:49:49,652 --> 00:49:51,354 NEXT SLIDE. 1389 00:49:51,354 --> 00:49:53,022 A NEW MODELING ANALYSIS 1390 00:49:53,022 --> 00:49:54,624 CONDUCKED BY NCI RESEARCHERS 1391 00:49:54,624 --> 00:49:57,060 SHOWS HOW MUCH JUST INCREASED 1392 00:49:57,060 --> 00:49:58,795 USE OF RECOMMENDED KREENING 1393 00:49:58,795 --> 00:50:00,296 COULD HELP US PROGRESS TOWARD 1394 00:50:00,296 --> 00:50:02,532 THE MOON SHOT MORTALITY 1395 00:50:02,532 --> 00:50:02,899 REDUCTION GOAL. 1396 00:50:02,899 --> 00:50:04,500 WE KNOW THAT THE UPTAKE OF 1397 00:50:04,500 --> 00:50:06,035 KREENING FOR COMMON CANCER 1398 00:50:06,035 --> 00:50:08,805 SYSTEM NOWHERE NEAR WHERE IT 1399 00:50:08,805 --> 00:50:10,506 SHOULD BE. 1400 00:50:10,506 --> 00:50:11,474 AND BETTER IMPLEMENTATION CAN 1401 00:50:11,474 --> 00:50:13,476 HAVE A REAL IMPACT ON PROGNOSIS 1402 00:50:13,476 --> 00:50:15,645 AND MORTALITY AT A SOCIETAL 1403 00:50:15,645 --> 00:50:15,845 LEVEL. 1404 00:50:15,845 --> 00:50:17,413 THIS SLIDE HERE SHOWS THE LIVES 1405 00:50:17,413 --> 00:50:22,485 THAT COULD BE SAVED WITH JUST A 1406 00:50:22,485 --> 00:50:24,320 10 PERCENTAGE POINT INCREASE IN 1407 00:50:24,320 --> 00:50:26,489 SCREENING UPTAKE FOR COMMON 1408 00:50:26,489 --> 00:50:26,956 CANCERS. 1409 00:50:26,956 --> 00:50:30,726 THIS WORK SHOWS CLEARLY THAT WE 1410 00:50:30,726 --> 00:50:32,695 CAN'T ASSUME THAT ANY 1 MEASURE 1411 00:50:32,695 --> 00:50:33,129 WILL SUFFICE. 1412 00:50:33,129 --> 00:50:36,165 IT'S A SHINING EXAMPLE OF HOW 1413 00:50:36,165 --> 00:50:37,500 CURRENT STANDARDS OF CARE, IF 1414 00:50:37,500 --> 00:50:39,235 THEY CANNOT REACH OR SERVE ALL 1415 00:50:39,235 --> 00:50:41,504 PEOPLE WHO WOULD BENEFIT THEM, 1416 00:50:41,504 --> 00:50:44,207 WE WON'T MEET THE CHALLENGES OF 1417 00:50:44,207 --> 00:50:46,242 THE CANCER MOONSHOT. 1418 00:50:46,242 --> 00:50:46,542 NEXT SLIDE. 1419 00:50:46,542 --> 00:50:48,144 ADDITIONAL WORK BY NETWORK CI 1420 00:50:48,144 --> 00:50:49,345 RESEARCHER ANDS PARTNERS SHOWS 1421 00:50:49,345 --> 00:50:51,581 WE CAN INCREASE CANCER KREENING 1422 00:50:51,581 --> 00:50:52,982 THROUGH INITTIAIVE ITS THAT 1423 00:50:52,982 --> 00:50:54,183 DIRECTLY ADDRESS SOCIAL 1424 00:50:54,183 --> 00:50:56,352 DETERMINANTS OF HEALTH. 1425 00:50:56,352 --> 00:50:58,521 THE GREATEST IMPROVEMENTS IN 1426 00:50:58,521 --> 00:51:00,590 SCREENING IN THIS WORK CAME FROM 1427 00:51:00,590 --> 00:51:03,659 INTERVENTIONS THAT RELATED TO 1428 00:51:03,659 --> 00:51:04,927 MULTIPLE DOMAINS, SOMETHING AS 1429 00:51:04,927 --> 00:51:06,295 STRAIGHT FORWARD AS ADDRESSING 1430 00:51:06,295 --> 00:51:09,899 THE COST OF TRANSPORTATION TO 1431 00:51:09,899 --> 00:51:11,067 SCREENING APPOINTMENTS. 1432 00:51:11,067 --> 00:51:14,737 WE NEED RESEARCH TO IDENTIFY 1433 00:51:14,737 --> 00:51:16,672 SOLUTIONS, TOGETHER WITH 1434 00:51:16,672 --> 00:51:17,540 IMPLEMENTATION THROUGH POLICY 1435 00:51:17,540 --> 00:51:18,708 INTERVENTIONS AND ACTION BY 1436 00:51:18,708 --> 00:51:19,942 PROVIDERS AND OTHERS AT THE 1437 00:51:19,942 --> 00:51:20,676 COMMUNITY LEVEL. 1438 00:51:20,676 --> 00:51:25,314 AND I THINK THE MOON SHOT REALLY 1439 00:51:25,314 --> 00:51:28,951 ILLUSTRATES HOW NIH WILL NOT 1440 00:51:28,951 --> 00:51:31,787 REMAIN ISOLATED BUT IS COMMITTED 1441 00:51:31,787 --> 00:51:35,024 TO BEING THE PARTNER 1442 00:51:35,024 --> 00:51:35,958 ORGANIZATION THAT MAKES--THAT 1443 00:51:35,958 --> 00:51:37,660 ACHIEVES OUR GOAL OF HEALTH 1444 00:51:37,660 --> 00:51:38,861 THROUGHOUT ALL OF GOVERNMENT AND 1445 00:51:38,861 --> 00:51:48,604 ALL OF SOCIETY. 1446 00:51:48,604 --> 00:51:49,672 NEXT SLIDE. 1447 00:51:49,672 --> 00:51:51,274 AND THEN FINALLY, THIS IS A 1448 00:51:51,274 --> 00:51:56,212 TOPIC OF MUCH DISCUSSION, HOW DO 1449 00:51:56,212 --> 00:51:58,047 WE ADVANCE CANCER SCREENING? 1450 00:51:58,047 --> 00:51:59,248 PULTY DETECTION BLOOD TESTS. 1451 00:51:59,248 --> 00:52:01,651 THESE TESTS DO,A PEER TO DETECT 1452 00:52:01,651 --> 00:52:03,119 MORE CANCERS EARLIER. 1453 00:52:03,119 --> 00:52:06,222 THEY ARE AVAILABLE ON THE MARKET 1454 00:52:06,222 --> 00:52:09,759 NOW TO PEOPLE WHO CAN AFFORD 1455 00:52:09,759 --> 00:52:10,893 THEM. 1456 00:52:10,893 --> 00:52:12,228 THEY DO APPEAR--THEY DETECT MORE 1457 00:52:12,228 --> 00:52:15,965 CANCERS EARLIER AND MAY BE 1458 00:52:15,965 --> 00:52:17,600 PROMISING IN PARTICULAR CANCERS 1459 00:52:17,600 --> 00:52:21,470 WE CURRENTLY DO NOT HAVE 1460 00:52:21,470 --> 00:52:22,538 KREENING--EFFECTIVE SCREENING 1461 00:52:22,538 --> 00:52:23,139 MODALITIES. 1462 00:52:23,139 --> 00:52:26,142 WE CAN DETECT PAN KRISTATTIC 1463 00:52:26,142 --> 00:52:28,211 CANCER EARLIER, OVARIAN CANCER, 1464 00:52:28,211 --> 00:52:29,845 THOSE ARE JUST 2 OBVIOUS 1465 00:52:29,845 --> 00:52:31,013 EXAMPLES, WHERE WE NEED. 1466 00:52:31,013 --> 00:52:32,415 BUT THE QUESTION WE MUST ANSWER 1467 00:52:32,415 --> 00:52:33,983 AND WE BELIEVE IT WILL TAKE 1468 00:52:33,983 --> 00:52:36,085 GOVERNMENT TO ANSWER IS WHETHER 1469 00:52:36,085 --> 00:52:40,122 THESE TESTS SAVE LIVES OR 1470 00:52:40,122 --> 00:52:40,923 PREVENT MORBIDITY. 1471 00:52:40,923 --> 00:52:42,225 OVERDIGITEXTIS OR TREATMENT OF 1472 00:52:42,225 --> 00:52:43,526 CANCERS THAT WOULD NOT HARM A 1473 00:52:43,526 --> 00:52:47,163 PATIENT IF LEFT UNTREATED IS A 1474 00:52:47,163 --> 00:52:48,397 REAL POSSIBILITY. 1475 00:52:48,397 --> 00:52:51,334 WE'VE SEEN THIS HAPPEN WITH 1476 00:52:51,334 --> 00:52:53,869 OTHER PREVENTION APPROACH OR 1477 00:52:53,869 --> 00:52:55,338 EARLY DIAGNOSIS APPROACHES AND 1478 00:52:55,338 --> 00:52:57,340 IF THESE TESTS DO SAVE LIVES, WE 1479 00:52:57,340 --> 00:52:58,608 MUST MAKE SURE THAT THEY'RE 1480 00:52:58,608 --> 00:52:59,909 AVAILABLE AND ACCESS EBL TO 1481 00:52:59,909 --> 00:53:03,446 ANYONE WHO CAN BENEFIT NO MATTER 1482 00:53:03,446 --> 00:53:04,146 THEIR SOCIOECONOMIC 1483 00:53:04,146 --> 00:53:05,214 CIRCUMSTANCES, SO NCI WILL BE 1484 00:53:05,214 --> 00:53:08,517 ABLE TO FUND CENTERS TO CONDUCT 1485 00:53:08,517 --> 00:53:10,653 THIS WORK AND WILL ANTICIPATE 1486 00:53:10,653 --> 00:53:11,621 ANNOUNCING THEM IN JANUARY ALONG 1487 00:53:11,621 --> 00:53:14,824 WITH THE NAME OF THE NETWORKS 1488 00:53:14,824 --> 00:53:17,326 SUPPORTING THE NCI SPONSORED VAN 1489 00:53:17,326 --> 00:53:19,395 GUARD CLINICAL STUDY ON 1490 00:53:19,395 --> 00:53:28,137 MULTICANCKER DETECTION. 1491 00:53:28,137 --> 00:53:29,505 NEXT SLIDE. 1492 00:53:29,505 --> 00:53:31,207 ANOTHER PROJECT WE ARE VERY 1493 00:53:31,207 --> 00:53:35,144 PROUD OF IS THE NIH HEAL 1494 00:53:35,144 --> 00:53:36,545 INITIATIVE, THE HEAL INITIATIVE 1495 00:53:36,545 --> 00:53:38,814 IS DESEENED TO SPEED SCIENTIFIC 1496 00:53:38,814 --> 00:53:41,617 SOLUTIONS TO THE OPIOID PUBLIC 1497 00:53:41,617 --> 00:53:42,485 HEALTH CRISIS. 1498 00:53:42,485 --> 00:53:47,857 AFTER 5 YEARS OF FUNDING WE ARE 1499 00:53:47,857 --> 00:53:48,224 MAKING PROGRESS. 1500 00:53:48,224 --> 00:53:50,593 ONE OF THE MOST IMPORTANT THINGS 1501 00:53:50,593 --> 00:53:53,763 ABOUT THE HEAL INITIATIVE IS 1502 00:53:53,763 --> 00:53:56,766 HOPE, THIS IS NOT ABOUT DESPAIR, 1503 00:53:56,766 --> 00:53:59,468 THIS IS ABOUT EFFECTIVE 1504 00:53:59,468 --> 00:54:02,672 TREATMENTS THAT CAN REALLY BE 1505 00:54:02,672 --> 00:54:04,907 BROUGHT TO BEAR TO TRANSFORM 1506 00:54:04,907 --> 00:54:06,175 LIVES. 1507 00:54:06,175 --> 00:54:07,443 BUT STILL CHALLENGES REMANY AS 1508 00:54:07,443 --> 00:54:11,213 THE CRISIS CONTINUES TO EVOLVE 1509 00:54:11,213 --> 00:54:13,716 IN INCREDIBLY DANGEROUS WAYS, AT 1510 00:54:13,716 --> 00:54:15,451 THIS POINT, NEARLY EVERY 1511 00:54:15,451 --> 00:54:17,386 AMERICAN KNOWS SOMEONE WHO'S 1512 00:54:17,386 --> 00:54:21,457 AFFECTED BY THIS, NEXT SLIDE. 1513 00:54:21,457 --> 00:54:23,993 THIS IS JUST SUCH A SCARY SLIDE. 1514 00:54:23,993 --> 00:54:25,761 DRUG OVERDOSE DEATH VS INCREASED 1515 00:54:25,761 --> 00:54:28,397 DRAMATIC LOAMACYY IN RECENT 1516 00:54:28,397 --> 00:54:28,864 DECADES. 1517 00:54:28,864 --> 00:54:32,501 DRIVEN BY DIFFERENT SUBSTANCES 1518 00:54:32,501 --> 00:54:33,369 AT DIFFERENT TIMES. 1519 00:54:33,369 --> 00:54:36,605 TODAY OVERDOSES FROM THE 1520 00:54:36,605 --> 00:54:40,543 SYNTHETIC OPIOID FENTANYL, AND 1521 00:54:40,543 --> 00:54:41,510 STIMULANTS LIKE METHAMPHETAMINE 1522 00:54:41,510 --> 00:54:43,346 ARE CAUSING RECORD HIGH NUMBERS 1523 00:54:43,346 --> 00:54:48,217 OF DEATHINGS EVEN AS WE MAKE 1524 00:54:48,217 --> 00:54:49,452 PROGRESS FOR OTHERS. 1525 00:54:49,452 --> 00:54:53,823 FROM 2010 THERE'S BEEN A RAPID 1526 00:54:53,823 --> 00:54:56,359 INCREASE IN HEROIN INVOLVED 1527 00:54:56,359 --> 00:54:58,194 OVERDOSES. 1528 00:54:58,194 --> 00:55:00,029 IN 2013 FENTANYL OVERDOSES 1529 00:55:00,029 --> 00:55:01,897 BECAME COMMON AND FOR 2021 THE 1530 00:55:01,897 --> 00:55:04,200 YEAR FOR WHICH WE HAVE THE MOST 1531 00:55:04,200 --> 00:55:06,268 RECENT COMPLETE DATA MOST 1532 00:55:06,268 --> 00:55:09,105 OVERDOSE DEATHS INVOLVED 1533 00:55:09,105 --> 00:55:14,310 FENTAFYL, BUT 23 PRS INVOLVED A 1534 00:55:14,310 --> 00:55:17,279 STIMULANT IN COMBINATION WITH 1535 00:55:17,279 --> 00:55:19,248 FENTANYL, SOME OF THESE HAVE 1536 00:55:19,248 --> 00:55:20,316 BEEN EXTREMELY HARD HIT. 1537 00:55:20,316 --> 00:55:24,153 THE AMERICAN INDIAN AND ALASKA 1538 00:55:24,153 --> 00:55:28,824 NATIVE COMMUNITY AND BLACK 1539 00:55:28,824 --> 00:55:29,091 AMERICANS. 1540 00:55:29,091 --> 00:55:29,392 NEXT SLID. 1541 00:55:29,392 --> 00:55:34,563 PAIN IS AN IMPORTANT PART OF THE 1542 00:55:34,563 --> 00:55:34,964 CHALLENGE. 1543 00:55:34,964 --> 00:55:39,101 I THINK WE ALSO KNOW SOMEONE IN 1544 00:55:39,101 --> 00:55:41,537 OUR IMMEDIATE COPE WHO SUFFERS 1545 00:55:41,537 --> 00:55:42,104 FROM CHRONIC PAIN. 1546 00:55:42,104 --> 00:55:46,342 IT IS CHRONIC PAIN IS HORRIBLE. 1547 00:55:46,342 --> 00:55:49,412 UNTREATED AND POORLY TREATED 1548 00:55:49,412 --> 00:55:51,313 PAIN CAUSES CONSIDERABLE 1549 00:55:51,313 --> 00:55:54,316 SUFFERING AND IS THEN A DRIVER 1550 00:55:54,316 --> 00:55:54,984 OF OPIOID USE. 1551 00:55:54,984 --> 00:55:56,585 CHRONIC PAIN REMAIPS A PUBLIC 1552 00:55:56,585 --> 00:55:59,789 HEALTH CRISIS THAT I THINK HAS 1553 00:55:59,789 --> 00:56:01,157 BEEN UNDERAPPRECIATED. 1554 00:56:01,157 --> 00:56:03,325 ACCORDING TO A RECENT NIH STUDY 1555 00:56:03,325 --> 00:56:04,226 THAT REANALYZED GOVERNMENT 1556 00:56:04,226 --> 00:56:06,562 HEALTH DATA NEW CASES OF CHRONIC 1557 00:56:06,562 --> 00:56:07,997 PAIN NOW OUTNUMBER THOSE OF 1558 00:56:07,997 --> 00:56:10,065 OTHER CHRONIC CONDITIONS SUCH AS 1559 00:56:10,065 --> 00:56:11,434 DIABETES, DEPRESSION AND HIGH 1560 00:56:11,434 --> 00:56:12,067 BLOOD PRESSURE. 1561 00:56:12,067 --> 00:56:14,770 THE PREVALENCE OF PAIN INCLUDING 1562 00:56:14,770 --> 00:56:16,439 CHRONIC PAIN THAT INTERFERES 1563 00:56:16,439 --> 00:56:18,808 WITH LIFE, INCREASES WITH AGE 1564 00:56:18,808 --> 00:56:23,379 AND IS HIGHER AMONG PEOPLE IN 1565 00:56:23,379 --> 00:56:24,580 RURAL AMERICA. 1566 00:56:24,580 --> 00:56:25,981 THERE IS MEAGER PRIVATE 1567 00:56:25,981 --> 00:56:28,284 INVESTMENT IN THE DEVELOPMENT OF 1568 00:56:28,284 --> 00:56:30,820 NONADDICTIVE PAIN OR ADDICTION 1569 00:56:30,820 --> 00:56:32,121 THERAPEUTICS AND THEREFORE NIH 1570 00:56:32,121 --> 00:56:35,825 CAN PLAY AN EXTREMELY IMPORTANT 1571 00:56:35,825 --> 00:56:40,663 ROLE BY BOLSTERING THOSE 1572 00:56:40,663 --> 00:56:42,465 EFFECTS, DERISKING THERAPEUTIC 1573 00:56:42,465 --> 00:56:42,765 APPROACHES. 1574 00:56:42,765 --> 00:56:44,033 THIS IS WHEN WE'RE HERE TO DO TO 1575 00:56:44,033 --> 00:56:47,036 TAKE ON CRITICAL AREAS WHERE 1576 00:56:47,036 --> 00:56:48,871 PRIVATE INVESTMENT HAS NOT 1577 00:56:48,871 --> 00:56:51,907 THOUGHT TO PURSUE MUCH NEXT 1578 00:56:51,907 --> 00:56:52,374 SLIDE. 1579 00:56:52,374 --> 00:56:55,344 IN ITS FIRST 5 YEARS HEAL BEP 1580 00:56:55,344 --> 00:56:57,980 UPON DEVELOPED AN EXPANSIVE 1581 00:56:57,980 --> 00:56:59,648 RESEARCH PORTFOLIO PHOBEUSING ON 1582 00:56:59,648 --> 00:57:02,852 ALL ASPECTS OF THE OPIOID 1583 00:57:02,852 --> 00:57:04,954 CRISIS, MISUSE AND OVERDOSE. 1584 00:57:04,954 --> 00:57:08,424 TODAY 3 BILLION INITIATIVE--THE 1585 00:57:08,424 --> 00:57:10,526 3 BILLION INITIATIVE DOLLAR 1586 00:57:10,526 --> 00:57:12,294 INITIATIVE, FUNDS MORE THAN 1800 1587 00:57:12,294 --> 00:57:22,838 RESEARCH PRONG --PROJECTS ACROE 1588 00:57:22,838 --> 00:57:25,541 UNITED STATES. 1589 00:57:25,541 --> 00:57:32,982 THIS WORK IS COORDINATED BY 1590 00:57:32,982 --> 00:57:34,316 NIDA AND NINDS BUT ALL OTHER 1591 00:57:34,316 --> 00:57:40,489 INSTITUTE ANDS CENTERS ARE 1592 00:57:40,489 --> 00:57:42,558 PARTICIPATING EMPLOY THIS IS 1593 00:57:42,558 --> 00:57:44,693 ESSENTIALLY IMPORTANT BECAUSE 1594 00:57:44,693 --> 00:57:47,863 PEOPLE WHO SUFFER THESE 1595 00:57:47,863 --> 00:57:53,168 DISORDERS OFTEN HAVE OTHER 1596 00:57:53,168 --> 00:57:58,707 COMORBID DISORDERS SUCH AS 1597 00:57:58,707 --> 00:58:00,376 DIABETES, CARDIOVASCULAR DISEASE 1598 00:58:00,376 --> 00:58:01,110 AND INFLAMMATORY DISEASE. 1599 00:58:01,110 --> 00:58:04,013 AND HEAL HAS A GREAT TRACK 1600 00:58:04,013 --> 00:58:06,582 RECORD, FDA AS APPROVED HEAL 1601 00:58:06,582 --> 00:58:08,117 ASSOCIATED 42 APPLICATIONS FOR 1602 00:58:08,117 --> 00:58:10,152 CLINICAL TESTING OF 1603 00:58:10,152 --> 00:58:12,254 INVESTIGATIONAL NEW DRUGS OR 1604 00:58:12,254 --> 00:58:13,889 DEVICES, MORE THAN 300 CLINICAL 1605 00:58:13,889 --> 00:58:15,691 TRIALS ARE UNDERWAY INCLUDING 1606 00:58:15,691 --> 00:58:17,793 REAL WORLD RESEARCH DONE IN 1607 00:58:17,793 --> 00:58:18,761 PRAGMATIC TRIALS THAT TEST 1608 00:58:18,761 --> 00:58:19,461 INTERVENTIONS THAT HAVE BEEN 1609 00:58:19,461 --> 00:58:22,331 SHOWN TO WORK IN LARGE CONTROL 1610 00:58:22,331 --> 00:58:24,967 STUDIES, BUT ARE UNDERUSED IN 1611 00:58:24,967 --> 00:58:26,969 ROUTINE HEALTH SETTINGS. 1612 00:58:26,969 --> 00:58:27,603 NONPHARMAICOLOGICAL TREATMENTS 1613 00:58:27,603 --> 00:58:29,638 FOR PAIN AND STUDIES EMBEDDED IN 1614 00:58:29,638 --> 00:58:31,607 HEALTH SYSTEMS THAT EVALUATE HOW 1615 00:58:31,607 --> 00:58:34,209 TO INCREASE USE OF HIGHLY 1616 00:58:34,209 --> 00:58:36,845 EFFECTIVE TREATMENTS FOR 1617 00:58:36,845 --> 00:58:39,915 ADDICTION THAT REMAIN 1618 00:58:39,915 --> 00:58:40,649 DRAMATICALLY UNDERUSED. 1619 00:58:40,649 --> 00:58:42,785 A CORE HEAL VALUE IS 1620 00:58:42,785 --> 00:58:44,520 COLLABORATION, WORKING HAND IN 1621 00:58:44,520 --> 00:58:46,155 HAND WITH COMMUNITIES, PATIENT 1622 00:58:46,155 --> 00:58:47,656 ADVOCATES, FEDERAL STATE AND 1623 00:58:47,656 --> 00:58:48,857 LOCAL AGENCIES, INDUSTRY AND 1624 00:58:48,857 --> 00:58:51,060 ACADEMIA AND I JUST WANT TO END, 1625 00:58:51,060 --> 00:58:53,395 OH LET ME--NEXT SLIDE, SORRY, 1 1626 00:58:53,395 --> 00:58:58,634 LAST THING, BEFORE I MOVE ON, 1627 00:58:58,634 --> 00:58:59,401 HEAL PROGRESS. 1628 00:58:59,401 --> 00:59:02,171 AGAIN BUSY SLIDE, I WILL GO 1629 00:59:02,171 --> 00:59:04,006 QUICKLY, CURRENTLY IN CLINICAL 1630 00:59:04,006 --> 00:59:08,277 TESTING AN ANTIBODY TO PREVENT 1631 00:59:08,277 --> 00:59:10,546 FENTANYL OVERDOSE, A NOVEL SMALL 1632 00:59:10,546 --> 00:59:15,718 MOLECULE TREATMENT FOR CHRONIC 1633 00:59:15,718 --> 00:59:16,318 PAIN. 1634 00:59:16,318 --> 00:59:18,487 REALTIME MEASUREMENT OF CHRONIC 1635 00:59:18,487 --> 00:59:21,490 PAIN SIGNATURE PAVING THE WAY 1636 00:59:21,490 --> 00:59:22,091 TOWARDS PERSONALIZED 1637 00:59:22,091 --> 00:59:23,892 NONADDICTIVE PAIN MANAGEMENT 1638 00:59:23,892 --> 00:59:24,259 APPROACHES. 1639 00:59:24,259 --> 00:59:27,730 HE'LL RESEARCH HAS DEMONSTRATED 1640 00:59:27,730 --> 00:59:29,932 DEFINITIVELY AN EXISTING 1641 00:59:29,932 --> 00:59:33,902 MEDICATION FOR OPIOID USE 1642 00:59:33,902 --> 00:59:35,404 DISORDER BUPRENORPH REMAINS SAFE 1643 00:59:35,404 --> 00:59:39,141 AND EFFECTIVE FOR PEOPLE WHO US 1644 00:59:39,141 --> 00:59:40,643 FENTANYL, DESPITE CONCERNS 1645 00:59:40,643 --> 00:59:41,310 PREVIOUSLY ABOUT PRECIPITATING 1646 00:59:41,310 --> 00:59:51,787 WITHDRAWAL FOR THOSE WHO USE 1647 00:59:52,888 --> 00:59:53,889 FENTANYL. 1648 00:59:53,889 --> 00:59:55,991 FINDINGS ARE ALREADY INFLUENCING 1649 00:59:55,991 --> 00:59:58,127 STATE LEVEL PRACTICE GUIDELINES, 1650 00:59:58,127 --> 01:00:02,631 OUR FEDERAL PARTNER THE 1651 01:00:02,631 --> 01:00:06,669 SUBSTANCE ABUSE AND SAMHSA IS 1652 01:00:06,669 --> 01:00:09,104 PUTTING HEAL TO PRACTICAL USE. 1653 01:00:09,104 --> 01:00:12,074 GRANTEES ARE USING FUNDED 1654 01:00:12,074 --> 01:00:16,912 MODELING WORK FOR STATE LEVEL 1655 01:00:16,912 --> 01:00:19,515 PLANS FOR NALOXONE, DEPENDING ON 1656 01:00:19,515 --> 01:00:22,484 THE NEED, AND ALSO PUBLISHING A 1657 01:00:22,484 --> 01:00:24,420 PRACTICE GUIDE FROM THE HEALING 1658 01:00:24,420 --> 01:00:27,523 COMMUNITY STUDY TO CREATE 1659 01:00:27,523 --> 01:00:28,957 COALITIONS FOR DISORDERS, 1660 01:00:28,957 --> 01:00:30,759 PRESSURES AND COMMUNITIES. 1661 01:00:30,759 --> 01:00:32,628 TO NOTABLE PROGRAMS WITHIN THE 1662 01:00:32,628 --> 01:00:34,396 HEAL INITIATIVE FOCUS ON 1663 01:00:34,396 --> 01:00:36,031 POPULATIONS THAT ARE 1664 01:00:36,031 --> 01:00:37,733 DISPROPORTIONATELY AFFECTED BY 1665 01:00:37,733 --> 01:00:48,243 THIS PUBLIC HEALTH CHALLENGE. 1666 01:00:52,614 --> 01:00:55,918 THE NATIVE COLLECTIVE RESEARCH 1667 01:00:55,918 --> 01:00:57,953 EFFORTS ENHANCE WELLNESS WILL 1668 01:00:57,953 --> 01:01:00,022 FUND COMMUNITY-DRIVEN RESEARCH 1669 01:01:00,022 --> 01:01:01,557 TO TREASES OVERDOSE, SUBSTANCE 1670 01:01:01,557 --> 01:01:08,297 USE, MENTAL HEALTH AND PAIN IN 1671 01:01:08,297 --> 01:01:09,698 COMMUNITIES AND TO IMPLEMENT 1672 01:01:09,698 --> 01:01:11,300 BEST PRACTICES TOWARD ENHANCING 1673 01:01:11,300 --> 01:01:13,368 HEALTH EQUITY FOR THIS 1674 01:01:13,368 --> 01:01:13,669 POPULATION. 1675 01:01:13,669 --> 01:01:19,975 AND NOW I JUST WANT TO END THIS 1676 01:01:19,975 --> 01:01:22,611 DISCUSSION ABOUT OUR WORK TO 1677 01:01:22,611 --> 01:01:23,979 ELIMINATE SUBSTANCE USE 1678 01:01:23,979 --> 01:01:25,714 DISORDERS AND BETTER MANAGE 1679 01:01:25,714 --> 01:01:28,751 PAIN, WITH SOMETHING THAT WAS--I 1680 01:01:28,751 --> 01:01:33,355 WAS TAUGHT BY BOTH NORA VOLKOW, 1681 01:01:33,355 --> 01:01:35,457 OUR DIRECTOR OF NIERK DA AND 1682 01:01:35,457 --> 01:01:41,163 JOARNL, OUR DIRECTOR OF N IAAA, 1683 01:01:41,163 --> 01:01:42,931 PEOPLE WITH SUBSTANCE USE 1684 01:01:42,931 --> 01:01:44,199 DISORDERS DON'T ADOPT THOSE 1685 01:01:44,199 --> 01:01:45,901 BEHAVIORS TO MAKE THEMSELVES 1686 01:01:45,901 --> 01:01:47,102 FEEL GOOD. 1687 01:01:47,102 --> 01:01:50,939 THEY ADOPT THOSE DISORDERS TO 1688 01:01:50,939 --> 01:01:52,941 MAKE THEMSELVES FEEL LESS BAD. 1689 01:01:52,941 --> 01:01:54,543 AND IT'S ABSOLUTELY CRITICAL 1690 01:01:54,543 --> 01:01:57,079 THAT WE ALSO ADDRESS THE STIGMA 1691 01:01:57,079 --> 01:01:59,014 THESE COMMUNITIES HAVE. 1692 01:01:59,014 --> 01:02:00,382 THIS IS NOT ABOUT PARTY PEOPLE, 1693 01:02:00,382 --> 01:02:03,018 THIS IS ABOUT PEOPLE WHO TRULY 1694 01:02:03,018 --> 01:02:04,653 ARE SUFFERING AND HAVE TURNED TO 1695 01:02:04,653 --> 01:02:05,621 THESE METHODS TO HELP THEM WITH 1696 01:02:05,621 --> 01:02:08,423 THIS AND THAT IS WHAT NIH IS ALL 1697 01:02:08,423 --> 01:02:10,993 ABOUT, FINDING WAYS TO HELP IN 1698 01:02:10,993 --> 01:02:12,661 THIS SITUATION. 1699 01:02:12,661 --> 01:02:22,938 SO, THANK YOU. 1700 01:02:31,146 --> 01:02:33,749 NEXT, PANDEMIC PREPAREDNESS. 1701 01:02:33,749 --> 01:02:35,751 WE ARE WORKING TO DEVELOP 1702 01:02:35,751 --> 01:02:37,586 COUNTERMEASURES FOR SELECT 1703 01:02:37,586 --> 01:02:42,291 PATHOGENS WITH PANDEMIC 1704 01:02:42,291 --> 01:02:42,658 POTENTIAL. 1705 01:02:42,658 --> 01:02:43,458 NEXT SLIDE. 1706 01:02:43,458 --> 01:02:47,396 RESEARCH AND COVID TO ENHANCE 1707 01:02:47,396 --> 01:02:48,897 RECOVERY OR RECOVER, AIMS TO 1708 01:02:48,897 --> 01:02:49,965 IMPROVE OUR UNDERSTANDING OF 1709 01:02:49,965 --> 01:02:52,401 ABILITY TO PREDICT, TREAT AND 1710 01:02:52,401 --> 01:02:53,435 PREVENT LONG COVID. 1711 01:02:53,435 --> 01:02:54,369 THINK ABOUT THIS. 1712 01:02:54,369 --> 01:02:58,207 IN THE MIDDLE OF A PANDEMIC 1713 01:02:58,207 --> 01:03:00,075 CAUSING DEATH EVERYWHERE, WE 1714 01:03:00,075 --> 01:03:03,645 HAVE A COMPLETELY NEW DISEASE 1715 01:03:03,645 --> 01:03:06,081 THAT HAS NOT BEEN BIOLOGICALLY 1716 01:03:06,081 --> 01:03:07,249 CHARACTERIZED IN ANY WAY. 1717 01:03:07,249 --> 01:03:09,885 AND IT'S A DISEASE THAT AFFECTS 1718 01:03:09,885 --> 01:03:13,689 EVERY ORGAN IN THE BODY. 1719 01:03:13,689 --> 01:03:15,791 JUST IMAGINE THE UNDERTAKING AND 1720 01:03:15,791 --> 01:03:18,126 I AM REALLY, REALLY, JUST CANNOT 1721 01:03:18,126 --> 01:03:20,963 SAY ENOUGH ABOUT WHAT THE ENTIRE 1722 01:03:20,963 --> 01:03:23,565 RECOVER COMMUNITY HAS DONE TO 1723 01:03:23,565 --> 01:03:25,234 ADDRESS THAT SO QUICKLY. 1724 01:03:25,234 --> 01:03:27,536 THE INITIATIVE CO DESIGNED BOTH 1725 01:03:27,536 --> 01:03:29,638 FOR RESEARCHERS AND PATIENTS 1726 01:03:29,638 --> 01:03:31,139 USES A MULTIPRONGED APPROACH TO 1727 01:03:31,139 --> 01:03:34,009 THE PROBLEM OF LONG COVID BY 1728 01:03:34,009 --> 01:03:35,377 INTEGRATING ELECTRONIC HEALTH 1729 01:03:35,377 --> 01:03:36,645 RECORDS, REAL WORLD CATA, 1730 01:03:36,645 --> 01:03:38,080 CLINICAL TRIALS AND 1731 01:03:38,080 --> 01:03:39,248 OBSERVATIONAL STUDIES, STUDIES 1732 01:03:39,248 --> 01:03:41,783 OF PATHOGENESIS AND LONG-TERM 1733 01:03:41,783 --> 01:03:43,552 FOLLOW UP. 1734 01:03:43,552 --> 01:03:45,254 BUILDING THE AIRPLANE AS THEY 1735 01:03:45,254 --> 01:03:48,457 WERE FLYING IT BECAUSE THIS IS A 1736 01:03:48,457 --> 01:03:50,859 CRISIS TO GET NEW TREEPTS TO 1737 01:03:50,859 --> 01:03:52,594 PEOPLE NOT ONLY WITH COVID BUT 1738 01:03:52,594 --> 01:03:56,365 THEN SUFFERING FROM LONG COVID. 1739 01:03:56,365 --> 01:03:59,134 SO JUST AN ENORMOUS UNDERTAKING, 1740 01:03:59,134 --> 01:04:01,336 AND YES, WE ARE GRATEFUL FOR 1741 01:04:01,336 --> 01:04:02,170 INCREDIBLE FUNDING FROM CONGRESS 1742 01:04:02,170 --> 01:04:04,606 TO BE ABLE TO UNDERTAKE THIS AND 1743 01:04:04,606 --> 01:04:08,143 THE WORK HAS BEEN TRULY 1744 01:04:08,143 --> 01:04:08,477 IMPRESSIVE. 1745 01:04:08,477 --> 01:04:08,844 NEXT SLIDE. 1746 01:04:08,844 --> 01:04:10,679 AS YOU KNOW LONG-TERM EFFECTS OF 1747 01:04:10,679 --> 01:04:12,948 COVID MAY BE DIFFERENT FOR 1748 01:04:12,948 --> 01:04:13,282 EVERYONE. 1749 01:04:13,282 --> 01:04:14,883 THEY CAN AFFECT MANY DIFFERENT 1750 01:04:14,883 --> 01:04:17,686 PARTS OF THE BODY, RESULT IN 1751 01:04:17,686 --> 01:04:19,087 MANY DIFFERENT SYMPTOMS AND 1752 01:04:19,087 --> 01:04:20,355 THESE SYMPTOMS CAN COME AND GO 1753 01:04:20,355 --> 01:04:22,357 AND THEY MAY LAST FOR A FEW 1754 01:04:22,357 --> 01:04:24,693 WESTBOUNDS, OR MONTHS OR PERHAPS 1755 01:04:24,693 --> 01:04:25,861 EVEN LONGER. 1756 01:04:25,861 --> 01:04:27,229 INCREDIBLE COMPLEXITY. 1757 01:04:27,229 --> 01:04:28,797 AND SO FORRECOVERS LONGITUDINAL 1758 01:04:28,797 --> 01:04:31,667 STUDIES IN EHR AMALSIS THAT 1759 01:04:31,667 --> 01:04:33,368 PROVIDE VALUABLE INFORMATION, 1760 01:04:33,368 --> 01:04:34,636 PRACTICAL INFORMATION ABOUT THE 1761 01:04:34,636 --> 01:04:37,839 PREVALENCE OF AND RISK FACTORS 1762 01:04:37,839 --> 01:04:41,910 FOR THE COMPLICATION OF LONG 1763 01:04:41,910 --> 01:04:44,179 COVID. 1764 01:04:44,179 --> 01:04:44,947 NEXT SLIDE. 1765 01:04:44,947 --> 01:04:47,249 WITH THIS KNOWLEDGE OF RISK 1766 01:04:47,249 --> 01:04:48,417 FACTORS AND PREVALENCE, RECOVER 1767 01:04:48,417 --> 01:04:51,153 HAS NOW LAUNCHED CLINICAL TRIALS 1768 01:04:51,153 --> 01:04:53,121 TO EVALUATE POTENTIAL TREATMENTS 1769 01:04:53,121 --> 01:04:54,489 FOR LONG COVID. 1770 01:04:54,489 --> 01:04:56,625 FIVE MASTER PROTOCOL DRIVEN AND, 1771 01:04:56,625 --> 01:04:58,994 DATA PROTECTIONIVE PLATFORM 1772 01:04:58,994 --> 01:05:00,662 TRIALS THAT FOCUS ON TREATMENTS 1773 01:05:00,662 --> 01:05:01,863 FOR SYMPTOMS THAT PATIENTS CARE 1774 01:05:01,863 --> 01:05:05,567 ABOUT, IT IS NOT A SHOTGUN 1775 01:05:05,567 --> 01:05:11,807 APPROACH, IT IS A HYPOTHESIS 1776 01:05:11,807 --> 01:05:12,374 DIRECTED PATIENT-CENTERED 1777 01:05:12,374 --> 01:05:16,378 SYMPTOM-MANAGE AM AS WELL AS 1778 01:05:16,378 --> 01:05:17,446 OVERARCHING BIOLOGY APPROACH. 1779 01:05:17,446 --> 01:05:19,381 THESE MASTER PROTOCOLS ARE 1780 01:05:19,381 --> 01:05:21,616 ADDRESSING BRAIN FOG, AUTONOMIC 1781 01:05:21,616 --> 01:05:23,452 DYSFUNCTION, SLEEP PROBLEMS, 1782 01:05:23,452 --> 01:05:24,753 EXERCISE TOLERANCE, FATIGUE, ET 1783 01:05:24,753 --> 01:05:24,987 CETERA. 1784 01:05:24,987 --> 01:05:27,089 STUDIES ARE CURRENT LE ENROLLING 1785 01:05:27,089 --> 01:05:30,025 PATIENTS INTO 2 TRIALS 1786 01:05:30,025 --> 01:05:31,526 ADDRESSING VIRAL PERSISTENCE AND 1787 01:05:31,526 --> 01:05:32,728 COGNITIVE DISFUNCTION AND 1788 01:05:32,728 --> 01:05:35,564 ADDITIONAL TRIALS WILL OPEN IN 1789 01:05:35,564 --> 01:05:36,398 COMING MONTHS. 1790 01:05:36,398 --> 01:05:37,699 STUDIES FOR THESE TRIALS HAVE 1791 01:05:37,699 --> 01:05:39,634 BEEN SELECTED IN PART BECAUSE 1792 01:05:39,634 --> 01:05:41,236 THESE EXTINGUISHING AREAS OF 1793 01:05:41,236 --> 01:05:43,105 RESEARCH, AND THEIR CAPACITIES 1794 01:05:43,105 --> 01:05:46,441 EFFECTIVELY FROM THEIR OWN 1795 01:05:46,441 --> 01:05:48,910 PATIENT POPULATIONS ANDENTIOUS 1796 01:05:48,910 --> 01:05:49,511 SPECIALLY SURROUNDING DIVERSE 1797 01:05:49,511 --> 01:05:50,612 COMMUNITIES AND BECAUSE ALL OF 1798 01:05:50,612 --> 01:05:52,681 THESE TRIALS ARE DESEENED TO BE 1799 01:05:52,681 --> 01:05:56,318 ADAPTIVE, WE CAN PIVOT TO TEST 1800 01:05:56,318 --> 01:05:57,252 NEW INTERVENTIONS AS 1801 01:05:57,252 --> 01:05:57,586 APPROPRIATE. 1802 01:05:57,586 --> 01:06:00,956 THIS IS A DYNAMIC AND LEARNING, 1803 01:06:00,956 --> 01:06:02,190 CONTINUALLY LEARNING SYSTEM. 1804 01:06:02,190 --> 01:06:04,526 EACH TRIAL FOCUSES ON A SUBSET 1805 01:06:04,526 --> 01:06:05,927 OF SYMPTOMS BUT TO CONTRIBUTE TO 1806 01:06:05,927 --> 01:06:07,062 THE COLLECTIVE KNOWLEDGE ABOUT 1807 01:06:07,062 --> 01:06:10,632 WHAT THIS NEW DISEASE MEANS, 1808 01:06:10,632 --> 01:06:13,101 ALSO COLLECTS DATA ABOUT HOW 1809 01:06:13,101 --> 01:06:14,403 INTERVENTION AFFECTS SYMPTOMS 1810 01:06:14,403 --> 01:06:16,204 AND ABOUT THE BIOLOGICAL 1811 01:06:16,204 --> 01:06:18,874 UNDERPINNINGS OF THE DISEASE 1812 01:06:18,874 --> 01:06:21,143 EMPLOY INTEGRATED TRIALS COULD 1813 01:06:21,143 --> 01:06:22,944 AND WILL INFORM CLINICAL CARE IN 1814 01:06:22,944 --> 01:06:25,180 A BROAD RANGE OF LONG COVID 1815 01:06:25,180 --> 01:06:26,314 PATIENTS AND IMPORTANTLY, WE 1816 01:06:26,314 --> 01:06:30,218 WILL BE ABLE TO BE CONFIDENT IN 1817 01:06:30,218 --> 01:06:32,187 OUR CONCLUSIONS BECAUSE OF 1818 01:06:32,187 --> 01:06:35,690 RIGOROUS TRIAL DESIGN THAT IS 1819 01:06:35,690 --> 01:06:39,428 INFORMED BY RECOVER LED 1820 01:06:39,428 --> 01:06:41,363 CHARACTERIZATION, FUNDAMENTAL 1821 01:06:41,363 --> 01:06:42,497 SCIENCE CHARACTERIZATION, OF 1822 01:06:42,497 --> 01:06:46,234 CLINICAL CONDITIONS AND DISEASE 1823 01:06:46,234 --> 01:06:46,601 PATHOPHYSIOLOGY. 1824 01:06:46,601 --> 01:06:51,940 AS CAN YOU TELL, I THINK WE ARE 1825 01:06:51,940 --> 01:06:52,574 REALLY INCREDIBLY ENTHUSIASTIC 1826 01:06:52,574 --> 01:06:56,078 AND I AM JUST SO PROUD OF WHAT 1827 01:06:56,078 --> 01:06:59,247 THE COMMUNITY, THE BIOMEDICAL 1828 01:06:59,247 --> 01:07:03,218 RESEARCH COMMUNITY HAS DONE IN 1829 01:07:03,218 --> 01:07:05,754 THIS AREA. 1830 01:07:05,754 --> 01:07:07,722 NEXT SLIDE. 1831 01:07:07,722 --> 01:07:08,223 ACCELERATING MEDICINE'S 1832 01:07:08,223 --> 01:07:09,724 PARTNERSHIP, LET ME SAY THAT 1833 01:07:09,724 --> 01:07:12,594 VERY QUICKLY THAT THE AMP 1834 01:07:12,594 --> 01:07:14,563 PROGRAM MANAGED BO I OUR 1835 01:07:14,563 --> 01:07:16,064 WONDERFUL PARTNER FOUNDATION FOR 1836 01:07:16,064 --> 01:07:17,099 THE NATIONAL INSTITUTES OF 1837 01:07:17,099 --> 01:07:20,368 HEALTH IS A PUBLIC-PRIVATE PART 1838 01:07:20,368 --> 01:07:24,739 MERSHIP WITH FDA, NIH, MULTIPLE 1839 01:07:24,739 --> 01:07:26,541 BIOMEDICAL AND LIFE SCIENCES 1840 01:07:26,541 --> 01:07:27,843 COMPANIES AND OTHER NONPROFIT 1841 01:07:27,843 --> 01:07:29,144 ORGANIZATIONS TO WORK TOGETHER 1842 01:07:29,144 --> 01:07:31,546 TO IDENTIFY BETTER TARGETS FOR 1843 01:07:31,546 --> 01:07:32,581 DRUG DEVELOP EXPMENT REDUCE THE 1844 01:07:32,581 --> 01:07:33,682 TIME AND COST OF DEVELOPING 1845 01:07:33,682 --> 01:07:33,882 THEM. 1846 01:07:33,882 --> 01:07:37,552 WE WANT TO USE OUR PUBLIC 1847 01:07:37,552 --> 01:07:39,054 DOLLARS, OUR PRECIOUS PUBLIC 1848 01:07:39,054 --> 01:07:42,757 DOLLARS IN THE VERY BEST 1849 01:07:42,757 --> 01:07:43,158 POSSIBLE WAY. 1850 01:07:43,158 --> 01:07:45,894 WE DO NOT WANT TO DUPLICATE WORK 1851 01:07:45,894 --> 01:07:48,296 THAT IS DONE BY THE PRIVATE 1852 01:07:48,296 --> 01:07:50,065 SECTOR EMPLOY WE HAVE TO DO IT 1853 01:07:50,065 --> 01:07:52,234 IN CONCERT, IN CAREFUL CONCERT 1854 01:07:52,234 --> 01:07:54,336 SO THAT WE REALLY MAXIMIZE THE 1855 01:07:54,336 --> 01:07:56,872 BENEFIT OF EVERY DOLLAR WE GET 1856 01:07:56,872 --> 01:08:00,275 AND AMP IS 1 WAY WE ARE ABLE TO 1857 01:08:00,275 --> 01:08:02,110 REALLY OPERATIONALIZE THAT. 1858 01:08:02,110 --> 01:08:03,512 ORIGINALLY FOCUSED ON 1859 01:08:03,512 --> 01:08:05,881 ALZHEIMER'S DISEASE, TYPE 2 1860 01:08:05,881 --> 01:08:07,249 DIABETES, RHEUMATOID ARTHRITIS 1861 01:08:07,249 --> 01:08:09,017 AND LUPUS, THIS PROGRAM HAS 1862 01:08:09,017 --> 01:08:10,952 GROWN TO 10 INDIVIDUAL PROJECTS 1863 01:08:10,952 --> 01:08:12,988 REPRESENTING THE CONTRIBUTIONS 1864 01:08:12,988 --> 01:08:16,324 AND PARTICIPATION OF 16 OF NIH 1865 01:08:16,324 --> 01:08:17,859 INSTITUTES AND OVER70 PRIVATE 1866 01:08:17,859 --> 01:08:28,270 SECTOR PARTNERS. 1867 01:08:28,270 --> 01:08:28,737 NEXT SLIDE. 1868 01:08:28,737 --> 01:08:30,939 I JUST WANT TO ANNOUNCE SOME NEW 1869 01:08:30,939 --> 01:08:32,040 PROJECTS THAT HAVE BEEN 1870 01:08:32,040 --> 01:08:32,974 UNDERTAKEN THE IMPORTANCE OF 1871 01:08:32,974 --> 01:08:33,875 THEM. 1872 01:08:33,875 --> 01:08:35,844 WE WILL LAUNCH 2 NEW 1S IN THE 1873 01:08:35,844 --> 01:08:39,614 FIRST HALF OF 2023. 1874 01:08:39,614 --> 01:08:42,050 FIRST PARKINSON'S DEC AND 1875 01:08:42,050 --> 01:08:43,418 RELATED DISORDIERS, THIS WILL 1876 01:08:43,418 --> 01:08:45,053 BUILD ON THE 2017 PROJECT WITH 1877 01:08:45,053 --> 01:08:48,690 ARK DITIONAL DAT INCLUDING NOVEL 1878 01:08:48,690 --> 01:08:50,592 TYPES AND MULTIMODAL DATA 1879 01:08:50,592 --> 01:08:52,561 ANALYSIS, INCREASE DIVERSITY IN 1880 01:08:52,561 --> 01:08:53,828 PATIENT WOHOTTERS TO IMPROVE 1881 01:08:53,828 --> 01:08:54,763 UNDERSTANDING OF CLINICAL 1882 01:08:54,763 --> 01:08:56,264 VARIATION AND DEVELOP MORE 1883 01:08:56,264 --> 01:08:59,201 TARGETED TREATMENTS AND SECOND A 1884 01:08:59,201 --> 01:09:02,204 NEW AMP IN ALS, IT IS DESIGNED 1885 01:09:02,204 --> 01:09:04,839 TO CONNECT AND HARMONIZE 1886 01:09:04,839 --> 01:09:05,974 CLINICAL DATA SAMPLES AND 1887 01:09:05,974 --> 01:09:07,609 RESEARCH RESOURCES AND WILL 1888 01:09:07,609 --> 01:09:09,477 INTEGRATE CLINICAL DATA WITH 1889 01:09:09,477 --> 01:09:11,246 BIOLOGIC MEASURES TO IDENTIFY 1890 01:09:11,246 --> 01:09:14,883 BIOMARKERS FOR DISEASE DIAGNOSIS 1891 01:09:14,883 --> 01:09:17,886 AND PROGRESSION. 1892 01:09:17,886 --> 01:09:19,955 SUCH A CRITICAL UNDER--SUCH A 1893 01:09:19,955 --> 01:09:22,457 CRITICAL COMMUNITY FOR WHICH WE 1894 01:09:22,457 --> 01:09:26,127 DO NOT YET HAVE ANY EFFECTIVE 1895 01:09:26,127 --> 01:09:26,361 ANSWERS. 1896 01:09:26,361 --> 01:09:29,497 REALLY PLEASED TO SEE THESE 2 1897 01:09:29,497 --> 01:09:30,999 INITIATIVES GO FORWARD. 1898 01:09:30,999 --> 01:09:33,401 TWO OTHER PROGECS SUSPECTED TO 1899 01:09:33,401 --> 01:09:37,372 BE LAUNCH INDEED 2024 OR 20 WITH 1900 01:09:37,372 --> 01:09:39,307 25, SYSTEMS BIOLOGY IN 1901 01:09:39,307 --> 01:09:41,042 INFLAMMATION IN MY OWN PAST 1902 01:09:41,042 --> 01:09:45,547 RESEARCH HAS BEEN INVOLVED AND 1903 01:09:45,547 --> 01:09:46,815 SO I'M REALLY THRILLED TO SEE 1904 01:09:46,815 --> 01:09:49,084 THIS 1 AND TO HARMONIZE, THAT 1905 01:09:49,084 --> 01:09:50,585 WILL HARMONIZE DATA ACROSS 1906 01:09:50,585 --> 01:09:52,487 MULTIPLE AMPS, AND A CELL BASED 1907 01:09:52,487 --> 01:09:53,455 THERAPY CONSORTIUM WHICH WILL 1908 01:09:53,455 --> 01:09:57,859 LEVERAGE THE MODEL OF THE 1909 01:09:57,859 --> 01:09:59,127 BESPOKE GENE THERAPY CONSORTIUM 1910 01:09:59,127 --> 01:10:02,430 TO FOCUS ON CELLULAR THERAPIES, 1911 01:10:02,430 --> 01:10:04,599 THIS PROJECT, IT WILL LIKELY 1912 01:10:04,599 --> 01:10:05,867 FOCUS ON INDUCED PLURIPOTENT 1913 01:10:05,867 --> 01:10:09,838 STEM CELLS AND COMMON DISEASES, 1914 01:10:09,838 --> 01:10:11,139 AND NEXT SLID, WE'RE COMING TO 1915 01:10:11,139 --> 01:10:12,641 10 YEARS SINCE THE AMP PROGRAM 1916 01:10:12,641 --> 01:10:14,576 FIRST BEGAN AND WE'RE HOSTING 1917 01:10:14,576 --> 01:10:15,510 SCIENTIFIC SYMPOSIUM IN FEBRUARY 1918 01:10:15,510 --> 01:10:16,778 TO LAUNCH THIS MILESTONE. 1919 01:10:16,778 --> 01:10:19,347 I INVITE YOU ALL TO ATTEND. 1920 01:10:19,347 --> 01:10:21,583 IT WILL HIGHLIGHT SUCCESSFUL 1921 01:10:21,583 --> 01:10:22,517 INNOVATION AND COLLABORATION IN 1922 01:10:22,517 --> 01:10:24,252 EACH OF THE INDIVIDUAL AMP 1923 01:10:24,252 --> 01:10:26,221 PROJECT AREAS, AND PROVOID A 1924 01:10:26,221 --> 01:10:29,357 FORUM FOR DISCUSSION AND CRASS 1925 01:10:29,357 --> 01:10:30,592 COLLABORATION THROUGHOUT THIS 1926 01:10:30,592 --> 01:10:32,527 ENTIRE AMP RESEARCH COMMUNITY. 1927 01:10:32,527 --> 01:10:32,927 NEXT SLIDE. 1928 01:10:32,927 --> 01:10:36,231 I'M JUST GOING TO END THERE, I 1929 01:10:36,231 --> 01:10:37,432 COULD--I'VE GONE ON A LONG TIME, 1930 01:10:37,432 --> 01:10:40,201 I COULD GO ON ALL DAY ABOUT 1931 01:10:40,201 --> 01:10:41,236 SCIENCE HIGHLIGHTS BUTIME JUST 1932 01:10:41,236 --> 01:10:43,705 XG TO PICK 1 FOR NOW. 1933 01:10:43,705 --> 01:10:47,108 LASTLY, NEXT SLIDE, I WANT TO 1934 01:10:47,108 --> 01:10:49,811 HIGHLIGHT EXCEPTIONAL WORK FROM 1935 01:10:49,811 --> 01:10:50,478 INTERNATIONAL RESEARCH TEAMS, 1936 01:10:50,478 --> 01:10:54,182 PART OF THE BRAIN INITIATIVE 1937 01:10:54,182 --> 01:10:55,717 CELL CENSUS NETWORK. 1938 01:10:55,717 --> 01:10:57,452 THIS IS JUST SUCH A GREAT 1939 01:10:57,452 --> 01:11:01,156 RESOURCE AND AN EXAMPLE OF A 1940 01:11:01,156 --> 01:11:02,223 RESOURCE THAT CAN CONTRIBUTE SO 1941 01:11:02,223 --> 01:11:04,326 MUCH ELSE THAT WE NEED TO DO. 1942 01:11:04,326 --> 01:11:09,397 THE EFFORT CHARACTERIZED MORE 1943 01:11:09,397 --> 01:11:10,899 THAN 3000 HUMAN BRAIN CELL TYPES 1944 01:11:10,899 --> 01:11:12,701 AND WILL HELP LEAD TO NEW 1945 01:11:12,701 --> 01:11:13,501 INSIGHTS FOR IMPROVING 1946 01:11:13,501 --> 01:11:15,070 TREATMENTS FOR A WHOLE HOST OF 1947 01:11:15,070 --> 01:11:17,906 MENTAL CONDITIONS AND BRAIN 1948 01:11:17,906 --> 01:11:18,173 DISORDERS. 1949 01:11:18,173 --> 01:11:20,175 YOU CAN FIND DETAILS ABOUT THIS 1950 01:11:20,175 --> 01:11:22,477 IN MORE THAN 20 PAPERS ALREADY 1951 01:11:22,477 --> 01:11:23,778 PUBLISHED IN SCIENCE, SCIENCE 1952 01:11:23,778 --> 01:11:27,082 ADVANCES AND SCIENCE 1953 01:11:27,082 --> 01:11:27,716 TRANSLATIONAL MEDICINE. 1954 01:11:27,716 --> 01:11:28,683 YOU CAN SEE A LINK HERE THAT 1955 01:11:28,683 --> 01:11:31,319 WILL HELP AND THIS IS A GREAT 1956 01:11:31,319 --> 01:11:33,888 EXAMPLE OF THE KIND OF CROSS 1957 01:11:33,888 --> 01:11:35,357 CUTTING FUNDAMENT WILL RESEARCH 1958 01:11:35,357 --> 01:11:38,326 THAT WILL DRIVE THE NEXT 1959 01:11:38,326 --> 01:11:42,764 ITERATION OF THE DIAGNOSTIC AND 1960 01:11:42,764 --> 01:11:44,499 THERAPEUTIC RESEARCH WHERE SO 1961 01:11:44,499 --> 01:11:47,969 MANY COMMON DEVASTATING DISEASES 1962 01:11:47,969 --> 01:11:49,604 OF THE BRAIN. 1963 01:11:49,604 --> 01:11:53,908 INCLUDING MENTAL HEALTH 1964 01:11:53,908 --> 01:11:54,542 DISORDERS, DEVELOPMENTAL 1965 01:11:54,542 --> 01:11:55,110 DISORDERS AND CANCER. 1966 01:11:55,110 --> 01:11:57,879 SO WITH THAT LET ME THANK YOU SO 1967 01:11:57,879 --> 01:11:59,447 MUCH FOR BEING HERE TO HELP GOID 1968 01:11:59,447 --> 01:12:01,216 NIH AS WEB CONNECTED WORK TO 1969 01:12:01,216 --> 01:12:03,184 MEET THE MANY CHALLENGES OF 1970 01:12:03,184 --> 01:12:04,552 PROMOTING HEALTH AND WELL BEING 1971 01:12:04,552 --> 01:12:05,487 FOR EVERYONE. 1972 01:12:05,487 --> 01:12:07,288 YOUR TIME IS VERY VALUABLE AND 1973 01:12:07,288 --> 01:12:11,092 WE ARE SO TBRAITFUL --GRATEFUL 1974 01:12:11,092 --> 01:12:12,193 THAT YOU ARE HERE TO HELP US. 1975 01:12:12,193 --> 01:12:14,462 I LOOK FORWARD TO YOUR 1976 01:12:14,462 --> 01:12:14,729 QUESTIONS. 1977 01:12:14,729 --> 01:12:20,702 THANK YOU. 1978 01:12:20,702 --> 01:12:22,203 YEAH, BEFORE WE TAKE QUESTIONS 1979 01:12:22,203 --> 01:12:23,405 FROM EVERYBODY, I THINK WE WILL 1980 01:12:23,405 --> 01:12:27,375 TURN IT OVER, WE WILL GIVE YOU 1981 01:12:27,375 --> 01:12:28,910 THE 2 OTHER REALLY IMPORTANT 1982 01:12:28,910 --> 01:12:31,579 REPORTS, SO NEXT WE'RE GOING TO 1983 01:12:31,579 --> 01:12:32,947 NEAL SHAPIRO, ARE YOU READY? 1984 01:12:32,947 --> 01:12:36,050 UP TO THE PODIUM IN AND WE'RE 1985 01:12:36,050 --> 01:12:38,620 GOING TO HEAR ABOUT OUR FINANCES 1986 01:12:38,620 --> 01:12:44,359 AND OUR BUDGET. 1987 01:12:44,359 --> 01:12:49,130 YAYN. A--YAY! 1988 01:12:49,130 --> 01:12:49,431 >> GREAT. 1989 01:12:49,431 --> 01:12:49,931 THANK YOU. 1990 01:12:49,931 --> 01:12:52,500 SO WE ARE IN THE VERY 1991 01:12:52,500 --> 01:12:53,435 CHALLENGING BUDGET ENVIRONMENT 1992 01:12:53,435 --> 01:12:56,004 THESE DAYS AS YOU MAY LIKELY 1993 01:12:56,004 --> 01:13:01,476 HAVE GATHERED JUST FROM THE 1994 01:13:01,476 --> 01:13:02,577 NEWS. 1995 01:13:02,577 --> 01:13:06,448 IF I CAN ADVANCE, YES, NO, AH, 1996 01:13:06,448 --> 01:13:07,649 THANK YOU. 1997 01:13:07,649 --> 01:13:10,652 SO WE'RE CURRENTLY UNDER A 1998 01:13:10,652 --> 01:13:11,252 CONTINUING RESOLUTION. 1999 01:13:11,252 --> 01:13:12,821 THE GOOD NEWS THERE IS THAT THE 2000 01:13:12,821 --> 01:13:14,856 GOVERNMENT HAS NOT SHUT DOWN. 2001 01:13:14,856 --> 01:13:16,825 THAT WOULD BE A PROBLEM 2002 01:13:16,825 --> 01:13:21,996 INCLUDING FOR HOLDING THIS 2003 01:13:21,996 --> 01:13:23,698 MEETING BUT THE CONTINUE 2004 01:13:23,698 --> 01:13:25,333 RESOLUTION WAS PASSED THROUGH 2005 01:13:25,333 --> 01:13:26,835 NOVEMBER 17th AND THEN IT WAS 2006 01:13:26,835 --> 01:13:28,036 FOLLOWED BY A SECOND 1 IN THE 2007 01:13:28,036 --> 01:13:29,437 CASE OF NIH AND THE OTHER 2008 01:13:29,437 --> 01:13:31,739 AGENCIES IN THE SAME 2009 01:13:31,739 --> 01:13:32,640 APPROPRIATIONS SUBCOMMITTEE THAT 2010 01:13:32,640 --> 01:13:37,345 WE ARE THAT LASTS THROUGH 2011 01:13:37,345 --> 01:13:37,879 FEBRUARY 2nd. 2012 01:13:37,879 --> 01:13:39,514 I SAY THAT BECAUSE THE WAY THIS 2013 01:13:39,514 --> 01:13:41,182 CR WAS PASSED THERE WERE 2 2014 01:13:41,182 --> 01:13:44,486 DEADLINES, 1 IN YEN, 2015 01:13:44,486 --> 01:13:46,120 JANUARY 19th FOR 1 GROUP OF 2016 01:13:46,120 --> 01:13:48,356 APPROPRIATIONS BILLS AND THE 2017 01:13:48,356 --> 01:13:49,290 SECOND IN FEBRUARY 2nd. 2018 01:13:49,290 --> 01:13:53,695 AND THE REASON FOR THAT IS 2019 01:13:53,695 --> 01:13:56,397 BASICALLY WAS EXPRESSING IN 2020 01:13:56,397 --> 01:13:58,366 CONGRESS, THERE IS A PRINCIPLE 2021 01:13:58,366 --> 01:14:00,068 THAT EVERY APPROPRIATION BILL IS 2022 01:14:00,068 --> 01:14:01,703 SUPPOSED TO PASS INDIVIDUALLY, 2023 01:14:01,703 --> 01:14:04,005 THAT RARELY HAPPENS, I THINK 2024 01:14:04,005 --> 01:14:06,841 ABOUT ONCE IN 20 YEARS, SO THE 2025 01:14:06,841 --> 01:14:08,343 BILL'S TEND TOWARDS THE END OF 2026 01:14:08,343 --> 01:14:11,012 THE PROCESS TO GET PACKAGED UP 2027 01:14:11,012 --> 01:14:12,747 INTO AN OMNIBUS WHICH COVERS THE 2028 01:14:12,747 --> 01:14:13,715 ENTIRE GOVERNMENT AND IN THE 2029 01:14:13,715 --> 01:14:16,351 VIEW OF SOME THAT MAKE ITS MORE 2030 01:14:16,351 --> 01:14:20,054 DIFFICULT FOR CONGRESS TO WEIGH 2031 01:14:20,054 --> 01:14:22,156 IN ON THESE SPECIFIC BILL ANDS 2032 01:14:22,156 --> 01:14:22,924 SPECIFIC EAMTION BUDGETS. 2033 01:14:22,924 --> 01:14:26,828 O THERE WAS A GOAL TO TRY TO 2034 01:14:26,828 --> 01:14:28,329 AVOID THAT SINGLE OMNIBUS THIS 2035 01:14:28,329 --> 01:14:30,298 YEAR LEADING TO THOSE 2 2036 01:14:30,298 --> 01:14:31,132 DEADLINES IN THE CR. 2037 01:14:31,132 --> 01:14:33,735 WE WILL SEE WHAT HAPPENS NEXT 2038 01:14:33,735 --> 01:14:37,906 BUT THE ASSUMPTION THERE WILL E 2039 01:14:37,906 --> 01:14:39,207 THAT A BILL WOULD PASS FOR THE 2040 01:14:39,207 --> 01:14:42,043 FIRST GROUP OF AGENCIES AND THEN 2041 01:14:42,043 --> 01:14:43,444 LATER WHEN THE SECOND DEADLINE, 2042 01:14:43,444 --> 01:14:45,680 ANOTHER BILL WOULD PASS FOR THE 2043 01:14:45,680 --> 01:14:46,581 REMAINING AGENCIES EMPLOY 2044 01:14:46,581 --> 01:14:49,050 REMANYS TO BE SEEN AND AS I NOTE 2045 01:14:49,050 --> 01:14:50,485 HERE THERE'S A LOT TO GET DONE 2046 01:14:50,485 --> 01:14:52,220 BEFORE CONGRESS WILL BE ABLE TO 2047 01:14:52,220 --> 01:14:54,689 REACH THAT POINT. 2048 01:14:54,689 --> 01:14:56,057 THEY'LL NEED TO HAVE AGREEMENTS 2049 01:14:56,057 --> 01:14:58,226 ON HIGH LEVEL SPENDING AS WELL 2050 01:14:58,226 --> 01:15:02,230 AS HOW TO DIVIDE IT UP AMONG THE 2051 01:15:02,230 --> 01:15:03,264 INDIVIDUAL SUBCOMMITTEES, 2052 01:15:03,264 --> 01:15:07,101 INCLUDING THE 1 THAT HANDLES THE 2053 01:15:07,101 --> 01:15:08,069 NIH BILL. 2054 01:15:08,069 --> 01:15:11,472 SO A LOT TO DO FOR US BETWEEN 2055 01:15:11,472 --> 01:15:12,774 MOW AND FEBRUARY 2 AND KATE WILL 2056 01:15:12,774 --> 01:15:15,209 GIVE YOU A LITTLE MORE ON SOME 2057 01:15:15,209 --> 01:15:18,713 OF THE DYNAM ICS THERE THAT ARE 2058 01:15:18,713 --> 01:15:19,380 CURRENTLY GOING ON. 2059 01:15:19,380 --> 01:15:21,382 I DID WANT TO MENTION THE TYPE 1 2060 01:15:21,382 --> 01:15:22,750 DIABETES FUNDING SO THAT IS 2061 01:15:22,750 --> 01:15:24,285 SEPARATE, THAT DOESN'T GET 2062 01:15:24,285 --> 01:15:27,922 INCLUDED IN THE REGULAR ANNUAL 2063 01:15:27,922 --> 01:15:28,489 APPROPRIATIONS BILL. 2064 01:15:28,489 --> 01:15:30,358 IT OFTEN WILL PASS FOR A COUPLE 2065 01:15:30,358 --> 01:15:33,094 OF YEARS AT THE TIME BUT THE 2066 01:15:33,094 --> 01:15:36,965 CURRENT AUTHORIZATION OF THOSE 2067 01:15:36,965 --> 01:15:39,801 FUNDS EXPIRED IN 2023, SO 2068 01:15:39,801 --> 01:15:41,336 THE--AN EXTENSION, A SHORT-TERM 2069 01:15:41,336 --> 01:15:42,837 EXTENSION, LIKE THE CONTINUING 2070 01:15:42,837 --> 01:15:44,238 RESOLUTION HAS BEEN INCLUDED FOR 2071 01:15:44,238 --> 01:15:45,773 THOSE FUNDS AS WELL, SO THOSE 2072 01:15:45,773 --> 01:15:48,943 ARE SORT OF ON A PAY AS YOU GO 2073 01:15:48,943 --> 01:15:52,480 SYSTEM LIKE THE REST OF THE BILL 2074 01:15:52,480 --> 01:15:53,748 AT THE MOMENT, THE ASSUMPTION 2075 01:15:53,748 --> 01:15:55,850 BEING THAT IT WILL BE CONTINUED 2076 01:15:55,850 --> 01:15:57,185 HOPEFULLY FOR MORE THAN 1 YEAR 2077 01:15:57,185 --> 01:16:01,456 BUT THAT REMAINS TO BE SEEN. 2078 01:16:01,456 --> 01:16:02,991 SO NEXT LET ME TALK A LITTLE BIT 2079 01:16:02,991 --> 01:16:05,960 ABOUT WHAT HAS HAPPENED IN 2080 01:16:05,960 --> 01:16:06,227 CONGRESS. 2081 01:16:06,227 --> 01:16:08,930 FIRST ON THE HOUSE SIDE, SO 2082 01:16:08,930 --> 01:16:10,465 THERE HAS BEEN MORE OF A FOCUS 2083 01:16:10,465 --> 01:16:12,767 ON THE HOUSE SIDE IN TERMS OF 2084 01:16:12,767 --> 01:16:15,770 TRYING TO LIMIT SPENDING AND AS 2085 01:16:15,770 --> 01:16:21,109 A RESULT, THE BILL THAT INCLUDES 2086 01:16:21,109 --> 01:16:23,845 NIH HAS REDUCTIONS COMPARED TO 2087 01:16:23,845 --> 01:16:24,912 LAST YEAR OVERALL INCLUDING ALL 2088 01:16:24,912 --> 01:16:35,490 OF N NIH, WITH ARP A-H, AND IT'2 2089 01:16:36,991 --> 01:16:38,726 BNT 8 BILLION LESS FOR THE REST 2090 01:16:38,726 --> 01:16:41,496 OF NIH AND THERE ARE A COUPLE 2091 01:16:41,496 --> 01:16:42,430 ELEMENTS OF THAT I WILL TALK 2092 01:16:42,430 --> 01:16:44,265 ABOUT EMPLOY IT WAS NOT WIDE 2093 01:16:44,265 --> 01:16:47,702 SPREAD ACROSS THE BOARD TYPE 2094 01:16:47,702 --> 01:16:49,103 PRODUCTIONS, VERY TORGETTED, A 2095 01:16:49,103 --> 01:16:49,937 COUPLE DIFFERENT THINGS MOST OF 2096 01:16:49,937 --> 01:16:54,909 THE INSTITUTE ANDS CENTERS WERE 2097 01:16:54,909 --> 01:16:56,511 LEFT FLAT TO 2023 BUT THERE WAS 2098 01:16:56,511 --> 01:17:00,948 A CUT TO NIAID AND ALSO TO THE 2099 01:17:00,948 --> 01:17:02,150 21st CENTURY CURES ACT 2100 01:17:02,150 --> 01:17:02,717 PROGRAMS. 2101 01:17:02,717 --> 01:17:04,786 SO THOSE PROGRAMS, THE CANCER 2102 01:17:04,786 --> 01:17:06,654 MOONSHOT, THE ALL OF US RESEARCH 2103 01:17:06,654 --> 01:17:08,990 PROGRAM AND THE BRAIN 2104 01:17:08,990 --> 01:17:11,325 INITIATIVE, THEY HAVE A SOURCE 2105 01:17:11,325 --> 01:17:13,895 OF FUNDING THAT IS PRIVILEGED IN 2106 01:17:13,895 --> 01:17:15,530 SOME RESPECTS, IT DOESN'T COUNT 2107 01:17:15,530 --> 01:17:18,366 AGAINST THE DISCRETIONARY CAPS, 2108 01:17:18,366 --> 01:17:20,568 BUT IT'S SEPARATE FROM THE 2109 01:17:20,568 --> 01:17:21,736 APPROPRIATIONS BILL, IT GETS 2110 01:17:21,736 --> 01:17:23,705 PULLED IN, BUT IT'S ON THE 2111 01:17:23,705 --> 01:17:26,107 DEFINITE TRACK AND 2112 01:17:26,107 --> 01:17:28,576 UNFORTUNATELY, THE PEAK SPENDING 2113 01:17:28,576 --> 01:17:31,546 UNDER THAT BILL WAS IN 2023 AND 2114 01:17:31,546 --> 01:17:34,082 IT'S COMING DOWN IN 2024 AND 2115 01:17:34,082 --> 01:17:41,789 2025 FROM THIS SEPARATE SOURCE 2116 01:17:41,789 --> 01:17:44,025 IN THE CURES ACT AND AS A ACCEPT 2117 01:17:44,025 --> 01:17:45,193 RETIRED RESULT, THERE ARE 2118 01:17:45,193 --> 01:17:47,128 PROGRAMS TRYING TO MAINTAIN 2119 01:17:47,128 --> 01:17:48,429 THOSE REDUCTIONS BECAUSE OF THE 2120 01:17:48,429 --> 01:17:51,733 LOWER FUNDING PROFILE THAT WAS 2121 01:17:51,733 --> 01:17:52,400 ESTABLISHEDDIERS AGO 2122 01:17:52,400 --> 01:17:56,170 INDEPENDENTLY OF CURRENT NEDRAS 2123 01:17:56,170 --> 01:17:56,304 N 2124 01:17:56,304 --> 01:17:56,437 E 2125 01:17:56,437 --> 01:17:56,571 D 2126 01:17:56,571 --> 01:17:56,704 R 2127 01:17:56,704 --> 01:17:56,838 A 2128 01:17:56,838 --> 01:17:56,971 S 2129 01:17:56,971 --> 01:17:57,105 N 2130 01:17:57,105 --> 01:17:57,238 E 2131 01:17:57,238 --> 01:17:57,371 E 2132 01:17:57,371 --> 01:17:57,505 D 2133 01:17:57,505 --> 01:17:57,638 S 2134 01:17:57,638 --> 01:17:57,772 . 2135 01:17:57,772 --> 01:18:00,108 SO IN THIS CASE, IF IN THE BACK 2136 01:18:00,108 --> 01:18:01,542 BILL THEY DID NOT DO THOSE 2137 01:18:01,542 --> 01:18:03,478 REDUCTIONS SO THERE WAS 2138 01:18:03,478 --> 01:18:04,545 $670 MILLION THAT CAME OUT 2139 01:18:04,545 --> 01:18:07,115 INCLUDING ALL OF THE CURRENT 2140 01:18:07,115 --> 01:18:08,282 FUNDS FOR THE CANCER MOONSHOT 2141 01:18:08,282 --> 01:18:12,186 AND MUCH OF THE FUNDS FOR THE 2142 01:18:12,186 --> 01:18:15,890 OTHER 2 PROGRAMS AND THAT IS 2143 01:18:15,890 --> 01:18:16,924 SOMETHING WE'VE BEEN TRYING TO 2144 01:18:16,924 --> 01:18:18,459 ADDRESS TO KEEP THOSE PROGRAMS 2145 01:18:18,459 --> 01:18:19,427 OPERATING AT THEIR PREVIOUS 2146 01:18:19,427 --> 01:18:22,396 LEVEL AND THAT'S GOING TO BE A 2147 01:18:22,396 --> 01:18:23,097 CONTINUING ISSUE GOING FORWARD. 2148 01:18:23,097 --> 01:18:25,633 I DID WANT TO SAY A LITTLE BIT 2149 01:18:25,633 --> 01:18:28,402 ABOUT WHEN HAPPENED IN THE FLOOR 2150 01:18:28,402 --> 01:18:29,537 ACTION IN THE HOUSE. 2151 01:18:29,537 --> 01:18:31,372 SO THE BILL CAME OUT OF THE 2152 01:18:31,372 --> 01:18:32,440 SUBCOMMITTEE IN THE SUMMER. 2153 01:18:32,440 --> 01:18:34,408 THE HOUSE BROUGHT IT TO THE 2154 01:18:34,408 --> 01:18:36,310 FLOOR. 2155 01:18:36,310 --> 01:18:38,946 THERE WERE A NUMBER OF 2156 01:18:38,946 --> 01:18:39,514 AMENDMENTS. 2157 01:18:39,514 --> 01:18:41,716 THE FINAL BILL DIDN'T PASS BUT 2158 01:18:41,716 --> 01:18:42,850 INTERESTINGLY SOME OF THE 2159 01:18:42,850 --> 01:18:44,619 AMENDMENTS DID TAKE MORE MONEY 2160 01:18:44,619 --> 01:18:46,487 FROM NIH BUT WHAT WAS KIND OF 2161 01:18:46,487 --> 01:18:48,322 MOST TELLING WAS THE AMENDMENTS 2162 01:18:48,322 --> 01:18:49,857 THAT PASSED WITH REDUCTIONS WERE 2163 01:18:49,857 --> 01:18:51,626 ALL BY A VOICE VOTE AND THE 2164 01:18:51,626 --> 01:18:55,730 VOTES WHERE THEY ACTUALLY 2165 01:18:55,730 --> 01:18:57,365 RECORDED WHO WAS FOR OR AGAINST, 2166 01:18:57,365 --> 01:18:59,801 THOSE ATTEMPTS TO REDUCE THE NIH 2167 01:18:59,801 --> 01:19:02,503 BUMET WERE VOTED DOWN. 2168 01:19:02,503 --> 01:19:04,739 SO IT APPEARS THAT THE MAIORITY 2169 01:19:04,739 --> 01:19:06,007 OF CONGRESS WAS NOT WILLING TO 2170 01:19:06,007 --> 01:19:08,276 GO ON THE RECORD AS WANTING TO 2171 01:19:08,276 --> 01:19:09,343 REDUCE NIH FUNDING FURTHER, 2172 01:19:09,343 --> 01:19:19,720 PROBABLY A GOOD THING. 2173 01:19:20,588 --> 01:19:21,689 NEXT TURNING TO THE SENATE, THEY 2174 01:19:21,689 --> 01:19:24,458 GOT THE BILL OUT THIS YEAR, LIKE 2175 01:19:24,458 --> 01:19:26,194 MOST, THEY HAVE FLAT FUNDING SO 2176 01:19:26,194 --> 01:19:28,062 THE SAME LEVEL AS 2023. 2177 01:19:28,062 --> 01:19:31,299 THERE WERE SOME INCREASES, I 2178 01:19:31,299 --> 01:19:35,102 MENTIONED ALZHEIMER'S DISEASE, 2179 01:19:35,102 --> 01:19:36,971 MENTAL HEALTH, THOSE WERE 2180 01:19:36,971 --> 01:19:39,473 TARGETED IN A COUPLE AREAS, WAS 2181 01:19:39,473 --> 01:19:42,410 NOT ACROSS THE BOARD BUT ALSO 2182 01:19:42,410 --> 01:19:43,845 THE SENATE DID MAKE TAIN THOSE 2183 01:19:43,845 --> 01:19:45,213 CURES PROGRAMS BY MAKING 2184 01:19:45,213 --> 01:19:47,081 EMERGENCY FUNDS SO A SOURCE THAT 2185 01:19:47,081 --> 01:19:49,750 WOULD NOT COUNT ON THE CAPTIVES 2186 01:19:49,750 --> 01:19:51,319 BUYING TO THE REST OF THE MONEY 2187 01:19:51,319 --> 01:19:53,421 IN AN ATTEMPT TO KEEP THOSE 2188 01:19:53,421 --> 01:19:56,157 PROGRAMS FROM TAKING A CUT. 2189 01:19:56,157 --> 01:19:58,559 SO CERTAINLY STRONGER SUPPORT 2190 01:19:58,559 --> 01:20:01,295 FOR THOSE PROGRAMS OVER ON THE 2191 01:20:01,295 --> 01:20:01,796 SENATE SIDE. 2192 01:20:01,796 --> 01:20:12,039 AND HERE THE NUMBERS, YOU CAN 2193 01:20:12,039 --> 01:20:15,109 SEE TD PRESIDENT'S BUDGET HAD 2194 01:20:15,109 --> 01:20:23,217 INCREASES FOR ARP A-H, AND THIS 2195 01:20:23,217 --> 01:20:24,552 INCLUDED AN INCREASE FOR THE 2196 01:20:24,552 --> 01:20:25,887 CANCER MOONSHOT AND YOU CAN SEE 2197 01:20:25,887 --> 01:20:27,288 THE HOUSE AND SENATE MARKS 2198 01:20:27,288 --> 01:20:29,290 THERE, HOW THEY DEALT WITH THE 2199 01:20:29,290 --> 01:20:30,424 ADDITIONAL FUNDS FOR THE MOON 2200 01:20:30,424 --> 01:20:32,159 SHOT WERE NOT ON EITHER BILL BUT 2201 01:20:32,159 --> 01:20:34,061 THE SENATE DID MAINTAIN THE 2202 01:20:34,061 --> 01:20:38,666 MONITOR --MOON SHOT AT THE 2023 2203 01:20:38,666 --> 01:20:39,000 LEVEL. 2204 01:20:39,000 --> 01:20:42,036 I DID WANT TO MENTION THIS WAS A 2205 01:20:42,036 --> 01:20:44,705 PROPOSAL, HHS WIDE PROPOSAL FOR 2206 01:20:44,705 --> 01:20:45,640 PAB DEMIC PREPAREDNESS, THAT 2207 01:20:45,640 --> 01:20:47,608 FOLLOWS ON FROM ALL THE WORK 2208 01:20:47,608 --> 01:20:50,378 WE'VE DOING ON COVID-19, IT WAS 2209 01:20:50,378 --> 01:20:51,812 AN ATTEMPT TO CONTINUE AND TO 2210 01:20:51,812 --> 01:20:53,247 PREPARE FOR A FUTURE PANDEMIC, 2211 01:20:53,247 --> 01:20:58,085 SO WE WILL BE IN BETTER SHAPE. 2212 01:20:58,085 --> 01:21:01,022 THAT WAS A 20 BILLION DOLLAR 2213 01:21:01,022 --> 01:21:02,523 PROPOSAL ISSUES 2.69 WAS THE NIH 2214 01:21:02,523 --> 01:21:04,825 PIECE OF THAT, THAT HAS NOT 2215 01:21:04,825 --> 01:21:06,127 GOTTEN SUPPORT YET IN CONGRESS 2216 01:21:06,127 --> 01:21:08,963 BUT I DID WANT TO MENTION 2217 01:21:08,963 --> 01:21:09,997 ESPECIALLY SINCE MONICA BROUGHT 2218 01:21:09,997 --> 01:21:12,867 UP THE PROGRESS ON THE RECOVER 2219 01:21:12,867 --> 01:21:16,070 PROGRAM, WE WERE ABLE TO GET AN 2220 01:21:16,070 --> 01:21:17,672 ADDITIONAL $200 MILLION FOR 2221 01:21:17,672 --> 01:21:18,272 RECOVER. 2222 01:21:18,272 --> 01:21:20,942 THAT WAS ORIGINALLY FUNDED 3 2223 01:21:20,942 --> 01:21:24,278 YEARS AGO WITH 1.15 BILLION AND 2224 01:21:24,278 --> 01:21:25,012 NOW THIS ADDITIONAL 200 MILLION 2225 01:21:25,012 --> 01:21:27,214 THAT WE'VE BEEN ABLE TO 2226 01:21:27,214 --> 01:21:28,983 OBLIGATIONS TAKEN FROM THE 2227 01:21:28,983 --> 01:21:33,688 DWINDLING AMOUNT OF SUPPLEMENTAL 2228 01:21:33,688 --> 01:21:35,089 APPROPRIATIONS LEFT OVER FROM 2229 01:21:35,089 --> 01:21:36,457 COVID, THAT WILL ALLOW US TO DO 2230 01:21:36,457 --> 01:21:40,027 A SECOND ROUND OF CLINICAL 2231 01:21:40,027 --> 01:21:41,395 TRIALS AND SERIOUSLY HELP THE 2232 01:21:41,395 --> 01:21:43,564 DEDICATION THAT WE'VE MADE TO 2233 01:21:43,564 --> 01:21:53,607 THIS IMPORTANT TYPE OF RESEARCH. 2234 01:21:53,607 --> 01:21:56,510 WITH THAT, LET ME HAND IT OFF TO 2235 01:21:56,510 --> 01:22:07,021 KATE AND THEN WE CAN ALL TAKE QUESTIONS. 2236 01:22:26,783 --> 01:22:27,884 WHILE THIS IS COMING UP, LET 2237 01:22:27,884 --> 01:22:31,888 ME JUST SAY HELLO ASK WELCOME 2238 01:22:31,888 --> 01:22:34,992 EVERYBODY AGAIN. 2239 01:22:34,992 --> 01:22:37,094 AS DR. BERTOGNOLLI, MENTIONED, I 2240 01:22:37,094 --> 01:22:39,596 YOINED IN OCTOBER IN MY NEW ROLE 2241 01:22:39,596 --> 01:22:41,999 AND IT'S BEEN A WHIRL WIND FEW 2242 01:22:41,999 --> 01:22:43,433 WEEKS BUT I AM SO GRATEFUL TO BE 2243 01:22:43,433 --> 01:22:44,434 HERE AND I LOOK FORWARD TO 2244 01:22:44,434 --> 01:22:47,804 WORKING WITH ALL OF YOU. 2245 01:22:47,804 --> 01:22:52,909 SO I'M GOING TO GIVE, NEIL 2246 01:22:52,909 --> 01:22:56,613 PROVIDED SOME BACKGROUND ON THE 2247 01:22:56,613 --> 01:22:57,914 APPROPRIATIONS SIDE OF THE 2248 01:22:57,914 --> 01:22:59,683 LEDGER IN TERMS OF OUR 2249 01:22:59,683 --> 01:23:00,784 CONGRESSIONAL ENGAGE AM. 2250 01:23:00,784 --> 01:23:04,588 I WILL GIVE A LITTLE ADDITIONAL 2251 01:23:04,588 --> 01:23:06,857 COLOR ON WHERE WE ARE ON THE 2252 01:23:06,857 --> 01:23:08,025 FY24 PROCESS BUT ALL WANT TO 2253 01:23:08,025 --> 01:23:18,502 GIVE A FEW OTHER UPDATES AS 2254 01:23:22,806 --> 01:23:22,973 WELL. 2255 01:23:22,973 --> 01:23:24,408 BEFORE I GET HERE I WANT TO SET 2256 01:23:24,408 --> 01:23:26,276 THE TAIJ A LITTLE BIT AND SHARE 2257 01:23:26,276 --> 01:23:28,445 CONTEXT ABOUT WHAT MY TEAM AND I 2258 01:23:28,445 --> 01:23:33,116 DO HERE AT NIH MUCH WE WORK TO 2259 01:23:33,116 --> 01:23:36,019 DEVELOP AND EXECUTE NIH'S 2260 01:23:36,019 --> 01:23:38,922 LEGISLATIVE AGENDA. 2261 01:23:38,922 --> 01:23:39,990 WE LOOK FOR OPPORTUNITIES FOR 2262 01:23:39,990 --> 01:23:41,625 THE DIRECTOR TO ENGAGE WITH 2263 01:23:41,625 --> 01:23:45,429 MEMBERS OF CONGRESS ON AGENCY 2264 01:23:45,429 --> 01:23:47,631 PRIORITIES AND PROGRAMS. 2265 01:23:47,631 --> 01:23:49,433 WE WORK TO INSURE THAT ALL OF 2266 01:23:49,433 --> 01:23:50,934 THE INSTITUTE DIRECTORS AND 2267 01:23:50,934 --> 01:23:52,669 THEIR INCREDIBLE SUBJECT MATTER 2268 01:23:52,669 --> 01:23:53,870 EXPERTS HAVE OPPORTUNITIES TO 2269 01:23:53,870 --> 01:23:57,574 SHARE THE INCREDIBLE WORK THAT 2270 01:23:57,574 --> 01:23:58,308 THEY'RE DOING WITH CONGRESS AND 2271 01:23:58,308 --> 01:24:00,977 WE ALSO WANT ON MAKE SURE THAT 2272 01:24:00,977 --> 01:24:04,614 OUR CONGRESSIONAL PARTNERS ARE 2273 01:24:04,614 --> 01:24:05,349 AUTHORIZING APPROPRIATIONS, 2274 01:24:05,349 --> 01:24:06,249 OVERSIGHT COMMITTEES HAVE ALL 2275 01:24:06,249 --> 01:24:08,719 THE INFORMATION THAT THEY NEED 2276 01:24:08,719 --> 01:24:19,262 TO SUPPORT OUR WORK AND PROVOID 2277 01:24:19,262 --> 01:24:19,763 APPROPRIATE OVERSIGHT. 2278 01:24:19,763 --> 01:24:22,899 LET ME GIVE SOME ARK DIGGAL KEY 2279 01:24:22,899 --> 01:24:23,567 CONGRESS WILL LEADERSHIP UPDATES 2280 01:24:23,567 --> 01:24:27,904 AND THEN WE WILL TALK ABOUT MORE 2281 01:24:27,904 --> 01:24:28,772 NIH HIGHLIGHTS. 2282 01:24:28,772 --> 01:24:31,708 I'M SURE MANY OF YOU ARE AWARE 2283 01:24:31,708 --> 01:24:34,111 SIN THE NEWS, THERE'S BEEN A 2284 01:24:34,111 --> 01:24:36,646 SIGNIFICANT CHANGE IN HOUSE 2285 01:24:36,646 --> 01:24:38,048 LEADERSHIP IN THE HOUSE MEETING. 2286 01:24:38,048 --> 01:24:39,950 BACK IN YEN AT THE START OF THIS 2287 01:24:39,950 --> 01:24:43,286 CONGRESSIONAL SESSION IT WAS AN 2288 01:24:43,286 --> 01:24:46,456 UNUSUALLY CONTENTIOUS ELECTION 2289 01:24:46,456 --> 01:24:48,291 FOR SPEAKER BEFORE FORMER 2290 01:24:48,291 --> 01:24:50,026 SPEAKER KEVIN MCCARTHY WAS 2291 01:24:50,026 --> 01:24:53,397 ELECTED HOWEVER HIS TENURE CAME 2292 01:24:53,397 --> 01:24:56,333 TO AN END IN EARLY OCTOBER AFTER 2293 01:24:56,333 --> 01:24:58,201 HE ALLOWED A TEMPORARY FUNDING 2294 01:24:58,201 --> 01:25:01,371 BILL TO PASS THE HOUSE IF 2295 01:25:01,371 --> 01:25:05,976 DEMOCRATIC SUPPORT IT DID AVERT 2296 01:25:05,976 --> 01:25:08,745 A GOVERNMENT SHUT DOWN BUT HE--1 2297 01:25:08,745 --> 01:25:11,047 OF HIS MEMBERS CALLED FOR A 2298 01:25:11,047 --> 01:25:13,150 MOTION TO VACATE AND HE WAS 2299 01:25:13,150 --> 01:25:15,752 VOTED OUT OF OFFICE. 2300 01:25:15,752 --> 01:25:17,387 SO FOLLOWING HIS REMOVAL THERE 2301 01:25:17,387 --> 01:25:20,257 WAS A COUPLE WEEK'S LONG PROCESS 2302 01:25:20,257 --> 01:25:22,392 FOR THE CAUCUS TO SELECT A 2303 01:25:22,392 --> 01:25:26,163 NUCLEOTIDES 2304 01:25:26,163 --> 01:25:27,030 NUCLEOTIDES--NEW SPEAKER. 2305 01:25:27,030 --> 01:25:30,033 THEY HAVE DONE THAT. 2306 01:25:30,033 --> 01:25:31,101 REPRESENTATIVE MIKE JOHNSON FROM 2307 01:25:31,101 --> 01:25:32,702 LOUISIANA, HE HAS TAKEN OVER 2308 01:25:32,702 --> 01:25:34,471 THAT ROLE AND BUILDING HIS 2309 01:25:34,471 --> 01:25:38,108 LEADERSHIP TEAM AND STAFF AND 2310 01:25:38,108 --> 01:25:40,043 HAS BEEN SERVING THE PAST FEW 2311 01:25:40,043 --> 01:25:40,243 WEEKS. 2312 01:25:40,243 --> 01:25:42,012 I WILL JUST NOTE THAT HE WILL 2313 01:25:42,012 --> 01:25:44,080 CONTINUE TO FACE MANY OF THE 2314 01:25:44,080 --> 01:25:48,151 SAME CHALLENGES THAT HIS 2315 01:25:48,151 --> 01:25:49,586 PREDECESSOR FACED IN TERMS OF 2316 01:25:49,586 --> 01:25:52,022 GREAT DIVERSITY IN THE 2317 01:25:52,022 --> 01:25:53,523 REPUBLICAN CAUCUS ON A NUMBER OF 2318 01:25:53,523 --> 01:25:57,160 DIFFERENT VIEWS AND ISSUES. 2319 01:25:57,160 --> 01:25:58,929 SO WE WILL SEE HOW THAT PLAYS 2320 01:25:58,929 --> 01:26:01,131 OUT, BUT AS WE KNOW CONGRESS 2321 01:26:01,131 --> 01:26:05,268 MUST STILL FINALIZE A PLAN FOR 2322 01:26:05,268 --> 01:26:05,936 FISCAL YEAR 24 APPROPRIATIONS 2323 01:26:05,936 --> 01:26:08,472 AND I THINK THAT WILL BE A 2324 01:26:08,472 --> 01:26:08,738 CHALLENGE. 2325 01:26:08,738 --> 01:26:10,006 I ALSO JUST WANT TO REMIND 2326 01:26:10,006 --> 01:26:15,278 EVERYBODY THAT NEXT YEAR IS AN 2327 01:26:15,278 --> 01:26:15,745 ELECTION YEAR. 2328 01:26:15,745 --> 01:26:17,080 I'M SURE YOUR ALL AWARE. 2329 01:26:17,080 --> 01:26:18,248 BUT JUST TO FLAG THAT IN 2330 01:26:18,248 --> 01:26:21,251 ADDITION TO THE PRESIDENTIAL 2331 01:26:21,251 --> 01:26:25,388 ELECTION, ALL 435 CONGRESSIONAL 2332 01:26:25,388 --> 01:26:27,757 HOUSE DISTRICTS ARE UP FOR 2333 01:26:27,757 --> 01:26:29,693 GENERAL ELECTION AND THEN THERE 2334 01:26:29,693 --> 01:26:31,027 ARE ALSO 33 U.S. SENATE SEATS 2335 01:26:31,027 --> 01:26:33,763 THAT ARE UP FOR EELECTION. 2336 01:26:33,763 --> 01:26:35,832 TEN SEATS THAT ARE HELD BY 2337 01:26:35,832 --> 01:26:38,502 REPUBLICANS AND 20 THAT ARE HELD 2338 01:26:38,502 --> 01:26:38,969 BY DEMOCRATS. 2339 01:26:38,969 --> 01:26:41,338 SO I JUST FLAG THIS FOR A COUPLE 2340 01:26:41,338 --> 01:26:41,571 REASONS. 2341 01:26:41,571 --> 01:26:43,206 THERE HAVE BEG YOUR PARDON A 2342 01:26:43,206 --> 01:26:44,274 NUMBER OF RETIREMENT 2343 01:26:44,274 --> 01:26:45,308 ANNOUNCEMENTS BOTH IN THE HOUSE 2344 01:26:45,308 --> 01:26:46,142 AND SENATE, SO THERE ARE GOING 2345 01:26:46,142 --> 01:26:48,245 TO BE A LOT OF FAMILIAR FACES, A 2346 01:26:48,245 --> 01:26:49,646 LOT OF MEMBERS THAT WOE HAVE 2347 01:26:49,646 --> 01:26:52,649 WORKED WITH AND CULTRATED 2348 01:26:52,649 --> 01:26:54,885 RELATIONSHIPS WITH THAT ARE 2349 01:26:54,885 --> 01:26:55,285 STEPPING DOWN. 2350 01:26:55,285 --> 01:27:00,357 BUT A LOT OF NEW MEMBERS WHO ARE 2351 01:27:00,357 --> 01:27:02,125 MEMBERS WHO HAVE SERVED IN OTHER 2352 01:27:02,125 --> 01:27:03,593 POSITIONS TAKING NEW LEADERSHIP 2353 01:27:03,593 --> 01:27:07,197 ROLES AND SOME OF OUR RELEVANT 2354 01:27:07,197 --> 01:27:08,665 COMMITTEES SO WE WILL HAVE NEW 2355 01:27:08,665 --> 01:27:10,066 OPPORTUNITIES TO WORK WITH THEM 2356 01:27:10,066 --> 01:27:11,768 BUT IT DOES ALSO MEAN THERE 2357 01:27:11,768 --> 01:27:14,738 COULD BE A CHANGE IN CONTROL OF 2358 01:27:14,738 --> 01:27:15,305 HOUSE OR SENATE. 2359 01:27:15,305 --> 01:27:16,640 IT'S TOO EARLY TO OPINE ON ANY 2360 01:27:16,640 --> 01:27:18,575 OF THAT AND I'M FOCUS ON THE 2361 01:27:18,575 --> 01:27:20,210 GOING TO, BUT I JUST WANTED TO 2362 01:27:20,210 --> 01:27:22,212 FLAG THAT AND ALSO NOTE IT WILL 2363 01:27:22,212 --> 01:27:23,480 AFFECT THE CONGRESSIONAL 2364 01:27:23,480 --> 01:27:24,681 CALENDAR AND CADENCE NEXT YORE, 2365 01:27:24,681 --> 01:27:27,951 CONGRESS WILL SORT OF HAVE THE 2366 01:27:27,951 --> 01:27:29,486 DUAL GOALS OF BEING PRODUCTIVE 2367 01:27:29,486 --> 01:27:30,787 AND WORKING THROUGH LEGISLATIVE 2368 01:27:30,787 --> 01:27:32,289 GOALS BUT ALSO WANTING TO BE 2369 01:27:32,289 --> 01:27:36,927 HOME IN THEIR DISTRICTS AS OFTEN 2370 01:27:36,927 --> 01:27:47,470 AS THEY CAN TO BE ENGAGING WITH 2371 01:27:53,343 --> 01:27:53,510 VOTERS. 2372 01:27:53,510 --> 01:27:57,514 SO I JUST WANT TO NOTE, BRIEFLY, 2373 01:27:57,514 --> 01:28:01,818 WE DO HAVE DR. BERTAGNOLLI HERE, 2374 01:28:01,818 --> 01:28:03,320 SHE WENT THROUGH THE 2375 01:28:03,320 --> 01:28:04,054 CONFIRMATION PROCESS EARLIER 2376 01:28:04,054 --> 01:28:05,622 THIS YEAR. 2377 01:28:05,622 --> 01:28:11,261 SHE HAD A HEALTH COMMITTEE 2378 01:28:11,261 --> 01:28:11,828 HEARING IN OCTOBER. 2379 01:28:11,828 --> 01:28:14,230 SOME OF THE ISSUES THAT CAME UP 2380 01:28:14,230 --> 01:28:15,632 AT THAT HEARING IF YOU WEREN'T 2381 01:28:15,632 --> 01:28:17,233 ABLE TO WOWCH TISSUING DRUG 2382 01:28:17,233 --> 01:28:23,974 PRICING CAME UP QUITE A BIT ON 2383 01:28:23,974 --> 01:28:26,142 CLINICAL TRIALS, QUESTIONS 2384 01:28:26,142 --> 01:28:29,112 AROUND DIVERSITY OF CLINICAL 2385 01:28:29,112 --> 01:28:32,382 TRIALS, SAFETY, SOCIAL EFFECTS 2386 01:28:32,382 --> 01:28:33,917 ON YOUTH, CHALLENGES OF USING 2387 01:28:33,917 --> 01:28:35,452 BIG DATA AND AI IN BIOMEDICAL 2388 01:28:35,452 --> 01:28:37,887 RESEARCH AND MAKING SURE THAT 2389 01:28:37,887 --> 01:28:39,022 RURAL COMMUNITIES ARE BEING 2390 01:28:39,022 --> 01:28:40,757 CARED FOR AND EPS TUITIONS THAT 2391 01:28:40,757 --> 01:28:43,159 ARE NOT ON THE EAST OR WEST 2392 01:28:43,159 --> 01:28:46,663 COAST ALSO HAVE OPPORTUNITY TO 2393 01:28:46,663 --> 01:28:47,230 ACCESS RESEARCH DOLLARS. 2394 01:28:47,230 --> 01:28:48,665 THOSE ARE JUST A FEW OF THE 2395 01:28:48,665 --> 01:28:49,833 ISSUES THAT CAME UP THAT I 2396 01:28:49,833 --> 01:28:51,034 WANTED TO GIVE YOU THAT PREVIEW 2397 01:28:51,034 --> 01:28:52,435 OF SOME OF THE THINGS THAT 2398 01:28:52,435 --> 01:29:00,276 MEMBERS WERE THINKING ABOUT. 2399 01:29:00,276 --> 01:29:01,911 THE FULL SENATE VOTED ON IN 2400 01:29:01,911 --> 01:29:03,747 NOVEMBER, WHICH WAS ALSO 2401 01:29:03,747 --> 01:29:05,815 BIPARTISAN WHICH IS WONDERFUL 2402 01:29:05,815 --> 01:29:09,119 AND ON NOVEMBER 9th 2403 01:29:09,119 --> 01:29:09,786 DR. BERTAGNOLLI,A RIEFED SO THAT 2404 01:29:09,786 --> 01:29:11,354 WAS A BIG LEGISLATIVE WIN FOR 2405 01:29:11,354 --> 01:29:21,731 THE AGENCY THIS YEAR. 2406 01:29:23,366 --> 01:29:25,268 I ALSO WANT TO GIVE A BRIEF 2407 01:29:25,268 --> 01:29:27,337 SNAPSHOT OF ALL THE WORK THE NIH 2408 01:29:27,337 --> 01:29:31,007 HAS BEEN DOING HERE, WE HAVE AN 2409 01:29:31,007 --> 01:29:32,275 INCREDIBLE TEAM HERE, AND THIS 2410 01:29:32,275 --> 01:29:34,577 IS JUST A NAP SHOT OF WHAT THEY 2411 01:29:34,577 --> 01:29:38,848 HAVE BEEN DOING HERE, 4 CAMPUS 2412 01:29:38,848 --> 01:29:41,484 VISITS, 15 CAMPUS VISITS, 8 2413 01:29:41,484 --> 01:29:43,920 ROUND TABLES, 132 BRIEFINGS AND 2414 01:29:43,920 --> 01:29:45,321 550 REQUESTS FOR INFORMATION ON 2415 01:29:45,321 --> 01:29:48,191 A RANGE OF TOPICS, I MEAN WE GET 2416 01:29:48,191 --> 01:29:49,225 QUESTIONS ON ANYTHING AND 2417 01:29:49,225 --> 01:29:51,928 EVERYTHING RELATED TO WHAT GOES 2418 01:29:51,928 --> 01:29:52,896 ON HERE. 2419 01:29:52,896 --> 01:29:54,431 SO I JUST WANT TO GIVE YOU A 2420 01:29:54,431 --> 01:29:55,965 SENSE OF KIND OF THE SCALE OF 2421 01:29:55,965 --> 01:30:00,136 INCOMING THAT WE HAVE. 2422 01:30:00,136 --> 01:30:01,137 DURING AN AVERAGE YEAR. 2423 01:30:01,137 --> 01:30:05,975 WE WILL BE BUILDING UPON THIS 2424 01:30:05,975 --> 01:30:06,943 NEXT YEAR. 2425 01:30:06,943 --> 01:30:10,180 AND THEN, JUST UPCOMING 2426 01:30:10,180 --> 01:30:11,915 DEADLINES, NALGAL DEFENSE 2427 01:30:11,915 --> 01:30:12,482 REAUTHORIZATION ACT MOVING 2428 01:30:12,482 --> 01:30:14,250 THROUGH CONGRESS THIS WEEK, IT 2429 01:30:14,250 --> 01:30:15,418 HAS NOW BEEN VOTED THROUGH THE 2430 01:30:15,418 --> 01:30:16,786 SENATE AND WILL BE MOVING BACK 2431 01:30:16,786 --> 01:30:17,220 TO THE HOUSE. 2432 01:30:17,220 --> 01:30:20,557 I THINK THIS WILL BE THE ACTUAL 2433 01:30:20,557 --> 01:30:23,393 LAST LEGISLATIVE ACTIVITY OF THE 2434 01:30:23,393 --> 01:30:26,596 YEAR AND THEN AS NEIL DISCUSSED 2435 01:30:26,596 --> 01:30:32,102 WE HAVE THE UPCOMING EXPIRATIONS 2436 01:30:32,102 --> 01:30:32,769 THE FUNDING DEADLINES. 2437 01:30:32,769 --> 01:30:34,738 WE ARE IN THE SECOND TRENCH, 2438 01:30:34,738 --> 01:30:37,307 THIS SORT OF CALLED THE LADDER, 2439 01:30:37,307 --> 01:30:38,842 STEP STOOL, A FEW DIFFERENT WAYS 2440 01:30:38,842 --> 01:30:40,477 TO DESCRIBE IT BUT THE KEY THING 2441 01:30:40,477 --> 01:30:43,313 IS THERE ARE 2 DATES. 2442 01:30:43,313 --> 01:30:46,249 I ALSO JUST WANTED TO NOTE AN 2443 01:30:46,249 --> 01:30:47,317 ARK DITIONAL DYNAMIC--ARK 2444 01:30:47,317 --> 01:30:48,485 DITIONAL DYNAMEC THAT I KNOW HAS 2445 01:30:48,485 --> 01:30:50,320 BEEN AT PLAY THAT I'M SURE YOU 2446 01:30:50,320 --> 01:30:52,288 MAY HAVE BEEN AWARE OF AND THIS 2447 01:30:52,288 --> 01:30:54,824 WAS BACK IN JUNE PRESIDENT BIDEN 2448 01:30:54,824 --> 01:31:00,096 FINED THE FISCAL RESPONSIBILITY 2449 01:31:00,096 --> 01:31:01,264 ACT. 2450 01:31:01,264 --> 01:31:02,298 THIS LEGISLATION ADDRESSED THE 2451 01:31:02,298 --> 01:31:04,400 NEED TO RAISE THE DEBT CEILING, 2452 01:31:04,400 --> 01:31:05,735 IF YOU RECALL THIS WAS A BIG 2453 01:31:05,735 --> 01:31:06,870 TOPIC OF CONVERSATION THIS YEAR 2454 01:31:06,870 --> 01:31:08,037 BUT IT ALSO ATTEMPTED TO SET 2455 01:31:08,037 --> 01:31:10,173 SOME OF THOSE TOP LINE SPENDING 2456 01:31:10,173 --> 01:31:15,812 CAPS THAT NEIL WAS REFERRING TO 2457 01:31:15,812 --> 01:31:17,781 IT ALSO INCLUDED A NEW NOVEL 2458 01:31:17,781 --> 01:31:19,349 MECHANISM TO TROY TO PUSH 2459 01:31:19,349 --> 01:31:21,651 CONGRESS NOT TO FALL BACK ON 2460 01:31:21,651 --> 01:31:24,454 JUST DOING A CONTINUING 2461 01:31:24,454 --> 01:31:26,556 RESOLUTION WITH FLAT FUNDING 2462 01:31:26,556 --> 01:31:27,023 AGENCIES. 2463 01:31:27,023 --> 01:31:32,529 SO IT INCLUDED LANGUAGE THAT IF 2464 01:31:32,529 --> 01:31:33,930 ANY PART OF THE GOVERNMENT IS 2465 01:31:33,930 --> 01:31:35,899 FUNDED BY A C. R. ON 2466 01:31:35,899 --> 01:31:37,767 APRIL 30th, THERE WOULD BE A 2467 01:31:37,767 --> 01:31:41,671 1% CUT TO GOVERNMENT 2468 01:31:41,671 --> 01:31:42,172 DISCRETIONARY SPENDING. 2469 01:31:42,172 --> 01:31:45,608 I JUST WANT TO NOTE THAT 2470 01:31:45,608 --> 01:31:47,277 THE--THAT THERE HAS BEEN AND 2471 01:31:47,277 --> 01:31:49,012 THERE CONTINUES TO BE A LOT OF 2472 01:31:49,012 --> 01:31:52,115 DISCUSSION ABOUT HOW THAT 2473 01:31:52,115 --> 01:31:53,883 MANDATORY CUT WILL BE 2474 01:31:53,883 --> 01:31:55,251 INTERPRETED AND APPLIED IF WE 2475 01:31:55,251 --> 01:31:59,088 WERE IN THIS SITUATION. 2476 01:31:59,088 --> 01:32:00,256 THERE IS LEGISLATIVE TEXT BUT AS 2477 01:32:00,256 --> 01:32:02,358 MANY OF YOU KNOW SOMETIMES THERE 2478 01:32:02,358 --> 01:32:05,128 WILL BE ADDITIONAL SORT OF 2479 01:32:05,128 --> 01:32:05,929 INTERPRETATION AND LEGAL REVIEWS 2480 01:32:05,929 --> 01:32:08,498 AND THINGS LOAMACYIC THAT, SO, 2481 01:32:08,498 --> 01:32:09,132 ALL OF THAT IS OPERATING 2482 01:32:09,132 --> 01:32:13,269 GLOBALLY GOING AND I THINK YOU 2483 01:32:13,269 --> 01:32:15,538 KNOW BOTH IN SORT OF THE BUDGET 2484 01:32:15,538 --> 01:32:16,739 COMMUNITY AND ON THE HILL WE'RE 2485 01:32:16,739 --> 01:32:20,276 WORKING TO UNDERSTAND WHAT THAT 2486 01:32:20,276 --> 01:32:20,844 MIGHT LOOK LIKE. 2487 01:32:20,844 --> 01:32:29,986 BUT I THINK WE ALL HOPE THAT 2488 01:32:29,986 --> 01:32:31,688 CONGRESS WILL BE ABLE TO REACH 2489 01:32:31,688 --> 01:32:34,123 AN AGREEMENT ON THOSE TOP LINE 2490 01:32:34,123 --> 01:32:36,726 NUMBERS CAN AND THEN MOVE INTO 2491 01:32:36,726 --> 01:32:38,695 THE NEXT AREA OF NEGOTIATING A 2492 01:32:38,695 --> 01:32:42,298 FULL YEAR BILL BUT WE'RE WAITIG 2493 01:32:42,298 --> 01:32:43,099 TO SEE THAT. 2494 01:32:43,099 --> 01:32:44,868 IT NEEDS TO HAPPEN SOON. 2495 01:32:44,868 --> 01:32:46,836 MANY MEMBERS ARE GETTING READY 2496 01:32:46,836 --> 01:32:48,338 TO GO HOME, I THINK WE HOPED 2497 01:32:48,338 --> 01:32:49,906 THAT MANY OF US WOULD HAVE THAT 2498 01:32:49,906 --> 01:32:52,508 CLARITY ON THE TOP LINES BEFORE 2499 01:32:52,508 --> 01:32:53,877 THE END OF THE YEAR BECAUSE 2500 01:32:53,877 --> 01:32:55,378 JANUARY WILL BE HERE VERY 2501 01:32:55,378 --> 01:32:57,180 QUICKLY AND THAT FIRST DEADLINE 2502 01:32:57,180 --> 01:32:58,348 WILL BE HERE JANUARY 19th 2503 01:32:58,348 --> 01:33:00,016 BEFORE WE KNOW IT BUT WE WILL 2504 01:33:00,016 --> 01:33:01,517 CERTAINLY GET MORE INSIGHT IN 2505 01:33:01,517 --> 01:33:02,685 JANUARY ABOUT HOW THE 2506 01:33:02,685 --> 01:33:05,955 APPROPRIATIONS PROCESS WILL PLY 2507 01:33:05,955 --> 01:33:09,726 OUT EMPLOY SO I WILL LEAVE IT 2508 01:33:09,726 --> 01:33:09,926 THERE. 2509 01:33:09,926 --> 01:33:12,295 >> OKAY, WE ARE OPEN FOR 2510 01:33:12,295 --> 01:33:15,231 QUESTIONS, FOR THE 3 OF US. 2511 01:33:15,231 --> 01:33:17,100 >> OKAY, SO IF THE COMMITTEE 2512 01:33:17,100 --> 01:33:18,301 MEMBERS ONLINE OR IN PRESENT 2513 01:33:18,301 --> 01:33:26,109 WOULD LIKE TO HAVE ANY COMMENTS 2514 01:33:26,109 --> 01:33:27,810 OR QUESTIONS? 2515 01:33:27,810 --> 01:33:29,812 NJUST A QUICK QUESTION WITH THE 2516 01:33:29,812 --> 01:33:31,848 FLAVOR AROUND ARP A-H, GIVEN 2517 01:33:31,848 --> 01:33:34,684 IT'S SUCH A FLASHY NEW 2518 01:33:34,684 --> 01:33:36,085 INITIATIVE, I'M SURPRISED THAT 2519 01:33:36,085 --> 01:33:41,658 PROPOSALS TO CUT 2/3RDS OF ITS 2520 01:33:41,658 --> 01:33:42,926 FUNDING SO QUICKLY? 2521 01:33:42,926 --> 01:33:43,226 >> YEAH. 2522 01:33:43,226 --> 01:33:44,594 I MEAN, I WILL JUST SAY, I THINK 2523 01:33:44,594 --> 01:33:47,030 AS ALL OF YOU HAVE PROBABLY SEEN 2524 01:33:47,030 --> 01:33:48,631 THROUGHOUT THE YEAR IN THE NEWS 2525 01:33:48,631 --> 01:33:58,074 AND IN GENERAL PRESS, THERE HAS 2526 01:33:58,074 --> 01:33:59,909 BEEN VERY STRONG EMPSCIZZ ON THE 2527 01:33:59,909 --> 01:34:01,377 HOUSE SIDE AROUND CUTTING 2528 01:34:01,377 --> 01:34:06,049 SPENDING AND THAT HAS TOUCHED 2529 01:34:06,049 --> 01:34:07,183 EVERY SINGLE AGENCY. 2530 01:34:07,183 --> 01:34:09,152 REALLY THERE'S BEEN NO FEDERAL 2531 01:34:09,152 --> 01:34:10,954 AGENCY THAT HAS BEEN EXEMPT. 2532 01:34:10,954 --> 01:34:14,824 THERE'S BEEN MORE CONVERSATION 2533 01:34:14,824 --> 01:34:15,992 THAN USUAL ABOUT DEFENSE 2534 01:34:15,992 --> 01:34:16,826 SPENDING LEVEL ANDS WHETHER 2535 01:34:16,826 --> 01:34:17,994 THOSE ARE TOO HIGH AND I THINK 2536 01:34:17,994 --> 01:34:22,765 IT REALLY IS A FACTOR OF THE 2537 01:34:22,765 --> 01:34:23,066 ENVIRONMENT. 2538 01:34:23,066 --> 01:34:25,201 >> I JUST WANT TO MAKE A FEW 2539 01:34:25,201 --> 01:34:27,170 COMMENTTHAT PART OF OUR BUDGET, 2540 01:34:27,170 --> 01:34:28,471 OUR BUNLET REALITY FOR 2024 WE 2541 01:34:28,471 --> 01:34:30,373 THINK IS JUST GOING TO BE A 2542 01:34:30,373 --> 01:34:33,543 REALLY TOUGH YEAR, BASED ON WHAT 2543 01:34:33,543 --> 01:34:37,046 WE'RE HEARING AND I CAN TELL YOU 2544 01:34:37,046 --> 01:34:39,682 THAT OUR BIGGEST CONCERN, WE'VE 2545 01:34:39,682 --> 01:34:41,851 SEEN BUDGET CONTRACTIONS IN THE 2546 01:34:41,851 --> 01:34:44,454 PAST AND EVERY TIME THAT HAPPENS 2547 01:34:44,454 --> 01:34:47,557 IT'S THE YOUNG GENERATION, THE 2548 01:34:47,557 --> 01:34:51,094 UP AND COMING, OUR TRAINEES, OUR 2549 01:34:51,094 --> 01:34:54,664 JUNIOR FACULTY WHO REALLY GET 2550 01:34:54,664 --> 01:34:55,431 HURT. 2551 01:34:55,431 --> 01:34:57,266 THE MORE ESTABLISHED 2552 01:34:57,266 --> 01:34:58,301 INVESTIGATORS WHO ARE MERE 2553 01:34:58,301 --> 01:35:00,303 SENIOR ARE ABLE TO WEATHER THE 2554 01:35:00,303 --> 01:35:04,707 STORM BETTER AND I THINK WE'RE 2555 01:35:04,707 --> 01:35:08,111 ALL STRUGGLING WITH HOW WE 2556 01:35:08,111 --> 01:35:10,380 PRESERVE YOU KNOW OUR SUPPORT 2557 01:35:10,380 --> 01:35:11,080 FOR JUNIOR INVESTIGATORS. 2558 01:35:11,080 --> 01:35:13,416 I DON'T HAVE ANY GREAT, YOU 2559 01:35:13,416 --> 01:35:15,184 KNOW, I DON'T HAVE ANY IMRAIT 2560 01:35:15,184 --> 01:35:15,585 IDEAS HERE. 2561 01:35:15,585 --> 01:35:17,186 THIS WILL BE PAINFUL. 2562 01:35:17,186 --> 01:35:21,257 THE ONLY THING I WILL SAY TO 2563 01:35:21,257 --> 01:35:22,458 EVERYONE IS YOU KNOW, THINK 2564 01:35:22,458 --> 01:35:25,962 ABOUT WHAT IT WILL MEAN. 2565 01:35:25,962 --> 01:35:29,399 YOU KNOW, A FLAT BUDGET IS A 2566 01:35:29,399 --> 01:35:30,700 CONTRACTING BUDGET, A FLAT 2567 01:35:30,700 --> 01:35:33,336 BUDGET IS A REDUCED BUDGET AND I 2568 01:35:33,336 --> 01:35:34,404 JUST THINK EVERYONE, WE'RE 2569 01:35:34,404 --> 01:35:36,939 ASKING EVERYONE TO TAKE IT 2570 01:35:36,939 --> 01:35:37,640 REALLY SERIOUSLY IMMEDIATELY 2571 01:35:37,640 --> 01:35:40,943 THAT NEXT YORE'S GOING TO BE 2572 01:35:40,943 --> 01:35:47,884 REALLY, PROBABLY IS GOING TO BE 2573 01:35:47,884 --> 01:35:49,819 VERY DIFFICULT AND THEN WE'RE 2574 01:35:49,819 --> 01:35:53,489 ALWAYS OPEN TO SUGGESTIONS FOR 2575 01:35:53,489 --> 01:35:55,658 THINGS TO DO TO HELP, BUT THE 2576 01:35:55,658 --> 01:35:56,959 BIGGEST THING IS TO PREPARE FOR 2577 01:35:56,959 --> 01:35:58,828 IT AND PLN FOR WHATEVER YOU CAN 2578 01:35:58,828 --> 01:36:01,364 DO TO HELP ESPECIALLY PRESERVE 2579 01:36:01,364 --> 01:36:07,570 THE TRAINEES AND JUNIOR 2580 01:36:07,570 --> 01:36:08,237 RESEARCHERS. 2581 01:36:08,237 --> 01:36:09,505 >> GARTH, YOU'RE NEXT, PLEASE, 2582 01:36:09,505 --> 01:36:11,574 I'M TRYING TO TURN MY CAMERA ON 2583 01:36:11,574 --> 01:36:15,111 BUT IT WON'T WORK SO THAT'S 2584 01:36:15,111 --> 01:36:15,545 FINE. 2585 01:36:15,545 --> 01:36:17,180 MY QUESTION IS FOR KATE, AND 2586 01:36:17,180 --> 01:36:19,015 KATE WHAT ARE THE IMPLICATIONS 2587 01:36:19,015 --> 01:36:24,520 FOR A C. R. IN TERMS OF THE 2588 01:36:24,520 --> 01:36:25,421 PRACTICAL DYNAMICS FOR 2589 01:36:25,421 --> 01:36:27,190 RESEARCHERS OR DOES NOT NOT 2590 01:36:27,190 --> 01:36:28,724 FILTER DOWN TO THAT LEVEL IN THE 2591 01:36:28,724 --> 01:36:30,193 C. R. PROCESS AND MY OTHER 2592 01:36:30,193 --> 01:36:31,294 QUESTION WILL BE FOR NEIL AS 2593 01:36:31,294 --> 01:36:33,696 WELL WHICH IS KIND OF RELATED 2594 01:36:33,696 --> 01:36:35,364 WHICH IS NEIL IS THERE ABSOLUTE 2595 01:36:35,364 --> 01:36:36,265 DIFFERENCE BETWEEN THE HOUSE AND 2596 01:36:36,265 --> 01:36:39,802 THE SENATE BUJ FET REALLY JUST 2597 01:36:39,802 --> 01:36:41,938 NIAID AND ARP A-H FUND XG ALL 2598 01:36:41,938 --> 01:36:44,474 THE OTHER INSTITUTES ARE PRETTY 2599 01:36:44,474 --> 01:36:45,174 MUCH THE SAME? 2600 01:36:45,174 --> 01:36:49,045 WAS I READING THAT SLIDE 2601 01:36:49,045 --> 01:36:49,378 CORRECTLY? 2602 01:36:49,378 --> 01:36:51,914 >> I JUST WANT TO MAKE A QUICK 2603 01:36:51,914 --> 01:36:53,182 FOLLOW UP COMMENT TO THE LAST 2604 01:36:53,182 --> 01:36:57,120 QUESTION, TOO IS THAT THE FISCAL 2605 01:36:57,120 --> 01:36:58,488 RESPONSIBILITY ACT, THE DEBT 2606 01:36:58,488 --> 01:37:00,323 SEALING DEAL I MENTIONED EARLIER 2607 01:37:00,323 --> 01:37:04,660 IT ALSO SET THE CAPS FOR FY25 AS 2608 01:37:04,660 --> 01:37:05,862 WELL, SO UNFORTUNATELY JUST 2609 01:37:05,862 --> 01:37:10,366 FOLLOWING UP ON 2610 01:37:10,366 --> 01:37:10,967 DR. BERTAGNOLLI'S POINT, THIS 2611 01:37:10,967 --> 01:37:12,468 WILL BE A TOUGH YEAR BUT SO WILL 2612 01:37:12,468 --> 01:37:14,203 THE YORE AFTER AND YOU KNOW WE 2613 01:37:14,203 --> 01:37:15,071 HAVE THOSE LEVELS ALREADY IN 2614 01:37:15,071 --> 01:37:17,440 PLAY AS I MENINGED. 2615 01:37:17,440 --> 01:37:18,708 IT'S AN ELECTION YEAR AND THAT 2616 01:37:18,708 --> 01:37:21,944 CAN OFTEN AFFECT THE DYNAMICS 2617 01:37:21,944 --> 01:37:22,879 AROUND SPENDING DECISIONS EVEN 2618 01:37:22,879 --> 01:37:24,447 MORE SO, SO I JUST WANTED TO 2619 01:37:24,447 --> 01:37:26,149 ALSO FLAG THE FOLLOWING YEAR 2620 01:37:26,149 --> 01:37:31,087 WILL BE A REAL CHALLENGE AS 2621 01:37:31,087 --> 01:37:31,454 WELL. 2622 01:37:31,454 --> 01:37:33,723 IT WON'T BE LIMITED TO NEXT 2623 01:37:33,723 --> 01:37:33,956 YEAR. 2624 01:37:33,956 --> 01:37:35,358 >> YEAH, I WOULD JUST SAY IN 2625 01:37:35,358 --> 01:37:40,029 TERMS OF THE PARTICULAR 2626 01:37:40,029 --> 01:37:41,964 PROGRAMS, CERTAINLY THE HOUSE 2627 01:37:41,964 --> 01:37:43,132 WHEN AFTER NIAID, THE SENATE DID 2628 01:37:43,132 --> 01:37:44,934 NOT ISSUES THE OTHER HOUSE CUTS 2629 01:37:44,934 --> 01:37:46,002 ARE REALLY TARGETED AT THE 2630 01:37:46,002 --> 01:37:50,373 OFFICE OF THE DIRECTOR, AS WELL 2631 01:37:50,373 --> 01:37:56,612 AS THOSE 3 CURES PROGRAMS THAT I 2632 01:37:56,612 --> 01:37:58,214 MENTIONED AND THERE'S A 2633 01:37:58,214 --> 01:38:03,419 STRUCTURAL ISSUE THERE TO DEAL 2634 01:38:03,419 --> 01:38:05,588 WITH, BUT NIH POLICY IS THAT 2635 01:38:05,588 --> 01:38:06,989 THOSE PARTICULAR PROGRAMS SHOULD 2636 01:38:06,989 --> 01:38:09,825 NOT BE GETTING TREATED, WORSE 2637 01:38:09,825 --> 01:38:13,596 THAN THE REST OF OUR RESEARCH 2638 01:38:13,596 --> 01:38:18,034 CAUSE OF THAT STRUCTURAL BUDGET 2639 01:38:18,034 --> 01:38:20,503 ISSUE. 2640 01:38:20,503 --> 01:38:20,937 >> THANK YOU. 2641 01:38:20,937 --> 01:38:23,639 >> SO THIS IS MORE OF A POINT OF 2642 01:38:23,639 --> 01:38:26,108 PERSONAL PRIVILEGE THAN A 2643 01:38:26,108 --> 01:38:26,375 QUESTION. 2644 01:38:26,375 --> 01:38:29,478 AND I'M A MEMBER OF THE BRAIN 2645 01:38:29,478 --> 01:38:30,179 INITIATIVE MULTICOUNCIL WORKING 2646 01:38:30,179 --> 01:38:31,347 GROUP AND I REMEMBER HEARING 2647 01:38:31,347 --> 01:38:33,516 ABOUT THE BRAIN INITIATIVE IN 2648 01:38:33,516 --> 01:38:34,951 2013 AS A JUNIOR FACULTY MEMBER 2649 01:38:34,951 --> 01:38:36,919 WITH THE CREATE OF CREATING NEW 2650 01:38:36,919 --> 01:38:38,554 TOOLS AND TECHNOLOGIES TO 2651 01:38:38,554 --> 01:38:39,589 UNDERSTAND THE HUMAN BRAIN. 2652 01:38:39,589 --> 01:38:41,791 AND EVEN THEN THE IDEAS IN THEIR 2653 01:38:41,791 --> 01:38:44,860 SEEM SO PIE IN THE SKY, RIGHT? 2654 01:38:44,860 --> 01:38:47,029 EVEN BEYOND THE MOON SHOT IT 2655 01:38:47,029 --> 01:38:49,465 SOUNDED LIKE A MARS SHOT, AND IN 2656 01:38:49,465 --> 01:38:51,601 2018 I GOT TO PARTICIPATE IN 2657 01:38:51,601 --> 01:38:52,535 HELPING THINK ABOUT THE VISION 2658 01:38:52,535 --> 01:38:54,670 FOR THE SECOND HALF AND THIS 2659 01:38:54,670 --> 01:38:57,673 IDEA OF HAVING A CELL ATLAS OF 2660 01:38:57,673 --> 01:39:02,979 THE HUMAN BRAIN SEEMED JUST 2661 01:39:02,979 --> 01:39:04,213 REALLY OUT THERE. 2662 01:39:04,213 --> 01:39:06,082 AND EVEN BEFORE 2025, WE HIT THE 2663 01:39:06,082 --> 01:39:08,251 MARK SO I DON'T WANT IT TO BE 2664 01:39:08,251 --> 01:39:09,652 LOST ON ANYBODY HOW EXCITING 2665 01:39:09,652 --> 01:39:11,721 THAT DISCOVERY IS TO BE ABLE TO 2666 01:39:11,721 --> 01:39:13,022 ACHIEVE THAT IN A TIMELINE ARK 2667 01:39:13,022 --> 01:39:14,357 HEAD OF TIME KNOWING IN THE 2668 01:39:14,357 --> 01:39:16,192 MITSD OF THAT, WE HAD LABS THAT 2669 01:39:16,192 --> 01:39:17,360 WERE SHUT DOWN AND STILL WE WERE 2670 01:39:17,360 --> 01:39:19,595 ABLE TO MAKE THAT PROGRESS, SO 2671 01:39:19,595 --> 01:39:21,097 I'M REALLY EXCITED ABOUT THAT. 2672 01:39:21,097 --> 01:39:22,064 THAT RAISES A QUESTION WITH 2673 01:39:22,064 --> 01:39:23,466 REGARS TO YOUR EARLIER POINT 2674 01:39:23,466 --> 01:39:25,668 ABOUT THINKING ABOUT HOW TO MAKE 2675 01:39:25,668 --> 01:39:27,970 THESE ADVANCES REALLY HAVE 2676 01:39:27,970 --> 01:39:29,805 IMPACT ON OUR ENTIRE POPULATION, 2677 01:39:29,805 --> 01:39:32,775 RIGHT IN CERTAINLY WE'VE LEARNED 2678 01:39:32,775 --> 01:39:34,310 FROM PAST GENOMIC EFFORTS THAT 2679 01:39:34,310 --> 01:39:35,911 IT'S REALLY IMPORTANT FOR PEOPLE 2680 01:39:35,911 --> 01:39:37,213 OF DIFFERENT ANCESTRIES TO BE 2681 01:39:37,213 --> 01:39:38,514 REPRESENTED WHEN WE'RE MAKING 2682 01:39:38,514 --> 01:39:40,716 THESE DORPHYS OF ATLASS WHETHER 2683 01:39:40,716 --> 01:39:43,019 IT'S A PART OF CANCER CELLS OR 2684 01:39:43,019 --> 01:39:44,787 WHAT HAVE YOU, SO POINT YOU WERE 2685 01:39:44,787 --> 01:39:46,188 MAKING ABOUT BRINGING OTHER 2686 01:39:46,188 --> 01:39:48,324 POPULATIONS INTO THE SCIENTIFIC 2687 01:39:48,324 --> 01:39:51,093 FRAMEWORK, FIGURING OUT HOW TO 2688 01:39:51,093 --> 01:39:52,695 ADDRESS CULTURAL BARRIERS THAT 2689 01:39:52,695 --> 01:39:53,963 MIGHT PREVENT SOME FROM HAVING 2690 01:39:53,963 --> 01:39:56,032 TISSUE SO WE CAN LEARN ABOUT 2691 01:39:56,032 --> 01:39:57,433 ANCESTRY DIFFERENCES IN ATLAS 2692 01:39:57,433 --> 01:39:59,068 CELL TYPES ARE A REALLY 2693 01:39:59,068 --> 01:40:00,002 IMPORTANT PRIORITY GOING FORWARD 2694 01:40:00,002 --> 01:40:01,671 TO MAKE SURE THOSE DISCOVERIES 2695 01:40:01,671 --> 01:40:03,105 TRANSLATE INTO DIFFERENCES IN 2696 01:40:03,105 --> 01:40:03,939 HUMAN HEALTH. 2697 01:40:03,939 --> 01:40:06,375 AND THEN FINALLY I'LL HIGHLIGHT 2698 01:40:06,375 --> 01:40:09,011 1 THING EVEN BEYOND THE IDEA OF 2699 01:40:09,011 --> 01:40:11,881 GETTING HUMAN AND CELL ATLAS, 2700 01:40:11,881 --> 01:40:13,015 YESTERDAY THAT RELEASED THE 2701 01:40:13,015 --> 01:40:15,217 FIRST MOUSE CELL ATLAS WHICH IS 2702 01:40:15,217 --> 01:40:16,585 REALLY THE PRIORITY OF THE BASIC 2703 01:40:16,585 --> 01:40:17,787 SCIENCE RESEARCH BECAUSE LOTS OF 2704 01:40:17,787 --> 01:40:18,654 THINGS WE'RE TRYING TO 2705 01:40:18,654 --> 01:40:19,455 UNDERSTAND WITH REGARD TO HOW 2706 01:40:19,455 --> 01:40:22,358 THE BRAIP WORKS TO COME UP WITH 2707 01:40:22,358 --> 01:40:24,126 THOSE EARLY INTERVENTIONS AND 2708 01:40:24,126 --> 01:40:26,629 THERAPEUTICS THAT APPLY IN THE 2709 01:40:26,629 --> 01:40:27,930 HUMAN BRAINS START ABOUT THE 2710 01:40:27,930 --> 01:40:29,165 ARCHITECTURE IN THE BASIC 2711 01:40:29,165 --> 01:40:30,366 SCIENCE RESEARCH. 2712 01:40:30,366 --> 01:40:31,967 SO I'M EXCITED ABOUT ALL THE 2713 01:40:31,967 --> 01:40:33,302 PROGRESS BEING MADE ON THIS 2714 01:40:33,302 --> 01:40:34,770 INITIATIVE AND LOOK FORWARD TO 2715 01:40:34,770 --> 01:40:36,439 DOING GOOD WORK GOING FORWARD. 2716 01:40:36,439 --> 01:40:37,573 >> WELL, THANK YOU SO MUCH FOR 2717 01:40:37,573 --> 01:40:40,009 THAT AND THE OTHER PHILOSOPHY, I 2718 01:40:40,009 --> 01:40:43,079 THINK THAT WE ALL SHARE IS THAT 2719 01:40:43,079 --> 01:40:46,816 YOU KNOW WE HAVE FUNDAMENTAL 2720 01:40:46,816 --> 01:40:47,083 SCIENCE. 2721 01:40:47,083 --> 01:40:48,918 --WE HAVE FUNDMENTAL SCIENCE 2722 01:40:48,918 --> 01:40:50,319 ISSUES CLINICAL TRANSLATION AND 2723 01:40:50,319 --> 01:40:52,021 THEN WE HAVE DEEP COMMUNITY WORK 2724 01:40:52,021 --> 01:40:53,556 FOR THE BEHAVIORIAL WORK TO GET 2725 01:40:53,556 --> 01:40:57,426 THINGS TO PEOPLE, BUT WE ALWAYS 2726 01:40:57,426 --> 01:40:59,495 HAVE A VIRTUOUS CYCLE BACK. 2727 01:40:59,495 --> 01:41:01,097 I DON'T THINK ANYTHING WE EVER 2728 01:41:01,097 --> 01:41:03,232 DO, PEOPLE SAY, WELL YOU'RE A 2729 01:41:03,232 --> 01:41:04,633 CLINICAL TRIALIST, YOUR A 2730 01:41:04,633 --> 01:41:05,801 CLINICAL RESEARCHER MOSTLY ARE 2731 01:41:05,801 --> 01:41:07,603 YOU GOING TO--YOU KNOW 2732 01:41:07,603 --> 01:41:10,673 EVERYTHING WE DO IS ALSO ABOUT 2733 01:41:10,673 --> 01:41:12,074 INFORMING BASIC SCIENCE AND WHAT 2734 01:41:12,074 --> 01:41:15,778 EVERYTHING THAT HAPPENS IN BASIC 2735 01:41:15,778 --> 01:41:17,213 SCIENCE IS ABOUT INFORMING WHAT 2736 01:41:17,213 --> 01:41:19,849 GOES TO THE CLINIC. 2737 01:41:19,849 --> 01:41:21,350 SO THESE PILLARS DO NOT STAND 2738 01:41:21,350 --> 01:41:23,386 ALONE AND WE CAN'T FORGET THAT 2739 01:41:23,386 --> 01:41:25,888 CIRCLE BACK, SO YOU RAISED IT 2740 01:41:25,888 --> 01:41:27,056 REALLY LYOU KNOW EVERY 2741 01:41:27,056 --> 01:41:29,558 OPPORTUNITY TO ENGAGE WITH A 2742 01:41:29,558 --> 01:41:30,426 POPULATION TO RUN A CLINICAL 2743 01:41:30,426 --> 01:41:36,232 TRIAL, TO LOOK AT THE 2744 01:41:36,232 --> 01:41:37,032 ENVIRONMENTAL INFLUENCES HAS TO 2745 01:41:37,032 --> 01:41:38,901 BE LOOKED AT AS AN OPPORTUNITY 2746 01:41:38,901 --> 01:41:41,570 TO BRING THE TOOLS IN THAT CAN 2747 01:41:41,570 --> 01:41:47,643 ALSO DRIVE FUNDAMENTAL SCIENCE. 2748 01:41:47,643 --> 01:41:47,977 >> MARTHA. 2749 01:41:47,977 --> 01:41:50,012 >> YEAH, FIRSTLY THANK YOU FOR 2750 01:41:50,012 --> 01:41:51,547 EXCELLENT PRESENTATIONS, VERY, 2751 01:41:51,547 --> 01:41:52,715 VERY INFORMATIVE FOR ALL OF US. 2752 01:41:52,715 --> 01:41:56,152 I HAVE A COMMENT RATHER THAN A 2753 01:41:56,152 --> 01:41:57,887 QUESTION, BUT IT'S KIND OF 2754 01:41:57,887 --> 01:42:03,492 DISPLAYING THE PANDEMIC EFFORT 2755 01:42:03,492 --> 01:42:05,561 IS STUCK OR WHAT THE RIGHT WORD 2756 01:42:05,561 --> 01:42:05,961 IS? 2757 01:42:05,961 --> 01:42:11,434 IS THAT THE RIGHT WORD? 2758 01:42:11,434 --> 01:42:13,936 AND IS THERE LIGHT AT THE END OF 2759 01:42:13,936 --> 01:42:16,806 THE TUNNEL THAT THIS WOULD BE 2760 01:42:16,806 --> 01:42:17,039 REVIVED? 2761 01:42:17,039 --> 01:42:26,982 I MEAN AUTOJUST SAD TO BE IN 2762 01:42:26,982 --> 01:42:29,051 THIS SITUATION O QUICKLY AFTER 2763 01:42:29,051 --> 01:42:30,686 WHAT WE WENT THROUGH WITH 2764 01:42:30,686 --> 01:42:32,521 COVID-19 AND NOT PREPARE FOR THE 2765 01:42:32,521 --> 01:42:37,092 NEXT 1 1. 2766 01:42:37,092 --> 01:42:38,527 >> THAT MIGHT BE FOR ME, WE'RE 2767 01:42:38,527 --> 01:42:39,862 NOT STUCK, WE'RE TO THE 2768 01:42:39,862 --> 01:42:44,633 FORGETTING IT, OUR INITIATIVES, 2769 01:42:44,633 --> 01:42:46,168 OUR WORK, YOU KNOW THE WORK OF 2770 01:42:46,168 --> 01:42:49,004 NIAID AND ALL THE OTHER ICs TO 2771 01:42:49,004 --> 01:42:54,376 NOT ONLY CONTINUE TO ADDRESS THE 2772 01:42:54,376 --> 01:42:56,679 FALL OUT I WOULD JUST SAY FALL 2773 01:42:56,679 --> 01:42:59,548 OUT AND TRAUMA FROM THIS, FROM 2774 01:42:59,548 --> 01:43:01,484 THE MOST RECENT TERRIBLE NEW 2775 01:43:01,484 --> 01:43:04,887 AGENT ARRIVING, THE INFECTIOUS 2776 01:43:04,887 --> 01:43:06,388 AGENT ARRIVING BUT TO PREPARE 2777 01:43:06,388 --> 01:43:08,157 FOR THE NEXT. 2778 01:43:08,157 --> 01:43:09,358 THERE'S BEEN NO DIMINUTION OF 2779 01:43:09,358 --> 01:43:11,260 OUR FOCUS ON THAT, IT'S JUST-- 2780 01:43:11,260 --> 01:43:13,529 >> I MEANT THE FUNDING. 2781 01:43:13,529 --> 01:43:16,499 BUT I DIDN'T MEAN THE 2782 01:43:16,499 --> 01:43:17,833 COMMITMENT. 2783 01:43:17,833 --> 01:43:19,235 >> I THINK MAKING THE GOOD CASE 2784 01:43:19,235 --> 01:43:21,103 FOR OUR WORK IS WHAT WE NEED TO 2785 01:43:21,103 --> 01:43:22,238 KEEP DOING. 2786 01:43:22,238 --> 01:43:23,472 >> OKAY, THANK YOU. 2787 01:43:23,472 --> 01:43:28,911 >> I HAVE BRIAN AND THEN ATULLE 2788 01:43:28,911 --> 01:43:29,812 IN. 2789 01:43:29,812 --> 01:43:32,948 >> WELL I JUST WANT TO SAY HOW 2790 01:43:32,948 --> 01:43:36,819 DELIGHTED I WAS TO SEE THAT OUR 2791 01:43:36,819 --> 01:43:38,120 SCIENTIFIC WORK IS NEVER DONE, 2792 01:43:38,120 --> 01:43:39,989 AND CONTRIBUTING TO LONG HEALTHY 2793 01:43:39,989 --> 01:43:40,189 LIVES. 2794 01:43:40,189 --> 01:43:43,559 I SPENT 2 DAYS AT THE NIH 2795 01:43:43,559 --> 01:43:44,593 SUPPORTIVE AND IMPLEMENTATION 2796 01:43:44,593 --> 01:43:46,262 SCIENCE CONFERENCE WHICH WAS 2797 01:43:46,262 --> 01:43:47,162 PACKED AUDIENCES, REALLY YOU 2798 01:43:47,162 --> 01:43:48,597 COULD BT GET INTO SO MANY ROOMS, 2799 01:43:48,597 --> 01:43:50,466 IT WAS THE LARGEST MEETING YET 2800 01:43:50,466 --> 01:43:52,535 OF ITS KIND AND I THINK THERE IS 2801 01:43:52,535 --> 01:43:55,371 A LOT OF HUNGER AMONGST OUR 2802 01:43:55,371 --> 01:43:56,438 SCIENTIFIC COMMUNITY TO 2803 01:43:56,438 --> 01:43:57,940 UNDERSTAND HOW TO TRANSFER THE 2804 01:43:57,940 --> 01:43:59,074 KNOWLEDGE THAT COMES OUT OF 2805 01:43:59,074 --> 01:44:00,376 THEIR NETWORK IERK H SUPPORTED 2806 01:44:00,376 --> 01:44:04,113 WORK CAN TO APPLICATION, INTO 2807 01:44:04,113 --> 01:44:05,848 PRACTICE AT THE SAME TIME 2808 01:44:05,848 --> 01:44:07,149 DESPITE THE HUGE GROWTH THERE 2809 01:44:07,149 --> 01:44:08,651 REALLY IS A VERY SHORT SURVEYS 2810 01:44:08,651 --> 01:44:11,353 PLOY OF RESEARCHERS WHO 2811 01:44:11,353 --> 01:44:13,889 UNDERSTAND THE SCIENCE, WHO CAN 2812 01:44:13,889 --> 01:44:14,690 SUPPORT INVESTIGATORS AND 2813 01:44:14,690 --> 01:44:15,991 DISSEMINATING THEIR WORK AND 2814 01:44:15,991 --> 01:44:18,060 TRANSLATING IT TO APPLICATION, 2815 01:44:18,060 --> 01:44:20,696 AND YOU KNOW, I WOULD SAY, LIKE 2816 01:44:20,696 --> 01:44:22,565 MAYBE IT'S ONLY SECOND TO AI IN 2817 01:44:22,565 --> 01:44:23,933 MY EXPERIENCE, LIKE EVERYONE'S 2818 01:44:23,933 --> 01:44:26,068 LOOKING FOR AI EXPERIENCE AND 2819 01:44:26,068 --> 01:44:27,469 EVERYONE'S LOOKING FOR DNA 2820 01:44:27,469 --> 01:44:29,705 EXPERTS AS WELL SO I WONDER HOW 2821 01:44:29,705 --> 01:44:32,007 WE CAN THINK COLLECTIVELY TO 2822 01:44:32,007 --> 01:44:34,176 HELP SUPPORT THE GROWTH IN THIS 2823 01:44:34,176 --> 01:44:35,311 AREA, AND TO HELP INVESTIGATORS 2824 01:44:35,311 --> 01:44:38,080 THINK ABOUT HOW TO BUILD INTO 2825 01:44:38,080 --> 01:44:39,214 THEIR APPLICATIONS, KNOWLEDGE 2826 01:44:39,214 --> 01:44:39,882 TRANSFER ACTIVITIES, I THINK 2827 01:44:39,882 --> 01:44:41,183 THERE'S A LOT OF QUESTIONS FOR 2828 01:44:41,183 --> 01:44:42,251 PEOPLE ABOUT HOW TO DO THAT 2829 01:44:42,251 --> 01:44:48,457 ISSUE HOW DOES IT GET REVIEWED 2830 01:44:48,457 --> 01:44:53,529 IN WHAT'S A REASONABLE ACTIVITY 2831 01:44:53,529 --> 01:44:54,163 AROUND THE EXPERIMENT? 2832 01:44:54,163 --> 01:44:55,531 I WOULD LOVE TO DISCUSS THAT IN 2833 01:44:55,531 --> 01:44:58,000 THE FUTURE AND I THINK IT TIES 2834 01:44:58,000 --> 01:44:59,868 INTO THE LARGER DISCUSSION OF 2835 01:44:59,868 --> 01:45:02,137 MISTRUST OF SCIENCE, HOW WOE 2836 01:45:02,137 --> 01:45:03,839 DISSEMINATE OUR SCIENCE 2837 01:45:03,839 --> 01:45:05,941 CONTRIBUTED TO HOW PEOPLE TRUST 2838 01:45:05,941 --> 01:45:07,109 US. 2839 01:45:07,109 --> 01:45:07,409 NTHANK YOU. 2840 01:45:07,409 --> 01:45:08,477 YOU ILLUSTRATE 2 THINGS 2841 01:45:08,477 --> 01:45:10,346 EVERYTHING WE DO ALSO HAS TO 2842 01:45:10,346 --> 01:45:11,647 WORRY ABOUT THE WORKFORCE, 2843 01:45:11,647 --> 01:45:12,081 EVERYTHING. 2844 01:45:12,081 --> 01:45:16,051 BUT THE OTHER SPECIFIC TO THIS 2845 01:45:16,051 --> 01:45:18,354 ISSUE, WE NEED WHOLE NEW TYPE OF 2846 01:45:18,354 --> 01:45:20,723 RESEARCHER, NEW, YOU KNOW WE 2847 01:45:20,723 --> 01:45:23,926 NEED THE ADMINISTRATORS, WE NEED 2848 01:45:23,926 --> 01:45:26,729 HEALTH ECONOMISTS, RIGHT? 2849 01:45:26,729 --> 01:45:29,431 WE NEED CLINICAL DELIVERY 2850 01:45:29,431 --> 01:45:29,965 EFFICIENCY EXPERTS. 2851 01:45:29,965 --> 01:45:31,500 THIS IS AN AREA YOU KNOW MORE 2852 01:45:31,500 --> 01:45:33,335 THAN I DO, RIGHT IN BUT WE NEED 2853 01:45:33,335 --> 01:45:35,304 TO ENGAGE A WHOLE NEW DIFFERENT 2854 01:45:35,304 --> 01:45:37,373 TYPE OF RESEARCHER THAT MAYBE 2855 01:45:37,373 --> 01:45:39,808 DON'T REALIZE, HEY, WAIT NIH 2856 01:45:39,808 --> 01:45:41,243 REEL KEEPSAKESLY DOES WANT TO 2857 01:45:41,243 --> 01:45:42,011 HEAR ABOUT MY IDEA. 2858 01:45:42,011 --> 01:45:44,980 SO I THINK THIS IS--THAT MEETING 2859 01:45:44,980 --> 01:45:46,715 IS A CRITICAL STEP IN GETTING 2860 01:45:46,715 --> 01:45:48,150 OUT, PUT OUT THERE WHAT KIND OF 2861 01:45:48,150 --> 01:45:49,318 QUESTIONS ARE WE INTERESTED IN 2862 01:45:49,318 --> 01:45:50,953 DOING BUT ALSO TO HEAR BACK FROM 2863 01:45:50,953 --> 01:45:51,787 THE COMMUNITY WHAT KIND OF 2864 01:45:51,787 --> 01:45:54,556 RESEARCH IS GOING TO BE USEFUL 2865 01:45:54,556 --> 01:45:56,659 TO YOU AND SO, YEAH, NOT ONLY 2866 01:45:56,659 --> 01:45:58,160 GROW THE YOUNG GENERATION BUT 2867 01:45:58,160 --> 01:46:00,696 LOOK TO NEW PEOPLE THAT HAVEN'T 2868 01:46:00,696 --> 01:46:02,865 BEEN ENGAGED IN THIS YET. 2869 01:46:02,865 --> 01:46:08,203 >> OKAY, SO I HAVE ATULLE, THEN 2870 01:46:08,203 --> 01:46:10,139 HOWARD THEN LUCILA. 2871 01:46:10,139 --> 01:46:10,773 >> EXCELLENT. 2872 01:46:10,773 --> 01:46:11,006 THANKS. 2873 01:46:11,006 --> 01:46:11,340 TWO COMMENTS. 2874 01:46:11,340 --> 01:46:13,742 FIRST IT'S GRIT TO SEE THE 2875 01:46:13,742 --> 01:46:15,611 EFFORTS IN ARTIFICIAL 2876 01:46:15,611 --> 01:46:16,645 INTELLIGENCE, AI, THE PRIVATE 2877 01:46:16,645 --> 01:46:17,713 EFFORTS RIGHT NOW ARE HUGE. 2878 01:46:17,713 --> 01:46:19,948 A LOT OF HYPE, BUT THERE ARE 2879 01:46:19,948 --> 01:46:21,583 ALSO BUILDING TOWARDS CLOSED 2880 01:46:21,583 --> 01:46:24,319 MODELS, SO IT WOULD BE GREAT FOR 2881 01:46:24,319 --> 01:46:28,057 NIH'S EFFORT ANDS OTHER 2882 01:46:28,057 --> 01:46:30,125 GOVERNMENTAL INVESTMENTS BUILD 2883 01:46:30,125 --> 01:46:31,560 TOWARD DEMOCRATIZED FOR OPEN 2884 01:46:31,560 --> 01:46:32,027 MODELS. 2885 01:46:32,027 --> 01:46:34,463 WE ALSO KNOW OTHER COUNTRIES AND 2886 01:46:34,463 --> 01:46:35,431 CONTINENTS ARE INVESTING LIKE 2887 01:46:35,431 --> 01:46:37,066 CRAZY AS WELL, IT WOULD BE GREAT 2888 01:46:37,066 --> 01:46:38,500 NOT TO BE LEFT BEHIND EMPLOY I 2889 01:46:38,500 --> 01:46:39,368 SENSE THAT WE'RE NOT. 2890 01:46:39,368 --> 01:46:40,869 THERE'S A LOT OF EXCITEMENT BUT 2891 01:46:40,869 --> 01:46:42,971 WE NEED MORE MUCHERS IN THIS 2892 01:46:42,971 --> 01:46:44,273 FIELD, THE SLIDE YOU SKIPPED 2893 01:46:44,273 --> 01:46:46,642 OVER WAS THE AIM AHEAD PROGRAM 2894 01:46:46,642 --> 01:46:49,178 WHICH SUSPECT A PIPELINE 2895 01:46:49,178 --> 01:46:51,647 DEVELOPMENT PROGRAM, JUST WANT 1 2896 01:46:51,647 --> 01:46:55,017 COMMENT THOUGH IS THAT THE 2019 2897 01:46:55,017 --> 01:46:57,786 ACD, AI WORKING GROUP, 2019 WAS 2898 01:46:57,786 --> 01:47:00,889 EONS AGO IN AI, THERE MIGHT BE 2899 01:47:00,889 --> 01:47:02,424 TIMES TO EVEN REFRESH THAT SO 2900 01:47:02,424 --> 01:47:04,293 THAT'S JUST A COMMENT TO THINK 2901 01:47:04,293 --> 01:47:13,368 ABOUT AND A QUESTION. 2902 01:47:13,368 --> 01:47:14,903 NOKAY, THE QUESTION IS UNRELATED 2903 01:47:14,903 --> 01:47:17,539 BUT JUST MORE THINKING, YOU 2904 01:47:17,539 --> 01:47:18,474 STARTED YOUR PRESENTATION TODAY 2905 01:47:18,474 --> 01:47:20,442 TALKING ABOUT TRUST AND SCIENCE, 2906 01:47:20,442 --> 01:47:22,778 HAVING DECLEANED AND YOU ENDED 2907 01:47:22,778 --> 01:47:24,680 THE PRESENTATIONOT BUDGET AND I 2908 01:47:24,680 --> 01:47:28,183 CAN'T SENSE THAT THESE 2 ARE 2909 01:47:28,183 --> 01:47:28,817 ABSOLUTELY CONNEBBED, OBVIOUSLY 2910 01:47:28,817 --> 01:47:31,186 AND THE REAL QUESTION IS HAS NIH 2911 01:47:31,186 --> 01:47:34,156 EVER ACTUALLY FACED A BUMMINGET 2912 01:47:34,156 --> 01:47:35,457 CUT BEFORE IN ITS HISTORY AND 2913 01:47:35,457 --> 01:47:40,229 HOW DOES THAT HAPPEN? 2914 01:47:40,229 --> 01:47:42,197 >> OH YEAH, THIS IS HOW I MAKE 2915 01:47:42,197 --> 01:47:44,333 THE ASSERTION WE KNOW WHO'S 2916 01:47:44,333 --> 01:47:46,235 GOING TO GET HURT HERE, YOU KNOW 2917 01:47:46,235 --> 01:47:47,536 THE PEOPLE WHO ARE GOING TO GET 2918 01:47:47,536 --> 01:47:49,404 HURT ARE THE YOUNG, THE 2919 01:47:49,404 --> 01:47:50,372 TRAINEES, THE JUNIOR 2920 01:47:50,372 --> 01:47:52,674 INVESTIGATORS, THE POST DOCS, 2921 01:47:52,674 --> 01:47:55,344 THE FELLOWS, ET CETERA AND YOU 2922 01:47:55,344 --> 01:47:56,578 KNOW THAT'S--THAT IS A TRAGEDY. 2923 01:47:56,578 --> 01:48:00,983 YOU KNOW I THINK THE LAST TIME 2924 01:48:00,983 --> 01:48:02,017 WE SAW SEQUESTRATION WHEN YOU 2925 01:48:02,017 --> 01:48:05,154 LOOK AT THE DATA, THE WORD IS WE 2926 01:48:05,154 --> 01:48:06,889 LOST A GENERATION DUE TO 2927 01:48:06,889 --> 01:48:07,256 SEQUESTRATION. 2928 01:48:07,256 --> 01:48:08,791 AND I DON'T HAVE THE ANSWERS 2929 01:48:08,791 --> 01:48:13,495 BECAUSE IT'S NOT IN MY HANDS 2930 01:48:13,495 --> 01:48:14,429 NECESSARILY, I MEAN WE WANT TO 2931 01:48:14,429 --> 01:48:15,831 DO EVERYTHING WE CAN TO HELP BUT 2932 01:48:15,831 --> 01:48:16,932 WE ARE LOOKING TO OUR 2933 01:48:16,932 --> 01:48:22,171 INSTITUTIONS TO THINK ABOUT THIS 2934 01:48:22,171 --> 01:48:23,138 IMMEDIATELY ABOUT HOW WE CAN 2935 01:48:23,138 --> 01:48:27,876 SUPPORT THE NEXT GENERATION. 2936 01:48:27,876 --> 01:48:30,712 >> THANK YOU. 2937 01:48:30,712 --> 01:48:31,046 HOWARD? 2938 01:48:31,046 --> 01:48:33,148 >> THANK YOU FOR ALL THE 2939 01:48:33,148 --> 01:48:35,551 OUTSTANDING PROGRESS AT NIH, MY 2940 01:48:35,551 --> 01:48:37,386 QUESTION IS ALSO ABOUT AI AND 2941 01:48:37,386 --> 01:48:37,753 THINKING ALIKE. 2942 01:48:37,753 --> 01:48:39,688 SO AS YOU KNOW THIS WORK IS OF 2943 01:48:39,688 --> 01:48:41,824 COURSE REALLY MOVING AT A VERY 2944 01:48:41,824 --> 01:48:45,861 FAST PACE AND THIS WORK IS 2945 01:48:45,861 --> 01:48:47,095 INCREDIBLY CAPITOL INTENSIVE FOR 2946 01:48:47,095 --> 01:48:48,730 THE TALENT POOL NEEDED AND ALSO 2947 01:48:48,730 --> 01:48:49,998 FOR THE ACTUAL MACHINES TO DO 2948 01:48:49,998 --> 01:48:50,632 THE WORK. 2949 01:48:50,632 --> 01:48:54,136 AND YOU ALSO TALKED ABOUT AMP, 2950 01:48:54,136 --> 01:48:55,571 SO IS THERE A POSSIBLE OF 2951 01:48:55,571 --> 01:48:59,208 ENGAGING SOME SORT OF 2952 01:48:59,208 --> 01:49:00,108 PUBLIC-PRIVATE ENTERPRISE 2953 01:49:00,108 --> 01:49:01,877 THROUGH FNIH, BUT IT'S VERY 2954 01:49:01,877 --> 01:49:03,412 IMPORTANT TO REINFORCE TO THE 2955 01:49:03,412 --> 01:49:08,016 POINT THAT THE MODEL STAY 2956 01:49:08,016 --> 01:49:08,584 PUBLICLY ACCESSIBLE. 2957 01:49:08,584 --> 01:49:11,186 >> OH, YOU ARE SPEAKING 2958 01:49:11,186 --> 01:49:13,355 EXACTLY--THIS IS EXACTLY WHAT I 2959 01:49:13,355 --> 01:49:18,660 HAD HOPED TO HEAR AND IT IS JUST 2960 01:49:18,660 --> 01:49:21,463 WONDERFUL VALIDATION OF A 2961 01:49:21,463 --> 01:49:22,898 DIRECTION WE REALLY THINK WE 2962 01:49:22,898 --> 01:49:24,066 NEED TO GO PRACTICES ALL. 2963 01:49:24,066 --> 01:49:25,601 SO VERY, VERY PLEASED TO HEAR 2964 01:49:25,601 --> 01:49:25,834 THAT. 2965 01:49:25,834 --> 01:49:28,136 I AGREE THIS IS YET ANOTHER 2966 01:49:28,136 --> 01:49:30,105 EXAMPLE WHERE NIH CANNOT DO THIS 2967 01:49:30,105 --> 01:49:30,672 ALONE. 2968 01:49:30,672 --> 01:49:32,174 NOT ONLY CANNOT, SHOULD NOT DO 2969 01:49:32,174 --> 01:49:34,309 THIS ALONE. 2970 01:49:34,309 --> 01:49:36,979 THAT WOULD BE VERY LIMITING AND 2971 01:49:36,979 --> 01:49:38,714 SO, WE DEFINITELY LOOK FORWARD 2972 01:49:38,714 --> 01:49:41,116 TO MOVING THERE AND YOU WILL 2973 01:49:41,116 --> 01:49:45,020 HEAR A MORE RIGOROUS PLAN TO DO 2974 01:49:45,020 --> 01:49:46,889 EXACTLY WHAT HAVE YOU DESCRIBED 2975 01:49:46,889 --> 01:49:49,191 IN THE NOT TOO DISTANT FUTURE. 2976 01:49:49,191 --> 01:49:51,326 IT'S 1 OF THE PRIORITIES THAT 2977 01:49:51,326 --> 01:49:54,730 WORKING WITH ALL OF THE IC 2978 01:49:54,730 --> 01:49:56,031 DIRECTORS, WE'VE ALREADY 2979 01:49:56,031 --> 01:49:57,566 DISCUSSED AND ARE IN THE PROCESS 2980 01:49:57,566 --> 01:50:01,870 OF GETTING READY TO THEREFORE TO 2981 01:50:01,870 --> 01:50:02,204 YOU. 2982 01:50:02,204 --> 01:50:06,008 >> OKAY, I HAVE LUCILA, COREY 2983 01:50:06,008 --> 01:50:06,775 AND THEN GISELLE. 2984 01:50:06,775 --> 01:50:09,044 >> HI, MINE IS ALSO RELATED TO 2985 01:50:09,044 --> 01:50:11,647 AI IN 2 ASPECTS OF IT. 2986 01:50:11,647 --> 01:50:15,183 I'M DELIGHTED TO HEAR ABOUT THE 2987 01:50:15,183 --> 01:50:18,453 EGHTECS AND INTEREST WORTH AI 2988 01:50:18,453 --> 01:50:20,088 BEING VERY IMPORTANT FOCUS AREA 2989 01:50:20,088 --> 01:50:20,689 AND PRIORITY. 2990 01:50:20,689 --> 01:50:23,358 IN TERMS OF THAT, I THINK IN 2991 01:50:23,358 --> 01:50:27,462 TERMS OF GETTING DATA FROM 2992 01:50:27,462 --> 01:50:28,931 UNDERREPRESENTED POPULATIONS IN 2993 01:50:28,931 --> 01:50:31,667 TERMS OF ELECTRONIC HEALTH 2994 01:50:31,667 --> 01:50:32,267 RECORDS FOR EXAMPLE, IS 2995 01:50:32,267 --> 01:50:38,240 IMPORTANT THAT WE PAY ATTENTIO, 2996 01:50:38,240 --> 01:50:41,009 THAT WE DON'T CONTINUE TO FOCUS 2997 01:50:41,009 --> 01:50:42,744 ON INSTITUTIONS THAT ALREADY 2998 01:50:42,744 --> 01:50:45,914 HAVE THEIR REPRESENTATION AND SO 2999 01:50:45,914 --> 01:50:51,019 ON AND GO TO COMMUNITY BASED 3000 01:50:51,019 --> 01:50:52,521 ORGANIZATIONS LIKE QHCs AND A 3001 01:50:52,521 --> 01:50:53,789 LOT OF OTHER COMMUNITIES. 3002 01:50:53,789 --> 01:50:55,891 I THINK TELL BE A GREAT, GREAT 3003 01:50:55,891 --> 01:50:56,491 THING TO DO. 3004 01:50:56,491 --> 01:50:58,460 IN TERMS OF TRAINING PEOPLE IT'S 3005 01:50:58,460 --> 01:51:00,262 SELF-EVIDENT THAT WE NEED TO 3006 01:51:00,262 --> 01:51:03,799 PROVIDE IT TO EVERYONE, MAYBE 3007 01:51:03,799 --> 01:51:06,068 INCREASE PARTICIPATION IN 3008 01:51:06,068 --> 01:51:07,402 COMMUNITY COLLEGES FROM UNDER 3009 01:51:07,402 --> 01:51:09,204 SEGMENTS AS WELL. 3010 01:51:09,204 --> 01:51:11,506 AND LASTLY REGARDING THE COMPUTE 3011 01:51:11,506 --> 01:51:17,179 POWER AND REGARDING THIS 3012 01:51:17,179 --> 01:51:17,846 PUBLIC-PARTNER, PUBLIC-PRIVATE 3013 01:51:17,846 --> 01:51:19,581 PARTNERSHIP, I THINK IT'S ALSO 3014 01:51:19,581 --> 01:51:23,085 EVIDENT TO THE COMPUTE POWER 3015 01:51:23,085 --> 01:51:25,921 AVAILABLE TO INVESTIGATORS THAT 3016 01:51:25,921 --> 01:51:27,656 MAKES US NOT COMPETITIVE FOR 3017 01:51:27,656 --> 01:51:30,392 WHAT INDUSTRY IS, DOING IN THIS 3018 01:51:30,392 --> 01:51:31,293 AREA. 3019 01:51:31,293 --> 01:51:35,931 SO HOW CAN WE START ADDRESSING 3020 01:51:35,931 --> 01:51:36,798 THAT PROBLEM? 3021 01:51:36,798 --> 01:51:39,601 >> YES, THANK YOU FOR THAT AS 3022 01:51:39,601 --> 01:51:40,102 WELL. 3023 01:51:40,102 --> 01:51:42,070 I ALSO COMPLETELY AGREE. 3024 01:51:42,070 --> 01:51:44,272 AS YOU HEARD, I THINK THROUGHOUT 3025 01:51:44,272 --> 01:51:45,974 THE ENTIRE PRESENTATION, WE WILL 3026 01:51:45,974 --> 01:51:49,144 NOT SUCCEED IN OUR EFFORTS 3027 01:51:49,144 --> 01:51:53,548 WITHOUT MAKING SURE THAT WE ARE 3028 01:51:53,548 --> 01:51:55,517 ENGAGING PEOPLE AT ALL WALKS OF 3029 01:51:55,517 --> 01:51:56,385 LIFE INTO THIS ACTIVITY AND 1 OF 3030 01:51:56,385 --> 01:51:59,688 THE THINGS THAT WE ARE WORKING 3031 01:51:59,688 --> 01:52:01,089 ON DPEAN VERY DILIGENTLY AND I 3032 01:52:01,089 --> 01:52:02,958 HOPE YOU WILL SEE SOON IS THAT, 3033 01:52:02,958 --> 01:52:07,629 WE PLAN TO DO THIS IN CONCERT 3034 01:52:07,629 --> 01:52:11,033 WITH PEOPLE DIRECTLY AND TO 3035 01:52:11,033 --> 01:52:12,801 ENGAGE, TO DEVELOP TRUST BECAUSE 3036 01:52:12,801 --> 01:52:13,869 THE PEOPLE PARTICIPATING, THE 3037 01:52:13,869 --> 01:52:17,039 PEOPLE WHO'S DATA WE ARE USING 3038 01:52:17,039 --> 01:52:19,041 CAN DIRECTLY SEE HOW THEY ARE 3039 01:52:19,041 --> 01:52:20,942 BENEFITING FROM US BEING ABLE TO 3040 01:52:20,942 --> 01:52:21,510 ACQUIRE THIS DATA. 3041 01:52:21,510 --> 01:52:24,046 NOW WHY DO I SAY THIS. 3042 01:52:24,046 --> 01:52:25,247 INFORMATION TECHNOLOGY IS 3043 01:52:25,247 --> 01:52:27,449 RADICALLY DIFFERENT THAN IT WAS 3044 01:52:27,449 --> 01:52:35,424 JUST EVEN 1 YEAR AGO. 3045 01:52:35,424 --> 01:52:38,060 AND SO, IF WE HAVE THE ABILITY 3046 01:52:38,060 --> 01:52:39,795 TO EXCHANGE DATA IN THE 3047 01:52:39,795 --> 01:52:40,629 COMMERCIAL ENTERPRISE, JUST 3048 01:52:40,629 --> 01:52:42,230 THINK ABOUT THAT EVERY TIME YOU 3049 01:52:42,230 --> 01:52:43,965 LOG-IN, IF WE HAVE THAT ABILITY 3050 01:52:43,965 --> 01:52:45,567 TO EXCHANGE DATA WITH AN 3051 01:52:45,567 --> 01:52:47,436 INDIVIDUAL PERSON AT THAT LEVEL, 3052 01:52:47,436 --> 01:52:48,503 PERSONALIZED LEVEL, OH BOY WE 3053 01:52:48,503 --> 01:52:50,505 WILL HAVE THE ABILITY TO DO IT 3054 01:52:50,505 --> 01:52:52,808 FOR RESEARCH, SO THAT PEOPLE 3055 01:52:52,808 --> 01:52:54,076 PARTICIPATING CAN KNOW WHAT'S 3056 01:52:54,076 --> 01:52:54,342 HAPPENING. 3057 01:52:54,342 --> 01:52:58,246 SO BUILDING AND PILOTING THESE 3058 01:52:58,246 --> 01:52:59,448 KINDS OF UNDERSERVED ACTIONS 3059 01:52:59,448 --> 01:53:00,816 WILL NUMBER 1 HELP US BUILD 3060 01:53:00,816 --> 01:53:02,250 TRUST, NUMBER 2 IT WILL INSURE 3061 01:53:02,250 --> 01:53:03,785 THAT THE RESULTS ARE RELEVANT TO 3062 01:53:03,785 --> 01:53:06,888 THE PERSON WHO'S ACTUALLY 3063 01:53:06,888 --> 01:53:07,589 PARTICIPATING AND FINALLY, THIS 3064 01:53:07,589 --> 01:53:09,357 IS NOT GOING TO BE EASY, THIS IS 3065 01:53:09,357 --> 01:53:11,993 NOT GOING TO BE WITHOUT GREAT 3066 01:53:11,993 --> 01:53:14,362 EXPENSE AND COMMITMENT, YOU 3067 01:53:14,362 --> 01:53:19,401 KNOW, I'M NOT POLYANNAISH ABOUT 3068 01:53:19,401 --> 01:53:21,303 WHAT IT WILL TAKE BUT I'M ALSO 3069 01:53:21,303 --> 01:53:22,637 SENSING FROM THESE DISCUSSIONS 3070 01:53:22,637 --> 01:53:23,705 THAT THERE'S BIG COMMUNITY 3071 01:53:23,705 --> 01:53:26,241 SUPPORT FOR MAKING THIS A BIG 3072 01:53:26,241 --> 01:53:27,642 PRIORITY EMPLOY SO I'M VERY 3073 01:53:27,642 --> 01:53:28,810 GRATEFUL FOR YOUR COMMENTS. 3074 01:53:28,810 --> 01:53:30,946 >> WE WILL HAVE COREY AND THEN 3075 01:53:30,946 --> 01:53:32,013 GISELLE WILL BE THE LAST 3076 01:53:32,013 --> 01:53:33,115 QUESTION FOR THIS SEGMENT. 3077 01:53:33,115 --> 01:53:34,783 >> I DON'T HAVE A QUESTION BUT A 3078 01:53:34,783 --> 01:53:37,853 COMMENT. 3079 01:53:37,853 --> 01:53:40,856 SO IN TERMS OF RECOMMENDATIONS 3080 01:53:40,856 --> 01:53:42,824 AND NIH'S RESPONSES, THE 3081 01:53:42,824 --> 01:53:43,792 RECOMMENDATIONS OF THE SUBGROUP 3082 01:53:43,792 --> 01:53:44,826 ON INDIVIDUALS WITH 3083 01:53:44,826 --> 01:53:46,294 DISABILITIES, I AM SO EXCITED 3084 01:53:46,294 --> 01:53:48,597 AND PLEASED THE WAY THE NIH HAS 3085 01:53:48,597 --> 01:53:48,864 RESPONDED. 3086 01:53:48,864 --> 01:53:50,599 I THINK IT'S BEEN A STELLAR 3087 01:53:50,599 --> 01:53:52,601 RESPONSE TO THE COMMITTEE'S 3088 01:53:52,601 --> 01:53:56,638 WORK, SO MANY TIMES I'VE 3089 01:53:56,638 --> 01:53:57,639 PARTICIPATED ON COMMITTEES AND 3090 01:53:57,639 --> 01:54:00,342 WHERE A LOT OF WORK HAVE BEEN 3091 01:54:00,342 --> 01:54:01,443 PUT FORTH BUT NOTHING REALLY 3092 01:54:01,443 --> 01:54:02,811 COMES OUT OF IT SUBSTANTIAL AND 3093 01:54:02,811 --> 01:54:09,251 I THINK IN TERMS OF THE WAYS 3094 01:54:09,251 --> 01:54:10,552 THAT NIH IS RESPONDING REALLY 3095 01:54:10,552 --> 01:54:12,020 SPEAKS TO THE VALUE FOR 3096 01:54:12,020 --> 01:54:13,054 ENCLOUDING PEOPLE WITH 3097 01:54:13,054 --> 01:54:15,590 DISABILITIES AS A MARGINALIZED 3098 01:54:15,590 --> 01:54:18,393 POPULATION WITHIN THE NIH BI ONY 3099 01:54:18,393 --> 01:54:20,562 MEDICAL AND BEHAVIORIAL SCIENCE 3100 01:54:20,562 --> 01:54:20,795 AGENDA. 3101 01:54:20,795 --> 01:54:23,999 I THINK IN TERMS OF THE 3102 01:54:23,999 --> 01:54:25,167 DESIGNATION, PEOPLE WITH 3103 01:54:25,167 --> 01:54:26,902 DISABILITIES HAS A HEALTH 3104 01:54:26,902 --> 01:54:29,037 DISPARITIES POPULATION HAS A 3105 01:54:29,037 --> 01:54:31,907 PARADIGM SHIFT FOR THE AGENCY 3106 01:54:31,907 --> 01:54:35,410 AND WILL HELP TO INCREASE THE 3107 01:54:35,410 --> 01:54:36,344 NUMBER OF PARTICIPANTS AS WELL 3108 01:54:36,344 --> 01:54:39,314 AS THE NUMBER OF RESEARCH 3109 01:54:39,314 --> 01:54:43,018 SCIENTISTS WITH DISABILITIES WHO 3110 01:54:43,018 --> 01:54:45,353 PARTICIPATE IN RESEARCH AT NIH, 3111 01:54:45,353 --> 01:54:48,523 INTRA MIEWRALLY, AS WELL AS 3112 01:54:48,523 --> 01:54:52,427 EXTRA MIEWRALLY. 3113 01:54:52,427 --> 01:54:56,364 BUT HAVING SERVED ON--SERVED ON 3114 01:54:56,364 --> 01:54:57,532 THIS PARTICULAR SUB COMMITTEE 3115 01:54:57,532 --> 01:55:00,936 AGAIN AND IT'S JUST A PLEASURE 3116 01:55:00,936 --> 01:55:03,805 TO BE HERE AND TO HEAR FROM THE 3117 01:55:03,805 --> 01:55:08,510 DIRECTOR AND FROM THE AGENCY, 3118 01:55:08,510 --> 01:55:10,011 THE ACTUAL OUTPUT THAT COME OUT 3119 01:55:10,011 --> 01:55:12,414 OF THIS WORK EMPLOY THERE'S 3120 01:55:12,414 --> 01:55:14,349 STILL MUCH WORK TO BE DONE. 3121 01:55:14,349 --> 01:55:18,853 AND I HOPE THAT NIH IS COMMITTED 3122 01:55:18,853 --> 01:55:19,654 TO DOING THAT WORK. 3123 01:55:19,654 --> 01:55:22,591 I THINK THE STEERING COMMITTEE 3124 01:55:22,591 --> 01:55:28,330 OF THE ACD, WGD, IS WORKING TO 3125 01:55:28,330 --> 01:55:30,265 IMPLEMENT SOME OF THE OTHER 3126 01:55:30,265 --> 01:55:31,933 RECOMMENDATIONS IN THE REPORT 3127 01:55:31,933 --> 01:55:35,604 AND I HOPE THAT WE CAN MONITOR 3128 01:55:35,604 --> 01:55:38,773 THE PROGRESS IN TERMS OF HOW 3129 01:55:38,773 --> 01:55:40,842 THOSE RECOMMENDATIONS ARE 3130 01:55:40,842 --> 01:55:43,478 CARRIED OUT AND HOPEFULLY, 3131 01:55:43,478 --> 01:55:45,046 PUSHED--CONTINUE TO PUSH THE 3132 01:55:45,046 --> 01:55:47,882 AIENDA TOWARD INCLUDING PEOPLE 3133 01:55:47,882 --> 01:55:50,085 WITH DISABILITIES, NOT ONLY AS 3134 01:55:50,085 --> 01:55:51,920 RESEARCH PARTICIPANTS BUT AS 3135 01:55:51,920 --> 01:55:58,093 CREATORS OF THE RESEARCH BECAUSE 3136 01:55:58,093 --> 01:56:00,729 AS REFLECTED IN THIS NEW 3137 01:56:00,729 --> 01:56:02,931 DESIGNATION, THEY ARE CONSIDERED 3138 01:56:02,931 --> 01:56:04,132 A MARGINALIZED POPULATION THAT 3139 01:56:04,132 --> 01:56:05,900 HAVE BEEN HISTORICALLY AND 3140 01:56:05,900 --> 01:56:07,769 CURRENTLY MARGINALIZED IN THE 3141 01:56:07,769 --> 01:56:08,570 DEVELOPMENT OF SCIENCE. 3142 01:56:08,570 --> 01:56:09,371 >> SO COREY THANK YOU SO MUCH 3143 01:56:09,371 --> 01:56:10,372 FOR THAT AND I WILL JUDGE UOF 3144 01:56:10,372 --> 01:56:12,007 THE SAY AGAIN, THIS IS THE 3145 01:56:12,007 --> 01:56:12,207 START. 3146 01:56:12,207 --> 01:56:15,744 THIS IS JUST THE BEGINNING 3147 01:56:15,744 --> 01:56:17,579 BECAUSE WE WILL NOT BE 3148 01:56:17,579 --> 01:56:19,514 SUCCESSFUL UNTIL PEOPLE WITH 3149 01:56:19,514 --> 01:56:20,348 DISABILITIES ARE TELLING US 3150 01:56:20,348 --> 01:56:23,451 YOU'VE MADE LIFE BETTER FOR US. 3151 01:56:23,451 --> 01:56:24,886 AND THOSE VICTORIES IS WHAT 3152 01:56:24,886 --> 01:56:26,154 WE'RE FOCUSED ON, THE 3153 01:56:26,154 --> 01:56:27,322 DESIGNATION IS JUST THE 3154 01:56:27,322 --> 01:56:28,957 FRAMEWORK, NOW WE HAVE TO DO THE 3155 01:56:28,957 --> 01:56:33,361 REAL WORK EMPLOY SO I AGREE WIH 3156 01:56:33,361 --> 01:56:33,728 YOU. 3157 01:56:33,728 --> 01:56:35,730 >> WE WILL HAVE GISELLE, AND 3158 01:56:35,730 --> 01:56:37,265 THEN WE WILL GO INTO A BREAK 3159 01:56:37,265 --> 01:56:39,401 EMPLOY JUST A HEADS UP, WE WILL 3160 01:56:39,401 --> 01:56:43,872 HAVE PHOTOS DURING THE BREAK, SO 3161 01:56:43,872 --> 01:56:44,773 DON'T QUICKLY DISAPPEAR. 3162 01:56:44,773 --> 01:56:46,207 >> THANK YOU SO MUCH I WANT TO 3163 01:56:46,207 --> 01:56:48,910 FOLLOW UP ON LUCILA'S COMMENT, 3164 01:56:48,910 --> 01:56:50,779 THE LAST PART OF HER COMMENT 3165 01:56:50,779 --> 01:56:56,551 WHICH IS JUST TO UNDERSCORE THE 3166 01:56:56,551 --> 01:56:57,285 POTENTIAL DISPARITY THAT CAN 3167 01:56:57,285 --> 01:56:59,554 HAPPEN AND WHEN WE'RE THINKING 3168 01:56:59,554 --> 01:57:01,656 ABOUT THE COMPUTING POWER AT 3169 01:57:01,656 --> 01:57:04,125 DIFFERENT ORGANIZATIONS AND 3170 01:57:04,125 --> 01:57:05,527 INSTITUTIONS WHERE MICROSOFT 3171 01:57:05,527 --> 01:57:07,295 MIGHT BE MORE LIKELY TO ENGAGE 3172 01:57:07,295 --> 01:57:10,365 AS A COLLABORATOR AND PARTNER IN 3173 01:57:10,365 --> 01:57:12,767 THESE PUBLIC PRIVATE 3174 01:57:12,767 --> 01:57:13,601 PARTNERSHIPS, COMPARED TO OTHER 3175 01:57:13,601 --> 01:57:18,239 UNIVERSITIES THAT MAY NOT BE, OR 3176 01:57:18,239 --> 01:57:19,708 1 UNIVERSITIES WHERE THEY WILL 3177 01:57:19,708 --> 01:57:21,710 BE LESS LIKELY AND TO THINK 3178 01:57:21,710 --> 01:57:24,212 ABOUT THE NIH'S RESPONSE THERE 3179 01:57:24,212 --> 01:57:26,548 AND THE OPPORTUNITY FETAL 3180 01:57:26,548 --> 01:57:31,586 COMPARTMENT CREATE CONSORTIA 3181 01:57:31,586 --> 01:57:33,121 THAT LEVERAGE THAT--THAT CAN 3182 01:57:33,121 --> 01:57:33,988 MITIGATE THOSE DISPARITIES IN 3183 01:57:33,988 --> 01:57:37,592 ACCESS TO THOSE PUBLIC PRIVATE 3184 01:57:37,592 --> 01:57:38,526 PARTNERSHIPS, ACCESS TO LARGE 3185 01:57:38,526 --> 01:57:40,862 LANGUAGE MODELS THAT MIGHT BE 3186 01:57:40,862 --> 01:57:41,930 DEVELOPED ONSITE, IS THERE A WAY 3187 01:57:41,930 --> 01:57:44,199 AND CAN YOU THINK ABOUT OR MAYBE 3188 01:57:44,199 --> 01:57:51,473 WILL YOU THINK ABOUT A WAY IN 3189 01:57:51,473 --> 01:57:54,142 OUR THROUGH THE NIH TO MITIGATE 3190 01:57:54,142 --> 01:57:55,944 DISPARITIES BETWEEN INSTITUTIONS 3191 01:57:55,944 --> 01:57:58,380 THAT WILL JUST GET PERPETUATED 3192 01:57:58,380 --> 01:57:59,514 OVERTIME AS INVESTIGATORS HAVE 3193 01:57:59,514 --> 01:58:03,651 MORE OR LESS ACCESS TO 3194 01:58:03,651 --> 01:58:10,959 GENERATIVE AI OPPORTUNITIES. 3195 01:58:10,959 --> 01:58:12,193 >> AH, YES, THANK YOU FOR 3196 01:58:12,193 --> 01:58:13,027 LETTING MOOY ADDRESS THAT 3197 01:58:13,027 --> 01:58:15,797 BECAUSE I SKIPPED OVER IT TOO 3198 01:58:15,797 --> 01:58:17,132 QUICKLY LAST TIME. 3199 01:58:17,132 --> 01:58:19,367 WE HAVE WONDERFUL TALENT AND WE 3200 01:58:19,367 --> 01:58:21,302 NEED TALENT FROM EVERYWHERE, WE 3201 01:58:21,302 --> 01:58:22,804 HAVE MAJOR BIG TALENT IN OUR 3202 01:58:22,804 --> 01:58:25,240 CENTERS ABOUT YOU WE ALSO HAVE 3203 01:58:25,240 --> 01:58:26,641 INCREDIBLE TALENT OUT IN SMALL 3204 01:58:26,641 --> 01:58:30,779 COMMUNITY COLLEGES CROSS THIS 3205 01:58:30,779 --> 01:58:31,846 COUNTRY THROUGHOUT OUR ENTIRE 3206 01:58:31,846 --> 01:58:33,381 EDUCATIONAL SYSTEM AND THAT CAN 3207 01:58:33,381 --> 01:58:36,284 REALLY MAKE MAIMINGOR 3208 01:58:36,284 --> 01:58:40,188 CONTRIBUTIONS AND WE DO, YOU 3209 01:58:40,188 --> 01:58:42,157 KNOW, IDEALLY WE FIND A WAY TO 3210 01:58:42,157 --> 01:58:45,393 MAKE IT POSSIBLE FOR ANYONE WITH 3211 01:58:45,393 --> 01:58:47,662 A REALLY WONDERFUL IDEA AND 3212 01:58:47,662 --> 01:58:48,897 THE--YOU KNOW THE WILLINGNESS TO 3213 01:58:48,897 --> 01:58:53,468 DO THE WORK TO BE ABLE TO USE 3214 01:58:53,468 --> 01:58:55,904 THE RESOURCES, HAVE ACCESS TO 3215 01:58:55,904 --> 01:58:57,272 THE NECESSARY RESOURCES. 3216 01:58:57,272 --> 01:58:59,607 THIS IS BEING VERY CAREFULLY 3217 01:58:59,607 --> 01:59:00,642 CONSIDERED AS WE PUT TOGETHER 3218 01:59:00,642 --> 01:59:01,709 THE MODEL THAT WE'RE TALKING 3219 01:59:01,709 --> 01:59:05,046 ABOUT, I WILL JUST PUT IT OUT 3220 01:59:05,046 --> 01:59:06,848 THERE THAT AN IDEA THAT JUST 3221 01:59:06,848 --> 01:59:10,218 GIVE YOU A KERNEL OF THE IDEA, 3222 01:59:10,218 --> 01:59:11,786 THE NIH HAS THE NATIONAL LIBRARY 3223 01:59:11,786 --> 01:59:12,520 OF MEDICINE. 3224 01:59:12,520 --> 01:59:14,422 THE NATIONAL LIBRARY OF MEDICINE 3225 01:59:14,422 --> 01:59:19,027 HAS BEEN OUR HUB FOR KNOWLEDGE 3226 01:59:19,027 --> 01:59:23,531 AND SHARING AND WE COULD 3227 01:59:23,531 --> 01:59:25,533 ENVISION A DRAMATIC, DUE TO THE 3228 01:59:25,533 --> 01:59:27,268 ARK MAZING DRAMATIC INCREASE IN 3229 01:59:27,268 --> 01:59:29,671 CAPABILITIES PRESENTED BOY THIS, 3230 01:59:29,671 --> 01:59:30,872 A DRAMATIC ECPANGZ OF THE 3231 01:59:30,872 --> 01:59:33,341 CAPABILITIES OF THE NATIONAL 3232 01:59:33,341 --> 01:59:35,276 LIBRARY OF MEDICINE TO 3233 01:59:35,276 --> 01:59:38,179 DEMOCRATIZE ACCESS TO THE TOOLS 3234 01:59:38,179 --> 01:59:39,347 REQUIRED TO DO RESEARCH. 3235 01:59:39,347 --> 01:59:42,750 AND OBVIOUSLY, THIS WOULD TAKE 3236 01:59:42,750 --> 01:59:44,152 CONSIDERABLE NEW RESOURCES, BUT 3237 01:59:44,152 --> 01:59:45,320 WE ARE GOING--WE ARE WORKING ON 3238 01:59:45,320 --> 01:59:47,722 A PLAN AND GOING TO PUT FORWARD, 3239 01:59:47,722 --> 01:59:49,924 MAKE THE CASE THAT THIS WOULD 3240 01:59:49,924 --> 01:59:50,959 REALLY BRING CONSIDERABLE 3241 01:59:50,959 --> 01:59:54,796 PROGRESS, SO THANK YOU. 3242 01:59:54,796 --> 01:59:55,730 >> OKAY, WELL, THANK YOU 3243 01:59:55,730 --> 01:59:56,297 EVERYBODY. 3244 01:59:56,297 --> 01:59:57,599 WE'RE GOING TO TAKE A SHORT 3245 01:59:57,599 --> 02:00:00,301 BREAK EMPLOY WE WILL 3246 02:00:00,301 --> 02:00:01,369 RECONVENIENCE AT 11:15 BUT I 3247 02:00:01,369 --> 02:00:02,437 UNDERSTAND THAT THE PHOTOGRAPHER 3248 02:00:02,437 --> 02:00:07,408 WOULD LIKE TO CAPTURE THE MOMENT 3249 02:00:07,408 --> 02:00:17,852 SO BEFORE YOU DISAPPEAR-- 3250 02:00:12,974 --> 02:00:14,742 OKAY, LET'S TRY THAT AGAIN 3251 02:00:14,742 --> 02:00:16,144 EMPLOY GOOD TO SEE EVERYBODY 3252 02:00:16,144 --> 02:00:16,477 BACK. 3253 02:00:16,477 --> 02:00:17,912 WE'RE LETTING A FEW FILL UP 3254 02:00:17,912 --> 02:00:19,113 THEIR COFFEE CUPS BUT WHILE WE 3255 02:00:19,113 --> 02:00:22,316 DO THAT, I WILL INVITE MA 3256 02:00:22,316 --> 02:00:24,152 RIBERNARD AND ALFRED JOHNSON TO 3257 02:00:24,152 --> 02:00:26,487 GIVE US AN UPDATE ON UNITE AND I 3258 02:00:26,487 --> 02:00:28,923 GUESS WE'RE STARTING WITH MARIE. 3259 02:00:28,923 --> 02:00:31,459 THANK YOU. 3260 02:00:31,459 --> 02:00:34,595 >> THANK YOU SO MUCH I AM MARIE 3261 02:00:34,595 --> 02:00:37,765 BERNARD, NIH OFFICER OF THE 3262 02:00:37,765 --> 02:00:38,599 SCIENTIFIC FORCE FORCE COMMITTEE 3263 02:00:38,599 --> 02:00:41,836 AND I HAVE THE PRIVILEGE OF CO 3264 02:00:41,836 --> 02:00:45,973 LEADING THE NIH UNITE INITIATIVE 3265 02:00:45,973 --> 02:00:47,708 WITH DR. TABAK, DR. JOHNSON AND 3266 02:00:47,708 --> 02:00:49,010 DR. BERNES AT THE CENTER FOR 3267 02:00:49,010 --> 02:00:50,878 SCIENTIFIC REVIEW AND THIS IS AN 3268 02:00:50,878 --> 02:00:52,246 UPDATE ON ACTIVITIES WITH UNITE. 3269 02:00:52,246 --> 02:00:53,448 FOR THOSE THAT HAVE BEEN 3270 02:00:53,448 --> 02:00:55,083 FOLLOWING THIS, WE UNVEILED THIS 3271 02:00:55,083 --> 02:00:57,852 AT A SPECIAL MEETING, THE 3272 02:00:57,852 --> 02:01:00,054 ADVISORY MEETING TO THE DIRECTOR 3273 02:01:00,054 --> 02:01:02,857 FEBRUARY 6 OF 2021, AND WE MADE 3274 02:01:02,857 --> 02:01:05,093 THE PLEDGE AT THAT TIME THAT WE 3275 02:01:05,093 --> 02:01:06,360 WOULD GIVE PERIODIC UPDATES IN 3276 02:01:06,360 --> 02:01:08,429 THIS SETTING. 3277 02:01:08,429 --> 02:01:10,765 SO THIS IS APPROACHING THEE 3278 02:01:10,765 --> 02:01:12,400 YEARS SINCE THIS INITIATIVE WAS 3279 02:01:12,400 --> 02:01:14,702 LAUNCHED AND WE'RE EXCITED TO BE 3280 02:01:14,702 --> 02:01:16,370 BE ABLE TO SHARE WITH YOU THE 3281 02:01:16,370 --> 02:01:17,505 DEVELOPMENTS IN THE LAST YEAR 3282 02:01:17,505 --> 02:01:18,206 PARTICULARLY SENSE WEB CONNECTED 3283 02:01:18,206 --> 02:01:28,583 CAME TO THE LEFT ACD. 3284 02:01:29,851 --> 02:01:33,421 OKAY, SO UNITE IS REALLY I THINK 3285 02:01:33,421 --> 02:01:37,391 TANK TO PROMOTE EQUITY, TO 3286 02:01:37,391 --> 02:01:38,893 GENERATE BOLD IDEAS, TO CATALYZE 3287 02:01:38,893 --> 02:01:41,629 NEW ACTION ANDS TO COLLECTIVELY 3288 02:01:41,629 --> 02:01:43,131 IDENTIFY AND ADDRESS ANY 3289 02:01:43,131 --> 02:01:44,765 STRUCTURAL RACISM THAT MAY EXIST 3290 02:01:44,765 --> 02:01:46,400 WITHIN THE NIH AND THROUGHOUT 3291 02:01:46,400 --> 02:01:55,877 THE BIOMEDICAL AND BEHAVIORIAL 3292 02:01:55,877 --> 02:01:56,744 SCIENTIFIC WORKFORCE. 3293 02:01:56,744 --> 02:01:58,246 WHEN WE UNVEILED TALKED ABOUT 3294 02:01:58,246 --> 02:01:59,714 THE 5 INTERACTING COMMITTEES, 3295 02:01:59,714 --> 02:02:01,816 EACH 1 OF THEM REPRESENTING THE 3296 02:02:01,816 --> 02:02:03,484 LETTERS OF UNITE, CONCEPTUALLY, 3297 02:02:03,484 --> 02:02:04,886 WE'VE EVOLVED TO THINKING OF IT 3298 02:02:04,886 --> 02:02:07,755 AS SHOWN IN THIS GRAPHIC HERE. 3299 02:02:07,755 --> 02:02:11,092 AT THE HEART OF IT IS PEOPLE, 3300 02:02:11,092 --> 02:02:12,059 AND DATA, THAT DRIVEWAYS 3301 02:02:12,059 --> 02:02:14,562 EVERYTHING THAT WE'RE LOOKING AT 3302 02:02:14,562 --> 02:02:17,064 CONTENT WISE WE'RE LOOKING AT 3303 02:02:17,064 --> 02:02:18,933 THINGS RELATED TO HEALTH 3304 02:02:18,933 --> 02:02:20,067 DISPARITIES AND MEANERRITY 3305 02:02:20,067 --> 02:02:21,636 HEALTH RESEARCH. 3306 02:02:21,636 --> 02:02:28,676 NOT AT ALL TO SUPPLANT THE ROLE 3307 02:02:28,676 --> 02:02:30,278 OF THE NIMHD, BECAUSE WHEN YOU 3308 02:02:30,278 --> 02:02:34,715 RECALL WHEN WE UNVEYED IN THIS 3309 02:02:34,715 --> 02:02:35,783 FEBRUARY 2021, WE WERE STILL AT 3310 02:02:35,783 --> 02:02:39,320 THE HEIGHT OF COVID WHERE WE HAD 3311 02:02:39,320 --> 02:02:40,288 SEEN DISPROPORTIONATE MORBIDITY 3312 02:02:40,288 --> 02:02:42,590 AND MORTALITY FOR POPULATIONS 3313 02:02:42,590 --> 02:02:43,591 THAT ARE UNDERREPRESENTED ACROSS 3314 02:02:43,591 --> 02:02:44,825 THE COUNTRY AND FELT THAT WE 3315 02:02:44,825 --> 02:02:47,361 NEEDED TO STOP ADMIRING THE 3316 02:02:47,361 --> 02:02:52,166 PROBLEM ANDS START DOING AND 3317 02:02:52,166 --> 02:02:52,900 MAKING EFFECTIVE INTERVENTIONS. 3318 02:02:52,900 --> 02:02:54,936 WE ALSO HAVE BEEN FOCUSING ON 3319 02:02:54,936 --> 02:02:56,337 OUR OWN INTERNAL WORKFORCE, 3320 02:02:56,337 --> 02:02:57,438 RECOGNIZING WE NEED THE ROLE 3321 02:02:57,438 --> 02:03:01,142 MODEL FOR WHAT WE WILL HOPE AND 3322 02:03:01,142 --> 02:03:02,076 EXPECT OF OUTSIDE INSTITUTIONS 3323 02:03:02,076 --> 02:03:05,746 AND WE ARE A NUMBER OF THINGS WE 3324 02:03:05,746 --> 02:03:08,516 DEVELOPED TO ENHANCE THE 3325 02:03:08,516 --> 02:03:11,085 EXTERNAL WORK WORKAT ACADEMIC 3326 02:03:11,085 --> 02:03:11,953 AND RESEARCH INSTITUTIONS. 3327 02:03:11,953 --> 02:03:14,422 THINKING OF IT OTHER THAN IN THE 3328 02:03:14,422 --> 02:03:15,389 CONCEPTUAL FRAMEWORK, WE HAVE 3329 02:03:15,389 --> 02:03:18,226 FOCUSED AT THE SAME TIMES FOR 3330 02:03:18,226 --> 02:03:20,528 EACH OF THOSE 4 AREAS THAT'S 3331 02:03:20,528 --> 02:03:21,362 ASSISTING WITH WORKING GROUP 3332 02:03:21,362 --> 02:03:23,364 THAT HAS BEEN NOW ASSEMBLED TO 3333 02:03:23,364 --> 02:03:25,433 HELP US TO EVALUATE THE IMPACT 3334 02:03:25,433 --> 02:03:27,235 OF UNITE AND THE MIDTERM AND THE 3335 02:03:27,235 --> 02:03:27,501 LONG-TERM. 3336 02:03:27,501 --> 02:03:30,104 WE ARE A LOT OF PROCESS THINGS 3337 02:03:30,104 --> 02:03:32,940 WE BROUGHT TO YOU BUT THE 3338 02:03:32,940 --> 02:03:36,310 LONG-TERM CHANGES IN ENVIRONMENT 3339 02:03:36,310 --> 02:03:37,812 AND CULTURE WILL TAKE MUCH 3340 02:03:37,812 --> 02:03:40,114 LONGER PERIOD OF TIME THAN THE 3341 02:03:40,114 --> 02:03:41,148 COLLABORATIVE EFFORT TO MEASURE 3342 02:03:41,148 --> 02:03:42,583 AND THOSE FOCUS STATEMENTS ARE 3343 02:03:42,583 --> 02:03:45,419 HELPFUL IN GUIDING THAT. 3344 02:03:45,419 --> 02:03:48,556 SO LOOKING AT IT, FOCUS AREA BY 3345 02:03:48,556 --> 02:03:50,625 FOCUS AREA, THE FIRST 1 IS 3346 02:03:50,625 --> 02:03:53,027 ELEVATING HEALTH DISPARITIES AND 3347 02:03:53,027 --> 02:03:54,228 MINORITY HEALTH RESEARCH ACROSS 3348 02:03:54,228 --> 02:04:00,167 INSTITUTES AND CENTERS, AND AS 3349 02:04:00,167 --> 02:04:01,836 DR. BERTAGNOLLI, THE MISSION WAS 3350 02:04:01,836 --> 02:04:03,404 INSPIRED BY UNITE. 3351 02:04:03,404 --> 02:04:05,039 THAT MARCH OF 2021 RIGHT AFTER 3352 02:04:05,039 --> 02:04:07,275 WE PUBLICLY UNVEILED UNITE, 3353 02:04:07,275 --> 02:04:09,443 THERE'S ANNOUNCEMENT OF COMMON 3354 02:04:09,443 --> 02:04:10,878 FUND COMPETITIONS FOR 3355 02:04:10,878 --> 02:04:11,345 TRANSFORMATIVE HEALTH 3356 02:04:11,345 --> 02:04:12,947 DISPARITIES RESEARCH AND AT THE 3357 02:04:12,947 --> 02:04:15,249 END OF FISCAL YEAR 2111 PROJECTS 3358 02:04:15,249 --> 02:04:19,353 WITH A COMMITMENT OF UP TO 3359 02:04:19,353 --> 02:04:20,021 58 MILLION-DOLLAR WERE 3360 02:04:20,021 --> 02:04:20,588 SUPPORTED. 3361 02:04:20,588 --> 02:04:22,223 BUT THE UNITE MEMBERSHIP WAS 3362 02:04:22,223 --> 02:04:25,426 VERY CLEAR THAT THAT WAS NICE 3363 02:04:25,426 --> 02:04:26,294 BUT NOT SUFFICIENT INVESTMENT 3364 02:04:26,294 --> 02:04:27,895 AND THAT THERE NEEDED TO BE 3365 02:04:27,895 --> 02:04:28,095 MORE. 3366 02:04:28,095 --> 02:04:34,035 SO WITH A LOT OF WORK LED BY 3367 02:04:34,035 --> 02:04:36,203 DR. SHANNON ZENK, DIRECTOR OF 3368 02:04:36,203 --> 02:04:38,906 THE NATIONAL NURSING RESEARCH 3369 02:04:38,906 --> 02:04:42,343 AND DR. KNIGHT, DR. JEANINE, 3370 02:04:42,343 --> 02:04:45,179 CLAYTON, OFFICE OF WOMEN'S 3371 02:04:45,179 --> 02:04:48,716 HEALTH RESEARCH AND 3372 02:04:48,716 --> 02:04:49,550 DR. PEREZ-STABLES, AND OTHERS 3373 02:04:49,550 --> 02:04:50,484 THE COMPETITION WAS DEVELOPED 3374 02:04:50,484 --> 02:04:52,586 AND SUPPORTED BY THE COMMON FUND 3375 02:04:52,586 --> 02:04:55,389 WITH THE INITIAL 5 YEAR 3376 02:04:55,389 --> 02:04:59,226 COMMITMENT AS DR. BERTAGNOLLI 3377 02:04:59,226 --> 02:05:00,961 MENTIONED, IT'S SUCCESSFUL AND 3378 02:05:00,961 --> 02:05:03,164 POTENTIALLY AS MUCH AS 3379 02:05:03,164 --> 02:05:04,799 $400 MILLION OVER 10 YORES. 3380 02:05:04,799 --> 02:05:06,867 THE COMMUNITY LED TRUCTURAL 3381 02:05:06,867 --> 02:05:08,402 INTERVENTIONS IN THE 25 3382 02:05:08,402 --> 02:05:13,074 INSTITUTIONS OR 25 COMMUNITIES 3383 02:05:13,074 --> 02:05:14,575 THAT DR. BERTAGNOLLI MENTIONED 3384 02:05:14,575 --> 02:05:16,544 AND THE COORDINATING CENTER AND 3385 02:05:16,544 --> 02:05:17,878 IT'S REALLY NEAT TO LOOK AT THE 3386 02:05:17,878 --> 02:05:22,950 MAP OF EXACTLY WHERE THESE 3387 02:05:22,950 --> 02:05:23,617 INTERVENTIONS ARE PLANNED EMPLOY 3388 02:05:23,617 --> 02:05:24,685 THIS WILL BE A FREIGHT CHANCE 3389 02:05:24,685 --> 02:05:27,188 FOR US TO LEARN AT NE H HOW TO 3390 02:05:27,188 --> 02:05:32,259 WORK EFFECTIVELY WITH 3391 02:05:32,259 --> 02:05:34,128 COMMUNITIES AND WE WILL KEEP YOU 3392 02:05:34,128 --> 02:05:35,029 POSTED, COMMON FUND WILL KEEP 3393 02:05:35,029 --> 02:05:38,566 YOU MOST OFFICE OF DIVERSITY 3394 02:05:38,566 --> 02:05:39,633 OUTCOMES FROM THAT. 3395 02:05:39,633 --> 02:05:41,502 ADDITIONALLY AS WE SHOWED YOU 3396 02:05:41,502 --> 02:05:45,439 LAST DIAGRAM, WE'RE SEEING 3397 02:05:45,439 --> 02:05:47,775 GROWTH IN NOFOs IN MINORITY 3398 02:05:47,775 --> 02:05:51,612 AND HEGHT DISPARITIES IN 2015 3399 02:05:51,612 --> 02:05:55,716 THERE WERE 23, AND IN FISCAL 23, 3400 02:05:55,716 --> 02:05:56,550 WE'RE UP TO 204. 3401 02:05:56,550 --> 02:05:58,219 EVERYONE AT THE NIH IS LEANING 3402 02:05:58,219 --> 02:05:58,452 IN. 3403 02:05:58,452 --> 02:06:02,323 THIS NOT A DIRECT 3404 02:06:02,323 --> 02:06:02,890 RESPONSE--RESPONSIBILITY OF 3405 02:06:02,890 --> 02:06:04,792 UNITE BUT IT'S REPRESENTATIVE OF 3406 02:06:04,792 --> 02:06:07,228 THE ETHOSE THAT WE HAVE AND THE 3407 02:06:07,228 --> 02:06:08,162 REAL FOCUS IN THIS AREA EMPLOY 3408 02:06:08,162 --> 02:06:10,164 AND THEN OTHER THINGS THAT ARE 3409 02:06:10,164 --> 02:06:13,801 DIRECTLY AS A RESULT OF THE 3410 02:06:13,801 --> 02:06:15,002 UNITE INITIATIVE, THERE'S A 3411 02:06:15,002 --> 02:06:16,704 RESOURCE PORTAL FOR ADVANCING 3412 02:06:16,704 --> 02:06:17,872 HEALTH EQUITY AND RESEARCH UNDER 3413 02:06:17,872 --> 02:06:18,439 TWEP AM. 3414 02:06:18,439 --> 02:06:21,509 THE VISION HERE BEING THAT IT'S 3415 02:06:21,509 --> 02:06:23,511 1 STOP SHOP FOR SCIENTISTS TO 3416 02:06:23,511 --> 02:06:24,979 GET BEST PRACTICES AND TOOLS FOR 3417 02:06:24,979 --> 02:06:26,247 DOING RESEARCH IN THIS AREA, WE 3418 02:06:26,247 --> 02:06:30,618 WILL LIKELY BE HOUSED ON THE 3419 02:06:30,618 --> 02:06:32,987 NIMHD WEBSITE, WORK TO 3420 02:06:32,987 --> 02:06:34,855 FACILITATE EQUITABLE SUPPORT FOR 3421 02:06:34,855 --> 02:06:36,657 HEALTH DISPARITY AND MINORITY 3422 02:06:36,657 --> 02:06:38,325 HEALTH RESEARCH WILL BE WOUND 3423 02:06:38,325 --> 02:06:40,661 INTO THAT, PLANS FOR 3424 02:06:40,661 --> 02:06:41,595 ENTERDISCIPLINARY COLLABORATIVE 3425 02:06:41,595 --> 02:06:42,797 WORKSHOPS ON INNOVATIVE RESEARCH 3426 02:06:42,797 --> 02:06:44,331 APPROACHES TO END STRUCTURAL 3427 02:06:44,331 --> 02:06:45,800 RACISM, 1 OF THOSE WORKSHOPS HAS 3428 02:06:45,800 --> 02:06:47,334 ALREADY BEEN HELD IN 3429 02:06:47,334 --> 02:06:48,769 COLLABORATION WITH THE NATIONAL 3430 02:06:48,769 --> 02:06:49,770 EN--STRATEGIESITUTE OF MINORITY 3431 02:06:49,770 --> 02:06:51,405 HEALTH AND HEALTH DISPARITIES 3432 02:06:51,405 --> 02:06:54,008 AND INTERNAL HEALTH DISPARITIES 3433 02:06:54,008 --> 02:06:54,875 WORKING GROUP. 3434 02:06:54,875 --> 02:06:56,177 THERE'S ANOTHER WORKSHOP PLANNED 3435 02:06:56,177 --> 02:06:56,510 FOR MARCH. 3436 02:06:56,510 --> 02:06:59,680 AND THEN A LOT OF WORK THAT'S 3437 02:06:59,680 --> 02:07:03,751 BEING DONE TO INSURE NIH WIDE 3438 02:07:03,751 --> 02:07:04,418 TRANSPARENCY, HEALTH 3439 02:07:04,418 --> 02:07:05,085 ACCOUNTABILITY, DISPARITIES AND 3440 02:07:05,085 --> 02:07:06,887 HEALTH RESEARCH TO ARK LOW 3441 02:07:06,887 --> 02:07:07,955 ANALYSIS OF GRANT APPLICATION 3442 02:07:07,955 --> 02:07:10,925 AND,A WARD DATA AND THAT IS 3443 02:07:10,925 --> 02:07:12,726 ONGOING, WE ANTICIPATE THAT 3444 02:07:12,726 --> 02:07:14,862 THERE MAY BE FORMAL ARK NOUNS 3445 02:07:14,862 --> 02:07:15,563 WANTS ABOUT ADVANCEMENTS WITH 3446 02:07:15,563 --> 02:07:19,767 THIS IN THE NEXT FEW MONTHS. 3447 02:07:19,767 --> 02:07:21,202 A FOCUS AREA, TOO WHERE WE'RE 3448 02:07:21,202 --> 02:07:22,937 LOOKING AT THE EXTERNAL 3449 02:07:22,937 --> 02:07:26,373 BIOMEDICAL AND BEHAVIORIAL 3450 02:07:26,373 --> 02:07:28,242 RESEARCH ECOSYSTEM, THE FACULTY 3451 02:07:28,242 --> 02:07:30,110 INSTITUTIONAL RECRUELTIMENT FOR 3452 02:07:30,110 --> 02:07:33,013 SUSTAINABILITY TRANSFORMATION 3453 02:07:33,013 --> 02:07:35,082 INITIATIVE IS 1 THAT WE CONSIDER 3454 02:07:35,082 --> 02:07:38,352 TO BE UNITE RELATED, IT WAS 3455 02:07:38,352 --> 02:07:40,888 RELEASED AS A NOFO BETWEEN OUR 3456 02:07:40,888 --> 02:07:42,790 INTERNAL WORK TO GET UNITE 3457 02:07:42,790 --> 02:07:45,092 LAUNCHED AND THE EXTERNAL 3458 02:07:45,092 --> 02:07:45,893 UNVEILING OF UNITE. 3459 02:07:45,893 --> 02:07:48,362 AND AS YOU MAY RECALL THIS IS AN 3460 02:07:48,362 --> 02:07:51,265 INITTIA 3461 02:07:51,265 --> 02:07:53,334 INITIATIVE TO BRING IN COHORTS 3462 02:07:53,334 --> 02:07:54,635 FOR EARLY YORE FACULTY WHO HAVE 3463 02:07:54,635 --> 02:07:58,639 AN INTEREST IN AND TRACK RECORD 3464 02:07:58,639 --> 02:08:00,641 IN DE IA, IT MAY NOT BE THEIR 3465 02:08:00,641 --> 02:08:02,610 AREA OF RESEARCH, MAY BE THEIR 3466 02:08:02,610 --> 02:08:03,878 ADVOCATION AND SUPPORT THEM 3467 02:08:03,878 --> 02:08:06,680 THROUGH TO BECOMES A 10 IRBED 3468 02:08:06,680 --> 02:08:07,581 FACULTY MEMBER. 3469 02:08:07,581 --> 02:08:08,949 ADDITIONALLY WITH FOCUS ON 3470 02:08:08,949 --> 02:08:09,984 ATTENTION TO THE CLIMATE AND 3471 02:08:09,984 --> 02:08:10,885 ENVIRONMENT AT THAT INSTITUTION 3472 02:08:10,885 --> 02:08:14,255 TO MAKE SURE THAT IT IS 3473 02:08:14,255 --> 02:08:15,856 SUPPORTIVE TO ALL. 3474 02:08:15,856 --> 02:08:18,692 THE LAST, THE THIRD AND LAST 3475 02:08:18,692 --> 02:08:19,894 COHORT WAS ANNOUNCED THIS PAST 3476 02:08:19,894 --> 02:08:24,131 JULY, AND YOU CAN SEE NOW, THAT 3477 02:08:24,131 --> 02:08:30,671 WE HAVE 15 COHORTS, SOME 3478 02:08:30,671 --> 02:08:32,039 PARTNERSHIPS, SINGLE ACTIVITIES, 3479 02:08:32,039 --> 02:08:34,575 MOOREHOUSE COOL OF MEDICINE AND 3480 02:08:34,575 --> 02:08:35,809 AN EVILLUATION CENTER, AND THIS 3481 02:08:35,809 --> 02:08:37,444 IS A COMBINATION THAT GETS 3482 02:08:37,444 --> 02:08:40,748 FUNDED THE FIRST 5 YEARS, IFUC 3483 02:08:40,748 --> 02:08:42,316 ASSESSESFUL, CONTINUED FUNDING, 3484 02:08:42,316 --> 02:08:44,084 THE FULL 10 YEARS ANTICIPATED 3485 02:08:44,084 --> 02:08:46,921 THAT LIKE UP TO $275 MILLION 3486 02:08:46,921 --> 02:08:48,989 WILL BE DEVOTED TO THIS. 3487 02:08:48,989 --> 02:08:50,157 AND WE'RE REALLY LOOKING FORWARD 3488 02:08:50,157 --> 02:08:52,393 AGAIN TO WHAT WE CAN LEARN 3489 02:08:52,393 --> 02:08:54,862 TRUSTEES THIS INITIATIVE THAT 3490 02:08:54,862 --> 02:08:57,331 MIGHT BE GENERALIZABLE FOR ORGT 3491 02:08:57,331 --> 02:08:58,365 NOFOs ARE NIH. 3492 02:08:58,365 --> 02:09:00,568 AND THEN THERE ARE SEVERAL 3493 02:09:00,568 --> 02:09:01,035 FUNDING OPPORTUNITY 3494 02:09:01,035 --> 02:09:02,336 ANNOUNCEMENTS THAT WERE 3495 02:09:02,336 --> 02:09:04,238 DEVELOPED SPECIFICALLY OR 3496 02:09:04,238 --> 02:09:06,774 ENHANCED SPECIFICALLY FOR UNITE. 3497 02:09:06,774 --> 02:09:07,908 THERE'S THE SCIENCE EDUCATION 3498 02:09:07,908 --> 02:09:09,843 PART MERSHIP,A WARDS WHICH I 3499 02:09:09,843 --> 02:09:11,612 THINK WE MENTIONED LAST YEAR, IT 3500 02:09:11,612 --> 02:09:15,249 WAS AGAIN EXPANDED FOR FISCAL 3501 02:09:15,249 --> 02:09:16,750 YEAR 23, WITH 19 STUDENT CENTERS 3502 02:09:16,750 --> 02:09:18,752 AND OFFICES SIGNED ON, WE THINK 3503 02:09:18,752 --> 02:09:20,654 THIS IS A CRITICAL INIT WHYATIVE 3504 02:09:20,654 --> 02:09:27,628 BECAUSE IT'S A K-12 FOCUSED R25. 3505 02:09:27,628 --> 02:09:29,129 TO HELP MAKE OUTREACH TOO AND 3506 02:09:29,129 --> 02:09:30,965 STIMULATE THE INTEREST OF THAT 3507 02:09:30,965 --> 02:09:31,498 POPULATION. 3508 02:09:31,498 --> 02:09:34,969 WE KNOW THAT SCIENCE IDENTITY IS 3509 02:09:34,969 --> 02:09:36,870 OFTEN SOLIDIFIED AS EARLY AS 3510 02:09:36,870 --> 02:09:37,605 MIDDLE SCHOOL. 3511 02:09:37,605 --> 02:09:39,373 WE ALSO KNOW THERE'S QUOIT A BIT 3512 02:09:39,373 --> 02:09:40,874 OF DIVERSITY IN THE K12 3513 02:09:40,874 --> 02:09:42,209 POPULATION SO IT'S IMPORTANT TO 3514 02:09:42,209 --> 02:09:43,677 MAKE THAT OUTREACH. 3515 02:09:43,677 --> 02:09:46,714 WELL IS A NOFO THAT WAS RELEASED 3516 02:09:46,714 --> 02:09:49,917 IN FISCAL YEAR 23 RESEARCH WITH 3517 02:09:49,917 --> 02:09:51,318 ACTIVITIES RELATED TO DIVERSITY 3518 02:09:51,318 --> 02:09:53,587 OR THE REWARD RO-1 OPPORTUNITY 3519 02:09:53,587 --> 02:09:58,726 WITH 21 INSTITUTE CENTERS AND 3520 02:09:58,726 --> 02:09:59,627 OFFICES SIGNED ON. 3521 02:09:59,627 --> 02:10:00,694 THIS IS AN OPPORTUNITY FOR 3522 02:10:00,694 --> 02:10:02,563 SCIENTIST WHO IS HAS DONE GREAT 3523 02:10:02,563 --> 02:10:05,332 WORK IN DEIA, LOTS OF MENTORING, 3524 02:10:05,332 --> 02:10:06,867 LOTS OF OUTREACH, ET CETERA BUT 3525 02:10:06,867 --> 02:10:08,535 NOT HAD SIGNIFICANT NIH FUNDING 3526 02:10:08,535 --> 02:10:10,738 TO GET NIH FUNDING AND RO-1 3527 02:10:10,738 --> 02:10:12,039 GRANT TO SUPPORT THEIR SCIENCE 3528 02:10:12,039 --> 02:10:14,975 AND THEIR CONTINUED ACTIVITIES. 3529 02:10:14,975 --> 02:10:19,279 IT'S OFTEN SAID THAT WE WORK IN 3530 02:10:19,279 --> 02:10:22,383 THIS FIELD, YOU GET--YOU ARE PUT 3531 02:10:22,383 --> 02:10:23,584 AT A DISADVANTAGE BECAUSE YOU 3532 02:10:23,584 --> 02:10:25,619 DON'T GET THAT OPPORTUNITY TO DO 3533 02:10:25,619 --> 02:10:26,754 THAT RO-1. 3534 02:10:26,754 --> 02:10:27,821 THIS IS THAT OPPORTUNITY FOR 3535 02:10:27,821 --> 02:10:30,324 THOSE INDIVIDUALS. 3536 02:10:30,324 --> 02:10:31,959 THERE'S INSTRUMENTATION GRANT 3537 02:10:31,959 --> 02:10:33,894 PROGRAM FOR LIMITED INSTITUTIONS 3538 02:10:33,894 --> 02:10:35,462 FOR 16 INSTITUTE CENTERS AND 3539 02:10:35,462 --> 02:10:36,463 OFFICES SIGNED ON. 3540 02:10:36,463 --> 02:10:41,101 THIS IS THE PROGRAM THAT IS 3541 02:10:41,101 --> 02:10:42,469 TARGETED AT THOSE ORGANIZATIONS 3542 02:10:42,469 --> 02:10:46,740 THAT HAVEN'T HAD A LOT OF NIH 3543 02:10:46,740 --> 02:10:46,974 FUNDING. 3544 02:10:46,974 --> 02:10:49,543 OFTEN NOT ON THE EAST COAST OR 3545 02:10:49,543 --> 02:10:52,379 WEST COAST TO ALLOW THEM TO DO 3546 02:10:52,379 --> 02:10:55,015 RESEARCH OR TO USE THE 3547 02:10:55,015 --> 02:10:57,184 INSTRUMENTATION IN UPPER LEVEL 3548 02:10:57,184 --> 02:10:57,985 EDUCATIONAL PROGRAMS. 3549 02:10:57,985 --> 02:11:00,054 AND THEN THERE'S THE 3550 02:11:00,054 --> 02:11:01,121 STRENGTHENING RESEARCH 3551 02:11:01,121 --> 02:11:02,389 OPPORTUNITIES FOR NIH GRANTS AND 3552 02:11:02,389 --> 02:11:03,791 THE STRONG PROGRAM WITH 15 OF 3553 02:11:03,791 --> 02:11:05,793 OUR INSTITUTE CENTERS AND 3554 02:11:05,793 --> 02:11:06,794 OFFICES SIGNED ON. 3555 02:11:06,794 --> 02:11:08,796 THIS IS A PROGRAM THAT WOULD 3556 02:11:08,796 --> 02:11:11,532 ALLOW AGAIN, THE LIMITED 3557 02:11:11,532 --> 02:11:12,599 RESOURCE INSTITUTIONS, 3558 02:11:12,599 --> 02:11:13,233 INSTITUTIONS THAT DON'T HAVE A 3559 02:11:13,233 --> 02:11:15,869 LOT IN THE WAY OF NIH FUNDING TO 3560 02:11:15,869 --> 02:11:16,904 STEP BACK AND EVALUATE WHAT IT 3561 02:11:16,904 --> 02:11:20,774 IS THEY NEED TO MAKE THAT HAPPEN 3562 02:11:20,774 --> 02:11:21,842 AND TO DEVELOP A PLAN. 3563 02:11:21,842 --> 02:11:27,748 AND JUST LAST WEEK, I'M 3564 02:11:27,748 --> 02:11:30,284 DELIGHTED TO SAY THAT THE 3565 02:11:30,284 --> 02:11:31,785 ASSESSMENT OF CLIMB @ 3566 02:11:31,785 --> 02:11:33,987 INSTITUTIONS AWARD WAS RELEASED. 3567 02:11:33,987 --> 02:11:35,956 THIS IS AN AWARD THAT WILL ALLOW 3568 02:11:35,956 --> 02:11:37,024 ACADEMIC AND INSTITUTIONS TO DO 3569 02:11:37,024 --> 02:11:38,225 A CLIMATE ARK ASSESSES EXPMENT 3570 02:11:38,225 --> 02:11:40,627 DEVELOP A PLAN TO MAKE THE 3571 02:11:40,627 --> 02:11:47,067 CLIMATE SUPPORTIVE TO ALL OF THE 3572 02:11:47,067 --> 02:11:47,534 FACULTY. 3573 02:11:47,534 --> 02:11:48,402 THE FIRST INITIATIVE REQUIRES 3574 02:11:48,402 --> 02:11:49,870 THAT SORT OF ASSESSMENT AND 3575 02:11:49,870 --> 02:11:51,839 ACTION AS WELL AS BRING NOTHING 3576 02:11:51,839 --> 02:11:52,106 COHORTS. 3577 02:11:52,106 --> 02:11:53,540 THIS DOESN'T PAY FOR THE COHORTS 3578 02:11:53,540 --> 02:11:54,842 BUT IT ALLOWS THE INSTITUTION TO 3579 02:11:54,842 --> 02:11:56,310 LOOK AT THEIR OWN ENVIRONMENT 3580 02:11:56,310 --> 02:12:00,047 AND FOR THOSE INSTITUTIONS THAT 3581 02:12:00,047 --> 02:12:01,548 HAVE THE FLEXIBILITY OF PRIVATE 3582 02:12:01,548 --> 02:12:03,617 FUNDS OR WHATEVER TO BRING THIS 3583 02:12:03,617 --> 02:12:05,152 COHORTS THEY BASICALLY HAVE A 3584 02:12:05,152 --> 02:12:07,721 FIRST ASH WARD. 3585 02:12:07,721 --> 02:12:11,592 UNDER DEVELOPMENT IS A NOFO 3586 02:12:11,592 --> 02:12:13,160 RESEARCH CAPACITY BUILDING 3587 02:12:13,160 --> 02:12:13,894 WORKFORCE DIVERSITY. 3588 02:12:13,894 --> 02:12:14,962 WE CAN SEE IT'S UNDER 3589 02:12:14,962 --> 02:12:18,132 DEVELOPMENT BECAUSE IT WAS 3590 02:12:18,132 --> 02:12:18,966 APPROVED IN CONCEPT AND 3591 02:12:18,966 --> 02:12:22,569 HOPEFULLY IT WILL MAKE IT 3592 02:12:22,569 --> 02:12:23,370 THROUGH THE PROCESS. 3593 02:12:23,370 --> 02:12:24,772 IN MOST CASES WHEN SOMETHING IS 3594 02:12:24,772 --> 02:12:28,008 APPROVED AT A COUNCIL, I THINK 3595 02:12:28,008 --> 02:12:30,944 IT WAS NIGMS, IT ENDS UP AS 3596 02:12:30,944 --> 02:12:38,552 NOFO, BUT IT'S NOT A NOFO UNTIL 3597 02:12:38,552 --> 02:12:38,886 ITS PUBLISHED. 3598 02:12:38,886 --> 02:12:40,120 HEREYA A REVIEW ON BIAS AND 3599 02:12:40,120 --> 02:12:41,755 TRAINING THAT'S NOW REQUIRED 3600 02:12:41,755 --> 02:12:45,125 THAT'S AVAILABLE AT OD-23-156. 3601 02:12:45,125 --> 02:12:47,027 AS OF THIS MONTH, WELL IS 3602 02:12:47,027 --> 02:12:48,729 TRAINING ONGOING FOR PROGRAM 3603 02:12:48,729 --> 02:12:50,697 ROVES AND SCIENTIFIC REVIEW 3604 02:12:50,697 --> 02:12:53,667 OFFICERS FOR INCLUSIVE AND 3605 02:12:53,667 --> 02:12:54,868 EQUITABLE INTERACTIONS WITH 3606 02:12:54,868 --> 02:12:58,338 APPLICANTS AND GRANTEES AND MY 3607 02:12:58,338 --> 02:13:00,140 TEAM THE TEAM ON BEHALF OF UNITE 3608 02:13:00,140 --> 02:13:05,279 AND NIH HAS LED A DEI, A PRIZE 3609 02:13:05,279 --> 02:13:05,779 COMPETITION. 3610 02:13:05,779 --> 02:13:08,115 THE TOTAL PURSE IS A MILLION 3611 02:13:08,115 --> 02:13:08,949 DOLLARS, 10 INSTITUTIONS WILL 3612 02:13:08,949 --> 02:13:10,517 DPET A HUNDRED THOUSAND THERE IS 3613 02:13:10,517 --> 02:13:11,185 EACH. 3614 02:13:11,185 --> 02:13:12,820 APPLICATIONS ARE IN, WE'RE STILL 3615 02:13:12,820 --> 02:13:13,320 SORTING THROUGH THINGS. 3616 02:13:13,320 --> 02:13:20,527 WE HOPE TO BE ABLE TO MAKE 3617 02:13:20,527 --> 02:13:21,228 ANNOUNCEMENTS BY MIDJANUARY. 3618 02:13:21,228 --> 02:13:23,597 ALSO ON BEHALF OF UNITE AND NIH. 3619 02:13:23,597 --> 02:13:25,799 MY TEAM IS LEADING SOMETHING 3620 02:13:25,799 --> 02:13:27,801 CALLED ENGAGEMENT AND ACCESS FOR 3621 02:13:27,801 --> 02:13:30,704 RESEARCH ACTIVE INSTITUTIONS. 3622 02:13:30,704 --> 02:13:32,639 THIS IS A NAVIGATION PROGRAM 3623 02:13:32,639 --> 02:13:38,512 THAT HAS BEEN DEVELOPED FOR 3624 02:13:38,512 --> 02:13:40,147 ACADEMIC AND RESEARCH 3625 02:13:40,147 --> 02:13:41,181 INSTITUTIONS THAT HAVE 3626 02:13:41,181 --> 02:13:43,016 UNDERSERVED POPPULESES THAT 3627 02:13:43,016 --> 02:13:44,952 PROVIDE DEGREES IN STEM AND DO 3628 02:13:44,952 --> 02:13:47,754 NOT AGAIN HAVE A LOT IN THE WAY 3629 02:13:47,754 --> 02:13:48,589 OF NIH FUNDING. 3630 02:13:48,589 --> 02:13:51,725 WE'RE SPECIFICALLY LOOKING FOR 3631 02:13:51,725 --> 02:13:53,460 INSTITUTIONS THAT HAVE LESS THAN 3632 02:13:53,460 --> 02:13:54,661 $25 MILLION AVERAGE IN THE PRIOR 3633 02:13:54,661 --> 02:13:57,531 3 YEARS OF NIH RPG GRANTS AND 3634 02:13:57,531 --> 02:13:59,700 THEN TEND TO THIS PROGRAM IS TO 3635 02:13:59,700 --> 02:14:03,670 TRY TO HELP MATCH THOSE 3636 02:14:03,670 --> 02:14:04,638 INSTITUTIONS WITH RESOURCES THAT 3637 02:14:04,638 --> 02:14:06,740 EXIST AT NIH AND HELP THEM 3638 02:14:06,740 --> 02:14:08,208 NAVIGATE OUR SYSTEM THAT CAN 3639 02:14:08,208 --> 02:14:14,781 SOMETIMES SEEM QUITE OPAQUE. 3640 02:14:14,781 --> 02:14:17,351 WE ALL HAVE SOMETHING CALLED THE 3641 02:14:17,351 --> 02:14:18,385 MOSAIC PROGRAM, IT'S NOT A 3642 02:14:18,385 --> 02:14:20,120 DIRECT PROGRAM FROM UNITE BUT 3643 02:14:20,120 --> 02:14:21,855 AGAIN VERY MUCH IN KEEPING WITH 3644 02:14:21,855 --> 02:14:24,124 THE SPIRIT OF UNITE THAT WE 3645 02:14:24,124 --> 02:14:25,225 THINK IT'S IMPORTANT FOR US ALL 3646 02:14:25,225 --> 02:14:26,260 TO BE AWARE OF. 3647 02:14:26,260 --> 02:14:29,329 THIS IS LED BY NIERK GMS, IT HAS 3648 02:14:29,329 --> 02:14:34,067 17 INSTITUTES AND CENTERS 3649 02:14:34,067 --> 02:14:36,870 INVOLVE WIDE IT. 3650 02:14:36,870 --> 02:14:40,173 IT'S DESIGNED TO ENHANCE FACULTY 3651 02:14:40,173 --> 02:14:42,709 INTENSIVE POSITIONS, IT'S A K99 3652 02:14:42,709 --> 02:14:48,882 WITH AN R00, CAN K9 ADDED TO IT. 3653 02:14:48,882 --> 02:14:50,450 IT'S BEEN AWARDED WITH A 50% 3654 02:14:50,450 --> 02:14:50,784 SUCCESS RATE. 3655 02:14:50,784 --> 02:14:52,219 SO IF YOU DON'T HAVE TRAINEES 3656 02:14:52,219 --> 02:14:53,954 WHO LOOK AT THIS, THEY SHOULD 3657 02:14:53,954 --> 02:14:54,755 LOOK AT IT. 3658 02:14:54,755 --> 02:14:56,189 IT'S YIELDED QUITE A BIT OF 3659 02:14:56,189 --> 02:14:59,159 DIVERSITY IN THE PEOPLE WHO ARE 3660 02:14:59,159 --> 02:14:59,526 SCHOLARS. 3661 02:14:59,526 --> 02:15:00,794 ONE OF MY EARLY TRAINEES I'M 3662 02:15:00,794 --> 02:15:02,562 HAPPY TO SAY WAS IN THE FIRST 3663 02:15:02,562 --> 02:15:08,568 COHORT AND A LOT OF THEM REALLY 3664 02:15:08,568 --> 02:15:09,970 STARTED OR ACCEPTED FACULTY 3665 02:15:09,970 --> 02:15:10,237 POSITIONS. 3666 02:15:10,237 --> 02:15:12,606 PLEASE DO TAKE A ELECTRIC AT 3667 02:15:12,606 --> 02:15:14,775 THIS IF YOU WANT TO SEE MORE, 3668 02:15:14,775 --> 02:15:17,244 JUST GO TO THE NIGMS WEBPAGE. 3669 02:15:17,244 --> 02:15:19,780 THEY HAVE IT HIGHLIGHTED THERE. 3670 02:15:19,780 --> 02:15:30,290 I WILL TURN THE PODIUM OVER TO 3671 02:15:32,326 --> 02:15:33,493 DR. JOHNSON. 3672 02:15:33,493 --> 02:15:34,461 NYEAH, THANKS MARIE, AS SHE 3673 02:15:34,461 --> 02:15:35,896 MENTIONED A LOT HAS BEEN FOCUSED 3674 02:15:35,896 --> 02:15:38,398 ON THAT SIDE OF THE HOUSE, WE 3675 02:15:38,398 --> 02:15:40,834 HAVE ALSO BEEN FOCUSING AS WELL, 3676 02:15:40,834 --> 02:15:46,373 AND WE HAVE BEEN WORKING ON 3677 02:15:46,373 --> 02:15:48,575 INTERNAL NIH WORKFORCE AND 1 OF 3678 02:15:48,575 --> 02:15:50,210 THESE PROGRAMS THAT WORKED WITH 3679 02:15:50,210 --> 02:15:53,747 UNITE AND THE OFFICE OF 3680 02:15:53,747 --> 02:15:55,582 INTRAMURAL RESEARCH AND 3681 02:15:55,582 --> 02:15:56,917 EDUCATION, THE MEDICAL STUDENTS 3682 02:15:56,917 --> 02:16:01,755 SOME OPPORTUNITIES TO ADVANCE 3683 02:16:01,755 --> 02:16:04,391 RESEARCH PROGRAMS ON M-SOAR, WE 3684 02:16:04,391 --> 02:16:05,826 PILOTED IT THIS PAST SUMMER, 3685 02:16:05,826 --> 02:16:07,661 THIS WAS A PILOT PROGRAM FOR 3686 02:16:07,661 --> 02:16:09,296 MEDICAL STUDENTS IN GOOD STAND 3687 02:16:09,296 --> 02:16:10,597 WHOG ARE COMMITTED TO 3688 02:16:10,597 --> 02:16:11,331 TRANSLATIONAL AND CLINICAL 3689 02:16:11,331 --> 02:16:12,933 APPROACHES IN THEIR CAREER. 3690 02:16:12,933 --> 02:16:17,270 OUR POOL IS VERY DIVERSE, WE HAD 3691 02:16:17,270 --> 02:16:18,572 88 APPLICANTS, 23 ACCEPTED AND 3692 02:16:18,572 --> 02:16:21,942 16 ACCEPTED IN THE PILOT PROGRAM 3693 02:16:21,942 --> 02:16:23,577 AGAIN CONFUNDED BY OIR AND WITH 3694 02:16:23,577 --> 02:16:25,445 THE UNITE PROGRAM, SO AGAIN, A 3695 02:16:25,445 --> 02:16:27,514 GREAT WAY TO GET STUDENT EXPOSED 3696 02:16:27,514 --> 02:16:29,383 TO THE NIH ENVIRONMENT AND 3697 02:16:29,383 --> 02:16:31,118 HOPEFULLY WE WILL THINK ABOUT 3698 02:16:31,118 --> 02:16:32,252 OPPORTUNITIES TO LATER IN THEIR 3699 02:16:32,252 --> 02:16:34,621 CAREER HERE AT THE NIH. 3700 02:16:34,621 --> 02:16:35,989 ALSO ANOTHER INITIATIVE THAT WE 3701 02:16:35,989 --> 02:16:37,958 HAVE WAS TO THE DEVELOPMENT OF A 3702 02:16:37,958 --> 02:16:40,560 LIST SERVE FOR FEDERAL AFFINITY 3703 02:16:40,560 --> 02:16:42,496 GROUPS FOR NIH VACANCY ANNOUNCE 3704 02:16:42,496 --> 02:16:44,798 WANTS, AGAINST THIS WAS A 3705 02:16:44,798 --> 02:16:48,001 PROJECT INITIATED BOY OUR 3706 02:16:48,001 --> 02:16:49,036 ANTIRACISM TEARING COMMITTEE, 3707 02:16:49,036 --> 02:16:49,603 NONSCIENTIFIC SUBCOMMITTEE 3708 02:16:49,603 --> 02:16:50,871 WORKING IN PARTNERSHIP WITH THE 3709 02:16:50,871 --> 02:16:52,239 OFFICE OF HUMAN RESOURCES. 3710 02:16:52,239 --> 02:16:53,874 THE DPOAL HERE WAS TO MAKE SURE 3711 02:16:53,874 --> 02:16:58,812 THAT AS WE HAD VACANCIES THAT NO 3712 02:16:58,812 --> 02:17:01,581 MATTER WHAT TYPE VACANCIES WE 3713 02:17:01,581 --> 02:17:04,017 HAD, WE COULD ANNOUNCE TO A 3714 02:17:04,017 --> 02:17:05,685 POPULATION TO THOSE WHO WERE 3715 02:17:05,685 --> 02:17:08,522 UNDERREPRESENTED HERE AT THE 3716 02:17:08,522 --> 02:17:12,025 NIH, SO PUTTING THIS LISTSERVE, 3717 02:17:12,025 --> 02:17:13,860 FOR ALL AFFINITY GROUPS AIDED IN 3718 02:17:13,860 --> 02:17:16,530 THAT AND NOW ALL THESE JOB 3719 02:17:16,530 --> 02:17:18,432 ANNOUNCEMENTS GOUTE THROUGH THE 3720 02:17:18,432 --> 02:17:19,232 LISTSERVE AND HOPEFULLY WE WILL 3721 02:17:19,232 --> 02:17:20,567 GET A MUCH MORE DIVERSE 3722 02:17:20,567 --> 02:17:21,968 POPULATION ARK PLYING FOR YOBS 3723 02:17:21,968 --> 02:17:23,603 HERE AT THE NIH. 3724 02:17:23,603 --> 02:17:26,640 ANOTHER DEVELOPMENT THAT WE HAVE 3725 02:17:26,640 --> 02:17:27,674 IS CAREER DEVELOPMENT FRAINING 3726 02:17:27,674 --> 02:17:32,913 PROGRAM FOR THOSE IN THE GSE LAB 3727 02:17:32,913 --> 02:17:34,347 AND 1 THING AS YOU LOOK ACROSS 3728 02:17:34,347 --> 02:17:36,683 THE NIESH H AND YOU WE LOOK AT 3729 02:17:36,683 --> 02:17:39,252 HIGH REPRESENTATION OF THOSE WHO 3730 02:17:39,252 --> 02:17:40,287 ARE UNDERREPRESENTED AND 3731 02:17:40,287 --> 02:17:42,189 MINORITY POPULATIONS IS AT THE 3732 02:17:42,189 --> 02:17:42,856 LOWER GRADE LEVELS. 3733 02:17:42,856 --> 02:17:47,794 SO THIS WAS VERY CLEAR AND AS WE 3734 02:17:47,794 --> 02:17:48,628 LOOKED @ OUR TRAINING AND 3735 02:17:48,628 --> 02:17:49,696 DEVELOPMENT PROGRAMS THIS WAS AN 3736 02:17:49,696 --> 02:17:50,797 AREA WHERE WE ARE LACKING. 3737 02:17:50,797 --> 02:17:54,334 WE DID NONAPOPTOTIC THE HAVE 3738 02:17:54,334 --> 02:17:55,235 CAREER DEVELOPMENT PROGRAMS AT 3739 02:17:55,235 --> 02:17:55,635 THAT LEVEL. 3740 02:17:55,635 --> 02:17:57,637 SO THROUGH THE UNITE PROGRAM AND 3741 02:17:57,637 --> 02:17:59,439 WORKING WITH THE OFFICE OF HUMAN 3742 02:17:59,439 --> 02:18:00,607 RESOURCES WE'VE GONE THROUGH A 3743 02:18:00,607 --> 02:18:01,274 PROCESS OF DEVELOPING THIS 3744 02:18:01,274 --> 02:18:03,310 PROGRAM FOR THOSE WHO ARE AT THE 3745 02:18:03,310 --> 02:18:06,646 GSE 11 AND BELOW LEVELS, AGAIN 3746 02:18:06,646 --> 02:18:08,415 HAVING A MORE DIVERSE POOL OF 3747 02:18:08,415 --> 02:18:10,917 TALENT THERE, BUT NOW HAVE A WAY 3748 02:18:10,917 --> 02:18:12,319 TO OFFER THEM THEIR ABILITY TO 3749 02:18:12,319 --> 02:18:13,687 DEVELOP THEIR CAREERS AND MOVE 3750 02:18:13,687 --> 02:18:17,124 FORWARD INTO THE HIGHER 3751 02:18:17,124 --> 02:18:18,158 GS-LEVELS. 3752 02:18:18,158 --> 02:18:21,895 AGAIN STARTING BACK IN 3753 02:18:21,895 --> 02:18:22,996 OCTOBER 22, GAINED RESOURCES TO 3754 02:18:22,996 --> 02:18:25,532 DO THIS, DEFINED THE PROGRAM 3755 02:18:25,532 --> 02:18:26,133 FOCUS AREAS, DEVELOPED THE 3756 02:18:26,133 --> 02:18:28,335 PROGRAM AND AS I JUST LOOKED 3757 02:18:28,335 --> 02:18:29,703 THIS MORNING, THE ANNOUNCEMENT 3758 02:18:29,703 --> 02:18:31,838 WENT OUT TO ALL THE INSTITUTION 3759 02:18:31,838 --> 02:18:32,873 CENTERS FOR NOMINATING 3760 02:18:32,873 --> 02:18:35,275 INDIVIDUALS FOR THE FIRST PILOT 3761 02:18:35,275 --> 02:18:36,376 COHORT WE'RE GOING TO DO. 3762 02:18:36,376 --> 02:18:41,515 WE HAVE 2 PILOT COHORTS PLANNED 3763 02:18:41,515 --> 02:18:44,484 FOR 2024, THE FIRST AREA FOR 3764 02:18:44,484 --> 02:18:45,752 NOMINATION INTO THE MIDDLE OF 3765 02:18:45,752 --> 02:18:46,086 JANUARY. 3766 02:18:46,086 --> 02:18:48,889 WE WILL DO A HYBRID COHORT AND 3767 02:18:48,889 --> 02:18:51,424 THEN THE SECOND 1 WE WILL DO ALL 3768 02:18:51,424 --> 02:18:52,826 VIRTUAL COHORT TO SEE HOW IT 3769 02:18:52,826 --> 02:18:54,561 GOES AND THEN WE WILL REFINE THE 3770 02:18:54,561 --> 02:18:55,629 PROGRAM AS WE MOVE FORWARD 3771 02:18:55,629 --> 02:18:57,430 EMPLOY BUT EACH CAN COHORT WOULD 3772 02:18:57,430 --> 02:18:58,298 HAVE ABOUT 30 INDIVIDUALS IN IT 3773 02:18:58,298 --> 02:19:01,334 AND AS WE LEARN AND EVALUATE, WE 3774 02:19:01,334 --> 02:19:02,536 WILL FEBRUARY OUT HOW TO REFINE 3775 02:19:02,536 --> 02:19:03,837 THE PROGRAM AND MAKE IT EVEN A 3776 02:19:03,837 --> 02:19:05,605 BETTER PROGRAM FOR THOSE WHO 3777 02:19:05,605 --> 02:19:07,107 WANT TO FURTHER THEIR CAREERS 3778 02:19:07,107 --> 02:19:07,841 FROM THE LOWER GS LEVEL. 3779 02:19:07,841 --> 02:19:10,043 YOU CAN DO THAT, BUT IT'S 3780 02:19:10,043 --> 02:19:11,444 CERTAINLY WILL BE HELPFUL IF YOU 3781 02:19:11,444 --> 02:19:12,979 HAVE A PROGRAM TO MAKE SURE 3782 02:19:12,979 --> 02:19:14,247 YOU'RE HITTING ALL THE RIGHT 3783 02:19:14,247 --> 02:19:16,883 MARKS AS YOU MOVE THROUGH THE 3784 02:19:16,883 --> 02:19:17,517 GRADE LEVELS. 3785 02:19:17,517 --> 02:19:18,885 SO AGAIN, WE'RE LOOKING FORWARD 3786 02:19:18,885 --> 02:19:21,855 TO HOW THIS WILL WORK IN HELPING 3787 02:19:21,855 --> 02:19:23,723 TO ENHANCE NOT ONLY THE 3788 02:19:23,723 --> 02:19:33,166 DIVERSITY OF OUR STAFF AT THE 3789 02:19:33,166 --> 02:19:34,301 HIGHEST GRADE LEVELS. 3790 02:19:34,301 --> 02:19:36,036 WE ALSO LOOKED AT DISPARITIES 3791 02:19:36,036 --> 02:19:39,072 FOR THE NIH DIRECTORROR'S AWARD, 3792 02:19:39,072 --> 02:19:41,074 THIS IS THE HIGHEST ASHES WARD 3793 02:19:41,074 --> 02:19:43,443 AT THE NIH, SO A GROUP GOT 3794 02:19:43,443 --> 02:19:45,445 TOGETHER AND WORKED WITH OHR TO 3795 02:19:45,445 --> 02:19:47,314 LOCK AT WHAT WE COULD DO IN THIS 3796 02:19:47,314 --> 02:19:49,716 AREA, SO THEY REVIEWED THE AWARD 3797 02:19:49,716 --> 02:19:50,917 CATEGORIES, LANGUAGE THAT WAS 3798 02:19:50,917 --> 02:19:53,053 USED, WORKED ON EXPANDING 3799 02:19:53,053 --> 02:19:54,688 DEFINITIONS, CREATED NEW AWARD 3800 02:19:54,688 --> 02:19:55,855 CATEGORIES BECAUSE 1 THING WE 3801 02:19:55,855 --> 02:19:57,357 NOTICE IMEAN WAS THAT THESE 3802 02:19:57,357 --> 02:19:59,226 AWARDS WOULD GIVE FOR THOSE AT 3803 02:19:59,226 --> 02:20:01,127 THE HIGHER GRADE LEVELS SO NOW 3804 02:20:01,127 --> 02:20:02,195 WE'RE EXPANDING CATEGORIES THAT 3805 02:20:02,195 --> 02:20:05,365 WOULD FOCUS ON LIKE CUSTOMER 3806 02:20:05,365 --> 02:20:07,000 SERVICE AND SUPPORT AND SO WE 3807 02:20:07,000 --> 02:20:09,502 HAVE NEW CATEGORIES NOW THAT WE 3808 02:20:09,502 --> 02:20:11,571 HAVE LAUNCHED. 3809 02:20:11,571 --> 02:20:12,772 AGAIN, THEY WERE REVIEWED THE 3810 02:20:12,772 --> 02:20:15,141 COMMITTEE THAT DOES THE APPROVAL 3811 02:20:15,141 --> 02:20:17,777 OF THESE, DECIDED WE NEED A MORE 3812 02:20:17,777 --> 02:20:18,979 FORMAL CORING RUBRIC AND AGAIN 3813 02:20:18,979 --> 02:20:20,880 TRY TO REDUCE BIAS. 3814 02:20:20,880 --> 02:20:22,182 AND AGAIN, ALSO PROVIDE GUIDANCE 3815 02:20:22,182 --> 02:20:25,218 TO THOSE WHO NOMINATE 3816 02:20:25,218 --> 02:20:27,187 INDIVIDUALS AT THE ICLEVELS AND 3817 02:20:27,187 --> 02:20:28,688 WORKING WITH THE IC COORDINATORS 3818 02:20:28,688 --> 02:20:30,590 TO MAKE SURE WE GET A MORE 3819 02:20:30,590 --> 02:20:33,793 DIVERSE NOMINATION AND A PROCESS 3820 02:20:33,793 --> 02:20:35,428 FOR NOMINATING INDIVIDUALS FOR A 3821 02:20:35,428 --> 02:20:37,030 MORE DIVERSE BACKGROUND AND 3822 02:20:37,030 --> 02:20:37,764 OFFERING OPPORTUNITIES BECAUSE A 3823 02:20:37,764 --> 02:20:39,833 LOT OF THESE AWARDS ARE GIVEN TO 3824 02:20:39,833 --> 02:20:41,801 THOSE THAT GET THE WORK ON THESE 3825 02:20:41,801 --> 02:20:44,070 KEY PROGRAMS THAT ARE 3826 02:20:44,070 --> 02:20:45,705 HIGHLIGHTED AND SO YOU HAVE TO 3827 02:20:45,705 --> 02:20:47,007 THINK ABOUT WHO'S PARTICIPATING 3828 02:20:47,007 --> 02:20:48,742 AT THIS AT THE BEGENERATEDDING 3829 02:20:48,742 --> 02:20:50,043 SO THAT IN THE [INDISCERNIBLE] 3830 02:20:50,043 --> 02:20:51,344 WILL HAVE THE OPPORTUNITY TO BE 3831 02:20:51,344 --> 02:20:53,880 NOMINATED SO WE ARE SEEING AS WE 3832 02:20:53,880 --> 02:20:55,715 GO THROUGH THIS, FIRST YEAR, 3833 02:20:55,715 --> 02:20:57,317 THAT WE'VE SELECTED THOSE AND 3834 02:20:57,317 --> 02:20:59,286 WE'LL LOOK AT DIVERSITY AND SEE 3835 02:20:59,286 --> 02:21:01,254 IF THIS, THESE CHANGES MADE IN 3836 02:21:01,254 --> 02:21:02,989 ANY DIFFERENCE AND THEN LOOK TO 3837 02:21:02,989 --> 02:21:07,661 EVEN REFINE MORE IF WE NEED TO. 3838 02:21:07,661 --> 02:21:09,963 AND OUR FOCUS AREA BEFORE WHERE 3839 02:21:09,963 --> 02:21:11,598 WE'RE FOCUSED ON ACCURACY AND 3840 02:21:11,598 --> 02:21:13,233 TRANSPARENCY OF RACIAL AND 3841 02:21:13,233 --> 02:21:14,301 ETHNIC EQUITY DATA THERE'S BEEN 3842 02:21:14,301 --> 02:21:16,703 A LOT OF WORK THAT HAS BEEN DONE 3843 02:21:16,703 --> 02:21:20,240 BY THE UNITE COMMITTEES 3844 02:21:20,240 --> 02:21:21,975 ESPECIALLY THE YOUTH COMMITTEE. 3845 02:21:21,975 --> 02:21:24,010 WE FIRST REQUESTED INFORMATION 3846 02:21:24,010 --> 02:21:26,112 HERE IN 2022, AND THESE REPORTS 3847 02:21:26,112 --> 02:21:29,649 ARE NOW AVAILABLE, AGAIN THIS 3848 02:21:29,649 --> 02:21:35,355 RFI, OVER11 HELPED RESPONSES AND 3849 02:21:35,355 --> 02:21:38,925 SOME OF THEM WHILE FOCUSING ON 3850 02:21:38,925 --> 02:21:40,360 THE INCLUSIVENESS, IMPLEMENTING 3851 02:21:40,360 --> 02:21:41,761 DEI INITTIAIVE ITS, LOOKING WHAT 3852 02:21:41,761 --> 02:21:45,131 WE CAN DO IN TERMS OF DIVERSITY 3853 02:21:45,131 --> 02:21:46,666 METRICS AND ENHANCING AND 3854 02:21:46,666 --> 02:21:47,767 EXPANDING OUR DEI TRAINING AND 3855 02:21:47,767 --> 02:21:50,537 WE'RE ALSO IN TERMS OF OUR 3856 02:21:50,537 --> 02:21:52,105 EXTERNAL LISTENING SESSIONS, 3857 02:21:52,105 --> 02:21:54,808 THERE WERE OVER 1300 PARTIC 3858 02:21:54,808 --> 02:21:57,110 PAPTS, 14 DIFFERENT SESSIONS, A 3859 02:21:57,110 --> 02:21:58,511 VARIETY OF INDIVIDUALS FROM ALL 3860 02:21:58,511 --> 02:22:03,516 OVER HEART ATTACK BCUs, FROM 3861 02:22:03,516 --> 02:22:05,085 MSIs, FROM TRIBAL COLLEGES AND 3862 02:22:05,085 --> 02:22:06,086 UNIVERSITIES, AND STUDENTS AT 3863 02:22:06,086 --> 02:22:07,354 ALL DIFFERENT LEVELS TO MAKE 3864 02:22:07,354 --> 02:22:09,255 SURE WE WERE GETTING THE RIGHT 3865 02:22:09,255 --> 02:22:10,323 INPUT AS TO SOME OF THE THINGS 3866 02:22:10,323 --> 02:22:12,192 WE NEEDED TO DO, FROM THIS THERE 3867 02:22:12,192 --> 02:22:13,626 WERE A NUMBER OF CROSS CUTTING 3868 02:22:13,626 --> 02:22:15,095 THEMES THAT CAME ABOUT, FOCUSING 3869 02:22:15,095 --> 02:22:18,765 ON THE STATE OF EQUIT COMPETENT 3870 02:22:18,765 --> 02:22:19,399 BIOMEDICAL RESEARCH, CHALLENGES 3871 02:22:19,399 --> 02:22:22,402 IN THE CAREER PATHWAY ANDS IN 3872 02:22:22,402 --> 02:22:23,269 WORKFORCE. 3873 02:22:23,269 --> 02:22:26,873 LOOKING AT BARRIER IN TERMS OF 3874 02:22:26,873 --> 02:22:28,141 PRACTICES AND POLICIES, 3875 02:22:28,141 --> 02:22:29,776 CHALLENGES WITH DISPARITIES 3876 02:22:29,776 --> 02:22:31,311 RESEARCH AND CHALLENGES IN 3877 02:22:31,311 --> 02:22:34,013 ADDRESSING HEALTHCARE EREQUESTIT 3878 02:22:34,013 --> 02:22:35,315 EXPE HEALTHCARE OUTCOME, AND SO 3879 02:22:35,315 --> 02:22:36,850 THIS AGAIN, GAIN A LOT OF 3880 02:22:36,850 --> 02:22:37,851 INFORMATION FROM THE EXTERNAL 3881 02:22:37,851 --> 02:22:38,752 LISTENING SESSION, WE HAVE A LOT 3882 02:22:38,752 --> 02:22:40,553 WE CAN WORK ON AND WILL CONTINUE 3883 02:22:40,553 --> 02:22:41,888 TO DO SO. 3884 02:22:41,888 --> 02:22:45,725 IN TERMS OF INTERNALLY, THE MIH 3885 02:22:45,725 --> 02:22:47,026 LEADERSHIP PULLED TOGETHER A 3886 02:22:47,026 --> 02:22:48,395 NUMBER OF SESSIONS WITH 3887 02:22:48,395 --> 02:22:50,964 INDIVIDUALS FROM ACROSS THE NIH 3888 02:22:50,964 --> 02:22:52,198 WITH OUR DIFFERENT AAFFINNITY 3889 02:22:52,198 --> 02:22:53,800 GROUPS TO HEAR FROM THEM EXACTLY 3890 02:22:53,800 --> 02:22:55,201 WHAT THEIR EXPERIENCES ARE, WHAT 3891 02:22:55,201 --> 02:22:56,269 THEY'RE FACING, WHAT THEY THINK 3892 02:22:56,269 --> 02:22:57,804 ARE THE ISSUES THAT WE NEED TO 3893 02:22:57,804 --> 02:22:59,339 BE ADDRESSING AND SO AGAIN, 3894 02:22:59,339 --> 02:23:01,040 THROUGH THESE LISTENING 3895 02:23:01,040 --> 02:23:02,776 SESSIONS, WE'VE GAINED A LOT OF 3896 02:23:02,776 --> 02:23:04,177 INFORMATION THAT HAS BEEN VERY 3897 02:23:04,177 --> 02:23:06,913 HELPFUL AS WE CONTINUE TO FORM 3898 02:23:06,913 --> 02:23:07,981 WHAT UNITE SHOULD BE ABOUT AND 3899 02:23:07,981 --> 02:23:11,684 HOW WE CAN BETTER PROVIDE THEA 3900 02:23:11,684 --> 02:23:13,653 BAKING AND GUIDANCE TO HELP US 3901 02:23:13,653 --> 02:23:15,355 IMPROVE OUR ACTIVITIES BOTH 3902 02:23:15,355 --> 02:23:17,123 INTERNALLY AND EXTERNALLY WITHIN 3903 02:23:17,123 --> 02:23:20,593 THE BIOMEDICAL RESEARCH 3904 02:23:20,593 --> 02:23:21,294 ENTERPRISE. 3905 02:23:21,294 --> 02:23:23,029 IN TERMS OF DATA GATHERING THEY 3906 02:23:23,029 --> 02:23:24,464 MAY ALSO HAVE RECENTLY GOTTEN 3907 02:23:24,464 --> 02:23:26,566 RESULTS FROM OUR NIH WORKPLACE 3908 02:23:26,566 --> 02:23:30,603 STABILITY AND EQUITY SURVEY. 3909 02:23:30,603 --> 02:23:33,173 WE DID A SURVEY A FEW YEARS AGO, 3910 02:23:33,173 --> 02:23:34,474 THAT WAS SLIGHTLY DIFFERENT, SO 3911 02:23:34,474 --> 02:23:37,277 THAT WE HAD MORE INPUT, UNITE 3912 02:23:37,277 --> 02:23:39,712 WORK WITH OHR, WITH THE EQUITY, 3913 02:23:39,712 --> 02:23:40,780 DIVERSITY AND INCLUSION AND 3914 02:23:40,780 --> 02:23:42,715 OFFICE AND OTHERS TO FORM THIS 3915 02:23:42,715 --> 02:23:46,052 SURVEY AND AS WE NOW TAKE A LOOK 3916 02:23:46,052 --> 02:23:47,387 AT THE RESULTS AND HAVE 3917 02:23:47,387 --> 02:23:48,922 PROVOIDED RESULTS TO ALL THE 3918 02:23:48,922 --> 02:23:49,556 EN--STRATEGIESITUTES AND CENTERS 3919 02:23:49,556 --> 02:23:51,057 AND EVEN DOWN TO SOME OFFICE 3920 02:23:51,057 --> 02:23:52,325 LEVELS, WE CAN GET AN 3921 02:23:52,325 --> 02:23:54,527 UNDERSTANDING OF THE PERCEPTIONS 3922 02:23:54,527 --> 02:23:56,596 OF INDIVIDUALS FROM ALL ACROSS 3923 02:23:56,596 --> 02:23:58,264 THE NIH, NOT JUST OUR FEDERAL 3924 02:23:58,264 --> 02:24:00,099 EMPLOYEES, WE HAVE A SURVEY 3925 02:24:00,099 --> 02:24:02,469 THAT'S DONE EVERY YEAR FOR A 3926 02:24:02,469 --> 02:24:04,037 FELLOW EMPLOYEES BUT IT DID NOT 3927 02:24:04,037 --> 02:24:05,071 INCLUDE CONTRACTORS AND TRAINEES 3928 02:24:05,071 --> 02:24:08,141 AND THOSE WHO ARE NOT PART OF 3929 02:24:08,141 --> 02:24:09,476 OUR FEDERAL EMPLOYEE WORKFORCE. 3930 02:24:09,476 --> 02:24:12,579 SO THIS GIVES US A BROADER 3931 02:24:12,579 --> 02:24:15,415 CATEGORY OF INDIVIDUALS 3932 02:24:15,415 --> 02:24:17,350 PARTICIPATING IN THEIR FEELING 3933 02:24:17,350 --> 02:24:19,352 ABOUT HARASS AM, THEIR FEELING 3934 02:24:19,352 --> 02:24:20,186 ABOUT INAPPROPRIATE CONDUCT AND 3935 02:24:20,186 --> 02:24:21,721 HOW WE'RE DOING HERE AT THE NIH 3936 02:24:21,721 --> 02:24:23,756 AND WE CAN USE DATA OVER TIME AS 3937 02:24:23,756 --> 02:24:25,758 WE REPEAT THE SURVEYS ON A 3 3938 02:24:25,758 --> 02:24:27,861 YEAR CYCLE TO SEE IF WE'RE 3939 02:24:27,861 --> 02:24:32,198 MAKING IMPROVEMENTS WITHIN THE 3940 02:24:32,198 --> 02:24:33,500 NIH WORKFORCE SO THAT PEOPLE 3941 02:24:33,500 --> 02:24:34,968 FEEL MUCH MORE WELCOME AND ARE 3942 02:24:34,968 --> 02:24:36,269 ABLE TO REACH THEIR FULL 3943 02:24:36,269 --> 02:24:38,037 POTENTIAL HERE AT THE NIEKS H. 3944 02:24:38,037 --> 02:24:43,610 NIH HAS BEEN A TERRIFIC 3945 02:24:43,610 --> 02:24:45,311 ORGANIZATION FOR FOCUSING ON 3946 02:24:45,311 --> 02:24:47,680 DEIA AND SO WE NEED TO GATHER UP 3947 02:24:47,680 --> 02:24:48,615 ALL THE ACTIVITIES WE'RE DOING 3948 02:24:48,615 --> 02:24:50,250 NOT JUST FROM THE UNITE LEVEL 3949 02:24:50,250 --> 02:24:51,551 BUT ACROSS THE WHOLE ENTERPRISE 3950 02:24:51,551 --> 02:24:52,952 BECAUSE THE INSTITUTES AND 3951 02:24:52,952 --> 02:24:54,120 CENTERS AND OFFICES ALSO HAVE 3952 02:24:54,120 --> 02:24:56,990 ACTIVITIES IN IN SPACE AND 3953 02:24:56,990 --> 02:24:58,057 COLLECTING ALL OF THIS AND 3954 02:24:58,057 --> 02:24:59,492 SEEING AND MAKING SURE WE ARE 3955 02:24:59,492 --> 02:25:00,360 WORKING TOGETHER, ALL FOCUS ON 3956 02:25:00,360 --> 02:25:02,662 TRYING TO GET THE SAME TYPE OF 3957 02:25:02,662 --> 02:25:03,296 OUTCOME, THIS IS CERTAINLY 3958 02:25:03,296 --> 02:25:06,499 SOMETHING THAT WE CERTAINLY HAVE 3959 02:25:06,499 --> 02:25:08,468 HAD TO DO AND ARE CONTINUING TO 3960 02:25:08,468 --> 02:25:10,336 DO AND WILL GIVE US A BETTER 3961 02:25:10,336 --> 02:25:13,740 OPPORTUNITY TO CONTINUE TO 3962 02:25:13,740 --> 02:25:14,841 IMPROVE DEIA ACROSS THE AGENCY. 3963 02:25:14,841 --> 02:25:16,175 IN TERMS OF FOSTERING 3964 02:25:16,175 --> 02:25:17,076 TRANSPARENCY THIS, IS SOMETHING 3965 02:25:17,076 --> 02:25:18,912 THAT CAME UP VERY EARLY IN THE 3966 02:25:18,912 --> 02:25:20,113 UNITE PROCESS THAT WEB CONNECTED 3967 02:25:20,113 --> 02:25:21,247 NEED TO BE VERY CLEAR ABOUT 3968 02:25:21,247 --> 02:25:22,248 WHAT'S GOING ON AND MAKING 3969 02:25:22,248 --> 02:25:23,883 SHOULDURE THAT OTHERS ARE AWARE. 3970 02:25:23,883 --> 02:25:26,085 SO THERE ARE A NUMBER OF EFFORTS 3971 02:25:26,085 --> 02:25:28,588 IN THAT REGARD, THE OFFICE OF 3972 02:25:28,588 --> 02:25:30,156 EXTRAMURAL RESEARCH, OER, THE 3973 02:25:30,156 --> 02:25:30,924 DATA DASHBOARD, MAKING IT 3974 02:25:30,924 --> 02:25:32,659 AVAILABLE TO EVERYONE SO THAT 3975 02:25:32,659 --> 02:25:34,294 THEY CAN SEE EXACTLY WHAT'S 3976 02:25:34,294 --> 02:25:36,129 HAPPENING IN TERMS OF WHO'S 3977 02:25:36,129 --> 02:25:37,196 BEING FUNDED AND WHAT'S 3978 02:25:37,196 --> 02:25:38,798 HAPPENING IN THE EXTRAMURAL 3979 02:25:38,798 --> 02:25:39,065 COMMUNITY. 3980 02:25:39,065 --> 02:25:40,233 BUT ALSO WE'RE LOOKING AT WHAT 3981 02:25:40,233 --> 02:25:43,903 WE'RE DOING AT UNITE AND HAVING 3982 02:25:43,903 --> 02:25:45,071 EVALUATION WORKING GRUP IN PLACE 3983 02:25:45,071 --> 02:25:46,606 TO LOOK AT ALL THE WORK THIS' 3984 02:25:46,606 --> 02:25:48,575 GOING ON, THEY ARE HELPING US AS 3985 02:25:48,575 --> 02:25:51,945 WE MOVE FORWARD THROUGH THEIR 3986 02:25:51,945 --> 02:25:53,513 UNITE PROCESS, AND AS WE AS THE 3987 02:25:53,513 --> 02:25:55,381 CO CHAIRS ARE LOOKING AT THE 3988 02:25:55,381 --> 02:25:57,016 FUTURE OF UNITE, WHAT WE ARE 3989 02:25:57,016 --> 02:25:59,018 WILLING TO TERM UNITE 2.0, SO 3990 02:25:59,018 --> 02:26:01,888 THAT WE CAN BETTER SUPPORT THE 3991 02:26:01,888 --> 02:26:04,057 EFFORTS HERE, THIS EVALUATION 3992 02:26:04,057 --> 02:26:07,493 GROUP IS CERTAINLY 1 THAT WILL 3993 02:26:07,493 --> 02:26:08,061 BE VERY UPONFUL. 3994 02:26:08,061 --> 02:26:10,229 WE HAVE AN ENDING STRUCTURAL 3995 02:26:10,229 --> 02:26:11,564 RACISM DATA HUB THAT HAS A LOT 3996 02:26:11,564 --> 02:26:13,199 OF INFORMATION THERE THAT ALL 3997 02:26:13,199 --> 02:26:14,834 THE NIH INDIVIDUALS CAN GO AND 3998 02:26:14,834 --> 02:26:19,005 SEE WHAT'S HAPPENING IN TERMS OF 3999 02:26:19,005 --> 02:26:21,774 THAT WE'VE ALSO RECENTLY 4000 02:26:21,774 --> 02:26:25,278 LAUNCHED AN UNITE ADVOCATES 4001 02:26:25,278 --> 02:26:27,313 PROGRAM FOR COMMUNICATION, IT'S 4002 02:26:27,313 --> 02:26:33,386 A GREAT WORK AND I STILL HERE 4003 02:26:33,386 --> 02:26:36,422 FROM PARTS OF IT THAT THEY DON'T 4004 02:26:36,422 --> 02:26:37,590 KNOW WHAT'S HAPPENING WITH 4005 02:26:37,590 --> 02:26:37,924 UNITE. 4006 02:26:37,924 --> 02:26:40,093 SO WE WILL ASK FOR AGENCIES 4007 02:26:40,093 --> 02:26:42,061 ACROSS THE FRONT TO HELP US AND 4008 02:26:42,061 --> 02:26:44,931 MAKE HUR THAT'S HAPPENING. 4009 02:26:44,931 --> 02:26:46,566 WE'RE ALSO BRINGING NEW 4010 02:26:46,566 --> 02:26:48,368 ONBOARDING FOR PROGRAM FOR THE 4011 02:26:48,368 --> 02:26:49,769 NIH EMPLOYEES, TRAINEES AND CONS 4012 02:26:49,769 --> 02:26:51,971 TRACTORS, IT'S I BIT CONFUSING 4013 02:26:51,971 --> 02:26:53,373 BALL A TYPES OF INDIVIDUALS COME 4014 02:26:53,373 --> 02:26:55,975 THROUGH TO WORKA THE NIH BUT 4015 02:26:55,975 --> 02:26:57,243 WE'RE TRYING TO TOUCH ON ALL 4016 02:26:57,243 --> 02:26:59,746 THIS SO THAT ALL NEW EMPLOYEES, 4017 02:26:59,746 --> 02:27:00,913 CONTRACTORS AND TRAINEES ARE 4018 02:27:00,913 --> 02:27:02,882 AWARE, AND ALSO OTHER ACTIVITY 4019 02:27:02,882 --> 02:27:03,516 WHAT'SY HAVE ONGOING AND 4020 02:27:03,516 --> 02:27:04,350 SOMETHING CERTAINLY THAT WILL BE 4021 02:27:04,350 --> 02:27:08,788 HELPFUL TO US IN THE LONG RUN. 4022 02:27:08,788 --> 02:27:10,923 UNITE AGAIN MARIE MENTIONED AS A 4023 02:27:10,923 --> 02:27:13,026 THINK TANK BUT OF COURSE NIA IS 4024 02:27:13,026 --> 02:27:14,627 TRYING TO LEFT EVERYONE, IT'S 4025 02:27:14,627 --> 02:27:16,496 NOT JUST THOSE, FROM CERTAIN 4026 02:27:16,496 --> 02:27:17,430 GROUPS, WE'RE LIFTING THEM 4027 02:27:17,430 --> 02:27:18,931 BECAUSE IF WOE CAN IMPROVE THEIR 4028 02:27:18,931 --> 02:27:21,367 ENVIRONMENT FOR THOSE WHO MADE 4029 02:27:21,367 --> 02:27:22,335 BE DISPROPORTIONATELY AFFECTED 4030 02:27:22,335 --> 02:27:24,437 BY SOME OF THESE ISSUES I WE 4031 02:27:24,437 --> 02:27:25,505 WILL IMPROVE THE ENVIRONMENT FOR 4032 02:27:25,505 --> 02:27:26,339 EVERYONE AND THAT HAS ALWAYS 4033 02:27:26,339 --> 02:27:28,174 BEEN A THEME THAT WE'VE HAD AT 4034 02:27:28,174 --> 02:27:30,476 UNITE AND WE WILL CONTINUE TO DO 4035 02:27:30,476 --> 02:27:40,753 SO AGAIN A RISING BEING A BIG 4036 02:27:40,753 --> 02:27:41,954 ALABAMA CRIMSON TIDE FAN HAVE TO 4037 02:27:41,954 --> 02:27:43,790 BRING IT IN FROM TIME TO TIME 4038 02:27:43,790 --> 02:27:47,927 BUT WE ALSO TO WANT THANK TARA 4039 02:27:47,927 --> 02:27:49,896 SCHWETZ, WHO STEPPED IN HER NEW 4040 02:27:49,896 --> 02:27:52,231 ROLE AND WE WELCOME BACK 4041 02:27:52,231 --> 02:27:53,866 DR. LARRY TABAK AS A CHO-CHAIR 4042 02:27:53,866 --> 02:27:55,635 ROLE SO AGAIN PAST COUPLE YEARS 4043 02:27:55,635 --> 02:27:56,569 WORKING WITH TARA HAS BEEN 4044 02:27:56,569 --> 02:27:58,171 TERRIVE AND I CAN THANK HER FOR 4045 02:27:58,171 --> 02:28:00,039 ALL THE SUPPORT SHE'S GIVEN TO 4046 02:28:00,039 --> 02:28:01,774 UNITE EVEN HOE THESE HOT A CO 4047 02:28:01,774 --> 02:28:03,342 CHAIR, SHE DOES NOT GET TO GO 4048 02:28:03,342 --> 02:28:03,543 AWAY. 4049 02:28:03,543 --> 02:28:06,212 SHE WILL HELP US AS WE GO ALONG 4050 02:28:06,212 --> 02:28:08,247 THE WAY. 4051 02:28:08,247 --> 02:28:10,216 BUT NOT ONLY TARA BUT WE HAVE A 4052 02:28:10,216 --> 02:28:11,184 TREMENDOUS GROUP OF MEMBER WHO 4053 02:28:11,184 --> 02:28:12,151 IS ARE SO DEDICATED AND IF YOU 4054 02:28:12,151 --> 02:28:14,053 LOOK AT THE NAMES FROM WHEN WE 4055 02:28:14,053 --> 02:28:16,322 TARTED, MANY NAMES HAVE CHANGED, 4056 02:28:16,322 --> 02:28:18,191 BUT WE HAVE PEOPLE ALWAYS 4057 02:28:18,191 --> 02:28:20,593 WAITING TO JOIN US TO HELP US IN 4058 02:28:20,593 --> 02:28:21,761 THE EFFORTS, THEY HAVE GREAT 4059 02:28:21,761 --> 02:28:26,632 IDEAS AND WANT TO CONTRIBUTE SO 4060 02:28:26,632 --> 02:28:27,934 AGAIN WE REALLY APPRECIATE ALL 4061 02:28:27,934 --> 02:28:30,603 OF THOSE, SPECIALLY OUR PROGRAM 4062 02:28:30,603 --> 02:28:33,473 MANAGER, TAMMY WHO SUPPORT THIS 4063 02:28:33,473 --> 02:28:34,874 WHOLE EFFORT AND WE COULD NOT DO 4064 02:28:34,874 --> 02:28:37,643 IT WITHOUT HERE BUT AGAIN, THESE 4065 02:28:37,643 --> 02:28:38,845 ARE TREMENDOUS INDIVIDUAL AND I 4066 02:28:38,845 --> 02:28:39,912 ENJOY WORKING WITH ALL OF THEM 4067 02:28:39,912 --> 02:28:40,980 AND JUST LOOKING FORWARD TO 4068 02:28:40,980 --> 02:28:43,116 CONTINUING TO ROLE WITH THEM AS 4069 02:28:43,116 --> 02:28:43,983 THE UNITE CONTINUES TO 4070 02:28:43,983 --> 02:28:46,486 CONTRIBUTE TO THE NIH 4071 02:28:46,486 --> 02:28:48,087 ENVIRONMENT AND THE EXTRAMURAL 4072 02:28:48,087 --> 02:28:48,554 COMMUNITY AS WELL. 4073 02:28:48,554 --> 02:28:51,824 WE ARE JUST SO GRATEFUL FOR ALL 4074 02:28:51,824 --> 02:28:53,059 OF THEM, GREAT TO READ ALL THE 4075 02:28:53,059 --> 02:28:54,794 FLAMES BUT WE WOULD BE HERE ALL 4076 02:28:54,794 --> 02:28:54,961 DAY. 4077 02:28:54,961 --> 02:28:56,262 SO I THINK WITH THAT, THAT WILL 4078 02:28:56,262 --> 02:28:59,699 BE THE END OF OUR UPDATE ON 4079 02:28:59,699 --> 02:29:01,667 UNITE AND CERTAINLY MARIE AND I 4080 02:29:01,667 --> 02:29:03,269 WILL AND LARRY AND AS A CO CHAIR 4081 02:29:03,269 --> 02:29:06,773 CAN ALSO TAKE QUESTIONS. 4082 02:29:06,773 --> 02:29:06,973 TODAY. 4083 02:29:06,973 --> 02:29:07,473 THANK YOU. 4084 02:29:07,473 --> 02:29:18,017 >> IMRAIT, THANK YOU SO MUCH. 4085 02:29:34,700 --> 02:29:35,802 >> --I AM AT THE UNIVERSITY OF 4086 02:29:35,802 --> 02:29:36,736 NORTH CAROLINA AT CHAPEL HILL 4087 02:29:36,736 --> 02:29:43,176 AND WE WERE NAMED IN THE STUDENT 4088 02:29:43,176 --> 02:29:43,943 [INDISCERNIBLE] ADMISSIONS 4089 02:29:43,943 --> 02:29:45,444 LAWSUIT THAT WAS HEARD BY THE 4090 02:29:45,444 --> 02:29:46,512 SUPREME COURT. 4091 02:29:46,512 --> 02:29:51,884 AND SO WE HAVE A NEW LAW OF THE 4092 02:29:51,884 --> 02:29:53,886 LAND THAT WE ARE FEST 4093 02:29:53,886 --> 02:29:54,954 EDUCATIONALIOUSLY WORKING TO BE 4094 02:29:54,954 --> 02:29:56,055 COMPLIANT WITH HERE AT THE 4095 02:29:56,055 --> 02:29:56,856 UNIVERSITY OF NORTH CAROLINA. 4096 02:29:56,856 --> 02:29:57,890 THERE ARE MANY QUESTIONS THAT 4097 02:29:57,890 --> 02:30:03,696 ARE COMING UP FOR THOSE OF US 4098 02:30:03,696 --> 02:30:05,331 THAT HAVE GRANTS THAT ARE 4099 02:30:05,331 --> 02:30:07,567 INTENDED TO DIVERSIFY THE 4100 02:30:07,567 --> 02:30:08,734 WORKFORCE, PARTICULARLY OUR CTSA 4101 02:30:08,734 --> 02:30:09,702 AWARDS THAT WE'RE WORKING 4102 02:30:09,702 --> 02:30:10,369 THROUGH NOW. 4103 02:30:10,369 --> 02:30:17,210 HOW IS THE NIH BALANCING THIS 4104 02:30:17,210 --> 02:30:18,077 NEW LAW? 4105 02:30:18,077 --> 02:30:20,513 WITH THE UNITE EFFORTS, WHAT 4106 02:30:20,513 --> 02:30:21,714 ADVICE ARE YOU GIVING 4107 02:30:21,714 --> 02:30:23,216 INVESTIGATORS LIKE MYSELF THAT 4108 02:30:23,216 --> 02:30:24,717 ARE IN STATES AND AT 4109 02:30:24,717 --> 02:30:26,285 INSTITUTIONS THAT WERE NAMED IN 4110 02:30:26,285 --> 02:30:28,154 THIS LAWSUIT AND IN STATES WHERE 4111 02:30:28,154 --> 02:30:31,524 THERE'S BEG YOUR PARDON A 4112 02:30:31,524 --> 02:30:35,161 TREMENDOUS PENDULUM SWING AROUND 4113 02:30:35,161 --> 02:30:37,363 DIVERSITY, EQUITY, INCLUSION AND 4114 02:30:37,363 --> 02:30:37,830 ACCESSIBILITY EFFORTS? 4115 02:30:37,830 --> 02:30:39,131 >> THANK YOU FOR THAT QUESTION. 4116 02:30:39,131 --> 02:30:43,603 IT'S NOT THE FIRST TIME IT'S 4117 02:30:43,603 --> 02:30:44,270 BEEN ASKED. 4118 02:30:44,270 --> 02:30:46,138 >> I IMAGINE YOU'RE WELL VERSED 4119 02:30:46,138 --> 02:30:47,607 IN IT. 4120 02:30:47,607 --> 02:30:48,307 >> PLEASE HELP US. 4121 02:30:48,307 --> 02:30:53,546 NI --NI CAN SAY THAT WE AT NIH E 4122 02:30:53,546 --> 02:30:56,549 THINK OF DIVERSITY AT LARGE, SO 4123 02:30:56,549 --> 02:30:59,986 IT'S DIVERSITY OF IMOGRAPHY, 4124 02:30:59,986 --> 02:31:02,288 DISCIPLINE, YES DIVERSITY IN 4125 02:31:02,288 --> 02:31:04,624 KEEPING WITH DEMOGRAPHIC 4126 02:31:04,624 --> 02:31:04,991 CHARACTERISTICS, 4127 02:31:04,991 --> 02:31:05,691 DIVERSITY--BECAUSE YOU'RE A 4128 02:31:05,691 --> 02:31:10,396 PERSON WITH A DISABILITY OR YOU 4129 02:31:10,396 --> 02:31:14,300 HAVE COME FROM A LOW 4130 02:31:14,300 --> 02:31:15,268 SOCIOECONOMIC BACKGROUND, VERY 4131 02:31:15,268 --> 02:31:17,203 MUCH IS OUTLINED IN OUR NOTICE 4132 02:31:17,203 --> 02:31:20,039 OF SPECIAL INTEREST IN DIVERSITY 4133 02:31:20,039 --> 02:31:24,176 AND WE DO NOT FUND BASED UPON 4134 02:31:24,176 --> 02:31:25,778 DEMOGRAPHIC CHARACTERISTICS. 4135 02:31:25,778 --> 02:31:29,315 WE WILL FOCUS ON INSTITUTIONS 4136 02:31:29,315 --> 02:31:31,717 THAT MAY BE IN AREAS WHERE 4137 02:31:31,717 --> 02:31:33,786 THERE'S NOT BEEN A LOT IN THE 4138 02:31:33,786 --> 02:31:37,123 WAY OF NIH FUNDING IN KEEPING 4139 02:31:37,123 --> 02:31:38,658 WITH THE ERA INITIATIVE I 4140 02:31:38,658 --> 02:31:40,559 MENTIONED AND YES, WE HAVE 4141 02:31:40,559 --> 02:31:42,628 INITTIAIVE ITS LIKE THE FACULTY 4142 02:31:42,628 --> 02:31:44,297 AND RECRUITMENT FOR SUSTAINABLE 4143 02:31:44,297 --> 02:31:45,298 TRANSFORMATION PROGRAM WHERE AS 4144 02:31:45,298 --> 02:31:48,134 I MENTIONED, WE'RE LOOKING FOR 4145 02:31:48,134 --> 02:31:49,535 PEOPLE WHO HAVE INTEREST IN AND 4146 02:31:49,535 --> 02:31:52,238 A TRACK RECORD IN DEIA BUT IT'S 4147 02:31:52,238 --> 02:31:53,406 NOT NECESSARILY THE AREA OF 4148 02:31:53,406 --> 02:31:56,609 FOCUS AND WHEN YOU LOOK THROUGH 4149 02:31:56,609 --> 02:31:58,044 THOSE FACULTY ARE ISSUES IT'S A 4150 02:31:58,044 --> 02:31:58,978 VARIETY OF INDIVIDUALS JUST AS 4151 02:31:58,978 --> 02:32:01,480 IS THE CASE FOR THE 4152 02:32:01,480 --> 02:32:02,315 DISTINGUISHED SCHOLARS PROGRAM 4153 02:32:02,315 --> 02:32:04,183 HERE AT NIH WHICH IS THE BASIS 4154 02:32:04,183 --> 02:32:05,851 UPON WHICH IT WAS FIRST 4155 02:32:05,851 --> 02:32:06,118 DEVELOPED. 4156 02:32:06,118 --> 02:32:08,254 SO WE RECOGNIZE THAT IT GETS TO 4157 02:32:08,254 --> 02:32:12,558 BE CHALLENGING AND WE'VE HAD 4158 02:32:12,558 --> 02:32:13,859 MANY INSTITUTIONS SAY, WELL CAN 4159 02:32:13,859 --> 02:32:16,062 I APPLY FOR THIS INITIATIVE AND 4160 02:32:16,062 --> 02:32:17,897 AS WE'RE GIVING OUT FUNDS LIKE 4161 02:32:17,897 --> 02:32:20,433 THIS LAST COHORT OF FIRST 4162 02:32:20,433 --> 02:32:21,867 GRNTEES, AT LEAST 3 OF THE 5 4163 02:32:21,867 --> 02:32:22,802 INSTITUTIONS THAT GOT FUNDED 4164 02:32:22,802 --> 02:32:26,005 WERE IN THE STATE OF TEXAS. 4165 02:32:26,005 --> 02:32:31,243 AND TEXAS HAS SOME LAWS ABOUT 4166 02:32:31,243 --> 02:32:33,045 DEI THESE DAYS. 4167 02:32:33,045 --> 02:32:34,380 SO THE RECOMMENDATION WAS FOR 4168 02:32:34,380 --> 02:32:35,047 THOSE INSTITUTIONS AND 4169 02:32:35,047 --> 02:32:36,782 LEADERSHIP OF THOSE INSTITUTIONS 4170 02:32:36,782 --> 02:32:39,085 TO WORK WITH THEIR IN-HOUSE 4171 02:32:39,085 --> 02:32:39,919 COUNCIL TO MAKE SURE THEY'RE 4172 02:32:39,919 --> 02:32:43,689 ABLE TO MEET THE TERMS OF THE 4173 02:32:43,689 --> 02:32:44,023 GRANT. 4174 02:32:44,023 --> 02:32:45,324 BUT FORTUNATELY ALL 3 OF THOSE 4175 02:32:45,324 --> 02:32:47,293 INSTITUTIONS WERE ABLE TO 4176 02:32:47,293 --> 02:32:48,694 RECEIVE THEIR GRANTS AND THEY'RE 4177 02:32:48,694 --> 02:32:51,564 MOVING FORWARD IN THEIR FESTER 4178 02:32:51,564 --> 02:32:53,065 INITIATIVE AND WE WILL CONTINUE 4179 02:32:53,065 --> 02:32:54,367 IN THAT FASHION. 4180 02:32:54,367 --> 02:32:57,536 Y SEE DR. MIKE LOWRY IS THE 4181 02:32:57,536 --> 02:32:58,270 OFFICE OF EXTRAMURAL RESEARCH, 4182 02:32:58,270 --> 02:33:02,675 DO YOU WANT TO ADD ANYTHING, 4183 02:33:02,675 --> 02:33:02,875 MIKE? 4184 02:33:02,875 --> 02:33:06,112 >> HE'S NODDING HIS HEAD IN 4185 02:33:06,112 --> 02:33:06,379 AGREEMENT. 4186 02:33:06,379 --> 02:33:07,313 >> THE OTHER THING WE'RE DOING 4187 02:33:07,313 --> 02:33:10,516 HERE JUST LIKE YOU ARE ENGAGING 4188 02:33:10,516 --> 02:33:11,684 WITH YOUR COUNCILS AND TRYING TO 4189 02:33:11,684 --> 02:33:14,220 MAKE SURE THAT WHAT YOU'RE DOING 4190 02:33:14,220 --> 02:33:15,554 IS MEETING THE SPIRIT OF THE 4191 02:33:15,554 --> 02:33:17,289 LAWS, WE DO THAT HERE AS WELL, 4192 02:33:17,289 --> 02:33:18,491 WE JUST RECENTLY THIS PAST WEEK 4193 02:33:18,491 --> 02:33:21,927 HAD A MEETING WITH OUR OFFICE OF 4194 02:33:21,927 --> 02:33:22,762 GENERAL COUNCIL TO TALK ABOUT 4195 02:33:22,762 --> 02:33:23,696 OUR PROGRAMS AND SOME OF THE 4196 02:33:23,696 --> 02:33:26,032 THINGS THAT ARE GOING ON TO MAKE 4197 02:33:26,032 --> 02:33:26,866 SURE THEY UNDERSTAND THE 4198 02:33:26,866 --> 02:33:29,335 PROGRAMS AND TO SEE IF THAT--IF 4199 02:33:29,335 --> 02:33:30,603 WE HAVE ANY ISSUES THAT WE NEED 4200 02:33:30,603 --> 02:33:32,605 TO BE DOLING WITH IN TERMS OF 4201 02:33:32,605 --> 02:33:33,639 THESE NEW RULINGS, SO WE'LL 4202 02:33:33,639 --> 02:33:36,142 CONTINUE TO DO THAT AS WE LOOK 4203 02:33:36,142 --> 02:33:37,643 AT OUR CURRENT PROGRAM ANDS 4204 02:33:37,643 --> 02:33:39,478 DEVELOP ANY NEW PROGRAMS TO MAKE 4205 02:33:39,478 --> 02:33:42,214 SURE THAT WE ARE NOT DOING 4206 02:33:42,214 --> 02:33:43,482 SOMETHING OUTSIDE OF SOME OF THE 4207 02:33:43,482 --> 02:33:52,591 NEW RULES THAT ARE IN PLACE; 4208 02:33:52,591 --> 02:34:00,633 >> THANK YOU SO MUCH. 4209 02:34:00,633 --> 02:34:02,101 >> THANK YOU DR. BERNARD AND 4210 02:34:02,101 --> 02:34:03,302 JOHNSON, I APPRECIATE THE GREAT 4211 02:34:03,302 --> 02:34:06,705 WORK YOU ARE ARE DOING WITH 4212 02:34:06,705 --> 02:34:08,307 THESE INITIATIVES TO DIVERSIFY 4213 02:34:08,307 --> 02:34:10,509 THE BIOMEDICAL SCIENTIFIC WOR 4214 02:34:10,509 --> 02:34:12,578 WORKFORCE, I THINK THAT THEY ARE 4215 02:34:12,578 --> 02:34:13,179 VERY HONORS EMPLOYEESARRABLE 4216 02:34:13,179 --> 02:34:14,814 EFFORT THAT YOU ARE ALL ARE 4217 02:34:14,814 --> 02:34:15,047 MAKING. 4218 02:34:15,047 --> 02:34:19,251 I HAVE 1 QUESTION IN TERMS OF 4219 02:34:19,251 --> 02:34:21,020 ALL OF THE COMPONENTS THAT 4220 02:34:21,020 --> 02:34:22,288 REFLECT UNITE, DO YOU HAVE ANY 4221 02:34:22,288 --> 02:34:25,291 PLANS 4222 02:34:25,291 --> 02:34:29,762 PLANS FOR ASSESSING UNITE IN 4223 02:34:29,762 --> 02:34:31,831 TERMS OF THE BENEFITS AS IT 4224 02:34:31,831 --> 02:34:34,433 RELATES TO CERTAIN MEASURES THAT 4225 02:34:34,433 --> 02:34:39,772 MIGHT COME TO MIND THAT IMPROVE 4226 02:34:39,772 --> 02:34:42,608 THE CAPACITY OF MINORITY 4227 02:34:42,608 --> 02:34:44,777 INVESTIGATORS WHO PARTICIPATE IN 4228 02:34:44,777 --> 02:34:47,446 SOME OF THE NIH COMPETITIONS AND 4229 02:34:47,446 --> 02:34:48,514 GRANTS THAT YOU TALKED ABOUT IN 4230 02:34:48,514 --> 02:34:54,420 I THINK IT MAY BE IMPORTANT IN 4231 02:34:54,420 --> 02:34:56,889 TERMS OF ASSESSING THESE SORTS 4232 02:34:56,889 --> 02:35:00,025 OF PROGRAMS AND THAT INFORMATION 4233 02:35:00,025 --> 02:35:01,127 GARNERED OR THINGS THAT HAVE 4234 02:35:01,127 --> 02:35:04,430 BEEN LEARNED FROM THESE 4235 02:35:04,430 --> 02:35:07,366 PROGRAMS, MIGHT BE APPLIED TO 4236 02:35:07,366 --> 02:35:12,938 OTHER EFFORTS IN NIH IN TERMS OF 4237 02:35:12,938 --> 02:35:14,106 ADDRESSING MARGINALIZATION FOR 4238 02:35:14,106 --> 02:35:15,107 INSTANCE PEOPLE WITH 4239 02:35:15,107 --> 02:35:16,609 DISABILITIES AND THEY'RE 4240 02:35:16,609 --> 02:35:18,944 ADDRESSING ABLEISM, AS UNITE 4241 02:35:18,944 --> 02:35:25,618 FOCUSES ON RACISM, ABLEISM, IS 4242 02:35:25,618 --> 02:35:27,353 IN FACT AN ISSUE ACROSS THE 4243 02:35:27,353 --> 02:35:28,420 NHIER AND OTHER FEDERAL AGENCIES 4244 02:35:28,420 --> 02:35:28,654 AS WELL. 4245 02:35:28,654 --> 02:35:30,122 SO I WANT TO POSE THAT QUESTION. 4246 02:35:30,122 --> 02:35:30,990 >> THANK YOU IF ARE THAT 4247 02:35:30,990 --> 02:35:32,124 QUESTION AND YES, WE ARE 4248 02:35:32,124 --> 02:35:33,425 THINKING LONG AND HARD ABOUT HOW 4249 02:35:33,425 --> 02:35:36,629 WE GET OUR ARMS AROUND ALL THESE 4250 02:35:36,629 --> 02:35:38,164 THINGS THAT HAVE SPRING FROM 4251 02:35:38,164 --> 02:35:38,364 UNITE. 4252 02:35:38,364 --> 02:35:40,032 IT WAS KIND OF LIKE WE PUT OUT A 4253 02:35:40,032 --> 02:35:41,834 LOT OF SEEDS AND A LOT OF THINGS 4254 02:35:41,834 --> 02:35:44,703 HAVE FLOWERED AND WE HAVE A LOT 4255 02:35:44,703 --> 02:35:47,540 OF PROCESS MEASURES BUT TRUE 4256 02:35:47,540 --> 02:35:48,908 OUTCOME MEASURES, CHANGES IN 4257 02:35:48,908 --> 02:35:49,642 CULTURE AND ENVIRONMENT ARE 4258 02:35:49,642 --> 02:35:51,744 GOING TO TAKE LONGER TO MEASURE. 4259 02:35:51,744 --> 02:35:53,612 AND THAT'S THE REASON WE HAVE 4260 02:35:53,612 --> 02:35:54,880 THIS WORKING GROUP THAT'S 4261 02:35:54,880 --> 02:35:58,117 LOOKING AT THESE FOCUS AREA ANDS 4262 02:35:58,117 --> 02:36:04,823 STATEMENTS AS WRITTEN. 4263 02:36:04,823 --> 02:36:08,594 IT'S UNITE MEMBERS, IT'S 4264 02:36:08,594 --> 02:36:09,728 PLANNING AND EVALUATION MEMBERS 4265 02:36:09,728 --> 02:36:11,897 AND HOW DO WE HARNESS AND LOOK 4266 02:36:11,897 --> 02:36:12,665 AT THOSE THINGS. 4267 02:36:12,665 --> 02:36:16,569 I WILL ALSO MENTION THAT YES, 4268 02:36:16,569 --> 02:36:18,404 UNITE AND LOOKING AT THINGS WITH 4269 02:36:18,404 --> 02:36:20,039 A RACIAL EQUITY LENS BUT IT 4270 02:36:20,039 --> 02:36:21,807 DOESN'T LIMIT THINGS TO JUST 4271 02:36:21,807 --> 02:36:23,275 RACE AND ETHNICITY. 4272 02:36:23,275 --> 02:36:26,212 FOR INSTANCE THE DEIA PRIZE 4273 02:36:26,212 --> 02:36:28,814 COMPETITION, ANY INSTITUTION 4274 02:36:28,814 --> 02:36:32,818 THAT COULD TALK ABOUT DIVERSITY 4275 02:36:32,818 --> 02:36:34,453 EQUITY, INCLOWGZ, ACCESSIBILITY 4276 02:36:34,453 --> 02:36:36,322 WAS ELIGIBLE FOR THAT. 4277 02:36:36,322 --> 02:36:36,789 SO GO AHEAD. 4278 02:36:36,789 --> 02:36:38,324 >> THANK YOU FOR THAT RESPONSE. 4279 02:36:38,324 --> 02:36:41,460 I THINK THAT PERHAPS IN TERMS OF 4280 02:36:41,460 --> 02:36:44,330 THE ULTIMATE, IT MAY BE VERY 4281 02:36:44,330 --> 02:36:45,864 AMBITIOUS AND NOT PRAGMATIC, BUT 4282 02:36:45,864 --> 02:36:49,902 IN TERMS OF THE OVERALL ISSUE 4283 02:36:49,902 --> 02:36:52,137 THAT THIS UNITE AND UNITE AND 4284 02:36:52,137 --> 02:36:56,008 OTHER INITIATIVES ARE ADDRESSING 4285 02:36:56,008 --> 02:36:57,643 ULTIMATELY AS HEALTH DISPARITIES 4286 02:36:57,643 --> 02:37:00,212 AMONG THESE INDIVIDUALS FOR 4287 02:37:00,212 --> 02:37:00,713 THESE UNDERREPRESENTED 4288 02:37:00,713 --> 02:37:01,814 POPULATIONS SO IT WOULD BE 4289 02:37:01,814 --> 02:37:04,350 INTERESTING TO SEE IF OVERALL, 4290 02:37:04,350 --> 02:37:08,454 LIKE YOU SAID FROM THE LONG-TERM 4291 02:37:08,454 --> 02:37:09,822 ARE INTERMEDIATE PERSPECTIVE ARE 4292 02:37:09,822 --> 02:37:11,490 THERE ANY IMPACTS ON THESE 4293 02:37:11,490 --> 02:37:12,958 HEALTH OUTCOMES OR THESE 4294 02:37:12,958 --> 02:37:14,393 INDIVIDUALS FROM THESE 4295 02:37:14,393 --> 02:37:15,794 MARGINALIZED POPULATIONS BUT AS 4296 02:37:15,794 --> 02:37:17,896 YOU NOTED, THERE MAY BE PROCESS 4297 02:37:17,896 --> 02:37:21,367 SORTS OF MEASURES AND OUTCOMES, 4298 02:37:21,367 --> 02:37:23,102 IT SHOW THE BENEFITS OF THESE 4299 02:37:23,102 --> 02:37:25,170 INITIATIVES MIGHT BE IMPORTANT 4300 02:37:25,170 --> 02:37:28,274 FOR REPORTING, OR ARK DITIONAL 4301 02:37:28,274 --> 02:37:30,476 FUNDING OR TARGETING FUNDING AT 4302 02:37:30,476 --> 02:37:32,011 NIH THROUGH THE AREAS WHERE YOU 4303 02:37:32,011 --> 02:37:33,545 FEEL LIKE THE COMPONENT AREAS 4304 02:37:33,545 --> 02:37:40,853 THAT ARE MOST BENEFICIAL AND 4305 02:37:40,853 --> 02:37:45,858 MOST ADVANTAGEOUS FOR ENHANCING 4306 02:37:45,858 --> 02:37:48,160 THESE OUTCOMES. 4307 02:37:48,160 --> 02:37:53,799 THANK YOU FOR YOUR THOUGHTS. 4308 02:37:53,799 --> 02:37:54,800 >> YEAH, WE APPRECIATE THAT. 4309 02:37:54,800 --> 02:37:56,068 >> THANK YOU FOR THE UPDATE ON 4310 02:37:56,068 --> 02:37:57,336 THE REALLY IMPORTANT WORK, I 4311 02:37:57,336 --> 02:37:59,471 BELIEVE IT WAS THE 2019 NIH 4312 02:37:59,471 --> 02:38:00,939 WORKPLACE SURVEY, I WAS REALLY 4313 02:38:00,939 --> 02:38:02,675 ALARMED BY THE REALLY HIGH 4314 02:38:02,675 --> 02:38:13,218 LEVELS OF HARASSMENT AND CLIMATE 4315 02:38:24,763 --> 02:38:27,299 ISSUES FOR--THE NIH DATA FROM 4316 02:38:27,299 --> 02:38:30,269 2019 WAS A KEY PIECE OF DATA, 4317 02:38:30,269 --> 02:38:33,706 LARGE SURVEY OF SCIENTISTS IN 4318 02:38:33,706 --> 02:38:35,107 THE WORKFORCE, I GUESS THAT 4319 02:38:35,107 --> 02:38:36,542 LEADS TO 2 QUESTIONS, DO YOU 4320 02:38:36,542 --> 02:38:38,744 PLAN ON RELEASING THIS DATA, THE 4321 02:38:38,744 --> 02:38:40,479 MORE RECENT SURVEY DATA IS IT 4322 02:38:40,479 --> 02:38:42,614 GOING TO BE PUBLICLY RELEASED BY 4323 02:38:42,614 --> 02:38:43,782 CATEGORY SO WE CAN SEE THAT 4324 02:38:43,782 --> 02:38:45,451 AGAIN AND THEN ALSO ARE THINGS 4325 02:38:45,451 --> 02:38:46,719 LOOKING BETTER FROM THE LAST 4326 02:38:46,719 --> 02:38:48,487 TIME YOU DID THE SURVEY? 4327 02:38:48,487 --> 02:38:54,460 ARE THINGS IMPROVING AT NIH? 4328 02:38:54,460 --> 02:38:56,095 >> SO YES, THE DATA THAT'S 4329 02:38:56,095 --> 02:38:57,863 CIRCULATING WITHIN THE INSTITUTE 4330 02:38:57,863 --> 02:38:58,797 ANDS CENTERS, ULTIMATELY THERE 4331 02:38:58,797 --> 02:39:00,666 WILL BE AN OVERALL REPORT THAT 4332 02:39:00,666 --> 02:39:02,368 WILL BE RELEASED AND AVAILABLE 4333 02:39:02,368 --> 02:39:04,570 JUST LIKE DAY 1 FROM 2019, THE 4334 02:39:04,570 --> 02:39:05,971 QUESTION ABOUT THOSE OTHER 4335 02:39:05,971 --> 02:39:08,640 THINGS ARE IMPROVING OR NOT IS A 4336 02:39:08,640 --> 02:39:09,742 BIT MORE CHALLENGING TO,A 4337 02:39:09,742 --> 02:39:11,110 ASSESSES BECAUSE THE SURVEYS 4338 02:39:11,110 --> 02:39:13,145 WERE SLIGHTLY DIFFERENT ENOUGH 4339 02:39:13,145 --> 02:39:16,248 THAT WE COULDN'T HAVE 4340 02:39:16,248 --> 02:39:17,716 CORRELATIONS CORRELATING FROM 4341 02:39:17,716 --> 02:39:18,016 2019-2023. 4342 02:39:18,016 --> 02:39:19,685 THERE ARE SOME QUESTIONS THAT 4343 02:39:19,685 --> 02:39:20,753 WERE VERY MUCH THE SAME AND 4344 02:39:20,753 --> 02:39:22,287 WE'RE LOOKING AT THOSE TO SEE IF 4345 02:39:22,287 --> 02:39:24,223 WE CAN SEE IMPROVEMENTS BUT 4346 02:39:24,223 --> 02:39:27,693 CERTAINLY WE SHOULD BE ABLE TO 4347 02:39:27,693 --> 02:39:29,428 GET RESULTS THAT WILL TELL US A 4348 02:39:29,428 --> 02:39:33,532 BIT MORE BECAUSE THE LGBTQ, YOU 4349 02:39:33,532 --> 02:39:34,867 KNOW HIGH PREVALENCE WAS 4350 02:39:34,867 --> 02:39:35,667 CERTAINLY THERE. 4351 02:39:35,667 --> 02:39:37,035 I CAN'T RECALL THE DATA BECAUSE 4352 02:39:37,035 --> 02:39:38,971 I DID SEE IT, I DON'T--WE 4353 02:39:38,971 --> 02:39:40,773 HAVEN'T GOTTEN THAT LEVEL OF 4354 02:39:40,773 --> 02:39:42,307 REPORT AS YET, BUT WE WILL 4355 02:39:42,307 --> 02:39:43,375 BEGINNING THAT AND THAT DATA 4356 02:39:43,375 --> 02:39:44,676 WILL BE AVAILABLE SO WE SHOULD 4357 02:39:44,676 --> 02:39:49,481 BE ABLE TO SEE IF THERE'S BEEN 4358 02:39:49,481 --> 02:39:51,917 IMPROVEMENT OR NOT BUT THE OF 4359 02:39:51,917 --> 02:39:53,752 THE REPORTS WE HAVE THE HIGHER 4360 02:39:53,752 --> 02:39:56,321 LEVEL PORTS BUT NOT THE DETAILED 4361 02:39:56,321 --> 02:39:57,623 DEMOGRAPHIC REPORTS WOY NEED BUT 4362 02:39:57,623 --> 02:40:00,759 ONCE WE HAVE THAT, THAT WILL BE 4363 02:40:00,759 --> 02:40:03,529 SHARED AS WELL. 4364 02:40:03,529 --> 02:40:07,065 NALL RIGHT, KARL? 4365 02:40:07,065 --> 02:40:09,101 >> THANK YOU SO MUCH FOR THIS 4366 02:40:09,101 --> 02:40:09,968 PHENOMENAL, PHENOMENAL WORK YOU 4367 02:40:09,968 --> 02:40:11,170 HAVE DONE. 4368 02:40:11,170 --> 02:40:12,938 I WAS LOOKING AT THE SLIDE THAT 4369 02:40:12,938 --> 02:40:14,573 FLASHED BOO I QUICKLY, THERE ARE 4370 02:40:14,573 --> 02:40:17,242 ANY IDEAITATES THAT HAVE GOTTEN 4371 02:40:17,242 --> 02:40:18,544 FIRST PROGRAMS AND THEN IF THERE 4372 02:40:18,544 --> 02:40:19,845 ARE OPPORTUNITIES THROUGHOUT THE 4373 02:40:19,845 --> 02:40:20,646 UNITE PORTFOLIO THORS THINK 4374 02:40:20,646 --> 02:40:23,115 ABOUT WHETHER IT'S THE MOSAIC 4375 02:40:23,115 --> 02:40:24,716 ARK WARDS OR FIRST PROGRAMS, THE 4376 02:40:24,716 --> 02:40:27,453 IMPACT OF THOSE IN THE IDEA 4377 02:40:27,453 --> 02:40:29,087 STATES AND WHAT MAY BE HAPPENING 4378 02:40:29,087 --> 02:40:32,925 IN TERMS OF JOB CREATION OR IN 4379 02:40:32,925 --> 02:40:34,326 THESE STATES AS WELL? 4380 02:40:34,326 --> 02:40:35,961 >> I WOULD HAVE TO PULL THE MAP 4381 02:40:35,961 --> 02:40:40,766 BACK UP BUT TO MY RECOLLECTION 4382 02:40:40,766 --> 02:40:43,735 WE HAVE A LOT IN THE STATE IDEA 4383 02:40:43,735 --> 02:40:46,071 STATES AND A LOT THAT WERE IN 4384 02:40:46,071 --> 02:40:47,005 THE SOUTHERN REALM ON THAT MAP 4385 02:40:47,005 --> 02:40:48,807 XI WILL SAY THAT OUR COLLEAGUESA 4386 02:40:48,807 --> 02:40:51,877 THE NATIONAL INSTITUTE OF 4387 02:40:51,877 --> 02:40:53,245 GENERAL MEDICAL SCIENCES HAVE 4388 02:40:53,245 --> 02:40:53,946 BEEN PARTICULARLY FOCUSED ON 4389 02:40:53,946 --> 02:40:56,882 IDEA STATES AND MAKING ON 4390 02:40:56,882 --> 02:40:58,217 OUTREACH TO IDEAITATES. 4391 02:40:58,217 --> 02:41:00,085 SO IT'S DEFINITELY ON OUR RADAR. 4392 02:41:00,085 --> 02:41:03,088 AS WE TALK ABOUT THIS ERA 4393 02:41:03,088 --> 02:41:04,389 INITIATIVE, MANY OF THE TARGET 4394 02:41:04,389 --> 02:41:09,995 INSTITUTIONS ARE GOING TO BE AN 4395 02:41:09,995 --> 02:41:12,698 IDEAITATE, SO WE'RE NOT IGNORING 4396 02:41:12,698 --> 02:41:14,166 THAT ISSUE, BUT WE WERE GOING TO 4397 02:41:14,166 --> 02:41:18,837 TRY TO PULL UP THE MAP FOR ME. 4398 02:41:18,837 --> 02:41:20,439 I HAVE TO REMEMBER THE 4399 02:41:20,439 --> 02:41:21,406 IDEAITATES ARE AS WELL. 4400 02:41:21,406 --> 02:41:22,708 BUT I THINK THERE ARE A LOT IN 4401 02:41:22,708 --> 02:41:25,310 THE SOUTH AND THE SLIDE SHOULD 4402 02:41:25,310 --> 02:41:26,144 BE AVAILABLE LATER TODAY AND 4403 02:41:26,144 --> 02:41:29,147 THERE COULD BE A DIRECT 4404 02:41:29,147 --> 02:41:29,448 COMPARISON. 4405 02:41:29,448 --> 02:41:31,016 >> YEAH, THE POINT IS, I THINK 4406 02:41:31,016 --> 02:41:32,384 IT'S REALLY IMPORTANT TO 4407 02:41:32,384 --> 02:41:33,452 HIGHLIGHT IN OF THAT IMPORTANT 4408 02:41:33,452 --> 02:41:35,420 WORK IN THOSE INVESTMENTS AS 4409 02:41:35,420 --> 02:41:37,890 WELL, AS WE'RE THINKING ABOUT 4410 02:41:37,890 --> 02:41:38,757 THE PORTFOLIO. 4411 02:41:38,757 --> 02:41:43,595 >> OKAY, YEAH, THANK YOU. 4412 02:41:43,595 --> 02:41:46,265 YEAH, I'M LOOKING. 4413 02:41:46,265 --> 02:41:48,133 >> THERE ARE SOME NMEXICO IN. 4414 02:41:48,133 --> 02:41:49,668 >> THERE ARE PLENTY OF 4415 02:41:49,668 --> 02:41:52,504 ADDITIONAL 1S THAT WE WOULD WANT 4416 02:41:52,504 --> 02:41:57,009 TO EPIGAUGE WITH IN--ENGAGE WITH 4417 02:41:57,009 --> 02:41:58,343 IN THE FUTURE. 4418 02:41:58,343 --> 02:41:59,211 I HAVE ALEXIA NEXT. 4419 02:41:59,211 --> 02:42:01,113 >> I WANT TO GIVE AN ENORMOUS 4420 02:42:01,113 --> 02:42:03,582 COMPLEMENT TO THE WORK THAT YOU 4421 02:42:03,582 --> 02:42:05,117 HAVE, WE WERE REFLECTING AT THE 4422 02:42:05,117 --> 02:42:07,419 BREAK, ABOUT THE INITIAL 4423 02:42:07,419 --> 02:42:08,587 PRESENTATION WHICH IS JUST AS I 4424 02:42:08,587 --> 02:42:09,555 STARTED ON THIS ROLE ON AND I 4425 02:42:09,555 --> 02:42:13,592 THINK THIS IS PROVE OF THEAXIOM 4426 02:42:13,592 --> 02:42:14,793 THAT LESS HAPPENS IN 2 YEARS BUT 4427 02:42:14,793 --> 02:42:16,161 MORE THAN CAN YOU IMAGINE IN 5, 4428 02:42:16,161 --> 02:42:17,796 WITH PROGRESS LIKE THIS HERE WE 4429 02:42:17,796 --> 02:42:19,097 ARE AT YEAR 3 AND WHAT IS 4430 02:42:19,097 --> 02:42:23,268 AMAZING TO ME IS THE BREDTH, THE 4431 02:42:23,268 --> 02:42:24,636 DEPTH, THE COMPREHENSIVENESS AND 4432 02:42:24,636 --> 02:42:26,805 THE INTEGRATION OF ALL OF THESE 4433 02:42:26,805 --> 02:42:28,907 AREAS THAT EVERYONE I THINK WHO 4434 02:42:28,907 --> 02:42:30,742 WORKS IN THIS SPACE DEEMS AS SO 4435 02:42:30,742 --> 02:42:32,110 IMPORTANT TO WORK ON IN CONCERT 4436 02:42:32,110 --> 02:42:33,145 IN ORDER TO DO IT. 4437 02:42:33,145 --> 02:42:34,846 AND I ALSO THINK THE WONDERFUL 4438 02:42:34,846 --> 02:42:36,048 THING IS THE WAY THE 4439 02:42:36,048 --> 02:42:38,050 ARCHITECTURE IS SET UP, IT 4440 02:42:38,050 --> 02:42:39,785 ALLOWS FOR CONTINUED INCLUSION 4441 02:42:39,785 --> 02:42:41,853 OF OTHER PRIORITIES AS WE LEARN 4442 02:42:41,853 --> 02:42:43,889 MORE ABOUT AREAS THAT WE NEED TO 4443 02:42:43,889 --> 02:42:45,991 WORK AND THEN LAST, I THINK 4444 02:42:45,991 --> 02:42:47,492 WE'RE ALL COMMITTED TO WHAT HAS 4445 02:42:47,492 --> 02:42:49,661 KIND OF BEEN RAISED WHICH IS WE 4446 02:42:49,661 --> 02:42:51,897 NEED TO FIGURE OUT WHAT OF THESE 4447 02:42:51,897 --> 02:42:53,332 PROGRAMS IS WORKING WELL, WHERE 4448 02:42:53,332 --> 02:42:55,500 THE IMPACT IS, WHERE THE VALUE 4449 02:42:55,500 --> 02:42:57,669 IS TO CONTINUE TO BOTH 4450 02:42:57,669 --> 02:42:59,171 DISSEMINATE, TRY NEW THINGS AND 4451 02:42:59,171 --> 02:43:00,272 REALLY CONTINUE TO BRING THIS TO 4452 02:43:00,272 --> 02:43:03,875 THE NEXT LEVEL WHERE THE 4453 02:43:03,875 --> 02:43:05,377 SUSTAINABILITY IS THERE ALSO, SO 4454 02:43:05,377 --> 02:43:07,346 JUST AGAIN A HUGE COMPLEMENT FOR 4455 02:43:07,346 --> 02:43:09,982 THE WORK OVER THE PAST 3 YEARS. 4456 02:43:09,982 --> 02:43:12,217 I'M SO PLEASED TO BE IN THE MIX 4457 02:43:12,217 --> 02:43:13,752 A LITTLE BIT MORE ON THE WORKING 4458 02:43:13,752 --> 02:43:18,156 GROUP AS WELL. 4459 02:43:18,156 --> 02:43:20,292 >> YEAH. AGAIN, EVERYBODY HAS 4460 02:43:20,292 --> 02:43:22,694 BEEN THANKING YOU FOR THIS 4461 02:43:22,694 --> 02:43:25,897 AMAZING WORK. ACTUALLY, OFTEN 4462 02:43:25,897 --> 02:43:28,333 IN MY OWN OTHER WORK OFTEN HAVE 4463 02:43:28,333 --> 02:43:31,536 POINTED TO THIS INITIATIVE AS A 4464 02:43:31,536 --> 02:43:33,472 RATHER REMARKABLE COMPREHENSIVE 4465 02:43:33,472 --> 02:43:35,007 INITIATIVE THAT OTHER 4466 02:43:35,007 --> 02:43:36,642 INSTITUTIONS CAN LEARN FROM AND 4467 02:43:36,642 --> 02:43:38,977 DO THINK THIS IS ALSO POTENTIAL 4468 02:43:38,977 --> 02:43:40,979 FOR ALL THIS WORK TO INFORM 4469 02:43:40,979 --> 02:43:42,581 OTHERS AND OTHER INSTITUTIONS IN 4470 02:43:42,581 --> 02:43:45,183 THE COUNTRY IS QUITE ENORMOUS 4471 02:43:45,183 --> 02:43:47,185 AND ONE OTHER COMMENT IS AT THE 4472 02:43:47,185 --> 02:43:51,556 BEGINNING YOU MENTIONED ONE 4473 02:43:51,556 --> 02:43:53,925 INTERESTING PROGRAM INITIATIVE 4474 02:43:53,925 --> 02:43:57,062 THAT IS K-12 THAT IS REALLY 4475 02:43:57,062 --> 02:43:59,498 FASCINATED TO REFLECT ON THIS. 4476 02:43:59,498 --> 02:44:02,367 HOPEFULLY THESE INITIATIVES WILL 4477 02:44:02,367 --> 02:44:05,303 LEAD TO THE TRUST ISSUE 4478 02:44:05,303 --> 02:44:08,440 IMPROVING TRUST IN SCIENCE AND 4479 02:44:08,440 --> 02:44:13,445 NIH AND SO ON. 4480 02:44:13,445 --> 02:44:17,082 THIS IS THE RIGHT FOCUS AND HOW 4481 02:44:17,082 --> 02:44:18,717 WE THINK ABOUT SCIENCE AND 4482 02:44:18,717 --> 02:44:20,852 IMPORTANCE OF SCIENCE. THANK 4483 02:44:20,852 --> 02:44:21,086 YOU. 4484 02:44:21,086 --> 02:44:24,990 >> ADDITIONAL QUESTIONS OR 4485 02:44:24,990 --> 02:44:30,962 COMMENTS FROM ANYBODY? 4486 02:44:30,962 --> 02:44:33,665 >> I WOULD JUST SAY MARIE AND 4487 02:44:33,665 --> 02:44:37,202 ALFRED AND TARA HAVE DONE A 4488 02:44:37,202 --> 02:44:41,573 GREAT JOB. 4489 02:44:41,573 --> 02:44:44,743 THE THANKS GO TO ALL OUR STAFF. 4490 02:44:44,743 --> 02:44:45,310 >> YEAH. 4491 02:44:45,310 --> 02:44:47,579 >> THE SLIDE THAT ALFRED PUT UP 4492 02:44:47,579 --> 02:44:51,349 WITH THE MANY, MANY NAMES, THEY 4493 02:44:51,349 --> 02:44:52,617 VOLUNTEER THEIR TIME BASICALLY. 4494 02:44:52,617 --> 02:44:56,221 IT IS REALLY REMARKABLE HOW MUCH 4495 02:44:56,221 --> 02:44:58,323 PASSION AND WE ARE NOW AT A 4496 02:44:58,323 --> 02:45:01,159 POINT WHERE THERE HAS BEEN 4497 02:45:01,159 --> 02:45:02,794 TURNOVER. THIS IS THE SECOND 4498 02:45:02,794 --> 02:45:04,162 AND MAYBE THE THIRD WAVE OF 4499 02:45:04,162 --> 02:45:06,098 PEOPLE THAT HAVE ENGAGED AND 4500 02:45:06,098 --> 02:45:10,836 THERE IS ANOTHER COMMITTEE, THE 4501 02:45:10,836 --> 02:45:12,738 ANTIRACISM STEERING COMMITTEE 4502 02:45:12,738 --> 02:45:16,675 THAT IS OVER 100 PEOPLE WHO 4503 02:45:16,675 --> 02:45:18,744 DEVOTE THEIR TIME AND ENERGY. 4504 02:45:18,744 --> 02:45:20,445 THEY COME UP WITH REALLY 4505 02:45:20,445 --> 02:45:23,148 IMPORTANT IDEAS WHICH, YOU KNOW, 4506 02:45:23,148 --> 02:45:25,050 WE HAVE BEEN FORTUNATE TO 4507 02:45:25,050 --> 02:45:27,352 NAVIGATE AND FIGURE OUT WAYS OF 4508 02:45:27,352 --> 02:45:27,953 IMPLEMENTING. 4509 02:45:27,953 --> 02:45:30,322 SO, THE CREDIT REALLY, YOU KNOW, 4510 02:45:30,322 --> 02:45:31,256 GOES THERE. 4511 02:45:31,256 --> 02:45:33,425 AND -- AND I GUESS THAT ONE 4512 02:45:33,425 --> 02:45:37,295 OTHER POINT THAT HAS BEEN ELUDED 4513 02:45:37,295 --> 02:45:38,597 TO, EVERYTHING IN THIS SPACE IS 4514 02:45:38,597 --> 02:45:40,298 NOT HAPPENING THROUGH UNITE. 4515 02:45:40,298 --> 02:45:44,236 THE INSTITUTES AND CENTERS PLAY 4516 02:45:44,236 --> 02:45:47,239 AN ENORMOUS ROLE HERE AND 4517 02:45:47,239 --> 02:45:52,377 SPECIAL SHOUTOUT TO NMGS AND 4518 02:45:52,377 --> 02:45:54,112 NIMHD THERE IS A PUSH AND PULL. 4519 02:45:54,112 --> 02:45:57,115 WE LEARN FROM THEM. IT IS A 4520 02:45:57,115 --> 02:45:58,183 TREMENDOUS PARTNERSHIP AND 4521 02:45:58,183 --> 02:46:00,352 ULTIMATELY IS ALL INSTITUTES AND 4522 02:46:00,352 --> 02:46:02,888 CENTERS NEEDING TO IMPLEMENT 4523 02:46:02,888 --> 02:46:04,322 WHEN WE PARTICULARLY GO 4524 02:46:04,322 --> 02:46:06,558 EXTRAMURAL AND MARIE SHOWED YOU 4525 02:46:06,558 --> 02:46:09,094 THE SIGN ON FOR THE MANY, MANY 4526 02:46:09,094 --> 02:46:10,729 DIFFERENT OPPORTUNITY 4527 02:46:10,729 --> 02:46:11,563 ANNOUNCEMENTS THAT HAS BEEN 4528 02:46:11,563 --> 02:46:13,031 QUITE BROAD. 4529 02:46:13,031 --> 02:46:17,435 SO, LOTS AND LOTS OF CREDIT 4530 02:46:17,435 --> 02:46:20,238 ACROSS THE AGENTS. 4531 02:46:20,238 --> 02:46:22,841 I THINK PEOPLE ARE HUNGRY 4532 02:46:22,841 --> 02:46:27,012 BECAUSE THERE IS A SILENCE HERE. 4533 02:46:27,012 --> 02:46:31,516 SO, WE WILL BREAK UNTIL 1:15. 4534 02:46:31,516 --> 02:46:36,321 WE ARE NOT GOING TO SPEED AHEAD 4535 02:46:36,321 --> 02:46:39,157 BECAUSE IT BEING -- THE FEDERAL 4536 02:46:39,157 --> 02:46:40,392 REGISTER, THERE MIGHT BE PEOPLE 4537 02:46:40,392 --> 02:46:42,060 THAT WANT TO COME IN FOR THE 4538 02:46:42,060 --> 02:46:43,662 NEXT PRESENTATION AND SO FORTH. 4539 02:46:43,662 --> 02:46:47,165 WE WILL COME BACK AT 1:15 P.M. 4540 02:46:47,165 --> 02:46:49,266 ALL RIGHT? THANKS, EVERYBODY! 4541 02:48:07,724 --> 02:48:11,484 HER OPENING REMARKS TALKED ABOUT 4542 02:48:11,484 --> 02:48:19,420 TAKING SCIENCES ADVANCES AND 4543 02:48:19,420 --> 02:48:20,020 THOUGHT I WOULD START WITH 4544 02:48:20,020 --> 02:48:20,755 PEOPLE AND PREVENTABLE TRAGEDY 4545 02:48:20,755 --> 02:48:22,623 OF MATERNAL MORBIDITY AND 4546 02:48:22,623 --> 02:48:24,325 MORTALITY AND YOU SEE THREE 4547 02:48:24,325 --> 02:48:26,627 ATHLETES THAT HAPPEN TO BE BLACK 4548 02:48:26,627 --> 02:48:30,698 WOMEN IN THEIR 30S AND SERENA 4549 02:48:30,698 --> 02:48:33,167 WILLIAMS YOU HAVE READ SHE 4550 02:48:33,167 --> 02:48:36,504 EXPERIENCED SERIOUS PULMONARY 4551 02:48:36,504 --> 02:48:37,705 EMBOWLI DURING HER FIRST 4552 02:48:37,705 --> 02:48:39,306 PREGNANCY AND SAD THING ABOUT 4553 02:48:39,306 --> 02:48:45,579 THAT IS SHE PREVIOUSLY HAD 4554 02:48:45,579 --> 02:48:47,782 EMBOWLIED AND KNEW WHAT IT FELT 4555 02:48:47,782 --> 02:48:49,483 LIKE. HER DOCTORS WEREN'T 4556 02:48:49,483 --> 02:48:51,919 LISTENING TO HER AND SHE 4557 02:48:51,919 --> 02:48:53,621 RECOVERED AND HAD A HEALTHY 4558 02:48:53,621 --> 02:48:58,225 PREGNANCY THAT IS GREAT AND ALEX 4559 02:48:58,225 --> 02:49:09,036 FELIX HAD AN EMERGENCY SES AARI. 4560 02:49:17,344 --> 02:49:17,912 FORT NOTELY SHE RECOVERED. SHE 4561 02:49:17,912 --> 02:49:19,079 IS A CHAMPION FOR MATERNAL 4562 02:49:19,079 --> 02:49:20,548 HEALTHTORY BEAUY WAS NOT 4563 02:49:20,548 --> 02:49:22,116 FORTUNATE AND WENT INTO LABOR AT 4564 02:49:22,116 --> 02:49:24,084 HOME AT 8 MONTHS OF GESTATION 4565 02:49:24,084 --> 02:49:29,123 AND APPARENTLY HAD ACLAMP SEA OR 4566 02:49:29,123 --> 02:49:31,392 A LIFE-THREATENING EVENT AND 4567 02:49:31,392 --> 02:49:33,661 DIED IN HER HOME IN THE PROCESS 4568 02:49:33,661 --> 02:49:35,763 OF CHILD BIRTH. WE CAN'T LET 4569 02:49:35,763 --> 02:49:37,097 THAT HAPPEN IN OUR COUNTRY. WE 4570 02:49:37,097 --> 02:49:39,633 WOULD LIKE TO HAVE A -- NEXT 4571 02:49:39,633 --> 02:49:40,668 SLIDE, PLEASE. 4572 02:49:40,668 --> 02:49:42,536 IN THE NEXT HALF HOUR OR SO I 4573 02:49:42,536 --> 02:49:45,139 WILL TALK ABOUT THE MATERNAL 4574 02:49:45,139 --> 02:49:47,508 MORTALITY CRISIS AND KNOW WE 4575 02:49:47,508 --> 02:49:49,376 HAVE DERMATOLOGISTS HERE AND 4576 02:49:49,376 --> 02:49:50,177 NEUROSCIENTISTS AND MAYBE YOU 4577 02:49:50,177 --> 02:49:53,514 ARE NOT THINKING ABOUT MATERNAL 4578 02:49:53,514 --> 02:49:54,982 MORTALITY AND WILL PRESENT OUR 4579 02:49:54,982 --> 02:49:56,283 HIGHLIGHTED PROGRAM AND 4580 02:49:56,283 --> 02:49:58,252 SIGNATURE PROGRAM AT NIH THAT IS 4581 02:49:58,252 --> 02:50:00,521 THE IMPROVE INITIATIVE THAT IS 4582 02:50:00,521 --> 02:50:02,957 NOT ALL THAT THE NIH IS DOING 4583 02:50:02,957 --> 02:50:05,526 WITH REGARD TO MATERNAL HEALTH. 4584 02:50:05,526 --> 02:50:08,262 I WILL JUST SPOTLIGHT A FEW 4585 02:50:08,262 --> 02:50:09,563 INITIATIVES FROM MULTIPLE 4586 02:50:09,563 --> 02:50:11,532 INSTITUTES AND CENTERS AND THEN 4587 02:50:11,532 --> 02:50:13,234 I WILL TALK ABOUT SOMETHING THAT 4588 02:50:13,234 --> 02:50:17,738 I KNOW IS NEAR AND DEAR TO DR. 4589 02:50:17,738 --> 02:50:20,107 BER CONTINUE OELI'S HEART HOW 4590 02:50:20,107 --> 02:50:22,643 YOU USE EXISTING NETWORKS AND 4591 02:50:22,643 --> 02:50:24,745 INFRASTRUCTURE AND USE THAT 4592 02:50:24,745 --> 02:50:26,347 INFRASTRUCTURE THAT HAS BEEN 4593 02:50:26,347 --> 02:50:27,448 ALREADY CREATED FOR MULTIPLE 4594 02:50:27,448 --> 02:50:28,249 USES. 4595 02:50:28,249 --> 02:50:29,717 LASTLY, WE WILL END WITH 4596 02:50:29,717 --> 02:50:31,819 PREVENTION. COULD I HAVE THE 4597 02:50:31,819 --> 02:50:33,120 NEXT SLIDE, SOMEBODY? 4598 02:50:33,120 --> 02:50:34,755 THIS DOESN'T SEEM TO BE -- THERE 4599 02:50:34,755 --> 02:50:37,725 WE GO. WE HAVE A PROBLEM IN THE 4600 02:50:37,725 --> 02:50:41,028 UNITED STATES. NUMBERS ARE 4601 02:50:41,028 --> 02:50:42,696 GETTING WORSE. 4602 02:50:42,696 --> 02:50:47,902 LAST STATISTICS WE HAVE ARE FROM 4603 02:50:47,902 --> 02:50:50,304 2021. OVER 1200 WOMEN DIED IN 4604 02:50:50,304 --> 02:50:58,178 THE P PROCESS OF PREGNANCY AND 4605 02:50:58,178 --> 02:50:59,813 LABOR AND DELIVERY POSTPARTUM 4606 02:50:59,813 --> 02:51:02,016 AND LOOKING AT GRAPHS WOMEN ON 4607 02:51:02,016 --> 02:51:05,152 THE LEFT THAT ARE WOMEN THAT ARE 4608 02:51:05,152 --> 02:51:07,421 NON-HISPANIC BLACKS HAVE BY FAR 4609 02:51:07,421 --> 02:51:09,123 THE WORST STATISTICS. 4610 02:51:09,123 --> 02:51:11,859 WHAT IS NOT SHOWN HERE IS 4611 02:51:11,859 --> 02:51:14,395 AMERICAN INDIANS AND ALASKA 4612 02:51:14,395 --> 02:51:16,297 NATIVES THAT ARE NOT QUITE AS 4613 02:51:16,297 --> 02:51:18,332 BAD BUT BAD AND ALL OF THE 4614 02:51:18,332 --> 02:51:19,800 RACIAL AND ETHNIC BACKGROUNDS 4615 02:51:19,800 --> 02:51:21,468 ARE INCREASING AND SOME IS 4616 02:51:21,468 --> 02:51:26,840 RELATED TO THE PANDEMIC. 4617 02:51:26,840 --> 02:51:28,842 THE TREND WAS BEGINNING TO BE 4618 02:51:28,842 --> 02:51:30,611 THERE BEFORE THE PANDEMIC AND 4619 02:51:30,611 --> 02:51:33,080 YOU MIGHT NOTICE ON THE RIGHT TO 4620 02:51:33,080 --> 02:51:35,583 LOOK AT DIFFERENCES OF A 4621 02:51:35,583 --> 02:51:37,151 FUNCTION OF MATERNAL AGE AND 4622 02:51:37,151 --> 02:51:39,720 WHAT IS GOING ON WITH WOMEN THAT 4623 02:51:39,720 --> 02:51:42,056 ARE OVER 40 AND ARE MORE LIKELY 4624 02:51:42,056 --> 02:51:44,325 TO HAVE A LIFE THREATENING 4625 02:51:44,325 --> 02:51:46,727 HEMORRHAGE OR SERIOUS 4626 02:51:46,727 --> 02:51:48,295 CARDIOVASCULAR DISEASE THAT IS 4627 02:51:48,295 --> 02:51:51,465 UNMASKED BY PREGNANCY AND ARE AT 4628 02:51:51,465 --> 02:51:53,867 HIGHER RISK FOR PULMONARY 4629 02:51:53,867 --> 02:51:55,869 EMBOWLI AND AGE IS ALSO A FACTOR 4630 02:51:55,869 --> 02:51:58,072 THAT IS PROBABLY THE BIGGEST 4631 02:51:58,072 --> 02:51:59,640 RISK FACTOR OF ALL. 4632 02:51:59,640 --> 02:52:01,942 NEXT SLIDE, PLEASE. 4633 02:52:01,942 --> 02:52:04,311 AS A PEDIATRICIAN AND SOMEONE 4634 02:52:04,311 --> 02:52:06,180 WORKING IN NEO-NATOLOGY I HAVE 4635 02:52:06,180 --> 02:52:08,582 BEEN IN LOTS OF DELIVERY ROOMS 4636 02:52:08,582 --> 02:52:10,050 AND NEVER REALIZED HOW MANY 4637 02:52:10,050 --> 02:52:13,020 WOMEN CAN DIE IN THE FIRST YEAR 4638 02:52:13,020 --> 02:52:14,088 AFTER THEY DELIVER. 4639 02:52:14,088 --> 02:52:16,690 SO, SOME WOMEN, ABOUT 1/5 OF THE 4640 02:52:16,690 --> 02:52:20,761 WOMEN ARE DYING WHILE THEY ARE 4641 02:52:20,761 --> 02:52:22,696 PREGNANT RELATIVELY FEWER ARE 4642 02:52:22,696 --> 02:52:25,032 DYING ON THE DAY OF DELIVERY AND 4643 02:52:25,032 --> 02:52:28,969 65% OF WOMEN ARE DYING BETWEEN 4644 02:52:28,969 --> 02:52:32,373 DAY 1 AND A YEAR AFTER DELIVERY 4645 02:52:32,373 --> 02:52:34,375 AND PART OF THE REASON WHY THERE 4646 02:52:34,375 --> 02:52:37,411 HAS BEEN A GREAT EFFORT TO 4647 02:52:37,411 --> 02:52:39,146 EXTEND MEDICAID COVERAGE SO 4648 02:52:39,146 --> 02:52:41,281 WOMEN CAN CONTINUE TO BE SEEN BY 4649 02:52:41,281 --> 02:52:43,784 HEALTHCARE PROVIDERS TO LOOK FOR 4650 02:52:43,784 --> 02:52:46,520 PROBLEMS SUCH AS HYPERTENSION OR 4651 02:52:46,520 --> 02:52:47,855 CARDIO MYOPATHY. 4652 02:52:47,855 --> 02:52:48,756 NEXT SLIDE. 4653 02:52:48,756 --> 02:52:50,758 THIS IS A VERY IMPORTANT SLIDE 4654 02:52:50,758 --> 02:52:52,192 AND PROBABLY THE MOST IMPORTANT 4655 02:52:52,192 --> 02:52:53,527 SLIDE I WILL SHOW YOU. 4656 02:52:53,527 --> 02:52:56,363 THE LACK OF ACCESS TO OBSTETRIC 4657 02:52:56,363 --> 02:52:58,999 CARE IN OUR COUNTRY IS A MAJOR 4658 02:52:58,999 --> 02:53:00,768 AND SERIOUS PROBLEM. 4659 02:53:00,768 --> 02:53:03,537 IF YOU LOOK AT THE RED COUNTIES 4660 02:53:03,537 --> 02:53:05,139 THERE, THOSE ARE COUNTIES THAT 4661 02:53:05,139 --> 02:53:08,776 ARE SO-CALLED MATERNITY CARE 4662 02:53:08,776 --> 02:53:11,078 DESERTS WHERE THERE IS NOT A 4663 02:53:11,078 --> 02:53:12,980 QUALIFIED OBSTETRIC PROVIDER IN 4664 02:53:12,980 --> 02:53:14,081 THAT COUNTY. 4665 02:53:14,081 --> 02:53:17,451 SO, WE HAVE A MAJOR WORKFORCE 4666 02:53:17,451 --> 02:53:17,951 ISSUE. 4667 02:53:17,951 --> 02:53:20,387 THIS ISSUE IS CONTINUING TO GET 4668 02:53:20,387 --> 02:53:21,689 WORST OVER TIME. 4669 02:53:21,689 --> 02:53:25,159 SO, MORE THAN 2.2 WOMEN LIVE IN 4670 02:53:25,159 --> 02:53:27,461 THESE MATERNITY CARE DESERTS. 4671 02:53:27,461 --> 02:53:30,197 AN ADDITIONAL 6 MILLION WOMEN 4672 02:53:30,197 --> 02:53:32,332 LIVE IN LOW CARE DESERTS. 4673 02:53:32,332 --> 02:53:36,103 NOW, WHY IS THIS HAPPENING? 4674 02:53:36,103 --> 02:53:38,205 FIRST OF ALL, FEWER MEDICAL 4675 02:53:38,205 --> 02:53:41,475 SCHOOL GRADUATES ARE GOING INTO 4676 02:53:41,475 --> 02:53:43,143 OBSTETRICS AND GYNECOLOGY AND 4677 02:53:43,143 --> 02:53:45,913 LAST YEAR THERE WERE 10% FEWER 4678 02:53:45,913 --> 02:53:48,782 RESIDENTS IN OBGYN AROUND THE 4679 02:53:48,782 --> 02:53:49,917 COUNTRY AND SECOND REASON IS 4680 02:53:49,917 --> 02:53:52,553 THAT HOSPITALS ARE CLOSING 4681 02:53:52,553 --> 02:53:55,189 OBSTETRIC SERVICES BECAUSE THEY 4682 02:53:55,189 --> 02:53:56,690 COST MORE THAN THEY PRODUCE. 4683 02:53:56,690 --> 02:53:59,593 YOU NEED TO HAVE SERVICES 4684 02:53:59,593 --> 02:54:02,096 AVAILABLE 24/7 AND NEVER KNOW 4685 02:54:02,096 --> 02:54:04,231 WHEN A BABY WILL BE DELIVERED. 4686 02:54:04,231 --> 02:54:07,167 THEY ARE EXPENSIVE TO MAINTAIN 4687 02:54:07,167 --> 02:54:08,569 SERVICES SO HOSPITALS CUT THEM 4688 02:54:08,569 --> 02:54:10,871 OUT AND THIRD THING IS EFFECT OF 4689 02:54:10,871 --> 02:54:12,606 THE DOBS DECISION AND MIGHT HAVE 4690 02:54:12,606 --> 02:54:15,042 READ IN NEW YORK TIMES, FOR 4691 02:54:15,042 --> 02:54:18,278 EXAMPLE, IN IDAHO, THERE WERE 4692 02:54:18,278 --> 02:54:21,181 FIVE OR NINE MATERNAL FETAL 4693 02:54:21,181 --> 02:54:23,150 MEDICAL SPECIALISTS THAT ALL 4694 02:54:23,150 --> 02:54:25,152 MOVED OUT OF THE STATE OF IDAHO. 4695 02:54:25,152 --> 02:54:26,954 THEY WANTED TO PRACTICE IN A 4696 02:54:26,954 --> 02:54:28,355 DIFFERENT SETTING THAT IS 4697 02:54:28,355 --> 02:54:30,491 HAPPENING IN MULTIPLE PLACES 4698 02:54:30,491 --> 02:54:31,492 AROUND THE COUNTRY. 4699 02:54:31,492 --> 02:54:34,027 THIS IS A PROBLEM THAT IS NOT 4700 02:54:34,027 --> 02:54:34,828 SOLVABLE. 4701 02:54:34,828 --> 02:54:39,399 WE CAN'T CREATE MORE 4702 02:54:39,399 --> 02:54:39,767 OBSTETRICIANS. 4703 02:54:39,767 --> 02:54:41,268 WE CAN PROVIDE HELP WITH OTHER 4704 02:54:41,268 --> 02:54:43,303 MEMBERS OF THE WORKFORCE AND CAN 4705 02:54:43,303 --> 02:54:45,339 PROVIDE TECHNOLOGY AND WHAT I 4706 02:54:45,339 --> 02:54:46,573 WILL TELL YOU ABOUT. 4707 02:54:46,573 --> 02:54:48,909 NEXT SLIDE. 4708 02:54:48,909 --> 02:54:52,813 SO, THE IMPROVE INITIATIVE 4709 02:54:52,813 --> 02:54:55,749 STARTED AT BLACK MATERNAL HEALTH 4710 02:54:55,749 --> 02:54:58,185 CAUCUS EVENT IN DECEMBER OF 4711 02:54:58,185 --> 02:54:58,552 2019. 4712 02:54:58,552 --> 02:55:00,420 EXACTLY FOUR YEARS AGO WHEN WE 4713 02:55:00,420 --> 02:55:03,757 MET WITH -- ACTUALLY, 90 MEMBERS 4714 02:55:03,757 --> 02:55:06,527 OF CONGRESS WERE PRESENT AT THAT 4715 02:55:06,527 --> 02:55:08,295 MEETING AND MEETING IS CONVENED 4716 02:55:08,295 --> 02:55:10,864 BY REPRESENTATIVE A--LE MA ADAMS 4717 02:55:10,864 --> 02:55:13,033 IN RED AND LAURA UNDERWOOD WHO 4718 02:55:13,033 --> 02:55:15,002 IS IN BLACK ON THE RIGHT AND SEE 4719 02:55:15,002 --> 02:55:21,642 DR. COLLINS, MYSELF, DR. PARRIS 4720 02:55:21,642 --> 02:55:24,144 STABILAY AND DR. GIBBINS WERE 4721 02:55:24,144 --> 02:55:25,679 THERE. WE WERE EFFECTIVELY 4722 02:55:25,679 --> 02:55:27,181 SHAMED AND TOLD WE HAVE TO DO 4723 02:55:27,181 --> 02:55:31,685 MORE TO ADDRESS PROBLEMS OF 4724 02:55:31,685 --> 02:55:33,520 MATERNAL MORBIDITY AND MORTALITY 4725 02:55:33,520 --> 02:55:34,988 AND FROM THAT CAME THE 4726 02:55:34,988 --> 02:55:37,090 INITIATIVE. NEXT SLIDE, PLEASE. 4727 02:55:37,090 --> 02:55:39,493 IMPROVE LIKE EVERY GOOD NIH 4728 02:55:39,493 --> 02:55:41,495 PROGRAM IS AN ACRONYM FOR 4729 02:55:41,495 --> 02:55:43,931 IMPLEMENTING MATERNAL HEALTH AND 4730 02:55:43,931 --> 02:55:45,499 PREGNANCY OUTCOMES VISION FOR 4731 02:55:45,499 --> 02:55:48,836 EVERYONE WHICH IS A NIH-WIDE 4732 02:55:48,836 --> 02:55:51,371 INITIATIVE CO-LED BY NICHD 4733 02:55:51,371 --> 02:55:53,640 NATIONAL INSTITUTE OF NURSING 4734 02:55:53,640 --> 02:55:55,876 RESEARCH AND NATIONAL OFFICE OF 4735 02:55:55,876 --> 02:55:57,544 RESEARCH ON WOMEN'S HEALTH. WE 4736 02:55:57,544 --> 02:55:59,313 ARE TAKING A DIFFERENT APPROACH 4737 02:55:59,313 --> 02:56:00,981 AND NOT BASIC SCIENCE 4738 02:56:00,981 --> 02:56:03,951 INITIATIVE. WE ARE FOCUSED 4739 02:56:03,951 --> 02:56:06,954 REDUCING PREVENTABLE CAUSES OF 4740 02:56:06,954 --> 02:56:09,122 MATERNAL MORBIDITY AND MORTALITY 4741 02:56:09,122 --> 02:56:11,158 AND IS A DISTINCT FOCUS ON 4742 02:56:11,158 --> 02:56:12,459 COMMUNITY AND IMPLEMENTATION 4743 02:56:12,459 --> 02:56:14,761 RESEARCH AND HOW WE IMPLEMENT 4744 02:56:14,761 --> 02:56:15,429 INTERVENTIONS THAT WILL CHANGE 4745 02:56:15,429 --> 02:56:18,065 THE NUMBERS IS WHAT WE HEAR FROM 4746 02:56:18,065 --> 02:56:19,833 CONGRESS ALL THE TIME. HOW WILL 4747 02:56:19,833 --> 02:56:21,768 YOU CHANGE NUMBERS OF WOMEN 4748 02:56:21,768 --> 02:56:24,571 DYING, WHICH, BY THE WAY, THOSE 4749 02:56:24,571 --> 02:56:26,506 NUMBERS ARE EQUIVALENT TO A 4750 02:56:26,506 --> 02:56:28,375 THIRD WORLD COUNTRY AND WE ARE 4751 02:56:28,375 --> 02:56:30,143 WORST IN TERMS OF DEVELOPED 4752 02:56:30,143 --> 02:56:32,279 COUNTRIES IN TERMS OF WOMEN 4753 02:56:32,279 --> 02:56:32,880 DYING. 4754 02:56:32,880 --> 02:56:34,915 ALSO, VERY IMPORTANT, WE NEED TO 4755 02:56:34,915 --> 02:56:36,850 ADDRESS HEALTH DISPARITIES AS 4756 02:56:36,850 --> 02:56:37,517 PART OF THIS. 4757 02:56:37,517 --> 02:56:39,253 IN THE BEGINNING, WE DID NOT 4758 02:56:39,253 --> 02:56:43,590 HAVE A SPECIFIC APROPRIATION. 4759 02:56:43,590 --> 02:56:46,126 CONGRESS VERY NICELY DID GIVE US 4760 02:56:46,126 --> 02:56:50,797 FUNDS IN '22 AND '23 AND WITH 4761 02:56:50,797 --> 02:56:53,634 THAT COMES BIG PROGRAMS AND 4762 02:56:53,634 --> 02:56:53,967 IMPROVEMENT. 4763 02:56:53,967 --> 02:56:54,801 NEXT SLIDE, PLEASE. 4764 02:56:54,801 --> 02:56:56,370 I WOULD LIKE TO THINK OF THIS AS 4765 02:56:56,370 --> 02:56:58,739 A PUZZLE. THERE IS SIX PARTS TO 4766 02:56:58,739 --> 02:56:59,539 THE PUZZLE. 4767 02:56:59,539 --> 02:57:03,043 I DON'T HAVE TIME TOED TO GO 4768 02:57:03,043 --> 02:57:07,180 INTO CONNECT-A-THON AND 4769 02:57:07,180 --> 02:57:08,181 DISSEMINATION IMPLEMENTATION 4770 02:57:08,181 --> 02:57:09,616 SPECIAL NOTICE BUT WILL TELL YOU 4771 02:57:09,616 --> 02:57:11,551 ABOUT ALL OF THE OTHER FOUR. 4772 02:57:11,551 --> 02:57:13,420 ALL OF THEM INTERSECT WITH EACH 4773 02:57:13,420 --> 02:57:14,054 OTHER. 4774 02:57:14,054 --> 02:57:17,024 TECHNOLOGIES THAT WE ARE 4775 02:57:17,024 --> 02:57:18,025 DEVELOPING THROUGH RAD X TECH 4776 02:57:18,025 --> 02:57:19,693 PART OF IMPROVE WILL BE 4777 02:57:19,693 --> 02:57:23,430 IMPLEMENTED IN CENTERS OF 4778 02:57:23,430 --> 02:57:33,874 EXCELLENCE AS A EXAMPLE. 4779 02:57:34,975 --> 02:57:45,452 THE GOAL THERE IS TO -- WE HAVE 4780 02:57:49,790 --> 02:57:51,425 FUNDED 10 RESEARCH CENTERS IN 4781 02:57:51,425 --> 02:57:52,960 AUGUST OF THIS YEAR. 4782 02:57:52,960 --> 02:57:55,128 THERE IS ALSO A COMMON DATA AND 4783 02:57:55,128 --> 02:57:56,797 INNOVATION HUB AND 4784 02:57:56,797 --> 02:57:57,497 IMPLEMENTATION SCIENCE HUB. 4785 02:57:57,497 --> 02:58:00,801 PART OF THE IMPLEMENTATION 4786 02:58:00,801 --> 02:58:03,370 SCIENCE HUB'S MANDATE IS TO 4787 02:58:03,370 --> 02:58:05,138 INCREASE THE SCIENTIFIC 4788 02:58:05,138 --> 02:58:07,107 WORKFORCE, FOR EXAMPLE, DATA 4789 02:58:07,107 --> 02:58:10,310 INNOVATION HUB IS AN OPPORTUNITY 4790 02:58:10,310 --> 02:58:15,048 TO INPUT AND SHARE DATA AMONGST 4791 02:58:15,048 --> 02:58:17,384 MANY CENTERS AND WITH CENTERS OF 4792 02:58:17,384 --> 02:58:19,152 EXCELLENCE WE ARE GETTING 4793 02:58:19,152 --> 02:58:20,554 ENGAGEMENT OF COMMUNITIES FROM 4794 02:58:20,554 --> 02:58:22,055 THE VERY BEGINNING. 4795 02:58:22,055 --> 02:58:28,495 THERE IS A ROBUST TRAINING 4796 02:58:28,495 --> 02:58:30,630 COMPONENT. NEXT SLIDE, PLEASE. 4797 02:58:30,630 --> 02:58:35,535 NO SIMPLE SOLUTION TO REDUCING 4798 02:58:35,535 --> 02:58:37,137 MATERNAL MORTALITY. IT IS A 4799 02:58:37,137 --> 02:58:38,605 COMPLEX PROBLEM AND MULTIPLE 4800 02:58:38,605 --> 02:58:40,140 CONDITIONS AND WE ARE ADDRESSING 4801 02:58:40,140 --> 02:58:42,242 PRETTY MUCH ALL OF THEM IN ONE 4802 02:58:42,242 --> 02:58:44,845 IMPROVED PROGRAM OR NIH PROGRAM. 4803 02:58:44,845 --> 02:58:47,080 AGAIN, IT IS VERY IMPORTANT TO 4804 02:58:47,080 --> 02:58:48,448 LOOK AT THE DIFFERENT TIME 4805 02:58:48,448 --> 02:58:48,849 POINTS. 4806 02:58:48,849 --> 02:58:51,685 WE CAN LOOK AT PRENATAL OR 4807 02:58:51,685 --> 02:58:53,553 DURING PREGNANCY AND DURING 4808 02:58:53,553 --> 02:58:56,056 LABOR AND DELIVERY OR YEAR AFTER 4809 02:58:56,056 --> 02:58:56,323 DELIVERY. 4810 02:58:56,323 --> 02:58:59,026 WE HAVE A FOCUS ON 4811 02:58:59,026 --> 02:59:00,560 UNDER-REPRESENTED POPULATIONS. 4812 02:59:00,560 --> 02:59:03,630 WE ARE LOOKING AT SOCIAL 4813 02:59:03,630 --> 02:59:05,565 DETERMINANTS OF HEALTH AND ARE 4814 02:59:05,565 --> 02:59:07,701 LOOKING AT NOVEL APPROACHES. 4815 02:59:07,701 --> 02:59:09,069 AGAIN, WITH IMPLEMENTATION. 4816 02:59:09,069 --> 02:59:11,371 WE HAVE A BIG FOCUS ON COMMUNITY 4817 02:59:11,371 --> 02:59:13,640 HEALTH WORKERS WHO DON'T REPLACE 4818 02:59:13,640 --> 02:59:16,009 THE OBSTETRICIAN AND IN FACT 4819 02:59:16,009 --> 02:59:18,478 MIGHT BE PROVIDING AN EQUALLY 4820 02:59:18,478 --> 02:59:20,113 IMPORTANT SERVICE BY GOING INTO 4821 02:59:20,113 --> 02:59:21,615 THE PATIENT'S HOME. 4822 02:59:21,615 --> 02:59:24,084 WE ARE ALSO USING ARTIFICIAL 4823 02:59:24,084 --> 02:59:24,885 INTELLIGENCE AND WE DIDN'T COME 4824 02:59:24,885 --> 02:59:26,887 UP ON THE LIST OF AI. 4825 02:59:26,887 --> 02:59:29,122 WE ARE USING ARTIFICIAL 4826 02:59:29,122 --> 02:59:30,323 INTELLIGENCE AND MACHINE 4827 02:59:30,323 --> 02:59:33,126 LEARNING WITH ELECTRONIC HEALTH 4828 02:59:33,126 --> 02:59:36,163 RECORDS IN CONNECT-A-THON TO 4829 02:59:36,163 --> 02:59:40,867 LOOK FOR PREDICTORS OF RISK 4830 02:59:40,867 --> 02:59:41,134 FACTORS. 4831 02:59:41,134 --> 02:59:46,873 AND WE ARE ADDRESSING IMPLICIT 4832 02:59:46,873 --> 02:59:48,809 PROVIDER BIASES AND LACK OF 4833 02:59:48,809 --> 02:59:51,678 RESPECT FOR CERTAIN POPULATIONS 4834 02:59:51,678 --> 02:59:56,183 AND CREATING PREDICTIVE MODELS. 4835 02:59:56,183 --> 03:00:00,921 NEXT SLIDE, PLEASE IT IS A 4836 03:00:00,921 --> 03:00:05,559 SUCCESS STORY BASED ON RAD X 4837 03:00:05,559 --> 03:00:08,061 TECH CHALLENGE FOR COVID 4838 03:00:08,061 --> 03:00:10,363 DIAGNOSTICS THAT WORKED SO WELL 4839 03:00:10,363 --> 03:00:12,799 AND IS LIKE A SHARK TANK 4840 03:00:12,799 --> 03:00:14,801 APPROACH AND WORKED SO WELL AND 4841 03:00:14,801 --> 03:00:17,370 SAID WHY CAN'T WE APPLY THIS TO 4842 03:00:17,370 --> 03:00:20,874 MATERNAL HEALTH THAT IS A WAY TO 4843 03:00:20,874 --> 03:00:23,110 ADDRESS MATERNITY CARE DESERTS. 4844 03:00:23,110 --> 03:00:24,478 IF SOMEWHERE IN A RED COUNTY 4845 03:00:24,478 --> 03:00:28,615 WHERE YOU DON'T HAVE ACCESS TO A 4846 03:00:28,615 --> 03:00:29,549 QUALIFIED PHYSICIAN NEXT BEST 4847 03:00:29,549 --> 03:00:32,419 THING IS TO HAVE A WEARABLE OR 4848 03:00:32,419 --> 03:00:34,521 POINT OF CARE DIAGNOSTIC THAT 4849 03:00:34,521 --> 03:00:36,656 CAN BE THEN COMMUNICATED WITH 4850 03:00:36,656 --> 03:00:39,226 SOMEONE WHO IS IN A CITY WHERE 4851 03:00:39,226 --> 03:00:40,627 THERE ARE QUALIFIED PEOPLE. 4852 03:00:40,627 --> 03:00:43,230 SO, THESE ARE ALL BASED ON 4853 03:00:43,230 --> 03:00:46,366 REMOTE SENSING TECHNOLOGIES. 4854 03:00:46,366 --> 03:00:48,702 WE FOR FDA APPROVAL REASONS 4855 03:00:48,702 --> 03:00:50,804 DECIDED TO FOCUS ON POSTPARTUM 4856 03:00:50,804 --> 03:00:53,073 CARE AND IS EASIER TO GET THINGS 4857 03:00:53,073 --> 03:00:55,642 APPROVED IN A NONPREGNANT PERSON 4858 03:00:55,642 --> 03:00:57,244 THAN PREGNANT PERSON AND THOUGHT 4859 03:00:57,244 --> 03:01:00,213 WITH 65% OF DEATHS OCCURRING 4860 03:01:00,213 --> 03:01:02,782 POSTPARTUM IF WE CAN HAVE A 4861 03:01:02,782 --> 03:01:04,885 WEARABLE DETECTING WOMEN AT RISK 4862 03:01:04,885 --> 03:01:07,187 FOR HEMORRHAGE OR HYPERTENSION 4863 03:01:07,187 --> 03:01:10,957 OR CARDIO MYOPATHY THAT IS A 4864 03:01:10,957 --> 03:01:13,827 SUCCESS THAT WE DEDICATED $8 4865 03:01:13,827 --> 03:01:16,696 MILLION IN PRIZE MONEY FROM 4866 03:01:16,696 --> 03:01:17,197 APPROVED APROPRIATION. 4867 03:01:17,197 --> 03:01:18,865 WE HAVE THE TEAMS THAT ARE GOING 4868 03:01:18,865 --> 03:01:21,501 THROUGH PHASES AND NOW ARE DOWN 4869 03:01:21,501 --> 03:01:24,804 AT 10 FINALISTS AND ARE IN THE 4870 03:01:24,804 --> 03:01:26,173 FINAL TECHNOLOGY ASSESSMENT 4871 03:01:26,173 --> 03:01:26,740 PHASE. 4872 03:01:26,740 --> 03:01:29,009 THEY ARE HAVING DEVICES TESTED 4873 03:01:29,009 --> 03:01:32,512 AND VALIDATED AND 10 FINALISTS 4874 03:01:32,512 --> 03:01:36,082 ARE ADDRESSING THE PROBLEMS THAT 4875 03:01:36,082 --> 03:01:39,753 ARE SO COMMON IN PREGNANT PEOPLE 4876 03:01:39,753 --> 03:01:41,855 AND HYPERTENSION AGAIN IS MENTAL 4877 03:01:41,855 --> 03:01:43,857 HEALTH HEMORRHAGE AND URINARY 4878 03:01:43,857 --> 03:01:45,926 TRACT INFECTIONS AND ANEMIA AND 4879 03:01:45,926 --> 03:01:48,395 WILL HAVE WINTER IN THE SPRING. 4880 03:01:48,395 --> 03:01:49,663 TEAMS HAVE BEEN GETTING PRIZE 4881 03:01:49,663 --> 03:01:51,431 MONEY ALL ALONG AND WINNER WILL 4882 03:01:51,431 --> 03:01:52,332 GET THE MOST. 4883 03:01:52,332 --> 03:01:54,034 EVERYBODY HAS GOTTEN A LITTLE 4884 03:01:54,034 --> 03:01:54,234 BIT. 4885 03:01:54,234 --> 03:01:55,202 NEXT SLIDE, PLEASE. 4886 03:01:55,202 --> 03:01:57,537 I WANTED TO GIVE YOU ONE EXAMPLE 4887 03:01:57,537 --> 03:01:58,838 WHAT DOES THIS LOOK LIKE? 4888 03:01:58,838 --> 03:02:01,775 IF YOU LOOK AT THE IMAGE, IT 4889 03:02:01,775 --> 03:02:03,810 LOOKS LIKE -- DID ANYBODY HAVE 4890 03:02:03,810 --> 03:02:05,712 AN IPOD BACK IN THE DAY? 4891 03:02:05,712 --> 03:02:07,714 YOU KNOW? 4892 03:02:07,714 --> 03:02:09,549 LOOKS LIKE AN IPOD ON THE 4893 03:02:09,549 --> 03:02:11,518 BRACELET AND IS CALLED A VITAL 4894 03:02:11,518 --> 03:02:13,820 STREAM AND DEVELOPED FOR ADULT 4895 03:02:13,820 --> 03:02:15,555 ICU INDICATIONS AND NOTHING TO 4896 03:02:15,555 --> 03:02:18,325 DO WITH PREGNANCY THAT ARE 4897 03:02:18,325 --> 03:02:20,660 ADOPTING IT FOR POSTPARTUM USE 4898 03:02:20,660 --> 03:02:26,366 AND BEAUTY IS IT IS FDA CLEARED 4899 03:02:26,366 --> 03:02:29,135 AND CONTINUES HEART RATE BLOOD 4900 03:02:29,135 --> 03:02:30,337 PRESSURE RESIDENT PRATION AND IT 4901 03:02:30,337 --> 03:02:32,339 CAN BE USED IN THE HOSPITAL OR 4902 03:02:32,339 --> 03:02:35,642 AT HOME REMOTELY. 4903 03:02:35,642 --> 03:02:39,779 SO, THE WHOLE ADAPTATION FOR 4904 03:02:39,779 --> 03:02:41,281 PREGNANT AND POSTPARTUM THAT IS 4905 03:02:41,281 --> 03:02:43,450 PART OF THE CHALLENGE THAT THEY 4906 03:02:43,450 --> 03:02:47,520 ARE DEVELOPING AI FRAMEWORKS TO 4907 03:02:47,520 --> 03:02:52,592 LOOK AT VITAL SIGN PATTERNS TO 4908 03:02:52,592 --> 03:02:54,494 PREDICT WHO IS AT RISK FOR 4909 03:02:54,494 --> 03:02:57,664 HEMMING WRATH OR SEPSIS OR TACKY 4910 03:02:57,664 --> 03:02:59,599 CARDIC FOR UNKNOWN REASONS AND 4911 03:02:59,599 --> 03:03:00,800 VERY EXCITING AND WHAT IS 4912 03:03:00,800 --> 03:03:02,802 EXCITING IS THIS DEVICE WILL BE 4913 03:03:02,802 --> 03:03:04,104 USED IN ANOTHER PART OF THE 4914 03:03:04,104 --> 03:03:05,939 IMPROVE INITIATIVE THAT I WILL 4915 03:03:05,939 --> 03:03:07,907 GET TO IN A MINUTE. 4916 03:03:07,907 --> 03:03:08,508 NEXT SLIDE. 4917 03:03:08,508 --> 03:03:11,611 ANOTHER CHALLENGE IS THE 4918 03:03:11,611 --> 03:03:14,714 CHALLENGE HOW DO WE INVOLVE 4919 03:03:14,714 --> 03:03:17,751 LOCAL COMMUNITIES THAT REALLY 4920 03:03:17,751 --> 03:03:20,820 STRUCK HOME WITH ME HAVING A 4921 03:03:20,820 --> 03:03:21,521 TRIBAL CONSULTATION WITH NUMBER 4922 03:03:21,521 --> 03:03:23,156 OF TRIBAL NATIONS AROUND THE 4923 03:03:23,156 --> 03:03:25,892 COUNTRY AND PEOPLE FROM THE 4924 03:03:25,892 --> 03:03:27,661 NAVAJO NATION AND ASKING WHAT 4925 03:03:27,661 --> 03:03:29,629 ARE YOUR BIGGEST CHALLENGES. 4926 03:03:29,629 --> 03:03:32,132 WHAT DO I KNOW? I'M SITTING IN 4927 03:03:32,132 --> 03:03:35,902 BETHESDA AND PEOPLE IN NAVAJO 4928 03:03:35,902 --> 03:03:37,837 TOLD US THEIR BIGGEST CHALLENGE 4929 03:03:37,837 --> 03:03:39,639 WAS GETTING ADEQUATE NUTRITION 4930 03:03:39,639 --> 03:03:42,309 AND TO A STORE TO GET FRESH 4931 03:03:42,309 --> 03:03:43,943 FRUITS AND VEGETABLES. 4932 03:03:43,943 --> 03:03:46,046 NAVAJO TERRITORY IS SO ENORMOUS 4933 03:03:46,046 --> 03:03:47,514 AND PEOPLE DON'T HAVE 4934 03:03:47,514 --> 03:03:48,782 TRANSPORTATION AND IS A EXAMPLE 4935 03:03:48,782 --> 03:03:52,185 OF SOMETHING THAT A COMMUNITY 4936 03:03:52,185 --> 03:03:55,655 CAN PROVIDE THAT WE SITTING IN 4937 03:03:55,655 --> 03:03:57,524 BETHESDA WOULDN'T NECESSARILY BE 4938 03:03:57,524 --> 03:03:59,559 PRIORITIZING AND THIS CHALLENGE 4939 03:03:59,559 --> 03:04:01,461 WAS REALLY MEANT TO BUILD 4940 03:04:01,461 --> 03:04:03,430 CAPACITY IN THE COMMUNITY AND 4941 03:04:03,430 --> 03:04:05,965 EMPOWER COMMUNITY-BASED 4942 03:04:05,965 --> 03:04:08,301 ORGANIZATIONS WITH HOW TO WRITE 4943 03:04:08,301 --> 03:04:09,836 A GRANT APPLICATION. 4944 03:04:09,836 --> 03:04:12,005 SO, THIS WAS NOT ONLY A MATTER 4945 03:04:12,005 --> 03:04:14,474 OF GIVING THE MONEY AND GIVING 4946 03:04:14,474 --> 03:04:18,144 THEM PRIZE MONEY AND ALSO GIVING 4947 03:04:18,144 --> 03:04:19,779 THEM NON-MONETARY INCENTIVES 4948 03:04:19,779 --> 03:04:22,015 SUCH AS MENTORING AND PROPOSAL 4949 03:04:22,015 --> 03:04:24,651 WRITING SO THAT THEY COULD GO ON 4950 03:04:24,651 --> 03:04:26,586 AND COMPETE FOR OTHER POTENTIAL 4951 03:04:26,586 --> 03:04:28,388 RESEARCH FUNDING. 4952 03:04:28,388 --> 03:04:30,690 WE HAVE NOW 9 FINALISTS IN THAT 4953 03:04:30,690 --> 03:04:32,859 CHALLENGE AND WINNERS WILL BE 4954 03:04:32,859 --> 03:04:34,728 ANNOUNCED IN SEPTEMBER. 4955 03:04:34,728 --> 03:04:36,896 THEY HAVE A YEAR TO IMPLEMENT 4956 03:04:36,896 --> 03:04:39,599 THEIR PROPOSED PLANS AND DO A 4957 03:04:39,599 --> 03:04:43,002 LITTLE PILOT STUDY FOR THEIR 4958 03:04:43,002 --> 03:04:44,104 PROPOSED RESEARCH AND WILL 4959 03:04:44,104 --> 03:04:45,605 REPORT BACK. 4960 03:04:45,605 --> 03:04:47,307 THEIR PROJECTS INCLUDE MENTAL 4961 03:04:47,307 --> 03:04:49,876 HEALTH INTERVENTIONS THAT IS 4962 03:04:49,876 --> 03:04:52,145 HEAVILY EMPHASIZED BY COMMUNITY 4963 03:04:52,145 --> 03:04:53,580 ORGANIZATIONS THAT ARE 4964 03:04:53,580 --> 03:04:55,415 CULTURALLY CONGRUENT DUAL CARE 4965 03:04:55,415 --> 03:04:57,851 AND HYPERTENSION, MONITORING AND 4966 03:04:57,851 --> 03:04:58,418 NUTRITION. 4967 03:04:58,418 --> 03:04:59,619 NEXT SLIDE, PLEASE. 4968 03:04:59,619 --> 03:05:02,122 EXAMPLE OF ONE OF THE FINALISTS 4969 03:05:02,122 --> 03:05:04,924 OF THE COMMUNITY CHALLENGE IS 4970 03:05:04,924 --> 03:05:07,560 ABUNDANCE PROJECT THAT IS IN 4971 03:05:07,560 --> 03:05:10,196 COLORADO THAT IS EVALUATING 4972 03:05:10,196 --> 03:05:12,332 INTERVENTION IS POSTPARTUM DOULA 4973 03:05:12,332 --> 03:05:16,569 CARE AND HOW HAVING A DUALA 4974 03:05:16,569 --> 03:05:18,037 VISIT SIX TIMES FOR FOUR HOURS 4975 03:05:18,037 --> 03:05:20,507 IN THE HOME IF IT REDUCES 4976 03:05:20,507 --> 03:05:21,908 HYPERTENSION, REDUCES 4977 03:05:21,908 --> 03:05:25,612 DEPRESSION, AND REDUCES ANXIETY 4978 03:05:25,612 --> 03:05:26,846 AMONG BLACK INDIGENOUS AND 4979 03:05:26,846 --> 03:05:29,315 PEOPLE OF COLOR WHO ARE 4980 03:05:29,315 --> 03:05:29,649 POSTPARTUM. 4981 03:05:29,649 --> 03:05:31,918 THE, AS I SAID, THE INTERVENTION 4982 03:05:31,918 --> 03:05:35,054 IS THE DUALA'S VISITS AND THE 4983 03:05:35,054 --> 03:05:38,391 TEAMS ARE ASSESSING FEASIBILITY 4984 03:05:38,391 --> 03:05:42,595 AND ACCEPTABILITY OF POSTPARTUM 4985 03:05:42,595 --> 03:05:44,364 DOULA CARE AND PEOPLE ARE 4986 03:05:44,364 --> 03:05:46,900 GETTING VITAL STREAM DEVICE AND 4987 03:05:46,900 --> 03:05:49,135 WON'T BE JUST SUBJECTIVE BUT 4988 03:05:49,135 --> 03:05:50,370 OBJECTIVE EVIDENCE FROM THE 4989 03:05:50,370 --> 03:05:53,473 VITAL SYSTEMS THAT ARE BEING 4990 03:05:53,473 --> 03:05:54,007 ASSESSED. 4991 03:05:54,007 --> 03:05:56,476 AND, YOU KNOW, THEY WILL BE ABLE 4992 03:05:56,476 --> 03:05:59,546 TO LOOK IS THERE STATISTICALLY 4993 03:05:59,546 --> 03:06:00,747 SIGNIFICANT DIFFERENCE IN WOMEN 4994 03:06:00,747 --> 03:06:03,750 WITH DOULA VISITS. 4995 03:06:03,750 --> 03:06:06,653 NEXT SLIDE, PLEASE. 4996 03:06:06,653 --> 03:06:08,588 WE HAVE ANOTHER PIECE OF THE 4997 03:06:08,588 --> 03:06:12,292 PUZZLE IS A DIFFERENT COMMUNITY 4998 03:06:12,292 --> 03:06:12,959 IMPLEMENTATION PROGRAM THAT THIS 4999 03:06:12,959 --> 03:06:15,728 ONE WAS BUILT ON SUCCESSFUL 5000 03:06:15,728 --> 03:06:17,597 COMMUNITY IMPLEMENTATION PROGRAM 5001 03:06:17,597 --> 03:06:20,300 THAT HAD NOTHING TO DO WITH 5002 03:06:20,300 --> 03:06:21,868 PREGNANCY AND IS WELL 5003 03:06:21,868 --> 03:06:23,570 ESTABLISHED BETWEEN 5004 03:06:23,570 --> 03:06:24,838 COMMUNITY-BASED IMPLEMENTATION 5005 03:06:24,838 --> 03:06:26,906 STRATEGIES AND IMPLEMENTING 5006 03:06:26,906 --> 03:06:28,741 STRATEGIES IN UNDERSERVED 5007 03:06:28,741 --> 03:06:30,577 COMMUNITIES TO ADDRESS MATERNAL 5008 03:06:30,577 --> 03:06:31,544 HEALTH EQUITY. 5009 03:06:31,544 --> 03:06:34,347 THIS IS A PROGRAM THAT WAS 5010 03:06:34,347 --> 03:06:37,016 INITIATED BY NHLBI AND NOW 5011 03:06:37,016 --> 03:06:38,918 MATERNAL ASPECT OF IT IS FUNDED 5012 03:06:38,918 --> 03:06:39,953 BY IMPROVE. 5013 03:06:39,953 --> 03:06:42,121 THEY ARE ALSO LOOKING AT DOULAS 5014 03:06:42,121 --> 03:06:44,491 TO IMPROVE OUTCOMES INCLUDING 5015 03:06:44,491 --> 03:06:46,626 MENTAL HEALTH AND REDUCING 5016 03:06:46,626 --> 03:06:47,126 SUBSTANCE USE. 5017 03:06:47,126 --> 03:06:49,295 THEY ALSO HAVE A NUMBER OF 5018 03:06:49,295 --> 03:06:52,298 TRIBAL GROUPS THAT ARE LOOKING 5019 03:06:52,298 --> 03:06:54,534 AT INVOLVEMENT OF KINSHIP TO 5020 03:06:54,534 --> 03:06:56,302 IMPROVE MATERNAL HEALTH 5021 03:06:56,302 --> 03:06:56,870 OUTCOMES. 5022 03:06:56,870 --> 03:06:59,305 SO, SPECIFICALLY MATERNAL HEALTH 5023 03:06:59,305 --> 03:07:01,341 TO REDUCE DEPRESSION, FOR 5024 03:07:01,341 --> 03:07:01,608 EXAMPLE. 5025 03:07:01,608 --> 03:07:04,177 THEY ARE ALSO LOOKING AT 5026 03:07:04,177 --> 03:07:05,745 REDUCTION OF HYPERTENSION. 5027 03:07:05,745 --> 03:07:07,046 NEXT SLIDE, PLEASE. 5028 03:07:07,046 --> 03:07:09,249 WE WERE VERY THOUGHTFUL AND 5029 03:07:09,249 --> 03:07:10,817 INTENTIONAL AND WE USE 5030 03:07:10,817 --> 03:07:12,919 INTEGRATED APPROACH TO FUNDING. 5031 03:07:12,919 --> 03:07:15,321 WE REALLY WANTED TO SPREAD MONEY 5032 03:07:15,321 --> 03:07:16,623 OUT AS MUCH AS POSSIBLE. 5033 03:07:16,623 --> 03:07:21,828 WE HAVE A NATIONAL PROBLEM. 5034 03:07:21,828 --> 03:07:23,329 SO, MORE THAN SOME OTHER 5035 03:07:23,329 --> 03:07:26,466 PROGRAMS AT NIH, WE TRIED TO 5036 03:07:26,466 --> 03:07:27,667 REALLY SPREAD IT OUT. 5037 03:07:27,667 --> 03:07:29,936 THERE ARE THREE STATES HAVING 5038 03:07:29,936 --> 03:07:33,606 BOTH A CENTER OF EXCELLENCE AND 5039 03:07:33,606 --> 03:07:34,908 COMMUNITY PROGRAM. 5040 03:07:34,908 --> 03:07:36,709 OTHERWISE, THEY ARE SPREAD OUT 5041 03:07:36,709 --> 03:07:39,379 AND DISAPPOINTINGLY, SOME STATES 5042 03:07:39,379 --> 03:07:41,648 ARE IN GRAY AND NEVER SUBMITTED 5043 03:07:41,648 --> 03:07:44,050 ANY APPLICATIONS AND WE WOULD 5044 03:07:44,050 --> 03:07:45,852 HAVE WANTED TO PERHAPS FUND MORE 5045 03:07:45,852 --> 03:07:47,387 INSTITUTIONS PARTICULARLY IN THE 5046 03:07:47,387 --> 03:07:48,421 SOUTHEAST WHERE THERE ARE 5047 03:07:48,421 --> 03:07:49,956 SERIOUS PROBLEMS. 5048 03:07:49,956 --> 03:07:53,426 WE DIDN'T GET ANY APPLICATIONS . 5049 03:07:53,426 --> 03:07:58,031 NEXT SLIDE 5050 03:07:58,031 --> 03:07:59,666 IMPROVE IS LIKE OUR MARQUEE 5051 03:07:59,666 --> 03:08:00,967 PROGRAM NOW AND WE ARE DOING A 5052 03:08:00,967 --> 03:08:03,937 LOT IN TERMS OF REDUCING 5053 03:08:03,937 --> 03:08:05,505 PREGNANCY RELATED DEATHS. 5054 03:08:05,505 --> 03:08:06,773 NEXT SLIDE, PLEASE. 5055 03:08:06,773 --> 03:08:09,208 I ELUDED TO THIS. HERE ARE 5056 03:08:09,208 --> 03:08:13,112 NUMBERS THAT LEADING CAUSES OF 5057 03:08:13,112 --> 03:08:13,746 PREGNANCY-RELATED DEATHS INCLUDE 5058 03:08:13,746 --> 03:08:15,582 MEN TALE HEALTH CONDITIONS THAT 5059 03:08:15,582 --> 03:08:19,919 ARE BOTH SUICIDE AND SUBSTANCE 5060 03:08:19,919 --> 03:08:21,254 USE DISORDERS. 5061 03:08:21,254 --> 03:08:23,756 HEMORRHAGE, CORONARY ARTERY AND 5062 03:08:23,756 --> 03:08:26,759 CARDIAC CONDITIONS AND 5063 03:08:26,759 --> 03:08:29,662 INFECTION, THROMBBOTIC EMBOLISM 5064 03:08:29,662 --> 03:08:33,333 AND CARDIO MYOPATHY AND 5065 03:08:33,333 --> 03:08:35,268 HYPERTENSIVE DISORDERS AND THERE 5066 03:08:35,268 --> 03:08:37,170 IS CARDIAC IN THERE AND NEXT 5067 03:08:37,170 --> 03:08:38,338 SLIDE, PLEASE. 5068 03:08:38,338 --> 03:08:40,206 ADDRESSING INFECTION, YOU HEARD 5069 03:08:40,206 --> 03:08:44,444 IN ONE OF THE OTHER 5070 03:08:44,444 --> 03:08:47,981 PRESENTATIONS THIS MORNING ABOUT 5071 03:08:47,981 --> 03:08:49,582 INFECTION AND TREATMENT OF 5072 03:08:49,582 --> 03:08:52,619 INFECTION AND THIS IS A + STUDY 5073 03:08:52,619 --> 03:08:55,955 CO-FUNDED BY NICHD'S GLOBAL 5074 03:08:55,955 --> 03:08:57,457 NETWORK FOR WOMENS AND 5075 03:08:57,457 --> 03:09:00,460 CHILDREN'S HEALTH AND BILL AND 5076 03:09:00,460 --> 03:09:03,029 MELINDA GATES FOUNDATION AND 5077 03:09:03,029 --> 03:09:04,564 HYPOTHESIS WHETHER A SINGLE 2 5078 03:09:04,564 --> 03:09:08,668 GRAM DOSE OF RELATIVELY CHEAP 5079 03:09:08,668 --> 03:09:10,470 ANTIBIOTIC COULD REDUCE 5080 03:09:10,470 --> 03:09:12,472 POSTPARTUM SEPSIS AND DEATH AND 5081 03:09:12,472 --> 03:09:15,708 WERE 29,000 WOMEN ENROLLED IN 5082 03:09:15,708 --> 03:09:17,644 SEVEN LOW AND MIDDLE INCOME 5083 03:09:17,644 --> 03:09:19,379 COUNTRIES THAT STOPPED IT EARLY. 5084 03:09:19,379 --> 03:09:22,715 THERE WAS A CLEAR MATERNAL 5085 03:09:22,715 --> 03:09:24,484 BENEFIT AND WAS A THIRD FEWER 5086 03:09:24,484 --> 03:09:29,555 DEATHS IN THE MOTHERS WHO GOT A 5087 03:09:29,555 --> 03:09:31,357 SDIJ ROW MYOSIN AND DIDN'T DO 5088 03:09:31,357 --> 03:09:33,393 ANYTHING FOR BABIES THAT WAS 5089 03:09:33,393 --> 03:09:36,195 DISAPPOINTING AND EXPOSURE WAS 5090 03:09:36,195 --> 03:09:37,764 SO BRIEF THAT THERE ARE 5091 03:09:37,764 --> 03:09:39,799 SECONDARY ANALYSIS GOING ON AND 5092 03:09:39,799 --> 03:09:41,234 QUESTION IS WHETHER THIS WOULD 5093 03:09:41,234 --> 03:09:42,969 BE APPLICABLE IN THE UNITED 5094 03:09:42,969 --> 03:09:43,836 STATES OR NOT. 5095 03:09:43,836 --> 03:09:46,806 IT WAS A GREAT SUCCESS IN THESE 5096 03:09:46,806 --> 03:09:48,775 LOW AND MIDDLE INCOME COUNTRIES. 5097 03:09:48,775 --> 03:09:50,343 NEXT SLIDE. 5098 03:09:50,343 --> 03:09:55,415 SO, WE TALKED ABOUT CARDIAC 5099 03:09:55,415 --> 03:10:02,055 CONDITIONS AND NHLBI FUNDED A 5100 03:10:02,055 --> 03:10:10,225 STUDY. 5101 03:10:10,225 --> 03:10:13,295 THEY WANTED TO KNOW SHOULD BLOOD 5102 03:10:13,295 --> 03:10:15,664 PRESSURE BE HELD TO A LOWER 5103 03:10:15,664 --> 03:10:19,568 STANDARD THAN WAS PREVIOUSLY 5104 03:10:19,568 --> 03:10:22,204 RECOGNIZED AND WANTED TO GET 5105 03:10:22,204 --> 03:10:24,539 PREGNANT PEOPLE DOWN TO BLOOD 5106 03:10:24,539 --> 03:10:26,875 PRESSURE 140 OVER 90 AND SHOWED 5107 03:10:26,875 --> 03:10:30,679 IF YOU TREATED MILD CHRONIC 5108 03:10:30,679 --> 03:10:31,480 HYPERTENSION DURING PREGNANCY 5109 03:10:31,480 --> 03:10:33,882 THERE WAS STATISTICALLY 5110 03:10:33,882 --> 03:10:35,217 SIGNIFICANT REDUCTION IN ADVERSE 5111 03:10:35,217 --> 03:10:40,656 PREGNANCY OUTCOMES SEVERE 5112 03:10:40,656 --> 03:10:43,759 PREECOLLAPSIA AND PRETERM BIRTH 5113 03:10:43,759 --> 03:10:45,394 AND NEONATAL DEATH AND NUMBER OF 5114 03:10:45,394 --> 03:10:47,996 BABIES INTERESTINGLY THAT WERE 5115 03:10:47,996 --> 03:10:49,798 LOW BIRTH WEIGHT WAS SAME 5116 03:10:49,798 --> 03:10:52,501 WHETHER OR NOT HIGHER LIMIT OF 5117 03:10:52,501 --> 03:10:55,237 BLOOD PRESSURE CONTROL OR LOWER. 5118 03:10:55,237 --> 03:10:56,672 INTERESTING THING ABOUT THIS IS 5119 03:10:56,672 --> 03:10:59,741 THIS IS HOW DATA EFFECTED HEALTH 5120 03:10:59,741 --> 03:11:02,978 AND LONGEVITY OF HUMANS THAT 5121 03:11:02,978 --> 03:11:04,279 CHANGED ALREADY CLINICAL 5122 03:11:04,279 --> 03:11:06,448 PRACTICE AND PREVIOUS STUDY 5123 03:11:06,448 --> 03:11:09,317 MENTIONED AND THIS STUDY WERE 5124 03:11:09,317 --> 03:11:11,019 PUBLISHED IN NEW ENGLAND JOURNAL 5125 03:11:11,019 --> 03:11:12,521 OF MEDICINE. 5126 03:11:12,521 --> 03:11:13,555 NEXT SLIDE. 5127 03:11:13,555 --> 03:11:15,757 THIS IS PART OF IMPROVE AND IS 5128 03:11:15,757 --> 03:11:19,294 SPECIFICALLY ADDRESSING 5129 03:11:19,294 --> 03:11:19,895 DISPARITIES IN POSTPARTUM 5130 03:11:19,895 --> 03:11:22,431 HEMORRHAGE THAT IS LEADING CAUSE 5131 03:11:22,431 --> 03:11:25,400 OF DEATH IN WOMEN OF ASIAN 5132 03:11:25,400 --> 03:11:28,403 ANCESTRY AND IS INCREASED IN 5133 03:11:28,403 --> 03:11:32,808 PEOPLE OF LATINX AND BLACK 5134 03:11:32,808 --> 03:11:34,810 ORI 5135 03:11:34,810 --> 03:11:37,279 ORIGIN. 5136 03:11:37,279 --> 03:11:42,017 REASONS WHY YOU CAN DEVELOP 5137 03:11:42,017 --> 03:11:45,353 HEMORRHAGE CRESSARIAN BIRTH OR 5138 03:11:45,353 --> 03:11:46,922 COMPLICATIONS RELATED TO THAT 5139 03:11:46,922 --> 03:11:49,024 AND START OUT WITH IRON 5140 03:11:49,024 --> 03:11:50,759 DEFICIENCY AND ANEMIA AND THAT 5141 03:11:50,759 --> 03:11:52,828 IS ADDRESSING HEMORRHAGE. 5142 03:11:52,828 --> 03:11:54,296 NEXT SLIDE. 5143 03:11:54,296 --> 03:11:56,598 SUBSTANCE USE DISORDERS AND 5144 03:11:56,598 --> 03:12:00,168 THERE HAS BEEN AN INCREASE IN 5145 03:12:00,168 --> 03:12:01,369 PREGNANT PEOPLE DYING OF 5146 03:12:01,369 --> 03:12:04,005 OVERDOSED MORTALITY THAT IS OVER 5147 03:12:04,005 --> 03:12:07,609 A PERIOD BEFORE AND DURING THE 5148 03:12:07,609 --> 03:12:08,110 PANDEMIC. 5149 03:12:08,110 --> 03:12:11,113 NATIONAL INSTITUTE OF DRUG ABUSE 5150 03:12:11,113 --> 03:12:13,381 AND HEAL INITIATIVE ARE 5151 03:12:13,381 --> 03:12:15,383 SUPPORTING THIS RESEARCH THAT IS 5152 03:12:15,383 --> 03:12:17,652 PUBLISHED IN JAMMA PSYCHIATRY 5153 03:12:17,652 --> 03:12:20,922 SHOWING TRENDS AND IN RESPONSE 5154 03:12:20,922 --> 03:12:24,593 TO THAT THEY HAVE WRITTEN A 5155 03:12:24,593 --> 03:12:26,194 NOTICE OF SPECIAL INTEREST 5156 03:12:26,194 --> 03:12:28,864 SUPPORTING RECOVERY ORIENTED 5157 03:12:28,864 --> 03:12:31,199 CARE ACROSS SECTORS FOR PREGNANT 5158 03:12:31,199 --> 03:12:33,068 AND POSTPARTUM PEOPLE. 5159 03:12:33,068 --> 03:12:34,269 NEXT SLIDE. 5160 03:12:34,269 --> 03:12:37,806 MATERNAL HEALTH, THIS IS A HUGE 5161 03:12:37,806 --> 03:12:40,041 ISSUE THAT IS EXACERBATED BY THE 5162 03:12:40,041 --> 03:12:42,410 PANDEMIC AND NATIONAL INSTITUTE 5163 03:12:42,410 --> 03:12:45,147 OF MENTAL HEALTH SUPPORTED 5164 03:12:45,147 --> 03:12:47,582 AWARDS BEGINNING LAST YEAR IN 5165 03:12:47,582 --> 03:12:49,818 PREVENTING PERINATAL DEPRESSION. 5166 03:12:49,818 --> 03:12:52,788 THEY ARE LOOKING AT SCALE-UP OF 5167 03:12:52,788 --> 03:12:54,089 INTERVENTIONS THAT WILL PREVENT 5168 03:12:54,089 --> 03:12:57,659 THIS AND ARE USING TAX-BASED 5169 03:12:57,659 --> 03:12:59,094 MESSAGE SCREENING LOOKING AT 5170 03:12:59,094 --> 03:13:02,397 DIFFERENCES BETWEEN A VIRTUAL 5171 03:13:02,397 --> 03:13:04,399 AND IN-PERSON PREVENTIVE 5172 03:13:04,399 --> 03:13:06,268 INTERVENTION AND ARE USING ALSO 5173 03:13:06,268 --> 03:13:08,570 AN ALGORITHM TO IDENTIFY PEOPLE 5174 03:13:08,570 --> 03:13:10,839 AT RISK THROUGH ELECTRONIC 5175 03:13:10,839 --> 03:13:13,241 HEALTH RECORDS AND ARE ALSO 5176 03:13:13,241 --> 03:13:15,677 DEVELOPING INTERVENTION FOR 5177 03:13:15,677 --> 03:13:18,613 INDIVIDUALS WITH ADVERSE 5178 03:13:18,613 --> 03:13:20,649 CHILDHOOD EXPERIENCES. 5179 03:13:20,649 --> 03:13:22,884 NEXT SLIDE. 5180 03:13:22,884 --> 03:13:26,922 FOR THIS CURRENT FUNDING YEAR WE 5181 03:13:26,922 --> 03:13:30,425 ARE FOCUSING ON HELP WITH OBSSR 5182 03:13:30,425 --> 03:13:33,562 AND LOOKING AT INTIMATE PARTNER 5183 03:13:33,562 --> 03:13:37,132 VILE THAENS IS AN 5184 03:13:37,132 --> 03:13:38,400 UNDERCATEGORIZED REASON FOR 5185 03:13:38,400 --> 03:13:43,538 MATERNAL DEATHS THAT IS A REAL 5186 03:13:43,538 --> 03:13:43,972 PROBLEM. 5187 03:13:43,972 --> 03:13:46,308 NATIONAL INSTITUTE OF MINORITY 5188 03:13:46,308 --> 03:13:48,476 HEALTH AND HEALTH DISPARITIES IS 5189 03:13:48,476 --> 03:13:50,679 LOOKING AT DINSES AND HEALTHCARE 5190 03:13:50,679 --> 03:13:52,747 ACCESS AND QUALITY THAT IS 5191 03:13:52,747 --> 03:13:55,984 HUGELY IMPORTANT IN ADDRESSING 5192 03:13:55,984 --> 03:13:59,054 DISPARITIES AND NIADA IS 5193 03:13:59,054 --> 03:14:00,755 ADDRESSING OVERDOSE MORTALITY. 5194 03:14:00,755 --> 03:14:01,823 NEXT SLIDE. 5195 03:14:01,823 --> 03:14:06,494 THIS, AGAIN, IS SOMETHING THAT 5196 03:14:06,494 --> 03:14:08,496 IS EXTREMELY IMPORTANT 5197 03:14:08,496 --> 03:14:11,433 LEVERAGING EXISTING NETWORKS AND 5198 03:14:11,433 --> 03:14:11,800 INFRASTRUCTURE. 5199 03:14:11,800 --> 03:14:12,234 NEXT SLIDE. 5200 03:14:12,234 --> 03:14:15,170 IF WE HAVE AN INFRASTRUCTURE AND 5201 03:14:15,170 --> 03:14:17,606 LESSON WE LEARNED AT NICHD 5202 03:14:17,606 --> 03:14:20,675 DURING THE PANDEMIC WE HAD 5203 03:14:20,675 --> 03:14:23,745 INFRASTRUCTURE TO STUDY PREGNANT 5204 03:14:23,745 --> 03:14:26,514 WOMEN THAT WAS EXTREMELY 5205 03:14:26,514 --> 03:14:28,984 IMPORTANT AND WE RAPIDLY COULD 5206 03:14:28,984 --> 03:14:32,087 ASSESS EFFECT OF COVID-19 ON 5207 03:14:32,087 --> 03:14:34,189 PEOPLE AT THE BEGINNING OF THE 5208 03:14:34,189 --> 03:14:36,258 PANDEMIC AND COMPARE THEM TO 5209 03:14:36,258 --> 03:14:39,227 HISTORICAL CONTROLLED DATA THAT 5210 03:14:39,227 --> 03:14:40,462 LED TO THE WIDESPREAD 5211 03:14:40,462 --> 03:14:41,863 RECOGNITION THAT PREGNANT PEOPLE 5212 03:14:41,863 --> 03:14:44,699 HAD A MUCH HIGHER RISK OF BEING 5213 03:14:44,699 --> 03:14:46,868 HOSPITALIZED AND VENTILATED AND 5214 03:14:46,868 --> 03:14:49,204 DYING DURING PREGNANCY COMPARED 5215 03:14:49,204 --> 03:14:52,440 TO NONPREGNANT PEOPLE OF THE 5216 03:14:52,440 --> 03:14:53,675 SAME AGE. 5217 03:14:53,675 --> 03:14:56,144 THERE IS MULTIPLE ICS SUPPORTING 5218 03:14:56,144 --> 03:14:57,612 CLINICAL TRIAL NETWORKS AND 5219 03:14:57,612 --> 03:15:00,148 OTHER RESOURCES THAT COULD BE 5220 03:15:00,148 --> 03:15:00,749 SCALED UP. 5221 03:15:00,749 --> 03:15:07,455 FOR EXAMPLE, NICHD HAS DATA AND 5222 03:15:07,455 --> 03:15:09,891 SPECIMEN HUB OR DASH THAT HAS 5223 03:15:09,891 --> 03:15:13,595 CLINICALLY IDENTIFIED DATA SETS 5224 03:15:13,595 --> 03:15:20,502 AVAILABLE RIGHT NOW WITH LINKED 5225 03:15:20,502 --> 03:15:21,703 BIOSPECIMENS. 5226 03:15:21,703 --> 03:15:28,076 IMPORT IS NAIED AND WE NEED TO 5227 03:15:28,076 --> 03:15:29,844 TAKE ADVANTAGE OF THESE AND NEXT 5228 03:15:29,844 --> 03:15:30,478 SLIDE, PLEASE. 5229 03:15:30,478 --> 03:15:36,217 GOOD EXAMPLE HOW WE CAN REUSE A 5230 03:15:36,217 --> 03:15:38,853 NETWORK STUDY AND 2010NICHD 5231 03:15:38,853 --> 03:15:41,356 FUNDED A STUDY CALLED 5232 03:15:41,356 --> 03:15:44,125 [INDISCERNIBLE] PREGNANCY 5233 03:15:44,125 --> 03:15:46,861 OUTCOME STUDY MONITORING NEW 5234 03:15:46,861 --> 03:15:48,863 MOMS TO BE AND ENROLLED MORE 5235 03:15:48,863 --> 03:15:52,100 THAN 10,000 PREGNANT PEOPLE THAT 5236 03:15:52,100 --> 03:15:54,602 WERE WOMEN IN FIRST PREGNANCIES 5237 03:15:54,602 --> 03:15:55,804 AND WANTED TO UNDERSTAND WHAT 5238 03:15:55,804 --> 03:15:58,807 ARE PREDICTORS OF ADVERSE 5239 03:15:58,807 --> 03:16:00,208 PREGNANCY OUTCOMES COLLECTING A 5240 03:16:00,208 --> 03:16:02,277 TON OF DATA AND IN FACT 5241 03:16:02,277 --> 03:16:03,912 COLLECTED SO MUCH DATA THEY RAN 5242 03:16:03,912 --> 03:16:06,381 OUT OF MONEY AND HAD DATA ON 5243 03:16:06,381 --> 03:16:08,817 MATERNAL CHARACTERISTICS AND 5244 03:16:08,817 --> 03:16:10,952 BIOMARKERS AND ENVIRONMENTAL 5245 03:16:10,952 --> 03:16:13,088 FACTORS AND LOOKED AT PLACENTA 5246 03:16:13,088 --> 03:16:16,057 AND GENETIC ISSUES DEVELOPMENTAL 5247 03:16:16,057 --> 03:16:18,994 PARAMETERS OF THE FETUS AND DID 5248 03:16:18,994 --> 03:16:22,097 SECONDARY ANALYSIS LOOKING AT 5249 03:16:22,097 --> 03:16:23,164 GESTATIONAL WEIGHT GAIN AND 5250 03:16:23,164 --> 03:16:24,799 ACULL TURATION AND THEY RAN OUT 5251 03:16:24,799 --> 03:16:27,068 OF MONEY AS I SAID. THEY HAD 5252 03:16:27,068 --> 03:16:30,805 DATA ON 10,000 PREGNANT PEOPLE. 5253 03:16:30,805 --> 03:16:31,773 NEXT SLIDE. 5254 03:16:31,773 --> 03:16:35,477 THEY DID PUBLISH ON RESULTS. 5255 03:16:35,477 --> 03:16:39,214 THEY ALSO WERE ABLE TO LEVERAGE 5256 03:16:39,214 --> 03:16:40,548 INITIAL COHORT AND HAND OWE 5257 03:16:40,548 --> 03:16:42,851 EVERY TO NHLBI WHO WERE VERY 5258 03:16:42,851 --> 03:16:45,820 INTERESTED IN SEEING HOW DO 5259 03:16:45,820 --> 03:16:49,424 ADVERSE PREGNANCY OUTCOMES THAT 5260 03:16:49,424 --> 03:16:53,428 THEY ASSOCIATE WITH LONG-TERM 5261 03:16:53,428 --> 03:16:55,363 CARDIOVASCULAR MORBIDITY AND 5262 03:16:55,363 --> 03:16:58,233 ABLE TO RERECRUIT AND REENROLL 5263 03:16:58,233 --> 03:17:08,109 6,000 OF 10,000 ORIGINAL -- 5264 03:17:08,109 --> 03:17:09,010 UNMASTERING PREGNANCY THAT DO 5265 03:17:09,010 --> 03:17:12,213 DAMAGE LATER IN LIFE OR IS IT 5266 03:17:12,213 --> 03:17:13,248 ADVERSE PREGNANCY OUTCOME THAT 5267 03:17:13,248 --> 03:17:16,885 IS CAUSING MATERNAL 5268 03:17:16,885 --> 03:17:18,853 CARDIOVASCULAR DISEASE. 5269 03:17:18,853 --> 03:17:22,524 THEY FOUND THAT WOMEN WITH 5270 03:17:22,524 --> 03:17:24,392 ADVERSE PREGNANCY OUTCOMES WERE 5271 03:17:24,392 --> 03:17:27,495 HIGHER AT RISK FOR HYPERTENSION 5272 03:17:27,495 --> 03:17:29,597 2 TO SEVEN YEARS AFTER DELIVERY 5273 03:17:29,597 --> 03:17:31,599 AND SIGNIFICANT ASSOCIATION OF 5274 03:17:31,599 --> 03:17:34,269 MATERNAL OBESITY WITH ADVERSE 5275 03:17:34,269 --> 03:17:37,038 PREGNANCY OUTCOMES AND 5276 03:17:37,038 --> 03:17:38,740 CARDIOVASCULAR HEALTH AND 5277 03:17:38,740 --> 03:17:40,575 ADVERSE PREGNANCY OUTCOMES WERE 5278 03:17:40,575 --> 03:17:46,014 MORE LIKELY TO BE MARKER OF 5279 03:17:46,014 --> 03:17:47,215 PREPREGNANCY CARDIOVASCULAR 5280 03:17:47,215 --> 03:17:48,917 DISEASE RISK AND HAVING THE 5281 03:17:48,917 --> 03:17:51,019 NETWORK ALLOWED THEM TO MAKE 5282 03:17:51,019 --> 03:17:53,288 CONCLUSIONS THAT, AGAIN, ALERTS 5283 03:17:53,288 --> 03:17:56,591 US TO THE FACT THAT PREPREGNANCY 5284 03:17:56,591 --> 03:17:59,694 HEALTH AND REDUCING BLOOD 5285 03:17:59,694 --> 03:18:00,695 PRESSURE BEFORE CONCEPTION 5286 03:18:00,695 --> 03:18:02,764 REALLY WILL DO A LOT TO REDUCE 5287 03:18:02,764 --> 03:18:05,266 ADVERSE OUTCOMES FOR THE MOTHER 5288 03:18:05,266 --> 03:18:07,635 AND BABY. 5289 03:18:07,635 --> 03:18:10,538 NEXT SLIDE. 5290 03:18:10,538 --> 03:18:12,907 I DIDN'T GET A CHANCE TO MENTION 5291 03:18:12,907 --> 03:18:14,709 WE ARE VERY FOCUSED ON 5292 03:18:14,709 --> 03:18:15,443 PREVENTION. 5293 03:18:15,443 --> 03:18:17,979 ACCORDING TO CDC, APPROXIMATELY 5294 03:18:17,979 --> 03:18:28,790 4 AND 5 OR 84% -- ENRICH IS A 5295 03:18:31,059 --> 03:18:35,463 ACRONYM FOR EARLY INTERVENTION 5296 03:18:35,463 --> 03:18:37,732 TO PROMOTE CARDIOVASCULAR HEALTH 5297 03:18:37,732 --> 03:18:39,868 FOR MOTHERS AND CHILDREN 5298 03:18:39,868 --> 03:18:40,902 ADDRESSING SOCIAL DETERMINANCE. 5299 03:18:40,902 --> 03:18:43,271 THIS IS LOOKING AT A HOME 5300 03:18:43,271 --> 03:18:44,439 VISITING PROGRAM AND COMMUNITY 5301 03:18:44,439 --> 03:18:47,475 ENGAGED RESOURCES TO REDUCE 5302 03:18:47,475 --> 03:18:50,278 BLOOD PRESSURE AND MAINTAIN 5303 03:18:50,278 --> 03:18:52,313 CARDIOVASCULAR HEALTH. 5304 03:18:52,313 --> 03:18:57,619 NIDDK IS DOING GO MOMS WHICH IS 5305 03:18:57,619 --> 03:18:59,487 GLYCEMIC MEDICATION METABOLIC -- 5306 03:18:59,487 --> 03:19:01,556 IN MOTHERS AND OFFSPRING LOOKING 5307 03:19:01,556 --> 03:19:05,293 AT GESTATIONAL DIABETES EARLY IN 5308 03:19:05,293 --> 03:19:07,562 PREGNANCY PROMOTING BETTER 5309 03:19:07,562 --> 03:19:11,699 OUTCOMES FOR MOTHER AND BABY AND 5310 03:19:11,699 --> 03:19:19,440 NICHD IS IMPROVING HUB MATERNAL 5311 03:19:19,440 --> 03:19:20,475 PEDIATRIC PRECISION -- PREGNANT 5312 03:19:20,475 --> 03:19:24,279 PEOPLE AND LACTATING PEOPLE AND 5313 03:19:24,279 --> 03:19:27,382 LASTLY SUPPORTING CUDDLE STUDY 5314 03:19:27,382 --> 03:19:31,386 THAT IS LOOKING AT DRUGS AND HOW 5315 03:19:31,386 --> 03:19:32,387 THEY PASS INTO THE BLOODSTREAM 5316 03:19:32,387 --> 03:19:36,624 OF THE INFANT TO TRY TO REASSURE 5317 03:19:36,624 --> 03:19:39,894 PREGNANT WOMEN IT IS SAFE TO 5318 03:19:39,894 --> 03:19:41,629 TAKE A PARTICULAR DRUG. 5319 03:19:41,629 --> 03:19:43,965 PREGNANT PEOPLE AND LACTATING 5320 03:19:43,965 --> 03:19:46,534 PEOPLE HAVE THIS DILEMMA ALWAYS 5321 03:19:46,534 --> 03:19:49,571 SHOULD I TAKE A DRUG WHEN 5322 03:19:49,571 --> 03:19:52,640 CONVENTIONAL WISDOM SAYS DON'T 5323 03:19:52,640 --> 03:19:53,942 TAKE ANYTHING SAFER FOR BABY. 5324 03:19:53,942 --> 03:19:56,211 THAT IS NOT TRUE. IF A MOTHER 5325 03:19:56,211 --> 03:19:58,079 HAS ASTHMA SHE HAS TO TAKE 5326 03:19:58,079 --> 03:20:01,049 ASTHMA MEDICATION AND IS A 5327 03:20:01,049 --> 03:20:03,751 LINGERING GUILT AM I HARMING 5328 03:20:03,751 --> 03:20:05,687 FETUS OR BABY AND CUDDLE STUDY 5329 03:20:05,687 --> 03:20:09,257 IS ADDRESSING THAT ISSUE. 5330 03:20:09,257 --> 03:20:10,425 NEXT SLIDE. 5331 03:20:10,425 --> 03:20:12,327 A YEAR AGO IN NOVEMBER, A NUMBER 5332 03:20:12,327 --> 03:20:15,496 OF INSTITUTES AND CENTERS 5333 03:20:15,496 --> 03:20:18,132 SPONSORED A PATHWAYS TO 5334 03:20:18,132 --> 03:20:20,068 PREVENTION WORKSHOP IDENTIFYING 5335 03:20:20,068 --> 03:20:22,337 RISKS AND INTERVENTIONS TO 5336 03:20:22,337 --> 03:20:24,472 OPTIMIZE POSTPARTUM HEALTH AND 5337 03:20:24,472 --> 03:20:26,174 WILL BE A REPORT COMING OUT 5338 03:20:26,174 --> 03:20:27,709 ABOUT THIS WORKSHOP VERY SOON. 5339 03:20:27,709 --> 03:20:29,577 IT WAS MEANT TO IDENTIFY 5340 03:20:29,577 --> 03:20:34,082 RESEARCH GAPS AND WAYS THAT WE 5341 03:20:34,082 --> 03:20:40,622 CAN PREVENT SOME COMPLICATIONS. 5342 03:20:40,622 --> 03:20:43,258 YOU SEE MULTIPLE OFFICES SPONSOR 5343 03:20:43,258 --> 03:20:45,693 THIS PROGRAM AND NEXT SLIDE. 5344 03:20:45,693 --> 03:20:46,594 I COULDN'T POSSIBLY LIST 5345 03:20:46,594 --> 03:20:50,932 EVERYTHING THAT IS GOING ON. 5346 03:20:50,932 --> 03:20:55,103 WE HAVE A BROAD MATERNAL HEALTH 5347 03:20:55,103 --> 03:20:56,104 RESEARCH PORTFOLIO SPONSORS BY 5348 03:20:56,104 --> 03:20:59,274 MULT INSTITUTES AND OFFICES AND 5349 03:20:59,274 --> 03:21:03,378 ADVANCING INTEGRATIVE MODELS OF 5350 03:21:03,378 --> 03:21:05,613 CARE TO ACCESS QUALITY AND 5351 03:21:05,613 --> 03:21:07,815 TOGETHER WITH SOCIAL INEQUITIES 5352 03:21:07,815 --> 03:21:10,618 TO PREVENT ADVERSE PREGNANCY 5353 03:21:10,618 --> 03:21:14,055 OUTCOMES AMONG RACIAL/ETHNIC 5354 03:21:14,055 --> 03:21:16,791 MINORITY WOMEN SPONSORED BY 5355 03:21:16,791 --> 03:21:19,060 NURSING RESEARCH INSTITUTE AND 5356 03:21:19,060 --> 03:21:21,195 TESTING EFFICACY AND/OR 5357 03:21:21,195 --> 03:21:22,830 EFFECTIVENESS OF INTERVENTIONS 5358 03:21:22,830 --> 03:21:24,699 TO REDUCE RACIAL DISPARITIES AND 5359 03:21:24,699 --> 03:21:26,401 NUMBER OF INSTITUTES ARE LOOKING 5360 03:21:26,401 --> 03:21:29,003 AT CORRECTORS OF EXCELLENCE ON 5361 03:21:29,003 --> 03:21:30,872 ENVIRONMENTAL HEALTH DISPARITIES 5362 03:21:30,872 --> 03:21:32,140 RESEARCH AND HIGH TEMPERATURES 5363 03:21:32,140 --> 03:21:34,776 FOR EXAMPLE HAVE A VERY NEGATIVE 5364 03:21:34,776 --> 03:21:38,212 EFFECT ON PREGNANT PEOPLE. 5365 03:21:38,212 --> 03:21:43,484 THEN ORWH PROVIDES A PORTAL OF 5366 03:21:43,484 --> 03:21:44,952 ALL FUNDING OPPORTUNITIES FROM 5367 03:21:44,952 --> 03:21:47,655 NIH AND FEDERAL AGENCIES ALONG 5368 03:21:47,655 --> 03:21:48,489 WITH OTHER INFORMATION. 5369 03:21:48,489 --> 03:21:53,661 SO, IF YOU GO TO THAT SITE YOU 5370 03:21:53,661 --> 03:21:55,463 WILL GET A COMPREHENSIVE LIST 5371 03:21:55,463 --> 03:21:56,864 WHAT IS AVAILABLE. 5372 03:21:56,864 --> 03:21:59,734 NEXT SLIDE. 5373 03:21:59,734 --> 03:22:03,171 SO, IN SUMMARY MATERNAL 5374 03:22:03,171 --> 03:22:06,407 MORTALITY RATES CONTINUE TO RISE 5375 03:22:06,407 --> 03:22:09,177 IN THE UNITED STATES. 5376 03:22:09,177 --> 03:22:11,979 THIS IS FOR A VARIETY OF 5377 03:22:11,979 --> 03:22:13,414 REASONS. WE CAN DO SOMETHING. 5378 03:22:13,414 --> 03:22:15,383 THIS IS A CRISIS WE HAVE TO 5379 03:22:15,383 --> 03:22:18,419 ADDRESS AND PREGNANCY RELATED 5380 03:22:18,419 --> 03:22:19,587 DEATHS ARE PREVENTABLE. 5381 03:22:19,587 --> 03:22:21,622 I HOPE WE HAVE SHOWN YOU WE HAVE 5382 03:22:21,622 --> 03:22:24,592 A BROAD MATERNAL HEALTH RESEARCH 5383 03:22:24,592 --> 03:22:26,361 PORTFOLIO SUPPORTED BY MANY 5384 03:22:26,361 --> 03:22:27,929 INSTITUTE CENTERS AND OFFICES 5385 03:22:27,929 --> 03:22:31,799 AND WE ARE ADDRESSING ALL MAJOR 5386 03:22:31,799 --> 03:22:34,502 CAUSES OF MATERNAL MORBIDITY AND 5387 03:22:34,502 --> 03:22:36,237 MORTALITY AND WE TOOK A VERY 5388 03:22:36,237 --> 03:22:37,872 INTENTIONAL APPROACH TO WHAT WE 5389 03:22:37,872 --> 03:22:39,874 WANTED TO FUND AND IMPROVE BY 5390 03:22:39,874 --> 03:22:40,942 FOCUSING ON COMMUNITY 5391 03:22:40,942 --> 03:22:44,846 INVOLVEMENT THAT WE FELT HAD 5392 03:22:44,846 --> 03:22:50,184 BEEN PAID LESS ATTENTION IN THE 5393 03:22:50,184 --> 03:22:51,853 PAST AND WANTED TO MAKE A 5394 03:22:51,853 --> 03:22:53,354 DIFFERENCE AND TURN NUMBERS 5395 03:22:53,354 --> 03:22:55,189 AROUND THAT LED US TO 5396 03:22:55,189 --> 03:22:56,324 IMPLEMENTATION RESEARCH AND 5397 03:22:56,324 --> 03:22:58,659 CLEARLY ADDRESSING DISPARITIES 5398 03:22:58,659 --> 03:22:59,861 IS ESSENTIAL. 5399 03:22:59,861 --> 03:23:01,829 SO, WITH THAT, IF I COULD HAVE 5400 03:23:01,829 --> 03:23:03,264 THE NEXT SLIDE, I'M HAPPY TO 5401 03:23:03,264 --> 03:23:06,667 TAKE YOUR QUESTIONS. 5402 03:23:06,667 --> 03:23:11,672 THANK YOU. 5403 03:23:11,672 --> 03:23:13,508 >> OKAY. 5404 03:23:13,508 --> 03:23:15,810 >> THANK YOU FOR THAT WONDERFUL 5405 03:23:15,810 --> 03:23:19,747 WONDERFUL PRESENTATION THAT I 5406 03:23:19,747 --> 03:23:21,282 FOUND DATA QUITE ENLIGHTENING 5407 03:23:21,282 --> 03:23:23,384 AND I'M A PSYCHIATRIST AS YOU 5408 03:23:23,384 --> 03:23:24,852 MENTIONED AND SOME THINGS STUCK 5409 03:23:24,852 --> 03:23:26,654 OUT TO ME AND PARTICULARLY HIGH 5410 03:23:26,654 --> 03:23:29,524 DRIVERS THAT ARE 23% BEING DUE 5411 03:23:29,524 --> 03:23:31,526 TO SUICIDE OR SUBSTANCE USE. 5412 03:23:31,526 --> 03:23:33,995 I'M THINKING A LOT ABOUT THAT AS 5413 03:23:33,995 --> 03:23:35,296 A PARTICULAR INTERVENTION AND 5414 03:23:35,296 --> 03:23:37,098 I'M SURE YOU HAVE SEEN DATA 5415 03:23:37,098 --> 03:23:38,800 LOOKING AT TEENAGE GIRLS AND 5416 03:23:38,800 --> 03:23:42,036 RATE OF ANXIETY AND PERSISTENT 5417 03:23:42,036 --> 03:23:44,572 FEELINGS OF SADNESS CROSSING THE 5418 03:23:44,572 --> 03:23:46,641 58% LINE AND THINKING A LOT 5419 03:23:46,641 --> 03:23:48,609 ABOUT OPPORTUNITIES TO INTERVENE 5420 03:23:48,609 --> 03:23:50,711 EVEN BEFORE PREGNANCY AS A WAY 5421 03:23:50,711 --> 03:23:52,747 OF SORT OF MITIGATING CHALLENGES 5422 03:23:52,747 --> 03:23:54,415 THAT YOU MIGHT FEEL ON THE OTHER 5423 03:23:54,415 --> 03:23:56,517 SIDE AND FIRST HALF OF COMMENT 5424 03:23:56,517 --> 03:23:57,952 AND SECOND HALF SUPERVISUAL 5425 03:23:57,952 --> 03:23:59,420 PERSON AND THINKING ABOUT GRAPHS 5426 03:23:59,420 --> 03:24:02,356 YOU PUT UP WHERE OBGYNS ARE 5427 03:24:02,356 --> 03:24:03,925 LEAVING THE COMMUNITY AND 5428 03:24:03,925 --> 03:24:04,859 THINKING OF GRAPH WHERE FUNDING 5429 03:24:04,859 --> 03:24:07,228 WAS TO THE PROGRAM AND WONDER IF 5430 03:24:07,228 --> 03:24:10,298 YOU OVERLAY THAT WITH A GRAPH OF 5431 03:24:10,298 --> 03:24:14,635 WHERE MATERNAL DEATH WAS, HOW 5432 03:24:14,635 --> 03:24:16,671 WELL WOULD THAT GRAPH OVERLAP 5433 03:24:16,671 --> 03:24:18,539 WITH ONE OR THE OTHER? 5434 03:24:18,539 --> 03:24:21,275 >> SO, THERE ARE STATES THAT ARE 5435 03:24:21,275 --> 03:24:22,743 MUCH WORSE THAN OTHERS. 5436 03:24:22,743 --> 03:24:27,014 I WILL GIVE YOU TWO CONTRASTS. 5437 03:24:27,014 --> 03:24:30,918 ARKANSAS IS ONE OF THE WORST. 5438 03:24:30,918 --> 03:24:33,888 CALIFORNIA IS ONE OF THE BEST. 5439 03:24:33,888 --> 03:24:36,357 REASONS FOR THAT HAVE TO DO WITH 5440 03:24:36,357 --> 03:24:40,094 STATE PERINATAL QUALITY 5441 03:24:40,094 --> 03:24:40,461 COLLABORATIVES. 5442 03:24:40,461 --> 03:24:42,063 NOT EVERY STATE FOR EXAMPLE HAS 5443 03:24:42,063 --> 03:24:45,500 REVIEW OF THE MATERNAL MORTALITY 5444 03:24:45,500 --> 03:24:46,400 CASES. 5445 03:24:46,400 --> 03:24:48,736 CDC IS TRYING TO FUND ALL OF THE 5446 03:24:48,736 --> 03:24:50,438 STATES BUT NOT ALL STATES WANT 5447 03:24:50,438 --> 03:24:55,877 TO REALLY LOOK AT THAT. 5448 03:24:55,877 --> 03:24:58,346 CALIFORNIA HAS A NUMBER OF 5449 03:24:58,346 --> 03:25:00,748 STATE-BASED INTERVENTIONS AND 5450 03:25:00,748 --> 03:25:01,816 MAYBE A- TOOL CAN COMMENT ON 5451 03:25:01,816 --> 03:25:03,885 THIS BETTER THAN I CAN. 5452 03:25:03,885 --> 03:25:05,586 THEY HAVE EVIDENCE-BASED 5453 03:25:05,586 --> 03:25:07,588 INITIATIVE WHERE'S THEY -- FOR 5454 03:25:07,588 --> 03:25:09,357 EXAMPLE, HEMORRHAGE, WE 5455 03:25:09,357 --> 03:25:11,459 PARTIALLY FUNDED THEM FOR SOME 5456 03:25:11,459 --> 03:25:12,126 STUDIES. 5457 03:25:12,126 --> 03:25:14,495 THEY HAVE SHOWN THEY CAN 5458 03:25:14,495 --> 03:25:16,163 SIGNIFICANTLY REDUCE HEMORRHAGE 5459 03:25:16,163 --> 03:25:20,801 WITH SPECIFIC PROTOCOLS. 5460 03:25:20,801 --> 03:25:22,904 ARKANSAS IS A LITTLE MORE OF THE 5461 03:25:22,904 --> 03:25:23,905 WILD WEST. 5462 03:25:23,905 --> 03:25:26,374 ARKANSAS HAS PROBLEM OF 5463 03:25:26,374 --> 03:25:28,976 MATERNITY CARE DESERTS GAL OR. 5464 03:25:28,976 --> 03:25:31,445 I JUST FOUND OUT RECENTLY AND 5465 03:25:31,445 --> 03:25:33,948 MET WITH SENATOR BOZEMAN OF 5466 03:25:33,948 --> 03:25:35,983 ARKANSAS WHO IS GENERALLY 5467 03:25:35,983 --> 03:25:37,184 INTERESTED IN TRYING TO REDUCE 5468 03:25:37,184 --> 03:25:38,819 NUMBERS THAT I THINK THEY DID 5469 03:25:38,819 --> 03:25:40,988 NOT GET A VERY GOOD SCORE FROM 5470 03:25:40,988 --> 03:25:44,258 THE MARCH OF DIMES. 5471 03:25:44,258 --> 03:25:46,594 HE POINTED OUT ANOTHER PROBLEM 5472 03:25:46,594 --> 03:25:48,362 THEY HAVE THAT I DIDN'T REALLY 5473 03:25:48,362 --> 03:25:50,331 THINK ABOUT THAT IS LACK OF 5474 03:25:50,331 --> 03:25:51,232 AMBULANCE ACCESS. 5475 03:25:51,232 --> 03:25:54,502 IF WE HAVE THE BEST REMOTE 5476 03:25:54,502 --> 03:25:55,670 WEARABLE AND SAY THAT WOMAN IS 5477 03:25:55,670 --> 03:25:59,206 AT RISK AND SHE IS AN EX-COUNTY 5478 03:25:59,206 --> 03:26:01,776 THEY CAN'T GET AN AMBULANCE TO 5479 03:26:01,776 --> 03:26:01,976 HER. 5480 03:26:01,976 --> 03:26:03,744 THERE ARE DIFFERENT ISSUES IN 5481 03:26:03,744 --> 03:26:06,147 DIFFERENT STATES THAT IT IS 5482 03:26:06,147 --> 03:26:08,849 REALLY A STATE-BY-STATE 5483 03:26:08,849 --> 03:26:09,817 APPROACH. 5484 03:26:09,817 --> 03:26:11,886 APPROXIMATELY 50% OF PREGNANCIES 5485 03:26:11,886 --> 03:26:15,423 ARE SUPPORTED BY STATE MEDICAID 5486 03:26:15,423 --> 03:26:15,723 PROGRAMS. 5487 03:26:15,723 --> 03:26:17,525 THERE ARE DIFFERENT CRITERIA IN 5488 03:26:17,525 --> 03:26:19,594 EACH STATE HOW YOU QUALIFY FOR 5489 03:26:19,594 --> 03:26:19,794 THAT. 5490 03:26:19,794 --> 03:26:23,397 IT IS ENORMOUS WILL I COMPLEX 5491 03:26:23,397 --> 03:26:26,567 AND WOULD BE MUCH SIMPLER IF WE 5492 03:26:26,567 --> 03:26:28,536 HAD UNIVERSAL HEALTHCARE AND 5493 03:26:28,536 --> 03:26:30,571 CLEARCUT DELIVERABLES IN TERMS 5494 03:26:30,571 --> 03:26:32,506 WHAT PROTOCOLS ARE THAT WE WILL 5495 03:26:32,506 --> 03:26:32,773 USE. 5496 03:26:32,773 --> 03:26:34,642 WE ARE WORKING WITH A NUMBER OF 5497 03:26:34,642 --> 03:26:38,312 OTHER FEDERAL AGENCIES TO BOTH 5498 03:26:38,312 --> 03:26:39,981 RECOGNIZE WHERE THE BIGGER 5499 03:26:39,981 --> 03:26:43,651 PROBLEMS ARE AND ALSO TO 5500 03:26:43,651 --> 03:26:47,188 CONTRIBUTE TO PROTOCOLS THAT 5501 03:26:47,188 --> 03:26:48,422 WILL HAVE CHANGE AND FIRST PART 5502 03:26:48,422 --> 03:26:49,490 OF YOUR QUESTION WAS. 5503 03:26:49,490 --> 03:26:51,525 >> I WAS ASKING ABOUT MENTAL 5504 03:26:51,525 --> 03:26:51,759 HEALTH. 5505 03:26:51,759 --> 03:26:52,159 >> RIGHT. 5506 03:26:52,159 --> 03:26:54,428 >> AND THINKING OF INTERVENING 5507 03:26:54,428 --> 03:26:56,397 ON MENTAL HEALTH IN YOUNG AND 5508 03:26:56,397 --> 03:26:57,665 EMERGING YOUNG ADULTS. 5509 03:26:57,665 --> 03:26:58,232 >> YES. 5510 03:26:58,232 --> 03:27:00,768 >> AS A WAY OF MITIGATING ANY 5511 03:27:00,768 --> 03:27:01,969 FUTURE RISKS. 5512 03:27:01,969 --> 03:27:04,972 >> THAT IS EXTREMELY IMPORTANT. 5513 03:27:04,972 --> 03:27:07,108 THANK YOU FOR THAT QUESTION. 5514 03:27:07,108 --> 03:27:11,012 THERE HAS BEEN HISTORICALLY A 5515 03:27:11,012 --> 03:27:14,382 GAP ON ADOLESCENT-BASED 5516 03:27:14,382 --> 03:27:18,085 RESEARCH. WE HAVE TRANS NIH 5517 03:27:18,085 --> 03:27:20,521 PEDIATRIC RESEARCH CONSORTIUM 5518 03:27:20,521 --> 03:27:21,922 CONSISTING OF SENIOR 5519 03:27:21,922 --> 03:27:23,090 REPRESENTATIVES DOING CHILD 5520 03:27:23,090 --> 03:27:25,626 HEALTH RESEARCH ACROSS THE NIH. 5521 03:27:25,626 --> 03:27:27,528 WE AND THEY HAVE IDENTIFIED THAT 5522 03:27:27,528 --> 03:27:29,964 THE ADOLESCENT PERIOD IS SUCH AN 5523 03:27:29,964 --> 03:27:31,799 IMPORTANT PERIOD TO ADDRESS 5524 03:27:31,799 --> 03:27:33,401 BURGEONING PROBLEMS THAT IS 5525 03:27:33,401 --> 03:27:34,902 BEFORE THE PANDEMIC THAT 5526 03:27:34,902 --> 03:27:37,238 EVERYTHING WAS WORSENED BY THE 5527 03:27:37,238 --> 03:27:37,505 PANDEMIC. 5528 03:27:37,505 --> 03:27:40,074 WE DEFINITELY HAVE A MATERNAL 5529 03:27:40,074 --> 03:27:40,675 HEALTH CRISIS. 5530 03:27:40,675 --> 03:27:44,445 I MEAN, WE HAVE A MENTAL HEALTH 5531 03:27:44,445 --> 03:27:47,048 CRISIS OF PEOPLE OF ALL AGES. 5532 03:27:47,048 --> 03:27:49,083 >> MY FINAL COMMENT WAS WE HEARD 5533 03:27:49,083 --> 03:27:50,751 EARLIER ABOUT THE PRESENTATION 5534 03:27:50,751 --> 03:27:53,220 FROM THOSE WORKING ON UNITE. 5535 03:27:53,220 --> 03:27:55,523 THIS IS WHAT I THINK A 5536 03:27:55,523 --> 03:27:56,157 REMARKABLE OPPORTUNITY IS 5537 03:27:56,157 --> 03:27:57,625 THINKING ABOUT DISPARITIES TO 5538 03:27:57,625 --> 03:27:59,427 MAKE SURE THAT SCIENTISTS 5539 03:27:59,427 --> 03:28:00,828 HELPING LEAD THE WORK AND 5540 03:28:00,828 --> 03:28:02,897 CREATING NEW INTERVENTIONS TO 5541 03:28:02,897 --> 03:28:04,098 COMPETITIONS ALSO REPRESENTED 5542 03:28:04,098 --> 03:28:06,867 COMMUNITIES THAT ARE SO DEEPLY 5543 03:28:06,867 --> 03:28:07,134 IMPACTED. 5544 03:28:07,134 --> 03:28:08,936 >> I TOTALLY AGREE. 5545 03:28:08,936 --> 03:28:10,304 THANK YOU FOR THAT COMMENT. 5546 03:28:10,304 --> 03:28:11,672 THAT IS SO IMPORTANT. 5547 03:28:11,672 --> 03:28:14,375 I MEAN, ONE OF THE CENTERS FOR 5548 03:28:14,375 --> 03:28:15,876 THE CORRECTORS FOR EXCELLENCE 5549 03:28:15,876 --> 03:28:18,479 THAT WE ARE FUNDING IMPROVE IS 5550 03:28:18,479 --> 03:28:19,847 IN SOUTH DAKOTA. 5551 03:28:19,847 --> 03:28:23,384 WE FUNDED THEM BECAUSE THEY HAVE 5552 03:28:23,384 --> 03:28:26,220 A LONG HISTORY OF TRIBAL 5553 03:28:26,220 --> 03:28:27,822 RELATIONS WHICH YOU KNOW YOU 5554 03:28:27,822 --> 03:28:29,824 CAN'T JUST WALK INTO A COMMUNITY 5555 03:28:29,824 --> 03:28:31,492 AND SAY WE WILL HELP YOU. 5556 03:28:31,492 --> 03:28:33,794 YOU KNOW, THEY HAVE A LONG 5557 03:28:33,794 --> 03:28:35,563 HISTORY OF BUILDING 5558 03:28:35,563 --> 03:28:36,664 RELATIONSHIPS AND DEVELOPING 5559 03:28:36,664 --> 03:28:39,767 TRUST, WHICH HAS TO PROCEED ANY 5560 03:28:39,767 --> 03:28:40,034 RESEARCH. 5561 03:28:40,034 --> 03:28:42,269 I MEAN, I'M -- I FEEL I HAVE 5562 03:28:42,269 --> 03:28:44,105 LEARNED AN ENORMOUS AMOUNT IN 5563 03:28:44,105 --> 03:28:46,207 THE LAST FEW YEARS ABOUT HOW 5564 03:28:46,207 --> 03:28:48,042 COMPLEX A PROBLEM THIS IS AND 5565 03:28:48,042 --> 03:28:49,944 YET THERE ARE WAYS WE CAN BREAK 5566 03:28:49,944 --> 03:28:51,645 IT DOWN AND HELP TO SOLVE IT. 5567 03:28:51,645 --> 03:28:54,115 >> OKAY. THANK YOU. WE WILL 5568 03:28:54,115 --> 03:28:58,018 HAVE WAFA AND GARTH. THAT WILL 5569 03:28:58,018 --> 03:29:00,354 BE THE LAST QUESTION OF THE 5570 03:29:00,354 --> 03:29:00,621 SESSION. 5571 03:29:00,621 --> 03:29:02,323 >> THANK YOU AGAIN. VERY, VERY 5572 03:29:02,323 --> 03:29:03,724 IMPORTANT AND INTERESTING WORK 5573 03:29:03,724 --> 03:29:06,527 AND COMPREHENSIVE WORK. 5574 03:29:06,527 --> 03:29:08,562 I HAD A -- I THINK THAT THE 5575 03:29:08,562 --> 03:29:10,865 INTERESTING ISSUE IS THAT THE 5576 03:29:10,865 --> 03:29:15,870 VAST MAJORITY OF THESE ADVERSE 5577 03:29:15,870 --> 03:29:19,240 EFFECTS ARE POSTPARTUM THAT IS 5578 03:29:19,240 --> 03:29:20,808 KIND OF DIFFERENT IN MOST 5579 03:29:20,808 --> 03:29:23,177 PEOPLES PERCEPTIONS OUT THERE 5580 03:29:23,177 --> 03:29:26,080 TALKING ABOUT MATERNAL MORBIDITY 5581 03:29:26,080 --> 03:29:28,282 THEY THINK OF PREGNANCY AND 5582 03:29:28,282 --> 03:29:30,484 LABOR AND DELIVERY AND WONDER IF 5583 03:29:30,484 --> 03:29:33,554 THERE IS VALUE IN ALMOST HAVING 5584 03:29:33,554 --> 03:29:37,825 LIKE A CAMPAIGN OF SORTS THAT 5585 03:29:37,825 --> 03:29:39,760 GOES IN AND RECENTLY DELIVERED 5586 03:29:39,760 --> 03:29:42,630 AND FAMILIES, OF COURSE, AND THE 5587 03:29:42,630 --> 03:29:43,998 COMMUNITY AND THINK THAT MOST 5588 03:29:43,998 --> 03:29:46,801 PEOPLE DON'T THINK OF THAT 5589 03:29:46,801 --> 03:29:48,836 PERIOD AS BEING AN AT RISK 5590 03:29:48,836 --> 03:29:51,105 PERIOD AND MAJORITY OF PEOPLE 5591 03:29:51,105 --> 03:29:53,374 FOCUS ON PREGNANCY RISK AND 5592 03:29:53,374 --> 03:29:54,074 LABOR. 5593 03:29:54,074 --> 03:29:55,743 >> RIGHT. 5594 03:29:55,743 --> 03:29:56,710 >> THAT IS ONE. 5595 03:29:56,710 --> 03:29:58,646 SOMEHOW SHOWCASING WHY THIS IS 5596 03:29:58,646 --> 03:30:00,214 IMPORTANT IS VARIABLE AND OTHER 5597 03:30:00,214 --> 03:30:03,784 IS MOST WOMEN REALLY ARE GETTING 5598 03:30:03,784 --> 03:30:05,920 THEIR CARE NOT THROUGH 5599 03:30:05,920 --> 03:30:07,388 OBSTETRICIANS AND ARE BEGINNING 5600 03:30:07,388 --> 03:30:09,023 CARE IN HOPEFULLY IN PRIMARY 5601 03:30:09,023 --> 03:30:11,025 CARE AND I'M ALSO THINKING THAT 5602 03:30:11,025 --> 03:30:13,160 THEY ALMOST -- YOU HAVE TWO 5603 03:30:13,160 --> 03:30:16,197 PROVIDER TYPES THAT IS PROVIDERS 5604 03:30:16,197 --> 03:30:18,499 WITH OBSTETRICIANS IN LABOR AND 5605 03:30:18,499 --> 03:30:20,401 DELIVERY AND YOU HAVE TO SOMEHOW 5606 03:30:20,401 --> 03:30:22,436 REACH PEOPLE WHO ARE SUPPOSED TO 5607 03:30:22,436 --> 03:30:26,106 HOPEFULLY PROVIDE THE PRIMARY 5608 03:30:26,106 --> 03:30:28,609 CA 5609 03:30:28,609 --> 03:30:28,876 CARE. 5610 03:30:28,876 --> 03:30:30,578 ASKING THE QUESTION HAVE YOU 5611 03:30:30,578 --> 03:30:32,479 RECENTLY DELIVERED IS A KIND OF 5612 03:30:32,479 --> 03:30:35,249 INTERESTING ISSUE I'M A 5613 03:30:35,249 --> 03:30:35,549 CLINICIAN. 5614 03:30:35,549 --> 03:30:37,718 IT RAISES QUESTIONS IN MY OWN 5615 03:30:37,718 --> 03:30:40,321 MIND AS TO HOW MUCH WORK WE HAVE 5616 03:30:40,321 --> 03:30:42,189 TO DO WITH THE PUBLIC AND 5617 03:30:42,189 --> 03:30:43,958 COMMUNITY OF PROVIDERS OVERALL. 5618 03:30:43,958 --> 03:30:45,926 >> THANK YOU FOR THAT COMMENT. 5619 03:30:45,926 --> 03:30:47,928 I THINK IT IS VERY IMPORTANT 5620 03:30:47,928 --> 03:30:49,730 THAT THERE HAS BEEN A DISCONNECT 5621 03:30:49,730 --> 03:30:52,466 THAT IT MIGHT BE A LITTLE BETTER 5622 03:30:52,466 --> 03:30:54,702 ALONG WITH ELECTRONIC MEDICAL 5623 03:30:54,702 --> 03:30:55,970 RECORDS ASSUMING YOU DELIVERED 5624 03:30:55,970 --> 03:30:57,805 IN THE SAME HOSPITAL WHERE YOU 5625 03:30:57,805 --> 03:31:00,007 GET YOUR PRIMARY CARE BUT MAYBE 5626 03:31:00,007 --> 03:31:01,842 NOT. IT IS TRUE THAT INTERNISTS 5627 03:31:01,842 --> 03:31:03,811 DON'T ASK, YOU KNOW, HAVE YOU 5628 03:31:03,811 --> 03:31:05,346 HAD A PREGNANCY? 5629 03:31:05,346 --> 03:31:06,747 WHAT HAVE YOU BEEN DOING THE 5630 03:31:06,747 --> 03:31:09,583 LAST YEAR? 5631 03:31:09,583 --> 03:31:11,785 IT IS REALLY IMPORTANT. 5632 03:31:11,785 --> 03:31:14,321 THAT WOULD LEAD YOU TO LOOK AT 5633 03:31:14,321 --> 03:31:16,390 DIFFERENT THINGS WITH MILD 5634 03:31:16,390 --> 03:31:18,659 ELEVATION OF BLOOD PRESSURE YOU 5635 03:31:18,659 --> 03:31:20,394 MIGHT TREAT OR CONSIDER IT 5636 03:31:20,394 --> 03:31:20,728 DIFFERENTLY. 5637 03:31:20,728 --> 03:31:25,432 WE ARE TRYING TO EMPHASIZE THOSE 5638 03:31:25,432 --> 03:31:25,900 CONNECTIONS. 5639 03:31:25,900 --> 03:31:29,470 >> GARTH, LAST QUESTION, PLEASE. 5640 03:31:29,470 --> 03:31:35,643 >> THANK YOU. FIRST, THIS IS 5641 03:31:35,643 --> 03:31:36,410 AMAZING PRESENTATION AND YOU 5642 03:31:36,410 --> 03:31:38,979 TOUCHED ON ISSUES OF BIAS AND 5643 03:31:38,979 --> 03:31:40,781 WANT TO ACKNOWLEDGE MY THANKS 5644 03:31:40,781 --> 03:31:43,450 FOR DOING THAT KIND OF WORK THAT 5645 03:31:43,450 --> 03:31:46,186 RECOGNIZES SENSITIVITY TO THE 5646 03:31:46,186 --> 03:31:46,453 DYNAMIC. 5647 03:31:46,453 --> 03:31:49,023 THERE IS SO MUCH OF THIS THAT IS 5648 03:31:49,023 --> 03:31:51,425 OUTSIDE OF NIH'S CONTROL AND 5649 03:31:51,425 --> 03:31:53,928 INCLUDING ACCESS ISSUES BROADER 5650 03:31:53,928 --> 03:31:57,031 IN TERMS OF CMS AND POTENTIALLY 5651 03:31:57,031 --> 03:31:59,700 HRSA AND BROADER HHS VISION YOU 5652 03:31:59,700 --> 03:32:01,735 ARE TAPPING INTO AND ABILITY TO 5653 03:32:01,735 --> 03:32:03,103 INFLUENCE OTHER AGENCIES? 5654 03:32:03,103 --> 03:32:05,005 I FEEL IF I GRADE THIS I WOULD 5655 03:32:05,005 --> 03:32:08,075 BE LIKE YOU ARE KILLING IT ON 5656 03:32:08,075 --> 03:32:10,678 NIH SIDE AND IN TERMS OF 5657 03:32:10,678 --> 03:32:11,879 DIVISION HOW WE EXPAND THAT TO 5658 03:32:11,879 --> 03:32:14,081 OTHER PARTS THAT ARE DRIVING IT. 5659 03:32:14,081 --> 03:32:14,815 MAKE SENSE? 5660 03:32:14,815 --> 03:32:17,918 >> YEAH. THANK YOU FOR THAT 5661 03:32:17,918 --> 03:32:18,452 COMMENT. 5662 03:32:18,452 --> 03:32:21,922 OFFICE OF THE VICE PRESIDENT IS 5663 03:32:21,922 --> 03:32:26,260 VERY CONCERNED ABOUT MATERNAL 5664 03:32:26,260 --> 03:32:30,764 HEALTH AND AS IS SECRETARY 5665 03:32:30,764 --> 03:32:33,667 BACERA WHOSE WIFE IS AN OBGYN. 5666 03:32:33,667 --> 03:32:35,602 HE HAS A LITTLE BIT MORE 5667 03:32:35,602 --> 03:32:37,604 APPRECIATION OF SOME OF THE 5668 03:32:37,604 --> 03:32:43,277 ISSUES THAT I WOULD SAY THAN 5669 03:32:43,277 --> 03:32:44,545 PERHAPS OTHER PEOPLE IN MOST 5670 03:32:44,545 --> 03:32:45,012 POSITIONS. 5671 03:32:45,012 --> 03:32:46,413 WE ARE DOING RESEARCH. 5672 03:32:46,413 --> 03:32:50,517 A LOT OF THIS IS REALLY 5673 03:32:50,517 --> 03:32:51,318 RECOMMENDATIONS AT THE CARE 5674 03:32:51,318 --> 03:32:52,753 LEVEL AND ACCESS TO CARE. 5675 03:32:52,753 --> 03:32:56,991 WHAT I CAN TELL YOU IS WE HAVE 5676 03:32:56,991 --> 03:33:00,461 FREQUENT CONVERSATIONS WITH 5677 03:33:00,461 --> 03:33:02,896 FEDERAL AGENCIES LIKE CMS AND 5678 03:33:02,896 --> 03:33:03,964 HRSA AND EVERYBODY KNOWS WHAT 5679 03:33:03,964 --> 03:33:07,534 THE PROBLEM IS. IT IS A MATTER 5680 03:33:07,534 --> 03:33:10,604 OF MAKING CHANGES THAT WILL 5681 03:33:10,604 --> 03:33:12,406 REDUCE COMPLICATIONS AND WITH 5682 03:33:12,406 --> 03:33:14,274 REGARD TO BIAS AND LACK OF 5683 03:33:14,274 --> 03:33:17,277 RESPECT, I KNOW THAT THE CDC, 5684 03:33:17,277 --> 03:33:21,015 FOR EXAMPLE, HAS A CAMPAIGN 5685 03:33:21,015 --> 03:33:22,716 CALLED HEAR HER. 5686 03:33:22,716 --> 03:33:26,720 BECAUSE JUST LIKE SERENA WILL &S 5687 03:33:26,720 --> 03:33:27,721 EXPERIENCED, WOMEN KNOW THEIR 5688 03:33:27,721 --> 03:33:29,923 OWN BODIES BUT ARE NOT 5689 03:33:29,923 --> 03:33:31,225 NECESSARILY HEARD WHEN THEY ARE 5690 03:33:31,225 --> 03:33:33,460 DESCRIBING SYMPTOMS. 5691 03:33:33,460 --> 03:33:36,497 SO, THERE IS CERTAINLY AN EFFORT 5692 03:33:36,497 --> 03:33:38,565 TO COORDINATE EFFORTS ACROSS 5693 03:33:38,565 --> 03:33:39,867 FEDERAL AGENCIES. 5694 03:33:39,867 --> 03:33:41,902 IT IS A COMPLEX PROBLEM. 5695 03:33:41,902 --> 03:33:44,338 YOU THROW IN THE 50 STATES AS 5696 03:33:44,338 --> 03:33:46,140 WELL WHO ALL HAVE THEIR OWN 5697 03:33:46,140 --> 03:33:48,575 STATE-BASED PROGRAMS. 5698 03:33:48,575 --> 03:33:51,512 SO I THINK, YOU KNOW, PEOPLE 5699 03:33:51,512 --> 03:33:55,082 SAY, HOW DO YOU EAT AN ELEPHANT? 5700 03:33:55,082 --> 03:33:56,517 TAKE A LITTLE BITE AT A TIME. 5701 03:33:56,517 --> 03:33:58,719 NOT THAT YOU WOULD REALLY EAT AN 5702 03:33:58,719 --> 03:34:01,188 ELEPHANT BUT WE WANT TO PROVIDE 5703 03:34:01,188 --> 03:34:03,991 THE EVIDENCE THAT WILL INFORM 5704 03:34:03,991 --> 03:34:07,428 PROVIDERS ABOUT THE BEST WAY TO 5705 03:34:07,428 --> 03:34:08,162 PROVIDE CARE. 5706 03:34:08,162 --> 03:34:10,597 AND ALSO EMPOWERING THE 5707 03:34:10,597 --> 03:34:12,699 COMMUNITY ORGANIZATIONS, I 5708 03:34:12,699 --> 03:34:15,035 THINK, WILL HELP BECAUSE IF THEY 5709 03:34:15,035 --> 03:34:17,604 CAN GET MORE FUNDING AS WELL, 5710 03:34:17,604 --> 03:34:19,306 THEY CAN MAKE LOCAL CHANGE THAT 5711 03:34:19,306 --> 03:34:20,974 WILL BE AN IMPORTANT PART OF 5712 03:34:20,974 --> 03:34:21,942 THIS PICTURE. 5713 03:34:21,942 --> 03:34:25,179 >> WELL, THANK YOU ALL FOR A 5714 03:34:25,179 --> 03:34:26,847 GREAT DISCUSSION. 5715 03:34:26,847 --> 03:34:28,315 DIANA, THANK YOU VERY MUCH FOR 5716 03:34:28,315 --> 03:34:29,516 YOUR PRESENTATION. 5717 03:34:29,516 --> 03:34:33,787 WE WILL GO RIGHT AHEAD TO THE 5718 03:34:33,787 --> 03:34:36,723 NEXT PRESENTATION BY DR. MATT 5719 03:34:36,723 --> 03:34:39,159 GILLMAN ON THE ECHO PROGRAM. HE 5720 03:34:39,159 --> 03:34:43,464 WILL DEFINE THAT ACRONYM FOR 5721 03:34:43,464 --> 03:34:43,831 YOU. 5722 03:34:43,831 --> 03:34:45,532 >> WELL, THANK YOU VERY MUCH FOR 5723 03:34:45,532 --> 03:34:47,234 THE OPPORTUNITY TO TALK TO YOU 5724 03:34:47,234 --> 03:34:47,468 TODAY. 5725 03:34:47,468 --> 03:34:49,303 I SEE THIS DOES WORK. 5726 03:34:49,303 --> 03:34:52,506 CAN WE GO BACK TO THE TITLE 5727 03:34:52,506 --> 03:34:54,408 SLIDE, PLEASE? 5728 03:34:54,408 --> 03:34:55,142 GREAT. THANKS. 5729 03:34:55,142 --> 03:34:58,011 I'M HERE TO TELL YOU ABOUT THE 5730 03:34:58,011 --> 03:34:59,413 VALUE OF PRESENT AND MORE WITH 5731 03:34:59,413 --> 03:35:02,683 THE FUTURE OF THE ENVIRONMENTAL 5732 03:35:02,683 --> 03:35:04,318 INFLUENCES ON CHILD HEALTH 5733 03:35:04,318 --> 03:35:05,986 OUTCOMES OR ECHO PROGRAM THAT IS 5734 03:35:05,986 --> 03:35:08,288 A DEFINED RESEARCH PROGRAM 5735 03:35:08,288 --> 03:35:10,624 WITHIN THE OFFICE OF THE 5736 03:35:10,624 --> 03:35:10,891 DIRECTOR. 5737 03:35:10,891 --> 03:35:13,060 I HOPE THAT MY COMMENTS WILL BE 5738 03:35:13,060 --> 03:35:16,330 VERY COMPLEMENTARY TO WHAT DIANA 5739 03:35:16,330 --> 03:35:18,665 JUST SAID TALKING SIMILAR POINTS 5740 03:35:18,665 --> 03:35:20,100 IN THE LIFE COURSE. 5741 03:35:20,100 --> 03:35:22,136 I'M FOCUSING MORE ON KIDS AND 5742 03:35:22,136 --> 03:35:24,638 WANT TO TALK TO YOU ABOUT ECHO'S 5743 03:35:24,638 --> 03:35:28,976 FIRST 7 YEARS NOW AND FOCUS ON 5744 03:35:28,976 --> 03:35:30,444 CONTRIBUTIONS TO ENHANCING CHILD 5745 03:35:30,444 --> 03:35:32,212 HEALTH IN CONTEXT TO 5746 03:35:32,212 --> 03:35:33,914 CROSS-CUTTING THEMES AND LOOK TO 5747 03:35:33,914 --> 03:35:35,449 FUTURE AND HIGHLIGHT A NUMBER OF 5748 03:35:35,449 --> 03:35:37,651 THINGS WE ARE DOING INCLUDING 5749 03:35:37,651 --> 03:35:40,120 ECHO AS A NATIONWIDE RESEARCH 5750 03:35:40,120 --> 03:35:41,555 RESOURCE AND WILL LEAVE TIME FOR 5751 03:35:41,555 --> 03:35:42,055 A DISCUSSION. 5752 03:35:42,055 --> 03:35:44,258 I WOULD LIKE YOU TO TAKE AWAY 5753 03:35:44,258 --> 03:35:45,792 THESE THREE BOTTOM LINES AND 5754 03:35:45,792 --> 03:35:49,196 FIRST IS THAT ECHO IS A UNIQUE 5755 03:35:49,196 --> 03:35:51,698 LARGE NIH CHILD HEALTH PROGRAM 5756 03:35:51,698 --> 03:35:54,535 THAT HAS MATURED FROM STANDING 5757 03:35:54,535 --> 03:35:56,870 START IN 2016 WHEN COMING FROM 5758 03:35:56,870 --> 03:35:59,106 NIH TO BE INAUGURAL DIRECTOR AND 5759 03:35:59,106 --> 03:36:00,974 THIS COMMITTEE HAS BEEN VALUABLE 5760 03:36:00,974 --> 03:36:02,743 SINCE THE VERY BEGINNING TO GET 5761 03:36:02,743 --> 03:36:04,878 IT OFF THE GROUND AND SECOND IS 5762 03:36:04,878 --> 03:36:07,247 THAT ECHO RESEARCH IS NOW 5763 03:36:07,247 --> 03:36:09,416 STARTING TO ENHANCE HEALTH OF 5764 03:36:09,416 --> 03:36:10,551 CHILDREN ACROSS THE UNITED 5765 03:36:10,551 --> 03:36:12,085 STATES AND IN LARGE PART BECAUSE 5766 03:36:12,085 --> 03:36:14,188 WE LOOK AT LONG-TERM 5767 03:36:14,188 --> 03:36:17,891 IMPLICATIONS OF INFLUENCES OF 5768 03:36:17,891 --> 03:36:19,193 EARLIEST STAGES OF HUMAN 5769 03:36:19,193 --> 03:36:22,896 DEVELOPMENT AND DO IT THROUGH 5770 03:36:22,896 --> 03:36:24,865 COMBINATION OF INFORMATIONAL 5771 03:36:24,865 --> 03:36:27,467 INTERVENTION RESEARCH AND IS 5772 03:36:27,467 --> 03:36:28,669 POISED TO MAKE STRIDES AND 5773 03:36:28,669 --> 03:36:30,704 LARGER IMPACTS GOING FORWARD. 5774 03:36:30,704 --> 03:36:32,673 STARTING BY WETTING YOUR 5775 03:36:32,673 --> 03:36:34,308 APPETITE WITH A FEW OF MANY 5776 03:36:34,308 --> 03:36:35,742 QUESTIONS THAT INVESTIGATORS 5777 03:36:35,742 --> 03:36:36,977 HAVE BEEN ASKING. 5778 03:36:36,977 --> 03:36:39,079 ONE IS ABOUT THE NATIONWIDE 5779 03:36:39,079 --> 03:36:41,882 OPIOID CRISIS THAT YOU HEARD 5780 03:36:41,882 --> 03:36:44,551 FROM DR. BER CONTINUE OELI THIS 5781 03:36:44,551 --> 03:36:46,220 MORNING ABOUT THE ADVERSE 5782 03:36:46,220 --> 03:36:47,955 STATISTICS AND DIANA MENTIONED 5783 03:36:47,955 --> 03:36:49,122 THIS AS WELL IN HER TALK. 5784 03:36:49,122 --> 03:36:53,627 ONE OF THE ISSUES IS ABOUT 5785 03:36:53,627 --> 03:36:55,862 BABIES BORN EXPOSED TO OPIOIDS 5786 03:36:55,862 --> 03:36:58,065 IN UTEROCOMING OUT SUFFERING 5787 03:36:58,065 --> 03:37:02,269 FROM NEONATIVE OPIOID WITHDRAWAL 5788 03:37:02,269 --> 03:37:04,471 SYNDROME A DISTRESSING SYNDROME 5789 03:37:04,471 --> 03:37:06,406 THAT IS PREVALENT AND 5790 03:37:06,406 --> 03:37:07,708 RECALCITRANT AND COSTLY AND WHAT 5791 03:37:07,708 --> 03:37:10,277 WE CAN DO TO LOWER ITS BURDEN 5792 03:37:10,277 --> 03:37:12,112 AND WHAT ABOUT ASTHMA THAT IS 5793 03:37:12,112 --> 03:37:15,916 ONE OF THE MOST COMMON CHRONIC 5794 03:37:15,916 --> 03:37:17,584 CONDITIONS OF CHILDHOOD THAT IS 5795 03:37:17,584 --> 03:37:19,086 MORBID FOR THE CHILD AND LOSS OF 5796 03:37:19,086 --> 03:37:20,887 SCHOOL DAYS AND LOSS OF WORK 5797 03:37:20,887 --> 03:37:23,156 DAYS FOR THE PARENTS AND WE KNOW 5798 03:37:23,156 --> 03:37:26,126 THAT RACIAL/ETHNIC DISPARITIES 5799 03:37:26,126 --> 03:37:27,427 EXIST AND PERSIST. 5800 03:37:27,427 --> 03:37:28,996 QUESTION IS WHEN DO THEY START 5801 03:37:28,996 --> 03:37:32,699 AND HOW CAN WE PREVENT THEM? 5802 03:37:32,699 --> 03:37:35,535 A THIRD EPIDEMIC WE ARE VERY 5803 03:37:35,535 --> 03:37:38,672 CONCERNED ABOUT IS OBESITY 5804 03:37:38,672 --> 03:37:39,973 EPIDEMIC IN CHILDHOOD AND KNOW 5805 03:37:39,973 --> 03:37:42,376 IT IS RESISTENT TO INDIVIDUAL 5806 03:37:42,376 --> 03:37:43,644 INTERVENTIONS AND WHAT ARE 5807 03:37:43,644 --> 03:37:45,479 SOLUTIONS AND HOW WELL POLICY 5808 03:37:45,479 --> 03:37:46,713 SOLUTIONS WORK AND WHEN MIGHT BE 5809 03:37:46,713 --> 03:37:48,048 THE COMMUNITY INTERVENTIONS THAT 5810 03:37:48,048 --> 03:37:50,317 ARE INVOLVED WITH AND WHEN MIGHT 5811 03:37:50,317 --> 03:37:52,219 THEY BE MOST EFFECTIVE? 5812 03:37:52,219 --> 03:37:53,754 SO, BEFORE I GET TO THE ANSWERS 5813 03:37:53,754 --> 03:37:56,323 TO THE QUESTIONS I WILL TELL YOU 5814 03:37:56,323 --> 03:37:58,191 ABOUT WHAT IS COMMON TO SOME 5815 03:37:58,191 --> 03:38:01,194 QUESTIONS IN THE CONTEXT OF 5816 03:38:01,194 --> 03:38:01,795 ECHO. 5817 03:38:01,795 --> 03:38:03,997 ONE IS THAT WE ARE INTERESTED IN 5818 03:38:03,997 --> 03:38:05,832 QUESTIONS THAT HAVE A SOLUTION 5819 03:38:05,832 --> 03:38:09,403 ORIENTATION AND WILL ANSWERS TO 5820 03:38:09,403 --> 03:38:11,805 QUESTIONS INFORM POLICY PRACTICE 5821 03:38:11,805 --> 03:38:12,572 PROGRAMS? 5822 03:38:12,572 --> 03:38:15,442 WE FIND THAT SOLUTION ORIENTED 5823 03:38:15,442 --> 03:38:18,145 QUESTIONS ARE AT THE SORT OF 5824 03:38:18,145 --> 03:38:20,113 GOLDEN INTERSECTION OF THREE 5825 03:38:20,113 --> 03:38:21,381 FEATURES AND ONE IS THEY ARE 5826 03:38:21,381 --> 03:38:24,318 IMPORTANT TO END USERS AND 5827 03:38:24,318 --> 03:38:27,220 POLICYMAKERS AND PEOPLE THAT ARE 5828 03:38:27,220 --> 03:38:28,789 DEVELOPING PRACTICE GUIDELINES 5829 03:38:28,789 --> 03:38:30,123 AND CLINICAL TRIALISTS AND WHAT 5830 03:38:30,123 --> 03:38:32,192 THEY ARE INTERESTED IN AND WHAT 5831 03:38:32,192 --> 03:38:34,261 GAPS THEY WILL FILL TO INFORM 5832 03:38:34,261 --> 03:38:35,896 ACTION OF STAKEHOLDERS AND 5833 03:38:35,896 --> 03:38:38,298 SECOND IS THEY ARE DRIVEN BY 5834 03:38:38,298 --> 03:38:39,199 INVESTIGATIVE PASSION AND THIRD 5835 03:38:39,199 --> 03:38:40,834 IS THEY ARE FEASIBLE AND THERE 5836 03:38:40,834 --> 03:38:43,236 IS AVAILABLE DATA AND WHAT ELSE 5837 03:38:43,236 --> 03:38:45,172 IS COMMON TO QUESTIONS? 5838 03:38:45,172 --> 03:38:46,707 THEY TAKE ADVANTAGE OF 5839 03:38:46,707 --> 03:38:48,508 INNOVATIVE IDEAS AND APPROACHES 5840 03:38:48,508 --> 03:38:50,377 AND INCLUDING IMPORTANTLY 5841 03:38:50,377 --> 03:38:52,446 ENTHUSIASM OF TRAINEES OF EARLY 5842 03:38:52,446 --> 03:38:55,349 STAGE INVESTIGATORS AND IN THE 5843 03:38:55,349 --> 03:38:56,850 BOX YOU WILL SEE FOUR 5844 03:38:56,850 --> 03:38:58,785 INITIATIVES THAT ARE SUPPORTING 5845 03:38:58,785 --> 03:39:01,488 NEXT GENERATION OF RESEARCHERS. 5846 03:39:01,488 --> 03:39:04,858 THE THIRD IS THAT THESE TYPE OF 5847 03:39:04,858 --> 03:39:07,294 QUESTIONS REQUIRE A LARGE 5848 03:39:07,294 --> 03:39:09,830 DIVERSE COHORT FOR MULTICENTER 5849 03:39:09,830 --> 03:39:11,098 INTERVENTION TRIAL AND WE FIND 5850 03:39:11,098 --> 03:39:14,434 THAT MOST EFFECTIVE RESULTS ARE 5851 03:39:14,434 --> 03:39:17,337 FROM THE PRODUCT OF EFFECTIVE 5852 03:39:17,337 --> 03:39:18,772 COLLABORATION ACROSS MULTIPLE 5853 03:39:18,772 --> 03:39:19,106 DISCIPLINES. 5854 03:39:19,106 --> 03:39:21,875 WE ARE VERY INTERESTED IN 5855 03:39:21,875 --> 03:39:24,611 APPLYING THE SCIENCE OF TEAM 5856 03:39:24,611 --> 03:39:29,883 SCIENCE SO THE HO WHOLE IS GREAR 5857 03:39:29,883 --> 03:39:32,085 THAN SUM OF THE PARTS AND MANY 5858 03:39:32,085 --> 03:39:33,754 QUESTIONS ADDRESS HEALTH 5859 03:39:33,754 --> 03:39:35,789 DISPARITIES AND INEQUITIES NOT 5860 03:39:35,789 --> 03:39:37,691 ONLY CHARACTERIZING DISPARITIES 5861 03:39:37,691 --> 03:39:39,526 BUT TRYING TO EXPLAIN THEM SO 5862 03:39:39,526 --> 03:39:41,628 ACTIONS CAN PREVENT THE 5863 03:39:41,628 --> 03:39:43,263 DISPARITIES THAT OFTEN START 5864 03:39:43,263 --> 03:39:45,532 EARLY IN LIFE AND ENLARGE AS 5865 03:39:45,532 --> 03:39:47,167 KIDS GROW INTO ADULTS . 5866 03:39:47,167 --> 03:39:50,704 HOW HAS ECHO BEEN ADDRESSING 5867 03:39:50,704 --> 03:39:53,907 SCIENTIFIC QUESTIONS? 5868 03:39:53,907 --> 03:39:55,609 FIRST IS THAT WE ALWAYS COME 5869 03:39:55,609 --> 03:39:56,810 BACK TO THE TOUCHPOINT THAT IS 5870 03:39:56,810 --> 03:39:58,612 THE MISSION TO ENHANCE THE 5871 03:39:58,612 --> 03:39:59,846 HEALTH OF CHILDREN FOR 5872 03:39:59,846 --> 03:40:00,714 GENERATIONS TO COME. 5873 03:40:00,714 --> 03:40:05,652 WE DO WORK WITH NOTION THAT A 5874 03:40:05,652 --> 03:40:09,423 GOOD START TO LIFE CAN LAST A 5875 03:40:09,423 --> 03:40:11,324 LIFETIME AND OVER GENERATIONS 5876 03:40:11,324 --> 03:40:14,661 AND WE LOOK AT FIVE KEY 5877 03:40:14,661 --> 03:40:17,197 PEDIATRIC OUTCOMES WITH HEALTH 5878 03:40:17,197 --> 03:40:20,233 IMPACT AND PERINATAL CONDITIONS 5879 03:40:20,233 --> 03:40:23,170 SUCH AS PRETERM BIRTH AND OPEN 5880 03:40:23,170 --> 03:40:25,539 AIRWAYS AND OBESITY AND FACETS 5881 03:40:25,539 --> 03:40:29,910 OF NEURODEVELOPMENT AUTISM 5882 03:40:29,910 --> 03:40:32,078 SPECTRUM DISORDER AND ATTENTION 5883 03:40:32,078 --> 03:40:33,480 DEFICIT DISORDER AND ADDED A 5884 03:40:33,480 --> 03:40:35,749 FIFTH OUTCOME POSITIVE HEALTH 5885 03:40:35,749 --> 03:40:37,551 AND WELLBEING THAT IS ABOUT THE 5886 03:40:37,551 --> 03:40:39,085 WHOLE PERSON AND OUR 5887 03:40:39,085 --> 03:40:39,986 INVESTIGATORS LOOK AT OUTCOMES 5888 03:40:39,986 --> 03:40:42,789 NO THE ONLY ONE AT A TIME BUT 5889 03:40:42,789 --> 03:40:45,358 ALSO IN COMBINATION FROM BIRTH 5890 03:40:45,358 --> 03:40:46,560 THROUGH ADOLESCENCE. 5891 03:40:46,560 --> 03:40:49,229 WE DO WORK THROUGH AS I SAID 5892 03:40:49,229 --> 03:40:50,697 OBSERVATIONAL AND INTERVENTION 5893 03:40:50,697 --> 03:40:52,466 RESEARCH AND OBSERVATIONAL 5894 03:40:52,466 --> 03:40:54,601 RESEARCH IN ECHO COHORT AND 5895 03:40:54,601 --> 03:40:56,203 INTERVENTION RESEARCH THROUGH 5896 03:40:56,203 --> 03:40:58,972 IDEA STATES PEDIATRIC CLINICAL 5897 03:40:58,972 --> 03:41:02,809 TRIALS NETWORK WHERE I WILL 5898 03:41:02,809 --> 03:41:03,877 START COMMENTS AND 5899 03:41:03,877 --> 03:41:07,380 AFFECTIONATELY KNOWN AS ISPCTN 5900 03:41:07,380 --> 03:41:11,551 AND IMBEDDED IN INSTITUTIONAL 5901 03:41:11,551 --> 03:41:13,587 DEVELOPMENTAL ORDER IDEA STATES 5902 03:41:13,587 --> 03:41:16,223 23 STATES IN PUERTO RICO WITH 5903 03:41:16,223 --> 03:41:18,925 HISTORICALLY LOW LEVELS OF NIH 5904 03:41:18,925 --> 03:41:22,362 FUNDING AND ISPCTN COMPRISES 18 5905 03:41:22,362 --> 03:41:24,631 STATES WITHIN THE IDEA STATES 5906 03:41:24,631 --> 03:41:25,031 NETWORK. 5907 03:41:25,031 --> 03:41:27,300 IT IS OVERALL GOALS TO PROVIDE 5908 03:41:27,300 --> 03:41:29,402 ACCESS TO STATE OF THE ART 5909 03:41:29,402 --> 03:41:32,105 CLINICAL TRIALS AMONG RURAL OR 5910 03:41:32,105 --> 03:41:34,307 UNDERSERVED CHILDREN IN THESE 5911 03:41:34,307 --> 03:41:36,877 STATES AND TO CONDUCT TRIALS TO 5912 03:41:36,877 --> 03:41:39,145 BUILD CAPACITY IN THE WORKFORCE 5913 03:41:39,145 --> 03:41:43,116 TO BE ABLE TO CONDUCT TRIALS AND 5914 03:41:43,116 --> 03:41:45,852 COMPETE FOR FUTURE FUNDING. 5915 03:41:45,852 --> 03:41:49,356 WE HAVE A SPECIAL INTEREST IN 5916 03:41:49,356 --> 03:41:49,623 RURALITY. 5917 03:41:49,623 --> 03:41:52,526 TO DATE, MORE THAN A QUARTER OF 5918 03:41:52,526 --> 03:41:55,529 PARTICIPANTS IN ISBCTN TRIALS 5919 03:41:55,529 --> 03:41:57,564 LIVE IN RURAL AREAS ACTUALLY. 5920 03:41:57,564 --> 03:41:59,132 WE ARE ALSO INTERESTED IN 5921 03:41:59,132 --> 03:42:00,834 QUESTIONS THAT ARE ESPECIALLY 5922 03:42:00,834 --> 03:42:04,404 ATTUNED TO ISSUES OF RURAL 5923 03:42:04,404 --> 03:42:04,738 COMMUNITIES. 5924 03:42:04,738 --> 03:42:06,673 SO, THREE EXAMPLES ARE WE HAVE A 5925 03:42:06,673 --> 03:42:10,110 TRIAL ONGOING THAT LOOKS AT 5926 03:42:10,110 --> 03:42:11,645 INDOOR AIR QUALITY. 5927 03:42:11,645 --> 03:42:14,347 WILDFIRES THAT EFFECT INDOOR AIR 5928 03:42:14,347 --> 03:42:15,982 QUALITY OF RURAL PARTICIPANTS 5929 03:42:15,982 --> 03:42:18,385 TREATMENT OF OBESITY FAR FROM 5930 03:42:18,385 --> 03:42:19,886 SPECIALISTS AND PRIMARY CARE AND 5931 03:42:19,886 --> 03:42:22,155 VERY IMPORTANT OVERALL AND 5932 03:42:22,155 --> 03:42:23,423 OPIOID CRISIS THAT I MENTIONED 5933 03:42:23,423 --> 03:42:24,858 AN ALTERNATIVE TO NEXT. 5934 03:42:24,858 --> 03:42:26,560 ONE OF THE ANSWERS TO THE 5935 03:42:26,560 --> 03:42:29,396 QUESTIONS THAT I STARTED OUT WAS 5936 03:42:29,396 --> 03:42:32,832 RESEARCH THAT IS LOOKING AT 5937 03:42:32,832 --> 03:42:34,501 MITIGATING THE NEAR OPIOID 5938 03:42:34,501 --> 03:42:35,535 WITHDRAWAL SYNDROME AND WANT TO 5939 03:42:35,535 --> 03:42:38,271 TELL YOU ABOUT A STORY THE 5940 03:42:38,271 --> 03:42:39,739 COMMITTEE HEARD BRIEFLY LAST 5941 03:42:39,739 --> 03:42:42,075 YEAR THAT WE HAVE MORE DATA ON 5942 03:42:42,075 --> 03:42:43,109 NOW. 5943 03:42:43,109 --> 03:42:45,946 SUPPORTED BY HEAL INITIATIVE, 5944 03:42:45,946 --> 03:42:49,449 ACCELERATING CLINICAL TRIALS FOR 5945 03:42:49,449 --> 03:42:51,318 NANOOPIOID WITHDRAWAL SYNDROME 5946 03:42:51,318 --> 03:42:53,453 PARTNERSHIP AND ACT NOW COMBINES 5947 03:42:53,453 --> 03:42:56,189 A NETWORK FROM NICHD AND ECHO 5948 03:42:56,189 --> 03:42:58,224 PROGRAM TO GO FROM NO STANDARD 5949 03:42:58,224 --> 03:43:00,694 OF CARE TO INFORMING BEST 5950 03:43:00,694 --> 03:43:03,163 PRACTICES TO THESE BABIES AND 5951 03:43:03,163 --> 03:43:04,431 THESE BABIES ARE BORN AND THEY 5952 03:43:04,431 --> 03:43:07,601 ARE JITTERY AND FUSSY AND ARE 5953 03:43:07,601 --> 03:43:09,836 TREMULOUS AND VERY HARD TO 5954 03:43:09,836 --> 03:43:11,905 CONSOLE AND THEY DON'T SLEEP OR 5955 03:43:11,905 --> 03:43:14,007 EAT WELL. 5956 03:43:14,007 --> 03:43:15,141 THEY -- THEY ENDURE LONG 5957 03:43:15,141 --> 03:43:19,646 HOSPITAL STAYS AND MAY HAVE 5958 03:43:19,646 --> 03:43:20,380 ADVERSE NEURODEVELOPMENT. 5959 03:43:20,380 --> 03:43:23,450 SO THE AD HOC PARTNERSHIP IS A 5960 03:43:23,450 --> 03:43:25,952 PARTNERSHIP OF NEONATAL RESEARCH 5961 03:43:25,952 --> 03:43:28,188 NETWORK OF NICHD WITH A LONG 5962 03:43:28,188 --> 03:43:30,457 HISTORY OF DOING TRIALS AND 5963 03:43:30,457 --> 03:43:34,027 NEWER ISBCTN WITH ADVANTAGE OF 5964 03:43:34,027 --> 03:43:35,996 SITES THAT ARE HIGH OF OVERLAP 5965 03:43:35,996 --> 03:43:40,433 AND AREAS OF HIGH PREVALENCE OF 5966 03:43:40,433 --> 03:43:40,667 NOWS. 5967 03:43:40,667 --> 03:43:42,636 IN THIS VERY EFFECTIVE 5968 03:43:42,636 --> 03:43:44,504 PARTNERSHIP, OUR INVESTIGATORS 5969 03:43:44,504 --> 03:43:46,306 MOUNTED A TRIAL CALLED EAT, 5970 03:43:46,306 --> 03:43:48,508 SLEEP AND CONSOLE THAT IS AMONG 5971 03:43:48,508 --> 03:43:50,977 26 HOSPITALS IN 18 STATES THAT 5972 03:43:50,977 --> 03:43:55,949 IS RECOGNIZED AS I SAID THAT 5973 03:43:55,949 --> 03:43:56,883 NEONATAL OPIOID WITHDRAWAL 5974 03:43:56,883 --> 03:43:59,419 SYNDROME AND WITH THE OPIOID 5975 03:43:59,419 --> 03:44:01,521 EPIDEMIC THERE IS VERY HIGH 5976 03:44:01,521 --> 03:44:03,456 INCIDENCE OF NOWS. 5977 03:44:03,456 --> 03:44:05,925 TYPICALLY IF SYMPTOMATIC ENOUGH 5978 03:44:05,925 --> 03:44:10,697 CLINICIANS TREAT WITH 5979 03:44:10,697 --> 03:44:13,767 REPLACEMENT OF OPIOIDS. 5980 03:44:13,767 --> 03:44:15,402 IT IS COMPLEX ENOUGH IT IS 5981 03:44:15,402 --> 03:44:17,504 IMPLEMENTED IN MANY WAYS AND 5982 03:44:17,504 --> 03:44:19,773 THERE IS VERY HIGH SUBSTANTIAL 5983 03:44:19,773 --> 03:44:22,208 VARIATION AND MANAGEMENT OF 5984 03:44:22,208 --> 03:44:22,542 NOWS. 5985 03:44:22,542 --> 03:44:24,244 WITH NO EVIDENCE-BASE FOR 5986 03:44:24,244 --> 03:44:25,879 STANDARD OF CARE. 5987 03:44:25,879 --> 03:44:28,815 SO, THE IDEA WAS A SIMPLER 5988 03:44:28,815 --> 03:44:30,517 ASSESSMENT AND CARE METHOD FOR 5989 03:44:30,517 --> 03:44:31,785 BABIES AND PAY ATTENTION TO THE 5990 03:44:31,785 --> 03:44:35,155 ACTUAL BEHAVIORS: EATING, 5991 03:44:35,155 --> 03:44:37,824 SLEEPING AND CONSOLING AND 5992 03:44:37,824 --> 03:44:41,094 PRIORITIZE NONPHARMACOLOGIC CARE 5993 03:44:41,094 --> 03:44:43,563 SUCH AS HOLDING SWADDLING AND 5994 03:44:43,563 --> 03:44:45,031 [INDISCERNIBLE] AND NOT ONLY BY 5995 03:44:45,031 --> 03:44:51,938 NURSES BUT EMPOWERING CARETAKING 5996 03:44:51,938 --> 03:44:54,407 NURSES AS WELL AND -- LEAD BY 5997 03:44:54,407 --> 03:44:55,809 THREE EARLY STAGE INVESTIGATORS 5998 03:44:55,809 --> 03:44:59,579 IN BEGINNING OF TRIAL HAD NOT 5999 03:44:59,579 --> 03:45:01,614 LED MAJOR RESEARCH PROJECTS AND 6000 03:45:01,614 --> 03:45:03,316 BY NOW ARE WELL RECOGNIZED 6001 03:45:03,316 --> 03:45:05,085 ACROSS THE COUNTRY AND BY OWN 6002 03:45:05,085 --> 03:45:07,087 INSTITUTIONS AS REALLY EFFECTIVE 6003 03:45:07,087 --> 03:45:08,254 CLINICAL TRIALISTS. 6004 03:45:08,254 --> 03:45:12,392 IN FACT, THIS WAS A WHOLE 6005 03:45:12,392 --> 03:45:14,627 PRACTICE CHANGE THAT IS TOUR DE 6006 03:45:14,627 --> 03:45:16,429 FORCE EFFECTIVENESS 6007 03:45:16,429 --> 03:45:17,831 IMPLEMENTATION TRIAL THAT 6008 03:45:17,831 --> 03:45:19,799 INVESTIGATORS AND TRAINERS TRAIN 6009 03:45:19,799 --> 03:45:22,702 ACTUALLY 5,000 NURSES ACROSS THE 6010 03:45:22,702 --> 03:45:24,370 COUNTRY AND CUTTING TO THE 6011 03:45:24,370 --> 03:45:26,973 CHASE, THE RESULTS WERE 6012 03:45:26,973 --> 03:45:30,443 PUBLISHED IN NEW ENGLAND JOURNAL 6013 03:45:30,443 --> 03:45:33,546 EARLIER THIS YEAR SHOWING FAIRLY 6014 03:45:33,546 --> 03:45:34,347 DRAMATIC RESULTS AND UNDER USUAL 6015 03:45:34,347 --> 03:45:36,883 CARE BABIES ARE READY TO BE 6016 03:45:36,883 --> 03:45:38,485 DISCHARGED UNDER TWO WEEKS OF 6017 03:45:38,485 --> 03:45:40,153 AGE AND EAT, SLEEP AND CONSOLE 6018 03:45:40,153 --> 03:45:42,188 AND WILL INGRESTH OF HOSPITAL 6019 03:45:42,188 --> 03:45:44,724 STAY WAS ALMOST A HALF OF THE 8 6020 03:45:44,724 --> 03:45:47,127 DAYS AND PERCENT THAT RECEIVE 6021 03:45:47,127 --> 03:45:49,195 PHARMACOLOGIC THERAPY WAS 6022 03:45:49,195 --> 03:45:51,464 REDUCED FROM OVER 50% TO FEWER 6023 03:45:51,464 --> 03:45:54,267 THAN 20% OF BABIES AND 6024 03:45:54,267 --> 03:45:56,069 IMPORTANTLY SAW NO SIGNAL FOR 6025 03:45:56,069 --> 03:45:57,237 SAFETY OUTCOMES TO THREE MONTHS 6026 03:45:57,237 --> 03:46:00,039 OF AGE AND IN ADDITION THERE IS 6027 03:46:00,039 --> 03:46:02,542 NOT A TWO YEAR FOLLOW UP TO 6028 03:46:02,542 --> 03:46:03,877 FURTHER INFORM SAFETY OF EAT 6029 03:46:03,877 --> 03:46:05,545 SLEEP AND CONSOLE APPROACH 6030 03:46:05,545 --> 03:46:07,881 LOOKING AT INFANT AND FAMILY 6031 03:46:07,881 --> 03:46:09,249 WELLBEING AND NEURODEVELOPMENT 6032 03:46:09,249 --> 03:46:10,950 AND LOOKING FOR RESULTS SOON IN 6033 03:46:10,950 --> 03:46:12,819 THE SUMMER OF 2024. 6034 03:46:12,819 --> 03:46:15,221 MOST IMPORTANTLY, I THINK, THIS 6035 03:46:15,221 --> 03:46:17,957 TRIAL HAS EFFECTIVE POLICY AND 6036 03:46:17,957 --> 03:46:19,492 PRACTICE AND FOR EXAMPLE FOR THE 6037 03:46:19,492 --> 03:46:22,562 STATE OF WASHINGTON IS REQUIRE 6038 03:46:22,562 --> 03:46:24,731 IMPLEMENTATION OF EAT SLEEP AND 6039 03:46:24,731 --> 03:46:28,168 CONSOLE PROJECT BY JANUARY OF 6040 03:46:28,168 --> 03:46:29,269 2025. 6041 03:46:29,269 --> 03:46:32,305 EAT, SLEEP, CONSOLE TRIAL IS 6042 03:46:32,305 --> 03:46:35,575 EXAMPLE HOW THE ECHO MISSION IS 6043 03:46:35,575 --> 03:46:36,910 ACHIEVED THROUGH INFORMING 6044 03:46:36,910 --> 03:46:38,878 POLICY AND CLINICAL PRACTICE AND 6045 03:46:38,878 --> 03:46:41,581 COMING BACK TO THE NETWORK WHERE 6046 03:46:41,581 --> 03:46:43,817 IS IT AND WHERE IS IT GOING AND 6047 03:46:43,817 --> 03:46:46,619 LIKE TO POINT OUT IT IS THE ONLY 6048 03:46:46,619 --> 03:46:49,455 NIH MULTICENTER TRIAL NETWORK 6049 03:46:49,455 --> 03:46:51,658 FOCUSED ON RURAL UNDERSERVED 6050 03:46:51,658 --> 03:46:53,493 CHILDREN AND ADVISORY COUNCIL IS 6051 03:46:53,493 --> 03:46:56,629 CONCEPT OF APPROVED THIRD 5-YEAR 6052 03:46:56,629 --> 03:46:59,999 CYCLE AND SHOWN THAT STUDIES IN 6053 03:46:59,999 --> 03:47:01,835 ICBTN AND OUTSIDE AND OUTSIDE 6054 03:47:01,835 --> 03:47:03,837 FUNDING AS WELL AS OUTSIDE OF 6055 03:47:03,837 --> 03:47:05,805 THE NETWORK ARE REFLECTING 6056 03:47:05,805 --> 03:47:06,906 CAPACITY BUILDING IN IDEA STATES 6057 03:47:06,906 --> 03:47:09,275 AND WE HAVE HEARD ABOUT THE 6058 03:47:09,275 --> 03:47:11,744 ECOSYSTEM OF CLINICAL TRIALS AT 6059 03:47:11,744 --> 03:47:17,383 NIH AND ISPCTN IS PART OF THE 6060 03:47:17,383 --> 03:47:19,085 ECOSYSTEM OF CLINICAL TRIAL 6061 03:47:19,085 --> 03:47:20,587 NETWORKS INFORMING POLICY 6062 03:47:20,587 --> 03:47:22,822 PROGRAM AND PRACTICE AND TURNING 6063 03:47:22,822 --> 03:47:26,292 A FEW MINUTES TO COHORT AND 6064 03:47:26,292 --> 03:47:28,127 OBSERVATIONAL SIDE OF ECHO AND 6065 03:47:28,127 --> 03:47:31,464 COHORT AND IDEA STATE NETWORK 6066 03:47:31,464 --> 03:47:33,233 COVERS ALL IFFIST STATES IN DC 6067 03:47:33,233 --> 03:47:36,636 AND PUERTO RICO AND SCIENTIFIC 6068 03:47:36,636 --> 03:47:39,038 GOAL OF ECHO COHORT IS ANSWERING 6069 03:47:39,038 --> 03:47:41,374 SOLUTION ORIENTATIONS OF EFFECTS 6070 03:47:41,374 --> 03:47:44,077 OF BROAD RANGE OF ENVIRONMENTAL 6071 03:47:44,077 --> 03:47:46,713 INFLUENCES EXPOSURES ON CHILD 6072 03:47:46,713 --> 03:47:48,181 HEALTH AND DEVELOPMENT AND BROAD 6073 03:47:48,181 --> 03:47:50,884 RANGE OF EARLY ENVIRONMENTAL 6074 03:47:50,884 --> 03:47:51,684 EXPOSURES WE MEAN EVERYTHING 6075 03:47:51,684 --> 03:47:54,254 FROM SOCIETY TO BIOLOGY AND SOME 6076 03:47:54,254 --> 03:47:56,990 THINK ENVIRONMENTAL EXPOSURES AS 6077 03:47:56,990 --> 03:48:00,693 JUST PHYSICAL AND CHEMICAL AND 6078 03:48:00,693 --> 03:48:02,228 THINK OF SOCIETAL MEDICAL 6079 03:48:02,228 --> 03:48:03,663 PSYCHOSOCIAL BEHAVIORS AND WHAT 6080 03:48:03,663 --> 03:48:05,431 IS UNDER THE SKIN IN BIOLOGY AND 6081 03:48:05,431 --> 03:48:08,301 NECK OWE HE WE FOCUS ON PERIOD 6082 03:48:08,301 --> 03:48:09,335 FROM PRECONCONSIDER EPGS TO AGE 6083 03:48:09,335 --> 03:48:12,305 5. WHY IS THAT? 6084 03:48:12,305 --> 03:48:14,607 IT IS PERTURBATIONS AND EVENTS 6085 03:48:14,607 --> 03:48:16,809 THAT HAPPEN AT EARLY 6086 03:48:16,809 --> 03:48:18,344 DEVELOPMENTAL PLASTIC PERIODS 6087 03:48:18,344 --> 03:48:20,980 CAN HAVE LONG TERM AND LIFE LONG 6088 03:48:20,980 --> 03:48:22,916 INFLUENCES ON HEALTH 6089 03:48:22,916 --> 03:48:23,249 TRAJECTORIES. 6090 03:48:23,249 --> 03:48:27,153 WE HAVE DEVELOPED THE ECHO 6091 03:48:27,153 --> 03:48:29,589 COHORT AS A NATIONWIDE COHORT OF 6092 03:48:29,589 --> 03:48:30,957 MOTHERS AND CHILDREN THAT 6093 03:48:30,957 --> 03:48:34,193 REFLECTS DIVERSITY IN TERMS OF 6094 03:48:34,193 --> 03:48:37,730 AGE AND SEX AND SOCIOECONOMIC 6095 03:48:37,730 --> 03:48:40,566 STATUS IN RACE AND ETHNICITY AND 6096 03:48:40,566 --> 03:48:44,604 INVOLVES HARMONIZED DATA ON 6097 03:48:44,604 --> 03:48:46,439 100,000 PARTICIPANTS FROM WHAT 6098 03:48:46,439 --> 03:48:49,709 IS ORTHFALLY 70 EXISTING 6099 03:48:49,709 --> 03:48:51,911 MATERNAL HEALTH STUDIES 6100 03:48:51,911 --> 03:48:54,614 INCORPORATING DATA ON 65,000 6101 03:48:54,614 --> 03:48:56,816 CHILDREN WITH WHOM 30,000 ARE 6102 03:48:56,816 --> 03:48:59,786 FOLLOWUP AND ACTIVE USE OF 6103 03:48:59,786 --> 03:49:02,322 BIOSPECIMENS THAT ARE NEWER 6104 03:49:02,322 --> 03:49:06,426 ASSAY AND NEWER ASSAYS OF 55,000 6105 03:49:06,426 --> 03:49:08,394 OR BIOREPOSITORY GOING FORWARD 6106 03:49:08,394 --> 03:49:11,130 AND HUNDREDS OF INVESTIGATORS 6107 03:49:11,130 --> 03:49:13,766 PRODUCED 1400 PUBLICATIONS AND 6108 03:49:13,766 --> 03:49:15,935 EXCITED ABOUT MULTICOLLABORATIVE 6109 03:49:15,935 --> 03:49:18,171 AWARD PUBLICATIONS WOULDN'T BE 6110 03:49:18,171 --> 03:49:20,540 POSSIBLE WITHOUT FUNDING OF 6111 03:49:20,540 --> 03:49:21,641 COLLABORATIVE PROJECT OF ECHO 6112 03:49:21,641 --> 03:49:24,644 GROWING RAPIDLY AND 140 + OF 6113 03:49:24,644 --> 03:49:26,646 THEM AND ACTUALLY IS EARLY SENSE 6114 03:49:26,646 --> 03:49:29,082 THEY ARE HAVING IMPACT LOOKING 6115 03:49:29,082 --> 03:49:32,819 AT RELATIVE CITATION RATIO AND 6116 03:49:32,819 --> 03:49:35,388 MEDIAN IS NOT ABOUT 85TH 6117 03:49:35,388 --> 03:49:36,990 PERCENTILE AND I WILL TELL YOU 6118 03:49:36,990 --> 03:49:38,925 ABOUT A COUPLE STORIES AND 6119 03:49:38,925 --> 03:49:40,593 STARTED WITH QUESTIONS ABOUT 6120 03:49:40,593 --> 03:49:43,429 ASTHMA AND OBESITY AND WHAT 6121 03:49:43,429 --> 03:49:48,668 ABOUT ASTHMA INCIDENTS AND 6122 03:49:48,668 --> 03:49:49,769 DISPARITIES AND LIKE TALKING 6123 03:49:49,769 --> 03:49:52,705 ABOUT THE STUDY HAS A SIMPLE 6124 03:49:52,705 --> 03:49:56,976 PREM CIS AND ANALYSIS NUMBER 001 6125 03:49:56,976 --> 03:49:58,177 IN ECHO COMPENDIUM FIRST 6126 03:49:58,177 --> 03:50:00,313 ANALYSIS COMING THROUGH AND 6127 03:50:00,313 --> 03:50:04,450 RESEARCH FREQUENCY OF ASTHMA 6128 03:50:04,450 --> 03:50:07,920 FOCUSES ON PREVALENCE. WHO HAS 6129 03:50:07,920 --> 03:50:09,722 ASTHMA AND INCIDENCE DATA CAN 6130 03:50:09,722 --> 03:50:11,624 TELL US MORE ABOUT EATOLOGY AND 6131 03:50:11,624 --> 03:50:13,659 THEREFORE PREVENTION AND IN THIS 6132 03:50:13,659 --> 03:50:15,762 STUDY YOU CAN SEE ON THE 6133 03:50:15,762 --> 03:50:17,497 LEFT-HAND SIDE THAT THESE WERE 6134 03:50:17,497 --> 03:50:21,634 KIDS WITH NO FAMILY HISTORY OF 6135 03:50:21,634 --> 03:50:23,503 ASTHMA OR RIGHT-HAND SIDE KIDS 6136 03:50:23,503 --> 03:50:27,874 WITH FAMILY OF ASTHMA AND BLACK 6137 03:50:27,874 --> 03:50:29,942 CHILDREN HAD HIGHER INCIDENCE 6138 03:50:29,942 --> 03:50:31,778 THAN WHITE CHILDREN AND THIS 6139 03:50:31,778 --> 03:50:33,546 INCIDENCE WAS OCCURRING RIGHT 6140 03:50:33,546 --> 03:50:36,749 AFTER BIRTH AND IS PREVALENT 6141 03:50:36,749 --> 03:50:39,385 ONLY IN THE FIRST FEW YEARS OF 6142 03:50:39,385 --> 03:50:40,053 LIFE. 6143 03:50:40,053 --> 03:50:42,688 FACT THERE IS HIGHER RISK OF 6144 03:50:42,688 --> 03:50:44,624 ASTHMA IN BLACK CHILDREN AND 6145 03:50:44,624 --> 03:50:47,060 EARLY CHILDHOOD SUGGESTS 6146 03:50:47,060 --> 03:50:50,196 PRENATAL DETERMINANTS OF 6147 03:50:50,196 --> 03:50:51,764 DISPARITIES RISK AND 6148 03:50:51,764 --> 03:50:53,366 INVESTIGATORS INTERESTED IN 6149 03:50:53,366 --> 03:50:54,367 POTENTIAL IMPACT OF AIR 6150 03:50:54,367 --> 03:50:57,203 POLLUTION AS ONE SUCH POTENTIAL 6151 03:50:57,203 --> 03:50:58,738 DETERMINANT THAT IS EXCELLING 6152 03:50:58,738 --> 03:51:02,008 AND SOCIALLY PATTERNED AND THIS 6153 03:51:02,008 --> 03:51:04,110 ANALYSIS TAKES ADVANTAGE OF GEO 6154 03:51:04,110 --> 03:51:06,012 SPATIAL RESEARCH THAT IS PART 6155 03:51:06,012 --> 03:51:09,649 AND PARCEL OF ECHOANALYSIS AND 6156 03:51:09,649 --> 03:51:11,751 COLLECTING DATA ON PARTICIPANTS 6157 03:51:11,751 --> 03:51:13,352 CONSTRUCTING INDIVIDUAL 6158 03:51:13,352 --> 03:51:15,088 RESIDENTIAL TIMELINES AND 6159 03:51:15,088 --> 03:51:17,123 GEOCODE THEIR ADDRESSES AND 6160 03:51:17,123 --> 03:51:18,724 OVERLAY THEIR DATA BASES AND 6161 03:51:18,724 --> 03:51:20,593 WITH AIR POLLUTION IT IS 6162 03:51:20,593 --> 03:51:22,095 POSSIBLE WITH SATELLITE AND 6163 03:51:22,095 --> 03:51:23,996 GROUND MONITORING TO GET 6164 03:51:23,996 --> 03:51:27,767 ESTIMATES OF PM2.5 AND 6165 03:51:27,767 --> 03:51:30,670 POLLUTANTS EVERY DAY THROUGHOUT 6166 03:51:30,670 --> 03:51:32,472 PREGNANCY FROM PERIOD OF 2,000 6167 03:51:32,472 --> 03:51:34,674 TO THE PRESENT THAT ALLOWS US TO 6168 03:51:34,674 --> 03:51:36,776 ASK QUESTIONS LIKE IS THERE A 6169 03:51:36,776 --> 03:51:38,845 CRITICAL PERIOD OF EXPOSURE TO 6170 03:51:38,845 --> 03:51:41,781 AIR POLLUTION THAT IS ESPECIALLY 6171 03:51:41,781 --> 03:51:43,182 DELETERIOUS FOR DEVELOPMENT OF 6172 03:51:43,182 --> 03:51:43,950 ASTHMA? 6173 03:51:43,950 --> 03:51:48,054 MIGHT THINK IT IS IN LATE 6174 03:51:48,054 --> 03:51:52,525 PREGNANCY AND DIFFERENTIATION -- 6175 03:51:52,525 --> 03:51:56,829 THAT IS WHEN PARTICLES GET INTO 6176 03:51:56,829 --> 03:52:03,369 SMALLWAYS -- SMALL AIRWAYS AND 6177 03:52:03,369 --> 03:52:05,938 ECHO STUDIES SUGGEST THAT MID TO 6178 03:52:05,938 --> 03:52:09,242 LATE PREGNANCY EXPOSURE TO PM 6179 03:52:09,242 --> 03:52:12,512 2.5 IN FIRST STARTY AND 6180 03:52:12,512 --> 03:52:13,946 ULTRAFINE PARTICLES LESS THAN A 6181 03:52:13,946 --> 03:52:17,650 MICRON IN DIAMETER ARE 6182 03:52:17,650 --> 03:52:20,920 ASSOCIATED WITH CHILDHOOD WHEEZE 6183 03:52:20,920 --> 03:52:25,525 AND ASTHMA CHILDHOOD ASTHMA -- 6184 03:52:25,525 --> 03:52:26,692 SO-CALLED CRITICAL PERIOD FOR 6185 03:52:26,692 --> 03:52:28,661 THIS DEVELOPMENT AND ARE NO 6186 03:52:28,661 --> 03:52:31,230 REGULATIONS OF EPA ON VERY 6187 03:52:31,230 --> 03:52:34,300 SMALLEST PARTICLES. THIS 6188 03:52:34,300 --> 03:52:35,801 EVIDENCE COULD LEAD TO NEW 6189 03:52:35,801 --> 03:52:37,236 REGULATIONS THAT IS PART OF 6190 03:52:37,236 --> 03:52:39,805 POLICY IMPACT THAT MIGHT HELP TO 6191 03:52:39,805 --> 03:52:41,741 EXPLAIN EARLY CHILDHOOD RACIAL 6192 03:52:41,741 --> 03:52:44,577 DIFFERENCES IN ASTHMA INCIDENCE. 6193 03:52:44,577 --> 03:52:46,946 SECOND SET OF EXAMPLES FROM ECHO 6194 03:52:46,946 --> 03:52:49,382 COHORT IS ABOUT REDUCING 6195 03:52:49,382 --> 03:52:52,818 CHILDHOOD OBESITY. THEY TAKE 6196 03:52:52,818 --> 03:52:56,556 ADVANTAGE LOOKING AT GEO SPATIAL 6197 03:52:56,556 --> 03:52:57,023 APPROACHES. 6198 03:52:57,023 --> 03:52:58,925 WITH SAME APPROACH WE CAN LOOK 6199 03:52:58,925 --> 03:53:02,395 AT DIFFERENT DATA BASES SUCH AS 6200 03:53:02,395 --> 03:53:03,229 OPPORTUNITY AND SOCIAL 6201 03:53:03,229 --> 03:53:07,533 VULNERABILITY ABOUT I LOOKING AT 6202 03:53:07,533 --> 03:53:09,068 CENSUS DATA. 6203 03:53:09,068 --> 03:53:11,070 ONE INDICES THAT INVESTIGATORS 6204 03:53:11,070 --> 03:53:13,339 HAVE LOOKED AT THAT IS IN AN 6205 03:53:13,339 --> 03:53:16,309 EARLY STAGE INVESTIGATOR IS 6206 03:53:16,309 --> 03:53:17,543 CALLED CHILDHOOD OPPORTUNITY 6207 03:53:17,543 --> 03:53:20,379 INDEX THAT IS 29 INDICATORS IN 6208 03:53:20,379 --> 03:53:21,447 NEIGHBORHOOD CONDITIONS 6209 03:53:21,447 --> 03:53:23,015 IMPORTANT FOR CHILDREN'S HEALTH 6210 03:53:23,015 --> 03:53:24,951 IN THREE DOMAINS EDUCATION, 6211 03:53:24,951 --> 03:53:28,287 HEALTH ENVINEMENT AND SOCIAL AND 6212 03:53:28,287 --> 03:53:29,121 ECONOMIC. 6213 03:53:29,121 --> 03:53:30,823 WHAT THEY SHOWED IN THIS 6214 03:53:30,823 --> 03:53:36,062 ANALYSIS LOOKING AT BMI AND 6215 03:53:36,062 --> 03:53:37,797 CHILDHOOD OBESITY TRAJECTORIES 6216 03:53:37,797 --> 03:53:40,600 HIGHER COI CHILDHOOD OPPORTUNITY 6217 03:53:40,600 --> 03:53:43,069 INDEX PROJECTED LOWER 6218 03:53:43,069 --> 03:53:46,239 TRAJECTORIES OF BMI AND OBESITY 6219 03:53:46,239 --> 03:53:48,808 ACROSS CHILD ADLESSENCE YOU SEE 6220 03:53:48,808 --> 03:53:51,544 UP TO 20 YEARS OF AGE AND HIGH 6221 03:53:51,544 --> 03:53:53,913 COI CATEGORY WITH LOWEST 6222 03:53:53,913 --> 03:53:56,115 INCIDENCE AND LOW COI CATEGORY 6223 03:53:56,115 --> 03:53:57,817 WITH HIGHEST INCIDENCE AND ONE 6224 03:53:57,817 --> 03:53:59,685 OF THE INTERESTING THINGS ABOUT 6225 03:53:59,685 --> 03:54:03,155 THIS ANALYSIS IS THAT INDEX AT 6226 03:54:03,155 --> 03:54:05,258 BIRTH PREDICTED OUTCOMES BETTER 6227 03:54:05,258 --> 03:54:07,426 THAN DID INDEX LATER IN 6228 03:54:07,426 --> 03:54:10,630 CHILDHOOD EITHER IN INFANCY OR 6229 03:54:10,630 --> 03:54:13,532 EARLY CHILDHOOD OR MID 6230 03:54:13,532 --> 03:54:14,100 CHILDHOOD. 6231 03:54:14,100 --> 03:54:16,669 TAKEAWAY MESSAGES ARE 6232 03:54:16,669 --> 03:54:18,871 NEIGHBORHOOD FACTORS PREDICT BMI 6233 03:54:18,871 --> 03:54:22,174 TRAJECTORY AND OBESITY RISK AND 6234 03:54:22,174 --> 03:54:23,809 ASSOCIATIONS STRONGER WITH 6235 03:54:23,809 --> 03:54:25,378 EXPOSURE AT BIRTH SUGGESTS AGAIN 6236 03:54:25,378 --> 03:54:27,980 A SENSITIVE PERIOD AROUND TIME 6237 03:54:27,980 --> 03:54:29,949 OF BIRTH OR BEFORE THAT COULD BE 6238 03:54:29,949 --> 03:54:31,450 PARTICULARLY AMENABLE TO 6239 03:54:31,450 --> 03:54:34,887 COMMUNITY INTERVENTIONS STARTING 6240 03:54:34,887 --> 03:54:37,523 EARLY IN THE LIFE COURSE. 6241 03:54:37,523 --> 03:54:39,292 SECOND EXAMPLE IN OBESITY IS 6242 03:54:39,292 --> 03:54:41,961 ABOUT EVALUATING A POLICY CHANGE 6243 03:54:41,961 --> 03:54:44,530 THAT IS SO-CALLED NATURAL 6244 03:54:44,530 --> 03:54:47,967 EXPERIMENT AND ECHO CAN DO THIS 6245 03:54:47,967 --> 03:54:50,903 RECRUITMENT TO ECHO COHORTS 6246 03:54:50,903 --> 03:54:52,204 START DECADES AGO. WE HAVE 6247 03:54:52,204 --> 03:54:53,939 INFORMATION ACROSS SECULAR TIME 6248 03:54:53,939 --> 03:54:57,910 IN THESE ECHO COHORTS. 6249 03:54:57,910 --> 03:55:00,646 2010 CONGRESS PASSED HEALTHY 6250 03:55:00,646 --> 03:55:03,482 HUNGER FREE KIDS ACT AND SET 6251 03:55:03,482 --> 03:55:06,085 NUTRITION STANDARDS FOR SCHOOL 6252 03:55:06,085 --> 03:55:09,488 LUNCH STANDARDS THAT EFFECTS 6253 03:55:09,488 --> 03:55:11,257 TENS OF MILLIONS OF CHILDREN 6254 03:55:11,257 --> 03:55:13,459 ACROSS US AND TONS OF THIS ACT 6255 03:55:13,459 --> 03:55:15,895 SUGGESTED ASSOCIATED WITH BETTER 6256 03:55:15,895 --> 03:55:17,363 DIETARY QUALITY AND EVIDENCE IS 6257 03:55:17,363 --> 03:55:19,465 SLIM ON EFFECT AND OBESITY 6258 03:55:19,465 --> 03:55:20,599 RATES. 6259 03:55:20,599 --> 03:55:23,703 SO, EARLIER THIS YEAR OUR 6260 03:55:23,703 --> 03:55:25,838 INVESTIGATORS PUBLISHED THIS 6261 03:55:25,838 --> 03:55:28,607 PAPER SHOWING THAT AFTER MAXIMUM 6262 03:55:28,607 --> 03:55:30,976 INTAKE THAT MAXIMUM UPTAKE OF 6263 03:55:30,976 --> 03:55:32,712 IMPLEMENTATION OF THIS ACT IN 6264 03:55:32,712 --> 03:55:35,715 2016 AND 17 THAT THERE WAS A 6265 03:55:35,715 --> 03:55:37,750 REDUCTION IN BMI RATES YOU CAN 6266 03:55:37,750 --> 03:55:39,952 SEE IN THE DOWNWARD LINE 6267 03:55:39,952 --> 03:55:43,289 COMPARED TO INCREASING RATES OF 6268 03:55:43,289 --> 03:55:44,390 BMI BEFORE THAT. 6269 03:55:44,390 --> 03:55:48,094 SO, INDEED, THERE IS DECREASE IN 6270 03:55:48,094 --> 03:55:50,429 BMI IN FIRST FEW YEARS FOLLOWING 6271 03:55:50,429 --> 03:55:52,598 FULL [INDISCERNIBLE] OF THAT ACT 6272 03:55:52,598 --> 03:55:57,136 THAT IS REVERSAL OF THE TREND 6273 03:55:57,136 --> 03:55:58,904 DURING DECADE BEFORE 6274 03:55:58,904 --> 03:56:02,541 IMPLEMENTATION OF THE PROGRAM 6275 03:56:02,541 --> 03:56:05,945 SHOWING NATIONAL POLICIES LIKE 6276 03:56:05,945 --> 03:56:07,780 HEALTHY HUNGER FREE KIDS ACT CAN 6277 03:56:07,780 --> 03:56:10,282 HAVE LIKELY BENEFICIAL EFFECTS 6278 03:56:10,282 --> 03:56:11,751 ESPECIALLY ON CHILDREN AND LOWER 6279 03:56:11,751 --> 03:56:14,253 INCOME FAMILIES AND LAST PART OF 6280 03:56:14,253 --> 03:56:16,288 MY TALK I WILL TELL YOU ABOUT 6281 03:56:16,288 --> 03:56:19,091 THE FUTURE OF THE ECHO COHORT. 6282 03:56:19,091 --> 03:56:21,060 WE STARTED SECOND SEVEN YEARS A 6283 03:56:21,060 --> 03:56:24,063 FEW MONTHS AGO. 6284 03:56:24,063 --> 03:56:26,732 GOAL IS TO EXTEND AND EXPAND 6285 03:56:26,732 --> 03:56:27,967 ECHO COHORT TO FURTHER 6286 03:56:27,967 --> 03:56:29,668 INVESTIGATE INFLUENCES OF BROAD 6287 03:56:29,668 --> 03:56:32,238 RANGE OF EARLY EXPOSURES FROM 6288 03:56:32,238 --> 03:56:34,707 SOCIETY TO BIOLOGY AND NOW 6289 03:56:34,707 --> 03:56:35,941 INCLUDING PRECONCEPTION PERIOD 6290 03:56:35,941 --> 03:56:38,110 ON CHILD HEALTH. 6291 03:56:38,110 --> 03:56:40,713 AND WE ARE ESPECIALLY EXCITED 6292 03:56:40,713 --> 03:56:42,081 ABOUT PRECONCEPTION PERIOD AND 6293 03:56:42,081 --> 03:56:44,984 HEARD A COUPLE COMMENTS ON IT IN 6294 03:56:44,984 --> 03:56:46,619 PREVIOUS TALK AND SOMETIMES 6295 03:56:46,619 --> 03:56:48,888 SEEMS THAT PREGNANCY IS TOO LATE 6296 03:56:48,888 --> 03:56:51,323 AND FOR EXAMPLE LATE STATUS OF A 6297 03:56:51,323 --> 03:56:53,192 WOMAN COMING INTO PREGNANCY IS 6298 03:56:53,192 --> 03:56:57,062 HIGHLY ASSOCIATED WITH CHILDHOOD 6299 03:56:57,062 --> 03:56:59,799 OUTCOMES AND MAYBE TOO EARLY TO 6300 03:56:59,799 --> 03:57:01,500 INTERVENE DURING PREGNANCY AND 6301 03:57:01,500 --> 03:57:03,302 NEED TO KNOW WHAT DETERMINANTS 6302 03:57:03,302 --> 03:57:05,404 OF CHILD HEALTH ARE STARTING 6303 03:57:05,404 --> 03:57:09,041 BEFORE PREGNANCY AND IN SECOND 6304 03:57:09,041 --> 03:57:12,812 SET WE AIM TO CREATE LARGE 6305 03:57:12,812 --> 03:57:15,147 DIVERSE COHORT FROM 6306 03:57:15,147 --> 03:57:17,483 PRECONCEPTION TO ADLESSIENTS AND 6307 03:57:17,483 --> 03:57:19,585 ONE OF LARGEST LONGITUDINAL 6308 03:57:19,585 --> 03:57:21,887 STUDIES IN THE WORLD AND 6309 03:57:21,887 --> 03:57:23,956 FOLLOWING UP TO KIDS TALKING 6310 03:57:23,956 --> 03:57:26,992 ABOUT -- RECRUITING 30,000 NEW 6311 03:57:26,992 --> 03:57:29,895 PREGNANCIES AND WAY THAT WE ARE 6312 03:57:29,895 --> 03:57:32,298 CREATING POST -- THE 6313 03:57:32,298 --> 03:57:35,568 PRECONCEPTION PHASE IS FROM POST 6314 03:57:35,568 --> 03:57:38,471 MODERN PERIOD OF THESE INITIAL 6315 03:57:38,471 --> 03:57:38,804 PREGNANCIES. 6316 03:57:38,804 --> 03:57:40,306 WE ARE EXCITED ABOUT DOING THIS 6317 03:57:40,306 --> 03:57:42,775 AND INVESTIGATORS WILL TRY TO 6318 03:57:42,775 --> 03:57:44,443 RECRUIT WITHIN A FEW WEEKS UNDER 6319 03:57:44,443 --> 03:57:48,914 NEW STANDARDIZED DATA AND 6320 03:57:48,914 --> 03:57:50,115 BIOSPECIMEN COLLECTION PROTOCAL 6321 03:57:50,115 --> 03:57:52,485 AND SEEING NEW PHASE OF ECHO 6322 03:57:52,485 --> 03:57:55,187 COHORT WE HAVE EXPANDED AND 6323 03:57:55,187 --> 03:57:56,088 SCIENTIFIC OPPORTUNITIES AND 6324 03:57:56,088 --> 03:57:57,957 TOLD YOU ABOUT WORK AND HEALTH 6325 03:57:57,957 --> 03:58:00,259 DISPARITIES AND EQUITY AND 6326 03:58:00,259 --> 03:58:02,728 HEALTH TRAJECTORIES AND TALKED 6327 03:58:02,728 --> 03:58:03,963 ABOUT NATURAL EXPERIMENT AND 6328 03:58:03,963 --> 03:58:07,166 WORK LOOKING AT COVID-19 6329 03:58:07,166 --> 03:58:09,468 PANDEMIC AND WHAT EFFECTS ARE ON 6330 03:58:09,468 --> 03:58:11,403 KIDS AND PARENTS AND EXPOSURES 6331 03:58:11,403 --> 03:58:14,373 TO CHEMICALS AND IN CRITICAL 6332 03:58:14,373 --> 03:58:16,876 PERIODS AND LEGACY CHEMICALS 6333 03:58:16,876 --> 03:58:18,577 REGRETTABLE REPLACEMENTS AND 6334 03:58:18,577 --> 03:58:21,213 NOVEL CHEMICALS WE DON'T KNOW 6335 03:58:21,213 --> 03:58:23,115 CHARACTERISTICS OF IT AND 6336 03:58:23,115 --> 03:58:27,353 INTERESTED IN BIOLOGIC PATHWAYS 6337 03:58:27,353 --> 03:58:28,954 EPIGENETICS AND APPLICATIONS OF 6338 03:58:28,954 --> 03:58:30,589 ARTIFICIAL INTELLIGENCE TO 6339 03:58:30,589 --> 03:58:33,192 REALLY GET A HOLD OF BIG DATA. 6340 03:58:33,192 --> 03:58:35,828 SOCIAL DETERMINANTS OF HEALTH. 6341 03:58:35,828 --> 03:58:38,731 AS KIDS AGE WE CAN LOOK AT 6342 03:58:38,731 --> 03:58:39,965 RESILIENCE AND USABILITY AND 6343 03:58:39,965 --> 03:58:44,136 MEDIA USE HAS COME TO THE FORE. 6344 03:58:44,136 --> 03:58:46,171 PRECONCEPTION EXPOSURES WHETHER 6345 03:58:46,171 --> 03:58:47,873 SOCIAL FACTORS BEHAVIORS WEIGHT 6346 03:58:47,873 --> 03:58:51,911 CHANGE AND CHEMICALS AND OTHERS. 6347 03:58:51,911 --> 03:58:55,347 AND FINALLY ECHO IS EMERGING AS 6348 03:58:55,347 --> 03:58:57,683 NATIONWIDE RESOURCE AND DIANA 6349 03:58:57,683 --> 03:59:02,855 TOLD YOU ABOUT DATA SPECIMEN 6350 03:59:02,855 --> 03:59:03,322 HUB. 6351 03:59:03,322 --> 03:59:05,224 DATA FROM COHORT AND 6352 03:59:05,224 --> 03:59:06,859 INTERVENTION TRIALS ARE NOW 6353 03:59:06,859 --> 03:59:09,595 HOUSED ON THE DATA AND SPECIMEN 6354 03:59:09,595 --> 03:59:14,567 HUB AT NICHD THROUGH CONTROLLED 6355 03:59:14,567 --> 03:59:16,435 ACCESS PUBLIC USE DATA BASE 6356 03:59:16,435 --> 03:59:18,070 THROUGH BROADER SCIENTIFIC 6357 03:59:18,070 --> 03:59:19,705 COMMUNITY. ACCESS REQUESTS 6358 03:59:19,705 --> 03:59:22,474 UNDERGO A FAIRLY SIMPLE 6359 03:59:22,474 --> 03:59:23,976 ADMINISTRATIVE REVIEW AND WE 6360 03:59:23,976 --> 03:59:25,411 RELEASED FUNDING OPPORTUNITIES 6361 03:59:25,411 --> 03:59:28,547 TO INCENTIVIZE THEIR USE AND 6362 03:59:28,547 --> 03:59:32,818 DATA FROM THE COHORT INVOLVES 6363 03:59:32,818 --> 03:59:34,486 60,000 PARTICIPANTS IN EXPOSURE 6364 03:59:34,486 --> 03:59:36,155 DOMAINS AND HAPPY TO SAY IN 6365 03:59:36,155 --> 03:59:40,559 EARLY PHASES OF THIS WE HAVE 40 6366 03:59:40,559 --> 03:59:42,161 USER REQUESTS THAT ARE EXPANDING 6367 03:59:42,161 --> 03:59:44,563 RAPIDLY AND IN OVERALL SUMMARY 6368 03:59:44,563 --> 03:59:47,633 AND CONCLUSIONS, ECHO IS MAJOR 6369 03:59:47,633 --> 03:59:49,835 INVESTMENT UNDERSTANDING EARLY 6370 03:59:49,835 --> 03:59:51,103 ENVIRONMENTAL INFLUENCES ON 6371 03:59:51,103 --> 03:59:53,672 CHILD HEALTH RELATING TO FIVE 6372 03:59:53,672 --> 03:59:56,709 KEY PEDIATRIC OUTCOMES I 6373 03:59:56,709 --> 03:59:59,678 OUTLINED AND EVIDENCE GAPS ON 6374 03:59:59,678 --> 04:00:02,081 LONG TERM INFLUENCES PRENATAL 6375 04:00:02,081 --> 04:00:05,985 CHILDHOOD FACTORS INVESTIGATORS 6376 04:00:05,985 --> 04:00:07,052 TAKING ADVANTAGE OF SAMPLE SIZE 6377 04:00:07,052 --> 04:00:10,322 AND DIVERSITY TO ASSIST WITH 6378 04:00:10,322 --> 04:00:10,723 GENERALIZABILITY. 6379 04:00:10,723 --> 04:00:14,159 AS I MENTIONED WE HAVE NOVEL 6380 04:00:14,159 --> 04:00:15,094 PRECONCEPTION PHASE IN THE 6381 04:00:15,094 --> 04:00:17,863 SECOND CYCLE AND ADDITION IDEA 6382 04:00:17,863 --> 04:00:20,032 STATES PEDIATRIC CLINICAL TRIALS 6383 04:00:20,032 --> 04:00:22,301 NETWORK ADDRESSING PRACTICE AND 6384 04:00:22,301 --> 04:00:23,769 PROGRAMS FOR RURAL AND 6385 04:00:23,769 --> 04:00:25,604 UNDERSERVED KIDS AND BOTH SIDE 6386 04:00:25,604 --> 04:00:28,841 OF THE PROGRAM WE DEVELOPED 6387 04:00:28,841 --> 04:00:30,976 NATIONWIDE RESEARCH RESOURCE FOR 6388 04:00:30,976 --> 04:00:33,012 BROADER SCIENTIFIC COMMUNITY. 6389 04:00:33,012 --> 04:00:33,545 THANK YOU. 6390 04:00:33,545 --> 04:00:36,048 >> THANK YOU VERY MUCH, MATT. 6391 04:00:36,048 --> 04:00:40,719 SO, WE WILL BEGIN WITH COREY. 6392 04:00:40,719 --> 04:00:42,588 >> >> THANK YOU SO MUCH. 6393 04:00:42,588 --> 04:00:44,256 INFORMING THE PRESENTATION AND I 6394 04:00:44,256 --> 04:00:46,291 HAVE A TWO-PART QUESTION. 6395 04:00:46,291 --> 04:00:49,795 IN TERMS OF THE TARGET 6396 04:00:49,795 --> 04:00:53,932 DEMOGRAPHICS ON SLIDE 32, 6397 04:00:53,932 --> 04:00:57,069 REFLECTING DIVERSE SEX, AGE, 6398 04:00:57,069 --> 04:00:58,637 SOCIOECONOMIC STATUS AND RACE 6399 04:00:58,637 --> 04:01:00,372 AND ETHNICITY. 6400 04:01:00,372 --> 04:01:03,375 MY QUESTION IS KIND OF CHILDREN 6401 04:01:03,375 --> 04:01:06,979 WITH DISABILITIES HAS THAT BEEN 6402 04:01:06,979 --> 04:01:08,914 IDENTIFIED AS A TARGET 6403 04:01:08,914 --> 04:01:10,082 DEMOGRAPHIC AND SECOND PART OF 6404 04:01:10,082 --> 04:01:14,186 THE QUESTION IN TERMS OF 6405 04:01:14,186 --> 04:01:17,156 INTERSECTIONALITY IN TERMS OF 6406 04:01:17,156 --> 04:01:19,258 DEMOGRAPHIC VARIABLES TO DIG 6407 04:01:19,258 --> 04:01:22,928 DEEP NEAR WHERE PROBLEMS IN 6408 04:01:22,928 --> 04:01:28,434 TERMS OF OBESITY AND OPIOID 6409 04:01:28,434 --> 04:01:31,003 EPIDEMIC AND HAS THERE BEEN 6410 04:01:31,003 --> 04:01:33,572 EFFORT IN TERMS OF LOOKING AT 6411 04:01:33,572 --> 04:01:35,741 INDIVIDUALS WITH MULTIPLE SOCIAL 6412 04:01:35,741 --> 04:01:38,177 IDENTITIES IN TERMS OF 6413 04:01:38,177 --> 04:01:39,311 INTERSECTIONALITY INCLUDING 6414 04:01:39,311 --> 04:01:39,645 DISABILITY? 6415 04:01:39,645 --> 04:01:41,513 >> THANK YOU VERY MUCH FOR THAT 6416 04:01:41,513 --> 04:01:41,780 QUESTION. 6417 04:01:41,780 --> 04:01:44,817 AS A PARENT OF NEURODIVERGENT 6418 04:01:44,817 --> 04:01:46,485 KIDS MYSELF I'M VERY INTERESTED 6419 04:01:46,485 --> 04:01:48,454 IN DISABILITIES AND ORIGINS AND 6420 04:01:48,454 --> 04:01:51,223 A GROUP OF OUR INVESTIGATORS HAS 6421 04:01:51,223 --> 04:01:55,127 PUT THAT IN THE FORE RECENTLY IN 6422 04:01:55,127 --> 04:01:57,396 ECHO AND SECOND CYCLE THERE WILL 6423 04:01:57,396 --> 04:01:58,964 BE QUESTIONS ON DISABILITIES NOT 6424 04:01:58,964 --> 04:02:01,500 ONLY AS PART OF NEURODEVELOPMENT 6425 04:02:01,500 --> 04:02:04,603 OUTCOMES BUT WIDER DISABILITIES 6426 04:02:04,603 --> 04:02:08,373 AS WELL AND WE HAVE AN ACTIVE 6427 04:02:08,373 --> 04:02:09,441 DEIA WORKING GROUP WITHIN THE 6428 04:02:09,441 --> 04:02:12,611 ECHO COHORT AS WELL AS ISB 6429 04:02:12,611 --> 04:02:13,746 INSIGHT AND EXTREMELY INTERESTED 6430 04:02:13,746 --> 04:02:15,881 IN ISSUES OF INTERSECTIONALITY 6431 04:02:15,881 --> 04:02:17,750 AND WITH VERY A SPECIALIZED 6432 04:02:17,750 --> 04:02:19,618 GROUP OF PEOPLE INTERESTED IN 6433 04:02:19,618 --> 04:02:20,919 PSYCHOSOCIAL EXPOSURES IN WHICH 6434 04:02:20,919 --> 04:02:22,654 THAT IS BEING IMBEDDED. 6435 04:02:22,654 --> 04:02:24,123 THANK YOU FOR THAT QUESTION. 6436 04:02:24,123 --> 04:02:33,398 >> OKAY. NOW, I HAVE BRIAN, 6437 04:02:33,398 --> 04:02:34,366 ATOOL, HOWARD AND 6438 04:02:34,366 --> 04:02:34,767 [INDISCERNIBLE]. 6439 04:02:34,767 --> 04:02:37,136 >> THANK YOU. THAT IS REALLY 6440 04:02:37,136 --> 04:02:38,370 IMPRESSIVE SCIENCE THAT COMES 6441 04:02:38,370 --> 04:02:41,940 OUT OF THE COHORTS SO FAR AND 6442 04:02:41,940 --> 04:02:42,641 DIVERSITY AND REPRESENTATION OF 6443 04:02:42,641 --> 04:02:44,676 THE PARTICIPANTS AND ONE THING I 6444 04:02:44,676 --> 04:02:46,712 WONDER ABOUT IS SOMEBODY THAT 6445 04:02:46,712 --> 04:02:48,013 DOES PRAGMATIC AND 6446 04:02:48,013 --> 04:02:49,982 IMPLEMENTATION TRIALS HOW YOU 6447 04:02:49,982 --> 04:02:51,416 APPROACH SITE SELECTION FOR 6448 04:02:51,416 --> 04:02:52,651 ENROLLMENT INTO THE COHORT OR 6449 04:02:52,651 --> 04:02:55,154 MORE PARTICULARLY TO THE 6450 04:02:55,154 --> 04:02:56,688 CLINICAL TRIALS AND ONLY REASON 6451 04:02:56,688 --> 04:02:58,557 I ASK IS YOU KNOW IN WORKING 6452 04:02:58,557 --> 04:03:00,259 WITH COMMUNITY-BASED 6453 04:03:00,259 --> 04:03:01,293 ORGANIZATIONS AND DIFFERENT 6454 04:03:01,293 --> 04:03:03,128 KINDS OF ORGANIZATIONS, YOU 6455 04:03:03,128 --> 04:03:05,097 KNOW, THE CLINICS THAT HAVE TIME 6456 04:03:05,097 --> 04:03:08,834 AND CAPACITY TO APPLY TO AN RFP 6457 04:03:08,834 --> 04:03:11,904 TO IMBED RESEARCH WITHIN THEIR 6458 04:03:11,904 --> 04:03:13,438 OPERATIONS WHEN OFTEN TIMES IF 6459 04:03:13,438 --> 04:03:16,441 IT IS A LOW RESOURCE OR OVERHEAD 6460 04:03:16,441 --> 04:03:18,210 ORGANIZATION IT CAN REALLY BE A 6461 04:03:18,210 --> 04:03:19,711 CHALLENGE TO PARTICIPATE IN 6462 04:03:19,711 --> 04:03:21,380 CLINICAL TRIALS AND AT THE SAME 6463 04:03:21,380 --> 04:03:23,849 TIME ARE CLINICS THAT ARE MOST 6464 04:03:23,849 --> 04:03:25,584 INTERESTED IN STUDYING IN TERMS 6465 04:03:25,584 --> 04:03:28,187 OF IMPLEMENTATION AND SERVICE TO 6466 04:03:28,187 --> 04:03:32,457 MINORITIES IN UNDERSERVED 6467 04:03:32,457 --> 04:03:33,158 COMMUNI 6468 04:03:33,158 --> 04:03:34,526 COMMUNITIES AND ANYTHING YOU 6469 04:03:34,526 --> 04:03:36,829 CAN SAY ABOUT SELECTION TO 6470 04:03:36,829 --> 04:03:38,630 INSIGHTS AND WOULD BE EXCELLENT 6471 04:03:38,630 --> 04:03:39,064 TO HEAR. 6472 04:03:39,064 --> 04:03:42,768 >> THANKS FOR THE QUESTION AND 6473 04:03:42,768 --> 04:03:47,706 ADDRESSING THAT ON TRIAL 6474 04:03:47,706 --> 04:03:48,073 NETWORK SLIDE. 6475 04:03:48,073 --> 04:03:50,275 >> KEY ASPECT TO INCREASE 6476 04:03:50,275 --> 04:03:52,778 CAPACITY DOING TRIALS AND RURAL 6477 04:03:52,778 --> 04:03:55,747 FOR UNDERSERVED KIDS. 6478 04:03:55,747 --> 04:03:58,383 MANY OF OUR -- WELL, I WILL 6479 04:03:58,383 --> 04:04:02,354 START BY SAYING THAT SOME SITES 6480 04:04:02,354 --> 04:04:03,856 ARE NOT MEDICAL SITES. 6481 04:04:03,856 --> 04:04:06,859 WE HAVE A SITE AT HEALTHCARE 6482 04:04:06,859 --> 04:04:08,794 ORGANIZATION AND SITE AT PUBLIC 6483 04:04:08,794 --> 04:04:11,630 HEALTH SCHOOL AND SITE AT 6484 04:04:11,630 --> 04:04:13,632 ALASKAN TRIBAL HEALTH 6485 04:04:13,632 --> 04:04:15,300 CONSORTIUM. THESE ARE OUTSIDE 6486 04:04:15,300 --> 04:04:17,736 OF THE USUAL TERTIARY CENTERS IN 6487 04:04:17,736 --> 04:04:22,474 SETTINGS IN ISBCTN THESE ARE 6488 04:04:22,474 --> 04:04:24,109 UNDERRESOURCED EVEN IF THEY ARE 6489 04:04:24,109 --> 04:04:25,611 UNIVERSITIES IN A MAJOR CITY 6490 04:04:25,611 --> 04:04:28,380 THEY TEND TO BE UNDERRESOURCED 6491 04:04:28,380 --> 04:04:29,615 COMPARED TO MORE PRIVILEGED 6492 04:04:29,615 --> 04:04:30,916 SITES WE THINK ABOUT. 6493 04:04:30,916 --> 04:04:32,851 THAT IS ONE THING AND SECOND 6494 04:04:32,851 --> 04:04:35,420 THING IS TO A COMMUNITY ADVISORY 6495 04:04:35,420 --> 04:04:37,890 BOARD AND OTHER OUTREACH AND 6496 04:04:37,890 --> 04:04:39,091 OUTREACH TO ACTUALLY CLINICAL 6497 04:04:39,091 --> 04:04:41,360 SITES THAT ARE FAR FROM THE 6498 04:04:41,360 --> 04:04:43,996 CENTERS THAT WERE ABLE TO 6499 04:04:43,996 --> 04:04:46,064 RECRUIT PARTICIPANTS NO THE ONLY 6500 04:04:46,064 --> 04:04:48,667 FROM RURAL MEDICAL PRACTICES BUT 6501 04:04:48,667 --> 04:04:50,903 ALSO FROM OUTSIDE RURAL MEDICAL 6502 04:04:50,903 --> 04:04:52,704 PRACTICES AND EXAMPLE OF THAT IS 6503 04:04:52,704 --> 04:04:55,107 BREATHE STUDY THAT IS GOING ON 6504 04:04:55,107 --> 04:04:56,842 RIGHT NOW. 6505 04:04:56,842 --> 04:04:59,778 THIS IS A STUDY TO LOOK AT 6506 04:04:59,778 --> 04:05:02,114 EFFECTIVENESS OF HELPI FILTERS 6507 04:05:02,114 --> 04:05:04,683 TO REDUCE INDOOR AIR POLLUTION 6508 04:05:04,683 --> 04:05:08,353 AND THEREBY REDUCE RESPIRATORY 6509 04:05:08,353 --> 04:05:11,990 SYMPTOMS IN INFANTS SUFFERING 6510 04:05:11,990 --> 04:05:13,825 FROM BRON KEY OELITIS IN FIRST 6511 04:05:13,825 --> 04:05:15,794 YEAR OF LIFE AND THAT STUDY 6512 04:05:15,794 --> 04:05:17,095 FINISHED RECRUITMENT THREE 6513 04:05:17,095 --> 04:05:21,166 MONTHS AHEAD OF SCHEDULE THAT IS 6514 04:05:21,166 --> 04:05:23,435 TAKEN UP BY FAMILIES MOST 6515 04:05:23,435 --> 04:05:25,570 EFFECTED BY THESE AND WE ARE 6516 04:05:25,570 --> 04:05:29,174 BEING SUCCESSFUL IN ISBCTN IN 6517 04:05:29,174 --> 04:05:30,575 RECRUITING UNDERREPRESENTATIVE 6518 04:05:30,575 --> 04:05:32,844 AND UNDERSERVED POPULATIONS AND 6519 04:05:32,844 --> 04:05:34,546 SOMETHING WE TALK ABOUT ALL THE 6520 04:05:34,546 --> 04:05:36,581 TIME. I CAN TELL YOU WE TALK 6521 04:05:36,581 --> 04:05:38,984 ABOUT IT NOT ONLY IN PRINCIPLES 6522 04:05:38,984 --> 04:05:41,420 BUT DOWN TO WHAT IS FWA AND HOW 6523 04:05:41,420 --> 04:05:43,922 YOU GET A CONTRACT DOWN TO THE 6524 04:05:43,922 --> 04:05:45,624 RURAL CLINIC AND THINGS LIKE 6525 04:05:45,624 --> 04:05:48,894 THAT AND IMPLEMENTATION IS WHERE 6526 04:05:48,894 --> 04:05:50,228 RUBBER MEETS THE ROAD AND HOW 6527 04:05:50,228 --> 04:05:53,966 YOU DO AN IRB AND THOSE 6528 04:05:53,966 --> 04:05:54,266 QUESTIONS. 6529 04:05:54,266 --> 04:05:56,768 I WILL LEAVE IT AT THAT AND GO 6530 04:05:56,768 --> 04:05:58,070 TO THE NEXT QUESTION. 6531 04:05:58,070 --> 04:06:00,739 >> SO, GREAT WORK AND 6532 04:06:00,739 --> 04:06:01,073 PRESENTATION. 6533 04:06:01,073 --> 04:06:02,841 FOR THE RECORD, I'M SLIGHTLY 6534 04:06:02,841 --> 04:06:05,210 BIASED I WAS ON YOUR ADVISORY 6535 04:06:05,210 --> 04:06:07,579 BOARD FOR TWO MEETINGS, I GUESS. 6536 04:06:07,579 --> 04:06:10,315 GIVING YOU MORE CREDIT, YOU SAID 6537 04:06:10,315 --> 04:06:12,551 IN 2016 IF I REMEMBER THAT IS 6538 04:06:12,551 --> 04:06:15,687 COMING OUT OF THE ASHES OF THE 6539 04:06:15,687 --> 04:06:17,089 NATIONAL CHILDREN'S STUDY 6540 04:06:17,089 --> 04:06:19,491 CANCELLED IN 2014 MAKING 7 YEARS 6541 04:06:19,491 --> 04:06:21,793 OF PROGRESS AND BASED ON THAT 6542 04:06:21,793 --> 04:06:24,796 STARTING POINT THAT IS 6543 04:06:24,796 --> 04:06:25,097 REMARKABLE. 6544 04:06:25,097 --> 04:06:27,599 MY CURIOSITY IS ABOUT RETENTION 6545 04:06:27,599 --> 04:06:31,003 RATE OF PATIENTS AND FAMILIES 6546 04:06:31,003 --> 04:06:32,704 AND HOW LONG THEY STICK AROUND 6547 04:06:32,704 --> 04:06:34,840 IN THE STUDY AND HOW DO YOU KEEP 6548 04:06:34,840 --> 04:06:36,808 THEM STICKY WITH THE PROGRAM? 6549 04:06:36,808 --> 04:06:39,644 WE WILL HEAR ABOUT ALL OF US 6550 04:06:39,644 --> 04:06:40,612 RESEARCH PROGRAM TOMORROW. I 6551 04:06:40,612 --> 04:06:42,748 SEE SIMILARITIES AND CURIOUS HOW 6552 04:06:42,748 --> 04:06:44,516 YOU MAINTAIN RETENTION. 6553 04:06:44,516 --> 04:06:47,119 >> YEAH. THANK YOU FOR THE 6554 04:06:47,119 --> 04:06:47,486 QUESTION. 6555 04:06:47,486 --> 04:06:49,187 YOU JUST MENTIONED A STUDY THAT 6556 04:06:49,187 --> 04:06:51,957 WON'T BE NAMED AND WON'T HAVE 6557 04:06:51,957 --> 04:06:54,226 MORE QUESTIONS ON IT. 6558 04:06:54,226 --> 04:06:55,193 [LAUGHING]. 6559 04:06:55,193 --> 04:06:56,061 YEAH. 6560 04:06:56,061 --> 04:06:58,864 UM, SO I WILL FIRST START BY 6561 04:06:58,864 --> 04:07:01,033 TALKING ABOUT OUR NETWORK THAT 6562 04:07:01,033 --> 04:07:02,367 IS SHORT-TERM RETENTIONS AND 6563 04:07:02,367 --> 04:07:05,303 WANT TO SAY I HAVE BEEN REALLY 6564 04:07:05,303 --> 04:07:07,939 IMPRESSED BY THE ABILITY THAT 6565 04:07:07,939 --> 04:07:09,641 INVESTIGATORS NOT ONLY 6566 04:07:09,641 --> 04:07:10,876 INVESTIGATORS BUT RESEARCH 6567 04:07:10,876 --> 04:07:12,711 COORDINATORS THAT ARE REALLY 6568 04:07:12,711 --> 04:07:15,080 PEOPLE WHERE RUBBER MEETS THE 6569 04:07:15,080 --> 04:07:16,715 ROAD TO MAINTAIN PARTICIPANTS 6570 04:07:16,715 --> 04:07:20,118 AND FIRST STUDY WAS A 6571 04:07:20,118 --> 04:07:23,188 PHARMACOKINETIC STUDY OF VITAMIN 6572 04:07:23,188 --> 04:07:25,424 D SUPPLEMENTATION AND THOUGHT NO 6573 04:07:25,424 --> 04:07:27,726 ONE WILL COME BACK SIX BLOOD 6574 04:07:27,726 --> 04:07:31,696 DRAWS AND 99% RETENTION ON 6575 04:07:31,696 --> 04:07:32,597 NETWORK SIDE. 6576 04:07:32,597 --> 04:07:34,466 COHORT SIDE WE HAVE CENTRALIZED 6577 04:07:34,466 --> 04:07:36,835 AND ALSO WE HAVE VERY 6578 04:07:36,835 --> 04:07:40,605 EXPERIENCED INVESTIGATORS FOR 6579 04:07:40,605 --> 04:07:42,607 USING ALL OF THEIR WHILES TO 6580 04:07:42,607 --> 04:07:44,409 IMPROVE RETENTION AND THINKING 6581 04:07:44,409 --> 04:07:47,179 ABOUT COHORT STUDIES, I THINK 6582 04:07:47,179 --> 04:07:50,215 THAT ONE OF THE UNKNOWNS OF GOOD 6583 04:07:50,215 --> 04:07:52,984 COHORT STUDIES RETENTION AND 6584 04:07:52,984 --> 04:07:55,053 ACCURATE AND COMPLETE DATA 6585 04:07:55,053 --> 04:07:55,353 COLLECTION. 6586 04:07:55,353 --> 04:07:58,657 IN FACT, RETENTION IS WE HAVE 6587 04:07:58,657 --> 04:08:00,892 GOALS, OBJECTIVES INDICATORS AND 6588 04:08:00,892 --> 04:08:02,294 TARGETS EVERY YEAR AND ONE GOAL 6589 04:08:02,294 --> 04:08:03,962 IS ABOUT RETENTION AND UNDER 6590 04:08:03,962 --> 04:08:07,332 THAT ONE GOAL IS RETENTION OF 6591 04:08:07,332 --> 04:08:08,967 UNDERSERVED AND MINORITY 6592 04:08:08,967 --> 04:08:10,469 POPULATION AND I'M REALLY HAPPY 6593 04:08:10,469 --> 04:08:12,737 TO SAY WE MAINTAINED RETENTION 6594 04:08:12,737 --> 04:08:20,412 OF OUR HISPANIC AND NON -- 6595 04:08:20,412 --> 04:08:22,714 NON-HISPANIC WHITE POPULATIONS 6596 04:08:22,714 --> 04:08:25,417 AT VIRTUALLY SAME RATES AS ALL 6597 04:08:25,417 --> 04:08:27,619 OF THE OTHERS. 6598 04:08:27,619 --> 04:08:30,288 >> DR. GILLMAN THANKS FOR THE 6599 04:08:30,288 --> 04:08:31,890 PRESENTATION. YOU HAVE SHOWN 6600 04:08:31,890 --> 04:08:34,092 NOTABLE SUCCESS FOR ANY AND 6601 04:08:34,092 --> 04:08:35,927 RESOURCE WHICH IS LONGITUDINAL 6602 04:08:35,927 --> 04:08:37,429 TRACKING THAT MIGHT THEN ALLOW 6603 04:08:37,429 --> 04:08:39,631 YOU TO LOOK AT IMPACT OF 6604 04:08:39,631 --> 04:08:41,600 CHILDHOOD HEALTH ON ADOLESCENT 6605 04:08:41,600 --> 04:08:43,969 OR ADULT HEALTH. IS THAT IN 6606 04:08:43,969 --> 04:08:46,404 YOUR SCOPE AND HAVE YOU THOUGHT 6607 04:08:46,404 --> 04:08:48,807 ABOUT HOW YOU MIGHT GO IN THAT 6608 04:08:48,807 --> 04:08:49,274 DIRECTION POSSIBLY? 6609 04:08:49,274 --> 04:08:53,845 >> THE ORIGINS OF ADLESSIENT 6610 04:08:53,845 --> 04:08:55,347 HEALTH AT EARLIEST STAGES OF 6611 04:08:55,347 --> 04:08:57,182 HUMAN DEVELOPMENT AND IN 6612 04:08:57,182 --> 04:08:59,784 CHILDHOOD IS IN THE PURVIEW OF 6613 04:08:59,784 --> 04:09:00,352 ECHO. 6614 04:09:00,352 --> 04:09:03,155 PERSONALLY, I CAME FROM A 6615 04:09:03,155 --> 04:09:05,023 PARADIGM OF LIFE-LONG HEALTH AND 6616 04:09:05,023 --> 04:09:08,426 FETAL ORIGINS OF ADULT DISEASE 6617 04:09:08,426 --> 04:09:09,828 AND MANY OF OUR FUNDED 6618 04:09:09,828 --> 04:09:11,630 INVESTIGATORS ARE GETTING 6619 04:09:11,630 --> 04:09:12,831 ADDITIONAL FUNDING TO FOLLOW 6620 04:09:12,831 --> 04:09:15,000 CHILDREN AFTER THEY TURN 21 AND 6621 04:09:15,000 --> 04:09:18,270 THEY ECHO PROGRAM ITSELF STOPS 6622 04:09:18,270 --> 04:09:20,672 AT AGE OF 21. 6623 04:09:20,672 --> 04:09:21,640 >> OKAY. 6624 04:09:21,640 --> 04:09:23,842 >> I WAS ALSO THINKING ABOUT 6625 04:09:23,842 --> 04:09:26,044 SYNERGY AND FOR EXAMPLE ECHO 6626 04:09:26,044 --> 04:09:29,181 STUDY MIGHT LEAD INTO ABCD STUDY 6627 04:09:29,181 --> 04:09:31,516 AND ADOLESCENT COGNITIVE 6628 04:09:31,516 --> 04:09:33,151 DEVELOPMENT AND THINKING ABOUT 6629 04:09:33,151 --> 04:09:34,719 OPPORTUNITIES TO IMPROVE IT UPON 6630 04:09:34,719 --> 04:09:36,821 TOTALLY INTENDED AND IN IMPROVE 6631 04:09:36,821 --> 04:09:38,490 SESSION WE WERE HEARING ABOUT 6632 04:09:38,490 --> 04:09:42,761 HIGH RISKS OF MATERNAL MORTALITY 6633 04:09:42,761 --> 04:09:44,930 DUE TO MENTAL HEALTH AND 6634 04:09:44,930 --> 04:09:46,331 SUBSTANCE USE AND DURING 6635 04:09:46,331 --> 04:09:50,101 PRESENTATION PRESENTED DATA OF 6636 04:09:50,101 --> 04:09:54,539 NEONATAL OPIATE WITHDRAWAL 6637 04:09:54,539 --> 04:09:57,042 SYNDROME AND -- I'M THINKING IF 6638 04:09:57,042 --> 04:09:59,244 WAYS TO GET TOGETHER AND SAW 6639 04:09:59,244 --> 04:10:01,479 PRESENTATION EARLIER AROUND 6640 04:10:01,479 --> 04:10:02,747 SUBSTANCE USE DISORDERS AND IS 6641 04:10:02,747 --> 04:10:04,416 THERE A FORUM WHERE EVERYBODY 6642 04:10:04,416 --> 04:10:08,119 GETS IN THE ROOM FOR A DAY AND 6643 04:10:08,119 --> 04:10:10,655 SAY WE ARE STUDYING THE SAME 6644 04:10:10,655 --> 04:10:13,758 PROBLEM FROM A DIFFERENT ANGLE 6645 04:10:13,758 --> 04:10:15,393 AND NEED SOME GRANT PROPOSAL TO 6646 04:10:15,393 --> 04:10:16,928 GO OUT AND SOMEBODY TAKES AND 6647 04:10:16,928 --> 04:10:19,197 POOLS DATA AND MINES IT AND 6648 04:10:19,197 --> 04:10:22,033 FIGURES OUT HOW TO CREATE DATA 6649 04:10:22,033 --> 04:10:23,635 STRUCTURES OR OPPORTUNITIES OF 6650 04:10:23,635 --> 04:10:25,537 SUBJECT GROUPS TO PROBE HOW YOU 6651 04:10:25,537 --> 04:10:27,272 LOOK AT THIS TOGETHER AND HAVE 6652 04:10:27,272 --> 04:10:28,707 COMMON INTERVENTIONS AND 6653 04:10:28,707 --> 04:10:30,108 WONDERING IF THERE IS A 6654 04:10:30,108 --> 04:10:32,010 MECHANISM FOR INTEGRATION OF ALL 6655 04:10:32,010 --> 04:10:33,812 THESE THEMES THAT WE KEEP SEEING 6656 04:10:33,812 --> 04:10:34,079 SHOW UP. 6657 04:10:34,079 --> 04:10:36,481 >> THANK YOU FOR THAT QUESTION. 6658 04:10:36,481 --> 04:10:38,083 I HAVE MANY ANSWERS TO YOUR 6659 04:10:38,083 --> 04:10:41,219 QUESTION AND I WILL GIVE YOU A 6660 04:10:41,219 --> 04:10:44,656 COUPLE THAT ONE IS TOPICALLY 6661 04:10:44,656 --> 04:10:48,360 THAT ALTHOUGH ECHO HAS CHILD 6662 04:10:48,360 --> 04:10:50,161 HEALTH IN ITS NAME WE SEE 6663 04:10:50,161 --> 04:10:52,163 MATERNAL HEALTH IS ALONG THAT 6664 04:10:52,163 --> 04:10:54,099 SAME SPECTRUM AND NOW THAT WE 6665 04:10:54,099 --> 04:10:55,467 WILL HAVE A PRECONCEPTION PHASE 6666 04:10:55,467 --> 04:10:57,702 WE HAVE AN OPPORTUNITY TO LOOK 6667 04:10:57,702 --> 04:10:59,471 AT MATERNAL OUTCOMES ESPECIALLY 6668 04:10:59,471 --> 04:11:03,475 DURING PREGNANCY THAT IS A 6669 04:11:03,475 --> 04:11:05,243 LINKAGE RIGHT THERE. 6670 04:11:05,243 --> 04:11:08,079 SECOND THING, WE SHARE PROTOCOLS 6671 04:11:08,079 --> 04:11:09,581 BACK AND FORTH AMONG DIFFERENT 6672 04:11:09,581 --> 04:11:12,050 STUDIES AND WHETHER IT BE ALL OF 6673 04:11:12,050 --> 04:11:16,054 US CHILD STUDY OR ABCD OR HBCD 6674 04:11:16,054 --> 04:11:18,089 OR OTHER STUDIES LOOKING AT SAME 6675 04:11:18,089 --> 04:11:19,791 PART OF THE LIFE COURSE AND WE 6676 04:11:19,791 --> 04:11:21,760 SHARE PROTOCOLS BACK AND FORTH 6677 04:11:21,760 --> 04:11:25,163 AND THIRD THING IS WE HAVE TRANS 6678 04:11:25,163 --> 04:11:29,934 NIH GROUPS AND DIANA MENTIONED 6679 04:11:29,934 --> 04:11:33,505 NPERC AND WE HAVE ADULTHOOD 6680 04:11:33,505 --> 04:11:35,540 COLLOQUIUM AND NUMBER OF AREAS 6681 04:11:35,540 --> 04:11:38,176 WE REDUCE SHARE AND SO WE CAN 6682 04:11:38,176 --> 04:11:39,511 SYNERGIES AND BE COMPLEMENTARY 6683 04:11:39,511 --> 04:11:41,746 AND LEVERAGE EACH OTHER'S 6684 04:11:41,746 --> 04:11:42,013 PROGRAMS. 6685 04:11:42,013 --> 04:11:43,848 >> I WOULD SAY THAT ONE OF THE 6686 04:11:43,848 --> 04:11:47,719 BIGGEST CHANGES OVER THE LAST 20 6687 04:11:47,719 --> 04:11:50,889 YEARS AS I KIND OF -- THERE IS 6688 04:11:50,889 --> 04:11:52,290 JUST MORE OPENNESS TO DOING 6689 04:11:52,290 --> 04:11:52,590 THAT. 6690 04:11:52,590 --> 04:11:55,160 I THINK YOU HAVE SEEN, YOU KNOW, 6691 04:11:55,160 --> 04:11:57,729 A FEW REALLY GOOD EXAMPLES OF IT 6692 04:11:57,729 --> 04:11:58,063 TODAY. 6693 04:11:58,063 --> 04:12:01,099 MORE IMPORTANTLY, THEY OPENNESS 6694 04:12:01,099 --> 04:12:04,035 TO CONTINUE TO DO MORE GOING 6695 04:12:04,035 --> 04:12:04,402 FORWARD. 6696 04:12:04,402 --> 04:12:06,037 I THINK THAT IS WHAT GREAT 6697 04:12:06,037 --> 04:12:07,605 LEADERSHIP IS ABOUT AND IT IS 6698 04:12:07,605 --> 04:12:10,308 NOT, YOU KNOW, IT IS NOT MINE 6699 04:12:10,308 --> 04:12:12,811 AND LET'S ALL WORK AS ONE GROUP. 6700 04:12:12,811 --> 04:12:13,378 YEAH. PLEASE. 6701 04:12:13,378 --> 04:12:15,547 >> YEAH. THAT IS ANOTHER PLACE 6702 04:12:15,547 --> 04:12:17,615 WHERE I THINK THAT THE 6703 04:12:17,615 --> 04:12:19,250 OPPORTUNITY FOR DATA SCIENCE AND 6704 04:12:19,250 --> 04:12:20,618 MACHINE LEARNING COME INTO PLAY 6705 04:12:20,618 --> 04:12:22,954 WHEN DATA SETS ARE COLLECTED AND 6706 04:12:22,954 --> 04:12:24,456 BEING ABLE TO POOL THEM TOGETHER 6707 04:12:24,456 --> 04:12:27,125 TO MAKE OBSERVATIONS AND FIND 6708 04:12:27,125 --> 04:12:28,793 PATTERNS YOU WOULDN'T OTHERWISE 6709 04:12:28,793 --> 04:12:30,428 FIND LOOKING AT ONE OF THE 6710 04:12:30,428 --> 04:12:30,795 SECTIONS SO. 6711 04:12:30,795 --> 04:12:33,298 >> THANKS FOR THE COMMENT. 6712 04:12:33,298 --> 04:12:34,065 >> GREAT. 6713 04:12:34,065 --> 04:12:36,101 >> YEAH. ALONG THE SAME LINES, 6714 04:12:36,101 --> 04:12:39,838 THANK YOU FOR THE PRESENTATION. 6715 04:12:39,838 --> 04:12:42,006 VERY IMPORTANT WORK THAT IS 6716 04:12:42,006 --> 04:12:44,609 RELATED EXACTLY TO THE LINKAGE 6717 04:12:44,609 --> 04:12:49,247 OF DATA SETS THAT WILL IMAGINE 6718 04:12:49,247 --> 04:12:52,884 MIGHT HAVE COMMON POOL OF 6719 04:12:52,884 --> 04:12:53,218 PARTICIPANTS. 6720 04:12:53,218 --> 04:12:56,554 JUST WANTING TO DRAW ATTENTION 6721 04:12:56,554 --> 04:12:59,157 TO THAT. 6722 04:12:59,157 --> 04:13:01,693 THAT IS BETTER THAN HAVING 6723 04:13:01,693 --> 04:13:03,428 PARTICIPANTS ENROLL LATER ON. 6724 04:13:03,428 --> 04:13:05,997 BUT I'M HEARING THAT THERE IS A 6725 04:13:05,997 --> 04:13:07,599 LOT OF SYNERGY. 6726 04:13:07,599 --> 04:13:11,269 IT IS -- THERE IS A PLAN OF 6727 04:13:11,269 --> 04:13:11,603 CONVERGENCE. 6728 04:13:11,603 --> 04:13:13,738 >> YEAH. THANK YOU A LOT FOR 6729 04:13:13,738 --> 04:13:17,175 POINTING THAT OUT. I REALLY 6730 04:13:17,175 --> 04:13:21,613 APPRECIATE YOUR COMMENT. 6731 04:13:21,613 --> 04:13:22,814 >> YES, PLEASE. 6732 04:13:22,814 --> 04:13:24,549 >> I'M SITTING HERE OF COURSE 6733 04:13:24,549 --> 04:13:26,117 THINKING OF THE PRIOR 6734 04:13:26,117 --> 04:13:27,185 PRESENTATION. 6735 04:13:27,185 --> 04:13:27,485 SORRY. 6736 04:13:27,485 --> 04:13:29,888 THE PRIOR PRESENTATION AND THIS 6737 04:13:29,888 --> 04:13:32,524 PRESENTATION AND IN SOME OF THE 6738 04:13:32,524 --> 04:13:34,726 CONTEXT PARTICULARLY IN GLOBAL 6739 04:13:34,726 --> 04:13:37,662 WORK, YOU OFTEN RECRUIT FAMILIES 6740 04:13:37,662 --> 04:13:41,533 RATHER THAN STUDYING MOTHERS OR 6741 04:13:41,533 --> 04:13:43,301 CHILD'S. YOU KNOW? 6742 04:13:43,301 --> 04:13:44,769 I'M CURIOUS WHETHER EITHER GROUP 6743 04:13:44,769 --> 04:13:47,472 HAS CONSIDERED THE IDEA OF KIND 6744 04:13:47,472 --> 04:13:50,708 OF RECRUITMENT OF FAMILIES WHICH 6745 04:13:50,708 --> 04:13:52,844 I THINK WOULD BE OR OFFER 6746 04:13:52,844 --> 04:13:54,612 ENORMOUS OPPORTUNITIES TO LOOK 6747 04:13:54,612 --> 04:13:59,951 AT SIBLINGS OR OTHER KINDS OF 6748 04:13:59,951 --> 04:14:00,251 QUESTIONS. 6749 04:14:00,251 --> 04:14:01,886 >> THANK YOU A LOT FOR THAT 6750 04:14:01,886 --> 04:14:02,153 QUESTION. 6751 04:14:02,153 --> 04:14:05,256 WE ARE VERY INTERESTED IN FAMINE 6752 04:14:05,256 --> 04:14:06,891 FLUNSS AND WE DO ASK ABOUT THOSE 6753 04:14:06,891 --> 04:14:09,794 AND WAY WE ARE INCLUDING 6754 04:14:09,794 --> 04:14:11,563 FAMILIES IN SECOND PHASE OF ECHO 6755 04:14:11,563 --> 04:14:14,199 IS IN PRECONCEPTION PHASE WE ARE 6756 04:14:14,199 --> 04:14:15,600 RECRUITING THE CONCEIVING 6757 04:14:15,600 --> 04:14:17,268 PARTNER AND NOT ONLY IS THE 6758 04:14:17,268 --> 04:14:19,304 PERSON WHO HAD BEEN PREGNANT BUT 6759 04:14:19,304 --> 04:14:21,639 IS ALSO THE CONCEIVING PARTNER. 6760 04:14:21,639 --> 04:14:23,408 WE ARE THINKING ABOUT THAT 6761 04:14:23,408 --> 04:14:26,144 MOSTLY IN TERMS OF BIOLOGY AND 6762 04:14:26,144 --> 04:14:29,781 ALSO SOCIAL FACTORS. 6763 04:14:29,781 --> 04:14:32,116 >> OKAY. WE ARE JUST ABOUT AT 6764 04:14:32,116 --> 04:14:33,318 TIME. 6765 04:14:33,318 --> 04:14:36,855 WE WILL GIVE YOU A 17 OR 18 6766 04:14:36,855 --> 04:14:37,922 MINUTE BREAK. 6767 04:14:37,922 --> 04:14:41,125 WE WILL RECONVENE AT 3 O'CLOCK 6768 04:14:41,125 --> 04:14:41,493 SHARP. 6769 04:14:41,493 --> 04:14:42,393 OKAY? 6770 04:14:42,393 --> 04:14:44,596 SO, WE WILL SEE EVERYBODY AT 3. 6771 04:14:44,596 --> 04:14:50,982 THANK YOU. THANK YOU VERY MUCH, MATT. 6772 04:14:50,982 --> 04:15:01,425 [BREAK] WE HAVE AS YOU KNOW 6773 04:14:53,142 --> 04:14:53,742 SEVERAL WORKING GROUPS BEING 6774 04:14:53,742 --> 04:14:56,078 REPORTED OUT AT THIS ACD MEETING 6775 04:14:56,078 --> 04:14:57,646 AND FIRST THIEVES WILL NOW BE 6776 04:14:57,646 --> 04:14:59,381 PRESENTED. THIS IS THE WORKING 6777 04:14:59,381 --> 04:15:01,083 GROUP ON CATALYZING THE 6778 04:15:01,083 --> 04:15:03,319 DEVELOPMENT AND USE OF NOVEL 6779 04:15:03,319 --> 04:15:06,121 ALTERNATIVE METHODS TO ADVANCE 6780 04:15:06,121 --> 04:15:09,291 BIOMEDICAL RESEARCH. IT WAS 6781 04:15:09,291 --> 04:15:15,230 CO-LED BY ACD MEMBER HOWARD 6782 04:15:15,230 --> 04:15:20,569 CHANG AND LYRIC JORGENSON YOU 6783 04:15:20,569 --> 04:15:23,072 HEARD TODAY WHO IS NOW ASSOCIATE 6784 04:15:23,072 --> 04:15:27,376 DIRECTOR NO LONGER ACTING OF 6785 04:15:27,376 --> 04:15:32,681 SCIENCE POLICY AT NIH. ARE YOU 6786 04:15:32,681 --> 04:15:35,584 TAKING OFF LYRIC OR HOWARD? 6787 04:15:35,584 --> 04:15:36,051 HOWARD, GREAT. 6788 04:15:36,051 --> 04:15:37,987 >> GREAT. THANK YOU FOR THE 6789 04:15:37,987 --> 04:15:41,790 OPPORTUNITY ON BEHALF OF THE 6790 04:15:41,790 --> 04:15:42,358 WORKING GROUP AND TODAY MY 6791 04:15:42,358 --> 04:15:45,828 CO-CHAIR LYRIC JORGENSON WILL 6792 04:15:45,828 --> 04:15:47,029 PRESENT WORKING GROUP 6793 04:15:47,029 --> 04:15:50,165 RECOMMENDATIONS TO HELP WITH NIH 6794 04:15:50,165 --> 04:15:53,002 INVESTMENT IN NOVEL ALTERNATIVE 6795 04:15:53,002 --> 04:15:57,906 METHODS OR NAMS AND DEVELOPMENT 6796 04:15:57,906 --> 04:16:02,478 OF BIOMEDICAL RESEARCH. NEXT 6797 04:16:02,478 --> 04:16:03,979 SLIDE, PLEASE. 6798 04:16:03,979 --> 04:16:05,814 IN THE NEXT HOUR WE WILL TALK TO 6799 04:16:05,814 --> 04:16:07,416 BUT THE MOTIVATION AND FORMATION 6800 04:16:07,416 --> 04:16:11,286 OF THIS WORKING GROUP AND THE 6801 04:16:11,286 --> 04:16:13,856 APPROACH THAT OUR WORKING GROUP 6802 04:16:13,856 --> 04:16:15,457 TOOK TO COME UP WITH 6803 04:16:15,457 --> 04:16:16,725 RECOMMENDATIONS AND SPECIFIC 6804 04:16:16,725 --> 04:16:18,160 RECOMMENDATIONS AND SOME 6805 04:16:18,160 --> 04:16:19,828 EXAMPLES OF TRANSFORMATIVE 6806 04:16:19,828 --> 04:16:21,764 PROJECTS THAT MIGHT BE POSSIBLE 6807 04:16:21,764 --> 04:16:25,334 WITH THESE NEW TECHNOLOGIES. 6808 04:16:25,334 --> 04:16:26,935 NEXT SLIDE, PLEASE. 6809 04:16:26,935 --> 04:16:29,605 ALL RIGHT. THE IMPETUS FOR THIS 6810 04:16:29,605 --> 04:16:33,242 EFFORT IS THE IDEA REALLY THAT 6811 04:16:33,242 --> 04:16:34,243 TECHNOLOGY DRIVES OPPORTUNITY. 6812 04:16:34,243 --> 04:16:36,011 SCIENCE IS MADE POSSIBLE BY NEW 6813 04:16:36,011 --> 04:16:38,547 TOOLS AND EXAMPLES THAT INCLUDE 6814 04:16:38,547 --> 04:16:40,215 TRANSFORMATIVE TECHNOLOGIES LIKE 6815 04:16:40,215 --> 04:16:41,884 CRISPR AND WE HEARD ABOUT AI 6816 04:16:41,884 --> 04:16:46,021 TODAY AND ALSO FOR EXAMPLE ABOUT 6817 04:16:46,021 --> 04:16:47,156 STUDYING NOISE SUCH AS 6818 04:16:47,156 --> 04:16:48,624 [INDISCERNIBLE] IN THE DISH. 6819 04:16:48,624 --> 04:16:51,460 BY INVESTING IN ADDITIONAL AND 6820 04:16:51,460 --> 04:16:54,329 FIBROUS TOOLS, WE MAY BE ABLE TO 6821 04:16:54,329 --> 04:16:57,199 ENABLE RESEARCHERS TO USE MOST 6822 04:16:57,199 --> 04:16:59,435 EFFECTIVE AND SUITABLE TOOLS 6823 04:16:59,435 --> 04:17:01,537 ANSWERING RESEARCH QUESTIONS. 6824 04:17:01,537 --> 04:17:03,372 SO, ANIMAL MODELS WILL CONTINUE 6825 04:17:03,372 --> 04:17:07,242 TO HAVE VITAL RESEARCH AND 6826 04:17:07,242 --> 04:17:10,512 ALTERNATIVE METHODS AND GREAT 6827 04:17:10,512 --> 04:17:21,023 OPPORTUNITIES IN SOME AREAS. 6828 04:17:26,628 --> 04:17:31,333 THERE IS GREAT INTEREST THAT IS 6829 04:17:31,333 --> 04:17:33,902 EVIDENT ACROSS THE NIH AND 6830 04:17:33,902 --> 04:17:35,270 FEDERAL GOVERNMENTS AND 6831 04:17:35,270 --> 04:17:37,506 BIOMEDICAL RESEARCH ENTERPRISES 6832 04:17:37,506 --> 04:17:40,242 THAT MANY GROUPS ARE TAKING ON 6833 04:17:40,242 --> 04:17:42,845 ASPECTS ON SYNERGISTIC EFFORTS 6834 04:17:42,845 --> 04:17:45,414 AND GIVING YOU AN EXAMPLE AT THE 6835 04:17:45,414 --> 04:17:47,382 FDA, THERE ARE ALTERNATIVE 6836 04:17:47,382 --> 04:17:50,319 METHODS GROUP AND FDA 6837 04:17:50,319 --> 04:17:52,387 MODERNIZATION ACT 2.0 DECLARED 6838 04:17:52,387 --> 04:17:54,456 THEY NO LONGER REQUIRED NEW 6839 04:17:54,456 --> 04:17:56,191 DRUGS OR ANIMAL TESTING BEFORE 6840 04:17:56,191 --> 04:17:58,093 TESTING IN HUMAN CLINICAL TRIALS 6841 04:17:58,093 --> 04:18:02,464 AND FROM NATIONAL ACADEMIES, 6842 04:18:02,464 --> 04:18:06,168 THEIR REPORT AND NASM REPORT ON 6843 04:18:06,168 --> 04:18:09,538 NON-HUMAN FINDING MODELS IN 6844 04:18:09,538 --> 04:18:11,106 BIOMEDICAL RESEARCH SELECT NEW 6845 04:18:11,106 --> 04:18:14,209 ALTERNATIVE METHODS CAN BE USED 6846 04:18:14,209 --> 04:18:16,078 FOR NEW BIOLOGICAL FUNCTIONS OF 6847 04:18:16,078 --> 04:18:17,212 WORK THAT IS NEEDED. 6848 04:18:17,212 --> 04:18:18,514 NEXT SLIDE, PLEASE. 6849 04:18:18,514 --> 04:18:23,485 AT THE NIH SPECIFICALLY, NIH OF 6850 04:18:23,485 --> 04:18:26,789 COURSE STRATEGICALLY APPROACHES 6851 04:18:26,789 --> 04:18:29,391 INVESTING AREAS THAT ARE WIPED 6852 04:18:29,391 --> 04:18:32,127 WITH PROMISED CATALYZED RESEARCH 6853 04:18:32,127 --> 04:18:35,697 AND AMOUNT INVESTMENT FROM NIH 6854 04:18:35,697 --> 04:18:38,133 ALTERNATIVES OF FACULTY INCREASE 6855 04:18:38,133 --> 04:18:39,968 AND EXPLOSION OF WORK BEING DONE 6856 04:18:39,968 --> 04:18:41,737 USING ALTERNATIVE METHODS IS 6857 04:18:41,737 --> 04:18:42,604 IMPORTANT TO UNDERSTAND WHERE 6858 04:18:42,604 --> 04:18:44,840 THE BIOMEDICAL COMMUNITY IS AT 6859 04:18:44,840 --> 04:18:46,975 THIS MOMENT AND CHALLENGES AND 6860 04:18:46,975 --> 04:18:48,744 OPPORTUNITIES MAY EXIST AND WHAT 6861 04:18:48,744 --> 04:18:50,913 KEY INVESTMENTS ARE NEEDED TO 6862 04:18:50,913 --> 04:18:53,515 MAXIMIZE POTENTIAL USING 6863 04:18:53,515 --> 04:18:57,319 TECHNOLOGIES TO ENHANCE HUMAN 6864 04:18:57,319 --> 04:18:58,086 HEALTH. 6865 04:18:58,086 --> 04:18:59,621 NEXT, PLEASE. 6866 04:18:59,621 --> 04:19:04,159 OKAY. SO, OUR WORKING GROUP WAS 6867 04:19:04,159 --> 04:19:05,761 [INDISCERNIBLE] AND FORMATION 6868 04:19:05,761 --> 04:19:08,163 WAS IN PART FROM RECOMMENDATION 6869 04:19:08,163 --> 04:19:11,266 FROM PRIOR ACD WORKING GROUP ON 6870 04:19:11,266 --> 04:19:13,135 ENHANCING RIGOR, TRANSPARENCY 6871 04:19:13,135 --> 04:19:15,504 AND TRANSLATABILITY OF ANIMAL 6872 04:19:15,504 --> 04:19:18,006 RESEARCH THAT ALSO INDICATED A 6873 04:19:18,006 --> 04:19:21,210 RECOMMENDED EXPLORING NON-ANIMAL 6874 04:19:21,210 --> 04:19:25,080 MODELS TO REALLY IMPROVE SAME 6875 04:19:25,080 --> 04:19:27,316 IMPORTANT METRICS THAT IS RIGOR 6876 04:19:27,316 --> 04:19:28,617 TRANSPARENCY AND TRANSLATABILITY 6877 04:19:28,617 --> 04:19:30,319 AND AFTER BEING FIRST DISCUSSED 6878 04:19:30,319 --> 04:19:34,089 IN NOVEMBER AND DECEMBER 2022ACD 6879 04:19:34,089 --> 04:19:38,227 MEETINGS DR. TABEK FORMED THE 6880 04:19:38,227 --> 04:19:39,127 WORKING GROUP IN JANUARY EARLIER 6881 04:19:39,127 --> 04:19:41,029 THIS YEAR AND CHARGES ARE TO 6882 04:19:41,029 --> 04:19:43,532 IDENTIFY TYPES OF ALTERNATIVE 6883 04:19:43,532 --> 04:19:45,300 METHODS THAT ASSESS GENERAL 6884 04:19:45,300 --> 04:19:47,002 STRENGTHS AND WEAKNESSES FOR 6885 04:19:47,002 --> 04:19:49,137 HUMAN BIOLOGY AND CIRCUIT 6886 04:19:49,137 --> 04:19:50,672 SYSTEMS IN THESE STATES TO 6887 04:19:50,672 --> 04:19:53,108 CHARACTERIZE TYPES OF RESEARCH 6888 04:19:53,108 --> 04:19:55,844 CONDITIONS AND DISEASES FOR 6889 04:19:55,844 --> 04:19:58,614 WHICH NAMS ARE SUITABLE AND 6890 04:19:58,614 --> 04:20:00,482 BENEFICIAL AND TO ARTICULATE 6891 04:20:00,482 --> 04:20:04,019 HIGH PRIORITY AREAS FOR NIH 6892 04:20:04,019 --> 04:20:05,520 INVESTMENT IN USE AND 6893 04:20:05,520 --> 04:20:06,622 DEVELOPMENT WITH HUMAN 6894 04:20:06,622 --> 04:20:09,358 APPLICABILITY AND FOCUSING ON 6895 04:20:09,358 --> 04:20:11,526 ADVANCING SPECIFIC BIOLOGICAL 6896 04:20:11,526 --> 04:20:13,962 PROCESSES AND STATES AUGMENTING 6897 04:20:13,962 --> 04:20:18,166 IN CAPABILITIES AND 6898 04:20:18,166 --> 04:20:18,734 COMPLEMENTINGABILITIES TO 6899 04:20:18,734 --> 04:20:20,969 REPLACE TRADITIONAL MODELS. 6900 04:20:20,969 --> 04:20:23,906 NEXT, PLEASE. 6901 04:20:23,906 --> 04:20:24,840 OKAY. 6902 04:20:24,840 --> 04:20:28,911 SO, TO ACCOMPLISH OUR GOAL, WE 6903 04:20:28,911 --> 04:20:30,846 RECRUITED A WORKING GROUP FULL 6904 04:20:30,846 --> 04:20:33,148 OF EXPERTS ACROSS SECTORS AND 6905 04:20:33,148 --> 04:20:34,883 DISCIPLINES AND INCLUDING 6906 04:20:34,883 --> 04:20:37,252 MEMBERS FROM ACADEMIA INDUSTRY 6907 04:20:37,252 --> 04:20:39,021 AND FEDERAL AGENCY ENGAGED IN 6908 04:20:39,021 --> 04:20:41,290 SIMILAR ACTIVITIES. 6909 04:20:41,290 --> 04:20:43,492 I WANT TO TAKE OPPORTUNITY TO 6910 04:20:43,492 --> 04:20:46,395 THANK MEMBERS PROVIDING EXPERT 6911 04:20:46,395 --> 04:20:47,729 INPUT AND HARD WORK AND 6912 04:20:47,729 --> 04:20:49,498 DEDICATION IN THE PAST YEAR TO 6913 04:20:49,498 --> 04:20:51,466 PUT TOGETHER A THOUGHTFUL REPORT 6914 04:20:51,466 --> 04:20:53,035 AND RECOMMENDATIONS. 6915 04:20:53,035 --> 04:20:54,269 NEXT, PLEASE. 6916 04:20:54,269 --> 04:20:57,506 OKAY. SO, TO ACCOMPLISH GOALS, 6917 04:20:57,506 --> 04:21:00,409 WE AT THE WORKING GROUP TOOK A 6918 04:21:00,409 --> 04:21:02,678 TWO-PRONGED APPROACH TO ASSESS 6919 04:21:02,678 --> 04:21:05,614 THE LANDSCAPE THAT MEETS 6920 04:21:05,614 --> 04:21:07,282 CHALLENGES AND OPPORTUNITIES FOR 6921 04:21:07,282 --> 04:21:09,518 NAMS AND TO IDENTIFY WHAT IS 6922 04:21:09,518 --> 04:21:11,353 NEEDED AND TO ADVANCE PROGRESS. 6923 04:21:11,353 --> 04:21:14,957 AND AS NAMS ACROSS MANY FIELDS 6924 04:21:14,957 --> 04:21:16,191 THAT INVOLVE MANY PEOPLE FROM 6925 04:21:16,191 --> 04:21:18,627 DEVELOPERS TO USERS AND 6926 04:21:18,627 --> 04:21:20,362 PIPELINES AND OUR WORKING GROUP 6927 04:21:20,362 --> 04:21:25,200 ALSO CONSIDERED IT BENEFICIAL TO 6928 04:21:25,200 --> 04:21:26,568 CONSULT EXTENSIVELY WITH EXPERTS 6929 04:21:26,568 --> 04:21:29,571 IN THE COMMUNITY TO INFORM 6930 04:21:29,571 --> 04:21:29,972 RECOMMENDATIONS. 6931 04:21:29,972 --> 04:21:30,339 NEXT, PLEASE. 6932 04:21:30,339 --> 04:21:32,240 THESE ARE DETAILS ABOUT OUR 6933 04:21:32,240 --> 04:21:35,410 PROCESS AND TIMELINE AND OUR 6934 04:21:35,410 --> 04:21:37,112 WORKING GROUP MET MONTHLY SINCE 6935 04:21:37,112 --> 04:21:39,381 JANUARY TO IDENTIFY THE NEEDS 6936 04:21:39,381 --> 04:21:40,349 AND CHALLENGES AND OPPORTUNITIES 6937 04:21:40,349 --> 04:21:44,353 FOR NAMS. WE UPDATED ACD ON 6938 04:21:44,353 --> 04:21:47,022 PROGRESS IN JUNE OF 2023. 6939 04:21:47,022 --> 04:21:49,891 IN ADDITION, WE THOUGHT IT WAS 6940 04:21:49,891 --> 04:21:52,327 VERY IMPORTANT TO GET INPUT FROM 6941 04:21:52,327 --> 04:21:54,096 EXPERTS THAT WERE IN THE PUBLIC 6942 04:21:54,096 --> 04:21:57,232 AND PUT REQUEST FOR PUBLIC INPUT 6943 04:21:57,232 --> 04:21:59,234 RFI AND HELD TWO WORKSHOPS. 6944 04:21:59,234 --> 04:22:02,004 INCLUDE WUNG INTERNAL AND ONE 6945 04:22:02,004 --> 04:22:03,739 PUBLIC TO HEAR FROM ADDITIONAL 6946 04:22:03,739 --> 04:22:05,574 COMMUNITY AND USER AND 6947 04:22:05,574 --> 04:22:08,143 DEVELOPERS WITH DIFFERENT 6948 04:22:08,143 --> 04:22:08,477 TECHNOLOGIES. 6949 04:22:08,477 --> 04:22:10,779 AND NO LONGER HAVE A YEAR AND 6950 04:22:10,779 --> 04:22:12,781 WORKING GROUP USED INPUTS 6951 04:22:12,781 --> 04:22:14,750 RECEIVING DETERMINING KEY NEEDS 6952 04:22:14,750 --> 04:22:16,718 AND SYNTHESIZING RECOMMENDATIONS 6953 04:22:16,718 --> 04:22:19,121 TO IMPRESS THESE NEEDS LEADING 6954 04:22:19,121 --> 04:22:22,190 TO THE REPORT TODAY. 6955 04:22:22,190 --> 04:22:24,292 NEXT SLIDE, PLEASE. 6956 04:22:24,292 --> 04:22:26,928 OKAY. ONE KEY TASK THAT IS 6957 04:22:26,928 --> 04:22:31,366 DEFINING NAMS AND WHAT ARE NAMS 6958 04:22:31,366 --> 04:22:33,068 AND SCOPE AND MAY KNOW THERE IS 6959 04:22:33,068 --> 04:22:36,505 A BROAD AND DIVERSE SET OF 6960 04:22:36,505 --> 04:22:38,874 TECHNIQUES TO CONCEIVABLY BE 6961 04:22:38,874 --> 04:22:39,641 CONSIDERED ALTERNATIVE METHODS 6962 04:22:39,641 --> 04:22:41,410 AND PURPOSE OF THE WORKING GROUP 6963 04:22:41,410 --> 04:22:43,912 WE NARROWED SCOPE AND FOCUS ON 6964 04:22:43,912 --> 04:22:46,314 AREAS THAT ARE RAPIDLY CHANGING 6965 04:22:46,314 --> 04:22:47,282 TECHNOLOGIES AND COMPLEMENTARY 6966 04:22:47,282 --> 04:22:49,484 AND TRADITIONAL ANIMAL METHODS 6967 04:22:49,484 --> 04:22:52,287 AND WHILE METHODS LIKE 6968 04:22:52,287 --> 04:22:54,156 EVERTEBRATE MODELS AND CLINICAL 6969 04:22:54,156 --> 04:22:56,024 TRIALS ARE VALUABLE AND 6970 04:22:56,024 --> 04:22:57,659 CONSIDERED OUT OF SCOPE AND 6971 04:22:57,659 --> 04:23:00,128 FOCUS OF ASSESSMENT IS ON SUBSET 6972 04:23:00,128 --> 04:23:02,064 OF NAMS THAT COULD TAKE 6973 04:23:02,064 --> 04:23:04,299 ADVANTAGE OF NEW TECHNOLOGIES 6974 04:23:04,299 --> 04:23:07,302 MORE FAITHFULLY REPRESENTING 6975 04:23:07,302 --> 04:23:08,136 HUMAN PATHOPHYSIOLOGY AND 6976 04:23:08,136 --> 04:23:10,372 SERVING AS MODELS OF ORGAN 6977 04:23:10,372 --> 04:23:12,207 TISSUE ENTRY REGENERATION AND 6978 04:23:12,207 --> 04:23:13,475 DISEASE OR TREATMENT AND IN 6979 04:23:13,475 --> 04:23:16,178 PARTICULAR WE FOCUS ON THREE 6980 04:23:16,178 --> 04:23:18,413 AREAS: TECHNOLOGY AND INCLUDING 6981 04:23:18,413 --> 04:23:21,216 ECHEMICAL THAT ARE METHODS IN 6982 04:23:21,216 --> 04:23:25,153 VITRO METHODS AND CELL CULTURE 6983 04:23:25,153 --> 04:23:28,824 METHODS AND COMPUTATIONAL 6984 04:23:28,824 --> 04:23:30,625 INSILICO METHODS MAP MODELS AND 6985 04:23:30,625 --> 04:23:32,527 MACHINE LEARNING AND BASED ON 6986 04:23:32,527 --> 04:23:36,798 EXPERTISE AND COMMUNITY INPUT, 6987 04:23:36,798 --> 04:23:38,533 WE FOUND THAT THESE -- THERE ARE 6988 04:23:38,533 --> 04:23:41,770 MULTIPLE AREAS THAT NAMS ARE 6989 04:23:41,770 --> 04:23:43,071 POTENTIALLY QUITE USEFUL AND 6990 04:23:43,071 --> 04:23:44,806 INCLUDING CONDUCTING BASIC 6991 04:23:44,806 --> 04:23:47,142 RESEARCH AND UNDERSTANDING BASIC 6992 04:23:47,142 --> 04:23:49,744 BIOLOGICAL MECHANISMS ISOLATING 6993 04:23:49,744 --> 04:23:51,012 SYSTEMS SUCH AS [INDISCERNIBLE] 6994 04:23:51,012 --> 04:23:53,281 FUNCTION AND ARE POTENTIALLY 6995 04:23:53,281 --> 04:23:56,184 USEFUL IN UNCOVERING HUMAN 6996 04:23:56,184 --> 04:23:57,619 PATHOPHYSIOLOGY MECHANISMS THAT 6997 04:23:57,619 --> 04:23:58,987 IS HOW CELLS INTERACT WITH EACH 6998 04:23:58,987 --> 04:24:01,223 OTHER AND ARE BEING USED FOR 6999 04:24:01,223 --> 04:24:02,224 TRANSLATING KNOWLEDGE TO 7000 04:24:02,224 --> 04:24:03,992 PRODUCTS AND PRACTICE SUCH AS 7001 04:24:03,992 --> 04:24:07,395 TOX LOGICAL TESTING AND DRUG 7002 04:24:07,395 --> 04:24:07,696 SCREENING. 7003 04:24:07,696 --> 04:24:10,699 THERE ARE AREAS ALSO WHERE NAMS 7004 04:24:10,699 --> 04:24:12,634 APPEAR TO BE LESS USEFUL THAT 7005 04:24:12,634 --> 04:24:14,636 MAY BE FOR THINGS CONSTRUCTING 7006 04:24:14,636 --> 04:24:16,471 COMPLEX BIOLOGICAL SYSTEMS SUCH 7007 04:24:16,471 --> 04:24:19,574 AS STUDYING BEHAVIOR AND/OR 7008 04:24:19,574 --> 04:24:21,443 PREDICTING WHOLE BODY RESPONSES 7009 04:24:21,443 --> 04:24:23,945 UNDER PATHOLOGICAL CONDITIONS 7010 04:24:23,945 --> 04:24:25,647 OVER TIME SUCH AS AGING AND 7011 04:24:25,647 --> 04:24:28,250 ENVIRONMENTAL FACTORS THAT ARE 7012 04:24:28,250 --> 04:24:29,551 DIFFICULT TO REPLICATE IN 7013 04:24:29,551 --> 04:24:31,786 CURRENT MODELS AND NOTING THAT 7014 04:24:31,786 --> 04:24:32,988 WHILE THERE ARE HUGE 7015 04:24:32,988 --> 04:24:40,228 OPPORTUNITIES FOR NANAMS THEY HE 7016 04:24:40,228 --> 04:24:42,130 CHALLENGE AND MODELS AND THESE 7017 04:24:42,130 --> 04:24:45,133 INCLUDE RIGOR REPRODUCIBILITY 7018 04:24:45,133 --> 04:24:46,801 AND TRANSLATABILITY THAT ARE 7019 04:24:46,801 --> 04:24:48,203 EXISTING WITH NAMS. 7020 04:24:48,203 --> 04:24:49,404 NEXT SLIDE, PLEASE. 7021 04:24:49,404 --> 04:24:51,339 BEFORE WE GET TO SPECIFIC 7022 04:24:51,339 --> 04:24:54,442 RECOMMENDATIONS, I WANT TO MAYBE 7023 04:24:54,442 --> 04:24:56,211 HELP AND SUGGEST WHAT WOULD BE 7024 04:24:56,211 --> 04:24:59,581 POSSIBLE IF WE HAD A NEXT 7025 04:24:59,581 --> 04:25:01,149 GENERATION OF ALTERNATIVE 7026 04:25:01,149 --> 04:25:02,817 METHODS AND A PROBLEM THAT IS 7027 04:25:02,817 --> 04:25:04,786 VERY IMPORTANT THAT I STUDY THAT 7028 04:25:04,786 --> 04:25:15,530 IS INCLUDING CANCER METACY AFT 7029 04:25:16,598 --> 04:25:18,867 ACYST ANIMAL MODELS THAT IS 7030 04:25:18,867 --> 04:25:20,335 STUDYING THIS PROCESS THAT IS 7031 04:25:20,335 --> 04:25:22,137 HAPPENING AND COMING UP WITH 7032 04:25:22,137 --> 04:25:23,872 INTERVENTIONS TO ACTUALLY STUDY 7033 04:25:23,872 --> 04:25:24,439 AT SCALE. 7034 04:25:24,439 --> 04:25:27,008 THIS IS BECAUSE WE ARE TALKING 7035 04:25:27,008 --> 04:25:29,444 ABOUT CANCER CELLS AND IMMUNE 7036 04:25:29,444 --> 04:25:33,281 CELLS AND MULTIPLE DIFFERENT 7037 04:25:33,281 --> 04:25:35,884 ORGANS AND VISION WITH MODELS 7038 04:25:35,884 --> 04:25:38,019 REPLICATING THEM AND STUDY AND 7039 04:25:38,019 --> 04:25:40,956 OBSERVE THEM AND PERTURB THEM 7040 04:25:40,956 --> 04:25:42,057 WITH HIGH FIDELITY AND 7041 04:25:42,057 --> 04:25:44,392 INFORMATION CONTENT WOULD BE FOR 7042 04:25:44,392 --> 04:25:45,594 EXAMPLE A VERY TRANSFORMATIVE 7043 04:25:45,594 --> 04:25:47,529 SORT OF TECHNOLOGY THAT COULD 7044 04:25:47,529 --> 04:25:49,564 HELP BENCHMARKING FOR CLINICAL 7045 04:25:49,564 --> 04:25:51,566 DATA SETS AND INTERVENTIONS AND 7046 04:25:51,566 --> 04:25:54,102 THINKING ALSO ABOUT TECHNOLOGIES 7047 04:25:54,102 --> 04:25:55,637 THAT YOU CAN IMAGINE WOULD BE 7048 04:25:55,637 --> 04:25:57,706 VERY COMPLICATED TOOLS AND WHAT 7049 04:25:57,706 --> 04:25:59,941 IT WOULD TAKE TO MAKE THESE 7050 04:25:59,941 --> 04:26:01,910 EXPERIMENTS REPRODUCIBLE ACROSS 7051 04:26:01,910 --> 04:26:04,246 DIFFERENT GROUPS AND TECHNOLOGY 7052 04:26:04,246 --> 04:26:07,949 MIGHT INVOLVE MULTIPLE KINDS OF 7053 04:26:07,949 --> 04:26:09,150 SPECIALIZED TRAINING AND 7054 04:26:09,150 --> 04:26:10,986 TRAINING PEOPLE TO UNDERSTAND 7055 04:26:10,986 --> 04:26:14,456 AND USE TOOLS IN EFFECTIVE 7056 04:26:14,456 --> 04:26:14,923 FASHION. 7057 04:26:14,923 --> 04:26:17,525 THEY ARE ALL NONTRIVIAL 7058 04:26:17,525 --> 04:26:18,093 CHALLENGES. 7059 04:26:18,093 --> 04:26:19,995 NEXT SLIDE, PLEASE. 7060 04:26:19,995 --> 04:26:21,863 SO, FROM WHAT WE HEARD FROM BOTH 7061 04:26:21,863 --> 04:26:23,498 OF OUR WORKING GROUPS AND 7062 04:26:23,498 --> 04:26:25,433 MEMBERS OF THE COMMUNITY, IT IS 7063 04:26:25,433 --> 04:26:28,603 CLEAR THAT NAMS ARE QUITE 7064 04:26:28,603 --> 04:26:30,505 VALUABLE FOR RESEARCHING MANY 7065 04:26:30,505 --> 04:26:31,906 APPLICATION AND FIELDS AND WHILE 7066 04:26:31,906 --> 04:26:34,042 WORK IS BEING DONE A KEY THEME 7067 04:26:34,042 --> 04:26:35,977 THAT HAS MERGED THAT IS CURRENT 7068 04:26:35,977 --> 04:26:39,314 OPPORTUNITY FOR INTEGRATION AND 7069 04:26:39,314 --> 04:26:40,849 INTERDISCIPLINARY WORK BRINGING 7070 04:26:40,849 --> 04:26:42,284 TOGETHER DIFFERENT DISCIPLINES, 7071 04:26:42,284 --> 04:26:43,818 SECTORS AND TECHNOLOGIES THAT IS 7072 04:26:43,818 --> 04:26:46,421 A PLACE THAT CREATIVITY 7073 04:26:46,421 --> 04:26:47,656 INNOVATION COULD REALLY HAPPEN 7074 04:26:47,656 --> 04:26:49,491 AND THERE MIGHT BE SOLUTIONS 7075 04:26:49,491 --> 04:26:52,060 EXISTING AT INTERSECTION OF 7076 04:26:52,060 --> 04:26:54,095 DIFFERENT DISCIPLINES WHERE 7077 04:26:54,095 --> 04:26:55,563 SOLUTION IS NOT OBVIOUS TO THOSE 7078 04:26:55,563 --> 04:26:57,666 THAT ARE WORKING IN ONE AREA 7079 04:26:57,666 --> 04:27:00,435 ONLY AND MIGHT NOT BE OTHERWISE 7080 04:27:00,435 --> 04:27:00,769 IMAGINED. 7081 04:27:00,769 --> 04:27:03,038 BY INTEGRATING THESE 7082 04:27:03,038 --> 04:27:05,607 PERSPECTIVES AND EARLY 7083 04:27:05,607 --> 04:27:06,174 TECHNOLOGY CONCEPTION AND 7084 04:27:06,174 --> 04:27:08,877 RESEARCHERS DEVELOP NAMSS THAT 7085 04:27:08,877 --> 04:27:11,212 HAVE HIGHER QUALITY AND 7086 04:27:11,212 --> 04:27:12,447 REPRODUCIBLE FINDINGS WITH 7087 04:27:12,447 --> 04:27:15,517 HUMANS AND HUMAN BIOLOGY AND 7088 04:27:15,517 --> 04:27:16,885 WORKING GROUP DEVELOPED 7 THEME 7089 04:27:16,885 --> 04:27:19,988 ATTIC AREAS IN HIGH PRIORITY 7090 04:27:19,988 --> 04:27:23,024 NEEDS TO ADDRESS AND ACCELERATE 7091 04:27:23,024 --> 04:27:25,894 NAMS THAT I WILL TURN OVER TO 7092 04:27:25,894 --> 04:27:28,830 DR. JORGENSON TO GO ISSUES AND 7093 04:27:28,830 --> 04:27:29,497 RECOMMENDATIONS IN DEPTH. 7094 04:27:29,497 --> 04:27:31,366 >> THANK SO YOU MUCH, HOWARD, 7095 04:27:31,366 --> 04:27:33,368 FOR WALKING US THROUGH THE 7096 04:27:33,368 --> 04:27:34,903 BEGINNING OF OUR TASK HERE. WE 7097 04:27:34,903 --> 04:27:36,504 ARE REALLY, REALLY EXCITED ABOUT 7098 04:27:36,504 --> 04:27:38,006 TALKING ABOUT RECOMMENDATIONS. 7099 04:27:38,006 --> 04:27:39,574 NEXT SLIDE, PLEASE. 7100 04:27:39,574 --> 04:27:41,476 HOWARD OUTLINED THAT MANY OF YOU 7101 04:27:41,476 --> 04:27:43,745 AND THOSE LISTENING TODAY ARE 7102 04:27:43,745 --> 04:27:45,814 WORKING ON SUCCESSFUL CREATION 7103 04:27:45,814 --> 04:27:49,117 AND DEPLOYMENT OF NAMS AND 7104 04:27:49,117 --> 04:27:51,886 OPPORTUNITY HERE ADVANCING NIH'S 7105 04:27:51,886 --> 04:27:53,988 MISSION IS HOW TECHNOLOGIES 7106 04:27:53,988 --> 04:27:56,358 INTEGRATE WITH EACH OTHER AND 7107 04:27:56,358 --> 04:27:57,692 ACROSS TRADITIONAL RESEARCH 7108 04:27:57,692 --> 04:27:59,427 APPROACHES AND WHAT WE HAVE WITH 7109 04:27:59,427 --> 04:28:01,196 EXPERTS ACROSS SECTORS AND 7110 04:28:01,196 --> 04:28:03,565 FIELDS AND EYE TOWARDS 7111 04:28:03,565 --> 04:28:05,133 ADDRESSING HIGH PRIORITY NEEDS 7112 04:28:05,133 --> 04:28:08,236 THAT HOWARD OUTLINES SEVERAL 7113 04:28:08,236 --> 04:28:09,371 RECOMMENDATIONS IMPLEMENTED 7114 04:28:09,371 --> 04:28:11,005 COULD BE TRANSFORMATIVE FOR 7115 04:28:11,005 --> 04:28:13,308 DEVELOPMENT END USE OF NAMSS. 7116 04:28:13,308 --> 04:28:15,377 YOU HEAR US SAY DEVELOPMENT AND 7117 04:28:15,377 --> 04:28:17,979 USE AND THINK BOTH OF THOSE IN 7118 04:28:17,979 --> 04:28:20,315 TANDEM MOVING FORWARD AND LIST 7119 04:28:20,315 --> 04:28:22,450 OF REJS ON SCREEN AND NUMERICAL 7120 04:28:22,450 --> 04:28:25,053 ORDER ARE NOT PRIORITY ORDER AND 7121 04:28:25,053 --> 04:28:26,755 BE CONSIDERED IN TOTAL TO 7122 04:28:26,755 --> 04:28:27,956 ACHIEVE VISION WE ARE DISCUSSING 7123 04:28:27,956 --> 04:28:29,557 TODAY AND WALKING THROUGH EACH 7124 04:28:29,557 --> 04:28:31,526 OF THE 7 INDIVIDUALLY NOW AND GO 7125 04:28:31,526 --> 04:28:33,962 INTO DETAIL NOW ABOUT SPECIFIC 7126 04:28:33,962 --> 04:28:34,863 IMPLEMENTATION RECOMMENDATIONS. 7127 04:28:34,863 --> 04:28:36,097 NEXT SLIDE, PLEASE. 7128 04:28:36,097 --> 04:28:38,666 SO, AS I THINK THAT MANY KNOW, 7129 04:28:38,666 --> 04:28:40,301 ANSWERING A COMPLEX BIOLOGICAL 7130 04:28:40,301 --> 04:28:42,137 QUESTION OFTEN RELIES ON 7131 04:28:42,137 --> 04:28:44,572 MULTIPLE METHODS AND APPROACHES 7132 04:28:44,572 --> 04:28:48,910 TO ADDRESS PHYSIOLOGICAL METHODS 7133 04:28:48,910 --> 04:28:52,046 UNDERLYING A SYSTEM BEHAVIOR AND 7134 04:28:52,046 --> 04:28:56,251 MAKES SENSE INSILICO CHEMOCO IN 7135 04:28:56,251 --> 04:28:58,787 VITRO MODELS COULD BE DRIVER OF 7136 04:28:58,787 --> 04:29:01,022 NEW OPPORTUNITIES AND EQUIP 7137 04:29:01,022 --> 04:29:02,424 RESEARCHERS WITH NEW TOOLS 7138 04:29:02,424 --> 04:29:04,392 ANSWERING PREVIOUSLY 7139 04:29:04,392 --> 04:29:05,894 UNANSWERABLE QUESTIONS HOWARD 7140 04:29:05,894 --> 04:29:08,196 TALKED TO YOU ABOUT CANCER THAT 7141 04:29:08,196 --> 04:29:10,331 COULD BE ACHIEVED HERE AND 7142 04:29:10,331 --> 04:29:14,969 THINKING ABOUT STRATEGICALLY 7143 04:29:14,969 --> 04:29:17,505 COMBINING NAMS TO LEAD TO 7144 04:29:17,505 --> 04:29:19,107 OPPORTUNITIES AND NIH FIND WAYS 7145 04:29:19,107 --> 04:29:21,443 TO PRIORITIZE DEVELOPMENT USE 7146 04:29:21,443 --> 04:29:24,245 AND COMBIN ATORIAL NAMS 7147 04:29:24,245 --> 04:29:26,247 INSTITUTES ARE WORKING THROUGH 7148 04:29:26,247 --> 04:29:27,682 THEM INDIVIDUAL AND WE WANT TO 7149 04:29:27,682 --> 04:29:32,587 SEE INTEGRATED APPROACH AND 7150 04:29:32,587 --> 04:29:33,822 ACTIVITIES FOR RECOMMENDATION 1 7151 04:29:33,822 --> 04:29:34,956 AGENCY SHOULD CONSIDER 7152 04:29:34,956 --> 04:29:38,359 STANDARDIZING NA MANY. S AND 7153 04:29:38,359 --> 04:29:38,893 BENCHMARKING METHODS TO 7154 04:29:38,893 --> 04:29:40,662 DETERMINE STRENGTHS AND 7155 04:29:40,662 --> 04:29:41,896 SUITABILITY OF INDIVIDUAL AND 7156 04:29:41,896 --> 04:29:43,932 COMBIN ATORIAL APPROACH. 7157 04:29:43,932 --> 04:29:45,533 WE RECOMMEND ALSO THAT WE 7158 04:29:45,533 --> 04:29:48,670 DETERMINE HOW NAMS AND COMBIN 7159 04:29:48,670 --> 04:29:50,972 ATORIAL NAMS COMPARE AGAINST 7160 04:29:50,972 --> 04:29:52,474 EACH OTHER AND MODELS TO 7161 04:29:52,474 --> 04:29:54,342 DETERMINE AND BUILD TRUST IN 7162 04:29:54,342 --> 04:29:56,845 RELIABLE AND REPRODUCIBILITY AND 7163 04:29:56,845 --> 04:29:59,447 IDENTIFY STRENGTH AND WEAKNESSES 7164 04:29:59,447 --> 04:30:02,917 FOR HYPOTHESES SO RESEARCHERS 7165 04:30:02,917 --> 04:30:04,619 CAN CHOOSE BEST MODEL FOR 7166 04:30:04,619 --> 04:30:06,354 ANSWERING QUESTIONS AND PILOT 7167 04:30:06,354 --> 04:30:07,822 STUDIES ON TECHNOLOGIES 7168 04:30:07,822 --> 04:30:09,657 SUPPORTING THREE RS OF 7169 04:30:09,657 --> 04:30:11,359 REPLACEMENT REDUCTION REFINEMENT 7170 04:30:11,359 --> 04:30:13,127 AND COMPLEMENT CURRENTLY USED 7171 04:30:13,127 --> 04:30:15,063 BOTH STANDARD MODELS AND 7172 04:30:15,063 --> 04:30:17,832 IMPORTANTLY IN 1.4 WE SEE THAT 7173 04:30:17,832 --> 04:30:19,334 NIH SHOULD CONTINUE EFFORTS 7174 04:30:19,334 --> 04:30:23,104 TRACKING INVESTMENTS IN NAMS TO 7175 04:30:23,104 --> 04:30:25,240 MONITOR AND ASSESS GAPS AND 7176 04:30:25,240 --> 04:30:27,275 CRITICAL FEATURE OF EMERGING 7177 04:30:27,275 --> 04:30:28,543 TECHNOLOGY TO SHAPE ULTIMATE 7178 04:30:28,543 --> 04:30:30,111 UTILITY AND RESEARCH. 7179 04:30:30,111 --> 04:30:31,779 NEXT SLIDE, PLEASE. 7180 04:30:31,779 --> 04:30:35,283 HIGH PRIORITY NEEDS 2 I AM SURE 7181 04:30:35,283 --> 04:30:36,618 RESONATES WITH MANY AND NOT ALL 7182 04:30:36,618 --> 04:30:38,653 OF US HERE TODAY IS NEED NOT 7183 04:30:38,653 --> 04:30:40,688 ONLY FOR RELIABLE TECHNOLOGY AND 7184 04:30:40,688 --> 04:30:42,657 NEED FOR HIGH-QUALITY DATA YOU 7185 04:30:42,657 --> 04:30:43,725 THAT IS INTEROPERABLE FOR USE 7186 04:30:43,725 --> 04:30:46,594 AND DEVELOPMENT. 7187 04:30:46,594 --> 04:30:50,565 TO VALIDATE NAMS WE NEED ACCESS 7188 04:30:50,565 --> 04:30:51,366 TO INTEROPERABLE HIGH QUALITY 7189 04:30:51,366 --> 04:30:54,202 DATA SETS AND INCLUDING 7190 04:30:54,202 --> 04:30:56,170 ASSOCIATED METADATA THAT IS AN 7191 04:30:56,170 --> 04:30:57,272 IMPORTANT THING THAT GROUPS 7192 04:30:57,272 --> 04:30:59,240 DISCUSSED IN DETAIL AND DATA 7193 04:30:59,240 --> 04:31:02,210 SETS WE BEGIN TO IMPROVE 7194 04:31:02,210 --> 04:31:03,778 COMPARISONS BETWEEN 7195 04:31:03,778 --> 04:31:04,746 METHODOLOGIES TO UNDERSTAND 7196 04:31:04,746 --> 04:31:06,748 STRENGTHS AND LIMITATIONS AND 7197 04:31:06,748 --> 04:31:08,516 NEXT SLIDE, PLEASE. 7198 04:31:08,516 --> 04:31:10,218 SPECIFICALLY RECOMMENDATION 2 7199 04:31:10,218 --> 04:31:11,352 WORKING GROUP RECOMMENDS NIH 7200 04:31:11,352 --> 04:31:14,422 WORKS ACROSS COMMUNITIES AND 7201 04:31:14,422 --> 04:31:15,823 SECTORS ESTABLISHING RESEARCH 7202 04:31:15,823 --> 04:31:20,495 AND COLLABORATIONS TO PROMOTE 7203 04:31:20,495 --> 04:31:22,230 INTEROPERABLE AND HIGHLY CURATED 7204 04:31:22,230 --> 04:31:24,265 HIGH QUALITY DATA SETS AND BIG 7205 04:31:24,265 --> 04:31:26,534 ITEM THAT NIH CAN'T DO THIS 7206 04:31:26,534 --> 04:31:27,902 ALONE AND WORKING GROUP 7207 04:31:27,902 --> 04:31:28,970 RECOGNIZED THIS IMPORTANT NEED 7208 04:31:28,970 --> 04:31:31,506 FOR THE CATALYST TO CONVENE. 7209 04:31:31,506 --> 04:31:33,207 HOWEVER, NIH COULD PLAY A 7210 04:31:33,207 --> 04:31:34,842 LEADING ROLE IN SETTING THE TONE 7211 04:31:34,842 --> 04:31:37,412 HERE DETERMINING AND ADDRESSING 7212 04:31:37,412 --> 04:31:39,547 WHAT BARRIERS ARE TO SHARING AND 7213 04:31:39,547 --> 04:31:41,516 REUSING DATA ESPECIALLY AROUND 7214 04:31:41,516 --> 04:31:43,685 DIFFERENT FORMATS AND STANDARDS 7215 04:31:43,685 --> 04:31:46,254 DIFFERENT DATA SETS POOR 7216 04:31:46,254 --> 04:31:48,022 CURATION AND MORE AND 7217 04:31:48,022 --> 04:31:49,524 OPPORTUNITY TO DEVELOP AND 7218 04:31:49,524 --> 04:31:51,726 DISSEMINATE METHODS ASSESSING 7219 04:31:51,726 --> 04:31:54,596 QUALITY AND LEVERAGING EXISTING 7220 04:31:54,596 --> 04:31:55,897 DATA QUALITY METRICS WE LEARN 7221 04:31:55,897 --> 04:31:57,732 FROM OTHER DISCIPLINES AND 7222 04:31:57,732 --> 04:31:59,467 OPPORTUNITY TO ESTABLISH 7223 04:31:59,467 --> 04:32:02,303 POLICIES AND INFRASTRUCTURE 7224 04:32:02,303 --> 04:32:03,938 HELPING WITH -- GNOMEN 7225 04:32:03,938 --> 04:32:05,440 COLLATETURE AND MORE AND NOTING 7226 04:32:05,440 --> 04:32:08,610 NEW DATA MANAGEMENT INSURANCE 7227 04:32:08,610 --> 04:32:10,812 POLICIES ARE GOOD FIRST STEP FOR 7228 04:32:10,812 --> 04:32:12,780 INFRASTRUCTURE FOR NAM DATA SETS 7229 04:32:12,780 --> 04:32:15,016 INCLUDING ALGORITHMS THAT COULD 7230 04:32:15,016 --> 04:32:17,552 BE IMPORTANT FOR INSILICO 7231 04:32:17,552 --> 04:32:17,785 MODELS. 7232 04:32:17,785 --> 04:32:19,487 NEXT SLIDE, PLEASE. 7233 04:32:19,487 --> 04:32:21,723 CONSISTENT WITH PRIOR 7234 04:32:21,723 --> 04:32:25,827 IMPLEMENTATION, EFFORTS ARE 7235 04:32:25,827 --> 04:32:29,430 NEEDED FOR FAIR DATA 7236 04:32:29,430 --> 04:32:31,766 INTEROPERABLE ACCESSIBLE AND 7237 04:32:31,766 --> 04:32:33,301 REUSABLE AND COULD DEFINE AND IF 7238 04:32:33,301 --> 04:32:36,337 NOT FIND ONE CREATE A DESIGNATED 7239 04:32:36,337 --> 04:32:40,575 REPOSITORY FOR SHARING NAMS DATA 7240 04:32:40,575 --> 04:32:43,177 PROMOTING EQUITABLE SHARING USE 7241 04:32:43,177 --> 04:32:47,382 OF HIGH QUALITY DATA AND 7242 04:32:47,382 --> 04:32:48,683 RECOMMENDED COULDN'T BE ACHIEVED 7243 04:32:48,683 --> 04:32:51,386 THROUGH NIH ALONE. 7244 04:32:51,386 --> 04:32:54,255 BADLY NEEDED TO INCENTIVIZE FOR 7245 04:32:54,255 --> 04:32:55,723 COLLECTION SHARING AND MANAGING 7246 04:32:55,723 --> 04:32:56,958 SHARING DATA THAT IS IMPORTANT 7247 04:32:56,958 --> 04:32:59,027 TO HELP RESEARCHERS HARD TO 7248 04:32:59,027 --> 04:33:00,962 ACCESS DATA MIGHT BE VALUABLE 7249 04:33:00,962 --> 04:33:03,765 FOR RESEARCH SUCH AS UNPUBLISHED 7250 04:33:03,765 --> 04:33:05,667 AND PRE-COMPETITIVE DATA THAT 7251 04:33:05,667 --> 04:33:09,537 ISSIN DUSTRY'S HANDS AND UNDER 7252 04:33:09,537 --> 04:33:10,138 RECOMMENDATION WORKING GROUP 7253 04:33:10,138 --> 04:33:12,674 FELT THAT FOR PEOPLE TO TRUST 7254 04:33:12,674 --> 04:33:15,677 NAMSS DATA AND ADOPT WHAT WE 7255 04:33:15,677 --> 04:33:17,245 FIND FROM NEW TECHNOLOGIES 7256 04:33:17,245 --> 04:33:19,147 GENERATE NEW WAYS FOR PEOPLE TO 7257 04:33:19,147 --> 04:33:21,115 ACCESS DATA IMPROVE 7258 04:33:21,115 --> 04:33:22,283 CHARACTERIZATION AND ULTIMATE 7259 04:33:22,283 --> 04:33:22,850 QUALITY. 7260 04:33:22,850 --> 04:33:24,485 NEXT SLIDE, PLEASE. 7261 04:33:24,485 --> 04:33:26,621 RECOMMENDATION 3, WORKING GROUP 7262 04:33:26,621 --> 04:33:27,955 SPENT CONSIDERING TIME TO THINK 7263 04:33:27,955 --> 04:33:30,324 ABOUT ENSURING BENEFITS OF NA 7264 04:33:30,324 --> 04:33:32,060 MANY. SS AND HOW THEY COULD 7265 04:33:32,060 --> 04:33:33,661 WIDELY BENEFIT ALL AND THIS IS 7266 04:33:33,661 --> 04:33:34,929 NOT ONLY DEVELOPMENT OF 7267 04:33:34,929 --> 04:33:36,531 TECHNOLOGY AND USE OF GETTING IT 7268 04:33:36,531 --> 04:33:39,133 INTO HANDS OF OTHER RESEARCHERS 7269 04:33:39,133 --> 04:33:41,602 AND BELIEVE THAT HOWARD 7270 04:33:41,602 --> 04:33:42,837 MENTIONED CRISPR IN THE 7271 04:33:42,837 --> 04:33:44,906 BEGINNING AND EXAMPLE HOW GENE 7272 04:33:44,906 --> 04:33:46,808 EDITING TECHNOLOGIES AROUND FOR 7273 04:33:46,808 --> 04:33:48,543 DECADES AND CRISPR MADE IT MUCH 7274 04:33:48,543 --> 04:33:51,345 MORE USEFUL TOOL FOR RESEARCH 7275 04:33:51,345 --> 04:33:54,916 AROUND THE GLOBE NOT DONE BY 7276 04:33:54,916 --> 04:33:56,884 ACCIDENT AND DEDICATED EFFORTS 7277 04:33:56,884 --> 04:33:59,353 HOW RESEARCH COULD BE USED AND 7278 04:33:59,353 --> 04:34:01,789 TO MAKE QUALITATIVE SCIENTIFIC 7279 04:34:01,789 --> 04:34:02,123 ADVANCES. 7280 04:34:02,123 --> 04:34:04,125 NEXT SLIDE, PLEASE. 7281 04:34:04,125 --> 04:34:06,260 REGARDING RECOMMENDATION, 7282 04:34:06,260 --> 04:34:08,162 WORKING GROUP RECOMMENDS 7283 04:34:08,162 --> 04:34:11,132 APPROACHES IN SPIRIT PROMOTING 7284 04:34:11,132 --> 04:34:13,735 ADOPTION OF INTERCONNECTED 7285 04:34:13,735 --> 04:34:15,269 NANOTECHNOLOGIES NIH SHOULD 7286 04:34:15,269 --> 04:34:17,672 CREATE MECHANISMS SUPPORTING 7287 04:34:17,672 --> 04:34:18,740 TESTING VALIDATION QUALIFICATION 7288 04:34:18,740 --> 04:34:21,609 AND BENCHMARKING OF COMBIN 7289 04:34:21,609 --> 04:34:23,611 ATORIAL SYSTEMS TO UNDERSTAND 7290 04:34:23,611 --> 04:34:25,346 WHICH NAMS ARE MOST EFFECTIVE 7291 04:34:25,346 --> 04:34:28,916 AND USEFUL AND RECOMMEND HELPING 7292 04:34:28,916 --> 04:34:30,918 RESEARCHERS ACCESS VALIDATED 7293 04:34:30,918 --> 04:34:33,054 NAMS DUE TO CREATION OF 7294 04:34:33,054 --> 04:34:34,789 REPOSITORIES AND SOURCES FOR 7295 04:34:34,789 --> 04:34:36,524 MATERIALS NEEDED TO USE NAMS AND 7296 04:34:36,524 --> 04:34:41,195 FOR INSTANCE DONOR CELLS AND 7297 04:34:41,195 --> 04:34:43,865 ALGORITHMS AND FIND WAYS TO 7298 04:34:43,865 --> 04:34:45,566 INCENTIVIZE MAKING NAMS SIMPLER 7299 04:34:45,566 --> 04:34:48,035 TO USE AND RESEARCH TOOL 7300 04:34:48,035 --> 04:34:50,071 ACCESSIBLE AND CHEAPER TO USE 7301 04:34:50,071 --> 04:34:51,172 AND FINALLY UNDER THE 7302 04:34:51,172 --> 04:34:52,940 RECOMMENDATION TO WORK WITH A 7303 04:34:52,940 --> 04:34:54,475 COMMUNITY TO SET CLEAR 7304 04:34:54,475 --> 04:34:56,410 EXPECTATION FOR NAM STUDIES TO 7305 04:34:56,410 --> 04:34:57,478 USE ESTABLISHED REPORTING 7306 04:34:57,478 --> 04:34:59,313 GUIDELINES THAT WE SEE IN MANY 7307 04:34:59,313 --> 04:35:00,882 OTHER SORTS WORKING WITH 7308 04:35:00,882 --> 04:35:03,651 JOURNALS AND COMMUNITIES AND 7309 04:35:03,651 --> 04:35:05,386 NEXT SLIDE, PLEASE. 7310 04:35:05,386 --> 04:35:07,955 RECOMMENDATION 4 IS SOMETHING WE 7311 04:35:07,955 --> 04:35:11,359 TALK ABOUT WITH EVERY EFFORT WE 7312 04:35:11,359 --> 04:35:13,327 DO HERE AND SELF-EVIDENT AND 7313 04:35:13,327 --> 04:35:17,632 NAMS AND EFFECTIVE STRATEGIES 7314 04:35:17,632 --> 04:35:18,499 DISSEMINATING TOOLS AND ALSO HOW 7315 04:35:18,499 --> 04:35:19,534 TO USE THEM. 7316 04:35:19,534 --> 04:35:22,970 IT WILL BE IMPERATIVE TO DO SO 7317 04:35:22,970 --> 04:35:24,806 FOR INTERDISCIPLINARY TEAMS AND 7318 04:35:24,806 --> 04:35:27,208 HOW TO DEPLOY NEW AND EFFECTIVE 7319 04:35:27,208 --> 04:35:27,942 TECHNOLOGIES. 7320 04:35:27,942 --> 04:35:29,977 NEXT SLIDE, PLEASE. 7321 04:35:29,977 --> 04:35:33,748 RECOMMENDATION 4, THE WORKING 7322 04:35:33,748 --> 04:35:35,383 GROUP RECOMMENDED FOR SPECIFIC 7323 04:35:35,383 --> 04:35:37,318 INVESTMENT AND COMPREHENSIVE 7324 04:35:37,318 --> 04:35:39,687 TRAINING TO BOLSTER CONTINUOUS 7325 04:35:39,687 --> 04:35:41,222 ADVANCES IN NAM'S DEVELOPMENT 7326 04:35:41,222 --> 04:35:44,125 AND USE AND AC WORKED TO ADDRESS 7327 04:35:44,125 --> 04:35:45,993 CHALLENGE MORE AS MORE AREAS OF 7328 04:35:45,993 --> 04:35:47,995 ABOUT I- MEDICAL RESEARCH ARE 7329 04:35:47,995 --> 04:35:50,131 RELYING ON CONVERGENCE ACROSS 7330 04:35:50,131 --> 04:35:52,233 FIELDS AND NIH TAKES LESSONS WE 7331 04:35:52,233 --> 04:35:53,935 HAVE DONE HERE TO AUGMENT THIS 7332 04:35:53,935 --> 04:35:57,438 WORK AND REGARDING APPROACHES 7333 04:35:57,438 --> 04:36:00,274 WORKING GROUP RECOMMENDED 7334 04:36:00,274 --> 04:36:01,776 INCENTIVIZED CROSS-TRAININGS 7335 04:36:01,776 --> 04:36:03,611 ACROSS SECTORS AND DISCIPLINES 7336 04:36:03,611 --> 04:36:05,112 COULD BE OPPORTUNITIES FOR 7337 04:36:05,112 --> 04:36:06,714 CROSS-TRAINING THAT NIH HAS 7338 04:36:06,714 --> 04:36:08,683 EXPLORED IN TERMS OF WORKING 7339 04:36:08,683 --> 04:36:09,817 ACROSS DIFFERENT SORTS OF 7340 04:36:09,817 --> 04:36:11,719 ORGANIZATIONS OR SECTORS AND 7341 04:36:11,719 --> 04:36:12,787 IMPORTANTLY AND INTERESTING 7342 04:36:12,787 --> 04:36:14,689 RECOMMENDATION FOR GROUP TO 7343 04:36:14,689 --> 04:36:17,191 CONSIDER WAS THEIR CONCERN THAT 7344 04:36:17,191 --> 04:36:17,892 EMERGING TECHNOLOGIES DON'T 7345 04:36:17,892 --> 04:36:21,529 SCORE AS FAVORABLY DURING PEER 7346 04:36:21,529 --> 04:36:23,064 REVIEW PROCESS BECAUSE OF LACK 7347 04:36:23,064 --> 04:36:25,867 OF FAMILIARITY AND EVIDENCE-BASE 7348 04:36:25,867 --> 04:36:27,835 TO ADOPT TO PEER REVIEW 7349 04:36:27,835 --> 04:36:29,604 PROCESSES AND MORE EVIDENCE TO 7350 04:36:29,604 --> 04:36:31,439 BE DONE TO HELP PEER REVIEW 7351 04:36:31,439 --> 04:36:33,107 TECHNOLOGY AS THEY EMERGE AND 7352 04:36:33,107 --> 04:36:33,841 GROUP RECOMMENDED NEW 7353 04:36:33,841 --> 04:36:35,276 OPPORTUNITIES BE CREATED TO 7354 04:36:35,276 --> 04:36:36,477 TRAIN DEVELOPERS TO UNDERSTAND 7355 04:36:36,477 --> 04:36:39,280 HOW NAMS WILL BE USED AND CENTER 7356 04:36:39,280 --> 04:36:42,884 ANGLE NOT ONLY ON CREATION OF 7357 04:36:42,884 --> 04:36:44,952 TECHNOLOGY FOR TECHNOLOGY'S SAKE 7358 04:36:44,952 --> 04:36:47,355 BUT UTILITY AND APPLICABILITY. 7359 04:36:47,355 --> 04:36:48,823 NEXT SLIDE, PLEASE. 7360 04:36:48,823 --> 04:36:49,991 CONTINUING IN LINE OF 7361 04:36:49,991 --> 04:36:51,292 COMPREHENSIVE TRAINING WE TALKED 7362 04:36:51,292 --> 04:36:52,693 ABOUT OPPORTUNITIES FOR 7363 04:36:52,693 --> 04:36:54,195 ACADEMICS TO INTEGRATE INTO 7364 04:36:54,195 --> 04:36:57,064 REGULATORY PROCESSES OR INDUSTRY 7365 04:36:57,064 --> 04:37:00,201 SECTORS TO LEARN HOW TO WORK TO 7366 04:37:00,201 --> 04:37:02,803 APPROACH OR USE NAMS 7367 04:37:02,803 --> 04:37:04,672 TECHNOLOGIES AND EMPHASIZE 7368 04:37:04,672 --> 04:37:05,806 TRAINING INCLUDES BROADER 7369 04:37:05,806 --> 04:37:08,409 RESOURCES TO PROMOTE AWARENESS 7370 04:37:08,409 --> 04:37:09,677 WHEN SCIENTIFIC APPROPRIATE 7371 04:37:09,677 --> 04:37:12,580 METHOD FOR NAM AND WHETHER BE 7372 04:37:12,580 --> 04:37:15,349 EFFECTIVE AND REPLACING LESS 7373 04:37:15,349 --> 04:37:18,085 EFFECTIVE TRADITIONAL MODEL AND 7374 04:37:18,085 --> 04:37:20,154 IN TANDEM COULD BE COMPLIMENTARY 7375 04:37:20,154 --> 04:37:23,357 TO GIVE ROBUST RESULTS NEXT 7376 04:37:23,357 --> 04:37:24,692 SLIDE, PLEASE. 7377 04:37:24,692 --> 04:37:26,894 RECOMMENDATION 5.7 INCLUDES 7378 04:37:26,894 --> 04:37:29,030 THINKING ABOUT 7379 04:37:29,030 --> 04:37:29,630 MULTI-DISCIPLINARY TEAMS AND 7380 04:37:29,630 --> 04:37:31,365 THEME HAS BEEN AROUND 7381 04:37:31,365 --> 04:37:33,067 INTEGRATION THAT IS SUCCESSFUL 7382 04:37:33,067 --> 04:37:34,435 BRINGING EXPERTS ACROSS 7383 04:37:34,435 --> 04:37:36,871 DIFFERENT TEAMS, SECTORS 7384 04:37:36,871 --> 04:37:37,972 DISCIPLINES AND MORE TO WORK 7385 04:37:37,972 --> 04:37:38,539 TOGETHER. 7386 04:37:38,539 --> 04:37:40,541 IT REALLY REQUIRES A SHIFT IN 7387 04:37:40,541 --> 04:37:41,609 THINKING ABOUT BIOLOGICAL 7388 04:37:41,609 --> 04:37:43,577 RESEARCH AND HOW RESEARCHERS 7389 04:37:43,577 --> 04:37:44,879 COMMUNICATE WITH EACH OTHER AND 7390 04:37:44,879 --> 04:37:46,681 USE OF LANGUAGE LIKE VALIDATION 7391 04:37:46,681 --> 04:37:48,349 AND REPLICATION CAN SLIGHTLY 7392 04:37:48,349 --> 04:37:51,152 VARY ACROSS ENGINEERING DATA 7393 04:37:51,152 --> 04:37:52,386 SCIENCE AND BIOLOGICAL 7394 04:37:52,386 --> 04:37:53,354 DISCIPLINES NECESSARY TO MAKE 7395 04:37:53,354 --> 04:37:56,958 THIS WORK WELL AND LACK OF 7396 04:37:56,958 --> 04:37:58,693 STANDARD GNOMEN CHICANO/CHICANA 7397 04:37:58,693 --> 04:38:01,629 LATINO/LATINATURE CAN EXACERBATE 7398 04:38:01,629 --> 04:38:02,697 CHALLENGES FOR COLLABORATION AND 7399 04:38:02,697 --> 04:38:06,233 THINKING OF NIH FACILITATING 7400 04:38:06,233 --> 04:38:07,368 MULTI-DISCIPLINARY TEAMS WE SAID 7401 04:38:07,368 --> 04:38:08,602 MORE COULD BE DONE THINKING 7402 04:38:08,602 --> 04:38:10,938 ABOUT ENTIRETY OF LIFE CYCLE AND 7403 04:38:10,938 --> 04:38:14,175 NOT NIH'S CHALLENGE ALONE AND 7404 04:38:14,175 --> 04:38:15,576 MORE FUNDING OPPORTUNITIES TO 7405 04:38:15,576 --> 04:38:16,711 SUPPORT INTERDISCIPLINARY TEAMS 7406 04:38:16,711 --> 04:38:19,680 AND THINKING ABOUT MULTILAB 7407 04:38:19,680 --> 04:38:20,982 COORDINATION AND MIGHT BE 7408 04:38:20,982 --> 04:38:22,850 OPPORTUNITY TO CREATE NEW 7409 04:38:22,850 --> 04:38:25,252 INCENTIVES THINKING CREATIVELY 7410 04:38:25,252 --> 04:38:27,355 ABOUT APPROACHES LIKE CHALLENGE 7411 04:38:27,355 --> 04:38:28,990 OR PRIZE COMPETITIONS AND WILL 7412 04:38:28,990 --> 04:38:31,425 BE NEEDS OF VENUES TO FOSTER 7413 04:38:31,425 --> 04:38:33,394 CONNECTIONS ACROSS AREAS AND NOW 7414 04:38:33,394 --> 04:38:34,795 IS A SMALL COMMUNITY GROWING 7415 04:38:34,795 --> 04:38:37,198 THAT NIH CAN DO MORE TO HELP 7416 04:38:37,198 --> 04:38:39,133 SUPPORT THAT WORK AND FINALLY 7417 04:38:39,133 --> 04:38:40,468 WORKING GROUP STATED THERE WAS 7418 04:38:40,468 --> 04:38:42,136 VALUE IN MAKING SURE TEAMS WORK 7419 04:38:42,136 --> 04:38:43,371 TOGETHER TO UNDERSTAND VALIDITY 7420 04:38:43,371 --> 04:38:46,307 OF MODELS BEFORE THEY MOVE INTO 7421 04:38:46,307 --> 04:38:47,641 THE REGULATORY SPACE TO REALLY 7422 04:38:47,641 --> 04:38:49,577 DETERMINE HOW TO USE 7423 04:38:49,577 --> 04:38:51,345 TECHNOLOGIES TO INFORM POLICY 7424 04:38:51,345 --> 04:38:52,747 DEVELOPMENT. 7425 04:38:52,747 --> 04:38:54,915 NEXT SLIDE, PLEASE. 7426 04:38:54,915 --> 04:38:57,251 FOR RECOMMENDATION 6, WORKING 7427 04:38:57,251 --> 04:38:59,553 GROUP BUILT ON SOME OF THE WORDS 7428 04:38:59,553 --> 04:39:01,389 WE HEARD FROM DR. BER CONTINUE 7429 04:39:01,389 --> 04:39:03,090 OELI THIS MORNING REGARDING 7430 04:39:03,090 --> 04:39:04,692 IMPORTANCE OF SCIENCE WORKING 7431 04:39:04,692 --> 04:39:06,527 FOR PEOPLE WE AIM TO SERVE 7432 04:39:06,527 --> 04:39:08,362 BUILDING TRUST IN RESEARCH WE DO 7433 04:39:08,362 --> 04:39:09,263 HERE THEY THOUGHT ABOUT 7434 04:39:09,263 --> 04:39:10,564 RESPONSIBLE USE OF TECHNOLOGY 7435 04:39:10,564 --> 04:39:13,434 AND ALSO IN MAKING SURE THAT 7436 04:39:13,434 --> 04:39:15,403 EMPLOYED TECHNOLOGIES MET 7437 04:39:15,403 --> 04:39:17,438 ETHICAL EXPECTATIONS OF PUBLIC 7438 04:39:17,438 --> 04:39:19,373 AND TRANSLATED INTO BENEFITS IN 7439 04:39:19,373 --> 04:39:21,242 AN EQUITABLE FASHION THAT WAS 7440 04:39:21,242 --> 04:39:23,110 CLEAR FOR DISCUSSIONS THAT 7441 04:39:23,110 --> 04:39:23,911 ETHICAL CONSIDERATIONS ASSOCIATE 7442 04:39:23,911 --> 04:39:27,081 WITH NAMS SIMILAR TO EMERGING 7443 04:39:27,081 --> 04:39:28,482 TECHNOLOGY AT SOME LEVEL MUST BE 7444 04:39:28,482 --> 04:39:30,351 CONSIDERED EARLY AND OFTEN AND 7445 04:39:30,351 --> 04:39:32,987 PROMISE AND OPPORTUNITY TO 7446 04:39:32,987 --> 04:39:34,989 DISCUSS OPENLY AND 7447 04:39:34,989 --> 04:39:35,723 RESPONSIBILITY WITHOUT HYPE TO 7448 04:39:35,723 --> 04:39:37,558 GAIN TRUST IN THE WORK WE DO. 7449 04:39:37,558 --> 04:39:39,860 NEXT SLIDE, PLEASE. 7450 04:39:39,860 --> 04:39:41,429 SO, FOR RECOMMENDATION 6, GROUP 7451 04:39:41,429 --> 04:39:43,330 RECOMMENDED THAT WE NEED TO WORK 7452 04:39:43,330 --> 04:39:44,498 TO PROMOTE SOCIAL RESPONSIBILITY 7453 04:39:44,498 --> 04:39:46,400 IN THE CREATION AND DEPLOYMENT 7454 04:39:46,400 --> 04:39:49,303 OF NAMS ACROSS RESEARCH LIFE 7455 04:39:49,303 --> 04:39:51,539 CYCLE AND DEVELOPING NAMS NIH 7456 04:39:51,539 --> 04:39:54,575 COULD TAKE A LEADING ROLE IN 7457 04:39:54,575 --> 04:39:55,643 EMPHASIZING RESPONSIBLE 7458 04:39:55,643 --> 04:39:57,044 DEVELOPMENT OF TECHNOLOGY 7459 04:39:57,044 --> 04:39:59,680 SETTING GOLD STANDARD FOR 7460 04:39:59,680 --> 04:40:01,782 CONCEPT BIAS REDUCTION ETHICAL 7461 04:40:01,782 --> 04:40:03,250 STANDARDS MATERIALS AND MORE AND 7462 04:40:03,250 --> 04:40:06,387 WORKING WITH PARTNERS TO PROMOTE 7463 04:40:06,387 --> 04:40:07,521 CONSISTENT APPROACH TO 7464 04:40:07,521 --> 04:40:08,622 TECHNOLOGY IN SAFE AND 7465 04:40:08,622 --> 04:40:11,358 RESPONSIBLE MANNER REDUCING 7466 04:40:11,358 --> 04:40:12,726 ADMINISTRATIVE BURDEN FOR 7467 04:40:12,726 --> 04:40:13,194 RESEARCH COMMUNITY. 7468 04:40:13,194 --> 04:40:14,128 NEXT SLIDE, PLEASE. 7469 04:40:14,128 --> 04:40:15,696 OF COURSE, IT IS OUR 7470 04:40:15,696 --> 04:40:17,064 RESPONSIBILITY AS SCIENTISTS TO 7471 04:40:17,064 --> 04:40:19,333 MAKE SURE TECHNOLOGIES WE DO 7472 04:40:19,333 --> 04:40:21,168 BEAR FRUIT AND WORKING GROUP 7473 04:40:21,168 --> 04:40:23,270 RECOMMENDED WE CAN BEST PROVIDE 7474 04:40:23,270 --> 04:40:25,573 PUBLIC WITH MAXIMUM RETURN ON 7475 04:40:25,573 --> 04:40:27,508 INVESTMENT SUPPORTING ANALYSIS 7476 04:40:27,508 --> 04:40:29,376 ON COST EFFECTIVE ASSESSMENT ON 7477 04:40:29,376 --> 04:40:30,711 EXISTING MODELS DETERMINING 7478 04:40:30,711 --> 04:40:33,380 WHICH MODEL PROVIDES MOST 7479 04:40:33,380 --> 04:40:35,015 UTILITY SOLVING QUESTION AT HAND 7480 04:40:35,015 --> 04:40:36,517 AND RECOMMEND THAT WHILE ETHICAL 7481 04:40:36,517 --> 04:40:38,986 ISSUES WITH EMERGING TECHNOLOGY 7482 04:40:38,986 --> 04:40:40,754 MIGHT BE UNIQUE ISSUES 7483 04:40:40,754 --> 04:40:43,357 ASSOCIATED WITH NAMS INCLUDING 7484 04:40:43,357 --> 04:40:44,692 RESPONSIBLE DEPLOYMENT AND 7485 04:40:44,692 --> 04:40:45,693 THINKING AROUND CONSIDERATIONS 7486 04:40:45,693 --> 04:40:48,762 FOR BIAS AND ALGORITHMIC CODE 7487 04:40:48,762 --> 04:40:50,998 AND COLLECTION AND ANALYSIS 7488 04:40:50,998 --> 04:40:52,700 INTERPRETATION AND RETURN TO 7489 04:40:52,700 --> 04:40:54,535 VALUE RESEARCH PARTICIPANTS 7490 04:40:54,535 --> 04:40:55,669 THINKING ABOUT MASS DATA 7491 04:40:55,669 --> 04:40:57,104 COLLECTION AND WHO BENEFITS FROM 7492 04:40:57,104 --> 04:40:59,006 WHAT WE LEARN FROM THAT AND 7493 04:40:59,006 --> 04:41:00,608 WHOSE SALES MIGHT BE ACQUIRED 7494 04:41:00,608 --> 04:41:03,811 FOR RESEARCH AND THINKING ABOUT 7495 04:41:03,811 --> 04:41:06,981 POTENTIAL FOR STIGMATIZATION IN 7496 04:41:06,981 --> 04:41:08,949 COMMUNITIES JUST TO NAME A FEW. 7497 04:41:08,949 --> 04:41:10,317 WORKING TO LEARN FROM PATIENTS 7498 04:41:10,317 --> 04:41:13,687 IN THE PUBLIC TO PROMOTE 7499 04:41:13,687 --> 04:41:15,789 MEASURED REALISTIC AWARENESS AND 7500 04:41:15,789 --> 04:41:17,458 ADOPTION OF NEW TECHNOLOGIES. 7501 04:41:17,458 --> 04:41:18,792 NEXT SLIDE. 7502 04:41:18,792 --> 04:41:21,529 FINALLY, FOR HIGH PRIORITY NEEDS 7503 04:41:21,529 --> 04:41:22,897 7, ALL THIS WILL REQUIRE 7504 04:41:22,897 --> 04:41:24,231 COORDINATED INFRASTRUCTURE THAT 7505 04:41:24,231 --> 04:41:27,001 BY THAT WE MEAN PHYSICALLY AND 7506 04:41:27,001 --> 04:41:29,670 INTELLECTUALLY AND WILL BE 7507 04:41:29,670 --> 04:41:33,007 INVESTMENTS AND PRIORITIZED 7508 04:41:33,007 --> 04:41:34,208 VENUES STRENGTHENING DIALOGUED 7509 04:41:34,208 --> 04:41:36,877 IN TERMS AND SECTORS AND ACROSS 7510 04:41:36,877 --> 04:41:38,812 GEOGRAPHICAL BOUNDARIES AND 7511 04:41:38,812 --> 04:41:39,914 DEVELOPING TECHNOLOGY 7512 04:41:39,914 --> 04:41:41,549 INFRASTRUCTURE IS NEEDED TO 7513 04:41:41,549 --> 04:41:45,553 MINIMIZE DUPLICATION OF EFFORT 7514 04:41:45,553 --> 04:41:46,887 MAXIMIZING TAXPAYER FUNDING AND 7515 04:41:46,887 --> 04:41:48,989 EQUITY OF PRIORITY. 7516 04:41:48,989 --> 04:41:50,925 RECOMMENDATION 7 FOCUSES ON 7517 04:41:50,925 --> 04:41:53,661 SUPPORTING AND MAINTAINING 7518 04:41:53,661 --> 04:41:56,096 COORDINATED INFRASTRUCTURE FOR 7519 04:41:56,096 --> 04:42:00,501 NAMS AND -- TECHNOLOGIES AND 7520 04:42:00,501 --> 04:42:00,834 EXPERTISE. 7521 04:42:00,834 --> 04:42:03,003 BOTH EFFECTIVELY AND RELIABLY 7522 04:42:03,003 --> 04:42:04,872 ACROSS RESEARCHERS AND 7523 04:42:04,872 --> 04:42:06,207 INSTITUTIONS AND EXAMPLES HERE 7524 04:42:06,207 --> 04:42:08,108 COULD INCLUDE PROTOCOLS FOR 7525 04:42:08,108 --> 04:42:09,410 TECHNOLOGY DEVELOPMENT AND USE 7526 04:42:09,410 --> 04:42:11,145 AND QUALIFICATION OF REAGENTS 7527 04:42:11,145 --> 04:42:12,613 AND EQUIPMENT TRACKING AND 7528 04:42:12,613 --> 04:42:14,315 MATERIALS AND EXPERIMENTAL 7529 04:42:14,315 --> 04:42:15,816 DETAILS AND STANDARD OPERATING 7530 04:42:15,816 --> 04:42:17,618 PROCEDURES FOR TEAMS AND COULD 7531 04:42:17,618 --> 04:42:19,853 CONSIDER CLEARING HOUSES AND 7532 04:42:19,853 --> 04:42:22,022 REPOSITORIES FOR EASY AND 7533 04:42:22,022 --> 04:42:25,025 RELIABLE INEXPENSIVE ACCESS TO 7534 04:42:25,025 --> 04:42:26,527 REAGENTS AND CUSTOM SYNTHESIS 7535 04:42:26,527 --> 04:42:29,530 AND TRACKING NAMS HOW THEY ARE 7536 04:42:29,530 --> 04:42:31,131 USED WHAT PURPOSE AND IN HOW 7537 04:42:31,131 --> 04:42:32,533 COMBINATION AND GROUPS ARE 7538 04:42:32,533 --> 04:42:34,401 WORKING TO CREATE RESOURCES 7539 04:42:34,401 --> 04:42:36,770 LOWERING BARRIER TO ENTRY TO 7540 04:42:36,770 --> 04:42:38,038 INCREASE COLLABORATION AND NOT 7541 04:42:38,038 --> 04:42:40,407 SAYING TO REINVENT THE WHEEL BUT 7542 04:42:40,407 --> 04:42:41,942 FIND AND LOCATE AND IDENTIFY HOW 7543 04:42:41,942 --> 04:42:45,579 TO DO IT IN A SEAMLESS FASHION 7544 04:42:45,579 --> 04:42:47,147 FOR RESEARCHERS. 7545 04:42:47,147 --> 04:42:50,084 PART OF THE INFRASTRUCTURE WE 7546 04:42:50,084 --> 04:42:51,752 HAVE TO THINK OF LAB 7547 04:42:51,752 --> 04:42:52,720 INFRASTRUCTURE TO BRING 7548 04:42:52,720 --> 04:42:53,554 EXPERTISE TOGETHER. 7549 04:42:53,554 --> 04:42:57,391 THERE WERE CONSIDERATIONS TO BE 7550 04:42:57,391 --> 04:42:59,893 DATA BASES AND FINDINGS WITH 7551 04:42:59,893 --> 04:43:01,762 BIOLOGICAL EXPERTISE ALONG WITH 7552 04:43:01,762 --> 04:43:03,030 DEVELOPMENT AND TECHNOLOGY 7553 04:43:03,030 --> 04:43:05,666 COMPONENTS FOCUS ON BUILDING 7554 04:43:05,666 --> 04:43:10,471 CAPACITY IN SMALL AND MID-SIZED 7555 04:43:10,471 --> 04:43:11,138 LABS WITH EQUITY AND DEPLOYMENT 7556 04:43:11,138 --> 04:43:13,407 AND DEVELOP AND RUN ASSAYS AT 7557 04:43:13,407 --> 04:43:16,043 SCALE AND FACILITIES CAN BE HUBS 7558 04:43:16,043 --> 04:43:18,846 TO TRAIN RESEARCHERS TECHNIQUES 7559 04:43:18,846 --> 04:43:21,348 TO TAKE BACK TO OWN LABS. 7560 04:43:21,348 --> 04:43:23,317 HOWARD BEGAN WITH VISION FOR OUR 7561 04:43:23,317 --> 04:43:25,552 WORKING GROUP WHEN WE TRIED TO 7562 04:43:25,552 --> 04:43:27,154 DEPICT HERE FOR YOU ALL AND WE 7563 04:43:27,154 --> 04:43:29,723 THOUGHT ABOUT ITERATIVE CYCLE 7564 04:43:29,723 --> 04:43:32,293 ADVANCING DEVELOPMENT AND USE OF 7565 04:43:32,293 --> 04:43:35,663 NAMS THAT ARE UNGURDED BY KEY 7566 04:43:35,663 --> 04:43:36,997 COMPONENTS NECESSARY FOR SUCCESS 7567 04:43:36,997 --> 04:43:39,366 AND SUCCESSFUL INTEGRATION 7568 04:43:39,366 --> 04:43:41,435 ACROSS APPROACHES NEED FOR 7569 04:43:41,435 --> 04:43:43,037 MULTI-DISCIPLINARY TEAMS WITH 7570 04:43:43,037 --> 04:43:44,938 ACCESS TO HIGH QUALITY 7571 04:43:44,938 --> 04:43:46,740 INTEROPERABLE DATA SETS PART OF 7572 04:43:46,740 --> 04:43:48,542 INTEGRATION IS ENGAGEMENT WITH 7573 04:43:48,542 --> 04:43:51,312 END USERS APPROACH IS FIT FOR 7574 04:43:51,312 --> 04:43:53,213 PURPOSE EASILY ADOPTABLE AND 7575 04:43:53,213 --> 04:43:55,916 SCALEABLE AND AVENUES TO PASS ON 7576 04:43:55,916 --> 04:43:58,052 KNOWLEDGE AND METHODS HOW TO USE 7577 04:43:58,052 --> 04:43:59,219 TECHNOLOGIES WHERE PEOPLE CAN GO 7578 04:43:59,219 --> 04:44:01,689 TO LEARN AND SYNTHESIS ACROSS 7579 04:44:01,689 --> 04:44:03,524 MODELS AND FIELDS IS GOAL TO 7580 04:44:03,524 --> 04:44:05,659 MAKE CYCLE WHEREBY RESEARCH 7581 04:44:05,659 --> 04:44:08,429 CONDUCTED INFORMS WORK IN OTHER 7582 04:44:08,429 --> 04:44:11,298 MODELS INFORMS HUMAN HEALTH AND 7583 04:44:11,298 --> 04:44:12,533 BIOMEDICAL DATA FOR FURTHER 7584 04:44:12,533 --> 04:44:14,835 NEEDS TO R CONTINUING THIS 7585 04:44:14,835 --> 04:44:15,069 CYCLE. 7586 04:44:15,069 --> 04:44:16,804 NEXT SLIDE, PLEASE. 7587 04:44:16,804 --> 04:44:18,772 BEFORE WE CONCLUDE, NEXT SLIDE, 7588 04:44:18,772 --> 04:44:19,106 PLEASE. 7589 04:44:19,106 --> 04:44:21,408 WE DID WANT TO MAKE SURE THAT 7590 04:44:21,408 --> 04:44:23,444 ACD WAS AWARE TO AGAIN THINK 7591 04:44:23,444 --> 04:44:25,112 ABOUT PUTTING RECOMMENDATIONS TO 7592 04:44:25,112 --> 04:44:26,513 ACTION AND WHAT CHALLENGES WE 7593 04:44:26,513 --> 04:44:28,048 COULD SOLVE AND END OF THE 7594 04:44:28,048 --> 04:44:30,517 REPORT YOU WILL SEE IDEAS FOR 7595 04:44:30,517 --> 04:44:32,152 TRANSFORMATIVE PROJECTS AND WAYS 7596 04:44:32,152 --> 04:44:34,555 TO HAVE CASE STUDIES OF 7597 04:44:34,555 --> 04:44:36,523 DEMONSTRATING OPPORTUNITY TO BE 7598 04:44:36,523 --> 04:44:39,193 INVASIVE RESEARCH AND 7599 04:44:39,193 --> 04:44:40,794 UNDERSERVED AREAS OF DISEASE AND 7600 04:44:40,794 --> 04:44:42,296 TRANSLATION AND MORE AND SEE 7601 04:44:42,296 --> 04:44:44,198 SEVERAL CASE STUDIES HERE 7602 04:44:44,198 --> 04:44:45,432 LEVERAGING IN VITRO AND 7603 04:44:45,432 --> 04:44:47,401 TECHNIQUES FOR INSIGHTS INTO 7604 04:44:47,401 --> 04:44:49,536 COMPLEX BIOLOGICAL MODELS AND 7605 04:44:49,536 --> 04:44:51,205 ANOTHER UNCOVERING NEW 7606 04:44:51,205 --> 04:44:53,006 UNDERSTANDING AND 7607 04:44:53,006 --> 04:44:54,208 NEUROPSYCHIATRIC DISORDERS AND 7608 04:44:54,208 --> 04:44:57,277 THIRD COMBINING IN VITRO AND IN 7609 04:44:57,277 --> 04:44:59,313 VIVO -- DEPENDENCE ON 7610 04:44:59,313 --> 04:45:00,948 PRECLINICAL MODELS COMBIN 7611 04:45:00,948 --> 04:45:05,085 ATORIAL APPROACHES AND FINAL IS 7612 04:45:05,085 --> 04:45:07,488 DATA INTEGRATION ACROSS NAMS 7613 04:45:07,488 --> 04:45:10,224 TRADITIONAL MODELS AND CLINIC TO 7614 04:45:10,224 --> 04:45:13,093 EMULATE PATIENT-SPECIFIC 7615 04:45:13,093 --> 04:45:15,996 TUMOR-IMMUNE ENVIRONMENTS AND 7616 04:45:15,996 --> 04:45:17,664 GOAL IS HOW HUMAN CONDITION WAS 7617 04:45:17,664 --> 04:45:18,932 NEEDING ADDITIONAL RESEARCH 7618 04:45:18,932 --> 04:45:21,368 MODELS TO MAKE ADVANCES AND 7619 04:45:21,368 --> 04:45:22,703 INTEGRATION OF RECOMMENDATIONS 7620 04:45:22,703 --> 04:45:25,339 COULD BRING THAT TO FRUITION. 7621 04:45:25,339 --> 04:45:26,807 NEXT SLIDE, PLEASE. 7622 04:45:26,807 --> 04:45:28,976 BEFORE WE MOVE TO DISCUSSION, 7623 04:45:28,976 --> 04:45:30,477 AND HOPEFULLY ENDORSEMENT OF THE 7624 04:45:30,477 --> 04:45:31,879 RECOMMENDATIONS OF THE WORKING 7625 04:45:31,879 --> 04:45:33,313 GROUP TODAY I WANT TO TAKE A 7626 04:45:33,313 --> 04:45:36,383 MOMENT ON BEHALF OF THE WORKING 7627 04:45:36,383 --> 04:45:38,752 GROUP TO THANK DOCTORS BRITTNEY 7628 04:45:38,752 --> 04:45:40,921 AND JESSICA WHO HAVE DONE AN 7629 04:45:40,921 --> 04:45:42,423 AMAZING LEVEL OF WORK AS 7630 04:45:42,423 --> 04:45:44,358 EXECUTIVE SECRETARIES OF THE 7631 04:45:44,358 --> 04:45:46,827 GROUP THAT SUPPORTED US 7632 04:45:46,827 --> 04:45:48,962 LOGISTICALLY AND INTELLECTUALLY 7633 04:45:48,962 --> 04:45:50,664 BRINGING THIS GROUP TO FRUITION. 7634 04:45:50,664 --> 04:45:52,733 TURNING TO HOWARD IF I MISSED 7635 04:45:52,733 --> 04:45:53,901 ANYTHING HE WOULD LIKE TO SHARE 7636 04:45:53,901 --> 04:45:56,937 AND TURNING TO ACDE. 7637 04:45:56,937 --> 04:45:58,272 >> THANK YOU FOR YOUR 7638 04:45:58,272 --> 04:46:00,407 RECOMMENDATIONS AND LET'S GO TO 7639 04:46:00,407 --> 04:46:01,875 OPEN IT UP FOR DISCUSSION. 7640 04:46:01,875 --> 04:46:08,148 >> WHO WOULD LIKE TO START? 7641 04:46:08,148 --> 04:46:09,583 >> SOMEBODY HAS TO START. 7642 04:46:09,583 --> 04:46:09,917 >> ATOOL. 7643 04:46:09,917 --> 04:46:11,885 >> THIS IS A LOT OF WORK AND I 7644 04:46:11,885 --> 04:46:14,321 KNOW I TALKED TO HOWARD HOW MANY 7645 04:46:14,321 --> 04:46:15,722 MEETINGS AND FOLKS WERE INVOLVED 7646 04:46:15,722 --> 04:46:17,991 FROM ALL OVER THE COUNTRY. 7647 04:46:17,991 --> 04:46:20,994 HOW FAR AWAY ARE WE FROM 7648 04:46:20,994 --> 04:46:22,129 REGULATORY BODIES STARTING TO BE 7649 04:46:22,129 --> 04:46:25,232 WILLING TO SEE DATA FROM -- FROM 7650 04:46:25,232 --> 04:46:27,201 THESE MODELS? 7651 04:46:27,201 --> 04:46:29,269 FDA IN PARTICULAR, I THINK THAT 7652 04:46:29,269 --> 04:46:32,606 IS PROBABLY A BIG DIRECTION FOR 7653 04:46:32,606 --> 04:46:33,507 TRANSLATIONAL RESEARCH AND 7654 04:46:33,507 --> 04:46:36,643 CHOICE OF MODELS THAT IS DRIVEN 7655 04:46:36,643 --> 04:46:39,012 BY THAT I WOULD IMAGINE. 7656 04:46:39,012 --> 04:46:41,381 >> SO, STARTING AND MAYBE WE CAN 7657 04:46:41,381 --> 04:46:41,715 JOIN. 7658 04:46:41,715 --> 04:46:43,784 YEAH. WE HAD ACTUALLY INPUT 7659 04:46:43,784 --> 04:46:45,385 FROM COLLEAGUES AT THE FDA WHO 7660 04:46:45,385 --> 04:46:47,988 WERE ACTUALLY ALSO THINKING 7661 04:46:47,988 --> 04:46:51,992 ABOUT TOPICS AND MCATS AND 7662 04:46:51,992 --> 04:46:54,328 HEARING FROM FDA MONITORIZATION 7663 04:46:54,328 --> 04:46:56,897 2.0 THEY ARE THINKING ABOUT 7664 04:46:56,897 --> 04:46:57,498 ACTUALLY [INDISCERNIBLE] AND 7665 04:46:57,498 --> 04:46:59,366 ACTUALLY DRUGS TO BE APPROVED OR 7666 04:46:59,366 --> 04:47:01,401 GO TO CLINICAL TRIALS WITHOUT 7667 04:47:01,401 --> 04:47:02,936 GOING THROUGH ANIMALS FIRST; 7668 04:47:02,936 --> 04:47:03,270 RIGHT? 7669 04:47:03,270 --> 04:47:04,438 THIS IS SOMETHING THAT PEOPLE 7670 04:47:04,438 --> 04:47:07,941 ARE ACTIVELY THINKING ABOUT AND 7671 04:47:07,941 --> 04:47:08,909 INCLUDING FROM REGULATORY 7672 04:47:08,909 --> 04:47:09,309 AGENCIES. 7673 04:47:09,309 --> 04:47:11,345 >> I'M NOT GOING TO SPEAK ON 7674 04:47:11,345 --> 04:47:13,146 BEHALF OF FDA AND CAN TELL YOU 7675 04:47:13,146 --> 04:47:15,682 IT IS PART OF FDA AND CHIEF 7676 04:47:15,682 --> 04:47:17,150 SCIENTIST THAT WAS ON OUR 7677 04:47:17,150 --> 04:47:20,187 WORKING GROUP THAT IS NOW DEPUTY 7678 04:47:20,187 --> 04:47:23,257 COMMISSIONER FDA SIGNALING 7679 04:47:23,257 --> 04:47:24,258 HIGHEST PRIORITY FOR AGENCY AS 7680 04:47:24,258 --> 04:47:26,260 WELL THINKING ABOUT THE FUTURE. 7681 04:47:26,260 --> 04:47:29,696 >> THERE IS STAR ALIGNMENT HERE 7682 04:47:29,696 --> 04:47:31,431 THAT HOPEFULLY WE WILL TAKE AS 7683 04:47:31,431 --> 04:47:32,966 MUCH ADVANTAGE OF AS POSSIBLE. 7684 04:47:32,966 --> 04:47:37,204 OTHER QUESTIONS OR COMMENTS, 7685 04:47:37,204 --> 04:47:39,306 PLEASE. 7686 04:47:39,306 --> 04:47:41,275 >> AMAZING WORK AGAIN. 7687 04:47:41,275 --> 04:47:43,110 THANK YOU VERY MUCH. IT IS 7688 04:47:43,110 --> 04:47:44,745 REALLY GROUNDBREAKING IN MANY 7689 04:47:44,745 --> 04:47:45,045 WAYS. 7690 04:47:45,045 --> 04:47:47,314 IT SEEMS TO ME THIS IS TRULY -- 7691 04:47:47,314 --> 04:47:52,452 I MEAN, WE HAVE USED THE TERM 7692 04:47:52,452 --> 04:47:54,621 CROSS-DISCIPLINARY A LOT. SEEMS 7693 04:47:54,621 --> 04:47:55,856 TO ME [INDISCERNIBLE]. 7694 04:47:55,856 --> 04:47:59,326 I'M WONDERING HOW -- HOW AT NIH 7695 04:47:59,326 --> 04:48:01,795 YOU ENABLE THAT TO HAPPEN ACROSS 7696 04:48:01,795 --> 04:48:02,095 INSTITUTES. 7697 04:48:02,095 --> 04:48:05,732 I MEAN, THERE IS BASIC AND 7698 04:48:05,732 --> 04:48:08,969 COMPUTATIONAL SCIENCE AND JUST 7699 04:48:08,969 --> 04:48:09,937 IS A VAST ARRAY OF EXPERTISE AND 7700 04:48:09,937 --> 04:48:12,139 SKILLS NEEDED TO MOVE THIS 7701 04:48:12,139 --> 04:48:13,106 FORWARD. 7702 04:48:13,106 --> 04:48:14,141 HOW DO YOU DO THAT? 7703 04:48:14,141 --> 04:48:16,677 HOW DO YOU INCENTIVIZE IT? 7704 04:48:16,677 --> 04:48:19,346 I GUESS OTHER THOUGHT █I HAD JUT 7705 04:48:19,346 --> 04:48:21,582 BEFORE YOU TRIED TO ANSWER THIS 7706 04:48:21,582 --> 04:48:24,718 IS IT SEEMS TO ME TO GET A NEW 7707 04:48:24,718 --> 04:48:26,053 GENERATION OF YOUNG 7708 04:48:26,053 --> 04:48:27,120 INVESTIGATORS THAT ARE 7709 04:48:27,120 --> 04:48:28,388 INTERESTED IN THIS SPACE, YOU 7710 04:48:28,388 --> 04:48:30,524 HAVE TO KIND OF MOTIVATE A 7711 04:48:30,524 --> 04:48:32,326 TRAINING GRANT OR SOMETHING 7712 04:48:32,326 --> 04:48:34,061 ALONG THOSE LINES TO MAKE IT 7713 04:48:34,061 --> 04:48:34,428 HAPPEN. 7714 04:48:34,428 --> 04:48:36,129 I DON'T KNOW WHAT YOUR THOUGHTS 7715 04:48:36,129 --> 04:48:36,830 ARE. THANK YOU. 7716 04:48:36,830 --> 04:48:38,365 >> I WILL START WITH THE FIRST 7717 04:48:38,365 --> 04:48:39,633 PART OF IT. 7718 04:48:39,633 --> 04:48:41,902 LY ASK MY COLLEAGUES TO SPEAK TO 7719 04:48:41,902 --> 04:48:44,037 THE SECOND PORTION THAT IS 7720 04:48:44,037 --> 04:48:45,906 RELATED TO TRAINING. 7721 04:48:45,906 --> 04:48:48,508 SO, AGAIN, I -- THE ONLY 7722 04:48:48,508 --> 04:48:49,509 ADVANTAGE OF GETTING TO THIS 7723 04:48:49,509 --> 04:48:52,112 POINT OF MY CAREER IS I HAVE 7724 04:48:52,112 --> 04:48:54,181 SEEN A TIMELINE, YOU KNOW? 7725 04:48:54,181 --> 04:49:00,053 WHEN I FIRST CAME TO NIH, EVERY 7726 04:49:00,053 --> 04:49:00,954 MULTI-DISCIPLINARY APPLICATION 7727 04:49:00,954 --> 04:49:04,291 STARTED REVIEW AND WITH THIS IS 7728 04:49:04,291 --> 04:49:06,593 OVERLY AMBITIOUS AND UNFOCUSED 7729 04:49:06,593 --> 04:49:06,927 APPLICATION. 7730 04:49:06,927 --> 04:49:08,962 I THINK WE HAVE GOTTEN WAY 7731 04:49:08,962 --> 04:49:09,730 BEYOND THAT NOW. 7732 04:49:09,730 --> 04:49:12,466 I WOULD HOPE THAT YOU WOULD 7733 04:49:12,466 --> 04:49:14,968 AGREE THAT EVEN AT THIS MEETING 7734 04:49:14,968 --> 04:49:19,873 THAT YOU HAVE SEEN SOME TANGIBLE 7735 04:49:19,873 --> 04:49:23,210 EXAMPLES OF REAL PROJECTS AND 7736 04:49:23,210 --> 04:49:25,479 PROGRAMS THAT ARE CERTAINLY IF 7737 04:49:25,479 --> 04:49:29,650 NOT INTERDISCIPLINARY, THEY ARE 7738 04:49:29,650 --> 04:49:30,317 CERTAINLY MULTI-DISCIPLINARY. 7739 04:49:30,317 --> 04:49:32,119 THEY INVOLVE MANY INSTITUTES AND 7740 04:49:32,119 --> 04:49:35,989 CENTERS AND OFFICES ACROSS NOT 7741 04:49:35,989 --> 04:49:39,359 ONLY OUR AGENCY BUT ALSO OTHER 7742 04:49:39,359 --> 04:49:43,764 AGENCIES WITHIN HHS. 7743 04:49:43,764 --> 04:49:45,532 INDEED, YOU KNOW, BEYOND. 7744 04:49:45,532 --> 04:49:49,269 IT IS STILL CHALLENGING BECAUSE 7745 04:49:49,269 --> 04:49:51,171 WE USE PEER REVIEW. 7746 04:49:51,171 --> 04:49:54,841 YOU KNOW, AS A VERY FAMOUS 7747 04:49:54,841 --> 04:49:58,679 PHILOSOPHER SAID, THE ENEMY RS. 7748 04:49:58,679 --> 04:50:01,682 WE HAVE TO NOT ONLY TRAIN 7749 04:50:01,682 --> 04:50:05,085 INVESTIGATORS BUT ALSO REVIEWERS 7750 04:50:05,085 --> 04:50:08,021 TO THINK IN A SOMEWHAT MORE 7751 04:50:08,021 --> 04:50:09,122 EXPANSIVE, YOU KNOW, MANNER. 7752 04:50:09,122 --> 04:50:11,625 I DO THINK IT IS IMPROVING AND 7753 04:50:11,625 --> 04:50:16,897 WE HAVE PARTS OF NIH THAT PA 7754 04:50:16,897 --> 04:50:18,265 KIPSY IS A GOOD EXAMPLE. 7755 04:50:18,265 --> 04:50:19,966 THAT IS THEIR SORT OF BUSINESS 7756 04:50:19,966 --> 04:50:22,202 MODEL THAT IS WORKING ACROSS 7757 04:50:22,202 --> 04:50:23,637 MULTIPLE DISCIPLINES AND OFFICES 7758 04:50:23,637 --> 04:50:27,174 AND INSTITUTES AND CENTERS. 7759 04:50:27,174 --> 04:50:30,510 I THINK THAT DIANA IS THE ONLY 7760 04:50:30,510 --> 04:50:32,446 IC DIRECTOR HERE AT THE MOMENT. 7761 04:50:32,446 --> 04:50:34,681 WE HAD OTHERS HERE EARLIER. 7762 04:50:34,681 --> 04:50:36,683 I WOULD -- I WOULD HOPE THAT 7763 04:50:36,683 --> 04:50:41,154 ANYONE WOULD AGREE THAT THE IC 7764 04:50:41,154 --> 04:50:44,224 DIRECTORS TODAY HAVE A MUCH MORE 7765 04:50:44,224 --> 04:50:46,927 OPTIMISTIC VIEW OF THIS APPROACH 7766 04:50:46,927 --> 04:50:48,929 THAN PERHAPS THEY DID WHEN YOU 7767 04:50:48,929 --> 04:50:51,298 FIRST ARRIVED, YOU KNOW, AT NIH. 7768 04:50:51,298 --> 04:50:56,203 SO, YOU KNOW, IT -- I WISH I HAD 7769 04:50:56,203 --> 04:50:57,971 A MORE CONCRETE ANSWER. 7770 04:50:57,971 --> 04:51:00,407 I DON'T KNOW. 7771 04:51:00,407 --> 04:51:03,543 AS TIME GOES ON, PERHAPS PA 7772 04:51:03,543 --> 04:51:06,713 KIPSY WILL CONTINUE TO FORMULATE 7773 04:51:06,713 --> 04:51:08,281 SPECIFIC RESEARCH OPPORTUNITIES 7774 04:51:08,281 --> 04:51:10,217 SO IT SAYS THAT WE WANT, YOU 7775 04:51:10,217 --> 04:51:12,519 KNOW, ONE OF THESE AND ONE OF 7776 04:51:12,519 --> 04:51:13,520 THOSE AND SO FORTH. 7777 04:51:13,520 --> 04:51:18,658 THIS FIELD, IT IS GOING TO 7778 04:51:18,658 --> 04:51:21,294 CATALYZE THAT IN A BIG WAY. 7779 04:51:21,294 --> 04:51:25,932 ALTHOUGH, OBVIOUSLY, 7780 04:51:25,932 --> 04:51:26,566 MULTI-DISCIPLINARY APPROACHES 7781 04:51:26,566 --> 04:51:28,568 SHOULDN'T BE TO THIS FIELD ONLY 7782 04:51:28,568 --> 04:51:30,003 HOWEVER IMPORTANT AND THERE IS A 7783 04:51:30,003 --> 04:51:31,538 TRAINING THAT I WILL TURN BACK 7784 04:51:31,538 --> 04:51:33,373 TO THE TWO CO-CHAIRS. 7785 04:51:33,373 --> 04:51:34,441 >> I CAN START. 7786 04:51:34,441 --> 04:51:36,543 YOU ARE ABSOLUTELY RIGHT. 7787 04:51:36,543 --> 04:51:40,413 WE HEARD A LOT ABOUT PEOPLE WHO 7788 04:51:40,413 --> 04:51:42,082 WOULD HAVE OR CONSIDER 7789 04:51:42,082 --> 04:51:43,316 NON-TRADITIONAL BACKGROUND DOING 7790 04:51:43,316 --> 04:51:46,553 THIS WORK COMING TO NIH'S 7791 04:51:46,553 --> 04:51:48,288 PORTFOLIO INCLUDING BOTH 7792 04:51:48,288 --> 04:51:50,023 ENGINEERS AND PEOPLE THAT ARE IN 7793 04:51:50,023 --> 04:51:51,825 LET'S SAY COMPUTATIONAL 7794 04:51:51,825 --> 04:51:52,292 SCIENTISTS. 7795 04:51:52,292 --> 04:51:54,661 THERE IS A -- THEY SPEAK THEIR 7796 04:51:54,661 --> 04:51:56,029 LANGUAGE AND HAVE DIFFERENT 7797 04:51:56,029 --> 04:51:56,963 EXPECTATIONS. 7798 04:51:56,963 --> 04:51:59,366 SO, THIS -- I THINK THIS 7799 04:51:59,366 --> 04:52:01,067 EDUCATION AND TRAINING GOES BOTH 7800 04:52:01,067 --> 04:52:02,502 WAYS. 7801 04:52:02,502 --> 04:52:02,736 RIGHT? 7802 04:52:02,736 --> 04:52:04,771 BUT WE JUST NEED TO SORT OF KNOW 7803 04:52:04,771 --> 04:52:09,709 THE VALUE OF THEIR INVOLVEMENT 7804 04:52:09,709 --> 04:52:12,345 AND CONTRIBUTION. 7805 04:52:12,345 --> 04:52:13,847 >> THANK YOU. THE BREADTH OF 7806 04:52:13,847 --> 04:52:17,317 THIS IS REALLY ASTOUNDING AND 7807 04:52:17,317 --> 04:52:17,684 AMAZING. 7808 04:52:17,684 --> 04:52:19,519 HOW DID THE GROUP THINK ABOUT, 7809 04:52:19,519 --> 04:52:22,956 FOR EXAMPLE, INTERACTIONS WITH 7810 04:52:22,956 --> 04:52:23,256 INDUSTRY? 7811 04:52:23,256 --> 04:52:25,592 CLEARLY WITH THE FDA ON BOARD 7812 04:52:25,592 --> 04:52:28,829 AND VALUE OF IS SOME OF THIS IS 7813 04:52:28,829 --> 04:52:30,497 TREMENDOUS TO THEM FROM DRUG 7814 04:52:30,497 --> 04:52:32,299 DISCOVERY AND EVALUATION AND 7815 04:52:32,299 --> 04:52:34,835 ISSUES AROUND PROPRIETARY AND 7816 04:52:34,835 --> 04:52:35,502 INTELLECTUAL PROPERTY AND A 7817 04:52:35,502 --> 04:52:37,804 BUNCH OF OTHER THINGS AND 7818 04:52:37,804 --> 04:52:40,073 CURIOUS WHAT YOURS OR THE 7819 04:52:40,073 --> 04:52:41,274 GROUP'S THOUGHTS ARE. 7820 04:52:41,274 --> 04:52:43,043 >> WE HAVE SOME REPRESENTATIVES 7821 04:52:43,043 --> 04:52:45,612 FROM INDUSTRY INCLUDING PHARMA 7822 04:52:45,612 --> 04:52:48,849 AND HEARD ABOUT ASPECTS WHERE 7823 04:52:48,849 --> 04:52:50,650 ALTERNATIVE METHODS ARE BEING 7824 04:52:50,650 --> 04:52:52,519 USED EXTENSIVELY TOXICOLOGY AND 7825 04:52:52,519 --> 04:52:54,354 AREAS THAT PEOPLE BASICALLY HAVE 7826 04:52:54,354 --> 04:52:56,423 QUITE A BIT OF CONFIDENCE AND 7827 04:52:56,423 --> 04:52:57,691 THINK THAT NEW TECHNOLOGY 7828 04:52:57,691 --> 04:53:01,561 DEVELOPMENT COULD HAPPEN IN A 7829 04:53:01,561 --> 04:53:02,295 PRE-COMPETITIVE SPACE AND WHAT 7830 04:53:02,295 --> 04:53:04,497 LYRIC TALKED ABOUT IN TERMS OF 7831 04:53:04,497 --> 04:53:06,867 KINDS OF STANDARDIZED DATA SETS 7832 04:53:06,867 --> 04:53:08,969 ARE VALIDATED THAT PEOPLE CAN 7833 04:53:08,969 --> 04:53:10,337 BENCHMARK ON AND PEOPLE THOUGHT 7834 04:53:10,337 --> 04:53:11,972 IT WAS IMPORTANT AND BUILD ON 7835 04:53:11,972 --> 04:53:13,373 TOP OF THAT. 7836 04:53:13,373 --> 04:53:15,442 AND SO -- SO I THINK THAT 7837 04:53:15,442 --> 04:53:17,644 RECOMMENDATIONS ARE CATALYZED 7838 04:53:17,644 --> 04:53:21,181 BOTH ACADEMICICALLY AND 7839 04:53:21,181 --> 04:53:22,983 APPLICATIONS OF NAMS IN INDUSTRY 7840 04:53:22,983 --> 04:53:23,450 AS WELL. 7841 04:53:23,450 --> 04:53:25,285 >> ADDING INTERESTING 7842 04:53:25,285 --> 04:53:26,519 CONVERSATION I HEARD AND 7843 04:53:26,519 --> 04:53:27,921 CONVERSATIONS STARTING OFF WE 7844 04:53:27,921 --> 04:53:30,390 HAVE EPA AT TABLE AND MAKING 7845 04:53:30,390 --> 04:53:31,358 THESE DECISIONS THAT WAS SKEWED 7846 04:53:31,358 --> 04:53:33,860 IN THE BEGINNING A LITTLE BIT 7847 04:53:33,860 --> 04:53:35,729 AROUND TOXICOLOGY AND HAVE 7848 04:53:35,729 --> 04:53:37,530 PEOPLE COMING AND SAYING LISTEN 7849 04:53:37,530 --> 04:53:39,099 THAT ALTERNATIVES ARE AMAZING 7850 04:53:39,099 --> 04:53:41,668 FOR BASIC RESEARCH AS WELL AND 7851 04:53:41,668 --> 04:53:43,303 ATTENTION WHERE SCOPE DOES MAKE 7852 04:53:43,303 --> 04:53:45,805 SENSE HERE AND COME DOWN TO 7853 04:53:45,805 --> 04:53:48,375 HOWARD TALKING ABOUT HUMAN 7854 04:53:48,375 --> 04:53:49,476 TRANSLATABILITY FOR SCOPE WE ARE 7855 04:53:49,476 --> 04:53:51,311 DEALING WITH. SO MANY WAYS TO 7856 04:53:51,311 --> 04:53:51,745 TACKLE THIS. 7857 04:53:51,745 --> 04:53:54,514 >> IN MY HEAD THERE IS 7858 04:53:54,514 --> 04:53:56,249 TOXICOLOGY ON ONE SIDE AND 7859 04:53:56,249 --> 04:53:57,617 ADVANCEMENT HOW EVERYTHING FITS 7860 04:53:57,617 --> 04:53:59,185 TOGETHER AND THEY MIGHT TAKE 7861 04:53:59,185 --> 04:54:00,654 DIFFERENT PATHWAYS BUT THEY 7862 04:54:00,654 --> 04:54:03,189 [INDISCERNIBLE] EACH OTHER. 7863 04:54:03,189 --> 04:54:06,293 I WILL MAKE A CALLOUT APROPOS 7864 04:54:06,293 --> 04:54:08,161 PRESENTATIONS WE HAVE EARLIER 7865 04:54:08,161 --> 04:54:10,797 FOR WOMEN THAT ARE CONCEIVING 7866 04:54:10,797 --> 04:54:12,465 AND PREGNANT OR BREASTFEEDING 7867 04:54:12,465 --> 04:54:14,601 HAVING BETTER DATA FOR 7868 04:54:14,601 --> 04:54:16,236 TOXICOLOGY FOR THAT GROUP ARE 7869 04:54:16,236 --> 04:54:18,972 HIGH IMPERATIVE AND WE MIGHT BE 7870 04:54:18,972 --> 04:54:22,108 UNDERTREATING AND MISTREATING 7871 04:54:22,108 --> 04:54:23,176 INADVERTIENTLY AND MORE DATA AND 7872 04:54:23,176 --> 04:54:24,611 MAKING SURE IT IS CALLED OUT 7873 04:54:24,611 --> 04:54:25,445 WOULD BE GREAT. 7874 04:54:25,445 --> 04:54:29,115 >> I CAN HEAR LINDA GRIFFITH 7875 04:54:29,115 --> 04:54:30,850 FORMER AC MEMBER ON SCREEN 7876 04:54:30,850 --> 04:54:33,954 WANTING TO JUMP IN WITH PLUS 1 7877 04:54:33,954 --> 04:54:35,689 TIMES 10 AND PART OF THINKING 7878 04:54:35,689 --> 04:54:37,290 THAT SOME NAMS COULD DO THINGS 7879 04:54:37,290 --> 04:54:39,559 YOU CAN'T DO IN HUMANS BUT ARE A 7880 04:54:39,559 --> 04:54:41,461 HUMAN CONDITION YOU NEED TO TEST 7881 04:54:41,461 --> 04:54:44,497 OR ACCESS AREAS FOR HUMANS AND 7882 04:54:44,497 --> 04:54:46,266 IS SAYING NOT ONLY IMPORTANT FOR 7883 04:54:46,266 --> 04:54:48,068 RESEARCH BUT CAN OPEN NEW DOORS 7884 04:54:48,068 --> 04:54:52,105 OF INQUIRY THAT ARE PREVIOUSLY 7885 04:54:52,105 --> 04:54:53,640 UNDERSERVED. 7886 04:54:53,640 --> 04:54:55,008 >> ULTIMATELY YOU WOULD HOPE IT 7887 04:54:55,008 --> 04:54:57,744 SAVES TIME IN THE LONG RUN; 7888 04:54:57,744 --> 04:54:58,345 RIGHT? 7889 04:54:58,345 --> 04:55:01,448 TOXICOLOGY PROFILE THAT IS 7890 04:55:01,448 --> 04:55:01,781 INOPPORTUNE. 7891 04:55:01,781 --> 04:55:02,315 >> YEAH. 7892 04:55:02,315 --> 04:55:04,751 >> YOU DON'T WANT TO FIND OUT ON 7893 04:55:04,751 --> 04:55:05,285 PAGE 3. 7894 04:55:05,285 --> 04:55:06,586 >> OR LARGE ANIMAL. 7895 04:55:06,586 --> 04:55:08,588 >> YEAH. YEAH. ABSOLUTELY. 7896 04:55:08,588 --> 04:55:11,091 >> YEAH. SO, OKAY. 7897 04:55:11,091 --> 04:55:13,293 >> YEAH. SO, FANTASTIC WORK. 7898 04:55:13,293 --> 04:55:17,297 SORT OF GOING THROUGH THERE SOME 7899 04:55:17,297 --> 04:55:20,567 APPLICATIONS, MA'AM, AND 7900 04:55:20,567 --> 04:55:22,168 ENGINEERING MICE AND LOVE THE 7901 04:55:22,168 --> 04:55:25,905 IDEA AND FRAMEWORK OF MET AFT 7902 04:55:25,905 --> 04:55:27,807 ASEIZE AND COMBINING DIFFERENT 7903 04:55:27,807 --> 04:55:29,175 COMPONENTS TOGETHER THAT WILL 7904 04:55:29,175 --> 04:55:30,643 GIVE YOU A SYSTEM OTHERWISE 7905 04:55:30,643 --> 04:55:32,545 WOULDN'T HAVE IF LOOKING AT A 7906 04:55:32,545 --> 04:55:33,646 SINGLE CELL AND EVERYTHING ELSE 7907 04:55:33,646 --> 04:55:35,515 AND THINK ABOUT WITH INVITATION 7908 04:55:35,515 --> 04:55:37,283 AND UTILITY YOU HAVE SUDDENLY 7909 04:55:37,283 --> 04:55:38,551 ABILITY TO DO SOMETHING YOU 7910 04:55:38,551 --> 04:55:39,853 COULDN'T DO; RIGHT? 7911 04:55:39,853 --> 04:55:41,488 YOU CAN DO SOMETHING YOU COULD 7912 04:55:41,488 --> 04:55:44,057 DO AND SORT OF COULD DO IT 7913 04:55:44,057 --> 04:55:45,658 BETTER; RIGHT? 7914 04:55:45,658 --> 04:55:46,793 TOXICOLOGY BEING A GREAT EXAMPLE 7915 04:55:46,793 --> 04:55:49,496 OF THAT AND TEST IT IN HUMAN 7916 04:55:49,496 --> 04:55:51,431 CELLS AND ENTIRE SYSTEMS AND 7917 04:55:51,431 --> 04:55:53,366 TAXOLOGY IN HUMANS AND YOU CAN 7918 04:55:53,366 --> 04:55:55,268 DO IT FASTER; RIGHT? 7919 04:55:55,268 --> 04:55:58,271 I LOVE IDEA OF INSILICO MODEL 7920 04:55:58,271 --> 04:55:59,372 AND EXAMPLE OF [INDISCERNIBLE] 7921 04:55:59,372 --> 04:56:01,307 WHERE YOU CAN NOW LOOK AT ALL 7922 04:56:01,307 --> 04:56:03,109 KINDS OF PROTEIN FOLDING AND 7923 04:56:03,109 --> 04:56:05,345 PROTEIN INTERACTIONS IN WAY THAT 7924 04:56:05,345 --> 04:56:08,281 WE SUSPEND LOTS OF TIME AND 7925 04:56:08,281 --> 04:56:10,550 MONEY GENERATING CRYSTAL 7926 04:56:10,550 --> 04:56:11,518 STRUCTURES AND WHAT IS IMPORTANT 7927 04:56:11,518 --> 04:56:13,153 ABOUT THIS IS IT IS QUICK AND 7928 04:56:13,153 --> 04:56:15,255 EVERYBODY CAN ACCESS IT; RIGHT? 7929 04:56:15,255 --> 04:56:18,525 THINKING ABOUT UTILITY OF MODELS 7930 04:56:18,525 --> 04:56:19,592 WONDERING EVEN BEYOND TRAINING 7931 04:56:19,592 --> 04:56:22,295 HOW YOU MAKE THIS ACCESSIBLE AT 7932 04:56:22,295 --> 04:56:24,230 SCALE AND EASY IN WAY YOU WILL 7933 04:56:24,230 --> 04:56:26,800 IMPLEMENT IT AND CREATE 7934 04:56:26,800 --> 04:56:27,700 INCENTIVE FOR STRUCTURE FOR 7935 04:56:27,700 --> 04:56:33,873 PEOPLE TO MOVE AWAY FROM OTHER 7936 04:56:33,873 --> 04:56:34,507 APPROA 7937 04:56:34,507 --> 04:56:34,808 APPROACHES. 7938 04:56:34,808 --> 04:56:36,209 >> EASY. IT IS ACTUALLY THE 7939 04:56:36,209 --> 04:56:37,811 PART WE ARE TALKING ABOUT IN 7940 04:56:37,811 --> 04:56:39,212 LEVEL AND YOU CREATE GREAT STUFF 7941 04:56:39,212 --> 04:56:40,680 AND HOW DO YOU GET IT OUT THERE 7942 04:56:40,680 --> 04:56:42,549 AND OUT THERE IN A WAY THAT 7943 04:56:42,549 --> 04:56:45,919 PEOPLE CAN USE BECAUSE YOU PUT A 7944 04:56:45,919 --> 04:56:47,253 CAR ON THE ROAD DOESN'T MEAN 7945 04:56:47,253 --> 04:56:48,621 PEOPLE KNOW HOW TO DRIVE IT. 7946 04:56:48,621 --> 04:56:50,123 PART OF THE EFFORT WE THOUGHT 7947 04:56:50,123 --> 04:56:52,358 THAT NIH COULD THINK ABOUT IS 7948 04:56:52,358 --> 04:56:53,793 ACTUALLY SOME MEASURES PUTTING 7949 04:56:53,793 --> 04:56:57,163 THEM IN TANDEM WHEN THEY RELEASE 7950 04:56:57,163 --> 04:56:59,833 SO WE EQUIP AND INCENTIVIZE YOU 7951 04:56:59,833 --> 04:57:01,734 WITH THIS NEW AND EXCITING 7952 04:57:01,734 --> 04:57:02,869 TECHNOLOGY TO GIVE YOU 7953 04:57:02,869 --> 04:57:03,903 INCENTIVES TO TRAIN PEOPLE AND 7954 04:57:03,903 --> 04:57:05,805 IS HARD YOU ARE LIMITED IN YOUR 7955 04:57:05,805 --> 04:57:07,340 TIME AND HOW WE HAVE MECHANISMS 7956 04:57:07,340 --> 04:57:10,710 TO REWARD YOU FOR TIME FOR 7957 04:57:10,710 --> 04:57:12,145 DEMOCRATIZING TECHNOLOGIES AND 7958 04:57:12,145 --> 04:57:13,980 DOING THAT AND IS A COMPLICATED 7959 04:57:13,980 --> 04:57:15,849 QUESTION AND SOMETHING THAT THE 7960 04:57:15,849 --> 04:57:17,817 WORKING GROUP THOUGHT A LOT 7961 04:57:17,817 --> 04:57:20,620 ABOUT NOT CONCENTRATING NEW 7962 04:57:20,620 --> 04:57:22,155 TECHNOLOGIES IN AREAS BUT TO 7963 04:57:22,155 --> 04:57:23,456 MAKE THEM ACCESSIBLE. 7964 04:57:23,456 --> 04:57:25,859 >> LOTS COULD BE LEARNED FROM 7965 04:57:25,859 --> 04:57:27,694 BRAIN INITIATIVE AT THE TIME 7966 04:57:27,694 --> 04:57:29,195 TECHNOLOGY CREATION ENGINE 7967 04:57:29,195 --> 04:57:30,563 FUNDING GRANTS TO TRAIN PEOPLE 7968 04:57:30,563 --> 04:57:32,866 IN TECHNOLOGIES FIGURING OUT HOW 7969 04:57:32,866 --> 04:57:33,700 TO SPREAD THEM AROUND. 7970 04:57:33,700 --> 04:57:36,469 >> YEAH. YOU MENTIONED BRINGING 7971 04:57:36,469 --> 04:57:38,972 INITIATIVES AND SITE VISIT WAS 7972 04:57:38,972 --> 04:57:42,075 ACTUALLY TO THE LAB OF STANFORD 7973 04:57:42,075 --> 04:57:43,510 COLLEAGUE WHO WORKS ON HUMAN 7974 04:57:43,510 --> 04:57:47,647 BRAIN ORGANOIDS AND TAKING 7975 04:57:47,647 --> 04:57:49,082 MODELS LAY TERM BRAIN 7976 04:57:49,082 --> 04:57:50,917 DEVELOPMENT THAT LINKS TO WHAT 7977 04:57:50,917 --> 04:57:53,119 WE HEARD EARLIER ABOUT MATERNAL 7978 04:57:53,119 --> 04:57:55,355 FETAL HEALTH THAT IS THERE IS A 7979 04:57:55,355 --> 04:57:57,390 PARTICULAR TRANSITION THAT 7980 04:57:57,390 --> 04:57:58,291 HAPPENS IN GENE INSTRUCTION 7981 04:57:58,291 --> 04:58:02,028 STATE THAT BASICALLY IS AROUND 7982 04:58:02,028 --> 04:58:04,297 9TH OR 10TH MONTH OF GESTATION 7983 04:58:04,297 --> 04:58:05,932 AND IMPORTANCE OF DELIVERY AND 7984 04:58:05,932 --> 04:58:07,600 DOING THAT ON THEIR OWN IN 7985 04:58:07,600 --> 04:58:08,568 ADDITION AT THE SAME TIME AND 7986 04:58:08,568 --> 04:58:11,271 THERE IS A REALLY AMAZING 7987 04:58:11,271 --> 04:58:13,339 BIOLOGY THAT SOMEHOW COULD 7988 04:58:13,339 --> 04:58:14,807 RECAPITULATE AND HE ALSO SHOWED 7989 04:58:14,807 --> 04:58:16,776 THAT HE RUNS ACTUALLY A COURSE 7990 04:58:16,776 --> 04:58:18,745 TO ACTUALLY HELP PEOPLE TO USE 7991 04:58:18,745 --> 04:58:20,713 THAT TECHNOLOGY AND COME AT HIS 7992 04:58:20,713 --> 04:58:22,315 OWN COST AND THEY ARE TRAINED 7993 04:58:22,315 --> 04:58:24,651 HOW TO USE TECHNOLOGIES AND 7994 04:58:24,651 --> 04:58:26,319 THINK THAT LOTS OF DEVELOPERS 7995 04:58:26,319 --> 04:58:28,354 HAVE AN INTEREST IN 7996 04:58:28,354 --> 04:58:29,355 DISSEMINATING TECHNOLOGY AND 7997 04:58:29,355 --> 04:58:33,193 CHALLENGES HAVE TO BE RIGHT AT 7998 04:58:33,193 --> 04:58:33,426 SCALE. 7999 04:58:33,426 --> 04:58:35,261 >> AND TO FURTHER ANALOGY TO THE 8000 04:58:35,261 --> 04:58:37,030 BRAIN INITIATIVE A LITTLE BIT 8001 04:58:37,030 --> 04:58:38,998 MORE, I THINK THAT ONE OF THE 8002 04:58:38,998 --> 04:58:42,969 WINS OF THE BRAIN INITIATIVE WAS 8003 04:58:42,969 --> 04:58:47,774 TO ATTRACT THROUGH NIH PEOPLE 8004 04:58:47,774 --> 04:58:49,442 WHO CARED FOR AND NEVER KNEW 8005 04:58:49,442 --> 04:58:50,710 WHAT NIH WAS. 8006 04:58:50,710 --> 04:58:53,780 ALL OF THE DIFFERENT TYPES OF 8007 04:58:53,780 --> 04:58:57,217 SCIENTISTS, MANY, MANY NEW 8008 04:58:57,217 --> 04:58:57,584 INVESTIGATORS. 8009 04:58:57,584 --> 04:59:00,987 IT REALLY INCREASED THE -- THE 8010 04:59:00,987 --> 04:59:02,322 DIVERSITY OF THOUGHT IN THAT, 8011 04:59:02,322 --> 04:59:03,723 YOU KNOW, IN THAT WAY. 8012 04:59:03,723 --> 04:59:05,858 I SUSPECT THIS WILL BE THE SAME 8013 04:59:05,858 --> 04:59:06,292 THING. 8014 04:59:06,292 --> 04:59:08,027 BECAUSE WHILE IT WILL BE A 8015 04:59:08,027 --> 04:59:10,964 LITTLE OVERLAPPED WITH TYPES OF 8016 04:59:10,964 --> 04:59:12,265 THINGS THAT PEOPLE ARE 8017 04:59:12,265 --> 04:59:15,802 INTERESTED IN WITH ASPECTS OF 8018 04:59:15,802 --> 04:59:17,403 INITIATIVE NEW CADRE OF PEOPLE 8019 04:59:17,403 --> 04:59:19,739 NEVER THOUGHT OF NIH AS A 8020 04:59:19,739 --> 04:59:21,474 POTENTIAL PLACE TO LOOK FOR 8021 04:59:21,474 --> 04:59:23,009 SUPPORT AND SO FORTH. 8022 04:59:23,009 --> 04:59:25,578 SO, I -- I CAN SEE THAT AS A -- 8023 04:59:25,578 --> 04:59:29,282 YOU KNOW, AS AN IMPORTANT, YOU 8024 04:59:29,282 --> 04:59:30,683 KNOW, SECONDARY BENEFIT FOR 8025 04:59:30,683 --> 04:59:31,084 SURE. 8026 04:59:31,084 --> 04:59:32,485 THAT IS CERTAINLY -- YOU KNOW, 8027 04:59:32,485 --> 04:59:35,288 IT WAS PREDICTED FROM THE BRAIN 8028 04:59:35,288 --> 04:59:36,689 INITIATIVE AND I'M NOT SURE AND 8029 04:59:36,689 --> 04:59:38,224 THINK THAT PEOPLE THAT PREDICTED 8030 04:59:38,224 --> 04:59:40,927 IT WEREN'T AS READY FOR THE 8031 04:59:40,927 --> 04:59:42,362 TREMENDOUS INFLUX OF MANY 8032 04:59:42,362 --> 04:59:44,497 DIFFERENT TYPES OF TALENTS. 8033 04:59:44,497 --> 04:59:46,833 SO, THE SAME THING COULD 8034 04:59:46,833 --> 04:59:48,801 POTENTIALLY HAPPEN HERE. 8035 04:59:48,801 --> 04:59:54,274 SO, OTHER COMMENTS OR QUESTIONS? 8036 04:59:54,274 --> 04:59:59,312 >> TARA? SORRY I DON'T HEAR 8037 04:59:59,312 --> 04:59:59,512 YOU. 8038 04:59:59,512 --> 05:00:06,619 >> I WAS GOING TO TAKE A MINUTE 8039 05:00:06,619 --> 05:00:08,454 TO MENTION SOME COMMON WORK 8040 05:00:08,454 --> 05:00:10,623 GOING ON ACTUALLY IN PARALLEL 8041 05:00:10,623 --> 05:00:12,325 AND COORDINATION WITH WORK THAT 8042 05:00:12,325 --> 05:00:14,327 THIS WORKING GROUP HAS DONE. 8043 05:00:14,327 --> 05:00:16,896 COMMON FUND, IT ACTUALLY IS 8044 05:00:16,896 --> 05:00:21,067 GOING TO -- THE FOLKS AND 8045 05:00:21,067 --> 05:00:22,669 PROGRAM STAFF WILL ACTUALLY 8046 05:00:22,669 --> 05:00:24,837 SHARE A CONCEPT CLEARANCE AT THE 8047 05:00:24,837 --> 05:00:28,041 COUNCIL OF COUNCILS IN JANUARY 8048 05:00:28,041 --> 05:00:28,875 FOR A PROGRAM CALLED 8049 05:00:28,875 --> 05:00:30,109 COMPLEMENTARY AND I WILL READ 8050 05:00:30,109 --> 05:00:34,914 THE NAMES I ALWAYS FOR GET 8051 05:00:34,914 --> 05:00:36,382 COMPLEMENTARY ANIMAL -- I FORGET 8052 05:00:36,382 --> 05:00:38,985 IT AND THAT IS SIMPLE AND WILL 8053 05:00:38,985 --> 05:00:41,487 FOCUS ON DEVELOPING 8054 05:00:41,487 --> 05:00:44,524 STANDARDIZING AND VALIDATING USE 8055 05:00:44,524 --> 05:00:47,360 OF NOVEL APPROACHES THAT WILL 8056 05:00:47,360 --> 05:00:49,228 ACCURATELY MODEL HUMAN BIOLOGY. 8057 05:00:49,228 --> 05:00:50,496 THEY HAVE SEVERAL GOALS 8058 05:00:50,496 --> 05:00:51,798 INCLUDING TO MODEL AND 8059 05:00:51,798 --> 05:00:53,766 UNDERSTAND HUMAN HEALTH AND 8060 05:00:53,766 --> 05:00:56,736 DISEASE OUTCOMES ACROSS DIVERSE 8061 05:00:56,736 --> 05:00:59,372 POPULATIONS AND DEVELOP NAMS 8062 05:00:59,372 --> 05:01:00,440 PROVIDING INSIGHT INTO DISEASE 8063 05:01:00,440 --> 05:01:02,241 AND BIOLOGICAL PROCESSES. 8064 05:01:02,241 --> 05:01:04,977 AS I SAID, VALIDATE AND 8065 05:01:04,977 --> 05:01:05,978 STANDARDIZE THEM AND WITH THE -- 8066 05:01:05,978 --> 05:01:08,748 I THINK RELATED TO A QUESTION 8067 05:01:08,748 --> 05:01:11,451 EARLIER, WITH THE LENS OF OR 8068 05:01:11,451 --> 05:01:13,286 THROUGH THE LENS OF SORT OF 8069 05:01:13,286 --> 05:01:15,388 THINKING ABOUT THE REGULATORY 8070 05:01:15,388 --> 05:01:17,790 ACCEPTANCE AND TO COMPLEMENT OR 8071 05:01:17,790 --> 05:01:19,425 REPLACE SORT OF TRADITIONAL AND 8072 05:01:19,425 --> 05:01:21,060 EXISTING MODELS THAT IS SOME 8073 05:01:21,060 --> 05:01:24,864 WORK THAT THEY ARE DOING AND I 8074 05:01:24,864 --> 05:01:28,668 WANT TO ALSO MENTION THAT WE 8075 05:01:28,668 --> 05:01:31,437 HAVE HAD AN INTERAGENCY RETREAT, 8076 05:01:31,437 --> 05:01:36,376 I GUESS, I WOULD CALL IT BACK IN 8077 05:01:36,376 --> 05:01:38,611 OCTOBER TO GAIN ADDITIONAL 8078 05:01:38,611 --> 05:01:40,613 INFORMATION TO HELP INFORM 8079 05:01:40,613 --> 05:01:42,548 DEVELOPMENT OF COMPLEMENTARY AND 8080 05:01:42,548 --> 05:01:43,249 ENCOURAGE PARTICIPATION FROM 8081 05:01:43,249 --> 05:01:46,152 OTHER FEDERAL PARTNERS AND HELD 8082 05:01:46,152 --> 05:01:47,820 SEVERAL LISTENING SESSIONS THAT 8083 05:01:47,820 --> 05:01:49,889 WERE PUBLIC TO GAIN INSIGHT ON 8084 05:01:49,889 --> 05:01:51,958 GAPS AND OPPORTUNITIES AND 8085 05:01:51,958 --> 05:01:54,227 LIMITATIONS AROUND DEVELOPING 8086 05:01:54,227 --> 05:01:55,428 THIS INITIATIVE. 8087 05:01:55,428 --> 05:01:58,398 AND EXCITINGLY, WE LAUNCHED ALSO 8088 05:01:58,398 --> 05:02:00,299 A CHALLENGE FOR A MILLION 8089 05:02:00,299 --> 05:02:02,034 DOLLARS THAT WENT OUT A LITTLE 8090 05:02:02,034 --> 05:02:04,404 BIT EARLIER THIS YEAR A COUPLE 8091 05:02:04,404 --> 05:02:05,037 MONTHS AGO. 8092 05:02:05,037 --> 05:02:07,607 IT IS SPECIFICALLY FOCUSED ON 8093 05:02:07,607 --> 05:02:10,743 SEEKING INSILICO AND IN VIVO AND 8094 05:02:10,743 --> 05:02:12,845 CHEMMICO APPROACHES WITH A 8095 05:02:12,845 --> 05:02:15,248 PARTICULAR FOCUS ON THAT 8096 05:02:15,248 --> 05:02:16,883 INTEGRATION ISSUE THAT LYRIC WAS 8097 05:02:16,883 --> 05:02:18,384 TALKING ABOUT EARLIER. 8098 05:02:18,384 --> 05:02:19,986 MILLION DOLLAR CHALLENGE WITH UP 8099 05:02:19,986 --> 05:02:23,356 TO 20 AWARDS AND APPLICATIONS 8100 05:02:23,356 --> 05:02:24,891 ARE DUE JANUARY 11TH. 8101 05:02:24,891 --> 05:02:27,360 WE HOPE TO SELECT WINNERS IN 8102 05:02:27,360 --> 05:02:27,693 FEBRUARY. 8103 05:02:27,693 --> 05:02:29,262 IT WILL BE EXCITING. 8104 05:02:29,262 --> 05:02:33,266 >> THANK YOU FOR THAT UPDATE. 8105 05:02:33,266 --> 05:02:36,302 SO, IT JUST UNDERSCORES THAT NIH 8106 05:02:36,302 --> 05:02:38,004 IS ALREADY THINKING ABOUT 8107 05:02:38,004 --> 05:02:39,338 TANGIBLE WAYS TO BENEFIT FROM 8108 05:02:39,338 --> 05:02:40,907 THE WORK OF THE COMMITTEE. 8109 05:02:40,907 --> 05:02:44,210 SOME OF THIS IS IN PARALLEL AND 8110 05:02:44,210 --> 05:02:46,979 SOME DONE IN CONSULTATION WITH 8111 05:02:46,979 --> 05:02:50,016 AND SO I THINK THAT WE ARE ON 8112 05:02:50,016 --> 05:02:51,984 OUR WAY TO ACTUALIZING AT LEAST 8113 05:02:51,984 --> 05:02:52,785 SOME OF THIS. 8114 05:02:52,785 --> 05:02:55,688 IT IS THE BEGINNING. 8115 05:02:55,688 --> 05:02:59,192 AND SO OTHER QUESTIONS OR 8116 05:02:59,192 --> 05:03:02,495 COMMENTS THAT THE COMMITTEE MAY 8117 05:03:02,495 --> 05:03:06,065 HAVE FOR US? OKAY. SOON I WILL 8118 05:03:06,065 --> 05:03:08,434 START TO TELL STORIES. 8119 05:03:08,434 --> 05:03:10,703 I'M DESPERATELY WAITING FOR 8120 05:03:10,703 --> 05:03:11,370 MONICA TO RETURN. 8121 05:03:11,370 --> 05:03:12,872 WHEN SHE RETURNS, YOU WILL 8122 05:03:12,872 --> 05:03:14,207 UNDERSTAND WHY SHE HAD TO LEAVE. 8123 05:03:14,207 --> 05:03:15,875 IT IS OKAY. 8124 05:03:15,875 --> 05:03:18,377 ALL WILL BE FORGIVEN WHEN SHE 8125 05:03:18,377 --> 05:03:20,746 TELLS YOU WHERE SHE WAS AND WHAT 8126 05:03:20,746 --> 05:03:22,348 SHE WAS DOING. 8127 05:03:22,348 --> 05:03:22,949 OKAY. 8128 05:03:22,949 --> 05:03:25,218 SO, I GUESS WHAT I CAN DO IS ARE 8129 05:03:25,218 --> 05:03:27,553 THERE NO OTHER -- YOU ARE REALLY 8130 05:03:27,553 --> 05:03:34,727 HANGING ME OUT TO DRY HERE. NO 8131 05:03:34,727 --> 05:03:36,629 QUESTIONS AND COMMENTS AND THANK 8132 05:03:36,629 --> 05:03:38,898 YOU FOR BEAUTIFUL WORK FOR THE 8133 05:03:38,898 --> 05:03:40,933 WHOLE COMMITTEE AND PRESENTATION 8134 05:03:40,933 --> 05:03:42,535 AND WILL VERY DELIBERATELY NOW 8135 05:03:42,535 --> 05:03:45,104 WE GO THROUGH A TWO-STEP 8136 05:03:45,104 --> 05:03:45,438 PROCESS. 8137 05:03:45,438 --> 05:03:48,574 FIRST PROCESS THAT I FEEL 8138 05:03:48,574 --> 05:03:49,408 COMPLETELY COMFORTABLE GOING 8139 05:03:49,408 --> 05:03:53,813 THROUGH IS TO ASK ACD IF THEY 8140 05:03:53,813 --> 05:03:58,184 WISH TO ACCEPT THE REPORT AS 8141 05:03:58,184 --> 05:04:08,327 PREPA 8142 05:04:33,452 --> 05:04:33,653 PREPARED. 8143 05:04:33,653 --> 05:04:34,287 WE WILL ASK BY VOTE WHETHER OR 8144 05:04:34,287 --> 05:04:34,921 NOT PEOPLE ARE WILL TO ENDORSE 8145 05:04:34,921 --> 05:04:35,488 RECOMMENDATIONS THROUGH THE 8146 05:04:35,488 --> 05:04:35,988 WORKING GROUP. OKAY? 8147 05:04:35,988 --> 05:04:36,622 >> SHOULD WE MAKE A MOTION FOR 8148 05:04:36,622 --> 05:04:36,856 THAT? 8149 05:04:36,856 --> 05:04:37,490 >> NEED TO MAKE A LONGER MOTION 8150 05:04:37,490 --> 05:04:37,723 THOUGH. 8151 05:04:37,723 --> 05:04:38,357 >> I MAKE A MOTION WE ACCEPT THE 8152 05:04:38,357 --> 05:04:38,958 REPORT AS THE MOST AMAZING 8153 05:04:38,958 --> 05:04:40,560 REPORT PRESENTED AND DISCUSSED. 8154 05:04:40,560 --> 05:04:42,461 >> THANK YOU. DO WE HAVE A 8155 05:04:42,461 --> 05:04:42,695 SECOND. 8156 05:04:42,695 --> 05:04:42,995 >> SECOND. 8157 05:04:42,995 --> 05:04:44,864 >> NOW, WE HAVE TO PAUSE AND SEE 8158 05:04:44,864 --> 05:04:47,066 IF THERE IS ANY DISCUSSION. 8159 05:04:47,066 --> 05:04:49,035 OKAY. GUESS NOT. OKAY. ALL 8160 05:04:49,035 --> 05:04:52,104 THOSE -- I KNOW I'M NOT ALLOWED 8161 05:04:52,104 --> 05:04:53,739 TO DO THE GAVEL NOW. 8162 05:04:53,739 --> 05:04:57,510 ALL THOSE IN FAVOR OF THIS SAY 8163 05:04:57,510 --> 05:04:59,245 A 8164 05:04:59,245 --> 05:04:59,445 AYE. 8165 05:04:59,445 --> 05:04:59,812 >> AYE. 8166 05:04:59,812 --> 05:05:04,083 >> I NEED -- I HAVE GISELLE, 8167 05:05:04,083 --> 05:05:06,786 LUCILA, MARK, YES. 8168 05:05:06,786 --> 05:05:08,821 GREAT. THANK YOU. 8169 05:05:08,821 --> 05:05:11,023 LET THE RECORD SHOW IN LIMINE 8170 05:05:11,023 --> 05:05:14,994 THAT THE ACD HAS ACCEPTED THE 8171 05:05:14,994 --> 05:05:15,394 RECOMMENDATIONS. 8172 05:05:15,394 --> 05:05:17,496 NOW, IT GETS A LITTLE STICKIER. 8173 05:05:17,496 --> 05:05:21,133 I WOULD RATHER HAVE MONICA COME 8174 05:05:21,133 --> 05:05:23,603 BEFORE YOU. 8175 05:05:23,603 --> 05:05:25,705 WE WILL TAKE A BRIEF BREAK FOR A 8176 05:05:25,705 --> 05:05:27,840 FEW MOMENTS TO SEE HOW IT SORT 8177 05:05:27,840 --> 05:05:28,908 OF HAPPENS. 8178 05:05:28,908 --> 05:05:31,277 I'M NOT -- BY NOW, SHE SHOULD BE 8179 05:05:31,277 --> 05:05:32,945 ABOUT READY TO BE COMING BACK. 8180 05:05:32,945 --> 05:05:34,780 WE WILL SEE. 8181 05:05:34,780 --> 05:05:37,750 WE WILL JUST HANG OUT FOR A 8182 05:05:37,750 --> 05:05:38,618 LITTLE WHILE. 8183 05:05:38,618 --> 05:05:41,754 AND BUT SO WILL THE COUNCIL LIKE 8184 05:05:41,754 --> 05:05:44,557 ANY -- ANY OTHER TOPICS FOR 8185 05:05:44,557 --> 05:05:45,992 FUTURE DISCUSSION OR THINGS OF 8186 05:05:45,992 --> 05:05:47,460 THAT NATURE THAT YOU WOULD LIKE 8187 05:05:47,460 --> 05:05:49,528 TO RAISE SO WE ARE USING YOUR 8188 05:05:49,528 --> 05:05:58,938 TIME PRODUCTIVELY? 8189 05:05:58,938 --> 05:06:02,942 YEAH. PLEASE. 8190 05:06:02,942 --> 05:06:04,276 >> MY INSTITUTION FOR EXAMPLE I 8191 05:06:04,276 --> 05:06:06,245 WORK WITH ENGINEERS AND PEOPLE 8192 05:06:06,245 --> 05:06:08,948 FROM THE ENGINEERING SCHOOL. 8193 05:06:08,948 --> 05:06:10,082 >> RIGHT. 8194 05:06:10,082 --> 05:06:12,685 >> I DON'T THINK THEY THINK OF 8195 05:06:12,685 --> 05:06:14,854 NIH AS FUNDING. IT IS FUNNY. 8196 05:06:14,854 --> 05:06:17,356 THEY GO TO NSF. IT IS 8197 05:06:17,356 --> 05:06:19,358 INTERESTING HOW DIFFERENT. BOTH 8198 05:06:19,358 --> 05:06:21,394 NIHS YOU ARE TRYING TO REACH OUT 8199 05:06:21,394 --> 05:06:23,462 TO DIFFERENT CONSTITUENCIES. 8200 05:06:23,462 --> 05:06:24,030 >> YEAH. 8201 05:06:24,030 --> 05:06:25,931 >> THEY ARE ALSO VERY MUCH KIND 8202 05:06:25,931 --> 05:06:28,734 OF A -- IT IS TOUGH. NEEDS TO 8203 05:06:28,734 --> 05:06:32,038 BE APPRECIATION ON OTHER SIDE OF 8204 05:06:32,038 --> 05:06:32,972 THE OPPORTUNITY. 8205 05:06:32,972 --> 05:06:34,840 IT IS A FUNNY. 8206 05:06:34,840 --> 05:06:37,643 >> INTERESTING DYNAMIC AND WE 8207 05:06:37,643 --> 05:06:40,413 INSTITUTE AND NIDIP THAT 8208 05:06:40,413 --> 05:06:42,748 ENCOMPASSES ASPECTS OF 8209 05:06:42,748 --> 05:06:43,082 ENGINEERING. 8210 05:06:43,082 --> 05:06:43,382 >> RIGHT. 8211 05:06:43,382 --> 05:06:45,151 >> NOT AS BROAD AS A FULL SCHOOL 8212 05:06:45,151 --> 05:06:46,886 OF ENGINEERING. 8213 05:06:46,886 --> 05:06:47,753 WE HAVE THAT INSTITUTE. 8214 05:06:47,753 --> 05:06:50,623 THEY -- YOU KNOW, THEY HAVE DONE 8215 05:06:50,623 --> 05:06:52,625 PRETTY REMARKABLE THINGS DURING 8216 05:06:52,625 --> 05:06:53,492 THEIR LIFETIME. 8217 05:06:53,492 --> 05:06:55,361 YEAH. I THINK THAT YOU ARE 8218 05:06:55,361 --> 05:06:56,996 RIGHT AND THAT IN GENERAL THEY 8219 05:06:56,996 --> 05:07:02,601 TEND TO GO TO NSF OR DOE OR, YOU 8220 05:07:02,601 --> 05:07:05,404 KNOW, DARPA. YEAH. YEAH. HOW 8221 05:07:05,404 --> 05:07:07,707 YOU -- HOW YOU -- MAYBE THINGS 8222 05:07:07,707 --> 05:07:11,544 LIKE THIS WOULD ENKRENTIVIZE. 8223 05:07:11,544 --> 05:07:13,479 YEAH. THIS MIGHT HELP 8224 05:07:13,479 --> 05:07:14,146 INCENTIVIZE. 8225 05:07:14,146 --> 05:07:14,847 OTHER THINGS PEOPLE WOULD LIKE 8226 05:07:14,847 --> 05:07:17,316 TO RAISE? WOULD YOU LIKE TO BE 8227 05:07:17,316 --> 05:07:25,836 LEFT ALONE OR CHECK E-MAILS? 8228 05:07:25,836 --> 05:07:26,203 >> QUESTION. 8229 05:07:26,203 --> 05:07:27,938 >> YEAH. 8230 05:07:27,938 --> 05:07:29,306 >> WE HAD AN OPPORTUNITY EARLIER 8231 05:07:29,306 --> 05:07:34,478 TO HEAR FROM DIRECTOR OF ARPA-H. 8232 05:07:34,478 --> 05:07:37,047 THEY ARE A SEPARATE AGENCY AND 8233 05:07:37,047 --> 05:07:38,015 WILL WE HEAR MORE ABOUT WHAT 8234 05:07:38,015 --> 05:07:40,184 THEY ARE DOING OR WHAT IS THE 8235 05:07:40,184 --> 05:07:41,852 EXPECTATION? 8236 05:07:41,852 --> 05:07:45,456 >> WE CAN CERTAINLY ASK. 8237 05:07:45,456 --> 05:07:48,025 AS YOU KNOW, IT IS A SEPARATE 8238 05:07:48,025 --> 05:07:51,028 AGENCY THAT IS PART OF THE NIH 8239 05:07:51,028 --> 05:07:51,628 ORGANIZATIONALLY. 8240 05:07:51,628 --> 05:07:56,467 THEY MAKE USE OF SOME OF OUR 8241 05:07:56,467 --> 05:07:58,936 EQUITIES AND SOME OF OUR 8242 05:07:58,936 --> 05:08:01,138 ADMINISTRATIVE SYSTEMS AND THINK 8243 05:08:01,138 --> 05:08:05,742 THERE IS SOME CROSS-TALK AMONG 8244 05:08:05,742 --> 05:08:07,344 ARPA-H ACROSS SOME INSTITUTES 8245 05:08:07,344 --> 05:08:11,548 AND CENTERS AND DIRECTOR OF 8246 05:08:11,548 --> 05:08:14,785 ARPA-H ATTENDS DIRECTOR 8247 05:08:14,785 --> 05:08:15,919 INCENTIVE MEETINGS WE HAVE AND 8248 05:08:15,919 --> 05:08:17,921 CERTAINLY IS AN OPPORTUNITY FOR 8249 05:08:17,921 --> 05:08:20,924 MORE ONE ON ONE ENGAGEMENT. WE 8250 05:08:20,924 --> 05:08:24,928 WILL CERTAINLY RAISE WITH MONICA 8251 05:08:24,928 --> 05:08:28,298 THE POSSIBILITY OF INVITING RENÉ 8252 05:08:28,298 --> 05:08:31,568 BACK AT OUR FUTURE MEETING AND 8253 05:08:31,568 --> 05:08:32,836 WISH YOU WERE HERE NOW. 8254 05:08:32,836 --> 05:08:36,139 I WOULD HAVE HER SIT DOWN AND 8255 05:08:36,139 --> 05:08:37,875 GIVE A BRIEF UPDATE. THAT WOULD 8256 05:08:37,875 --> 05:08:43,680 BE GREAT. OKAY. ANY OTHER 8257 05:08:43,680 --> 05:08:46,016 POINTS YOU WOULD LIKE TO RAISE? 8258 05:08:46,016 --> 05:08:48,852 OKAY. I -- LET'S TAKE A BRIEF 8259 05:08:48,852 --> 05:08:49,820 BREAK. 8260 05:08:49,820 --> 05:08:51,622 WE WILL REVISIT THINGS AT 4 8261 05:08:51,622 --> 05:08:53,323 O'CLOCK TO SEE IF ANYTHING. 8262 05:08:53,323 --> 05:08:57,761 WHAT -- WE HAVE -- WE HAVE A 8263 05:08:57,761 --> 05:09:00,631 SHUTTLE OF SOME SORT. 8264 05:09:00,631 --> 05:09:05,936 >> YES. 8265 05:09:05,936 --> 05:09:07,671 >> [OFF MIC]. 8266 05:09:07,671 --> 05:09:10,007 >> THEN THE SHUTTLE WILL COME UP 8267 05:09:10,007 --> 05:09:11,909 AGAIN. FOR THOSE THAT JOIN US 8268 05:09:11,909 --> 05:09:13,677 THIS EVENING, CERTAINLY CASUAL 8269 05:09:13,677 --> 05:09:14,311 IS FINE. 8270 05:09:14,311 --> 05:09:18,081 I WILL CERTAINLY NOT LOOK LIKE 8271 05:09:18,081 --> 05:09:18,749 THIS. 8272 05:09:18,749 --> 05:09:20,517 AND THE -- THE -- I THINK SOME 8273 05:09:20,517 --> 05:09:23,053 OF YOU KNOW THIS. THE HOTEL IS 8274 05:09:23,053 --> 05:09:24,855 LITERALLY TWO MINUTES FROM MY 8275 05:09:24,855 --> 05:09:25,188 HOUSE. 8276 05:09:25,188 --> 05:09:27,791 IT IS NOT A VERY LONG COMMUTE. 8277 05:09:27,791 --> 05:09:30,961 IT IS A LITTLE CHILLY OUT 8278 05:09:30,961 --> 05:09:32,262 OTHERWISE WOULD SAY YOU CAN 8279 05:09:32,262 --> 05:09:33,096 PROBABLY WALK IT. 8280 05:09:33,096 --> 05:09:38,602 IT IS CHILLY SO. IT IS FINE. 8281 05:09:38,602 --> 05:09:39,369 I'M SORRY. 8282 05:09:39,369 --> 05:09:41,471 >> DO WE HAVE A DATE? 8283 05:09:41,471 --> 05:09:44,508 >> I'M SURE WE DO. I'M SURE WE 8284 05:09:44,508 --> 05:09:49,846 DO. DO YOU KNOW THOSE OFFHAND, 8285 05:09:49,846 --> 05:09:50,314 CINDY? 8286 05:09:50,314 --> 05:09:53,550 >> I -- OKAY. YEAH. THEY ARE 8287 05:09:53,550 --> 05:09:56,053 USUALLY DONE QUITE -- WHAT IS 8288 05:09:56,053 --> 05:10:00,123 THAT? IT IS A SUNDAY? 8289 05:10:00,123 --> 05:10:04,595 IT IS PROBABLY NOT JUNE 9TH THEN 8290 05:10:04,595 --> 05:10:08,632 BUT YOU ARE WITH US IN FACT. 8291 05:10:08,632 --> 05:10:09,600 THANK YOU. 8292 05:10:09,600 --> 05:10:10,934 I APPRECIATE YOUR DEDICATION AND 8293 05:10:10,934 --> 05:10:13,971 WE WILL FIND IT OUT FOR YOU. 8294 05:10:13,971 --> 05:10:16,740 OKAY. WE ARE -- I AM REMINDED 8295 05:10:16,740 --> 05:10:26,740 WE ARE STILL LIVE.