1 00:00:07,964 --> 00:00:09,566 I HAVE A REQUEST. 2 00:00:09,566 --> 00:00:16,906 YOU'RE OUR ADVISORY BOARD. 3 00:00:16,906 --> 00:00:20,410 YOU ARE THE ONES WHO LOOK AT 4 00:00:20,410 --> 00:00:21,578 WE'RE DOING, WE WANT YOU TO 5 00:00:21,578 --> 00:00:24,447 CHALLENGE US TO BE BRAVE AND 6 00:00:24,447 --> 00:00:25,748 BOLD, OKAY? 7 00:00:25,748 --> 00:00:29,018 WE'RE THE TEAM. 8 00:00:29,018 --> 00:00:30,987 HEADS DOWN THINKING ABOUT NIH. 9 00:00:30,987 --> 00:00:33,089 YOU'RE THE PERSPECTIVE OF A 10 00:00:33,089 --> 00:00:33,957 DIVERSE OUTSIDE WORLD. 11 00:00:33,957 --> 00:00:36,125 SO CHALLENGE US TO BE BRAVE AND 12 00:00:36,125 --> 00:00:36,893 BOLD. 13 00:00:36,893 --> 00:00:40,196 THAT'S WHY WE NEEDS YOU HERE, 14 00:00:40,196 --> 00:00:43,066 JUST REMINDING YOU OF THAT. 15 00:00:43,066 --> 00:00:45,101 THANKS FOR BEING HERE. 16 00:00:45,101 --> 00:00:47,170 ANY OTHER COMMENTS? 17 00:00:47,170 --> 00:00:47,837 ALL RIGHT. 18 00:00:47,837 --> 00:00:51,674 FIRST PRESENTATION TODAY IS 19 00:00:51,674 --> 00:00:53,743 ABOUT THE HeLa GENOME ACCESS 20 00:00:53,743 --> 00:00:56,813 WORKING GROUP AND DATA ACCESS 21 00:00:56,813 --> 00:00:57,247 REQUESTS. 22 00:00:57,247 --> 00:00:59,382 GARTH GRAHAM, DIRECTOR AND 23 00:00:59,382 --> 00:01:01,284 GLOBAL HEAD OF HEALTH CARE AND 24 00:01:01,284 --> 00:01:05,221 PUBLIC HEALTH CARE AT GOOGLE AND 25 00:01:05,221 --> 00:01:15,498 YouTube, AND LYRIC 26 00:01:15,498 --> 00:01:15,798 JORGENSON. 27 00:01:15,798 --> 00:01:21,871 AS OF YESTERDAY, SHE'S 28 00:01:21,871 --> 00:01:24,274 OFFICIALLY THE PERSON HERE, NOT 29 00:01:24,274 --> 00:01:24,507 ACTING. 30 00:01:24,507 --> 00:01:27,010 >> I'LL GET STARTED. 31 00:01:27,010 --> 00:01:28,444 CONGRATULATIONS, LYRIC. 32 00:01:28,444 --> 00:01:30,713 I'M GARTH GRAHAM, SERVING 33 00:01:30,713 --> 00:01:32,916 ALONGSIDE LYRIC TO CO-CHAIR THE 34 00:01:32,916 --> 00:01:33,917 HeLa GENOME DATA ACCESS 35 00:01:33,917 --> 00:01:34,584 WORKING GROUP. 36 00:01:34,584 --> 00:01:36,986 WE'RE GOING TO TALK YOU THROUGH 37 00:01:36,986 --> 00:01:40,156 ONE OF THE PROPOSALS AND OUR 38 00:01:40,156 --> 00:01:43,626 OVERALL BROADER PLAN AS WE 39 00:01:43,626 --> 00:01:46,829 REENERGIZE OUR EFFORTS. 40 00:01:46,829 --> 00:01:48,031 NEXT SLIDE PLEASE. 41 00:01:48,031 --> 00:01:49,198 TODAY WE'LL BE REPORTING ON 42 00:01:49,198 --> 00:01:51,968 WORKING GROUP EVALUATION OF A 43 00:01:51,968 --> 00:01:53,636 RESEARCH PROPOSAL TO ACCESS 44 00:01:53,636 --> 00:01:56,372 HeLa CELL LINE GENOMIC DATA 45 00:01:56,372 --> 00:01:57,907 AS THE WORKING GROUP DISCUSSING 46 00:01:57,907 --> 00:02:08,318 AS WELL NIH EFFORTS TO 47 00:02:09,986 --> 00:02:11,454 R EINVIGORATE THE LACKS FAMILY 48 00:02:11,454 --> 00:02:12,188 AGREEMENT. 49 00:02:12,188 --> 00:02:20,530 THE AGREEMENT HAS EXPECTATIONS 50 00:02:20,530 --> 00:02:22,265 FOR INVESTIGATORS WANTING TO 51 00:02:22,265 --> 00:02:22,832 ACCESS. 52 00:02:22,832 --> 00:02:24,801 TO ABIDE BY TERMS SET FORTH IN 53 00:02:24,801 --> 00:02:27,503 THE USE AGREEMENT, SO THESE 54 00:02:27,503 --> 00:02:33,543 TERMS INCLUDE USING THE DATA FOR 55 00:02:33,543 --> 00:02:34,243 SPECIFIC PURPOSES, DISCLOSING 56 00:02:34,243 --> 00:02:36,846 WHETHER RESEARCH COULD RESULT IN 57 00:02:36,846 --> 00:02:41,651 A PATENT, ACKNOWLEDGING THE 58 00:02:41,651 --> 00:02:45,355 LACKS FAMILY FOR THEIR 59 00:02:45,355 --> 00:02:47,357 CONTRIBUTIONS AND TO DEPOSIT ANY 60 00:02:47,357 --> 00:02:49,559 FUTURE WHOLE GENOME SEQUENCE 61 00:02:49,559 --> 00:02:51,327 DATA GENERATED FROM HeLa 62 00:02:51,327 --> 00:02:54,597 CELLS INTO THE DATABASE OF 63 00:02:54,597 --> 00:02:56,599 GENOTYPES AND PHENOTYPES. 64 00:02:56,599 --> 00:02:58,434 NEXT SLIDE PLEASE. 65 00:02:58,434 --> 00:02:59,869 THIS IS CURRENT ROSTER OF FOLKS 66 00:02:59,869 --> 00:03:01,738 WHO ARE WORKING ON THE HeLa 67 00:03:01,738 --> 00:03:03,272 WORKING GROUP. 68 00:03:03,272 --> 00:03:10,279 AND THAT WORK IS COORDINATED BY 69 00:03:10,279 --> 00:03:11,914 EXECUTIVE SECRETARY, DOING AN 70 00:03:11,914 --> 00:03:13,349 AMAZING JOB. 71 00:03:13,349 --> 00:03:17,720 WE'RE GRATEFUL TO HAVE HENRIETTA 72 00:03:17,720 --> 00:03:25,361 LACKS'S GRAND GRANDSON, 73 00:03:25,361 --> 00:03:25,862 GRANDDAUGHTER, AND GREAT 74 00:03:25,862 --> 00:03:27,530 GRANDDAUGHTER AS PART OF THE 75 00:03:27,530 --> 00:03:28,898 WORKING GROUP. 76 00:03:28,898 --> 00:03:32,502 AS A REMINDER HERE ARE THE 77 00:03:32,502 --> 00:03:33,469 CRITERIA WHEN WE'RE EVALUATING 78 00:03:33,469 --> 00:03:35,438 ACCESS REQUEST. 79 00:03:35,438 --> 00:03:40,576 SO THE HeLa DATA USE 80 00:03:40,576 --> 00:03:41,678 AGREEMENT ADVISES INVESTIGATORS 81 00:03:41,678 --> 00:03:43,112 TO ADDRESS THESE. 82 00:03:43,112 --> 00:03:45,081 IN ADDITION TO DESCRIBING THE 83 00:03:45,081 --> 00:03:48,051 OBJECTIVES OF THE RESEARCH 84 00:03:48,051 --> 00:03:50,019 PROJECT, THE DESIGN AND 85 00:03:50,019 --> 00:03:52,088 ANALYSIS, THEY ARE PROVIDING A 86 00:03:52,088 --> 00:03:54,390 STATEMENT EXPLAINING WHY THE 87 00:03:54,390 --> 00:03:55,591 HeLa CELLS GENOME SEQUENCE 88 00:03:55,591 --> 00:03:57,694 DATA IS VALUABLE AND ESSENTIAL 89 00:03:57,694 --> 00:04:00,496 FOR THE PROPOSED RESEARCH. 90 00:04:00,496 --> 00:04:03,366 PLANS FOR THINGS LIKE IP OR 91 00:04:03,366 --> 00:04:04,667 COMMERCIALIZATION OF A PRODUCT 92 00:04:04,667 --> 00:04:06,636 OR SERVICE IS NOT USED BY THE 93 00:04:06,636 --> 00:04:08,371 WORKING GROUP TO MAKE AN 94 00:04:08,371 --> 00:04:10,239 EVALUATION, THIS INFORMATION IS 95 00:04:10,239 --> 00:04:12,442 OBTAINED FOR DISCLOSURE PURPOSES 96 00:04:12,442 --> 00:04:12,775 ONLY. 97 00:04:12,775 --> 00:04:17,046 THE EVALUATION DOESN'T INCLUDE 98 00:04:17,046 --> 00:04:20,550 ACTUAL EVALUATION OF THE 99 00:04:20,550 --> 00:04:22,285 SCIENTIFIC MERIT. 100 00:04:22,285 --> 00:04:26,723 THIS GIVES A SNAPSHOT OF 101 00:04:26,723 --> 00:04:27,890 STATISTICIAN OF REQUEST 102 00:04:27,890 --> 00:04:31,160 EVALUATED AND APPROVED BY NIH 103 00:04:31,160 --> 00:04:31,427 DIRECTOR. 104 00:04:31,427 --> 00:04:32,929 THERE ARE INSTANCES WHEN 105 00:04:32,929 --> 00:04:34,030 REQUESTS HAVE BEEN DISAPPROVED, 106 00:04:34,030 --> 00:04:36,132 AND WILL BE DISAPPROVED IF THEY 107 00:04:36,132 --> 00:04:38,634 DO NOT MEET SPECIFIC 108 00:04:38,634 --> 00:04:39,802 EXPECTATIONS DESCRIBED IN THE 109 00:04:39,802 --> 00:04:41,437 HeLa DATA USE AGREEMENT. 110 00:04:41,437 --> 00:04:45,475 NEXT I'LL BE REPORTING ON THE 111 00:04:45,475 --> 00:04:46,943 EVALUATION OF ONE SPECIFIC 112 00:04:46,943 --> 00:04:48,244 REQUEST TO THE ACD. 113 00:04:48,244 --> 00:04:49,746 NEXT SLIDE PLEASE. 114 00:04:49,746 --> 00:04:57,120 THIS REQUEST IS FROM THE 115 00:04:57,120 --> 00:04:58,421 WEISSMAN INSTITUTE IN ISRAEL, 116 00:04:58,421 --> 00:05:03,025 DOUBLE CUTS IN THE GENOME USING 117 00:05:03,025 --> 00:05:04,093 A SPECIFIC DNA-CUTTING 118 00:05:04,093 --> 00:05:05,661 TECHNOLOGY CRISPR/CAS9, AND TO 119 00:05:05,661 --> 00:05:08,498 MAKE THE CUTS INVESTIGATOR NEEDS 120 00:05:08,498 --> 00:05:10,266 TO DESIGN HeLa-SPECIFIC 121 00:05:10,266 --> 00:05:12,235 SINGLE GUIDE RNA OR NUCLEIC 122 00:05:12,235 --> 00:05:14,837 ASSAY GUIDES TO DIRECT WHERE THE 123 00:05:14,837 --> 00:05:16,806 CUTS ARE MADE IN THE HeLa 124 00:05:16,806 --> 00:05:17,707 CELL GENOME. 125 00:05:17,707 --> 00:05:20,243 SO ACCESS TO THE HeLa CELL 126 00:05:20,243 --> 00:05:22,512 GENOME SEQUENCING STUDIES WOULD 127 00:05:22,512 --> 00:05:24,080 ALLOW THESE INVESTIGATORS 128 00:05:24,080 --> 00:05:25,381 THROUGH THE DEVELOPED HeLa 129 00:05:25,381 --> 00:05:28,584 SPECIFIC SINGLE GUIDE RNA. 130 00:05:28,584 --> 00:05:36,225 THE WORKING GROUP FORMED THE 131 00:05:36,225 --> 00:05:38,294 REQUEST TO BE CONSISTENT WITH 132 00:05:38,294 --> 00:05:40,830 THE HeLa DATA USE AGREEMENT. 133 00:05:40,830 --> 00:05:44,133 AND NOW WE TURN IT OVER TO THE 134 00:05:44,133 --> 00:05:46,736 ACD FOR ANY DISCUSSION, ANY 135 00:05:46,736 --> 00:05:49,138 QUESTIONS, OR ANY CONCERNS 136 00:05:49,138 --> 00:05:50,139 REGARDING THIS PARTICULAR 137 00:05:50,139 --> 00:05:55,545 PROPOSAL BEFORE WE GO INTO THE 138 00:05:55,545 --> 00:05:55,912 SESSION. 139 00:05:55,912 --> 00:05:58,281 >> OPEN FOR DISCUSSION. 140 00:05:58,281 --> 00:06:01,217 QUESTIONS, CONCERNS? 141 00:06:01,217 --> 00:06:02,752 >> THIS IS GISELLE. 142 00:06:02,752 --> 00:06:04,387 THANK YOU, GARTH, FOR THAT 143 00:06:04,387 --> 00:06:05,188 PRESENTATION. 144 00:06:05,188 --> 00:06:07,456 I DON'T HAVE A SPECIFIC QUESTION 145 00:06:07,456 --> 00:06:13,262 ABOUT THIS STUDY BUT I DO HAVE A 146 00:06:13,262 --> 00:06:17,867 GENERAL QUESTION ABOUT HOW THE 147 00:06:17,867 --> 00:06:22,371 ADVISORY -- THE WORKING GROUP 148 00:06:22,371 --> 00:06:25,608 ASSESSES THERE WHETHER THERE'S 149 00:06:25,608 --> 00:06:27,610 INTELLECTUAL PROPERTY OR 150 00:06:27,610 --> 00:06:28,477 POTENTIAL ROYALTY FOR 151 00:06:28,477 --> 00:06:29,245 COMMERCIALIZATION OPPORTUNITIES 152 00:06:29,245 --> 00:06:34,083 AND HOW THAT IS ASSESSED AND 153 00:06:34,083 --> 00:06:38,888 WHAT SORTS OF GUIDANCE 154 00:06:38,888 --> 00:06:39,889 REGULATIONS EXIST AROUND THE 155 00:06:39,889 --> 00:06:41,224 COMMERCIALIZATION, FUTURE -- THE 156 00:06:41,224 --> 00:06:44,727 USE OF CELLS THAT COULD LEAD TO 157 00:06:44,727 --> 00:06:45,228 COMMERCIALIZED PRODUCTS. 158 00:06:45,228 --> 00:06:46,929 >> LYRIC, COULD YOU SPEAK TO 159 00:06:46,929 --> 00:06:47,230 THAT PLEASE? 160 00:06:47,230 --> 00:06:48,998 >> SURE, HAPPY TO DO SO. 161 00:06:48,998 --> 00:06:50,766 IN TERMS OF REVIEW, WE ASK THE 162 00:06:50,766 --> 00:06:54,070 SUBMITTERS TO PUT INTO THEIR 163 00:06:54,070 --> 00:06:56,072 PROPOSAL A PLAN OR THEIR 164 00:06:56,072 --> 00:06:57,740 EXPECTATIONS, WE DO NOT REALLY 165 00:06:57,740 --> 00:06:59,475 LOOK THROUGH THE DOWNSTREAM. 166 00:06:59,475 --> 00:07:00,343 HOWEVER, IF PLANS CHANGE AT ANY 167 00:07:00,343 --> 00:07:01,944 TIME THEY ARE ASKED TO COME BACK 168 00:07:01,944 --> 00:07:05,381 TO LET US KNOW SO WE CAN HAVE A 169 00:07:05,381 --> 00:07:06,883 DISCUSSION BEFORE ANY COMMERCIAL 170 00:07:06,883 --> 00:07:14,690 ACTIVITY HAPPENS. 171 00:07:14,690 --> 00:07:15,791 172 00:07:15,791 --> 00:07:18,094 >> I'M JUST WONDERING IF WE HAVE 173 00:07:18,094 --> 00:07:22,131 AN OBLIGATION GIVEN THE HISTORY 174 00:07:22,131 --> 00:07:24,467 OF THE INTERACTION BETWEEN THE 175 00:07:24,467 --> 00:07:29,805 LACKS FAMILY AND OUR SCIENTIFIC 176 00:07:29,805 --> 00:07:30,106 ENTERPRISE. 177 00:07:30,106 --> 00:07:33,743 WHAT I PUT ON THE TABLE, 178 00:07:33,743 --> 00:07:35,244 OBVIOUSLY CAN'T BE ADDRESSED 179 00:07:35,244 --> 00:07:38,214 TODAY, BUT WHAT ARE CONTINUED 180 00:07:38,214 --> 00:07:39,315 OBLIGATIONS BEYOND JUST 181 00:07:39,315 --> 00:07:42,718 UNDERSTANDING AND APPROVING A 182 00:07:42,718 --> 00:07:47,623 STUDY MOVING FORWARD, WHEN 183 00:07:47,623 --> 00:07:51,594 THERE'S OPPORTUNITY FOR THOSE 184 00:07:51,594 --> 00:07:54,764 PROCEEDS TO BE USED IN A WAY 185 00:07:54,764 --> 00:07:57,967 THAT IT CONTINUES THE SPIRIT OF 186 00:07:57,967 --> 00:08:00,369 THE LACKS FAMILY INVOLVEMENT IN 187 00:08:00,369 --> 00:08:01,470 THIS SCIENTIFIC ENTERPRISE AND 188 00:08:01,470 --> 00:08:04,073 ALSO ADDRESSES SOME THINGS WE 189 00:08:04,073 --> 00:08:06,575 TALKED ABOUT YESTERDAY AROUND 190 00:08:06,575 --> 00:08:08,010 ENGENDERING TRUST WITH 191 00:08:08,010 --> 00:08:11,714 PARTICULARLY IN COMMUNITIES THAT 192 00:08:11,714 --> 00:08:13,816 HAVE BEEN HARMED BY OUR 193 00:08:13,816 --> 00:08:18,521 SCIENTIFIC ENTERPRISE. 194 00:08:18,521 --> 00:08:21,123 >> SO, AGAIN, I THINK NIH HAS 195 00:08:21,123 --> 00:08:22,658 ENTERED INTO THIS AGREEMENT FOR 196 00:08:22,658 --> 00:08:25,061 THIS EXACT PURPOSE. 197 00:08:25,061 --> 00:08:27,129 AND AS REFLECTED BY THE 198 00:08:27,129 --> 00:08:29,131 INCLUSION OF THREE MEMBERS OF 199 00:08:29,131 --> 00:08:31,067 THE LACKS FAMILY, WHO ARE VERY 200 00:08:31,067 --> 00:08:32,735 GRACIOUS IN DONATING THEIR TIME 201 00:08:32,735 --> 00:08:34,370 AND ENERGIES TO THIS, AND I CAN 202 00:08:34,370 --> 00:08:36,439 TELL YOU THE REVIEWS ARE TAKEN 203 00:08:36,439 --> 00:08:39,742 VERY SERIOUSLY, NOT ONLY BY THEM 204 00:08:39,742 --> 00:08:43,646 BUT BY ALL MEMBERS. 205 00:08:43,646 --> 00:08:47,583 AND SO WE DO REQUEST THAT 206 00:08:47,583 --> 00:08:49,685 INFORMATION UP FRONT. 207 00:08:49,685 --> 00:08:50,786 IF PLANS CHANGE INVESTIGATORS 208 00:08:50,786 --> 00:08:53,289 AREN'T EXPECTED TO COME BACK TO 209 00:08:53,289 --> 00:08:56,058 US, I DON'T KNOW, LYRIC, IF YOU 210 00:08:56,058 --> 00:08:58,995 COULD ADD MORE. 211 00:08:58,995 --> 00:09:01,397 >> EXCELLENT POINT, EXCELLENT 212 00:09:01,397 --> 00:09:01,731 QUESTION. 213 00:09:01,731 --> 00:09:04,367 YOU DO HEAR PRIVATE FOUNDATIONS 214 00:09:04,367 --> 00:09:06,335 DONATING PROCEEDS TO THE LACKS 215 00:09:06,335 --> 00:09:07,636 FOUNDATION OR OTHERS TO GENERATE 216 00:09:07,636 --> 00:09:10,373 ROYALTIES BACK TO THE FAMILY OR 217 00:09:10,373 --> 00:09:11,707 AT LEASE THOSE EFFORTS. 218 00:09:11,707 --> 00:09:13,976 HERE, GIVEN WE'RE TALKING ABOUT 219 00:09:13,976 --> 00:09:19,782 THE HeLa CELLS, SO YOUR 220 00:09:19,782 --> 00:09:22,952 UBIQUITOUSLY USED, THE FAMILY 221 00:09:22,952 --> 00:09:24,587 MEMBERS ARE INTERESTED IN MAKING 222 00:09:24,587 --> 00:09:25,888 SURE SCIENCE CAN PROCEED AND ARE 223 00:09:25,888 --> 00:09:28,524 EXCITED TO HAVE THIS HONORING 224 00:09:28,524 --> 00:09:29,959 LEGACY FOR THEIR GRANDMOTHER AND 225 00:09:29,959 --> 00:09:31,827 AS PART OF THAT THEY HAVE BEEN 226 00:09:31,827 --> 00:09:36,766 MAKING SURE THEY ARE USED TO 227 00:09:36,766 --> 00:09:38,401 ADVANCE SCIENCE AND PEOPLE 228 00:09:38,401 --> 00:09:39,301 UNDERSTAND CONTRIBUTIONS AS WELL 229 00:09:39,301 --> 00:09:44,006 AS HONORING OF THEIR PRIVACY AND 230 00:09:44,006 --> 00:09:45,541 CHOICES HOW THEY WANT THE CELLS 231 00:09:45,541 --> 00:09:45,841 USED. 232 00:09:45,841 --> 00:09:47,810 THAT'S WHERE THIS COMES INTO 233 00:09:47,810 --> 00:09:51,313 PLAY, TO BROKER WHAT ARE THE 234 00:09:51,313 --> 00:09:52,314 FAMILY'S PREFERENCES INSTEAD OF 235 00:09:52,314 --> 00:09:53,482 ASSUMPTIONS WHAT WE THINK. 236 00:09:53,482 --> 00:09:54,517 WE'LL TALK A FEW MINUTES AFTER 237 00:09:54,517 --> 00:09:57,453 THE VOTE WHAT WE'RE DOING TO 238 00:09:57,453 --> 00:10:06,228 CONTINUE TO HONOR, UPHOLD THAT 239 00:10:06,228 --> 00:10:06,729 AGREEMENT WE MADE. 240 00:10:06,729 --> 00:10:07,830 >> YOUR COMMENTS THIS MORNING 241 00:10:07,830 --> 00:10:09,899 ARE EXACTLY WHY WE BRING IT TO 242 00:10:09,899 --> 00:10:12,701 THE ACD IN AN OPEN MEETING, AS A 243 00:10:12,701 --> 00:10:17,807 SECOND LAYER, SO THANK YOU FOR 244 00:10:17,807 --> 00:10:19,975 RAISING THIS AND THAT'S WHY 245 00:10:19,975 --> 00:10:21,310 WE'LL CONTINUE TO BRING THESE 246 00:10:21,310 --> 00:10:23,612 THINGS BACK TO THE ACD AS AN 247 00:10:23,612 --> 00:10:25,114 ADDITIONAL CHECK. 248 00:10:25,114 --> 00:10:25,681 I'M SORRY, GARTH. 249 00:10:25,681 --> 00:10:26,782 >> IN OUR WORKING GROUP 250 00:10:26,782 --> 00:10:28,651 DISCUSSIONS WHERE WE HAVE THE 251 00:10:28,651 --> 00:10:31,020 FAMILY PRESENT, YOU KNOW, WE DO 252 00:10:31,020 --> 00:10:32,922 QUESTION AND HAVE A LOT OF THESE 253 00:10:32,922 --> 00:10:35,124 DISCUSSIONS SO I THINK IT'S 254 00:10:35,124 --> 00:10:37,626 IMPORTANT TO KNOW THAT THE 255 00:10:37,626 --> 00:10:39,695 WORKING GROUP IS ACTIVE IN 256 00:10:39,695 --> 00:10:41,797 EVALUATING AND THINKING THROUGH 257 00:10:41,797 --> 00:10:44,366 THESE DYNAMIC AND CERTAINLY AS 258 00:10:44,366 --> 00:10:46,602 LYRIC POINTED OUT, YOU KNOW, WE 259 00:10:46,602 --> 00:10:50,039 RELY ON THE FOLKS WHO ARE THE 260 00:10:50,039 --> 00:10:51,340 APPLICANTS TO DISCLOSE ANY 261 00:10:51,340 --> 00:10:52,942 CHANGES OR ANY UPDATES AS THEY 262 00:10:52,942 --> 00:10:55,778 MOVE ALONG IN THE PROCESS. 263 00:10:55,778 --> 00:11:00,950 >> I HAD THE OPPORTUNITY TO MEET 264 00:11:00,950 --> 00:11:04,053 THE LACKS FAMILY WHEN DOING WORK 265 00:11:04,053 --> 00:11:06,789 AT NHGRI A DECADE OR MORE AGO. 266 00:11:06,789 --> 00:11:11,160 I'M ASSUMING THAT CONFERENCE OR 267 00:11:11,160 --> 00:11:12,928 WORKING GROUP AT THAT POINT LED 268 00:11:12,928 --> 00:11:14,330 TO THIS PARTICULAR WORKING 269 00:11:14,330 --> 00:11:14,530 GROUP. 270 00:11:14,530 --> 00:11:15,965 I DON'T KNOW HOW LONG THIS 271 00:11:15,965 --> 00:11:18,834 WORKING GROUP HAS BEEN IN 272 00:11:18,834 --> 00:11:19,568 EXISTENCE BUT THESE 273 00:11:19,568 --> 00:11:20,569 CONVERSATIONS, I THINK THE 274 00:11:20,569 --> 00:11:22,004 WILLINGNESS TO HAVE THESE 275 00:11:22,004 --> 00:11:27,710 CONVERSATIONS, THE WILLINGNESS 276 00:11:27,710 --> 00:11:30,980 TO CONTINUE TO RECOGNIZE THE 277 00:11:30,980 --> 00:11:33,716 OBLIGATIONS THAT WE HAVE TO -- 278 00:11:33,716 --> 00:11:37,653 AND THIS PARTICULAR INSTANCE WE 279 00:11:37,653 --> 00:11:40,923 HAVE THE GIFT OF ACTUALLY BEING 280 00:11:40,923 --> 00:11:43,993 ABLE TO UNDERSTAND THE 281 00:11:43,993 --> 00:11:44,860 PROVENANCE OF THESE CELLS AND 282 00:11:44,860 --> 00:11:45,427 THEIR FAMILIES. 283 00:11:45,427 --> 00:11:47,163 BUT THERE ARE OTHER TIMES AND 284 00:11:47,163 --> 00:11:49,465 PLACES WHETHER WE HAVE DATA 285 00:11:49,465 --> 00:11:52,735 CONTROLS, ALL KINDS OF OTHER 286 00:11:52,735 --> 00:11:53,936 INFORMATION FROM FAMILIES THAT 287 00:11:53,936 --> 00:11:55,905 ARE IN COMMUNITIES THAT ARE 288 00:11:55,905 --> 00:11:56,805 UNDERSERVED, SO I PUT THIS ON 289 00:11:56,805 --> 00:12:01,377 THE TABLE JUST FOR US TO KEEP IN 290 00:12:01,377 --> 00:12:02,478 MIND THAT THERE'S STILL 291 00:12:02,478 --> 00:12:06,415 CONTINUED OPPORTUNITIES FOR US 292 00:12:06,415 --> 00:12:09,251 TO MEET THOSE OBLIGATIONS. 293 00:12:09,251 --> 00:12:11,987 PEOPLE ARE INTERESTED IN HOW 294 00:12:11,987 --> 00:12:12,655 WE'RE STEPPING UP. 295 00:12:12,655 --> 00:12:14,523 >> ONE THING I'LL SAY ABOUT THIS 296 00:12:14,523 --> 00:12:17,693 MODEL, BEING PART OF IT, IT'S 297 00:12:17,693 --> 00:12:19,862 REFRESHING TO HAVE, YOU KNOW, 298 00:12:19,862 --> 00:12:23,599 BOTH NIH, YOU KNOW, OUTSIDE 299 00:12:23,599 --> 00:12:25,668 SCIENTISTS, THE FAMILY, ALL OF 300 00:12:25,668 --> 00:12:27,870 THE INGREDIENTS TOGETHER, WHEN 301 00:12:27,870 --> 00:12:31,907 EVALUATING AND THINKING ABOUT 302 00:12:31,907 --> 00:12:32,608 STEPS MOVING FORWARD. 303 00:12:32,608 --> 00:12:34,877 I DO THINK IT SERVES AS A GOOD 304 00:12:34,877 --> 00:12:36,946 TEMPLATE FOR HOW WE THINK ABOUT 305 00:12:36,946 --> 00:12:41,317 ADVANCING COMMUNITY TRUST AND 306 00:12:41,317 --> 00:12:43,652 ENGAGEMENT AS WE DO EFFORTS. 307 00:12:43,652 --> 00:12:45,487 >> THAT'S AN EXCELLENT SEGUE TO 308 00:12:45,487 --> 00:12:46,555 THE SECOND HALF OF THE 309 00:12:46,555 --> 00:12:47,056 PRESENTATION. 310 00:12:47,056 --> 00:12:48,557 BEFORE THAT I WANT TO MAKE SURE 311 00:12:48,557 --> 00:12:51,460 THAT WE TAKE A VOTE. 312 00:12:51,460 --> 00:12:51,727 >> YEAH. 313 00:12:51,727 --> 00:12:52,027 >> OKAY. 314 00:12:52,027 --> 00:12:53,929 >> WE HAVE A COMMENT FIRST. 315 00:12:53,929 --> 00:12:54,697 >> YES. 316 00:12:54,697 --> 00:12:56,665 I WANT TO ACTUALLY MAKE A POINT 317 00:12:56,665 --> 00:12:59,168 ABOUT THE SCIENTIFIC VALUE OF 318 00:12:59,168 --> 00:13:01,237 THE PROPOSED RESEARCH. 319 00:13:01,237 --> 00:13:04,206 ACTUALLY, THE CRISPR/Cas IS 320 00:13:04,206 --> 00:13:06,075 POWERFUL TECHNOLOGY BUT EXISTING 321 00:13:06,075 --> 00:13:07,943 LIBRARIES ARE DESIGNED AGAINST 322 00:13:07,943 --> 00:13:11,113 REFERENCE GENOME, DOMINATED BY 323 00:13:11,113 --> 00:13:13,082 EUROPEAN ANCESTRY, SO WHEN THEY 324 00:13:13,082 --> 00:13:14,717 APPLY TO CELLS FROM OTHER 325 00:13:14,717 --> 00:13:16,885 GENOMES THEY EITHER DON'T WORK 326 00:13:16,885 --> 00:13:19,321 OR HAVE OFF-TARGET EFFECTS. 327 00:13:19,321 --> 00:13:20,422 DIRECTLY STUDYING AFRICAN 328 00:13:20,422 --> 00:13:23,459 AMERICAN ANCESTRY GENOME WOULD 329 00:13:23,459 --> 00:13:24,560 BE VERY HELPFUL. 330 00:13:24,560 --> 00:13:25,561 >> WONDERFUL. 331 00:13:25,561 --> 00:13:27,963 THANK YOU FOR THAT. 332 00:13:27,963 --> 00:13:28,530 OKAY. 333 00:13:28,530 --> 00:13:28,964 LET'S SEE. 334 00:13:28,964 --> 00:13:31,133 EASIEST WAY TO TAKE A VOTE HERE 335 00:13:31,133 --> 00:13:33,869 WOULD BE HOW MANY MEMBERS DO WE 336 00:13:33,869 --> 00:13:36,505 HAVE ON THE VIDEO, LARRY? 337 00:13:36,505 --> 00:13:41,644 >> WE HAVE GISELLE AND WE HAVE 338 00:13:41,644 --> 00:13:41,977 GARTH. 339 00:13:41,977 --> 00:13:43,178 AND WE LUCILLE. 340 00:13:43,178 --> 00:13:45,214 WE'LL TAKE IT FROM EVERYBODY. 341 00:13:45,214 --> 00:13:45,914 >> OKAY. 342 00:13:45,914 --> 00:13:46,682 LET'S SEE. 343 00:13:46,682 --> 00:13:50,085 LET'S DO BY SHOW OF HANDS. 344 00:13:50,085 --> 00:13:52,288 THE PROPOSE ALTO ACCEPT THIS 345 00:13:52,288 --> 00:13:53,589 RECOMMENDATION FROM THE WORKING 346 00:13:53,589 --> 00:13:54,790 GROUP, THAT'S THE MOTION ON THE 347 00:13:54,790 --> 00:13:55,324 AVAILABLE. 348 00:13:55,324 --> 00:13:58,727 DO I HEAR A SECOND FOR THAT? 349 00:13:58,727 --> 00:14:00,362 OKAY, SECOND. 350 00:14:00,362 --> 00:14:01,130 FINAL QUESTIONS? 351 00:14:01,130 --> 00:14:01,297 NO? 352 00:14:01,297 --> 00:14:02,131 ALL RIGHT. 353 00:14:02,131 --> 00:14:06,368 ALL IN FAVOR RAISE YOUR HAND. 354 00:14:06,368 --> 00:14:07,469 OKAY. 355 00:14:07,469 --> 00:14:09,004 THANK YOU. 356 00:14:09,004 --> 00:14:10,606 ANY OPPOSED? 357 00:14:10,606 --> 00:14:12,074 AND NOBODY ABSTAINING? 358 00:14:12,074 --> 00:14:12,541 OKAY. 359 00:14:12,541 --> 00:14:12,841 THANK YOU. 360 00:14:12,841 --> 00:14:14,476 AND THANK YOU TO THE WORKING 361 00:14:14,476 --> 00:14:17,546 GROUP FOR BRINGING THIS FORWARD 362 00:14:17,546 --> 00:14:21,750 AND GISELLE, THANK YOU FOR YOUR 363 00:14:21,750 --> 00:14:23,686 SPECIFIC COMMENTS, AND GARTH, 364 00:14:23,686 --> 00:14:25,087 FOR THIS ILLUSTRATION OF WHAT WE 365 00:14:25,087 --> 00:14:28,590 LOPE IS A POSITIVE TRANSPARENT 366 00:14:28,590 --> 00:14:29,525 AND HOPEFULLY TRUST-BUILDING 367 00:14:29,525 --> 00:14:30,993 EXERCISE, EXAMPLE FOR HOW WE 368 00:14:30,993 --> 00:14:32,528 OUGHT TO BE DOING MORE OF THIS 369 00:14:32,528 --> 00:14:33,429 KIND OF WORK. 370 00:14:33,429 --> 00:14:35,264 THANK YOU. 371 00:14:35,264 --> 00:14:36,231 OKAY. 372 00:14:36,231 --> 00:14:38,233 NEXT, LYRIC, GO AHEAD. 373 00:14:38,233 --> 00:14:40,402 >> THERE WE GO. 374 00:14:40,402 --> 00:14:42,705 I'M SO GRATEFUL FOR -- SORRY, 375 00:14:42,705 --> 00:14:44,540 THERE WE GO. 376 00:14:44,540 --> 00:14:45,774 GISELLE AND HOWARD'S COMMENTS 377 00:14:45,774 --> 00:14:50,145 WHO SET THIS NEXT PORTION UP, 378 00:14:50,145 --> 00:14:50,646 PERFECTLY. 379 00:14:50,646 --> 00:14:53,749 WE ARE AT THE 10-YEAR 380 00:14:53,749 --> 00:14:54,583 ANNIVERSARY OF THE HISTORIC 381 00:14:54,583 --> 00:14:56,151 AGREEMENT WITH THE LACKS FAMILY, 382 00:14:56,151 --> 00:14:59,221 A GOOD TIME TO EVALUATE PROGRESS 383 00:14:59,221 --> 00:15:00,856 MADE, REAFFIRM COMMITMENT UNDER 384 00:15:00,856 --> 00:15:02,624 NEW LEADERSHIP, FIGURE OUT WAYS 385 00:15:02,624 --> 00:15:05,227 TO STRENGTHEN AND USE THIS AS 386 00:15:05,227 --> 00:15:08,731 EXAMPLE FOR OTHER PARTNERSHIPS 387 00:15:08,731 --> 00:15:09,732 MOVING FORWARD. 388 00:15:09,732 --> 00:15:11,100 IT HOLDS STRONG. 389 00:15:11,100 --> 00:15:12,134 WE HAD A DIRECTORY'S 390 00:15:12,134 --> 00:15:15,204 ANNOUNCEMENT IN CONJUNCTION 391 00:15:15,204 --> 00:15:18,273 WITH THE LACKS FAMILY IN AUGUST 392 00:15:18,273 --> 00:15:21,310 WHEN THE 10-YEAR ANNIVERSAR WAS 393 00:15:21,310 --> 00:15:23,612 CELEBRATE AND IS ON ARE 394 00:15:23,612 --> 00:15:24,613 EXTREMELY GRATEFUL FOR THE LACKS 395 00:15:24,613 --> 00:15:25,814 FAMILY TO EDUCATE AND WORK WITH 396 00:15:25,814 --> 00:15:27,783 US, SHOWING WHAT A REMARKABLE 397 00:15:27,783 --> 00:15:28,751 FAMILY THEY ARE. 398 00:15:28,751 --> 00:15:31,286 SO FOR THE ACD TODAY, THIS 399 00:15:31,286 --> 00:15:32,154 10-YEAR ANNIVERSARY MARK HAS 400 00:15:32,154 --> 00:15:33,922 PROVIDED US WITH THE OPPORTUNITY 401 00:15:33,922 --> 00:15:36,225 TO ENTER A NEW PHASE, 402 00:15:36,225 --> 00:15:37,993 REESTABLISH OUR COMMITMENT, 403 00:15:37,993 --> 00:15:38,861 THINK ABOUT SOME ADDITIONAL 404 00:15:38,861 --> 00:15:44,333 STEMS -- STEPS TO UPHOLD, 405 00:15:44,333 --> 00:15:47,703 SHOWING TRENDS IN DATA OVER TEN 406 00:15:47,703 --> 00:15:48,904 YEARS, TO HOWARD'S POINT, AND 407 00:15:48,904 --> 00:15:51,340 WHAT WE'RE THINKING FOR NEXT 408 00:15:51,340 --> 00:15:51,774 STEPS. 409 00:15:51,774 --> 00:15:53,208 SO BEFORE I BEGIN I WANT TO 410 00:15:53,208 --> 00:15:55,277 REMIND YOU AGAIN THE AGREEMENT 411 00:15:55,277 --> 00:15:56,678 CAME IN 2013, GARTH WALKED 412 00:15:56,678 --> 00:15:57,913 THROUGH THAT VERY NICELY SO I 413 00:15:57,913 --> 00:16:00,082 WON'T REMIND YOU ABOUT ALL THE 414 00:16:00,082 --> 00:16:00,649 REQUIREMENTS. 415 00:16:00,649 --> 00:16:03,485 SINCE THE AGREEMENT WAS 416 00:16:03,485 --> 00:16:05,454 ESTABLISHED IN 2013, NIH 417 00:16:05,454 --> 00:16:07,423 RECEIVED 14 HeLa CELL 418 00:16:07,423 --> 00:16:08,624 DATASETS FOR THE AGENCY TO 419 00:16:08,624 --> 00:16:08,991 OVERSEE. 420 00:16:08,991 --> 00:16:10,926 I WANT TO POINT OUT MANY OF THE 421 00:16:10,926 --> 00:16:13,228 HeLa CELL DATASETS WE 422 00:16:13,228 --> 00:16:14,963 RECEIVED ARE VOLUNTARY 423 00:16:14,963 --> 00:16:16,064 SUBMISSIONS, NOT NIH-FUNDED 424 00:16:16,064 --> 00:16:17,266 INVESTIGATORS WHO RECOGNIZE THE 425 00:16:17,266 --> 00:16:18,801 VALUE AND IMPORTANCE OF HONORING 426 00:16:18,801 --> 00:16:22,504 THIS AGREEMENT AND HONORING OUR 427 00:16:22,504 --> 00:16:23,705 COMMITMENT TO THE FAMILY FROM 428 00:16:23,705 --> 00:16:25,674 AROUND THE WORLD. 429 00:16:25,674 --> 00:16:26,308 THIS SHOWS IMPORTANT RECOGNITION 430 00:16:26,308 --> 00:16:29,745 OF THE AGREEMENT IN THE 431 00:16:29,745 --> 00:16:30,279 COMMUNITY. 432 00:16:30,279 --> 00:16:32,047 IMPORTANTLY WE'VE SEEN SOME 433 00:16:32,047 --> 00:16:33,816 REALLY IMPACTFUL RESEARCH 434 00:16:33,816 --> 00:16:35,984 CONDUCTED USING THESE DATA. 435 00:16:35,984 --> 00:16:36,752 EXCUSE ME. 436 00:16:36,752 --> 00:16:39,788 SINCE 2013, THE DATA THAT HAVE 437 00:16:39,788 --> 00:16:42,224 BEEN DEPOSITED HAVE BEEN USED IN 438 00:16:42,224 --> 00:16:44,159 13 PUBLICATIONS REPORTED TO NIH, 439 00:16:44,159 --> 00:16:47,262 KEY HERE, RELIES ON BEING 440 00:16:47,262 --> 00:16:50,966 REPORTED UNDER THE AGREEMENT 441 00:16:50,966 --> 00:16:52,501 INCLUDES TEN PUBLICATIONS BY 442 00:16:52,501 --> 00:16:53,802 DATA ACCESSORS REQUESTING THE 443 00:16:53,802 --> 00:16:55,671 DAD AND THREE PUBLICATIONS BY 444 00:16:55,671 --> 00:16:57,639 INVESTIGATORS WHO DEPOSITED THE 445 00:16:57,639 --> 00:16:57,840 DATA. 446 00:16:57,840 --> 00:16:59,508 IF YOU LOOK AT THE GRAPH ON THE 447 00:16:59,508 --> 00:17:03,979 RIGHT, YOU SEE THE RELATIVE 448 00:17:03,979 --> 00:17:04,546 CITATION RATIO. 449 00:17:04,546 --> 00:17:07,149 I'M NOT GOING TO GET INTO 450 00:17:07,149 --> 00:17:10,419 COMPLEXITIES BUT IN GENERAL A 451 00:17:10,419 --> 00:17:17,092 METHOD NIH DEVELOPED FOR SHOWING 452 00:17:17,092 --> 00:17:20,395 HOW PAPER CITATIONS COMPARE TO 453 00:17:20,395 --> 00:17:21,430 OTHER PAPERS WITH CITATION 454 00:17:21,430 --> 00:17:21,864 RATES. 455 00:17:21,864 --> 00:17:24,266 IF YOU LOOK AT ONE BEING 456 00:17:24,266 --> 00:17:26,768 AVERAGE, THESE PUBLICATIONS HAVE 457 00:17:26,768 --> 00:17:28,103 REALLY BEEN GENERATED AT MUCH 458 00:17:28,103 --> 00:17:28,971 HIGHER RATIOS. 459 00:17:28,971 --> 00:17:33,475 YOU SEE SOME REALLY IMPACTFUL 460 00:17:33,475 --> 00:17:35,777 ONES INCLUDING THIS 2013 PAPER 461 00:17:35,777 --> 00:17:37,713 THAT'S BEEN CITED OVER 800 462 00:17:37,713 --> 00:17:37,913 TIMES. 463 00:17:37,913 --> 00:17:39,581 YOU'LL SEE WHILE 13 PUBLICATIONS 464 00:17:39,581 --> 00:17:42,117 MIGHT SEEM LIKE A SMALL NUMBER 465 00:17:42,117 --> 00:17:43,085 RELATIVE TO 90 APPROVED 466 00:17:43,085 --> 00:17:45,254 REQUESTS, THIS NUMBER IS ROUGHLY 467 00:17:45,254 --> 00:17:47,356 SIMILAR TO RATIO WE SEE IN THE 468 00:17:47,356 --> 00:17:51,193 DATABASE OF GENOTYPES AND 469 00:17:51,193 --> 00:17:55,030 PHENOTYPES, DBGaP, THE LARGEST 470 00:17:55,030 --> 00:17:55,764 CONTROLLED DATA ACCESS 471 00:17:55,764 --> 00:17:59,167 REPOSITORY. 472 00:17:59,167 --> 00:18:00,269 473 00:18:00,269 --> 00:18:02,137 NEXT THE REQUEST FOR DATA, 474 00:18:02,137 --> 00:18:03,238 DESPITE THE VALUE THAT HOWARD 475 00:18:03,238 --> 00:18:06,074 MENTIONED IN TERMS OF THE USE OF 476 00:18:06,074 --> 00:18:10,546 THE CELL LINE AND THE 477 00:18:10,546 --> 00:18:11,179 INCREASINGLY IMPACTFUL 478 00:18:11,179 --> 00:18:12,848 PUBLICATIONS OVER TIME SINCE THE 479 00:18:12,848 --> 00:18:14,182 AGREEMENT IN 2013 REQUESTS FOR 480 00:18:14,182 --> 00:18:16,785 ACCESS TO THE DATA HAVE 481 00:18:16,785 --> 00:18:17,052 DECLINED. 482 00:18:17,052 --> 00:18:19,221 WE AT NIH WANT TO UNDERSTAND 483 00:18:19,221 --> 00:18:20,422 WHAT WAS DRIVING THIS, WAS THERE 484 00:18:20,422 --> 00:18:22,057 LESS VALUE IN USE OF THE CELLS 485 00:18:22,057 --> 00:18:24,593 OR WAS THERE LESS AWARENESS OR 486 00:18:24,593 --> 00:18:29,364 HOW CAN WE REALLY UNPACK THIS? 487 00:18:29,364 --> 00:18:32,000 SO, LOOKING THROUGH THE DECLINE 488 00:18:32,000 --> 00:18:34,303 WE LOOKED AT PUBLICATIONS, USING 489 00:18:34,303 --> 00:18:36,271 OUR GENERATING HeLa CELL 490 00:18:36,271 --> 00:18:38,674 DATA OVER A 3-YEAR PERIOD, THAT 491 00:18:38,674 --> 00:18:41,643 REPORTED NIH FUNDING. 492 00:18:41,643 --> 00:18:42,644 SO USING OR GENERATING HeLa 493 00:18:42,644 --> 00:18:44,947 CELL DATA WITH NIH FUNDING. 494 00:18:44,947 --> 00:18:46,582 AS SHOWN HERE WE FOUND CONTINUED 495 00:18:46,582 --> 00:18:48,550 GENERATION AND USE OF HeLa 496 00:18:48,550 --> 00:18:50,352 CELL DATA THAT SHOULD PLAUSIBLY 497 00:18:50,352 --> 00:18:52,888 HAVE BEEN UNDER THE AGREEMENT. 498 00:18:52,888 --> 00:18:54,656 THIS IMPLIES THE CAUSE IN 499 00:18:54,656 --> 00:18:57,426 DECLINING AWARENESS OF OUR 500 00:18:57,426 --> 00:18:59,595 AGREEMENT FOR THE LACKS FAMILY 501 00:18:59,595 --> 00:19:01,563 RESEARCH AGREEMENT IS THE 502 00:19:01,563 --> 00:19:03,098 CULPRIT AND NOT DECLINING 503 00:19:03,098 --> 00:19:05,834 INTEREST IN HeLa CELLS DATA. 504 00:19:05,834 --> 00:19:09,204 SO, THESE DATA TO US SUGGEST 505 00:19:09,204 --> 00:19:12,407 THERE'S AN OPPORTUNITY AND 506 00:19:12,407 --> 00:19:13,508 IMPERATIVE TO INCREASE 507 00:19:13,508 --> 00:19:14,643 AWARENESS. 508 00:19:14,643 --> 00:19:16,545 THE USE IS CONTINUING, BUT THE 509 00:19:16,545 --> 00:19:18,480 AMOUNT BEING REPORTED BACK TO 510 00:19:18,480 --> 00:19:20,382 THE AGENCY SUGGESTS THEY ARE 511 00:19:20,382 --> 00:19:22,584 GETTING ACCESS TO THESE CELLS IN 512 00:19:22,584 --> 00:19:23,652 OTHER VENUES AND WE WANT TO DO 513 00:19:23,652 --> 00:19:25,420 MORE TO PROMOTE THE HONORING OF 514 00:19:25,420 --> 00:19:26,421 THE AGREEMENT. 515 00:19:26,421 --> 00:19:32,861 SO, AS I MENTION IN AUGUST WE 516 00:19:32,861 --> 00:19:34,062 COMMEMORATED THE 10-YEAR 517 00:19:34,062 --> 00:19:34,863 AGREEMENT. 518 00:19:34,863 --> 00:19:35,931 WE REAFFIRM OUR COMMITMENT 519 00:19:35,931 --> 00:19:37,666 UPHOLDING THIS WORK AND DECIDED 520 00:19:37,666 --> 00:19:41,303 TO TAKE STEPS TO REINVIGORATE 521 00:19:41,303 --> 00:19:42,471 AGREEMENT WITH RESEARCH 522 00:19:42,471 --> 00:19:43,572 COMMUNITIES, STEPS DISCUSSED 523 00:19:43,572 --> 00:19:44,773 WITH THE ACD WORKING GROUP AND 524 00:19:44,773 --> 00:19:47,175 OF COURSE THE FAMILY EAGER TO 525 00:19:47,175 --> 00:19:49,144 CONTINUE TO BE INVOLVED TAKING 526 00:19:49,144 --> 00:19:49,845 STEPS FORWARD. 527 00:19:49,845 --> 00:19:52,981 SO, FIRST WE PLAN TO CONDUCT 528 00:19:52,981 --> 00:19:55,617 ADDITIONAL OUTREACH AT 529 00:19:55,617 --> 00:19:56,718 CONFERENCES, VENUES, YOU ALL 530 00:19:56,718 --> 00:19:59,221 REMEMBER WHEN THE AGREEMENT WAS 531 00:19:59,221 --> 00:20:00,122 FIRST LAUNCHED THIS WAS 532 00:20:00,122 --> 00:20:03,925 ACCOMPANIED BY A VERY NOTABLE 533 00:20:03,925 --> 00:20:06,228 BOOK, THE MOVIE PRODUCED BY 534 00:20:06,228 --> 00:20:08,196 OPRAH, AND A SENSATIONAL SPLASH 535 00:20:08,196 --> 00:20:08,897 THAT GENERATED A LOT OF 536 00:20:08,897 --> 00:20:09,865 AWARENESS IN THE COMMUNITY. 537 00:20:09,865 --> 00:20:11,600 WE WANT TO MAKE SURE WE'RE 538 00:20:11,600 --> 00:20:12,701 KEEPING THAT DRUM BEAT IN THE 539 00:20:12,701 --> 00:20:15,203 COMMUNITY SO THEY ARE AWARE OF 540 00:20:15,203 --> 00:20:15,771 THE OBLIGATIONS. 541 00:20:15,771 --> 00:20:17,839 SECOND, WE WILL BE UPDATING OUR 542 00:20:17,839 --> 00:20:19,574 GUIDANCE AND RESOURCES TO REMIND 543 00:20:19,574 --> 00:20:20,776 RESEARCHERS ABOUT THE AGREEMENT 544 00:20:20,776 --> 00:20:23,078 AND MAKE IT EASIER TO HONOR IT 545 00:20:23,078 --> 00:20:24,813 SUCH AS NEW SAMPLE DATA 546 00:20:24,813 --> 00:20:26,815 MANAGEMENT SHARING PLAN TO HELP 547 00:20:26,815 --> 00:20:27,949 GUIDE RESEARCHERS PLANNING TO 548 00:20:27,949 --> 00:20:29,217 GENERATE HeLa CELL DATA TO 549 00:20:29,217 --> 00:20:33,021 BE ABLE TO REALLY DO THIS 550 00:20:33,021 --> 00:20:34,890 SEAMLESSLY WITH THE HONOR AND 551 00:20:34,890 --> 00:20:36,758 INTENT OF CITATIONS. 552 00:20:36,758 --> 00:20:40,495 LAST, RAISED FOR THE ACD, YOU'RE 553 00:20:40,495 --> 00:20:42,698 THE SOUNDING BOARD. 554 00:20:42,698 --> 00:20:45,734 WE WANTED TO RAISE DISCUSSION OF 555 00:20:45,734 --> 00:20:46,268 POTENTIALLY RETURNING ACD 556 00:20:46,268 --> 00:20:49,371 MEETINGS TO AD HOC BASIS FOR THE 557 00:20:49,371 --> 00:20:55,043 PURPOSE OF REVIEWING REQUESTS TO 558 00:20:55,043 --> 00:20:58,246 ASSURE LONG WAITING TIMES DO NOT 559 00:20:58,246 --> 00:20:59,147 DISINCENTIVIZE. 560 00:20:59,147 --> 00:21:01,683 REVIEW TWICE A YEAR CAN BE 561 00:21:01,683 --> 00:21:03,185 PROBLEMATIC FOR RESEARCHERS TO 562 00:21:03,185 --> 00:21:04,953 START PROCESSES AND WE'RE 563 00:21:04,953 --> 00:21:05,921 PROVIDE THE OPPORTUNITY TO NOT 564 00:21:05,921 --> 00:21:08,356 HAVE DELAYS FOR RESEARCHERS 565 00:21:08,356 --> 00:21:09,191 MOVING FORE WARD. 566 00:21:09,191 --> 00:21:13,662 I TURN IT OVER TO DR. 567 00:21:13,662 --> 00:21:14,196 BERTAGNOLLI TO MODERATE. 568 00:21:14,196 --> 00:21:24,740 >> YES, SIR -- OKAY, QUESTIONS 569 00:21:25,073 --> 00:21:25,540 FROM THE COMMITTEE? 570 00:21:25,540 --> 00:21:27,709 >> I HAVE A QUESTION OR COMMENT 571 00:21:27,709 --> 00:21:29,478 ACTUALLY. 572 00:21:29,478 --> 00:21:31,213 THANK YOU, LYRIC, FOR THOSE 573 00:21:31,213 --> 00:21:31,546 DATA. 574 00:21:31,546 --> 00:21:34,616 I THINK IT'S REALLY INSTRUCTIVE. 575 00:21:34,616 --> 00:21:39,121 ONE OF THE THINGS I WONDERED, IS 576 00:21:39,121 --> 00:21:44,493 THERE AN OPPORTUNITY SIMILAR TO 577 00:21:44,493 --> 00:21:45,727 OUR CLINICAL TRIALS 578 00:21:45,727 --> 00:21:46,461 REPOSITORIES, 579 00:21:46,461 --> 00:21:47,763 clinicaltrials.gov, TO HAVE 580 00:21:47,763 --> 00:21:51,833 KIND OF REQUIREMENT BY JOURNALS 581 00:21:51,833 --> 00:21:57,105 OF THE REGISTRATION OR IN SOME 582 00:21:57,105 --> 00:22:00,475 WAY HAVE THE STUDY -- THERE'S AN 583 00:22:00,475 --> 00:22:03,779 ACKNOWLEDGMENT THAT IT'S BEEN 584 00:22:03,779 --> 00:22:05,313 THROUGH THE APPROVAL PROCESS, SO 585 00:22:05,313 --> 00:22:08,350 I COULD SEE, YOU KNOW, THE 586 00:22:08,350 --> 00:22:11,286 INTERNATIONAL, YOU KNOW, JOURNAL 587 00:22:11,286 --> 00:22:12,187 EDITORS ASSOCIATION, I THINK 588 00:22:12,187 --> 00:22:14,589 THAT IS WHAT THE NAME IS, HAS AN 589 00:22:14,589 --> 00:22:17,225 AGREEMENT THAT ANYTIME A PAPER 590 00:22:17,225 --> 00:22:18,226 SUBMITTED THAT USES HeLa 591 00:22:18,226 --> 00:22:21,163 CELLS THAT THERE'S -- THEY HAVE 592 00:22:21,163 --> 00:22:22,063 TO HAVE SOME ATTESTATION THAT 593 00:22:22,063 --> 00:22:30,505 THEY HAVE GONE THROUGH THE 594 00:22:30,505 --> 00:22:32,474 WORKING GROUP. 595 00:22:32,474 --> 00:22:34,009 I'M THINKING CARROTS AND STICKS. 596 00:22:34,009 --> 00:22:36,511 >> EXCELLENT SUGGESTION. 597 00:22:36,511 --> 00:22:37,379 THERE'S TEMPLATE LANGUAGE FOR 598 00:22:37,379 --> 00:22:39,581 CITATION BUT THE ONUS IS ON THE 599 00:22:39,581 --> 00:22:39,915 INVESTIGATOR. 600 00:22:39,915 --> 00:22:42,083 I LIKE THE IDEA WORKING WITH THE 601 00:22:42,083 --> 00:22:42,751 JOURNAL AND PUBLISHING 602 00:22:42,751 --> 00:22:45,387 COMMUNITIES TO FIGURE OUT HOW TO 603 00:22:45,387 --> 00:22:46,688 STRENGTHEN THAT. 604 00:22:46,688 --> 00:22:48,323 >> YEAH, THIS DATA YOU SHOW 605 00:22:48,323 --> 00:22:52,794 QUITE COMPELLING AND I GUESS 606 00:22:52,794 --> 00:22:55,030 UNDERSTANDABLE, BIG RELIEF TO 607 00:22:55,030 --> 00:22:56,431 EVERYONE, GREAT INTENTIONS WHEN 608 00:22:56,431 --> 00:22:59,601 IT CAME OUT BUT YOU FORGET OVER 609 00:22:59,601 --> 00:23:01,603 TIME, SEEMS LIKE AN HONOR'S LACK 610 00:23:01,603 --> 00:23:02,237 OF AWARENESS. 611 00:23:02,237 --> 00:23:05,173 MAYBE WE COULD SEND A LETTER TO 612 00:23:05,173 --> 00:23:08,043 THE EDITORS, YOU KNOW, JUST 613 00:23:08,043 --> 00:23:10,245 SAYING WE'VE NOTICED THIS, SO 614 00:23:10,245 --> 00:23:14,482 CAN YOU HELP US RAISE ATTENTION 615 00:23:14,482 --> 00:23:15,684 TO THIS ISSUE BECAUSE THAT'S 616 00:23:15,684 --> 00:23:18,553 WHERE IT NEEDS TO HAPPEN, YOU 617 00:23:18,553 --> 00:23:21,389 KNOW, THAT'S A REALLY GREAT 618 00:23:21,389 --> 00:23:23,024 CONTROL GATE IS AT THE AT THE 619 00:23:23,024 --> 00:23:25,827 TIME OF PUBLICATION. 620 00:23:25,827 --> 00:23:27,863 >> I ALSO WONDER ABOUT SENDING A 621 00:23:27,863 --> 00:23:32,100 LETTER TO THE AUTHORS, YOU KNOW, 622 00:23:32,100 --> 00:23:32,901 REMINDING THEM. 623 00:23:32,901 --> 00:23:35,937 ONE PAPER WAS OUT OF COMPLIANCE, 624 00:23:35,937 --> 00:23:37,572 WORKING ON A SECOND ONE, 625 00:23:37,572 --> 00:23:38,440 OPPORTUNITY TO REMIND THEM AND 626 00:23:38,440 --> 00:23:40,208 THEY MAY SPREAD THE WORD THROUGH 627 00:23:40,208 --> 00:23:42,577 THEIR LABS AND COLLEAGUES. 628 00:23:42,577 --> 00:23:44,246 >> YEAH, PRESUMABLY THEY COULD, 629 00:23:44,246 --> 00:23:46,982 YOU KNOW, PUT AN ADDENDUM TO THE 630 00:23:46,982 --> 00:23:48,617 PUBLICATION OR SOMETHING, IF IT 631 00:23:48,617 --> 00:23:53,088 WAS SIMPLY A FAILURE TO 632 00:23:53,088 --> 00:23:53,488 REMEMBER. 633 00:23:53,488 --> 00:23:55,724 >> AN ADDENDUM AND MAKE SURE 634 00:23:55,724 --> 00:23:58,059 RESERVE IS SHARED, THE KEY PORN 635 00:23:58,059 --> 00:23:59,327 PRINCIPLE, SOMETHING THE LACKS 636 00:23:59,327 --> 00:24:00,562 FAMILY FEELS VERY STRONGLY 637 00:24:00,562 --> 00:24:00,862 ABOUT. 638 00:24:00,862 --> 00:24:02,731 IT'S NOT JUST -- IT'S ALSO ABOUT 639 00:24:02,731 --> 00:24:04,299 MAKING SURE THIS RESOURCE IS 640 00:24:04,299 --> 00:24:06,101 USED AS FULLY AS POSSIBLE. 641 00:24:06,101 --> 00:24:06,735 >> IT IS. 642 00:24:06,735 --> 00:24:10,405 BUT I DO WANT TO EMPHASIZE THAT 643 00:24:10,405 --> 00:24:14,342 SHERRILL AND TEAM DO A GOOD JOB 644 00:24:14,342 --> 00:24:17,112 OF MONITORING THE ECOSYSTEM. 645 00:24:17,112 --> 00:24:19,114 THERE'S A LOT OF WORK OCCURRING 646 00:24:19,114 --> 00:24:21,283 ON THE STAFFING OF THE WORKING 647 00:24:21,283 --> 00:24:28,056 GROUP AS WELL TO SEE WHAT'S 648 00:24:28,056 --> 00:24:29,457 HAPPENING. 649 00:24:29,457 --> 00:24:29,691 >> OKAY. 650 00:24:29,691 --> 00:24:30,825 LYRIC, ANYTHING ELSE? 651 00:24:30,825 --> 00:24:32,227 >> SOUNDS LIKE THE ACD IS 652 00:24:32,227 --> 00:24:34,195 SUPPORTIVE OF DOING WHAT WE CAN 653 00:24:34,195 --> 00:24:34,596 HERE. 654 00:24:34,596 --> 00:24:35,063 >> YEAH, GREAT, OKAY. 655 00:24:35,063 --> 00:24:36,698 THANK YOU VERY MUCH FOR THIS. 656 00:24:36,698 --> 00:24:38,233 IT'S BEEN A VERY PRODUCTIVE 657 00:24:38,233 --> 00:24:38,566 CONVERSATION. 658 00:24:38,566 --> 00:24:41,870 WE'VE GOT SOME GREAT IDEAS. 659 00:24:41,870 --> 00:24:44,706 THANK YOU I THINK WE CAN MOVE 660 00:24:44,706 --> 00:24:45,473 ON. 661 00:24:45,473 --> 00:24:49,844 WE HAVE AN UPDATE FROM "ALL OF 662 00:24:49,844 --> 00:24:51,079 US." 663 00:24:51,079 --> 00:24:54,182 JOSH DENNY, CHIEF EXECUTIVE 664 00:24:54,182 --> 00:24:56,484 OFFICER OF THE "ALL OF US" 665 00:24:56,484 --> 00:25:05,126 INITIATIVE WILL BE PRESENTING. 666 00:25:05,126 --> 00:25:11,399 667 00:25:11,399 --> 00:25:12,801 >> GOOD MORNING. 668 00:25:12,801 --> 00:25:14,903 IT'S A PLEASURE TO SPEAK WITH 669 00:25:14,903 --> 00:25:19,274 YOU AND GIVE YOU AN UPDATE WITH 670 00:25:19,274 --> 00:25:19,908 THIS PRAYER. 671 00:25:19,908 --> 00:25:21,977 I WANT TO BEGIN BY REFLECTING 672 00:25:21,977 --> 00:25:24,045 BACK THIS PROGRAM WAS PRESENTED 673 00:25:24,045 --> 00:25:26,715 IN SEPTEMBER OF 2015, INITIAL 674 00:25:26,715 --> 00:25:28,984 BLUEPRINTS FOR THE PROGRAM, AT 675 00:25:28,984 --> 00:25:30,852 AN ACD MEETING. 676 00:25:30,852 --> 00:25:32,721 AND THIS IS A PICTURE OF THE 677 00:25:32,721 --> 00:25:35,323 FIRST PAGE OF THE PDF OF THAT 678 00:25:35,323 --> 00:25:37,859 DOCUMENT THAT LAID OUT MANY OF 679 00:25:37,859 --> 00:25:41,229 THE INITIAL PLANS AND YOU CAN 680 00:25:41,229 --> 00:25:44,866 SEE THE ASPIRATIONAL COMMENTS, 681 00:25:44,866 --> 00:25:46,267 AROUND JUST THE EXCITEMENT 682 00:25:46,267 --> 00:25:48,269 AROUND THE FUTURE OF THE PROGRAM 683 00:25:48,269 --> 00:25:50,238 AND POTENTIAL TO REALLY MAKE A 684 00:25:50,238 --> 00:25:51,840 DIFFERENCE HERE. 685 00:25:51,840 --> 00:25:55,143 THIS IS OUR MISSION STATEMENT, 686 00:25:55,143 --> 00:25:57,112 ESTABLISHED EARLY IN THE PROGRAM 687 00:25:57,112 --> 00:25:59,214 AND HAS REMAINED RELATIVELY 688 00:25:59,214 --> 00:26:02,017 UNCHANGED AS WE'VE GONE THROUGH, 689 00:26:02,017 --> 00:26:05,954 TWEAKED A FEW WORDS, BUT 690 00:26:05,954 --> 00:26:09,457 UNDERLYING COMPONENT IS WHAT 691 00:26:09,457 --> 00:26:11,326 WE'VE EXPANDED, ACCELERATE HELL 692 00:26:11,326 --> 00:26:13,194 RESEARCH AND MEDICAL 693 00:26:13,194 --> 00:26:13,828 BREAKTHROUGHS, STARTS WITH 694 00:26:13,828 --> 00:26:16,031 NURTURING PARTNERSHIPS WITH AT 695 00:26:16,031 --> 00:26:17,465 LEAST A MILLION PEOPLE, 696 00:26:17,465 --> 00:26:18,566 POTENTIALLY FOR DECADES, A 697 00:26:18,566 --> 00:26:20,435 LONG-TERM PROGRAM AND WE WANT TO 698 00:26:20,435 --> 00:26:21,403 PARTNER WITH PARTICIPANTS AND 699 00:26:21,403 --> 00:26:22,837 REFLECT DIVERSITY IN THE UNITED 700 00:26:22,837 --> 00:26:23,171 STATES. 701 00:26:23,171 --> 00:26:26,007 WE WANT TO DELIVER A LARGE RICH 702 00:26:26,007 --> 00:26:28,977 BIOMEDICAL DATASET INTO AS MANY 703 00:26:28,977 --> 00:26:30,045 RESEARCH HANDS 704 00:26:30,045 --> 00:26:32,047 RESPONSIBLY IN A PROTECTED WAY 705 00:26:32,047 --> 00:26:34,649 AS WE POSSIBLY CAN. 706 00:26:34,649 --> 00:26:36,618 CATALYZE AN ECOSYSTEM, COMMUNITY 707 00:26:36,618 --> 00:26:38,486 OF RESEARCHERS, AND FUNDERS IN 708 00:26:38,486 --> 00:26:39,587 THIS PROS ET CETERA. 709 00:26:39,587 --> 00:26:41,856 WE STARTED WITH A SET OF CORE 710 00:26:41,856 --> 00:26:44,492 VALUES, I'M GOING TO DO 711 00:26:44,492 --> 00:26:46,027 SOMETHING DIFFERENT TODAY, 712 00:26:46,027 --> 00:26:49,064 ORGANIZE MY BY OUR CORE VALUES, 713 00:26:49,064 --> 00:26:52,500 AS WE WALK THROUGH AND SHOW HOW 714 00:26:52,500 --> 00:26:54,369 WE'RE TRYING TO DELIVER ON EACH 715 00:26:54,369 --> 00:26:55,804 WITH OUR PARTICIPANTS. 716 00:26:55,804 --> 00:26:57,739 FIRST, WHO WE'RE ENROLLING. 717 00:26:57,739 --> 00:26:59,674 WE WANT PARTICIPATION OPEN TO 718 00:26:59,674 --> 00:27:02,343 EVERYONE, DIVERSITY IS AT THE 719 00:27:02,343 --> 00:27:06,614 HEART OF EVERYTHING. 720 00:27:06,614 --> 00:27:07,415 WE'RE APPROACHING 750,000 721 00:27:07,415 --> 00:27:08,283 PARTICIPANTS, PROBABLY EXCEEDED 722 00:27:08,283 --> 00:27:11,786 THAT BY THE END OF THE YEAR. 723 00:27:11,786 --> 00:27:14,055 YOU CAN SEE OVER 520,000 HAVE 724 00:27:14,055 --> 00:27:15,590 DONATED BIOSPECIMENS. 725 00:27:15,590 --> 00:27:17,025 WE REPRESENT ALL 50 STATES AND 726 00:27:17,025 --> 00:27:18,893 MOST U.S. TERRITORIES AT THIS 727 00:27:18,893 --> 00:27:19,327 TIME. 728 00:27:19,327 --> 00:27:20,495 AND REALLY THROUGH COVID WE 729 00:27:20,495 --> 00:27:22,730 DEVELOPED A LOT OF TECHNIQUES 730 00:27:22,730 --> 00:27:24,265 BECAUSE WE HAD, TO REACH PEOPLE 731 00:27:24,265 --> 00:27:25,467 IN PLACES WE COULDN'T REACH 732 00:27:25,467 --> 00:27:26,968 BEFORE. 733 00:27:26,968 --> 00:27:28,837 THE STATES WHETHER YOU SEE MORE 734 00:27:28,837 --> 00:27:30,371 REPRESENTATION ARE STATES 735 00:27:30,371 --> 00:27:31,873 WHETHER WE HAVE HEALTH CARE 736 00:27:31,873 --> 00:27:33,441 PROVIDER ORGANIZATIONS THAT ARE 737 00:27:33,441 --> 00:27:33,875 RECRUITING. 738 00:27:33,875 --> 00:27:37,712 AND NOW WE CAN REACH ANYONE ANY 739 00:27:37,712 --> 00:27:39,681 WHERE THROUGH FUNDING SALIVA 740 00:27:39,681 --> 00:27:41,082 KITS, PARTNERSHIPS WITH QUEST, 741 00:27:41,082 --> 00:27:42,851 WE CONTINUE TO EXPAND OUR REACH 742 00:27:42,851 --> 00:27:44,686 THROUGH NEW HEALTH CARE PROVIDER 743 00:27:44,686 --> 00:27:46,154 ORGANIZATIONS, BLOOD BANKS, 744 00:27:46,154 --> 00:27:47,222 OTHER WAYS TO REACH PEOPLE WHERE 745 00:27:47,222 --> 00:27:48,022 THEY ARE. 746 00:27:48,022 --> 00:27:50,625 THIS GIVES A SENSE OF THE 747 00:27:50,625 --> 00:27:52,627 DIVERSITY OF THE PARTICIPANTS 748 00:27:52,627 --> 00:27:56,998 THAT WE HAVE ENROLLED. 749 00:27:56,998 --> 00:28:07,041 WE 46% BY RACE AND ETHNICITY. 750 00:28:07,041 --> 00:28:10,445 OTHER CATEGORIES OF 751 00:28:10,445 --> 00:28:11,212 UNDERREPRESENTATION, WE'RE OVER 752 00:28:11,212 --> 00:28:13,848 80% DIVERSE BY AT LEAST ONE UVR 753 00:28:13,848 --> 00:28:20,755 MET METRIC. 754 00:28:20,755 --> 00:28:23,458 SEXUAL AND GENDER, RULE, 755 00:28:23,458 --> 00:28:24,792 EDUCATIONAL ATTAINMENT, INCOME, 756 00:28:24,792 --> 00:28:26,561 MEASURES OF DIVERSITY IN THE 757 00:28:26,561 --> 00:28:27,662 PROGRAM. 758 00:28:27,662 --> 00:28:35,403 WE CONTINUE TO EXPAND THIS. 759 00:28:35,403 --> 00:28:43,745 WE MODIFIED TO CAPTURE BASIC 760 00:28:43,745 --> 00:28:46,247 INFORMATION ON DISABILITY. 761 00:28:46,247 --> 00:28:47,448 IT'S LIVING AND BREATHING TO GET 762 00:28:47,448 --> 00:28:50,852 NEW INFORMATION OVER TIME. 763 00:28:50,852 --> 00:28:53,588 THE NEXT PART, TRANSPARENCY, 764 00:28:53,588 --> 00:28:54,455 PARTNERING, THROUGH TRUST. 765 00:28:54,455 --> 00:28:57,525 AND SO WHAT WE DO, THIS IS LIST 766 00:28:57,525 --> 00:28:59,060 OF OUR AWARDEES. 767 00:28:59,060 --> 00:29:01,796 YOU CAN SEE DIFFERENT PARTNERS, 768 00:29:01,796 --> 00:29:07,835 IN THE MIDDLE OUR HEALTH CARE 769 00:29:07,835 --> 00:29:09,237 PROVIDER ORGANIZATIONS ENROLLING 770 00:29:09,237 --> 00:29:12,106 PARTICIPANTS, WE HAVE BIOBANK AT 771 00:29:12,106 --> 00:29:13,641 MAYO, GENOME PARTNERS, DATA AND 772 00:29:13,641 --> 00:29:15,944 RESEARCH CENTER, A NUMBER OF 773 00:29:15,944 --> 00:29:19,981 PARTNERS THAT THROUGHOUT THE 774 00:29:19,981 --> 00:29:25,119 HEALTH ECOSYSTEM AND MANY OF YOU 775 00:29:25,119 --> 00:29:29,190 REPRESENT AND RECOGNIZE 776 00:29:29,190 --> 00:29:30,158 FAMILIAR NAMES. 777 00:29:30,158 --> 00:29:32,026 ENGAGEMENT IS WHETHER WE BEGAN 778 00:29:32,026 --> 00:29:33,561 THIS PROGRAM. 779 00:29:33,561 --> 00:29:36,731 WE DID 77 ENGAGEMENT STUDIOS, 17 780 00:29:36,731 --> 00:29:40,368 CITIES, BEFORE WE TALKED TO A 781 00:29:40,368 --> 00:29:41,202 SINGLE PARTICIPANT IN THE 782 00:29:41,202 --> 00:29:43,071 PROGRAM TO TALK ABOUT HOW WE 783 00:29:43,071 --> 00:29:44,939 BUILD THIS PROGRAM, CREATING 784 00:29:44,939 --> 00:29:46,908 THIS NETWORK OF PARTNERS ACROSS 785 00:29:46,908 --> 00:29:48,843 THE COUNTRY, SOME LOCAL, SOME 786 00:29:48,843 --> 00:29:50,845 PARTNERED WITH LOCAL HEALTH CARE 787 00:29:50,845 --> 00:29:52,046 PROVIDER ORGANIZATIONS, SOME 788 00:29:52,046 --> 00:29:53,348 HAVE NATIONAL REACH, TO REALLY 789 00:29:53,348 --> 00:29:58,486 GIVE US NOT JUST CONNECTIONS BUT 790 00:29:58,486 --> 00:29:58,720 ADVICE. 791 00:29:58,720 --> 00:30:00,255 AND HELP SIT ON THE PROGRAM AND 792 00:30:00,255 --> 00:30:01,623 HELP US DESIGN A PROGRAM. 793 00:30:01,623 --> 00:30:03,491 THIS GIVES US A SENSE OF THE 794 00:30:03,491 --> 00:30:07,395 ECOSYSTEM, MANY PARTS OF THE 795 00:30:07,395 --> 00:30:08,496 ECOSYSTEM, TO DRIVE RESEARCH 796 00:30:08,496 --> 00:30:08,763 FORWARD. 797 00:30:08,763 --> 00:30:13,601 US ON ON A -- USING A PICTURE 798 00:30:13,601 --> 00:30:14,936 OF AMBASSADORS, A ROTATING 799 00:30:14,936 --> 00:30:18,539 SERVICE THESE PEOPLE DO. 800 00:30:18,539 --> 00:30:23,444 AND TODAY WE HAVE 35 PARTICIPANT 801 00:30:23,444 --> 00:30:31,052 AM AMBASSADORS AND 10 802 00:30:31,052 --> 00:30:33,121 PARTICIPANT PARTNERS, THEY HELP 803 00:30:33,121 --> 00:30:34,522 US TEST, PROVIDE INFORMATION 804 00:30:34,522 --> 00:30:37,492 MODULES, ENGAGE IN THE PROGRAM. 805 00:30:37,492 --> 00:30:39,794 WE'VE MEASURED THE INFLUENCE AND 806 00:30:39,794 --> 00:30:41,896 OPINIONS OF OUR STEERING 807 00:30:41,896 --> 00:30:43,197 COMMITTEE AND EXECUTIVE 808 00:30:43,197 --> 00:30:43,865 COMMITTEE MEMBERS WHICH ARE A 809 00:30:43,865 --> 00:30:46,000 LOT OF THEM ARE PARTICIPANT 810 00:30:46,000 --> 00:30:49,203 PARTNERS BUT ALSO, YOU KNOW, 811 00:30:49,203 --> 00:30:52,373 TRADITIONAL ACADEMICS, AND WITH 812 00:30:52,373 --> 00:30:55,677 THEIR OPINIONS ARE AND WE SEE 813 00:30:55,677 --> 00:30:56,644 INCREASE IN UNDERSTANDING, 814 00:30:56,644 --> 00:30:57,745 DEEPENING OF PARTNERSHIPS WITH 815 00:30:57,745 --> 00:30:59,080 THAT OVER TIME, WHICH IS WHAT 816 00:30:59,080 --> 00:31:00,581 YOU WANT TO SEE. 817 00:31:00,581 --> 00:31:02,350 ONE OF THE THINGS THAT'S BEEN AN 818 00:31:02,350 --> 00:31:04,152 IMPORTANT PART OF THE ENGAGEMENT 819 00:31:04,152 --> 00:31:05,553 EFFORTS IS TRIBAL EFFORTS. 820 00:31:05,553 --> 00:31:08,256 WE SPENT A LOT OF TIME ON THIS, 821 00:31:08,256 --> 00:31:11,326 REALLY OVER THE LAST YEAR. 822 00:31:11,326 --> 00:31:12,960 BUT WE STARTED IN 2017 WITH 823 00:31:12,960 --> 00:31:14,162 FORMING A TRIBAL COLLABORATION 824 00:31:14,162 --> 00:31:19,901 WORKING GROUP WITH A NUMBER OF 825 00:31:19,901 --> 00:31:23,938 INDIGENOUS MEMBERS IN 826 00:31:23,938 --> 00:31:25,139 REPRESENTATION AND CO-CHAIRING, 827 00:31:25,139 --> 00:31:27,141 LISTENING CENTERS THROUGH 2019 828 00:31:27,141 --> 00:31:30,945 WITH REPORT ISSUED IN 2020. 829 00:31:30,945 --> 00:31:32,580 WE IN MAY OF 2022 STARTED 830 00:31:32,580 --> 00:31:36,117 ANOTHER PART WHERE WE ANNOUNCED 831 00:31:36,117 --> 00:31:41,689 FUNDING ANNOUNCEMENT THAT 832 00:31:41,689 --> 00:31:42,323 ALLOWED TRIBAL PARTICIPANTS TO 833 00:31:42,323 --> 00:31:45,193 HELP US THINK ABOUT HOW WE 834 00:31:45,193 --> 00:31:46,427 ENGAGE PARTICIPANTS AND 835 00:31:46,427 --> 00:31:47,829 RESEARCHERS, THEN IN 2023 WE 836 00:31:47,829 --> 00:31:54,135 ESTABLISHED A COULD 837 00:31:54,135 --> 00:31:55,470 CONSULTATION TOPICS, SINCE WE 838 00:31:55,470 --> 00:31:57,305 LAST TALKED ABOUT RESEARCH, 839 00:31:57,305 --> 00:31:58,840 BEFORE COVID, IT WAS IMPORTANT 840 00:31:58,840 --> 00:32:01,275 FOR US TO REENGAGE OUR TRIBAL 841 00:32:01,275 --> 00:32:02,910 COMMUNITIES THROUGH CONSULTATION 842 00:32:02,910 --> 00:32:03,878 AND LISTENING SESSIONS, TALKING 843 00:32:03,878 --> 00:32:08,049 AGAIN ABOUT WHAT IT WOULD BE 844 00:32:08,049 --> 00:32:09,684 LIKE TO DO RESEARCH ON THE 845 00:32:09,684 --> 00:32:09,951 WORKBENCH. 846 00:32:09,951 --> 00:32:11,352 RIGHT NOW THOSE DATA WERE HELD 847 00:32:11,352 --> 00:32:15,189 OUT FROM THE RESEARCH WORKBENCH, 848 00:32:15,189 --> 00:32:16,391 WE WANTED TO REENGAGE TRIBAL 849 00:32:16,391 --> 00:32:16,724 COMMUNITIES. 850 00:32:16,724 --> 00:32:18,893 WE ALSO WANTED TO TALK ABOUT 851 00:32:18,893 --> 00:32:24,365 OTHER TOPICS, AND SET THE STAGE 852 00:32:24,365 --> 00:32:26,367 FOR A LONG-TERM EVOLVING AND 853 00:32:26,367 --> 00:32:29,737 CONTINUED ENGAGEMENT WITH OUR 854 00:32:29,737 --> 00:32:30,405 TRIBAL COMMUNITIES. 855 00:32:30,405 --> 00:32:33,908 AND SO WE FINISHED THAT 856 00:32:33,908 --> 00:32:36,511 CONSULTATION IN SEPTEMBER, WITH 857 00:32:36,511 --> 00:32:37,278 WRITTEN REPORTS, COMING IN 858 00:32:37,278 --> 00:32:39,814 TOWARDS THE END OF OCTOBER, AND 859 00:32:39,814 --> 00:32:42,550 WE'RE LOOKING FORWARD TO 860 00:32:42,550 --> 00:32:45,086 CONTINUING THAT, ISSUING FINAL 861 00:32:45,086 --> 00:32:46,587 REPORT IN 2024. 862 00:32:46,587 --> 00:32:48,122 NOW TALKING ABOUT PARTICIPANTS 863 00:32:48,122 --> 00:32:50,324 HAVING ACCESS TO THEIR 864 00:32:50,324 --> 00:32:50,625 INFORMATION. 865 00:32:50,625 --> 00:32:53,828 THIS IS A CORE VALUE OF THE 866 00:32:53,828 --> 00:32:54,061 PROGRAM. 867 00:32:54,061 --> 00:32:58,332 IT HAS BECOME A MUCH MORE COMMON 868 00:32:58,332 --> 00:33:05,006 CALL, EVEN PROGRAMS LIKE MILLION 869 00:33:05,006 --> 00:33:06,407 VETERANS PROGRAM NOT DESIGNED TO 870 00:33:06,407 --> 00:33:07,742 RETURN INFORMATION, NOW TALKING 871 00:33:07,742 --> 00:33:08,643 ABOUT RETURNING INFORMATION, 872 00:33:08,643 --> 00:33:09,510 FROM THE BEGINNING PART OF OUR 873 00:33:09,510 --> 00:33:14,182 CORE OF WHAT WE WANTED TO DO. 874 00:33:14,182 --> 00:33:17,151 REGARDLESS OF HOW PEOPLE ENROLL. 875 00:33:17,151 --> 00:33:22,623 THEY CAN ENROLL THROUGH A 876 00:33:22,623 --> 00:33:23,524 SMARTPHONE APP, WEBSITE, HEALTH 877 00:33:23,524 --> 00:33:24,525 CARE PROVIDER ORGANIZATION AND 878 00:33:24,525 --> 00:33:26,694 MEET A PERSON WHO IS THEIR FIRST 879 00:33:26,694 --> 00:33:29,230 INTRODUCTION TO THE PROGRAM. 880 00:33:29,230 --> 00:33:29,964 REGARDLESS, PEOPLE CONTRIBUTE 881 00:33:29,964 --> 00:33:34,135 THE SAME TYPES OF INFORMATION 882 00:33:34,135 --> 00:33:36,337 AND SAME PROCESS OF CONSENT, 883 00:33:36,337 --> 00:33:38,406 INCLUDING VIDEO, A DOCUMENT, AND 884 00:33:38,406 --> 00:33:39,373 GET E-MAILED TO THEM. 885 00:33:39,373 --> 00:33:42,777 AND THERE ARE A SET OF SURVEYS, 886 00:33:42,777 --> 00:33:46,814 THROUGH OUR WEBSITE AND 887 00:33:46,814 --> 00:33:49,917 SMARTPHONE APPS, IN PERSON 888 00:33:49,917 --> 00:33:52,286 PERSONAL COLLECTIONS, 889 00:33:52,286 --> 00:33:54,789 BIOSAMPLES, THEY CAN SHARE 890 00:33:54,789 --> 00:33:56,991 FITBIT OR OTHER DIGITAL HEALTH 891 00:33:56,991 --> 00:33:57,658 TECHNOLOGY DEVICES LINKED 892 00:33:57,658 --> 00:33:59,227 THROUGH APPLE HEALTH KIT. 893 00:33:59,227 --> 00:34:02,129 WE'VE BEEN GIVING OUT PILOTS OF 894 00:34:02,129 --> 00:34:03,764 DEVICES, THROUGH PILOT PROGRAMS, 895 00:34:03,764 --> 00:34:06,300 GIVING OUT DEVICES THAT THEY GET 896 00:34:06,300 --> 00:34:08,169 TO CHOOSE BETWEEN FITBIT DEVICES 897 00:34:08,169 --> 00:34:10,471 TO INCREASE THE NUMBER OF 898 00:34:10,471 --> 00:34:14,108 PEOPLE, ESPECIALLY IN OUR 899 00:34:14,108 --> 00:34:15,543 UNDERREPRESENTED BIOMEDICAL 900 00:34:15,543 --> 00:34:16,310 COMMUNITIES, THAT HAVE DEVICES 901 00:34:16,310 --> 00:34:19,714 THEY CAN SHARE WITH THE PROGRAM. 902 00:34:19,714 --> 00:34:21,549 PEOPLE DO DECIDE TO PARTICIPATE 903 00:34:21,549 --> 00:34:23,851 IN DIFFERENT WAYS. 904 00:34:23,851 --> 00:34:26,053 NOT EVERYONE DOES DECIDE TO 905 00:34:26,053 --> 00:34:27,688 SHARE A BIOSPECIMEN, THAT'S FINE 906 00:34:27,688 --> 00:34:28,222 WITH US. 907 00:34:28,222 --> 00:34:29,824 WE RECOGNIZE THERE ARE DIFFERENT 908 00:34:29,824 --> 00:34:32,393 WAYS PEOPLE PARTICIPATE IN THE 909 00:34:32,393 --> 00:34:32,627 PROGRAM. 910 00:34:32,627 --> 00:34:34,896 AND WHEN WE TALK TO PARTICIPANTS 911 00:34:34,896 --> 00:34:36,097 THROUGH OUR INITIAL ENGAGEMENT 912 00:34:36,097 --> 00:34:39,534 STUDIOS, ONE OF THE THINGS WE 913 00:34:39,534 --> 00:34:41,469 LEARNED WAS THAT ARE A VARIETY 914 00:34:41,469 --> 00:34:44,005 OF WAYS PEOPLE WILL DERIVE 915 00:34:44,005 --> 00:34:44,539 VALUE. 916 00:34:44,539 --> 00:34:45,840 NOT JUST RETURN OF RESULTS BUT 917 00:34:45,840 --> 00:34:46,974 RETURN OF VALUE. 918 00:34:46,974 --> 00:34:48,609 WHAT IS VALUABLE TO YOU? 919 00:34:48,609 --> 00:34:50,811 FOR MANY PEOPLE FIRST FOR THEM 920 00:34:50,811 --> 00:34:53,548 IN VALUE WAS HOW WE CAN HELP 921 00:34:53,548 --> 00:34:55,750 BENEFIT THEIR COMMUNITIES, HOW 922 00:34:55,750 --> 00:34:57,151 WE ADVANCE RESEARCH, ALTRUISTIC 923 00:34:57,151 --> 00:34:58,486 GOAL IS FOR THE BETTERMENT OF 924 00:34:58,486 --> 00:35:00,555 SOCIETY AND HEALTH, HEALTH OF 925 00:35:00,555 --> 00:35:01,088 THEIR POPULATIONS. 926 00:35:01,088 --> 00:35:03,524 IN ADDITION IF YOU THINK ABOUT 927 00:35:03,524 --> 00:35:07,461 THINGS WE CAN RETURN AND 928 00:35:07,461 --> 00:35:08,195 COMMUNICATE THOSE RESULTES IN 929 00:35:08,195 --> 00:35:09,830 THE RESEARCH WHAT ELSE CAN WE 930 00:35:09,830 --> 00:35:10,498 GIVE BACK? 931 00:35:10,498 --> 00:35:15,236 FIRST THING PEOPLE TOLD US THEY 932 00:35:15,236 --> 00:35:20,775 WERE INTERESTED IN 933 00:35:20,775 --> 00:35:21,976 HEALTH-RELATED GENETIC RESULTS. 934 00:35:21,976 --> 00:35:24,078 YOU'LL SEE THAT PEOPLE ARE 935 00:35:24,078 --> 00:35:25,379 ACTUALLY LOOKING AT ANCESTRY AND 936 00:35:25,379 --> 00:35:27,582 TRAITS MORE THAN THE 937 00:35:27,582 --> 00:35:28,349 HEALTH-RELATED INFORMATION WHICH 938 00:35:28,349 --> 00:35:28,983 IS INTERESTING. 939 00:35:28,983 --> 00:35:31,852 THEY ALSO WANT A VARIETY OF 940 00:35:31,852 --> 00:35:33,588 OTHER THINGS BUT NOW WE'RE 941 00:35:33,588 --> 00:35:35,022 AMONGST ALL THESE CATEGORIES OF 942 00:35:35,022 --> 00:35:37,625 THINGS, THERE ARE WAYS WE ARE 943 00:35:37,625 --> 00:35:38,626 RETURNING IT. 944 00:35:38,626 --> 00:35:40,494 YOU CAN LOOK AT SURVEY DATA. 945 00:35:40,494 --> 00:35:41,128 COMPARE IT. 946 00:35:41,128 --> 00:35:44,932 IF YOU LINK IN THROUGH A 947 00:35:44,932 --> 00:35:46,000 PARTICIPANT PORTAL, ELECTRONIC 948 00:35:46,000 --> 00:35:48,169 HEALTH RECORD DATA THAT'S 949 00:35:48,169 --> 00:35:48,769 VISUALIZED. 950 00:35:48,769 --> 00:35:50,471 SOME PEOPLE LINKING TEN 951 00:35:50,471 --> 00:35:52,873 PROVIDERS AND YOU CAN VISUALIZE 952 00:35:52,873 --> 00:35:54,408 THAT IN ONE PLACE. 953 00:35:54,408 --> 00:35:55,710 WE'RE LOOKING TO EXPAND THOSE 954 00:35:55,710 --> 00:35:59,113 KINDS OF EFFORTS. 955 00:35:59,113 --> 00:36:00,214 WE'RE COMMUNICATING SCIENTIFIC 956 00:36:00,214 --> 00:36:00,982 FINDINGS AND TALKING ABOUT 957 00:36:00,982 --> 00:36:03,484 OPPORTUNITIES TO BE INVOLVED IN 958 00:36:03,484 --> 00:36:04,785 RESEARCH AS SELL. 959 00:36:04,785 --> 00:36:06,988 THIS GOES INTO SOME OF OUR 960 00:36:06,988 --> 00:36:08,756 GENETIC TRAITS, AND REPORTS THAT 961 00:36:08,756 --> 00:36:09,423 WE'RE GIVING BACK. 962 00:36:09,423 --> 00:36:12,360 HERE YOU CAN SEE WE STARTED WITH 963 00:36:12,360 --> 00:36:14,662 GENETIC ANCESTRY AND TRAITS IN 964 00:36:14,662 --> 00:36:17,298 2020, TOWARDS THE END OF THE 965 00:36:17,298 --> 00:36:17,531 YEAR. 966 00:36:17,531 --> 00:36:21,135 IT STARTS WITH CONTINENTAL AND 967 00:36:21,135 --> 00:36:23,838 SUBCONTINENTAL ANCESTRY REPORTS, 968 00:36:23,838 --> 00:36:24,438 FOR NON-HEALTH-RELATED TRAITS. 969 00:36:24,438 --> 00:36:27,241 WHEN YOU LOOK AT HELP REPORTS AT 970 00:36:27,241 --> 00:36:28,776 THE ENDS OF 2020 WE'VE JUST 971 00:36:28,776 --> 00:36:31,412 CROSSED A YEAR OF RETURNING 972 00:36:31,412 --> 00:36:32,446 THOSE RESULTS. 973 00:36:32,446 --> 00:36:35,683 TWO CATEGORIES WE WENT THROUGH A 974 00:36:35,683 --> 00:36:38,719 PROCESS WITH THE FDA, 975 00:36:38,719 --> 00:36:39,587 INVESTIGATIONAL DEVICE EXEMPTION 976 00:36:39,587 --> 00:36:43,858 TO DELIVER REPORTS TO OUR 977 00:36:43,858 --> 00:36:44,191 PARTICIPANTS. 978 00:36:44,191 --> 00:36:49,130 TWO CATEGORIES, HEREDITARY 979 00:36:49,130 --> 00:36:52,066 DISEASE RISK REPORTS, CANCERS, 980 00:36:52,066 --> 00:36:54,802 CARDIOMYOPATHY, FAMILIAL HYPO 981 00:36:54,802 --> 00:36:56,570 LIPIDEMIA, MEDICINE, DNA, 982 00:36:56,570 --> 00:36:58,773 PHARMACO GENOME IS, SEVEN JOINS 983 00:36:58,773 --> 00:37:01,909 AND 50 MEDICATIONS RELEVANT IF 984 00:37:01,909 --> 00:37:03,077 YOU HAVE ALTERED METABOLIZER 985 00:37:03,077 --> 00:37:08,582 STATUS IN ONE OF THOSE SEVEN 986 00:37:08,582 --> 00:37:09,150 GENES. 987 00:37:09,150 --> 00:37:11,218 THIS SLIDE SHOWS THE -- WALKS 988 00:37:11,218 --> 00:37:12,987 THROUGH FROM THE TOP THE NUMBER 989 00:37:12,987 --> 00:37:14,922 OF PEOPLE THAT HAVE BEEN 990 00:37:14,922 --> 00:37:16,791 NOTIFIED TO GET RESULTS, TO 991 00:37:16,791 --> 00:37:17,892 CHOOSE RESULTS, RECEIVE RESULTS 992 00:37:17,892 --> 00:37:18,726 HERE. 993 00:37:18,726 --> 00:37:21,595 SO IF YOU LOOK AT THE SLIDE WE 994 00:37:21,595 --> 00:37:23,264 STARTED THE ANCESTRY AND TRAITS 995 00:37:23,264 --> 00:37:25,633 ABOUT TWO YEARS BEFORE WE WERE 996 00:37:25,633 --> 00:37:26,867 ABLE TO DELIVER HEALTH-RELATED 997 00:37:26,867 --> 00:37:27,501 RESULTS TO PARTICIPANTS. 998 00:37:27,501 --> 00:37:29,136 SO IT'S BEEN OFFERED TO MORE 999 00:37:29,136 --> 00:37:30,671 PEOPLE AND MORE PEOPLE HAVE SEEN 1000 00:37:30,671 --> 00:37:31,105 IT. 1001 00:37:31,105 --> 00:37:32,873 THE WAY THE PROGRAM WORKS, THE 1002 00:37:32,873 --> 00:37:34,742 WAY WE WORK THIS WITH THE FDA 1003 00:37:34,742 --> 00:37:37,678 AND IRB IS WE ACTUALLY INTERPRET 1004 00:37:37,678 --> 00:37:38,813 AND GENERATE OUR CLINICAL 1005 00:37:38,813 --> 00:37:43,150 RESULTS TO RETURN TO OUR 1006 00:37:43,150 --> 00:37:44,051 PARTICIPANTS FOR HEALTH-RELATED 1007 00:37:44,051 --> 00:37:45,586 AND PHARMACOGENOMICS WHEN THEY 1008 00:37:45,586 --> 00:37:46,854 SAY THEY WANT IT. 1009 00:37:46,854 --> 00:37:49,623 WHEN PEOPLE SAY THEY WANT IT, 1010 00:37:49,623 --> 00:37:52,660 THERE'S A PROCESS OF GENERATION, 1011 00:37:52,660 --> 00:37:53,861 INTERPRETATION OF PATHOGENIC 1012 00:37:53,861 --> 00:37:58,566 VARIANTS, VALIDATION IF IT'S ONE 1013 00:37:58,566 --> 00:38:01,102 OF THE ACMG 59, AND THEN RETURN 1014 00:38:01,102 --> 00:38:02,169 THOSE INFORMATIONS TO OUR 1015 00:38:02,169 --> 00:38:03,070 PARTICIPANTS. 1016 00:38:03,070 --> 00:38:06,006 AND SO YOU CAN SEE WE HAVE 60% 1017 00:38:06,006 --> 00:38:09,610 OF PEOPLE IN THAT MIDDLE ROW OF 1018 00:38:09,610 --> 00:38:14,081 COLUMNS IN SALMON AND ORANGE 1019 00:38:14,081 --> 00:38:17,585 THAT OPTED TO GET ANCESTRY AND 1020 00:38:17,585 --> 00:38:19,787 TRAITS OR NON-HEALTH-RELATED 1021 00:38:19,787 --> 00:38:21,889 TRAIT INFORMATION, AND ABOUT 50% 1022 00:38:21,889 --> 00:38:25,693 WOULD LIKE TO GET RESULTS FOR 1023 00:38:25,693 --> 00:38:26,360 HEREDITARY DISEASE RISK, 1024 00:38:26,360 --> 00:38:26,861 PHARMACOGENOMICS. 1025 00:38:26,861 --> 00:38:29,096 ONCE YOU TAKE INTO ONE OF THOSE 1026 00:38:29,096 --> 00:38:33,701 CATEGORIES MOST PEOPLE LOOK AT 1027 00:38:33,701 --> 00:38:34,869 BOTH. 1028 00:38:34,869 --> 00:38:36,737 SINGLE MOST VIEWED CONTENT IS 1029 00:38:36,737 --> 00:38:37,138 GENETIC ANCESTRY. 1030 00:38:37,138 --> 00:38:39,073 WE'RE SEEING A LOT OF PEOPLE SAY 1031 00:38:39,073 --> 00:38:41,675 WE WOULD LIKE MORE IN TERMS OF 1032 00:38:41,675 --> 00:38:44,879 GENETIC ANCESTRY ON THAT FRONT. 1033 00:38:44,879 --> 00:38:50,651 IN THE DISEASE RISK ELEMENTS AND 1034 00:38:50,651 --> 00:38:51,685 PHARMACOGENOMICS, WE'RE NOW 1035 00:38:51,685 --> 00:38:54,054 UPWARDS OF 75,000 PEOPLE THAT 1036 00:38:54,054 --> 00:38:55,422 RECEIVED THOSE RESULTS, OFFERING 1037 00:38:55,422 --> 00:38:57,224 TO 5,000 PEOPLE EACH WEEK AT 1038 00:38:57,224 --> 00:38:57,992 THIS POINT. 1039 00:38:57,992 --> 00:38:59,693 TO GIVE SOME CONTEXT OF THIS, 1040 00:38:59,693 --> 00:39:03,464 THAT WAS ONE OF THE PROJECTS I 1041 00:39:03,464 --> 00:39:07,168 HAD AT VANDERBILT WAS PART OF 1042 00:39:07,168 --> 00:39:08,903 THE EMERGE NETWORK, SENT FOUR 1043 00:39:08,903 --> 00:39:10,237 YEARS DOING THIS TO 4,000 1044 00:39:10,237 --> 00:39:10,738 PEOPLE. 1045 00:39:10,738 --> 00:39:12,973 EVERY WEEK WE DELIVER MORE 1046 00:39:12,973 --> 00:39:14,275 RESULTS BACK, OFFER MORE RESULTS 1047 00:39:14,275 --> 00:39:16,911 TO PEOPLE THAN WE DID IN FOUR 1048 00:39:16,911 --> 00:39:20,080 YEARS, WHICH WAS ACTUALLY A 1049 00:39:20,080 --> 00:39:21,015 LARGE SCALE EMERGE PROJECT AT 1050 00:39:21,015 --> 00:39:22,683 THE TIME. 1051 00:39:22,683 --> 00:39:24,118 WE'RE LOOKING FORWARD TO CLOSE 1052 00:39:24,118 --> 00:39:26,086 THOSE GAPS OF PEOPLE WHO WANT TO 1053 00:39:26,086 --> 00:39:28,622 GET THOSE RESULTS BACK, AND WE 1054 00:39:28,622 --> 00:39:29,590 INDUSTRIAL AVENUES TO CLOSE 1055 00:39:29,590 --> 00:39:31,225 TECHNOLOGICAL AS WELL AS WE 1056 00:39:31,225 --> 00:39:33,093 THINK ABOUT THINGS LIKE SALIVA 1057 00:39:33,093 --> 00:39:34,228 AND BLOOD BANK PARTICIPANTS AND 1058 00:39:34,228 --> 00:39:35,629 THINGS LIKE THAT. 1059 00:39:35,629 --> 00:39:38,165 SO THERE'S ONGOING DISCUSSION AS 1060 00:39:38,165 --> 00:39:42,303 WE REACH NEW PARTICIPANTS, NO 1061 00:39:42,303 --> 00:39:46,707 -- NEW WAYS WITH THE FDA IN THIS 1062 00:39:46,707 --> 00:39:47,374 PROCESS. 1063 00:39:47,374 --> 00:39:49,443 THIS GIVES SCREEN SHOTS OF 1064 00:39:49,443 --> 00:39:50,411 ANCESTRY AND TRAITS. 1065 00:39:50,411 --> 00:39:53,280 ON THE LEFT, YOU CAN SEE THE 1066 00:39:53,280 --> 00:39:54,215 CATEGORIES OF INFORMATION, YOU 1067 00:39:54,215 --> 00:39:58,085 CAN SEE SOME OF THE ANCESTRY 1068 00:39:58,085 --> 00:40:00,087 EXAMPLE REPORTS THERE. 1069 00:40:00,087 --> 00:40:07,962 THIS IS SOME INFORMATION ABOUT 1070 00:40:07,962 --> 00:40:12,666 WHAT IT LOOKS LIKE WE'RE SEEING 1071 00:40:12,666 --> 00:40:14,068 3% PATHOGENIC OR LIKELY 1072 00:40:14,068 --> 00:40:14,969 PATHOGENIC RATE IN THESE 1073 00:40:14,969 --> 00:40:15,369 CONDITIONS. 1074 00:40:15,369 --> 00:40:17,705 AT THIS POINT WE HAVE OVER 2200 1075 00:40:17,705 --> 00:40:19,473 PEOPLE FOR WHICH WE'VE 1076 00:40:19,473 --> 00:40:23,611 IDENTIFIED A PATHOGENIC OR 1077 00:40:23,611 --> 00:40:25,045 LIKELY PATHOGENIC VARIANT, REAL 1078 00:40:25,045 --> 00:40:26,280 DISEASE RISK IN THESE 1079 00:40:26,280 --> 00:40:27,715 PARTICIPANTS AND IT'S 1080 00:40:27,715 --> 00:40:28,015 ACTIONABLE. 1081 00:40:28,015 --> 00:40:29,783 ALL THESE, IF YOU'RE AWARE OF 1082 00:40:29,783 --> 00:40:31,218 THESE CONDITIONS, ARE THINGS FOR 1083 00:40:31,218 --> 00:40:32,853 WHICH THERE ARE RECOMMENDED 1084 00:40:32,853 --> 00:40:33,621 EITHER ENHANCED SCREENING OR 1085 00:40:33,621 --> 00:40:38,659 SOMETHING YOU CAN DO THAT 1086 00:40:38,659 --> 00:40:39,627 AMELIORATES THAT RISK. 1087 00:40:39,627 --> 00:40:42,363 PRIOR DATA WOULD SAY MOST OF 1088 00:40:42,363 --> 00:40:44,098 THESE PARTICIPANTS HAVE NO IDEA 1089 00:40:44,098 --> 00:40:46,734 THEY WOULD BE CARRYING THESE 1090 00:40:46,734 --> 00:40:47,067 VARIANTS. 1091 00:40:47,067 --> 00:40:49,136 AND YOU CAN SEE SOME OF WHAT THE 1092 00:40:49,136 --> 00:40:50,337 REPORT LOOKS LIKE. 1093 00:40:50,337 --> 00:40:53,407 FOR THESE RESULTS THEY ARE ALL 1094 00:40:53,407 --> 00:40:56,911 DELIVERED THROUGH GENETIC 1095 00:40:56,911 --> 00:41:01,649 COUNSELOR, AVAILABLE IN ENGLISH 1096 00:41:01,649 --> 00:41:03,150 AND SPANGLISH, WE SUPPORT 1097 00:41:03,150 --> 00:41:04,418 DIFFERENT LANGUAGES FOR REALTIME 1098 00:41:04,418 --> 00:41:05,486 TRANSLATION AND PEOPLE CAN GO 1099 00:41:05,486 --> 00:41:07,454 BACK HOWEVER MUCH THEY MIGHT 1100 00:41:07,454 --> 00:41:09,156 WANT TO TO ASK MORE QUESTIONS OR 1101 00:41:09,156 --> 00:41:12,726 IF THEY EVEN WANT TO ASK A 1102 00:41:12,726 --> 00:41:13,928 QUESTION BEFORE THEY WERE TO 1103 00:41:13,928 --> 00:41:15,329 DECIDE TO GET RESULTS BACK AND 1104 00:41:15,329 --> 00:41:19,400 WHAT IT MIGHT ENTAIL FOR THEM. 1105 00:41:19,400 --> 00:41:22,369 THIS LOOKS AT TWO OF THE SEVEN 1106 00:41:22,369 --> 00:41:28,042 JET STREAMS FOR PHARMACO 1107 00:41:28,042 --> 00:41:28,542 GENETICS. 1108 00:41:28,542 --> 00:41:31,211 I'VE HIGHLIGHTED THESE 1109 00:41:31,211 --> 00:41:34,281 POPULATIONS THAT WOULD HAVE POOR 1110 00:41:34,281 --> 00:41:35,616 METABOLIZER DECREASED FUNCTION 1111 00:41:35,616 --> 00:41:38,152 THAT WOULD HAVE RECOMMENDATIONS 1112 00:41:38,152 --> 00:41:40,921 FOR ALTERED PRESCRIBING FOR 1113 00:41:40,921 --> 00:41:42,623 DIFFERENT MEDICATIONS, ON THE 1114 00:41:42,623 --> 00:41:46,560 RIGHT MY RESULTS FOR TWO GENES 1115 00:41:46,560 --> 00:41:55,002 SO I HAVE ALTERED METABOLIZER 1116 00:41:55,002 --> 00:41:58,072 STATUS IN THESE AND WOULD HAVE 1117 00:41:58,072 --> 00:41:58,806 RECOMMENDATIONS FOR DIFFERENT 1118 00:41:58,806 --> 00:42:00,774 MEDICATIONS WERE I NEED TO BE 1119 00:42:00,774 --> 00:42:01,408 PRESCRIBED. 1120 00:42:01,408 --> 00:42:03,143 WHAT'S INTERESTING TO ME 1121 00:42:03,143 --> 00:42:07,448 PERSONALLY IN PART THIS IS TWO 1122 00:42:07,448 --> 00:42:09,316 OF THE GENE-DRUG INTERACTIONS 1123 00:42:09,316 --> 00:42:11,952 THAT I SPENT TIME MYSELF WORKING 1124 00:42:11,952 --> 00:42:16,857 ON, PUBLISHING ON, AND ONE OF 1125 00:42:16,857 --> 00:42:19,727 THESE VARIANTS WAS NOT ON THE 1126 00:42:19,727 --> 00:42:23,197 PLATFORM THAT WE INITIALLY 1127 00:42:23,197 --> 00:42:25,299 DEVELOPED AND IMPLEMENTED AT 1128 00:42:25,299 --> 00:42:25,733 VANDERBILT. 1129 00:42:25,733 --> 00:42:27,034 WE HAVE BROADER COVERAGE BECAUSE 1130 00:42:27,034 --> 00:42:28,135 WE'RE DOING SEQUENCING 1131 00:42:28,135 --> 00:42:30,104 INFORMATION AND WE CAN 1132 00:42:30,104 --> 00:42:34,041 CONTINUALLY UPDATE THESE OVER 1133 00:42:34,041 --> 00:42:36,777 TIME AND EVOLVE OVER TIME. 1134 00:42:36,777 --> 00:42:38,412 WE RELEASE ONE NEW SURVEY A 1135 00:42:38,412 --> 00:42:38,746 YEAR. 1136 00:42:38,746 --> 00:42:40,948 THIS WAS WHAT WE DID THIS YEAR, 1137 00:42:40,948 --> 00:42:42,683 FOCUSED ON MENTAL HEALTH AND 1138 00:42:42,683 --> 00:42:43,984 WELL-BEING. 1139 00:42:43,984 --> 00:42:47,755 WE HAVE A COUPLE, TWO SURVEYS 1140 00:42:47,755 --> 00:42:49,590 THAT GET INTO A LOT OF 1141 00:42:49,590 --> 00:42:50,224 CHALLENGING TOPICS. 1142 00:42:50,224 --> 00:42:53,961 IT DOES DEAL WITH THE TYPICAL 1143 00:42:53,961 --> 00:42:56,797 THINGS LIKE PHQ 9 OR GAD 7, 1144 00:42:56,797 --> 00:43:00,134 ANXIETY AND DEPRESSION RISK 1145 00:43:00,134 --> 00:43:03,604 FACTORS BUT GET INTO ADULT AND 1146 00:43:03,604 --> 00:43:04,371 CHILD TRAUMA, FAMILY DYNAMICS, 1147 00:43:04,371 --> 00:43:06,874 OTHER THINGS THAT YOU CAN SEE 1148 00:43:06,874 --> 00:43:11,178 AND GETTING AT TOPICS LIKE ADHD, 1149 00:43:11,178 --> 00:43:12,379 BIPOLAR AND OTHER CONDITIONS 1150 00:43:12,379 --> 00:43:14,248 ADDRESSED IN THE SURVEYS. 1151 00:43:14,248 --> 00:43:16,216 ONE THING WE'RE ABLE TO DO IN AN 1152 00:43:16,216 --> 00:43:20,387 ENGAGING WAY IS PROVIDE 1153 00:43:20,387 --> 00:43:21,188 ESSENTIALLY REALTIME IMMEDIATE 1154 00:43:21,188 --> 00:43:23,857 FEEDBACK ON PERSONALITY TRAITS 1155 00:43:23,857 --> 00:43:25,392 AGAIN MORE JUST ENGAGING, NOT 1156 00:43:25,392 --> 00:43:33,367 TELLING THEM NECESSARILY ABOUT 1157 00:43:33,367 --> 00:43:39,973 HEALTH BUT HOW CONSCIENTIOUS, 1158 00:43:39,973 --> 00:43:41,742 TESTED IN PROCESS OF 1159 00:43:41,742 --> 00:43:42,276 DEVELOPMENT. 1160 00:43:42,276 --> 00:43:46,113 IF THEY FOR INSTANCE ANSWER 1161 00:43:46,113 --> 00:43:47,548 CERTAIN QUESTIONS, INDICATOR 1162 00:43:47,548 --> 00:43:49,083 RISK FOR SEVERE DEPRESSION, 1163 00:43:49,083 --> 00:43:51,718 THERE IS A SCREENING AND THERE 1164 00:43:51,718 --> 00:43:53,253 ARE REFERENCES AND RESOURCE 1165 00:43:53,253 --> 00:43:54,021 PRESENTED TO PARTICIPANTS. 1166 00:43:54,021 --> 00:43:56,123 THIS WAS DEVELOPED WITH OUR 1167 00:43:56,123 --> 00:43:57,324 PARTICIPANTS, WITH OUR IRB OF 1168 00:43:57,324 --> 00:43:58,525 COURSE IN THE PROCESS. 1169 00:43:58,525 --> 00:44:00,494 NOW I'M GOING TO TALK ABOUT 1170 00:44:00,494 --> 00:44:02,996 RESEARCH A LITTLE BIT MORE HERE. 1171 00:44:02,996 --> 00:44:05,399 ACCESSING THESE DATA BROADLY FOR 1172 00:44:05,399 --> 00:44:07,067 RESEARCH PURPOSES. 1173 00:44:07,067 --> 00:44:08,469 MAINTAINING SECURITY AND 1174 00:44:08,469 --> 00:44:09,570 PRIVACY, HIGHEST IMPORTANCE. 1175 00:44:09,570 --> 00:44:11,538 AND THAT WE WILL GIVE HOPEFULLY 1176 00:44:11,538 --> 00:44:16,043 A CATALYST FOR POSITIVE CHANGE 1177 00:44:16,043 --> 00:44:17,377 IN RESEARCH. 1178 00:44:17,377 --> 00:44:18,679 WE HAVE DIFFERENT PHASES TO OUR 1179 00:44:18,679 --> 00:44:23,283 DATA THAT WE TRY TO MAKE 1180 00:44:23,283 --> 00:44:25,018 AVAILABLE AND HELP ENGAGE 1181 00:44:25,018 --> 00:44:27,121 RESEARCHER AUDIENCE, ONE OF 1182 00:44:27,121 --> 00:44:30,958 THESE IS OUR PUBLIC DATA BROWSER 1183 00:44:30,958 --> 00:44:32,192 SO PEOPLE CAN VIEW INFORMATION 1184 00:44:32,192 --> 00:44:33,460 ABOUT "ALL OF US" THROUGH THE 1185 00:44:33,460 --> 00:44:36,330 DATA BROWSER AND THERE'S NO 1186 00:44:36,330 --> 00:44:38,098 LOG-IN REQUIRED, IT'S ACCESSIBLE 1187 00:44:38,098 --> 00:44:40,267 ACROSS THE WORLD, IT'S HIGH 1188 00:44:40,267 --> 00:44:41,168 LEVEL AGGREGATE DATA THAT HELPS 1189 00:44:41,168 --> 00:44:43,137 YOU KNOW WHETHER OR NOT YOU CAN 1190 00:44:43,137 --> 00:44:45,205 START A RESEARCH PROJECT AND 1191 00:44:45,205 --> 00:44:48,041 WHETHER ENOUGH PEOPLE HAVE A 1192 00:44:48,041 --> 00:44:49,143 GIVEN CONDITION, WHETHER OR NOT 1193 00:44:49,143 --> 00:44:50,777 THEY MAY BE TAKING MEDICATION, 1194 00:44:50,777 --> 00:44:53,947 YOU CAN LOOK AT SURVEY 1195 00:44:53,947 --> 00:44:58,986 RESPONSES. 1196 00:44:58,986 --> 00:45:00,988 WE PROTECT PRIVACY. 1197 00:45:00,988 --> 00:45:03,357 WE FOUND THIS TO BE BE A 1198 00:45:03,357 --> 00:45:05,759 IMPORTANT TOOL AS THEY COME TO 1199 00:45:05,759 --> 00:45:07,394 MOBILE ENGAGEMENT UNITS OR 1200 00:45:07,394 --> 00:45:08,695 CONSIDER ENROLLMENT WE CAN SEE 1201 00:45:08,695 --> 00:45:09,930 PEOPLE THAT HAVE DISEASES LIKE 1202 00:45:09,930 --> 00:45:11,999 THEM AND THEY MAY BECOME MORE 1203 00:45:11,999 --> 00:45:15,602 ENGAGED IN JOINING THE PROCESS. 1204 00:45:15,602 --> 00:45:17,237 TO DO RESEARCHER ANALYSIS, TO DO 1205 00:45:17,237 --> 00:45:18,872 RESEARCH STUDIES YOU NEED TO 1206 00:45:18,872 --> 00:45:21,175 BECOME APPROVED RESEARCHER 1207 00:45:21,175 --> 00:45:23,911 THROUGH OUR RESEARCH WORKBENCH, 1208 00:45:23,911 --> 00:45:27,848 CLOUD BASED, AS YOU CAN SEE HERE 1209 00:45:27,848 --> 00:45:33,420 WE SUPPORT R AND PYTHON AND HAVE 1210 00:45:33,420 --> 00:45:37,925 A NUMBER OF GUI-BASED TOOLS TO 1211 00:45:37,925 --> 00:45:38,692 BUILD COHORT, BUILD DATASET, 1212 00:45:38,692 --> 00:45:39,326 EXPLORE. 1213 00:45:39,326 --> 00:45:44,798 WHEN IT COMES TO ANALYSIS IT'S R 1214 00:45:44,798 --> 00:45:46,567 AND PYTHON, SUPPORTED THROUGH 1215 00:45:46,567 --> 00:45:49,069 JUPYTER NOTEBOOKS, AND BETA 1216 00:45:49,069 --> 00:45:51,271 TESTING OF SASS AS A PLATFORM, 1217 00:45:51,271 --> 00:45:53,774 OUR STUDIO COMING ON TO GIVE 1218 00:45:53,774 --> 00:45:57,811 MORE VISUAL TOOLS, A NUMBER OF 1219 00:45:57,811 --> 00:45:59,713 EXAMPLE NOTEBOOKS THAT PEOPLE 1220 00:45:59,713 --> 00:46:03,750 CAN TAKE CODE PRE-MADE TO DO A 1221 00:46:03,750 --> 00:46:04,985 GENOME WIDE ASSOCIATION STUDY OR 1222 00:46:04,985 --> 00:46:06,987 HOW TO USE SURVEYS AND WE 1223 00:46:06,987 --> 00:46:09,289 CONTINUED TO DEVELOP THESE TO 1224 00:46:09,289 --> 00:46:13,193 HELP PEOPLE ACCELERATE THEIR 1225 00:46:13,193 --> 00:46:15,395 WORK, CURRENTLY OPEN TO ACADEMIC 1226 00:46:15,395 --> 00:46:17,898 HEALTH CARE AND NOT-FOR-PROFIT 1227 00:46:17,898 --> 00:46:18,465 ORGANIZATIONS. 1228 00:46:18,465 --> 00:46:21,101 AND ONE OF THE THINGS WE DO IS A 1229 00:46:21,101 --> 00:46:24,238 RESEARCHER THAT IS ONE OF THOSE 1230 00:46:24,238 --> 00:46:25,138 APPROVED ORGANIZATIONS CAN COME 1231 00:46:25,138 --> 00:46:27,307 ON FOR MANY OF THEM THEY HAVE 1232 00:46:27,307 --> 00:46:28,609 MASTER AGREEMENTS, SO THAT MEANS 1233 00:46:28,609 --> 00:46:31,211 A NEW RESEARCHER CAN START DOING 1234 00:46:31,211 --> 00:46:31,912 RESEARCH VERY RAPIDLY AFTER 1235 00:46:31,912 --> 00:46:33,447 GOING THROUGH THE HUMAN SUBJECTS 1236 00:46:33,447 --> 00:46:35,082 TRAINING AS PART OF OUR PROGRAM, 1237 00:46:35,082 --> 00:46:38,552 SPECIFIC TRAINING AROUND OUR 1238 00:46:38,552 --> 00:46:40,520 PROGRAM, STIGMATIZING RESEARCH, 1239 00:46:40,520 --> 00:46:42,956 CREATE WORKSPACE ON THE FLY 1240 00:46:42,956 --> 00:46:43,924 THROUGH A PASSPORT MODEL, THEY 1241 00:46:43,924 --> 00:46:46,460 ARE ABLE TO BE OVERSEEN BY 1242 00:46:46,460 --> 00:46:47,761 RESOURCE ACCESS BOARD. 1243 00:46:47,761 --> 00:46:49,396 IF THEY CLICK CERTAIN THINGS, 1244 00:46:49,396 --> 00:46:52,366 INDICATE THAT THIS COULD BE 1245 00:46:52,366 --> 00:46:53,000 POTENTIALLY STIGMATIZING IT'S 1246 00:46:53,000 --> 00:46:54,534 SOMETHING WE CAN LOOK AT. 1247 00:46:54,534 --> 00:46:55,736 THEY CAN START DOING RESEARCH IN 1248 00:46:55,736 --> 00:46:57,504 THE CLOUD, WE CAN LOOK AT 1249 00:46:57,504 --> 00:46:59,139 COMMUNICATE BACK IF WE NEED TO 1250 00:46:59,139 --> 00:47:01,341 WITH PARTICIPANTS, SO WE THINK 1251 00:47:01,341 --> 00:47:06,146 IT AC SELL RATES RE-- 1252 00:47:06,146 --> 00:47:08,815 ACCELERATES RESEARCH AND 1253 00:47:08,815 --> 00:47:09,116 PROTECTION. 1254 00:47:09,116 --> 00:47:10,284 CURRENT DATASET RELEASED IN 1255 00:47:10,284 --> 00:47:11,985 APRIL, 400,000 WITH SURVEYS. 1256 00:47:11,985 --> 00:47:14,588 YOU CAN SEE DIFFERENT OTHER 1257 00:47:14,588 --> 00:47:14,821 METRICS. 1258 00:47:14,821 --> 00:47:17,057 BIG NEWS WAS MORE THAN DOUBLING 1259 00:47:17,057 --> 00:47:19,493 THE AMOUNT OF WHOLE GENOME DATA 1260 00:47:19,493 --> 00:47:26,199 AVAILABLE WITH 245,000 WHOLE 1261 00:47:26,199 --> 00:47:26,433 GENOMES. 1262 00:47:26,433 --> 00:47:28,168 WITH THOSE 245,000 WE'VE 1263 00:47:28,168 --> 00:47:29,936 OBSERVED A BILLION VARIANTS IN 1264 00:47:29,936 --> 00:47:31,038 THE DATASET, MORE THAN 100 1265 00:47:31,038 --> 00:47:33,006 MILLION OF THOSE VARIANTS OCCUR 1266 00:47:33,006 --> 00:47:34,875 IN THREE OR FOUR PARTICIPANTS, 1267 00:47:34,875 --> 00:47:39,346 AND ARE NOT IN NOMAD. 1268 00:47:39,346 --> 00:47:41,081 THESE ARE ESSENTIALLY VARIANTS 1269 00:47:41,081 --> 00:47:44,618 FOR WHICH THERE IS NOT EXTANT 1270 00:47:44,618 --> 00:47:45,485 DATA TO HELP DETERMINE WHAT 1271 00:47:45,485 --> 00:47:47,120 IMPACT IS. 1272 00:47:47,120 --> 00:47:49,623 IN OUR DATASET, UNLIKE OTHER 1273 00:47:49,623 --> 00:47:53,126 RESOURCES LIKE NOMAD WE HAVE 1274 00:47:53,126 --> 00:47:53,560 PHENOTYPES, SURVEYS, 1275 00:47:53,560 --> 00:47:54,661 QUESTIONNAIRES, THAT FIT THE 1276 00:47:54,661 --> 00:47:55,095 DATA. 1277 00:47:55,095 --> 00:48:03,203 WE CONTINUE TO GROW THE FIT BIT 1278 00:48:03,203 --> 00:48:03,503 DATA. 1279 00:48:03,503 --> 00:48:05,505 PEOPLE HAVE DONATED DATA 1280 00:48:05,505 --> 00:48:06,273 APPROACHING 100,000 PEOPLE THAT 1281 00:48:06,273 --> 00:48:08,575 WE'LL HAVE SOME SORT OF DIGITAL 1282 00:48:08,575 --> 00:48:10,310 HEALTH TECHNOLOGY AS WE PULL ALL 1283 00:48:10,310 --> 00:48:15,015 THESE TO GET DATA TOGETHER OVER 1284 00:48:15,015 --> 00:48:15,248 TIME. 1285 00:48:15,248 --> 00:48:21,822 WE RELEASED THE FIRST SET OF 1286 00:48:21,822 --> 00:48:23,457 LONG READ SEQUENCES OF A 1287 00:48:23,457 --> 00:48:24,891 THOUSAND PEOPLE OF AFRICAN 1288 00:48:24,891 --> 00:48:25,192 ANCESTRY. 1289 00:48:25,192 --> 00:48:26,526 ONE THING THAT WE SEE THAT ARE 1290 00:48:26,526 --> 00:48:29,363 NOVEL AND NOT IN OTHER RESOURCES 1291 00:48:29,363 --> 00:48:31,431 IS DIVERSITY BY GENETIC ANCESTRY 1292 00:48:31,431 --> 00:48:32,532 OF OUR PARTICIPANTS. 1293 00:48:32,532 --> 00:48:36,470 SO WHAT I SHOW HERE IS THE 1294 00:48:36,470 --> 00:48:38,605 COMPARISON OF THE GWAS DIVERSITY 1295 00:48:38,605 --> 00:48:39,740 MONITOR, BASICALLY IF YOU LOOK 1296 00:48:39,740 --> 00:48:42,142 AT ALL THE GWAS STUDIES 1297 00:48:42,142 --> 00:48:44,010 PUBLISHED TO DATE, WE CONTINUE 1298 00:48:44,010 --> 00:48:45,979 TO SEE THOSE GWAS STUDIES HAVE 1299 00:48:45,979 --> 00:48:48,281 BEEN RUNNING GREATER THAN 90% OF 1300 00:48:48,281 --> 00:48:49,616 EUROPEAN ANCESTRY. 1301 00:48:49,616 --> 00:48:50,917 SO WITH OUR DATASET 1302 00:48:50,917 --> 00:48:52,018 SIGNIFICANTLY MORE DIVERSE THAN 1303 00:48:52,018 --> 00:48:53,987 THAT, IN THE BLUE COMPARED TO 1304 00:48:53,987 --> 00:48:57,591 THE GRAY, YOU CAN SEE THAT I 1305 00:48:57,591 --> 00:49:00,327 THINK THAT'S HELPED DRIVING OF 1306 00:49:00,327 --> 00:49:01,695 UNDERSTANDING OF VARIATION, 1307 00:49:01,695 --> 00:49:04,965 DISCOVERY OF MORE VARIATION AND 1308 00:49:04,965 --> 00:49:07,167 SEEING VARIANTS INCREDIBLY RARE 1309 00:49:07,167 --> 00:49:09,870 IN EUROPEAN POPULATIONS, COMMON 1310 00:49:09,870 --> 00:49:10,871 IN OTHER ANCESTRIES, IMPORTANT 1311 00:49:10,871 --> 00:49:13,306 AS WE THINK ABOUT INTERPRETATION 1312 00:49:13,306 --> 00:49:16,777 OF GENETIC VARIANTS WHETHER THEY 1313 00:49:16,777 --> 00:49:18,645 ARE PATHOGENIC OR THINGS LIKE 1314 00:49:18,645 --> 00:49:19,346 THAT. 1315 00:49:19,346 --> 00:49:20,847 WE'VE BEEN BUILDING RESEARCHER 1316 00:49:20,847 --> 00:49:22,582 POPULATIONS WHEN WE FIRST 1317 00:49:22,582 --> 00:49:23,016 RELEASED IN 2020. 1318 00:49:23,016 --> 00:49:25,552 WE HAVE MORE THAN DOUBLED THE 1319 00:49:25,552 --> 00:49:26,553 NUMBER OF RESEARCHERS USING 1320 00:49:26,553 --> 00:49:28,622 OTHER PLATFORM THIS YEAR. 1321 00:49:28,622 --> 00:49:30,690 WE WERE RIGHT AT 3,000 WHEN THE 1322 00:49:30,690 --> 00:49:36,363 YEAR BEGAN SO WE HAVE SEEN 1323 00:49:36,363 --> 00:49:37,998 ACCELERATION, OVER 600 1324 00:49:37,998 --> 00:49:40,634 INSTITUTIONS, YOU CAN JUST AS 1325 00:49:40,634 --> 00:49:41,535 WE'VE ENGAGED DIVERSE 1326 00:49:41,535 --> 00:49:43,170 PARTICIPANTS IT'S IMPORTANT TO 1327 00:49:43,170 --> 00:49:44,371 ENGAGE DIVERSE RESEARCHERS. 1328 00:49:44,371 --> 00:49:46,873 WE THINK THAT'S IMPORTANT TO 1329 00:49:46,873 --> 00:49:48,308 GENERATE MORE HYPOTHESES, MORE 1330 00:49:48,308 --> 00:49:50,844 DIFFERENT KINDS OF STUDIES, AND 1331 00:49:50,844 --> 00:49:52,345 BETTER SCIENCE ULTIMATELY. 1332 00:49:52,345 --> 00:50:00,020 WE HAVE -- YOU CAN SEE 40 1333 00:50:00,020 --> 00:50:01,321 HBCUs, OVER 60 1334 00:50:01,321 --> 00:50:02,055 HISPANIC-SERVING INSTITUTIONS, 1335 00:50:02,055 --> 00:50:07,127 TRYING TO ENGAGE DIVERSE 1336 00:50:07,127 --> 00:50:08,128 RESEARCHER AUDIENCE, SOME AWARDS 1337 00:50:08,128 --> 00:50:10,096 ARE THINKING ABOUT THAT. 1338 00:50:10,096 --> 00:50:11,431 IN ADDITION TO TRADITIONAL 1339 00:50:11,431 --> 00:50:19,406 ACADEMIC ENVIRONMENTS WE HAVE 1340 00:50:19,406 --> 00:50:22,943 PARTICIPANT ADVOCACY GROUPS, 1341 00:50:22,943 --> 00:50:25,245 NATIONAL ALLIANCE FOR HISPANIC 1342 00:50:25,245 --> 00:50:26,146 HEALTH, ASIAN COALITION, WE 1343 00:50:26,146 --> 00:50:27,647 ENCOURAGE A DIVERSE BODY OF 1344 00:50:27,647 --> 00:50:28,348 RESEARCHERS TO COME IN. 1345 00:50:28,348 --> 00:50:30,917 THESE ARE SOME OF THE 1346 00:50:30,917 --> 00:50:32,686 PUBLICATIONS AND THEY ARE 1347 00:50:32,686 --> 00:50:33,553 ACCELERATING AS YOU WOULD 1348 00:50:33,553 --> 00:50:33,787 EXPECT. 1349 00:50:33,787 --> 00:50:35,956 YOU SEE A NUMBER OF PUBLICATIONS 1350 00:50:35,956 --> 00:50:37,491 AND REALLY ABOUT HALF THE 1351 00:50:37,491 --> 00:50:39,226 PUBLICATIONS THAT WE HAVE TOTAL 1352 00:50:39,226 --> 00:50:41,761 HAVE COME OUT THIS YEAR, AS YOU 1353 00:50:41,761 --> 00:50:45,365 MIGHT EXPECT WITH THE GROWTH OF 1354 00:50:45,365 --> 00:50:45,932 THIS. 1355 00:50:45,932 --> 00:50:48,435 SOME HIGHEST IMPACT PUBLICATIONS 1356 00:50:48,435 --> 00:50:50,737 HAVE BEEN AROUND SO FAR USE OF 1357 00:50:50,737 --> 00:50:57,077 FITBIT DATA ACROSS OVER KINDS OF 1358 00:50:57,077 --> 00:50:58,845 DATA, UPTICK IN HIGH PROFILE 1359 00:50:58,845 --> 00:50:59,112 JOURNALS. 1360 00:50:59,112 --> 00:51:04,017 I WANT TO GIVE AN EXAMPLE OF 1361 00:51:04,017 --> 00:51:05,852 GIVE OF DOING THIS PROJECT ON 1362 00:51:05,852 --> 00:51:09,689 THE WORKBENCH AS OPPOSED TO A 1363 00:51:09,689 --> 00:51:11,658 PRIOR LIFE OF PALESTINE. 1364 00:51:11,658 --> 00:51:13,393 THE FIRST GENOME WIDE 1365 00:51:13,393 --> 00:51:16,897 ASSOCIATION STUDY I WORKED ON 1366 00:51:16,897 --> 00:51:24,604 WAS PRIMARY HYPOTHYROIDISM. 1367 00:51:24,604 --> 00:51:27,507 IT TOOK US 2 1/2 YEARS, TEAMS AT 1368 00:51:27,507 --> 00:51:30,944 EACH SITE, DOING THINGS LINING 1369 00:51:30,944 --> 00:51:33,113 TYPING IN MISSPELLINGS OF 1370 00:51:33,113 --> 00:51:34,314 MEDICATION NAMES TO FIND THOSE 1371 00:51:34,314 --> 00:51:35,982 MEDICATIONS BECAUSE THEY WEREN'T 1372 00:51:35,982 --> 00:51:37,384 ALL CODED. 1373 00:51:37,384 --> 00:51:40,453 AND SO WE BUILT THESE ALGORITHMS 1374 00:51:40,453 --> 00:51:41,988 TO FIND THESE PARTICIPANTS, 1375 00:51:41,988 --> 00:51:43,189 THESE PATIENTS IN OUR RECORDS 1376 00:51:43,189 --> 00:51:47,561 THAT LOOKED LIKE THEY HAD 1377 00:51:47,561 --> 00:51:49,529 PRIMARY HYPOTHYROIDISM AND NOT 1378 00:51:49,529 --> 00:51:51,398 CANCER OR SECONDARY DISEASE, 1379 00:51:51,398 --> 00:51:53,366 THEN FOUND A SIGNAL IN 1380 00:51:53,366 --> 00:51:57,070 CHROMOSOME 9, YOU SEE TIME AND 1381 00:51:57,070 --> 00:52:02,008 COST OF THAT. 1382 00:52:02,008 --> 00:52:06,146 IN 2023, 2022 A POST BACK 1383 00:52:06,146 --> 00:52:08,648 JOINED MY OTHER LAB AND ACCESSED 1384 00:52:08,648 --> 00:52:11,384 THE WORKBENCH LIKE ANY OTHER 1385 00:52:11,384 --> 00:52:13,620 RESEARCHER WOULD IN "ALL OF US." 1386 00:52:13,620 --> 00:52:17,123 HE HAD NO SPECIFIC TRAINING IN 1387 00:52:17,123 --> 00:52:18,024 GENOMIC OR COMPUTATIONAL 1388 00:52:18,024 --> 00:52:18,959 GENETICS OR ELECTRONIC HEALTH 1389 00:52:18,959 --> 00:52:19,292 RECORD. 1390 00:52:19,292 --> 00:52:22,028 BUT IN ABOUT SIX WEEKS WAS ABLE 1391 00:52:22,028 --> 00:52:23,430 TO PRODUCE, REPRODUCE THAT 1392 00:52:23,430 --> 00:52:25,432 PHENOTYPE ALGORITHM USING THE 1393 00:52:25,432 --> 00:52:27,601 COHORT FOLDER, POINT AND CLICK, 1394 00:52:27,601 --> 00:52:28,935 ADAPTING THE CODE LEARNING WHAT 1395 00:52:28,935 --> 00:52:30,570 HE NEEDED TO DO. 1396 00:52:30,570 --> 00:52:36,710 I DIDN'T PUT HIM ON THE CLOCK. 1397 00:52:36,710 --> 00:52:39,112 IT JUST TOOK SIX WEEKS, MANY 1398 00:52:39,112 --> 00:52:41,081 MORE SIGNALS, IN THE 12 YEARS 1399 00:52:41,081 --> 00:52:42,182 SINCE THAT PUBLICATION WAS MADE 1400 00:52:42,182 --> 00:52:45,352 THERE HAS NOT BEEN A 1401 00:52:45,352 --> 00:52:46,987 SIGNIFICANTLY DIVERSE POPULATION 1402 00:52:46,987 --> 00:52:51,358 ENGAGED USING ASIAN AND EUROPEAN 1403 00:52:51,358 --> 00:52:51,925 AUDIENCES STUDY FOR 1404 00:52:51,925 --> 00:52:53,226 HYPOTHYROIDISM, NOTHING ELSE. 1405 00:52:53,226 --> 00:52:57,597 THIS IS THE FIRST MULTI-ANCESTRY 1406 00:52:57,597 --> 00:52:58,264 STUDIES WITH THIS CONDITION. 1407 00:52:58,264 --> 00:53:04,304 "ALL OF US" IS DESIGNED AS A 1408 00:53:04,304 --> 00:53:05,972 PLATFORM FOR NIH, EXPANDING 1409 00:53:05,972 --> 00:53:08,775 BEYOND THE NIH TO DO RESEARCH. 1410 00:53:08,775 --> 00:53:10,310 WE ARE DESIGNING OUR SELVES NOT 1411 00:53:10,310 --> 00:53:12,846 JUST OF COURSE TO ENGAGE 1412 00:53:12,846 --> 00:53:13,947 RESEARCHERS AS WE HAVE DONE TO 1413 00:53:13,947 --> 00:53:18,218 COME IN AND ALLS THE DATA BUT 1414 00:53:18,218 --> 00:53:20,086 HELP MAKE THE DATA RICHER. 1415 00:53:20,086 --> 00:53:22,922 THE DATA WE DELIVERED ALREADY IS 1416 00:53:22,922 --> 00:53:25,225 THE FOUNDATION, RESEARCHER 1417 00:53:25,225 --> 00:53:26,326 WORKBENCH, GENOME DATA, 1418 00:53:26,326 --> 00:53:27,627 ELECTRONIC HEALTH RECORD DATA, 1419 00:53:27,627 --> 00:53:28,928 SURVEY DATA WE'RE GETTING OUT 1420 00:53:28,928 --> 00:53:30,664 THERE. 1421 00:53:30,664 --> 00:53:31,998 WE WANT TO COLLABORATE WITH 1422 00:53:31,998 --> 00:53:33,233 OTHER INSTITUTES AND CENTERS AND 1423 00:53:33,233 --> 00:53:36,603 OFFERSES -- OFFICES TO BUILD ON 1424 00:53:36,603 --> 00:53:37,203 TOP OF THAT. 1425 00:53:37,203 --> 00:53:39,139 ON THE LEFT YOU SEE EXAMPLES. 1426 00:53:39,139 --> 00:53:44,811 WE DID A COVID SEROLOGY STUDY, 1427 00:53:44,811 --> 00:53:48,314 WE JUST LUNCHED EXPLORING THE 1428 00:53:48,314 --> 00:53:49,749 MIND, BEHAVIORAL QUANTITATIVE 1429 00:53:49,749 --> 00:53:50,950 BEHAVIORAL AND COGNITIVE TRAITS 1430 00:53:50,950 --> 00:53:55,555 PEOPLE ENGAGE WITH LIKE A BRAIN 1431 00:53:55,555 --> 00:53:58,091 GAMES PROCESS, THROUGH THE WORK, 1432 00:53:58,091 --> 00:53:59,492 THROUGH THE PORTAL. 1433 00:53:59,492 --> 00:54:00,627 AND THEN THE LARGEST OF THESE 1434 00:54:00,627 --> 00:54:09,169 WHAT WE CALL ANCILLARY STUDIES 1435 00:54:09,169 --> 00:54:10,170 IS A COLLABORATION OF 18 1436 00:54:10,170 --> 00:54:11,337 LAUNCHED IN THE SPRING. 1437 00:54:11,337 --> 00:54:13,840 THESE CAN BE RANGING FROM ALL 1438 00:54:13,840 --> 00:54:14,741 SORTS OF THINGS. 1439 00:54:14,741 --> 00:54:16,376 NPH HAS A COMPONENT OF 1440 00:54:16,376 --> 00:54:18,144 RANDOMIZED TRIAL WITH IT. 1441 00:54:18,144 --> 00:54:22,816 IT HAS OTHER COMPONENTS AS WELL. 1442 00:54:22,816 --> 00:54:26,986 AND SO NPH HAS THREE MODULES, 1443 00:54:26,986 --> 00:54:29,923 WE'VE LAUNCHED ALL OF THESE, AND 1444 00:54:29,923 --> 00:54:31,858 IT STARTED WITH THE FIRST 1445 00:54:31,858 --> 00:54:34,561 MODULE, 10,000 "ALL OF US" 1446 00:54:34,561 --> 00:54:35,829 PARTICIPANTS, ALL ENGAGED AND 1447 00:54:35,829 --> 00:54:37,931 EMBODIED WITHIN "ALL OF US." 1448 00:54:37,931 --> 00:54:39,666 TEN THOUSAND PARTICIPANTS THAT 1449 00:54:39,666 --> 00:54:42,635 WILL ANSWER SURVEYS, GIVE OTHER 1450 00:54:42,635 --> 00:54:45,271 BIOSPECIMENS, IN THE PROCESS, 1451 00:54:45,271 --> 00:54:46,473 AND OTHER PHYSIOLOGIC MEASURES. 1452 00:54:46,473 --> 00:54:48,575 A SUBSET OF THOSE IN MODULE 1 1453 00:54:48,575 --> 00:54:53,246 PARTICIPANTS WILL GO TO MODULE 2 1454 00:54:53,246 --> 00:54:56,683 INCLUDING SHORT-TERM DIETARY 1455 00:54:56,683 --> 00:54:57,484 INTERVENTIONS RANDOMIZED AND 1456 00:54:57,484 --> 00:55:00,587 OTHER MEASURES OF THE 1457 00:55:00,587 --> 00:55:01,387 BIOCHEMICAL AND PHYSIOLOGIC 1458 00:55:01,387 --> 00:55:04,991 CHANGES, AND SUBSET WILL GO TO 1459 00:55:04,991 --> 00:55:07,927 MODULE 3, DOMICILED CONTROLLED 1460 00:55:07,927 --> 00:55:10,130 FEEDING STUDIES. 1461 00:55:10,130 --> 00:55:13,199 AND THIS SHOWS THE GRAPH OF THE 1462 00:55:13,199 --> 00:55:15,268 LAUNCH IN GROWTH OF PARTICIPANTS 1463 00:55:15,268 --> 00:55:16,603 JOINING MODULE 1, WHEN I FIRST 1464 00:55:16,603 --> 00:55:20,206 LOOKED AT THIS I WAS WONDERING 1465 00:55:20,206 --> 00:55:21,274 WHY IT WAS PLATEAUING. 1466 00:55:21,274 --> 00:55:23,943 PEOPLE DON'T WANT TO START A 1467 00:55:23,943 --> 00:55:27,313 DIET STUDY BEFORE THANKSGIVING. 1468 00:55:27,313 --> 00:55:29,949 SO I THINK -- WE CAN SEE WE'RE 1469 00:55:29,949 --> 00:55:33,686 ON TARGET, HITTING OUR GOALS IN 1470 00:55:33,686 --> 00:55:35,955 TERMS OF GROWTH FOR NPH. 1471 00:55:35,955 --> 00:55:40,994 YOU CAN SEE THE INFORMATION NP 1472 00:55:40,994 --> 00:55:45,265 NPH IS BUILDING TO ADD THIS 1473 00:55:45,265 --> 00:55:47,534 INFORMATION INCLUDING MICROBIOME 1474 00:55:47,534 --> 00:55:48,568 DATA, METABOLOMIC DATA, AND 1475 00:55:48,568 --> 00:55:49,369 ENVIRONMENTAL COMPONENTS AS WELL 1476 00:55:49,369 --> 00:55:52,705 THAT WILL BE PART OF THIS AS 1477 00:55:52,705 --> 00:55:54,674 WELL AS DEVELOPING DIETARY 1478 00:55:54,674 --> 00:55:56,009 SURVEYS USING A.I. TO HELP THINK 1479 00:55:56,009 --> 00:55:58,945 ABOUT NEW WAYS WE CAN DO DIETARY 1480 00:55:58,945 --> 00:56:02,148 SUSTENANCE, UNDERSTAND WHAT 1481 00:56:02,148 --> 00:56:04,083 PEOPLE ARE EATING, AND SOME 1482 00:56:04,083 --> 00:56:05,418 MIGHT FIND ADOPTION ACROSS THE 1483 00:56:05,418 --> 00:56:07,620 LARGER "ALL OF US" PROGRAM AS 1484 00:56:07,620 --> 00:56:09,789 THEY GET DEVELOPED. 1485 00:56:09,789 --> 00:56:11,825 THIS ANNOUNCES RECENT FUNDING 1486 00:56:11,825 --> 00:56:13,626 WE'VE MADE, OVER THE LAST FEW 1487 00:56:13,626 --> 00:56:14,060 MONTHS. 1488 00:56:14,060 --> 00:56:16,129 IT STARTS WITH THE FIRST ONE 1489 00:56:16,129 --> 00:56:18,898 THERE, A NUMBER OF AWARDS THAT 1490 00:56:18,898 --> 00:56:21,601 WERE MADE IN PARTNERSHIP ACROSS 1491 00:56:21,601 --> 00:56:23,036 THE NIH, AGAIN THAT 1492 00:56:23,036 --> 00:56:23,803 COLLABORATION WITH OTHER 1493 00:56:23,803 --> 00:56:30,777 INSTITUTES AND STORIES AND 1494 00:56:30,777 --> 00:56:31,644 OFFERSES HAVE BEEN IMPORTANT. 1495 00:56:31,644 --> 00:56:37,584 27 1496 00:56:37,584 --> 00:56:40,220 27 SIGNED ON. 1497 00:56:40,220 --> 00:56:41,855 THE SECOND IS ENGAGEMENT AWARDS 1498 00:56:41,855 --> 00:56:43,823 FOR TRIBAL COMMUNITIES. 1499 00:56:43,823 --> 00:56:45,992 THESE ARE HELPING US DEVELOP -- 1500 00:56:45,992 --> 00:56:49,329 ANNOUNCED IN AUGUST AND 1501 00:56:49,329 --> 00:56:50,396 SEPTEMBER ARE HELPING ESTABLISH 1502 00:56:50,396 --> 00:56:52,265 ADVICE AND GUIDANCE FOR HOW WE 1503 00:56:52,265 --> 00:56:54,234 GO TO ENGAGE TRIBAL COMMUNITIES 1504 00:56:54,234 --> 00:56:55,435 AND BUILD A DEEPER RELATIONSHIP 1505 00:56:55,435 --> 00:56:56,169 WITH THEM. 1506 00:56:56,169 --> 00:56:58,171 RIGHT NOW WE DO NOT ENROLL ON 1507 00:56:58,171 --> 00:57:03,877 TRIBAL LANDS IN ANY WAY, NOR 1508 00:57:03,877 --> 00:57:05,178 DIRECTLY ENGAGE, SOME 1509 00:57:05,178 --> 00:57:06,379 SELF-IDENTIFY PARTICIPATING 1510 00:57:06,379 --> 00:57:07,580 OFFER TRIBAL LANDS, OF COURSE, 1511 00:57:07,580 --> 00:57:12,518 AND THEN THE THIRD IS OUR CENTER 1512 00:57:12,518 --> 00:57:14,587 FOR LINKAGE AND ACQUISITION OF 1513 00:57:14,587 --> 00:57:16,789 DATA, CLAD AWARDS IN COLORADO. 1514 00:57:16,789 --> 00:57:18,191 SEEKS TO HELP US GATHER DATA 1515 00:57:18,191 --> 00:57:26,833 THAT WE CAN LINK IN, 1516 00:57:26,833 --> 00:57:27,367 ENVIRONMENTAL INFORMATION 1517 00:57:27,367 --> 00:57:32,872 EXCHANGE, NETWORKS TO PULL 1518 00:57:32,872 --> 00:57:34,073 TOGETHER. 1519 00:57:34,073 --> 00:57:34,741 LAST TWO SLIDES, PERSONALIZING 1520 00:57:34,741 --> 00:57:36,809 WHERE WE ARE AND TALK ABOUT THE 1521 00:57:36,809 --> 00:57:37,377 FUTURE. 1522 00:57:37,377 --> 00:57:42,815 MICHELLE ANDERSON IS ONE OF THE 1523 00:57:42,815 --> 00:57:44,684 FIRST PARTICIPANTS AMBASSADORS, 1524 00:57:44,684 --> 00:57:47,620 RN, ENGAGED IN THE SPACE AND 1525 00:57:47,620 --> 00:57:48,655 RECEIVED HER PHARMACOGENIC 1526 00:57:48,655 --> 00:57:52,358 INFORMATION AND JUST REALLY 1527 00:57:52,358 --> 00:57:53,893 TALKED ABOUT IN THIS STORY THE 1528 00:57:53,893 --> 00:57:56,396 IMPORTANCE OF THIS FOR HER TO BE 1529 00:57:56,396 --> 00:57:59,098 PART OF THE SOLUTION AND 1530 00:57:59,098 --> 00:57:59,999 ADVANCING SCIENCE AND, YOU KNOW, 1531 00:57:59,999 --> 00:58:03,069 THE LAST PART OF THE QUOTE HERE 1532 00:58:03,069 --> 00:58:04,137 HEALTH RESEARCH HASN'T ALWAYS 1533 00:58:04,137 --> 00:58:05,571 INCLUDED PEOPLE LIKE ME BUT ALL 1534 00:58:05,571 --> 00:58:09,175 OF US IS CHANGING THAT AND I'M 1535 00:58:09,175 --> 00:58:13,246 READY FOR IT, ECHOING WORDS OF 1536 00:58:13,246 --> 00:58:15,214 AMBASSADORS WHO HAVE BEEN 1537 00:58:15,214 --> 00:58:16,516 PASSIONATE AND GREAT ADVISERS. 1538 00:58:16,516 --> 00:58:19,252 FINALLY I WANT TO TALK ABOUT 1539 00:58:19,252 --> 00:58:20,320 SOMETHING I'M EXCITED ABOUT 1540 00:58:20,320 --> 00:58:21,554 THAT'S BEEN PART OF THE PLAN FOR 1541 00:58:21,554 --> 00:58:24,791 "ALL OF US" SINCE THE BEGINNING, 1542 00:58:24,791 --> 00:58:25,091 PEDIATRICS. 1543 00:58:25,091 --> 00:58:27,126 WE HIRED A YEAR AGO OUR FIRST 1544 00:58:27,126 --> 00:58:28,094 DIRECTOR OF PEDIATRICS. 1545 00:58:28,094 --> 00:58:30,530 OVER THAT TIME WE'VE BEEN 1546 00:58:30,530 --> 00:58:31,831 BUILDING OUT A PROTOCOL. 1547 00:58:31,831 --> 00:58:35,535 WE'VE GONE THROUGH THE IRB. 1548 00:58:35,535 --> 00:58:38,805 WE HAVE BEEN FIGURING OUT 1549 00:58:38,805 --> 00:58:41,107 BIOSPECIMENS, SURVEY MODULES, 1550 00:58:41,107 --> 00:58:42,542 ALL THESE COMPONENTS. 1551 00:58:42,542 --> 00:58:45,611 WE ARE NEAR THE STAGE OF 1552 00:58:45,611 --> 00:58:47,046 STARTING END TO END TESTING OF 1553 00:58:47,046 --> 00:58:50,850 WHAT THIS LOOKS LIKE AND I'M 1554 00:58:50,850 --> 00:58:56,222 LOOKING FORWARD TO KICKING OFTEN 1555 00:58:56,222 --> 00:58:58,291 -- KICKING OFF THE ENROLLMENT 1556 00:58:58,291 --> 00:58:59,392 OF PEDIATRICS. 1557 00:58:59,392 --> 00:59:07,066 WE WILL MOVE TO A BETA PHASE, ON 1558 00:59:07,066 --> 00:59:09,035 THE RIGHT NSA APPROACH, 0-4 WITH 1559 00:59:09,035 --> 00:59:12,839 A PROTOCOL THAT IS NOW IRB 1560 00:59:12,839 --> 00:59:15,708 APPROVED FOR 0-6, WE'LL DEVELOP 1561 00:59:15,708 --> 00:59:16,909 PROTOCOLS FOR 7-12, AND 13 AND 1562 00:59:16,909 --> 00:59:20,546 OVER WITH IDEA HOW THEY 1563 00:59:20,546 --> 00:59:21,514 TRANSITION TO BECOMING ADULT 1564 00:59:21,514 --> 00:59:23,816 PARTICIPANTS AT THE AGE OF 18. 1565 00:59:23,816 --> 00:59:25,585 VERY EXCITED ABOUT THIS 1566 00:59:25,585 --> 00:59:26,986 COMPONENT OF OUR PROGRAM. 1567 00:59:26,986 --> 00:59:28,855 WITH THAT, THANK YOU VERY MUCH. 1568 00:59:28,855 --> 00:59:31,991 I'M HAPPY TO TAKE ANY QUESTIONS. 1569 00:59:31,991 --> 00:59:33,760 >> I'M SURE THERE ARE GOING TO 1570 00:59:33,760 --> 00:59:38,231 BE MANY QUESTIONS. 1571 00:59:38,231 --> 00:59:39,232 LET'S START WITH BRIAN. 1572 00:59:39,232 --> 00:59:41,868 >> THANKS FOR THIS PRESENTATION. 1573 00:59:41,868 --> 00:59:43,369 IT'S FASCINATING ALL THAT YOU'VE 1574 00:59:43,369 --> 00:59:43,569 DONE. 1575 00:59:43,569 --> 00:59:46,039 I HAVE MORE OF A META SCIENCE 1576 00:59:46,039 --> 00:59:46,305 QUESTION. 1577 00:59:46,305 --> 00:59:48,441 I WAS IMPRESSED WITH THE 1578 00:59:48,441 --> 00:59:49,876 DASHBOARD FOR RETURNING RESULTS 1579 00:59:49,876 --> 00:59:51,110 TO PARTICIPANTS. 1580 00:59:51,110 --> 00:59:52,378 THAT'S SOMETHING THAT A LOT OF 1581 00:59:52,378 --> 00:59:56,416 FOLKS IN THE SCIENTIFIC 1582 00:59:56,416 --> 00:59:57,283 COMMUNITY WOULD STRUGGLE TO 1583 00:59:57,283 --> 01:00:00,153 IMPLEMENT NOT HAVING THE 1584 01:00:00,153 --> 01:00:01,788 INFRASTRUCTURE, EVEN LARGE 1585 01:00:01,788 --> 01:00:02,889 UO1s, NETWORK STUDIES TO 1586 01:00:02,889 --> 01:00:04,757 RETURN RESULTS LIKE THAT. 1587 01:00:04,757 --> 01:00:06,059 I'M WONDERING ABOUT THOUGHTS OR 1588 01:00:06,059 --> 01:00:08,661 PLANS MAKING SOME OF THAT 1589 01:00:08,661 --> 01:00:09,896 APPROACH AVAILABLE TO THE 1590 01:00:09,896 --> 01:00:11,097 SCIENTIFIC COMMUNITY WHETHER 1591 01:00:11,097 --> 01:00:12,765 MAKING CODE FOR DASHBOARD 1592 01:00:12,765 --> 01:00:14,834 AVAILABLE OR DOING TECH 1593 01:00:14,834 --> 01:00:19,439 TRANSFER, BECAUSE I THINK IN 1594 01:00:19,439 --> 01:00:21,874 THIS ERA OF INCREASING MISTRUST 1595 01:00:21,874 --> 01:00:25,144 OF SCIENCE THE BETTER WE CAN 1596 01:00:25,144 --> 01:00:26,179 SHARE, VALUE TO THE SCIENTIFIC 1597 01:00:26,179 --> 01:00:27,880 COMMUNITY AND I HAVE QUESTIONS 1598 01:00:27,880 --> 01:00:34,454 HOW PEOPLE REACT TO RESULTS. 1599 01:00:34,454 --> 01:00:35,655 MAYBE TALK ABOUT THE TECHNOLOGY 1600 01:00:35,655 --> 01:00:39,792 AND HOW THAT MIGHT BE SHARED. 1601 01:00:39,792 --> 01:00:41,227 >> YEAH, I LOVE THE SECOND 1602 01:00:41,227 --> 01:00:42,462 QUESTION TOO THAT YOU'RE NOT 1603 01:00:42,462 --> 01:00:42,695 ASKING. 1604 01:00:42,695 --> 01:00:45,198 IN TERMS OF THE FIRST WE DO TRY, 1605 01:00:45,198 --> 01:00:46,699 WE WANT THESE THING TO BE AS 1606 01:00:46,699 --> 01:00:50,670 MUCH AS WE CAN SHARED, ADOPTED, 1607 01:00:50,670 --> 01:00:54,707 OPEN SOURCE, SHARE CODE. 1608 01:00:54,707 --> 01:00:55,908 ONE OF THE SIMPLEST THINGS 1609 01:00:55,908 --> 01:00:58,544 FOLLOWING FAIR PRINCIPLES WITH 1610 01:00:58,544 --> 01:01:00,713 DATA AND ANALYSES IN OUR CLOUD 1611 01:01:00,713 --> 01:01:02,915 IN A NOTEBOOK MEANS SOMEONE CAN 1612 01:01:02,915 --> 01:01:05,318 JUST LOOK IT UP, TAKE THAT CODE, 1613 01:01:05,318 --> 01:01:06,652 ADAPT SOMEPLACE ELSE. 1614 01:01:06,652 --> 01:01:09,622 ANOTHER THING IS PROMOTION AND 1615 01:01:09,622 --> 01:01:10,590 COMMON DATA MODEL. 1616 01:01:10,590 --> 01:01:13,359 ANALYSIS CAN HAPPEN ONE PLACE 1617 01:01:13,359 --> 01:01:15,094 AND ANOTHER, FACILITATE THAT 1618 01:01:15,094 --> 01:01:15,862 MORE SIMPLY. 1619 01:01:15,862 --> 01:01:19,599 AND THAT IS SOMETHING THAT WE'VE 1620 01:01:19,599 --> 01:01:21,667 BEEN WORKING WITH U.K. BIOBANK, 1621 01:01:21,667 --> 01:01:23,436 HARMONIZING AS MUCH AS WE CAN IN 1622 01:01:23,436 --> 01:01:27,607 TERMS OF DEVELOPING DATA MODELS. 1623 01:01:27,607 --> 01:01:31,644 AND PROCESSES AND ALSO 1624 01:01:31,644 --> 01:01:33,279 INTERNATIONAL 100,000 PERSON 1625 01:01:33,279 --> 01:01:39,185 CONSORTIUM, IF WE CAN MAKE 1626 01:01:39,185 --> 01:01:40,953 AVAILABLE, SURVEYS ARE FREE TO 1627 01:01:40,953 --> 01:01:41,621 USE, POSTED ONLINE. 1628 01:01:41,621 --> 01:01:48,261 IN TERMS OF TECHNOLOGY WE TRY TO 1629 01:01:48,261 --> 01:01:53,399 MAKE OPEN SOURCE FOR PEOPLE TO 1630 01:01:53,399 --> 01:01:53,599 ADOPT. 1631 01:01:53,599 --> 01:01:53,966 >> SPECIFICALLY 1632 01:01:53,966 --> 01:01:54,534 PARTICIPANT-FACING PLATFORM 1633 01:01:54,534 --> 01:01:56,002 PARTICIPANTS CAN LOG IN AND SEE 1634 01:01:56,002 --> 01:01:58,771 RESULTS, THAT'S WHAT I WAS 1635 01:01:58,771 --> 01:02:01,040 SPECIFICALLY ASKING. 1636 01:02:01,040 --> 01:02:02,708 HOW YOU'RE PROVIDING RESULTS 1637 01:02:02,708 --> 01:02:04,110 BACK, SEE SURVEYS AND COMPARE 1638 01:02:04,110 --> 01:02:05,111 WITH OTHER PEOPLE, IS THAT 1639 01:02:05,111 --> 01:02:09,382 SOMETHING YOU CAN GO TO GITHUB 1640 01:02:09,382 --> 01:02:10,917 AND DOWNLOAD? 1641 01:02:10,917 --> 01:02:12,552 THERE'S TREMENDOUS VALUE FOR 1642 01:02:12,552 --> 01:02:13,753 SCIENTIFIC COMMUNITY TO ADVANCE 1643 01:02:13,753 --> 01:02:15,054 HOW WE SHARE RESULTS BACK TO THE 1644 01:02:15,054 --> 01:02:19,225 PEOPLE WHO GAVE US THEIR DATA. 1645 01:02:19,225 --> 01:02:19,592 >> THAT'S RIGHT. 1646 01:02:19,592 --> 01:02:21,961 WE CAN'T -- I THINK PARTS ARE 1647 01:02:21,961 --> 01:02:28,301 NOT LIKE DOWNLOADABLE FROM 1648 01:02:28,301 --> 01:02:28,734 GITHUB. 1649 01:02:28,734 --> 01:02:32,471 REAM 1650 01:02:32,471 --> 01:02:37,376 REALLY ONE OF THE HARD PARTS, 1651 01:02:37,376 --> 01:02:39,879 WHAT'S THAT PDF OR WEBSITE LOOK 1652 01:02:39,879 --> 01:02:41,781 LIKE, WHAT LANGUAGE DO YOU PUT 1653 01:02:41,781 --> 01:02:42,748 AROUND VARIANTS THAT YOU'RE 1654 01:02:42,748 --> 01:02:43,049 RETURNING? 1655 01:02:43,049 --> 01:02:44,450 I WOULD THINK WE COULD MAKE A 1656 01:02:44,450 --> 01:02:46,118 LOT OF THAT AVAILABLE. 1657 01:02:46,118 --> 01:02:47,019 GOOD CALL. 1658 01:02:47,019 --> 01:02:47,887 I'LL LOOK INTO THAT. 1659 01:02:47,887 --> 01:02:50,389 >> THAT WOULD BE PERHAPS A WHOLE 1660 01:02:50,389 --> 01:02:53,359 SIDE INITIATIVE BUT REALLY 1661 01:02:53,359 --> 01:02:55,695 ADVANTAGEOUS TO THE BROADER 1662 01:02:55,695 --> 01:02:56,262 SCIENTIFIC COMMUNITY. 1663 01:02:56,262 --> 01:02:56,529 >> AGREED. 1664 01:02:56,529 --> 01:03:01,367 >> WE KEEP TELLING FOCUS, FOCUS, 1665 01:03:01,367 --> 01:03:01,901 FOCUS. 1666 01:03:01,901 --> 01:03:03,436 >> THANKS, JOSH. 1667 01:03:03,436 --> 01:03:05,204 THIS IS A STUNNING PRESENTATION. 1668 01:03:05,204 --> 01:03:07,406 NIH IS LUCKY TO HAVE YOU, THE 1669 01:03:07,406 --> 01:03:10,876 COUNTRY IS LUCKY TO HAVE THIS 1670 01:03:10,876 --> 01:03:11,410 PROGRAM. 1671 01:03:11,410 --> 01:03:12,845 SIX SHORT QUESTIONS, HOPEFULLY 1672 01:03:12,845 --> 01:03:13,079 SHORT. 1673 01:03:13,079 --> 01:03:16,682 I COULD ASK QUESTIONS FOR HOURS. 1674 01:03:16,682 --> 01:03:20,319 FIRST, HEREDITARY DISEASE RISK 1675 01:03:20,319 --> 01:03:22,188 GROUP REPORTING 59 GENES, IF NEW 1676 01:03:22,188 --> 01:03:25,358 GENES ARE ADDED, IS THERE ANY 1677 01:03:25,358 --> 01:03:28,628 PROCESS TO GO BACK PERIODICALLY 1678 01:03:28,628 --> 01:03:29,362 REANALYZE, REINFORM FOLKS. 1679 01:03:29,362 --> 01:03:32,265 >> YEAH, MAYBE WE SHOULD ANSWER 1680 01:03:32,265 --> 01:03:33,132 AS YOU ASK THEM. 1681 01:03:33,132 --> 01:03:36,202 IF THERE'S SIX I WON'T REMEMBER 1682 01:03:36,202 --> 01:03:36,402 THEM. 1683 01:03:36,402 --> 01:03:38,604 THERE IS A PROCESS. 1684 01:03:38,604 --> 01:03:40,339 IT GOES THROUGH THE FDA AND IT 1685 01:03:40,339 --> 01:03:42,675 IS A LITTLE BIT -- IT'S GOING TO 1686 01:03:42,675 --> 01:03:46,279 BE A PROCESS THAT'S NOT AS -- 1687 01:03:46,279 --> 01:03:55,421 DOESN'T MOVE WITH THE ALACRITY. 1688 01:03:55,421 --> 01:03:57,223 81 GENES, 3.2, WE WILL BE 1689 01:03:57,223 --> 01:04:06,465 LOOKING AT HOW WE EXPAND THAT 1690 01:04:06,465 --> 01:04:06,666 LIST. 1691 01:04:06,666 --> 01:04:08,868 >> HOW GOOD IS STICKINESS AND 1692 01:04:08,868 --> 01:04:11,837 HOW ARE YOU SOLVING WHERE OTHERS 1693 01:04:11,837 --> 01:04:12,038 FAIL. 1694 01:04:12,038 --> 01:04:13,806 >> A BIG CHALLENGE AS WE THINK 1695 01:04:13,806 --> 01:04:15,007 ABOUT OUR PROGRAM. 1696 01:04:15,007 --> 01:04:17,109 I'M GOING TO ANCHOR THIS WITH 1697 01:04:17,109 --> 01:04:20,479 WHERE WE STARTED AND WE'LL MOVE. 1698 01:04:20,479 --> 01:04:22,782 I CAN TELL YOU THAT THERE'S A 1699 01:04:22,782 --> 01:04:24,183 DIFFERENCE, LET ME START WITH 1700 01:04:24,183 --> 01:04:28,387 PASSIVE REESSENTIAL. -- 1701 01:04:28,387 --> 01:04:28,888 RETENTION. 1702 01:04:28,888 --> 01:04:30,790 LONGITUDINAL DATA THAT PEOPLE 1703 01:04:30,790 --> 01:04:34,827 LET US COLLECT FOR THEM LIKE 1704 01:04:34,827 --> 01:04:37,763 ELECTRONIC HEALTH RECORD. 1705 01:04:37,763 --> 01:04:40,499 THAT'S REALLY GOOD. 1706 01:04:40,499 --> 01:04:42,802 WE'RE WORKING THROUGH CLAD TO 1707 01:04:42,802 --> 01:04:45,571 EXPAND, PEOPLE AUTHORIZED AT 1708 01:04:45,571 --> 01:04:46,539 HIGH RATES. 1709 01:04:46,539 --> 01:04:48,741 IF YOU THINK ABOUT PEOPLE, 1710 01:04:48,741 --> 01:04:50,810 METRIC WE LOOK AT IS RIGHT NOW 1711 01:04:50,810 --> 01:04:53,346 IN TERMS OF ACTIVE RETENTION HOW 1712 01:04:53,346 --> 01:04:55,681 MANY PEOPLE HAVE DONE SOMETHING 1713 01:04:55,681 --> 01:04:57,950 IN THE LAST 18 MONTHS, FILLED 1714 01:04:57,950 --> 01:04:59,485 OUT A NEW SURVEY. 1715 01:04:59,485 --> 01:05:00,886 SOMETIMES THERE'S ACTUALLY NO 1716 01:05:00,886 --> 01:05:02,321 NEW SURVEY FOR THEM TO DO 1717 01:05:02,321 --> 01:05:03,956 BECAUSE THEY DID IT RIGHT AT THE 1718 01:05:03,956 --> 01:05:05,291 BEGINNING OR THEY ARE -- THERE'S 1719 01:05:05,291 --> 01:05:08,694 A VARIETY OF CIRCUMSTANCES. 1720 01:05:08,694 --> 01:05:09,362 SOMETIMES THOSE NUMBERS 1721 01:05:09,362 --> 01:05:09,962 ARTIFICIALLY DECREASE BECAUSE 1722 01:05:09,962 --> 01:05:11,197 THEY HAVE DONE ALL THEY CAN DO. 1723 01:05:11,197 --> 01:05:12,631 IF YOU GIVE THAT NUMBER, THAT 1724 01:05:12,631 --> 01:05:14,834 NUMBER IS ABOUT HALF OF OUR 1725 01:05:14,834 --> 01:05:16,135 PARTICIPANTS RIGHT NOW HAVE DONE 1726 01:05:16,135 --> 01:05:17,536 SOMETHING IN THE LAST 18 MONTHS. 1727 01:05:17,536 --> 01:05:20,606 THAT DOESN'T MEAN LOG IN. 1728 01:05:20,606 --> 01:05:22,375 THAT MEANS COMPLETE A NEW 1729 01:05:22,375 --> 01:05:22,608 SURVEY. 1730 01:05:22,608 --> 01:05:25,978 WHEN WE FIRST LOOKED AT THAT 1731 01:05:25,978 --> 01:05:31,617 NUMBER, BELIEVE IT OR NOT IT WAS 1732 01:05:31,617 --> 01:05:31,784 20%. 1733 01:05:31,784 --> 01:05:33,886 SO IT'S INCREASED A LOT THROUGH 1734 01:05:33,886 --> 01:05:42,094 ACTIVE ENGAGEMENT EFFORTS THAT 1735 01:05:42,094 --> 01:05:43,062 WE'RE DOING. 1736 01:05:43,062 --> 01:05:43,262 >> . 1737 01:05:43,262 --> 01:05:44,830 >> ANY CHANCE TO MODERNIZE? 1738 01:05:44,830 --> 01:05:52,638 WE OURSELVES GIVE YOU DATA FROM 1739 01:05:52,638 --> 01:05:54,173 OUR PARTICIPANTS, BUT FHIR, 1740 01:05:54,173 --> 01:05:54,407 OTHERS. 1741 01:05:54,407 --> 01:05:59,845 >> WE'RE LOOKING AT ALL OF THAT. 1742 01:05:59,845 --> 01:06:01,046 WE HAVE PARTICIPANT 1743 01:06:01,046 --> 01:06:02,681 AUTHORIZATION FOR THEIR 1744 01:06:02,681 --> 01:06:03,249 ELECTRONIC HEALTH RECORDS, 1745 01:06:03,249 --> 01:06:04,450 THAT'S PART OF WHAT CLAD IS 1746 01:06:04,450 --> 01:06:05,651 GOING TO DO. 1747 01:06:05,651 --> 01:06:10,456 WE WOULD LOVE FOR EACH TO 1748 01:06:10,456 --> 01:06:11,290 EVOLVE. 1749 01:06:11,290 --> 01:06:12,324 WE HAVE PARTICIPANT MEDIATED 1750 01:06:12,324 --> 01:06:15,327 DONATION AS WELL AND WE HAVE -- 1751 01:06:15,327 --> 01:06:17,897 I THINK OVER 60,000, THE NUMBER 1752 01:06:17,897 --> 01:06:19,131 MIGHT BE 80,000. 1753 01:06:19,131 --> 01:06:22,501 I CAN'T REMEMBER THE EXACT 1754 01:06:22,501 --> 01:06:25,137 NUMBER THAT HAVE DONATED 1755 01:06:25,137 --> 01:06:25,771 PARTICIPANT RECORDS IN ADDITION 1756 01:06:25,771 --> 01:06:28,240 TO WHAT WE HAVE COLLECTED FROM 1757 01:06:28,240 --> 01:06:29,575 HEALTH CARE PROVIDER 1758 01:06:29,575 --> 01:06:30,142 ORGANIZATIONS. 1759 01:06:30,142 --> 01:06:31,377 AND WE HAVEN'T PUSHED THAT. 1760 01:06:31,377 --> 01:06:33,679 IT'S PEOPLE THAT FIGURE OUT HOW 1761 01:06:33,679 --> 01:06:35,648 TO NAVIGATE THROUGH THE SITE 1762 01:06:35,648 --> 01:06:36,849 WHICH IS COMPLICATED RIGHT NOW 1763 01:06:36,849 --> 01:06:38,918 TO FIND THAT HAVE DONE THAT. 1764 01:06:38,918 --> 01:06:42,321 SO I THINK THAT IS A MODALITY 1765 01:06:42,321 --> 01:06:45,291 THAT PEOPLE WILL USE AND SO THAT 1766 01:06:45,291 --> 01:06:47,693 IS A FHIR SOURCE, AND YOU WOULD 1767 01:06:47,693 --> 01:06:49,762 SEE THE FHIR SOURCES AND OTHER 1768 01:06:49,762 --> 01:06:51,730 SOURCES THAT WE WILL BE 1769 01:06:51,730 --> 01:06:52,298 EXPANDING INTO. 1770 01:06:52,298 --> 01:06:54,266 I WANT TO USE THEM ALL IS THE 1771 01:06:54,266 --> 01:06:56,101 SHORT ANSWER, EVERYTHING WE CAN 1772 01:06:56,101 --> 01:07:01,907 DO TO CREATE AS COMPLETE A 1773 01:07:01,907 --> 01:07:02,141 PICTURE. 1774 01:07:02,141 --> 01:07:04,109 >> I'M COMING FROM SILICON 1775 01:07:04,109 --> 01:07:05,311 VALLEY, NEIGHBORS AND FRIENDS 1776 01:07:05,311 --> 01:07:09,014 ASK ME WHEN COMPANIES CAN ACCESS 1777 01:07:09,014 --> 01:07:09,682 THIS DATA. 1778 01:07:09,682 --> 01:07:12,852 THE UK BIOBANK IS NOT THE MOST 1779 01:07:12,852 --> 01:07:13,285 DATASET. 1780 01:07:13,285 --> 01:07:15,688 I THINK YOU HAVE SOME PLAN FOR 1781 01:07:15,688 --> 01:07:15,888 THEM. 1782 01:07:15,888 --> 01:07:18,991 >> I'M GLAD TO HEAR OF INTEREST. 1783 01:07:18,991 --> 01:07:23,696 RIGHT NOW IT'S OPEN TO ACADEMIC, 1784 01:07:23,696 --> 01:07:24,563 EDUCATIONAL, AND NON-PROFIT IN 1785 01:07:24,563 --> 01:07:26,198 HEALTH CARE. 1786 01:07:26,198 --> 01:07:27,833 IN SOME CASES ACTUALLY THERE 1787 01:07:27,833 --> 01:07:31,770 HAVE BEEN INDUSTRY PARTNERS THAT 1788 01:07:31,770 --> 01:07:33,305 FALL INTO ACADEMIC ENTITY FOR 1789 01:07:33,305 --> 01:07:36,609 INSTANCE THAT ALREADY HAVE SOME 1790 01:07:36,609 --> 01:07:37,243 ACCESS. 1791 01:07:37,243 --> 01:07:38,978 WE HAVE CONTINUALLY OPENED 1792 01:07:38,978 --> 01:07:47,520 ACCESS AS WE STARTED OUR MODEL, 1793 01:07:47,520 --> 01:07:50,789 TO GET OUT THERE EARLY WITH THE 1794 01:07:50,789 --> 01:07:52,892 OVERSIGHT WE PROVIDE FROM 1795 01:07:52,892 --> 01:07:54,560 RESOURCE ACCESS BOARD AND OTHER 1796 01:07:54,560 --> 01:07:55,961 PROTECTIONS AROUND THE DATA. 1797 01:07:55,961 --> 01:07:57,263 AND GROW IT OVER TIME. 1798 01:07:57,263 --> 01:08:00,566 AND SO THAT'S BEEN OUR APPROACH 1799 01:08:00,566 --> 01:08:02,067 AS WE DEMONSTRATE SAFETY, 1800 01:08:02,067 --> 01:08:03,402 LESSONS LEARNED, TALK TO 1801 01:08:03,402 --> 01:08:04,169 PARTICIPANTS. 1802 01:08:04,169 --> 01:08:10,643 WE'RE SEEKING TO CONTINUE TO DO 1803 01:08:10,643 --> 01:08:11,410 THAT. 1804 01:08:11,410 --> 01:08:13,812 >> PATIENTS ARE CONSENTED. 1805 01:08:13,812 --> 01:08:16,982 THE BIGGEST SURPRISE IS FDA 1806 01:08:16,982 --> 01:08:18,083 INVOLVEMENT, I WAS THINKING CLIA 1807 01:08:18,083 --> 01:08:23,222 AND OTHERS BUT HOW IS THE FDA 1808 01:08:23,222 --> 01:08:24,623 INVOLVED WITH THIS? 1809 01:08:24,623 --> 01:08:26,825 >> PART OF RETURNING RESULTS, 1810 01:08:26,825 --> 01:08:29,261 NOT WITH THE OVERSIGHT OF A 1811 01:08:29,261 --> 01:08:29,528 PROVIDER. 1812 01:08:29,528 --> 01:08:38,003 THEY CAN ENROLL FROM ANYWHERE IN 1813 01:08:38,003 --> 01:08:42,274 THE COUNTRY BY JOINING "ALL OF 1814 01:08:42,274 --> 01:08:42,675 US." 1815 01:08:42,675 --> 01:08:43,809 >> THE HIGHEST PRAISE TO SAY 1816 01:08:43,809 --> 01:08:49,715 THAT WAS FIRE WITH THREE EMOJIS, 1817 01:08:49,715 --> 01:08:50,616 JOB WELL DONE. 1818 01:08:50,616 --> 01:08:52,785 TWO QUESTIONS AND A SUGGESTION. 1819 01:08:52,785 --> 01:08:56,055 FIRST HOW IS THE POSTBAC DOING, 1820 01:08:56,055 --> 01:08:56,722 ARE THEY DOING? 1821 01:08:56,722 --> 01:08:58,691 >> THE POSTBAC IS FIRST YEAR MED 1822 01:08:58,691 --> 01:09:05,798 STUDENT YOU -- NOW, DOING 1823 01:09:05,798 --> 01:09:05,998 GREAT. 1824 01:09:05,998 --> 01:09:06,365 >> WONDERFUL. 1825 01:09:06,365 --> 01:09:08,434 THIS IS HOW YOU BRING TOGETHER A 1826 01:09:08,434 --> 01:09:10,736 LOT OF PRIORITIES, ENGAGING 1827 01:09:10,736 --> 01:09:12,605 COMMUNITIES, DIVERSE 1828 01:09:12,605 --> 01:09:14,573 COMMUNITIES, BUILDING TRUST, 1829 01:09:14,573 --> 01:09:16,475 FINDING NEW BIOLOGICAL TARGETS, 1830 01:09:16,475 --> 01:09:17,977 I'M WONDERING HOW YOU THINK 1831 01:09:17,977 --> 01:09:20,045 ABOUT NOT ONLY SHARING FRAMEWORK 1832 01:09:20,045 --> 01:09:21,180 FOR ACCESSING DATA BUT TRAINING 1833 01:09:21,180 --> 01:09:23,349 PEOPLE HOW TO DO SCIENCE THIS 1834 01:09:23,349 --> 01:09:23,816 WAY. 1835 01:09:23,816 --> 01:09:28,120 ARE THERE OPPORTUNITIES TO THINK 1836 01:09:28,120 --> 01:09:30,990 ABOUT HOW YOU DISSEMINATE NOT 1837 01:09:30,990 --> 01:09:34,693 JUST POSTBACS HERE BUT THE 1838 01:09:34,693 --> 01:09:35,461 COUNTRY, USING A FRAMEWORK THIS 1839 01:09:35,461 --> 01:09:37,229 IS HOW YOU DO THIS TIME OF 1840 01:09:37,229 --> 01:09:41,266 SCIENCE THAT BUILDS TRUST AND 1841 01:09:41,266 --> 01:09:42,801 DELIVERS BACK, HAVE YOU THOUGHT 1842 01:09:42,801 --> 01:09:43,135 -- 1843 01:09:43,135 --> 01:09:44,870 >> GREAT SUGGESTION. 1844 01:09:44,870 --> 01:09:47,706 WE'VE DONE SOME, WE HAVE A 1845 01:09:47,706 --> 01:09:48,707 RESEARCH AMBASSADOR NETWORK, 1846 01:09:48,707 --> 01:09:50,442 PAIRING THEM WITH OTHER 1847 01:09:50,442 --> 01:09:57,583 RESEARCHERS, AND WE HAVE BAYLOR 1848 01:09:57,583 --> 01:10:00,552 COLLEGE OF MEDICINE'S PROGRAM 1849 01:10:00,552 --> 01:10:02,821 FOCUSED ON OTHER LOWER RESOURCED 1850 01:10:02,821 --> 01:10:04,056 INSTITUTION RESEARCHERS IN FOR 1851 01:10:04,056 --> 01:10:07,126 TRAINING AS WELL. 1852 01:10:07,126 --> 01:10:10,396 THERE'S ALSO SOME EFFORTS 1853 01:10:10,396 --> 01:10:13,132 THROUGH CTSA PROGRAM FOCUSED ON 1854 01:10:13,132 --> 01:10:13,799 DOING THIS, DISSEMINATING 1855 01:10:13,799 --> 01:10:17,970 LOCALLY OR REGIONAL OR 1856 01:10:17,970 --> 01:10:18,937 INTERNATIONALLY SOME TRAINING 1857 01:10:18,937 --> 01:10:19,338 MODULES. 1858 01:10:19,338 --> 01:10:21,240 IT'S GREAT TO KEEP GOING. 1859 01:10:21,240 --> 01:10:22,341 >> MORE OPPORTUNITIES FOR 1860 01:10:22,341 --> 01:10:23,642 SCALING AND TEACHING PEOPLE HOW 1861 01:10:23,642 --> 01:10:25,711 TO DO SCIENCE THIS WAY, AND THE 1862 01:10:25,711 --> 01:10:29,214 VALUE OF IT, AND HOW YOU CAN DO 1863 01:10:29,214 --> 01:10:29,648 BETTER SCIENCE. 1864 01:10:29,648 --> 01:10:31,617 WELL DONE. 1865 01:10:31,617 --> 01:10:33,485 THE FINAL POINT, EXPANDING THE 1866 01:10:33,485 --> 01:10:36,221 PEDIATRIC POPULATION WE HEARD 1867 01:10:36,221 --> 01:10:39,058 ABOUT ECHO, ALREADY ENROLLING, 1868 01:10:39,058 --> 01:10:41,126 ABCD, GETTING THE MOMS, ALL THE 1869 01:10:41,126 --> 01:10:42,461 WAY THROUGH. 1870 01:10:42,461 --> 01:10:43,862 PERHAPS THAT'S A NICE PLACE TO 1871 01:10:43,862 --> 01:10:45,431 THINK ABOUT ENROLLING. 1872 01:10:45,431 --> 01:10:47,700 YOU HAVE AN ENGAGED POPULATION, 1873 01:10:47,700 --> 01:10:49,568 TONS OF DATA, YOU COULD SUPPORT 1874 01:10:49,568 --> 01:10:56,742 THAT IN A WAY TO FIND PATTERNS. 1875 01:10:56,742 --> 01:10:58,544 >> WE HAVE GOOD RELATIONSHIPS 1876 01:10:58,544 --> 01:11:00,946 WITH THOSE PROJECTS AND OFFICES, 1877 01:11:00,946 --> 01:11:02,181 AND WE'LL CERTAINLY CONTINUE TO 1878 01:11:02,181 --> 01:11:09,488 ENGAGE WITH THEM AND SEE WHAT 1879 01:11:09,488 --> 01:11:10,255 THE OPPORTUNITIES ARE. 1880 01:11:10,255 --> 01:11:12,324 >> HI, JOSH. 1881 01:11:12,324 --> 01:11:13,859 THANKS AGAIN FOR EXCELLENT 1882 01:11:13,859 --> 01:11:14,626 PRESENTATION. 1883 01:11:14,626 --> 01:11:18,997 EXCITING TO SEE ALL THE 1884 01:11:18,997 --> 01:11:20,532 PROGRESS. 1885 01:11:20,532 --> 01:11:21,633 PARTICULARLY PARTNERSHIP WITH 1886 01:11:21,633 --> 01:11:26,338 PARTICIPANTS, ANOTHER POINT OF 1887 01:11:26,338 --> 01:11:27,506 HIGHLIGHT IS DEFINITELY THE 1888 01:11:27,506 --> 01:11:28,340 NATIONAL LIBRARY OF MEDICINE 1889 01:11:28,340 --> 01:11:29,708 NETWORK WHICH HAS A LOT OF 1890 01:11:29,708 --> 01:11:33,579 OUTREACH AND I KNOW DOING A 1891 01:11:33,579 --> 01:11:35,514 GREAT JOB OF THAT. 1892 01:11:35,514 --> 01:11:37,950 YOU HEARD ABOUT CONNECTIONS 1893 01:11:37,950 --> 01:11:43,522 INTERNALLY WITH OTHER PROGRAMS, 1894 01:11:43,522 --> 01:11:45,591 I MUST EMPHASIZE THOSE ARE HEARD 1895 01:11:45,591 --> 01:11:51,063 YESTERDAY ABOUT NEW PROGRAMS, 1896 01:11:51,063 --> 01:11:54,900 EXISTING PROGRAMS, THE TRIBAL 1897 01:11:54,900 --> 01:11:56,735 APPROACH AGAIN IS ALSO 1898 01:11:56,735 --> 01:11:59,705 CONNECTING CAN EXISTING COHORTS, 1899 01:11:59,705 --> 01:12:00,906 STRONG HEART AND OTHERS, WOULD 1900 01:12:00,906 --> 01:12:03,742 BE EXCELLENT WAY OF GOING ABOUT 1901 01:12:03,742 --> 01:12:05,277 IT. 1902 01:12:05,277 --> 01:12:11,950 FINALLY, KIND OF A 1903 01:12:11,950 --> 01:12:12,718 QUESTION/COMMENT. 1904 01:12:12,718 --> 01:12:15,354 INTERNATIONALLY THERE'S GREAT 1905 01:12:15,354 --> 01:12:17,756 INTEREST IN DOING BIOBANKS THAT 1906 01:12:17,756 --> 01:12:20,259 ESSENTIALLY DO THE SAME AS "ALL 1907 01:12:20,259 --> 01:12:22,327 OF US" AND CONNECT IN A 1908 01:12:22,327 --> 01:12:26,398 FEDERATED WAY SO WE DON'T NEED 1909 01:12:26,398 --> 01:12:27,666 TO CENTRALIZE DATA YOU PROBABLY 1910 01:12:27,666 --> 01:12:31,303 ARE BEING APPROACHED TO SEVERAL 1911 01:12:31,303 --> 01:12:33,338 OF THOSE, HOW DO YOU SEE THE 1912 01:12:33,338 --> 01:12:37,242 PATH MOVING FORWARD TO DO AN 1913 01:12:37,242 --> 01:12:39,311 EXTENSION INTERNATIONALLY THAT 1914 01:12:39,311 --> 01:12:42,481 WOULD EVEN ACCELERATE A LOT OF 1915 01:12:42,481 --> 01:12:44,616 THIS OTHER RACE AND ETHNICITY, 1916 01:12:44,616 --> 01:12:48,754 DIVERSITY, THAT YOU ALREADY 1917 01:12:48,754 --> 01:12:48,954 HAVE? 1918 01:12:48,954 --> 01:12:53,025 >> I THINK THAT'S A GREAT WE. 1919 01:12:53,025 --> 01:12:55,327 WE NEED RESEARCH TO HAPPEN IN 1920 01:12:55,327 --> 01:12:57,729 SCALE ACROSS REALLY THE WORLD. 1921 01:12:57,729 --> 01:13:00,032 AS YOU POINT OUT WE HAVE RICH 1922 01:13:00,032 --> 01:13:02,000 DIVERSITY HERE IN THE UNITED 1923 01:13:02,000 --> 01:13:04,536 STATES BUT WE ALSO WANT TO 1924 01:13:04,536 --> 01:13:06,505 FACILITATE ACROSS THE WORLD AND 1925 01:13:06,505 --> 01:13:09,675 SET A MODEL, TAKE AS MUCH OF THE 1926 01:13:09,675 --> 01:13:11,743 LESSONS AROUND TOOLS WE'VE 1927 01:13:11,743 --> 01:13:13,078 LEARNED AND ACCELERATE AND SHARE 1928 01:13:13,078 --> 01:13:15,147 THAT AS WE CAN. 1929 01:13:15,147 --> 01:13:16,782 OUR MOST ACTIVE DISCUSSIONS 1930 01:13:16,782 --> 01:13:21,720 RIGHT NOW HAVE BEEN WITH SOME OF 1931 01:13:21,720 --> 01:13:24,356 OUR BRITISH COLLEAGUES THROUGH 1932 01:13:24,356 --> 01:13:27,226 THE U.K. BIOBANK, GENOMICS 1933 01:13:27,226 --> 01:13:32,497 ENGLAND, BUT THROUGH THE IHCC WE 1934 01:13:32,497 --> 01:13:34,299 HAVE A NETWORK ACROSS THE WORLD 1935 01:13:34,299 --> 01:13:37,903 THAT WE HAVE BEEN TALKING ABOUT 1936 01:13:37,903 --> 01:13:38,503 ENGAGING WITH AND SHARING AS 1937 01:13:38,503 --> 01:13:40,205 MUCH AS WE CAN. 1938 01:13:40,205 --> 01:13:43,275 HOW ARE WE GOING TO DO THAT IS 1939 01:13:43,275 --> 01:13:44,243 AN OPEN QUESTION. 1940 01:13:44,243 --> 01:13:46,979 THE WORLD IS JUST MOVING IN 1941 01:13:46,979 --> 01:13:50,249 THESE LARGE BIOBANKS TO MORE OF 1942 01:13:50,249 --> 01:13:50,916 A CLOUD-BASED MODEL. 1943 01:13:50,916 --> 01:13:52,918 GONE WILL BE THE DAYS OF 1944 01:13:52,918 --> 01:13:54,253 DOWNLOADING DATA. 1945 01:13:54,253 --> 01:13:55,087 THAT MAKES SENSE. 1946 01:13:55,087 --> 01:13:57,122 IF YOU PUT THAT DOWNLOADING, THE 1947 01:13:57,122 --> 01:13:59,925 AVERAGE TIME IT WOULD HAVE TAKEN 1948 01:13:59,925 --> 01:14:01,560 INDIVIDUAL TO DOWNLOAD THE 1949 01:14:01,560 --> 01:14:03,528 AMOUNT OF GENOME DATA WE HAVE IF 1950 01:14:03,528 --> 01:14:07,699 YOU USE U.K. BIOBANK DATA THAT 1951 01:14:07,699 --> 01:14:09,434 THEY HAVE THROUGHPUT WOULD BE 1952 01:14:09,434 --> 01:14:12,304 SIX MONTHS. 1953 01:14:12,304 --> 01:14:15,274 SO THAT'S NOT FEASIBLE. 1954 01:14:15,274 --> 01:14:19,845 IN CONTRAST ENOUGH, MY POSTBAC 1955 01:14:19,845 --> 01:14:23,215 STUDENT DID HIS GWAS, POINT AND 1956 01:14:23,215 --> 01:14:25,751 CLICKED, GOT HIS ANSWER IN 30 1957 01:14:25,751 --> 01:14:26,418 MINUTES. 1958 01:14:26,418 --> 01:14:28,720 SO IT REALLY IS A FASTER WAY TO 1959 01:14:28,720 --> 01:14:30,122 DO THE ANALYSIS. 1960 01:14:30,122 --> 01:14:34,493 IT'S A BETTER WAY, SAFER, ALLOWS 1961 01:14:34,493 --> 01:14:36,695 US TO HARMONIZE AND 1962 01:14:36,695 --> 01:14:37,496 REPRODUCIBILITY SHOOTS THROUGH 1963 01:14:37,496 --> 01:14:38,463 THE ROOF. 1964 01:14:38,463 --> 01:14:40,198 I THINK FEDERATION IS A BIG PART 1965 01:14:40,198 --> 01:14:40,565 OF THIS. 1966 01:14:40,565 --> 01:14:43,368 THERE'S A LOT OF DISCUSSION ON 1967 01:14:43,368 --> 01:14:45,003 TRUSTED RESEARCH ENVIRONMENTS, 1968 01:14:45,003 --> 01:14:50,809 AS YOU KNOW WELL, LUCILA, THERE 1969 01:14:50,809 --> 01:14:52,778 WILL BE DIFFERENT WAYS THEY MOVE 1970 01:14:52,778 --> 01:14:53,578 TOGETHER AND COMMON DATA 1971 01:14:53,578 --> 01:14:55,414 ELEMENTS IS IMPORTANT. 1972 01:14:55,414 --> 01:14:58,050 ONE IS PIPELINES AND PROCESSING 1973 01:14:58,050 --> 01:15:00,118 OF GENOMIC DATA, WHICH IS FAR 1974 01:15:00,118 --> 01:15:02,321 HEAD, AND AS MUCH AS WE CAN HAVE 1975 01:15:02,321 --> 01:15:03,455 COMMONALITIES IN OTHER KINDS OF 1976 01:15:03,455 --> 01:15:05,023 DATA SOURCES THAT WOULD BE 1977 01:15:05,023 --> 01:15:05,691 BETTER AS WELL. 1978 01:15:05,691 --> 01:15:08,894 WE TRY TO SHARE ALL THAT WE CAN 1979 01:15:08,894 --> 01:15:11,063 IN THOSE FRONTS, TRYING TO BE A 1980 01:15:11,063 --> 01:15:19,705 FORCE TOWARDS A GREATER 1981 01:15:19,705 --> 01:15:21,807 COMPATIBILITY. 1982 01:15:21,807 --> 01:15:25,978 ON THE COHORT LEVEL, EHR LEVEL. 1983 01:15:25,978 --> 01:15:27,079 >> GARTH? 1984 01:15:27,079 --> 01:15:30,115 >> YOU'RE GIVING COMPLICATED 1985 01:15:30,115 --> 01:15:32,617 INFORMATION TO PEOPLE WITH 1986 01:15:32,617 --> 01:15:35,821 DIFFERENT STAGES OF THEIR 1987 01:15:35,821 --> 01:15:37,122 SOCIOECONOMIC STATUS, CULTURAL 1988 01:15:37,122 --> 01:15:38,523 STATUS, ALL DYNAMICS, PRESENTED 1989 01:15:38,523 --> 01:15:40,092 AN EXAMPLE IN TERMS OF YOUR OWN 1990 01:15:40,092 --> 01:15:46,531 DATA WHICH IN ITSELF IS 1991 01:15:46,531 --> 01:15:49,801 COMPLICATED. 1992 01:15:49,801 --> 01:15:51,003 EXPLAIN HOW YOU'RE ENGAGING HOW 1993 01:15:51,003 --> 01:15:52,437 THE INFORMATION IS SHARED IN A 1994 01:15:52,437 --> 01:15:53,305 PRODUCTIVE WAY TO ALLOW 1995 01:15:53,305 --> 01:15:55,607 COMMUNITIES OF ALL KINDS TO 1996 01:15:55,607 --> 01:15:56,608 GRAPPLE AND UNDERSTAND THAT 1997 01:15:56,608 --> 01:16:02,514 INFORMATION AND WHEN YOU GIVE 1998 01:16:02,514 --> 01:16:05,784 THEM SERIOUS INFORMATION, THE 1999 01:16:05,784 --> 01:16:06,852 GENETIC COUNSELING, WE LEAVE 2000 01:16:06,852 --> 01:16:09,154 THEM IN A BETTER PLACE, NOT A 2001 01:16:09,154 --> 01:16:10,055 WORSE PLACE. 2002 01:16:10,055 --> 01:16:13,225 THAT'S ONE. 2003 01:16:13,225 --> 01:16:16,728 THE SECOND QUESTION CAN YOU 2004 01:16:16,728 --> 01:16:20,132 DESCRIBE DIVERSITY OF 2005 01:16:20,132 --> 01:16:23,402 LEADERSHIP, BUT THE DIVERSITY 2006 01:16:23,402 --> 01:16:24,036 AND STRATEGY MAKING PROGRESS IN 2007 01:16:24,036 --> 01:16:26,371 TERMS OF WHAT YOU'RE DOING AND 2008 01:16:26,371 --> 01:16:28,440 HOW YOU'RE THINKING THAT THROUGH 2009 01:16:28,440 --> 01:16:30,442 AND HOW GOVERNANCE IS BEING 2010 01:16:30,442 --> 01:16:31,643 EXECUTED ON. 2011 01:16:31,643 --> 01:16:32,711 DOES THAT MAKE SENSE? 2012 01:16:32,711 --> 01:16:34,246 >> I THINK SO. 2013 01:16:34,246 --> 01:16:36,114 LET ME ANSWER THE FIRST AND COME 2014 01:16:36,114 --> 01:16:37,416 TO THE SECOND. 2015 01:16:37,416 --> 01:16:40,485 THE FIRST QUESTION ABOUT 2016 01:16:40,485 --> 01:16:42,120 SUPPORTING OUR PARTICIPANTS WE 2017 01:16:42,120 --> 01:16:48,360 AS YOU RIGHTLY AND WONDERFULLY 2018 01:16:48,360 --> 01:16:50,896 POINT OUT, WE HAVE DOMAINS OF 2019 01:16:50,896 --> 01:16:51,997 DIVERSITY WITH PARTICIPANTS. 2020 01:16:51,997 --> 01:16:55,067 IT'S REALLY IMPORTANT TO US. 2021 01:16:55,067 --> 01:16:57,269 AND THAT IS ONE OF THE REALLY 2022 01:16:57,269 --> 01:16:59,471 KEY FACTORS OF HAVING OUR 2023 01:16:59,471 --> 01:17:01,440 PARTICIPANTS AT THE TABLE WHEN 2024 01:17:01,440 --> 01:17:04,276 WE HAVE DEVELOPED THESE FORMS, 2025 01:17:04,276 --> 01:17:06,445 TESTED THEM, WITH THEM, AND OF 2026 01:17:06,445 --> 01:17:08,880 COURSE NORMAL THINGS LIKE IRB 2027 01:17:08,880 --> 01:17:09,848 AND FDA. 2028 01:17:09,848 --> 01:17:15,320 LOOKING AT THEM AS WELL. 2029 01:17:15,320 --> 01:17:17,956 HAVING THOSE GENETIC COUNSELORS 2030 01:17:17,956 --> 01:17:19,591 AVAILABLE, ALL RESULTS BEING 2031 01:17:19,591 --> 01:17:20,358 RETURNED THROUGH GENETIC 2032 01:17:20,358 --> 01:17:21,693 COUNSELORS AS KEY PART OF WHAT 2033 01:17:21,693 --> 01:17:24,863 WE'RE DOING AS WELL FOR THE 2034 01:17:24,863 --> 01:17:27,165 DISEASE RISK AND AVAILABLE FOR 2035 01:17:27,165 --> 01:17:27,833 THE PHARMACOGENETICKIC RESULTS 2036 01:17:27,833 --> 01:17:28,667 AS WELL. 2037 01:17:28,667 --> 01:17:30,102 WHAT WE'RE FINDING THROUGH THE 2038 01:17:30,102 --> 01:17:34,139 SURVEYS THAT WE HAVE DONE ON 2039 01:17:34,139 --> 01:17:36,441 AFTER IT'S RELEASED AND GENETIC 2040 01:17:36,441 --> 01:17:38,410 COUNSELING APPOINTMENTS THROUGH 2041 01:17:38,410 --> 01:17:40,378 LOOKING AT THE MATERIALS AND 2042 01:17:40,378 --> 01:17:41,379 PRE-TESTING BEFORE WE LAUNCHED, 2043 01:17:41,379 --> 01:17:43,014 THEY ALL DO SEEM TO ALIGN WITH 2044 01:17:43,014 --> 01:17:46,418 THE FACT THAT PEOPLE DO SEEM TO 2045 01:17:46,418 --> 01:17:48,620 UNDERSTAND AND HAVING HIGH 2046 01:17:48,620 --> 01:17:50,021 CUSTOMER SATISFACTION FEEL LIKE 2047 01:17:50,021 --> 01:17:51,356 QUESTIONS ARE ANSWERED, THOSE 2048 01:17:51,356 --> 01:17:54,659 KINDS OF MATERIALS. 2049 01:17:54,659 --> 01:17:56,495 NOW, WE'RE ALSO STILL YOUNG AND 2050 01:17:56,495 --> 01:17:58,363 THERE ARE MORE THINGS TO DO, TO 2051 01:17:58,363 --> 01:18:00,966 FOLLOW UP, BECAUSE WE'VE ONLY 2052 01:18:00,966 --> 01:18:02,667 BEEN RETURN THESE HEALTH-RELATED 2053 01:18:02,667 --> 01:18:05,137 RESULTS FOR RIGHT NOW JUST AT A 2054 01:18:05,137 --> 01:18:05,337 YEAR. 2055 01:18:05,337 --> 01:18:07,639 AND OF COURSE THAT PACE IS 2056 01:18:07,639 --> 01:18:09,508 ACCELERATED AS WE'VE GONE ON 2057 01:18:09,508 --> 01:18:09,708 TIME. 2058 01:18:09,708 --> 01:18:13,879 THERE'S MORE WORK TO DO TO MAKE 2059 01:18:13,879 --> 01:18:14,646 SURE THAT THOSE EARLY FINDINGS, 2060 01:18:14,646 --> 01:18:17,349 YOU KNOW, CONTINUE TO PLAY OUT 2061 01:18:17,349 --> 01:18:20,652 WITH UNDERSTANDING. 2062 01:18:20,652 --> 01:18:24,389 I THINK THE SECOND WAS AROUND 2063 01:18:24,389 --> 01:18:27,659 THE MAKEUP OF OUR AWARDEES, 2064 01:18:27,659 --> 01:18:28,126 DIVERSITY. 2065 01:18:28,126 --> 01:18:28,827 IS THAT CORRECT? 2066 01:18:28,827 --> 01:18:31,730 >> NO, YOU ANSWERED WITH THE 2067 01:18:31,730 --> 01:18:36,301 FIRST QUESTION, MORE ABOUT 2068 01:18:36,301 --> 01:18:36,968 LEADERSHIP AND STRATEGY AND 2069 01:18:36,968 --> 01:18:38,403 INCLUDING DIVERSE COMMUNITIES. 2070 01:18:38,403 --> 01:18:41,673 YOU DID A GREAT JOB WHO IS 2071 01:18:41,673 --> 01:18:42,674 RECEIVING BUT ALSO THINKING 2072 01:18:42,674 --> 01:18:43,909 THROUGH THE CONVERSATION EARLIER 2073 01:18:43,909 --> 01:18:46,077 ABOUT HAVING PEOPLE AT THE 2074 01:18:46,077 --> 01:18:48,246 TABLE, AT THE GOVERNANCE TABLE, 2075 01:18:48,246 --> 01:18:50,682 AT THE BIGGER TABLE, NOT THE 2076 01:18:50,682 --> 01:18:53,952 RECIPIENT TABLE WHICH WE OFTEN 2077 01:18:53,952 --> 01:18:56,922 CELEBRATE BUT THAT'S ONLY ONE 2078 01:18:56,922 --> 01:18:59,991 COMPONENT. 2079 01:18:59,991 --> 01:19:01,193 THINKING THROUGH YOUR 2080 01:19:01,193 --> 01:19:03,828 LEADERSHIP, STRUCTURES USED AS 2081 01:19:03,828 --> 01:19:05,797 MACROGOVERNANCE, DOES THAT MAKE 2082 01:19:05,797 --> 01:19:06,331 BETTER SENSE? 2083 01:19:06,331 --> 01:19:08,433 >> YES, I'M GLAD TO BE ABLE TO 2084 01:19:08,433 --> 01:19:11,937 ELABORATE AS WELL. 2085 01:19:11,937 --> 01:19:13,805 WE DO HAVE PARTICIPANTS AT 2086 01:19:13,805 --> 01:19:15,774 REALLY A GREAT GOVERNANCE 2087 01:19:15,774 --> 01:19:17,742 COMMITTEE LEVEL, MY ADVISORY 2088 01:19:17,742 --> 01:19:21,813 PANEL, MY -- THE EXECUTIVE 2089 01:19:21,813 --> 01:19:22,681 COMMITTEE, STEERING COMMITTEE, 2090 01:19:22,681 --> 01:19:26,418 SCIENCE COMMITTEE, EACH OF THESE 2091 01:19:26,418 --> 01:19:33,291 HAS PARTICIPANT AMBASSADORS, 2092 01:19:33,291 --> 01:19:35,794 COMMUNITY ENGAGEMENT AWARDS WE 2093 01:19:35,794 --> 01:19:37,762 TRY TO HAVE THAT IN THE FABRIC 2094 01:19:37,762 --> 01:19:40,832 OF OF COURSE WE DO. 2095 01:19:40,832 --> 01:19:41,166 >> THANK YOU. 2096 01:19:41,166 --> 01:19:41,433 >> HOWARD? 2097 01:19:41,433 --> 01:19:44,803 >> THANK YOU FOR THE OUTSTANDING 2098 01:19:44,803 --> 01:19:46,104 PRESENTATION, IMPRESSED BY THE 2099 01:19:46,104 --> 01:19:49,040 PROGRESS AND BY THE ABILITY TO 2100 01:19:49,040 --> 01:19:50,141 RETURN INFORMATION TO 2101 01:19:50,141 --> 01:19:51,676 PARTICIPANTS WHICH MUST BE A LOT 2102 01:19:51,676 --> 01:19:53,411 OF -- ACTUALLY A RESOURCE AND 2103 01:19:53,411 --> 01:19:54,312 EFFORT. 2104 01:19:54,312 --> 01:20:00,085 MY QUESTION IS ABOUT WHAT DO YOU 2105 01:20:00,085 --> 01:20:01,853 RETURN AS BEING RESULTS, 2106 01:20:01,853 --> 01:20:03,922 BASICALLY GATED ON A SUBSET 2107 01:20:03,922 --> 01:20:08,193 READY TO INTERPRET OR DEAL WITH, 2108 01:20:08,193 --> 01:20:18,703 WHAT ARE PROSPECTS OF GIVING 2109 01:20:22,173 --> 01:20:24,542 PEOPLE ACTUAL GENOME SEQUENCE, A 2110 01:20:24,542 --> 01:20:26,911 BRCA VARIANCE, I WANT TO KNOW MY 2111 01:20:26,911 --> 01:20:29,648 ENTIRE RISK, SEE ALL THE OTHER 2112 01:20:29,648 --> 01:20:29,981 GENES. 2113 01:20:29,981 --> 01:20:31,516 I WANT TO JOIN ANOTHER STUDY, 2114 01:20:31,516 --> 01:20:36,321 HOW DO I DO THAT? 2115 01:20:36,321 --> 01:20:37,956 >> I'M NOT SURPRISED TO HEAR YOU 2116 01:20:37,956 --> 01:20:38,790 ASK THIS QUESTION. 2117 01:20:38,790 --> 01:20:42,560 IT IS SOMETHING THAT COMES FROM 2118 01:20:42,560 --> 01:20:43,328 DIFFERENT PARTICIPANTS THAT 2119 01:20:43,328 --> 01:20:44,963 THINK ABOUT THE SCALE AND WHAT 2120 01:20:44,963 --> 01:20:46,731 ELSE THEY COULD DO WITH THESE 2121 01:20:46,731 --> 01:20:47,832 KINDS OF DATA. 2122 01:20:47,832 --> 01:20:51,336 WE DO HAVE A SMALL NUMBER OF 2123 01:20:51,336 --> 01:20:54,839 PEOPLE LIKE YOURSELF THAT ASK 2124 01:20:54,839 --> 01:20:55,073 THESE. 2125 01:20:55,073 --> 01:20:58,777 THE THINGS ON THE ROADMAP, 2126 01:20:58,777 --> 01:21:00,211 PRIORITIZATION THROUGH 2127 01:21:00,211 --> 01:21:01,313 DEVELOPING PROCESSES AND WHAT WE 2128 01:21:01,313 --> 01:21:03,848 TAKE TO THE FDA AND OUR PROCESS 2129 01:21:03,848 --> 01:21:05,383 HERE BASED ON WHAT PARTICIPANTS 2130 01:21:05,383 --> 01:21:06,851 TELL US. 2131 01:21:06,851 --> 01:21:07,385 THEIR PRIORITIES. 2132 01:21:07,385 --> 01:21:08,753 AND SO IT IS ON THE ROADMAP. 2133 01:21:08,753 --> 01:21:11,089 I DON'T HAVE A TIMELINE FOR IT 2134 01:21:11,089 --> 01:21:11,489 AT THIS POINT. 2135 01:21:11,489 --> 01:21:13,024 >> YEAH, I WANT TO MAKE THE 2136 01:21:13,024 --> 01:21:16,528 POINT THIS MIGHT GO TO LIKE WHAT 2137 01:21:16,528 --> 01:21:18,196 EXACTLY IS HAPPENING, HOW DO YOU 2138 01:21:18,196 --> 01:21:19,597 MAKE DECISIONS, IT'S ALL THERE, 2139 01:21:19,597 --> 01:21:24,402 IF YOU WANT, YOU CAN SEE IT. 2140 01:21:24,402 --> 01:21:27,205 >> ANY ADDITIONAL COMMENTS OR 2141 01:21:27,205 --> 01:21:27,472 QUESTIONS? 2142 01:21:27,472 --> 01:21:31,976 I'LL TURN IT BACK TO YOU. 2143 01:21:31,976 --> 01:21:33,378 >> WE'LL TAKE A SHORT BREAK. 2144 01:21:33,378 --> 01:21:35,046 THANK YOU VERY MUCH, JOSH. 2145 01:21:35,046 --> 01:21:39,217 THAT WAS REALLY A TOUR DU FORCE, 2146 01:21:39,217 --> 01:21:40,685 WE'LL TAKE A BREAK AND LET ME 2147 01:21:40,685 --> 01:21:46,424 SEE WHEN WE WANT TO GET US BACK 2148 01:21:46,424 --> 01:21:46,758 HERE. 2149 01:21:46,758 --> 01:21:51,507 YEAH, 10:45 WE'LL SEE YOU BACK. THANKS. 2150 01:21:51,507 --> 01:21:53,709 OKAY, EVERYBODY, LET'S GET READY TO RESTART. 2151 01:21:53,709 --> 01:21:56,445 2152 01:21:56,445 --> 01:22:04,319 2153 01:22:04,319 --> 01:22:05,821 OKAY. 2154 01:22:05,821 --> 01:22:08,791 THANKS, EVERYBODY. 2155 01:22:08,791 --> 01:22:11,193 >> OKAY. 2156 01:22:11,193 --> 01:22:12,528 ALL RIGHT. 2157 01:22:12,528 --> 01:22:14,496 NOW FOR SOMETHING TOTALLY 2158 01:22:14,496 --> 01:22:16,765 DIFFERENT, NOT REALLY, ACTUALLY. 2159 01:22:16,765 --> 01:22:18,767 SOMETHING THAT DOVETAILS WITH 2160 01:22:18,767 --> 01:22:20,068 WHAT YOU HEARD IN "ALL OF US," 2161 01:22:20,068 --> 01:22:27,443 BUT ALSO TAKES US IN A REALLY 2162 01:22:27,443 --> 01:22:28,610 EXCITING DIRECTION, I THINK. 2163 01:22:28,610 --> 01:22:31,346 WE'RE GOING TO GET AN UPDATE 2164 01:22:31,346 --> 01:22:35,417 FROM RADx, AND LET'S SEE, 2165 01:22:35,417 --> 01:22:37,586 MAYBE -- WE HAVE PRESENTING DR. 2166 01:22:37,586 --> 01:22:38,687 SUSAN GREGURICK ASSOCIATE 2167 01:22:38,687 --> 01:22:42,658 DIRECTOR FOR DATA SCIENCE AT 2168 01:22:42,658 --> 01:22:46,829 NIH, ELISEO STABLE-PEREZ, 2169 01:22:46,829 --> 01:22:52,067 DIRECTOR OF NIMHD; TARA SCHWETZ, 2170 01:22:52,067 --> 01:22:54,470 DEPUTY DIRECTOR FOR PROGRAM 2171 01:22:54,470 --> 01:23:00,576 COORDINATION; BRUCE TROMBERG 2172 01:23:00,576 --> 01:23:06,748 DIRECTOR NIBIB; AND RICK 2173 01:23:06,748 --> 01:23:07,249 WOYCHIK, NIEHS. 2174 01:23:07,249 --> 01:23:08,250 >> THANK YOU. 2175 01:23:08,250 --> 01:23:10,652 WE'RE EXCITED TO PRESENT AN 2176 01:23:10,652 --> 01:23:12,521 OVERVIEW AND UPDATES AND 2177 01:23:12,521 --> 01:23:14,823 ACCOMPLISHMENTS OF RAPID 2178 01:23:14,823 --> 01:23:20,729 ACCELERATION OF DIAGNOSTICS 2179 01:23:20,729 --> 01:23:22,798 PROGRAM, RADx, THIS MORNING. 2180 01:23:22,798 --> 01:23:26,735 SO, THIS IS A REMINDER, RADx 2181 01:23:26,735 --> 01:23:30,672 PROGRAM WAS DEVELOPED TO SPEED 2182 01:23:30,672 --> 01:23:32,207 INNOVATION IN DEVELOPMENT, 2183 01:23:32,207 --> 01:23:33,075 COMMERCIALIZATION, 2184 01:23:33,075 --> 01:23:34,409 IMPLEMENTATION OF COVID-19 2185 01:23:34,409 --> 01:23:34,643 TESTING. 2186 01:23:34,643 --> 01:23:38,213 I JUST WILL TAKE A FEW MINUTES 2187 01:23:38,213 --> 01:23:40,516 TO PROVIDE AN OVERVIEW OF THE 2188 01:23:40,516 --> 01:23:44,353 PROGRAM AND TURN IT OVER TO MY 2189 01:23:44,353 --> 01:23:46,822 AMAZING COLLEAGUES TO PROVIDE 2190 01:23:46,822 --> 01:23:52,828 UPDATES ON EACH OF THE 2191 01:23:52,828 --> 01:23:56,832 INDIVIDUAL PROGRAMS. 2192 01:23:56,832 --> 01:24:07,342 RADx-TECH, DR. BRUCE TROMBERG. 2193 01:24:07,643 --> 01:24:18,120 DR. PERES-ESTABLE, DR. WOYCHIK, 2194 01:24:20,355 --> 01:24:22,257 RADx RADICAL AND SUSAN 2195 01:24:22,257 --> 01:24:22,858 GREGURICK. 2196 01:24:22,858 --> 01:24:25,060 THIS MAY BRING BACK MEMORIES. 2197 01:24:25,060 --> 01:24:26,528 IT MAY BE FAMILIAR. 2198 01:24:26,528 --> 01:24:28,830 YOU MAY REMEMBER SITTING IN CAR 2199 01:24:28,830 --> 01:24:31,567 LINES, VERY LONG CAR LINES, 2200 01:24:31,567 --> 01:24:35,504 WAITING TO HAVE A SWAB DEEPLY 2201 01:24:35,504 --> 01:24:38,807 INSERTED UP YOUR NOSE FOR PCR 2202 01:24:38,807 --> 01:24:39,274 TESTING. 2203 01:24:39,274 --> 01:24:40,776 THAT DOESN'T HAPPEN ANYMORE. 2204 01:24:40,776 --> 01:24:44,146 NOW WE CAN COMFORTABLE TEST 2205 01:24:44,146 --> 01:24:47,215 OURSELVES RELIABLY AT HOME IN A 2206 01:24:47,215 --> 01:24:50,152 REAM LESS INVASIVE WAY THAT'S 2207 01:24:50,152 --> 01:24:51,920 AFFORDABLE, AND IF WE THINK 2208 01:24:51,920 --> 01:24:57,159 ABOUT HOW WE GOT TO THIS POINT, 2209 01:24:57,159 --> 01:25:06,368 RADxs PLAYED A ROLE IN THAT 2210 01:25:06,368 --> 01:25:07,469 PROCESS. 2211 01:25:07,469 --> 01:25:09,504 IN 2020, WE NEEDED A LOT OF 2212 01:25:09,504 --> 01:25:10,973 TESTING, ACCESS ABLE AND 2213 01:25:10,973 --> 01:25:12,274 RELIABLE. 2214 01:25:12,274 --> 01:25:14,810 TO FILL THIS URGENT NEED NIH 2215 01:25:14,810 --> 01:25:16,345 CREATED THE RADx INITIATIVE IN 2216 01:25:16,345 --> 01:25:17,512 APRIL OF 2020. 2217 01:25:17,512 --> 01:25:19,948 AGAIN, AT A TIME WHEN TESTING 2218 01:25:19,948 --> 01:25:22,584 WAS DIFFICULT TO COME BY AND CAR 2219 01:25:22,584 --> 01:25:28,824 LINES THAT YOU SAW WERE JUST 2220 01:25:28,824 --> 01:25:34,963 BEING SET UP. 2221 01:25:34,963 --> 01:25:36,465 THE PROGRAM ENHANCED ACCESS TO 2222 01:25:36,465 --> 01:25:38,567 THOSE WHO NEEDED IT MOST. 2223 01:25:38,567 --> 01:25:41,970 SO, AS YOU HEARD, THERE ARE FOUR 2224 01:25:41,970 --> 01:25:43,572 MAJOR RADx PROGRAMS. 2225 01:25:43,572 --> 01:25:46,141 RADx-TECH WHICH IS THE 2226 01:25:46,141 --> 01:25:48,877 INNOVATION FUNNEL ARM DESIGNED 2227 01:25:48,877 --> 01:25:52,147 TO COMPRESS THE CUSTOM AREA 2228 01:25:52,147 --> 01:25:54,983 TECHNOLOGY DEVELOPMENT TIMELINE 2229 01:25:54,983 --> 01:25:58,820 FROM YEARS TO MONTHS. 2230 01:25:58,820 --> 01:26:00,455 RADX-UP AIMED TO ASSESS AND 2231 01:26:00,455 --> 01:26:02,124 EXPAND COVID-19 TESTING FOR 2232 01:26:02,124 --> 01:26:03,759 UNDERSERVED AND/OR VULNERABLE 2233 01:26:03,759 --> 01:26:04,059 POPULATIONS. 2234 01:26:04,059 --> 01:26:05,827 REALLY GET THE TEST OUT TO THE 2235 01:26:05,827 --> 01:26:09,331 PEOPLE WHO NEEDED IT MOST. 2236 01:26:09,331 --> 01:26:11,733 AND HELP TO UNDERSTAND HOW AND 2237 01:26:11,733 --> 01:26:15,771 WHETHER THEY USE THIS TEST. 2238 01:26:15,771 --> 01:26:17,639 FOR RADx RADICAL, RADx RAD, 2239 01:26:17,639 --> 01:26:20,942 DEVELOPED TO BE FOCUSED MORE ON 2240 01:26:20,942 --> 01:26:22,811 LONGER-TERM APPROACHES BUT TO 2241 01:26:22,811 --> 01:26:25,414 THINK ABOUT HOW TO DEVELOP NEW 2242 01:26:25,414 --> 01:26:26,982 NOVEL NON-TRADITIONAL APPROACHES 2243 01:26:26,982 --> 01:26:31,219 THAT ADDRESSED CURRENT GAPS IN 2244 01:26:31,219 --> 01:26:32,521 OUR COVID-19 TESTING. 2245 01:26:32,521 --> 01:26:35,691 FINALLY THE DATA HUB PROVIDES 2246 01:26:35,691 --> 01:26:37,659 ACCESS TO AND ALLOWS RESEARCHERS 2247 01:26:37,659 --> 01:26:39,761 TO ANALYZE CURATE AND 2248 01:26:39,761 --> 01:26:40,962 DE-IDENTIFIED COVID-19 DATA IN 2249 01:26:40,962 --> 01:26:41,997 THE CLOUD. 2250 01:26:41,997 --> 01:26:43,899 SO NOW I'LL TURN IT OVER TO 2251 01:26:43,899 --> 01:26:46,735 BRUCE AND HE CAN TALK A LITTLE 2252 01:26:46,735 --> 01:26:47,936 BIT ABOUT RADx-TECH AND WHAT 2253 01:26:47,936 --> 01:26:58,413 THEY HAVE BEEN WORKING ON. 2254 01:27:03,919 --> 01:27:05,053 >> ALL RIGHT. 2255 01:27:05,053 --> 01:27:06,054 THANK YOU, TARA. 2256 01:27:06,054 --> 01:27:08,223 THANKS TO MY COLLEAGUES. 2257 01:27:08,223 --> 01:27:09,424 IT'S BEEN AN INCREDIBLE 2258 01:27:09,424 --> 01:27:10,292 EXPERIENCE WORKING TOGETHER. 2259 01:27:10,292 --> 01:27:11,727 HOPEFULLY WE CAN CONTINUE TO 2260 01:27:11,727 --> 01:27:14,029 KEEP THIS UP IN VARIOUS WAYS, 2261 01:27:14,029 --> 01:27:15,063 WE'VE BEEN DISCUSSING THAT QUITE 2262 01:27:15,063 --> 01:27:16,431 A LOT. 2263 01:27:16,431 --> 01:27:19,468 FROM THE RADx-TECH POINT OF 2264 01:27:19,468 --> 01:27:20,635 VIEW, AS TARA MENTIONED, I'LL 2265 01:27:20,635 --> 01:27:22,771 PUT A FEW MORE DETAILS TO HER 2266 01:27:22,771 --> 01:27:23,605 BIG PICTURE HERE. 2267 01:27:23,605 --> 01:27:26,708 IF WE GO BACK TO APRIL OF 2020, 2268 01:27:26,708 --> 01:27:30,112 THE COUNTRY WAS DOING ABOUT 8 2269 01:27:30,112 --> 01:27:32,514 MILLION TESTS, LESS THAN 8 2270 01:27:32,514 --> 01:27:33,815 MILLION, IN LABORATORIES 2271 01:27:33,815 --> 01:27:35,150 PRIMARILY, FEW MEDIUM COMPLEXITY 2272 01:27:35,150 --> 01:27:36,985 TESTS OUT THERE DONE SORT OF AT 2273 01:27:36,985 --> 01:27:39,621 POINT OF CARE BUT BY PARA 2274 01:27:39,621 --> 01:27:44,459 PROFESSIONALS OR PROFESSIONALS. 2275 01:27:44,459 --> 01:27:47,529 SO, FRANCES WAS CONTACTED BY 2276 01:27:47,529 --> 01:27:53,201 SENATOR ALEXANDER WHO CHAIRED 2277 01:27:53,201 --> 01:27:54,536 THE HEALTH COMMITTEE, I'M 2278 01:27:54,536 --> 01:27:55,570 CONCERNED THE TEST ROLLOUT HAS 2279 01:27:55,570 --> 01:27:57,806 BEEN ROCKY, SO ARE YOU WORKING 2280 01:27:57,806 --> 01:27:58,340 ON THIS? 2281 01:27:58,340 --> 01:28:00,008 FORTUNATELY DR. COLLINS HAD BEEN 2282 01:28:00,008 --> 01:28:01,443 PUTTING US THROUGH THESE SPRINTS 2283 01:28:01,443 --> 01:28:03,278 FOR ABOUT, I DON'T KNOW, THREE 2284 01:28:03,278 --> 01:28:03,612 WEEKS. 2285 01:28:03,612 --> 01:28:05,380 WE CAN ALL REMEMBER THESE. 2286 01:28:05,380 --> 01:28:11,153 AND HE KNEW VERY WELL AT NIBIB 2287 01:28:11,153 --> 01:28:14,322 WE EFFECT US ON THINGS WE COULD 2288 01:28:14,322 --> 01:28:15,624 DO, EXPANDING DIAGNOSTICS, 2289 01:28:15,624 --> 01:28:16,958 DIGITAL HEALTH PLATFORMS, WE HAD 2290 01:28:16,958 --> 01:28:18,693 A CHANCE TO COMMUNICATE WITH 2291 01:28:18,693 --> 01:28:19,427 SENATOR ALEXANDER. 2292 01:28:19,427 --> 01:28:21,229 I WAS A NEW DIRECTOR AT THE TIME 2293 01:28:21,229 --> 01:28:22,330 AND HE DIDN'T REALLY UNDERSTAND 2294 01:28:22,330 --> 01:28:29,771 WHAT I WAS TALKING ABOUT. 2295 01:28:29,771 --> 01:28:33,475 FRANCIS SAID IT'S LIKE A SHARK 2296 01:28:33,475 --> 01:28:33,809 TANK. 2297 01:28:33,809 --> 01:28:39,014 WE NEED A SHARK TANK AND 2298 01:28:39,014 --> 01:28:40,816 AMERICAN INGENUITY. 2299 01:28:40,816 --> 01:28:43,451 A WEEK AFTER THAT CONVERSATION 2300 01:28:43,451 --> 01:28:44,753 THERE WERE A ROLLOUT FOUR DAYS 2301 01:28:44,753 --> 01:28:47,289 AFTER THE EDITORIAL IN THE POST, 2302 01:28:47,289 --> 01:28:49,925 CONGRESS HAD THE FOURTH 2303 01:28:49,925 --> 01:28:51,593 SUPPLEMENTAL, $1.5 BILLION TO 2304 01:28:51,593 --> 01:28:54,296 THE NIH, FOR TESTING. 2305 01:28:54,296 --> 01:29:00,969 AND I PRACTICALLY FELL OUT OF 2306 01:29:00,969 --> 01:29:02,838 MY SEAT, THAT EXCEEDED OUR 2307 01:29:02,838 --> 01:29:03,738 ANNUAL BUDGET. 2308 01:29:03,738 --> 01:29:05,006 WE'RE IN BIG TROUBLE. 2309 01:29:05,006 --> 01:29:11,246 WE'VE GOT TO DO SOMETHING 2310 01:29:11,246 --> 01:29:11,813 QUICKLY. 2311 01:29:11,813 --> 01:29:14,082 WE PULLED TOGETHER AND ASSEMBLED 2312 01:29:14,082 --> 01:29:14,950 THESE PROGRAMS. 2313 01:29:14,950 --> 01:29:16,184 WE HAD ALREADY BEEN WORKING ON 2314 01:29:16,184 --> 01:29:21,089 THE PROGRAM, I'LL TELL YOU THE 2315 01:29:21,089 --> 01:29:24,593 EVOLUTION, BUT WE LAUNCHED ON 2316 01:29:24,593 --> 01:29:27,229 APRIL 29, TO CHANGE TESTING 2317 01:29:27,229 --> 01:29:27,596 PARADIGMS. 2318 01:29:27,596 --> 01:29:29,397 LABORATORIES ARE OKAY BUT IF 2319 01:29:29,397 --> 01:29:31,366 YOU'VE GOT A PANDEMIC AND MANY, 2320 01:29:31,366 --> 01:29:33,335 YOU KNOW, MILLIONS OF PEOPLE WHO 2321 01:29:33,335 --> 01:29:35,103 NEED TESTING IT'S NOT AN 2322 01:29:35,103 --> 01:29:37,072 EFFECTIVE WAY TO REACH PEOPLE. 2323 01:29:37,072 --> 01:29:38,807 WE WANTED TO GET TO POINT OF 2324 01:29:38,807 --> 01:29:40,909 CARE, OVER THE COUNTER TESTS, 2325 01:29:40,909 --> 01:29:42,644 TESTS IN THE BATHROOM, OUR 2326 01:29:42,644 --> 01:29:43,745 ORIGINAL VISION. 2327 01:29:43,745 --> 01:29:46,681 ON TOP OF THAT THE HELP 2328 01:29:46,681 --> 01:29:47,449 COMMITTEE, THE SENATOR SAID THIS 2329 01:29:47,449 --> 01:29:49,117 IS GOING TO BE OVER BY THE FALL 2330 01:29:49,117 --> 01:29:51,519 IF YOU CAN GET THESE TESTS DONE, 2331 01:29:51,519 --> 01:29:54,389 SO WE NEED ALL THESE TESTS OUT 2332 01:29:54,389 --> 01:29:56,057 IN FIVE, SIX MONTHS. 2333 01:29:56,057 --> 01:29:56,958 SO EVERYBODY CAN GO BACK TO 2334 01:29:56,958 --> 01:29:59,628 SCHOOL AND GET BACK TO NORMAL 2335 01:29:59,628 --> 01:30:00,195 LIFE. 2336 01:30:00,195 --> 01:30:01,029 WE WERE UNDER PRESSURE TO DO 2337 01:30:01,029 --> 01:30:03,465 THAT BY THE FALL OF 2020. 2338 01:30:03,465 --> 01:30:05,867 YOUR MAJOR VEHICLE HERE WAS THIS 2339 01:30:05,867 --> 01:30:07,168 INNOVATION FUNNEL, SHARK TANK. 2340 01:30:07,168 --> 01:30:11,106 WE WERE ABLE TO LAUNCH SO 2341 01:30:11,106 --> 01:30:12,974 QUICKLY, AS ALL INSTITUTES HAVE, 2342 01:30:12,974 --> 01:30:14,943 WE HAD ALREADY INVESTED IN 2343 01:30:14,943 --> 01:30:17,245 NETWORKS TO BE ABLE TO MAKE THIS 2344 01:30:17,245 --> 01:30:17,579 HAPPEN. 2345 01:30:17,579 --> 01:30:19,881 I KNEW THAT OUR COMMUNITY WAS 2346 01:30:19,881 --> 01:30:22,050 CAPABLE OF RESPONDING, THE 2347 01:30:22,050 --> 01:30:27,889 INNOVATION AND ENTREPRENEURIAL 2348 01:30:27,889 --> 01:30:29,190 COMMUNITY CAN DO SOMETHING 2349 01:30:29,190 --> 01:30:29,858 POWERFUL. 2350 01:30:29,858 --> 01:30:32,928 WE BUILT AROUND WHAT WE CALL OUR 2351 01:30:32,928 --> 01:30:33,995 POINT-OF-CARE TECHNOLOGY 2352 01:30:33,995 --> 01:30:36,431 RESEARCH NETWORK, POCTRN. 2353 01:30:36,431 --> 01:30:37,732 THAT'S A U54 NETWORK. 2354 01:30:37,732 --> 01:30:39,501 IT HAD JUST BEEN RENEWED. 2355 01:30:39,501 --> 01:30:40,902 WE ASKED THE ENTIRE NETWORK 2356 01:30:40,902 --> 01:30:45,941 WHICH IS COMPOSED OF JOHNS 2357 01:30:45,941 --> 01:30:49,878 HOPKINS, UMass, NORTHWESTERN, 2358 01:30:49,878 --> 01:30:51,513 GEORGIA TECH, EMORY, MGH, TO 2359 01:30:51,513 --> 01:30:53,281 SHIFT AND FOCUS ENTIRELY ON 2360 01:30:53,281 --> 01:30:55,884 DEVELOPING DIAGNOSTIC TESTS FOR 2361 01:30:55,884 --> 01:30:56,351 COVID. 2362 01:30:56,351 --> 01:30:58,520 AND EVERYONE SAID OKAY. 2363 01:30:58,520 --> 01:31:01,056 WE WERE FORTUNATE EVERYONE 2364 01:31:01,056 --> 01:31:03,591 AGREED AND WAS SHARING IN THAT 2365 01:31:03,591 --> 01:31:05,226 COMMON AMBITION AND GOAL. 2366 01:31:05,226 --> 01:31:07,095 THE MAIN VEHICLE WAS THE SHARK 2367 01:31:07,095 --> 01:31:08,930 TANK TO START OFF WITH. 2368 01:31:08,930 --> 01:31:13,301 WE HAD TO CREATE SOME NEW 2369 01:31:13,301 --> 01:31:15,403 ELEMENTS OR WORKING STRUCTURES 2370 01:31:15,403 --> 01:31:17,472 WITHIN POCTRN, A CORE DO 2371 01:31:17,472 --> 01:31:18,673 PHYSICALLY VALIDATE EVERY 2372 01:31:18,673 --> 01:31:19,874 POTENTIAL NEW TECHNOLOGY AS IT 2373 01:31:19,874 --> 01:31:21,843 CAME OUT, REALLY UNDERSTAND IF 2374 01:31:21,843 --> 01:31:22,210 IT WORK. 2375 01:31:22,210 --> 01:31:23,378 AND DETERMINE WHETHER OR NOT IT 2376 01:31:23,378 --> 01:31:25,780 MADE SENSE FOR US TO INVEST THE 2377 01:31:25,780 --> 01:31:27,882 MONEY THAT WE HAD IN DE-RISKING 2378 01:31:27,882 --> 01:31:29,384 AND PROMOTING AND ACCELERATING 2379 01:31:29,384 --> 01:31:30,719 THAT TECHNOLOGY. 2380 01:31:30,719 --> 01:31:33,455 THAT CORE CONTINUES TO EVALUATE 2381 01:31:33,455 --> 01:31:34,656 EVERY TEST FOR ITS PERFORMANCE 2382 01:31:34,656 --> 01:31:36,391 WITH EVERY VARIANT THAT COMES 2383 01:31:36,391 --> 01:31:36,691 OUT. 2384 01:31:36,691 --> 01:31:38,927 SO IT'S STILL A LEGACY CORE. 2385 01:31:38,927 --> 01:31:40,996 WE HAVE A STANDARD TRIAL, 2386 01:31:40,996 --> 01:31:42,664 DIGITAL TRIAL DESIGN CORE AT 2387 01:31:42,664 --> 01:31:44,966 UMass SO WE'RE ABLE TO QUICKLY 2388 01:31:44,966 --> 01:31:46,801 MAIL TESTS OUT TO PEOPLE, HAVE 2389 01:31:46,801 --> 01:31:50,538 PEOPLE MAIL BACK TO US SWABS SO 2390 01:31:50,538 --> 01:31:52,073 WE COULD DO COMPARISONS WITH NEW 2391 01:31:52,073 --> 01:31:54,142 TECHNOLOGY AS WELL AS 2392 01:31:54,142 --> 01:31:55,243 ESTABLISHED TECHNOLOGIES, AND 2393 01:31:55,243 --> 01:31:56,778 USE THE ENTIRE COUNTRY AS A 2394 01:31:56,778 --> 01:31:57,412 CATCHMENT AREA. 2395 01:31:57,412 --> 01:31:59,280 I'LL COME BACK TO IMPORTANT 2396 01:31:59,280 --> 01:32:02,117 FINDINGS FROM THAT THAT HAVE 2397 01:32:02,117 --> 01:32:03,118 CHANGED FDA REGULATORY POLICY 2398 01:32:03,118 --> 01:32:05,420 AND CLINICAL PRACTICE. 2399 01:32:05,420 --> 01:32:06,621 FINALLY A DEPLOYMENT CORE. 2400 01:32:06,621 --> 01:32:09,691 AT THE TIME AS EVERYONE WAS 2401 01:32:09,691 --> 01:32:17,232 SCALING UP TESTING, TERMS 2402 01:32:17,232 --> 01:32:19,434 MATERIALS AND SUPPLIES BECAME 2403 01:32:19,434 --> 01:32:21,069 SCARCE, TINY COMPONENTS, BIG 2404 01:32:21,069 --> 01:32:22,270 COMPONENTS IN DEVICES. 2405 01:32:22,270 --> 01:32:24,739 A CORE THAT DWELT THAT AND 2406 01:32:24,739 --> 01:32:26,241 INTERFACED WITH THE DEPARTMENT 2407 01:32:26,241 --> 01:32:30,478 OF DEFENSE TO GET PROCUREMENT. 2408 01:32:30,478 --> 01:32:31,813 YOU HAVE NO IDEA WHAT'S GOING 2409 01:32:31,813 --> 01:32:34,015 HAPPEN NEXT IN A PANDEMIC. 2410 01:32:34,015 --> 01:32:34,783 WE THOUGHT THE INNOVATION FUNNEL 2411 01:32:34,783 --> 01:32:36,518 WOULD BE ENOUGH BUT IT WASN'T. 2412 01:32:36,518 --> 01:32:38,720 WE HAD TO CREATE SEVERAL MORE 2413 01:32:38,720 --> 01:32:42,123 PROGRAMS THROUGHOUT THE PANDEMIC 2414 01:32:42,123 --> 01:32:45,193 STARTING WITH INNOVATION FUNNEL, 2415 01:32:45,193 --> 01:32:46,828 YES COVID TEST IN COLLABORATION 2416 01:32:46,828 --> 01:32:51,433 TO GET TESTS, THE PROTOTYPE FOR 2417 01:32:51,433 --> 01:32:52,634 COVID.GOV ONLINE, DO THESE AT 2418 01:32:52,634 --> 01:32:54,602 HOME, TELL US DID YOU LIKE IT, 2419 01:32:54,602 --> 01:32:55,570 DID IT WORK. 2420 01:32:55,570 --> 01:32:58,206 IT WAS A VERY IMPORTANT TEST BED 2421 01:32:58,206 --> 01:32:59,741 TO DETERMINE WHETHER PEOPLE 2422 01:32:59,741 --> 01:33:01,810 WOULD ACCEPT HOME TESTING AND IF 2423 01:33:01,810 --> 01:33:05,780 IT COULD DO IT EFFECTIVELY. 2424 01:33:05,780 --> 01:33:06,748 PUBLIC HEALTH FOLKS HAVE 2425 01:33:06,748 --> 01:33:08,283 QUESTIONS ABOUT WHETHER PEOPLE 2426 01:33:08,283 --> 01:33:09,918 COULD TEST THEMSELVES AND REPORT 2427 01:33:09,918 --> 01:33:10,919 THAT INFORMATION RELIABLY. 2428 01:33:10,919 --> 01:33:14,089 WE HAD TO BUILD A DIGITAL HEALTH 2429 01:33:14,089 --> 01:33:14,956 PLATFORM, CREATE STRUCTURED 2430 01:33:14,956 --> 01:33:16,591 INFORMATION OTHER DATA USING 2431 01:33:16,591 --> 01:33:18,359 FHIR AND HL7 TO TRANSMIT THAT 2432 01:33:18,359 --> 01:33:20,428 INFORMATION FROM PEOPLE'S HOMES 2433 01:33:20,428 --> 01:33:22,397 OR POINT OF CARE IS TO PUBLIC 2434 01:33:22,397 --> 01:33:23,965 HEALTH AUTHORITIES. 2435 01:33:23,965 --> 01:33:32,707 WE HAD TO DEAL WITH NEW 2436 01:33:32,707 --> 01:33:36,311 VARIANTS, CREATED A VARIANT TEST 2437 01:33:36,311 --> 01:33:36,544 CORE. 2438 01:33:36,544 --> 01:33:46,821 WE ACCELERATED AUTHORIZE A GOAL 2439 01:33:46,821 --> 01:33:52,193 WAS TO ACCELERATE AUTHORIZATIONS 2440 01:33:52,193 --> 01:33:53,294 AWAY WASN'T SYNCHRONY. 2441 01:33:53,294 --> 01:33:55,597 YOU COULD REPORT YOUR TEST 2442 01:33:55,597 --> 01:33:57,232 ANONYMOUSLY, YOU SHOULD PUT THAT 2443 01:33:57,232 --> 01:33:59,067 BOOK MARK IN YOUR PHONES. 2444 01:33:59,067 --> 01:34:01,569 HOME TEST TO TREAT PROGRAM IS I 2445 01:34:01,569 --> 01:34:02,670 THINK THE FORERUNNER OF WHAT 2446 01:34:02,670 --> 01:34:05,206 WILL BE POPULAR IN THE FUTURE, 2447 01:34:05,206 --> 01:34:06,741 TESTING AND TREATING ENTIRELY IN 2448 01:34:06,741 --> 01:34:08,376 ONE STROKE AT HOME. 2449 01:34:08,376 --> 01:34:11,446 AND WE'VE FOCUSED ON TEST 2450 01:34:11,446 --> 01:34:12,080 REDESIGN FOR ACCESSIBILITY, SO 2451 01:34:12,080 --> 01:34:14,382 WE HAVE A NEW SERIES OF NEW 2452 01:34:14,382 --> 01:34:16,351 TESTS THAT ARE COMING OUT THAT 2453 01:34:16,351 --> 01:34:19,654 ARE MORE ACCESSIBLE TO PEOPLE 2454 01:34:19,654 --> 01:34:23,791 WITH VISUAL IMPAIRMENTS, 2455 01:34:23,791 --> 01:34:27,862 DEXTERITY, COGNITIVE, SIMPLER 2456 01:34:27,862 --> 01:34:28,696 AND MORE POWERFUL. 2457 01:34:28,696 --> 01:34:30,732 BOTTOM LINE AS YOU LOOK AT THE 2458 01:34:30,732 --> 01:34:32,033 INNOVATION FUNNEL AND 2459 01:34:32,033 --> 01:34:32,800 INDEPENDENT TEST ASSESSMENT 2460 01:34:32,800 --> 01:34:34,002 PROGRAM, PARTNERSHIP WITH THE 2461 01:34:34,002 --> 01:34:36,204 FDA, THOSE WERE THE TWO BIG 2462 01:34:36,204 --> 01:34:38,139 DRIVERS GETTING TESTS FROM THE 2463 01:34:38,139 --> 01:34:42,977 BENCH TOP TO FULLY DISSEMINATED 2464 01:34:42,977 --> 01:34:45,813 MATCHED DEVICES. 2465 01:34:45,813 --> 01:34:47,448 THEY ACCOUNT FOR INCREASE BY 8 2466 01:34:47,448 --> 01:34:50,552 BILLION TESTS OVER THREE YEARS. 2467 01:34:50,552 --> 01:34:56,457 PRIMARILY POINT OF CARE AND OVER 2468 01:34:56,457 --> 01:34:59,194 THE COUNTER TESTS, WE INCREASED 2469 01:34:59,194 --> 01:35:01,029 LABORATORY TESTS, ALL KINDS OF 2470 01:35:01,029 --> 01:35:01,796 TESTS. 2471 01:35:01,796 --> 01:35:04,365 THE BIG STORY IS DIAGNOSTIC 2472 01:35:04,365 --> 01:35:04,766 PARADIGM SHIFT. 2473 01:35:04,766 --> 01:35:08,870 IF WE LOOK AT FEBRUARY 2022, 2474 01:35:08,870 --> 01:35:10,138 THERE WERE 1 BILLION OVER THE 2475 01:35:10,138 --> 01:35:13,208 COUNTER TESTS DISTRIBUTED. 2476 01:35:13,208 --> 01:35:15,810 PRIOR TO THAT POINT, I THINK FOR 2477 01:35:15,810 --> 01:35:19,414 HOME PREGNANCY TESTS, THE TOLD, 2478 01:35:19,414 --> 01:35:20,081 BIGGEST AMOUNT, WAS ROUGHLY 8 2479 01:35:20,081 --> 01:35:22,684 MILLION IN A YEAR. 2480 01:35:22,684 --> 01:35:33,027 JUST IN FEBRUARY A BILLION TEST, 2481 01:35:33,027 --> 01:35:34,195 2.5 BILLION IN THE YEAR, A 2482 01:35:34,195 --> 01:35:35,730 PARADIGM SHIFT THAT WAS 2483 01:35:35,730 --> 01:35:36,864 REMARKABLE. 2484 01:35:36,864 --> 01:35:39,334 ONE SLIDE ON THIS, INCREDIBLY 2485 01:35:39,334 --> 01:35:40,668 IMPORTANT, OUR CLOSE PARTNERSHIP 2486 01:35:40,668 --> 01:35:41,869 WITH THE FDA. 2487 01:35:41,869 --> 01:35:44,272 USUALLY THE FDA IS QUITE 2488 01:35:44,272 --> 01:35:45,974 AMBIGUOUS, THEY SAY HERE'S THE 2489 01:35:45,974 --> 01:35:47,542 GENERAL GUIDELINES AND TELL US 2490 01:35:47,542 --> 01:35:48,209 WHAT GOT. 2491 01:35:48,209 --> 01:35:51,613 WE WORKED OUT A SERIES OF 2492 01:35:51,613 --> 01:35:52,947 MODULES IN ADVANCE, TESTING 2493 01:35:52,947 --> 01:35:58,186 COMPANIES WE WERE SORT OF THE 2494 01:35:58,186 --> 01:36:00,255 HONEST BROKER IN BETWEEN THE 2495 01:36:00,255 --> 01:36:03,224 COMMERCIAL ENTITY AND THE FDA 2496 01:36:03,224 --> 01:36:05,193 AND DESIGN CLINICAL TRIALS WITH 2497 01:36:05,193 --> 01:36:07,328 APPROVAL OF FDA AND TAKE ALL THE 2498 01:36:07,328 --> 01:36:09,697 DATA AS STREAMING OUT OF THE 2499 01:36:09,697 --> 01:36:10,632 CLINICAL AND ANALYTICAL STUDIES, 2500 01:36:10,632 --> 01:36:12,667 SHOW TO THE FDA IN REAL TIME, SO 2501 01:36:12,667 --> 01:36:17,138 THEY COULD MAKE A DECISION ON 2502 01:36:17,138 --> 01:36:18,873 EVERY MODULE TO CUT 2503 01:36:18,873 --> 01:36:21,175 AUTHORIZATION TO 50 TO 55 DAYS. 2504 01:36:21,175 --> 01:36:22,810 KIND OF REMARKABLE SINCE 2505 01:36:22,810 --> 01:36:28,650 NORMALLY THE AUTHORIZATIONS WERE 2506 01:36:28,650 --> 01:36:29,851 TAKING SIX MONTHS, EVERYBODY GOT 2507 01:36:29,851 --> 01:36:30,518 ON BOARD. 2508 01:36:30,518 --> 01:36:34,656 THE OUTPUT OF THAT ALONE 2509 01:36:34,656 --> 01:36:36,624 INCREASED TESTING CAPACITY BY 2510 01:36:36,624 --> 01:36:38,159 FOUR BILLION LATERAL FLOW 2511 01:36:38,159 --> 01:36:39,694 ASSAYS, RESULTED IN SIGNIFICANT 2512 01:36:39,694 --> 01:36:40,695 FDA POLICY CHANGES. 2513 01:36:40,695 --> 01:36:45,066 IF YOU USED YOUR TEST SERIALLY, 2514 01:36:45,066 --> 01:36:46,501 THAT SERIAL LABELING, A BLANKET 2515 01:36:46,501 --> 01:36:49,504 SERIAL LABELING FOR ALL 2516 01:36:49,504 --> 01:36:50,638 AUTHORIZED TESTs, CAME AS THE 2517 01:36:50,638 --> 01:36:52,407 RESULT OF LONGITUDINAL STUDIES 2518 01:36:52,407 --> 01:36:54,375 OF 7,000 SUBJECTS IN DIGITAL 2519 01:36:54,375 --> 01:36:54,609 TRIALS. 2520 01:36:54,609 --> 01:36:59,314 WE SHOWED IT VERY EARLY ON IN 2521 01:36:59,314 --> 01:37:01,616 THE PANDEMIC, IN A SMALL STUDY 2522 01:37:01,616 --> 01:37:04,252 UNIVERSITY OF ILLINOIS BUT FDA 2523 01:37:04,252 --> 01:37:10,058 WANTED OVERWHELMING EVIDENCE, WE 2524 01:37:10,058 --> 01:37:12,660 DID SHOCK AND AWE, TWO IN 48 2525 01:37:12,660 --> 01:37:18,700 HOURS WERE AS GOOD AS A SINGLE 2526 01:37:18,700 --> 01:37:20,368 NUCLEIC ACID TEST. 2527 01:37:20,368 --> 01:37:22,637 EARLY IN THE PANDEMIC YOU COULD 2528 01:37:22,637 --> 01:37:24,605 SAY PPA IS 95% BUT YOUR LIMIT OF 2529 01:37:24,605 --> 01:37:28,009 DETECTION MAY HAVE BEEN A 2530 01:37:28,009 --> 01:37:29,310 MILLION COPIES PER MILL. 2531 01:37:29,310 --> 01:37:31,612 IF THE VIRAL LOAD IS IN YOUR 2532 01:37:31,612 --> 01:37:33,915 POPULATION THAT WAS HIGH LIKE 2533 01:37:33,915 --> 01:37:36,851 THEY WERE, THEN EVERYTHING 2534 01:37:36,851 --> 01:37:40,254 LOOKED GOOD BUT LATER ON HAD 2535 01:37:40,254 --> 01:37:42,890 FLUCTUATIONS IN VIRAL LOADS, 2536 01:37:42,890 --> 01:37:46,828 ABLE TO DISCONNECT AND GET 2537 01:37:46,828 --> 01:37:48,262 AUTHORIZATIONS BASED ON LOD. 2538 01:37:48,262 --> 01:37:51,532 IT'S AN INTERESTING STORY. 2539 01:37:51,532 --> 01:37:53,968 STANDARDIZED ANALYTICAL MEASURES 2540 01:37:53,968 --> 01:37:56,704 WITH PEDIATRIC SELF-SWABBING, SO 2541 01:37:56,704 --> 01:38:00,274 KIDS HAD TO HAVE PARENTS SWAN. 2542 01:38:00,274 --> 01:38:01,509 KIDS WHO NATURALLY LIKE TO STICK 2543 01:38:01,509 --> 01:38:03,578 THEIR THINGS UP THEIR NOSES 2544 01:38:03,578 --> 01:38:05,446 COULD SWAB AS WELL, FDA SAID WE 2545 01:38:05,446 --> 01:38:08,416 BELIEVE IT, YOU CAN DO PEDIATRIC 2546 01:38:08,416 --> 01:38:08,783 SWABBING. 2547 01:38:08,783 --> 01:38:11,552 DIGITAL CLINICAL TRIALS. 2548 01:38:11,552 --> 01:38:13,654 AGAIN, A MAJOR ADVANCE, ENORMOUS 2549 01:38:13,654 --> 01:38:17,458 AREA FOR POTENTIAL GROWTH. 2550 01:38:17,458 --> 01:38:19,761 WE LOVE THE RADx PROGRAM BUT 2551 01:38:19,761 --> 01:38:21,529 THE CONCEPT IS STILL GOING ON. 2552 01:38:21,529 --> 01:38:25,666 WHILE WE MAY NOT BE DOING AS 2553 01:38:25,666 --> 01:38:27,535 INTENSIVELY COVID STUFF JUST 2554 01:38:27,535 --> 01:38:29,837 TAKING THE IDEA OF ACCELERATION 2555 01:38:29,837 --> 01:38:31,506 WITH INNOVATION FUNNEL AND 2556 01:38:31,506 --> 01:38:34,342 CLOSER RELATIONSHIPS WITH THE 2557 01:38:34,342 --> 01:38:36,177 ITAP PROGRAM WHICH CONTINUES, 2558 01:38:36,177 --> 01:38:37,111 WE'VE APPLIED TO OVER THE 2559 01:38:37,111 --> 01:38:40,982 COUNTER AND POINT OF CARE COVID 2560 01:38:40,982 --> 01:38:46,053 MULTIPLEX TESTS, A TESTS OUT 2561 01:38:46,053 --> 01:38:48,322 NOW, WE'VE INCREASED PERFORMANCE 2562 01:38:48,322 --> 01:38:50,625 OF TEST, COMING OUT, SO LIMITS 2563 01:38:50,625 --> 01:38:51,726 OF DETECTION ARE WAY BETTER THAN 2564 01:38:51,726 --> 01:38:54,929 THE ORIGINAL ROUND SO YOU CAN 2565 01:38:54,929 --> 01:38:57,098 ONLY DO ONE TEST. 2566 01:38:57,098 --> 01:39:00,568 WE GOT THE FIRST POINT OF CARE 2567 01:39:00,568 --> 01:39:04,071 Mpox AUTHORIZATION TEST, NOW 2568 01:39:04,071 --> 01:39:04,906 WORKING ACTIVELY ON MULTIPLEX 2569 01:39:04,906 --> 01:39:06,707 TEST WHICH OFFICE OF THE 2570 01:39:06,707 --> 01:39:12,313 DIRECTOR BOTH LARRY AND TARA 2571 01:39:12,313 --> 01:39:16,684 HAVE BEEN VERY EXPORTIVE. 2572 01:39:16,684 --> 01:39:19,487 HEP-C, THAT NEEDS A POINT OF 2573 01:39:19,487 --> 01:39:20,922 CARE DIAGNOSTICS FOR TEST TO 2574 01:39:20,922 --> 01:39:24,425 TREAT, HIV AND VIRAL LOAD, NIH 2575 01:39:24,425 --> 01:39:25,960 BLUEPRINT PROGRAM WHICH IS 2576 01:39:25,960 --> 01:39:27,728 CONSORTIUM OF 12 NIH INSTITUTES 2577 01:39:27,728 --> 01:39:30,565 ADVANCED MED TECH FOR 2578 01:39:30,565 --> 01:39:31,332 NEUROTECHNOLOGIES, MATERNAL 2579 01:39:31,332 --> 01:39:33,100 HEALTH TECHNOLOGIES WITH NICHD 2580 01:39:33,100 --> 01:39:34,936 AND OTHER NIH PARTNERS, THOSE 2581 01:39:34,936 --> 01:39:36,471 ARE ACTIVE PROGRAMMING WITH COOL 2582 01:39:36,471 --> 01:39:39,540 THINGS THAT ARE GOING ON AND WE 2583 01:39:39,540 --> 01:39:41,843 JUST LAUNCHED FETAL MONITORING 2584 01:39:41,843 --> 01:39:46,881 TECHNOLOGIES WITHIN NICHD, I'M 2585 01:39:46,881 --> 01:39:48,850 MEETING ON TUESDAY WITH OUR LEAD 2586 01:39:48,850 --> 01:39:51,452 ORGANIZER TO REVIEW ALL THE 2587 01:39:51,452 --> 01:39:52,286 APPLICATIONS. 2588 01:39:52,286 --> 01:39:53,788 WE HAVE WONDERFUL APPLICATIONS 2589 01:39:53,788 --> 01:39:55,323 COMING IN, SUPER EXCITED ABOUT 2590 01:39:55,323 --> 01:39:55,590 THAT. 2591 01:39:55,590 --> 01:39:57,158 SO WHAT'S NEXT? 2592 01:39:57,158 --> 01:40:00,094 THIS IS A PROJECTION OF THE HOME 2593 01:40:00,094 --> 01:40:01,629 MARKET GROWTH. 2594 01:40:01,629 --> 01:40:03,297 SO WHAT'S HAPPENED, BILLIONS OF 2595 01:40:03,297 --> 01:40:04,932 TESTS DISTRIBUTED OUT THERE, 2596 01:40:04,932 --> 01:40:06,701 PEOPLE ARE JUST EXPECTING TO BE 2597 01:40:06,701 --> 01:40:11,272 ABLE TO HAVE POWERFUL TOOLS AT 2598 01:40:11,272 --> 01:40:12,240 HOME. 2599 01:40:12,240 --> 01:40:14,542 WE SEE HOME AND POINT-OF-CARE 2600 01:40:14,542 --> 01:40:16,110 TESTS ARE REALLY WHAT CONSUMERS, 2601 01:40:16,110 --> 01:40:18,446 WHAT THE PUBLIC ARE LOOKING FOR. 2602 01:40:18,446 --> 01:40:21,249 THIS WILL CONTINUE TO GROW. 2603 01:40:21,249 --> 01:40:24,986 COVID PARADIGM SHIFT HAS DRIVEN 2604 01:40:24,986 --> 01:40:26,754 THIS AMAZING INVESTMENTS IN 2605 01:40:26,754 --> 01:40:27,922 DIAGNOSTICS DURING COVID NEED TO 2606 01:40:27,922 --> 01:40:30,124 BE LEVERAGED TO OTHER PATHOGENS 2607 01:40:30,124 --> 01:40:31,359 AND CHRONIC DISEASES. 2608 01:40:31,359 --> 01:40:35,162 AND THIS REALLY OPENS THE FIELD 2609 01:40:35,162 --> 01:40:39,433 TO PREVENTION AND NEW WAYS TO DO 2610 01:40:39,433 --> 01:40:41,402 DIAGNOSTIC-LED PRECISION 2611 01:40:41,402 --> 01:40:45,439 MEDICINE. 2612 01:40:45,439 --> 01:40:45,873 WITH TELEHEALTH AND 2613 01:40:45,873 --> 01:40:48,209 TELEMEDICINE, THIS IS AN 2614 01:40:48,209 --> 01:40:49,377 ENORMOUS OPPORTUNITY TO IMPROVE 2615 01:40:49,377 --> 01:40:50,711 ACCESS AND OUTCOME. 2616 01:40:50,711 --> 01:40:52,346 A BIG CHALLENGE IS HOW DO YOU 2617 01:40:52,346 --> 01:40:55,716 STANDARDIZE THESE THINGS? 2618 01:40:55,716 --> 01:40:57,618 IT'S THE WILD WEST. 2619 01:40:57,618 --> 01:40:59,220 THESE ARE ALL ESSENTIALLY 2620 01:40:59,220 --> 01:40:59,987 INVISIBLE TO THE ELECTRONIC 2621 01:40:59,987 --> 01:41:01,989 HEALTH RECORD AND THE 2622 01:41:01,989 --> 01:41:03,424 CONVENTIONAL HEALTH CARE SYSTEM. 2623 01:41:03,424 --> 01:41:06,227 SO THE PERSON MAY KNOW IT BUT 2624 01:41:06,227 --> 01:41:07,361 YOUR DOCTOR MAY NOT KNOW UNLESS 2625 01:41:07,361 --> 01:41:08,663 THEY TAKE YOUR WORD FOR IT. 2626 01:41:08,663 --> 01:41:11,165 THIS IS A MAJOR CHALLENGE. 2627 01:41:11,165 --> 01:41:13,034 WE NEED TO WORK PARTNERSHIPS IN 2628 01:41:13,034 --> 01:41:20,241 ORDER TO DO THAT. 2629 01:41:20,241 --> 01:41:21,909 >> OKAY. 2630 01:41:21,909 --> 01:41:22,843 ELISEO. 2631 01:41:22,843 --> 01:41:26,380 >> NOW FOR A DIFFERENT 2632 01:41:26,380 --> 01:41:27,815 PERSPECTIVE BUT EQUALLY BALANCED 2633 01:41:27,815 --> 01:41:29,116 WITH RADx PROGRAM. 2634 01:41:29,116 --> 01:41:32,386 YOU ALL WILL REMEMBER THAT IN 2635 01:41:32,386 --> 01:41:35,890 MARCH OF 2020, DR. FAUCI WITH 2636 01:41:35,890 --> 01:41:38,326 PRESIDENT TRUMP AT THE TIME 2637 01:41:38,326 --> 01:41:38,826 TALKED ABOUT THE 2638 01:41:38,826 --> 01:41:39,961 DISPROPORTIONATE BURDEN OF 2639 01:41:39,961 --> 01:41:40,962 AFRICAN AMERICAN COMMUNITIES 2640 01:41:40,962 --> 01:41:42,396 FROM COVID-19. 2641 01:41:42,396 --> 01:41:44,899 AND WHEN THIS TURNED OUT TO BE 2642 01:41:44,899 --> 01:41:48,202 AN INCREASE IN NOT ONLY CASES 2643 01:41:48,202 --> 01:41:50,271 BUT REALLY IN HOSPITALIZATIONS 2644 01:41:50,271 --> 01:41:53,808 AND DEATH, PRIMARILY BORN BY THE 2645 01:41:53,808 --> 01:41:55,109 LATINO OR HISPANIC COMMUNITY, 2646 01:41:55,109 --> 01:41:59,680 BLACK OR AFRICAN AMERICAN, 2647 01:41:59,680 --> 01:42:02,883 AMERICAN INDIAN AN ALASKA 2648 01:42:02,883 --> 01:42:04,752 NATIVE, QUITE STRIKING AND LED 2649 01:42:04,752 --> 01:42:06,253 FRANCIS AND LARRY TO ALLOCATE AT 2650 01:42:06,253 --> 01:42:08,990 THE TIME FUNDS FOR THE RADX-UP 2651 01:42:08,990 --> 01:42:11,058 FROM THE APPROPRIATIONS, WASN'T 2652 01:42:11,058 --> 01:42:12,727 DRIVEN BY THE SENATORS, IT WAS 2653 01:42:12,727 --> 01:42:14,562 REALLY FROM NIH. 2654 01:42:14,562 --> 01:42:17,865 AND WITH TARA AND RICHARD HODES 2655 01:42:17,865 --> 01:42:20,468 WE STOOD UP THE RADX-UP PROGRAM. 2656 01:42:20,468 --> 01:42:22,737 WE CAN'T TAKE CREDIT FOR WHAT 2657 01:42:22,737 --> 01:42:25,740 HAPPENED BUT WE WERE PART OF THE 2658 01:42:25,740 --> 01:42:26,273 SOLUTION. 2659 01:42:26,273 --> 01:42:27,608 THE VACCINATION RATES FOR LATINO 2660 01:42:27,608 --> 01:42:30,077 AND AFRICAN AMERICAN COMMUNITIES 2661 01:42:30,077 --> 01:42:32,647 BY SEPTEMBER OF 2022 WAS THE 2662 01:42:32,647 --> 01:42:34,382 SAME AS FOR WHITES. 2663 01:42:34,382 --> 01:42:37,318 CLOSE TO 70%. 2664 01:42:37,318 --> 01:42:42,356 WE SEE A PLUMMETING OF 2665 01:42:42,356 --> 01:42:43,891 HOSPITALIZATION AND DEATH RATES, 2666 01:42:43,891 --> 01:42:46,093 NOT EQUAL TO WHITES BUT MARKED 2667 01:42:46,093 --> 01:42:47,361 DECREASE FOR MOST AFFECTED 2668 01:42:47,361 --> 01:42:47,662 COMMUNITIES. 2669 01:42:47,662 --> 01:42:50,364 THE TWO TO THREE YEARS OF LOST 2670 01:42:50,364 --> 01:42:52,767 LIFE EXPECTANCY I FULLY EXPECT 2671 01:42:52,767 --> 01:42:54,001 WE'LL RECOVER A SIGNIFICANT 2672 01:42:54,001 --> 01:42:56,303 AMOUNT OF THAT. 2673 01:42:56,303 --> 01:42:58,372 SO, WHAT WAS RADX-UP? 2674 01:42:58,372 --> 01:43:00,675 SO, NOT QUITE LIKE INNOVATION 2675 01:43:00,675 --> 01:43:05,046 FUNNEL BUT IN THOSE EARLY DAYS 2676 01:43:05,046 --> 01:43:07,581 OF MAY AND JULY, MOBILIZING THE 2677 01:43:07,581 --> 01:43:09,650 RESEARCHERS THAT HAD MOSTLY BEEN 2678 01:43:09,650 --> 01:43:13,154 FUNDED BY NIH OVER THE COURSE OF 2679 01:43:13,154 --> 01:43:16,090 THE PRIOR 30 OR SO YEARS 2680 01:43:16,090 --> 01:43:18,626 INCLUDING MYSELF WHEN AT UCSF, 2681 01:43:18,626 --> 01:43:20,294 TO SAY WE NEED TO DO SOMETHING, 2682 01:43:20,294 --> 01:43:22,363 WE NEED TO GET PEOPLE INVOLVED 2683 01:43:22,363 --> 01:43:26,767 IN THIS, TO RESPOND TO THIS 2684 01:43:26,767 --> 01:43:27,868 PANDEMIC, SO COMMUNITY 2685 01:43:27,868 --> 01:43:29,403 ENGAGEMENT EXPERIENCE, GOING 2686 01:43:29,403 --> 01:43:30,705 THROUGH SUPPLEMENTS, THROUGH 2687 01:43:30,705 --> 01:43:32,339 EXISTING CENTERS AND GRANTS, 2688 01:43:32,339 --> 01:43:34,108 THAT HAD COMMUNITY ENGAGED 2689 01:43:34,108 --> 01:43:43,050 PROGRAM, PHASE 1 AND PHASE 1A 2690 01:43:43,050 --> 01:43:45,786 AND B WAS THE APPROACH, DOING A 2691 01:43:45,786 --> 01:43:49,957 RESEARCH PLAN TOGETHER WITH A 2692 01:43:49,957 --> 01:43:50,558 COMPRESSED TIME PARTNERSHIPS 2693 01:43:50,558 --> 01:43:53,994 BASED ON TRUST, MUTUAL BENEFITS, 2694 01:43:53,994 --> 01:43:56,297 COMPLEMENTARY SKILLS, FOCUS ON 2695 01:43:56,297 --> 01:43:56,831 HEALTH. 2696 01:43:56,831 --> 01:43:57,832 WE COULDN'T HAVE INVESTIGATORS 2697 01:43:57,832 --> 01:43:58,599 LEARN THESE SKILLS. 2698 01:43:58,599 --> 01:44:00,234 WE HAD TO GO TO PEOPLE WHO 2699 01:44:00,234 --> 01:44:01,769 ALREADY KNEW AND HAD THE 2700 01:44:01,769 --> 01:44:02,770 CONNECTIONS IN THE COMMUNITY. 2701 01:44:02,770 --> 01:44:06,240 FOR THE MOST PART I THINK WE 2702 01:44:06,240 --> 01:44:08,776 SUCCEEDED TO EXPAND CAPACITY, 2703 01:44:08,776 --> 01:44:11,178 DEPLOY TESTS, DO MITIGATION 2704 01:44:11,178 --> 01:44:12,279 STRATEGIES AND DEPLOY 2705 01:44:12,279 --> 01:44:12,713 INTERVENTIONS. 2706 01:44:12,713 --> 01:44:15,449 IN ADDITION THERE WAS A 2707 01:44:15,449 --> 01:44:18,219 COMPONENT OF SOCIAL, ETHICAL, 2708 01:44:18,219 --> 01:44:20,054 BEHAVIORAL FACTORS, TARA WAS THE 2709 01:44:20,054 --> 01:44:21,789 FIRST TO PROPOSE AMONGST US AS 2710 01:44:21,789 --> 01:44:23,424 WE WERE REALLY BUILDING THIS ON 2711 01:44:23,424 --> 01:44:26,193 THE FLY AS WE MOVED ON. 2712 01:44:26,193 --> 01:44:32,299 IN SUMMARY, WE'RE NOW IN PHASE 2713 01:44:32,299 --> 01:44:32,533 4. 2714 01:44:32,533 --> 01:44:35,269 PHASE 1 HAD TWO PARTS. 2715 01:44:35,269 --> 01:44:37,772 WE FUNDED A LOT OF PROJECTS 2716 01:44:37,772 --> 01:44:38,539 BETWEEN APRIL WHEN APPROPRIATED 2717 01:44:38,539 --> 01:44:40,641 TO END OF SEPTEMBER AND 2718 01:44:40,641 --> 01:44:43,277 BEGINNING OF OCTOBER, FOR THE 2719 01:44:43,277 --> 01:44:47,848 FIRST TWO 1A AND 1B PHASES. 2720 01:44:47,848 --> 01:44:51,652 MASSIVE AMOUNT OF WORK BY STAFF, 2721 01:44:51,652 --> 01:44:54,955 CO-LEADS, MONICA WEBB HOOPER 2722 01:44:54,955 --> 01:45:05,499 DEPUTY DIRECTOR NIMHD AND WILSON 2723 01:45:07,067 --> 01:45:07,601 COMPTON. 2724 01:45:07,601 --> 01:45:09,403 WHY CAN'T WE GET KIDS BACK IN 2725 01:45:09,403 --> 01:45:09,670 SCHOOL? 2726 01:45:09,670 --> 01:45:11,839 BEING OUT OF SCHOOL ON A SIDE 2727 01:45:11,839 --> 01:45:14,675 NOTE MAY BE ONE OF THE LASTING 2728 01:45:14,675 --> 01:45:15,976 ADVERSE EFFECTS OF THE RESPONSE 2729 01:45:15,976 --> 01:45:18,846 TO THE PANDEMIC THAT WE NEED TO 2730 01:45:18,846 --> 01:45:21,882 DEAL WITH AT SOME POINT. 2731 01:45:21,882 --> 01:45:23,751 THIS PROGRAM INITIALLY WAS CAN 2732 01:45:23,751 --> 01:45:26,153 WE GET KIDS BACK IN SCHOOL, IT 2733 01:45:26,153 --> 01:45:28,355 EVOLVED INTO STAYING IN SCHOOL, 2734 01:45:28,355 --> 01:45:30,424 BEING SAFE IN SCHOOL, CONTINUING 2735 01:45:30,424 --> 01:45:32,827 TO WORK ON SOCIAL, ETHICAL, 2736 01:45:32,827 --> 01:45:33,594 BEHAVIORAL BARRIERS. 2737 01:45:33,594 --> 01:45:36,664 THE VACCINE WAS OUT BY THEN. 2738 01:45:36,664 --> 01:45:39,600 ALSO WE WERE APPROPRIATED TO DO 2739 01:45:39,600 --> 01:45:41,368 TESTING, EXPANDED SLIGHTLY TO 2740 01:45:41,368 --> 01:45:43,437 INCLUDE ISSUES AROUND VACCINE 2741 01:45:43,437 --> 01:45:45,639 THAT WERE SECONDARY TO THE MAIN 2742 01:45:45,639 --> 01:45:45,840 GOALS. 2743 01:45:45,840 --> 01:45:48,342 BY PHASE 3 WE WERE FOCUSED ON 2744 01:45:48,342 --> 01:45:51,111 RAPID TESTING, WHAT YOU HEARD 2745 01:45:51,111 --> 01:45:52,746 FROM BRUCE WAS MORE 2746 01:45:52,746 --> 01:45:53,080 DISSEMINATED. 2747 01:45:53,080 --> 01:45:55,049 WE NO LONGER WERE PROPOSING OR 2748 01:45:55,049 --> 01:45:57,985 PEOPLE WERE DOING STUDIES USING 2749 01:45:57,985 --> 01:46:02,456 PCR TESTING BUT NOW DOING THE 2750 01:46:02,456 --> 01:46:04,325 HOME TEST, RAPID TEST APPROACH 2751 01:46:04,325 --> 01:46:07,361 FOCUSED ON THAT. 2752 01:46:07,361 --> 01:46:09,463 PHASE 4 WE'VE FUNDED ALREADY 2753 01:46:09,463 --> 01:46:13,434 FOUR R21s TO DO CROSS-STUDY 2754 01:46:13,434 --> 01:46:20,574 ANALYTICS, IMPLEMENTATION, 2755 01:46:20,574 --> 01:46:21,308 DISSEMINATION AND IMPLEMENTATION 2756 01:46:21,308 --> 01:46:22,276 PROJECTS. 2757 01:46:22,276 --> 01:46:24,178 THIS IS A SNAPSHOT OUR CENTER 2758 01:46:24,178 --> 01:46:25,312 FOR DATA COORDINATION GATHERED 2759 01:46:25,312 --> 01:46:26,947 TOGETHER. 2760 01:46:26,947 --> 01:46:29,884 THIS IS FUNDED AT DUKE, UNC. 2761 01:46:29,884 --> 01:46:35,556 GISELLE IS ON THE MEETING WAS A 2762 01:46:35,556 --> 01:46:38,192 CO-P.I. AROUND CRITICAL LEADER 2763 01:46:38,192 --> 01:46:48,702 WITH WARREN KICKY AND MICKEY, 2764 01:46:51,505 --> 01:46:54,174 450,000 TESTS, LAUNCHED BY THE 2765 01:46:54,174 --> 01:46:57,244 CDCC AND RAPID RESEARCH AWARDS. 2766 01:46:57,244 --> 01:47:00,648 SO THIS IS THE MAP WE GREW TO 2767 01:47:00,648 --> 01:47:03,784 SHOW AND LOVE. 2768 01:47:03,784 --> 01:47:05,753 WE REALLY INCLUDED ALL 50 2769 01:47:05,753 --> 01:47:07,621 STATES, U.S. TERRITORIES, 2770 01:47:07,621 --> 01:47:10,057 INCLUDING PACIFIC THAT ARE NOT 2771 01:47:10,057 --> 01:47:16,063 SHOWN ON THIS SLIDE. 2772 01:47:16,063 --> 01:47:18,032 HAWAII AND PACIFIC TERRITORIES, 2773 01:47:18,032 --> 01:47:18,799 EIGHT TIME ZONES, COORDINATING 2774 01:47:18,799 --> 01:47:21,268 CENTER IN NORTH CAROLINA. 2775 01:47:21,268 --> 01:47:23,504 EVEN THOUGH NOT EVERYBODY STATE 2776 01:47:23,504 --> 01:47:25,372 HAD AN AWARD, THERE WERE 2777 01:47:25,372 --> 01:47:27,207 PARTICIPANTS INVOLVED FROM EVERY 2778 01:47:27,207 --> 01:47:27,641 STATE. 2779 01:47:27,641 --> 01:47:29,510 I'LL MENTION NOW AND SUSAN WILL 2780 01:47:29,510 --> 01:47:32,479 TALK MORE ABOUT THIS, THAT WE 2781 01:47:32,479 --> 01:47:36,216 FUNDED TEN PROJECTS FOCUSED ON 2782 01:47:36,216 --> 01:47:38,385 TRIBAL COMMUNITIES, THESE ARE -- 2783 01:47:38,385 --> 01:47:40,587 YOU'LL HEAR MORE FROM SUSAN ON 2784 01:47:40,587 --> 01:47:43,424 THE TRIBAL DATA REPOSITORY 2785 01:47:43,424 --> 01:47:47,261 APPROACH, BUT WE FOCUSED ON THE 2786 01:47:47,261 --> 01:47:48,629 POPULATIONS DISPROPORTIONATELY 2787 01:47:48,629 --> 01:47:52,066 AFFECTED, SO AFRICAN AMERICANS, 2788 01:47:52,066 --> 01:47:55,369 LATINOS, AMERICAN INDIANS, 2789 01:47:55,369 --> 01:47:57,638 ALASKA NATIVES, ASIAN, NATIVE 2790 01:47:57,638 --> 01:47:58,405 HAWAIIANS, PACIFIC ISLANDERS, 2791 01:47:58,405 --> 01:48:00,808 VULNERABLE POPULATIONS FROM 2792 01:48:00,808 --> 01:48:01,909 MEDICAL OR SOCIAL PERSPECTIVE, 2793 01:48:01,909 --> 01:48:03,777 THE EXPANSION WAS BROAD AND 2794 01:48:03,777 --> 01:48:05,212 WE'RE NOW SEEING SORT OF THE 2795 01:48:05,212 --> 01:48:08,048 PRODUCTS OF IT. 2796 01:48:08,048 --> 01:48:09,583 THE SCHOOL-BASED PROGRAM WHICH 2797 01:48:09,583 --> 01:48:12,219 INCLUDED ABOUT $50 MILLION WORTH 2798 01:48:12,219 --> 01:48:14,388 OF AWARDS PUBLISHED TWO 2799 01:48:14,388 --> 01:48:18,792 SUPPLEMENTS IN PEDIATRICS, THE 2800 01:48:18,792 --> 01:48:19,460 RADX-UP COMMUNITY-BASED PROGRAM, 2801 01:48:19,460 --> 01:48:22,096 A YEAR AGO IN THE AMERICAN 2802 01:48:22,096 --> 01:48:27,735 JOURNAL OF PUBLIC HEALTH, PEER 2803 01:48:27,735 --> 01:48:28,369 REVIEWED COMPETITIVE SUBMISSIONS 2804 01:48:28,369 --> 01:48:30,838 I THINK MAYBE A THIRD OF THE 2805 01:48:30,838 --> 01:48:33,140 ONES SUBMITTED ENDED UP IN THE 2806 01:48:33,140 --> 01:48:34,008 JOURNAL. 2807 01:48:34,008 --> 01:48:36,310 WE WROTE -- CO-AUTHORED AN 2808 01:48:36,310 --> 01:48:37,644 EDITORIAL SORT OF MAKING THE 2809 01:48:37,644 --> 01:48:37,845 POINT. 2810 01:48:37,845 --> 01:48:39,613 THEY ARE WORKING ON A SECOND 2811 01:48:39,613 --> 01:48:41,715 SUPPLEMENT ABOUT TO COME OUT 2812 01:48:41,715 --> 01:48:43,984 LATER THIS -- IN EARLY 2024 AND 2813 01:48:43,984 --> 01:48:45,719 WE'LL SEE WHERE THAT LEADS. 2814 01:48:45,719 --> 01:48:48,722 THERE'S ALSO A NUMBER OF 2815 01:48:48,722 --> 01:48:49,590 INDIVIDUAL PUBLICATIONS MIGHT BE 2816 01:48:49,590 --> 01:48:51,892 WORTH CALLING OUT TOO. 2817 01:48:51,892 --> 01:48:55,829 THIS IS ON KEEPING CHILDREN SAFE 2818 01:48:55,829 --> 01:48:58,799 IN SCHOOL, OFFERING IN-SCHOOL 2819 01:48:58,799 --> 01:49:00,000 TESTING, INCREASED TESTING 2820 01:49:00,000 --> 01:49:01,735 UPTAKE, NURSING STAFF WERE 2821 01:49:01,735 --> 01:49:04,471 CRITICAL, ON SITE, WHAT TO DO 2822 01:49:04,471 --> 01:49:05,773 WITH POSITIVE TEST, MOTIVATIONS 2823 01:49:05,773 --> 01:49:12,479 WAS TO NOT HAVE CHILDREN BE SENT 2824 01:49:12,479 --> 01:49:14,214 HOME AND QUARANTINED LONG 2825 01:49:14,214 --> 01:49:15,783 PERIODS OF TIME, SHORTENING THE 2826 01:49:15,783 --> 01:49:18,952 PERIOD KIDS WERE ABLE TO BE IN 2827 01:49:18,952 --> 01:49:20,454 SCHOOL -- KEPT THEM FROM GOING 2828 01:49:20,454 --> 01:49:24,191 HOME AND STAYING HOME WHICH WE 2829 01:49:24,191 --> 01:49:26,260 KNOW ADVERSE EFFECTS THAT HAD. 2830 01:49:26,260 --> 01:49:29,863 IN THIS STUDY THERE WERE OVER 2831 01:49:29,863 --> 01:49:31,098 3,000 LATINO HISPANIC 2832 01:49:31,098 --> 01:49:31,732 INDIVIDUALS TESTS. 2833 01:49:31,732 --> 01:49:34,401 YOU IS IT CAN SEE THERE WAS A 2834 01:49:34,401 --> 01:49:37,771 FOCUS ON THE SUBPOPULATIONS, 2835 01:49:37,771 --> 01:49:40,507 COMPARISONS TO MEXICANS, SOUTH 2836 01:49:40,507 --> 01:49:44,678 AMERICANS WERE MORE LIKELY TO 2837 01:49:44,678 --> 01:49:46,847 HAVE BEEN VACCINATED, SPAN 2838 01:49:46,847 --> 01:49:47,514 SHALL-SPEAKING INDIVIDUALS MORE 2839 01:49:47,514 --> 01:49:48,916 LIKELY TO BE VACCINATED PARTLY 2840 01:49:48,916 --> 01:49:51,351 IN PART DUE TO EFFECT IN LATIN 2841 01:49:51,351 --> 01:49:53,854 AMERICA THE UPTAKE OF VACCINES 2842 01:49:53,854 --> 01:49:55,923 WAS SOMETHING COMMON AND BROAD, 2843 01:49:55,923 --> 01:49:58,892 THE VACCINATION RATES FOR 2844 01:49:58,892 --> 01:49:59,860 CHILDHOOD VACCINATIONS APPROVED 2845 01:49:59,860 --> 01:50:01,028 BY THE AMERICAN COUNTRIES IS 2846 01:50:01,028 --> 01:50:03,030 COMPARABLE TO THE UNITED STATES. 2847 01:50:03,030 --> 01:50:07,301 SO THE CULTURE WAS NOT ANTI-VAX 2848 01:50:07,301 --> 01:50:08,735 BUT MORE PRO. 2849 01:50:08,735 --> 01:50:10,704 YOU CAN SEE THAT REFLECTED IN 2850 01:50:10,704 --> 01:50:11,705 THESE DATA. 2851 01:50:11,705 --> 01:50:13,774 TO WIND UP, WHAT DID WE LEARN 2852 01:50:13,774 --> 01:50:14,675 FROM THIS? 2853 01:50:14,675 --> 01:50:16,443 WHAT HAVE WE LEARNED? 2854 01:50:16,443 --> 01:50:17,277 WE'RE NOT DONE YET. 2855 01:50:17,277 --> 01:50:19,913 WE HAVE A WHILE TO GO TO FINISH 2856 01:50:19,913 --> 01:50:21,215 THE PROJECT. 2857 01:50:21,215 --> 01:50:22,549 SUPPORTING THIS COMMUNITY 2858 01:50:22,549 --> 01:50:24,284 ENGAGED NETWORK OF THESE 2859 01:50:24,284 --> 01:50:26,587 COMMUNITY ACADEMIC PARTNERSHIPS 2860 01:50:26,587 --> 01:50:29,656 ON A MASSIVE SCALE IN A RUSHED 2861 01:50:29,656 --> 01:50:32,159 CONTEXT TO ADDRESS A PANDEMIC, 2862 01:50:32,159 --> 01:50:34,461 SO PUBLIC HEALTH EMERGENCY, WE 2863 01:50:34,461 --> 01:50:35,762 WERE ABLE TO IMPLEMENT 2864 01:50:35,762 --> 01:50:37,197 PRINCIPLES OF THINGS THAT PEOPLE 2865 01:50:37,197 --> 01:50:38,799 HAD BEEN WORKING ON FOR A LONG, 2866 01:50:38,799 --> 01:50:39,800 LONG TIME. 2867 01:50:39,800 --> 01:50:41,902 OF COURSE, WE MADE MANY 2868 01:50:41,902 --> 01:50:42,202 MISTAKES. 2869 01:50:42,202 --> 01:50:43,570 IT'S OPTIMALLY NOT SOMETHING YOU 2870 01:50:43,570 --> 01:50:44,838 DO IN EIGHT MONTHS. 2871 01:50:44,838 --> 01:50:47,274 IT'S SOMETHING YOU DO WITH MORE 2872 01:50:47,274 --> 01:50:49,343 MUTUAL EXCHANGE AND PARTNERSHIP 2873 01:50:49,343 --> 01:50:51,778 AND DEVELOPMENT, BUT WE SHOW IT 2874 01:50:51,778 --> 01:50:54,515 DO BE DONE AND PRIMARILY IN A 2875 01:50:54,515 --> 01:50:56,583 POSITIVE -- WITH POSITIVE 2876 01:50:56,583 --> 01:50:57,050 RESULTS. 2877 01:50:57,050 --> 01:51:00,420 WE GOT OVER 80% OF PROJECTS TO 2878 01:51:00,420 --> 01:51:02,389 DO COMMON DATA ELEMENTS ON A 2879 01:51:02,389 --> 01:51:05,359 SAID AGREED UPON BY NIH ACROSS 2880 01:51:05,359 --> 01:51:07,895 THE BOARD AND THEN ON RADX-UP 2881 01:51:07,895 --> 01:51:10,164 THERE WAS A SECOND SET OF COMMON 2882 01:51:10,164 --> 01:51:11,598 DATA ELEMENTS THAT WERE 2883 01:51:11,598 --> 01:51:13,567 IMPLEMENTED BY THE MAJORITY OF 2884 01:51:13,567 --> 01:51:13,934 PROJECTS. 2885 01:51:13,934 --> 01:51:14,768 IDEALLY I THOUGHT EVERYBODY 2886 01:51:14,768 --> 01:51:16,637 SHOULD DO IT, RIGHT? 2887 01:51:16,637 --> 01:51:18,372 SCIENTIFIC ARGUMENT WAS THERE 2888 01:51:18,372 --> 01:51:19,673 BUT THERE WERE ALWAYS 100 2889 01:51:19,673 --> 01:51:22,442 REASONS WHY DIFFERENT PROJECTS 2890 01:51:22,442 --> 01:51:25,612 DIDN'T WANT TO DO. 2891 01:51:25,612 --> 01:51:26,580 SOME WERE LEGITIMATE, OTHERS 2892 01:51:26,580 --> 01:51:29,216 WERE WE CAN'T DO THAT TO THE 2893 01:51:29,216 --> 01:51:32,386 COMMUNITY, HAVE YOU TESTED? 2894 01:51:32,386 --> 01:51:32,553 NO. 2895 01:51:32,553 --> 01:51:34,922 THERE WERE COMMON THREADS. 2896 01:51:34,922 --> 01:51:36,657 A BIG LEARNING LESSON. 2897 01:51:36,657 --> 01:51:43,330 WE'VE EMBRACED THIS IN NIMHD. 2898 01:51:43,330 --> 01:51:46,266 DATA SHARING, CENTRAL 2899 01:51:46,266 --> 01:51:50,470 REPOSITORY, THAT MECHANISM 2900 01:51:50,470 --> 01:51:51,572 COMMUNITY-ENGAGED NETWORK 2901 01:51:51,572 --> 01:51:53,073 DISSEMINATE AND RETURN RESULTS, 2902 01:51:53,073 --> 01:51:54,308 WE DIDN'T LEVERAGE BECAUSE THAT 2903 01:51:54,308 --> 01:51:56,476 WASN'T OUR GOAL BUT THERE'S A 2904 01:51:56,476 --> 01:51:57,477 TREMENDOUS AMOUNT OF POTENTIAL 2905 01:51:57,477 --> 01:51:58,779 AND THERE ARE OTHER ACTIVITIES 2906 01:51:58,779 --> 01:52:00,280 THAT WILL DO THAT. 2907 01:52:00,280 --> 01:52:04,785 THEN HOW MUCH EFFORT IT TAKES TO 2908 01:52:04,785 --> 01:52:06,987 CONTINUOUSLY SUSTAIN TRUST. 2909 01:52:06,987 --> 01:52:08,622 YOU NEED COMMITTED SCIENTISTS 2910 01:52:08,622 --> 01:52:10,924 WILLING TO WALK THE STREET, GO 2911 01:52:10,924 --> 01:52:13,527 TO THE CURBSIDE AND WORK WITH 2912 01:52:13,527 --> 01:52:15,295 INDIVIDUALS IN THE COMMUNITY AS 2913 01:52:15,295 --> 01:52:17,264 WELL AS LEADERS IN THAT 2914 01:52:17,264 --> 01:52:18,398 COMMUNITY THAT UNDERSTAND OUR 2915 01:52:18,398 --> 01:52:20,100 PERSPECTIVE ON THIS SO THAT WE 2916 01:52:20,100 --> 01:52:21,301 CAN WORK TOGETHER. 2917 01:52:21,301 --> 01:52:24,571 OF COURSE, THEY DO VALUE 2918 01:52:24,571 --> 01:52:26,006 TREMENDOUSLY WHEN NIH IS AT THE 2919 01:52:26,006 --> 01:52:30,043 STABLE AS -- TABLE AS WELL. 2920 01:52:30,043 --> 01:52:31,778 I'LL STOP AND TURN IT BACK. 2921 01:52:31,778 --> 01:52:32,679 >> TEAM WORK. 2922 01:52:32,679 --> 01:52:38,585 WOULD YOU MIND ADVANCING THE 2923 01:52:38,585 --> 01:52:39,419 SLIDES FOR ME. 2924 01:52:39,419 --> 01:52:39,953 >> I'M GOING TO. 2925 01:52:39,953 --> 01:52:42,189 >> SO I CAN LOOK AT THE 2926 01:52:42,189 --> 01:52:43,156 AUDIENCE. 2927 01:52:43,156 --> 01:52:47,194 I'LL TELL YOU ABOUT THE RADx 2928 01:52:47,194 --> 01:52:47,661 RAD PROGRAM. 2929 01:52:47,661 --> 01:52:50,597 I RECOGNIZE WHILE I WAS THE 2930 01:52:50,597 --> 01:52:53,033 PROGRAM CHAIR, IT WAS JUDITH 2931 01:52:53,033 --> 01:52:57,604 COOPER DEPUTY DIRECTOR AT NIDCD 2932 01:52:57,604 --> 01:53:03,844 AND TRISH POWELL, NIAAA 2933 01:53:03,844 --> 01:53:08,215 ASSEMBLED A TALENTED WORKING 2934 01:53:08,215 --> 01:53:15,422 GROUP, 12 PROGRAM OFFICERS 2935 01:53:15,422 --> 01:53:17,291 ACROSS 7 ICs THAT MADE THIS 2936 01:53:17,291 --> 01:53:17,524 HAPPEN. 2937 01:53:17,524 --> 01:53:19,726 MY HAT'S OFF TO THEM. 2938 01:53:19,726 --> 01:53:25,966 NEXT SLIDE. 2939 01:53:25,966 --> 01:53:29,469 PAY ATTENTION HERE. 2940 01:53:29,469 --> 01:53:32,205 RADx RAD PROGRAM IS REALLY 2941 01:53:32,205 --> 01:53:35,942 ABOUT ADVANCING INNOVATIVE 2942 01:53:35,942 --> 01:53:37,678 RADICAL NEW NON-TRADITIONAL 2943 01:53:37,678 --> 01:53:39,780 APPROACH FOR SARS-COV-2 TESTING, 2944 01:53:39,780 --> 01:53:41,648 BUT ALSO TECHNOLOGIES THAT COULD 2945 01:53:41,648 --> 01:53:42,749 BE APPLICABLE, THAT COULD HELP 2946 01:53:42,749 --> 01:53:44,918 POSITION THE NATION FOR THE NEXT 2947 01:53:44,918 --> 01:53:46,219 PANDEMIC THAT'S INEVITABLY GOING 2948 01:53:46,219 --> 01:53:48,188 TO BE COMING DOWN THE ROAD. 2949 01:53:48,188 --> 01:53:50,490 SO, WHAT KIND OF INNOVATIVE NEW 2950 01:53:50,490 --> 01:53:52,392 TECHNOLOGIES CAN WE DEVELOP AND 2951 01:53:52,392 --> 01:53:52,926 DEPLOY? 2952 01:53:52,926 --> 01:53:56,229 THERE WERE TWO PHASES. 2953 01:53:56,229 --> 01:54:02,602 PHASE 1 INVOLVED $108 MILLION 2954 01:54:02,602 --> 01:54:05,739 THAT WAS DEPLOYED TO 49 AWARDS 2955 01:54:05,739 --> 01:54:08,709 TO 45 INSTITUTIONS, 20 STATES, A 2956 01:54:08,709 --> 01:54:10,911 COUPLE OF SMALL AWARDS. 2957 01:54:10,911 --> 01:54:13,113 I DON'T HAVE TIME IN MY 2958 01:54:13,113 --> 01:54:15,182 REMAINING EIGHT MINUTES TO GO 2959 01:54:15,182 --> 01:54:17,484 THROUGH ALL EIGHT AREAS BUT 2960 01:54:17,484 --> 01:54:20,454 THERE WERE SOME PROJECTS THAT 2961 01:54:20,454 --> 01:54:23,824 INVOLVED THE DEVELOPMENT OF NEW 2962 01:54:23,824 --> 01:54:29,629 MACHINES, A GREAT EXAMPLE HAS 2963 01:54:29,629 --> 01:54:32,265 BEEN DAN TAGLE FROM NCATS, 2964 01:54:32,265 --> 01:54:37,170 DEVELOPING THE ELECTRONIC NOSE. 2965 01:54:37,170 --> 01:54:41,975 PEOPLE INFECTED WITH SARS-COV-2 2966 01:54:41,975 --> 01:54:43,343 EMIT SPECIFIC VOLATILE ORGANIC 2967 01:54:43,343 --> 01:54:45,812 COMPOUNDS ON THE SKIN OR BREATH. 2968 01:54:45,812 --> 01:54:48,215 THEY DEVELOPED A MACHINE TO 2969 01:54:48,215 --> 01:54:50,083 DETECT THESE VOLATILE ORGANIC 2970 01:54:50,083 --> 01:54:50,350 COMPOUND. 2971 01:54:50,350 --> 01:54:53,153 IMAGINE THE NEXT PANDEMIC IF 2972 01:54:53,153 --> 01:54:54,354 YOU'RE BOARDING YOUR PLANE, 2973 01:54:54,354 --> 01:54:55,889 SOMETHING SUSPICIOUS THAT YOU 2974 01:54:55,889 --> 01:54:58,625 MAY BE INFECTED, THERE MAY BE A 2975 01:54:58,625 --> 01:55:00,694 BREATHALYZER TEST TO DETERMINE 2976 01:55:00,694 --> 01:55:02,562 WHETHER OR NOT YOU'RE INFECTED. 2977 01:55:02,562 --> 01:55:04,431 NOT ALL PROJECTS INVOLVE HIGH 2978 01:55:04,431 --> 01:55:05,966 TECH INSTRUMENTATION. 2979 01:55:05,966 --> 01:55:10,103 A GREAT EXAMPLE WAS SUSAN 2980 01:55:10,103 --> 01:55:14,608 SULLIVAN AT NIDCD DEPLOYED -- 2981 01:55:14,608 --> 01:55:15,142 DIFFERENT FLAVORED 2982 01:55:15,142 --> 01:55:15,776 CONFECTIONARIES, CANDIES. 2983 01:55:15,776 --> 01:55:19,846 MANY OF YOU KNOW PEOPLE 2984 01:55:19,846 --> 01:55:21,915 INFECTED, AT LEAST EARLY 2985 01:55:21,915 --> 01:55:24,317 VARIANTS, SENSE OF TASTE AND 2986 01:55:24,317 --> 01:55:24,684 SMELL. 2987 01:55:24,684 --> 01:55:26,720 HIGHLY EFFECTIVE TO DETERMINE 2988 01:55:26,720 --> 01:55:28,588 WHO WAS INFECTED. 2989 01:55:28,588 --> 01:55:29,456 TALKING ABOUT PEDIATRIC 2990 01:55:29,456 --> 01:55:36,163 PATIENTS, EASIER TO GIVE KIDS A 2991 01:55:36,163 --> 01:55:39,866 PIECE OF CANDIES THAN JAM A 2992 01:55:39,866 --> 01:55:42,169 COTTON SWAB UP THE NOSE. 2993 01:55:42,169 --> 01:55:44,337 I'VE DESCRIBE FOUR PROJECTS 2994 01:55:44,337 --> 01:55:46,540 THROUGH THE PROGRAM. 2995 01:55:46,540 --> 01:55:47,674 PHASE 2 INVOLVED DEPLOYING $75 2996 01:55:47,674 --> 01:55:49,910 MILLION OF FUNDING TO TAKE 2997 01:55:49,910 --> 01:55:52,345 PROMISING PROJECTS FROM PHASE 1 2998 01:55:52,345 --> 01:55:54,548 AND HELP THEM COMMERCIALIZE. 2999 01:55:54,548 --> 01:55:57,384 PART OF PHASE 2 ALSO I THINK 3000 01:55:57,384 --> 01:55:59,453 SOMETHING THAT TARA BROUGHT UP 3001 01:55:59,453 --> 01:56:01,521 INITIALLY, THIS WHOLE ISSUE OF 3002 01:56:01,521 --> 01:56:02,088 LONG COVID. 3003 01:56:02,088 --> 01:56:04,691 SO THERE ARE ALL OF THESE 3004 01:56:04,691 --> 01:56:06,693 ACCUMULATING DATASETS, SO THERE 3005 01:56:06,693 --> 01:56:09,729 WERE SOME INDIVIDUALS FROM A FEW 3006 01:56:09,729 --> 01:56:11,498 I.C.s THAT DECIDED THEY WANTED 3007 01:56:11,498 --> 01:56:15,202 TO LAUNCH THE LONG COVID 3008 01:56:15,202 --> 01:56:16,970 COMPUTATIONAL CHALLENGE. 3009 01:56:16,970 --> 01:56:19,372 N3C CHALLENGE TO DEVELOP 3010 01:56:19,372 --> 01:56:22,976 INNOVATIVE A.I. AND M.L. TOOLS 3011 01:56:22,976 --> 01:56:24,945 TO SORT THROUGH DATASETS. 3012 01:56:24,945 --> 01:56:32,252 THEY HAVE DEVELOPED REMARKABLY 3013 01:56:32,252 --> 01:56:33,386 COOL TOOLS. 3014 01:56:33,386 --> 01:56:35,355 THERE WERE EIGHT CATEGORIES OF 3015 01:56:35,355 --> 01:56:37,657 PROJECTS SUPPORTED. 3016 01:56:37,657 --> 01:56:40,961 ON THE RIGHT THE DATA 3017 01:56:40,961 --> 01:56:41,728 COORDINATION CENTER, ALL THE 3018 01:56:41,728 --> 01:56:44,664 DATA FROM THESE PROJECTS WAS 3019 01:56:44,664 --> 01:56:47,734 ASSEMBLED BY THE DCCC, FED INTO 3020 01:56:47,734 --> 01:56:50,804 SUSAN AND COLLEAGUES INTO THE 3021 01:56:50,804 --> 01:56:52,906 RADx DATA HUB. 3022 01:56:52,906 --> 01:56:55,175 THE FIRST ONE IS WASTE WATER 3023 01:56:55,175 --> 01:56:56,042 DETECTION. 3024 01:56:56,042 --> 01:57:00,347 I WAS PRETTY SKEPTICAL EARLY ON. 3025 01:57:00,347 --> 01:57:03,416 LARRY KNOWS THAT. 3026 01:57:03,416 --> 01:57:06,119 AND ACTUALLY LEONARDO ANGELONI 3027 01:57:06,119 --> 01:57:07,988 IN NIDA, PROGRAM OFFICER, WHO 3028 01:57:07,988 --> 01:57:09,656 CONVINCED ME OTHERWISE. 3029 01:57:09,656 --> 01:57:11,057 THE IDEA IS SIMPLE. 3030 01:57:11,057 --> 01:57:14,327 ARE THE PEOPLE WHO ARE INFECTED, 3031 01:57:14,327 --> 01:57:16,096 DUGS THE VIRUS FROM THE JAILS 3032 01:57:16,096 --> 01:57:17,397 THEY ARE IN, DORMITORIES THEY 3033 01:57:17,397 --> 01:57:19,499 ARE IN, HOSPITALS THEY ARE IN, 3034 01:57:19,499 --> 01:57:21,001 COMMUNITIES THEY ARE IN, DOES 3035 01:57:21,001 --> 01:57:23,770 THIS VIRUS ACTUALLY MAKE IT INTO 3036 01:57:23,770 --> 01:57:24,337 WASTE WATER? 3037 01:57:24,337 --> 01:57:27,607 SECONDLY IS THERE A WAY TO 3038 01:57:27,607 --> 01:57:29,576 CORRELATE LEVEL OF SARS-COV-2 OR 3039 01:57:29,576 --> 01:57:31,745 VIRUS IN WASTE WATER WITH 3040 01:57:31,745 --> 01:57:33,079 CLINICAL OUTCOMES IN THE 3041 01:57:33,079 --> 01:57:34,347 COMMUNITIES? 3042 01:57:34,347 --> 01:57:36,683 BOTTOM LINE AFTER FUNDING THESE 3043 01:57:36,683 --> 01:57:40,053 THE ANSWER IS YES AND YES, IT 3044 01:57:40,053 --> 01:57:43,657 ENDS UP IN WASTE WATER, GRANTEES 3045 01:57:43,657 --> 01:57:45,759 DEVELOPED INNOVATIVE TOOLS FOR 3046 01:57:45,759 --> 01:57:46,793 PROCESSING WASTE WATER AND 3047 01:57:46,793 --> 01:57:48,194 ACTUALLY A GROUP AT THE 3048 01:57:48,194 --> 01:57:51,464 UNIVERSITY OF NORTH CAROLINA 3049 01:57:51,464 --> 01:57:56,069 CHEMISTRY DEPARTMENT THAT 3050 01:57:56,069 --> 01:57:58,038 DEVELOPED A DIGITAL PCR MACHINE, 3051 01:57:58,038 --> 01:58:03,410 A SMALL TWO BY TWO CENTIMETER 3052 01:58:03,410 --> 01:58:03,944 CHIP. 3053 01:58:03,944 --> 01:58:07,147 THEY USED INCREDIBLY CLEVER 3054 01:58:07,147 --> 01:58:08,448 FLUORESCENCE MULTI-TASKING 3055 01:58:08,448 --> 01:58:10,984 STRATEGIES TO LOOK AT MULTIPLE 3056 01:58:10,984 --> 01:58:12,819 SEQUENCE VARIANTS WITHIN THE 3057 01:58:12,819 --> 01:58:15,522 VIRUS AND OTHER INFECTIOUS 3058 01:58:15,522 --> 01:58:15,789 AGENTS. 3059 01:58:15,789 --> 01:58:16,523 HIGHLY PRODUCTIVE PROGRAM, MANY 3060 01:58:16,523 --> 01:58:18,725 OF YOU MAY KNOW THIS IS BEING 3061 01:58:18,725 --> 01:58:20,794 USED BY MANY COMMUNITIES 3062 01:58:20,794 --> 01:58:25,065 INCLUDING MY OWN TO MONITOR THE 3063 01:58:25,065 --> 01:58:25,532 PANDEMIC. 3064 01:58:25,532 --> 01:58:28,568 SO NEXT SLIDE. 3065 01:58:28,568 --> 01:58:34,574 SO ANOTHER -- NEXT SLIDE. 3066 01:58:34,574 --> 01:58:37,344 THERE WE ARE. 3067 01:58:37,344 --> 01:58:40,513 THIS IS THE EXOSOME TECHNOLOGY. 3068 01:58:40,513 --> 01:58:43,450 THERE ARE ARE THESE 3069 01:58:43,450 --> 01:58:45,218 EXTRACELLULAR VESICLES, EVS, 3070 01:58:45,218 --> 01:58:48,722 THAT BRANCH, BUD OFF EUKARYOTIC 3071 01:58:48,722 --> 01:58:48,922 CELLS. 3072 01:58:48,922 --> 01:58:51,358 TURNS OUT THAT DAN TAGLE IN 3073 01:58:51,358 --> 01:58:54,728 NCATS WAS WORKING WITH 3074 01:58:54,728 --> 01:58:56,696 INVESTIGATORS AT HOPKINS, MASS 3075 01:58:56,696 --> 01:58:58,465 GENERAL, OHIO STATE, UCLA, 3076 01:58:58,465 --> 01:59:02,736 STUDYING THESE EVS AND DEVELOPED 3077 01:59:02,736 --> 01:59:03,403 INNOVATIVE MICROFLUIDIC DEVICES 3078 01:59:03,403 --> 01:59:07,440 ON THE RIGHT-HAND SIDE, THE 3079 01:59:07,440 --> 01:59:09,643 CHANNELS. 3080 01:59:09,643 --> 01:59:11,277 THEY COULD FRACTIONATE BASICALLY 3081 01:59:11,277 --> 01:59:14,547 SALIVA OR BLOOD, FRACTIONATE AND 3082 01:59:14,547 --> 01:59:15,982 ISOLATE THESE EVS. 3083 01:59:15,982 --> 01:59:19,052 THEY MADE THE DISCOVERIES, WAIT 3084 01:59:19,052 --> 01:59:21,121 A MINUTE, THE VIRUS LOOKS VERY 3085 01:59:21,121 --> 01:59:23,089 SIMILAR TO AN EV. 3086 01:59:23,089 --> 01:59:27,794 THEY COULD FRACTIONATE THE VIRUS 3087 01:59:27,794 --> 01:59:32,065 AND FRACTIONATE THE EV, YOU CAN 3088 01:59:32,065 --> 01:59:40,273 USE AN ANTIBODY TO DETECT SPIKE 3089 01:59:40,273 --> 01:59:43,977 PROTEIN, RPCRR TO LOOK AT 3090 01:59:43,977 --> 01:59:45,645 PROTEIN CONTENTS. 3091 01:59:45,645 --> 01:59:49,249 THEY COULD DIAGNOSE IF YOU WERE 3092 01:59:49,249 --> 01:59:54,087 PROSES POSITIVE, BUT THE 3093 01:59:54,087 --> 01:59:57,223 CONTENT, THE TIMES OF ANTIBODIES 3094 01:59:57,223 --> 01:59:59,859 OR PROTEINS, microRNAs, WERE 3095 01:59:59,859 --> 02:00:02,028 PREDICTIVE WHETHER THE COVID-19 3096 02:00:02,028 --> 02:00:05,432 INFECTION WOULD BE SEVERE, MILD, 3097 02:00:05,432 --> 02:00:06,966 FURTHERMORE MAKING CONNECTIONS 3098 02:00:06,966 --> 02:00:07,734 WHETHER INDIVIDUALS COULD 3099 02:00:07,734 --> 02:00:09,602 DEVELOP LONG COVID. 3100 02:00:09,602 --> 02:00:14,607 COOL STUFF. 3101 02:00:14,607 --> 02:00:19,212 NEXT SLIDE. 3102 02:00:19,212 --> 02:00:23,717 THIS PROGRAM IS FROM NICHD. 3103 02:00:23,717 --> 02:00:28,188 WORKING ON THIS PREVAIL KIT, 3104 02:00:28,188 --> 02:00:30,290 PREDICTING VIRAL ASSOCIATED 3105 02:00:30,290 --> 02:00:31,057 INFLAMMATORY DISEASE IN 3106 02:00:31,057 --> 02:00:34,794 CHILDREN, IT SUPPORTS THIS 3107 02:00:34,794 --> 02:00:36,329 RESEARCH TO DEVELOP 3108 02:00:36,329 --> 02:00:39,699 NON-TRADITIONAL APPROACHES TO 3109 02:00:39,699 --> 02:00:42,235 CHARACTERIZE THE SPECTRUM, SUCH 3110 02:00:42,235 --> 02:00:44,537 AS MULTI-SYSTEM INFLAMMATORY 3111 02:00:44,537 --> 02:00:46,940 SYNDROME IN CHILDREN, MIS-C. 3112 02:00:46,940 --> 02:00:49,142 SO, THEY WORKED TOGETHER WITH 3113 02:00:49,142 --> 02:00:54,481 EIGHT TEAMS, SHOWN ON THE SLIDE 3114 02:00:54,481 --> 02:00:55,448 HERE. 3115 02:00:55,448 --> 02:00:56,116 OVER 8,000 INDIVIDUALS. 3116 02:00:56,116 --> 02:00:59,552 REACHED OUT AND THERE WAS A 3117 02:00:59,552 --> 02:01:02,388 BROAD PATIENT POPULATION, 75 3118 02:01:02,388 --> 02:01:06,659 SITES ACROSS 30 STATES, 3119 02:01:06,659 --> 02:01:10,630 INTERNATIONAL COLLABORATORS, UK, 3120 02:01:10,630 --> 02:01:12,165 CANADA, AFRICA, ASIA, SOUTH 3121 02:01:12,165 --> 02:01:14,367 AMERICA, 30,000 INDIVIDUALS MOST 3122 02:01:14,367 --> 02:01:15,468 THROUGH ELECTRONIC HEALTH 3123 02:01:15,468 --> 02:01:17,837 RECORDS, AND IN THE END IT'S 3124 02:01:17,837 --> 02:01:20,473 HIGHLY PRODUCTIVE. 3125 02:01:20,473 --> 02:01:24,277 93 RESEARCH PUBLICATIONS, 65 IN 3126 02:01:24,277 --> 02:01:25,178 PREPARATION, THEY IDENTIFIED 10 3127 02:01:25,178 --> 02:01:28,915 GENES THAT YOU CAN LOOK AT THAT 3128 02:01:28,915 --> 02:01:34,287 ARE ALL PART OF IMMUNE 3129 02:01:34,287 --> 02:01:36,589 DYSREGULATORY PATHWAYS, HIGHLY 3130 02:01:36,589 --> 02:01:37,791 PREDICTIVE FOR MIS-C. 3131 02:01:37,791 --> 02:01:41,194 THEY DEVELOPED A SET OF FIVE 3132 02:01:41,194 --> 02:01:45,465 GENES THAT COULD CLEARLY 3133 02:01:45,465 --> 02:01:46,132 DIFFERENTIATE MIS-C FROM 3134 02:01:46,132 --> 02:01:47,300 KAWASAKI DISEASE AND OTHER 3135 02:01:47,300 --> 02:01:48,868 INFECTIONS IN CHILDREN. 3136 02:01:48,868 --> 02:01:53,339 HIGHLY PRODUCTIVE PROGRAM. 3137 02:01:53,339 --> 02:01:54,974 NEXT SLIDE. 3138 02:01:54,974 --> 02:01:58,912 JUST TALKING ABOUT THE PHASE 2, 3139 02:01:58,912 --> 02:02:01,314 L3C, SO IT WAS REALLY -- ORLANDO 3140 02:02:01,314 --> 02:02:08,655 LOPEZ, PART OF THE RADx RAD, 3141 02:02:08,655 --> 02:02:11,391 JOINED FORCES WITH YVONNE AND 3142 02:02:11,391 --> 02:02:12,692 ERIN, AND THEY DECIDED THAT 3143 02:02:12,692 --> 02:02:16,296 THERE ARE ALL THESE DATASETS, 3144 02:02:16,296 --> 02:02:19,465 MOST NOTABLY N3C DATA, AND COULD 3145 02:02:19,465 --> 02:02:21,367 WE USE THAT DATA TO DEVELOP 3146 02:02:21,367 --> 02:02:24,871 ALGORITHMS AND A.I. AND ML 3147 02:02:24,871 --> 02:02:28,775 MODELS TO PREDICT WHO -- WHICH 3148 02:02:28,775 --> 02:02:29,976 INDIVIDUALS ARE CURRENTLY 3149 02:02:29,976 --> 02:02:32,178 INFECTED, LIKELY TO DEVELOP LONG 3150 02:02:32,178 --> 02:02:32,478 COVID. 3151 02:02:32,478 --> 02:02:34,447 SO THE BOTTOM LINE IS THAT THEY 3152 02:02:34,447 --> 02:02:36,216 DID THIS AS A CHALLENGE GRANT. 3153 02:02:36,216 --> 02:02:38,518 IT WAS A MILLION DOLLARS PUT ON 3154 02:02:38,518 --> 02:02:39,485 THE TABLE. 3155 02:02:39,485 --> 02:02:46,226 FIRST PLACE WENT TO THIS 3156 02:02:46,226 --> 02:02:47,660 COMPANY, CONVALESCO, UNIVERSITY 3157 02:02:47,660 --> 02:02:54,767 OF CHICAGO, BOTTOM LIONEL THEY 3158 02:02:54,767 --> 02:02:56,102 ACHIEVED A .87 SCORE. 3159 02:02:56,102 --> 02:02:58,605 WHAT IT MEANS IS THAT IT WORKED 3160 02:02:58,605 --> 02:02:59,172 WELL. 3161 02:02:59,172 --> 02:03:01,007 AND SO THERE ARE PUBLICATIONS 3162 02:03:01,007 --> 02:03:04,744 THAT WILL BE COMING OUT, THESE 3163 02:03:04,744 --> 02:03:07,347 TOOLS WILL BE AVAILABLE ON 3164 02:03:07,347 --> 02:03:07,947 GITHUB. 3165 02:03:07,947 --> 02:03:09,215 SO IT'S PRETTY REMARKABLE. 3166 02:03:09,215 --> 02:03:11,718 THERE ARE NOW TOOLS THAT ARE 3167 02:03:11,718 --> 02:03:12,952 AVAILABLE TO PREDICT WHETHER 3168 02:03:12,952 --> 02:03:15,688 SOMEONE IS LIKELY TO DEVELOP 3169 02:03:15,688 --> 02:03:16,756 LONG COVID. 3170 02:03:16,756 --> 02:03:18,858 BOTTOM LINE THAT THIS IS A 3171 02:03:18,858 --> 02:03:21,160 HIGHLY PRODUCTIVE PROGRAM. 3172 02:03:21,160 --> 02:03:28,635 LOTS OF COOL INNOVATIVE THINGS. 3173 02:03:28,635 --> 02:03:30,403 SEVEN PROJECTS, THREE EUAs, 32 3174 02:03:30,403 --> 02:03:33,439 FILED PATENTS EMERGING FROM THE 3175 02:03:33,439 --> 02:03:36,609 ROOM, SOME WAS OPEN SOURCE, 23 3176 02:03:36,609 --> 02:03:38,378 PROJECTS, ACTIVE MEETINGS WITH 3177 02:03:38,378 --> 02:03:43,049 THE FDA, A LOT OF INTEREST IN 3178 02:03:43,049 --> 02:03:43,283 THIS. 3179 02:03:43,283 --> 02:03:47,020 26 PROJECT TEAMED TEN PROJECTS 3180 02:03:47,020 --> 02:03:47,754 AWARDED COMMERCIALIZATION 3181 02:03:47,754 --> 02:03:48,021 SUPPORT. 3182 02:03:48,021 --> 02:03:51,524 SO IT WAS FUN BEING PART OF THIS 3183 02:03:51,524 --> 02:03:54,160 BUT AGAIN IT'S TRISH AND JUDITH 3184 02:03:54,160 --> 02:03:56,029 THAT DESERVE THE CREDIT WITH 3185 02:03:56,029 --> 02:04:04,003 MEMBERS OF THE WORKING GROUP. 3186 02:04:04,003 --> 02:04:05,638 >> IT'S BEEN A PLEASURE WORKING 3187 02:04:05,638 --> 02:04:07,473 WITH MY COLLEAGUES. 3188 02:04:07,473 --> 02:04:11,210 WE'VE HAD SOME PRETTY AMAZING 3189 02:04:11,210 --> 02:04:12,512 ACCOMPLISHMENTS FROM RADx, 3190 02:04:12,512 --> 02:04:15,515 RAPID DIGITAL PCR TESTING TO 3191 02:04:15,515 --> 02:04:16,482 ENGAGING COMMUNITIES 3192 02:04:16,482 --> 02:04:18,451 UNDERREPRESENTED, IN TESTING, 3193 02:04:18,451 --> 02:04:23,056 AND IN VACCINATION, TO REALLY 3194 02:04:23,056 --> 02:04:24,691 COOL TECHNOLOGY LIKE DIGITAL 3195 02:04:24,691 --> 02:04:28,294 NOSE AND WASTE WATER DETECTION. 3196 02:04:28,294 --> 02:04:30,496 ANOTHER BY-PRODUCT IS ALL THE 3197 02:04:30,496 --> 02:04:30,697 DATA. 3198 02:04:30,697 --> 02:04:36,703 THERE'S A LOT OF IT. 3199 02:04:36,703 --> 02:04:38,705 SO SOME QUESTIONS EARLY ON THAT 3200 02:04:38,705 --> 02:04:40,540 RESEARCHERS WANTED TO ASK WHEN 3201 02:04:40,540 --> 02:04:41,975 THEY WERE ASKED ABOUT WHAT WOULD 3202 02:04:41,975 --> 02:04:44,911 YOU WANT TO DO WITH THIS DATA 3203 02:04:44,911 --> 02:04:49,949 WERE CAN WE THINK ABOUT THE 3204 02:04:49,949 --> 02:04:51,484 DIFFERENT PATHOGENESIS OF COVID 3205 02:04:51,484 --> 02:04:52,819 IN DIFFERENT POPULATIONS, LOOK 3206 02:04:52,819 --> 02:04:54,988 AT THE WAY THE VIRUS, THE 3207 02:04:54,988 --> 02:04:59,592 VARIANTS CHANGE OVER TIME AND 3208 02:04:59,592 --> 02:05:02,762 OVER SPACE BY MONITORING WATER 3209 02:05:02,762 --> 02:05:04,831 WASTE, ASSESS TECHNOLOGIES LIKE 3210 02:05:04,831 --> 02:05:05,832 PCR TECHNOLOGIES, AND FINALLY 3211 02:05:05,832 --> 02:05:09,002 WHAT IS THE EFFECT OF HAVING 3212 02:05:09,002 --> 02:05:10,903 OBESITY OR CARDIOVASCULAR 3213 02:05:10,903 --> 02:05:12,005 DISEASE ON YOUR COVID SYMPTOMS 3214 02:05:12,005 --> 02:05:13,706 AND DOES THAT CHANGE BY THE 3215 02:05:13,706 --> 02:05:15,575 POPULATION OR WHERE YOU LIVE OR 3216 02:05:15,575 --> 02:05:17,443 BY YOUR GENDER? 3217 02:05:17,443 --> 02:05:19,078 THESE ARE JUST SOME OF THE 3218 02:05:19,078 --> 02:05:20,279 DIFFERENT QUESTIONS THAT WE 3219 02:05:20,279 --> 02:05:21,280 ASKED RESEARCHERS, WHAT DO YOU 3220 02:05:21,280 --> 02:05:22,915 WANT TO DO WITH THIS DATA. 3221 02:05:22,915 --> 02:05:26,219 THEY CAME BACK WITH REALLY 3222 02:05:26,219 --> 02:05:26,686 INNOVATIVE THINKING. 3223 02:05:26,686 --> 02:05:28,621 YOU'VE SEEN THIS BEFORE. 3224 02:05:28,621 --> 02:05:31,591 THIS IS JUST A SENSE OF WHERE 3225 02:05:31,591 --> 02:05:33,426 THE DATA SOURCES ARE COMING FROM 3226 02:05:33,426 --> 02:05:35,094 THE COVID PROGRAM, WHAT I WANT 3227 02:05:35,094 --> 02:05:36,629 TO EMPHASIZE IS WHAT RICK WAS 3228 02:05:36,629 --> 02:05:38,631 TALKING ABOUT WHICH IS HOW WE 3229 02:05:38,631 --> 02:05:40,833 ORGANIZE THIS STRUCTURE OF THE 3230 02:05:40,833 --> 02:05:44,537 PROGRAM, AND EACH OF THE RADx 3231 02:05:44,537 --> 02:05:49,542 PROGRAMS, RADX-UP, RADx-TECH, 3232 02:05:49,542 --> 02:05:52,278 RADx HUB, IMPACTFUL DATA 3233 02:05:52,278 --> 02:05:55,348 COORDINATION CENTER, WORKED WITH 3234 02:05:55,348 --> 02:05:56,783 P.I.s, AND WAS DESCRIBED, 3235 02:05:56,783 --> 02:05:59,152 COMMON DATA ELEMENTS WE 3236 02:05:59,152 --> 02:05:59,452 REQUIRED. 3237 02:05:59,452 --> 02:06:00,820 GETTING P.I.s TO UNDERSTAND 3238 02:06:00,820 --> 02:06:02,455 WHY THEY WERE IMPORTANT, 3239 02:06:02,455 --> 02:06:04,524 COLLECTING NOT ONLY COMMON DATA 3240 02:06:04,524 --> 02:06:05,758 ELEMENTS BUT DATA MODELS FROM 3241 02:06:05,758 --> 02:06:08,795 EACH OF THE STUDIES. 3242 02:06:08,795 --> 02:06:10,129 THOSE COORDINATED CENTERS WORKED 3243 02:06:10,129 --> 02:06:15,068 WITH OUR DATA HUB, IT'S A 3244 02:06:15,068 --> 02:06:25,611 COLLABORATION BETWEEN STANFORD, 3245 02:06:26,946 --> 02:06:28,314 CURATION MANAGEMENT AND GETTING 3246 02:06:28,314 --> 02:06:33,019 THE DATA OUT TO RESEARCHERS 3247 02:06:33,019 --> 02:06:34,220 USING JUPYTER NOTEBOOK, R, 3248 02:06:34,220 --> 02:06:36,923 ROLLING OUT IN FEBRUARY AND 3249 02:06:36,923 --> 02:06:38,925 MARCH THESE AND OTHER 3250 02:06:38,925 --> 02:06:40,193 TECHNOLOGIES, THE GOAL TO GET 3251 02:06:40,193 --> 02:06:42,562 ALL OF THE RADx DATA, THERE'S 3252 02:06:42,562 --> 02:06:44,964 OVER A THOUSAND DIFFERENT TIMES 3253 02:06:44,964 --> 02:06:46,732 OF DATASETS, THERE'S 200 STUDIES 3254 02:06:46,732 --> 02:06:49,268 ACROSS ALL OF THE COUNTRY, 3255 02:06:49,268 --> 02:06:50,670 ACROSS FOUR PROGRAMS, ONE WE 3256 02:06:50,670 --> 02:06:51,871 DIDN'T TALK MUCH ABOUT BUT I'LL 3257 02:06:51,871 --> 02:06:55,408 TELL YOU ABOUT IS THE DIGITAL 3258 02:06:55,408 --> 02:06:57,477 HEALTH TECHNOLOGIES PROGRAM, 3259 02:06:57,477 --> 02:06:59,879 REALLY EARLY WEARABLE SURVEY FOR 3260 02:06:59,879 --> 02:07:01,214 MOBILE APP PROGRAM. 3261 02:07:01,214 --> 02:07:03,416 SOME OF THE FEATURES WE 3262 02:07:03,416 --> 02:07:05,384 REGISTERED ALL THE DATA IN 3263 02:07:05,384 --> 02:07:08,554 DBGaP, YOU CAN FIND AND SEARCH 3264 02:07:08,554 --> 02:07:10,623 THROUGH META DATA, ALSO OTHER 3265 02:07:10,623 --> 02:07:10,990 WAYS. 3266 02:07:10,990 --> 02:07:13,126 SECURE DATA ACCESS, COME INTO 3267 02:07:13,126 --> 02:07:16,329 OUR CLOUD ENVIRONMENT, MUCH LIKE 3268 02:07:16,329 --> 02:07:18,731 WHAT JOSH DESCRIBED, GET ACCESS 3269 02:07:18,731 --> 02:07:22,468 TO DATA, DISCOVER DATA THROUGH 3270 02:07:22,468 --> 02:07:23,870 MANY WAYS OF SEARCH AND 3271 02:07:23,870 --> 02:07:30,443 CERTAINLY WORK WITH DATA ON A 3272 02:07:30,443 --> 02:07:31,310 CLOUD-BASED WORKBENCH, NOT 3273 02:07:31,310 --> 02:07:32,178 DISSIMILAR FROM MANY OUR 3274 02:07:32,178 --> 02:07:32,445 PROGRAMS. 3275 02:07:32,445 --> 02:07:34,580 THIS IS ONE OF THE MORE 3276 02:07:34,580 --> 02:07:35,014 INTERESTING SLIDES. 3277 02:07:35,014 --> 02:07:36,883 IT TELLS YOU ABOUT THE DEPTH OF 3278 02:07:36,883 --> 02:07:40,720 THE DATA THAT WE'RE DEALING WITH 3279 02:07:40,720 --> 02:07:43,289 FROM RADx, OVER 138 STUDIES, 3280 02:07:43,289 --> 02:07:47,260 DIFFERENT VARIETY OF DATA TYPES, 3281 02:07:47,260 --> 02:07:48,895 SURVEY DATA, CLINICAL, 3282 02:07:48,895 --> 02:07:49,762 DIAGNOSTIC. 3283 02:07:49,762 --> 02:07:51,063 TO THE DIGITAL HEALTH 3284 02:07:51,063 --> 02:07:52,365 TECHNOLOGIES, WE'RABLE DATA. 3285 02:07:52,365 --> 02:07:54,333 THIS IS ONE PROGRAM WHERE DATA 3286 02:07:54,333 --> 02:07:55,868 LEVELS IN A PARTNERSHIP WITH 3287 02:07:55,868 --> 02:07:59,839 LINCOLN LAB AND M.I.T., IN THE 3288 02:07:59,839 --> 02:08:04,343 RAPIDS PLATFORM, IF YOU'RE 3289 02:08:04,343 --> 02:08:06,979 INTERESTED, MOSTLY STUDIES OF 3290 02:08:06,979 --> 02:08:08,147 WEARABLE AND SENSOR DATA, YOU 3291 02:08:08,147 --> 02:08:10,249 COULD GO FROM OUR SITE TO THEIR 3292 02:08:10,249 --> 02:08:14,420 SITE AND USE THAT DATA. 3293 02:08:14,420 --> 02:08:16,689 IT'S IMMENSE. 3294 02:08:16,689 --> 02:08:17,690 WE HAVE SNAPSHOT FROM ACROSS THE 3295 02:08:17,690 --> 02:08:20,660 PROGRAM BUT THE DATA IS QUITE 3296 02:08:20,660 --> 02:08:22,195 DIVERSE. 3297 02:08:22,195 --> 02:08:23,930 ONE OF THE THINGS THAT YOU'RE 3298 02:08:23,930 --> 02:08:25,464 GOING ASK ME ABOUT AS MANY 3299 02:08:25,464 --> 02:08:28,301 PEOPLE DO IS YOU HAVE PCR 3300 02:08:28,301 --> 02:08:30,069 TESTING DATA, SURVEY DATA, 3301 02:08:30,069 --> 02:08:31,237 HEALTH DATA, SOCIAL DETERMINANTS 3302 02:08:31,237 --> 02:08:32,205 OF HEALTH DATA. 3303 02:08:32,205 --> 02:08:33,439 THAT'S KIND OF A LOT OF 3304 02:08:33,439 --> 02:08:34,874 DIFFERENT DATA. 3305 02:08:34,874 --> 02:08:37,376 HOW ARE YOU MAKING THE DATA 3306 02:08:37,376 --> 02:08:39,145 HARMONIZE TO THE DEGREE YOU CAN 3307 02:08:39,145 --> 02:08:41,347 AND EARLY ON WE'RE ASKED TO MAKE 3308 02:08:41,347 --> 02:08:43,316 IT A.I. READY AND SERVE TO THE 3309 02:08:43,316 --> 02:08:43,583 COMMUNITY. 3310 02:08:43,583 --> 02:08:44,650 HERE IS WHAT WE DID. 3311 02:08:44,650 --> 02:08:48,888 ALL OF THE DATA HAVE DIFFERENT 3312 02:08:48,888 --> 02:08:50,356 SCHEMAS, DIFFERENT STANDARDS. 3313 02:08:50,356 --> 02:08:52,525 THERE'S DIFFERENT LEVELS OF 3314 02:08:52,525 --> 02:08:56,028 COMPLETENESS OF DATA AND META 3315 02:08:56,028 --> 02:08:58,764 DATA, WE WORK WITH DCCs ON 3316 02:08:58,764 --> 02:08:59,432 HARMONIZING COMMON DATA 3317 02:08:59,432 --> 02:09:01,968 ELEMENTS, TOOK ALL OF THE WORK 3318 02:09:01,968 --> 02:09:05,137 FROM THE COORDINATING CENTERS, 3319 02:09:05,137 --> 02:09:07,440 FURTHER HARMONIZED ON THE META 3320 02:09:07,440 --> 02:09:10,176 AND HARMONIZED ALL OF THE DATA 3321 02:09:10,176 --> 02:09:12,812 MODELS TOGETHER INTO ONE DATA 3322 02:09:12,812 --> 02:09:16,082 MODEL AND LOOKED AT C TO E 3323 02:09:16,082 --> 02:09:18,517 HOSTED BY NLM, HARMONIZED ON 3324 02:09:18,517 --> 02:09:20,486 THOSE COMMON DATA ELEMENTS SO 3325 02:09:20,486 --> 02:09:23,422 THAT WE COULD GET A CLUSTER AND 3326 02:09:23,422 --> 02:09:24,724 BEST TYPE OF HARMONIZATION THAT 3327 02:09:24,724 --> 02:09:26,726 WE COULD. 3328 02:09:26,726 --> 02:09:29,128 THIS IS BOTH MANUAL AND 3329 02:09:29,128 --> 02:09:30,396 AUTOMATED PROCESS. 3330 02:09:30,396 --> 02:09:32,632 RESEARCHERS STARTED LOOKING AT 3331 02:09:32,632 --> 02:09:34,166 LARGE LANGUAGE MODELS, CAN WE 3332 02:09:34,166 --> 02:09:37,003 USE NEW ADVANCES IN A.I. TO 3333 02:09:37,003 --> 02:09:37,770 BRING TOGETHER DATA. 3334 02:09:37,770 --> 02:09:40,273 THIS IS AN ONGOING AREA OF 3335 02:09:40,273 --> 02:09:40,539 RESEARCH. 3336 02:09:40,539 --> 02:09:42,675 FINALLY WE SERVE THE DATA UP TO 3337 02:09:42,675 --> 02:09:43,442 THE RESEARCH COMMUNITY. 3338 02:09:43,442 --> 02:09:45,645 IT IS TO THE BEST EXTENT 3339 02:09:45,645 --> 02:09:46,846 POSSIBLE HARMONIZED CERTAINLY ON 3340 02:09:46,846 --> 02:09:48,347 ALL THE COMMON DATA ELEMENTS, 3341 02:09:48,347 --> 02:09:49,081 SOCIAL DETERMINANTS OF HEALTH, 3342 02:09:49,081 --> 02:09:53,219 AS WELL AS MANY OF THE META DATA 3343 02:09:53,219 --> 02:09:54,520 THAT DESCRIBE THE EXPERIMENT. 3344 02:09:54,520 --> 02:09:57,723 WHAT WILL WE SEE IN THE FUTURE? 3345 02:09:57,723 --> 02:10:00,426 CERTAINLY RICHER WAYS TO EXPLORE 3346 02:10:00,426 --> 02:10:02,094 AND USE THE DATA, NEW 3347 02:10:02,094 --> 02:10:07,099 CAPABILITIES FOR THE DATA HUB 3348 02:10:07,099 --> 02:10:08,634 INCLUDING SAS, METRICS AS WELL 3349 02:10:08,634 --> 02:10:10,303 AS IMPROVEMENT AND BACK END OF 3350 02:10:10,303 --> 02:10:15,775 THE MANAGEMENT OF THE DATA. 3351 02:10:15,775 --> 02:10:16,309 THE MOST IMPORTANT 3352 02:10:16,309 --> 02:10:16,876 ACCOMPLISHMENT CERTAINLY OF 3353 02:10:16,876 --> 02:10:19,979 COURSE IS THE FACT WE LAUNCHED 3354 02:10:19,979 --> 02:10:24,517 THIS ALMOST ACTUALLY A YEAR AGO 3355 02:10:24,517 --> 02:10:25,284 TODAY. 3356 02:10:25,284 --> 02:10:27,253 IS THAT RECENTLY JUST ON 3357 02:10:27,253 --> 02:10:31,524 DECEMBER 1 WE ANNOUNCED THE 3358 02:10:31,524 --> 02:10:36,996 RADx TRIBAL DATA REPOSITORY 3359 02:10:36,996 --> 02:10:40,266 FOR INDIGENOUS INNOVATION, 3360 02:10:40,266 --> 02:10:42,768 BETWEEN STANFORD, NATIVE DATA 3361 02:10:42,768 --> 02:10:44,737 CONSORTIUM ON TRIBAL LANDS IN 3362 02:10:44,737 --> 02:10:47,940 THE CHEYENNE RIVER, SIOUX 3363 02:10:47,940 --> 02:10:51,110 RESERVATION, PARTNERSHIP WITH 3364 02:10:51,110 --> 02:10:52,111 UNIVERSITIES LISTED BELOW, 3365 02:10:52,111 --> 02:10:55,147 WISCONSIN, ARIZONA STATE, 3366 02:10:55,147 --> 02:10:55,815 UNIVERSITY OF WASHINGTON, OHIO 3367 02:10:55,815 --> 02:10:57,016 STATE, UNIVERSITY OF CALIFORNIA, 3368 02:10:57,016 --> 02:10:58,884 A NUMBER OF HEALTH SITES. 3369 02:10:58,884 --> 02:11:01,620 THE GOAL OF THE TRIBAL DATA 3370 02:11:01,620 --> 02:11:04,457 REPOSITORY IS TO IMPLEMENT 3371 02:11:04,457 --> 02:11:06,125 TRIBAL DATA SOVEREIGNLY IN 3372 02:11:06,125 --> 02:11:07,093 GOVERNANCE, THESE COMMUNITIES 3373 02:11:07,093 --> 02:11:08,728 WITH PARTNERSHIPS WILL MANAGE 3374 02:11:08,728 --> 02:11:10,262 THE DATA, WILL PROVIDE MECHANISM 3375 02:11:10,262 --> 02:11:12,898 FOR DATA ACCESS AS WELL AS THEY 3376 02:11:12,898 --> 02:11:16,168 WILL SERVE THE DATA UP IN A 3377 02:11:16,168 --> 02:11:17,503 REPOSITORY THAT'S ON TRIBAL 3378 02:11:17,503 --> 02:11:19,138 LANDS, IMPORTANT FOR US AS WE 3379 02:11:19,138 --> 02:11:20,573 EXPLORE NEW IDEAS FOR TRIBAL 3380 02:11:20,573 --> 02:11:30,516 DATA SOVEREIGN DID TY AND 3381 02:11:30,516 --> 02:11:30,816 GOVERNANCE. 3382 02:11:30,816 --> 02:11:34,153 >> I WANT TO MAKE SURE WE LEAVE 3383 02:11:34,153 --> 02:11:37,757 SOME TIME FOR QUESTIONS AND 3384 02:11:37,757 --> 02:11:38,991 COMMENTS YOU MIGHT HAVE. 3385 02:11:38,991 --> 02:11:41,594 YOU MAY HAVE TAKEN AWAY FROM 3386 02:11:41,594 --> 02:11:44,563 THIS THAT EACH OF THE PROGRAMS 3387 02:11:44,563 --> 02:11:47,032 HELPED TO RESPOND TO COVID-19. 3388 02:11:47,032 --> 02:11:49,835 BUT THEY HAVE ALSO SERVED TO 3389 02:11:49,835 --> 02:11:51,704 BUILD UP INFRASTRUCTURE, 3390 02:11:51,704 --> 02:11:52,238 RESOURCES, FRAMEWORKS, 3391 02:11:52,238 --> 02:11:53,105 CONNECTIONS, PARTNERSHIPS, ALL 3392 02:11:53,105 --> 02:11:54,974 OF THESE THINGS THAT WE HOPE 3393 02:11:54,974 --> 02:11:59,812 WILL BE ENDURING AND LONG 3394 02:11:59,812 --> 02:12:02,515 LASTING AND PREPARE FOR PUBLIC 3395 02:12:02,515 --> 02:12:04,083 HEALTH AND ENERGY HEALTH 3396 02:12:04,083 --> 02:12:04,717 EMERGENCY TIMES. 3397 02:12:04,717 --> 02:12:07,119 THE SECOND THING I WANT TO SAY, 3398 02:12:07,119 --> 02:12:08,988 A HUGE, HUGE THANK YOU TO FOLKS 3399 02:12:08,988 --> 02:12:11,157 HERE IN THE ROOM THAT WERE 3400 02:12:11,157 --> 02:12:13,159 INVOLVED IN LEADERSHIP AS WELL 3401 02:12:13,159 --> 02:12:15,861 AS THOSE NOT. 3402 02:12:15,861 --> 02:12:17,430 AND THE TEAMS ACROSS NIH, 3403 02:12:17,430 --> 02:12:18,764 MASSIVE NUMBER OF PEOPLE THAT 3404 02:12:18,764 --> 02:12:20,266 WERE INVOLVED IN THIS. 3405 02:12:20,266 --> 02:12:23,536 THIS WAS A TREMENDOUS AMOUNT OF 3406 02:12:23,536 --> 02:12:24,437 WORK, REALLY GRATEFUL TO THEIR 3407 02:12:24,437 --> 02:12:27,273 WORK AS WELL AS WORK OF THE 3408 02:12:27,273 --> 02:12:28,707 SCIENTISTS IN THE COMMUNITIES, 3409 02:12:28,707 --> 02:12:30,242 ACROSS THE U.S. WHO WERE 3410 02:12:30,242 --> 02:12:31,343 INVOLVED IN THIS EFFORT AND 3411 02:12:31,343 --> 02:12:33,712 HELPED MAKE IT A SUCCESS. 3412 02:12:33,712 --> 02:12:38,117 SO, WITH THAT WE'LL OPEN IT UP 3413 02:12:38,117 --> 02:12:38,517 FOR QUESTIONS. 3414 02:12:38,517 --> 02:12:39,318 >> OKAY, GREAT. 3415 02:12:39,318 --> 02:12:48,928 WHO WOULD LIKE TO START US OFF? 3416 02:12:48,928 --> 02:12:49,495 3417 02:12:49,495 --> 02:12:51,030 >> EXCITING PRESENTATIONS. 3418 02:12:51,030 --> 02:12:53,098 I'M LOST WITH THE RADx THIS 3419 02:12:53,098 --> 02:12:54,200 AND THAT. 3420 02:12:54,200 --> 02:12:56,702 IT'S GREAT BECAUSE IT'S 3421 02:12:56,702 --> 02:12:57,036 ENORMOUS. 3422 02:12:57,036 --> 02:12:58,571 RANDOM COMMENT MORE THAN A 3423 02:12:58,571 --> 02:13:02,174 QUESTION, A LOT OF WHAT YOU HAVE 3424 02:13:02,174 --> 02:13:04,477 SUCCEEDED IN BUILDING IS WHAT I 3425 02:13:04,477 --> 02:13:06,879 SEE GROUPS LIKE ARPA-H PROPOSING 3426 02:13:06,879 --> 02:13:07,847 TO DO ACTUALLY. 3427 02:13:07,847 --> 02:13:11,917 IN TERMS OF THEIR INVESTOR HUB, 3428 02:13:11,917 --> 02:13:15,321 DIFFERENT KIND OF HUBS, DATA 3429 02:13:15,321 --> 02:13:16,956 COMMONS BETWEEN THOSE, A COMMENT 3430 02:13:16,956 --> 02:13:18,691 THAT MAYBE THEY SHOULD BE 3431 02:13:18,691 --> 02:13:24,163 LOOKING AT WHAT YOU'VE ALREADY 3432 02:13:24,163 --> 02:13:24,363 BUILT. 3433 02:13:24,363 --> 02:13:28,367 >> COULD I TURN THAT INTO A 3434 02:13:28,367 --> 02:13:28,734 QUESTION? 3435 02:13:28,734 --> 02:13:30,336 SO THEY ARE. 3436 02:13:30,336 --> 02:13:37,576 WE'RE WORKING VERY CLOSELY WITH 3437 02:13:37,576 --> 02:13:39,845 ARPA-H AND RENEE WEGRZYN GAVE A 3438 02:13:39,845 --> 02:13:43,582 PRESENTATION AT THE NEW POCTRN 3439 02:13:43,582 --> 02:13:46,318 MEETING AS DID DR. BERTAGNOLLI, 3440 02:13:46,318 --> 02:13:47,853 INCREDIBLE EXCITEMENT FROM BOTH 3441 02:13:47,853 --> 02:13:48,954 OF THOSE. 3442 02:13:48,954 --> 02:13:50,589 AND IT'S NO COINCIDENCE BECAUSE 3443 02:13:50,589 --> 02:13:52,992 THEY ARE TRYING TO REACH THE 3444 02:13:52,992 --> 02:13:55,828 COMMUNITY AS INNOVATORS AND 3445 02:13:55,828 --> 02:13:59,131 ENTREPRENEURS AND THAT'S OUR 3446 02:13:59,131 --> 02:14:01,400 COMMUNITY, SO IT'S A PERFECT 3447 02:14:01,400 --> 02:14:02,067 PARTNERSHIP AND IT'S COMING AT 3448 02:14:02,067 --> 02:14:03,035 THE RIGHT TIME. 3449 02:14:03,035 --> 02:14:06,438 WE'RE SO EXCITED WE CAN SUPPORT 3450 02:14:06,438 --> 02:14:08,641 THE POCTRN NETWORK, AND WE JUST 3451 02:14:08,641 --> 02:14:11,210 RENEWED FOR TOTAL, WITH TWO 3452 02:14:11,210 --> 02:14:12,912 ADDITIONAL SITES OF $9 MILLION, 3453 02:14:12,912 --> 02:14:14,780 PER YEAR, IN PARTNERSHIP WITH 3454 02:14:14,780 --> 02:14:16,749 OTHER INSTITUTES AND CENTERS. 3455 02:14:16,749 --> 02:14:20,119 AND ARPA-H IS BUILDING NETWORKS 3456 02:14:20,119 --> 02:14:22,988 LIKE ON ANOTHER SCALE, AND IT'S 3457 02:14:22,988 --> 02:14:24,089 JUST INCREDIBLE, THE SYNERGY 3458 02:14:24,089 --> 02:14:26,058 BETWEEN ALL OF THIS AND 3459 02:14:26,058 --> 02:14:28,260 EXPERIENCE FROM PEOPLE WHO ARE 3460 02:14:28,260 --> 02:14:29,762 BATTLE TESTED AND BRINGING THOSE 3461 02:14:29,762 --> 02:14:31,830 THINGS WITH NEW CAPACITY AND 3462 02:14:31,830 --> 02:14:34,266 CAPABILITIES BY ARPA-H. 3463 02:14:34,266 --> 02:14:36,001 SO WE'RE SEEKING PARTNERSHIPS 3464 02:14:36,001 --> 02:14:41,774 OFTEN AND IN MANY, MANY AREAS. 3465 02:14:41,774 --> 02:14:42,007 >> CORY? 3466 02:14:42,007 --> 02:14:45,778 >> YES, THANK YOU FOR THAT 3467 02:14:45,778 --> 02:14:46,111 PRESENTATION. 3468 02:14:46,111 --> 02:14:47,179 VERY INFORMATIVE. 3469 02:14:47,179 --> 02:14:53,185 I HAVE ONE COMMENT OR ONE 3470 02:14:53,185 --> 02:14:57,456 QUESTION RELATIVE TO YOUR UNDER 3471 02:14:57,456 --> 02:15:00,426 SERVED POPULATIONS AS PART OF 3472 02:15:00,426 --> 02:15:06,332 THE VACCINE INTAKE ANALYSIS. 3473 02:15:06,332 --> 02:15:08,834 I WAS INVOLVED IN REVIEW OF 3474 02:15:08,834 --> 02:15:12,237 LITERATURE, PEOPLE OF COLOR, 3475 02:15:12,237 --> 02:15:13,138 HEALTH IMPLICATIONS, MAYBE A 3476 02:15:13,138 --> 02:15:14,607 YEAR AND A HALF AGO. 3477 02:15:14,607 --> 02:15:17,910 WE COULD NOT AS PART OF THE 3478 02:15:17,910 --> 02:15:21,280 RESEARCH TEAM, WE COULD NOT 3479 02:15:21,280 --> 02:15:24,083 IDENTIFY ANY LITERATURE IN THE 3480 02:15:24,083 --> 02:15:24,683 EXTANT PEER-REVIEWED 3481 02:15:24,683 --> 02:15:28,520 PUBLICATIONS THAT LOOKED AT THE 3482 02:15:28,520 --> 02:15:30,255 INTERSECTION OF DISABILITY AND 3483 02:15:30,255 --> 02:15:32,558 RACE AND VACCINE UPTAKE SO WE 3484 02:15:32,558 --> 02:15:33,993 IDENTIFIED THAT LACK OF 3485 02:15:33,993 --> 02:15:35,828 INFORMATION AS A RESEARCH GAP. 3486 02:15:35,828 --> 02:15:40,666 MY QUESTION IS IN TERMS OF THIS 3487 02:15:40,666 --> 02:15:44,069 INITIATIVE, IN THE PAST, HAVE 3488 02:15:44,069 --> 02:15:49,508 YOU ALL TARGETED DISABILITY AS A 3489 02:15:49,508 --> 02:15:53,145 STUDIED VARIANCE IN GRAPHICS AND 3490 02:15:53,145 --> 02:15:54,847 IF NOT ARE YOU PLANNING TO DO 3491 02:15:54,847 --> 02:15:58,050 THAT AS PART OF THE FUTURE DATA 3492 02:15:58,050 --> 02:15:58,651 COLLECTION ACTIVITIES? 3493 02:15:58,651 --> 02:16:02,354 >> THAT'S DIRECTED AT ME I 3494 02:16:02,354 --> 02:16:02,788 THINK. 3495 02:16:02,788 --> 02:16:05,724 AND BRUCE, RIGHT, YEAH, FROM THE 3496 02:16:05,724 --> 02:16:08,027 TECH PERSPECTIVE. 3497 02:16:08,027 --> 02:16:09,595 A QUESTION ON DISABILITY, I 3498 02:16:09,595 --> 02:16:12,531 THINK THAT'S ADAPTED FROM WHAT 3499 02:16:12,531 --> 02:16:15,000 THE CDC ASKS, WAS INCLUDED IN 3500 02:16:15,000 --> 02:16:17,369 THE TIER 1 COMMON DATA ELEMENTS. 3501 02:16:17,369 --> 02:16:19,438 I CAN TELL YOU THAT FOR SOME 3502 02:16:19,438 --> 02:16:21,073 PROJECTS THAT WAS AN ISSUE. 3503 02:16:21,073 --> 02:16:23,142 THEY DIDN'T WANT TO ASK THAT, 3504 02:16:23,142 --> 02:16:25,144 BECAUSE THEY DIDN'T THINK IT WAS 3505 02:16:25,144 --> 02:16:26,612 APPLICABLE TO THEIR COMMUNITY. 3506 02:16:26,612 --> 02:16:28,947 SO JUST AS AN ASIDE, THINGS WE 3507 02:16:28,947 --> 02:16:30,816 TAKE FOR GRANTED, OH, YEAH, WE 3508 02:16:30,816 --> 02:16:33,452 SHOULD DO THIS, SOME PEOPLE 3509 02:16:33,452 --> 02:16:34,319 RESIST. 3510 02:16:34,319 --> 02:16:38,791 TWO OF THE SCHOOL-BASED PROJECTS 3511 02:16:38,791 --> 02:16:40,659 WERE FOCUSED ON CHILDREN WITH 3512 02:16:40,659 --> 02:16:41,427 DEVELOPMENTAL DISABILITIES. 3513 02:16:41,427 --> 02:16:43,729 THAT I REMEMBER FOR SURE. 3514 02:16:43,729 --> 02:16:48,000 AND I DON'T HAVE A HANDLE ON THE 3515 02:16:48,000 --> 02:16:50,169 140 PROJECTS RIGHT AWAY TO TELL 3516 02:16:50,169 --> 02:16:53,138 YOU THAT BUT I'M CERTAIN SOME OF 3517 02:16:53,138 --> 02:16:54,773 THE ADULT PROJECTS ALSO INCLUDED 3518 02:16:54,773 --> 02:16:56,742 PERSONS WITH DISABILITIES. 3519 02:16:56,742 --> 02:16:58,310 THAT QUESTION WAS, A, ROUTINELY 3520 02:16:58,310 --> 02:16:59,812 ASKED SO THE QUESTION CAN BE 3521 02:16:59,812 --> 02:17:04,116 ADDRESSED NOW WITH THE DATA HUB, 3522 02:17:04,116 --> 02:17:05,818 WITH ANALYTICS, IF THE DATA ARE 3523 02:17:05,818 --> 02:17:06,185 THERE. 3524 02:17:06,185 --> 02:17:09,455 AT LEAST IN TERMS OF TESTING AND 3525 02:17:09,455 --> 02:17:13,058 REPORT OF THEIR OUTCOMES FROM 3526 02:17:13,058 --> 02:17:13,926 THE SURVEY. 3527 02:17:13,926 --> 02:17:15,160 >> AND JUST TO EMPHASIZE WHEN WE 3528 02:17:15,160 --> 02:17:17,329 WERE PUTTING OUT THE FUNDING 3529 02:17:17,329 --> 02:17:18,430 OPPORTUNITY ANNOUNCEMENTS WE 3530 02:17:18,430 --> 02:17:21,166 CALLED OUT POPULATIONS THAT WE 3531 02:17:21,166 --> 02:17:22,568 WERE VERY INTERESTED IN, 3532 02:17:22,568 --> 02:17:24,570 INCLUDED WITH DISABILITIES AS 3533 02:17:24,570 --> 02:17:25,504 ONE OF THEM. 3534 02:17:25,504 --> 02:17:29,041 >> BRUCE, YOU MAY WANT TO 3535 02:17:29,041 --> 02:17:30,409 COMMENT ABOUT THE EFFORTS. 3536 02:17:30,409 --> 02:17:31,577 >> THIS REALLY EVOLVED AS A 3537 02:17:31,577 --> 02:17:37,483 MAJOR QUESTION FOR US. 3538 02:17:37,483 --> 02:17:39,952 WOW, THIS IS LIKE A CRUDE 3539 02:17:39,952 --> 02:17:41,520 CHEMISTRY SET FROM HIGH SCHOOL 3540 02:17:41,520 --> 02:17:44,356 AND YOU MAY HAVE TO COUNT DROPS 3541 02:17:44,356 --> 02:17:46,325 AND MAKES THINGS TOGETHER, SO WE 3542 02:17:46,325 --> 02:17:48,427 EMBARKED ON A MAJOR, MAJOR 3543 02:17:48,427 --> 02:17:51,363 REDESIGN PROCESS ENGAGING MANY, 3544 02:17:51,363 --> 02:17:53,232 MANY STAKEHOLDERS, VARIETY OF 3545 02:17:53,232 --> 02:17:54,233 DIFFERENT ADVOCACY ORGANIZATIONS 3546 02:17:54,233 --> 02:17:57,503 FOR THE BLIND AND FOR COGNITIVE 3547 02:17:57,503 --> 02:17:59,705 IMPAIRMENTS, AND EVEN HAVE NOW 3548 02:17:59,705 --> 02:18:03,108 PUBLISHED, YOU CAN GET IT ON OUR 3549 02:18:03,108 --> 02:18:04,176 WEBSITE, A GUIDE, REFERENCE 3550 02:18:04,176 --> 02:18:07,579 GUIDE FOR THE DESIGN OF 3551 02:18:07,579 --> 02:18:08,347 POINT-OF-CARE TECHNOLOGIES, WHAT 3552 02:18:08,347 --> 02:18:09,548 CONSIDERATION ALSO SHOULD BE 3553 02:18:09,548 --> 02:18:11,750 TAKEN INTO ACCOUNT, AS YOU 3554 02:18:11,750 --> 02:18:12,851 DESIGN AND BUILD THESE TO 3555 02:18:12,851 --> 02:18:14,820 ADDRESS A WIDE RANGE OF 3556 02:18:14,820 --> 02:18:16,555 DISABILITIES SO WE WORKED WITH 3557 02:18:16,555 --> 02:18:21,260 BOTH FEDERAL AS WELL AS PRIVATE 3558 02:18:21,260 --> 02:18:22,561 ORGANIZATIONS, REDESIGN SHOPS, 3559 02:18:22,561 --> 02:18:24,096 SEVERAL NEW TESTS HAVE ALREADY 3560 02:18:24,096 --> 02:18:27,266 COME OUT THAT ARE SUPER SIMPLE, 3561 02:18:27,266 --> 02:18:35,808 LIKE YOU JUST UNSCREW SOMETHING, 3562 02:18:35,808 --> 02:18:38,443 SWAB AND SCREW BACK TOGETHER. 3563 02:18:38,443 --> 02:18:41,513 CHECK THE WEBSITE FOR DESIGN 3564 02:18:41,513 --> 02:18:42,581 GUIDELINES EXTENDING BEYOND 3565 02:18:42,581 --> 02:18:49,588 INFECTIOUS DISEASE TEST. 3566 02:18:49,588 --> 02:18:55,460 THE CORE HAS HUMAN FACTORS BAKED 3567 02:18:55,460 --> 02:18:56,195 INTO EVERYTHING BEING EVALUATED. 3568 02:18:56,195 --> 02:19:03,168 >> I HAVE HOWARD AND THEN BRIAN. 3569 02:19:03,168 --> 02:19:06,004 >> CONGRATULATIONS ON THIS GREAT 3570 02:19:06,004 --> 02:19:07,539 PROGRESS, TO THE ENTIRE TEAM. 3571 02:19:07,539 --> 02:19:10,709 A LOT OF THE PROGRESS WAS MADE 3572 02:19:10,709 --> 02:19:14,780 BY EARLY PHASE OF THE PANDEMIC, 3573 02:19:14,780 --> 02:19:15,747 SHARE PURPOSE, PARTICLE NEED, 3574 02:19:15,747 --> 02:19:17,850 MAKES SENSE NOW THAT YOU'RE 3575 02:19:17,850 --> 02:19:19,918 MOVING TO, FOR EXAMPLE, 3576 02:19:19,918 --> 02:19:22,120 DIFFERENT COVID VARIANTS OF LONG 3577 02:19:22,120 --> 02:19:22,321 COVID. 3578 02:19:22,321 --> 02:19:27,125 GOING FORWARD HOW ARE YOU 3579 02:19:27,125 --> 02:19:30,329 THINKING ABOUT HARNESSING FOR 3580 02:19:30,329 --> 02:19:32,097 DIFFERENT APPLICATIONS? 3581 02:19:32,097 --> 02:19:33,065 DR. BERTAGNOLLI YESTERDAY TOLD 3582 02:19:33,065 --> 02:19:35,467 US ABOUT THE CANCER MOONSHOT, 3583 02:19:35,467 --> 02:19:36,568 EARLY DETECTION OF CANCER PRE-IN 3584 02:19:36,568 --> 02:19:42,207 A -- PRE-MALIGNANCY. 3585 02:19:42,207 --> 02:19:45,544 IS IT TOP DOWN OR BOTTOM UP, HOW 3586 02:19:45,544 --> 02:19:48,180 ARE YOU THINKING ABOUT THIS? 3587 02:19:48,180 --> 02:19:52,317 >> SO, I CAN START. 3588 02:19:52,317 --> 02:19:56,021 THERE ARE TWO AREAS FOR SURE FOR 3589 02:19:56,021 --> 02:19:59,558 US WILL CONTINUE. 3590 02:19:59,558 --> 02:20:01,860 ONE IS THE WHOLE RESEARCH 3591 02:20:01,860 --> 02:20:04,129 STRATEGY APPROACH PLATFORM OF 3592 02:20:04,129 --> 02:20:05,364 COMMUNITY ENGAGED RESEARCH 3593 02:20:05,364 --> 02:20:08,533 WITHOUT URGENCY OF WE HAVE A 3594 02:20:08,533 --> 02:20:10,602 PUBLIC HEALTH CRISIS PANDEMIC. 3595 02:20:10,602 --> 02:20:13,472 YOU MAY HAVE HEARD ABOUT THE 3596 02:20:13,472 --> 02:20:17,075 COMMUNITY ENGAGEMENT ALLIANCE 3597 02:20:17,075 --> 02:20:18,844 ALLIANCE WHICH WE STOOD UP 3598 02:20:18,844 --> 02:20:20,879 SEPARATELY BUT IT'S RELATED. 3599 02:20:20,879 --> 02:20:24,616 THE WHOLE IDEA OF PERSISTENT 3600 02:20:24,616 --> 02:20:25,851 COMMITMENT AS AN INFRASTRUCTURE 3601 02:20:25,851 --> 02:20:27,486 FOR DOING RESEARCH IS SOMETHING 3602 02:20:27,486 --> 02:20:30,422 THAT WE'RE COMMITTED TO. 3603 02:20:30,422 --> 02:20:30,989 FORTUNATELY PARTNERING WITH 3604 02:20:30,989 --> 02:20:32,724 NATIONAL HEART LUNG BLOOD 3605 02:20:32,724 --> 02:20:35,794 INSTITUTE, WE'RE INVOLVED IN 3606 02:20:35,794 --> 02:20:39,932 OTHER AREAS. 3607 02:20:39,932 --> 02:20:41,700 WE'RE PIVOTING CEAL TO OTHER 3608 02:20:41,700 --> 02:20:42,567 AREAS. 3609 02:20:42,567 --> 02:20:43,669 WHAT WE LEARNED FROM RADx 3610 02:20:43,669 --> 02:20:48,707 INFORMING THAT AND WHAT CAN WE 3611 02:20:48,707 --> 02:20:50,575 PRESERVE FROM RADX-UP IS FOCUSED 3612 02:20:50,575 --> 02:20:51,677 ON DATA REPOSITORY, 3613 02:20:51,677 --> 02:20:52,010 COORDINATION. 3614 02:20:52,010 --> 02:20:53,745 THEY DID MORE THAN COLLECT DATA 3615 02:20:53,745 --> 02:20:56,048 AND DEPOSITED IT. 3616 02:20:56,048 --> 02:21:04,156 THEY COORDINATED ALL THESE 3617 02:21:04,156 --> 02:21:07,559 GROUPS, HOW THAT INVOLVES NIMHD, 3618 02:21:07,559 --> 02:21:09,962 TO CONVINCE OTHERS TO JOIN US. 3619 02:21:09,962 --> 02:21:12,264 THE COMMON DATA ELEMENTS, IN 3620 02:21:12,264 --> 02:21:14,967 2018 WE SAID WE NEED COMMON DATA 3621 02:21:14,967 --> 02:21:16,201 ELEMENTS ON SOCIAL DETERMINANTS 3622 02:21:16,201 --> 02:21:18,170 OF HEALTH, EVERY INVESTIGATOR IN 3623 02:21:18,170 --> 02:21:19,404 MY SCIENTIFIC COMMUNITY DIDN'T 3624 02:21:19,404 --> 02:21:20,572 LIKE THE WAY THE QUESTION WAS 3625 02:21:20,572 --> 02:21:22,541 PHRASED SO THEY ASKED THEIR WAY. 3626 02:21:22,541 --> 02:21:23,642 CONSTANT. 3627 02:21:23,642 --> 02:21:25,911 I DID THAT MYSELF PROBABLY. 3628 02:21:25,911 --> 02:21:27,946 WE SAID WE NEED TO ACCEPT 3629 02:21:27,946 --> 02:21:29,781 STANDARDIZED WAYS TO DO IT, 3630 02:21:29,781 --> 02:21:31,550 EVERYBODY SHOULD DO IT THE SAME 3631 02:21:31,550 --> 02:21:31,950 WAY. 3632 02:21:31,950 --> 02:21:36,455 WE HAD AN OPPORTUNITY TO DO THAT 3633 02:21:36,455 --> 02:21:38,757 AND TEST IT WITH 100+ PROJECTS. 3634 02:21:38,757 --> 02:21:41,493 80% OF THEM MORE OR LESS DID IT. 3635 02:21:41,493 --> 02:21:43,462 THERE WERE ALWAYS GOING TO BE 3636 02:21:43,462 --> 02:21:45,864 OUTLIERS, SO I THINK THAT WAS A 3637 02:21:45,864 --> 02:21:50,002 HUGE IMPACT ON HOW WE SEE AT 3638 02:21:50,002 --> 02:21:52,971 LEAST IN THE NEAR FUTURE IN 3639 02:21:52,971 --> 02:21:55,207 RESEARCH IN MINORITY HEALTH, 3640 02:21:55,207 --> 02:21:57,809 HEALTH DISPARITIES, PARTICULARLY 3641 02:21:57,809 --> 02:21:59,244 RELATED TO SOCIAL, BEHAVIOR, 3642 02:21:59,244 --> 02:22:01,980 POPULATION MEASURES, WITH 3643 02:22:01,980 --> 02:22:03,048 LINKING TO CLINICAL ONES. 3644 02:22:03,048 --> 02:22:06,618 IT'S A BIG ISSUE IN CLINICAL 3645 02:22:06,618 --> 02:22:07,986 RECORDS AS WELL BECAUSE WHERE WE 3646 02:22:07,986 --> 02:22:14,226 WOULD LIKE TO BE, I'M A GENERAL 3647 02:22:14,226 --> 02:22:16,294 INTERNIST, WE'RE FAR FROM BEING 3648 02:22:16,294 --> 02:22:18,697 THERE, SOME SIMILAR ISSUES ARE 3649 02:22:18,697 --> 02:22:20,232 FACING. 3650 02:22:20,232 --> 02:22:21,233 SO THAT'S MY LESSON. 3651 02:22:21,233 --> 02:22:22,434 >> WE'RE AT TIME BUT BRIAN, 3652 02:22:22,434 --> 02:22:26,705 LET'S LET YOU HAVE THE LAST WORD 3653 02:22:26,705 --> 02:22:26,938 PLEASE. 3654 02:22:26,938 --> 02:22:30,409 >> WELL, BUILDING OFF WHAT 3655 02:22:30,409 --> 02:22:32,411 ELISEO SAID ABOUT JOINING THE 3656 02:22:32,411 --> 02:22:36,114 CEAL INITIATIVE, IT'S A 3657 02:22:36,114 --> 02:22:37,649 TRANS-NIH ISSUE OF COMMUNITY 3658 02:22:37,649 --> 02:22:39,451 ENGAGEMENT, AS A TYPE OF 3659 02:22:39,451 --> 02:22:41,119 SCIENTIFIC INFRASTRUCTURE AND 3660 02:22:41,119 --> 02:22:43,321 THE SAME WAY A PIECE OF 3661 02:22:43,321 --> 02:22:43,989 LABORATORY EQUIPMENT IS 3662 02:22:43,989 --> 02:22:44,856 INFRASTRUCTURE AND YOU CAN'T 3663 02:22:44,856 --> 02:22:46,925 BUILD THOSE IN THE MIDDLE OF A 3664 02:22:46,925 --> 02:22:47,159 CRISIS. 3665 02:22:47,159 --> 02:22:52,330 YOU HAVE TO HAVE THEM IN PLACE. 3666 02:22:52,330 --> 02:22:54,366 I WAS IN CHICAGO SEEING RADx 3667 02:22:54,366 --> 02:23:00,238 WHERE WE GOT ON THE PHONE WITH 3668 02:23:00,238 --> 02:23:03,408 FQH PARTNERS, WOULD YOU HELP 3669 02:23:03,408 --> 02:23:07,979 TEST, YEAH, WE WORKED WITH YOU 3670 02:23:07,979 --> 02:23:10,849 FOR YEARS, RADX-UP, ALL 3671 02:23:10,849 --> 02:23:12,584 PREDICATED ON EXISTING 3672 02:23:12,584 --> 02:23:12,918 RELATIONSHIPS. 3673 02:23:12,918 --> 02:23:17,289 IT'S NOT CONFINED TO A SINGLE 3674 02:23:17,289 --> 02:23:18,290 DISEASE. 3675 02:23:18,290 --> 02:23:19,391 IT'S TRANS-INSTITUTE. 3676 02:23:19,391 --> 02:23:23,762 RELATIONSHIPS ARE SO KEY SO 3677 02:23:23,762 --> 02:23:25,063 ENCOURAGING BUILDING, 3678 02:23:25,063 --> 02:23:27,232 SUSTAINING, SUPPORTING. 3679 02:23:27,232 --> 02:23:32,938 AND A SCIENCE QUESTION WITH 142 3680 02:23:32,938 --> 02:23:35,874 PROJECTS WHAT DO WE KNOW ABOUT 3681 02:23:35,874 --> 02:23:36,741 RELATIONSHIPS BEFORE THIS 3682 02:23:36,741 --> 02:23:38,176 INITIATIVE STARTED, HOW LONG DID 3683 02:23:38,176 --> 02:23:39,811 INVESTIGATORS AND ORGANIZATIONS 3684 02:23:39,811 --> 02:23:40,979 WORK TOGETHER, WHAT DID THEY DO 3685 02:23:40,979 --> 02:23:43,982 DURING THE COURSE OF THE STUDY 3686 02:23:43,982 --> 02:23:45,617 AND WHAT CHARACTERISTICS PREDICT 3687 02:23:45,617 --> 02:23:46,585 GREATER SUCCESS BECAUSE WE NEED 3688 02:23:46,585 --> 02:23:48,787 TO ALSO GROW THE SCIENCE OF 3689 02:23:48,787 --> 02:23:50,021 COMMUNITY ENGAGEMENT, RIGHT? 3690 02:23:50,021 --> 02:23:51,957 WHAT DID WE LEARN ABOUT TYPES OF 3691 02:23:51,957 --> 02:23:54,059 PARTNERSHIPS, DO YOU HAVE TO 3692 02:23:54,059 --> 02:23:56,027 KNOW EACH OTHER FIRST BEFORE 3693 02:23:56,027 --> 02:23:58,096 YOU'RE READY TO GO, DO YOU HAVE 3694 02:23:58,096 --> 02:23:58,964 MOUs IN PLACE? 3695 02:23:58,964 --> 02:24:00,499 HOW DO YOU BUILD TRUST? 3696 02:24:00,499 --> 02:24:03,468 I'D LOVE TO SEE SCIENCE 3697 02:24:03,468 --> 02:24:04,669 HAPPENING IN WHAT THOSE 3698 02:24:04,669 --> 02:24:10,175 RELATIONSHIPS LOOK LIKE AND HOW 3699 02:24:10,175 --> 02:24:10,775 IT PREDICTED SUCCESS. 3700 02:24:10,775 --> 02:24:12,978 >> THANK YOU FOR THAT. 3701 02:24:12,978 --> 02:24:17,349 I WILL TELL YOU THAT ACROSS ALL 3702 02:24:17,349 --> 02:24:21,286 OF THE IC CENTERS AND OFFERSES, 3703 02:24:21,286 --> 02:24:22,287 INSTITUTE CENTERS AND OFFICES, 3704 02:24:22,287 --> 02:24:24,556 WE'VE BEEN TALKING ABOUT THIS 3705 02:24:24,556 --> 02:24:26,091 ISSUE, GETTING DEEPLY INTO 3706 02:24:26,091 --> 02:24:29,494 COMMUNITIES NOT WITH ONE-TIME 3707 02:24:29,494 --> 02:24:33,331 PROJECTS LIKE COVID EPIDEMIC BUT 3708 02:24:33,331 --> 02:24:37,569 A CONTINUAL SUSTAINABLE STREAM 3709 02:24:37,569 --> 02:24:39,271 OF RESEARCH THAT ENGAGES, MEETS 3710 02:24:39,271 --> 02:24:41,173 SPECIFIC NEEDS OF THE COMMUNITY, 3711 02:24:41,173 --> 02:24:45,677 AND, YOU KNOW, IT'S CONTINUALLY 3712 02:24:45,677 --> 02:24:47,979 ONGOING, WORKING TOGETHER TO 3713 02:24:47,979 --> 02:24:49,514 BUILD THAT INFRASTRUCTURE, 3714 02:24:49,514 --> 02:24:50,682 PROBABLY COORDINATING AND 3715 02:24:50,682 --> 02:24:51,917 COALESCING SOME EXISTING 3716 02:24:51,917 --> 02:24:54,085 PROGRAMS BECAUSE WE'RE KNOW 3717 02:24:54,085 --> 02:24:56,955 READY TO DO THIS FOR NOW. 3718 02:24:56,955 --> 02:25:00,058 AND SO YOU HIT ON SOMETHING 3719 02:25:00,058 --> 02:25:02,427 WE'RE GOING TO TRY TO SEE HOW WE 3720 02:25:02,427 --> 02:25:04,296 CAN EXECUTE NIH-WIDE. 3721 02:25:04,296 --> 02:25:12,370 THANKS. 3722 02:25:12,370 --> 02:25:17,209 3723 02:25:17,209 --> 02:25:27,485 >> NOW DR. LYRIC JORGENSON, 3724 02:25:27,485 --> 02:25:28,920 UPDATE ON NEXTRAC. 3725 02:25:28,920 --> 02:25:31,189 >> THE CONVERSATIONS LED 3726 02:25:31,189 --> 02:25:32,190 BEAUTIFULLY TO WHAT WE'RE 3727 02:25:32,190 --> 02:25:35,794 TALKING ABOUT IN A QUICK UPDATE 3728 02:25:35,794 --> 02:25:36,461 BEFORE LUNCH. 3729 02:25:36,461 --> 02:25:45,971 WE'RE EXCITED TO TALK ABOUT WHAT 3730 02:25:45,971 --> 02:25:49,908 THE NEXTRAC IS WORKING ON. 3731 02:25:49,908 --> 02:25:51,343 BUILDING TRANSPARENCY, TRUST, 3732 02:25:51,343 --> 02:25:53,545 CLINICAL RESEARCH, THAT'S WHAT 3733 02:25:53,545 --> 02:25:57,582 WE'VE BEEN TALKING ABOUT TODAY. 3734 02:25:57,582 --> 02:25:59,017 IMPORTANTLY, RECENTLY NIH 3735 02:25:59,017 --> 02:26:00,986 LAUNCHED THIS NEW EFFORT TO 3736 02:26:00,986 --> 02:26:03,121 DEVELOP A HARMONIZED AND 3737 02:26:03,121 --> 02:26:05,357 IMPLEMENTABLE VISION FOR A 3738 02:26:05,357 --> 02:26:07,659 FRAMEWORK INCLUDING PUBLIC 3739 02:26:07,659 --> 02:26:10,695 VOICES IN CLINICAL RESEARCH. 3740 02:26:10,695 --> 02:26:15,634 SPECIFICALLY THE NIH DIRECTOR'S 3741 02:26:15,634 --> 02:26:18,803 NOVEL COMMITTEE WAS CHARGED TO 3742 02:26:18,803 --> 02:26:20,772 DEVELOP THIS FRAMEWORK. 3743 02:26:20,772 --> 02:26:25,143 IN BRIEF, MEMBERS HAVE VAST 3744 02:26:25,143 --> 02:26:25,944 EXPERTISE IN EMERGING 3745 02:26:25,944 --> 02:26:27,045 TECHNOLOGY, FUTURE OF PATIENT 3746 02:26:27,045 --> 02:26:28,980 AND COMMUNITY ENGAGEMENT IN 3747 02:26:28,980 --> 02:26:29,414 RESEARCH. 3748 02:26:29,414 --> 02:26:30,949 INCREASINGLY SEE USE OF NOVEL 3749 02:26:30,949 --> 02:26:32,384 AND EMERGING TECHNOLOGY SUCH AS 3750 02:26:32,384 --> 02:26:35,320 THE ONES WE TALKED ABOUT TODAY, 3751 02:26:35,320 --> 02:26:37,088 A.I., M.L., DIGITAL HEALTH, 3752 02:26:37,088 --> 02:26:38,390 ELECTRONIC HEALTH AND MORE, 3753 02:26:38,390 --> 02:26:39,591 DESIGN AND CONDUCT OF CLINICAL 3754 02:26:39,591 --> 02:26:41,559 RESEARCH AND WE BELIEVE IT'S 3755 02:26:41,559 --> 02:26:43,128 IMPORTANT TO ENGAGE COMMUNITIES 3756 02:26:43,128 --> 02:26:44,296 AND PATIENT PARTNERS AND GENERAL 3757 02:26:44,296 --> 02:26:46,164 PUBLIC TO HOW AND WHEN DIFFERENT 3758 02:26:46,164 --> 02:26:48,033 TYPES OF ENGAGEMENT STRATEGIES 3759 02:26:48,033 --> 02:26:52,404 ARE EFFECTIVE AND WHEN THEY WORK 3760 02:26:52,404 --> 02:26:52,704 FAST. 3761 02:26:52,704 --> 02:26:53,938 ALONG THESE LINES NEXTRAC 3762 02:26:53,938 --> 02:26:56,007 COMPLETED AN EFFORT RELATED TO 3763 02:26:56,007 --> 02:26:57,976 PUBLIC ENGAGEMENT AROUND DATA 3764 02:26:57,976 --> 02:26:58,743 SCIENCE, USING EMERGING 3765 02:26:58,743 --> 02:27:00,512 TECHNOLOGY TO THINK ABOUT DATA 3766 02:27:00,512 --> 02:27:00,845 SCIENCE. 3767 02:27:00,845 --> 02:27:03,682 THIS BUILDS ON THAT EFFORT IN 3768 02:27:03,682 --> 02:27:10,155 THE CLINICAL RESEARCH VEIN. 3769 02:27:10,155 --> 02:27:12,757 ENGAGING THE PUBLIC IN CLINICAL 3770 02:27:12,757 --> 02:27:15,694 RESEARCH WITH THE ACDC, GIVING 3771 02:27:15,694 --> 02:27:18,229 YOUR EXPERTISE AND LEADERSHIP OF 3772 02:27:18,229 --> 02:27:19,030 THESE ISSUES. 3773 02:27:19,030 --> 02:27:20,732 ULTIMATELY, EFFORT IS TO BUILD A 3774 02:27:20,732 --> 02:27:23,468 TOOL KIT FOR RESEARCHERS AND THE 3775 02:27:23,468 --> 02:27:26,638 COMMUNITY IN TANDEM ABOUT LOU TO 3776 02:27:26,638 --> 02:27:29,207 APPROACH THIS INTERESTING AND 3777 02:27:29,207 --> 02:27:29,941 IMPORTANT TOPIC. 3778 02:27:29,941 --> 02:27:33,545 WE HAVE A LARGE WORKING GROUP, 3779 02:27:33,545 --> 02:27:36,715 EXCELLENT CO-CHAIRS LEADING THE 3780 02:27:36,715 --> 02:27:36,948 EFFORT. 3781 02:27:36,948 --> 02:27:38,450 DR. SUSAN BOTKIN, WHO SERVED ON 3782 02:27:38,450 --> 02:27:41,419 THE RECENT DATA SCIENCE AND 3783 02:27:41,419 --> 02:27:42,320 EMERGING TECH WORKING GROUP, 3784 02:27:42,320 --> 02:27:45,223 PROFESSOR OF SCHOOL OF NURSING, 3785 02:27:45,223 --> 02:27:46,124 PROFESSOR OF BIOMEDICAL 3786 02:27:46,124 --> 02:27:47,992 INFORMATICS AT COLUMBIA. 3787 02:27:47,992 --> 02:27:50,061 SHE'S ALSO HAD EXPERIENCE WITH 3788 02:27:50,061 --> 02:27:51,796 PATIENT ENGAGEMENT AND RESEARCH 3789 02:27:51,796 --> 02:27:53,565 AND REDUCING HEALTH DISPARITIES. 3790 02:27:53,565 --> 02:28:00,038 WE ALSO HAVE A FANTASTIC 3791 02:28:00,038 --> 02:28:01,206 CO-CHAIR, REPRESENTED IN PINK, 3792 02:28:01,206 --> 02:28:08,913 CHRISTIN VEASLEY, CHRONIC PAIN 3793 02:28:08,913 --> 02:28:11,516 RESEARCH ALLIANCE, IN FEDERAL 3794 02:28:11,516 --> 02:28:12,317 AGENCIES AND COLLABORATIVE 3795 02:28:12,317 --> 02:28:12,951 ALLIANCES TO PROMOTE 3796 02:28:12,951 --> 02:28:14,352 PUBLIC/PRIVATE PARTNERSHIPS. 3797 02:28:14,352 --> 02:28:16,221 SHE'S BEEN A PASSIONATE ADVOCATE 3798 02:28:16,221 --> 02:28:17,555 OF HAVING PATIENT VOICINGS IN 3799 02:28:17,555 --> 02:28:19,924 THE DESIGN OF CLINICAL RESEARCH 3800 02:28:19,924 --> 02:28:20,925 STUDIES AND EXECUTION. 3801 02:28:20,925 --> 02:28:26,164 YOU CAN SEE WE HAVE 22 OTHER 3802 02:28:26,164 --> 02:28:27,065 MEMBERS, PATIENTS, PATIENT 3803 02:28:27,065 --> 02:28:28,466 ADVOCATES, REPRESENTING CANCER, 3804 02:28:28,466 --> 02:28:30,668 RARE DISEASE, SICKLE CELL, DOWN 3805 02:28:30,668 --> 02:28:32,203 SYNDROME, AND MORE, ACADEMICS 3806 02:28:32,203 --> 02:28:35,473 WITH EXPERTISE RANGING FROM THE 3807 02:28:35,473 --> 02:28:41,413 CLINICAL RESEARCH COMMUNITY, 3808 02:28:41,413 --> 02:28:42,947 ENGAGEMENT, HEALTH DISPARITIES, 3809 02:28:42,947 --> 02:28:44,449 TRIBAL HEALTH AND MORE. 3810 02:28:44,449 --> 02:28:48,086 WE'RE ALSO THRILLED YOU'LL SEE 3811 02:28:48,086 --> 02:28:56,594 IN GREEN TWO ACD MEMBERS, DR. 3812 02:28:56,594 --> 02:29:00,799 KIMBALL AND DR. DIAZ BRINTON. 3813 02:29:00,799 --> 02:29:02,834 I WON'T SPEND A LOT OF TIME. 3814 02:29:02,834 --> 02:29:05,236 WE HAVE A LARGE INVESTMENT IN 3815 02:29:05,236 --> 02:29:06,771 CLINICAL RESEARCH, OFTEN THE 3816 02:29:06,771 --> 02:29:07,672 PLACE WHERE PEOPLE RECOGNIZE 3817 02:29:07,672 --> 02:29:10,608 WHAT THE NIH DOES AND WHAT 3818 02:29:10,608 --> 02:29:11,810 RESEARCH FOR THE PUBLIC, THE 3819 02:29:11,810 --> 02:29:15,747 PART WHERE PUBLIC IS MOST 3820 02:29:15,747 --> 02:29:19,384 DIRECTLY ENGAGED IN SCIENCE. 3821 02:29:19,384 --> 02:29:21,886 NIH RECOGNIZES NEED TO EXPAND 3822 02:29:21,886 --> 02:29:22,987 MORE BROADLY, YOU HEARD ABOUT 3823 02:29:22,987 --> 02:29:23,755 THIS TODAY. 3824 02:29:23,755 --> 02:29:27,358 A RECENT EFFORT AROUND A TASK 3825 02:29:27,358 --> 02:29:30,528 FORCE TO KEEP BOLSTERING 3826 02:29:30,528 --> 02:29:34,165 ENTERPRISE, GETTING READY FOR 3827 02:29:34,165 --> 02:29:35,133 DR. BERTAGNOLLI'S PRIORITIES HAS 3828 02:29:35,133 --> 02:29:39,404 LAID THE GROUND WORK AND 3829 02:29:39,404 --> 02:29:40,939 LEVERAGING THIS INVESTMENT. 3830 02:29:40,939 --> 02:29:46,177 NIH EMPLOYEES A BROAD SPECTRUM, 3831 02:29:46,177 --> 02:29:51,616 HARNESSING DIGITAL TECHNOLOGY, 3832 02:29:51,616 --> 02:29:53,084 REAL WORLD DATA, AT THE HEART OF 3833 02:29:53,084 --> 02:29:55,253 THE WORK IT CAN ONLY BE DONE 3834 02:29:55,253 --> 02:29:57,355 WITH DEDICATED MEMBERS OF THE 3835 02:29:57,355 --> 02:29:58,756 PUBLIC WHO VOLUNTEER TIME, DATA, 3836 02:29:58,756 --> 02:30:00,692 ACTUAL PARTS OF THEMSELVES TO 3837 02:30:00,692 --> 02:30:01,626 MAKE THIS SUCCESSFUL, AT THE 3838 02:30:01,626 --> 02:30:06,097 HARD - HEART OF HOW WE HAVE 3839 02:30:06,097 --> 02:30:07,098 THESE CONVERSATIONS. 3840 02:30:07,098 --> 02:30:11,469 WE LAUNCHED RECENTLY. 3841 02:30:11,469 --> 02:30:14,105 DR. TABAK ON AUGUST 29, IN 3842 02:30:14,105 --> 02:30:16,941 TANDEM WITH RECEIPT OF DATA 3843 02:30:16,941 --> 02:30:17,675 SCIENCE RECOMMENDATIONS, 3844 02:30:17,675 --> 02:30:19,878 LAUNCHED THIS NEW EFFORT 3845 02:30:19,878 --> 02:30:20,745 REGARDING ENGAGING RESEARCH 3846 02:30:20,745 --> 02:30:21,980 PARTICIPANTS AND THE COMMUNITY 3847 02:30:21,980 --> 02:30:24,048 EARLY AND OFTEN THROUGHOUT THE 3848 02:30:24,048 --> 02:30:24,916 RESEARCH CYCLE. 3849 02:30:24,916 --> 02:30:27,118 THIS IS SOMETHING AGAIN 3850 02:30:27,118 --> 02:30:29,754 LAUNCHED, JUST STARTING OFF, 3851 02:30:29,754 --> 02:30:30,955 GETTING THIS MOVING FORWARD. 3852 02:30:30,955 --> 02:30:32,690 YOU ALREADY HEARD TODAY THAT WE 3853 02:30:32,690 --> 02:30:34,893 DON'T NEED TO REINVENT THE 3854 02:30:34,893 --> 02:30:35,093 WHEEL. 3855 02:30:35,093 --> 02:30:37,729 MANY PROGRAMS AND PEOPLE HAVE 3856 02:30:37,729 --> 02:30:38,796 BEEN PIONEERING THIS IMPORTANT 3857 02:30:38,796 --> 02:30:39,163 WORK. 3858 02:30:39,163 --> 02:30:40,565 WE TALKED ABOUT SCIENCE OF 3859 02:30:40,565 --> 02:30:42,333 UNDERSTANDING, WHAT WORKS AND 3860 02:30:42,333 --> 02:30:44,836 WHEN, TAKE EXAMPLES FROM THESE 3861 02:30:44,836 --> 02:30:45,937 INITIATIVES TO MOVE 3862 02:30:45,937 --> 02:30:46,905 EVIDENCE-BASED APPROACH FORWARD 3863 02:30:46,905 --> 02:30:51,075 FOR THE TIMING AND WHAT WORKED 3864 02:30:51,075 --> 02:30:51,709 WELL. 3865 02:30:51,709 --> 02:30:54,245 WHAT WE LEARNED, WHAT YOU HEARD 3866 02:30:54,245 --> 02:30:56,314 TODAY, YOU KNOW IT'S 3867 02:30:56,314 --> 02:30:57,415 COMPLICATED. 3868 02:30:57,415 --> 02:30:58,283 MEANINGFUL ENGAGEMENT IS NOT 3869 02:30:58,283 --> 02:31:00,685 JUST HAVING ONE CONVERSATION AND 3870 02:31:00,685 --> 02:31:04,756 LEAVING THE ROOM. 3871 02:31:04,756 --> 02:31:07,959 IT REQUIRES RESOURCES, DEDICATED 3872 02:31:07,959 --> 02:31:08,893 INFRASTRUCTURE, EXPERTISE OF 3873 02:31:08,893 --> 02:31:12,196 THOSE COMMUNITIES AND COMMUNITY 3874 02:31:12,196 --> 02:31:14,165 NEEDS, AND COMMITMENT, 3875 02:31:14,165 --> 02:31:15,366 BIDIRECTIONAL EXPECTATION AND 3876 02:31:15,366 --> 02:31:16,034 HOLDING OURSELVES ACCOUNTABILITY 3877 02:31:16,034 --> 02:31:17,235 TO THEM. 3878 02:31:17,235 --> 02:31:18,970 THERE WILL NOT BE A 3879 02:31:18,970 --> 02:31:19,871 ONE-SIZE-FITS-ALL APPROACH. 3880 02:31:19,871 --> 02:31:20,939 THE GOAL OF THIS EFFORT IS 3881 02:31:20,939 --> 02:31:22,907 REALLY TO THINK ABOUT A MENU OF 3882 02:31:22,907 --> 02:31:26,411 OPTIONS THAT ARE MOST E 3883 02:31:26,411 --> 02:31:31,215 EFFECTIVE FOR THE TYPE OF STUDY. 3884 02:31:31,215 --> 02:31:32,083 DIFFERENT METHODS MAY DEPEND ON 3885 02:31:32,083 --> 02:31:33,751 THE COMMUNITY. 3886 02:31:33,751 --> 02:31:36,154 YOU NEED LOCAL ORGANIZERS TO 3887 02:31:36,154 --> 02:31:37,689 NAVIGATE THESE ISSUES. 3888 02:31:37,689 --> 02:31:40,525 THERE MAY BE VARIABILITY AND 3889 02:31:40,525 --> 02:31:43,061 OPTIMAL TIMING AND REALLY A 3890 02:31:43,061 --> 02:31:45,330 TAILORED APPROACH TO ENSURE 3891 02:31:45,330 --> 02:31:46,764 WE'RE THINKING ABOUT 3892 02:31:46,764 --> 02:31:47,332 EQUITABILITY, INCLUSIVITY, 3893 02:31:47,332 --> 02:31:52,370 DEPLOYMENT OF THESE APPROACHES. 3894 02:31:52,370 --> 02:31:55,640 THE VISION, ONE WE WANT TO HAVE 3895 02:31:55,640 --> 02:31:57,375 A PUBLIC TRANSPARENT UNIFIED 3896 02:31:57,375 --> 02:31:59,377 AGENDA FOR HOW NIH APPROACHES 3897 02:31:59,377 --> 02:32:00,244 PUBLIC ENGAGEMENT. 3898 02:32:00,244 --> 02:32:02,981 WE STRUGGLED WITH THE 3899 02:32:02,981 --> 02:32:04,482 TERMINOLOGY, COMMUNITY 3900 02:32:04,482 --> 02:32:05,116 ENGAGEMENT, PATIENT ENGAGEMENT, 3901 02:32:05,116 --> 02:32:05,416 INDIVIDUAL? 3902 02:32:05,416 --> 02:32:10,421 IT'S ALL OF THE ABOVE UNDER THE 3903 02:32:10,421 --> 02:32:13,925 RUBRIC OF PUBLIC BUT MORE 3904 02:32:13,925 --> 02:32:15,460 ENCOMPASSING, THE GOAL FOR A 3905 02:32:15,460 --> 02:32:17,195 TOOL KIT, FIRST DEFINING WHAT 3906 02:32:17,195 --> 02:32:18,830 OPPORTUNITIES AND CHALLENGES ARE 3907 02:32:18,830 --> 02:32:20,565 AND SETTING BASELINE LEVELS OF 3908 02:32:20,565 --> 02:32:21,332 EXPECTATIONS FOR PEOPLE WHO 3909 02:32:21,332 --> 02:32:26,838 DON'T KNOW HOW BUT WE CAN START 3910 02:32:26,838 --> 02:32:28,773 CAN LEVEL PLAYING FIELD. 3911 02:32:28,773 --> 02:32:30,875 THINKING ABOUT CONSIDERATION OF 3912 02:32:30,875 --> 02:32:31,943 TRADEOFF, GOLD STANDARD TO 3913 02:32:31,943 --> 02:32:34,045 ENGAGE ALL THE TIME EARLY, 3914 02:32:34,045 --> 02:32:35,346 OFTEN, ALONG THE WAY, REAL 3915 02:32:35,346 --> 02:32:36,981 TRADEOFFS IN TERMS OF NOT ONLY 3916 02:32:36,981 --> 02:32:38,850 INFRASTRUCTURE AND TIME FOR 3917 02:32:38,850 --> 02:32:40,151 RESEARCHERS BUT TIME FOR 3918 02:32:40,151 --> 02:32:41,386 PATIENTS AND PARENTS PARTS WHO 3919 02:32:41,386 --> 02:32:43,421 CAN'T COME TO MEETINGS FROM NINE 3920 02:32:43,421 --> 02:32:44,656 TO FIVE BECAUSE THEY HAVE JOBS, 3921 02:32:44,656 --> 02:32:49,794 WE NEED TO COME IN WAYS 3922 02:32:49,794 --> 02:32:51,329 MEANINGFUL FOR THEM. 3923 02:32:51,329 --> 02:32:53,564 IMPACT OF COMMUNITIES, THINKING 3924 02:32:53,564 --> 02:32:55,033 ABOUT THE FINDINGS TO DIVERSE 3925 02:32:55,033 --> 02:32:56,467 COMMUNITIES, METHODS OF BUILDING 3926 02:32:56,467 --> 02:32:58,536 TRUST TO IMPROVE ADOPTION OF 3927 02:32:58,536 --> 02:32:59,937 EVIDENCE-BASED PRACTICES, WE 3928 02:32:59,937 --> 02:33:01,706 TALKED TODAY ABOUT RETURN OF 3929 02:33:01,706 --> 02:33:09,047 RESULTS AND THINGS MEANINGFUL TO 3930 02:33:09,047 --> 02:33:09,447 COMMUNITIES. 3931 02:33:09,447 --> 02:33:15,286 POTENTIAL OUTCOMES, NOT ONLY 3932 02:33:15,286 --> 02:33:17,488 FOR RESEARCHERS, THERE'S A 3933 02:33:17,488 --> 02:33:19,757 BETTER UPTAKE FOR SCIENCE, 3934 02:33:19,757 --> 02:33:20,758 INCREASED REPRESENTATION, 3935 02:33:20,758 --> 02:33:22,427 UNDERSTANDING OF FACTORS THAT 3936 02:33:22,427 --> 02:33:24,262 AFFECT SUCCESSFUL STUDY DESIGN 3937 02:33:24,262 --> 02:33:25,496 AND COMPLETION, FOR PARTICIPANTS 3938 02:33:25,496 --> 02:33:26,798 UNDERSTAND HOW TO INTERACT IN 3939 02:33:26,798 --> 02:33:27,865 RESEARCH, HOW IT'S VALUABLE FOR 3940 02:33:27,865 --> 02:33:29,967 THEM, WHAT IT MEANS TO THEIR 3941 02:33:29,967 --> 02:33:30,268 COMMUNITIES. 3942 02:33:30,268 --> 02:33:31,703 AND OF COURSE THE PUBLIC. 3943 02:33:31,703 --> 02:33:33,471 THINKING ABOUT A ROAD MAP FOR 3944 02:33:33,471 --> 02:33:34,472 BUILDING AND BRINGING PEOPLE 3945 02:33:34,472 --> 02:33:35,773 ALONG THE JOURNEY WITH US AS WE 3946 02:33:35,773 --> 02:33:39,777 HEARD FROM THE CEAL INITIATIVE 3947 02:33:39,777 --> 02:33:45,717 TO BUILD TRUST IN SCIENCE AND 3948 02:33:45,717 --> 02:33:46,551 RESEARCH. 3949 02:33:46,551 --> 02:33:47,919 THE TIMELINE, I'M MOVING 3950 02:33:47,919 --> 02:33:50,088 QUICKLY, THE WORKING GROUP WAS 3951 02:33:50,088 --> 02:33:50,655 ESTABLISHED IN AUGUST. 3952 02:33:50,655 --> 02:33:52,857 IT WILL BE A TWO-YEAR PROCESS. 3953 02:33:52,857 --> 02:34:00,598 WE NEED TO THINK ABOUT WHAT WE 3954 02:34:00,598 --> 02:34:01,833 LEARNED AND DELIVER A PROCESS 3955 02:34:01,833 --> 02:34:04,569 THAT WORKS ON THEIR TIME LINE. 3956 02:34:04,569 --> 02:34:06,304 OVER THE NEXT TWO YEARS THIS 3957 02:34:06,304 --> 02:34:07,739 GROUP THINKING ABOUT HOW TO DO 3958 02:34:07,739 --> 02:34:10,908 THIS WELL. 3959 02:34:10,908 --> 02:34:13,978 AND PRESENT THE FINDINGS IN 3960 02:34:13,978 --> 02:34:15,279 SUMMER OF 2025. 3961 02:34:15,279 --> 02:34:17,915 I'D LOVE TO TURN IT OVER TO 3962 02:34:17,915 --> 02:34:19,550 ALEXA IN THREE MINUTES TO WEIGH 3963 02:34:19,550 --> 02:34:22,653 IN AND OPEN FOR DISCUSSION. 3964 02:34:22,653 --> 02:34:22,954 >> TERRIFIC. 3965 02:34:22,954 --> 02:34:25,890 CAN YOU HEAR ME OKAY? 3966 02:34:25,890 --> 02:34:31,295 >> YES. 3967 02:34:31,295 --> 02:34:32,230 >> PERFECT. 3968 02:34:32,230 --> 02:34:36,300 SO WE'VE HAD SEVERAL MEETINGS, 3969 02:34:36,300 --> 02:34:38,569 LEVEL OF ENGAGEMENT, BACKGROUND, 3970 02:34:38,569 --> 02:34:39,670 INFORMATION THAT'S BEING 3971 02:34:39,670 --> 02:34:41,105 PROVIDED, SYNTHESIS, IMPORTANTLY 3972 02:34:41,105 --> 02:34:42,373 AS YOU'VE HEARD IT'S COMPLICATED 3973 02:34:42,373 --> 02:34:44,709 BUT YOU CAN ALSO SEE THAT 3974 02:34:44,709 --> 02:34:46,010 ALREADY THIS IS COMING, THE 3975 02:34:46,010 --> 02:34:47,545 FRAMEWORK IN WHICH TO THINK 3976 02:34:47,545 --> 02:34:48,412 THROUGH THESE PROBLEMS IS 3977 02:34:48,412 --> 02:34:49,647 EMERGING AND THAT'S GOING TO 3978 02:34:49,647 --> 02:34:51,415 ALLOW US TO BE VERY ACTION 3979 02:34:51,415 --> 02:34:53,417 ORIENTED AS WE GO THROUGH. 3980 02:34:53,417 --> 02:34:56,654 DESPITE THE FACT THE TIMELINE 3981 02:34:56,654 --> 02:34:59,624 PUSHES TO 2025 THE WORK SO THAT 3982 02:34:59,624 --> 02:35:01,259 ARE IS ACCELERATED, AND FAST 3983 02:35:01,259 --> 02:35:01,592 PACED. 3984 02:35:01,592 --> 02:35:04,328 AND I THINK THAT'S IN 3985 02:35:04,328 --> 02:35:06,063 PREPARATION FOR THE INTENSE 3986 02:35:06,063 --> 02:35:08,599 PUBLIC OUTREACH THAT WE'RE 3987 02:35:08,599 --> 02:35:09,267 ANTICIPATING. 3988 02:35:09,267 --> 02:35:11,769 HUGE KUDOS TO LYRIC AND TEAM ON 3989 02:35:11,769 --> 02:35:12,136 THIS. 3990 02:35:12,136 --> 02:35:15,907 I'M REALLY EXCITED WITH HOW THIS 3991 02:35:15,907 --> 02:35:16,274 IS GOING. 3992 02:35:16,274 --> 02:35:18,976 >> THANK YOU, ALEXA. 3993 02:35:18,976 --> 02:35:22,713 3994 02:35:22,713 --> 02:35:26,751 3995 02:35:26,751 --> 02:35:29,153 >> OKAY, OPEN FOR QUESTIONS. 3996 02:35:29,153 --> 02:35:30,621 >> THANK YOU FOR THE 3997 02:35:30,621 --> 02:35:33,024 PRESENTATION, VERY IMPORTANT 3998 02:35:33,024 --> 02:35:33,357 WORK. 3999 02:35:33,357 --> 02:35:38,496 YOU MENTIONED SOMETHING WHICH IS 4000 02:35:38,496 --> 02:35:43,534 THE ISSUE BY NATURE RESEARCH IS 4001 02:35:43,534 --> 02:35:44,735 ALMOST DISCONTINUOUS, YOU KNOW, 4002 02:35:44,735 --> 02:35:46,604 DISCRETE LIKE I'VE SEEN IT AGAIN 4003 02:35:46,604 --> 02:35:48,372 AND AGAIN WHERE THERE'S 4004 02:35:48,372 --> 02:35:50,308 ESTABLISHMENT OF VERY SOLID DEEP 4005 02:35:50,308 --> 02:35:53,177 RELATIONSHIPS WITH COMMUNITIES 4006 02:35:53,177 --> 02:35:55,346 BUT THEN THE STUDY ENDS, AND I 4007 02:35:55,346 --> 02:36:02,453 HEAR AGAIN AND AGAIN FROM THE 4008 02:36:02,453 --> 02:36:04,655 COMMUNITIES THAT WE WORKED IN, 4009 02:36:04,655 --> 02:36:07,124 WHERE ARE YOU, WHAT HAPPENED? 4010 02:36:07,124 --> 02:36:08,292 IT'S A MAJOR ISSUE. 4011 02:36:08,292 --> 02:36:10,161 THERE MAY BE MODELS HOW THIS CAN 4012 02:36:10,161 --> 02:36:17,702 BE DONE BUT I FEEL LIKE FOCUSING 4013 02:36:17,702 --> 02:36:21,839 ON THE ISSUE OF RESEARCH ENDS, 4014 02:36:21,839 --> 02:36:24,575 THERE'S A GAP, SCRAMBLING TO GET 4015 02:36:24,575 --> 02:36:26,978 FUNDS TO GO BACK TO THE 4016 02:36:26,978 --> 02:36:27,912 COMMUNITY, CAUSING DISTRESS AND 4017 02:36:27,912 --> 02:36:29,513 AGAIN DOESN'T PROMOTE SENSE OF 4018 02:36:29,513 --> 02:36:30,615 TRUST. 4019 02:36:30,615 --> 02:36:32,783 I FEEL LIKE THAT IS AN AREA THAT 4020 02:36:32,783 --> 02:36:34,986 MIGHT BE INTERESTING TO JUST 4021 02:36:34,986 --> 02:36:37,388 FOCUS ON IN THE DELIBERATIONS. 4022 02:36:37,388 --> 02:36:37,688 THANK YOU. 4023 02:36:37,688 --> 02:36:41,092 >> NOT TO MENTION WE HAVE GOOD 4024 02:36:41,092 --> 02:36:42,326 EVIDENCE THAT SHOWS THAT 4025 02:36:42,326 --> 02:36:44,061 COMMUNITIES THAT ARE 4026 02:36:44,061 --> 02:36:48,866 PARTICIPATING IN RESEARCH DO 4027 02:36:48,866 --> 02:36:49,100 BETTER. 4028 02:36:49,100 --> 02:36:53,004 BEING ABLE TO BRING RESEARCH TO 4029 02:36:53,004 --> 02:36:54,705 COMMUNITIES HAVING CHALLENGES 4030 02:36:54,705 --> 02:36:58,042 ABOUT OUTCOMES, IF WE DO IT IN A 4031 02:36:58,042 --> 02:36:59,577 WAY THAT'S NOT HELICOPTER 4032 02:36:59,577 --> 02:37:01,112 RESEARCH BUT SUSTAINED IN THE 4033 02:37:01,112 --> 02:37:02,446 COMMUNITY THAT'S ABSOLUTELY THE 4034 02:37:02,446 --> 02:37:02,780 GOAL. 4035 02:37:02,780 --> 02:37:06,150 THAT'S ONE OF THE REASONS WHY WE 4036 02:37:06,150 --> 02:37:08,152 APPRECIATE THIS WORKING GROUP, 4037 02:37:08,152 --> 02:37:10,655 I'LL SAY WE'VE GOT A LOT GOING 4038 02:37:10,655 --> 02:37:11,022 ON. 4039 02:37:11,022 --> 02:37:13,291 THAT'S DOING THIS. 4040 02:37:13,291 --> 02:37:15,393 SO, THEIR JOB IS REALLY -- YOU 4041 02:37:15,393 --> 02:37:16,761 SAW ALREADY TODAY, ALL OF US IS 4042 02:37:16,761 --> 02:37:17,795 DOING SOME OF THIS, CEAL IS 4043 02:37:17,795 --> 02:37:18,863 DOING SOME OF THIS. 4044 02:37:18,863 --> 02:37:23,701 WE'VE GOT SO MUCH GOING ON IN A 4045 02:37:23,701 --> 02:37:25,036 PATCHWORK PATTERN, BRINGING IT 4046 02:37:25,036 --> 02:37:26,437 TOGETHER IS WHAT'S GOING TO BE A 4047 02:37:26,437 --> 02:37:30,041 LOT OF THE FOCUS OF THIS GROUP, 4048 02:37:30,041 --> 02:37:36,013 AND WHERE MY FOCUS IS. 4049 02:37:36,013 --> 02:37:37,181 >> I'M SORRY. 4050 02:37:37,181 --> 02:37:39,016 >> RESEARCH NETWORK, HIV 4051 02:37:39,016 --> 02:37:40,217 RESEARCH NETWORK, MANY OTHER 4052 02:37:40,217 --> 02:37:43,187 NETWORKS ARE DOING THIS SO I 4053 02:37:43,187 --> 02:37:43,955 THINK THERE'S AN OPPORTUNITY. 4054 02:37:43,955 --> 02:37:47,224 >> THANK YOU. 4055 02:37:47,224 --> 02:37:51,111 LUCILA? 4056 02:37:51,111 --> 02:37:54,415 >> YEAH, I WANT TO ALSO AGREE 4057 02:37:54,415 --> 02:37:58,018 WITH THAT AND SAY THAT THE PANEL 4058 02:37:58,018 --> 02:38:00,087 YOU ASSEMBLE IS AMAZING. 4059 02:38:00,087 --> 02:38:02,456 YOU HAVE NAMES THERE THAT I'M 4060 02:38:02,456 --> 02:38:05,159 SURE WILL CONTRIBUTE A LOT. 4061 02:38:05,159 --> 02:38:07,728 IN TERMS OF CLINICAL TRIALS AND 4062 02:38:07,728 --> 02:38:09,196 WE'VE SEEN THAT COHORT STUDIES 4063 02:38:09,196 --> 02:38:13,333 SUCH AS THE "ALL OF US" THIS 4064 02:38:13,333 --> 02:38:15,202 MORNING, UNDERSTANDING THAT IN 4065 02:38:15,202 --> 02:38:18,505 THE BEGINNING AT LEAST IT COSTS 4066 02:38:18,505 --> 02:38:22,976 MORE TO ENGAGE, TRULY ENGAGE 4067 02:38:22,976 --> 02:38:25,045 CERTAIN COMMUNITIES, I THINK 4068 02:38:25,045 --> 02:38:25,813 IMAGINING THE FUNDING FOR 4069 02:38:25,813 --> 02:38:29,750 RESEARCH TO PAIR WITH THAT, WITH 4070 02:38:29,750 --> 02:38:38,525 THAT GOAL, WOULD BE AN IMPORTANT 4071 02:38:38,525 --> 02:38:39,026 ITEM FOR DISCUSSION. 4072 02:38:39,026 --> 02:38:40,694 >> THANK YOU. 4073 02:38:40,694 --> 02:38:41,295 COMMUNITY LEADERS EMPHASIZED 4074 02:38:41,295 --> 02:38:43,997 THAT POINT TO US. 4075 02:38:43,997 --> 02:38:45,632 IT'S SOMETHING WE'RE PAYING 4076 02:38:45,632 --> 02:38:46,934 GREAT ATTENTION TO. 4077 02:38:46,934 --> 02:38:49,336 OTHER COMMENTS OR QUESTIONS THAT 4078 02:38:49,336 --> 02:38:50,771 PEOPLE HAVE? 4079 02:38:50,771 --> 02:38:52,639 OH, YES, THE BLOOD GLUCOSE 4080 02:38:52,639 --> 02:38:54,942 LEVELS, BRUCE WOULD BE 4081 02:38:54,942 --> 02:38:56,276 MONITORING BLOOD GLUCOSE LEVELS 4082 02:38:56,276 --> 02:38:57,978 GOING DOWN, DOWN, DOWN. 4083 02:38:57,978 --> 02:38:58,412 OKAY. 4084 02:38:58,412 --> 02:38:59,980 THEN BACK TO YOU, MONICA. 4085 02:38:59,980 --> 02:39:03,150 >> THANK YOU VERY MUCH. 4086 02:39:03,150 --> 02:39:04,685 I THINK -- THANKS, LYRIC. 4087 02:39:04,685 --> 02:39:08,288 I THINK WE'RE DUE A LUNCH BREAK 4088 02:39:08,288 --> 02:39:09,590 HERE. 4089 02:39:09,590 --> 02:39:14,862 AND WE WILL RECONVENE AT 1:15. 4090 02:39:14,862 --> 02:39:16,296 SEE YOU ALL THEN. 4091 02:39:16,296 --> 02:39:22,727 [LUNCH RECESS] 4092 02:39:22,727 --> 02:39:24,862 >> WE'LL RECONVENE FOR THE FINAL 4093 02:39:24,862 --> 02:39:31,502 SESSION OF THE DAY, THE BEST FOR 4094 02:39:31,502 --> 02:39:33,604 LAST, DR. SHELLEY BERGER ON THE 4095 02:39:33,604 --> 02:39:39,977 LINE, UNIVERSITY OF PENN, AND 4096 02:39:39,977 --> 02:39:42,346 DR. TARA SCHWETZ, REENVISIONS 4097 02:39:42,346 --> 02:39:42,813 POSTDOCTORAL TRAINING. 4098 02:39:42,813 --> 02:39:44,782 I DON'T THINK THERE COULD BE A 4099 02:39:44,782 --> 02:39:46,751 BETTER TIME TO HEAR SOMETHING 4100 02:39:46,751 --> 02:39:52,757 LIKE THAT. 4101 02:39:52,757 --> 02:39:54,158 THANK YOU BOTH. 4102 02:39:54,158 --> 02:39:56,927 >> KICKING OFF LIVE FROM CAIRO. 4103 02:39:56,927 --> 02:39:59,530 >> I JUST GOT TO MY HOTEL. 4104 02:39:59,530 --> 02:40:01,632 FORGIVE ME IF I'M DISJOINTED. 4105 02:40:01,632 --> 02:40:08,072 BUT I WANT TO START BY THANKING 4106 02:40:08,072 --> 02:40:08,739 DR. BERTAGNOLLI. 4107 02:40:08,739 --> 02:40:11,242 IT'S A PLEASURE TO MEET YOU, IF 4108 02:40:11,242 --> 02:40:14,011 ONLY VIRTUALLY, AND TO THANK YOU 4109 02:40:14,011 --> 02:40:15,613 FOR GIVING TARA SCHWETZ AND ME 4110 02:40:15,613 --> 02:40:22,987 THE OPPORTUNITY TO PRESENT THE 4111 02:40:22,987 --> 02:40:25,489 RECOMMENDATIONS OF THE WORKING 4112 02:40:25,489 --> 02:40:29,326 GROUP. 4113 02:40:29,326 --> 02:40:31,529 WE WANT TO THANK THE ACD. 4114 02:40:31,529 --> 02:40:36,233 WE DID WORK, AND I HOPE THAT 4115 02:40:36,233 --> 02:40:39,837 WILL COME CLEAR AS WE PRESENT 4116 02:40:39,837 --> 02:40:41,472 THE RECOMMENDATIONS, ET CETERA. 4117 02:40:41,472 --> 02:40:44,008 I'M GOING TO REVIEW THE 4118 02:40:44,008 --> 02:40:46,043 BACKGROUND, THE CHARGE, THE DATA 4119 02:40:46,043 --> 02:40:47,278 COLLECTED, COMMUNITY FEEDBACK 4120 02:40:47,278 --> 02:40:48,479 AND GUIDING PRINCIPLES THAT WE 4121 02:40:48,479 --> 02:40:49,013 DEVELOPED. 4122 02:40:49,013 --> 02:40:50,448 SOME OF THIS WAS PRESENTED IN 4123 02:40:50,448 --> 02:40:53,284 JUNE SO I'M GOING TO BE BRIEF AT 4124 02:40:53,284 --> 02:40:55,152 THE BEGINNING BECAUSE TARA WILL 4125 02:40:55,152 --> 02:40:57,955 TAKE OVER TO GO THROUGH OUR 4126 02:40:57,955 --> 02:40:58,722 RECOMMENDATIONS, AND THERE'S A 4127 02:40:58,722 --> 02:41:02,593 LOT OF PEOPLE OUT THERE THAT ARE 4128 02:41:02,593 --> 02:41:03,694 CURIOUS ABOUT THAT. 4129 02:41:03,694 --> 02:41:07,064 WE'LL GET TO THAT AS QUICKLY AS 4130 02:41:07,064 --> 02:41:07,565 POSSIBLE. 4131 02:41:07,565 --> 02:41:09,700 SO, SLIDE 2, I'LL JUST START 4132 02:41:09,700 --> 02:41:19,376 WITH WHAT BROUGHT US HERE. 4133 02:41:19,376 --> 02:41:20,444 THESE MULTI-SECTORIAL AND 4134 02:41:20,444 --> 02:41:24,048 COMPLEX FORCES DRIVING THEI. 4135 02:41:24,048 --> 02:41:28,018 ON THE LEFT ECONOMIC FACTORS, 4136 02:41:28,018 --> 02:41:29,453 INCREASES IN COST OF LIVING, 4137 02:41:29,453 --> 02:41:34,158 NEED FOR BETTER BENEFITS. 4138 02:41:34,158 --> 02:41:35,693 GEOPOLITICAL FACTORS SUCH AS 4139 02:41:35,693 --> 02:41:38,295 COVID AND IMMIGRATION ISSUES 4140 02:41:38,295 --> 02:41:42,900 THAT HAVE COME UP THROUGH COVID, 4141 02:41:42,900 --> 02:41:44,235 AND EVEN BEFORE, CONCERNS ABOUT 4142 02:41:44,235 --> 02:41:47,171 QUALITY OF LIFE AND DESIRE FOR 4143 02:41:47,171 --> 02:41:50,407 BETTER WORK/LIFE BALANCE, AND 4144 02:41:50,407 --> 02:41:53,744 THEN ON THE RIGHT SIDE LIMITED 4145 02:41:53,744 --> 02:41:55,246 ACADEMIC OPPORTUNITIES 4146 02:41:55,246 --> 02:41:56,480 CONTRASTING WITH NEW 4147 02:41:56,480 --> 02:42:01,619 OPPORTUNITIES IN PHARMA AND 4148 02:42:01,619 --> 02:42:03,254 BIOTECH, THE LENGTHENING, 4149 02:42:03,254 --> 02:42:06,223 EVER-LENGTHING TIME TO PUBLISH 4150 02:42:06,223 --> 02:42:07,191 AND EVER-EXPANDING RESEARCH 4151 02:42:07,191 --> 02:42:10,694 EXPECTATIONS WITH GROWTH OF 4152 02:42:10,694 --> 02:42:12,229 AMAZING TECHNOLOGIES AND ACCESS, 4153 02:42:12,229 --> 02:42:13,631 ACCESS TO THEM. 4154 02:42:13,631 --> 02:42:15,232 SO, MANY OF THESE CHALLENGES ARE 4155 02:42:15,232 --> 02:42:18,335 BEING FACED OF COURSE NOT ONLY 4156 02:42:18,335 --> 02:42:20,971 BY POSTDOCS, BY ALL EARLY CAREER 4157 02:42:20,971 --> 02:42:21,405 INVESTIGATORS. 4158 02:42:21,405 --> 02:42:24,909 THE IMPACT IS BROAD THROUGH THE 4159 02:42:24,909 --> 02:42:25,142 SYSTEM. 4160 02:42:25,142 --> 02:42:29,413 POTENTIALLY, YOU KNOW, REALLY 4161 02:42:29,413 --> 02:42:34,318 HAVING AN ADVERSE EFFECT ON U.S. 4162 02:42:34,318 --> 02:42:37,054 COMPETITIVENESS, RESEARCH, 4163 02:42:37,054 --> 02:42:38,355 TRANSLATION TO CLINIC, WHAT 4164 02:42:38,355 --> 02:42:41,192 MOTIVATED ME IN WANTING TO 4165 02:42:41,192 --> 02:42:43,727 ADDRESS ALL THESE PROBLEMS, THIS 4166 02:42:43,727 --> 02:42:46,130 COMBINED CONCERN OF THE 4167 02:42:46,130 --> 02:42:49,300 CHALLENGES TO POSTDOCS AND THE 4168 02:42:49,300 --> 02:42:51,168 POTENTIAL IMPACT ON U.S. 4169 02:42:51,168 --> 02:42:52,269 COMPETITIVENESS. 4170 02:42:52,269 --> 02:42:54,238 REALLY WANT TO UNDERLINE BOTH OF 4171 02:42:54,238 --> 02:42:55,439 THOSE THINGS. 4172 02:42:55,439 --> 02:42:58,842 SO WHILE NIH HAS MADE PROGRESS 4173 02:42:58,842 --> 02:43:00,344 BY IMPLEMENTING RECOMMENDATIONS 4174 02:43:00,344 --> 02:43:02,980 FROM PREVIOUS ACD WORKING GROUPS 4175 02:43:02,980 --> 02:43:04,949 ON THIS TOPIC, MAJOR CHANGES WE 4176 02:43:04,949 --> 02:43:07,284 LEAVE ARE STILL NEEDED AND SO 4177 02:43:07,284 --> 02:43:09,353 OUR GROUP RESOLVED TO BOLDLY 4178 02:43:09,353 --> 02:43:11,188 ADDRESS THE CHALLENGES TO 4179 02:43:11,188 --> 02:43:12,856 REENVISION THE ENTERPRISE TO 4180 02:43:12,856 --> 02:43:16,126 BETTER BENEFIT AT ALL THESE 4181 02:43:16,126 --> 02:43:19,396 LEVELS THAT IMPACT POSTDOCS, 4182 02:43:19,396 --> 02:43:22,166 WITH HOPE TO AMELIORATE SYSTEMIC 4183 02:43:22,166 --> 02:43:22,766 CONCERNS. 4184 02:43:22,766 --> 02:43:24,902 OUR INTENTION WAS TO BALANCE 4185 02:43:24,902 --> 02:43:27,304 PROFESSIONAL AND CAREER 4186 02:43:27,304 --> 02:43:28,305 DEVELOPMENT RESOURCES TO 4187 02:43:28,305 --> 02:43:29,940 POSTDOCS AND THE ENVIRONMENT IN 4188 02:43:29,940 --> 02:43:33,010 WHICH THEY OPERATE INCLUDING 4189 02:43:33,010 --> 02:43:33,777 MENTORING. 4190 02:43:33,777 --> 02:43:34,979 ALTHOUGH WE'VE EXTENSIVELY 4191 02:43:34,979 --> 02:43:38,482 DISCUSSED A BROADLY PERCEIVED 4192 02:43:38,482 --> 02:43:39,550 DECLINE IN POSTDOCS, CHALLENGES 4193 02:43:39,550 --> 02:43:41,418 IN HIRING WHICH ARE BROADLY 4194 02:43:41,418 --> 02:43:43,053 BEING FELT WE FELT THESE ISSUES 4195 02:43:43,053 --> 02:43:43,887 ARE SYMPTOMS OF A NEED TO 4196 02:43:43,887 --> 02:43:47,324 IMPROVE THE HEALTH OF THE 4197 02:43:47,324 --> 02:43:47,658 SYSTEM. 4198 02:43:47,658 --> 02:43:50,094 SO ACKNOWLEDGE UP FRONT THAT 4199 02:43:50,094 --> 02:43:51,629 SOME OF OUR RECOMMENDED CHANGES 4200 02:43:51,629 --> 02:43:54,031 MAY LEAD TO FEWER POSTDOCS, NOT 4201 02:43:54,031 --> 02:43:56,867 MORE, BUT WE BELIEVE WILL LEAD 4202 02:43:56,867 --> 02:43:58,168 TO A HEALTHIER SYSTEM AND THUS 4203 02:43:58,168 --> 02:44:02,439 WITH THE HOPE TO BOLSTER THE 4204 02:44:02,439 --> 02:44:04,074 ACADEMIC BIOMEDICAL RESEARCH 4205 02:44:04,074 --> 02:44:06,043 ENTERPRISE WHICH ALSO OF COURSE 4206 02:44:06,043 --> 02:44:06,810 IMPACTS INDUSTRY. 4207 02:44:06,810 --> 02:44:09,580 SO, THIS WAS OUR CHARGE BY DR. 4208 02:44:09,580 --> 02:44:10,781 TABAK WHEN WE INITIATED THE 4209 02:44:10,781 --> 02:44:13,317 WORKING GROUP. 4210 02:44:13,317 --> 02:44:15,386 NEXT SLIDE. 4211 02:44:15,386 --> 02:44:16,654 IT WAS INTENTIONALLY -- THESE 4212 02:44:16,654 --> 02:44:19,089 WERE WRITTEN TO BE QUITE BROAD, 4213 02:44:19,089 --> 02:44:22,726 TO EVALUATE EVIDENCE ON THE 4214 02:44:22,726 --> 02:44:25,996 PERCEIVED DECLINE OF POSTDOCS, 4215 02:44:25,996 --> 02:44:26,997 SEEKING -- Ph.D.s SEEKING 4216 02:44:26,997 --> 02:44:28,966 U.S. POSTDOCS. 4217 02:44:28,966 --> 02:44:32,469 AND THIS, THERE'S BEEN ANECDOTAL 4218 02:44:32,469 --> 02:44:34,104 DISCUSSIONS, WIDESPREAD WITHIN 4219 02:44:34,104 --> 02:44:36,807 NIH, OUTSIDE, AND WITH 4220 02:44:36,807 --> 02:44:38,142 INSTITUTIONAL LEADERS SUCH AS 4221 02:44:38,142 --> 02:44:41,111 HHMI THAT REALLY SUGGEST THIS 4222 02:44:41,111 --> 02:44:45,049 TREND WILL CONTINUE AND MAY 4223 02:44:45,049 --> 02:44:45,582 ACCELERATE. 4224 02:44:45,582 --> 02:44:48,218 IT'S ALSO A GLOBAL CHALLENGE, 4225 02:44:48,218 --> 02:44:50,821 WE'VE HEARD THIS PRETTY MUCH 4226 02:44:50,821 --> 02:44:51,255 EVERYWHERE. 4227 02:44:51,255 --> 02:44:53,457 AND SO SECOND WE WANTED TO 4228 02:44:53,457 --> 02:44:55,326 ASSESS AND CONSIDER FACTORS 4229 02:44:55,326 --> 02:44:57,728 INFLUENCING THE SCOPE AND 4230 02:44:57,728 --> 02:44:59,463 PERSISTENCE OF THE ISSUE. 4231 02:44:59,463 --> 02:45:01,332 HERE ACQUIRING DATA FROM MANY 4232 02:45:01,332 --> 02:45:03,967 SOURCES, I'LL MENTION THOSE IN A 4233 02:45:03,967 --> 02:45:06,270 MINUTE, SORRY, NOT YET. 4234 02:45:06,270 --> 02:45:08,138 NOT YET GOING ON. 4235 02:45:08,138 --> 02:45:10,741 WE WANTED TO -- HERE WE GO. 4236 02:45:10,741 --> 02:45:13,177 WE WANTED TO REVIEW AND COMPARE 4237 02:45:13,177 --> 02:45:14,678 OTHER APPROACHES TO POSTDOC 4238 02:45:14,678 --> 02:45:17,014 TRAINING, FOR EXAMPLE FROM OTHER 4239 02:45:17,014 --> 02:45:17,314 DISCIPLINES. 4240 02:45:17,314 --> 02:45:19,283 WE WANTED TO CONSIDER WAYS TO 4241 02:45:19,283 --> 02:45:22,152 SUPPORT THE QUALITY OF LIFE, 4242 02:45:22,152 --> 02:45:24,121 WORK/LIFE BALANCE, TO INCREASE 4243 02:45:24,121 --> 02:45:25,155 RETENTION. 4244 02:45:25,155 --> 02:45:27,424 AND WE WANTED TO ENGAGE KEY 4245 02:45:27,424 --> 02:45:30,160 INTERNAL AND EXTERNAL COMMUNITY 4246 02:45:30,160 --> 02:45:30,394 MEMBERS. 4247 02:45:30,394 --> 02:45:31,895 SO NEXT SLIDE. 4248 02:45:31,895 --> 02:45:34,398 THESE WERE OUR ACTIVITIES. 4249 02:45:34,398 --> 02:45:36,800 YOU CAN READ THROUGH THOSE 4250 02:45:36,800 --> 02:45:37,134 QUICKLY. 4251 02:45:37,134 --> 02:45:38,235 NEXT SLIDE. 4252 02:45:38,235 --> 02:45:40,871 I'M GOING TO SPEAK FIRST ABOUT 4253 02:45:40,871 --> 02:45:43,407 REVIEWING THE DATA. 4254 02:45:43,407 --> 02:45:44,675 WE REVIEWED, YOU KNOW, QUITE A 4255 02:45:44,675 --> 02:45:46,543 LOT OF DATA FROM VARIOUS SOURCES 4256 02:45:46,543 --> 02:45:51,048 TO GET A BETTER SENSE OF THE 4257 02:45:51,048 --> 02:45:53,450 CURRENT LANDSCAPE. 4258 02:45:53,450 --> 02:45:54,618 NEXT SLIDE. 4259 02:45:54,618 --> 02:45:58,021 SO, WE REVIEWED THE AVAILABLE 4260 02:45:58,021 --> 02:46:01,759 DATA ON POSTDOC TRENDS, AND WE 4261 02:46:01,759 --> 02:46:06,330 WENT TO SEVERAL SOURCES 4262 02:46:06,330 --> 02:46:08,432 INCLUDING INTERNAL NIH SOURCES 4263 02:46:08,432 --> 02:46:09,967 AND NATIONAL POSTDOC 4264 02:46:09,967 --> 02:46:11,602 ASSOCIATION, ALONG WITH SURVEY 4265 02:46:11,602 --> 02:46:14,872 DATA IN THE SECOND PART FROM THE 4266 02:46:14,872 --> 02:46:16,140 NATIONAL SCIENCE FOUNDATION AND 4267 02:46:16,140 --> 02:46:17,508 "NATURE," THEY PROVIDED A LOT, 4268 02:46:17,508 --> 02:46:18,709 AND OTHERS. 4269 02:46:18,709 --> 02:46:19,810 WE'RE THANKING ALL OF THESE 4270 02:46:19,810 --> 02:46:21,979 GROUPS THAT HAVE BEEN WILLING TO 4271 02:46:21,979 --> 02:46:23,514 SHARE THEIR FINDINGS WITH US. 4272 02:46:23,514 --> 02:46:24,915 WE'RE NOT GOING TO -- TODAY 4273 02:46:24,915 --> 02:46:26,250 WE'RE NOT GOING THROUGH THE DATA 4274 02:46:26,250 --> 02:46:27,017 IN DETAIL. 4275 02:46:27,017 --> 02:46:29,653 WE DON'T HAVE TIME TODAY. 4276 02:46:29,653 --> 02:46:31,755 SO PLEASE REVIEW THESE REPORTS, 4277 02:46:31,755 --> 02:46:35,025 EITHER ISSUED OR QUICKLY ISSUED 4278 02:46:35,025 --> 02:46:36,994 AFTER THIS MEETING, AND IT'S 4279 02:46:36,994 --> 02:46:39,196 POSTED TO THE ACD WEBSITE. 4280 02:46:39,196 --> 02:46:41,598 SO I'M GOING TO REVIEW THE 4281 02:46:41,598 --> 02:46:43,734 OVERALL FINDINGS QUICKLY. 4282 02:46:43,734 --> 02:46:45,536 NOTABLY, THE DATA SHOWED THE 4283 02:46:45,536 --> 02:46:47,704 NUMBER OF POSTDOC SCHOLARS HAS 4284 02:46:47,704 --> 02:46:50,674 REMAINED LARGELY FAT IN RECENT 4285 02:46:50,674 --> 02:46:53,710 YEARS, WITH MORE NOTICEABLE 4286 02:46:53,710 --> 02:47:00,395 DECLINE SINCE 2020. 4287 02:47:00,395 --> 02:47:02,497 THERE'S BEEN A SIMILAR DECLINE 4288 02:47:02,497 --> 02:47:08,503 IN THE NUMBER OF NRSA 4289 02:47:08,503 --> 02:47:11,006 APPLICATIONS, SUGGESTING 4290 02:47:11,006 --> 02:47:12,207 APPEALING, THERE'S REPORTED 4291 02:47:12,207 --> 02:47:13,975 DISSATISFACTION AND CONCERNS 4292 02:47:13,975 --> 02:47:16,478 ABOUT THE POSTDOC EXPERIENCES 4293 02:47:16,478 --> 02:47:18,780 AND CAREER PROSPECTS GROWING, 4294 02:47:18,780 --> 02:47:22,851 AMONG THE POSTDOC POPULATION, 4295 02:47:22,851 --> 02:47:25,353 FROM THESE RECENT SURVEYS. 4296 02:47:25,353 --> 02:47:27,422 KEY TRENDS, DECREASING NUMBERS 4297 02:47:27,422 --> 02:47:29,324 OF PhDs GOING INTO ACADEMIA 4298 02:47:29,324 --> 02:47:30,726 WITH INCREASING NUMBERS GOING TO 4299 02:47:30,726 --> 02:47:32,828 BUSINESS OR INDUSTRY. 4300 02:47:32,828 --> 02:47:37,065 PLEASE READ OUR REPORT. 4301 02:47:37,065 --> 02:47:43,305 YOU'LL GET SOME MUCH-EXPANDED 4302 02:47:43,305 --> 02:47:44,206 INFORMATION. 4303 02:47:44,206 --> 02:47:44,873 WE GATHERED COMMUNITY FEEDBACK, 4304 02:47:44,873 --> 02:47:46,808 KEY TO ENGAGE WITH THE 4305 02:47:46,808 --> 02:47:48,143 COMMUNITY, ALL THOSE COMMUNITIES 4306 02:47:48,143 --> 02:47:52,647 THAT ARE INVOLVED HERE AND ARE 4307 02:47:52,647 --> 02:47:53,115 IMPACTED. 4308 02:47:53,115 --> 02:47:56,551 SO NEXT SLIDE. 4309 02:47:56,551 --> 02:47:58,954 SO, HERE'S A REALLY BROAD 4310 02:47:58,954 --> 02:48:02,023 SUMMARY ON SOME OF OUR 4311 02:48:02,023 --> 02:48:02,691 ACTIVITIES. 4312 02:48:02,691 --> 02:48:04,626 WE HELD PUBLIC VIRTUAL LISTENING 4313 02:48:04,626 --> 02:48:07,496 SESSIONS IN MARCH OF THIS YEAR, 4314 02:48:07,496 --> 02:48:08,363 2023. 4315 02:48:08,363 --> 02:48:11,099 EACH ONE WAS FOCUSED ON A SET OF 4316 02:48:11,099 --> 02:48:12,534 SPECIFIC TOPICS. 4317 02:48:12,534 --> 02:48:14,069 I'M NOT GOING TO GO THROUGH THEM 4318 02:48:14,069 --> 02:48:15,170 OR READ THROUGH THEM. 4319 02:48:15,170 --> 02:48:17,806 YOU CAN READ THEM QUICKLY 4320 02:48:17,806 --> 02:48:18,673 YOURSELVES. 4321 02:48:18,673 --> 02:48:19,975 THESE WERE WIDELY ATTENDED, AS 4322 02:48:19,975 --> 02:48:21,843 YOU CAN SEE. 4323 02:48:21,843 --> 02:48:23,912 WE RECEIVED THOUGHTFUL REMARKS 4324 02:48:23,912 --> 02:48:25,947 FROM INVITED SPEAKERS AND WE 4325 02:48:25,947 --> 02:48:28,850 INVITED SPEAKERS AND THEY WERE 4326 02:48:28,850 --> 02:48:31,153 EXTREMELY THOUGHTFUL AND DEEP IN 4327 02:48:31,153 --> 02:48:32,888 THEIR THINKING. 4328 02:48:32,888 --> 02:48:38,360 AND AS WELL AS AT-LARGE 4329 02:48:38,360 --> 02:48:40,328 PARTICIPANTS, GAVE THEM A CHANCE 4330 02:48:40,328 --> 02:48:40,996 TO TALK. 4331 02:48:40,996 --> 02:48:41,863 RECORDINGS AND SLIDES ARE 4332 02:48:41,863 --> 02:48:43,532 AVAILABLE ON THE WORKING GROUP 4333 02:48:43,532 --> 02:48:45,801 WEBSITE AND A FULL SUMMARY 4334 02:48:45,801 --> 02:48:46,668 REPORT. 4335 02:48:46,668 --> 02:48:48,770 SO, THE REPORT OUTLINES THREE 4336 02:48:48,770 --> 02:48:50,839 CROSS-CUTTING THEMES THAT WE 4337 02:48:50,839 --> 02:48:52,507 CAME TO FROM THESE. 4338 02:48:52,507 --> 02:48:56,411 THERE IS A NEED TO MITIGATE 4339 02:48:56,411 --> 02:48:58,213 FINANCIAL STRAIN AND AMBIGUITY 4340 02:48:58,213 --> 02:49:01,116 IN JOB STATUS, NEED FOR 4341 02:49:01,116 --> 02:49:02,184 INCREASED SUPPORT, FINANCIAL AND 4342 02:49:02,184 --> 02:49:05,287 MENTORING FOR TRANSITIONING TO 4343 02:49:05,287 --> 02:49:06,822 THE NEXT CAREER STAGE, WHETHER 4344 02:49:06,822 --> 02:49:09,124 ACADEMIC OR MANY OTHER CAREER 4345 02:49:09,124 --> 02:49:09,558 TRAJECTORIES. 4346 02:49:09,558 --> 02:49:12,627 THERE'S A NEED TO ADDRESS POWER 4347 02:49:12,627 --> 02:49:15,263 IMBALANCES BETWEEN POSTDOC AND 4348 02:49:15,263 --> 02:49:16,998 MENTORS THROUGH BETTER 4349 02:49:16,998 --> 02:49:18,967 ACCOUNTABILITY AND OVERSIGHT OF 4350 02:49:18,967 --> 02:49:21,803 INSTITUTIONS AND MENTORS AND A 4351 02:49:21,803 --> 02:49:27,509 FOCUS ON TREATMENT OF VULNERABLE 4352 02:49:27,509 --> 02:49:28,476 GROUPS INCLUDING INTERNATIONAL 4353 02:49:28,476 --> 02:49:29,244 POSTDOCS. 4354 02:49:29,244 --> 02:49:31,580 THERE'S A BROAD SENSE WE 4355 02:49:31,580 --> 02:49:33,448 PERCEIVED IN LISTENING GROUPS 4356 02:49:33,448 --> 02:49:35,517 MANY POSTDOCS FEEL UNDERVALUED 4357 02:49:35,517 --> 02:49:37,352 AND WITH LOW RESPECT. 4358 02:49:37,352 --> 02:49:38,787 SO NEXT SLIDE. 4359 02:49:38,787 --> 02:49:41,756 WE THEN HAD A REQUEST FOR 4360 02:49:41,756 --> 02:49:42,524 INFORMATION. 4361 02:49:42,524 --> 02:49:44,025 WE OFFERED A VERY BROAD 4362 02:49:44,025 --> 02:49:46,995 OPPORTUNITY TO PROVIDE FORMAL 4363 02:49:46,995 --> 02:49:49,064 FEEDBACK THROUGH THIS MECHANISM. 4364 02:49:49,064 --> 02:49:54,569 AND HERE WE HAD HUGE ENGAGEMENT, 4365 02:49:54,569 --> 02:49:56,304 ABOUT 3300 RESPONSES MOSTLY FROM 4366 02:49:56,304 --> 02:49:57,405 INDIVIDUALS AND ACADEMIC 4367 02:49:57,405 --> 02:49:59,908 AFFILIATIONS ABOUT HALF FROM 4368 02:49:59,908 --> 02:50:03,211 POSTDOCS, 15% FROM GRADUATE 4369 02:50:03,211 --> 02:50:07,015 STUDENTS, AND 21% COME BINDS 4370 02:50:07,015 --> 02:50:08,550 FACULTY, EARLY-STAGE 4371 02:50:08,550 --> 02:50:09,584 INVESTIGATORS, REMAINDER 4372 02:50:09,584 --> 02:50:10,118 INDUSTRY, ADMINISTRATORS, 4373 02:50:10,118 --> 02:50:14,122 ADVOCATES, ET CETERA. 4374 02:50:14,122 --> 02:50:15,123 SO THE RESPONDENTS PROVIDED 4375 02:50:15,123 --> 02:50:20,161 FEEDBACK ON PERSPECTIVES ON 4376 02:50:20,161 --> 02:50:21,796 ROLES AND RESPONSIBILITIES, 4377 02:50:21,796 --> 02:50:22,397 FUNDAMENTAL CHALLENGES, 4378 02:50:22,397 --> 02:50:23,098 POTENTIAL SOLUTIONS. 4379 02:50:23,098 --> 02:50:25,300 WE HEARD A LOT OF GREAT IDEAS 4380 02:50:25,300 --> 02:50:26,935 ACTUALLY THAT HAVE BEEN 4381 02:50:26,935 --> 02:50:30,772 INCORPORATED IN THE FINAL 4382 02:50:30,772 --> 02:50:31,239 RECOMMENDATIONS. 4383 02:50:31,239 --> 02:50:35,110 I WANT TO NOTE COMPENSATION WAS 4384 02:50:35,110 --> 02:50:36,778 MENTIONED IN 89% OF THE 4385 02:50:36,778 --> 02:50:38,546 RESPONSES LEADING TO OUR FIRST 4386 02:50:38,546 --> 02:50:40,081 RECOMMENDATION AS YOU'LL SEE. 4387 02:50:40,081 --> 02:50:43,451 OTHER AREAS OF FOCUS WERE CAREER 4388 02:50:43,451 --> 02:50:45,553 PROSPECTS, SATISFACTION, JOB 4389 02:50:45,553 --> 02:50:48,390 SECURITY, QUALITY OF LIFE, 4390 02:50:48,390 --> 02:50:51,359 WORK/LIFE BALANCE, DEIA ISSUES 4391 02:50:51,359 --> 02:50:53,528 AND HARASSMENT, MENTORSHIP, 4392 02:50:53,528 --> 02:50:55,730 INTERNATIONAL CONCERNS, AND 4393 02:50:55,730 --> 02:50:56,031 OTHERS. 4394 02:50:56,031 --> 02:51:01,836 AND SO THE SUGGESTIONS FOR 4395 02:51:01,836 --> 02:51:04,372 SOLUTIONS WERE SHARED INCLUDING 4396 02:51:04,372 --> 02:51:06,908 IDEAS LIKE STANDARDIZING TITLE, 4397 02:51:06,908 --> 02:51:09,044 SALARIES, BENEFITS ACROSS THE 4398 02:51:09,044 --> 02:51:12,147 BOARD; BUILDING COHORTS WITHIN 4399 02:51:12,147 --> 02:51:13,348 COMMUNITIES; MENTORING TRAINING 4400 02:51:13,348 --> 02:51:15,850 FOR POSTDOCS AND P.I.s. 4401 02:51:15,850 --> 02:51:21,356 THE FULL ANALYSIS ON THE ACDC 4402 02:51:21,356 --> 02:51:21,589 WEBSITE. 4403 02:51:21,589 --> 02:51:29,097 WHAT WE HEARD ACROSS LISTENING 4404 02:51:29,097 --> 02:51:35,437 SESSIONS AND RFI WERE MAJOR, NOT 4405 02:51:35,437 --> 02:51:36,204 MEETING THE NEEDS. 4406 02:51:36,204 --> 02:51:38,840 MOST CONTINUE TO FIND ACADEMIC 4407 02:51:38,840 --> 02:51:42,110 RESEARCH AND TRAINING REWARDING 4408 02:51:42,110 --> 02:51:43,111 AND HAVING ATTRACTIVE 4409 02:51:43,111 --> 02:51:50,218 FLEXIBILITY, BUT THERE IS THIS 4410 02:51:50,218 --> 02:51:53,054 OVERARCHING SYSTEMIC ISSUES. 4411 02:51:53,054 --> 02:51:54,923 COMPENSATION AND BENEFITS 4412 02:51:54,923 --> 02:51:55,824 OVERARCHING, OVERPAID AND 4413 02:51:55,824 --> 02:51:58,226 OVERWORKED, KEY TO THEIR 4414 02:51:58,226 --> 02:51:59,961 EDUCATIONAL LEVEL AND 4415 02:51:59,961 --> 02:52:01,863 EXPERIENCE, PAY AND BENEFITS 4416 02:52:01,863 --> 02:52:05,000 OFTEN ARE FELT TO BE 4417 02:52:05,000 --> 02:52:06,634 INCONSISTENT WITHIN AND ACROSS 4418 02:52:06,634 --> 02:52:07,969 INSTITUTIONS, ESPECIALLY WITH 4419 02:52:07,969 --> 02:52:11,373 RESPECT TO VARIOUS FUNDING 4420 02:52:11,373 --> 02:52:12,007 SOURCES. 4421 02:52:12,007 --> 02:52:14,209 s INTERNATIONAL POSTDOCS ARE 4422 02:52:14,209 --> 02:52:16,611 CRITICAL COMPONENT OF THE U.S. 4423 02:52:16,611 --> 02:52:20,615 POSTDOC WORK FORCE THAT 4424 02:52:20,615 --> 02:52:21,783 EXPERIENCE UNIQUE 4425 02:52:21,783 --> 02:52:22,517 VULNERABILITIES, FOR EXAMPLE 4426 02:52:22,517 --> 02:52:26,154 VISA ISSUES. 4427 02:52:26,154 --> 02:52:28,990 THERE WAS EMPHATIC CALL FOR 4428 02:52:28,990 --> 02:52:30,859 EXPAND RESEARCH IN ACADEMIA, 4429 02:52:30,859 --> 02:52:32,160 STAFF SCIENTIST POSITION, CAREER 4430 02:52:32,160 --> 02:52:34,596 SCIENTISTS IN ACADEMIA, NOT ON 4431 02:52:34,596 --> 02:52:36,231 TENURE TRACK TOWARD FULL 4432 02:52:36,231 --> 02:52:37,332 PROFESSOR OR SENIOR 4433 02:52:37,332 --> 02:52:38,433 INVESTIGATOR. 4434 02:52:38,433 --> 02:52:40,068 AGAIN, MANY FIND THE ACADEMIC 4435 02:52:40,068 --> 02:52:42,670 ENVIRONMENT REWARDING BUT THE 4436 02:52:42,670 --> 02:52:46,608 CAREER PATH REQUIRES MORE 4437 02:52:46,608 --> 02:52:49,677 PROFESSIONALISM, RESPECT, 4438 02:52:49,677 --> 02:52:50,011 COMPENSATION. 4439 02:52:50,011 --> 02:52:52,981 THERE'S A STRONG EMPHASIS AND 4440 02:52:52,981 --> 02:52:54,849 NEED FOR PROFESSIONAL 4441 02:52:54,849 --> 02:52:55,850 DEVELOPMENT. 4442 02:52:55,850 --> 02:52:58,453 STRONG FEEDBACK THAT SOME 4443 02:52:58,453 --> 02:53:01,189 CONSIDER TRAINING TERMINOLOGY 4444 02:53:01,189 --> 02:53:03,058 DISCREDITS THE POSTDOC AND SO 4445 02:53:03,058 --> 02:53:04,492 YOU'LL HEAR IN A SECOND A 4446 02:53:04,492 --> 02:53:06,394 DISCUSSION TO CHANGE THE 4447 02:53:06,394 --> 02:53:08,430 TERMINOLOGY TO POSTDOC SCHOLARS. 4448 02:53:08,430 --> 02:53:10,065 THESE ARE TERMS, WORDS, TITLES, 4449 02:53:10,065 --> 02:53:12,700 BUT THEY DO HAVE IMPACT. 4450 02:53:12,700 --> 02:53:14,436 WE ALL KNOW THAT. 4451 02:53:14,436 --> 02:53:18,073 THERE WERE REQUESTS FOR A CHANGE 4452 02:53:18,073 --> 02:53:20,241 IN CULTURE, INCLUDING AS I SAID 4453 02:53:20,241 --> 02:53:22,077 BEFORE INCREASED RECOGNITION AND 4454 02:53:22,077 --> 02:53:22,644 COMMUNITY BUILDING. 4455 02:53:22,644 --> 02:53:25,747 A SENSE THAT THE SYSTEM DOES NOT 4456 02:53:25,747 --> 02:53:28,016 FULLY APPRECIATE OR COMPENSATE. 4457 02:53:28,016 --> 02:53:29,984 THE KEY CONTRIBUTIONS OF 4458 02:53:29,984 --> 02:53:33,254 POSTDOCS TO THE ACADEMIC 4459 02:53:33,254 --> 02:53:33,922 ENTERPRISE. 4460 02:53:33,922 --> 02:53:35,223 OKAY. 4461 02:53:35,223 --> 02:53:36,658 AND WE ALSO FELT THAT THERE 4462 02:53:36,658 --> 02:53:39,727 OUGHT TO BE -- WE HEARD THERE 4463 02:53:39,727 --> 02:53:42,363 SHOULD BE SUPPORT FOR INCREASED 4464 02:53:42,363 --> 02:53:44,432 ACCOUNTABILITY AND OVERSIGHT, OF 4465 02:53:44,432 --> 02:53:47,168 POSTDOC MENTORS, TO COME BACK 4466 02:53:47,168 --> 02:53:48,603 POWER IMBALANCES, VERY SPECIFIC 4467 02:53:48,603 --> 02:53:50,438 CALLS, WE HEARD, FOR BETTER 4468 02:53:50,438 --> 02:53:53,208 TRAINING FOR MENTORS AND 4469 02:53:53,208 --> 02:53:54,943 SELF-GUIDED CAREER DEVELOPMENT 4470 02:53:54,943 --> 02:53:57,579 FOR POSTDOC SCHOLARS. 4471 02:53:57,579 --> 02:53:59,180 AND YOU'LL HEAR THAT A LITTLE 4472 02:53:59,180 --> 02:53:59,747 BIT AGAIN. 4473 02:53:59,747 --> 02:54:02,283 NOW I'LL JUST QUICKLY GO OVER 4474 02:54:02,283 --> 02:54:06,988 THE GUIDING PRINCIPLES THAT WE 4475 02:54:06,988 --> 02:54:08,656 DEVELOPED INITIALLY AND THOSE 4476 02:54:08,656 --> 02:54:10,158 FED INTO OUR RECOMMENDATIONS. 4477 02:54:10,158 --> 02:54:11,626 IN DEVELOPING THESE, IN ADDITION 4478 02:54:11,626 --> 02:54:14,496 TO THE BROAD COMMUNITY 4479 02:54:14,496 --> 02:54:17,432 ENGAGEMENT, WE HAD CRUCIAL 4480 02:54:17,432 --> 02:54:19,067 ADDITIONAL INPUT INCLUDING 4481 02:54:19,067 --> 02:54:21,169 TARGETED CONSULTATION WITH 4482 02:54:21,169 --> 02:54:23,671 EXPERTS, SUCH AS EXPERT SPEAKERS 4483 02:54:23,671 --> 02:54:25,874 DURING A LISTENING SESSION, WE 4484 02:54:25,874 --> 02:54:27,108 HAD NUMEROUS INSTITUTIONAL 4485 02:54:27,108 --> 02:54:30,011 RESPONSES TO THE RFA. 4486 02:54:30,011 --> 02:54:32,313 WE CONSULTED WITH EXPERT GROUPS, 4487 02:54:32,313 --> 02:54:36,584 WE INVITED GUESTS FROM NSF AND 4488 02:54:36,584 --> 02:54:40,955 NATURE TO REVIEW DATA AND WE 4489 02:54:40,955 --> 02:54:42,290 ESPECIALLY TARA PRESENTED ABOUT 4490 02:54:42,290 --> 02:54:43,925 OUR, YOU KNOW, OUR PROGRESS TO 4491 02:54:43,925 --> 02:54:47,395 RELATED GROUPS SUCH AS THE 4492 02:54:47,395 --> 02:54:48,062 HEALTH RESEARCH ALLIANCE, 4493 02:54:48,062 --> 02:54:49,597 NATIONAL BUREAU OF ECONOMIC 4494 02:54:49,597 --> 02:54:53,101 RESEARCH, AND HEADS OF 4495 02:54:53,101 --> 02:54:53,768 INTERNATIONAL RESEARCH 4496 02:54:53,768 --> 02:54:54,802 ORGANIZATIONS. 4497 02:54:54,802 --> 02:54:59,240 HERE IS OUR WORKING GROUP GOAL. 4498 02:54:59,240 --> 02:55:01,309 AS DISCUSSED PREVIOUSLY, THE 4499 02:55:01,309 --> 02:55:02,076 GROUP FEELS STRONGLY THAT 4500 02:55:02,076 --> 02:55:04,345 EFFORTS SHOULD AIM TO IMPROVE 4501 02:55:04,345 --> 02:55:07,448 THE HEALTH OF THE ENTIRE SYSTEM 4502 02:55:07,448 --> 02:55:09,184 BEYOND CURRENT CONCERNS ABOUT 4503 02:55:09,184 --> 02:55:10,618 DECLINE IN SUPPLY. 4504 02:55:10,618 --> 02:55:14,222 IMPORTANTLY, TO ENSURE THAT THE 4505 02:55:14,222 --> 02:55:16,191 U.S. BIOMEDICINE, THE ENTIRE 4506 02:55:16,191 --> 02:55:17,959 ENTERPRISE REMAINS COMPETITIVE. 4507 02:55:17,959 --> 02:55:22,130 WE WANTED TO ESTABLISH BOLD 4508 02:55:22,130 --> 02:55:23,965 ASPIRATIONS, TO HAVE -- CONVEY 4509 02:55:23,965 --> 02:55:28,236 SENSE OF URGENCY AND THESE 4510 02:55:28,236 --> 02:55:30,538 SYSTEM LEVEL PROBLEMS REQUIRE 4511 02:55:30,538 --> 02:55:32,173 SYSTEM LEVEL SOLUTIONS. 4512 02:55:32,173 --> 02:55:33,508 SO WE MET A LOT. 4513 02:55:33,508 --> 02:55:35,777 WE ENGAGED A LOT. 4514 02:55:35,777 --> 02:55:39,080 WE PROVIDED TIME AND PLENTIFUL 4515 02:55:39,080 --> 02:55:41,816 INTERACTIONS AMONG US TO ALLOW 4516 02:55:41,816 --> 02:55:43,551 SOLUTIONS TO EMERGE. 4517 02:55:43,551 --> 02:55:45,086 A LOT OF MEETING, TALKING, AND 4518 02:55:45,086 --> 02:55:50,124 THAT WAS FUN AND EXCITING TO DO. 4519 02:55:50,124 --> 02:55:54,829 SO, WE DECIDED TO PROVIDE A NEW 4520 02:55:54,829 --> 02:55:56,231 DEFINITION OF POSTDOC, SHOWN 4521 02:55:56,231 --> 02:55:58,666 HERE, AN INDIVIDUAL WHO HAS 4522 02:55:58,666 --> 02:55:59,968 RECEIVED A DOCTORAL DEGREE OR 4523 02:55:59,968 --> 02:56:03,271 EQUIVALENT TO PREPARE FOR AN 4524 02:56:03,271 --> 02:56:04,339 INDEPENDENT CAREER USUALLY IN 4525 02:56:04,339 --> 02:56:06,040 RESEARCH AND TEACHING. 4526 02:56:06,040 --> 02:56:11,579 NOW, EACH -- THIS IS A CHANGE 4527 02:56:11,579 --> 02:56:13,314 FROM THE PREVIOUS DEFINITION 4528 02:56:13,314 --> 02:56:14,949 THAT'S ON THE NIH WEBSITE. 4529 02:56:14,949 --> 02:56:16,384 I DON'T WANT -- WE DON'T HAVE 4530 02:56:16,384 --> 02:56:19,120 TIME TO GO THROUGH THIS IN 4531 02:56:19,120 --> 02:56:20,755 DETAIL, THE DIFFERENT ELEMENTS, 4532 02:56:20,755 --> 02:56:23,291 SO EACH ELEMENT HERE, EACH 4533 02:56:23,291 --> 02:56:25,159 PHRASE HAS A SPECIFIC INTENT SO 4534 02:56:25,159 --> 02:56:28,129 PLEASE CONSULT THE REPORT FOR 4535 02:56:28,129 --> 02:56:29,864 THE DETAILS. 4536 02:56:29,864 --> 02:56:30,064 OKAY. 4537 02:56:30,064 --> 02:56:32,800 IMPORTANTLY, POSTDOC HERE AT THE 4538 02:56:32,800 --> 02:56:36,104 BOTTOM IS NOT ONLY A TRAINEE. 4539 02:56:36,104 --> 02:56:38,840 THE WORKING GROUP ADVOCATES FOR 4540 02:56:38,840 --> 02:56:40,275 USE OF POSTDOCTORAL SCHOLAR TO 4541 02:56:40,275 --> 02:56:42,877 BE USED TO REFLECT BOTH THE HIGH 4542 02:56:42,877 --> 02:56:45,847 LEVEL OF EXPERTISE THAT POSTDOCS 4543 02:56:45,847 --> 02:56:48,249 HAVE AND THE RESPECT THEIR 4544 02:56:48,249 --> 02:56:49,350 POSITION DESERVES. 4545 02:56:49,350 --> 02:56:52,287 WE REALLY UNDERLINE THAT. 4546 02:56:52,287 --> 02:56:52,620 OKAY. 4547 02:56:52,620 --> 02:56:56,224 SO, LET'S QUICKLY GO THROUGH THE 4548 02:56:56,224 --> 02:56:57,525 GUIDING PRINCIPLES. 4549 02:56:57,525 --> 02:57:00,194 THESE ARE NOT PRIORITIZED, NOT 4550 02:57:00,194 --> 02:57:02,030 IN ANY PARTICULAR ORDER. 4551 02:57:02,030 --> 02:57:05,066 TAKEN TOGETHER, THEY LED TO OUR 4552 02:57:05,066 --> 02:57:06,501 SIX RECOMMENDATIONS. 4553 02:57:06,501 --> 02:57:10,371 IT'S NOT A ONE FOR ONE, GUIDING 4554 02:57:10,371 --> 02:57:12,407 PRINCIPLES KIND OF -- YOU KNOW, 4555 02:57:12,407 --> 02:57:16,911 LED TO THE ENTIRE SPECTRUM OF 4556 02:57:16,911 --> 02:57:17,879 RECOMMENDATIONS. 4557 02:57:17,879 --> 02:57:19,080 SO, ONE, ALL POSTDOCTORAL 4558 02:57:19,080 --> 02:57:21,182 SCHOLARS SHOULD RECEIVE A WAGE 4559 02:57:21,182 --> 02:57:23,918 WITH REGULAR COST OF LIVING 4560 02:57:23,918 --> 02:57:24,919 ADJUSTMENTS, EMPLOYEE LEVEL 4561 02:57:24,919 --> 02:57:26,654 BENEFITS COMMENSURATE WITH 4562 02:57:26,654 --> 02:57:28,189 EDUCATION AND TRAINING 4563 02:57:28,189 --> 02:57:30,291 REGARDLESS OF THE NIH SUPPORT 4564 02:57:30,291 --> 02:57:33,561 MECHANISM OR APPOINTMENT AT THE 4565 02:57:33,561 --> 02:57:34,862 INSTITUTION. 4566 02:57:34,862 --> 02:57:36,931 WE HAVE A STRONG SENSE AND 4567 02:57:36,931 --> 02:57:39,233 WITHIN OURSELVES AND FROM PUBLIC 4568 02:57:39,233 --> 02:57:43,938 FEEDBACK THIS PRINCIPLE IS KEY 4569 02:57:43,938 --> 02:57:45,039 AND NON-NEGOTIABLE. 4570 02:57:45,039 --> 02:57:47,775 WE FEEL THIS IS KEY, CRUCIAL, TO 4571 02:57:47,775 --> 02:57:50,712 PROVIDE A BETTER EXPERIENCE FOR 4572 02:57:50,712 --> 02:57:51,612 POSTDOCS AND HEALTHIER SYSTEM 4573 02:57:51,612 --> 02:57:53,648 OVERALL AND I KEEP SAYING THIS, 4574 02:57:53,648 --> 02:57:57,952 TO PROTECT THE U.S. BIOMEDICAL 4575 02:57:57,952 --> 02:57:58,319 COMPETITIVENESS. 4576 02:57:58,319 --> 02:58:02,323 PRINCIPLE 2, SCHOLARS SHOULD BE 4577 02:58:02,323 --> 02:58:04,192 WELCOMING INTO A SAFE AND 4578 02:58:04,192 --> 02:58:06,828 SUPPORTIVE WORK ENVIRONMENT FREE 4579 02:58:06,828 --> 02:58:07,795 FROM ABUSE, DISCRIMINATION, 4580 02:58:07,795 --> 02:58:08,529 HARASSMENT. 4581 02:58:08,529 --> 02:58:12,600 OF COURSE, THIS IS EMERGING IN 4582 02:58:12,600 --> 02:58:17,705 MANY OTHER WORKING GROUP AND 4583 02:58:17,705 --> 02:58:20,475 OTHER AREAS OF THE NIH. 4584 02:58:20,475 --> 02:58:23,778 PRINCIPLE 3 POSITION SHOULD BE 4585 02:58:23,778 --> 02:58:25,613 CLEARLY DEFINED, STANDARDIZED, 4586 02:58:25,613 --> 02:58:28,716 TRACKED WITHIN AND ACROSS 4587 02:58:28,716 --> 02:58:29,350 INSTITUTIONS, DISCIPLINES, 4588 02:58:29,350 --> 02:58:30,318 FUNDING MECHANISMS. 4589 02:58:30,318 --> 02:58:32,019 THE DURATION OF THE POSITION 4590 02:58:32,019 --> 02:58:35,456 SHOULD BE CAPPED AT A FINITE 4591 02:58:35,456 --> 02:58:37,024 NUMBER OF YEARS. 4592 02:58:37,024 --> 02:58:44,332 PRINCIPLE 4, NEW OR EXPANDED 4593 02:58:44,332 --> 02:58:49,837 FUNDING MECHANISMS SUCH AS K99, 4594 02:58:49,837 --> 02:58:51,906 R00, WITH RESOURCES INCLUDING -- 4595 02:58:51,906 --> 02:58:54,542 AND WE WERE INTERESTED IN 4596 02:58:54,542 --> 02:58:55,843 DEVELOPING, VERY STRONG INTEREST 4597 02:58:55,843 --> 02:58:58,346 IN INCREASED NUMBER OF 4598 02:58:58,346 --> 02:59:00,648 PROFESSIONAL STAFF SCIENTISTS 4599 02:59:00,648 --> 02:59:01,315 WITH RECOMMENDATIONS FOR 4600 02:59:01,315 --> 02:59:03,184 INCREASED GRANT SUPPORT. 4601 02:59:03,184 --> 02:59:05,319 BOTH TO PROVIDE A CAREER PATH 4602 02:59:05,319 --> 02:59:08,322 FOR THOSE WISHING TO REMAIN IN 4603 02:59:08,322 --> 02:59:09,123 ACADEMIC RESEARCH AS 4604 02:59:09,123 --> 02:59:11,692 PROFESSIONALS, AND TO HELP TOE 4605 02:59:11,692 --> 02:59:16,631 STABILIZE THE BIOMEDICAL 4606 02:59:16,631 --> 02:59:18,933 RESEARCH INFRASTRUCTURE. 4607 02:59:18,933 --> 02:59:22,437 PRINCIPLE 5 INTERNATIONAL POST 4608 02:59:22,437 --> 02:59:24,939 DOC SCHOLARS SHOULD HAVE SALARY 4609 02:59:24,939 --> 02:59:27,141 AND BENEFITS EQUAL TO INCIDENCE 4610 02:59:27,141 --> 02:59:29,343 AND PERMANENT RESIDENTS WITH 4611 02:59:29,343 --> 02:59:32,647 ACCESS TO MORE FEDERAL GRANT 4612 02:59:32,647 --> 02:59:33,181 TRUANTS. 4613 02:59:33,181 --> 02:59:35,817 AS A KEYNOTE, THIS GROUP 4614 02:59:35,817 --> 02:59:39,954 COMPRISES MORE THAN HALF THE 4615 02:59:39,954 --> 02:59:40,822 POSTDOCTORAL WORKFORCE AND 4616 02:59:40,822 --> 02:59:43,658 CONTRIBUTE DISPROPORTIONATELY TO 4617 02:59:43,658 --> 02:59:44,459 U.S. INNOVATION AND 4618 02:59:44,459 --> 02:59:46,294 ENTREPRENEURSHIP, AND LOSS OF 4619 02:59:46,294 --> 02:59:48,729 THIS TALENT WOULD SERIOUSLY 4620 02:59:48,729 --> 02:59:50,231 REDUCE U.S. COMPETITIVENESS AND 4621 02:59:50,231 --> 02:59:51,833 DIMINISH RICHNESS OF IDEAS IN 4622 02:59:51,833 --> 02:59:57,371 RESEARCH IN OUR COUNTRY. 4623 02:59:57,371 --> 03:00:01,676 THIS PRINCIPLE WAS CRUCIAL AND 4624 03:00:01,676 --> 03:00:03,611 INTEGRATED ACROSS ALL 4625 03:00:03,611 --> 03:00:04,312 RECOMMENDATIONS. 4626 03:00:04,312 --> 03:00:04,912 SIX, PROFESSIONAL AND CAREER 4627 03:00:04,912 --> 03:00:06,180 DEVELOPMENT SHOULD GO AN 4628 03:00:06,180 --> 03:00:08,416 INTEGRAL MEASURED COMPONENT OF 4629 03:00:08,416 --> 03:00:10,051 THE POSTDOCTORAL EXPERIENCE AND 4630 03:00:10,051 --> 03:00:15,456 OCCUPY A MINIMUM PERCENTAGE OF 4631 03:00:15,456 --> 03:00:17,625 THE POSTDOCTORAL SCHOLAR'S TIME, 4632 03:00:17,625 --> 03:00:19,794 MANY POSTDOCS COME INTO THE 4633 03:00:19,794 --> 03:00:21,429 POSITION STILL SEEKING 4634 03:00:21,429 --> 03:00:26,033 ADDITIONAL PROFESSIONAL 4635 03:00:26,033 --> 03:00:28,135 INSTRUCTION. 4636 03:00:28,135 --> 03:00:29,003 PRINCIPLE 7, INSTITUTION, 4637 03:00:29,003 --> 03:00:31,405 PROGRAM, PRINCIPAL INVESTIGATORS 4638 03:00:31,405 --> 03:00:35,009 SHOULD BE HELD ACCOUNTABLE FOR 4639 03:00:35,009 --> 03:00:35,877 QUALITY MENTORSHIP AND 4640 03:00:35,877 --> 03:00:37,111 PROFESSIONAL DEVELOPMENT 4641 03:00:37,111 --> 03:00:37,578 OPPORTUNITIES. 4642 03:00:37,578 --> 03:00:38,179 TRAINING AND MENTORING SKILLS 4643 03:00:38,179 --> 03:00:41,916 SHOULD BE PROMOTED FOR THOSE WHO 4644 03:00:41,916 --> 03:00:45,753 SERVE IN A MENTOR ROLE OR WORK 4645 03:00:45,753 --> 03:00:47,822 AS LEADERS IN POSTDOCTORAL 4646 03:00:47,822 --> 03:00:50,558 OFFICES, AND CRITICALLY FOR THE 4647 03:00:50,558 --> 03:00:51,459 POSTDOCTORAL SCHOLARS 4648 03:00:51,459 --> 03:00:54,495 THEMSELVES, SO THIS WAS A 4649 03:00:54,495 --> 03:00:57,031 WIDESPREAD CONCERN FROM THE 4650 03:00:57,031 --> 03:01:01,602 LISTENING GROUPS AND REQUEST FOR 4651 03:01:01,602 --> 03:01:02,537 INFORMATION. 4652 03:01:02,537 --> 03:01:06,007 THIS INCLUDES MENTORING FOR 4653 03:01:06,007 --> 03:01:06,674 POSTDOCTORAL MENTORS, AND 4654 03:01:06,674 --> 03:01:08,976 INSTRUCTION TO THE SCHOLARS HOW 4655 03:01:08,976 --> 03:01:09,844 TO MENTOR. 4656 03:01:09,844 --> 03:01:11,779 SO THAT'S IT ON THE BEGINNING. 4657 03:01:11,779 --> 03:01:15,416 I'M GOING TO TURN IT OVER TO 4658 03:01:15,416 --> 03:01:16,918 TARA FOR THE RECOMMENDATIONS. 4659 03:01:16,918 --> 03:01:17,818 >> THANKS, SHELLEY. 4660 03:01:17,818 --> 03:01:20,354 I GET THE FUN JOB GOING THROUGH 4661 03:01:20,354 --> 03:01:21,155 THE RECOMMENDATIONS WHICH, 4662 03:01:21,155 --> 03:01:28,563 AGAIN, THERE WAS A LOT OF TIME 4663 03:01:28,563 --> 03:01:29,664 AND DISCUSSION THAT WENT INTO 4664 03:01:29,664 --> 03:01:32,166 HOW TO FRAME THE 4665 03:01:32,166 --> 03:01:32,533 RECOMMENDATIONS. 4666 03:01:32,533 --> 03:01:33,501 BEFORE I GO INTO THESE 4667 03:01:33,501 --> 03:01:35,903 SPECIFICALLY I WANT TO NOTE AS 4668 03:01:35,903 --> 03:01:37,438 SHELLEY MENTIONED IT'S IMPORTANT 4669 03:01:37,438 --> 03:01:39,173 THAT WE REALIZE THE CHANGES THAT 4670 03:01:39,173 --> 03:01:42,577 ARE BEING RECOMMENDED ARE GOING 4671 03:01:42,577 --> 03:01:43,778 TO REQUIRE SIGNIFICANT RESOURCES 4672 03:01:43,778 --> 03:01:53,287 AND COMMITMENT NOT JUST FROM NIH 4673 03:01:53,287 --> 03:01:55,690 BUT BROADER BIOMEDICAL COMMUNITY 4674 03:01:55,690 --> 03:01:57,224 AND BELIEVE SHE'S WILL LEAD TO 4675 03:01:57,224 --> 03:01:59,427 IMPROVED HEALTH OF THE ECOSYSTEM 4676 03:01:59,427 --> 03:02:01,062 AS A WHOLE. 4677 03:02:01,062 --> 03:02:02,930 AND WE ACKNOWLEDGE THIS MAY 4678 03:02:02,930 --> 03:02:04,999 RESULT IN FEWER POSTDOCS THAT 4679 03:02:04,999 --> 03:02:08,936 ARE BEING SUPPORTED. 4680 03:02:08,936 --> 03:02:12,206 SO, THE SEVEN GUIDING PRINCIPLES 4681 03:02:12,206 --> 03:02:14,609 SHE OUTLINED HELPED TO ALIGN AND 4682 03:02:14,609 --> 03:02:16,043 INFORM SIX RECOMMENDATIONS WE 4683 03:02:16,043 --> 03:02:18,579 PUT TOGETHER. 4684 03:02:18,579 --> 03:02:20,214 THESE RECOMMENDATIONS INCLUDE 4685 03:02:20,214 --> 03:02:23,718 INCREASING PAY AND BENEFITS FOR 4686 03:02:23,718 --> 03:02:25,786 ALL NIH-SUPPORTED POSTDOCTORAL 4687 03:02:25,786 --> 03:02:27,088 SCHOLARS. 4688 03:02:27,088 --> 03:02:27,989 CREATING AND EXPANDING 4689 03:02:27,989 --> 03:02:29,724 MECHANISMS FOR SUPPORTING THE 4690 03:02:29,724 --> 03:02:32,893 FULL TALENT POOL OF POSTDOCTORAL 4691 03:02:32,893 --> 03:02:33,227 SCHOOL ASHES. 4692 03:02:33,227 --> 03:02:34,428 HELPING TO FACILITATE TRANSITION 4693 03:02:34,428 --> 03:02:38,599 OF THESE FOLKS INTO THEIR NEXT 4694 03:02:38,599 --> 03:02:40,134 CAREER STAGE, THAT INCLUDES 4695 03:02:40,134 --> 03:02:43,971 THROUGH ROLES THAT GO BEYOND 4696 03:02:43,971 --> 03:02:47,141 ACADEMIC FACULTY POSITIONS. 4697 03:02:47,141 --> 03:02:49,877 RECOMMENDATION 4, PROMOTING AND 4698 03:02:49,877 --> 03:02:51,412 DEVELOPING PROFESSIONAL AND 4699 03:02:51,412 --> 03:02:52,847 CAREER DEVELOPMENT OF 4700 03:02:52,847 --> 03:02:54,248 POSTDOCTORAL SCHOLARS BUT 4701 03:02:54,248 --> 03:02:57,084 IMPORTANTLY OF THEIR MENTORS 4702 03:02:57,084 --> 03:02:57,652 ALSO. 4703 03:02:57,652 --> 03:03:00,788 FIFTH IS SUPPORTING SAFE AND 4704 03:03:00,788 --> 03:03:02,456 DIVERSE PERSPECTIVE AND RESEARCH 4705 03:03:02,456 --> 03:03:03,324 ENVIRONMENT WITHIN INSTITUTIONAL 4706 03:03:03,324 --> 03:03:04,859 RESEARCH PROGRAMS. 4707 03:03:04,859 --> 03:03:06,727 AND FINALLY, WE NEED WAYS TO 4708 03:03:06,727 --> 03:03:08,929 IMPROVE THE MEANS IN WHICH WE 4709 03:03:08,929 --> 03:03:11,766 MEASURE AND SHARE DATA ABOUT THE 4710 03:03:11,766 --> 03:03:14,735 POSTDOCTORAL SCHOLARS TO HELP US 4711 03:03:14,735 --> 03:03:15,569 INFORM FUTURE DECISION MAKING. 4712 03:03:15,569 --> 03:03:19,306 AND I WANT TO ALSO RECOGNIZE THE 4713 03:03:19,306 --> 03:03:22,576 IMPORTANCE AS SHELLEY MENTIONED 4714 03:03:22,576 --> 03:03:26,213 THROUGHOUT OF INTERNATIONAL 4715 03:03:26,213 --> 03:03:27,615 POSTDOCTORAL SCHOLARS, SUCH A 4716 03:03:27,615 --> 03:03:29,583 CRITICAL COMPONENT. 4717 03:03:29,583 --> 03:03:31,252 WE INTEGRATED IDEAS THAT OUR 4718 03:03:31,252 --> 03:03:33,821 ADDRESSING THE SPECIFIC NEEDS OF 4719 03:03:33,821 --> 03:03:37,892 THIS COHORT THROUGHOUT ALL OF 4720 03:03:37,892 --> 03:03:38,859 THESE RECOMMENDATIONS. 4721 03:03:38,859 --> 03:03:40,661 SO, BEFORE WE GO INTO THE ACTUAL 4722 03:03:40,661 --> 03:03:42,163 DETAILS OF EACH OF THE 4723 03:03:42,163 --> 03:03:44,365 RECOMMENDATION IS WANT TO SAY A 4724 03:03:44,365 --> 03:03:45,800 NOTE ABOUT THE TIMELINES BECAUSE 4725 03:03:45,800 --> 03:03:47,835 WE WANTED TO POINT OUT THESE 4726 03:03:47,835 --> 03:03:50,371 RECOMMENDATIONS CAN BE THOUGHT 4727 03:03:50,371 --> 03:03:52,440 OF BASED ON TIMELINE WE 4728 03:03:52,440 --> 03:03:54,208 PRAGMATICALLY BELIEVE THEY COULD 4729 03:03:54,208 --> 03:03:55,076 BE IMPLEMENTED. 4730 03:03:55,076 --> 03:03:57,845 AND WE HAVE MADE RECOMMENDATIONS 4731 03:03:57,845 --> 03:03:59,680 THROUGHOUT THE REPORT TO REFLECT 4732 03:03:59,680 --> 03:04:00,314 THAT. 4733 03:04:00,314 --> 03:04:01,449 BUT MANY RECOMMENDATIONS 4734 03:04:01,449 --> 03:04:06,253 ACTUALLY HAVE COMPONENTS OF BOTH 4735 03:04:06,253 --> 03:04:06,921 SHORT-TERM IDEAS, THINGS THAT 4736 03:04:06,921 --> 03:04:08,856 COULD HAPPEN IN THE NEXT YEAR OR 4737 03:04:08,856 --> 03:04:13,127 TWO, AS WELL AS LONGER--TERM 4738 03:04:13,127 --> 03:04:14,028 IDEAS, MORE COMPLICATED, WILL 4739 03:04:14,028 --> 03:04:15,996 TAKE A LITTLE BIT TO WORK 4740 03:04:15,996 --> 03:04:18,065 THROUGH THE DETAILS ON. 4741 03:04:18,065 --> 03:04:20,801 AND SO WITH THAT SAID, I'LL JUMP 4742 03:04:20,801 --> 03:04:24,638 RIGHT IN TO THE FIRST 4743 03:04:24,638 --> 03:04:25,005 RECOMMENDATION. 4744 03:04:25,005 --> 03:04:27,341 SO, RECOMMENDATION 1 IS TO 4745 03:04:27,341 --> 03:04:30,644 INCREASE PAY AND BENEFITS OF 4746 03:04:30,644 --> 03:04:32,046 NIH-SUPPORTED POSTDOCTORAL 4747 03:04:32,046 --> 03:04:32,546 SCHOLARS. 4748 03:04:32,546 --> 03:04:34,682 WE STRONGLY BELIEVE THAT THIS IS 4749 03:04:34,682 --> 03:04:36,016 THE TOP RECOMMENDATION. 4750 03:04:36,016 --> 03:04:38,519 IF THERE WAS ONLY ONE 4751 03:04:38,519 --> 03:04:39,487 RECOMMENDATION THAT NIH COULD 4752 03:04:39,487 --> 03:04:44,091 IMPLEMENT, THIS SHOULD BE IT. 4753 03:04:44,091 --> 03:04:46,293 SO, NIH SHOULD INCREASE SALARY 4754 03:04:46,293 --> 03:04:49,196 ANNUALLY ADJUSTED TO INFLATION, 4755 03:04:49,196 --> 03:04:52,933 INCLUDING MINIMUM OF $70,000 FOR 4756 03:04:52,933 --> 03:04:57,138 NRSA STIPEND IN 2024. 4757 03:04:57,138 --> 03:04:58,672 RECOGNIZE THAT WE'RE IN 2024 4758 03:04:58,672 --> 03:05:00,975 BASICALLY, IT'S THE END OF 2023. 4759 03:05:00,975 --> 03:05:03,144 THIS MAY BE A BIT DIFFICULT TO 4760 03:05:03,144 --> 03:05:06,447 DO BECAUSE OF TIMING PURPOSES, 4761 03:05:06,447 --> 03:05:08,949 AS WELL AS SIGNIFICANT RESOURCE 4762 03:05:08,949 --> 03:05:10,718 NEEDS THIS WILL HAVE AND 4763 03:05:10,718 --> 03:05:13,888 DIFFICULT DECISIONS THAT MAY 4764 03:05:13,888 --> 03:05:15,422 NEED TO BE MADE. 4765 03:05:15,422 --> 03:05:19,026 WE WANT TO RECOGNIZE THE 4766 03:05:19,026 --> 03:05:20,995 CONSEQUENCES OF INCREASING 4767 03:05:20,995 --> 03:05:21,996 POSTDOCTORAL PAY WITHOUT 4768 03:05:21,996 --> 03:05:23,297 CORRESPONDING INCREASE IN NIH 4769 03:05:23,297 --> 03:05:24,632 BUDGET, WE KNOW THE BUDGET YEAR 4770 03:05:24,632 --> 03:05:28,702 IS GOING TO BE TIGHT FOR FISCAL 4771 03:05:28,702 --> 03:05:31,338 YEAR 24, WE DON'T HAVE IT YET 4772 03:05:31,338 --> 03:05:32,640 AND WE'RE IN DECEMBER, MAY MEAN 4773 03:05:32,640 --> 03:05:36,076 THERE'S A REDUCTION IN NUMBER OF 4774 03:05:36,076 --> 03:05:37,111 POSTDOCTORAL POSITIONS THAT NIH 4775 03:05:37,111 --> 03:05:38,145 CAN SUPPORT. 4776 03:05:38,145 --> 03:05:39,914 THE WORKING GROUP VIEWS THIS AS 4777 03:05:39,914 --> 03:05:42,983 THIS OUTCOME AS A MEANS TO 4778 03:05:42,983 --> 03:05:46,687 ENHANCE THE QUALITY AND EFFICACY 4779 03:05:46,687 --> 03:05:47,788 OF POSTDOCTORAL TRAINING. 4780 03:05:47,788 --> 03:05:49,523 WE WANT TO STREAMLINE THE CAREER 4781 03:05:49,523 --> 03:05:51,258 PATH TO THE NEXT CAREER STAGE 4782 03:05:51,258 --> 03:05:53,928 AND ENSURE THOSE WHO ARE 4783 03:05:53,928 --> 03:05:55,763 EMBARKING ON A POSTDOCTORAL 4784 03:05:55,763 --> 03:05:57,965 POSITION ARE DOING SO THROUGH A 4785 03:05:57,965 --> 03:06:00,901 MEANS THEY ARE FEELING 4786 03:06:00,901 --> 03:06:02,570 ADEQUATELY COMPENSATED. 4787 03:06:02,570 --> 03:06:05,840 SO WE EXPECT THE SIZE OF THE 4788 03:06:05,840 --> 03:06:07,608 POSTDOCTORAL WORKFORCE WILL 4789 03:06:07,608 --> 03:06:09,009 LIKELY REEQUILIBRATE OVER TIME 4790 03:06:09,009 --> 03:06:13,848 AT A LEVEL NEEDED TO SUPPORT 4791 03:06:13,848 --> 03:06:19,653 ROBUST AND APPROPRIATELY AGAIN 4792 03:06:19,653 --> 03:06:20,621 COMPENSATED AND SUPPORTED 4793 03:06:20,621 --> 03:06:25,993 POSTDOCTORAL POPULATION. 4794 03:06:25,993 --> 03:06:32,333 WHILE WE MENTION NRSA, SHOULD BE 4795 03:06:32,333 --> 03:06:33,868 APPLICABLE TO ALL POSTDOCS. 4796 03:06:33,868 --> 03:06:36,604 ONE THING WE SAW IN THE SURVEYS 4797 03:06:36,604 --> 03:06:38,372 AND LISTENING SESSIONS AND RFI 4798 03:06:38,372 --> 03:06:41,809 WAS THAT THERE IS A SIGNIFICANT 4799 03:06:41,809 --> 03:06:48,916 AMOUNT OF VARIABILITY, 4800 03:06:48,916 --> 03:06:50,651 PARTICULARLY WITH PAY, WITHIN 4801 03:06:50,651 --> 03:06:51,652 DEPARTMENT, LABS WITHIN 4802 03:06:51,652 --> 03:06:52,753 INDIVIDUAL UNIVERSITIES. 4803 03:06:52,753 --> 03:07:00,828 THIS IS ALSO TRUE OF BENEFITS. 4804 03:07:00,828 --> 03:07:04,098 BECAUSE POSTDOCS ON NRSAs ARE 4805 03:07:04,098 --> 03:07:05,966 TREATED DIFFERENTLY THAN R01, WE 4806 03:07:05,966 --> 03:07:08,035 FEEL IT'S IMPORTANT TO 4807 03:07:08,035 --> 03:07:09,670 STANDARDIZE AND ENSURING 4808 03:07:09,670 --> 03:07:11,105 EVERYONE IS RECEIVING MINIMUM 4809 03:07:11,105 --> 03:07:13,741 FLESH HOLD OF BENEFIT. 4810 03:07:13,741 --> 03:07:16,577 OUR RECOMMENDATION IS TO PROVIDE 4811 03:07:16,577 --> 03:07:19,079 FULL-TIME EMPLOYEE LEVEL 4812 03:07:19,079 --> 03:07:20,648 BENEFITS FOR ALL NIH-SUPPORTED 4813 03:07:20,648 --> 03:07:24,018 POSTDOCTORAL SCHOLARS. 4814 03:07:24,018 --> 03:07:26,654 THAT SHOULD INCLUDE FULL-TIME 4815 03:07:26,654 --> 03:07:28,522 BENEFITS, HEALTH, VISION, DENTAL 4816 03:07:28,522 --> 03:07:30,157 COVERAGE, AT THE MINIMUM. 4817 03:07:30,157 --> 03:07:33,794 AND THEN WE ALSO FOCUSED A BIT 4818 03:07:33,794 --> 03:07:37,197 ON DEPEND CARE BECAUSE THE GROUP 4819 03:07:37,197 --> 03:07:39,800 THINKS NIH SUPPORT FOR THIS 4820 03:07:39,800 --> 03:07:44,438 SHOULD BE EXPANDED AND WE KNOW 4821 03:07:44,438 --> 03:07:45,639 THIS DISPROPORTIONATELY IMPACTS 4822 03:07:45,639 --> 03:07:45,973 WOMEN. 4823 03:07:45,973 --> 03:07:48,676 WE WANT TO RECOGNIZE THAT 4824 03:07:48,676 --> 03:07:49,810 DIFFERENT INSTITUTIONS HAVE 4825 03:07:49,810 --> 03:07:52,212 DIFFERENT DEFINITIONS OF THE 4826 03:07:52,212 --> 03:07:54,715 MEANING OF EMPLOYEE LEVEL 4827 03:07:54,715 --> 03:07:55,082 BENEFIT. 4828 03:07:55,082 --> 03:07:57,885 WITH THIS STATEMENT WE DO NOT 4829 03:07:57,885 --> 03:08:00,587 GET SORT OF TOO DIRECTIVE IN THE 4830 03:08:00,587 --> 03:08:04,358 DETAILS SO WE WANT TO PROVIDE 4831 03:08:04,358 --> 03:08:08,429 SOME FLEXIBILITY THERE BUT MAKE 4832 03:08:08,429 --> 03:08:09,930 SURE SOMEONE IN THE SAME LAB 4833 03:08:09,930 --> 03:08:12,566 RECEIVES THE SAME LEVEL OF 4834 03:08:12,566 --> 03:08:19,707 BENEFIT AS THEIR LAB MATE 4835 03:08:19,707 --> 03:08:21,642 REGARDLESS OF THEIR FUNDING 4836 03:08:21,642 --> 03:08:22,009 SUPPORT. 4837 03:08:22,009 --> 03:08:25,045 MOVING ON TO THE NEXT PART OF 4838 03:08:25,045 --> 03:08:26,347 THIS RECOMMENDATION, THE GROUP 4839 03:08:26,347 --> 03:08:28,782 FELT STRONGLY THAT A POSTDOC 4840 03:08:28,782 --> 03:08:30,417 SHOULD NOT BE ENDURING. 4841 03:08:30,417 --> 03:08:33,253 IT SHOULDN'T BE A CAREER 4842 03:08:33,253 --> 03:08:33,520 POSITION. 4843 03:08:33,520 --> 03:08:34,922 AND THERE SHOULDN'T BE ANYONE 4844 03:08:34,922 --> 03:08:37,424 WHO SPENT OVER A DECADE AS A 4845 03:08:37,424 --> 03:08:38,359 POSTDOC, FOR INSTANCE. 4846 03:08:38,359 --> 03:08:40,361 AT A POINT IT BECOMES A CAREER 4847 03:08:40,361 --> 03:08:46,633 POSITION AND NOT A POSTDOC 4848 03:08:46,633 --> 03:08:47,001 POSITION. 4849 03:08:47,001 --> 03:08:48,369 WE RECOMMEND POSITIONS LAST NO 4850 03:08:48,369 --> 03:08:50,337 LONGER THAN FIVE YEARS 4851 03:08:50,337 --> 03:08:52,072 REGARDLESS OF THE INSTITUTIONS 4852 03:08:52,072 --> 03:08:53,440 THEY ARE AT. 4853 03:08:53,440 --> 03:08:55,142 WE BELIEVE SOMEONE SHOULDN'T BE 4854 03:08:55,142 --> 03:08:56,877 A POSTDOC FOR FOUR YEARS AT ONE 4855 03:08:56,877 --> 03:08:57,978 INSTITUTION AND MOVE TO ANOTHER 4856 03:08:57,978 --> 03:09:01,382 ONE AND BE A POSTDOC FOR THREE 4857 03:09:01,382 --> 03:09:01,915 YEARS. 4858 03:09:01,915 --> 03:09:03,684 COMBINED TOTAL SHOULD ONLY BE 4859 03:09:03,684 --> 03:09:04,451 FIVE YEARS. 4860 03:09:04,451 --> 03:09:08,288 A HUGE PART OF THIS IS TO SHIFT 4861 03:09:08,288 --> 03:09:10,791 TO TRANSITIONING POSTDOCS INTO 4862 03:09:10,791 --> 03:09:11,992 THESE LONGER-TERM CAREER 4863 03:09:11,992 --> 03:09:16,964 POSITIONS, THAT ARE MORE 4864 03:09:16,964 --> 03:09:17,398 SUSTAINABLE. 4865 03:09:17,398 --> 03:09:18,198 AND SHELLEY DEFINED DEFINITION 4866 03:09:18,198 --> 03:09:21,135 OF A POSTDOC PREVIOUSLY SO I 4867 03:09:21,135 --> 03:09:24,405 WON'T DO THAT BUT WE HOPE THAT 4868 03:09:24,405 --> 03:09:28,909 THIS WILL HELP TO LIMIT GAMING, 4869 03:09:28,909 --> 03:09:31,145 SHIFTING PEOPLE INTO POSITIONS 4870 03:09:31,145 --> 03:09:33,380 THAT ARE POSTDOCS IN ALL BUT 4871 03:09:33,380 --> 03:09:33,847 NAME. 4872 03:09:33,847 --> 03:09:36,450 WE RECOGNIZE AT TIMES THERE ARE 4873 03:09:36,450 --> 03:09:37,084 LEGITIMATE REASONS THAT PEOPLE 4874 03:09:37,084 --> 03:09:40,687 NEED TO STAY FOR LONGER THAN 4875 03:09:40,687 --> 03:09:43,690 FIVE YEARS, THERE SHOULD BE OF 4876 03:09:43,690 --> 03:09:45,526 COURSE EXTENSION PROVIDED TO 4877 03:09:45,526 --> 03:09:46,860 FOLKS BECAUSE THERE'S 4878 03:09:46,860 --> 03:09:51,565 SIGNIFICANT LIFE EVENTS, BIRTH 4879 03:09:51,565 --> 03:09:54,735 OF A CHILD, AND CIRCUMSTANCES 4880 03:09:54,735 --> 03:09:55,836 THAT EXTEND THAT. 4881 03:09:55,836 --> 03:09:58,906 WE THINK ABOUT OUR SECOND 4882 03:09:58,906 --> 03:10:00,340 RECOMMENDATION, WHICH WAS 4883 03:10:00,340 --> 03:10:01,442 CREATING AN EXPANDING MECHANISM 4884 03:10:01,442 --> 03:10:06,447 TO SUPPORT THE FULL TALENT POOL 4885 03:10:06,447 --> 03:10:08,215 OF POSTDOCTORAL SCHOLARS, 4886 03:10:08,215 --> 03:10:08,749 WORKING GROUP RECOGNIZED 4887 03:10:08,749 --> 03:10:11,185 SOMETIMES THE REASON PEOPLE ARE 4888 03:10:11,185 --> 03:10:12,486 IN THESE REALLY LONG POSTDOC 4889 03:10:12,486 --> 03:10:13,454 POSITIONS BECAUSE THEY I CAN'T 4890 03:10:13,454 --> 03:10:15,989 FIND A JOB OR NEED MORE TIME TO 4891 03:10:15,989 --> 03:10:16,757 FIND A JOB. 4892 03:10:16,757 --> 03:10:19,593 ONE OF THE THINGS WE WANTED TO 4893 03:10:19,593 --> 03:10:28,135 FOCUS ON WAS FACILITATING THAT 4894 03:10:28,135 --> 03:10:29,470 TRANSITION, WE COULD EXPAND 4895 03:10:29,470 --> 03:10:30,971 MECHANISMINGS TO RECRUIT AND 4896 03:10:30,971 --> 03:10:31,772 RETAIN THE TALENT POOL SHIFTING 4897 03:10:31,772 --> 03:10:33,040 INTO THE NEXT POSITION. 4898 03:10:33,040 --> 03:10:35,342 WE PROPOSE A VARIETY OF THINGS 4899 03:10:35,342 --> 03:10:38,879 INCLUDING DEVELOPING NEW AND 4900 03:10:38,879 --> 03:10:40,714 EXPANDED K MECHANISMS, AT 4901 03:10:40,714 --> 03:10:42,149 INSTITUTIONAL LEVEL AND 4902 03:10:42,149 --> 03:10:44,751 INDIVIDUAL LEVEL, TO RECRUIT AND 4903 03:10:44,751 --> 03:10:46,286 RETAIN SCHOLARS. 4904 03:10:46,286 --> 03:10:48,288 OPENNESS MORE BROADLY SO THAT 4905 03:10:48,288 --> 03:10:50,357 THOSE WHO ARE INTERNATIONAL 4906 03:10:50,357 --> 03:10:51,792 POSTDOCS HAVE MORE OPTIONS THAT 4907 03:10:51,792 --> 03:10:53,861 ARE AVAILABLE TO THEM SINCE THEY 4908 03:10:53,861 --> 03:11:00,868 ARE NOT ELIGIBLE FOR NRSA. 4909 03:11:00,868 --> 03:11:04,471 WE DISCUSSED NEW K12-LIKE AWARDS 4910 03:11:04,471 --> 03:11:06,640 TO SUPPORT COHORTS OF DIVERSE 4911 03:11:06,640 --> 03:11:11,044 POSTDOCS AS WELL AS ESTABLISH 4912 03:11:11,044 --> 03:11:12,779 NEW AWARDS FOR THOSE AT 4913 03:11:12,779 --> 03:11:13,313 UNIVERSITIES WITHOUT 4914 03:11:13,313 --> 03:11:16,950 INSTITUTIONAL AWARDS. 4915 03:11:16,950 --> 03:11:20,387 WE PROPOSE TO REVISE K99/R00 4916 03:11:20,387 --> 03:11:23,090 MECHANISM, QUITE SUCCESSFUL, BUT 4917 03:11:23,090 --> 03:11:29,163 WE WANTED TO FOCUS ON IDEAS AND 4918 03:11:29,163 --> 03:11:32,232 CREATIVITY OVER PRODUCTIVITY. 4919 03:11:32,232 --> 03:11:33,700 THIS COULD INCLUDE LIMITING 4920 03:11:33,700 --> 03:11:34,835 ELIGIBILITY WINDOW FOR THE FIRST 4921 03:11:34,835 --> 03:11:37,137 TWO YEARS OF THE POSTDOC TO 4922 03:11:37,137 --> 03:11:40,307 ENSURE THE DURATION OF THE 4923 03:11:40,307 --> 03:11:47,648 POSTDOC IS REASONABLE. 4924 03:11:47,648 --> 03:11:49,049 ADAPTING PROCESS AND POLICIES, 4925 03:11:49,049 --> 03:11:51,018 PILOTING A NEW TRANSITION AWARD 4926 03:11:51,018 --> 03:11:54,121 MECHANISM FOLLOWING THE ONE FROM 4927 03:11:54,121 --> 03:11:57,491 GRAD SCHOOL, POSTDOC, INTO THE 4928 03:11:57,491 --> 03:12:03,764 FIRST FACULTY POSITION, SO AN 4929 03:12:03,764 --> 03:12:05,732 F99/K00/ROO TYPE OF AWARD AS AN 4930 03:12:05,732 --> 03:12:06,233 IDEA. 4931 03:12:06,233 --> 03:12:08,435 FINALLY FOR THE LAST PART OF 4932 03:12:08,435 --> 03:12:10,304 RECOMMENDATION 2, WE PROPOSE TO 4933 03:12:10,304 --> 03:12:12,839 CREATE AND EXPAND THE MECHANISMS 4934 03:12:12,839 --> 03:12:15,042 FOR SUPPORT FOR INTERNATIONAL 4935 03:12:15,042 --> 03:12:16,243 SCHOLARS SINCE THERE'S A 4936 03:12:16,243 --> 03:12:18,779 CRITICAL COMPONENT OF THE 4937 03:12:18,779 --> 03:12:19,313 WORKFORCE. 4938 03:12:19,313 --> 03:12:21,515 WE THINK IT'S INCUMBENT UPON NIH 4939 03:12:21,515 --> 03:12:25,552 TO EXPAND ELIGIBILITY TO INCLUDE 4940 03:12:25,552 --> 03:12:27,421 INTERNATIONAL POSTDOCS WHERE 4941 03:12:27,421 --> 03:12:29,056 IT'S LEGALLY FEASIBLE. 4942 03:12:29,056 --> 03:12:30,390 SO WE RECOGNIZE, FOR EXAMPLE, 4943 03:12:30,390 --> 03:12:32,893 THAT SOME PROGRAMS THAT WERE 4944 03:12:32,893 --> 03:12:36,363 AIMED ALTAR GETTING THOSE IN 4945 03:12:36,363 --> 03:12:38,732 IDEA STATES WON'T BE APPLICABLE 4946 03:12:38,732 --> 03:12:40,467 BUT WANT TO BROADLY RECOGNIZE 4947 03:12:40,467 --> 03:12:45,405 CRITICAL ROLE THESE FOLKS PLAY 4948 03:12:45,405 --> 03:12:50,544 IN THE ECOSYSTEM DEVELOPING 4949 03:12:50,544 --> 03:12:52,012 TARGETED MECHANISMS TO SUPPORT 4950 03:12:52,012 --> 03:12:52,779 INTERNATIONAL TALENT. 4951 03:12:52,779 --> 03:12:58,552 MANY RESPONDED FROM THE RFI AND 4952 03:12:58,552 --> 03:12:58,986 LISTENING SESSIONS, 4953 03:12:58,986 --> 03:13:01,088 IMMIGRATION-RELATED ISSUES WERE 4954 03:13:01,088 --> 03:13:03,257 A CHALLENGE AND CUMBERSOME. 4955 03:13:03,257 --> 03:13:04,591 NIH DOESN'T CONTROL THESE, IT'S 4956 03:13:04,591 --> 03:13:06,493 OUTSIDE THE SCOPE OF THE WORK OF 4957 03:13:06,493 --> 03:13:09,296 OUR AGENCY, BUT THE WORKING 4958 03:13:09,296 --> 03:13:11,698 GROUP RECOMMENDED THAT NIH 4959 03:13:11,698 --> 03:13:12,699 PROVIDE SUPPORT FOR 4960 03:13:12,699 --> 03:13:14,334 IMMIGRATION-RELATED ISSUES THAT 4961 03:13:14,334 --> 03:13:17,070 COULD BE THROUGH THINGS LIKE 4962 03:13:17,070 --> 03:13:20,240 EXPANDING OUT THE CONTRACT THAT 4963 03:13:20,240 --> 03:13:26,146 POSTDOCS ARE ON FROM ONE YEAR, 4964 03:13:26,146 --> 03:13:27,447 THREE YEARS. 4965 03:13:27,447 --> 03:13:28,215 CONVERSATIONS WITH RELEVANT 4966 03:13:28,215 --> 03:13:30,183 AGENTS TO MAKE THEM AWARE OF 4967 03:13:30,183 --> 03:13:38,292 ISSUES THAT THE POSTDOCS ARE 4968 03:13:38,292 --> 03:13:38,992 FACING. 4969 03:13:38,992 --> 03:13:42,596 RECOMMENDATION 3, WE FELT THAT 4970 03:13:42,596 --> 03:13:43,897 THE -- THE GROUP FELT 4971 03:13:43,897 --> 03:13:46,533 FUNDAMENTAL GOAL IS TO RECEIVE 4972 03:13:46,533 --> 03:13:48,268 TRAINING AND CAREER DEVELOPMENT, 4973 03:13:48,268 --> 03:13:51,571 TRANSITION TO A PERMANENT CAREER 4974 03:13:51,571 --> 03:13:52,172 POSITION. 4975 03:13:52,172 --> 03:13:54,408 SO, TO FACILITATE THAT WE 4976 03:13:54,408 --> 03:13:55,742 RECOMMENDED THAT NIH INCREASE 4977 03:13:55,742 --> 03:13:58,779 SUPPORT FOR A RESEARCH 4978 03:13:58,779 --> 03:14:01,415 PROFESSIONAL TRACK WITH CLEAR 4979 03:14:01,415 --> 03:14:04,151 EXPECTATION AND CERTAIN LEVEL OF 4980 03:14:04,151 --> 03:14:04,751 CULTURAL STANDING OR RESPECT, 4981 03:14:04,751 --> 03:14:08,188 THIS WOULD BE A VALID POSITION 4982 03:14:08,188 --> 03:14:09,489 PEOPLE COULD GO INTO. 4983 03:14:09,489 --> 03:14:15,295 IT COULD BE IN THE FORM OF A 4984 03:14:15,295 --> 03:14:16,396 CAREER SCIENTIST SOMETHING, 4985 03:14:16,396 --> 03:14:17,964 STAFF SCIENTIST POSITION, BUT TO 4986 03:14:17,964 --> 03:14:18,932 SUPPORT DIFFERENT CAREER PATHS 4987 03:14:18,932 --> 03:14:27,140 THAT WE KNOW PEOPLE ARE ALREADY 4988 03:14:27,140 --> 03:14:28,909 SHIFTING INTO. 4989 03:14:28,909 --> 03:14:32,179 CREATING PILOT PROGRAMS, POLICY, 4990 03:14:32,179 --> 03:14:33,714 BUSINESS, INDUSTRY, OTHER FIELDS 4991 03:14:33,714 --> 03:14:36,016 COULD BE INCLUDED. 4992 03:14:36,016 --> 03:14:38,552 WE RECOGNIZE AGAIN MOST ARE NOT 4993 03:14:38,552 --> 03:14:39,653 COMMITTING TO ACADEMIC 4994 03:14:39,653 --> 03:14:39,953 POSITIONS. 4995 03:14:39,953 --> 03:14:42,923 AND SO WE THINK IT'S IMPORTANT 4996 03:14:42,923 --> 03:14:44,358 TO CREATE AND FACILITATE 4997 03:14:44,358 --> 03:14:47,961 ENGAGEMENT WITH A BROAD RANGE OF 4998 03:14:47,961 --> 03:14:50,664 FACTORS THAT HIRE POSTDOCS, THEY 4999 03:14:50,664 --> 03:14:55,268 NEED PATIENT ADVOCACY GROUPS, 5000 03:14:55,268 --> 03:14:56,036 NON-PROFITS, INDUSTRY, 5001 03:14:56,036 --> 03:14:57,804 GOVERNMENT, PROFESSIONAL 5002 03:14:57,804 --> 03:14:59,973 SOCIETIES, MANY OTHERS. 5003 03:14:59,973 --> 03:15:03,810 THIS COULD LEAD NIH TO EXPLORING 5004 03:15:03,810 --> 03:15:05,011 NOVEL COLLABORATIVE AND 5005 03:15:05,011 --> 03:15:09,416 PARTNERSHIP PATHWAYS TO 5006 03:15:09,416 --> 03:15:10,517 SUPPORTING POSTDOCS. 5007 03:15:10,517 --> 03:15:13,153 FOR RECOMMENDATION 4, THE FOCUS 5008 03:15:13,153 --> 03:15:17,858 IS ON PROMOTING THE TRAINING AND 5009 03:15:17,858 --> 03:15:18,759 PROFESSIONAL DEVELOPMENT OF 5010 03:15:18,759 --> 03:15:19,960 SCHOLARS AND MENTORS. 5011 03:15:19,960 --> 03:15:23,230 WE BELIEVE IT'S A STAPLE AND 5012 03:15:23,230 --> 03:15:25,799 CORE TENANT OF POSTDOC YOU GET 5013 03:15:25,799 --> 03:15:26,566 THAT EXPERIENCE. 5014 03:15:26,566 --> 03:15:29,803 AND SO THIS SHOULD BE ENHANCED 5015 03:15:29,803 --> 03:15:32,005 THROUGH PROMOTING CAREER AND 5016 03:15:32,005 --> 03:15:38,245 PROFESSIONAL DEVELOPMENT THAT 5017 03:15:38,245 --> 03:15:40,313 OCCUPIES 10% MINIMUM OF TIME OR 5018 03:15:40,313 --> 03:15:40,747 EFFORT. 5019 03:15:40,747 --> 03:15:42,182 WE THOUGHT THIS SHOULDN'T APPLY 5020 03:15:42,182 --> 03:15:43,483 ONLY TO THE POSTDOCS. 5021 03:15:43,483 --> 03:15:45,118 ALSO TO THE MENTORS WHO SHOULD 5022 03:15:45,118 --> 03:15:47,087 BE ABLE TO PROMOTE THE SKILLS 5023 03:15:47,087 --> 03:15:49,823 AND EXPERIENCES OF THEIR 5024 03:15:49,823 --> 03:15:50,090 POSTDOCS. 5025 03:15:50,090 --> 03:15:51,258 WHILE THE INDIVIDUAL SHOULD BE 5026 03:15:51,258 --> 03:15:53,360 ABLE TO SELECT THE TYPE OF 5027 03:15:53,360 --> 03:15:54,661 TRAINING THEY WISH TO 5028 03:15:54,661 --> 03:15:56,730 PARTICIPATE IN BASED ON THEIR 5029 03:15:56,730 --> 03:15:57,831 INTERESTS, INSTITUTIONS ALSO 5030 03:15:57,831 --> 03:15:58,965 SHARE A DEGREE OF RESPONSIBILITY 5031 03:15:58,965 --> 03:16:01,234 HERE TO BE ABLE TO PROVIDE SOME 5032 03:16:01,234 --> 03:16:02,335 OF THESE RESOURCES TO SUPPORT 5033 03:16:02,335 --> 03:16:05,939 THEM THROUGH A VARIETY OF 5034 03:16:05,939 --> 03:16:08,475 DIFFERENT COURSE OR EXPERIENTIAL 5035 03:16:08,475 --> 03:16:08,909 OFFERINGS. 5036 03:16:08,909 --> 03:16:10,444 WE ALSO THOUGHT IT WOULD BE 5037 03:16:10,444 --> 03:16:12,512 PRUDENT TO TRY TO LEVERAGE THE 5038 03:16:12,512 --> 03:16:13,680 INFRASTRUCTURE THAT COULD BE 5039 03:16:13,680 --> 03:16:16,483 BUILT ACROSS THE U.S. SO THAT 5040 03:16:16,483 --> 03:16:17,884 THOSE INSTITUTIONS WHO DON'T 5041 03:16:17,884 --> 03:16:19,853 NECESSARILY HAVE RESOURCES TO BE 5042 03:16:19,853 --> 03:16:22,389 ABLE TO DEVELOP A BUNCH OF 5043 03:16:22,389 --> 03:16:25,592 PROGRAMS COULD SORT OF SHARE 5044 03:16:25,592 --> 03:16:28,061 THIS ACROSS THE BOARD. 5045 03:16:28,061 --> 03:16:30,363 AND OF COURSE THIS RELIES ON A 5046 03:16:30,363 --> 03:16:31,531 CERTAIN LEVEL OF ACCOUNTABILITY 5047 03:16:31,531 --> 03:16:34,201 FOR MENTORS TO BE ABLE TO -- TO 5048 03:16:34,201 --> 03:16:36,169 BE ABLE AND WILLING TO SUPPORT 5049 03:16:36,169 --> 03:16:36,870 THEIR POSTDOCS. 5050 03:16:36,870 --> 03:16:39,573 AND ONE WAY WE TALKED ABOUT THIS 5051 03:16:39,573 --> 03:16:42,175 WAS TO BE TRACKED OR MEASURED 5052 03:16:42,175 --> 03:16:45,712 AND DOING THIS IS PART OF THEIR 5053 03:16:45,712 --> 03:16:48,014 RPPRs, OR POSSIBLY MISSION OF 5054 03:16:48,014 --> 03:16:50,217 A MENTORSHIP PLAN WHEN THEY ARE 5055 03:16:50,217 --> 03:16:51,518 DEVELOPING GRANT APPLICATIONS. 5056 03:16:51,518 --> 03:16:54,354 AND WE THOUGHT NIH COULD 5057 03:16:54,354 --> 03:16:56,656 CONSIDER WAYS TO RECOGNIZE 5058 03:16:56,656 --> 03:16:58,291 OUTSTANDING MENTORS, TO HELP 5059 03:16:58,291 --> 03:17:03,663 PROMOTE THIS AS A KEY COMPONENT 5060 03:17:03,663 --> 03:17:06,399 OF TRAINING. 5061 03:17:06,399 --> 03:17:09,169 WITH OUR FIFTH RECOMMENDATION, 5062 03:17:09,169 --> 03:17:09,836 PENULTIMATE RECOMMENDATION, THE 5063 03:17:09,836 --> 03:17:11,538 WORKING GROUP FOCUSED ON THE 5064 03:17:11,538 --> 03:17:13,840 NEED TO SUPPORT AND FACILITATE A 5065 03:17:13,840 --> 03:17:16,476 SAFE ENVIRONMENT FREE FROM 5066 03:17:16,476 --> 03:17:17,110 HARASSMENT. 5067 03:17:17,110 --> 03:17:27,320 AND ADDRESS SOME POWER BALANCE 5068 03:17:27,320 --> 03:17:28,421 OF IMBALANCE SHELLEY MENTIONED, 5069 03:17:28,421 --> 03:17:36,429 TO CONTINUE TO ENSURE ACT OF 5070 03:17:36,429 --> 03:17:39,332 ACCOUNTABILITY OF P.I.s AND 5071 03:17:39,332 --> 03:17:40,901 INSTITUTIONS AS WE KNOW THOSE 5072 03:17:40,901 --> 03:17:45,238 PEOPLE ARE THE MOST VULNERABLE 5073 03:17:45,238 --> 03:17:47,574 TO FEELING TARGETED AND/OR 5074 03:17:47,574 --> 03:17:48,508 HARASSED. 5075 03:17:48,508 --> 03:17:50,844 IT'S IMPORTANT THE INSTITUTIONS 5076 03:17:50,844 --> 03:17:53,914 FEEL EMPOWERED TO FOSTER DIVERSE 5077 03:17:53,914 --> 03:17:54,981 PERSPECTIVES, MONITORING 5078 03:17:54,981 --> 03:17:57,951 IMPLEMENTATION OF DIFFERENT 5079 03:17:57,951 --> 03:17:58,685 RECOMMENDATIONS, PARTICULARLY 5080 03:17:58,685 --> 03:18:00,787 RECOMMENDATION 1, TO HAVE THIS 5081 03:18:00,787 --> 03:18:02,889 DISPARATE IMPLEMENTATION OF 5082 03:18:02,889 --> 03:18:05,292 THESE RECOMMENDATIONS, AND THIS 5083 03:18:05,292 --> 03:18:08,562 WILL HELP ENSURE THAT IS 5084 03:18:08,562 --> 03:18:10,230 MITIGATED IN SOME RESPECT. 5085 03:18:10,230 --> 03:18:17,771 THE GROUP WANTED TO ENDORSE, 5086 03:18:17,771 --> 03:18:20,607 MAKE SURE IN THE EFFORTS SUCH AS 5087 03:18:20,607 --> 03:18:22,475 UNITE TO SUPPORT DIVERSITY IN 5088 03:18:22,475 --> 03:18:25,312 THE WORK FORCE, ENCOURAGES 5089 03:18:25,312 --> 03:18:28,615 INSTITUTIONS TO DO THE SAME. 5090 03:18:28,615 --> 03:18:30,584 WHILE RECOGNIZING NEEDS OF 5091 03:18:30,584 --> 03:18:31,985 INTERNATIONAL POSTDOCS. 5092 03:18:31,985 --> 03:18:34,721 AND, AGAIN, NAVIGATING THOSE 5093 03:18:34,721 --> 03:18:36,323 COMPLEX IMMIGRATION POLICIES, 5094 03:18:36,323 --> 03:18:38,592 WORKING GROUP DID MAKE A 5095 03:18:38,592 --> 03:18:39,526 SUGGESTION ABOUT DISSEMINATING 5096 03:18:39,526 --> 03:18:42,062 FOR INSTANCE A TRAINING MODULE 5097 03:18:42,062 --> 03:18:43,930 ON IMMIGRATION EDUCATION WITH 5098 03:18:43,930 --> 03:18:50,370 RESOURCES THAT COULD HELP FOLKS 5099 03:18:50,370 --> 03:18:53,106 NAVIGATE IMMIGRATION POLICIES 5100 03:18:53,106 --> 03:18:54,541 AND PROCESSES. 5101 03:18:54,541 --> 03:18:55,508 FINALLY, COLLECTION AND 5102 03:18:55,508 --> 03:18:56,943 STANDARDIZATION OF DATA ARE 5103 03:18:56,943 --> 03:18:59,779 MAJOR CHALLENGES THAT LIMIT OUR 5104 03:18:59,779 --> 03:19:01,982 ABILITY TO MEASURE AND EVALUATE 5105 03:19:01,982 --> 03:19:03,950 SPECIFIC ACTIONS AND PROGRAMS. 5106 03:19:03,950 --> 03:19:07,253 SO, THE GROUP FELT STRONGLY THAT 5107 03:19:07,253 --> 03:19:08,888 WE NEEDED TO IMPROVE DATA 5108 03:19:08,888 --> 03:19:09,456 COLLECTION. 5109 03:19:09,456 --> 03:19:11,958 PART COULD BE DONE BY ENHANCING 5110 03:19:11,958 --> 03:19:14,361 COLLABORATIONS THAT NIH ALREADY 5111 03:19:14,361 --> 03:19:15,929 HAS WITH NSF, COULD THEY COLLECT 5112 03:19:15,929 --> 03:19:19,499 A TON OF DATA BOTH 5113 03:19:19,499 --> 03:19:20,300 ADMINISTRATIVE WHICH IS 5114 03:19:20,300 --> 03:19:22,802 IMPORTANT AND EVEN KNOWING THE 5115 03:19:22,802 --> 03:19:25,405 NUMBER OF POSTDOCS THAT EXIST IN 5116 03:19:25,405 --> 03:19:26,940 THE COUNTRY, THAT'S NOT EVEN 5117 03:19:26,940 --> 03:19:27,841 100% CLEAR. 5118 03:19:27,841 --> 03:19:30,010 WE HAVE PRETTY GOOD DATA BUT IF 5119 03:19:30,010 --> 03:19:31,645 WE COULD HAVE REALLY GREAT DATA 5120 03:19:31,645 --> 03:19:34,280 THAT WOULD BE EVEN BETTER. 5121 03:19:34,280 --> 03:19:36,916 BUT ALSO TO COLLECT DATA ON 5122 03:19:36,916 --> 03:19:39,419 CAREER OUTCOMES, TO KNOW WHAT 5123 03:19:39,419 --> 03:19:42,055 WE'RE DOING IS ACTUALLY HAVING 5124 03:19:42,055 --> 03:19:52,565 THE IMPACT WE WANT, WILL HELP 5125 03:19:55,368 --> 03:19:56,169 FACILITATE BETTER 5126 03:19:56,169 --> 03:19:57,437 IMPLEMENTATION. 5127 03:19:57,437 --> 03:19:59,472 TO REQUIRE ALL NIH-FUNDED 5128 03:19:59,472 --> 03:20:01,441 POSTDOCTORAL SCHOLARS TO HAVE AN 5129 03:20:01,441 --> 03:20:02,876 ERA COME ANSWER ACCOUNT 5130 03:20:02,876 --> 03:20:04,411 INDEPENDENT OF INSTITUTION TO 5131 03:20:04,411 --> 03:20:08,648 HELP US TRACK OVER THEIR CAREER 5132 03:20:08,648 --> 03:20:09,849 DURATION ESPECIALLY IF THEY STAY 5133 03:20:09,849 --> 03:20:12,719 IN THE SORT OF NIH SPHERE. 5134 03:20:12,719 --> 03:20:15,989 AND ONCE WE HAVE THE DATA AS A 5135 03:20:15,989 --> 03:20:18,158 MEANS TO FURTHER GATHER 5136 03:20:18,158 --> 03:20:20,593 ADDITIONAL DATA, THE GROUP 5137 03:20:20,593 --> 03:20:22,128 BELIEVES COMMUNICATION WITH THE 5138 03:20:22,128 --> 03:20:25,999 COMMUNITY, WITH THE POSTDOC, 5139 03:20:25,999 --> 03:20:26,566 INSTITUTIONS, PROFESSIONAL 5140 03:20:26,566 --> 03:20:27,400 SOCIETIES, ALL ORGANIZATIONS 5141 03:20:27,400 --> 03:20:32,372 WILL BE HELPFUL AND VITAL TO 5142 03:20:32,372 --> 03:20:34,207 CLARIFY AND DISSEMINATE TO HELP 5143 03:20:34,207 --> 03:20:36,209 ALIGN OUR EXPECTATIONS. 5144 03:20:36,209 --> 03:20:39,012 ONE MECHANISM DISCUSSED WAS 5145 03:20:39,012 --> 03:20:41,314 CREATION OF CENTRALIZED PORTAL, 5146 03:20:41,314 --> 03:20:43,516 A ONE-STOP SHOP TO HOUSE ALL 5147 03:20:43,516 --> 03:20:47,053 KIND OF INFORMATION, POLICIES, 5148 03:20:47,053 --> 03:20:49,222 PRACTICES, NEW UPDATES THAT ARE 5149 03:20:49,222 --> 03:20:50,490 COMING THROUGH AND MORE. 5150 03:20:50,490 --> 03:20:57,430 AND I THINK IT WILL BE ONE TASK 5151 03:20:57,430 --> 03:21:00,500 TO KEEP THAT MULTI-DIRECTIONAL, 5152 03:21:00,500 --> 03:21:04,537 BIDIRECTIONAL AT LEAST, DIALOGUE 5153 03:21:04,537 --> 03:21:09,008 OPEN TO OPTIMIZE IMPLEMENTATION 5154 03:21:09,008 --> 03:21:10,977 AND HOPEFULLY ENSURE SUCCESS. 5155 03:21:10,977 --> 03:21:12,645 THE GROUP EMPHASIZED THAT NIH 5156 03:21:12,645 --> 03:21:15,248 SHOULD BOLDLY MEET THE NEED FOR 5157 03:21:15,248 --> 03:21:17,650 SIGNIFICANT CHANGE TO IMPROVE 5158 03:21:17,650 --> 03:21:19,853 CONDITIONS FOR POSTDOCTORAL 5159 03:21:19,853 --> 03:21:22,155 SCHOLARS AND ENTIRE ACADEMIC 5160 03:21:22,155 --> 03:21:22,555 ENTERPRISE. 5161 03:21:22,555 --> 03:21:24,891 RECOGNIZE THAT THERE ARE MANY 5162 03:21:24,891 --> 03:21:26,092 INSTANCES AND PORTIONS OF 5163 03:21:26,092 --> 03:21:27,594 RECOMMENDATIONS THAT NIH IS NOT 5164 03:21:27,594 --> 03:21:31,231 GOING TO BE ABLE TO DO ALONE. 5165 03:21:31,231 --> 03:21:36,369 IT'S CRITICAL TO ENGAGE OTHER 5166 03:21:36,369 --> 03:21:37,237 GOVERNMENTAL AGENCIES, 5167 03:21:37,237 --> 03:21:38,571 ORGANIZATIONS, INSTITUTIONS, KEY 5168 03:21:38,571 --> 03:21:39,539 PARTNERS IN SUCCESS. 5169 03:21:39,539 --> 03:21:44,677 AND IT CAN'T BE OVERSTATED THAT 5170 03:21:44,677 --> 03:21:45,612 CLARIFICATION, SIMPLIFICATION 5171 03:21:45,612 --> 03:21:47,313 AND BROAD DISSEMINATION SHOULD 5172 03:21:47,313 --> 03:21:51,684 BE STAPLED IN ANY APPROACH TO 5173 03:21:51,684 --> 03:21:52,452 IMPLEMENT RECOMMENDATIONS. 5174 03:21:52,452 --> 03:21:54,521 PEOPLE DON'T UNDERSTAND POLICIES 5175 03:21:54,521 --> 03:21:55,054 OR HAVE DIFFERENT 5176 03:21:55,054 --> 03:21:56,489 INTERPRETATIONS, I THINK THAT'S 5177 03:21:56,489 --> 03:21:59,893 GOING TO DIMINISH THE UTILITY OF 5178 03:21:59,893 --> 03:22:00,560 THESE THINGS. 5179 03:22:00,560 --> 03:22:02,095 AND ONLY ACCOMPLISHED THROUGH 5180 03:22:02,095 --> 03:22:04,931 THAT ENGAGED, THROUGH THE 5181 03:22:04,931 --> 03:22:06,900 BIDIRECTIONAL MULTI-DIRECTIONAL 5182 03:22:06,900 --> 03:22:08,301 DIALOGUE PREVIOUSLY MENTIONED. 5183 03:22:08,301 --> 03:22:11,571 THE WORKING GROUP BELIEVES THESE 5184 03:22:11,571 --> 03:22:13,573 RECOMMENDATIONS WILL RESULT IN 5185 03:22:13,573 --> 03:22:17,377 LARGE STEPS FORWARD TO ENSURE 5186 03:22:17,377 --> 03:22:19,913 POSTDOCTORAL SCHOLARS ARE -- 5187 03:22:19,913 --> 03:22:21,981 POSTDOCTORAL POSITIONS ARE 5188 03:22:21,981 --> 03:22:23,283 DESIRABLE, COMPETITIVE, 5189 03:22:23,283 --> 03:22:24,951 SUSTAINABLE, INCLUSIVE. 5190 03:22:24,951 --> 03:22:28,221 AND HOPEFULLY BOLSTER THE 5191 03:22:28,221 --> 03:22:29,155 HEALTH, COMPETITIVENESS AND 5192 03:22:29,155 --> 03:22:32,592 SUSTAINABILITY THE THE U.S. 5193 03:22:32,592 --> 03:22:33,459 RESEARCH ENTERPRISE. 5194 03:22:33,459 --> 03:22:35,528 AND SO WITH THAT, WE WANT TO 5195 03:22:35,528 --> 03:22:40,466 GIVE A HUGE SHOUT OUT TO THE ACD 5196 03:22:40,466 --> 03:22:42,669 POSTDOCTORAL WORKING GROUP. 5197 03:22:42,669 --> 03:22:44,070 SHELLEY MENTIONED THIS WAS A LOT 5198 03:22:44,070 --> 03:22:46,139 OF WORK GOING INTO THIS. 5199 03:22:46,139 --> 03:22:48,708 WE HAVE A REALLY GREAT GROUP 5200 03:22:48,708 --> 03:22:51,511 FROM A BROAD RANGE OF SECTORS 5201 03:22:51,511 --> 03:22:53,379 AND AREAS, DIFFERENT CAREER 5202 03:22:53,379 --> 03:22:55,782 STAGES FROM GRADUATE STUDENTS UP 5203 03:22:55,782 --> 03:23:00,620 THROUGH ESTABLISHED P.I.s, YOU 5204 03:23:00,620 --> 03:23:03,356 HAVE ACD MEMBER, FORMER ACD 5205 03:23:03,356 --> 03:23:05,558 MEMBERS, PEOPLE IN NIH 5206 03:23:05,558 --> 03:23:09,028 LEADERSHIP, SOME IN THE ROOM, 5207 03:23:09,028 --> 03:23:11,664 AND MANY OTHERS WHO REALLY GAVE 5208 03:23:11,664 --> 03:23:13,099 US VALUABLE INSIGHT AND WE 5209 03:23:13,099 --> 03:23:16,269 COULDN'T HAVE DONE THIS WITHOUT 5210 03:23:16,269 --> 03:23:16,603 THEM. 5211 03:23:16,603 --> 03:23:19,539 SHELLEY, DID YOU WANT TO TAKE IT 5212 03:23:19,539 --> 03:23:19,939 FROM HERE? 5213 03:23:19,939 --> 03:23:23,943 >> I JUST WANT TO ADD MY THANKS. 5214 03:23:23,943 --> 03:23:26,679 THE WORKING GROUP WAS ABSOLUTELY 5215 03:23:26,679 --> 03:23:28,648 FANTASTIC, REALLY ENGAGED, 5216 03:23:28,648 --> 03:23:30,316 EVERYONE SHOWED UP WEEK AFTER 5217 03:23:30,316 --> 03:23:32,585 WEEK, MONTH AFTER MONTH. 5218 03:23:32,585 --> 03:23:35,755 I ALSO WANT -- TARA DIDN'T SAY 5219 03:23:35,755 --> 03:23:37,857 IT BECAUSE IT'S HER HOME CREW 5220 03:23:37,857 --> 03:23:42,795 BUT I WANT TO THANK THE NIH EX 5221 03:23:42,795 --> 03:23:45,231 OFFICIO MEMBERS. 5222 03:23:45,231 --> 03:23:47,834 THEY REALLY PROVIDED GREAT 5223 03:23:47,834 --> 03:23:54,974 GROUNDING AND REMINDING US OF 5224 03:23:54,974 --> 03:24:01,214 WHAT HAS ALREADY BEEN DONE, WHAT 5225 03:24:01,214 --> 03:24:04,484 IS LEGAL, THANK YOU MIKE. 5226 03:24:04,484 --> 03:24:05,685 A GREAT GROUP. 5227 03:24:05,685 --> 03:24:07,453 I CAN'T THANK EVERYONE ENOUGH 5228 03:24:07,453 --> 03:24:08,588 FOR THE EFFORTS. 5229 03:24:08,588 --> 03:24:09,222 >> THE EXECUTIVE SECRETARY, ONE 5230 03:24:09,222 --> 03:24:11,391 OF WHICH IS IN THE ROOM, 5231 03:24:11,391 --> 03:24:13,960 BRITTANY, WAS DOING TWO WORKING 5232 03:24:13,960 --> 03:24:15,962 GROUPS THEY SAME TIME. 5233 03:24:15,962 --> 03:24:18,798 BRITTANY AND THEN LAURA WHO IS 5234 03:24:18,798 --> 03:24:20,566 OVER THERE AS WELL, HUGELY 5235 03:24:20,566 --> 03:24:22,402 INSTRUMENTAL IN THIS EFFORT. 5236 03:24:22,402 --> 03:24:27,106 WE COULDN'T HAVE DONE IT WITHOUT 5237 03:24:27,106 --> 03:24:27,307 THEM. 5238 03:24:27,307 --> 03:24:28,408 AND ANOTHER WAS INVOLVED BEFORE 5239 03:24:28,408 --> 03:24:35,415 HE SWITCHED TO A NEW ROLE, 5240 03:24:35,415 --> 03:24:37,817 SUPPORT AS WELL HELPED US BE 5241 03:24:37,817 --> 03:24:38,117 SUCCESSFUL. 5242 03:24:38,117 --> 03:24:42,088 WE RECEIVED A LOT OF SUPPORT FOR 5243 03:24:42,088 --> 03:24:46,159 THE LARGE NUMBER OF RESPONSES 5244 03:24:46,159 --> 03:24:48,227 THROUGH RFI ANALYSIS, A GROUP 5245 03:24:48,227 --> 03:24:53,032 ACROSS NIH THAT HELPED ANALYZE 5246 03:24:53,032 --> 03:24:54,467 DATA, SPEAKERS, PROVIDE DATA, OF 5247 03:24:54,467 --> 03:24:56,636 COURSE WHO CAME BEFORE US THAT 5248 03:24:56,636 --> 03:24:57,637 LAID THE FOUNDATION. 5249 03:24:57,637 --> 03:25:00,073 WE WERE ABLE TO BUILD OFF OF 5250 03:25:00,073 --> 03:25:00,740 THEIR WORK. 5251 03:25:00,740 --> 03:25:02,608 FINALLY, ALL THE MEMBERS OF THE 5252 03:25:02,608 --> 03:25:05,345 COMMUNITY WHO TOOK THE TIME AND 5253 03:25:05,345 --> 03:25:06,212 PROVIDED REALLY THOUGHTFUL 5254 03:25:06,212 --> 03:25:08,948 COMMENTS AND FEEDBACK TO US. 5255 03:25:08,948 --> 03:25:12,352 WITH THAT WE WILL OPEN UP 5256 03:25:12,352 --> 03:25:14,854 QUESTIONS AND DISCUSSION. 5257 03:25:14,854 --> 03:25:18,257 >> LET ME GIVE MY THANKS TO 5258 03:25:18,257 --> 03:25:18,891 EVERYONE ON THE COMMITTEE, TO 5259 03:25:18,891 --> 03:25:21,194 THE TWO OF YOU. 5260 03:25:21,194 --> 03:25:23,062 I WANT TO REITERATE SOME THINGS 5261 03:25:23,062 --> 03:25:26,666 I SAID YESTERDAY MORNING WHEN WE 5262 03:25:26,666 --> 03:25:27,867 FIRST STARTED. 5263 03:25:27,867 --> 03:25:31,037 WE MIGHT BE HEADING -- WE ARE 5264 03:25:31,037 --> 03:25:32,672 HEADING INTO CHALLENGING TIMES 5265 03:25:32,672 --> 03:25:33,006 FINANCIALLY. 5266 03:25:33,006 --> 03:25:36,175 IF YOU ASKED ME WHAT IS THE 5267 03:25:36,175 --> 03:25:39,012 SINGLE THING THAT KEEPS ME UP 5268 03:25:39,012 --> 03:25:41,881 MOST AT NIGHT, AS NEW NIH 5269 03:25:41,881 --> 03:25:43,416 DIRECTOR, IT'S THE NEXT 5270 03:25:43,416 --> 03:25:50,423 GENERATION AND HOW WE MAKE SURE 5271 03:25:50,423 --> 03:25:51,724 THAT WE SUPPORT THEM. 5272 03:25:51,724 --> 03:25:54,127 I APPRECIATE THESE EFFORTS AND 5273 03:25:54,127 --> 03:25:55,762 LOOKING FORWARD TO YOUR 5274 03:25:55,762 --> 03:25:56,496 COMMENTS. 5275 03:25:56,496 --> 03:25:59,599 GIVE US ALL YOUR ADVICE HOW TO 5276 03:25:59,599 --> 03:26:03,202 DO THIS. 5277 03:26:03,202 --> 03:26:04,103 >> OKAY, WE'LL START. 5278 03:26:04,103 --> 03:26:08,374 >> MORE OF A COMMENT 5279 03:26:08,374 --> 03:26:08,708 HIGHLIGHTING. 5280 03:26:08,708 --> 03:26:10,877 IN 1944 THE WORLD WAR WAS ENDING 5281 03:26:10,877 --> 03:26:12,311 PRESIDENT ROOSEVELT ASKED FOR A 5282 03:26:12,311 --> 03:26:14,147 VISION, HOW WE CAN BUILD AND 5283 03:26:14,147 --> 03:26:18,618 SUPPORT SCIENCE IN THIS COUNTRY. 5284 03:26:18,618 --> 03:26:20,053 BUSH DELIVERED A VISION, WHICH 5285 03:26:20,053 --> 03:26:24,657 OUTLINED A VISION FOR THE NEXT 5286 03:26:24,657 --> 03:26:26,092 75 YEARS. 5287 03:26:26,092 --> 03:26:29,062 THIS ENTERPRISE WHICH COULD TAKE 5288 03:26:29,062 --> 03:26:31,030 HIV AND AIDS AND TURN IT INTO A 5289 03:26:31,030 --> 03:26:35,068 CHRONIC ILLNESS, GIVE US A HUMAN 5290 03:26:35,068 --> 03:26:37,203 GENOME, TOOLS, AND RECENTLY 5291 03:26:37,203 --> 03:26:38,671 DELIVER TREATMENTS FOR SICKLE 5292 03:26:38,671 --> 03:26:43,376 CELL DISEASE, GAVE US CAR-T 5293 03:26:43,376 --> 03:26:46,979 CELLS FOR CANCER AND THROUGHOUT 5294 03:26:46,979 --> 03:26:48,281 THIS 75-YEAR PATH INVESTMENTS 5295 03:26:48,281 --> 03:26:51,150 HAVE BEEN MADE TO CONTINUE TO 5296 03:26:51,150 --> 03:26:56,122 GIVE PEOPLE RESOURCES. 5297 03:26:56,122 --> 03:26:57,090 AND 1998-2003 CLINTON AND 5298 03:26:57,090 --> 03:26:59,392 PRESIDENT BUSH OVERSAW WHAT WAS 5299 03:26:59,392 --> 03:27:03,763 THE NIH DOUBLING THROUGH THE 5300 03:27:03,763 --> 03:27:05,498 WORK OF VARMUS, KIRSCHSTEIN, 5301 03:27:05,498 --> 03:27:08,468 THAT FUNDING WENT TO SUPPORT THE 5302 03:27:08,468 --> 03:27:11,003 SENIOR MOST SCIENTISTS, REALLY 5303 03:27:11,003 --> 03:27:14,307 HELPING MUCH OF THAT PARTS OF 5304 03:27:14,307 --> 03:27:15,141 THE WORKFORCE. 5305 03:27:15,141 --> 03:27:20,580 IN 2016 REAL CONCERN AROSE, 5306 03:27:20,580 --> 03:27:21,614 THROUGH THE 21ST CENTURY CURES 5307 03:27:21,614 --> 03:27:24,016 ACT FUNDING WENT TO STUDY HOW TO 5308 03:27:24,016 --> 03:27:26,085 SUPPORT YOUNG SCIENTISTS UNDER 5309 03:27:26,085 --> 03:27:26,519 PRESIDENT OBAMA. 5310 03:27:26,519 --> 03:27:27,420 UNDER PRESIDENT TRUMP AND 5311 03:27:27,420 --> 03:27:29,288 THROUGH THE WORK OF FRANCIS 5312 03:27:29,288 --> 03:27:30,590 COLLINS, NEXT GENERATION 5313 03:27:30,590 --> 03:27:31,691 RESEARCH INITIATIVE WAS 5314 03:27:31,691 --> 03:27:33,559 LAUNCHED, GIVING SUPPORT AND 5315 03:27:33,559 --> 03:27:35,228 FUNDING TO EARLY CAREER 5316 03:27:35,228 --> 03:27:37,063 SCIENTISTS, JUNIOR FACULTY 5317 03:27:37,063 --> 03:27:40,233 MEMBERS IN THE SYSTEM, 5318 03:27:40,233 --> 03:27:42,201 BUTTRESSING THROUGHOUT THAT 5319 03:27:42,201 --> 03:27:44,070 75-YEAR VISION TO 2020. 5320 03:27:44,070 --> 03:27:46,038 AND OF COURSE MAIN CHALLENGES 5321 03:27:46,038 --> 03:27:47,106 AROSE IN 2020. 5322 03:27:47,106 --> 03:27:49,442 IF YOU LOOK, THE NUMBER OF 5323 03:27:49,442 --> 03:27:50,943 POSTDOCS DROPPED SHARPLY AT THAT 5324 03:27:50,943 --> 03:27:52,145 POINT IN TIME. 5325 03:27:52,145 --> 03:27:54,247 IF YOU THINK ABOUT OUR WORK 5326 03:27:54,247 --> 03:27:56,983 FORCE ONLY ABOUT HALF IS 5327 03:27:56,983 --> 03:27:58,384 ACTUALLY U.S. RESIDENTS. 5328 03:27:58,384 --> 03:27:59,252 PERMANENT RESIDENTS OR 5329 03:27:59,252 --> 03:28:01,220 INDIVIDUALS WHO ARE CITIZENS 5330 03:28:01,220 --> 03:28:01,454 HERE. 5331 03:28:01,454 --> 03:28:04,290 AND THERE ARE MAJOR CHALLENGES 5332 03:28:04,290 --> 03:28:05,725 THROUGHOUT THE ENTERPRISE 5333 03:28:05,725 --> 03:28:06,926 PARTICULARLY GLOBAL COMPETITION. 5334 03:28:06,926 --> 03:28:08,561 CLEAR TO US AS A COMMUNITY IF WE 5335 03:28:08,561 --> 03:28:10,296 DIDN'T THINK ABOUT THIS PART OF 5336 03:28:10,296 --> 03:28:11,831 THE ENTERPRISE, THE ENTIRE PART 5337 03:28:11,831 --> 03:28:15,001 OF THE ENTERPRISE WAS AT RISK. 5338 03:28:15,001 --> 03:28:16,769 WE'RE GREAT FOLLOW FOR THE 5339 03:28:16,769 --> 03:28:18,271 OPPORTUNITY YOU'VE GIVEN US TO 5340 03:28:18,271 --> 03:28:19,505 STUDY THIS. 5341 03:28:19,505 --> 03:28:21,908 IN THINKING ABOUT THE 5342 03:28:21,908 --> 03:28:23,643 IMPLEMENTATION ONE THING THAT 5343 03:28:23,643 --> 03:28:25,178 WAS CLEAR HERE, WASN'T UNDER THE 5344 03:28:25,178 --> 03:28:26,746 PURVIEW OF THE COMMITTEE BUT 5345 03:28:26,746 --> 03:28:28,047 WANT TO BE MINDFUL GIVEN HOW 5346 03:28:28,047 --> 03:28:30,583 MUCH YOU RAISED CONCERNS ABOUT 5347 03:28:30,583 --> 03:28:35,922 EARLY CAREER INVESTIGATORS AS WE 5348 03:28:35,922 --> 03:28:36,489 THINK ABOUT ADDRESSING THE 5349 03:28:36,489 --> 03:28:46,666 POSTDOC -- 5350 03:28:48,167 --> 03:28:58,344 [ NO AUDIO ] 5351 03:28:59,645 --> 03:29:02,615 HEARING AND ACCEPTING OUR 5352 03:29:02,615 --> 03:29:02,848 REPORT. 5353 03:29:02,848 --> 03:29:03,950 CONSIDERING AND ACCEPTING OUR 5354 03:29:03,950 --> 03:29:04,283 REPORT. 5355 03:29:04,283 --> 03:29:08,120 >> THANK YOU. 5356 03:29:08,120 --> 03:29:09,222 OTHER QUESTIONS? 5357 03:29:09,222 --> 03:29:09,689 >> COREY, YOU'RE NEXT. 5358 03:29:09,689 --> 03:29:11,857 >> THANK YOU FOR A WONDERFUL 5359 03:29:11,857 --> 03:29:12,525 REPORT. 5360 03:29:12,525 --> 03:29:14,560 I COMMEND THE WORKING GROUP ON 5361 03:29:14,560 --> 03:29:17,964 THE REPORT AND ALL THE WORK THAT 5362 03:29:17,964 --> 03:29:20,366 WENT INTO DEVELOPING THE 5363 03:29:20,366 --> 03:29:22,468 INFORMATION AND RECOMMENDATIONS. 5364 03:29:22,468 --> 03:29:25,137 I HAVE ONE QUESTION IN TERMS OF 5365 03:29:25,137 --> 03:29:27,306 THE SALARY INCREASE OF THE 5366 03:29:27,306 --> 03:29:28,941 THRESHOLD THAT WAS RECOMMENDED. 5367 03:29:28,941 --> 03:29:34,180 IN TERMS OF LISTENING SESSIONS, 5368 03:29:34,180 --> 03:29:34,747 OUTREACH, TO INFORM 5369 03:29:34,747 --> 03:29:38,351 RECOMMENDATIONS, WERE THERE ANY 5370 03:29:38,351 --> 03:29:40,119 DISCUSSIONS AROUND HOW AN 5371 03:29:40,119 --> 03:29:43,823 INCREASE IN THAT SALARY 5372 03:29:43,823 --> 03:29:45,458 THRESHOLD MIGHT IMPACT 5373 03:29:45,458 --> 03:29:48,327 UNDERRESOURCED INSTITUTIONS SUCH 5374 03:29:48,327 --> 03:29:49,095 AS HBCU IT'S AND 5375 03:29:49,095 --> 03:29:49,695 MINORITY-SERVING INSTITUTIONS 5376 03:29:49,695 --> 03:29:54,667 WHO MAY NOT HAVE THE LATITUDE TO 5377 03:29:54,667 --> 03:29:57,069 REDUCE COSTS TO ACCOUNT FOR 5378 03:29:57,069 --> 03:29:59,472 SALARY INCREASES OR MAY NOT HAVE 5379 03:29:59,472 --> 03:30:03,843 RESOURCES ON CAMPUS THAT CAN BE 5380 03:30:03,843 --> 03:30:06,579 MARSHALED TOWARD LEADING THAT 5381 03:30:06,579 --> 03:30:10,750 SALARY THRESHOLD, IN TERMS OF 5382 03:30:10,750 --> 03:30:12,718 DIVERSIFYING THE TALENT POOL 5383 03:30:12,718 --> 03:30:15,021 THESE SOLUTIONS ARE CRITICAL AND 5384 03:30:15,021 --> 03:30:17,423 DOING THAT, AND SO I JUST WOULD 5385 03:30:17,423 --> 03:30:20,593 BE INTERESTED IN HEARING ANY 5386 03:30:20,593 --> 03:30:21,927 STRATEGIES THAT THE COMMITTEE 5387 03:30:21,927 --> 03:30:25,731 CAME UP, IF THIS ACTUALLY AROSE 5388 03:30:25,731 --> 03:30:27,933 AS AN ISSUE, ANY STRATEGIES 5389 03:30:27,933 --> 03:30:31,237 OFFERED IN TERMS OF ENSURING 5390 03:30:31,237 --> 03:30:32,738 THAT THESE INSTITUTIONS ARE 5391 03:30:32,738 --> 03:30:37,243 INCLUDED AS A PART OF NIH'S 5392 03:30:37,243 --> 03:30:38,110 EARLY CAREER DEVELOPMENT 5393 03:30:38,110 --> 03:30:40,880 PIPELINE, IN TERMS OF POSTDOCS 5394 03:30:40,880 --> 03:30:42,715 TOWARD DEVELOPMENT BECAUSE 5395 03:30:42,715 --> 03:30:44,784 THAT'S CRITICAL FOR EQUITY AND 5396 03:30:44,784 --> 03:30:45,051 DIVERSITY. 5397 03:30:45,051 --> 03:30:46,986 >> YEAH, I MEAN, ONE OF THE 5398 03:30:46,986 --> 03:30:48,721 THINGS THAT I'LL JUST MENTION, 5399 03:30:48,721 --> 03:30:51,123 THE GROUP DIDN'T GET INTO 5400 03:30:51,123 --> 03:30:54,727 TREMENDOUS AMOUNT OF DETAIL BUT 5401 03:30:54,727 --> 03:30:58,230 WE DID TALK ABOUT ENSURING ALL 5402 03:30:58,230 --> 03:30:59,832 RECOMMENDATIONS, NOT JUST THIS 5403 03:30:59,832 --> 03:31:03,602 ONE, CONSIDERED THE BROAD IMPACT 5404 03:31:03,602 --> 03:31:05,338 ON UNIVERSITIES THAT MAY NOT 5405 03:31:05,338 --> 03:31:06,806 HAVE LET'S SAY DEEPER POCKETS AS 5406 03:31:06,806 --> 03:31:09,508 SOME OF THE OTHERS. 5407 03:31:09,508 --> 03:31:11,043 SO, IMMEDIATELY ONE THING THAT 5408 03:31:11,043 --> 03:31:13,579 COMES TO MIND WAS AROUND THE 5409 03:31:13,579 --> 03:31:15,214 ISSUE OR DISCUSSION AROUND 5410 03:31:15,214 --> 03:31:15,481 BENEFITS. 5411 03:31:15,481 --> 03:31:16,849 AND SO ONE OF THE THINGS THAT'S 5412 03:31:16,849 --> 03:31:19,251 IN THE REPORT THAT'S BEING 5413 03:31:19,251 --> 03:31:22,655 PROPOSED IS THAT FOR 5414 03:31:22,655 --> 03:31:23,689 INSTITUTIONS THAT MAYBE RECEIVE 5415 03:31:23,689 --> 03:31:26,058 AN NIH -- CERTAIN AMOUNT OF NIH 5416 03:31:26,058 --> 03:31:27,259 FUNDING, WE WERE SORT OF VAGUE 5417 03:31:27,259 --> 03:31:30,896 WITH THAT IN THE REPORT, BUT 5418 03:31:30,896 --> 03:31:35,601 THAT THOSE INSTITUTIONS MAYBE 5419 03:31:35,601 --> 03:31:37,570 COULD WORK OUT AGREEMENT WHERE 5420 03:31:37,570 --> 03:31:40,639 NIH COVERED SAY 50% OF COST FOR 5421 03:31:40,639 --> 03:31:41,273 BENEFITS FOR POSTDOCTORAL 5422 03:31:41,273 --> 03:31:44,276 SCHOLARS, RECOGNIZE THIS IS 5423 03:31:44,276 --> 03:31:45,878 GOING TO BE MAYBE IN PARTICULAR 5424 03:31:45,878 --> 03:31:47,480 A DISPROPORTIONATELY IMPACT ON 5425 03:31:47,480 --> 03:31:48,848 THOSE UNIVERSITIES BUT THROUGH 5426 03:31:48,848 --> 03:31:50,716 THE BENEFIT PIECE AS WELL 5427 03:31:50,716 --> 03:31:52,218 BECAUSE THE SALARIES CAN BE 5428 03:31:52,218 --> 03:31:53,452 WRITTEN INTO THE GRANT. 5429 03:31:53,452 --> 03:31:56,422 IF WE THINK ABOUT IMPLEMENTATION 5430 03:31:56,422 --> 03:31:59,158 OVER TIME MAYBE, THAT COULD KIND 5431 03:31:59,158 --> 03:32:01,460 OF BE FIGURED OUT IN A WAY THERE 5432 03:32:01,460 --> 03:32:03,295 ISN'T AS MUCH OF IMPACT, A 5433 03:32:03,295 --> 03:32:04,930 LITTLE BIT OF BUFFER BUT THOSE 5434 03:32:04,930 --> 03:32:07,366 BENEFITS ARE GOING TO FALL MORE 5435 03:32:07,366 --> 03:32:09,001 SQUARELY ON THE RESPONSIBILITY 5436 03:32:09,001 --> 03:32:10,836 OF THE INSTITUTIONS, WE WANTED 5437 03:32:10,836 --> 03:32:13,706 TO MAKE SURE WE COULD MITIGATE 5438 03:32:13,706 --> 03:32:13,906 THAT. 5439 03:32:13,906 --> 03:32:15,674 >> CAN I JOIN IN? 5440 03:32:15,674 --> 03:32:19,044 FIRST, YOUR POINT IS WELL TAKEN. 5441 03:32:19,044 --> 03:32:22,548 WE'RE ALL COMMITTED TO 5442 03:32:22,548 --> 03:32:23,549 SUPPORTING OUR POSTDOCS, AND, 5443 03:32:23,549 --> 03:32:26,485 YOU KNOW, THAT'S REALLY CLEAR. 5444 03:32:26,485 --> 03:32:27,920 I THINK THAT UNINTENDED 5445 03:32:27,920 --> 03:32:30,222 CONSEQUENCES ARE GOING TO HAPPEN 5446 03:32:30,222 --> 03:32:30,856 DOWNSTREAM WITH THIS, AND I 5447 03:32:30,856 --> 03:32:33,592 DON'T THINK WE CAN FORESEE WHAT 5448 03:32:33,592 --> 03:32:34,693 THEY WILL BE. 5449 03:32:34,693 --> 03:32:38,297 AND I THINK WE JUST HAVE TO BE 5450 03:32:38,297 --> 03:32:40,633 INCREDIBLY MINDFUL OF THAT, VERY 5451 03:32:40,633 --> 03:32:43,235 WATCHFUL, AND SEE WHAT HAPPENS, 5452 03:32:43,235 --> 03:32:49,375 AND YOU'RE RIGHT, WE NEED A 5453 03:32:49,375 --> 03:32:49,708 PLAN. 5454 03:32:49,708 --> 03:32:52,211 IF YOU DO GET PART OF WHAT WE 5455 03:32:52,211 --> 03:32:55,181 WILL THINK ABOUT THEN IN 5456 03:32:55,181 --> 03:32:57,283 EXECUTION IS TO MONITOR CLOSELY 5457 03:32:57,283 --> 03:33:01,854 AND DEVELOP MITIGATION PLANS. 5458 03:33:01,854 --> 03:33:04,256 IT'S GOING TO HAPPEN SOMEWHERE. 5459 03:33:04,256 --> 03:33:07,560 I'M NOT SURE WE KNOW WHERE BUT 5460 03:33:07,560 --> 03:33:08,861 THERE'S GOING TO BE HURT WE 5461 03:33:08,861 --> 03:33:12,598 CAN'T FULLY ANTICIPATE AND HAVE 5462 03:33:12,598 --> 03:33:13,232 TO WHAT WE CAN. 5463 03:33:13,232 --> 03:33:15,868 >> A LITTLE SOMETHING TO THAT, 5464 03:33:15,868 --> 03:33:17,203 IT'S SHELLEY. 5465 03:33:17,203 --> 03:33:19,505 I AGREE WITH THAT 5466 03:33:19,505 --> 03:33:22,875 WHOLEHEARTEDLY, AND ANOTHER AREA 5467 03:33:22,875 --> 03:33:24,076 THAT WE REALLY DISCUSSED, YOU 5468 03:33:24,076 --> 03:33:26,846 KNOW, IN GREAT DETAIL BACK AND 5469 03:33:26,846 --> 03:33:28,047 FORTH WAS RECOMMENDATION MAYBE 5470 03:33:28,047 --> 03:33:31,283 SOMEBODY'S GOING TO BRING IT UP 5471 03:33:31,283 --> 03:33:36,689 ABOUT CHANGING THE K99/ K99/R00 5472 03:33:36,689 --> 03:33:39,191 MECHANISM TO TWO YEARS OF 5473 03:33:39,191 --> 03:33:39,725 ELIGIBILITY. 5474 03:33:39,725 --> 03:33:43,362 ON ONE HAND THAT WOULD SEEM TO 5475 03:33:43,362 --> 03:33:49,068 HELP TO LOWER THE FAVORABLE 5476 03:33:49,068 --> 03:33:52,505 TREATMENT OF, YOU KNOW, POSTDOCS 5477 03:33:52,505 --> 03:33:55,407 COMING IN WITH, YOU KNOW, THE 5478 03:33:55,407 --> 03:33:56,609 CNS TYPE PUBLICATIONS. 5479 03:33:56,609 --> 03:33:57,943 WE WANT IDEAS. 5480 03:33:57,943 --> 03:34:02,848 WE KNOW THAT THERE ARE A LOT OF 5481 03:34:02,848 --> 03:34:07,653 ELEMENTS THAT GO INTO HOW 5482 03:34:07,653 --> 03:34:09,088 PUBLICATIONS GET ACCEPTED. 5483 03:34:09,088 --> 03:34:11,290 IT'S COMPLEX, OF COURSE. 5484 03:34:11,290 --> 03:34:13,926 SO WE THOUGHT THIS WOULD HELP 5485 03:34:13,926 --> 03:34:16,328 BUT WE ALSO -- WE ALSO 5486 03:34:16,328 --> 03:34:19,598 CONSIDERED IT WOULD -- COULD 5487 03:34:19,598 --> 03:34:23,235 STILL BACKFIRE AND STILL COULD 5488 03:34:23,235 --> 03:34:28,407 FAVOR, YOU KNOW, THE LARGER 5489 03:34:28,407 --> 03:34:28,874 RESEARCH INSTITUTIONS. 5490 03:34:28,874 --> 03:34:30,910 SO, YOU KNOW, I AGREE THAT THAT 5491 03:34:30,910 --> 03:34:34,980 KIND OF THING IS GOING TO HAVE 5492 03:34:34,980 --> 03:34:36,181 BE MONITORED CAREFULLY TO SEE -- 5493 03:34:36,181 --> 03:34:39,685 IT TAKES A WHILE TO FIGURE THAT 5494 03:34:39,685 --> 03:34:45,824 OUT SO IT'S GOING TO HAVE TO BE 5495 03:34:45,824 --> 03:34:46,258 FOLLOWED CAREFULLY. 5496 03:34:46,258 --> 03:34:48,894 >> WE DID THINK ABOUT HOW THIS 5497 03:34:48,894 --> 03:34:49,862 MAY IMPACT DIFFERENT 5498 03:34:49,862 --> 03:34:50,429 INSTITUTIONS. 5499 03:34:50,429 --> 03:34:51,830 WE ALSO THOUGHT ABOUT THE 5500 03:34:51,830 --> 03:34:53,232 INDIVIDUALS AT THE INSTITUTIONS. 5501 03:34:53,232 --> 03:34:54,333 ONE OF THE THINGS PRETTY CLEAR 5502 03:34:54,333 --> 03:34:56,735 IS YOU MIGHT BE ABLE TO TOLERATE 5503 03:34:56,735 --> 03:35:01,006 A LOWER SALARY IF YOU'RE COMING 5504 03:35:01,006 --> 03:35:03,976 FROM MULTI-GENERATIONAL WEALTH 5505 03:35:03,976 --> 03:35:06,245 BUT SMALL TOWN KANSAS OR INNER 5506 03:35:06,245 --> 03:35:08,681 CITY DETROIT YOU MAY NOT BE ABLE 5507 03:35:08,681 --> 03:35:10,749 TO NAVIGATE AT THE LOWER SALARY. 5508 03:35:10,749 --> 03:35:12,284 THIS IS DRIVING PEOPLE OUT OF 5509 03:35:12,284 --> 03:35:13,919 POSTDOCS AND ACADEMIA. 5510 03:35:13,919 --> 03:35:16,555 WE WANTED TO BE MINDFUL OF 5511 03:35:16,555 --> 03:35:20,292 ADDRESSES THAT AS WELL BECAUSE 5512 03:35:20,292 --> 03:35:22,461 OTHERWISE IT COMPROMISES GREATER 5513 03:35:22,461 --> 03:35:24,229 INTENT OF DRAWING TALENT FROM 5514 03:35:24,229 --> 03:35:31,103 MORE PARTS OF THE COUNTRY TO THE 5515 03:35:31,103 --> 03:35:31,971 ACADEMIC WORKFORCE. 5516 03:35:31,971 --> 03:35:33,305 >> LUCILA, GARTH, HOWARD. 5517 03:35:33,305 --> 03:35:43,248 >> I'M ALSO EXCITED ABOUT THIS 5518 03:35:43,248 --> 03:35:44,350 REPORT BECAUSE I CAN'T IMAGINE 5519 03:35:44,350 --> 03:35:46,185 ANYONE IN THE ROOM NOT BEING 5520 03:35:46,185 --> 03:35:47,686 INFLUENCED BY A POSTDOC OR 5521 03:35:47,686 --> 03:35:51,457 INFLUENCES THE CAREER OF A 5522 03:35:51,457 --> 03:35:51,991 POSTDOC. 5523 03:35:51,991 --> 03:35:54,727 IT AFFECTS US ALL, IT'S GREAT TO 5524 03:35:54,727 --> 03:35:57,796 ELEVATE THE STATUS. 5525 03:35:57,796 --> 03:36:01,333 MY COMMENT SOMEWHAT SMALL, 5526 03:36:01,333 --> 03:36:03,602 RELATED TO THE K99. 5527 03:36:03,602 --> 03:36:09,508 HAVING MENTORED SEVERAL POSTDOCS 5528 03:36:09,508 --> 03:36:12,211 AROUND THAT, THEIR RATE READY TO 5529 03:36:12,211 --> 03:36:16,281 SUBMIT IS VARIABLE. 5530 03:36:16,281 --> 03:36:20,019 I DO THINK THE FIRST TWO YEARS 5531 03:36:20,019 --> 03:36:23,188 WILL FACILITATE FOR THOSE COMING 5532 03:36:23,188 --> 03:36:24,590 FROM DOCTORAL DEGREES IN WHICH 5533 03:36:24,590 --> 03:36:26,692 THEY ARE PREPARED TO BE READY 5534 03:36:26,692 --> 03:36:29,294 FOR THAT AND WILL MAKE IT HARDER 5535 03:36:29,294 --> 03:36:30,062 FOR OTHERS. 5536 03:36:30,062 --> 03:36:33,265 IT'S NOT JUST LIFE EVENTS BUT 5537 03:36:33,265 --> 03:36:36,769 OTHER THINGS HAPPEN THAT SOME 5538 03:36:36,769 --> 03:36:37,870 TRAINEES OR POSTDOC SCHOLARS 5539 03:36:37,870 --> 03:36:41,607 REQUIRE MORE TIME TO BE MENTORED 5540 03:36:41,607 --> 03:36:45,010 TO WRITE THAT K99 AWARD. 5541 03:36:45,010 --> 03:36:47,946 TO BE COMPATIBLE WITH FIVE YEARS 5542 03:36:47,946 --> 03:36:53,886 MY SUGGESTION PROGRAMS -- 5543 03:36:53,886 --> 03:36:55,721 PERHAPS ON THE FOURTH YEAR 5544 03:36:55,721 --> 03:36:58,891 KNOWING THE K99 WOULD BE 5545 03:36:58,891 --> 03:37:03,529 SHORTENED BY ONE YEAR TO FULFILL 5546 03:37:03,529 --> 03:37:05,264 THE REQUIREMENTS BUT IN GENERAL 5547 03:37:05,264 --> 03:37:08,000 I'M VERY EXCITED ABOUT THIS 5548 03:37:08,000 --> 03:37:11,003 REPORT. 5549 03:37:11,003 --> 03:37:11,270 THANK YOU. 5550 03:37:11,270 --> 03:37:11,537 >> GARTH? 5551 03:37:11,537 --> 03:37:13,505 >> YES, A LOT OF QUESTIONS WERE 5552 03:37:13,505 --> 03:37:13,772 ANSWERED. 5553 03:37:13,772 --> 03:37:14,840 I'M MORE CAUTIOUS THAN MANY 5554 03:37:14,840 --> 03:37:16,041 OTHERS IN THE CONVERSATION 5555 03:37:16,041 --> 03:37:18,444 BECAUSE OF THE UNINTENDED 5556 03:37:18,444 --> 03:37:20,279 CONSEQUENCES THAT WE HAVE 5557 03:37:20,279 --> 03:37:22,281 ALLUDED TO HERE AND IMPACTS 5558 03:37:22,281 --> 03:37:26,085 PARTICULARLY ON PEOPLE FROM MY 5559 03:37:26,085 --> 03:37:26,785 OWN EXPERIENCE, UNDERRESOURCED 5560 03:37:26,785 --> 03:37:28,520 BACKGROUNDS, DIFFERENT LIVES. 5561 03:37:28,520 --> 03:37:31,657 I WONDER, TWO QUESTIONS, ONE IS 5562 03:37:31,657 --> 03:37:33,425 IT WAS MENTIONED THAT WE EXPECT 5563 03:37:33,425 --> 03:37:38,464 A LOWER NUMBER OF POSTDOCS GIVEN 5564 03:37:38,464 --> 03:37:41,100 SOME DYNAMICS, WONDER IF THERE'S 5565 03:37:41,100 --> 03:37:42,067 A GUESSTIMATE AROUND PERCENTAGE 5566 03:37:42,067 --> 03:37:45,137 AND THEN KINDS OF PEOPLE THAT 5567 03:37:45,137 --> 03:37:47,639 MAY BE IMPACTED BY THOSE OVERALL 5568 03:37:47,639 --> 03:37:49,608 PHYSICAL DYNAMICS, AND I DO WANT 5569 03:37:49,608 --> 03:37:52,778 TO DELVE INTO THE FIVE-YEAR 5570 03:37:52,778 --> 03:37:54,213 CONCEPT, SECOND QUESTION, AGAIN 5571 03:37:54,213 --> 03:37:56,415 FOR PEOPLE WHO ARE NOT ALWAYS 5572 03:37:56,415 --> 03:38:01,019 THE QUICKEST, I'LL PUT MYSELF 5573 03:38:01,019 --> 03:38:03,522 IN THAT CATEGORY, HAVE TO WORK 5574 03:38:03,522 --> 03:38:07,159 OR OTHER LITTLE THINGS LIFE 5575 03:38:07,159 --> 03:38:09,194 CHALLENGES THAT COME UP, 5576 03:38:09,194 --> 03:38:11,063 DIFFERENT POINTS IN YOUR 5577 03:38:11,063 --> 03:38:12,731 ACADEMIC CAREER, I JUST WONDER 5578 03:38:12,731 --> 03:38:15,134 ABOUT THE FIVE-YEAR LIMIT AND 5579 03:38:15,134 --> 03:38:16,335 PRACTICALITY IN THE REAL WORLD. 5580 03:38:16,335 --> 03:38:19,338 I WANT TO VOICE THAT CONCERN BUT 5581 03:38:19,338 --> 03:38:23,742 MORE GO BACK TO THE FIRST 5582 03:38:23,742 --> 03:38:25,944 CONCERN ABOUT, YOU KNOW, THE 5583 03:38:25,944 --> 03:38:27,346 NUMBER, POTENTIAL DECREASE IN 5584 03:38:27,346 --> 03:38:30,449 OVERALL NUMBER THAT WAS 5585 03:38:30,449 --> 03:38:30,716 MENTIONED. 5586 03:38:30,716 --> 03:38:33,619 >> SO WE DIDN'T NECESSARILY HONE 5587 03:38:33,619 --> 03:38:35,587 IN ON PERCENTAGE THAT WE 5588 03:38:35,587 --> 03:38:36,555 EXPECTED FOR DECREASE. 5589 03:38:36,555 --> 03:38:38,857 THERE ARE A LOT OF VARIABLES 5590 03:38:38,857 --> 03:38:41,160 THAT WILL GO INTO DICTATING 5591 03:38:41,160 --> 03:38:41,794 THAT. 5592 03:38:41,794 --> 03:38:44,229 HONESTLY, I WOULDN'T SAY -- I 5593 03:38:44,229 --> 03:38:45,631 EMPHASIZE THAT'S NOT THE THING 5594 03:38:45,631 --> 03:38:47,065 THE GROUP WAS WANTING TO HAPPEN. 5595 03:38:47,065 --> 03:38:50,335 I THINK THERE WAS A REALITY 5596 03:38:50,335 --> 03:38:52,471 AROUND THE EXPECTATIONS BECAUSE 5597 03:38:52,471 --> 03:38:55,073 OF JUST THE STATE OF THE BUDGET 5598 03:38:55,073 --> 03:38:59,311 AND WE KNOW THERE ARE PRIORITIES 5599 03:38:59,311 --> 03:39:06,118 AND IF YOU HAVE -- TOUGH 5600 03:39:06,118 --> 03:39:06,652 DECISIONS. 5601 03:39:06,652 --> 03:39:10,055 I MENTIONED PREVIOUSLY THE 5602 03:39:10,055 --> 03:39:11,056 SYSTEM WILL REEQUILIBRATE. 5603 03:39:11,056 --> 03:39:12,691 IMPORTANT AS YOU POINT OUT TO 5604 03:39:12,691 --> 03:39:14,626 MAKE SURE THAT WE ARE TRACKING 5605 03:39:14,626 --> 03:39:17,162 THIS TO BE SURE THAT SOME OF THE 5606 03:39:17,162 --> 03:39:18,597 UNINTENDED CONSEQUENCES THAT 5607 03:39:18,597 --> 03:39:21,567 MONICA MENTIONED EARLIER AND 5608 03:39:21,567 --> 03:39:22,935 OTHERS HAVE MENTIONED ARE NOT 5609 03:39:22,935 --> 03:39:25,304 HAPPENING, AND IF THEY ARE 5610 03:39:25,304 --> 03:39:27,606 HAPPENING HOW WE CAN QUICKLY 5611 03:39:27,606 --> 03:39:31,076 PIVOT TO TRY TO ADDRESS THEM. 5612 03:39:31,076 --> 03:39:34,179 >> GARTH, I'LL JUST ADD TO THIS 5613 03:39:34,179 --> 03:39:38,217 ACTUALLY WE DEBATED EVEN A 5614 03:39:38,217 --> 03:39:41,553 SHORTER CAP, SO I'M IN YOUR CAMP 5615 03:39:41,553 --> 03:39:43,789 ACTUALLY, THAT THERE'S SO MUCH 5616 03:39:43,789 --> 03:39:46,859 VARIABILITY IN THE WAY PEOPLE 5617 03:39:46,859 --> 03:39:48,093 COME INTO POSTDOCS, PREPARATION, 5618 03:39:48,093 --> 03:39:50,128 THE WAY THEY MATURE THROUGH THE 5619 03:39:50,128 --> 03:39:51,997 POSTDOC, YOU KNOW, I LIKE THE 5620 03:39:51,997 --> 03:39:54,867 IDEA OF FLEXIBILITY SO I REALLY 5621 03:39:54,867 --> 03:39:56,435 COME ON THE SIDE, TARA MENTIONED 5622 03:39:56,435 --> 03:40:00,439 IT AT THE END OF THE 5623 03:40:00,439 --> 03:40:03,508 RECOMMENDATION, THERE WOULD BE 5624 03:40:03,508 --> 03:40:06,011 WAYS TO LENGTHEN, YOU KNOW, 5625 03:40:06,011 --> 03:40:07,679 MITIGATING CIRCUMSTANCES OF ALL 5626 03:40:07,679 --> 03:40:07,880 SORTS. 5627 03:40:07,880 --> 03:40:12,050 I THINK THAT SHOULD BE ON THE 5628 03:40:12,050 --> 03:40:13,685 LIBERAL SIDE AS YOU WOULD, YOU 5629 03:40:13,685 --> 03:40:15,654 KNOW, I MEAN THE LIBERAL SIDE OF 5630 03:40:15,654 --> 03:40:18,624 WHAT THOSE THINGS MIGHT BE THAT 5631 03:40:18,624 --> 03:40:19,825 WOULD WARRANT EXTENDING THAT. 5632 03:40:19,825 --> 03:40:22,361 SO I AGREE WITH YOU ON THAT FOR 5633 03:40:22,361 --> 03:40:22,561 SURE. 5634 03:40:22,561 --> 03:40:27,933 AND I THINK THE WORKING GROUP 5635 03:40:27,933 --> 03:40:30,869 CERTAINLY DEBATED SMALLER, 5636 03:40:30,869 --> 03:40:32,170 LARGER NUMBERS FOR THE CAP. 5637 03:40:32,170 --> 03:40:34,606 >> THANK YOU. 5638 03:40:34,606 --> 03:40:37,509 HOWARD AND WAFA AND ATOOL. 5639 03:40:37,509 --> 03:40:39,311 >> GREAT. 5640 03:40:39,311 --> 03:40:42,481 THANK YOU FOR TAKING ON THIS 5641 03:40:42,481 --> 03:40:43,482 IMPORTANT TASK, FANTASTIC 5642 03:40:43,482 --> 03:40:43,949 REPORT. 5643 03:40:43,949 --> 03:40:46,752 IT'S GOING TO IMPACT THE ENTIRE 5644 03:40:46,752 --> 03:40:51,790 BIOMEDICAL WORKFORCE. 5645 03:40:51,790 --> 03:40:52,758 PROPOSED SALARY SCALE AND 5646 03:40:52,758 --> 03:40:55,294 FIVE-YEAR CAP IS A REALITY AT MY 5647 03:40:55,294 --> 03:40:58,931 INSTITUTION, THAT HASN'T LEFT 5648 03:40:58,931 --> 03:41:00,432 MAJOR UNTOWARD EFFECTS, MAKING 5649 03:41:00,432 --> 03:41:02,634 IT A MORE ATTRACTIVE PROPOSITION 5650 03:41:02,634 --> 03:41:13,145 IN THIS COMPETITIVE LANDSCAPE. 5651 03:41:14,012 --> 03:41:17,015 TWO POINTS, ONE THAT THINKING IF 5652 03:41:17,015 --> 03:41:18,917 THAT'S THE CASE OF A SMALLER 5653 03:41:18,917 --> 03:41:20,752 GROUP, THE FOLKS WHO MIGHT BE 5654 03:41:20,752 --> 03:41:27,092 MOST IMPACTED WILL BE THE NEWEST 5655 03:41:27,092 --> 03:41:28,393 INVESTIGATORS EXPECTED TO 5656 03:41:28,393 --> 03:41:29,728 SUPPORT INDIVIDUALS AND COMPETE 5657 03:41:29,728 --> 03:41:30,729 AMONG SMALLER POOL. 5658 03:41:30,729 --> 03:41:32,597 THEY MAY NEVER GET A POSTDOC OR 5659 03:41:32,597 --> 03:41:34,466 BE ABLE TO SUPPORT ONE OR HAVE 5660 03:41:34,466 --> 03:41:39,037 THAT TRACK RECORD OF MENTORING 5661 03:41:39,037 --> 03:41:40,038 ONE. 5662 03:41:40,038 --> 03:41:42,107 IF YOU HAVE ZERO TRACK RECORD 5663 03:41:42,107 --> 03:41:43,875 THEY ARE GOING TO BE IN THIS 5664 03:41:43,875 --> 03:41:46,945 GROUP OR NEVER QUALIFY. 5665 03:41:46,945 --> 03:41:49,214 THAT'S A POSSIBLE CONSEQUENCE. 5666 03:41:49,214 --> 03:41:51,316 THE SECOND QUESTION IS ABOUT THE 5667 03:41:51,316 --> 03:41:52,351 COMMENT ABOUT FOLKS WITH THE 5668 03:41:52,351 --> 03:41:54,920 SAME TITLE HAVING THE SAME 5669 03:41:54,920 --> 03:41:57,422 SALARY, I ASSUME THE SALARY 5670 03:41:57,422 --> 03:41:59,391 LEVEL IS LIKE A SUGGESTED FLOOR 5671 03:41:59,391 --> 03:42:03,862 BUT NOT NECESSARILY A CAP. 5672 03:42:03,862 --> 03:42:04,262 >> CORRECT. 5673 03:42:04,262 --> 03:42:12,537 >> IF SOMEBODY NEGOTIATE BETTER, 5674 03:42:12,537 --> 03:42:14,139 SORRY, YOU CANNOT BE PAID MORE. 5675 03:42:14,139 --> 03:42:15,273 >> GREAT POINT. 5676 03:42:15,273 --> 03:42:19,978 THE ONE STOP SHOP PORTAL, WE 5677 03:42:19,978 --> 03:42:21,313 CALLED IT THE MYTH BUSTING 5678 03:42:21,313 --> 03:42:24,883 BECAUSE THAT'S ONE OF THE MYTHS 5679 03:42:24,883 --> 03:42:27,419 THAT WE HEARD THAT NRSA STIPEND 5680 03:42:27,419 --> 03:42:29,254 LEVEL WAS A CEILING AND WHAT 5681 03:42:29,254 --> 03:42:33,759 WE'VE SAID OVER AND OVER, NO, 5682 03:42:33,759 --> 03:42:35,193 IT'S IT'S A FLOOR. 5683 03:42:35,193 --> 03:42:38,997 THAT'S ONE THING WE WOULD 5684 03:42:38,997 --> 03:42:39,564 INCLUDE. 5685 03:42:39,564 --> 03:42:46,338 THERE'S A LOT VARIABILITY IN 5686 03:42:46,338 --> 03:42:47,039 INTERPRETATION OF POLICIES. 5687 03:42:47,039 --> 03:42:48,940 >> HOWARD, IT'S A GREAT POINT 5688 03:42:48,940 --> 03:42:51,576 AND IT'S COME UP, OTHERS HAVE 5689 03:42:51,576 --> 03:42:52,577 MENTIONED IT. 5690 03:42:52,577 --> 03:42:57,049 WE'RE CERTAINLY CONCERNED ABOUT 5691 03:42:57,049 --> 03:42:57,816 IT. 5692 03:42:57,816 --> 03:43:02,421 I DO THINK THAT IF THIS IS GOING 5693 03:43:02,421 --> 03:43:06,992 TO AFFECT EVERYONE, NOT JUST 5694 03:43:06,992 --> 03:43:08,093 EARLY STAGE, HIGHLY ANECDOTAL 5695 03:43:08,093 --> 03:43:11,930 BUT AT MY INSTITUTION POSTDOCS 5696 03:43:11,930 --> 03:43:14,032 ARE -- GRADUATES STUDENTS AND 5697 03:43:14,032 --> 03:43:17,736 POSTDOCS GRAVITATE TO THE NEW 5698 03:43:17,736 --> 03:43:19,071 EXCITING ESI P.I.s. 5699 03:43:19,071 --> 03:43:21,473 WE'RE ALL GOING TO SUFFER THE 5700 03:43:21,473 --> 03:43:22,908 SAME -- I DON'T WANT TO SAY 5701 03:43:22,908 --> 03:43:25,277 SUFFER BECAUSE IT'S GREAT FOR 5702 03:43:25,277 --> 03:43:29,714 THE POSTDOCS, BUT THE SAME 5703 03:43:29,714 --> 03:43:32,117 DIFFICULTY IN FINANCING THOSE, 5704 03:43:32,117 --> 03:43:33,618 THE POSTDOCS. 5705 03:43:33,618 --> 03:43:36,154 BUT I'M HOPEFUL THAT IT WON'T 5706 03:43:36,154 --> 03:43:38,457 HAVE A DISPROPORTIONATE -- MAYBE 5707 03:43:38,457 --> 03:43:41,326 I'M IN THE MINORITY, HOPEFULLY 5708 03:43:41,326 --> 03:43:46,364 IT WILL NOT HAVE A 5709 03:43:46,364 --> 03:43:50,502 DISPROPORTIONATE EFFECT ON EFI 5710 03:43:50,502 --> 03:43:50,836 INVESTIGATORS. 5711 03:43:50,836 --> 03:43:52,604 >> THANKS FOR THE GREAT WORK, 5712 03:43:52,604 --> 03:43:54,306 VERY IMPORTANT RECOMMENDATIONS. 5713 03:43:54,306 --> 03:44:00,045 I ASSUME THEN THE SALARY RATES 5714 03:44:00,045 --> 03:44:04,983 FOR TRAINING GRANTS WILL ALSO BE 5715 03:44:04,983 --> 03:44:06,485 ADJUSTED. 5716 03:44:06,485 --> 03:44:09,221 REMEMBER LIKE THE T32s AND SO 5717 03:44:09,221 --> 03:44:09,387 ON. 5718 03:44:09,387 --> 03:44:14,259 >> THE RECOMMENDATION IS FOR ALL 5719 03:44:14,259 --> 03:44:15,527 NRSAs INCLUDING -- 5720 03:44:15,527 --> 03:44:16,394 >> INCLUDING Ts. 5721 03:44:16,394 --> 03:44:18,330 >> AND WE EXTEND OUT TO SAY WE 5722 03:44:18,330 --> 03:44:20,699 THINK THIS SHOULD BE APPLICABLE 5723 03:44:20,699 --> 03:44:27,606 REGARDLESS OF WHAT MECHANISM BUT 5724 03:44:27,606 --> 03:44:30,709 WE CAN SET THAT AT NIH FOR 5725 03:44:30,709 --> 03:44:30,942 AWARDS. 5726 03:44:30,942 --> 03:44:33,111 >> THINKING UP AND DOWN THE 5727 03:44:33,111 --> 03:44:37,916 PIPELINES, FIRST A COMMENT. 5728 03:44:37,916 --> 03:44:39,451 POSTDOCS ARE UNIONIZING ACROSS 5729 03:44:39,451 --> 03:44:42,020 CAMPUS, GRAD STUDENTS AS WELL. 5730 03:44:42,020 --> 03:44:44,256 THE $70,000 AMOUNT IF I READ 5731 03:44:44,256 --> 03:44:46,992 CORRECTLY IS EVEN HIGHER THAN 5732 03:44:46,992 --> 03:44:51,630 WHAT THEY NEGOTIATED WITH US, 5733 03:44:51,630 --> 03:44:53,131 AND THAT'S IRRESPECTIVE WHERE 5734 03:44:53,131 --> 03:44:55,934 YOU LEAVE, SO EVEN HIGHER FOR US 5735 03:44:55,934 --> 03:44:56,735 IN CALIFORNIA. 5736 03:44:56,735 --> 03:45:00,605 I WANT TO POINT OUT IF THE NRSA 5737 03:45:00,605 --> 03:45:05,977 IS 70,000, THE K AWARD COVERS 5738 03:45:05,977 --> 03:45:11,316 75,000 OF YOUR SALARY. 5739 03:45:11,316 --> 03:45:13,018 SO -- 5740 03:45:13,018 --> 03:45:13,318 >> 75%. 5741 03:45:13,318 --> 03:45:20,525 >> UP TO 75,000 FOR SOME K99 5742 03:45:20,525 --> 03:45:22,194 AWARDS, OKAY, I WILL LOOK AT 5743 03:45:22,194 --> 03:45:22,527 THAT. 5744 03:45:22,527 --> 03:45:26,464 HOWARD BROUGHT UP THE USEFUL 5745 03:45:26,464 --> 03:45:28,633 POINT WHY TRAIN SO MANY GRAD 5746 03:45:28,633 --> 03:45:30,302 STUDENTS IF WE'RE GOING TO HAVE 5747 03:45:30,302 --> 03:45:33,538 TROUBLE FUNDING THEM AS 5748 03:45:33,538 --> 03:45:33,805 POSTDOCS. 5749 03:45:33,805 --> 03:45:35,907 >> THERE ARE A LOT OF THINGS CAN 5750 03:45:35,907 --> 03:45:37,742 YOU DO WITHOUT A POSTDOC. 5751 03:45:37,742 --> 03:45:42,247 BECOME THE DEPUTY DIRECTOR OF 5752 03:45:42,247 --> 03:45:42,414 NIH. 5753 03:45:42,414 --> 03:45:47,385 I DON'T MEAN TO BE FACETIOUS BUT 5754 03:45:47,385 --> 03:45:49,020 THERE ARE MANY CAREER PATHS 5755 03:45:49,020 --> 03:45:50,121 SOMEBODY WITH GRADUATE LEVEL 5756 03:45:50,121 --> 03:45:52,290 TRAINING COULD EMBARK ON THAT 5757 03:45:52,290 --> 03:45:54,826 DON'T NECESSARILY NEED A 5758 03:45:54,826 --> 03:45:55,060 POSTDOC. 5759 03:45:55,060 --> 03:45:59,497 BUT THAT'S ONE OF THE FACTORS TO 5760 03:45:59,497 --> 03:45:59,764 CONSIDER. 5761 03:45:59,764 --> 03:46:03,235 >> IT DOES MAKE IT COMPETITIVE 5762 03:46:03,235 --> 03:46:04,869 FOR THIS TRADITIONAL ACADEMIC 5763 03:46:04,869 --> 03:46:05,303 PATH. 5764 03:46:05,303 --> 03:46:10,008 AND THAT'S ALSO VERY SERIOUS 5765 03:46:10,008 --> 03:46:12,344 PART OF THESE CONSIDERATIONS. 5766 03:46:12,344 --> 03:46:18,116 >> YEAH, LIKE MAXIMUM SALARY 5767 03:46:18,116 --> 03:46:21,319 $75,000, A COUPLE OTHERS HAVE 5768 03:46:21,319 --> 03:46:24,022 100,000 BUT MAXIMUM FOR K IS THE 5769 03:46:24,022 --> 03:46:27,993 MINIMUM SALARY WOULD BE FOR AN 5770 03:46:27,993 --> 03:46:33,765 NRSA, WHICH IS FASCINATING TO 5771 03:46:33,765 --> 03:46:33,932 ME. 5772 03:46:33,932 --> 03:46:34,299 >> YEAH. 5773 03:46:34,299 --> 03:46:36,501 >> SO I APPRECIATE IT COULD MAKE 5774 03:46:36,501 --> 03:46:38,136 THINGS MORE COMPETITIVE, IT'S 5775 03:46:38,136 --> 03:46:39,371 IMPORTANT TO ANCHOR INTO THE 5776 03:46:39,371 --> 03:46:41,306 DATA CURRENTLY GOING ON WHICH IS 5777 03:46:41,306 --> 03:46:45,043 ME AS A P.I. WHO IS DOING QUITE 5778 03:46:45,043 --> 03:46:47,245 WELL HAVING A HARD TIME FINDING 5779 03:46:47,245 --> 03:46:47,612 POSTDOCS. 5780 03:46:47,612 --> 03:46:49,648 MY COLLEAGUES ARE HAVING HARD 5781 03:46:49,648 --> 03:46:50,649 TIMES FINDING POSTDOCS, THEIR 5782 03:46:50,649 --> 03:46:54,152 NUMBERS ARE GOING DOWN. 5783 03:46:54,152 --> 03:46:58,456 IF THIS IS STANDARD FORCES, 5784 03:46:58,456 --> 03:47:00,625 COMPETITIVE, SO WE'RE DOING THIS 5785 03:47:00,625 --> 03:47:02,894 TO RESPOND TO THREAT TO THE 5786 03:47:02,894 --> 03:47:03,995 SYSTEM THAT HAS EMERGED, AND 5787 03:47:03,995 --> 03:47:06,197 WE'RE WORRIED IF WE DON'T DO 5788 03:47:06,197 --> 03:47:09,034 SOMETHING AND YOU FOLLOW THIS 5789 03:47:09,034 --> 03:47:10,235 DOWN THE LINE, WE AREN'T GOING 5790 03:47:10,235 --> 03:47:12,537 TO BE ABLE TO FIND POSTDOCS 5791 03:47:12,537 --> 03:47:14,072 BECAUSE PEOPLE WON'T FIND THE 5792 03:47:14,072 --> 03:47:15,807 POSITION ATTRACTIVE. 5793 03:47:15,807 --> 03:47:16,374 THAT'S THE FRAMING THAT'S 5794 03:47:16,374 --> 03:47:19,544 IMPORTANT AS WE SHALL GOING 5795 03:47:19,544 --> 03:47:19,878 FORWARD. 5796 03:47:19,878 --> 03:47:21,713 >> I WANT TO VALIDATE THAT. 5797 03:47:21,713 --> 03:47:23,481 WE'RE REALLY ABOUT THE END 5798 03:47:23,481 --> 03:47:26,985 RESULT, TRYING TO ACHIEVE A 5799 03:47:26,985 --> 03:47:29,621 ROBUST AND WELL SUPPORTED 5800 03:47:29,621 --> 03:47:30,822 TALENTED WORKFORCE, AS WELL AS 5801 03:47:30,822 --> 03:47:34,993 GETTING OUR WORK DONE. 5802 03:47:34,993 --> 03:47:36,061 THE WORKFORCE IS CRITICAL NEED 5803 03:47:36,061 --> 03:47:39,597 FOR THE FUTURE. 5804 03:47:39,597 --> 03:47:41,266 >> THERE'S BEEN A LOT OF 5805 03:47:41,266 --> 03:47:42,967 DISCUSSION AROUND THE 70,000 5806 03:47:42,967 --> 03:47:43,635 NUMBER 5807 03:47:43,635 --> 03:47:49,107 WHAT SOME DATA SHOW IN THIS OF 5808 03:47:49,107 --> 03:47:50,975 INDUSTRY AVERAGE SALARY IS 5809 03:47:50,975 --> 03:47:52,043 BETWEEN SEVENTY AND EIGHTY 5810 03:47:52,043 --> 03:47:52,944 THOUSAND DOLLARS. 5811 03:47:52,944 --> 03:47:56,214 MANY RAISING RECENTLY HAVE BEEN 5812 03:47:56,214 --> 03:47:58,249 DOING SO TO AROUND $70,000, SO 5813 03:47:58,249 --> 03:48:00,385 THAT WAS SOME OF THE FACTORS 5814 03:48:00,385 --> 03:48:01,019 DRIVING IT. 5815 03:48:01,019 --> 03:48:03,655 WE ALSO BECAUSE WE DID HAVE THE 5816 03:48:03,655 --> 03:48:06,224 FORTUNE AND GET THAT PUT ON AN 5817 03:48:06,224 --> 03:48:07,492 ECONOMIST, WORKFORCE ECONOMIST, 5818 03:48:07,492 --> 03:48:14,299 SHE WAS MINDFUL OF KEEPING THE 5819 03:48:14,299 --> 03:48:16,267 NUMBER NOT TOO HIGH BECAUSE YOU 5820 03:48:16,267 --> 03:48:17,902 WOULD IMPINGE ON STARTING 5821 03:48:17,902 --> 03:48:22,173 SALARIES OF THOSE INTO ASSISTANT 5822 03:48:22,173 --> 03:48:23,041 PROFESSOR POSITIONS. 5823 03:48:23,041 --> 03:48:26,010 YOU WANT TO MAKE SURE THERE'S AN 5824 03:48:26,010 --> 03:48:28,613 ACTUAL SALARY INCREASE WHEN THEY 5825 03:48:28,613 --> 03:48:28,847 DO THAT. 5826 03:48:28,847 --> 03:48:32,584 >> THAT'S A TOOL OF POINT. 5827 03:48:32,584 --> 03:48:37,155 FOR SOME TYPES OF AWARDS MAY BE 5828 03:48:37,155 --> 03:48:38,490 VERY CLOSE IF NOT THERE. 5829 03:48:38,490 --> 03:48:42,394 >> I'M NOT SAYING THIS IS A BAD 5830 03:48:42,394 --> 03:48:43,061 THING. 5831 03:48:43,061 --> 03:48:44,629 WE WERE SPEAKING TO OURSELVES. 5832 03:48:44,629 --> 03:48:49,868 IF IT'S A LIMITED POOL AND PAID 5833 03:48:49,868 --> 03:48:53,037 MORE AND THAT CREATES MORE OF -- 5834 03:48:53,037 --> 03:48:55,206 MORE OF AN ASPIRATION COMPARED 5835 03:48:55,206 --> 03:48:56,408 TO BEFORE THEN GETTING THE 5836 03:48:56,408 --> 03:48:58,643 POSTDOC MIGHT BE THE NEW GETTING 5837 03:48:58,643 --> 03:48:59,644 A FACULTY POSITION. 5838 03:48:59,644 --> 03:49:02,747 IT'S NOT GOING TO BE THAT EASY 5839 03:49:02,747 --> 03:49:04,849 OR AVAILABLE AND WHEN YOU GET IT 5840 03:49:04,849 --> 03:49:06,951 THEN YOU GET THE FUNDING. 5841 03:49:06,951 --> 03:49:12,190 AGAIN, WHICH MIGHT NOT BE A BAD 5842 03:49:12,190 --> 03:49:12,390 THING. 5843 03:49:12,390 --> 03:49:13,324 >> BRIAN. 5844 03:49:13,324 --> 03:49:17,195 >> I MEAN, SEEMS LIKE THE SALARY 5845 03:49:17,195 --> 03:49:19,631 IS THE NUMBER ONE 5846 03:49:19,631 --> 03:49:20,365 RECOMMENDATION, TOPIC OF 5847 03:49:20,365 --> 03:49:21,466 DISCUSSION, WONDERING IF IT'S 5848 03:49:21,466 --> 03:49:23,334 POSSIBLE TO MAKE A FRIENDLY 5849 03:49:23,334 --> 03:49:24,202 SUGGESTION FOR ADDENDUM OR 5850 03:49:24,202 --> 03:49:26,070 ADDITION TO REPORT WITH MORE 5851 03:49:26,070 --> 03:49:28,940 DETAIL OF THE ANALYSIS HOW YOU 5852 03:49:28,940 --> 03:49:29,908 ARRIVED AT THAT NUMBER? 5853 03:49:29,908 --> 03:49:33,845 BEFORE A LOT OF DISCUSSION AND 5854 03:49:33,845 --> 03:49:35,814 BENCHMARKING TO OTHER 5855 03:49:35,814 --> 03:49:36,614 INDUSTRIES, NUMBERS AREN'T 5856 03:49:36,614 --> 03:49:38,883 PROVIDED, WONDER PEOPLE WANT TO 5857 03:49:38,883 --> 03:49:41,719 KNOW MORE ABOUT THE ECONOMIC 5858 03:49:41,719 --> 03:49:44,122 DISCUSSIONS, ET CETERA, CITATION 5859 03:49:44,122 --> 03:49:46,658 TO THE SCIENCE ARTICLE WHICH 5860 03:49:46,658 --> 03:49:48,626 TALKS ABOUT MIT AND UC SYSTEM 5861 03:49:48,626 --> 03:49:51,129 AND PRINCETON. 5862 03:49:51,129 --> 03:49:52,430 THREE ELITE INSTITUTIONS, 5863 03:49:52,430 --> 03:49:54,732 DISCUSSIONS WE'VE BEEN HAVING 5864 03:49:54,732 --> 03:49:56,734 BEFORE, I'M SURE IT'S CLEAR YOU 5865 03:49:56,734 --> 03:49:59,003 LOOKED BEYOND THAT, RIGHT? 5866 03:49:59,003 --> 03:50:01,072 MAYBE AN ADDENDUM TO THE REPORT, 5867 03:50:01,072 --> 03:50:06,211 MORE DETAIL HOW YOU ARRIVED AT 5868 03:50:06,211 --> 03:50:09,013 THAT NUMBER WOULD BE HELPFUL. 5869 03:50:09,013 --> 03:50:09,914 >> ABSOLUTELY. 5870 03:50:09,914 --> 03:50:10,348 GREAT SUGGESTION. 5871 03:50:10,348 --> 03:50:15,286 >> OTHER COMMENTS OR QUESTIONS? 5872 03:50:15,286 --> 03:50:17,155 >> SO, I'M ASSUMING OUR TWO 5873 03:50:17,155 --> 03:50:19,457 CHAIRS WOULD LIKE TO PUT THIS 5874 03:50:19,457 --> 03:50:20,892 WORKING GROUP REPORT FORWARD TO 5875 03:50:20,892 --> 03:50:22,961 THIS COMMITTEE FOR A VOTE. 5876 03:50:22,961 --> 03:50:27,365 DO I HEAR A SECOND FOR THAT? 5877 03:50:27,365 --> 03:50:29,534 OKAY. 5878 03:50:29,534 --> 03:50:30,735 ANY FURTHER DISCUSSION? 5879 03:50:30,735 --> 03:50:31,636 ALL RIGHT. 5880 03:50:31,636 --> 03:50:33,838 IF NOT THEN LET'S HAVE A VOTE BY 5881 03:50:33,838 --> 03:50:36,541 SHOW OF HANDS, ALL IN FAVOR OF 5882 03:50:36,541 --> 03:50:37,542 APPROVING THIS WORKING GROUP 5883 03:50:37,542 --> 03:50:42,881 REPORT? 5884 03:50:42,881 --> 03:50:43,982 5885 03:50:43,982 --> 03:50:44,282 EXCELLENT. 5886 03:50:44,282 --> 03:50:46,384 ANY OPPOSED? 5887 03:50:46,384 --> 03:50:48,553 AND NO ABSTENTIONS. 5888 03:50:48,553 --> 03:50:49,320 ALL RIGHT. 5889 03:50:49,320 --> 03:50:51,956 THANK YOU VERY, VERY MUCH. 5890 03:50:51,956 --> 03:50:54,826 APPRECIATE ALL THE HARD WORK, 5891 03:50:54,826 --> 03:50:58,429 SERIOUSNESS OF THIS, AND 5892 03:50:58,429 --> 03:51:00,265 IMPLICATIONS WITH THIS BEING 5893 03:51:00,265 --> 03:51:00,698 ACCEPTED. 5894 03:51:00,698 --> 03:51:02,700 THE RESPONSIBILITY I WILL SAY 5895 03:51:02,700 --> 03:51:06,838 THAT IT PLACES ON US AT NIH WITH 5896 03:51:06,838 --> 03:51:08,473 THIS ACCEPTING THIS DOWNSTREAM 5897 03:51:08,473 --> 03:51:11,309 THAT WE THINK LONG AND HARD 5898 03:51:11,309 --> 03:51:13,845 ABOUT MITIGATION STRATEGIES FOR 5899 03:51:13,845 --> 03:51:14,412 UNANTICIPATED CONSEQUENCES 5900 03:51:14,412 --> 03:51:18,550 BECAUSE I -- THIS IS A BIG STEP. 5901 03:51:18,550 --> 03:51:19,984 I COMPLETELY AGREE, A CRITICAL 5902 03:51:19,984 --> 03:51:20,285 ONE. 5903 03:51:20,285 --> 03:51:24,022 BUT WE JUST WANT TO DO NO HARM. 5904 03:51:24,022 --> 03:51:24,556 OKAY. 5905 03:51:24,556 --> 03:51:29,127 THAT REALLY ENDS OUR AGENDA FOR 5906 03:51:29,127 --> 03:51:39,304 THIS ACD. 5907 03:52:00,091 --> 03:52:02,760 I WANT TO GIVE A SINCERE THANKS 5908 03:52:02,760 --> 03:52:05,930 TO THE TEAM HERE AT NIH WHO 5909 03:52:05,930 --> 03:52:08,132 WORKED SO HARD TO ORGANIZE 5910 03:52:08,132 --> 03:52:09,667 EVERYTHING SO WELL AND BE ABLE 5911 03:52:09,667 --> 03:52:13,271 TO HELP US PULL THIS OFF. 5912 03:52:13,271 --> 03:52:15,340 JOHN, THANK YOU, AND EVERYONE. 5913 03:52:15,340 --> 03:52:17,442 YOU PUT SO MUCH HARD WORK INTO 5914 03:52:17,442 --> 03:52:17,976 IT. 5915 03:52:17,976 --> 03:52:19,744 WITH THAT, I'M GOING TO GAVEL US 5916 03:52:19,744 --> 03:52:21,379 OUT AND SAY WE'RE ADJOURNED. 5917 03:52:21,379 --> 03:52:22,981 I LOOK FORWARD TO SEEING YOU 5918 03:52:22,981 --> 03:52:23,481 NEXT TIME. 5919 03:52:23,481 --> 03:52:33,481 THANK YOU.