1 00:00:05,120 --> 00:00:07,480 >>I'M DR. CHUNG. 2 00:00:07,480 --> 00:00:09,120 YOU MET ME -- WE SPENT A LOT OF 3 00:00:09,120 --> 00:00:10,520 TIME TOGETHER ON MONDAY. 4 00:00:10,520 --> 00:00:14,360 SO HERE YOU ARE, FINALLY AT THE 5 00:00:14,360 --> 00:00:15,000 BUILDING, BUILDING 10, AND WE'RE 6 00:00:15,000 --> 00:00:16,440 GOING TO ORIENT YOU TO THIS 7 00:00:16,440 --> 00:00:19,720 PLACE WITH THE HELP OF ALL OUR 8 00:00:19,720 --> 00:00:21,400 CLINICAL LEADERS UP HERE. 9 00:00:21,400 --> 00:00:23,040 SO TODAY'S PRESENTATION IS 10 00:00:23,040 --> 00:00:24,760 TAKING PLACE IN LIPSETT 11 00:00:24,760 --> 00:00:26,600 AMPHITHEATER, WHICH IS THE SITE 12 00:00:26,600 --> 00:00:28,560 OF GRAND ROUNDS, AND SO WE HAVE 13 00:00:28,560 --> 00:00:30,600 THREE ADDITIONAL GRAND ROUNDS IN 14 00:00:30,600 --> 00:00:32,760 JULY FOR YOU GUYS, SPECIFICALLY 15 00:00:32,760 --> 00:00:34,440 GEARED TOWARD YOUR INTERESTS. 16 00:00:34,440 --> 00:00:35,720 WE'LL TALK MORE ABOUT THAT 17 00:00:35,720 --> 00:00:38,160 LATER, BUT BE HERE IN EXACTLY A 18 00:00:38,160 --> 00:00:39,800 WEEK, SAME PLACE, SAME TIME, FOR 19 00:00:39,800 --> 00:00:41,720 THREE MORE WEEKS AND YOU WILL 20 00:00:41,720 --> 00:00:42,720 HAVE GOTTEN WHAT WE WANT YOU TO 21 00:00:42,720 --> 00:00:45,680 GET. 22 00:00:45,680 --> 00:00:46,200 SO WELCOME. 23 00:00:46,200 --> 00:00:47,640 WE ARE GLAD YOU FOUND US. 24 00:00:47,640 --> 00:00:48,720 SOMETIMES IT'S HARD TO FIND THIS 25 00:00:48,720 --> 00:00:49,760 PLACE. 26 00:00:49,760 --> 00:00:51,400 YOU'RE HERE FINALLY IN BUILDING 27 00:00:51,400 --> 00:00:54,640 10, AND FOR THAT, I WANT TO 28 00:00:54,640 --> 00:01:04,960 START THE SESSION. 29 00:01:14,640 --> 00:01:24,720 [MUSIC] 30 00:02:12,840 --> 00:02:15,680 >>SO WELCOME, CLINICAL FELLOWS, 31 00:02:15,680 --> 00:02:18,280 TO THE NIH CLINICAL CENTER 32 00:02:18,280 --> 00:02:18,680 ORIENTATION. 33 00:02:18,680 --> 00:02:20,200 WE ARE VERY HAPPY TO SEE YOU 34 00:02:20,200 --> 00:02:21,480 GATHERED HERE FOR YOUR FIRST 35 00:02:21,480 --> 00:02:24,160 OFFICIAL WORK DAY AS A CLINICAL 36 00:02:24,160 --> 00:02:26,520 FELLOW IN YOUR NEW HOME BASE, 37 00:02:26,520 --> 00:02:28,400 THE MARVELOUS BUILDING 10 38 00:02:28,400 --> 00:02:30,080 HIGHLIGHTED TO PERFECTION BY THE 39 00:02:30,080 --> 00:02:31,600 DRONE FOOTAGE YOU JUST SAW. 40 00:02:31,600 --> 00:02:32,960 WE SPENT MOST OF THE DAY 41 00:02:32,960 --> 00:02:34,440 TOGETHER ON MONDAY FOR HR 42 00:02:34,440 --> 00:02:35,560 ORIENTATION AND I WITNESSED THE 43 00:02:35,560 --> 00:02:37,440 MANY INTERACTIONS BETWEEN YOU, 44 00:02:37,440 --> 00:02:40,160 ESPECIALLY AFTER THE FUN BINGO 45 00:02:40,160 --> 00:02:40,640 ICEBREAKER SESSION. 46 00:02:40,640 --> 00:02:42,240 THAT WAS A REAL BLAST. 47 00:02:42,240 --> 00:02:44,280 TODAY, WE ARE TRANSITIONING TO 48 00:02:44,280 --> 00:02:46,400 BE ORIENTED TO THE NIH CLINICAL 49 00:02:46,400 --> 00:02:47,520 CENTER, THE SITE OF YOUR 50 00:02:47,520 --> 00:02:48,920 CLINICAL TRAINING, AND MOST OF 51 00:02:48,920 --> 00:02:53,200 YOUR RESEARCH ACTIVITIES. 52 00:02:53,200 --> 00:02:55,800 YOU COLLECTIVELY REPRESENT 23 53 00:02:55,800 --> 00:02:58,240 ACGME ACCREDITED AND 13 54 00:02:58,240 --> 00:02:59,440 NON-ACCREDITED GRADUATE MEDICAL 55 00:02:59,440 --> 00:03:02,200 EDUCATION PROGRAMS ACROSS 11 NIH 56 00:03:02,200 --> 00:03:04,880 INSTITUTES AND CENTERS. 57 00:03:04,880 --> 00:03:06,240 WE KNOW MANY OF YOU HAVE MOVED 58 00:03:06,240 --> 00:03:07,440 TO TRAIN HERE AT THE NIH. 59 00:03:07,440 --> 00:03:10,400 SOME PEOPLE FROM A SHORT 60 00:03:10,400 --> 00:03:11,600 DISTANCE, SOME VERY LONG, OTHER 61 00:03:11,600 --> 00:03:12,680 PEOPLE HAVE COME FROM OTHER 62 00:03:12,680 --> 00:03:13,880 COUNTRIES, SO WE ARE TRULY 63 00:03:13,880 --> 00:03:15,840 GRATEFUL THAT YOU CHOSE US. 64 00:03:15,840 --> 00:03:17,200 TODAY WE HAVE GATHERED THE 65 00:03:17,200 --> 00:03:18,280 LEADERS OF THE CLINICAL CENTER 66 00:03:18,280 --> 00:03:19,840 FOR THIS SESSION, WHICH IS MEANT 67 00:03:19,840 --> 00:03:21,840 TO HELP YOU CONNECT THE NAMES 68 00:03:21,840 --> 00:03:24,280 AND FACES OF THOSE WHO RUN THIS 69 00:03:24,280 --> 00:03:25,360 PLACE. 70 00:03:25,360 --> 00:03:26,840 EACH SPEAKER WILL INTRODUCE 71 00:03:26,840 --> 00:03:28,680 THEMSELVES AND THEIR BRIEF BIOS 72 00:03:28,680 --> 00:03:29,880 WILL APPEAR ON THE SCREEN. 73 00:03:29,880 --> 00:03:31,400 THEY WILL DESCRIBE THEIR ROLE 74 00:03:31,400 --> 00:03:32,480 AND THE OFFICE OR DEPARTMENT 75 00:03:32,480 --> 00:03:38,120 THAT THEY REPRESENT. 76 00:03:38,120 --> 00:03:39,800 UNFORTUNATELY, OUR LEADER, 77 00:03:39,800 --> 00:03:41,640 DR. JIM GILMAN, NIH CLINICAL 78 00:03:41,640 --> 00:03:43,760 CENTER CEO, IS UNABLE TO BE HERE 79 00:03:43,760 --> 00:03:45,720 TODAY BUT HE SENDS HIS WELL 80 00:03:45,720 --> 00:03:47,280 WISHES AND REGRETS. 81 00:03:47,280 --> 00:03:49,800 SO NOW, I WILL HAVE THE 82 00:03:49,800 --> 00:03:51,760 PRIVILEGE TO TURN THE PODIUM 83 00:03:51,760 --> 00:03:54,840 OVER TO OUR CHIEF OPERATING 84 00:03:54,840 --> 00:04:05,320 OFFICER, MR. PIUS AIYELAWO. 85 00:04:13,960 --> 00:04:15,080 GOOD AFTERNOON, CLINICAL 86 00:04:15,080 --> 00:04:15,400 FELLOWS. 87 00:04:15,400 --> 00:04:16,280 I'M GOING TO START AGAIN. 88 00:04:16,280 --> 00:04:18,240 GOOD AFTERNOON, CLINICAL 89 00:04:18,240 --> 00:04:18,480 FELLOWS! 90 00:04:18,480 --> 00:04:21,440 I STILL TEACH, I'M AN ASSISTANT 91 00:04:21,440 --> 00:04:24,320 PROFESSOR, SO I LIKE TO DO THAT 92 00:04:24,320 --> 00:04:25,480 WITH MY GRAD STUDENTS. 93 00:04:25,480 --> 00:04:26,840 SO REALLY, REALLY GLAD TO BE 94 00:04:26,840 --> 00:04:27,440 HERE THIS MORNING. 95 00:04:27,440 --> 00:04:32,280 MY NAME IS PIUS AIYELAWO, CHIEF 96 00:04:32,280 --> 00:04:33,040 OPERATING OFFICER HERE AT THE 97 00:04:33,040 --> 00:04:33,600 CLINICAL CENTER. 98 00:04:33,600 --> 00:04:35,760 I'VE BEEN ON BOARD HERE FOR FIVE 99 00:04:35,760 --> 00:04:36,120 YEARS. 100 00:04:36,120 --> 00:04:39,000 PRIOR TO THAT, I WAS A 101 00:04:39,000 --> 00:04:40,440 CONSULTANT AND RUNNING A 102 00:04:40,440 --> 00:04:45,880 CLINICAL RESEARCH PORTFOLIO AT 103 00:04:45,880 --> 00:04:48,120 GENERAL DYNAMICS, AFTER THAT I 104 00:04:48,120 --> 00:04:50,400 SPENT 27 YEARS IN THE NAVY, 105 00:04:50,400 --> 00:04:55,600 MOSTLY AS CFO,, REALLY GLAD TO 106 00:04:55,600 --> 00:04:56,200 BE HERE. 107 00:04:56,200 --> 00:05:00,240 AND ON BEHALF OF DR. GILMAN, AS 108 00:05:00,240 --> 00:05:02,160 DR. CHUNG ALLUDED TO, I WANT TO 109 00:05:02,160 --> 00:05:08,880 WELCOME YOU ALL HERE. 110 00:05:08,880 --> 00:05:12,240 LATE SUMMER, REPRESENTING 11 111 00:05:12,240 --> 00:05:14,120 INSTITUTES, SO WELCOME AND 112 00:05:14,120 --> 00:05:14,920 CONGRATULATIONS TO EACH AND 113 00:05:14,920 --> 00:05:16,640 EVERY ONE OF YOU. 114 00:05:16,640 --> 00:05:20,920 DR. GILMAN SENDS HIS REGARDS AS 115 00:05:20,920 --> 00:05:21,920 DR. CHUNG ALLUDED TO. 116 00:05:21,920 --> 00:05:23,640 HE REALLY WANTED TO BE HERE, BUT 117 00:05:23,640 --> 00:05:28,920 YOU KNOW, HE WAS UNABLE TO. 118 00:05:28,920 --> 00:05:32,760 AND THE MESSAGE FROM YOU TO ME 119 00:05:32,760 --> 00:05:35,360 AS HE LOOKS FORWARD TO BE ABLE 120 00:05:35,360 --> 00:05:36,560 TO MAKE UP FOR IT, I DON'T KNOW 121 00:05:36,560 --> 00:05:39,640 HOW HE'S GOING TO DO IT, BUT 122 00:05:39,640 --> 00:05:42,040 SERIOUSLY, LOOKING FORWARD TO 123 00:05:42,040 --> 00:05:43,160 HIS RETURN TO THE OFFICE HERE. 124 00:05:43,160 --> 00:05:45,400 SO MY ROLE AS THE CHIEF 125 00:05:45,400 --> 00:05:46,640 OPERATING OFFICER, I'VE BEEN ON 126 00:05:46,640 --> 00:05:49,920 BOARD HERE FIVE YEARS NOW, IS 127 00:05:49,920 --> 00:05:53,560 PRIMARILY TO PROVIDE OVERSIGHT 128 00:05:53,560 --> 00:05:55,560 AND ALSO DAY TO DAY MANAGEMENT 129 00:05:55,560 --> 00:05:57,000 OF ALL THE CLINICAL CENTER 130 00:05:57,000 --> 00:05:57,320 OPERATIONS. 131 00:05:57,320 --> 00:06:00,000 SO YOU CAN LOOK AT ME AS THE 132 00:06:00,000 --> 00:06:03,360 DEPUTY TO JIM GILMAN, SUPPORTING 133 00:06:03,360 --> 00:06:04,920 AND MAKING SURE EVERYTHING RUNS 134 00:06:04,920 --> 00:06:08,280 AS SMOOTHLY AS IT CAN, TO MAKE 135 00:06:08,280 --> 00:06:10,040 SURE WE'RE PROVIDING THE PATIENT 136 00:06:10,040 --> 00:06:11,800 SAFETY, THE QUALITY OF CARE, THE 137 00:06:11,800 --> 00:06:12,880 ENVIRONMENT OF CARE AND 138 00:06:12,880 --> 00:06:15,080 EVERYTHING, YOU NAME IT. 139 00:06:15,080 --> 00:06:17,280 TO ALL THOSE PATIENTS THAT ARE 140 00:06:17,280 --> 00:06:18,520 ENTRUSTED TO OUR CARE HERE. 141 00:06:18,520 --> 00:06:20,200 AND THAT'S PRETTY MUCH WHAT MY 142 00:06:20,200 --> 00:06:20,760 ROLE IS. 143 00:06:20,760 --> 00:06:25,760 I DO HAVE THREE POINTS, THREE 144 00:06:25,760 --> 00:06:28,760 TAKEAWAYS FOR YOU, CLINICAL 145 00:06:28,760 --> 00:06:32,880 FELLOWS. 146 00:06:32,880 --> 00:06:37,640 I KNOW YOU'LL SPENTD A LOT OF SF 147 00:06:37,640 --> 00:06:39,600 TIMES, A LOT OF EFFORTS, AGAIN 148 00:06:39,600 --> 00:06:40,360 THREE MAIN POINTS FROM ME. 149 00:06:40,360 --> 00:06:41,880 FIRST AND FOREMOST, I WANT TO GO 150 00:06:41,880 --> 00:06:43,480 BACK AGAIN AND CONGRATULATE YOU, 151 00:06:43,480 --> 00:06:45,280 WHAT AN AWESOME OPPORTUNITY TO 152 00:06:45,280 --> 00:06:48,040 BE AT THE FINEST CLINICAL 153 00:06:48,040 --> 00:06:49,080 CENTER, MOST REFER TO AS THE 154 00:06:49,080 --> 00:06:52,400 HOUSE OF HOPE. 155 00:06:52,400 --> 00:06:56,160 IT'S A LONG JOURNEY, THREE YEA 156 00:06:56,160 --> 00:06:58,200 YEARS, FOUR YEARS, THEY'LL GO BY 157 00:06:58,200 --> 00:07:04,640 REAL FAST BUT A STEP TOWARDS 158 00:07:04,640 --> 00:07:06,760 BECOMING A STAFF CLINICIAN, 159 00:07:06,760 --> 00:07:08,520 CLINICIAN-SCIENTIST HERE AT NIH 160 00:07:08,520 --> 00:07:11,920 OR AN ORGANIZATION IN THE 161 00:07:11,920 --> 00:07:13,520 FUTURE, DEFINITELY GREAT JOURNEY 162 00:07:13,520 --> 00:07:17,680 AND WISH YOU ALL THE BEST AS YOU 163 00:07:17,680 --> 00:07:19,120 EMBARK ON THAT JOURNEY. 164 00:07:19,120 --> 00:07:22,880 NUMBER TWO, I'D BE REMISS IF I 165 00:07:22,880 --> 00:07:27,560 FAIL TO MENTION DR. CHUNG AND 166 00:07:27,560 --> 00:07:30,840 THE ENTIRE OFFICE, EXCEPTIONAL 167 00:07:30,840 --> 00:07:31,960 JOB TO EASE THE TRANSITION FOR 168 00:07:31,960 --> 00:07:33,960 YOU ALL TO BE HERE SINCE MONDAY 169 00:07:33,960 --> 00:07:35,920 AND STILL HERE, HOPEFULLY NONE 170 00:07:35,920 --> 00:07:37,400 OF YOU HAVE MADE THE DECISION TO 171 00:07:37,400 --> 00:07:39,240 WANT TO LEAVE US, BUT SERIOUSLY, 172 00:07:39,240 --> 00:07:43,000 WE'RE REALLY GLAD AND JOYCE, 173 00:07:43,000 --> 00:07:44,240 AWESOME, AWESOME JOB TO YOU AND 174 00:07:44,240 --> 00:07:45,040 YOUR TEAM FOR MAKING THAT 175 00:07:45,040 --> 00:07:46,040 HAPPEN. 176 00:07:46,040 --> 00:07:48,040 DO WE HAVE ANY PROGRAM DIRECTORS 177 00:07:48,040 --> 00:07:51,280 IN THE ROOM HERE WITH US, IN THE 178 00:07:51,280 --> 00:07:55,120 AUDIENCE? 179 00:07:55,120 --> 00:07:55,480 THERE YOU GO. 180 00:07:55,480 --> 00:07:56,720 THANK YOU SO MUCH FOR WHAT YOU 181 00:07:56,720 --> 00:07:58,160 DO EVERY DAY. 182 00:07:58,160 --> 00:08:01,400 AND FOR ALL THE PREP THAT YOU 183 00:08:01,400 --> 00:08:02,680 PUT TOGETHER TO WELCOME OUR 184 00:08:02,680 --> 00:08:04,440 NEWEST FELLOWS HERE ON BOARD. 185 00:08:04,440 --> 00:08:06,200 SO HOW ABOUT GIVING THEM A ROUND 186 00:08:06,200 --> 00:08:07,160 OF APPLAUSE, WOULD YOU? 187 00:08:07,160 --> 00:08:12,760 [APPLAUSE] 188 00:08:12,760 --> 00:08:13,600 THANKS. 189 00:08:13,600 --> 00:08:17,680 MY NEXT CHARGE TO YOU HAS TO DO 190 00:08:17,680 --> 00:08:19,960 WITH KIND OF LOOKING AND 191 00:08:19,960 --> 00:08:21,920 DEFINING THE ROLE OF THE 192 00:08:21,920 --> 00:08:24,280 CLINICAL CENTER LEADERSHIP ON 193 00:08:24,280 --> 00:08:27,360 THE SIXTH FLOOR, MOST OF THE 194 00:08:27,360 --> 00:08:28,280 FOLKS ARE SITTING RIGHT HERE IN 195 00:08:28,280 --> 00:08:29,840 FRONT OF YOU, INCLUDING MYSELF 196 00:08:29,840 --> 00:08:33,240 AND DR. GILMAN, AND REALLY WANT 197 00:08:33,240 --> 00:08:35,920 TO BE ABLE TO SHARE WITH YOU 198 00:08:35,920 --> 00:08:37,040 WHAT THOSE ROLES ARE. 199 00:08:37,040 --> 00:08:40,160 BECAUSE WHEN IT'S ALL SAID AND 200 00:08:40,160 --> 00:08:42,120 DONE, THE IMPORTANCE OF WHAT WE 201 00:08:42,120 --> 00:08:43,480 DO HERE IS TO MAKE SURE THAT 202 00:08:43,480 --> 00:08:45,480 WE'RE PROVIDING THE RIGHT CARE 203 00:08:45,480 --> 00:08:47,600 AT THE RIGHT TIME FOR ALL THOSE 204 00:08:47,600 --> 00:08:48,720 PATIENTS ENTRUSTED TO OUR CARE 205 00:08:48,720 --> 00:08:50,760 TO MAKE SURE WE ARE AGAIN 206 00:08:50,760 --> 00:08:52,040 PROVIDING THAT ENVIRONMENT WHERE 207 00:08:52,040 --> 00:08:54,360 IT IS SAFE FOR OUR PATIENTS TO 208 00:08:54,360 --> 00:08:59,200 BE HERE AS PARTNERS IN OUR CARE. 209 00:08:59,200 --> 00:09:06,200 AND I KNOW DRS. HAD IGA N, 210 00:09:06,200 --> 00:09:08,480 DR. JORDAN, WILL SHARE SOME 211 00:09:08,480 --> 00:09:08,920 INFORMATION. 212 00:09:08,920 --> 00:09:10,440 SO WHAT ARE WE ABOUT? 213 00:09:10,440 --> 00:09:11,560 WE'RE MAKING SURE WE HAVE A 214 00:09:11,560 --> 00:09:13,320 BUSINESS, TO MAKE SURE WE'RE 215 00:09:13,320 --> 00:09:16,240 PROVIDING APPROPRIATE RESOURCES 216 00:09:16,240 --> 00:09:21,640 THAT A PATIENT NEEDS, WHILE ALSO 217 00:09:21,640 --> 00:09:25,040 SIMULTANEOUSLY PATIENT CARE, 218 00:09:25,040 --> 00:09:26,480 PRIMARY IMPORTANCE FOR ALL OF US 219 00:09:26,480 --> 00:09:26,960 HERE. 220 00:09:26,960 --> 00:09:28,960 WHY ARE WE HERE, THE FOLKS ON 221 00:09:28,960 --> 00:09:29,600 THE SIXTH FLOOR? 222 00:09:29,600 --> 00:09:32,480 BY MAKING SURE THAT WE'RE 223 00:09:32,480 --> 00:09:34,080 PROVIDING AN ENVIRONMENT FOR ALL 224 00:09:34,080 --> 00:09:35,720 OUR CLINICAL RESEARCH FELLOWS, 225 00:09:35,720 --> 00:09:38,480 CLINICAL FELLOWS, ALL OUR 226 00:09:38,480 --> 00:09:41,320 STUDENTS IN TRAINING, RESIDENTS 227 00:09:41,320 --> 00:09:43,160 HERE, THAT ENVIRONMENT, WHERE 228 00:09:43,160 --> 00:09:46,360 THEY WILL BE ABLE TO LEARN AND 229 00:09:46,360 --> 00:09:47,720 ENJOY FOR THE TIME THEY ARE HERE 230 00:09:47,720 --> 00:09:49,560 WITH US ON CAMPUS. 231 00:09:49,560 --> 00:09:53,160 WHAT ARE WE ABOUT? 232 00:09:53,160 --> 00:09:55,240 WE ARE ABOUT MAKING SURE WE 233 00:09:55,240 --> 00:09:57,520 PROVIDE AND WE ENSURE THAT ALL 234 00:09:57,520 --> 00:09:58,760 OUR PATIENTS THAT ARE ENTRUSTED 235 00:09:58,760 --> 00:10:00,400 TO OUR CARE ARE TREATED 236 00:10:00,400 --> 00:10:01,800 PROPERLY. 237 00:10:01,800 --> 00:10:04,000 WHEN IT'S ALL SAID AND DONE, 238 00:10:04,000 --> 00:10:05,840 WITHOUT OUR PARTNERS, WITHOUT 239 00:10:05,840 --> 00:10:08,080 OUR PATIENTS, WE WOULD NOT BE 240 00:10:08,080 --> 00:10:09,480 HERE, SO MY CHARGE TO YOU IS TO 241 00:10:09,480 --> 00:10:13,320 MAKE SURE 24/7, 365 DAYS A YEAR, 242 00:10:13,320 --> 00:10:14,640 WE'RE TAKING CARE OF THAT 243 00:10:14,640 --> 00:10:16,040 PATIENT, WE'RE LISTENING TO 244 00:10:16,040 --> 00:10:18,000 THEM. 245 00:10:18,000 --> 00:10:19,320 AND WE'RE PROVIDING THEM WHAT 246 00:10:19,320 --> 00:10:22,160 THEY NEED TO BE ABLE TO DO 247 00:10:22,160 --> 00:10:23,400 EVERYTHING THAT THEY NEED TO GET 248 00:10:23,400 --> 00:10:24,320 DONE HERE BEFORE THEY LEAVE 249 00:10:24,320 --> 00:10:27,000 HERE. 250 00:10:27,000 --> 00:10:28,520 THE LAST BUT NOT THE LEAST, MY 251 00:10:28,520 --> 00:10:31,240 CHARGE TO YOU, THOUGH, WHILE 252 00:10:31,240 --> 00:10:32,360 YOU'RE HERE, IS TO ENJOY 253 00:10:32,360 --> 00:10:33,240 YOURSELF. 254 00:10:33,240 --> 00:10:34,200 HAVE A GREAT TIME. 255 00:10:34,200 --> 00:10:34,960 HAVE FUN. 256 00:10:34,960 --> 00:10:36,280 IT'S GOING TO BE THREE TO FOUR 257 00:10:36,280 --> 00:10:36,640 YEARS. 258 00:10:36,640 --> 00:10:39,360 WHY NOT MAKE THE BEST OF IT. 259 00:10:39,360 --> 00:10:40,680 TAKE CARE OF EACH OTHER, TAKE 260 00:10:40,680 --> 00:10:44,120 CARE OF YOURSELF, AND MOST 261 00:10:44,120 --> 00:10:45,920 IMPORTANTLY, OUR PATIENT 262 00:10:45,920 --> 00:10:47,320 PARTNERS, MY CHARGE TO YOU IS TO 263 00:10:47,320 --> 00:10:48,320 TAKE CARE OF THEM. 264 00:10:48,320 --> 00:10:50,840 AND I WANT TO WISH YOU AGAIN ALL 265 00:10:50,840 --> 00:10:52,360 CONGRATULATIONS FOR BEING HERE, 266 00:10:52,360 --> 00:10:54,680 AND LOOK FORWARD TO WORKING WITH 267 00:10:54,680 --> 00:10:56,280 YOU, AND ENJOY YOUR THREE TO 268 00:10:56,280 --> 00:10:57,400 FOUR YEARS THAT'S GOING TO BE ON 269 00:10:57,400 --> 00:10:58,040 CAMPUS HERE. 270 00:10:58,040 --> 00:10:59,400 THANK YOU. 271 00:10:59,400 --> 00:11:09,560 [APPLAUSE] 272 00:11:09,800 --> 00:11:12,040 GLL GO 273 00:11:12,040 --> 00:11:14,040 >>GOOD AFTERNOON, EVERYONE. 274 00:11:14,040 --> 00:11:14,280 WELCOME. 275 00:11:14,280 --> 00:11:15,520 I KNOW PEOPLE ARE STILL 276 00:11:15,520 --> 00:11:20,280 TRICKLING IN SO I'LL ELW I'LL WE 277 00:11:20,280 --> 00:11:20,800 YOU. 278 00:11:20,800 --> 00:11:24,080 I'M COLLEEN HAD IGA N, I HAVE 279 00:11:24,080 --> 00:11:25,600 BEEN IN THE CLINICAL CENTER 280 00:11:25,600 --> 00:11:27,240 WORKING FOR -- I CAME IN JULY, 281 00:11:27,240 --> 00:11:28,680 LIKE SO MANY OF US ON THE 282 00:11:28,680 --> 00:11:30,560 ACADEMIC MEDICAL CYCLE, I CAME 283 00:11:30,560 --> 00:11:32,200 IN JULY, IN 2006, SO I'VE BEEN 284 00:11:32,200 --> 00:11:35,800 HERE FOR A MINUTE. 285 00:11:35,800 --> 00:11:36,800 BUT I'VE BEEN IN THE OFFICE AS 286 00:11:36,800 --> 00:11:38,040 THE CHIEF MEDICAL OFFICER JUST 287 00:11:38,040 --> 00:11:39,200 FOR THE LAST COUPLE OF YEARS, SO 288 00:11:39,200 --> 00:11:40,440 I'M ACTUALLY THRILLED TO BE IN 289 00:11:40,440 --> 00:11:43,320 THIS ROOM SEEING FACES AND 290 00:11:43,320 --> 00:11:44,320 MEETING PEOPLE IN PERSON. 291 00:11:44,320 --> 00:11:45,680 THE FIRST TIME I GAVE THIS TALK, 292 00:11:45,680 --> 00:11:47,720 I WAS IN SARATOGA ON A COMPUTER, 293 00:11:47,720 --> 00:11:49,280 AND THE LAST TIME I GAVE IT, I 294 00:11:49,280 --> 00:11:51,000 THINK I WAS IN MY OFFICE BUT 295 00:11:51,000 --> 00:11:53,400 KIND OF ALONE AND TALKING TO A 296 00:11:53,400 --> 00:11:53,800 SCREEN. 297 00:11:53,800 --> 00:11:55,120 SO IT'S REALLY NICE TO SEE YOU 298 00:11:55,120 --> 00:11:56,160 ALL HERE, AND I HOPE THAT YOU'RE 299 00:11:56,160 --> 00:11:57,360 GOING TO HAVE A WONDERFUL TIME 300 00:11:57,360 --> 00:11:57,680 HERE. 301 00:11:57,680 --> 00:11:58,680 THERE ARE JUST A FEW THINGS THAT 302 00:11:58,680 --> 00:12:00,760 I WANT TO TOUCH ON ABOUT HOW WE 303 00:12:00,760 --> 00:12:03,000 CARE FOR PATIENTS HERE AND HOW 304 00:12:03,000 --> 00:12:05,120 YOU ARE SUCH AN INTEGRAL PART OF 305 00:12:05,120 --> 00:12:06,320 THAT CARE. 306 00:12:06,320 --> 00:12:07,600 AND YOU'VE PROBABLY HEARD THIS 307 00:12:07,600 --> 00:12:09,960 BY LOOKING THROUGH BROCHURES AND 308 00:12:09,960 --> 00:12:11,400 EVERYTHING, BUT JUST RECOGNIZE 309 00:12:11,400 --> 00:12:14,400 THAT WE HAVE, YOU KNOW, 17 310 00:12:14,400 --> 00:12:15,720 INSTITUTIONS THAT HAVE A 311 00:12:15,720 --> 00:12:16,840 CLINICAL PRESENCE HERE IN THE 312 00:12:16,840 --> 00:12:17,400 CLINICAL CENTER. 313 00:12:17,400 --> 00:12:19,040 SO THEY HAVE RESEARCH PROTOCOLS 314 00:12:19,040 --> 00:12:22,280 AND PATIENT CARE DUTIES AND 315 00:12:22,280 --> 00:12:23,040 RESPONSIBILITY RELATED TO THAT 316 00:12:23,040 --> 00:12:23,640 RESEARCH. 317 00:12:23,640 --> 00:12:26,640 BUT WE ALSO HAVE OVER 12 MEDICAL 318 00:12:26,640 --> 00:12:27,680 DEPARTMENTS THAT ARE SUPPORTED 319 00:12:27,680 --> 00:12:28,800 BY THE CLINICAL CENTER. 320 00:12:28,800 --> 00:12:32,560 SO THAT WE CAN PROVIDE THAT 321 00:12:32,560 --> 00:12:34,960 STANDARD RADIOLOGY, REHAB 322 00:12:34,960 --> 00:12:35,480 MEDICINE, CRITICAL CARE 323 00:12:35,480 --> 00:12:35,880 MEDICINE. 324 00:12:35,880 --> 00:12:36,800 SO THERE ARE DEPARTMENTS THAT 325 00:12:36,800 --> 00:12:39,800 ARE STOOD UP NOT BY INSTITUTES 326 00:12:39,800 --> 00:12:40,800 BUT BY THE CLINICAL CENTER. 327 00:12:40,800 --> 00:12:42,280 THOSE ARE THE ONES I HAVE 328 00:12:42,280 --> 00:12:43,280 OVERSIGHT FOR AND WORK CLOSELY 329 00:12:43,280 --> 00:12:44,400 WITH THE INSTITUTES TO MAKE SURE 330 00:12:44,400 --> 00:12:45,600 WE CAN PROVIDE THE FULL UMBRELLA 331 00:12:45,600 --> 00:12:46,880 OF CARE FOR ALL THE PATIENTS WHO 332 00:12:46,880 --> 00:12:49,440 COME HERE. 333 00:12:49,440 --> 00:12:51,080 SO THAT UNIQUE ENVIRONMENT 334 00:12:51,080 --> 00:12:52,080 CREATES A COMMUNITY AND WHEN WE 335 00:12:52,080 --> 00:12:54,480 ALL DO OUR PART, EVERYTHING GOES 336 00:12:54,480 --> 00:12:59,280 PERFECTLY, RIGHT? 337 00:12:59,280 --> 00:13:00,800 WE HAVE SOME UNIQUE STRENGTHS 338 00:13:00,800 --> 00:13:02,120 AND WE HAVE SOME UNIQUE 339 00:13:02,120 --> 00:13:02,440 WEAKNESSES. 340 00:13:02,440 --> 00:13:04,200 ONE OF OUR UNIQUE STRENGTHS IS 341 00:13:04,200 --> 00:13:05,960 YOUR TALL INTERAND THE 342 00:13:05,960 --> 00:13:07,040 INCREDIBLE TALENT OF ALL THE 343 00:13:07,040 --> 00:13:07,960 INDIVIDUALS IN THIS BUILDING. 344 00:13:07,960 --> 00:13:09,360 IF YOU'RE FORTUNATE AND YOU 345 00:13:09,360 --> 00:13:10,320 LIKELY WILL HAVE AN OPPORTUNITY 346 00:13:10,320 --> 00:13:13,440 TO BE IN A ROOM SPEAKING WITH 347 00:13:13,440 --> 00:13:14,080 NOBEL PRIZE-WINNING PHYSICIANS 348 00:13:14,080 --> 00:13:15,520 AND OTHERS WHO HAVE DEFINED OR 349 00:13:15,520 --> 00:13:17,600 CHANGED THEIR FIELD. 350 00:13:17,600 --> 00:13:19,240 SO THAT'S ONE OF YOUR UNIQUE 351 00:13:19,240 --> 00:13:21,520 PRIF LEDGES AND ONE OF OUR 352 00:13:21,520 --> 00:13:22,000 STRENGTHS. 353 00:13:22,000 --> 00:13:23,200 BUT WE ALSO HAVE SOME 354 00:13:23,200 --> 00:13:23,480 WEAKNESSES. 355 00:13:23,480 --> 00:13:25,920 WE ARE NOT A FULL-SERVICE 356 00:13:25,920 --> 00:13:26,760 HOSPITAL IN THE TRADITIONAL 357 00:13:26,760 --> 00:13:27,040 SENSE. 358 00:13:27,040 --> 00:13:28,520 MANY OF YOU ARE COMING FROM KIND 359 00:13:28,520 --> 00:13:31,400 OF LARGE ACADEMIC MEDICAL 360 00:13:31,400 --> 00:13:32,240 CENTERS WHERE EVERYTHING WAS 361 00:13:32,240 --> 00:13:33,120 AVAILABLE WITHIN THE CENTER THAT 362 00:13:33,120 --> 00:13:35,320 YOU WORKED IN. 363 00:13:35,320 --> 00:13:37,360 BUT WE HAVE SOME GAPS AND 364 00:13:37,360 --> 00:13:38,720 POCKETS, SO YOU HAVE TO BE SURE 365 00:13:38,720 --> 00:13:39,920 THAT YOU'RE AWARE OF THEM. 366 00:13:39,920 --> 00:13:43,080 WE DON'T HAVE AN EMERGENCY ROOM. 367 00:13:43,080 --> 00:13:44,320 THERE ARE SOME THINGS WE CAN'T 368 00:13:44,320 --> 00:13:46,120 DO HERE, LIKE A MAMMOGRAM. 369 00:13:46,120 --> 00:13:47,560 SO YOU'LL LEARN AS YOU GO 370 00:13:47,560 --> 00:13:48,640 THROUGH YOUR FELLOWSHIP THAT 371 00:13:48,640 --> 00:13:50,000 THERE MIGHT BE THINGS THAT 372 00:13:50,000 --> 00:13:51,520 YOU'RE KIND OF TAKEN ABACK, I 373 00:13:51,520 --> 00:13:52,720 CAN'T BELIEVE WE CAN'T DO THAT, 374 00:13:52,720 --> 00:13:53,160 RIGHT? 375 00:13:53,160 --> 00:13:54,640 SO I ASK THAT YOU ADVOCATE FOR 376 00:13:54,640 --> 00:13:55,640 YOUR PATIENTS, THAT YOU ASK FOR 377 00:13:55,640 --> 00:13:56,960 HELP IF THEY NEED SOMETHING THAT 378 00:13:56,960 --> 00:13:58,400 WE DON'T OFFER BECAUSE WE FIGURE 379 00:13:58,400 --> 00:13:59,680 OUT A WAY TO GET IT FOR THEM 380 00:13:59,680 --> 00:14:01,320 WHEN THEY REALLY NEED IT. 381 00:14:01,320 --> 00:14:04,520 OKAY? 382 00:14:04,520 --> 00:14:06,840 ANOTHER UNIQUE PRIVILEGE WE HAVE 383 00:14:06,840 --> 00:14:10,000 IS THAT WE DON'T -- EVERYBODY 384 00:14:10,000 --> 00:14:11,560 WHO COMES HERE IS PARTICIPATING 385 00:14:11,560 --> 00:14:12,760 IN A RESEARCH PROTOCOL. 386 00:14:12,760 --> 00:14:13,800 THE CARE THAT THEY'RE PROVIDED 387 00:14:13,800 --> 00:14:14,920 IN THE CONTEXT OF THAT PROTOCOL 388 00:14:14,920 --> 00:14:17,000 IS ALL DONE WITHOUT ANY BILLING 389 00:14:17,000 --> 00:14:17,440 AT ALL. 390 00:14:17,440 --> 00:14:19,400 SO THAT'S A GREAT PRIVILEGE AND 391 00:14:19,400 --> 00:14:21,040 ONE THAT WE WANT TO UTILIZE OUR 392 00:14:21,040 --> 00:14:22,720 RESOURCES TO THE BEST TO ADVANCE 393 00:14:22,720 --> 00:14:26,200 BOTH THE CARE OF THAT PATIENT 394 00:14:26,200 --> 00:14:27,920 AND ADVANCE THE KNOWLEDGE FROM 395 00:14:27,920 --> 00:14:30,280 THE RESEARCH THAT WE'RE 396 00:14:30,280 --> 00:14:37,720 CONDUCTING. 397 00:14:37,720 --> 00:14:39,040 SO WHAT DO YOU ALL NEED TO KNOW 398 00:14:39,040 --> 00:14:41,000 TO BE ABLE TO PROVIDE CARE IN A 399 00:14:41,000 --> 00:14:41,760 UNIQUE ENVIRONMENT THAT YOU'RE 400 00:14:41,760 --> 00:14:43,200 NOT FAMILIAR WITH? 401 00:14:43,200 --> 00:14:46,400 SO THIS IS KIND OF LIKE YOUR OWN 402 00:14:46,400 --> 00:14:47,960 911, OR WHERE ARE THE THINGS 403 00:14:47,960 --> 00:14:49,360 THAT YOU'RE GOING TO NEED WHEN 404 00:14:49,360 --> 00:14:50,400 YOU'RE HERE IN THE BUILDING IN 405 00:14:50,400 --> 00:14:51,640 THE MIDDLE OF THE NIGHT, AND YOU 406 00:14:51,640 --> 00:14:53,320 NEED TO GET HELP OR YOU NEED -- 407 00:14:53,320 --> 00:14:54,280 YOU DON'T KNOW THE ANSWER TO 408 00:14:54,280 --> 00:14:55,440 SOMETHING. 409 00:14:55,440 --> 00:14:57,880 SO THERE'S AN INTRANET PAGE AND 410 00:14:57,880 --> 00:14:59,160 THERE'S A PATIENT CARE SECTION 411 00:14:59,160 --> 00:15:00,520 WHERE THERE ARE A LOT OF 412 00:15:00,520 --> 00:15:01,480 ALGORITHMS, LINKS AND WEBSITES 413 00:15:01,480 --> 00:15:03,560 THAT YOU CAN GO TO, BUT I 414 00:15:03,560 --> 00:15:05,560 CERTAINLY HIGHLIGHTED THE FACT 415 00:15:05,560 --> 00:15:07,120 THAT WE HAVE A ROBUST CRITICAL 416 00:15:07,120 --> 00:15:08,480 CARE MEDICINE EMERGENCY RESPONSE 417 00:15:08,480 --> 00:15:11,600 WITHIN THE HOSPITAL, AND THERE 418 00:15:11,600 --> 00:15:12,720 ARE MANY DIFFERENT WAYS IN WHICH 419 00:15:12,720 --> 00:15:15,360 YOU CAN ACCESS AND UTILIZE THEIR 420 00:15:15,360 --> 00:15:16,560 SUPPORT, SO YOU SHOULD BECOME 421 00:15:16,560 --> 00:15:17,960 FAMILIAR WITH THAT. 422 00:15:17,960 --> 00:15:19,600 AND THEN THAT ONE SECTION THERE, 423 00:15:19,600 --> 00:15:20,800 I'M JUST GOING TO REMIND 424 00:15:20,800 --> 00:15:22,560 EVERYBODY THAT IF YOU PICK UP A 425 00:15:22,560 --> 00:15:24,760 LANDLINE, YOU CAN JUST DIAL 111, 426 00:15:24,760 --> 00:15:26,400 AND THAT WILL CALL A CODE BLUE, 427 00:15:26,400 --> 00:15:28,000 BUT IF YOU'RE USING YOUR CELL 428 00:15:28,000 --> 00:15:30,000 PHONE, WHICH MANY OF YOU WILL 429 00:15:30,000 --> 00:15:31,560 PROBABLY ALL BE USING, YOU WANT 430 00:15:31,560 --> 00:15:34,840 TO DIAL 301-496-9911. 431 00:15:34,840 --> 00:15:36,120 SO IF YOU WANT, YOU CAN ALL GET 432 00:15:36,120 --> 00:15:37,480 OUT YOUR PHONES NOW AND PUT IT 433 00:15:37,480 --> 00:15:38,440 IN YOUR CONTACTS. 434 00:15:38,440 --> 00:15:39,360 THAT WAY WHEN YOU'RE IN THE 435 00:15:39,360 --> 00:15:40,320 MIDDLE OF THE NIGHT AND YOU NEED 436 00:15:40,320 --> 00:15:42,600 TO CALL A CODE BLUE, YOU JUST 437 00:15:42,600 --> 00:15:44,120 TOUCH CODE BLUE AND YOU'LL CALL 438 00:15:44,120 --> 00:15:46,320 THAT NUMBER. 439 00:15:46,320 --> 00:15:48,520 SO THAT'S NUMBER ONE. 440 00:15:48,520 --> 00:15:50,000 THIS IS JUST A LITTLE MORE 441 00:15:50,000 --> 00:15:50,640 INFORMATION ABOUT THE DIFFERENT 442 00:15:50,640 --> 00:15:52,040 WAYS YOU CAN GET EMERGENCY HELP 443 00:15:52,040 --> 00:15:55,400 IN THE MIDDLE OF THE MIGHT. 444 00:15:55,400 --> 00:15:57,280 IF YOU HAVE A WATCHER AND YOU'RE 445 00:15:57,280 --> 00:15:59,200 JUST NOT SURE IF THIS PERSON 446 00:15:59,200 --> 00:16:01,000 NEEDS TO ESCALATE CARE, YOU CAN 447 00:16:01,000 --> 00:16:02,720 CALL A CRITICAL CARE CONSULT. 448 00:16:02,720 --> 00:16:04,400 THEY'LL COME UP WITHIN AN HOUR, 449 00:16:04,400 --> 00:16:05,840 AND THEY CAN TALK YOU THROUGH 450 00:16:05,840 --> 00:16:06,880 THE PATIENT. 451 00:16:06,880 --> 00:16:08,520 YOU CAN DO A RAPID RESPONSE. 452 00:16:08,520 --> 00:16:10,280 THAT'S NOT A FULL CODE BLUE BUT 453 00:16:10,280 --> 00:16:12,680 SOMEBODY WHO MAYBE NEEDS A CHEST 454 00:16:12,680 --> 00:16:15,320 X-RAY, AN EKG STAT TO ASSESS 455 00:16:15,320 --> 00:16:17,520 THEIR KIND OF CARDIORESPIRATORY 456 00:16:17,520 --> 00:16:18,920 STATUS, AND THEN THERE'S A FULL 457 00:16:18,920 --> 00:16:19,720 CODE BLUE. 458 00:16:19,720 --> 00:16:21,560 WE TEND TO CALL CODE BLUES A LOT 459 00:16:21,560 --> 00:16:23,440 MORE FREQUENTLY AND READILY THAN 460 00:16:23,440 --> 00:16:24,760 MAYBE WHAT YOU'VE EXPERIENCED IN 461 00:16:24,760 --> 00:16:26,160 YOUR OUTSIDE HOSPITALS. 462 00:16:26,160 --> 00:16:27,440 AND THAT'S BECAUSE WE HAVE THE 463 00:16:27,440 --> 00:16:28,480 ABILITY TO DO SO. 464 00:16:28,480 --> 00:16:29,560 AND WE WANT TO MAKE SURE THAT 465 00:16:29,560 --> 00:16:31,000 WE'RE DOING THE ABSOLUTE BEST 466 00:16:31,000 --> 00:16:31,520 FOR THE PATIENT. 467 00:16:31,520 --> 00:16:32,960 SO YOU DON'T HAVE TO WAIT FOR 468 00:16:32,960 --> 00:16:34,800 SOMEBODY TO BE PULSELESS TO CALL 469 00:16:34,800 --> 00:16:38,640 A CODE BLUE HERE, OKAY? 470 00:16:38,640 --> 00:16:41,440 ANOTHER THING THAT WE PROVIDE 471 00:16:41,440 --> 00:16:43,240 SUPPORT FOR, FOR THE NON- -- 472 00:16:43,240 --> 00:16:44,520 BECAUSE OF THE FACT THAT WE 473 00:16:44,520 --> 00:16:45,880 DON'T HAVE AN EMERGENCY ROOM, IS 474 00:16:45,880 --> 00:16:48,080 KIND OF THIS UNPLANNED 475 00:16:48,080 --> 00:16:48,800 AFTER-HOUR OUTPATIENT 476 00:16:48,800 --> 00:16:49,720 ASSESSMENT. 477 00:16:49,720 --> 00:16:51,960 SO AS YOU MAY HAVE HEARD, WE 478 00:16:51,960 --> 00:16:53,640 HAVE BOTH A LODGE AND A 479 00:16:53,640 --> 00:16:55,120 CHILDREN'S INN ON THE PROPERTY, 480 00:16:55,120 --> 00:16:56,680 SO MANY OF OUR PATIENTS ARE 481 00:16:56,680 --> 00:16:57,960 ACTUALLY RESIDING IN THESE 482 00:16:57,960 --> 00:17:00,240 RESIDENTIAL FACILITIES OUTSIDE 483 00:17:00,240 --> 00:17:01,720 THE HOSPITAL, WHILE THEY'RE 484 00:17:01,720 --> 00:17:03,440 GETTING SOME COMPLEX CARE HERE. 485 00:17:03,440 --> 00:17:05,280 AND SO THOSE INDIVIDUALS AND 486 00:17:05,280 --> 00:17:06,840 OTHERS IN THE GENERAL COMMUNITY 487 00:17:06,840 --> 00:17:08,360 MAY CALL YOU WHEN YOU'RE ON CALL 488 00:17:08,360 --> 00:17:10,160 AT NIGHT TO SAY, OH, I JUST CAME 489 00:17:10,160 --> 00:17:11,760 IN AND RECEIVED CHEMO, AND NOW 490 00:17:11,760 --> 00:17:13,560 I'M HAVING THIS SYMPTOM. 491 00:17:13,560 --> 00:17:15,480 NOW, IT'S AFTER HOURS OR IT'S ON 492 00:17:15,480 --> 00:17:17,280 THE WEEKEND, AND YOU'RE LIKE NOW 493 00:17:17,280 --> 00:17:18,040 WHAT DO I DO? 494 00:17:18,040 --> 00:17:19,280 WHERE CAN I GO TO ASSESS THIS 495 00:17:19,280 --> 00:17:20,960 PATIENT? 496 00:17:20,960 --> 00:17:22,840 AND SO THIS IS NOT AN OPEN 497 00:17:22,840 --> 00:17:24,320 CLINIC, BUT AT LEAST IT'S ONE 498 00:17:24,320 --> 00:17:26,560 PLACE THAT YOU COULD TAKE A SICK 499 00:17:26,560 --> 00:17:27,920 PERSON THAT NEEDS TO BE ASSESSED 500 00:17:27,920 --> 00:17:29,960 THAT YOU THINK MAYBE NEEDS TO BE 501 00:17:29,960 --> 00:17:31,160 ADMITTED BUT YOU'RE NOT QUITE 502 00:17:31,160 --> 00:17:32,600 SURE, AND SO I'M JUST ALERTING 503 00:17:32,600 --> 00:17:33,280 YOU TO THIS. 504 00:17:33,280 --> 00:17:35,960 THERE'S A LINK TO IT IN THE 505 00:17:35,960 --> 00:17:37,040 INTRANET PAGE, BUT ESSENTIALLY 506 00:17:37,040 --> 00:17:39,040 IF YOU GET THAT CALL OVERNIGHT 507 00:17:39,040 --> 00:17:41,400 OR WEEKEND, YOU CAN CALL THE AC, 508 00:17:41,400 --> 00:17:43,320 WHICH IS OUR KIND OF 509 00:17:43,320 --> 00:17:44,640 ADMINISTRATIVE COORDINATING 510 00:17:44,640 --> 00:17:46,400 NURSE, THAT'S AN IMPORTANT 511 00:17:46,400 --> 00:17:47,680 NUMBER TO KNOW TOO, SO IF YOU 512 00:17:47,680 --> 00:17:49,120 WANT TO PUT ANOTHER NUMBER IN 513 00:17:49,120 --> 00:17:53,160 YOUR PHONE, 301-496-1211 IS FOR 514 00:17:53,160 --> 00:17:55,240 THE AC. 515 00:17:55,240 --> 00:17:58,040 THAT ADMINISTRATIVE COORDINATOR 516 00:17:58,040 --> 00:17:59,080 IS THE PERSON YOU'RE GOING TO 517 00:17:59,080 --> 00:18:00,480 CALL NIGHTS AND WEEKENDS IF 518 00:18:00,480 --> 00:18:01,720 YOU'VE GOT TO DO SOMETHING WITH 519 00:18:01,720 --> 00:18:03,640 A PATIENT THAT WASN'T PLANNED. 520 00:18:03,640 --> 00:18:04,920 ESPECIALLY LIKE AN UNPLANNED 521 00:18:04,920 --> 00:18:05,960 ADMISSION OR UNPLANNED 522 00:18:05,960 --> 00:18:07,360 ASSESSMENT IN THIS OFF HOURS 523 00:18:07,360 --> 00:18:07,920 SPACE. 524 00:18:07,920 --> 00:18:09,360 SO WHAT YOU DO IS WE ASK YOU 525 00:18:09,360 --> 00:18:10,880 CALL THE AC, COORDINATE FOR THIS 526 00:18:10,880 --> 00:18:11,600 PATIENT TO COME. 527 00:18:11,600 --> 00:18:13,680 IN MOST CASES WE DO THIS 528 00:18:13,680 --> 00:18:15,360 ASSESSMENT IF IT'S AN ADULT IN 529 00:18:15,360 --> 00:18:16,920 THE ICU WHERE YOU HAVE RESOURCES 530 00:18:16,920 --> 00:18:18,840 IN CASE THE PATIENT 531 00:18:18,840 --> 00:18:20,120 DECOMPENSATES QUICKLY, AND THEN 532 00:18:20,120 --> 00:18:21,640 YOU HAVE A COUPLE OF HOURS WITH 533 00:18:21,640 --> 00:18:23,280 YOUR ATTENDING SERVICE TO DECIDE 534 00:18:23,280 --> 00:18:24,560 ARE WE GOING TO ADMIT THIS 535 00:18:24,560 --> 00:18:25,800 PATIENT OR CAN WE DISCHARGE 536 00:18:25,800 --> 00:18:28,280 THEM, DO WE HAVE TO DO A SHORT 537 00:18:28,280 --> 00:18:29,200 TREATMENT, BUT WITHIN A COUPLE 538 00:18:29,200 --> 00:18:30,280 OF HOURS, YOU'RE SUPPOSED TO 539 00:18:30,280 --> 00:18:31,320 HAVE A KIND OF DISPOSITION FOR 540 00:18:31,320 --> 00:18:33,080 THE PATIENT. 541 00:18:33,080 --> 00:18:35,120 SO WITH THAT, I THINK THOSE WERE 542 00:18:35,120 --> 00:18:37,080 THE KEY THINGS THAT I WANTED TO 543 00:18:37,080 --> 00:18:37,600 HIT ON. 544 00:18:37,600 --> 00:18:41,000 I WANTED TO POINT OUT THAT I 545 00:18:41,000 --> 00:18:44,320 CAME HERE FROM A LARGE ACADEMIC 546 00:18:44,320 --> 00:18:46,800 MEDICAL CENTER WHERE I WOULD DO, 547 00:18:46,800 --> 00:18:50,240 YOU KNOW, 10 TO 15 CONSULTS IN A 548 00:18:50,240 --> 00:18:51,960 DAY, AND SO WHEN I WAS 549 00:18:51,960 --> 00:18:52,720 INTERVIEWING HERE TO COME, 550 00:18:52,720 --> 00:18:54,600 SOMEBODY SAID OH, YOU MIGHT DO 551 00:18:54,600 --> 00:18:55,600 LIKE ONE CONSULT A DAY. 552 00:18:55,600 --> 00:18:57,000 AND I LAUGHED OUT LOUD. 553 00:18:57,000 --> 00:18:59,480 I WAS LIKE, YOU'RE KIDDING ME, 554 00:18:59,480 --> 00:19:00,440 ONE CONSULT A DAY, THIS IS GOING 555 00:19:00,440 --> 00:19:01,840 TO BE THE EASIEST THING IN THE 556 00:19:01,840 --> 00:19:02,040 WORLD. 557 00:19:02,040 --> 00:19:04,000 BUT WHAT I DIDN'T TAKE 558 00:19:04,000 --> 00:19:05,040 APPRECIATION FOR WAS THAT THE 559 00:19:05,040 --> 00:19:06,120 PATIENTS HERE ARE REALLY 560 00:19:06,120 --> 00:19:06,960 COMPLICATED. 561 00:19:06,960 --> 00:19:09,680 AND SO YOU MAY -- YOU'LL BE 562 00:19:09,680 --> 00:19:12,320 BENEFITING FROM DOING LESS 563 00:19:12,320 --> 00:19:14,120 QUANTITY AND SO THE OPPORTUNITY 564 00:19:14,120 --> 00:19:15,600 THEN IS WE CAN DO BETTER 565 00:19:15,600 --> 00:19:16,360 QUALITY, RIGHT? 566 00:19:16,360 --> 00:19:17,800 YOU CAN -- YOU'LL HAVE THE 567 00:19:17,800 --> 00:19:19,760 PRIVILEGE OF HAVING THE TIME TO 568 00:19:19,760 --> 00:19:21,640 TALK TO THE PATIENTS, OH LEARN 569 00:19:21,640 --> 00:19:23,160 FROM THEM, AND FROM THE EXPERTS 570 00:19:23,160 --> 00:19:25,440 IN THE FIELD ABOUT THEIR 571 00:19:25,440 --> 00:19:27,960 DISEASE, AND YOU'LL HAVE THAT 572 00:19:27,960 --> 00:19:30,160 GREAT TIME TO LEARN YOURSELF 573 00:19:30,160 --> 00:19:33,680 ABOUT THE DISEASE TO PRACTICE 574 00:19:33,680 --> 00:19:35,240 YOUR SKILLS AND TO READ MORE, 575 00:19:35,240 --> 00:19:37,080 SO THAT YOU CAN BECOME A BETTER 576 00:19:37,080 --> 00:19:38,280 CLINICIAN AND RESEARCHER IN THAT 577 00:19:38,280 --> 00:19:42,520 SPACE. 578 00:19:42,520 --> 00:19:44,160 AND IT'S MY PRIVILEGE TO WELCOME 579 00:19:44,160 --> 00:19:47,560 YOU HERE TO THE CLINICAL CENTER. 580 00:19:47,560 --> 00:19:50,400 AND I'D JUST ASK -- THIS IS KIND 581 00:19:50,400 --> 00:19:53,240 OF REITERATING WHAT PIUS JUST 582 00:19:53,240 --> 00:19:54,880 SAID, IT'S TRULY A PRIVILEGE TO 583 00:19:54,880 --> 00:19:56,120 CARE FOR OUR PATIENTS TO PARTNER 584 00:19:56,120 --> 00:19:56,840 WITH US. 585 00:19:56,840 --> 00:19:58,600 EVERY PATIENT WHO HAS COME HERE 586 00:19:58,600 --> 00:20:01,040 HAS MADE A SACRIFICE TO BE HERE, 587 00:20:01,040 --> 00:20:02,160 HAS AGREAD TO BE A PARTICIPANT 588 00:20:02,160 --> 00:20:02,840 IN RESEARCH. 589 00:20:02,840 --> 00:20:05,480 AND WHILE THEY BENEFIT 590 00:20:05,480 --> 00:20:06,680 TREMENDOUSLY, FOR MANY OF THEM, 591 00:20:06,680 --> 00:20:08,040 IT'S ACTUALLY THE END OF A 592 00:20:08,040 --> 00:20:08,560 TERRIBLE JOURNEY. 593 00:20:08,560 --> 00:20:09,840 AND IT MAY END HERE. 594 00:20:09,840 --> 00:20:13,040 THAT IS A VERY DIFFICULT AND 595 00:20:13,040 --> 00:20:14,480 CHALLENGING THING FOR MANY OF US 596 00:20:14,480 --> 00:20:15,960 TO DEAL WITH. 597 00:20:15,960 --> 00:20:18,280 AND SO I'M ALREADY THANKING YOU 598 00:20:18,280 --> 00:20:20,040 IN ADVANCE FOR YOUR WILLINGNESS 599 00:20:20,040 --> 00:20:21,440 TO PARTICIPATE IN THAT DIFFICULT 600 00:20:21,440 --> 00:20:23,320 PART OF THE JOURNEY WITH THE 601 00:20:23,320 --> 00:20:25,560 PATIENTS, AND TO HONOR THEM FOR 602 00:20:25,560 --> 00:20:28,120 SHARING IT WITH US, ASK THAT YOU 603 00:20:28,120 --> 00:20:30,720 TAKE THE TIME TO LEARN FROM 604 00:20:30,720 --> 00:20:32,840 THEM, AND HONOR THEM BY BEING AN 605 00:20:32,840 --> 00:20:33,800 EXCELLENT PARTICIPANT IN THEIR 606 00:20:33,800 --> 00:20:34,440 CARE. 607 00:20:34,440 --> 00:20:36,360 SO THANK YOU. 608 00:20:36,360 --> 00:20:46,520 [APPLAUSE] 609 00:20:48,560 --> 00:20:50,240 >>GOOD AFTERNOON, AND WELCOME 610 00:20:50,240 --> 00:20:52,440 TO THE CLINICAL CENTER. 611 00:20:52,440 --> 00:20:54,960 I AM SO PLEASED TO BE ABLE TO 612 00:20:54,960 --> 00:20:57,400 MEET YOU AND WELCOME YOU HERE. 613 00:20:57,400 --> 00:20:58,200 I'M BARBARA JORDAN. 614 00:20:58,200 --> 00:21:01,360 I'M THE ACTING CHIEF NURSE AT 615 00:21:01,360 --> 00:21:03,000 THE CLINICAL CENTER. 616 00:21:03,000 --> 00:21:04,680 AND WHAT I WANTED TO SHARE WITH 617 00:21:04,680 --> 00:21:09,440 YOU IS JUST SOME WORDS REGARDING 618 00:21:09,440 --> 00:21:10,920 INTERDISCIPLINARY CARE, BUT ALSO 619 00:21:10,920 --> 00:21:13,520 TO SHARE WITH YOU WHAT'S A 620 00:21:13,520 --> 00:21:14,480 LITTLE BIT DIFFERENT ABOUT 621 00:21:14,480 --> 00:21:15,320 NURSES HERE AT THE CLINICAL 622 00:21:15,320 --> 00:21:16,840 CENTER COMPARED TO OTHER PLACES 623 00:21:16,840 --> 00:21:20,720 WHERE YOU'VE BEEN. 624 00:21:20,720 --> 00:21:24,160 SO I DON'T EXPECT YOU TO 625 00:21:24,160 --> 00:21:25,160 ACTUALLY -- WE'RE A BIG 626 00:21:25,160 --> 00:21:25,920 DEPARTMENT, THE NURSING 627 00:21:25,920 --> 00:21:26,960 DEPARTMENT IS THE LARGEST 628 00:21:26,960 --> 00:21:28,320 DEPARTMENT IN THE CLINICAL 629 00:21:28,320 --> 00:21:29,480 CENTER. 630 00:21:29,480 --> 00:21:32,440 THERE'S OVER 700 OF US IN THE 631 00:21:32,440 --> 00:21:33,200 NURSING DEPARTMENT. 632 00:21:33,200 --> 00:21:36,280 BUT WE DO HAVE SERVICE LINES, 633 00:21:36,280 --> 00:21:39,920 AND EVERY AREA HAS A NURSE 634 00:21:39,920 --> 00:21:40,480 MANAGER. 635 00:21:40,480 --> 00:21:41,880 SO SHOULD YOU NEED ASSISTANCE 636 00:21:41,880 --> 00:21:44,440 WITH ANYTHING IN A CLINIC, IN AN 637 00:21:44,440 --> 00:21:46,600 INPATIENT UNIT, IN THE O.R., WE 638 00:21:46,600 --> 00:21:48,520 HAVE NURSE MANAGERS THROUGHOUT 639 00:21:48,520 --> 00:21:52,400 WHO ARE AVAILABLE AND ABLE TO 640 00:21:52,400 --> 00:21:55,560 ASSIST. 641 00:21:55,560 --> 00:21:57,600 BUT THE NURSING PRACTICE HERE, 642 00:21:57,600 --> 00:21:59,160 BEING THE CLINICAL CENTER, IS 643 00:21:59,160 --> 00:21:59,960 DIFFERENT, THAT ALL OF THE 644 00:21:59,960 --> 00:22:01,680 NURSES ARE CLINICAL RESEARCH 645 00:22:01,680 --> 00:22:04,160 NURSES WHO WORK IN THE CLINICAL 646 00:22:04,160 --> 00:22:05,000 CENTER. 647 00:22:05,000 --> 00:22:07,760 AND SO CLINICAL RESEARCH NURSES 648 00:22:07,760 --> 00:22:11,240 HAVE FIVE DIFFERENT DOMAINS OF 649 00:22:11,240 --> 00:22:11,520 PRACTICE. 650 00:22:11,520 --> 00:22:13,600 CLINICAL PRACTICE, STUDY 651 00:22:13,600 --> 00:22:14,840 MANAGEMENT, CARE COORDINATION 652 00:22:14,840 --> 00:22:17,280 AND CONTINUITY, CONTRIBUTING TO 653 00:22:17,280 --> 00:22:19,360 THE SCIENCE, AND HUMAN SUBJECT 654 00:22:19,360 --> 00:22:21,840 PROTECTION. 655 00:22:21,840 --> 00:22:23,480 OUR NURSES PREDOMINANTLY FOCUS 656 00:22:23,480 --> 00:22:27,120 IN THE CLINICAL PRACTICE REALM. 657 00:22:27,120 --> 00:22:28,520 SO WE HAVE TWO DIFFERENT TYPES 658 00:22:28,520 --> 00:22:29,400 OF ROLES. 659 00:22:29,400 --> 00:22:30,280 SO THE CLINICAL RESEARCH NURSES 660 00:22:30,280 --> 00:22:31,760 ARE THE NURSES WHO ARE WORKING 661 00:22:31,760 --> 00:22:33,480 ON THE UNITS AND FLOORS, PART OF 662 00:22:33,480 --> 00:22:34,800 THE NURSING DEPARTMENT. 663 00:22:34,800 --> 00:22:36,960 WE ALSO HAVE RESEARCH NURSE 664 00:22:36,960 --> 00:22:40,360 COORDINATORS, AND THESE FOLKS 665 00:22:40,360 --> 00:22:41,440 PREDOMINANTLY WORK FOR THE 666 00:22:41,440 --> 00:22:43,400 INSTITUTES AND CENTERS, AND 667 00:22:43,400 --> 00:22:45,080 THEIR FOCUS IS ON THE 668 00:22:45,080 --> 00:22:47,400 IMPLEMENTATION OF CLINICAL 669 00:22:47,400 --> 00:22:50,440 STUDIES CARE COORDINATION, BUT 670 00:22:50,440 --> 00:22:52,640 THEY MOST OFTEN DON'T PROVIDE 671 00:22:52,640 --> 00:22:54,240 PATIENT CARE. 672 00:22:54,240 --> 00:22:55,480 THE CLINICAL RESEARCH NURSES WHO 673 00:22:55,480 --> 00:22:58,080 WORK FOR THE CLINICAL CENTER 674 00:22:58,080 --> 00:22:59,680 PROVIDE THE PATIENT CARE. 675 00:22:59,680 --> 00:23:01,200 WE CREDENTIAL BOTH THROUGH MY 676 00:23:01,200 --> 00:23:02,720 OFFICE BUT THEY'RE CREDENTIALED 677 00:23:02,720 --> 00:23:05,560 FOR DIFFERENT TYPES OF ROLES. 678 00:23:05,560 --> 00:23:08,200 THIS JUST SHOWS JUST A LITTLE 679 00:23:08,200 --> 00:23:11,920 COMPARISON BETWEEN A CRN AND A 680 00:23:11,920 --> 00:23:13,560 RESEARCH NURSE, AND AGAIN, YOU 681 00:23:13,560 --> 00:23:14,880 CAN JUST SEE THE CLINICAL 682 00:23:14,880 --> 00:23:16,800 PRACTICE IS JUST A LARGER SCOPE. 683 00:23:16,800 --> 00:23:19,400 WHAT THIS ALSO MEANS, THOUGH, IS 684 00:23:19,400 --> 00:23:21,840 THAT THE CALIBER OF THE NURSES 685 00:23:21,840 --> 00:23:23,000 WITH WHOM YOU'RE GOING TO BE 686 00:23:23,000 --> 00:23:24,480 WORKING IS REALLY HIGH. 687 00:23:24,480 --> 00:23:26,480 NOW I KNOW I MAY APPEAR TO BE A 688 00:23:26,480 --> 00:23:28,240 LITTLE BIASED ON THAT. 689 00:23:28,240 --> 00:23:30,000 BUT THEY REALLY -- BECAUSE THEY 690 00:23:30,000 --> 00:23:32,520 NOT ONLY HAVE TO BE EXPERTS IN 691 00:23:32,520 --> 00:23:35,240 PROVIDING THE CLINICAL CARE, BUT 692 00:23:35,240 --> 00:23:36,320 THEY ALSO HAVE TO KNOW THE 693 00:23:36,320 --> 00:23:37,360 RESEARCH PROTOCOLS AND HAVE 694 00:23:37,360 --> 00:23:39,400 ACCESS TO THEM, BECAUSE IF 695 00:23:39,400 --> 00:23:41,160 SOMEBODY MISSES A VITAL SIGN OR 696 00:23:41,160 --> 00:23:42,920 AN EKG AT A PARTICULAR TIME, 697 00:23:42,920 --> 00:23:44,560 THAT CAN BE A PROTOCOL 698 00:23:44,560 --> 00:23:45,080 DEVIATION. 699 00:23:45,080 --> 00:23:47,120 AND I GIVE THE SAME -- SO WHAT 700 00:23:47,120 --> 00:23:48,800 I'M SHARING WITH YOU IS WHAT I 701 00:23:48,800 --> 00:23:50,000 SHARE WITH THE NEW NURSES THAT I 702 00:23:50,000 --> 00:23:52,240 MEET IN ORIENTATION EVERY TWO 703 00:23:52,240 --> 00:23:52,440 WEEKS. 704 00:23:52,440 --> 00:23:55,040 BECAUSE IT'S REALLY IMPORTANT. 705 00:23:55,040 --> 00:23:58,200 SO THE NURSES HAVE TO HAVE A 706 00:23:58,200 --> 00:23:59,080 GOOD UNDERSTANDING OF THE 707 00:23:59,080 --> 00:24:01,640 RESEARCH PROTOCOLS, BUT THEY ARE 708 00:24:01,640 --> 00:24:03,240 REALLY GREAT PARTNERS. 709 00:24:03,240 --> 00:24:04,960 THEY ARE YOUR RESOURCES. 710 00:24:04,960 --> 00:24:06,720 AS YOU KNOW, HAVING WORKED IN 711 00:24:06,720 --> 00:24:09,360 OTHER ORGANIZATIONS, YOU KNOW, 712 00:24:09,360 --> 00:24:11,160 WORKING WITH STRONG NURSES CAN 713 00:24:11,160 --> 00:24:12,800 REALLY HELP THE PATIENT CARE, 714 00:24:12,800 --> 00:24:14,960 THE FAMILIES, AND MAKE THE DAY 715 00:24:14,960 --> 00:24:15,760 GO MUCH BETTER. 716 00:24:15,760 --> 00:24:18,880 SO THEY, TOO, ARE YOUR RESOURCES 717 00:24:18,880 --> 00:24:19,720 HERE. 718 00:24:19,720 --> 00:24:21,920 WHAT'S KEY, AND I DON'T WANT TO 719 00:24:21,920 --> 00:24:23,400 STEAL ANYONE'S THUNDER FOR LATER 720 00:24:23,400 --> 00:24:25,480 IN THE DAY, I'M LOOKING AT 721 00:24:25,480 --> 00:24:26,480 DR. LANGE, BUT IT'S 722 00:24:26,480 --> 00:24:27,960 COMMUNICATION, AND IT'S REALLY, 723 00:24:27,960 --> 00:24:29,480 REALLY IMPORTANT THAT WE 724 00:24:29,480 --> 00:24:30,440 COMMUNICATE WELL WITH ONE 725 00:24:30,440 --> 00:24:31,880 ANOTHER. 726 00:24:31,880 --> 00:24:34,160 SO MAKE SURE WE'RE NOT MISSING 727 00:24:34,160 --> 00:24:36,320 ANYTHING FOR PATIENTS. 728 00:24:36,320 --> 00:24:38,440 THEN DR. HADIGAN MENTIONED THE 729 00:24:38,440 --> 00:24:39,320 ADMINISTRATIVE COORDINATOR. 730 00:24:39,320 --> 00:24:41,800 SO THIS IS THE EQUIVALENT OF THE 731 00:24:41,800 --> 00:24:42,920 HOUSE SUPERVISOR OR NURSING 732 00:24:42,920 --> 00:24:44,520 SUPERVISOR. 733 00:24:44,520 --> 00:24:47,280 THE A.C. IS ONE OF YOUR GREATEST 734 00:24:47,280 --> 00:24:48,600 RESOURCES. 735 00:24:48,600 --> 00:24:49,600 THEY'RE HERE EVENINGS, NIGHTS 736 00:24:49,600 --> 00:24:51,440 AND WEEKENDS, AND CALLING THE 737 00:24:51,440 --> 00:24:52,640 HOSPITAL OPERATOR WILL GET YOU 738 00:24:52,640 --> 00:24:53,840 THE A.C. 739 00:24:53,840 --> 00:24:54,720 BECAUSE THEY CAN ANSWER ALL 740 00:24:54,720 --> 00:24:55,920 SORTS OF QUESTIONS. 741 00:24:55,920 --> 00:24:58,920 THEY'RE THE ON-SITE LEADER TO 742 00:24:58,920 --> 00:25:01,640 MAKE SURE THAT IF ANYTHING 743 00:25:01,640 --> 00:25:04,880 HAPPENS, THEY RESPOND TO CODES. 744 00:25:04,880 --> 00:25:08,920 WE ALSO HAVE CODE BERT. 745 00:25:08,920 --> 00:25:10,200 WHICH IS A BEHAVIORAL EMERGENCY 746 00:25:10,200 --> 00:25:11,480 RESPONSE TEAM, SHOULD WE HAVE A 747 00:25:11,480 --> 00:25:13,200 PATIENT OR VISITOR WHO NEEDS 748 00:25:13,200 --> 00:25:14,440 EXTRA ASSISTANCE. 749 00:25:14,440 --> 00:25:17,800 WHAT WE HAVE FOUND WITH CODE 750 00:25:17,800 --> 00:25:19,840 BERTS, IT'S NOT OUR BEHAVIORAL 751 00:25:19,840 --> 00:25:20,680 HEALTH PATIENTS THAT WE HAVE 752 00:25:20,680 --> 00:25:22,200 HERE FOR WHOM THE CODE BERTS ARE 753 00:25:22,200 --> 00:25:24,160 CALLED. 754 00:25:24,160 --> 00:25:26,680 IT'S PREDOMINANTLY OUR MED-SURG 755 00:25:26,680 --> 00:25:28,640 PATIENTS, ESPECIALLY THOSE WITH 756 00:25:28,640 --> 00:25:29,960 CNS LYMPHOMA OR SOME OF OUR 757 00:25:29,960 --> 00:25:31,640 PATIENTS ON OUR NEUROSCIENCE 758 00:25:31,640 --> 00:25:32,160 UNIT. 759 00:25:32,160 --> 00:25:34,600 AND SO A CODE BERT IS ALSO 760 00:25:34,600 --> 00:25:36,640 ANOTHER RESOURCE THAT WE HAVE. 761 00:25:36,640 --> 00:25:40,480 SO AGAIN, I DIDN'T TALK TOO MUCH 762 00:25:40,480 --> 00:25:42,000 ABOUT MYSELF, BUT I'VE BEEN HERE 763 00:25:42,000 --> 00:25:44,960 FOR 10 YEARS. 764 00:25:44,960 --> 00:25:46,480 I'VE BEEN IN HEALTHCARE A REALLY 765 00:25:46,480 --> 00:25:46,920 LONG TIME. 766 00:25:46,920 --> 00:25:48,120 I'VE WORKED IN ALL KINDS OF 767 00:25:48,120 --> 00:25:48,560 PLACES. 768 00:25:48,560 --> 00:25:50,400 10 YEARS IS THE LONGEST I'VE 769 00:25:50,400 --> 00:25:52,280 WORKED ANYWHERE BECAUSE IT'S -- 770 00:25:52,280 --> 00:25:53,720 THE PEOPLE ARE GREAT, THE 771 00:25:53,720 --> 00:25:55,640 PATIENTS ARE WONDERFUL, BUT IT'S 772 00:25:55,640 --> 00:25:57,640 SUCH AN INTERESTING PLACE TO 773 00:25:57,640 --> 00:25:59,560 LEARN AND SO I HOPE YOU DO TAKE 774 00:25:59,560 --> 00:26:01,800 ADVANTAGE OF EVERYTHING THAT'S 775 00:26:01,800 --> 00:26:04,760 OFFERED HERE TO CONTINUE YOUR 776 00:26:04,760 --> 00:26:05,480 GROWTH AND DEVELOPMENT. 777 00:26:05,480 --> 00:26:08,240 SO AGAIN, CONGRATULATIONS ON 778 00:26:08,240 --> 00:26:10,040 BEING HERE, AND WELCOME. 779 00:26:10,040 --> 00:26:10,680 THANK YOU. 780 00:26:10,680 --> 00:26:18,720 [APPLAUSE] 781 00:26:18,720 --> 00:26:20,520 >>HI. 782 00:26:20,520 --> 00:26:22,120 GREAT TO SEE EVERYBODY. 783 00:26:22,120 --> 00:26:22,800 GOOD AFTERNOON. 784 00:26:22,800 --> 00:26:25,960 MY NAME IS DAVID LANGE, CHIEF OF 785 00:26:25,960 --> 00:26:27,000 THE OFFICE OF PATIENT SAFETY AND 786 00:26:27,000 --> 00:26:27,840 CLINICAL QUALITY HERE AT THE 787 00:26:27,840 --> 00:26:28,520 CLINICAL CENTER. 788 00:26:28,520 --> 00:26:32,160 THAT'S ALSO KNOWN AS OPSCQ SO IF 789 00:26:32,160 --> 00:26:35,520 YOU SEE SOMEBODY SAY CALL OPSCQ, 790 00:26:35,520 --> 00:26:36,280 THAT'S US. 791 00:26:36,280 --> 00:26:37,240 I'M A PEDIATRICIAN. 792 00:26:37,240 --> 00:26:38,480 I'VE BEEN AT THE CLINICAL CENTER 793 00:26:38,480 --> 00:26:40,640 FOR OVER 20 YEARS. 794 00:26:40,640 --> 00:26:42,280 BUT MUCH LIKE DR. HADIGAN, I'VE 795 00:26:42,280 --> 00:26:44,600 BEEN IN MY CURRENT ROLE FOR NOT 796 00:26:44,600 --> 00:26:45,280 YET TWO YEARS. 797 00:26:45,280 --> 00:26:47,240 SO I'M ACTUALLY STILL LEARNING 798 00:26:47,240 --> 00:26:47,880 MYSELF. 799 00:26:47,880 --> 00:26:49,840 MY MESSAGE FOR YOU TODAY IS THAT 800 00:26:49,840 --> 00:26:53,560 HIGH QUALITY PATIENT CARE AND A 801 00:26:53,560 --> 00:27:03,640 CONSTANT FOCUS -- PATIENT SAFETY 802 00:27:03,640 --> 00:27:04,320 MUST BE AT THE HEART OF 803 00:27:04,320 --> 00:27:05,040 EVERYTHING WE DO. 804 00:27:05,040 --> 00:27:07,360 IT'S WHAT WE OWE TO OUR PATIENTS 805 00:27:07,360 --> 00:27:08,320 AND THE FAMILIES THAT HAVE 806 00:27:08,320 --> 00:27:09,120 ENTRUSTED THEMSELVES TO THE NIH 807 00:27:09,120 --> 00:27:11,200 AND IT REALLY WHAT WE OWE TO 808 00:27:11,200 --> 00:27:12,480 EACH OTHER AND WHAT ALL OF YOU 809 00:27:12,480 --> 00:27:13,800 HAVE BEEN TRAINING FOR AND 810 00:27:13,800 --> 00:27:14,960 STRIVING FOR FOR THE PAST 811 00:27:14,960 --> 00:27:15,880 SEVERAL YEARS. 812 00:27:15,880 --> 00:27:17,080 NOW I KNOW THAT ALL OF YOU COME 813 00:27:17,080 --> 00:27:19,720 TO THE NIH TO LEARN MORE ABOUT 814 00:27:19,720 --> 00:27:21,240 YOUR CHOSEN SPECIALTY AND TO 815 00:27:21,240 --> 00:27:22,160 SPECIFICALLY LEARN HOW TO 816 00:27:22,160 --> 00:27:24,760 CONDUCT CLINICAL RESEARCH, BUT 817 00:27:24,760 --> 00:27:26,120 KNOW THAT YOU CANNOT HAVE 818 00:27:26,120 --> 00:27:27,400 FRUITFUL AND GOOD CLINICAL 819 00:27:27,400 --> 00:27:29,120 RESEARCH WITHOUT HIGH QUALITY 820 00:27:29,120 --> 00:27:30,320 PATIENT CARE AND ATTENTION TO 821 00:27:30,320 --> 00:27:31,960 PATIENT SAFETY. 822 00:27:31,960 --> 00:27:34,280 IT NOT A MATTER OF A BALANCE. 823 00:27:34,280 --> 00:27:35,680 THEY GO HAND IN HAND. 824 00:27:35,680 --> 00:27:37,440 AND IF THE CARE IS NOT GOOD, 825 00:27:37,440 --> 00:27:38,840 THEN YOUR RESEARCH RESULTS WILL 826 00:27:38,840 --> 00:27:40,280 NOT BE USEFUL. 827 00:27:40,280 --> 00:27:45,960 AS I SAID MY OFFICE IS KNOWN AS 828 00:27:45,960 --> 00:27:47,720 OPSCQ, INCLUDES MYSELF, SOME 829 00:27:47,720 --> 00:27:49,400 NURSE CONSULTANTS, A NURSE 830 00:27:49,400 --> 00:27:50,240 PRACTITIONER, THE PATIENT 831 00:27:50,240 --> 00:27:51,080 REPRESENTATIVE AND A PROGRAM 832 00:27:51,080 --> 00:27:51,760 SUPPORT SPECIALIST. 833 00:27:51,760 --> 00:27:53,400 WE HANDLE ALL ASPECTS OF PATIENT 834 00:27:53,400 --> 00:27:55,160 SAFETY FROM EVALUATION OF NEW 835 00:27:55,160 --> 00:27:57,480 PROTOCOLS OR PROGRAMS TO 836 00:27:57,480 --> 00:27:59,720 SURVEILLANCE, TO REVIEW OF 837 00:27:59,720 --> 00:28:03,120 SAFETY -- OF ANALYSIS OF SAFETY 838 00:28:03,120 --> 00:28:03,560 EVENT. 839 00:28:03,560 --> 00:28:04,240 S. 840 00:28:04,240 --> 00:28:06,320 CLINICAL FELLOWS ARE AN ACTIVE 841 00:28:06,320 --> 00:28:08,560 PARTICIPANT IN EACH OF THESE 842 00:28:08,560 --> 00:28:08,960 ACTIVITIES. 843 00:28:08,960 --> 00:28:10,360 WE'RE GOING TO TALK MORE ABOUT 844 00:28:10,360 --> 00:28:12,200 THE SPECIFICALLY MODALITIES 845 00:28:12,200 --> 00:28:13,840 LATER TODAY AND AT SOME FUTURE 846 00:28:13,840 --> 00:28:14,240 TRAINING SESSIONS. 847 00:28:14,240 --> 00:28:16,920 WE HAVE A ROBUST OCCURRENCE 848 00:28:16,920 --> 00:28:19,440 REPORTING SYSTEM WHICH WE CALL 849 00:28:19,440 --> 00:28:20,240 STARS. 850 00:28:20,240 --> 00:28:21,840 I'LL TALK MORE ABOUT THAT LATER 851 00:28:21,840 --> 00:28:22,080 TODAY. 852 00:28:22,080 --> 00:28:23,920 AS THE FRONT LINE PROVIDERS, THE 853 00:28:23,920 --> 00:28:24,880 CLINICAL FELLOWS ARE ENCOURAGED 854 00:28:24,880 --> 00:28:26,560 TO USE STARS WHENEVER THAT'S 855 00:28:26,560 --> 00:28:26,800 NEEDED. 856 00:28:26,800 --> 00:28:28,480 WE ALSO ENSURE THAT THE HOSPITAL 857 00:28:28,480 --> 00:28:30,600 MEETS ALL THE JOINT COMMISSION 858 00:28:30,600 --> 00:28:31,240 ACCREDITATION REQUIREMENTS, AND 859 00:28:31,240 --> 00:28:33,240 IN DOING SO, THAT'S HOW WE 860 00:28:33,240 --> 00:28:35,640 ENSURE THAT WE'RE MEETING THE 861 00:28:35,640 --> 00:28:36,720 HIGHEST SAFETY AND QUALITY 862 00:28:36,720 --> 00:28:37,480 STANDARDS. 863 00:28:37,480 --> 00:28:39,120 SO PLEASE KNOW THAT IF ANYTHING 864 00:28:39,120 --> 00:28:42,600 IS ASKED OF YOU, BE IT 865 00:28:42,600 --> 00:28:43,160 COMPLETION OF A HOSPITAL 866 00:28:43,160 --> 00:28:45,760 TRAINING OR PARTICIPATION IN A 867 00:28:45,760 --> 00:28:47,120 SAFETY EVALUATION, IT'S INTENDED 868 00:28:47,120 --> 00:28:48,320 TO IMPROVE OUR HOSPITAL AND YOUR 869 00:28:48,320 --> 00:28:49,880 EXPERIENCE AND TO IMPROVE OUR 870 00:28:49,880 --> 00:28:51,600 PATIENTS' OUTCOMES AND TO ENSURE 871 00:28:51,600 --> 00:28:52,840 THAT YOU'RE SUPPORTED AND 872 00:28:52,840 --> 00:28:53,600 PROTECTED. 873 00:28:53,600 --> 00:28:54,840 WHICH LEADS ME TO FOR THIS 874 00:28:54,840 --> 00:28:56,240 PORTION OF TODAY MY MOST 875 00:28:56,240 --> 00:28:58,000 IMPORTANT MESSAGE TO YOU, AND 876 00:28:58,000 --> 00:28:59,440 THAT'S REGARDLESS OF WHICH 877 00:28:59,440 --> 00:29:01,840 INSTITUTE OR PROGRAM BROUGHT YOU 878 00:29:01,840 --> 00:29:03,720 HERE TO THE NIH, WE'RE ALL ONE 879 00:29:03,720 --> 00:29:05,320 HOSPITAL AND WE'RE ONE TEAM. 880 00:29:05,320 --> 00:29:07,400 AND IF YOU EVER FIND YOURSELF IN 881 00:29:07,400 --> 00:29:08,600 A SITUATION THAT YOU FEEL IS 882 00:29:08,600 --> 00:29:10,920 UNSAFE FOR YOU OR UNSAFE FOR 883 00:29:10,920 --> 00:29:12,200 YOUR PATIENT, THAT WE WANT TO 884 00:29:12,200 --> 00:29:14,880 KNOW ABOUT IT, AND I'M CONFIDENT 885 00:29:14,880 --> 00:29:16,600 THAT I CAN ASSURE YOU THAT EVERY 886 00:29:16,600 --> 00:29:17,800 CLINICAL CENTER LEADER WHO'S 887 00:29:17,800 --> 00:29:20,000 SITTING UP ON THIS STAGE WILL 888 00:29:20,000 --> 00:29:21,000 SUPPORT YOU UNCONDITIONALLY. 889 00:29:21,000 --> 00:29:22,320 SO WITH THAT, I'LL SAY WELCOME 890 00:29:22,320 --> 00:29:24,640 TO THE NIH, AND AGAIN I'LL BE 891 00:29:24,640 --> 00:29:26,360 SEEING YOU AT THE 2:30 SESSION 892 00:29:26,360 --> 00:29:26,720 LATER TODAY. 893 00:29:26,720 --> 00:29:27,360 THANK YOU. 894 00:29:27,360 --> 00:29:32,880 [APPLAUSE] 895 00:29:32,880 --> 00:29:35,400 >>GOOD AFTERNOON. 896 00:29:35,400 --> 00:29:37,920 I AM MALIKA SMITH, I'M THE 897 00:29:37,920 --> 00:29:39,120 DEPUTY CHIEF OF THE SOCIAL WORK 898 00:29:39,120 --> 00:29:40,480 DEPARTMENT AND ALSO THE DIRECTOR 899 00:29:40,480 --> 00:29:41,440 OF EDUCATION AND TRAINING FOR 900 00:29:41,440 --> 00:29:43,040 OUR DEPARTMENT. 901 00:29:43,040 --> 00:29:44,600 AND IT'S A GREAT PLEASURE TO BE 902 00:29:44,600 --> 00:29:47,960 HERE TODAY TO MEET WITH YOU. 903 00:29:47,960 --> 00:29:50,800 SO I AM GOING TO SHARE A LOT OF 904 00:29:50,800 --> 00:29:52,040 INFORMATION ABOUT OUR DEPARTMENT 905 00:29:52,040 --> 00:29:54,000 THAT YOU'RE PROBABLY GOING TO 906 00:29:54,000 --> 00:29:55,640 FORGET, AND THAT'S OKAY. 907 00:29:55,640 --> 00:29:57,200 AND THEN I'M GOING TO SHARE A 908 00:29:57,200 --> 00:29:58,000 FEW THINGS WITH YOU THAT YOU'RE 909 00:29:58,000 --> 00:30:00,920 GOING TO WANT TO REMEMBER. 910 00:30:00,920 --> 00:30:01,920 OKAY? 911 00:30:01,920 --> 00:30:02,120 READY? 912 00:30:02,120 --> 00:30:06,600 ALL RIGHT. 913 00:30:06,600 --> 00:30:07,600 LET ME PRESS THE BUTTON. 914 00:30:07,600 --> 00:30:08,280 ALL RIGHT. 915 00:30:08,280 --> 00:30:09,920 OKAY. 916 00:30:09,920 --> 00:30:11,880 NOW, OUR SOCIAL WORK DEPARTMENT 917 00:30:11,880 --> 00:30:13,720 HAS TWO MAIN PROGRAMS, AND THAT 918 00:30:13,720 --> 00:30:15,600 IS THE LANGUAGE INTERPRETER 919 00:30:15,600 --> 00:30:17,240 PROGRAM AND THE CLINICAL SOCIAL 920 00:30:17,240 --> 00:30:19,040 WORK PROGRAM. 921 00:30:19,040 --> 00:30:22,160 SO THE LANGUAGE INTERPRETER 922 00:30:22,160 --> 00:30:24,480 PROGRAM, WE PROVIDE ORAL 923 00:30:24,480 --> 00:30:26,560 INTERPRETATION SUPPORT DURING 924 00:30:26,560 --> 00:30:28,520 MEDICAL APPOINTMENTS AND 925 00:30:28,520 --> 00:30:30,400 PROCEDURES FOR PARTICIPANTS WITH 926 00:30:30,400 --> 00:30:33,080 LIMITED ENGLISH PROFICIENCY. 927 00:30:33,080 --> 00:30:41,200 AND THAT IS SUPPORT OF 115 928 00:30:41,200 --> 00:30:43,400 LANGUAGES, 40 OF WHICH HAVE A 929 00:30:43,400 --> 00:30:44,480 LESSER DIFFUSION. 930 00:30:44,480 --> 00:30:47,120 THIS IS PROVIDED THROUGH 931 00:30:47,120 --> 00:30:48,960 IN-PERSON AND VIDEO 932 00:30:48,960 --> 00:30:50,320 INTERPRETERS, AND THEN WE ALSO 933 00:30:50,320 --> 00:30:52,240 HAVE REMOTE INTERPRETERS BY 934 00:30:52,240 --> 00:30:55,240 PHONE THROUGH OUR CONTRACT 935 00:30:55,240 --> 00:30:55,840 VENDORS. 936 00:30:55,840 --> 00:30:59,080 OF NOTE, MOST INTERPRETERS -- 937 00:30:59,080 --> 00:31:00,920 INTERPRETATION IS PROVIDED BY 938 00:31:00,920 --> 00:31:03,000 CONTRACT STAFF THAT ARE 939 00:31:03,000 --> 00:31:04,400 SCHEDULED AND COME FROM OFF 940 00:31:04,400 --> 00:31:06,840 SITE. 941 00:31:06,840 --> 00:31:09,880 ALL IN-PERSON INTERPRETER 942 00:31:09,880 --> 00:31:12,400 APPOINTMENTS MUST BE SCHEDULED 943 00:31:12,400 --> 00:31:13,720 48 HOURS IN ADVANCE. 944 00:31:13,720 --> 00:31:16,000 HOWEVER, IF THERE IS AN URGENT 945 00:31:16,000 --> 00:31:17,280 NEED, THEN WE ASK THAT YOU CALL 946 00:31:17,280 --> 00:31:19,160 US AND WE'LL DO EVERYTHING WE 947 00:31:19,160 --> 00:31:24,240 CAN TO MEET THAT NEED. 948 00:31:24,240 --> 00:31:27,200 IN ADDITION, WE PROVIDE WRITTEN 949 00:31:27,200 --> 00:31:29,800 TRANSLATION OF PATIENT EDUCATION 950 00:31:29,800 --> 00:31:30,160 MATERIALS. 951 00:31:30,160 --> 00:31:32,800 I DO ALSO WANT TO HIGHLIGHT THAT 952 00:31:32,800 --> 00:31:36,480 YOU MAY HAVE WITHIN GIVEN 953 00:31:36,480 --> 00:31:38,440 INFORMATION ON BILINGUAL STAFF 954 00:31:38,440 --> 00:31:40,440 TESTING ON MONDAY? 955 00:31:40,440 --> 00:31:41,280 YES? 956 00:31:41,280 --> 00:31:42,040 OKAY. 957 00:31:42,040 --> 00:31:46,320 SO THAT IS, IF YOU SPEAK ANOTHER 958 00:31:46,320 --> 00:31:47,960 LANGUAGE AND YOU WANT TO USE 959 00:31:47,960 --> 00:31:49,280 THAT LANGUAGE TO COMMUNICATE 960 00:31:49,280 --> 00:31:51,880 WITH YOUR PATIENTS, THEN WE ASK 961 00:31:51,880 --> 00:31:54,520 THAT YOU SUBMIT TO THE BILINGUAL 962 00:31:54,520 --> 00:31:55,240 LANGUAGE TESTING. 963 00:31:55,240 --> 00:31:58,040 IT IS ACTUALLY PART OF -- IT IN 964 00:31:58,040 --> 00:31:59,360 ACCORDANCE WITH OUR CLINICAL 965 00:31:59,360 --> 00:32:03,440 CENTER LANGUAGE ACCESS POLICY, 966 00:32:03,440 --> 00:32:05,280 AND IT'S TO VERIFY THAT YOU'RE 967 00:32:05,280 --> 00:32:06,440 FLUENT IN THE LANGUAGE THAT YOU 968 00:32:06,440 --> 00:32:07,880 WOULD LIKE TO USE WITH YOUR 969 00:32:07,880 --> 00:32:10,280 PATIENT. 970 00:32:10,280 --> 00:32:12,480 SO IF YOU HAVE THAT HANDOUT FROM 971 00:32:12,480 --> 00:32:15,560 MONDAY, THEN PLEASE LOOK AT IT, 972 00:32:15,560 --> 00:32:18,400 REVIEW IT AND LET US KNOW IF YOU 973 00:32:18,400 --> 00:32:23,720 HAVE INTEREST IN THAT. 974 00:32:23,720 --> 00:32:23,920 OKAY. 975 00:32:23,920 --> 00:32:27,480 AND THEN WE ALSO HAVE THE SOCIAL 976 00:32:27,480 --> 00:32:28,120 WORK PROGRAM. 977 00:32:28,120 --> 00:32:29,520 IT'S THE CLINICAL SOCIAL WORK 978 00:32:29,520 --> 00:32:33,560 PROGRAM AND WE PROVIDE 979 00:32:33,560 --> 00:32:36,400 PSYCHOSOCIAL SUPPORT TO PATIENTS 980 00:32:36,400 --> 00:32:37,960 THROUGH BIOPSYCHOSOCIAL 981 00:32:37,960 --> 00:32:40,600 SPIRITUAL ASSESSMENTS, CRISIS 982 00:32:40,600 --> 00:32:43,560 INTERVENTION, NON-ACUTE POSITIVE 983 00:32:43,560 --> 00:32:48,360 SUICIDE, ASSESSMENTS, STRESS 984 00:32:48,360 --> 00:32:49,320 SCREENINGS, SAFETY -- FOR 985 00:32:49,320 --> 00:32:50,560 NEGLECT OF CHILDREN AND ADULTS 986 00:32:50,560 --> 00:32:52,080 AND ALSO INTIMATE PARTNER 987 00:32:52,080 --> 00:32:52,880 VIOLENCE. 988 00:32:52,880 --> 00:32:54,800 IN ADDITION, WE DO COUNSELING 989 00:32:54,800 --> 00:32:57,040 FOR ADJUSTMENT TO ILLNESS AND 990 00:32:57,040 --> 00:32:59,200 HOSPITALIZATION COPING SKILLS, 991 00:32:59,200 --> 00:33:01,960 FAMILY CAREGIVER SUPPORT, END OF 992 00:33:01,960 --> 00:33:04,280 LIFE GRIEF, AND BEREAVEMENT 993 00:33:04,280 --> 00:33:05,600 COUNSELING, AND THEN WE DO A 994 00:33:05,600 --> 00:33:09,160 HOST OF OTHER DISCHARGE PLANNING 995 00:33:09,160 --> 00:33:10,280 AND RESOURCE REFERRALS. 996 00:33:10,280 --> 00:33:12,720 WE ALSO PROVIDE 997 00:33:12,720 --> 00:33:14,240 PSYCHOEDUCATIONAL RESOURCES AND 998 00:33:14,240 --> 00:33:15,840 SERVICES, AND THEN WE ASSIST 999 00:33:15,840 --> 00:33:17,600 WITH ADVANCED DIRECTIVES AS 1000 00:33:17,600 --> 00:33:19,280 WELL. 1001 00:33:19,280 --> 00:33:27,160 SO HERE ARE THE THINGS THAT 1002 00:33:27,160 --> 00:33:29,880 YOU'LL WANT TO REMEMBER. 1003 00:33:29,880 --> 00:33:34,280 FIRST OF ALL, SOCIAL WORKERS DO 1004 00:33:34,280 --> 00:33:35,120 MANY DIFFERENT THINGS IN 1005 00:33:35,120 --> 00:33:35,840 DIFFERENT SETTINGS. 1006 00:33:35,840 --> 00:33:38,200 SO IF YOU'VE HAD TRAINING IN A 1007 00:33:38,200 --> 00:33:40,400 MILITARY TREATMENT FACILITY OR 1008 00:33:40,400 --> 00:33:42,960 IN A COMMUNITY HOSPITAL, YOU 1009 00:33:42,960 --> 00:33:44,440 MIGHT WANT TO TAKE THAT 1010 00:33:44,440 --> 00:33:46,200 INFORMATION YOU KNOW ABOUT 1011 00:33:46,200 --> 00:33:49,400 SOCIAL WORK AND USE IT HERE, BUT 1012 00:33:49,400 --> 00:33:52,880 IN TRUTH, WE ARE ALL LICENSED 1013 00:33:52,880 --> 00:33:55,880 CLINICAL THERAPISTS AND OUR 1014 00:33:55,880 --> 00:33:58,480 PRIMARY ROLE IS TO MEET THE 1015 00:33:58,480 --> 00:34:01,000 PSYCHOSOCIAL NEEDS OF PATIENTS 1016 00:34:01,000 --> 00:34:04,160 AND OF THEIR CAREGIVERS. 1017 00:34:04,160 --> 00:34:05,760 SO THAT'S THE FIRST THING I WANT 1018 00:34:05,760 --> 00:34:08,520 YOU TO REMEMBER. 1019 00:34:08,520 --> 00:34:11,320 NEXT, YOU'LL HAVE AN OPPORTUNITY 1020 00:34:11,320 --> 00:34:12,640 TO MEET RESEARCH PARTICIPANTS 1021 00:34:12,640 --> 00:34:14,160 FROM ALL OVER THE WORLD, AND 1022 00:34:14,160 --> 00:34:17,120 MANY OF THEM WILL HAVE LIMITED 1023 00:34:17,120 --> 00:34:18,520 ENGLISH PROFICIENCY. 1024 00:34:18,520 --> 00:34:20,800 SO WHAT I WANT YOU TO REMEMBER 1025 00:34:20,800 --> 00:34:22,640 IS THAT LANGUAGE INTERPRETATION 1026 00:34:22,640 --> 00:34:25,400 IS NOT JUST A CIVIL RIGHT, BUT 1027 00:34:25,400 --> 00:34:28,800 IT IS ALSO A MATTER OF PATIENT 1028 00:34:28,800 --> 00:34:29,400 SAFETY. 1029 00:34:29,400 --> 00:34:33,600 SO HOW CAN YOU HAVE PATIENTS 1030 00:34:33,600 --> 00:34:35,080 PARTICIPATE IN THEIR OWN CARE IF 1031 00:34:35,080 --> 00:34:36,680 THEY'RE UNSURE OF WHAT'S BEING 1032 00:34:36,680 --> 00:34:37,320 SAID? 1033 00:34:37,320 --> 00:34:39,400 SO PLEASE REMEMBER TO USE A 1034 00:34:39,400 --> 00:34:40,640 LANGUAGE INTERPRETER WHEN 1035 00:34:40,640 --> 00:34:41,520 NEEDED. 1036 00:34:41,520 --> 00:34:47,080 AND THEN FINALLY, IF YOU'RE 1037 00:34:47,080 --> 00:34:48,200 UNSURE OF WHETHER A CERTAIN 1038 00:34:48,200 --> 00:34:49,760 TOPIC IS AN AREA OF EXPERTISE 1039 00:34:49,760 --> 00:34:51,440 FOR THE SOCIAL WORK DEPARTMENT, 1040 00:34:51,440 --> 00:34:53,520 I'D JUST ASK THAT YOU GIVE US A 1041 00:34:53,520 --> 00:34:55,040 CALL AND EITHER IT WILL BE AND 1042 00:34:55,040 --> 00:34:57,600 WE WILL ASSIST OR WE WILL FIND 1043 00:34:57,600 --> 00:35:02,760 YOU THE EXPERT. 1044 00:35:02,760 --> 00:35:03,960 AGAIN, WELCOME TO THE CLINICAL 1045 00:35:03,960 --> 00:35:08,520 CENTER, AND I LACK FORWARD TO -D 1046 00:35:08,520 --> 00:35:10,120 TO PARTNERING WITH YOU. 1047 00:35:10,120 --> 00:35:20,320 [APPLAUSE] 1048 00:35:21,480 --> 00:35:25,440 >>LAST UP, GUYS. 1049 00:35:25,440 --> 00:35:27,520 EVERYBODY CALLS ME EDGE, I'M A 1050 00:35:27,520 --> 00:35:28,800 THIRD YEAR IN NIAID. 1051 00:35:28,800 --> 00:35:30,680 MY CO-CHAIR IS MEGAN, WHO IS NOT 1052 00:35:30,680 --> 00:35:31,920 HERE, BUT WILL BE WITH US LIKE 1053 00:35:31,920 --> 00:35:33,520 THIS AFTERNOON WHEN WE GIVE OUR, 1054 00:35:33,520 --> 00:35:37,280 LIKE, BIGGER SPIEL. 1055 00:35:37,280 --> 00:35:37,920 BUT BASICALLY MY BIGGEST 1056 00:35:37,920 --> 00:35:38,920 HIGHLIGHT FOR THIS PARTICULAR 1057 00:35:38,920 --> 00:35:40,280 SESSION IS TO KNOW WE EXIST. 1058 00:35:40,280 --> 00:35:41,960 SO WE DO HAVE A CLINICAL FELLOWS 1059 00:35:41,960 --> 00:35:42,920 COMMITTEE. 1060 00:35:42,920 --> 00:35:46,000 WE'RE HERE TO SERVE YOU GUYS AND 1061 00:35:46,000 --> 00:35:47,720 ALSO TO BE OF SERVICE TO THE 1062 00:35:47,720 --> 00:35:48,120 CLINICAL CENTER. 1063 00:35:48,120 --> 00:35:49,360 SO IT WORKS BOTH WAYS. 1064 00:35:49,360 --> 00:35:51,400 THE BIGGEST THING I THINK THIS 1065 00:35:51,400 --> 00:35:52,520 YEAR WE'RE TRYING TO DO, 1066 00:35:52,520 --> 00:35:55,040 SOMETHING WE STRUGGLED WITH WITH 1067 00:35:55,040 --> 00:35:55,960 COVID, IS BUILD COMMUNITY. 1068 00:35:55,960 --> 00:35:58,400 WHICH IS THIS, BUT ALSO GOING 1069 00:35:58,400 --> 00:35:59,520 FORWARD THROUGHOUT THE YEAR, WE 1070 00:35:59,520 --> 00:36:00,840 CAN ONLY SERVE YOU GUYS IF WE'RE 1071 00:36:00,840 --> 00:36:01,720 AWARE OF WHAT YOU NEED. 1072 00:36:01,720 --> 00:36:03,600 I TOLD THE PROGRAM DIRECTORS 1073 00:36:03,600 --> 00:36:05,240 TODAY ON THE GME CALL, EACH 1074 00:36:05,240 --> 00:36:06,840 PROGRAM IS REQUIRED TO HAVE A 1075 00:36:06,840 --> 00:36:07,560 REPRESENTATIVE THAT ACTUALLY 1076 00:36:07,560 --> 00:36:11,240 COMES TO THE MEETINGS TO A 1077 00:36:11,240 --> 00:36:12,760 LARGER CLINICAL CENTER ON WHAT 1078 00:36:12,760 --> 00:36:15,080 YOUR NEEDS ARE, THINGS YOU NEED 1079 00:36:15,080 --> 00:36:16,360 TO SEE IMPROVED, OPPORTUNITIES 1080 00:36:16,360 --> 00:36:17,160 THAT YOU GUYS WANT. 1081 00:36:17,160 --> 00:36:19,040 AND WE HAVE AN EXECUTIVE 1082 00:36:19,040 --> 00:36:20,560 COMMITTEE THAT HAS A BUNCH OF 1083 00:36:20,560 --> 00:36:21,280 PHYSICIANS, IF PEOPLE HAVE 1084 00:36:21,280 --> 00:36:23,080 PASSION PROJECTS OR PARTICULAR 1085 00:36:23,080 --> 00:36:25,360 THINGS THEY'RE INTERESTED IN 1086 00:36:25,360 --> 00:36:28,440 PATIENT SAFETY, TO ANY NUMBER 1087 00:36:28,440 --> 00:36:30,360 OF -- THAT WANT FELLOW 1088 00:36:30,360 --> 00:36:32,200 REPRESENTATION, WE ARE THE PLACE 1089 00:36:32,200 --> 00:36:33,040 WHERE WE ALL COME TOGETHER AND 1090 00:36:33,040 --> 00:36:34,240 PROVIDE THAT REPRESENTATION AND 1091 00:36:34,240 --> 00:36:35,040 A VOICE. 1092 00:36:35,040 --> 00:36:36,800 BECAUSE IN ESSENCE, BECAUSE WE 1093 00:36:36,800 --> 00:36:38,400 DON'T HAVE THAT MANY RESIDENTS, 1094 00:36:38,400 --> 00:36:40,360 WE KIND OF ARE THE CLINICAL 1095 00:36:40,360 --> 00:36:41,840 STAFF ON THE GROUND, WE'RE MOST 1096 00:36:41,840 --> 00:36:43,160 PROXIMATE TO THE PATIENT, AND I 1097 00:36:43,160 --> 00:36:44,840 THINK IT'S POSH FOR US IN OUR 1098 00:36:44,840 --> 00:36:46,120 VOICES TO BE HEARD AS WE THINK 1099 00:36:46,120 --> 00:36:47,320 ABOUT PATIENT CARE AND CLINICAL 1100 00:36:47,320 --> 00:36:49,520 CARE GENERAL GENERALLY HERE. 1101 00:36:49,520 --> 00:36:50,960 OFTEN WE'RE THE ONES TWHA THAT 1102 00:36:50,960 --> 00:36:52,160 ARE DOING IT AND WRITING THE 1103 00:36:52,160 --> 00:36:53,800 ORDERS SO I THINK THE BIGGEST 1104 00:36:53,800 --> 00:36:55,000 THING IS WE REALLY WANT TO HAVE 1105 00:36:55,000 --> 00:36:58,720 OUR VOICES BE HEARD AS WE TRAIN 1106 00:36:58,720 --> 00:37:00,280 NOT ONLY TO HELP TRAIN THE NEXT 1107 00:37:00,280 --> 00:37:01,160 GENERATION OF PHYSICIAN 1108 00:37:01,160 --> 00:37:03,440 SCIENTISTS ANDICALLY CLINICIANS 1109 00:37:03,440 --> 00:37:04,520 AND LEADERS IDEALLY, BUT ALSO TO 1110 00:37:04,520 --> 00:37:06,440 SORT OF HAVE THE CLINICAL CENTER 1111 00:37:06,440 --> 00:37:07,960 FEEDBACK ON TO US AS TO WAYS 1112 00:37:07,960 --> 00:37:09,760 THAT WE CAN CONTINUE TO IMPROVE 1113 00:37:09,760 --> 00:37:10,080 AS A GROUP. 1114 00:37:10,080 --> 00:37:11,360 AT THE END OF THE DAY, I THINK 1115 00:37:11,360 --> 00:37:13,240 IT IS THE BIGGEST PRIVILEGE TO 1116 00:37:13,240 --> 00:37:14,760 SERVE THE PATIENTS HERE. 1117 00:37:14,760 --> 00:37:17,400 I'VE HAD AN INCREDIBLE LAST 1118 00:37:17,400 --> 00:37:19,040 THREE -- TWO YEARS NOW, I GUESS. 1119 00:37:19,040 --> 00:37:20,560 I'VE LEARNED A TON, I'VE GOT TO 1120 00:37:20,560 --> 00:37:22,520 TAKE CARE OF INCREDIBLE PATIENTS 1121 00:37:22,520 --> 00:37:24,720 THAT I ONLY READ ABOUT IN 1122 00:37:24,720 --> 00:37:25,160 TEXTBOOKS. 1123 00:37:25,160 --> 00:37:29,120 AS AN IMMUNOLOGIST, I THINK IT'S 1124 00:37:29,120 --> 00:37:30,520 AN INCREDIBLE OPPORTUNITY TO SEE 1125 00:37:30,520 --> 00:37:31,520 REALLY WEIRD THINGS, WHICH IS 1126 00:37:31,520 --> 00:37:33,160 WHAT I THINK A LOT OF US ARE 1127 00:37:33,160 --> 00:37:36,240 HERE FOR, AND TO DO INCREDIBLE 1128 00:37:36,240 --> 00:37:37,200 RESEARCH WITH PATIENTS THAT ARE 1129 00:37:37,200 --> 00:37:39,200 RARE AND IT'S A PRIVILEGE TO 1130 00:37:39,200 --> 00:37:40,720 HAVE ACCESS TO, MANY OF WHOM ARE 1131 00:37:40,720 --> 00:37:41,800 DESPERATE BECAUSE THEY'VE BEEN 1132 00:37:41,800 --> 00:37:43,160 SEARCHING FOR 20 YEARS FOR AN 1133 00:37:43,160 --> 00:37:44,360 ANSWER TO A PARTICULAR PROBLEM, 1134 00:37:44,360 --> 00:37:45,880 AND WE OFTEN CAN PROVIDE THAT. 1135 00:37:45,880 --> 00:37:47,280 AND I THINK IT'S AN INCREDIBLE 1136 00:37:47,280 --> 00:37:48,640 PLACE TO BE WHERE YOU CAN WORK 1137 00:37:48,640 --> 00:37:52,720 WITH THE EXPERT IN THE WORLD WHO 1138 00:37:52,720 --> 00:37:56,320 DISCOVERED GABA 2 OR AVASID YOU, 1139 00:37:56,320 --> 00:37:58,520 ALL THINGS BIG IN THE IMMUNOLOGY 1140 00:37:58,520 --> 00:37:59,640 FIELD BUT ALMOST NEVER HEARD OF 1141 00:37:59,640 --> 00:38:01,200 IN REGULAR PRACTICE. 1142 00:38:01,200 --> 00:38:02,520 BUT THOSE PATIENTS ARE DESPERATE 1143 00:38:02,520 --> 00:38:03,720 FOR ANSWERS AND WE PROVIDE THEM. 1144 00:38:03,720 --> 00:38:05,120 I THINK WE DO THAT IN A 1145 00:38:05,120 --> 00:38:08,760 MULTITUDE OF WAYS, NOT ONLY 1146 00:38:08,760 --> 00:38:10,360 IN -- PATIENT I SAW YESTERDAY, I 1147 00:38:10,360 --> 00:38:14,240 SAW WHEN I WAS MOONLIGHTING, WE 1148 00:38:14,240 --> 00:38:15,320 TRANSMIT MOST OF THOSE PATIENTS 1149 00:38:15,320 --> 00:38:16,600 IN THE WORLD. 1150 00:38:16,600 --> 00:38:19,440 SHE KNOWS HE'S IN GOOD HANDS AND 1151 00:38:19,440 --> 00:38:20,440 GRATEFUL FOR THE OPPORTUNITY TO 1152 00:38:20,440 --> 00:38:21,120 FINALLY MAKE IT HERE. 1153 00:38:21,120 --> 00:38:22,960 IT WAS REALLY COOL TO HAVE THE 1154 00:38:22,960 --> 00:38:24,000 CHANCE TO SEE THAT PERSON IN 1155 00:38:24,000 --> 00:38:25,720 CLINIC, AND THEN BE A 1156 00:38:25,720 --> 00:38:27,920 MOONLIGHTER AND WATCH THEM GET 1157 00:38:27,920 --> 00:38:30,160 TRANSMITTED AND BE PART OF THAT 1158 00:38:30,160 --> 00:38:30,880 PART OF THE CARE. 1159 00:38:30,880 --> 00:38:31,560 SO YOU'LL HAVE THE OPPORTUNITY 1160 00:38:31,560 --> 00:38:33,200 TO BUILD YOUR CLINICAL SKILLS, 1161 00:38:33,200 --> 00:38:35,040 DO THINGS THAT ARE ATYPICAL BUT 1162 00:38:35,040 --> 00:38:38,720 ALSO REALLY GAIN FROM THE 1163 00:38:38,720 --> 00:38:40,080 EXPERIENCES WE HAVE HERE AND DO 1164 00:38:40,080 --> 00:38:41,440 INCREDIBLE RESEARCH OF OUR OWN 1165 00:38:41,440 --> 00:38:42,520 IN ADDITION TO THE CLINICAL CARE 1166 00:38:42,520 --> 00:38:43,480 WE PROVIDE. 1167 00:38:43,480 --> 00:38:44,960 SO YOU KNOW, I'M LOOKING FORWARD 1168 00:38:44,960 --> 00:38:46,680 TO TALKING TO YOU GUYS AGAIN IN 1169 00:38:46,680 --> 00:38:47,560 A COUPLE HOURS. 1170 00:38:47,560 --> 00:38:49,400 AND HOPEFULLY MANY OF YOU GUYS 1171 00:38:49,400 --> 00:38:52,600 WILL CONTINUE TO BE INVOLVED AND 1172 00:38:52,600 --> 00:38:55,240 STAY INVOLVED, REALLY STAY 1173 00:38:55,240 --> 00:38:56,920 CONNECTED AND HOPEFULLY SORT OF 1174 00:38:56,920 --> 00:38:58,640 MOVE FORWARD AS A LARGER GROUP 1175 00:38:58,640 --> 00:39:00,960 AND HELP THE CLINICAL CENTER 1176 00:39:00,960 --> 00:39:02,280 REACH ITS FULLEST POTENTIAL. 1177 00:39:02,280 --> 00:39:03,080 SO THANK YOU GUYS. 1178 00:39:03,080 --> 00:39:10,280 [APPLAUSE] 1179 00:39:10,280 --> 00:39:12,520 >>ALL RIGHT. 1180 00:39:12,520 --> 00:39:14,960 SO WE ARE RUNNING A LITTLE 1181 00:39:14,960 --> 00:39:15,920 QUICKER THAN SCHEDULED SO YOU'LL 1182 00:39:15,920 --> 00:39:18,080 HAVE A NICE LONG BREAK. 1183 00:39:18,080 --> 00:39:20,480 I WANT TO JUST REMIND YOU OF A 1184 00:39:20,480 --> 00:39:21,040 FEW THINGS. 1185 00:39:21,040 --> 00:39:23,120 THERE IS ONE FINAL PART OF YOUR 1186 00:39:23,120 --> 00:39:25,320 ORIENTATION WHICH WILL BE THIS 1187 00:39:25,320 --> 00:39:27,080 AFTERNOON, STARTING AT 2:30. 1188 00:39:27,080 --> 00:39:28,920 IT'S NOT HERE, IT'S BACK IN THAT 1189 00:39:28,920 --> 00:39:31,440 SAME ROOM THAT WE WERE ALL IN ON 1190 00:39:31,440 --> 00:39:34,080 MONDAY, IN BUILDING 31, 1191 00:39:34,080 --> 00:39:35,840 CONFERENCE ROOMS A AND B. 1192 00:39:35,840 --> 00:39:38,080 YOU'LL HAVE A PANEL OF SPEAKERS 1193 00:39:38,080 --> 00:39:40,560 WHO ARE GIVING YOU ORIENTATION 1194 00:39:40,560 --> 00:39:42,120 TO SOME OF THE CRITICAL TOPICS 1195 00:39:42,120 --> 00:39:43,640 YOU'LL NEED BEFORE YOU START. 1196 00:39:43,640 --> 00:39:47,040 OF COURSE DR. LANGE WILL SPEAK 1197 00:39:47,040 --> 00:39:50,360 ON PATIENT SAFETY, HOW TO STAY 1198 00:39:50,360 --> 00:39:51,160 OUT OF LEGAL TROUBLE, THERE ARE 1199 00:39:51,160 --> 00:39:53,200 A BUNCH OF ETHICS YOU NEED TO 1200 00:39:53,200 --> 00:39:54,280 LEARN ABOUT BECAUSE YOU'RE A 1201 00:39:54,280 --> 00:39:54,880 GOVERNMENT EMPLOYEE. 1202 00:39:54,880 --> 00:39:56,960 WE TALK ABOUT HUMAN SUBJECT 1203 00:39:56,960 --> 00:39:58,440 RESEARCH, AND THE WONDERFUL 1204 00:39:58,440 --> 00:39:59,440 INFORMATION, TECHNOLOGY 1205 00:39:59,440 --> 00:40:00,240 RESOURCES THAT ARE AVAILABLE FOR 1206 00:40:00,240 --> 00:40:01,440 YOU FOR YOUR CLINICAL RESEARCH 1207 00:40:01,440 --> 00:40:03,400 WORK. 1208 00:40:03,400 --> 00:40:04,680 SO THOSE ARE CRITICAL THINGS WE 1209 00:40:04,680 --> 00:40:05,680 WANT YOU TO LEARN. 1210 00:40:05,680 --> 00:40:07,680 IT'S ALL BEEN COMPRESSED TO TWO 1211 00:40:07,680 --> 00:40:08,520 HOURS THIS AFTERNOON. 1212 00:40:08,520 --> 00:40:13,080 I PUT UP HERE THE SLIDE OF THE 1213 00:40:13,080 --> 00:40:13,720 THREE GRAND ROUNDS TOPICS THAT 1214 00:40:13,720 --> 00:40:15,520 ARE GEARED DIRECTLY FOR YOU, AND 1215 00:40:15,520 --> 00:40:17,320 I WANT TO COMMENT ON THEM A BIT. 1216 00:40:17,320 --> 00:40:20,120 THE FIRST ONE IS A -- NEXT WEEK 1217 00:40:20,120 --> 00:40:22,880 ON THE 12TH IS HOW TO BECOME A 1218 00:40:22,880 --> 00:40:23,600 SUCCESSFUL CLINICIAN-SCIENTIST. 1219 00:40:23,600 --> 00:40:26,960 WE HAVE TWO OUTSTANDING 1220 00:40:26,960 --> 00:40:33,720 INDIVIDUALS, DR. COURTNEY 1221 00:40:33,720 --> 00:40:36,360 FITZHUGH AND DR. ANISH THOMAS. 1222 00:40:36,360 --> 00:40:37,120 THIS IS A PARTICULAR TENURE 1223 00:40:37,120 --> 00:40:38,840 TRACK PROGRAM THAT THEY ARE PART 1224 00:40:38,840 --> 00:40:43,480 OF, AND THEY WERE BOTH JUST IN 1225 00:40:43,480 --> 00:40:44,880 YOUR POSITION SOME YEARS BACK AS 1226 00:40:44,880 --> 00:40:46,640 A NEW CLINICAL FELLOW AT NIH AND 1227 00:40:46,640 --> 00:40:48,320 THEY'VE REALLY CLIMBED THE 1228 00:40:48,320 --> 00:40:49,320 LADDER AND ARE DOING GREAT 1229 00:40:49,320 --> 00:40:49,720 THINGS. 1230 00:40:49,720 --> 00:40:51,640 WE'RE DOING A PANEL DISCUSSION 1231 00:40:51,640 --> 00:40:53,160 ABOUT HOW THEY CAME TO DO WHAT 1232 00:40:53,160 --> 00:40:54,720 THEY'RE DOING AND ALL THE 1233 00:40:54,720 --> 00:40:56,600 DIFFERENT TIPS AND PERFECTLIES 1234 00:40:56,600 --> 00:40:57,960 OF WISDOM THEY'D LIKE TO SHARE 1235 00:40:57,960 --> 00:41:00,120 WITH YOU, SO THAT IS NEXT WEEK. 1236 00:41:00,120 --> 00:41:01,920 THE FOLLOWING WEEK, WE HAVE THE 1237 00:41:01,920 --> 00:41:04,040 PRIF LENL OF HAVING THE DIRECTOR 1238 00:41:04,040 --> 00:41:07,440 OF INTRAMURAL RESEARCH, DR. NINA 1239 00:41:07,440 --> 00:41:08,840 SCHOR, TALK ABOUT ALL THINGS 1240 00:41:08,840 --> 00:41:10,000 INTRAMURAL, WHICH REALLY HAS TO 1241 00:41:10,000 --> 00:41:10,920 DO WITH THE FACT THAT THIS 1242 00:41:10,920 --> 00:41:12,040 BUILDING IS NOT THE ONLY THING 1243 00:41:12,040 --> 00:41:12,240 HERE. 1244 00:41:12,240 --> 00:41:14,320 WE HAVE A BIG CAMPUS, WE HAVE 1245 00:41:14,320 --> 00:41:16,240 CAMPUSES OUTSIDE OF BETHESDA. 1246 00:41:16,240 --> 00:41:18,440 SHE'LL GIVE YOU A BIG PICTURE 1247 00:41:18,440 --> 00:41:19,640 OVERVIEW OF WHAT THE NIH 1248 00:41:19,640 --> 00:41:20,960 INTRAMURAL PROGRAM CONSISTS. 1249 00:41:20,960 --> 00:41:22,600 AND LASTLY ON THE 26TH, SPEAKING 1250 00:41:22,600 --> 00:41:24,320 OF RARE, WE HAVE THE RARE 1251 00:41:24,320 --> 00:41:26,800 PRIVILEGE OF HAVING DR. STEVE 1252 00:41:26,800 --> 00:41:28,080 HOLLAND, WHO'S THE SCIENTIFIC 1253 00:41:28,080 --> 00:41:30,280 DIRECTOR OF NIAID, COME AND TALK 1254 00:41:30,280 --> 00:41:32,040 ABOUT THIS TRANSITIONAL APPROACH 1255 00:41:32,040 --> 00:41:32,960 TO RARE DISEASES. 1256 00:41:32,960 --> 00:41:36,480 THIS IS HOW WE DO DISEASE 1257 00:41:36,480 --> 00:41:38,640 DISCOVERY, AND THIS IS A 1258 00:41:38,640 --> 00:41:41,200 WONDERFUL MODEL DP FOR 1259 00:41:41,200 --> 00:41:42,600 UNDERSTANDING WHAT IS DONE HERE 1260 00:41:42,600 --> 00:41:43,200 SO BEAUTIFULLY. 1261 00:41:43,200 --> 00:41:44,840 SO WITH THAT, WE HOPE YOU WILL 1262 00:41:44,840 --> 00:41:45,960 LEARN MORE ABOUT WHAT IS SPECIAL 1263 00:41:45,960 --> 00:41:47,760 AND WHAT HAPPENS HERE AT NIH. 1264 00:41:47,760 --> 00:41:49,280 AND WITH THAT, I WANT TO JUST 1265 00:41:49,280 --> 00:41:51,840 REMIND YOU THAT LUNCHTIME IS 1266 00:41:51,840 --> 00:41:53,120 NOW, AND THERE ARE SOME FOOD 1267 00:41:53,120 --> 00:41:54,560 TRUCKS THAT YOU MIGHT WANT TO 1268 00:41:54,560 --> 00:41:57,040 VISIT OUT ON THE SOUTH ENTRANCE, 1269 00:41:57,040 --> 00:41:59,080 AND I UNDERSTAND THERE'S ALSO 1270 00:41:59,080 --> 00:42:01,240 BEN AND JERRY'S ICE CREAM FOR 1271 00:42:01,240 --> 00:42:01,440 SALE. 1272 00:42:01,440 --> 00:42:02,560 SO IF YOU WANT TO VENTURE OUT 1273 00:42:02,560 --> 00:42:04,000 THAT WAY AND TRY SOMETHING NEW, 1274 00:42:04,000 --> 00:42:05,560 THERE'S ALSO THE CAFETERIA, BUT 1275 00:42:05,560 --> 00:42:07,560 I WANT TO JUST, AGAIN, WELCOME 1276 00:42:07,560 --> 00:42:12,800 YOU, GLAD TO SEE ALL YOU. 1277 00:42:12,800 --> 00:42:14,560 SO MAKE SURE YOU SIGN IN IF YOU 1278 00:42:14,560 --> 00:42:15,920 HAVEN'T SO WE KNOW YOUR 1279 00:42:15,920 --> 00:42:16,560 ATTENDANCE. 1280 00:42:16,560 --> 00:42:17,880 AND NOW THERE'S TIME FOR SOME 1281 00:42:17,880 --> 00:42:18,760 QUESTION AND ANSWER IF THERE'S 1282 00:42:18,760 --> 00:42:20,720 ANY QUESTIONS OR ANSWERS YOU CAN 1283 00:42:20,720 --> 00:42:22,920 USE THE MICROPHONES HERE AND ASK 1284 00:42:22,920 --> 00:42:23,920 ANYONE ON THE PANEL. 1285 00:42:23,920 --> 00:42:28,560 ANYONE HAVE ANY QUESTIONS? 1286 00:42:28,560 --> 00:42:31,160 >>NO QUESTIONS, HUH, FOLKS? 1287 00:42:31,160 --> 00:42:33,560 YOU GUYS ARE READY FOR LUNCH. 1288 00:42:33,560 --> 00:42:34,920 >>THEY'RE ABSORBING. 1289 00:42:34,920 --> 00:42:35,360 OKAY. 1290 00:42:35,360 --> 00:42:36,680 IF THERE ARE NO BURNING 1291 00:42:36,680 --> 00:42:36,960 QUESTIONS -- 1292 00:42:36,960 --> 00:42:38,160 >>CAN I MAKE A COMMENT? 1293 00:42:38,160 --> 00:42:38,800 >>SURE. 1294 00:42:38,800 --> 00:42:40,000 >>JUST BECAUSE I DIDN'T KNOW 1295 00:42:40,000 --> 00:42:42,840 THAT WE WERE GOING TO HEAR ABOUT 1296 00:42:42,840 --> 00:42:46,440 THE PROFICIENCY IN LANGUAGE, I 1297 00:42:46,440 --> 00:42:47,800 WANT TO GIVE YOU A CAVEAT. 1298 00:42:47,800 --> 00:42:49,000 THE TESTING FOR THAT LANGUAGE IS 1299 00:42:49,000 --> 00:42:51,200 FOR YOU TO DO YOUR JOB IN THAT 1300 00:42:51,200 --> 00:42:51,440 LANGUAGE. 1301 00:42:51,440 --> 00:42:53,320 IT IS NOT FOR YOU TO BECOME AN 1302 00:42:53,320 --> 00:42:54,440 INTERPRETER. 1303 00:42:54,440 --> 00:42:55,000 OKAY? 1304 00:42:55,000 --> 00:42:56,520 SO I JUST WANT TO MAKE IT CLEAR 1305 00:42:56,520 --> 00:42:57,280 ON THAT. 1306 00:42:57,280 --> 00:42:59,080 DO NOT ALLOW OTHER PEOPLE TO 1307 00:42:59,080 --> 00:43:01,240 PULL YOU IN A ROOM TO BECOME AN 1308 00:43:01,240 --> 00:43:01,680 INTERPRETER. 1309 00:43:01,680 --> 00:43:03,120 WE HAVE INTERPRETER SERVICES FOR 1310 00:43:03,120 --> 00:43:03,880 THAT. 1311 00:43:03,880 --> 00:43:05,640 WHAT WE ARE TRYING TO DO IS JUST 1312 00:43:05,640 --> 00:43:06,720 ESTABLISH YOUR PROFICIENCY THAT 1313 00:43:06,720 --> 00:43:08,600 YOU CAN DO THE JOB IN A LANGUAGE 1314 00:43:08,600 --> 00:43:10,160 THAT YOU'RE COMFORTABLE IN. 1315 00:43:10,160 --> 00:43:10,760 OKAY? 1316 00:43:10,760 --> 00:43:13,200 SO I ENCOURAGE YOU ALL TO DO 1317 00:43:13,200 --> 00:43:14,520 THAT, AND APPRECIATE YOUR 1318 00:43:14,520 --> 00:43:16,200 WILLINGNESS TO USE YOUR LANGUAGE 1319 00:43:16,200 --> 00:43:18,160 SKILLS, BUT I WANT TO MAKE SURE 1320 00:43:18,160 --> 00:43:19,320 THAT YOU DON'T THINK THAT MEANS 1321 00:43:19,320 --> 00:43:21,520 BY TAKING THE TEST, THAT A NURSE 1322 00:43:21,520 --> 00:43:23,840 OR A PHYSICIAN OR A TECHNICIAN 1323 00:43:23,840 --> 00:43:25,040 COULD THEN DRAW YOU IN A ROOM 1324 00:43:25,040 --> 00:43:27,480 AND ASK YOU TO BE AN 1325 00:43:27,480 --> 00:43:28,120 INTERPRETER, BECAUSE THAT'S NOT 1326 00:43:28,120 --> 00:43:29,040 YOUR JOB. 1327 00:43:29,040 --> 00:43:30,240 YOUR JOB IS TO BE A FELLOW AND 1328 00:43:30,240 --> 00:43:31,440 TAKE CARE OF THESE PATIENTS. 1329 00:43:31,440 --> 00:43:41,560 THANKS. 1330 00:43:43,640 --> 00:43:45,160 >>I THINK THEY'RE READY TO GO. 1331 00:43:45,160 --> 00:43:46,560 THEY HAD THE CODE BLUE AND 1332 00:43:46,560 --> 00:43:48,000 INFECTION CONTROL TRAINING 1333 00:43:48,000 --> 00:43:49,000 YESTERDAY SO THEY'RE SET. 1334 00:43:49,000 --> 00:43:51,400 SO WE WILL RELEASE YOU NOW TO GO 1335 00:43:51,400 --> 00:43:51,840 HAVE LUNCH. 1336 00:43:51,840 --> 00:43:53,400 THANK YOU AND A BIG ROUND OF 1337 00:43:53,400 --> 00:43:54,480 APPLAUSE TO OUR PANEL. 1338 00:43:54,480 --> 00:44:04,680 [APPLAUSE]