1 00:00:09,178 --> 00:00:11,380 Welcome to the Clinical Center Grand Rounds, 2 00:00:11,380 --> 00:00:15,184 a weekly series of educational lectures for physicians and 3 00:00:15,184 --> 00:00:17,820 health care professionals broadcast from the Clinical 4 00:00:17,820 --> 00:00:20,789 Center at the National Institutes of Health in 5 00:00:20,789 --> 00:00:22,558 Bethesda, MD. 6 00:00:22,558 --> 00:00:26,128 The NIH Clinical Center is the world's largest hospital totally 7 00:00:26,128 --> 00:00:29,798 dedicated to investigational research and leads the global 8 00:00:29,798 --> 00:00:32,768 effort in training today's investigators and discovering 9 00:00:32,768 --> 00:00:34,937 tomorrow's cures. 10 00:00:34,937 --> 00:00:46,851 Learn more by visiting us online at http://clinicalcenter.nih.gov 11 00:00:46,851 --> 00:00:49,354 I'M DR. JOYCE CHONG, EXECUTIVE 12 00:00:49,354 --> 00:00:50,788 DIRECTOR OF GRADUATE MEDICAL 13 00:00:50,788 --> 00:00:53,758 EDUCATION AT THE NIH CLINICAL 14 00:00:53,758 --> 00:00:54,058 CENTER. 15 00:00:54,058 --> 00:00:55,693 TODAY'S GRAND ROUNDS LECTURE IS 16 00:00:55,693 --> 00:00:58,096 THE FIRST OF FOUR WHICH ARE 17 00:00:58,096 --> 00:01:00,098 PLANNED FOR OUR JULY GRAND 18 00:01:00,098 --> 00:01:02,300 ROUNDS SERIES, WHICH FOCUS ON 19 00:01:02,300 --> 00:01:03,601 TOP, RELEVANT TO PHYSICIANS IN 20 00:01:03,601 --> 00:01:05,803 TRAINING AND FACULTY WHO TEACH 21 00:01:05,803 --> 00:01:06,003 THEM. 22 00:01:06,003 --> 00:01:08,139 THIS TRADITION WAS STARTED BY 23 00:01:08,139 --> 00:01:11,376 OUR PREVIOUS DIRECTOR DR. ROBERT 24 00:01:11,376 --> 00:01:12,910 LEMBOW, WE KICK OFF WHEN WE 25 00:01:12,910 --> 00:01:15,513 WELCOME THE ARRIVAL OF OUR NEW 26 00:01:15,513 --> 00:01:18,282 NIH CLINICAL FELLOWS. 27 00:01:18,282 --> 00:01:21,018 TODAY'S HOPKINS CME ACTIVITY 28 00:01:21,018 --> 00:01:22,987 CODE IS ON THE SLIDE, 36729, 29 00:01:22,987 --> 00:01:24,722 PLEASE TEXT THIS CODE TO THE 30 00:01:24,722 --> 00:01:26,190 JOHNS HOPKINS CME PHONE NUMBER 31 00:01:26,190 --> 00:01:28,393 ON THE SLIDE TO RECEIVE CREDIT 32 00:01:28,393 --> 00:01:30,027 FOR THIS LECTURE. 33 00:01:30,027 --> 00:01:31,429 YOU CAN DOWNLOAD AN EVALUATION 34 00:01:31,429 --> 00:01:33,965 FORM ON THE CLINICAL CENTER 35 00:01:33,965 --> 00:01:34,866 GRAND ROUNDS WEBSITE. 36 00:01:34,866 --> 00:01:36,934 QUESTIONS FOR THE SPEAKER CAN BE 37 00:01:36,934 --> 00:01:39,437 SUBMITTED AT ANYTIME DURING THE 38 00:01:39,437 --> 00:01:41,706 LECTURE BY SCROLLING DOWN AND 39 00:01:41,706 --> 00:01:47,745 CLICKING LIVE FEEDBACK BUTTON ON 40 00:01:47,745 --> 00:01:49,814 THE VIDEOCAST WEBSITE, QUESTIONS 41 00:01:49,814 --> 00:01:51,382 ANSWERED AT THE COMPLETION OF 42 00:01:51,382 --> 00:01:52,550 THE PRESENTATION, TIME 43 00:01:52,550 --> 00:01:52,950 PERMITTING. 44 00:01:52,950 --> 00:01:54,886 I'M DELIGHTED TO INTRODUCE 45 00:01:54,886 --> 00:01:56,821 TODAY'S SPEAKER DR. DAVID ROSS, 46 00:01:56,821 --> 00:01:57,955 PROFESSOR AND CHAIR OF 47 00:01:57,955 --> 00:02:00,425 PSYCHIATRY AT THE UNIVERSITY OF 48 00:02:00,425 --> 00:02:05,229 ALBERTA, FACULTY OF MEDICINE AND 49 00:02:05,229 --> 00:02:07,965 DENTISTRY IN EDMONTON, CANADA, 50 00:02:07,965 --> 00:02:15,106 RECEIVED A BACHELOR, MEDICAL AND 51 00:02:15,106 --> 00:02:16,307 Ph.D. DEGREES FROM YALE, 52 00:02:16,307 --> 00:02:17,942 RESIDENCY IN PSYCHIATRY ALSO AT 53 00:02:17,942 --> 00:02:19,977 YALE BEFORE TRANSITIONING TO 54 00:02:19,977 --> 00:02:20,578 THEIR FACULTY. 55 00:02:20,578 --> 00:02:23,214 AS A FACULTY MEMBER HE APPLIED 56 00:02:23,214 --> 00:02:26,150 HIS RICH BACKGROUND IN 57 00:02:26,150 --> 00:02:28,219 NEUROSCIENCE, CLINICAL 58 00:02:28,219 --> 00:02:29,420 PSYCHIATRY AND PEDAGOGY, 59 00:02:29,420 --> 00:02:31,055 ASSOCIATE PROGRAM DIRECTOR FOR 60 00:02:31,055 --> 00:02:32,290 PSYCHIATRY AND RESIDENCY 61 00:02:32,290 --> 00:02:33,224 PROGRAM, STAFF PSYCHIATRIST AT 62 00:02:33,224 --> 00:02:36,227 THE WEST HAVEN V.A., SPECIALIZED 63 00:02:36,227 --> 00:02:38,529 IN TREATMENT OF POSTTRAUMATIC 64 00:02:38,529 --> 00:02:39,630 STRESS DISORDER. 65 00:02:39,630 --> 00:02:41,399 RECENTLY AFTER OVER20 YEARS AT 66 00:02:41,399 --> 00:02:43,134 YALE DR. ROSS MOVED TO BECOME 67 00:02:43,134 --> 00:02:45,903 THE CHAIR OF THE DEPARTMENT OF 68 00:02:45,903 --> 00:02:48,706 PSYCHIATRY AT THE UNIVERSITY OF 69 00:02:48,706 --> 00:02:49,307 ALBERTA. 70 00:02:49,307 --> 00:02:53,077 DR. ROSS IS RECOGNIZED FOR 71 00:02:53,077 --> 00:02:54,612 ACADEMIC PROWESS WHEN SELECTED 72 00:02:54,612 --> 00:02:58,749 IN 2007 TO RECEIVE THE NIMH 73 00:02:58,749 --> 00:03:00,284 OUTSTANDING RESIDENCE AWARD 74 00:03:00,284 --> 00:03:01,619 WHILE A PSYCHIATRY RESIDENT, 75 00:03:01,619 --> 00:03:04,155 FOLLOWED BY INVITATION TO ATTEND 76 00:03:04,155 --> 00:03:07,859 THE INAUGURAL NIMH BRAIN CAMP IN 77 00:03:07,859 --> 00:03:09,494 2009, INSPIRED BY THESE 78 00:03:09,494 --> 00:03:11,462 EXPERIENCES HE COMMITTED TO 79 00:03:11,462 --> 00:03:13,431 TRANSLATING FINDINGS FROM THE 80 00:03:13,431 --> 00:03:14,632 GROWING NEUROSCIENCE REVOLUTION 81 00:03:14,632 --> 00:03:16,701 TO THE EDUCATION OF 82 00:03:16,701 --> 00:03:17,034 PSYCHIATRISTS. 83 00:03:17,034 --> 00:03:19,003 THIS WOULD BE A TREMENDOUS GAP 84 00:03:19,003 --> 00:03:22,540 TO FILL SINCE MOST PSYCHIATRISTS 85 00:03:22,540 --> 00:03:24,375 LACK KNOWLEDGE, SKILLS AND 86 00:03:24,375 --> 00:03:26,777 ATTITUDES THAT ALLOW THEM TO 87 00:03:26,777 --> 00:03:29,947 INTEGRATE BRAIN SCIENCE IN CARE 88 00:03:29,947 --> 00:03:31,482 OF PATIENTS. 89 00:03:31,482 --> 00:03:34,685 SO, IN 2014, DR. ROSCO FOUNDED 90 00:03:34,685 --> 00:03:36,954 THE NATIONAL NEUROSCIENCE 91 00:03:36,954 --> 00:03:38,789 CURRICULUM INITIATIVE, NNCI, 92 00:03:38,789 --> 00:03:41,425 WHOSE GOAL IS TO CREATE OPEN 93 00:03:41,425 --> 00:03:42,860 SOURCE RESOURCE THAT EDUCATE 94 00:03:42,860 --> 00:03:44,362 PSYCHIATRISTS AND OTHERS ABOUT 95 00:03:44,362 --> 00:03:45,930 CUTTING EDGE SCIENCE UNDERLYING 96 00:03:45,930 --> 00:03:47,999 MENTAL ILLNESS. 97 00:03:47,999 --> 00:03:53,204 SINCE STARTING THE NNCI DR. ROSS 98 00:03:53,204 --> 00:03:54,672 AND COLLEAGUES CREATED 250 99 00:03:54,672 --> 00:03:56,574 TEACHING AND LEARNING SESSIONS, 100 00:03:56,574 --> 00:03:58,809 IMPLEMENTED AROUND THE WORLD. 101 00:03:58,809 --> 00:04:02,079 HIS DRIVE AND PASSION TO 102 00:04:02,079 --> 00:04:02,947 CONTINUOUSLY CREATE, INNOVATE, 103 00:04:02,947 --> 00:04:04,549 PERSUADE THE FIELD OF PSYCHIATRY 104 00:04:04,549 --> 00:04:05,917 TO JOIN THE NEUROSCIENCE 105 00:04:05,917 --> 00:04:08,920 REVOLUTION IS NOTHING SHORT OF 106 00:04:08,920 --> 00:04:09,420 MIRACULOUS. 107 00:04:09,420 --> 00:04:11,556 DR. ROSS HAS ESTABLISHED HIMSELF 108 00:04:11,556 --> 00:04:13,157 AS INTERNATIONAL EXPERT IN 109 00:04:13,157 --> 00:04:14,492 MEDICAL EDUCATION, RECEIVED 110 00:04:14,492 --> 00:04:16,460 NUMEROUS TEACHING AWARDS, FROM 111 00:04:16,460 --> 00:04:18,996 ORGANIZATIONS THAT REPRESENT 112 00:04:18,996 --> 00:04:21,165 PSYCHIATRY TRAINING DIRECTORS, 113 00:04:21,165 --> 00:04:22,366 AMERICAN PSYCHIATRIC 114 00:04:22,366 --> 00:04:23,467 ASSOCIATION, SOCIETY FOR 115 00:04:23,467 --> 00:04:24,669 BIOLOGICAL PSYCHIATRY AND 116 00:04:24,669 --> 00:04:26,003 AMERICAN ASSOCIATION OF MEDICAL 117 00:04:26,003 --> 00:04:27,939 COLLEGES, TO NAME A FEW. 118 00:04:27,939 --> 00:04:30,575 HE HAS RECEIVED FUNDING FROM 119 00:04:30,575 --> 00:04:32,410 NIMH FOR DEVELOPMENT AND 120 00:04:32,410 --> 00:04:35,379 CONTINUATION OF NNCI AND MOST 121 00:04:35,379 --> 00:04:37,682 RECENTLY RECEIVED A GRANT FROM 122 00:04:37,682 --> 00:04:38,749 THE BLAIR RESEARCH INITIATIVE 123 00:04:38,749 --> 00:04:40,418 FOR DISORDERS OF THE BRAIN, PART 124 00:04:40,418 --> 00:04:43,921 OF THE FOUNDATION FOR THE NIH. 125 00:04:43,921 --> 00:04:46,524 IT IS NOTABLE ONE OF THE FIRST 126 00:04:46,524 --> 00:04:47,725 ACTIVITIES LISTED ON DR. ROSS'S 127 00:04:47,725 --> 00:04:50,361 CV IS HIS JOB AT TEACHER AND 128 00:04:50,361 --> 00:04:52,997 THEN DIRECTOR OF TEACHER 129 00:04:52,997 --> 00:04:54,732 TRAINING AT KAPLAN EDUCATIONAL 130 00:04:54,732 --> 00:04:55,433 SERVICES. 131 00:04:55,433 --> 00:04:58,135 WELL KNOWN FOR TEST PREP 132 00:04:58,135 --> 00:04:58,569 INSTRUCTION. 133 00:04:58,569 --> 00:05:00,004 THIS EARLY EXPOSURE AND 134 00:05:00,004 --> 00:05:01,405 EXPERIENCE IN PEDAGOGY INFORMED 135 00:05:01,405 --> 00:05:03,207 HOW HE APPROACHED HOW LEARNERS 136 00:05:03,207 --> 00:05:06,344 LEARN, HOW TO TEACH WELL. 137 00:05:06,344 --> 00:05:08,312 AS HE WOULD SAY 138 00:05:08,312 --> 00:05:11,482 "THIS STUFF IS COOL." 139 00:05:11,482 --> 00:05:14,185 THE TITLE IS APPLIED PRINCIPLES 140 00:05:14,185 --> 00:05:18,823 OF ADULT LEARNING TO DESIGN, 141 00:05:18,823 --> 00:05:21,225 LESSONS FROM THE CURRICULUM 142 00:05:21,225 --> 00:05:21,993 INITIATIVE. 143 00:05:21,993 --> 00:05:25,596 JOIN ME IN WELCOMING DR. DAVID 144 00:05:25,596 --> 00:05:25,830 ROSS. 145 00:05:25,830 --> 00:05:26,697 >> THANK YOU. 146 00:05:26,697 --> 00:05:33,070 YOU CAN HEAR ME OKAY? 147 00:05:33,070 --> 00:05:33,604 COOL. 148 00:05:33,604 --> 00:05:38,509 SCREEN SHARE. 149 00:05:38,509 --> 00:05:44,749 I LIVE AND WORK IN EDMONTON 150 00:05:44,749 --> 00:05:46,283 ALBERTA, THE PROCESS OF 151 00:05:46,283 --> 00:05:47,251 COLONIZATION HAS CAUSED AND 152 00:05:47,251 --> 00:05:49,453 CONTINUES TO CAUSE DEEP HARM TO 153 00:05:49,453 --> 00:05:50,554 INDIGENOUS PEOPLE, I ACKNOWLEDGE 154 00:05:50,554 --> 00:05:51,756 THIS HISTORY AS A PART OF A 155 00:05:51,756 --> 00:05:55,860 BROADER COMMITMENT TO TRUTH AND 156 00:05:55,860 --> 00:06:00,064 RECONCILIATION. 157 00:06:00,064 --> 00:06:01,599 PRIOR TO 1600, APPROXIMATELY 158 00:06:01,599 --> 00:06:03,234 HALF OF ALL SAILORS IN THE 159 00:06:03,234 --> 00:06:05,202 BRIDGE NAVY ON LONG DISTANCE 160 00:06:05,202 --> 00:06:08,506 VOYAGES WOULD DIE FROM SCURVY. 161 00:06:08,506 --> 00:06:11,475 YOU MAY REMEMBER IT'S A NASTY 162 00:06:11,475 --> 00:06:12,443 DISEASE, BRUISING, BLEEDING 163 00:06:12,443 --> 00:06:13,678 GUMS, POOR WOUND HEALING, A 164 00:06:13,678 --> 00:06:18,149 DESCRIPTION FROM THE TIME 165 00:06:18,149 --> 00:06:19,650 DESCRIBED IT AS PUTRID GUMS AND 166 00:06:19,650 --> 00:06:20,451 DREADFUL TERRORIST. 167 00:06:20,451 --> 00:06:21,952 MORE SAILORS IN THE BRITISH NAVY 168 00:06:21,952 --> 00:06:25,056 DIED FROM SCURVY THAN FROM ENEMY 169 00:06:25,056 --> 00:06:27,224 COMBATANTS OR ANY OTHER CAUSE. 170 00:06:27,224 --> 00:06:29,060 IN 1601, CAPTAIN JAMES LANCASTER 171 00:06:29,060 --> 00:06:30,161 CONDUCTED AN EXPERIMENT IN WHICH 172 00:06:30,161 --> 00:06:32,697 SAILORS ON ONE OF HIS FOUR SHIPS 173 00:06:32,697 --> 00:06:33,798 RECEIVED THREE TEASPOONS OF 174 00:06:33,798 --> 00:06:36,634 LEMON JUICE DAILY, THE OTHERS 175 00:06:36,634 --> 00:06:37,001 DIDN'T. 176 00:06:37,001 --> 00:06:38,202 THE SAILORS WHO GOT JUST WERE 177 00:06:38,202 --> 00:06:40,504 SECURED AND HAD TO CARE FOR 178 00:06:40,504 --> 00:06:44,408 THOSE ON THE OTHER SHIPS WHO 179 00:06:44,408 --> 00:06:45,943 REMAINED ILL. 180 00:06:45,943 --> 00:06:51,649 IN 1747, 150 YEARS LATER, HALF 181 00:06:51,649 --> 00:06:53,884 SAILORS IN THE BRITISH NAVY 182 00:06:53,884 --> 00:06:57,321 STILL DIED FROM SCURVY. 183 00:06:57,321 --> 00:06:58,756 A SECOND EXPERIMENT, ONE GROUP 184 00:06:58,756 --> 00:07:02,159 GOT TWO ORANGES AND LEMON, THE 185 00:07:02,159 --> 00:07:05,963 OTHERS GOT ASSORTED ELIXIRS AND 186 00:07:05,963 --> 00:07:12,470 CONCOCTIONS, SEA WATER, VINEGAR, 187 00:07:12,470 --> 00:07:17,408 CIDER, HORSERADISH, 75 DROPS OF 188 00:07:17,408 --> 00:07:18,909 ELIXIR, DILUTED SULFURIC ACID. 189 00:07:18,909 --> 00:07:21,445 ONCE AGAIN, HE SHOWED THAT 190 00:07:21,445 --> 00:07:22,747 CITRUS CURES SCURVY, AND 191 00:07:22,747 --> 00:07:26,250 PUBLISHED A DETAILED DESCRIPTION 192 00:07:26,250 --> 00:07:28,652 OF HIS WORK. 193 00:07:28,652 --> 00:07:30,321 IN 1795, HALF OF ALL SAILORS IN 194 00:07:30,321 --> 00:07:32,623 THE BRITISH NAVY STILL DIED FROM 195 00:07:32,623 --> 00:07:33,090 SCURVY. 196 00:07:33,090 --> 00:07:35,025 IT WASN'T UNTIL A THIRD 197 00:07:35,025 --> 00:07:35,693 SCIENTIST REPLICATED THE 198 00:07:35,693 --> 00:07:38,195 ORIGINAL RESEARCH THAT THE NAVY 199 00:07:38,195 --> 00:07:39,830 ULTIMATELY IMPLEMENTED A 200 00:07:39,830 --> 00:07:41,632 FLEET-WIDE POLICY, ALMOST 201 00:07:41,632 --> 00:07:43,200 IMMEDIATELY ERADICATED THE 202 00:07:43,200 --> 00:07:43,434 DISEASE. 203 00:07:43,434 --> 00:07:46,504 SO HAVING A GOOD IDEA OR MAKING 204 00:07:46,504 --> 00:07:48,706 A CRUCIAL DISCOVERY ISN'T 205 00:07:48,706 --> 00:07:48,939 ENOUGH. 206 00:07:48,939 --> 00:07:51,208 THE QUESTION IS WHAT DOES IT 207 00:07:51,208 --> 00:07:54,378 TAKE TO ACHIEVE BROADER IMPACT. 208 00:07:54,378 --> 00:07:55,813 AND ACROSS ALL OF MEDICINE WE'VE 209 00:07:55,813 --> 00:08:02,553 COME A LONG WAY FROM JAMES LIN'S 210 00:08:02,553 --> 00:08:06,290 VITRIOLE ELIXIR, IN THE 211 00:08:06,290 --> 00:08:07,291 NEUROSCIENCE REVOLUTION WE 212 00:08:07,291 --> 00:08:10,027 UNDERSTAND THE BIOLOGICAL BASIS 213 00:08:10,027 --> 00:08:11,762 WITH UNPRECEDENTED POWER, 214 00:08:11,762 --> 00:08:12,863 SOPHISTICATED IMAGING TECHNIQUES 215 00:08:12,863 --> 00:08:14,732 FROM CELLULAR LEVEL UP TO 216 00:08:14,732 --> 00:08:15,800 FUNCTIONAL CONNECTIVITY AND 217 00:08:15,800 --> 00:08:16,700 COMPLEX CIRCUITS. 218 00:08:16,700 --> 00:08:18,102 WE CAN DIRECTLY OBSERVE THE 219 00:08:18,102 --> 00:08:21,505 FIRING OF CELLS, REAL TIME, 220 00:08:21,505 --> 00:08:22,473 USING CALCIUM CHANNEL IMAGING, 221 00:08:22,473 --> 00:08:25,342 CONTROL FIRING PATTERNS OF 222 00:08:25,342 --> 00:08:27,311 SPECIFIC NEURONS WITH TOOLS LIKE 223 00:08:27,311 --> 00:08:28,279 OPTO. 224 00:08:28,279 --> 00:08:29,914 WE'RE SEEING A PROGRESSION FROM 225 00:08:29,914 --> 00:08:31,015 BASIC SCIENCE INTO ANIMAL 226 00:08:31,015 --> 00:08:33,217 MODELS, IN SOME CASES 227 00:08:33,217 --> 00:08:34,785 TRANSLATING INTO DRAMATIC HUMAN 228 00:08:34,785 --> 00:08:35,219 INTERVENTIONS. 229 00:08:35,219 --> 00:08:36,854 SO, SOME OF YOU MAY RECALL THIS 230 00:08:36,854 --> 00:08:38,956 EXAMPLE, ALL THE WAY BACK FROM 231 00:08:38,956 --> 00:08:40,324 THE 2014 WORLD CUP. 232 00:08:40,324 --> 00:08:42,726 A MAN WHO HAD BEEN PARALYZED FOR 233 00:08:42,726 --> 00:08:44,795 TEN YEARS FROM THE WAIST DOWN, 234 00:08:44,795 --> 00:08:46,997 WITH THE HELP OF A BRAIN-MACHINE 235 00:08:46,997 --> 00:08:49,500 INTERFACE KICKED OUT THE FIRST 236 00:08:49,500 --> 00:08:50,067 BALL. 237 00:08:50,067 --> 00:08:52,903 OR JUST A COUPLE MONTHS AGO, 238 00:08:52,903 --> 00:09:00,010 THIS STORY OF A MAN WITH SPASTIC 239 00:09:00,010 --> 00:09:02,546 QUADRIPLEGIA FOLLOWING BRAINSTEM 240 00:09:02,546 --> 00:09:06,283 STROKE, AN IMPLANT ENABLED BASIC 241 00:09:06,283 --> 00:09:07,051 SPEECH, UNBELIEVABLE STUFF. 242 00:09:07,051 --> 00:09:08,219 AROUND THE TIME OF THE WORLD CUP 243 00:09:08,219 --> 00:09:10,421 IN BRAZIL IN THE MIDST OF THIS 244 00:09:10,421 --> 00:09:14,225 WAVE OF EXCITEMENT THEN DIRECTOR 245 00:09:14,225 --> 00:09:18,395 OF THE NIH TOM INSEL WROTE A 246 00:09:18,395 --> 00:09:20,898 PIECE, AND MANY OTHERS SINCE 247 00:09:20,898 --> 00:09:23,767 THEN CAPTURED THIS MOMENT IN 248 00:09:23,767 --> 00:09:24,168 HISTORY. 249 00:09:24,168 --> 00:09:25,302 HERE'S THE AMAZING THING. 250 00:09:25,302 --> 00:09:27,037 AROUND THE SAME TIME THERE WAS A 251 00:09:27,037 --> 00:09:28,906 SURVEY OF PROGRAM DIRECTORS IN 252 00:09:28,906 --> 00:09:31,175 WHICH THEY FOUND 95% OF PROGRAM 253 00:09:31,175 --> 00:09:32,309 DIRECTORS THOUGHT IT WAS 254 00:09:32,309 --> 00:09:33,911 IMPORTANT TO BE TEACHING 255 00:09:33,911 --> 00:09:35,880 NEUROSCIENCE AND INCORPORATING 256 00:09:35,880 --> 00:09:37,848 IT INTO THEIR CURRICULUM, AND 257 00:09:37,848 --> 00:09:39,183 YET VIRTUALLY NONE OF THEM WERE 258 00:09:39,183 --> 00:09:41,352 DOING IT IN THE SUBSTANTIVE 259 00:09:41,352 --> 00:09:41,819 MANNER. 260 00:09:41,819 --> 00:09:43,888 NOW, IF YOU WORRY, RIGHTFULLY, 261 00:09:43,888 --> 00:09:46,156 THESE DATA ARE OLD, THEY ARE. 262 00:09:46,156 --> 00:09:48,125 BUT IT HASN'T GOTTEN ANY BETTER. 263 00:09:48,125 --> 00:09:51,662 A PAPER THAT JUST CAME OUT IN 264 00:09:51,662 --> 00:09:52,830 ACADEMIC PSYCHIATRY ASKED 265 00:09:52,830 --> 00:09:53,931 PROGRAM DIRECTORS HOW CONFIDENT 266 00:09:53,931 --> 00:09:55,366 THEY WERE ABOUT DIFFERENT 267 00:09:55,366 --> 00:09:56,567 ASPECTS OF THEIR CURRICULUM AND 268 00:09:56,567 --> 00:09:57,768 WHEN PRESENTED WITH THE 269 00:09:57,768 --> 00:10:00,404 STATEMENT, I THINK MY PROGRAM 270 00:10:00,404 --> 00:10:03,073 TEACHES NEUROSCIENCE VERY WELL, 271 00:10:03,073 --> 00:10:04,241 FEWER THAN HALF AGREED. 272 00:10:04,241 --> 00:10:06,977 THIS WAS THE LOWEST OF ANY 273 00:10:06,977 --> 00:10:08,612 DOMAIN THEY SURVEYED, AND THEIR 274 00:10:08,612 --> 00:10:11,382 LACK OF CONFIDENCE WAS WELL 275 00:10:11,382 --> 00:10:16,954 WARRANTED BECAUSE DATA FROM 276 00:10:16,954 --> 00:10:17,821 RESIDENTS IN TRAINING EXAM 277 00:10:17,821 --> 00:10:19,790 SHOWED SCORES LOW IN 278 00:10:19,790 --> 00:10:21,525 NEUROSCIENCE, DID NOT IMPROVE 279 00:10:21,525 --> 00:10:22,960 SIGNIFICANTLY OVER FOUR YEARS OF 280 00:10:22,960 --> 00:10:24,461 TRAINING. 281 00:10:24,461 --> 00:10:26,130 THESE DATA ARE DEVASTATING. 282 00:10:26,130 --> 00:10:27,765 AT THEIR HEART, THEY SUGGEST 283 00:10:27,765 --> 00:10:30,301 THAT WE'RE REENACTING A CASE OF 284 00:10:30,301 --> 00:10:31,702 EDUCATIONAL SCURVY. 285 00:10:31,702 --> 00:10:33,804 THAT THE WORLD HAS RADICALLY 286 00:10:33,804 --> 00:10:35,639 CHANGED AND WE'RE STUCK 50 YEARS 287 00:10:35,639 --> 00:10:36,941 IN THE PAST. 288 00:10:36,941 --> 00:10:39,810 NOW, I REALIZE MANY OF YOU ARE 289 00:10:39,810 --> 00:10:40,611 NOT IN PSYCHIATRY. 290 00:10:40,611 --> 00:10:43,013 I'LL ASK THAT YOU INDULGE ME. 291 00:10:43,013 --> 00:10:44,882 I'LL USE NEUROSCIENCE AS AN 292 00:10:44,882 --> 00:10:47,184 EXAMPLE BUT OBVIOUSLY IT'S NOT 293 00:10:47,184 --> 00:10:48,819 JUST ABOUT PSYCHIATRY. 294 00:10:48,819 --> 00:10:51,455 THE EXACT SAME CHALLENGE IS TRUE 295 00:10:51,455 --> 00:10:54,758 ACROSS ALL OF MEDICINE, 296 00:10:54,758 --> 00:10:55,826 INTEGRATING CUTTING EDGE SCIENCE 297 00:10:55,826 --> 00:10:57,561 IN TYPING AND CLINICAL PRACTICE. 298 00:10:57,561 --> 00:10:59,096 MEETING WITH A FAMILY PRACTICE 299 00:10:59,096 --> 00:10:59,863 YESTERDAY DESCRIBING THE EXACT 300 00:10:59,863 --> 00:11:02,166 SAME STORY, FOR NEW SCIENCE 301 00:11:02,166 --> 00:11:03,167 RELATING TO OBESITY. 302 00:11:03,167 --> 00:11:05,102 SO AS WE GO ALONG I'LL ASK YOU 303 00:11:05,102 --> 00:11:07,304 EACH TO PLEASE TRANSLATE IN YOUR 304 00:11:07,304 --> 00:11:08,172 MIND WHAT THE ANALOGOUS SPACE 305 00:11:08,172 --> 00:11:10,808 WOULD BE IN YOUR OWN DISCIPLINE, 306 00:11:10,808 --> 00:11:12,876 AND ULTIMATELY THIS IS A TALK 307 00:11:12,876 --> 00:11:15,612 ABOUT PROCESS, HOW DO WE BUILD 308 00:11:15,612 --> 00:11:17,147 EFFECTIVE CURRICULA AND SO 309 00:11:17,147 --> 00:11:19,550 REGARDLESS OF CONTENT WE CAN 310 00:11:19,550 --> 00:11:21,618 THINK SIMILARLY ABOUT POSSIBLE 311 00:11:21,618 --> 00:11:22,252 SOLUTIONS. 312 00:11:22,252 --> 00:11:23,687 SO, IF WE CIRCLE BACK TO TOM'S 313 00:11:23,687 --> 00:11:25,990 EDITORIAL AND THE FUTURE OF 314 00:11:25,990 --> 00:11:26,890 PSYCHIATRY AS CLINICAL 315 00:11:26,890 --> 00:11:29,426 NEUROSCIENCE, TO ME IT'S JUST A 316 00:11:29,426 --> 00:11:31,495 TEASER TO THE REAL CONVERSATION. 317 00:11:31,495 --> 00:11:33,564 THE QUESTION THAT WE NEED TO BE 318 00:11:33,564 --> 00:11:35,199 ASKING IS WHY NOT NOW? 319 00:11:35,199 --> 00:11:37,267 WHY AREN'T WE TEACHING IT THIS 320 00:11:37,267 --> 00:11:39,036 WAY TODAY? 321 00:11:39,036 --> 00:11:40,270 PROBABLY THE BIGGEST REASON IS 322 00:11:40,270 --> 00:11:43,407 HOW NEW EVERYTHING IS. 323 00:11:43,407 --> 00:11:46,477 I ALLUDED TO RECENT THINGS. 324 00:11:46,477 --> 00:11:47,411 ONE OTHER SIMPLE EXAMPLE, GO 325 00:11:47,411 --> 00:11:49,213 BACK IN TIME 25 YEARS, WITHIN 326 00:11:49,213 --> 00:11:54,585 THE LIFE OF OUR TRAINEES, WHEN 327 00:11:54,585 --> 00:11:55,986 WE TALKED ABOUT GENTICS 25 YEARS 328 00:11:55,986 --> 00:11:58,522 AGO THE FOCUS WAS ON SPECIFIC 329 00:11:58,522 --> 00:11:59,490 GENES. 330 00:11:59,490 --> 00:12:01,091 WORK WAS SLOW, EXPENSIVE, 331 00:12:01,091 --> 00:12:03,360 LIMITED TO SMALL SAMPLES. 332 00:12:03,360 --> 00:12:06,730 SO THIS IS THE MAIN FIGURE FROM 333 00:12:06,730 --> 00:12:08,766 THE SEMINAL PAPER ON DISK 1, 334 00:12:08,766 --> 00:12:12,002 WHICH LOOKED AT 87 MEMBERS OF 335 00:12:12,002 --> 00:12:13,303 ONE FAMILY. 336 00:12:13,303 --> 00:12:16,573 THE PAPER WAS PUBLISHED IN 337 00:12:16,573 --> 00:12:18,108 AMERICAN JOURNAL OF HUMAN 338 00:12:18,108 --> 00:12:18,976 GENETICS IN 2001. 339 00:12:18,976 --> 00:12:23,380 THAT'S THE SAME YEAR THE HUMAN 340 00:12:23,380 --> 00:12:25,382 GENOME PROJECT WAS COMPLETED AT 341 00:12:25,382 --> 00:12:26,483 A COST OF ALMOST $3 BILLION. 342 00:12:26,483 --> 00:12:30,287 IN THE PAST 20 YEARS WE'VE SEEN 343 00:12:30,287 --> 00:12:32,222 THE COST PLUMMET, WE CAN NOW 344 00:12:32,222 --> 00:12:34,525 EXPECT PATIENTS TO SHOW UP 345 00:12:34,525 --> 00:12:35,526 HAVING COMPLETED THEIR OWN 346 00:12:35,526 --> 00:12:36,927 GENETIC TESTING. 347 00:12:36,927 --> 00:12:39,263 MORE IMPORTANTLY, NEXT 348 00:12:39,263 --> 00:12:40,431 GENERATION SEQUENCING OFFERS 349 00:12:40,431 --> 00:12:41,432 EXPONENTIALLY MORE POWERFUL 350 00:12:41,432 --> 00:12:43,934 TOOLS, SO WHOLE GENOME 351 00:12:43,934 --> 00:12:45,569 SEQUENCING INCLUDING NON-CODING 352 00:12:45,569 --> 00:12:46,703 REGIONS, EPIGENETIC FACTORS, 353 00:12:46,703 --> 00:12:47,671 LOOKING DIRECTLY AT THE 354 00:12:47,671 --> 00:12:50,107 TRANSCRIPTOME, SO WE CAN BETTER 355 00:12:50,107 --> 00:12:50,908 UNDERSTAND COMPLEX INTERPLAY 356 00:12:50,908 --> 00:12:53,710 BETWEEN ENVIRONMENT AND BIOLOGY. 357 00:12:53,710 --> 00:12:57,081 AND CRITICALLY, AS COMPUTATIONAL 358 00:12:57,081 --> 00:12:58,682 TOOLS HAVE BECOME -- 359 00:12:58,682 --> 00:13:08,926 [ NO AUDIO ] 360 00:13:48,265 --> 00:13:48,832 (TECHNICAL DIFFICULTIES, PLEASE 361 00:13:48,832 --> 00:13:59,009 STAND BY) 362 00:14:08,952 --> 00:14:11,421 >> LET'S SEE IF WE CAN MAKE THIS 363 00:14:11,421 --> 00:14:12,923 COME RIGHT BACK IN. 364 00:14:12,923 --> 00:14:14,024 ALL RIGHT. 365 00:14:14,024 --> 00:14:16,426 HOPEFULLY WE'RE SOMEWHERE AROUND 366 00:14:16,426 --> 00:14:16,627 HERE. 367 00:14:16,627 --> 00:14:17,561 >> LOOKING GOOD. 368 00:14:17,561 --> 00:14:20,564 >> DOES THIS LOOK RIGHT? 369 00:14:20,564 --> 00:14:22,666 THE MOST OBVIOUS BARRIERS IN 370 00:14:22,666 --> 00:14:24,301 PSYCHIATRY BEYOND TECHNOLOGY 371 00:14:24,301 --> 00:14:25,936 ITSELF IS SYSTEM OF 372 00:14:25,936 --> 00:14:26,837 CLASSIFICATION TO DEFINE 373 00:14:26,837 --> 00:14:29,673 PSYCHIATRIC ILLNESS. 374 00:14:29,673 --> 00:14:32,176 THIRTY YEARS AGO WE WERE WORKING 375 00:14:32,176 --> 00:14:39,316 WITH THE DSM-III. 376 00:14:39,316 --> 00:14:41,084 WE'VE EVOLVED TO DSM-VTR, THIS 377 00:14:41,084 --> 00:14:42,786 IS PROGRESS, BUT WE CAN ALSO 378 00:14:42,786 --> 00:14:44,655 AGREE THE CURRENT VERSION DOES 379 00:14:44,655 --> 00:14:45,422 NOT REFLECT UNDERLYING BIOLOGY 380 00:14:45,422 --> 00:14:47,624 OF THE DISEASES THAT WE TREAT. 381 00:14:47,624 --> 00:14:49,026 SO IT'S NOT AN ACCIDENT THAT THE 382 00:14:49,026 --> 00:14:51,295 BOOK EXISTS THE WAY IT DOES, IT 383 00:14:51,295 --> 00:14:53,096 WAS CREATED AT A TIME WHEN WE 384 00:14:53,096 --> 00:14:55,132 DID NOT HAVE THE TOOLS TO 385 00:14:55,132 --> 00:14:57,467 UNDERSTAND THE ILLNESSES, IT WAS 386 00:14:57,467 --> 00:15:00,003 A DELIBERATE CHOICE TO FOCUS ON 387 00:15:00,003 --> 00:15:01,538 THAT WHICH WAS EXTERNALLY 388 00:15:01,538 --> 00:15:06,343 OBSERVABLE RATHER THAN THE 389 00:15:06,343 --> 00:15:07,978 BIOLOGY. 390 00:15:07,978 --> 00:15:09,646 THE WORLD IS CHANGING, WHETHER 391 00:15:09,646 --> 00:15:11,481 THREE EFFORT TO REDEFINE 392 00:15:11,481 --> 00:15:13,584 CATEGORIES OR THROUGH NARROWER 393 00:15:13,584 --> 00:15:15,752 RESEARCH EFFORTS WE MAY FINALLY 394 00:15:15,752 --> 00:15:17,287 BE GAINING TRACTION IN THIS 395 00:15:17,287 --> 00:15:17,721 SPACE. 396 00:15:17,721 --> 00:15:18,722 THE OTHER MAJOR STRUCTURAL ISSUE 397 00:15:18,722 --> 00:15:20,557 IS THE WAY WHICH WE ORGANIZE OUR 398 00:15:20,557 --> 00:15:21,024 TRAINING SYSTEMS. 399 00:15:21,024 --> 00:15:24,194 IN THE U.S. THIS IS ALL ABOUT 400 00:15:24,194 --> 00:15:25,862 THE ACGME, FOR EACH SPECIALTY 401 00:15:25,862 --> 00:15:26,730 THERE ARE SPECIFIC PROGRAM 402 00:15:26,730 --> 00:15:27,831 REQUIREMENTS FOR EVERYTHING THAT 403 00:15:27,831 --> 00:15:30,434 HAS TO BE DONE, IF YOU READ THIS 404 00:15:30,434 --> 00:15:32,469 DOCUMENT IT'S 38 PAGES AND MORE 405 00:15:32,469 --> 00:15:33,503 THAN 10,000 WORDS, COVERING 406 00:15:33,503 --> 00:15:35,806 EVERYTHING THAT HAS TO HAPPEN. 407 00:15:35,806 --> 00:15:37,674 EVERY FORM OF THERAPY, DIFFERENT 408 00:15:37,674 --> 00:15:39,409 TYPES OF CLINICAL EXPOSURES DOWN 409 00:15:39,409 --> 00:15:42,346 TO MANDATED NAP TIMES FOR 410 00:15:42,346 --> 00:15:42,913 RESIDENTS ON CALL. 411 00:15:42,913 --> 00:15:44,781 ANYBODY WANT TO GUESS WHAT WORD 412 00:15:44,781 --> 00:15:47,951 DOES NOT APPEAR IN THE PROGRAM 413 00:15:47,951 --> 00:15:48,719 REQUIREMENTS? 414 00:15:48,719 --> 00:15:50,354 RIGHT, IF YOU'RE KEEPING SCORE 415 00:15:50,354 --> 00:15:53,290 AT HOME, NAPS, ONE, NEUROSCIENCE 416 00:15:53,290 --> 00:15:53,523 ZERO. 417 00:15:53,523 --> 00:15:54,958 IF YOU WANT TO STEP BACK THERE'S 418 00:15:54,958 --> 00:15:58,328 NO MENTION OF THE RECOVERY 419 00:15:58,328 --> 00:16:00,030 MOVEMENT, OR HEALTH EQUITY, OR 420 00:16:00,030 --> 00:16:01,064 HEALTH DISPARITIES. 421 00:16:01,064 --> 00:16:02,699 THIS IS IMPROVING AT LEAST A 422 00:16:02,699 --> 00:16:04,334 LITTLE BIT THROUGH THE 423 00:16:04,334 --> 00:16:05,535 PSYCHIATRY MILESTONES PROGRESS, 424 00:16:05,535 --> 00:16:06,637 BUT CLEARLY NOWHERE CLOSE TO 425 00:16:06,637 --> 00:16:09,039 WHERE WE OUGHT TO BE. 426 00:16:09,039 --> 00:16:11,041 SO, WHAT'S THE IMPACT OF THIS ON 427 00:16:11,041 --> 00:16:11,408 PROGRAMS? 428 00:16:11,408 --> 00:16:13,010 WELL, PROGRAMS HAVE TO FOLLOW 429 00:16:13,010 --> 00:16:14,278 THE REQUIREMENTS AND 430 00:16:14,278 --> 00:16:15,012 REQUIREMENTS LARGELY TRACK WITH 431 00:16:15,012 --> 00:16:15,946 HISTORY OF OUR FIELD. 432 00:16:15,946 --> 00:16:17,281 AS NEW IDEAS AND TOPICS 433 00:16:17,281 --> 00:16:18,815 DEVELOPED, THEY HAVE BEEN ADDED 434 00:16:18,815 --> 00:16:19,082 IN. 435 00:16:19,082 --> 00:16:21,518 SO IF YOU LOOK AT TRADITIONAL 436 00:16:21,518 --> 00:16:32,062 CURRICULUM, IT'S NOT SURPRISING 437 00:16:34,431 --> 00:16:38,335 IT HAS A VESTIGIAL SITUATION. 438 00:16:38,335 --> 00:16:41,271 IF YOU'RE LUCKY, MAYBE SOME 439 00:16:41,271 --> 00:16:43,106 PSYCHOSOCIAL REHABILITATION, IF 440 00:16:43,106 --> 00:16:45,542 YOU'RE REALLY LUCKY, MAYBE SOME 441 00:16:45,542 --> 00:16:45,876 NEUROSCIENCE. 442 00:16:45,876 --> 00:16:47,944 I HAVE TO ADMIT IT WOULD BE 443 00:16:47,944 --> 00:16:48,945 CONVENIENT IF THE WORLD WORKED 444 00:16:48,945 --> 00:16:50,814 THIS WAY AND WE COULD PARSE 445 00:16:50,814 --> 00:16:53,317 THINGS INTO NEAT CATEGORIES. 446 00:16:53,317 --> 00:16:55,819 IT WOULD APPEAL TO OCPD IN ALL 447 00:16:55,819 --> 00:16:57,788 OF US, AT LEAST IN ME. 448 00:16:57,788 --> 00:17:03,593 BUT THE REALITY IT DOESN'T. 449 00:17:03,593 --> 00:17:05,696 THE BEAUTY IS HOW THE PIECES FIT 450 00:17:05,696 --> 00:17:05,962 TOGETHER. 451 00:17:05,962 --> 00:17:09,833 IF WE WANT TO THINK ABOUT PTSD 452 00:17:09,833 --> 00:17:10,667 TODAY, FUNDAMENTALLY ANY 453 00:17:10,667 --> 00:17:11,802 CONVERSATION HAS TO BEGIN WITH 454 00:17:11,802 --> 00:17:13,470 WHAT HAPPENS IN THE BRAIN 455 00:17:13,470 --> 00:17:15,539 FOLLOWING A TRAUMATIC EVENT. 456 00:17:15,539 --> 00:17:17,174 YOU GET FEAR CONDITIONING, 457 00:17:17,174 --> 00:17:20,377 DISRUPTION OF THE CONNECTIVITY 458 00:17:20,377 --> 00:17:25,482 BETWEEN PRE-FRONT CORTEX AND 459 00:17:25,482 --> 00:17:27,284 LIMBIC SYSTEM, INCLUDING A 460 00:17:27,284 --> 00:17:28,652 COMPONENT OF EXPOSURE THERAPY. 461 00:17:28,652 --> 00:17:30,454 NOW WE CAN DIG INTO ALL THE COOL 462 00:17:30,454 --> 00:17:31,288 SCIENCE THAT'S GOING ON. 463 00:17:31,288 --> 00:17:35,459 WHAT IF WE HAD A WAY TO INCREASE 464 00:17:35,459 --> 00:17:37,661 INTRINSIC PLASTICITY OF THE 465 00:17:37,661 --> 00:17:38,295 BRAIN THROUGH INTERVENTION, 466 00:17:38,295 --> 00:17:39,496 MEDS, TO GET THROUGH THE 467 00:17:39,496 --> 00:17:41,365 EXPOSURE THERAPY IN FIVE OR SIX 468 00:17:41,365 --> 00:17:43,567 SESSIONS INSTEAD OF TEN TO 469 00:17:43,567 --> 00:17:43,800 TWELVE. 470 00:17:43,800 --> 00:17:45,168 THERE'S THIS WHOLE SEPARATE LINE 471 00:17:45,168 --> 00:17:46,837 OF RESEARCH NOW SHOWING ANYTIME 472 00:17:46,837 --> 00:17:48,939 A MEMORY IS ACTIVATED IT BECOMES 473 00:17:48,939 --> 00:17:51,508 MOMENTARILY LABILE AND HAS TO BE 474 00:17:51,508 --> 00:17:51,875 RECONSOLIDATED. 475 00:17:51,875 --> 00:17:54,478 SO WHAT IF WE HAD THE ABILITY TO 476 00:17:54,478 --> 00:17:55,178 DISRUPT THAT RECONSOLIDATION 477 00:17:55,178 --> 00:17:57,214 PROCESS SO YOU MIGHT BE ABLE TO 478 00:17:57,214 --> 00:17:59,416 SPLIT OFF THE NEGATIVE AFFECT 479 00:17:59,416 --> 00:18:00,484 FROM THE EPISODIC TRAITS WHICH 480 00:18:00,484 --> 00:18:03,787 IS SOMETHING THAT'S NOW SHOWN IN 481 00:18:03,787 --> 00:18:08,558 BOTH ANIMALS AND HUMANS, 482 00:18:08,558 --> 00:18:09,393 BEHAVIORALLY, INTERVENTIONALLY, 483 00:18:09,393 --> 00:18:09,793 PHARMACOLOGICALLY. 484 00:18:09,793 --> 00:18:12,362 IF WE STEP BACK FOR ANY 485 00:18:12,362 --> 00:18:14,631 PARTICULAR TYPE OF TRAUMA, IT 486 00:18:14,631 --> 00:18:17,601 MAY BE ONLY TEN, TWENTY, THIRTY 487 00:18:17,601 --> 00:18:19,035 PERCENT OF PEOPLE WHO DEVELOP 488 00:18:19,035 --> 00:18:19,236 PTSD. 489 00:18:19,236 --> 00:18:21,571 HOW DO WE THINK ABOUT THAT? 490 00:18:21,571 --> 00:18:27,377 IT MAY NOT BE THE EVENT EVENT 491 00:18:27,377 --> 00:18:31,715 PER SE AS HOW IT IS 492 00:18:31,715 --> 00:18:33,517 CONTEXTUALIZED, WE MAY WANT TO 493 00:18:33,517 --> 00:18:34,384 THINK ABOUT COGNITIVE 494 00:18:34,384 --> 00:18:34,684 APPROACHES. 495 00:18:34,684 --> 00:18:36,319 WE LOVE TALKING ABOUT MEDS AND 496 00:18:36,319 --> 00:18:37,120 THERAPY, AS PSYCHIATRISTS. 497 00:18:37,120 --> 00:18:39,389 BUT HOW DO WE THINK ABOUT ALL OF 498 00:18:39,389 --> 00:18:41,491 THE DATA FROM PSYCHOSOCIAL 499 00:18:41,491 --> 00:18:43,760 REHABILITATION APPROACHES? 500 00:18:43,760 --> 00:18:44,628 SUPPORTIVE EMPLOYMENT, 501 00:18:44,628 --> 00:18:45,862 SUPPORTIVE HOUSING, FAMILY 502 00:18:45,862 --> 00:18:48,598 PSYCHOEDUCATION, AULD OF 503 00:18:48,598 --> 00:18:50,233 W HICH -- ALL OF WHICH ARE 504 00:18:50,233 --> 00:18:51,535 LARGER EFFECT SIZES THAN 505 00:18:51,535 --> 00:18:52,436 MEDICATIONS WE PRESCRIBE. 506 00:18:52,436 --> 00:18:54,171 AND AT THE END OF THE DAY, HOW 507 00:18:54,171 --> 00:18:55,806 DO WE MAKE SURE THIS IS ABOUT 508 00:18:55,806 --> 00:18:57,574 THE PERSON WHO IS SITTING IN 509 00:18:57,574 --> 00:18:59,009 FRONT OF US? 510 00:18:59,009 --> 00:19:02,846 SO, WHAT'S IT LIKE TO GO TO IRAQ 511 00:19:02,846 --> 00:19:04,147 AND SPEND 14 MONTHS CONVINCED 512 00:19:04,147 --> 00:19:05,582 EVERY DAY YOU'RE GOING TO DIE, 513 00:19:05,582 --> 00:19:07,984 TRY COMING HOME AND DRIVING ON A 514 00:19:07,984 --> 00:19:17,127 FREEWAY THAT REMINDS YOU OF IED 515 00:19:17,127 --> 00:19:19,262 EXPLOSION OR CROWD AT A SMALL IS 516 00:19:19,262 --> 00:19:20,797 TOO STIMULATING, HOW DO WE BRING 517 00:19:20,797 --> 00:19:21,698 THESE FACTORS TO BEAR FOR THE 518 00:19:21,698 --> 00:19:23,099 PERSON IN FRONT OF US? 519 00:19:23,099 --> 00:19:24,968 LET'S IMAGINE YOU HAVE A 520 00:19:24,968 --> 00:19:26,002 PROGRAM, OKAY, WE WANT TO DO 521 00:19:26,002 --> 00:19:29,806 THIS, PUT IN PLACE A NEW 522 00:19:29,806 --> 00:19:30,173 CURRICULUM. 523 00:19:30,173 --> 00:19:31,908 IT'S STILL REALLY HARD. 524 00:19:31,908 --> 00:19:33,543 SO FIRST, WHAT SHOULD WE 525 00:19:33,543 --> 00:19:34,744 ACTUALLY BE TEACHING? 526 00:19:34,744 --> 00:19:37,481 THE FIELD IS VAST AND MOVING WAY 527 00:19:37,481 --> 00:19:39,549 TOO FAST FOR ANYBODY TO KEEP UP 528 00:19:39,549 --> 00:19:40,417 WITH IT. 529 00:19:40,417 --> 00:19:42,819 THEN, WHERE DO YOU FIT IT INTO 530 00:19:42,819 --> 00:19:43,320 THE CURRICULUM THAT'S 531 00:19:43,320 --> 00:19:45,455 OVERFLOWING WITH ALL OF THOSE 532 00:19:45,455 --> 00:19:45,989 OTHER REQUIREMENTS? 533 00:19:45,989 --> 00:19:48,625 WHO IS GOING TO TEACH IT? 534 00:19:48,625 --> 00:19:50,494 SO, MAJOR ACADEMIC CENTERS MAY 535 00:19:50,494 --> 00:19:52,229 HAVE NEUROSCIENCE FACULTY BUT 536 00:19:52,229 --> 00:19:53,330 MANY PROGRAMS AROUND THE COUNTRY 537 00:19:53,330 --> 00:19:55,532 HAVE VERY FEW PEOPLE, IF ANY, 538 00:19:55,532 --> 00:20:00,337 WHO HAVE BACKGROUND EXPERTISE IN 539 00:20:00,337 --> 00:20:00,670 NEUROSCIENCE. 540 00:20:00,670 --> 00:20:03,073 AND MOST IMPORTANTLY, HOW DO WE 541 00:20:03,073 --> 00:20:04,174 TEACH IT WELL? 542 00:20:04,174 --> 00:20:06,810 SO, FOR MOST PROGRAM WHO IS ARE 543 00:20:06,810 --> 00:20:07,477 TEACHING, THE DEFAULT APPROACH 544 00:20:07,477 --> 00:20:09,279 IS THEY HAVE AN EXPERT COME IN 545 00:20:09,279 --> 00:20:11,314 AND LECTURE ON THEIR OTHER THAN 546 00:20:11,314 --> 00:20:13,149 SPECIFIC AREA OF EXPERTISE. 547 00:20:13,149 --> 00:20:15,151 AND WE LIVE WITH THIS FANTASY, 548 00:20:15,151 --> 00:20:19,723 THAT WE COULD JUST LINE UP OUR 549 00:20:19,723 --> 00:20:21,558 RESIDENTS AND STAGE A DRAMATIC 550 00:20:21,558 --> 00:20:23,426 READING OF YOUR FAVORITE TEXT 551 00:20:23,426 --> 00:20:24,895 BOOK AND RESIDENTS WILL 552 00:20:24,895 --> 00:20:26,630 MAGICALLY RETAIN EVERYTHING WE 553 00:20:26,630 --> 00:20:27,130 SAY. 554 00:20:27,130 --> 00:20:28,932 THE DATA ARE CLEAR. 555 00:20:28,932 --> 00:20:30,133 IT DOESN'T WORK. 556 00:20:30,133 --> 00:20:32,102 SO LESS THAN 5% OF CONTENT 557 00:20:32,102 --> 00:20:35,171 PRESENTED IN A LECTURE WILL BE 558 00:20:35,171 --> 00:20:35,438 RETAINED. 559 00:20:35,438 --> 00:20:36,907 THERE'S AN ENTIRE FIELD OF 560 00:20:36,907 --> 00:20:39,209 SCHOLARSHIP ON HOW ADULTS LEARN, 561 00:20:39,209 --> 00:20:41,745 AND THERE IS A TRAGIC IRONY IF 562 00:20:41,745 --> 00:20:43,947 AS THE PSYCHIATRISTS AND 563 00:20:43,947 --> 00:20:44,915 NEUROSCIENTISTS STUDYING HOW 564 00:20:44,915 --> 00:20:46,016 ADULTS LEARN, WE FAIL TO TAKE IT 565 00:20:46,016 --> 00:20:49,386 INTO ACCOUNT IN THE WAY WE 566 00:20:49,386 --> 00:20:49,586 TEACH. 567 00:20:49,586 --> 00:20:52,255 SO, IF WE STEP BACK AND THINK 568 00:20:52,255 --> 00:20:54,991 ABOUT TRADITIONAL GME MODEL, 569 00:20:54,991 --> 00:20:55,992 HISTORICALLY IT'S ENTAILED 570 00:20:55,992 --> 00:20:57,060 CENTRAL REGULATIONS THAT HAVE TO 571 00:20:57,060 --> 00:20:59,029 BE IMELEMENTED AT THE INDIVIDUAL 572 00:20:59,029 --> 00:21:01,531 PROGRAM LEVEL, AND FOR CUTTING 573 00:21:01,531 --> 00:21:03,133 EDGE CONTENT LIKE MODERN 574 00:21:03,133 --> 00:21:05,702 NEUROSCIENCE IT CAN'T WORK. 575 00:21:05,702 --> 00:21:07,571 A REGULATORY SYSTEM IS TOO 576 00:21:07,571 --> 00:21:11,541 COMPLEX TO ADAPT QUICKLY AND 577 00:21:11,541 --> 00:21:13,476 DESIGNING CUTTING EDGE CURRICULA 578 00:21:13,476 --> 00:21:15,011 IS TOO RESOURCE INTENSIVE FOR 579 00:21:15,011 --> 00:21:15,345 ONE PROGRAM. 580 00:21:15,345 --> 00:21:17,447 THE FUTURE OF GME IS ABOUT HOW 581 00:21:17,447 --> 00:21:21,051 DO WE ALL WORK TOGETHER TO 582 00:21:21,051 --> 00:21:24,888 ACHIEVE COMMON GOAL? 583 00:21:24,888 --> 00:21:29,292 MY CENTRAL TENET, REQUIRING TEAM 584 00:21:29,292 --> 00:21:31,027 WORK AND COLLABORATION, SO DOES 585 00:21:31,027 --> 00:21:31,561 CUTTING EDGE EDUCATION. 586 00:21:31,561 --> 00:21:34,097 NINE YEARS AGO A GROUP OF US 587 00:21:34,097 --> 00:21:35,632 FORMED THE NNCI, AND THE GOAL 588 00:21:35,632 --> 00:21:37,801 WAS TO CREATE A SET OF OPEN 589 00:21:37,801 --> 00:21:39,469 ACCESS RESOURCES TO HELP IMPROVE 590 00:21:39,469 --> 00:21:41,338 THE TEACHING OF NEUROSCIENCE AND 591 00:21:41,338 --> 00:21:41,671 PSYCHIATRY. 592 00:21:41,671 --> 00:21:43,206 AND OF COURSE, IT'S NOT JUST 593 00:21:43,206 --> 00:21:45,675 ABOUT TEACHING BUT HOW DO WE 594 00:21:45,675 --> 00:21:48,345 INTEGRATE THIS ACROSS ALL OF 595 00:21:48,345 --> 00:21:49,446 PSYCHIATRY INCLUDING CLINICAL 596 00:21:49,446 --> 00:21:50,947 PRACTICE, AND, AGAIN, FOR THOSE 597 00:21:50,947 --> 00:21:52,716 NOT IN PSYCHIATRY, I WOULD 598 00:21:52,716 --> 00:21:54,451 IMAGINE ENCOURAGE YOU TO IMAGINE 599 00:21:54,451 --> 00:21:56,252 MORE WIDELY HOW DOES THIS HOLD 600 00:21:56,252 --> 00:21:57,654 TRUE FOR CUTTING EDGE SCIENCE 601 00:21:57,654 --> 00:21:59,689 ACROSS YOUR FIELD AS WELL? 602 00:21:59,689 --> 00:22:01,324 THIS IS WORK I'M INCREDIBLY 603 00:22:01,324 --> 00:22:08,231 GRATEFUL TO DO WITH CO-FOUNDERS 604 00:22:08,231 --> 00:22:12,502 OF THE NNCI AND WITH THE FUND. 605 00:22:12,502 --> 00:22:15,271 WHEN WE STARTED, WE DEFINED A 606 00:22:15,271 --> 00:22:16,573 SET OF GUIDING PRINCIPLES AND 607 00:22:16,573 --> 00:22:17,574 STARTED TO IMAGINE WHAT WOULD 608 00:22:17,574 --> 00:22:20,176 THIS NEED TO LOOK LIKE IN A 609 00:22:20,176 --> 00:22:21,177 CLASSROOM SETTING. 610 00:22:21,177 --> 00:22:28,184 AND FOREMOST, IT HAS TO BE AN 611 00:22:28,184 --> 00:22:28,985 INTEGRATIVE PATIENT CENTERED 612 00:22:28,985 --> 00:22:29,252 APPROACH. 613 00:22:29,252 --> 00:22:31,821 HOW DO WE ENSURE IT'S GOING TO 614 00:22:31,821 --> 00:22:33,523 BE EXPERIENTIAL AND ROOTED IN 615 00:22:33,523 --> 00:22:34,591 PRINCIPLES OF ADULT LEARNING? 616 00:22:34,591 --> 00:22:36,993 WE WANT TO BE SURE IT WOULD BE 617 00:22:36,993 --> 00:22:38,828 EASY TO IMPLEMENT SO ANYONE, 618 00:22:38,828 --> 00:22:40,163 ANYWHERE, WOULD FEEL COMFORTABLE 619 00:22:40,163 --> 00:22:41,464 PICKING UP THE MATERIALS AND 620 00:22:41,464 --> 00:22:43,533 RUNNING THEM IN THEIR OWN 621 00:22:43,533 --> 00:22:46,369 PROGRAM REGARDLESS OF THEIR 622 00:22:46,369 --> 00:22:47,604 CONTENT EXPERTISE, AND LASTLY, 623 00:22:47,604 --> 00:22:50,006 DARE I SAY IT, HOW DO WE MAKE 624 00:22:50,006 --> 00:22:52,742 SURE IT'S FUN? 625 00:22:52,742 --> 00:22:55,812 SO, MELISSA ARBUCKEL GAVE AN 626 00:22:55,812 --> 00:22:59,249 INTERVIEW RECENTLY, REMEMBER IN 627 00:22:59,249 --> 00:23:00,617 KINDERGARTEN, LEARNING WAS FUN? 628 00:23:00,617 --> 00:23:02,152 WHEN DID IT STOP BEING FUN? 629 00:23:02,152 --> 00:23:06,623 AND WHY CAN'T IT BE FUN NOW? 630 00:23:06,623 --> 00:23:06,956 YEAH! 631 00:23:06,956 --> 00:23:09,492 SO WE TAKE FUN RATHER SERIOUSLY. 632 00:23:09,492 --> 00:23:10,493 AND SO, WHEN WE WERE STARTING 633 00:23:10,493 --> 00:23:13,530 OUT ONE OF THE FIRST THING WE 634 00:23:13,530 --> 00:23:14,931 APPROACHED WAS BASIC 635 00:23:14,931 --> 00:23:15,832 NEUROSCIENCE, NEUROANATOMY. 636 00:23:15,832 --> 00:23:17,133 IT'S SUPER IMPORTANT AND ONE OF 637 00:23:17,133 --> 00:23:18,001 THESE TOPICS THAT IS OFTEN 638 00:23:18,001 --> 00:23:22,172 TAUGHT IN A DRY AND RELATIVELY 639 00:23:22,172 --> 00:23:23,206 INACCESSIBLE MANNER. 640 00:23:23,206 --> 00:23:24,708 WE APPROACH DIFFERENTLY. 641 00:23:24,708 --> 00:23:26,242 WE STARTED BY HANDING OUT 642 00:23:26,242 --> 00:23:27,444 PLAY-DOH AND ASKING PEOPLE TO 643 00:23:27,444 --> 00:23:28,411 BUILD A BRAIN. 644 00:23:28,411 --> 00:23:33,116 WE GIVE THEM A VIDEO TO FOLLOW 645 00:23:33,116 --> 00:23:34,317 ALONG. 646 00:23:34,317 --> 00:23:36,619 >> HELLO, MY NAME IS JOSH 647 00:23:36,619 --> 00:23:38,421 GORDON, I'LL SHOW YOU HOW TO 648 00:23:38,421 --> 00:23:40,990 BUILD YOUR BRAIN OUT OF 649 00:23:40,990 --> 00:23:41,257 PLAY-DOH. 650 00:23:41,257 --> 00:23:41,791 ♪ 651 00:23:41,791 --> 00:23:44,294 >> THIS IS IN FAST FORWARD. 652 00:23:44,294 --> 00:23:44,527 ♪ 653 00:23:44,527 --> 00:23:46,496 SO THE ACTUAL VIDEO IS ABOUT 654 00:23:46,496 --> 00:23:47,931 SEVEN MINUTES LONG, AS HE'S 655 00:23:47,931 --> 00:23:49,566 GOING HE'S TALKING ABOUT EACH 656 00:23:49,566 --> 00:23:53,403 REACH, WHAT IT DOES, FUNCTIONAL 657 00:23:53,403 --> 00:23:54,337 SIGNIFICANCE, DIFFERENT 658 00:23:54,337 --> 00:23:54,938 ILLNESSES, SOME MAY RECOGNIZE 659 00:23:54,938 --> 00:23:56,473 DR. GORDON FROM A DIFFERENT 660 00:23:56,473 --> 00:23:56,806 CONTEXT. 661 00:23:56,806 --> 00:23:59,409 I UNDERSTAND HE HAS A NEW ROLE. 662 00:23:59,409 --> 00:24:01,177 HE WILL ALWAYS BE THE PLAY-DOH 663 00:24:01,177 --> 00:24:06,583 PERSON IN MY HEART. 664 00:24:06,583 --> 00:24:08,084 OF ALL -- 665 00:24:08,084 --> 00:24:18,328 [ NO AUDIO ] 666 00:24:21,698 --> 00:24:23,266 (TECHNICAL DIFFICULTIES - PLEASE 667 00:24:23,266 --> 00:24:28,004 STAND BY.) 668 00:24:28,004 --> 00:24:29,072 >> WE MAY HE LOST HIM 669 00:24:29,072 --> 00:24:39,616 WE'LL GIVE A FEW MORE SECONDS. 670 00:24:56,733 --> 00:24:57,901 >> AUDIENCE, WE ASK FOR YOUR 671 00:24:57,901 --> 00:24:58,935 PATIENCE AGAIN AS DR. ROSS MAY 672 00:24:58,935 --> 00:25:00,770 HAVE TO SIGN BACK IN. 673 00:25:00,770 --> 00:25:01,671 >> OH MY GOSH! 674 00:25:01,671 --> 00:25:03,306 OKAY, I'M BACK. 675 00:25:03,306 --> 00:25:04,174 YOU CAN HEAR ME? 676 00:25:04,174 --> 00:25:05,275 >> WE CAN. 677 00:25:05,275 --> 00:25:06,810 >> I SWEAR, I DID EVERYTHING TO 678 00:25:06,810 --> 00:25:08,244 MAKE MY INTERNET WORK THIS 679 00:25:08,244 --> 00:25:08,478 MORNING. 680 00:25:08,478 --> 00:25:09,779 IT JUST DOESN'T LIKE ME. 681 00:25:09,779 --> 00:25:12,081 LET ME GET MY SLIDES BACK UP. 682 00:25:12,081 --> 00:25:13,283 >> THERE YOU GO. 683 00:25:13,283 --> 00:25:18,855 >> YOU GOT 'EM? 684 00:25:18,855 --> 00:25:19,522 >> PERFECT. 685 00:25:19,522 --> 00:25:21,624 >> SO, CORE LEARNING OBJECTIVE 686 00:25:21,624 --> 00:25:23,459 OUR AMBASSADORS -- THAT OUR 687 00:25:23,459 --> 00:25:25,094 TRAINEES WILL BE AMBASSADORS OF 688 00:25:25,094 --> 00:25:26,296 PSYCHIATRY AND NEUROSCIENCE WHO 689 00:25:26,296 --> 00:25:27,297 CAN THOUGHTFULLY COMMUNICATE 690 00:25:27,297 --> 00:25:28,598 WITH A BROAD AUDIENCE. 691 00:25:28,598 --> 00:25:29,999 WE SAID, OKAY, LET'S DO THAT IN 692 00:25:29,999 --> 00:25:31,000 THE CLASSROOM. 693 00:25:31,000 --> 00:25:32,435 LOTS OF PROGRAMS HAVE JOURNAL 694 00:25:32,435 --> 00:25:32,936 CLUBS. 695 00:25:32,936 --> 00:25:34,704 THIS IS OUR MAGAZINE CLUB, IF 696 00:25:34,704 --> 00:25:35,805 YOU WILL. 697 00:25:35,805 --> 00:25:39,642 SO, EACH SESSION WE START BY 698 00:25:39,642 --> 00:25:41,277 REVIEWING POPULAR MEDIA CONTENT 699 00:25:41,277 --> 00:25:44,547 TOGETHER, FROM THE "NEW YORK 700 00:25:44,547 --> 00:25:45,849 TIMES" OR HUFFINGTON POST, YOUR 701 00:25:45,849 --> 00:25:47,317 FAVORITE PODCAST, WHATEVER IT 702 00:25:47,317 --> 00:25:48,818 IS, WE EXPERIENCE THE MEDIA 703 00:25:48,818 --> 00:25:51,454 TOGETHER AND CRITIQUE THE MEDIA 704 00:25:51,454 --> 00:25:52,555 ITSELF, SO WHAT ARE MAIN CLAIMS 705 00:25:52,555 --> 00:25:54,824 THEY ARE TRYING TO MAKE, WHAT 706 00:25:54,824 --> 00:25:57,894 ARE BIASES IN EVIDENCE IN THIS? 707 00:25:57,894 --> 00:25:59,229 SPOILER, TYPICALLY STIGMA 708 00:25:59,229 --> 00:26:00,430 TOWARDS INDIVIDUALS WITH 709 00:26:00,430 --> 00:26:01,064 PSYCHIATRIC ILLNESS. 710 00:26:01,064 --> 00:26:03,032 WHAT DO WE THINK THE FACE 711 00:26:03,032 --> 00:26:05,235 VALIDITY IS OF CLAIMS THEIR 712 00:26:05,235 --> 00:26:08,872 MAKING, WHAT DO WE IMAGINE A 713 00:26:08,872 --> 00:26:09,939 PATIENT OR FAMILY MEMBER WOULD 714 00:26:09,939 --> 00:26:11,708 ASK IF THEY SAW THIS? 715 00:26:11,708 --> 00:26:13,343 WHAT QUESTIONS DO WE HAVE? 716 00:26:13,343 --> 00:26:14,444 LET'S FIND THE SCIENCE THAT'S 717 00:26:14,444 --> 00:26:16,746 GOING TO LET US ANSWER THOSE 718 00:26:16,746 --> 00:26:17,513 QUESTIONS. 719 00:26:17,513 --> 00:26:18,748 AND THEN EACH PARTICIPANT HAS 720 00:26:18,748 --> 00:26:21,117 THE CHANCE TO ROLE PLAY, HOW 721 00:26:21,117 --> 00:26:22,886 WOULD YOU COMMUNICATE WITH A 722 00:26:22,886 --> 00:26:24,187 GENERAL AUDIENCE ABOUT THIS 723 00:26:24,187 --> 00:26:24,954 PARTICULAR TOPIC? 724 00:26:24,954 --> 00:26:26,489 THIS IS BEAUTIFUL WAY TO BRING 725 00:26:26,489 --> 00:26:28,925 CUTTING EDGE SCIENCE TO LIFE IN 726 00:26:28,925 --> 00:26:30,260 AN EXPERIENTIAL APPROACH. 727 00:26:30,260 --> 00:26:32,495 MY FAVORITE EXAMPLE WAS A RADIO 728 00:26:32,495 --> 00:26:34,731 LAB PIECE FROM PRETTY FAR BACK, 729 00:26:34,731 --> 00:26:35,932 A BRITISH JOURNALIST WHO THEY 730 00:26:35,932 --> 00:26:38,468 FLY OUT TO A SECRET ARMY BASE 731 00:26:38,468 --> 00:26:39,869 OUTSIDE SAN DIEGO AND ZAP A 732 00:26:39,869 --> 00:26:41,738 BRAIN WITH ELECTRICITY AND TRAIN 733 00:26:41,738 --> 00:26:43,806 HER TO BECOME A SNIPER. 734 00:26:43,806 --> 00:26:44,407 AWESOME. 735 00:26:44,407 --> 00:26:46,542 SO IT SOUNDS RIDICULOUS ON THE 736 00:26:46,542 --> 00:26:48,311 SURFACE, BUT THE SCIENCE UNDER 737 00:26:48,311 --> 00:26:50,613 THE HOOD ACTUALLY PACKS A GOOD 738 00:26:50,613 --> 00:26:50,847 PUNCH. 739 00:26:50,847 --> 00:26:52,615 IT'S ABOUT TRANSCRANIALAL DIRECT 740 00:26:52,615 --> 00:26:54,784 STIMULATION, AT THE TIME A NEW 741 00:26:54,784 --> 00:27:00,089 APPROACH, NOW THOUSANDS OF 742 00:27:00,089 --> 00:27:00,790 ARTICLES USE IT tDCS. 743 00:27:00,790 --> 00:27:05,061 ONE OF THE MOST PRESSING ISSUES 744 00:27:05,061 --> 00:27:06,596 FACING MEDICINE NOW IS PHYSICIAN 745 00:27:06,596 --> 00:27:08,564 BURNOUT AND DEPRESSION. 746 00:27:08,564 --> 00:27:09,532 THIS IS BEAUTIFULLY HIGHLIGHTED 747 00:27:09,532 --> 00:27:11,467 IN THE GUARDIAN FROM RIGHT 748 00:27:11,467 --> 00:27:13,069 BEFORE THE PANDEMIC STARTED. 749 00:27:13,069 --> 00:27:15,371 AND WE WANTED TO FIND A WAY TO 750 00:27:15,371 --> 00:27:18,308 TEACH CORE DATA AND TO 751 00:27:18,308 --> 00:27:19,409 FACILITATE DIALOGUE AROUND THIS 752 00:27:19,409 --> 00:27:20,076 CRUCIAL TOPIC. 753 00:27:20,076 --> 00:27:24,147 SO WHAT WE DID IS CREATED INTERN 754 00:27:24,147 --> 00:27:24,981 YEAR, EDUCATIONAL BOARD GAME. 755 00:27:24,981 --> 00:27:28,184 THIS IS PART OF THIS NEW GENRE 756 00:27:28,184 --> 00:27:30,787 OF COOPERATIVE BOARD GAMES, NOT 757 00:27:30,787 --> 00:27:31,888 PLAYING AGAINST EACH OTHER, 758 00:27:31,888 --> 00:27:33,022 YOU'RE ALL PLAYING TOGETHER 759 00:27:33,022 --> 00:27:36,159 AGAINST THE GAME ITSELF. 760 00:27:36,159 --> 00:27:37,460 SO THE GAME BEGINS, EACH PERSON 761 00:27:37,460 --> 00:27:39,462 ASSUMES THE ROLE OF CHARACTER. 762 00:27:39,462 --> 00:27:43,066 EACH HAS UNIQUE STRENGTHS AND 763 00:27:43,066 --> 00:27:44,534 VULNERABILITIES, BASED ON 764 00:27:44,534 --> 00:27:46,102 PHYSICAL AND EMOTIONAL HEALTH 765 00:27:46,102 --> 00:27:47,337 AND CLINICAL PERFORMANCE. 766 00:27:47,337 --> 00:27:48,571 EACH PERSON GETS A ROTATION 767 00:27:48,571 --> 00:27:51,607 SCHEDULE, THEY WORK IN THE 768 00:27:51,607 --> 00:27:52,241 HOSPITAL, DIFFERENT EVENTS 769 00:27:52,241 --> 00:27:53,910 HAPPEN, MAYBE A BAD CODE, 770 00:27:53,910 --> 00:27:56,179 CONFLICT WITH STAFF, A PATIENT 771 00:27:56,179 --> 00:27:56,412 DEATH. 772 00:27:56,412 --> 00:27:58,715 AS THEY EXPERIENCE THESE EVENTS 773 00:27:58,715 --> 00:27:59,849 THEIR CHARACTERS CHANGE. 774 00:27:59,849 --> 00:28:01,551 THERE ARE REAL CONSEQUENCES. 775 00:28:01,551 --> 00:28:04,721 SOME MAY BECOME CLINICALLY 776 00:28:04,721 --> 00:28:05,188 DEPRESSED. 777 00:28:05,188 --> 00:28:07,256 WE BUILT IN A MECHANISM FOR 778 00:28:07,256 --> 00:28:09,459 SUICIDE, WHICH IS DARK FOR A 779 00:28:09,459 --> 00:28:10,860 GAME, BUT IT'S A REAL THING 780 00:28:10,860 --> 00:28:12,395 HAPPENING IN THE REAL WORLD, ALL 781 00:28:12,395 --> 00:28:13,396 TOO FREQUENTLY. 782 00:28:13,396 --> 00:28:16,232 AND WE WANTED TO CREATE SPACE 783 00:28:16,232 --> 00:28:17,633 FOR DIALOGUE AROUND THE THINGS 784 00:28:17,633 --> 00:28:18,234 THAT ARE IMPORTANT. 785 00:28:18,234 --> 00:28:20,169 AND SO AS THE GAME PROGRESSES AT 786 00:28:20,169 --> 00:28:22,038 THE END OF EACH ROTATION THERE'S 787 00:28:22,038 --> 00:28:26,209 A GROUP ACTIVITY IN WHICH PEOPLE 788 00:28:26,209 --> 00:28:31,447 REFLECT AROUND THE CORE THEME, 789 00:28:31,447 --> 00:28:34,317 THINKING ABOUT STRESS, 790 00:28:34,317 --> 00:28:35,718 RESILIENCE, LEARNED HELPLESSNESS 791 00:28:35,718 --> 00:28:37,587 AS A MODEL, COPING STRATEGIES, 792 00:28:37,587 --> 00:28:39,655 AND THINKING ABOUT THE 793 00:28:39,655 --> 00:28:41,090 STRUCTURAL FACTORS THAT IMPACT 794 00:28:41,090 --> 00:28:42,125 PHYSICIAN WELLNESS BECAUSE WE 795 00:28:42,125 --> 00:28:43,926 KNOW THAT MOST OF THE PROBLEM 796 00:28:43,926 --> 00:28:45,461 RESIDES AT THE SYSTEM LEVEL. 797 00:28:45,461 --> 00:28:50,633 AND THIS IS JUST AN INCREDIBLY 798 00:28:50,633 --> 00:28:52,335 POWERFUL SPACE FOR DIALOGUE. 799 00:28:52,335 --> 00:28:52,568 OKAY. 800 00:28:52,568 --> 00:28:54,203 SO THESE ARE A COUPLE OF 801 00:28:54,203 --> 00:28:56,506 EXAMPLES TO GIVE YOU A SENSE OF 802 00:28:56,506 --> 00:28:58,374 WHAT MODULES ARE LIKE, WITH LOTS 803 00:28:58,374 --> 00:29:00,476 OF OTHER STUFF. 804 00:29:00,476 --> 00:29:02,645 I WANT TO PAUSE AND ACKNOWLEDGE 805 00:29:02,645 --> 00:29:04,080 NOW A GLARING IRONY THAT I 806 00:29:04,080 --> 00:29:06,082 STARTED BY SAYING WE DON'T 807 00:29:06,082 --> 00:29:07,917 BELIEVE IN LECTURING, AND I'VE 808 00:29:07,917 --> 00:29:09,018 BEEN GOING FOR 23 MINUTES, AS 809 00:29:09,018 --> 00:29:11,654 FAR AS I CAN TELL. 810 00:29:11,654 --> 00:29:13,189 SO, I REALIZE STRUCTURALLY WE'RE 811 00:29:13,189 --> 00:29:14,924 IN A TOUGH SPACE WITH NO ABILITY 812 00:29:14,924 --> 00:29:17,126 FOR DIRECT BACK AND FORTH, NO 813 00:29:17,126 --> 00:29:18,661 ABILITY FOR GROUP BREAKOUTS OR 814 00:29:18,661 --> 00:29:20,963 ANY OF OUR FAVORITE TRICKS TO 815 00:29:20,963 --> 00:29:22,498 USE IN ONLINE SPACE. 816 00:29:22,498 --> 00:29:24,367 NEVERTHELESS, I WANT TO DO WHAT 817 00:29:24,367 --> 00:29:25,401 WE CAN. 818 00:29:25,401 --> 00:29:26,302 ILLUSTRATE ONE QUICK EXERCISE TO 819 00:29:26,302 --> 00:29:28,604 GIVE YOU A FLAVOR FOR HOW THIS 820 00:29:28,604 --> 00:29:30,139 STUFF WORKS. 821 00:29:30,139 --> 00:29:30,773 BOTH AS EXPERIENTIAL LEARNING 822 00:29:30,773 --> 00:29:32,675 AND ALSO AS TYPE OF EDUCATIONAL 823 00:29:32,675 --> 00:29:35,778 RESOURCE THAT CAN BE EASILY 824 00:29:35,778 --> 00:29:36,846 IMPLEMENTED AND DISSEMINATED 825 00:29:36,846 --> 00:29:37,513 WITHOUT REQUIRING CONTENT 826 00:29:37,513 --> 00:29:39,148 EXPERTISE ON THE PART OF THE 827 00:29:39,148 --> 00:29:39,449 INSTRUCTOR. 828 00:29:39,449 --> 00:29:41,684 THIS IS PART OF A SERIES, FIND 829 00:29:41,684 --> 00:29:44,720 IT, DRAW IT, KNOW IT, TO TYPE 830 00:29:44,720 --> 00:29:45,488 BASIC NEUROSCIENCE, CORE 831 00:29:45,488 --> 00:29:46,589 CIRCUITS, IN AN EXPERIENTIAL 832 00:29:46,589 --> 00:29:46,923 WAY. 833 00:29:46,923 --> 00:29:48,925 WE'RE GOING TO START BY WATCHING 834 00:29:48,925 --> 00:29:49,525 A MOVIE. 835 00:29:49,525 --> 00:29:51,627 THE MOVIE IS ABOUT THREE MINUTES 836 00:29:51,627 --> 00:29:52,161 LONG. 837 00:29:52,161 --> 00:29:54,597 JUST TRY TO BE PRESENT, BE ONE 838 00:29:54,597 --> 00:29:56,432 WITH THE EXPERIENCE, WE'LL COME 839 00:29:56,432 --> 00:30:06,843 BACK ON THE FLIP SIDE. 840 00:30:37,206 --> 00:30:47,550 [ NO AUDIBLE DIALOGUE ] 841 00:33:05,488 --> 00:33:06,656 >> SO CREEPY! 842 00:33:06,656 --> 00:33:06,889 OKAY. 843 00:33:06,889 --> 00:33:08,624 YOU GRAB A SCRAP OF PAPER, OPEN 844 00:33:08,624 --> 00:33:09,725 A SEPARATE WINDOW IN THE 845 00:33:09,725 --> 00:33:11,594 BROWSER, WHATEVER YOU NEED TO 846 00:33:11,594 --> 00:33:12,295 GET SOMETHING. 847 00:33:12,295 --> 00:33:15,765 WHAT YOU TRY TO DO IS DRAW THE 848 00:33:15,765 --> 00:33:21,003 CIRCUIT INVOLVED IN GENERATING 849 00:33:21,003 --> 00:33:21,837 THE PROTAGONISTS, YOUR FEAR 850 00:33:21,837 --> 00:33:22,972 RESPONSE IN THIS SITUATION. 851 00:33:22,972 --> 00:33:23,673 A COUPLE CAVEATS. 852 00:33:23,673 --> 00:33:26,042 WE KNOW THIS IS REALLY, REALLY, 853 00:33:26,042 --> 00:33:27,576 REALLY HARD. 854 00:33:27,576 --> 00:33:31,747 GIVEN OUR FORMAT I'M NOT GOING 855 00:33:31,747 --> 00:33:33,549 TO GIVE NEARLY ENOUGH TIME, BUT 856 00:33:33,549 --> 00:33:35,451 JUST TO GET A SENSE OF THE 857 00:33:35,451 --> 00:33:36,018 FLAVOR. 858 00:33:36,018 --> 00:33:37,053 WE'RE NOT DIRECTING ANY DATA OR 859 00:33:37,053 --> 00:33:37,787 ASKING YOU TO SHARE. 860 00:33:37,787 --> 00:33:40,289 THIS IS YOUR CHANCE TO HAVE A 861 00:33:40,289 --> 00:33:41,157 PERSONAL LEARNING EXPERIENCE. 862 00:33:41,157 --> 00:33:42,725 I'LL HELP MAKE IT A LITTLE BIT 863 00:33:42,725 --> 00:33:42,958 EASIER. 864 00:33:42,958 --> 00:33:44,994 AS YOU'RE STARTING TO THINK IN 865 00:33:44,994 --> 00:33:46,195 YOUR MIND HOW TO DIAGRAM THIS, 866 00:33:46,195 --> 00:33:47,863 YOU MIGHT WANT TO INCLUDE 867 00:33:47,863 --> 00:33:49,198 PATHWAYS FOR HOW THE SIGNAL GETS 868 00:33:49,198 --> 00:33:51,600 IN, HOW THE BRAIN IS PROCESSING 869 00:33:51,600 --> 00:33:53,269 CONTEXT FOR THE SIGNAL, HOW THE 870 00:33:53,269 --> 00:33:55,438 BRAIN GENERATES A FEAR OUTPUT. 871 00:33:55,438 --> 00:33:56,739 IF WE WERE SITTING TOGETHER IN A 872 00:33:56,739 --> 00:33:58,407 ROOM WE WOULD GIVE A HANDOUT 873 00:33:58,407 --> 00:34:00,676 THAT HAS THIS TEMPLATE OR E-MAIL 874 00:34:00,676 --> 00:34:03,212 IT, BUT, AGAIN, GIVEN THE SPACE 875 00:34:03,212 --> 00:34:05,214 TAKE 60 SECONDS AND TRY TO JOT 876 00:34:05,214 --> 00:34:07,116 DOWN AS BEST YOU CAN WHAT YOU 877 00:34:07,116 --> 00:34:17,460 THINK IS GOING ON. 878 00:35:07,376 --> 00:35:08,711 >> HOPEFULLY FOLKS WITH FEELING 879 00:35:08,711 --> 00:35:10,146 CLOSE. 880 00:35:10,146 --> 00:35:14,183 IN A DIFFERENT SPACE WE WOULD 881 00:35:14,183 --> 00:35:16,619 LEAVE TIME AND PARROT ARE A 882 00:35:16,619 --> 00:35:18,554 VIDEO, ASKING YOU ACTUALLY DRAW 883 00:35:18,554 --> 00:35:19,588 ALONG WITH THIS VIDEO AT THE 884 00:35:19,588 --> 00:35:22,591 SAME TIME AS SHE'S DOING IT. 885 00:35:22,591 --> 00:35:25,161 WHAT I'VE DONE, I HAVE A FAST 886 00:35:25,161 --> 00:35:28,097 FORWARD VERSION, I'LL PLAY THAT 887 00:35:28,097 --> 00:35:29,999 AND YOU'LL GET A SENSE, THE REAL 888 00:35:29,999 --> 00:35:31,834 VIDEO IS SEVEN MINUTES. 889 00:35:31,834 --> 00:35:32,968 >> WE'RE GOING TO WORK TOGETHER 890 00:35:32,968 --> 00:35:34,303 FOR THE BRAIN CIRCUITS. 891 00:35:34,303 --> 00:35:36,872 DRAW ALONG WITH US. 892 00:35:36,872 --> 00:35:40,476 ♪ 893 00:35:40,476 --> 00:35:43,345 >> EVEN IN FAST FORWARD VISUAL 894 00:35:43,345 --> 00:35:45,114 CUES COMING IN, AUDITORY 895 00:35:45,114 --> 00:35:49,485 PATHWAYS, HOW DO WE INTERPRET 896 00:35:49,485 --> 00:35:52,855 THE CONTEXT USING HIPPOCAMPAL 897 00:35:52,855 --> 00:35:58,227 AND PREFRONTAL CORTEX. 898 00:35:58,227 --> 00:35:58,661 ♪ 899 00:35:58,661 --> 00:36:01,430 SPECIFIC REGIONS INVOLVED IN 900 00:36:01,430 --> 00:36:03,599 GENERATING FEAR OUTPUT RESPONSE. 901 00:36:03,599 --> 00:36:07,436 >> OKAY, FIND IT, DRAW IT, KNOW 902 00:36:07,436 --> 00:36:08,304 IT. 903 00:36:08,304 --> 00:36:08,604 >> OOPS. 904 00:36:08,604 --> 00:36:11,907 SO, THIS IS A COOL EXERCISE. 905 00:36:11,907 --> 00:36:18,147 LET'S SEE IF WE CAN PAUSE. 906 00:36:18,147 --> 00:36:20,449 YOU CAN WATCH THE WHOLE THING 907 00:36:20,449 --> 00:36:21,951 THERE, A CHANCE FOR INDIVIDUAL 908 00:36:21,951 --> 00:36:22,785 PERMANENT COMMITMENT, CHANCE TO 909 00:36:22,785 --> 00:36:24,487 PRACTICE, YOU CAN DO IT AS MANY 910 00:36:24,487 --> 00:36:25,788 TIMES AS YOU WANT, THE RESOURCE 911 00:36:25,788 --> 00:36:28,424 IS ALWAYS THERE FOR YOU TO BE 912 00:36:28,424 --> 00:36:29,325 ABLE TO FIND. 913 00:36:29,325 --> 00:36:31,293 AGAIN, YOU DON'T NEED A FACULTY 914 00:36:31,293 --> 00:36:33,162 MEMBER WITH ANY EXPERTISE IN 915 00:36:33,162 --> 00:36:33,929 NEUROSCIENCE, IT'S REALLY JUST 916 00:36:33,929 --> 00:36:37,199 PLUG AND PLAY FOR THE EXERCISE. 917 00:36:37,199 --> 00:36:40,603 I WANT TO TAKE A TIMEOUT AND 918 00:36:40,603 --> 00:36:42,905 STEP BACK AND FOCUS ON PROCESS. 919 00:36:42,905 --> 00:36:46,842 GIVEN THE CONTEXT FOR THIS TALK 920 00:36:46,842 --> 00:36:47,943 IT BEARS SAYING EXPLICITLY, I'M 921 00:36:47,943 --> 00:36:49,778 ABOUT TO GET REALLY HIGH TECH 922 00:36:49,778 --> 00:36:51,413 WITH MY GRAPHICS HERE, FORGIVE 923 00:36:51,413 --> 00:36:53,282 ME, SO THE TRADITIONAL MODEL FOR 924 00:36:53,282 --> 00:36:54,517 MEDICAL EDUCATION IS YOU PUT A 925 00:36:54,517 --> 00:36:56,685 SMART PERSON IN THE FRONT OF THE 926 00:36:56,685 --> 00:36:58,521 ROOM, AND THEN THEY LECTURE TO A 927 00:36:58,521 --> 00:37:00,422 ROOM FULL OF STUDENTS, AND THEY 928 00:37:00,422 --> 00:37:02,057 CAN JUST POUR KNOWLEDGE INTO 929 00:37:02,057 --> 00:37:02,791 THEIR BRAINS. 930 00:37:02,791 --> 00:37:04,226 AND THE STUDENTS ARE GOING TO 931 00:37:04,226 --> 00:37:05,461 MAGICALLY REMEMBER EVERYTHING 932 00:37:05,461 --> 00:37:08,430 THAT THEY SAY AND UNICORNS AND 933 00:37:08,430 --> 00:37:09,665 RAINBOWS AND SUNSHINE. 934 00:37:09,665 --> 00:37:12,334 AND WE KNOW THIS IS 935 00:37:12,334 --> 00:37:12,902 FUNDAMENTALLY UNTRUE. 936 00:37:12,902 --> 00:37:15,104 SO, THE PERSON WHO SAID THIS 937 00:37:15,104 --> 00:37:16,939 BEST WAS THE NOBEL LAUREATE, 938 00:37:16,939 --> 00:37:18,374 HERBERT SIMON, WHO SAID LEARNING 939 00:37:18,374 --> 00:37:20,109 RESULTS FROM WHAT THE STUDENT 940 00:37:20,109 --> 00:37:22,311 DOES AND THINKS AND ONLY FROM 941 00:37:22,311 --> 00:37:24,813 WHAT THE STUDENT DOES AND 942 00:37:24,813 --> 00:37:25,147 THINKS. 943 00:37:25,147 --> 00:37:27,249 THE TEACHER CAN ADVANCE LEARNING 944 00:37:27,249 --> 00:37:31,053 ONLY BY INFLUENCING WHAT THE 945 00:37:31,053 --> 00:37:31,954 STUDENT DOES TO LEARN. 946 00:37:31,954 --> 00:37:33,589 WHICH IS TO SAY WHEN WE'RE 947 00:37:33,589 --> 00:37:34,690 THINKING ABOUT TEACHING AND 948 00:37:34,690 --> 00:37:37,192 LEARNING IN MEDICINE, WE TEND TO 949 00:37:37,192 --> 00:37:38,294 FOCUS HERE ON THE PERSON 950 00:37:38,294 --> 00:37:40,029 STANDING AT THE FRONT OF THE 951 00:37:40,029 --> 00:37:40,563 ROOM. 952 00:37:40,563 --> 00:37:44,300 BUT IT'S NOT ABOUT US. 953 00:37:44,300 --> 00:37:45,434 IT'S ABOUT THEM. 954 00:37:45,434 --> 00:37:47,369 THE MOST CENTRAL PRINCIPLE IS 955 00:37:47,369 --> 00:37:49,672 THAT WE LEARN THROUGH 956 00:37:49,672 --> 00:37:50,205 EXPERIENCE. 957 00:37:50,205 --> 00:37:53,142 BY TRYING THINGS OUT, MAKING 958 00:37:53,142 --> 00:37:53,943 MISTAKES, GETTING FEEDBACK. 959 00:37:53,943 --> 00:37:56,912 THE ROLE OF A FACULTY MEMBER 960 00:37:56,912 --> 00:37:59,682 ISN'T TO POUR KNOWLEDGE; IT'S 961 00:37:59,682 --> 00:38:01,050 ABOUT CATALYZING AN EXPERIENCE. 962 00:38:01,050 --> 00:38:03,686 EVERYTHING WE DO NEEDS TO START 963 00:38:03,686 --> 00:38:03,886 HERE. 964 00:38:03,886 --> 00:38:05,554 SO FROM RIGOROUS LEARNING 965 00:38:05,554 --> 00:38:07,623 OBJECTIVES THAT ARE DEFINED 966 00:38:07,623 --> 00:38:10,793 BASED ON STUDENT OUTCOMES, SO AS 967 00:38:10,793 --> 00:38:12,361 A DIRECT RESULT, THE STUDENTS 968 00:38:12,361 --> 00:38:14,830 WILL BE DIFFERENT IN THE 969 00:38:14,830 --> 00:38:15,497 FOLLOWING WAY. 970 00:38:15,497 --> 00:38:17,333 THIS MIGHT RELATE TO KNOWLEDGE, 971 00:38:17,333 --> 00:38:20,235 SKILLS, ATTITUDE, BUT EVERYTHING 972 00:38:20,235 --> 00:38:23,472 HAS TO START HERE. 973 00:38:23,472 --> 00:38:23,906 OKAY. 974 00:38:23,906 --> 00:38:25,207 SO, STEPPING BACK IN, WE SPENT 975 00:38:25,207 --> 00:38:27,409 TWO YEARS THINKING ABOUT THIS, 976 00:38:27,409 --> 00:38:28,510 WORKING ON CLASSROOM TEACHING, 977 00:38:28,510 --> 00:38:30,846 AT THE END WE'RE SHOWING GOOD, 978 00:38:30,846 --> 00:38:32,014 YEAH, WE GOT THIS. 979 00:38:32,014 --> 00:38:34,917 AND THEN WE STEPPED BACK AND 980 00:38:34,917 --> 00:38:35,618 THOUGHT MORE. 981 00:38:35,618 --> 00:38:38,787 IF WE DESIGNED THE PERFECT SET 982 00:38:38,787 --> 00:38:40,322 OF CLASSROOM TEACHING RESOURCES, 983 00:38:40,322 --> 00:38:44,259 MAYBE IT INCLUDES 100 HOURS OF 984 00:38:44,259 --> 00:38:44,627 CONTENT. 985 00:38:44,627 --> 00:38:47,229 AND EVEN IF YOU'VE DONE THIS, 986 00:38:47,229 --> 00:38:50,299 THIS IS STILL ONLY THE TINIEST 987 00:38:50,299 --> 00:38:51,100 FRACTION OF TRAINING. 988 00:38:51,100 --> 00:38:53,335 DURING FOUR YEARS THE RESIDENTS 989 00:38:53,335 --> 00:38:57,840 ARE LIKELY TO HAVE 9,000+ HOURS 990 00:38:57,840 --> 00:38:58,941 OF CLINICAL TRAINING, WHERE WE 991 00:38:58,941 --> 00:39:01,110 KNOW THEY ARE WORKING WITH 992 00:39:01,110 --> 00:39:02,444 FACULTY PROBABLY NOT 993 00:39:02,444 --> 00:39:03,512 NEUROSCIENCE EXPERTS. 994 00:39:03,512 --> 00:39:06,215 IN WHICH CASE IT'S PROBABLY NOT 995 00:39:06,215 --> 00:39:07,249 BEING REINFORCED. 996 00:39:07,249 --> 00:39:09,985 AND SO YOU RISK CREATING A 997 00:39:09,985 --> 00:39:10,619 HIDDEN CURRICULUM THAT 998 00:39:10,619 --> 00:39:12,521 NEUROSCIENCE IS THIS THING WE 999 00:39:12,521 --> 00:39:13,722 TALK IN THE CLASSROOM BUT 1000 00:39:13,722 --> 00:39:15,257 DOESN'T APPLY IN THE REAL WORLD. 1001 00:39:15,257 --> 00:39:17,192 WE STARTED SHIFTING OUR FOCUS TO 1002 00:39:17,192 --> 00:39:19,294 THINKING ABOUT THIS. 1003 00:39:19,294 --> 00:39:20,863 HOW DO WE INTEGRATE NEUROSCIENCE 1004 00:39:20,863 --> 00:39:21,597 STRAIGHT INTO THE CLINIC. 1005 00:39:21,597 --> 00:39:23,432 ONE WAY IS THROUGH TALKING 1006 00:39:23,432 --> 00:39:25,000 PATHWAYS TO PATIENTS MODULE 1007 00:39:25,000 --> 00:39:26,068 WHERE WE RECOGNIZE A LOT OF 1008 00:39:26,068 --> 00:39:28,270 THINGS WE SAY TO PATIENTS ARE 1009 00:39:28,270 --> 00:39:30,139 RELICS OF AN OLDER PAST. 1010 00:39:30,139 --> 00:39:32,107 WE TALK ABOUT CHEMICAL 1011 00:39:32,107 --> 00:39:33,409 IMBALANCE, DIAGNOSTIC LABELS 1012 00:39:33,409 --> 00:39:34,943 THAT REFLECTS BROAD SYNDROMES, 1013 00:39:34,943 --> 00:39:36,545 RATHER THAN THE UNDERLYING 1014 00:39:36,545 --> 00:39:36,912 DISEASE PROCESS. 1015 00:39:36,912 --> 00:39:38,681 WE OWE IT TO OUR PATIENTS TO BE 1016 00:39:38,681 --> 00:39:40,516 ABLE TO EXPLAIN AS BEST WE CAN 1017 00:39:40,516 --> 00:39:41,850 WHAT IS ACTUALLY GOING ON. 1018 00:39:41,850 --> 00:39:44,253 SO THIS IS A MODULE WE GIVE 1019 00:39:44,253 --> 00:39:46,555 PARTICIPANTS THE CHANCE TO LEARN 1020 00:39:46,555 --> 00:39:49,491 AND THEN PRACTICE THIS SPECIFIC 1021 00:39:49,491 --> 00:39:50,492 SKILL. 1022 00:39:50,492 --> 00:39:53,562 ANOTHER ONE OF THESE, MY 1023 00:39:53,562 --> 00:39:54,329 FAVORITE, CLINICAL SCIENCE 1024 00:39:54,329 --> 00:39:56,498 CONVERSATIONS, THE CENTRAL GOAL 1025 00:39:56,498 --> 00:40:03,172 TO EXPLODE THE DEFAULT 1026 00:40:03,172 --> 00:40:04,039 HIERARCHICAL MODEL OF MEDICAL 1027 00:40:04,039 --> 00:40:06,575 EDUCATION THAT THE TEACHER NEEDS 1028 00:40:06,575 --> 00:40:08,644 TO KNOW EVERYTHING ABOUT EVERY 1029 00:40:08,644 --> 00:40:09,745 TOPIC AND IMPART WISDOM ON HIGH. 1030 00:40:09,745 --> 00:40:13,582 THIS IS ABOUT TEACHING WHEN THE 1031 00:40:13,582 --> 00:40:15,551 FACULTY ARE NOT CONTENT EXPERTS. 1032 00:40:15,551 --> 00:40:16,952 WITH THE INTERNET HOW CAN WE 1033 00:40:16,952 --> 00:40:18,387 LEVEL THE FIELD AND LEARN 1034 00:40:18,387 --> 00:40:18,654 TOGETHER? 1035 00:40:18,654 --> 00:40:20,355 EACH SESSION STARTS WITH CASE 1036 00:40:20,355 --> 00:40:21,356 FORMULATION, READ THE CASE, TALK 1037 00:40:21,356 --> 00:40:22,758 ABOUT THE CASE, HOW WOULD YOU 1038 00:40:22,758 --> 00:40:24,526 THINK ABOUT IT TODAY, WE GIVE 1039 00:40:24,526 --> 00:40:27,362 THEM A BRIEF NARRATIVE VIDEO 1040 00:40:27,362 --> 00:40:28,564 THAT ILLUSTRATES ONE CORE 1041 00:40:28,564 --> 00:40:29,565 CONCEPT RELEVANT TO THAT CASE. 1042 00:40:29,565 --> 00:40:30,999 NOW YOU HAVE THE CHANCE TO GO 1043 00:40:30,999 --> 00:40:32,501 BACK AND TALK WITH YOUR PEER 1044 00:40:32,501 --> 00:40:33,802 AGAIN, HOW DOES THIS CHANGE THE 1045 00:40:33,802 --> 00:40:36,238 WAY YOU WOULD THINK ABOUT THIS 1046 00:40:36,238 --> 00:40:38,107 PARTICULAR CASE? 1047 00:40:38,107 --> 00:40:41,276 SO, MY FAVORITE EXAMPLE IS 1048 00:40:41,276 --> 00:40:42,044 FUNCTIONAL NEUROLOGICAL 1049 00:40:42,044 --> 00:40:44,446 DISORDERS, THESE ARE REALLY 1050 00:40:44,446 --> 00:40:46,115 DIFFICULT INDICATIONS THAT 1051 00:40:46,115 --> 00:40:47,082 CHALLENGE FUNDAMENTAL 1052 00:40:47,082 --> 00:40:47,750 CONCEPTUALIZATIONS OF ILLNESS, 1053 00:40:47,750 --> 00:40:49,618 WITH THE QUESTION ESPECIALLY ARE 1054 00:40:49,618 --> 00:40:50,352 THEY FAKING IT? 1055 00:40:50,352 --> 00:40:52,221 I DIDN'T KNOW HOW TO ILLUSTRATE 1056 00:40:52,221 --> 00:40:52,654 THIS WAS. 1057 00:40:52,654 --> 00:40:55,290 THIS WAS THE CLOSEST I COULD 1058 00:40:55,290 --> 00:40:55,557 GET. 1059 00:40:55,557 --> 00:40:56,692 THESE VIDEOS ARE DESIGNED SO 1060 00:40:56,692 --> 00:40:58,360 THAT YOU WILL NEVER THINK ABOUT 1061 00:40:58,360 --> 00:41:02,164 THESE CASES THE SAME WAY AGAIN. 1062 00:41:02,164 --> 00:41:05,067 SO, AGAIN, WE SPENT A COUPLE 1063 00:41:05,067 --> 00:41:06,568 YEARS, FEELING PRETTY GOOD. 1064 00:41:06,568 --> 00:41:10,706 WE STEP BACK, OKAY, EVEN IF WE 1065 00:41:10,706 --> 00:41:11,240 COMPLETELY TRANSFORMED OUR 1066 00:41:11,240 --> 00:41:14,109 CLASSROOM, IT TURNS OUT THERE'S 1067 00:41:14,109 --> 00:41:16,812 A WIDE WORLD BEYOND THE WORLD OF 1068 00:41:16,812 --> 00:41:19,181 IVORY TOWERS AND MAJOR ACADEMIC 1069 00:41:19,181 --> 00:41:20,983 CENTERS, NOT JUST GEOGRAPHIC BUT 1070 00:41:20,983 --> 00:41:23,519 OUR SYSTEMS OF CARE ARE 1071 00:41:23,519 --> 00:41:25,020 EVOLVING, THEY OF A LONE 1072 00:41:25,020 --> 00:41:25,921 PSYCHIATRIST PRACTICING ON THEIR 1073 00:41:25,921 --> 00:41:28,090 OWN IS DYING. 1074 00:41:28,090 --> 00:41:30,392 WHEN WE STARTED WE WERE FOCUSED 1075 00:41:30,392 --> 00:41:32,060 ON PSYCHIATRY RESIDENTS. 1076 00:41:32,060 --> 00:41:36,398 THIS IS MY ARTIST RENDITION, YOU 1077 00:41:36,398 --> 00:41:38,400 CAN TELL BECAUSE THEY ARE 1078 00:41:38,400 --> 00:41:39,701 SMILING AND THE LABEL SAYS IT. 1079 00:41:39,701 --> 00:41:42,538 AS SOON AS WE BEGIN WE REALIZED 1080 00:41:42,538 --> 00:41:46,542 THERE WAS A BROADER AUDIENCE, 1081 00:41:46,542 --> 00:41:49,211 MEDICAL STUDENTS, ATTENDINGS, 1082 00:41:49,211 --> 00:41:49,945 M.D.s, PSYCHOLOGISTS, PATIENTS 1083 00:41:49,945 --> 00:41:50,879 AND FAMILIES DIRECTLY. 1084 00:41:50,879 --> 00:41:52,648 THE KEY QUESTION, HOW DO WE 1085 00:41:52,648 --> 00:41:53,949 ENGAGE WITH THIS WIDER AUDIENCE? 1086 00:41:53,949 --> 00:41:56,151 HOW DO WE BRING NEUROSCIENCE TO 1087 00:41:56,151 --> 00:41:56,752 EVERYONE? 1088 00:41:56,752 --> 00:41:59,087 AND THIS IS REALLY COMING BACK 1089 00:41:59,087 --> 00:42:00,956 TO THAT FIRST QUESTION OF WHAT 1090 00:42:00,956 --> 00:42:04,359 DOES IT TAKE TO ACHIEVE BROADER 1091 00:42:04,359 --> 00:42:05,027 IMPACT? 1092 00:42:05,027 --> 00:42:05,761 WE STARTED WITH CONVENTIONAL 1093 00:42:05,761 --> 00:42:10,499 APPROACHES OF SOCIAL MEDIA AND 1094 00:42:10,499 --> 00:42:10,833 STUFF. 1095 00:42:10,833 --> 00:42:12,034 WE REALIZED FACULTY DEVELOPMENT 1096 00:42:12,034 --> 00:42:13,335 WAS CRUCIAL, ASKING THEM TO 1097 00:42:13,335 --> 00:42:15,204 TEACH MATERIAL NOT FAMILIAR TO 1098 00:42:15,204 --> 00:42:18,140 THEM, IN A WAY THEY MIGHT NOT BE 1099 00:42:18,140 --> 00:42:18,574 USED TO. 1100 00:42:18,574 --> 00:42:20,275 WE WANT TO OFFER DIRECT SUPPORT. 1101 00:42:20,275 --> 00:42:22,177 WE'VE DONE THIS THROUGH THE 1102 00:42:22,177 --> 00:42:26,348 ANNUAL BRAIN MEETING, ONE 1103 00:42:26,348 --> 00:42:27,616 APPROACH WITH 200 STUDENTS, 1104 00:42:27,616 --> 00:42:29,084 EXPERIENCING THE CONTENT AS A 1105 00:42:29,084 --> 00:42:30,485 STUDENT AND REFLECTING ON WHAT 1106 00:42:30,485 --> 00:42:32,788 IT WOULD BE LIKE TO TEACH IT. 1107 00:42:32,788 --> 00:42:33,789 WE'VE WORKED WITH MAJOR 1108 00:42:33,789 --> 00:42:34,823 PROFESSIONAL ORGANIZATIONS IN 1109 00:42:34,823 --> 00:42:36,091 THE FIELD AND AT THE END OF THE 1110 00:42:36,091 --> 00:42:38,493 DAY YOU HAVE TO HAVE RESOURCES 1111 00:42:38,493 --> 00:42:39,461 THAT ARE AVAILABLE. 1112 00:42:39,461 --> 00:42:40,896 SO WE BUILT A WEBSITE, 1113 00:42:40,896 --> 00:42:42,364 EVERYTHING ON THE WEBSITE IS 1114 00:42:42,364 --> 00:42:44,399 FREE AND OPEN ACCESS. 1115 00:42:44,399 --> 00:42:47,236 YOU HAVE TO CREATE USERNAME AND 1116 00:42:47,236 --> 00:42:48,871 LOG-IN TO TRACK USAGE TO REPORT 1117 00:42:48,871 --> 00:42:49,972 BACK TO FOUNDERS. 1118 00:42:49,972 --> 00:42:50,739 EVERYTHING WE'VE BEEN TALKING 1119 00:42:50,739 --> 00:42:52,608 ABOUT TODAY IS HERE. 1120 00:42:52,608 --> 00:42:55,077 I WANT TO HIGHLIGHT TWO OF THE 1121 00:42:55,077 --> 00:42:55,677 MOST VALUABLE SELF-STUDY 1122 00:42:55,677 --> 00:42:56,044 RESOURCES. 1123 00:42:56,044 --> 00:42:58,380 ONE IS A SERIES OF CLINICAL 1124 00:42:58,380 --> 00:43:00,148 COMMENTARIES WRITING IN THE 1125 00:43:00,148 --> 00:43:01,450 JOURNAL, BIOLOGICAL PSYCHIATRY. 1126 00:43:01,450 --> 00:43:03,652 EACH IS DESIGNED TO TAKE ONE 1127 00:43:03,652 --> 00:43:06,622 CORE CONCEPT IN NEUROSCIENCE AND 1128 00:43:06,622 --> 00:43:08,156 MAKE IT CLEAR, RELEVANT, 1129 00:43:08,156 --> 00:43:10,492 ACCESSIBLE FOR A BROAD AUDIENCE 1130 00:43:10,492 --> 00:43:11,760 USING A NARRATIVE APPROACH. 1131 00:43:11,760 --> 00:43:15,631 THESE ARE ARTICLES THAT DON'T 1132 00:43:15,631 --> 00:43:16,798 BELONG, BASED ON STYLE. 1133 00:43:16,798 --> 00:43:18,800 THEY ARE ABOUT TRANSLATING FROM 1134 00:43:18,800 --> 00:43:20,435 NEUROSCIENCE INTO THE KIND OF 1135 00:43:20,435 --> 00:43:22,271 LANGUAGE THAT WILL BE ACCESSIBLE 1136 00:43:22,271 --> 00:43:23,972 FOR EVERYONE. 1137 00:43:23,972 --> 00:43:25,607 WE'RE NOW AT 70 COMMENTARIES 1138 00:43:25,607 --> 00:43:28,243 THAT WE PUBLISHED IN THE 1139 00:43:28,243 --> 00:43:28,677 JOURNAL. 1140 00:43:28,677 --> 00:43:31,513 THE OTHER ONE WE'VE DONE, WE 1141 00:43:31,513 --> 00:43:32,381 INITIALLY CONCEPTUALIZED A 1142 00:43:32,381 --> 00:43:36,418 SERIES OF BRIEF TALKS THAT WOULD 1143 00:43:36,418 --> 00:43:39,588 BE SOMETHING OF HYBRID, TRUE 1144 00:43:39,588 --> 00:43:41,356 STORIES TOLD LIVE WITH AUDIENCE 1145 00:43:41,356 --> 00:43:47,896 WITHOUT NOTES, A TED TALK 1146 00:43:47,896 --> 00:43:49,231 20 SECONDS, 20 SLIDES, SIX 1147 00:43:49,231 --> 00:43:51,767 MINUTES AND 40 SECRETARIES. 1148 00:43:51,767 --> 00:43:54,670 EACH IS DESIGNED TO CAPTURE A 1149 00:43:54,670 --> 00:43:55,370 PERFECT SINGLE NEUROSCIENCE 1150 00:43:55,370 --> 00:43:55,671 BITE. 1151 00:43:55,671 --> 00:43:58,840 ONE MOMENT THAT'S GOING TO MAKE 1152 00:43:58,840 --> 00:44:02,077 THE AUDIENCE SAY, WOW, THIS 1153 00:44:02,077 --> 00:44:03,578 STUFF IS REALLY COOL! 1154 00:44:03,578 --> 00:44:05,981 WE CALL THEM "THIS STUFF IS 1155 00:44:05,981 --> 00:44:07,549 REALLY COOL" TALKS, WE HAVE 35 1156 00:44:07,549 --> 00:44:09,952 OR 40, AMONG THE MOST POPULAR 1157 00:44:09,952 --> 00:44:11,119 RESOURCES ON THE WEBSITE. 1158 00:44:11,119 --> 00:44:14,423 SO, THIS IS WHAT WE WERE 1159 00:44:14,423 --> 00:44:17,259 THINKING ABOUT AND DOING BEFORE 1160 00:44:17,259 --> 00:44:17,626 2020. 1161 00:44:17,626 --> 00:44:18,994 AND WHEN THE PANDEMIC FIRST 1162 00:44:18,994 --> 00:44:21,630 STARTED WE HAD THIS CRAZY 1163 00:44:21,630 --> 00:44:22,064 THOUGHT. 1164 00:44:22,064 --> 00:44:25,267 WITH THIS NEW COVID THING, WHAT 1165 00:44:25,267 --> 00:44:27,903 ARE WE GOING TO DO IF RESIDENTS 1166 00:44:27,903 --> 00:44:29,538 ARE STUCK IN QUARANTINE FOR TWO 1167 00:44:29,538 --> 00:44:29,771 WEEKS? 1168 00:44:29,771 --> 00:44:31,173 CAN YOU IMAGINE BEING STUCK AT 1169 00:44:31,173 --> 00:44:33,041 HOME FOR A WHOLE TWO WEEKS? 1170 00:44:33,041 --> 00:44:34,810 WHAT IF WE COULD CREATE AN 1171 00:44:34,810 --> 00:44:35,510 ONLINE COURSE TO ENGAGE 1172 00:44:35,510 --> 00:44:37,245 RESIDENTS WHERE THEY ARE AT? 1173 00:44:37,245 --> 00:44:39,314 IN THIS CASE LITERALLY. 1174 00:44:39,314 --> 00:44:42,551 WE CALLED IT THE QUARANTINE 1175 00:44:42,551 --> 00:44:44,019 CURRICULUM, BRINGING TOGETHER A 1176 00:44:44,019 --> 00:44:46,021 TEAM OF AMAZING EDUCATORS TO 1177 00:44:46,021 --> 00:44:47,055 CREATE THIS 14-DAY EXPERIENCE. 1178 00:44:47,055 --> 00:44:49,391 AND WE RAN THE FIRST VERSION IN 1179 00:44:49,391 --> 00:44:51,593 APRIL OF 2020, AND IMMEDIATELY 1180 00:44:51,593 --> 00:44:52,995 DISCOVERED THERE WERE SO MANY 1181 00:44:52,995 --> 00:44:55,630 MORE PEOPLE WHO WERE INTERESTED. 1182 00:44:55,630 --> 00:44:58,700 SO WE DESIGNED AND IMPLEMENTED A 1183 00:44:58,700 --> 00:45:06,041 FORMAL MEDICAL STUDENT ELECTIVE 1184 00:45:06,041 --> 00:45:08,777 AND CREATED THE BRAIN ONLINE 1185 00:45:08,777 --> 00:45:10,846 COURSE, THERE ARE REST PROGRAMS 1186 00:45:10,846 --> 00:45:13,515 USING THIS FOR FORMAL PROGRAM, 1187 00:45:13,515 --> 00:45:14,182 WITH RESIDENTS, FACULTY, 1188 00:45:14,182 --> 00:45:15,050 PSYCHOLOGISTS, APRN, SOCIAL 1189 00:45:15,050 --> 00:45:17,085 WORKERS FROM ALL OVER THE WORLD 1190 00:45:17,085 --> 00:45:18,320 PARTICIPATING AND HAVE THE 1191 00:45:18,320 --> 00:45:21,056 OPTION TO RECEIVE CME FOR THEIR 1192 00:45:21,056 --> 00:45:21,390 PARTICIPATION. 1193 00:45:21,390 --> 00:45:24,026 AND WE'RE EXCITED THAT IT HAS 1194 00:45:24,026 --> 00:45:26,194 BOTH CORE CONTENT RELEVANT TO 1195 00:45:26,194 --> 00:45:26,862 PSYCHIATRIC NEUROSCIENCE AND 1196 00:45:26,862 --> 00:45:29,398 EVEN MORE THAT IT LETS US 1197 00:45:29,398 --> 00:45:30,499 CAPITALIZE ON PRINCIPLES OF 1198 00:45:30,499 --> 00:45:32,267 ADULT LEARNING AS THEY APPLY IN 1199 00:45:32,267 --> 00:45:34,002 THE ONLINE SPACE. 1200 00:45:34,002 --> 00:45:36,071 SO, THE COURSE IS DIVIDED IN 16 1201 00:45:36,071 --> 00:45:37,839 SESSIONS, EACH AROUND THE 1202 00:45:37,839 --> 00:45:39,708 PARTICULAR CONTENT DOMAIN, FOR 1203 00:45:39,708 --> 00:45:42,944 EACH SESSION WE START FROM A 1204 00:45:42,944 --> 00:45:43,678 SERIES OF ASSESSMENT QUESTIONS. 1205 00:45:43,678 --> 00:45:46,982 IF AT THE END OF THE SESSION OUR 1206 00:45:46,982 --> 00:45:49,651 PARTICIPANTS CAN ANSWER THESE 1207 00:45:49,651 --> 00:45:51,853 QUESTIONS, WE ARE GENUINELY 1208 00:45:51,853 --> 00:45:52,587 HAPPY. 1209 00:45:52,587 --> 00:45:53,155 OKAY. 1210 00:45:53,155 --> 00:45:54,589 NOW LET'S WORK BACKWARDS. 1211 00:45:54,589 --> 00:45:57,192 WHAT'S IT GOING TO TAKE TO HELP 1212 00:45:57,192 --> 00:45:58,627 THEM GET TO THAT POINT? 1213 00:45:58,627 --> 00:46:06,468 WE'RE GOING TO GIVE A SET OF 1214 00:46:06,468 --> 00:46:07,803 SELF-STUDY MATERIALS, VIDEOS, 1215 00:46:07,803 --> 00:46:09,337 PODCASTS, RESOURCES, WE ASK EACH 1216 00:46:09,337 --> 00:46:11,706 PERSON TO LOG INTO AN ONLINE 1217 00:46:11,706 --> 00:46:12,841 FORUM, SHARE ONE REACTION, SHARE 1218 00:46:12,841 --> 00:46:15,444 A QUESTION, A THOUGHT, WHAT WAS 1219 00:46:15,444 --> 00:46:19,047 INTERESTING OR COOL, RESPOND TO 1220 00:46:19,047 --> 00:46:21,149 ONE OF YOUR COLLEAGUE'S POSTS. 1221 00:46:21,149 --> 00:46:22,784 WE HAVE GROUP ACTIVITIES, EACH 1222 00:46:22,784 --> 00:46:23,985 AN EXPERIENTIAL THING TO DO 1223 00:46:23,985 --> 00:46:26,621 TOGETHER WITH A SMALL GROUP 1224 00:46:26,621 --> 00:46:27,823 RECOGNIZING THE SOCIAL DYNAMICS 1225 00:46:27,823 --> 00:46:32,194 A CRUCIAL FOR LEARNING 1226 00:46:32,194 --> 00:46:32,661 ESPECIALLY ONLINE. 1227 00:46:32,661 --> 00:46:34,596 SO, WE'VE RUN THIS A COUPLE 1228 00:46:34,596 --> 00:46:35,797 TIMES NOW. 1229 00:46:35,797 --> 00:46:37,666 WHAT'S REALLY COOL ABOUT THIS 1230 00:46:37,666 --> 00:46:40,435 FORMAT, IT LETS US TRY OUT A 1231 00:46:40,435 --> 00:46:41,837 RANGE OF NOVEL INTERVENTIONS, I 1232 00:46:41,837 --> 00:46:43,705 WANT TO GIVE A TASTE OF JUST 1233 00:46:43,705 --> 00:46:44,106 ONE. 1234 00:46:44,106 --> 00:46:45,907 SO, WE LOVE THE FORMATIVE 1235 00:46:45,907 --> 00:46:46,842 ASSESSMENT QUESTIONS BUILT FOR 1236 00:46:46,842 --> 00:46:48,310 THIS COURSE. 1237 00:46:48,310 --> 00:46:50,712 THEY ARE NOT JUST FACTS. 1238 00:46:50,712 --> 00:46:52,047 THEY ARE ABOUT KNOWLEDGE 1239 00:46:52,047 --> 00:46:52,481 TRANSFER. 1240 00:46:52,481 --> 00:46:55,217 CAN YOU APPLY NEW CONTENT INTO A 1241 00:46:55,217 --> 00:46:56,184 CLINICAL SCENARIO? 1242 00:46:56,184 --> 00:46:57,285 WHEN YOU START THINKING ABOUT 1243 00:46:57,285 --> 00:46:58,420 THIS TYPE OF ASSESSMENT THERE'S 1244 00:46:58,420 --> 00:47:01,123 AN IMMEDIATE TENSION. 1245 00:47:01,123 --> 00:47:03,959 YOU COULD USE MCQs, EASY TO 1246 00:47:03,959 --> 00:47:05,060 GRAZE AND GIVE FEEDBACK, BUT 1247 00:47:05,060 --> 00:47:06,461 DON'T ALIGN WITH THIS TYPE OF 1248 00:47:06,461 --> 00:47:06,728 LEARNING. 1249 00:47:06,728 --> 00:47:09,097 OR YOU CAN USE OPEN ENDED 1250 00:47:09,097 --> 00:47:11,066 QUESTIONS THAT ARE REALLY 1251 00:47:11,066 --> 00:47:12,267 POWERFUL FOR ASSESSING LEARNING, 1252 00:47:12,267 --> 00:47:13,969 BUT IT'S ALMOST IMPOSSIBLE TO 1253 00:47:13,969 --> 00:47:15,470 GIVE FEEDBACK TO STUDENTS. 1254 00:47:15,470 --> 00:47:16,771 ESPECIALLY IN A LARGE ONLINE 1255 00:47:16,771 --> 00:47:16,972 SPACE. 1256 00:47:16,972 --> 00:47:18,640 WE'VE BEEN WORKING WITH A TEAM 1257 00:47:18,640 --> 00:47:20,275 TO CREATE A NEW TYPE OF 1258 00:47:20,275 --> 00:47:20,575 ASSESSMENT. 1259 00:47:20,575 --> 00:47:22,544 I WANT YOU TO PLAY WITH IT 1260 00:47:22,544 --> 00:47:23,411 BRIEFLY. 1261 00:47:23,411 --> 00:47:29,684 IF YOU CAN POP OPEN A SEPARATE 1262 00:47:29,684 --> 00:47:32,387 BROWSER WINDOW AND GO HERE. 1263 00:47:32,387 --> 00:47:36,358 YOU'LL GET A VERY BRIEF 1264 00:47:36,358 --> 00:47:36,625 VIGNETTE. 1265 00:47:36,625 --> 00:47:39,561 MAKE UP ANY NAME FOR USERNAME, 1266 00:47:39,561 --> 00:47:40,962 IT'S JUST A PLACEHOLDER. 1267 00:47:40,962 --> 00:47:42,664 IT WILL ASK, HOW WOULD YOU THINK 1268 00:47:42,664 --> 00:47:45,000 ABOUT THIS VIGNETTE, TYPE IN 1269 00:47:45,000 --> 00:47:45,767 YOUR OWN ANSWER. 1270 00:47:45,767 --> 00:47:46,935 YOU'LL ADVANCE TO THE NEXT 1271 00:47:46,935 --> 00:47:47,269 SLIDE. 1272 00:47:47,269 --> 00:47:49,271 WE'LL SHOW YOU SOMEBODY ELSE'S 1273 00:47:49,271 --> 00:47:50,772 ANSWER FROM A PREVIOUS VERSION 1274 00:47:50,772 --> 00:47:51,239 OF THE COURSE. 1275 00:47:51,239 --> 00:47:53,508 WE'RE GOING TO ASK YOU TO GRADE 1276 00:47:53,508 --> 00:47:55,377 THAT USING A STANDARD RUBRIC. 1277 00:47:55,377 --> 00:47:57,112 WE'LL SHOW HOW WE GRADED THAT 1278 00:47:57,112 --> 00:47:57,779 PARTICULAR ANSWER. 1279 00:47:57,779 --> 00:48:00,081 AND THEN WE'LL HAVE YOU GO BACK 1280 00:48:00,081 --> 00:48:01,850 AND GRADE YOUR OWN ANSWER. 1281 00:48:01,850 --> 00:48:03,051 YOU CAN REVISE AT THE END BASED 1282 00:48:03,051 --> 00:48:05,353 ON WHAT YOU LEARNED FROM THE 1283 00:48:05,353 --> 00:48:05,887 EXPERIENCE. 1284 00:48:05,887 --> 00:48:07,422 I'M GOING TO AGAIN -- I'M GOING 1285 00:48:07,422 --> 00:48:09,925 TO PAUSE AND TURN OFF MY CAMERA 1286 00:48:09,925 --> 00:48:11,459 AND GIVE FIVE MINUTES TO PLAY IN 1287 00:48:11,459 --> 00:48:13,595 THIS SPACE FOR A SECOND AND SEE 1288 00:48:13,595 --> 00:48:14,863 WHAT IT FEELS LIKE. 1289 00:48:14,863 --> 00:48:16,064 YOU PROBABLY WANT MORE TIME. 1290 00:48:16,064 --> 00:48:16,831 IT'S GOING. 1291 00:48:16,831 --> 00:48:20,001 THE GOAL IS TO GET A LITTLE BIT 1292 00:48:20,001 --> 00:48:30,245 OF A FLAVOR. 1293 00:49:09,718 --> 00:49:20,061 [ NO AUDIBLE DIALOGUE ] 1294 00:50:53,388 --> 00:50:55,256 >> SO MAYBE ONE MORE MINUTE. 1295 00:50:55,256 --> 00:50:57,859 HOPEFULLY PEOPLE ARE IN THERE 1296 00:50:57,859 --> 00:51:08,103 AND PLAYING. 1297 00:51:14,909 --> 00:51:24,886 1298 00:51:43,138 --> 00:51:43,571 >> ALL RIGHT. 1299 00:51:43,571 --> 00:51:45,974 SO I IMAGINE PEOPLE MAY STILL BE 1300 00:51:45,974 --> 00:51:46,441 WORKING. 1301 00:51:46,441 --> 00:51:48,710 IF I'M LEAVING YOU HUNGRY AND 1302 00:51:48,710 --> 00:51:49,611 FEELING UNSATISFIED, GOOD. 1303 00:51:49,611 --> 00:51:50,712 THAT'S A GOOD SIGN FOR A 1304 00:51:50,712 --> 00:51:51,780 LEARNING EXPERIENCE. 1305 00:51:51,780 --> 00:51:53,081 GO BACK AND FINISH THE EXERCISE 1306 00:51:53,081 --> 00:51:53,681 AND PLAY LATER. 1307 00:51:53,681 --> 00:51:56,951 I HOPE IT GIVES A FLAVOR OF JUST 1308 00:51:56,951 --> 00:51:59,154 THE POWER FOR WHEN WE THINK 1309 00:51:59,154 --> 00:52:00,455 CREATIVELY ABOUT THESE TYPES 1310 00:52:00,455 --> 00:52:01,222 APPROACHES, THE KINDS OF THINGS 1311 00:52:01,222 --> 00:52:03,458 WE CAN DO TO STEP OUTSIDE OF 1312 00:52:03,458 --> 00:52:05,827 TRADITIONAL BOUNDS. 1313 00:52:05,827 --> 00:52:06,461 ALL RIGHT. 1314 00:52:06,461 --> 00:52:08,530 A WORD OR TWO ABOUT OUTCOMES. 1315 00:52:08,530 --> 00:52:11,032 OUR FIRST QUESTION WAS COULD 1316 00:52:11,032 --> 00:52:13,034 THIS MODEL WORK, TO BE ABLE TO 1317 00:52:13,034 --> 00:52:14,669 GENERATE CONTENT IN A 1318 00:52:14,669 --> 00:52:15,303 COLLABORATIVE MANNER? 1319 00:52:15,303 --> 00:52:16,838 IN THIS REGARD IT'S BEEN REALLY 1320 00:52:16,838 --> 00:52:17,505 COOL. 1321 00:52:17,505 --> 00:52:19,274 WE HAVE MORE THAN 150 AUTHORS 1322 00:52:19,274 --> 00:52:21,009 WHO CONTRIBUTED PIECES TO THE 1323 00:52:21,009 --> 00:52:23,311 NNCI, A TON OF CONTENT, IT'S 1324 00:52:23,311 --> 00:52:24,179 BEEN FANTASTIC. 1325 00:52:24,179 --> 00:52:25,847 BUT OF COURSE OUR PRIMARY GOAL 1326 00:52:25,847 --> 00:52:27,549 HAS ALWAYS BEEN ARE PEOPLE GOING 1327 00:52:27,549 --> 00:52:29,250 TO USE THE RESOURCES? 1328 00:52:29,250 --> 00:52:31,653 HERE AGAIN THE DATA HAVE BEEN 1329 00:52:31,653 --> 00:52:33,621 JUST AMAZING. 1330 00:52:33,621 --> 00:52:35,957 IT'S NOW MORE THAN 115,000 1331 00:52:35,957 --> 00:52:37,692 UNIQUE USERS FROM 156 DIFFERENT 1332 00:52:37,692 --> 00:52:38,560 COUNTRIES. 1333 00:52:38,560 --> 00:52:39,594 AND IT'S MORE THAN 200 TRAINING 1334 00:52:39,594 --> 00:52:42,931 PROGRAMS IN THE U.S. AND ABROAD 1335 00:52:42,931 --> 00:52:45,233 THAT HAVE FORMALLY ADOPTED NNCI 1336 00:52:45,233 --> 00:52:45,500 MATERIALS. 1337 00:52:45,500 --> 00:52:47,969 SO, THERE'S A BUNCH OF OTHER 1338 00:52:47,969 --> 00:52:49,804 STUFF, CREATING MORE CONTENT, 1339 00:52:49,804 --> 00:52:52,474 THINKING BACK TO SCURVY HOW DO 1340 00:52:52,474 --> 00:52:54,209 WE EFFECT WIDESPREAD CHANGE? 1341 00:52:54,209 --> 00:52:56,377 IT'S THE FLEET IN MENTAL HEALTH 1342 00:52:56,377 --> 00:52:58,279 IS LARGE, HOW DO WE GET CONTENT 1343 00:52:58,279 --> 00:52:59,781 TO THE MOST PEOPLE? 1344 00:52:59,781 --> 00:53:01,983 ONE WAY IS WITH NEW PODCASTS, 1345 00:53:01,983 --> 00:53:07,255 IT'S REALLY FUN, CHECK IT OUT, 1346 00:53:07,255 --> 00:53:08,990 NEWEST EPISODE DROPPED LAST 1347 00:53:08,990 --> 00:53:09,224 MONTH. 1348 00:53:09,224 --> 00:53:13,127 ANOTHER WAY WITH PLAYING WITH A 1349 00:53:13,127 --> 00:53:14,462 SMARTPHONE APP TO REACH A LARGE 1350 00:53:14,462 --> 00:53:16,130 UP IN OF PEOPLE ACROSS 1351 00:53:16,130 --> 00:53:19,834 DISCIPLINES, NOW THEY CAN LISTEN 1352 00:53:19,834 --> 00:53:21,703 TO THE PODCAST AND GET CME 1353 00:53:21,703 --> 00:53:23,104 CREDIT FOR PARTICIPATION. 1354 00:53:23,104 --> 00:53:26,074 SO, LET ME STOP THERE IN CASE 1355 00:53:26,074 --> 00:53:28,243 THERE'S QUESTIONS AND I'LL STOP 1356 00:53:28,243 --> 00:53:29,344 RIGHT THERE. 1357 00:53:29,344 --> 00:53:31,312 SO DR. CHUNG, I ASSUME YOU'RE 1358 00:53:31,312 --> 00:53:34,215 OUT THERE SOMEWHERE IN THE 1359 00:53:34,215 --> 00:53:35,984 INTERNET SPACE. 1360 00:53:35,984 --> 00:53:36,417 >> I AM. 1361 00:53:36,417 --> 00:53:37,318 THANK YOU. 1362 00:53:37,318 --> 00:53:40,488 >> ALL RIGHT, COOL. 1363 00:53:40,488 --> 00:53:46,327 >> SO, I HAVE A QUESTION TO 1364 00:53:46,327 --> 00:53:46,761 START. 1365 00:53:46,761 --> 00:53:48,196 THIS HAS BEEN PSYCHIATRY 1366 00:53:48,196 --> 00:53:49,864 FOCUSED, WE HAVE A LOT OF PEOPLE 1367 00:53:49,864 --> 00:53:51,266 ON THE LECTURE WHO REPRESENT A 1368 00:53:51,266 --> 00:53:53,568 LOT OF DIFFERENT OTHER AREAS OF 1369 00:53:53,568 --> 00:53:53,902 MEDICINE. 1370 00:53:53,902 --> 00:53:55,637 I'M WONDERING IF YOU'RE AWARE OF 1371 00:53:55,637 --> 00:53:56,504 OTHER INITIATIVES SIMILAR TO 1372 00:53:56,504 --> 00:53:59,040 THIS IN OTHER FIELDS OF MEDICINE 1373 00:53:59,040 --> 00:54:01,175 THAT MIGHT BE HELPFUL FOR THOSE 1374 00:54:01,175 --> 00:54:02,010 FOLKS TO GO TO. 1375 00:54:02,010 --> 00:54:04,612 DO YOU KNOW OF ANY OF THOSE? 1376 00:54:04,612 --> 00:54:08,016 >> YEAH, IT'S A GREAT QUESTION. 1377 00:54:08,016 --> 00:54:09,984 SO, I THINK THERE'S A LOT OF -- 1378 00:54:09,984 --> 00:54:10,418 RIGHT. 1379 00:54:10,418 --> 00:54:13,421 SO AT ITS CORE, THE MODEL IS 1380 00:54:13,421 --> 00:54:13,922 STRONG. 1381 00:54:13,922 --> 00:54:16,190 WE HAVE TO BE COLLABORATING. 1382 00:54:16,190 --> 00:54:17,492 IT'S RIDICULOUS THAT EACH 1383 00:54:17,492 --> 00:54:19,794 PROGRAM IS EXPECTED TO CREATE 1384 00:54:19,794 --> 00:54:21,296 THEIR OWN CURRICULUM FROM 1385 00:54:21,296 --> 00:54:23,097 SCRATCH, MAKES NO SENSE. 1386 00:54:23,097 --> 00:54:31,940 THE HISTORICAL ISSUE HAS BEEN 1387 00:54:31,940 --> 00:54:33,174 ACCESSIBLE CREATION. 1388 00:54:33,174 --> 00:54:34,375 ON THE INTERNET YOU HAVE TO BE 1389 00:54:34,375 --> 00:54:37,345 ABLE TO PICK IT UP AND IT WORKS. 1390 00:54:37,345 --> 00:54:38,546 A COUPLE ARE CLOSE. 1391 00:54:38,546 --> 00:54:41,683 A GROUP IN -- A COUPLE GROUPS IN 1392 00:54:41,683 --> 00:54:45,019 PSYCHIATRY, A GROUP IN WOMEN'S 1393 00:54:45,019 --> 00:54:46,955 HEALTH, A GERIATRIC GROUP. 1394 00:54:46,955 --> 00:54:51,859 THE BEST IS NATIONAL ANTI-RACISM 1395 00:54:51,859 --> 00:54:53,494 IN MEDICINE CURRICULUM COALITION 1396 00:54:53,494 --> 00:54:56,898 LED BY CORY WILLIAMS AT 1397 00:54:56,898 --> 00:54:57,765 GEORGETOWN, I'VE BEEN CONSULTING 1398 00:54:57,765 --> 00:54:58,766 WITH HIM, IT'S GREAT. 1399 00:54:58,766 --> 00:55:01,135 THE IDEA IS THE SAME TO CREATE 1400 00:55:01,135 --> 00:55:02,904 SHARED RESOURCES OTHER PEOPLE 1401 00:55:02,904 --> 00:55:05,340 CAN USE, ESPECIALLY GIVEN THAT'S 1402 00:55:05,340 --> 00:55:06,741 VERY DIFFICULT TOPIC CONTENT TO 1403 00:55:06,741 --> 00:55:10,778 BE ABLE TO IMPLEMENT ON YOUR 1404 00:55:10,778 --> 00:55:11,012 OWN. 1405 00:55:11,012 --> 00:55:12,680 >> IS THAT -- CAN YOU SHARE THAT 1406 00:55:12,680 --> 00:55:17,819 LINK WITH US AT SOME POINT TOO? 1407 00:55:17,819 --> 00:55:19,220 1408 00:55:19,220 --> 00:55:19,587 >> YES. 1409 00:55:19,587 --> 00:55:21,089 GOOGLE NAMCC IT SHOULD GET YOU 1410 00:55:21,089 --> 00:55:22,724 THERE, AGAIN, IT'S CORY WILLIAMS 1411 00:55:22,724 --> 00:55:26,728 AND ASHLEY WALKER CO-CHAIR OF 1412 00:55:26,728 --> 00:55:29,297 NNCI IS CO-CHAIR OF THE NAMCC. 1413 00:55:29,297 --> 00:55:30,531 >> HOW DO WE GET PROGRAM 1414 00:55:30,531 --> 00:55:32,834 DIRECTORS TO AGREE TO TEACH AND 1415 00:55:32,834 --> 00:55:33,701 CHANGE THE TRAINING 1416 00:55:33,701 --> 00:55:34,035 REQUIREMENTS? 1417 00:55:34,035 --> 00:55:37,105 YOU KNOW, IN THAT SAME VEIN, 1418 00:55:37,105 --> 00:55:38,973 WHAT ARE BARRIERS YOU HAD TO 1419 00:55:38,973 --> 00:55:44,846 OVERCOME TO GET ACCEPTANCE FROM 1420 00:55:44,846 --> 00:55:46,648 INSTITUTIONS, FACULTY, TRAINEES 1421 00:55:46,648 --> 00:55:48,182 THEMSELVES? 1422 00:55:48,182 --> 00:55:51,686 >> YEAH, SIX QUESTIONS EMBEDDED 1423 00:55:51,686 --> 00:55:53,755 IN THAT. 1424 00:55:53,755 --> 00:55:54,856 FIRST INSTINCT IS NOT TO ANSWER 1425 00:55:54,856 --> 00:55:55,690 THE QUESTION. 1426 00:55:55,690 --> 00:56:00,862 WE HAD A COLLABORATION WITH U.K. 1427 00:56:00,862 --> 00:56:01,562 COLLEGE OF ROYAL PSYCHIATRISTS, 1428 00:56:01,562 --> 00:56:02,397 WE NEED TO BE DOING THIS. 1429 00:56:02,397 --> 00:56:07,101 BECAUSE OF THE WAY MEDICAL 1430 00:56:07,101 --> 00:56:12,473 EDUCATION IS SCRUBBING -- 1431 00:56:12,473 --> 00:56:13,641 STRUCTURED, THEY WERE ABLE TO 1432 00:56:13,641 --> 00:56:15,443 SAY WE'RE MANDATING THIS IS PART 1433 00:56:15,443 --> 00:56:19,580 OF THE CURRICULUM AND ASSESSMENT 1434 00:56:19,580 --> 00:56:20,948 IF YOU WANT TO BE A PSYCHIATRIST 1435 00:56:20,948 --> 00:56:23,651 IN THE U.K. 1436 00:56:23,651 --> 00:56:25,620 THEY BUILT IT INTO THE 1437 00:56:25,620 --> 00:56:26,154 ASSESSMENT, CREDENTIALING 1438 00:56:26,154 --> 00:56:27,055 PROCESS, THAT WAS IT. 1439 00:56:27,055 --> 00:56:29,991 IT SHOWS HOW THINGS CAN WORK IF 1440 00:56:29,991 --> 00:56:32,527 THE STRUCTURES ARE BETTER 1441 00:56:32,527 --> 00:56:33,294 ORGANIZED. 1442 00:56:33,294 --> 00:56:35,930 HERE, WE'RE TALKING ABOUT THE 1443 00:56:35,930 --> 00:56:37,565 ACGME, WE'RE TALKING ABOUT THE 1444 00:56:37,565 --> 00:56:41,169 ACP WHO WRITES IN TRAINING EXAM, 1445 00:56:41,169 --> 00:56:42,603 ADPN, THERE'S SO MANY 1446 00:56:42,603 --> 00:56:43,738 ORGANIZATIONS THAT ARE INVOLVED 1447 00:56:43,738 --> 00:56:48,409 IT MAKES IT MUCH MORE 1448 00:56:48,409 --> 00:56:48,710 COMPLICATED. 1449 00:56:48,710 --> 00:56:50,144 SO, I THINK THAT PART OF THE 1450 00:56:50,144 --> 00:56:52,980 ANSWER, IF YOU WORK FROM THE TOP 1451 00:56:52,980 --> 00:56:54,415 DOWN, THAT IS ULTIMATELY THE 1452 00:56:54,415 --> 00:56:57,318 BEST WAY, BUT OUR STRUCTURES ARE 1453 00:56:57,318 --> 00:57:00,021 PRETTY CALCIFIED AND DIFFICULT. 1454 00:57:00,021 --> 00:57:02,190 IRONICALLY, IT'S BEEN EASIEST TO 1455 00:57:02,190 --> 00:57:04,492 WORK FROM THE BOTTOM UP THAT 1456 00:57:04,492 --> 00:57:05,593 WHEN STUDENTS SEE THE CONTENT 1457 00:57:05,593 --> 00:57:07,795 THEY SAY OH MY GOD, WELL, YEAH, 1458 00:57:07,795 --> 00:57:11,933 THIS IS WHY WE WENT INTO 1459 00:57:11,933 --> 00:57:12,233 PSYCHIATRY. 1460 00:57:12,233 --> 00:57:18,172 THE PERCENTAGE HAS SHOT UP OVER 1461 00:57:18,172 --> 00:57:20,141 THE PAST FIVE TO TEN YEARS 1462 00:57:20,141 --> 00:57:22,643 BECAUSE OF THE EXCITEMENT AROUND 1463 00:57:22,643 --> 00:57:23,010 NEUROPSYCHIATRY. 1464 00:57:23,010 --> 00:57:24,278 TRAINEES ARE LOOKING FOR IT AND 1465 00:57:24,278 --> 00:57:25,279 EXCITED ABOUT DIFFERENT 1466 00:57:25,279 --> 00:57:26,914 APPROACHES TO TEACHING AND 1467 00:57:26,914 --> 00:57:27,181 LEARNING. 1468 00:57:27,181 --> 00:57:27,849 THE STUDENTS HAVE BEEN 1469 00:57:27,849 --> 00:57:29,884 RELATIVELY EASY TO ENGAGE. 1470 00:57:29,884 --> 00:57:31,419 THE PROGRAM DIRECTORS ALSO TRY 1471 00:57:31,419 --> 00:57:34,555 IT, THIS IS REALLY COOL, IT'S 1472 00:57:34,555 --> 00:57:36,090 EASIER FOR THEM TO SAY, OKAY, 1473 00:57:36,090 --> 00:57:37,959 WE'RE GOING TO RUN THIS INSTEAD 1474 00:57:37,959 --> 00:57:40,862 OF CREATING SOMETHING FROM 1475 00:57:40,862 --> 00:57:41,796 SCRATCH. 1476 00:57:41,796 --> 00:57:43,097 >> SO ANOTHER QUESTION. 1477 00:57:43,097 --> 00:57:46,934 SOMEONE ASKED IF YOU DONE 1478 00:57:46,934 --> 00:57:48,703 COMPARATIVE EFFECTIVENESS 1479 00:57:48,703 --> 00:57:51,639 STUDIES, ONLINE MODULES VERSUS 1480 00:57:51,639 --> 00:57:54,475 TRADITIONAL TEXT BOOK OR ARTICLE 1481 00:57:54,475 --> 00:57:55,143 READING? 1482 00:57:55,143 --> 00:57:55,943 >> YES, GREAT QUESTION. 1483 00:57:55,943 --> 00:57:57,111 A WHOLE LONG THING. 1484 00:57:57,111 --> 00:57:58,146 SHORT ANSWER, WE DON'T HAVE 1485 00:57:58,146 --> 00:58:00,948 GREAT DATA TO SHARE AT THIS 1486 00:58:00,948 --> 00:58:02,683 POINT. 1487 00:58:02,683 --> 00:58:03,885 WE'VE-- THE TRADITIONAL WAYS 1488 00:58:03,885 --> 00:58:05,286 PEOPLE ASSESSED TENDED TO BE 1489 00:58:05,286 --> 00:58:08,256 FACT BASED. 1490 00:58:08,256 --> 00:58:09,590 THERE AREN'T GREAT RESOURCES 1491 00:58:09,590 --> 00:58:11,125 THAT CAME BEFORE. 1492 00:58:11,125 --> 00:58:13,828 WE'RE REALLY FOCUSED ON THE 1493 00:58:13,828 --> 00:58:15,062 CONCEPTUAL FRAMEWORK LEVEL. 1494 00:58:15,062 --> 00:58:16,464 I'M REALLY CURIOUS WHAT DATA ARE 1495 00:58:16,464 --> 00:58:19,834 GOING TO SHOW FOR ONLINE 1496 00:58:19,834 --> 00:58:20,168 LEARNING. 1497 00:58:20,168 --> 00:58:22,937 WE JUST DID THE OPIOID USE 1498 00:58:22,937 --> 00:58:24,338 SESSION, THAT QUESTION IS 1499 00:58:24,338 --> 00:58:24,972 FASCINATING, NICE DATA. 1500 00:58:24,972 --> 00:58:27,842 AT THE START OF THE ONLINE 1501 00:58:27,842 --> 00:58:28,976 COURSE, DISTURBINGLY ONLY -- 1502 00:58:28,976 --> 00:58:29,610 THERE'S A SLIGHTLY LONGER 1503 00:58:29,610 --> 00:58:31,012 VERSION OF THAT PROMPT BUT IT'S 1504 00:58:31,012 --> 00:58:31,913 BASICALLY THE SAME. 1505 00:58:31,913 --> 00:58:35,716 ONLY A THIRD OF PARTICIPANTS 1506 00:58:35,716 --> 00:58:37,051 RECOGNIZED WE MASKED A LITTLE 1507 00:58:37,051 --> 00:58:43,825 BIT AS SOMEBODY WHO IS INPATIENT 1508 00:58:43,825 --> 00:58:46,794 FOR ENDOCARDITIS FROM I.V. 1509 00:58:46,794 --> 00:58:48,763 HEROIN USE, A THIRD RECOGNIZED 1510 00:58:48,763 --> 00:58:52,033 O.U. D AND SAID WE SHOULD 1511 00:58:52,033 --> 00:58:52,366 PRESCRIBE. 1512 00:58:52,366 --> 00:58:52,967 BUPRENORPHINE AND METHADONE, 1513 00:58:52,967 --> 00:58:54,969 YOU'RE SEVEN TIMES MORE LIKELY 1514 00:58:54,969 --> 00:58:57,405 TO DIE IF YOU'RE ON ONE OF THOSE 1515 00:58:57,405 --> 00:58:59,373 AND HAVE OUD. 1516 00:58:59,373 --> 00:59:01,976 A THIRD OF LEARNERS KNEW THAT. 1517 00:59:01,976 --> 00:59:07,081 WHICH IS IS ASTOUNDING. 1518 00:59:07,081 --> 00:59:10,051 AT THE END IT WAS 95%. 1519 00:59:10,051 --> 00:59:11,152 SO, I FEEL QUITE CONFIDENT WE'RE 1520 00:59:11,152 --> 00:59:12,820 GETTING WHERE WE NEED TO GO, 1521 00:59:12,820 --> 00:59:14,288 ABLE TO SHOW LEARNING OUTCOMES. 1522 00:59:14,288 --> 00:59:15,623 I'M CURIOUS TO SEE TODAY'S DATA. 1523 00:59:15,623 --> 00:59:17,892 I DON'T KNOW HOW MANY PEOPLE 1524 00:59:17,892 --> 00:59:18,860 HAVE DONE THE EXERCISE. 1525 00:59:18,860 --> 00:59:20,461 IT'S GOING TO TAKE SOME TIME TO 1526 00:59:20,461 --> 00:59:22,230 GET THAT KIND OF DATA. 1527 00:59:22,230 --> 00:59:23,965 >> ALL RIGHT. 1528 00:59:23,965 --> 00:59:27,768 A QUESTION ABOUT WHETHER ANY 1529 00:59:27,768 --> 00:59:28,569 MODULES CONTAIN CONTENT ABOUT 1530 00:59:28,569 --> 00:59:30,538 THE DEVELOPMENT OF THE BRAIN AND 1531 00:59:30,538 --> 00:59:33,541 HOW THEY MIGHT BE APPLICABLE TO 1532 00:59:33,541 --> 00:59:35,576 CHILD AND ADOLESCENT PSYCHIATRY? 1533 00:59:35,576 --> 00:59:40,715 >> YES, THERE'S A BUNCH OF CHILD 1534 00:59:40,715 --> 00:59:43,484 PSYCHIATRY CONTENT, IT SHOULD BE 1535 00:59:43,484 --> 00:59:45,453 TAGGED, THERE'S NOT ENOUGH. 1536 00:59:45,453 --> 00:59:46,387 WE'RE WORKING ON MORE. 1537 00:59:46,387 --> 00:59:47,521 >> THAT'S THE END OF THE 1538 00:59:47,521 --> 00:59:49,023 QUESTIONS THAT I HAVE. 1539 00:59:49,023 --> 00:59:52,860 AND I WANT TO SAY HOW MUCH THIS 1540 00:59:52,860 --> 00:59:54,729 HAS REALLY INSPIRED ME AND MANY 1541 00:59:54,729 --> 00:59:57,131 OTHERS TO, YOU KNOW, SIGN ON, 1542 00:59:57,131 --> 00:59:58,299 USE THE MATERIALS, GET 1543 00:59:58,299 --> 00:59:58,633 ENTHUSIASTIC. 1544 00:59:58,633 --> 00:59:59,934 I WOULD ENCOURAGE PEOPLE IN 1545 00:59:59,934 --> 01:00:01,602 OTHER FIELDS TO TAKE THIS 1546 01:00:01,602 --> 01:00:06,374 EXAMPLE TO KIND OF BE A CRUSADER 1547 01:00:06,374 --> 01:00:06,774 AS WELL. 1548 01:00:06,774 --> 01:00:10,378 THANK YOU SO MUCH, DR. ROSS. 1549 01:00:10,378 --> 01:00:12,013 CME ACTIVITY CODE, 36729. 1550 01:00:12,013 --> 01:00:15,449 WE'RE SO GRATEFUL YOU CAME ALL 1551 01:00:15,449 --> 01:00:16,851 THE WAY FROM CANADA. 1552 01:00:16,851 --> 01:00:17,818 THANK YOU. 1553 01:00:17,818 --> 01:00:18,185 THANK YOU. 1554 01:00:18,185 --> 01:00:19,754 THANK YOU, I REALLY 1555 01:00:19,754 --> 01:00:29,754 APPRECIATE IT.