1 00:00:05,000 --> 00:00:10,160 >> I'M WALTER KOROSHETZ, 2 00:00:10,160 --> 00:00:15,760 AND IT'S A PLEASURE TO 3 00:00:15,760 --> 00:00:21,920 WELCOME MY FELLOW DIRECTORS IN 4 00:00:21,920 --> 00:00:25,360 THE PAIN SPACE WITH YOU AT THE 5 00:00:25,360 --> 00:00:29,680 AGENCY COORDINATING MEETING AND 6 00:00:29,680 --> 00:00:32,240 THIS IS OUR FIRST OF 2 7 00:00:32,240 --> 00:00:35,680 IPRCC MEETINGS FOR 2022 THAT 8 00:00:35,680 --> 00:00:36,160 HAVE BEEN PLANNED. 9 00:00:36,160 --> 00:00:38,680 THIS 1 IS A PART DAY, THE FULL 10 00:00:38,680 --> 00:00:39,800 DAY IS SCHEDULED FOR 11 00:00:39,800 --> 00:00:41,120 OCTOBER 18th, SO IF YOU COULD 12 00:00:41,120 --> 00:00:43,040 PUT THAT HOLD ON YOUR CALENDAR, 13 00:00:43,040 --> 00:00:45,600 THAT WOULD BE GREAT. 14 00:00:45,600 --> 00:00:46,000 OCTOBER 18th. 15 00:00:46,000 --> 00:00:50,800 AS YOU KNOW THE PROCESS OF 16 00:00:50,800 --> 00:00:54,080 GETTING NEW MEMBERS ON TO THE 17 00:00:54,080 --> 00:00:56,560 IPRCC, IS NOT SIMPLE, IT GOES 18 00:00:56,560 --> 00:00:59,240 THROUGH HHS, SO WHAT WE--WHILE 19 00:00:59,240 --> 00:01:01,520 WE ARE WAITING FOR THE APPROVAL 20 00:01:01,520 --> 00:01:04,440 OF 6 NEW POTENTIAL INCOMING 21 00:01:04,440 --> 00:01:07,560 NOMINEES THEY HAVE BE APPROVED 22 00:01:07,560 --> 00:01:13,720 BY HHS, WE HAVE INVITED IRMA 23 00:01:13,720 --> 00:01:14,880 RODRIGUEZ, CHRISTINE SANG AND 24 00:01:14,880 --> 00:01:16,760 BETH, TO SERVE ADDITIONAL TIME 25 00:01:16,760 --> 00:01:18,240 ON THE COMMITTEE UNTIL THESE NEW 26 00:01:18,240 --> 00:01:20,040 FOLKS COME ON SO I REALLY WANT 27 00:01:20,040 --> 00:01:24,880 TO THANK THEM FOR TAKING US UP 28 00:01:24,880 --> 00:01:25,960 ON THAT OFFER. 29 00:01:25,960 --> 00:01:27,520 EACH OF YOU HAS BEEN SO HELPFUL 30 00:01:27,520 --> 00:01:31,160 OVER THE PAST YEARS AND WE 31 00:01:31,160 --> 00:01:32,600 REALLY VALUE YOUR INPUT, 32 00:01:32,600 --> 00:01:34,320 CERTAINLY TODAY'S MEETING AND 33 00:01:34,320 --> 00:01:34,960 POTENTIALLY EVEN OCTOBER 34 00:01:34,960 --> 00:01:37,960 MEETING, WE WILL SEE. 35 00:01:37,960 --> 00:01:39,640 AND I WANT TO SAY 36 00:01:39,640 --> 00:01:42,520 CONGRATULATIONS TO THOSE WHO ARE 37 00:01:42,520 --> 00:01:44,480 AT THE LAST MEETING, ARE NOW 38 00:01:44,480 --> 00:01:48,200 MADE OFFICIAL. 39 00:01:48,200 --> 00:01:50,040 SO THAT'S TODD [INDISCERNIBLE] 40 00:01:50,040 --> 00:01:52,200 WHO LEADS THE PHARMACOLOGY 41 00:01:52,200 --> 00:01:53,360 DEPARTMENT FOR THE PAIN AND 42 00:01:53,360 --> 00:01:59,840 ADDICTION AT UNIVERSITY OF 43 00:01:59,840 --> 00:02:00,880 ARIZONA, [INDISCERNIBLE] FOR 44 00:02:00,880 --> 00:02:04,880 NATIONAL PAIN MANAGEMENT AT THE 45 00:02:04,880 --> 00:02:06,640 VA AND MAGGIE BUCKLEY WHO IS ON 46 00:02:06,640 --> 00:02:10,120 THE BOARD AND VOLUNTEERS FOR THE 47 00:02:10,120 --> 00:02:14,400 [INDISCERNIBLE] SOCIETY AND 48 00:02:14,400 --> 00:02:17,080 JULIE ELLER WHO SERVES WITH THE 49 00:02:17,080 --> 00:02:18,880 ARTHRITIS FOUNDATION. 50 00:02:18,880 --> 00:02:20,840 THERE'S 1 OTHER LYNN 51 00:02:20,840 --> 00:02:21,560 [INDISCERNIBLE] UNFORTUNATELY 52 00:02:21,560 --> 00:02:24,760 SHE HAD TO WITHDRAW HER 53 00:02:24,760 --> 00:02:25,600 NOMINATION AT THIS POINT BECAUSE 54 00:02:25,600 --> 00:02:26,800 SHE HAD TO DEVOTE ALL HER TIME 55 00:02:26,800 --> 00:02:33,400 TO THE ROLE OF PRESIDENT OF THE 56 00:02:33,400 --> 00:02:34,240 NATIONAL FIBROMYALGIA 57 00:02:34,240 --> 00:02:34,880 ASSOCIATION AND THE UPCOMING 58 00:02:34,880 --> 00:02:36,880 LAUNCH OF HER DIGITAL HEALTH 59 00:02:36,880 --> 00:02:38,280 COMPANY CALL PAIN TOOLS BUT WE 60 00:02:38,280 --> 00:02:42,840 HOPE TO HAVE HER JOIN IN THE 61 00:02:42,840 --> 00:02:43,080 FUTURE. 62 00:02:43,080 --> 00:02:45,160 SO THOSE ARE KIND OF INTRO 63 00:02:45,160 --> 00:02:46,920 REMARKS AND I WONDERED NOW WHEN 64 00:02:46,920 --> 00:02:51,640 THERE WOULD BE A GOOD TIME TO GO 65 00:02:51,640 --> 00:02:53,000 AROUND AND HAVE PEOPLE INTRODUCE 66 00:02:53,000 --> 00:02:54,960 THEMSELVES AND IS SAY A WORD 67 00:02:54,960 --> 00:02:56,200 ABOUT THEIR BACKGROUND. 68 00:02:56,200 --> 00:02:56,600 SNB ABSOLUTELY. 69 00:02:56,600 --> 00:02:59,280 I WILL GO ACROSS THE SCREEN AND 70 00:02:59,280 --> 00:03:03,240 I SEE IT SO BETH YOU WOULD BE 71 00:03:03,240 --> 00:03:06,480 FIRST UP. 72 00:03:06,480 --> 00:03:11,280 >> HI, EVERYONE I'M BETH 73 00:03:11,280 --> 00:03:13,760 DARNALL, WITH STABBED FORD 74 00:03:13,760 --> 00:03:15,920 UNIVERSITY, I DIRECT THE PAIN 75 00:03:15,920 --> 00:03:17,800 RELIEF LAB, MY AREAS OF 76 00:03:17,800 --> 00:03:20,440 EXPERTISE ARE CONDUCTING LARGE 77 00:03:20,440 --> 00:03:21,120 RANDOMIZED TRIALS FOR 78 00:03:21,120 --> 00:03:23,360 BEHAVIORIAL INTERVENTIONS AND 79 00:03:23,360 --> 00:03:26,720 ALSO PREVENTION OPIOID TAPERING. 80 00:03:26,720 --> 00:03:37,240 >> THANK YOU BETH, AND THEN WE 81 00:03:38,080 --> 00:03:42,120 HAVE HELENE, LANG EVIN, WITH 82 00:03:42,120 --> 00:03:46,520 PAIN AND PAIN MANAGEMENT WITH 83 00:03:46,520 --> 00:03:47,040 NONPHARMAICOLOGICAL PAIN 84 00:03:47,040 --> 00:03:47,320 APPROACHES. 85 00:03:47,320 --> 00:03:48,320 >> AND MAGGIE YOU'VE BEEN 86 00:03:48,320 --> 00:03:49,760 BRIEFLY IN THE NEWS, WOULD YOU 87 00:03:49,760 --> 00:03:54,320 LIKE TO ADD ANYTHING? 88 00:03:54,320 --> 00:03:56,320 >> I'M A BOARD CERTIFIED PATIENT 89 00:03:56,320 --> 00:03:58,720 ADVOCATE AND I WORK WITH AS 90 00:03:58,720 --> 00:04:00,560 WALTER SAID THE [INDISCERNIBLE] 91 00:04:00,560 --> 00:04:01,760 SOCIETY AND PAIN 92 00:04:01,760 --> 00:04:06,360 COMMUNITY.ORGAND WITH SOME OF 93 00:04:06,360 --> 00:04:08,880 YOU OVER THE YEARS AND WE, THE 94 00:04:08,880 --> 00:04:11,040 PAIN COMMUNITY IS THE FISCAL 95 00:04:11,040 --> 00:04:14,480 SPONSOR FOR THE ALLIANCE TO 96 00:04:14,480 --> 00:04:19,080 ADVANCE COMPREHENSIVE 97 00:04:19,080 --> 00:04:19,680 INTEGRATIVE PAIN MANAGEMENT, 98 00:04:19,680 --> 00:04:22,760 WHICH SOME OF YOU ARE ON THE 99 00:04:22,760 --> 00:04:25,280 ADVISORY COMMITTEE FOR THAT 100 00:04:25,280 --> 00:04:26,960 PROJECT AS WELL. 101 00:04:26,960 --> 00:04:29,880 >> THANKS, MAGGIE, DAVE 102 00:04:29,880 --> 00:04:30,360 WILLIAMS? 103 00:04:30,360 --> 00:04:31,880 >> HI, GOOD AFTERNOON, I'M DAVE 104 00:04:31,880 --> 00:04:32,800 WILLIAMS, ASSOCIATE DIRECTOR OF 105 00:04:32,800 --> 00:04:35,560 THE CHRONIC PAIN AND FATIGUE 106 00:04:35,560 --> 00:04:37,840 RESEARCH CENTER AT THE 107 00:04:37,840 --> 00:04:41,800 UNIVERSITY OF MICHIGAN AND I 108 00:04:41,800 --> 00:04:43,800 HAVE A BACKGROUND IN PATIENT 109 00:04:43,800 --> 00:04:44,840 REPORTED OUTCOMES AND INSTRUMENT 110 00:04:44,840 --> 00:04:47,160 VALIDATION AS WELL AS DIGITAL 111 00:04:47,160 --> 00:04:49,400 HEALTH INTERVENTIONS FOR CHRONIC 112 00:04:49,400 --> 00:04:50,480 HEALTH ILLNESSES, THANK YOU 113 00:04:50,480 --> 00:04:50,680 DAVE. 114 00:04:50,680 --> 00:04:54,200 JULIE WOULD YOU LIKE TO ADD TO 115 00:04:54,200 --> 00:04:55,920 YOUR BRIEF INTRODUCTION. 116 00:04:55,920 --> 00:04:57,200 >> SURE, HI, EVERYBODY MY NAME 117 00:04:57,200 --> 00:05:02,320 IS JULIE ELLEXER ER, I'M 118 00:05:02,320 --> 00:05:03,680 STUDYING AT HARVARD FOR MY 119 00:05:03,680 --> 00:05:06,200 MASTERS IN PATIENT HEALTH AND MY 120 00:05:06,200 --> 00:05:07,640 BACKGROUND IN ON PATIENT 121 00:05:07,640 --> 00:05:08,600 ADVOCACY AND I'M REALLY GLAD TO 122 00:05:08,600 --> 00:05:15,280 BE A PART OF THE TEAM. 123 00:05:15,280 --> 00:05:15,880 THANKS. 124 00:05:15,880 --> 00:05:16,840 >> THANK YOU, ELIZABETH KATO, 125 00:05:16,840 --> 00:05:19,640 ANOTHER 1 OF OUR FEDERAL 126 00:05:19,640 --> 00:05:21,120 MEMBERS,. 127 00:05:21,120 --> 00:05:22,840 >> I'M ELIZABETH KATO, MEDICAL 128 00:05:22,840 --> 00:05:25,520 OFFICER AT THE AMERICAN HEALTH 129 00:05:25,520 --> 00:05:26,720 CENTER FOR RESEARCH AND QUALITY, 130 00:05:26,720 --> 00:05:28,840 I WORK WITH THE EVIDENT BASED 131 00:05:28,840 --> 00:05:30,720 PRACTICE CENTER PROGRAM AND ALSO 132 00:05:30,720 --> 00:05:36,120 DIVISION OF PRACTICE IMPROVEMENT 133 00:05:36,120 --> 00:05:36,320 HERE. 134 00:05:36,320 --> 00:05:38,960 >> THANKS ELIZABETH AND TODD 1 135 00:05:38,960 --> 00:05:40,840 OF OUR NEWEL MADE OFFICIALS. 136 00:05:40,840 --> 00:05:43,880 WOULD YOU LIKE TO ADD, TODD? 137 00:05:43,880 --> 00:05:46,000 >> SURE, MY BACKGROUND IS IN THE 138 00:05:46,000 --> 00:05:47,040 AREA OF PRECLINICAL RESEARCH 139 00:05:47,040 --> 00:05:50,000 ESPECIALLY IN AREAS OF CHRONIC 140 00:05:50,000 --> 00:05:51,600 PAIN, NEUROPATHIC AND METASTATIC 141 00:05:51,600 --> 00:05:52,600 CANCER PAIN. 142 00:05:52,600 --> 00:05:55,600 >> THANKS TODD, AND JIM, YOUR 143 00:05:55,600 --> 00:05:55,840 NEXT UP. 144 00:05:55,840 --> 00:05:59,800 ONE OF OUR SENIOR MEMBERS AT 145 00:05:59,800 --> 00:06:00,600 THIS POINT. 146 00:06:00,600 --> 00:06:07,880 >> GOOD DAY, EVERYONE I'M JIM 147 00:06:07,880 --> 00:06:13,920 BROA TCH, AND WE ARE SERVING THE 148 00:06:13,920 --> 00:06:15,920 RPUNISH SD. 149 00:06:15,920 --> 00:06:16,600 >> CHRISTINE GOERTZ. 150 00:06:16,600 --> 00:06:17,800 >> HELLO EVERYONE, I'M A 151 00:06:17,800 --> 00:06:19,520 PROFESSOR AND VICE CHAIR OF 152 00:06:19,520 --> 00:06:20,400 IMPLEMENTATION OF SPINE HEALTH 153 00:06:20,400 --> 00:06:22,600 INNOVATIONS IN THE DEPARTMENT OF 154 00:06:22,600 --> 00:06:25,000 ORTHOPEDIC SURGERY AT DUKE 155 00:06:25,000 --> 00:06:26,600 UNIVERSITY SCHOOL OF MEDICINE 156 00:06:26,600 --> 00:06:28,280 I'M ALSO SHARE PERSON OF THE 157 00:06:28,280 --> 00:06:32,280 BOARD OF GOVERNORS OF THE 158 00:06:32,280 --> 00:06:32,960 PATIENT-CENTERED OUTCOME 159 00:06:32,960 --> 00:06:34,960 INSTITUTE WITH PC ORI, MY 160 00:06:34,960 --> 00:06:36,600 RESEARCH INTERESTS ARE PRIMARILY 161 00:06:36,600 --> 00:06:39,280 FOCUSED ON LARGE PRAGMATIC 162 00:06:39,280 --> 00:06:40,640 CLINICAL TRIALS OF 163 00:06:40,640 --> 00:06:43,920 NONPHARMACOLOGICAL APPROACHES 164 00:06:43,920 --> 00:06:47,880 FOR PAIN MANAGEMENT. 165 00:06:47,880 --> 00:06:50,600 >> THANK YOU CHRISTINE. 166 00:06:50,600 --> 00:06:52,120 SUE PINKHAM,. 167 00:06:52,120 --> 00:06:53,840 >> HI, I'M SUE, WE WORK WITH 168 00:06:53,840 --> 00:07:02,680 CHILDREN WHO LIVE WITH SEVERE 169 00:07:02,680 --> 00:07:03,480 CHRONIC PAIN. 170 00:07:03,480 --> 00:07:04,480 >> [INDISCERNIBLE] RODRIGUEZ,. 171 00:07:04,480 --> 00:07:06,040 >> HI, GLAD TO BE HERE WITH YOU 172 00:07:06,040 --> 00:07:08,120 AND MY BACKGROUND AND SERVING AS 173 00:07:08,120 --> 00:07:13,720 THE CHAIR OF THE INTERSTITIAL 174 00:07:13,720 --> 00:07:16,080 CYSTITIS ORGANIZATION, BEEN A 175 00:07:16,080 --> 00:07:17,560 BOARD MEMBER FOR A NUMBER NUMBER 176 00:07:17,560 --> 00:07:19,280 OF YEARS TRYING TO HELP DEAL 177 00:07:19,280 --> 00:07:21,000 WITH THAT HORRIBLE PAIN. 178 00:07:21,000 --> 00:07:21,480 THANK YOU. 179 00:07:21,480 --> 00:07:23,800 >> FOR THANK YOU FOR AGREEING TO 180 00:07:23,800 --> 00:07:29,480 STAY WITH US PAST YOUR TERM, WE 181 00:07:29,480 --> 00:07:31,200 APPRECIATE THAT. 182 00:07:31,200 --> 00:07:32,640 >> RICO, 1 OF OUR MEMBERS? 183 00:07:32,640 --> 00:07:37,320 WE DON'T HEAR YOU. 184 00:07:37,320 --> 00:07:37,800 DRNCHL. 185 00:07:37,800 --> 00:07:38,880 >> I'M RICO [INDISCERNIBLE] I'M 186 00:07:38,880 --> 00:07:40,960 DIVISION DIRECTOR AT THE 187 00:07:40,960 --> 00:07:42,560 DIVISION OF ANESTHESIOLOGY 188 00:07:42,560 --> 00:07:43,920 ADDICTION AND PAIN MEDICINE IN 189 00:07:43,920 --> 00:07:45,520 THE OFFICE OF NEUROSCIENCE AND 190 00:07:45,520 --> 00:07:51,040 THE OFFICE OF NEW DRUGS AT THE 191 00:07:51,040 --> 00:07:51,200 FDA. 192 00:07:51,200 --> 00:07:53,600 >> THANK YOU. 193 00:07:53,600 --> 00:07:56,560 AND CHRISTINE SONG. 194 00:07:56,560 --> 00:08:03,560 >> HI, I'M A PEDIATRIC ADULT 195 00:08:03,560 --> 00:08:04,400 ANESTHESIAIOLOGYST AT BRIGHAM 196 00:08:04,400 --> 00:08:07,880 WOMEN'S HOSPITAL INON WHERE YOU 197 00:08:07,880 --> 00:08:09,080 DRIVE THE PAIN PROGRAM, OUR 198 00:08:09,080 --> 00:08:12,280 FOCUS IS ON THE DESIGN OF 199 00:08:12,280 --> 00:08:14,320 INFOIVATIVE TRIAL STRATEGIES TO 200 00:08:14,320 --> 00:08:16,520 ACCELERATE THE CLINICAL NOVEL 201 00:08:16,520 --> 00:08:23,360 ANALGESICS AND A REFRACTORY OF 202 00:08:23,360 --> 00:08:24,160 PAIN SYMPTOMS. 203 00:08:24,160 --> 00:08:28,440 >> THANK YOU FOR EXTENDING YOUR 204 00:08:28,440 --> 00:08:28,640 TERM. 205 00:08:28,640 --> 00:08:31,800 DAN CARR IS A RETURNING RETIRING 206 00:08:31,800 --> 00:08:35,720 MEMBER AND HELPING US WITH OUR 207 00:08:35,720 --> 00:08:36,040 MEETING TODAY. 208 00:08:36,040 --> 00:08:36,240 DAN? 209 00:08:36,240 --> 00:08:37,320 >> THANK YOU IT'S A PLEASURE TO 210 00:08:37,320 --> 00:08:39,440 BE HERE, MY INVOLVEMENT DATES 211 00:08:39,440 --> 00:08:42,480 BACK SEVERAL DECADES DURING 212 00:08:42,480 --> 00:08:45,480 WHICH TIME I'VE BEEN INVOLVED IN 213 00:08:45,480 --> 00:08:47,400 CLINICAL, PRECLINICAL AND 214 00:08:47,400 --> 00:08:50,640 REGULATORY ASPECTS OF PAIN 215 00:08:50,640 --> 00:08:51,880 ASSESSMENT AND TREATMENT. 216 00:08:51,880 --> 00:08:52,280 >> THANKS, DAN. 217 00:08:52,280 --> 00:08:55,040 THAT IS EVERYONE I SEE ON THE 218 00:08:55,040 --> 00:08:57,680 SCREEN AND I DON'T SEE ANY 219 00:08:57,680 --> 00:08:59,120 TELEPHONE NUMBERS, ON SO I'M 220 00:08:59,120 --> 00:09:00,400 ASSUMES WE CAUGHT EVERYBODY 221 00:09:00,400 --> 00:09:01,720 WHO'S HERE, IF SOMEONE JOINS 222 00:09:01,720 --> 00:09:04,360 LATE, WE CAN POP IN WITH ANOTHER 223 00:09:04,360 --> 00:09:07,840 INTRODUCTION AT A LATER TIME. 224 00:09:07,840 --> 00:09:12,880 AND SO WALTER BACK TO YOU IF YOU 225 00:09:12,880 --> 00:09:15,280 WOULD LIKE TO PROVIDE ANY 226 00:09:15,280 --> 00:09:16,960 HIGHLIGHTS ON YOUR BUSY WEEK 227 00:09:16,960 --> 00:09:19,800 LAST WEEK OR OTHER THINGS 228 00:09:19,800 --> 00:09:20,320 RELATED TO PAIN? 229 00:09:20,320 --> 00:09:23,320 >> WELL, YEAH, I WOULD JUST SAY 230 00:09:23,320 --> 00:09:24,640 THAT LINDA KNOWS REALLY WELL 231 00:09:24,640 --> 00:09:29,520 THAT THE HEAL INITIATIVE HAS 232 00:09:29,520 --> 00:09:31,360 GIVEN US THE OPPORTUNITY TO 233 00:09:31,360 --> 00:09:32,280 TRANSFORM PAIN RESEARCH GOING 234 00:09:32,280 --> 00:09:34,320 INTO THE FUTURE, THE FUNDING FOR 235 00:09:34,320 --> 00:09:35,840 THE HEAL INITIATIVE COMES TO THE 236 00:09:35,840 --> 00:09:39,280 BASE BUDGET OF THE NIH, SO IT'S 237 00:09:39,280 --> 00:09:40,720 NOT SOMETHING THAT WE SUSPECT 238 00:09:40,720 --> 00:09:42,240 WILL DISAPPEAR MPLET WE HAVE, 239 00:09:42,240 --> 00:09:44,520 YOU KNOW A NUMBER OF INSTITUTES 240 00:09:44,520 --> 00:09:47,200 THAT SIT AROUND THE TABLE AND 241 00:09:47,200 --> 00:09:51,400 ARE WORKING CLOSER TOGETHER THAN 242 00:09:51,400 --> 00:09:53,080 EVER BEFORE, THANKS GREATLY TO 243 00:09:53,080 --> 00:09:56,240 THE LEADERSHIP FROM DR. LANG 244 00:09:56,240 --> 00:09:57,560 EVINE, WHO IS ON TODAY, BUT A 245 00:09:57,560 --> 00:09:59,000 NUMBER OF THE OTHER INSTITUTES 246 00:09:59,000 --> 00:10:05,120 AS WELL HAVE BEEN INCREDIBLY 247 00:10:05,120 --> 00:10:06,520 ACTIVE AND PARTICULARLY SOME OF 248 00:10:06,520 --> 00:10:12,840 THE NEWER IC DIRECTORS RENA, 249 00:10:12,840 --> 00:10:15,400 D'SOUZA, WITH THE CRANIOFACIAL 250 00:10:15,400 --> 00:10:25,880 RESEARCH, AND LINDSAY FROM THE 251 00:10:26,200 --> 00:10:28,560 NATIONAL INSTITUTE OF AND MORE 252 00:10:28,560 --> 00:10:30,680 ACTIVE AND NCATS IS VERY ACTIVE 253 00:10:30,680 --> 00:10:35,320 IN DEVELOPING NEW THERAPIES, 254 00:10:35,320 --> 00:10:36,840 THERE'S THE APP BETWEEN DRUG 255 00:10:36,840 --> 00:10:38,520 ABUSE AND PAIN AND ACTUALLY 1 OF 256 00:10:38,520 --> 00:10:44,120 THE BIG PROJECTS THAT ARE BEING 257 00:10:44,120 --> 00:10:45,280 IS HAVING TO TREAT PAIN AND 258 00:10:45,280 --> 00:10:49,440 PEOPLE WHO ARE ALSO ABUSE 259 00:10:49,440 --> 00:10:50,040 OPIOIDS, SOMETHING THAT, YOU 260 00:10:50,040 --> 00:10:52,120 KNOW I THINK IS 1 OF THE HARDEST 261 00:10:52,120 --> 00:10:59,880 GROUP OF PEOPLE TO TAKE CARE OF 262 00:10:59,880 --> 00:11:02,120 BUT CERTAINLY A LOT OF DOCTORS 263 00:11:02,120 --> 00:11:04,520 WON'T EVEN DO IT, IT'S 264 00:11:04,520 --> 00:11:05,720 DIFFICULT, A REAL CHALLENGE 265 00:11:05,720 --> 00:11:06,680 THERE WHICH BRINGS US TOGETHER 266 00:11:06,680 --> 00:11:07,960 WITH THE DRUG ABUSE INSTITUTES 267 00:11:07,960 --> 00:11:18,400 IN A WAY WE'VE NEVER BEEN 268 00:11:18,400 --> 00:11:19,920 BEFORE. 269 00:11:19,920 --> 00:11:21,640 AND MAYBE HELENE, CAN TALK ABOUT 270 00:11:21,640 --> 00:11:28,280 OR REJOIN TO GIVE THEM SOMETHING 271 00:11:28,280 --> 00:11:29,880 THAT IS NOT FLEETING 3 THOUGHT 272 00:11:29,880 --> 00:11:31,520 ABOUT BUT IT WENT OUT OF MY HEAD 273 00:11:31,520 --> 00:11:33,680 AS SOON AS IT WENT IN AND IT WAS 274 00:11:33,680 --> 00:11:35,520 SO IMPORTANT AND I FEEL BAD I 275 00:11:35,520 --> 00:11:37,880 MISSED IT BUT HELENE GRABBED ON 276 00:11:37,880 --> 00:11:43,360 TO THIS, BUT DO YOU WANT TO 277 00:11:43,360 --> 00:11:44,440 MENTION ABOUT REJOIN? 278 00:11:44,440 --> 00:11:45,720 >> SURE SO REJOIN IS AN 279 00:11:45,720 --> 00:11:47,680 OUTGROWTH OF A PROGRAM THAT CAN 280 00:11:47,680 --> 00:11:52,440 ACTUALLY ARE IN THE MISDZ OF 281 00:11:52,440 --> 00:11:54,000 LAUNCHING MY O FACIAL PAIN AND 282 00:11:54,000 --> 00:11:55,480 WE'VE TALKED ABOUT MY O FACIAL 283 00:11:55,480 --> 00:11:57,440 PAIN AT OUR PREVIOUS 284 00:11:57,440 --> 00:11:58,240 IPRCC MEETINGS AND THE IDEA IS 285 00:11:58,240 --> 00:12:07,840 THAT WE HAVE A BIT OF A GAP IN 286 00:12:07,840 --> 00:12:08,960 KNOWLEDGE RIGHT, ABOUT AND 287 00:12:08,960 --> 00:12:10,160 FASCIA AS PAIN GENERATED 288 00:12:10,160 --> 00:12:11,360 RETIREDDORS AND WE ARE IN THE 289 00:12:11,360 --> 00:12:12,440 MIDDLE OF CATCHING UP ON THAT 290 00:12:12,440 --> 00:12:14,560 WHICH WE HAVE NOW, WE'VE HAD A 291 00:12:14,560 --> 00:12:16,120 REQUEST FOR APPLICATIONS AND 292 00:12:16,120 --> 00:12:21,400 WE'RE CURRENTLY REVIEWING 293 00:12:21,400 --> 00:12:22,480 APPLICATIONS FOR IDENTIFYING 294 00:12:22,480 --> 00:12:24,160 ABNORMALITIES TO MY O FACIAL 295 00:12:24,160 --> 00:12:26,560 TISSUES AND MAY LEAD TO PAIN BUT 296 00:12:26,560 --> 00:12:27,760 IMPORTANTLY AS WALTER WAS 297 00:12:27,760 --> 00:12:28,840 MENTIONING IN THE JOINT, WHEN WE 298 00:12:28,840 --> 00:12:33,840 THINK ABOUT SOMEBODY WHO HAS 299 00:12:33,840 --> 00:12:36,040 PAIN, WE TYPICALLY THINK ABOUT 300 00:12:36,040 --> 00:12:37,960 THE ACTUAL ARTICULATION ITSELF, 301 00:12:37,960 --> 00:12:40,280 THE CARTILAGE AND THE SIN OVIUM 302 00:12:40,280 --> 00:12:41,920 AND THERE'S A LOT OF OTHER 303 00:12:41,920 --> 00:12:43,720 TISSUES AROUND THE KNEES, 304 00:12:43,720 --> 00:12:46,760 INCLUDING THE JOINT CAPSULE AND 305 00:12:46,760 --> 00:12:48,800 THE MUSCLES AND THE FASCIA AND 306 00:12:48,800 --> 00:12:49,840 THE LIGAMENTS, ALL OF THAT, 307 00:12:49,840 --> 00:12:51,280 SOMEBODY HAS PAIN IN THEIR KNEE, 308 00:12:51,280 --> 00:12:53,680 WE DON'T KNOW IF THE PAIN IS 309 00:12:53,680 --> 00:12:56,000 COMING FROM INSIDE THE JOINT, 310 00:12:56,000 --> 00:13:02,440 CARTILAGE OR COULD BE FROM THESE 311 00:13:02,440 --> 00:13:03,080 OTHER TISSUES. 312 00:13:03,080 --> 00:13:06,840 AND AND ALSO THERE MAY BE 313 00:13:06,840 --> 00:13:09,960 TISSUE, STIFFENING OF THE FASCIA 314 00:13:09,960 --> 00:13:11,400 OR WEAKNESS OF THE MUSCLE THAT 315 00:13:11,400 --> 00:13:12,560 MAY CAUSE THE GENERATION AND 316 00:13:12,560 --> 00:13:19,200 PAIN IN THE KNEE ARTICULATION 317 00:13:19,200 --> 00:13:21,360 ITSELF SO THIS THEIR INTERPLACE, 318 00:13:21,360 --> 00:13:22,760 THEIR INNOVATION, THEIR BLOOD 319 00:13:22,760 --> 00:13:24,600 SUPPLY, ALL OF THAT, SO WHAT 320 00:13:24,600 --> 00:13:26,520 REJOIN WANTS TO DO IS LOOK AT 321 00:13:26,520 --> 00:13:28,440 THE VERY BASIC UNDERLYING 322 00:13:28,440 --> 00:13:31,040 INNERVATION OF THESE VARIOUS 323 00:13:31,040 --> 00:13:32,960 TISSUES AND UNDERSTAND HOW THE 324 00:13:32,960 --> 00:13:34,240 SENSORY INNOVATION, AND NERVES 325 00:13:34,240 --> 00:13:35,760 ARE PRESENT WITHIN ALL OF THESE 326 00:13:35,760 --> 00:13:39,600 TISSUES WHICH SO FAR HAS NOT 327 00:13:39,600 --> 00:13:41,240 BEEN SYSTEMATICALLY MAP THE 328 00:13:41,240 --> 00:13:44,480 INNERVATION AND THEN TO LOOK AT 329 00:13:44,480 --> 00:13:46,040 HOW THIS INNERVATION IS ALTERED 330 00:13:46,040 --> 00:13:49,160 IN THE PRESENCE OF AGING FOR 331 00:13:49,160 --> 00:13:49,600 EXAMPLE, PATHOLOGY, 332 00:13:49,600 --> 00:13:53,720 DEGENERATION, ET CETERA AND HOW 333 00:13:53,720 --> 00:13:57,200 IF THERE MAY BE REVERSIBLE 334 00:13:57,200 --> 00:14:01,000 ABNORMALITIES AND WE KNOW THAT 335 00:14:01,000 --> 00:14:02,840 SENSORY NERVES GO OUT SOME 336 00:14:02,840 --> 00:14:04,720 SPROUT AND CARTILAGE, AND WE 337 00:14:04,720 --> 00:14:06,960 DON'T KNOW WHAT CAN PREVEBT IT 338 00:14:06,960 --> 00:14:08,600 OR REVERSE IT, SO THAT'S WHAT 339 00:14:08,600 --> 00:14:09,680 REJOIN IS ABOUT, SO WE'RE 340 00:14:09,680 --> 00:14:13,040 EXCITED ABOUT THIS NEW PROGRAM. 341 00:14:13,040 --> 00:14:15,280 >> ONE OF THE MAIN JOINTS OF 342 00:14:15,280 --> 00:14:17,680 INTEREST IS THE TEMPORAL 343 00:14:17,680 --> 00:14:18,840 MANDIBULAR JOINT. 344 00:14:18,840 --> 00:14:23,440 I SEE JENNIFER IS HERE FROM 345 00:14:23,440 --> 00:14:26,560 NIDCR, AND AND CERTAINLY THAT 346 00:14:26,560 --> 00:14:30,240 INSTITUTE HAS ALWAYS BEEN VERY 347 00:14:30,240 --> 00:14:30,880 STRONGLY PUSHING PAIN RESEARCH 348 00:14:30,880 --> 00:14:33,400 AND SO I JUST TALKED TO RENA 349 00:14:33,400 --> 00:14:39,720 THIS MORNING ABOUT SOME OF HER 350 00:14:39,720 --> 00:14:42,040 NEW IDEAS SO, YEAH, HEAL HAS 351 00:14:42,040 --> 00:14:44,080 REALLY BROUGHT US TOGETHER. 352 00:14:44,080 --> 00:14:46,400 >> I THINK IT'S SO IMPORTANT. 353 00:14:46,400 --> 00:14:48,200 I MEAN UNFORTUNATELY MAIN IS A 354 00:14:48,200 --> 00:14:51,680 MAJOR DRIVE TO BRING EVEN TO GET 355 00:14:51,680 --> 00:14:52,920 PEOPLE TO DENTAL CARE AND FOR 356 00:14:52,920 --> 00:14:55,040 PEOPLE WHO DON'T HAVE REGULAR 357 00:14:55,040 --> 00:14:56,880 PREVENTION, JUST THOSE 358 00:14:56,880 --> 00:14:57,840 PREVENTIBLE DISEASES LIKE 359 00:14:57,840 --> 00:15:00,560 CAVITIES AND GUM DISEASE ARE 360 00:15:00,560 --> 00:15:01,760 MAJOR PAIN DRIVERS BUT ALSO 361 00:15:01,760 --> 00:15:03,560 CHRONIC PAIN LIKE WHAT HAPPENS 362 00:15:03,560 --> 00:15:05,360 IN THE TMJ, WHICH WE WILL LEARN 363 00:15:05,360 --> 00:15:08,680 ABOUT THROUGH REJOIN BUT ALSO 364 00:15:08,680 --> 00:15:10,560 ORAL CANCERS AND OTHER ORAL 365 00:15:10,560 --> 00:15:11,960 MUCOSAL DISEASES SO PAIN IS A 366 00:15:11,960 --> 00:15:14,320 HUGE THING FOR DENTISTRY, AND SO 367 00:15:14,320 --> 00:15:16,440 WE ARE WILLING TO WORK WITH YOU 368 00:15:16,440 --> 00:15:19,240 GUYS COLLABORATIVELY TO TRY TO 369 00:15:19,240 --> 00:15:20,160 MAKE A DIFFERENCE. 370 00:15:20,160 --> 00:15:24,080 THANKS GENERATED FER AND I KNOW 371 00:15:24,080 --> 00:15:25,480 THAT THE TOPIC TODAY 1 OF THE 372 00:15:25,480 --> 00:15:26,720 MAIN TOPICS FOR THE DISCUSSION 373 00:15:26,720 --> 00:15:28,320 TODAY IS GOING TO BE, YOU KNOW 374 00:15:28,320 --> 00:15:32,600 HOW DO WE DEVELOP THE RIGHT 375 00:15:32,600 --> 00:15:34,800 WORKFORCE TO DRIVE THE RESEARCH 376 00:15:34,800 --> 00:15:36,560 FORWARD, PARTICULARLY IN THE 377 00:15:36,560 --> 00:15:40,920 SPACE OF THE CLINICAL RESEARCHES 378 00:15:40,920 --> 00:15:42,800 AND SO WE WILL BE TALKING ABOUT 379 00:15:42,800 --> 00:15:44,440 THAT TODAY AND I'M SURE WHEN YOU 380 00:15:44,440 --> 00:15:47,360 TALK ABOUT IT, YOU WILL BE 381 00:15:47,360 --> 00:15:48,880 THINKING, WELL, IS THE NIH 382 00:15:48,880 --> 00:15:50,240 REALLY GOING TO DO ANYTHING, 383 00:15:50,240 --> 00:15:51,760 WELL THE ANSWER'S YES, WE WILL 384 00:15:51,760 --> 00:15:53,200 DO SOMETHING, BUT, I JUST WANTED 385 00:15:53,200 --> 00:15:59,760 TO READ THIS FROM AN RFA, THE 386 00:15:59,760 --> 00:16:02,280 RFA IS EMERGENCY AWARDS, HEAL 387 00:16:02,280 --> 00:16:03,120 INITIATIVE COORDINATING CENTER 388 00:16:03,120 --> 00:16:04,680 FOR NATIONAL PAIN SCIENTISTS 389 00:16:04,680 --> 00:16:06,240 CAREER DEVELOPMENT, SO THIS IS 390 00:16:06,240 --> 00:16:10,360 AN RFA THAT'S CURRENTLY ON THE 391 00:16:10,360 --> 00:16:12,320 STREET. 392 00:16:12,320 --> 00:16:14,600 I THINK--OPEN DATA IS 393 00:16:14,600 --> 00:16:15,680 JUNE 15th, YEAH, EARLY 394 00:16:15,680 --> 00:16:16,520 SUBMISSION DATE, JUNE 15th, 395 00:16:16,520 --> 00:16:19,760 THIS IS WHAT THE RFA SAYS, IT 396 00:16:19,760 --> 00:16:21,840 SAYS, THE INTERAGENCY PAIN 397 00:16:21,840 --> 00:16:23,040 RESEARCH COORDINATING COMMITTEE 398 00:16:23,040 --> 00:16:24,080 HAS IDENTIFIED THE WORKFORCE 399 00:16:24,080 --> 00:16:26,480 PROBLEM AS A BARRIER FOR NEW 400 00:16:26,480 --> 00:16:28,760 PAIN RESEARCH AND HAS IDENTIFIED 401 00:16:28,760 --> 00:16:30,560 FACTORS THAT CONTRIBUTE TO IT, 402 00:16:30,560 --> 00:16:32,280 BE INCLUDING CHALLENGING 403 00:16:32,280 --> 00:16:35,160 ENVIRONMENTS FOR CLINICIANS TO 404 00:16:35,160 --> 00:16:36,880 PRACTICE RESEARCH AND A HIGH 405 00:16:36,880 --> 00:16:38,600 DEPARTURE RATE AMONG SENIOR 406 00:16:38,600 --> 00:16:40,640 INVESTIGATORS AND MENTORS. 407 00:16:40,640 --> 00:16:42,280 THE IPRCC HAS ALSO IDENTIFIED A 408 00:16:42,280 --> 00:16:44,360 NEED FOR MORE STRUCTURED 409 00:16:44,360 --> 00:16:46,760 OPPORTUNITIES FOR EARLY STAGE 410 00:16:46,760 --> 00:16:49,280 INVESTIGATORS, TO LEARN FROM 411 00:16:49,280 --> 00:16:49,800 EXPERIENCE INVESTIGATORS. 412 00:16:49,800 --> 00:16:52,640 SO THERE YOU GO. 413 00:16:52,640 --> 00:16:54,320 THE IPRCC MADE IT INTO THE RFA, 414 00:16:54,320 --> 00:16:56,000 BUT YOU KNOW THE RFA IS BECAUSE, 415 00:16:56,000 --> 00:16:58,760 YOU KNOW WHAT WE HEARD FROM YOU. 416 00:16:58,760 --> 00:17:01,480 SO WE WILL BE ALL EARS FOR THE 417 00:17:01,480 --> 00:17:09,560 NEXT HOUR OR SO AS WE TALK ABOUT 418 00:17:09,560 --> 00:17:10,920 THIS ISSUE AND SO THIS IS A 419 00:17:10,920 --> 00:17:13,080 CENTER THAT CAN REACH OUT OVER 420 00:17:13,080 --> 00:17:15,280 THE COUNTRY AND AS I UNDERSTAND 421 00:17:15,280 --> 00:17:16,960 JUST COORDINATE ANY PAIN 422 00:17:16,960 --> 00:17:18,160 RESEARCHER COMING FROM ANY 423 00:17:18,160 --> 00:17:20,760 DIFFERENT INSTITUTE OR NIH 424 00:17:20,760 --> 00:17:22,160 INSTITUTE OR MEDICAL INSTITUTE 425 00:17:22,160 --> 00:17:27,160 AND TRY AND HELP DEVELOP THEIR 426 00:17:27,160 --> 00:17:27,400 CAREERS. 427 00:17:27,400 --> 00:17:29,840 NOW LINDA I KNOW THERE ARE OTHER 428 00:17:29,840 --> 00:17:31,600 THINGS COOKING BUT I CAN'T 429 00:17:31,600 --> 00:17:36,400 REMEMBER WHAT'S PUBLIC AND 430 00:17:36,400 --> 00:17:36,920 WHAT'S NOT PUBLIC. 431 00:17:36,920 --> 00:17:38,880 SO THE CENTER OF EXCELLENCE, 432 00:17:38,880 --> 00:17:42,080 THAT SHOULD BE PUBLIC, RIGHT? 433 00:17:42,080 --> 00:17:43,480 >> THAT'S PUBLIC, THE 434 00:17:43,480 --> 00:17:44,200 COORDINATED CARE CONCEPT IS 435 00:17:44,200 --> 00:17:49,360 PUBLIC AND THAT IS THE CONCEPT 436 00:17:49,360 --> 00:17:50,560 THAT WOULD CALL FOR 437 00:17:50,560 --> 00:17:54,720 INVESTIGATIONS IN HEALTHCARE 438 00:17:54,720 --> 00:17:58,000 SYSTEMS WHERE WE COULD EMBED 439 00:17:58,000 --> 00:18:00,680 EFFECTIVE CARE IN A WAY THAT 440 00:18:00,680 --> 00:18:01,320 INCORPORATES PRIMARY CARE AS 441 00:18:01,320 --> 00:18:08,000 SORT OF THE CENTER OF FOCUS AND 442 00:18:08,000 --> 00:18:09,920 INTEGRATES PRIMARY CARE WITH 443 00:18:09,920 --> 00:18:10,960 OTHER DISCIPLINE SPECIALTY 444 00:18:10,960 --> 00:18:12,280 CENTERS WITHIN THE HEALTHCARE 445 00:18:12,280 --> 00:18:13,680 SYSTEM, IT'S MOVING INTO 446 00:18:13,680 --> 00:18:17,400 IMPLEMENTATION SCIENCE IN THAT 447 00:18:17,400 --> 00:18:18,160 PARTICULAR 1. 448 00:18:18,160 --> 00:18:20,480 AND WE HOPE THAT THAT WILL BE OF 449 00:18:20,480 --> 00:18:21,320 GREAT INTEREST TO THE COMMUNITY 450 00:18:21,320 --> 00:18:23,520 BECAUSE IT'S A FAIRLY COMPLEX 451 00:18:23,520 --> 00:18:34,040 PROJECT TO GET STARTED WE HAVE 452 00:18:36,800 --> 00:18:38,120 RPGHTS THAT JUST CLOSED OUT SO 453 00:18:38,120 --> 00:18:40,320 WE HAVE INTERESTING WORK COMES 454 00:18:40,320 --> 00:18:41,480 FORWARD FOR HEALTH DISPARITIES 455 00:18:41,480 --> 00:18:43,120 WITH PAIN CARE WITH FOLK WHO IS 456 00:18:43,120 --> 00:18:44,480 HAVE CHRONIC PAIN AND THEN 457 00:18:44,480 --> 00:18:47,320 ANOTHER 1 WHO HAD FOLKS--FOR 458 00:18:47,320 --> 00:18:55,960 FOLK WHO IS HAVE CHRONIC PAIN 459 00:18:55,960 --> 00:18:57,400 AND OTHER CHRONIC CONDITIONS 460 00:18:57,400 --> 00:19:00,400 SUCH AS O. U. D., OTHER CHRONIC 461 00:19:00,400 --> 00:19:02,480 CONDITIONS AS WELL. 462 00:19:02,480 --> 00:19:06,560 THERE'S A GREAT HUGE NUMBER OF 463 00:19:06,560 --> 00:19:08,200 EFFORTS THAT BE COMING OUT ON 464 00:19:08,200 --> 00:19:09,360 THE PRECLINICAL SIDE FOR 465 00:19:09,360 --> 00:19:11,040 RESEARCH, IN THE PAIN ARENA AS 466 00:19:11,040 --> 00:19:12,240 WELL, SO I THINK WE'LL ASK FOR 467 00:19:12,240 --> 00:19:15,400 THOSE THAT ARE A LOT OF HEAL 1S 468 00:19:15,400 --> 00:19:16,680 BUT THERE ARE STILL MANY THERE 469 00:19:16,680 --> 00:19:20,880 WITHIN THE INDIVIDUAL 470 00:19:20,880 --> 00:19:21,400 INSTITUTES, ACROSS NIH. 471 00:19:21,400 --> 00:19:25,440 >> AND WE HAVE A SPECIAL PROGRAM 472 00:19:25,440 --> 00:19:26,720 FOR ADMINISTRATIVE SUM ELEMENTS 473 00:19:26,720 --> 00:19:27,960 TO SUPPORT CAREER ENHANCEMENT 474 00:19:27,960 --> 00:19:29,240 RELATED TO CLINICAL RESEARCH AND 475 00:19:29,240 --> 00:19:35,960 PAIN, SO PEOPLE WHO ARE RUNNING, 476 00:19:35,960 --> 00:19:37,320 HEAL RELATED PROGRAMS CAN BUT IN 477 00:19:37,320 --> 00:19:38,640 FOR THOSE TO SUPPORT YOUNG 478 00:19:38,640 --> 00:19:41,240 TRAINEES, AND THE CENTER OF 479 00:19:41,240 --> 00:19:42,840 EXCELLENCE IDEA, WAS CENTER OF 480 00:19:42,840 --> 00:19:44,280 EXCELLENCE AND PAIN WHICH BRINGS 481 00:19:44,280 --> 00:19:49,880 TOGETHER THE CLINICIANS AND THE 482 00:19:49,880 --> 00:19:51,600 PRECLINICAL PEOPLE TOGETHER TO 483 00:19:51,600 --> 00:19:52,800 ADVANCE RESEARCH SO, THERE WERE 484 00:19:52,800 --> 00:20:01,720 A COUPLE THINGS WE HAVE ON THE 485 00:20:01,720 --> 00:20:04,440 DOCKET AND TD DRIVER IS HOW DO 486 00:20:04,440 --> 00:20:11,720 WE DEVELOP A STRONGER CADRE OF 487 00:20:11,720 --> 00:20:15,840 CLINICAL RESEARCHERS IN THE 488 00:20:15,840 --> 00:20:18,720 SPACE, AND IT'S MULTIPLE 489 00:20:18,720 --> 00:20:20,160 DISCIPLINARY NEED, CLEARLY 490 00:20:20,160 --> 00:20:21,400 MULTIPLE DISCIPLINARY NEED AND 491 00:20:21,400 --> 00:20:23,320 GOOD EXAMPLE, WE DO LISTEN TO 492 00:20:23,320 --> 00:20:24,480 THE IPRCC, AND THAT'S VERY 493 00:20:24,480 --> 00:20:30,120 IMPORTANT TO GET THAT INPUT. 494 00:20:30,120 --> 00:20:32,000 BECAUSE IN THIS HEAL DRIVE, IT 495 00:20:32,000 --> 00:20:35,560 WILL HELP US WITH WHAT WE DO 496 00:20:35,560 --> 00:20:35,760 NEXT. 497 00:20:35,760 --> 00:20:43,240 >> WALTER, BETH PUT IN A 498 00:20:43,240 --> 00:20:45,160 QUESTION ABOUT FOR POTENTIALLY 499 00:20:45,160 --> 00:20:52,440 PICKING UP INVESTIGATOR 500 00:20:52,440 --> 00:20:53,560 INITIATED RESEARCH AND LET'S 501 00:20:53,560 --> 00:21:03,360 SEE, RATHER THAN THE LARGE 502 00:21:03,360 --> 00:21:05,480 PROJECTS AND DO YOU WANT TO 503 00:21:05,480 --> 00:21:15,920 COMMENT IN HEAL ABOUT THIS 504 00:21:17,840 --> 00:21:18,400 PARTICULAR QUESTION? 505 00:21:18,400 --> 00:21:21,720 THERE'S A BIT OF BACK AND FORTH 506 00:21:21,720 --> 00:21:23,880 ABOUT--WE UNDERSTAND THAT FOR 507 00:21:23,880 --> 00:21:25,920 INVESTIGATORS IT'S SPHIEMS 508 00:21:25,920 --> 00:21:27,560 ESPECIALLY WHEN THERE ARE SHORT 509 00:21:27,560 --> 00:21:38,120 DEDICATED TO LINES FOR A FUNDING 510 00:21:42,360 --> 00:21:44,480 OPPORTUNITIES THAT DOANTD HAVE 511 00:21:44,480 --> 00:21:46,440 SUPPORT FOR THE GRANT 512 00:21:46,440 --> 00:21:48,560 APPLICATIONS, IT'S HARD TO HAVE 513 00:21:48,560 --> 00:21:50,200 COMPLEX ORDERS FOR THE GRANT 514 00:21:50,200 --> 00:21:51,720 APPLICATIONS THAT ARE DEPENDING 515 00:21:51,720 --> 00:21:53,360 ON A COORDINATING CENTER AS 516 00:21:53,360 --> 00:21:55,120 YOU'RE SAYING AND IT'S EASIER 517 00:21:55,120 --> 00:22:01,000 PIRHAPPENS HAPPEN--PERHAPS TO TO 518 00:22:01,000 --> 00:22:03,520 WRITE THESE ALONG THE LINE OR 519 00:22:03,520 --> 00:22:04,400 RESEARCH PROJECT GRANTS FOR 520 00:22:04,400 --> 00:22:06,240 EXAMPLE AND WE'RE CERTAINLY 521 00:22:06,240 --> 00:22:09,400 THINKING ABOUT THAT A GREAT 522 00:22:09,400 --> 00:22:09,800 DEAL. 523 00:22:09,800 --> 00:22:15,720 YOU KNOW FOR EXAMPLE, THE MY O 524 00:22:15,720 --> 00:22:19,640 FACIAL PAIN INITIATIVE THAT I 525 00:22:19,640 --> 00:22:23,120 JUST MENTIONED, WE HAVE TRIED TO 526 00:22:23,120 --> 00:22:24,560 REALLY SIMPLIFY FOR EXAMPLE, 527 00:22:24,560 --> 00:22:35,080 WE'VE ADOPTED A FORMAT CALLED 528 00:22:35,960 --> 00:22:37,080 R33--R60/R33 EXCUSE ME, WHERE 529 00:22:37,080 --> 00:22:38,360 THESE ARE PHASED AWARDS WHERE 530 00:22:38,360 --> 00:22:41,240 THE INITIAL PART IS LIKE A 531 00:22:41,240 --> 00:22:43,200 PLANNING PHASE AND THEN IF YOU 532 00:22:43,200 --> 00:22:44,840 MEET MILESTONES YOU CAN GET 3 533 00:22:44,840 --> 00:22:47,040 MORE YEARS OF FUNDING. 534 00:22:47,040 --> 00:22:49,360 THOSE GRANTS ARE NOT DEPENDENT 535 00:22:49,360 --> 00:22:52,360 ON A COMPLICATED COORDINATING 536 00:22:52,360 --> 00:22:53,160 CENTER, THEY'RE RELATIVELY NOT 537 00:22:53,160 --> 00:22:54,720 TOO DIFFICULT TO PUT TOGETHER, 538 00:22:54,720 --> 00:22:57,000 YOU JUST REALLY HAVE TO PAY 539 00:22:57,000 --> 00:22:58,480 ATTENTION TO THE MILESTONE, 540 00:22:58,480 --> 00:23:01,520 THAT'S THE MAIN ADDITIONAL 541 00:23:01,520 --> 00:23:02,600 CRITERIA FOR TRANSITION, BUT 542 00:23:02,600 --> 00:23:05,920 WHAT IT ALLOWS PEOPLE TO DO IS 543 00:23:05,920 --> 00:23:07,680 TO DO SOME EXPLORATORY WORK WITH 544 00:23:07,680 --> 00:23:08,800 THE FIRST 2 YEARS AND DO THINGS 545 00:23:08,800 --> 00:23:19,320 THAT MAYBE A BIT MORE HIGH RISK. 546 00:23:21,840 --> 00:23:23,440 AND SO THERE'S A LOT OF BACK AND 547 00:23:23,440 --> 00:23:24,840 FORTH ABOUT, YOU KNOW WE WANT TO 548 00:23:24,840 --> 00:23:27,520 MAKE SURE WE ALSO MAXIMIZE THE 549 00:23:27,520 --> 00:23:29,280 INPUT THAT COMES OUT OF THE 550 00:23:29,280 --> 00:23:30,800 FUNDING FROM THE INITIATIVE. 551 00:23:30,800 --> 00:23:32,320 I THINK IT'S REALLY IMPORTANT 552 00:23:32,320 --> 00:23:37,400 AND FOR THAT REASON FOR EXAMPLE, 553 00:23:37,400 --> 00:23:39,600 THE PRISM PROGRAM, WE ARE VERY 554 00:23:39,600 --> 00:23:41,040 MUCH RELYING ON THE HELP THAT 555 00:23:41,040 --> 00:23:43,760 COMES FROM THE COORDINATING 556 00:23:43,760 --> 00:23:45,280 CENTER THAT IS ALREADY EXISTS AS 557 00:23:45,280 --> 00:23:47,600 PART OF THE HEALTHCARE SYSTEMS 558 00:23:47,600 --> 00:23:49,440 RESEARCH COLLABRATORY WHICH IS 559 00:23:49,440 --> 00:23:52,440 NOW CALLED THE PRAGMATIC TRIALS 560 00:23:52,440 --> 00:23:55,040 COLLABRATORY AND SOME OF THE 561 00:23:55,040 --> 00:23:56,240 PRISM GRANTS, THE PRISM GRANTS 562 00:23:56,240 --> 00:23:57,760 THAT ARE PAIN RELATED HAVE 563 00:23:57,760 --> 00:23:59,600 ALREADY SORT OF GRAFTED ON TO 564 00:23:59,600 --> 00:24:04,600 THE PROGRAM AND ACTUALLY 565 00:24:04,600 --> 00:24:05,920 DR. GERTZ IS HERE, SHE CAN TALK 566 00:24:05,920 --> 00:24:07,400 ABOUT WHETHER IT'S BEEN HELPFUL 567 00:24:07,400 --> 00:24:09,000 TO THEM OR NOT, AND WE THINK 568 00:24:09,000 --> 00:24:11,200 THAT ACTUALLY HELPS AND THE GOOD 569 00:24:11,200 --> 00:24:15,200 NEWS IS THAT A LOT OF THESE 570 00:24:15,200 --> 00:24:17,480 TYPES OF GRANTS ARE ACTUALLY 571 00:24:17,480 --> 00:24:18,080 SUCCESSFULLY TRANSITIONING AND 572 00:24:18,080 --> 00:24:19,240 WE THINK THAT'S BECAUSE OF THE 573 00:24:19,240 --> 00:24:20,640 HEALTH WE'RE GETTING FOR THE 574 00:24:20,640 --> 00:24:21,920 ACCORD FLAITING RESEARCHER SO 575 00:24:21,920 --> 00:24:23,120 THEY'RE MORE COMPLEX BUT AT THE 576 00:24:23,120 --> 00:24:25,160 SAME TIME, THERE'S AN 577 00:24:25,160 --> 00:24:25,880 ADDITIONAL--THERE'S A BENEFIT 578 00:24:25,880 --> 00:24:27,680 FROM BEING PART OF THESE LARGER 579 00:24:27,680 --> 00:24:27,960 STRUCTURES. 580 00:24:27,960 --> 00:24:33,560 I DON'T KNOW IF I ANSWERED IT, 581 00:24:33,560 --> 00:24:34,120 DID IT HELP? 582 00:24:34,120 --> 00:24:36,120 >> ANOTHER EXAMPLE OF THAT 583 00:24:36,120 --> 00:24:37,600 HELENE IS THE MORE INVESTIGATOR 584 00:24:37,600 --> 00:24:39,960 DRIVEN 1S EVEN THOSE THESE ARE 585 00:24:39,960 --> 00:24:41,360 TARGETED, THE HEALTH EQUITIES 586 00:24:41,360 --> 00:24:43,480 ARE ALL SEPARATE APPLICATIONS OR 587 00:24:43,480 --> 00:24:46,120 STAND ALONE AWARDS FOR AN 588 00:24:46,120 --> 00:24:49,320 INDIVIDUAL TEAM AND SO THEY--THE 589 00:24:49,320 --> 00:24:51,520 THEME IS TOPICALLY DRIVEN BY THE 590 00:24:51,520 --> 00:24:53,480 RFA, BUT THEY'RE PHASED AWARDS 591 00:24:53,480 --> 00:25:03,080 AND THEY'RE DONE WITHINAIN 592 00:25:03,080 --> 00:25:05,640 INSTITUTION OR [INDISCERNIBLE] 593 00:25:05,640 --> 00:25:05,960 TOGETHER. 594 00:25:05,960 --> 00:25:08,320 >> DAVE HAS A QUESTION, DAVE 595 00:25:08,320 --> 00:25:08,640 WILLIAMS? 596 00:25:08,640 --> 00:25:10,160 >> THANKS, WALTER WHEN YOU WERE 597 00:25:10,160 --> 00:25:11,920 DESCRIBING WHAT THE ISSUE WAS, I 598 00:25:11,920 --> 00:25:13,600 BELIEVE I HEARD YOU SAY 599 00:25:13,600 --> 00:25:15,600 SOMETHING ABOUT 1 OF THE 600 00:25:15,600 --> 00:25:17,640 PROBLEMS WAS THAT PEOPLE WERE 601 00:25:17,640 --> 00:25:19,720 EXITING THE FIELD OR MORE SENIOR 602 00:25:19,720 --> 00:25:20,800 PEOPLE WERE EXITING THE FIELD 603 00:25:20,800 --> 00:25:24,800 AND LEAVING KIND OF A VOID FOR 604 00:25:24,800 --> 00:25:25,880 TRAINING NEW PEOPLE CAN YOU SAY 605 00:25:25,880 --> 00:25:29,240 A BIT MORE ABOUT THAT OR--AND 606 00:25:29,240 --> 00:25:32,120 RELATED TO THAT, HAS THERE BEEN 607 00:25:32,120 --> 00:25:33,120 CONSIDERATION OF REVIVING THE 608 00:25:33,120 --> 00:25:42,480 OLD KIND OF SENIOR CARE AWARD. 609 00:25:42,480 --> 00:25:44,640 >> OKAY, SO IT'S ALL ANECDOTAL 610 00:25:44,640 --> 00:25:48,600 BUT I GUESS WHEN WE TALK TO THE 611 00:25:48,600 --> 00:25:50,560 MAJOR PEOPLE IN PAIN RESEARCH, 612 00:25:50,560 --> 00:25:55,680 MANY OF THEM ARE TALKING ABOUT 613 00:25:55,680 --> 00:26:00,800 RETIRING AND O--AND THEY'RE 614 00:26:00,800 --> 00:26:02,360 CONCERNED THAT YOU KNOW, GIVEN 615 00:26:02,360 --> 00:26:04,640 THE GAPS THAT OCCURRED, THE NEW 616 00:26:04,640 --> 00:26:08,200 PEOPLE MAY NOT HAVE THE SAME 617 00:26:08,200 --> 00:26:09,280 ESTABLISHED MENTORS AS THESE 618 00:26:09,280 --> 00:26:10,560 FOLKS RETIRE SO I DON'T THINK 619 00:26:10,560 --> 00:26:12,360 IT'S A MATTER OF FUNDING, IT'S A 620 00:26:12,360 --> 00:26:18,240 MATTER OF JUST TIME GOING BY, 621 00:26:18,240 --> 00:26:20,120 BUT I HAVE--I GUESS IN THE 622 00:26:20,120 --> 00:26:22,760 MIGRAINE FIELD IS WHERE I HEARD 623 00:26:22,760 --> 00:26:23,560 IT THE MOST. 624 00:26:23,560 --> 00:26:25,160 I'M NOT SURE ABOUT AS MUCH IN 625 00:26:25,160 --> 00:26:26,960 THE OTHER PAIN FIELDS BUT I 626 00:26:26,960 --> 00:26:34,120 ASSUME IT WAS PRETTY MUCH 627 00:26:34,120 --> 00:26:34,720 SIMILAR. 628 00:26:34,720 --> 00:26:35,720 DAN, YOU'VE BEEN AROUND LONGER 629 00:26:35,720 --> 00:26:41,960 THAN ME, DO YOU RESONATE WITH 630 00:26:41,960 --> 00:26:42,320 THIS PROBLEM. 631 00:26:42,320 --> 00:26:44,280 >> ABSOLUTELY, I DO BUT I WOULD 632 00:26:44,280 --> 00:26:46,040 ALSO CAUTION THAT I THINK THERE 633 00:26:46,040 --> 00:26:48,200 ARE SUBPOPULATIONS OF 634 00:26:48,200 --> 00:26:51,280 INVESTIGATORS ACCORDING TO WATHE 635 00:26:51,280 --> 00:26:55,040 TOPIC IS SO FOR ACUTE 636 00:26:55,040 --> 00:26:57,720 PERIOPERATIVE PAIN, IS THIS IS 637 00:26:57,720 --> 00:26:59,160 PROCEEDING QUITE VIGOROUSLY 638 00:26:59,160 --> 00:27:01,080 ESPECIALLY AS THE TREATMENT OF 639 00:27:01,080 --> 00:27:02,480 CHRONIC PAIN BECOME CLEARER AND 640 00:27:02,480 --> 00:27:04,320 CLEARER SO THAT SEEMS TO BE 641 00:27:04,320 --> 00:27:05,760 DOING WELL ROBUSTLY, I WOULD 642 00:27:05,760 --> 00:27:07,280 SECOND, ALTHOUGH I'M NOT AN 643 00:27:07,280 --> 00:27:09,040 EXPERT IN MY GRAIN, I CAN SEE 644 00:27:09,040 --> 00:27:12,360 THAT AS A CONCERN, I ALSO THINK 645 00:27:12,360 --> 00:27:14,680 THAT THE 800-POUND GORILLA IN 646 00:27:14,680 --> 00:27:17,160 THE ROOM IS THAT THE OPIOID 647 00:27:17,160 --> 00:27:21,440 CRISIS CONTINUES TO WORSEN AND I 648 00:27:21,440 --> 00:27:23,640 THINK NUANCES THAT WOULD BE BEST 649 00:27:23,640 --> 00:27:25,000 STUDIED BY DEDICATED LONG-TERM 650 00:27:25,000 --> 00:27:28,040 INVESTIGATORS ARE NOT BEING 651 00:27:28,040 --> 00:27:29,920 STUDIED BECAUSE OF STIGMA IN THE 652 00:27:29,920 --> 00:27:34,920 FIELD, A FOCUS ON THE NONOPIOIDS 653 00:27:34,920 --> 00:27:37,880 [INDISCERNIBLE] SO MY BOTTOM 654 00:27:37,880 --> 00:27:40,920 LINE IS, IT DEPENDS UPON WHICH 655 00:27:40,920 --> 00:27:51,480 PECULIAR --PARTICULAR TYPE OF IS 656 00:27:52,440 --> 00:27:52,920 MOST IMPORTANT. 657 00:27:52,920 --> 00:27:56,800 >> THE BASIC SIDE IS JUST 658 00:27:56,800 --> 00:27:57,400 EXPLODING. 659 00:27:57,400 --> 00:27:57,680 >> YEP. 660 00:27:57,680 --> 00:27:59,400 >> WE WILL COME BACK MORE TO THE 661 00:27:59,400 --> 00:28:00,040 [INDISCERNIBLE] CONVERSATION IN 662 00:28:00,040 --> 00:28:03,440 A LITTLE BIT LATER ON THIS 663 00:28:03,440 --> 00:28:03,880 AFTERNOON. 664 00:28:03,880 --> 00:28:05,440 SO WOULD IT BE OKAY IF WE SWITCH 665 00:28:05,440 --> 00:28:08,000 OVER NOW TO OUR BUSINESS ITEMS, 666 00:28:08,000 --> 00:28:09,360 WALTER? 667 00:28:09,360 --> 00:28:13,600 >> YOU'RE THE BOSS, LINDA, GO,A 668 00:28:13,600 --> 00:28:13,840 HEAD. 669 00:28:13,840 --> 00:28:14,080 [LAUGHTER] 670 00:28:14,080 --> 00:28:17,440 >> I TRY TO BE BUT--LET'S SEE, 671 00:28:17,440 --> 00:28:19,120 WE HAVE 2 BUSINESS ITEMS, 1 672 00:28:19,120 --> 00:28:21,680 SHOULD BE VERY BRIEF, AND EASY 673 00:28:21,680 --> 00:28:22,560 TO MANAGE. 674 00:28:22,560 --> 00:28:25,200 AND THAT IS THE APPROVAL OF THE 675 00:28:25,200 --> 00:28:28,040 MINUTES FROM THE NOVEMBER 676 00:28:28,040 --> 00:28:28,720 MEETING LAST YEAR. 677 00:28:28,720 --> 00:28:31,840 I THINK ALL OF YOU WERE IN 678 00:28:31,840 --> 00:28:35,840 ATTENDANCE INCLUDING THE FOLKS 679 00:28:35,840 --> 00:28:37,880 WHO HADN'T OFFICIALLY BEEN 680 00:28:37,880 --> 00:28:39,360 APPROVED YET, BUT BY NOW, YOU 681 00:28:39,360 --> 00:28:41,640 CAN VOTE, SO THEY WERE SENT LAST 682 00:28:41,640 --> 00:28:43,400 WEEK AND IN HOPES THAT YOU ALL 683 00:28:43,400 --> 00:28:46,680 HAD A CHANCE TO LOOK AT THEM, 684 00:28:46,680 --> 00:28:49,640 THERE'S A LITTLE BIT LONG TO 685 00:28:49,640 --> 00:28:53,320 TAKE TIME OUT OF THIS MEETING TO 686 00:28:53,320 --> 00:28:56,440 REVIEW THEM BUT ARE YOU ALL 687 00:28:56,440 --> 00:28:58,560 READY TO GIVE US A MOTION ON 688 00:28:58,560 --> 00:29:02,400 WHETHER THOSE MINUTES SHOULD BE 689 00:29:02,400 --> 00:29:03,120 APPROVED OR NOT? 690 00:29:03,120 --> 00:29:04,040 IF SOMEBODY COULD MOVE FORWARD 691 00:29:04,040 --> 00:29:11,560 WITH A MOTION WHO HAD A CHANCE 692 00:29:11,560 --> 00:29:12,960 TO READ THEM? 693 00:29:12,960 --> 00:29:14,880 DID ANYBODY READ THEM? 694 00:29:14,880 --> 00:29:16,680 >> IF MY VOTE COUNTS, I AM HAPPY 695 00:29:16,680 --> 00:29:22,680 TO SERVE THAT PURPOSE IF I AM 696 00:29:22,680 --> 00:29:26,040 ABLE TO. 697 00:29:26,040 --> 00:29:26,880 >> PROPOSE A MOTION. 698 00:29:26,880 --> 00:29:29,480 >> IS THAT MOTION TO APPROVE 699 00:29:29,480 --> 00:29:31,320 MAGGIE, SO MOTION TO APPROVE THE 700 00:29:31,320 --> 00:29:33,360 MINUTES FROM THE NOVEMBER 701 00:29:33,360 --> 00:29:34,280 MEETING. 702 00:29:34,280 --> 00:29:35,960 OKAY. 703 00:29:35,960 --> 00:29:38,280 >> I'LL SECOND THAT. 704 00:29:38,280 --> 00:29:38,800 >> THANK YOU. 705 00:29:38,800 --> 00:29:42,160 SO IF IT WOULD BE OKAY WITH 706 00:29:42,160 --> 00:29:44,080 EVERYONE COULD YOU SEND A QUICK 707 00:29:44,080 --> 00:29:49,880 AGREE WITH THE MOTION TO THE 708 00:29:49,880 --> 00:29:50,360 CHAT. 709 00:29:50,360 --> 00:29:53,120 OR IF YOU LIKE CAN YOU I CAN SEE 710 00:29:53,120 --> 00:29:55,440 EVERYBODY EXCEPT FOR IRMA. 711 00:29:55,440 --> 00:29:55,840 >> THERE WE GO. 712 00:29:55,840 --> 00:29:58,120 I THINK WE HAVE A QUORUM. 713 00:29:58,120 --> 00:29:59,360 >> BETH DID HAVE YOU SOME 714 00:29:59,360 --> 00:30:03,800 REVISIONS THAT NEEDED TO BE 715 00:30:03,800 --> 00:30:04,000 MADE? 716 00:30:04,000 --> 00:30:14,440 >> YOU HAVE A HAND UP. 717 00:30:25,480 --> 00:30:25,920 >> SORRY. 718 00:30:25,920 --> 00:30:26,200 >> OKAY. 719 00:30:26,200 --> 00:30:27,880 >> THIS COMIDEE HAS A CHAIRMAN, 720 00:30:27,880 --> 00:30:29,680 AND A CHAIR IS AN 721 00:30:29,680 --> 00:30:30,600 CERTAINLY--CERTAINLY LECTED 722 00:30:30,600 --> 00:30:31,560 OFFICIAL WHO IS NOMINATED AND 723 00:30:31,560 --> 00:30:32,400 CERTAINLY--CERTAINLY LECTED BY 724 00:30:32,400 --> 00:30:35,640 THE OFFICIAL MEMBERS OF THE 725 00:30:35,640 --> 00:30:36,480 COMMITTEE THAT WOULD BE 726 00:30:36,480 --> 00:30:41,000 BASICALLY ALL OF YOU, DAN, YOUR 727 00:30:41,000 --> 00:30:42,440 TERM HAS FINISHED OUT BUT WE 728 00:30:42,440 --> 00:30:44,160 WOULD DEFINITELY LIKE YOU TO 729 00:30:44,160 --> 00:30:47,160 WEIGH IN IF YOU LIKE. 730 00:30:47,160 --> 00:30:52,080 SO THE CHAIR, COMMITTEE SERVES A 731 00:30:52,080 --> 00:30:55,080 3 YEAR TERM, OUR VERY FIRST 732 00:30:55,080 --> 00:31:00,520 CHAIRMAN OF THE IPRCC BACK IN 733 00:31:00,520 --> 00:31:02,880 2012 WAS STORY LANDIS AND IF MY 734 00:31:02,880 --> 00:31:13,280 MEMORY IS CORRECT, I BELIEVE 735 00:31:13,280 --> 00:31:14,840 STORY SERVED UNTIL 2015 WHEN SHE 736 00:31:14,840 --> 00:31:16,240 RETIRED FROM NIH AND NEN WALTER 737 00:31:16,240 --> 00:31:21,880 STEPPED IN AS ACTING CHAIR AND 738 00:31:21,880 --> 00:31:24,960 THEN WAS NOMINATED BY EARLY 2015 739 00:31:24,960 --> 00:31:26,840 OR EARLY 2016 AND SO THE 740 00:31:26,840 --> 00:31:29,560 CHAIRMAN SERVED A 3 YEAR TERM 741 00:31:29,560 --> 00:31:31,000 AFTER WHICH WE HAVE TO GO 742 00:31:31,000 --> 00:31:32,960 THROUGH THE PROCESS OF CALLING 743 00:31:32,960 --> 00:31:34,840 FOR NOMINATIONS AND OF BOTHOT 744 00:31:34,840 --> 00:31:37,320 NOMINATION, THERE ARE NO LIMIT 745 00:31:37,320 --> 00:31:40,440 TO THE NUMBER OF TERMS, THAT A 746 00:31:40,440 --> 00:31:43,000 CHAIR PERSON CAN SERVE AND SO 747 00:31:43,000 --> 00:31:47,400 EVERYBODY HERE WHO'S OFFICIAL IS 748 00:31:47,400 --> 00:31:50,440 ELIGIBLE FOR BEING NOMINATED. 749 00:31:50,440 --> 00:31:51,400 SO OUR FIRST CALL OF BUSINESS 750 00:31:51,400 --> 00:31:56,560 THEN WOULD BE TO REACH OUT TO 751 00:31:56,560 --> 00:31:58,400 THIS COMMITTEE AND ASK WHO WE 752 00:31:58,400 --> 00:32:02,160 WOULD LIKE TO PUT FORWARD AS A 753 00:32:02,160 --> 00:32:03,400 NOMINEE FOR THE CHAIR PERSON FOR 754 00:32:03,400 --> 00:32:13,720 THE NEXT 3 YEARS. 755 00:32:14,440 --> 00:32:21,240 >> I'D LIKE TO NOMINATE DR. LANG 756 00:32:21,240 --> 00:32:21,680 EVIN. 757 00:32:21,680 --> 00:32:23,320 >> OH I'M SORRY I DID NOT 758 00:32:23,320 --> 00:32:25,040 RESPOND TO YOUR E-MAIL DIRECTLY, 759 00:32:25,040 --> 00:32:30,440 WALTER, I WAS GOING TO NOMINATE 760 00:32:30,440 --> 00:32:32,520 DR. KOROSHETZ, TO CONTINUE. 761 00:32:32,520 --> 00:32:33,920 , OKAY, LET THEM VOTE, I THINK 762 00:32:33,920 --> 00:32:37,800 THEY'RE TIRED OF ME. 763 00:32:37,800 --> 00:32:39,760 >> DO WE HAVE ANY RPGHT NOMINEES 764 00:32:39,760 --> 00:32:50,120 TO ADD TO THE LIST? 765 00:32:50,760 --> 00:32:51,200 >> DAN? 766 00:32:51,200 --> 00:32:52,320 >> JUST A QUESTION, DOES THE 767 00:32:52,320 --> 00:32:57,440 NOMINEE HAVE TO BE A FEDERAL 768 00:32:57,440 --> 00:32:58,280 EMPLOYEE? 769 00:32:58,280 --> 00:32:58,560 >> NO. 770 00:32:58,560 --> 00:33:01,160 >> AND JUST AGAIN HELPING WITH 771 00:33:01,160 --> 00:33:02,600 NUANCE, WALTER ARE YOU DRAWN TO 772 00:33:02,600 --> 00:33:07,920 OTHER THINGS, WOULD YOU CONSIDER 773 00:33:07,920 --> 00:33:09,000 BEING RENOMINATED OR-- 774 00:33:09,000 --> 00:33:11,960 >> YOU KNOW I WILL DO WHATEVER 775 00:33:11,960 --> 00:33:16,520 PEOPLE ASK ME TO DO BUT I WILL 776 00:33:16,520 --> 00:33:18,800 NOMINATE DR. LANG EVIN, BUT I 777 00:33:18,800 --> 00:33:21,280 WILL DO IT AGAIN. 778 00:33:21,280 --> 00:33:23,360 >> JUDGING, IS DR. LANG EVIN, 779 00:33:23,360 --> 00:33:26,120 HAPPY AND WILLING TO ACCEPT IF 780 00:33:26,120 --> 00:33:27,680 SHE IS VICTORIOUS. 781 00:33:27,680 --> 00:33:30,760 >> WELL, I'M WILLING CERTAINLY, 782 00:33:30,760 --> 00:33:34,400 AND I'D BE HAPPY TO DO THIS, I 783 00:33:34,400 --> 00:33:35,840 ALSO WANT TO GIVE OTHER PEOPLE 784 00:33:35,840 --> 00:33:36,880 OPPORTUNITIES IF WE WANT TO 785 00:33:36,880 --> 00:33:41,720 HEAR, YOU KNOW VOICES FROM 786 00:33:41,720 --> 00:33:45,040 OUTSIDE OF THE GOVERNMENT, IF 787 00:33:45,040 --> 00:33:48,720 ANYBODY IS INTERESTED IN THAT 788 00:33:48,720 --> 00:33:49,440 FOR SURE. 789 00:33:49,440 --> 00:33:50,880 >> WELL I WILL ASK 1 MORE TIME 790 00:33:50,880 --> 00:33:56,560 IF THERE ARE ADDITIONAL 791 00:33:56,560 --> 00:33:58,640 NOMINATIONS, AND THEN, I--WE 792 00:33:58,640 --> 00:34:00,240 HAVEN'T HAD THE SITUATION BEFORE 793 00:34:00,240 --> 00:34:05,640 BUT COULD WE ASK BOTH NOMINEES 794 00:34:05,640 --> 00:34:09,000 TO GIVE US A 1 MINUTE RUN DOWN 795 00:34:09,000 --> 00:34:10,520 OF WHAT THEIR ASPIRATIONS WOULD 796 00:34:10,520 --> 00:34:14,200 BE AS CHAIR OF THE IPRCC, AND I 797 00:34:14,200 --> 00:34:16,400 THINK WE'RE ALL VERY AWARE OF 798 00:34:16,400 --> 00:34:18,880 BOTH OF AND YOU ALL YOUR 799 00:34:18,880 --> 00:34:20,880 ACCOMPLISHMENTS, BUT MORE WHAT 800 00:34:20,880 --> 00:34:22,120 THE IPRCC WOULD SEE AS CHAIR AND 801 00:34:22,120 --> 00:34:23,640 THEN WE WILL MOVE ON. 802 00:34:23,640 --> 00:34:25,880 WALTER WOULD YOU LIKE TO START? 803 00:34:25,880 --> 00:34:28,360 >> YEAH, I THINK, YOU KNOW AS I 804 00:34:28,360 --> 00:34:31,640 MENTIONED THE IPRCC HAS BEEN SO 805 00:34:31,640 --> 00:34:33,760 VALUABLE TO ALL THE PAIN EFFORTS 806 00:34:33,760 --> 00:34:36,080 HERE AT NIH, THE PAIN 807 00:34:36,080 --> 00:34:38,200 CONSORTIUM, THE HEAL INITIATIVE 808 00:34:38,200 --> 00:34:42,680 SO I--I SEE THE IPRCC'S VALUE IS 809 00:34:42,680 --> 00:34:49,040 KIND OF REALITY TESTING FOR NIH 810 00:34:49,040 --> 00:34:50,280 FOLKS IN TERMS OF WHERE WE 811 00:34:50,280 --> 00:34:54,280 SHOULD BE GOING IN THE FUTURE 812 00:34:54,280 --> 00:34:57,840 AND YOU KNOW CLEARLY I COME FROM 813 00:34:57,840 --> 00:35:06,680 A PRETTY STANDARD MEDICAL 814 00:35:06,680 --> 00:35:08,880 BACKGROUND AND FROM A 815 00:35:08,880 --> 00:35:09,840 NEUROLOGICAL BACKGROUND AND 816 00:35:09,840 --> 00:35:11,480 THAT'S WHERE STORY CAME FROM IN 817 00:35:11,480 --> 00:35:15,760 THE PAST, SO, I THINK THAT'S--IT 818 00:35:15,760 --> 00:35:17,000 WOULDN'T BE A SURPRISE TO 819 00:35:17,000 --> 00:35:18,400 ANYBODY GOING FORWARD BUT YOU 820 00:35:18,400 --> 00:35:19,800 KNOW CLEARLY, YOU KNOW MIGHT BE 821 00:35:19,800 --> 00:35:30,160 REASON TO HAVE A CHANGE NOW 822 00:35:30,160 --> 00:35:30,720 AFTER TIME. 823 00:35:30,720 --> 00:35:31,880 >> AND HELENE, WOULD YOU LIKE TO 824 00:35:31,880 --> 00:35:33,800 TAKE SOME TIME TO GIVE US YOUR 825 00:35:33,800 --> 00:35:34,560 THOUGHTS, PLEASE. 826 00:35:34,560 --> 00:35:37,480 >> MY BACKGROUND IS NOT ALL THAT 827 00:35:37,480 --> 00:35:38,640 DISSIMILAR TO WALTER'S IN A 828 00:35:38,640 --> 00:35:40,160 SENSE THAT I TRAIN IN INTERNAL 829 00:35:40,160 --> 00:35:41,360 MEDICINE AND I'VE DONE 830 00:35:41,360 --> 00:35:46,040 NEUROSCIENCE RESEARCH FOR A LONG 831 00:35:46,040 --> 00:35:48,160 TIME, ON--HOWEVER, BECAUSE NOW 832 00:35:48,160 --> 00:35:52,680 AS DIRECTOR OF NCCIH, CLEARLY, 833 00:35:52,680 --> 00:35:56,960 THE LENS THROUGH WHICH, I VIEW, 834 00:35:56,960 --> 00:36:00,120 YOU KNOW AT NCCIH OF VIEW OF 835 00:36:00,120 --> 00:36:07,240 PAIN IS THROUGH THAT OF 836 00:36:07,240 --> 00:36:10,520 NONPHARMAICOLOGICAL APPROACHES. 837 00:36:10,520 --> 00:36:11,200 THAT EXCLUSIVELY COMPLIMENTARY 838 00:36:11,200 --> 00:36:13,800 LIKE OF COURSE WE'RE INTERESTED 839 00:36:13,800 --> 00:36:16,520 IN ACCUPUNCTURE AND YOGA AND 840 00:36:16,520 --> 00:36:20,160 THINGS LIKE THAT, BUT NCCIH'S 841 00:36:20,160 --> 00:36:21,560 NEW STRATEGIC PLAN, WE STRESS 842 00:36:21,560 --> 00:36:22,720 THE IMPORTANCE OF TREATING THE 843 00:36:22,720 --> 00:36:26,400 WHOLE PERSON THAT PAIN IS A 844 00:36:26,400 --> 00:36:31,880 SYMPTOM THAT REALLY IS PART OF A 845 00:36:31,880 --> 00:36:35,520 COMPLEX, YOU KNOW SET OF FACTORS 846 00:36:35,520 --> 00:36:36,600 THAT INVOLVES MANY DIFFERENT 847 00:36:36,600 --> 00:36:39,760 SYSTEMS OF THE BODY IN ADDITION 848 00:36:39,760 --> 00:36:40,720 TO THE NERVOUS SYSTEM AND I 849 00:36:40,720 --> 00:36:43,240 THINK THIS IS WHERE FOR EXAMPLE 850 00:36:43,240 --> 00:36:45,240 INIAATIVES LIKE THE MY O FACIAL 851 00:36:45,240 --> 00:36:47,280 INITIATIVE, WE DON'T ALREADY 852 00:36:47,280 --> 00:36:52,880 MENTION TRY TO CREATE A PICTURE 853 00:36:52,880 --> 00:36:54,640 OF PAIN THAT CERTAINLY INCLUDES 854 00:36:54,640 --> 00:36:56,240 THE NERVOUS SYSTEM BUT ALSO 855 00:36:56,240 --> 00:36:57,720 INCLUDE PERIPHERAL TISSUES AS 856 00:36:57,720 --> 00:36:59,840 WELL, SO THAT'S WHERE WE'RE 857 00:36:59,840 --> 00:37:06,280 COMING FROM, AND ALSO, THE 858 00:37:06,280 --> 00:37:09,040 IMPORTANT THING IS, THE BY O 859 00:37:09,040 --> 00:37:11,600 PSYCHOSOCIAL NATURE OF 860 00:37:11,600 --> 00:37:12,840 EVERYTHING THAT INVOLVES, HOW 861 00:37:12,840 --> 00:37:15,320 PAIN AFFECT PEOPLE AND THEIR 862 00:37:15,320 --> 00:37:16,960 ENTIRE LIVES INCLUDING 863 00:37:16,960 --> 00:37:19,840 BIOLOGICAL, BEHAVIORIAL AND 864 00:37:19,840 --> 00:37:21,680 ENVIRONMENTAL. 865 00:37:21,680 --> 00:37:23,960 SO, YOU KNOW, I THINK THAT THE 866 00:37:23,960 --> 00:37:25,200 HEAL INITIATIVE HAS BEEN A 867 00:37:25,200 --> 00:37:28,080 REALLY GREAT EXAMPLE OF 868 00:37:28,080 --> 00:37:32,240 EMBRACING THE COMPLEXITY OF PAIN 869 00:37:32,240 --> 00:37:41,960 AND WE WOULD--I THINK THAT 870 00:37:41,960 --> 00:37:44,120 MY--PHILOSOPHY FROM SEEKING 871 00:37:44,120 --> 00:37:46,120 INPUT FROM IPRCC IS VERY SIMILAR 872 00:37:46,120 --> 00:37:47,520 TO WAWALTER SAID IS TO REALLY 873 00:37:47,520 --> 00:37:51,800 MAKING SURE THAT WE'RE NOT 874 00:37:51,800 --> 00:37:52,640 MISSING IMPORTANT THINGS THAT 875 00:37:52,640 --> 00:37:55,440 THAT ARE ON PEOPLE'S MINDS WHO 876 00:37:55,440 --> 00:37:58,000 ARE LIVING IN THE PAIN FIELD 877 00:37:58,000 --> 00:38:00,200 EVERY SINGLE DAY, SO, AND 878 00:38:00,200 --> 00:38:02,440 HEARING INPUT AS TO THE 879 00:38:02,440 --> 00:38:03,960 DIRECTION THAT WE ARE GOING NOW 880 00:38:03,960 --> 00:38:13,080 AND WE SHOULD BE GOING. 881 00:38:13,080 --> 00:38:14,720 >> THANKS, WOULD ANYBODY LIKE TO 882 00:38:14,720 --> 00:38:16,920 ASK A QUESTION OF HELENE OR 883 00:38:16,920 --> 00:38:22,360 WALTER BEFORE WE VOTE? 884 00:38:22,360 --> 00:38:23,240 ALL RIGHT. 885 00:38:23,240 --> 00:38:25,320 BETH, I THOUGHT YOU WERE ABOUT 886 00:38:25,320 --> 00:38:26,560 TO SAY SOMETHING? 887 00:38:26,560 --> 00:38:27,000 >> NO? 888 00:38:27,000 --> 00:38:28,400 COULD I ASK EVERY 1 OF OUR 889 00:38:28,400 --> 00:38:30,560 OFFICIAL MEMBERS OF THIS 890 00:38:30,560 --> 00:38:33,200 COMMITTEE, WALTER AND HELENE, 891 00:38:33,200 --> 00:38:34,560 YOU EACH GET A VOTE AND TO PUT 892 00:38:34,560 --> 00:38:36,200 THAT IN THE CHAT, I THINK IT 893 00:38:36,200 --> 00:38:38,920 WOULD PROBABLY BE BEST IF YOU 894 00:38:38,920 --> 00:38:43,320 SEND IT TO LINDA ONLY UNLESS--IT 895 00:38:43,320 --> 00:38:44,560 JUST SEEMS A LITTLE BIT MORE OF 896 00:38:44,560 --> 00:38:46,400 A COMFORT LEVEL THAT WAY. 897 00:38:46,400 --> 00:38:48,800 BUT IF YOU COULD SEND YOUR VOTE 898 00:38:48,800 --> 00:38:51,160 IN THE CHAT TO ME, LINDA ONLY OR 899 00:38:51,160 --> 00:38:54,600 IF YOU PREFER TO SEND IT TO ME 900 00:38:54,600 --> 00:38:56,280 BY E-MAIL, I WOULD NEED TO 901 00:38:56,280 --> 00:39:06,800 RECEIVE THAT FAIRLY QUICKLY IF 902 00:39:41,200 --> 00:39:41,960 THAT'S POSSIBLE. 903 00:39:41,960 --> 00:39:47,240 >> WE CAN STILL BE FRIENDS 904 00:39:47,240 --> 00:39:47,840 HELENE, RIGHT? 905 00:39:47,840 --> 00:39:56,880 >> [LAUGHTER] 906 00:39:56,880 --> 00:39:57,280 >> ABSOLUTELY. 907 00:39:57,280 --> 00:39:58,160 >> IT'S CLOSED, I WANT TO MAKE 908 00:39:58,160 --> 00:39:59,480 SURE I GET THIS RIGHT. 909 00:39:59,480 --> 00:40:10,000 BEAR WITH ME FOR JUST A MOMENT, 910 00:40:33,560 --> 00:40:34,200 PLEASE. 911 00:40:34,200 --> 00:40:38,640 >> WALTER YOU ARE CONVINCING, SO 912 00:40:38,640 --> 00:40:43,720 HELENE, YOU ARE THE NEW CHAIR 913 00:40:43,720 --> 00:40:45,240 FOR THE IPRCC, SO I DON'T THINK 914 00:40:45,240 --> 00:40:46,760 IT CARRIES THROUGH THIS MEETING 915 00:40:46,760 --> 00:40:48,840 SO WE'RE STILL GOING TO CALL 916 00:40:48,840 --> 00:40:51,840 WALTER THE CHAIR OF THE MEETING, 917 00:40:51,840 --> 00:40:56,360 AND THEN WE WILL MAKE A 918 00:40:56,360 --> 00:40:58,960 TRANSITION OFFICIAL THROUGH 919 00:40:58,960 --> 00:41:00,760 MAKING THE DIRECTOR OF NIH AWARE 920 00:41:00,760 --> 00:41:02,280 AND I THINK IT EEIVETTUALLY ENDS 921 00:41:02,280 --> 00:41:04,640 UP IN THE SECRETARY'S OFFICE AS 922 00:41:04,640 --> 00:41:06,400 A NOTIFICATION AS WELL SO, 923 00:41:06,400 --> 00:41:15,600 WALTER, THANK YOU SO MUCH FOR 924 00:41:15,600 --> 00:41:20,000 ALL YOUR CONTRIBUTIONS AS CHAIR, 925 00:41:20,000 --> 00:41:22,200 SO WE ARE APPRECIATING YOU ON 926 00:41:22,200 --> 00:41:24,200 THE COMMITTEE AND GREAT JOB AS A 927 00:41:24,200 --> 00:41:26,600 CHAIR AND A ABSOLUTE PLEASURE TO 928 00:41:26,600 --> 00:41:32,440 WORK WITH AS THE DESIGNATED 929 00:41:32,440 --> 00:41:33,520 FEDDAL OFFICIAL. 930 00:41:33,520 --> 00:41:34,320 AND HELENE, WELCOME! 931 00:41:34,320 --> 00:41:34,680 >> THANK YOU! 932 00:41:34,680 --> 00:41:36,440 AND I WANT TO REASSURE THOSE 933 00:41:36,440 --> 00:41:38,720 PEOPLE THAT MAY WORRY THAT WE'RE 934 00:41:38,720 --> 00:41:49,280 STILL GOING TO BE INTERESTED IN 935 00:41:56,640 --> 00:41:57,000 DEVELOPING DRUGS. 936 00:41:57,000 --> 00:41:59,040 IT WILL BE VERY INTERESTING TO 937 00:41:59,040 --> 00:42:02,320 FIND OUT ABOUT THIS COMMITTEE'S 938 00:42:02,320 --> 00:42:02,560 TOPICS. 939 00:42:02,560 --> 00:42:05,520 >> AND THANK YOU WALTER. 940 00:42:05,520 --> 00:42:06,040 >> THANKS EVERYONE. 941 00:42:06,040 --> 00:42:07,120 ALL RIGHT, SO WE WILL GO BACK TO 942 00:42:07,120 --> 00:42:14,000 BUSINESS OF THE DAY, WE HAVE A 943 00:42:14,000 --> 00:42:15,800 FEDERAL UPDATE FROM ELIZABETH 944 00:42:15,800 --> 00:42:20,360 KATO, BRINGING TO US AN AHRQ 945 00:42:20,360 --> 00:42:23,000 UPDATE, ELIZABETH, WE HAVE YOUR 946 00:42:23,000 --> 00:42:28,360 SLIDES, AND I THINK THAT LEAH IS 947 00:42:28,360 --> 00:42:35,360 GOING TO SHARE THEM. 948 00:42:35,360 --> 00:42:45,280 PLEASE ABOUT GO AHEAD. 949 00:42:45,280 --> 00:42:55,160 >> WE WILL BE WRAPPING UP THIS 950 00:42:55,160 --> 00:42:55,520 SUMMER. 951 00:42:55,520 --> 00:42:57,960 THAT WILL BE THE LAST SET OF 952 00:42:57,960 --> 00:43:01,120 UPDATES COMING OUT FOR THE 953 00:43:01,120 --> 00:43:06,040 OPIOIDS FOR TREATMENT, 954 00:43:06,040 --> 00:43:07,640 NONPHARMAICOLOGICAL TREATMENTS, 955 00:43:07,640 --> 00:43:08,480 NONOPIOID PHARMAICOLOGICAL 956 00:43:08,480 --> 00:43:09,280 TREATMENTS AND ACUTE PAIN AND 1 957 00:43:09,280 --> 00:43:11,720 OF THE OTHER PROJECTS WE HAD 958 00:43:11,720 --> 00:43:13,480 GOING ON, CANNABIS AND OTHER 959 00:43:13,480 --> 00:43:14,480 PLANT TREATMENTS FOR CHRONIC 960 00:43:14,480 --> 00:43:15,840 PAIN IS A LIVING SYSTEMATIC 961 00:43:15,840 --> 00:43:20,640 REVIEW AND THAT WILL CONTINUE TO 962 00:43:20,640 --> 00:43:21,360 BE UPDATED THROUGH 2025. 963 00:43:21,360 --> 00:43:23,480 WE ALSO HAVE A COUPLE OF 964 00:43:23,480 --> 00:43:25,880 PROJECTS GOING ON IN CLINICAL 965 00:43:25,880 --> 00:43:27,720 DECISION SUPPORT FOR PAIN 966 00:43:27,720 --> 00:43:30,360 MANAGEMENT, 1 WAS A SET OF 967 00:43:30,360 --> 00:43:32,560 CONTRACTS THAT WE'RE DEVELOPING 968 00:43:32,560 --> 00:43:35,800 FOR CLINICIAN AND PATIENT-FACING 969 00:43:35,800 --> 00:43:37,440 CDS APPS FOR CHRONIC PAIN 970 00:43:37,440 --> 00:43:38,800 MANAGEMENT, PUBLICATIONS ARE IN 971 00:43:38,800 --> 00:43:39,720 PROCESS, SHOULD BE COMING OUT 972 00:43:39,720 --> 00:43:43,960 FOR THE NEXT YEAR AND WE'RE ALSO 973 00:43:43,960 --> 00:43:45,240 SCALING UP--OR DOING A SITE TO 974 00:43:45,240 --> 00:43:49,400 SCALE UP 1 OF OUR PAIN 975 00:43:49,400 --> 00:43:51,560 MANAGEMENT EHR TOOLS FOR 976 00:43:51,560 --> 00:43:53,960 CLINICAL DECISION SUPPORT AND 977 00:43:53,960 --> 00:43:54,920 EXPECT RESULTS IN 2024. 978 00:43:54,920 --> 00:43:58,280 AND JUST AN UPDATE ON THE 979 00:43:58,280 --> 00:44:00,280 MANAGEMENT OF OPIOIDS OLDER 980 00:44:00,280 --> 00:44:02,480 ADULTS IN PRIMARY CARE. 981 00:44:02,480 --> 00:44:05,600 THE 3 GRANTS AND THE LEARNING 982 00:44:05,600 --> 00:44:06,400 COLLABORATIVES ARE IN FULL SWING 983 00:44:06,400 --> 00:44:10,400 AND WE HOPE TO HAVE RESULTS NEXT 984 00:44:10,400 --> 00:44:14,240 YEAR. 985 00:44:14,240 --> 00:44:16,080 THAT'S IT. 986 00:44:16,080 --> 00:44:16,840 >> THANK YOU ELIZABETH. 987 00:44:16,840 --> 00:44:19,320 >> THERE'S A QUESTION FROM BETH. 988 00:44:19,320 --> 00:44:20,680 >> SO YES, IT WILL BE WRAPPING 989 00:44:20,680 --> 00:44:22,800 UP AND THERE ARE NO PLANS FOR 990 00:44:22,800 --> 00:44:31,160 FURTHER UPDATES AT THIS TIME. 991 00:44:31,160 --> 00:44:33,360 >> COULD YOU TELL US ABOUT THE 992 00:44:33,360 --> 00:44:34,240 SECOND 1? 993 00:44:34,240 --> 00:44:35,560 SO THAT'S SOMETHING THAT'S 994 00:44:35,560 --> 00:44:36,600 ALREADY EXISTING AND WHEN YOU 995 00:44:36,600 --> 00:44:40,200 SAY IT'S A LIVING SYSTEMATIC 996 00:44:40,200 --> 00:44:41,400 REVIEW, THAT MEANS THERE'S 997 00:44:41,400 --> 00:44:42,080 SOMETHING PUBLISHED YOU CAN LOOK 998 00:44:42,080 --> 00:44:45,040 AT THAT WE WOULD BE ADDING TO 999 00:44:45,040 --> 00:44:45,600 OVER TIME? 1000 00:44:45,600 --> 00:44:47,040 >> CORRECT SO THAT 1 STARTED I 1001 00:44:47,040 --> 00:44:52,360 THINK A COUPLE YEARS AGO, AND 1002 00:44:52,360 --> 00:44:54,120 THE EVIDENCE-BASED PRACTICE 1003 00:44:54,120 --> 00:44:56,520 CENTER THAT'S MANAGING IT HAS 1004 00:44:56,520 --> 00:44:57,720 CONSTANT SURVEILLANCE SO EVERY 1005 00:44:57,720 --> 00:44:58,800 FEW MONTHS THEY PUBLISH AND 1006 00:44:58,800 --> 00:45:01,200 UPDATE IF THERE ARE ANY STUDIES 1007 00:45:01,200 --> 00:45:03,960 AND IF THERE'S ENOUGH NEW 1008 00:45:03,960 --> 00:45:06,160 EVIDENCE THEN THEY'LL UPDATE THE 1009 00:45:06,160 --> 00:45:06,480 FINDINGS. 1010 00:45:06,480 --> 00:45:08,920 AND SO THAT PROCESS WILL BE 1011 00:45:08,920 --> 00:45:12,080 CONTINUING AND IT'S AVAILABLE ON 1012 00:45:12,080 --> 00:45:13,560 THE EFFECTIVE HEALTHCARE 1013 00:45:13,560 --> 00:45:15,320 WEBSITE, KIDROP THAT IN THE CHAT 1014 00:45:15,320 --> 00:45:15,840 IF PEOPLE LIKE. 1015 00:45:15,840 --> 00:45:18,920 >> THAT WOULD BE GREAT, THANK 1016 00:45:18,920 --> 00:45:19,240 YOU. 1017 00:45:19,240 --> 00:45:22,760 SO WE CAN FIND ALL OF THEM AT 1018 00:45:22,760 --> 00:45:23,880 THE AHRQ WEBSITE AS WELL. 1019 00:45:23,880 --> 00:45:25,400 JUST NEED TO KNOW WHAT TO SEARCH 1020 00:45:25,400 --> 00:45:25,560 FOR. 1021 00:45:25,560 --> 00:45:31,080 >> SO I WILL GET THAT, FOR YOU 1022 00:45:31,080 --> 00:45:36,000 IN A SEC. 1023 00:45:36,000 --> 00:45:36,440 >> OKAY. 1024 00:45:36,440 --> 00:45:37,760 AND WOULD ANYONE ELSE LIKE TO 1025 00:45:37,760 --> 00:45:45,640 POSE ANY QUESTIONS TO ELIZABETH? 1026 00:45:45,640 --> 00:45:47,400 I PUT A CALL OUT EARLIER TO 1027 00:45:47,400 --> 00:45:48,600 OTHER FEDERAL MEMBERS IF THEY 1028 00:45:48,600 --> 00:45:50,840 ARE ON ASKING IF THEY HAD ANY 1029 00:45:50,840 --> 00:45:53,360 UPDATES, I WANT TO ASK IF 1030 00:45:53,360 --> 00:45:54,440 ANYTHING CAME TO MIND ON THE 1031 00:45:54,440 --> 00:45:56,080 LAST FEW DAYS THAT YOU WANTED TO 1032 00:45:56,080 --> 00:45:57,840 LET US KNOW ABOUT OR YOU'RE 1033 00:45:57,840 --> 00:46:03,720 STILL HOLDING ON TO NO MAJOR 1034 00:46:03,720 --> 00:46:04,800 UPDATES RIGHT NOW? 1035 00:46:04,800 --> 00:46:06,120 >> NO MAJOR UPDATES RIGHT NOW, 1036 00:46:06,120 --> 00:46:07,400 THE ONLY THING THAT MIGHT BE OF 1037 00:46:07,400 --> 00:46:12,080 INTEREST IS THAT WE ARE HAVING 1038 00:46:12,080 --> 00:46:14,400 PREI& D MEETING OFFERS, A 1039 00:46:14,400 --> 00:46:15,960 COUPLE INSTITUTE HAVE APPROACHED 1040 00:46:15,960 --> 00:46:17,800 US WITH RESPECT TO DIFFERENT 1041 00:46:17,800 --> 00:46:19,360 AREAS OF INTEREST THAT WE ARE 1042 00:46:19,360 --> 00:46:22,800 EXPANDING INTO THE MOST RECENT 1 1043 00:46:22,800 --> 00:46:24,080 WAS THE NATIONAL INSTITUTE OF 1044 00:46:24,080 --> 00:46:25,160 AGING AND WHILE WE WANT TO 1045 00:46:25,160 --> 00:46:28,120 EXPRESS IS THAT WE'RE ALWAYS 1046 00:46:28,120 --> 00:46:30,080 INTERESTED IN HAVING 1047 00:46:30,080 --> 00:46:32,080 INTERACTIONS PARTICULARLY WITH 1048 00:46:32,080 --> 00:46:33,880 PEOPLE WHO ARE EARLY, EARLY IN 1049 00:46:33,880 --> 00:46:35,120 THE DEVELOPMENT STAGE BECAUSE 1 1050 00:46:35,120 --> 00:46:38,000 OF THE THINGS THAT OFTEN HAPPENS 1051 00:46:38,000 --> 00:46:39,440 IS THAT THEY ARE WANTING TO DO 1052 00:46:39,440 --> 00:46:40,440 THE FIRST IN HUMAN TRIALS AND 1053 00:46:40,440 --> 00:46:41,800 WHAT WE WANT TO DO IS MAKE SURE 1054 00:46:41,800 --> 00:46:43,080 THAT THE FIRST IN HUMAN TRIALS 1055 00:46:43,080 --> 00:46:44,680 WHEN THEY COME TO US HAVE ENOUGH 1056 00:46:44,680 --> 00:46:46,240 INFORMATION TO SUPPORT THE 1057 00:46:46,240 --> 00:46:47,640 PROTOCOLS, AND HOPEFULLY NOT GO 1058 00:46:47,640 --> 00:46:50,320 ON CLINICAL HOLD, SO WE'RE VERY 1059 00:46:50,320 --> 00:46:51,040 OPEN TO MAINTAINING 1060 00:46:51,040 --> 00:46:51,600 COMPLIEWNICATIONS WITH THE 1061 00:46:51,600 --> 00:46:52,600 INSTITUTE WHO IS ARE IN THE 1062 00:46:52,600 --> 00:46:55,400 PROCESS OF BEING CONTACTED BY 1063 00:46:55,400 --> 00:46:56,560 PEOPLE OUT THERE WHO ARE 1064 00:46:56,560 --> 00:46:58,240 INTERESTED IN DEVELOPING DRUGS, 1065 00:46:58,240 --> 00:46:59,800 SO IT'S--IT'S PRETTY EBS 1066 00:46:59,800 --> 00:47:00,640 SIGHTING, IT'S AN ONGOING 1067 00:47:00,640 --> 00:47:01,840 DISCUSSION AND I JUST WANT TO 1068 00:47:01,840 --> 00:47:07,800 SHARE THAT WE ARE HAVING 1069 00:47:07,800 --> 00:47:08,920 DIALOGUES. 1070 00:47:08,920 --> 00:47:09,720 >> GREAT. 1071 00:47:09,720 --> 00:47:09,920 THANKS. 1072 00:47:09,920 --> 00:47:20,480 ANY QUESTIONS FOR RIGO BEFORE WE 1073 00:47:24,000 --> 00:47:26,760 MOVE ON? 1074 00:47:26,760 --> 00:47:29,840 THANK YOU JENNIFER, MORE INFO ON 1075 00:47:29,840 --> 00:47:31,080 THAT BEING RELEASED SO WE 1076 00:47:31,080 --> 00:47:31,440 APPRECIATE THAT. 1077 00:47:31,440 --> 00:47:33,840 >> SO WE WILL START INTO OUR 2 1078 00:47:33,840 --> 00:47:34,600 DISCUSSIONS FOR THIS AFTERNOON 1079 00:47:34,600 --> 00:47:36,720 THE FIRST 1 WILL GO BACK TO THE 1080 00:47:36,720 --> 00:47:41,560 CONVERSATION ABOUT ENHANCING THE 1081 00:47:41,560 --> 00:47:42,680 CLINICAL PAIN RESEARCH 1082 00:47:42,680 --> 00:47:43,640 WORKFORCE, AS WALTER MENTIONED 1083 00:47:43,640 --> 00:47:46,720 WE'RE DOING A NUMBER OF 1084 00:47:46,720 --> 00:47:48,760 DIFFERENT INITIATIVES TO HELP 1085 00:47:48,760 --> 00:47:50,920 EXPAND AND ENHANCE THE WORKFORCE 1086 00:47:50,920 --> 00:47:52,920 RELATED PRISM GRANTS PRECLINICAL 1087 00:47:52,920 --> 00:47:54,360 AND TRANSLATIONAL RESEARCH AS 1088 00:47:54,360 --> 00:47:55,880 WELL, THERE IS--IT APPEARS 1089 00:47:55,880 --> 00:48:00,000 THOUGH A REAL URGENCY IN THE 1090 00:48:00,000 --> 00:48:03,200 CLINICAL RESEARCH ARENA AS FAR 1091 00:48:03,200 --> 00:48:05,360 AS BRINGING PEOPLE INTO THE 1092 00:48:05,360 --> 00:48:07,760 FIELD BUT ALSO KEEPING THEM IN 1093 00:48:07,760 --> 00:48:12,520 THE FIELD AND SO MANY CHALLENGES 1094 00:48:12,520 --> 00:48:14,600 ARISE IN ORDER TO ACCOMPLISH 1095 00:48:14,600 --> 00:48:16,240 THOSE 2 GOALS OF BRINGING THEM 1096 00:48:16,240 --> 00:48:17,800 IN AND KEEPING FOLKS IN HERE. 1097 00:48:17,800 --> 00:48:20,760 IF YOU REMEMBER WE PRESENTED 1098 00:48:20,760 --> 00:48:25,440 EARLY DATA ON A SURVEY THAT WE 1099 00:48:25,440 --> 00:48:27,160 RAN THROUGH AT A COUPLE OF 1100 00:48:27,160 --> 00:48:30,200 MEETINGS WHERE THERE ARE A LOT 1101 00:48:30,200 --> 00:48:33,160 OF CLINICAL PAIN RESEARCHERS IN 1102 00:48:33,160 --> 00:48:34,320 ATTENDANCE AND ALSO SENT IT OUT 1103 00:48:34,320 --> 00:48:37,120 TO A NUMBER OF DIFFERENT 1104 00:48:37,120 --> 00:48:39,160 PROFESSIONAL ORGANIZATIONS, THAT 1105 00:48:39,160 --> 00:48:42,000 ARE PRIMARILY CLINICALLY 1106 00:48:42,000 --> 00:48:43,440 RESEARCHED FOCUSED AND WE--WE 1107 00:48:43,440 --> 00:48:45,440 ASKED A LOT OF QUESTIONS THERE 1108 00:48:45,440 --> 00:48:47,720 ABOUT, YOU KNOW WHAT RESOURCES 1109 00:48:47,720 --> 00:48:53,600 HAVE YOU HAD ACCESS TO FROM YOUR 1110 00:48:53,600 --> 00:48:54,560 EARLY CAREER ONWARD THAT WOULD 1111 00:48:54,560 --> 00:48:56,200 HELP YOU COME INTO THE FIELD OR 1112 00:48:56,200 --> 00:48:58,280 STAY IN THE FIELD OR DRIVE YOU 1113 00:48:58,280 --> 00:49:01,120 OUT OF THE FIELD, WHICH I THINK 1114 00:49:01,120 --> 00:49:02,520 ARE SOME IMPORTANT FINDINGS THAT 1115 00:49:02,520 --> 00:49:05,040 COME UP ALONG THAT LINE. 1116 00:49:05,040 --> 00:49:07,040 AND YOU KNOW KIND OF A MIXED 1117 00:49:07,040 --> 00:49:12,640 BAG, IT WASN'T LIKE A NATIONAL, 1118 00:49:12,640 --> 00:49:14,040 GLOBAL SURVEY BUT IT WAS ENOUGH 1119 00:49:14,040 --> 00:49:15,560 PEOPLE WHO ANSWERED THE SURVEY 1120 00:49:15,560 --> 00:49:17,400 TO GIVE US AN IDEA OF WHAT SOME 1121 00:49:17,400 --> 00:49:19,600 OF THE CRUCIAL CHALLENGES ARE 1122 00:49:19,600 --> 00:49:22,760 AND GIVE US ALSO SOME THOUGHTS 1123 00:49:22,760 --> 00:49:26,520 ON WHERE WE COULD AS AN AGENCY 1124 00:49:26,520 --> 00:49:27,800 FOR RESEARCH, TRY TO FILL IN 1125 00:49:27,800 --> 00:49:30,800 SOME OF THOSE GAPS AND SO SOME 1126 00:49:30,800 --> 00:49:37,360 OF THE THINGS WE WERE HEARING IS 1127 00:49:37,360 --> 00:49:38,640 I DON'T WANT TO SAY LACK OF 1128 00:49:38,640 --> 00:49:43,640 AVAILABILITY BUT LACK OF ACCESS 1129 00:49:43,640 --> 00:49:46,040 OVER TIME TO REALLY PROFESSIONAL 1130 00:49:46,040 --> 00:49:47,320 TRAINING AND MENTORING PROGRAMS 1131 00:49:47,320 --> 00:49:48,960 IN THE RESEARCH ARENA SO I WOULD 1132 00:49:48,960 --> 00:49:51,680 GET SOMEBODY IN THERE AND GET 1133 00:49:51,680 --> 00:49:53,080 THEM STARTED IN A RESEARCH 1134 00:49:53,080 --> 00:49:57,520 CAREER OR HAVE IT AS PART OF 1135 00:49:57,520 --> 00:49:59,720 THEIR CAREER AND THEN AND THEN 1136 00:49:59,720 --> 00:50:02,200 ALSO FUNDING TO BE ABLE TO 1137 00:50:02,200 --> 00:50:03,520 EITHER SUPPORT RESEARCH, SUPPORT 1138 00:50:03,520 --> 00:50:06,960 PROTECTED TIME OR GET YOU TO THE 1139 00:50:06,960 --> 00:50:08,760 KINDS OF MEETINGS AND NETWORKS 1140 00:50:08,760 --> 00:50:10,120 THAT YOU NEED TO ATTEND AS A 1141 00:50:10,120 --> 00:50:11,640 RESEARCHER AS WELL AS A 1142 00:50:11,640 --> 00:50:18,000 CLINICIAN, SO IT'S PARTLY IT'S 1143 00:50:18,000 --> 00:50:19,920 PARTLY THE COMPLEXITY OF 1144 00:50:19,920 --> 00:50:21,240 MANAGING 2 DIFFERENT CAREERS AND 1145 00:50:21,240 --> 00:50:24,280 THE RESOURCES AVAILABLE TO HELP 1146 00:50:24,280 --> 00:50:25,040 YOU DO THAT. 1147 00:50:25,040 --> 00:50:28,560 IT'S PARTLY WORK NOTHING A 1148 00:50:28,560 --> 00:50:29,600 CLINICAL ENVIRONMENT WHERE, YOUR 1149 00:50:29,600 --> 00:50:32,480 BENEFIT OF BEING IN THE CLINIC 1150 00:50:32,480 --> 00:50:33,680 MIGHT OUTWEIGH YOUR BENEFIT OF 1151 00:50:33,680 --> 00:50:38,240 BEING IN THE RESEARCH ARENA TO 1152 00:50:38,240 --> 00:50:39,160 THE EPIDEMIC CENTER THAT YOU 1153 00:50:39,160 --> 00:50:41,800 WORK FOR SO IN OTHER WORDS THERE 1154 00:50:41,800 --> 00:50:43,440 MAY BE CHALLENGES WITHIN THE 1155 00:50:43,440 --> 00:50:44,040 ACADEMIC SETTING ITSELF IN 1156 00:50:44,040 --> 00:50:45,360 ORDINANCE NUMBERER TO GIVE YOU 1157 00:50:45,360 --> 00:50:50,640 THE PROTECTED TIME TO MOVE INTO 1158 00:50:50,640 --> 00:50:51,840 A RESEARCH REALM AND SO WITH 1159 00:50:51,840 --> 00:50:54,320 THAT IN THE BACKGROUND, WHAT WE 1160 00:50:54,320 --> 00:50:55,920 WILL DO IN THE NEXT LITTLE BIT 1161 00:50:55,920 --> 00:51:00,560 OF TIME IS TO ASK LORA 1162 00:51:00,560 --> 00:51:02,080 [INDISCERNIBLE] WHO'S BEEN A 1163 00:51:02,080 --> 00:51:07,040 DRIVING FORCE TO GET A COUPLE OF 1164 00:51:07,040 --> 00:51:09,600 PROGRAMS MOVING FORWARD TO FUND 1165 00:51:09,600 --> 00:51:11,320 MENTORS AND FUND MENTEES IN 1166 00:51:11,320 --> 00:51:16,440 ORDER TO HELP EXPAND THE 1167 00:51:16,440 --> 00:51:17,160 CLINICAL RESEARCH NETWORK 1 OF 1168 00:51:17,160 --> 00:51:19,160 THESE PRPLTS THAT HAVE BEEN 1169 00:51:19,160 --> 00:51:20,560 RELEASED FOR FUNDING, ANOTHER 1 1170 00:51:20,560 --> 00:51:22,040 HAS JUST BEEN REVIEWED AND WE 1171 00:51:22,040 --> 00:51:27,920 HOPE TO LAUNCH IT IN THE--WITHIN 1172 00:51:27,920 --> 00:51:28,840 FISCAL YEAR 2022. 1173 00:51:28,840 --> 00:51:33,040 AND AFTER THAT WE'VE ASKED 2 OF 1174 00:51:33,040 --> 00:51:36,320 OUR OWN MEMBERS, DAN CARR AND 1175 00:51:36,320 --> 00:51:39,080 KRISTIN SONG WHO THOUGHT A LOT 1176 00:51:39,080 --> 00:51:41,280 ABOUT HOW WE COULD WORK WITH 1177 00:51:41,280 --> 00:51:42,120 PROFESSIONAL ORGANIZATIONS TO 1178 00:51:42,120 --> 00:51:44,200 SORT OF GENERATE INTEREST AND 1179 00:51:44,200 --> 00:51:53,680 IDEAS, LEARN WHAT THEY'RE DOING 1180 00:51:53,680 --> 00:51:55,200 AS FAR AS PROMOTE AND INTEREST 1181 00:51:55,200 --> 00:51:57,120 IN AND RESOURCES FOR CLINICAL 1182 00:51:57,120 --> 00:51:59,600 PAIN RESEARCH CAREERS. 1183 00:51:59,600 --> 00:52:04,480 AND SO, DAN HAS KINDLY OFFERED 1184 00:52:04,480 --> 00:52:05,440 TO MODERATE THAT SESSION AND 1185 00:52:05,440 --> 00:52:07,200 THEN WE ALL INVITED JOHN WHITE 1186 00:52:07,200 --> 00:52:12,120 IS HERE FROM THE ASSOCIATION OF 1187 00:52:12,120 --> 00:52:22,680 ACADEMIC PODIATRIST, SO WE MET 1188 00:52:23,960 --> 00:52:25,400 WITH SOME OF THE EARLY CAREER 1189 00:52:25,400 --> 00:52:28,400 STAGE FOLK WHO IS ARE PART OF 1190 00:52:28,400 --> 00:52:29,600 THIS ORGANIZATION AND LEARNED 1191 00:52:29,600 --> 00:52:33,120 THAT THEY'VE DONE A GREAT JOB 1192 00:52:33,120 --> 00:52:34,840 WITH THEIR TRAINING PROGRAM OVER 1193 00:52:34,840 --> 00:52:38,360 THE LAST 20 YEARS TO BRING 1194 00:52:38,360 --> 00:52:39,760 PEOPLE INTO RESEARCH AND HELP 1195 00:52:39,760 --> 00:52:43,640 THEM GET FUNDED AND GIVE THEM 1196 00:52:43,640 --> 00:52:47,080 TRAINING RESOURCES AND MENTOR 1197 00:52:47,080 --> 00:52:47,680 COLLABORATIVE SITUATIONS TO 1198 00:52:47,680 --> 00:52:50,240 REALLY HELP MOVE IT FORWARD. 1199 00:52:50,240 --> 00:52:52,640 SO JOHN JUST JOINED A FEW 1200 00:52:52,640 --> 00:52:55,040 MINUTES AGO AND I WILL ASK HIM 1201 00:52:55,040 --> 00:52:56,440 TO INTRODUCE HIMSELF BUT BEFORE 1202 00:52:56,440 --> 00:53:02,000 I DO THAT, THE OTHER PART OF THE 1203 00:53:02,000 --> 00:53:02,840 NEXT--OF THIS UPCOMING 1204 00:53:02,840 --> 00:53:05,600 DISCUSSION WILL BE LED BY 1205 00:53:05,600 --> 00:53:08,440 CHRISTINE SONG WHO'S BEEN 1206 00:53:08,440 --> 00:53:11,560 WORKING WITH DAN AND LAURA TO 1207 00:53:11,560 --> 00:53:13,520 HELP BRING INFORMATION TO SOME 1208 00:53:13,520 --> 00:53:14,800 OF THE PROFESSIONAL SOCIETY 1209 00:53:14,800 --> 00:53:16,920 STARTING OUT WITH THE 1210 00:53:16,920 --> 00:53:20,240 ANESTHESIOLOGIST TO SEE WHAT NIH 1211 00:53:20,240 --> 00:53:21,680 CAN DO FOR RESOURCES BUT ALSO TO 1212 00:53:21,680 --> 00:53:24,520 LEARN FROM THEM WHAT THEY'RE 1213 00:53:24,520 --> 00:53:25,960 DOING AND SO WE'LL TURN IT OVER 1214 00:53:25,960 --> 00:53:27,720 TO CHRISTINE AND THEN DAN WILL 1215 00:53:27,720 --> 00:53:28,680 MODERATE THE DISCUSSION, SO 1216 00:53:28,680 --> 00:53:30,520 JOHN, IF YOU WOULDN'T MIND 1217 00:53:30,520 --> 00:53:31,400 INTRODUCING YOURSELF RIGHT NOW, 1218 00:53:31,400 --> 00:53:34,120 AND THEN WE'LL GO BACK TO LAURA 1219 00:53:34,120 --> 00:53:37,240 FOR A QUICK UPDATE ON OUR 1220 00:53:37,240 --> 00:53:39,120 PROGRAMSA THE NIH. 1221 00:53:39,120 --> 00:53:39,520 >> SURE. 1222 00:53:39,520 --> 00:53:39,840 THANKS LINDA. 1223 00:53:39,840 --> 00:53:44,280 THANKS FOR INVITING ME, I'M JOHN 1224 00:53:44,280 --> 00:53:47,040 WHYTE, I'M A EXPERIMENTAL 1225 00:53:47,040 --> 00:53:48,280 PSYCHOLOGIST FOR 25 YEARS AND 1226 00:53:48,280 --> 00:53:50,840 --I WAS THE DIRECTOR OF MOSS 1227 00:53:50,840 --> 00:53:51,920 REHABILITATION INSTITUTE IN 1228 00:53:51,920 --> 00:53:55,760 PHILADELPHIA, I'M NOW AN EMERTUS 1229 00:53:55,760 --> 00:53:56,360 SCIENTIST THERE PARTIALLY 1230 00:53:56,360 --> 00:53:58,600 RETIRED AND MY RESEARCH IS 1231 00:53:58,600 --> 00:53:59,560 PRIMARILY ON TRAUMARTIC BRAIN 1232 00:53:59,560 --> 00:54:02,320 INJURY BUT I'VE ALSO HAD A BIG 1233 00:54:02,320 --> 00:54:03,840 INTEREST FOR MANY YEARS IN 1234 00:54:03,840 --> 00:54:05,000 CAREER DEVELOPMENT WHICH IS WHAT 1235 00:54:05,000 --> 00:54:08,360 I AM HERE FOR. 1236 00:54:08,360 --> 00:54:08,680 THANKS. 1237 00:54:08,680 --> 00:54:11,800 >> THANKS SO MUCH FOR AGREEING 1238 00:54:11,800 --> 00:54:15,000 TO JOIN US ON SUCH SHORT NOTICE. 1239 00:54:15,000 --> 00:54:15,400 MUCH APPRECIATED. 1240 00:54:15,400 --> 00:54:18,440 SO NOW LET'S TURN TO LAURA AND I 1241 00:54:18,440 --> 00:54:20,080 THINK LEAH HAS YOUR SLIDES LAURA 1242 00:54:20,080 --> 00:54:21,480 SO YOU CAN RUN THROUGH AND TELL 1243 00:54:21,480 --> 00:54:26,640 US ABOUT 2 OF THE NEW PROGRAMS. 1244 00:54:26,640 --> 00:54:27,480 >> OR ACTUALLY 3. 1245 00:54:27,480 --> 00:54:31,880 >> WELL, THANK YOU S AS WALTER E 1246 00:54:31,880 --> 00:54:33,000 ALREADY INDICATED NIH HAS BEEN 1247 00:54:33,000 --> 00:54:34,360 TRYING TO ADDRESS A NUMBER OF 1248 00:54:34,360 --> 00:54:35,760 ISSUES TO INCREASE THE PAIN 1249 00:54:35,760 --> 00:54:37,400 MANAGEMENT WORKFORCE AND THE 1250 00:54:37,400 --> 00:54:39,600 LIST THEY WILL PROVIDE TODAY IS 1251 00:54:39,600 --> 00:54:41,600 NOT AN EXCLUSIVE LIST, JUST SOME 1252 00:54:41,600 --> 00:54:43,160 OF THE WORKFORCE EFFORTS THAT 1253 00:54:43,160 --> 00:54:49,240 NIH HAS BEEN WORKING ON RECENTLY 1254 00:54:49,240 --> 00:54:50,960 WITHIN THE PAST YEAR OR 2, SO 1 1255 00:54:50,960 --> 00:54:52,280 PROBLEM THAT HAS BEEN IDENTIFIED 1256 00:54:52,280 --> 00:54:54,280 IN THE FIELD IS THAT THERE'S NOT 1257 00:54:54,280 --> 00:54:55,920 ENOUGH EARLY CAREER CLINICAL 1258 00:54:55,920 --> 00:54:56,960 PAIN RESEARCHERS TO REPLACE 1259 00:54:56,960 --> 00:54:58,720 THOSE WHO ARE EITHER LEAVING THE 1260 00:54:58,720 --> 00:55:01,080 FIELD OR ENOUGH TO RESPOND TO 1261 00:55:01,080 --> 00:55:03,320 THE INCREASE AND IN PAIN RFAs 1262 00:55:03,320 --> 00:55:06,280 BEING ISSUED BY NIH. 1263 00:55:06,280 --> 00:55:07,560 SO HEAL HAS BEEN TRYING TO 1264 00:55:07,560 --> 00:55:11,760 ADDRESS THIS ISSUE BY 1265 00:55:11,760 --> 00:55:14,000 ESTABLISHING A NATIONAL K12 1266 00:55:14,000 --> 00:55:15,880 SCHOLAR GRANT WHERE EARLY CAREER 1267 00:55:15,880 --> 00:55:18,440 CLINICAL PAIN RESEARCHERS WILL 1268 00:55:18,440 --> 00:55:20,640 RECEIVE ENHANCED MENTORSHIP, 1269 00:55:20,640 --> 00:55:22,600 GUIDANCE, TRAINING AND SALARY 1270 00:55:22,600 --> 00:55:24,080 SUPPORT AND PROTECTED TIME IN 1271 00:55:24,080 --> 00:55:25,720 ORDER TO SUBMIT THEIR FIRST 1272 00:55:25,720 --> 00:55:30,720 GRANT TO NIH, SO THIS IS OUR 1273 00:55:30,720 --> 00:55:31,240 FIRST NATIONAL K12. 1274 00:55:31,240 --> 00:55:34,720 I THINK WE MENTIONED AT THE LAST 1275 00:55:34,720 --> 00:55:36,240 IPRCC THIS CONCEPT WAS MODELED 1276 00:55:36,240 --> 00:55:40,760 OFF OF THE NATIONAL K12 FOR 1277 00:55:40,760 --> 00:55:43,600 NEUROLOGY AND PEDIATRIC 1278 00:55:43,600 --> 00:55:44,000 NEUROSURGERY. 1279 00:55:44,000 --> 00:55:44,920 >> ANOTHER WAY HEAL IS WORKING 1280 00:55:44,920 --> 00:55:46,840 TO INCREASE THE RATE OF EARLY 1281 00:55:46,840 --> 00:55:48,200 STAGE INVESTIGATORS, ENTERING 1282 00:55:48,200 --> 00:55:50,840 THE WORKFORCE, IS THE RELEASE OF 1283 00:55:50,840 --> 00:55:53,240 TRAINING SUPPLEMENTS ARE EARLY 1284 00:55:53,240 --> 00:55:54,200 STAGE INVESTIGATORS AND 1285 00:55:54,200 --> 00:55:56,800 INVESTIGATORS NEW TO PAIN 1286 00:55:56,800 --> 00:55:57,200 RESEARCH. 1287 00:55:57,200 --> 00:55:59,080 AND HEAL IS ALSO USING A SIMILAR 1288 00:55:59,080 --> 00:56:00,840 STRATEGY TO INCREASE THE 1289 00:56:00,840 --> 00:56:04,200 TRANSLATIONAL PAIN MANAGEMENT 1290 00:56:04,200 --> 00:56:04,480 WORKFORCE. 1291 00:56:04,480 --> 00:56:08,440 I HAVE AN EARLY AND MIDCAREER 1292 00:56:08,440 --> 00:56:10,960 SCIENTISTS TO OPEN KT 1293 00:56:10,960 --> 00:56:11,760 ANNOUNCEMENTS TO RECEIVE HANDS 1294 00:56:11,760 --> 00:56:15,680 ON EXPERIENCE IN THE TRANSLATION 1295 00:56:15,680 --> 00:56:17,200 OF INDUSTRY, ACADEMIC OR 1296 00:56:17,200 --> 00:56:23,960 GOVERNMENT RESEARCH CENTERS. 1297 00:56:23,960 --> 00:56:24,600 NEXT SLIDE. 1298 00:56:24,600 --> 00:56:30,120 AND THEN THE EARLY CAREER PAIN 1299 00:56:30,120 --> 00:56:31,120 RESEARCHERS ALSO HAVE INDICATED 1300 00:56:31,120 --> 00:56:32,760 THAT THEY NEED BETTER ACCESS TO 1301 00:56:32,760 --> 00:56:34,840 MENTORS AND HAVE BETTER 1302 00:56:34,840 --> 00:56:35,680 OPPORTUNITIES TO COLLABORATE 1303 00:56:35,680 --> 00:56:36,600 WITH RESEARCHERS ACROSS THE 1304 00:56:36,600 --> 00:56:38,800 SPECTRUM OF PAIN RESEARCH, SO 1305 00:56:38,800 --> 00:56:41,120 THIS IS THE FUNDING ANNOUNCEMENT 1306 00:56:41,120 --> 00:56:44,800 THAT WALTER WAS READING AT THE 1307 00:56:44,800 --> 00:56:46,480 BEGINNING OF THIS--AT THE 1308 00:56:46,480 --> 00:56:48,560 BEGINNING OF THE IPRCC, SO WE 1309 00:56:48,560 --> 00:56:50,560 ARE LOOKING FOR APPLICANTS TO 1310 00:56:50,560 --> 00:56:51,760 PROPOSE ESTABLISHING OR 1311 00:56:51,760 --> 00:56:53,280 COORDINATING CENTER THAT WILL 1312 00:56:53,280 --> 00:56:55,720 INCREASE MENTORSHIP AND LEARNING 1313 00:56:55,720 --> 00:56:56,720 OPPORTUNITIES, ESTABLISH A 1314 00:56:56,720 --> 00:56:58,920 NETWORK TO PROVIDE TRAINING AND 1315 00:56:58,920 --> 00:57:03,440 ENHANCE MENTORSHIP YEAR ROUND. 1316 00:57:03,440 --> 00:57:05,080 AND ESTABLISH AN ANNUAL MEETING 1317 00:57:05,080 --> 00:57:06,320 FOR EARLY CAREER PAIN 1318 00:57:06,320 --> 00:57:07,080 RESEARCHERS AND MENTORS TO 1319 00:57:07,080 --> 00:57:09,040 ATTEND AND LEARN FROM EACH 1320 00:57:09,040 --> 00:57:09,240 OTHER. 1321 00:57:09,240 --> 00:57:11,200 AND ANOTHER GOAL OF THIS 1322 00:57:11,200 --> 00:57:16,200 COORDINATING CENTER WOULD BE TO 1323 00:57:16,200 --> 00:57:17,360 HELP FACILITATE COMMUNICATION 1324 00:57:17,360 --> 00:57:19,360 BETWEEN PAIN RESEARCHERS ACROSS 1325 00:57:19,360 --> 00:57:20,560 THE PRECLINICAL TRANSLATIONAL 1326 00:57:20,560 --> 00:57:22,240 AND CLINICAL RESEARCHERS, SO 1327 00:57:22,240 --> 00:57:24,520 THAT WE CAN LEARN FROM EACH 1328 00:57:24,520 --> 00:57:27,200 OTHER AND TO BE ABLE TO PUT 1329 00:57:27,200 --> 00:57:28,800 FORWARD GRANTS THAT HAVE 1330 00:57:28,800 --> 00:57:29,640 COLLABORATIONS ACROSS THE 1331 00:57:29,640 --> 00:57:35,040 SPECTRUM OF PAIN RESEARCH. 1332 00:57:35,040 --> 00:57:36,120 ANOTHER PROBLEM THAT'S BEEN 1333 00:57:36,120 --> 00:57:37,760 IDENTIFY SIDE THAT THERE ARE 1334 00:57:37,760 --> 00:57:39,600 MENTORS TO GUIDE THE NEXT 1335 00:57:39,600 --> 00:57:41,240 GENERATION OF PAIN MANAGEMENT 1336 00:57:41,240 --> 00:57:42,080 RESEARCHERS SO IN ORDER TO 1337 00:57:42,080 --> 00:57:48,160 ADDRESS THIS PROBLEM, RELEASED A 1338 00:57:48,160 --> 00:57:50,080 MENTORING GRANT RFA TO PROTECTED 1339 00:57:50,080 --> 00:57:51,680 TIME FOR MENTORING FOR MIDAND 1340 00:57:51,680 --> 00:57:55,400 LATE STAGE HEAL INVESTIGATORS. 1341 00:57:55,400 --> 00:57:58,080 SO WE MODIFIED A K24 SO THAT WE 1342 00:57:58,080 --> 00:58:00,400 COULD ALSO INCLUDE LATER STAGE 1343 00:58:00,400 --> 00:58:03,680 INVESTIGATORS TO PROVIDE 1344 00:58:03,680 --> 00:58:04,520 MENTORSHIP OPPORTUNITIES. 1345 00:58:04,520 --> 00:58:09,920 AND THEN, NEXT SLIDE, AND 1346 00:58:09,920 --> 00:58:12,000 SIMILARLY THERE HAS BEEN A LACK 1347 00:58:12,000 --> 00:58:13,280 OF DIVERSITY AMONG PAYMENT 1348 00:58:13,280 --> 00:58:14,680 RESEARCH SPECIALISTS IN THE 1349 00:58:14,680 --> 00:58:17,040 WORKFORCE SO BROADER NIH 1350 00:58:17,040 --> 00:58:17,920 SUPPLEMENTS SPECIFICALLY TO 1351 00:58:17,920 --> 00:58:19,240 INCREASE DIVERSITY IN THE 1352 00:58:19,240 --> 00:58:21,000 SCIENTIFIC WORKFORCE HAVE BEEN 1353 00:58:21,000 --> 00:58:23,520 UTILIZED FOR THIS PURPOSE WITHIN 1354 00:58:23,520 --> 00:58:24,480 THE HEAL INITIATIVE. 1355 00:58:24,480 --> 00:58:26,800 AND LASTLY DURING COVID, THE NIH 1356 00:58:26,800 --> 00:58:28,240 PROGRAM OFFICERS WERE NOT 1357 00:58:28,240 --> 00:58:30,080 ATTENDING CONFERENCES WHERE WE 1358 00:58:30,080 --> 00:58:31,520 COULD ANSWER PIs QUESTIONS 1359 00:58:31,520 --> 00:58:34,000 ABOUT GRANTS AND HOW TO SUBMIT 1360 00:58:34,000 --> 00:58:35,520 YOUR FIRST GRANT OR ASK US 1361 00:58:35,520 --> 00:58:39,080 QUESTIONS ABOUT HOW TO WRITE AN 1362 00:58:39,080 --> 00:58:41,400 EFFECTIVE APPLICATION OR PUT 1363 00:58:41,400 --> 00:58:43,360 TOGETHER A BUDGET SO AS AN 1364 00:58:43,360 --> 00:58:44,960 ALTERNATIVE WE ESTABLISHED A 1365 00:58:44,960 --> 00:58:47,160 MONTHLY WEBINAR SERIES TO ANSWER 1366 00:58:47,160 --> 00:58:48,320 PI'S QUESTIONS ABOUT GRANT 1367 00:58:48,320 --> 00:58:50,240 MECHANISMS AND PROVIDE TIPS AND 1368 00:58:50,240 --> 00:58:52,120 TRICKEACH MECHANISM AND ALL OF 1369 00:58:52,120 --> 00:58:54,480 THOSE ARE ARCHIVED ON THE NIH 1370 00:58:54,480 --> 00:58:55,960 PAIN CONSORTIUM WEBSITE AND 1371 00:58:55,960 --> 00:58:57,240 HOPEFULLY CAN BE A RESEARCH FOR 1372 00:58:57,240 --> 00:58:58,400 THE COMMUNITY GOING FORWARD. 1373 00:58:58,400 --> 00:59:01,640 AND THEN MY LAST SLIDE IS THE 1374 00:59:01,640 --> 00:59:03,600 REQUESTS THAT WE'VE HAD FROM THE 1375 00:59:03,600 --> 00:59:05,480 COMMUNITY SO I'VE RECENTLY BEEN 1376 00:59:05,480 --> 00:59:08,400 PRESENTING AT CONFERENCES AND 1377 00:59:08,400 --> 00:59:09,280 SOCIETIES SPVENG WEBINARS AND 1378 00:59:09,280 --> 00:59:10,480 THE FEEDBACK THAT WE'VE BEEN 1379 00:59:10,480 --> 00:59:13,240 RECEIVING SO FAR IS THAT THE NIH 1380 00:59:13,240 --> 00:59:14,960 WORKFORCE EFFORTS HAS BEEN VERY 1381 00:59:14,960 --> 00:59:16,320 APPRECIATED AND THAT THE 1382 00:59:16,320 --> 00:59:18,360 COMMUNITY WOULD ENCOURAGE NIH TO 1383 00:59:18,360 --> 00:59:21,240 CONTINUE TO RELEASE ADDITIONAL 1384 00:59:21,240 --> 00:59:22,440 WORKFORCE RFAs AND/OR REISSUE 1385 00:59:22,440 --> 00:59:25,400 SOME OF THE WORKFORCE RFAs 1386 00:59:25,400 --> 00:59:26,600 THAT HAVE ALREADY CLOSED. 1387 00:59:26,600 --> 00:59:28,840 WE HAVE ALSO RECEIVED FEEDBACK, 1388 00:59:28,840 --> 00:59:31,160 BUT DUE TO THE LEAKY WORKFORCE 1389 00:59:31,160 --> 00:59:32,960 PIPELINE IT MIGHT BE IMPORTANT 1390 00:59:32,960 --> 00:59:37,320 FOR NIH TO RELEASE WORKFORCE 1391 00:59:37,320 --> 00:59:39,680 RFAYAs, THAT TARGET MORE 1392 00:59:39,680 --> 00:59:40,360 GRATES--GRATUEDUATE, MEDICAL 1393 00:59:40,360 --> 00:59:41,800 STUDENTS, PEOPLE IN GRADUATE OR 1394 00:59:41,800 --> 00:59:42,840 POST DOCTORAL TRAINING SO THAT 1395 00:59:42,840 --> 00:59:44,840 THEY CAN RECEIVE THE NECESSARY 1396 00:59:44,840 --> 00:59:46,640 TRAINING TO ALLOW THEM TO BE 1397 00:59:46,640 --> 00:59:49,880 ELIGIBLE TO APPLY FOR A K, F, OR 1398 00:59:49,880 --> 00:59:50,160 R-AWARD. 1399 00:59:50,160 --> 00:59:52,560 SO NIH IS CONTINUING TO EXAMINE 1400 00:59:52,560 --> 00:59:54,680 THE BEST WAYS TO ENHANCE THE 1401 00:59:54,680 --> 00:59:58,000 PAIN WORKFORCE AND WE ALWAYS 1402 00:59:58,000 --> 01:00:00,320 APPRECIATE AT IPRCC'S FEEDBACK 1403 01:00:00,320 --> 01:00:01,120 ABOUT THEIR WORKFORCE EFFORTS 1404 01:00:01,120 --> 01:00:03,440 AND THAT IS ALL I HAVE AND I AM 1405 01:00:03,440 --> 01:00:09,480 HAPPY TO THANKED OVER TO THE 1406 01:00:09,480 --> 01:00:10,160 NEXT SPEAKER. 1407 01:00:10,160 --> 01:00:12,480 >> THANKS SO MUCH WE HAVE A 1408 01:00:12,480 --> 01:00:13,760 COUPLE MORE ANNOUNCEMENTS ALONG 1409 01:00:13,760 --> 01:00:15,720 THOSE LINES, THE NEXT TIME WE 1410 01:00:15,720 --> 01:00:15,960 NEED IT. 1411 01:00:15,960 --> 01:00:16,840 WE'RE WORKING ON IT. 1412 01:00:16,840 --> 01:00:20,240 SO WE WILL TURN TO JOHN WHYTE 1413 01:00:20,240 --> 01:00:22,440 NOW AND HE WILL TELL US A LITTLE 1414 01:00:22,440 --> 01:00:26,480 BIT ABOUT THE PROGRAM THAT 1415 01:00:26,480 --> 01:00:30,840 THEY'VE HAD SUCCESS WITH. 1416 01:00:30,840 --> 01:00:32,640 SEAN, I DON'T SEE HIS NAME-- 1417 01:00:32,640 --> 01:00:35,520 >> CAN I SHARE A FEW SLIDES AS 1418 01:00:35,520 --> 01:00:37,560 WELL. 1419 01:00:37,560 --> 01:00:47,840 >> ABSOLUTELY. 1420 01:00:55,520 --> 01:00:56,080 >> THANK YOU. 1421 01:00:56,080 --> 01:00:57,320 CAN FOLKS SEE THAT? 1422 01:00:57,320 --> 01:01:00,080 LET ME GO TO THE SLIDE SHOW. 1423 01:01:00,080 --> 01:01:00,600 >> YES, THANK YOU. 1424 01:01:00,600 --> 01:01:01,880 >> I WILL JUST TELL YOU A LITTLE 1425 01:01:01,880 --> 01:01:04,080 BIT ABOUT THE PROGRAM. 1426 01:01:04,080 --> 01:01:06,840 YOU KNOW WE BEGAN TALKING ABOUT 1427 01:01:06,840 --> 01:01:10,320 THE STATE OF REHABILITATION 1428 01:01:10,320 --> 01:01:12,560 RESEARCH IN THE 80S A LOT OF 1429 01:01:12,560 --> 01:01:14,080 SIMILARITIES I'VE HEARD TO THE 1430 01:01:14,080 --> 01:01:16,400 CHALLENGES IN PAIN, BUT REALLY, 1431 01:01:16,400 --> 01:01:17,440 THE TOP THING WE'RE GOING TO 1432 01:01:17,440 --> 01:01:20,000 TALK ABOUT IS RECRUITMENT AND 1433 01:01:20,000 --> 01:01:22,120 TRAINING, WE HAD VERY FEW 1434 01:01:22,120 --> 01:01:24,440 RIGOROUSLY TRAINED RESEARCHERS 1435 01:01:24,440 --> 01:01:25,600 STUDYING REHABILITATION, 1436 01:01:25,600 --> 01:01:28,960 PARTICULARLY P 1437 01:01:28,960 --> 01:01:31,240 HYSICIAN-SCIENTISTS AND NOT AS 1438 01:01:31,240 --> 01:01:33,880 MUCH FUNDING OR METHLOGIC 1439 01:01:33,880 --> 01:01:35,880 PROBLEMS, THERE'S MORE FUNDING 1440 01:01:35,880 --> 01:01:37,400 MOVING INTO PAIN, OBVIOUSLY BBUT 1441 01:01:37,400 --> 01:01:39,400 IN TERPS OF THE HUMAN RESEARCH 1442 01:01:39,400 --> 01:01:40,560 CAPACITY WE FELT THERE WAS A 1443 01:01:40,560 --> 01:01:42,440 NEED FOR DEEPER TRAINING IN 1444 01:01:42,440 --> 01:01:43,840 RELEVANT DOMAINS OF SCIENCE. 1445 01:01:43,840 --> 01:01:45,520 WE TENDED TO HAVE TRAINEES EVEN 1446 01:01:45,520 --> 01:01:47,040 IF THEY WERE INTERESTED IN 1447 01:01:47,040 --> 01:01:47,960 RESEARCH CAREERS WHO WOULD SAY 1448 01:01:47,960 --> 01:01:50,760 THINGS LIKE I WANT TO BE A 1449 01:01:50,760 --> 01:01:51,880 STROKE RESEARCHER BUT WHAT 1450 01:01:51,880 --> 01:01:54,160 SCIENTIFIC TOOLS DO YOU NEED TO 1451 01:01:54,160 --> 01:01:55,600 HAVE--WHAT ASPECT OF STROKE ARE 1452 01:01:55,600 --> 01:01:57,720 YOU GOING TO STUDY AND ADDRESS 1453 01:01:57,720 --> 01:02:01,160 AND IN A COMPLEX FIELD LIKE 1454 01:02:01,160 --> 01:02:02,240 REHABILITATION, THIS WAS 1455 01:02:02,240 --> 01:02:03,640 CHALLENGING FOR TRAINEES TO 1456 01:02:03,640 --> 01:02:08,320 DEFINE AND THERE WERE FEW PEOPLE 1457 01:02:08,320 --> 01:02:09,680 IN REHABILITATION, DEPARTMENTS 1458 01:02:09,680 --> 01:02:11,520 CAN STRONG RESEARCH BACKGROUNDS 1459 01:02:11,520 --> 01:02:14,680 TO MENTOR THAT KIND OF CAREER 1460 01:02:14,680 --> 01:02:16,400 TRAJECTORY, AND DEFINING OF 1461 01:02:16,400 --> 01:02:18,360 RESEARCH INTERESTS AND IN 1462 01:02:18,360 --> 01:02:21,560 CONVERSELY RELATIVELY LITTLE 1463 01:02:21,560 --> 01:02:22,960 INSIGHT AMONG REGEROUS NONREHAB 1464 01:02:22,960 --> 01:02:25,640 SCIENTISTS ABOUT HOW 1 MIGHT 1465 01:02:25,640 --> 01:02:26,480 APPLY REGGATIVELY REDUCTIONISTIC 1466 01:02:26,480 --> 01:02:29,360 TOOLS TO THE COMPLEX AND 1467 01:02:29,360 --> 01:02:31,080 INTERACTIVE PROBLEMS OF HUMAN 1468 01:02:31,080 --> 01:02:31,800 FUNCTION. 1469 01:02:31,800 --> 01:02:33,720 SO NO REAL IDEAL TRAINING MILIEU 1470 01:02:33,720 --> 01:02:43,920 EVEN FOR OUR TRAINEES. 1471 01:02:43,920 --> 01:02:46,560 SO THE KEY THINGS IS HELPING 1472 01:02:46,560 --> 01:02:47,760 PEOPLE FIND MENTORS IN 1473 01:02:47,760 --> 01:02:49,280 PARTICULAR WITH EXPERTISE IN 1474 01:02:49,280 --> 01:02:50,120 PARTICULAR DOMAINS OF SCIENCE 1475 01:02:50,120 --> 01:02:51,920 THAT COULD BE APPLIED TO PATIENT 1476 01:02:51,920 --> 01:02:53,560 PROBLEMS RATHER THAN SIMPLY 1477 01:02:53,560 --> 01:02:58,040 CLINICAL EXPERTISE IN A PATIENT 1478 01:02:58,040 --> 01:02:58,320 PROBLEM. 1479 01:02:58,320 --> 01:03:00,600 WE FELT THAT IT WAS IMPORTANT 1480 01:03:00,600 --> 01:03:04,120 THAT THEY HAVE PRODUCTIVE 1481 01:03:04,120 --> 01:03:07,760 RESEARCHERS WHO COULD ROLE MODEL 1482 01:03:07,760 --> 01:03:09,120 SUCCESSFUL FUNDING THAT THEY 1483 01:03:09,120 --> 01:03:11,440 FIND PEOPLE WITH DOMAINS 1484 01:03:11,440 --> 01:03:13,960 RELEVANT TO THEIR DIRECTION, AND 1485 01:03:13,960 --> 01:03:15,880 FIND PEOPLE WHO COULD PROVIDE 1486 01:03:15,880 --> 01:03:18,840 NOT JUST THEIR OWN ADVICE AND 1487 01:03:18,840 --> 01:03:19,800 MENTORSHIP BUT WHO COULD IMP 1488 01:03:19,800 --> 01:03:22,960 MERC THE TRAINEE IN A MILIEU AND 1489 01:03:22,960 --> 01:03:24,800 IDEALLY A MULTIDISCIPLINARY 1490 01:03:24,800 --> 01:03:26,120 MILIEU THAT MODELED THE KINDS OF 1491 01:03:26,120 --> 01:03:31,640 RESEARCH THAT THEY WANTED TO 1492 01:03:31,640 --> 01:03:32,200 MOVE INTO. 1493 01:03:32,200 --> 01:03:36,280 BUT BECAUSE WE WERE COBBLING 1494 01:03:36,280 --> 01:03:37,920 TOGETHER A MENTORSHIP FOR 1495 01:03:37,920 --> 01:03:39,680 SCIENTIFIC TRAINING THAT WASN'T 1496 01:03:39,680 --> 01:03:40,400 REALLY WELL REPRESENTED ANYWHERE 1497 01:03:40,400 --> 01:03:43,000 IN OUR FIELD WE FELT THERE 1498 01:03:43,000 --> 01:03:45,240 NEEDED TO BE CONCURRENT 1499 01:03:45,240 --> 01:03:47,320 METAMENTORSHIP IF YOU WILL, 1500 01:03:47,320 --> 01:03:48,280 OVERARCHING GUIDANCE ON HOW DO 1501 01:03:48,280 --> 01:03:49,560 YOU PUT ALL THESE PIECES 1502 01:03:49,560 --> 01:03:51,400 TOGETHER AS YOU MOVE THROUGH A 1503 01:03:51,400 --> 01:03:52,400 COMPLEX CLINICAL RESEARCH 1504 01:03:52,400 --> 01:03:54,440 CAREER, MANY OF THE SORT OF 1505 01:03:54,440 --> 01:03:55,720 COMPLEXITIES THAT LINDA ALLUDED 1506 01:03:55,720 --> 01:03:59,920 TO IN HER REMARKS AT THE VERY 1507 01:03:59,920 --> 01:04:00,160 BEGINNING. 1508 01:04:00,160 --> 01:04:03,560 SO, IN 1995, WE WERE ABLE TO 1509 01:04:03,560 --> 01:04:09,960 OBTAIN A GRANT FROM NCMRR AND 1510 01:04:09,960 --> 01:04:13,120 NCIHD K-12 GRANT SPECIFICALLY 1511 01:04:13,120 --> 01:04:14,640 FOR FIZZIAC TRYSTS INTERESTED IN 1512 01:04:14,640 --> 01:04:17,080 RESEARCH CAREERS AND IT WAS UND 1513 01:04:17,080 --> 01:04:19,480 FUNDED FOR 5 YEARS AND WASN'T 1514 01:04:19,480 --> 01:04:20,200 RENEWED. 1515 01:04:20,200 --> 01:04:22,400 AND THEN IN 2002, I WAS TASKED 1516 01:04:22,400 --> 01:04:24,440 TO WRITE THE REVISION THAT WOULD 1517 01:04:24,440 --> 01:04:31,360 FIX SOME OF THE HOLES IN THE 1518 01:04:31,360 --> 01:04:33,120 INITIAL RUN AND WE FEEL THAT 1519 01:04:33,120 --> 01:04:35,320 MODEL WAS QUITE SUCCESSFUL AND 1520 01:04:35,320 --> 01:04:38,600 CONTINUED THROUGH 2017 AT WHICH 1521 01:04:38,600 --> 01:04:41,960 TIME NCMRR BEGAN ENDING CAREER 1522 01:04:41,960 --> 01:04:46,240 SPECIFIC K12 GRANTS AND SO ON AT 1523 01:04:46,240 --> 01:04:48,280 THE PRESENT TIME IT WAS MORPHED 1524 01:04:48,280 --> 01:04:50,960 INTO AN R25 GRANT. 1525 01:04:50,960 --> 01:04:53,560 BOTH THE ORIGINAL KTBEFUL AND 1526 01:04:53,560 --> 01:04:55,200 THE CURRENT GRANT SHARE AN 1527 01:04:55,200 --> 01:04:56,720 IMPORTANT INFRASTRUCTURE WHICH 1528 01:04:56,720 --> 01:04:58,480 IS AN ANNUAL 2 AND HALF DAY 1529 01:04:58,480 --> 01:05:00,840 RESEARCH CAREER DEVELOPMENT 1530 01:05:00,840 --> 01:05:03,120 WORKSHOP THAT OCCURS AT OUR 1531 01:05:03,120 --> 01:05:04,720 ANNUAL PROFESSIONAL SOCIETY 1532 01:05:04,720 --> 01:05:07,680 MEETING AND THAT HAS 1533 01:05:07,680 --> 01:05:09,080 INCREASINGLY AS THERE ARE MORE 1534 01:05:09,080 --> 01:05:10,640 AND MORE TRAINEES AND MORE AND 1535 01:05:10,640 --> 01:05:13,320 MORE LEVELS TRACKS THAT ARE 1536 01:05:13,320 --> 01:05:15,320 TAYLORED TO DIFFERENT LEVELS OF 1537 01:05:15,320 --> 01:05:17,960 YOU KNOW--DIFFERENT 1538 01:05:17,960 --> 01:05:19,520 DEVELOPMENTAL LEVELS, AND THEN 1539 01:05:19,520 --> 01:05:21,200 THROUGHOUT THE YEAR, RERUN 1540 01:05:21,200 --> 01:05:22,360 QUARTERLY SMALL GROUP 1541 01:05:22,360 --> 01:05:23,480 TELECONFERENCES WITH EITHER 1542 01:05:23,480 --> 01:05:26,480 MYSELF OR THE CO DIRECTOR OF THE 1543 01:05:26,480 --> 01:05:28,720 PROGRAM CURRENTLY MICHAEL BONING 1544 01:05:28,720 --> 01:05:32,160 ER, WE MEET WITH 3 OR 4 TRAINEES 1545 01:05:32,160 --> 01:05:39,080 AT A TIME FOR AN HOUR 4 TIMES A 1546 01:05:39,080 --> 01:05:42,040 YEAR WHERE THEY REVIEW GOALS 1547 01:05:42,040 --> 01:05:43,120 THAT ARE INITIALLY CREATED AND 1548 01:05:43,120 --> 01:05:45,160 THE GOALS ARE TAYLORED TO 1549 01:05:45,160 --> 01:05:50,640 WHATEVER THEIR DEVELOPMENTAL 1550 01:05:50,640 --> 01:05:53,200 LEVEL IS INLET K12 VERSION, WE 1551 01:05:53,200 --> 01:05:54,040 SHEPHERDED THEM ALL THE WAY TO 1552 01:05:54,040 --> 01:05:56,520 THE POINT WHERE WE WOULD AWARD 2 1553 01:05:56,520 --> 01:06:06,360 OR 3, 3 YEAR FELLOWSHIPS AND AND 1554 01:06:06,360 --> 01:06:07,920 LOOK FOR FUNDING BUT SINCE THE 1555 01:06:07,920 --> 01:06:09,520 R25 WE'RE SENDING ALL OF THE 1556 01:06:09,520 --> 01:06:11,600 TRAINEES OUT INTO THE WORLD TO 1557 01:06:11,600 --> 01:06:19,400 FIND OTHER FUNDING BUT THE 1558 01:06:19,400 --> 01:06:22,680 GUIDANCE THAT WE PROVIDE IS VERY 1559 01:06:22,680 --> 01:06:23,840 SIMILAR, WE'VE WRITTEN PUBLISHED 1560 01:06:23,840 --> 01:06:27,840 2 PAPERS THAT LOOK AT THE 1561 01:06:27,840 --> 01:06:29,080 OUTCOMES OVER RELATIVELY LONG 1562 01:06:29,080 --> 01:06:30,680 AND NOW EVEN LONGER PERIODS OF 1563 01:06:30,680 --> 01:06:32,080 TIME THAT I THINK SUPPORT THE 1564 01:06:32,080 --> 01:06:34,480 CONTENTION THAT IT'S BEEN A 1565 01:06:34,480 --> 01:06:35,880 SUCCESSFUL PROGRAM BUT IT'S 1566 01:06:35,880 --> 01:06:39,120 DIVIDED INTO 3 PHASES, IF YOU 1567 01:06:39,120 --> 01:06:40,200 WILL, THE PREAPPLICANT PHASE, 1568 01:06:40,200 --> 01:06:43,360 WHICH IS FOR PEOPLE WHO NEED TO 1569 01:06:43,360 --> 01:06:47,720 BE WORKING ON DEFINING THEIR 1570 01:06:47,720 --> 01:06:49,480 INTENDED CAREER DIRECTION TO 1571 01:06:49,480 --> 01:06:50,880 IDENTIFY PRIMARY MENTOR AND TO 1572 01:06:50,880 --> 01:06:54,200 BUILD A BIOSKETCH THAT IS 1573 01:06:54,200 --> 01:06:56,480 COMPETITIVE FOR EXTRAMURAL 1574 01:06:56,480 --> 01:06:57,840 CREATIVE FUNDAMENTAL DIRECTING 1575 01:06:57,840 --> 01:06:59,400 SO MANY FOLKS COME IN WITHOUT A 1576 01:06:59,400 --> 01:07:01,720 LOT ON THEIR RESUMES SO THEY 1577 01:07:01,720 --> 01:07:03,040 NEED TO PUBLISH PAPERS WITH A 1578 01:07:03,040 --> 01:07:05,040 LOCAL MENTOR AND GET TRACK 1579 01:07:05,040 --> 01:07:06,280 RECORD GOING BEFORE THEY'RE EVEN 1580 01:07:06,280 --> 01:07:08,280 A CREDIBLE CANDIDATE AND THEY 1581 01:07:08,280 --> 01:07:10,160 HAVE ON NO CLUE WHAT SET OF 1582 01:07:10,160 --> 01:07:11,320 MENTOR SYSTEM REALLY GOING TO BE 1583 01:07:11,320 --> 01:07:13,680 GOOD FOR THEM IN THE LONG RUN OR 1584 01:07:13,680 --> 01:07:14,640 XCTLY HOW TO DEFINE WHERE THEY 1585 01:07:14,640 --> 01:07:15,960 WANT TO GO, SO THOSE ARE THE 1586 01:07:15,960 --> 01:07:20,760 GOALS THAT COME TO THE ANNUAL 1587 01:07:20,760 --> 01:07:23,600 WORKSHOP BASED ON AN APPLICATION 1588 01:07:23,600 --> 01:07:26,000 AND A NOMINATION FROM THEIR 1589 01:07:26,000 --> 01:07:26,400 DEPARTMENT CHAIR. 1590 01:07:26,400 --> 01:07:28,000 WE ACCEPT 12 OR SO NEW PEOPLE A 1591 01:07:28,000 --> 01:07:31,240 YEAR AND AS WELL AS PEOPLE 1592 01:07:31,240 --> 01:07:33,520 RETURNING FROM PRIOR YEARS AND 1593 01:07:33,520 --> 01:07:37,920 IN THE PREAPPLICANT PHASE, 1594 01:07:37,920 --> 01:07:40,640 THERE'S THE MOST DIDACTIC 1595 01:07:40,640 --> 01:07:40,920 CONTENT. 1596 01:07:40,920 --> 01:07:42,400 WHAT THE HECK DOES THIS CAREER 1597 01:07:42,400 --> 01:07:43,920 LOOK LIKE? 1598 01:07:43,920 --> 01:07:45,320 WHO FUNDS IT WHO'S THE PROCESS 1599 01:07:45,320 --> 01:07:45,520 LIKE? 1600 01:07:45,520 --> 01:07:47,120 WHAT DO YOU NEED TO DO? 1601 01:07:47,120 --> 01:07:49,200 A WHOLE BUNCH OF STUFF THAT IS 1602 01:07:49,200 --> 01:07:50,760 OVERWHELMING, BUT A LOT OF SMALL 1603 01:07:50,760 --> 01:07:52,000 GROUP WORK AND IMPORTANTLY THE 1604 01:07:52,000 --> 01:07:54,400 FOLKS FROM ALL THE DIFFERENT 1605 01:07:54,400 --> 01:07:55,960 LEVELS ARE TOGETHER AND 1606 01:07:55,960 --> 01:07:59,240 EVERYTHING THAT'S SCARE SEYOU 1607 01:07:59,240 --> 01:08:01,480 KNOW, REASSURED BY THE PERSON 2 1608 01:08:01,480 --> 01:08:02,880 YEARS AHEAD OF YOU THAT YOU CAN 1609 01:08:02,880 --> 01:08:05,240 GET THROUGH IT AND AGAIN SMALL 1610 01:08:05,240 --> 01:08:06,120 GROUP TELECONFERENCES THAT FOR 1611 01:08:06,120 --> 01:08:08,600 THIS GROUP ARE REALLY TO 1612 01:08:08,600 --> 01:08:10,560 CONTINUE TO--WHO HAVE YOU LOOKED 1613 01:08:10,560 --> 01:08:11,680 AT FOR MENTORS, YOU KNOW, WHERE 1614 01:08:11,680 --> 01:08:14,440 ARE YOU THINKING OF GOING FOR 1615 01:08:14,440 --> 01:08:16,560 YOUR FELLOWSHIP, THOSE KINDS OF 1616 01:08:16,560 --> 01:08:16,880 THINGS. 1617 01:08:16,880 --> 01:08:22,320 IN THE APPLICANT PHASE, THEY 1618 01:08:22,320 --> 01:08:24,360 MOVE INTO THIS PHASE WHEN THEY 1619 01:08:24,360 --> 01:08:25,800 FOUND A CREDIBLE DEVELOPMENT 1620 01:08:25,800 --> 01:08:27,480 MENTOR AND HAVE SOME REASONABLY 1621 01:08:27,480 --> 01:08:29,080 WELL FORMED SPECIFIC AIMS IF ARE 1622 01:08:29,080 --> 01:08:35,440 FOR A CAREER DEVELOPMENT 1623 01:08:35,440 --> 01:08:35,880 RESEARCH PROJECT. 1624 01:08:35,880 --> 01:08:38,080 AND WHEN WE APPROVE THE MOVING 1625 01:08:38,080 --> 01:08:39,280 INTO THIS PHASE WHEN WE OFFER 1626 01:08:39,280 --> 01:08:41,400 THEM AGAIN IS AT THE ANNUAL 1627 01:08:41,400 --> 01:08:45,360 TENDANCE NOW WITH MORE ADVANCED 1628 01:08:45,360 --> 01:08:46,600 CONTENT AND AND WE CONTINUE TO 1629 01:08:46,600 --> 01:08:49,360 HAVE THE QUARTERLY CALLS BUT 1630 01:08:49,360 --> 01:08:51,760 IMPORTANTLY NOW, THEY--WE OFFER 1631 01:08:51,760 --> 01:08:57,160 THEM 2-3 PREREVIEWS OF GRANT 1632 01:08:57,160 --> 01:08:57,600 APPLICATIONS ANNUALLY. 1633 01:08:57,600 --> 01:08:59,040 CAREER DEVELOPMENT GRANT 1634 01:08:59,040 --> 01:09:00,480 APPLICATIONS OR IN SOME CASES 1635 01:09:00,480 --> 01:09:01,640 RESEARCH GRANTS, SOME OF OUR 1636 01:09:01,640 --> 01:09:04,400 FOLKS FEEL IT'S MORE REALISTIC 1637 01:09:04,400 --> 01:09:07,360 TO DO MORE INCREMENTALLY 1638 01:09:07,360 --> 01:09:08,160 AMBITIOUS RESEARCH GRANTS THAN 1639 01:09:08,160 --> 01:09:10,440 TO GO INTO A FORMAL K-PATH BUT 1640 01:09:10,440 --> 01:09:11,720 WHICH EVER WE WILL DO PREVERMEN 1641 01:09:11,720 --> 01:09:13,440 INFECTED VIEWS WHICH WILL RESULT 1642 01:09:13,440 --> 01:09:15,400 IN THEM DECIDING THEY'RE NOT 1643 01:09:15,400 --> 01:09:16,720 ABLE TO SUBMIT OR SUBMITTING 1644 01:09:16,720 --> 01:09:18,120 WITH A BETTER APPLICATION AND 1645 01:09:18,120 --> 01:09:20,200 WE'VE HAD VERY GOOD SUCCESS WITH 1646 01:09:20,200 --> 01:09:25,320 FOLKS MOVING ON TO SUCCESSFUL KK 1647 01:09:25,320 --> 01:09:26,760 AND R FUNDING. 1648 01:09:26,760 --> 01:09:30,360 THE GRANTS ARE REVIEWED BY ME OR 1649 01:09:30,360 --> 01:09:31,960 MIKE [INDISCERNIBLE] OUR 1650 01:09:31,960 --> 01:09:32,840 MULTIDISCIPLINARY ADVASERY BOARD 1651 01:09:32,840 --> 01:09:34,560 AND A GRADUATE OF OUR PROGRAM SO 1652 01:09:34,560 --> 01:09:35,320 THAT EVERYBODY GETS EXPERIENCE 1653 01:09:35,320 --> 01:09:37,800 AND MORE AND MORE SENIOR REVIEWS 1654 01:09:37,800 --> 01:09:39,240 USING THE NIH REVIEW TEMPLATES 1655 01:09:39,240 --> 01:09:41,560 AND THEN IN THE LAST PHASE, THE 1656 01:09:41,560 --> 01:09:51,600 FUNDED PHASE, YOU MOVE INTO THIS 1657 01:09:51,600 --> 01:09:53,120 PHASE WHEN YOU GET FUBDING FROM 1658 01:09:53,120 --> 01:09:55,520 ANOTHER AGENCY AND HERE WE 1659 01:09:55,520 --> 01:09:57,040 MAXIMIZE SUPPORT FROM ASHING 1660 01:09:57,040 --> 01:09:57,960 FUNDING DURING CAREER 1661 01:09:57,960 --> 01:10:01,280 DEVELOPMENT AND ALSO IMPORTANTLY 1662 01:10:01,280 --> 01:10:03,240 FACILITATING THE TRANSITION TO 1663 01:10:03,240 --> 01:10:04,040 INDEPENDENT WHICH IN- VOLVES 1664 01:10:04,040 --> 01:10:06,200 NEGOTIATING A NEW POSITION OR 1665 01:10:06,200 --> 01:10:08,280 NEGOTIATING A PACKAGE OF SOME 1666 01:10:08,280 --> 01:10:14,000 KIND AND SO ON, AND HERE AGAIN, 1667 01:10:14,000 --> 01:10:14,800 THE QUARTERLY TELECONFERENCES 1668 01:10:14,800 --> 01:10:17,720 AND THE WORKSHOP FOCUS ON MORE 1669 01:10:17,720 --> 01:10:22,880 ADVANCED CAREER ISSUES, I THINK 1670 01:10:22,880 --> 01:10:24,880 THE--JUST 1 GENERAL THING I WILL 1671 01:10:24,880 --> 01:10:27,000 SAY IS THE ADVICE I GOT IN 1672 01:10:27,000 --> 01:10:28,600 WRITING THE FIRST GRANT IN WHICH 1673 01:10:28,600 --> 01:10:39,120 HAS PROVEN SO TRUE IS THAT THE 1674 01:10:41,360 --> 01:10:45,360 CULTURAL TRAINEES OF THE 1675 01:10:45,360 --> 01:10:47,960 TRAINEES, IS THAT THEY SUPPORT 1676 01:10:47,960 --> 01:10:49,400 EACH OTHER, AND IT'S WONDERFUL 1677 01:10:49,400 --> 01:10:53,640 TO SEE, WE WOULD WOULDN'T HAVE 1678 01:10:53,640 --> 01:10:54,640 THAT. 1679 01:10:54,640 --> 01:10:57,680 WE HAVE TRAINING RUNNING 1680 01:10:57,680 --> 01:11:00,440 FROMICLETAL TO PEDIATRIC, TO 1681 01:11:00,440 --> 01:11:02,200 GERIATRIC, ALL THE POINTS ON THE 1682 01:11:02,200 --> 01:11:04,000 SPECTRUM, PRECLINICAL TO HEALTH 1683 01:11:04,000 --> 01:11:04,840 AND SERVICES, POPULATION, HEALTH 1684 01:11:04,840 --> 01:11:08,320 A LOT OF INCORPORATION OF 1685 01:11:08,320 --> 01:11:09,360 BIOSOCIAL MODELS WHICH I PRESUME 1686 01:11:09,360 --> 01:11:13,160 WILL BE OF INTEREST TO YOU ALL 1687 01:11:13,160 --> 01:11:15,680 AND A COUPLE YEARS AGO WHEN WE 1688 01:11:15,680 --> 01:11:16,640 PUBLISHED OUR MOST RECENT UPDATE 1689 01:11:16,640 --> 01:11:19,440 WE LOOK AT THE LOCATION OF 1690 01:11:19,440 --> 01:11:20,280 TRAINEES, CURRENT TRAINEES AT 1691 01:11:20,280 --> 01:11:21,920 THAT TIME BUT IMPORTANTLY THE 1692 01:11:21,920 --> 01:11:24,040 RED STARS ARE CURRENT DEPARTMENT 1693 01:11:24,040 --> 01:11:25,440 CHAIRS WHO ARE FORMER GRADUATES 1694 01:11:25,440 --> 01:11:28,440 OF THE PROGRAM AND WE'RE NOW 1695 01:11:28,440 --> 01:11:31,480 LEADING ACADEMIC DEPARTMENTS, 1696 01:11:31,480 --> 01:11:34,600 WEARING A HAT THAT REALLY 1697 01:11:34,600 --> 01:11:35,280 UNDERSTANDS THE DEVELOPMENTAL 1698 01:11:35,280 --> 01:11:36,960 TRAJECTORY OF THAT CAREER AND 1699 01:11:36,960 --> 01:11:38,120 START PROVIDING THAT SUPPORT 1700 01:11:38,120 --> 01:11:40,040 INTERNAL TO THEIR OWN ACADEMIC 1701 01:11:40,040 --> 01:11:43,000 MECHANISM RATHER THAN RELYING SO 1702 01:11:43,000 --> 01:11:44,960 MUCH ON A NATIONAL 1703 01:11:44,960 --> 01:11:46,320 INFRASTRUCTURE BUT YOU CAN SEE 1704 01:11:46,320 --> 01:11:48,480 THAT'S TRUE IN 5 PLACES AND WE 1705 01:11:48,480 --> 01:11:50,120 HAVE VICE CHAIRS OF RESEARCH AND 1706 01:11:50,120 --> 01:11:51,400 MORE PEOPLE COMING OUT ALL THE 1707 01:11:51,400 --> 01:11:53,080 TIME SO I THINK WE'VE HAD A REAL 1708 01:11:53,080 --> 01:11:54,480 IMPORTANT IMPACT ON THE FIELD 1709 01:11:54,480 --> 01:11:55,560 AND I WILL STOP THERE AND I 1710 01:11:55,560 --> 01:12:03,200 WOULD BE HAPPY TO DISCUSS 1711 01:12:03,200 --> 01:12:03,440 ANYTHING. 1712 01:12:03,440 --> 01:12:04,760 >> I WILL TURN THE DISCUSSION 1713 01:12:04,760 --> 01:12:06,920 OVER TO DAN NOW, WE HAVE TIME 1714 01:12:06,920 --> 01:12:07,520 FOR QUESTIONS NOW, DAN OR 1715 01:12:07,520 --> 01:12:09,880 HOWEVER YOU WANT TO PLAY IT, 1716 01:12:09,880 --> 01:12:12,400 HAVE CHRISTINE JOINING IN AFTER 1717 01:12:12,400 --> 01:12:13,360 QUESTIONS OR BEFORE? 1718 01:12:13,360 --> 01:12:15,960 >> NO I'M JUST HAPPY TO 1719 01:12:15,960 --> 01:12:17,040 INTRODUCE THIS BUT I WANTED TO 1720 01:12:17,040 --> 01:12:18,360 GET THE BALL ROLLING BY ASKING A 1721 01:12:18,360 --> 01:12:21,960 QUESTION, IF YOU WERE TO BACK 1722 01:12:21,960 --> 01:12:23,160 OFF AND LOOK AT THE OVERALL 1723 01:12:23,160 --> 01:12:27,560 STRUCTURE THAT YOU HAVE ARRIVED 1724 01:12:27,560 --> 01:12:30,400 AT, IS THERE ENOUGH NUMBER AND 1725 01:12:30,400 --> 01:12:33,360 DESCRIPTION AVAILABLE OF THE 1726 01:12:33,360 --> 01:12:35,120 STRUCTURES SUCH AS WHAT YOU HAVE 1727 01:12:35,120 --> 01:12:37,520 PRESENTED BUT CAST IN A 1728 01:12:37,520 --> 01:12:38,720 DIFFERENT FORM SUCH AS LOOKING 1729 01:12:38,720 --> 01:12:40,240 AT A DIFFERENT NUMBER OF PHASES, 1730 01:12:40,240 --> 01:12:41,760 DIFFERENT NUMBER OF ROLES 1731 01:12:41,760 --> 01:12:44,440 BECAUSE WHAT YOU DESCRIBED 1732 01:12:44,440 --> 01:12:45,560 UNDOUBTEDLY IS SUCCESSFUL AND 1733 01:12:45,560 --> 01:12:46,640 INFORMAIVE IT BUT THINK BEING 1734 01:12:46,640 --> 01:12:50,880 THE OVERALL NEED TO DEVELOP THE 1735 01:12:50,880 --> 01:12:52,280 BROAD WORKPLACE. 1736 01:12:52,280 --> 01:12:55,560 I WONDER WHAT FEATURES HAVE YOU 1737 01:12:55,560 --> 01:12:56,000 DESCRIBED? 1738 01:12:56,000 --> 01:12:59,080 WHICH COULD BE GENERALIZABLE AND 1739 01:12:59,080 --> 01:12:59,600 TRANSPORTABLE OR OTHERS? 1740 01:12:59,600 --> 01:13:01,240 I KNOW IT'S A BROAD QUESTION AND 1741 01:13:01,240 --> 01:13:11,680 MAYBE JUST TO GET THE BALL 1742 01:13:14,440 --> 01:13:14,840 ROLLING? 1743 01:13:14,840 --> 01:13:15,600 >> ONE TECHNOLOGY TRANSFER I 1744 01:13:15,600 --> 01:13:17,080 THINK I SAID WAS THAT SOME 1745 01:13:17,080 --> 01:13:18,360 STRUCTURE THAT PUTS PEOPLE AT 1746 01:13:18,360 --> 01:13:20,520 DIFFERENT LEVELS WHO ARE ALL 1747 01:13:20,520 --> 01:13:22,720 ENGAGED IN SAME CHALLENGING TASK 1748 01:13:22,720 --> 01:13:26,040 IN CLOSE CONTACT AND IN A SOCIAL 1749 01:13:26,040 --> 01:13:28,920 SUPPORTIVE WAY IS A REALLY 1750 01:13:28,920 --> 01:13:30,600 IMPORTANT THING PARTICULARLY FOR 1751 01:13:30,600 --> 01:13:31,200 PREVENTING PEOPLE'S DEPARTURE 1752 01:13:31,200 --> 01:13:32,360 BECAUSE THERE'S A LOT OF 1753 01:13:32,360 --> 01:13:34,320 FRUSTRATION AND A LOT OF FAILURE 1754 01:13:34,320 --> 01:13:37,640 ALONG THE WAY AND TO HEAR THAT 1755 01:13:37,640 --> 01:13:39,600 NORMALIZED AND SUPPORTED IS 1756 01:13:39,600 --> 01:13:40,040 REALLY IMPORTANT. 1757 01:13:40,040 --> 01:13:50,560 I DON'T KNOW THAT THE 3 PHASES 1758 01:14:01,320 --> 01:14:03,000 IS THAT FITS MORE BROADLY AND I 1759 01:14:03,000 --> 01:14:06,560 KNOW OUR TRAINEES EVERY YEAR AS 1760 01:14:06,560 --> 01:14:08,640 THE PROGRAM ENDS WE GET A LOT OF 1761 01:14:08,640 --> 01:14:10,760 BOTH WRITTEN FEEDBACK BUT A LOT 1762 01:14:10,760 --> 01:14:14,160 OF OPEN VERBAL FEEDBACK AND AND 1763 01:14:14,160 --> 01:14:15,840 AS THE PROGRAM HAS MATURED, 1764 01:14:15,840 --> 01:14:19,280 PEOPLE HAVE SAID, MORE AND MORE 1765 01:14:19,280 --> 01:14:21,680 WHEN THEY VALUE ARE SMALL GROUP 1766 01:14:21,680 --> 01:14:23,280 ACTIVITIES WITH PEOPLE WHO ARE 1767 01:14:23,280 --> 01:14:26,520 MORE SENIOR TO THEM WHO CAN TALK 1768 01:14:26,520 --> 01:14:30,120 IN A RELATIVELY INDIVIDUALLY 1769 01:14:30,120 --> 01:14:33,760 TAILORED WAY SO THE BALANCE OF 1770 01:14:33,760 --> 01:14:35,240 MORE DIDACTIC AND STANDARD TO 1771 01:14:35,240 --> 01:14:39,160 MORE, YOU KNOW TOPICAL BUT 1772 01:14:39,160 --> 01:14:40,640 FACILITATED INDIVIDUALIZED HAS 1773 01:14:40,640 --> 01:14:41,520 SHIFTED DEFINITELY TOWARD THE 1774 01:14:41,520 --> 01:14:51,880 LATTER OVER THE YEARS. 1775 01:14:53,800 --> 01:14:55,360 >> OF COURSE, WHAT WOULD BE THE 1776 01:14:55,360 --> 01:14:56,480 COMPONENTS ACROSS THE DIFFERENT 1777 01:14:56,480 --> 01:14:58,080 SOCIETIES THAT HAVE DIFFERENT 1778 01:14:58,080 --> 01:14:58,880 PATIENT POPULATIONS, DIFFERENT 1779 01:14:58,880 --> 01:15:00,640 TECHNIQUES AND SO ON, WHAT COULD 1780 01:15:00,640 --> 01:15:05,080 BE IN COMMON AND WHAT COULD BE 1781 01:15:05,080 --> 01:15:07,600 DISTINCTIVE TO FIT INTO A 1782 01:15:07,600 --> 01:15:16,200 WORKFORCE DEVELOPMENT QUALITY 1783 01:15:16,200 --> 01:15:17,040 ASSESSMENT'RE THERE OTHER POINTS 1784 01:15:17,040 --> 01:15:19,720 PEOPLE WOULD LIKE TO MAKE OR 1785 01:15:19,720 --> 01:15:21,120 VOLUNTEER THINGS FOR INDIVIDUALS 1786 01:15:21,120 --> 01:15:31,560 EXPERIENCE OR INSTITUTIONS 1787 01:15:35,080 --> 01:15:35,520 EXPERIENCE. 1788 01:15:35,520 --> 01:15:36,880 >> DR. WHYTE OR DO WE WANT TO 1789 01:15:36,880 --> 01:15:38,640 PROCEED TO DR. SONG? 1790 01:15:38,640 --> 01:15:42,040 >> NO, REALLY I THINK THAT I SEE 1791 01:15:42,040 --> 01:15:43,360 A LOT OF PARALLELS IN THE SENSE 1792 01:15:43,360 --> 01:15:45,880 THAT I DON'T WORK IN PAIN 1793 01:15:45,880 --> 01:15:50,880 MYSELF, BUT IT SEEMS TO ME THAT 1794 01:15:50,880 --> 01:15:52,440 IN ANY FIELD WHERE A MATURE 1795 01:15:52,440 --> 01:15:53,960 SCIENTIST IS LIKELY TO BE 1796 01:15:53,960 --> 01:15:55,840 WORKING IN A MULTIDISPLENARY 1797 01:15:55,840 --> 01:15:57,280 TEAM SETTING THAT MAKES THE 1798 01:15:57,280 --> 01:16:00,240 TRAINING OF THE SCIENTISTS FOR 1799 01:16:00,240 --> 01:16:01,560 THAT CAREER MORE CHALLENGING 1800 01:16:01,560 --> 01:16:03,880 BECAUSE IN MY EXPERIENCE, THERE 1801 01:16:03,880 --> 01:16:06,280 AREN'T AS MANY GOOD ROLE 1802 01:16:06,280 --> 01:16:08,120 MODELING OF THAT 1803 01:16:08,120 --> 01:16:08,920 MULTIDISCIPLINARY TEAM SCIENCE 1804 01:16:08,920 --> 01:16:11,920 TO PREPARE THE PERSON FOR THAT. 1805 01:16:11,920 --> 01:16:14,960 SO PART OF WHAT I THINK IS A 1806 01:16:14,960 --> 01:16:16,800 CHALLENGE FOR AREAS OF SCIENCE 1807 01:16:16,800 --> 01:16:20,360 THAT ARE ESPECIALLY COMPLEX AND 1808 01:16:20,360 --> 01:16:21,120 MULTIDISCIPLINARY IS FIGURING 1809 01:16:21,120 --> 01:16:23,120 OUT THE TRAINING PATHWAY THAT 1810 01:16:23,120 --> 01:16:25,080 DOESN'T EXPECT THE TRAINEE TO 1811 01:16:25,080 --> 01:16:26,720 PUT TOGETHER WHAT IN MY OPINION 1812 01:16:26,720 --> 01:16:28,240 IS THE MOST COMPLICATED PART OF 1813 01:16:28,240 --> 01:16:29,440 THE TASK LIKE YOU WILL GET A 1814 01:16:29,440 --> 01:16:30,760 LITTLE OF THIS AND I LITTLE OF 1815 01:16:30,760 --> 01:16:34,280 THAT AND YOU WILL FIGURE OUT HOW 1816 01:16:34,280 --> 01:16:40,720 IT BECOMES A COMPOSITE. 1817 01:16:40,720 --> 01:16:44,760 SO THAT'S KIND OF 1 OF THE KEY 1818 01:16:44,760 --> 01:16:46,760 PURPOSES OF THAT METAMENTORSHIP 1819 01:16:46,760 --> 01:16:48,240 AND WHAT COMBINATION OF MENTORS 1820 01:16:48,240 --> 01:16:49,720 AND WHAT KINDS OF PROBLEMS WILL 1821 01:16:49,720 --> 01:16:51,280 GIVE YOU THE BEST EXPOSURE TO 1822 01:16:51,280 --> 01:16:55,560 THE KINDS OF THINGS THAT WILL 1823 01:16:55,560 --> 01:17:01,920 HELP YOU GO WHERE YOU WANT TO 1824 01:17:01,920 --> 01:17:02,080 GO. 1825 01:17:02,080 --> 01:17:03,920 >> JUST LOOKING AT THE 1826 01:17:03,920 --> 01:17:04,880 EVALUATION PROCESS, THE 1827 01:17:04,880 --> 01:17:06,080 APPLICATION PROCESS FOR THE 1828 01:17:06,080 --> 01:17:07,400 MENTEES, YOU GET ALL THE STEPS 1829 01:17:07,400 --> 01:17:12,760 FILLED IN AND SO MANY SO MANY 1830 01:17:12,760 --> 01:17:15,320 GOOD COLLABORATIONS OVER THE 1831 01:17:15,320 --> 01:17:17,720 PROGRAMS, IS THERE--A CHALLENGE 1832 01:17:17,720 --> 01:17:21,800 THAT YOU MET WITH BRINGING IN 1833 01:17:21,800 --> 01:17:24,360 THE BEST MENTORS INTO--I DON'T 1834 01:17:24,360 --> 01:17:25,800 WANT TO SAY YOUR PROGRAM BUT IT 1835 01:17:25,800 --> 01:17:28,600 IS A FAIRLY WELL DEFINED PROGRAM 1836 01:17:28,600 --> 01:17:36,120 AND HOW DO YOU GO ABOUT 1837 01:17:36,120 --> 01:17:39,480 ENCOURAGING THEM TO BE MENTORS 1838 01:17:39,480 --> 01:17:39,720 WITHIN? 1839 01:17:39,720 --> 01:17:42,160 >> YOU KNOW, AGAIN WE HAVE 2 1840 01:17:42,160 --> 01:17:44,440 LAYERS OF MENTORS, WE HAVE THE 1841 01:17:44,440 --> 01:17:47,200 MENTORS FOR THE RMSTP, AND 1842 01:17:47,200 --> 01:17:51,080 INDEED, I MEAN, THE REASON WE 1843 01:17:51,080 --> 01:17:52,600 HAD THE--WE STILL DO BUT THE 1844 01:17:52,600 --> 01:17:54,120 REASON WE HAVE IT WHEN WE 1845 01:17:54,120 --> 01:17:56,240 STARTED IS THAT THERE WEREN'T 1846 01:17:56,240 --> 01:17:57,360 ENOUGH MENTORS LOCALLY 1847 01:17:57,360 --> 01:17:58,880 EVERYWHERE TO GIVE PEOPLE THAT 1848 01:17:58,880 --> 01:18:01,880 BIG PICTURE CAREER DEVELOPMENT 1849 01:18:01,880 --> 01:18:09,840 SUPPORT SO WE FELT THAT HAD TO 1850 01:18:09,840 --> 01:18:10,640 BE PROVIDED NATIONALLY, THERE 1851 01:18:10,640 --> 01:18:13,240 WERE ENOUGH OF PEOPLE PUT 1852 01:18:13,240 --> 01:18:14,720 TOGETHER A PAN WILL NATIONALLY 1853 01:18:14,720 --> 01:18:21,680 TO DO THAT JOB AND SO WE DID. 1854 01:18:21,680 --> 01:18:24,040 BUT THEN WE--THAT PANEL ARE 1855 01:18:24,040 --> 01:18:24,680 RARELILET PRIMARY MENTORS FOR 1856 01:18:24,680 --> 01:18:27,200 ANY OF THE TRAINEES. 1857 01:18:27,200 --> 01:18:28,960 TRAINEES ARE FINDING MENTORSHIP 1858 01:18:28,960 --> 01:18:30,160 IN A LABORATORY WHERE THEY ARE 1859 01:18:30,160 --> 01:18:31,800 AND/OR WHERE THEY MOVED TO, 1860 01:18:31,800 --> 01:18:33,560 WE'RE HELPING THEM FIGURE OUT 1861 01:18:33,560 --> 01:18:34,840 WHOSE LABORATORY THAT SHOULD BE 1862 01:18:34,840 --> 01:18:35,800 AND FIGURE OUT WHETHER THAT'S 1863 01:18:35,800 --> 01:18:40,440 GOING TO BE A GOOD LABORATORY 1864 01:18:40,440 --> 01:18:42,800 FOR THEM AND THEN THERE IS THE 1865 01:18:42,800 --> 01:18:45,040 QUESTION WHERE WHY IS THAT 1866 01:18:45,040 --> 01:18:46,640 LABORATORY INTERESTED IN HAVING 1867 01:18:46,640 --> 01:18:48,000 A REHAB CLINICIAN HANG OUT IN 1868 01:18:48,000 --> 01:18:49,240 THE LABORATORY AND WE HAVE TO 1869 01:18:49,240 --> 01:18:56,760 HELP THEM GET A GOOD SALES PITCH 1870 01:18:56,760 --> 01:19:04,560 TO ANSWER THAT QUESTION. 1871 01:19:04,560 --> 01:19:05,840 >> SO THANK YOU, AND I THINK WE 1872 01:19:05,840 --> 01:19:09,000 ARE KEEPING ON TIME, SO SPEAKING 1873 01:19:09,000 --> 01:19:09,760 OF EVERYBODY'S AGREEMENT, WE 1874 01:19:09,760 --> 01:19:11,120 WOULD LIKE TO HEAR THE 1875 01:19:11,120 --> 01:19:13,360 EXPERIENCE OF DR. SONG, WHO 1876 01:19:13,360 --> 01:19:15,120 JOINED EARLIER EFFORTS INITIATED 1877 01:19:15,120 --> 01:19:22,640 BY DR. PORTER AND DRS. SETIN AND 1878 01:19:22,640 --> 01:19:24,720 WANDNER TO GAIN A SENSE OF WHAT 1879 01:19:24,720 --> 01:19:26,560 THE WORKFORCE WAS AND IN 1880 01:19:26,560 --> 01:19:29,000 PARTICULAR TO EXPLORE WELL 1881 01:19:29,000 --> 01:19:31,320 BEFINED SPICIALTS SUCH AS 1882 01:19:31,320 --> 01:19:32,560 ANESTHESIOLOGYS WHICH HAD ITS 1883 01:19:32,560 --> 01:19:35,200 OWN APPROACH TO DEVELOPING A 1884 01:19:35,200 --> 01:19:35,760 SUSTAINABLE WORKFORCE SO 1885 01:19:35,760 --> 01:19:37,400 DR. SONG IF YOU ARE READY TO GO 1886 01:19:37,400 --> 01:19:38,800 PLEASE START IN. 1887 01:19:38,800 --> 01:19:49,240 >> I AM, CAN YOU HEAR ME? 1888 01:19:58,600 --> 01:19:58,920 >> I WILL--YES,. 1889 01:19:58,920 --> 01:20:01,080 >> SO I WILL SAY THANK YOU FOR 1890 01:20:01,080 --> 01:20:03,800 THE INTRODUCTION AND PAIN HAS 1891 01:20:03,800 --> 01:20:06,000 BEEN A CHALLENGE FOR MANY OF 1892 01:20:06,000 --> 01:20:07,000 THOSE BUILDING IN THE WORKFORCE 1893 01:20:07,000 --> 01:20:09,280 SO WHAT YOU HAVE PRESENTED 1894 01:20:09,280 --> 01:20:14,720 REALLY HAS SPOKEN TO SO MANY OF 1895 01:20:14,720 --> 01:20:19,280 US SO CHRISTINE, LAURA, DAN AND 1896 01:20:19,280 --> 01:20:24,600 I HAVE BEEN WORKING 1897 01:20:24,600 --> 01:20:27,560 COLLABORATIVELY WITH THE 1898 01:20:27,560 --> 01:20:30,080 ASSOCIATION OF UNIVERSITY 1899 01:20:30,080 --> 01:20:34,520 ANESTHESIOLOGISTS AUA AND THE 1900 01:20:34,520 --> 01:20:36,480 ANESTHESIA RESEARCH COUNCIL ARC, 1901 01:20:36,480 --> 01:20:42,640 AND ON MAY FOURTH HAD AN AUA 1902 01:20:42,640 --> 01:20:44,480 WEBINAR, PRESENTATIONS OF DATA 1903 01:20:44,480 --> 01:20:45,920 GENERATED AND THE MEETING 1904 01:20:45,920 --> 01:20:49,800 CONFIRMED IS THAT THESE 2 1905 01:20:49,800 --> 01:20:50,760 STAKEHOLDERS SHARE COMMON GOALS 1906 01:20:50,760 --> 01:20:54,000 WITH RESPECT TO THE NEED TO 1907 01:20:54,000 --> 01:20:57,240 CULTIVATE THE NEXT GENERATION OF 1908 01:20:57,240 --> 01:20:57,720 PHYSICIAN SCIENTISTS AND 1909 01:20:57,720 --> 01:20:58,480 ANESTHESIOLOGY INCLUDING PAIN 1910 01:20:58,480 --> 01:21:01,520 AND TO GROW AND TO SUSTAIN THE 1911 01:21:01,520 --> 01:21:02,360 PAIN RESEARCH PIPELINE OVERALL. 1912 01:21:02,360 --> 01:21:05,840 SO IN THE NEXT 10 MINUTES I WILL 1913 01:21:05,840 --> 01:21:07,960 PRESENT BACKGROUND ON AUA AS A 1914 01:21:07,960 --> 01:21:11,120 WEBINAR SPONSOR AND ARC AS THE 1915 01:21:11,120 --> 01:21:12,160 ANESTHESIA STAKEHOLDER AND THEN 1916 01:21:12,160 --> 01:21:15,760 NEXT I WILL PRESENT THE ARC DATA 1917 01:21:15,760 --> 01:21:17,800 THAT THEY PRESENTED AND ALSO I 1918 01:21:17,800 --> 01:21:20,640 WILL PRESENT ARC DATA THAT 1919 01:21:20,640 --> 01:21:22,880 ACTUALLY CAME DIRECTLY FROM 1 OF 1920 01:21:22,880 --> 01:21:24,240 THEIR MEETINGS IN 2021 AND THEN 1921 01:21:24,240 --> 01:21:26,280 I WILL SUMMARIZE THE IDENTIFIED 1922 01:21:26,280 --> 01:21:27,600 GAPS AND OPPORTUNITIES MANY OF 1923 01:21:27,600 --> 01:21:31,800 WHICH WERE DISCUSSED AT THAT MAY 1924 01:21:31,800 --> 01:21:33,680 2021 MEETING AND FINALLY I WILL 1925 01:21:33,680 --> 01:21:35,280 PRECEPT A SAMPLE OF QUESTIONS 1926 01:21:35,280 --> 01:21:37,200 THAT WERE GENERATED BY MEMBERS 1927 01:21:37,200 --> 01:21:39,080 OF THE ACADEMIC ANESTHESIOLOGY 1928 01:21:39,080 --> 01:21:49,560 AUDIENCE AND THE OPEN DIALOGUE 1929 01:21:50,320 --> 01:21:50,600 SESSION. 1930 01:21:50,600 --> 01:21:53,240 MANY OF THOSE PUB LIAISONYICIZED 1931 01:21:53,240 --> 01:21:57,400 WITHIN THIS COMMUNITY, ABOUT 200 1932 01:21:57,400 --> 01:21:58,200 INDIVIDUALS REGISTERED, ABOUT 50 1933 01:21:58,200 --> 01:22:03,440 SIGNED ON, AND THAT'S NOT BAD 1934 01:22:03,440 --> 01:22:04,960 CONSIDERING CONSIDERING THIS WAS 1935 01:22:04,960 --> 01:22:15,480 RECORDED AND ACCESSIBLE AS AN 1936 01:22:18,400 --> 01:22:19,760 ON-DEMAND WEBINAR. 1937 01:22:19,760 --> 01:22:23,040 SO THE STAKEHOLDER ARC 1938 01:22:23,040 --> 01:22:23,480 RECRESENTS ACADEMIC 1939 01:22:23,480 --> 01:22:24,920 ANESTHESIOLOGISTS AND IT WAS 1940 01:22:24,920 --> 01:22:28,040 FOUNDED BY THE COMPONENT 1941 01:22:28,040 --> 01:22:30,120 ORGANIZATION ASA, AND IARS, AND 1942 01:22:30,120 --> 01:22:31,280 FAER AND THEIR COLLECTIVE 1943 01:22:31,280 --> 01:22:32,720 MISSION IS TO ADVANCE THE 1944 01:22:32,720 --> 01:22:33,880 SCIENTIFIC DISCOVERY THROUGH 1945 01:22:33,880 --> 01:22:36,120 DEVELOPMENT AND DISSEMINATION OF 1946 01:22:36,120 --> 01:22:37,520 RESEARCH AND ANESTHESIOLOGY 1947 01:22:37,520 --> 01:22:39,160 PERIOPERATIVE AND PAIN MEDICINE. 1948 01:22:39,160 --> 01:22:40,880 NOW ARC HAS IDENTIFIED GAPS THAT 1949 01:22:40,880 --> 01:22:43,680 IS OPPORTUNITIES FOR 1950 01:22:43,680 --> 01:22:44,320 IMPROVEMENT, INCLUDING 1951 01:22:44,320 --> 01:22:46,640 DIFFICULTIES AND SUSTAINING A 1952 01:22:46,640 --> 01:22:48,040 CULTURE OF INQUIRY AND PROBLEM 1953 01:22:48,040 --> 01:22:51,240 SOLVING AND A SPECIALTY 1954 01:22:51,240 --> 01:22:55,160 CONSTRAINED BY FINANCIAL 1955 01:22:55,160 --> 01:22:57,000 IMPERIAATIVES AND IN SUFFICIENT 1956 01:22:57,000 --> 01:22:57,960 INSTITUTIONAL RESEARCH AND 1957 01:22:57,960 --> 01:22:59,360 SUPPORT AND DEVELOPMENT OF 1958 01:22:59,360 --> 01:23:01,080 PHYSICIAN SCIENTISTS, SO NOTABLY 1959 01:23:01,080 --> 01:23:04,240 THEY RECOGNIZE A CRITICAL ROLE 1960 01:23:04,240 --> 01:23:06,520 THAT RESEARCH PLAYS IN ADVANCING 1961 01:23:06,520 --> 01:23:08,080 ANESTHESIOLOGY PRACTICE AND THE 1962 01:23:08,080 --> 01:23:14,080 FUTURE OF THE SPECIALTY AS A 1963 01:23:14,080 --> 01:23:14,400 WHOLE. 1964 01:23:14,400 --> 01:23:20,160 SO UNDER MAX KELZ LEADERSHIP, 3 1965 01:23:20,160 --> 01:23:21,720 GROUPS WERE FOCUSING LEADERSHIP 1966 01:23:21,720 --> 01:23:23,000 AND GOALS EACH OF WHICH 1967 01:23:23,000 --> 01:23:26,320 ADDRESSES 3 CHALLENGES IN THE 1968 01:23:26,320 --> 01:23:28,200 ANESTHESIOLOGY SPACE AND SO FAR 1969 01:23:28,200 --> 01:23:31,040 THEY COMPLETED THE FIRST YEAR OF 1970 01:23:31,040 --> 01:23:32,480 THE PILOT AND VIVIAN WAS A 1971 01:23:32,480 --> 01:23:34,080 MEMBER OF THE WORKING GROUP YEAR 1972 01:23:34,080 --> 01:23:37,200 1 AND PRESENTED THEIR DATA AT 1973 01:23:37,200 --> 01:23:47,680 THE AUA WEBINAR LAST MONTH. 1974 01:23:49,040 --> 01:23:51,200 AND TO DISCOVER AND CLINICAL 1975 01:23:51,200 --> 01:23:52,800 SCIENCE WHICH ARE THREATENED BY 1976 01:23:52,800 --> 01:24:03,280 THE TECLIEN IN THE PHYSICIAN 1977 01:24:08,560 --> 01:24:08,960 SCIENTIST WORKFORCE. 1978 01:24:08,960 --> 01:24:13,040 SO THEY WERE TASKED WITH 1979 01:24:13,040 --> 01:24:17,440 ADDRESSING FIRST THE SCOPE OF 1980 01:24:17,440 --> 01:24:19,360 THE ANESTHESIOLOGIST SCIENTIST 1981 01:24:19,360 --> 01:24:19,840 SHORTAGE. 1982 01:24:19,840 --> 01:24:21,640 NEXT, IDENTIFY FACTORS 1983 01:24:21,640 --> 01:24:23,720 ASSOCIATED WITH SUCCESSFUL 1984 01:24:23,720 --> 01:24:26,120 PHYSICIAN SCIENTISTS LAUNCH, AND 1985 01:24:26,120 --> 01:24:36,680 THEN TO ADDRESS DIVERSITY IN THE 1986 01:24:38,360 --> 01:24:38,800 PIPELINE. 1987 01:24:38,800 --> 01:24:49,240 THEY HAVE PLANS TO EXPOSE 1988 01:24:57,240 --> 01:24:58,160 STRATEGIC TRAINING. 1989 01:24:58,160 --> 01:25:02,040 IT WAS FOCUSED ON MENTORS AND 1990 01:25:02,040 --> 01:25:03,560 MENTEES, FUNDING, EXPERIENCE AND 1991 01:25:03,560 --> 01:25:05,440 ATTITUDES ABOUT DIVERSITY AND 1992 01:25:05,440 --> 01:25:09,800 DEPARTMENTMENTAL SUPPORT AND 1993 01:25:09,800 --> 01:25:15,120 CULTURE AND HERE'S WHAT THEY 1994 01:25:15,120 --> 01:25:15,800 FOUND. 1995 01:25:15,800 --> 01:25:17,240 THEY FOUND THAT ANESTHESIOLOGY 1996 01:25:17,240 --> 01:25:18,720 DEPARTMENTS COULD DO MORE TO 1997 01:25:18,720 --> 01:25:21,080 FOSTER RESEARCH AMONG MEDICAL 1998 01:25:21,080 --> 01:25:21,520 STUDENTS. 1999 01:25:21,520 --> 01:25:23,280 FOCUSING ON THE LEFT BAR GRAPH 2000 01:25:23,280 --> 01:25:24,920 OVER THE PAST 5 YEARS, YOU CAN 2001 01:25:24,920 --> 01:25:26,400 SEE THAT A LITTLE MORE THAN HALF 2002 01:25:26,400 --> 01:25:29,960 OF THOSE WHO RESPONDED WERE FROM 2003 01:25:29,960 --> 01:25:32,800 DEPARTMENTS THAT HOSTED MEDICAL 2004 01:25:32,800 --> 01:25:35,560 STUDENTS PERFORMING RESEARCH. 2005 01:25:35,560 --> 01:25:39,840 OF NOTE, THE X-AXIS REPRESENTS 2006 01:25:39,840 --> 01:25:41,400 PERCENT NOT OF DEPARTMENTS. 2007 01:25:41,400 --> 01:25:46,200 SO NOW WHAT ABOUT RESIDENTS? 2008 01:25:46,200 --> 01:25:46,920 WELL, ANESTHESIOLOGY DEPARTMENTS 2009 01:25:46,920 --> 01:25:49,320 COULD DO MORE TO FOSTER RESEARCH 2010 01:25:49,320 --> 01:25:50,400 AMONG RESIDENTS, A LITTLE MORE 2011 01:25:50,400 --> 01:25:52,440 THAN HALF OF THOSE RESPONDED 2012 01:25:52,440 --> 01:25:56,720 WERE FROM DEPARTMENTS THAT OFFER 2013 01:25:56,720 --> 01:25:59,160 RESEARCH TRACKS TO 2014 01:25:59,160 --> 01:25:59,680 ANESTHESIOLOGY RESIDENTS. 2015 01:25:59,680 --> 01:26:00,920 AND HERE YOU CAN SEE ON THE GRAF 2016 01:26:00,920 --> 01:26:03,880 IN THE RIGHT OVER THE PAST 5 2017 01:26:03,880 --> 01:26:05,520 YEARS, THE MAJORITY OF RESIDENT 2018 01:26:05,520 --> 01:26:07,280 VS NOT PARTICIPATE INDEED ANY 2019 01:26:07,280 --> 01:26:10,280 STRUCTURED RESEARCH DURING 2020 01:26:10,280 --> 01:26:10,520 RESIDENCY. 2021 01:26:10,520 --> 01:26:12,040 THERE WERE QUESTIONS IN THE 2022 01:26:12,040 --> 01:26:14,680 SURVEY THAT ADDRESSED BARRIERS 2023 01:26:14,680 --> 01:26:17,360 IN MENTORING A DIVERSE 2024 01:26:17,360 --> 01:26:18,120 ANESTHESIOLOGY PHYSICIAN 2025 01:26:18,120 --> 01:26:19,920 SCIENTIST PIPELINE, CAN YOU SEE 2026 01:26:19,920 --> 01:26:21,880 THAT MORE MENTORS HAVE MENTORED 2027 01:26:21,880 --> 01:26:30,120 WOMEN THAN HAVE BEEN MENTORED BY 2028 01:26:30,120 --> 01:26:30,560 WOMEN. 2029 01:26:30,560 --> 01:26:33,560 LIKEWISE, HERE, YOU CAN SEE THAT 2030 01:26:33,560 --> 01:26:36,560 MORE MENTORS HAVE MENTORED THOSE 2031 01:26:36,560 --> 01:26:39,320 IN UNDERREPRESENTED RACIAL OR 2032 01:26:39,320 --> 01:26:39,760 ETHNIC GROUPS. 2033 01:26:39,760 --> 01:26:43,480 AND HAVE BEEN MENTORED BY 2034 01:26:43,480 --> 01:26:45,520 PHYSICIAN SCIENTISTS IN 2035 01:26:45,520 --> 01:26:51,480 UNDERREPRESENTED RACIAL OR 2036 01:26:51,480 --> 01:26:53,920 ETHNIC GROUPS THEMSELVES SO 2037 01:26:53,920 --> 01:26:55,200 THESE DATA REPRESENT A TREND, 2038 01:26:55,200 --> 01:26:57,600 GLASS IS HALF FULL, THEY SUGGEST 2039 01:26:57,600 --> 01:27:01,600 A POSITIVE TREND TOWARDS MORE 2040 01:27:01,600 --> 01:27:02,240 ANESTHESIOLOGIST-SCIENTISTS WHO 2041 01:27:02,240 --> 01:27:04,280 ARE FEMALE OR UNDERREP AREY 2042 01:27:04,280 --> 01:27:05,560 SEBTED GROUP RACIAL GROUPS IN 2043 01:27:05,560 --> 01:27:07,440 THE FUTURE BUT WE'RE NOT DOING 2044 01:27:07,440 --> 01:27:08,480 ENOUGH AT THIS POINT. 2045 01:27:08,480 --> 01:27:09,680 THE SECOND SURVEY WAS 2046 01:27:09,680 --> 01:27:12,000 DISTRIBUTED TO 36 DIRECTORS OF 2047 01:27:12,000 --> 01:27:16,840 DEFINED RESEARCH TRACKS IN 36 2048 01:27:16,840 --> 01:27:18,120 ANESTHESIOLOGY DEPARTMENTS AND 2049 01:27:18,120 --> 01:27:23,840 EVALUATED THE CHARACTERISTICS OF 2050 01:27:23,840 --> 01:27:25,440 THESE TRAINEES. 2051 01:27:25,440 --> 01:27:30,040 THE DIRECTORS FROM 14 OF 16232 2052 01:27:30,040 --> 01:27:40,680 PROGRAMS RESPONDED WITH ALL 2053 01:27:40,680 --> 01:27:43,720 HAVING ON THE LEFT SIDE, AND 2054 01:27:43,720 --> 01:27:45,120 MORE OVER ONLY 9 OF THEM LOOK ON 2055 01:27:45,120 --> 01:27:50,680 THE RIGHT SIDE NOW, 64% REPORTED 2056 01:27:50,680 --> 01:27:53,000 AT LEAST HALF OF THEIR T32 2057 01:27:53,000 --> 01:27:58,280 TRAINEES ARE STILL CONDUCTING 2058 01:27:58,280 --> 01:27:59,000 RESEARCH. 2059 01:27:59,000 --> 01:28:02,600 DATA WERE OBTAINED FROM A 2 2060 01:28:02,600 --> 01:28:03,680 PRIMARY ANESTHESIA FOUNDATIONS, 2061 01:28:03,680 --> 01:28:04,920 TO EVALUATE THE CHARACTERISTICS 2062 01:28:04,920 --> 01:28:08,440 AND OUTCOMES OF THEIR RESPECTIVE 2063 01:28:08,440 --> 01:28:11,040 2-YEAR, MENTORED RESEARCH 2064 01:28:11,040 --> 01:28:12,560 TRAINING GRANTS MRTGs, THESE 2065 01:28:12,560 --> 01:28:16,600 ARE TYPICALLY OBTAINED AFTER 2066 01:28:16,600 --> 01:28:17,760 CLINICAL TRAINING. 2067 01:28:17,760 --> 01:28:19,320 AT LEAST SINCE 2015 AND ALMOST 2068 01:28:19,320 --> 01:28:21,680 ALL OF THE AWARDEES HAVE FIRST 2069 01:28:21,680 --> 01:28:23,720 HAD ADDITIONAL RESEARCH TRAINING 2070 01:28:23,720 --> 01:28:30,600 EITHER WITH A Ph.D. OR A T32, 2071 01:28:30,600 --> 01:28:33,600 SIMILARLY, FROM IARS, THE OTHER 2072 01:28:33,600 --> 01:28:36,160 ANESTHESIA RESEARCH FOUNDATION, 2073 01:28:36,160 --> 01:28:39,160 RMD APPLICANTS WERE MORE LIKELY 2074 01:28:39,160 --> 01:28:41,120 TO,A PLIE FOR MD-PH Ds AND 2075 01:28:41,120 --> 01:28:43,200 APPLICANTS OTHER THAN MORE 2076 01:28:43,200 --> 01:28:50,400 LIKELY TO RECEIVE THESE GRANTS. 2077 01:28:50,400 --> 01:28:59,240 YOU CAN SEE THAT DURING THE 2078 01:28:59,240 --> 01:29:01,000 PERIOD, 2010-2018, ONLY A FEW 2079 01:29:01,000 --> 01:29:02,640 INSTITUTIONS ARE RECEIVING THE 2080 01:29:02,640 --> 01:29:04,720 LARGEST NUMBER OF FAER MRTGs 2081 01:29:04,720 --> 01:29:09,560 AND THESE ARE ALSO THE 2082 01:29:09,560 --> 01:29:12,040 INSTITUTIONS RECEIVING THE NIH K 2083 01:29:12,040 --> 01:29:13,320 AND R-AWARDINGS AND EVEN AMONG 2084 01:29:13,320 --> 01:29:15,480 THESE INSTITUTIONS THERE ARE A 2085 01:29:15,480 --> 01:29:22,160 FEW WARKSDED AMONG THE MRTG 2086 01:29:22,160 --> 01:29:22,680 AWARDEES. 2087 01:29:22,680 --> 01:29:25,920 OKAY, THE YEAR 1 WORKING GROUP 2088 01:29:25,920 --> 01:29:27,440 ALSO EVALUATED NIH FUNDING 2089 01:29:27,440 --> 01:29:28,640 DEPARTMENTS THESE DATA ARE 2090 01:29:28,640 --> 01:29:32,680 PUBLICLY AVAILABLE, SO THE NIH 2091 01:29:32,680 --> 01:29:33,960 FUNDING TO ANESTHESIOLOGY 2092 01:29:33,960 --> 01:29:41,240 DEPARTMENTS HAS INCREASED OVER 2093 01:29:41,240 --> 01:29:41,520 TIME. 2094 01:29:41,520 --> 01:29:45,040 THE 5 YEAR PERIOD FROM TO TBENT 2095 01:29:45,040 --> 01:29:47,240 20 WHEN ADJUSTED FOR AN INCREASE 2096 01:29:47,240 --> 01:29:48,560 IN RESIDENCY SIZE, AND AS YOU 2097 01:29:48,560 --> 01:29:53,240 CAN SEE IN BLUE, THERE'S BEEN A 2098 01:29:53,240 --> 01:29:55,800 72% INCREASE IN TOTAL NIH 2099 01:29:55,800 --> 01:30:05,880 FUNDING OVER THIS 5 YEAR PERIOD 2100 01:30:05,880 --> 01:30:08,240 HOWEVER, THE RELATIVE RATE FOR 2101 01:30:08,240 --> 01:30:11,640 NIH FUNDING OVERALL IS LOW WHEN 2102 01:30:11,640 --> 01:30:12,760 COMPARED TO ADJUSTED SIZE 2103 01:30:12,760 --> 01:30:15,120 COMPARED TO OTHERS SAMPLES LIKE 2104 01:30:15,120 --> 01:30:16,440 FOR NEUROLOGY. 2105 01:30:16,440 --> 01:30:17,840 SO, OKAY, THESE DATA CONFIRM 2106 01:30:17,840 --> 01:30:19,520 DATA I SHOWED YOU EARLIER THAT 2107 01:30:19,520 --> 01:30:22,960 THE NUMBER OF T32 AWARDS TO 2108 01:30:22,960 --> 01:30:29,200 ANESTHESIOLOGY DEPARTMENTS HAS 2109 01:30:29,200 --> 01:30:30,720 INDEED REMAINED STAGINENT, THE 2110 01:30:30,720 --> 01:30:32,840 NUMBER OF AWARDS HAS INCREASED 2111 01:30:32,840 --> 01:30:35,680 OVER THE PAST 5 YEARS. 2112 01:30:35,680 --> 01:30:37,440 THE WORKING GROUP YEAR 1 2113 01:30:37,440 --> 01:30:40,320 FINDINGS, THE NUMBER OF 2114 01:30:40,320 --> 01:30:41,480 ANESTHESIOLOGY DEPARTMENTS WITH 2115 01:30:41,480 --> 01:30:43,480 T32 FUNDING HAS REMAINED 2116 01:30:43,480 --> 01:30:45,880 UNCHANGED OVER THE YEARS, THE 2117 01:30:45,880 --> 01:30:47,000 DEPARTMENTS HAS INCREASED OVER 2118 01:30:47,000 --> 01:30:49,080 10 YEARS BUT REMAINS LOW WHEN 2119 01:30:49,080 --> 01:30:50,400 BENCHMARKED TO OTHER SPECIALTY. 2120 01:30:50,400 --> 01:30:52,360 AND THERE'S A NEED FOR 2121 01:30:52,360 --> 01:30:57,720 RESEARCHERS FROM TRAINEES AND 2122 01:30:57,720 --> 01:30:57,960 MENTORS. 2123 01:30:57,960 --> 01:31:07,320 [BELL CHIMING ] 2124 01:31:07,320 --> 01:31:09,240 FROM UNDERREPRESENTED OR RACIAL 2125 01:31:09,240 --> 01:31:10,440 ETHNIC GROUPS, SOME POSSIBLE 2126 01:31:10,440 --> 01:31:11,840 FACTORS FOR THESE CHALLENGES, 2127 01:31:11,840 --> 01:31:14,200 MANY OF WHICH WERE DISCUSSED 2128 01:31:14,200 --> 01:31:15,360 DURING ARC'S OWN MEETING AND 2129 01:31:15,360 --> 01:31:21,280 BREAK OUT SESSIONS IN 2021. 2130 01:31:21,280 --> 01:31:23,800 THEY INCLUDE NATIONAL LEVEL, PRO 2131 01:31:23,800 --> 01:31:25,120 RECOGNITION OF THE 2132 01:31:25,120 --> 01:31:26,800 ANESTHESIOLOGY RESEARCH, DIVERSE 2133 01:31:26,800 --> 01:31:28,560 AND MULTIDISCIPLINARY NATURE OF 2134 01:31:28,560 --> 01:31:29,600 ANESTHESIOLOGY RESEARCH, LACK OF 2135 01:31:29,600 --> 01:31:32,000 DIVERSITY IN THE RESEARCH 2136 01:31:32,000 --> 01:31:34,200 WORKFORCE AND THE NEED FOR 2137 01:31:34,200 --> 01:31:36,840 CAREER DEVELOPMENT PROGRAMS AT 2138 01:31:36,840 --> 01:31:41,760 ALL STAGES OF CAREER. 2139 01:31:41,760 --> 01:31:43,680 WHETHER OR NOT STAKEHOLDERS CAN 2140 01:31:43,680 --> 01:31:45,120 OPTIMIZE IMPACT WITH NEW 2141 01:31:45,120 --> 01:31:46,160 INITIATIVES AND HERE ARE SOME 2142 01:31:46,160 --> 01:31:49,520 THAT ARE DISCUSSED IN THE 2143 01:31:49,520 --> 01:31:51,800 ANESTHESIOLOGY SPACE, AND THEY 2144 01:31:51,800 --> 01:31:55,400 ALIGN WITH MANY OF OUR 2145 01:31:55,400 --> 01:31:57,160 DISCUSSION, ATTRACT MEDICAL AND 2146 01:31:57,160 --> 01:31:59,400 EVEN UNDERGRADUATE STUDENTS TO 2147 01:31:59,400 --> 01:32:00,240 ANESTHESIA STUDENTS THROUGH 2148 01:32:00,240 --> 01:32:03,360 GRANT MECHANISMS THIS, IS OF 2149 01:32:03,360 --> 01:32:06,160 ACTUALLY GREAT IMPORTANCE TO 2150 01:32:06,160 --> 01:32:06,520 ARC. 2151 01:32:06,520 --> 01:32:08,000 NETWORKS AROUND QUESTIONS THAT 2152 01:32:08,000 --> 01:32:10,000 GARNER INSTITUTIONAL INTEREST TO 2153 01:32:10,000 --> 01:32:13,920 FOSTER CROSS DEPARTMENTMENTAL 2154 01:32:13,920 --> 01:32:15,320 COLLABORATION. 2155 01:32:15,320 --> 01:32:18,240 SUPPORT MENTORSHIP NETWORKS IN 2156 01:32:18,240 --> 01:32:20,720 BETWEEN INSTITUTIONS AND 2157 01:32:20,720 --> 01:32:21,400 RECOGNIZE INTERDISCIPLINARY 2158 01:32:21,400 --> 01:32:23,040 TEAMS BY INTEGRATING AND 2159 01:32:23,040 --> 01:32:23,960 COORDINATING TRAINING EFFORTS 2160 01:32:23,960 --> 01:32:25,520 AND FUNDING MECHANISMS AND 2161 01:32:25,520 --> 01:32:33,400 REFINE METRICS AND CAREER 2162 01:32:33,400 --> 01:32:40,880 DEVELOPMENT AND PROGRESSION. 2163 01:32:40,880 --> 01:32:45,280 IN OUR MAY AUA OPEN SESSION, OUR 2164 01:32:45,280 --> 01:32:47,360 PRIMARY OBJECTIVE WAS TO 2165 01:32:47,360 --> 01:32:49,920 ESTABLISH NEW DIALOGUE AND 2166 01:32:49,920 --> 01:32:52,120 UNLOCK PATHWAYS TO GROW AND 2167 01:32:52,120 --> 01:32:53,520 RETAIN THE ANESTHESIOLOGY PAIN 2168 01:32:53,520 --> 01:32:55,760 RESEARCH WORKFORCE, ACTUALLY THE 2169 01:32:55,760 --> 01:32:56,920 QUESTIONS AND COMMENTS WERE 2170 01:32:56,920 --> 01:32:59,640 ALMOST ENTIRELY DIRECTED TO NIH 2171 01:32:59,640 --> 01:33:00,720 AND SPECIFICALLY TO LAURA. 2172 01:33:00,720 --> 01:33:05,400 OF COURSE WE ONLY HAD ABOUT 15 2173 01:33:05,400 --> 01:33:05,640 MINUTES. 2174 01:33:05,640 --> 01:33:10,280 HERE ARE 3 EXAMPLES OF THESE 2175 01:33:10,280 --> 01:33:10,680 QUESTIONS. 2176 01:33:10,680 --> 01:33:13,400 SO FAIR SUPPORT OF THE 2177 01:33:13,400 --> 01:33:16,040 DEVELOPMENT PLANNED GEM STARS 2178 01:33:16,040 --> 01:33:19,080 THESE ARE 2-YEAR RO3 NIA GRANTS 2179 01:33:19,080 --> 01:33:22,040 TO SUPPORT MEDICAL AND SURGICAL 2180 01:33:22,040 --> 01:33:23,000 SPECIALISTS TRANSITIONING TO 2181 01:33:23,000 --> 01:33:25,560 AGING RESEARCH, THE QUESTION WAS 2182 01:33:25,560 --> 01:33:27,360 NINDS AND OTHER INSTITUTES 2183 01:33:27,360 --> 01:33:28,760 CONSIDER FUNDING FOR SIMILAR 2184 01:33:28,760 --> 01:33:31,160 MECHANISMS THAT ALLOW RESEARCH 2185 01:33:31,160 --> 01:33:35,080 FOUNDATIONS TO SUPPLEMENT THESE 2186 01:33:35,080 --> 01:33:43,040 PROFESSIONAL DEVELOPMENT TRENDS. 2187 01:33:43,040 --> 01:33:44,320 SIMILAR TO WHAT [INDISCERNIBLE] 2188 01:33:44,320 --> 01:33:47,480 HAS BEEN DOING WITH NIA. 2189 01:33:47,480 --> 01:33:50,120 THE ANOTHER QUESTION WAS WHAT 2190 01:33:50,120 --> 01:33:53,240 NIH EXPLORING OR ADVANCING 2191 01:33:53,240 --> 01:33:54,240 ANESTHESIOLOGY PARTNERSHIPS WITH 2192 01:33:54,240 --> 01:33:55,800 RESEARCHERS FROM OTHER 2193 01:33:55,800 --> 01:33:56,320 DISCIPLINES? 2194 01:33:56,320 --> 01:33:57,440 SO THIS WAS A LITTLE EASIER AND 2195 01:33:57,440 --> 01:33:59,720 A THIRD QUESTION WAS ABOUT 2196 01:33:59,720 --> 01:34:01,120 EXPOSING PREDOCTORAL STUDENTS TO 2197 01:34:01,120 --> 01:34:04,760 RESEARCH SPECIFICALLY THE T35 2198 01:34:04,760 --> 01:34:06,160 SHORT-TERM INSTITUTIONAL NRSAs 2199 01:34:06,160 --> 01:34:07,200 FOR MEDICAL STUDENTS. 2200 01:34:07,200 --> 01:34:10,440 THE QUESTION WAS WOULD THE NIH 2201 01:34:10,440 --> 01:34:12,320 CONSIDER EXPANDING T35S TO ALLOW 2202 01:34:12,320 --> 01:34:15,040 STUDENT ENROLLMENT AT MULTIPLE 2203 01:34:15,040 --> 01:34:15,920 INSTITUTIONS. 2204 01:34:15,920 --> 01:34:18,480 AS I MENTIONED, ARC IS VERY 2205 01:34:18,480 --> 01:34:20,760 INTERESTED IN EXPOSING MEDICAL 2206 01:34:20,760 --> 01:34:24,960 STUDENTS TO RESEARCH IN 2207 01:34:24,960 --> 01:34:25,320 ANESTHESIOLOGY. 2208 01:34:25,320 --> 01:34:27,520 AND JUST AS AN ASIDE, I SHOULD 2209 01:34:27,520 --> 01:34:29,760 DISCLOSE THAT I MYSELF WAS A 2210 01:34:29,760 --> 01:34:33,520 BENEFICIARY OF 2 INSTITUTIONAL 2211 01:34:33,520 --> 01:34:35,760 NRSAs, AN NHLBI T35 AS A 2212 01:34:35,760 --> 01:34:38,160 MEDICAL STUDENT AND THEN IN 2213 01:34:38,160 --> 01:34:39,280 ANESTHESIA T32 FELLOWSHIP AND 2214 01:34:39,280 --> 01:34:42,800 THEN I WAS A STAFF FELLOW AT 2215 01:34:42,800 --> 01:34:45,360 NIDR, NIDCR AND NOW I'M A CO 2216 01:34:45,360 --> 01:34:49,040 MENTOR ON A NI DA K23 SO I AM 2217 01:34:49,040 --> 01:34:51,920 ALSO A FIRM BELIEVER IN PLANTING 2218 01:34:51,920 --> 01:34:58,360 THE SEED EARLY. 2219 01:34:58,360 --> 01:35:00,680 SO DID WE MEET THE GOALS OF THIS 2220 01:35:00,680 --> 01:35:03,240 MEETING, WE SHOULD CLEAR 2221 01:35:03,240 --> 01:35:05,440 ALIGNMENT BETWEEN BOTH NIH AND 2222 01:35:05,440 --> 01:35:07,640 ARC OF THE IDENTIFIED RESEARCH 2223 01:35:07,640 --> 01:35:10,880 WORKFORCE GAPS AND CHALLENGES 2224 01:35:10,880 --> 01:35:13,600 AND STRATEGIC GOALS AND SO, 2225 01:35:13,600 --> 01:35:15,160 THEREFORE IT WAS AN OPPORTUNITY 2226 01:35:15,160 --> 01:35:16,080 FOR STAKEHOLDERS TO ACKNOWLEDGE 2227 01:35:16,080 --> 01:35:19,840 A COMMON VISION AND A COMMON 2228 01:35:19,840 --> 01:35:24,680 MISSION AND SO, THE PROPOSED 2229 01:35:24,680 --> 01:35:26,080 ASSURED VISION AND MISSION THAT 2230 01:35:26,080 --> 01:35:28,680 COULD BE CONSIDERED AMONG 2231 01:35:28,680 --> 01:35:37,120 STAKEHOLDERS, APPROVED BY ARC 2232 01:35:37,120 --> 01:35:40,360 THROUGH [INDISCERNIBLE], AND 2233 01:35:40,360 --> 01:35:43,960 HERE'S A ROBUST ANESTHESIOLOGY 2234 01:35:43,960 --> 01:35:45,920 PAIN RESEARCH INFRASTRUCTURE 2235 01:35:45,920 --> 01:35:46,760 COMPRISED OF PHYSICIAN-TESTIFIES 2236 01:35:46,760 --> 01:35:48,280 AT ALL STAGES OF CAREER 2237 01:35:48,280 --> 01:35:50,600 DEVELOPMENT OAZ WHOSE WORK 2238 01:35:50,600 --> 01:35:52,920 INFORMS OUTSTANDING PATIENT CARE 2239 01:35:52,920 --> 01:35:54,440 THROUGH NOVEL DISCOVERIES AND 2240 01:35:54,440 --> 01:35:55,960 TECHNOLOGIES, JUST FOR YOU TO 2241 01:35:55,960 --> 01:35:56,240 CONSIDER. 2242 01:35:56,240 --> 01:35:59,880 OKAY, THANK YOU SO MUCH AND 2243 01:35:59,880 --> 01:36:01,280 FINALLY THE WEBINAR COULD NOT 2244 01:36:01,280 --> 01:36:05,520 HAVE HAPPENED WITHOUT EACH OF 2245 01:36:05,520 --> 01:36:06,960 THESE INDIVIDUALS. 2246 01:36:06,960 --> 01:36:08,720 >> THANK YOU DR. SONG AND AS 2247 01:36:08,720 --> 01:36:10,080 BEFORE, I WONDER IF THERE ARE 2248 01:36:10,080 --> 01:36:11,800 QUESTIONS RIGHT NOW, I HAVE A 2249 01:36:11,800 --> 01:36:16,000 COUPLE OF MY OWN TO POSE BUT ARE 2250 01:36:16,000 --> 01:36:16,880 THERE ANY IMMEDIATE SERIES OF 2251 01:36:16,880 --> 01:36:20,800 QUESTIONS FROM THE ATTENDEES 2252 01:36:20,800 --> 01:36:23,120 DRIVEN BY DR. SONG'S VERY 2253 01:36:23,120 --> 01:36:33,480 PREICIZE BIEW THOROUGH 2254 01:36:34,320 --> 01:36:35,720 PRESENTATION. 2255 01:36:35,720 --> 01:36:36,120 IS SOMEONE MUTED? 2256 01:36:36,120 --> 01:36:39,240 SO LET ME JUST START OWF, WE ARE 2257 01:36:39,240 --> 01:36:40,840 DOING WELL TIMEWISE AND AS I'M 2258 01:36:40,840 --> 01:36:43,000 HEARING ALL OF THESE DIFFERENT 2259 01:36:43,000 --> 01:36:43,800 WONDERFUL PRESENTATIONINGS, I'M 2260 01:36:43,800 --> 01:36:46,960 THINKING, THAT THERE MIGHT BE 2261 01:36:46,960 --> 01:36:47,640 SOME IMAGINARY SYSTEMATIC 2262 01:36:47,640 --> 01:36:50,120 REVIEW, YOU KNOW WE SEE 2263 01:36:50,120 --> 01:36:51,480 SYSTEMATIC REVIEWS LIKE, BACK 2264 01:36:51,480 --> 01:36:56,240 PAIN SCHOOLS FOR LONG-TERM 2265 01:36:56,240 --> 01:37:02,600 BENEFIT OR A AS THE INTERVENTION 2266 01:37:02,600 --> 01:37:04,000 APPLIED TO CONDITION B AND THE 2267 01:37:04,000 --> 01:37:06,320 TITLE OF AN IMAGINARY SYSTEMATIC 2268 01:37:06,320 --> 01:37:09,080 REVIEW MIGHT BE FORMAL TRAINING 2269 01:37:09,080 --> 01:37:13,280 PROGRAMS TO INCREASE PAIN 2270 01:37:13,280 --> 01:37:15,120 RELATED RESEARCH WORKFORCE. 2271 01:37:15,120 --> 01:37:17,880 BECAUSE I FEEL LIKE IT'S USED A 2272 01:37:17,880 --> 01:37:19,240 PARLANCE OF EVIDENCE BASED 2273 01:37:19,240 --> 01:37:20,960 MEDICINE WE'VE BEEN HEARING 2274 01:37:20,960 --> 01:37:21,960 WONDERFUL NARRATIVE REVIEWS BUT 2275 01:37:21,960 --> 01:37:24,440 THERE DO SEEM TO BE COMMON 2276 01:37:24,440 --> 01:37:25,120 ELEMENTS, COMMON ASSUMPTIONS 2277 01:37:25,120 --> 01:37:27,120 THAT ARE SHARED AND IT MIGHT BE 2278 01:37:27,120 --> 01:37:29,920 WORTH THINKING IN THE FUTURE OF 2279 01:37:29,920 --> 01:37:31,000 PROGRAMMATIC OR SYSTEMATIC WAY 2280 01:37:31,000 --> 01:37:33,080 MUCH AS 1 WOULD CONDUCT A 2281 01:37:33,080 --> 01:37:34,840 SYSTEMATIC REVIEW OF ANY 2282 01:37:34,840 --> 01:37:36,240 INTERVENTION FOR ANY CONDITION 2283 01:37:36,240 --> 01:37:38,720 OR STATE OR PREVENTION, EVEN. 2284 01:37:38,720 --> 01:37:41,400 SO I WILL THROW THAT OUT. 2285 01:37:41,400 --> 01:37:44,320 I DON'T KNOW HOW PEOPLE WOULD 2286 01:37:44,320 --> 01:37:47,680 RESPOND TO THAT BUT ARE--FURTHER 2287 01:37:47,680 --> 01:37:52,280 QUESTIONS OF DR. SONG? 2288 01:37:52,280 --> 01:37:54,560 >> I HAVE A QUESTION REAL QUICK, 2289 01:37:54,560 --> 01:37:54,800 DAN. 2290 01:37:54,800 --> 01:37:56,920 SO DR. SONG THAT WAS NICE, MY 2291 01:37:56,920 --> 01:37:58,840 FIRST QUESTION WOULD BE KNOWING 2292 01:37:58,840 --> 01:38:01,320 THAT MANY OF OUR ACADEMIC 2293 01:38:01,320 --> 01:38:02,840 INSTITUTIONS THAT DO TRAINING 2294 01:38:02,840 --> 01:38:06,360 FOR RESIDENCY PROGRAMS AND 2295 01:38:06,360 --> 01:38:07,840 ANESTHESIOLOGY ARE SLOWLY SORT 2296 01:38:07,840 --> 01:38:09,840 OF LEAVING THE ACADEMIC WORLD 2297 01:38:09,840 --> 01:38:14,400 AND BEING LET'S SAY BOUGHT UP BY 2298 01:38:14,400 --> 01:38:15,480 LARGE HEALTHCARE PRACTICES AND 2299 01:38:15,480 --> 01:38:18,280 KNOWING THE FACT THAT THERE'S 2300 01:38:18,280 --> 01:38:20,600 VERY LITTLE SUPPORT FOR THE 2301 01:38:20,600 --> 01:38:22,160 ACADEMIC OR RESEARCH MISSION, 2302 01:38:22,160 --> 01:38:23,520 HOW DOES SOMETHING LIKE THAT 2303 01:38:23,520 --> 01:38:25,360 SORT OF PLAN TO THE STATISTICS 2304 01:38:25,360 --> 01:38:27,360 OF NOT ONLY WHAT YOU'RE SHOWING 2305 01:38:27,360 --> 01:38:28,760 HERE BUT JUST ACROSS THE BOARD 2306 01:38:28,760 --> 01:38:30,200 AND THE FACAS LACK OF PHYSICIAN 2307 01:38:30,200 --> 01:38:33,720 SCIENTISTS IN THE IDEA THAT MANY 2308 01:38:33,720 --> 01:38:35,800 OF THESE VERY LARGE IN ARIZONA 2309 01:38:35,800 --> 01:38:37,640 WE'VE BEEN BOUGHT UP BY BANNER 2310 01:38:37,640 --> 01:38:39,160 VERY LARGE MEDICAL INSTITUTIONS 2311 01:38:39,160 --> 01:38:41,240 THAT JUST REALLY DON'T WANT THE 2312 01:38:41,240 --> 01:38:42,320 RESEARCH MISSION AS MUCH AS THEY 2313 01:38:42,320 --> 01:38:44,320 SAY THEY WANT TO BE A PART OF 2314 01:38:44,320 --> 01:38:53,280 IT, THEY JUST DON'T SUPPORT IT. 2315 01:38:53,280 --> 01:38:54,760 >> YEAH, THAT'S A GREAT QUESTION 2316 01:38:54,760 --> 01:38:55,840 AND PARTICULARLY NOW HAVING 2317 01:38:55,840 --> 01:38:57,040 LIVED THROUGH A PANDEMIC FOR THE 2318 01:38:57,040 --> 01:39:00,600 LAST 2 AND HALF YEARS, 2319 01:39:00,600 --> 01:39:06,360 PARTICULARLY JUNIOR STAFF ARE 2320 01:39:06,360 --> 01:39:11,880 OVERWORKED, FEEL VERY UNDER 2321 01:39:11,880 --> 01:39:13,360 FULFILLED AND IT'S BECOME 2322 01:39:13,360 --> 01:39:14,520 DIFFICULT EVEN WHERE THERE HAS 2323 01:39:14,520 --> 01:39:17,240 BEEN SUPPORT TO CO RESEARCH 2324 01:39:17,240 --> 01:39:27,760 INTERNALLY, EVEN WITH EXTERNAL 2325 01:39:28,200 --> 01:39:30,520 SUPPORT TO AVOID I DON'T KNOW 2326 01:39:30,520 --> 01:39:32,280 ANY ANYONE HAS LIVED THAT OR 2327 01:39:32,280 --> 01:39:39,000 LIVED IT AND IT'S TOUGH. 2328 01:39:39,000 --> 01:39:39,200 SO,-- 2329 01:39:39,200 --> 01:39:41,000 >> SO I JUST WANT TO SAY THAT IT 2330 01:39:41,000 --> 01:39:42,760 IS THE CASE AS YOU JUST ALLUDED 2331 01:39:42,760 --> 01:39:50,120 TO THAT THERE HAS TO BE A DRAW 2332 01:39:50,120 --> 01:39:52,480 TO ACADEMIC ANESTHESIOLOGY AND 2333 01:39:52,480 --> 01:39:53,960 PAIN AND PARTICULARLY IN 2334 01:39:53,960 --> 01:39:54,960 ANESTHESIOLOGY BECAUSE WE HAVE 2335 01:39:54,960 --> 01:39:55,800 BEEN PULL INDEED EVERY DIRECTION 2336 01:39:55,800 --> 01:39:58,080 OVER THE LAST COUPLE OF YEARS 2337 01:39:58,080 --> 01:40:05,320 BUT IN PAIN MANAGEMENT, PAIN 2338 01:40:05,320 --> 01:40:07,240 MECHANISM RESEARCH, IN PAIN 2339 01:40:07,240 --> 01:40:10,880 MEDICINE, PAIN SPACE OVERALL, 2340 01:40:10,880 --> 01:40:13,600 THERE HAS TO BE A DRAW THAT FITS 2341 01:40:13,600 --> 01:40:17,400 WHAT YOUNG PEOPLE ARE NOW 2342 01:40:17,400 --> 01:40:20,040 VALUING AND I THINK THAT THAT--I 2343 01:40:20,040 --> 01:40:21,800 THINK WE HAVE TO TAKE A STEP 2344 01:40:21,800 --> 01:40:23,840 BACK BECAUSE THE CULTURE HAS 2345 01:40:23,840 --> 01:40:24,160 CHANGED. 2346 01:40:24,160 --> 01:40:28,520 SO DO YOU HAVE ANOTHER QUESTION? 2347 01:40:28,520 --> 01:40:29,880 >> YEAH, MY SECOND QUESTION IS 2348 01:40:29,880 --> 01:40:31,280 THAT YOU SHOWED VERY NICELY 2349 01:40:31,280 --> 01:40:33,880 THERE'S AN INCREASE IN ACTUAL 2350 01:40:33,880 --> 01:40:35,480 FUNDING AND ANESTHESIOLOGY WHICH 2351 01:40:35,480 --> 01:40:36,760 WAS ACTUALLY PRETTY IMPRESSIVE 2352 01:40:36,760 --> 01:40:41,960 AS FAR AS GENERAL OVERALL 2353 01:40:41,960 --> 01:40:43,560 ALTHOUGH I KNOW THAT'S OVERALL 2354 01:40:43,560 --> 01:40:44,920 PRACTICES, DO YOU SEE THAT 2355 01:40:44,920 --> 01:40:46,760 HAPPENING IN SYRUP AREAS IF YOU 2356 01:40:46,760 --> 01:40:49,040 GO THROUGH NIH BLUE RIDGE IS IT 2357 01:40:49,040 --> 01:40:51,320 POPPING UP INTO LET'S SAY 10 2358 01:40:51,320 --> 01:40:53,480 DIFFERENT AREAS LIKE LET'S SAY 2359 01:40:53,480 --> 01:40:55,240 HARVARD WHERE MAYBE THERE'S MORE 2360 01:40:55,240 --> 01:40:55,720 SUPPORT. 2361 01:40:55,720 --> 01:40:56,520 >> SO THAT'S INTERESTING, I ONLY 2362 01:40:56,520 --> 01:41:01,600 GOT TO SEE THE DATA RELATIVE TO, 2363 01:41:01,600 --> 01:41:03,240 YOU KNOW THE DATA HAVE TO BE 2364 01:41:03,240 --> 01:41:04,520 BROKEN DOWN AND I'VE ACTUALLY 2365 01:41:04,520 --> 01:41:07,080 ASKED FOR THAT SO YOU WILL HAVE 2366 01:41:07,080 --> 01:41:09,920 MORE TO CHAIR HOPEFULLY WITHIN 2367 01:41:09,920 --> 01:41:15,520 THE NEXT FEW MONTHS. 2368 01:41:15,520 --> 01:41:19,720 >> THANK YOU FOR THAT QUESTION. 2369 01:41:19,720 --> 01:41:20,920 >> THAT WAS A GREAT QUESTION AND 2370 01:41:20,920 --> 01:41:22,320 A GREAT RESPONSE AND WE'RE ALL 2371 01:41:22,320 --> 01:41:24,560 FAMILIAR WITH LET'S SAY AGENDAS 2372 01:41:24,560 --> 01:41:28,080 THAT WANT TO RESULT IN MORE 2373 01:41:28,080 --> 01:41:29,360 INDIVIDUALS OF A CERTAIN GROUP 2374 01:41:29,360 --> 01:41:32,560 OR AGE OR GENDER, DOING 2375 01:41:32,560 --> 01:41:34,640 SOMETHING AND THERE HAS BEEN 2376 01:41:34,640 --> 01:41:38,240 ACCORDING TO THE DIFFERENT 2377 01:41:38,240 --> 01:41:40,440 CIRCUMSTANCE 1 OR OTHER 2378 01:41:40,440 --> 01:41:43,680 INCENTIVIZATION OR REDUCTION OF 2379 01:41:43,680 --> 01:41:44,280 DISINCENTIVIZATION SUCH AS A 2380 01:41:44,280 --> 01:41:45,360 TYPE END TO THE DEPARTMENT, I 2381 01:41:45,360 --> 01:41:47,280 DON'T KNOW IF THIS IS REALISTIC 2382 01:41:47,280 --> 01:41:49,320 BUT AN ALTERATION OF 2383 01:41:49,320 --> 01:41:50,640 REIMBURSEMENT RATES DEPENDING ON 2384 01:41:50,640 --> 01:41:51,400 WHETHER THEY'RE A TRAINING 2385 01:41:51,400 --> 01:41:52,920 PROGRAM OR NOT A TRAINING 2386 01:41:52,920 --> 01:41:56,400 PROGRAM BECAUSE SUCH GRANTS HAVE 2387 01:41:56,400 --> 01:42:01,320 BEEN IESKT EVALUATION PROCESS 2388 01:42:01,320 --> 01:42:02,360 TRADITIONALLY IN SUPPORTING 2389 01:42:02,360 --> 01:42:03,360 INDIRECTLY THE RESEARCH 2390 01:42:03,360 --> 01:42:04,160 WORKFORCE DEVELOPMENT IN 2391 01:42:04,160 --> 01:42:04,880 INSTITUTIONS BUT IT'S A GREAT 2392 01:42:04,880 --> 01:42:07,400 QUESTION AND MAYBE THIS WOULD BE 2393 01:42:07,400 --> 01:42:12,080 A QUESTION TO BE CONSIDERED IN 2394 01:42:12,080 --> 01:42:14,120 SOME AGAIN IMAGINARY DISCUSSION 2395 01:42:14,120 --> 01:42:19,720 AMONGST TRAINING PROGRAMS, OR 2396 01:42:19,720 --> 01:42:20,280 INCENTIVIZING OR 2397 01:42:20,280 --> 01:42:25,280 DISINCENTIVIZING DIFFERENT 2398 01:42:25,280 --> 01:42:26,200 MODELS OF CARE. 2399 01:42:26,200 --> 01:42:27,160 SO WITH THOSE THOUGHTS ON THE 2400 01:42:27,160 --> 01:42:34,040 TABLE, THERE IS A LOT OF ROOM 2401 01:42:34,040 --> 01:42:34,440 FOR DISCUSSION. 2402 01:42:34,440 --> 01:42:36,200 JIEWLTY, YEAH,. 2403 01:42:36,200 --> 01:42:38,040 >> I DO HAVE 1 ADDITIONAL 2404 01:42:38,040 --> 01:42:40,120 QUESTION, I THINK WORKFORCE 2405 01:42:40,120 --> 01:42:41,480 DEVELOPMENT PROGRAMS ARE SO 2406 01:42:41,480 --> 01:42:42,120 IMPORTANT ESPECIALLY IN THIS 2407 01:42:42,120 --> 01:42:44,520 SPACE AND I THINK THERE'S A 2408 01:42:44,520 --> 01:42:45,000 CORRESPONDING OUTCOME 2409 01:42:45,000 --> 01:42:45,760 MEASUREMENT FOR PATIENTS AND 2410 01:42:45,760 --> 01:42:46,960 FOLKS WHO ARE INVOFFED IN 2411 01:42:46,960 --> 01:42:48,440 RESEARCH ON THE OTHER SIDE, AND 2412 01:42:48,440 --> 01:42:52,440 I WILL JUST BE CURIOUS ON LIKE 2413 01:42:52,440 --> 01:42:55,360 AS TO HOW MANY KIND OF OUTCOME 2414 01:42:55,360 --> 01:42:57,880 MEASURES HAVE BEEN EVALUATED FOR 2415 01:42:57,880 --> 01:43:00,800 THAT PERSPECTIVE FOR FOLK WHO IS 2416 01:43:00,800 --> 01:43:02,200 HAVE RECEIVED MENTORSHIP HAVE 2417 01:43:02,200 --> 01:43:03,680 NOT RECEIVED MENTORSHIP AND 2418 01:43:03,680 --> 01:43:05,440 WITHIN THE LANDSCAPE OF THAT 2419 01:43:05,440 --> 01:43:07,120 PRESENTATION HOW HAVE PATIENTS 2420 01:43:07,120 --> 01:43:09,160 KIND OF BENEFITED OR NOT 2421 01:43:09,160 --> 01:43:11,360 BENEFITED FROM THEIR EXPERIENCE 2422 01:43:11,360 --> 01:43:12,640 RECEIVING CARE OR PARTICIPATE 2423 01:43:12,640 --> 01:43:17,280 NOTHING RESEARCH IN THIS WAY. 2424 01:43:17,280 --> 01:43:21,480 >> OOH THAT'S A GREAT QUESTION 2425 01:43:21,480 --> 01:43:22,640 AND ACTUALLY THAT'S A GREAT 2426 01:43:22,640 --> 01:43:24,000 QUESTION FOR I DON'T THINK ANY 2427 01:43:24,000 --> 01:43:31,360 OF US HAS AN ANSWER TO. 2428 01:43:31,360 --> 01:43:32,640 SO THAT IS THAT COULD BE THE 2429 01:43:32,640 --> 01:43:37,520 START OF A GREAT PROJECT MAYBE 2430 01:43:37,520 --> 01:43:40,840 LINDA HAS SOMETHING TO SAY ABOUT 2431 01:43:40,840 --> 01:43:41,080 THAT 1? 2432 01:43:41,080 --> 01:43:43,880 >> I WISH I HAD SOME ADVICE ON 2433 01:43:43,880 --> 01:43:45,200 HOW--WHAT WE WOULD USE FOR 2434 01:43:45,200 --> 01:43:48,200 METRICS TO FIGURE OUT WHAT THE 2435 01:43:48,200 --> 01:43:51,040 BENEFITS HAVE BEEN AND YOU KNOW 2436 01:43:51,040 --> 01:43:52,800 I THINK IF WE ALL SIT DOWN AND 2437 01:43:52,800 --> 01:43:56,480 COME UP WITH SOME THOUGHTFUL 2438 01:43:56,480 --> 01:43:57,320 SUGGESTIONS, WE WILL START 2439 01:43:57,320 --> 01:43:59,200 MOVING IN THAT DIRECTION TO SEE 2440 01:43:59,200 --> 01:44:01,320 WHAT DIFFERENCE IT HAS MADE. 2441 01:44:01,320 --> 01:44:04,520 IF YOU HAVE ANY IDEAS PUT IT IN 2442 01:44:04,520 --> 01:44:05,920 THE CHAT RIGHT NOW. 2443 01:44:05,920 --> 01:44:08,000 I'M NOT COMING UP WITH ANYTHING 2444 01:44:08,000 --> 01:44:08,720 REALLY CREATIVE. 2445 01:44:08,720 --> 01:44:19,000 THINK ABOUT IT. 2446 01:44:28,200 --> 01:44:29,680 >> I THINK LINDA'S INFORMATION 2447 01:44:29,680 --> 01:44:32,120 IS VERY IMPORTANT, WE WERE 2448 01:44:32,120 --> 01:44:32,880 CONDUBT DUCTING SYSTEMATIC 2449 01:44:32,880 --> 01:44:34,200 REVIEW, YOU WILL FIND SOME WERE 2450 01:44:34,200 --> 01:44:36,240 CLOSER THAN OTHERS AND AT WHAT 2451 01:44:36,240 --> 01:44:39,000 POINT DID THEY CEASE BEING THE 2452 01:44:39,000 --> 01:44:40,320 SAME INTERVENTION SIMILARLY WITH 2453 01:44:40,320 --> 01:44:46,440 OUTCOMES, WE CAN ALL THINK OF 2454 01:44:46,440 --> 01:44:47,040 OUTCOMES BUT INFECTIOUS 2455 01:44:47,040 --> 01:44:49,240 ENTHUSIASM FOR THE TOPIC IS THAT 2456 01:44:49,240 --> 01:44:51,400 SOMEHOW COMMUNICATED TO PATIENTS 2457 01:44:51,400 --> 01:44:53,320 WHO FEEL THEY'RE OPTIMISTIC THAT 2458 01:44:53,320 --> 01:44:55,920 THEIR CARE PROVIDERS ARE 2459 01:44:55,920 --> 01:44:58,600 CREATIVE AND ADAPTIVE AT WHAT 2460 01:44:58,600 --> 01:45:04,000 THEY'RE DOING, AND JUST TOUCHING 2461 01:45:04,000 --> 01:45:07,360 THE SURFACE OF THE POTENTIAL FOR 2462 01:45:07,360 --> 01:45:08,880 MUCH DEEPER STUDY AND THOUGHT 2463 01:45:08,880 --> 01:45:11,400 ABOUT WHAT'S GENERALIZABLE AND 2464 01:45:11,400 --> 01:45:12,800 WHAT'S TRANSPORTABLE, GIVEN HOW 2465 01:45:12,800 --> 01:45:13,920 MUCH LAURA HAS WORKED ON THIS, I 2466 01:45:13,920 --> 01:45:16,240 DON'T WANT TO GIVE A CHANCE TO 2467 01:45:16,240 --> 01:45:19,640 CONTRIBUTE OR THROW IN IDEAS AT 2468 01:45:19,640 --> 01:45:19,920 THIS POINT. 2469 01:45:19,920 --> 01:45:21,880 BUT I DON'T WANT TO PUT YOU ON 2470 01:45:21,880 --> 01:45:24,120 THE SPOT, EITHER. 2471 01:45:24,120 --> 01:45:27,480 >> IT'S OKAY, I DON'T HAVE 2472 01:45:27,480 --> 01:45:28,400 ANYTHING MORE CONCRETE TO 2473 01:45:28,400 --> 01:45:30,280 ANSWER, I MEAN I THINK IT WOULD 2474 01:45:30,280 --> 01:45:31,920 BE VERY HELPFUL AS EVERYONE HAS 2475 01:45:31,920 --> 01:45:32,880 SAID, IF THEY HAVE THOUGHTS TO 2476 01:45:32,880 --> 01:45:34,120 PUT IT IN THE CHAT AND WE KNOW 2477 01:45:34,120 --> 01:45:35,760 SOME OF WHAT WE ARE DOING MOVING 2478 01:45:35,760 --> 01:45:38,560 FORWARD WITH SOME OF THE NIH 2479 01:45:38,560 --> 01:45:39,400 WORKFORCE INITIATIVES AT LEAST 2480 01:45:39,400 --> 01:45:41,160 IS THAT WE ARE INCLUDING 2481 01:45:41,160 --> 01:45:43,040 PATIENTS IN OUR ADVISORY PANEL, 2482 01:45:43,040 --> 01:45:48,480 SAY FOR THE NATIONAL K12 AND FOR 2483 01:45:48,480 --> 01:45:50,240 THE R24 TO BE ABLE TO SERVE AS 2484 01:45:50,240 --> 01:45:52,840 MENTORS TO THE NEXT GENERATION 2485 01:45:52,840 --> 01:45:57,800 OF HANES SCHOLARS AND IT COULD 2486 01:45:57,800 --> 01:45:58,760 YOU KNOW BASED ON THIS 2487 01:45:58,760 --> 01:46:00,280 INFORMATION HERE WE COULD 2488 01:46:00,280 --> 01:46:01,080 INCORPORATE INTO THESE NEW 2489 01:46:01,080 --> 01:46:02,360 PROGRAMS THAT WE'RE ABOUT TO 2490 01:46:02,360 --> 01:46:05,440 LAUNCH SO I THINK IT'S VERY 2491 01:46:05,440 --> 01:46:07,160 TIMELY TO BE HAVING THIS 2492 01:46:07,160 --> 01:46:08,360 CONVERSATION THAT'S WHAT WE'RE 2493 01:46:08,360 --> 01:46:11,320 THINKING ABOUT THOSE PROGRAMS. 2494 01:46:11,320 --> 01:46:12,960 >> GREAT WELL WE HAVE A MINUTE 2495 01:46:12,960 --> 01:46:14,720 AND A HALF LEFT, I WOULD LIKE TO 2496 01:46:14,720 --> 01:46:18,320 CLOSE WITH A QUESTION TO 2497 01:46:18,320 --> 01:46:20,800 DR. CANTO, LOOKING AT ARRAY OF 2498 01:46:20,800 --> 01:46:22,880 SYSTEMATIC REVIEWS COMING OUT IS 2499 01:46:22,880 --> 01:46:25,760 IT PURLY FANT AS TOW THINK THERE 2500 01:46:25,760 --> 01:46:27,720 ARE CONCEPTUALIZATION OF THE 2501 01:46:27,720 --> 01:46:30,160 REVIEW ON ALTERNATIVE OR VARIOUS 2502 01:46:30,160 --> 01:46:33,480 ASPECTS OF TRAINING PROGRAMS TO 2503 01:46:33,480 --> 01:46:34,480 INCREASE WORKFORCE, THAT WOULD 2504 01:46:34,480 --> 01:46:36,640 FORCE 1 TO DEFINE A METRIC AT 2505 01:46:36,640 --> 01:46:37,920 THE BEGINNING TO GET GOING OR 2506 01:46:37,920 --> 01:46:42,520 WOULD IT JUST BE AN EXERCISE IN 2507 01:46:42,520 --> 01:46:42,760 FUTILITY. 2508 01:46:42,760 --> 01:46:44,880 >> YOU KNOW I'VE BEEN SORT OF 2509 01:46:44,880 --> 01:46:48,520 TAKING NOTES HERE, I DON'T THINK 2510 01:46:48,520 --> 01:46:49,480 WE HAVE ANYTHING QUITE LIKE 2511 01:46:49,480 --> 01:46:52,320 THAT, WE ARE DEFINITELY MOVING 2512 01:46:52,320 --> 01:46:56,640 MUCH MORE INTO SYSTEM TOPICS SO 2513 01:46:56,640 --> 01:47:00,000 IT'S NOT AN IMPOSSIBLE STRETCH 2514 01:47:00,000 --> 01:47:01,240 BUT IT'S DEFINITELY I THINK YOU 2515 01:47:01,240 --> 01:47:03,480 PUT YOUR FINGER ON IT DEFINING 2516 01:47:03,480 --> 01:47:04,440 THE RIGHT OUTCOMES AND THEN THE 2517 01:47:04,440 --> 01:47:05,760 OTHER THINGS THAT COME UP IS 2518 01:47:05,760 --> 01:47:09,480 KIND OF THE MODELS, HOW DO YOU 2519 01:47:09,480 --> 01:47:12,080 HOW DO YOU PUT THINGS IN BUCKETS 2520 01:47:12,080 --> 01:47:13,640 THAT ARE MEANINGFUL WOULD 2521 01:47:13,640 --> 01:47:15,000 DEFINITELY BE A CHALLENGE AND TO 2522 01:47:15,000 --> 01:47:16,480 TAKE SOMETHING OUT, TO TAKE A 2523 01:47:16,480 --> 01:47:21,320 TOPIC LIKE THAT UP, WOULD WOULD 2524 01:47:21,320 --> 01:47:25,560 REALLY REQUIRE HAVING A ROBUST 2525 01:47:25,560 --> 01:47:26,880 TECHNICAL EXPERT PANEL, YOU KNOW 2526 01:47:26,880 --> 01:47:27,960 SUCH AS THE 1 GATHERED HERE I 2527 01:47:27,960 --> 01:47:30,680 THINK TO MAKE IT PRODUCTIVE. 2528 01:47:30,680 --> 01:47:32,440 >> AND IF I COULD-- 2529 01:47:32,440 --> 01:47:33,000 >> GO AHEAD. 2530 01:47:33,000 --> 01:47:33,920 >> I JUST WANTED TO COMMENT 2531 01:47:33,920 --> 01:47:35,800 BECAUSE HAVING TRIED TO DO A 2532 01:47:35,800 --> 01:47:39,440 SIMILAR THING WITH VOCATIONAL 2533 01:47:39,440 --> 01:47:40,520 REHABILITATION MODELS WHERE 2534 01:47:40,520 --> 01:47:41,960 THERE ARE NO PREDEFINED 2535 01:47:41,960 --> 01:47:44,680 COMPONENTS AND YOU KNOW YOU HAVE 2536 01:47:44,680 --> 01:47:48,800 TO DO THAT, OFTEN THESE PROGRAMS 2537 01:47:48,800 --> 01:47:50,960 ARE TAILORED TO THE LOCAL 2538 01:47:50,960 --> 01:47:53,120 PROBLEM I. E. THE STATUS OF YOUR 2539 01:47:53,120 --> 01:47:54,640 DISCIPLINE, THE STATUS OF YOUR 2540 01:47:54,640 --> 01:47:56,240 PARTICULAR WORKFORCE, SO I THINK 2541 01:47:56,240 --> 01:48:00,200 WE FOUND IT VERY CHALLENGING TO 2542 01:48:00,200 --> 01:48:02,000 DISENTANGLE THE STRUCTURES THAT 2543 01:48:02,000 --> 01:48:03,080 WERE CAUSEALLY RESPONSIBILITY 2544 01:48:03,080 --> 01:48:06,120 FOR OUTCOMES VERSUS THE FEATURES 2545 01:48:06,120 --> 01:48:08,640 THAT WERE DESIGNED TO FIT THE 2546 01:48:08,640 --> 01:48:10,040 POPULATION SITUATION THAT THE 2547 01:48:10,040 --> 01:48:14,240 PROGRAMS WERE INVENTED FOR. 2548 01:48:14,240 --> 01:48:16,680 WELL, THANK YOU AND I WAS JUST 2549 01:48:16,680 --> 01:48:19,600 BRINGING THIS UP AS A MEANS TO 2550 01:48:19,600 --> 01:48:20,520 STIMULATE DISCUSSION, I DON'T 2551 01:48:20,520 --> 01:48:23,120 HAVE A CHECK BOOK AND AM NOT AN 2552 01:48:23,120 --> 01:48:25,760 AGENCY, BUT TO GET PEOPLE'S 2553 01:48:25,760 --> 01:48:26,600 THOUGHTS ILLICKITIED, AND I 2554 01:48:26,600 --> 01:48:28,720 THINK WE'RE OUT OF TIME 2555 01:48:28,720 --> 01:48:29,880 ALLOCATED TO THIS SEGMENT SO I'M 2556 01:48:29,880 --> 01:48:31,680 HAPPY TO TURN THIS BACK OVER TO 2557 01:48:31,680 --> 01:48:33,320 LINDA, WALTER OR BETH AND THANKS 2558 01:48:33,320 --> 01:48:40,120 BY THE WAY TO THE PRESENTERS. 2559 01:48:40,120 --> 01:48:41,720 >> THANKS A LOT DAN, THANKS TO 2560 01:48:41,720 --> 01:48:43,360 YOU AND CHRISTINE AND LAURA AND 2561 01:48:43,360 --> 01:48:45,000 JOHN FOR JOINING US, GOOD 2562 01:48:45,000 --> 01:48:46,880 DISCUSSION, TELL GIVE US MORE 2563 01:48:46,880 --> 01:48:48,480 THINGS TO THINK ABOUT THIS HAS 2564 01:48:48,480 --> 01:48:54,360 WE MOVE FORWARD, REALLY TRYING 2565 01:48:54,360 --> 01:48:57,520 TO CHANGE WHAT THE WORKFORCE 2566 01:48:57,520 --> 01:48:59,120 LOOKS LIKE, BRINGING IN 2567 01:48:59,120 --> 01:49:01,040 INNOVATIVE FOLKS AND SORT OF 2568 01:49:01,040 --> 01:49:03,640 REALLY DELVE INTO WHAT THEY NEED 2569 01:49:03,640 --> 01:49:05,080 TO GET IN AND STAY IN. 2570 01:49:05,080 --> 01:49:07,400 SO WE'RE TALKING A LOT ABOUT 2571 01:49:07,400 --> 01:49:09,600 GETTING IN TODAY BUT STAYING IN 2572 01:49:09,600 --> 01:49:11,600 IS A WHOLE OTHER ISSUE, SO LOTS 2573 01:49:11,600 --> 01:49:13,440 TO THINK ABOUT, BUT YOU KNOW I 2574 01:49:13,440 --> 01:49:14,640 ALSO THINKING ABOUT HOW DOES 2575 01:49:14,640 --> 01:49:18,640 THIS AFFECT THE PATIENTS, THOSE 2576 01:49:18,640 --> 01:49:19,680 WHO REALLY MEANT TO GENERATED 2577 01:49:19,680 --> 01:49:22,240 FIT THE RESEARCH, SO ALL GOOD 2578 01:49:22,240 --> 01:49:26,160 CONVERSATIONS, WE ARE GOING TO 2579 01:49:26,160 --> 01:49:34,960 TURN NOW TO BETH DARNALL, AND 2580 01:49:34,960 --> 01:49:37,720 CHRISTINE GOERTZ, SO BETH AND 2581 01:49:37,720 --> 01:49:39,560 CHRISTINE ON SERVED ON THE 2582 01:49:39,560 --> 01:49:41,840 WELCOMER GROUP THAT MADE 2583 01:49:41,840 --> 01:49:43,600 RECOMMENDATIONS TO THE CDC AS 2584 01:49:43,600 --> 01:49:45,280 THEY REALIZED THE OPIOID 2585 01:49:45,280 --> 01:49:46,080 PRESCRIBING GUIDELINE AND I 2586 01:49:46,080 --> 01:49:48,280 THINK THE OFFICIAL NAME WAS THE 2587 01:49:48,280 --> 01:49:50,240 OPIOID WORK GROUP, IS THAT 2588 01:49:50,240 --> 01:49:50,640 CORRECT? 2589 01:49:50,640 --> 01:49:51,040 >> YEAH, GREAT. 2590 01:49:51,040 --> 01:49:53,760 >> AND SO BETH IS GOING TO GIVE 2591 01:49:53,760 --> 01:49:56,520 US SORT OF AN OVERVIEW OF THE 2592 01:49:56,520 --> 01:49:57,880 CHANGES AND I THINK IT WOULD BE 2593 01:49:57,880 --> 01:50:02,280 REALLY HELPFUL TO SORT OF HEAR 2594 01:50:02,280 --> 01:50:06,360 NOW, THAT THE GUIDELINE LINE HAS 2595 01:50:06,360 --> 01:50:08,120 BEEN SIGNIFICANTLY REVISED HOW 2596 01:50:08,120 --> 01:50:10,600 IT MIGHT ALIGN WITH THE 2597 01:50:10,600 --> 01:50:11,800 RECOMMENDATIONS OF THE WORK 2598 01:50:11,800 --> 01:50:13,560 GROUP SO BETH, I WILL TURN IT 2599 01:50:13,560 --> 01:50:15,320 OVER TO YOU AND CHRISTINE IS 2600 01:50:15,320 --> 01:50:17,280 HERE AND WILLING TO JOIN IN, 2601 01:50:17,280 --> 01:50:19,240 SHE'S BEEN AWAY SO WE CAUGHT HER 2602 01:50:19,240 --> 01:50:20,640 AT THE LAST MOMENT. 2603 01:50:20,640 --> 01:50:24,920 >> YEAH, THANK YOU LINDA AND SO 2604 01:50:24,920 --> 01:50:25,840 AS LINDA MENTIONED, CHRISTINE 2605 01:50:25,840 --> 01:50:28,800 AND I BOTH SERVED ON THE CDC, 2606 01:50:28,800 --> 01:50:32,720 OPIOID WORK GROUP AND THAT WAS 2607 01:50:32,720 --> 01:50:34,200 FROM 2020 UNTIL 2021, AND I'M 2608 01:50:34,200 --> 01:50:36,720 JUST GOING TO BACK UP A LITTLE 2609 01:50:36,720 --> 01:50:38,160 BIT AND DESCRIBE A LITTLE BIT 2610 01:50:38,160 --> 01:50:41,360 ABOUT OUR ROLE AND THE PROCESS 2611 01:50:41,360 --> 01:50:44,240 AND THEN KIND OF GET INTO THE 2612 01:50:44,240 --> 01:50:46,200 CONCERNS OF THE OPIOID WORK 2613 01:50:46,200 --> 01:50:47,400 GROUPS, THE CHANGES THAT WERE 2614 01:50:47,400 --> 01:50:49,840 MADE AND SOME OF THE CONCERNS 2615 01:50:49,840 --> 01:50:50,200 THAT REMAIN. 2616 01:50:50,200 --> 01:50:55,440 AND I'LL BE OF COURSE BRINGING A 2617 01:50:55,440 --> 01:50:58,120 REPORT ASPECT TO THIS AS WELL AS 2618 01:50:58,120 --> 01:50:59,880 MY PERSONAL OPINION TO THE 2619 01:50:59,880 --> 01:51:02,040 MATTER AND THEN CHRISTINE CAN 2620 01:51:02,040 --> 01:51:04,480 CHIME IN WITH HER OBSERVATIONS 2621 01:51:04,480 --> 01:51:05,280 AS WELL. 2622 01:51:05,280 --> 01:51:07,360 SO, A BIT OF A BACKGROUND AND 2623 01:51:07,360 --> 01:51:09,680 FORGIVE ME IF THIS IS ALL SUPER 2624 01:51:09,680 --> 01:51:10,760 REPETITIVE FOR EVERYONE BUT AS 2625 01:51:10,760 --> 01:51:17,360 MANY OF YOU KNOW THE 2016 CDC 2626 01:51:17,360 --> 01:51:18,880 GUIDELINE FOR PRESCRIBING 2627 01:51:18,880 --> 01:51:21,160 OPIOIDS WAS LIMITED REALLY TO 2628 01:51:21,160 --> 01:51:23,320 PRESCRIBING IN PRIMARY CARE, BUT 2629 01:51:23,320 --> 01:51:25,360 NOT MORE BROADLY TO PAIN EXPERTS 2630 01:51:25,360 --> 01:51:28,760 AND IT WAS VERY SPECIFIC TO 2631 01:51:28,760 --> 01:51:31,840 OPIOIDS, THE GUIDELINE WAS MISS 2632 01:51:31,840 --> 01:51:34,200 INTERPRETED AND THIS APPLIED. 2633 01:51:34,200 --> 01:51:35,480 THERE WERE--YOU KNOW DOSE 2634 01:51:35,480 --> 01:51:37,360 THRESHOLDS THAT WERE MENTIONED 2635 01:51:37,360 --> 01:51:38,640 THROUGHOUT THE 2016 GUIDELINE 2636 01:51:38,640 --> 01:51:43,040 THAT WERE REALLY TAKEN AS RIGID 2637 01:51:43,040 --> 01:51:46,040 RULES AND APPLIED THROUGHOUT 2638 01:51:46,040 --> 01:51:46,520 COMMUNITIES, CLINICS, 2639 01:51:46,520 --> 01:51:50,560 PRESCRIBERS AND EVEN CODIFIED 2640 01:51:50,560 --> 01:51:54,480 INTO STATE LAWS AROUND OPIOID 2641 01:51:54,480 --> 01:51:56,840 PRESCRIBING IS HARD LIMITS AND 2642 01:51:56,840 --> 01:52:02,240 SO WHAT WE SAW WAS INDIVIDUALS 2643 01:52:02,240 --> 01:52:03,840 TAKING THESE NUMBERS, 2644 01:52:03,840 --> 01:52:05,880 MISAPPLYING THEM AND THEN ACTING 2645 01:52:05,880 --> 01:52:09,240 ON THEM TO RAPIDLY OR LESS 2646 01:52:09,240 --> 01:52:11,520 RAPIDLY, BUT STILL TAPER PEOPLE 2647 01:52:11,520 --> 01:52:14,960 OFF OF MEDICATIONS REGARDLESS OF 2648 01:52:14,960 --> 01:52:17,920 ANYTHING ELSE IN SOME CASES, AND 2649 01:52:17,920 --> 01:52:20,040 WHAT WE SAW IN THE INTERVENING 2650 01:52:20,040 --> 01:52:23,720 YEARS WAS A STATE OF 2651 01:52:23,720 --> 01:52:26,560 PUBLICATIONS DESCRIBING HARMS 2652 01:52:26,560 --> 01:52:28,080 NEGATIVE CONSEQUENCES OF THESE 2653 01:52:28,080 --> 01:52:30,440 MISSED APPLICATIONS SO IN 2019 2654 01:52:30,440 --> 01:52:34,320 THE CDC PUBLISHED A CORRECTION 2655 01:52:34,320 --> 01:52:36,280 AND ADMONISHED THESE PRACTICES 2656 01:52:36,280 --> 01:52:37,840 THAT WERE OCCURRING BASICALLY 2657 01:52:37,840 --> 01:52:39,240 STATING HEY, WE NEVER INTENDED 2658 01:52:39,240 --> 01:52:41,680 FOR THIS TO BE THE CASE, THEY 2659 01:52:41,680 --> 01:52:44,640 ACKNOWLEDGED THAT THE GUIDELINES 2660 01:52:44,640 --> 01:52:46,240 FOR THIS BEING APPLIED 2661 01:52:46,240 --> 01:52:49,000 CONTRIBUTING TO POOR OUTCOMES, 2662 01:52:49,000 --> 01:52:53,000 OVERDOSES AND EVEN DEATHS IN 2663 01:52:53,000 --> 01:52:53,400 SOME CASES. 2664 01:52:53,400 --> 01:52:54,640 SO KEY QUESTION THAT WAS BROUGHT 2665 01:52:54,640 --> 01:52:57,480 TO THE TABLE WITH THIS BRO POSED 2666 01:52:57,480 --> 01:52:59,920 REVISION WAS HOW WOULD THE CDC 2667 01:52:59,920 --> 01:53:02,000 PREVENT SUCH HARMS FROM 2668 01:53:02,000 --> 01:53:04,240 CONTINUING AND EVEN EXPANDING 2669 01:53:04,240 --> 01:53:07,640 WITH THIS NEW DOCUMENT THAT WAS 2670 01:53:07,640 --> 01:53:09,240 BEING PROPOSED. 2671 01:53:09,240 --> 01:53:10,920 THE CDC OPIOID GROUP WAS 2672 01:53:10,920 --> 01:53:12,840 CONVENED WITH 22 MEMBERS AND WE 2673 01:53:12,840 --> 01:53:17,720 WERE TASKED WITH REVIEWING THE 2674 01:53:17,720 --> 01:53:18,920 ANTICIPATED OPIOID GUIDELINE AND 2675 01:53:18,920 --> 01:53:21,440 MAKE RECOMMENDATIONS TO THE 2676 01:53:21,440 --> 01:53:21,720 REVISION. 2677 01:53:21,720 --> 01:53:23,320 WE CREATED THE GUIDING 2678 01:53:23,320 --> 01:53:24,760 PRINCIPLES DOCUMENT TO GUIDE OUR 2679 01:53:24,760 --> 01:53:26,840 WORK IN THE WO, GROUP AND THIS 2680 01:53:26,840 --> 01:53:29,240 WAS PUBLISHED ON JULY 2nd OF 2681 01:53:29,240 --> 01:53:30,560 2021 ALONG WITH OUR FORMAL 2682 01:53:30,560 --> 01:53:34,400 REPORT TO THE CDC, OUR FIRST 2683 01:53:34,400 --> 01:53:37,400 PINS PAL WAS TO MINIMIZE BIAS, 2684 01:53:37,400 --> 01:53:38,680 POTENTIAL BIAS WITH THE EVIDENCE 2685 01:53:38,680 --> 01:53:40,240 REVIEWS ISSUES THE AUTHORS OF 2686 01:53:40,240 --> 01:53:41,840 THOSE REVIEWS, AND THE STUDIES 2687 01:53:41,840 --> 01:53:43,560 THAT WERE EITHER INCLUDED OR 2688 01:53:43,560 --> 01:53:46,400 EXCLUDED WITHIN THE REVIEW, WE 2689 01:53:46,400 --> 01:53:49,280 WANT TO MINIMIZE BI AS BY 2690 01:53:49,280 --> 01:53:50,520 INSURING THE CLINICAL EVIDENCE 2691 01:53:50,520 --> 01:53:52,160 AND VARIOUS DATA FROM REAL WORLD 2692 01:53:52,160 --> 01:53:59,120 PATIENTS AND REAL WORLD PRACTICE 2693 01:53:59,120 --> 01:54:01,160 WAS WAITED APPROPRIATELY WITHIN 2694 01:54:01,160 --> 01:54:01,920 THE FRAMEWORK. 2695 01:54:01,920 --> 01:54:03,200 A SECOND PRINCIPLE WAS 2696 01:54:03,200 --> 01:54:06,680 SCIENTIFIC INTEGRITY TOW REALLY 2697 01:54:06,680 --> 01:54:09,120 REVIEW THE EVIDENCE SUPPORTING 2698 01:54:09,120 --> 01:54:10,520 NME CLASSIFICATIONS AND OTHER 2699 01:54:10,520 --> 01:54:12,960 LATENT FACTORS THAT COULD 2700 01:54:12,960 --> 01:54:14,960 DISTORT OUTCOMES FROM PRIMARY 2701 01:54:14,960 --> 01:54:18,200 OPIOID SCIENCE, PRINCIPLE 3 WAS 2702 01:54:18,200 --> 01:54:19,240 ENHANCING INCLUSIVITY, SO 2703 01:54:19,240 --> 01:54:20,920 IDENTIFYING WAYS IN WHICH THE 2704 01:54:20,920 --> 01:54:22,880 CURRENT LENS OF THE EVIDENCE 2705 01:54:22,880 --> 01:54:25,320 REVIEWS WAS TOO NARROW, AND 2706 01:54:25,320 --> 01:54:27,400 THEREFORE EXCLUDING KEY 2707 01:54:27,400 --> 01:54:27,960 POPULATIONS. 2708 01:54:27,960 --> 01:54:29,920 WE WANTED TO FIND OPPORTUNITIES 2709 01:54:29,920 --> 01:54:33,760 TO EXTEND THE LENS TO INSURE 2710 01:54:33,760 --> 01:54:34,880 INCLUSIVITY RECOGNIZING THAT 2711 01:54:34,880 --> 01:54:38,600 CHRONIC PAIN IS NOT A MONOLITH. 2712 01:54:38,600 --> 01:54:39,800 INCLUDES DIVERSE CONDITIONS, 2713 01:54:39,800 --> 01:54:41,560 ETIOLOGIES, PAIN TYPES AND 2714 01:54:41,560 --> 01:54:43,320 SEVERITYS, WE WANT TO APPRECIATE 2715 01:54:43,320 --> 01:54:46,320 THE COMPLEXITY OF CHRONIC PAIN 2716 01:54:46,320 --> 01:54:47,360 AND FUNDAMENTALLY RECOGNIZING A 2717 01:54:47,360 --> 01:54:51,440 NEED TO PROTECT THE OUTLIERS. 2718 01:54:51,440 --> 01:54:54,200 PEOPLE WITH RARE DISEASES, 2719 01:54:54,200 --> 01:54:54,880 PROGRESSIVE DEGENERATIVE 2720 01:54:54,880 --> 01:54:56,280 CONDIPGZS WHO MAY NOT OTHERWISE 2721 01:54:56,280 --> 01:54:59,080 BE CAPTURED IN AESES ISMENTS 2722 01:54:59,080 --> 01:55:01,920 THAT SIMPLY AGGREGATE RISK 2723 01:55:01,920 --> 01:55:07,320 VERSUS HARM AT A GROUP LEVEL. 2724 01:55:07,320 --> 01:55:10,120 PRINCIPLE 4 WAS PATIENT AND 2725 01:55:10,120 --> 01:55:10,720 CLINICIAN CENTEREDNESS, SO 2726 01:55:10,720 --> 01:55:13,800 RECOGNIZING AND SOME OF THE 2727 01:55:13,800 --> 01:55:15,640 TREATMENT RECOMMENDATIONS 2728 01:55:15,640 --> 01:55:17,320 WHETHER PHARMAICOLOGGIC OR 2729 01:55:17,320 --> 01:55:20,000 NONPHARMAICOLOGGIC OPTIONS WERE 2730 01:55:20,000 --> 01:55:20,720 CLINICALLY ACCESSIBLE, 2731 01:55:20,720 --> 01:55:21,840 MEANINGFULLY ACCESSIBLE TO THE 2732 01:55:21,840 --> 01:55:23,840 INDIVIDUAL AND SIMPLY 2733 01:55:23,840 --> 01:55:27,040 RECOGNIZING THAT CITING EFFICACY 2734 01:55:27,040 --> 01:55:28,280 EVIDENCE ALONE IS INSUFFICIENT 2735 01:55:28,280 --> 01:55:29,800 WITHOUT PLACING THE EFFICACY 2736 01:55:29,800 --> 01:55:34,720 EVIDENCE WITHIN THE CONTEXT OF 2737 01:55:34,720 --> 01:55:35,360 ACCESSIBILITY. 2738 01:55:35,360 --> 01:55:37,240 PRINCIPLE 5 WAS THE HISTORICAL 2739 01:55:37,240 --> 01:55:39,560 CONTEXT TO MITIGATE HARMS FROM 2740 01:55:39,560 --> 01:55:41,320 UNINTENDED CONSEQUENCES THAT 2741 01:55:41,320 --> 01:55:44,280 WERE DOCUMENTED FOLLOWING THE 2742 01:55:44,280 --> 01:55:47,240 2016 OPIOID GUIDELINE SO WE 2743 01:55:47,240 --> 01:55:49,720 WANTED TO SEE, CDC INCORPORATE 2744 01:55:49,720 --> 01:55:52,440 LESSONS LEARNED FROM VARIOUS 2745 01:55:52,440 --> 01:55:54,640 MISINTERPRETATIONS OF THE PRIOR 2746 01:55:54,640 --> 01:55:56,720 GUIDELINE, AND TO REALLY MAKE 2747 01:55:56,720 --> 01:55:58,600 PROVISIONS SO THAT 2748 01:55:58,600 --> 01:56:02,000 RECOMMENDATIONS WOULD NOT BE 2749 01:56:02,000 --> 01:56:03,040 EASILY DISTORTED IN LANGUAGE AND 2750 01:56:03,040 --> 01:56:07,120 SO PART OF THIS CAME DOWN TO A 2751 01:56:07,120 --> 01:56:08,320 RECOMMENDATION AND PRINCIPLE 2752 01:56:08,320 --> 01:56:09,280 AROUND COMMUNICATION SCIENCE TO 2753 01:56:09,280 --> 01:56:13,080 INSURE THAT THE CONCLUSIONS IN 2754 01:56:13,080 --> 01:56:16,240 THE GUIDELINE WERE CLEAR WITHOUT 2755 01:56:16,240 --> 01:56:17,560 AMBIGUITY, MINIMAL ABILITY TO 2756 01:56:17,560 --> 01:56:19,600 DISTORT INFORMATION OR CREATE 2757 01:56:19,600 --> 01:56:20,880 MISUNDERSTANDINGS ESPECIALLY AS 2758 01:56:20,880 --> 01:56:24,480 IT COULD PERTAIN TO LOCAL STATE 2759 01:56:24,480 --> 01:56:25,480 OR NATIONAL POLICY. 2760 01:56:25,480 --> 01:56:27,640 SO WE RECEIVED THE DRAFT IN LATE 2761 01:56:27,640 --> 01:56:31,800 FEBRUARY OR MARCH OF 2021 AND WE 2762 01:56:31,800 --> 01:56:34,360 HAD ABOUT 2, 2 MONTHS AND CHANGE 2763 01:56:34,360 --> 01:56:37,000 TO REVIEW THE 200 PAGE DOCUMENT 2764 01:56:37,000 --> 01:56:38,280 PROVIDE COMMENTS, MEET SEVERAL 2765 01:56:38,280 --> 01:56:41,040 TIMES FOR 1 AND HALF HOUR 2766 01:56:41,040 --> 01:56:44,240 MEETINGS TO DISCUSS THE DOCUMENT 2767 01:56:44,240 --> 01:56:45,680 ANDAD MITTEDLY THE PROCESS WAS A 2768 01:56:45,680 --> 01:56:47,200 BIT DAUNTING BECAUSE THIS 2769 01:56:47,200 --> 01:56:49,960 REVISION WAS EXPANDED WITH A 2770 01:56:49,960 --> 01:56:53,320 SUBSTANTIAL AMOUNT OF TEXT, THE 2771 01:56:53,320 --> 01:56:55,480 GUIDELINE, THE REVISED GUIDELINE 2772 01:56:55,480 --> 01:56:59,120 WAS VASTLY LARGER IN SCOPE THAN 2773 01:56:59,120 --> 01:57:00,000 THE 2016 VERSION, SO WHEREAS 2774 01:57:00,000 --> 01:57:02,800 BEFORE IT WAS REALLY CONTAINED 2775 01:57:02,800 --> 01:57:04,440 TO OPIOID PRESCRIBING AND 2776 01:57:04,440 --> 01:57:05,480 PRIMARY CARE, THIS REVISION 2777 01:57:05,480 --> 01:57:08,240 READS MORE LIKE A PAIN TREATMENT 2778 01:57:08,240 --> 01:57:10,680 GUIDELINE, NOT JUST AN OPIOID 2779 01:57:10,680 --> 01:57:12,760 PRESCRIBING, LIKE IT EXTENDS OUT 2780 01:57:12,760 --> 01:57:16,600 TO OTHER PAIN SPECIALISTS, NOT 2781 01:57:16,600 --> 01:57:19,880 JUST PRIMARY CARE, AND SO THIS 2782 01:57:19,880 --> 01:57:23,160 IS LARGER IN SCOPE AND IT 2783 01:57:23,160 --> 01:57:24,120 CREATES SOME VULNERABILITIES 2784 01:57:24,120 --> 01:57:27,000 WHERE IN THIS VOLUME OF TEXT, 2785 01:57:27,000 --> 01:57:30,960 THERE IS INCREASED RISK FOR 2786 01:57:30,960 --> 01:57:32,000 MISINTERPRETATION, THERE'S AN 2787 01:57:32,000 --> 01:57:33,840 EXCLUSION OF CERTAIN PAIN 2788 01:57:33,840 --> 01:57:35,680 CONDITIONS, WITHOUT REALLY 2789 01:57:35,680 --> 01:57:37,200 PROVIDING AN EVIDENCE BASE SO 2790 01:57:37,200 --> 01:57:40,280 CANCER AND SICKLE CELL ARE 2791 01:57:40,280 --> 01:57:45,280 EXCLUDED BUT NOT SUFFICIENTLY 2792 01:57:45,280 --> 01:57:45,680 JUSTIFIED WHY. 2793 01:57:45,680 --> 01:57:47,720 YOU KNOW MY BACKGROUND IS 2794 01:57:47,720 --> 01:57:48,520 BEHAVIORIAL HEALTH SO THEY 2795 01:57:48,520 --> 01:57:50,160 INCLUDE A LOT OF BEHAVIORIAL 2796 01:57:50,160 --> 01:57:52,880 HEALTH EVIDENCE WHICH I LOVE BUT 2797 01:57:52,880 --> 01:57:55,320 THIS IS A WHOLE IS A WHOLE 2798 01:57:55,320 --> 01:57:59,920 LARGER SWATH OF TEXTING AND 2799 01:57:59,920 --> 01:58:01,800 CONTEXT TO CONSIDER. 2800 01:58:01,800 --> 01:58:03,720 NEWLY INCLUDED IN THIS GUIDELINE 2801 01:58:03,720 --> 01:58:05,160 ARE RECOMMENDATIONS FOR TAPERING 2802 01:58:05,160 --> 01:58:09,360 WHICH WERE NOT PRESENT IN THE 2803 01:58:09,360 --> 01:58:11,000 PRIOR GUIDELINE AND WHAT I WILL 2804 01:58:11,000 --> 01:58:12,520 REVIEW FIRST ARE THE 2805 01:58:12,520 --> 01:58:13,800 RECOMMENDATIONS FROM THE OPIOID 2806 01:58:13,800 --> 01:58:16,480 WORK GROUP AND THESE ARE ALSO 2807 01:58:16,480 --> 01:58:20,000 AVAILABLE ONLINE, PUBLISHED IN 2808 01:58:20,000 --> 01:58:21,520 JULY, ON JULY 2. 2809 01:58:21,520 --> 01:58:22,920 SO, THERE'S REALLY TOO MUCH TO 2810 01:58:22,920 --> 01:58:24,520 READ BUT I'M JUST GOING TO KEY 2811 01:58:24,520 --> 01:58:28,000 IN ON A FEW POINTS THAT ARE 2812 01:58:28,000 --> 01:58:29,720 PARTICULARLY SALIENT. 2813 01:58:29,720 --> 01:58:31,160 SO MANY WORKING GROUP MEMBERS 2814 01:58:31,160 --> 01:58:33,880 WERE CONCERNED ABOUT HOW THE 2815 01:58:33,880 --> 01:58:34,840 RECOMMENDATION COULD BE 2816 01:58:34,840 --> 01:58:40,240 MISAPPLIED LEADING TO POETIC 2817 01:58:40,240 --> 01:58:42,480 TEBTIAL HARM, AND METIGATED THIS 2818 01:58:42,480 --> 01:58:43,760 BALANCE WHILE PRESERVING THE 2819 01:58:43,760 --> 01:58:46,280 BENEFITS OF THE GUIDELINE, MANY 2820 01:58:46,280 --> 01:58:48,480 WORK GROUP MEMBERS NOTED HOW THE 2821 01:58:48,480 --> 01:58:50,560 GUIDELINE HAS A CONSTANT TENSION 2822 01:58:50,560 --> 01:58:53,920 BETWEEN PUBLIC HEALTH VERSUS 2823 01:58:53,920 --> 01:58:55,000 INDIVIDUAL PATIENT BENEFIT. 2824 01:58:55,000 --> 01:58:56,920 WITH A LACK OF CONTENT RELATED 2825 01:58:56,920 --> 01:58:59,560 TO THE UNDERTREATMENT OF PAIN AS 2826 01:58:59,560 --> 01:59:01,960 BEING A PRIMARY CONCERN, MANY 2827 01:59:01,960 --> 01:59:03,360 GROUP MEMBERS WERE CAUTIOUS 2828 01:59:03,360 --> 01:59:04,800 ABOUT INCLUDING SPECIFIC OPIOID 2829 01:59:04,800 --> 01:59:07,800 DOSE THRESHOLDS IN THE 2830 01:59:07,800 --> 01:59:09,000 RECOMMENDATIONS, WORK GROUP 2831 01:59:09,000 --> 01:59:10,080 MEMBERS ACKNOWLEDGED THE 2832 01:59:10,080 --> 01:59:12,600 IMPORTANCE OF HAVING BENCHMARKS 2833 01:59:12,600 --> 01:59:16,040 THAT SPECIFIC OPIOID DOSES WOULD 2834 01:59:16,040 --> 01:59:17,960 BE MISAPPLIED AS ABSOLUTE CUT 2835 01:59:17,960 --> 01:59:20,680 OFFS OR THRESHOLDS FOR POLICIES 2836 01:59:20,680 --> 01:59:24,200 OR PRACTICES, MANY WORK GROUPS 2837 01:59:24,200 --> 01:59:25,280 NOTED EXCEPTIONALISM THROUGHOUT 2838 01:59:25,280 --> 01:59:26,440 THE GUIDE LINE, CERTAIN 2839 01:59:26,440 --> 01:59:27,520 CONDITIONS WERE NAME INDEED THE 2840 01:59:27,520 --> 01:59:29,400 TEXT WHILE OTHERS WERE NOT, 2841 01:59:29,400 --> 01:59:30,200 LEADING TO INTERPRETATION 2842 01:59:30,200 --> 01:59:31,320 WHETHER CERTAIN PAIN CONDITIONS 2843 01:59:31,320 --> 01:59:36,280 WERE REAL OR WORTHY OF CERTAIN 2844 01:59:36,280 --> 01:59:36,640 PAIN TREATMENTS. 2845 01:59:36,640 --> 01:59:38,760 AND SO THIS APPLIED TO SICKLE 2846 01:59:38,760 --> 01:59:39,960 CELL DISEASE, CANCER, PALLIATIVE 2847 01:59:39,960 --> 01:59:42,000 CARE, END OF LIFE CARE WHICH 2848 01:59:42,000 --> 01:59:44,920 SEEMED TO HAVE SPECIAL 2849 01:59:44,920 --> 01:59:45,760 EZIGNATIONED NOT ENJOYED BY 2850 01:59:45,760 --> 01:59:49,280 OTHER TYPES OF PAIN CONDITIONS. 2851 01:59:49,280 --> 01:59:51,160 SO THIS SORT OF GIVES A LITTLE 2852 01:59:51,160 --> 01:59:53,600 BIT OF A FLAVOR OF WHERE WE WERE 2853 01:59:53,600 --> 01:59:56,600 COMING FROM IN ALL OF THIS. 2854 01:59:56,600 --> 01:59:59,600 SOME AREAS OF THE REVISED 2855 01:59:59,600 --> 02:00:01,600 GUIDELINE WERE NONCONTROVERSIAL 2856 02:00:01,600 --> 02:00:08,640 SUCH AS USING CAUTION WHEN WHEN 2857 02:00:08,640 --> 02:00:09,920 INITIATING OPIOIDS FOR INSTANCE 2858 02:00:09,920 --> 02:00:12,520 BUT MANY IF NOT MOST OF THE 2859 02:00:12,520 --> 02:00:16,120 OTHER AREAS ENGENDERED A HIGH 2860 02:00:16,120 --> 02:00:19,560 DEGREE OF DISCUSSION AND WERE 2861 02:00:19,560 --> 02:00:21,760 DIVERGENT OPINIONS SO EXTENSIVE 2862 02:00:21,760 --> 02:00:24,160 DEBATE AMONG THE OPIOID GROUP ON 2863 02:00:24,160 --> 02:00:26,440 A FEW ITEMS WHICH MAY BE A 2864 02:00:26,440 --> 02:00:31,080 REFLECTION OF THE PROCESS ITSELF 2865 02:00:31,080 --> 02:00:32,400 WHEREBY PAIN CLINICIANS AND PAIN 2866 02:00:32,400 --> 02:00:35,600 SCIENTISTS WERE NOT PART OF THE 2867 02:00:35,600 --> 02:00:37,560 AUTHOR TEAM PER SE, SO THE 2868 02:00:37,560 --> 02:00:42,440 OPIOID WORK GROUP FOR INSTANCE 2869 02:00:42,440 --> 02:00:44,640 WAS AN ADHOC ADVISORY GROUP 2870 02:00:44,640 --> 02:00:46,840 COMPRISED OF PAIN RESEARCHERS, 2871 02:00:46,840 --> 02:00:48,280 PAIN CLINICIANS ISSUES PATIENT 2872 02:00:48,280 --> 02:00:49,680 STAKEHOLDERS, BUT NONE OF US OR 2873 02:00:49,680 --> 02:00:53,120 OTHERS WERE PART OF THE PRIMARY 2874 02:00:53,120 --> 02:00:56,200 AUTHOR GROUP WHO DETERMINED THE 2875 02:00:56,200 --> 02:00:57,920 EVIDENCE GRADE, WHICH STUDIES 2876 02:00:57,920 --> 02:00:59,680 WERE INCLUDED IN THE GUIDELINE 2877 02:00:59,680 --> 02:01:00,920 WHICH TOPICS WERE INCLUDED IN 2878 02:01:00,920 --> 02:01:06,360 THE GUIDELINE, THE SCOPE OF THE 2879 02:01:06,360 --> 02:01:08,400 GUIDELINE, SO WE WERE ADVISING 2880 02:01:08,400 --> 02:01:10,720 ON A DOCUMENT THAT WAS ALREADY 2881 02:01:10,720 --> 02:01:12,080 BAKED ESSENTIALLY BUT THIS 2882 02:01:12,080 --> 02:01:14,760 STANDS AS A DEPARTURE FROM HOW 2883 02:01:14,760 --> 02:01:16,600 THESE PROCESSES NORMALLY TAKE 2884 02:01:16,600 --> 02:01:18,760 PLACE, SO HISTORICALLY AND 2885 02:01:18,760 --> 02:01:19,960 NATIONAL LEVEL, GUIDELINES, 2886 02:01:19,960 --> 02:01:23,840 THERE'S REALLY A RECOGNITION 2887 02:01:23,840 --> 02:01:25,600 THAN A CRITICAL NEED TO INCLUDE 2888 02:01:25,600 --> 02:01:27,200 SUBJECT MATTERS IN THE 2889 02:01:27,200 --> 02:01:29,440 AUTHORSHIP PROCESS, SO A HIGH 2890 02:01:29,440 --> 02:01:31,560 DEGREE OF REPRESENTATION, SO, 2891 02:01:31,560 --> 02:01:33,920 I'LL JUST INVOKE THIS, THE 2892 02:01:33,920 --> 02:01:35,600 IPRCC. 2893 02:01:35,600 --> 02:01:38,920 SO IN PUTTING TOGETHER HHS 2894 02:01:38,920 --> 02:01:41,120 NATIONAL PAIN STRATEGY AND YOU 2895 02:01:41,120 --> 02:01:43,360 KNOW IMPLEMENTING THAT WHOLE 2896 02:01:43,360 --> 02:01:44,960 EFFORT, THROUGH 80 SUBJECT 2897 02:01:44,960 --> 02:01:46,800 MATTER EXPERTS INVOLVED IN THE 2898 02:01:46,800 --> 02:01:49,120 DRAFTING OF THAT DOCUMENT, SO 2899 02:01:49,120 --> 02:01:53,200 IT'S REALLY A CO CREATION 2900 02:01:53,200 --> 02:01:54,200 COLLABORATIVE SO THAT WASN'T 2901 02:01:54,200 --> 02:01:57,600 WHAT HAPPENED WITH THE CDC 2902 02:01:57,600 --> 02:01:59,280 DOCUMENT WHERE THERE FERS A 2903 02:01:59,280 --> 02:02:05,880 SMALL NUMBER OF INTERNAL AUTHORS 2904 02:02:05,880 --> 02:02:06,920 WHO DEVELOPED THE DOCUMENT SO 2905 02:02:06,920 --> 02:02:08,880 THERE WAS A DIVERGENT PROCESS 2906 02:02:08,880 --> 02:02:12,480 THAT I PERSONALLY THINK LED TO A 2907 02:02:12,480 --> 02:02:15,360 LOT OF THE CONTROVERSIES AND 2908 02:02:15,360 --> 02:02:17,280 SOME OF THE DIFFICULTIES OF THE 2909 02:02:17,280 --> 02:02:18,880 OPIOID GROUP HAD IN RECONCILING 2910 02:02:18,880 --> 02:02:22,160 THE MATERIAL THAT WAS PRESENTED, 2911 02:02:22,160 --> 02:02:23,760 RELATIVE TO OUR VARIOUS 2912 02:02:23,760 --> 02:02:25,600 STAKEHOLDER OPINIONS WHICH ARE 2913 02:02:25,600 --> 02:02:28,120 ALL DIVERGENT, A LOCK OF 2914 02:02:28,120 --> 02:02:32,760 INTEGRATION AT THE FRONT OF IT 2915 02:02:32,760 --> 02:02:35,000 SO, YES, SO THERE WAS NOT A 2916 02:02:35,000 --> 02:02:39,040 FOLLOWING OF STANDARD IN THAT 2917 02:02:39,040 --> 02:02:39,320 CASE. 2918 02:02:39,320 --> 02:02:40,960 THE OPIOID WORK GROUP PRODUCED 2919 02:02:40,960 --> 02:02:42,800 ITS REPORT, I SUMMARIZED A 2920 02:02:42,800 --> 02:02:45,200 COUPLE OF THE KEY CRITICISMS AND 2921 02:02:45,200 --> 02:02:47,640 THEN THE OPIOID WORK GROUP WAS 2922 02:02:47,640 --> 02:02:51,720 IMMEDIATELY SUN SETTED AFTER 2923 02:02:51,720 --> 02:02:52,720 ISSUING ITS REPORT. 2924 02:02:52,720 --> 02:02:54,760 WHICH I FOUND ODD, MAYBE THAT'S 2925 02:02:54,760 --> 02:02:56,040 JUST NATIONAL PROCESS BUT I 2926 02:02:56,040 --> 02:03:00,320 THOUGHT THERE SHOULD BE MORE 2927 02:03:00,320 --> 02:03:02,520 OVERSIGHT AROUND THE INTEGRATION 2928 02:03:02,520 --> 02:03:07,240 OF THE RECOMMENDATIONS INTO THE 2929 02:03:07,240 --> 02:03:07,960 FINAL DOCUMENT. 2930 02:03:07,960 --> 02:03:09,880 CDC STATED THERE WOULD BE ADHOC 2931 02:03:09,880 --> 02:03:11,440 INDIVIDUAL MEMBERS WHO WOULD 2932 02:03:11,440 --> 02:03:12,800 PROVIDE THIS OVERSIGHT BUT THAT 2933 02:03:12,800 --> 02:03:14,800 WAS NEVER MADE CLEAR TO US AND 2934 02:03:14,800 --> 02:03:19,120 AGAIN, YOU KNOW WE WERE SORT OF 2935 02:03:19,120 --> 02:03:20,360 SUN SETTED. 2936 02:03:20,360 --> 02:03:22,520 I--YOU KNOW I WILL SPEAK FROM MY 2937 02:03:22,520 --> 02:03:25,120 AREA OF EXPERTISE WHICH IS 2938 02:03:25,120 --> 02:03:25,880 AROUND PRESCRIPTION OPIOID 2939 02:03:25,880 --> 02:03:27,760 TAPERING AND I MENTIONED I'M A 2940 02:03:27,760 --> 02:03:29,960 PRINCIPLE INVESTIGATOR FOR A 2941 02:03:29,960 --> 02:03:31,760 5-STATE NATIONAL TRIAL ON 2942 02:03:31,760 --> 02:03:34,240 PATIENT CENTERED OPIOID 2943 02:03:34,240 --> 02:03:35,400 TAPERING, THAT INVOLVES, 12 2944 02:03:35,400 --> 02:03:38,280 PRIMARY CARE AND PAIN CLINICS 2945 02:03:38,280 --> 02:03:40,360 ACROSS THESE 5 STATES AND YOU 2946 02:03:40,360 --> 02:03:45,360 KNOW IN 2019, HHS PUBLISHED A 2947 02:03:45,360 --> 02:03:49,280 DOCUMENT ON DOSE REDUCTION OF 2948 02:03:49,280 --> 02:03:52,080 PRESCRIPTION OPIOIDS AND IT'S 2949 02:03:52,080 --> 02:03:55,680 REALLY A FANTASTIC DOCUMENT. 2950 02:03:55,680 --> 02:03:58,480 SO AS 1 POINT OF ILLUSTRATION, A 2951 02:03:58,480 --> 02:04:01,280 LOT OF--MANY KEY ASPECTS OF THE 2952 02:04:01,280 --> 02:04:04,120 TAPERING CONTENT AND THE CDC 2953 02:04:04,120 --> 02:04:04,960 PROPOSED REVISION DIAMETRICALLY 2954 02:04:04,960 --> 02:04:08,480 OPPOSE THE LANGUAGE THAT'S IN 2955 02:04:08,480 --> 02:04:10,400 THE 2019 TO HHS TAPERING 2956 02:04:10,400 --> 02:04:14,240 GUIDANCE SO I CAN ALREADY SEE 2957 02:04:14,240 --> 02:04:15,680 THE CONFUSION THAT WOULD BE 2958 02:04:15,680 --> 02:04:16,960 CREATED HERE, WHAT I WOULD HAVE 2959 02:04:16,960 --> 02:04:19,040 LIKED TO HAVE SEEN IS EITHER 2960 02:04:19,040 --> 02:04:20,480 THERE WOULD HAVE BEEN 2961 02:04:20,480 --> 02:04:21,520 INTEGRATION OF TAPERING OF 2962 02:04:21,520 --> 02:04:23,080 EXPERTS INTO THE AUTHORING OF 2963 02:04:23,080 --> 02:04:24,440 THIS DOCUMENT WITHOUT OMITTING 2964 02:04:24,440 --> 02:04:28,320 KEY SCIENCE WHICH IS THE CASE 2965 02:04:28,320 --> 02:04:29,520 NOW OR THE DOCUMENT SIMPLY WOULD 2966 02:04:29,520 --> 02:04:31,440 HAVE REFERRED TO THE READER TO 2967 02:04:31,440 --> 02:04:35,880 THE EXISTING HHS GUIDANCE ON 2968 02:04:35,880 --> 02:04:37,120 TAPERING. 2969 02:04:37,120 --> 02:04:39,360 IT ALREADY EXISTS, IT'S 2970 02:04:39,360 --> 02:04:40,520 UNAMBIGUOUS, IT'S VERY DIFFICULT 2971 02:04:40,520 --> 02:04:44,240 TO MISAPPLY BUT THIS IS A POINT 2972 02:04:44,240 --> 02:04:49,600 THAT'S VERY CLOSE TO HOME FOR ME 2973 02:04:49,600 --> 02:04:50,600 PERSONALLY AND IT ALSO TOWRCHED 2974 02:04:50,600 --> 02:04:53,080 ON THE KEY CONCERN THAT THE DOSE 2975 02:04:53,080 --> 02:04:56,760 THRESHOLDS WILL BE MISAPPLIED 2976 02:04:56,760 --> 02:05:02,120 AND THE TAPERING CONTENT HAS 2977 02:05:02,120 --> 02:05:03,320 BIAS AND IS NOT SCIENTIFICALLY 2978 02:05:03,320 --> 02:05:08,080 GROUNDED IN THE WAY THAT THAT T 2979 02:05:08,080 --> 02:05:08,360 SHOULD. 2980 02:05:08,360 --> 02:05:09,560 SO WHEN LINDA ASKED ME, CAN YOU 2981 02:05:09,560 --> 02:05:12,120 TALK ABOUT HOW THE OPIDDOID WORK 2982 02:05:12,120 --> 02:05:15,320 GROUP RECOMMENDATIONS WERE 2983 02:05:15,320 --> 02:05:16,480 INTEGRATED INTO THE REVISION, I 2984 02:05:16,480 --> 02:05:18,120 WOULD SAY, WELL IN SOME CASES 2985 02:05:18,120 --> 02:05:22,680 THEY WERE AND HAD IN SOME 2986 02:05:22,680 --> 02:05:24,440 CRITICALLY IMPORTANT CASES THE 2987 02:05:24,440 --> 02:05:27,080 OPIOID WORK GROUP GUIDANCE WAS 2988 02:05:27,080 --> 02:05:29,920 NOT--WAS NOT FOLLOWED OR 2989 02:05:29,920 --> 02:05:31,400 INTEGRATED AND MY CONCERN IS 2990 02:05:31,400 --> 02:05:36,000 THAT THERE WILL ABSOLUTELY BE 2991 02:05:36,000 --> 02:05:37,880 MISSED APPLICATIONS IN THIS 2992 02:05:37,880 --> 02:05:41,120 DOCUMENT. 2993 02:05:41,120 --> 02:05:43,320 THIS REVISION IS QUITE 2994 02:05:43,320 --> 02:05:44,040 CONTROVERSIAL EVEN PUBLICLY, 2995 02:05:44,040 --> 02:05:50,120 THERE WAS 1 LETTER SIGNED 2996 02:05:50,120 --> 02:05:52,800 PRIMARILY BY PATIENTS BUT OTHER 2997 02:05:52,800 --> 02:05:53,400 ORGANIZATIONS FOLLOWING THE 2998 02:05:53,400 --> 02:05:54,760 PUBLICATION OF THE PROPOSED 2999 02:05:54,760 --> 02:05:58,040 DRAFT DOCUMENT AND THEY GARNERED 3000 02:05:58,040 --> 02:06:00,360 35,000 SIGNATURES IN OPPOSITION 3001 02:06:00,360 --> 02:06:01,880 OF THIS DRAFT IN I BELIEVE IT 3002 02:06:01,880 --> 02:06:05,640 WAS IN ABOUT 3 WEEKS TIME SO I 3003 02:06:05,640 --> 02:06:07,280 DON'T KNOW WHAT THE SOLUTION IS, 3004 02:06:07,280 --> 02:06:09,480 BUT I'M NOT HERE REALLY TO 3005 02:06:09,480 --> 02:06:13,880 PROVIDE SOLUTIONS BUT SIMPLY TO 3006 02:06:13,880 --> 02:06:16,440 PROVIDE A REPORT ON YOU KNOW AS 3007 02:06:16,440 --> 02:06:18,840 LINDA SAID, HOW WERE THE 3008 02:06:18,840 --> 02:06:21,200 RECOMMENDATIONS INTEGRATED, WHAT 3009 02:06:21,200 --> 02:06:22,320 ARE THE POTENTIAL DOWN STREAM 3010 02:06:22,320 --> 02:06:23,920 CONSEQUENCES OF THIS, WELL, I 3011 02:06:23,920 --> 02:06:31,560 THINK WE'VE ALREADY SEEN THAT 3012 02:06:31,560 --> 02:06:32,240 OCCUR IN 2016. 3013 02:06:32,240 --> 02:06:36,000 I DON'T SEE ANY IMPROVEMENT 3014 02:06:36,000 --> 02:06:38,280 AROUND POTENTIAL SAFETY MEASURES 3015 02:06:38,280 --> 02:06:40,360 AROUND MISAPPLICATIONS AND IN 3016 02:06:40,360 --> 02:06:42,200 FACT, THERE MAY BE MORE IN THIS 3017 02:06:42,200 --> 02:06:45,880 CASE BECAUSE OF THE EXPANDED 3018 02:06:45,880 --> 02:06:46,120 SCOPE. 3019 02:06:46,120 --> 02:06:47,320 SO I WILL STOP THERE, I WILL 3020 02:06:47,320 --> 02:06:49,760 TURN IT OVER TO CHRISTINE AND WE 3021 02:06:49,760 --> 02:06:51,480 CAN HEAR HER PERSPECTIVE AND 3022 02:06:51,480 --> 02:06:56,520 COMMENTS IF SHE HAS ANY TO 3023 02:06:56,520 --> 02:06:56,720 SHARE. 3024 02:06:56,720 --> 02:06:57,080 >> THANK YOU. 3025 02:06:57,080 --> 02:06:58,280 THANK YOU BETH AND THANK YOU FOR 3026 02:06:58,280 --> 02:07:03,720 THE OPPORTUNITY TO TALK ABOUT 3027 02:07:03,720 --> 02:07:04,560 THIS, THIS IMPORTANT ISSUE. 3028 02:07:04,560 --> 02:07:06,200 I THINK THE COMMENTS THAT BETH 3029 02:07:06,200 --> 02:07:15,880 MADE JUST ILLUSTRATE WHAT AN 3030 02:07:15,880 --> 02:07:18,680 INCREDIBLY DIFFICULT ISSUE THIS 3031 02:07:18,680 --> 02:07:22,080 IS AND HOW DIFFICULT THE PROCESS 3032 02:07:22,080 --> 02:07:23,600 WAS AND HOW IT'S ALMOST 3033 02:07:23,600 --> 02:07:28,440 IMPOSSIBLE TO COME UP WITH A 3034 02:07:28,440 --> 02:07:33,880 DOCUMENT THAT REALLY ADDRESSES,A 3035 02:07:33,880 --> 02:07:36,200 THAT ADEQUATELY ADDRESSES THIS 3036 02:07:36,200 --> 02:07:36,400 ISSUE. 3037 02:07:36,400 --> 02:07:38,960 AND 1 OF THE THINGS THAT I 3038 02:07:38,960 --> 02:07:49,520 REALLY STRUGGLED WITH THROUGHOUT 3039 02:07:50,480 --> 02:07:53,840 THE PROCESS WAS TRYING TO FIND 3040 02:07:53,840 --> 02:07:55,160 SOMETHING THAT'S ACTUALLY 3041 02:07:55,160 --> 02:07:58,160 USEFUL, CONCRETE ENOUGH TO BE 3042 02:07:58,160 --> 02:08:01,760 USEFUL IN SOME WAY BUT IS ALSO 3043 02:08:01,760 --> 02:08:05,280 FLEXIBLE ENOUGH TO BE, YOU KNOW 3044 02:08:05,280 --> 02:08:06,680 PATIENT CENTERED AND PHYSICIAN 3045 02:08:06,680 --> 02:08:11,080 CENTERED IN THE WAY THAT THIS 3046 02:08:11,080 --> 02:08:12,640 DOCUMENT NEEDED TO BE AND I'M A 3047 02:08:12,640 --> 02:08:14,480 LITTLE BIT MORE HOPEFUL THAN 3048 02:08:14,480 --> 02:08:23,640 BETH IS THAT THIS DOCUMENT IS IN 3049 02:08:23,640 --> 02:08:25,400 FACT AN IMPROVEMENT OVER THE 3050 02:08:25,400 --> 02:08:28,760 2016 GUIDELINES AND I PERSONALLY 3051 02:08:28,760 --> 02:08:31,200 FEEL LIKE THERE WAS--THERE WAS 3052 02:08:31,200 --> 02:08:35,800 REALLY A STRONG EFFORT TO 3053 02:08:35,800 --> 02:08:38,120 INCORPORATE THE MYRIAD OF 3054 02:08:38,120 --> 02:08:39,800 OPINIONS OF THE MEMBERS OF THE 3055 02:08:39,800 --> 02:08:40,640 OPIOID WORKING GROUP BECAUSE WE 3056 02:08:40,640 --> 02:08:43,960 DID ALL COME AT THIS FROM VERY 3057 02:08:43,960 --> 02:08:47,560 DIFFERENT PERSPECT SPECTIVES I 3058 02:08:47,560 --> 02:08:48,560 VES--PERSPECTIVES AND I 3059 02:08:48,560 --> 02:08:49,960 THINK WHEN THEY FIRST STARTED 3060 02:08:49,960 --> 02:08:51,080 THIS WOULD BE A COUPLE 3061 02:08:51,080 --> 02:08:51,800 CONVERSATIONS AND THEN THEY 3062 02:08:51,800 --> 02:08:54,120 WOULD BE ABLE TO MOVE ON BUT IT 3063 02:08:54,120 --> 02:08:55,840 BECAME QUICKLY CLEAR THAT A LOT 3064 02:08:55,840 --> 02:08:58,040 MORE CONVERSATION WAS GOING NEED 3065 02:08:58,040 --> 02:09:00,240 TO HAPPEN AND I THINK WE HAVE 3066 02:09:00,240 --> 02:09:06,360 WHAT 7 OR 8 MEETINGS THAT DURING 3067 02:09:06,360 --> 02:09:07,800 A PRETTY SHORT PERIOD OF TIME 3068 02:09:07,800 --> 02:09:11,280 BUT IT WAS INTENSE AND THERE WAS 3069 02:09:11,280 --> 02:09:21,840 DEFINITELY A LOT OF DISCUSSION. 3070 02:09:22,880 --> 02:09:24,480 BUT THERE WAS THE TISSUE OF 3071 02:09:24,480 --> 02:09:25,760 WHAT'S IN THE GUIDELINE AND THEN 3072 02:09:25,760 --> 02:09:27,680 THERE'S THE ISSUE OF HOW IT'S 3073 02:09:27,680 --> 02:09:30,160 IMPLEMENTED AND HOW IT'S USED 3074 02:09:30,160 --> 02:09:34,560 AND HOW IT'S COMMUNICATED TO 3075 02:09:34,560 --> 02:09:38,280 OTHERS I THINK THAT IS--WE WON'T 3076 02:09:38,280 --> 02:09:40,360 REALLY BE ABLE TO TELL WHAT 3077 02:09:40,360 --> 02:09:44,080 IMPACT THIS WILL HAVE UNTIL WE 3078 02:09:44,080 --> 02:09:46,080 SEE HOW THOSE VERY DIFFERENT 3079 02:09:46,080 --> 02:09:56,640 COMPONENTS END UP GETTING ROLLED 3080 02:09:59,560 --> 02:09:59,800 OUT. 3081 02:09:59,800 --> 02:10:00,240 >> [INDISCERNIBLE] 3082 02:10:00,240 --> 02:10:02,680 >> I'M SORRY WHAT WAS THAT? 3083 02:10:02,680 --> 02:10:03,760 >> I ASKED IF THERE WERE 3084 02:10:03,760 --> 02:10:05,560 QUESTIONS FOR EITHER OF YOU FROM 3085 02:10:05,560 --> 02:10:05,920 THE GROUP. 3086 02:10:05,920 --> 02:10:08,160 >> HAPPY TO ANSWER QUESTIONS. 3087 02:10:08,160 --> 02:10:12,120 >> HI, I HAVE 1 QUESTION. 3088 02:10:12,120 --> 02:10:14,280 ACTUAL 3 TO BETH, IN YOUR 3089 02:10:14,280 --> 02:10:17,640 INTRODUCTION, YOU SAID THAT, YOU 3090 02:10:17,640 --> 02:10:23,520 KNOW THE 2016 VERSION, YOU KNOW 3091 02:10:23,520 --> 02:10:24,680 WAS--HAD THE VULNERABILITY OF 3092 02:10:24,680 --> 02:10:27,480 BEING APPLIED IN TERMS OF DOSING 3093 02:10:27,480 --> 02:10:28,520 RECOMMENDATIONS AND FROM WHAT 3094 02:10:28,520 --> 02:10:30,840 YOUR REPORT JUST SAID, IT SOUNDS 3095 02:10:30,840 --> 02:10:32,480 LIKE MAYBE THE SAME 3096 02:10:32,480 --> 02:10:35,320 VULNERABILITY MAY STILL EXIST 3097 02:10:35,320 --> 02:10:36,400 BUT NOW THEY'VE ADDED ANOTHER 1 3098 02:10:36,400 --> 02:10:40,160 IN TERMS OF TAPERING THAT HAS 3099 02:10:40,160 --> 02:10:41,520 THE POTENTIAL OF BEING 3100 02:10:41,520 --> 02:10:42,440 MISAPPLIED AND DOSING AND 3101 02:10:42,440 --> 02:10:44,640 TAPERING IS THERE A THIRD OR 3102 02:10:44,640 --> 02:10:47,640 FOURTH AREA FROM WHAT YOU SAW 3103 02:10:47,640 --> 02:10:50,200 THAT HAS KIND OF THE POSSIBILITY 3104 02:10:50,200 --> 02:10:55,520 OF BEING CODIFIED OR MISAPPLIED 3105 02:10:55,520 --> 02:10:56,760 IN IMPLEMENTATION. 3106 02:10:56,760 --> 02:10:58,600 >> YOU'RE MUTED. 3107 02:10:58,600 --> 02:10:59,840 >> YEAH, THANKS DAVE, IT'S A 3108 02:10:59,840 --> 02:11:05,040 GRIT --GREAT QUESTION. 3109 02:11:05,040 --> 02:11:06,680 I THINK THERE'S VULNERABILITIES 3110 02:11:06,680 --> 02:11:09,320 EACH STEP OF THE WAY THE EXTENT 3111 02:11:09,320 --> 02:11:12,520 TO WHICH IT'S NOT MADE CLEAR 3112 02:11:12,520 --> 02:11:15,560 THAT ALL THE INFORMATION 3113 02:11:15,560 --> 02:11:20,040 SHOULD--IS GENERAL GUIDELINES 3114 02:11:20,040 --> 02:11:22,680 BUT DECISION MAKING IS 3115 02:11:22,680 --> 02:11:23,920 CONTEXTUREALLY WEIGHTED AND 3116 02:11:23,920 --> 02:11:25,880 GROUNDED WITHIN EACH PERSON'S 3117 02:11:25,880 --> 02:11:27,200 UNIQUE SITUATIONS THEIR 3118 02:11:27,200 --> 02:11:28,040 DIAGNOSIS, THEIR MEDICAL 3119 02:11:28,040 --> 02:11:30,120 CONDITIONS, ET CETERA SO, YOU 3120 02:11:30,120 --> 02:11:32,920 KNOW I MENTIONED THE BEHAVIORIAL 3121 02:11:32,920 --> 02:11:39,480 HEALTH, THERE'S A LARGE SECTION 3122 02:11:39,480 --> 02:11:40,640 AND PSYCHOLOGICAL THERAPIES AND 3123 02:11:40,640 --> 02:11:42,160 YOU AND I CAN CELEBRATE THAT 3124 02:11:42,160 --> 02:11:43,320 BECAUSE THAT'S SORT OF OUR 3125 02:11:43,320 --> 02:11:44,880 BACKGROUND AND WHERE WE FOCUS A 3126 02:11:44,880 --> 02:11:48,600 LOT OF OUR RESEARCH BUT MY 3127 02:11:48,600 --> 02:11:50,360 CONCERN IS THAT AS YOU AND I 3128 02:11:50,360 --> 02:11:54,200 BOTH KNOW THESE TREATMENTS ARE 3129 02:11:54,200 --> 02:11:56,200 NOT YET WIDELY AVAILABLE AND SO 3130 02:11:56,200 --> 02:11:59,200 TO PUT BEHAVIORIAL HEALTH 3131 02:11:59,200 --> 02:12:01,800 FORWARD, AS SOME SORT OF PANACEA 3132 02:12:01,800 --> 02:12:05,320 WHEN WE KNOW THAT VERY FEW 3133 02:12:05,320 --> 02:12:07,680 PEOPLE GET IT, YOU KNOW FIRST OF 3134 02:12:07,680 --> 02:12:09,720 ALL IT'S NOT WIDELY AVAILABLE, 3135 02:12:09,720 --> 02:12:13,040 EVEN WHEN PEOPLE GET IT NOT 3136 02:12:13,040 --> 02:12:15,720 EVERYONE RESPONDS FAVORABLY, SO 3137 02:12:15,720 --> 02:12:17,000 THERE'S VARIABILITY IN RESPONSE 3138 02:12:17,000 --> 02:12:20,320 TO THAT, AND EVEN WHEN PEOPLE 3139 02:12:20,320 --> 02:12:22,520 RESPOND FAVORABLY TO BEHAVIORIAL 3140 02:12:22,520 --> 02:12:25,280 HEALTH, THAT DOES NOT MEAN THAT 3141 02:12:25,280 --> 02:12:26,560 IT'S NECESSARILY PROVIDES 3142 02:12:26,560 --> 02:12:29,040 SUFFICIENT ANNAL GEEZIA THAT 3143 02:12:29,040 --> 02:12:31,040 WOULD OBVIATE ALL PHARMACEUTICAL 3144 02:12:31,040 --> 02:12:35,320 APPROACHES AND SO, THERE IS A 3145 02:12:35,320 --> 02:12:38,240 BIT OF A REDUCTIVE LENS IN WHICH 3146 02:12:38,240 --> 02:12:40,640 THINGS ARE DESCRIBED IN SILOS 3147 02:12:40,640 --> 02:12:48,840 WITHOUT A TRULY INTEGRATED WHOLE 3148 02:12:48,840 --> 02:12:49,720 PERSON, WHOLE CIRCUMSTANCE 3149 02:12:49,720 --> 02:12:51,600 APPROACH AND SO THAT CONCERNS ME 3150 02:12:51,600 --> 02:12:53,360 AND THE NEXT PIECE I'LL SAY IS 3151 02:12:53,360 --> 02:12:55,200 THAT FOR INSTANCE EVEN AROUND 3152 02:12:55,200 --> 02:12:57,800 THE BEHAVIORIAL HEALTH OR AROUND 3153 02:12:57,800 --> 02:13:02,480 THE OPIOID TAPERING, THE 3154 02:13:02,480 --> 02:13:05,480 SELECTION OF THE EVIDENCE ALSO 3155 02:13:05,480 --> 02:13:06,560 COLORS THE MESSAGING AND YOU AND 3156 02:13:06,560 --> 02:13:07,840 I BOTH KNOW THAT THE PEOPLE WHO 3157 02:13:07,840 --> 02:13:10,120 SHOW UP AND SOME OF THESE 3158 02:13:10,120 --> 02:13:12,200 RANDOMIZED TRIALS DO NOT 3159 02:13:12,200 --> 02:13:14,040 REPRESENT ALL REAL WORLD 3160 02:13:14,040 --> 02:13:14,720 CIRCUMSTANCES. 3161 02:13:14,720 --> 02:13:16,600 SO WE HAVE A SELECTION BIAS AND 3162 02:13:16,600 --> 02:13:20,000 SOME OF THE RESEARCH AND FORMING 3163 02:13:20,000 --> 02:13:21,160 THE CONCLUSIONS OF THE SCIENCE 3164 02:13:21,160 --> 02:13:23,360 WHICH FIND THEIR WAY INTO 3165 02:13:23,360 --> 02:13:24,880 EVIDENCE GUIDELINES WHICH THEN 3166 02:13:24,880 --> 02:13:28,120 INFORM, YOU KNOW THE CDC, OUTPUT 3167 02:13:28,120 --> 02:13:31,080 AND SO, YET AGAIN, THERE NEEDS 3168 02:13:31,080 --> 02:13:33,080 TO BE MUCH GREATER APPRECIATION 3169 02:13:33,080 --> 02:13:35,560 OF THE COMPLEXITY OF THE 3170 02:13:35,560 --> 02:13:36,960 PATIENTS THAT WE TREAT, THE 3171 02:13:36,960 --> 02:13:39,160 CIRCUMSTANCES THAT OUR 3172 02:13:39,160 --> 02:13:41,240 CLINICIANS ARE FACING AND THAT'S 3173 02:13:41,240 --> 02:13:44,240 WHERE I THINK THAT THE RICH 3174 02:13:44,240 --> 02:13:47,440 TEXTURE OF REALITY MAKES ITS WAY 3175 02:13:47,440 --> 02:13:49,160 INTO THE ACTUAL LANGUAGE OF 3176 02:13:49,160 --> 02:13:52,360 DOCUMENTS WHEN THOSE TYPES OF 3177 02:13:52,360 --> 02:13:54,320 STAKEHOLDERS ARE ACTUAL AUTHORS 3178 02:13:54,320 --> 02:14:04,760 AND NOT JUST ADHOC ADVISORS. 3179 02:14:08,600 --> 02:14:09,640 >> ANY OTHER QUESTIONS FOR 3180 02:14:09,640 --> 02:14:10,520 CHRISTINE? 3181 02:14:10,520 --> 02:14:10,840 HAD. 3182 02:14:10,840 --> 02:14:14,000 >> I SEE JIM HAS 1, HOW CAN WE 3183 02:14:14,000 --> 02:14:16,120 ADVOCATE THAT THE NEW GUIDELINES 3184 02:14:16,120 --> 02:14:17,680 WON'T BE MISAPPLIED AND NOT 3185 02:14:17,680 --> 02:14:20,720 CORRECTED FOR 3 YEARS LIKE LAST 3186 02:14:20,720 --> 02:14:20,920 TIME? 3187 02:14:20,920 --> 02:14:25,280 JIM, I THINK IT'S AN EXCELLENT 3188 02:14:25,280 --> 02:14:25,560 QUESTION. 3189 02:14:25,560 --> 02:14:33,840 AND YOU KNOW WE HAVE A LOT OF 3190 02:14:33,840 --> 02:14:35,960 DATA ALREADY ON HOW THINGS CAN 3191 02:14:35,960 --> 02:14:36,920 BE MISAPPLIED AND DISTORTION 3192 02:14:36,920 --> 02:14:39,080 WITH BE CREATED AND I PERSONALLY 3193 02:14:39,080 --> 02:14:44,360 DON'T SEE WITHIN THIS DOCUMENT A 3194 02:14:44,360 --> 02:14:45,480 MEANINGFUL IMPROVEMENT TO 3195 02:14:45,480 --> 02:14:47,480 CORRECT THAT, WHAT WOULD NEED TO 3196 02:14:47,480 --> 02:14:49,240 BE--WHAT WOULD NEED TO OCCUR IS 3197 02:14:49,240 --> 02:14:53,000 SOME SORT OF SYSTEM TO MONITOR 3198 02:14:53,000 --> 02:14:55,480 FOR MISAPPLICATION OR REPORTING 3199 02:14:55,480 --> 02:14:58,080 SYSTEM, RECOMMENDATIONS FOR HOW 3200 02:14:58,080 --> 02:15:00,920 TO ADDRESS MISAPPLICATIONS AS 3201 02:15:00,920 --> 02:15:05,000 THEY'RE OCCURRING OCCURRING SOF 3202 02:15:05,000 --> 02:15:06,840 TRANSPARENCY, NONE OF THAT IS IN 3203 02:15:06,840 --> 02:15:09,720 THIS DOCUMENT SO A WAIT AND SEE 3204 02:15:09,720 --> 02:15:12,760 APPROACH TO WHAT KIND OF DAMAGE 3205 02:15:12,760 --> 02:15:15,560 WILL BE CAUSED YOU KNOW IS VERY 3206 02:15:15,560 --> 02:15:17,200 CONCERNING TO ME AND I THINK 3207 02:15:17,200 --> 02:15:21,520 THAT HAS TO BE BAKED IN ON THE 3208 02:15:21,520 --> 02:15:23,520 FRONT END AND PART OF WHAT 3209 02:15:23,520 --> 02:15:26,320 PERPLEXING ME IS IF THE CDC IS 3210 02:15:26,320 --> 02:15:29,680 FOCUSING ON PROTECTING PATIENTS 3211 02:15:29,680 --> 02:15:33,760 AND PREVENTING SUCH HARMS, WHY 3212 02:15:33,760 --> 02:15:36,320 ISN'T THIS BAKED IN ON THE FRONT 3213 02:15:36,320 --> 02:15:37,360 END? 3214 02:15:37,360 --> 02:15:44,280 AND WHY ISN'T THE HARMS AROUND 3215 02:15:44,280 --> 02:15:44,720 TAPERING SUGGESTED? 3216 02:15:44,720 --> 02:15:46,240 I CHAL ECIALG PEOPLE TO GO 3217 02:15:46,240 --> 02:15:47,880 INTEREST THE GUIDELINE AND FIND 3218 02:15:47,880 --> 02:15:50,000 MININGFUL CONTENT ON TAPERING 3219 02:15:50,000 --> 02:15:51,000 HARMS, THERE'S ALMOST LIKE A 3220 02:15:51,000 --> 02:15:52,880 FOOT NOTE RELATED TO IT, THERE'S 3221 02:15:52,880 --> 02:15:54,480 A COMPLETE OMISSION OF SCIENCE 3222 02:15:54,480 --> 02:15:57,120 AND MINE WHEEL EVERY WEEK WE SEE 3223 02:15:57,120 --> 02:16:02,040 NEW LARGE SCALE STUDIES 3224 02:16:02,040 --> 02:16:03,920 PUBLISHING ON HARMS FROM 3225 02:16:03,920 --> 02:16:04,600 TAPERING, SUICIDE, OVERDOSE 3226 02:16:04,600 --> 02:16:05,880 DEATHS AND FOR SOME REASON 3227 02:16:05,880 --> 02:16:10,240 THAT'S GETTING NO TRACTION. 3228 02:16:10,240 --> 02:16:12,520 I DON'T UNDERSTAND IT SO YOU ASK 3229 02:16:12,520 --> 02:16:15,160 A GREAT QUESTION, JIM. 3230 02:16:15,160 --> 02:16:19,760 >> ONE MORE QUESTION IN HERE 3231 02:16:19,760 --> 02:16:24,600 FROM 3232 02:16:24,600 --> 02:16:27,760 FROM [INDISCERNIBLE] AS TO HOW 3233 02:16:27,760 --> 02:16:29,280 THE CDC DECIDES WHAT IS EXCLUDED 3234 02:16:29,280 --> 02:16:30,360 FROM THE GUIDELINES AND I THINK 3235 02:16:30,360 --> 02:16:37,600 1 IN PARTICULAR WE HAD A LOT OF 3236 02:16:37,600 --> 02:16:40,680 INPUT TO US THAT WAS PASSED 3237 02:16:40,680 --> 02:16:42,800 ALONG TO THE CDC TO EXCLUDE 3238 02:16:42,800 --> 02:16:44,760 SICKLE CELL DISEASE, THIS IS THE 3239 02:16:44,760 --> 02:16:46,320 ONLY 1 I CAN SPEAK TO 3240 02:16:46,320 --> 02:16:46,840 INDIVIDUALLY BECAUSE THE 3241 02:16:46,840 --> 02:16:49,760 COMMUNITY AS I UNDERSTAND IT AT 3242 02:16:49,760 --> 02:16:51,640 LEAST WAS FEELING THAT HAVING 3243 02:16:51,640 --> 02:16:54,080 SICKLE CELL DISEASE INCLUDED, IT 3244 02:16:54,080 --> 02:16:54,960 WASN'T MENTION INDEED THE FIRST 3245 02:16:54,960 --> 02:16:58,640 1 BUT IT WASN'T EXCLUDED HAD 3246 02:16:58,640 --> 02:17:01,480 RESULTED IN MANY PEOPLE WITH 3247 02:17:01,480 --> 02:17:05,280 SICKLE CELL DISEASE BEING CUT 3248 02:17:05,280 --> 02:17:07,160 OFF FROM THEIR OPIOID REGIMENS 3249 02:17:07,160 --> 02:17:10,360 THEY'VE BEEN USING FOR YEARS. 3250 02:17:10,360 --> 02:17:12,320 SOME OTHER--SO IN THIS ITERATION 3251 02:17:12,320 --> 02:17:14,720 OF THE GUIDE LINE AND THIS IS 3252 02:17:14,720 --> 02:17:16,640 REALLY OUT TO CHRISTINE AND 3253 02:17:16,640 --> 02:17:27,160 BETH, THE EXPERTS TO COMMENT ON 3254 02:17:31,640 --> 02:17:31,920 THIS? 3255 02:17:31,920 --> 02:17:32,520 >> THERE'S EXCLUSIONS AROUND 3256 02:17:32,520 --> 02:17:33,600 CANCER AND SICKLE CELL AND 3257 02:17:33,600 --> 02:17:36,400 YOU'RE RIGHT, PEOPLE WITH SICKLE 3258 02:17:36,400 --> 02:17:39,640 CELL WERE CUT OFF OF THEIR 3259 02:17:39,640 --> 02:17:41,240 ANALGESIC REGIMEN BUT FRANKLY 3260 02:17:41,240 --> 02:17:43,880 THERE THAT WAS UNIVERSAL ACROSS 3261 02:17:43,880 --> 02:17:48,240 PAIN CONDITIONS, SO, SOME SORT 3262 02:17:48,240 --> 02:17:49,160 OF SCIENTIFIC AMNESTY FOR 1 3263 02:17:49,160 --> 02:17:51,360 GROUP OF PATIENTS AND I'M ALL 3264 02:17:51,360 --> 02:17:53,960 FOR PROTECTING PATIENTS BUT IT 3265 02:17:53,960 --> 02:17:56,760 NEEDS TO BE GRANTED 3266 02:17:56,760 --> 02:17:58,360 SCIENTIFICALLY THE RATIONAL AND 3267 02:17:58,360 --> 02:18:01,000 IT WAS NOT--THERE WAS SORT OF AN 3268 02:18:01,000 --> 02:18:02,800 ADHOC RATIONAL THAT I HEARD THAT 3269 02:18:02,800 --> 02:18:07,400 CANCER AND SICKLE CELL WERE 3270 02:18:07,400 --> 02:18:08,280 EXCLUDED BECAUSE GUIDELINES 3271 02:18:08,280 --> 02:18:10,280 AROUND THE MANAGEMENT OF OPIOID 3272 02:18:10,280 --> 02:18:11,920 PRESCRIBING AND PAIN MANAGEMENT 3273 02:18:11,920 --> 02:18:13,720 IN THOSE CONDITIONS ALREADY 3274 02:18:13,720 --> 02:18:15,200 EXIST AND CDC WAS DEFERRING TO 3275 02:18:15,200 --> 02:18:16,960 THAT, BUT I COULD SAY THE SAME 3276 02:18:16,960 --> 02:18:19,480 THING AROUND THE TAPERING 3277 02:18:19,480 --> 02:18:20,160 CONTENT. 3278 02:18:20,160 --> 02:18:21,520 WELL HHS HAD PERFECT GUIDANCE 3279 02:18:21,520 --> 02:18:24,040 AROUND THAT, WHY ARE YOU GOING 3280 02:18:24,040 --> 02:18:26,040 IN REENGINEERING IT, BEING 3281 02:18:26,040 --> 02:18:28,360 REDACTIVE AND OMITTING SCIENCE 3282 02:18:28,360 --> 02:18:31,200 AND CREATING CONFUSION AMONG 3283 02:18:31,200 --> 02:18:31,640 CLINICIANS? 3284 02:18:31,640 --> 02:18:35,320 SO THERE ARE ASPECTS OF THIS 3285 02:18:35,320 --> 02:18:45,560 THAT JUST I CANNOT EXPLAIN AND 3286 02:18:45,560 --> 02:18:46,160 ARE NOT LOGICAL. 3287 02:18:46,160 --> 02:18:47,640 >> CHRISTINE DID HAVE YOU ANY 3288 02:18:47,640 --> 02:18:48,720 COMMENTS AS WE WRAP UP THAT YOU 3289 02:18:48,720 --> 02:18:51,160 WOULD LIKE TO SHARE WITH US? 3290 02:18:51,160 --> 02:18:56,200 >> I DON'T BEING --THINK I HAVE 3291 02:18:56,200 --> 02:18:57,520 REALLY ANYTHING ADDITIONAL TO 3292 02:18:57,520 --> 02:18:58,080 ADD. 3293 02:18:58,080 --> 02:18:59,640 YOU KNOW REGARDING WHAT 3294 02:18:59,640 --> 02:19:00,560 CONDITIONS WERE EXCLUDED, I 3295 02:19:00,560 --> 02:19:07,440 THINK THAT THE OVERALL INTENT 3296 02:19:07,440 --> 02:19:09,760 WAS TO EXCLUDE 2 CONDITIONS 3297 02:19:09,760 --> 02:19:13,160 WHERE THE HARMS HAD BEEN CLEAR 3298 02:19:13,160 --> 02:19:14,080 BUT ANYTIME, OBVIOUSLY ANYTIME 3299 02:19:14,080 --> 02:19:16,080 YOU MAKE A LIST LIKE THAT, SOME 3300 02:19:16,080 --> 02:19:17,600 IMPORTANT THINGS THAT SHOULD 3301 02:19:17,600 --> 02:19:21,480 HAVE ALSO BEEN INCLUDED ARE 3302 02:19:21,480 --> 02:19:24,160 ELIMINATED AND IT'S--AGAIN, IT'S 3303 02:19:24,160 --> 02:19:34,640 A DIFFICULT--THIS IS A VERY 3304 02:19:35,800 --> 02:19:36,600 DIFFICULT ISSUE TO PULL TOGETHER 3305 02:19:36,600 --> 02:19:40,840 IN SUCH A WAY THAT THE GUIDANCE 3306 02:19:40,840 --> 02:19:42,160 IS ACTUALLY SPECIFIC ENOUGH TO 3307 02:19:42,160 --> 02:19:45,200 BE USEFUL AND YET BROAD ENOUGH 3308 02:19:45,200 --> 02:19:48,600 NOT TO CAUSE UNINTENDED HARMS. 3309 02:19:48,600 --> 02:19:53,240 I THINK THAT'S THE--I DON'T 3310 02:19:53,240 --> 02:19:57,880 THINK THERE ARE ANY EASY ANSWERS 3311 02:19:57,880 --> 02:19:58,280 HERE. 3312 02:19:58,280 --> 02:20:01,320 >> SO CAN I ASK IS THERE 3313 02:20:01,320 --> 02:20:03,840 ANYTHING THAT IPRCC NEEDS TO DO 3314 02:20:03,840 --> 02:20:04,200 FURTHER? 3315 02:20:04,200 --> 02:20:05,960 IT SOUNDS LIKE YOU'VE GIVEN 3316 02:20:05,960 --> 02:20:06,920 WONDERFUL INPUT AND I COMMEND 3317 02:20:06,920 --> 02:20:08,000 YOU FOR THAT OR IS THERE 3318 02:20:08,000 --> 02:20:11,120 SOMETHING WE SHOULD BE DOING OR 3319 02:20:11,120 --> 02:20:12,160 NOT DOING ACCORDING TO HOW EACH 3320 02:20:12,160 --> 02:20:14,760 OF US RESPONDS TO THE CRITIQUE 3321 02:20:14,760 --> 02:20:18,120 THAT YOU MASTER EMPLOYLY 3322 02:20:18,120 --> 02:20:18,520 ASSEMBLED? 3323 02:20:18,520 --> 02:20:19,720 >> WELL, I THINK 1 OF THE ISSUES 3324 02:20:19,720 --> 02:20:20,960 WE HAVEN'T TALKED ABOUT MUCH 3325 02:20:20,960 --> 02:20:22,040 TODAY BUT THAT WAS SOMETHING 3326 02:20:22,040 --> 02:20:24,480 THAT WE TALKED ABOUT QUITE A BIT 3327 02:20:24,480 --> 02:20:27,520 AS AN OPIOID WORKING GROUP ARE 3328 02:20:27,520 --> 02:20:32,440 HOW DO PEOPLE GET ACCESS TO THE 3329 02:20:32,440 --> 02:20:35,480 ALTERNATIVES TO OPIOIDS? 3330 02:20:35,480 --> 02:20:40,120 THAT IS--AND I THINK THAT OUR 3331 02:20:40,120 --> 02:20:43,640 CURRENT PAYMENT POLICY AND 3332 02:20:43,640 --> 02:20:44,600 CURRENT AVAILABILITY OF 3333 02:20:44,600 --> 02:20:46,320 ALTERNATIVES IN MANY WAYS EVEN 3334 02:20:46,320 --> 02:20:48,600 FOR THOSE FOR WHICH THERE IS 3335 02:20:48,600 --> 02:20:50,000 STRONG ENOUGH EVIDENCE THAT THEY 3336 02:20:50,000 --> 02:20:52,680 SHOULD BE MORE WIDELY ADOPTED 3337 02:20:52,680 --> 02:20:54,440 INTO CLINICAL USE ARE STILL NOT 3338 02:20:54,440 --> 02:20:57,840 BROADLY AVAILABLE TO PATIENTS 3339 02:20:57,840 --> 02:21:00,520 AND WHATEVER THIS GROUP COULD DO 3340 02:21:00,520 --> 02:21:02,680 TO PUSH THAT ISSUE TO THE 3341 02:21:02,680 --> 02:21:05,080 FOREFRONT, ARE I THINK IS 3342 02:21:05,080 --> 02:21:06,120 INCREDIBLY IMPORTANT. 3343 02:21:06,120 --> 02:21:08,120 >> YEAH AND I WILL JUST ADD TO 3344 02:21:08,120 --> 02:21:10,720 THAT, YOU KNOW, I SAID IT A FEW 3345 02:21:10,720 --> 02:21:14,320 TIMES, DAN, BUT 1 OF MY BIGGEST 3346 02:21:14,320 --> 02:21:15,760 CONCERNS AND IT REALLY CAME 3347 02:21:15,760 --> 02:21:20,400 THROUGH IN THE TAPERING SECTION, 3348 02:21:20,400 --> 02:21:23,720 WAS THE OMISSION OF RELEVANT 3349 02:21:23,720 --> 02:21:26,000 STUDIES AND THE SELECTION BIAS 3350 02:21:26,000 --> 02:21:29,720 UPON WHICH THE GUIDANCE WAS 3351 02:21:29,720 --> 02:21:30,320 BASED. 3352 02:21:30,320 --> 02:21:35,640 I FOUND THAT INCREDIBLY 3353 02:21:35,640 --> 02:21:36,320 CONCERNING. 3354 02:21:36,320 --> 02:21:38,080 IT DOES INVOLVE INTERPRETATION 3355 02:21:38,080 --> 02:21:40,680 OF THE SCIENCE INCLUSION, OF THE 3356 02:21:40,680 --> 02:21:42,520 SCIENCE AND PAIN RESEARCH, I'M 3357 02:21:42,520 --> 02:21:44,200 NOT GOING TO PRETENT TO 3358 02:21:44,200 --> 02:21:46,040 UNDERSTAND THE BOUNDARIES, 3359 02:21:46,040 --> 02:21:51,200 BETWEEN THE IPRCC AND OTHER 3360 02:21:51,200 --> 02:21:52,840 FEDERAL AGENCIES, BUT I WILL 3361 02:21:52,840 --> 02:21:56,760 JUST LET THAT SIT WHAT I SAID. 3362 02:21:56,760 --> 02:21:59,080 >> BY THE WAY, I NOT ONLY AGREE 3363 02:21:59,080 --> 02:22:00,960 WUBUT I THINK IT WAS OUR GROUP 3364 02:22:00,960 --> 02:22:02,160 THAT POINTED THAT OUT IN THE 3365 02:22:02,160 --> 02:22:03,880 PAPER, IT WAS THE 3366 02:22:03,880 --> 02:22:04,840 [INDISCERNIBLE] PAPER, THERE 3367 02:22:04,840 --> 02:22:06,360 WERE DIFFERENT STANDARDS BEING 3368 02:22:06,360 --> 02:22:08,080 APPLIED FOR DIFFERENT DRUGS 3369 02:22:08,080 --> 02:22:09,520 BASED ON INCLUSION BASED ON 3370 02:22:09,520 --> 02:22:10,760 DURATION OF DRUG. 3371 02:22:10,760 --> 02:22:13,880 >> YES AND I'M JUST SPEAKING OF 3372 02:22:13,880 --> 02:22:16,760 THE TAPERING, FOR THE 3373 02:22:16,760 --> 02:22:18,120 RECOMMENDATIONS AROUND OPIOID 3374 02:22:18,120 --> 02:22:19,680 TAPERING BUT EXCLUDING WHOLE 3375 02:22:19,680 --> 02:22:22,360 AREAS OF SCIENCE, EXCLUDING THE 3376 02:22:22,360 --> 02:22:24,960 TRUE RISKS ASSOCIATED WITH IT, 3377 02:22:24,960 --> 02:22:26,520 AND MOVING FORWARD 3378 02:22:26,520 --> 02:22:28,560 RECOMMENDATIONS AROUND TAPERING 3379 02:22:28,560 --> 02:22:30,760 IMPLEMENTATION, THAT HAVE BEEN 3380 02:22:30,760 --> 02:22:33,560 SHOWN TO CAUSE HARM. 3381 02:22:33,560 --> 02:22:35,880 SO, IT IS A LACK OF EVIDENCE, A 3382 02:22:35,880 --> 02:22:39,080 LACK OF THE INTEGRATION OF PAIN 3383 02:22:39,080 --> 02:22:40,600 RESEARCH AND PAIN SCIENCE THAT I 3384 02:22:40,600 --> 02:22:42,600 FIND CONCERNING AND AGAIN, I 3385 02:22:42,600 --> 02:22:44,320 DON'T--I DON'T KNOW WHERE THE 3386 02:22:44,320 --> 02:22:45,840 BOUNDARIES EXIST BUT IF THERE 3387 02:22:45,840 --> 02:22:48,320 WAS SOMETHING THAT COULD COME 3388 02:22:48,320 --> 02:22:50,320 OUT OF THIS GROUP, OF COURSE I 3389 02:22:50,320 --> 02:22:52,600 WOULD BE HIGHLY INTERESTED IN 3390 02:22:52,600 --> 02:22:55,000 THAT, I ALWAYS RECOGNIZE, YOU 3391 02:22:55,000 --> 02:22:56,760 KNOW FOR LINDA AND MAYBE WALTER 3392 02:22:56,760 --> 02:23:00,160 AND OTHERS THAT THIS IS--IT'S A 3393 02:23:00,160 --> 02:23:01,280 POLITICAL HOT POTATO, THAT'S THE 3394 02:23:01,280 --> 02:23:04,040 ELEPHANT IN THE ROOM. 3395 02:23:04,040 --> 02:23:14,440 YOU KNOW SO, YOU KNOW? 3396 02:23:32,760 --> 02:23:34,880 >> I WAS MUTED SORRY ABOUT THAT. 3397 02:23:34,880 --> 02:23:38,000 SO THE TAPERING GUIDELINES THAT 3398 02:23:38,000 --> 02:23:40,880 ARE OUT IN BETH, THAT YOU FEEL 3399 02:23:40,880 --> 02:23:45,000 ARE VER EFFECTIVE IN SCIENCE 3400 02:23:45,000 --> 02:23:47,760 SPACE, IS THERE A BETTER WAY OR 3401 02:23:47,760 --> 02:23:52,400 A WAY TO GET THAT EFFECTIVELY 3402 02:23:52,400 --> 02:23:54,600 OUT TO THE COMMUNITY AS FAR AS 3403 02:23:54,600 --> 02:23:57,920 HOW THEY MANAGE IT, I'M SURE 3404 02:23:57,920 --> 02:24:00,320 THERE'S BEEN OUTREACH ALREADY 3405 02:24:00,320 --> 02:24:03,120 AND NEEDS TO REALLY DISSEMINATE 3406 02:24:03,120 --> 02:24:08,720 IT, BUT, HAS THAT BEEN 3407 02:24:08,720 --> 02:24:09,720 PARTICULARLY EFFECTIVE. 3408 02:24:09,720 --> 02:24:12,800 >> I'M NOT SURE BECAUSE PEOPLE 3409 02:24:12,800 --> 02:24:16,600 ARE FOLLOWING THE CDC GUIDANCE 3410 02:24:16,600 --> 02:24:22,240 AROUND TAPERING SO, I CAN'T SAY 3411 02:24:22,240 --> 02:24:24,880 WITH CERTAINTY AROUND CERTAIN 3412 02:24:24,880 --> 02:24:26,280 KEY STAKEHOLDERS ABSOLUTELY. 3413 02:24:26,280 --> 02:24:28,920 IT'S A FANTASTIC DOCUMENT, 3414 02:24:28,920 --> 02:24:30,760 PUBLISHED IN 2019, THE PROBLEM 3415 02:24:30,760 --> 02:24:32,840 OF COURSE IS THAT THIS 3416 02:24:32,840 --> 02:24:35,600 REISSUANCE OF THE CDC, THIS 3417 02:24:35,600 --> 02:24:38,880 UPDATE IS GOING TO PUT FORWARD 3418 02:24:38,880 --> 02:24:43,360 THESE THRESHOLDS WITH A NEW 3419 02:24:43,360 --> 02:24:46,200 FORMULA TO TAPER WHICH SUPPLANTS 3420 02:24:46,200 --> 02:24:49,040 THE PRIOR GUIDANCE, IT OPPOSES 3421 02:24:49,040 --> 02:24:50,120 THE PRIOR GUIDANCE, CREATES 3422 02:24:50,120 --> 02:24:56,240 CONFUSION AND IT HAS NONEVIDENCE 3423 02:24:56,240 --> 02:24:57,440 BASED RECOMMENDATIONS. 3424 02:24:57,440 --> 02:24:59,400 THE ENTIRE SECTION IS MISSING 3425 02:24:59,400 --> 02:25:01,520 KEY SWATHS OF LITERATURE SO MY 3426 02:25:01,520 --> 02:25:05,320 CONCERN ISN'T JUST ABOUT 3427 02:25:05,320 --> 02:25:08,040 PROMOTING THE 2019 AS A VIABLE 3428 02:25:08,040 --> 02:25:12,680 DOCUMENT, IS THAT THIS IS ABOUT 3429 02:25:12,680 --> 02:25:15,240 TO TORPEDO THAT. 3430 02:25:15,240 --> 02:25:17,200 AND THAT WILL--I CAN'T EVEN SAY 3431 02:25:17,200 --> 02:25:18,760 IT'S GOING TO BE MISAPPLIED, 3432 02:25:18,760 --> 02:25:20,120 IT'S GOING TO BE APPLIED AND 3433 02:25:20,120 --> 02:25:26,840 IT'S JUST NOT GOOD CARE. 3434 02:25:26,840 --> 02:25:29,000 SO THAT'S WHERE IT IS. 3435 02:25:29,000 --> 02:25:31,880 >> WE IS A SYSTEMATIC REVIEW, A 3436 02:25:31,880 --> 02:25:35,720 VERY THOROUGH 1 THAT WAS BASED 3437 02:25:35,720 --> 02:25:37,280 ON, BUT THE [INDISCERNIBLE] 3438 02:25:37,280 --> 02:25:47,720 POSTED IN 1 OF THE FEDERAL 3439 02:25:51,720 --> 02:25:52,600 [INDISCERNIBLE] THAT'S AVAILABLE 3440 02:25:52,600 --> 02:25:56,240 ON SOME OF THE FEDERAL AGENCY 3441 02:25:56,240 --> 02:25:57,680 SITES? 3442 02:25:57,680 --> 02:25:59,640 I DON'T KNOW. 3443 02:25:59,640 --> 02:26:00,080 >> [INDISCERNIBLE] 3444 02:26:00,080 --> 02:26:00,920 >> ELIZABETH DO HAVE YOU 3445 02:26:00,920 --> 02:26:02,560 ANYTHING ON THAT? 3446 02:26:02,560 --> 02:26:03,880 >> RIGHT THE REBECCA SITE I JUST 3447 02:26:03,880 --> 02:26:05,640 PASTED IT IN THE CHAT 3448 02:26:05,640 --> 02:26:08,560 PREVIOUSLY, ON THE EFFECT OF 3449 02:26:08,560 --> 02:26:09,680 HEALTHCARE WEBSITE IS WHERE ALL 3450 02:26:09,680 --> 02:26:14,840 OF THE SYSTEMATIC REVIEWS LIVE. 3451 02:26:14,840 --> 02:26:24,200 SO I WILL PASTE THAT AGAIN. 3452 02:26:24,200 --> 02:26:24,800 >> ALL RIGHTY. 3453 02:26:24,800 --> 02:26:27,040 SO I THINK WE HAVE A FAIR BIT TO 3454 02:26:27,040 --> 02:26:32,240 THINK ABOUT AND TO CONSIDER. 3455 02:26:32,240 --> 02:26:35,880 IESM NOT QUITE SURE WHERE TO 3456 02:26:35,880 --> 02:26:38,960 SUGGEST WHERE THIS PARTICULAR 3457 02:26:38,960 --> 02:26:46,960 GROUP HAS A ROLE. 3458 02:26:46,960 --> 02:26:48,560 WE STEPPED IN THE PAST 3459 02:26:48,560 --> 02:26:50,400 WITHOUT--THERE WAS A BIT OF 3460 02:26:50,400 --> 02:26:53,000 CONTROVERSY, LET'S PUT IT THAT 3461 02:26:53,000 --> 02:27:00,320 WAY AND AND WE ALL DID HAVE A 3462 02:27:00,320 --> 02:27:09,560 CHANCE TO SUBMIT TO THE OPEN 3463 02:27:09,560 --> 02:27:12,280 COMMENT AND I BELIEVE THE FINALS 3464 02:27:12,280 --> 02:27:15,000 HAVE BEEN RELEASED. 3465 02:27:15,000 --> 02:27:17,400 SO, 1 OF THE BIG HOPES NOW IS 3466 02:27:17,400 --> 02:27:21,200 THAT THEY'RE NOT MISAPPLIED, 3467 02:27:21,200 --> 02:27:23,680 LIKE THE FIRST ROUND WAS ANYBODY 3468 02:27:23,680 --> 02:27:26,560 ELSE HAVE ANY NOTES, COMMENTS 3469 02:27:26,560 --> 02:27:27,960 ORED WHYS BEFORE WE CLOSE OUT 3470 02:27:27,960 --> 02:27:28,680 FOR THE DAY? 3471 02:27:28,680 --> 02:27:34,240 WE ARE ACTUALLY AT OUR 4:30 3472 02:27:34,240 --> 02:27:38,120 MEETING TIME FINISH. 3473 02:27:38,120 --> 02:27:41,760 >> I JUST GOT TEXTED A QUESTION 3474 02:27:41,760 --> 02:27:44,440 FROM CINDY STEIN BERG WHO MOST 3475 02:27:44,440 --> 02:27:45,840 OF YOU KNOW AND SHE WANTS TO 3476 02:27:45,840 --> 02:27:48,360 KNOW IF IT WOULD BE APPROPRIATE 3477 02:27:48,360 --> 02:27:50,960 OR POSSIBLE FOR IPRCC TO 3478 02:27:50,960 --> 02:27:52,000 COLLECTIVELY WRITE A LETTER 3479 02:27:52,000 --> 02:27:53,480 ABOUT THE LACK OF SCIENTIFIC 3480 02:27:53,480 --> 02:27:59,800 INTEGRITY IN THE GUIDELINES? 3481 02:27:59,800 --> 02:28:00,800 >> SO WE TALKED ABOUT THIS LAST 3482 02:28:00,800 --> 02:28:05,040 TIME AND I THINK THAT THE FINAL 3483 02:28:05,040 --> 02:28:06,000 RESOLUTION TO THE QUESTION 3484 02:28:06,000 --> 02:28:10,200 SIMILAR TO THAT MAGGIE WAS THAT 3485 02:28:10,200 --> 02:28:13,240 THE IPRCC MEMBERS WHO ARE 3486 02:28:13,240 --> 02:28:17,000 NONFEDERAL CAN CRAFT AND SEND IN 3487 02:28:17,000 --> 02:28:19,080 THE LETTER BUT IT WOULDN'T BE 3488 02:28:19,080 --> 02:28:21,360 APPROPRIATE FOR IT TO BE SIGNED 3489 02:28:21,360 --> 02:28:23,600 UP AS A CHITEE RESOLUTION WITH 3490 02:28:23,600 --> 02:28:27,920 CONSENSUS FROM THE AGENCIES THAT 3491 02:28:27,920 --> 02:28:30,960 PUTTEDS US IN A FAIRLY AWKWARD 3492 02:28:30,960 --> 02:28:31,200 POSITION. 3493 02:28:31,200 --> 02:28:33,600 WE WEIGHED IN DURING THE PUBLIC 3494 02:28:33,600 --> 02:28:37,160 COMMENT AND DURING THE FEDERAL 3495 02:28:37,160 --> 02:28:38,480 PEER REVIEW. 3496 02:28:38,480 --> 02:28:42,160 >> AND DOES IPRCC HAVE ANY WAY 3497 02:28:42,160 --> 02:28:44,440 OF ENCOURAGING RESEARCHERS OR 3498 02:28:44,440 --> 02:28:45,160 PROJECTS INFLUENCING THEM IN 3499 02:28:45,160 --> 02:28:48,760 SOME WAY SO THAT THEY INCLUDE 3500 02:28:48,760 --> 02:28:51,280 CHRONIC PAIN AS CHRONIC PAIN? 3501 02:28:51,280 --> 02:28:54,480 AND INCLUDE THE DIAGNOSIS 3502 02:28:54,480 --> 02:28:55,720 ESPECIALLY WHEN THEY'RE 3503 02:28:55,720 --> 02:28:56,960 DOCUMENTING THE TAPERING HARMS, 3504 02:28:56,960 --> 02:28:58,280 ET CETERA THAT ARE CONSIDERED 3505 02:28:58,280 --> 02:29:01,960 RARE OR LESS COMMON? 3506 02:29:01,960 --> 02:29:05,760 BECAUSE THAT'S--THAT'S 1 OF THE 3507 02:29:05,760 --> 02:29:08,080 THE OBSTACLES FOR PEOPLE GETTING 3508 02:29:08,080 --> 02:29:10,800 CARE AND YOU KNOW THAT XLH 3509 02:29:10,800 --> 02:29:12,680 PATIENT WHO WAS DENIED, THEY 3510 02:29:12,680 --> 02:29:14,520 WERE CUT OFF COMPLETELY, 3511 02:29:14,520 --> 02:29:18,440 IMMEDIATELY AND THERE WAS NO 3512 02:29:18,440 --> 02:29:22,080 TAPPERRING INVOLVED WHICH 3513 02:29:22,080 --> 02:29:22,760 OBVIOUSLY HAD CATASTROPHIC 3514 02:29:22,760 --> 02:29:27,480 IMPACTS AND YOU HEAR A SIMILAR 3515 02:29:27,480 --> 02:29:31,400 STORY TO CRPS AND DPS AND EVEN 3516 02:29:31,400 --> 02:29:32,120 OTHERS RARER CONDITIONS. 3517 02:29:32,120 --> 02:29:34,120 >> RIGHT. 3518 02:29:34,120 --> 02:29:36,760 >> SO HOW DO WE--ASIDE FROM 3519 02:29:36,760 --> 02:29:38,240 GIVING THEM BETH'S E-MAIL 3520 02:29:38,240 --> 02:29:40,360 ADDRESS AND ASKING FOR CLEARER 3521 02:29:40,360 --> 02:29:42,600 TAPERING GUIDELINES WHAT CAN WE 3522 02:29:42,600 --> 02:29:42,880 DO? 3523 02:29:42,880 --> 02:29:44,440 >> I DON'T THINK WE WANT TO DO 3524 02:29:44,440 --> 02:29:47,680 THAT SO THE IPRCC CERTAINLY CAN 3525 02:29:47,680 --> 02:29:48,840 MAKE A RECOMMENDATIONS TO 3526 02:29:48,840 --> 02:29:50,160 RESEARCH GAPS THAT THERE ARE, 3527 02:29:50,160 --> 02:29:51,920 WHERE THE GAPS ARE AND I THINK, 3528 02:29:51,920 --> 02:29:53,640 YOU KNOW 1 OF THE BIG THINGS 3529 02:29:53,640 --> 02:29:56,720 THAT HEAL HAS BEEN REALLY 3530 02:29:56,720 --> 02:29:59,200 CAREFUL TO INCLUDE IS NOT REALLY 3531 02:29:59,200 --> 02:30:01,040 TAPERING STRATEGIES AS PART OF 3532 02:30:01,040 --> 02:30:06,000 THE RESEARCH BUT INCLUDING IN 3533 02:30:06,000 --> 02:30:08,320 THE CLINICAL STUDIES ON PAIN AND 3534 02:30:08,320 --> 02:30:11,200 ON THOSE WITH PAIN AND L. U. T. 3535 02:30:11,200 --> 02:30:13,360 OF OPIOID USE AND REDUCTION OF 3536 02:30:13,360 --> 02:30:15,760 NEED FOR OPIOIDS BASED ON THE 3537 02:30:15,760 --> 02:30:16,960 EFFECTIVENESS OF THE OTHER 3538 02:30:16,960 --> 02:30:17,800 INTERVENTIONS THAT THEY'RE 3539 02:30:17,800 --> 02:30:19,640 TESTING, SO THERE'S A REAL 3540 02:30:19,640 --> 02:30:27,640 SENSITIVITY TO THAT, BUT THESE 3541 02:30:27,640 --> 02:30:29,280 ARE NOT, NECESSARILY, WE'RE VERY 3542 02:30:29,280 --> 02:30:32,160 CAREFUL NOT TAKING PEOPLE OFF 3543 02:30:32,160 --> 02:30:34,120 OPIOIDS AS AN ARM LOOKING AT THE 3544 02:30:34,120 --> 02:30:35,760 EXAMPLE OF EEVENGHTIVENESS OF 3545 02:30:35,760 --> 02:30:36,800 ANOTHER INTERVENTION SO IT'S 3546 02:30:36,800 --> 02:30:39,040 MORE, YOU LOOK AT THE 3547 02:30:39,040 --> 02:30:39,640 EFFECTIVENESS OF INTERVENTIONS 3548 02:30:39,640 --> 02:30:43,120 AND SEE IF THERE'S REDUCTION IN 3549 02:30:43,120 --> 02:30:43,600 OPIOIDS. 3550 02:30:43,600 --> 02:30:45,440 SO THAT THERE'S A LITTLE BIT OF 3551 02:30:45,440 --> 02:30:50,000 A DIFFERENCE THERE BUT I THINK 3552 02:30:50,000 --> 02:30:51,720 THE IPRCC CAN CREATE SOME KIND 3553 02:30:51,720 --> 02:30:53,720 OF A DISCUSSION AND MAYBE A 3554 02:30:53,720 --> 02:30:56,640 RECOMMENDATION PAPER FOR AREAS 3555 02:30:56,640 --> 02:31:00,640 WHERE THEY FEEL THE RESEARCH IS 3556 02:31:00,640 --> 02:31:03,800 MISSING FOR WHETHER CERTAIN 3557 02:31:03,800 --> 02:31:05,440 CONDITIONS, WHETHER THEY ARE 3558 02:31:05,440 --> 02:31:08,600 RARE OR COMMON ARE MORE 3559 02:31:08,600 --> 02:31:10,440 SUSCEPTIBLE TO HAVE SUFFERED 3560 02:31:10,440 --> 02:31:11,960 FROM THE OPIOID GUIDELINES AND 3561 02:31:11,960 --> 02:31:14,800 IT'S HARD TO ASSESS THAT BUT 3562 02:31:14,800 --> 02:31:16,120 IT'S CERTAINLY SOMETHING TO BE 3563 02:31:16,120 --> 02:31:21,560 CONSIDERED AS A RESEARCH 3564 02:31:21,560 --> 02:31:22,280 RECOMMENDATIONS. 3565 02:31:22,280 --> 02:31:22,920 [SPEAKING AT ONCE ] 3566 02:31:22,920 --> 02:31:25,760 >> I WAS THINKING MORE 3567 02:31:25,760 --> 02:31:27,200 PROACTIVELY OF THE TREATMENTS 3568 02:31:27,200 --> 02:31:33,240 THAT THEY ARE RESEARCHING THAT 3569 02:31:33,240 --> 02:31:35,680 IT WAS EFFECTIVE OR INEFFECTIVE 3570 02:31:35,680 --> 02:31:37,760 IN SPECIFIC CONDITIONS BECAUSE 1 3571 02:31:37,760 --> 02:31:39,160 OF THE OBSTACLES PEOPLE FACE 3572 02:31:39,160 --> 02:31:41,360 THAT THE RARE CONDITIONS ARE THE 3573 02:31:41,360 --> 02:31:43,600 LESS 1 KNOWN 1S IS WHEN SOMEBODY 3574 02:31:43,600 --> 02:31:45,120 SAYS, WELL WE CAN'T MAKE AN 3575 02:31:45,120 --> 02:31:46,880 EXCEPTION BECAUSE WE WERE TOLD 3576 02:31:46,880 --> 02:31:51,720 X-WORKS FOR THIS POPULATION OR 3577 02:31:51,720 --> 02:31:53,280 THE EVIDENCE, THE RESEARCH 3578 02:31:53,280 --> 02:31:54,040 EVIDENCE DOESN'T EXIST TO 3579 02:31:54,040 --> 02:31:55,320 SUPPORT EVEN LETTING YOU TRY 3580 02:31:55,320 --> 02:31:58,160 THAT SORT OF THING. 3581 02:31:58,160 --> 02:32:00,440 SIMILAR TO THE WHOLE 3582 02:32:00,440 --> 02:32:02,080 ACCUPUNCTURE IS APPROVED BY CMS 3583 02:32:02,080 --> 02:32:03,720 FOR LOW BACK PAIN EVEN THOUGH 3584 02:32:03,720 --> 02:32:05,000 EVERYBODY ON THIS CALL KNOWS 3585 02:32:05,000 --> 02:32:08,960 THAT IT WORKS ON A THOUSAND 3586 02:32:08,960 --> 02:32:10,240 OTHER THINGS AS WELL. 3587 02:32:10,240 --> 02:32:13,080 >> YEAH SO THAT WAS A SITUATION 3588 02:32:13,080 --> 02:32:15,240 WHERE IT WAS A TIME TO REVERSE 3589 02:32:15,240 --> 02:32:16,520 THESE STRATEGIES BUT THERE WAS A 3590 02:32:16,520 --> 02:32:20,960 LOT OF STUDIES GOING ON THROUGH 3591 02:32:20,960 --> 02:32:22,000 THE INSTITUTES AND THROUGH HEAL 3592 02:32:22,000 --> 02:32:23,440 THAT ARE ON SPECIFIC PAIN 3593 02:32:23,440 --> 02:32:26,400 CONDITIONS SO SOME ARE 3594 02:32:26,400 --> 02:32:27,320 GENERALIZABLE, MORE SKILL-SCALE 3595 02:32:27,320 --> 02:32:28,440 OF CHRONIC PAIN OR CHRONIC PAIN 3596 02:32:28,440 --> 02:32:30,000 IN GENERAL BUT I THINK FOR THE 3597 02:32:30,000 --> 02:32:33,960 MOST PART THEY ARE SPECIFIC 3598 02:32:33,960 --> 02:32:36,080 CONDITIONS AND WE OFTEN HEAR 3599 02:32:36,080 --> 02:32:38,880 WHEN WE DO OUR PORTFOLIO REVIEWS 3600 02:32:38,880 --> 02:32:41,000 OR WHEN THE FEDERAL PAIN 3601 02:32:41,000 --> 02:32:42,280 RESEARCH STRATEGY WAS DONE, YOU 3602 02:32:42,280 --> 02:32:43,680 ARE MISSING CERTAIN THINGS FOR 3603 02:32:43,680 --> 02:32:44,760 CERTAIN CONDITIONS WHERE THERE 3604 02:32:44,760 --> 02:32:50,840 IS A HIGH UNMET NEED. 3605 02:32:50,840 --> 02:32:52,120 AND I THINK 1 OF THE PROGRAMS 3606 02:32:52,120 --> 02:32:53,320 WHEN HEAL WAS ESTABLISHED THERE 3607 02:32:53,320 --> 02:32:56,120 WAS A FOCUS ON CONDITIONS WITH 3608 02:32:56,120 --> 02:32:59,280 HIGH UNMET NEED, PARTICULARLY 3609 02:32:59,280 --> 02:33:00,760 RARE 1S WHERE ANALGESIC 3610 02:33:00,760 --> 02:33:02,200 DEVELOPMENT FOR THOSE PARTICULAR 3611 02:33:02,200 --> 02:33:04,880 CONDITIONS COULD BE FOCUSED MORE 3612 02:33:04,880 --> 02:33:05,440 ON [INDISCERNIBLE]. 3613 02:33:05,440 --> 02:33:06,840 I DON'T KNOW, WALTER DID YOU 3614 02:33:06,840 --> 02:33:09,560 WANT TO WEIGH-IN ON THAT, THE--I 3615 02:33:09,560 --> 02:33:13,000 MEAN THIS IS KIND OF 3616 02:33:13,000 --> 02:33:13,640 SPECIFICALLY WHERE 3617 02:33:13,640 --> 02:33:16,200 [INDISCERNIBLE] EVOLVED FROM THE 3618 02:33:16,200 --> 02:33:23,880 HIGH END MET NEED FOR SPECIFIC 3619 02:33:23,880 --> 02:33:24,160 CONDITIONS? 3620 02:33:24,160 --> 02:33:25,280 >> WELL, I THINK THE QUESTION 3621 02:33:25,280 --> 02:33:29,280 WAS MORE ABOUT THESE RARE 3622 02:33:29,280 --> 02:33:34,360 CONDITIONS AND SO I DON'T KNOW 3623 02:33:34,360 --> 02:33:35,120 THAT THERE'S--MAYBE WE HAVEN'T 3624 02:33:35,120 --> 02:33:39,480 PUT THE ATTENTION WE NEED TO IN 3625 02:33:39,480 --> 02:33:40,560 THIS SPACE. 3626 02:33:40,560 --> 02:33:44,600 I MEAN EPIC NET IS TO DEVELOP 3627 02:33:44,600 --> 02:33:46,200 NEW THERAPIES AND CONDITIONS 3628 02:33:46,200 --> 02:33:50,280 THAT YOU KNOW ARE BEGGING FOR 3629 02:33:50,280 --> 02:33:52,760 BETTER SOLUTIONS BUT THEY'RE NOT 3630 02:33:52,760 --> 02:33:55,000 NECESSARILY RARE CONDITIONS SO A 3631 02:33:55,000 --> 02:33:56,480 LOT OF [INDISCERNIBLE] PLATFORM, 3632 02:33:56,480 --> 02:33:58,200 THAT'S NOT RARE AT ALL, JUST 3633 02:33:58,200 --> 02:34:03,480 THAT THE TREATMENTS AREN'T VERY 3634 02:34:03,480 --> 02:34:03,680 GOOD. 3635 02:34:03,680 --> 02:34:05,280 BUT I THINK IF THAT SEEMS TO BE 3636 02:34:05,280 --> 02:34:09,360 AN ISSUE, I THINK WE WANT TO 3637 02:34:09,360 --> 02:34:11,240 KIND OF SEND US A LITTLE KIND OF 3638 02:34:11,240 --> 02:34:14,000 OUTLINE OF WHAT THE CONDITIONS 3639 02:34:14,000 --> 02:34:17,280 ARE, WHAT THE STATE IS, MAYBE WE 3640 02:34:17,280 --> 02:34:19,080 CAN MULL IT OVER AND COME UP 3641 02:34:19,080 --> 02:34:27,640 WITH A PLAN TO COLLECT EVIDENCE 3642 02:34:27,640 --> 02:34:28,080 IN THAT SPACE. 3643 02:34:28,080 --> 02:34:29,840 >> MAYBE WE COULD THINK OF THAT 3644 02:34:29,840 --> 02:34:32,720 BEING A TOPIC OF DISCUSSION FOR 3645 02:34:32,720 --> 02:34:36,720 NEXT WEEK, SINCE WE WILL HAVE 3646 02:34:36,720 --> 02:34:38,360 MORE TIME. 3647 02:34:38,360 --> 02:34:40,600 >> YEAH, DON'T WAIST. 3648 02:34:40,600 --> 02:34:41,040 SEND IT IN. 3649 02:34:41,040 --> 02:34:41,400 >> ALL RIGHT. 3650 02:34:41,400 --> 02:34:50,040 >> WE WILL TALK ABOUT IT LATER 3651 02:34:50,040 --> 02:34:50,720 BUT YEAH. 3652 02:34:50,720 --> 02:34:51,520 , YEAH. 3653 02:34:51,520 --> 02:34:53,480 >> [SPEAKING AT SAME TIME ] 3654 02:34:53,480 --> 02:34:56,080 >> OFF THE TOP OF YOUR HEAD IF 3655 02:34:56,080 --> 02:34:57,840 YOU HAD TO NAME THE TOP 3 PAIN 3656 02:34:57,840 --> 02:34:59,120 CONDITIONS THAT YOU FEEL ARE 3657 02:34:59,120 --> 02:35:03,720 MOST UNDERSERVED WHAT WOULD BE 3658 02:35:03,720 --> 02:35:08,760 THEY BE? 3659 02:35:08,760 --> 02:35:13,680 >> OH DEFINITELY XLH, CRPS AND 3660 02:35:13,680 --> 02:35:14,200 [INDISCERNIBLE] SYNDROME. 3661 02:35:14,200 --> 02:35:17,240 >> WE WOULD BE IN AGREEMENT ON 3662 02:35:17,240 --> 02:35:19,480 THAT, MAGGIE. 3663 02:35:19,480 --> 02:35:21,360 >> OKAY, WELL WE WILL MAYBE POLL 3664 02:35:21,360 --> 02:35:23,040 THE GROUP AND THINK ABOUT IDEAS 3665 02:35:23,040 --> 02:35:25,960 ALONG THOSE LINES THEN BEFORE 3666 02:35:25,960 --> 02:35:26,520 OUR NEXT MEETING. 3667 02:35:26,520 --> 02:35:32,000 SO WE CAN WORK THINGS FURTHER 3668 02:35:32,000 --> 02:35:32,240 THEN. 3669 02:35:32,240 --> 02:35:38,440 SO IF I COULD TURN NOW TO WALTER 3670 02:35:38,440 --> 02:35:43,000 FOR CLOSING REMARKS AND HELENE, 3671 02:35:43,000 --> 02:35:44,760 AS THEY TRANSITION THE 3672 02:35:44,760 --> 02:35:49,000 LEADERSHIP OF THE COMMITTEE. 3673 02:35:49,000 --> 02:35:50,560 >> LI SHOULD JUST SAY, IT'S A 3674 02:35:50,560 --> 02:35:53,200 GREAT GROUP AND I'M NOT GOING 3675 02:35:53,200 --> 02:35:56,120 ANYWHERE AND I'M HAPPY TO WORK 3676 02:35:56,120 --> 02:35:58,040 FOR HELENE, SHE'S A GREAT PERSON 3677 02:35:58,040 --> 02:36:07,200 AND A GREAT INSTITUTE DIRECTOR. 3678 02:36:07,200 --> 02:36:09,120 WE ARE HEARING THINGS THAT 3679 02:36:09,120 --> 02:36:10,640 DIDN'T CROSS OUR RADAR SCREEN IN 3680 02:36:10,640 --> 02:36:15,720 THE PAST AND THIS IS WHAT THE 3681 02:36:15,720 --> 02:36:17,440 IPRCC IS FOR AND AGAIN, I WOULD 3682 02:36:17,440 --> 02:36:19,120 JUST EMPHASIZE THAT WITH THE 3683 02:36:19,120 --> 02:36:19,920 HEAL INITIATIVE WE HAVE 3684 02:36:19,920 --> 02:36:24,160 OPPORTUNITIES TO DO THINGS THAT 3685 02:36:24,160 --> 02:36:25,320 WE'RE JUST ASPIRATIONAL AND WE 3686 02:36:25,320 --> 02:36:26,760 NEVER THOUGHT BE ABLE TO DO 3687 02:36:26,760 --> 02:36:29,000 THEM, YOU KNOW WORKING THROUGH 3688 02:36:29,000 --> 02:36:29,840 THE PAIN CONSORTIUM FOR YEARS 3689 02:36:29,840 --> 02:36:33,360 BUT NOW WE HAVE THE OPPORTUNITY, 3690 02:36:33,360 --> 02:36:36,240 SO, YOU KNOW ALL YOUR WORK, YOU 3691 02:36:36,240 --> 02:36:37,640 MAY NOT THINK IT'S GOING TO PAY 3692 02:36:37,640 --> 02:36:39,280 OFF BUT CERTAINLY FOR THE PAIN 3693 02:36:39,280 --> 02:36:42,040 SPACE IT HAS ALL PAID OFF. 3694 02:36:42,040 --> 02:36:42,920 AND SO WE LOOK FORWARD TO 3695 02:36:42,920 --> 02:36:50,680 WORKING WITH YOU IN THE FUTURE. 3696 02:36:50,680 --> 02:36:50,920 HELENE? 3697 02:36:50,920 --> 02:36:52,600 >> SO CLEARLY, AGAIN, --I 3698 02:36:52,600 --> 02:36:53,760 APOLOGIZE I HAD TO SKIP PART OF 3699 02:36:53,760 --> 02:36:55,640 THIS MEETING I WAS DOUBLE BOOKED 3700 02:36:55,640 --> 02:36:59,440 FOR CRAZY REASONS BUT I'M VERY 3701 02:36:59,440 --> 02:37:01,040 EXCITED TO BE--TO HAVE THE TIENT 3702 02:37:01,040 --> 02:37:03,440 TO CHAIR THIS GROUP GOING 3703 02:37:03,440 --> 02:37:03,880 FORWARD. 3704 02:37:03,880 --> 02:37:08,400 CLEARLY THIS IS NOT A SHY GROUP 3705 02:37:08,400 --> 02:37:09,200 VERY EXCITED ABOUT THAT AND 3706 02:37:09,200 --> 02:37:10,680 REALLY WANT TO HEAR FROM YOU ALL 3707 02:37:10,680 --> 02:37:16,400 AND I THINK 1 OF THE THINGS THAT 3708 02:37:16,400 --> 02:37:18,360 IS THE MOST IMPORTANT AS A 3709 02:37:18,360 --> 02:37:21,920 SCIENTIST IS WHEN YOU DO 3710 02:37:21,920 --> 02:37:23,240 SCIENCE, IS IDENTIFYING LAUNCH 3711 02:37:23,240 --> 02:37:23,960 SPOTS, IESHES DENTIFY AREAS 3712 02:37:23,960 --> 02:37:26,960 WHERE WE'RE NOT LOOKING, WHERE 3713 02:37:26,960 --> 02:37:28,440 SOMEHOW AND A LOT OF TIME THESE 3714 02:37:28,440 --> 02:37:31,680 AREAS ARE IN GAPS IN BETWEEN 3715 02:37:31,680 --> 02:37:31,920 THINGS. 3716 02:37:31,920 --> 02:37:34,920 AND AT VERY INTERESTING YOU 3717 02:37:34,920 --> 02:37:35,640 MENTIONED THE OTHER 3718 02:37:35,640 --> 02:37:36,280 [INDISCERNIBLE] BECAUSE THIS IS 3719 02:37:36,280 --> 02:37:38,760 AN AREA THAT I THINK HAS BEEN 3720 02:37:38,760 --> 02:37:40,200 FALLING BETWEEN IN THE CRACKS, 3721 02:37:40,200 --> 02:37:42,040 AND IN FACT, I THINK THAT A LOT 3722 02:37:42,040 --> 02:37:44,720 OF THE WORK THAT WE ARE GOING TO 3723 02:37:44,720 --> 02:37:47,040 BE DOING ON MY O FACIAL PAIN 3724 02:37:47,040 --> 02:37:49,000 WILL GREATLY BENEFIT THE PATIENT 3725 02:37:49,000 --> 02:37:51,040 POPULATION BECAUSE THAT PROBABLY 3726 02:37:51,040 --> 02:37:53,320 A LOT OF THE KIND OF PAIN THAT 3727 02:37:53,320 --> 02:37:55,600 PATIENTS ARE DEALING WITH IS 3728 02:37:55,600 --> 02:37:56,840 THEY HAVE CONNECTIVE TISSUE 3729 02:37:56,840 --> 02:37:59,160 PROBLEMS, RIGHT? 3730 02:37:59,160 --> 02:37:59,760 SO BY DEFINITION. 3731 02:37:59,760 --> 02:38:01,080 SO THINGS LIKE THAT, YOU KNOW 3732 02:38:01,080 --> 02:38:03,600 WHERE WE CAN SORT OF BE CREATIVE 3733 02:38:03,600 --> 02:38:05,480 AND GO LOOK IN BETWEEN THINGS, 3734 02:38:05,480 --> 02:38:08,200 AND THEN OF COURSE, THE OTHER 3735 02:38:08,200 --> 02:38:13,000 VERY, VERY IMPORTANT THING IS TO 3736 02:38:13,000 --> 02:38:15,000 MAKE SURE THAT PATIENTS, WE 3737 02:38:15,000 --> 02:38:16,120 THROIIVE WHAT THE PATIENTS ARE 3738 02:38:16,120 --> 02:38:17,720 TELLING US AS TO WHAT'S WORKING 3739 02:38:17,720 --> 02:38:19,280 FOR THEM, WHAT'S NOT WORKING FOR 3740 02:38:19,280 --> 02:38:21,480 THEM, WHERE WHERE ARE THEY BEING 3741 02:38:21,480 --> 02:38:23,720 UNDERSERVED AND THIS WHOLE 3742 02:38:23,720 --> 02:38:25,520 QUESTION OF OPIOID, YOU KNOW 3743 02:38:25,520 --> 02:38:32,440 TAPERING AND IT'S SO, SO VERY 3744 02:38:32,440 --> 02:38:32,960 IMPORTANT. 3745 02:38:32,960 --> 02:38:33,840 SO, WE REALLY LOOK FORWARD TO 3746 02:38:33,840 --> 02:38:35,160 HEARING FROM YOU ALL IN BETWEEN 3747 02:38:35,160 --> 02:38:37,920 NOW AND THE NEXT MEETING, WHAT'S 3748 02:38:37,920 --> 02:38:39,480 ON YOUR MIND AND WHAT ARE THE 3749 02:38:39,480 --> 02:38:42,200 AREAS THAT WE REALLY SHOULD BE 3750 02:38:42,200 --> 02:38:44,440 SHINING THE LIGHT ON MORE 3751 02:38:44,440 --> 02:38:44,840 BRIGHTLY. 3752 02:38:44,840 --> 02:38:53,120 SO, THANK YOU. 3753 02:38:53,120 --> 02:38:53,840 >> ALL RIGHT, EVERYBODY, THANK 3754 02:38:53,840 --> 02:38:56,120 YOU SO MUCH FOR ALL THE INPUT, 3755 02:38:56,120 --> 02:38:59,200 ESPECIALLY TO OUR PRESENTERS, 3756 02:38:59,200 --> 02:39:00,200 AND WE WILL SEE YOU ON 3757 02:39:00,200 --> 02:39:01,360 OCTOBER 18th. 3758 02:39:01,360 --> 02:39:02,240 AT THE NEXT MEETING. 3759 02:39:02,240 --> 00:00:00,000 BYE.