1 00:00:07,273 --> 00:00:09,809 >> WELL, HI, EVERYONE. 2 00:00:09,809 --> 00:00:12,511 I'M HELENE LANG EVIN, DIRECTOR 3 00:00:12,511 --> 00:00:14,380 OF THE NCCIH, AND RESEARCH 4 00:00:14,380 --> 00:00:15,514 COORDINATOR FOR THE MEETING AND 5 00:00:15,514 --> 00:00:16,782 IT'S MY PLEASURE TO OPEN THIS 6 00:00:16,782 --> 00:00:18,317 MEETING AND I WANT TO FIRST OF 7 00:00:18,317 --> 00:00:21,654 ALL THANK YOU ALL FOR JOINING US 8 00:00:21,654 --> 00:00:24,490 VIRTUALLY AND I WANT TO AT 9 00:00:24,490 --> 00:00:28,327 FIRST, GIVE YOU A SENSE OF 10 00:00:28,327 --> 00:00:31,630 WHO'S--WHERE WE ARE IN OUR--IN 11 00:00:31,630 --> 00:00:35,301 THE PROCESS OF APPOINTING NEW 12 00:00:35,301 --> 00:00:36,669 MEMBERS, AS YOU KNOW, 1 OF THE 13 00:00:36,669 --> 00:00:39,305 VERY VERY IMPORTANT ROLES OF 14 00:00:39,305 --> 00:00:41,707 THIS COMMITTEE IS TO COORDINATE, 15 00:00:41,707 --> 00:00:42,441 THE RESEARCH ACROSS FEDERAL 16 00:00:42,441 --> 00:00:43,709 AGENCIES AND FOR THAT, WE WANT 17 00:00:43,709 --> 00:00:48,414 TO MAKE SURE WE HAVE INPUT FROM 18 00:00:48,414 --> 00:00:49,982 RESEARCHERS, FROM CLINICIANS, 19 00:00:49,982 --> 00:00:52,651 FROM PAIN ADVOCACY GROUPS, ET 20 00:00:52,651 --> 00:00:53,886 CETERA, SO WE SPENT A LOT OF 21 00:00:53,886 --> 00:00:58,157 TIME REALLY MAKING SURE THAT WE 22 00:00:58,157 --> 00:01:00,025 GET THE RIGHT EXPERTISE IN THIS 23 00:01:00,025 --> 00:01:01,427 GROUP AND AT THE SAME TIME WE 24 00:01:01,427 --> 00:01:03,562 HAVE TO DEAL WITH THE REALITIES 25 00:01:03,562 --> 00:01:06,432 OF A MOVING--WHAT WE CALL OUR 26 00:01:06,432 --> 00:01:10,503 SLATE OF APPOINTEES THROUGH THE 27 00:01:10,503 --> 00:01:11,504 DIFFERENT STAGES OF APPROVEMENT 28 00:01:11,504 --> 00:01:13,539 IN THE FEDERAL GOVERNMENT AND 29 00:01:13,539 --> 00:01:14,473 THAT TAKES TIME. 30 00:01:14,473 --> 00:01:16,509 AND SO THOSE WHO ARE ALREADY 31 00:01:16,509 --> 00:01:18,043 FAMILIAR WITH THIS PROCESS KNOW 32 00:01:18,043 --> 00:01:21,447 IT IS DEFINITELY A PROCESS THAT 33 00:01:21,447 --> 00:01:27,620 CAN BE, YOU KNOW, LENGTHY AND 34 00:01:27,620 --> 00:01:29,588 SO, BUT WE ARE HAPPY WITH THE 35 00:01:29,588 --> 00:01:31,090 PROGRESS WE'VE MADE SO FOR. 36 00:01:31,090 --> 00:01:34,293 SO WHEN I WANT TO JUST GIVE YOU 37 00:01:34,293 --> 00:01:36,729 A QUICK SNAPSHOT OF THE STATUS 38 00:01:36,729 --> 00:01:40,332 OF THE MEMBERS OF IPRCC WHO'S 39 00:01:40,332 --> 00:01:41,100 COMING, WHO'S GOING, ET CETERA 40 00:01:41,100 --> 00:01:44,637 AND WHERE WE ARE RIGHT NOW. 41 00:01:44,637 --> 00:01:48,307 SO CURRENTLY, WHAT'S GOING ON IS 42 00:01:48,307 --> 00:01:50,075 THAT WE HAVE--EVERY YEAR WE HAVE 43 00:01:50,075 --> 00:01:53,012 TO SUBMIT A SLATE OF NOMINEES 44 00:01:53,012 --> 00:01:56,515 FOR APPROVAL. 45 00:01:56,515 --> 00:02:01,420 AND SO OUR SLATE OF NOMINEES FOR 46 00:02:01,420 --> 00:02:03,589 FISCAL YEAR 2023 AND 2024 ARE 47 00:02:03,589 --> 00:02:04,857 CURRENTLY BEING APPROVED BY THE 48 00:02:04,857 --> 00:02:10,296 DEPARTMENT OF HEALTH AND HUMAN 49 00:02:10,296 --> 00:02:10,796 SERVICES SIMULTANEOUSLY. 50 00:02:10,796 --> 00:02:13,799 AND SO THEY SHOULD BE--HOPEFULLY 51 00:02:13,799 --> 00:02:14,633 THEY WILL APPROVED TOGETHER BUT 52 00:02:14,633 --> 00:02:17,102 WE HAVE NOT GOTTEN ANY RECENT 53 00:02:17,102 --> 00:02:18,070 UPDATES ON THAT. 54 00:02:18,070 --> 00:02:20,739 SO RIGHT NOW THEY'RE BOTH KIND 55 00:02:20,739 --> 00:02:24,143 OF FOLLOWING A SIMILAR TRACK. 56 00:02:24,143 --> 00:02:26,812 AND SO, WE WANT TO--AS A 57 00:02:26,812 --> 00:02:30,649 CONSEQUENCE OF THIS, WE HAVE 58 00:02:30,649 --> 00:02:33,486 ASKED MEMBERS WHOSE TERMS HAVE 59 00:02:33,486 --> 00:02:40,893 BEEN EXTENDED DUE TO THIS DELAY 60 00:02:40,893 --> 00:02:45,998 SO THESE ARE BETH WITH STANFORD 61 00:02:45,998 --> 00:02:48,901 UNIVERSITY, DR. RODRIGUEZ 62 00:02:48,901 --> 00:02:51,403 CHAIRMAN OF THE [INDISCERNIBLE] 63 00:02:51,403 --> 00:02:53,105 ASSOCIATION, DR. YOUNG BRIGHAM 64 00:02:53,105 --> 00:02:55,207 WOMEN'S RESEARCH GROUP AND 65 00:02:55,207 --> 00:02:57,276 PROFESSOR OF ANESTHESIA AT 66 00:02:57,276 --> 00:02:59,445 HARREGARD MEDICAL SCHOOL AND 67 00:02:59,445 --> 00:03:00,579 MAGGIE BUCKLEY, BOARD OF 68 00:03:00,579 --> 00:03:02,214 DIRECTORS OF THE PAIN COMMUNITY. 69 00:03:02,214 --> 00:03:06,018 WE WANT TO SINCERELY THANK ALL 70 00:03:06,018 --> 00:03:07,653 THESE INDIVIDUALS FOR AGREES TO 71 00:03:07,653 --> 00:03:08,354 EXTEND THEIR TERMS. 72 00:03:08,354 --> 00:03:10,356 NOW WE ALSO HAVE IN OUR CURRENT 73 00:03:10,356 --> 00:03:16,529 FEDERAL MEMBERS, SO WE HAVE 74 00:03:16,529 --> 00:03:17,429 DR. WALTER KOROSHETZ, WHO WILL 75 00:03:17,429 --> 00:03:18,797 JOIN THE MEETING LATE. 76 00:03:18,797 --> 00:03:26,572 HE HAD A COMMITMENT DOWN TOWN 77 00:03:26,572 --> 00:03:30,643 TODAY. 78 00:03:30,643 --> 00:03:35,814 ELIAISONS BETH KATO, AHRQ, AND 79 00:03:35,814 --> 00:03:37,716 SO WE'RE VERY, VERY PLEASED TO 80 00:03:37,716 --> 00:03:39,618 HAVE THOSE MEMBERS. 81 00:03:39,618 --> 00:03:43,322 ALSO WE HAVE EXOFFICIO MEMBERS 82 00:03:43,322 --> 00:03:47,893 FROM NIH, RENA DE'SOUZA, 83 00:03:47,893 --> 00:03:50,796 DIRECTOR OF NATIONAL INSTITUTE 84 00:03:50,796 --> 00:03:52,298 OF CRANIOFACIAL AND DENTAL 85 00:03:52,298 --> 00:03:53,265 INSTITUTE, DIRECTOR OF THE 86 00:03:53,265 --> 00:03:57,469 NATIONAL INSTITUTE OF NURSING 87 00:03:57,469 --> 00:03:57,736 RESEARCH. 88 00:03:57,736 --> 00:04:01,807 NOW GOING BACK TO 2022 THAT 89 00:04:01,807 --> 00:04:03,208 SLATE OF NOMINEES HAS BEEN 90 00:04:03,208 --> 00:04:05,578 APPROVED AND THE FOLLOWING 91 00:04:05,578 --> 00:04:09,582 MEMBERS WILL BE OFFICIAL AS OF 92 00:04:09,582 --> 00:04:10,416 JANUARY 2024. 93 00:04:10,416 --> 00:04:15,654 IF THIS SOUNDS CONFUSING, YOU'RE 94 00:04:15,654 --> 00:04:16,755 IN GOOD COMPANY. 95 00:04:16,755 --> 00:04:19,224 SO--WE WOULD LIKE TO GIVE THESE 96 00:04:19,224 --> 00:04:20,926 MEMBERS AN OPPORTUNITY TO 97 00:04:20,926 --> 00:04:21,660 INTRODUCE THEMSELVES AND JUST 98 00:04:21,660 --> 00:04:23,729 SAY A FEW WORDS ABOUT THEIR 99 00:04:23,729 --> 00:04:24,229 AREAS OF INTEREST. 100 00:04:24,229 --> 00:04:25,598 SO I'M JUST GOING TO LIST WHO 101 00:04:25,598 --> 00:04:28,233 THEY ARE AND THEN I WILL GIVE 102 00:04:28,233 --> 00:04:31,503 EACH AN OPPORTUNITY TO SAY A 103 00:04:31,503 --> 00:04:31,770 WORD. 104 00:04:31,770 --> 00:04:35,574 SO FIRST, THEY ARE MEMBERS OF 105 00:04:35,574 --> 00:04:36,542 THE--REPRESENTING PAIN ADVOCACY 106 00:04:36,542 --> 00:04:38,377 GROUPS, WE HAVE KATE NICHOLSON, 107 00:04:38,377 --> 00:04:40,079 FOUNDER AND PRESIDENT OF THE 108 00:04:40,079 --> 00:04:44,016 NATIONAL PAIB AND ADVOCACY 109 00:04:44,016 --> 00:04:44,783 CENTER. 110 00:04:44,783 --> 00:04:46,051 MONICA [INDISCERNIBLE] THE D. E. 111 00:04:46,051 --> 00:04:53,025 O. OF THE SLEEP APNEA PARTNERS 112 00:04:53,025 --> 00:04:57,162 REPRESENTING HEALTHY WOMEN. 113 00:04:57,162 --> 00:04:59,198 PAUL ARMSTEIN RECOGNIZING THE 114 00:04:59,198 --> 00:05:00,833 NURSES OF ACADEMY OF SLEEP AND 115 00:05:00,833 --> 00:05:05,638 THEN PHYSICIANS OR RESEARCHERS 116 00:05:05,638 --> 00:05:06,372 CAMERON BAKER, PROFESSOR 117 00:05:06,372 --> 00:05:13,312 UNIVERSITY NORTH CAROLINA CHAPEL 118 00:05:13,312 --> 00:05:14,446 HILL, SCOTT FISHMAN CHAIR AND 119 00:05:14,446 --> 00:05:15,748 PAIN MS. YESTERDAY EVER 120 00:05:15,748 --> 00:05:18,450 CALIFORNIA DAVIS. 121 00:05:18,450 --> 00:05:21,654 AND THEN FUTURE THAT ARE--WHO'S 122 00:05:21,654 --> 00:05:25,157 APPROVAL IS PENDING AND ARE NOW 123 00:05:25,157 --> 00:05:25,858 EXOFFICIO, CHRISTOPHER 124 00:05:25,858 --> 00:05:26,792 [INDISCERNIBLE] REPRESENTING THE 125 00:05:26,792 --> 00:05:28,861 DEPARTMENT OF DEFENSE, AND 126 00:05:28,861 --> 00:05:29,528 CHRISTINA [INDISCERNIBLE] 127 00:05:29,528 --> 00:05:30,829 REPRESENTING THE CENTER FOR 128 00:05:30,829 --> 00:05:33,198 DISEASE CONTROL AND PREVENTION. 129 00:05:33,198 --> 00:05:34,600 SO THAT'S QUITE A LIST AS YOU 130 00:05:34,600 --> 00:05:38,771 CAN SEE SO I WILL GO BACK NOW TO 131 00:05:38,771 --> 00:05:41,040 THOSE--THOSE MEMBERS, NEW 132 00:05:41,040 --> 00:05:43,742 MEMBERS, FROM THE 2022 SLATE AND 133 00:05:43,742 --> 00:05:45,577 THEY WILL START WITH KATE 134 00:05:45,577 --> 00:05:45,844 NICHOLSON. 135 00:05:45,844 --> 00:05:49,281 DO YOU WANT TO SAY HELLO KATE? 136 00:05:49,281 --> 00:05:51,417 INTRODUCE YOURSELF? 137 00:05:51,417 --> 00:05:51,684 >> SURE. 138 00:05:51,684 --> 00:05:52,317 HI, EVERYONE. 139 00:05:52,317 --> 00:05:55,421 MY NAME IS KATE AS MENTIONED I 140 00:05:55,421 --> 00:05:56,989 UPON REPRESENTING THE NATIONAL 141 00:05:56,989 --> 00:05:58,390 PAN ADVOCACY CENTER WHICH 142 00:05:58,390 --> 00:05:59,792 ADVOCATES FOR THE HEALTH AND 143 00:05:59,792 --> 00:06:01,860 HUMAN RIGHTS OF PEOPLE LIVING 144 00:06:01,860 --> 00:06:03,328 WITH BANE, WE'RE PARTICULARLY 145 00:06:03,328 --> 00:06:04,863 INTERESTED IN INSURE AG 146 00:06:04,863 --> 00:06:06,598 EQUITABLE AND EFFECTIVE PAIN 147 00:06:06,598 --> 00:06:07,032 CARE. 148 00:06:07,032 --> 00:06:09,134 I AM ALSO A PERSON WITH LIVED 149 00:06:09,134 --> 00:06:10,202 EXPERIENCE OF PAIN AND ALTHOUGH 150 00:06:10,202 --> 00:06:13,305 OUR GROUP IS A COALITION OF 151 00:06:13,305 --> 00:06:14,940 SCIENTISTS AND CLINICIANS AND 152 00:06:14,940 --> 00:06:17,543 PUBLIC HEALTH EXPERTS, WE ARE 153 00:06:17,543 --> 00:06:20,345 RUN BY AND FOR PEOPLE WITH LIVED 154 00:06:20,345 --> 00:06:20,913 EXPERIENCE OF PAIN. 155 00:06:20,913 --> 00:06:28,420 VERY HAPPY TO BE HERE. 156 00:06:28,420 --> 00:06:30,022 >> I HAVE TO KEEP MUTING AND 157 00:06:30,022 --> 00:06:30,456 UNMUTING MYSELF. 158 00:06:30,456 --> 00:06:32,191 THANK YOU SO MUCH AND YOU POINT 159 00:06:32,191 --> 00:06:34,026 OUT THE ABSOLUTE VITAL ROLE OF 160 00:06:34,026 --> 00:06:35,928 PEOPLE WHO HAVE LIVED EXPERIENCE 161 00:06:35,928 --> 00:06:39,331 OF PAIN AND WE HAVE--THIS IS SO 162 00:06:39,331 --> 00:06:39,898 IMPORTANT TO US. 163 00:06:39,898 --> 00:06:44,269 SO THANK YOU VERY, VERY MUCH FOR 164 00:06:44,269 --> 00:06:48,107 SERVING THAT ERROR IMPORTANT 165 00:06:48,107 --> 00:06:48,474 ROLE. 166 00:06:48,474 --> 00:06:50,008 MONICA MALLAMP A LLI. 167 00:06:50,008 --> 00:06:51,777 >> GOOD MORNING, I AM A TRAINED 168 00:06:51,777 --> 00:06:53,278 BIOMEDICAL SCIENTIST BUT HAVE 169 00:06:53,278 --> 00:06:54,446 BEEN ADVOCATING FOR WOMEN'S 170 00:06:54,446 --> 00:06:57,216 HEALTH FOR THE PAST 15 YEARS. 171 00:06:57,216 --> 00:06:59,084 LOOKING AT EVERYTHING FROM THE 172 00:06:59,084 --> 00:07:01,420 SEX AND GENDER ANGLE SO I'M HERE 173 00:07:01,420 --> 00:07:03,222 REPRESENTING HEALTHY WOMEN 174 00:07:03,222 --> 00:07:03,422 TODAY. 175 00:07:03,422 --> 00:07:04,757 I BROUGHT ATTENTION TO THE TOPIC 176 00:07:04,757 --> 00:07:06,191 OF WOMEN AND CHRONIC PAIN, ABOUT 177 00:07:06,191 --> 00:07:08,494 5 YEARS AGO AND HAVE DONE SOME 178 00:07:08,494 --> 00:07:11,230 PROGRAMMING THERE AT HEALTHY 179 00:07:11,230 --> 00:07:11,463 WOMEN. 180 00:07:11,463 --> 00:07:16,635 FRANKLY I AM THE EXECUTIVE- 181 00:07:16,635 --> 00:07:18,303 CURRENTLY, I AM THE EXECUTIVE 182 00:07:18,303 --> 00:07:20,339 DIRECTOR OF SLEEP PART MERS, AND 183 00:07:20,339 --> 00:07:21,740 WE'RE VERY INTERESTED IN THE 184 00:07:21,740 --> 00:07:26,111 CONNECTION BETWEEN SLEEP AND 185 00:07:26,111 --> 00:07:26,478 PAIN. 186 00:07:26,478 --> 00:07:27,846 >> EXCELLENT. 187 00:07:27,846 --> 00:07:33,452 SUCH IMPORTANT TOPICS. 188 00:07:33,452 --> 00:07:34,987 PAUL A RNSTEIN. 189 00:07:34,987 --> 00:07:45,464 WE'RE NOT HEARING YOU PAUL? 190 00:07:49,067 --> 00:07:49,735 LET'S SEE. 191 00:07:49,735 --> 00:07:56,275 MICROPHONE ISSUES? 192 00:07:56,275 --> 00:07:58,377 WE CAN COME BACK TO YOU, I DON'T 193 00:07:58,377 --> 00:08:01,680 KNOW IF YOU WANT TO TRY 194 00:08:01,680 --> 00:08:02,614 REBOOTING ZOOM OR SOMETHING LIKE 195 00:08:02,614 --> 00:08:03,715 THAT BECAUSE WE'RE NOT HEARING 196 00:08:03,715 --> 00:08:04,316 YOU AT ALL. 197 00:08:04,316 --> 00:08:07,553 OKAY, I WILL COME BACK TO YOU. 198 00:08:07,553 --> 00:08:11,857 THEN WE HAVE--SO TAMARA BAKER. 199 00:08:11,857 --> 00:08:15,494 >> GOOD MORNING EVERYONE. 200 00:08:15,494 --> 00:08:17,029 TAMARA BAKER, HERE AT UNC CHAPEL 201 00:08:17,029 --> 00:08:19,264 HILL, DEPARTMENT OF MEDICINE, 202 00:08:19,264 --> 00:08:23,769 DEPARTMENT OF PSYCHIATRY. 203 00:08:23,769 --> 00:08:26,738 MY AREA OF RESEARCH-- 204 00:08:26,738 --> 00:08:29,174 >> YOUR SOWBD IS COMING IN AND 205 00:08:29,174 --> 00:08:29,675 OUT TAMARA. 206 00:08:29,675 --> 00:08:33,245 I HOPE WE DON'T HAVE A SYSTEMIC 207 00:08:33,245 --> 00:08:33,445 ISSUE? 208 00:08:33,445 --> 00:08:35,814 >> I'M AT A HOTEL SO I'M NOT 209 00:08:35,814 --> 00:08:36,014 SURE. 210 00:08:36,014 --> 00:08:38,917 >> WELL, CARRY ON THEN. 211 00:08:38,917 --> 00:08:40,419 >> YOU WERE JUST CUTTING OUT. 212 00:08:40,419 --> 00:08:43,088 IN OKAY, I WILL MAKE IT BRIEF. 213 00:08:43,088 --> 00:08:45,891 I FOCUS PRIMARILY ON OLDER BLACK 214 00:08:45,891 --> 00:08:47,292 ADULTS AND ISSUES AROUND 215 00:08:47,292 --> 00:08:49,461 INIQUITIES AND PAIN MANAGEMENT 216 00:08:49,461 --> 00:08:51,897 DID YOU HEAR THAT PART? 217 00:08:51,897 --> 00:08:53,732 WOORKS WE CERTAINLY DID, THANK 218 00:08:53,732 --> 00:08:57,102 YOU SO MUCH. 219 00:08:57,102 --> 00:09:00,005 >> NEXT IS RENE MANWORREN,. 220 00:09:00,005 --> 00:09:01,874 >> GOOD MORNING MY FOCUS AND 221 00:09:01,874 --> 00:09:04,877 PAIN PEDIATRIC MANAGE AM, I AM A 222 00:09:04,877 --> 00:09:06,879 ASSOCIATE PROFESSOR AT 223 00:09:06,879 --> 00:09:07,779 NORTHWESTERN SCHOOL OF MEDICINE 224 00:09:07,779 --> 00:09:10,048 AND AS YOU SAID THE DIRECTOR OF 225 00:09:10,048 --> 00:09:11,984 NURSING RESEARCH AND MEDICAL 226 00:09:11,984 --> 00:09:14,219 PRACTICE AT THE HOSPITAL WHERE I 227 00:09:14,219 --> 00:09:16,989 HAVE A PRACTICE AS AN ADVANCED 228 00:09:16,989 --> 00:09:18,023 PRACTICING NURSE AND I'M ALSO 229 00:09:18,023 --> 00:09:21,126 THE Ph.D. DIRECTOR FOR NURSING 230 00:09:21,126 --> 00:09:23,595 SCIENCE AT THE UNIVERSITY OF 231 00:09:23,595 --> 00:09:24,663 TEXAS @ARLINGTON, SO THOSE WHO 232 00:09:24,663 --> 00:09:26,031 ARE PLAYING CLOSE ATTENTION, 233 00:09:26,031 --> 00:09:30,135 YES, I COMMUTE EVERY WEEK, 234 00:09:30,135 --> 00:09:30,402 852-MILES. 235 00:09:30,402 --> 00:09:33,739 OKAY, WELL, ROUND TRIP WOULD BE 236 00:09:33,739 --> 00:09:34,673 MORE THAN THAT. 237 00:09:34,673 --> 00:09:38,677 NTHAT'S A LOT OF MILES. 238 00:09:38,677 --> 00:09:39,411 ESPECIALLY DEDICATION, THANK YOU 239 00:09:39,411 --> 00:09:43,282 VERY MUCH AND THANK YOU FOR 240 00:09:43,282 --> 00:09:43,715 BEING HERE. 241 00:09:43,715 --> 00:09:44,850 >> SCOTT FISHMAN. 242 00:09:44,850 --> 00:09:46,418 >> REQUESTED MORNING EVERYONE, 243 00:09:46,418 --> 00:09:47,886 I'M SCOTT FISHMAN, I'VE BEEN THE 244 00:09:47,886 --> 00:09:49,554 CHIEF OF MAIN MEDICINE HERE AT 245 00:09:49,554 --> 00:09:55,060 UC DAVIS FOR OVER A COUPLE 246 00:09:55,060 --> 00:09:58,697 DECADES AND I HAVE RUN AN 247 00:09:58,697 --> 00:09:59,398 INTERPROFESSIONAL OFFICE THAT WE 248 00:09:59,398 --> 00:10:01,600 CALL THE CENTER FOR ADVANCING 249 00:10:01,600 --> 00:10:03,502 PAIN RELIEF HERE, JUST ON 250 00:10:03,502 --> 00:10:07,940 JULY 1, I RETIRED AND AM NOW A 251 00:10:07,940 --> 00:10:08,974 DISTINGUISHED PROFESSOR EMERITUS 252 00:10:08,974 --> 00:10:12,811 BUT I'M COMING BACK TO CONTINUE 253 00:10:12,811 --> 00:10:16,114 TO RUN THESE 2 PAIN OFFICES. 254 00:10:16,114 --> 00:10:18,050 THE NEW 1 IS THE OFFICE OF 255 00:10:18,050 --> 00:10:19,985 WELLNESS, EDUCATION, SO I'M THE 256 00:10:19,985 --> 00:10:21,920 ENDOWED CHAIR OF WELLNESS FOR 257 00:10:21,920 --> 00:10:23,655 THE UNIVERSITY AND THIS WILL BE 258 00:10:23,655 --> 00:10:26,692 MORE OF A PART-TIME POSITION BUT 259 00:10:26,692 --> 00:10:29,761 1 THAT I'M VERY PASSIONATE ABOUT 260 00:10:29,761 --> 00:10:32,264 WHERE WE'VE BEEN HOLDING 261 00:10:32,264 --> 00:10:35,033 SEMINARS ON PAIN AND WELLNESS 262 00:10:35,033 --> 00:10:37,636 AND WE'RE HOLDING 1 IN AMSTERDAM 263 00:10:37,636 --> 00:10:40,272 AT THE WORLD CONGRESS AND TRYING 264 00:10:40,272 --> 00:10:41,807 TO RAISE AWARENESS ABOUT PAIN 265 00:10:41,807 --> 00:10:44,076 PREVENTION WHICH HAS BEEN A NEW 266 00:10:44,076 --> 00:10:44,576 PASSION OF MINE. 267 00:10:44,576 --> 00:10:47,679 I'M GLAD TO BE HERE, THANK YOU. 268 00:10:47,679 --> 00:10:48,046 >> THANK YOU. 269 00:10:48,046 --> 00:10:50,449 THANK YOU VERY MUCH FOR YOUR 270 00:10:50,449 --> 00:10:52,551 VERY IMPORTANT INPUT. 271 00:10:52,551 --> 00:10:53,285 THANK YOU. 272 00:10:53,285 --> 00:11:03,795 AND DR. --OKAY, SO NOW IS THE 273 00:11:08,300 --> 00:11:10,035 DOCTOR HERE? 274 00:11:10,035 --> 00:11:14,506 >> YES, I'M ONLINE, HAPPY TO BE 275 00:11:14,506 --> 00:11:16,008 HERE TODAY, I'M CHRIS 276 00:11:16,008 --> 00:11:17,743 [INDISCERNIBLE] I'M WITH THE 277 00:11:17,743 --> 00:11:19,511 MILITARY PROGRAM HERE AT WALTER 278 00:11:19,511 --> 00:11:22,047 REID, OUR AREAS OF INTEREST ARE 279 00:11:22,047 --> 00:11:25,017 ACTIVE DUTY MEMBERS AND THE 280 00:11:25,017 --> 00:11:25,517 BENEFICIARIES. 281 00:11:25,517 --> 00:11:27,252 SO HAPPY TO PARTICIPATE. 282 00:11:27,252 --> 00:11:27,619 >> EXCELLENT. 283 00:11:27,619 --> 00:11:35,627 THANK YOU VERY MUCH. 284 00:11:35,627 --> 00:11:36,428 AND CHRISTINA [INDISCERNIBLE]? 285 00:11:36,428 --> 00:11:38,964 >> I DON'T SEE HER YET. 286 00:11:38,964 --> 00:11:41,500 >> OKAY, LET'S SEE IF WE CAN GO 287 00:11:41,500 --> 00:11:43,368 BACK TO PAUL, HOW'S IT GOING 288 00:11:43,368 --> 00:11:43,535 NOW? 289 00:11:43,535 --> 00:11:47,272 >> HI, CAN YOU HEAR ME NOW? 290 00:11:47,272 --> 00:11:47,939 >> OH, GREAT. 291 00:11:47,939 --> 00:11:48,874 WELL, THANK YOU VERY MUCH. 292 00:11:48,874 --> 00:11:52,944 IT'S A PLEASURE BEING HERE. 293 00:11:52,944 --> 00:11:54,946 I'VE BEEN AN ADVANCED PRACTICE 294 00:11:54,946 --> 00:11:57,382 NURSE, TRAINED AS A NURSE 295 00:11:57,382 --> 00:11:57,983 PRACTITIONER SPECIALIZING IN 296 00:11:57,983 --> 00:11:59,384 DIFFERENT TYPES OF PAIN FROM 297 00:11:59,384 --> 00:12:04,756 ACUTE PAIN TO CHRONIC PAIN TO 298 00:12:04,756 --> 00:12:07,626 CANCER PAIN AND ACROSS MY CAREER 299 00:12:07,626 --> 00:12:15,534 I WORKED IN REMOTE AREAS OF THE 300 00:12:15,534 --> 00:12:16,902 SOUTHWEST IN UTAH ALL THE WAY TO 301 00:12:16,902 --> 00:12:18,103 MASS GENERAL HOSPITAL FOR THE 302 00:12:18,103 --> 00:12:19,771 LAST 16 YEARS OF MY CAREER. 303 00:12:19,771 --> 00:12:22,841 I RECENTLY RETIRED FROM CLINICAL 304 00:12:22,841 --> 00:12:25,110 PRACTICE AND I'M AN ADJUNCT 305 00:12:25,110 --> 00:12:26,378 PROFESSOR AT MASS GENERAL 306 00:12:26,378 --> 00:12:28,480 HOSPITAL OF INSTITUTE OF HEALTH 307 00:12:28,480 --> 00:12:31,016 PROFESSIONS AND DOING 308 00:12:31,016 --> 00:12:31,516 INDEPENDENT EDUCATION, 309 00:12:31,516 --> 00:12:33,118 CONSULTING AND RESEARCH WORK. 310 00:12:33,118 --> 00:12:38,523 SO THANK YOU VERY MUCH FOR 311 00:12:38,523 --> 00:12:39,691 HAVING ME. 312 00:12:39,691 --> 00:12:41,093 >> WE MAY WANT TO ACKNOWLEDGE 313 00:12:41,093 --> 00:12:42,961 THE WORK OF DR. PORTER'S OFFICE 314 00:12:42,961 --> 00:12:45,163 WHO PUT SO MUCH EFFORT INTO 315 00:12:45,163 --> 00:12:47,132 REALLY MAKING SURE THAT OUR 316 00:12:47,132 --> 00:12:50,602 SLATE OF REPRESENTATIVES ON THIS 317 00:12:50,602 --> 00:12:51,536 COMMITTEE STAYS, VIBRANT AND YOU 318 00:12:51,536 --> 00:12:56,975 KNOW GET ALL THIS INPUT THAT WE 319 00:12:56,975 --> 00:12:57,876 SO NEED. 320 00:12:57,876 --> 00:12:59,311 AND SO THANK YOU SO MUCH FOR 321 00:12:59,311 --> 00:13:00,011 KEEPING THIS GOING. 322 00:13:00,011 --> 00:13:04,216 SO I GUESS, NOW, IT'S TIME IF 323 00:13:04,216 --> 00:13:06,318 YOU GO TO LINDA WHO IS COMING TO 324 00:13:06,318 --> 00:13:09,421 US FROM WYOMING, I THINK? 325 00:13:09,421 --> 00:13:09,721 NYEAH. 326 00:13:09,721 --> 00:13:12,357 >> I MAY NEVER COME BACK. 327 00:13:12,357 --> 00:13:14,893 >> TAKING TIME OFF FOR A 328 00:13:14,893 --> 00:13:15,260 VACATION. 329 00:13:15,260 --> 00:13:17,129 >> A LITTLE BIT OF WORK, A 330 00:13:17,129 --> 00:13:19,331 LITTLE BIT OF PLAY. 331 00:13:19,331 --> 00:13:20,132 THANK YOU. 332 00:13:20,132 --> 00:13:24,136 SO WHAT WE HAVE TO DO AS A 333 00:13:24,136 --> 00:13:26,872 COMMITTEE IS TO VOTE THE MINUTES 334 00:13:26,872 --> 00:13:30,942 FROM THE PRIOR MEETINGS AND 335 00:13:30,942 --> 00:13:33,945 THAT'S BECAUSE YOU'RE AN 336 00:13:33,945 --> 00:13:34,713 OFFICIAL CONGRESSALLY MANDATED 337 00:13:34,713 --> 00:13:35,847 COMMITTEE AND THOSE MINUTES ARE 338 00:13:35,847 --> 00:13:41,319 PART OF OUR RECORDS IF YOU WILL, 339 00:13:41,319 --> 00:13:42,721 SO LEA [INDISCERNIBLE] SENT THEM 340 00:13:42,721 --> 00:13:43,688 OUT EARLIER, WE HOPE EVERYBODY 341 00:13:43,688 --> 00:13:45,423 HAD A CHANCE TO READ THEM. 342 00:13:45,423 --> 00:13:47,025 THEY WERE FROM LAST FALL, I 343 00:13:47,025 --> 00:13:48,527 DON'T REMEMBER IF WE MET IN 344 00:13:48,527 --> 00:13:52,531 OCTOBER OR NOVEMBER BUT IT WAS 345 00:13:52,531 --> 00:13:54,065 IN THAT TIME FRAME AND FOR THOSE 346 00:13:54,065 --> 00:13:58,270 WHO ARE NOW OFFICIAL MEMBERS, 347 00:13:58,270 --> 00:13:58,637 YOU CAN VOTE. 348 00:13:58,637 --> 00:14:02,774 THOSE OF YOU WHO ARE EXOFFICIO, 349 00:14:02,774 --> 00:14:03,508 WE WOULD APPRECIATE ANY COMMENTS 350 00:14:03,508 --> 00:14:05,210 YOU HAVE ON THE MINUTES IF YOU 351 00:14:05,210 --> 00:14:06,511 LISTENED IN OR ANYTHING THAT YOU 352 00:14:06,511 --> 00:14:08,480 READ IN THEM BUT WE CAN'T TAKE 353 00:14:08,480 --> 00:14:12,684 YOUR OFFICIAL VOTE YET UNTIL YOU 354 00:14:12,684 --> 00:14:15,287 ARE OFFICIALLY APPROVED AND AS 355 00:14:15,287 --> 00:14:17,722 HELENE, THAT PROCESS IS RATHER 356 00:14:17,722 --> 00:14:17,956 SLOW. 357 00:14:17,956 --> 00:14:18,890 SOPHISTICATED I WOULD LIKE TO 358 00:14:18,890 --> 00:14:20,425 TAKE A QUICK CHECK, DOES ANYBODY 359 00:14:20,425 --> 00:14:21,826 NEED MORE TIME TO LOOK AT THEM, 360 00:14:21,826 --> 00:14:24,196 LIKE A MINUTE OR 2 NOW OR CAN WE 361 00:14:24,196 --> 00:14:27,232 GO AHEAD AND TAKE THE VOTE ON IT 362 00:14:27,232 --> 00:14:29,935 IN? 363 00:14:29,935 --> 00:14:33,238 I DON'T SEE ANY HANDS RAISED, SO 364 00:14:33,238 --> 00:14:38,176 THE EASIEST WAY TO--TYPICALLY TO 365 00:14:38,176 --> 00:14:40,912 DO THIS--IS TO SOMEONE IN THE 366 00:14:40,912 --> 00:14:42,013 GROUP WHO'S OFFICIAL HAS TO MAKE 367 00:14:42,013 --> 00:14:47,118 A MOTION TO APPROVE THE MINUTES 368 00:14:47,118 --> 00:14:49,621 OR UPDATE THE MINUTES OR NOT 369 00:14:49,621 --> 00:14:50,021 APPROVE THEM. 370 00:14:50,021 --> 00:14:53,992 SO WHAT I WILL ASK IS DOES 371 00:14:53,992 --> 00:14:55,727 ANYONE HAVE ANY REVISIONS THAT 372 00:14:55,727 --> 00:14:58,597 NEED TO GO INTO THE MINUES? 373 00:14:58,597 --> 00:15:00,699 IF SO IF YOU COULD LET US KNOW 374 00:15:00,699 --> 00:15:03,868 NOW IN THE CHAT? 375 00:15:03,868 --> 00:15:06,271 AND THEN IF ANYBODY IS WILLING, 376 00:15:06,271 --> 00:15:10,709 I SEE SCOTT HAS MADE THE MOVE TO 377 00:15:10,709 --> 00:15:10,942 APPROVE. 378 00:15:10,942 --> 00:15:13,678 BETH HAS MADE I GUESS I WILL 379 00:15:13,678 --> 00:15:14,746 CALL THAT A SECOND MOVE SO IF 380 00:15:14,746 --> 00:15:18,183 YOU REST OF YOU WOULD PUT IN THE 381 00:15:18,183 --> 00:15:19,618 CHAT WHETHER YOU APPROVE OR NOT, 382 00:15:19,618 --> 00:15:21,052 WE WOULD NEED A QUORUM TO MOVE 383 00:15:21,052 --> 00:15:21,620 THEM FORWARD. 384 00:15:21,620 --> 00:15:23,455 IF YOU CAN'T GET AT THE CHAT, 385 00:15:23,455 --> 00:15:24,422 THEN YOU COULD JUST RAISE YOUR 386 00:15:24,422 --> 00:15:31,229 HAND RIGHT NOW AND LET ME KNOW. 387 00:15:31,229 --> 00:15:33,498 IT LOOKS LIKE EVERYBODY IS GOING 388 00:15:33,498 --> 00:15:33,832 IN. 389 00:15:33,832 --> 00:15:34,466 ALL RIGHT, THANK YOU VERY MUCH 390 00:15:34,466 --> 00:15:35,000 FOR THAT. 391 00:15:35,000 --> 00:15:38,837 WE WILL GET THEM SIGNED, SEALED 392 00:15:38,837 --> 00:15:40,772 AND PUT ON THE WEBSITE. 393 00:15:40,772 --> 00:15:41,239 THANKS A LOT. 394 00:15:41,239 --> 00:15:43,341 BACK TO YOU HELENE. 395 00:15:43,341 --> 00:15:44,442 >> ALL RIGHT. 396 00:15:44,442 --> 00:15:45,910 THANK YOU SO MUCH LINDA, SO THE 397 00:15:45,910 --> 00:15:50,548 NEXT ITEM ON OUR AGENDA IS AN 398 00:15:50,548 --> 00:15:52,851 UPDATE FROM THE FEDERAL PAIN 399 00:15:52,851 --> 00:15:57,055 RESEARCH STRATEGY PORTFOLIO 400 00:15:57,055 --> 00:15:59,958 ANALYSIS AND ANTHONY 401 00:15:59,958 --> 00:16:03,261 DOMENICHIELLO WILL GIVE US THAT 402 00:16:03,261 --> 00:16:03,495 UPDATE. 403 00:16:03,495 --> 00:16:05,363 SO ANTHONY, TAKE IT AWAY. 404 00:16:05,363 --> 00:16:06,998 >> ALL RIGHT EVERYONE, I WILL 405 00:16:06,998 --> 00:16:12,971 JUST SHARE MY SCREEN. 406 00:16:12,971 --> 00:16:15,507 ALL RIGHT, SO I TALKED TO THIS 407 00:16:15,507 --> 00:16:17,008 GROUP PREVIOUSLY ABOUT THE 408 00:16:17,008 --> 00:16:18,310 FEDERAL PAIN RESEARCH STRATEGY 409 00:16:18,310 --> 00:16:20,245 ANALYSIS THAT WE'RE TRYING TO 410 00:16:20,245 --> 00:16:21,546 UNDERTAKE OVER HERE AND I GUESS 411 00:16:21,546 --> 00:16:23,748 BY THE TITLE OF THE SLIDE, YOU 412 00:16:23,748 --> 00:16:26,051 MIGHT BE ABLE TO DEDUCE THAT 413 00:16:26,051 --> 00:16:28,019 WE'VE MOVED ON TO A MACHINE 414 00:16:28,019 --> 00:16:29,287 LEARNING APPROACH, SO TODAY I 415 00:16:29,287 --> 00:16:30,889 WILL UPDATE EVERYONE ON WHERE 416 00:16:30,889 --> 00:16:32,624 WE'RE AT WITH THAT AND GIVE A 417 00:16:32,624 --> 00:16:34,526 LITTLE BIT OF BACKGROUNDOT 418 00:16:34,526 --> 00:16:35,560 FEDERAL PAIN RESEARCH STRATEGY. 419 00:16:35,560 --> 00:16:39,397 SO I HAVE THIS HERE MORE FOR 420 00:16:39,397 --> 00:16:42,133 HOUSEKEEPING SO I WILL QUICKLY 421 00:16:42,133 --> 00:16:44,035 GO THROUGH IT. 422 00:16:44,035 --> 00:16:45,470 ESSENTIALLY THE FEDERAL PAIN 423 00:16:45,470 --> 00:16:46,971 RESEARCH STRATEGY DATES BACK TO 424 00:16:46,971 --> 00:16:48,106 THE AFFORDABLE CARE ACT WHERE 425 00:16:48,106 --> 00:16:51,109 THE SECRETARY WAS DIRECTED TO 426 00:16:51,109 --> 00:16:55,280 CONVENE THE IOM CONFERENCE AND 427 00:16:55,280 --> 00:16:56,748 ESTABLISH THE IPRCC. 428 00:16:56,748 --> 00:16:58,383 THE IPRCC OVERSAW THE CREATION 429 00:16:58,383 --> 00:17:01,419 OF THE NATIONAL PAIN STRATEGY 430 00:17:01,419 --> 00:17:04,289 AND THE IP--AND THE FEDERAL PAIN 431 00:17:04,289 --> 00:17:05,690 RESEARCH STRATEGIES IS A 432 00:17:05,690 --> 00:17:08,693 COMPANION TO THE NATIONAL PAIN 433 00:17:08,693 --> 00:17:11,663 RESEARCH--NATIONAL PAIN STRATEGY 434 00:17:11,663 --> 00:17:12,731 ESSENTIALLY, COMPLETE THE 435 00:17:12,731 --> 00:17:14,766 RESEARCH ASPECT OF THE NATIONAL 436 00:17:14,766 --> 00:17:15,867 PAIN STRATEGY. 437 00:17:15,867 --> 00:17:17,702 WHAT THE FEDERAL PAIN RESEARCH 438 00:17:17,702 --> 00:17:19,204 STRATEGY DOES IS IDENTIFY 439 00:17:19,204 --> 00:17:20,705 CRITICAL GAPS AND BASIC CLINICAL 440 00:17:20,705 --> 00:17:22,374 PAIN RESEARCH AND MAKES 441 00:17:22,374 --> 00:17:24,209 RECOMMENDATIONS TO FEDERAL 442 00:17:24,209 --> 00:17:26,711 AGENCIES TO AVOID DUPLICATION OF 443 00:17:26,711 --> 00:17:30,048 EFFORT AND REAL QUICK HERE ARE 444 00:17:30,048 --> 00:17:31,649 THE TOP PRIORITIES THAT WERE 445 00:17:31,649 --> 00:17:35,286 RECOMMENDED IN THE FEDERAL PAIN 446 00:17:35,286 --> 00:17:35,687 RESEARCH STRATEGY. 447 00:17:35,687 --> 00:17:36,654 THESE WERE--THESE WERE VOTED BY 448 00:17:36,654 --> 00:17:42,227 THE GROUP IN THE HIGHEST QUAR 449 00:17:42,227 --> 00:17:44,229 TILE SO THEY WERE ASSIGNED AS 450 00:17:44,229 --> 00:17:47,098 THE TOP PRIORITIES SO START 451 00:17:47,098 --> 00:17:49,901 NOTHING 2022, LINDA PRESENTED TO 452 00:17:49,901 --> 00:17:51,336 THE IPRCC A HIGH LEVEL ANALYSIS 453 00:17:51,336 --> 00:17:56,374 THAT HE DID WHERE SHE MAPPED UP 454 00:17:56,374 --> 00:17:58,343 HEAL PROGRAMS AND INDICATED 455 00:17:58,343 --> 00:17:59,644 WHICH FEDERAL PAIN STRATEGY 456 00:17:59,644 --> 00:18:02,046 PRIORITY THEY WERE ADDRESSING 457 00:18:02,046 --> 00:18:04,382 AND THE IPRCC REALLY LIKED THE 458 00:18:04,382 --> 00:18:05,884 ANALYSIS AND THOUGHT THAT WE 459 00:18:05,884 --> 00:18:07,218 SHOULD EXPAND IT AND EXPAND TO 460 00:18:07,218 --> 00:18:09,387 ULTIMATELIA OF NETWORK IH AND 461 00:18:09,387 --> 00:18:12,223 ALL OF FEDERAL GOVERNMENT. 462 00:18:12,223 --> 00:18:13,391 SO I STARTED TRYING TO FIGURE 463 00:18:13,391 --> 00:18:15,293 OUT HOW WE'RE GOING DO THAT AND 464 00:18:15,293 --> 00:18:17,262 I PRESENTED A COUPLE TIMES TO 465 00:18:17,262 --> 00:18:21,232 THIS GROUP AND THERE WAS A LOT 466 00:18:21,232 --> 00:18:23,301 OF ENTHUSIASM FOR REALLY DOING 467 00:18:23,301 --> 00:18:24,836 GRANT LEVEL DATA AND FIGURE OUT 468 00:18:24,836 --> 00:18:26,471 WHICH GRANTS ARE ADDRESSING 469 00:18:26,471 --> 00:18:27,672 WHICH PARTS FELT PRIORITIES, ARE 470 00:18:27,672 --> 00:18:30,475 WE GETTING THEM ALL, DO WE NEED 471 00:18:30,475 --> 00:18:31,910 NEW PRIORITIES, THAT KIND OF 472 00:18:31,910 --> 00:18:35,346 STUFF, BUT WHEN WE PILOTED DOING 473 00:18:35,346 --> 00:18:38,316 THIS MANUAL LEAVE WITH ICs, IT 474 00:18:38,316 --> 00:18:39,617 DIDN'T SEEM FEASIBLE, THERE WAS 475 00:18:39,617 --> 00:18:40,785 TOO MUCH HAPPENING, THERE WAS 476 00:18:40,785 --> 00:18:42,320 NOT ENOUGH TIME TO REALLY GET IT 477 00:18:42,320 --> 00:18:43,721 DONE AND THERE WERE TOO MANY 478 00:18:43,721 --> 00:18:45,590 GRANTS TO GO THROUGH, EVEN TO 479 00:18:45,590 --> 00:18:47,091 IDENTIFY WHICH ARE PAIN VERSUS 480 00:18:47,091 --> 00:18:51,496 WHICH ARE NOT AND THIS WAS 481 00:18:51,496 --> 00:18:52,931 RECOMMENDED WE MOVE ON TO A 482 00:18:52,931 --> 00:18:54,532 MACHINE LEARNING APPROACH AND 483 00:18:54,532 --> 00:18:57,402 THAT'S HOW WE ENDED UP IN 484 00:18:57,402 --> 00:18:57,836 COLLABORATION WITH 485 00:18:57,836 --> 00:18:59,938 [INDISCERNIBLE] AT THE MISH 486 00:18:59,938 --> 00:19:01,439 NICKER SCHOOL OF UNIVERSITY AND 487 00:19:01,439 --> 00:19:03,441 THEY ARE WORKING ON MAKING A 488 00:19:03,441 --> 00:19:05,376 MACHINE LEARNING APPROACH THAT 489 00:19:05,376 --> 00:19:07,111 WILL IDENTIFY WHICH FEDERALLY 490 00:19:07,111 --> 00:19:08,179 FUNDED PAIN GRANTS ARE PAIN 491 00:19:08,179 --> 00:19:10,448 GRANTS AND THEN THEY WILL 492 00:19:10,448 --> 00:19:12,750 CLASSIFY THOSE GRANTS BASED ON 493 00:19:12,750 --> 00:19:13,585 WHICH FPRS PRIORITY THEY ARE 494 00:19:13,585 --> 00:19:16,888 ADDRESS XG THAT WILL BE ALL 495 00:19:16,888 --> 00:19:18,089 AUTOMATED AND WE'RE REALLY 496 00:19:18,089 --> 00:19:18,890 EXCITED ABOUT WHERE WE'RE GOING 497 00:19:18,890 --> 00:19:21,459 WITH THAT AND I WILL PRESENT TO 498 00:19:21,459 --> 00:19:25,864 YOU TODAY, WHERE WHERE WE ARE 499 00:19:25,864 --> 00:19:26,531 WITH THAT. 500 00:19:26,531 --> 00:19:28,733 SO THEIR PROBLEM IS THEY NEED TO 501 00:19:28,733 --> 00:19:30,401 IDENTIFY WHICH OF THE 13 502 00:19:30,401 --> 00:19:31,836 PRIORITIES ARE FUNDED BY NIH 503 00:19:31,836 --> 00:19:33,037 GRANTS AND THEY WANT TO DO THAT 504 00:19:33,037 --> 00:19:36,474 SINCE THE RELEASE OF THE FEDERAL 505 00:19:36,474 --> 00:19:37,742 PAIN RESEARCH STRATEGY WE GAVE 506 00:19:37,742 --> 00:19:39,711 THEM GRANT DATA DATING BACK TO 507 00:19:39,711 --> 00:19:39,944 2018. 508 00:19:39,944 --> 00:19:41,412 ONCE THEY GET THIS WORKING FOR 509 00:19:41,412 --> 00:19:48,520 NIH, THEY WANT TO EXTEND IT TO 510 00:19:48,520 --> 00:19:49,687 OTHER FEDERAL AGENCIES. 511 00:19:49,687 --> 00:19:51,222 SO THE BROAD KIND OF TECHNIQUE 512 00:19:51,222 --> 00:19:54,826 THEY'RE USING IS CALLED TOPIC 513 00:19:54,826 --> 00:19:56,394 MODELS, ESSENTIALLY TOPIC 514 00:19:56,394 --> 00:19:59,197 MODELING IS USUALLY UNSUPER 515 00:19:59,197 --> 00:19:59,831 VISED, ORIGINALLY UNSUPER VISED 516 00:19:59,831 --> 00:20:03,234 AND IN THIS WAY, YOU CAN FEED 517 00:20:03,234 --> 00:20:04,335 DATA TO YOUR MACHINE LEARNING 518 00:20:04,335 --> 00:20:07,205 MODEL AND IT WAS ABLE TO ASSIGN 519 00:20:07,205 --> 00:20:08,306 TOPICS TO GRANTS BASED ON WORDS 520 00:20:08,306 --> 00:20:14,145 THAT ARE IN THE DIFFERENT GRANTS 521 00:20:14,145 --> 00:20:15,313 AND THEN, IT'LL ASSIGN YOUR 522 00:20:15,313 --> 00:20:16,614 GRANTS TO DIFFERENT TOPICS. 523 00:20:16,614 --> 00:20:18,917 IT'S NICE WHEN YOU HAVE A SET OF 524 00:20:18,917 --> 00:20:20,218 GRANTS THAT YOU KNOW WHICH 525 00:20:20,218 --> 00:20:21,786 TOPICS THEY ARE AND THEY CAN BE 526 00:20:21,786 --> 00:20:24,222 ASSIGNED TOO AND THEN THAT HELPS 527 00:20:24,222 --> 00:20:25,290 YOU FOR EVALUATING THE MODEL AND 528 00:20:25,290 --> 00:20:26,925 YOU CAN ALSO HELP TRAIN THE 529 00:20:26,925 --> 00:20:27,458 MODEL. 530 00:20:27,458 --> 00:20:29,127 I MIGHT USE THE WORD DOCK YOU 531 00:20:29,127 --> 00:20:30,929 WANTS OR YOU MIGHT SEE IT IN THE 532 00:20:30,929 --> 00:20:32,530 SLIDES, DOCUMENTS IN THIS CASE 533 00:20:32,530 --> 00:20:34,399 ARE ALL IN MACHINE LEARNING OR 534 00:20:34,399 --> 00:20:37,702 ALL OF THIS TEXT ANALYSIS WORK 535 00:20:37,702 --> 00:20:39,337 REFERS TO THE ACTUAL LIKE TEXT 536 00:20:39,337 --> 00:20:40,638 THAT YOU'RE ANALYZING SO IN THIS 537 00:20:40,638 --> 00:20:43,608 CASE, IT'S GOING TO BE PUBLIC 538 00:20:43,608 --> 00:20:45,243 ABSTRACTS AND IMRANTS FUNDED BY 539 00:20:45,243 --> 00:20:47,946 NIH, THE GOAL IS EVENTUALLY TO 540 00:20:47,946 --> 00:20:50,315 BE USING GRANTS FROM OTHER 541 00:20:50,315 --> 00:20:52,617 AGENCIES OR EVEN MORE INFO 542 00:20:52,617 --> 00:20:54,218 FROM--INTEGRATION THE GRANTS, SO 543 00:20:54,218 --> 00:20:55,620 SPECIFIC AIMS, HOWEVER THERE ARE 544 00:20:55,620 --> 00:20:58,756 CHALLENGES WE'VE BEEN NAVIGATING 545 00:20:58,756 --> 00:20:59,891 THE CHALLENGES OF GETTING ACCESS 546 00:20:59,891 --> 00:21:01,659 TO THAT OTHER INFORMATION SINCE 547 00:21:01,659 --> 00:21:02,193 IT'S MORE RESTRICTED. 548 00:21:02,193 --> 00:21:03,895 AND THEN IF I USE THE WORD 549 00:21:03,895 --> 00:21:05,330 TOPICS OR SEE TOPICS IN THE 550 00:21:05,330 --> 00:21:07,532 SLIDES THEY'RE JUST REFERRING TO 551 00:21:07,532 --> 00:21:09,400 THE 13 FPRS TOP PRIORITIES. 552 00:21:09,400 --> 00:21:11,202 SO THE MACHINE LEARNING 553 00:21:11,202 --> 00:21:18,209 TECHNIQUE THAT THEY'RE USING IS 554 00:21:18,209 --> 00:21:20,178 CALLED LATENT LDA, OR I'M NOT AN 555 00:21:20,178 --> 00:21:22,614 EXPERT IN THIS PART, I CAN 556 00:21:22,614 --> 00:21:23,781 ANSWER MORE QUESTIONS AFTER, SO 557 00:21:23,781 --> 00:21:26,718 I GIVE YOU A HIGH LEVEL, MY 558 00:21:26,718 --> 00:21:29,654 UNDERSTANDING OF THIS. 559 00:21:29,654 --> 00:21:31,756 ESSENTIALLY WHAT LDA DOES IS IT 560 00:21:31,756 --> 00:21:34,158 IDENTIFIES TOPICS AND TELLS YOU 561 00:21:34,158 --> 00:21:35,860 THE PROBABILITY THAT THIS 562 00:21:35,860 --> 00:21:38,529 CURRENT GRANT IS A MEMBER OF 563 00:21:38,529 --> 00:21:42,367 THAT TOPIC, BASED ON THE WORDS 564 00:21:42,367 --> 00:21:43,901 THAT ARE IN THAT GRANT. 565 00:21:43,901 --> 00:21:47,271 NOW WHAT MICHIGAN IS DOING IS 566 00:21:47,271 --> 00:21:48,539 CALLED SEEDED LDA, THAT'S WHEN 567 00:21:48,539 --> 00:21:50,074 YOU TELL THE MACHINE THAT HERE 568 00:21:50,074 --> 00:21:51,376 ARE THE TOPICS AND HERE ARE 569 00:21:51,376 --> 00:21:54,078 WORDS THAT WE THINK ARE SPECIFIC 570 00:21:54,078 --> 00:21:55,513 FOR THESE TOPICS AND WHAT THE 571 00:21:55,513 --> 00:21:57,682 MACHINE'S GOING TO DO IS IT WILL 572 00:21:57,682 --> 00:21:58,883 START, YOU FEED IT GRANTS AND 573 00:21:58,883 --> 00:22:00,551 YOU TELL THEM WHICH 1S ARE 574 00:22:00,551 --> 00:22:01,853 BELONGS TO WHICH TOPICS AND IT 575 00:22:01,853 --> 00:22:05,790 WILL START MAKING MORE WORRIEDS 576 00:22:05,790 --> 00:22:07,492 THAT ARE--THAT IT'S FINDING ARE 577 00:22:07,492 --> 00:22:09,694 SPECIFIC TO THOSE TOPICS OR IT'S 578 00:22:09,694 --> 00:22:11,996 GOING TO START DOING THAT SO 579 00:22:11,996 --> 00:22:13,297 IT'S GOING TO DEFINE TOPICS FOR 580 00:22:13,297 --> 00:22:15,933 YOU AND THEN IT'S GOING TO--THEN 581 00:22:15,933 --> 00:22:17,602 YOU'RE--IT'S GOING TO TELL YOU 582 00:22:17,602 --> 00:22:19,037 WHICH GRANTS FALL INTO WHICH 583 00:22:19,037 --> 00:22:20,672 TOPICS AND THEN, YOU HAVE TO 584 00:22:20,672 --> 00:22:22,106 GIVE IT A GOOD DATA SET, THEN 585 00:22:22,106 --> 00:22:24,942 YOU WANT TO TEST IT AGAINST TRUE 586 00:22:24,942 --> 00:22:25,943 POSITIVES AND MAKE SURE IT'S 587 00:22:25,943 --> 00:22:29,180 ACTUALLY DOING WHAT YOU NEED IT 588 00:22:29,180 --> 00:22:29,947 TO BE DOING. 589 00:22:29,947 --> 00:22:31,482 SO WHERE WE'RE AT WITH THIS IS 590 00:22:31,482 --> 00:22:34,986 WE GENERATED A LIST OF WHAT 7300 591 00:22:34,986 --> 00:22:36,054 FEDERALLY FUNDED GRANTS, SO THIS 592 00:22:36,054 --> 00:22:42,527 IS GRANTS FROM NIH, VA, SAMHSA, 593 00:22:42,527 --> 00:22:45,963 CDC, AHRQ AND FDA AND THESE ARE 594 00:22:45,963 --> 00:22:48,032 ITEMS RELATED TO PAIN SO I 595 00:22:48,032 --> 00:22:49,434 IDENTIFIED THEM OFF A BROAD TEXT 596 00:22:49,434 --> 00:22:50,835 SEARCH AND THEY WILL PROBABLY BE 597 00:22:50,835 --> 00:22:52,570 A LOT OF FALSE-POSITIVES FROM IN 598 00:22:52,570 --> 00:22:53,371 THERE. 599 00:22:53,371 --> 00:22:55,707 FROM THIS WE ALREADY CODED 2000 600 00:22:55,707 --> 00:22:57,442 OF THEM AS PAIN OR NOT PAIN. 601 00:22:57,442 --> 00:22:58,910 NOW THE CAVEAT HERE IS THE 1S 602 00:22:58,910 --> 00:23:04,515 WE'VE CODED ARE FROM FY23 OR 603 00:23:04,515 --> 00:23:05,049 LATER AND K-AWARDS. 604 00:23:05,049 --> 00:23:11,255 SO IT'S A BIT OF A NICHE DATA 605 00:23:11,255 --> 00:23:11,522 SET. 606 00:23:11,522 --> 00:23:12,690 APART FROM THIS WORKING WITH 607 00:23:12,690 --> 00:23:13,524 MICHIGAN WE'VE BEEN ABLE TO 608 00:23:13,524 --> 00:23:17,161 FIGURE OUT HOW GIVE THEM ACCESS 609 00:23:17,161 --> 00:23:18,429 TO THE SENSITIVE DATA 610 00:23:18,429 --> 00:23:19,630 SOPHISTICATED MICHIGAN HAS BEEN 611 00:23:19,630 --> 00:23:25,203 IN PARALLEL WORKING ON THE THIS 612 00:23:25,203 --> 00:23:26,337 PROJECT USING PUBLIC DATA. 613 00:23:26,337 --> 00:23:31,809 SO WITH THAT IT'S ONLY NIH 614 00:23:31,809 --> 00:23:32,577 GRANTS, ABSTRACTS, TITLES AND 615 00:23:32,577 --> 00:23:34,779 ELEMENTS BUT NOW WE WILL ABLE TO 616 00:23:34,779 --> 00:23:35,847 GIVE THEM SPECIFIC NAMES FOR THE 617 00:23:35,847 --> 00:23:37,381 GRANT ANDS THEY WILL HELP BUILD 618 00:23:37,381 --> 00:23:38,182 THE MODELS. 619 00:23:38,182 --> 00:23:40,785 THEY ALREADY BUILT A MODEL TO 620 00:23:40,785 --> 00:23:42,720 IDENTIFY WHICH NIH FUNDED GRANTS 621 00:23:42,720 --> 00:23:48,159 ARE PAIN VERSUS NOT PAIN. 622 00:23:48,159 --> 00:23:50,228 THEIR KIND OF ACCURACY SCORE IS 623 00:23:50,228 --> 00:23:52,063 .6 WHICH ISN'T GREAT, IT ISN'T 624 00:23:52,063 --> 00:23:53,397 GREAT BUT THEY SAY IT'S 625 00:23:53,397 --> 00:23:57,034 ACCEPTABLE AND THAT'S GOING TO 626 00:23:57,034 --> 00:23:59,670 IMPROVE A LOT, A LOT OF THE 627 00:23:59,670 --> 00:24:00,605 ABSTRACTS DON'T MENTION PAIN AT 628 00:24:00,605 --> 00:24:01,906 ALL BUT THEN YOU READ THE 629 00:24:01,906 --> 00:24:03,374 SPECIFIC NAME ANDS IT'S VERY 630 00:24:03,374 --> 00:24:04,942 CLEARLY A PAIN GRANT, SO THAT'S 631 00:24:04,942 --> 00:24:06,344 REALLY GOING TO HELP THEM OUT 632 00:24:06,344 --> 00:24:08,746 AND WHAT THEY'RE WORKING ON NOW 633 00:24:08,746 --> 00:24:12,517 IS DEVELOPING A GUIDED LDA MODEL 634 00:24:12,517 --> 00:24:16,554 TO ASSIGN GRANTS TO VARIOUS FPRS 635 00:24:16,554 --> 00:24:18,723 PRIORITIES, SO HERE'S THEIR 636 00:24:18,723 --> 00:24:20,558 ANALYSIS FRAMEWORK, SO THEY 637 00:24:20,558 --> 00:24:22,326 START--THE DATA WE'VE GIIVE THEM 638 00:24:22,326 --> 00:24:24,262 IS STUDY TITLED PUBLIC HEALTH 639 00:24:24,262 --> 00:24:25,096 RELEVANCE AND ABSTRACTS AND WE 640 00:24:25,096 --> 00:24:28,432 GAVE THEM A TRAINING DATA SET OF 641 00:24:28,432 --> 00:24:30,968 PAIN VERSUS NOT PAIN GRANTS AND 642 00:24:30,968 --> 00:24:33,271 THEN WHAT THEY DID IS LABEL 643 00:24:33,271 --> 00:24:36,541 THOSE GRANTS BASED ON THEIR BEST 644 00:24:36,541 --> 00:24:38,042 KNOWLEDGE AS TO WHICH BATCH 645 00:24:38,042 --> 00:24:39,777 SHOULD BE IN WHICH PRIORITY AND 646 00:24:39,777 --> 00:24:41,646 THEN THEY USE THAT TO BUILD 647 00:24:41,646 --> 00:24:43,614 THEIR MODEL AND WHEN THEY 648 00:24:43,614 --> 00:24:45,016 WERE--WHEN THEY BUILT THEIR 649 00:24:45,016 --> 00:24:47,084 MODEL THEY GIVE IT SEED WORDS SO 650 00:24:47,084 --> 00:24:48,719 FOR EACH TOPIC THEY TOLD WHICH 651 00:24:48,719 --> 00:24:50,721 1S THEY THINK SHOULD MAKE UP 652 00:24:50,721 --> 00:24:54,659 EACH TOPIC AND THEN THE MACHINE 653 00:24:54,659 --> 00:24:56,093 MIGHT FIGURE OUT OTHER WORDS AND 654 00:24:56,093 --> 00:24:57,728 NOW THEY HAVE A TEST SET SO 655 00:24:57,728 --> 00:24:59,030 THAT'S ALL THE REST OF THE 656 00:24:59,030 --> 00:25:01,799 GRANTS THAT THEY'RE USING TO 657 00:25:01,799 --> 00:25:04,035 REFINE THEIR MODEL, NUMBER 2, 658 00:25:04,035 --> 00:25:05,102 IT'S KIND OF--I DON'T KNOW IF 659 00:25:05,102 --> 00:25:06,704 PEOPLE ARE INTERESTED IN THIS, 660 00:25:06,704 --> 00:25:08,406 THEY MIGHT FIND IT FUNNY BUT 661 00:25:08,406 --> 00:25:11,542 ESSENTIALLY WHAT THEY DO IS WHEN 662 00:25:11,542 --> 00:25:13,311 YOU GIVE THEM A GRANT, THEY 663 00:25:13,311 --> 00:25:16,547 REMOVE ALL THE FLUR, 664 00:25:16,547 --> 00:25:17,682 PUNCTUATION, SYMBOLS, AND 1 665 00:25:17,682 --> 00:25:19,250 THING THEY HAVE TO REMOVE IS 666 00:25:19,250 --> 00:25:21,619 PAIN BECAUSE THAT'S A WORD TOO 667 00:25:21,619 --> 00:25:22,920 COMMON ACROSS ALL THE GRANTS, I 668 00:25:22,920 --> 00:25:24,755 THOUGHT THAT WAS KIND OF NEAT SO 669 00:25:24,755 --> 00:25:26,858 I KEPT IT IN THERE, SO THEY MADE 670 00:25:26,858 --> 00:25:29,026 SEED WORDS AND THEN THEY BUILT 671 00:25:29,026 --> 00:25:31,128 THEIR MODEL USING SEEDED LDA AND 672 00:25:31,128 --> 00:25:32,663 THE MODEL TOLD THEM FIRST OFF 673 00:25:32,663 --> 00:25:35,433 WHAT WORDS ARE MAKING UP EACH 674 00:25:35,433 --> 00:25:36,767 TOPICKIC AND WHICH GRANTS ARE 675 00:25:36,767 --> 00:25:37,702 FALLING INTO EACH TOPIC AND NOW 676 00:25:37,702 --> 00:25:40,438 WE NEED TO DO SOME EVALUATION. 677 00:25:40,438 --> 00:25:43,708 SO WE'RE GOING TO LOOK AT THE 678 00:25:43,708 --> 00:25:45,443 PROBABILITIES OF TOPIC 679 00:25:45,443 --> 00:25:46,944 ASSIGNMENTS AND COMPARE THEM TO 680 00:25:46,944 --> 00:25:48,779 THE TRUE TOPIC ASSIGNMENTS FOR 681 00:25:48,779 --> 00:25:52,183 THE GRANTS. 682 00:25:52,183 --> 00:25:53,517 SO, I THINK I DON'T KNOW HOW 683 00:25:53,517 --> 00:25:54,552 MANY TIMES YOU HAVE TO DO THIS 684 00:25:54,552 --> 00:25:56,320 BUT I THINK WE'RE PRETTY CLOSE 685 00:25:56,320 --> 00:25:56,888 TO BEING DONE. 686 00:25:56,888 --> 00:25:58,756 SO I'M HOPING IN THE NEXT 6 687 00:25:58,756 --> 00:26:01,192 MONTHS OR SO I CAN PRESENT SOME 688 00:26:01,192 --> 00:26:02,827 MORE RESULTS BUT AS OF NOW, HERE 689 00:26:02,827 --> 00:26:04,996 ARE THE DIFFERENT TOPICS THAT 690 00:26:04,996 --> 00:26:08,833 MICHIGAN HAS PUT TOGETHER, SO IN 691 00:26:08,833 --> 00:26:11,269 BOLD IS THE FPRS PRIORITY TITLE 692 00:26:11,269 --> 00:26:12,136 AND THEN EVERYTHING HIGHLIGHTED 693 00:26:12,136 --> 00:26:13,571 IN RED IS A SEED WORD FOR THAT 694 00:26:13,571 --> 00:26:15,239 TOPIC AND THEN THE OTHER WORDS 695 00:26:15,239 --> 00:26:17,675 IN THE BUBBLE ARE THE WORDS THAT 696 00:26:17,675 --> 00:26:19,977 THE MODEL HAS COME UP WITH AND 697 00:26:19,977 --> 00:26:22,079 WHEN WE GIVE IT--WHEN WE GIVE 698 00:26:22,079 --> 00:26:25,583 THIS MODEL SOME BETTER TRUE 699 00:26:25,583 --> 00:26:27,318 POSITIVE DATA IT'S GOING TO BE 700 00:26:27,318 --> 00:26:28,719 ABLE TO--IT WILL FINE TUNE SOME 701 00:26:28,719 --> 00:26:33,724 OF THESE WORDS AND HOPEFULLY 702 00:26:33,724 --> 00:26:34,625 [INDISCERNIBLE] AFTER THAT. 703 00:26:34,625 --> 00:26:36,961 SO THAT'S THE NEXT STEPS JUST 704 00:26:36,961 --> 00:26:39,163 FINE TUNING THE LDA AND HOW IT'S 705 00:26:39,163 --> 00:26:40,131 DOING VERSUS TRUE POSITIVE ANDS 706 00:26:40,131 --> 00:26:42,099 THIS IS THE PART WHERE NIH WILL 707 00:26:42,099 --> 00:26:43,601 GET INVOLVED AND I WILL REACH 708 00:26:43,601 --> 00:26:47,939 OUT TO SOME FOLKS HERE TO HELP 709 00:26:47,939 --> 00:26:49,674 CODE SOME OF THESE GRANTS BASED 710 00:26:49,674 --> 00:26:51,175 ON WHICH TOPIC AREA WE THINK 711 00:26:51,175 --> 00:26:51,776 THEY'RE IN. 712 00:26:51,776 --> 00:26:53,210 AND I'M HAPPY TO ANSWER ANY 713 00:26:53,210 --> 00:26:55,313 QUESTIONS ON THIS, AND HERE'S MY 714 00:26:55,313 --> 00:26:59,817 CONTACT INFO IF YOU HAVE 715 00:26:59,817 --> 00:27:01,686 ANYTHING YOU WANT TO TALK ABOUT 716 00:27:01,686 --> 00:27:02,053 OFFLINE. 717 00:27:02,053 --> 00:27:03,955 >> THANK YOU SO MUCH ANTHONY FOR 718 00:27:03,955 --> 00:27:05,790 THIS REALLY VERY COOL 719 00:27:05,790 --> 00:27:06,123 PRESENTATION. 720 00:27:06,123 --> 00:27:07,191 REALLY APPRECIATE THIS AND THE 721 00:27:07,191 --> 00:27:09,827 WORK YOU'VE DONE ON THIS, A LOT 722 00:27:09,827 --> 00:27:13,230 OF PROGRESS SINCE THE LAST TIME 723 00:27:13,230 --> 00:27:13,764 YOU PRESENTED. 724 00:27:13,764 --> 00:27:16,867 BETH HAS A QUESTION. 725 00:27:16,867 --> 00:27:19,904 >> YEAH, THANKS SO MUCH ANTHONY. 726 00:27:19,904 --> 00:27:21,105 LOOKS LIKE SOME--A LOT OF 727 00:27:21,105 --> 00:27:22,840 AMAZING WORK HAS HAPPENED IN THE 728 00:27:22,840 --> 00:27:28,446 LAST 6 MONTHS OR SO. 729 00:27:28,446 --> 00:27:30,915 I WAS CURIOUS ABOUT THE KEY WORD 730 00:27:30,915 --> 00:27:31,549 SEPARATION. 731 00:27:31,549 --> 00:27:38,923 I NOTICED THE 2 MAIN KEY WORDS 732 00:27:38,923 --> 00:27:40,458 ARE OPIOID AND PAIN AND 1 OF THE 733 00:27:40,458 --> 00:27:41,759 ISSUES WE WERE TALKING ABOUT IN 734 00:27:41,759 --> 00:27:44,395 THE LAST MEETING WAS THAT 735 00:27:44,395 --> 00:27:48,265 THERE--WITH HEAL, THE HEAL 736 00:27:48,265 --> 00:27:50,001 INITIATIVE, THEIR ACCURATE OR 737 00:27:50,001 --> 00:27:51,302 INACCURATE BUT THERE'S A 738 00:27:51,302 --> 00:27:53,237 PERCEPTION THAT THERE IS AN 739 00:27:53,237 --> 00:27:58,075 EMPHASIS ON OPIOID AND ADDICTION 740 00:27:58,075 --> 00:27:59,510 VERSUS PAIN AND I'M CURIOUS HOW 741 00:27:59,510 --> 00:28:03,214 THIS IS GOING TO BE DELICATELY 742 00:28:03,214 --> 00:28:05,950 PARSED OUT BECAUSE I COULD SEE A 743 00:28:05,950 --> 00:28:06,984 LOT OF APPLICATIONS, YOU KNOW 744 00:28:06,984 --> 00:28:11,322 THAT WE PUT IN, MIGHT MENTION 745 00:28:11,322 --> 00:28:12,957 OPIOIDS ARE PAIN, BUT THEY'RE 746 00:28:12,957 --> 00:28:14,558 NOT NECESSARILY FOCUSED ON THAT. 747 00:28:14,558 --> 00:28:17,395 IT'S JUST A MENTION. 748 00:28:17,395 --> 00:28:20,931 SO HOW CAN WE ASSURE THAT 749 00:28:20,931 --> 00:28:21,932 THERE'S REAL CHARACTERIZATION 750 00:28:21,932 --> 00:28:23,367 THAT'S ACCURATE AND MAYBE THIS 751 00:28:23,367 --> 00:28:27,004 IS WHERE THAT MANUAL PIECE COMES 752 00:28:27,004 --> 00:28:30,274 IN, BUT 1 OF THE MAIN GOALS, I 753 00:28:30,274 --> 00:28:31,108 WAS--YOU KNOW SELFISHLY WAS 754 00:28:31,108 --> 00:28:34,745 HOPING TO SEE COME OUT OF THIS 755 00:28:34,745 --> 00:28:36,380 WAS REAL PRECISION DATA AND HOW 756 00:28:36,380 --> 00:28:37,715 WE'RE DOING THE CAT 757 00:28:37,715 --> 00:28:38,282 IMORRIZATIONS BECAUSE THERE 758 00:28:38,282 --> 00:28:40,284 SEEMS TO BE A PERSISTENT 759 00:28:40,284 --> 00:28:42,853 CONFLUENCE OF THESE TERMS AND 760 00:28:42,853 --> 00:28:43,087 TOPICS. 761 00:28:43,087 --> 00:28:45,423 THANK YOU. 762 00:28:45,423 --> 00:28:45,756 >> YEAH. 763 00:28:45,756 --> 00:28:48,259 AND THAT'S A CHALLENGE AND WHAT 764 00:28:48,259 --> 00:28:49,927 I'M HOPING WILL HELP WITH THE 765 00:28:49,927 --> 00:28:52,863 CHALLENGE IS THE TRAINING DATA 766 00:28:52,863 --> 00:28:55,032 SET THAT WE HAVE GIVEN MICHIGAN 767 00:28:55,032 --> 00:28:58,169 AS TO WHAT'S PAIN VERSUS WHAT'S 768 00:28:58,169 --> 00:28:58,769 A NONPAIN GRANT. 769 00:28:58,769 --> 00:29:00,271 LIKE THAT TOPIC THAT YOU JUST 770 00:29:00,271 --> 00:29:04,442 DISCUSSED IS LIKE THE MAIN 1 771 00:29:04,442 --> 00:29:07,111 THAT WE HAVE TO PARSE OUT AND A 772 00:29:07,111 --> 00:29:08,045 LOT OF TIMES THESE GRANTS ARE 773 00:29:08,045 --> 00:29:11,282 WHEN YOU READ THEM, THEY SAY 774 00:29:11,282 --> 00:29:12,583 THEY'RE--HAY SAY THEY'RE PAIN 775 00:29:12,583 --> 00:29:13,951 MANAGEMENT TECHNIQUES OR 776 00:29:13,951 --> 00:29:15,486 TEACHING PAIN MANAGEMENT 777 00:29:15,486 --> 00:29:16,554 TECHNIQUES BUT ESSENTIALLY WHAT 778 00:29:16,554 --> 00:29:19,123 THEY'RE ACTUALLY DOING IS, LIKE 779 00:29:19,123 --> 00:29:20,524 OPIOID USE DISORDER RESEARCH, SO 780 00:29:20,524 --> 00:29:24,929 ON THE FRONT END WITH THOSE 2000 781 00:29:24,929 --> 00:29:26,697 GRANTS WE'VE ALREADY CODED, 782 00:29:26,697 --> 00:29:29,300 THOSE 1S WE HAVE ELIMINATED. 783 00:29:29,300 --> 00:29:31,235 WE THINK WE ELIMINATED ALL OF 784 00:29:31,235 --> 00:29:32,937 THOSE 1S THAT ARE MORE ON THE O. 785 00:29:32,937 --> 00:29:35,072 U. D. SIDE AND WE HAVE A REALLY 786 00:29:35,072 --> 00:29:36,373 STRICT DEFINITION OF PAIN, SO 787 00:29:36,373 --> 00:29:37,875 YOU ACTUALLY HAVE TO BE EITHER 788 00:29:37,875 --> 00:29:41,045 TREATING PAIN OR LOOKING AT THE 789 00:29:41,045 --> 00:29:43,481 EFFECTS OF PAIN OR THE GRANT HAS 790 00:29:43,481 --> 00:29:44,815 TO BE REALLY, REALLY INTO PAIN 791 00:29:44,815 --> 00:29:47,151 AND WE'RE SENSITIVE TO NOT HAVE 792 00:29:47,151 --> 00:29:49,820 IT TOO MUCH--NOT HAVE THESE 793 00:29:49,820 --> 00:29:53,691 GRANTS BE O. U. D. GRANTS AND BE 794 00:29:53,691 --> 00:29:54,291 TRUE PAIN GRANTS. 795 00:29:54,291 --> 00:29:57,027 >> I WILL GET TO YOU IN JUST 796 00:29:57,027 --> 00:29:58,462 1-SECOND, BUT 1 IMPORTANT--FIELD 797 00:29:58,462 --> 00:29:59,730 FUNCTIONS UNDERSTAND CORRECTLY 798 00:29:59,730 --> 00:30:02,600 WE'RE NOT--THIS IS NOT 799 00:30:02,600 --> 00:30:04,101 EXCLUSIVELY PAIN GRANTS THAT 800 00:30:04,101 --> 00:30:06,203 HAVE A COMPONENT OF OPIOID USE 801 00:30:06,203 --> 00:30:09,006 DISORDER TREATMENT BECAUSE YOU 802 00:30:09,006 --> 00:30:10,841 KNOW PEOPLE WHO HAVE O. U. D., 803 00:30:10,841 --> 00:30:12,042 THEY CAN HAVE PAIN AND THEN WE 804 00:30:12,042 --> 00:30:16,814 HAVE TO FIGURE OUT HOW TO MANAGE 805 00:30:16,814 --> 00:30:17,014 THAT. 806 00:30:17,014 --> 00:30:19,250 SO, WHAT YOU'RE DOING IN 807 00:30:19,250 --> 00:30:20,751 EXCLUDING THE OPIOID USE 808 00:30:20,751 --> 00:30:23,821 DISORDER GRANT AS LONG AS 809 00:30:23,821 --> 00:30:26,557 THERE'S A PAIN CONCOMPONENT, IN 810 00:30:26,557 --> 00:30:27,224 IT, CORRECT? 811 00:30:27,224 --> 00:30:29,527 NYES, SO A LOT OF GRAPTS WILL 812 00:30:29,527 --> 00:30:32,463 SAY THEY'RE TREATING PAIN AND 813 00:30:32,463 --> 00:30:34,331 THEIR METRIC IS INTRODUCTION 814 00:30:34,331 --> 00:30:35,733 INTO OPIOIDS, THAT GRANT 815 00:30:35,733 --> 00:30:36,800 WOULDN'T BE INCLUDED IN THIS 816 00:30:36,800 --> 00:30:38,969 DATA SET AS A PAIN GRANT. 817 00:30:38,969 --> 00:30:39,870 IF THEY SAY THEY'RE TREATING 818 00:30:39,870 --> 00:30:41,605 PAIN AND THEY WILL RELOOK AT 819 00:30:41,605 --> 00:30:42,339 REDUCTION OF OPIOIDS AND THEY 820 00:30:42,339 --> 00:30:44,208 WILL ALSO LOOK AT WHAT PEOPLE'S 821 00:30:44,208 --> 00:30:49,180 PAIN LEVELS ARE, THEN YOU GET IN 822 00:30:49,180 --> 00:30:51,248 EMPLOY THAT'S LIKE A VERY, VERY 823 00:30:51,248 --> 00:30:52,616 EASY CASE BUT ESSENTIALLY, YOU 824 00:30:52,616 --> 00:30:54,552 HAVE TO BE TREATING PAIN OR 825 00:30:54,552 --> 00:30:56,187 LOOKING AT HOW THE--WHAT IS THE 826 00:30:56,187 --> 00:30:58,189 COMPONENT OF THE PAIN THAT'S 827 00:30:58,189 --> 00:30:59,223 AFFECTING OTHER THINGS. 828 00:30:59,223 --> 00:31:02,126 >> YEAH, YEAH, THANK YOU. 829 00:31:02,126 --> 00:31:02,326 RENE? 830 00:31:02,326 --> 00:31:03,661 >> SO ANTHONY I WANT TO 831 00:31:03,661 --> 00:31:04,695 COMPLEMENT YOU BECAUSE I KNOW 832 00:31:04,695 --> 00:31:05,996 IT'S REALLY HARD TO PRESENT THIS 833 00:31:05,996 --> 00:31:09,533 WHEN YOU ARE NOT A MACHINE 834 00:31:09,533 --> 00:31:12,036 LEARNING SCIENTIST AND I AM NOT 835 00:31:12,036 --> 00:31:12,636 A MACHINE LEARNING SCIENTIST 836 00:31:12,636 --> 00:31:14,405 ALTHOUGH I KNOW THERE'S A PRESS 837 00:31:14,405 --> 00:31:16,473 RELEASE THAT SUGGIESTED I WAS. 838 00:31:16,473 --> 00:31:17,975 MY EXPERTISE IS IN PAIN AND I 839 00:31:17,975 --> 00:31:23,314 GET TO WORK WITH 2 DIFFERENT 840 00:31:23,314 --> 00:31:24,348 ENGINEERING GROUPS AND I LEARNED 841 00:31:24,348 --> 00:31:26,450 FROM THEM THEY ALL HAVE 842 00:31:26,450 --> 00:31:27,151 THERE--JUST LIKE I HAVE MY 843 00:31:27,151 --> 00:31:29,720 FAVORITE WAY OF MANAGING PAIN, 844 00:31:29,720 --> 00:31:32,356 THEY HAVE THEIR FAVORITE MODELS. 845 00:31:32,356 --> 00:31:38,896 DID MICHIGAN TEST OTHER MODELS? 846 00:31:38,896 --> 00:31:40,831 OR IS THIS REALLY WHAT THEY'RE 847 00:31:40,831 --> 00:31:42,266 EXPERT ON AND IF THEY'VE ONLY 848 00:31:42,266 --> 00:31:44,235 LOOKED AT THIS MODEL, IS THERE 849 00:31:44,235 --> 00:31:47,705 THE OPPORTUNITY FOR A 850 00:31:47,705 --> 00:31:52,042 COMPETITIVE GRANT FOR OTHER 851 00:31:52,042 --> 00:31:53,344 MACHINE LEARNING GROUPS TO SEE 852 00:31:53,344 --> 00:31:55,546 IF THEY CAN PERFORM BETTER. 853 00:31:55,546 --> 00:31:56,847 NYEAH, SO ACTUALLY 1 OF THE COOL 854 00:31:56,847 --> 00:31:57,915 THINGS THAT MICHIGAN DID WAS 855 00:31:57,915 --> 00:32:04,555 THEY STARTED THIS PROJECT SO THE 856 00:32:04,555 --> 00:32:06,757 PI TEACHES A CLASS ON HOW TO DO 857 00:32:06,757 --> 00:32:06,991 THIS. 858 00:32:06,991 --> 00:32:09,193 THEIR BREAD AND BUTTER IS TEXT 859 00:32:09,193 --> 00:32:10,728 MINING AND FINDING GAPS IF 860 00:32:10,728 --> 00:32:12,396 FIELDS BASED OFF OF TEXT MINING, 861 00:32:12,396 --> 00:32:13,697 SO YEAH, HE HAS A COURSE. 862 00:32:13,697 --> 00:32:17,868 SO 1 OF THE PROJECTS WAS FOR HIS 863 00:32:17,868 --> 00:32:19,770 STUDENTS WAS THERE, SO SEVERAL 864 00:32:19,770 --> 00:32:20,838 TEAMS WERE WORKING ON FIGURING 865 00:32:20,838 --> 00:32:23,173 OUT HOW TO DO THIS WITH THE 866 00:32:23,173 --> 00:32:25,009 PUBLIC DATA AND THEY TESTED--I 867 00:32:25,009 --> 00:32:26,343 DON'T KNOW HOW MANY DIFFERENT 868 00:32:26,343 --> 00:32:28,679 MODELS THEY TESTED BUT THEY 869 00:32:28,679 --> 00:32:30,147 TESTED SEVERAL AND THE 1 WE'RE 870 00:32:30,147 --> 00:32:31,582 MOVING FORWARD WITH IS THE 1 871 00:32:31,582 --> 00:32:34,785 THAT HAS PERFORMED BEST. 872 00:32:34,785 --> 00:32:36,587 >> AND THAT MUST BE THE MODEL 873 00:32:36,587 --> 00:32:38,155 FOR HOW THEY DO IT BECAUSE 874 00:32:38,155 --> 00:32:40,357 THAT'S HOW I GOT INVOLVED WITH 875 00:32:40,357 --> 00:32:41,659 BOTH ENGINEERING GROUPS BECAUSE 876 00:32:41,659 --> 00:32:42,960 I SUBMITTED HEY, CAN YOU HAVE 877 00:32:42,960 --> 00:32:44,928 YOUR STUDENTS WORK ON THIS WHICH 878 00:32:44,928 --> 00:32:46,330 GETS THINGS DONE VERY RAPIDLY 879 00:32:46,330 --> 00:32:48,198 BECAUSE YOU HAVE SO BRIGHT MINE 880 00:32:48,198 --> 00:32:49,767 MINDS WHO ARE EAGER TO MAKE A 881 00:32:49,767 --> 00:32:50,701 DIFFERENCE AND WHAT I FOUND IS 882 00:32:50,701 --> 00:32:53,804 WHEN I SAY IT'S ABOUT PEOPLE AND 883 00:32:53,804 --> 00:32:56,073 PAIN, THEY REALLY WANT TO HELP. 884 00:32:56,073 --> 00:32:58,609 SO THANK YOU FOR YOUR WORK. 885 00:32:58,609 --> 00:32:59,543 NYEAH, GREAT. 886 00:32:59,543 --> 00:33:00,411 IT'S A FULL MODEL. 887 00:33:00,411 --> 00:33:01,345 I NEVER HEARD OF THAT. 888 00:33:01,345 --> 00:33:04,248 I THOUGHT IT WAS UNIQUE, BUT I 889 00:33:04,248 --> 00:33:06,216 MEAN I GUESS THAT'S THE STANDARD 890 00:33:06,216 --> 00:33:08,419 PRACTICE IN THAT PEELED WHICH IS 891 00:33:08,419 --> 00:33:09,753 SUPER COOL NPUT ALL THOSE YOUNG 892 00:33:09,753 --> 00:33:10,120 BRAINS TO WORK. 893 00:33:10,120 --> 00:33:13,724 THIS IS THE FUTURE AND YOU KNOW 894 00:33:13,724 --> 00:33:15,759 WE TALK ABOUT WOULD ABOUTING THE 895 00:33:15,759 --> 00:33:17,828 WORKFORCE, RIGHT? 896 00:33:17,828 --> 00:33:19,129 BY INVOLVING STUDENTS, AND I 897 00:33:19,129 --> 00:33:21,332 THINK THIS IS GREAT WAY TO GET 898 00:33:21,332 --> 00:33:24,301 PEOPLE ABOUTED IN PAIN RESEARCH 899 00:33:24,301 --> 00:33:25,836 THROUGH SOME OF THESE 900 00:33:25,836 --> 00:33:26,570 INITIATIVES. 901 00:33:26,570 --> 00:33:27,071 SO IT'S REALLY-- 902 00:33:27,071 --> 00:33:29,540 >> THE DEDICATED TO LINE IS THE 903 00:33:29,540 --> 00:33:30,841 NEXT SEMESTER BECAUSE YOU GET A 904 00:33:30,841 --> 00:33:31,775 RAPID RESPONSE BECAUSE THEY HAVE 905 00:33:31,775 --> 00:33:34,745 TO GET ON TO THE NEXT CLASS. 906 00:33:34,745 --> 00:33:35,612 >> EXACTLY. 907 00:33:35,612 --> 00:33:35,879 EXACTLY. 908 00:33:35,879 --> 00:33:39,283 ANY OTHER COMMENTS ON THIS WORK 909 00:33:39,283 --> 00:33:39,516 SOME. 910 00:33:39,516 --> 00:33:41,685 >> THERE'S 1 IN THE CHAT. 911 00:33:41,685 --> 00:33:52,229 YES IT DOES INCLUDE R13 GRANTS. 912 00:33:52,696 --> 00:33:53,931 AND THEN BETH SAYS I DON'T KNOW 913 00:33:53,931 --> 00:33:57,368 IF IT'S USEFUL BUT IT COULD BE 914 00:33:57,368 --> 00:33:59,203 USEFUL TO CATEGORIZE PAIN IN 915 00:33:59,203 --> 00:33:59,737 OTHER CATEGORIES. 916 00:33:59,737 --> 00:34:01,004 >> THAT COULD BE HELPFUL AND 917 00:34:01,004 --> 00:34:02,806 THAT COULD BE PICKED UP WITH THE 918 00:34:02,806 --> 00:34:04,842 TOPICS BUT THAT'S SOMETHING MORE 919 00:34:04,842 --> 00:34:07,244 THAN WE DO LIKE AN INTERNAL 920 00:34:07,244 --> 00:34:08,045 PORTFOLIO ANALYSIS, I DON'T KNOW 921 00:34:08,045 --> 00:34:14,485 IF WE CAN GET THAT 1 DONE AND 922 00:34:14,485 --> 00:34:19,823 THIS 1. 923 00:34:19,823 --> 00:34:21,091 >> YEAH, ANY OTHER COMMENTS? 924 00:34:21,091 --> 00:34:22,493 I THINK WE'RE JUST ABOUT ON TIME 925 00:34:22,493 --> 00:34:24,695 TO MOVE ON BUT FIRST I WANT TO 926 00:34:24,695 --> 00:34:28,365 THANK ANTHONY FOR THIS 927 00:34:28,365 --> 00:34:29,633 PRESENTATION AND REALLY MOVING 928 00:34:29,633 --> 00:34:31,635 THIS ALONG WHICH IS SUCH AN 929 00:34:31,635 --> 00:34:34,671 IMPORTANT PIECE. 930 00:34:34,671 --> 00:34:36,373 GOING BACK TO THE PRIORITY 931 00:34:36,373 --> 00:34:37,875 TOPICS OF THE FEDERAL PAIN 932 00:34:37,875 --> 00:34:39,877 RESEARCH STRATEGY, I REMEMBER WE 933 00:34:39,877 --> 00:34:42,780 HAD DISCUSSIONS AT PRIOR 934 00:34:42,780 --> 00:34:43,614 IPRCC MEETINGS AND HOW 935 00:34:43,614 --> 00:34:46,884 CHALLENGING IT WOULD BE TO 936 00:34:46,884 --> 00:34:47,851 REALLY MAKE SURE THAT ALL THE 937 00:34:47,851 --> 00:34:50,287 RESEARCH THAT WE'RE DOING WITHIN 938 00:34:50,287 --> 00:34:51,188 THE HEAL INITIATIVE, DOESN'T 939 00:34:51,188 --> 00:34:54,091 SORT OF TAKE OFF IN ITS OWN 940 00:34:54,091 --> 00:34:55,826 DIRECTION AND THAT'S 1 OF THE 941 00:34:55,826 --> 00:34:57,828 THINGS THAT--WITHOUT SORT OF 942 00:34:57,828 --> 00:34:59,062 INCORPORATING AND INTEGRATING 943 00:34:59,062 --> 00:35:01,465 WITH THE OTHER PAIN RESEARCH 944 00:35:01,465 --> 00:35:03,167 THAT'S HAPPENING OUTSIDE OF 945 00:35:03,167 --> 00:35:05,169 HEAL, AND AS EXCITED AS WE ARE 946 00:35:05,169 --> 00:35:08,238 ABOUT HEAL, WE ALSO RECOGNIZE A 947 00:35:08,238 --> 00:35:09,540 LOT OF OTHER RESEARCH ON PAIN 948 00:35:09,540 --> 00:35:10,174 HAPPENING. 949 00:35:10,174 --> 00:35:12,843 THIS IS WHAT THIS EXACT ANALYSIS 950 00:35:12,843 --> 00:35:15,612 IS GOING TO SHOW US. 951 00:35:15,612 --> 00:35:17,147 SO VERY, VERY IMPORTANT WORK. 952 00:35:17,147 --> 00:35:21,485 SO THANK YOU. 953 00:35:21,485 --> 00:35:23,086 >> THANKS. 954 00:35:23,086 --> 00:35:23,520 THANK YOU EVERYONE. 955 00:35:23,520 --> 00:35:24,822 >> ALL RIGHT SO WE WILL NOW MOVE 956 00:35:24,822 --> 00:35:27,257 ON TO THE NEXT SECTION HERE OF 957 00:35:27,257 --> 00:35:28,859 DISCUSSION OF TALKING ABOUT, 958 00:35:28,859 --> 00:35:33,630 SPEAKING ABOUT HEAL OF THE HEAL 959 00:35:33,630 --> 00:35:36,400 STRATEGIC PLAN AND AGAIN 960 00:35:36,400 --> 00:35:38,802 PORTFOLIO ANALYSIS. 961 00:35:38,802 --> 00:35:39,002 LINDA? 962 00:35:39,002 --> 00:35:39,269 >> OKAY. 963 00:35:39,269 --> 00:35:41,405 THANK YOU VERY MUCH. 964 00:35:41,405 --> 00:35:47,811 I'M GOING TO SHARE MY SCREEN, I 965 00:35:47,811 --> 00:35:49,213 HOPE QUICKLY AND IF YOU WILL LET 966 00:35:49,213 --> 00:35:57,187 ME KNOW IF YOU SEE THE FIRST 967 00:35:57,187 --> 00:35:58,889 SLIDE. 968 00:35:58,889 --> 00:35:59,056 NO? 969 00:35:59,056 --> 00:36:01,592 NOT YET? 970 00:36:01,592 --> 00:36:02,259 I SEE IT. 971 00:36:02,259 --> 00:36:04,027 >> DOES ANYBODY ELSE SEE IT 972 00:36:04,027 --> 00:36:06,930 BECAUSE I DON'T. 973 00:36:06,930 --> 00:36:07,164 NO. 974 00:36:07,164 --> 00:36:08,899 >> THEN I WILL STOP HERE BECAUSE 975 00:36:08,899 --> 00:36:11,101 I WILL GO TO SHARE MODE. 976 00:36:11,101 --> 00:36:19,009 LET ME TRY 1 MORE TIME. 977 00:36:19,009 --> 00:36:21,278 >> YEAH, PERFECT. 978 00:36:21,278 --> 00:36:22,880 >> GREAT. 979 00:36:22,880 --> 00:36:24,781 SO AS HELENE SAID, WE HAVE THE 980 00:36:24,781 --> 00:36:26,750 HEAL INITIATIVE WHICH IS HELPING 981 00:36:26,750 --> 00:36:30,621 TO END ADDICTION LONG-TERM FOR I 982 00:36:30,621 --> 00:36:33,123 THINK PROBABLY EVERYONE ON THIS 983 00:36:33,123 --> 00:36:34,892 COMMITTEE IS MORE THAN FAMILIAR 984 00:36:34,892 --> 00:36:36,159 WITH HEAL BUT WHAT I'M GOING TO 985 00:36:36,159 --> 00:36:37,594 DO THIS MORNING IS GO BACK A 986 00:36:37,594 --> 00:36:40,797 LITTLE BIT TO THE EARLY DAYS OF 987 00:36:40,797 --> 00:36:45,736 HOW THE FIRST 5 YEARS OF HEAL 988 00:36:45,736 --> 00:36:47,838 SORT OF THE HIGH LEVEL OF AREAS 989 00:36:47,838 --> 00:36:49,840 OF WHERE HEAL WAS FOCUSED HOW 990 00:36:49,840 --> 00:36:51,208 THEY WERE DEVELOPED AND HOW WE 991 00:36:51,208 --> 00:36:53,710 PLAN TO MOVE FORWARD INTO THE 992 00:36:53,710 --> 00:36:56,914 NEXT 5 YEARS OR SO OF HEAL WITH 993 00:36:56,914 --> 00:36:58,982 A MORE FORM AT STRATEGIC 994 00:36:58,982 --> 00:37:01,285 PLANNING PROCESS AT THIS POINT. 995 00:37:01,285 --> 00:37:02,352 IT'S A NICE TRANSITION POINT. 996 00:37:02,352 --> 00:37:03,787 A LOT OF THE WORK THAT ANTHONY 997 00:37:03,787 --> 00:37:06,123 HAS DONE WITH THE FPRS IS GOING 998 00:37:06,123 --> 00:37:10,460 TO BE SUPER HELPFUL IN DRIVING 999 00:37:10,460 --> 00:37:12,095 WHAT THE FINAL RECOMMENDATIONS 1000 00:37:12,095 --> 00:37:14,031 FROM THE STRATEGIC PLANNING 1001 00:37:14,031 --> 00:37:17,100 PROCESS MIGHT BE AND HE IS ALSO 1002 00:37:17,100 --> 00:37:19,336 WORKING REALLY HARD ON DIFFERENT 1003 00:37:19,336 --> 00:37:21,438 TYPES OF PORTFOLIO ANALYSIS, 1004 00:37:21,438 --> 00:37:23,607 FOCUSED ON THE HEAL PORTFOLIO, 1005 00:37:23,607 --> 00:37:27,044 IN ORDER TO HELP MOVE THE 1006 00:37:27,044 --> 00:37:28,879 PLANNING PROCESS ALONG AS WELL. 1007 00:37:28,879 --> 00:37:34,184 SO MY THANK YOUS LET ME ADD TO 1008 00:37:34,184 --> 00:37:35,852 HELENE'S, LET ME THANK ANTHONY 1009 00:37:35,852 --> 00:37:37,721 HE'S WORKED REALLY HARD ON THIS 1010 00:37:37,721 --> 00:37:37,988 ANALYSIS. 1011 00:37:37,988 --> 00:37:39,389 DAVE WILLIAMS WHO USED TO BE ON 1012 00:37:39,389 --> 00:37:40,490 THE COMMITTEE AND RETIRE FRIDAY 1013 00:37:40,490 --> 00:37:41,892 THIS COMMITTEE ABOUT A YEAR AGO 1014 00:37:41,892 --> 00:37:44,528 HAS BEEN REALLY HELPFUL IN 1015 00:37:44,528 --> 00:37:46,263 CONNECTING US WITH UNIVERSITY OF 1016 00:37:46,263 --> 00:37:47,364 MICHIGAN AND THEY'RE REALLY 1017 00:37:47,364 --> 00:37:49,266 VALUABLE TEAM AS WELL. 1018 00:37:49,266 --> 00:37:54,071 SO LET ME START WITH A LITTLE 1019 00:37:54,071 --> 00:37:55,172 BIT OF BACKGROUND. 1020 00:37:55,172 --> 00:37:59,309 SO THE HEAL INITIATIVE WAS 1021 00:37:59,309 --> 00:38:01,612 LAUNCHED IN 2018 AND BEFORE THAT 1022 00:38:01,612 --> 00:38:04,514 WE HAD A LITTLE BIT OF TIME TO 1023 00:38:04,514 --> 00:38:07,517 THINK ABOUT WHERE, YOU KNOW, IF 1024 00:38:07,517 --> 00:38:10,220 WE--THIS WAS WISHFUL THINKING AT 1025 00:38:10,220 --> 00:38:13,123 THE TIME, HAD MONEY TO FULFILL 1026 00:38:13,123 --> 00:38:15,492 THE RECOMMENDATIONS OF THE 1027 00:38:15,492 --> 00:38:17,127 FEDERAL PAIN RESEARCH STRATEGY, 1028 00:38:17,127 --> 00:38:19,997 HOW WE WOULD BEST GO AHEAD TO 1029 00:38:19,997 --> 00:38:22,833 INVEST THOSE DOLLARS IN ORDER TO 1030 00:38:22,833 --> 00:38:25,135 ADDRESS THE OPIOID CRISIS WAS 1031 00:38:25,135 --> 00:38:27,137 OUR MANDATE AT THAT TIME FROM 1032 00:38:27,137 --> 00:38:27,638 THE FEDERAL GOVERNMENT. 1033 00:38:27,638 --> 00:38:30,841 AND SO THE TIMING OF THE FEDERAL 1034 00:38:30,841 --> 00:38:32,843 PAIN RESEARCH STRATEGY 1035 00:38:32,843 --> 00:38:35,946 COMPLETELY RUN THROUGH THE 1036 00:38:35,946 --> 00:38:38,048 IPRCC, AND WITH THE HELP OF I 1037 00:38:38,048 --> 00:38:41,818 THINK ABOUT 80 EXTERNAL ADVISORS 1038 00:38:41,818 --> 00:38:42,419 ENCLOUDING MEMBERS--INCLUDING 1039 00:38:42,419 --> 00:38:44,087 MEMBERS FROM THE FEDERAL 1040 00:38:44,087 --> 00:38:45,255 GOVERNMENT AGENCIES THAT SUPPORT 1041 00:38:45,255 --> 00:38:47,224 PAIN RESEARCH, DEVELOP THE PAIN 1042 00:38:47,224 --> 00:38:48,258 RESEARCH STRATEGY. 1043 00:38:48,258 --> 00:38:50,594 IT WAS PUBLICLY RELEASED IN 1044 00:38:50,594 --> 00:38:52,029 2017. 1045 00:38:52,029 --> 00:38:54,698 SO IT ENDED UP BEING AN 1046 00:38:54,698 --> 00:38:57,367 IMPORTANT DOCUMENT IN HELPING TO 1047 00:38:57,367 --> 00:38:59,803 ESTABLISH SOME OF THE PRIORITIES 1048 00:38:59,803 --> 00:39:05,142 EARLY ON IN HEAL AND IN ADDITION 1049 00:39:05,142 --> 00:39:13,283 TO THE FIRST FPRS, THE NIH 1050 00:39:13,283 --> 00:39:15,686 SPONSORED 3 MEETINGS, IT PULLED 1051 00:39:15,686 --> 00:39:17,954 IN, I'M GOING TO SAY 40 PEOPLE 1052 00:39:17,954 --> 00:39:19,356 EXPERTS FROM OUTSIDE TO ATTEND 1053 00:39:19,356 --> 00:39:22,759 EACH 1 OF THOSE MEETINGS AND 1054 00:39:22,759 --> 00:39:25,896 HELP US ADDRESS 3 DIFFERENT 1055 00:39:25,896 --> 00:39:28,331 TOPIC AREAS WE HAD IDENTIFIED IN 1056 00:39:28,331 --> 00:39:32,369 ADVANCE TO INFORM HOW WE WOULD 1057 00:39:32,369 --> 00:39:34,271 SPEND HEAL DOLLARS. 1058 00:39:34,271 --> 00:39:36,640 AT THAT POINT THIS WAS A LITTLE 1059 00:39:36,640 --> 00:39:38,675 BIT--WE WERE EXPECTING DOLLARS 1060 00:39:38,675 --> 00:39:40,477 FROM THEM, AND WE HAD AN IDEA OF 1061 00:39:40,477 --> 00:39:42,879 WHAT OUR BUDGET WOULD BE. 1062 00:39:42,879 --> 00:39:44,481 SO THOSE MEETINGS WERE TO 1063 00:39:44,481 --> 00:39:46,850 DEVELOP 1 MEETING WAS TO DEVELOP 1064 00:39:46,850 --> 00:39:47,918 SAFE AND EFFECTIVE PAIN 1065 00:39:47,918 --> 00:39:49,886 TREATMENTS AND WE BROUGHT IN 1066 00:39:49,886 --> 00:39:52,856 EXPERTS TO TELL US WHAT AREAS 1067 00:39:52,856 --> 00:39:55,492 WERE OF NEED, WHAT WERE THE 1068 00:39:55,492 --> 00:39:57,894 CHALLENGES, WE MIGHT FACE AND 1069 00:39:57,894 --> 00:39:59,329 NOT SPECIFIC RECOMMENDATIONS ON 1070 00:39:59,329 --> 00:40:00,263 RESEARCH INITIATIVES BUT WHERE 1071 00:40:00,263 --> 00:40:02,132 WE REALLY NEEDED TO MAKE A BIG 1072 00:40:02,132 --> 00:40:04,234 IRB INVESTMENT IN GAP AREAS FOR 1073 00:40:04,234 --> 00:40:07,037 PAIN AND O. U. D. 1074 00:40:07,037 --> 00:40:09,005 THE SECOND 1 WAS TO UNDERSTAND 1075 00:40:09,005 --> 00:40:09,973 PAIN MECHANISMS SO THIS GOES 1076 00:40:09,973 --> 00:40:14,144 BACK TO A BIT MORE MAYBE BASIC 1077 00:40:14,144 --> 00:40:15,112 RESEARCH BUT TO UNDERSTAND HOW 1078 00:40:15,112 --> 00:40:16,980 IT DRIVES PAIN AND HOW WE COULD 1079 00:40:16,980 --> 00:40:18,348 BETTER TREAT IT AND THEN THERE 1080 00:40:18,348 --> 00:40:22,853 WAS A THIRD MEETING ON O. U. D. 1081 00:40:22,853 --> 00:40:24,354 PREVENTION, WHICH PREVENTION AND 1082 00:40:24,354 --> 00:40:26,223 TREATMENT, BUT THE PREVENTION 1083 00:40:26,223 --> 00:40:29,559 PART OBVIOUSLY INCLUDES 1084 00:40:29,559 --> 00:40:30,827 IMPROVING PAIN MANAGEMENT. 1085 00:40:30,827 --> 00:40:32,462 SO THE FPRS, THE TIMING WAS 1086 00:40:32,462 --> 00:40:37,167 REALLY HELPFUL AND ON TOP OF THE 1087 00:40:37,167 --> 00:40:38,568 RECOMMENDATIONS FROM FPRS, WE 1088 00:40:38,568 --> 00:40:40,537 HAD THE INPUT FROM ECPETTERS ON 1089 00:40:40,537 --> 00:40:44,040 THESE CUTTING EDGE MEETINGS TO 1090 00:40:44,040 --> 00:40:46,676 HELP DRIVE--WE'LL CALL IT PHASE 1091 00:40:46,676 --> 00:40:49,513 1 HEAL, BUT IT'S REALLY A 1092 00:40:49,513 --> 00:40:53,683 TRANSITION INTO THE NEXT STAGES 1093 00:40:53,683 --> 00:40:55,385 FOR HEAL. 1094 00:40:55,385 --> 00:40:57,020 SO CURRENTLY, MANY OF YOU 1095 00:40:57,020 --> 00:41:00,190 PROBABLY KNOW THAT THE HEAL 1096 00:41:00,190 --> 00:41:01,158 INITIATIVE WAS INITIALLY SETTLED 1097 00:41:01,158 --> 00:41:04,361 IN THE OFFICE OF DIRECTOR NIH, 1098 00:41:04,361 --> 00:41:06,363 AND WAS MANAGED FROM THAT 1099 00:41:06,363 --> 00:41:06,830 OFFICE. 1100 00:41:06,830 --> 00:41:09,499 SO CENTRALLY MANAGED FOR A LARGE 1101 00:41:09,499 --> 00:41:11,434 PROGRAM IS A LITTLE BIT ATYPICAL 1102 00:41:11,434 --> 00:41:13,103 FOR NIH BECAUSE MOST OF THE 1103 00:41:13,103 --> 00:41:16,907 PROGRAM STAFF ARE IN THE 1104 00:41:16,907 --> 00:41:18,508 INSTITUTES BUT REBECCA BAKER LED 1105 00:41:18,508 --> 00:41:20,443 THE EFFORT FOR MANAGEMENT AND 1106 00:41:20,443 --> 00:41:21,378 OVERSIGHT OF HEAL INITIATIVE 1107 00:41:21,378 --> 00:41:25,048 WHILE IT WAS IN THE OFFICE OF 1108 00:41:25,048 --> 00:41:27,284 THE DIRECTOR AND REALLY DID A 1109 00:41:27,284 --> 00:41:28,285 WONDERFUL JOB? 1110 00:41:28,285 --> 00:41:29,820 ESTABLISHING THE PROGRAMS, 1111 00:41:29,820 --> 00:41:31,988 ESTABLISHING THE ORGANIZATIONAL 1112 00:41:31,988 --> 00:41:33,223 STRUCTURE. 1113 00:41:33,223 --> 00:41:35,859 AFTER 5 YEARS, THE DECISION WAS 1114 00:41:35,859 --> 00:41:40,397 MADE TO MOVE THE LEADERSHIP TO 1115 00:41:40,397 --> 00:41:43,733 THE INSTITUTES OF NIDA AND 1116 00:41:43,733 --> 00:41:48,905 NINDS, AND TO HAVE IT MORE OR 1117 00:41:48,905 --> 00:41:49,873 LESS RUN THROUGH 1118 00:41:49,873 --> 00:41:51,007 ORGANIZATIONALLY RUN THROUGH THE 1119 00:41:51,007 --> 00:41:54,611 INSTITUTES WHERE A LOT OF THE 1120 00:41:54,611 --> 00:41:56,913 RESEARCHERS WERE FOR PROGRAM 1121 00:41:56,913 --> 00:41:57,848 SUPPORT, FOR COMMUNICATIONS, ET 1122 00:41:57,848 --> 00:41:58,114 CETERA. 1123 00:41:58,114 --> 00:42:01,952 SO A VERY SENSIBLE TRANSITION IF 1124 00:42:01,952 --> 00:42:06,456 YOU WILL AND IT TOOK A WHILE TO 1125 00:42:06,456 --> 00:42:08,725 GET THE [INDISCERNIBLE] SETTLED 1126 00:42:08,725 --> 00:42:10,627 AND THE ORGANIZATIONAL 1127 00:42:10,627 --> 00:42:12,729 STRUCTURING DONE. 1128 00:42:12,729 --> 00:42:13,797 WALTER KOROSHETZ, WAS REALLY 1129 00:42:13,797 --> 00:42:16,299 INTENSE AND WORKED REALLY HARD 1130 00:42:16,299 --> 00:42:19,302 TO INVOLVE OTHER INSTITUTES, 1131 00:42:19,302 --> 00:42:20,737 CENTERS, AND OFFICES ACROSS NIH 1132 00:42:20,737 --> 00:42:26,610 IN THE ORGANIZATIONAL AND 1133 00:42:26,610 --> 00:42:27,377 OPERATIONAL TRANSITION. 1134 00:42:27,377 --> 00:42:29,145 SO HE HAS 2 CO-CHAIRS AS 1135 00:42:29,145 --> 00:42:32,249 LEADERSHIP TO WORK WITH HIM, 1136 00:42:32,249 --> 00:42:36,753 HELENE IS 1, AND LINDE CRISWELL 1137 00:42:36,753 --> 00:42:38,421 FROM NIAMS IS ANOTHER. 1138 00:42:38,421 --> 00:42:40,090 AND THEN REPRESENTATIVES FROM 1139 00:42:40,090 --> 00:42:43,526 THE INSTITUTE AND CENTER 1140 00:42:43,526 --> 00:42:47,163 DIRECTORS, WEIGH IN ON HEAL 1141 00:42:47,163 --> 00:42:48,031 PROGRAMS, FUNDING OPPORTUNITIES, 1142 00:42:48,031 --> 00:42:48,598 ET CETERA, ET CETERA. 1143 00:42:48,598 --> 00:42:52,269 SO WHERE WE ARE NOW, WITH THAT 1144 00:42:52,269 --> 00:42:54,237 TRANSITION IS SETTLED, IS 1145 00:42:54,237 --> 00:42:56,873 LOOKING FORWARD TO THE NEXT 5 1146 00:42:56,873 --> 00:43:00,076 YEARS OF HEAL AND HOW WE CAN 1147 00:43:00,076 --> 00:43:02,512 BEST PERHAPS REDIRECT SOME OF 1148 00:43:02,512 --> 00:43:05,949 OUR FUNDS, EXPAND ON SUCCESSFUL 1149 00:43:05,949 --> 00:43:07,250 PROGRAMS, FILL GAP AREAS AND SO 1150 00:43:07,250 --> 00:43:09,586 THERE IS NOW A FORMAL PROCESS 1151 00:43:09,586 --> 00:43:13,857 THAT HAS STARTED FOR A STRATEGIC 1152 00:43:13,857 --> 00:43:16,059 PLAN TO SET US UP MOST 1153 00:43:16,059 --> 00:43:19,262 EFFECTIVELY FOR OUR NEXT 5 YEARS 1154 00:43:19,262 --> 00:43:19,930 IN HEAL. 1155 00:43:19,930 --> 00:43:21,531 AND SO A COMMITTEE, I WILL GIVE 1156 00:43:21,531 --> 00:43:24,601 YOU A LITTLE BIT OF WHERE WE ARE 1157 00:43:24,601 --> 00:43:26,269 IN THAT STRATEGIC PLANNING 1158 00:43:26,269 --> 00:43:26,736 PROCESS. 1159 00:43:26,736 --> 00:43:29,205 IT'S REALLY LAUNCHING NICELY NOW 1160 00:43:29,205 --> 00:43:30,740 UNDER THE LEADERSHIP OF JACKIE 1161 00:43:30,740 --> 00:43:33,043 WARD WHO IS A SENIOR SUPERVISOR 1162 00:43:33,043 --> 00:43:36,146 IN THE OFFICE OF PAIN POLICY AND 1163 00:43:36,146 --> 00:43:44,487 WITH INPUT FROM THE LEADERSHIP. 1164 00:43:44,487 --> 00:43:45,855 THE STRATEGIC PLANNING PROCESS 1165 00:43:45,855 --> 00:43:51,227 IS BEING DONE AS KIND OF AIAN 1166 00:43:51,227 --> 00:43:52,729 2-STEP PHASE IF YOU WILL. 1167 00:43:52,729 --> 00:43:53,964 SO FOR THE PAIN RESEARCH, WE 1168 00:43:53,964 --> 00:43:57,167 HAVE A STRUCTURE AND A PLAN TO 1169 00:43:57,167 --> 00:43:59,302 MOVE VERY DETAILED ANALYSIS OF 1170 00:43:59,302 --> 00:44:02,405 WHAT HAS ALREADY BEEN DONE IN 1171 00:44:02,405 --> 00:44:05,342 HEAL AND EVALUATING THE PROGRAMS 1172 00:44:05,342 --> 00:44:07,877 AND NOW MOVING INTO IDENTIFYING 1173 00:44:07,877 --> 00:44:10,413 GAPS AND OPPORTUNITIES TO MOVE 1174 00:44:10,413 --> 00:44:10,880 FORWARD. 1175 00:44:10,880 --> 00:44:12,682 WE'RE WORKING WITH NIDA BECAUSE 1176 00:44:12,682 --> 00:44:19,289 NIDA IS ALSO DOING A MORE GLOBAL 1177 00:44:19,289 --> 00:44:20,890 STRATEGIC PLANNING PROCESS FOR 1178 00:44:20,890 --> 00:44:22,392 SUBSTANCE USE DISORDER, 1179 00:44:22,392 --> 00:44:24,627 PREVENTION, TREATMENT, AND 1180 00:44:24,627 --> 00:44:26,496 OVERDOSE TREATMENT AND THAT IS 1181 00:44:26,496 --> 00:44:28,031 MORE FOCUSED, THAT RESEARCH IS 1182 00:44:28,031 --> 00:44:29,099 MORE FOCUSED ON A SINGLE 1183 00:44:29,099 --> 00:44:31,868 INSTITUTE AND SO THE PROCESSES 1184 00:44:31,868 --> 00:44:33,503 OF DOING THE STRATEGIC PLANNING 1185 00:44:33,503 --> 00:44:36,373 ARE A BIT DIFFERENT BUT WE'RE 1186 00:44:36,373 --> 00:44:36,940 DEFINITELY WORKING TOGETHER. 1187 00:44:36,940 --> 00:44:39,709 THERE WILL BE A LOT OF CROSS 1188 00:44:39,709 --> 00:44:41,444 CUTTING RESEARCH IN HEAL THAT 1189 00:44:41,444 --> 00:44:44,714 FALLS WITHIN THE STRATEGIC 1190 00:44:44,714 --> 00:44:46,916 PLANNING, CONCERNS AND 1191 00:44:46,916 --> 00:44:48,184 OPPORTUNITIES FOR BOTH THE PAIN 1192 00:44:48,184 --> 00:44:51,087 AND THE O. U. D. COMPONENTS OF 1193 00:44:51,087 --> 00:44:51,321 HEAL. 1194 00:44:51,321 --> 00:44:56,426 SO THE EXTERNAL COMMITTEE IS SET 1195 00:44:56,426 --> 00:44:56,726 UP ALREADY. 1196 00:44:56,726 --> 00:45:00,463 IT IS CONSIDERED A WORKING GROUP 1197 00:45:00,463 --> 00:45:02,665 OF THE NINDS' ADVISORY COUNCIL, 1198 00:45:02,665 --> 00:45:04,367 SO THIS AN AFICIAL FEDERALLY 1199 00:45:04,367 --> 00:45:06,736 APPROVED WORKING GROUP IF YOU 1200 00:45:06,736 --> 00:45:08,805 WILL AND IT'S--IT'S MANDATE IS 1201 00:45:08,805 --> 00:45:12,308 TO ADVANCE THE PAIN RESEARCH 1202 00:45:12,308 --> 00:45:15,412 MISSION THROUGH THE HEAL 1203 00:45:15,412 --> 00:45:15,712 INITIATIVE. 1204 00:45:15,712 --> 00:45:19,516 AND WE HAVE CURRENT MEMBERS WHO 1205 00:45:19,516 --> 00:45:22,352 HAVE BEEN ASKED, WE DID A LITTLE 1206 00:45:22,352 --> 00:45:24,587 BIT OF ARM TWISTING BUT WE HAVE 1207 00:45:24,587 --> 00:45:25,355 A WONDERFUL EXTERNAL COMMITTEE 1208 00:45:25,355 --> 00:45:29,626 TO GET US STARTED. 1209 00:45:29,626 --> 00:45:32,495 KATHLEEN SLUKA AND ROB GERRO, 1210 00:45:32,495 --> 00:45:36,032 ARE CO CHAIRS FOR THIS COMMITTEE 1211 00:45:36,032 --> 00:45:40,036 AND THEN WE HAVE TENTATIVE TOPIC 1212 00:45:40,036 --> 00:45:41,905 AREAS WHERE WE ARE PLANNING TO 1213 00:45:41,905 --> 00:45:47,010 SET UP WORKING GROUPS AND BRING 1214 00:45:47,010 --> 00:45:47,977 IN EXPERTS TO THOSE WORKING 1215 00:45:47,977 --> 00:45:49,646 GROUPS TO LOOK AT FOR EXAMPLE, 1216 00:45:49,646 --> 00:45:51,381 THE ANALYSIS OF WHAT WE'RE 1217 00:45:51,381 --> 00:45:53,783 CURRENTLY DOING IN HEAL THAT 1218 00:45:53,783 --> 00:45:56,419 ANTHONY IS LEADING TO LOOK AT 1219 00:45:56,419 --> 00:45:58,054 EVALUATION OF SOME OF THE LARGE 1220 00:45:58,054 --> 00:45:58,621 PROGRAMS. 1221 00:45:58,621 --> 00:46:05,862 WE HAVE SEVERAL PAIN NETWORKS IN 1222 00:46:05,862 --> 00:46:06,696 THE--WITHIN--EMBEDDED WITHIN THE 1223 00:46:06,696 --> 00:46:08,431 PAIN SIDE OF HEAL. 1224 00:46:08,431 --> 00:46:13,570 SO VERY GOOD PROGRAMMING, WE 1225 00:46:13,570 --> 00:46:14,637 HAVE ANNAL GEEZIC PROGRAM AND WE 1226 00:46:14,637 --> 00:46:16,639 WE ARE A LOT OF MONEY BE BEING 1227 00:46:16,639 --> 00:46:18,308 INVESTED AND WE WANT TO MAKE 1228 00:46:18,308 --> 00:46:23,947 SURE IT'S INVESTED SUCCESSFULLY, 1229 00:46:23,947 --> 00:46:24,647 AND MAKING IMPROVEMENTS AND HOW 1230 00:46:24,647 --> 00:46:25,782 WE WANT TO MOVE FORWARD. 1231 00:46:25,782 --> 00:46:27,383 SO HERE'S A LIST OF WHAT I THINK 1232 00:46:27,383 --> 00:46:31,221 WE CAN DESCRIBE AS THOSE 1233 00:46:31,221 --> 00:46:32,622 SUBGROUP LEADS. 1234 00:46:32,622 --> 00:46:35,291 EACH SUBGROUP HAS 2 EXPERT LEADS 1235 00:46:35,291 --> 00:46:37,260 IN IT, AND THERE'S ALSO A PERSON 1236 00:46:37,260 --> 00:46:41,331 WITH LIVED EXPERIENCE ON THIS 1237 00:46:41,331 --> 00:46:43,399 PANEL WHO WILL BE HELPING OUT 1238 00:46:43,399 --> 00:46:46,236 ACROSS THE DIFFERENT SUBGROUPS. 1239 00:46:46,236 --> 00:46:48,338 THE SUBGROUPS HAVE NOT BEEN 1240 00:46:48,338 --> 00:46:49,506 POPULATED YET. 1241 00:46:49,506 --> 00:46:50,974 WE'RE ASKING THIS EXTERNAL 1242 00:46:50,974 --> 00:46:55,311 COMMITTEE TO HELP US IDENTIFY 1243 00:46:55,311 --> 00:46:55,545 PEOPLE. 1244 00:46:55,545 --> 00:46:57,180 WE'RE REALLY FOCUSING ON PEOPLE 1245 00:46:57,180 --> 00:46:59,682 WHO KNOW THE FIELD WHO WILL 1246 00:46:59,682 --> 00:47:04,053 REALLY CONTRIBUTE SOME TIME AND 1247 00:47:04,053 --> 00:47:04,621 COOPERATIVELY TOGETHER. 1248 00:47:04,621 --> 00:47:06,422 WE ALSO WANT TO MAKE SURE 1249 00:47:06,422 --> 00:47:07,824 THERE'S COMMUNICATION ACROSS 1250 00:47:07,824 --> 00:47:09,559 THESE GROUPS, SOMETIMES YOU SLIP 1251 00:47:09,559 --> 00:47:10,860 INTO BUCKETS AND YOU KIND OF 1252 00:47:10,860 --> 00:47:13,630 FOCUS ON YOUR AREA, SO THERE'S A 1253 00:47:13,630 --> 00:47:14,597 LOT OF BACKGROUND WORK GOING ON 1254 00:47:14,597 --> 00:47:17,167 TO MAKE SURE THAT WE'VE GOT 1255 00:47:17,167 --> 00:47:17,734 LIAISONS ACROSS THE GROUP. 1256 00:47:17,734 --> 00:47:20,403 A LOT OF NIH STAFF, WE'RE 1257 00:47:20,403 --> 00:47:24,607 HELPING TO MANAGE THEM AND WE 1258 00:47:24,607 --> 00:47:28,044 HOPE TO REALLY, BY THE END OF 1259 00:47:28,044 --> 00:47:30,280 SPRING IN 2025 TO HAVE SOME 1260 00:47:30,280 --> 00:47:34,918 OUTPUT FROM THIS GROUP. 1261 00:47:34,918 --> 00:47:37,086 SO JACKIE WARD KINDLY PUT 1262 00:47:37,086 --> 00:47:38,354 TOGETHER THE TIME FRAME FOR WHEN 1263 00:47:38,354 --> 00:47:44,661 AND HOW AND SO WE HAVE AN EARLY 1264 00:47:44,661 --> 00:47:46,462 APRIL/MAY 2024 I SHOWED YOU OUR 1265 00:47:46,462 --> 00:47:49,732 LEADERSHIP IN PLACE FOR IT. 1266 00:47:49,732 --> 00:47:51,668 THERE IS CURRENTLY A REQUEST FOR 1267 00:47:51,668 --> 00:47:53,570 INFORMATION OUT AND BOTH HELENE 1268 00:47:53,570 --> 00:47:55,438 AND I ARE GOING TO REALLY PROD 1269 00:47:55,438 --> 00:48:00,677 YOU ALL TO LOOK AT IT TO SEND IN 1270 00:48:00,677 --> 00:48:02,011 YOUR INPUT, ON SPECIFIC 1271 00:48:02,011 --> 00:48:05,882 QUESTIONS THAT ARE BEING ASKED 1272 00:48:05,882 --> 00:48:07,817 FOR O. U. D. AND PAIN RESEARCH 1273 00:48:07,817 --> 00:48:09,786 AS WE MOVE FORWARD. 1274 00:48:09,786 --> 00:48:11,154 IT WILL BE HELPFUL TO GET 1275 00:48:11,154 --> 00:48:11,921 FEEDBACK ON THAT. 1276 00:48:11,921 --> 00:48:13,723 WE WILL LOOK CAREFULLY AT THE 1277 00:48:13,723 --> 00:48:15,225 FEEDBACK AND TRY TO INCORPORATE 1278 00:48:15,225 --> 00:48:16,492 THE KEY POINTS FROM THE FEEDBACK 1279 00:48:16,492 --> 00:48:21,531 INTO THE STRATEGIC PLANNING 1280 00:48:21,531 --> 00:48:21,764 PROCESS. 1281 00:48:21,764 --> 00:48:27,637 SO JULY WE'RE LOOKING TO CONVENE 1282 00:48:27,637 --> 00:48:29,706 THE INDIVIDUAL GROUPS AND WE'RE 1283 00:48:29,706 --> 00:48:30,039 CLOSE. 1284 00:48:30,039 --> 00:48:31,241 YOU KNOW WE'RE STILL LOOKING TO 1285 00:48:31,241 --> 00:48:33,643 FILL OUT THE MEMBERSHIP AND THEN 1286 00:48:33,643 --> 00:48:37,213 WE WILL GET TO WORK ON HAVING 1287 00:48:37,213 --> 00:48:42,819 THOSE GROUPS MEET, COMMUNICATE 1288 00:48:42,819 --> 00:48:45,221 WITH 1 ANOTHER, AND DEVELOP 1289 00:48:45,221 --> 00:48:48,258 ANOTHER PROCESS TO LIST THE PAIN 1290 00:48:48,258 --> 00:48:49,826 RESEARCH PRIORITIES RECOMMENDED 1291 00:48:49,826 --> 00:48:50,994 ACROSS THE GROUPS VERY SIMILAR 1292 00:48:50,994 --> 00:48:54,831 TO WHAT WE DID IN THE DELPH I 1293 00:48:54,831 --> 00:48:57,433 ITERATIONS OF COMING TO A SMALL 1294 00:48:57,433 --> 00:49:00,003 SET OF REALLY HIGH LEVEL 1295 00:49:00,003 --> 00:49:02,171 RESEARCH PRIORITIES DURING THIS 1296 00:49:02,171 --> 00:49:02,405 PROCESS. 1297 00:49:02,405 --> 00:49:05,375 AND THEN RELEASE EARLY IN THE 1298 00:49:05,375 --> 00:49:06,409 SPRING NEXT YEAR, MIDWAY THROUGH 1299 00:49:06,409 --> 00:49:10,079 THE SPRING A PUBLIC FACING 1300 00:49:10,079 --> 00:49:13,583 DOCUMENT. 1301 00:49:13,583 --> 00:49:14,584 AND SO, SO WHAT I'M GOING TOIVE 1302 00:49:14,584 --> 00:49:16,352 GO YOU NOW IS A SUPER HIGH LEVEL 1303 00:49:16,352 --> 00:49:20,757 IDEA OF WHAT ANTHONY IS 1304 00:49:20,757 --> 00:49:22,492 LAUNCHING FOR A PORTFOLIO 1305 00:49:22,492 --> 00:49:23,693 RESEARCH, A RESEARCH PORTFOLIO 1306 00:49:23,693 --> 00:49:25,728 RATHER TO SUPPORT THE EFFORT OF 1307 00:49:25,728 --> 00:49:26,929 THESE GROUPS. 1308 00:49:26,929 --> 00:49:28,798 BECAUSE IF THEY DON'T KNOW WHAT 1309 00:49:28,798 --> 00:49:30,767 WE'RE DOING, IT'S HARD FOR THEM 1310 00:49:30,767 --> 00:49:32,869 TO RECOMMEND TO US WHAT WE NEED 1311 00:49:32,869 --> 00:49:34,504 TO DO IN FUTURE. 1312 00:49:34,504 --> 00:49:36,139 SO ANTHONY HAS DONE A LOT MORE 1313 00:49:36,139 --> 00:49:37,707 DETAILED WORK HERE BUT WHAT WE 1314 00:49:37,707 --> 00:49:39,976 HAVE FOR YOU NOW IS A VERY HIGH 1315 00:49:39,976 --> 00:49:46,316 LEVEL LOOK AT THE HEAL RELATED 1316 00:49:46,316 --> 00:49:47,850 TO NONHEAL FUNDED RESEARCH AT 1317 00:49:47,850 --> 00:49:48,951 NIH CURRENTLY AND HE OBVIOUSLY 1318 00:49:48,951 --> 00:49:51,220 WILL BE PULLING UP A LOT MORE 1319 00:49:51,220 --> 00:49:55,425 INFORMATION TO SUPPORT THE WORK 1320 00:49:55,425 --> 00:49:56,626 GROUPS FOR THE STRATEGIC PLAN. 1321 00:49:56,626 --> 00:49:59,829 I THINK 1 THING THAT THIS 1322 00:49:59,829 --> 00:50:01,230 HIGHLIGHTS HERE IS 2 SLIDES WILL 1323 00:50:01,230 --> 00:50:02,665 LOOK ALMOST EXACTLY THE SAME TO 1324 00:50:02,665 --> 00:50:06,903 YOU, BUT IN OUR REPORTING, OUR 1325 00:50:06,903 --> 00:50:11,407 PUBLIC REPORTING SYSTEM, WE HAVE 1326 00:50:11,407 --> 00:50:14,677 A COLLECTION OF AWARDS THAT ARE 1327 00:50:14,677 --> 00:50:16,479 CONSIDERED PAIN RESEARCH, WE 1328 00:50:16,479 --> 00:50:19,349 HAVE ANOTHER SOMEWHAT MORE 1329 00:50:19,349 --> 00:50:21,551 RESTRICTED SET OF AWARDS CALLED 1330 00:50:21,551 --> 00:50:24,120 CHRONIC PAIN RESEARCH AND SO THE 1331 00:50:24,120 --> 00:50:26,923 PAIN RESEARCH 1, IS A LARGER 1332 00:50:26,923 --> 00:50:29,492 PORTFOLIO, IT INCLUDES A LOT OF 1333 00:50:29,492 --> 00:50:30,760 MECHANISTIC GRANTS THAT ARE NOT 1334 00:50:30,760 --> 00:50:32,628 IN THE CHRONIC PAIN RESEARCH 1335 00:50:32,628 --> 00:50:35,131 PORTFOLIO, AND THIS IS NIH WIDE. 1336 00:50:35,131 --> 00:50:40,436 THIS IS NOT JUST HEAL, BUT IT'S 1337 00:50:40,436 --> 00:50:41,871 CODED IN ORDER TO REALLY HELP 1338 00:50:41,871 --> 00:50:44,607 THE OUTSIDE WORLD AND TO HELP US 1339 00:50:44,607 --> 00:50:46,008 UNDERSTAND GLOBALLY WHAT WE'RE 1340 00:50:46,008 --> 00:50:47,710 FUNDING FOR PAIN RESEARCH. 1341 00:50:47,710 --> 00:50:50,646 THE INTERESTING PIECE HERE IS 1342 00:50:50,646 --> 00:50:53,082 THAT ACROSS THE BOARD, WE 1343 00:50:53,082 --> 00:50:56,352 STARTED FUNDING HEAL IN 2018, 1344 00:50:56,352 --> 00:50:58,354 AND SO 2018 AND 2019 LOOK A 1345 00:50:58,354 --> 00:50:59,622 LITTLE BIT UNUSUAL BECAUSE WE 1346 00:50:59,622 --> 00:51:02,158 GOT OUR FUNDING IN 2018, YOU 1347 00:51:02,158 --> 00:51:04,794 CAN'T GET YOUR FUND NOTHING 1 1348 00:51:04,794 --> 00:51:07,130 YEAR AND REALLY PUT IT OUT IN AN 1349 00:51:07,130 --> 00:51:08,865 EFFECTIVE AND MEANINGFUL WAY FOR 1350 00:51:08,865 --> 00:51:10,133 FUNDING OPPORTUNITIES FOR THAT 1351 00:51:10,133 --> 00:51:10,566 YEAR. 1352 00:51:10,566 --> 00:51:14,170 IT'S GOING TO TAKE 2 YEARS, SO 1353 00:51:14,170 --> 00:51:16,372 2019 AND REALLY 2 YEARS WORTH OF 1354 00:51:16,372 --> 00:51:20,410 HEAL DOLLARS, WE WERE 1355 00:51:20,410 --> 00:51:22,245 $8,500,000,000 IN ALLOCATIONS, 1356 00:51:22,245 --> 00:51:23,746 2018, 2019, AND THEN IT'S 1357 00:51:23,746 --> 00:51:27,183 INCREASED A LITTLE BIT OVER THE 1358 00:51:27,183 --> 00:51:29,419 YEARS UP UNTIL 2023 AND HELENE, 1359 00:51:29,419 --> 00:51:30,953 YOU CAN CORRECT ME IF I'M A BIT 1360 00:51:30,953 --> 00:51:34,090 OFF BUT I THINK WE'RE BETWEEN 1361 00:51:34,090 --> 00:51:37,660 NIDA, OUD AND PAIN DOLLARS ABOUT 1362 00:51:37,660 --> 00:51:38,227 $585 MILLION PER YEAR. 1363 00:51:38,227 --> 00:51:39,862 SO IT'S GONE UP A LITTLE BIT. 1364 00:51:39,862 --> 00:51:44,634 AS YOU CAN SEE, OVERALL, HEAL 1365 00:51:44,634 --> 00:51:46,369 ACCOUNTS FOR 21% OF THE TOTAL 1366 00:51:46,369 --> 00:51:48,604 PAIN RESEARCH FUNDING AT THE NIH 1367 00:51:48,604 --> 00:51:50,473 SO WE KEEP--YOU KNOW HEAL IS 1368 00:51:50,473 --> 00:51:51,374 BIG. 1369 00:51:51,374 --> 00:51:53,042 IT'S A WONDERFUL CONTRIBUTION, 1370 00:51:53,042 --> 00:51:54,310 BUT PLEASE KEEP IN MIND THERE'S 1371 00:51:54,310 --> 00:51:56,179 A LOT OF OTHER RESEARCH GOING ON 1372 00:51:56,179 --> 00:51:59,182 AT NIH IN THE PAIN ARENA AND 1373 00:51:59,182 --> 00:52:02,018 THIS IS WHERE THE FPRS WILL HELP 1374 00:52:02,018 --> 00:52:03,486 US BECAUSE OF NIH AND THE OTHER 1375 00:52:03,486 --> 00:52:05,621 AGENCIES THAT WILL BE INCLUDED 1376 00:52:05,621 --> 00:52:06,122 IN THAT ANALYSIS. 1377 00:52:06,122 --> 00:52:09,725 SO THIS IS THE PAIN RESEARCH 1, 1378 00:52:09,725 --> 00:52:11,360 SLIGHTLY LARGER AMOUNT OF MONEY 1379 00:52:11,360 --> 00:52:14,430 THAN THE CHRONIC PAIN 1, 1380 00:52:14,430 --> 00:52:18,534 AND--BUT THE CHARTS LOOK FAIRLY 1381 00:52:18,534 --> 00:52:19,836 SIMILAR AND SO FORNOW, TELL BE 1382 00:52:19,836 --> 00:52:22,839 MORE INFORMATION ON THIS, 1383 00:52:22,839 --> 00:52:24,340 ESPECIALLY AS THE STRATEGIC 1384 00:52:24,340 --> 00:52:26,075 PLANNING PROCESS MOVES ALONG, I 1385 00:52:26,075 --> 00:52:28,277 DO WANT TO HIGHLIGHT THAT WE 1386 00:52:28,277 --> 00:52:31,180 WOULD LIKE YOUR INPUT ON THE 1387 00:52:31,180 --> 00:52:32,715 REQUEST FOR INFORMATION AS TO 1388 00:52:32,715 --> 00:52:34,116 IMPORTANT THINGS THAT SHOULD BE 1389 00:52:34,116 --> 00:52:36,285 INCLUDED IN THE STRATEGIC 1390 00:52:36,285 --> 00:52:36,819 PLANNING PROCESS. 1391 00:52:36,819 --> 00:52:42,658 AGAIN, THIS IS FOR SUBSTANCE USE 1392 00:52:42,658 --> 00:52:43,626 DISORDER AND FOR PAIN HERE IS 1393 00:52:43,626 --> 00:52:46,062 THE LINK TO GET TO IT AND WE 1394 00:52:46,062 --> 00:52:47,930 WILL ASKLIA TO RESEND IT TO THE 1395 00:52:47,930 --> 00:52:54,670 COMMITTEE FOR THEIR INPUT. 1396 00:52:54,670 --> 00:52:58,808 AND FROM HERE I WILL GO BACK TO 1397 00:52:58,808 --> 00:53:00,810 HELENE, WE HAVE THIS WONDERFUL 1398 00:53:00,810 --> 00:53:05,314 HIGH LEVEL OF EXPERTISE IN THIS 1399 00:53:05,314 --> 00:53:06,949 COMMITTEE AND WE HAVE AN 1400 00:53:06,949 --> 00:53:08,217 OPPORTUNITY THROUGH THE 1401 00:53:08,217 --> 00:53:11,687 COMMITTEE TO MAKE 1402 00:53:11,687 --> 00:53:12,622 RECOMMENDATIONS, AGENCY WIDE AND 1403 00:53:12,622 --> 00:53:19,161 DEPARTMENT WIDE BECAUSE WE ARE 1404 00:53:19,161 --> 00:53:19,896 TRANSAGENCY REPRESENTED BUT WE 1405 00:53:19,896 --> 00:53:23,165 WOULD LIKE TO GET YOUR INPUT ON 1406 00:53:23,165 --> 00:53:24,467 HOW SOME OF YOU WHO ARE 1407 00:53:24,467 --> 00:53:27,470 INTERESTED CAN HELP US WITH THE 1408 00:53:27,470 --> 00:53:28,804 STRATEGIC PLANNING PROCESS. 1409 00:53:28,804 --> 00:53:32,575 WE WANT TO THANK KATE NICHOLSON 1410 00:53:32,575 --> 00:53:34,911 AND TAMARA BAKER FOR THEIR 1411 00:53:34,911 --> 00:53:37,446 PARTICIPATION AND THEN HELENE, I 1412 00:53:37,446 --> 00:53:39,048 WILL TURN TO YOU FOR THE OPEN 1413 00:53:39,048 --> 00:53:40,349 DISCUSSION WITH THE GROUP UNLESS 1414 00:53:40,349 --> 00:53:41,851 ANYBODY HAS SPECIFIC QUESTIONS 1415 00:53:41,851 --> 00:53:46,923 ON THE SLIDE SET. 1416 00:53:46,923 --> 00:53:48,624 >> THANK YOU SO MUCH LINDA AND 1417 00:53:48,624 --> 00:53:53,095 IT'S SO GREAT TO SEE THIS 1418 00:53:53,095 --> 00:53:54,130 PROCESS MARCHING ALONG AND AS 1419 00:53:54,130 --> 00:53:58,100 YOU CAN SEE THE TIMELINE IS 1420 00:53:58,100 --> 00:53:58,935 PROGRESSING NICELY. 1421 00:53:58,935 --> 00:54:04,040 I MEAN THERE'S NOT A LOT OF TIME 1422 00:54:04,040 --> 00:54:05,808 AND WE FEEL LIKE IT'S GOING TO 1423 00:54:05,808 --> 00:54:07,310 BE VITAL TO GET ALL THE 1424 00:54:07,310 --> 00:54:08,377 INFORMATION THAT WE CAN 1425 00:54:08,377 --> 00:54:13,149 INCLUDING FROM THIS GROUP. 1426 00:54:13,149 --> 00:54:14,650 SO I THINK--LET'S FIRST SEE IF 1427 00:54:14,650 --> 00:54:17,353 THERE'S ANY IMMEDIATE QUESTIONS 1428 00:54:17,353 --> 00:54:18,921 OR COMMENTS ON LINDA'S 1429 00:54:18,921 --> 00:54:20,323 PRESENTATION AND THEN WE CAN 1430 00:54:20,323 --> 00:54:28,531 SORT OF BROADEN THE DISCUSSION. 1431 00:54:28,531 --> 00:54:30,800 >> IT WAS CRYSTAL CLEAR LINDA, I 1432 00:54:30,800 --> 00:54:32,668 REALLY FELT--I THINK THE LAST 2 1433 00:54:32,668 --> 00:54:35,538 GRAPHS YOU PRESENTED WERE SO 1434 00:54:35,538 --> 00:54:37,907 REVEALING TO A LOT OF--A LOT OF 1435 00:54:37,907 --> 00:54:40,209 PEOPLE AT NIH INCLUDING MYSELF, 1436 00:54:40,209 --> 00:54:42,812 WERE KIND OF SURPRISED TO SEE 1437 00:54:42,812 --> 00:54:43,646 THIS RIGHT? 1438 00:54:43,646 --> 00:54:49,218 THERE'S SO MUCH PAIN RESEARCH 1439 00:54:49,218 --> 00:54:50,386 HAPPENING AT NIH THAT IT'S GREAT 1440 00:54:50,386 --> 00:54:54,090 TO HAVE HEAL AND IT HAS REALLY 1441 00:54:54,090 --> 00:54:55,057 TURBOCHARGE INDEED A WAY WAWE'RE 1442 00:54:55,057 --> 00:54:57,994 ALREADY DOING, WHICH IS REALLY 1443 00:54:57,994 --> 00:54:58,294 FANTASTIC. 1444 00:54:58,294 --> 00:55:01,897 BETH SAYS I COMMENTED ONLINE 1445 00:55:01,897 --> 00:55:04,300 ALREADY. 1446 00:55:04,300 --> 00:55:05,067 FANTASTIC. 1447 00:55:05,067 --> 00:55:05,267 OKAY. 1448 00:55:05,267 --> 00:55:06,969 WONDERFUL SO I HOPE MANY, MANY 1449 00:55:06,969 --> 00:55:08,638 OF YOU WILL TAKE ADVANTAGE OF 1450 00:55:08,638 --> 00:55:10,072 THAT. 1451 00:55:10,072 --> 00:55:11,273 SO I THINK THAT WHAT WE WOULD 1452 00:55:11,273 --> 00:55:15,211 LIKE YOU TO THINK ABOUT AS A 1453 00:55:15,211 --> 00:55:18,447 COMMITTEE IS WHAT IN WHAT WAYS 1454 00:55:18,447 --> 00:55:20,716 OTHER THAN OBVIOUSLY IN EACH OF 1455 00:55:20,716 --> 00:55:21,784 YOUR INDIVIDUAL INPUTS IS 1456 00:55:21,784 --> 00:55:23,753 CRITICAL AND THAT'S WHAT THIS 1457 00:55:23,753 --> 00:55:26,188 RFI IS GOING TO DO AND OFFER 1458 00:55:26,188 --> 00:55:28,891 THAT OPPORTUNITY TO DO THIS. 1459 00:55:28,891 --> 00:55:31,594 AND I SEE MORE COMMENTS IN THE 1460 00:55:31,594 --> 00:55:33,095 CHAT, YES, THIS IS EXACTLY WHAT 1461 00:55:33,095 --> 00:55:36,298 WE HOPE YOU WILL ALL DO IS TAKE 1462 00:55:36,298 --> 00:55:42,705 THIS RFI BACK TO YOUR RESPECTIVE 1463 00:55:42,705 --> 00:55:44,373 ORGANIZATIONS, GET INPUT, 1464 00:55:44,373 --> 00:55:44,740 COMMENT. 1465 00:55:44,740 --> 00:55:47,043 SO ANYBODY CAN DO THAT BUT WE 1466 00:55:47,043 --> 00:55:50,780 ESPECIALLY WANT INPUT THAT 1467 00:55:50,780 --> 00:55:51,747 REFLECTS THE FEEDBACK FROM 1468 00:55:51,747 --> 00:55:55,918 INDIVIDUALS AS WELL AS 1469 00:55:55,918 --> 00:55:56,252 ORGANIZATIONS. 1470 00:55:56,252 --> 00:55:58,854 SO ANOTHER POSSIBILITY IS THAT 1471 00:55:58,854 --> 00:56:02,058 THE IPRCC COULD PLAY A ROLE IN 1472 00:56:02,058 --> 00:56:03,125 THE STRATEGIC PLANNING PROCESS 1473 00:56:03,125 --> 00:56:03,359 ITSELF. 1474 00:56:03,359 --> 00:56:04,760 THERE'S A LOT OF DIFFERENT WAYS 1475 00:56:04,760 --> 00:56:08,464 IN WHICH THIS COULD HAPPEN. 1476 00:56:08,464 --> 00:56:10,299 ONE POSSIBILITY IS THAT THERE 1477 00:56:10,299 --> 00:56:12,134 MIGHT BE OPPORTUNITIES FOR 1478 00:56:12,134 --> 00:56:17,239 EXAMPLE TO PARTICIPATE IN 1479 00:56:17,239 --> 00:56:19,975 WORKSHOPS, OR SUBCOMMITTEES, AND 1480 00:56:19,975 --> 00:56:21,277 WE WILL BE--AS THESE 1481 00:56:21,277 --> 00:56:23,446 OPPORTUNITIES ARISE, WE WILL BE 1482 00:56:23,446 --> 00:56:25,181 COMMUNICATING WITH THIS GROUP 1483 00:56:25,181 --> 00:56:28,350 AND SEE WHETHER PEOPLE ARE 1484 00:56:28,350 --> 00:56:30,019 INTERESTED IN THIS. 1485 00:56:30,019 --> 00:56:33,355 AND SO, ANOTHER POSSIBILITY IS 1486 00:56:33,355 --> 00:56:36,926 THAT IERK PRCC FEDERAL MEMBERS 1487 00:56:36,926 --> 00:56:38,527 COULD PARTICIPATE EXOFFICIO IN 1488 00:56:38,527 --> 00:56:42,498 SOME OF THESE COMMITTEES AND 1489 00:56:42,498 --> 00:56:44,600 SUBCOMMITTEES AND ALREADY, SO 1490 00:56:44,600 --> 00:56:45,968 TAMARA IS ALREADY SERVING WHICH 1491 00:56:45,968 --> 00:56:48,070 IS GREAT AND WE WANT TO JUST LET 1492 00:56:48,070 --> 00:56:54,810 YOU ALL KNOW THAT THERE WOULD BE 1493 00:56:54,810 --> 00:57:00,649 OTHER OPPORTUNITIES FOR THAT AND 1494 00:57:00,649 --> 00:57:02,418 I THINK THAT WE WANT TO 1495 00:57:02,418 --> 00:57:04,053 BASICALLY FIND OUT FROM ALL OF 1496 00:57:04,053 --> 00:57:06,589 YOU IF THIS IS OF INTEREST TO 1497 00:57:06,589 --> 00:57:07,890 AND IN WHAT CAPACITY NOW. 1498 00:57:07,890 --> 00:57:09,225 I SEE HEADS CHAIKING. 1499 00:57:09,225 --> 00:57:11,293 KATE, YOU'RE INTERESTED IN THIS, 1500 00:57:11,293 --> 00:57:14,964 ANY OTHER INPUT REGARDING THIS? 1501 00:57:14,964 --> 00:57:16,832 YES, VERY INTERESTED, BETH IS, 1502 00:57:16,832 --> 00:57:18,601 CURIOUS HAS TO WHO AND WHICH 1503 00:57:18,601 --> 00:57:20,002 INSTITUTION ARE APPLYING FOR 1504 00:57:20,002 --> 00:57:30,412 THIS TYPE OF--THIS IS IN 1505 00:57:36,952 --> 00:57:38,020 RESPONSE TO--DO YOU WANT TO 1506 00:57:38,020 --> 00:57:39,989 EXPLAIN YOUR COMMENT OR 1507 00:57:39,989 --> 00:57:40,256 QUESTION? 1508 00:57:40,256 --> 00:57:42,158 THEN WE'LL GO TO PAUL? 1509 00:57:42,158 --> 00:57:43,359 TCAN YOU HEAR ME OKAY? 1510 00:57:43,359 --> 00:57:47,663 IT SAYS MY INTERNET IS UNSTABLE 1511 00:57:47,663 --> 00:57:47,897 SO-- 1512 00:57:47,897 --> 00:57:52,234 >> YEAH, THIS WAS BASICALLY IN 1513 00:57:52,234 --> 00:57:53,636 RESPONSE TO LINDA'S PRESENTATION 1514 00:57:53,636 --> 00:57:55,805 AND JUST IN GENERAL AS WE TALK 1515 00:57:55,805 --> 00:58:02,912 ABOUT THE STRATEGIC PLAN AND WE 1516 00:58:02,912 --> 00:58:04,113 WERE TALKING ABOUT NIH FUNDING 1517 00:58:04,113 --> 00:58:06,949 AND I WAS JUST CURIOUS IF THIS 1518 00:58:06,949 --> 00:58:08,784 INFORMATION IS AVAILABLE AS TO 1519 00:58:08,784 --> 00:58:17,893 WHO IS APPLYING FOR 1520 00:58:17,893 --> 00:58:19,595 [INDISCERNIBLE] FOR TYPE OF 1521 00:58:19,595 --> 00:58:20,863 FUNDING AND INSTITUTIONS AND 1522 00:58:20,863 --> 00:58:22,164 AGAIN WE'RE TALKING ABOUT PAIN, 1523 00:58:22,164 --> 00:58:23,599 ET CETERA, ET CETERA. 1524 00:58:23,599 --> 00:58:26,368 BUT I'M WONDERING IF IT'S 1525 00:58:26,368 --> 00:58:28,771 REACHING GROUPS LIKE PWIs, SO 1526 00:58:28,771 --> 00:58:29,738 I'M WONDERING AND CURIOUS WHAT 1527 00:58:29,738 --> 00:58:33,843 IS THE PUSH FOR EXAMPLE FOR 1528 00:58:33,843 --> 00:58:34,510 MINORITY SERVING INSTITUTIONS, 1529 00:58:34,510 --> 00:58:35,644 FACULTY FOR THESE INSTITUTIONS 1530 00:58:35,644 --> 00:58:37,279 TO,A PLIE FOR THIS TYPE OF 1531 00:58:37,279 --> 00:58:45,654 FUNDING AND WHAT IS THE SUPPORT 1532 00:58:45,654 --> 00:58:47,056 THAT THEY COULD RECEIVE BECAUSE 1533 00:58:47,056 --> 00:58:48,724 AGAIN WHEN WE TALK ABOUT 1534 00:58:48,724 --> 00:58:49,992 DISPARITIES, I THINK THERE'S A 1535 00:58:49,992 --> 00:58:52,661 HUGE GAP AS TO WHO IS RECEIVING 1536 00:58:52,661 --> 00:58:54,530 THIS TYPE OF FUNDING. 1537 00:58:54,530 --> 00:58:55,965 SO THAT'S WHY MY QUESTION IS 1538 00:58:55,965 --> 00:58:57,800 FOCUSING ON IT AND IT MAY BE 1539 00:58:57,800 --> 00:58:59,134 TAKING A HARD RIGHT AS TO WHAT 1540 00:58:59,134 --> 00:59:00,636 WE'RE TALKING ABOUT NOW, IT MAY 1541 00:59:00,636 --> 00:59:02,805 BE SOMETHING TO THINK ABOUT IN 1542 00:59:02,805 --> 00:59:05,107 THE FUTURE. 1543 00:59:05,107 --> 00:59:07,509 >> SO TAMARA MAKE 1 QUICK NOTE, 1544 00:59:07,509 --> 00:59:08,911 WE'LL ANSWER YOUR QUESTION IF I 1545 00:59:08,911 --> 00:59:10,112 UNDERSTAND IT CORRECTLY, THE 1546 00:59:10,112 --> 00:59:11,914 FUNDING OPPORTUNITIES THAT COME 1547 00:59:11,914 --> 00:59:13,215 OUT OF HEAL ARE OPEN TO ALL 1548 00:59:13,215 --> 00:59:16,619 INVESTIGATORS IN THE SAME WAY 1549 00:59:16,619 --> 00:59:22,091 THAT THEY ARE NEAR NONHEAL 1550 00:59:22,091 --> 00:59:22,625 FUNDING OPPORTUNITY 1551 00:59:22,625 --> 00:59:22,958 ANNOUNCEMENTS. 1552 00:59:22,958 --> 00:59:24,627 SO THEY'RE WIDE OPEN, VERY 1553 00:59:24,627 --> 00:59:25,928 HIGHLY DISSEMINATED SO WE HAVE 1554 00:59:25,928 --> 00:59:30,366 SEVERAL PROCESSES OF HOW WE GET 1555 00:59:30,366 --> 00:59:30,933 THE WORDS OUT. 1556 00:59:30,933 --> 00:59:35,604 AND THEY'RE OPEN TO ANY ELIGIBLE 1557 00:59:35,604 --> 00:59:36,538 INSTITUTIONS OR BUSINESSES SO WE 1558 00:59:36,538 --> 00:59:39,475 ALSO HAVE A SMALL BUSINESS 1559 00:59:39,475 --> 00:59:41,010 PROGRAM EMBEDDED IN HEAL THAT 1560 00:59:41,010 --> 00:59:46,682 ARE ELIGIBLE FOR NIH AWARDS. 1561 00:59:46,682 --> 00:59:49,084 SO I THINK I'M GETTING AT YOUR 1562 00:59:49,084 --> 00:59:52,321 QUESTION CORRECTLY BUT IF NOT WE 1563 00:59:52,321 --> 00:59:53,722 CAN TALK OFFLINE BUT THERE ARE 1564 00:59:53,722 --> 00:59:54,957 PROGRAMS ON HEALTH EQUITIES THAT 1565 00:59:54,957 --> 00:59:56,692 WERE RELEASED THROUGH HEAL, 1566 00:59:56,692 --> 00:59:58,560 SPECIFICALLY FOR HEALTH EQUITIES 1567 00:59:58,560 --> 01:00:01,030 AND SO, I GUESS THE SHORT ANSWER 1568 01:00:01,030 --> 01:00:05,467 IS IT'S WIDE OPEN. 1569 01:00:05,467 --> 01:00:06,635 >> BUT WE'RE ALSO VERY 1570 01:00:06,635 --> 01:00:13,909 INTERESTED AS LINDA SAID IN 1571 01:00:13,909 --> 01:00:18,113 UNDERSTANDING WHAT ARE THE 1572 01:00:18,113 --> 01:00:20,716 OBSTACLES TO PAIN RESEARCH AS 1573 01:00:20,716 --> 01:00:24,954 WELL AS PAIN CARE IN UNDERSERVED 1574 01:00:24,954 --> 01:00:26,488 COMMUNITIES, IF ORDER TO REALLY 1575 01:00:26,488 --> 01:00:27,423 UNDERSTAND THAT, HAVE YOU ON DO 1576 01:00:27,423 --> 01:00:30,726 THE RESEARCH WHERE THE CARE IS 1577 01:00:30,726 --> 01:00:32,461 BEING DELIVERED AND SO, REALLY 1578 01:00:32,461 --> 01:00:36,065 ENCOURAGING THE KIND OF RESEARCH 1579 01:00:36,065 --> 01:00:37,933 THAT IS PERFORMED IN EXTERIOR 1580 01:00:37,933 --> 01:00:40,669 EXAMPLE PRAGMATIC AND 1581 01:00:40,669 --> 01:00:41,370 IMPLEMENTATION TRIALS, OR 1582 01:00:41,370 --> 01:00:43,539 RESEARCH THAT LOOKS AT HOW CARE 1583 01:00:43,539 --> 01:00:46,709 IS DELIVERED IN THE COMMUNITIES 1584 01:00:46,709 --> 01:00:49,745 THAT ARE IN THE GREATEST NEED. 1585 01:00:49,745 --> 01:00:50,879 THIS IS--THIS IS A CHALLENGING 1586 01:00:50,879 --> 01:00:53,148 AREA, BUT IT'S AN AREA THAT NIH 1587 01:00:53,148 --> 01:00:56,118 IN GENERAL IS REALLY INTERESTED 1588 01:00:56,118 --> 01:00:57,820 IN AND THE HEAL INITIATIVE AS 1589 01:00:57,820 --> 01:00:58,354 WELL. 1590 01:00:58,354 --> 01:01:02,891 I THINK THIS WILL ADDRESS A LOT 1591 01:01:02,891 --> 01:01:05,327 OF THAT SORT OF INEQUITY IN 1592 01:01:05,327 --> 01:01:07,796 SENSE, IT'S NOT JUST INEQUITY 1593 01:01:07,796 --> 01:01:09,631 AND CARE, IT'S INEQUITY IN THE 1594 01:01:09,631 --> 01:01:11,066 RESEARCH AS ITS BEING CONDUCTED 1595 01:01:11,066 --> 01:01:12,234 BECAUSE IT'S CHALLENGING TO DO 1596 01:01:12,234 --> 01:01:13,569 THIS KIND OF RESEARCH. 1597 01:01:13,569 --> 01:01:15,504 THERE ARE ADDITIONAL CHALLENGES 1598 01:01:15,504 --> 01:01:17,306 TO DOING IT AND WE ARE REALLY 1599 01:01:17,306 --> 01:01:19,074 WORKING HARD TO ADDRESS THAT IN 1600 01:01:19,074 --> 01:01:22,578 OUR PRAGMATIC AND IMPLEMENTATION 1601 01:01:22,578 --> 01:01:23,345 RESEARCH. 1602 01:01:23,345 --> 01:01:24,546 FOR EXAMPLE, CONDUCTING RESEARCH 1603 01:01:24,546 --> 01:01:25,647 IN RURAL HEALTH SITTING. 1604 01:01:25,647 --> 01:01:28,083 THIS IS HARD TO DO AND THERE ARE 1605 01:01:28,083 --> 01:01:29,051 ADDITIONAL CHALLENGES IN DOING 1606 01:01:29,051 --> 01:01:30,786 THAT AND WE ARE REALLY LOOKING 1607 01:01:30,786 --> 01:01:34,990 AT THAT VERY CAREFULLY. 1608 01:01:34,990 --> 01:01:40,062 >> AND HEALTH EQUITY. 1609 01:01:40,062 --> 01:01:41,830 >> AND I APPRECIATE BOTH YOUR 1610 01:01:41,830 --> 01:01:43,565 COMMENTS, SO MAYBE THIS IS A 1611 01:01:43,565 --> 01:01:44,466 SEPARATE CONVERSATION BUT 1612 01:01:44,466 --> 01:01:45,901 DEFINITELY SOMETHING THAT I WANT 1613 01:01:45,901 --> 01:01:49,371 TO CONTINUE TO EXPLORE. 1614 01:01:49,371 --> 01:01:50,105 >> SURE. 1615 01:01:50,105 --> 01:01:50,539 >> [INDISCERNIBLE] 1616 01:01:50,539 --> 01:01:51,540 >> AND IT'S IN REPORTER, IT 1617 01:01:51,540 --> 01:01:52,541 TAKES A LITTLE BIT OF DIGGING 1618 01:01:52,541 --> 01:01:54,043 ABOUT YOU WE CAN HELP FIND IT 1619 01:01:54,043 --> 01:01:56,011 BUT IT'S ALL PUBLICLY AVAILABLE, 1620 01:01:56,011 --> 01:01:57,513 BUT, YEAH, WE CAN HELP WITH IT. 1621 01:01:57,513 --> 01:02:00,749 >> WE'RE TALKING ABOUT THE 1622 01:02:00,749 --> 01:02:01,350 DEMOGRAPHICS. 1623 01:02:01,350 --> 01:02:02,117 >> RIGHT. 1624 01:02:02,117 --> 01:02:03,485 >> OF THE GRANTEES. 1625 01:02:03,485 --> 01:02:04,720 NYES, YES OF COURSE. 1626 01:02:04,720 --> 01:02:05,788 THAT'S ALL AVAILABLE. 1627 01:02:05,788 --> 01:02:06,121 YEAH, YEAH. 1628 01:02:06,121 --> 01:02:11,927 SO PAUL, YOU HAVE A QUESTION? 1629 01:02:11,927 --> 01:02:12,961 >> YES, THANK YOU. 1630 01:02:12,961 --> 01:02:13,862 IF LINDA'S FIRST SLIDE IN 1 OF 1631 01:02:13,862 --> 01:02:15,731 THE BOXES ON THE TOP IT TALKED 1632 01:02:15,731 --> 01:02:17,566 ABOUT THE TRANSITION FROM ACUTE 1633 01:02:17,566 --> 01:02:19,668 TO CHRONIC PAIN AS BEING AN AREA 1634 01:02:19,668 --> 01:02:21,003 OF FOCUS BUT I WONDER IF THERE 1635 01:02:21,003 --> 01:02:23,539 IS AN AREA OF FOCUS IN THE 1636 01:02:23,539 --> 01:02:25,474 TRANSITION FROM CHRONIC PAIN TO 1637 01:02:25,474 --> 01:02:30,079 HIGH IMPACT CHRONIC PAIN, IT 1638 01:02:30,079 --> 01:02:33,682 WILL REQUIRE INVESTIGATORS TO 1639 01:02:33,682 --> 01:02:34,983 LOOK AT VITAL PSYCHOSOCIAL 1640 01:02:34,983 --> 01:02:36,485 FUNCTIONING AS A MEASURE BECAUSE 1641 01:02:36,485 --> 01:02:39,588 AS WAS MENTIONED IN THE 1642 01:02:39,588 --> 01:02:40,155 INTRODUCTIONS, IT'S REALLY 1643 01:02:40,155 --> 01:02:41,990 IMPORTANT ABOUT HOW THAT 1644 01:02:41,990 --> 01:02:44,827 TRANSITION OCCURS OR HOW DO WE 1645 01:02:44,827 --> 01:02:45,694 PREVENT THE TRANSITION FROM 1646 01:02:45,694 --> 01:02:49,865 CHRONIC PAIN TO HIGH IMPACT 1647 01:02:49,865 --> 01:02:50,566 CHRONIC PAIN. 1648 01:02:50,566 --> 01:02:53,202 >> SO PAUL, THAT NOTE IN THE 1649 01:02:53,202 --> 01:02:55,737 SLIDES WAS FOR THE TOPIC AREAS 1650 01:02:55,737 --> 01:02:58,507 THAT WERE COVERED IN FEDERAL 1651 01:02:58,507 --> 01:03:00,142 PAIN RESEARCH STRATEGY, I AM 1652 01:03:00,142 --> 01:03:01,743 SURE THEY WILL CARRY OVER NOT IN 1653 01:03:01,743 --> 01:03:03,645 THE SAME KIND OF DESIGNATIONS OR 1654 01:03:03,645 --> 01:03:07,049 SLOTS IF YOU WILL, BUCKETS, BUT 1655 01:03:07,049 --> 01:03:08,383 YES, THAT WAS A TOPIC THEN AND 1656 01:03:08,383 --> 01:03:10,352 I'M SURE IT WILL BE A TOPIC NOW. 1657 01:03:10,352 --> 01:03:15,357 IT WAS THEN I THINK DESCRIBED AS 1658 01:03:15,357 --> 01:03:16,859 TERTIARY PREVENTION MOVING FROM 1659 01:03:16,859 --> 01:03:19,161 ACUTE TO HIGH IMPACT CHRONIC 1660 01:03:19,161 --> 01:03:19,728 PAIN. 1661 01:03:19,728 --> 01:03:21,463 THE DEFINITIONS NOW FOR HIGH 1662 01:03:21,463 --> 01:03:24,633 IMPACT CHRONIC PAIN ARE SO MUCH 1663 01:03:24,633 --> 01:03:26,635 CLEARER THAN THEY WERE WHEN THE 1664 01:03:26,635 --> 01:03:28,637 NATIONAL STRATEGY AND THE FPRS 1665 01:03:28,637 --> 01:03:30,472 WERE DONE, AS YOU KNOW. 1666 01:03:30,472 --> 01:03:32,007 SO YES, IT'S DEFINITELY WILL BE 1667 01:03:32,007 --> 01:03:34,209 AN AREA OF INTEREST. 1668 01:03:34,209 --> 01:03:34,510 >> GREAT. 1669 01:03:34,510 --> 01:03:34,943 THANK YOU. 1670 01:03:34,943 --> 01:03:41,683 NGREAT, NOW THE CHAT IS BEING 1671 01:03:41,683 --> 01:03:43,285 QUITE BUSY. 1672 01:03:43,285 --> 01:03:44,486 LET'S GO TO ELIZABETH, HAVE YOU 1673 01:03:44,486 --> 01:03:48,123 A QUESTION ABOUT OUTCOMES? 1674 01:03:48,123 --> 01:03:49,758 BEST PRACTICES AND CHANGES IN 1675 01:03:49,758 --> 01:03:50,692 PATIENT EXPERIENCE OUTCOME, YOU 1676 01:03:50,692 --> 01:03:56,431 WANT TO EXPAND ON THAT? 1677 01:03:56,431 --> 01:03:57,599 >> SURE, IT'S NOT SO MUCH A 1678 01:03:57,599 --> 01:03:59,501 QUESTION BUT I WANT TO LOOK AT 1679 01:03:59,501 --> 01:04:01,336 THE RFI AND TAKE IT BACK TO MY 1680 01:04:01,336 --> 01:04:03,572 AGENCY BUT I THINK THOSE ARE THE 1681 01:04:03,572 --> 01:04:05,841 ANGLES THAT AHRQ WOULD BE 1682 01:04:05,841 --> 01:04:07,075 ESPECIALLY INTERESTED IN. 1683 01:04:07,075 --> 01:04:08,610 >> YES, THAT'S EXACTLY THE KIND 1684 01:04:08,610 --> 01:04:12,581 OF FEEDBACK, THAT'S RIGHT, THAT 1685 01:04:12,581 --> 01:04:15,517 THE RFI CAN CAPTURE. 1686 01:04:15,517 --> 01:04:20,155 WONDERFUL OKAY. 1687 01:04:20,155 --> 01:04:22,024 NOW WE HAVE--HOPEFULLY WE 1688 01:04:22,024 --> 01:04:24,359 ANSWERED THE QUESTION ABOUT THE 1689 01:04:24,359 --> 01:04:24,760 DEMOGRAPHICS. 1690 01:04:24,760 --> 01:04:28,397 WELL THE'S SEE, NOW I HAVE TO 1691 01:04:28,397 --> 01:04:29,831 SAY, ACCORDING TO OUR AGENDA WE 1692 01:04:29,831 --> 01:04:31,466 MIGHT WANT TO MOVE ON TO OUR 1693 01:04:31,466 --> 01:04:34,937 NEXT TOPIC BUT THERE WILL BE AN 1694 01:04:34,937 --> 01:04:37,773 OPPORTUNITY AFTER WE HEAR SCOTT 1695 01:04:37,773 --> 01:04:38,607 FISHMAN'S PRESENTATION ON 1696 01:04:38,607 --> 01:04:39,708 PROVIDER EDUCATION AND POTENTIAL 1697 01:04:39,708 --> 01:04:45,414 FOR WORKING GROUP ACTIVITIES, OF 1698 01:04:45,414 --> 01:04:47,549 THIS--OF THE IPRCC YOU MAY WANT 1699 01:04:47,549 --> 01:04:51,220 TO COME BACK TO THIS TOPIC HOW 1700 01:04:51,220 --> 01:04:54,856 TO GET INPUT TO THE HEAL 1701 01:04:54,856 --> 01:04:56,858 STRATEGIC PLAN AFTER WE'VE HEARD 1702 01:04:56,858 --> 01:05:02,097 SCOTT'S PRESENTATION, HOW DOES 1703 01:05:02,097 --> 01:05:02,698 THAT SOUND? 1704 01:05:02,698 --> 01:05:05,801 SO WHY DON'T WE NOW MOVE ON TO 1705 01:05:05,801 --> 01:05:07,302 SCOTT FISHMAN WHO WILL GIVE US 1706 01:05:07,302 --> 01:05:11,073 HIS THOUGHTS ON THE VERY 1707 01:05:11,073 --> 01:05:14,376 IMPORTANT TOPIC OF PROVIDER 1708 01:05:14,376 --> 01:05:14,643 EDUCATION. 1709 01:05:14,643 --> 01:05:16,178 >> WELL, THANKS, I WILL SHARE MY 1710 01:05:16,178 --> 01:05:16,712 SCREEN HERE. 1711 01:05:16,712 --> 01:05:18,680 THIS IS A REQUEST FOR A LITTLE 1712 01:05:18,680 --> 01:05:19,982 BIT MORE FORMAL PRESENTATION ON 1713 01:05:19,982 --> 01:05:24,019 WHAT I SPOKE ON LAST MEETING 1714 01:05:24,019 --> 01:05:25,988 JUST VERY SPONTANEOUSLY AROUND 1715 01:05:25,988 --> 01:05:29,224 INYAISHATIVES AROUND PAIN, 1716 01:05:29,224 --> 01:05:30,726 EDUCATION AND OPPORTUNITIES AND 1717 01:05:30,726 --> 01:05:34,563 I'VE ALSO INCLUDED A LITTLE BIT 1718 01:05:34,563 --> 01:05:36,198 ABOUT WELLNESS AND RESILIENCE, 1719 01:05:36,198 --> 01:05:38,800 PAIN PREVENTION HERE AS WELL 1720 01:05:38,800 --> 01:05:40,969 WHICH MAY BE ANOTHER POSSIBLE 1721 01:05:40,969 --> 01:05:42,371 TOPIC TO LOOK AT. 1722 01:05:42,371 --> 01:05:52,914 SO I'M GOING TO SHARE MY SCREEN. 1723 01:05:57,953 --> 01:06:00,956 CAN YOU SEE THAT SLIDE? 1724 01:06:00,956 --> 01:06:02,924 >> YOU'RE NOT IN PRESENTATION 1725 01:06:02,924 --> 01:06:03,525 MODE YET? 1726 01:06:03,525 --> 01:06:12,467 MAYBE SWAP YOUR DISPLAY? 1727 01:06:12,467 --> 01:06:15,170 UPPER LEFT IT SAYS SWAP 1728 01:06:15,170 --> 01:06:16,305 DISPLAYS. 1729 01:06:16,305 --> 01:06:16,571 >> YES. 1730 01:06:16,571 --> 01:06:17,339 >> THAT OKAY? 1731 01:06:17,339 --> 01:06:17,906 >> GREAT. 1732 01:06:17,906 --> 01:06:18,373 GREAT. 1733 01:06:18,373 --> 01:06:18,607 PERFECT. 1734 01:06:18,607 --> 01:06:23,011 NEVER KNEW ABOUT THAT. 1735 01:06:23,011 --> 01:06:25,080 SO THE TOPIC IS THE EDUCATION 1736 01:06:25,080 --> 01:06:26,715 GAP IN PAIN, I WILL GO VERY 1737 01:06:26,715 --> 01:06:30,319 QUICKLY BECAUSE OF THE TIME AND 1738 01:06:30,319 --> 01:06:31,653 I SUSPECT THAT MOST OF YOU KNOW 1739 01:06:31,653 --> 01:06:34,056 A LOT OF THIS INFORMATION. 1740 01:06:34,056 --> 01:06:38,794 YOU KNOW IT GOES BACK WELL 1741 01:06:38,794 --> 01:06:47,869 BEFORE THE IOM OR THE INSTITUTE 1742 01:06:47,869 --> 01:06:51,406 OF THE LANDMARK REPORT ON PAIN 1743 01:06:51,406 --> 01:06:53,141 IN AMERICA IN 2011 THAT 1744 01:06:53,141 --> 01:06:55,177 RECOGNIZED THAT THE DIFFUSION 1745 01:06:55,177 --> 01:06:58,680 ANALOGY ABOUT PAIN IS INADEQUATE 1746 01:06:58,680 --> 01:07:01,183 THAT IT AFFECTED ALL HEALTH 1747 01:07:01,183 --> 01:07:02,484 PROFESSIONALS BOTH PREAND POST 1748 01:07:02,484 --> 01:07:06,655 LICENSURE IN TERMS OF PHASES ET 1749 01:07:06,655 --> 01:07:08,090 CETERA AND THAT EVERYBODY SHARES 1750 01:07:08,090 --> 01:07:11,193 THE BURDEN IN TERMS OF CLINICAL 1751 01:07:11,193 --> 01:07:12,361 PRACTICE AND HEALTHCARE, NOT 1752 01:07:12,361 --> 01:07:15,564 JUST PHYSICIANS OR NURSES. 1753 01:07:15,564 --> 01:07:16,331 IT'S PRETTY WIDE. 1754 01:07:16,331 --> 01:07:20,802 AND THE DEFICIT OCCURS ACROSS 1755 01:07:20,802 --> 01:07:22,037 THE BOARD. 1756 01:07:22,037 --> 01:07:23,205 THE NATIONAL PAIN STRATEGY SPOKE 1757 01:07:23,205 --> 01:07:24,906 TO THIS QUOTE ALTHOUGH PAIN IS 1 1758 01:07:24,906 --> 01:07:27,142 OF THE MOST COMMON REASONS FOR 1759 01:07:27,142 --> 01:07:29,411 HEALTHCARE VISITS, MOST 1760 01:07:29,411 --> 01:07:30,178 HEALTHCARE POSITIONS, EDUCATION 1761 01:07:30,178 --> 01:07:33,749 PROGRAMS HAVE YET TO GIVE 1762 01:07:33,749 --> 01:07:34,182 ADEQUATE ATTENTION. 1763 01:07:34,182 --> 01:07:36,752 ONE OF THE SILVER LININGS OF 1764 01:07:36,752 --> 01:07:38,220 OPIOID CRISIS WAS THAT IT 1765 01:07:38,220 --> 01:07:39,054 DEFINITELY GOT ATTENTION. 1766 01:07:39,054 --> 01:07:40,255 I THINK CRITICISM OF WHAT'S 1767 01:07:40,255 --> 01:07:42,391 HAPPENED IS THAT THERE'S BEEN 1768 01:07:42,391 --> 01:07:46,728 KIND OF THE ACCESS PUT ON MAYBE 1769 01:07:46,728 --> 01:07:47,763 THE WRONG SYLLABLE KIND OF 1770 01:07:47,763 --> 01:07:49,831 PROBLEM WHERE A LOT OF THE 1771 01:07:49,831 --> 01:07:52,300 EDUCATION WAS ABOUT NOT USING 1772 01:07:52,300 --> 01:07:53,402 OPIOIDS, BUT THE UNDERLYING 1773 01:07:53,402 --> 01:07:56,972 PROBLEM OF WHAT TO DO TO TREAT 1774 01:07:56,972 --> 01:07:58,907 PAIN REALLY WAS THE CORE 1775 01:07:58,907 --> 01:08:00,008 FUNDAMENTAL PROBLEM THAT WASN'T 1776 01:08:00,008 --> 01:08:04,613 FULLY ADDRESSED IN ALL THE 1777 01:08:04,613 --> 01:08:05,447 CURRICULAR INTERVENTIONS. 1778 01:08:05,447 --> 01:08:08,784 I MENTIONED THIS BEFORE THAT 1779 01:08:08,784 --> 01:08:11,420 BACK IN 2013 WE PUBLISHED A SET 1780 01:08:11,420 --> 01:08:12,454 OF CORE COMPETENCIES, THEY'RE 1781 01:08:12,454 --> 01:08:15,290 SIMPLY THE GOALS OF TREATMENT 1782 01:08:15,290 --> 01:08:20,862 AND WHILE THIS WAS A REALLY 1783 01:08:20,862 --> 01:08:25,734 DISTINGUISHED GROUP OF PAIN 1784 01:08:25,734 --> 01:08:27,469 EDUCATORS AND SPECIALISTS, ET 1785 01:08:27,469 --> 01:08:30,138 CETERA, THAT CAME UP WITH THESE 1786 01:08:30,138 --> 01:08:31,640 CORE COMPETENCIES, WHAT REALLY 1787 01:08:31,640 --> 01:08:36,077 HELD UP FOR THE 4 DOMAINS THAT 1788 01:08:36,077 --> 01:08:38,947 WE CAME UP WITH AROUND, WHAT IS 1789 01:08:38,947 --> 01:08:43,852 IT THAT ANY HEALTH PROFESSIONAL 1790 01:08:43,852 --> 01:08:45,420 SHOULD KNOW AS THE FLOOR, AS THE 1791 01:08:45,420 --> 01:08:46,822 BASICS AND IT CAME DOWN TO 1792 01:08:46,822 --> 01:08:48,190 EVERYONE WHO TREATS PATIENTS 1793 01:08:48,190 --> 01:08:51,760 SHOULD KNOW WHAT PAIN IS, HOW TO 1794 01:08:51,760 --> 01:08:55,897 RECOGNIZE AND ASSESS PAIN, HOW 1795 01:08:55,897 --> 01:08:58,467 TO RELIEVE PAIN SAFELY AND 1796 01:08:58,467 --> 01:08:59,968 EFFECTIVELY AND HOW CONTEXT 1797 01:08:59,968 --> 01:09:01,236 EFFECTS PAIN, YOU KNOW THE 1798 01:09:01,236 --> 01:09:03,472 DIFFERENCE BETWEEN A CHILD AND A 1799 01:09:03,472 --> 01:09:06,007 AN ADULT, THE DIFFERENCE BETWEEN 1800 01:09:06,007 --> 01:09:07,976 ACUTE AND CHRONIC, ET CETERA. 1801 01:09:07,976 --> 01:09:09,711 THESE NUANCES SHOULD BE 1802 01:09:09,711 --> 01:09:11,446 UNDERSTOOD WITHIN THE CONTEXT OF 1803 01:09:11,446 --> 01:09:14,216 THE COPE OF PRACTICE FOR ALL OF 1804 01:09:14,216 --> 01:09:16,852 THE PROFESSIONS THAT COME TO THE 1805 01:09:16,852 --> 01:09:17,052 TABLE. 1806 01:09:17,052 --> 01:09:20,822 AGAIN I'M NOT DIVING IN DEEP, 1807 01:09:20,822 --> 01:09:21,690 HAPPY TO ANSWER QUESTIONS BUT 1808 01:09:21,690 --> 01:09:23,525 THE BOTTOM LINE IS THAT THESE 1809 01:09:23,525 --> 01:09:25,060 HAVE BEEN WIDELY EMBRACED AND 1810 01:09:25,060 --> 01:09:28,163 WIDELY USED AND THAT STRUCTURES 1811 01:09:28,163 --> 01:09:28,430 CONTINUED. 1812 01:09:28,430 --> 01:09:29,698 AT THE UNIVERSITY OF CALIFORNIA 1813 01:09:29,698 --> 01:09:40,242 WHERE I PRACTICE, WE'VE ACTUALLY 1814 01:09:42,410 --> 01:09:44,446 CREATED A UC-WIDE SET OF CORE 1815 01:09:44,446 --> 01:09:48,149 COMTENCYS THAT ALL THE DEANS 1816 01:09:48,149 --> 01:09:50,685 AGREED ON, WE INCLUDED SUBSTANCE 1817 01:09:50,685 --> 01:09:53,021 USE DISORDER AND PAIN, AND WE'RE 1818 01:09:53,021 --> 01:10:00,228 QUITE MINDFUL THAT THEY'RE NOT 1819 01:10:00,228 --> 01:10:00,729 INTERCHANGEABLE, THEY'RE 1820 01:10:00,729 --> 01:10:01,530 DIFFERENT, AND HOW DO YOU 1821 01:10:01,530 --> 01:10:03,732 RECOGNIZE IT, HOW DO YOU SAFELY 1822 01:10:03,732 --> 01:10:06,034 AND EFFECTIVELY APPROACH IT IN 1823 01:10:06,034 --> 01:10:07,869 HOW DOES CONTEXT APPROACH IT? 1824 01:10:07,869 --> 01:10:09,170 REALLY HELD UP FOR THIS MODEL 1825 01:10:09,170 --> 01:10:12,474 AND THERE HAVE BEEN MANY STATES 1826 01:10:12,474 --> 01:10:14,576 SRO DONE THIS, THE ISSUE IS IN 1827 01:10:14,576 --> 01:10:16,878 TERMS OF HOW IT'S GOTTEN 1828 01:10:16,878 --> 01:10:18,046 TRANSLATED AND I WILL SPEAK TO 1829 01:10:18,046 --> 01:10:22,617 THIS AT THE END, BUT, I STILL 1830 01:10:22,617 --> 01:10:25,086 REMAIN QUITE CONCERNED ABOUT THE 1831 01:10:25,086 --> 01:10:27,222 NEED FOR SCHOOLS TO REALLY 1832 01:10:27,222 --> 01:10:28,823 INCORPORATE WHAT I THINK CAME UP 1833 01:10:28,823 --> 01:10:33,795 IN SOME OF THE CHAT WHICH IS 1834 01:10:33,795 --> 01:10:36,097 REALLY SEPARATING THE PAIN FROM 1835 01:10:36,097 --> 01:10:39,668 THE SUBSTANCE USE DISORDER AND 1836 01:10:39,668 --> 01:10:41,870 THE SUBSTANCE USE DISORDER AND 1837 01:10:41,870 --> 01:10:43,872 ANXIOUS WE HAVE RIGHTFULLY SO 1838 01:10:43,872 --> 01:10:47,842 THAT OPIOID USE DISORDER AND 1839 01:10:47,842 --> 01:10:49,244 ADDICTION, USE DISORDERS ARE SO 1840 01:10:49,244 --> 01:10:50,879 PROFOUND THAT WE'VE GOT TO TEACH 1841 01:10:50,879 --> 01:10:53,848 OUR STUDENTS TO ADDRESS IT, BUT 1842 01:10:53,848 --> 01:10:57,018 THEN THAT'S ALL WE GET AND THE 1843 01:10:57,018 --> 01:10:59,955 UNDERLYING NEED TO ACTUALLY KNOW 1844 01:10:59,955 --> 01:11:02,557 HOW TO TREAT PAIN, DOESN'T GET 1845 01:11:02,557 --> 01:11:05,360 TO THE TABLE AND CLASSICALLY, AS 1846 01:11:05,360 --> 01:11:07,429 I'M SURE ALL OF YOU KNOW, PAIN 1847 01:11:07,429 --> 01:11:11,266 IS PART OF EVERY CLINICAL 1848 01:11:11,266 --> 01:11:12,901 DISCIPLINE AND WHEN THE KRIM 1849 01:11:12,901 --> 01:11:15,103 LUMGROUP COMES TO THE TABLE AT 1850 01:11:15,103 --> 01:11:17,639 MOST SCHOOLS IT BECOMES 1851 01:11:17,639 --> 01:11:18,907 [INDISCERNIBLE] AT THAT TABLE 1852 01:11:18,907 --> 01:11:21,242 BECAUSE THERE'S NO 1 GROUP THAT 1853 01:11:21,242 --> 01:11:21,610 PRIORITIZES IT. 1854 01:11:21,610 --> 01:11:27,449 SO THIS IS WHAT WE'RE CONCERNED 1855 01:11:27,449 --> 01:11:27,782 ABOUT. 1856 01:11:27,782 --> 01:11:29,417 ONE OUTCOME OF THE COMPETENCIES 1857 01:11:29,417 --> 01:11:31,820 WAS WE WERE INVITED BY THE 1858 01:11:31,820 --> 01:11:33,355 NATIONAL BOARD OF MEDICAL 1859 01:11:33,355 --> 01:11:35,890 EXAMINERS TO REVIEW THE USME, 1860 01:11:35,890 --> 01:11:40,595 THE U.S. LICENSING EXAM, MOST OF 1861 01:11:40,595 --> 01:11:41,663 YOU, PROBABLY THE MOST IMPORTANT 1862 01:11:41,663 --> 01:11:44,299 TEST A PHYSICIAN HAS TO TAKE TO 1863 01:11:44,299 --> 01:11:46,468 PRACTICE MEDICINE, YOU REALLY 1864 01:11:46,468 --> 01:11:47,736 CAN'T PRACTICE MEDICINE WITHOUT 1865 01:11:47,736 --> 01:11:49,037 PASSING THIS AND GET A STATE 1866 01:11:49,037 --> 01:11:50,205 MEDICAL LICENSE, SO WHAT I FOUND 1867 01:11:50,205 --> 01:11:51,740 AND I WON'T GO INTO A LET OF 1868 01:11:51,740 --> 01:11:54,042 DETAIL THAT AFTER LOOKING AT THE 1869 01:11:54,042 --> 01:11:56,011 ACTUAL EXAMS, WE WENT IN, WE 1870 01:11:56,011 --> 01:12:01,316 BROUGHT A BLUE RIBBON PANEL TO 1871 01:12:01,316 --> 01:12:02,283 PHILADELPHIA WHERE THE NATIONAL 1872 01:12:02,283 --> 01:12:03,585 BOARD OF EXAMINERS LIVINGS. 1873 01:12:03,585 --> 01:12:05,086 THEY BROUGHT US INTO A SECURE 1874 01:12:05,086 --> 01:12:06,688 ENVIRONMENT AND THEY BROUGHT US 1875 01:12:06,688 --> 01:12:10,792 THE ACTUAL TESTS, AND WE 1876 01:12:10,792 --> 01:12:12,060 ACTUALLY REVIEWS OVER 2 DAYS, 1877 01:12:12,060 --> 01:12:15,363 QUESTION AFTER QUESTION AND THIS 1878 01:12:15,363 --> 01:12:16,665 IS ESSENTIALLY THE PUNCH LINE OF 1879 01:12:16,665 --> 01:12:18,600 WHAT WE FOUND AND I CAN TELL YOU 1880 01:12:18,600 --> 01:12:20,135 MORE ABOUT IT BUT ULTIMATELY 1881 01:12:20,135 --> 01:12:25,774 THAT WE FOUND THAT ALMOST 90% OF 1882 01:12:25,774 --> 01:12:26,808 THE QUESTIONS,--ACTUALLY I 1883 01:12:26,808 --> 01:12:28,343 SHOULD SAY, WE WENT IN BELIEVING 1884 01:12:28,343 --> 01:12:31,246 THAT PAIN WOULDN'T BE PART OF 1885 01:12:31,246 --> 01:12:33,014 THE EXAM VERY MUCH BUT PAIN WAS 1886 01:12:33,014 --> 01:12:36,651 ALL OVER THIS EXAM, MOSTLY AS A 1887 01:12:36,651 --> 01:12:37,952 DESCRIPTOR BUT WE FOUND WAS THAT 1888 01:12:37,952 --> 01:12:39,387 15% OF THE EXAM TESTED ON PAIN. 1889 01:12:39,387 --> 01:12:42,157 AND WHEN YOU LOOKED AT THOSE 1890 01:12:42,157 --> 01:12:43,792 QUESTIONS THAT TESTED ON PAIN, 1891 01:12:43,792 --> 01:12:48,096 ALMOST 90% OF THOSE QUESTIONS 1892 01:12:48,096 --> 01:12:49,264 WERE SIMPLY ABOUT HOW TO 1893 01:12:49,264 --> 01:12:50,331 RECOGNIZE PAIN, HOW TO,A 1894 01:12:50,331 --> 01:12:50,865 ASSESSES PAIN. 1895 01:12:50,865 --> 01:12:52,133 AND WE TRIED TO UNDERSTAND THIS 1896 01:12:52,133 --> 01:12:53,134 IN THE CONTEXT OF WHAT WAS 1897 01:12:53,134 --> 01:12:57,072 HAPPENING ON THE THE TIME WHICH 1898 01:12:57,072 --> 01:12:58,807 WAS AN OPIOID CRISIS AND WHAT 1899 01:12:58,807 --> 01:13:00,942 WE'RE ABLE TO CORRELATE IS THAT 1900 01:13:00,942 --> 01:13:01,643 IF YOU--YOU KNOW THESE ARE 1901 01:13:01,643 --> 01:13:03,611 THINGS THAT I KNOW YOU ALL KNOW, 1902 01:13:03,611 --> 01:13:07,115 THAT WHEN YOU LOOK AT THAT 1903 01:13:07,115 --> 01:13:09,217 INFLECTION POINT WHEN THE 1904 01:13:09,217 --> 01:13:10,885 OVERDOSE, THE INTERNAL AUDIT 1905 01:13:10,885 --> 01:13:12,220 TENDED OVERDOSE DEATHS WITH 1906 01:13:12,220 --> 01:13:14,789 OPIOIDS STARTED TO RISE, IT 1907 01:13:14,789 --> 01:13:17,025 OVERLAPPED ALMOST PRECISELY WITH 1908 01:13:17,025 --> 01:13:22,664 WHEN THE JACO OR JOINT 1909 01:13:22,664 --> 01:13:24,699 COMMISSION PAIN [INDISCERNIBLE] 1910 01:13:24,699 --> 01:13:25,533 VITAL EMERGED AND 1 WOULD 1911 01:13:25,533 --> 01:13:27,068 HYPOTHESIZE THAT ONCE THAT 1912 01:13:27,068 --> 01:13:29,003 HAPPENED THERE WAS A PUSH IN 1913 01:13:29,003 --> 01:13:31,606 SCHOOLS TO CHANGE CURRICULUM AND 1914 01:13:31,606 --> 01:13:35,009 WHEN THEY CHANGE THE CURRICULUM 1915 01:13:35,009 --> 01:13:36,945 WHAT THEY DID WAS WHEN JOINT 1916 01:13:36,945 --> 01:13:38,813 COMMISSION MADE PAIN WITH THE 1917 01:13:38,813 --> 01:13:42,250 VITAL SIGN, THEY ASSUME THAT IF 1918 01:13:42,250 --> 01:13:43,151 CLINICIANS SIMPLY RECOGNIZE PAIN 1919 01:13:43,151 --> 01:13:45,620 OF COURSE THEY WOULD WANT TO 1920 01:13:45,620 --> 01:13:46,855 TREAT IT APPROPRIATELY AND YET 1921 01:13:46,855 --> 01:13:48,089 THEY WERE NEVER REALLY TRAINED. 1922 01:13:48,089 --> 01:13:51,326 SO IF YOU BELIEVE THAT THE TEST 1923 01:13:51,326 --> 01:13:52,861 REFLECTS THE CONTENT, HERE IT'S 1924 01:13:52,861 --> 01:13:54,963 REFLECTING THAT WE EMPHASIZE 1925 01:13:54,963 --> 01:13:57,465 ASSESSMENT BUT WE REALLY DON'T 1926 01:13:57,465 --> 01:13:59,000 EMPHASIZE THE OTHER CORE 1927 01:13:59,000 --> 01:13:59,834 COMPETENCIES OF UNDERSTANDING 1928 01:13:59,834 --> 01:14:02,036 PAIN, HOW TO SAFELY, EFFECTIVELY 1929 01:14:02,036 --> 01:14:04,572 TREAT IT IN CONTEXT, WE'RE 1930 01:14:04,572 --> 01:14:08,543 REALLY NOT REPRESENTED IN THE 1931 01:14:08,543 --> 01:14:11,846 U.S. MLE WHICH WAS SHOCKING TO 1932 01:14:11,846 --> 01:14:12,046 FIND. 1933 01:14:12,046 --> 01:14:15,950 AND WE DID A PROCESS LOOKING AT 1934 01:14:15,950 --> 01:14:18,286 PRELICENSURE TRAINING AND AN 1935 01:14:18,286 --> 01:14:19,420 EMPHASIS THAT THIS HAS TO 1936 01:14:19,420 --> 01:14:20,522 CHANGE, ET CETERA AND I THINK 1937 01:14:20,522 --> 01:14:21,823 THERE'S BEEN A GREAT DEAL OF 1938 01:14:21,823 --> 01:14:26,127 INVESTMENT IN THIS AND YET, THE 1939 01:14:26,127 --> 01:14:27,495 UPTAKE OF IT IS DIFFICULT 1940 01:14:27,495 --> 01:14:29,931 BECAUSE AS I THINK MOST OF YOU 1941 01:14:29,931 --> 01:14:32,534 PROBABLY KNOW, IF YOU'VE SEEN 1 1942 01:14:32,534 --> 01:14:34,235 CURRICULUM, YOU'VE SEEN 1 1943 01:14:34,235 --> 01:14:35,637 CURRICULUM, IT'S AN ART FORM. 1944 01:14:35,637 --> 01:14:37,005 EVERYBODY DOES IT DIFFERENTLY 1945 01:14:37,005 --> 01:14:38,540 BUT FOR 1 THING WE COULD FIND 1946 01:14:38,540 --> 01:14:40,275 AGREEMENT ON IS WHAT'S THE 1947 01:14:40,275 --> 01:14:41,109 OBJECTIVE OF THE CURRICULUM 1948 01:14:41,109 --> 01:14:44,312 WHICH IS TO HAVE A COMPETENT 1949 01:14:44,312 --> 01:14:45,547 HEALTH PROFESSIONAL WHO CAN 1950 01:14:45,547 --> 01:14:49,350 MANAGE PAIN AND THERE'S 1951 01:14:49,350 --> 01:14:51,319 AGREEMENT ON THAT AND IF WE'RE 1952 01:14:51,319 --> 01:14:56,224 GOING TO GET THAT COMPETENCY TO 1953 01:14:56,224 --> 01:14:57,625 REALLY GET EMBEDDED, I THINK WE 1954 01:14:57,625 --> 01:15:00,461 WILL NEED TO GET THE CREDITORS 1955 01:15:00,461 --> 01:15:02,163 INVOLVED THAT WOULD 1956 01:15:02,163 --> 01:15:02,864 INSTANTANEOUSLY CHANGE THE 1957 01:15:02,864 --> 01:15:03,832 CALCULUS HERE FOR SCHOOLS AND I 1958 01:15:03,832 --> 01:15:05,133 THINK IT'S POSSIBLE TO DO THAT. 1959 01:15:05,133 --> 01:15:09,270 I WILL SPEAK TO THAT AT THE END. 1960 01:15:09,270 --> 01:15:10,672 THE OTHER IS WHAT DO WE DO ABOUT 1961 01:15:10,672 --> 01:15:12,207 THE REST OF THE WORKFORCE WHO 1962 01:15:12,207 --> 01:15:15,543 WILL NEVER GET THE BENEFIT OF 1963 01:15:15,543 --> 01:15:16,211 CHANGING MEDICAL EDUCATION. 1964 01:15:16,211 --> 01:15:17,378 THIS IS SOMETHING WE'VE 1965 01:15:17,378 --> 01:15:18,580 ADDRESSED THROUGH MANY DIFFERENT 1966 01:15:18,580 --> 01:15:18,847 CHANNELS. 1967 01:15:18,847 --> 01:15:20,315 AGAIN I WILL GO THROUGH QUICKLY 1968 01:15:20,315 --> 01:15:20,582 HERE. 1969 01:15:20,582 --> 01:15:22,917 I'M SURE YOU ALL HEARD OF 1970 01:15:22,917 --> 01:15:24,986 PROJECT ECHO, WE--WE LOOKEDDA 1971 01:15:24,986 --> 01:15:26,187 THE PROJECT ECHO FOR PAIN. 1972 01:15:26,187 --> 01:15:27,856 I WILL FLIP THROUGH HERE, I JUST 1973 01:15:27,856 --> 01:15:29,257 PULLED UP ALL THE DIFFERENT 1974 01:15:29,257 --> 01:15:33,194 ARTICLES I FOUND OVER REALLY THE 1975 01:15:33,194 --> 01:15:35,663 LAST 10 YEARS ON ECHO AND PAIN. 1976 01:15:35,663 --> 01:15:37,131 OUR APPROACH WAS A LITTLE BIT 1977 01:15:37,131 --> 01:15:38,466 DIFFERENT THAN MOST IN THAT 1978 01:15:38,466 --> 01:15:43,204 RATHER THAN DOING A ONE-ON-ONE 1979 01:15:43,204 --> 01:15:44,739 WITH A RURAL PROVIDER OR 1980 01:15:44,739 --> 01:15:45,473 UNDERSERVED PROVIDER AND 1981 01:15:45,473 --> 01:15:46,841 TEACHING THEM HOW TO TREAT THEIR 1982 01:15:46,841 --> 01:15:52,313 PATIENT, WE TRIED TO RETRAIN 1983 01:15:52,313 --> 01:15:53,948 PRIMARY CARE ORGANIZATIONS AND 1984 01:15:53,948 --> 01:15:56,618 WE SPEND 6 MONTHS TO A YEAR WITH 1985 01:15:56,618 --> 01:15:57,185 ORGANIZATIONS. 1986 01:15:57,185 --> 01:16:00,288 TEACHING THEM TO REALLY BE A 1987 01:16:00,288 --> 01:16:01,689 PRIMARY CARE, THE CENTER OF 1988 01:16:01,689 --> 01:16:03,758 EXCELLENCE FOR PAIN MANAGE AM. 1989 01:16:03,758 --> 01:16:05,593 IT WAS ACTUALLY QUITE FULFILLING 1990 01:16:05,593 --> 01:16:06,561 AND QUITE EFFECTIVE AND THE 1991 01:16:06,561 --> 01:16:07,962 MEASURE OF THAT EFFECTIVENESS 1992 01:16:07,962 --> 01:16:10,031 WAS THAT WE HAD INSURANCE 1993 01:16:10,031 --> 01:16:11,232 COMPANIES COMING TO US WANTING 1994 01:16:11,232 --> 01:16:16,404 TO PAY US TO DO FOR THEIR 1995 01:16:16,404 --> 01:16:21,109 PROGRAMS FOR FQHCs, FOR PUBLIC 1996 01:16:21,109 --> 01:16:22,644 HEALTH PROGRAMS, ET CETERA AND 1997 01:16:22,644 --> 01:16:25,980 YOU KNOW WHAT IT TURNED OUT IS 1998 01:16:25,980 --> 01:16:26,714 THERE REALLY WASN'T JUST ENOUGH 1999 01:16:26,714 --> 01:16:28,249 OF US AND IT WAS A GOOD PROGRAM 2000 01:16:28,249 --> 01:16:29,784 AND QUITE EFFECTIVE AND SOME OF 2001 01:16:29,784 --> 01:16:31,552 THESE PROGRAMS EVEN DID OUTCOMES 2002 01:16:31,552 --> 01:16:35,723 RESEARCH TO SHOW THAT THERE WAS 2003 01:16:35,723 --> 01:16:37,592 GREATER PATIENT AND PROVIDER 2004 01:16:37,592 --> 01:16:38,326 SATISFACTION, RESOURCE 2005 01:16:38,326 --> 01:16:39,260 UTILIZATION WENT DOWN. 2006 01:16:39,260 --> 01:16:41,462 OPIOID PROBLEMS WENT DOWN, 2007 01:16:41,462 --> 01:16:42,163 REFERRALS TO SPECIALISTS EACH 2008 01:16:42,163 --> 01:16:46,701 WEPT DOWN AND THERE WERE BETTER 2009 01:16:46,701 --> 01:16:48,236 OUTCOMES AS MEASURED IN PRIMARY 2010 01:16:48,236 --> 01:16:51,439 CARE AND EMERGENCY ROOMS, ET 2011 01:16:51,439 --> 01:16:52,373 CETERA. 2012 01:16:52,373 --> 01:16:54,409 BUT IT WAS THE PROBLEM HERE IS 2013 01:16:54,409 --> 01:16:57,011 THAT, WE DIDN'T HAVE ENOUGH OF 2014 01:16:57,011 --> 01:16:59,347 US TO DO IT SO WE HAD TO FIGURE 2015 01:16:59,347 --> 01:16:59,948 OUT HOW TO MAG FIELD 2016 01:16:59,948 --> 01:17:00,815 FUNCTIONSIFY THE FORCE OF THIS 2017 01:17:00,815 --> 01:17:03,318 AND WE CAME UP WITH THIS TRAIN 2018 01:17:03,318 --> 01:17:05,386 THE TRAINER MODEL WHICH WE'VE 2019 01:17:05,386 --> 01:17:06,321 NOW DONE FOR 5 YEARS. 2020 01:17:06,321 --> 01:17:10,425 IT'S A VERY SIMPLE MODEL IN THE 2021 01:17:10,425 --> 01:17:11,459 SENSE WHERE WE TRAIN SOMEONE 2022 01:17:11,459 --> 01:17:13,528 FROM A PRACTICE TO WORK WITH US 2023 01:17:13,528 --> 01:17:16,297 FOR A YEAR AT A DISTANCE. 2024 01:17:16,297 --> 01:17:18,333 WE ALSO HAVE MOST OF OUR GROUPS 2025 01:17:18,333 --> 01:17:20,768 BEFORE COVID WOULD COME IN FOR A 2026 01:17:20,768 --> 01:17:22,603 PREAND A POST CONFERENCING 2027 01:17:22,603 --> 01:17:24,939 PERSON TO DO HANDS ON TRAINING 2028 01:17:24,939 --> 01:17:26,641 AND WE'VE EVEN TRAINED THESE 2029 01:17:26,641 --> 01:17:28,476 FOLKS TO DO ULTRASOUND BUT 2030 01:17:28,476 --> 01:17:31,045 MOSTLY WE TRAIN THEM TO DO 2031 01:17:31,045 --> 01:17:32,880 ADEQUATE EXAMS SO THAT THEY CAN 2032 01:17:32,880 --> 01:17:35,183 MAKE A DECISION THAT'S MORE 2033 01:17:35,183 --> 01:17:37,885 SOUND AND GET IT RIGHT BEFORE 2034 01:17:37,885 --> 01:17:40,321 THEY HAVE TO SAY REACH FOR AN 2035 01:17:40,321 --> 01:17:42,590 OPIOID INSTEAD OF REACHING FOR 2036 01:17:42,590 --> 01:17:44,559 AN OPIOID CHOOSING THE RIGHT 2037 01:17:44,559 --> 01:17:46,227 TREATMENT WHICH WE FOUND IS 2038 01:17:46,227 --> 01:17:47,628 RARELY AN OPIOID. 2039 01:17:47,628 --> 01:17:49,464 WE'RE NOT DEMONIZING OPIOIDS BUT 2040 01:17:49,464 --> 01:17:51,766 THEY DON'T NEED TO BE A FIRST 2041 01:17:51,766 --> 01:17:53,368 LINE CHOICE WHEN YOU REALLY 2042 01:17:53,368 --> 01:17:54,635 UNDERSTAND PAIN AND THAT'S WHAT 2043 01:17:54,635 --> 01:18:01,075 WE FOUND IN THIS PROCESS. 2044 01:18:01,075 --> 01:18:03,978 THIS IS GONE ON FOR ABOUT 5 2045 01:18:03,978 --> 01:18:05,713 YEARS, WE'VE TRAINED MANY 2046 01:18:05,713 --> 01:18:06,681 FELLOWS IN CALIFORNIA AND 2047 01:18:06,681 --> 01:18:06,981 NATIONALLY. 2048 01:18:06,981 --> 01:18:08,282 WE BELIEVE THAT THIS IS 2049 01:18:08,282 --> 01:18:12,353 EFFECTIVE BUT WE'VE NOT HAD THE 2050 01:18:12,353 --> 01:18:13,554 BUDGET TO DO THAT RESEARCH STUDY 2051 01:18:13,554 --> 01:18:14,756 THAT FEEDS TO BE DONE. 2052 01:18:14,756 --> 01:18:17,625 WE DID APPLY FOR A HEAL GRANT TO 2053 01:18:17,625 --> 01:18:20,728 DO THE STUDY BUT IT DOESN'T--IT 2054 01:18:20,728 --> 01:18:21,796 DIDN'T GET VERY FAR BECAUSE I 2055 01:18:21,796 --> 01:18:24,532 DON'T THINK IT WAS VIEWED AS 2056 01:18:24,532 --> 01:18:27,535 SOMETHING THAT HEAL IS SUPPOSED 2057 01:18:27,535 --> 01:18:30,271 TO FUND IN TERMS OF THE 2058 01:18:30,271 --> 01:18:30,705 INTERVENTION. 2059 01:18:30,705 --> 01:18:33,074 YOU KNOW OUR GOAL WAS TO LOOK 2060 01:18:33,074 --> 01:18:37,045 AT, DO A PERSPECTIVE CONTROLLED 2061 01:18:37,045 --> 01:18:39,580 TRIAL LOOKING AT AN INTERVENTION 2062 01:18:39,580 --> 01:18:41,282 VERSUS NONINTERVENTION AND 2063 01:18:41,282 --> 01:18:42,917 REALLY DIGGING INTO HEALTH 2064 01:18:42,917 --> 01:18:44,318 SYSTEMS OUTCOME DATA, MY POINT 2065 01:18:44,318 --> 01:18:45,520 HERE IS THAT, I THINK THAT 2066 01:18:45,520 --> 01:18:48,589 THAT'S WHAT WE NEED TO DO. 2067 01:18:48,589 --> 01:18:51,893 WE HAVE DONE OUTCOMES DATA AND 2068 01:18:51,893 --> 01:18:53,895 WE FIND THAT THE GRADUATES 2069 01:18:53,895 --> 01:18:56,164 INCREASE THEIR KNOWLEDGE, 2070 01:18:56,164 --> 01:18:57,432 INCREASE THEIR CONFIDENCE, THEY 2071 01:18:57,432 --> 01:19:00,201 FIND THAT THEY'RE EFFECTIVE IN 2072 01:19:00,201 --> 01:19:01,202 TEACHING THEIR COLLEAGUES, ET 2073 01:19:01,202 --> 01:19:01,469 CETERA. 2074 01:19:01,469 --> 01:19:03,538 BUT THIS IS QUALITATIVE 2075 01:19:03,538 --> 01:19:03,805 RESEARCH. 2076 01:19:03,805 --> 01:19:05,940 WE REALLY NEED TO DO THE 2077 01:19:05,940 --> 01:19:07,108 QUANTITATIVE RESEARCH AND WE 2078 01:19:07,108 --> 01:19:10,611 BELIEVE THIS COULD BE A NATIONAL 2079 01:19:10,611 --> 01:19:11,045 MODEL, ET CETERA. 2080 01:19:11,045 --> 01:19:13,147 WE ARE WORKING WITH CDC RIGHT 2081 01:19:13,147 --> 01:19:14,282 NOW LOOKING AT IT. 2082 01:19:14,282 --> 01:19:15,950 I'M NOT SURE IF THAT'S GOING TO 2083 01:19:15,950 --> 01:19:18,152 GET FUNDED OR NOT, I HOPE IT 2084 01:19:18,152 --> 01:19:21,255 WILL TO EXPAND THIS REGIONALLY 2085 01:19:21,255 --> 01:19:24,125 AND NATIONALLY, BUT AGAIN DATA 2086 01:19:24,125 --> 01:19:24,592 IS IMPORTANT. 2087 01:19:24,592 --> 01:19:25,927 THERE ARE MANY OTHER MODELS. 2088 01:19:25,927 --> 01:19:27,829 I MEAN THIS IS JUST 1 OF THEM 2089 01:19:27,829 --> 01:19:28,863 THAT WE'VE APPROACHED, THERE ARE 2090 01:19:28,863 --> 01:19:31,165 MANY OTHER WAYS TO LOOK AT. 2091 01:19:31,165 --> 01:19:36,938 I WANT TO DO A SHOUT OUT TO 2092 01:19:36,938 --> 01:19:39,507 [INDISCERNIBLE] AT NCCIM, 2093 01:19:39,507 --> 01:19:40,808 DR. LANG EVIN, I'M SURE YOU'RE 2094 01:19:40,808 --> 01:19:47,115 FAMILIAR WITH THIS, HE'S LOOKING 2095 01:19:47,115 --> 01:19:48,182 AT PROGRAMS TO EDUCATE 2096 01:19:48,182 --> 01:19:50,384 PROFESSIONALS WHO REALLY HAVE AN 2097 01:19:50,384 --> 01:19:50,918 UNDERSTANDING OF THE BASIC 2098 01:19:50,918 --> 01:19:53,521 SCIENCE AND KNOWLEDGE OF WHAT 2099 01:19:53,521 --> 01:19:53,888 PAIN IS. 2100 01:19:53,888 --> 01:19:55,223 THE QUESTION IS WHO THE AUDIENCE 2101 01:19:55,223 --> 01:19:57,391 SHOULD BE TO GET, YOU KNOW, 2102 01:19:57,391 --> 01:19:58,493 REALLY THE IMPACT WE WANT. 2103 01:19:58,493 --> 01:20:00,495 IF WE REALLY WANT TO CHANGE THE 2104 01:20:00,495 --> 01:20:01,429 WORKFORCE, WE'RE GOING TO NEED 2105 01:20:01,429 --> 01:20:07,502 TO LOOK AT A WORKFORCE 2106 01:20:07,502 --> 01:20:08,803 INTERVENTION BUT WE ALSO NEED, 2107 01:20:08,803 --> 01:20:10,938 WE'VE GOT THESE GENERATIONS OF 2108 01:20:10,938 --> 01:20:11,973 CLINICIANS COMING FORWARD. 2109 01:20:11,973 --> 01:20:13,474 THERE ARE MODELS TO CHANGE THE 2110 01:20:13,474 --> 01:20:21,215 WAY THAT WE LOOK AT TRAINING OUR 2111 01:20:21,215 --> 01:20:22,116 FUTURE HEALTHCARE PROFESSIONALS. 2112 01:20:22,116 --> 01:20:25,086 MY PLEA IS THAT WE FUND RESEARCH 2113 01:20:25,086 --> 01:20:29,090 THAT SHOWS THE VALUE OF 2114 01:20:29,090 --> 01:20:30,625 INTERVENTIONS IN PAIN. 2115 01:20:30,625 --> 01:20:33,594 THE IMPACT, YOU KNOW OF 2116 01:20:33,594 --> 01:20:35,563 INADEQUATE KNOWLEDGE ON THE 2117 01:20:35,563 --> 01:20:37,732 OPIOID CRISIS, THE POTENTIAL 2118 01:20:37,732 --> 01:20:38,866 THAT THAT INADEQUATE KNOWLEDGE 2119 01:20:38,866 --> 01:20:41,202 EVEN THOUGH WE NOW FOCUSED ON IT 2120 01:20:41,202 --> 01:20:43,471 NOT BEING AN OPIOID PROBLEM THAT 2121 01:20:43,471 --> 01:20:44,705 THE BALLOON IS JUST SQUEEZED 2122 01:20:44,705 --> 01:20:48,209 SOMEWHERE ELSE BECAUSE OF THE 2123 01:20:48,209 --> 01:20:49,844 EDUCATION INADEQUACY AND THAT WE 2124 01:20:49,844 --> 01:20:50,878 OVERUSE SOMETHING ELSE BECAUSE 2125 01:20:50,878 --> 01:20:54,315 DOCTORS DON'T KNOW WHAT TO DO. 2126 01:20:54,315 --> 01:20:59,053 AND THE IMPACT OF THE 2127 01:20:59,053 --> 01:20:59,954 INTERVENTIONS TO BENEFIT US 2128 01:20:59,954 --> 01:21:01,589 BECAUSE I THINK IF YOU LOOK AT 2129 01:21:01,589 --> 01:21:03,257 THE COST OF THESE INTERVENTIONS, 2130 01:21:03,257 --> 01:21:04,892 THE RETURN ON INVESTMENT IS 2131 01:21:04,892 --> 01:21:06,794 GREATER THAN THE POTENTIAL 2132 01:21:06,794 --> 01:21:10,031 RETURN ON FINDING THAT NEW 2133 01:21:10,031 --> 01:21:11,699 MOLECULE OR THE OTHER PATHWAYS 2134 01:21:11,699 --> 01:21:14,569 THAT, YOU KNOW MAY HAVE BEEN 2135 01:21:14,569 --> 01:21:17,805 FUNDED PREVIOUSLY. 2136 01:21:17,805 --> 01:21:19,874 YOU KNOW, I SAID IT BEFORE THAT 2137 01:21:19,874 --> 01:21:22,043 IF WE JUST CHANGE CURRICULUM, 2138 01:21:22,043 --> 01:21:23,444 YOU'VE SEEN 1, YOU'VE SEEN THEM 2139 01:21:23,444 --> 01:21:29,016 ALL, BUT IF WE GET OUR CREDITORS 2140 01:21:29,016 --> 01:21:31,953 TO LOOK AT, YOU KNOW, SHOW 2141 01:21:31,953 --> 01:21:34,355 ASKING THE SCHOOL SAY A CREDIT 2142 01:21:34,355 --> 01:21:35,790 TO DEMONSTRATE BASIC PAIN 2143 01:21:35,790 --> 01:21:38,092 COMPETENCIES AS A PRIORITY FOR 2144 01:21:38,092 --> 01:21:46,701 ACCREDITATION, THE PROBLEM WOULD 2145 01:21:46,701 --> 01:21:47,068 CHANGE TOMORROW. 2146 01:21:47,068 --> 01:21:48,669 I CAN TELL YOU THIS IS SOMETHING 2147 01:21:48,669 --> 01:21:49,637 WE'VE TRIED TO BRING FORWARD 2148 01:21:49,637 --> 01:21:51,339 FROM GROUPS AND OTHERS, WE'RE 2149 01:21:51,339 --> 01:21:55,409 NOT FAR FROM HAVING A 2150 01:21:55,409 --> 01:21:56,344 WHITE HOUSE CONFERENCE ON PAIN, 2151 01:21:56,344 --> 01:21:59,146 LOOK AT THIS AND BRING THE 2152 01:21:59,146 --> 01:22:00,648 ACCREDITORS IN THE ROOM AND I 2153 01:22:00,648 --> 01:22:02,450 THINK IT'S MOM AND APPLE BY THEA 2154 01:22:02,450 --> 01:22:06,387 THE END - 2155 01:22:06,387 --> 01:22:08,122 -APPLE PIE AT THE END OF 2156 01:22:08,122 --> 01:22:08,356 THE DAY. 2157 01:22:08,356 --> 01:22:11,859 AND LOOKING AT WORKFORCE 2158 01:22:11,859 --> 01:22:13,628 RETRAINING IS--WE'VE GOT A 2159 01:22:13,628 --> 01:22:14,595 WORKFORCE OUT THERE THAT WON'T 2160 01:22:14,595 --> 01:22:16,330 BENEFIT FROM THE EDUCATIONAL 2161 01:22:16,330 --> 01:22:19,200 CURRICULUM REFORM THAT I THINK 2162 01:22:19,200 --> 01:22:21,802 IS COMING AND WE'VE GOT TO FIND 2163 01:22:21,802 --> 01:22:26,374 WAYS TO MAGNIFY THE FORCE AND 2164 01:22:26,374 --> 01:22:27,108 GET PRACTICES CHANGED. 2165 01:22:27,108 --> 01:22:29,377 WE'VE TALKED WITH HHS A LITTLE 2166 01:22:29,377 --> 01:22:35,850 BIT ABOUT THE IDEA OF CMS GIVING 2167 01:22:35,850 --> 01:22:37,184 A FINANCIAL INCENTIVE TO PRIMARY 2168 01:22:37,184 --> 01:22:40,321 CARE GROUPS THAT MIGHT IN FACT 2169 01:22:40,321 --> 01:22:40,888 PRIORITIZE RETRAINING THEIR 2170 01:22:40,888 --> 01:22:45,059 MEMBERS AND I KNOW THAT WITHLET 2171 01:22:45,059 --> 01:22:47,928 DATA WE HAVE MORE INSURANCE 2172 01:22:47,928 --> 01:22:48,896 COMPANIES VERY EGGER TO DO THIS 2173 01:22:48,896 --> 01:22:49,263 AS WELL. 2174 01:22:49,263 --> 01:22:51,799 I KNOW THIS HAS BEEN A VERY FAST 2175 01:22:51,799 --> 01:22:56,370 TOUR, I DON'T KNOW IF DR. LANG 2176 01:22:56,370 --> 01:22:58,072 EVIN IF YOU WOULD LIKE ME TO 2177 01:22:58,072 --> 01:22:59,707 STOP HERE BUT I WAS ALSO GOING 2178 01:22:59,707 --> 01:23:01,809 TO TALK ABOUT THE PAIN AND 2179 01:23:01,809 --> 01:23:02,276 RESILIENCE. 2180 01:23:02,276 --> 01:23:02,943 >> YOU HAVE MORE TIME. 2181 01:23:02,943 --> 01:23:04,145 >> IF YOU WANT TO TALK ABOUT 2182 01:23:04,145 --> 01:23:07,148 THAT AS WELL, IT'S FINE. 2183 01:23:07,148 --> 01:23:08,582 >> I BANG IT OUT QUICKLY AND 2184 01:23:08,582 --> 01:23:10,217 THEN I WILL ANSWER ANY 2185 01:23:10,217 --> 01:23:10,484 QUESTIONS. 2186 01:23:10,484 --> 01:23:11,786 SO THE OTHER AREA I'M INTERESTED 2187 01:23:11,786 --> 01:23:16,857 IN IS THIS IDEA OF PREVENTION. 2188 01:23:16,857 --> 01:23:18,893 YOU KNOW, 35-40 YEARS OF LOOKING 2189 01:23:18,893 --> 01:23:20,628 AT PATIENTS IN PAIN, IT'S SO 2190 01:23:20,628 --> 01:23:27,468 OBVIOUS THAT PAIN IS THE DOWN 2191 01:23:27,468 --> 01:23:29,704 STREAM CHRONIC ILLNESS, OF WHICH 2192 01:23:29,704 --> 01:23:30,271 MUCH IS PREVENTIBLE. 2193 01:23:30,271 --> 01:23:32,206 YOU KNOW WE HAVE GREAT 2194 01:23:32,206 --> 01:23:33,374 HEALTHCARE AND YET WE DIE 2195 01:23:33,374 --> 01:23:35,109 YOUNGER THAN PEOPLE IN MANY 2196 01:23:35,109 --> 01:23:37,778 OTHER COUNTRIES AND THIS I THINK 2197 01:23:37,778 --> 01:23:40,881 IS REALLY IMPORTANT. 2198 01:23:40,881 --> 01:23:43,951 THIS IS SECRETARY BECERAs 2199 01:23:43,951 --> 01:23:45,586 STATEMENT THAT WE MUST SHIFT TO 2200 01:23:45,586 --> 01:23:47,521 AN ILL CARE SYSTEM TO A WELLNESS 2201 01:23:47,521 --> 01:23:47,955 CARE SYSTEM. 2202 01:23:47,955 --> 01:23:50,257 HE SAID THE WORDS, THIS IS NOT 2203 01:23:50,257 --> 01:23:52,360 JUST A HEALTH ISSUE BUT IT'S A 2204 01:23:52,360 --> 01:23:53,027 ISSUE OF NATIONAL SECURITY. 2205 01:23:53,027 --> 01:23:57,198 IF YOU LOOK AT THE ECONOMICS IT 2206 01:23:57,198 --> 01:24:00,034 MAKES SENSE. 2207 01:24:00,034 --> 01:24:01,669 YOU KNOW CHRONIC PAIN IS VERY, 2208 01:24:01,669 --> 01:24:02,269 VERY COMMON. 2209 01:24:02,269 --> 01:24:04,038 IT'S A LEADING CAUSE OF 2210 01:24:04,038 --> 01:24:06,741 DISABILITY, BILLIONS OF DOLLARS 2211 01:24:06,741 --> 01:24:09,343 PER YEAR, HIGHER INCIDENCE THAN 2212 01:24:09,343 --> 01:24:11,312 MANY OF THE OTHER CHRONIC 2213 01:24:11,312 --> 01:24:12,713 ILLNESSES WE GIVE MUCH MORE 2214 01:24:12,713 --> 01:24:15,649 FOCUS TO LIKE DIABETES, 2215 01:24:15,649 --> 01:24:16,784 DEPRESSION, HYPERTENSION, ALL OF 2216 01:24:16,784 --> 01:24:22,857 WHICH WE KNOW HOW LIFESTYLE 2217 01:24:22,857 --> 01:24:24,625 PREVENTIVE ELEMENTS THAT HAVE 2218 01:24:24,625 --> 01:24:25,960 BEEN IDENTIFIED, STUDIED AND ARE 2219 01:24:25,960 --> 01:24:28,863 VERY PARALLEL TO THE PROBLEM OF 2220 01:24:28,863 --> 01:24:30,831 CHRONIC PAIN BUT WE DON'T STUDY 2221 01:24:30,831 --> 01:24:32,566 THAT DIRECTLY. 2222 01:24:32,566 --> 01:24:34,101 THERE IS ADJACENT RESEARCH THAT 2223 01:24:34,101 --> 01:24:35,603 TALKS ABOUT IT AND THIS IS AN 2224 01:24:35,603 --> 01:24:38,773 ARTICLE THAT JUST GOT PUBLISHED 2225 01:24:38,773 --> 01:24:40,908 FROM THE USA S P JOURNAL, 2226 01:24:40,908 --> 01:24:43,210 JOURNAL OF PAIN, PATIENTS WITH 2227 01:24:43,210 --> 01:24:46,514 CHRONIC PAIN HAVE TWICE THE 2228 01:24:46,514 --> 01:24:47,715 MORTALITY RISK AS PATIENTS 2229 01:24:47,715 --> 01:24:51,485 WITHOUT PAIN AND IF YOU HAVE 2230 01:24:51,485 --> 01:24:53,287 HIGH IMPACT PAIN, IT'S 2.5% AND 2231 01:24:53,287 --> 01:24:57,691 IF YOU LOOK AT THE ASSOCIATED 2232 01:24:57,691 --> 01:24:59,360 VARIABLES, THEY'RE ALL 2233 01:24:59,360 --> 01:24:59,627 VARIABLES. 2234 01:24:59,627 --> 01:25:05,199 I HIGHLIGHTED THEM THAT WE KNOW 2235 01:25:05,199 --> 01:25:08,969 ARE REVERSIBLE WHEN LAST DIALED 2236 01:25:08,969 --> 01:25:10,404 INTERVENTION. 2237 01:25:10,404 --> 01:25:12,206 ISP MADE 2020 THE GLOBAL YEAR OF 2238 01:25:12,206 --> 01:25:12,506 PREVENTION. 2239 01:25:12,506 --> 01:25:13,874 A LOT CAME OUT OF IT BUT THERE 2240 01:25:13,874 --> 01:25:15,743 WASN'T A LOT OF DISSEMINATION, 2241 01:25:15,743 --> 01:25:17,478 IT WAS DURING COVID. 2242 01:25:17,478 --> 01:25:21,615 WE'RE TRYING TO KIND OF BRING 2243 01:25:21,615 --> 01:25:27,822 THAT BACK A LITTLE BIT, NOW, ISP 2244 01:25:27,822 --> 01:25:29,256 HAS PUBLISHED MODIFIABLE FACTORS 2245 01:25:29,256 --> 01:25:30,758 ASSOCIATED WITH PAIN. 2246 01:25:30,758 --> 01:25:34,328 WE KNOW THAT THERE ARE 2247 01:25:34,328 --> 01:25:35,196 MODIFIABLE LIFESTYLE 2248 01:25:35,196 --> 01:25:38,766 INTERVENTIONS THAT IMPACT THE 2249 01:25:38,766 --> 01:25:40,067 POTENTIAL FOR PAIN. 2250 01:25:40,067 --> 01:25:41,836 MY POSITION IS THAT PAIN IS 2251 01:25:41,836 --> 01:25:43,604 A--IT'S NOT ABOUT GETTING RID OF 2252 01:25:43,604 --> 01:25:46,140 PAIN, IT'S ABOUT HAVING A PAIN 2253 01:25:46,140 --> 01:25:48,175 ALARM THAT WORKS PROPERLY. 2254 01:25:48,175 --> 01:25:49,543 IT'S A VULNERABLE ALARM. 2255 01:25:49,543 --> 01:25:53,047 SOME OF US ARE MORE RESILIENT 2256 01:25:53,047 --> 01:25:54,348 THAT OTHERS, THAT'S WHY I VERY 2257 01:25:54,348 --> 01:25:56,450 MUCH LIKE THE TERM RESILIENCE 2258 01:25:56,450 --> 01:25:57,685 RATHER THAN WELLNESS. 2259 01:25:57,685 --> 01:26:01,722 WELLNESS THAT IS BEEN 2260 01:26:01,722 --> 01:26:02,890 CAPITALIZED, MONETIZE EXPLOITED, 2261 01:26:02,890 --> 01:26:04,091 ET CETERA AND RESILIENCE PEEKS 2262 01:26:04,091 --> 01:26:09,497 TO WHATY WOO WANT FOR PEOPLE SO 2263 01:26:09,497 --> 01:26:10,231 THAT THEIR ALARMS WORK. 2264 01:26:10,231 --> 01:26:12,500 WE KNOW THERE ARE MODIFIABLE 2265 01:26:12,500 --> 01:26:15,169 FACTORS IN ALMOST ALL CHRONIC 2266 01:26:15,169 --> 01:26:17,104 ILLNESSES THAT REDUCE MORBIDITY 2267 01:26:17,104 --> 01:26:19,139 AND MORTALITY, CHRONIC PAIN IS 2268 01:26:19,139 --> 01:26:20,207 PROBABLY NO DIFFERENT. 2269 01:26:20,207 --> 01:26:24,144 WE KNOW THE MIND IS INVOLVED. 2270 01:26:24,144 --> 01:26:26,213 THIS IS JUST 1 THIS IS 2271 01:26:26,213 --> 01:26:27,581 [INDISCERNIBLE] THIS IS JUST WOB 2272 01:26:27,581 --> 01:26:29,483 AREA OF INTERVENTION WITH THE 2273 01:26:29,483 --> 01:26:31,685 TERMS OF MINDFULNESS, MANY, MANY 2274 01:26:31,685 --> 01:26:34,955 OTHERS, WE KNOW THAT MOVEMENT IS 2275 01:26:34,955 --> 01:26:40,294 INVOLVED AND INACTIVITY IS THE 2276 01:26:40,294 --> 01:26:42,429 ENEMY AND MOVEMENT--INACTIVITY 2277 01:26:42,429 --> 01:26:46,367 BECAUSE OF PAIN IS A DOUBLE 2278 01:26:46,367 --> 01:26:46,734 WHAMMY. 2279 01:26:46,734 --> 01:26:49,537 WE KNOW THAT PHYSICAL EXERCISE, 2280 01:26:49,537 --> 01:26:50,471 PHYSICAL ACTIVITY TREATS 2281 01:26:50,471 --> 01:26:52,907 EMOTIONAL AND PHYSICAL OUTCOMES 2282 01:26:52,907 --> 01:26:57,177 OF CHRONIC ILLNESS, WE KNOW THAT 2283 01:26:57,177 --> 01:26:59,847 FOOD IS IMPORTANT BUT WE'RE 2284 01:26:59,847 --> 01:27:01,615 HONESTLY, IF YOU ASK ME WHAT YOU 2285 01:27:01,615 --> 01:27:03,684 SHOULD EAT, I WILL TALK A LITTLE 2286 01:27:03,684 --> 01:27:04,919 BIT ABOUT IT. 2287 01:27:04,919 --> 01:27:06,453 THERE'S A LOT OF CONTROVERSY 2288 01:27:06,453 --> 01:27:08,355 ABOUT WHAT NOT TO EAT AND REALLY 2289 01:27:08,355 --> 01:27:11,091 THE SIMPLE THINGS OF EAT WHOLE 2290 01:27:11,091 --> 01:27:12,726 FOOD RATHER THAN ULTRA PROCESSED 2291 01:27:12,726 --> 01:27:16,830 FOOD IS PROBABLY THE FORMULA, 2292 01:27:16,830 --> 01:27:18,332 EVEN NONMODIFIABLE THINGS LIKE 2293 01:27:18,332 --> 01:27:20,868 GENETICS ARE NOW BEING 2294 01:27:20,868 --> 01:27:24,004 RECONSIDERED AS POTENTIALLY 2295 01:27:24,004 --> 01:27:24,338 MODIFIABLE. 2296 01:27:24,338 --> 01:27:26,206 YOU KNOW, THE WORK FROM LIZ 2297 01:27:26,206 --> 01:27:27,975 BLACK BURN AND MELISSA ON 2298 01:27:27,975 --> 01:27:31,712 TELOMERE SYSTEM GETTING A LOT OF 2299 01:27:31,712 --> 01:27:31,912 PRESS. 2300 01:27:31,912 --> 01:27:33,914 YOU KNOW I THINK IT'S FAR FROM 2301 01:27:33,914 --> 01:27:34,782 PROVEN BUT IT ACTUALLY GIVES 2302 01:27:34,782 --> 01:27:36,884 HOPE TO THE IDEA THAT WE CAN--WE 2303 01:27:36,884 --> 01:27:38,819 CAN CHANGE THROUGH LIFESTYLE AT 2304 01:27:38,819 --> 01:27:40,888 A VERY, VERY DEEP LEVEL IF WE 2305 01:27:40,888 --> 01:27:44,091 CHOOSE TO LOOK AT IT BUT IT'S 2306 01:27:44,091 --> 01:27:45,859 UNLIKELY THAT WE WILL, YOU KNOW 2307 01:27:45,859 --> 01:27:47,728 GET MAJOR UPTAKE UNTIL WE REALLY 2308 01:27:47,728 --> 01:27:49,129 DO THE RESEARCH, FUND THE 2309 01:27:49,129 --> 01:27:52,733 RESEARCH THAT'S NEEDED TO PROVE 2310 01:27:52,733 --> 01:27:54,368 THAT THESE WORK, THAT THESE ARE 2311 01:27:54,368 --> 01:27:57,104 THE RETURN ON INVESTMENT FOR 2312 01:27:57,104 --> 01:28:02,042 THESE CHANGES IS IN OUR 2313 01:28:02,042 --> 01:28:02,309 INTEREST. 2314 01:28:02,309 --> 01:28:05,112 SO YOU KNOW WELLNESS AS I SAID 2315 01:28:05,112 --> 01:28:06,280 MEANINGS TO PEOPLE AND 2316 01:28:06,280 --> 01:28:11,185 EVERYONE'S FOR IT AND FEW AGREE 2317 01:28:11,185 --> 01:28:12,720 THAT THE AREA OF MISINFORMATION 2318 01:28:12,720 --> 01:28:14,622 IN THIS AREA IS VAST. 2319 01:28:14,622 --> 01:28:15,489 THE SURGEON GENERAL TALKED ABOUT 2320 01:28:15,489 --> 01:28:19,460 THIS IN TERMS OF ILLNESS BASED 2321 01:28:19,460 --> 01:28:19,893 INFORMATION. 2322 01:28:19,893 --> 01:28:22,763 IT APPLIES EVEN MORE TO 2323 01:28:22,763 --> 01:28:23,030 WELLNESS. 2324 01:28:23,030 --> 01:28:26,767 YOU KNOW AND PEOPLE ARE CONFUSED 2325 01:28:26,767 --> 01:28:30,704 ABOUT WHAT TO DO. 2326 01:28:30,704 --> 01:28:32,606 YOU KNOW THE BOTTOM LINE THAT 2327 01:28:32,606 --> 01:28:34,541 HEALTHY EATING, EXACTLY WHAT 2328 01:28:34,541 --> 01:28:36,710 HEALTHY EATING IS NOT AS RIGID 2329 01:28:36,710 --> 01:28:38,946 AS MOST PEOPLE THINK, IT'S 2330 01:28:38,946 --> 01:28:39,613 PRETTY SIMPLE STUFF. 2331 01:28:39,613 --> 01:28:44,818 THERE'S A LOT OUT THERE ON PAIN 2332 01:28:44,818 --> 01:28:45,185 AND DIET. 2333 01:28:45,185 --> 01:28:48,422 I DON'T KNOW THAT A LOT OF IT'S 2334 01:28:48,422 --> 01:28:52,059 PROVEN BUT THE MORE BASIC IDEAS 2335 01:28:52,059 --> 01:28:54,228 ABOUT EATING ARE PRETTY WELL 2336 01:28:54,228 --> 01:28:56,664 PROVEN TO REDUCE MORBIDITY AND 2337 01:28:56,664 --> 01:28:59,033 MORTALITY ASSOCIATED WITH 2338 01:28:59,033 --> 01:29:00,100 CHRONIC ILLNESS. 2339 01:29:00,100 --> 01:29:01,602 ULTRA PROCESSED FOOD WAS VERY, 2340 01:29:01,602 --> 01:29:04,471 VERY GOOD DATA THAT THIS IS 2341 01:29:04,471 --> 01:29:09,043 REALLY HARMFUL AND DRIVES A LOT 2342 01:29:09,043 --> 01:29:13,614 OF THE PREVENTIBLE ILLNESS THAT 2343 01:29:13,614 --> 01:29:14,348 WE SEE. 2344 01:29:14,348 --> 01:29:16,316 YOU KNOW SHOULD WE MOVE MORE? 2345 01:29:16,316 --> 01:29:18,152 WE SHOULD MOVE MORE. 2346 01:29:18,152 --> 01:29:19,420 CULTURES WHERE THEY HAVE LIVES 2347 01:29:19,420 --> 01:29:19,887 IN MOTION. 2348 01:29:19,887 --> 01:29:23,123 YOU KNOW IN MY FAMILY, IT WAS A 2349 01:29:23,123 --> 01:29:25,092 BADGE OF SHAME IF YOU GOT A 2350 01:29:25,092 --> 01:29:27,928 PARKING SPACE THAT WASN'T AS 2351 01:29:27,928 --> 01:29:29,563 CLOSE AS POSSIBLE AS IF WALKING 2352 01:29:29,563 --> 01:29:33,133 A FEW STEPS WAS A TERRIBLE 2353 01:29:33,133 --> 01:29:34,334 THING. 2354 01:29:34,334 --> 01:29:35,302 I FIND THAT--YOU KNOW I'M 2355 01:29:35,302 --> 01:29:36,937 LOOKING AT KIND OF THE WAY WE 2356 01:29:36,937 --> 01:29:40,140 LIVE OUR LIVES AND THESE 2357 01:29:40,140 --> 01:29:41,775 UNCONSCIOUS DRIVES WE HAVE. 2358 01:29:41,775 --> 01:29:45,379 CULTURES WHERE THEY MOVE 2359 01:29:45,379 --> 01:29:46,113 NATURALLY AND THEY--THESE ARE 2360 01:29:46,113 --> 01:29:48,215 KIND OF THE THINGS, THE BLUE 2361 01:29:48,215 --> 01:29:49,750 ZONES TELL US NOT A LOT OF DATA 2362 01:29:49,750 --> 01:29:51,618 IN THE BLUE ZONES BUT THE 2363 01:29:51,618 --> 01:29:52,686 OBSERVATION IS ALL OF THESE 2364 01:29:52,686 --> 01:29:57,591 AREAS ARE PLACES WHERE PEOPLE 2365 01:29:57,591 --> 01:29:57,958 MOVE. 2366 01:29:57,958 --> 01:29:58,892 SEDENTARY BEHAVIOR, AGAIN, THE 2367 01:29:58,892 --> 01:30:00,761 DATA ON THE POSITIVE IS NOT AS 2368 01:30:00,761 --> 01:30:03,330 STRONG AS THE DATA ON THE 2369 01:30:03,330 --> 01:30:05,733 NEGATIVE, VERY, VERY CLEAR ABOUT 2370 01:30:05,733 --> 01:30:07,334 SEDENTARY BEHAVIOR AND MORBIDITY 2371 01:30:07,334 --> 01:30:08,068 AND MORTALITY. 2372 01:30:08,068 --> 01:30:10,838 THE SAME WITH LONELINESS AND 2373 01:30:10,838 --> 01:30:11,205 ISOLATION. 2374 01:30:11,205 --> 01:30:13,640 YOU SEE HEALTHY GROUPS, 2375 01:30:13,640 --> 01:30:15,909 THEY--YOU KNOW HEALTHY 2376 01:30:15,909 --> 01:30:17,311 COMMUNITIES ARE CONNECTED, 2377 01:30:17,311 --> 01:30:20,481 THEY--YOU KNOW EVEN THIS IDEA 2378 01:30:20,481 --> 01:30:21,982 THAT THERE'S NO HEALTHY DOSE OF 2379 01:30:21,982 --> 01:30:23,851 ALCOHOL AND I BELIEVE THAT TO BE 2380 01:30:23,851 --> 01:30:26,286 TRUE BUT THESE GROUPS, MOST OF 2381 01:30:26,286 --> 01:30:29,022 THEM DRINK ALCOHOL BUT THEY 2382 01:30:29,022 --> 01:30:30,691 DRINK MODEST AMOUNT OF ALCOHOL 2383 01:30:30,691 --> 01:30:32,192 TO ASSOCIATE, RATHER THAN TO 2384 01:30:32,192 --> 01:30:32,526 DISASSOCIATE. 2385 01:30:32,526 --> 01:30:34,194 I THINK THESE ARE REALLY KEY 2386 01:30:34,194 --> 01:30:35,028 THINGS THAT WE FIND. 2387 01:30:35,028 --> 01:30:37,564 THERE ARE STUDIES THAT ARE LONG 2388 01:30:37,564 --> 01:30:41,969 STANDING STUDIES, I WON'T GO BO 2389 01:30:41,969 --> 01:30:44,271 INTO DETAIL BUT I FIND THAT 2390 01:30:44,271 --> 01:30:45,139 HAPPIER, MORE SATISFYING 2391 01:30:45,139 --> 01:30:47,975 HEALTHIER LIVES ARE PREDICTED BY 2392 01:30:47,975 --> 01:30:49,443 HAVING SOCIAL RELATIONSHIPS AND 2393 01:30:49,443 --> 01:30:50,611 COMMUNITIES AND PRURPS ON, 2394 01:30:50,611 --> 01:30:54,448 THINGS THAT YOU WOULD I THINK 2395 01:30:54,448 --> 01:30:54,815 RECOGNIZE. 2396 01:30:54,815 --> 01:30:56,350 THE BLUE ZONES YOU MAY ALL KNOW 2397 01:30:56,350 --> 01:30:58,018 ABOUT AREAS WHERE PEOPLE LIVE 2398 01:30:58,018 --> 01:31:00,420 LONGER, HAPPIER AND HEALTHIER 2399 01:31:00,420 --> 01:31:02,322 LIVES, THERE'S VERY LITTLE CLEAR 2400 01:31:02,322 --> 01:31:05,893 DATA AND THE BLUE ZONES ARE 2401 01:31:05,893 --> 01:31:07,060 RAPIDLY MONETIZED BUT THE 2402 01:31:07,060 --> 01:31:08,362 OBSERVATION OF THESE AREAS IS 2403 01:31:08,362 --> 01:31:09,429 REALLY INTERESTING IN THAT IF 2404 01:31:09,429 --> 01:31:10,964 THERE'S 1 THING THAT'S TRUE OF 2405 01:31:10,964 --> 01:31:12,466 THEM ALL, IT'S THAT THEIR 2406 01:31:12,466 --> 01:31:13,801 COMMUNITIES THAT ARE ENGAGED AND 2407 01:31:13,801 --> 01:31:17,671 THEY HAVE LIVES IN MOTION. 2408 01:31:17,671 --> 01:31:19,006 THERE IS GUIDELINES ON HOW--YOU 2409 01:31:19,006 --> 01:31:20,274 KNOW THE THINGS THAT YOU CAN DO 2410 01:31:20,274 --> 01:31:22,209 BUT IT'S ABOUT TAKING THE WAY 2411 01:31:22,209 --> 01:31:24,578 THOSE THINGS THAT ARE HARMFUL, I 2412 01:31:24,578 --> 01:31:27,748 LIKE THE IDEA OF RESILIENCE 2413 01:31:27,748 --> 01:31:30,484 RATHER THAN WELLNESS BUT IT 2414 01:31:30,484 --> 01:31:32,886 REALLY IS ABOUT HAVING A WELL 2415 01:31:32,886 --> 01:31:35,022 LIFE RATHER THAN HAVING AN ILL 2416 01:31:35,022 --> 01:31:35,222 LIFE. 2417 01:31:35,222 --> 01:31:38,525 SO THERE'S WORK FOR US HERE THAT 2418 01:31:38,525 --> 01:31:42,863 I THINK WE IGNORED AS A FIELD. 2419 01:31:42,863 --> 01:31:44,698 BASICALLY WE KNOW THAT THE PAIN 2420 01:31:44,698 --> 01:31:46,733 ALARM IS A VULNERABLE ALARM. 2421 01:31:46,733 --> 01:31:47,835 WE'VE LEARNED THAT. 2422 01:31:47,835 --> 01:31:49,503 THESE ARE SOME OF THE MORE 2423 01:31:49,503 --> 01:31:52,439 VULNERABLE NERVES IN THE BODY 2424 01:31:52,439 --> 01:31:55,442 AND THAT SOME PEOPLE ARE MORE 2425 01:31:55,442 --> 01:31:57,344 RESILIENT THAN OTHERS. 2426 01:31:57,344 --> 01:32:01,081 SO, YOU KNOW LIFESTYLE CHOICES 2427 01:32:01,081 --> 01:32:05,252 DO EXIST BUT IT'S NOT THE ROLE 2428 01:32:05,252 --> 01:32:06,220 OF SPECIALLY CLINICIANS BECAUSE 2429 01:32:06,220 --> 01:32:07,821 IT'S TOO LATE AT THAT POINT BUT 2430 01:32:07,821 --> 01:32:09,022 AS A PROFESSION WE SHOULD LOOK 2431 01:32:09,022 --> 01:32:11,091 AT THE RESEARCH AND THE 2432 01:32:11,091 --> 01:32:12,960 EDUCATION THAT'S NEEDED FOR THE 2433 01:32:12,960 --> 01:32:13,460 FIELD OF HEALTHCARE. 2434 01:32:13,460 --> 01:32:17,598 AND I WOULD SAY THAT YOU KNOW 2435 01:32:17,598 --> 01:32:19,900 MOST MOST OF US COME FROM HEALTH 2436 01:32:19,900 --> 01:32:21,768 SYSTEMS THAT WE CLAIM ARE HEALTH 2437 01:32:21,768 --> 01:32:23,103 SYSTEMS BUT WERE REALLY DEC 2438 01:32:23,103 --> 01:32:23,570 RESPONSE SYSTEMS. 2439 01:32:23,570 --> 01:32:25,439 AND WE LOOK THEA HOW WE EDUCATE 2440 01:32:25,439 --> 01:32:27,407 PEOPLE, WE REALLY EDUCATE OUR 2441 01:32:27,407 --> 01:32:30,010 CLINICIANS TO BE DISEASE 2442 01:32:30,010 --> 01:32:31,111 RESPONDERS AND WE'RE TRULY 2443 01:32:31,111 --> 01:32:34,081 TRYING TO CHANGE THAT SCOPE OF 2444 01:32:34,081 --> 01:32:34,848 PRACTICE. 2445 01:32:34,848 --> 01:32:36,049 OUR MEDICAL STUDENTS AND NURSING 2446 01:32:36,049 --> 01:32:37,017 STUDENTS THEY DON'T SEE 2447 01:32:37,017 --> 01:32:38,185 PREVENTION AS PART OF THEIR 2448 01:32:38,185 --> 01:32:39,686 SCOPE OF PRACTICE AND THAT'S A 2449 01:32:39,686 --> 01:32:42,656 CHANGE TAKEN--THEY WE CAN EASILY 2450 01:32:42,656 --> 01:32:42,856 MAKE. 2451 01:32:42,856 --> 01:32:44,758 SO WHAT WE'VE BEEN DOING IS 2452 01:32:44,758 --> 01:32:46,293 HOLDING MEETINGS TO DISCUSS THIS 2453 01:32:46,293 --> 01:32:47,594 AND HOPEFULLY BRING FORWARD A 2454 01:32:47,594 --> 01:32:50,764 DECLARATION OF WHAT I JUST SAID 2455 01:32:50,764 --> 01:32:57,638 THAT THIS IS IMPORTANT FOR OUR 2456 01:32:57,638 --> 01:33:00,741 RESEARCH FUNDERS FOR OUR 2457 01:33:00,741 --> 01:33:01,541 EDUCATORS, ET CETERA. 2458 01:33:01,541 --> 01:33:03,176 AND, YOU KNOW AGAIN, I'M SORRY 2459 01:33:03,176 --> 01:33:05,145 FOR THE SPEED BUT I'VE TRIED TO 2460 01:33:05,145 --> 01:33:08,548 BE MINDFUL OF THE TIME. 2461 01:33:08,548 --> 01:33:10,384 I THANK YOU FOR LETTING ME 2462 01:33:10,384 --> 01:33:11,585 PRESENT THIS. 2463 01:33:11,585 --> 01:33:12,753 I WOULD BE DELIGHTED TO ANSWER 2464 01:33:12,753 --> 01:33:14,755 ANY QUESTIONS THAT YOU HAVE. 2465 01:33:14,755 --> 01:33:15,589 THANK YOU. 2466 01:33:15,589 --> 01:33:19,092 >> WELL, THANK YOU SO MUCH 2467 01:33:19,092 --> 01:33:21,695 SCOTT, YOU REALLY HAVE MADE A 2468 01:33:21,695 --> 01:33:24,231 VERY FORCEFUL CASE FOR 2 THINGS, 2469 01:33:24,231 --> 01:33:27,901 1 IS VITAL IMPORTANCE OF THE 2470 01:33:27,901 --> 01:33:28,802 EDUCATION OF OUR HEALTHCARE 2471 01:33:28,802 --> 01:33:30,137 PROFESSIONALS IN THE AREA OF 2472 01:33:30,137 --> 01:33:32,005 PAIN AND THEN THIS TOPIC THAT 2473 01:33:32,005 --> 01:33:34,975 YOU'RE RAISING IN TERPS OF THE 2474 01:33:34,975 --> 01:33:37,377 IMPORTANCE OF UNDERSTANDING 2475 01:33:37,377 --> 01:33:39,079 POSITIVE NOTE PROCESSES IN 2476 01:33:39,079 --> 01:33:42,349 ADDITION TO THE NEGATIVE 1S. 2477 01:33:42,349 --> 01:33:43,383 SO IMPORTANT. 2478 01:33:43,383 --> 01:33:44,518 VERY MUCH DEAR TO MY HEART, I 2479 01:33:44,518 --> 01:33:47,788 CAN TELL YOU IN TERMS OF VERY 2480 01:33:47,788 --> 01:33:51,091 MUCH OF AN INTEREST AT NCCIH BUT 2481 01:33:51,091 --> 01:33:52,359 INCREASINGLY AT NIH IN GENERAL. 2482 01:33:52,359 --> 01:33:57,297 SO I WILL GIVE A CHANCE FOR 2483 01:33:57,297 --> 01:33:57,931 CHRISTINE TO COMMENT? 2484 01:33:57,931 --> 01:34:01,201 >> THANK YOU SO MUCH AND THANKS 2485 01:34:01,201 --> 01:34:01,401 SCOTT. 2486 01:34:01,401 --> 01:34:01,735 FABULOUS TALK. 2487 01:34:01,735 --> 01:34:05,772 AND I WILL START TO PARK FARTHER 2488 01:34:05,772 --> 01:34:08,075 AWAY FROM THE GROCERY STORE FROM 2489 01:34:08,075 --> 01:34:12,145 NOW ON. 2490 01:34:12,145 --> 01:34:15,048 REGARDING EDUCATION, YES, 1 2491 01:34:15,048 --> 01:34:16,783 IMPORTANT APPROACH TO ADDRESS 2492 01:34:16,783 --> 01:34:20,854 INCREDIBLY IMPORTANT APPROACH TO 2493 01:34:20,854 --> 01:34:22,789 ADDRESS GAPS IN THE PAIN 2494 01:34:22,789 --> 01:34:23,490 RESEARCH WORKFORCE. 2495 01:34:23,490 --> 01:34:26,193 AT THE MEDICAL SCHOOL LEVEL AND 2496 01:34:26,193 --> 01:34:30,497 AT THE MEDICAL TRAINING LEVEL 1 2497 01:34:30,497 --> 01:34:33,400 OF MANY POSSIBLE APPROACHES MAY 2498 01:34:33,400 --> 01:34:35,669 INCLUDE PARTNERING WITH CLINICAL 2499 01:34:35,669 --> 01:34:36,036 PHARMACOLOGY. 2500 01:34:36,036 --> 01:34:38,338 I SAY THIS BECAUSE I TEACH THE 2501 01:34:38,338 --> 01:34:43,643 PAIN SEMINAR IN A FOURTH YEAR 2502 01:34:43,643 --> 01:34:45,178 CLINICAL FROM COLLEGIATE COURSE 2503 01:34:45,178 --> 01:34:47,247 AT TUFTs AND THIS IS SUCH A 2504 01:34:47,247 --> 01:34:48,415 PERFECT TIME TO PLANT THE 2505 01:34:48,415 --> 01:34:49,516 RESEARCH BUG AND SO I JUST WANT 2506 01:34:49,516 --> 01:34:55,789 TO PUT THAT IN THERE, SOME FOOD 2507 01:34:55,789 --> 01:34:56,123 FOR THOUGHT. 2508 01:34:56,123 --> 01:35:00,727 >> YOU KNOW IF I CAN JUST SAY 2509 01:35:00,727 --> 01:35:03,163 THAT M ISHA IS LOOKING AT THIS 2510 01:35:03,163 --> 01:35:05,032 AND TRAINING AND I THINK WHAT 2511 01:35:05,032 --> 01:35:06,066 YOU DESCRIBED CHRISTINE IS 2512 01:35:06,066 --> 01:35:07,100 SOMETHING REALLY IMPORTANT AND 2513 01:35:07,100 --> 01:35:10,203 MAYBE SOMETHING TO TALK TO MISHA 2514 01:35:10,203 --> 01:35:10,470 ABOUT. 2515 01:35:10,470 --> 01:35:15,909 I KNOW YOU KNOW THEM. 2516 01:35:15,909 --> 01:35:17,077 >> I'VE SEEN QUESTIONS IN THE 2517 01:35:17,077 --> 01:35:18,211 CHAT. 2518 01:35:18,211 --> 01:35:22,816 I ALSO WANT TO KIND OF SHAPE 2519 01:35:22,816 --> 01:35:24,451 ALET BIT THIS DISCUSSION IN NCH 2520 01:35:24,451 --> 01:35:28,722 COURAGING YOU TO THINK ABOUT, 2521 01:35:28,722 --> 01:35:30,257 ARE THERE POSSIBLE WORKING 2522 01:35:30,257 --> 01:35:32,159 GROUPS OF THE IPRCC THAT YOU 2523 01:35:32,159 --> 01:35:35,762 ALL, SOME OF YOU MIGHT BE 2524 01:35:35,762 --> 01:35:39,032 INTERESTED IN FORMING AND TO 2525 01:35:39,032 --> 01:35:40,901 FOCUS ON THIS SPECIFIC TOPIC AND 2526 01:35:40,901 --> 01:35:43,437 I THINK THE 2 TOPICS THAT WERE 2527 01:35:43,437 --> 01:35:44,871 JUST PRESENTED BY BE EXAMPLES OF 2528 01:35:44,871 --> 01:35:48,408 THAT, AND AT THE SAME TIME THESE 2529 01:35:48,408 --> 01:35:51,711 WORKING GROUPS COULD PLAY A ROLL 2530 01:35:51,711 --> 01:35:55,449 PERHAPS IN INTERACTING WITH THE 2531 01:35:55,449 --> 01:35:59,886 HEAL STRATEGIC PLANNING PROCESS 2532 01:35:59,886 --> 01:36:02,122 THAT LINDA PRESENTED. 2533 01:36:02,122 --> 01:36:02,522 SO RENEE? 2534 01:36:02,522 --> 01:36:04,758 >> YEAH, I PUT THIS IN THE CHAT, 2535 01:36:04,758 --> 01:36:06,693 THE NIH MADE A SIGNIFICANT 2536 01:36:06,693 --> 01:36:08,161 INVESTMENT IN THE CENTERS FOR 2537 01:36:08,161 --> 01:36:09,996 EXCELLENCE FOR PAIN EDUCATION 2538 01:36:09,996 --> 01:36:14,334 AND I DON'T KNOW HOW WELL THAT 2539 01:36:14,334 --> 01:36:15,368 HAS BEEN EVALUATED. 2540 01:36:15,368 --> 01:36:18,872 I WILL PERSONALLY TELL YOU THAT 2541 01:36:18,872 --> 01:36:21,208 I HAVE NOT USED ABOUT ANY OF THE 2542 01:36:21,208 --> 01:36:22,042 CASE SCENARIOS BECAUSE IT 2543 01:36:22,042 --> 01:36:25,879 DOESN'T FIT WITH THE TYPE OF 2544 01:36:25,879 --> 01:36:28,415 EDUCATION THAT HAS REALLY 2545 01:36:28,415 --> 01:36:29,749 EMERGED SINCE 2020 WHICH IS 2546 01:36:29,749 --> 01:36:33,987 EVERYTHING HAS TO BE A 3 MINUTE 2547 01:36:33,987 --> 01:36:40,360 YouTUBE VIDEO OR TIKTOK OR 2548 01:36:40,360 --> 01:36:43,663 SOME VERY FAST WAY, WHEREAS 2549 01:36:43,663 --> 01:36:48,368 THOSE ARE HOUR-LONG CME TYPE 2550 01:36:48,368 --> 01:36:53,039 LECTURES AND WE DON'T--OUR 2551 01:36:53,039 --> 01:36:53,640 PRELICENSURE STUDENTS DON'T 2552 01:36:53,640 --> 01:36:55,742 RESPOND TO THAT TYPE OF 2553 01:36:55,742 --> 01:36:56,009 EDUCATION. 2554 01:36:56,009 --> 01:36:58,245 BUT MY INTEREST WOULD BE HAVE WE 2555 01:36:58,245 --> 01:37:00,147 EVEN LOOKED AT IS ANYBODY 2556 01:37:00,147 --> 01:37:00,680 DOWNLOADING THEM? 2557 01:37:00,680 --> 01:37:03,750 ARE THEY USING THEM? 2558 01:37:03,750 --> 01:37:05,152 THEY WERE VERY DEFINED IN HOW 2559 01:37:05,152 --> 01:37:10,323 THEY HAD TO BE DEVELOPED AND 2560 01:37:10,323 --> 01:37:11,925 WHAT YOU'VE DESCRIBED SCOTT IS 2561 01:37:11,925 --> 01:37:15,295 VERY DIFFERENT THAN THAT MODEL 2562 01:37:15,295 --> 01:37:17,364 IS HOW DO WE MAKE FUNDING 2563 01:37:17,364 --> 01:37:22,936 AVAILABLE FOR DIFFERENT MODELS. 2564 01:37:22,936 --> 01:37:24,437 >> RENEE, I CAN HELP A LITTLE 2565 01:37:24,437 --> 01:37:27,440 BIT WITH THE EVAL EVACUATION OF 2566 01:37:27,440 --> 01:37:28,408 THE FOCUS MODELS, THEY WERE 2567 01:37:28,408 --> 01:37:30,977 DEVELOPED BY A NUMBER OF 2568 01:37:30,977 --> 01:37:32,812 DIFFERENT INSTITUTIONS, ACADEMIC 2569 01:37:32,812 --> 01:37:33,880 INSTITUTIONS DEVELOPED SETS AND 2570 01:37:33,880 --> 01:37:37,684 OUR SENSE WAS WHEN WE DID HOW 2571 01:37:37,684 --> 01:37:39,352 OFTEN ARE THEY BEING USED KIND 2572 01:37:39,352 --> 01:37:40,320 OF EVALUATION, THEY WERE BEING 2573 01:37:40,320 --> 01:37:42,622 USED IN THE INSTITUTIONS THAT 2574 01:37:42,622 --> 01:37:44,925 DEVELOPED THEM AND PART OF 2575 01:37:44,925 --> 01:37:48,128 REASON THEY DIDN'T GET MORE USE 2576 01:37:48,128 --> 01:37:49,596 OUTSIDE OF THE DEVELOPING 2577 01:37:49,596 --> 01:37:52,666 INSTITUTIONS IS THAT THEY WERE 2578 01:37:52,666 --> 01:37:53,266 NOT CME ACCREDITED. 2579 01:37:53,266 --> 01:37:54,534 WE SHOULD HAVE DONE THAT. 2580 01:37:54,534 --> 01:37:56,169 THAT'S SOMETHING WE LOOK BACK ON 2581 01:37:56,169 --> 01:37:57,671 AND REALIZE, THAT WAS PROBABLY A 2582 01:37:57,671 --> 01:38:01,074 MISTAKE AND WE SHOULD HAVE MADE 2583 01:38:01,074 --> 01:38:01,641 THE INVESTMENT. 2584 01:38:01,641 --> 01:38:05,512 THEY WERE HARD AT THE TIME 2585 01:38:05,512 --> 01:38:07,247 BECAUSE OF THE TECHNOLOGY TO 2586 01:38:07,247 --> 01:38:09,416 CONVERT THEM TO EASY USE ACROSS 2587 01:38:09,416 --> 01:38:13,820 DIFFERENT PLATFORMS AND PROFILES 2588 01:38:13,820 --> 01:38:16,189 AND LET'S SEE THERE WERE A 2589 01:38:16,189 --> 01:38:17,190 COUPLE OTHER ISSUES. 2590 01:38:17,190 --> 01:38:18,158 LENGTH AND DURATION, THEY WERE 2591 01:38:18,158 --> 01:38:20,193 HARD TO PUT TOGETHER SO EACH 2592 01:38:20,193 --> 01:38:21,461 INSTITUTION DID A SMALL NUMBER. 2593 01:38:21,461 --> 01:38:23,797 THEY WERE NOT AN EXHAUSTIVE 2594 01:38:23,797 --> 01:38:24,297 CURRICULUM. 2595 01:38:24,297 --> 01:38:24,931 THEY WERE SAMPLES. 2596 01:38:24,931 --> 01:38:27,300 THE PEOPLE WHO USED THEM, FOUND 2597 01:38:27,300 --> 01:38:30,937 THEM VERY HELPFUL, THEY ACTUALLY 2598 01:38:30,937 --> 01:38:34,140 DID SOME TESTS IN WHETHER THEY 2599 01:38:34,140 --> 01:38:35,308 CHANGED, FORGET WHAT THE EXAM 2600 01:38:35,308 --> 01:38:38,378 WAS THAT THEY USE, BUT FOR THOSE 2601 01:38:38,378 --> 01:38:41,448 STUDENTS WHO WERE REQUIRED TO 2602 01:38:41,448 --> 01:38:43,216 WATCH THEM, THEY DID BETTER ON 2603 01:38:43,216 --> 01:38:45,085 THEIR END OF THE YEAR EXAMS OR 2604 01:38:45,085 --> 01:38:46,152 LICENSING EXAMS, I HONESTLY 2605 01:38:46,152 --> 01:38:47,187 DON'T REMEMBER AND IT DID HELP 2606 01:38:47,187 --> 01:38:51,291 BUT THE USE WAS LIMITED AND SO 2607 01:38:51,291 --> 01:38:53,593 NIH MADE A DECISION TO NOT 2608 01:38:53,593 --> 01:38:56,496 CONTINUE THE DEVELOPMENT OF THEM 2609 01:38:56,496 --> 01:38:59,499 FOR ALL OF THE ABOVE AND HASN'T 2610 01:38:59,499 --> 01:39:03,970 REALLY PICKED UP THE BALL AGAIN 2611 01:39:03,970 --> 01:39:07,974 TO LOOK AT POTENTIAL OTHER 2612 01:39:07,974 --> 01:39:09,109 OPPORTUNITIES TO DEVELOP. 2613 01:39:09,109 --> 01:39:10,410 I THINK IT'S A LITTLE BIT AND 2614 01:39:10,410 --> 01:39:11,578 WAS A LITTLE BIT OUT OF OUR 2615 01:39:11,578 --> 01:39:13,246 SCOPE AT THE TIME ASK REMAINS A 2616 01:39:13,246 --> 01:39:18,585 BIT OUT OF OUR SCOPE BUT 2617 01:39:18,585 --> 01:39:19,052 INCREDIBLY IMPORTANT. 2618 01:39:19,052 --> 01:39:20,120 >> I WOULD THINK HAVING TO 2619 01:39:20,120 --> 01:39:21,388 DEVELOP 1, ARE WHAT WE DID AT 2620 01:39:21,388 --> 01:39:22,355 THE UNIVERSITY OF CONNECTICUT 2621 01:39:22,355 --> 01:39:24,424 WHEN I WAS THERE WAS IT WAS A 2622 01:39:24,424 --> 01:39:26,059 GAME AND THEN WHEN IT WENT TO 2623 01:39:26,059 --> 01:39:36,603 THE NIH, THEY UNDID THE GAME TO 2624 01:39:37,404 --> 01:39:38,305 FIT THAT PATTERN BECAUSE OF THE 2625 01:39:38,305 --> 01:39:39,272 TECHNOLOGY AND THE ABILITY TO 2626 01:39:39,272 --> 01:39:42,008 USE THAT TECHNOLOGY AND MAKE IT 2627 01:39:42,008 --> 01:39:43,943 DOWNLOADABLE ACROSS MANY 2628 01:39:43,943 --> 01:39:47,914 PLATFORMS WAS VERY DIFFICULT. 2629 01:39:47,914 --> 01:39:48,181 >> OKAY. 2630 01:39:48,181 --> 01:39:49,883 >> LORA, HAVE YOU A COMMENT? 2631 01:39:49,883 --> 01:39:51,518 >> YEAH, JUST WANT TO QUICKLY 2632 01:39:51,518 --> 01:39:52,585 PROVIDE AN UPDATE THAT THERE 2633 01:39:52,585 --> 01:39:55,588 HAVE BEEN A COUPLE OF 2634 01:39:55,588 --> 01:39:57,357 SUPPLEMENTS THAT HAVE RECENTLY 2635 01:39:57,357 --> 01:39:58,425 BEEN AWARDED TO INSTITUTES LIKE 2636 01:39:58,425 --> 01:40:00,794 THE UNIVERSITY OF MICHIGAN FOR 2637 01:40:00,794 --> 01:40:01,928 EXAMPLE, TO CREATE PAIN 2638 01:40:01,928 --> 01:40:04,964 EDUCATION COURSE THAT WILL BE 2639 01:40:04,964 --> 01:40:06,232 MADE AVAILABLE TO THE FULL 2640 01:40:06,232 --> 01:40:07,834 COMMUNITY THROUGH THE PURPOSE 2641 01:40:07,834 --> 01:40:09,369 NETWORK AND THROUGH OTHER MEANS, 2642 01:40:09,369 --> 01:40:12,105 SO THEY WILL BE A LITTLE BIT 2643 01:40:12,105 --> 01:40:13,707 BRIEFER THAN WHAT COPE'S HAD. 2644 01:40:13,707 --> 01:40:15,275 THEY WON'T BE THE SCENARIOS THAT 2645 01:40:15,275 --> 01:40:17,243 WERE DESCRIBED BUT IT WILL BE ON 2646 01:40:17,243 --> 01:40:21,648 CERTAIN PAIN TOPICS THAT WILL 2647 01:40:21,648 --> 01:40:24,184 HELP GEAR, IT WILL BE GEARED 2648 01:40:24,184 --> 01:40:25,785 MORE TOWARDS THE COLLEGE 2649 01:40:25,785 --> 01:40:26,820 GRADUATE STUDENT LEVEL SO THOSE 2650 01:40:26,820 --> 01:40:29,022 ARE GOING TO BE MADE AVAILABLE 2651 01:40:29,022 --> 01:40:39,566 WITHIN THE NEXT 6 MONTHS OR SO. 2652 01:40:40,200 --> 01:40:42,202 >> --IN ORDER TO ACCESS THEM, 2653 01:40:42,202 --> 01:40:42,669 RIGHT LAURA? 2654 01:40:42,669 --> 01:40:43,903 >> THEY WOULD HAVE TO JOIN 2655 01:40:43,903 --> 01:40:45,472 PURPOSE IN ORDER TO ACCESS THEM 2656 01:40:45,472 --> 01:40:47,574 BUT WE'VE ALSO BEEN TALKING TO 2657 01:40:47,574 --> 01:40:49,109 THE MICHIGAN PIs ABOUT MAKING 2658 01:40:49,109 --> 01:40:51,044 THEM ACCESSIBLE THROUGH OTHER 2659 01:40:51,044 --> 01:40:51,311 PLATFORMS. 2660 01:40:51,311 --> 01:40:52,612 SO IN CASE UNIVERSITIES WANT TO 2661 01:40:52,612 --> 01:40:54,247 BE ABLE TO ACCESS AND DOWNLOAD 2662 01:40:54,247 --> 01:40:55,415 THAT MATERIAL, SO THERE WILL BE 2663 01:40:55,415 --> 01:40:56,683 ANOTHER OPTION TO BE ABLE TO 2664 01:40:56,683 --> 01:40:59,252 DOWNLOAD IT AS WELL. 2665 01:40:59,252 --> 01:40:59,619 >> THANK YOU. 2666 01:40:59,619 --> 01:41:01,354 >> I THINK THERE ARE OTHER 2667 01:41:01,354 --> 01:41:02,655 PROGRAMS SIMILAR TO THAT THAT 2668 01:41:02,655 --> 01:41:06,559 ARE CREATING SOME CONTENT. 2669 01:41:06,559 --> 01:41:08,628 >> YOU KNOW I JUST WANT TO SAY I 2670 01:41:08,628 --> 01:41:12,565 THINK IT'S REALLY CRITICALLY 2671 01:41:12,565 --> 01:41:13,066 IMPORTANT. 2672 01:41:13,066 --> 01:41:16,803 I THOUGHT THE COKE CASES WERE 2673 01:41:16,803 --> 01:41:17,203 FANTASTIC TO USE. 2674 01:41:17,203 --> 01:41:20,039 THE PROBLEM IS THAT IN 30 YEARS 2675 01:41:20,039 --> 01:41:23,109 OF TRYING TO CREATE THE YELL 2676 01:41:23,109 --> 01:41:25,445 CURRICULUM, WE FIND THAT YOU'VE 2677 01:41:25,445 --> 01:41:27,380 SEEN 1 CURRICULUM, YOU'VE SEEN 1 2678 01:41:27,380 --> 01:41:28,915 CLICK LUM, EVERYONE MAKINGS 2679 01:41:28,915 --> 01:41:29,482 EDUCATION DIFFERENT. 2680 01:41:29,482 --> 01:41:31,050 SO THE IDEA OF GIVING PEOPLE 2681 01:41:31,050 --> 01:41:32,886 CASES AND RESOURCES, I THINK WAS 2682 01:41:32,886 --> 01:41:34,487 A GREAT IDEA, BUT I DO THINK 2683 01:41:34,487 --> 01:41:40,260 THAT WE'VE GOT TO EMPHASIZE AND 2684 01:41:40,260 --> 01:41:41,995 HOLD ACCOUNTABLE THE OUTCOME AND 2685 01:41:41,995 --> 01:41:46,433 THAT OUTCOME IS THE PART WHERE 2686 01:41:46,433 --> 01:41:47,434 EVERYONE'S IN AGREEMENT, BUT 2687 01:41:47,434 --> 01:41:48,635 IT'S THE IDEA THAT IF YOU DON'T 2688 01:41:48,635 --> 01:41:49,736 KNOW WHERE YOU'RE GOING, IT'S 2689 01:41:49,736 --> 01:41:51,004 HARD TO GET THERE AND IF YOU 2690 01:41:51,004 --> 01:41:55,675 START BY WHERE YOU'RE GOING AND 2691 01:41:55,675 --> 01:41:57,043 REVERSE ENGINEER IT THAT WILL 2692 01:41:57,043 --> 01:42:00,547 GET ALL THESE CURRICULAR 2693 01:42:00,547 --> 01:42:04,150 RESOURCES EMBEDDED AND USED 2694 01:42:04,150 --> 01:42:05,919 OTHERWISE THEY JUST FALL. 2695 01:42:05,919 --> 01:42:08,488 THEY START OUT MANDATORY, THEY 2696 01:42:08,488 --> 01:42:09,989 BOTTOM VOLUNTARY AND THEY 2697 01:42:09,989 --> 01:42:10,623 DISAPPEAR OFTEN. 2698 01:42:10,623 --> 01:42:17,597 THAT'S ALL I WANTED. 2699 01:42:17,597 --> 01:42:18,097 >> PAUL? 2700 01:42:18,097 --> 01:42:20,099 >> YES, THANK YOU. 2701 01:42:20,099 --> 01:42:21,601 I THINK THE VALUABLE 2702 01:42:21,601 --> 01:42:24,003 CONTRIBUTION OF THE COPES WAS 2703 01:42:24,003 --> 01:42:25,271 THE INTERNATIONAL DIALOGUE AND 2704 01:42:25,271 --> 01:42:27,907 AS SCOTT LAID OUT THERE ARE CORE 2705 01:42:27,907 --> 01:42:29,108 COMPETENCIES THAT CROSS CUT 2706 01:42:29,108 --> 01:42:30,710 DISCIPLINES AND TO GET PEOPLE OF 2707 01:42:30,710 --> 01:42:31,544 DIFFERENT DISCIPLINES IN THE 2708 01:42:31,544 --> 01:42:34,080 SAME ROOM WITH THE SAME BASIC 2709 01:42:34,080 --> 01:42:35,114 CORE COMPETENCY ANDS WALKING 2710 01:42:35,114 --> 01:42:36,883 ABOUT WHAT DO I KNOW AS A NURSE 2711 01:42:36,883 --> 01:42:38,184 AND WHAT DO YOU KNOW AS A 2712 01:42:38,184 --> 01:42:40,887 DOCTOR, WHAT DO YOU KNOW AS A 2713 01:42:40,887 --> 01:42:42,188 TENTIST, PHYSICAL THERAPISTS, AS 2714 01:42:42,188 --> 01:42:44,190 A PSYCHOLOGY, THAT WAS THE REAL 2715 01:42:44,190 --> 01:42:46,259 VALUE ADDED KRIEWK, BUT THAT WAS 2716 01:42:46,259 --> 01:42:48,228 ALSO THE GREATEST CHALLENGE OF 2717 01:42:48,228 --> 01:42:49,863 MAKING THE COPE'S WORK WAS 2718 01:42:49,863 --> 01:42:53,366 GETTING PEOPLE IN THE ROOM 2719 01:42:53,366 --> 01:42:53,900 TOGETHER. 2720 01:42:53,900 --> 01:42:55,235 SOME INSTITUTIONS SUCCEEDED IN 2721 01:42:55,235 --> 01:43:02,575 THAT BUT MOST STRUGGLED WITH IT 2722 01:43:02,575 --> 01:43:05,144 THAT WAY. 2723 01:43:05,144 --> 01:43:10,149 >> I THINK THAT--DR. KOROSHEZ--- 2724 01:43:10,149 --> 01:43:10,717 >> WELCOME. 2725 01:43:10,717 --> 01:43:13,753 >> I KNOW WALTER WAS DOWN TOWN 2726 01:43:13,753 --> 01:43:14,821 AT CONGRESSIONAL HEARING AND NOW 2727 01:43:14,821 --> 01:43:17,123 HE'S JOINING US FROM HIS CAR. 2728 01:43:17,123 --> 01:43:19,225 >> AND HE WALKED VERY FAR TO GET 2729 01:43:19,225 --> 01:43:23,196 TO HIS CAR. 2730 01:43:23,196 --> 01:43:23,463 [LAUGHTER] 2731 01:43:23,463 --> 01:43:25,765 >> WE WERE JUST TALKING ABOUT 2732 01:43:25,765 --> 01:43:31,437 WALKING WALTER. 2733 01:43:31,437 --> 01:43:34,974 >> SO I HEAR IN TERMS OF--I'M 2734 01:43:34,974 --> 01:43:37,210 HEARING ENTHUSIASM AROUND THIS 2735 01:43:37,210 --> 01:43:38,545 EDUCATION, PROVIDER EDUCATION 2736 01:43:38,545 --> 01:43:38,745 THEME. 2737 01:43:38,745 --> 01:43:40,313 IT SEEMS TO BE QUITE A FEW 2738 01:43:40,313 --> 01:43:43,583 PEOPLE INTERESTED IN IT. 2739 01:43:43,583 --> 01:43:45,652 >> I CAN COMMENT ON 1 OF THE 2740 01:43:45,652 --> 01:43:49,689 OTHER THINGS THAT BOTH PAUL AND 2741 01:43:49,689 --> 01:43:54,227 SCOTT SAID, THE NEW COMPETENCIES 2742 01:43:54,227 --> 01:43:55,862 ON EDUCATION WERE JUST RELEASED, 2743 01:43:55,862 --> 01:43:58,197 PAIN IS NOT 1 OF THEM BUT 2744 01:43:58,197 --> 01:43:59,399 CARDIOVASCULAR HEALTH IS NOT 1 2745 01:43:59,399 --> 01:44:00,400 OF THEM. 2746 01:44:00,400 --> 01:44:04,370 THEY'VE COMPLETELY GONE AWAY 2747 01:44:04,370 --> 01:44:12,178 FROM SYSTEMS LIKE THAT WHICH 2748 01:44:12,178 --> 01:44:14,480 MEANS THAT THERE'S FLEXIBILITY 2749 01:44:14,480 --> 01:44:17,917 IN TERMS OF WHAT'S BEING TAUGHT, 2750 01:44:17,917 --> 01:44:22,422 BUT WHAT PAUL REMINDED ME OF AND 2751 01:44:22,422 --> 01:44:24,190 THAT IMPLEMENTATION IS A CORE CO 2752 01:44:24,190 --> 01:44:25,325 MUCH TENCY IN NURSING EDUCATION 2753 01:44:25,325 --> 01:44:28,828 EMPLOY SO A WAY TO SHOW THAT 2754 01:44:28,828 --> 01:44:30,196 LEVERAGING THAT PAIN, WE WILL 2755 01:44:30,196 --> 01:44:30,964 ALL AGREE THAT'S VERY IMPORTANT 2756 01:44:30,964 --> 01:44:36,736 THAT WE HAVE THAT COMMUNICATION 2757 01:44:36,736 --> 01:44:37,637 ACROSS DISCIPLINES. 2758 01:44:37,637 --> 01:44:39,138 >> EXACTLY AND LET'S NOT FORGET 2759 01:44:39,138 --> 01:44:41,908 THAT WHAT WE'RE ALL HERE TO 2760 01:44:41,908 --> 01:44:42,976 DISCUSS IS RESEARCH, RIGHT IN 2761 01:44:42,976 --> 01:44:44,978 AND THAT'S WHAT LINDA WAS 2762 01:44:44,978 --> 01:44:47,080 ALLUDING TO IN TERMS OF THE 2763 01:44:47,080 --> 01:44:48,681 SCOPE, CERTAINLY AT NIH, WE 2764 01:44:48,681 --> 01:44:51,618 SPEND A LOT OF TIME THINKING 2765 01:44:51,618 --> 01:44:53,052 ABOUT WHERE ARE THE BOUNDARIES 2766 01:44:53,052 --> 01:44:55,922 OF WHAT OUR MISSION IS, AND 1 OF 2767 01:44:55,922 --> 01:44:58,758 THE AREAS THAT WE LOOKED VERY 2768 01:44:58,758 --> 01:45:00,727 HARD ABOUT IS THE INTERACTION, 2769 01:45:00,727 --> 01:45:01,761 THEY WERE INTERSECTION OF 2770 01:45:01,761 --> 01:45:03,630 RESEARCH AND PATIENT CARE RIGHT 2771 01:45:03,630 --> 01:45:06,833 NOW, AND WHAT I MENTIONED 2772 01:45:06,833 --> 01:45:08,134 EARLIER, OF VENTURING INTO IMP 2773 01:45:08,134 --> 01:45:08,868 REMENTATION SCIENCE AND 2774 01:45:08,868 --> 01:45:11,704 RESEARCH, IS A WAY TO REALLY USE 2775 01:45:11,704 --> 01:45:14,173 RESEARCH IN ORDER TO EXAMINE HOW 2776 01:45:14,173 --> 01:45:15,041 HEALTHCARE IS DELIVERED. 2777 01:45:15,041 --> 01:45:16,309 THIS IS A NEW FIELD. 2778 01:45:16,309 --> 01:45:18,411 THIS IS A NEW AREA. 2779 01:45:18,411 --> 01:45:20,847 I THINK A SIMILAR THEME COULD 2780 01:45:20,847 --> 01:45:23,383 PERHAPS BE CONTEMPLATED IN THE 2781 01:45:23,383 --> 01:45:23,916 FIELD OF EDUCATION. 2782 01:45:23,916 --> 01:45:27,153 YOU KNOW HOW DO YOU USE--COULD 2783 01:45:27,153 --> 01:45:29,222 YOU APPLY THE PRINCIPLES AND 2784 01:45:29,222 --> 01:45:32,659 WHAT WE ALREADY KNOW ABOUT HOW 2785 01:45:32,659 --> 01:45:34,093 TO CONDUCT IMPLEMENTATION 2786 01:45:34,093 --> 01:45:35,762 SCIENCE, IMPLEMENTATION RESEARCH 2787 01:45:35,762 --> 01:45:37,630 IN THE FIELD OF PAIN EDUCATION? 2788 01:45:37,630 --> 01:45:48,174 WOULD THAT BE A TOPIC THAT WOULD 2789 01:45:49,342 --> 01:45:50,076 BE OF INTEREST? 2790 01:45:50,076 --> 01:45:58,084 I SEE HEADS NODDING. 2791 01:45:58,084 --> 01:45:59,786 NDEFINITELY A BIG GAP AREA FOR 2792 01:45:59,786 --> 01:45:59,986 SURE. 2793 01:45:59,986 --> 01:46:00,920 >> BIG GAP. 2794 01:46:00,920 --> 01:46:01,888 THAT'S IT TO IDENTIFY REALLY 2795 01:46:01,888 --> 01:46:08,027 WHAT ARE THE GAPS AND HOW CAN 2796 01:46:08,027 --> 01:46:10,129 RESEARCH HELP US TO GET THE 2797 01:46:10,129 --> 01:46:14,033 INFORMATION, THE DATA THAT WE 2798 01:46:14,033 --> 01:46:16,135 NEED IN ORDER TO ADVANCE 2799 01:46:16,135 --> 01:46:19,338 ESSENTIALLY IN THE END WHAT WE 2800 01:46:19,338 --> 01:46:21,574 WANT IS REDUCE PAIN AND 2801 01:46:21,574 --> 01:46:24,277 SUFFERING FOR PEOPLE. 2802 01:46:24,277 --> 01:46:25,445 IF PROVIDERS AND MEDICAL 2803 01:46:25,445 --> 01:46:27,280 STUDENTS FOR EXAMPLE, BUT NOT 2804 01:46:27,280 --> 01:46:28,681 JUST MEDICAL STUDENTS, I REALLY 2805 01:46:28,681 --> 01:46:30,416 LIKE THE COMMENT ABOUT THE 2806 01:46:30,416 --> 01:46:32,118 INTERPROFESSIONAL, IT'S THE 2807 01:46:32,118 --> 01:46:36,089 GAMUT, IT'S INTB WHO INTERACTS 2808 01:46:36,089 --> 01:46:39,125 WITH A PATIENT AND HOW THERE 2809 01:46:39,125 --> 01:46:41,861 NEEDS TO BE KNOWLEDGE ABOUT 2810 01:46:41,861 --> 01:46:43,696 PAYING THAT ACROSSS, ACROSS 2811 01:46:43,696 --> 01:46:45,565 THESE DISCIPLINES SO FOR EXAMPLE 2812 01:46:45,565 --> 01:46:48,101 THAT PHYSICAL THERAPISTS AND 2813 01:46:48,101 --> 01:46:52,238 NURSES AND HEALTH COACHES AND 2814 01:46:52,238 --> 01:46:53,406 PHYSICIANS REALLY SORT OF 2815 01:46:53,406 --> 01:46:54,574 EXCHANGE KNOWLEDGE AND HAVE A 2816 01:46:54,574 --> 01:46:57,410 COMMON LANGUAGE THAT THEY CAN 2817 01:46:57,410 --> 01:46:57,844 USE. 2818 01:46:57,844 --> 01:47:03,382 SO THIS IS SO IMPORTANT. 2819 01:47:03,382 --> 01:47:03,583 YEAH. 2820 01:47:03,583 --> 01:47:09,288 AND I WANT TO COME BACK TO THE 2821 01:47:09,288 --> 01:47:17,330 THEME OF HEALTH AND WELL BEING 2822 01:47:17,330 --> 01:47:18,064 THAT SCOTT RAISED BECAUSE I 2823 01:47:18,064 --> 01:47:19,565 THINK THIS IS AN AREA THAT CAN 2824 01:47:19,565 --> 01:47:22,869 HELP WITH THE FULL CROSS CUTTING 2825 01:47:22,869 --> 01:47:24,771 WAY TO ADDRESS THE--THAT PAIN IS 2826 01:47:24,771 --> 01:47:28,007 NOT TREATED AS AN ISOLATED 2827 01:47:28,007 --> 01:47:28,641 SYMPTOM. 2828 01:47:28,641 --> 01:47:32,979 THAT IT'S CONNECTED TO SO MANY 2829 01:47:32,979 --> 01:47:33,713 THINGS IN PEOPLE'S LIVES. 2830 01:47:33,713 --> 01:47:34,881 I THINK THIS IS WHAT WE'RE 2831 01:47:34,881 --> 01:47:36,916 STARTING TO UNDERSTAND IS THAT 2832 01:47:36,916 --> 01:47:38,684 WHEN WE--IN ORDER TO DEVELOP 2833 01:47:38,684 --> 01:47:41,287 EFFECTIVE INTERVENTIONS WE HAVE 2834 01:47:41,287 --> 01:47:49,495 TO CONSIDER THAT WE'RE NOT JUST 2835 01:47:49,495 --> 01:47:50,696 GIVING TEMPORARY PAIN RELIEF, WE 2836 01:47:50,696 --> 01:47:51,864 HAVE TO THINK ABOUT WHAT IS IT 2837 01:47:51,864 --> 01:47:55,468 THAT WE CAN HELP WITH SO THAT 2838 01:47:55,468 --> 01:47:56,335 PEOPLE--EVOLVING IN A POSITIVE 2839 01:47:56,335 --> 01:47:57,770 DIRECTION OVER THE COURSE OF 2840 01:47:57,770 --> 01:47:58,304 THEIR LIFE. 2841 01:47:58,304 --> 01:48:00,039 SO, I THINK TO INCORPORATE SOME 2842 01:48:00,039 --> 01:48:01,941 OF THIS, INTO OUR PAIN 2843 01:48:01,941 --> 01:48:02,742 MANAGEMENT STRATEGIES AND 2844 01:48:02,742 --> 01:48:05,278 RESEARCH THAT SUPPORTS THEM, 2845 01:48:05,278 --> 01:48:07,113 COULD BE VERY, VERY IMPORTANT. 2846 01:48:07,113 --> 01:48:09,382 SO REALLY WANT TO THANK SCOTT 2847 01:48:09,382 --> 01:48:19,025 FOR BRINGING THAT TOPIC FORWARD. 2848 01:48:19,025 --> 01:48:23,629 ALL RIGHT, DO I HEAR ANY--OKAY. 2849 01:48:23,629 --> 01:48:26,299 THERE'S A COMMENT. 2850 01:48:26,299 --> 01:48:28,968 MIGHT BE A GOOD TIME MENTION THE 2851 01:48:28,968 --> 01:48:30,236 OUTCOMES AND IMPACTS OF THE 2852 01:48:30,236 --> 01:48:32,338 CENTER ON THE GRAPH THAT CORE 2853 01:48:32,338 --> 01:48:36,876 COMPETENCIES THAT SCOTT OFFERED 2854 01:48:36,876 --> 01:48:38,945 THAT PEOPLE--[MUMBLING ] YES, 2855 01:48:38,945 --> 01:48:39,278 ABSOLUTELY. 2856 01:48:39,278 --> 01:48:41,848 THIS IS WHAT PEOPLE TELL US LOUD 2857 01:48:41,848 --> 01:48:45,685 AND CLEAR THEY WANT US TO DO 2858 01:48:45,685 --> 01:48:50,656 RESEARCH THAT IS RELEVANT TO 2859 01:48:50,656 --> 01:48:54,060 THEIR LIVES NOT JUST A SMALL 2860 01:48:54,060 --> 01:49:00,099 NARROW, YOU KNOW PORTION OF WHAT 2861 01:49:00,099 --> 01:49:00,666 THEY'RE EXPERIENCING. 2862 01:49:00,666 --> 01:49:02,034 >> BUT EVEN IF WE'RE TALKING 2863 01:49:02,034 --> 01:49:03,369 ABOUT RESEARCHING AND INCLUDING 2864 01:49:03,369 --> 01:49:04,904 CLINICAL PRACTICE AND 2865 01:49:04,904 --> 01:49:05,738 IMPLEMENTATION AND OUTCOMES, I 2866 01:49:05,738 --> 01:49:09,141 THINK WE ALSO NEED TO TALK ABOUT 2867 01:49:09,141 --> 01:49:10,643 INCLUDING PEOPLE WITH LIVED 2868 01:49:10,643 --> 01:49:12,278 EXPERIENCE IN THAT CONVERSATION 2869 01:49:12,278 --> 01:49:12,745 AT EACH LEVEL. 2870 01:49:12,745 --> 01:49:15,948 IT'S JUST SORT OF A STANDARD. 2871 01:49:15,948 --> 01:49:18,117 >> YEAH, YEAH, AND THE MORE WE 2872 01:49:18,117 --> 01:49:19,852 UNDERSTAND THE REALITY OF 2873 01:49:19,852 --> 01:49:21,354 PEOPLE'S LIVES, WHO LIVE WITH 2874 01:49:21,354 --> 01:49:24,123 PAIN AND THE COMPLEXITY OF IT, 2875 01:49:24,123 --> 01:49:25,758 THE BETTER OFF WE'LL BE IN ORDER 2876 01:49:25,758 --> 01:49:28,160 TO DESIGN RESEARCH QUESTIONS, 2877 01:49:28,160 --> 01:49:29,295 CORRECT? 2878 01:49:29,295 --> 01:49:30,329 YEAH. 2879 01:49:30,329 --> 01:49:31,063 >> COULD I JUST--THE CENTER OF 2880 01:49:31,063 --> 01:49:33,666 THE GRAPH OF THE COMPETENCY 2881 01:49:33,666 --> 01:49:36,602 DOMAINS IS THE PERSON IN PAIN. 2882 01:49:36,602 --> 01:49:39,071 SO YEAH, I COULDN'T AGREE WITH 2883 01:49:39,071 --> 01:49:41,974 YOU MORE KATE, THANKS. 2884 01:49:41,974 --> 01:49:43,042 >> YEAH, YES. 2885 01:49:43,042 --> 01:49:52,351 EXCELLENT. 2886 01:49:52,351 --> 01:49:52,618 EXCELLENT. 2887 01:49:52,618 --> 01:49:55,087 SO, SO WOULD THERE ARE PEOPLE 2888 01:49:55,087 --> 01:49:57,290 INTERESTED ON A WORKING GROUP ON 2889 01:49:57,290 --> 01:49:58,925 EDUCATION OR ANY OF THE OTHER 2890 01:49:58,925 --> 01:49:59,158 TOPICS. 2891 01:49:59,158 --> 01:50:02,328 LET'S TALK ABOUT EDUCATION 2892 01:50:02,328 --> 01:50:02,528 FIRST. 2893 01:50:02,528 --> 01:50:04,897 PROVIDER EDUCATION, HOW TO 2894 01:50:04,897 --> 01:50:07,800 FIGURE OUT AND GET--AND REALLY 2895 01:50:07,800 --> 01:50:10,603 THINK HARD ABOUT WHAT KIND OF 2896 01:50:10,603 --> 01:50:13,873 RESEARCH WOULD BEST HELP MOVE 2897 01:50:13,873 --> 01:50:16,075 THIS OUT OF THIS REALLY 2898 01:50:16,075 --> 01:50:17,209 UNSATISFACTORY SITUATION THAT 2899 01:50:17,209 --> 01:50:25,451 WE'RE IN RIGHT NOW. 2900 01:50:25,451 --> 01:50:26,519 BETH IS INTERESTED. 2901 01:50:26,519 --> 01:50:31,624 SCOTT IS INTERESTED. 2902 01:50:31,624 --> 01:50:32,525 GROUP OF IPRCC. 2903 01:50:32,525 --> 01:50:35,461 THIS WOULD BE IPRCC. 2904 01:50:35,461 --> 01:50:37,863 >> YEAH, BECAUSE WE TALKED ABOUT 2905 01:50:37,863 --> 01:50:38,331 THE-- 2906 01:50:38,331 --> 01:50:39,298 >> WELL, ONCE THE SUBGROUP IS 2907 01:50:39,298 --> 01:50:41,867 FORMED THEN WE CAN SEE HOW THE 2908 01:50:41,867 --> 01:50:43,569 SUBGROUP CAN INTERACT, RIGHT? 2909 01:50:43,569 --> 01:50:44,136 >> OKAY. 2910 01:50:44,136 --> 01:50:50,443 >> A NUMBER OF PEOPLE 2911 01:50:50,443 --> 01:50:50,943 INTERESTED, RIGHT? 2912 01:50:50,943 --> 01:50:51,410 GREAT. 2913 01:50:51,410 --> 01:50:57,583 SO IT LOOKS LIKE SCOTT, YOU HAVE 2914 01:50:57,583 --> 01:50:58,050 INSPIRED PEOPLE. 2915 01:50:58,050 --> 01:50:59,552 >> YEAH THIS, IS AN AREA THAT'S 2916 01:50:59,552 --> 01:51:01,554 A BIG GAP AND I THINK THIS GROUP 2917 01:51:01,554 --> 01:51:09,862 WOULD BE WELL SUITED TO ADDRESS 2918 01:51:09,862 --> 01:51:14,066 ANY OTHER KIND? 2919 01:51:14,066 --> 01:51:14,600 >> WALTER? 2920 01:51:14,600 --> 01:51:19,572 >> YEAH, SO, I GUESS THE ISSUE 2921 01:51:19,572 --> 01:51:24,944 USUALLY--IT'S SUCH A BROAD AREA 2922 01:51:24,944 --> 01:51:28,014 TO WHERE THE FOCUS SHOULD BE TO 2923 01:51:28,014 --> 01:51:31,851 HAVE THE BIGGEST IMPACT AND YOU 2924 01:51:31,851 --> 01:51:33,753 KNOW SOMETIMES THAT'S RELATED TO 2925 01:51:33,753 --> 01:51:36,188 HOW THE STARS ARE ALIGNING AND I 2926 01:51:36,188 --> 01:51:40,459 JUST WANT TO THROW OUT AND 2927 01:51:40,459 --> 01:51:45,131 HELENE KNOWS THIS, THAT 1 OF 2928 01:51:45,131 --> 01:51:46,565 DR. BERTAGNOLLI'S GOALS AS I SEE 2929 01:51:46,565 --> 01:51:47,967 DREKORS DEVELOP RESEARCH IN 2930 01:51:47,967 --> 01:51:51,003 PRIMARY CARE, THAT I WOULD OFFER 2931 01:51:51,003 --> 01:51:53,105 THAT YOU KNOW IF THERE'S AN 2932 01:51:53,105 --> 01:51:57,743 IMPACT THAT CAN BE MADE, IT'S 2933 01:51:57,743 --> 01:51:58,544 REALLY NOT--I MEAN IT'S ALWAYS 2934 01:51:58,544 --> 01:52:00,479 GREAT TO BE ABLE TO TALK TO THE 2935 01:52:00,479 --> 01:52:02,214 PEOPLE WHO ARE, YOU KNOW PAIN 2936 01:52:02,214 --> 01:52:05,618 SPECIALISTS, BUT I THINK THAT 2937 01:52:05,618 --> 01:52:09,188 THE REAL IMPACT COULD BE AT THE 2938 01:52:09,188 --> 01:52:09,989 PRIMARY CARE LEVEL. 2939 01:52:09,989 --> 01:52:15,094 SO I JUST THROW THAT OUT AS A 2940 01:52:15,094 --> 01:52:15,428 COMMENT. 2941 01:52:15,428 --> 01:52:17,296 NABSOLUTELY WALTER, I 2942 01:52:17,296 --> 01:52:18,731 ACCOUNTEDN'T AGREE MORE. 2943 01:52:18,731 --> 01:52:21,133 THERE COULD BE--AND PRIMARY CARE 2944 01:52:21,133 --> 01:52:25,671 OF COURSE INCREASINGLY RIGHT AND 2945 01:52:25,671 --> 01:52:27,306 DELIVERED IN TEAMS, RIGHT? 2946 01:52:27,306 --> 01:52:29,442 SO PRIMARY CARE IS OBVIOUSLY NOT 2947 01:52:29,442 --> 01:52:31,377 ONLY MDs, YOU KNOW IT'S THE 2948 01:52:31,377 --> 01:52:34,313 WHOLE TEAM BASED APPROACH, I 2949 01:52:34,313 --> 01:52:39,385 THINK HAS BEEN--IS IDEAL, THAT 2950 01:52:39,385 --> 01:52:41,554 REALLY INCLUDES DIFFERENT TYPES 2951 01:52:41,554 --> 01:52:43,522 OF PROFESSIONS THAT COULD IERK 2952 01:52:43,522 --> 01:52:44,790 DEALLY INTERACT TOGETHER BUT IN 2953 01:52:44,790 --> 01:52:48,661 THE CONTEXT OF PRIMARY CARE TO 2954 01:52:48,661 --> 01:52:52,031 HELP MANAGE PAIN BETTER SO I 2955 01:52:52,031 --> 01:52:53,799 THINK, YEAH, I THINK I WOULD 2956 01:52:53,799 --> 01:52:57,870 SUGGEST PERHAPS A FOCUS ON BOTH 2957 01:52:57,870 --> 01:53:00,406 PRIMARY CARE AND TEAM BASED PAIN 2958 01:53:00,406 --> 01:53:06,512 MANAGEMENT AT THAT LEVEL. 2959 01:53:06,512 --> 01:53:07,480 >> THAT'S GREAT. 2960 01:53:07,480 --> 01:53:17,723 YES, I AGREE. 2961 01:53:21,760 --> 01:53:22,228 >> SO LET'S SEE. 2962 01:53:22,228 --> 01:53:23,996 LINDA SHOULD WE GO AHEAD AND 2963 01:53:23,996 --> 01:53:28,400 PERHAPS CHARGE A GROUP OR 2964 01:53:28,400 --> 01:53:29,568 PERHAPS WITH SCOTT, SINCE YOU 2965 01:53:29,568 --> 01:53:31,036 GAVE US THIS WONDERFUL 2966 01:53:31,036 --> 01:53:32,471 PRESENTATION WOULD YOU 2967 01:53:32,471 --> 01:53:38,444 INTERESTED IN LEADING A GROUP 2968 01:53:38,444 --> 01:53:39,111 LIKE THIS? 2969 01:53:39,111 --> 01:53:42,715 NSO I WOULD BE HAPPY TO HELP SET 2970 01:53:42,715 --> 01:53:44,250 IT UP HELENE AND I CAN TALK TO 2971 01:53:44,250 --> 01:53:48,621 SCOTT AND SEE WHAT HIS 2972 01:53:48,621 --> 01:53:52,124 AVAILABILITY FOR TIME IS, BUT 2973 01:53:52,124 --> 01:53:53,592 DEFINITELY CAN WORK TO SORT OF 2974 01:53:53,592 --> 01:53:56,028 GET THE FIRST CONVERSATIONS 2975 01:53:56,028 --> 01:53:57,663 GOING AND WHAT KIND OF THINGS WE 2976 01:53:57,663 --> 01:53:59,965 MIGHT WANT TO CONSIDER IN MORE 2977 01:53:59,965 --> 01:54:00,432 DETAIL. 2978 01:54:00,432 --> 01:54:01,667 SO YEAH, I'M HAPPY TO GET THAT 2979 01:54:01,667 --> 01:54:01,901 STARTED. 2980 01:54:01,901 --> 01:54:05,738 I WOULD LIKE TO ASK WHOEVER IS 2981 01:54:05,738 --> 01:54:06,872 RUNNING THE RECORDING OF THIS 2982 01:54:06,872 --> 01:54:10,109 THAT WE GET THE CHAT SAVED. 2983 01:54:10,109 --> 01:54:10,309 NYES. 2984 01:54:10,309 --> 01:54:11,877 >> BECAUSE THERE'S A LOT OF 2985 01:54:11,877 --> 01:54:15,281 REALLY VALUABLE INFORMATION IN 2986 01:54:15,281 --> 01:54:16,582 THERE AND WE WILL REVIEW IT AND 2987 01:54:16,582 --> 01:54:17,816 SEE IF THERE ARE ANY QUESTIONS 2988 01:54:17,816 --> 01:54:27,660 LEFT THAT WE NEED TO ADDRESS. 2989 01:54:27,660 --> 01:54:27,960 >> RIGHT. 2990 01:54:27,960 --> 01:54:31,463 THE CHAT IS JUST EXPLODING SO 2991 01:54:31,463 --> 01:54:32,031 THIS IS GREAT. 2992 01:54:32,031 --> 01:54:36,001 SOUNDS LIKE WE TOUCHED ON AN 2993 01:54:36,001 --> 01:54:38,737 AREA THAT REALLY RESONATES WITH 2994 01:54:38,737 --> 01:54:43,609 PEOPLE THAT TAKES US IN A VERY 2995 01:54:43,609 --> 01:54:52,017 NEEDED DIRECTION. 2996 01:54:52,017 --> 01:54:52,585 GREAT. 2997 01:54:52,585 --> 01:54:52,918 >> BETH? 2998 01:54:52,918 --> 01:54:54,353 >> AND THEN LAURA HAS A 2999 01:54:54,353 --> 01:54:54,820 QUESTION. 3000 01:54:54,820 --> 01:54:55,321 >> GREAT. 3001 01:54:55,321 --> 01:54:55,854 THANKS. 3002 01:54:55,854 --> 01:54:57,590 I WAS NOTING CHRISTINE'S COMMENT 3003 01:54:57,590 --> 01:55:00,926 AND THEN WANTED TO KEY OFF WHAT 3004 01:55:00,926 --> 01:55:03,696 YOU SAID EARLIER HELENE, AND I 3005 01:55:03,696 --> 01:55:05,531 THINK IS IT ACCURATE THAT THE 3006 01:55:05,531 --> 01:55:08,968 IDEA WITH THE PAIN EDUCATION 3007 01:55:08,968 --> 01:55:11,604 WORK GROUP OR SUBCOMMITTEE 3008 01:55:11,604 --> 01:55:12,738 HOWEVER THAT'S DESCRIBED, THAT 3009 01:55:12,738 --> 01:55:16,375 IS SORT OF NESTED UNDERTHE PAIN 3010 01:55:16,375 --> 01:55:16,842 RESEARCH WORK GROUP? 3011 01:55:16,842 --> 01:55:18,944 IS IT ACCURATE THAT EVERYTHING 3012 01:55:18,944 --> 01:55:21,914 AROUND EICATION WOULD ACTUALLY 3013 01:55:21,914 --> 01:55:25,884 BE GEARED TOWARDS RESEARCH ABOUT 3014 01:55:25,884 --> 01:55:28,520 PAIN EDUCATION VERSUS CLINICAL 3015 01:55:28,520 --> 01:55:29,688 EDUCATION FOR THE SAKE OF 3016 01:55:29,688 --> 01:55:31,390 CLINICAL EDUCATION WHICH IS 3017 01:55:31,390 --> 01:55:32,324 REALLY IMPORTANT. 3018 01:55:32,324 --> 01:55:34,760 IT JUST DOESN'T FALL UNDER THE 3019 01:55:34,760 --> 01:55:37,363 PERVIEW OF THE IPRCC, IF I'M 3020 01:55:37,363 --> 01:55:38,397 UNDERSTANDING IT CORRECTLY. 3021 01:55:38,397 --> 01:55:40,799 >> RIGHT, THIS NEEDS TO BE ABOUT 3022 01:55:40,799 --> 01:55:41,867 RESOURCE BECAUSE THAT'S WHAT 3023 01:55:41,867 --> 01:55:43,669 THIS COMMITTEE IS ABOUT. 3024 01:55:43,669 --> 01:55:44,970 >> AND PLEASE KEEP IN MIND, TOO, 3025 01:55:44,970 --> 01:55:47,139 THAT WE ARE NOT ONLY NIH, WE 3026 01:55:47,139 --> 01:55:47,773 HAVE OTHER FEDERAL MEMBERS ON 3027 01:55:47,773 --> 01:55:49,174 HERE THAT ARE DOING A LOT OF 3028 01:55:49,174 --> 01:55:51,510 WORK IN THIS AREA, AND I THINK 3029 01:55:51,510 --> 01:55:54,813 ELIZABETH CAN HELP OUT WITH 3030 01:55:54,813 --> 01:55:57,616 THAT, CDC, YOU KNOW THEY'RE 3031 01:55:57,616 --> 01:55:59,852 DEFINITELY BEYOND NIH. 3032 01:55:59,852 --> 01:56:00,352 YEAH. 3033 01:56:00,352 --> 01:56:00,686 >> RIGHT. 3034 01:56:00,686 --> 01:56:02,554 IT'S REALLY AT THE EDGE BUT IT 3035 01:56:02,554 --> 01:56:09,061 REALLY NEEDS TO BE DONE THROUGH 3036 01:56:09,061 --> 01:56:09,595 RESEARCH. 3037 01:56:09,595 --> 01:56:11,430 >> SOMEONE PUT A QUESTION IN 3038 01:56:11,430 --> 01:56:12,631 HERE ABOUT OPPORTUNITIES FOR 3039 01:56:12,631 --> 01:56:19,371 AREAS OF INTEREST FOR OTHER 3040 01:56:19,371 --> 01:56:20,639 SUBGROUPS. 3041 01:56:20,639 --> 01:56:21,707 ONE WAS ABOUT--OKAY, THE LIST 3042 01:56:21,707 --> 01:56:23,108 JUST MOVED SO I WAS GOING TO 3043 01:56:23,108 --> 01:56:24,543 READ IT OUT OR MAYBE YOU COULD 3044 01:56:24,543 --> 01:56:25,978 JUST JUMP IN AND GIVE A BIT MORE 3045 01:56:25,978 --> 01:56:29,014 OF WHAT YOU WERE THINKING? 3046 01:56:29,014 --> 01:56:30,249 >> YEAH, SURE. 3047 01:56:30,249 --> 01:56:33,786 THANKS, LINDA, I MEAN 1 OF THE 3048 01:56:33,786 --> 01:56:35,654 TOPICS FOR THIS IPRCC IS 3049 01:56:35,654 --> 01:56:38,123 BRINGING TOGETHER OUR FEDERAL 3050 01:56:38,123 --> 01:56:38,957 PARTNERS, AND SO, 1 THING THAT 3051 01:56:38,957 --> 01:56:43,696 WE MIGHT BE ABLE TO DO AS PART 3052 01:56:43,696 --> 01:56:45,497 OF IPRCC IS COAALATE SOME OF THE 3053 01:56:45,497 --> 01:56:47,466 GUIDE LINES AND THE PAIN GUIDE 3054 01:56:47,466 --> 01:56:48,767 LINES AT DIFFERENT AGENCIES SO 3055 01:56:48,767 --> 01:56:52,504 SINCE WE HAVE FDA, CDC, D.O.D. 3056 01:56:52,504 --> 01:56:54,406 AND VA, AND COMPILE THAT 3057 01:56:54,406 --> 01:56:55,774 INFORMATION IN 1 PLACE, SO I'M 3058 01:56:55,774 --> 01:56:58,510 WONDERING IF THAT MIGHT BE OF 3059 01:56:58,510 --> 01:56:59,478 INTEREST FOR THIS GROUP AND 3060 01:56:59,478 --> 01:57:00,879 HAVING A WORK GROUP TO GET A 3061 01:57:00,879 --> 01:57:04,416 SENSE OF WHAT ARE THE MOST 3062 01:57:04,416 --> 01:57:05,384 RECENT GUIDELINES THAT PEOPLE 3063 01:57:05,384 --> 01:57:06,585 ARE WORKING ON, HOW DO WE GET 3064 01:57:06,585 --> 01:57:08,887 SOME OF THAT INFORMATION, KIND 3065 01:57:08,887 --> 01:57:11,123 OF STANDARDIZED AND DISSEMINATED 3066 01:57:11,123 --> 01:57:21,567 OUT TO THE PUBLIC AS WELL. 3067 01:57:27,272 --> 01:57:29,007 >> I WILL INTERESTED IN 3068 01:57:29,007 --> 01:57:30,175 IMPLEMENTATION, WE DON'T DO 3069 01:57:30,175 --> 01:57:32,711 GUIDE LINES BUT VERY INTERESTED 3070 01:57:32,711 --> 01:57:33,946 IN IMPLEMENTATION. 3071 01:57:33,946 --> 01:57:34,446 >> IMPLEMENTATION AND 3072 01:57:34,446 --> 01:57:35,080 DISSEMINATION. 3073 01:57:35,080 --> 01:57:35,414 GREAT. 3074 01:57:35,414 --> 01:57:35,614 OKAY. 3075 01:57:35,614 --> 01:57:36,882 WE SEE A COUPLE PEOPLE IN THE 3076 01:57:36,882 --> 01:57:40,652 CHA THAT ARE INTERESTED IN THIS 3077 01:57:40,652 --> 01:57:42,221 IDEA. 3078 01:57:42,221 --> 01:57:42,788 WONDERFUL LAURA. 3079 01:57:42,788 --> 01:57:44,022 YEAH BECAUSE THIS IS WHERE THE 3080 01:57:44,022 --> 01:57:45,557 RUBBER MEETS THE ROAD IN A LOT 3081 01:57:45,557 --> 01:57:47,659 OF WAYS RIGHT IS THIS CLINICAL 3082 01:57:47,659 --> 01:57:50,462 GUIDELINES THAT ARE SUPPOSED TO 3083 01:57:50,462 --> 01:57:52,064 BE OUR GUIDE POSTS AND WE'RE 3084 01:57:52,064 --> 01:57:54,466 FINDING THAT THEY'RE NOT USED AS 3085 01:57:54,466 --> 01:57:57,503 MUCH AS THEY SHOULD BE BY A LONG 3086 01:57:57,503 --> 01:57:57,936 SHOT. 3087 01:57:57,936 --> 01:57:59,104 >> SOMETIMES IT'S JUST HARD FOR 3088 01:57:59,104 --> 01:58:00,472 PEOPLE TO FIND THEM. 3089 01:58:00,472 --> 01:58:03,375 SO IF WE COULD CENTRALIZE THOSE 3090 01:58:03,375 --> 01:58:05,577 RESOURCES, WE COULD DO GOOD 3091 01:58:05,577 --> 01:58:06,745 DISSEMINATION EFFORT, ALL OF US 3092 01:58:06,745 --> 01:58:09,581 TOGETHER THAT WAY WE COULD MAKE 3093 01:58:09,581 --> 01:58:12,317 IT EASIER FOR THE PUBLIC. 3094 01:58:12,317 --> 01:58:13,652 NYEAH, YEAH, YEAH. 3095 01:58:13,652 --> 01:58:14,253 >> EXCELLENT IDEA. 3096 01:58:14,253 --> 01:58:15,821 >> BETH ASKED ABOUT THE PC ORI, 3097 01:58:15,821 --> 01:58:18,791 AND I WILL BACK UP A BIT ON OUR 3098 01:58:18,791 --> 01:58:20,192 FPRS ANALYSIS, WE HAD A LOT OF 3099 01:58:20,192 --> 01:58:20,926 CONVERSATIONS WITH THEM ABOUT 3100 01:58:20,926 --> 01:58:22,161 WHAT THEY WERE DOING, WHAT THEY 3101 01:58:22,161 --> 01:58:24,430 WERE PLANNING BECAUSE THEY DO 3102 01:58:24,430 --> 01:58:26,398 HAVE A STRATEGIC PLANNING 3103 01:58:26,398 --> 01:58:27,299 PROCESS. 3104 01:58:27,299 --> 01:58:28,267 DON'T REMEMBER IF IT'S FINISHED 3105 01:58:28,267 --> 01:58:29,368 OR CLOSE TO FINISHED BUT THEY 3106 01:58:29,368 --> 01:58:31,336 WERE IN THE WORKS AND THEY DO 3107 01:58:31,336 --> 01:58:34,973 HAVE A HUGE PAIN PORTFOLIO. 3108 01:58:34,973 --> 01:58:37,810 AS FAR AS AND BETH, I'M 3109 01:58:37,810 --> 01:58:38,744 INTERPRETINGIOURE QUESTION IN 2 3110 01:58:38,744 --> 01:58:40,145 DIFFERENT WAYS, 1 IS HAVE WE 3111 01:58:40,145 --> 01:58:41,680 LOOKED AT THE PORTFOLIO AND 3112 01:58:41,680 --> 01:58:43,081 THEY'RE HELPING SHARE THAT WITH 3113 01:58:43,081 --> 01:58:43,248 US. 3114 01:58:43,248 --> 01:58:46,785 IT'S NOT IN OUR DATABASE BECAUSE 3115 01:58:46,785 --> 01:58:47,619 THEY'RE NOT FEDERAL. 3116 01:58:47,619 --> 01:58:51,256 INCLUDING THEM IN THE IPRCC AS A 3117 01:58:51,256 --> 01:58:52,991 NONMEMBER IS AN OPTION, WE HAVE 3118 01:58:52,991 --> 01:58:55,427 A COUPLE OTHER AGENCIES THAT WE 3119 01:58:55,427 --> 01:58:57,863 WOULD, I THINK WOULD BE HELPFUL 3120 01:58:57,863 --> 01:58:59,164 TO BE REPRESENTED HERE, WE HAVE 3121 01:58:59,164 --> 01:59:00,899 A MANDATE OF HOW MANY 3122 01:59:00,899 --> 01:59:02,534 REPRESENTATIVES FROM HOW MANY 3123 01:59:02,534 --> 01:59:04,470 FEDERAL AGENCIES, FROM OUTSIDE 3124 01:59:04,470 --> 01:59:05,471 PUBLIC MEMBERS, FROM SCIENTIFIC 3125 01:59:05,471 --> 01:59:07,706 MEMBERS, SO WE HAVE CAPS, BUT 3126 01:59:07,706 --> 01:59:09,908 THAT'S NOT TO SAY THAT WE CAN'T 3127 01:59:09,908 --> 01:59:15,380 INVITE PEOPLE TO COME OR JOIN 3128 01:59:15,380 --> 01:59:15,981 THE CONVERSATIONS AND 3129 01:59:15,981 --> 01:59:17,382 INFORMATION BUT WE HAVE BEEN 3130 01:59:17,382 --> 01:59:20,118 WORKING WITH PC ORI ON THERE ON 3131 01:59:20,118 --> 01:59:22,221 THEIR PORTFOLIO FOR PAIN. 3132 01:59:22,221 --> 01:59:23,522 >> SO WE'RE ABOUT OUT OF TIME 3133 01:59:23,522 --> 01:59:24,356 BUT THERE'S A FEW OTHER 3134 01:59:24,356 --> 01:59:25,324 QUESTIONS IN THE CHAT THAT WE 3135 01:59:25,324 --> 01:59:26,892 COULD BRING UP AT OUR NEXT 3136 01:59:26,892 --> 01:59:29,495 MEETING, SCOTT IS WONDERING WHAT 3137 01:59:29,495 --> 01:59:31,396 PEOPLE THINK ABOUT A RESILIENCE 3138 01:59:31,396 --> 01:59:32,531 AND PREVENTION OF CHRONIC PAIN 3139 01:59:32,531 --> 01:59:34,333 IF THERE ARE PEOPLE INTERESTED 3140 01:59:34,333 --> 01:59:36,034 IN THAT PERHAPS WE COULD PUT 3141 01:59:36,034 --> 01:59:40,906 THAT ON THE AGENDA THE ON OUR 3142 01:59:40,906 --> 01:59:42,074 NEXT MEETING. 3143 01:59:42,074 --> 01:59:46,211 THERE WAS ANOTHER 1 ON 3144 01:59:46,211 --> 01:59:46,812 IMPLEMENTATION--INTERESTED IN 3145 01:59:46,812 --> 01:59:48,313 IMPLEMENTATION SCIENCES GROUP IN 3146 01:59:48,313 --> 01:59:49,414 THE RESILIENCE, PAUL IS 3147 01:59:49,414 --> 01:59:50,115 INTERESTED IN THAT. 3148 01:59:50,115 --> 01:59:51,750 OKAY, SO THEREY A FAIR AMOUNT. 3149 01:59:51,750 --> 01:59:54,853 SO CAPTURE EVERYTHING THAT'S IN 3150 01:59:54,853 --> 01:59:55,721 THE CHAT, WE REALLY WANT TO 3151 01:59:55,721 --> 01:59:58,724 THANK YOU FOR YOUR ENGAGEMENT 3152 01:59:58,724 --> 01:59:59,157 AND YOUR ENTHUSIASM. 3153 01:59:59,157 --> 02:00:00,392 WE THINK THAT FORMING THESE 3154 02:00:00,392 --> 02:00:02,794 WORKING GROUPS IS GOING TO BE A 3155 02:00:02,794 --> 02:00:04,997 GREAT WAY TO GALVANIZE ALL THE 3156 02:00:04,997 --> 02:00:06,498 WONDERFUL TALENT THAT IS IN THIS 3157 02:00:06,498 --> 02:00:09,067 ROOM AND IN THIS VIRTUAL ROOM, 3158 02:00:09,067 --> 02:00:10,869 AND LINDA DID WE WANT TO SAY 3159 02:00:10,869 --> 02:00:14,873 ANYTHING ABOUT THE FALL MEETING? 3160 02:00:14,873 --> 02:00:16,642 >> WE HAVE A DATE FOR THE FALL 3161 02:00:16,642 --> 02:00:19,077 MEETING, I WILL ASK LEA TO PUT 3162 02:00:19,077 --> 02:00:21,280 THAT OUT THERE SO I GET IT A 3163 02:00:21,280 --> 02:00:24,383 HUNDRED% RIGHT, I KNOW IT'S NOT 3164 02:00:24,383 --> 02:00:25,450 A NUMBER, SHE WILL GIVE YOU THE 3165 02:00:25,450 --> 02:00:27,085 DATE AND THE TIME, WE ARE 3166 02:00:27,085 --> 02:00:30,956 PLANNING TO HOLD IT IN PERSON IN 3167 02:00:30,956 --> 02:00:32,824 WASHINGTON SO THAT WOULD BE 3168 02:00:32,824 --> 02:00:34,793 SOMEWHERE ON THE CAMPUS, IT'S 3169 02:00:34,793 --> 02:00:35,761 YIEWCIALLY A FULL DAY MEETING IN 3170 02:00:35,761 --> 02:00:37,629 THE FALL SO IT GENERATES A 3171 02:00:37,629 --> 02:00:39,364 REALLY LIVELY CONVERSATION BY 3172 02:00:39,364 --> 02:00:40,065 HAVING IT HERE. 3173 02:00:40,065 --> 02:00:41,867 SO WE'LL GIVE YOU MORE 3174 02:00:41,867 --> 02:00:44,202 INFORMATION ON THAT, BUT LEA CAN 3175 02:00:44,202 --> 02:00:46,705 YOU CONFIRM TIMES AND DATES FOR 3176 02:00:46,705 --> 02:00:50,442 ME SO THAT I DON'T DO SOMETHING 3177 02:00:50,442 --> 02:00:50,943 WRONG? 3178 02:00:50,943 --> 02:00:52,444 NOVEMBER 5th. 3179 02:00:52,444 --> 02:00:52,678 NINE-5. 3180 02:00:52,678 --> 02:00:53,478 >> ALL RIGHT. 3181 02:00:53,478 --> 02:00:55,113 WELL, THANK YOU FOR A GREAT 3182 02:00:55,113 --> 02:00:58,383 MEETING AND WE LOOK FORWARD TO 3183 02:00:58,383 --> 02:01:03,589 SEEING YOU ON NOVEMBER 5th. 3184 02:01:03,589 --> 02:01:04,022 >> THANK YOU. 3185 02:01:04,022 --> 02:01:06,458 >> ALL RIGHT EVERYBODY THIS IS 3186 02:01:06,458 --> 02:01:07,960 GREAT NTAKE CARE. 3187 02:01:07,960 --> 02:01:08,794 >> BYE-BYE. 3188 02:01:08,794 --> 02:01:19,071 >> THANK YOU.