1 00:00:06,461 --> 00:00:08,163 >> GOOD MORNING, EVERYONE. CAN 2 00:00:08,163 --> 00:00:12,100 YOU HEAR ME? EXCELLENT. 3 00:00:12,100 --> 00:00:14,403 INTERESTING THE SCRIPT SAYS GOOD 4 00:00:14,403 --> 00:00:16,805 AFTERNOON AND IT MIGHT BE IN 5 00:00:16,805 --> 00:00:19,241 SOME TIME ZONES NOT HERE. 6 00:00:19,241 --> 00:00:23,979 WELCOME TO 186th MEETING OF THE 7 00:00:23,979 --> 00:00:27,583 NICHD ADVISORY COUNCIL. THIS IS 8 00:00:27,583 --> 00:00:31,386 BROADCAST ON THE NIH VIDEOCAST 9 00:00:31,386 --> 00:00:32,921 NETWORK. TOMORROW ON DAY TWO OF 10 00:00:32,921 --> 00:00:35,457 THE MEETING, WE'LL HOLD A BRIEF 11 00:00:35,457 --> 00:00:37,893 OPEN SESSION STARTING AT 9:00 12 00:00:37,893 --> 00:00:42,164 A.M. FOLLOWED BY CLOSED SESSION. 13 00:00:42,164 --> 00:00:43,932 I APPRECIATE EVERYONE JOINING IN 14 00:00:43,932 --> 00:00:45,133 PERSON TODAY AND THOSE WHO ARE 15 00:00:45,133 --> 00:00:47,603 WATCHING VIA THE VIDEO CAST. 16 00:00:47,603 --> 00:00:49,204 REMEMBER TOMORROW WE'LL BE IN A 17 00:00:49,204 --> 00:00:51,206 DIFFERENT LOCATION, IT IS NOT AN 18 00:00:51,206 --> 00:00:53,242 ISSUE FOR THE COUNCIL, ANYBODY 19 00:00:53,242 --> 00:00:59,281 ELSE ATTENDING, 6710 IN 20 00:00:59,281 --> 00:01:02,584 ROCKVILLE, WITH HYBRID MEETING 21 00:01:02,584 --> 00:01:03,752 FORMAT, PLEASE REMEMBER TO 22 00:01:03,752 --> 00:01:05,854 UNMUTE YOURSELF AND WE HAVE IT 23 00:01:05,854 --> 00:01:09,524 LOOKS LIKE PERSON'S FACE AND 24 00:01:09,524 --> 00:01:12,160 PROFILE SPEAKING. REMEMBER TO 25 00:01:12,160 --> 00:01:13,829 UNMUTE YOURSELF BEFORE SPEAKING 26 00:01:13,829 --> 00:01:17,032 INTO YOUR HOME MICROPHONE IF 27 00:01:17,032 --> 00:01:18,901 YOU'RE AT HOME AND STATE YOUR 28 00:01:18,901 --> 00:01:24,072 NAME SO THAT THE TRANSCRIBER 29 00:01:24,072 --> 00:01:25,874 WILL KNOW WHO IS SPEAKING. TO 30 00:01:25,874 --> 00:01:29,878 SPEAK, PLEASE BE SURE TO MUTE TO 31 00:01:29,878 --> 00:01:33,482 PREVENT FEEDBACK LOOP OR 32 00:01:33,482 --> 00:01:34,549 INTERFERENCE, WE SHOULD BE 33 00:01:34,549 --> 00:01:45,127 FAMILIAR WITH THAT. I WILL TURN 34 00:01:45,127 --> 00:01:48,931 TO THE REBEKAH RASOOLY. 35 00:01:48,931 --> 00:01:51,400 >> THANK YOU. MY SCRIPT SAYS 36 00:01:51,400 --> 00:01:54,136 GOOD AFTERNOON, ALSO. GOOD 37 00:01:54,136 --> 00:01:57,339 AFTERNOON, EVERYONE. ON THE 38 00:01:57,339 --> 00:01:58,907 COUNCIL MEMBER WEBSITE, YOU 39 00:01:58,907 --> 00:02:01,877 SHOULD HAVE READ, AGREED TO AND 40 00:02:01,877 --> 00:02:04,780 SIGNED CONFIDENTIALITY AND 41 00:02:04,780 --> 00:02:06,148 NONDISCLOSURE RULE FOR SPECIAL 42 00:02:06,148 --> 00:02:08,917 GOVERNMENT EMPLOYEE BEFORE 43 00:02:08,917 --> 00:02:11,286 EVALUATING ANY NIH GRANT 44 00:02:11,286 --> 00:02:12,921 APPLICATION. ALSO, PLEASE 45 00:02:12,921 --> 00:02:15,357 REMEMBER THAT YOU CANNOT SERVE 46 00:02:15,357 --> 00:02:18,727 ON NIH PEER REVIEW PANEL WHILE 47 00:02:18,727 --> 00:02:21,129 YOU SERVE AS A COUNCIL MEMBER 48 00:02:21,129 --> 00:02:24,032 AND THAT YOU CANNOT PROVIDE 49 00:02:24,032 --> 00:02:25,767 SECOND-LEVEL REVIEW AT COUNCIL 50 00:02:25,767 --> 00:02:28,904 FOR ANY APPLICATION IN WHICH YOU 51 00:02:28,904 --> 00:02:31,106 PARTICIPATED IN FIRST LEVEL PEER 52 00:02:31,106 --> 00:02:34,743 REVIEW. IT IS NIH'S POLICY AN 53 00:02:34,743 --> 00:02:36,311 INDIVIDUAL CANNOT SERVE ON BOTH 54 00:02:36,311 --> 00:02:37,646 THE FIRST AND SECOND LEVEL OF 55 00:02:37,646 --> 00:02:40,515 THE REVIEW. IN ADDITION, I WANT 56 00:02:40,515 --> 00:02:42,684 TO BRING TO YOUR ATTENTION THAT 57 00:02:42,684 --> 00:02:44,519 DURING THE CLOSED SESSION, 58 00:02:44,519 --> 00:02:48,457 PLEASE SHUT OFF CLOUD-BASED 59 00:02:48,457 --> 00:02:50,692 SERVICES SUCH AS ALEXA DEVICES 60 00:02:50,692 --> 00:02:53,161 AND SO ON, THESE DEVICES MAY BE 61 00:02:53,161 --> 00:02:56,732 ABLE TO CAPTURE CONFIDENTIAL 62 00:02:56,732 --> 00:02:57,032 INFORMATION. 63 00:02:57,032 --> 00:02:58,967 NOW I'LL TURN TO THE COUNCIL 64 00:02:58,967 --> 00:03:01,703 MINUTES, MINUTES FOR JUNE 2 AND 65 00:03:01,703 --> 00:03:04,806 3RD MEETING POSTED ON COUNCIL 66 00:03:04,806 --> 00:03:06,708 MEETING WEBSITE FOR YOUR 67 00:03:06,708 --> 00:03:08,110 CONSIDERATION. DURING YOUR 68 00:03:08,110 --> 00:03:11,013 REVIEW AS COUNCIL MEMBERS OF THE 69 00:03:11,013 --> 00:03:12,247 MINUTES, WE HAVE THE OPPORTUNITY 70 00:03:12,247 --> 00:03:15,017 TO CORRECT THE NUMBERING OF THE 71 00:03:15,017 --> 00:03:17,352 RECOMMENDATIONS FROM CLUSTER B 72 00:03:17,352 --> 00:03:22,557 OF THE IMPLEMENTATION WORK 73 00:03:22,557 --> 00:03:24,426 GROUP. THERE WERE NO CHANGES TO 74 00:03:24,426 --> 00:03:26,995 THE TEXT OF THOSE 75 00:03:26,995 --> 00:03:28,864 RECOMMENDATIONS AND SO A 76 00:03:28,864 --> 00:03:31,500 CORRECTED SET OF MINUTES WAS 77 00:03:31,500 --> 00:03:33,035 POSTED YESTERDAY ON THE COUNCIL 78 00:03:33,035 --> 00:03:35,637 MEMBER WEBSITE AND ONCE APPROVED 79 00:03:35,637 --> 00:03:37,539 WILL BE POSTED ON THE NICHD 80 00:03:37,539 --> 00:03:41,877 PUBLIC COUNCIL SITE. WE'RE NOW 81 00:03:41,877 --> 00:03:46,481 GOING TO VOTE ON THE MINUTES, 82 00:03:46,481 --> 00:03:49,384 APPROVAL OF THE MINUTES AND 83 00:03:49,384 --> 00:03:51,286 REMEMBER IF YOU ARE USING ZOOM, 84 00:03:51,286 --> 00:03:53,255 THERE ARE VOTING BUTTONS THAT 85 00:03:53,255 --> 00:03:55,891 YOU CAN USE UNDER REACTION. MAY 86 00:03:55,891 --> 00:03:58,960 I HAVE A MOTION TO APPROVE THE 87 00:03:58,960 --> 00:04:01,396 JUNE MINUTES? 88 00:04:01,396 --> 00:04:04,332 >> PROCTOR LANG. 89 00:04:04,332 --> 00:04:06,501 >> I MAKE A MOTION TO APPROVE 90 00:04:06,501 --> 00:04:07,669 JUNE MINUTES. 91 00:04:07,669 --> 00:04:12,674 >> A SECOND. JAN SCHAK JAN. PD 92 00:04:12,674 --> 00:04:19,581 YOUR HAND UP. ALL RIGHT. 93 00:04:19,581 --> 00:04:22,717 AND ONLINE? THANK YOU VERY 94 00:04:22,717 --> 00:04:26,221 MUCH. OKAY. NOW PLEASE NOTE 95 00:04:26,221 --> 00:04:29,057 THAT WE HAVE THE FUTURE MEETING 96 00:04:29,057 --> 00:04:30,859 DATE ON THE AGENDA AND I'M GOING 97 00:04:30,859 --> 00:04:33,295 TO READ THEM NOW, AS WELL. IN 98 00:04:33,295 --> 00:04:37,032 JANUARY, ON THE 13TH AND 14th, 99 00:04:37,032 --> 00:04:38,567 WILL BE VIRTUAL AS WE ALWAYS ARE 100 00:04:38,567 --> 00:04:41,336 DURING OUR WINTER MEETING. JUNE 101 00:04:41,336 --> 00:04:45,240 9 AND 10 WILL BE IN THE NICHD 102 00:04:45,240 --> 00:04:49,244 BUILDING AT 67 ROCKLEDGE DRIVE, 103 00:04:49,244 --> 00:04:50,812 SEPTEMBER 9 AND 10 NEXT YEAR 104 00:04:50,812 --> 00:04:55,417 WILL BE IN THE BUILDING 45 AND 105 00:04:55,417 --> 00:04:58,520 THE DATES FOR 2026 ARE ON YOUR 106 00:04:58,520 --> 00:05:01,289 AGENDA, AS WELL. I'M NOW GOING 107 00:05:01,289 --> 00:05:06,695 TO TURN BACK OVER TO DR 108 00:05:06,695 --> 00:05:07,262 DRDR 109 00:05:07,262 --> 00:05:17,506 DR. BIANCHI. 110 00:05:19,374 --> 00:05:21,877 >> WONDERFUL. GOOD MORNING TO 111 00:05:21,877 --> 00:05:26,882 OUR NICHD COLLEAGUES, AS WELL, 112 00:05:26,882 --> 00:05:29,818 AND I GUESS I CAN CONTROL THE 113 00:05:29,818 --> 00:05:32,787 SLIDES HERE. WELL, WE HAVE A 114 00:05:32,787 --> 00:05:36,158 VERY, VERY BUSY AGENDA TODAY. 115 00:05:36,158 --> 00:05:38,894 WE'RE GOING TO GIVE YOU AN 116 00:05:38,894 --> 00:05:42,531 UPDATE ON FISCAL YEAR 2025 117 00:05:42,531 --> 00:05:43,265 APPROPRIATIONS YEAR WE DON'T 118 00:05:43,265 --> 00:05:45,267 HAVE A BUDGET YET FOR FISCAL 119 00:05:45,267 --> 00:05:48,069 YEAR 2025 AND BY THE WAY, WE 120 00:05:48,069 --> 00:05:49,938 HAVE A PRESIDENTIAL TRANSITION 121 00:05:49,938 --> 00:05:52,174 COMING UP. AS IS -- I THINK IT 122 00:05:52,174 --> 00:05:57,012 IS HELPFUL TO ALWAYS EMPHASIZE 123 00:05:57,012 --> 00:06:00,348 THE THREE AREAS, NICHD THREE 124 00:06:00,348 --> 00:06:02,350 POPULATIONS, WOMEN'S HEALTH, 125 00:06:02,350 --> 00:06:03,385 REPRODUCTIVE HEALTH, FOR 126 00:06:03,385 --> 00:06:05,086 EXAMPLE, AND I'LL COVER WOMEN'S 127 00:06:05,086 --> 00:06:08,690 HEALTH RESEARCH INITIATIVE 128 00:06:08,690 --> 00:06:10,192 ENDOMETRIOSIS AND THE IMPROVE 129 00:06:10,192 --> 00:06:13,662 INITIATIVE AND THEN CHILDREN, 130 00:06:13,662 --> 00:06:16,097 PEDIATRIC RESEARCH, HIGHLIGHT 131 00:06:16,097 --> 00:06:19,100 RESEARCH ADVANCES IN INJURY 132 00:06:19,100 --> 00:06:20,869 PREVENTION, MOOD DISORDER AND 133 00:06:20,869 --> 00:06:22,938 DRIVING ADVERSITY AND 134 00:06:22,938 --> 00:06:24,439 DEVELOPMENT AND REDUCING 135 00:06:24,439 --> 00:06:26,841 UNNECESSARY CT SCAN. BRIEF 136 00:06:26,841 --> 00:06:29,844 UPDATE ON REHAB RESEARCH AND 137 00:06:29,844 --> 00:06:32,447 THEN AN UPDATE ON TRAINING AND 138 00:06:32,447 --> 00:06:34,916 KUDOS TO OUR STAFF AND THEN 139 00:06:34,916 --> 00:06:38,787 HIRING AND RESOURCES. WELL, WE 140 00:06:38,787 --> 00:06:41,289 HAVE THE HOUSE, WE HAVE THE 141 00:06:41,289 --> 00:06:43,124 SENATE, IN THE HOUSE 142 00:06:43,124 --> 00:06:46,861 APPROPRIATIONS BILL, NIH WAS 143 00:06:46,861 --> 00:06:48,396 PROPOSED TO RECEIVE A TOTAL 144 00:06:48,396 --> 00:06:52,400 BUDGET OF $48.6 BILLION, WHICH 145 00:06:52,400 --> 00:06:55,737 IS AN INCREASE OVER THE ENACTED 146 00:06:55,737 --> 00:06:58,006 LEVEL OF THIS YEAR'S BUDGET OF 147 00:06:58,006 --> 00:07:01,276 47.1 BILLION. YOU MAY HAVE READ 148 00:07:01,276 --> 00:07:03,912 THAT THERE'S BEEN A PROPOSED 149 00:07:03,912 --> 00:07:09,384 REORGANIZATION OF NIH FROM 27 TO 150 00:07:09,384 --> 00:07:11,319 15 INSTITUTES. THIS WOULD 151 00:07:11,319 --> 00:07:14,522 AFFECT US DIRECTLY BECAUSE NICHD 152 00:07:14,522 --> 00:07:19,194 AND NICD, DEAFNESS AND 153 00:07:19,194 --> 00:07:20,095 COMMUNICATION DISORDER MERRILL 154 00:07:20,095 --> 00:07:21,496 LYNCH TO BECOME NATIONAL 155 00:07:21,496 --> 00:07:24,032 INSTITUTE FOR DISABILITY RELATED 156 00:07:24,032 --> 00:07:27,068 RESEARCH AND THAT COMBINED NEW 157 00:07:27,068 --> 00:07:28,703 INSTITUTE WOULD HAVE A PROPOSED 158 00:07:28,703 --> 00:07:32,807 BUDGET OF 2.3 BILLION, WHICH IS 159 00:07:32,807 --> 00:07:34,876 JUST THE APPROXIMATE COMBINED 160 00:07:34,876 --> 00:07:37,012 FISCAL YEAR 2024 TOTAL FOR THESE 161 00:07:37,012 --> 00:07:39,281 TWO INSTITUTES. THERE WAS AN 162 00:07:39,281 --> 00:07:42,317 OPPORTUNITY FOR PUBLIC COMMENT 163 00:07:42,317 --> 00:07:44,185 TO THE ENERGY AND COMMERCE 164 00:07:44,185 --> 00:07:45,854 COMMITTEE THAT PROPOSED THE 165 00:07:45,854 --> 00:07:47,856 REORGANIZATION THAT REPORT 166 00:07:47,856 --> 00:07:50,392 CLOSED ON AUGUST 16th, MAYBE 167 00:07:50,392 --> 00:07:54,129 SOME OF YOU DID REGISTER YOUR 168 00:07:54,129 --> 00:07:56,364 COMMENTS AND WE'RE WAITING FOR 169 00:07:56,364 --> 00:07:58,700 INFORMATION ON FEEDBACK FROM THE 170 00:07:58,700 --> 00:08:01,202 ENERGY AND COMMERCE COMMITTEE. 171 00:08:01,202 --> 00:08:03,204 THE SENATE APPROPRIATIONS BILL 172 00:08:03,204 --> 00:08:05,740 WAS A LITTLE MORE GENEROUS TO 173 00:08:05,740 --> 00:08:11,313 NIH, WITH A $50.3 BILLION TOTAL 174 00:08:11,313 --> 00:08:13,715 BUDGET WITH A SIGNIFICANT 175 00:08:13,715 --> 00:08:15,650 INCREASE OVER THE FISCAL YEAR 176 00:08:15,650 --> 00:08:19,554 '24 ENACTED LEVEL. IT AFFECTS 177 00:08:19,554 --> 00:08:21,489 US DIRECTLY AND THERE WOULD BE 178 00:08:21,489 --> 00:08:24,025 ADDITIONAL $20 MILLION OF 179 00:08:24,025 --> 00:08:25,694 ADDITIONAL FUNDING FOR THE 180 00:08:25,694 --> 00:08:27,395 IMPROVE INITIATIVE AND THAT GOES 181 00:08:27,395 --> 00:08:29,831 DIRECTLY TO THE NICHD BASE AND 182 00:08:29,831 --> 00:08:31,766 WHY IS THAT IMPORTANT? BECAUSE 183 00:08:31,766 --> 00:08:34,169 IF CONGRESS GIVES A CERTAIN 184 00:08:34,169 --> 00:08:37,005 PERCENTAGE OF INCREASE ACROSS 185 00:08:37,005 --> 00:08:39,074 THE BOARD, IF WE HAVE A BIGGER 186 00:08:39,074 --> 00:08:41,743 BASE THEN WE GET A BIGGER TOTAL 187 00:08:41,743 --> 00:08:43,244 INCREASE. IN ADDITION, THERE 188 00:08:43,244 --> 00:08:45,980 WAS 76 MILLION DOLLARS IN 189 00:08:45,980 --> 00:08:48,083 ADDITIONAL FUNDING PROPOSED FOR 190 00:08:48,083 --> 00:08:49,651 OFFICE OF RESEARCH ON WOMEN'S 191 00:08:49,651 --> 00:08:52,520 HEALTH AT NIH AND THEY DID NOT 192 00:08:52,520 --> 00:08:54,956 SAY ANYTHING ABOUT REORGANIZING 193 00:08:54,956 --> 00:08:57,325 THE NUMBER OF INSTITUTES, BUT 194 00:08:57,325 --> 00:09:00,061 THEY ARE PROPOSING TERM LIMITS 195 00:09:00,061 --> 00:09:03,031 FOR INSTITUTE DIRECTORS TO 10 196 00:09:03,031 --> 00:09:04,866 YEARS. IN ADDITION, PUBLICLY 197 00:09:04,866 --> 00:09:06,167 AVAILABLE AND THERE IS A LINK 198 00:09:06,167 --> 00:09:08,536 AND MIGHT BE INTERESTING TO READ 199 00:09:08,536 --> 00:09:10,071 IT IF YOU HAVE NOT ALREADY, 200 00:09:10,071 --> 00:09:18,012 SENATOR CASSIDY HAS WRITTEN A 201 00:09:18,012 --> 00:09:19,447 WHITE PAPER, HE IS A PHYSICIAN 202 00:09:19,447 --> 00:09:21,616 AND QUITE KNOWLEDGEABLE AND HE 203 00:09:21,616 --> 00:09:24,219 WROTE A WHITE PAPER ENTITLED NIH 204 00:09:24,219 --> 00:09:26,855 IN THE 21ST CENTURY ENSURING 205 00:09:26,855 --> 00:09:29,324 TRANSPARENCY AND AMERICAN 206 00:09:29,324 --> 00:09:31,593 BIOMEDICAL LEADERSHIP. IT IS 207 00:09:31,593 --> 00:09:33,528 QUITE A SOPHISTICATED PAPER AND 208 00:09:33,528 --> 00:09:35,964 MAY INDICATE WHERE MEMBERS OF 209 00:09:35,964 --> 00:09:39,000 THE SENATE ARE THINKING. HERE 210 00:09:39,000 --> 00:09:44,372 WE HAVE DR. NIH DIRECTOR AND ANY 211 00:09:44,372 --> 00:09:47,142 TIME THERE IS A PRESIDENTIAL 212 00:09:47,142 --> 00:09:49,477 TRANSITION THAT DIRECTLY AFFECTS 213 00:09:49,477 --> 00:09:51,780 THE NIH DIRECTOR, THE NIH 214 00:09:51,780 --> 00:09:52,814 DIRECTOR IS A POLITICAL 215 00:09:52,814 --> 00:09:55,383 APPOINTMENT THAT REQUIRES SENATE 216 00:09:55,383 --> 00:09:56,918 CONFIRMATION. SO DURING A 217 00:09:56,918 --> 00:10:01,890 PRESIDENTIAL TRANSITION, ALL 218 00:10:01,890 --> 00:10:04,459 POLITICAL APPOINTEES CUSTOMARILY 219 00:10:04,459 --> 00:10:07,061 SUBMIT A LETTER OF RESIGNATION. 220 00:10:07,061 --> 00:10:08,396 TWO POLITICAL APPOINTMENTS ARE 221 00:10:08,396 --> 00:10:10,698 NIH DIRECTOR AND THE DIRECTOR OF 222 00:10:10,698 --> 00:10:12,100 NATIONAL COUNCIL INSTITUTE, THEY 223 00:10:12,100 --> 00:10:15,303 BOTH SUBMIT LETTERS OF 224 00:10:15,303 --> 00:10:17,172 RESIGNATION AND THEN THE NEW 225 00:10:17,172 --> 00:10:18,540 PRESIDENT WILL HAVE THE 226 00:10:18,540 --> 00:10:21,109 OPPORTUNITY TO EITHER ACCEPT OR 227 00:10:21,109 --> 00:10:23,912 REJECT THE LETTER OF 228 00:10:23,912 --> 00:10:27,348 RESIGNATION. NIH IS ALREADY 229 00:10:27,348 --> 00:10:28,983 WORKING WITH HEALTH AND HUMAN 230 00:10:28,983 --> 00:10:33,321 SERVICES TO PREPARE PRESIDENTIAL 231 00:10:33,321 --> 00:10:33,922 TRANSITION INFORMATIONAL 232 00:10:33,922 --> 00:10:36,491 BRIEFING DOCUMENTS ACROSS NIH 233 00:10:36,491 --> 00:10:38,760 RESEARCH PRIORITIES. WE'VE 234 00:10:38,760 --> 00:10:40,528 ALREADY BEEN ASKED TO BE 235 00:10:40,528 --> 00:10:42,864 THINKING ABOUT OURS, WHAT WE 236 00:10:42,864 --> 00:10:45,333 WERE ASKED TO SUBMIT IN THE 237 00:10:45,333 --> 00:10:47,168 PRIOR ADMINISTRATION WHEN 238 00:10:47,168 --> 00:10:49,671 PRESIDENT BIDEN CAME IN, WE WERE 239 00:10:49,671 --> 00:10:51,739 ASKED TO GIVE INFORMATION ON 240 00:10:51,739 --> 00:10:55,009 INTELLECTUAL AND DEVELOP ME DEV 241 00:10:55,009 --> 00:10:57,712 DISABILITY, REPRODUCTIVE HEALTH, 242 00:10:57,712 --> 00:11:00,348 MATERNAL HEALTH AND 243 00:11:00,348 --> 00:11:01,716 REHABILITATION RESEARCH. WE'LL 244 00:11:01,716 --> 00:11:04,319 START WITH WOMEN'S HEALTH AND I 245 00:11:04,319 --> 00:11:06,154 LIKE TO THINK ABOUT WHERE WE FIT 246 00:11:06,154 --> 00:11:09,190 IN THE ECOS OF WOMEN'S HEALTH, 247 00:11:09,190 --> 00:11:10,792 THERE IS A LOT OF INTEREST IN 248 00:11:10,792 --> 00:11:12,060 WOMEN'S HEALTH ACROSS THE 249 00:11:12,060 --> 00:11:14,395 COUNTRY AND THE WORLD. AND MANY 250 00:11:14,395 --> 00:11:18,466 OF OUR 12 EXTRAMURAL BRANCHES 251 00:11:18,466 --> 00:11:21,336 ARE INVOLVED IN SOME ASPECT OF 252 00:11:21,336 --> 00:11:23,505 WOMEN'S HEALTH LESEARCH AND 253 00:11:23,505 --> 00:11:25,807 THEY'RE LISTED HERE. OUR 254 00:11:25,807 --> 00:11:27,709 BUSIEST INITIATIVE, WHICH IS 255 00:11:27,709 --> 00:11:31,112 TAKING A LOT OF STAFF TIME, IS 256 00:11:31,112 --> 00:11:33,114 THE WHITE HOUSE WOMEN'S HEALTH 257 00:11:33,114 --> 00:11:35,416 RESEARCH INITIATIVE. THE 258 00:11:35,416 --> 00:11:37,452 PICTURE HERE WITH PRESIDENT 259 00:11:37,452 --> 00:11:40,221 BIDEN WAS ON THE DAY THAT HE 260 00:11:40,221 --> 00:11:42,824 SIGNED THE EXECUTIVE ORDER ON 261 00:11:42,824 --> 00:11:44,125 ADVANCING WOMEN'S HEALTH 262 00:11:44,125 --> 00:11:45,593 RESEARCH AND INNOVATION. THIS 263 00:11:45,593 --> 00:11:49,697 IS A CROSS-GOVERNMENT INITIATIVE 264 00:11:49,697 --> 00:11:52,634 TO PROMOTE COLLABORATIVE 265 00:11:52,634 --> 00:11:53,835 INTERDISCIPLINARY RESEARCH. 266 00:11:53,835 --> 00:11:55,870 THERE HAS BEEN A LOT OF INTEREST 267 00:11:55,870 --> 00:11:59,173 IN THE 12 BILLION DOLLARS THAT 268 00:11:59,173 --> 00:12:00,909 HE ANNOUNCED DURING HIS STATE OF 269 00:12:00,909 --> 00:12:02,577 THE UNION ADDRESS, THOSE FUNDS 270 00:12:02,577 --> 00:12:06,381 HAVE NOT BEEN APPROPRIATED, WHAT 271 00:12:06,381 --> 00:12:08,917 WE HAVE DONE RELATED TO THIS 272 00:12:08,917 --> 00:12:10,018 EXECUTIVE ORDER INCLUDE NOTICE 273 00:12:10,018 --> 00:12:13,121 OF SPECIAL INTEREST ON WOMEN'S 274 00:12:13,121 --> 00:12:14,489 HEALTH RESEARCH, REVIEW OF 275 00:12:14,489 --> 00:12:16,824 WOMEN'S HEALTH RESEARCH AT NIH 276 00:12:16,824 --> 00:12:19,794 HAS BEEN SUBMITTED FOR 277 00:12:19,794 --> 00:12:22,297 PUBLICATION. WE'VE HAD REALLY A 278 00:12:22,964 --> 00:12:24,265 ROBUST RESPONSE TO THIS NOTICE 279 00:12:24,265 --> 00:12:25,800 OF SPECIAL INTEREST ON WOMEN'S 280 00:12:25,800 --> 00:12:29,070 HEALTH RESEARCH. WE'VE ALSO HAD 281 00:12:29,070 --> 00:12:31,472 PUBLICLY AVAILABLE NIH WOMEN'S 282 00:12:31,472 --> 00:12:33,741 HEALTH ROUND TABLE SERIES. 283 00:12:33,741 --> 00:12:35,777 THERE WAS ONE HELD IN MAY ON THE 284 00:12:35,777 --> 00:12:39,013 FUTURE OF MENOPAUSE RESEARCH. 285 00:12:39,013 --> 00:12:41,449 NICHD LED ONE ON ENDOMETRIOSIS 286 00:12:41,449 --> 00:12:43,184 THAT WAS HELD A FEW WEEKS AGO 287 00:12:43,184 --> 00:12:45,887 AND THERE IS AN UPCOMING ONE ON 288 00:12:45,887 --> 00:12:49,023 MATERNAL MENTAL HEALTH RESEARCH 289 00:12:49,023 --> 00:12:50,725 AND FURTHER IMPLEMENTATION OF 290 00:12:50,725 --> 00:12:52,894 THE EXECUTIVE ORDER IS UNDER 291 00:12:52,894 --> 00:12:55,063 DISCUSSION AT NIH. WE HAVE AN 292 00:12:55,063 --> 00:12:57,198 EXECUTIVE COMMITTEE THAT MEETS 293 00:12:57,198 --> 00:12:59,267 APPROXIMATELY EVERY TWO TO FOUR 294 00:12:59,267 --> 00:13:03,137 WEEKS. WHAT IS NICHD DONE IN 295 00:13:03,137 --> 00:13:05,206 RESPONSE TO THE EXECUTIVE ORDER? 296 00:13:05,206 --> 00:13:07,909 WE HAVE CREATED A NEW CHALLENGE 297 00:13:07,909 --> 00:13:10,211 THAT HAS ALREADY BEEN LAUNCHED 298 00:13:10,211 --> 00:13:13,881 THANKS TO THE NICHD STAFF, IT IS 299 00:13:13,881 --> 00:13:18,386 CALLED THE RADX TECH ACT ENDO 300 00:13:18,386 --> 00:13:21,990 CHALLENGE. THE RADX TECH IS THE 301 00:13:21,990 --> 00:13:27,495 REGISTERED TERM THAT WAS USED TO 302 00:13:27,495 --> 00:13:31,833 DEVELOP THE COVID, HOME COVID 303 00:13:31,833 --> 00:13:33,768 TESTING AND IT HAS BEEN A VERY 304 00:13:33,768 --> 00:13:36,771 SUCCESSFUL APPROACH, A NEW WAY 305 00:13:36,771 --> 00:13:39,240 OF GETTING MONEY INTO THE 306 00:13:39,240 --> 00:13:40,274 INVESTIGATOR'S HANDS MUCH 307 00:13:40,274 --> 00:13:41,476 QUICKER THAN THE USUAL WAY GO 308 00:13:41,476 --> 00:13:46,648 ING THROUGH THE COUNCIL. THE 309 00:13:46,648 --> 00:13:49,717 ACTENDO ACRONYM STANDS FOR 310 00:13:49,717 --> 00:13:50,551 ADVANCING CURES AND THERAPIES 311 00:13:50,551 --> 00:13:53,888 AND ENDING ENDOMETRIOSIS 312 00:13:53,888 --> 00:13:55,390 DIAGNOSTIC DELAYS. 313 00:13:55,390 --> 00:13:56,891 ENDOMETRIOSIS TAKES AN ENORMOUS 314 00:13:56,891 --> 00:13:59,694 AMOUNT OF TIME TO BE 315 00:13:59,694 --> 00:14:01,062 DEFINITIVELY DIAGNOSED, ON 316 00:14:01,062 --> 00:14:02,463 AVERAGE SEVEN TO 10 YEARS. 317 00:14:02,463 --> 00:14:06,501 NICHD IS PARTNERING WITH NINDS 318 00:14:06,501 --> 00:14:11,572 BEACON ANYBODY DLT /* NIBIB, 319 00:14:11,572 --> 00:14:15,710 FOR THE "INNOVATION FUNNEL" TO 320 00:14:15,710 --> 00:14:19,247 ACCELERATE TIME TO DIAGNOSIS, 321 00:14:19,247 --> 00:14:22,050 ELIMINATE DIAGNOSIS OF CURRENT 322 00:14:22,050 --> 00:14:29,023 TECHNIQUE WHICH REQUIRES LAP 323 00:14:29,023 --> 00:14:29,891 LAPROSCOPY, IT IS A CHALLENGE 324 00:14:29,891 --> 00:14:32,527 LIKE SHARK TANK AND THERE ARE 325 00:14:32,527 --> 00:14:34,929 PAGES IN WHICH VARIOUS AMOUNTS 326 00:14:34,929 --> 00:14:38,566 OF DOLLAR PRIZES ARE GIVEN TO 327 00:14:38,566 --> 00:14:39,567 INVESTIGATORS OR COMPANIES THAT 328 00:14:39,567 --> 00:14:41,836 ARE WORKING IN THIS AREA WITH 329 00:14:41,836 --> 00:14:45,273 TOTAL $3 MILLION COMING FROM THE 330 00:14:45,273 --> 00:14:47,442 NICHD BUDGET TOWARD THE PRIZES. 331 00:14:47,442 --> 00:14:50,411 THE SUBMISSION TO PHASE I ARE 332 00:14:50,411 --> 00:14:52,613 DUE IN OCTOBER AND WE EXPECT THE 333 00:14:52,613 --> 00:14:55,550 FINAL WINNERS TO BE ANNOUNCED IN 334 00:14:55,550 --> 00:14:57,885 MARCH 2026. IT IS A STAGE 335 00:14:57,885 --> 00:14:59,887 CHALLENGE THAT WILL END WITH 336 00:14:59,887 --> 00:15:02,990 SHOWING THAT THE TECHNOLOGY IS 337 00:15:02,990 --> 00:15:05,660 FEASIBLE AND TESTED ON A 338 00:15:05,660 --> 00:15:08,062 POPULATION AND MAKES A BIG 339 00:15:08,062 --> 00:15:09,964 DIFFERENCE. THE IMPROVE 340 00:15:09,964 --> 00:15:13,534 INITIATIVE, ANOTHER ACRONYM 341 00:15:13,534 --> 00:15:15,536 IMPLEMENT MATERNAL HEALTH AND 342 00:15:15,536 --> 00:15:17,071 PREGNANCY OUTCOME VISION FOR 343 00:15:17,071 --> 00:15:18,239 EVERYONE. YOU HAVE HEARD ABOUT 344 00:15:18,239 --> 00:15:20,475 THIS PREVIOUSLY. THIS IS A 345 00:15:20,475 --> 00:15:22,543 MAJOR INITIATIVE DESIGNED TO 346 00:15:22,543 --> 00:15:25,813 REDUCE MATERNAL MORTALITY AND 347 00:15:25,813 --> 00:15:28,015 MORBID 348 00:15:28,015 --> 00:15:29,751 MORBIDITY. WE HAVE PREVIOUSLY 349 00:15:29,751 --> 00:15:33,020 TOLD YOU ABOUT 10 CENTERS OF 350 00:15:33,020 --> 00:15:34,255 EXCELLENCE THAT ARE FUNDED 351 00:15:34,255 --> 00:15:36,324 THROUGH THIS PROGRAM SINCE WE 352 00:15:36,324 --> 00:15:38,826 LAST MET WE'VE BEEN ABLE TO FUND 353 00:15:38,826 --> 00:15:41,462 TWO NEW MATERNAL HEALTH RESEARCH 354 00:15:41,462 --> 00:15:43,865 CENTERS OF EXCELLENCE MAKING A 355 00:15:43,865 --> 00:15:45,800 TOTAL OF 12. ONE IS UNIVERSITY 356 00:15:45,800 --> 00:15:47,635 THE ILLINOIS IN CHICAGO AND ONE 357 00:15:47,635 --> 00:15:50,371 IS AT UNIVERSITY OF PITTSBURGH 358 00:15:50,371 --> 00:15:56,978 AND OUR NICHD STAFF VISITED TWO 359 00:15:56,978 --> 00:16:01,649 CENTERS OF EXCELLENCE, ONE IN 360 00:16:01,649 --> 00:16:08,322 OAK LAHOKLAHOMA, THE STATUE IS 361 00:16:08,322 --> 00:16:10,191 DIGNITY OF EARTH AND SKY, IT IS 362 00:16:10,191 --> 00:16:13,261 LOCATED NEAR CHAMBERLAND, SOUTH 363 00:16:13,261 --> 00:16:15,496 DAKOTA AND THIS QUOTE IS FROM 364 00:16:15,496 --> 00:16:17,899 THE ARTIST, DIGNITY REPRESENTS 365 00:16:17,899 --> 00:16:22,870 COURAGE, PERSEVERANCE AND WISDOM 366 00:16:22,870 --> 00:16:26,541 IN SOUTH DAKOTA, MY HOPE IS THE 367 00:16:26,541 --> 00:16:28,709 SCULPTOR IS SYMBOL OF RESPECT 368 00:16:28,709 --> 00:16:35,917 AND PROMISE FOR THE FUTURE. WE 369 00:16:35,917 --> 00:16:39,453 WENT ON SITE INVESVISITS AND SH 370 00:16:39,453 --> 00:16:42,490 TELL YOU HER EXPERIENCES. IN 371 00:16:42,490 --> 00:16:44,392 ADDITION, WE HAVE AN ONGOING 372 00:16:44,392 --> 00:16:47,795 CHALLENGE AS PART OF THE IMPROVE 373 00:16:47,795 --> 00:16:48,596 INITIATIVE CALLED CONNECTING 374 00:16:48,596 --> 00:16:51,532 FOR -- CONNECTING COMMUNITY FOR 375 00:16:51,532 --> 00:16:52,667 MATERNAL HEALTH CHALLENGE AND 376 00:16:52,667 --> 00:16:55,203 THAT IS GEARED TOWARD BUILDING 377 00:16:55,203 --> 00:16:57,471 RESEARCH INFRASTRUCTURE IN 378 00:16:57,471 --> 00:16:59,173 COMMUNITIES WHO ARE MOST AWARE 379 00:16:59,173 --> 00:17:01,809 OF WHAT IS NEEDED IN THEIR 380 00:17:01,809 --> 00:17:02,643 SPECIFIC COMMUNITY AND WE WILL 381 00:17:02,643 --> 00:17:05,379 BE ANNOUNCING THE WINNERS 382 00:17:05,379 --> 00:17:07,081 TOMORROW, SO STAY TUNED FOR 383 00:17:07,081 --> 00:17:09,884 THAT. AND WE ARE NEARING THE 384 00:17:09,884 --> 00:17:13,721 END OF RADX TECH MATERNAL HEALTH 385 00:17:13,721 --> 00:17:15,456 CHALLENGE, WHICH IS DIFFERENT 386 00:17:15,456 --> 00:17:16,557 FROM THE ENDOMETRIOSIS CHALLENGE 387 00:17:16,557 --> 00:17:20,795 FOR POST-PARTUM MONITORING AND 388 00:17:20,795 --> 00:17:21,896 DIAGNOSTIC AND THAT CHALLENGE IS 389 00:17:21,896 --> 00:17:23,397 DESIGNED TO HELP PARTICULARLY 390 00:17:23,397 --> 00:17:26,000 PEOPLE IN MATERNITY UNDERSERVED 391 00:17:26,000 --> 00:17:30,271 AREAS. AND WE ANTICIPATE FINAL 392 00:17:30,271 --> 00:17:31,472 WINNERS, WHO ARE NOW TESTING 393 00:17:31,472 --> 00:17:33,741 THEIR TECHNOLOGY ON DIFFERENT 394 00:17:33,741 --> 00:17:34,942 POPULATIONS, THEY WILL BE 395 00:17:34,942 --> 00:17:36,444 ANNOUNCED NEXT MONTH. 396 00:17:36,444 --> 00:17:39,247 WE NOW HAVE FIVE YEARS OF 397 00:17:39,247 --> 00:17:41,949 SUPPORT AND PROGRESS IN THE 398 00:17:41,949 --> 00:17:42,950 IMP 399 00:17:42,950 --> 00:17:44,752 IMPROVE PROGRAM SO WE ARE 400 00:17:44,752 --> 00:17:46,854 PLANNING A FIFTH ANNIVERSARY 401 00:17:46,854 --> 00:17:48,189 MEETING THAT WILL BE HELD AND 402 00:17:48,189 --> 00:17:50,958 WILL BE AVAILABLE IN A WEBINAR 403 00:17:50,958 --> 00:17:52,159 FORMAT AND THAT WILL BE ON 404 00:17:52,159 --> 00:17:58,199 OCTOBER 15th OF 2016. -- AND 405 00:17:58,199 --> 00:18:00,134 16th. JUST TO SHOW YOU THAT 406 00:18:00,134 --> 00:18:03,437 WE -- ONE OF OUR GOALS HAS BEEN 407 00:18:03,437 --> 00:18:07,708 TO DISTRIBUTE FUNDS TO A WIDE 408 00:18:07,708 --> 00:18:12,013 AREA OF GEOGRAPHIC NEED IN THE 409 00:18:12,013 --> 00:18:13,381 UNITED STATES, THERE ARE SOME 410 00:18:13,381 --> 00:18:15,650 AREAS THAT HAVE PROBLEMS WITH 411 00:18:15,650 --> 00:18:18,519 MATERNAL MORTALITY BUT ARE NOT 412 00:18:18,519 --> 00:18:20,187 FUNDED AND THAT IS PRIMARILY 413 00:18:20,187 --> 00:18:22,223 BECAUSE THEY DID NOT SUBMIT 414 00:18:22,223 --> 00:18:25,126 APPLICATIONS. WE REALLY HAVE 415 00:18:25,126 --> 00:18:26,661 BEEN CONSCIOUSLY TRYING TO MATCH 416 00:18:26,661 --> 00:18:28,629 FUNDS WITH NEED IN CERTAIN AREAS 417 00:18:28,629 --> 00:18:31,899 AND YOU CAN SEE THAT IT IS COLOR 418 00:18:31,899 --> 00:18:32,099 CODED. 419 00:18:32,099 --> 00:18:34,101 SO GRAY IS COMMUNITY 420 00:18:34,101 --> 00:18:35,436 IMPLEMENTATION PROGRAM FOR 421 00:18:35,436 --> 00:18:37,905 EXAMPLE IN TEXAS, ARIZONA AND 422 00:18:37,905 --> 00:18:39,573 NEBRASKA, MATERNAL HEALTH 423 00:18:39,573 --> 00:18:42,076 RESEARCH CENTERS OF EXCELLENCE 424 00:18:42,076 --> 00:18:44,111 ARE IN LIGHT BLUE, CONNECTING 425 00:18:44,111 --> 00:18:45,746 COMMUNITY FOR MATERNAL 426 00:18:45,746 --> 00:18:47,181 CHALLENGES IN DARK BLUE AND 427 00:18:47,181 --> 00:18:48,816 PLACES THAT HAVE FUNDING FOR 428 00:18:48,816 --> 00:18:50,284 SEVERAL PROGRAMS ARE INDICATED 429 00:18:50,284 --> 00:18:54,055 WITH STRIPES. NOW LET'S TURN TO 430 00:18:54,055 --> 00:18:57,658 CHILDREN. AND AGAIN, MANY, IF 431 00:18:57,658 --> 00:19:00,895 NOT MOST OF OUR EXTRAMURAL 432 00:19:00,895 --> 00:19:03,331 BRANCHES ARE INVOLVED IN CHILD 433 00:19:03,331 --> 00:19:05,166 HEALTH RESEARCH AND ONE 434 00:19:05,166 --> 00:19:06,834 HIGHLIGHT WE WANTED TO PRESENT 435 00:19:06,834 --> 00:19:10,237 IS DROWNING PREVENTION RESEARCH. 436 00:19:10,237 --> 00:19:12,974 DROWNING IS THE FOREMOST CAUSE 437 00:19:12,974 --> 00:19:15,209 OF INJURY AND DEATH IN CHILDREN 438 00:19:15,209 --> 00:19:18,179 AGE 1-4. IT IS THE LEADING 439 00:19:18,179 --> 00:19:21,882 CAUSE FOR AGES 5-19. AND THERE 440 00:19:21,882 --> 00:19:25,319 ARE STARK RACIAL AND SOCIO 441 00:19:25,319 --> 00:19:27,588 ECONOMIC DISPARITIES IN DROWNING 442 00:19:27,588 --> 00:19:30,858 DEATH RATES. A RECENT STUDY 443 00:19:30,858 --> 00:19:33,761 IDENTIFIED DISPARITIES IN 444 00:19:33,761 --> 00:19:35,830 ADOLESCENT ACCESS TO DROWNING 445 00:19:35,830 --> 00:19:37,932 PREVENTION STRATEGIES SUCH AS 446 00:19:37,932 --> 00:19:39,767 SWIMMING LESSON AND LIFE JACKET 447 00:19:39,767 --> 00:19:42,370 USE IN SOME DEMOGRAPHIC, SAME 448 00:19:42,370 --> 00:19:43,571 DEMOGRAPHIC GROUP WHO 449 00:19:43,571 --> 00:19:45,773 EXPERIENCED HIGHER DROWNING 450 00:19:45,773 --> 00:19:47,375 RATES. SO THAT IS A STUDY THAT 451 00:19:47,375 --> 00:19:50,611 WE HAVE FUNDED MUCH NICHD 452 00:19:50,611 --> 00:19:51,979 RESEARCHERS ARE ALSO 453 00:19:51,979 --> 00:19:54,181 INVESTIGATING VIRTUAL REALITY 454 00:19:54,181 --> 00:19:56,851 LIFE GUARD SURVEILLANCE 455 00:19:56,851 --> 00:19:59,220 ENVIRONMENT TO IDENTIFY POINTS 456 00:19:59,220 --> 00:20:00,755 OF FAILURE AND INFORM TRAINING. 457 00:20:00,755 --> 00:20:03,958 THE EFFECTS OF SWIM INSTRUCTION 458 00:20:03,958 --> 00:20:05,259 ON AUTISTIC CHILDREN SWIMMING 459 00:20:05,259 --> 00:20:08,362 AND WATER SAFETY SKILLS. THIS 460 00:20:08,362 --> 00:20:10,297 IS EXTREMELY IMPORTANT, CHILDREN 461 00:20:10,297 --> 00:20:13,200 WITH AUTISM ARE VERY ATTRACTED 462 00:20:13,200 --> 00:20:16,437 TO WATER, LIKE TO EXPLORE WATER 463 00:20:16,437 --> 00:20:20,341 AND IF THEY DON'T HAVE TRAINING 464 00:20:20,341 --> 00:20:23,277 IN SWIMMING, IT COULD LEAD TO 465 00:20:23,277 --> 00:20:25,880 DISASTROUS CONSEQUENCES AND 466 00:20:25,880 --> 00:20:27,982 OFTENTIMES CHILDREN WITH AUTISM 467 00:20:27,982 --> 00:20:31,018 WANDER AWAY, THEY ARE WANDERING 468 00:20:31,018 --> 00:20:32,720 TOWARD BODIES OF WATER. 469 00:20:32,720 --> 00:20:35,723 LASTLY, EFFECTIVE NCI OF PUBLIC 470 00:20:35,723 --> 00:20:37,892 POLICY IN REDUCING RACIAL 471 00:20:37,892 --> 00:20:39,627 DISPARITY IN DROWNING AND I'VE 472 00:20:39,627 --> 00:20:42,163 LOOKED AT THE PRINCIPAL 473 00:20:42,163 --> 00:20:44,765 INVESTIGATORS HERE. NOW 474 00:20:44,765 --> 00:20:47,868 DRIVING. PROBABLY WON'T COME AS 475 00:20:47,868 --> 00:20:49,737 A SURPRISE TO YOU THAT YOUTH 476 00:20:49,737 --> 00:20:51,906 WITH MOOD DISORDERS ARE LESS 477 00:20:51,906 --> 00:20:56,277 LIKELY TO GET THEIR DRIVERS 478 00:20:56,277 --> 00:20:56,544 LICENSES. 479 00:20:56,544 --> 00:21:00,114 DRIVING REQUIRES MULTIPLE 480 00:21:00,114 --> 00:21:01,649 NEUROCOGNITIVE SKILLS, EXECUTIVE 481 00:21:01,649 --> 00:21:05,419 FUNCTIONING, ANTICIPATION, 482 00:21:05,419 --> 00:21:07,955 SENSORY PERCEPTION AND SKILLS 483 00:21:07,955 --> 00:21:09,590 OFTEN IMPAIRED IN YOUTH WITH 484 00:21:09,590 --> 00:21:12,493 MOOD DISORDERS. 485 00:21:12,493 --> 00:21:14,195 OBTAINING LICENSE HAS BEEN 486 00:21:14,195 --> 00:21:16,764 ASSOCIATED WITH HIGHER HEALTH 487 00:21:16,764 --> 00:21:19,433 AND ATTAINMENT IN YOUNG ADULT 488 00:21:19,433 --> 00:21:21,869 NEVER MIND INABILITY TO LEAD 489 00:21:21,869 --> 00:21:22,436 INDEPENDENT LIFE. 490 00:21:22,436 --> 00:21:26,140 LACK OF LICENSE COULD BE 491 00:21:26,140 --> 00:21:28,309 ASSOCIATED WITH ADVERSE OUTCOME. 492 00:21:28,309 --> 00:21:31,912 YOUTH WITH DISORDER WHO OBTAIN 493 00:21:31,912 --> 00:21:33,647 LICENSES HAD OVERALL RISK OF 494 00:21:33,647 --> 00:21:35,349 CRASHING THAN OTHER YOUTH. THIS 495 00:21:35,349 --> 00:21:37,284 IS IMPORTANT AREA THAT IS BEING 496 00:21:37,284 --> 00:21:39,120 STUDIED BY ONE OF OUR 497 00:21:39,120 --> 00:21:41,722 RESEARCHERS. THEN DEVELOPMENTAL 498 00:21:41,722 --> 00:21:44,458 STEPS OF CHILDHOOD ADVERSITY, 499 00:21:44,458 --> 00:21:48,095 EARLY CHILDHOOD ADVERSITY MAY 500 00:21:48,095 --> 00:21:49,396 AFFECT NEUROLOGICAL AND 501 00:21:49,396 --> 00:21:50,498 COGNITIVE DEVELOPMENT. MANY 502 00:21:50,498 --> 00:21:52,099 PEOPLE KNOW THIS, OUR 503 00:21:52,099 --> 00:21:53,701 INVESTIGATORS ARE WORKING ON 504 00:21:53,701 --> 00:21:58,906 THIS, PARTICULARLY IN THE INTRA 505 00:21:58,906 --> 00:22:00,608 MURAL AND TODAY IN OUR SEPTEMBER 506 00:22:00,608 --> 00:22:02,409 COUNCIL WE WILL TRADITIONAL 507 00:22:02,409 --> 00:22:07,982 HIGHLIGHT THE INTRAMURAL 508 00:22:07,982 --> 00:22:09,884 PROGRAM. THE RESEARCH OF 509 00:22:09,884 --> 00:22:12,686 DR. ELISE STDR. 510 00:22:12,686 --> 00:22:16,390 STEPHEN GILMAN, HIS TEAM HAS 511 00:22:16,390 --> 00:22:18,959 SHOWN THE COMBINATION OF 512 00:22:18,959 --> 00:22:24,031 EXPOSURE TO PARENTAL DIVORCE, 513 00:22:24,031 --> 00:22:25,199 SEPARATION, FAMILY LOSS, 514 00:22:25,199 --> 00:22:26,233 INSTABILITY, FOR EXAMPLE, BEING 515 00:22:26,233 --> 00:22:29,503 IN FOSTER CARE, CROWDED HOUSING 516 00:22:29,503 --> 00:22:32,840 IN HOUSEHOLDS BELOW FEDERAL 517 00:22:32,840 --> 00:22:35,876 POVERTY THRESHOLD HAVE BEEN 518 00:22:35,876 --> 00:22:37,411 STUDYING KIDS AND EXPOSED 519 00:22:37,411 --> 00:22:39,847 CHILDREN HAVE LOWER SCORES ON 520 00:22:39,847 --> 00:22:41,749 TESTS OF VISUAL MOTOR AND 521 00:22:41,749 --> 00:22:43,584 SENTENC 522 00:22:43,584 --> 00:22:45,886 SENTENCERY MOTOR FUNCTIONING AND 523 00:22:45,886 --> 00:22:46,854 ACHIEVEMENT TESTS. 524 00:22:46,854 --> 00:22:49,256 THERE ARE LONG-TERM IMPLICATION 525 00:22:49,256 --> 00:22:52,193 FOR EDUCATIONAL SUCCESS, SOCIAL 526 00:22:52,193 --> 00:22:53,761 AND EMOTIONAL WELL BEING AND 527 00:22:53,761 --> 00:22:55,596 PHYSICAL HEALTH IN ADULTHOOD. 528 00:22:55,596 --> 00:22:57,731 THAT IS ONE REASON WE ARE PAYING 529 00:22:57,731 --> 00:22:59,934 MORE DETERMINE TO SOCIAL DETERM 530 00:22:59,934 --> 00:23:02,069 NANTS OF HEALTH AND LOOKING AT 531 00:23:02,069 --> 00:23:03,771 POTENTIAL WAYS TO SOLVE SOME OF 532 00:23:03,771 --> 00:23:05,639 THE PROBLEMS SO THERE WILL BE 533 00:23:05,639 --> 00:23:08,142 BETTER OUTCOMES FOR CHILDREN. 534 00:23:08,142 --> 00:23:13,214 AND LASTLY, IN THE PEDIATRIC 535 00:23:13,214 --> 00:23:17,251 HEALTH SECTION, THE TEAM OF JF 536 00:23:17,251 --> 00:23:19,386 HOLMES ET AL REDUCING 537 00:23:19,386 --> 00:23:20,821 INAPPROPRIATE CT SCAN FOR 538 00:23:20,821 --> 00:23:22,623 CHILDREN AND YOUTH, THIS IS 539 00:23:22,623 --> 00:23:24,191 RESEARCH BEING PERFORMED AS PART 540 00:23:24,191 --> 00:23:29,163 OF PECARN NETWORK, PEDIATRIC 541 00:23:29,163 --> 00:23:30,431 EMERGENCY CARE APPLIED RESEARCH 542 00:23:30,431 --> 00:23:32,800 AND THEY ARE DEVELOPING 543 00:23:32,800 --> 00:23:34,535 PREDICTION RULES FOR EMERGENCY 544 00:23:34,535 --> 00:23:35,502 DEPARTMENTS TO DISTINGUISH 545 00:23:35,502 --> 00:23:38,405 CHILDREN WITH HIGH VERSUS LOW 546 00:23:38,405 --> 00:23:41,875 RISK FOR SERIOUS ABDOMINAL OR 547 00:23:41,875 --> 00:23:44,645 BRAIN INJURIES, SO THEY ARE 548 00:23:44,645 --> 00:23:46,714 DEVELOPING ALGORITHM TO 549 00:23:46,714 --> 00:23:48,782 DETERMINE IF A CHILD NEEDS A CT 550 00:23:48,782 --> 00:23:50,451 SCAN OR DOES NOT NEED A CT SCAN 551 00:23:50,451 --> 00:23:50,784 SCAN. 552 00:23:50,784 --> 00:23:53,621 PREDICTION RULES WERE 100% 553 00:23:53,621 --> 00:23:55,656 ACCURATE FOR SEVERE ABDOMINAL 554 00:23:55,656 --> 00:23:58,292 INJURY AND 100% FOR HEAD TRAUMA 555 00:23:58,292 --> 00:24:00,160 IN CHILDREN LESS THAN TWO YEARS 556 00:24:00,160 --> 00:24:04,064 OF AGE AND 98.8% ACCURATE IN 557 00:24:04,064 --> 00:24:05,699 CHILDREN GREATER THAN TWO YEARS 558 00:24:05,699 --> 00:24:06,834 OF AGE. 559 00:24:06,834 --> 00:24:08,068 PREDICTION RULES ARE VALIDATED 560 00:24:08,068 --> 00:24:09,870 AND CONSIDERED SAFE FOR 561 00:24:09,870 --> 00:24:12,506 MINIMIZING INAPPROPRIATE CT 562 00:24:12,506 --> 00:24:16,277 SCANS IN CHILDREN. LAST, BUT 563 00:24:16,277 --> 00:24:18,212 NOT LEAST, REHABILITATION 564 00:24:18,212 --> 00:24:19,680 RESEARCH, THERE IS SOME 565 00:24:19,680 --> 00:24:21,649 HIGHLIGHTS FROM THE NATIONAL 566 00:24:21,649 --> 00:24:24,451 CENTER FOR MEDICAL RAB RAB 567 00:24:24,451 --> 00:24:27,488 RESEARCH. FIRST ONE IS AEROBIC 568 00:24:27,488 --> 00:24:30,858 EXERCISE MAY IMPROVE SLEEP FOR 569 00:24:30,858 --> 00:24:31,258 ADL 570 00:24:31,258 --> 00:24:32,760 ADOLESCENT CONCUSSION PATIENTS. 571 00:24:32,760 --> 00:24:35,829 MANY CONCUSSION PATIENTS 572 00:24:35,829 --> 00:24:37,898 EXPERIENCE SLEEP PROBLEMS WHICH 573 00:24:37,898 --> 00:24:45,172 CAN WORSEN THEIR CONCUSSION. 574 00:24:45,172 --> 00:24:47,174 150 MINUTES OF AEROBICS PER WEEK 575 00:24:47,174 --> 00:24:49,310 OR BETTER ON SLEEP QUALITY 576 00:24:49,310 --> 00:24:50,477 QUESTIONNAIRE IN A GROUP THAT 577 00:24:50,477 --> 00:24:55,015 EXERCISE LESS. ALSO, A NEW 578 00:24:55,015 --> 00:24:58,319 SURGICAL PROCEDURE ENABLE BELOW 579 00:24:58,319 --> 00:25:01,889 KNEE AMPUTEE TO ACHIEVE MORE 580 00:25:01,889 --> 00:25:08,495 NATURAL GAIT. WE DO INCLUDE 581 00:25:08,495 --> 00:25:13,000 ADULTS IN THE NCMRR RESEARCH 582 00:25:13,000 --> 00:25:13,901 PORTFOLIO. 583 00:25:13,901 --> 00:25:16,904 THIS PROCEDURE ALLOW NEURAL 584 00:25:16,904 --> 00:25:21,208 CONTROL VIA SEARCHS SENSOR AND 585 00:25:21,208 --> 00:25:26,580 IMPROVE MOO NEUROPHYSIOLOGY 586 00:25:26,580 --> 00:25:29,783 MANEUVERABILITY AND WERE BETTER 587 00:25:29,783 --> 00:25:33,354 AT CLIMBING STAIRS AND AVOIDING 588 00:25:33,354 --> 00:25:34,688 OBSTACLES AFTER THIS SURGICAL 589 00:25:34,688 --> 00:25:37,424 PROCEDURE AND THIS IS ALSO 590 00:25:37,424 --> 00:25:41,962 PUBLISHED ONLINE. AS YOU KNOW, 591 00:25:41,962 --> 00:25:44,598 WE ARE VERY FOCUSED ON TRAINING 592 00:25:44,598 --> 00:25:47,267 THE WORKFORCE OF THE FUTURE AND 593 00:25:47,267 --> 00:25:50,237 YOU HAVE HEARD VERY CO 594 00:25:50,237 --> 00:25:52,673 COMPREHENSIVE REPORTS FROM 595 00:25:52,673 --> 00:25:56,643 TERESA CRUZ AND TESSY OCTOBER IN 596 00:25:56,643 --> 00:25:58,912 THE PREVIOUS COUNCIL. OUR FOCUS 597 00:25:58,912 --> 00:26:01,882 OR OUR RECOMMENDATIONS HAVE BEEN 598 00:26:01,882 --> 00:26:05,152 NUMBER ONE, TO REINVIGERATE 599 00:26:05,152 --> 00:26:05,719 INSTITUTIONAL TRAINING AND 600 00:26:05,719 --> 00:26:08,422 CAREER DEVELOPMENT PROGRAMS. 601 00:26:08,422 --> 00:26:11,692 RETHINK HOW WE TALK ABOUT 602 00:26:11,692 --> 00:26:14,128 OUTCOMES. IT IS NOT JUST THE 603 00:26:14,128 --> 00:26:16,330 OUTCOME OF BECOMING AN PROFESSOR 604 00:26:16,330 --> 00:26:18,432 OR PROFESSOR. CREATE 605 00:26:18,432 --> 00:26:20,734 COMMUNICATE AMONGST TRAINEES, 606 00:26:20,734 --> 00:26:22,269 USE TRAINING AND CAREER 607 00:26:22,269 --> 00:26:25,606 DEVELOPMENT PROGRAMS TO 608 00:26:25,606 --> 00:26:28,175 DIVERSIFY NICHD REACH. 609 00:26:28,175 --> 00:26:30,377 REINVIGERATE THE LOAN REPAYMENT 610 00:26:30,377 --> 00:26:32,179 PROGRAM AND USE TRAINING 611 00:26:32,179 --> 00:26:35,582 PROGRAMS TO SUPPORT OUR STRATEGY 612 00:26:35,582 --> 00:26:36,650 RESEARCH PRIORITIES. YOU WILL 613 00:26:36,650 --> 00:26:39,153 NOTICE SOME OF OUR RESEARCH 614 00:26:39,153 --> 00:26:40,721 INITIATIVES, FOR EXAMPLE IMPROVE 615 00:26:40,721 --> 00:26:43,157 INITIATIVE ALSO INCLUDES 616 00:26:43,157 --> 00:26:45,025 OPPORTUNITIES TO TRAIN THE 617 00:26:45,025 --> 00:26:47,127 WORKFORCE AND CERTAINLY OUR 618 00:26:47,127 --> 00:26:49,863 NETWORKS HAVE BEEN VERY 619 00:26:49,863 --> 00:26:51,098 INFLUENTIAL IN GIVING CLINICAL 620 00:26:51,098 --> 00:26:54,635 RESEARCH EXPERIENCE TO TRAINEES. 621 00:26:54,635 --> 00:26:56,003 SO WHAT HAVE WE DONE TO 622 00:26:56,003 --> 00:26:58,605 IMPLEMENT SOME OF THESE 623 00:26:58,605 --> 00:26:59,873 RECOMMENDATIONS? FIRST OF ALL, 624 00:26:59,873 --> 00:27:01,875 I THINK THIS IS SOMETHING TO 625 00:27:01,875 --> 00:27:03,243 REALLY CELEBRATE. THE FUNDING 626 00:27:03,243 --> 00:27:06,213 FOR NICHD LOAN REPAYMENT PROGRAM 627 00:27:06,213 --> 00:27:09,249 HAS INCREASED SUBSTANTIALLY IN 628 00:27:09,249 --> 00:27:13,020 FISCAL YEAR '24, INCREASED BY 629 00:27:13,020 --> 00:27:15,956 28% COMPARED TO FISCAL YEAR '23, 630 00:27:15,956 --> 00:27:18,926 THIS IS LIFE-CHANGING FOR PEOPLE 631 00:27:18,926 --> 00:27:23,330 WHO WOULD LIKE TO BE IN RESEARCH 632 00:27:23,330 --> 00:27:27,601 BUT PERHAPS ARE FACED WITH 633 00:27:27,601 --> 00:27:29,236 SIGNIFICANT DEBT FROM THEIR 634 00:27:29,236 --> 00:27:31,772 EDUCATION. WE'RE ALSO EXPANDING 635 00:27:31,772 --> 00:27:33,507 OUTREACH FOR TRAINING 636 00:27:33,507 --> 00:27:41,882 OPPORTUNITIES. WE OPENED AN 637 00:27:41,882 --> 00:27:44,151 OBSTETRICS BRANCH WORKSHOP FOR 638 00:27:44,151 --> 00:27:46,220 CLINICAL PHARMOCOLOGY TRAINING 639 00:27:46,220 --> 00:27:48,155 NETWORK A COUPLE OF WEEKS AGO 640 00:27:48,155 --> 00:27:50,858 AND THIS WAS OPEN TO ALL NICHD 641 00:27:50,858 --> 00:27:54,127 FUNDED TRAINEES. FURTHERMORE, 642 00:27:54,127 --> 00:27:56,730 NICHD OFFICE OF HEALTH EQUITY, 643 00:27:56,730 --> 00:27:59,733 KNOWN AS OHE, CREATED NEW 644 00:27:59,733 --> 00:28:02,703 MATERIALS FOR EXTRAMURAL AND 645 00:28:02,703 --> 00:28:04,204 INTRAMURAL TRAINING OPPORTUNITY 646 00:28:04,204 --> 00:28:08,075 TO DISTRIBUTE AT SCIENTIFIC 647 00:28:08,075 --> 00:28:09,243 CONFERENCES. THEY SUBMITTED 648 00:28:09,243 --> 00:28:11,345 ABSTRACT FOR PRESENTATION AT 649 00:28:11,345 --> 00:28:13,881 MAJOR NATIONAL MEETINGS THAT 650 00:28:13,881 --> 00:28:17,885 ATTRACT VERY DIVERSE GROUPS OF 651 00:28:17,885 --> 00:28:19,920 POTENTIAL INVESTIGATORS. AND 652 00:28:19,920 --> 00:28:23,056 LASTLY, WE'VE SCHEDULED TRAINING 653 00:28:23,056 --> 00:28:25,459 WEBINARS ABOUT SPECIFIC FUNDING 654 00:28:25,459 --> 00:28:26,827 OPPORTUNITIES, FOR EXAMPLE, 655 00:28:26,827 --> 00:28:30,397 F-99, K-99, DIVERSITY SUP 656 00:28:30,397 --> 00:28:31,798 ELEMENTS AND THESE HAVE BEEN LED 657 00:28:31,798 --> 00:28:34,234 BY OFFICE OF HEALTH EQUITY IN 658 00:28:34,234 --> 00:28:35,636 COLLABORATION WITH THE DIVISION 659 00:28:35,636 --> 00:28:37,905 OF EXTRAMURAL RESEARCH AND THE 660 00:28:37,905 --> 00:28:41,008 DIVISION OF EXTRAMURAL ACTIVITY. 661 00:28:41,008 --> 00:28:44,845 AND MORE IMPLEMENTATION UPDATES. 662 00:28:44,845 --> 00:28:48,815 THE NEW TYPE 1 AND RENEWAL TYPE 663 00:28:48,815 --> 00:28:51,919 2, T32 APPLICATIONS ARE NOW 664 00:28:51,919 --> 00:28:54,187 GOING TO BE CLUSTERED SEPARATELY 665 00:28:54,187 --> 00:28:57,224 FOR PEER REVIEW. WE'VE NOTED IN 666 00:28:57,224 --> 00:28:59,626 THE PAST AND DISCUSSED THIS AT A 667 00:28:59,626 --> 00:29:01,895 PRIOR COUNCIL MEETING IT WAS 668 00:29:01,895 --> 00:29:05,165 VERY DIFFICULT FOR A NEW P32 669 00:29:05,165 --> 00:29:06,667 TRAINING PROGRAM TO COMPETE WITH 670 00:29:06,667 --> 00:29:08,969 A VERY WELL ESTABLISHED PROGRAM, 671 00:29:08,969 --> 00:29:11,371 WHICH TENDED TO DO BETTER 672 00:29:11,371 --> 00:29:14,374 BECAUSE IT WAS MORE OF A TRACK 673 00:29:14,374 --> 00:29:15,075 RECORD. 674 00:29:15,075 --> 00:29:17,711 SO NOW THEY WILL BE CLUSTERED 675 00:29:17,711 --> 00:29:19,246 SEPARATELY WITH THE HOPE WE WILL 676 00:29:19,246 --> 00:29:21,081 BE ABLE TO BRING IN NEW GROUPS 677 00:29:21,081 --> 00:29:23,350 OF PEOPLE BECAUSE WE CAN ONLY 678 00:29:23,350 --> 00:29:27,955 FUND A LIMITED NUMBER OF T32 679 00:29:27,955 --> 00:29:30,724 APPLICATIONS. COMPETING T-32 680 00:29:30,724 --> 00:29:32,593 APPLICATIONS WILL REQUIRE THE 681 00:29:32,593 --> 00:29:36,797 PROGRAM OFFICIAL INPUT ON 682 00:29:36,797 --> 00:29:37,898 DIVERSITY RECRUITMENT AND 683 00:29:37,898 --> 00:29:39,199 RETENTION PLANS DURING THE 684 00:29:39,199 --> 00:29:40,867 FUNDING PLAN DEVELOPMENT. WE 685 00:29:40,867 --> 00:29:42,436 ARE SERIOUS ABOUT THIS. IF 686 00:29:42,436 --> 00:29:45,706 THERE ISN'T EITHER A DIVERSITY 687 00:29:45,706 --> 00:29:48,675 TRACK RECORD OR A SIGNIFICANT 688 00:29:48,675 --> 00:29:51,244 PLAN FOR DIVERSITY RECRUITMENT, 689 00:29:51,244 --> 00:29:55,282 YOU WILL BE HEARING FROM US. 690 00:29:55,282 --> 00:29:56,683 NICHD DRAFTED LANGUAGE TO 691 00:29:56,683 --> 00:29:59,119 ENCOMPASS INDIVIDUAL AND 692 00:29:59,119 --> 00:30:01,121 INSTITUTIONAL DIVERSITY FOR BOTH 693 00:30:01,121 --> 00:30:05,492 OUR T32S AND OUR K12'S. YOU'LL 694 00:30:05,492 --> 00:30:06,727 BE HEARING MORE ABOUT THE 695 00:30:06,727 --> 00:30:09,563 STRATEGY PLAN LATER IN THIS 696 00:30:09,563 --> 00:30:09,796 MEETING. 697 00:30:09,796 --> 00:30:12,466 WE ARE ADDING NOW A MAJOR 698 00:30:12,466 --> 00:30:14,034 CROSS-CUTTING THEME IN TRAINING 699 00:30:14,034 --> 00:30:21,875 TO NICHD 2025 STRATEGIC PLAN. 700 00:30:21,875 --> 00:30:24,211 OKAY. SOME CONGRATULATIONS, I 701 00:30:24,211 --> 00:30:27,848 SEE DEB HANKINS IS BACK THERE. 702 00:30:27,848 --> 00:30:30,384 WANT TO RAISE YOUR HAND? 703 00:30:30,384 --> 00:30:32,552 CONGRATULATIONS, DEB. IF YOU 704 00:30:32,552 --> 00:30:37,891 ARE FUNDED BY DBCAB, DEVELOPMENT 705 00:30:37,891 --> 00:30:40,327 BIOLOGY BRANCH, YOU KNOW HER AS 706 00:30:40,327 --> 00:30:42,929 A PROGRAM OFFICER AND SHE 707 00:30:42,929 --> 00:30:44,665 RECENTLY RECEIVED HUGE HONOR, 708 00:30:44,665 --> 00:30:46,500 RECOGNIZED BY THE 13TH 709 00:30:46,500 --> 00:30:48,902 INTERNATIONAL CONFERENCE ON 710 00:30:48,902 --> 00:30:52,506 NEURAL TUBE DEFECT FOR HER 711 00:30:52,506 --> 00:30:56,176 UNFAILING ENTHUSIASM, HER 712 00:30:56,176 --> 00:30:57,177 MENTORSHIP, GUIDANCE AND 713 00:30:57,177 --> 00:30:58,612 CHAMPONING OF RESEARCH INTO 714 00:30:58,612 --> 00:31:00,781 CAUSES AND PREVENTION OF 715 00:31:00,781 --> 00:31:03,750 STRUCTURAL BIRTH DEFECTS. 716 00:31:03,750 --> 00:31:04,251 CONGRATULATIONS, DEB. 717 00:31:04,251 --> 00:31:09,556 [APPLAUSE] 718 00:31:09,556 --> 00:31:15,429 >> AND JAMES COULOMBE, IS NOT 719 00:31:15,429 --> 00:31:19,466 WITH US TODAY, HE RETIRED AS OF 720 00:31:19,466 --> 00:31:22,135 AUGUST 31ST, CHIEF OF 721 00:31:22,135 --> 00:31:24,371 DEVELOPMENTAL ANOMALY BRANCH. 722 00:31:24,371 --> 00:31:29,342 HE WAS THE CHIEF SINCE 2018. 723 00:31:29,342 --> 00:31:33,313 AND HE JOINED NICHD IN 2006 AND 724 00:31:33,313 --> 00:31:37,117 ALSO LED THE GABRIELLA MILLER, 725 00:31:37,117 --> 00:31:39,820 HIS FIRST RESEARCH PROGRAM SINCE 726 00:31:39,820 --> 00:31:46,526 2017 AND MAHUA MUKHOPADHYAY WILL 727 00:31:46,526 --> 00:31:48,762 BE ACTING BRANCH CHIEF. ARE YOU 728 00:31:48,762 --> 00:31:50,497 HERE? CAN YOU RAISE YOUR HAND? 729 00:31:50,497 --> 00:31:53,967 THERE YOU ARE, BEHIND DAN. 730 00:31:53,967 --> 00:31:57,871 HELLO, MAHUA, THANK YOU FOR 731 00:31:57,871 --> 00:31:59,439 BEING WILLING TO SERVE AS ACTING 732 00:31:59,439 --> 00:32:01,441 BRANCH CHIEF. AND YOU'LL BE 733 00:32:01,441 --> 00:32:04,077 HEARING MORE, AS I SAID, ABOUT 734 00:32:04,077 --> 00:32:09,416 THE DIVISION OF INTERMURAL 735 00:32:09,416 --> 00:32:11,952 RESEARCH, HENRY LEVIN HAS BEEN 736 00:32:11,952 --> 00:32:15,255 FORMALLY SELECTED AS NICHD 737 00:32:15,255 --> 00:32:17,290 DEPUTY SCIENTIFIC DIRECTOR, HE 738 00:32:17,290 --> 00:32:18,725 IS SENIOR INVESTIGATOR AND THE 739 00:32:18,725 --> 00:32:25,232 HEAD OF THE SECTION OF 740 00:32:25,232 --> 00:32:26,900 EUKARYOTIC TRANS POSABLE 741 00:32:26,900 --> 00:32:29,870 ELEMENT, CHAIR OF THE DIR TENURE 742 00:32:29,870 --> 00:32:31,605 AND PROMOTION COMMITTEE AND 743 00:32:31,605 --> 00:32:33,807 PROGRAM DIRECTOR OF EARLY CAREER 744 00:32:33,807 --> 00:32:36,042 AWARD AND CAREER AWARD FOR STAFF 745 00:32:36,042 --> 00:32:37,744 SCIENTIFIC AND STAFF CLINICIANS 746 00:32:37,744 --> 00:32:39,780 AND RECEIVED THE NIH OUTSTANDING 747 00:32:39,780 --> 00:32:43,150 MENTOR AWARD. SO WE ARE VERY 748 00:32:43,150 --> 00:32:45,018 HAPPY TO HAVE THAT POSITION 749 00:32:45,018 --> 00:32:47,954 FILLED AND WE SEND 750 00:32:47,954 --> 00:32:49,523 CONGRATULATIONS TO HENRY AND 751 00:32:49,523 --> 00:32:51,858 PERHAPS CHRIS WILL TELL US A 752 00:32:51,858 --> 00:32:53,794 LITTLE MORE. AS USUAL, WE ARE 753 00:32:53,794 --> 00:32:58,431 HIRING, WE HAVE NATIONAL 754 00:32:58,431 --> 00:33:00,500 SEARCHES GOING ON FOR DB CAB 755 00:33:00,500 --> 00:33:03,904 BRANCH CHIEF TO REPLACE JAMES 756 00:33:03,904 --> 00:33:05,438 AND THE FERTILITY AND 757 00:33:05,438 --> 00:33:07,240 INFERTILITY BRANCH CHIEF AND YOU 758 00:33:07,240 --> 00:33:10,477 CAN CONTACT ROHAN, IF YOU HAVE 759 00:33:10,477 --> 00:33:14,681 SUGGESTIONS OR ARE INTERESTED OR 760 00:33:14,681 --> 00:33:17,017 KNOW SOMEONE THAT WE SHOULD 761 00:33:17,017 --> 00:33:19,519 CONTACT. IN ADDITION, THE 762 00:33:19,519 --> 00:33:21,621 INTRAMURAL LABORATORIES, WE'LL 763 00:33:21,621 --> 00:33:24,057 HEAR MORE ABOUT SHORTLY, ARE 764 00:33:24,057 --> 00:33:29,362 HIRING POST DOCKTORAL FELLOWS AD 765 00:33:29,362 --> 00:33:33,667 OTHER TRAINEES AND REALLY A VERY 766 00:33:33,667 --> 00:33:36,169 VIBRANT PLACE TO WORK. LAST 767 00:33:36,169 --> 00:33:38,905 THING I WANTED TO MENTION IS OUR 768 00:33:38,905 --> 00:33:43,343 NEW WOMEN'S HEALTH RESEARCH FACT 769 00:33:43,343 --> 00:33:43,543 SHEET. 770 00:33:43,543 --> 00:33:45,879 YOU CAN USE YOUR CAMERA TO 771 00:33:45,879 --> 00:33:47,647 CAPTURE THE QR CODE. 772 00:33:47,647 --> 00:33:49,649 I TRIED IT MYSELF, IT DOES WORK. 773 00:33:49,649 --> 00:33:52,552 THESE ARE TERRIFIC FACT SHEETS 774 00:33:52,552 --> 00:33:57,023 THAT HAVE BEEN CREATED BY OUR 775 00:33:57,023 --> 00:33:59,125 OFFICE OF COMMUNICATIONS AND 776 00:33:59,125 --> 00:34:02,796 THEY ARE DESIGNED TO BE ONE 777 00:34:02,796 --> 00:34:04,497 PAGERS THAT GIVE A LITTLE 778 00:34:04,497 --> 00:34:06,433 INTRODUCTION AND THEN A LITTLE 779 00:34:06,433 --> 00:34:09,936 BIT OF NICHD HIGHLIGHTS. SO WE 780 00:34:09,936 --> 00:34:11,638 USE THEM FOR EXAMPLE, WHEN WE GO 781 00:34:11,638 --> 00:34:13,807 TO DO A CONGRESSIONAL BRIEFING 782 00:34:13,807 --> 00:34:17,177 OR IF WE ARE AT SOME SORT OF 783 00:34:17,177 --> 00:34:20,113 ADVOCACY MEETING, THEY ARE JUST 784 00:34:20,113 --> 00:34:21,114 THE RIGHT LENGTH. 785 00:34:21,114 --> 00:34:23,717 THEY ARE COLORFUL, ATTRACTIVE 786 00:34:23,717 --> 00:34:26,987 AND THEY HAVE NICHD RESEARCH TO 787 00:34:26,987 --> 00:34:29,122 HIGHLIGHT SO THEY ARE PUBLICLY 788 00:34:29,122 --> 00:34:32,425 AVAILABLE AND FEEL FREE TO USE 789 00:34:32,425 --> 00:34:33,960 THEM. SO WITH THAT, I'M GOING 790 00:34:33,960 --> 00:34:35,595 TO THANK YOU FOR YOUR ATTENTION 791 00:34:35,595 --> 00:34:37,264 AND I'M HAPPY TO ANSWER 792 00:34:37,264 --> 00:34:40,700 QUESTIONS. 793 00:34:40,700 --> 00:34:42,502 [APPLAUSE] 794 00:34:42,502 --> 00:34:46,373 >> THANK YOU. 795 00:34:46,373 --> 00:34:49,643 >> WE HAVE ABOUT 25 MINUTES. 796 00:34:49,643 --> 00:34:52,746 PATRICIA, FOR QUESTIONS, OR 20 797 00:34:52,746 --> 00:34:56,750 MINUTES. 798 00:34:56,750 --> 00:34:58,451 HERE, OKAY. GREAT. 799 00:34:58,451 --> 00:35:00,854 T 800 00:35:00,854 --> 00:35:03,523 TRICIA DORN, THANK YOU FOR 801 00:35:03,523 --> 00:35:05,191 HEARING WONDERFUL THINGS THAT 802 00:35:05,191 --> 00:35:07,727 ARE GOING ON. BUT REALLY STRUCK 803 00:35:07,727 --> 00:35:12,299 ME AS AN AVID SWIMMER AND LIFE 804 00:35:12,299 --> 00:35:14,167 GUARD IN A PREVIOUS LIFE FORM 805 00:35:14,167 --> 00:35:16,703 WAS THE ADDRESSING THE DROWNING 806 00:35:16,703 --> 00:35:20,106 AND I'M WONDERING PEOPLE MAY 807 00:35:20,106 --> 00:35:22,943 KNOW OR BE AWARE COUNTRY OF 808 00:35:22,943 --> 00:35:24,411 ICELAND, THEY HAVE PROGRAMS 809 00:35:24,411 --> 00:35:27,247 THERE FOR REQUIRED SWIMMING 810 00:35:27,247 --> 00:35:29,950 LESSONS FOR KIDS. I KNOW IT IS 811 00:35:29,950 --> 00:35:32,686 A SMALL COUNTRY AND I UNDERSTAND 812 00:35:32,686 --> 00:35:36,056 THAT, BUT THEY DO HAVE PROGRAMS 813 00:35:36,056 --> 00:35:39,092 IN PLACE FOR A LONG TIME, IT IS 814 00:35:39,092 --> 00:35:41,628 MANDATORY THAT KIDS LEARN HOW TO 815 00:35:41,628 --> 00:35:43,029 SWIM, JUST THOUGHT I'D BRING 816 00:35:43,029 --> 00:35:44,764 THAT UP, IT CAUGHT MY ATTENTION. 817 00:35:44,764 --> 00:35:46,466 >> THANK YOU FOR SHARING THAT. 818 00:35:46,466 --> 00:35:48,735 IT REALLY IS A SIGNIFICANT 819 00:35:48,735 --> 00:35:51,071 PROBLEM WITH SIGNIFICANT 820 00:35:51,071 --> 00:35:52,806 DISPARITIES IN DIFFERENT 821 00:35:52,806 --> 00:35:57,644 COMMUNITIES. 822 00:35:57,644 --> 00:36:02,248 OKAY. DON'T BE SHY. WAS IT SO 823 00:36:02,248 --> 00:36:11,358 CRYSTAL CLEAR THAT -- YES, 824 00:36:11,358 --> 00:36:11,658 GENAVIVE. 825 00:36:16,329 --> 00:36:19,265 >> SORRY, THANKS FOR THAT 826 00:36:19,265 --> 00:36:19,799 WONDERFUL PRESENTATION. 827 00:36:19,799 --> 00:36:21,901 I WAS WONDERING IF YOU COULD 828 00:36:21,901 --> 00:36:23,536 PROVIDE A LITTLE MORE DETAIL 829 00:36:23,536 --> 00:36:25,505 ABOUT THE LANGUAGE THAT YOU 830 00:36:25,505 --> 00:36:27,674 DISCUSSED AROUND DIVERSITY WITH 831 00:36:27,674 --> 00:36:29,743 JUST HOW SOME STATES HAVE 832 00:36:29,743 --> 00:36:31,845 POLICIES SAYING THAT YOU CANNOT 833 00:36:31,845 --> 00:36:35,015 LOOK AT RACE OR AGENDA OR AS 834 00:36:35,015 --> 00:36:36,916 PART OF THE RECRUITMENT. 835 00:36:36,916 --> 00:36:45,291 >> YEAH. SO WE FEEL THAT IT IS 836 00:36:45,291 --> 00:36:48,495 IMPORTANT TO DIVERSIFY THE 837 00:36:48,495 --> 00:36:52,032 WORKFORCE AND A LOT OF THAT HAS 838 00:36:52,032 --> 00:36:56,770 TO DO WITH OUTREACH. SO 839 00:36:56,770 --> 00:36:58,505 HISTORICALLY, WE HAVE NOT DONE 840 00:36:58,505 --> 00:37:01,875 AS MUCH OUTREACH TO HISTORICAL 841 00:37:01,875 --> 00:37:04,577 BLACK COMMUNITIES AND COLLEGES 842 00:37:04,577 --> 00:37:07,180 AND UNIVERSITIES AS WE SHOULD 843 00:37:07,180 --> 00:37:10,316 HAVE. I THINK PART OF THIS IS 844 00:37:10,316 --> 00:37:14,154 MAKING OPPORTUNITY AWARE, IT'S 845 00:37:14,154 --> 00:37:15,989 ALSO, I REALIZE THAT FOR 846 00:37:15,989 --> 00:37:19,492 ADMISSION TO UNIVERSITIES, THAT 847 00:37:19,492 --> 00:37:24,064 IS ONE THING. HERE NIH HAS 848 00:37:24,064 --> 00:37:28,568 TAKEN THE APPROACH THAT WE 849 00:37:28,568 --> 00:37:30,537 DEFINITELY DO NEED TO DIVERSIFY 850 00:37:30,537 --> 00:37:37,010 THE WORKFORCE AND I THINK A LOT 851 00:37:37,010 --> 00:37:39,279 OF IT IS MAKING PEOPLE AWARE OF 852 00:37:39,279 --> 00:37:45,885 THE OPPORTUNITIES. AND NOT WE 853 00:37:45,885 --> 00:37:47,954 DON'T CONSIDER RACE, FOR 854 00:37:47,954 --> 00:37:49,889 EXAMPLE, IN SELECTING WHO FOR 855 00:37:49,889 --> 00:37:52,125 THE RACE OF THE PRINCIPAL 856 00:37:52,125 --> 00:37:54,160 INVESTIGATOR IN TERMS OF WHO IS 857 00:37:54,160 --> 00:37:57,063 GOING TO GET FUNDED. IT IS MORE 858 00:37:57,063 --> 00:37:58,998 WE WANT TO MAKE OPPORTUNITIES 859 00:37:58,998 --> 00:38:00,100 AVAILABLE TO ALL AND MAKE SURE 860 00:38:00,100 --> 00:38:08,074 THAT WE'RE NOT EXCLUDING ANYONE. 861 00:38:08,074 --> 00:38:15,014 >> THANK YOU. 862 00:38:15,014 --> 00:38:16,616 >> YES, CYNTHIA. 863 00:38:16,616 --> 00:38:18,518 >> I ACKNOWLEDGE THAT THIS IS 864 00:38:18,518 --> 00:38:20,520 NAIVE QUESTION, I'M GOING TO ASK 865 00:38:20,520 --> 00:38:21,020 IT ANYWAY. 866 00:38:21,020 --> 00:38:25,492 HOW DO YOU AND THE CONTEXT OF 867 00:38:25,492 --> 00:38:28,394 THE POTENTIAL CHANGE IN THE 868 00:38:28,394 --> 00:38:31,164 POLITICAL CLIMATE, HOW DO YOU 869 00:38:31,164 --> 00:38:34,200 WORK THROUGH SOME OF THE FUNDING 870 00:38:34,200 --> 00:38:35,635 ANNOUNCEMENTS THAT ARE REALLY 871 00:38:35,635 --> 00:38:37,303 RELATED TO THE PRIORITIES OF 872 00:38:37,303 --> 00:38:39,439 POTENTIALLY THE FORMER POLITICAL 873 00:38:39,439 --> 00:38:40,840 GROUP? 874 00:38:40,840 --> 00:38:43,042 >> SO IF I HEARD YOU CORRECTLY, 875 00:38:43,042 --> 00:38:45,011 YOU WERE SAYING HOW DO WE WORK 876 00:38:45,011 --> 00:38:46,613 THROUGH FUNDING ANNOUNCEMENTS IN 877 00:38:46,613 --> 00:38:49,682 LIGHT OF POLARIZED POLITICAL 878 00:38:49,682 --> 00:38:52,085 CLIMATE? SO WE RECOGNIZE THAT 879 00:38:52,085 --> 00:38:56,189 WE HAVE SOME SIGNIFICANT HEALTH 880 00:38:56,189 --> 00:38:58,158 ISSUES IN THIS COUNTRY THAT WE 881 00:38:58,158 --> 00:39:01,728 NEED TO ADDRESS. AT THE SAME 882 00:39:01,728 --> 00:39:06,833 TIME, WE RECOGNIZE THAT SCIENCE 883 00:39:06,833 --> 00:39:10,904 HAS BECOME POLARIZED, AS WELL AS 884 00:39:10,904 --> 00:39:15,975 POLITICS. SO WE WANT TO FUND 885 00:39:15,975 --> 00:39:16,910 CERTAIN ISSUES. 886 00:39:16,910 --> 00:39:19,212 SO FOR EXAMPLE, THERE HAVE BEEN 887 00:39:19,212 --> 00:39:21,714 SIGNIFICANT DECISIONS HAVE THAT 888 00:39:21,714 --> 00:39:24,117 HAVE AFFECTED WOMEN'S HEALTH. 889 00:39:24,117 --> 00:39:25,852 HOW DO WE ADDRESS THAT? WE WILL 890 00:39:25,852 --> 00:39:30,123 CONTINUE TO FUND THAT RESEARCH, 891 00:39:30,123 --> 00:39:31,591 BUT THE FUNDING ANNOUNCEMENTS 892 00:39:31,591 --> 00:39:36,496 ARE WRITTEN IN A WAY THAT ARE, 893 00:39:36,496 --> 00:39:40,099 THEY ARE NOT DIRECTLY CALLING 894 00:39:40,099 --> 00:39:41,868 ATTENTION TO SPECIFIC TOPICS. 895 00:39:41,868 --> 00:39:43,736 THAT IS WHY WE ALWAYS RECOMMEND 896 00:39:43,736 --> 00:39:45,872 THAT IF OUR INVESTIGATORS HAVE 897 00:39:45,872 --> 00:39:47,674 ANY QUESTIONS, THEY SHOULD SPEAK 898 00:39:47,674 --> 00:39:49,509 WITH EITHER THE BRANCH CHIEF OR 899 00:39:49,509 --> 00:39:53,513 PROGRAM OFFICIALS TO UNDERSTAND 900 00:39:53,513 --> 00:39:55,848 SOME OF THE THINGS THAT WE'RE 901 00:39:55,848 --> 00:39:57,884 INTERESTED IN. YES. 902 00:39:57,884 --> 00:39:59,619 >> I GUESS MORE SPECIFICALLY, 903 00:39:59,619 --> 00:40:02,422 SOME OF THE INFLUX OF MONEY 904 00:40:02,422 --> 00:40:04,958 COMING TOWARD WOMEN'S HEALTH 905 00:40:04,958 --> 00:40:08,695 RESEARCH, IN TRYING TO ADVISE 906 00:40:08,695 --> 00:40:10,463 FOLKS WHO ARE POTENTIALLY 907 00:40:10,463 --> 00:40:11,898 APPLYING FOR SOME OF THOSE, WILL 908 00:40:11,898 --> 00:40:15,001 THEY, IS THERE CONFIDENCE THEY 909 00:40:15,001 --> 00:40:16,769 WILL EXIST BEYOND THAT PERIOD IF 910 00:40:16,769 --> 00:40:18,171 CHANGE IN ADMINISTRATION? 911 00:40:18,171 --> 00:40:20,340 >> SO, I'M HAVING A HARD TIME 912 00:40:20,340 --> 00:40:21,874 HEARING YOU, WITH MONEY COMING 913 00:40:21,874 --> 00:40:23,810 IN TO WOMEN'S HEALTH RESEARCH, 914 00:40:23,810 --> 00:40:25,645 WHAT WAS THE SECOND PART OF WHAT 915 00:40:25,645 --> 00:40:26,212 YOU -- 916 00:40:26,212 --> 00:40:28,948 >> IS THERE CONFIDENCE IN 917 00:40:28,948 --> 00:40:30,783 CONTINUING THAT FUNDING 918 00:40:30,783 --> 00:40:31,884 ANNOUNCEMENT OR THAT TYPE OF 919 00:40:31,884 --> 00:40:33,586 RESEARCH IF THERE IS A CHANGE IN 920 00:40:33,586 --> 00:40:35,355 THE POLITICAL CLIMATE? 921 00:40:35,355 --> 00:40:37,090 >> YEAH, SO WE KNOW THAT THERE 922 00:40:37,090 --> 00:40:39,325 WILL BE A CHANGE IN THE 923 00:40:39,325 --> 00:40:41,995 ADMINISTRATION. WE ALSO KNOW 924 00:40:41,995 --> 00:40:45,431 THAT THE WOMEN'S HEALTH RESEARCH 925 00:40:45,431 --> 00:40:47,867 INITIATIVE HAS BEEN PRIMARILY 926 00:40:47,867 --> 00:40:50,937 THE INITIATIVE OF PRESIDENT 927 00:40:50,937 --> 00:40:53,172 BIDEN AND DR. BIDEN AND SHE HAS 928 00:40:53,172 --> 00:40:56,276 BEEN CHAMPIONING THAT AND 929 00:40:56,276 --> 00:40:58,978 TRAVELED QUITE A BIT AROUND THE 930 00:40:58,978 --> 00:41:01,314 COUNTRY UNTIL PRESIDENT BIDEN 931 00:41:01,314 --> 00:41:03,182 DECIDED NOT TO RUN AGAIN. WE'VE 932 00:41:03,182 --> 00:41:05,251 HAD A LOT OF DISCUSSIONS HON 933 00:41:05,251 --> 00:41:08,655 EFTLY WITH ORWH ABOUT WHAT 934 00:41:08,655 --> 00:41:09,956 EXACTLY DOES WOMEN'S HEALTH 935 00:41:09,956 --> 00:41:13,860 RESEARCH ENCOMPASS BECAUSE 936 00:41:13,860 --> 00:41:15,928 PREGNANCY IS SIGNIFICANT HEALTH 937 00:41:15,928 --> 00:41:17,430 EVENT IN THE LIVES OF PEOPLE 938 00:41:17,430 --> 00:41:21,868 BORN FEMALE AND THERE ARE MANY 939 00:41:21,868 --> 00:41:25,204 THINGS, YOU KNOW BETTER THAN I 940 00:41:25,204 --> 00:41:26,239 THAT PREGNANCY CAN TELL YOU 941 00:41:26,239 --> 00:41:28,975 ABOUT A PERSON WHO IS BORN 942 00:41:28,975 --> 00:41:30,843 FEMALE'S LATER HEALTH, AS WELL 943 00:41:30,843 --> 00:41:33,880 AS PREGNANCY BEING A STRESS 944 00:41:33,880 --> 00:41:39,952 TEST. SO WE WERE UNABLE, THE 945 00:41:39,952 --> 00:41:41,321 WHITE HOUSE REALLY DID NOT WANT 946 00:41:41,321 --> 00:41:44,590 TO INCLUDE PREGNANCY AS PART OF 947 00:41:44,590 --> 00:41:46,492 THE WOMEN'S HEALTH RESEARCH 948 00:41:46,492 --> 00:41:48,328 INITIATIVE, THEY ARE MORE 949 00:41:48,328 --> 00:41:50,196 FOCUSED ON DISEASES THAT AFFECT 950 00:41:50,196 --> 00:41:52,265 PEOPLE BORN FEMALE MAR THAN 951 00:41:52,265 --> 00:41:57,470 PEOPLE BORN MALE AUTOIMMUNE 952 00:41:57,470 --> 00:41:59,005 DISEASES, FOR EXAMPLE, 953 00:41:59,005 --> 00:42:01,074 CARDIOVASCULAR DISEASE, 954 00:42:01,074 --> 00:42:02,975 ETCETERA, WHAT THEY DID, THEY 955 00:42:02,975 --> 00:42:05,011 MADE MATERNAL HEALTH AN ISSUE 956 00:42:05,011 --> 00:42:10,383 FOR VICE PRESIDENT HARRIS. SO 957 00:42:10,383 --> 00:42:12,085 WE HAVE BEEN WORKING MORE WITH 958 00:42:12,085 --> 00:42:16,022 HER OFFICE ABOUT AND IT IS NOT 959 00:42:16,022 --> 00:42:18,124 JUST THE NIH, IT IS FEDERAL 960 00:42:18,124 --> 00:42:21,361 WIDE, IT IS A FEDERAL-WIDE 961 00:42:21,361 --> 00:42:22,962 INITIATIVE. IT IS ALL A LITTLE 962 00:42:22,962 --> 00:42:24,630 BIT UP IN THE AIR EXACTLY WHAT 963 00:42:24,630 --> 00:42:26,299 IS GOING TO HAPPEN BECAUSE NOW 964 00:42:26,299 --> 00:42:28,901 THAT PRESIDENT BIDEN IS NOT 965 00:42:28,901 --> 00:42:32,171 RUNNING AGAIN, THE FUTURE OF THE 966 00:42:32,171 --> 00:42:33,873 WOMEN'S HEALTH RESEARCH 967 00:42:33,873 --> 00:42:37,710 INITIATIVE IS SOMEWHAT UNKNOWN. 968 00:42:37,710 --> 00:42:40,847 ON THE OTHER HAND, REPRODUCTIVE 969 00:42:40,847 --> 00:42:43,082 HEALTH HAS BECOME A FOCUS AREA 970 00:42:43,082 --> 00:42:45,818 FOR THE ELECTION. SO WE'RE 971 00:42:45,818 --> 00:42:47,487 FOLLOWING ALL OF THIS CLOSELY. 972 00:42:47,487 --> 00:42:49,589 IT DOES NOT CHANGE WHAT WE DO. 973 00:42:49,589 --> 00:42:52,458 OUR MISSION AND VISION STATEMENT 974 00:42:52,458 --> 00:42:54,727 BOTH INCLUDE SIGNIFICANT 975 00:42:54,727 --> 00:42:57,263 COMMENTS ON REPRODUCTIVE HEALTH 976 00:42:57,263 --> 00:43:00,733 FOR BOTH MEN AND WOMEN. AND IN 977 00:43:00,733 --> 00:43:02,969 OUR VISION STATEMENT IS HEALTHY 978 00:43:02,969 --> 00:43:05,037 PREGNANCY, HEALTHY CHILDREN, 979 00:43:05,037 --> 00:43:07,507 HEALTHY AND OPTIMAL LIVES. 980 00:43:07,507 --> 00:43:09,075 SO WE ARE GOING TO CONTINUE IF 981 00:43:09,075 --> 00:43:10,977 WE CONTINUE TO HAVE FUNDING TO 982 00:43:10,977 --> 00:43:13,646 FOCUS ON WOMEN'S HEALTH, THAT IS 983 00:43:13,646 --> 00:43:16,816 WHY I PUT BELOW THE BELT, IT IS 984 00:43:16,816 --> 00:43:18,351 EASIEST WAY TO DESCRIBE IT. WE 985 00:43:18,351 --> 00:43:20,753 ARE FOCUSED MORE ON WOMEN'S 986 00:43:20,753 --> 00:43:23,055 HEALTH BELOW THE BELT AND THAT 987 00:43:23,055 --> 00:43:25,491 INCLUDES DEVELOPMENT OF 988 00:43:25,491 --> 00:43:29,629 REPRODUCTIVE ORGANS, IT INCLUDES 989 00:43:29,629 --> 00:43:32,398 PUBERTY, EARLY MENOPAUSE. 990 00:43:32,398 --> 00:43:34,834 I'M AUCH ASKED WHERE DO WE FIT 991 00:43:34,834 --> 00:43:37,737 IN TERMS OF MENOPAUSE, MID-LIFE 992 00:43:37,737 --> 00:43:40,139 HEALTH IS A MAJOR PART OF THE 993 00:43:40,139 --> 00:43:41,240 WOMEN'S HEALTH RESEARCH 994 00:43:41,240 --> 00:43:43,042 INITIATIVE AND WE FUND A 995 00:43:43,042 --> 00:43:44,110 CONSIDERABLE AMOUNT OF RESEARCH 996 00:43:44,110 --> 00:43:49,315 ON EARLY MENOPAUSE, WHEREAS MOST 997 00:43:49,315 --> 00:43:49,816 ME 998 00:43:49,816 --> 00:43:53,719 MENOPAUSE RESEARCH IS DONE 999 00:43:53,719 --> 00:43:55,288 NATIONAL INSTITUTE OF AGING. 1000 00:43:55,288 --> 00:43:56,589 DID THAT ANSWER YOUR QUESTION? 1001 00:43:56,589 --> 00:43:59,058 >> SUPER HELPFUL, TO SUMMARIZE, 1002 00:43:59,058 --> 00:44:00,593 THE FOCUS AND MISSION AND VISION 1003 00:44:00,593 --> 00:44:02,695 WILL REMAIN THE SAME, BUT THE 1004 00:44:02,695 --> 00:44:05,231 FUNDING STREAM MIGHT BE 1005 00:44:05,231 --> 00:44:05,865 DIFFERENT? 1006 00:44:05,865 --> 00:44:08,034 >> YEAH. THE MISSION AND VISION 1007 00:44:08,034 --> 00:44:10,069 ARE GOING TO STAY THE SAME, 1008 00:44:10,069 --> 00:44:12,705 ESPECIALLY WITH OUR REFRESH 1009 00:44:12,705 --> 00:44:16,642 STRATEGIC PLAN. WE ARE 1010 00:44:16,642 --> 00:44:18,144 FREQUENTLY BRIEFING MEMBERS OF 1011 00:44:18,144 --> 00:44:20,246 CONGRESS AND/OR THEIR STAFF TO 1012 00:44:20,246 --> 00:44:23,416 MAKE IT CLEAR WHERE WE FIT IN 1013 00:44:23,416 --> 00:44:27,787 THE NIH ECOSPHERE, WE DO 1014 00:44:27,787 --> 00:44:29,121 COLLABORATE WITH BOTH THE OFFICE 1015 00:44:29,121 --> 00:44:30,756 OF RESEARCH ON WOMEN'S HEALTH 1016 00:44:30,756 --> 00:44:33,025 AND OTHER INSTITUTES AND 1017 00:44:33,025 --> 00:44:35,828 CENTERS. BUT, WE NEED TO MAKE 1018 00:44:35,828 --> 00:44:37,597 IT CLEAR THAT WE ARE THE LEAD 1019 00:44:37,597 --> 00:44:41,734 INSTITUTE FOR IMPROVE, AS WELL 1020 00:44:41,734 --> 00:44:44,871 AS MANY, MANY ASPECTS OF 1021 00:44:44,871 --> 00:44:45,872 REPRODUCTIVE HEALTH, THAT 1022 00:44:45,872 --> 00:44:48,474 INCLUDES CONTRACEPTION, ANYTHING 1023 00:44:48,474 --> 00:44:50,910 YOU CAN IMAGINE THAT RELATES TO 1024 00:44:50,910 --> 00:44:52,011 REPRODUCTIVE HEALTH. 1025 00:44:52,011 --> 00:44:55,448 YES, DAVID. 1026 00:44:55,448 --> 00:44:56,349 SORRY YOU HAVE TO 1027 00:44:56,349 --> 00:44:59,452 TURN AROUND. 1028 00:44:59,452 --> 00:45:05,458 >> SORRY, I THINK I HAVE IT NOW. 1029 00:45:05,458 --> 00:45:05,958 THANK DIANA. 1030 00:45:05,958 --> 00:45:08,528 YOU MENTIONED PROPOSAL TO 1031 00:45:08,528 --> 00:45:10,429 CONSOLIDATE FROM 27 TO 15, CAN 1032 00:45:10,429 --> 00:45:12,899 YOU PROVIDE INSIGHT INTO HOW THE 1033 00:45:12,899 --> 00:45:14,267 DECISION MIGHT BE MADE ABOUT THE 1034 00:45:14,267 --> 00:45:16,335 JOINING TOGETHER OF CERTAIN 1035 00:45:16,335 --> 00:45:18,070 INSTITUTES AND ALSO DO YOU THINK 1036 00:45:18,070 --> 00:45:19,539 THERE MIGHT BE AN OPPORTUNITY TO 1037 00:45:19,539 --> 00:45:21,674 BRING TOGETHER AGE-APPROPRIATE 1038 00:45:21,674 --> 00:45:23,209 RESEARCH FOR WOMEN AND CHILDREN 1039 00:45:23,209 --> 00:45:26,445 RESEARCH INTO NEW NIH AGENCY 1040 00:45:26,445 --> 00:45:26,879 CONFIGURATION? 1041 00:45:26,879 --> 00:45:33,152 >> SO, I MIGHT ASK LAURA TO 1042 00:45:33,152 --> 00:45:35,221 COMMENT ON THIS. THE WAY THE 1043 00:45:35,221 --> 00:45:36,756 INSTITUTES WERE GROUPED 1044 00:45:36,756 --> 00:45:38,791 TOGETHER, WE WERE NOT THE ONLY 1045 00:45:38,791 --> 00:45:40,526 INSTITUTE THAT WAS GROUPED WITH 1046 00:45:40,526 --> 00:45:41,861 ANOTHER INSTITUTE. THERE WERE 1047 00:45:41,861 --> 00:45:44,196 SOME THAT WERE GROUPED WITH TWO 1048 00:45:44,196 --> 00:45:49,268 OR THREE OTHER INSTITUTES AND 1049 00:45:49,268 --> 00:45:51,504 CERTAINLY NIH WAS NEVER ASKED 1050 00:45:51,504 --> 00:45:53,873 ABOUT LOGICALLY WHICH INSTITUTE, 1051 00:45:53,873 --> 00:45:56,208 YOU HAD OVERALL GOAL OF REDUCING 1052 00:45:56,208 --> 00:45:57,877 NUMBER OF INSTITUTES, WHAT WOULD 1053 00:45:57,877 --> 00:45:59,712 MAKE THE MOST SCIENTIFIC OR 1054 00:45:59,712 --> 00:46:01,881 MEDICAL SENSE, WE WERE NOT ASKED 1055 00:46:01,881 --> 00:46:03,950 AND WE DON'T HAVE A LOT OF 1056 00:46:03,950 --> 00:46:05,818 KNOWLEDGE ABOUT HOW THAT WAS 1057 00:46:05,818 --> 00:46:08,054 DONE. THERE WAS THIS REQUEST 1058 00:46:08,054 --> 00:46:11,657 FOR INFORMATION AND I KNOW THAT 1059 00:46:11,657 --> 00:46:14,193 A NUMBER OF PEDIATRIC CHAIRS, 1060 00:46:14,193 --> 00:46:15,895 FOR EXAMPLE, CONTACTED ME AND 1061 00:46:15,895 --> 00:46:17,730 TOLD ME WHAT THEY WERE GOING TO 1062 00:46:17,730 --> 00:46:21,467 SAY TO THE ENERGY AND COMMERCE 1063 00:46:21,467 --> 00:46:23,336 COMMITTEE TO TALK ABOUT THE FACT 1064 00:46:23,336 --> 00:46:25,404 THAT, YOU KNOW, IT WOULD BE MORE 1065 00:46:25,404 --> 00:46:27,740 LOGICAL TO DO IT ONE WAY OR 1066 00:46:27,740 --> 00:46:28,674 ANOTHER AND DON'T FORGET ABOUT 1067 00:46:28,674 --> 00:46:30,409 THE CHILDREN. LAURA, I HATE TO 1068 00:46:30,409 --> 00:46:33,879 PUT YOU ON THE SPOT, BUT THERE 1069 00:46:33,879 --> 00:46:37,883 ARE MICROPHONES OVER HERE. 1070 00:46:37,883 --> 00:46:40,987 LAURA BERKSON DIRECTOR OF OFFICE 1071 00:46:40,987 --> 00:46:46,325 OF LEGAL -- PUBLIC POLICY AND 1072 00:46:46,325 --> 00:46:46,759 ETHICS. 1073 00:46:46,759 --> 00:46:49,895 >> I WOULD JUST SAY THAT WOMEN'S 1074 00:46:49,895 --> 00:46:52,365 HEALTH IS COMPLETELY LEFT OUT, 1075 00:46:52,365 --> 00:46:53,532 WOMEN'S HEALTH HAD NO -- 1076 00:46:53,532 --> 00:46:55,668 >> SO WAS CHILDREN. 1077 00:46:55,668 --> 00:46:58,704 >> CHILDREN ARE NOT MENTIONED. 1078 00:46:58,704 --> 00:47:05,878 >> YEAH, SO -- OKAY. YES, THAT 1079 00:47:05,878 --> 00:47:08,280 IS CORRECT. I THINK THE OFFICE 1080 00:47:08,280 --> 00:47:10,816 OF RESEARCH ON WOMEN'S HEALTH, 1081 00:47:10,816 --> 00:47:12,184 OUR UNDERSTANDING THIS STILL 1082 00:47:12,184 --> 00:47:15,054 EXISTS SEPARATELY AND OFFICE OF 1083 00:47:15,054 --> 00:47:15,421 DIRECTOR. 1084 00:47:15,421 --> 00:47:17,623 >> NOT SURE YOUR MICROPHONE IS 1085 00:47:17,623 --> 00:47:20,459 ON. 1086 00:47:20,459 --> 00:47:24,397 >> ONE, TWO, HEY, HEY. 1087 00:47:24,397 --> 00:47:25,798 >> CAN YOU HEAR ME? 1088 00:47:25,798 --> 00:47:27,266 >> THAT IS BETTER. 1089 00:47:27,266 --> 00:47:30,336 >> SO THERE WAS NO SPECIFIC 1090 00:47:30,336 --> 00:47:32,571 MENTION OF WOMEN OR CHILDREN IN 1091 00:47:32,571 --> 00:47:36,942 THE REOERRGANIZATION, THAT BEIN 1092 00:47:36,942 --> 00:47:37,943 SAID, RESEARCH ON WOMEN'S HEALTH 1093 00:47:37,943 --> 00:47:39,845 IS IN OFFICE OF DIRECTOR, SO 1094 00:47:39,845 --> 00:47:42,415 THERE IS I THINK AN EXPECTATION 1095 00:47:42,415 --> 00:47:44,950 THAT WOULD REMAIN IN THE OFFICE 1096 00:47:44,950 --> 00:47:47,053 OF THE DIRECTOR. THERE ARE A 1097 00:47:47,053 --> 00:47:50,189 LOT OF UNKNOWN, HOPEFULLY 1098 00:47:50,189 --> 00:47:51,824 REQUEST FOR INFORMATION THE 1099 00:47:51,824 --> 00:47:54,860 COMMITTEE GETS ADDITIONAL 1100 00:47:54,860 --> 00:47:55,861 INFORMATION FOR THEM TO 1101 00:47:55,861 --> 00:47:58,030 CONSIDER. AGAIN, AS DIANA 1102 00:47:58,030 --> 00:48:01,967 MENTIONED, THERE IS PROPOSAL AND 1103 00:48:01,967 --> 00:48:03,903 WOULD HAVE TO BE APPROVED BY 1104 00:48:03,903 --> 00:48:06,672 HOUSE, SENATE AND THE PRESIDENT 1105 00:48:06,672 --> 00:48:08,774 BEFORE IT BECOMES ACTIVE. 1106 00:48:08,774 --> 00:48:10,476 I SUSPECT IF THAT WERE TO 1107 00:48:10,476 --> 00:48:12,712 HAPPEN, THERE WOULD BE QUITE A 1108 00:48:12,712 --> 00:48:15,247 BIT BACK AND FORTH BETWEEN 1109 00:48:15,247 --> 00:48:18,751 CHAMBERS. 1110 00:48:18,751 --> 00:48:21,487 >> -- FOR THE PROPOSED CHANGES? 1111 00:48:21,487 --> 00:48:23,456 >> SO THERE HAS BEEN A LOT OF 1112 00:48:23,456 --> 00:48:27,426 DISCUSSION ON CAPITOL HILL ABOUT 1113 00:48:27,426 --> 00:48:32,198 MAKING SOME CHANGES TO BOTH THE 1114 00:48:32,198 --> 00:48:35,067 STRUCTURE OF NIH AND PROVIDING 1115 00:48:35,067 --> 00:48:37,336 ADDITIONAL OVERSIGHT. I THINK 1116 00:48:37,336 --> 00:48:38,571 THERE ARE MANY IN CONGRESS THAT 1117 00:48:38,571 --> 00:48:41,207 FEEL THERE NEED TO BE SOME 1118 00:48:41,207 --> 00:48:43,509 ADDITIONAL OVERSIGHT OF NIH. 1119 00:48:43,509 --> 00:48:45,377 THEY HAVE SEEN THAT DURING SOME 1120 00:48:45,377 --> 00:48:47,646 HEARINGS, DURING COVID AND 1121 00:48:47,646 --> 00:48:50,082 DR. DR. FDR 1122 00:48:50,082 --> 00:48:51,784 DR. -- THIS IS ONE MORE STEP 1123 00:48:51,784 --> 00:48:56,555 FOR ADDITIONAL OVERSIGHT. 1124 00:48:56,555 --> 00:48:59,158 >> DOESN'T NIH HAVE TO BE 1125 00:48:59,158 --> 00:49:01,260 REAUTHORIZED EVERY SO MANY 1126 00:49:01,260 --> 00:49:03,596 YEARS? IS THIS PART OF THE 1127 00:49:03,596 --> 00:49:04,163 REAUTHORIZATION? 1128 00:49:04,163 --> 00:49:06,432 >> SO IN A PERFECT WORLD, YES, 1129 00:49:06,432 --> 00:49:10,002 NIH SHOULD BE REAUTHORIZED, 1130 00:49:10,002 --> 00:49:13,439 USUALLY EVERY FIVE-ISH YEARS. 1131 00:49:13,439 --> 00:49:16,008 IT WAS LAST REAUTHORIZED IN 2016 1132 00:49:16,008 --> 00:49:19,979 THROUGH THE ACT, SO THAT 1133 00:49:19,979 --> 00:49:22,214 OBSERVATION IS EXPIRED. SO WE 1134 00:49:22,214 --> 00:49:25,651 ARE DUE FOR REAUTHORIZATION. 1135 00:49:25,651 --> 00:49:26,352 YES. 1136 00:49:26,352 --> 00:49:28,020 >> THANK YOU. DOES ANYBODY ELSE 1137 00:49:28,020 --> 00:49:31,757 HAVE ANY QUESTIONS FOR LAURA 1138 00:49:31,757 --> 00:49:33,893 WHILE SHE'S STANDING UP THERE? 1139 00:49:33,893 --> 00:49:36,529 I SAID OFFICE OF LEGAL, I MEANT 1140 00:49:36,529 --> 00:49:37,930 OFFICE OF LEGISLATION. YEAH. 1141 00:49:37,930 --> 00:49:42,468 >> SO [INAUDIBLE] -- 1142 00:49:42,468 --> 00:49:44,703 >> MARCELLE CEDARS. 1143 00:49:44,703 --> 00:49:46,472 >> TIMEFRAME FOR THIS, IS THIS 1144 00:49:46,472 --> 00:49:49,875 THE KIND OF THING THAT IS, I 1145 00:49:49,875 --> 00:49:51,677 MEAN, HOPEFULLY, YEAH, I DON'T 1146 00:49:51,677 --> 00:49:53,879 GET THE SENSE THEY MOVE A LOT 1147 00:49:53,879 --> 00:49:55,948 FASTER THAN UC DOES ABOUT 1148 00:49:55,948 --> 00:49:57,116 ANYTHING SO I'M HOPEFUL THAT 1149 00:49:57,116 --> 00:50:00,186 THIS POTENTIALLY MIGHT BE IN THE 1150 00:50:00,186 --> 00:50:02,955 NEXT TERM WHEN WE MIGHT BE ABLE 1151 00:50:02,955 --> 00:50:06,692 TO FLIP SOME OF THE POWER 1152 00:50:06,692 --> 00:50:08,260 STRUCTURE IN THE HOUSE AND 1153 00:50:08,260 --> 00:50:08,627 SENATE. 1154 00:50:08,627 --> 00:50:10,462 >> SO THIS COULD COME TO 1155 00:50:10,462 --> 00:50:12,631 FRUITION IN A COUPLE OF 1156 00:50:12,631 --> 00:50:14,567 DIFFERENT WAYS, SO THE ORIGINAL 1157 00:50:14,567 --> 00:50:16,836 PROPOSAL BY ENERGY AND COMMERCE 1158 00:50:16,836 --> 00:50:19,104 COMMITTEE, WHICH WE CALL 1159 00:50:19,104 --> 00:50:21,173 AUTHORIZING COMMITTEE. SO THEY 1160 00:50:21,173 --> 00:50:23,075 PASS LAWS THAT TELL NIH WHAT WE 1161 00:50:23,075 --> 00:50:24,977 CAN AND CANNOT DO. 1162 00:50:24,977 --> 00:50:26,745 THEY ARE THE ONES THAT PUT OUT 1163 00:50:26,745 --> 00:50:28,814 THE REQUEST FOR INFORMATION AND 1164 00:50:28,814 --> 00:50:31,317 SO I THINK THEY ARE TRYING TO 1165 00:50:31,317 --> 00:50:33,986 HAVE A THOUGHTFUL PROCESS AND I 1166 00:50:33,986 --> 00:50:36,722 EXPECT THAT WOULD BE IN THE 1167 00:50:36,722 --> 00:50:38,090 CONFERENCE. A FEW WEEKS AFTER 1168 00:50:38,090 --> 00:50:40,626 THAT WAS RELEASED, OUR 1169 00:50:40,626 --> 00:50:41,794 APPROPRIATIONS COMMITTEE OF THE 1170 00:50:41,794 --> 00:50:43,729 APPROPRIATIONS COMMITTEE AT NIH 1171 00:50:43,729 --> 00:50:45,297 HOW MUCH MONEY WE HAVE TO DO 1172 00:50:45,297 --> 00:50:48,400 THINGS. THEY INCLUDED WHAT WAS 1173 00:50:48,400 --> 00:50:50,302 IN THE ENERGY AND COMMERCE 1174 00:50:50,302 --> 00:50:52,137 PROPOSAL IN THEIR DRAFT 1175 00:50:52,137 --> 00:50:53,205 APPROPRIATIONS BILL. SO IT IS 1176 00:50:53,205 --> 00:50:56,642 POSSIBLE THAT THAT COULD BE 1177 00:50:56,642 --> 00:50:57,743 INCLUDED IN THE APPROPRIATIONS 1178 00:50:57,743 --> 00:51:00,813 BILL WHICH COULD PASS ON A 1179 00:51:00,813 --> 00:51:04,250 QUICKER TIMELINE THAN THE FISCAL 1180 00:51:04,250 --> 00:51:06,485 YEAR IS SEPTEMBER 30, 1181 00:51:06,485 --> 00:51:08,220 THEORETICALLY SUPPOSED TO PASS 1182 00:51:08,220 --> 00:51:09,388 APPROPRIATIONS BILL BY THEN, I 1183 00:51:09,388 --> 00:51:12,491 THINK IT IS UNLIKELY -- COUNCIL 1184 00:51:12,491 --> 00:51:14,059 FOR A WHILE, YOU HAVE PROBABLY 1185 00:51:14,059 --> 00:51:17,096 SEEN CONTINUING RESOLUTION THAT 1186 00:51:17,096 --> 00:51:18,831 JUST CONTINUES FUNDING THE 1187 00:51:18,831 --> 00:51:20,032 GOVERNMENT, THAT LEVEL FOR A 1188 00:51:20,032 --> 00:51:22,067 WHILE SINCE THIS IS AN ELECTION 1189 00:51:22,067 --> 00:51:25,504 YEAR, IT IS HIGHLY LIKELY. 1190 00:51:25,504 --> 00:51:27,306 AGAIN, BOTH THE HOUSE AND THE 1191 00:51:27,306 --> 00:51:28,641 SENATE WOULD HAVE TO AGREE TO 1192 00:51:28,641 --> 00:51:31,677 THAT AND RIGHT NOW, I WILL 1193 00:51:31,677 --> 00:51:33,812 MENTION, HOUSE BILL INCLUDES 1194 00:51:33,812 --> 00:51:34,713 STRUCTURAL REORGANIZATION AND 1195 00:51:34,713 --> 00:51:37,583 THE SENATE BILL DOES NOT. SO I 1196 00:51:37,583 --> 00:51:38,918 WOULD BE SURPRISED IF THEY WERE 1197 00:51:38,918 --> 00:51:41,153 ABLE TO WORK THROUGH ALL THE 1198 00:51:41,153 --> 00:51:44,556 ISSUES THIS YEAR. BUT JUST 1199 00:51:44,556 --> 00:51:49,595 LOOKING AT SENATOR CASSIDY'S 1200 00:51:49,595 --> 00:51:51,630 WHITE PAPER, ENERGY AND COMMERCE 1201 00:51:51,630 --> 00:51:53,265 REPORT, THERE IS ALSO A NEW 1202 00:51:53,265 --> 00:51:55,734 VERSION OF THE CURES ACT THAT IS 1203 00:51:55,734 --> 00:51:58,003 BEING WORKED ON, THERE IS A LOT 1204 00:51:58,003 --> 00:52:01,607 OF ACTIVITY THAT IS RELATED TO 1205 00:52:01,607 --> 00:52:03,509 OVERSIGHT AND/OR RESTRUCTURING 1206 00:52:03,509 --> 00:52:07,046 OF NIH. SO WE DON'T KNOW WHAT 1207 00:52:07,046 --> 00:52:09,415 IS GOING TO HAPPEN, BUT IT IS 1208 00:52:09,415 --> 00:52:11,383 CERTAINLY A TOPIC FOR 1209 00:52:11,383 --> 00:52:13,452 DISCUSSION. DESPITE THAT, WE DO 1210 00:52:13,452 --> 00:52:17,356 OUR JOB EVERYDAY AND THAT IS, I 1211 00:52:17,356 --> 00:52:24,663 REMEMBER, TONY FAUCI WOULD TELL 1212 00:52:24,663 --> 00:52:25,931 DIRECTORS FOCUS, YOU HAVE A JOB 1213 00:52:25,931 --> 00:52:28,100 TO DO AND WE WILL DO OUR JOB 1214 00:52:28,100 --> 00:52:29,368 EVERYDAY, WE WILL GET THAT MONEY 1215 00:52:29,368 --> 00:52:30,302 OUT TO YOU. 1216 00:52:30,302 --> 00:52:33,472 TO BE ABLE TO MERGE INSTITUTES 1217 00:52:33,472 --> 00:52:35,374 AND CONTINUE TO FUND RESEARCH 1218 00:52:35,374 --> 00:52:38,444 LIKE WITH A VERY SHORT TIMELINE, 1219 00:52:38,444 --> 00:52:39,778 I THINK WOULD BE EXTREMELY 1220 00:52:39,778 --> 00:52:43,082 DIFFICULT. 1221 00:52:43,082 --> 00:52:46,452 OKAY. THANK YOU, LAURA. MY 1222 00:52:46,452 --> 00:52:48,187 PHONE-A-FRIEND. 1223 00:52:48,187 --> 00:52:57,296 OTHER QUESTIONS? 1224 00:52:57,296 --> 00:52:58,163 OKAY, WE'RE -- 1225 00:52:58,163 --> 00:53:00,065 >> I HAD ONE QUESTION. 1226 00:53:00,065 --> 00:53:01,133 >> DID SOMEBODY SAY -- 1227 00:53:01,133 --> 00:53:05,904 >> YEAH, THE STEM RADX FUNDING 1228 00:53:05,904 --> 00:53:09,808 PRIZES FOR ENDOMETRIOSIS. THE 1229 00:53:09,808 --> 00:53:12,411 SLIDE NOTED MARCH 2026 FOR 1230 00:53:12,411 --> 00:53:14,380 PRIZES. THAT IS FOR PHASE I -- 1231 00:53:14,380 --> 00:53:17,383 >> THAT IS THE END, WHEN WINNERS 1232 00:53:17,383 --> 00:53:18,617 ARE ANNOUNCED. 1233 00:53:18,617 --> 00:53:20,285 >> 3 MILLION PRIZE HAVE 1234 00:53:20,285 --> 00:53:20,886 ALREADY -- 1235 00:53:20,886 --> 00:53:24,123 >> TOTAL OF 3 MILLION DOLLARS. 1236 00:53:24,123 --> 00:53:29,395 IT IS IN STAGES, SO LET'S SAY 1237 00:53:29,395 --> 00:53:31,497 100 APPLICATIONS AND THE NEXT 1238 00:53:31,497 --> 00:53:34,566 PHASE WILL BE SELECTED AND THERE 1239 00:53:34,566 --> 00:53:36,769 ARE SMALL PRIZES AT THE 1240 00:53:36,769 --> 00:53:38,270 BEGINNING THAT THEN LEAD UP TO 1241 00:53:38,270 --> 00:53:41,407 MUCH LARGER PRIZE. THE TOTAL 1242 00:53:41,407 --> 00:53:42,708 BUDGET AMOUNT THAT WE'VE 1243 00:53:42,708 --> 00:53:44,576 COMMITTED ARE $3 MILLION. 1244 00:53:44,576 --> 00:53:49,882 >> OKAY. THANK YOU. THE DOD 1245 00:53:49,882 --> 00:53:52,985 DDRMP HAS IN THE SENATE LANGUAGE 1246 00:53:52,985 --> 00:53:56,622 ENDOMETRIOSIS AND MENOPAUSE AND 1247 00:53:56,622 --> 00:53:58,323 MATERNAL MENTAL HEALTH AS TOPIC 1248 00:53:58,323 --> 00:54:01,360 AREAS THAT BE FUNDED IN FY 2025, 1249 00:54:01,360 --> 00:54:04,063 WE LOOK FORWARD TO COLLABORATING 1250 00:54:04,063 --> 00:54:05,931 WITH NICHD, WHAT WE'RE FUNDING 1251 00:54:05,931 --> 00:54:07,666 TO MAKE SURE WE'RE FILLING THE 1252 00:54:07,666 --> 00:54:08,967 RIGHT GAPS. 1253 00:54:08,967 --> 00:54:10,402 YEAH, THERE ARE GREAT 1254 00:54:10,402 --> 00:54:12,104 OPPORTUNITIES FOR COLLABORATION 1255 00:54:12,104 --> 00:54:14,339 SO THANK YOU. AND I WANT TO 1256 00:54:14,339 --> 00:54:16,775 ACKNOWLEDGE OUR STAFF FOR ALL 1257 00:54:16,775 --> 00:54:19,378 THE WORK THAT THEY ARE DOING IN 1258 00:54:19,378 --> 00:54:21,180 TERMS OF BRIEFING MEMBERS OF 1259 00:54:21,180 --> 00:54:23,415 CONGRESS AND THEIR STAFF. I 1260 00:54:23,415 --> 00:54:25,684 THINK THAT BEFORE I CAME TO NIH, 1261 00:54:25,684 --> 00:54:27,686 I NEVER REALIZED HOW IMPORTANT 1262 00:54:27,686 --> 00:54:31,056 THAT IS AND IT IS SO GRATIFYING 1263 00:54:31,056 --> 00:54:35,394 TO SEE THE IMPROVED LANGUAGE, 1264 00:54:35,394 --> 00:54:37,863 FOR EXAMPLE, OR THE INCLUDE 1265 00:54:37,863 --> 00:54:40,833 LANGUAGE WHICH WAS OUR DOWN 1266 00:54:40,833 --> 00:54:41,867 SYNDROME INITIATIVE AND TO SEE 1267 00:54:41,867 --> 00:54:44,369 HOW WORK THAT IS DONE BY OUR 1268 00:54:44,369 --> 00:54:49,108 STAFF TR TRANSLATES TO 1269 00:54:49,108 --> 00:54:49,641 APPROPRIATIONS LANGUAGE. 1270 00:54:49,641 --> 00:54:53,345 IT MAKES A HUGE DIFFERENCE. SO 1271 00:54:53,345 --> 00:54:55,747 THAT, IN ADDITION, TO YOUR 1272 00:54:55,747 --> 00:54:57,916 INTERACTION WITH YOUR OWN 1273 00:54:57,916 --> 00:54:59,485 REPRESENTATIVES IS VERY, VERY 1274 00:54:59,485 --> 00:55:03,622 IMPORTANT. 1275 00:55:03,622 --> 00:55:03,922 Y 1276 00:55:03,922 --> 00:55:04,556 YES. 1277 00:55:04,556 --> 00:55:07,793 >> THANK YOU, THANK YOU FOR YOUR 1278 00:55:07,793 --> 00:55:09,161 PRESENTATION. 1279 00:55:09,161 --> 00:55:10,162 MY QUESTION RELATES TO TRAINING 1280 00:55:10,162 --> 00:55:15,067 AND MAYBE ALSO OUTREACH. THIS 1281 00:55:15,067 --> 00:55:20,172 RELATE TO MAYBE IMPORTANCE OF 1282 00:55:20,172 --> 00:55:22,040 EARLIER, RIGHT? UNDERGRADUATE, 1283 00:55:22,040 --> 00:55:27,679 EVEN HIGH SCHOOL OR K-12, ANY 1284 00:55:27,679 --> 00:55:30,849 PLANS FOR EXPANDING TRAINING 1285 00:55:30,849 --> 00:55:34,052 PROGRAMS REACH OUT EARLY TO 1286 00:55:34,052 --> 00:55:37,022 FUTURE -- NOT JUST FOR 1287 00:55:37,022 --> 00:55:37,356 EDUCATION. 1288 00:55:37,356 --> 00:55:39,825 >> YEAH. I TOTALLY AGREE AND 1289 00:55:39,825 --> 00:55:41,994 PERHAPS CHRIS IS GOING TO 1290 00:55:41,994 --> 00:55:44,263 INCLUDE THE SUMMER INTERN OR 1291 00:55:44,263 --> 00:55:46,331 YOUNGER TRAINEES BECAUSE IT 1292 00:55:46,331 --> 00:55:50,135 MAKES A HUGE DIFFERENCE BEING 1293 00:55:50,135 --> 00:55:51,770 EXPOSED AND REALLY THAT IS A 1294 00:55:51,770 --> 00:55:53,872 WONDERFUL THING ABOUT THE 1295 00:55:53,872 --> 00:55:56,608 INTRAMURAL PROGRAM, IS WE BRING 1296 00:55:56,608 --> 00:55:58,744 HIGH SCHOOL STUDENTS, AS WELL AS 1297 00:55:58,744 --> 00:56:00,812 COLLEGE STUDENTS DURING THE 1298 00:56:00,812 --> 00:56:02,881 SUMMER TO HAVE THEM EXPOSED AND 1299 00:56:02,881 --> 00:56:04,683 MANY OF THEM DO COME BACK FOR 1300 00:56:04,683 --> 00:56:08,153 THE POST-BACCALAUREATE PROGRAM, 1301 00:56:08,153 --> 00:56:09,855 THEY ARE COLLEGE GRADUATES AND 1302 00:56:09,855 --> 00:56:11,290 NOW THINKING ABOUT GRADUATE 1303 00:56:11,290 --> 00:56:12,624 SCHOOL OR MEDICAL SCHOOL. THEY 1304 00:56:12,624 --> 00:56:15,194 ARE SPENDING ONE TO TWO YEARS IN 1305 00:56:15,194 --> 00:56:17,563 A LABORATORY HERE ON CAMPUS. I 1306 00:56:17,563 --> 00:56:19,731 TOTALLY AGREE, YOU NEED TO BE 1307 00:56:19,731 --> 00:56:22,768 EXPOSED AS EARLY AS POSSIBLE. 1308 00:56:22,768 --> 00:56:27,606 OKAY. WE'RE RIGHT ON TIME. AND 1309 00:56:27,606 --> 00:56:33,912 SO WE ARE NOT QUITE READY, THERE 1310 00:56:33,912 --> 00:56:36,415 SEEMS TO BE A GAP HERE, WE'LL 1311 00:56:36,415 --> 00:56:38,450 TALK ABOUT THE FIELD TRIP ON THE 1312 00:56:38,450 --> 00:56:40,619 SCRIPT, BUT WE'RE NOT READY TO 1313 00:56:40,619 --> 00:56:43,055 RECONVENE YET. THERE IS 1314 00:56:43,055 --> 00:56:49,861 SOMETHING MISSING ON THE SCRIPT. 1315 00:56:49,861 --> 00:56:53,198 >> ALL RIGHT. SO -- WE'RE GOING 1316 00:56:53,198 --> 00:56:57,302 TO BREAK NOW UNTIL 12:45. 1317 00:56:57,302 --> 00:57:00,038 >> WE'RE BREAKING UNTIL 12:45? 1318 00:57:00,038 --> 00:57:00,439 OKAY. 1319 00:57:00,439 --> 00:57:01,873 THIS IS A FIELD TRIP. 1320 00:57:01,873 --> 00:57:05,310 >> SO FOR THOSE OF YOU WHO ARE 1321 00:57:05,310 --> 00:57:07,179 COUNCIL MEMBERS, WE ARE OFFERING 1322 00:57:07,179 --> 00:57:09,881 AN ACTIVITY DURING THIS LENGTHY 1323 00:57:09,881 --> 00:57:12,117 BREAK. SO I DON'T KNOW, DO YOU 1324 00:57:12,117 --> 00:57:14,152 WANT TO GO AHEAD AND INTRODUCE 1325 00:57:14,152 --> 00:57:14,386 THAT? 1326 00:57:14,386 --> 00:57:16,221 >> YES, THANK YOU. FOR SOME 1327 00:57:16,221 --> 00:57:19,324 REASON I THOUGHT THE FIELD TRIP 1328 00:57:19,324 --> 00:57:21,393 WAS LATER IN THE DAY. 1329 00:57:21,393 --> 00:57:23,128 WE WANT YOU TO GET YOUR EXERCISE 1330 00:57:23,128 --> 00:57:25,030 AND WAKE UP. AS YOU KNOW, 1331 00:57:25,030 --> 00:57:26,598 SEPTEMBER COUNCIL MEETING 1332 00:57:26,598 --> 00:57:29,635 TYPICALLY FOCUSES ON NICHD 1333 00:57:29,635 --> 00:57:32,004 INTRAMURAL PROGRAM, THE NICHD 1334 00:57:32,004 --> 00:57:34,039 INTLAMURAL PROGRAM CONDUCT 1335 00:57:34,039 --> 00:57:36,508 RESEARCH IN MANY AREAS INCLUDING 1336 00:57:36,508 --> 00:57:38,777 BASIC CLINICAL AND 1337 00:57:38,777 --> 00:57:39,811 POPULATION-BASED RESEARCH. ONE 1338 00:57:39,811 --> 00:57:42,614 AREA OF EXCELLENCE IS THE STUDY 1339 00:57:42,614 --> 00:57:44,750 OF GENETIC DISEASE AND THIS 1340 00:57:44,750 --> 00:57:45,617 AFTERNOON YOU'LL HEAR FROM 1341 00:57:45,617 --> 00:57:49,554 DR. CARLOS, ONE OF OUR NEW 1342 00:57:49,554 --> 00:57:52,557 TENURE TRACK DIVISION OF 1343 00:57:52,557 --> 00:57:55,227 INTRAMURAL INVESTIGATORS AND HE 1344 00:57:55,227 --> 00:57:58,163 STUDIES INHERITED DISORDERS THAT 1345 00:57:58,163 --> 00:58:00,098 AFFECT BONE DEVELOPMENT. WE'RE 1346 00:58:00,098 --> 00:58:01,867 GOING TO HAVE A VISIT FROM A 1347 00:58:01,867 --> 00:58:04,836 FAMILY WHO HAVE A CHILD THAT 1348 00:58:04,836 --> 00:58:08,573 PARTICIPATIONS IN THE STUDY THAT 1349 00:58:08,573 --> 00:58:10,809 DR. HERRERA DIRECTS, AMONG MANY 1350 00:58:10,809 --> 00:58:12,311 OTHER AREAS OF RESEARCH IS 1351 00:58:12,311 --> 00:58:14,746 PEDIATRIC AND ADOLESCENT 1352 00:58:14,746 --> 00:58:17,482 GYNECOLOGY, PROGRAM LED BY 1353 00:58:17,482 --> 00:58:21,920 DR. VERONICA GOMEZ LOBO, WE WILL 1354 00:58:21,920 --> 00:58:24,022 GO ON BREAK TO ALLOW EVERYONE TO 1355 00:58:24,022 --> 00:58:25,157 GET LUNCH. 1356 00:58:25,157 --> 00:58:28,126 I WAS CONFUSED, IT IS EARLY FOR 1357 00:58:28,126 --> 00:58:28,327 LUNCH. 1358 00:58:28,327 --> 00:58:30,228 DURING THE BREAK, THE DOCTOR 1359 00:58:30,228 --> 00:58:31,863 WILL OFFER COUNCIL MEMBERS BRIEF 1360 00:58:31,863 --> 00:58:34,399 TOUR OF NIH CLINICAL CENTER AND 1361 00:58:34,399 --> 00:58:38,603 SUM OF INTRAMURAL RESEARCH 1362 00:58:38,603 --> 00:58:38,904 LABORATORY. 1363 00:58:38,904 --> 00:58:40,372 IF YOU DON'T KNOW ABOUT THE 1364 00:58:40,372 --> 00:58:42,808 CLINICAL CENTER, THE TAG LINE IS 1365 00:58:42,808 --> 00:58:44,876 AMERICA'S RESEARCH HOSPITAL. IT 1366 00:58:44,876 --> 00:58:47,512 IS A FULLY FUNCTIONING HOSPITAL. 1367 00:58:47,512 --> 00:58:49,414 YOU CAN ONLY COME INTO THE 1368 00:58:49,414 --> 00:58:53,218 HOSPITAL IF YOU ARE ON A STUDY 1369 00:58:53,218 --> 00:58:56,355 PROTOCOL. THEY DO A NUMBER OF 1370 00:58:56,355 --> 00:58:59,758 FIRST IN HUMAN STUDY THERE. 1371 00:58:59,758 --> 00:59:02,127 FOR EXAMPLES SOME EARLIEST 1372 00:59:02,127 --> 00:59:04,029 IMMUNOTHERAPY STUDIES FOR CANCER 1373 00:59:04,029 --> 00:59:06,631 WERE PERFORMED THERE AND WE ARE 1374 00:59:06,631 --> 00:59:07,833 RUNNING QUITE A NUMBER OF 1375 00:59:07,833 --> 00:59:11,203 CLINICAL PROTOCOL. WE ARE ALSO 1376 00:59:11,203 --> 00:59:13,705 VERY INTERESTED IN INCREASING 1377 00:59:13,705 --> 00:59:16,608 THE NUMBER AND PORTION OF 1378 00:59:16,608 --> 00:59:19,878 PATIENTS BEING STUDIED AT THE 1379 00:59:19,878 --> 00:59:20,712 CLINICAL CENTER WHO ARE CHILDREN 1380 00:59:20,712 --> 00:59:22,781 AND IN PARTICULAR YOUNGER 1381 00:59:22,781 --> 00:59:25,550 CHILDREN AS WE MOVE TOWARD GENE 1382 00:59:25,550 --> 00:59:29,821 THERAPY AND IDENTIFYING NEW 1383 00:59:29,821 --> 00:59:33,158 GENOMIC VARIANTS. 1384 00:59:33,158 --> 00:59:34,526 WE WOULD LIKE TO HAVE THE 1385 00:59:34,526 --> 00:59:35,861 OPPORTUNITY TO TREAT YOUNG 1386 00:59:35,861 --> 00:59:42,067 CHILDREN. SO DR. GOMEZ LOBO 1387 00:59:42,067 --> 00:59:43,568 WILL BE YOUR TOUR GUIDELINE AND 1388 00:59:43,568 --> 00:59:46,538 WE'LL RECONVENE AT 12:45. THERE 1389 00:59:46,538 --> 00:59:49,241 IS A CAFETERIA DIRECTLY ACROSS 1390 00:59:49,241 --> 00:59:50,842 THE WAY AND RESTROOM FACILITIES 1391 00:59:50,842 --> 00:59:53,211 ARE TO THE LEFT OF THE CAFETERIA 1392 00:59:53,211 --> 00:59:54,913 IN THE BACK. SO WITH THAT, 1393 00:59:54,913 --> 00:59:58,750 THERE IS THE DOCTOR, YOU SHOULD 1394 00:59:58,750 --> 01:00:01,820 HAVE AN UMBRELLA OR SOMETHING. 1395 01:00:01,820 --> 01:00:04,556 OKAY. THANK YOU ALL AND WE WILL 1396 01:00:04,556 --> 01:00:06,258 RECONVENE AT 12:45. 1397 01:00:17,435 --> 01:00:19,537 STAY ON THROUGH ANOTHER 1398 01:00:19,537 --> 01:00:20,304 PRESIDENTIAL ADMINISTRATION AND 1399 01:00:20,304 --> 01:00:29,647 THE ANSWER IS YES, I SAID THAT 1400 01:00:29,647 --> 01:00:33,985 THE INCOMING PRESIDENT CAN 1401 01:00:33,985 --> 01:00:35,720 REQUEST A LETTER OF RESIGNATION, 1402 01:00:35,720 --> 01:00:37,255 AND SO THAT HAPPENED SEVERAL 1403 01:00:37,255 --> 01:00:39,924 TIMES FOR DR. COLLINS WHO SERVED 1404 01:00:39,924 --> 01:00:40,591 THROUGH MULTIPLE DEMONSTRATIONS 1405 01:00:40,591 --> 01:00:44,061 SO IT DOES NOT MEAN NECESSARILY 1406 01:00:44,061 --> 01:00:46,764 WHAT HAPPENED THAT 1407 01:00:46,764 --> 01:00:47,598 DR. BERTAGNOLLI WILL BE THE 1408 01:00:47,598 --> 01:00:48,966 DIRECTOR IT WOULD BE AT THE 1409 01:00:48,966 --> 01:00:52,470 BEHEST OF THE NEW PRESIDENT 1410 01:00:52,470 --> 01:00:54,372 WHETHER HE OR SHE ACCEPTS THE 1411 01:00:54,372 --> 01:00:57,208 LETTER OF RESIGNATION, SO I HOPE 1412 01:00:57,208 --> 01:01:00,344 THAT'S CLEAR THAT SHE CAN STAY 1413 01:01:00,344 --> 01:01:00,678 ON. 1414 01:01:00,678 --> 01:01:01,779 OKAY, AND WITH THAT, WE ARE 1415 01:01:01,779 --> 01:01:04,615 GOING TO TURN THE MEETING OVER, 1416 01:01:04,615 --> 01:01:05,650 THE SEPTEMBER MEETING FOR THOSE 1417 01:01:05,650 --> 01:01:15,760 WHO ARE NEW TO THE ADVISORY 1418 01:01:15,760 --> 01:01:17,261 COUNCIL, GIVEN AN HIGHLIGHT OF 1419 01:01:17,261 --> 01:01:18,329 DIVISION OF EPITHELIAL RAMURAL 1420 01:01:18,329 --> 01:01:19,497 RESEARCH, SO IT IS MY PLEASURE 1421 01:01:19,497 --> 01:01:22,333 NOW TO INTRODUCE OUR SCIENTIFIC 1422 01:01:22,333 --> 01:01:25,503 DIRECTOR, THE DIRECTOR OF THE 1423 01:01:25,503 --> 01:01:29,740 INTRAMURAL RESEARCH PROGRAM 1424 01:01:29,740 --> 01:01:30,141 DR. CHRIS Mc BAIN. 1425 01:01:30,141 --> 01:01:31,609 >> THANK YOU VERY MUCH. 1426 01:01:31,609 --> 01:01:33,478 GOOD AFTERNOON EVERYBODY, I'M 1427 01:01:33,478 --> 01:01:35,046 GLAD YOU ALL MADE IT BACK FROM 1428 01:01:35,046 --> 01:01:37,748 THE CLINICAL CENTER AND I WANT 1429 01:01:37,748 --> 01:01:38,950 TO THANK VERONICA FOR HOST 1430 01:01:38,950 --> 01:01:40,585 THAGOREAN AND ACTING AS OUR TOUR 1431 01:01:40,585 --> 01:01:43,120 GUIDE SO I HOPE YOU WOULD AGREE 1432 01:01:43,120 --> 01:01:43,721 IT'S A PRETTY SPECIAL 1433 01:01:43,721 --> 01:01:49,727 ENVIRONMENT THERE AND I HOPE YOU 1434 01:01:49,727 --> 01:01:50,528 ENJOYED THAT TOUR. 1435 01:01:50,528 --> 01:01:51,829 I'M PUSHING BUT OPEN MEETINGS 1436 01:01:51,829 --> 01:01:52,897 AND NOTHING'S HAPPENING, SO, 1437 01:01:52,897 --> 01:01:54,765 OKAY, HERE WE GO, FOR THOSE WHO 1438 01:01:54,765 --> 01:01:58,069 DON'T KNOW ME, I'M CHRIS 1439 01:01:58,069 --> 01:01:59,470 Mc BAIN I'M THE SPECIFIC IT 1440 01:01:59,470 --> 01:02:01,539 SCIENTIFIC DIRECTOR FOR THE 1441 01:02:01,539 --> 01:02:02,707 INTRAMURAL PROGRAM, I'VE BEEN 1442 01:02:02,707 --> 01:02:05,910 WITH THE NIH FOR OVER 30 YEARS 1443 01:02:05,910 --> 01:02:10,181 AND STARTED HERE AS A YOUNG 1444 01:02:10,181 --> 01:02:10,982 TENURED TRACK INVESTIGATOR, 1445 01:02:10,982 --> 01:02:12,917 BECAME LAB CHIEF AND PROGRAM 1446 01:02:12,917 --> 01:02:15,786 CHIEF AND IN THE LAST YEAR AND A 1447 01:02:15,786 --> 01:02:17,121 HALF, I'VE BECOME THE SCIENTIFIC 1448 01:02:17,121 --> 01:02:17,388 DIRECTOR. 1449 01:02:17,388 --> 01:02:20,191 WHAT I WILL TALK TO YOU ABOUT 1450 01:02:20,191 --> 01:02:21,826 TODAY ARE REALLY CORE MAIN 1451 01:02:21,826 --> 01:02:24,562 TOPICS, SO REALLY THIS 1452 01:02:24,562 --> 01:02:25,963 IS--REFLECTS SORT OF LIKE THE 1453 01:02:25,963 --> 01:02:28,566 FIRST 18 MONTHS IF YOU LIKE OF 1454 01:02:28,566 --> 01:02:29,834 MY TENURE AS A SCIENTIFIC 1455 01:02:29,834 --> 01:02:31,269 DIRECTOR AND REALLY TO GIVE SMU 1456 01:02:31,269 --> 01:02:33,871 HIGHLIGHTS OF WHAT WE'VE BEEN UP 1457 01:02:33,871 --> 01:02:35,373 TO OVER THAT TIME AND SPEND MOST 1458 01:02:35,373 --> 01:02:37,675 OF THE TIME TALKING ABOUT OUR 1459 01:02:37,675 --> 01:02:39,877 EDUCATION UPDATES AND FUNDING 1460 01:02:39,877 --> 01:02:41,913 OPPORTUNITIES THAT WE 1461 01:02:41,913 --> 01:02:43,180 ESTABLISHED AND HAVE BEEN 1462 01:02:43,180 --> 01:02:45,449 INFORMED WITH BUT ALSO TO GIVE 1463 01:02:45,449 --> 01:02:47,118 YOU A GENERAL OVERVIEW OF THE 1464 01:02:47,118 --> 01:02:48,586 INTRAMURAL PROGRAM AND SOME OF 1465 01:02:48,586 --> 01:02:51,355 OUR BUDGET AND PERSONNEL UPDATES 1466 01:02:51,355 --> 01:02:53,858 FOR THOSE THAT ARE NOT FAMILIAR 1467 01:02:53,858 --> 01:02:55,927 WITH THE INTRAMURAL PROGRAM. 1468 01:02:55,927 --> 01:02:57,562 SO THIS IS WHO WE ARE. 1469 01:02:57,562 --> 01:03:00,231 WE ARE CURRENTLY COMPRISED OF 7 1470 01:03:00,231 --> 01:03:00,498 DIVISIONS. 1471 01:03:00,498 --> 01:03:04,201 WE SPAN A VERY BROAD PORTFOLIO 1472 01:03:04,201 --> 01:03:07,471 OF RESEARCH AND WERE ABOUT 1473 01:03:07,471 --> 01:03:11,509 60-70% BASIC RESEARCH OR 1474 01:03:11,509 --> 01:03:12,543 TRANSLATIONAL RESEARCH WITHOUT 1475 01:03:12,543 --> 01:03:14,946 30% OF OUR INVESTIGATORS ARE IN 1476 01:03:14,946 --> 01:03:17,481 CLINICAL AND WE SPAN EVERYTHING 1477 01:03:17,481 --> 01:03:20,351 FROM YEAST GENETICS PROTEIN 1478 01:03:20,351 --> 01:03:23,554 BIOPHYSICS, CELL BIOLOGY AND 1479 01:03:23,554 --> 01:03:24,589 DEVELOPMENT AND MIRROR SCIENCE 1480 01:03:24,589 --> 01:03:26,223 ALL THE WAY THROUGH 1481 01:03:26,223 --> 01:03:28,459 TRANSLATIONAL RESEARCH AND 1482 01:03:28,459 --> 01:03:29,393 BEYOND. 1483 01:03:29,393 --> 01:03:31,195 AND WE'RE EMBEDDED IN 7 1484 01:03:31,195 --> 01:03:35,032 DIFFERENT DIVISIONS WITHIN THE 1485 01:03:35,032 --> 01:03:36,334 INTRAMURAL PROGRAM. 1486 01:03:36,334 --> 01:03:39,070 WE CURRENTLY TOTAL ABOUT 850 1487 01:03:39,070 --> 01:03:40,438 TOTAL PERSONNEL. 1488 01:03:40,438 --> 01:03:47,511 WE HAVE 68 PIs, 57 TENURED 1489 01:03:47,511 --> 01:03:48,913 SENIOR INVESTIGATORS, WE HAVE 9 1490 01:03:48,913 --> 01:03:49,714 TENURED TRACK INVESTIGATORS AND 1491 01:03:49,714 --> 01:03:51,248 I WILL SPEND TOMORROW'S TIME 1492 01:03:51,248 --> 01:03:53,484 THAT I HAVE TALKING ABOUT OUR 1493 01:03:53,484 --> 01:03:54,385 TENURED TRACK INVESTIGATORS IN 1494 01:03:54,385 --> 01:03:56,454 MORE DEPTH SO YOU WON'T HEAR 1495 01:03:56,454 --> 01:03:57,755 MUCH ABOUT THAT TODAY. 1496 01:03:57,755 --> 01:04:03,294 WE HAVE 2 ASSISTANT CLINICAL 1497 01:04:03,294 --> 01:04:05,796 INVESTIGATORS AND CURRENTLY 1498 01:04:05,796 --> 01:04:06,430 APPROXIMATELY 60 + STAFF 1499 01:04:06,430 --> 01:04:08,065 SCIENTIST AND SOMEWHERE IN THE 1500 01:04:08,065 --> 01:04:11,235 REGION OF ABOUT 250 TRAINEES AND 1501 01:04:11,235 --> 01:04:13,404 THESE RANGE FROM GRADUATE 1502 01:04:13,404 --> 01:04:15,940 STUDENTS AND POST BACCALAUREATE 1503 01:04:15,940 --> 01:04:20,911 STUDENTS, POST DOCS AND CLINICAL 1504 01:04:20,911 --> 01:04:21,412 FELLOWS. 1505 01:04:21,412 --> 01:04:23,481 WE ARE DIVIDED SCIENTIFICALLY 1506 01:04:23,481 --> 01:04:24,548 INTO 12 AFFINITY GROUPS AND I 1507 01:04:24,548 --> 01:04:26,317 WILL TALK ABOUT WHAT THAT MEANS 1508 01:04:26,317 --> 01:04:28,085 IN A FEW SECONDS. 1509 01:04:28,085 --> 01:04:30,154 WE HAVE AN EPIDEMIO LOGIC 1510 01:04:30,154 --> 01:04:31,389 PROGRAM OF THE POPULATION OF 1511 01:04:31,389 --> 01:04:33,157 HELT RESEARCH THAT HAS BEEN 1512 01:04:33,157 --> 01:04:34,892 FOLDED INTO THE INTRAMURAL 1513 01:04:34,892 --> 01:04:36,961 RESEARCH PROGRAM, THEY COMPRISE 1514 01:04:36,961 --> 01:04:38,963 3 BRANCHES AND 1 PROGRAM. 1515 01:04:38,963 --> 01:04:43,901 WE CURRENTLY HAVE 63 POLITICAL 1516 01:04:43,901 --> 01:04:45,736 PROGRAMS AND 2 ACCREDITED 1517 01:04:45,736 --> 01:04:48,272 MEDICAL TRAINING PROGRAMS ON 1518 01:04:48,272 --> 01:04:51,108 REPRODUCTIVE ENDOCRINOLOGY AND 1519 01:04:51,108 --> 01:04:54,345 INFERTILITY AND PEDIATRIC AND 1520 01:04:54,345 --> 01:04:55,413 ADOLESCENT GYNECOLOGY. 1521 01:04:55,413 --> 01:04:56,580 PLEASE INTERRUPT ME IF 1522 01:04:56,580 --> 01:04:58,416 SOMETHING'S NOT CLEAR, WE WILL 1523 01:04:58,416 --> 01:05:01,686 HAVE AN EXTENDED OPPORTUNITY FOR 1524 01:05:01,686 --> 01:05:03,421 TOMORROW TO HAVE A LARGER 1525 01:05:03,421 --> 01:05:04,622 CONVERSATION IF WHY CAN'T GET 1526 01:05:04,622 --> 01:05:05,056 THAT TO TODAY. 1527 01:05:05,056 --> 01:05:06,691 SO THIS IS OUR CURRENT 1528 01:05:06,691 --> 01:05:07,825 STRUCTURE. 1529 01:05:07,825 --> 01:05:09,560 I'M HAPPY TO SEE THAT FOR THE 1530 01:05:09,560 --> 01:05:13,631 FIRST TIME IN MANY YEARS WE HAVE 1531 01:05:13,631 --> 01:05:15,266 FILLED ALL OF OUR MANAGEMENT 1532 01:05:15,266 --> 01:05:15,633 POSITIONS. 1533 01:05:15,633 --> 01:05:19,370 WE HAVE A CLINICAL DIRECTOR IN 1534 01:05:19,370 --> 01:05:21,172 KATHRYN GUARDEN, DEPARTMENT 1535 01:05:21,172 --> 01:05:23,407 DIRECTOR IN LA VERN MENSIA, I AM 1536 01:05:23,407 --> 01:05:25,843 THE SCIENTIFIC DIRECTOR AND WE 1537 01:05:25,843 --> 01:05:27,144 HAVE DR. BIANCHI, MENTIONED THIS 1538 01:05:27,144 --> 01:05:30,381 MORNING WE JUST RECENTLY 1539 01:05:30,381 --> 01:05:32,416 APPOINTED HENRY LEVIN A SENIOR 1540 01:05:32,416 --> 01:05:33,284 INVESTIGATOR AS MY DEPUTY 1541 01:05:33,284 --> 01:05:34,552 DIRECTOR, THIS IS THE FIRST TIME 1542 01:05:34,552 --> 01:05:36,620 ALL POSITIONS HAVE BEEN FILLED 1543 01:05:36,620 --> 01:05:38,322 IN QUITE SOMETIME, IT'S GREAT WE 1544 01:05:38,322 --> 01:05:40,391 HAVE ALL POSITIONS CURRENTLY 1545 01:05:40,391 --> 01:05:40,624 FILLED. 1546 01:05:40,624 --> 01:05:43,060 AND ALONG THE BOTTOM ARE ALL THE 1547 01:05:43,060 --> 01:05:44,562 DEFINITE DIVISIONS THAT OUR 1548 01:05:44,562 --> 01:05:45,963 PRINCIPLE VERY LONGS ASSEMBLE 1549 01:05:45,963 --> 01:05:47,798 AND THEY'RE LARGELY BASED NOT 1550 01:05:47,798 --> 01:05:50,668 ONLY AROUND SORT OF SCIENTIFIC 1551 01:05:50,668 --> 01:05:51,268 DISCIPLINES BUT HISTORICALLY 1552 01:05:51,268 --> 01:05:54,338 THEY HAPPEN TO BE MOSTLY ALL OF 1553 01:05:54,338 --> 01:05:55,740 THEM WE OCCUPY ACROSS THE CAMPUS 1554 01:05:55,740 --> 01:05:57,608 SO YOU CAN SEE THERE'S 1555 01:05:57,608 --> 01:05:59,243 DEVELOPMENT OF BIOLOGY, 1556 01:05:59,243 --> 01:06:00,077 TRANSLATIONAL MEDICINE, 1557 01:06:00,077 --> 01:06:03,447 MOLECULAR AND CELLULAR BIOLOGY, 1558 01:06:03,447 --> 01:06:05,683 NEUROSCIENCE BASIC AND 1559 01:06:05,683 --> 01:06:07,451 TRANSLATIONAL BIOMISSICS, 1560 01:06:07,451 --> 01:06:08,385 IMAGING AND GENOMIC INTEGRITY 1561 01:06:08,385 --> 01:06:15,259 AND THE DIVISION OF POPULATION 1562 01:06:15,259 --> 01:06:15,659 HEALTH RESEARCH. 1563 01:06:15,659 --> 01:06:17,328 SO ALL OF OUR INVESTIGATORS ARE 1564 01:06:17,328 --> 01:06:20,631 ASKED TO IDENTIFY WITH A 1565 01:06:20,631 --> 01:06:21,565 PARTICULAR AFFINITY GROUP. 1566 01:06:21,565 --> 01:06:24,001 AND THESE AFFINITY DPROWPS ARE 1567 01:06:24,001 --> 01:06:27,705 BASICALLY SELF-ASSEMBLED. 1568 01:06:27,705 --> 01:06:29,974 THEY ARE CONVENIENT AND BASICKED 1569 01:06:29,974 --> 01:06:31,408 OFF SCIENTIFIC INTEREST, THEY'RE 1570 01:06:31,408 --> 01:06:32,042 INCREDIBLE LOAMACYY FLUID, YOU 1571 01:06:32,042 --> 01:06:33,711 CAN BE A MEMBER OF AS MANY AS 1572 01:06:33,711 --> 01:06:36,680 YOU LIKE, YOU HAVE TO IDENTIFY 1573 01:06:36,680 --> 01:06:38,149 WITH 1 BUT THERE'S NO 1574 01:06:38,149 --> 01:06:40,117 LIMITATIONS ON HOW MANY YOU CAN 1575 01:06:40,117 --> 01:06:43,988 TEND TO EACH OF THESE AFFINITY 1576 01:06:43,988 --> 01:06:44,822 GROUPS PROVIDE TRAINING 1577 01:06:44,822 --> 01:06:47,525 OPPORTUNITIES FOR ALL OF OUR 1578 01:06:47,525 --> 01:06:49,126 TRAINEES, SOME MEET VERY 1579 01:06:49,126 --> 01:06:50,961 REGULARLY EVERY WEEK, SOME MEET 1580 01:06:50,961 --> 01:06:53,030 BI MONTHLY AND THEY'RE REALLY 1581 01:06:53,030 --> 01:06:55,332 JUST A--BECAUSE WE HAVE SUCH A 1582 01:06:55,332 --> 01:06:57,434 BROAD PORTFOLIO, OF RESEARCH 1583 01:06:57,434 --> 01:07:00,704 INTERESTS, THESE SORT OF PROVIDE 1584 01:07:00,704 --> 01:07:02,072 SMALL DEFINED GROUPS OF 1585 01:07:02,072 --> 01:07:04,475 INVESTIGATORS WHO SHARE SIMILAR 1586 01:07:04,475 --> 01:07:06,744 INTERESTS AND ALL OF THESE 1587 01:07:06,744 --> 01:07:09,280 SIPICALLY GO THROUGH THE 4 YEAR 1588 01:07:09,280 --> 01:07:10,681 ANNUAL REVIEW PROCESS TOGETHER 1589 01:07:10,681 --> 01:07:12,650 AS AN AFFINITY GROUP WITH A FEW 1590 01:07:12,650 --> 01:07:14,218 EXCEPTIONS THAT ARE ON A 1591 01:07:14,218 --> 01:07:15,419 DEFINITE CYCLE AND THIS GIVES 1592 01:07:15,419 --> 01:07:18,022 NOT ONLY THE OPPORTUNITY TO 1593 01:07:18,022 --> 01:07:19,490 REVIEW THE SCIENCE THAT EACH 1594 01:07:19,490 --> 01:07:20,257 INDIVIDUAL INVESTIGATOR IS 1595 01:07:20,257 --> 01:07:21,859 CONDUCTING BUT ALSO HAVE THE 1596 01:07:21,859 --> 01:07:24,528 AFENNITY GROUP IS OPERATING IN 1597 01:07:24,528 --> 01:07:24,995 SORT OF TOTAL. 1598 01:07:24,995 --> 01:07:26,463 WHAT SORT OF RESEARCH AND 1599 01:07:26,463 --> 01:07:27,398 TRAINING ENVIRONMENT ARE THEY 1600 01:07:27,398 --> 01:07:29,166 PROVIDING TO ALL OF OUR 1601 01:07:29,166 --> 01:07:29,433 TRAINEES. 1602 01:07:29,433 --> 01:07:30,935 AS YOU CAN SEE SOME OF THEM ARE 1603 01:07:30,935 --> 01:07:33,404 QUITE LARGE, SOME OF THEM ARE 1604 01:07:33,404 --> 01:07:35,039 VERY SMALL AND IN FACT, 3 OF 1605 01:07:35,039 --> 01:07:37,441 THEM, 3 OF THE GROUPS ARE UP 1606 01:07:37,441 --> 01:07:39,143 HERE ARE CURRENTLY IN THE 1607 01:07:39,143 --> 01:07:41,779 PROCESS OF MERGING AND SPLITTING 1608 01:07:41,779 --> 01:07:43,581 INTO PROBABLY 1 OR 2 DIFFERENT 1609 01:07:43,581 --> 01:07:43,814 GROUPS. 1610 01:07:43,814 --> 01:07:47,251 SO AS I SAID IT'S A VERY FLUID 1611 01:07:47,251 --> 01:07:49,186 SITUATION THAT IS DEPENDENTOT 1612 01:07:49,186 --> 01:07:50,721 NEEDS OF THE SCIENCE THAT'S DONE 1613 01:07:50,721 --> 01:07:55,826 ON THE INSTITUTE AT THAT 1614 01:07:55,826 --> 01:07:56,460 PARTICULAR TIME. 1615 01:07:56,460 --> 01:07:58,295 SO SOME BUDGET ISSUES. 1616 01:07:58,295 --> 01:08:02,499 WE ARE APPROXIMATELY 13% OF THE 1617 01:08:02,499 --> 01:08:06,203 ENTIRE NICHD AND BUDGET 1618 01:08:06,203 --> 01:08:08,105 APPROPRIATION. 1619 01:08:08,105 --> 01:08:10,808 WE CURRENTLY OFFER 13%, FOR THIS 1620 01:08:10,808 --> 01:08:13,477 FISCAL YEAR WE'RE AT 1621 01:08:13,477 --> 01:08:13,811 $220 MILLION. 1622 01:08:13,811 --> 01:08:15,512 ABOUT 50% OF THAT IS WHAT WE 1623 01:08:15,512 --> 01:08:18,916 WOULD CALL SOFT MONEY IT GOES 1624 01:08:18,916 --> 01:08:21,285 TOWARD LAB CONSUMABLES OTHERS 1625 01:08:21,285 --> 01:08:22,453 RANKING THE INTRAMURAL LAB 1626 01:08:22,453 --> 01:08:23,888 PROGRAM TOGETHER WITH SALARIES. 1627 01:08:23,888 --> 01:08:25,689 THE LEFT-HAND SIDE OF THAT PIE 1628 01:08:25,689 --> 01:08:27,892 CHART IS MORE RIGID AND ABOUT A 1629 01:08:27,892 --> 01:08:30,628 17% ASSESSMENT GOES TOWARDS 1630 01:08:30,628 --> 01:08:31,695 KEEPING AND PAYING INTO THE 1631 01:08:31,695 --> 01:08:32,863 CLINICAL TRUSTEES WHERE YOU JUST 1632 01:08:32,863 --> 01:08:37,268 VISITED AND THE SERVICE AND 1633 01:08:37,268 --> 01:08:39,003 SUPPLY FUND IS WHAT YOU WOULD 1634 01:08:39,003 --> 01:08:40,404 CALL YOUR OVERHEAD IN THE EXTRA 1635 01:08:40,404 --> 01:08:46,210 MURAL PROGRAM AND TYPICALLY WE 1636 01:08:46,210 --> 01:08:48,779 KEEP A SEGMENT WITH A MILLION 1637 01:08:48,779 --> 01:08:51,181 DOLLARS FOR EQUIPMENT, BUT IN 1638 01:08:51,181 --> 01:08:53,217 THE LAST COUPLE YEARS I'M HAPPY 1639 01:08:53,217 --> 01:08:55,452 TO SAY WE'VE HAD CAPITAL TO BUY 1640 01:08:55,452 --> 01:08:57,955 MORE EQUIPMENT EQUIPMENT AND WE 1641 01:08:57,955 --> 01:09:01,258 HAD TO DO RENOVATIONS BECAUSE 1642 01:09:01,258 --> 01:09:04,461 WE'VE HAD A MAJOR FLOOD OR 1643 01:09:04,461 --> 01:09:05,262 RENOVATION INCIDENTS BUT THERE 1644 01:09:05,262 --> 01:09:07,364 IS A BUFFER OF MONEY WE KEEP IN 1645 01:09:07,364 --> 01:09:11,568 THERE FOR THESE INSTANCES. 1646 01:09:11,568 --> 01:09:13,737 THE MAKEUNSUPPORTED OF THESE 1647 01:09:13,737 --> 01:09:17,408 TRAINEES RIGHT NOW WE HAVE ABOUT 1648 01:09:17,408 --> 01:09:20,644 140 CLINICAL FELLOWS, 9 FELLOWS, 1649 01:09:20,644 --> 01:09:21,779 17 GRADUATE STUDENTS DISTRIBUTED 1650 01:09:21,779 --> 01:09:24,581 OVER A DOZEN OR SO DIFFERENT 1651 01:09:24,581 --> 01:09:26,817 PARTNERSHIP PROGRAMS, WE HAVE A 1652 01:09:26,817 --> 01:09:28,252 LITTLE OVER 90 POST DOCS AND 1653 01:09:28,252 --> 01:09:32,022 THIS YEAR WE HAD A BUMPER BUNDLE 1654 01:09:32,022 --> 01:09:33,424 OF SUMMER INTERNS IN EXCESS OF 1655 01:09:33,424 --> 01:09:35,059 50 AND NOW THAT WE'RE POST 1656 01:09:35,059 --> 01:09:36,727 COVID, THIS IS MOSTLY ALL 1657 01:09:36,727 --> 01:09:38,429 IN-PERSON, SO THIS IS PROBABLY 1658 01:09:38,429 --> 01:09:39,463 THE LARGEST SUMMER INTERNSHIP 1659 01:09:39,463 --> 01:09:40,597 THAT WE'VE HAD IN A NUMBER OF 1660 01:09:40,597 --> 01:09:42,766 YEARS AND I WILL TALK A LITTLE 1661 01:09:42,766 --> 01:09:48,906 BIT MORE ABOUT THAT AS I MOVE 1662 01:09:48,906 --> 01:09:49,406 ON. 1663 01:09:49,406 --> 01:09:50,975 SOME PERSONNEL UPDATES. 1664 01:09:50,975 --> 01:09:54,878 WE ARE HAPPY TO ANNOUNCE WE HAVE 1665 01:09:54,878 --> 01:09:56,146 RECRUITED [INDISCERNIBLE] 1666 01:09:56,146 --> 01:09:57,414 FROM--HE'S CURRENTLY AN 1667 01:09:57,414 --> 01:09:58,916 ASSOCIATE PROFESSOR OF 1668 01:09:58,916 --> 01:10:01,251 EPIDEMIOLOGY AT HARVARD TO THE 1669 01:10:01,251 --> 01:10:03,921 SCHOOL OF PUBLIC HEALTH AND ALSO 1670 01:10:03,921 --> 01:10:05,522 APPROPRIATE PROFESSOR OF 1671 01:10:05,522 --> 01:10:07,091 PSYCHIATRIST AT HARVARD MEDICAL 1672 01:10:07,091 --> 01:10:07,791 SCHOOL. 1673 01:10:07,791 --> 01:10:11,996 HE'S AN BRAGZALLY RECOGNIZED 1674 01:10:11,996 --> 01:10:12,663 EXPERT IN PSYCHIATRIC 1675 01:10:12,663 --> 01:10:13,964 EPIDEMIOLOGY AND HIS RESEARCH 1676 01:10:13,964 --> 01:10:17,901 REALLY COMBINES OF METHODS OF 1677 01:10:17,901 --> 01:10:20,671 PERINATAL MENTAL HELT, 1678 01:10:20,671 --> 01:10:21,805 EPIGENETICS MARKERS TO REVEAL 1679 01:10:21,805 --> 01:10:23,307 IMPORTANT INSIGHTS INTO THE 1680 01:10:23,307 --> 01:10:25,509 EFFECTS OF TRAUMA AND HARDSHIPS 1681 01:10:25,509 --> 01:10:28,012 ACROSS THE LIFE COURSE AND 1682 01:10:28,012 --> 01:10:31,081 INTERGENERATIONALLY ESPECIALLY 1683 01:10:31,081 --> 01:10:32,082 IN DIVERSE POPULATIONS. 1684 01:10:32,082 --> 01:10:33,617 AND HE WILL JOIN US NEXT WEEK OR 1685 01:10:33,617 --> 01:10:34,818 START OF NEXT WEEK. 1686 01:10:34,818 --> 01:10:35,786 WE ARE EXTREMELY EXCITED TO 1687 01:10:35,786 --> 01:10:41,425 BRING HIM ON TO THE DIVISION OF 1688 01:10:41,425 --> 01:10:42,226 POPULATION HEALTH RESEARCH. 1689 01:10:42,226 --> 01:10:45,195 I'M ALSO EXCITED TO ANNOUNCE 1690 01:10:45,195 --> 01:10:49,166 THAT WE HAVE BEEN ABLE TO 1691 01:10:49,166 --> 01:10:50,367 APPOINT VICEK [INDISCERNIBLE], 1692 01:10:50,367 --> 01:10:53,504 AS OUR DIRECTOR OF GENOMICS 1693 01:10:53,504 --> 01:10:56,006 COURT, SO THE INSIGHT, RESEARCH 1694 01:10:56,006 --> 01:10:57,374 AND NICHD OPERATES 3 CHORDS, 1695 01:10:57,374 --> 01:10:59,810 THESE ARE ALL 3 OF CHARGE TO OUR 1696 01:10:59,810 --> 01:11:01,512 INVESTIGATORS, WE HAVE AN 1697 01:11:01,512 --> 01:11:03,247 IMAGING CORE WHICH FEATURES JUST 1698 01:11:03,247 --> 01:11:07,084 ABOUT EVERY MICROSCOPIC 1699 01:11:07,084 --> 01:11:09,053 TECHNIQUE YOU CAN IMAGINE. 1700 01:11:09,053 --> 01:11:11,221 WE HAVE A MOLECULAR GENOMICS 1701 01:11:11,221 --> 01:11:13,991 CORE THAT WILL DO SEQUENCING, 1702 01:11:13,991 --> 01:11:15,492 THEY WILL DO TRANSCRIPT ORDER OF 1703 01:11:15,492 --> 01:11:18,362 MICRONS ANALYSIS, HAS 1704 01:11:18,362 --> 01:11:19,163 MULTIDIRECTIONAL ANALYSIS AND 1705 01:11:19,163 --> 01:11:20,831 TRANSCRIPTOMICS WORKS AND WE 1706 01:11:20,831 --> 01:11:21,899 HAVE A BIO-INFORMATICS PROGRAM 1707 01:11:21,899 --> 01:11:23,067 AND AGAIN, THESE ARE ALL FREE OF 1708 01:11:23,067 --> 01:11:26,970 CHARGE TO ALL OF OUR--AND I'M 1709 01:11:26,970 --> 01:11:28,739 PARTICULARLY EXCITED TO WELCOME 1710 01:11:28,739 --> 01:11:30,374 VIVEK, BACK, HE WAS A POST 1711 01:11:30,374 --> 01:11:31,442 DOCTORAL FELLOW IN MY LAB A 1712 01:11:31,442 --> 01:11:33,277 NUMBER OF YEARS AGO, HE WENT OUT 1713 01:11:33,277 --> 01:11:36,246 TO INDUSTRY FOR A FEW YEARS AND 1714 01:11:36,246 --> 01:11:37,448 WE'RE HAPPY TO WELCOME HIM BACK 1715 01:11:37,448 --> 01:11:45,556 TO THE MOTHERSHIP AND HE STARTED 1716 01:11:45,556 --> 01:11:46,123 IN APRIL. 1717 01:11:46,123 --> 01:11:49,326 A NUMBER OF RETIREMENTS, 1718 01:11:49,326 --> 01:11:50,828 [INDISCERNIBLE] RETIRED ALMOST A 1719 01:11:50,828 --> 01:11:52,629 YEAR AGO, MEL [INDISCERNIBLE] 1720 01:11:52,629 --> 01:11:54,665 RETIRED BEGINNING OF THIS YEAR. 1721 01:11:54,665 --> 01:11:56,867 ALAN DEWHAT THE DEPUTY DIRECTOR 1722 01:11:56,867 --> 01:11:59,369 OF THE REPRODUCTIVE 1723 01:11:59,369 --> 01:12:00,571 ENDOCRINOLOGY AND FERTILITY 1724 01:12:00,571 --> 01:12:02,072 FELLOWSHIP PROGRAM RETIRED A 1725 01:12:02,072 --> 01:12:03,240 LITTLE OVER A MONTH AGO AND WE 1726 01:12:03,240 --> 01:12:07,978 HAVE 2 MORE RETIREMENTS UPCOMING 1727 01:12:07,978 --> 01:12:09,746 WITH ANDRE [INDISCERNIBLE] A 1728 01:12:09,746 --> 01:12:10,481 NEUROSCIENTIST RETIRING AT THE 1729 01:12:10,481 --> 01:12:15,052 END OF THIS MONTH AND KYLE CAN 1730 01:12:15,052 --> 01:12:15,552 [INDISCERNIBLE] SENIOR 1731 01:12:15,552 --> 01:12:16,820 INVESTIGATOROT MEDICAL AND EBD O 1732 01:12:16,820 --> 01:12:17,955 CRINOLOGY ALSO RETIRING AT THE 1733 01:12:17,955 --> 01:12:19,590 END OF THIS MONTH. 1734 01:12:19,590 --> 01:12:20,924 SO A RENUMBER OF RETIREMENTS 1735 01:12:20,924 --> 01:12:31,435 THAT WE'RE LOOKING FORWARD TO 1736 01:12:38,509 --> 01:12:38,709 REPLACING. 1737 01:12:38,709 --> 01:12:40,444 OKAY, SO WE ARE RECRUITING AND 1738 01:12:40,444 --> 01:12:43,113 WE CURRENTLY HAVE A COUPLE OF 1739 01:12:43,113 --> 01:12:44,148 TENURED TRACK SEARCHES IN PLACE, 1740 01:12:44,148 --> 01:12:47,251 1 IS FOR AN INVESTIGATOR IN 1741 01:12:47,251 --> 01:12:47,751 NEURAL DEVELOPMENT WE'RE 1742 01:12:47,751 --> 01:12:48,852 PARTICULARLY INTERESTED IN 1743 01:12:48,852 --> 01:12:52,422 HIRING SOMEBODY WHO IS A BASIC 1744 01:12:52,422 --> 01:12:54,725 OR TRANSLATIONAL SCIENTIST THAT 1745 01:12:54,725 --> 01:12:55,993 INTERESTS THE NEURONAL 1746 01:12:55,993 --> 01:12:59,163 DEVELOPMENT DISORDERS AND WE'RE 1747 01:12:59,163 --> 01:13:00,063 ALSO RECRUITING AN INVESTIGATOR 1748 01:13:00,063 --> 01:13:02,599 FOR SOCIAL AND BEHAVIORIAL 1749 01:13:02,599 --> 01:13:02,966 SCIENCES BRANCH. 1750 01:13:02,966 --> 01:13:05,235 AND WE'RE TRYING TO CAST OUR NET 1751 01:13:05,235 --> 01:13:07,004 AS WIDE AS POSSIBLE AND IF YOU 1752 01:13:07,004 --> 01:13:08,172 KNOW ANYBODY WHO FITS THE BILL 1753 01:13:08,172 --> 01:13:11,008 OF EITHER OF THOSE, YOU KNOW, I 1754 01:13:11,008 --> 01:13:12,643 URGE YOU TO TAKE A LOOK AT THE 1755 01:13:12,643 --> 01:13:14,111 JOB OFFER AND URGE THEM TO 1756 01:13:14,111 --> 01:13:14,311 APPLY. 1757 01:13:14,311 --> 01:13:17,481 WE DID HAVE AN OPENING FOR OUR 1758 01:13:17,481 --> 01:13:18,382 BIO-INFORMATICS TRAINING PROGRAM 1759 01:13:18,382 --> 01:13:19,583 MANAGER, OOMPLE HAPPY TO SAY 1760 01:13:19,583 --> 01:13:20,217 WE'VE NOW FILL THAD AND I WILL 1761 01:13:20,217 --> 01:13:22,386 TAKEN--THEY UNG ABOUT THAT IN A 1762 01:13:22,386 --> 01:13:29,459 FEW MINUTES AND WE'RE LOOKING 1763 01:13:29,459 --> 01:13:30,527 FOR PEDIATRIC ENDOCRINOLOGY 1764 01:13:30,527 --> 01:13:30,928 STAFF CLINICIAN. 1765 01:13:30,928 --> 01:13:32,930 NOW 1 OF THE NICE THINGS ABOUT 1766 01:13:32,930 --> 01:13:33,997 BEING IN DIVISION OF RESEARCH, 1767 01:13:33,997 --> 01:13:35,766 IS THAT WE'RE ABLE TO TAP INTO A 1768 01:13:35,766 --> 01:13:37,401 NUMBER OF THE NIH WIDE 1769 01:13:37,401 --> 01:13:40,771 INITIATIVE ANDS 1 OF THEM IS THE 1770 01:13:40,771 --> 01:13:41,872 STADTMAN INVESTIGATOR RESEARCH. 1771 01:13:41,872 --> 01:13:45,042 THIS IS AN ANNUAL SEARCH THAT'S 1772 01:13:45,042 --> 01:13:47,945 OPEN TO ALL MEDICAL, BIOMEDICAL 1773 01:13:47,945 --> 01:13:49,413 AND BEHAVIORIAL RESEARCHERS 1774 01:13:49,413 --> 01:13:50,948 ACROSS THE ENTIRE TENURED TRACK 1775 01:13:50,948 --> 01:13:52,916 POSITIONS THAT ARE AVAILABLE. 1776 01:13:52,916 --> 01:13:54,518 IT'S A PRESTIGIOUS AWARD AND 1777 01:13:54,518 --> 01:13:56,687 WE'RE REALLY TRYING TO SEARCH 1778 01:13:56,687 --> 01:13:59,389 FOR INVESTIGATORS THAT ARE 1779 01:13:59,389 --> 01:14:01,758 STUDYING IMPORTANT PROBLEMS IN 1780 01:14:01,758 --> 01:14:03,193 EXTREMELY INNOVATIVE WAYS. 1781 01:14:03,193 --> 01:14:04,795 AND THIS IS AN ANNUAL PROGRAM 1782 01:14:04,795 --> 01:14:07,564 THAT GOES ON THAT'S REALLY 1783 01:14:07,564 --> 01:14:09,900 INDEPENDENT OF ANY 1 INSTITUTE 1784 01:14:09,900 --> 01:14:11,034 AND RECRUITMENT STRATEGY. 1785 01:14:11,034 --> 01:14:13,770 IT GENERATES A VERY, VERY LARGE 1786 01:14:13,770 --> 01:14:14,838 CANDIDATE WHO THEN THAT 1787 01:14:14,838 --> 01:14:16,340 INSTITUTES CAN LOOK TO SEE IF 1788 01:14:16,340 --> 01:14:19,142 THERE'S ANYBODY IN THE APPLICANT 1789 01:14:19,142 --> 01:14:21,912 POOL THAT FITS THE BILL OF THEIR 1790 01:14:21,912 --> 01:14:22,446 SEARCH EMPLOY. 1791 01:14:22,446 --> 01:14:26,383 THIS IS 1 OF THE TOOLS NIH HAS 1792 01:14:26,383 --> 01:14:28,819 BEEN USING TO TRY TO GET A BROAD 1793 01:14:28,819 --> 01:14:29,920 AND DIVERSE POPULATION OF VERY 1794 01:14:29,920 --> 01:14:30,120 LONGS. 1795 01:14:30,120 --> 01:14:31,221 THE SECOND IS THAT FOR THE FIRST 1796 01:14:31,221 --> 01:14:33,757 TIME IN A NUMBER OF YEARS, WE'RE 1797 01:14:33,757 --> 01:14:35,058 HAPPY TO ANNOUNCE THAT WE'RE 1798 01:14:35,058 --> 01:14:37,828 LOOKING FOR A LASKER CLINICAL 1799 01:14:37,828 --> 01:14:38,362 RESEARCH SCHOLAR. 1800 01:14:38,362 --> 01:14:40,897 THIS OF COURSE AS MANY OF YOU 1801 01:14:40,897 --> 01:14:42,399 KNOW IS A UNIQUE BRIDGE FOR 1802 01:14:42,399 --> 01:14:45,002 EARLY STAGE CLINICAL VERY LONGS, 1803 01:14:45,002 --> 01:14:48,305 CHILD HEALTH AND TOGETHER WITH 1804 01:14:48,305 --> 01:14:49,840 INTRAMURAL AND EXTRAMURAL AND 1805 01:14:49,840 --> 01:14:50,941 PARTICIPATE IN THIS INITIATIVE 1806 01:14:50,941 --> 01:14:53,543 AND I'M HAPPY TO ANNOUNCE THAT 1807 01:14:53,543 --> 01:14:55,078 WE'RE CURRENTLY LOOKING FOR A 1808 01:14:55,078 --> 01:14:56,513 LASKER SCHOLAR SO IF YOU KNOW OF 1809 01:14:56,513 --> 01:14:57,748 ANYBODY WHO WOULD BE APPROPRIATE 1810 01:14:57,748 --> 01:15:00,851 AND PLOAZ ENCOURAGE THEM 1811 01:15:00,851 --> 01:15:02,586 TO--PLEASE ENCOURAGE THEM TO 1812 01:15:02,586 --> 01:15:02,786 APPLY. 1813 01:15:02,786 --> 01:15:04,955 WE'VE HAD A NUMBER OF HONORS AND 1814 01:15:04,955 --> 01:15:06,923 AWARDS, I WANT TO MENTION A 1815 01:15:06,923 --> 01:15:09,693 COUPLE OF THEM, 1 IS EDWINNA 1816 01:15:09,693 --> 01:15:10,694 YOUNG, CURRENTLY AN CLINICAL 1817 01:15:10,694 --> 01:15:13,096 INVESTIGATOR, SOON TO BE 1 OF 1818 01:15:13,096 --> 01:15:14,064 OUR NEW TENURED TRACK 1819 01:15:14,064 --> 01:15:14,431 INVESTIGATORS. 1820 01:15:14,431 --> 01:15:18,402 SHE HAS BEEN ELECTED PRESIDENT 1821 01:15:18,402 --> 01:15:25,742 OF THE SOCIETY FOR PERIO NATAL 1822 01:15:25,742 --> 01:15:30,180 AND EPIDEMIOLOGIC RESEARCH. 1823 01:15:30,180 --> 01:15:34,384 AND THEN ALSO [INDISCERNIBLE] 1824 01:15:34,384 --> 01:15:36,787 WAS FEATURED RECENTLY AND JACK 1825 01:15:36,787 --> 01:15:37,387 [INDISCERNIBLE] WAS RECENTLY 1826 01:15:37,387 --> 01:15:39,222 FEATURE OFFICE OF DIVERSITY A 1827 01:15:39,222 --> 01:15:44,895 PODCAST, IT'S REALLY AN 1828 01:15:44,895 --> 01:15:46,029 OUTSTANDING INTERVIEW WITH JACK. 1829 01:15:46,029 --> 01:15:48,131 AND THIS MORNING WE HEARD 1 OF 1830 01:15:48,131 --> 01:15:50,867 OUR TENURED TRACK INVESTIGATORS 1831 01:15:50,867 --> 01:15:54,371 WAS AWARDED THE D-HOF F AWARD 1832 01:15:54,371 --> 01:15:56,673 WHICH IS VERY PRESTIGIOUS FOR 1833 01:15:56,673 --> 01:15:57,708 YOUNG INVESTIGATORS AND SO WE'RE 1834 01:15:57,708 --> 01:16:00,610 HAPPY TO SEE OUR YOUNG TENURED 1835 01:16:00,610 --> 01:16:02,045 TRACK INVESTIGATORS GETTING 1836 01:16:02,045 --> 01:16:02,679 RECOGNIZED AS WELL. 1837 01:16:02,679 --> 01:16:07,050 ONE OF THE MORE FUN AWARDS THAT 1838 01:16:07,050 --> 01:16:10,787 WE'VE TAKEN PART IN AND WE 1839 01:16:10,787 --> 01:16:12,522 PARTICIPATE INDEED THIS NIH 1840 01:16:12,522 --> 01:16:13,824 GREEN LABS PROGRAM AND IT'S AN 1841 01:16:13,824 --> 01:16:15,258 INITTIAIVE IT THAT AIMS TO 1842 01:16:15,258 --> 01:16:18,528 INCREASE AWARENESS OF SORT OF 1843 01:16:18,528 --> 01:16:20,764 SUSTAINABLE LAB PRACTICES SO 1844 01:16:20,764 --> 01:16:21,732 ELIMINATING WASTE, CONSERVING 1845 01:16:21,732 --> 01:16:25,602 ENERGY AND WATER, REDUCING WASTE 1846 01:16:25,602 --> 01:16:27,104 AND INCREASING RECYCLING AND 1847 01:16:27,104 --> 01:16:28,305 REALLY COLLABORATING WITH OTHER 1848 01:16:28,305 --> 01:16:30,240 RESEARCHERS ON THE CAMPUS TO 1849 01:16:30,240 --> 01:16:32,209 COME UP WITH INNOVATIONS THAT 1850 01:16:32,209 --> 01:16:36,046 ARE GOING TO WORK IN THE LAB 1851 01:16:36,046 --> 01:16:38,448 LESS DISPOSAL PROD UTRS AND MORE 1852 01:16:38,448 --> 01:16:39,750 SORT OF THOUGHTFULNESS ABOUT HOW 1853 01:16:39,750 --> 01:16:41,084 WE'RE TREATING OUR ENVIRONMENT 1854 01:16:41,084 --> 01:16:47,357 AND I'M HAPPY TO SEE THAT DIR 1855 01:16:47,357 --> 01:16:51,561 HAD 27 LABS PARTICIPATE, UP FROM 1856 01:16:51,561 --> 01:16:53,630 2022 AND ACROSS THE ENTIRE NIH 1857 01:16:53,630 --> 01:16:55,132 CAMPUS THAT THIS GREEN LABS 1858 01:16:55,132 --> 01:16:57,000 PROGRAM HAS BEEN NOMINATED 1859 01:16:57,000 --> 01:16:58,802 ITSELF FOR AN INTERNATIONAL 1860 01:16:58,802 --> 01:17:00,470 INSTITUTE OF SUSTAINABLE 1861 01:17:00,470 --> 01:17:03,540 LABORATORYS AWARD IN THE NEXT 1862 01:17:03,540 --> 01:17:03,740 YEAR. 1863 01:17:03,740 --> 01:17:06,309 SO SO IT WAS JUST A VERY 1864 01:17:06,309 --> 01:17:06,943 ENTHUSIASTIC PARTICIPATION BY 1865 01:17:06,943 --> 01:17:11,248 ALMOST ALL OF OUR LABS AND WITH 1866 01:17:11,248 --> 01:17:11,415 DIR. 1867 01:17:11,415 --> 01:17:12,783 FOR THE FIRST TIME IN A NUMBER 1868 01:17:12,783 --> 01:17:16,319 OF YEARS, WE HAD AN IN-PERSON 1869 01:17:16,319 --> 01:17:17,154 INTRAMURAL SCIENTIFIC RETREAT IN 1870 01:17:17,154 --> 01:17:20,657 THIS VERY SPACE YOU'RE SITTING 1871 01:17:20,657 --> 01:17:20,891 IN. 1872 01:17:20,891 --> 01:17:22,726 AND YOU CAN READ A REPORT THAT 1873 01:17:22,726 --> 01:17:25,162 WAS WRITTEN BY 1 OF OUR POST 1874 01:17:25,162 --> 01:17:27,164 DOCTORAL FELLOWS IN THE NICHD 1875 01:17:27,164 --> 01:17:28,832 CONNECTION AND USE THE QR CODE 1876 01:17:28,832 --> 01:17:29,533 TO ACCESS THAT. 1877 01:17:29,533 --> 01:17:32,502 I THINK THERE'S JUST THIS 1878 01:17:32,502 --> 01:17:33,570 AMAZING ENTHUSIASM TO BE BACK IN 1879 01:17:33,570 --> 01:17:37,207 PERSON TO BE ABLE TO TALK TO 1880 01:17:37,207 --> 01:17:38,742 SCIENTISTS IN YOUR OWN 1881 01:17:38,742 --> 01:17:40,010 INTRAMURAL PROGRAM AND THERE'S A 1882 01:17:40,010 --> 01:17:44,881 NUMBER OF POSTER SESSIONS AND 1883 01:17:44,881 --> 01:17:46,049 COMPLETELY ORGANIZED BY OUR 1884 01:17:46,049 --> 01:17:47,751 INVESTIGATORS AND TRAINEES AND 1885 01:17:47,751 --> 01:17:51,121 IT WAS JUST A SORT OF VERY 1886 01:17:51,121 --> 01:17:52,422 BUOYANT ENTHUSIASTIC DATA. 1887 01:17:52,422 --> 01:17:53,857 I REALLY, REALLY ENJOYED IT, I'M 1888 01:17:53,857 --> 01:17:54,891 HAPPY TO SEE WE'RE HAVING 1889 01:17:54,891 --> 01:17:58,228 ANOTHER 1 IN THE NEXT 2 WEEKS 1890 01:17:58,228 --> 01:17:58,428 TIME. 1891 01:17:58,428 --> 01:18:03,533 SO, HOPEFULLY, THAT WILL BE AS 1892 01:18:03,533 --> 01:18:04,134 EQUALLY SUCCESSFUL. 1893 01:18:04,134 --> 01:18:06,770 SO I WANT TO TURN MY ATTENTION 1894 01:18:06,770 --> 01:18:09,005 TO AN EICATION UPDATE, SO OF 1895 01:18:09,005 --> 01:18:14,811 COURSE, OUR TOP PRIORITY IS 1896 01:18:14,811 --> 01:18:16,179 SCIENTIFIC RESEARCH, AND WE HAVE 1897 01:18:16,179 --> 01:18:18,849 A REAL RESPONSIBILITY FOR OUR 1898 01:18:18,849 --> 01:18:19,549 EDUCATION APPROACHES. 1899 01:18:19,549 --> 01:18:21,518 WE ARE DESPERATELY KEEN TO BE 1900 01:18:21,518 --> 01:18:24,120 ACTIVELY TRAINING OUR NEXT 1901 01:18:24,120 --> 01:18:28,091 GENERATION OF FUTURE RESEARCHERS 1902 01:18:28,091 --> 01:18:29,059 WITH BASIC, CLINICAL AND BEYOND. 1903 01:18:29,059 --> 01:18:32,395 AND TO DO THIS, WE HAVE STARTED 1904 01:18:32,395 --> 01:18:37,200 TO EXPAND OUR TRAINING RESOURCES 1905 01:18:37,200 --> 01:18:39,336 INSIDE THE NICHD INTRAMURAL 1906 01:18:39,336 --> 01:18:39,569 PROGRAM. 1907 01:18:39,569 --> 01:18:46,309 OR WHEN I SPOKE TO YOU LAST YER 1908 01:18:46,309 --> 01:18:47,110 ERIN [INDISCERNIBLE] WAS 1909 01:18:47,110 --> 01:18:48,278 DIRECTOR OF OUR EDUCATION 1910 01:18:48,278 --> 01:18:50,080 PROGRAM AND SHE RAN AN AMAZING 1911 01:18:50,080 --> 01:18:52,048 PROGRAM WITH A LIMITED NUMBER OF 1912 01:18:52,048 --> 01:18:53,583 PEOPLE THAT REALLY ENTERED INTO 1913 01:18:53,583 --> 01:18:56,319 THE DAILY LIVES OF ALL OF OUR 1914 01:18:56,319 --> 01:18:58,889 TRAINEES AND WE FELT IT HAD BEEN 1915 01:18:58,889 --> 01:19:00,724 SO SUCCESSFUL, WE PROMOTED ERIN 1916 01:19:00,724 --> 01:19:10,267 TO BECOME THE DIRECTOR FOR US 1917 01:19:10,267 --> 01:19:11,468 AND SCIENCE PROGRAM MANAGE TO 1918 01:19:11,468 --> 01:19:12,903 MAKE HER DIRECTOR FOR ALL OF OUR 1919 01:19:12,903 --> 01:19:14,137 TRAINING PROGRAMS WE ARE TRYING 1920 01:19:14,137 --> 01:19:15,639 TO ESTABLISH INSIDE THE 1921 01:19:15,639 --> 01:19:16,239 INTRAMURAL PROGRAM. 1922 01:19:16,239 --> 01:19:20,877 AND 2 OF THESE NEW REPORTS ARE 1923 01:19:20,877 --> 01:19:21,745 [INDISCERNIBLE] I'LL SHOW YOU A 1924 01:19:21,745 --> 01:19:26,049 BIT ABOUT THAT IN A FEW MINUTES 1925 01:19:26,049 --> 01:19:27,684 AND MEGAN BOHN WHO REPLACED HER 1926 01:19:27,684 --> 01:19:29,519 TO BECOME DIRECTOR OF EDUCATION 1927 01:19:29,519 --> 01:19:31,021 AND WE WERE HAPPY TO WELCOME 1928 01:19:31,021 --> 01:19:33,623 MEGAN INTO THE OFFICE, SHE WAS A 1929 01:19:33,623 --> 01:19:34,958 HOPKINS ASSISTANT DIRECTOR AT 1930 01:19:34,958 --> 01:19:39,829 THE OFFICE OF POST DOCTORAL 1931 01:19:39,829 --> 01:19:42,165 AFFAIRS, SHE STARTED HER CAREER 1932 01:19:42,165 --> 01:19:47,571 WITHIN CHILD HEALTH IN KYLE 1933 01:19:47,571 --> 01:19:48,638 PFEIFER'S LAB AND SHE WAS 1934 01:19:48,638 --> 01:19:50,340 RUNNING A TRAINING PROGRAM FOR 1935 01:19:50,340 --> 01:19:51,641 POST DOCS IN NIAID. 1936 01:19:51,641 --> 01:19:53,510 SHE HAS TAKEN ON THE NEW ROLE AS 1937 01:19:53,510 --> 01:19:56,713 DIRECTOR OF THE OFFICE OF 1938 01:19:56,713 --> 01:19:57,647 EDUCATION AND WE'RE--AND I WILL 1939 01:19:57,647 --> 01:19:58,815 SHOW YOU SOME OF THE THINGS 1940 01:19:58,815 --> 01:20:01,785 WE'RE TRYING TO EXPAND AND MOVE 1941 01:20:01,785 --> 01:20:02,686 INTO. 1942 01:20:02,686 --> 01:20:04,421 I'M HAPPY TO ANNOUNCE THAT SALLY 1943 01:20:04,421 --> 01:20:07,924 CHANG WILL JOIN US AT THE END OF 1944 01:20:07,924 --> 01:20:09,859 THIS MONTH. 1945 01:20:09,859 --> 01:20:12,662 SHE IS TAKING UP THE 1946 01:20:12,662 --> 01:20:13,530 BIO-INFORMATICS TREANING MANAGER 1947 01:20:13,530 --> 01:20:14,531 ROLE. 1948 01:20:14,531 --> 01:20:15,599 AS I SAID, BIOINFORMATIC SYSTEM 1949 01:20:15,599 --> 01:20:19,269 1 OF OUR 3 CORES THAT WE OFFER 1950 01:20:19,269 --> 01:20:21,838 OUR INTRAMURAL INVESTIGATORS AND 1951 01:20:21,838 --> 01:20:23,306 THIS CORE ALLOWS AN INVESTIGATOR 1952 01:20:23,306 --> 01:20:28,612 SUCH AS MYSELF WHO HAS NO 1953 01:20:28,612 --> 01:20:31,348 BIO-INFORMATICS EXPERIENCE TO 1954 01:20:31,348 --> 01:20:36,720 START FROM A AND GO TO Z WITH AN 1955 01:20:36,720 --> 01:20:38,588 IDEA AS COCKAME, MEEAS IT 1956 01:20:38,588 --> 01:20:40,090 SOUNDS, THEY WILL START AT THE 1957 01:20:40,090 --> 01:20:41,758 CORE, SHOW YOU HOW TOY DID SIGN 1958 01:20:41,758 --> 01:20:42,926 YOUR EXPERIMENT, HOW TO GATHER 1959 01:20:42,926 --> 01:20:43,893 INFORMATION, HOW TO ANALYZE 1960 01:20:43,893 --> 01:20:44,894 INFORMATION AND HOW TO TREAT THE 1961 01:20:44,894 --> 01:20:47,564 DATA RIGHT TO THE POINT OF 1962 01:20:47,564 --> 01:20:50,233 PUBLICATION AND THIS CORE WAS 1963 01:20:50,233 --> 01:20:51,468 ESTABLISHED IN INTRAMURAL 1964 01:20:51,468 --> 01:20:52,836 PROGRAM ABOUT 4 OR 5 YEARS AGO, 1965 01:20:52,836 --> 01:20:59,009 IT HAS BEEN SUCH A SUCCESS THAT 1966 01:20:59,009 --> 01:21:00,310 WE HAVE REALLY AND EXPAND AS 1967 01:21:00,310 --> 01:21:02,145 MUCH AS WE CAN, AND 1 OF THE 1968 01:21:02,145 --> 01:21:04,547 ISSUES THAT WE KEPT HEARING 1969 01:21:04,547 --> 01:21:06,049 ABOUT WAS THAT A LOT OF THE 1970 01:21:06,049 --> 01:21:07,117 PERSONNEL WORK IN THAT CORE 1971 01:21:07,117 --> 01:21:10,520 SPEND ALL OF THEIR TIME TRAINING 1972 01:21:10,520 --> 01:21:15,158 THE TRAINEES TO PROGRAM, TO USE 1973 01:21:15,158 --> 01:21:16,893 OUR--TO PYTHON TO USE PROGRAMS 1974 01:21:16,893 --> 01:21:20,296 THAT ARE USED FOR BIOINFORMATIC 1975 01:21:20,296 --> 01:21:21,364 INFORMATION AND WE SORT OF 1976 01:21:21,364 --> 01:21:22,899 REALIZE THAT WE REALLY NEED TO 1977 01:21:22,899 --> 01:21:26,269 PUT A TRAINING PROGRAM MANAGER 1978 01:21:26,269 --> 01:21:29,105 IN PLACE THAT'S BASICALLY GOING 1979 01:21:29,105 --> 01:21:32,008 TO ALLOW TO FREE UP THE 1980 01:21:32,008 --> 01:21:32,976 INFORMATICIANS TO DO, AND HEAD 1981 01:21:32,976 --> 01:21:35,612 UP WHAT THEY ACTUALLY DO AND FOR 1982 01:21:35,612 --> 01:21:37,313 OUR TRAINING CORE TO PROVIDE A 1983 01:21:37,313 --> 01:21:38,982 WHOLE BUNCH OF KNCHT TRAINING 1984 01:21:38,982 --> 01:21:40,283 INITIATIVES AND HERE'S JUST A 1985 01:21:40,283 --> 01:21:41,551 LIST OF SOME OF WHAT WE'RE 1986 01:21:41,551 --> 01:21:43,987 STRARTING WITH AND WE WANT TO,A 1987 01:21:43,987 --> 01:21:45,955 ASSESSES OUR DATA SCIENCE 1988 01:21:45,955 --> 01:21:47,924 TRAINING NEEDS, WHAT KIND OF 1989 01:21:47,924 --> 01:21:49,826 SOFTWARE, HARDWARE ARE PEOPLE, 1990 01:21:49,826 --> 01:21:51,227 OR ARE IN DEMAND EMPLOY WE HAVE 1991 01:21:51,227 --> 01:21:54,497 A BUNCH OF SHORT COURSES THAT 1992 01:21:54,497 --> 01:21:57,233 WE'RE ABOUT TO INTRODUCE AND ANY 1993 01:21:57,233 --> 01:21:58,601 OTHER TRAINING THAT'S REQUIRED 1994 01:21:58,601 --> 01:21:59,669 AND REALLY SORT OF JUST TO THINK 1995 01:21:59,669 --> 01:22:04,240 ABOUT HOW THIS FIELD IS MOVING 1996 01:22:04,240 --> 01:22:04,808 FORWARD. 1997 01:22:04,808 --> 01:22:07,110 I'M A NEUROSCIENTIST WHO STUDIES 1998 01:22:07,110 --> 01:22:08,278 SYNAPTIC TRANSMISSION AND 1999 01:22:08,278 --> 01:22:09,446 DEVELOPMENT AND UNTIL 3 YEARS 2000 01:22:09,446 --> 01:22:10,513 AGO, I NEVER REALLY THOUGHT I 2001 01:22:10,513 --> 01:22:13,750 WOULD NEED MUCH IN THE WAY OF 2002 01:22:13,750 --> 01:22:14,617 BIO-INFORMATICS AND NOW A LARGE 2003 01:22:14,617 --> 01:22:18,354 PART OF WHAT MY LAB WAS DOES 2004 01:22:18,354 --> 01:22:19,422 RELIES HEAVILYOT BIOINNORMATTICS 2005 01:22:19,422 --> 01:22:20,590 CORE AND NONE OF US HAVE ANY 2006 01:22:20,590 --> 01:22:22,192 TRAINING IN THAT AND THIS CORE 2007 01:22:22,192 --> 01:22:23,293 HAS BEEN TRIEWMENTAL IN ALLOWING 2008 01:22:23,293 --> 01:22:27,797 US TO TAKE ON REALLY CHALLENGING 2009 01:22:27,797 --> 01:22:28,832 TRANSCRIPTOMICS FOR DEVELOPING 2010 01:22:28,832 --> 01:22:29,065 CORTEX. 2011 01:22:29,065 --> 01:22:32,268 SO WE'RE REALLY TRYING TO GROW A 2012 01:22:32,268 --> 01:22:33,803 COMMUNITY OF LEARNERS, NOT ON 2013 01:22:33,803 --> 01:22:38,308 SITE, BUT ACROSS MULTIBLE 2014 01:22:38,308 --> 01:22:39,209 BIO-INFORMATICS CORES AND AS CAN 2015 01:22:39,209 --> 01:22:40,744 YOU IMAGINE THIS HAS BECOME 2016 01:22:40,744 --> 01:22:42,612 ESSENTIAL TO THE LIKES OF MANY 2017 01:22:42,612 --> 01:22:44,047 INSTITUTES AND RATHER THAN KEEP 2018 01:22:44,047 --> 01:22:45,215 REPEAT XG REINVENTING THE WHEEL 2019 01:22:45,215 --> 01:22:47,417 WE'RE TRYING TO FORM A NETWORK 2020 01:22:47,417 --> 01:22:48,685 ACROSS DIFFERENT INFORMATICS 2021 01:22:48,685 --> 01:22:51,588 TRAINING COURSE WHERE WE CAN SEE 2022 01:22:51,588 --> 01:22:53,523 AND HELP OTHER INSTITUTES AND 2023 01:22:53,523 --> 01:22:53,857 VICE VERSA. 2024 01:22:53,857 --> 01:22:58,728 THAT'S INCREDIBLE LOAMACYY 2025 01:22:58,728 --> 01:22:59,362 HELPFUL SO FAR. 2026 01:22:59,362 --> 01:23:02,298 SO OUR OFFICE OF EDUCATION 2027 01:23:02,298 --> 01:23:07,704 REALLY HAS ABOUT 3 MAIN CENTRAL 2028 01:23:07,704 --> 01:23:10,607 FOLK ALAREAS AND THEY ARE CAREER 2029 01:23:10,607 --> 01:23:11,274 EXPLORATION, PLANNING, GRANT 2030 01:23:11,274 --> 01:23:12,008 WRITING AND SCIENCE AND 2031 01:23:12,008 --> 01:23:12,876 COMMUNICATION AND I WANT TO 2032 01:23:12,876 --> 01:23:17,247 EXPABD ON EACH OF THESE IN MY 2033 01:23:17,247 --> 01:23:17,714 REPLAINING SLIDES. 2034 01:23:17,714 --> 01:23:18,782 THESE ARE SOME OF THE ACTIVITIES 2035 01:23:18,782 --> 01:23:20,316 THAT THE OFFICE OF EDUCATION'S 2036 01:23:20,316 --> 01:23:23,620 OFFED IN THE LAST--THIS CALENDAR 2037 01:23:23,620 --> 01:23:28,224 YEAR, SO, WE CAN NOT ONLY 2038 01:23:28,224 --> 01:23:29,692 SEMINAR SERIES FOR PROFESSIONAL 2039 01:23:29,692 --> 01:23:31,995 DEVELOPMENT AND TO HELP AND 2040 01:23:31,995 --> 01:23:33,463 GRADUATE MEDICAL SCHOOL 2041 01:23:33,463 --> 01:23:35,832 APPLICATION PREPARATION, WE'VE 2042 01:23:35,832 --> 01:23:38,301 RAN 2 K99 GRANT WRITING COURSES, 2043 01:23:38,301 --> 01:23:41,304 1 IN SPRING AND JUST A MONTH OR 2044 01:23:41,304 --> 01:23:42,005 2 AGO. 2045 01:23:42,005 --> 01:23:46,676 WE HAVE PUT A HEAVY EMPHASIS ON 2046 01:23:46,676 --> 01:23:48,311 ALTERNATIVE CAREERS BEYOND 2047 01:23:48,311 --> 01:23:51,214 ACADEMIA AND REALLY TAPPING INTO 2048 01:23:51,214 --> 01:23:54,484 THE INDUSTRIAL PART OF THE DMV 2049 01:23:54,484 --> 01:23:56,119 AREA BRINGING IN MANY, MANY 2050 01:23:56,119 --> 01:23:58,755 CONSULTANTS FOR THESE SESSIONS 2051 01:23:58,755 --> 01:24:00,490 AND WE HAVE A MONTHLY WEBINAR 2052 01:24:00,490 --> 01:24:08,164 SERIES AND REALLY TRYING TO TAP 2053 01:24:08,164 --> 01:24:09,899 INTO WHAT OUR TRAINEES ARE 2054 01:24:09,899 --> 01:24:11,100 EXPERIENCING AND IF THEY'RE NOT 2055 01:24:11,100 --> 01:24:12,235 EXPERIENCING, WE WANT TO KNOW 2056 01:24:12,235 --> 01:24:13,703 WHAT IT IS THAT THEY'RE MISSING. 2057 01:24:13,703 --> 01:24:16,706 SO WE ARE THE STATE REGULATORRED 2058 01:24:16,706 --> 01:24:17,974 AN EXIT SURVEY JUST IN THE LAST 2059 01:24:17,974 --> 01:24:19,609 YEAR WHICH HAS BEEN INCREDIBLY 2060 01:24:19,609 --> 01:24:24,047 USEFUL TO SORT OF REALLY GET A 2061 01:24:24,047 --> 01:24:26,149 REALLY CLEAR IDEA OF HOW WE ARE 2062 01:24:26,149 --> 01:24:29,652 PERCEIVED BY OUR TRAINEES WHICH 2063 01:24:29,652 --> 01:24:31,487 IS NOT HOW WE PERCEIVE 2064 01:24:31,487 --> 01:24:33,990 OURSELVES, WE HAVE NUMEROUS 2065 01:24:33,990 --> 01:24:36,392 SCIENTIFIC WRITINGS SKILLS 2066 01:24:36,392 --> 01:24:40,096 WORKSHOPS AND DIFFERENT FORMS OF 2067 01:24:40,096 --> 01:24:41,297 JOB APPLICATIONS AND PROCESSES. 2068 01:24:41,297 --> 01:24:43,933 WE HAD A VERY SUCCESSFUL ANNUAL 2069 01:24:43,933 --> 01:24:49,439 FELLOWS RETREAT DOWN AT THE 2070 01:24:49,439 --> 01:24:53,576 RONALD REAGAN BUILDING DOWN TOWN 2071 01:24:53,576 --> 01:24:55,912 AND OUR QUARTERLY GROUP POST DOC 2072 01:24:55,912 --> 01:24:56,646 ORIENTATIONS WHICH WE JUST 2073 01:24:56,646 --> 01:24:57,447 STARTED THIS YEAR. 2074 01:24:57,447 --> 01:25:01,718 AND WE ALSO PARTICIPATE IN A 3 2075 01:25:01,718 --> 01:25:02,685 MINUTE INSTITUTION TALK WHERE 2076 01:25:02,685 --> 01:25:04,787 EACH POST DOC OR TRAINEE IS 2077 01:25:04,787 --> 01:25:07,523 GIVEN MULTIPLE SESSIONS WITH A 2078 01:25:07,523 --> 01:25:08,324 PROFESSIONAL SPEECH WRITER ON 2079 01:25:08,324 --> 01:25:13,196 HOW TO MAKE AN ELEVATOR PITCH ON 2080 01:25:13,196 --> 01:25:15,431 USING 1 SLIDE AND FOR 3 PLINUTES 2081 01:25:15,431 --> 01:25:17,367 ON THEIR PRESENTATION, AND THE 2082 01:25:17,367 --> 01:25:20,803 ENTHUSIASM FOR THAT PROGRAM HAS 2083 01:25:20,803 --> 01:25:21,871 BEEN TREMENDOUS. 2084 01:25:21,871 --> 01:25:25,241 IT WENT FROM 1 OR 2 INSTITUTES 2085 01:25:25,241 --> 01:25:27,243 TO CURRENTLY 12 INSTITUTES. 2086 01:25:27,243 --> 01:25:28,945 I'M HAPPY TO SAY CHILD HEALTH 2087 01:25:28,945 --> 01:25:31,781 WON THE AWARD LAST YEAR BUT NOT 2088 01:25:31,781 --> 01:25:34,617 THIS YEAR, AND OUR STUDENTS 2089 01:25:34,617 --> 01:25:39,455 REALLY GET A GREAT SPEAKING 2090 01:25:39,455 --> 01:25:40,990 OPPORTUNITY AND THINK ABOUT HOW 2091 01:25:40,990 --> 01:25:42,692 PARTICIPATE XG TALKING ABOUT 2092 01:25:42,692 --> 01:25:45,061 YOUR CONSCIENCE TO A GRAWD 2093 01:25:45,061 --> 01:25:46,663 GENERAL AUDIENCE IN CONCISE 2094 01:25:46,663 --> 01:25:46,896 TERMS. 2095 01:25:46,896 --> 01:25:50,600 THAT SAID, WE HAD A VERY 2096 01:25:50,600 --> 01:25:52,268 SUCCESSFUL POST BACKPOSTER DATE 2097 01:25:52,268 --> 01:25:56,139 IN MAY AND WE HAD 69 POSTER 2098 01:25:56,139 --> 01:25:57,340 PRESENTATIONS THAT WAS ABOUT 60 2099 01:25:57,340 --> 01:25:59,375 OR SEIVET% OF THE ALL OF OUR 2100 01:25:59,375 --> 01:26:00,576 POST BACKS THAT ARE ON RECORD 2101 01:26:00,576 --> 01:26:01,144 FOR US. 2102 01:26:01,144 --> 01:26:09,786 THIS IS AN NIH WIDE 2 DAYS AND 2103 01:26:09,786 --> 01:26:11,087 HAD IS NOW THE SECONDIER I'VE 2104 01:26:11,087 --> 01:26:12,922 DONE THIS, I THINK I TRIED TO 2105 01:26:12,922 --> 01:26:14,891 GET EYES ON EVERY 1 OF CHILD 2106 01:26:14,891 --> 01:26:16,592 HEALTH'S POSTERS AND THE 2107 01:26:16,592 --> 01:26:18,428 ENTHUSIASM OF THE PRESENTERS IS 2108 01:26:18,428 --> 01:26:20,663 JUST INKRE TINSIBLE. 2109 01:26:20,663 --> 01:26:22,265 THEY ARE--WHAT THEY ARE ACHIEVE 2110 01:26:22,265 --> 01:26:23,800 NOTHING 1-2 YEARS IS REALLY 2111 01:26:23,800 --> 01:26:27,737 REMARKABLE AND IT'S JUST 2112 01:26:27,737 --> 01:26:28,471 INCREDIBLE LOAMACYY 2113 01:26:28,471 --> 01:26:28,938 GRATIFYING--INCREDIBLY 2114 01:26:28,938 --> 01:26:29,706 GRATIFYING FOR THEM, WHERE THEY 2115 01:26:29,706 --> 01:26:31,841 HAVE EXPERIENCE FOR THEM TO COME 2116 01:26:31,841 --> 01:26:34,410 UP AND CHALLENGE THEM. 2117 01:26:34,410 --> 01:26:35,511 THERE'S AN AWARDS CEREMONY TO 2118 01:26:35,511 --> 01:26:36,980 GET THEIR POSTERS AND IT'S TURN 2119 01:26:36,980 --> 01:26:38,481 INTOED A MAJOR EVENT AND POST 2120 01:26:38,481 --> 01:26:44,020 COVID, IT'S BECOME VERY, VERY 2121 01:26:44,020 --> 01:26:44,554 SUCCESSFUL. 2122 01:26:44,554 --> 01:26:46,756 SO WE HAVE A NUMBER OF TRAINEE 2123 01:26:46,756 --> 01:26:47,690 RECRUITMENT INITIATIVES IN THE 2124 01:26:47,690 --> 01:26:49,692 LAST COUPLE OF YEARS, WE HAVE 2125 01:26:49,692 --> 01:26:51,461 JUST--IN THE PROCESS OF HIRING 2126 01:26:51,461 --> 01:26:53,029 AN OUTREACH RECRUITMENT AND 2127 01:26:53,029 --> 01:26:54,230 TRAINING SPECIALIST IN THE 2128 01:26:54,230 --> 01:26:56,833 OFFICE OF EDUCATION, AND I'M 2129 01:26:56,833 --> 01:26:59,302 PARTICULARLY PLEASED AND 2130 01:26:59,302 --> 01:27:00,370 SATISFIED BY OUR ISHT ACTION 2131 01:27:00,370 --> 01:27:10,380 WITH THE NEW OFFICE OF HEALTH 2132 01:27:10,380 --> 01:27:10,880 EQUITY AND. 2133 01:27:10,880 --> 01:27:15,718 WE MEET MONTHLY WITH ERICA AND 2134 01:27:15,718 --> 01:27:15,918 HER. 2135 01:27:15,918 --> 01:27:18,588 TEAM WE ARE LOOKING AT HOW TO 2136 01:27:18,588 --> 01:27:20,823 RECRUIT AT NIH BUT NOT ONLY AT 2137 01:27:20,823 --> 01:27:22,325 NIH BUT NATIONAL CONFERENCES AND 2138 01:27:22,325 --> 01:27:24,560 THE LIKE, AND REALLY TRYING TO 2139 01:27:24,560 --> 01:27:25,561 TAP INTO LOCAL SCIENCE FAIRS. 2140 01:27:25,561 --> 01:27:31,868 WE HAVE A NUMBER OF ACADEMIC 2141 01:27:31,868 --> 01:27:33,202 INSTITUTIONS AROUND THE 2142 01:27:33,202 --> 01:27:36,339 DELAWARE, VIRGINIA AREA THAT ARE 2143 01:27:36,339 --> 01:27:37,173 HISTORICALLY UNDERREPRESENTED 2144 01:27:37,173 --> 01:27:38,608 INSIDE THE NIERK H INTRAMURAL 2145 01:27:38,608 --> 01:27:38,841 PROGRAM. 2146 01:27:38,841 --> 01:27:40,476 WE'RE PARTNERING WITH MANY OF 2147 01:27:40,476 --> 01:27:41,444 THESE OUTSIDE ACADEMIC 2148 01:27:41,444 --> 01:27:42,145 INSTITUTES USING A MODEL THAT 2149 01:27:42,145 --> 01:27:45,982 WEB CONNECTED HAVE USED 2150 01:27:45,982 --> 01:27:48,618 PREVIOUSLY FOR OUR HOWARD 2151 01:27:48,618 --> 01:27:50,153 UNIVERSITY PART MERSHIP. 2152 01:27:50,153 --> 01:27:52,355 WE HAVE CHANGED OUR OFFICE OF 2153 01:27:52,355 --> 01:27:53,856 EDUCATION WEB CONTENT THANKS TO 2154 01:27:53,856 --> 01:27:55,391 THE PRESS OFFICE FOR HELPING US 2155 01:27:55,391 --> 01:27:58,761 AND ALLOWING US TO SHOWCASE 2156 01:27:58,761 --> 01:27:59,729 RESOURCES, FACILITIES, TRAINEES, 2157 01:27:59,729 --> 01:28:00,630 PROGRAMMING AND OPPORTUNITY AND 2158 01:28:00,630 --> 01:28:03,499 REALLY JUST TRYING TO SHOWCASE 2159 01:28:03,499 --> 01:28:05,168 THE WORK THAT OUR FELLOWS AND 2160 01:28:05,168 --> 01:28:08,638 INVESTIGATORS ARE GETTING UP TO. 2161 01:28:08,638 --> 01:28:10,173 SO AS I SAID 1 OF THE 2162 01:28:10,173 --> 01:28:11,574 INITIATIVES THAT WE STARTED WITH 2163 01:28:11,574 --> 01:28:13,910 THE OFFICE OF HEALTH EQUITY IS 2164 01:28:13,910 --> 01:28:18,281 WE ESTABLISHED WHAT WE CALL 2165 01:28:18,281 --> 01:28:19,015 THIS--AN AMBASSADOR'S PROGRAM 2166 01:28:19,015 --> 01:28:20,316 WHERE MY OFFICE WILL OFFER 2167 01:28:20,316 --> 01:28:23,286 TRAVEL AWARDS FOR UP TO 25 2168 01:28:23,286 --> 01:28:24,520 SELECTED APPLICANTS AND THESE 2169 01:28:24,520 --> 01:28:27,323 ARE TYPICALLY Ph.D. STUDENTS, 2170 01:28:27,323 --> 01:28:28,624 GRADUATE STUDENTS OR EARLY POST 2171 01:28:28,624 --> 01:28:32,562 DOCS IN BIOPHYSICS AND WE'RE 2172 01:28:32,562 --> 01:28:34,063 STARTING WITH THE APPLICANTS 2173 01:28:34,063 --> 01:28:36,599 RESEARCH CONFERENCE, THIS IS A 2174 01:28:36,599 --> 01:28:37,867 WIDELY ATTENDED BY A DIVERSE 2175 01:28:37,867 --> 01:28:41,471 POPULATION THAT ARE NOT BEING 2176 01:28:41,471 --> 01:28:43,239 TYPICALLY MET BY NIH'S NEEDS AND 2177 01:28:43,239 --> 01:28:50,680 THE GOAL HERE IS NOT ONLY TO 2178 01:28:50,680 --> 01:28:52,515 OFFER TRAVEL MONEY OR AWARD 2179 01:28:52,515 --> 01:28:54,150 MONEY FOR OUR TRAINEES TO GO 2180 01:28:54,150 --> 01:28:55,318 THERE BUT ALSO FOR THEM TO 2181 01:28:55,318 --> 01:28:57,286 SHOWCASE WHAT WE HAVE TO OFFER. 2182 01:28:57,286 --> 01:28:59,255 WHAT DO WE HAVE TO OFFER, SORT 2183 01:28:59,255 --> 01:29:01,858 OF START A DIALOGUE THAT THE 2184 01:29:01,858 --> 01:29:03,392 NIESH H INTRA MOWRAL PROGRAM IS 2185 01:29:03,392 --> 01:29:06,295 A PLACE YOU WANT TO COME AND 2186 01:29:06,295 --> 01:29:06,529 TRAIN. 2187 01:29:06,529 --> 01:29:07,463 WE'RE CURRENTLY IN THE PROCESS 2188 01:29:07,463 --> 01:29:09,232 OF RUN THANKSGIVING APPLICATION 2189 01:29:09,232 --> 01:29:09,465 PERIOD. 2190 01:29:09,465 --> 01:29:11,334 THE APPLICATIONS JUST CLOSED. 2191 01:29:11,334 --> 01:29:13,970 THE FUNDING WILL BE FOR THE NEXT 2192 01:29:13,970 --> 01:29:15,738 APPLICANTS WHICH IS NEXT MARCH 2193 01:29:15,738 --> 01:29:18,074 AND WE'RE EXTREMELY ENTHUSIASTIC 2194 01:29:18,074 --> 01:29:20,276 ABOUT THIS AND HOPEFULLY WE'RE 2195 01:29:20,276 --> 01:29:22,345 GOING TO EXPAND THIS YAWBD 2196 01:29:22,345 --> 01:29:24,113 BEYOND THIS 1 MEETING TO ALL OF 2197 01:29:24,113 --> 01:29:24,947 OUR SOCIETY MEETINGS AND WHAT 2198 01:29:24,947 --> 01:29:27,250 WE'RE TRYING TO DO RIGHT NOW IS 2199 01:29:27,250 --> 01:29:31,420 GATHER ALL OF THE INFORMATION 2200 01:29:31,420 --> 01:29:33,089 ABOUT WHAT SOCIETIES TYPICALLY 2201 01:29:33,089 --> 01:29:34,490 AATTEND AND WHAT MEETINGS WE 2202 01:29:34,490 --> 01:29:36,092 ATTEND AND WHAT LEVEL OF 2203 01:29:36,092 --> 01:29:39,028 OUTREACHRY HAVE THERE WHICH IS 2204 01:29:39,028 --> 01:29:40,663 USUALLY SURPRISINGLY QUITE LOW 2205 01:29:40,663 --> 01:29:42,165 BUT IMPORTANTLY HOW CAN WE USE 2206 01:29:42,165 --> 01:29:43,766 OUR TRAINEES TO GET THEM THE 2207 01:29:43,766 --> 01:29:45,601 OPPORTUNITY TO GO TO THESE 2208 01:29:45,601 --> 01:29:46,769 MEETINGS TO TALK ABOUT CHILD 2209 01:29:46,769 --> 01:29:53,242 HEALTH AND THE TRAINING TIEWPTS 2210 01:29:53,242 --> 01:29:54,177 THAT ARE AVAILABLE HERE. 2211 01:29:54,177 --> 01:29:56,412 AS YOU KNOW OUR DIVERSITY 2212 01:29:56,412 --> 01:29:57,246 INITTIAIVE ITS REMAIN VERY 2213 01:29:57,246 --> 01:29:59,916 STRONG AND ACTIVE AND AS I TOLD 2214 01:29:59,916 --> 01:30:01,984 OUR BSC, THIS SPRING, WE HAVE 2215 01:30:01,984 --> 01:30:04,520 CURRENTLY 4 CURRENT SCHOLARS OF 2216 01:30:04,520 --> 01:30:07,590 THE POST BACKLEVEL AS PART OF 2217 01:30:07,590 --> 01:30:09,091 OUR DEVELOPINGTAL END SCHOLARS 2218 01:30:09,091 --> 01:30:10,059 PROGRAM, WE HAVE 1 NEW POST 2219 01:30:10,059 --> 01:30:12,528 DOCKER IN THE TENURED TRACK LAB 2220 01:30:12,528 --> 01:30:15,765 AS PART OF OUR FELLOWS 2221 01:30:15,765 --> 01:30:16,866 RECRUITMENT AND INTERNAL 2222 01:30:16,866 --> 01:30:18,100 AUDITTISHIAATIVE AWARD AND ALL 2223 01:30:18,100 --> 01:30:20,069 OF THESE CYCLES STARTING 2224 01:30:20,069 --> 01:30:20,403 JANUARY 25. 2225 01:30:20,403 --> 01:30:23,806 WITH THE OFFICE OF HEALTH 2226 01:30:23,806 --> 01:30:26,209 EQUITY, WE ALSO ESTABLISHED A 2227 01:30:26,209 --> 01:30:28,277 NEW SUMMER RESEARCH PROGRAM SO 2228 01:30:28,277 --> 01:30:30,880 TYPICALLY AS I SAID WE HAVE 2229 01:30:30,880 --> 01:30:32,715 ABOUT 50 SUMMER FELLOWS COME 2230 01:30:32,715 --> 01:30:34,684 INTO CHILD HEALTH AND IN TALKING 2231 01:30:34,684 --> 01:30:36,352 WITH THE OFFICE OF HEALTH 2232 01:30:36,352 --> 01:30:37,853 EQUITY, WE DECIDED THAT WE WOULD 2233 01:30:37,853 --> 01:30:41,457 START SMALL, WE WOULD OFFER 5 2234 01:30:41,457 --> 01:30:42,458 POSITIONS FOR SUMMER STUDENTS TO 2235 01:30:42,458 --> 01:30:44,594 COME IN, IT WOULD BE A 2236 01:30:44,594 --> 01:30:45,561 COLLABORATIVE EFFORT BETWEEN MY 2237 01:30:45,561 --> 01:30:47,296 OFFICE AND THE OFFICE OF 2238 01:30:47,296 --> 01:30:48,497 EDUCATION AND OFFICE OF HEALTH 2239 01:30:48,497 --> 01:30:50,233 EQUITY AND IT'S A GNAW PROGRAM 2240 01:30:50,233 --> 01:30:53,836 THAT'S FOCUSED ON PROMOTING 2241 01:30:53,836 --> 01:30:55,137 HEALTH EQUITY AND HEALTH 2242 01:30:55,137 --> 01:30:57,673 DISPARITIES RESEARCH AND WE HAD 2243 01:30:57,673 --> 01:31:01,177 OUR INVESTIGATORS ENCOURAGE 2244 01:31:01,177 --> 01:31:02,578 THEIR STUDENTS TO NOMINATE 2245 01:31:02,578 --> 01:31:04,280 PARTICULARLY THOSE THAT HAD NO 2246 01:31:04,280 --> 01:31:06,249 PREVIOUS RESEARCH EXPERIENCE 2247 01:31:06,249 --> 01:31:08,050 FROM GROUPS TRADITIONALLY 2248 01:31:08,050 --> 01:31:09,185 UNDERREPRESENTED FROM 2249 01:31:09,185 --> 01:31:12,588 DISADVANTAGED BACKGROUNDS AND 2250 01:31:12,588 --> 01:31:13,723 INDIVIDUALS WITH DISABILITIES. 2251 01:31:13,723 --> 01:31:15,258 AND OUR OFFICE OF HEGHT EQUITY 2252 01:31:15,258 --> 01:31:17,126 THEN ESTABLISHED THIS AND IN A 2253 01:31:17,126 --> 01:31:19,262 SEMINAR SERIES AND REALLY SORT 2254 01:31:19,262 --> 01:31:21,030 OF NURTURED ALL OF THESE THROUGH 2255 01:31:21,030 --> 01:31:23,232 THE SUMMER AND EXCITED TO SAY WE 2256 01:31:23,232 --> 01:31:26,936 HAD 5, THEY CAME FROM 2257 01:31:26,936 --> 01:31:28,671 [INDISCERNIBLE] UNIVERSITY, 2258 01:31:28,671 --> 01:31:30,973 HOWARD UNIVERSITY, UMBC, AND 2259 01:31:30,973 --> 01:31:33,943 TUFTS, THEY CROSS EVERYTHING 2260 01:31:33,943 --> 01:31:35,444 FROM IMMUNOLOGY, PUBLIC BIOLOGY 2261 01:31:35,444 --> 01:31:37,079 AND INTERNATIONAL STUDIES AND 2262 01:31:37,079 --> 01:31:38,147 WERE REPRESENTED IN 4 LABS IN 2263 01:31:38,147 --> 01:31:39,482 THE INSTITUTE. 2264 01:31:39,482 --> 01:31:45,154 INIA ADDITION TO DOING 2265 01:31:45,154 --> 01:31:46,289 SCIENTIFIC RESEARCH, THEY WERE 2266 01:31:46,289 --> 01:31:47,456 ALSO GIVEN A SEMINAR SERIES FOR 2267 01:31:47,456 --> 01:31:48,891 OVER THE COURSE OF 5 WEEKS THEY 2268 01:31:48,891 --> 01:31:50,526 WERE HERE AND IT TURNED OUT TO 2269 01:31:50,526 --> 01:31:52,061 BE AN EXTREMELY SUCCESSFUL 2270 01:31:52,061 --> 01:31:52,428 PROGRAM. 2271 01:31:52,428 --> 01:31:55,965 AND SO WE DECIDED TO EXPAND 2272 01:31:55,965 --> 01:31:59,535 THAT, TO 10-15 OPPORTUNITIES IN 2273 01:31:59,535 --> 01:32:02,605 OUR NEXT SUMMER STAGE AND REALLY 2274 01:32:02,605 --> 01:32:04,907 HATS OFF TO HEALTH EQUITY FOR 2275 01:32:04,907 --> 01:32:07,677 TEABING THAT AND RUNNING SUCH A 2276 01:32:07,677 --> 01:32:08,344 SUCCESSFUL PROGRAM. 2277 01:32:08,344 --> 01:32:14,016 WE ALSO HAVE A VIRTUAL SUMMER 2278 01:32:14,016 --> 01:32:17,253 STUDENT OPPORTUNITY. 2279 01:32:17,253 --> 01:32:18,621 THAT WAS STARRED BY 2280 01:32:18,621 --> 01:32:20,222 [INDISCERNIBLE] DURING COVID 2281 01:32:20,222 --> 01:32:22,491 WHEN OUR SUMMER PROGRAM WAS SHUT 2282 01:32:22,491 --> 01:32:23,993 DOWN IN PERSON, THEY TOGETHER 2283 01:32:23,993 --> 01:32:28,864 WITH THE OPERATING GLOBALLY 2284 01:32:28,864 --> 01:32:29,465 OPERATING GLOBALLY 2285 01:32:29,465 --> 01:32:30,866 OFF--OFFICE OF EDUCATION STARTED 2286 01:32:30,866 --> 01:32:32,835 A VIRTUAL PROGRAM WHERE IN THE 2287 01:32:32,835 --> 01:32:34,870 MORNING THE STUDENTS WERE GIVEN 2288 01:32:34,870 --> 01:32:36,906 DIDACTIC TRAINING AND IN THIS 2289 01:32:36,906 --> 01:32:39,775 CASE THEY WERE TAUGHT TO DO 2290 01:32:39,775 --> 01:32:41,277 BLAST SEQUENCES TO LOOK FOR 2291 01:32:41,277 --> 01:32:44,380 SHARP FORM RNAs AND THE 2292 01:32:44,380 --> 01:32:45,681 DATABASE AND THEN IN THE 2293 01:32:45,681 --> 01:32:46,515 AFTERNOON THEY WOULD BE LEFT TO 2294 01:32:46,515 --> 01:32:51,020 DO A LITTLE BIT OF RESEARCH ON 2295 01:32:51,020 --> 01:32:51,687 THIS PROGRAM. 2296 01:32:51,687 --> 01:32:56,792 AND [INDISCERNIBLE] AND PHILLIP 2297 01:32:56,792 --> 01:32:58,394 AND MATHIAS HAVE RUN THIS FOR 2298 01:32:58,394 --> 01:33:00,396 ABOUT 3 YEARS AND IT REALLY IS 2299 01:33:00,396 --> 01:33:01,597 TARGETING SYSTEMIED AT 2300 01:33:01,597 --> 01:33:02,698 UNDERGRADUATE STUDENT WHO IS 2301 01:33:02,698 --> 01:33:05,468 WANT TO EXPLORE BASIC AND BIY O 2302 01:33:05,468 --> 01:33:07,336 INFORMATICS RESEARCH BUT REALLY 2303 01:33:07,336 --> 01:33:08,604 WHO CAN'T COME TO THE 2304 01:33:08,604 --> 01:33:09,638 [INDISCERNIBLE] AREA SO IT'S A 2305 01:33:09,638 --> 01:33:12,775 BIG ASK FOR MANY STUDENTS TO 2306 01:33:12,775 --> 01:33:14,043 COME TO BETHESDA AND IT'S AN 2307 01:33:14,043 --> 01:33:15,444 OPPORTUNITY TO DO THIS REMOTELY 2308 01:33:15,444 --> 01:33:17,646 AND AS WE SAID, WE HAD 10 THIS 2309 01:33:17,646 --> 01:33:20,182 YEAR, 15 LAST YEAR, IT'S AN 2310 01:33:20,182 --> 01:33:22,318 INKRED EBLLY SUCCESSFUL PROGRAM. 2311 01:33:22,318 --> 01:33:25,421 TO CAP ALL THAT OFF, WE HAVE OUR 2312 01:33:25,421 --> 01:33:29,825 SUMMER AND STUDENT POSTER DATE, 2313 01:33:29,825 --> 01:33:33,496 AND WE HAD 54 IN-PERSON SUMMER 2314 01:33:33,496 --> 01:33:34,930 FELLOWS THIS YEAR. 2315 01:33:34,930 --> 01:33:37,666 WE HAD 10 FELLOWS AND OUT OF 2316 01:33:37,666 --> 01:33:39,969 THAT WE HAD 51 POSTERS LAST 2317 01:33:39,969 --> 01:33:42,271 MONTH SO AGAIN, A VERY 2318 01:33:42,271 --> 01:33:44,707 SUCCESSFUL AND ENGAGING SUMMER 2319 01:33:44,707 --> 01:33:45,374 PROGRAM POSTER DATE. 2320 01:33:45,374 --> 01:33:48,878 I HAVE A NUMBER OF COMPETITIVE 2321 01:33:48,878 --> 01:33:51,514 FUNDING OPPORTUNITIES THAT WE'RE 2322 01:33:51,514 --> 01:33:52,047 SUPPORTING. 2323 01:33:52,047 --> 01:33:55,951 WE HAVE OUR NICHD INTRAMURAL 2324 01:33:55,951 --> 01:33:57,486 FELLOWSHIP AWAR, IT WILL BE THE 2325 01:33:57,486 --> 01:33:58,721 EIGHTH CYCLE WHICH WE STARRED IN 2326 01:33:58,721 --> 01:34:00,423 UNI, THIS IS A GRAPT WRITING 2327 01:34:00,423 --> 01:34:02,792 OPPORTUNITY FOR OUR POST DOCS 2328 01:34:02,792 --> 01:34:03,793 AND CLINICAL FELLOWS BUT 2329 01:34:03,793 --> 01:34:04,894 PRIMARILY THOSE WHO ARE IN THE 2330 01:34:04,894 --> 01:34:06,362 SECOND AND THIRD YEAR OF THE 2331 01:34:06,362 --> 01:34:08,097 TRAINING SO AN AWARD FOR $25,000 2332 01:34:08,097 --> 01:34:12,301 FOR 1 YEAR AND IT CAN BE USED 2333 01:34:12,301 --> 01:34:13,302 REALLY TOWARDS ANYTHING THAT 2334 01:34:13,302 --> 01:34:15,571 THEY WISH THAT WILL EXPAND THEM 2335 01:34:15,571 --> 01:34:19,742 OUT OF THEIR EXISTING RESEARCH 2336 01:34:19,742 --> 01:34:21,577 AND INTERESTS THAT CAN BE 2337 01:34:21,577 --> 01:34:22,878 EQUIPMENT THAT'S NEEDED OR 2338 01:34:22,878 --> 01:34:24,380 REAGENTS, IT CAN BE TRAVEL OR 2339 01:34:24,380 --> 01:34:27,049 TRAVEL TO A TRAINING OPPORTUNITY 2340 01:34:27,049 --> 01:34:31,587 OR TO USE IT AS A STIPEND TO 2341 01:34:31,587 --> 01:34:33,889 HIRE A POST BACCALAUREATE FELLOW 2342 01:34:33,889 --> 01:34:40,563 AND IN 2003 WE HAD 13 2343 01:34:40,563 --> 01:34:41,530 APPLICATIONS,--2023 WE HAD 13 2344 01:34:41,530 --> 01:34:43,265 APPLICATIONS AND REVIEWED BY THE 2345 01:34:43,265 --> 01:34:44,900 GRANTEES AND WORKED ALONG THE 2346 01:34:44,900 --> 01:34:46,235 F-SERIES AWARD ANDS THE CRITERIA 2347 01:34:46,235 --> 01:34:48,437 ARE BASED ON FELLOWSHIP AND 2348 01:34:48,437 --> 01:34:50,940 BIOKETCH AND LEADERSHIP AND 2349 01:34:50,940 --> 01:34:52,374 DIVERSITY STATEMENT, THEIR 2350 01:34:52,374 --> 01:34:54,210 SPONSORS AND COLLABORATORS, THE 2351 01:34:54,210 --> 01:34:55,611 RESEARCH TRAINING PLAN, TRAINING 2352 01:34:55,611 --> 01:34:57,646 POTENTIAL, AND WHAT THE 2353 01:34:57,646 --> 01:34:59,515 ENVIRONMENT IS AND HOW THAT 2354 01:34:59,515 --> 01:35:00,783 WOULD BE COMMITTED TO THEIR 2355 01:35:00,783 --> 01:35:01,050 TRAINING. 2356 01:35:01,050 --> 01:35:04,353 AND I'M HAPPY TO SEE THAT WE HAD 2357 01:35:04,353 --> 01:35:07,723 A VERY SUCCESSFUL CYCLE THERE. 2358 01:35:07,723 --> 01:35:10,359 THE SECOND EARLY CAREER AWARD WE 2359 01:35:10,359 --> 01:35:13,929 HAVE IS REALLY MODELED AFTER AN 2360 01:35:13,929 --> 01:35:18,534 INITIATIVE THAT DIANEA BIANCHI 2361 01:35:18,534 --> 01:35:20,469 TARTED AT TUFTs UNIVERSITY. 2362 01:35:20,469 --> 01:35:22,404 THIS IS OUR FOURTH CYCLE, THIS 2363 01:35:22,404 --> 01:35:23,672 AN OPPORTUNITY AIMED AT 2364 01:35:23,672 --> 01:35:25,908 PROMOTING EARLY STAGE OF 2365 01:35:25,908 --> 01:35:27,643 INTRAMURAL RESEARCHERS AND ALL 2366 01:35:27,643 --> 01:35:32,248 DISCIPLINES, BASIC CLINICAL AND 2367 01:35:32,248 --> 01:35:34,316 TRANSLATIONAL AND EXCITED THAT 2368 01:35:34,316 --> 01:35:35,384 DIANEA USES MONEY FROM THE 2369 01:35:35,384 --> 01:35:36,986 OFFICE OF THE DIRECTOR TO 2370 01:35:36,986 --> 01:35:39,388 SUPPORT THIS AWARD AND IT'S 2371 01:35:39,388 --> 01:35:42,324 BEEN--THEY WERE ABOUT TO START 2372 01:35:42,324 --> 01:35:43,959 OUR POST SITE WITH THIS AND 2373 01:35:43,959 --> 01:35:47,062 INDIVIDUALS AGAIN ARE AWARDED UP 2374 01:35:47,062 --> 01:35:50,032 TO $25,000 FOR OUTSTANDING 2375 01:35:50,032 --> 01:35:53,269 ORIGINAL RESEARCH PROPOSALS. 2376 01:35:53,269 --> 01:35:55,671 THEY CONTAIN 10,000 FOR 2377 01:35:55,671 --> 01:35:56,572 APPLICATIONS FOR SCIENTIFIC 2378 01:35:56,572 --> 01:35:58,240 MEETING APPLICATION OR TO GO FOR 2379 01:35:58,240 --> 01:35:59,174 AITITIONAL TRAINING THAT WILL 2380 01:35:59,174 --> 01:35:59,875 SUPPORT THEIR PROFESSIONAL 2381 01:35:59,875 --> 01:36:02,578 DEVELOPMENT AND THIS YEAR WE HAD 2382 01:36:02,578 --> 01:36:04,413 57 APPLICATIONS FOR A TOTAL OF 2383 01:36:04,413 --> 01:36:05,714 19 AWARDS FOR ABOUT HALF A MILL 2384 01:36:05,714 --> 01:36:06,448 YEN DOLLARS. 2385 01:36:06,448 --> 01:36:14,657 JUST A REALLY EXCITING EARLY 2386 01:36:14,657 --> 01:36:15,624 CAREER OPPORTUNITY. 2387 01:36:15,624 --> 01:36:17,326 FINALLY 1 OF THE NEW PROGRAMS WE 2388 01:36:17,326 --> 01:36:18,594 STARRED THIS YEAR WE HAVE A 2389 01:36:18,594 --> 01:36:19,895 POPULATION OF STAFF SCIENTISTS 2390 01:36:19,895 --> 01:36:21,063 AND STAFF CLINICIANS THAT ARE 2391 01:36:21,063 --> 01:36:23,866 TYPICAL LOW IN PARTS OF CAREER 2392 01:36:23,866 --> 01:36:26,569 THAT THEY DON'T CONSIDER 2393 01:36:26,569 --> 01:36:27,403 THEMSELVES TRAINEES, WE DON'T 2394 01:36:27,403 --> 01:36:28,337 CONSIDER THEM TRAINEES AND 2395 01:36:28,337 --> 01:36:30,739 THERE'S KIND OF LIKE A LOST 2396 01:36:30,739 --> 01:36:33,042 POPULATION AND IN TALKING WITH 2397 01:36:33,042 --> 01:36:35,010 THE STAFF SCIENTISTS, IT BECAME 2398 01:36:35,010 --> 01:36:39,114 CHLOR THAT THEY THEMSELVES FELT 2399 01:36:39,114 --> 01:36:39,949 THAT THEY NEEDED SOME 2400 01:36:39,949 --> 01:36:41,083 OPPORTUNITY FOR TRAINING AND 2401 01:36:41,083 --> 01:36:43,385 DEVELOPMENT TO DO CAREER 2402 01:36:43,385 --> 01:36:43,919 DEVELOPMENT. 2403 01:36:43,919 --> 01:36:48,357 MANY OF OUR STAFF SCIENTISTS SEE 2404 01:36:48,357 --> 01:36:49,625 THAT OPPORTUNITY--THIS IS A 2405 01:36:49,625 --> 01:36:51,594 LONG-TERM GOAL, IN SEE IT AS A 2406 01:36:51,594 --> 01:36:53,062 STEPPING STONE TO AN INDEPENDENT 2407 01:36:53,062 --> 01:36:55,698 CAREER AND SO WE ESTABLISHED A 2408 01:36:55,698 --> 01:36:58,000 NEW CAREER OPPORTUNITY AWARD FOR 2409 01:36:58,000 --> 01:36:59,969 AN INDIVIDUAL AWARDS UP TO 2410 01:36:59,969 --> 01:37:02,137 $20,000 AND AGAIN, THIS IS 2411 01:37:02,137 --> 01:37:03,339 REALLY OPEN ENDED WITH WHAT YOU 2412 01:37:03,339 --> 01:37:06,809 CAN USE THAT MONEY FOR AND MOST 2413 01:37:06,809 --> 01:37:11,580 PEOPLE IN THE END USED IT TO GO 2414 01:37:11,580 --> 01:37:13,649 TO TRAINING OPPORTUNITIES THINGS 2415 01:37:13,649 --> 01:37:15,751 LIKE [INDISCERNIBLE] TRAINING 2416 01:37:15,751 --> 01:37:17,453 COURSES REALLY FOR USE AND 2417 01:37:17,453 --> 01:37:20,489 PROFESSIONAL DEVELOPMENT. 2418 01:37:20,489 --> 01:37:21,757 SO WE HAD 23 APPLICATIONS OF ALL 2419 01:37:21,757 --> 01:37:23,225 OF OUR THROW A FOOTBALL 2420 01:37:23,225 --> 01:37:26,962 SCIENTIST POPULATION FOR 11 2421 01:37:26,962 --> 01:37:28,831 AWARDS THAT TOTALED ABOUT 100 2422 01:37:28,831 --> 01:37:29,598 AND THIOF THE THOUSAND DOLLARS. 2423 01:37:29,598 --> 01:37:31,300 SO I WILL STOP THERE, THESE ARE 2424 01:37:31,300 --> 01:37:32,668 SOME OF THE INITTIAIVE ITS WE 2425 01:37:32,668 --> 01:37:34,536 HAVE GOING ON AT THE MOMENT. 2426 01:37:34,536 --> 01:37:35,537 I WILL BE HAPPY TO TAKE ANY 2427 01:37:35,537 --> 01:37:37,940 QUESTIONS YOU MAY HAVE. 2428 01:37:37,940 --> 01:37:38,240 THANK YOU. 2429 01:37:38,240 --> 01:37:48,450 [ APPLAUSE ] 2430 01:37:49,218 --> 01:37:49,385 ANYBODY? 2431 01:37:49,385 --> 01:37:50,953 >> I WOULD LIKE TO JUST COMMENT 2432 01:37:50,953 --> 01:37:52,287 THAT IT'S BEEN A REAL PLEASURE 2433 01:37:52,287 --> 01:37:53,989 TO SEE YOU GIVE THIS 2434 01:37:53,989 --> 01:37:54,823 PRESENTATION AS INTERIM DIRECTOR 2435 01:37:54,823 --> 01:37:56,325 AND LAST YEAR AS DIRECTOR AND 2436 01:37:56,325 --> 01:37:57,526 THEN THIS YEAR AGAIN, SO IT'S 2437 01:37:57,526 --> 01:37:59,028 NICE FROM A COUNSEL PERSPECTIVE 2438 01:37:59,028 --> 01:38:00,763 TO SEE THE PROGRESS YOU'VE MADE 2439 01:38:00,763 --> 01:38:01,597 NTHANK YOU. 2440 01:38:01,597 --> 01:38:02,965 THANK YOU FOR SAYING THAT I 2441 01:38:02,965 --> 01:38:03,399 APPRECIATE THAT. 2442 01:38:03,399 --> 01:38:05,668 >> I DID HAVE A COUPLE 2443 01:38:05,668 --> 01:38:06,869 QUESTIONS, SOME ARE CLARIFYING 2444 01:38:06,869 --> 01:38:09,338 AND SOME ARE CURIOSITY. 2445 01:38:09,338 --> 01:38:10,606 YOU DISCUSS THE AFFINITY DPROWPS 2446 01:38:10,606 --> 01:38:12,675 AND YOU MENTIONED SOME OF THEM 2447 01:38:12,675 --> 01:38:14,309 ARE SMALL, IINOID 1 OF THEM HAD 2448 01:38:14,309 --> 01:38:16,278 2 PEOPLE, CAN YOU TELL US ABOUT 2449 01:38:16,278 --> 01:38:18,313 THE PROCESS FOR DECIDING HOW 2450 01:38:18,313 --> 01:38:19,682 OFTEN DO YOU REVIEW AFFINITY 2451 01:38:19,682 --> 01:38:23,218 GROUPS AND HOW DO YOU MAKE THOSE 2452 01:38:23,218 --> 01:38:24,486 DECISIONS COLLECTIVELY? 2453 01:38:24,486 --> 01:38:25,654 >> YEAH, SO, THOSE ALL OF THOSE 2454 01:38:25,654 --> 01:38:29,692 NAMES THAT ARE IN THOSE AFFINITY 2455 01:38:29,692 --> 01:38:31,026 GROUPS THAT'S THEIR PRIMARY 2456 01:38:31,026 --> 01:38:31,627 CHOICE AFFINITY GROUP. 2457 01:38:31,627 --> 01:38:35,030 SO A NUMBER OF THOSE AFFINITY 2458 01:38:35,030 --> 01:38:36,432 GROUPS HAVE SECONDARY MEMBERS. 2459 01:38:36,432 --> 01:38:37,966 SO ALTHOUGH THERE'S ONLY 2 LABS 2460 01:38:37,966 --> 01:38:39,702 IN THERE, THERE ARE SEVERAL 2461 01:38:39,702 --> 01:38:40,736 OTHER INVESTIGATORS THAT DROP IN 2462 01:38:40,736 --> 01:38:42,571 AND DROP OUT OF THAT. 2463 01:38:42,571 --> 01:38:47,443 AND WE'VE TRIED TO ALLOW THEM--I 2464 01:38:47,443 --> 01:38:48,944 MEAN, I PARTICULARLY DON'T WANT 2465 01:38:48,944 --> 01:38:52,548 TO PUT TOO MANY RULES ON TO THEM 2466 01:38:52,548 --> 01:38:54,049 BECAUSE THEY'RE REALLY YOUR 2467 01:38:54,049 --> 01:38:55,584 SCIENTIFIC PEERS YOU WANT TO 2468 01:38:55,584 --> 01:38:57,186 INTERACT WITH AND PARTICULARLY 2469 01:38:57,186 --> 01:39:00,122 IT'S YOUR TRAINEES THAT WANT TO 2470 01:39:00,122 --> 01:39:05,060 INTERACT WITH LIKE TRAINEES FROM 2471 01:39:05,060 --> 01:39:05,894 LABS DOING SIMILAR RESEARCH. 2472 01:39:05,894 --> 01:39:08,330 SOME OF THEM ARE TOGETHER FOR 2473 01:39:08,330 --> 01:39:09,398 HISTORICAL REASONS, THEY'VE BEEN 2474 01:39:09,398 --> 01:39:10,599 AROUND, THESE PEOPLE HAVE BEEN 2475 01:39:10,599 --> 01:39:12,768 AROUND FOR MANY YEARS AND HAVE 2476 01:39:12,768 --> 01:39:15,104 INTERACTED AND OTHER VS COME 2477 01:39:15,104 --> 01:39:19,341 TOGETHER ANDEC BROKEN APART. 2478 01:39:19,341 --> 01:39:21,810 SO THE SMALL 1S I HAVE 2479 01:39:21,810 --> 01:39:24,179 HAD--VERONICA AND I HAD THIS 2480 01:39:24,179 --> 01:39:25,547 CONVERSATION THE OTHER THAT 2481 01:39:25,547 --> 01:39:26,348 BETTER OPPORTUNITIES NOW FOR 2482 01:39:26,348 --> 01:39:28,851 THERE ARE 2 GROUPS THAT WANT IS 2483 01:39:28,851 --> 01:39:32,020 2 AND 1 IS 3, THEY'RE ALL 2484 01:39:32,020 --> 01:39:33,055 THINKING ABOUT SIMILAR THINGS 2485 01:39:33,055 --> 01:39:34,123 AND THEY'RE CLINICAL AND 2486 01:39:34,123 --> 01:39:34,957 TRANSLATIONAL AND SO NOW IT 2487 01:39:34,957 --> 01:39:37,326 WOULD BE GREAT FOR THEM TO COME 2488 01:39:37,326 --> 01:39:40,162 TOGETHER AND EITHER JOIN 1 GROUP 2489 01:39:40,162 --> 01:39:41,463 OR TO BREAK APART SOMETHING 2490 01:39:41,463 --> 01:39:41,764 ELSE. 2491 01:39:41,764 --> 01:39:45,033 SO IT'S REALLY AT THE DISKRUGZ 2492 01:39:45,033 --> 01:39:49,071 OF THE INVESTIGATORS, WHAT ARE 2493 01:39:49,071 --> 01:39:50,839 THEIR NEEDS IN TERMS 2494 01:39:50,839 --> 01:39:51,373 INTELLECTUAL INTERACTIONS. 2495 01:39:51,373 --> 01:39:52,841 YOU HAVE TO REMEMBER, SO MY LAB 2496 01:39:52,841 --> 01:39:54,343 IS IN THIS BUILDING, THERE ARE 2497 01:39:54,343 --> 01:39:56,712 50 INVESTIGATORS IN THIS 2498 01:39:56,712 --> 01:39:59,148 BUILDING ACROSS 13 INSTITUTES SO 2499 01:39:59,148 --> 01:40:01,049 ALTHOUGH MY AFFINITY GROUP IS 2500 01:40:01,049 --> 01:40:02,985 ALL CHILD HEALTH INVESTIGATORS I 2501 01:40:02,985 --> 01:40:05,521 AH ALSO INTERACT WITH A HUGE 2502 01:40:05,521 --> 01:40:06,655 SWATH OF NEUROSCIENTIST 2503 01:40:06,655 --> 01:40:08,257 INVESTIGATORS SO RATHER THAN 2504 01:40:08,257 --> 01:40:10,292 TRYING TO LOCK PEOPLE INTO 2505 01:40:10,292 --> 01:40:11,560 INTERACTING WITH ONLY CHILD 2506 01:40:11,560 --> 01:40:12,294 HEALTH INVESTIGATORS, IT'S AN 2507 01:40:12,294 --> 01:40:13,462 OPPORTUNITY FOR THE TRAINEES TO 2508 01:40:13,462 --> 01:40:15,931 FIND A HOME AS WELL AS SORT OF 2509 01:40:15,931 --> 01:40:16,899 ENCOURAGE OTHER INTERACTIONS SO 2510 01:40:16,899 --> 01:40:18,600 THAT'S HOW WE SORT OF THINK 2511 01:40:18,600 --> 01:40:19,902 ABOUT THEM. 2512 01:40:19,902 --> 01:40:21,270 >> SO MY OTHER--THIS IS CHANGING 2513 01:40:21,270 --> 01:40:22,571 THE TOPIC A LITTLE BIT MY OTHER 2514 01:40:22,571 --> 01:40:24,540 QUESTION WAS ABOUT WHEN YOU WERE 2515 01:40:24,540 --> 01:40:26,508 DESCRIBING THE TRAINING 2516 01:40:26,508 --> 01:40:29,945 OPPORTUNITIES YOU TALKED ABOUT 2517 01:40:29,945 --> 01:40:33,582 THE OFFICE OF EDUCATION,. 2518 01:40:33,582 --> 01:40:33,949 >> YEAH. 2519 01:40:33,949 --> 01:40:37,452 >> AND THEN YOU TALKED ABOUT THE 2520 01:40:37,452 --> 01:40:37,619 OHE. 2521 01:40:37,619 --> 01:40:41,323 CAN YOU CLARIFY FOR US WHAT'S AN 2522 01:40:41,323 --> 01:40:42,524 INTRAMURAL OFFICE VERSUS AN 2523 01:40:42,524 --> 01:40:43,992 EXTRAMURAL OFFICE AND ON TOP OF 2524 01:40:43,992 --> 01:40:45,527 THAT HOW DO IMPOSSIBLE TO BUILD 2525 01:40:45,527 --> 01:40:46,495 RAMURAL AND EXTRAMURAL OFFICE 2526 01:40:46,495 --> 01:40:47,462 HAVE THE SAME FOCUS IF YOU WANT 2527 01:40:47,462 --> 01:40:49,631 TO CALL IT THAT, HOW DO THEY 2528 01:40:49,631 --> 01:40:50,232 WORK TOGETHER? 2529 01:40:50,232 --> 01:40:50,532 >> RIGHT. 2530 01:40:50,532 --> 01:40:54,536 SO MOST OF WHAT I'VE TALKED 2531 01:40:54,536 --> 01:40:57,139 ABOUT ARE OFFICES THAT ARE 2532 01:40:57,139 --> 01:40:58,207 UNIQUE TO INTRAMURAL WITH THE 2533 01:40:58,207 --> 01:40:59,808 EXCEPTION OF THE OFFICE OF 2534 01:40:59,808 --> 01:41:01,376 HEALTH EQUITY WHICH RESIDES IN 2535 01:41:01,376 --> 01:41:02,377 THE OFFICE OF THE DIRECTOR. 2536 01:41:02,377 --> 01:41:07,182 AND THAT IS A NEWEL FORMED 2537 01:41:07,182 --> 01:41:10,485 OFFICE THAT WE AS AN INSTITUTE 2538 01:41:10,485 --> 01:41:14,556 HAVE USED TO CAPTURE DIVERSITY 2539 01:41:14,556 --> 01:41:16,058 EQUITY, INCLUBHOUSIVITY, ALL OF 2540 01:41:16,058 --> 01:41:17,326 THESE INITIATIVES AND RATHER 2541 01:41:17,326 --> 01:41:20,329 THAN HAVING 1 FOR INTRAMURAL, 1 2542 01:41:20,329 --> 01:41:21,029 FOR EXTRAMURAL, WHATEVER, 2543 01:41:21,029 --> 01:41:23,198 THEY'RE LOOKING IN ALL 2544 01:41:23,198 --> 01:41:31,406 DIRECTIONS SOLET OHE HAS BEEN 2545 01:41:31,406 --> 01:41:32,040 INCREDIBLY SUCCESSFUL--SO 1 OF 2546 01:41:32,040 --> 01:41:33,642 THE THINGS I DID WHEN I FIRST 2547 01:41:33,642 --> 01:41:35,677 BECAME DIRECTOR WAS TO APPOINT 2548 01:41:35,677 --> 01:41:37,379 AN ASSOCIATE DIRECTOR FOR 2549 01:41:37,379 --> 01:41:39,481 DIVERSITY WELL THEN IT'S LIKE 2550 01:41:39,481 --> 01:41:40,415 WE'RE JUST DUPLICATING OUR 2551 01:41:40,415 --> 01:41:42,584 EFFORTS SO WHY DON'T WE MEET TO 2552 01:41:42,584 --> 01:41:44,920 SEE HOW WE CAN DO THIS TOGETHER 2553 01:41:44,920 --> 01:41:46,521 AND THAT HAS--YOU KNOW THAT'S 1 2554 01:41:46,521 --> 01:41:49,625 OF THOSE KIND OF SITUATIONS FOR 2555 01:41:49,625 --> 01:41:50,926 FORMING THE OFFICE HAS BEEN SO 2556 01:41:50,926 --> 01:41:54,630 RIGHT FOR THE INSTITUTE BECAUSE 2557 01:41:54,630 --> 01:41:57,666 THEY ARE LOOKING AT BOTH EXTRA 2558 01:41:57,666 --> 01:41:59,334 AND INTRA, AND SEEING WHAT'S 2559 01:41:59,334 --> 01:42:01,169 UNIQUE TO INTRA THAT THEY CAN 2560 01:42:01,169 --> 01:42:03,605 HELP US COMPARED TO WHAT THEY'RE 2561 01:42:03,605 --> 01:42:07,042 DOING IN ODO OR EXTRA. 2562 01:42:07,042 --> 01:42:10,712 AND I HAVE TO SAY THAT ERICA AND 2563 01:42:10,712 --> 01:42:11,680 1 [INDISCERNIBLE] THEIR 2564 01:42:11,680 --> 01:42:12,714 ENTHUSIASM IS INFECTIOUS AND 2565 01:42:12,714 --> 01:42:14,249 THEY KEEP COMING TO ME AND 2566 01:42:14,249 --> 01:42:15,384 SAYING, WELL WE ARE THIS IDEA 2567 01:42:15,384 --> 01:42:17,286 BUT YOU KNOW WE NEED SOME MONEY 2568 01:42:17,286 --> 01:42:20,355 AND I GO HOW MUCH MONEY? 2569 01:42:20,355 --> 01:42:25,127 AND THEY GO, UM, 10, 15? 2570 01:42:25,127 --> 01:42:26,061 AND THEY'RE YUF--YOU KNOW THAT 2571 01:42:26,061 --> 01:42:28,630 THEY'RE GOING TO TAKE THAT AND 2572 01:42:28,630 --> 01:42:31,199 RUN WITH SOMETHING VERY, VERY 2573 01:42:31,199 --> 01:42:31,967 SUCCESSFUL. 2574 01:42:31,967 --> 01:42:33,101 SO THAT'S REALLY THE ONLY OFFICE 2575 01:42:33,101 --> 01:42:37,072 THAT I TALKED ABOUT THAT SPANS 2576 01:42:37,072 --> 01:42:38,307 INTRA VERSUS EXTRA. 2577 01:42:38,307 --> 01:42:39,808 EVERYTHING ELSE IS UNIQUE EITHER 2578 01:42:39,808 --> 01:42:42,110 WITHIN OUR OWN INSTITUTE OR IS 2579 01:42:42,110 --> 01:42:48,050 ACROSS THE NIH INTRAMURAL WIDE. 2580 01:42:48,050 --> 01:42:48,483 YEAH? 2581 01:42:48,483 --> 01:42:50,919 >> THANK YOU FOR THE NICE 2582 01:42:50,919 --> 01:42:51,253 PRESENTATION. 2583 01:42:51,253 --> 01:42:53,889 I HAVE A QUESTION ABOUT THE 2584 01:42:53,889 --> 01:42:56,491 TBRADUATE STUDENTS YOU BRIEFLY 2585 01:42:56,491 --> 01:43:00,095 MENTIONED YOU HAVE FOUND 15, I 2586 01:43:00,095 --> 01:43:02,664 THINK OUT OF 250 SOMETHING 2587 01:43:02,664 --> 01:43:03,665 TRAINEES WITH PARTNERSHIPS TO 2588 01:43:03,665 --> 01:43:05,767 CONTINUE TO COLLABORATE A LITTLE 2589 01:43:05,767 --> 01:43:07,502 MORE WITH HOW THAT WORK ANDS 2590 01:43:07,502 --> 01:43:10,172 POTENTIALLY THE GROUP OF 2591 01:43:10,172 --> 01:43:12,808 TRAINEES YOU HOPE TO INCREASE IN 2592 01:43:12,808 --> 01:43:13,275 NUMBER. 2593 01:43:13,275 --> 01:43:15,577 >> YES, YES, GREAT QUESTION. 2594 01:43:15,577 --> 01:43:21,550 SO, DURING THE FARMUS--WHEN 2595 01:43:21,550 --> 01:43:23,652 HAROLD VARMUS WAS THE NIH 2596 01:43:23,652 --> 01:43:25,120 DIRECTOR HE WAS KEEN TO 2597 01:43:25,120 --> 01:43:27,055 ESTABLISH A GRADUATE PROGRAM ON 2598 01:43:27,055 --> 01:43:28,924 CAMPUS AND FOR HISTORICAL 2599 01:43:28,924 --> 01:43:31,493 REASONS, THE NIH IS DELIBERATELY 2600 01:43:31,493 --> 01:43:33,128 NOT AN ACCREDITED ACADEMIC 2601 01:43:33,128 --> 01:43:34,930 INSTITUTION AND HE SAW A 2602 01:43:34,930 --> 01:43:36,865 WIMBERLY THAT WE COULD USE THAT 2603 01:43:36,865 --> 01:43:39,935 TO OUR ADVANTAGE AND FORM 2604 01:43:39,935 --> 01:43:41,303 PARTNERSHIPS WITH INTERESTED 2605 01:43:41,303 --> 01:43:45,240 UNIVERSITIES AROUND THE GLOBE. 2606 01:43:45,240 --> 01:43:49,478 SO SOME OF THEM CAME FROM THE 2607 01:43:49,478 --> 01:43:51,046 OXFORD, CAMBRIDGE PROGRAM, 2608 01:43:51,046 --> 01:43:53,715 UNIVERSITIES OF FROM CHILE, HONG 2609 01:43:53,715 --> 01:43:55,283 KONG, DUKE, BROWN AND SO ON AND 2610 01:43:55,283 --> 01:43:56,018 SO FORTH. 2611 01:43:56,018 --> 01:43:59,121 SO THESE ALL POPPED UP AND KIND 2612 01:43:59,121 --> 01:44:00,389 OF BECAME INCREDIBLY SUCCESSFUL 2613 01:44:00,389 --> 01:44:02,591 BUT QUITE SMALL, YOU BE SO 2614 01:44:02,591 --> 01:44:06,294 MAYBE, 3, 4, 5, STUDENTS TOPS, 2615 01:44:06,294 --> 01:44:09,197 SO, CURRENTLY THEIR EXISTS 2616 01:44:09,197 --> 01:44:11,466 SOMETHING LIKE 38 DIFFERENT 2617 01:44:11,466 --> 01:44:12,267 GRADUATE PARTNERSHIP PROGRAMS, 2618 01:44:12,267 --> 01:44:14,403 SOME ARE JUST INDIVIDUAL 2619 01:44:14,403 --> 01:44:15,370 PARTNERSHIPS, CAN YOU HAVE A 2620 01:44:15,370 --> 01:44:16,738 PARTNERSHIP, IF I HAVE A FRIEND 2621 01:44:16,738 --> 01:44:18,407 AT A UNIVERSITY AND WE WANT TO 2622 01:44:18,407 --> 01:44:19,408 SHARE A DPRADUATE STUDENT, WE 2623 01:44:19,408 --> 01:44:20,809 CAN PULL THEM ON INDIVIDUAL 2624 01:44:20,809 --> 01:44:23,345 PARTNERSHIP AND WE WILL SHARE 2625 01:44:23,345 --> 01:44:24,513 THAT GRADUATE STUDENT. 2626 01:44:24,513 --> 01:44:25,747 NOW THESE GRADUATE STUDENTS ARE 2627 01:44:25,747 --> 01:44:27,749 SUBJECT TO THE RULES AND 2628 01:44:27,749 --> 01:44:29,484 REGULATIONS OF THEIR HOST 2629 01:44:29,484 --> 01:44:31,086 INSTITUTION, SO THAT'S WHO'S 2630 01:44:31,086 --> 01:44:36,258 GRANTING THE DEGREE AND SO THEY 2631 01:44:36,258 --> 01:44:37,893 ALL VARY IN HOW THEY OPERATE. 2632 01:44:37,893 --> 01:44:40,228 SOME STUDENT OR TRAINEE COMES TO 2633 01:44:40,228 --> 01:44:42,130 THE INTRAMURAL PROGRAM, THEY DO 2634 01:44:42,130 --> 01:44:43,565 THEIR ENTIRE RESEARCH PROGRAM AT 2635 01:44:43,565 --> 01:44:46,101 THE NIH, SOME OF THEM LIKE KARL 2636 01:44:46,101 --> 01:44:47,702 [INDISCERNIBLE], YOU DO 2, IN 2637 01:44:47,702 --> 01:44:51,006 STOCKHOLM, 2 AT THE NIH, AT 2638 01:44:51,006 --> 01:44:53,475 OXFORD, 2 AT THE CAMBRIDGE, 2 AT 2639 01:44:53,475 --> 01:44:56,244 NIH, SO THEY'VE BEEN AROUND NOW 2640 01:44:56,244 --> 01:44:57,412 FOR ABOUT ALMOST A LITTLE SHORT 2641 01:44:57,412 --> 01:45:05,053 OF 15-20 YEARS AND WHEN I BECAE 2642 01:45:05,053 --> 01:45:06,988 ACTING SCIENTIFIC DISTRICTOR, I 2643 01:45:06,988 --> 01:45:08,423 HAD 8 OR 10 GRADUATE STUDENTS 2644 01:45:08,423 --> 01:45:10,492 OVER THE COURSE OF MY TIME AT 2645 01:45:10,492 --> 01:45:13,061 NICHEAR D AND I ASSUMED THAT THE 2646 01:45:13,061 --> 01:45:15,931 INNSITUTE HAD MANY, MANY MORE 2647 01:45:15,931 --> 01:45:17,666 THAN WE ACTUALLY HAD AND SO TO 2648 01:45:17,666 --> 01:45:19,468 MY SORT OF SURPRISE WE ONLY HAD 2649 01:45:19,468 --> 01:45:21,436 10 OR 12 AT ANY 1 TIME SO 1 OF 2650 01:45:21,436 --> 01:45:23,238 THE VERY FIRST THINGS I DID WAS 2651 01:45:23,238 --> 01:45:24,739 ASK PEOPLE, WHAT'S THE 2652 01:45:24,739 --> 01:45:26,141 IMPEDIMENT TO DOING THIS BECAUSE 2653 01:45:26,141 --> 01:45:27,609 IT'S SUCH A REWARDING 2654 01:45:27,609 --> 01:45:29,678 OPPORTUNITY TO HAVE A IMRADUATE 2655 01:45:29,678 --> 01:45:32,147 STUDENT AND MOST PEOPLE WERE 2656 01:45:32,147 --> 01:45:35,417 LIKE, IT'S TOO CONFUSING TOO 2657 01:45:35,417 --> 01:45:37,519 EXPENSIVE, THERE'S HIDDEN COSTS, 2658 01:45:37,519 --> 01:45:38,720 BEN FEES, TUITION, I DON'T KNOW 2659 01:45:38,720 --> 01:45:40,822 WHO PAYS THAT, AND SO MY--I 2660 01:45:40,822 --> 01:45:42,157 JUSTED, I WILL PAY FOR ALL OF 2661 01:45:42,157 --> 01:45:45,794 THAT, I WILL JUST PICK UP, YOU 2662 01:45:45,794 --> 01:45:47,562 PAY FOR THE SALARY AND I WILL 2663 01:45:47,562 --> 01:45:49,364 PAY EVERYTHING ELSE. 2664 01:45:49,364 --> 01:45:51,399 SO I CENTRALIZED ALL THOSE 2665 01:45:51,399 --> 01:45:55,704 CHARGES TO COME FROM THE OSD. 2666 01:45:55,704 --> 01:45:58,006 AND MY MOTIVATION FOR THAT WAS 2667 01:45:58,006 --> 01:46:01,877 TO RETHAT AND PAY THEM AND SAY 2668 01:46:01,877 --> 01:46:03,311 IT WAS TOO DIFFICULT. 2669 01:46:03,311 --> 01:46:05,313 I WENT TO WE HAVE 11 NOW WE'VE 2670 01:46:05,313 --> 01:46:07,182 GOT 17 AND WE'VE GOT MORE COMING 2671 01:46:07,182 --> 01:46:08,817 SO I'M HOPING THAT THAT NUMBER 2672 01:46:08,817 --> 01:46:09,885 WILL KEEP INCREASING AS TIME 2673 01:46:09,885 --> 01:46:11,253 GOES ON. 2674 01:46:11,253 --> 01:46:14,022 SO IT'S A--I THINK THAT'S AN 2675 01:46:14,022 --> 01:46:14,656 INCREDIBLE VALUABLE OPPORTUNITY 2676 01:46:14,656 --> 01:46:24,566 FOR US TO HAVE GRADUATE 2677 01:46:24,566 --> 01:46:24,833 STUDENTS. 2678 01:46:24,833 --> 01:46:25,133 YEAH? 2679 01:46:25,133 --> 01:46:26,635 >> I JUST WANTED TO ECHO THE 2680 01:46:26,635 --> 01:46:30,539 COMMENT FROM KATHRYN BECAUSE 2681 01:46:30,539 --> 01:46:32,841 IT'S BEEN AMAZING TO SEE YOU GO 2682 01:46:32,841 --> 01:46:36,044 FROM INTRA TO THE BIG DOG SHALL 2683 01:46:36,044 --> 01:46:36,444 WE SAY. 2684 01:46:36,444 --> 01:46:40,582 I WILL SAY YOU HAVE INFECTIOUS 2685 01:46:40,582 --> 01:46:43,218 ENTHUSIASM AND WE ALL FEEL IT, 2686 01:46:43,218 --> 01:46:44,419 EX- IN EVERYTHING YOU'VE DONE, 2687 01:46:44,419 --> 01:46:46,188 I'M SO EXCITED TO SEE HOW VERY 2688 01:46:46,188 --> 01:46:47,589 INVESTED YOU ARE IN THE NEXT 2689 01:46:47,589 --> 01:46:48,990 GENERATION AND HOW THOUGHTFUL 2690 01:46:48,990 --> 01:46:50,425 YOUR LEADERSHIP HAS BEEN IN THAT 2691 01:46:50,425 --> 01:46:53,028 REGARD, SO JUST KNOW THAT YOU 2692 01:46:53,028 --> 01:46:57,199 ARE IMPACING ALL OF US WITH YOUR 2693 01:46:57,199 --> 01:46:58,166 ENTHUSIASM AND WE REALLY 2694 01:46:58,166 --> 01:46:58,934 APPRECIATE IT. 2695 01:46:58,934 --> 01:46:59,901 THE OTHER THING REALLY EXCITED 2696 01:46:59,901 --> 01:47:02,237 TO HEAR YOU SAY IS THAT YOU ARE 2697 01:47:02,237 --> 01:47:06,007 ACTUALLY WORKING WITH ABERCROM, 2698 01:47:06,007 --> 01:47:07,509 FOR PEOPLE WHO DON'T KNOW THAT 2699 01:47:07,509 --> 01:47:09,477 PROGRAM, LOOK IT UP EMPLOY IT IS 2700 01:47:09,477 --> 01:47:11,112 AN AMAZING PROGRAM AND REFLEKS 2701 01:47:11,112 --> 01:47:12,447 THE NEXT GENERATION SO THANK YOU 2702 01:47:12,447 --> 01:47:14,516 FOR YOUR LEADERSHIP AND KUDOS ON 2703 01:47:14,516 --> 01:47:16,251 SUCH A JOB WELL DONE. 2704 01:47:16,251 --> 01:47:18,453 WELL, I REALLY, REALLY 2705 01:47:18,453 --> 01:47:18,920 APPRECIATE IT. 2706 01:47:18,920 --> 01:47:21,289 THAT MEANS A LOT TO ME. 2707 01:47:21,289 --> 01:47:24,593 THANK YOU SO MUCH. 2708 01:47:24,593 --> 01:47:29,164 >> THE INITIATIVE IS A PRODUCT 2709 01:47:29,164 --> 01:47:29,831 OF [INDISCERNIBLE] BANERJEE WHO 2710 01:47:29,831 --> 01:47:31,633 IS IN THE INSTITUTE AND HE HAS 2711 01:47:31,633 --> 01:47:33,168 BEEN DOGGED IN SUPPORT FOR OUR 2712 01:47:33,168 --> 01:47:34,569 TRAINEES TO GO THERE AND TO BE 2713 01:47:34,569 --> 01:47:36,071 HONEST IT WAS NOT SOMETHING I 2714 01:47:36,071 --> 01:47:37,739 WAS AWARE OF AT ALL UNTIL A 2715 01:47:37,739 --> 01:47:38,940 COUPLE YEARS AGO AND THEN WE 2716 01:47:38,940 --> 01:47:40,375 SORT OF INNEDLY AND WITH THE 2717 01:47:40,375 --> 01:47:41,543 OFFICE OF HEALTH EQUITY WE 2718 01:47:41,543 --> 01:47:42,811 REALIZE THAT THEREYA KNOW 2719 01:47:42,811 --> 01:47:44,879 OPPORTUNITY THERE TO HAVE THIS 2720 01:47:44,879 --> 01:47:46,147 AMBASSADOR'S PROGRAM WHERE WE'RE 2721 01:47:46,147 --> 01:47:47,749 GOING TO, YOU KNOW ARM PEOPLE 2722 01:47:47,749 --> 01:47:49,451 WITH THE INFORMATION AND LET 2723 01:47:49,451 --> 01:47:50,819 THEM KNOW, ABOUT THE 2724 01:47:50,819 --> 01:47:52,921 OPPORTUNITIES ARE AT THE NICHD, 2725 01:47:52,921 --> 01:47:55,357 SO AS I SAID, THAT'S THE FIRST 2726 01:47:55,357 --> 01:47:59,728 OF I THINK A NUMBER OF THEM AND 2727 01:47:59,728 --> 01:48:01,229 SOCIETY MEETINGS OR MEETINGS 2728 01:48:01,229 --> 01:48:03,131 WE'RE GOING TO START TARGETED, 2729 01:48:03,131 --> 01:48:04,065 BUT, YEAH, I APPRECIATE YOU 2730 01:48:04,065 --> 01:48:05,133 SAYING THAT BECAUSE I THINK IT'S 2731 01:48:05,133 --> 01:48:07,435 GOING TO BE VERY SPECIAL FOR US, 2732 01:48:07,435 --> 01:48:16,645 MOVING FORWARD. 2733 01:48:16,645 --> 01:48:17,078 THANK YOU. 2734 01:48:17,078 --> 01:48:20,982 >> I HAVE A QUESTION, SO OUT OF 2735 01:48:20,982 --> 01:48:22,183 YOUR 254 TRAINEES 137 POST A 2736 01:48:22,183 --> 01:48:22,817 JOB. 2737 01:48:22,817 --> 01:48:24,019 THAT'S QUITE A LARGE GROUP. 2738 01:48:24,019 --> 01:48:25,754 I WONDER IF YOU HAVE ANY 2739 01:48:25,754 --> 01:48:26,721 INFORMATION ABOUT THE OUTCOMES 2740 01:48:26,721 --> 01:48:28,957 BECAUSE SOME OF THE CHAL EVENLGS 2741 01:48:28,957 --> 01:48:39,467 WE HAVE EXTRAMURALLY TO TRAIN 2742 01:48:39,868 --> 01:48:41,870 THEM TO DO RESEARCH WHETHER IT'S 2743 01:48:41,870 --> 01:48:43,938 IN ACADEMIA OR INDUSTRY IT WAS 2744 01:48:43,938 --> 01:48:45,440 IN THERE TO ATTAIN THEM, I'M 2745 01:48:45,440 --> 01:48:47,942 WONDERING IF YOU ARE SEEING THE 2746 01:48:47,942 --> 01:48:48,810 SAME TREND? 2747 01:48:48,810 --> 01:48:51,212 >> YES, WHAT WE ARE EXPERIENCING 2748 01:48:51,212 --> 01:48:52,814 IS REALLY NOT ANY DIFFERENT THAN 2749 01:48:52,814 --> 01:48:55,884 I THINK DPLOABALLY IS BEING--NOT 2750 01:48:55,884 --> 01:48:59,454 JUST WITHIN THE UNITED STATES 2751 01:48:59,454 --> 01:49:00,889 AUTOEVERYBODY YOU TALK TO AND MY 2752 01:49:00,889 --> 01:49:06,161 BIGGEST ISSUE IS TALKING WITH 2753 01:49:06,161 --> 01:49:07,362 INVESTIGATORS AND ESPECIALLY OUR 2754 01:49:07,362 --> 01:49:08,730 TENURED TRACK INVESTIGATORS IS 2755 01:49:08,730 --> 01:49:10,665 THE NUMBER OF PEOPLE WHO ARE ARK 2756 01:49:10,665 --> 01:49:18,673 MRIING FOR POST DOC POSITIONS IS 2757 01:49:18,673 --> 01:49:19,274 DRAMATICALLY LOW, DANGEROUSLY 2758 01:49:19,274 --> 01:49:23,545 LOW AND OF COURSE WE SEE 2759 01:49:23,545 --> 01:49:25,280 OURSELVES AS VALUABLE TRAINING 2760 01:49:25,280 --> 01:49:27,115 OPPORTUNITY AND ENCOURAGE AS 2761 01:49:27,115 --> 01:49:28,550 MANY PEOPLE AS POSSIBLE TO COME 2762 01:49:28,550 --> 01:49:30,652 THROUGH THE PIPELINE. 2763 01:49:30,652 --> 01:49:33,054 NOW WE HAVE 200 POST DOCS AT ANY 2764 01:49:33,054 --> 01:49:34,155 1 PARTICULAR TIME AND MUCH AS 2765 01:49:34,155 --> 01:49:38,927 THE SAME AS EVERYBODY IN 2766 01:49:38,927 --> 01:49:39,394 ACADEMIA REALIZE 2767 01:49:39,394 --> 01:49:40,328 [INDISCERNIBLE], THE END GOAL IS 2768 01:49:40,328 --> 01:49:45,567 NOT TO GET EVERYBODY TO BE A PI. 2769 01:49:45,567 --> 01:49:47,202 THAT SHIP SAILED A LONG TIME 2770 01:49:47,202 --> 01:49:50,739 AGO, AND WE HAVE TO CHANGE AS 2771 01:49:50,739 --> 01:49:53,141 DIANEA SAID EARLIER ON, WE HAVE 2772 01:49:53,141 --> 01:49:55,310 CHANGE WHAT OUR OUTCOME 2773 01:49:55,310 --> 01:49:56,378 EXPECTATIONS ARE AND SO 1 OF THE 2774 01:49:56,378 --> 01:49:58,046 THINGS WE DID IN THE OFFICE OF 2775 01:49:58,046 --> 01:50:01,750 EDUCATION THIS YEAR WAS TO OFFER 2776 01:50:01,750 --> 01:50:09,824 AS MUCH EXPOSURE TO INDUSTRY OR 2777 01:50:09,824 --> 01:50:10,625 OPPORTUNITIES THAT PRESENT 2778 01:50:10,625 --> 01:50:11,826 THEMSELVES AROUND THIS AREA. 2779 01:50:11,826 --> 01:50:13,628 NOW THIS AREA IS A UNIQUE AREA 2780 01:50:13,628 --> 01:50:15,730 BECAUSE IT'S A LARGE BIOTECH 2781 01:50:15,730 --> 01:50:17,699 COMPANY, YOU KNOW VISIBLY, 2782 01:50:17,699 --> 01:50:19,901 THERE'S A LOT OF GREAT BIOTECH 2783 01:50:19,901 --> 01:50:20,835 COMPANIES HERE AND OPPORTUNITIES 2784 01:50:20,835 --> 01:50:22,137 HERE AND I JUST THINK THAT WE 2785 01:50:22,137 --> 01:50:26,541 HAVE TO BE MINDFUL THAT OUR 2786 01:50:26,541 --> 01:50:28,109 WORLD IS CHANGING YOU KNOW IT'S 2787 01:50:28,109 --> 01:50:29,310 NOT ENOUGH TO PAY FOLK WHAT IS 2788 01:50:29,310 --> 01:50:30,745 WE WANT TO PAY THEM, WE WANT TO 2789 01:50:30,745 --> 01:50:32,147 HAVE A WORLD THAT HAS POST DOCS 2790 01:50:32,147 --> 01:50:33,448 IN OUR LABS AND THAT WILL COME 2791 01:50:33,448 --> 01:50:36,317 AT SOME KIND OF COST TO US AND I 2792 01:50:36,317 --> 01:50:38,853 THINK YOU KNOW WE NEED TO THINK 2793 01:50:38,853 --> 01:50:42,757 ABOUT HOW TO REDEFINE WHAT WE 2794 01:50:42,757 --> 01:50:44,626 EXPECT FROM OUR POST DOCS. 2795 01:50:44,626 --> 01:50:48,096 YOU CAN'T GROUP THEM INTO 4 OR 5 2796 01:50:48,096 --> 01:50:49,597 POSITIONS WHERE THEY'RE WORKING 2797 01:50:49,597 --> 01:50:52,233 60 OR 70 HOURS WHEN THEIR 2798 01:50:52,233 --> 01:50:53,835 FRIENDS ARE GOING OFF TO 2799 01:50:53,835 --> 01:50:55,370 INDUSTRY AND EARNING TRIPLE 2800 01:50:55,370 --> 01:50:57,439 DIGET SALARIES SO IT'S JUST AN 2801 01:50:57,439 --> 01:50:58,273 UNREALISTIC SITUATION FOR ALL OF 2802 01:50:58,273 --> 01:51:00,275 US AND I THINK EVERYBODY WHO'S 2803 01:51:00,275 --> 01:51:01,209 THINKING ABOUT THESE THINGS IS 2804 01:51:01,209 --> 01:51:02,510 THINKING THE SAME WAY, I'M NOT 2805 01:51:02,510 --> 01:51:04,813 THINK BEING THIS IN ANY 2806 01:51:04,813 --> 01:51:05,980 DIFFERENT WAY THAN MANY PEOPLE 2807 01:51:05,980 --> 01:51:08,483 ARE THINKING, WE NEED TO BE 2808 01:51:08,483 --> 01:51:10,351 IMAGINATIVE, WE NEED TO BE 2809 01:51:10,351 --> 01:51:14,456 ENCLUESIVE, SUPPORTIVE AND YOU 2810 01:51:14,456 --> 01:51:18,059 KNOW WE HAVE AN UNREASONABLE 2811 01:51:18,059 --> 01:51:19,294 NUMBER OF WOMEN SCIENTIST 2812 01:51:19,294 --> 01:51:21,896 DROPPING OUT OF SCIENCE BECAUSE 2813 01:51:21,896 --> 01:51:23,598 THE LIGHT IS TOO DIFFICULT AT 2814 01:51:23,598 --> 01:51:25,900 THAT STAGE OF THEIR LIVES, AND 2815 01:51:25,900 --> 01:51:27,302 WE NEED TO BE MIEBDFUL THAT WE 2816 01:51:27,302 --> 01:51:30,138 NEED TO SUPPORT THAT BETTER. 2817 01:51:30,138 --> 01:51:31,673 SO I DON'T THINK WE'RE 2818 01:51:31,673 --> 01:51:32,607 EXPERIENCING ANYTHING THAT'S 2819 01:51:32,607 --> 01:51:34,943 DIFFERENT THAN ANYBODY ELSE'S 2820 01:51:34,943 --> 01:51:39,214 WE'RE JUST TRYING TO DO OUR BEST 2821 01:51:39,214 --> 01:51:40,715 TO SUPPORT THIS TRAIN TRAINING 2822 01:51:40,715 --> 01:51:41,783 OPPORTUNITY AS BEING MIEBDFUL OF 2823 01:51:41,783 --> 01:51:48,857 THE NEEDS OF THAT POPULATION. 2824 01:51:48,857 --> 01:51:50,592 OKAY, THANK YOU VERY MUCH. 2825 01:51:50,592 --> 01:51:59,100 [ APPLAUSE ] 2826 01:51:59,100 --> 01:52:02,070 >> THANK YOU SO MUCH CHRIS FOR 2827 01:52:02,070 --> 01:52:03,671 THE TERRIFIC SUMMARY OF THE LAST 2828 01:52:03,671 --> 01:52:05,406 YEAR OF THE DIR. 2829 01:52:05,406 --> 01:52:07,575 AND NOW, KORLS ON HERE, HERE 2830 01:52:07,575 --> 01:52:10,545 OKAY, IT'S A PLEASURE TO 2831 01:52:10,545 --> 01:52:12,847 INTRODUCE DR. CARLOS FERREIRA, 2832 01:52:12,847 --> 01:52:14,215 WHO WILL SHARE A SCIENTIFIC 2833 01:52:14,215 --> 01:52:19,220 PRESENTATION WITH US TODAY. 2834 01:52:19,220 --> 01:52:22,123 DR. FERREIRA WILL BE YOINING 2835 01:52:22,123 --> 01:52:23,057 NICHD'S INTRAMURAL PROGRAM THIS 2836 01:52:23,057 --> 01:52:26,561 FALL COMING FROM THE INTRAMURAL 2837 01:52:26,561 --> 01:52:28,763 PROGRAM FROM THE NATIONAL HUMAN 2838 01:52:28,763 --> 01:52:30,031 GENOME RESEARCH INSTITUTE EMPLOY 2839 01:52:30,031 --> 01:52:32,200 HE IS CURRENTLY STAFF CLINICIAN 2840 01:52:32,200 --> 01:52:34,869 AND HEAD OFICLETAL GENOMICS UNIT 2841 01:52:34,869 --> 01:52:37,939 IN THE METABOLIC MEDICINE BRANCH 2842 01:52:37,939 --> 01:52:40,708 AT NHGRI. 2843 01:52:40,708 --> 01:52:42,443 DR. FERREIRA USING A 2844 01:52:42,443 --> 01:52:44,445 TRANSLATIONAL APPROACH STUDY A 2845 01:52:44,445 --> 01:52:47,715 GROUP OF SKELETAL DISORDERS. 2846 01:52:47,715 --> 01:52:51,786 HE RECEIVED HIS H. D. FROM THE 2847 01:52:51,786 --> 01:52:54,289 NATIONAL UNIVERSITY OF ASENSION 2848 01:52:54,289 --> 01:52:59,427 IN CHILE AND AFTER DOING A TOUR 2849 01:52:59,427 --> 01:53:03,431 AT A MEDICAL CENTER CAME TO JOHN 2850 01:53:03,431 --> 01:53:05,366 HOPKINS AS CONSORTIUM AS A 2851 01:53:05,366 --> 01:53:06,668 FELLOW CLINICAL GENETICS. 2852 01:53:06,668 --> 01:53:09,003 IN 2019 HE WAS APPOINTED TO THE 2853 01:53:09,003 --> 01:53:10,872 PHYSICIAN SCIENTIST DEVELOPMENT 2854 01:53:10,872 --> 01:53:11,506 PROGRAM AT NHGRI. 2855 01:53:11,506 --> 01:53:14,509 HIS TALK TODAY IS ENTITLED 2856 01:53:14,509 --> 01:53:17,912 GENOMICS, MODELS AND THERAPEUTIC 2857 01:53:17,912 --> 01:53:21,049 TARGETS OF GENETIC SKELETAL 2858 01:53:21,049 --> 01:53:21,716 DISORDERS, WELCOME CARLOS. 2859 01:53:21,716 --> 01:53:22,884 >> THANK YOU SO MUCH FOR THE 2860 01:53:22,884 --> 01:53:24,385 KIND INTRODUCTION AND THE 2861 01:53:24,385 --> 01:53:26,154 INVITATION AND AS CAN YOU SEE IN 2862 01:53:26,154 --> 01:53:28,790 THE TITHES SLIDE, I WILL TALK 2863 01:53:28,790 --> 01:53:30,625 ABOUT GENOMICS, MODELS AND ALSO 2864 01:53:30,625 --> 01:53:32,026 THERAPIES WE'RE TRYING TO 2865 01:53:32,026 --> 01:53:33,761 INVESTIGATE FOR PATIENTS THAT 2866 01:53:33,761 --> 01:53:35,997 HAVE SKELETAL DISORDERS OF A 2867 01:53:35,997 --> 01:53:36,931 GENETIC ORIGIN, AND THIS WOULD 2868 01:53:36,931 --> 01:53:39,000 BE THE OUTLINE OF A TALK FOR THE 2869 01:53:39,000 --> 01:53:40,568 NEXT 25 MINUTES OR SO, I WILL 2870 01:53:40,568 --> 01:53:41,836 GIVE YOU A BRIEF BACKGROUND 2871 01:53:41,836 --> 01:53:42,904 ABOUT THE STUDIES THAT ARE DONE 2872 01:53:42,904 --> 01:53:46,174 IN MY LAB AND FORMULATE NHGRI 2873 01:53:46,174 --> 01:53:48,810 AND NICHD AND ALSO AN EXAMPLE OF 2874 01:53:48,810 --> 01:53:51,145 THE 2 MAIN AREAS OF FOCUS FOR MY 2875 01:53:51,145 --> 01:53:55,049 LAB, THOSE BEING DISORDERS OF 2876 01:53:55,049 --> 01:53:57,118 UNKNOWN CAUSE, MEANING SKELETAL 2877 01:53:57,118 --> 01:53:59,621 DIFFERENCES THAT WE WILL KNOW 2878 01:53:59,621 --> 01:54:01,422 THE ETIOLOGY FOR MEANING TREVOR 2879 01:54:01,422 --> 01:54:07,462 DISEASE AND SECOND DISORDERS OF 2880 01:54:07,462 --> 01:54:08,496 [INDISCERNIBLE] BIOLOGY, IT'S 2881 01:54:08,496 --> 01:54:12,634 THE MAIN MINERAL IN YOUR BONES, 2882 01:54:12,634 --> 01:54:14,736 SO WITHOUT FURTHER ADIEU THIS IS 2883 01:54:14,736 --> 01:54:16,804 1 OF MAIN 3 AIMS OF MY LAB AND 2884 01:54:16,804 --> 01:54:18,172 THAT IS TO CONDUCK NATURAL 2885 01:54:18,172 --> 01:54:20,608 HISTORY STUDIES TO DISCOVER NEW 2886 01:54:20,608 --> 01:54:21,542 DISEASE GENE ASSOCIATIONS ON THE 2887 01:54:21,542 --> 01:54:23,511 1 HAND BUT ALSO TO DEFINE THE 2888 01:54:23,511 --> 01:54:28,549 CLINICAL SPECTRUM OF DISEASE 2889 01:54:28,549 --> 01:54:29,550 WITH SKELETAL DISORDERS, TO 2890 01:54:29,550 --> 01:54:31,185 THIS, WE TRIED TO UNDERSTAND 2891 01:54:31,185 --> 01:54:32,787 MECHANISMS OF HOW BONE 2892 01:54:32,787 --> 01:54:34,656 DIFFERENCES TAKE PLACE BY USING 2893 01:54:34,656 --> 01:54:36,057 OR ESTABLISHING ANIMAL MODELS 2894 01:54:36,057 --> 01:54:39,594 AND FINALLY, TRYING TO DEVELOP 2895 01:54:39,594 --> 01:54:40,628 NEW THERAPEUTIC TARGETS THAT WE 2896 01:54:40,628 --> 01:54:42,463 CAN FIRST TRY IN THE MODELS WE 2897 01:54:42,463 --> 01:54:43,998 ESTABLISH AND IF THEY SHOW 2898 01:54:43,998 --> 01:54:48,236 PROMISE LATER BRING THEM TO THE 2899 01:54:48,236 --> 01:54:49,270 CLINIC AT THE PATIENT'S 2900 01:54:49,270 --> 01:54:53,608 KD--SALLY WHA. --[INDISCERNIBLE. 2901 01:54:53,608 --> 01:54:54,976 SO EVERYTHING WE DO IS AROUND 2902 01:54:54,976 --> 01:54:56,177 THE NATURAL HISTORY STUDY AND AS 2903 01:54:56,177 --> 01:54:59,347 OF 3 YEARS AGO, WHEN WE WANT TO 2904 01:54:59,347 --> 01:55:01,115 FIND PATIENTS FOR ETIOLOGY OR 2905 01:55:01,115 --> 01:55:05,486 CAUSE OF GENETIC DISORDS WE 2906 01:55:05,486 --> 01:55:07,789 START BY COLLECTING BONE SAMPLES 2907 01:55:07,789 --> 01:55:10,158 AND DOING FANCY SEQUENCING 2908 01:55:10,158 --> 01:55:11,993 KECKNOLOGY TO FIND A COMMON 2909 01:55:11,993 --> 01:55:12,193 GENE. 2910 01:55:12,193 --> 01:55:14,962 WHEN WE DO DEEP PHENOTYPING AND 2911 01:55:14,962 --> 01:55:16,397 COLLABORATE AROUND THE CLINICAL 2912 01:55:16,397 --> 01:55:18,499 CENTER IN DOING SO WE TRY TO 2913 01:55:18,499 --> 01:55:20,068 GAIN NEW INSIGHTS WE TRY TO 2914 01:55:20,068 --> 01:55:22,170 PROBE IN OUR ANIMAL MODELS. 2915 01:55:22,170 --> 01:55:24,272 WE COLLECT PLASMA AND URINE WE 2916 01:55:24,272 --> 01:55:26,407 CAN BIOBANK IN ORDER TO TRY TO 2917 01:55:26,407 --> 01:55:27,341 FIND BIEW BIOMARKERS LATER ON 2918 01:55:27,341 --> 01:55:31,512 AND WE ALSO ARE A HUGE DATABASE 2919 01:55:31,512 --> 01:55:32,914 OF IMAGING STUDIES WE CAN USE 2920 01:55:32,914 --> 01:55:34,716 FOR SCORES THAT WE CAN USE FOR 2921 01:55:34,716 --> 01:55:40,154 CLINICAL END POINTS AND FUTURE 2922 01:55:40,154 --> 01:55:40,855 CLINICAL TRIALS. 2923 01:55:40,855 --> 01:55:43,725 SO THERE'S A LARGE ORDER OF 2924 01:55:43,725 --> 01:55:45,893 SKELETAL STUDIES BUT WE FOCUS ON 2925 01:55:45,893 --> 01:55:47,895 2 AREAS THOSE BEING SKELETAL 2926 01:55:47,895 --> 01:55:49,764 DISORDERS FOR WHICH CAUSE IS 2927 01:55:49,764 --> 01:55:54,902 UNKNOWN, AND SECOND SKELETAL 2928 01:55:54,902 --> 01:56:00,241 DISORDERS BY [INDISCERNIBLE] FOR 2929 01:56:00,241 --> 01:56:01,609 IMPORTANT MINERAL IN YOUR BONE. 2930 01:56:01,609 --> 01:56:04,412 I WILL START BY GIVING DISORDERS 2931 01:56:04,412 --> 01:56:05,113 OF UNKNOWN CAUSE. 2932 01:56:05,113 --> 01:56:06,748 THERE ARE 34 OF THEM KNOWN RIGHT 2933 01:56:06,748 --> 01:56:06,948 NOW. 2934 01:56:06,948 --> 01:56:09,584 THIS IS ACTUALLY A DPROWP OF 2935 01:56:09,584 --> 01:56:13,254 AROUND 20 EX PERS IN THE WORLD 2936 01:56:13,254 --> 01:56:14,522 THAT GET TOGETHER EVERY FEW 2937 01:56:14,522 --> 01:56:18,392 YEARS TO RELEASE THE OFFICIAL 2938 01:56:18,392 --> 01:56:20,161 CLASSIFICATION OF SKELETAL 2939 01:56:20,161 --> 01:56:22,930 DISORDERS AND AS YOU CAN SEE, 2940 01:56:22,930 --> 01:56:25,399 THERE WERE 34 UNKNOWN DISORDYS, 2941 01:56:25,399 --> 01:56:27,135 THEY HAVE VERY RADIO GRAPHIC 2942 01:56:27,135 --> 01:56:29,303 CHANGE ANDS CLINICAL CHANGES BUT 2943 01:56:29,303 --> 01:56:31,038 SOME REASON OR ANOTHER WE'VE 2944 01:56:31,038 --> 01:56:32,774 NEVER BEEN ABLE TO FIND THE 2945 01:56:32,774 --> 01:56:33,141 CORPORATE YEEN. 2946 01:56:33,141 --> 01:56:35,243 SO I SHOULD SAY IN THE INTERIM 2947 01:56:35,243 --> 01:56:38,379 OF 4 YEARS BETWEEN THE LAST 2948 01:56:38,379 --> 01:56:39,447 ETIOLOGY 2019 AND THE 1 LAST 2949 01:56:39,447 --> 01:56:41,149 YEAR, THERE WERE OVER A HUNDRED 2950 01:56:41,149 --> 01:56:42,550 NEW DISORDERS THAT WERE 2951 01:56:42,550 --> 01:56:45,987 DESCRIBED AND THESE WERE NOT THE 2952 01:56:45,987 --> 01:56:47,288 WELL CHARACTERIZED DISORDERS, 2953 01:56:47,288 --> 01:56:48,156 BUT COMPLETELY NOVEL CONDITIONS 2954 01:56:48,156 --> 01:56:49,490 WE DIDN'T KNOW EXISTED BEFORE 2955 01:56:49,490 --> 01:56:52,460 THAT THOU WE KNOW ARE CAUSED BY 2956 01:56:52,460 --> 01:56:53,895 SCIENTIFIC GENE CHANGES LEADING 2957 01:56:53,895 --> 01:56:54,595 TO SKELETAL DIFFERENCES. 2958 01:56:54,595 --> 01:56:57,031 THIS IS A PIE CHART FROM FROM 1 2959 01:56:57,031 --> 01:56:58,299 OF OUR COLLABORATORS IN WHICH 2960 01:56:58,299 --> 01:57:00,635 YOU SEE 150 PATIENTS USHED WENT 2961 01:57:00,635 --> 01:57:02,003 SOME SEQUENCING TECHNOLOGY AND 2962 01:57:02,003 --> 01:57:07,041 SUCH AS GENOME SEQUENCING AND 2963 01:57:07,041 --> 01:57:13,481 THE EXAMS. 2964 01:57:13,481 --> 01:57:15,917 DNA STUDIES AND NO 1 COULD FIND 2965 01:57:15,917 --> 01:57:16,884 THE UNDERLYING YEEN AND THERE'S 2966 01:57:16,884 --> 01:57:18,519 STILL A LOT OF ROOM FOR FINDING 2967 01:57:18,519 --> 01:57:20,488 OR UNDERSTANDING THE BONE AND 2968 01:57:20,488 --> 01:57:24,559 BIOLOGY AND BY DOING SO, TRYING 2969 01:57:24,559 --> 01:57:27,061 TO IMAIN NEW INSIGHT SPOS 2970 01:57:27,061 --> 01:57:27,795 SKELETAL PHYSIOLOGY AT LARGE. 2971 01:57:27,795 --> 01:57:35,002 SO THIS IS THE OTHER OR SECOND 2972 01:57:35,002 --> 01:57:40,441 AREA OF RESEARCH FOR MY LAB. 2973 01:57:40,441 --> 01:57:41,375 PHOSPHATE IS REGULATE INDEED 2974 01:57:41,375 --> 01:57:43,244 YOUR BODY BY BONE CELLS AND IT 2975 01:57:43,244 --> 01:57:48,216 DOES 2 MAIN THINGS, 1 IS TELLS 2976 01:57:48,216 --> 01:57:50,751 YOUR KIDNEYS NOT TO 2977 01:57:50,751 --> 01:57:51,752 [INDISCERNIBLE]. 2978 01:57:51,752 --> 01:57:55,423 THE KIDNEY HAS 2 MAIN FUNCTION, 2979 01:57:55,423 --> 01:57:57,725 FILTER AND FUNCTIONS, BUT SO YOU 2980 01:57:57,725 --> 01:57:59,093 FILTER ABOUT 180 LITERS OF BLOOD 2981 01:57:59,093 --> 01:58:02,597 EACH DAY BUT I ONLY 2 DUCE 2 2982 01:58:02,597 --> 01:58:04,532 LITERS OF URINE AND THAT'S 2983 01:58:04,532 --> 01:58:06,300 BECAUSE THE VAST MAJORITY OF 2984 01:58:06,300 --> 01:58:07,802 EVERYTHING FILTERED IS 2985 01:58:07,802 --> 01:58:09,637 REABSORBED AND PHOSPHATE 99% OF 2986 01:58:09,637 --> 01:58:12,340 IT IS ABSORBED BY THE TRANSPORT 2987 01:58:12,340 --> 01:58:13,541 PORTERS HERE AND THIS TELLS THIS 2988 01:58:13,541 --> 01:58:17,645 NOT TO BE EXPRESSED SO SUDDENLY 2989 01:58:17,645 --> 01:58:18,813 YOU START WASTING PHOSPHATE IN 2990 01:58:18,813 --> 01:58:21,549 THE URINE AND YOU DON'T HAVE IT 2991 01:58:21,549 --> 01:58:22,717 NEEDED TO PERFORM BONE MINERAL 2992 01:58:22,717 --> 01:58:25,820 SO HAVE YOU SOMETHING CALLED 2993 01:58:25,820 --> 01:58:26,053 RICKETS. 2994 01:58:26,053 --> 01:58:27,889 AND THE SECOND HIT IS BY 2995 01:58:27,889 --> 01:58:28,456 DECRETESSING ABSORPTION OF 2996 01:58:28,456 --> 01:58:29,757 PHOSPHATE IN THE GUT, SO AGAIN 2997 01:58:29,757 --> 01:58:31,726 HAVE YOU THIS HIDDEN MECHANISM 2998 01:58:31,726 --> 01:58:32,827 BY WHICH PHOSPHATE LEVELS GO 2999 01:58:32,827 --> 01:58:35,997 DOWN, AND THIS IS ACTUALLY THE 3000 01:58:35,997 --> 01:58:38,866 MAIN HORMONE REGULATOR OF 3001 01:58:38,866 --> 01:58:41,702 PHOSPHATE HOMEOSTASIS OR BALANCE 3002 01:58:41,702 --> 01:58:42,236 IN YOUR BODY. 3003 01:58:42,236 --> 01:58:43,337 SO THAT'S THE BACKGROUND AND 3004 01:58:43,337 --> 01:58:46,274 THIS IS AN EXAMPLE OF A DEC OF 3005 01:58:46,274 --> 01:58:48,442 AN UNKNOWN CAUSE FOR WHICH WE 3006 01:58:48,442 --> 01:58:49,944 RECENTLY FOUND THE GENE. 3007 01:58:49,944 --> 01:58:50,745 IT'S CALLED TREVOR DISEASE AND 3008 01:58:50,745 --> 01:58:55,049 AS CAN YOU SEE IN THIS SLIDE, 3009 01:58:55,049 --> 01:58:56,517 IT'S ASSOCIATED WITH OVERGROWTH 3010 01:58:56,517 --> 01:59:00,821 OF SPECIFIC PARTS OF YOUR BONE. 3011 01:59:00,821 --> 01:59:02,323 THAT'S CALLED THE EPIGHT SIS, 3012 01:59:02,323 --> 01:59:03,891 IT'S THE PART THAT MAKES THE 3013 01:59:03,891 --> 01:59:05,893 JOINT OR END OF THE LONG BONE. 3014 01:59:05,893 --> 01:59:08,129 SO YOU CAN SEE IF YOU HAVE 3015 01:59:08,129 --> 01:59:09,730 OVERGROWTH, YOU HAVE RESTRICTED 3016 01:59:09,730 --> 01:59:11,565 RANGE OF MOTION OR CONTRACTURES 3017 01:59:11,565 --> 01:59:13,100 HERE, YOU CAN SEE CONTRACTURES 3018 01:59:13,100 --> 01:59:15,937 HERE OF A KNEE OR ANKLE IN THIS 3019 01:59:15,937 --> 01:59:17,571 YOUNG 12 YEAR-OLD GIRL AND WHEN 3020 01:59:17,571 --> 01:59:19,573 GIVE YOU A BIOPSY YOU CAN SEE 3021 01:59:19,573 --> 01:59:21,642 THAT--WHAT YOU CAN SEE IS THAT 3022 01:59:21,642 --> 01:59:23,711 THAT OVERGROWTH IS CAUSED BY 3023 01:59:23,711 --> 01:59:25,112 BOTH CARTILAGE AND BONE, SO BOTH 3024 01:59:25,112 --> 01:59:27,949 OF THOSE TISSUES ARE ACTUALLY 3025 01:59:27,949 --> 01:59:29,283 FLUID OR YOU FIND MORE OF THEM 3026 01:59:29,283 --> 01:59:30,284 THAN YOU SHOULD. 3027 01:59:30,284 --> 01:59:32,653 THIS IS ANOTHER EXAMPLE OF AN 8 3028 01:59:32,653 --> 01:59:33,321 YEAR-OLD BOY WITH TREVOR 3029 01:59:33,321 --> 01:59:35,623 DISEASE, CAN YOU SEE THE 3030 01:59:35,623 --> 01:59:38,426 OVERGROWTH AROUND THE HIP JOINTS 3031 01:59:38,426 --> 01:59:40,528 ON THE LEFT SIDE, THE KNEE JOIPT 3032 01:59:40,528 --> 01:59:41,862 ALSO ON THE LEFT SIDE AND 3033 01:59:41,862 --> 01:59:43,030 FINALLY SINCE THE RECENT CASE WE 3034 01:59:43,030 --> 01:59:46,133 SAW BACK IN NOVEMBER, SHOWING 3035 01:59:46,133 --> 01:59:47,168 AGAIN, THE OVERGROWTH AROUND THE 3036 01:59:47,168 --> 01:59:52,173 LEFT KNEE IN THIS YOUNG WOMAN. 3037 01:59:52,173 --> 01:59:53,674 ANOTHER THING YOU CAN SEE IS 3038 01:59:53,674 --> 01:59:56,877 THAT THIS CAN CAUSE DEVIATION OR 3039 01:59:56,877 --> 01:59:58,646 MISALIGNMENT OF THE JOINTS, 3040 01:59:58,646 --> 02:00:01,082 THESE DEFORMITIES CAN BE 3041 02:00:01,082 --> 02:00:01,916 ACCOMPANIED BY CONTRACTORS, BUT 3042 02:00:01,916 --> 02:00:03,417 ALSO BY PAIN AND THESE HAVE 3043 02:00:03,417 --> 02:00:10,624 DECREASED QUALITY OF LIFE FROM 3044 02:00:10,624 --> 02:00:11,659 THIS DEC. 3045 02:00:11,659 --> 02:00:14,428 SO WE HAD THE HYPOTHESIS THAT 3046 02:00:14,428 --> 02:00:21,302 THIS WAS A MOSAIC DISORDERS. 3047 02:00:21,302 --> 02:00:22,937 KIND OF LIKE THE [INDISCERNIBLE] 3048 02:00:22,937 --> 02:00:25,206 WHERE YOU HAVE DIFFERENT CELLS 3049 02:00:25,206 --> 02:00:26,374 HAVING DIFFERENT THINGS, AND THE 3050 02:00:26,374 --> 02:00:28,576 REASONS WHY WE BELIEVE THAT THIS 3051 02:00:28,576 --> 02:00:30,044 WAS THE MOSAIC DISORDER IS 1 3052 02:00:30,044 --> 02:00:33,247 BECAUSE AS YOU SAW IN THE PRIOR 3053 02:00:33,247 --> 02:00:34,915 SLIDE THESE LESIONS DON'T 3054 02:00:34,915 --> 02:00:35,516 TYPICALLY EFFECT EVERY SINGLE 3055 02:00:35,516 --> 02:00:37,084 JOIBT IN YOUR BODY BUT VERY 3056 02:00:37,084 --> 02:00:39,320 SPECIFIC LIMBS IN THE SAMPLES I 3057 02:00:39,320 --> 02:00:42,189 SHOWED YOU, THEY WERE ALL IN THE 3058 02:00:42,189 --> 02:00:44,558 LEFT LIMB, LEFT LOWER EXTREMITY 3059 02:00:44,558 --> 02:00:45,259 SPECIFICALLY BECAUSE THERE'S 3060 02:00:45,259 --> 02:00:46,560 NEVER BEEN A FAMILIAL CASE. 3061 02:00:46,560 --> 02:00:48,162 WHAT I MEAN BY THAT IS DISEASE 3062 02:00:48,162 --> 02:00:49,563 HAS BEEN KNOWN FOR ABOUT A 3063 02:00:49,563 --> 02:00:50,798 CENTURY AND THERE'S NEVER BEEN A 3064 02:00:50,798 --> 02:00:52,767 SINGLE CASE IN WHICH 2 SIBLINGS 3065 02:00:52,767 --> 02:00:55,936 IN THE SAME FAMILY HAVE THE DEC, 3066 02:00:55,936 --> 02:00:57,104 THAT MEANS WHATEVER GENETIC 3067 02:00:57,104 --> 02:00:58,372 CHANGE THAT WAS CAUSING THIS 3068 02:00:58,372 --> 02:00:59,907 CONDITION IT COULD NOT HAVE BEEN 3069 02:00:59,907 --> 02:01:02,309 INHERITED FROM THE MOM OR DAD OR 3070 02:01:02,309 --> 02:01:03,811 WE WOULD HAVE SEEN MORE 3071 02:01:03,811 --> 02:01:04,078 FAMILIES. 3072 02:01:04,078 --> 02:01:05,913 THERE WERE MORE THAN 1 AFFECTED 3073 02:01:05,913 --> 02:01:06,213 INDIVIDUAL. 3074 02:01:06,213 --> 02:01:07,882 AND THE THIRD IS THAT THERE'S 3075 02:01:07,882 --> 02:01:09,583 ALSO CASE REPORTS OF IESHES 3076 02:01:09,583 --> 02:01:12,653 DENTICAL TWINS THAT SHOULD HAVE 3077 02:01:12,653 --> 02:01:13,587 IESHES DENTICAL DNA SEQUENCE 3078 02:01:13,587 --> 02:01:15,423 THROUGHOUT THEIR CELLS DHS IN 3079 02:01:15,423 --> 02:01:16,957 WHICH 1 PATIENT HAD TREVOR DEC 3080 02:01:16,957 --> 02:01:18,959 AND THE SIBLING DID NOT HAVE THE 3081 02:01:18,959 --> 02:01:20,227 IDENTICAL TWIN DID NOT HAVE IT 3082 02:01:20,227 --> 02:01:22,096 WHICH TELLS YOU THAT WHATEVER 3083 02:01:22,096 --> 02:01:23,597 GENETIC CHANGE IS CAUSING THIS 3084 02:01:23,597 --> 02:01:25,232 CONDITION, TREVOR DISEASE, IT 3085 02:01:25,232 --> 02:01:26,567 HAPPENS AFTER CONCEPTION, 3086 02:01:26,567 --> 02:01:29,170 MEANING AFTER THE SPERM CELL AND 3087 02:01:29,170 --> 02:01:30,671 THE EGG CELL GOT TOGETHER AND 3088 02:01:30,671 --> 02:01:33,574 THE AS THE CELLS AND EMBRYO WERE 3089 02:01:33,574 --> 02:01:37,144 DIVIDING THE SPECIFIC CELLS IN 3090 02:01:37,144 --> 02:01:38,079 THAT PARTICULAR LIMB, ARE THE 3091 02:01:38,079 --> 02:01:40,347 CELLS THAT GIVE RISE TO IT IN 3092 02:01:40,347 --> 02:01:41,482 THE LOWER EXTREMITY, AND CARRY 3093 02:01:41,482 --> 02:01:44,251 THAT FOR DEVELOPMENT FOR A 3094 02:01:44,251 --> 02:01:45,219 PARTICULAR GENETIC CHANGE 3095 02:01:45,219 --> 02:01:45,553 SPORADICALLY. 3096 02:01:45,553 --> 02:01:47,855 SO INERED ONER TO PROVE THE 3097 02:01:47,855 --> 02:01:49,356 HYPOTHESIS, WE DIDN'T BASICALLY 3098 02:01:49,356 --> 02:01:51,659 SEQUENCING OF THE DNA OBTAINED 3099 02:01:51,659 --> 02:01:53,227 FROM BONE SASM ELS OR BONE 3100 02:01:53,227 --> 02:01:55,096 BIOPSIES FROM PATIENTS HERE AT 3101 02:01:55,096 --> 02:01:57,631 THE NIH AND COMPARE THAT DNA 3102 02:01:57,631 --> 02:01:59,567 SEQUENCE THROUGH DNA FROM THE 3103 02:01:59,567 --> 02:02:00,901 BLOOD, USE THIS MACHINE LEARNING 3104 02:02:00,901 --> 02:02:05,439 APPROACH IN ORDER TO AGAIN 3105 02:02:05,439 --> 02:02:06,540 COMPARE MILLIONS OF CHANGES SEEN 3106 02:02:06,540 --> 02:02:09,510 IN BOTH TISSUES AND ENDED UP 3107 02:02:09,510 --> 02:02:11,045 FINDING THE CORPORATE YEEN, AND 3108 02:02:11,045 --> 02:02:13,447 HAVING THE SAME CHANGE, NO SIDE 3109 02:02:13,447 --> 02:02:16,150 CASES, THIS WAS JUST AN EXAMPLE 3110 02:02:16,150 --> 02:02:18,119 OF QUANTIFYING THE AMOUNT OF 3111 02:02:18,119 --> 02:02:20,721 GENETIC CHANGES IN THE LESION, 3112 02:02:20,721 --> 02:02:23,257 SO, IS THIS SOMETHING CALLED 3113 02:02:23,257 --> 02:02:26,060 DIGITAL PC R AND ALL IT DOES IS 3114 02:02:26,060 --> 02:02:26,994 YOU'RE INCORPORATING DNA 3115 02:02:26,994 --> 02:02:28,596 MOLECULES INTO SPECIFIC 3116 02:02:28,596 --> 02:02:31,031 DROPLETS, EACH DROPLET HAS 1 DNA 3117 02:02:31,031 --> 02:02:35,970 MOLECULE AND EACH DROPLET WILL 3118 02:02:35,970 --> 02:02:37,338 REPRESENT BASICALLY EITHER HUMAN 3119 02:02:37,338 --> 02:02:39,773 COPY OR WILD-TYPE COPY AND YOU 3120 02:02:39,773 --> 02:02:41,742 CAN TELL THE NUMBER OF TROP 3121 02:02:41,742 --> 02:02:44,245 DROPLETS THAT HAVE THE MUTATION 3122 02:02:44,245 --> 02:02:45,446 VERSUS TOTAL NUMBER OF DROP 3123 02:02:45,446 --> 02:02:45,646 WILLS. 3124 02:02:45,646 --> 02:02:47,515 HERE WE CAN SEE THE ALLELE 3125 02:02:47,515 --> 02:02:48,816 FRACTURE WAS ABOUT 10% GIVE OR 3126 02:02:48,816 --> 02:02:50,651 TAKE THE BONE LESION. 3127 02:02:50,651 --> 02:02:54,455 IT IS ACTUALLY A PATIENT FOR WE 3128 02:02:54,455 --> 02:02:56,991 I SHOWED THE HIP X-RAYS EARLIER 3129 02:02:56,991 --> 02:02:57,191 TODAY. 3130 02:02:57,191 --> 02:02:58,425 THESE RUN FROM THE PRIMARY BONE 3131 02:02:58,425 --> 02:03:00,995 LESION AND YOU CAN SEE THE 3132 02:03:00,995 --> 02:03:03,531 PERMEATION MORE OR LESS AT 17% 3133 02:03:03,531 --> 02:03:05,499 AND YOU SEE COMPLETE ABSENCE OF 3134 02:03:05,499 --> 02:03:06,667 MUTATION IN THE BLOOD WHICH IS 3135 02:03:06,667 --> 02:03:10,638 WHAT WE EXPECT ONLY IN THE BONE 3136 02:03:10,638 --> 02:03:11,572 LESION, HOW IT ABNORMALITIES 3137 02:03:11,572 --> 02:03:12,573 NORM ATITY IN THE X-RAYS ARE THE 3138 02:03:12,573 --> 02:03:15,743 1S THAT ARE CARRYING THIS 3139 02:03:15,743 --> 02:03:16,644 PARTICULAR GENETIC CHANGE. 3140 02:03:16,644 --> 02:03:18,546 HAD IS A BONE BIOPSY, 1 OF THESE 3141 02:03:18,546 --> 02:03:20,514 LESIONS AND YOU CAN SEE HERE IN 3142 02:03:20,514 --> 02:03:22,616 BROWN, THERE ARE MUTANT CELLS 3143 02:03:22,616 --> 02:03:23,784 THAT ANTIBODIES THAT RECOGNIZE 3144 02:03:23,784 --> 02:03:25,519 THE MUTANT PROTEIN AND YOU SEE 3145 02:03:25,519 --> 02:03:27,154 THAT 20% IS ON THE PROMO CELLS 3146 02:03:27,154 --> 02:03:31,425 HERE IN THE BONE LESION, STAIN 3147 02:03:31,425 --> 02:03:32,960 FOR THE MUTANT PROTEIN, THE 3148 02:03:32,960 --> 02:03:34,828 OTHERS HAVE A NORMAL GENETIC 3149 02:03:34,828 --> 02:03:35,429 CONSTITUTION. 3150 02:03:35,429 --> 02:03:36,597 AS I MENTIONED EARLIER, 1 OF THE 3151 02:03:36,597 --> 02:03:37,898 GOALS OF THE LAB IS TO ACTUALLY 3152 02:03:37,898 --> 02:03:41,302 TART WITH THE PATIENT BUT 3153 02:03:41,302 --> 02:03:42,369 EVENTUALLY MORE ANIMAL MODELS WE 3154 02:03:42,369 --> 02:03:45,706 CAN USE TO TRY TO PROBE 3155 02:03:45,706 --> 02:03:47,141 MECHANISMS ON TEASE EMPLOY SO I 3156 02:03:47,141 --> 02:03:49,977 MENTIONED EARLIER THAT OUR 3157 02:03:49,977 --> 02:03:52,379 PATIENTS HAVE ISSUES WITH 3158 02:03:52,379 --> 02:03:53,447 AMBUTALATION OR MOBILITY BECAUSE 3159 02:03:53,447 --> 02:03:55,716 OF THIS CONSTRACTURE, AND WE'VE 3160 02:03:55,716 --> 02:03:57,251 ALSO SEEN THIS IN THE MOUSE 3161 02:03:57,251 --> 02:03:57,484 MODEL. 3162 02:03:57,484 --> 02:03:59,787 THIS IS A PRIMITIVE STUDY, YOU 3163 02:03:59,787 --> 02:04:01,956 ARE PUTTING INK IN THE PAWS OF 3164 02:04:01,956 --> 02:04:04,858 THE MICE, GREEN FOR THE BACK, 3165 02:04:04,858 --> 02:04:10,297 AND BLACK IN THE FRONT PAW ANDS 3166 02:04:10,297 --> 02:04:12,833 THIS IS WHAT AMBUTALATION LOOKS 3167 02:04:12,833 --> 02:04:14,568 LIKE IN PREMUTANT MICE, CAN YOU 3168 02:04:14,568 --> 02:04:16,070 SEE THEY'RE DIRECTING THEIR FEET 3169 02:04:16,070 --> 02:04:18,138 AND SHOWING ALSO MYTHICAL HERE 3170 02:04:18,138 --> 02:04:21,208 NORMAL APPLICATIONS BLAIGZ IN 3171 02:04:21,208 --> 02:04:23,744 THE MOUSE MODEL. 3172 02:04:23,744 --> 02:04:25,346 THIS IS ANOTHER STUDY WHERE 3173 02:04:25,346 --> 02:04:27,081 WE'RE DOING A FLUORESCENT TAG 3174 02:04:27,081 --> 02:04:28,482 THAT BIEBDS TO MINERAL IN THE 3175 02:04:28,482 --> 02:04:33,120 BONE SO WHENEVER YOU SEE 3176 02:04:33,120 --> 02:04:34,288 FLUORESCENCE, THAT MEANS IT'S 3177 02:04:34,288 --> 02:04:37,258 DEPOSITED AND YOU SEE MUCH MORE 3178 02:04:37,258 --> 02:04:39,026 DEPOSITED IN THE MUTANT COMPARED 3179 02:04:39,026 --> 02:04:40,527 TO THE WILD-TYPE MOUSE AND HAD 3180 02:04:40,527 --> 02:04:42,363 IS JUST ANOTHER EXAMPLE OF THE 3181 02:04:42,363 --> 02:04:42,596 SAME. 3182 02:04:42,596 --> 02:04:44,632 THERE'S MORE BONE BEING 3183 02:04:44,632 --> 02:04:46,400 DEPOSITED IN THE MUTANT MOUSE 3184 02:04:46,400 --> 02:04:47,768 COMPARED TO CONTROL 1. 3185 02:04:47,768 --> 02:04:49,603 YOU CAN CLOSE QUANTIFY THAT 3186 02:04:49,603 --> 02:04:51,138 OBLIGATIONS YECTIVELY AND AGAIN 3187 02:04:51,138 --> 02:04:52,640 THERE'S MORE BONE IN THE MUTANT 3188 02:04:52,640 --> 02:04:54,275 MOUSE BUT IN THE WILD-TYPE 1 AND 3189 02:04:54,275 --> 02:04:56,977 IN HERE, I MENTIONED EARLIER 3190 02:04:56,977 --> 02:05:00,014 THAT IF YOU CHARACTERIZED BY 3191 02:05:00,014 --> 02:05:01,382 OVERGROWTH, AGAIN THE PORT OF 3192 02:05:01,382 --> 02:05:05,052 BONE THAT MAKES YOUR JOINTS SO 3193 02:05:05,052 --> 02:05:06,887 YOU CAN SEGMENT THAT AND 3194 02:05:06,887 --> 02:05:08,956 CALCULATE THAT, WITH THE 3D 3195 02:05:08,956 --> 02:05:11,325 VOLUME OF THIS PARTICULAR TEASE, 3196 02:05:11,325 --> 02:05:13,394 IT'S THE DEC OF THE THIGH BONE 3197 02:05:13,394 --> 02:05:16,430 THAT MEETS YOUR KNEE JOINT AND 3198 02:05:16,430 --> 02:05:18,399 THIS IS THE SEGMENT THAT 3199 02:05:18,399 --> 02:05:20,401 CONNECTS THE BONE, ALL OF THAT 3200 02:05:20,401 --> 02:05:22,803 IS MARKEDLY INCREASED AGAIN 3201 02:05:22,803 --> 02:05:24,405 RECAPITULATE EXACTLY WHAT WE SEE 3202 02:05:24,405 --> 02:05:25,939 IN HUMAN PATIENTS WITH TREVOR 3203 02:05:25,939 --> 02:05:26,173 DISEASE. 3204 02:05:26,173 --> 02:05:27,374 SO THERE'S MORE DATA I'M NOT 3205 02:05:27,374 --> 02:05:29,476 SHOWING YOU FOR EXAMPLE, WE HAVE 3206 02:05:29,476 --> 02:05:31,011 SHOWN OTHERS IN INCREASED 3207 02:05:31,011 --> 02:05:35,249 PROLIFERATION OF CELLS OF PAIN 3208 02:05:35,249 --> 02:05:37,217 FROM THIS MOUSE LESION AND NOW 3209 02:05:37,217 --> 02:05:38,485 WE HAVE THERAPEUTIC TARGETS WE 3210 02:05:38,485 --> 02:05:40,020 HOPE TO TRY IN OUR MUTANT MICE 3211 02:05:40,020 --> 02:05:41,855 TO SEE IF WE CAN MAKE A 3212 02:05:41,855 --> 02:05:43,223 DIFFERENCE OR IMPROVE THE 3213 02:05:43,223 --> 02:05:45,626 SKELETAL DEFENSES WE SEE IN THE 3214 02:05:45,626 --> 02:05:46,660 MOUSE AND EVENTUALLY SEE THOSE 3215 02:05:46,660 --> 02:05:48,729 PATIENTS IN THE CLINIC, SO NOW 3216 02:05:48,729 --> 02:05:51,932 WE WILL GIVE YOU AN FINISH 1 AND 3217 02:05:51,932 --> 02:05:54,635 A SECOND GROUP OF DISORDERS 3218 02:05:54,635 --> 02:06:02,209 STUDIED MY MY LAB, MAINLY THE 3219 02:06:02,209 --> 02:06:03,344 EMPP1 DEFICIENCY, AND IT'S 3220 02:06:03,344 --> 02:06:05,346 EXPRESSED IN THE CELL SURFACE 3221 02:06:05,346 --> 02:06:07,781 AND IT BREAKS DOWN ATP, AND IT 3222 02:06:07,781 --> 02:06:09,783 THINKS OF IT HAS SOMETHING AS 3223 02:06:09,783 --> 02:06:11,452 ENERGY MOLECULE IN THE 3224 02:06:11,452 --> 02:06:14,722 MITOCHONDRIA BUT IT'S ALSO TRUE, 3225 02:06:14,722 --> 02:06:24,231 AND IT'S ALSO AN ACTIVE SIGNAL 3226 02:06:24,231 --> 02:06:24,565 AND MOLECULE. 3227 02:06:24,565 --> 02:06:26,867 IN FACT, MAY BE THE ONLY MAIN 3228 02:06:26,867 --> 02:06:29,436 SOURCE OF BOTH PHOSPHATE IN THE 3229 02:06:29,436 --> 02:06:31,705 BLOOD, OR CIRCULATING 3230 02:06:31,705 --> 02:06:33,841 SYSTEMICALLY, BUT ALSO 3231 02:06:33,841 --> 02:06:35,142 PARAPHOSPHATE THAT INVADE THE 3232 02:06:35,142 --> 02:06:36,410 MICROENVIRONMENT SUCH AS CELLS 3233 02:06:36,410 --> 02:06:38,245 WITH THE PATHOGEN MUSCLE CELLS 3234 02:06:38,245 --> 02:06:41,882 AND ARTERIES AND BONE CELLS IN 3235 02:06:41,882 --> 02:06:43,417 THE SKELETON. 3236 02:06:43,417 --> 02:06:45,419 AND IT DOES PLAY AN IMPORTANT 3237 02:06:45,419 --> 02:06:46,653 ROLE IN MINERALIZATION BECAUSE 3238 02:06:46,653 --> 02:06:49,757 IT ACTS AS A TOXIN FOR HYDROXY 3239 02:06:49,757 --> 02:06:57,030 APPETITE SO IT'S THE MAIN 3240 02:06:57,030 --> 02:06:58,832 MINERAL IN THE BONE WHEN YOU 3241 02:06:58,832 --> 02:07:00,467 MEASURE, YOU HAVE BONE MARROW 3242 02:07:00,467 --> 02:07:04,338 DENSITY OR THE AMOUNT OF HYDROXY 3243 02:07:04,338 --> 02:07:07,975 IN YOUR BONES SO THIS IS MANAGE 3244 02:07:07,975 --> 02:07:08,809 BUT CHEMMESTRY AND IT 3245 02:07:08,809 --> 02:07:09,943 ABNORMALITIES SORPS THROUGH 3246 02:07:09,943 --> 02:07:11,678 THURE FASOF THE CRYSTAL 3247 02:07:11,678 --> 02:07:15,516 BASICALLY DISRUPTS AND IT'S VERY 3248 02:07:15,516 --> 02:07:18,452 IMPORTANT INHIBITOR OF HYDROXY 3249 02:07:18,452 --> 02:07:21,522 APPLICATIONSA TIGHT AND IT'S 3250 02:07:21,522 --> 02:07:24,792 TINY AMOUNTS OF PHOSPHATE TO 3251 02:07:24,792 --> 02:07:25,592 COMPLETELY PREVENT THE 3252 02:07:25,592 --> 02:07:29,863 DEPRIVATION SESSION OF THIS 3253 02:07:29,863 --> 02:07:30,297 MINERAL. 3254 02:07:30,297 --> 02:07:33,567 WHEN YOU DON'T HAVE THE 3255 02:07:33,567 --> 02:07:35,102 PHOSPHATE IN AREAS YOU SHOULDN'T 3256 02:07:35,102 --> 02:07:36,403 HAVE IT, THIS IS LIKE WHAT YOU 3257 02:07:36,403 --> 02:07:38,472 CAN SEE HERE, THIS IS A 4 MONTH 3258 02:07:38,472 --> 02:07:41,375 OLD BABY WHO HAD A 3D 3259 02:07:41,375 --> 02:07:44,645 RECONSTRUCTION, SHOWING A LOT OF 3260 02:07:44,645 --> 02:07:45,712 MINERALS BEING DEPOSITED INSIDE 3261 02:07:45,712 --> 02:07:46,647 OF THE ARTERIES THROUGHOUT. 3262 02:07:46,647 --> 02:07:50,617 IT WAS NOT CONTRAST BY THIS, 3263 02:07:50,617 --> 02:07:55,689 THIS IS A NONCONTRASTING SCREEN. 3264 02:07:55,689 --> 02:08:01,428 YOU CAN SEE THE CALCIUM 3265 02:08:01,428 --> 02:08:03,197 DEPOSITED AND THIS IS THE VESSEL 3266 02:08:03,197 --> 02:08:05,098 THAT SURROUNDS THE HEART OF THE 3267 02:08:05,098 --> 02:08:05,966 CROWN OR PROFUSE OF THE HEART. 3268 02:08:05,966 --> 02:08:07,334 AND THE OTHER THING YOU CAN SEE 3269 02:08:07,334 --> 02:08:11,438 HERE THAT YOU DON'T JUST HAVE 3270 02:08:11,438 --> 02:08:14,608 CALCIFICATION BUT YOU ALSO HAVE 3271 02:08:14,608 --> 02:08:16,176 THICKENING OF THE HEART MUSCLE. 3272 02:08:16,176 --> 02:08:19,379 YOU CAN SEE THE WIDE LINE ON THE 3273 02:08:19,379 --> 02:08:21,849 BOTTOM RIGHT BUT HERE YOU SEE 3274 02:08:21,849 --> 02:08:23,951 IT'S CLOGGING ALMOST ALL ARTERY 3275 02:08:23,951 --> 02:08:25,686 LEADING TO DECREASED LUMEN OR 3276 02:08:25,686 --> 02:08:28,989 DECREASED BLOOD FOR THAT, SO, 3277 02:08:28,989 --> 02:08:34,428 THIS PARTICULAR PHENOTYPE IS 3278 02:08:34,428 --> 02:08:35,329 CALLED GENERALIZED 3279 02:08:35,329 --> 02:08:36,497 ARTERIALICALSIFICATION OF 3280 02:08:36,497 --> 02:08:45,038 INFANCY OR GACI FOR SHORT, IT'S 3281 02:08:45,038 --> 02:08:46,707 UNFORTUNATELY HIGH MORTALITY IN 3282 02:08:46,707 --> 02:08:48,408 BABIES SO INFANTS, 40% OF BABIES 3283 02:08:48,408 --> 02:08:50,010 WILL DIE FROM THIS DISEASE 3284 02:08:50,010 --> 02:08:51,745 WITHIN THE FIRST 6 MONTHS OF 3285 02:08:51,745 --> 02:08:54,047 LIFE OR SO AND EVEN IN MAISHT 3286 02:08:54,047 --> 02:08:55,816 WHO IS EPPED END UP SURVIVING 3287 02:08:55,816 --> 02:08:57,417 THIS DISEASE, THEY WILL DEVELOP 3288 02:08:57,417 --> 02:08:58,819 RICKETS WHICH AGAIN IS 1 OF THE 3289 02:08:58,819 --> 02:09:01,455 MAIN AREAS OF RESEARCH IN MY 3290 02:09:01,455 --> 02:09:01,622 LAB. 3291 02:09:01,622 --> 02:09:03,023 WHAT WE DO KNOW, THIS IS 3292 02:09:03,023 --> 02:09:04,625 ACTUALLY A PATIENT, I THINK SHE 3293 02:09:04,625 --> 02:09:08,862 WAS 9 YEARS OLD AND SHE IS 3294 02:09:08,862 --> 02:09:10,564 FORMING CHARACTERISTICS OF 3295 02:09:10,564 --> 02:09:12,533 RICKETS, THEY CAN HAVE SHORT 3296 02:09:12,533 --> 02:09:13,967 STATURE AND BONE PAIN. 3297 02:09:13,967 --> 02:09:16,136 YOU DON'T HAVE ENOUGH MEN MALIN 3298 02:09:16,136 --> 02:09:19,106 THE BONE AND THUS DEVELOP THIS 3299 02:09:19,106 --> 02:09:24,044 COMPLICATION EMPLOY WE KNOW IT'S 3300 02:09:24,044 --> 02:09:27,814 ACTIVATED BY THE FGF23, AND IT'S 3301 02:09:27,814 --> 02:09:29,082 DRIVING AN EXCESSIVE AMOUNT OF 3302 02:09:29,082 --> 02:09:30,484 PHOSPHATE WASTE INDEED THE URINE 3303 02:09:30,484 --> 02:09:34,354 AND WOO DON'T UNDERSTAND HOW THE 3304 02:09:34,354 --> 02:09:39,793 EFFICIENT OF THE ENPP1 LEADS TO 3305 02:09:39,793 --> 02:09:43,163 THE RECESSIVE ARHR2. 3306 02:09:43,163 --> 02:09:44,698 AND WE CHARACTERIZE THE RATE OF 3307 02:09:44,698 --> 02:09:47,100 ONSET OR DECLINE IN THE RATE OF 3308 02:09:47,100 --> 02:09:48,101 PHOSPHATE LEVELS, BEING BORN 3309 02:09:48,101 --> 02:09:48,902 WITH NORMAL FOSTER NURSED FOCUS 3310 02:09:48,902 --> 02:09:50,237 ON THE LEVELS THAT DECLINE OVER 3311 02:09:50,237 --> 02:09:52,573 THE FIRST 3 YEARS OF LIFE AND IN 3312 02:09:52,573 --> 02:09:54,341 FACT, MOST PATIENTS WILL 3313 02:09:54,341 --> 02:09:55,042 EVENTUALLY DEVELOP RICKETS. 3314 02:09:55,042 --> 02:09:57,811 YOU CAN SEE HERE BY 2 AGE, 2 3315 02:09:57,811 --> 02:10:00,380 YEARS OF AGE OR SO, ABOUT 20% OF 3316 02:10:00,380 --> 02:10:02,215 THE PATES WOULD HAVE DEVELOPED 3317 02:10:02,215 --> 02:10:04,618 RICKET ANDS BY 7 YEARS OF AGE OR 3318 02:10:04,618 --> 02:10:06,820 SO, HALF OF THEM DEVELOP RICKETS 3319 02:10:06,820 --> 02:10:07,854 AND IT'S REALLY ISSUE THE 3320 02:10:07,854 --> 02:10:10,057 QUESTION IS NOT IF THEY'RE 3321 02:10:10,057 --> 02:10:12,192 DEVELOPING RICKYINGS BUT MORE OR 3322 02:10:12,192 --> 02:10:16,563 LESS WHEN THAT WILL HAPPEN. 3323 02:10:16,563 --> 02:10:18,765 SO I MENTIONED THE DISEASE IS 3324 02:10:18,765 --> 02:10:20,400 CAUSED BY A LACK OF FOSTER 3325 02:10:20,400 --> 02:10:21,768 NURSEDINATE WASTED IN THE URINE. 3326 02:10:21,768 --> 02:10:23,403 THE WAY TO TREAT THE 3327 02:10:23,403 --> 02:10:24,905 DISCIPLINARY FORMITYS IS TO GIVE 3328 02:10:24,905 --> 02:10:26,640 PHOSPHATE BACK, AND TYPICALLY 3329 02:10:26,640 --> 02:10:28,475 MULTIPLE TYPES A DAY BECAUSE OF 3330 02:10:28,475 --> 02:10:29,543 ROOTS SHORT HALF LIFE, BUT WHEN 3331 02:10:29,543 --> 02:10:31,612 YOU DO THAT YOU ARE INCREASING 3332 02:10:31,612 --> 02:10:36,149 PHOSPHATE WASTING IN THE URINE, 3333 02:10:36,149 --> 02:10:38,452 IT WILL BIND TO CALCIUM AND THE 3334 02:10:38,452 --> 02:10:40,988 CRYSTAL IN THE KIDNEY, SO, ON 3335 02:10:40,988 --> 02:10:44,458 THE 1 HAND WE'RE TREATING OR 3336 02:10:44,458 --> 02:10:46,393 PREVENTING COMPLICATIONS FROM 3337 02:10:46,393 --> 02:10:47,594 RICKETS, PAIN STATURE AND 3338 02:10:47,594 --> 02:10:49,763 DEFORMITY AND ON THE OTHER HAND 3339 02:10:49,763 --> 02:10:51,231 WE'RE CAUSING SECONDARY SIDE 3340 02:10:51,231 --> 02:10:57,471 EVENS OR COMPLIKAIGS BY GIVING 3341 02:10:57,471 --> 02:10:58,739 THE PATIENTS TREATMENT. 3342 02:10:58,739 --> 02:11:02,009 THERE'S STILL A THIRD PRESENT SO 3343 02:11:02,009 --> 02:11:04,645 I MENTIONED THE CARDIOVASCULAR 3344 02:11:04,645 --> 02:11:06,046 THICKENING LATER LIFE, AND 3345 02:11:06,046 --> 02:11:09,216 THERE'S A THIRD DISCALLED PSC, 3346 02:11:09,216 --> 02:11:11,752 WHICH IS SKIN CHANGES, HERE'S A 3347 02:11:11,752 --> 02:11:13,353 10 YEAR-OLD BY WITH SKIN, RASH 3348 02:11:13,353 --> 02:11:15,822 IN THE NECK. 3349 02:11:15,822 --> 02:11:20,494 IT CAN ALSO CAUSE RETINAL 3350 02:11:20,494 --> 02:11:21,628 ISSUES, HAD PLIENDNESS IN THE 3351 02:11:21,628 --> 02:11:25,332 RIGHT EYE BECAUSE OF THIS. 3352 02:11:25,332 --> 02:11:27,167 SO AGAIN, THERE'S STILL ANOTHER 3353 02:11:27,167 --> 02:11:29,369 COMPLICATION FROM THE SCEEZ 3354 02:11:29,369 --> 02:11:30,404 CALLED [INDISCERNIBLE], IT'S THE 3355 02:11:30,404 --> 02:11:32,005 CALCIFICATION OF THE SITES WHERE 3356 02:11:32,005 --> 02:11:32,973 THE LIGAMILLIOS AND TENDONS 3357 02:11:32,973 --> 02:11:34,708 ATTACHING TO THE JOINTS SO THIS 3358 02:11:34,708 --> 02:11:36,543 IS THE SITE WHERE THE CALF 3359 02:11:36,543 --> 02:11:37,744 MUSCLE IS ATTACHING TO YOUR 3360 02:11:37,744 --> 02:11:40,681 HE'LL, THIS IS THE ALIBLE, 3361 02:11:40,681 --> 02:11:41,748 CALCIFICATION AROUND THIS NUMBER 3362 02:11:41,748 --> 02:11:42,883 IN THE NECK. 3363 02:11:42,883 --> 02:11:44,184 AND UNFORTUNATELY THIS IS NOT 3364 02:11:44,184 --> 02:11:45,652 JUST AN IMAGING FINDING BUT IT'S 3365 02:11:45,652 --> 02:11:47,788 ACTUALLY ASSOCIATE WIDE A LOT OF 3366 02:11:47,788 --> 02:11:50,957 PAIN, THIS IS A COMPLICATION 3367 02:11:50,957 --> 02:11:53,060 THAT DEVELOPED IN THE ADULTHOOD. 3368 02:11:53,060 --> 02:11:56,163 PAIN IS NOT RELIEVED BY GIVING 3369 02:11:56,163 --> 02:11:57,097 [INDISCERNIBLE] OR REGULAR 3370 02:11:57,097 --> 02:11:58,799 ANTIPAIN MEDICATION AND IT'S 3371 02:11:58,799 --> 02:11:59,966 ASSOCIATED WITH MODERATE AMOUNT 3372 02:11:59,966 --> 02:12:02,903 OF IMPAIRMENT IN THEIR LIFE, IN 3373 02:12:02,903 --> 02:12:05,072 AN ATTEMPT TO GET--OVER THE 3374 02:12:05,072 --> 02:12:06,139 PATIENT'S LIFETIME. 3375 02:12:06,139 --> 02:12:09,409 SO, AGAIN IT'S A DISEASE WITH 3376 02:12:09,409 --> 02:12:11,078 MULTIPLE DIFFERENT 3377 02:12:11,078 --> 02:12:11,912 PRESENTATIONS, 3378 02:12:11,912 --> 02:12:12,546 MULTIDISSEMESTERRIC, IN INFANTS 3379 02:12:12,546 --> 02:12:18,919 ASSOCIATE WIDE SOMETHING CALLED 3380 02:12:18,919 --> 02:12:21,822 GACI, AND LATER CAN CAUSE RICKET 3381 02:12:21,822 --> 02:12:22,689 ANDS PSC, AND REALLY IN THE 3382 02:12:22,689 --> 02:12:25,459 FIRST YEARS OF LIFE, THE 3383 02:12:25,459 --> 02:12:27,894 MORBIDITY OR MORTALITY REALLY 3384 02:12:27,894 --> 02:12:29,429 DUE TO CARDIOVASCULAR 3385 02:12:29,429 --> 02:12:31,131 INVOLVEMENT OR ARTERY THICKENING 3386 02:12:31,131 --> 02:12:32,165 AND CALCIFICATION, WHILE IN 3387 02:12:32,165 --> 02:12:33,834 LATER LIFE IT'S REALLY A 3388 02:12:33,834 --> 02:12:35,068 SKELETAL COMPLICATION THAT ARE 3389 02:12:35,068 --> 02:12:39,139 DRIVING THE PAIN CAUSE OR MAIN 3390 02:12:39,139 --> 02:12:44,010 MORBIDITY OF THIS DISEASE. 3391 02:12:44,010 --> 02:12:46,346 THIS IS UNFORTUNATELY, DESPITE 3392 02:12:46,346 --> 02:12:48,281 HIGH MORTALITY AND MORBIDITY. 3393 02:12:48,281 --> 02:12:49,850 THERE'S NO CLEAR TREATMENT. 3394 02:12:49,850 --> 02:12:51,852 THIS IS THE LARGEST COHORT OF 3395 02:12:51,852 --> 02:12:53,487 PATIENTS KNOWN TO DATE WITH OVER 3396 02:12:53,487 --> 02:12:55,655 200 PATIENTS OR CAN YOU SEE HERE 3397 02:12:55,655 --> 02:12:58,692 IS THAT THIS IS WHERE WE SEE THE 3398 02:12:58,692 --> 02:13:00,660 PHOSPHATE IN THE BLACK LINE HAD 3399 02:13:00,660 --> 02:13:02,763 THIS RATE OF SURVIVAL WHILE 3400 02:13:02,763 --> 02:13:04,231 PATIENT WHO IS DID NOT RECEIVE 3401 02:13:04,231 --> 02:13:06,266 THIS HAD THIS RATE OF SURVIVAL 3402 02:13:06,266 --> 02:13:08,602 IN THE RED CURVE, SOLID CURVE 3403 02:13:08,602 --> 02:13:10,237 THERE, APPEARS TO BE A TREND 3404 02:13:10,237 --> 02:13:11,872 BUT UNFORT MATILY, THE CASH 3405 02:13:11,872 --> 02:13:13,373 LINES OVERLAPPING WITH EACH 3406 02:13:13,373 --> 02:13:16,243 OTHER WHICH MEANS THIS TREND IS 3407 02:13:16,243 --> 02:13:17,644 NOT REALLY REACHED STATISTICAL 3408 02:13:17,644 --> 02:13:18,612 SIGNIFICANCE, SO UNFORTUNATELY 3409 02:13:18,612 --> 02:13:20,580 HAVING HIGH MORTALITY AND HIGH 3410 02:13:20,580 --> 02:13:20,847 MORBIDITY. 3411 02:13:20,847 --> 02:13:22,282 WE DON'T REALLY HAVE AN 3412 02:13:22,282 --> 02:13:26,920 EFFECTIVE TREATMENT FOR TREAT 3413 02:13:26,920 --> 02:13:27,420 THANKSGIVING PARTICULAR 3414 02:13:27,420 --> 02:13:27,754 CONDITION. 3415 02:13:27,754 --> 02:13:28,555 SO BASICALLY THE NEXT QUESTION, 3416 02:13:28,555 --> 02:13:30,557 WHAT CAN WE DO FOR OUR PATIENTS, 3417 02:13:30,557 --> 02:13:33,827 THIS IS A CLOSE COLLABORATOR, HE 3418 02:13:33,827 --> 02:13:36,830 USED TO BE A POST DOC AT THE NIH 3419 02:13:36,830 --> 02:13:37,297 MANY YEARS AGO. 3420 02:13:37,297 --> 02:13:40,233 WHEN HE WAS HERE HE WAS STUDYING 3421 02:13:40,233 --> 02:13:41,501 EMPP2, WHICH AS YOU MIGHT INFER 3422 02:13:41,501 --> 02:13:44,204 IS A HIGH DEGREE OF SIMILARITY 3423 02:13:44,204 --> 02:13:45,605 TO THE EMPP1, THE MAIN 3424 02:13:45,605 --> 02:13:47,574 DIFFERENCE IS THAT EMPP2 IS NOT 3425 02:13:47,574 --> 02:13:48,775 BOUND TO THE PLASMA MEMBRANE OF 3426 02:13:48,775 --> 02:13:50,343 THE CELLS BUT IT'S SOLUBLE. 3427 02:13:50,343 --> 02:13:51,912 IT'S CIRCULATING IN THE BLOOD. 3428 02:13:51,912 --> 02:13:54,714 SO HE INTRODUCED THE CUT SITE 3429 02:13:54,714 --> 02:13:57,217 FROM THE EMPP2, TO THE 1 TO MAKE 3430 02:13:57,217 --> 02:13:59,753 IT SOLUBLE AND HE ADDED FC 3431 02:13:59,753 --> 02:14:02,489 FRAGMENT TO INCREASE HALF LIFE 3432 02:14:02,489 --> 02:14:03,423 FOR THE RECOMBIN ANT DRUG THAT 3433 02:14:03,423 --> 02:14:04,925 WAS MADE AND HE GIVE IT ON TO 3434 02:14:04,925 --> 02:14:06,560 THE MICE AND YOU CAN SEE HERE, 3435 02:14:06,560 --> 02:14:10,030 THIS IS OUR MUTANT MICE THAT ARE 3436 02:14:10,030 --> 02:14:11,631 MISSING EMPP1, STAINED WITH THE 3437 02:14:11,631 --> 02:14:14,301 LUTHERAN RED, AND CALCIUM RED, 3438 02:14:14,301 --> 02:14:16,770 AND UC-RED HERE IN CALCIUM, AND 3439 02:14:16,770 --> 02:14:20,207 THEN THESE ARE THE MICE THAT WE 3440 02:14:20,207 --> 02:14:23,076 SEE, OR MISSING AND WE SEE 3441 02:14:23,076 --> 02:14:24,010 RECEIVE ENZYME REPLACEMENT 3442 02:14:24,010 --> 02:14:27,514 THERAPY, AND AS CAN YOU SEE, 3443 02:14:27,514 --> 02:14:29,449 THERE'S NOTHING ALONGSIDE OR THE 3444 02:14:29,449 --> 02:14:31,985 ARTERY IN THAT PARTICULAR MOUSE 3445 02:14:31,985 --> 02:14:33,820 MODEL, BUT DOES THAT TRANSLATE 3446 02:14:33,820 --> 02:14:34,688 INTO ANY SURVIVAL BENEFITS AND 3447 02:14:34,688 --> 02:14:36,556 THE ANSWER IS YES, THESE ARE 3448 02:14:36,556 --> 02:14:40,427 MUTANT MICE MISSING IN THE EMPP1 3449 02:14:40,427 --> 02:14:43,163 AND AS YOU CAN SEE ALL OF THEM 3450 02:14:43,163 --> 02:14:44,898 ABIDE BY 55 DAYS OF AGE WHILE 3451 02:14:44,898 --> 02:14:48,735 HERE IN RED, YOU SEE SURVIVAL OF 3452 02:14:48,735 --> 02:14:51,104 EVERYTHING MUTANT MICE AND THE 3453 02:14:51,104 --> 02:14:52,138 THERAPY, SO TBEANING, SHOWING 3454 02:14:52,138 --> 02:14:54,574 NOT JUST A STRUCTURAL BUT ALSO 3455 02:14:54,574 --> 02:14:57,944 FUNCTIONAL BENEFIT FROM THIS 3456 02:14:57,944 --> 02:14:58,278 TREATMENT. 3457 02:14:58,278 --> 02:14:59,946 SO THIS IS WORK WE DID IN 3458 02:14:59,946 --> 02:15:00,881 COLLABORATION WITH HIM, AS YOU 3459 02:15:00,881 --> 02:15:04,784 CAN SEE THIS IS THE MUTANT MICE 3460 02:15:04,784 --> 02:15:05,852 TREATED WITH EMPP, YOU CAN SEE 3461 02:15:05,852 --> 02:15:09,356 THIS IS TREATED AND IT'S STAINED 3462 02:15:09,356 --> 02:15:11,524 HERE IN BLACK SO THIS IS EXTRA 3463 02:15:11,524 --> 02:15:12,926 MINERAL UP IN THE KIDNEYS AND 3464 02:15:12,926 --> 02:15:16,663 WHEN YOU HAVE A MUTANT MICE 3465 02:15:16,663 --> 02:15:18,298 MISSING THIS, AND THIS 3466 02:15:18,298 --> 02:15:20,901 REPLACEMENT THERAPY, YOU HAVE 3467 02:15:20,901 --> 02:15:23,470 PREVENTION OF IT AND CAN YOU 3468 02:15:23,470 --> 02:15:26,773 QUANTIFY AND WE ALL SEE 3469 02:15:26,773 --> 02:15:27,607 IMPROVEMENT OF KIDNEY FUNCTION, 3470 02:15:27,607 --> 02:15:29,109 NOT JUST IN KIDNEY STRUCTURE BUT 3471 02:15:29,109 --> 02:15:31,511 ALSO IN THE KIDNEY, BY 3472 02:15:31,511 --> 02:15:34,447 MENTIONING DIFFERENT TALKS AND 3473 02:15:34,447 --> 02:15:35,248 BY THE KIDNEY. 3474 02:15:35,248 --> 02:15:37,651 I MENTIONED THE MAIN FOCUS AGAIN 3475 02:15:37,651 --> 02:15:39,519 IS BONE IN MY LAB SO THIS THE 3476 02:15:39,519 --> 02:15:41,421 AMOUNT OF BONE IN NORMAL MOUSE, 3477 02:15:41,421 --> 02:15:44,391 AND YOU CAN SEE THIS LOOKS MUCH 3478 02:15:44,391 --> 02:15:45,759 MORE POROUS, SO THIS IS LESS 3479 02:15:45,759 --> 02:15:47,961 BONE IN THE MUTANT MICE THAT DID 3480 02:15:47,961 --> 02:15:51,231 NOT RECEIVE ANY TREATMENT, OR 3481 02:15:51,231 --> 02:15:52,299 JUST RECEIVE PLACEBO IS THIS IS 3482 02:15:52,299 --> 02:15:54,868 THE MICE IN THE MICE RECEIVING 3483 02:15:54,868 --> 02:15:55,702 ANTIREPOLICEMENT THERAPY WHEN 3484 02:15:55,702 --> 02:15:58,338 YOU QUANTIFY IT OBJECTIVELY, YOU 3485 02:15:58,338 --> 02:16:00,407 SEE NORMALIZATION OF BONE MASS, 3486 02:16:00,407 --> 02:16:06,379 AND THE TREATED MICE, THIS IS A 3487 02:16:06,379 --> 02:16:07,514 MEASUREMENT OF [INDISCERNIBLE], 3488 02:16:07,514 --> 02:16:09,482 SO NORMALLY YOUR BONE CELLS WILL 3489 02:16:09,482 --> 02:16:10,817 MAKE COLAIEN AND OTHER PROTEINS 3490 02:16:10,817 --> 02:16:12,452 AND THEN LIE DROKSY WILL 3491 02:16:12,452 --> 02:16:14,721 INCORPORATE INTO A PROTEIN SO 3492 02:16:14,721 --> 02:16:17,357 THIS REPRESENTS THE AMOUNT OF 3493 02:16:17,357 --> 02:16:18,758 MATRIX THAT HAPPENS, SEE YOU SEE 3494 02:16:18,758 --> 02:16:21,328 THERE'S MUCH MORE MINERALIZED 3495 02:16:21,328 --> 02:16:23,930 MATRIX IN THE MUTANT MICE, BUT 3496 02:16:23,930 --> 02:16:26,066 HAVEN'T BEEN TREATED AS COMPARED 3497 02:16:26,066 --> 02:16:27,534 TO A WILD-TYPE MICE WHILE THE 3498 02:16:27,534 --> 02:16:29,502 MUSEUM AT THAT POINT MICE HAVE 3499 02:16:29,502 --> 02:16:31,838 AN IMPROVEMENT IN BONE 3500 02:16:31,838 --> 02:16:33,006 MINERALIZATION, AND THIS IS JUST 3501 02:16:33,006 --> 02:16:34,641 A MEASURE OF BONE STRENGTH, 3502 02:16:34,641 --> 02:16:36,142 BASICALLY YOU'RE PUTTING A THIGH 3503 02:16:36,142 --> 02:16:38,545 BONE ACROSS 2-POINTS AND WE PUT 3504 02:16:38,545 --> 02:16:39,846 A 30-POINT, YOU APPLY PRESSURE 3505 02:16:39,846 --> 02:16:41,114 AND A THIRD POINT AND SEE HOW 3506 02:16:41,114 --> 02:16:42,983 MUCH WORK OR PRESSURE YOU NEED 3507 02:16:42,983 --> 02:16:43,817 TO APPLY IN ORDER TO BRING THAT 3508 02:16:43,817 --> 02:16:45,885 BONE AND YOU SEE THE BONES ARE 3509 02:16:45,885 --> 02:16:48,321 MUCH WEAKER OR YOU NEED TO APPLY 3510 02:16:48,321 --> 02:16:50,056 LESS PRESSURE TO BREAK THE BONE 3511 02:16:50,056 --> 02:16:52,359 IN THE SETTING OF EMPP1 3512 02:16:52,359 --> 02:16:53,560 DEFICIENCY WITH NO TREATMENT AND 3513 02:16:53,560 --> 02:16:54,694 THERE'S IMPROVEMENT IN THE 3514 02:16:54,694 --> 02:16:57,230 AMOUNT AND THE BONE STRENGTH OF 3515 02:16:57,230 --> 02:16:58,298 THIS AND REPLACEMENT THERAPY. 3516 02:16:58,298 --> 02:16:59,766 AND FINALLY I MENTIONED THAT 3517 02:16:59,766 --> 02:17:03,036 ADULT PATIENTS WITH EMPP1 3518 02:17:03,036 --> 02:17:03,870 DEFICIENCY EVENTUALLY DEVELOP 3519 02:17:03,870 --> 02:17:05,271 CALCIFICATION OF TENDONS AND 3520 02:17:05,271 --> 02:17:07,540 LIGAMENTS SO WE EVALUATED 3521 02:17:07,540 --> 02:17:10,276 WHETHER YOU CAN HAVE AN IMPACT 3522 02:17:10,276 --> 02:17:12,946 IN THIS PARTICULAR CAUSAL 3523 02:17:12,946 --> 02:17:13,880 MORBIDITY IN ADULT LIFE AND 3524 02:17:13,880 --> 02:17:17,517 THESE ARE ABOUT A THIRD OF MICE 3525 02:17:17,517 --> 02:17:19,219 BASICALLY HAVE NO CALCIIVES, THE 3526 02:17:19,219 --> 02:17:23,790 RED IS CALCIUM HERE AND THE 3527 02:17:23,790 --> 02:17:26,760 GREEN IS TENDONS SO THERE'S NO 3528 02:17:26,760 --> 02:17:28,461 CALCIUM IN THE THIRD, AND 3529 02:17:28,461 --> 02:17:29,963 THERE'S SOME IN ANOTHER THIRD 3530 02:17:29,963 --> 02:17:32,365 AND NO PREVENTION IN OUR THIRD 3531 02:17:32,365 --> 02:17:34,534 SO THERE'S PARTIAL PREVENTION OF 3532 02:17:34,534 --> 02:17:35,835 THE CALCIFICATION, AND SOMETHING 3533 02:17:35,835 --> 02:17:37,737 WE WILL QUANTIFY. 3534 02:17:37,737 --> 02:17:39,606 SO AGAIN WE'VE SEEN THE 3535 02:17:39,606 --> 02:17:40,774 REPLACEMENT THERAPY IS SHOWING 3536 02:17:40,774 --> 02:17:49,215 PROMISE WHEN IT COMES TO 3537 02:17:49,215 --> 02:17:54,020 PREVENTION OF BONE OF 3538 02:17:54,020 --> 02:17:55,255 OSTEOPOROSIS, AND MINERALIZATION 3539 02:17:55,255 --> 02:17:56,790 OF BONE, AND BONE STRENGTH 3540 02:17:56,790 --> 02:17:59,426 DECREASE, I SHOWED YOU 3541 02:17:59,426 --> 02:18:00,226 CARDIOVASCULAR AND MORTALITY 3542 02:18:00,226 --> 02:18:01,294 BENEFIT, SO ALL THIS LEADS THAT 3543 02:18:01,294 --> 02:18:03,396 IT MIGHT BE A GOOD THERAPY FOR 3544 02:18:03,396 --> 02:18:04,831 PATIENTS AND I SHOULD MENTION 3545 02:18:04,831 --> 02:18:05,732 THERE ARE CLINICAL TRIALS 3546 02:18:05,732 --> 02:18:09,903 ALREADY IN PLACE BOTH IN ADULTS 3547 02:18:09,903 --> 02:18:11,304 AND IN CHILDREN, IN FACT THE 3548 02:18:11,304 --> 02:18:14,974 ADULT TRIAL IS ALREADY FINISHING 3549 02:18:14,974 --> 02:18:16,176 ENROLLMENT RECREWMENT AND RIGHT 3550 02:18:16,176 --> 02:18:18,445 NOW THERE'S A CLINICAL TRIAL FOR 3551 02:18:18,445 --> 02:18:21,714 IN THIS DISEASE, OR RECEIVING 3552 02:18:21,714 --> 02:18:23,349 SOME REPLACEMENT THERAPY, SO 3553 02:18:23,349 --> 02:18:24,717 THERE'S HUMANS ALREADY RECEIVING 3554 02:18:24,717 --> 02:18:28,321 THIS KIND OF TREATMENT NOT JUST 3555 02:18:28,321 --> 02:18:29,522 A PRECLINICAL MODEL AND THIS 3556 02:18:29,522 --> 02:18:35,261 BEGS THE QUESTION, IF YOU CAN 3557 02:18:35,261 --> 02:18:36,463 GIVE ALL THIS MORBIDITY AND 3558 02:18:36,463 --> 02:18:38,765 MORTALITY CAN YOU DO THE SAME BY 3559 02:18:38,765 --> 02:18:40,233 DOING GENOMES TOGETHER AND GENE 3560 02:18:40,233 --> 02:18:42,635 THERAPY AND PRODUCING A TABLE 3561 02:18:42,635 --> 02:18:44,070 AMOUNT OF ENZYMES FOR INJECTIONS 3562 02:18:44,070 --> 02:18:45,705 AND WE'RE ACTUALLY COLLABORATING 3563 02:18:45,705 --> 02:18:49,042 WITH SOME EXPERTS IN ACADEMIA 3564 02:18:49,042 --> 02:18:51,578 AND DOING GENE THERAPY FOR EMPP1 3565 02:18:51,578 --> 02:18:51,878 DEFICIENCY. 3566 02:18:51,878 --> 02:18:53,680 SO THIS IS BASICALLY A SUMMARY 3567 02:18:53,680 --> 02:18:55,748 SLIDE AS YOU CAN SEE MY RESEARCH 3568 02:18:55,748 --> 02:18:58,952 PLAN FOCUSES ON RECRUITING PATES 3569 02:18:58,952 --> 02:18:59,786 WITH RARE SKELETAL CONDITIONS 3570 02:18:59,786 --> 02:19:01,321 AND TRYING TO UNDERSTAND THE 3571 02:19:01,321 --> 02:19:04,190 NATURE OF THEIR DIFFERENCES, 3572 02:19:04,190 --> 02:19:06,860 TRYING TO FIND NEW YEENS LEADING 3573 02:19:06,860 --> 02:19:08,228 TO SKELETAL DISORDERS AND AFTER 3574 02:19:08,228 --> 02:19:10,430 THAT, TRYING TO UNDERSTAND HOW 3575 02:19:10,430 --> 02:19:12,132 SKELETAL DIFFERENCES THEY PLAY 3576 02:19:12,132 --> 02:19:14,434 BY USING ANIMAL MODELS IN WHICH 3577 02:19:14,434 --> 02:19:15,702 WE CAN PROBE THESE MECHANISMS 3578 02:19:15,702 --> 02:19:18,571 TRYING TO COME UP WITH NEW 3579 02:19:18,571 --> 02:19:19,639 THERAPEUTIC TARGETS THAT WE WILL 3580 02:19:19,639 --> 02:19:23,510 FIRST TRY IN OUR ANIMAL MODELS 3581 02:19:23,510 --> 02:19:24,711 AND THE ANIMAL MODELS, BRING 3582 02:19:24,711 --> 02:19:26,880 THOSE BACK TO THE PATIENT'S 3583 02:19:26,880 --> 02:19:28,014 BEDSIDE SO THANK FUR LISTENING 3584 02:19:28,014 --> 02:19:30,984 AND I WILL BE HAPPY TO ANSWER 3585 02:19:30,984 --> 02:19:31,384 ANY QUESTIONS. 3586 02:19:31,384 --> 02:19:41,594 [ APPLAUSE ] 3587 02:19:43,329 --> 02:19:46,332 NI THINK WE HAVE TIME FOR 1 3588 02:19:46,332 --> 02:19:46,766 QUESTION. 3589 02:19:46,766 --> 02:19:46,966 YNEZ? 3590 02:19:46,966 --> 02:19:50,336 >> I JUST HAD 1 QUESTION. 3591 02:19:50,336 --> 02:19:51,604 THANK YOU FOR A MICE 3592 02:19:51,604 --> 02:19:53,873 PRESENTATION AND GREAT WORK. 3593 02:19:53,873 --> 02:20:00,380 I HAD A QUESTION, IS THERE 3594 02:20:00,380 --> 02:20:03,983 PARENT-CHILD TRANSMISSION WITH 3595 02:20:03,983 --> 02:20:05,018 THE MOSAIC VARIANT? 3596 02:20:05,018 --> 02:20:05,451 >> GREAT QUESTION. 3597 02:20:05,451 --> 02:20:07,086 THE ANSWER IS NO. 3598 02:20:07,086 --> 02:20:09,856 IF IT WASN'T INHERITED FROM THE 3599 02:20:09,856 --> 02:20:11,658 PARENT, EVERY SINGLE CELL WOULD 3600 02:20:11,658 --> 02:20:14,861 HAVE THAT IN THE BODY, CALLED 3601 02:20:14,861 --> 02:20:17,830 GERM LINE, AND MOSAIC MEANS IT 3602 02:20:17,830 --> 02:20:19,098 HAPPENED AFTER CONCEPTION, YOU 3603 02:20:19,098 --> 02:20:20,733 DIDN'T INHERIT IT FROM YOUR MOM 3604 02:20:20,733 --> 02:20:23,870 OR DAD, IT HAPPENED AS THE CELLS 3605 02:20:23,870 --> 02:20:26,372 WERE DIVIDING IN THE MOM'S WOMB, 3606 02:20:26,372 --> 02:20:29,242 WHICH IS WHY THEY WILL NOT HAVE 3607 02:20:29,242 --> 02:20:31,144 OVER GROWTH, SO MOAF OF IT WILL 3608 02:20:31,144 --> 02:20:32,745 BE ACTUALLY BE NORMAL AND AIR 3609 02:20:32,745 --> 02:20:35,815 SELECT GROUP THAT WILL HAVE THE 3610 02:20:35,815 --> 02:20:37,050 GENETIC CHANGE. 3611 02:20:37,050 --> 02:20:38,551 >> I UNDERSTAND THAT IS THE 3612 02:20:38,551 --> 02:20:41,154 QUESTION WHO HAVE THE MOSAIC 3613 02:20:41,154 --> 02:20:46,292 CHANGE, THEY BECOME ADULTS SO 3614 02:20:46,292 --> 02:20:48,595 THEY DON'T SHARE THE GERM LINE 3615 02:20:48,595 --> 02:20:49,829 FOR FERTILITY. 3616 02:20:49,829 --> 02:20:50,830 >> OH, THAT'S A GRAY QUESTION 3617 02:20:50,830 --> 02:20:52,098 BECAUSE YOU COULD HAVE ARGUE 3618 02:20:52,098 --> 02:20:54,400 THAT THE SAME GENETIC CHANGE 3619 02:20:54,400 --> 02:20:56,236 COULD BE PRESENT IN THE EGG 3620 02:20:56,236 --> 02:20:58,438 CELLS OR IN THE SPERM TELES AND 3621 02:20:58,438 --> 02:21:00,506 CESTEES, YOU COULD TRANSMIT IT 3622 02:21:00,506 --> 02:21:02,408 TO YOUR PROGENY TO THE CHILDREN, 3623 02:21:02,408 --> 02:21:04,377 WE HAVEN'T REALLY STUDIED THAT, 3624 02:21:04,377 --> 02:21:07,413 THERE ARE GROUPS BY THE WAY THAT 3625 02:21:07,413 --> 02:21:09,849 ARE NOT FOR TREVOR DEC BUT FOR 3626 02:21:09,849 --> 02:21:12,852 MA SWRAIIC DISORDERS IN GENERAL, 3627 02:21:12,852 --> 02:21:14,721 THE CLASSIC 1 IS CALLED THE 3628 02:21:14,721 --> 02:21:17,790 [INDISCERNIBLE] STUDY THIS YEAR, 3629 02:21:17,790 --> 02:21:22,895 THEY'RE SEQUENCING CASHES, 3630 02:21:22,895 --> 02:21:23,730 THEY'RE GETTING EMBRYOS FROM 3631 02:21:23,730 --> 02:21:25,965 PERM AND THE DAD, TO SEE IF IT 3632 02:21:25,965 --> 02:21:27,800 CAN TRANSMIT, BUT THERE ARE 3633 02:21:27,800 --> 02:21:29,836 STILL TESTS FOR THAT. 3634 02:21:29,836 --> 02:21:31,504 WE HAVEN'T DONE IT IF TREVOR DEC 3635 02:21:31,504 --> 02:21:32,939 BUT IT'S A GREAT QUESTION. 3636 02:21:32,939 --> 02:21:34,507 THE GENETIC CHAIRVELG IS NOT 3637 02:21:34,507 --> 02:21:36,442 ONLY PRESENT IN SKELETAL STEM 3638 02:21:36,442 --> 02:21:38,044 CELLS BUT ALSO IN OTHER CELLS 3639 02:21:38,044 --> 02:21:46,319 THROUGHOUT THE BODY. 3640 02:21:46,319 --> 02:21:47,086 YEAH. 3641 02:21:47,086 --> 02:21:48,488 NTHIS IS A QUESTION COMING FROM 3642 02:21:48,488 --> 02:21:50,256 SOMEONE WHO DOESN'T DO GENETICS. 3643 02:21:50,256 --> 02:21:52,592 AND SO IT MAY BE A STUPID 3644 02:21:52,592 --> 02:21:53,526 QUESTION, SO FORGIVE ME. 3645 02:21:53,526 --> 02:21:56,562 I WAS TRYING TO UNDERSTAND WHAT 3646 02:21:56,562 --> 02:21:58,731 IS THE DIFFERENCE BETWEEN 3647 02:21:58,731 --> 02:22:05,204 CHIMERISM AND WHAT YOU'RE 3648 02:22:05,204 --> 02:22:06,906 DESCRIBING? 3649 02:22:06,906 --> 02:22:07,473 >> CHIMERISM? 3650 02:22:07,473 --> 02:22:07,874 >> CHIMERISM. 3651 02:22:07,874 --> 02:22:09,208 >> YEAH, IT'S HARD TO SPREAN, 3652 02:22:09,208 --> 02:22:12,045 BUT THE DIFFERENCES IS THAT IN 3653 02:22:12,045 --> 02:22:16,049 THE CASE OF MOSAICISM, IT'S 3654 02:22:16,049 --> 02:22:18,885 REALLY THE CELLS KERIEF FRIDAY 3655 02:22:18,885 --> 02:22:20,853 OUR CELLS, MEANING LIKE LET'S 3656 02:22:20,853 --> 02:22:22,555 SAY CARLOS BUT SOME CELLS WOULD 3657 02:22:22,555 --> 02:22:23,923 HAVE A GENETIC SEQUENCE AND 3658 02:22:23,923 --> 02:22:26,893 OTHERS CELLS HAVE A DIFFERENT 3659 02:22:26,893 --> 02:22:33,833 GENETIC SEQUENCE, IN THIS CASE 3660 02:22:33,833 --> 02:22:35,535 OF CHIMERISM, THEY MIGHT DERIVE 3661 02:22:35,535 --> 02:22:37,870 FROM A MOM OR SIBLING IN UTERO 3662 02:22:37,870 --> 02:22:39,605 THAT DIE INDEED MY MOM'S WEEM, 3663 02:22:39,605 --> 02:22:40,873 ET CETERA SO HAVE YOU 2 3664 02:22:40,873 --> 02:22:42,041 DIFFERENT GROUPINGS OF THOSE 3665 02:22:42,041 --> 02:22:44,210 TOGETHER, IF I GET EXAMPLES OF 3666 02:22:44,210 --> 02:22:46,312 CHIMERISM, WHERE 1 GROUP OF 3667 02:22:46,312 --> 02:22:48,281 CELLS ARE XY, AND ANOTHER GROUP 3668 02:22:48,281 --> 02:22:50,016 OF CELLS AND XX, SO IT'S 3669 02:22:50,016 --> 02:22:51,784 DIFFERENT, NOT JUST OF A GENETIC 3670 02:22:51,784 --> 02:22:54,020 SEQUENCE, BUT OF THE GENETIC 3671 02:22:54,020 --> 02:22:55,655 ORIGIN OF THOSE CELLS IS 3672 02:22:55,655 --> 02:22:57,990 ACTUALLY DIFFERENT IN THE CASE 3673 02:22:57,990 --> 02:22:58,725 OF CHIMERISM. 3674 02:22:58,725 --> 02:23:01,494 IT'S A GREAT QUESTION. 3675 02:23:01,494 --> 02:23:03,863 IT'S NOT A DUMB QUESTION. 3676 02:23:03,863 --> 02:23:06,799 >> OKAY, THANK YOU SO MUCH 3677 02:23:06,799 --> 02:23:07,033 CARLOS. 3678 02:23:07,033 --> 02:23:12,839 AND NOW WE'RE READY FOR BIG 3679 02:23:12,839 --> 02:23:15,241 HIGHLIGHT OF THE ADRISERY 3680 02:23:15,241 --> 02:23:15,641 COUNCIL MEETING. 3681 02:23:15,641 --> 02:23:16,943 IF YOU ARE FAMILIAR WITH OUR 3682 02:23:16,943 --> 02:23:20,146 SCHEDULE, WE KNOW WE REGULARLY 3683 02:23:20,146 --> 02:23:21,347 FEATURE A SEGMENT CALLED THE 3684 02:23:21,347 --> 02:23:22,515 VOICE OF THE PARTICIPANT. 3685 02:23:22,515 --> 02:23:23,683 THIS GIVES US A CHANCE IT HEAR 3686 02:23:23,683 --> 02:23:25,685 FROM THOSE WHO HAVE HAD PERSONAL 3687 02:23:25,685 --> 02:23:27,387 EXPERIENCES RELATED TO THE 3688 02:23:27,387 --> 02:23:31,758 RESEARCH THAT NICHD FUNDS. 3689 02:23:31,758 --> 02:23:33,726 TODAY WE'RE DELIGHTED TO WELCOME 3690 02:23:33,726 --> 02:23:37,130 NATALIE AN 11 YEAR-OLD GIRL WITH 3691 02:23:37,130 --> 02:23:40,767 EMPP1 DEFICIENCY AND HER PARENTS 3692 02:23:40,767 --> 02:23:41,801 ANN AND JERRY. 3693 02:23:41,801 --> 02:23:43,636 NATALIE HAS BEEN ENROLL INDEED 3694 02:23:43,636 --> 02:23:46,406 MULTIPLE NIH RESEARCH STUDIES 3695 02:23:46,406 --> 02:23:48,474 SINCE HER INITIAL VISIT TO THE 3696 02:23:48,474 --> 02:23:54,313 NIH AT THE AGE OF 4 MONTHS. 3697 02:23:54,313 --> 02:23:56,582 AND JERRY AND NATALIE WILL SPEAK 3698 02:23:56,582 --> 02:23:59,118 WITH US ABOUT LIVING WITH A 3699 02:23:59,118 --> 02:23:59,819 GENETIC DISORDER AND THE 3700 02:23:59,819 --> 02:24:01,087 EXPERIENCE OF BEING A 3701 02:24:01,087 --> 02:24:02,422 PARTICIPANT IN A RESEARCH STUDY. 3702 02:24:02,422 --> 02:24:05,591 SO AGAIN, WELCOME AND NOW I'M 3703 02:24:05,591 --> 02:24:09,162 GOING TO INVITE DR. PERREIRA, 3704 02:24:09,162 --> 02:24:10,763 NATALIE AND HER PARENTS TO JOIN 3705 02:24:10,763 --> 02:24:12,198 US AND THANK YOU SO MUCH FOR 3706 02:24:12,198 --> 02:24:22,542 BEING WITH US TODAY. 3707 02:25:02,448 --> 02:25:02,949 [ APPLAUSE ] 3708 02:25:02,949 --> 02:25:05,051 >> PLEASE TURN ON YOUR 3709 02:25:05,051 --> 02:25:05,351 MICROPHONES. 3710 02:25:05,351 --> 02:25:07,153 THERE'S A LITTLE PROFILE OF A 3711 02:25:07,153 --> 02:25:07,920 PERSON, LOOKING LIKE SOMETHING 3712 02:25:07,920 --> 02:25:09,722 COME OUT OF THE MOUTH, IT'S 3713 02:25:09,722 --> 02:25:15,294 SUPPOSED TO BE YOUR VOICE. 3714 02:25:15,294 --> 02:25:16,095 >> APPRECIATE IT. 3715 02:25:16,095 --> 02:25:17,763 SO THANKS FOR COMING AND YOU 3716 02:25:17,763 --> 02:25:19,065 KNOW NATALIE, SORRY I AM PUTTING 3717 02:25:19,065 --> 02:25:20,666 YOU ON THE SPOT HERE BUT I 3718 02:25:20,666 --> 02:25:22,235 PRIESHT YOU BEING WILLING TO 3719 02:25:22,235 --> 02:25:25,505 SHARE YOUR STORY WITH US. 3720 02:25:25,505 --> 02:25:27,807 SO, WE'RE GOING TO ASK QUESTIONS 3721 02:25:27,807 --> 02:25:29,575 LATER BUT DO YOU MIND STARTING 3722 02:25:29,575 --> 02:25:30,710 BY TELLING US HOW YOU GOT HERE 3723 02:25:30,710 --> 02:25:32,478 AND I KNOW YOUR STORY QUITE WELL 3724 02:25:32,478 --> 02:25:34,347 BUT IF YOU COULD SHARE IT WITH 3725 02:25:34,347 --> 02:25:34,914 THE AUDIENCE. 3726 02:25:34,914 --> 02:25:35,181 >> SURE. 3727 02:25:35,181 --> 02:25:39,218 SO IT'S GOOD TO BE HERE WITH YOU 3728 02:25:39,218 --> 02:25:39,485 TODAY. 3729 02:25:39,485 --> 02:25:42,455 MY NAME IS ANNE, MY HUSBAND 3730 02:25:42,455 --> 02:25:44,423 JERRY AND OF COURSE NATALIE, WE 3731 02:25:44,423 --> 02:25:45,725 LIVE IN NORTH TEXAS. 3732 02:25:45,725 --> 02:25:47,460 WE HAVE 6 CHILDREN. 3733 02:25:47,460 --> 02:25:50,162 THREE CHILDREN WHO ARE NOT 3734 02:25:50,162 --> 02:25:53,366 AFFECTED BY GACI, OUR SON IS 20, 3735 02:25:53,366 --> 02:25:56,235 YULIAN 14 AND 3 CHILDREN THAT 3736 02:25:56,235 --> 02:25:58,104 ARE AFFECTED WITH GACI. 3737 02:25:58,104 --> 02:25:58,938 OUR STORY BEGINNING 23 YEARS 3738 02:25:58,938 --> 02:26:01,107 -ING WHEN WE WERE EXPECTING OUR 3739 02:26:01,107 --> 02:26:02,842 FIRST SON REED CHRISTOPHER. 3740 02:26:02,842 --> 02:26:05,611 I HAD A WONDERFUL PREGNANCY, I 3741 02:26:05,611 --> 02:26:09,815 LOVE BEING PREGNANT WITH HIM AND 3742 02:26:09,815 --> 02:26:12,151 EXCEPT THE MORNING SICKNESS OF 3743 02:26:12,151 --> 02:26:13,219 COURSE, THE PREGNANCY WENT 3744 02:26:13,219 --> 02:26:14,554 REALLY WELL, HE CAME A BIT 3745 02:26:14,554 --> 02:26:16,222 EARLY, ABOUT 4 WEEKS EARLY AND 3746 02:26:16,222 --> 02:26:18,190 WE BROUGHT HIM HOME, JUST LOVED 3747 02:26:18,190 --> 02:26:19,592 BEING NEW PARENTS AND 1 DAY I 3748 02:26:19,592 --> 02:26:22,094 HAD LAID HIM DOWN TO TAKE A NAP 3749 02:26:22,094 --> 02:26:23,963 AND I JUST PEEKED IN ON HIM JUST 3750 02:26:23,963 --> 02:26:25,898 TO SEE HOW HE WAS AND I COULD 3751 02:26:25,898 --> 02:26:27,767 JUST SEE THAT HIS BREATHING WAS 3752 02:26:27,767 --> 02:26:35,641 JUST A LITTLE BIT OFF, JUST A 3753 02:26:35,641 --> 02:26:36,275 TAD BIT. 3754 02:26:36,275 --> 02:26:38,344 AND SO IT WAS JUST SURPRISING TO 3755 02:26:38,344 --> 02:26:39,979 ME BECAUSE IT WAS JUST A LITTLE 3756 02:26:39,979 --> 02:26:42,181 BIT AND I SHOWED HIM TO JERRY SO 3757 02:26:42,181 --> 02:26:43,583 WE CALLED THE CLINIC AND THEY 3758 02:26:43,583 --> 02:26:44,984 SAID WHY DON'T YOU COME IN, AND 3759 02:26:44,984 --> 02:26:46,619 WE CAME IN AND BEFORE WE KNEW IT 3760 02:26:46,619 --> 02:26:48,454 WE WERE IN THE EMERGENCY ROOM 3761 02:26:48,454 --> 02:26:49,989 AND REED WAS BEING TRANSFERRED 3762 02:26:49,989 --> 02:26:59,398 BY A HELICOPTER TO A CHILDREN'S 3763 02:26:59,398 --> 02:27:00,566 HOSPITAL IN MINNEAPOLIS. 3764 02:27:00,566 --> 02:27:01,334 THEY WERE VERY PUZZLE EXCLUDE 3765 02:27:01,334 --> 02:27:04,103 DID NOT KNOW WHAT WAS GOING ON 3766 02:27:04,103 --> 02:27:04,370 WITH HIM. 3767 02:27:04,370 --> 02:27:08,541 THERE WAS A LOT OF CONFUSION ALL 3768 02:27:08,541 --> 02:27:09,175 THROUGHOUT HIS BODY. 3769 02:27:09,175 --> 02:27:12,311 THEY HAD NOT SEEN ANYTHING LIKE 3770 02:27:12,311 --> 02:27:12,712 THAT BEFORE. 3771 02:27:12,712 --> 02:27:14,080 THEY DIDN'T KNOW WHAT IT WAS, 3772 02:27:14,080 --> 02:27:15,381 THEY DIDN'T KNOW FOR SURE AND 3773 02:27:15,381 --> 02:27:17,683 THEY GAVE US THE NEWS THAT HE 3774 02:27:17,683 --> 02:27:20,920 WAS IAAC, AND THAT WAS GACI BUT 3775 02:27:20,920 --> 02:27:23,689 AT THAT TIME IT WAS IIAC, WHICH 3776 02:27:23,689 --> 02:27:27,760 STANDS FOR IDIO PATHIN INFANTILE 3777 02:27:27,760 --> 02:27:28,427 ARE--ADMINISTRATIVE TORIOLE 3778 02:27:28,427 --> 02:27:29,095 SUFFOCATION, AT THAT TOO MANY I 3779 02:27:29,095 --> 02:27:30,429 DEPARTMENT KNOW WHAT WAS CAUSING 3780 02:27:30,429 --> 02:27:30,663 IT. 3781 02:27:30,663 --> 02:27:35,401 THERE WAS NO GOOGLE TO SEARCH 3782 02:27:35,401 --> 02:27:39,105 ONLINE, NO PARENT SUPPORT, 3783 02:27:39,105 --> 02:27:40,906 NOTHING, AND WE WENT HOME THAT 3784 02:27:40,906 --> 02:27:42,975 FIRST TIME WITH REED FEELING 3785 02:27:42,975 --> 02:27:44,477 VERY HOPELESS, HIS CHANCE OF 3786 02:27:44,477 --> 02:27:51,684 SURVIVAL WAS VERY MINIMAL. 3787 02:27:51,684 --> 02:27:54,086 SO WE WENT HOME AND 5 WEEKS 3788 02:27:54,086 --> 02:27:55,554 LATER WE RETURNED WHEN HIS 3789 02:27:55,554 --> 02:27:56,622 BREATHING GOT OFF AGAIN. 3790 02:27:56,622 --> 02:27:58,891 AND IT WAS ABOUT A WEEK LATER HE 3791 02:27:58,891 --> 02:28:02,161 PASSED AWAY AT 7 WEEKS IN OUR 3792 02:28:02,161 --> 02:28:04,497 ARMS BUT HE HAD SEVERAL MULTIPLE 3793 02:28:04,497 --> 02:28:07,767 HEART ATTACKS RIGHT BEFORE HE 3794 02:28:07,767 --> 02:28:08,701 PASSED AWAY. 3795 02:28:08,701 --> 02:28:12,805 WE DID DO AN AUTOPSIES WHICH DID 3796 02:28:12,805 --> 02:28:15,107 SHOW INDEED IT WAS IIAC, AND 3797 02:28:15,107 --> 02:28:16,409 THEN WE WERE ABLE TO SEBD 3798 02:28:16,409 --> 02:28:17,376 TISSUES BECAUSE AT THAT TIME, 3799 02:28:17,376 --> 02:28:19,545 THERE WERE NO RESEARCHERS, THERE 3800 02:28:19,545 --> 02:28:22,181 WASN'T A LOT OF RESEARCH BEING 3801 02:28:22,181 --> 02:28:24,083 DONE BUT WE KNEW THERE WAS 1 IN 3802 02:28:24,083 --> 02:28:24,750 GERMANY SOPHISTICATEDY WE SENT 3803 02:28:24,750 --> 02:28:26,419 SOME OF THESE TISSUES TO THEM, 3804 02:28:26,419 --> 02:28:28,087 BECAUSE WE WANT TO TO HELP IN 3805 02:28:28,087 --> 02:28:32,425 ANY WAY WE COULD TO LEARN MORE 3806 02:28:32,425 --> 02:28:35,761 ABOUT THIS HORRIBLE DISEASE. 3807 02:28:35,761 --> 02:28:38,698 SO AS YOU CAN IMAGINE, WE LEFT 3808 02:28:38,698 --> 02:28:39,799 HEART BROKEN, EMPTY NURSERY, 3809 02:28:39,799 --> 02:28:40,966 QUIET HOUSE AND DURING THE NEXT 3810 02:28:40,966 --> 02:28:42,768 FEW YEARS I HAD A COUPLE 3811 02:28:42,768 --> 02:28:44,837 MISCARRIAGES AND THEN WE WERE 3812 02:28:44,837 --> 02:28:46,672 EXPECTING AGAIN IN 2004, OUR SON 3813 02:28:46,672 --> 02:28:47,073 DREW. 3814 02:28:47,073 --> 02:28:48,774 WHEN WE WERE PREGNANT WITH THEM, 3815 02:28:48,774 --> 02:28:50,209 WE RECEIVED THIS LETTER IN THE 3816 02:28:50,209 --> 02:28:51,277 MAIL FROM RESEARCHERS LETTING US 3817 02:28:51,277 --> 02:28:56,582 KNOW THAT THEY BELIEVE THAT THEY 3818 02:28:56,582 --> 02:29:00,386 FOUND THE MUTATION OF IIAC,ING 3819 02:29:00,386 --> 02:29:01,787 PREGNANT I WAS LITTLE 3820 02:29:01,787 --> 02:29:02,221 OVERWHELMED TO. 3821 02:29:02,221 --> 02:29:03,889 BECAUSE I WAS TO HAVE A BABY IN 3822 02:29:03,889 --> 02:29:06,258 A FEW WEEKS BUT WE FOUND OUT 3823 02:29:06,258 --> 02:29:09,228 THAT AND WE FOUND WE WERE 3824 02:29:09,228 --> 02:29:16,736 CARRIERS, OF THE ENPP1 MUTATION 3825 02:29:16,736 --> 02:29:20,439 EMPLOY AFTER DREW WAS BORN, WE 3826 02:29:20,439 --> 02:29:21,974 HAD HIS CORD BLOOD TESTED AND 3827 02:29:21,974 --> 02:29:23,609 SHOWED HE WAS NONAPOPTOTIC 3828 02:29:23,609 --> 02:29:25,344 AFFECTED OF GACI BUT WAS A 3829 02:29:25,344 --> 02:29:26,879 CARRIER LIKE JERRY AND I. 3830 02:29:26,879 --> 02:29:28,280 AFTER DREW, WE OF COURSE WANTED 3831 02:29:28,280 --> 02:29:32,051 HIM TO HAVE A SIBLING AND SO WE 3832 02:29:32,051 --> 02:29:34,320 UNFORTUNATELY HAD MORE 3833 02:29:34,320 --> 02:29:35,988 MISCARRIAGES AND THEN, IN 2010 3834 02:29:35,988 --> 02:29:38,557 WE HAD TWINS THAT WERE BORN 3835 02:29:38,557 --> 02:29:41,227 GRAHAM AND JULIA AND THEY AS 3836 02:29:41,227 --> 02:29:46,665 WELL ARE CARRIERS ONLY AND NOT 3837 02:29:46,665 --> 02:29:52,171 AFFECTED WITH ENPP1 MUTATION 3838 02:29:52,171 --> 02:29:54,140 EMPLOY NHEY, EVERYBODY, MY TURN. 3839 02:29:54,140 --> 02:29:55,474 I'M JERRY, THANK YOU FOR THE 3840 02:29:55,474 --> 02:29:57,643 GREAT PRIVILEGE TO BE HERE, OUR 3841 02:29:57,643 --> 02:29:58,811 STORY CONTINUED WHEN OUR TWINS 3842 02:29:58,811 --> 02:30:01,580 WERE 5 AND HALF MONTHS OLD, 3843 02:30:01,580 --> 02:30:05,084 RATHER THAN EXPECTEDLY AND ANNE 3844 02:30:05,084 --> 02:30:08,287 BECAME PREGNANT AGAIN AND AT 20 3845 02:30:08,287 --> 02:30:09,722 WEEKS THE ULTRASOUND LOOKED GOOD 3846 02:30:09,722 --> 02:30:11,891 HOWEVER AT 32 WEEKS THE 3847 02:30:11,891 --> 02:30:13,826 ULTRASOUND NOTED A SMALL AMOUNT 3848 02:30:13,826 --> 02:30:16,262 OF FLUID AROUND THE BABY'S 3849 02:30:16,262 --> 02:30:16,729 HEART. 3850 02:30:16,729 --> 02:30:17,563 FURTHER ULTRASOUNDS CONFIRMED 3851 02:30:17,563 --> 02:30:20,499 THE FINDINGS THAT THERE WERE 3852 02:30:20,499 --> 02:30:22,067 SIGNIFICANT CALCIFICATIONS IN 3853 02:30:22,067 --> 02:30:23,402 THE ARTERIES OF THE BABY, AT 3854 02:30:23,402 --> 02:30:25,905 THAT POINT IN TIME, WE REACHED 3855 02:30:25,905 --> 02:30:28,507 OUT TO DR. FRANK RUCHE FROM 3856 02:30:28,507 --> 02:30:31,443 GERMANY AND WE ASKED IF THERE 3857 02:30:31,443 --> 02:30:35,948 WAS ANY NEW DEVELOPMENTS AND ANY 3858 02:30:35,948 --> 02:30:37,183 KIND OF A TREATMENT. 3859 02:30:37,183 --> 02:30:41,120 OUR MEDICAL TEAM AT THE TIME HAD 3860 02:30:41,120 --> 02:30:43,088 DETERMINED TO DELIVER THE BABY 3861 02:30:43,088 --> 02:30:45,491 AT 36 WEEKS WITH THE POTENTIAL 3862 02:30:45,491 --> 02:30:46,425 TREATMENT OF BUSINESS PROGRAMS 3863 02:30:46,425 --> 02:30:46,992 FOSTER NURSED FONNATESSATE. 3864 02:30:46,992 --> 02:30:49,929 SO WE DID THAT AND OUR SON IAN 3865 02:30:49,929 --> 02:30:55,000 JAMES WAS BORN JANUARY 20th IN 3866 02:30:55,000 --> 02:30:55,201 2011. 3867 02:30:55,201 --> 02:30:56,969 AND IAN WAS TREATED WITH THE 3868 02:30:56,969 --> 02:30:57,937 BUSINESS PROGRAMS FOSTER NURSED 3869 02:30:57,937 --> 02:30:59,104 FONNATESSATE AND IT APPEARED AT 3870 02:30:59,104 --> 02:31:01,574 5 WEEKS OF AGE THAT THE BUSINESS 3871 02:31:01,574 --> 02:31:02,508 PROGRAMS FOSTER NURSED 3872 02:31:02,508 --> 02:31:07,313 FONNATESSATE WAS HAVING SOME 3873 02:31:07,313 --> 02:31:07,546 EFFECT. 3874 02:31:07,546 --> 02:31:10,516 THERE WAS A CHUCK UP THAT WAS 3875 02:31:10,516 --> 02:31:13,285 DONE AND HE SEEMED TO BE DOING 3876 02:31:13,285 --> 02:31:14,019 WELL. 3877 02:31:14,019 --> 02:31:16,555 THE 1 THING THE DOCTORS 3878 02:31:16,555 --> 02:31:17,957 CAUTIONED US ABOUT WAS THAT WITH 3879 02:31:17,957 --> 02:31:19,225 THE IMAGING THEY COULD NOT GET A 3880 02:31:19,225 --> 02:31:27,066 YOU GO VIEW OF THE CORONARY 3881 02:31:27,066 --> 02:31:28,601 ARTERIES, UNFORTUNATELY 2 DAYS 3882 02:31:28,601 --> 02:31:31,036 LATER HE HAD TO BE RUSHED TO THE 3883 02:31:31,036 --> 02:31:32,204 EMERGENCY ROOM AND AFTER HOURS 3884 02:31:32,204 --> 02:31:35,074 OF WORKING ON HIM, HE PASSED 3885 02:31:35,074 --> 02:31:36,976 AWAY FROM CARDIAC ARREST ON 3886 02:31:36,976 --> 02:31:38,210 MARCH 40 OF 2012. 3887 02:31:38,210 --> 02:31:41,347 THAT WAS INCREDIBLY DIFFICULT 3888 02:31:41,347 --> 02:31:47,186 FOR US AND QUITE FRANKLY 3889 02:31:47,186 --> 02:31:48,120 DEVASTATING FOR A WHILE. 3890 02:31:48,120 --> 02:31:50,623 WE DID NOT KNOW WHAT TO DO BUT 3891 02:31:50,623 --> 02:31:52,825 AFTER MONTHS OF PONDERING AND 3892 02:31:52,825 --> 02:31:54,627 CONSIDERING ACTUALLY, IT WAS A 3893 02:31:54,627 --> 02:31:58,130 DIFFICULT CONVERSATION BUT I 3894 02:31:58,130 --> 02:32:01,634 FELT LIKE OUR FAMILY WAS NOT 3895 02:32:01,634 --> 02:32:04,770 COMPLETE AND TRY GOING TO YOUR 3896 02:32:04,770 --> 02:32:06,372 WIFE AFTER HAVING 2 CHILDREN 3897 02:32:06,372 --> 02:32:07,973 PASS AWAY AND SEVERAL 3898 02:32:07,973 --> 02:32:09,708 MISCARRIAGES AND ASKING HER TO 3899 02:32:09,708 --> 02:32:11,543 GET PREGNANT AGAIN, IT WAS A 3900 02:32:11,543 --> 02:32:12,244 DIFFICULT CONVERSATION FOR BOTH 3901 02:32:12,244 --> 02:32:14,780 OF US BUT WE FELT THE SAME AND 3902 02:32:14,780 --> 02:32:16,215 WE DECIDED WE DIDN'T WANT OUR 3903 02:32:16,215 --> 02:32:18,450 FAMILY TO THINK WE WERE CRAZY 3904 02:32:18,450 --> 02:32:20,119 BUT WE TOOK THE STEP OF FAITH 3905 02:32:20,119 --> 02:32:25,591 AND WE BEGAN TO TRY TO GET 3906 02:32:25,591 --> 02:32:26,992 PREGNANT AND SO OF COURSE WE DID 3907 02:32:26,992 --> 02:32:28,727 ASK WE WERE GRATEFUL FOR THAT 3908 02:32:28,727 --> 02:32:35,801 AND AT THAT POINT IN TIME, AT 20 3909 02:32:35,801 --> 02:32:38,070 WEEKS, THE ULTRASOUND SHOWED 3910 02:32:38,070 --> 02:32:42,207 CALCIFICATIONS ALREADY IN THIS 3911 02:32:42,207 --> 02:32:44,710 CHILD SO WE DECIDED TO DO AN 3912 02:32:44,710 --> 02:32:46,378 AMNIO SEN ILLEGALSEN TISIS 3913 02:32:46,378 --> 02:32:48,113 RESULTS 1 FIRMED WHAT WE WERE 3914 02:32:48,113 --> 02:32:50,149 CONCERNED ABOUT WHICH IS THIS 3915 02:32:50,149 --> 02:32:54,353 CHILD ALSO HAD GACI AS WELL. 3916 02:32:54,353 --> 02:32:56,722 AT THAT TIME WE WERE DEVASTATED 3917 02:32:56,722 --> 02:32:58,757 AND THE ULTRA SOWBD INDICATE 3918 02:32:58,757 --> 02:33:00,292 THAD THE CALCIFICATION WERE 3919 02:33:00,292 --> 02:33:02,094 PROGRESSING RAPIDLY SO WE DIDN'T 3920 02:33:02,094 --> 02:33:05,731 KNOW IF THE BABY WOULD BE ABLE 3921 02:33:05,731 --> 02:33:08,233 TO SURVIVE THE PREGNANCY. 3922 02:33:08,233 --> 02:33:13,205 AND AT THAT TIME AGAIN, WE 3923 02:33:13,205 --> 02:33:14,807 REACHED OUT TO DR. FRANK RUSH 3924 02:33:14,807 --> 02:33:17,176 ASKING IF THERE WAS ANY MORE NEW 3925 02:33:17,176 --> 02:33:17,910 DEVELOP AMS. 3926 02:33:17,910 --> 02:33:19,878 HE DID SEND ME AN ARTICLE THAT 3927 02:33:19,878 --> 02:33:26,051 HAD BEEN WRITTEN, I BELIEVE IN 3928 02:33:26,051 --> 02:33:29,355 193 OR 4, SOMEWHERE IN THERE, 3929 02:33:29,355 --> 02:33:31,523 ANYWAY ISSUE THE ARTICLE 3930 02:33:31,523 --> 02:33:32,791 REFERENCES AUTHOR LOCATED AT THE 3931 02:33:32,791 --> 02:33:33,525 CHILDREN'S HOSPITAL OF 3932 02:33:33,525 --> 02:33:34,927 PHILADELPHIA AND THAT KIND OF 3933 02:33:34,927 --> 02:33:38,030 BEGAN A NEW JOURNEY FOR US. 3934 02:33:38,030 --> 02:33:40,466 WE HOPPED TO THE GOOGLE MACHINE 3935 02:33:40,466 --> 02:33:41,500 AND FOUND OUT THAT THE 3936 02:33:41,500 --> 02:33:43,068 CHILDREN'S HOSPITAL IN 3937 02:33:43,068 --> 02:33:45,037 PHILADELPHIA DID TREAT CHILDREN 3938 02:33:45,037 --> 02:33:47,006 WITH RARE GENETIC DISORDERS AND 3939 02:33:47,006 --> 02:33:48,307 SO WE REACHED OUT TO THEM AND 3940 02:33:48,307 --> 02:33:50,042 WITHIN DAYS OF REACHING OUT WE 3941 02:33:50,042 --> 02:33:51,410 HAD A CONSULTATION APPOINTMENT 3942 02:33:51,410 --> 02:33:53,512 WITH THEM AND THAT KIND OF BEGAN 3943 02:33:53,512 --> 02:33:56,382 OUR WHOLE NEW YOWRNY FOR US. 3944 02:33:56,382 --> 02:33:59,118 >> THAT AT TIME WE MET DR. LE 3945 02:33:59,118 --> 02:34:00,519 VINE, AN EBD O CRINOLOGY THAT 3946 02:34:00,519 --> 02:34:01,920 TALKED AND WE WERE THRILLED TO 3947 02:34:01,920 --> 02:34:04,189 MEET A DOCTOR THAT KNEW MUCH 3948 02:34:04,189 --> 02:34:05,858 MORE ABOUT GACI THAN WE DID, HE 3949 02:34:05,858 --> 02:34:07,259 HAD SEEN OTHER KIDDOS AND BABIES 3950 02:34:07,259 --> 02:34:09,962 AND SO WE STARTED CHATTING WITH 3951 02:34:09,962 --> 02:34:11,363 HIM ANDEE SAID WELL IS THERE 3952 02:34:11,363 --> 02:34:13,232 ANYTHING THAT CAN BE DONE BEFORE 3953 02:34:13,232 --> 02:34:14,767 WE--WHILE I WAS PREGNANT AT THE 3954 02:34:14,767 --> 02:34:16,135 TIME, IS THERE ANYTHING THAT CAN 3955 02:34:16,135 --> 02:34:19,438 BE DONE TO HELP THOSE 3956 02:34:19,438 --> 02:34:20,706 CALCIFICATIONS AND HE TURNED 3957 02:34:20,706 --> 02:34:22,408 AROUND IN HIS LITTLE CHAIR AND 3958 02:34:22,408 --> 02:34:24,643 SAID HEY I'M UP FOR A CHALLENGE. 3959 02:34:24,643 --> 02:34:29,014 HE THEN BROUGHT EXPERTS IN 3960 02:34:29,014 --> 02:34:30,315 ALONGSIDE HIM AND THEY WANTED TO 3961 02:34:30,315 --> 02:34:32,051 DO SOMETHING THAT THEY HAD NOT 3962 02:34:32,051 --> 02:34:38,057 DONE BEFORE AND THAT WAS TO GIVE 3963 02:34:38,057 --> 02:34:40,359 ME EPIDRNIOTE AS A MOM AND THE 3964 02:34:40,359 --> 02:34:42,394 REASON THEY COULD TO THAT IS 3965 02:34:42,394 --> 02:34:44,029 BECAUSE THERE HAD BEEN PRIOR 3966 02:34:44,029 --> 02:34:49,902 STUDIES NOT FOR GACI BUT OTHER 3967 02:34:49,902 --> 02:34:53,939 PREGNANT WOMEN WHO HAD TAKEN 3968 02:34:53,939 --> 02:34:55,507 EPINDRINOTE, AND THERE WAS NO 3969 02:34:55,507 --> 02:34:56,842 HARMFUL EFFECT TO THE BABY. 3970 02:34:56,842 --> 02:35:00,879 I THEN MOVED ON UTR TO 3971 02:35:00,879 --> 02:35:02,681 PHILADELPHIA, WHEN I WAS 30 3972 02:35:02,681 --> 02:35:04,650 WEEKS PREGNANT. 3973 02:35:04,650 --> 02:35:06,618 I STARTEDOT MEDICINE, I HAD 3974 02:35:06,618 --> 02:35:09,121 WEEKLY ULTRASOUNDS AND 3975 02:35:09,121 --> 02:35:09,955 DR. APPOINTMENTS AND JERRY WAS 3976 02:35:09,955 --> 02:35:13,158 AT HOME WITH THE 3 YOUNGER 3977 02:35:13,158 --> 02:35:14,693 CHILDREN AND AMAZINGLY EVERY 3978 02:35:14,693 --> 02:35:17,429 WEEK I WOULD GO AND THE 3979 02:35:17,429 --> 02:35:18,363 CALCIFICATIONS DID NOT CONTINUE 3980 02:35:18,363 --> 02:35:23,068 SPREADING AND GETTING WORSE. 3981 02:35:23,068 --> 02:35:24,937 SO NATALIE GRACE WAS BORN AT 39 3982 02:35:24,937 --> 02:35:28,574 WEEKS OLD AND SHE IS OF COURSE 3983 02:35:28,574 --> 02:35:30,442 RIGHT HERE, SHE WAS WHISKED AWAY 3984 02:35:30,442 --> 02:35:33,278 TO THE NICU AFTER SHE WAS BORN, 3985 02:35:33,278 --> 02:35:35,681 STARTED ON ANOTHER NEW DIFFERENT 3986 02:35:35,681 --> 02:35:39,852 MEDICATION AND IT WAS SODIUM 3987 02:35:39,852 --> 02:35:42,955 SULS 8, SHE HAD THAT THROUGH A 3988 02:35:42,955 --> 02:35:44,223 CENTRALALIZE, INFUSIONS 5 DAYS A 3989 02:35:44,223 --> 02:35:49,027 WEEK AND THAT 1 YEAR MARK AS 3990 02:35:49,027 --> 02:35:50,028 DR. CARLOS FERREIRA MENTIONED IS 3991 02:35:50,028 --> 02:35:51,230 REALLY IMPORTANT AND WE WERE 3992 02:35:51,230 --> 02:35:55,367 HOLDING OUR BREATH THROUGHOUT IT 3993 02:35:55,367 --> 02:35:56,969 ALL, BUT THAT BETWEEN PRAYER AND 3994 02:35:56,969 --> 02:35:58,937 MEDICINE WE REALLY BELIEVE THAD 3995 02:35:58,937 --> 02:36:00,239 THAT KEPT THE CALCIFICATIONS 3996 02:36:00,239 --> 02:36:02,341 AWAY. 3997 02:36:02,341 --> 02:36:04,743 SO WE CELEBRATED BIG FOR 3998 02:36:04,743 --> 02:36:07,980 NATALIE'S FIRST BIRTHDAY AND 3999 02:36:07,980 --> 02:36:09,715 CONTINUED THE SODIUM TREATMENTS 4000 02:36:09,715 --> 02:36:13,418 UNTIL SHE WAS 13 MONTHS OLD, AT 4001 02:36:13,418 --> 02:36:15,787 3 YEARS OLD SHE WAS STARTED ON 4002 02:36:15,787 --> 02:36:18,357 THE PHOSPHOR OWS AND CALCTROL TO 4003 02:36:18,357 --> 02:36:19,525 HELP PREVENT RICKYS, THERE'S A 4004 02:36:19,525 --> 02:36:21,126 BIT OF CHANGE NOTHING HER BONES 4005 02:36:21,126 --> 02:36:23,996 AND KNEES AND THEN SHE DID START 4006 02:36:23,996 --> 02:36:30,769 WEARING HEARING AIDS AT 3 YEARS 4007 02:36:30,769 --> 02:36:31,537 OLD AS WELL. 4008 02:36:31,537 --> 02:36:33,071 >> WELL, THANK YOU FOR SHARING 4009 02:36:33,071 --> 02:36:34,506 THATORY AGAIN AND I'VE HEARD IT 4010 02:36:34,506 --> 02:36:36,008 MULTIPLE TIMES IN THE LAST 11 4011 02:36:36,008 --> 02:36:37,442 YEARS BUT IT'S JUST AS MOVING AS 4012 02:36:37,442 --> 02:36:39,912 THE FIRST TIME I HEARD IT. 4013 02:36:39,912 --> 02:36:41,213 SO YOU'VE OBVIOUSLY BEEN 4014 02:36:41,213 --> 02:36:42,881 ENROLLED IN A FAW DIFFERENT 4015 02:36:42,881 --> 02:36:45,784 STUDIES HERE IN THE MIH, AND SO 4016 02:36:45,784 --> 02:36:48,086 CAN YOU TELL US A BIT MORE HOW 4017 02:36:48,086 --> 02:36:50,622 IT'S BEEN LIKE TO BE A PARTIC 4018 02:36:50,622 --> 02:36:59,798 PAPT IN RESEARCH IN. 4019 02:36:59,798 --> 02:37:00,232 >> ABSOLUTELY. 4020 02:37:00,232 --> 02:37:02,000 ACTUALLY TODAY I LEARNED THIS IS 4021 02:37:02,000 --> 02:37:03,635 OUR 11th TRIP TO THE NIH. 4022 02:37:03,635 --> 02:37:05,137 SO WE FEEL LIKE OFFICIAL 4023 02:37:05,137 --> 02:37:06,205 RESIDENTS OF THE NIH. 4024 02:37:06,205 --> 02:37:11,643 BUT YOU KNOW IT'S CRAZY. 4025 02:37:11,643 --> 02:37:14,046 WE NEVER IMAGINED--I DIDN'T--I 4026 02:37:14,046 --> 02:37:19,985 HAVE TO BE TRANSPARENT, I HAD NO 4027 02:37:19,985 --> 02:37:21,253 IDEA WHAT THE NATIONAL 4028 02:37:21,253 --> 02:37:22,521 INSTITUTES OF HEALTH WAS. 4029 02:37:22,521 --> 02:37:24,623 AND I HAD NO IDEA WHAT AN 4030 02:37:24,623 --> 02:37:25,924 AMAZINGLY RICH RESOURCE THE 4031 02:37:25,924 --> 02:37:27,092 NATIONAL INSTITUTE OF HEALTH IS, 4032 02:37:27,092 --> 02:37:33,765 FOR A FAMILY LIKE OURS. 4033 02:37:33,765 --> 02:37:35,834 AMAZING. 4034 02:37:35,834 --> 02:37:38,604 SO OUR JOURNEY HERE REALLY BEGAN 4035 02:37:38,604 --> 02:37:42,474 WITH DR. LE VINE AT CHOP WHO LET 4036 02:37:42,474 --> 02:37:45,110 US KNOW THE LAST APPOINTMENT WE 4037 02:37:45,110 --> 02:37:48,647 HAD WITH THEM AT THE HOSPITAL IN 4038 02:37:48,647 --> 02:37:50,482 2014, 2013, PARDON ME, THAT WE 4039 02:37:50,482 --> 02:37:52,684 MIGHT BE GETTING A CALL FROM 4040 02:37:52,684 --> 02:37:54,186 SOMEONE AT THE NATIONAL 4041 02:37:54,186 --> 02:37:55,687 INNSITUTE OF HEALTH, AND WITH 4042 02:37:55,687 --> 02:37:57,289 ALL DUE RESPECT, I JUST KIND OF 4043 02:37:57,289 --> 02:37:58,690 LISTENED AND THOUGHT WELL IF 4044 02:37:58,690 --> 02:38:00,292 THAT HAPPENS GREAT, IF IT 4045 02:38:00,292 --> 02:38:02,261 DOESN'T THAT'S FINE BUT LATER IN 4046 02:38:02,261 --> 02:38:05,764 2013 IT WAS IN AUGUST,ILE NEVER 4047 02:38:05,764 --> 02:38:07,266 FORGET THE DAY I GET A CALL AND 4048 02:38:07,266 --> 02:38:10,335 A GENTLEMEN BY THE NAME OF 4049 02:38:10,335 --> 02:38:11,870 DR. WILLIAM GALL IS ON THE OTHER 4050 02:38:11,870 --> 02:38:13,839 LINE AND HE INTRODUCES HIMSELF 4051 02:38:13,839 --> 02:38:15,374 AND HE HAS A GREAT SENSE OF 4052 02:38:15,374 --> 02:38:17,643 HUMOR BY THE WAY IF YOU HAPPEN 4053 02:38:17,643 --> 02:38:19,945 TO KNOW DR. GALL, SO YOU SAYS 4054 02:38:19,945 --> 02:38:21,713 YOU MAY WANT TO CHECK OUT A 60 4055 02:38:21,713 --> 02:38:22,881 MEMBERUTE SPOT ON ME. 4056 02:38:22,881 --> 02:38:25,217 I SAID THAT'S FINE, I CAN GOOGLE 4057 02:38:25,217 --> 02:38:25,550 THAT UP. 4058 02:38:25,550 --> 02:38:30,455 ANYWAY WE HAD A GREAT PHONE 4059 02:38:30,455 --> 02:38:31,823 CONVERSATION AND IT'S REALLY 4060 02:38:31,823 --> 02:38:33,225 HARD FOR ME TO QUANTIFY THE 4061 02:38:33,225 --> 02:38:36,328 WORDS HOW I FELT AS A DAD, AS A 4062 02:38:36,328 --> 02:38:38,597 PARENT HAVING LOST 2 CHILDREN 4063 02:38:38,597 --> 02:38:44,770 AND NOW A CHILD GACI, HONESTLY 4064 02:38:44,770 --> 02:38:46,672 IN OUR JOWRN TOW HAVE OUR 4065 02:38:46,672 --> 02:38:47,906 FAMILY, FOR 12 YEARS WE FELT 4066 02:38:47,906 --> 02:38:51,677 LIKE WE WERE NOT ONLY CLIMBING 4067 02:38:51,677 --> 02:38:54,846 UPHILL WE FELT LIKE IT WAS AN 4068 02:38:54,846 --> 02:38:55,814 INSURMOUNTABLE CLIMB AND EVERY 4069 02:38:55,814 --> 02:38:56,515 MEDICAL PROFESSIONAL WE TALKED 4070 02:38:56,515 --> 02:38:59,117 TO UNTIL WE GOT TO DR. LE VINE 4071 02:38:59,117 --> 02:39:01,453 NO 1 HAD HEARD OF THIS GENETIC 4072 02:39:01,453 --> 02:39:03,422 DISORDER AND IN FACT WHEN IT WAS 4073 02:39:03,422 --> 02:39:05,390 DIAGNOSED WITH OUR FIRST CHILD 4074 02:39:05,390 --> 02:39:06,892 IN 2001, WE WERE TOLD AT THAT 4075 02:39:06,892 --> 02:39:08,927 TIME IF ALL MEDICAL HISTORY 4076 02:39:08,927 --> 02:39:10,929 AROUND THE WORLD THERE HAD EVER 4077 02:39:10,929 --> 02:39:13,398 BEEN 100 RECORDED CASES AND I 4078 02:39:13,398 --> 02:39:14,833 CAN'T PUT INTO WORDS HOW YOU 4079 02:39:14,833 --> 02:39:18,670 FEEL AS A PARENT WHEN YOU HEAR 4080 02:39:18,670 --> 02:39:19,204 THAT. 4081 02:39:19,204 --> 02:39:21,073 IT'S LIKE, THAT IS THAT EVEN 4082 02:39:21,073 --> 02:39:21,340 POSSIBLE? 4083 02:39:21,340 --> 02:39:23,842 SO FOR US TO RECEIVE A CALL FROM 4084 02:39:23,842 --> 02:39:26,378 DR. GALL, TO BE INVITED TO COME 4085 02:39:26,378 --> 02:39:28,647 TO THE NATIONAL INSTITUTE OF 4086 02:39:28,647 --> 02:39:32,517 HEALTH TO PARTICIPATE IN ANY 4087 02:39:32,517 --> 02:39:33,719 RESEARCH THE ANSWER WASN'T LET 4088 02:39:33,719 --> 02:39:36,355 ME THINK ABOUT IT, THE ANSWER 4089 02:39:36,355 --> 02:39:37,522 WAS ABSOLUTELY IMMEDIATELY WHAT 4090 02:39:37,522 --> 02:39:38,223 CAN WE DO? 4091 02:39:38,223 --> 02:39:44,496 AND LITTLE DID WE KNOW AT THAT 4092 02:39:44,496 --> 02:39:46,998 TIME, HOW AMAZING EVERYONE THAT 4093 02:39:46,998 --> 02:39:48,533 WE ENCOUNTER THE AT THE NATIONAL 4094 02:39:48,533 --> 02:39:49,901 INSTITUTE OF HEALTH WHAZ BEEN. 4095 02:39:49,901 --> 02:39:51,236 THEIR HEART, THEIR INTEREST, 4096 02:39:51,236 --> 02:39:53,038 THEIR EXPERTISE AND I THINK THE 4097 02:39:53,038 --> 02:39:54,306 BIGGEST THING THAT FELT 4098 02:39:54,306 --> 02:39:57,275 SIGNIFICANT TO US WAS, WE FELT 4099 02:39:57,275 --> 02:39:57,509 ALONE. 4100 02:39:57,509 --> 02:40:01,012 AND IN ALL OF THE MEDICAL 4101 02:40:01,012 --> 02:40:03,081 COMMUNITIES SO FEW DOCTORS AND 4102 02:40:03,081 --> 02:40:04,916 EVEN EXPERTS KNEW ABOUT THIS 4103 02:40:04,916 --> 02:40:06,418 PARTICULAR DISORDER, AND TO COME 4104 02:40:06,418 --> 02:40:08,387 TO A PLACE LIKE THE NATIONAL 4105 02:40:08,387 --> 02:40:12,391 INSTITUTE OF HEALTH THAT WAS 4106 02:40:12,391 --> 02:40:14,993 EVEN INTERESTED THIS IS SUCH AN 4107 02:40:14,993 --> 02:40:16,862 ULTRA RARE DISORDER TO HAVE 4108 02:40:16,862 --> 02:40:19,264 ANYONE INTERESTED WAS MIND 4109 02:40:19,264 --> 02:40:19,731 BLOWING TO ME. 4110 02:40:19,731 --> 02:40:21,967 SO I JUST WANT TO SAY THAT US 4111 02:40:21,967 --> 02:40:23,902 PARTICIPATING AT THE NIH HAS 4112 02:40:23,902 --> 02:40:25,070 BEEN AN ABSOLUTE PRIVILEGE FOR 4113 02:40:25,070 --> 02:40:29,374 US AND HAVING THE NIH SORT OF IF 4114 02:40:29,374 --> 02:40:32,010 YOU WILL, BE ON OUR SIDE AND 4115 02:40:32,010 --> 02:40:33,078 COMBATING AND FIGHTING AND 4116 02:40:33,078 --> 02:40:35,280 LEARNING ABOUT THIS GENETIC 4117 02:40:35,280 --> 02:40:36,448 DISORDER, FOR US IT WAS LIKE 4118 02:40:36,448 --> 02:40:37,949 WIND IN OUR SAILS FOR THE FIRST 4119 02:40:37,949 --> 02:40:40,986 TIME IN OUR LIVES IN 12 YEARS. 4120 02:40:40,986 --> 02:40:42,988 SO IT'S HARD FOR ME TO PUT THAT 4121 02:40:42,988 --> 02:40:46,925 ALL IN WORDS BECAUSE I HAVE SUCH 4122 02:40:46,925 --> 02:40:47,492 ADMIRATION, RESPECT AND 4123 02:40:47,492 --> 02:40:48,560 APPRECIATION AND THEN I LEARNED 4124 02:40:48,560 --> 02:40:49,861 OF COURSE THAT THE NATIONAL 4125 02:40:49,861 --> 02:40:51,096 INSTITUTE OF HEALTH IS FEDERALLY 4126 02:40:51,096 --> 02:40:52,931 FUNDED AND I JUST REALLY, REALLY 4127 02:40:52,931 --> 02:40:55,967 APPRECIATE ALL OF THE RESEARCH, 4128 02:40:55,967 --> 02:40:57,402 ALL OF THE HELP YOU'RE DOING. 4129 02:40:57,402 --> 02:40:58,937 MAYBE I CAN SUMMARIZE IT WITH 4130 02:40:58,937 --> 02:41:01,773 THIS, I HAD A BRIEF CONVERSATION 4131 02:41:01,773 --> 02:41:03,642 WITH DR. GALL AFTER WE ARRIVED 4132 02:41:03,642 --> 02:41:05,811 FOR THE VERY FIRST TIME AND I 4133 02:41:05,811 --> 02:41:08,880 WAS REALLY PERPLEXED WHY A 4134 02:41:08,880 --> 02:41:10,549 RESEARCH ORGANIZATION WOULD BE 4135 02:41:10,549 --> 02:41:12,451 INTERESTED IN STUDYING SUCH AN 4136 02:41:12,451 --> 02:41:13,685 ULTRA RARE DISORDER BECAUSE IT'S 4137 02:41:13,685 --> 02:41:18,290 NOT SOMETHING THAT'S PROBABLY 4138 02:41:18,290 --> 02:41:19,791 GOING TO BE SOMETHING THAT CAN 4139 02:41:19,791 --> 02:41:22,861 BE PROFITED FROM SO TO SPEAK AND 4140 02:41:22,861 --> 02:41:25,130 DR. GALL HELPED ME UNDERSTAND. 4141 02:41:25,130 --> 02:41:27,332 HE SAID WHEN WE STUDY THE ULTRA 4142 02:41:27,332 --> 02:41:28,867 RARE DISORDERS, AND I WILL NEVER 4143 02:41:28,867 --> 02:41:30,469 FORGET THIS CONVERSATION, WE GET 4144 02:41:30,469 --> 02:41:32,003 CLUES ON MORE COMMON DISORDER 4145 02:41:32,003 --> 02:41:36,842 ANDS THAT SETTLE ED IT FOR ME. 4146 02:41:36,842 --> 02:41:38,443 SO THE DECISION TO PARTICIPATE 4147 02:41:38,443 --> 02:41:39,511 IN RESEARCH WAS IMMEDIATELY YES 4148 02:41:39,511 --> 02:41:40,612 AND WE'RE SO GRATEFUL THAT WE 4149 02:41:40,612 --> 02:41:42,314 HAVE DONE THAT AND WE ARE 4150 02:41:42,314 --> 02:41:45,650 SOCIETY VERY GRATEFUL TO THE 4151 02:41:45,650 --> 02:41:46,017 NIH. 4152 02:41:46,017 --> 02:41:47,352 >> SO NATALIE WAS 4 MONTHS OLD 4153 02:41:47,352 --> 02:41:49,621 WHEN WE FIRST CAME, HER STROLLER 4154 02:41:49,621 --> 02:41:52,090 AND ALL THE GEAR THAT BABIES 4155 02:41:52,090 --> 02:41:53,825 NEED, HAULING IT THROUGH, GOING 4156 02:41:53,825 --> 02:41:55,927 UP TO THE HILL TO AT A AT THE 4157 02:41:55,927 --> 02:41:57,195 CHILDREN'S INTERNAL AUDIT AND WE 4158 02:41:57,195 --> 02:41:59,264 GO UP THE HILL AND WE REMEMBER 4159 02:41:59,264 --> 02:42:00,799 GETTING UP EARLY DOING 4160 02:42:00,799 --> 02:42:02,434 INFUSIONS, GETTING UP A COUPLE 4161 02:42:02,434 --> 02:42:03,502 HOURS EARLY BEFORE WE LEAVE, WE 4162 02:42:03,502 --> 02:42:04,903 WERE THERE TO DO WHAT WE COULD 4163 02:42:04,903 --> 02:42:07,973 AND WE WERE JUST SO GRATEFUL TO 4164 02:42:07,973 --> 02:42:09,174 BE JUST THRILLED BIKE JERRY SAID 4165 02:42:09,174 --> 02:42:11,443 THAT THEY WERE INTERESTED IN 4166 02:42:11,443 --> 02:42:13,545 LEARNING ABOUT GACI. 4167 02:42:13,545 --> 02:42:15,547 WE WERE GRACIOUSLY WELCOMED, 4168 02:42:15,547 --> 02:42:16,581 GRACIOUSLY WELCOMED BY THE TEAM 4169 02:42:16,581 --> 02:42:20,418 OF DOCTORS HERE ALONG WITH 4170 02:42:20,418 --> 02:42:22,721 DR. CARLOS FERREIRA, AND WE GAVE 4171 02:42:22,721 --> 02:42:24,122 SKIN BIOPSIES, NATALIE WAS JUST 4172 02:42:24,122 --> 02:42:26,224 A TINY BABY AND LITTLE SKIN 4173 02:42:26,224 --> 02:42:28,393 BIOPSY, WE WERE ALL IN AND 4174 02:42:28,393 --> 02:42:31,863 CONTINUED TO BE AND WE REALLY 4175 02:42:31,863 --> 02:42:33,164 APPRECIATE AS WELL THEM 4176 02:42:33,164 --> 02:42:34,966 COLLABORATING WITH DR. LE VINE 4177 02:42:34,966 --> 02:42:39,704 AND ALSO OUR DOCTORS AT MIN MEN 4178 02:42:39,704 --> 02:42:41,573 AND THEY CAME ALONGSIDE ALL OF 4179 02:42:41,573 --> 02:42:41,740 US. 4180 02:42:41,740 --> 02:42:43,675 SO NATALIE HAD SOMETHING SHE 4181 02:42:43,675 --> 02:42:45,143 JUST WANTED TO SHARE IF YOU 4182 02:42:45,143 --> 02:42:46,111 DON'T MIND. 4183 02:42:46,111 --> 02:42:49,180 >> HI, NIEM NATALIE AND I'M JUST 4184 02:42:49,180 --> 02:42:51,149 STARTED FIFTH GRADE HAVING FGACI 4185 02:42:51,149 --> 02:42:52,217 IS HARD BECAUSE I HAVE TO TAKE 4186 02:42:52,217 --> 02:42:53,885 CARE OF A LOT OF THINGS, MY 4187 02:42:53,885 --> 02:42:56,154 HEARING AIDS AND TAKING MY 4188 02:42:56,154 --> 02:42:58,557 MEDICINE AND GOING TO 4189 02:42:58,557 --> 02:42:58,957 DRS. APPOINTMENTS. 4190 02:42:58,957 --> 02:43:00,458 THANK YOU FOR HELPING ME WITH 4191 02:43:00,458 --> 02:43:04,829 THAT AND HAVING GACI. 4192 02:43:04,829 --> 02:43:13,271 [ APPLAUSE ] 4193 02:43:13,271 --> 02:43:15,907 NTHANKS FOR SAYING THAT NATALIE. 4194 02:43:15,907 --> 02:43:17,075 ONE LAST QUESTION BECAUSE I KNOW 4195 02:43:17,075 --> 02:43:18,343 WE'RE SHORT ON TIME BUT 4196 02:43:18,343 --> 02:43:22,280 OBVIOUSLY YOUR JOURNEY WITH GACI 4197 02:43:22,280 --> 02:43:23,582 HAS BEEN QUITE LONG, CAN YOU 4198 02:43:23,582 --> 02:43:24,883 TELL US WHAT HAS CHANGED OVER 4199 02:43:24,883 --> 02:43:28,520 THE COURSE OF THIS TIME FOR YOU. 4200 02:43:28,520 --> 02:43:32,090 >> YEAH, 11 YEARS AND 11 VISITS, 4201 02:43:32,090 --> 02:43:33,959 AND 2018, JERRY AND I ALONG WITH 4202 02:43:33,959 --> 02:43:37,395 3 OTHER FAMILIES, A FAMILY FROM 4203 02:43:37,395 --> 02:43:38,630 BOSTON, IRELAND AND AUSTRALIA 4204 02:43:38,630 --> 02:43:42,067 AND WE CONNECTED AND STARTED A 4205 02:43:42,067 --> 02:43:43,201 NONPROFIT ORGANIZATION CALLED 4206 02:43:43,201 --> 02:43:45,303 GACI GLOBAL SO WE ARE COMING 4207 02:43:45,303 --> 02:43:46,004 TOGETHER TO HELP PROVIDE 4208 02:43:46,004 --> 02:43:47,172 RESEARCH AND SUPPORT FOR 4209 02:43:47,172 --> 02:43:49,074 FAMILIES, WE PUT A WEBSITE IN 4210 02:43:49,074 --> 02:43:51,042 PLACE BECAUSE THERE WAS NOTHING 4211 02:43:51,042 --> 02:43:54,512 OUT THERE EXCEPT HORRIFIC 4212 02:43:54,512 --> 02:43:57,282 STORIES ABOUT BABIES PASSING 4213 02:43:57,282 --> 02:43:57,849 AWAY. 4214 02:43:57,849 --> 02:43:59,851 WE DESIGNED A 1 STOP GACI 4215 02:43:59,851 --> 02:44:04,222 WEBSITE AND WE ALSO HAVE A VERY 4216 02:44:04,222 --> 02:44:05,090 ACTIVE FACEBOOK GROUP WHERE 4217 02:44:05,090 --> 02:44:08,059 PATIENTS CAN GET ON, FAMILIES, 4218 02:44:08,059 --> 02:44:08,893 MOMS, DADS, WHATEVER IT IS 4219 02:44:08,893 --> 02:44:09,828 ASKING QUESTIONS AND WE'RE THERE 4220 02:44:09,828 --> 02:44:13,665 TO HELP THEM ALONG THEIR 4221 02:44:13,665 --> 02:44:13,898 JOURNEY. 4222 02:44:13,898 --> 02:44:15,634 AND LAST YEAR WAS PRETTY 4223 02:44:15,634 --> 02:44:17,769 INCREDIBLE WE HAD 2 GACI GLOBAL 4224 02:44:17,769 --> 02:44:19,638 CONFERENCES, 1 WAS IN MAN 4225 02:44:19,638 --> 02:44:20,639 CHESTIER ENGLAND JOURNAL LABD 4226 02:44:20,639 --> 02:44:22,574 AND THE OTHER WAS DOWN THE ROAD 4227 02:44:22,574 --> 02:44:23,408 IN BALTIMORE. 4228 02:44:23,408 --> 02:44:25,610 WE LOVE MEETING OTHER GACI 4229 02:44:25,610 --> 02:44:26,678 FAMILIES, FOR MANY IT'S THE 4230 02:44:26,678 --> 02:44:28,780 FIRST TIME THEY EVER MET ANOTHER 4231 02:44:28,780 --> 02:44:30,281 GACI FAMILY AND HEARING THEIR 4232 02:44:30,281 --> 02:44:32,717 STORIES FIRST HAND IS JUST--IS 4233 02:44:32,717 --> 02:44:35,253 AMAZING TO SEE HOW EACH OF THEM 4234 02:44:35,253 --> 02:44:36,488 HAVE COUPLE DIFFERENT SITUATIONS 4235 02:44:36,488 --> 02:44:40,325 AND AS A COMMUNITY AS WELL TO 4236 02:44:40,325 --> 02:44:41,493 GET TOGETHER AND TO LEARN FROM 4237 02:44:41,493 --> 02:44:44,029 THE MEDICAL FIELD IS ALL VERY 4238 02:44:44,029 --> 02:44:44,729 HELPFUL. 4239 02:44:44,729 --> 02:44:45,997 AND I THINK 1 LAST THING WITH 4240 02:44:45,997 --> 02:44:47,432 THAT IS ALSO JUST REALLY GOOD 4241 02:44:47,432 --> 02:44:48,933 FOR THE KIDS TO GET TOGETHER AND 4242 02:44:48,933 --> 02:44:51,503 THEY CAN SEE AND PLAY. 4243 02:44:51,503 --> 02:44:55,040 THEY HAVE FUN TIME FOR THEM AND 4244 02:44:55,040 --> 02:44:58,343 FOR THAT JUST HEART WARMING TO 4245 02:44:58,343 --> 02:45:00,679 SEE THEM CONNECT IN WAY A. 4246 02:45:00,679 --> 02:45:05,216 NATALIE CONNECTED WITH FRIENDS, 4247 02:45:05,216 --> 02:45:06,251 WITH DIFFERENT PATIENTS IN 4248 02:45:06,251 --> 02:45:07,786 IRELAND AND THE U.S. AS WELL, SO 4249 02:45:07,786 --> 02:45:11,322 IT'S BEEN REALLY AMAZING IN THAT 4250 02:45:11,322 --> 02:45:11,623 WAY. 4251 02:45:11,623 --> 02:45:12,957 >> ABSOLUTELY I WILL ADD THAT 4252 02:45:12,957 --> 02:45:14,626 THE NIH HAS BEEN AMAZING. 4253 02:45:14,626 --> 02:45:17,529 LITTLE DID WE KNOW THAT BY 4254 02:45:17,529 --> 02:45:25,036 COMING HERE, IT BEGAN THIS 4255 02:45:25,036 --> 02:45:27,305 EXPANSION OF THE GACI COMMUNITY. 4256 02:45:27,305 --> 02:45:30,041 NIH COMMUNICATE WIDE SO MANY 4257 02:45:30,041 --> 02:45:31,543 GACI FAMILIES, THAT HAVE COME 4258 02:45:31,543 --> 02:45:33,278 HERE FROM AROUND THE WORLD, THEY 4259 02:45:33,278 --> 02:45:35,980 CAN COME HERE AND THAT 4260 02:45:35,980 --> 02:45:41,553 CONNECTION OF BEING ABLE TO COME 4261 02:45:41,553 --> 02:45:45,156 HERE, HAS ALSO BEEN DRIVEN BY 4262 02:45:45,156 --> 02:45:46,791 DR. FERREIRA, AND I WOULD LIKE 4263 02:45:46,791 --> 02:45:49,094 TO TAKE A MEMORY CLONE TONIGHT 4264 02:45:49,094 --> 02:45:49,928 GIVE HIM AMAZING 4265 02:45:49,928 --> 02:45:50,295 CONGRATULATIONS. 4266 02:45:50,295 --> 02:45:52,997 I DON'T THINK I HAVE MET A 4267 02:45:52,997 --> 02:45:54,399 MEDICAL PROFESSIONAL WHO HAS A 4268 02:45:54,399 --> 02:46:00,004 HEART FOR HIS PATIENTS LIKE 4269 02:46:00,004 --> 02:46:01,372 DR. FERREIRA DOES, NOT ONLY IS 4270 02:46:01,372 --> 02:46:05,710 HE AMAZING WITH US, BUT HE'S SO 4271 02:46:05,710 --> 02:46:07,212 CRITICAL TO CONNECTING WERERS, 4272 02:46:07,212 --> 02:46:09,848 DOCTORS AND GACI PATIENTS AND IT 4273 02:46:09,848 --> 02:46:10,782 IS LITERALLY SAVING LIVES ALL 4274 02:46:10,782 --> 02:46:13,118 OVER THE WORLD AND IT HAS BEEN 4275 02:46:13,118 --> 02:46:14,352 AN ABSOLUTE LOAMACY PLEASURE TO 4276 02:46:14,352 --> 02:46:16,588 WORK WITH YOU DOCTOR AND THANK 4277 02:46:16,588 --> 02:46:20,558 YOU FOR YOUR HEART AND REEBTLY, 4278 02:46:20,558 --> 02:46:24,596 OUR GLOBAL IMRKS ACI COMMUNITY 4279 02:46:24,596 --> 02:46:25,764 AWARDED DR. FERREIRA, WHICH IS 4280 02:46:25,764 --> 02:46:28,066 THE HOPE AWARD WE JUST IDENTIFY 4281 02:46:28,066 --> 02:46:29,734 SOMEONE WHO IS CONTINUOUSLY 4282 02:46:29,734 --> 02:46:31,002 GIVING HOPE INTO OUR GACI 4283 02:46:31,002 --> 02:46:35,406 COMMUNITY AND THAT IS MOST 4284 02:46:35,406 --> 02:46:38,810 CERTAINLY DR. FERREIRA. 4285 02:46:38,810 --> 02:46:41,646 SO THANK YOU. 4286 02:46:41,646 --> 02:46:42,147 [ APPLAUSE ] 4287 02:46:42,147 --> 02:46:43,848 >> THANK YOU FOR SAYING THAT. 4288 02:46:43,848 --> 02:46:45,283 YOU MADE ME CRY ONCE BEFORE AND 4289 02:46:45,283 --> 02:46:47,152 I HOPE THIS WILL NOT BE THE 4290 02:46:47,152 --> 02:46:47,452 SECOND TIME. 4291 02:46:47,452 --> 02:46:49,988 SO THANKS SO MUCH. 4292 02:46:49,988 --> 02:46:52,157 AND THANK YOU FOR THE ALTRUISM 4293 02:46:52,157 --> 02:46:55,727 AND LETTING US LEARN MORE AND 4294 02:46:55,727 --> 02:46:56,928 HELPING FAMILIES FIND ANSWERS 4295 02:46:56,928 --> 02:46:57,695 FOR THE QUESTIONS. 4296 02:46:57,695 --> 02:47:02,300 SO VERY MUCH APPRECIATE IT. 4297 02:47:02,300 --> 02:47:04,502 >> WELL I DIDN'T GET A CHANCE TO 4298 02:47:04,502 --> 02:47:11,743 INTRODUCE MYSELF, I'M 4299 02:47:11,743 --> 02:47:13,211 DR. DIANA BIANCHI,IME THE 4300 02:47:13,211 --> 02:47:15,313 DIRECTOR OF THE NACHHD, AND I 4301 02:47:15,313 --> 02:47:17,649 HAVE A QUESTION FOR YOU NATALIE 4302 02:47:17,649 --> 02:47:18,950 ARE THERE ANY RESTRICTIONS ON 4303 02:47:18,950 --> 02:47:20,652 YOUR ACTIVITY, CAN YOU DO 4304 02:47:20,652 --> 02:47:21,452 EVERYTHING AT COOL THAT 4305 02:47:21,452 --> 02:47:25,323 EVERYBODY ELSE CAN DO? 4306 02:47:25,323 --> 02:47:25,824 THAT'S TERRIFIC. 4307 02:47:25,824 --> 02:47:27,625 AND ALSO CAN YOU JUST TELL US A 4308 02:47:27,625 --> 02:47:28,693 LITTLE BIT ABOUT YOUR 4309 02:47:28,693 --> 02:47:38,503 EXPERIENCES AT THE CHILDREN'S I 4310 02:47:38,503 --> 02:47:38,670 NN? 4311 02:47:38,670 --> 02:47:41,673 >> CAN YOU TURN ON YOUR 4312 02:47:41,673 --> 02:47:42,340 MICROPHONE? 4313 02:47:42,340 --> 02:47:43,441 PEOPLE ARE WATCHING YOU ONLINE 4314 02:47:43,441 --> 02:47:53,751 JUST SO YOU KNOW. 4315 02:47:58,056 --> 02:47:58,723 THERE YOU GO. 4316 02:47:58,723 --> 02:47:59,390 IT'S ON. 4317 02:47:59,390 --> 02:48:00,525 >> I LIKE PLAYING WITH THE 4318 02:48:00,525 --> 02:48:03,928 CHILDREN AND JUST SEEING OTHER 4319 02:48:03,928 --> 02:48:06,731 PEOPLE, LITTLE KIDS, PLAYING 4320 02:48:06,731 --> 02:48:12,270 OUTSIDE, BUT IT'S TOUGH. 4321 02:48:12,270 --> 02:48:13,638 >> AND YOUR PARENTS CAN STAY 4322 02:48:13,638 --> 02:48:15,807 HERE TOO, SO IT'S PART OF THE 4323 02:48:15,807 --> 02:48:22,447 WHOLE EXPERIENCE. 4324 02:48:22,447 --> 02:48:23,314 >> YEAH. 4325 02:48:23,314 --> 02:48:24,649 SO FOR NATALIE, SHE WAS SO YOUNG 4326 02:48:24,649 --> 02:48:25,817 AND DOESN'T REMEMBER A LOT BUT 4327 02:48:25,817 --> 02:48:27,352 PROBABLY IN THE LAST YEAR SHE 4328 02:48:27,352 --> 02:48:29,220 GOES, MOM WHERE IT WAS WE STAYED 4329 02:48:29,220 --> 02:48:31,122 WHEN WE WENT TO WASHINGTON AND 4330 02:48:31,122 --> 02:48:32,724 SHE'S LIKE I REMEMBER THAT 4331 02:48:32,724 --> 02:48:33,091 PLACE. 4332 02:48:33,091 --> 02:48:35,526 AND SO, EVEN YEARS LATER, THEY 4333 02:48:35,526 --> 02:48:37,929 REMEMBER THOSE THINGS THEN. 4334 02:48:37,929 --> 02:48:39,264 SHE DIDN'T MEMBER THE LAB, AND 4335 02:48:39,264 --> 02:48:41,266 THE POKES AND THINGS LIKE THAT 4336 02:48:41,266 --> 02:48:42,233 BUT SHE REMEMBERED THE 4337 02:48:42,233 --> 02:48:47,438 CHILDREN'S IN WHICH IS REALLY 4338 02:48:47,438 --> 02:48:48,606 SAYING, SHE STAYED 1 NIGHT THIS 4339 02:48:48,606 --> 02:48:50,375 NIGHT ON ALL IN ON WANTING TO 4340 02:48:50,375 --> 02:48:53,945 STAY THERE AS WELL. 4341 02:48:53,945 --> 02:48:54,345 NTHAT'S TERRIFIC. 4342 02:48:54,345 --> 02:49:00,251 SO WE HAVE A QUESTION FROM 1 OF 4343 02:49:00,251 --> 02:49:02,453 OUR ADVISORY COUNCIL MEMBERS 4344 02:49:02,453 --> 02:49:05,290 DR. VARKIN WHO COULDN'T BE WITH 4345 02:49:05,290 --> 02:49:05,690 US TODAY. 4346 02:49:05,690 --> 02:49:08,192 SHE HAS A QUESTION. 4347 02:49:08,192 --> 02:49:10,328 >> CAN EVERYBODY HEAR ME? 4348 02:49:10,328 --> 02:49:12,664 THANK YOU SO MUCH, I'M SORRY I'M 4349 02:49:12,664 --> 02:49:14,632 NOT WITH YOU IN PERSON. 4350 02:49:14,632 --> 02:49:17,402 NATALIE YOU AND YOUR PARENT AARE 4351 02:49:17,402 --> 02:49:17,769 AMAZING. 4352 02:49:17,769 --> 02:49:20,538 I WAS CURIOUS A COUPLE THINGS, 4353 02:49:20,538 --> 02:49:23,508 WHAT IS RESEARCH MEAN TO YOU? 4354 02:49:23,508 --> 02:49:25,009 THAT DOES THAT WORD MINE 4355 02:49:25,009 --> 02:49:26,444 ANYTHING TO YOU NATALIE IN AND 4356 02:49:26,444 --> 02:49:28,313 THEN I WOULD LOVE TO HEAR HOW 4357 02:49:28,313 --> 02:49:30,248 YOUR PARENTS DEFINE WHAT WERE IS 4358 02:49:30,248 --> 02:49:31,316 NOW THAT THEY'VE GONE THROUGH 4359 02:49:31,316 --> 02:49:32,750 THIS PROCESS AND WHAT AN 4360 02:49:32,750 --> 02:49:43,094 MAIRKSZING PROCESS YOU HAVE. 4361 02:49:43,094 --> 02:49:44,262 >> I THINK RESEARCH IS FINDING 4362 02:49:44,262 --> 02:49:46,030 MORE WHAT OTHER KIDS HAVE AND 4363 02:49:46,030 --> 02:49:50,435 SEE WHAT DOCTORS CAN SEE ABOUT 4364 02:49:50,435 --> 02:49:58,076 YOU AND WHAT GACI DID TO YOU AND 4365 02:49:58,076 --> 02:49:58,776 YOURSELF. 4366 02:49:58,776 --> 02:49:59,077 NTHANK YOU. 4367 02:49:59,077 --> 02:50:00,578 [ APPLAUSE ] 4368 02:50:00,578 --> 02:50:00,979 >> SO IMPORTANT. 4369 02:50:00,979 --> 02:50:01,980 >> AND THEN JUST FOR YOUR 4370 02:50:01,980 --> 02:50:03,348 PARENTS I WANTED TO HEAR NOW 4371 02:50:03,348 --> 02:50:05,750 THAT YOU'VE BEEN THROUGH THIS 4372 02:50:05,750 --> 02:50:07,318 BECAUSE YOU HAVE LAYERS OF YOUR 4373 02:50:07,318 --> 02:50:09,053 STORY AND WHAT AN AMAZING FAMILY 4374 02:50:09,053 --> 02:50:11,990 YOU ARE AND COMMITTED TO YOUR 4375 02:50:11,990 --> 02:50:13,458 CHILDREN TO YOUR COMMUNITY AND 4376 02:50:13,458 --> 02:50:15,860 TO THE LARGER SOCIETY AND EVEN 4377 02:50:15,860 --> 02:50:18,363 GOING THE EXTRA MILE TO THEN 4378 02:50:18,363 --> 02:50:20,565 START THIS NONPROFIT, IT'S 4379 02:50:20,565 --> 02:50:20,932 PRETTY AMAZING. 4380 02:50:20,932 --> 02:50:22,166 JUST CURIOUS NOW THAT YOU'VE 4381 02:50:22,166 --> 02:50:24,135 GONE THROUGH THIS WHAT'S THE 4382 02:50:24,135 --> 02:50:34,012 ROLE RESEARCH PLAYING FOR YOU? 4383 02:50:34,012 --> 02:50:37,448 >> YEAH, I WOULD JUST SAY FOR ME 4384 02:50:37,448 --> 02:50:39,550 AND MY FAMILY AS I WAS GROWING 4385 02:50:39,550 --> 02:50:41,586 UP, WE DIDN'T HAVE ANYTHING THAT 4386 02:50:41,586 --> 02:50:43,654 HAD ANY MEDICAL CHAL ERVELGS SO 4387 02:50:43,654 --> 02:50:44,922 AT THAT PONENT MY UNDERSTANDING 4388 02:50:44,922 --> 02:50:45,990 OF RESEARCH WAS SOMETHING THAT 4389 02:50:45,990 --> 02:50:49,193 WAS DONE IN A FAR AWAY PLACE 4390 02:50:49,193 --> 02:50:51,262 BEHIND CLOSED DOORS WITH REALLY 4391 02:50:51,262 --> 02:50:52,430 SMART PEOPLE IN WHITE COATS. 4392 02:50:52,430 --> 02:50:55,266 THAT WAS MY UNDERSTANDING BUT AS 4393 02:50:55,266 --> 02:50:57,969 I'VE OBVIOUSLY BEEN NOW 4394 02:50:57,969 --> 02:50:58,569 PARTICIPATE NOTHING RESEARCH 4395 02:50:58,569 --> 02:51:00,304 EVERY TIME WE SET FOOT ON THE 4396 02:51:00,304 --> 02:51:03,908 PROPERTY AT THE NIH, LARGELY 4397 02:51:03,908 --> 02:51:05,977 BECAUSE OF GACI AND BECAUSE OF 4398 02:51:05,977 --> 02:51:07,512 NATALIE, WE JUST FEEL LIKE ROCK 4399 02:51:07,512 --> 02:51:08,546 STARS. 4400 02:51:08,546 --> 02:51:12,984 WHICH IS GREAT. 4401 02:51:12,984 --> 02:51:16,254 AND I FEEL LIKE RESEARCH IS SO 4402 02:51:16,254 --> 02:51:18,222 MUCH MORE PERSONAL NOW THAN WHAT 4403 02:51:18,222 --> 02:51:19,123 IT WAS BEFORE. 4404 02:51:19,123 --> 02:51:21,059 IT'S REAL PEOPLE WORKING VERY 4405 02:51:21,059 --> 02:51:26,297 HARD TO UNDERSTAND THE HUMAN 4406 02:51:26,297 --> 02:51:28,032 BODY AND UNDERSTAND WHAT CAN BE 4407 02:51:28,032 --> 02:51:30,001 OUT OF ALIGNMENT IN THE HUMAN 4408 02:51:30,001 --> 02:51:32,170 BODY THAT'S CAUSING A PARTICULAR 4409 02:51:32,170 --> 02:51:33,905 DISORDER AND SO, IT'S ALL OF 4410 02:51:33,905 --> 02:51:35,540 THOSE THINGS AND IT'S ALSO THE 4411 02:51:35,540 --> 02:51:37,408 HUMAN INTERACTION AND THE HUMAN 4412 02:51:37,408 --> 02:51:37,708 CONNECTION. 4413 02:51:37,708 --> 02:51:39,544 EVERY TIME WE COME TO THE NIH, 4414 02:51:39,544 --> 02:51:40,845 WE LOVE VISITING WITH ALL OF THE 4415 02:51:40,845 --> 02:51:42,680 STAFF HERE THAT WE CAN AT THE 4416 02:51:42,680 --> 02:51:44,549 NIH BECAUSE THEY'VE ALL BEEN 4417 02:51:44,549 --> 02:51:44,916 FANTASTIC. 4418 02:51:44,916 --> 02:51:46,317 IT'S BEEN GREAT INTERACTIONS, SO 4419 02:51:46,317 --> 02:51:49,487 RESEARCH FOR ME IS NOT 4420 02:51:49,487 --> 02:51:50,455 NONPERSONAL INTOAR. 4421 02:51:50,455 --> 02:51:55,393 IT'S REALLY QUITE PERSONAL. 4422 02:51:55,393 --> 02:51:59,230 >> I WOULD JUST ADD TO THAT, TOO 4423 02:51:59,230 --> 02:52:01,365 YOU KNOW COMING FROM 23 YEARS 4424 02:52:01,365 --> 02:52:04,102 AGO WHEN THERE REALLY WASN'T 4425 02:52:04,102 --> 02:52:04,836 ANYTHING TO DOJING CLINICAL 4426 02:52:04,836 --> 02:52:05,603 TRIALS. 4427 02:52:05,603 --> 02:52:08,372 IT'S A HUGE, HUGE,--IT IS 4428 02:52:08,372 --> 02:52:09,874 AMAZING THAT ALL THAT HAS 4429 02:52:09,874 --> 02:52:11,342 HAPPENED AND IS HAPPENING BUT 4430 02:52:11,342 --> 02:52:12,510 IT'S BECAUSE OF RESEARCH THAT 4431 02:52:12,510 --> 02:52:13,911 WE'RE NOW DOING SOME CLINICAL 4432 02:52:13,911 --> 02:52:15,713 TRIALS SO IF WE DIDN'T HAVE THAT 4433 02:52:15,713 --> 02:52:16,547 WE WOULDN'T HAVE CLINICAL 4434 02:52:16,547 --> 02:52:16,948 TRIALS. 4435 02:52:16,948 --> 02:52:20,118 SO WE'RE JUST SO APPRECIATIVE OF 4436 02:52:20,118 --> 02:52:20,451 THAT. 4437 02:52:20,451 --> 02:52:23,154 >> I THINK YOU COULD ALSO VEY 4438 02:52:23,154 --> 02:52:25,490 THIS, TOO, IF THE NIH WAS NOT 4439 02:52:25,490 --> 02:52:28,259 INVOLVED WE WOULDN'T BE HAVING 4440 02:52:28,259 --> 02:52:29,026 CLINICAL TRIALS. 4441 02:52:29,026 --> 02:52:31,929 AND WE WOULDN'T BE HAVING THIS 4442 02:52:31,929 --> 02:52:33,698 CONNECTIVITY AMONG OTHER GACI 4443 02:52:33,698 --> 02:52:35,199 FAMILIES ALL OVER THE WORLD. 4444 02:52:35,199 --> 02:52:37,969 NIH HAS BEEN AT THE CENTER OF 4445 02:52:37,969 --> 02:52:39,637 ALL OF THAT. 4446 02:52:39,637 --> 02:52:49,747 >> THANK YOU SO MUCH FOR SHARING 4447 02:52:49,747 --> 02:52:50,781 YOUR STORY. 4448 02:52:50,781 --> 02:52:51,482 >> THANK YOU. 4449 02:52:51,482 --> 02:52:55,386 SO YOU'RE BEING PROJECTED ONLINE 4450 02:52:55,386 --> 02:52:56,854 EVERY WHERE BUT PARTICULARLY FOR 4451 02:52:56,854 --> 02:53:00,958 OUR STAFF AND YOUR STORY AND 4452 02:53:00,958 --> 02:53:02,293 INCREDIBLY INSPIRING AND 4453 02:53:02,293 --> 02:53:02,660 MOTIVATING. 4454 02:53:02,660 --> 02:53:05,196 I JUST WANT TO READ TO YOU WHAT 4455 02:53:05,196 --> 02:53:08,266 1 OF OUR BRANCH CHIEFS SAID, 4456 02:53:08,266 --> 02:53:09,433 SHE'S WATCHING ONLINE, THANK YOU 4457 02:53:09,433 --> 02:53:13,671 SO MUCH FOR SHARING, NATALIE AND 4458 02:53:13,671 --> 02:53:13,905 PARENTS. 4459 02:53:13,905 --> 02:53:14,839 INCREDIBLY MOTIVATING TO ALL OF 4460 02:53:14,839 --> 02:53:16,908 US WHO WORK HERE. 4461 02:53:16,908 --> 02:53:21,479 SO WE CAN HEAR THE SCIENCE THAT 4462 02:53:21,479 --> 02:53:22,513 DR. FERREIRA TOLD US ABOUT BUT 4463 02:53:22,513 --> 02:53:24,949 WHEN WE SEE NATALIE, WE HEAR 4464 02:53:24,949 --> 02:53:27,652 YOUR STORY, WE FEEL FOR YOUR 4465 02:53:27,652 --> 02:53:35,826 LOSSES, IT JUST MAKES AN 4466 02:53:35,826 --> 02:53:37,828 INDELIBLE IMPRESSION AND YOU ARE 4467 02:53:37,828 --> 02:53:39,864 ROCK STARS AND YOU GIVE US THE 4468 02:53:39,864 --> 02:53:41,532 MOTIVATION EVERY DAY TO GET OUT 4469 02:53:41,532 --> 02:53:42,867 OF BED AND SOLVE MEDICAL 4470 02:53:42,867 --> 02:53:45,937 MYSTERIES AND THAT'S WHY I CALL 4471 02:53:45,937 --> 02:53:46,637 NIH, ESPECIALLY THE CLINICAL 4472 02:53:46,637 --> 02:53:47,605 CENTER OF THE HOUSE A HOPE 4473 02:53:47,605 --> 02:53:49,574 BECAUSE IN OUR LIFETIME, I MEAN, 4474 02:53:49,574 --> 02:53:51,542 WE NOW KNOW THE MUTATION OR THE 4475 02:53:51,542 --> 02:53:54,378 VARIANT AS WE WOULD SAY, IN THE 4476 02:53:54,378 --> 02:54:00,851 YEEN THAT HAS RESULTED IN ALL OF 4477 02:54:00,851 --> 02:54:02,153 THE HEART BREAK, BUT ALL OF THAT 4478 02:54:02,153 --> 02:54:04,021 WORK THAT WAS DONE TO SEQUENCE 4479 02:54:04,021 --> 02:54:05,323 THE HUMAN GENOME WAS LARGELY 4480 02:54:05,323 --> 02:54:06,757 DONE AT THE NIH AS WELL. 4481 02:54:06,757 --> 02:54:08,459 SO GOING FROM THAT TO 4482 02:54:08,459 --> 02:54:12,063 UNDERSTANDING TO HOW THAT 4483 02:54:12,063 --> 02:54:16,133 VARIANT AFFECTS THE HUMAN BODY 4484 02:54:16,133 --> 02:54:17,068 AND METABOLISM AND CALCIUM AND 4485 02:54:17,068 --> 02:54:19,570 THEN GOING FROM THAT TO 4486 02:54:19,570 --> 02:54:21,639 TREATMENT IS REALLY AS WE SAID 4487 02:54:21,639 --> 02:54:25,243 IT'S SUCH A SHORT TIME. 4488 02:54:25,243 --> 02:54:26,711 WE COULDN'T DO IT WITHOUT PEOPLE 4489 02:54:26,711 --> 02:54:28,546 LIKE YOU BEING WILLING TO 4490 02:54:28,546 --> 02:54:30,147 SACRIFICE YOUR TIME AND EFFORT 4491 02:54:30,147 --> 02:54:32,783 AND FOR NATALIE BEING WILLING TO 4492 02:54:32,783 --> 02:54:35,353 BE A ROCK STAR, SO FROM THE 4493 02:54:35,353 --> 02:54:44,829 BOTTOM OF OUR HEARTS WE THANK 4494 02:54:44,829 --> 02:54:44,996 YOU. 4495 02:54:44,996 --> 02:54:47,198 [ APPLAUSE ] 4496 02:54:47,198 --> 02:54:51,369 WE ARE NOW GOING TO TAKE A SHORT 4497 02:54:51,369 --> 02:54:52,637 BREAK. 4498 02:54:52,637 --> 02:54:54,972 LET'S TAKE A 10 MINUTE BREAK. 4499 02:54:54,972 --> 02:54:57,742 TEN MINUTES SO WE STAY ON 4500 02:54:57,742 --> 02:55:01,786 SCHEDULE. 4501 02:55:01,786 --> 02:55:07,425 HAS THE UNFORTUNATE TASK OF 4502 02:55:07,425 --> 02:55:08,593 FOLLOWING NATALIE AND OUR NEXT 4503 02:55:08,593 --> 02:55:11,262 SPEAKER ON THE OTHER HAND IS A 4504 02:55:11,262 --> 02:55:16,467 GREAT SPEAKER, DR. NONI BYRNES, 4505 02:55:16,467 --> 02:55:17,735 APPOINTED AS THE DIRECTOR FOR 4506 02:55:17,735 --> 02:55:20,037 THE CENTER FOR SCIENTIFIC REVIEW 4507 02:55:20,037 --> 02:55:23,641 IN 2019 WHERE SHE OVERSEES MORE 4508 02:55:23,641 --> 02:55:25,376 THAN 600 THROW A FOOTBALL WHO 4509 02:55:25,376 --> 02:55:26,911 CONDUCK THE RECEIPT AND REFERRAL 4510 02:55:26,911 --> 02:55:31,282 OF NETWORK IH APPLICATIONS. 4511 02:55:31,282 --> 02:55:33,918 AND CARRY OUT THE LARGE MAJORITY 4512 02:55:33,918 --> 02:55:37,121 OF NIH PEER REVIEWS. 4513 02:55:37,121 --> 02:55:38,089 TODAY DR. BYRNES WILL TELL US 4514 02:55:38,089 --> 02:55:39,824 ABOUT THE NEW EFFORTS BY THE 4515 02:55:39,824 --> 02:55:44,929 CENTER FOR SCIENTIFIC REVIEW, TO 4516 02:55:44,929 --> 02:55:46,664 STRENGTHEN THE NIH'S PEER REVIEW 4517 02:55:46,664 --> 02:55:49,233 PROCESS INCLUDING THE NEW 4518 02:55:49,233 --> 02:55:50,234 INITIATIVE CALLED SIMPLIFYING 4519 02:55:50,234 --> 02:55:52,470 REVIEW OF THE RESEARCH PROJECT 4520 02:55:52,470 --> 02:55:53,771 GRANT APPLICATIONS. 4521 02:55:53,771 --> 02:56:04,315 THANK YOU DR. BYRNES FOR JOINING 4522 02:56:04,982 --> 02:56:10,621 US TODAY. 4523 02:56:10,621 --> 02:56:12,256 >> THANK YOU DIANA, THEY'RE JUST 4524 02:56:12,256 --> 02:56:15,159 FINISHING GETTING ME SET UP 4525 02:56:15,159 --> 02:56:21,866 HERE. 4526 02:56:21,866 --> 02:56:22,133 ALL RIGHT. 4527 02:56:22,133 --> 02:56:26,838 THANK YOU VERY MUCH. 4528 02:56:26,838 --> 02:56:30,041 OKAY, THANK YOU ALL VERY MUCH. 4529 02:56:30,041 --> 02:56:32,143 THANKS DIANA AND REBECCA FOR THE 4530 02:56:32,143 --> 02:56:33,578 INVITATION TO COME BACK TO 4531 02:56:33,578 --> 02:56:34,979 NETWORK ICHD COUNCIL AND TALK TO 4532 02:56:34,979 --> 02:56:35,713 YOU ALL IMEAN. 4533 02:56:35,713 --> 02:56:38,983 I'VE DONE THIS AT LEAST A COUPLE 4534 02:56:38,983 --> 02:56:39,517 TIMES BEFORE. 4535 02:56:39,517 --> 02:56:41,152 LET ME START OFF BY REMINDING 4536 02:56:41,152 --> 02:56:42,587 PEOPLE, FIRST OF ALL LET ME JUST 4537 02:56:42,587 --> 02:56:44,422 SAY, I CAUGHT THE TAIL END OF 4538 02:56:44,422 --> 02:56:47,258 THE LAST DISCUSSION AND I WANT 4539 02:56:47,258 --> 02:56:49,126 TO SAY IT'S TERRIFIC. 4540 02:56:49,126 --> 02:56:52,363 IT'S SUCH A WONDERFUL 4541 02:56:52,363 --> 02:56:54,198 INCORPORATION OF PATIENT VOICES 4542 02:56:54,198 --> 02:56:55,566 INTO THE SECOND LEVEL OF REVIEW 4543 02:56:55,566 --> 02:56:57,201 WHICH IS YOU AS COUNCIL. 4544 02:56:57,201 --> 02:57:01,105 WHAT WE DO IS THE FIRST LEVEL OF 4545 02:57:01,105 --> 02:57:03,508 REVIEW, AND CSR'S MISSION IS TO 4546 02:57:03,508 --> 02:57:06,010 INSURE THAT GRANT APPLICATIONS 4547 02:57:06,010 --> 02:57:08,479 RECEIVE FAIR INDEPENDENT EXPERT 4548 02:57:08,479 --> 02:57:10,448 AND TIMELY SCIENTIFIC REVIEW, 4549 02:57:10,448 --> 02:57:12,083 THAT'S FREE FROM INAPPROPRIATE 4550 02:57:12,083 --> 02:57:14,151 INFLUENCES AND TO ALLOW THE NIH 4551 02:57:14,151 --> 02:57:17,655 TO IDENTIFY THE STRONGEST MOST 4552 02:57:17,655 --> 02:57:20,825 PROMISING RESEARCH FOR SUPPORT. 4553 02:57:20,825 --> 02:57:23,995 OVER THIS, THIS IS A SNAPSHOT OF 4554 02:57:23,995 --> 02:57:26,998 CSR OVER THE LAST FISCAL YEAR. 4555 02:57:26,998 --> 02:57:29,734 CSR REVIEWED MORE THAN 67,000 4556 02:57:29,734 --> 02:57:32,136 GRANT APPLICATIONS MRI KAGZS, 4557 02:57:32,136 --> 02:57:34,238 THAT'S ABOUT 77% OF NIH 4558 02:57:34,238 --> 02:57:36,073 APPLICATIONS, VAST MA WRORRITY 4559 02:57:36,073 --> 02:57:40,144 OF RO-1S AND SMALL BUSINESS AND 4560 02:57:40,144 --> 02:57:42,413 FELLOWSHIP APPLICATIONS. 4561 02:57:42,413 --> 02:57:45,049 AND 164 DIFFERENT SPECIAL 4562 02:57:45,049 --> 02:57:46,617 INITTIAIVE ITS, MANY OF THE FUND 4563 02:57:46,617 --> 02:57:49,153 NIH INITTIA OF ITS ARE HANDLED 4564 02:57:49,153 --> 02:57:50,988 BY CSRs AND OF COURSE WE DO 4565 02:57:50,988 --> 02:57:53,658 THIS WITH THE ASSISTANCE OF 4566 02:57:53,658 --> 02:57:55,226 AROUND 19,000 EXPERT REVIEWERS 4567 02:57:55,226 --> 02:57:59,931 EVERY YEAR, 250 OR SO, 4568 02:57:59,931 --> 02:58:01,766 SCIENTIFIC REVIEW OFFICERS WHO 4569 02:58:01,766 --> 02:58:07,238 ADMINISTER AROUND 1200 REVIEW 4570 02:58:07,238 --> 02:58:08,372 MEETING EVERY YEAR. 4571 02:58:08,372 --> 02:58:10,808 SO JUST A QUICK NAP SHOT OF OUR 4572 02:58:10,808 --> 02:58:12,310 STRATEGIC FRAMEWORK THAT DRIVES 4573 02:58:12,310 --> 02:58:13,878 ALL OF OUR INITIATIVES AND 4574 02:58:13,878 --> 02:58:15,713 ACTIONS AND IT'S ALL FOCUSED ON 4575 02:58:15,713 --> 02:58:17,214 ENHANCING THE QUALITY OF THE 4576 02:58:17,214 --> 02:58:19,750 OUTPUT OF PEER REVIEW AND IT'S 4577 02:58:19,750 --> 02:58:22,520 IN 3 DOMAINS, I DON'T KNOW IF 4578 02:58:22,520 --> 02:58:24,322 THERA'S--NO, THAT DOESN'T 4579 02:58:24,322 --> 02:58:25,556 MATTER, THERE'S STUDY SECTION 4580 02:58:25,556 --> 02:58:27,158 PROCESS AND REVIEWERS, AND OF 4581 02:58:27,158 --> 02:58:29,126 COURSE, OUR STAFF, OUR CENTRAL 4582 02:58:29,126 --> 02:58:32,463 TO DRIVING OUR MISSION. 4583 02:58:32,463 --> 02:58:34,098 AND THE STUDY SECTION COMES IN 4584 02:58:34,098 --> 02:58:35,733 AT THE SCOPE OF THE STUDY 4585 02:58:35,733 --> 02:58:37,335 SECTION VERY MUCH DRIVES THE 4586 02:58:37,335 --> 02:58:39,070 OUTPUT, RIGHT IN WHETHER THERE'S 4587 02:58:39,070 --> 02:58:41,739 ENOUGH COMPETITION, WHETHER IT 4588 02:58:41,739 --> 02:58:43,474 IS INCORPORATING EMERGING AREAS 4589 02:58:43,474 --> 02:58:44,875 AND REQUESTS AND EVEN IF YOU 4590 02:58:44,875 --> 02:58:46,611 HAVE A PERFECTLY SCOPED STUDY 4591 02:58:46,611 --> 02:58:48,579 SECTION, THE QUALITY OF THE 4592 02:58:48,579 --> 02:58:50,348 REVIEWERS, WHO YOU RECRUIT, 4593 02:58:50,348 --> 02:58:52,683 WHETHER THEY'RE WELL TRAINED, 4594 02:58:52,683 --> 02:58:53,985 BROAD ENOUGH WILL ALSO DRIVE THE 4595 02:58:53,985 --> 02:58:56,420 OUTPUT AND THEN EVEN IF YOU HAVE 4596 02:58:56,420 --> 02:58:57,455 PERFECTLY SCOPED STUDY SECTION 4597 02:58:57,455 --> 02:58:59,857 WITH YOU KNOW REALLY WELL 4598 02:58:59,857 --> 02:59:02,193 TRAINED STRONG EXPERT REVIEWERS, 4599 02:59:02,193 --> 02:59:03,794 THEIR ARE ASPECTS OF THE PROCESS 4600 02:59:03,794 --> 02:59:05,096 THAT VERY MUCH INFLUENCE OUTPUT 4601 02:59:05,096 --> 02:59:08,265 WHICH IS THE INTEGRITY OF THE 4602 02:59:08,265 --> 02:59:09,400 PROCESS, CONFIDENTIALITY, YOU 4603 02:59:09,400 --> 02:59:12,336 KNOW THE FUNDING RATES ARE SO 4604 02:59:12,336 --> 02:59:13,838 LOW THAT JUST 1 TIPPING THE 4605 02:59:13,838 --> 02:59:16,140 BALANCE A LITTLE BIT EVENT FOR 1 4606 02:59:16,140 --> 02:59:18,643 OR 2 IMRANTS MAKESSA I BIG 4607 02:59:18,643 --> 02:59:21,579 CASCADING DIFFERENCE TO 4608 02:59:21,579 --> 02:59:22,947 EVERYTHING ELSE. 4609 02:59:22,947 --> 02:59:24,682 MITIGATION AND A NUMBER OF OTHER 4610 02:59:24,682 --> 02:59:25,082 PROCESS ISSUES. 4611 02:59:25,082 --> 02:59:28,819 AND THEN OF COURSE, OUR 4612 02:59:28,819 --> 02:59:29,754 OPERATING PRINCIPLES ARE TO 4613 02:59:29,754 --> 02:59:31,956 INSURE WE DO WHATEVER WE DO WITH 4614 02:59:31,956 --> 02:59:32,390 TRANSPARAPHERNALIAS. 4615 02:59:32,390 --> 02:59:34,725 WE USE DATA TO LOOK AT AND DRIVE 4616 02:59:34,725 --> 02:59:35,526 OUR DECISIONS. 4617 02:59:35,526 --> 02:59:37,428 WE ENGAGE A LOT WITH OUR OWN 4618 02:59:37,428 --> 02:59:39,130 ADVISORY COUNCIL THAT IS 4619 02:59:39,130 --> 02:59:40,398 INTEGRAL TO EVERYTHING WE'RE 4620 02:59:40,398 --> 02:59:41,866 DOING AND HAVE DONE OVER THE 4621 02:59:41,866 --> 02:59:48,939 LAST 4 OR 5 YEARS. 4622 02:59:48,939 --> 02:59:50,441 AND THEN INVESTING IN OUR STRAF 4623 02:59:50,441 --> 02:59:53,844 WHO ARE THE ENGINEER ENGINE AND 4624 02:59:53,844 --> 02:59:55,079 DRIVE OUR MISSION. 4625 02:59:55,079 --> 02:59:57,448 AND JUST AN UPDATE ON CAPACITY 4626 02:59:57,448 --> 02:59:59,116 BUILDING IN CSR TO INSURE THE 4627 02:59:59,116 --> 03:00:00,885 FUTURE OF NIH PEER REVIEW AND 4628 03:00:00,885 --> 03:00:02,253 THIS IS INSURING WE HAVE A 4629 03:00:02,253 --> 03:00:04,989 STRONG FOUNDATION AND 4630 03:00:04,989 --> 03:00:06,824 COMMUNICATIONS AND TRANSPARENCY, 4631 03:00:06,824 --> 03:00:09,326 TRAINING AND DATA ANALYTICS. 4632 03:00:09,326 --> 03:00:14,365 IN 2020 WE FORMED THE OFFICE OF 4633 03:00:14,365 --> 03:00:15,266 COMMUNICATIONS AND OUTREACH. 4634 03:00:15,266 --> 03:00:17,134 THIS IS VERY MUCH DOING OUTREACH 4635 03:00:17,134 --> 03:00:18,269 TO NEW INSTITUTIONS AND 4636 03:00:18,269 --> 03:00:19,470 COMMUNITIES THAT DON'T ENGAGE 4637 03:00:19,470 --> 03:00:22,773 WITH THE NIH AS MUCH. 4638 03:00:22,773 --> 03:00:24,675 IN 2021 WE FORMED THE DIVISION 4639 03:00:24,675 --> 03:00:26,811 OF PLANNING ANALYSIS AND 4640 03:00:26,811 --> 03:00:27,545 INFORMATION MANAGEMENT. 4641 03:00:27,545 --> 03:00:29,613 THIS IS OUR--THIS IS OUR VERY 4642 03:00:29,613 --> 03:00:30,848 STRONG DATA OPERATION THAT 4643 03:00:30,848 --> 03:00:33,317 DRIVES ALL OF OUR DECISIONS 4644 03:00:33,317 --> 03:00:34,251 EXTERNALLY AND INTERNALLY AND 4645 03:00:34,251 --> 03:00:38,889 ALL OF OUR INITIATIVES, AND THEN 4646 03:00:38,889 --> 03:00:40,224 MOST RECENTLY IN 2022, 4647 03:00:40,224 --> 03:00:43,294 CENTRALIZED OFFICE OF TRAINING 4648 03:00:43,294 --> 03:00:45,262 WHICH DEVELOPED RESOURCES FOR 4649 03:00:45,262 --> 03:00:46,397 STUDY SECTION CHAIRS, REVIEWERS 4650 03:00:46,397 --> 03:00:47,098 AND OUR THROW A FOOTBALL BECAUSE 4651 03:00:47,098 --> 03:00:51,702 ALL OF THAT DRIVES THE QUALITY 4652 03:00:51,702 --> 03:00:54,004 OF THE OUTPUT OF PEER REVIEW. 4653 03:00:54,004 --> 03:00:55,673 AND THIS IS WHAT THIS HAS DONE 4654 03:00:55,673 --> 03:00:57,174 IS ALLOWED US TO SUCCESSFULLY 4655 03:00:57,174 --> 03:00:59,310 MOVE FORWARD A NUMBER OF 4656 03:00:59,310 --> 03:01:03,647 INITIATIVES HAVING THESE 4657 03:01:03,647 --> 03:01:04,348 RESOURCES IN PLACE. 4658 03:01:04,348 --> 03:01:05,850 SO I'M JUST GOING TO TOUCH ON 4659 03:01:05,850 --> 03:01:07,585 SOME OF THE INITIATIVES BEFORE I 4660 03:01:07,585 --> 03:01:09,386 GET INTO THE CHANGES OF PEER 4661 03:01:09,386 --> 03:01:10,421 REVIEW CRITERIA AND THE REASON I 4662 03:01:10,421 --> 03:01:11,822 WANT TO BRING THESE UP IS 4663 03:01:11,822 --> 03:01:13,691 BECAUSE MANY OF YOU OR YOUR 4664 03:01:13,691 --> 03:01:15,126 COLLEAGUES MAY HAVE SERVED IN 4665 03:01:15,126 --> 03:01:16,927 PEER REVIEW 5 YEARS AGO, 10 4666 03:01:16,927 --> 03:01:19,630 YEARS AGO, AND IT'S REALLY 4667 03:01:19,630 --> 03:01:22,366 IMPORTANT THAT YOU KNOW THAT 4668 03:01:22,366 --> 03:01:24,168 THINGS HAVE CHANGED AND THAT, 4669 03:01:24,168 --> 03:01:29,640 MAKE SURE THAT YOU'RE 4670 03:01:29,640 --> 03:01:32,143 COMMUNITIES KNOW THAT THINGS 4671 03:01:32,143 --> 03:01:32,810 HAVE CHANGED. 4672 03:01:32,810 --> 03:01:37,047 THE FIRST IS BROADENING THE POOL 4673 03:01:37,047 --> 03:01:39,650 OF DIVERSITY RUVEERS, WHEN I SAY 4674 03:01:39,650 --> 03:01:41,919 DIVERSITY, I WANT GOOD 4675 03:01:41,919 --> 03:01:43,521 SCIENTIFIC DIVERSITY, GEOGRAPHIC 4676 03:01:43,521 --> 03:01:44,255 DIVERSITY, ETHNIC, RACIAL, 4677 03:01:44,255 --> 03:01:46,924 GENDER, ALL OF THAT. 4678 03:01:46,924 --> 03:01:48,859 WE'VE MADE A LOT OF PROGRESS IN 4679 03:01:48,859 --> 03:01:50,961 THAT AND I HAVE DATA BUT I DON'T 4680 03:01:50,961 --> 03:01:52,263 SHOW IT IN THIS TALK UNLESS YOU 4681 03:01:52,263 --> 03:01:54,131 WANT TO SEE IT LATER, I HAVE IT 4682 03:01:54,131 --> 03:01:55,199 IN THE,A PEPPED EXCITATORY BUT 4683 03:01:55,199 --> 03:01:57,401 WE WANT TO MAKE HUR WE REFRESH 4684 03:01:57,401 --> 03:01:59,270 STUDIES SECTIONS AND GET NEW 4685 03:01:59,270 --> 03:02:01,038 PERSPECTIVES AND REDUCE UNDUE 4686 03:02:01,038 --> 03:02:03,073 INFLUENCE AND ESPECIALLY INDUCE 4687 03:02:03,073 --> 03:02:05,776 SCIENTIFIC GATE KEEPING IN ANY 4688 03:02:05,776 --> 03:02:06,744 GIVEN SCIENTIFIC AREA AND STUDY 4689 03:02:06,744 --> 03:02:06,977 SECTION. 4690 03:02:06,977 --> 03:02:08,512 THERE ARE A NUMBER OF TRAININGS 4691 03:02:08,512 --> 03:02:10,147 THAT HAVE BEEN LAUNCHED IN THE 4692 03:02:10,147 --> 03:02:12,883 LAST COUPLE OF YEARS, 1 IS BIAS 4693 03:02:12,883 --> 03:02:14,318 AWARENESS AND MITIGATION AND THE 4694 03:02:14,318 --> 03:02:15,886 OTHER IS REVIEWER INTEGRITY. 4695 03:02:15,886 --> 03:02:16,821 THAT'S NOW REQUIRED BOTH OF 4696 03:02:16,821 --> 03:02:19,390 THESE ARE REQUIRED FOR ALL NIH 4697 03:02:19,390 --> 03:02:21,625 REVIEWERS, PRIOR TO 4698 03:02:21,625 --> 03:02:21,959 PARTICIPATION. 4699 03:02:21,959 --> 03:02:24,695 BIAS AWARENESS AND MITIGATION IS 4700 03:02:24,695 --> 03:02:26,597 NOT IMPLICIT BIAS, IT'S ACTUALLY 4701 03:02:26,597 --> 03:02:29,033 BIAS THAT AM CANS INTO THE PEER 4702 03:02:29,033 --> 03:02:30,568 REVIEW PROCESS, IT'S VERY IRPT 4703 03:02:30,568 --> 03:02:30,801 ACTIVE. 4704 03:02:30,801 --> 03:02:35,139 IT'S GOTTEN A LOT OF POSITIVE 4705 03:02:35,139 --> 03:02:36,407 FEEDBACK FROM REVIEWERS, AND 4706 03:02:36,407 --> 03:02:38,943 MOST IMPORTANTLY, IT SHOWS 4707 03:02:38,943 --> 03:02:40,544 REVIEWERS, HOW TO INTERCEDE IN 4708 03:02:40,544 --> 03:02:42,313 THE MIDDLE OF A STUDY SECTION 4709 03:02:42,313 --> 03:02:43,614 MEETING WHEN I THEY SEE 4710 03:02:43,614 --> 03:02:45,182 STATEMENTS BEING MADE THAT ARE 4711 03:02:45,182 --> 03:02:46,750 NOT THERE OR NOT DIRECTLY 4712 03:02:46,750 --> 03:02:48,986 RELATED TO SCIENTIFIC MERIT AND 4713 03:02:48,986 --> 03:02:50,621 WE SEE THAT HAPPENING 4714 03:02:50,621 --> 03:02:50,988 ANECDOTALLY. 4715 03:02:50,988 --> 03:02:54,225 AND IF YOU'VE SERVED RECENTLY, 4716 03:02:54,225 --> 03:02:55,192 YOU'VE SEEN THAT HAPPENING. 4717 03:02:55,192 --> 03:02:57,695 AND THEN WE KNOW WITH 19,000 4718 03:02:57,695 --> 03:02:58,762 REVIEWERS WE'RE NOT GOING TO GET 4719 03:02:58,762 --> 03:03:01,165 IT ALL RIGHT ALL THE TIME EVERY 4720 03:03:01,165 --> 03:03:03,567 SINGLE STUDY SECTION, EVERY 1 OF 4721 03:03:03,567 --> 03:03:06,303 THOSE 1200 MEETINGS, SO WE HAVE 4722 03:03:06,303 --> 03:03:09,139 A DIRECT REPORTING AVENUE THAT 4723 03:03:09,139 --> 03:03:11,141 WE'VE ESTABLISHED THAT IS READ, 4724 03:03:11,141 --> 03:03:12,743 AND PUBLICIZED THAT AND ANYONE 4725 03:03:12,743 --> 03:03:14,378 CAN REPORT UNFAIRNESS IN THE 4726 03:03:14,378 --> 03:03:19,250 PROCESS, IT COMES CORRECTLY TO 4727 03:03:19,250 --> 03:03:20,017 CSR LEADERSHIP, WE INVESTIGATE 4728 03:03:20,017 --> 03:03:21,252 EVERYTHING AND ABOUT HALF WILL 4729 03:03:21,252 --> 03:03:23,320 TIME WE AGREE WITH THE BIAS 4730 03:03:23,320 --> 03:03:24,755 STATEMENT AND REDO THE REVIEW IN 4731 03:03:24,755 --> 03:03:26,357 THE SAME CYCLE AND THEY REACH 4732 03:03:26,357 --> 03:03:28,058 BACK OUT TO REVIEWERS AS WELL, 4733 03:03:28,058 --> 03:03:29,627 SO THIS IS REALLY IMPORTANT FOR 4734 03:03:29,627 --> 03:03:30,361 CULTURE CHANGE. 4735 03:03:30,361 --> 03:03:38,302 IF YOU CAN PUBLICIZE THAT I 4736 03:03:38,302 --> 03:03:39,336 WOULD APPRECIATE IT. 4737 03:03:39,336 --> 03:03:40,704 AND THEN FINALLY SIMPLIFIED 4738 03:03:40,704 --> 03:03:41,705 FRAMEWORK FOR WHAT I WILL 4739 03:03:41,705 --> 03:03:43,440 TAKEN--THEYUC ABOUT TODAY FOR 4740 03:03:43,440 --> 03:03:45,776 MOST NIH RPGs AND REVIEW 4741 03:03:45,776 --> 03:03:47,511 CRITERIA FOR APPLICATION AND 4742 03:03:47,511 --> 03:03:47,912 FELLOWSHIP AWARDS. 4743 03:03:47,912 --> 03:03:49,313 BOTH OF THESE CHANGES ARE 4744 03:03:49,313 --> 03:03:52,783 EFFECTIVE WITH APPLICATIONS THAT 4745 03:03:52,783 --> 03:03:54,318 ARE BEING RECEIVED IN YEN 20 4746 03:03:54,318 --> 03:03:56,820 TWIEVER AND SO THESE WOULD BE 4747 03:03:56,820 --> 03:04:03,260 SUMMER 2025 STUDY SECTION 4748 03:04:03,260 --> 03:04:03,594 MEETINGS. 4749 03:04:03,594 --> 03:04:05,362 TALK ABOUT THE SIMPLIFIED REVIEW 4750 03:04:05,362 --> 03:04:06,931 FRAMEWORK, SO THERE ARE 2 MAIN 4751 03:04:06,931 --> 03:04:08,232 GOALS WE STARTED WITH, 1 WAS 4752 03:04:08,232 --> 03:04:09,733 OVER THE COURSE OF THE LAST 4753 03:04:09,733 --> 03:04:12,069 DECADE AND A HALF, A LOT OF 4754 03:04:12,069 --> 03:04:14,371 ADMINISTRATIVE ITEMS HAVE BEEN 4755 03:04:14,371 --> 03:04:17,474 ADDED TO PEER REVIEW, THE PEER 4756 03:04:17,474 --> 03:04:17,942 REVIEWERS PLATE. 4757 03:04:17,942 --> 03:04:19,944 THE GOAL OF PEER REVIEW IS TO 4758 03:04:19,944 --> 03:04:21,178 ADVISE THE AGENCY ON THE 4759 03:04:21,178 --> 03:04:23,047 SCIENTIFIC MERIT OF THE 4760 03:04:23,047 --> 03:04:24,715 APPLICATIONS UNDER REVIEW. 4761 03:04:24,715 --> 03:04:26,116 NOT TO DO COMPLIANCE CHECKING 4762 03:04:26,116 --> 03:04:27,651 FOR THE AGENCY AND SO THAT HAS 4763 03:04:27,651 --> 03:04:30,654 HAPPENED AND NOT ONLY IS THAT 4764 03:04:30,654 --> 03:04:33,357 ERITATING TO REVIEWERS, IT 4765 03:04:33,357 --> 03:04:34,792 DETRACTS FROM LIKE THE MAIN GOAL 4766 03:04:34,792 --> 03:04:36,860 OF PEER REVIEW WHICH IS TO 4767 03:04:36,860 --> 03:04:38,028 ASSESS THE SCIENCE. 4768 03:04:38,028 --> 03:04:40,264 AND SO, WITH THICISM LIIFIED 4769 03:04:40,264 --> 03:04:41,765 REVIEW FRAMEWORK, WE REFRAME THE 4770 03:04:41,765 --> 03:04:43,534 CRITERIA TO MAKE THEM SIMPLER, 4771 03:04:43,534 --> 03:04:45,502 FOCUS ON 3 KEY QUESTIONS RELATED 4772 03:04:45,502 --> 03:04:49,340 TO MERIT, AND THEN REMOVE 4773 03:04:49,340 --> 03:04:50,374 CERTAIN ADMIN TRAITIVE 4774 03:04:50,374 --> 03:04:56,113 COMPLIANCE ITEM FROM PEER 4775 03:04:56,113 --> 03:04:56,347 REVIEW. 4776 03:04:56,347 --> 03:04:57,982 THE OTHER GOAL IS TO REDUCE OR 4777 03:04:57,982 --> 03:05:00,617 MITIGATE WHAT I'M CALLING 4778 03:05:00,617 --> 03:05:02,219 REPUTATIONAL BIAS IN THE PEER 4779 03:05:02,219 --> 03:05:02,886 REVIEW PROCESS. 4780 03:05:02,886 --> 03:05:04,121 IT'S NOT UNIQUE TO THE PEER 4781 03:05:04,121 --> 03:05:05,656 REVIEW, IT'S OUT THERE IN THE 4782 03:05:05,656 --> 03:05:06,623 BIOMEDICAL COMMUNITY BUT WE WANT 4783 03:05:06,623 --> 03:05:07,925 TO PREVENT AS MUCH AS POSSIBLE 4784 03:05:07,925 --> 03:05:09,660 THAT AM CANNING INTO THE PEER 4785 03:05:09,660 --> 03:05:13,030 REVIEW PROCESS AND BY THAT I 4786 03:05:13,030 --> 03:05:14,531 MEAN, INSTITUTIONAL REPUTATION 4787 03:05:14,531 --> 03:05:18,235 OR INVESTIGATOR PEDIGREE WHO 4788 03:05:18,235 --> 03:05:19,937 TRAINED WITH THAT KIND OF BIAS. 4789 03:05:19,937 --> 03:05:22,606 AND HERE AGAIN GAUZE THESE ARE 4790 03:05:22,606 --> 03:05:26,076 RESEARCH PROJECT GRANTS, RPGs, 4791 03:05:26,076 --> 03:05:27,978 AND INVESTIGATOR AND 4792 03:05:27,978 --> 03:05:33,317 ENVIRONMENT, TO BE WITHIN THE 4793 03:05:33,317 --> 03:05:34,418 CONTEXT OF AND I'LL TALK MORE 4794 03:05:34,418 --> 03:05:34,852 ABOUT THAT. 4795 03:05:34,852 --> 03:05:36,453 AND OF COURSE THE MAIN 4796 03:05:36,453 --> 03:05:38,555 OVERARCHING GOAL IS TO 4797 03:05:38,555 --> 03:05:39,623 FACILITATE PEER REVIEW AND 4798 03:05:39,623 --> 03:05:41,158 INSURE THAT PEER REVIEW CAN 4799 03:05:41,158 --> 03:05:44,995 IDENTIFY THE STRONGEST SCIENCE 4800 03:05:44,995 --> 03:05:45,996 FOR NIH SUPPORT. 4801 03:05:45,996 --> 03:05:47,865 OKAY, SO, ON THE LEFT OVER 4802 03:05:47,865 --> 03:05:52,302 THERE, IN THE GRAY BOX, YOU SEE 4803 03:05:52,302 --> 03:05:55,572 THE CURRENT REVIEW CRITERIA THAT 4804 03:05:55,572 --> 03:05:58,108 YOU'RE ALL WITH, THEY'RE SCORED 4805 03:05:58,108 --> 03:06:00,077 1-9 AND THERA OVERALL BASIC 4806 03:06:00,077 --> 03:06:01,578 SCORE ON THOSE CRITERIA, NOTE 4807 03:06:01,578 --> 03:06:02,446 THAT THE OVERALM IMPACT SCORE 4808 03:06:02,446 --> 03:06:04,882 RIGHT NOW IS NOT AN AVERAGE OF 4809 03:06:04,882 --> 03:06:06,183 THE 5 CRITERIA CORES, IT'S 4810 03:06:06,183 --> 03:06:10,788 SUPPOSED TO BE A WHOLISTIC FOR 4811 03:06:10,788 --> 03:06:12,222 OVERALL IMPACT. 4812 03:06:12,222 --> 03:06:13,123 STARTING WITH APPLICATIONS 4813 03:06:13,123 --> 03:06:15,426 STARTED ON OVER AFTER 4814 03:06:15,426 --> 03:06:17,394 JANUARY 25, 2025, THAT WILL MOVE 4815 03:06:17,394 --> 03:06:21,031 TO 3 FACTORS AND THE 3 FACTORS 4816 03:06:21,031 --> 03:06:25,936 ARE IMPORTANCE OF THE RESEARCH 4817 03:06:25,936 --> 03:06:28,705 OR PUT IT MORE SIMPLY, CAN IT BE 4818 03:06:28,705 --> 03:06:31,442 DONE, AND CAN IT BE DONE WELL 4819 03:06:31,442 --> 03:06:34,144 AND FACTOR 3 AS NCCRESOURCES AS 4820 03:06:34,144 --> 03:06:35,112 THE EXPERTISE AND RESOURCES IN 4821 03:06:35,112 --> 03:06:45,656 PLACE TO DO THE PROJECT FACTOR 1 4822 03:06:45,856 --> 03:06:48,158 THAT AND THE SCORE BETWEEN 1 AND 4823 03:06:48,158 --> 03:06:50,194 9, FACTOR 2 THAT INCLUDES THE 4824 03:06:50,194 --> 03:06:51,795 APPROACH AND WE'RE INCORPORATING 4825 03:06:51,795 --> 03:06:54,098 INCLUSION AS PART OF THIS SCORED 4826 03:06:54,098 --> 03:06:55,599 CRITERION OF THIS POINT, VERY 4827 03:06:55,599 --> 03:06:57,234 SPECIFICALLY ALL THE TABLES, ALL 4828 03:06:57,234 --> 03:06:59,470 OF THAT WILL BE ANSWERED IN THE 4829 03:06:59,470 --> 03:07:00,904 TEMPLATE WHEN REVIEWERS ARE 4830 03:07:00,904 --> 03:07:02,639 DOING ANALYSIS OF REVIEWER OR 4831 03:07:02,639 --> 03:07:03,207 FACTOR. 4832 03:07:03,207 --> 03:07:07,444 SO THAT GETS A SCORE OF 1-9. 4833 03:07:07,444 --> 03:07:09,179 AND THEN FACTOR 3, THE QUESTION 4834 03:07:09,179 --> 03:07:10,380 IS, ARE THE EXPERTISE AND 4835 03:07:10,380 --> 03:07:13,484 RESOURCES IN PLACE AND THAT'S 4836 03:07:13,484 --> 03:07:14,485 NOW BECOMING BINARY. 4837 03:07:14,485 --> 03:07:17,488 YOU KNOW, ARE THE EXPERTISE AND 4838 03:07:17,488 --> 03:07:18,889 RESOURCES APPROPRIATE, OR ARE 4839 03:07:18,889 --> 03:07:20,190 THERE ADDITIONAL EXPERTISE OR 4840 03:07:20,190 --> 03:07:23,227 RESOURCES NEEDED OR THERE IS A 4841 03:07:23,227 --> 03:07:23,927 GAP. 4842 03:07:23,927 --> 03:07:26,463 AND IF ADDITIONAL RESOURCES ARE 4843 03:07:26,463 --> 03:07:28,332 NEEDED, THEN COMMENTS ARE EXPECT 4844 03:07:28,332 --> 03:07:31,335 FROM THE REVIEWERS AS TO WHAT 4845 03:07:31,335 --> 03:07:31,802 THOSE ARE. 4846 03:07:31,802 --> 03:07:33,337 AND OF COURSE ANY TIME THERE ARE 4847 03:07:33,337 --> 03:07:34,571 GAPS IN EXPERTISE OR RESOURCES 4848 03:07:34,571 --> 03:07:36,573 THAT NEEDS TO AFFECT THE OVERALL 4849 03:07:36,573 --> 03:07:39,243 IMPACT SCORE BECAUSE IT'S BASED 4850 03:07:39,243 --> 03:07:46,817 ON ALL 3 FACTORS, AGAIN A 4851 03:07:46,817 --> 03:07:47,251 WHOLISTIC SCORE. 4852 03:07:47,251 --> 03:07:49,319 SO I WANT TO GIVE YOU ALET BIT 4853 03:07:49,319 --> 03:07:51,455 OF BACKGROUND ON HOW WE GOT 4854 03:07:51,455 --> 03:07:51,688 THERE. 4855 03:07:51,688 --> 03:07:53,991 WE DIDN'T SIT IN SOME 4856 03:07:53,991 --> 03:07:55,993 SMOKE-FILLED ROOM AT THE NIH AND 4857 03:07:55,993 --> 03:07:58,395 ENGAGED IN THREEZ CRITERIA, WE 4858 03:07:58,395 --> 03:08:00,464 ENGAGE WIDE A SIGNIFICANT INN 4859 03:08:00,464 --> 03:08:01,932 GEAJMENT WITH THE EXTRAMURAL 4860 03:08:01,932 --> 03:08:03,367 COMMUNITY TO AM CAN UP WITH 4861 03:08:03,367 --> 03:08:04,701 THESE CHANGES. 4862 03:08:04,701 --> 03:08:08,038 IT STARTED IN JANUARY 2020, 4863 03:08:08,038 --> 03:08:09,673 SORRY, GETTING AHEAD OF MYSELF, 4864 03:08:09,673 --> 03:08:12,676 USING THE WORK GROUPS OFF THE 4865 03:08:12,676 --> 03:08:14,211 CSR'S ADVISORY COUNCIL SO WE 4866 03:08:14,211 --> 03:08:16,647 CONVENED 2 WORKING GROUPS, 1 TO 4867 03:08:16,647 --> 03:08:17,548 CONSIDER NONCLINICAL TRIALS, 4868 03:08:17,548 --> 03:08:27,191 THAT'S THE VAST MAJORITY OF 4869 03:08:27,191 --> 03:08:27,991 APPLICATIONS ARE NOT CLINICAL 4870 03:08:27,991 --> 03:08:31,328 TRIALS AND THE OTHER GROUP AND 4871 03:08:31,328 --> 03:08:34,031 CLINICAL TRIALS WHICH HAD 4872 03:08:34,031 --> 03:08:34,932 CRITERIA AND NOTIFICATIONS, SO 4873 03:08:34,932 --> 03:08:38,235 WE HAD A LOT, THROUGH BLOG POSTS 4874 03:08:38,235 --> 03:08:40,470 AND SUCH A BEGINNING AND WE PUT 4875 03:08:40,470 --> 03:08:42,406 OUT OPEN ENDED QUESTIONS, HOW DO 4876 03:08:42,406 --> 03:08:43,907 YOU THINK WE SHOULD CHANGE PEER 4877 03:08:43,907 --> 03:08:45,409 REVIEW AND WHENEVER YOU 4878 03:08:45,409 --> 03:08:46,777 THRESHOLD THAT OUT EVERYONE HAS 4879 03:08:46,777 --> 03:08:48,278 AN OPINION RIGHT AND WE HEARD 4880 03:08:48,278 --> 03:08:49,313 FROM THEM. 4881 03:08:49,313 --> 03:08:50,814 WE DID A CONTENT ANALYSIS ON 4882 03:08:50,814 --> 03:08:52,583 WHAT WE HEARD AND WE PROVIDE 4883 03:08:52,583 --> 03:08:54,351 THAD TO THE ADVISORY COUNCIL 4884 03:08:54,351 --> 03:08:54,785 WORKING GROUP. 4885 03:08:54,785 --> 03:08:57,187 WE ALSO IMAIF THEM LEGAL AND 4886 03:08:57,187 --> 03:09:00,557 REGULATORY GUARD RAILS IN THAT 4887 03:09:00,557 --> 03:09:02,292 YOU KNOW THE PUBLIC HEALTH 4888 03:09:02,292 --> 03:09:04,461 SERVICE CODE OF FEDERAL 4889 03:09:04,461 --> 03:09:06,530 REGULATION REQUIRES THE NIH TO 4890 03:09:06,530 --> 03:09:08,832 USE 5 REVIEW CRITERIA, 4891 03:09:08,832 --> 03:09:14,905 SIGNIFICANT INNOVATION APPROACH 4892 03:09:14,905 --> 03:09:19,910 ENVIRONMENT, AND INVESTIGATOR. 4893 03:09:19,910 --> 03:09:23,180 BUT NIH HAS THE DISKRUGZ IN OW 4894 03:09:23,180 --> 03:09:24,881 THE REGULATORY AND, WOOING 4895 03:09:24,881 --> 03:09:26,483 INFORMATION, SO THEY WORKED VERY 4896 03:09:26,483 --> 03:09:30,454 HARD, THEY DID A TERRIFIC JOB, 4897 03:09:30,454 --> 03:09:32,456 AND HELD 11 VIRTUAL MEETINGS TO 4898 03:09:32,456 --> 03:09:34,358 VERY POSSIBLY DEVELOP A 4899 03:09:34,358 --> 03:09:35,125 FRAMEWORK AND RECOMMENDATIONS. 4900 03:09:35,125 --> 03:09:37,127 THAT THEN CAME TO THE FULL 4901 03:09:37,127 --> 03:09:39,329 ADVISORY COUNCIL OF CSR, WAS 4902 03:09:39,329 --> 03:09:41,131 APPROVED AND REPUBLISHED A 4903 03:09:41,131 --> 03:09:45,869 REPORT IN APRIL OF 2021. 4904 03:09:45,869 --> 03:09:47,170 THEN IT MOVED INTERNAL TO THE 4905 03:09:47,170 --> 03:09:47,404 AGENCY. 4906 03:09:47,404 --> 03:09:50,140 SO WE HAD A LOT OF SIMILAR KIND 4907 03:09:50,140 --> 03:09:52,909 OF PROCESS WE WENT THROUGH 4908 03:09:52,909 --> 03:09:58,582 INTERNALLY WITH NONCLINICAL 4909 03:09:58,582 --> 03:09:59,516 TRIALS, CLINICAL TRIALS, AND 4910 03:09:59,516 --> 03:10:01,785 WREE HAD SOME FRAMEWORK THERE IN 4911 03:10:01,785 --> 03:10:03,787 A YEAR AND HALF ALMOST, AND THEN 4912 03:10:03,787 --> 03:10:08,191 THAT GOT APPROVED BY IC DIRECTOR 4913 03:10:08,191 --> 03:10:10,594 AT THE TIME OF NIH LEADERSHIP. 4914 03:10:10,594 --> 03:10:12,396 THEN WE DIDN'T STOP THERE, WE 4915 03:10:12,396 --> 03:10:15,966 THENNED OKAY, WE THINK WE'RE 4916 03:10:15,966 --> 03:10:19,202 PROPOSING TO DO, AND PUT IT OUT 4917 03:10:19,202 --> 03:10:21,071 PUBLICLY, RFI, REQUEST FOR 4918 03:10:21,071 --> 03:10:21,772 INFORMATION. 4919 03:10:21,772 --> 03:10:23,507 WE GOT OVER 800 RESPONSES THERE 4920 03:10:23,507 --> 03:10:24,441 FROM INSTITUTIONS. 4921 03:10:24,441 --> 03:10:27,210 FROM INSTITUTIONS FROM 4922 03:10:27,210 --> 03:10:28,779 INDIVIDUALS AND SOCIETIES. 4923 03:10:28,779 --> 03:10:39,256 A MAJORITY WERE SUPPORTIVE. 4924 03:10:40,390 --> 03:10:43,694 THIS WAS A MINORITY THAT FACTOR 4925 03:10:43,694 --> 03:10:45,562 3 NEEDS TO BE SCORED AND THEN 4926 03:10:45,562 --> 03:10:47,831 THE OTHER MINORITY ON THE OTHER 4927 03:10:47,831 --> 03:10:50,000 END THAT THOUGHT WE DIDN'T GO 4928 03:10:50,000 --> 03:10:52,269 FAR ENOUGH AND NEED ON DO 4929 03:10:52,269 --> 03:10:52,803 PLIENDED REVIEW. 4930 03:10:52,803 --> 03:10:55,172 WE CAN HAVE DISCUSSIONS AS TO 4931 03:10:55,172 --> 03:10:57,841 WHY WE'RE NOT GOING THIS THOSE 4932 03:10:57,841 --> 03:11:00,310 DREKS, WE CAN CAN DO IT 4933 03:11:00,310 --> 03:11:01,345 AFTERWARDS OR OFFLINE. 4934 03:11:01,345 --> 03:11:04,681 THE MAIN THING WE GOT OUT OF RFI 4935 03:11:04,681 --> 03:11:15,258 IS THAT THAT CSR NEEDS TO DEVEP 4936 03:11:15,826 --> 03:11:16,026 REVIEWERS. 4937 03:11:16,026 --> 03:11:18,028 IN OCTOBER 2023 NIH ANNOUNCE THE 4938 03:11:18,028 --> 03:11:20,731 LAUNCH OF THE SESMLIFIED REVIEW 4939 03:11:20,731 --> 03:11:22,299 FRAMEWORK EFFECTIVE NEXT 4940 03:11:22,299 --> 03:11:22,799 JANUARY. 4941 03:11:22,799 --> 03:11:25,102 SO AROUND THE SAME TIME, A 4942 03:11:25,102 --> 03:11:26,036 LITTLE BIT TRAGGERRED BUT 4943 03:11:26,036 --> 03:11:27,337 PARALLEL TO THAT WE WERE ALSO 4944 03:11:27,337 --> 03:11:29,973 LOOKING AT THE FAIRNESS OF 4945 03:11:29,973 --> 03:11:34,044 REVIEW, FOR INDIVIDUALS AND RFA 4946 03:11:34,044 --> 03:11:35,779 FELLOWSHIP APPLICATIONS, 4947 03:11:35,779 --> 03:11:36,313 INDIVIDUAL TRAINING 4948 03:11:36,313 --> 03:11:36,646 APPLICATIONS. 4949 03:11:36,646 --> 03:11:42,519 THE GOAL HERE OF COURSE, FOR 4950 03:11:42,519 --> 03:11:44,154 THIS ENTIRE EXERCISE IS TO MAKE 4951 03:11:44,154 --> 03:11:46,656 SURE WE ARE IDENTIFYING AND 4952 03:11:46,656 --> 03:11:47,257 IDENTIFYING THE STRONGEST 4953 03:11:47,257 --> 03:11:49,526 CANDIDATES AND THE STRONGEST 4954 03:11:49,526 --> 03:11:51,261 TRAINING PLANS FOR THOSE 4955 03:11:51,261 --> 03:11:55,332 CANDIDATES TO DEVELOPMENT NEXT 4956 03:11:55,332 --> 03:11:57,033 GENERATION OF RESEARCHERS. 4957 03:11:57,033 --> 03:11:58,935 WE HEARD CSR AND PRIOR TO CSR, 4958 03:11:58,935 --> 03:12:04,741 WE HEARD CONCERNS FROM THE 4959 03:12:04,741 --> 03:12:07,110 SCIENTIFIC COMMUNITY THAT THERE 4960 03:12:07,110 --> 03:12:08,945 IS THIS TENDENCYY FOR THE 4961 03:12:08,945 --> 03:12:10,013 REVIEWER PROCESS, WELL 4962 03:12:10,013 --> 03:12:10,814 INSTITUTIONS AND SENIOR WELL 4963 03:12:10,814 --> 03:12:11,915 KNOWN INVESTIGATORS AND THAT'S 4964 03:12:11,915 --> 03:12:15,685 LEAVING OUT A LOT OF POTENTIALLY 4965 03:12:15,685 --> 03:12:16,820 BONE FUTURE RESEARCHERS OUT OF 4966 03:12:16,820 --> 03:12:17,421 THIS PROCESS. 4967 03:12:17,421 --> 03:12:19,122 WE DID A QUICK DATA ANALYSIS, 4968 03:12:19,122 --> 03:12:21,024 THIS WAS ALSO THROUGH A WORKING 4969 03:12:21,024 --> 03:12:22,225 GROUP OF COUNCIL AND THEY ASKED 4970 03:12:22,225 --> 03:12:23,760 US TO DO THIS ANALYSIS. 4971 03:12:23,760 --> 03:12:26,196 WE DID THIS ANALYSIS, OF 1 4972 03:12:26,196 --> 03:12:27,431 YEAR'S WORTH OF APPLICATIONS AND 4973 03:12:27,431 --> 03:12:28,832 I WILL TELL YOU, I WILL SHOW YOU 4974 03:12:28,832 --> 03:12:30,367 A BIT OF THE DATA BUT I WILL 4975 03:12:30,367 --> 03:12:31,568 ALSO TELL YOU THE BOTTOM LINE 4976 03:12:31,568 --> 03:12:34,404 WHICH IS YES, IT'S A SMALL 4977 03:12:34,404 --> 03:12:35,939 NUMBER OF INSTITUTIONS THAT 4978 03:12:35,939 --> 03:12:38,742 SUBMIT A VAST MAIORITY OF THE 4979 03:12:38,742 --> 03:12:39,376 FELLOWSHIP APPLICATIONS, OTHERS 4980 03:12:39,376 --> 03:12:39,943 DO NOT. 4981 03:12:39,943 --> 03:12:41,211 APPLICATIONS THAT COME FROM 4982 03:12:41,211 --> 03:12:42,979 THOSE INSTITUTIONS TEND TO DO 4983 03:12:42,979 --> 03:12:45,015 BETTER IN REVIEW AND THAT 4984 03:12:45,015 --> 03:12:47,184 THERE'S A DIRECT CORRELATION 4985 03:12:47,184 --> 03:12:49,453 BETWEEN THE SENIORITY OF THE 4986 03:12:49,453 --> 03:12:50,587 SPONSOR AND THE REVIEW OUTCOME. 4987 03:12:50,587 --> 03:12:57,727 LET ME SHOW YOU THE DATA. 4988 03:12:57,727 --> 03:12:59,996 IF YOU LOOK AT THE BAROT VERY 4989 03:12:59,996 --> 03:13:02,933 LEFT, ON THE Y-AXIS, THIS HAS 4990 03:13:02,933 --> 03:13:13,410 BEEN ACCORDING TO NUMBERS OF 4991 03:13:24,855 --> 03:13:26,690 APPLICATIONS. 4992 03:13:26,690 --> 03:13:28,825 SIXTEEN HELPED INSTITUTIONS THAT 4993 03:13:28,825 --> 03:13:30,627 SUBMIGHTED MORE THAN A HUNDRED 4994 03:13:30,627 --> 03:13:31,561 APPLICATIONS A PIECE. 4995 03:13:31,561 --> 03:13:32,262 THAT'S THE DISPARITY THERE. 4996 03:13:32,262 --> 03:13:33,797 SO WHEN YOU LOOK AT THE OUTCOME, 4997 03:13:33,797 --> 03:13:36,466 HERE YOU HAVE THE BLUE IS HIGH 4998 03:13:36,466 --> 03:13:37,200 IMPACT APPLICATIONS AND THE GRAY 4999 03:13:37,200 --> 03:13:39,569 IS THOSE THAT WERE NOT 5000 03:13:39,569 --> 03:13:39,836 DISCUSSED. 5001 03:13:39,836 --> 03:13:42,405 YOU LOOK AT INSTITUTIONS, 5002 03:13:42,405 --> 03:13:44,140 APPLICATIONS FROM INSTITUTIONS 5003 03:13:44,140 --> 03:13:46,977 THAT SUBMITTED 1-10 5004 03:13:46,977 --> 03:13:48,578 APPLICATIONS, THE SHORT SMALLER 5005 03:13:48,578 --> 03:13:50,413 NUMBER OF HIGH IMPACT 5006 03:13:50,413 --> 03:13:51,715 APPLICATIONS AND A LARGER NUMBER 5007 03:13:51,715 --> 03:13:53,550 NOT DISCUSS EXCLUDE IT GOES IN 5008 03:13:53,550 --> 03:13:54,951 THE OPPOSITE DIRECTION FOR THOSE 5009 03:13:54,951 --> 03:13:56,453 INSTITUTIONS THAT SUBMIT MORE 5010 03:13:56,453 --> 03:14:02,259 THAN 76 FELLOWSHIP APPLICATIONS 5011 03:14:02,259 --> 03:14:02,826 EVERY YEAR. 5012 03:14:02,826 --> 03:14:03,093 RIGHT? 5013 03:14:03,093 --> 03:14:04,628 AND THEN THIS, THIS IS A 5014 03:14:04,628 --> 03:14:06,296 SLIGHTLY BUSY BUT JUST LOOK AT 5015 03:14:06,296 --> 03:14:10,000 THE TOP 4 WHICH TELLS YOU A 5016 03:14:10,000 --> 03:14:13,069 SINGLE SPONSOR SO IF YOU'RE IN 5017 03:14:13,069 --> 03:14:15,372 AN ASSISTANT PROCESSOR SPONSOR 5018 03:14:15,372 --> 03:14:17,240 THAT YEAR, THAT FELLOWSHIP 5019 03:14:17,240 --> 03:14:18,675 APPLICATION FROM AN ASSISTANT 5020 03:14:18,675 --> 03:14:22,345 PROFESSOR SPONSOR WHERE THE 5021 03:14:22,345 --> 03:14:24,180 CANDIDATE HAS ANN ASHES CYST ANT 5022 03:14:24,180 --> 03:14:26,550 PROFESSOR SPONSOR WILL BE SCORED 5023 03:14:26,550 --> 03:14:34,157 PNEUMOTHORAXIS% OF THE TIME, IF 5024 03:14:34,157 --> 03:14:37,093 IT'S ASSOCIATE PROFESSOR IT'S 5025 03:14:37,093 --> 03:14:39,195 MORE, YOUR FULL PROFESSOR 39.7 5026 03:14:39,195 --> 03:14:41,865 AND THEN THAT LAST 1 SAYS OTHER 5027 03:14:41,865 --> 03:14:45,402 WHICH SEEMS TO DO EVEN WETTER 5028 03:14:45,402 --> 03:14:46,436 THAN FULL PROFESSORS SO WE WANT 5029 03:14:46,436 --> 03:14:47,637 TO KNOW WHAT THAT WAS. 5030 03:14:47,637 --> 03:14:52,609 WE DUG INTO THAT AND DEANS AND 5031 03:14:52,609 --> 03:14:52,943 PROVOST. 5032 03:14:52,943 --> 03:14:54,511 THOSE ARE THERE TITLES, THAT'S 5033 03:14:54,511 --> 03:14:55,211 HOW IT WORKED OUT. 5034 03:14:55,211 --> 03:14:57,314 IF YOU LOOK AT THE BOTTOM, THAT 5035 03:14:57,314 --> 03:14:58,548 MULTIPLE SPONSORS AGAIN, IF 5036 03:14:58,548 --> 03:15:00,283 YOU'RE ALL ASSISTANT, IF YOU 5037 03:15:00,283 --> 03:15:01,484 HAVE 3 ASSISTANT PROFESSOR 5038 03:15:01,484 --> 03:15:03,320 SPONSORS, IT'S A PRETTY BAD 5039 03:15:03,320 --> 03:15:04,387 OUTCOME FOR THE CANDIDATE. 5040 03:15:04,387 --> 03:15:06,556 IF YOU HAVE ALL DEANS AND 5041 03:15:06,556 --> 03:15:11,595 PROVOST, THEY DO PRETTY DARN 5042 03:15:11,595 --> 03:15:11,795 WELL. 5043 03:15:11,795 --> 03:15:14,097 SO YOU KNOW THE DATA SUPPORTED 5044 03:15:14,097 --> 03:15:15,165 COMMUNITY CONCERNS. 5045 03:15:15,165 --> 03:15:16,566 SO THE FELLOWSHIP REVIEW 5046 03:15:16,566 --> 03:15:17,534 CRITERIA ARE CHANGING AND WE 5047 03:15:17,534 --> 03:15:19,369 DID, I'M NOT GOING TO WALK 5048 03:15:19,369 --> 03:15:21,905 THROUGH THE WHOLE PROCESS, AND 5049 03:15:21,905 --> 03:15:25,609 SIMILAR PROCESS OF GETTING A 5050 03:15:25,609 --> 03:15:27,377 BROADER COMMUNITY INPUT WORKING 5051 03:15:27,377 --> 03:15:28,078 GROUP, INTURNOVERRAL 5052 03:15:28,078 --> 03:15:29,913 DELIBERATIONS AT NIH AND SUCH 5053 03:15:29,913 --> 03:15:33,750 AND AN RFI THAT WENT OUT. 5054 03:15:33,750 --> 03:15:35,518 AND SO THE CURRENT YOU CAN SEE 5055 03:15:35,518 --> 03:15:37,387 OVERALL IMPACT SCORE IS BASED ON 5056 03:15:37,387 --> 03:15:39,055 THOSE 5 CRITERIA. 5057 03:15:39,055 --> 03:15:41,024 ON THE LEFT WHERE THESE TYPES OF 5058 03:15:41,024 --> 03:15:42,859 BIASES COME IN IS IN THE SECOND 5059 03:15:42,859 --> 03:15:44,728 1 THAT SAYS SPONSORS AND 5060 03:15:44,728 --> 03:15:46,663 COLLABORATOR ANDS CONSULTANT AND 5061 03:15:46,663 --> 03:15:48,164 THAT LAST 1, THAT SAYS 5062 03:15:48,164 --> 03:15:49,065 INSTITUTIONAL ENVIRONMENT AND 5063 03:15:49,065 --> 03:15:49,633 COMMITMENT TO TRAINING. 5064 03:15:49,633 --> 03:15:51,234 WE WANT THESE TO BE CONSIDERED 5065 03:15:51,234 --> 03:15:54,671 IN THE CONTEXT OF THE FELLOWSHIP 5066 03:15:54,671 --> 03:15:57,307 APPLICATION AND HOW THIS 5067 03:15:57,307 --> 03:15:59,275 ADVANTAGES THE CANDIDATE BUT 5068 03:15:59,275 --> 03:16:00,477 IT'S--THAT'S WHERE SOME OF THESE 5069 03:16:00,477 --> 03:16:01,645 COMMENTS COME IN THAT LEAD TO 5070 03:16:01,645 --> 03:16:08,785 THE OUTCOMES THAT YOU SAW. 5071 03:16:08,785 --> 03:16:12,188 SO THE FINAL APPROVED UPON 5072 03:16:12,188 --> 03:16:15,058 CHANGES COMING AGAIN STARTING 5073 03:16:15,058 --> 03:16:15,959 JANUARY 2025 THERE ARE THERE 5074 03:16:15,959 --> 03:16:18,128 WILL BE 3 MIN CRITERIA FOR 5075 03:16:18,128 --> 03:16:20,397 FELLOWSHIP 1 IS CANDIDATE 5076 03:16:20,397 --> 03:16:21,631 PREPAREDNESS AND POTENTIAL. 5077 03:16:21,631 --> 03:16:23,733 RESEARCH TRAINING PLAN 5078 03:16:23,733 --> 03:16:24,000 UNTOUCHED. 5079 03:16:24,000 --> 03:16:25,035 IMPORTANT, NEEDS TO BE IN THERE. 5080 03:16:25,035 --> 03:16:26,870 AND THE THEN THE THIRD 1 IS 5081 03:16:26,870 --> 03:16:27,804 COMMITMENT TO CANDIDATE AND THIS 5082 03:16:27,804 --> 03:16:31,207 IS WHERE THE SPONSOR AND THE 5083 03:16:31,207 --> 03:16:32,275 INSTITUTIONAL ENVIRONMENT ARE 5084 03:16:32,275 --> 03:16:33,543 INCORPORATED SO THAT THEY'RE 5085 03:16:33,543 --> 03:16:35,745 REVIEWED IN THE CONTEXT OF THE 5086 03:16:35,745 --> 03:16:41,317 CANDIDATE AND HIS OR HER 5087 03:16:41,317 --> 03:16:41,618 DEVELOPMENT. 5088 03:16:41,618 --> 03:16:42,852 ONE CHANGE OF THE EXTRAMURAL 5089 03:16:42,852 --> 03:16:44,988 FUNDING OF THE SPOPSOR IS NOT 5090 03:16:44,988 --> 03:16:45,722 CONSIDERED BY PEER REVIEW 5091 03:16:45,722 --> 03:16:46,990 ANYMORE BECAUSE WE SAW THESE 5092 03:16:46,990 --> 03:16:48,558 COMMENTS YOU WOULD SEE. 5093 03:16:48,558 --> 03:16:51,461 SOMEONE HAS 4 RO-1S THAT SUBMIT 5094 03:16:51,461 --> 03:17:02,005 SPONSORS OR SOMEONE HAS 3 OR 2. 5095 03:17:02,005 --> 03:17:03,673 WROA DON'T WANT TO FOCUS THAT 5096 03:17:03,673 --> 03:17:07,043 THAT BECAUSE THAT MAKES NO 5097 03:17:07,043 --> 03:17:07,277 SENSE. 5098 03:17:07,277 --> 03:17:09,012 REVISED NUMBER OF CHANGE, 5099 03:17:09,012 --> 03:17:11,548 THERE'S EXPECTATION OF A 5100 03:17:11,548 --> 03:17:12,716 TARGETED APPLICATION SUBMISSION, 5101 03:17:12,716 --> 03:17:16,086 SO IT REDUCES BOILER PLATE 5102 03:17:16,086 --> 03:17:17,253 LANGUAGE, RIGHT, THOSE 5103 03:17:17,253 --> 03:17:18,655 INSTITUTIONS THAT MASS PRODUCE 5104 03:17:18,655 --> 03:17:20,757 THESE APPLICATIONS THERE'S A LOT 5105 03:17:20,757 --> 03:17:21,591 BOILER PLATE LANGUAGE, WE NEED 5106 03:17:21,591 --> 03:17:23,660 IT TO BE TARGETED AT THE 5107 03:17:23,660 --> 03:17:24,694 SPECIFIC CABBEDIDATE AND GRADES 5108 03:17:24,694 --> 03:17:25,795 ARE NO LONGER GOING TO BE 5109 03:17:25,795 --> 03:17:26,830 REQUIRED BECAUSE THEY WERE NOT 5110 03:17:26,830 --> 03:17:32,769 SEEN AS A GOOD INDICATOR OF 5111 03:17:32,769 --> 03:17:33,970 SUCCESS IN RESEARCH MUCH SO 5112 03:17:33,970 --> 03:17:35,705 WHAT'S HAPPENING RIGHT NOW IS 5113 03:17:35,705 --> 03:17:36,639 THERE'S A TREMENDOUS WORK 5114 03:17:36,639 --> 03:17:38,508 HAPPENING RIGHT NOW ACROSS THE 5115 03:17:38,508 --> 03:17:41,144 AGENCY AND NIH AS YOU CAN SEE, 5116 03:17:41,144 --> 03:17:44,180 WE HAVE, YOU KNOW MANY THINGS 5117 03:17:44,180 --> 03:17:45,849 THAT HAVE TO CHANGE FOR THINGS 5118 03:17:45,849 --> 03:17:46,816 TO BE AVAILABLE AND START 5119 03:17:46,816 --> 03:17:49,586 NOTHING JANUARY AND THAT IS WE 5120 03:17:49,586 --> 03:17:51,287 HAVE A TRANSNIH COMMITTEE IN 5121 03:17:51,287 --> 03:17:53,656 BOTH FELLOWSHIPS AND RPGs THAT 5122 03:17:53,656 --> 03:17:56,860 HAS A TREMENDOUS AMOUNT OF 5123 03:17:56,860 --> 03:17:57,427 EXPERTISE. 5124 03:17:57,427 --> 03:17:58,828 IT HAS REPRESENTATIVES FROM ALL 5125 03:17:58,828 --> 03:18:01,197 OVER NIH AND EXPERTISE IN REVIEW 5126 03:18:01,197 --> 03:18:04,701 AND COMMUNICATIONS, ERA SYSTEMS 5127 03:18:04,701 --> 03:18:06,202 HAVE TO BE UPDATED FOR SCORING 5128 03:18:06,202 --> 03:18:08,138 AND FOR EVERYTHING ELSE. 5129 03:18:08,138 --> 03:18:09,873 POLICY TRAINING AND STAFF'S 5130 03:18:09,873 --> 03:18:11,608 TRAINING, SO THERE'S A LOT OF 5131 03:18:11,608 --> 03:18:18,448 WORK HAPPENING WITHIN THE AGENCY 5132 03:18:18,448 --> 03:18:19,449 OF THIS KIND. 5133 03:18:19,449 --> 03:18:20,817 THE MAJOR LAUNCH OF TRAINING 5134 03:18:20,817 --> 03:18:23,920 WITH REVIEWERS AND CHAIRING WILL 5135 03:18:23,920 --> 03:18:25,889 NOT OCCUR UNTIL SPRING OF 2025 5136 03:18:25,889 --> 03:18:27,724 AND THAT BECAUSE THE LAST USING 5137 03:18:27,724 --> 03:18:29,826 OF THE OLD CRITERIA WILL HAPPEN 5138 03:18:29,826 --> 03:18:32,529 IN FEBRUARY AND MARCH OF 2025. 5139 03:18:32,529 --> 03:18:34,164 IF WE LAUNCH ANY TRAINING PRIOR 5140 03:18:34,164 --> 03:18:35,999 TO THAT, IT WILL CONFUSE 19,000 5141 03:18:35,999 --> 03:18:37,400 PEOPLE SO WE'RE GOING TO HOLD IT 5142 03:18:37,400 --> 03:18:40,203 UNTIL THEY'RE DONE WITH THEIR 5143 03:18:40,203 --> 03:18:41,004 PREVIOUS CRITERIA AND REVIEWS 5144 03:18:41,004 --> 03:18:43,706 AND THEN WE BRAN TO DO PRETTY 5145 03:18:43,706 --> 03:18:44,240 IMREASESSIVE TRAINING FOR 5146 03:18:44,240 --> 03:18:45,275 REVIEWERS BUT OUR STAFF ARE 5147 03:18:45,275 --> 03:18:47,110 GETTING TRAINED NOW AND WE'RE 5148 03:18:47,110 --> 03:18:48,178 DOING LITTLE OUTREACH LIKE THIS 5149 03:18:48,178 --> 03:18:51,447 TO MAKE PEOPLE AWARE OF THE 5150 03:18:51,447 --> 03:18:51,848 CHAIRVELGS COMING. 5151 03:18:51,848 --> 03:18:55,785 IF YOU WANT TO LEARN MORE, THEIR 5152 03:18:55,785 --> 03:18:58,221 1 STOP SHOP SITE FOR RPGs AND 5153 03:18:58,221 --> 03:18:58,521 FELLOWSHIP. 5154 03:18:58,521 --> 03:19:03,226 IF YOU HAVE A QUESTION, THEIR 5155 03:19:03,226 --> 03:19:04,160 DEDICATED E-MAIL BOXES WHERE 5156 03:19:04,160 --> 03:19:05,929 ANYONE CAN SEND A QUESTION AND 5157 03:19:05,929 --> 03:19:06,496 WE WILL RESPOND. 5158 03:19:06,496 --> 03:19:09,866 AND THESE HAVE PEBINARS AND 5159 03:19:09,866 --> 03:19:12,769 RECORDED WEBINARS WE'VE ALREADY 5160 03:19:12,769 --> 03:19:13,102 DONE. 5161 03:19:13,102 --> 03:19:14,504 MANY FAQs UPDATED CONSTANTLY. 5162 03:19:14,504 --> 03:19:17,207 THERE IS A SEPTEMBER 19th 5163 03:19:17,207 --> 03:19:18,541 WEBINAR FOR FELLOWSHIPS. 5164 03:19:18,541 --> 03:19:20,643 I KNOW WOOF THE CHALLENGES FOR 5165 03:19:20,643 --> 03:19:21,711 FELLOWSHIPS AND GETTING MORE 5166 03:19:21,711 --> 03:19:23,213 APPLICATIONS FROM A BROADER 5167 03:19:23,213 --> 03:19:26,149 RANGE OF INSTITUTIONS SO 5168 03:19:26,149 --> 03:19:28,918 ANYTHING YOU CAN DO TO ENCOURAGE 5169 03:19:28,918 --> 03:19:32,522 FELLOWSHIP APPLICATION 5170 03:19:32,522 --> 03:19:33,056 SUBMISSIONS WOULD HELP. 5171 03:19:33,056 --> 03:19:35,658 YOU WANT TO KNOW MORE ABOUT 5172 03:19:35,658 --> 03:19:36,826 CSR'S INITIATIVE, WE HAVE A 5173 03:19:36,826 --> 03:19:37,627 WEBSITE ABOUT A TRANSLATIONAL 5174 03:19:37,627 --> 03:19:38,461 RESEARCH TEEJIC PLAN AND A 5175 03:19:38,461 --> 03:19:40,530 NUMBER OF DATA AND ANALYSIS ON 5176 03:19:40,530 --> 03:19:42,498 WHAT OR WHY WE'RE GOING TO 5177 03:19:42,498 --> 03:19:44,601 IN-PERSON AND ZOOM MEETING AND 5178 03:19:44,601 --> 03:19:45,435 ALL OF THAT. 5179 03:19:45,435 --> 03:19:47,136 DEMOGRAPHICS AND EVERYTHING THAT 5180 03:19:47,136 --> 03:19:51,741 ARE ADVISORY COUNCIL IS DOING, 5181 03:19:51,741 --> 03:19:54,010 HAPPY TO TAKE QUESTIONS NOW OR 5182 03:19:54,010 --> 03:19:56,212 CONTACT ME LATER DIRECTLY. 5183 03:19:56,212 --> 03:19:56,713 THANK YOU. 5184 03:19:56,713 --> 03:20:04,687 [ APPLAUSE ] 5185 03:20:04,687 --> 03:20:09,525 SNSH WE HAVE TIME FOR 1 OR 2 5186 03:20:09,525 --> 03:20:09,792 QUESTIONS. 5187 03:20:09,792 --> 03:20:10,460 >> SO THANK YOU VERY MUCH. 5188 03:20:10,460 --> 03:20:21,004 I THINK THIS IS REALLY GOING TO 5189 03:20:21,271 --> 03:20:21,971 BE A GOOD CHANGE. 5190 03:20:21,971 --> 03:20:25,008 I DID HAVE A QUESTION ABOUT 5191 03:20:25,008 --> 03:20:27,877 REMOTE VERSUS IN PERSON, THAT 5192 03:20:27,877 --> 03:20:32,482 WAS A QUESTION I HAVE AS HAVING 5193 03:20:32,482 --> 03:20:34,017 DONE REMOTE DISCUSSIONS IT FELT 5194 03:20:34,017 --> 03:20:35,318 LIKE CANDIDATES GOT A DISSERVICE 5195 03:20:35,318 --> 03:20:37,854 FROM THAT SO I WAS INTERESTED IN 5196 03:20:37,854 --> 03:20:38,521 HOW THAT WAS MOVING. 5197 03:20:38,521 --> 03:20:39,756 >> THANKS FOR THAT QUESTION, SO 5198 03:20:39,756 --> 03:20:45,895 YEAH, IF YOU GO TO OUR WEBSITE, 5199 03:20:45,895 --> 03:20:47,163 WE ACTUALLY HAVE A DIFFERENT 5200 03:20:47,163 --> 03:20:49,465 NUMBER OF REPORTS AND ANALYSIS 5201 03:20:49,465 --> 03:20:51,167 LIKE WE'VE DONE, REVIEWER 5202 03:20:51,167 --> 03:20:52,468 EXPERIENCE, DO THEY FEEL 5203 03:20:52,468 --> 03:20:54,871 ENGAGED, DO THEY FEEL LIKE 5204 03:20:54,871 --> 03:20:55,605 RANKED APPLICATIONS 5205 03:20:55,605 --> 03:20:57,373 APPROPRIATELY IN SETTINGS, WE'VE 5206 03:20:57,373 --> 03:20:58,975 ALSO DONE OBJECTIVE ANALYSIS TO 5207 03:20:58,975 --> 03:21:00,743 LOOK AT CORE DISTRIBUTIONS, LOOK 5208 03:21:00,743 --> 03:21:05,315 AT DIVERSITY OF RECRUITMENT FOR 5209 03:21:05,315 --> 03:21:07,050 ZOOM VERSUS IN PERSON, SO IT'S 5210 03:21:07,050 --> 03:21:07,517 ALL THERE. 5211 03:21:07,517 --> 03:21:11,487 THE BOTTOM LINE IS THERE'S NOT A 5212 03:21:11,487 --> 03:21:11,854 DIFFERENCE. 5213 03:21:11,854 --> 03:21:13,056 THE PREFERENCE ALSO VARIES, I 5214 03:21:13,056 --> 03:21:16,225 MEAN A LOT OF PEOPLE SAY, I 5215 03:21:16,225 --> 03:21:17,393 PREFER IT IN PERSON MYSELF BUT 5216 03:21:17,393 --> 03:21:19,162 WE DO LOSE A LOT OF PEOPLE. 5217 03:21:19,162 --> 03:21:21,698 OUR FOCUS HERE RIGHT NOW IS TO 5218 03:21:21,698 --> 03:21:22,966 GET THE BROADEST RANGE OF 5219 03:21:22,966 --> 03:21:24,267 REVIEWERS WITH THE RIGHT 5220 03:21:24,267 --> 03:21:28,838 EXPERTISE TO WEIGH IN. 5221 03:21:28,838 --> 03:21:31,574 SO RIGHT NOW WE'RE DOING 1 5222 03:21:31,574 --> 03:21:32,742 IN-STUDY SECTION PER YEAR, THE 5223 03:21:32,742 --> 03:21:35,778 SECOND 1 COULD BE A HYBRID AND 5224 03:21:35,778 --> 03:21:36,846 ULTIMATELY I THINK WHAT WE NEED 5225 03:21:36,846 --> 03:21:44,687 TO GET TO IS 3 HYBRID MEETINGS A 5226 03:21:44,687 --> 03:21:45,021 YEAR. 5227 03:21:45,021 --> 03:21:47,023 SO WE'RE REALLY DOING A LOT OF 5228 03:21:47,023 --> 03:21:47,857 HYBRID TECHNOLOGY AND YOU CAN 5229 03:21:47,857 --> 03:21:49,058 LOOK AT OUR WEBSITES I DON'T 5230 03:21:49,058 --> 03:21:51,127 KNOW IF I HAVE THE DAT IN THE 5231 03:21:51,127 --> 03:21:52,996 APPENDIX OR NOT BUT HAPPY TO 5232 03:21:52,996 --> 03:21:53,963 SEND THAT TO YOU AND LOOK AT THE 5233 03:21:53,963 --> 03:21:59,469 RAW DAILY BASIS THEA SPEAKING OF 5234 03:21:59,469 --> 03:22:01,237 HIBRIDE, 1 OF OUR COUNCIL 5235 03:22:01,237 --> 03:22:03,172 MEMBERS IS VIRTUAL I DON'T KNOW 5236 03:22:03,172 --> 03:22:04,941 IF YOU CAN SEE DR. BARKIN, SHE'S 5237 03:22:04,941 --> 03:22:07,110 UP ON THE SCREEN. 5238 03:22:07,110 --> 03:22:09,612 >> HI, THANK YOU, I'M REALLY 5239 03:22:09,612 --> 03:22:11,214 SIGHTED ABOUT HOW THOUGHTFUL, 5240 03:22:11,214 --> 03:22:16,886 THIS IS A GIANT EFFORT YOU'VE 5241 03:22:16,886 --> 03:22:17,820 BEEN FOR THIS SHIFT. 5242 03:22:17,820 --> 03:22:19,489 HOW WILL WE KNOW IF THIS IS 5243 03:22:19,489 --> 03:22:19,989 WORKING. 5244 03:22:19,989 --> 03:22:21,357 WHAT'S THE METRIC FOR SUCCESS 5245 03:22:21,357 --> 03:22:23,393 AND THEN THE SECOND IS, I THINK 5246 03:22:23,393 --> 03:22:25,595 MANY OF US, AND I'VE BEEN 5247 03:22:25,595 --> 03:22:26,629 FORTUNATE TO SERVE ON STUDY 5248 03:22:26,629 --> 03:22:29,599 SECTIONS AS WELL AS SUBMIT 5249 03:22:29,599 --> 03:22:31,901 GRANTS, FEEL THAT THERE ISN'T AS 5250 03:22:31,901 --> 03:22:34,203 MUCH RELIABILITY, YOU CAN GET A 5251 03:22:34,203 --> 03:22:34,971 REALLY DIFFERENT ANSWER 5252 03:22:34,971 --> 03:22:36,606 DEPENDING ON WHICH STUDY SECTION 5253 03:22:36,606 --> 03:22:38,541 YOU'RE IN AND EVEN IF YOU 5254 03:22:38,541 --> 03:22:40,376 RESPOND TO COMMENTS A VERY 5255 03:22:40,376 --> 03:22:41,911 DIFFERENT ANSWER FOR REVISIONS, 5256 03:22:41,911 --> 03:22:45,415 AND SO, I'M JUST WONDERING ABOUT 5257 03:22:45,415 --> 03:22:51,854 THAT, ARE WE STRIVING FOR MORE 5258 03:22:51,854 --> 03:22:53,289 RELIABILITY AND OUTCOMES. 5259 03:22:53,289 --> 03:22:56,893 SO SORT OF 2 RELATED QUESTIONS 5260 03:22:56,893 --> 03:22:57,393 IF YOU WOULD. 5261 03:22:57,393 --> 03:22:58,594 >> FIRST LET ME TALK ABOUT 5262 03:22:58,594 --> 03:22:58,861 ANALYSIS. 5263 03:22:58,861 --> 03:23:00,830 THERE ARE A COUPLE WAYS CAN YOU 5264 03:23:00,830 --> 03:23:01,764 APPROACH ANALYSIS, AND THAT'S 5265 03:23:01,764 --> 03:23:03,066 WHAT WE'RE AIMING TO DO ALTHOUGH 5266 03:23:03,066 --> 03:23:05,101 THE DATA WILL BE MESSY BECAUSE 5267 03:23:05,101 --> 03:23:06,202 THERE ARE MULTIPLE EFFORTS GOING 5268 03:23:06,202 --> 03:23:07,603 ON AT THE SAME TIME AND I JUST 5269 03:23:07,603 --> 03:23:10,640 SHOWED YOU A FEW OF OUR 5270 03:23:10,640 --> 03:23:11,274 INITIATIVES, BROADENING THE 5271 03:23:11,274 --> 03:23:13,576 PANELS AND TRYING TO GET, YOU 5272 03:23:13,576 --> 03:23:15,078 KNOW MANY CHANGES HAPPENING IN 5273 03:23:15,078 --> 03:23:16,612 PEER REVIEW, SO HOPEFULLY WHAT 5274 03:23:16,612 --> 03:23:19,816 WE WILL SEE IS A CHANGE IN THE 5275 03:23:19,816 --> 03:23:22,085 OUTCOMES OF PEER REVIEW TO 5276 03:23:22,085 --> 03:23:25,955 REPRESENT A BROUGHTER RANGE OF 5277 03:23:25,955 --> 03:23:26,756 INVESTIGATORS AND INSTITUTIONS. 5278 03:23:26,756 --> 03:23:28,224 THAT'S 1 SORT OF OBLIGATIONS 5279 03:23:28,224 --> 03:23:29,759 YECTIVE MEASURE, ABOUT YOU THAT 5280 03:23:29,759 --> 03:23:32,128 AGAIN, THERE ARE A NUMBER OFESTS 5281 03:23:32,128 --> 03:23:34,030 HAPPENING AT NIH AND ICs TO 5282 03:23:34,030 --> 03:23:34,931 PROMOTE APPLICATIONS FROM A 5283 03:23:34,931 --> 03:23:36,933 BROAD RANGE OF INSTITUTIONS SO 5284 03:23:36,933 --> 03:23:38,434 WE DON'T KNOW IF THAT'S BECAUSE 5285 03:23:38,434 --> 03:23:41,204 OF PEER REVIEW OR NOT, THESE 5286 03:23:41,204 --> 03:23:42,839 CHANGES OR NOT NOT. 5287 03:23:42,839 --> 03:23:43,206 THAT'S 1. 5288 03:23:43,206 --> 03:23:45,408 ONE IS WE WILL BE SURVEYS, WE 5289 03:23:45,408 --> 03:23:47,110 HAVE A STRONG DATA OPERATION AND 5290 03:23:47,110 --> 03:23:48,978 A SURVEY OPERATION, WE WILL 5291 03:23:48,978 --> 03:23:54,584 SURVEY OUR REVIEWERS, OUR CHAIRS 5292 03:23:54,584 --> 03:23:57,620 AND PERHAPS EVEN APPLICANT 5293 03:23:57,620 --> 03:23:58,688 SURVEYS TO SEE HOW THINGS ARE 5294 03:23:58,688 --> 03:24:02,291 GOING AND THIS IS NOT SORT OF 5295 03:24:02,291 --> 03:24:04,961 SET IN STONE IF WE NEED TO MAKE 5296 03:24:04,961 --> 03:24:06,028 A MIDCOURSE ADJUSTMENT, WE DO 5297 03:24:06,028 --> 03:24:08,464 THAT BUT WE IT WILL TAKE 2 OR 3 5298 03:24:08,464 --> 03:24:09,932 LOWNDS FOR US TO BE SOCIALIZED 5299 03:24:09,932 --> 03:24:11,901 ENOUGH FOR US TO REALLY SEE WHAT 5300 03:24:11,901 --> 03:24:13,069 THE IMPACT IS. 5301 03:24:13,069 --> 03:24:14,203 RELATED TO AC1s, I THINK 5302 03:24:14,203 --> 03:24:16,772 YOU'RE TALKING ABOUT THE AMENDED 5303 03:24:16,772 --> 03:24:17,240 APPLICATIONS, YEAH. 5304 03:24:17,240 --> 03:24:21,377 YOU KNOW, THIS IS ALWAYS A 5305 03:24:21,377 --> 03:24:23,146 PROBLEM WHEN YOU HAVE PEERS 5306 03:24:23,146 --> 03:24:24,647 DOING REVIEWS AND THOSE EXACT 5307 03:24:24,647 --> 03:24:26,582 SAME PEERS DON'T SHOW UP AT 5308 03:24:26,582 --> 03:24:28,451 EVERY MEETING OR YOU CHANGE 5309 03:24:28,451 --> 03:24:30,253 STUDY SECTIONS, BUT THAT'S ALSO 5310 03:24:30,253 --> 03:24:32,922 THE PLUS OF PEER REVIEW, FROM 5311 03:24:32,922 --> 03:24:33,723 THE AGENCY PERSPECTIVE, BECAUSE 5312 03:24:33,723 --> 03:24:41,597 WHAT WE'RE TRYING TO DO IS 5313 03:24:41,597 --> 03:24:45,535 IDENTIFY THE STRONGEST SCIENCE 5314 03:24:45,535 --> 03:24:47,637 AND MAKE IT MAKE SENSE WITH THE 5315 03:24:47,637 --> 03:24:49,172 SCORES WE'RE SEEING IN THE 5316 03:24:49,172 --> 03:24:49,505 REVIEW. 5317 03:24:49,505 --> 03:24:50,673 FRANK LYE WHAT WE'RE SIGHING IF 5318 03:24:50,673 --> 03:24:54,243 WE LOOK AT THE DATA THAT'S 4 5319 03:24:54,243 --> 03:24:55,578 YEARS OLD AT THIS POINT, IF YOU 5320 03:24:55,578 --> 03:24:57,747 GET THE SAME REVIEWERS FOR DAY 1 5321 03:24:57,747 --> 03:25:00,550 AS YOU DID FOR DAY 0, THE CORE 5322 03:25:00,550 --> 03:25:02,852 IS BETTER THAN IF YOU GET 1 5323 03:25:02,852 --> 03:25:03,252 PREVIOUS REVIEWER. 5324 03:25:03,252 --> 03:25:05,087 I I'M MOT SURE IF THAT'S 5325 03:25:05,087 --> 03:25:06,255 NECESSARILY A FAIRER OUTCOME. 5326 03:25:06,255 --> 03:25:07,023 RIGHT IN WHEN YOU LOOK AT THE 5327 03:25:07,023 --> 03:25:08,090 NUMBER OF APPLICATIONS 5328 03:25:08,090 --> 03:25:09,125 MR. IICATIONS WE GET, THIS IS 5329 03:25:09,125 --> 03:25:10,893 NOT SUPPOSED TO BE SORT OF A 5330 03:25:10,893 --> 03:25:13,930 CONTRACT PROCESS WHERE WE RIGHT 5331 03:25:13,930 --> 03:25:15,331 BACK AND SAY, AJUST THIS AND 5332 03:25:15,331 --> 03:25:17,066 THEN NEXT TIME YOU WILL GET A 5333 03:25:17,066 --> 03:25:19,702 BETTER SCORE, THAT SAID IF 5334 03:25:19,702 --> 03:25:22,104 THERE'S UNFAIRNESS IN THAT 5335 03:25:22,104 --> 03:25:22,939 SECOND CRITIQUE, WE WOULD LIKE 5336 03:25:22,939 --> 03:25:26,108 TO HEAR ABOUT IT THAT'S WHAT 5337 03:25:26,108 --> 03:25:27,977 THAT DIRECT MAIL BOX IS FOR, THE 5338 03:25:27,977 --> 03:25:28,945 EARLIER WE HEAR BACK FROM YOU, 5339 03:25:28,945 --> 03:25:35,851 IF YOU THINK THERE WAS SOME 5340 03:25:35,851 --> 03:25:37,820 UNFAIRNESS OF THE ASSESS, THE 5341 03:25:37,820 --> 03:25:39,822 EASIER IT IS FOR US TO FIX IT. 5342 03:25:39,822 --> 03:25:42,124 I KNOW AUTONOT SATISFYING BUT 5343 03:25:42,124 --> 03:25:42,625 THAT'S--YOU KNOW. 5344 03:25:42,625 --> 03:25:45,328 >> I WOULD SAY I'M NOT PROPOSING 5345 03:25:45,328 --> 03:25:47,196 THERE IS UNFAIRNESS, I THINK 5346 03:25:47,196 --> 03:25:49,131 THERE'S INCONSIEVENCY AND IT'S 5347 03:25:49,131 --> 03:25:50,299 INTERESTING, OF COURSE WE'RE 5348 03:25:50,299 --> 03:25:53,903 HUMAN SO WE ARE CONSISTENTLY 5349 03:25:53,903 --> 03:25:56,872 INCONSISTENT AS HOW MANS AND YET 5350 03:25:56,872 --> 03:25:58,774 IN SCIENCE WE'RE STRIVING FOR 5351 03:25:58,774 --> 03:25:59,909 RELIABILITY, SO IDEALLY YOU 5352 03:25:59,909 --> 03:26:01,110 WOULD ENVISION THE SAME IDEA IN 5353 03:26:01,110 --> 03:26:05,448 FRONT OF YOUR PEERS SHOULD 5354 03:26:05,448 --> 03:26:06,849 BEHAVE FAIRLY SIMILARLY AND 5355 03:26:06,849 --> 03:26:07,817 ESPECIALLY ONCE YOU RESUBMIT IT. 5356 03:26:07,817 --> 03:26:12,355 SO I WAS JUST CURIOUS IF THAT'S 5357 03:26:12,355 --> 03:26:14,223 1 OF OUR--IF WE'RE ASPIRING FOR 5358 03:26:14,223 --> 03:26:24,567 THAT AS AN OUTCOME. 5359 03:26:25,768 --> 03:26:26,369 >> INTERRELATED RELIABILITY, WE 5360 03:26:26,369 --> 03:26:27,970 CAN HAVE A LONGER DISCUSSION 5361 03:26:27,970 --> 03:26:28,704 ABOUT THAT. 5362 03:26:28,704 --> 03:26:30,339 WE CONSIDERED IT QUITE A BIT. 5363 03:26:30,339 --> 03:26:33,576 WE LOOKAD AT DATA, WE'VE 5364 03:26:33,576 --> 03:26:34,377 LOOKEDDA THE OUTCOMES. 5365 03:26:34,377 --> 03:26:40,049 I UNDERSTAND THE SCIENTIFIC 5366 03:26:40,049 --> 03:26:41,017 PERSPECTIVE BUT THE IDEAL THING 5367 03:26:41,017 --> 03:26:43,419 WOULD BE TO PUT IT THROUGH AI, 5368 03:26:43,419 --> 03:26:45,054 BUT THERE ARE SO MANY DOWN 5369 03:26:45,054 --> 03:26:47,256 SIDES, IT WILL BE RELIABLE, VERY 5370 03:26:47,256 --> 03:26:51,827 CONSISTENT BUT LET'S NOT KID 5371 03:26:51,827 --> 03:26:52,695 OURSELVES, NOVEL IDEAS WILL NOT 5372 03:26:52,695 --> 03:26:53,763 MAKE IT THROUGH BECAUSE IT'S 5373 03:26:53,763 --> 03:26:55,731 BASED ON DATA OUT THERE. 5374 03:26:55,731 --> 03:26:57,433 PLUS THERE ARE BIASES THAT THEN 5375 03:26:57,433 --> 03:26:58,634 GET HARD WIRED SO WE LOOKEDDA 5376 03:26:58,634 --> 03:27:00,970 THE A LOT OF DIFFERENT THINGS WE 5377 03:27:00,970 --> 03:27:02,471 CAN HAVE A OFFLINING 5378 03:27:02,471 --> 03:27:04,573 CONVERSATION ABOUT RELIABILITY 5379 03:27:04,573 --> 03:27:06,642 BUT FRANKLY MY PITCH HAS ALWAYS 5380 03:27:06,642 --> 03:27:08,744 BEEN WE DON'T NEED AC1, BECAUSE 5381 03:27:08,744 --> 03:27:11,514 WHAT AC1S SET UP DO IS SET UP 5382 03:27:11,514 --> 03:27:14,016 FALSE APPLICATIONS FOR OUR 5383 03:27:14,016 --> 03:27:14,317 APPLICANTS. 5384 03:27:14,317 --> 03:27:16,185 PEOPLE EXPECT THINGS TO IMPROVE 5385 03:27:16,185 --> 03:27:17,520 WITH EACH ADDITIONAL ITERATION, 5386 03:27:17,520 --> 03:27:19,622 LET'S JUST HAVE THE A0S AND A20S 5387 03:27:19,622 --> 03:27:22,858 OR WHATEVER WE HAVE, YOU KNOW 5388 03:27:22,858 --> 03:27:24,260 CAN CONTINUE TO RESUBMIT AND 5389 03:27:24,260 --> 03:27:34,704 IMPROVE THE APPLICATION AS 5390 03:27:39,175 --> 03:27:39,342 NEEDED. 5391 03:27:39,342 --> 03:27:39,842 >> THANK YOU. 5392 03:27:39,842 --> 03:27:45,581 NANY OTHER QUESTIONS IN. 5393 03:27:45,581 --> 03:27:45,981 >> CYNTHIA? 5394 03:27:45,981 --> 03:27:47,616 I MATE HAVE MISSED THIS, BUT ARE 5395 03:27:47,616 --> 03:27:49,885 THE CHANGES TO THE 5396 03:27:49,885 --> 03:27:51,454 F-APPLICATIONS GOING TO BE 5397 03:27:51,454 --> 03:27:55,791 SIMILAR TO K-GRANTS OR-- 5398 03:27:55,791 --> 03:27:57,426 >> A CSR DOESN'T REVIEW A LOST 5399 03:27:57,426 --> 03:27:58,794 CASE, THOSE ARE DONE INCERNALLY 5400 03:27:58,794 --> 03:28:01,464 BUT I THINK THERE ARE SOME 5401 03:28:01,464 --> 03:28:02,331 SIMILARITIES, THE LETTERS OF 5402 03:28:02,331 --> 03:28:03,032 REFERENCES ARE THE SAME. 5403 03:28:03,032 --> 03:28:05,401 ALL OF THAT IS IN OUR FAQs IF 5404 03:28:05,401 --> 03:28:07,503 YOU ANY TO THAT SITE AND GO TO 5405 03:28:07,503 --> 03:28:09,472 FAQs, THE ANSWERS TO THE 5406 03:28:09,472 --> 03:28:10,673 Q-QUESTIONS THAT ARE IC 5407 03:28:10,673 --> 03:28:21,117 COLLEAGUES HAVE HELPED US 5408 03:28:24,186 --> 03:28:24,353 DEVELOP. 5409 03:28:24,353 --> 03:28:26,655 >> OKAY, WELL, THANK YOU NONI 5410 03:28:26,655 --> 03:28:27,390 ABOUT THE REALLY IMPORTANT 5411 03:28:27,390 --> 03:28:29,425 INFORMATION COMING TO THE NIH 5412 03:28:29,425 --> 03:28:30,326 GRANT APPLICATIONS PLIRICATION 5413 03:28:30,326 --> 03:28:31,293 PROCESS, WE APPRECIATE YOU 5414 03:28:31,293 --> 03:28:34,430 COMING ONCE AGAIN TOEUR ADVISORY 5415 03:28:34,430 --> 03:28:35,097 COUNCIL--TO OUR ADVISORY COUNCIL 5416 03:28:35,097 --> 03:28:36,932 BUT WE HAVE A NUMBER OF CHAIRS 5417 03:28:36,932 --> 03:28:38,200 HERE ESPECIALLY ON OUR COUNCIL 5418 03:28:38,200 --> 03:28:39,935 AND I THINK EVERYBODY'S GOING TO 5419 03:28:39,935 --> 03:28:45,441 SPREAD THE WORD. 5420 03:28:45,441 --> 03:28:45,875 NI APPRECIATE THAT. 5421 03:28:45,875 --> 03:28:46,809 THANK YOU VERY MUCH. 5422 03:28:46,809 --> 03:28:48,444 NAND TODAY WE'RE GOING TO HEAR 5423 03:28:48,444 --> 03:28:56,919 AN UPDATE ON THE INITIAL 5424 03:28:56,919 --> 03:28:58,654 PROGRESS BEING THE 2025 NRIERKS 5425 03:28:58,654 --> 03:29:00,456 CHD HELP THAT WILL HELP TO GUIDE 5426 03:29:00,456 --> 03:29:02,958 THE RESEARCH WE SUPPORT. 5427 03:29:02,958 --> 03:29:03,959 OUR MOST RECENT TRANSLATIONAL 5428 03:29:03,959 --> 03:29:06,495 RESEARCH TEENLIC PLAN WAS 5429 03:29:06,495 --> 03:29:07,963 PUBLISH INDEED 2020 AND 5430 03:29:07,963 --> 03:29:10,900 REPRESENTED THE FIRST TIME NICHD 5431 03:29:10,900 --> 03:29:11,934 SYSTEMATIC LOAMACYY CONSIDERED 5432 03:29:11,934 --> 03:29:17,106 ITS RESEARCH DIRECTION IN MORE 5433 03:29:17,106 --> 03:29:17,940 THAN REALLY 2 DECADES. 5434 03:29:17,940 --> 03:29:20,176 NOW 4 YEARS LATER IT'S TIME TO 5435 03:29:20,176 --> 03:29:22,411 PREPARE THE NEXT 5 YEAR LAN. 5436 03:29:22,411 --> 03:29:24,580 LAST FALL WE LAUNCHED THE 5437 03:29:24,580 --> 03:29:32,254 PROCESS TO REFRESH THE NICHD 5438 03:29:32,254 --> 03:29:34,523 STRATEGIC PLAN TO--EXCUSE 5439 03:29:34,523 --> 03:29:35,491 ME--REFLECT THE INSTITUTE'S 5440 03:29:35,491 --> 03:29:41,363 PROGRESS AND EMERGING AREAS OF 5441 03:29:41,363 --> 03:29:43,199 OPPORTUNITY. 5442 03:29:43,199 --> 03:29:47,837 DR. STEPH ANE PH ILOGENE, WILL 5443 03:29:47,837 --> 03:29:52,274 NOW OUTLINE THE WORK HIS OFFICE 5444 03:29:52,274 --> 03:29:54,743 CAN IS LEADING TO DEVELOP THE 5445 03:29:54,743 --> 03:29:56,345 UPDATED TRANSLATIONAL RESEARCH 5446 03:29:56,345 --> 03:29:56,812 STIGIC PLAN. 5447 03:29:56,812 --> 03:29:57,913 OVER TO YOU. 5448 03:29:57,913 --> 03:30:00,483 >> THANK YOU DR. BIANCHI, IT'S A 5449 03:30:00,483 --> 03:30:02,218 GREAT PLEASURE TO BE HERE AND 5450 03:30:02,218 --> 03:30:04,019 PARTICULARLY PLEASED AT THE 5451 03:30:04,019 --> 03:30:05,521 GREAT MILESTONE WE'VE REACHED IN 5452 03:30:05,521 --> 03:30:09,091 THE PUBLICATION OF THE RFI, JUST 5453 03:30:09,091 --> 03:30:09,358 LAST WEEK. 5454 03:30:09,358 --> 03:30:15,030 CAN I HAVE THE NEXT SLIDE. 5455 03:30:15,030 --> 03:30:17,233 >> THE PLAN FOR THIS AFTERNOON 5456 03:30:17,233 --> 03:30:20,202 IS TO PROVIDE A UPDATE ON THE 5457 03:30:20,202 --> 03:30:21,637 STRATEGIC PLAN REFRESH 5458 03:30:21,637 --> 03:30:22,571 INCLUDINGA OVERVIEW MUCH THE 5459 03:30:22,571 --> 03:30:24,240 OBLIGATIONS YECTIVES THAT ALIEB 5460 03:30:24,240 --> 03:30:25,574 WITH THE 5 SCIENTIFIC RESEARCH 5461 03:30:25,574 --> 03:30:25,774 GOALS. 5462 03:30:25,774 --> 03:30:28,177 WE HOPE TO GO THROUGH THE 5463 03:30:28,177 --> 03:30:32,214 PRESENTATION AND ALSO ALLOW 5464 03:30:32,214 --> 03:30:34,984 AMPLE TIME FOR ANY COMMENTS OR 5465 03:30:34,984 --> 03:30:36,318 REFLECTIONOT RECENTLY PUBLISHED 5466 03:30:36,318 --> 03:30:41,991 RFI. 5467 03:30:41,991 --> 03:30:42,525 NEXT SLIDE, PLEASE. 5468 03:30:42,525 --> 03:30:45,027 MANY OF YOU WILL ALREADY BE 5469 03:30:45,027 --> 03:30:46,662 FAMILIAR WITH OUR STRATEGIC 5470 03:30:46,662 --> 03:30:48,864 PLAN, WHICH IS FOCUSED ON 5471 03:30:48,864 --> 03:30:51,934 SCIENTIFIC RESEARCH AREAS, 5472 03:30:51,934 --> 03:30:53,269 RESEARCH AND MANAGEMENT AND 5473 03:30:53,269 --> 03:30:53,802 ACCOUNTABILITY. 5474 03:30:53,802 --> 03:30:54,870 AND WITHIN EACH OF THESE FOCUS 5475 03:30:54,870 --> 03:30:58,040 AREAS THERE ARE GOALS TO 5476 03:30:58,040 --> 03:30:59,542 COMMUNICATE NICHD'S PRIORITIES 5477 03:30:59,542 --> 03:31:00,609 OVER THE NEXT 5 YEARS. 5478 03:31:00,609 --> 03:31:03,078 WE'RE USING THE GOALS FROM THE 5479 03:31:03,078 --> 03:31:06,549 2020 PLAN AS A FOUNDATION FOR 5480 03:31:06,549 --> 03:31:07,216 OUR REFRESH. 5481 03:31:07,216 --> 03:31:09,251 MAKING UP DATES BASED ON OUR 5482 03:31:09,251 --> 03:31:19,762 PROGRESS TO DATE AND EMERGING 5483 03:31:24,266 --> 03:31:24,533 PRIORITIES. 5484 03:31:24,533 --> 03:31:29,371 TODAY WE WILL FOCUS ON THESE 5485 03:31:29,371 --> 03:31:34,977 PLANS, WE HAVE 3 GOALS, GLOBAL 5486 03:31:34,977 --> 03:31:36,312 INFECTIONS, INFECT YOWZ DECS AND 5487 03:31:36,312 --> 03:31:39,682 PREVENTION AND NUTRITION. 5488 03:31:39,682 --> 03:31:42,284 WE WILL ALSO ADD RESEARCH 5489 03:31:42,284 --> 03:31:49,024 TRAINING WITH THE REFRESH PLAN. 5490 03:31:49,024 --> 03:31:50,626 THE PRIMARY FOCUS OF OUR EFFORTS 5491 03:31:50,626 --> 03:31:52,261 THUS FAR HAS BEEN UPDATING THE 5492 03:31:52,261 --> 03:31:53,662 SCIENTIFIC RESEARCH OBLIGATIONS 5493 03:31:53,662 --> 03:31:54,096 YECTIVES. 5494 03:31:54,096 --> 03:31:55,864 ALL FUTURE EFFORTS WILL FOCUS ON 5495 03:31:55,864 --> 03:31:58,801 BUILDING OUT OUR PLAN FOR 5496 03:31:58,801 --> 03:31:59,868 IMPLEMENTING AND MAKING PROGRESS 5497 03:31:59,868 --> 03:32:02,371 ON THESE OBLIGATIONS YECTIVES 5498 03:32:02,371 --> 03:32:09,244 OVER THE NEXT--OBLIGATIONS 5499 03:32:09,244 --> 03:32:09,712 -OBJECTIVES 5500 03:32:09,712 --> 03:32:10,779 FOR THE NEXT 5 YEARS. 5501 03:32:10,779 --> 03:32:12,715 NEXT SLIDE, PLEASE EMPLOY OUR 5502 03:32:12,715 --> 03:32:14,116 REFRESH IS PROVIDED BY KEY 5503 03:32:14,116 --> 03:32:15,618 KNOLLS AND CORE PRINCIPLES. 5504 03:32:15,618 --> 03:32:19,521 THOSE WERE ESTABLISHED BY 5505 03:32:19,521 --> 03:32:21,357 DR. BIANCHI AT THE START OF OUR 5506 03:32:21,357 --> 03:32:22,791 PLANNING EFFORTS BACK IN 2018 5507 03:32:22,791 --> 03:32:23,959 AND REMAINED THE GUIDING 5508 03:32:23,959 --> 03:32:28,163 PRINCIPLES OF THE CURRENT 5509 03:32:28,163 --> 03:32:29,298 REFRESH PROCESS. 5510 03:32:29,298 --> 03:32:31,700 GOALS ARE TO IDENTIFY WHERE 5511 03:32:31,700 --> 03:32:35,137 NICHD SHOULD LEAD, PARTNER AND 5512 03:32:35,137 --> 03:32:39,842 COLLABORATE, AND ALSO INFORM 5513 03:32:39,842 --> 03:32:40,876 FUTURE INVESTMENTS. 5514 03:32:40,876 --> 03:32:42,611 THE CORE GUIDING PRINCIPLES AND 5515 03:32:42,611 --> 03:32:44,780 REACHING THOSE GOAL VS BEEN TO 5516 03:32:44,780 --> 03:32:47,082 DESIGN AND IMPLEMENT A PROCESS 5517 03:32:47,082 --> 03:32:49,151 THAT IS TRANSPARENT, THAT IS 5518 03:32:49,151 --> 03:32:50,552 DATA DRICH WITH EVIDENCE BASED 5519 03:32:50,552 --> 03:32:56,158 DECISION MAKING, AND INVOLVES 5520 03:32:56,158 --> 03:32:57,259 STAKEHOLDER PARTICIPATION. 5521 03:32:57,259 --> 03:32:58,060 NEXT SLIDE, PLEASE. 5522 03:32:58,060 --> 03:32:59,962 THE REFRESH HAS BEENAIN 5523 03:32:59,962 --> 03:33:04,967 INSTITUTE WIDE COLLAB ARATIVE 5524 03:33:04,967 --> 03:33:06,368 PROCESS INVOLVING INTRAMURAL 5525 03:33:06,368 --> 03:33:07,069 SCIENTISTS AND EXTRAMURAL 5526 03:33:07,069 --> 03:33:08,537 PROGRAM OFFICERS AS WELL AS TEAM 5527 03:33:08,537 --> 03:33:09,405 MEMBERS FROM THE IMMEDIATE 5528 03:33:09,405 --> 03:33:13,809 OFFICE OF THE DIRECTOR. 5529 03:33:13,809 --> 03:33:15,210 NICHD STAFF HAS BEEN LEADING 5530 03:33:15,210 --> 03:33:16,145 THIS PROCESS. 5531 03:33:16,145 --> 03:33:16,979 WE'VE ENCOURAGED AND EXPERIENCE 5532 03:33:16,979 --> 03:33:20,649 A GREAT DEAL OF PARTICIPATION 5533 03:33:20,649 --> 03:33:21,750 AND ENGAGEMENT. 5534 03:33:21,750 --> 03:33:25,020 AT THE OUTSET, WE ESTABLISHED 5535 03:33:25,020 --> 03:33:25,988 SEVERAL WORKING GROUPS CHARGED 5536 03:33:25,988 --> 03:33:29,458 WITH GENERATING IDEAS FOR THE 5537 03:33:29,458 --> 03:33:31,026 REFRESH FIND. 5538 03:33:31,026 --> 03:33:34,129 WE HAD 5 SCIENTIFIC RESEARCH 5539 03:33:34,129 --> 03:33:37,599 WORKING GROUPS 1 FOR EACH OF THE 5540 03:33:37,599 --> 03:33:42,304 5 RESEARCH GOALS AND 1 FOR 5541 03:33:42,304 --> 03:33:47,142 SCIENTIFIC LEADERSHIP AND 5542 03:33:47,142 --> 03:33:48,444 ACCOUNTABLE WERE ENCOURAGED TO 5543 03:33:48,444 --> 03:33:49,712 COLLECT INPUT AND PERSPECTIVES 5544 03:33:49,712 --> 03:33:50,946 FROM THEIR COLLEAGUES THROUGHOUT 5545 03:33:50,946 --> 03:33:55,818 THE PROCESS, NEXT SLIDE, PLEASE 5546 03:33:55,818 --> 03:33:56,952 EMPLOY SINCE THE ESTABLISHMENT 5547 03:33:56,952 --> 03:33:58,587 OF THESE WORKING GROUPS THEY 5548 03:33:58,587 --> 03:34:00,189 SPENT THE LAST SEVERAL MONTHS 5549 03:34:00,189 --> 03:34:02,157 CONSIDERING UPDATES TO THE 5550 03:34:02,157 --> 03:34:03,425 SCIENTIFIC RESEARCH OBJECTIVES. 5551 03:34:03,425 --> 03:34:04,793 REVIEWING DATA AND REPORTS FROM 5552 03:34:04,793 --> 03:34:08,297 THE PROGRESS MADE SINCE 2020 AS 5553 03:34:08,297 --> 03:34:11,734 SOME OF YOU MAY RECALL, ONCE THE 5554 03:34:11,734 --> 03:34:14,369 2020 PLAN WAS PUBLISHED IN 5555 03:34:14,369 --> 03:34:15,370 PARTNERSHIP WITH THE NIH 5556 03:34:15,370 --> 03:34:19,541 DIRECTORS OFF I GUESS OF 5557 03:34:19,541 --> 03:34:20,309 EVALUATION, PERFORMANCE 5558 03:34:20,309 --> 03:34:20,909 APPROXIMATE REPORTING WE 5559 03:34:20,909 --> 03:34:23,045 DEVELOPED A TRANSLATIONAL 5560 03:34:23,045 --> 03:34:24,313 RESEARCH STIGIC TRACKING OR 5561 03:34:24,313 --> 03:34:26,448 PLANNING TOOL OR START FOR 5562 03:34:26,448 --> 03:34:29,184 NICHD, AND LEVERAGING THIS NEW 5563 03:34:29,184 --> 03:34:30,719 TOOL, WE'RE ABLE CONDUCT THE 5564 03:34:30,719 --> 03:34:32,488 DETAILED ASSESS OF THE 5565 03:34:32,488 --> 03:34:33,255 INSTITUTES PERFORMANCE ACROSS 5566 03:34:33,255 --> 03:34:35,023 ALL OUR STRAY JECTORY TEENLIC 5567 03:34:35,023 --> 03:34:39,428 GOALS USING DATA FROM 2020, 5568 03:34:39,428 --> 03:34:43,398 THROUGH 2023 AND REPORTS ON OUR 5569 03:34:43,398 --> 03:34:44,266 ACCOMPLISHMENTS FUNDING TREBD 5570 03:34:44,266 --> 03:34:45,768 LINES AND REMAINING GAPS IN THE 5571 03:34:45,768 --> 03:34:48,036 SCIENCE WERE SHARED WITH THE 5572 03:34:48,036 --> 03:34:49,805 WORKING GROUPS TO INFORM THE 5573 03:34:49,805 --> 03:34:51,507 CONVERSATIONS AND PROPOSALS AND 5574 03:34:51,507 --> 03:34:54,977 HOW TO BEST REFRESH THE RESEARCH 5575 03:34:54,977 --> 03:34:55,544 OBLIGATIONS YECTIVES. 5576 03:34:55,544 --> 03:34:56,645 IN ADDITION TO RECEIVING 5577 03:34:56,645 --> 03:34:59,348 INFORMATION ON THE TIMELINES OF 5578 03:34:59,348 --> 03:35:01,884 MAJOR PROGRAMS, THE FUNDING 5579 03:35:01,884 --> 03:35:02,651 OPPORTUNITY ANNOUNCEMENTS THAT 5580 03:35:02,651 --> 03:35:04,653 SUPPORT THE CURRENT PLAN, 5581 03:35:04,653 --> 03:35:06,188 FUNDING TRENDS AND THE MUCH 5582 03:35:06,188 --> 03:35:08,123 ACTIVITIES, THE WORKING DPROWPS 5583 03:35:08,123 --> 03:35:09,424 WERE ALSO PROVIDED INFORMATION 5584 03:35:09,424 --> 03:35:12,161 ON THE CROSS CUTTING THEMES, AND 5585 03:35:12,161 --> 03:35:14,229 THE EXTENT THEY ARE REPRESENTED 5586 03:35:14,229 --> 03:35:20,736 IN THE GOALS, NEXT SLIDE, 5587 03:35:20,736 --> 03:35:20,969 PLEASE. 5588 03:35:20,969 --> 03:35:21,837 NICHD IPT GREATER TENSIONALLY 5589 03:35:21,837 --> 03:35:24,206 BUILT IN KEY TIMES WHERE 5590 03:35:24,206 --> 03:35:25,007 CEREBELLUMS TERNAL PARTICIPATION 5591 03:35:25,007 --> 03:35:26,975 AND A PLANNING PROCESS WOULD BE 5592 03:35:26,975 --> 03:35:27,509 CRITICAL. 5593 03:35:27,509 --> 03:35:30,913 IN JEAN, WE HELD 5 EXTERNAL 5594 03:35:30,913 --> 03:35:32,014 LISTENING SECTIONS, 1 FOR EACH 5595 03:35:32,014 --> 03:35:35,417 OF THE SCIENTIFIC RESEARCH 5596 03:35:35,417 --> 03:35:37,119 GOALS, THESE SESSIONS WERE VERY 5597 03:35:37,119 --> 03:35:41,590 STRUCTURED AND FOCUSED ON 5598 03:35:41,590 --> 03:35:42,858 RECEIVING PRELIMINARY FEEDBACKOT 5599 03:35:42,858 --> 03:35:44,593 DRAFT PRIORITIES AND WERE 5600 03:35:44,593 --> 03:35:46,428 ATTENDED BY EXTERNAL RESEARCHERS 5601 03:35:46,428 --> 03:35:47,696 WITH EXPERTISE IN THE RESEARCH 5602 03:35:47,696 --> 03:35:48,897 GOAL AREAS. 5603 03:35:48,897 --> 03:35:50,632 AND TODAY'S COUNCIL 5604 03:35:50,632 --> 03:35:52,100 PRESENTATION, ALSO REPRESENTS 5605 03:35:52,100 --> 03:35:56,038 ANOTHER KEY TIME FOR ENGAGEMENT 5606 03:35:56,038 --> 03:35:58,140 ALONG WITH THE PUBLISHED RFI 5607 03:35:58,140 --> 03:36:02,077 WHICH WE'LL BE REVIEWING 5608 03:36:02,077 --> 03:36:03,312 SHORTLY. 5609 03:36:03,312 --> 03:36:05,480 YOUR FEEDBACK TODAY IN VIEW OF 5610 03:36:05,480 --> 03:36:06,882 THE RFI WILL GREATLY APPRECIATE 5611 03:36:06,882 --> 03:36:09,618 EXCLUDE WILL BE THE FINAL 5612 03:36:09,618 --> 03:36:11,253 UPDATES TO THE STRATEGIC PLAN 5613 03:36:11,253 --> 03:36:12,487 AND THE COMING MONTHS. 5614 03:36:12,487 --> 03:36:13,455 NEXT SLIDE, PLEASE. 5615 03:36:13,455 --> 03:36:14,857 THIS IS THE TIMELINE WE'RE 5616 03:36:14,857 --> 03:36:15,357 WORKING WITH. 5617 03:36:15,357 --> 03:36:16,725 AND AS CAN YOU SEE WE'RE WELL ON 5618 03:36:16,725 --> 03:36:21,630 OUR WAY TO THE 9AL UPDATES OF 5619 03:36:21,630 --> 03:36:25,801 THE 2025 STRATEGIC PLAN SINCE 5620 03:36:25,801 --> 03:36:26,835 NOVEMBER 2023 OUR INSTITUTE HAS 5621 03:36:26,835 --> 03:36:29,738 BEEN HARD AT WORK IDENTIFYING 5622 03:36:29,738 --> 03:36:31,373 UPDATES ON THE 2020 STRATEGIC 5623 03:36:31,373 --> 03:36:32,741 PLAN, GATHERING EXTERNAL 5624 03:36:32,741 --> 03:36:35,177 FEEDBACK AND INPUT AND GATHERING 5625 03:36:35,177 --> 03:36:42,784 INTERNAL CONSENSUS ON THESE 5626 03:36:42,784 --> 03:36:43,018 UPDATES. 5627 03:36:43,018 --> 03:36:45,654 WE'RE AIMING TO RESEARCH THIS IN 5628 03:36:45,654 --> 03:36:46,722 EARLY 2025. 5629 03:36:46,722 --> 03:36:48,590 I WILL NOW WALK THROUGH THE 5630 03:36:48,590 --> 03:36:51,627 SPECIFIC UPDATES TO THE 5631 03:36:51,627 --> 03:36:59,601 SCIENTIFIC RESEARCH OBJECTIVES, 5632 03:36:59,601 --> 03:37:00,302 NEXT SLIDE. 5633 03:37:00,302 --> 03:37:01,937 FIRSTLY WORKING WITH THE CROSS 5634 03:37:01,937 --> 03:37:04,339 CUTTING THEMES WITH EACH OF THE 5635 03:37:04,339 --> 03:37:05,073 RESEARCH GOALS INCLUDING 5636 03:37:05,073 --> 03:37:06,541 CONSIDERATION OF RESEARCH 5637 03:37:06,541 --> 03:37:07,709 TRAINING, CAREER DEVELOPMENT OF 5638 03:37:07,709 --> 03:37:09,311 THE NEXT GENERATION OF THE 5639 03:37:09,311 --> 03:37:10,345 SCIENTIFIC WORKFORCE. 5640 03:37:10,345 --> 03:37:12,414 THIS HAS BEEN AN INTEGRAL PART 5641 03:37:12,414 --> 03:37:13,949 OF THE REFRESH PROCESS AND WE 5642 03:37:13,949 --> 03:37:22,824 WANTED TO EMPHASIZE THAT 5643 03:37:22,824 --> 03:37:25,827 UPFRONT. 5644 03:37:25,827 --> 03:37:29,564 CROSS CUTTING THEMES WERE 5645 03:37:29,564 --> 03:37:32,367 INSURED FOR THE OVER ALL ROLL 5646 03:37:32,367 --> 03:37:32,567 OUT. 5647 03:37:32,567 --> 03:37:35,504 WE WILL NOW GO OVER THE UPDATED 5648 03:37:35,504 --> 03:37:35,971 OBJECTIVES. 5649 03:37:35,971 --> 03:37:36,905 THE FOLLOWING ARE DRAFT 5650 03:37:36,905 --> 03:37:38,307 OBLIGATIONS YECTIVES FOR GOAL 1 5651 03:37:38,307 --> 03:37:40,409 WHICH FOCUSES ON THE MOLECULAR 5652 03:37:40,409 --> 03:37:44,579 CELLULAR AND STRUCTURAL BASIS OF 5653 03:37:44,579 --> 03:37:45,280 DEVELOPMENT. 5654 03:37:45,280 --> 03:37:48,016 THIS GOAL FOCUSES FIRSTLY ON 5655 03:37:48,016 --> 03:37:49,251 UNDERSTANDING HOW INTRINSIC 5656 03:37:49,251 --> 03:37:52,955 FACTORS CONTRIBUTE TO EARLY 5657 03:37:52,955 --> 03:37:53,488 DEVELOPMENT. 5658 03:37:53,488 --> 03:37:56,625 IT ALSO FOCUSES ON EXPLORING HOW 5659 03:37:56,625 --> 03:37:58,360 EXTRINSIC FACTORS CAN INFLUENCE 5660 03:37:58,360 --> 03:38:00,762 DEVELOPMENT PARTICULARLY AS THEY 5661 03:38:00,762 --> 03:38:09,771 RELATE TO CONGENITAL ANOMALIES, 5662 03:38:09,771 --> 03:38:17,012 NEURODEVELOPMENT DISORDERS AND 5663 03:38:17,012 --> 03:38:18,947 DEVELOPMENTAL DISORDERS. 5664 03:38:18,947 --> 03:38:20,682 WE ALSO ENHANCE COLLABORATIVE 5665 03:38:20,682 --> 03:38:21,717 DEVELOPMENTAL BIOLOGY RESEARCH 5666 03:38:21,717 --> 03:38:31,059 TO ENHANCE OUR ANALYTERAL AND 5667 03:38:31,059 --> 03:38:32,227 VALIDATION CAP ABILITY ALONG 5668 03:38:32,227 --> 03:38:34,162 WITH TOOLS AND TECHNOLOGIES TO 5669 03:38:34,162 --> 03:38:35,197 ANALYZE AND VALENTINEDICATE 5670 03:38:35,197 --> 03:38:37,299 LARGE SCALE DATA DERIVED MODEL 5671 03:38:37,299 --> 03:38:38,967 ISS RESEARCH AND EMERGING 5672 03:38:38,967 --> 03:38:40,235 SCIENTIFIC AREAS. 5673 03:38:40,235 --> 03:38:42,838 LAST 1, SINGLE CELL GENOMICS 5674 03:38:42,838 --> 03:38:45,107 PROTEOMICS AND MET TAB O LOAMICS 5675 03:38:45,107 --> 03:38:47,376 TO PROVILE YEEN AND ARE TEEN 5676 03:38:47,376 --> 03:38:50,946 EXPRESSION AND REGULATION AND TO 5677 03:38:50,946 --> 03:38:58,987 CHARACTERIZE REGULATORY NOTEBOOK 5678 03:38:58,987 --> 03:39:02,958 WORK NETWORKS ACROSS TISSUES AND 5679 03:39:02,958 --> 03:39:04,259 TIME DURING DEVELOPMENT. 5680 03:39:04,259 --> 03:39:05,861 A REKEY OBJECTIVE HERE IS TO 5681 03:39:05,861 --> 03:39:06,828 CAPITALIZE ON NEW OPPORTUNITIES 5682 03:39:06,828 --> 03:39:09,664 TO IMPROVE OUR UNDERSTANDING OF 5683 03:39:09,664 --> 03:39:10,999 REPRODO YOU RECOLLECTIVE STAGES 5684 03:39:10,999 --> 03:39:12,634 ACROSS THE LIFE CYCLE. 5685 03:39:12,634 --> 03:39:15,370 WITH PARTICULAR EMPHASIS ON 5686 03:39:15,370 --> 03:39:18,640 CRITICAL WINDOWS SUCH AS 5687 03:39:18,640 --> 03:39:21,943 PUBERTY, ANCHLIO PAUSE AND 5688 03:39:21,943 --> 03:39:22,644 PERIMENOPAUSE. 5689 03:39:22,644 --> 03:39:25,213 WE ALSO AIM TO CHARACTERIZE 5690 03:39:25,213 --> 03:39:26,381 PROPRODUCTIVE AGING AND ITS 5691 03:39:26,381 --> 03:39:29,017 INPACT ON ARE PRODUCTIVE AND 5692 03:39:29,017 --> 03:39:30,719 GYNECOLOGIC OUTCOMES. 5693 03:39:30,719 --> 03:39:32,421 PARTICULARLY THE INFERTILITY. 5694 03:39:32,421 --> 03:39:34,523 ADDITIONALLY, THIS GOAL SEEKS TO 5695 03:39:34,523 --> 03:39:35,457 IDENTIFY BIOLOGIC AND 5696 03:39:35,457 --> 03:39:38,026 ENVIRONMENTAL FACTORS THAT CAN 5697 03:39:38,026 --> 03:39:43,965 LEAD OR CONTRIBUTE TO IDIO 5698 03:39:43,965 --> 03:39:44,866 PATHIC INFERTILITY. 5699 03:39:44,866 --> 03:39:48,503 WE FURTHER HOPE TO EXPAND THESE 5700 03:39:48,503 --> 03:39:53,141 METHODS TO STIMULATE FERTILITY 5701 03:39:53,141 --> 03:39:54,609 AND DEVELOP CONTRACEPTION. 5702 03:39:54,609 --> 03:39:56,645 THIS IS ALSO BIOLOGIC MECH 5703 03:39:56,645 --> 03:39:59,381 NIVENLS USHED LYING HOW 5704 03:39:59,381 --> 03:40:02,117 GENERALIZED PELVIC PAIN AND GUIN 5705 03:40:02,117 --> 03:40:03,652 OICOLOGGIC CONDITIONS. 5706 03:40:03,652 --> 03:40:04,719 COMPREHEND. 5707 03:40:04,719 --> 03:40:05,220 NEXT SLIDE, PLEASE. 5708 03:40:05,220 --> 03:40:06,888 WE AILS HOPE TO IDENTIFY ISHT 5709 03:40:06,888 --> 03:40:08,857 VENTIONS FOR THE TREATMENT OF 5710 03:40:08,857 --> 03:40:10,258 GUIN OICOLOGGIC CONDITIONS AND 5711 03:40:10,258 --> 03:40:13,095 ASSESS THE IMPACT OF NEW AND 5712 03:40:13,095 --> 03:40:15,964 EXISTING TREATMENT APPROACHES ON 5713 03:40:15,964 --> 03:40:16,865 GYNECOLOGIC HEALTH DISPARITIES. 5714 03:40:16,865 --> 03:40:20,702 AND LASTLY FOR GOAL 2, WE HOPE 5715 03:40:20,702 --> 03:40:23,138 TO IMPROVE OUR UNDERSTANDING OF 5716 03:40:23,138 --> 03:40:24,806 THE MULTILEVEL FACTORS OF 5717 03:40:24,806 --> 03:40:27,676 CONTRACEPTIVE USE AND NONUSE AND 5718 03:40:27,676 --> 03:40:28,510 INCLUDING PREFERENCES OR 5719 03:40:28,510 --> 03:40:29,244 SPECIFIC METHODS, THIS KNOWLEDGE 5720 03:40:29,244 --> 03:40:33,515 WILL ALSO BE USED TO DEVELOP NEW 5721 03:40:33,515 --> 03:40:34,649 CONTRACEPTIVE OPTIONS OR ADVANCE 5722 03:40:34,649 --> 03:40:37,119 OUR KNOWLEDGE OF THE EFFECTS OF 5723 03:40:37,119 --> 03:40:42,724 CONTRACEPTIVES ON HUMAN HEALTH. 5724 03:40:42,724 --> 03:40:43,725 NEXT SLIDE, PLEASE. 5725 03:40:43,725 --> 03:40:45,260 >> THE FOLLOWING ARE DRAFT 5726 03:40:45,260 --> 03:40:49,865 OBJECTIVES FOR GOAL 3 WHICH SETS 5727 03:40:49,865 --> 03:40:51,166 HEALTHY PREGNANCY AND WELLNESS. 5728 03:40:51,166 --> 03:40:54,469 HERE WE HOPE TO IMPROVE PREGFOR 5729 03:40:54,469 --> 03:40:58,473 INSTANCEY OUTCOMES AND MAXIMIZE 5730 03:40:58,473 --> 03:40:59,307 WOMEN AND CHILDREN. 5731 03:40:59,307 --> 03:41:01,243 OUR FIRST OBJECTIVE IS TO 5732 03:41:01,243 --> 03:41:02,010 ENHANCE COLLABORATIONS TO 5733 03:41:02,010 --> 03:41:02,978 ADVANCE OUR KNOWLEDGE AND 5734 03:41:02,978 --> 03:41:05,180 BEDDING OF THE MECHANISMS AND 5735 03:41:05,180 --> 03:41:06,481 POTENTIAL CAUSES OF PRETERM 5736 03:41:06,481 --> 03:41:13,522 BIRTH, AND DEVELOP EFFECTIVE 5737 03:41:13,522 --> 03:41:13,989 PREVENTION APPROACHES. 5738 03:41:13,989 --> 03:41:16,458 WE ALSO HOPE TO IMPROVE THE 5739 03:41:16,458 --> 03:41:22,697 LONG-TERM OUTQUM OF INFANTS BORN 5740 03:41:22,697 --> 03:41:24,933 PRETERM OR INFANTILE GROWTH, 5741 03:41:24,933 --> 03:41:26,568 THIS WILL HELP DETERMINE THE 5742 03:41:26,568 --> 03:41:29,771 ROLES OF MATERNAL FACTORS, 5743 03:41:29,771 --> 03:41:31,406 SOCIAL REDERMINANTS OF HEALTH, 5744 03:41:31,406 --> 03:41:32,707 VIERMAL AND NUTRITIONAL FACTORS. 5745 03:41:32,707 --> 03:41:35,744 THIS GOAL ALSO INVOLVES 5746 03:41:35,744 --> 03:41:36,945 EPITHELIAL GREATING AND 5747 03:41:36,945 --> 03:41:39,114 ANALYZING DIVERSE TYPES OF DATA 5748 03:41:39,114 --> 03:41:40,882 TO PERFORM INTERVENTIONS FOR 5749 03:41:40,882 --> 03:41:44,286 ADVERSE MATERNAL CONDITIONS AND 5750 03:41:44,286 --> 03:41:45,954 PREGNANCY COMPLICATIONS. 5751 03:41:45,954 --> 03:41:48,557 FURTHER, THIS GOAL ALSO CALLS 5752 03:41:48,557 --> 03:41:50,325 FOR SUPPORTING COMMUNITY 5753 03:41:50,325 --> 03:41:52,761 INFORMED RESEARCH TO DEVELOP 5754 03:41:52,761 --> 03:41:53,762 MATERNAL HEALTH INTERVENTIONINGS 5755 03:41:53,762 --> 03:41:56,097 THAT ARE WIDELY APPLICABLE AND 5756 03:41:56,097 --> 03:41:59,901 ADDRESS HEALTH DISPARITIES. 5757 03:41:59,901 --> 03:42:00,468 NEXT SLIDE. 5758 03:42:00,468 --> 03:42:01,736 THIS NEXT OBLIGATIONS YECTIVE 5759 03:42:01,736 --> 03:42:03,471 SUPPORTS OUR CONTINUED EFFORTS 5760 03:42:03,471 --> 03:42:05,874 TO FURTHER UNDERSTAND THE 5761 03:42:05,874 --> 03:42:07,609 PLACENTA USING INNOVATIVE BASIC 5762 03:42:07,609 --> 03:42:11,613 AND TRANSLATIONAL SCIENCE 5763 03:42:11,613 --> 03:42:13,815 APPROACHES EMPLOY THIS INCLUDES 5764 03:42:13,815 --> 03:42:15,083 UNDERSTANDING THE PLACENTA'S 5765 03:42:15,083 --> 03:42:16,585 ROLE IN PREGNANCY OUTCOMES AND 5766 03:42:16,585 --> 03:42:17,886 THE LONG-TERM HEALTH OF THE 5767 03:42:17,886 --> 03:42:19,387 MOTHER AND INFANT. 5768 03:42:19,387 --> 03:42:22,224 FURTHER, WE PLAN TO SUPPORT THE 5769 03:42:22,224 --> 03:42:23,124 CONTINUED TWEPMENT OF 5770 03:42:23,124 --> 03:42:25,894 TECHNOLOGIES AND METHODS FOR 5771 03:42:25,894 --> 03:42:29,698 HUMAN PLACENTAL MODELS ACROSS 5772 03:42:29,698 --> 03:42:31,666 GUESTATION AND TEST THE ABILITY 5773 03:42:31,666 --> 03:42:35,136 OF EMERGING TECHNOLOGIES TO ARK 5774 03:42:35,136 --> 03:42:35,704 ASSESSES PLACENTAL HEALTH. 5775 03:42:35,704 --> 03:42:39,107 THIS GOAL IS ALSO FOCUSED ON 5776 03:42:39,107 --> 03:42:41,376 DEVELOPING PREVENTION STRATEGIES 5777 03:42:41,376 --> 03:42:43,545 FOR LABOR AND DELIVERY 5778 03:42:43,545 --> 03:42:45,413 COMPLICATIONS THAT CONTRIBUTE TO 5779 03:42:45,413 --> 03:42:46,815 MATERNAL MORBIDITY AND 5780 03:42:46,815 --> 03:42:47,082 MORTALITY. 5781 03:42:47,082 --> 03:42:52,587 LASTLY WE PLAN TO FOCUSED ON NEW 5782 03:42:52,587 --> 03:42:53,488 OPROACHS TO MITIGATING MATERNAL 5783 03:42:53,488 --> 03:42:59,961 AND PATTEDERNAL RISK FACTORS FR 5784 03:42:59,961 --> 03:43:01,363 PREGPRANCEY THAT EXTEND THROUGH 5785 03:43:01,363 --> 03:43:02,297 THE POSTPARTUM PERIOD AND 5786 03:43:02,297 --> 03:43:02,664 BEYOND. 5787 03:43:02,664 --> 03:43:03,465 THE NEXT SLIDE. 5788 03:43:03,465 --> 03:43:05,000 THE FOLLOWING ARE DRAFT 5789 03:43:05,000 --> 03:43:06,401 OBJECTIVES FOR GOAL 4 WHICH 5790 03:43:06,401 --> 03:43:08,837 FOCUSES ON IMPROVING CHILD AND 5791 03:43:08,837 --> 03:43:09,838 ADOLESCENT HEALTH AND A 5792 03:43:09,838 --> 03:43:20,315 TRANSITION TO ARK DULT HOOD. 5793 03:43:29,557 --> 03:43:31,459 OUR FIRST--HERE WE ALSO HOPE TO 5794 03:43:31,459 --> 03:43:36,731 LEARN HOW SOCIAL AND 5795 03:43:36,731 --> 03:43:38,600 ENVIRONMENTAL FACTORS AFFECT 5796 03:43:38,600 --> 03:43:40,035 CHILD AND ADOLESCENT HEALTH AND 5797 03:43:40,035 --> 03:43:41,936 TO APPLY IN KNOWLEDGE AND 5798 03:43:41,936 --> 03:43:42,771 DEVELOPING NEW EARLY 5799 03:43:42,771 --> 03:43:44,539 INTERVENTION APPROACHES AND 5800 03:43:44,539 --> 03:43:48,810 IMPROVED EFFECTIVENESS OF 5801 03:43:48,810 --> 03:43:51,012 EXISTING 1S. 5802 03:43:51,012 --> 03:44:00,288 THIS GOAL ALSO FOCUSESS ON 5803 03:44:00,288 --> 03:44:01,222 PREVENTION, TREATMENT, 5804 03:44:01,222 --> 03:44:02,590 IMPLEMENTATION STRATEGIES TO 5805 03:44:02,590 --> 03:44:03,525 ADDRESS TRAUMA INJURY AND 5806 03:44:03,525 --> 03:44:05,660 VIOLENCE ALONG WITH DISASTER 5807 03:44:05,660 --> 03:44:06,328 PREPAREDNESS AND RESPONSE. 5808 03:44:06,328 --> 03:44:08,096 ADDITIONAL THIS WILL SUPPORT OUR 5809 03:44:08,096 --> 03:44:10,899 BEDDING OF PHYSICAL COGNITIVE, 5810 03:44:10,899 --> 03:44:12,233 SOCIAL AND EMOTIONAL DEVELOPMENT 5811 03:44:12,233 --> 03:44:14,869 ACROSS THE LIFE SPAN TO OPTIMIZE 5812 03:44:14,869 --> 03:44:15,904 TIMING OF INTERVENTIONS FOR 5813 03:44:15,904 --> 03:44:16,604 HEALTHY DEVELOPMENT. 5814 03:44:16,604 --> 03:44:19,574 FURTHER WE PLAN TO SUPPORT 5815 03:44:19,574 --> 03:44:20,608 RESEARCH THAT WILL ENHANCE THE 5816 03:44:20,608 --> 03:44:21,409 INTERNATIONAL CLASSIFICATION 5817 03:44:21,409 --> 03:44:23,511 IMRAIGZ OF PEDIATRIC AND ADULT 5818 03:44:23,511 --> 03:44:25,914 SYSTEMS OF CARE, ESPECIALLY FOR 5819 03:44:25,914 --> 03:44:27,315 YOUTH TRANSITIONING TO ADUMENT 5820 03:44:27,315 --> 03:44:27,615 HEALTHCARE. 5821 03:44:27,615 --> 03:44:28,950 THIS GOAL ALSO AIMS TO DEVELOP 5822 03:44:28,950 --> 03:44:31,786 MEASURES THAT WILL HELP 5823 03:44:31,786 --> 03:44:33,722 DETERMINE SUCCESSFUL TRANSITION 5824 03:44:33,722 --> 03:44:35,824 ACROSS MULTIPLE LEVELS AND 5825 03:44:35,824 --> 03:44:37,659 ULTIMATELY IMPROVE CARE FOR 5826 03:44:37,659 --> 03:44:39,494 ADOLESCENCES IN THE EMERGING 5827 03:44:39,494 --> 03:44:42,030 ADULLS AND LASTLY FOR GOAL 4, WE 5828 03:44:42,030 --> 03:44:44,299 AIM TO ADVANCE, TO ENHANCE THE 5829 03:44:44,299 --> 03:44:47,535 EVIDENT BASE FOR PEDIATRIC AND 5830 03:44:47,535 --> 03:44:48,903 ADOLESCENT PRIMARY CARE. 5831 03:44:48,903 --> 03:44:50,205 BY IDENTIFYING PRACTICES AND 5832 03:44:50,205 --> 03:44:52,607 FEATURES OF HEALTHCARE DLRY, 5833 03:44:52,607 --> 03:44:53,775 ASSOCIATED WITH POSITIVE CHILD 5834 03:44:53,775 --> 03:44:59,948 HEALTH OUTCOME. 5835 03:44:59,948 --> 03:45:00,849 NEXT SLIDE, PLEASE. 5836 03:45:00,849 --> 03:45:02,584 THE FOLLOWING OR OBJECTIVES FOR 5837 03:45:02,584 --> 03:45:04,452 GOAL 5 WHICH ADVANCES 5838 03:45:04,452 --> 03:45:06,721 THERAPEUTICS AND DEVICES FOR 5839 03:45:06,721 --> 03:45:08,223 PREGNANT AND LACTATING PEOPLE, 5840 03:45:08,223 --> 03:45:09,958 PREGNANT AND PEOPLE WITH 5841 03:45:09,958 --> 03:45:10,992 DISABILITYINGS. 5842 03:45:10,992 --> 03:45:14,162 THIS GOAL FOCUSES ON CONTUCTING 5843 03:45:14,162 --> 03:45:14,763 AND SUPPORTING FOUNDATIONAL 5844 03:45:14,763 --> 03:45:16,631 RESEARCH ON THE DEVELOPMENT AND 5845 03:45:16,631 --> 03:45:19,467 INTERVENTIONS TARGETED TO THE 5846 03:45:19,467 --> 03:45:21,136 NEEDS OF PREGNANT OR LACTATING 5847 03:45:21,136 --> 03:45:23,772 PEOPLE, CHILDREN OR PEOPLE WITH 5848 03:45:23,772 --> 03:45:25,874 DISABILITIES, INFORMED BY PK, 5849 03:45:25,874 --> 03:45:31,646 APPROXIMATE, D, PG, DOSING AND 5850 03:45:31,646 --> 03:45:32,580 FORMULATION STUDIES. 5851 03:45:32,580 --> 03:45:34,916 THIS GOAL ALSO FOCUSES ON 5852 03:45:34,916 --> 03:45:36,518 IDENTIFY XG VALIDATING 5853 03:45:36,518 --> 03:45:37,218 BIOMARKERS, MODELING APPROACHES 5854 03:45:37,218 --> 03:45:39,487 AND OUTCOME MEASURES THAT CAN BE 5855 03:45:39,487 --> 03:45:41,423 UTILIZED TO SUPPORT RIGOROUS 5856 03:45:41,423 --> 03:45:43,658 TESTING AND OR REGULATORY 5857 03:45:43,658 --> 03:45:44,726 APPROVAL OF PHARMACOTHERAPY ANDS 5858 03:45:44,726 --> 03:45:48,797 DEVICES IN THESE POPULATIONS. 5859 03:45:48,797 --> 03:45:51,733 FURTHER WE PLAN TO SUPPORT 5860 03:45:51,733 --> 03:45:54,869 CLINICAL RESEARCH AND 5861 03:45:54,869 --> 03:45:57,772 DISSEMINATION AND EVALUATE 5862 03:45:57,772 --> 03:45:58,306 SCALABLE, ACCESSIBLE 5863 03:45:58,306 --> 03:45:59,841 THERAPEUTICS, DIAGNOSTICS AND 5864 03:45:59,841 --> 03:46:02,143 MEDICAL DEVICES FOR PREGNANT AND 5865 03:46:02,143 --> 03:46:03,445 LACTATING PEOPLE AND MORE PEOPLE 5866 03:46:03,445 --> 03:46:05,079 WITH DISABLES AND LASTLY CAN 5867 03:46:05,079 --> 03:46:07,248 GOAL CALLS FOR THE USE OF 5868 03:46:07,248 --> 03:46:09,017 ADVANCED DATA SCIENCE 5869 03:46:09,017 --> 03:46:10,885 TECHNIQUES, TO ASSESS HOW 5870 03:46:10,885 --> 03:46:13,521 OUTCOMES, THEOR PUTTIC SAFETY, - 5871 03:46:13,521 --> 03:46:14,456 OR EFFECTIVENESS, HEALTHCARE 5872 03:46:14,456 --> 03:46:15,423 MANAGEMENT AND HELT CARE 5873 03:46:15,423 --> 03:46:22,363 DELIVERY AND DATA SETS THAT 5874 03:46:22,363 --> 03:46:24,232 INCLUDE THESE POP RULINGS. 5875 03:46:24,232 --> 03:46:24,933 NEXT SLIDE, PLEASE. 5876 03:46:24,933 --> 03:46:26,668 WE WILL NOW CONSIDER THE RFI 5877 03:46:26,668 --> 03:46:28,536 WHICH DESCRIBES THE OBJECTIVES 5878 03:46:28,536 --> 03:46:29,204 WE JUST REVIEWED. 5879 03:46:29,204 --> 03:46:33,942 NEXT SLIDE EMPLOY YOU SHOULD 5880 03:46:33,942 --> 03:46:37,345 HAVE ACCESS TO THE RFI LINK IN 5881 03:46:37,345 --> 03:46:37,946 YOUR PACKETS. 5882 03:46:37,946 --> 03:46:39,347 PLEASE FEEL FREE TO USE THE 5883 03:46:39,347 --> 03:46:40,849 THROINK REVIEW THE RFI FOR THIS 5884 03:46:40,849 --> 03:46:42,016 PORTION OF THE MEETING. 5885 03:46:42,016 --> 03:46:44,519 AT THIS TIME WE WOULD LIKE TO 5886 03:46:44,519 --> 03:46:45,220 HEAR FROM YOU. 5887 03:46:45,220 --> 03:46:46,621 PLEASE RAISE YOUR HAND OR USE 5888 03:46:46,621 --> 03:46:48,656 THE RAISE HAND FEATURE IF YOU 5889 03:46:48,656 --> 03:46:49,958 ARE ON ONLINE THAT, THAT I MAY 5890 03:46:49,958 --> 03:46:51,726 CALL ON YOU FOR YOUR FEEDBACK. 5891 03:46:51,726 --> 03:46:54,796 PLEASE NOTE THAT WE ARE--IF WE 5892 03:46:54,796 --> 03:46:56,331 ARE UNABLE TO GET THROUGH 5893 03:46:56,331 --> 03:46:58,199 EVERYONE'S FEEDBACK IN THE 5894 03:46:58,199 --> 03:46:59,834 ALLOTTED TIME, YOU WILL BE ABLE 5895 03:46:59,834 --> 03:47:03,071 TO SHARE ADDITIONAL FEEDBACK VIA 5896 03:47:03,071 --> 03:47:03,805 THE RFI. 5897 03:47:03,805 --> 03:47:06,107 ON THE CURRENT SLIDE WE NOTED 5898 03:47:06,107 --> 03:47:07,642 QUIET WE ASK YOU TO NOW 5899 03:47:07,642 --> 03:47:08,810 CONSIDER, WHAT FEEDBACK TO YOU 5900 03:47:08,810 --> 03:47:11,679 CO HAVE YOU HAVE ON THE 5901 03:47:11,679 --> 03:47:12,313 SCIENTIFIC RESEARCH PRIORITIES 5902 03:47:12,313 --> 03:47:16,451 LISTED IN THE RFI. 5903 03:47:16,451 --> 03:47:18,586 WE HAVE SEVERAL KEY TEAM MEMBERS 5904 03:47:18,586 --> 03:47:21,356 HERE TO CAPTURE YOUR FEEDBACK IN 5905 03:47:21,356 --> 03:47:21,623 REALTIME. 5906 03:47:21,623 --> 03:47:32,033 I WILL NOW TURN TO YOU. 5907 03:47:42,944 --> 03:47:43,511 [ APPLAUSE ] 5908 03:47:43,511 --> 03:47:45,146 SPHRKS FIRST OF ALL I WANT TO 5909 03:47:45,146 --> 03:47:48,116 SAY SORRY MY BACK IS TURNED DUE 5910 03:47:48,116 --> 03:47:49,083 TO MICROPHONE PLACEMENT. 5911 03:47:49,083 --> 03:47:50,785 BUT IT DOES SET A VISION FOR 5912 03:47:50,785 --> 03:47:52,253 WOMEN AND CHILDREN'S HEGHT AND I 5913 03:47:52,253 --> 03:47:53,454 THINK THERE IS VERY LITTLE I 5914 03:47:53,454 --> 03:47:55,189 HAVE TO ADD BUT THERE WAS 1 GAP 5915 03:47:55,189 --> 03:47:57,525 THAT I DID WANT TO POINT OUT AND 5916 03:47:57,525 --> 03:47:59,494 THAT WOULD BE IN THE REALM OF 5917 03:47:59,494 --> 03:48:01,996 CHILDREN AND YOUNG PEOPLE WITH 5918 03:48:01,996 --> 03:48:02,964 MENTAL HEALTH. 5919 03:48:02,964 --> 03:48:04,399 SO WE'RE AWARE OF THE RISING 5920 03:48:04,399 --> 03:48:07,802 RATES OF THESE PROBLEMS THAT CAN 5921 03:48:07,802 --> 03:48:11,406 AFFECT REAL WORLD OUTCOMES LIKE 5922 03:48:11,406 --> 03:48:13,241 SCHOOL, ATTENDANCE, CAN RESULT 5923 03:48:13,241 --> 03:48:17,412 IN SUICIDE IN ADOLESCENTS, 5924 03:48:17,412 --> 03:48:18,212 EATING DISORDERS ON THE RISE 5925 03:48:18,212 --> 03:48:20,148 BECAUSE I THINK THIS IS A VISION 5926 03:48:20,148 --> 03:48:23,184 AT THE SAME TIME FOR CHILDREN, 5927 03:48:23,184 --> 03:48:25,019 AND YOUNG PEOPLE IT WOULD BE 5928 03:48:25,019 --> 03:48:28,890 USEFUL TO INCLUDE THAT AS 5929 03:48:28,890 --> 03:48:29,424 ANOTHER OBJECTIVES. 5930 03:48:29,424 --> 03:48:32,427 I REALIZE IT MAY NOT BE A 5931 03:48:32,427 --> 03:48:34,195 FUNDING ENVELOPE OF NICHD BUT 5932 03:48:34,195 --> 03:48:37,599 JUST TO CAPTURE THAT PRIORITY 5933 03:48:37,599 --> 03:48:39,801 WOULD BE USEFUL. 5934 03:48:39,801 --> 03:48:40,635 >> THANK YOU. 5935 03:48:40,635 --> 03:48:44,072 NREMEMBER THAT 1 OF THE ORIGINAL 5936 03:48:44,072 --> 03:48:47,041 GOALS WAS WHERE SHOULD WE LEAVE, 5937 03:48:47,041 --> 03:48:48,643 WHERE SHOULD WE PARTNER SO 5938 03:48:48,643 --> 03:48:50,178 THIS--WE HAVE IN THE PAST 5939 03:48:50,178 --> 03:48:51,879 PARTNERING WITH NATIONAL 5940 03:48:51,879 --> 03:48:53,715 INSTITUTE OF MENTAL HEALTH IN 5941 03:48:53,715 --> 03:48:55,817 TERMS OF THE MENTAL HEALTH 5942 03:48:55,817 --> 03:48:58,119 ABEES, NOW THEY ARE CURRENTLY 5943 03:48:58,119 --> 03:48:59,554 UNDERGOING A SYRUP FOR A NEW 5944 03:48:59,554 --> 03:49:01,723 DIRECTOR, SO WE KNOW THAT FOR 5945 03:49:01,723 --> 03:49:04,225 EXAMPLE, SUICIDE WAS A BIG 5946 03:49:04,225 --> 03:49:05,360 PRIORITY FOR DR. JOSH GORDON. 5947 03:49:05,360 --> 03:49:08,563 WE DON'T KNOW WHO THE NEXT 5948 03:49:08,563 --> 03:49:11,599 DIRECTOR WILL BE, BUT I THINK, 5949 03:49:11,599 --> 03:49:16,104 YOU KNOW YOUR COMMENTS ARE WELL 5950 03:49:16,104 --> 03:49:18,406 NOTED AND WE CAN USE THAT AS AN 5951 03:49:18,406 --> 03:49:20,008 OPPORTUNITY TO COLLABORATE WITH 5952 03:49:20,008 --> 03:49:25,546 OTHER INNSITUTES. 5953 03:49:25,546 --> 03:49:26,314 THANK YOU. 5954 03:49:26,314 --> 03:49:27,415 >> THIS WAS REALLY A LOT TO 5955 03:49:27,415 --> 03:49:28,816 THINK ABOUT SO I DON'T KNOW THAT 5956 03:49:28,816 --> 03:49:34,856 I HAVE ALL MY QUESTIONS BUT ON 5957 03:49:34,856 --> 03:49:40,695 GOAL 4, I TOOK NOTE AS 1 OF THE 5958 03:49:40,695 --> 03:49:44,666 POINTS YOU MENTIONED TO RESPOND 5959 03:49:44,666 --> 03:49:47,702 AND PREPAREDNESS AND SO THAT 5960 03:49:47,702 --> 03:49:50,772 MADE ME THINK ABOUT THE 5961 03:49:50,772 --> 03:49:52,106 QUESTIONS OF CLIMATE AND THE 5962 03:49:52,106 --> 03:49:54,375 EFFECTS ON HEALTH IN GENERAL 5963 03:49:54,375 --> 03:49:56,511 WITHOUT THE IT NECESSARILY BEING 5964 03:49:56,511 --> 03:49:59,714 A DAOF THER SO IS THAT SOMETHING 5965 03:49:59,714 --> 03:50:03,251 THAT'S LINKED TO A DISASTER, A 5966 03:50:03,251 --> 03:50:05,820 SIGNIFICANT THROUGH THIS, THAT'S 5967 03:50:05,820 --> 03:50:06,954 SOMETHING THAT CAN BE CONSIDERED 5968 03:50:06,954 --> 03:50:09,757 IN THIS AS WELL? 5969 03:50:09,757 --> 03:50:11,159 >> I CAN SEE THE CORRELATION BUT 5970 03:50:11,159 --> 03:50:13,461 I'M NOT SURE WHETHER THAT FITS 5971 03:50:13,461 --> 03:50:17,865 WITHIN, SO THE NIH REVIEW. 5972 03:50:17,865 --> 03:50:21,869 SO THERE ACTUALLY IS AN NIH WIDE 5973 03:50:21,869 --> 03:50:23,471 INITIATIVE ON CLIMATE CHANGE AND 5974 03:50:23,471 --> 03:50:27,375 HEALTH AND I REPRESENT AND 5975 03:50:27,375 --> 03:50:32,413 NICHDOT EXECUTIVE COMMITTEE AND 5976 03:50:32,413 --> 03:50:35,249 THEN WE HAVE 2 PROGRAM OFFICS 5977 03:50:35,249 --> 03:50:37,251 THAT ARE WITH NIKRRK HD ON THE 5978 03:50:37,251 --> 03:50:39,287 STEERING COMMITTEE AND THEY 5979 03:50:39,287 --> 03:50:41,789 REALLY DO THE LION'S SHARE OF 5980 03:50:41,789 --> 03:50:45,493 THE WORK BUT OUR POPULATIONS AND 5981 03:50:45,493 --> 03:50:47,895 OUR SCIENCE ARE VERY WELL, 5982 03:50:47,895 --> 03:50:52,166 CONSIDERED AND INYOU CLUEDED IN 5983 03:50:52,166 --> 03:50:53,868 THAT--INCLUDED IN THAT NIESH H 5984 03:50:53,868 --> 03:50:55,103 WIDE INITIATIVE. 5985 03:50:55,103 --> 03:50:55,403 COMPREHEND. 5986 03:50:55,403 --> 03:50:56,738 NTHANK YOU FOR THAT 5987 03:50:56,738 --> 03:51:01,275 PRESENTATION. 5988 03:51:01,275 --> 03:51:02,877 I THOUGHT IT WAS NOT ONLY 5989 03:51:02,877 --> 03:51:04,512 WONDERFUL BUT BEING PART OF THE 5990 03:51:04,512 --> 03:51:10,918 STRATEGIC PLAN THAT YOU LED 5991 03:51:10,918 --> 03:51:13,855 DR. BIANCHI IN 2019. 5992 03:51:13,855 --> 03:51:14,422 SO THAT'S GREAT. 5993 03:51:14,422 --> 03:51:16,791 I ALSO LOVE THE WAY MATERNAL 5994 03:51:16,791 --> 03:51:17,725 MORTALITY IS CALLED OUT. 5995 03:51:17,725 --> 03:51:19,393 I WONDER IF IT'S CALLED OUT EVEN 5996 03:51:19,393 --> 03:51:23,431 MORE, LIVING IN THE MATERNAL 5997 03:51:23,431 --> 03:51:25,166 FETAL MEDICINE PHASE, I READ 5998 03:51:25,166 --> 03:51:26,601 THIS WHEN IT CAME OUT LAST WEEK 5999 03:51:26,601 --> 03:51:27,835 XI REMEMBER BEING SURPRISED. 6000 03:51:27,835 --> 03:51:29,604 I THOUGHT IT WOULD BE CALLED OUT 6001 03:51:29,604 --> 03:51:31,606 A LITTLE BIT BETTER, THE WAY 6002 03:51:31,606 --> 03:51:34,809 IT'S WRITTEN, IT ALMOST IMPLYING 6003 03:51:34,809 --> 03:51:37,111 THAT MORTALITY AND MORBIDITY ARE 6004 03:51:37,111 --> 03:51:39,313 RELATED TO LABOR AND DELIVERY 6005 03:51:39,313 --> 03:51:40,481 EEIVETS AND TAKEN--THEY'S MAYBE 6006 03:51:40,481 --> 03:51:42,784 PARTIALLY THE CASE BUT I CAN 6007 03:51:42,784 --> 03:51:44,552 TELL YOU THAT IN THE MORTALITY 6008 03:51:44,552 --> 03:51:46,487 RIEF BEEN SOCKED WITH, NONE OF 6009 03:51:46,487 --> 03:51:49,957 THEM WERE RELATED TO LABOR AND 6010 03:51:49,957 --> 03:51:51,492 DELIVERY COMPLICATION, USUALLY 6011 03:51:51,492 --> 03:51:52,126 CARDIOVASCULAR COMPLICATION, SO 6012 03:51:52,126 --> 03:51:54,428 I FEEL LIKE IT CAN BE EXPANDED A 6013 03:51:54,428 --> 03:51:54,796 BIT MORE. 6014 03:51:54,796 --> 03:51:56,898 ONE THING I WANT TO KNOW IS THAT 6015 03:51:56,898 --> 03:51:59,133 THE--IT'S CALLED OUT IN THE 6016 03:51:59,133 --> 03:52:00,067 OBJECTIVES, BUT THE--AS WE MOVE 6017 03:52:00,067 --> 03:52:02,036 INTO THE SORT OF THE 6018 03:52:02,036 --> 03:52:08,376 IMPLEMENTATION PHASE OF THE 6019 03:52:08,376 --> 03:52:11,045 PROCESS, GAUGE THE EXTENT THAT'S 6020 03:52:11,045 --> 03:52:11,646 BEING ADDRESSED, YOU CAN'T 6021 03:52:11,646 --> 03:52:16,284 REALLY TELL JUST FROM THE 6022 03:52:16,284 --> 03:52:16,951 ABJECTIVE LEVELS, SO MAYBE 6023 03:52:16,951 --> 03:52:17,952 PLENTY OF IPT 6024 03:52:17,952 --> 03:52:26,994 GREATERRISHIAATIVES THAT WILL BE 6025 03:52:26,994 --> 03:52:30,965 TARGETED TOWARDS THAT. 6026 03:52:30,965 --> 03:52:32,099 >> YEAH, DR. BARKIN? 6027 03:52:32,099 --> 03:52:34,502 >> THANK YOU. 6028 03:52:34,502 --> 03:52:36,871 JUST WANT TO YOU KNOW I'M 1 OF 6029 03:52:36,871 --> 03:52:38,739 THE FEW PEOPLE ON ZOOM, YOU ALL 6030 03:52:38,739 --> 03:52:41,409 LOOK GOOD ON NIESH H TELEVISION, 6031 03:52:41,409 --> 03:52:42,143 YOU'RE LOOKING GOOD. 6032 03:52:42,143 --> 03:52:44,712 I DID I HAVE COUPLE OF 6033 03:52:44,712 --> 03:52:47,415 OVERARCHING QUESTIONS FOR US TO 6034 03:52:47,415 --> 03:52:48,916 CONSIDER 1 IS WHEN WE LOOK AT 6035 03:52:48,916 --> 03:52:50,651 THE CROSS CUTTING THEMES, I 6036 03:52:50,651 --> 03:52:53,254 WONDER IF WE NEED TO INCLUDE 6037 03:52:53,254 --> 03:52:55,356 SOMETHING LIKE JUDICIOUS USE OF 6038 03:52:55,356 --> 03:52:57,024 AI, WHEN WE LOOK AT WHERE WE ARE 6039 03:52:57,024 --> 03:52:59,060 RIGHT NOW TODAY, AND THEN WE TRY 6040 03:52:59,060 --> 03:53:01,162 TO UNDERSTAND WHERE WILL WE BE 6041 03:53:01,162 --> 03:53:03,164 IN 5 YEARS, WE KNOW THAT THAT 6042 03:53:03,164 --> 03:53:05,633 TOOL KIT IS EXPLODING, AND SOIME 6043 03:53:05,633 --> 03:53:07,435 WONDERING IF WE SHOULD ACTUALLY 6044 03:53:07,435 --> 03:53:08,302 CALL IT OUT. 6045 03:53:08,302 --> 03:53:10,504 LET ME PAUSE THERE AND HEAR YOUR 6046 03:53:10,504 --> 03:53:11,405 THOUGHTS ABOUT THAT. 6047 03:53:11,405 --> 03:53:12,139 >> SO IT'S INTERESTING YOU 6048 03:53:12,139 --> 03:53:12,607 MENTION THAT. 6049 03:53:12,607 --> 03:53:15,042 WE HAD A CALL WITH OUR DIRECTOR 6050 03:53:15,042 --> 03:53:17,211 FOR THE OFFICE OF DATA SCIENCE 6051 03:53:17,211 --> 03:53:19,247 AND ACTUALLY WE TALKED ABOUT 6052 03:53:19,247 --> 03:53:19,647 THAT. 6053 03:53:19,647 --> 03:53:21,449 AND I THINK YOU'RE RIGHT. 6054 03:53:21,449 --> 03:53:23,851 I THINK SHE INTENDS TO INCLUDE 6055 03:53:23,851 --> 03:53:26,921 THAT AS PART OF THESE CROSS 6056 03:53:26,921 --> 03:53:29,891 STUDYING, PART OF THE TUE 6057 03:53:29,891 --> 03:53:31,692 ARDSHIP SECTION OF THE STRATEGIC 6058 03:53:31,692 --> 03:53:32,894 PLAN SO THERE'S STEWARDSHIP 6059 03:53:32,894 --> 03:53:35,229 ASPECT OF THE 1 OF THE 3 DOMAINS 6060 03:53:35,229 --> 03:53:37,531 I MENTIONED, WHERE THE OFFICER 6061 03:53:37,531 --> 03:53:41,702 DID OF DATA SCIENCE WILL HAVE 6062 03:53:41,702 --> 03:53:43,337 ASPECTS OF AI, RESPONSIBLE AI AS 6063 03:53:43,337 --> 03:53:49,944 IT APPLIES TO OUR WORK AND THE 6064 03:53:49,944 --> 03:53:50,444 INSTITUTE. 6065 03:53:50,444 --> 03:53:50,645 GREAT. 6066 03:53:50,645 --> 03:53:51,879 THANK YOU. 6067 03:53:51,879 --> 03:53:52,914 MY SECOND COMMENT, WHEN WE TALK 6068 03:53:52,914 --> 03:53:54,515 ABOUT IT AND YOU SPECIFICALLY 6069 03:53:54,515 --> 03:53:57,652 CALL OUT IN GOAL 1 UNDERSTANDING 6070 03:53:57,652 --> 03:53:58,619 MOLECULAR, CELLULAR AND 6071 03:53:58,619 --> 03:53:59,654 STRUCTURAL BASIS OF DEVELOPMENT 6072 03:53:59,654 --> 03:54:02,790 AND YOU CALL OUT SINGLE CELL 6073 03:54:02,790 --> 03:54:04,358 PROAM I DON'T MEANICS METRICS 6074 03:54:04,358 --> 03:54:07,528 TAB O LOAMICS, I WOULD ENCOURAGE 6075 03:54:07,528 --> 03:54:08,095 US TO ADD EXPOETIC NATIONAL 6076 03:54:08,095 --> 03:54:09,063 LIBRARY OF MEDICINICS BECAUSE WE 6077 03:54:09,063 --> 03:54:11,699 KNOW IT'S SO HARD TO WRAP OHANDS 6078 03:54:11,699 --> 03:54:12,900 AROUND SO MANY EMERGING DEC 6079 03:54:12,900 --> 03:54:17,538 SYSTEM THAT IT'S A COMPLEXITY 6080 03:54:17,538 --> 03:54:18,139 SCIENCE INTERACTIVE COMPONENT 6081 03:54:18,139 --> 03:54:19,540 THAT THEN IS DRIVING A LOT OF 6082 03:54:19,540 --> 03:54:22,843 THE THINGS WE'RE SEEING. 6083 03:54:22,843 --> 03:54:24,545 SO THAT'S A RECOMMENDATION AND I 6084 03:54:24,545 --> 03:54:27,281 ALSO JUST WANTED TO BUILD ON THE 6085 03:54:27,281 --> 03:54:32,486 PRIOR COMMENT, IN GOLD 2, 6086 03:54:32,486 --> 03:54:34,989 LOOKING AT PROMOTING GYNECOLOGIC 6087 03:54:34,989 --> 03:54:36,023 AND ANDROGENROLOGGIC AND 6088 03:54:36,023 --> 03:54:36,958 REPRODUCTIVE HEALTH. 6089 03:54:36,958 --> 03:54:39,293 I KNOW YOU ALL CALL OUT 6090 03:54:39,293 --> 03:54:40,461 GENERALIZED AND PUBLIC PAIN. 6091 03:54:40,461 --> 03:54:44,165 IN MY YEARS ON COUNCIL WE REALLY 6092 03:54:44,165 --> 03:54:47,935 HAVE BEEN PRETTY SPECIFIC ABOUT 6093 03:54:47,935 --> 03:54:49,070 ENDOMETRIOSIS AND WE'RE BECAUSE 6094 03:54:49,070 --> 03:54:50,738 IT'S BEEN SO UNDERSTUDIED AND 6095 03:54:50,738 --> 03:54:53,207 WE'RE 1 OF THE FEW PLACES THAT 6096 03:54:53,207 --> 03:54:57,278 STUDIES IT, IT MIGHT BE UNDER 6097 03:54:57,278 --> 03:54:58,646 THE UMBRELLA OF PELV INCREASE IN 6098 03:54:58,646 --> 03:55:00,381 BODY PAIN BUT SHOULD WE 6099 03:55:00,381 --> 03:55:01,949 ARTICULATE THAT MORE CLEARLY. 6100 03:55:01,949 --> 03:55:02,750 >> YEAH, SURE, THANK YOU IF ARE 6101 03:55:02,750 --> 03:55:06,721 THAT AND I ALSO THINK THE 6102 03:55:06,721 --> 03:55:09,390 ENDOMETRIOSIS WAS PART OF THE 6103 03:55:09,390 --> 03:55:09,824 ASPIRATIONAL GOALS. 6104 03:55:09,824 --> 03:55:11,692 WE HAVEN'T GOTTEN TO THE FACE OF 6105 03:55:11,692 --> 03:55:13,427 THE TWEPPING THE ASPIRATIONAL 6106 03:55:13,427 --> 03:55:15,396 GOALS AS OF YET SO THAT'S SORT 6107 03:55:15,396 --> 03:55:15,896 OF OPEN. 6108 03:55:15,896 --> 03:55:26,374 I'M SURE WE'RE OPEN TO THAT. 6109 03:55:31,479 --> 03:55:31,679 THANK YOU. 6110 03:55:31,679 --> 03:55:34,482 >> I CAN TELL YOU HAVE BEEN 6111 03:55:34,482 --> 03:55:34,749 LISTENING. 6112 03:55:34,749 --> 03:55:39,120 >> THANK YOU VERY MUCH. 6113 03:55:39,120 --> 03:55:41,722 I JUST WANT TO SPEAK TO GOAL 6114 03:55:41,722 --> 03:55:44,725 NUMBER HOUR XI WANT TO CALL OUT 6115 03:55:44,725 --> 03:55:45,526 AND CONGRATULATE NICHD BECAUSE 6116 03:55:45,526 --> 03:55:47,161 THIS IS A VERY IMPORTANT MOVE IN 6117 03:55:47,161 --> 03:55:47,895 THE RIGHT DIRECTION, THE ONLY 6118 03:55:47,895 --> 03:55:49,497 THINK THIS I WOULD SAY THAT WE 6119 03:55:49,497 --> 03:55:52,633 MAY NEED TO CONSIDER AROUND IT 6120 03:55:52,633 --> 03:55:55,603 IS BROADER SOCIALIZATION OF THE 6121 03:55:55,603 --> 03:55:57,905 ROLE OF MODELING QUANTITATIVE 6122 03:55:57,905 --> 03:55:59,306 METHODOLOGIES, THE ROLE OF 6123 03:55:59,306 --> 03:56:02,643 LEVERAGING DATA TO HAVE SMARTER, 6124 03:56:02,643 --> 03:56:03,811 SMALLER PRAGMATIC TRIALS OF 6125 03:56:03,811 --> 03:56:05,913 GENERATION OF PK DATA, PD DAT 6126 03:56:05,913 --> 03:56:08,949 DATA SO THAT WE CAN MOVE MORE 6127 03:56:08,949 --> 03:56:10,084 EFFICIENTLY WITH THERAPEUTICS WE 6128 03:56:10,084 --> 03:56:11,285 HAVE BUT DON'T NECESSARILY 6129 03:56:11,285 --> 03:56:12,319 UNDERSTAND FULLY HOW THEY SHOULD 6130 03:56:12,319 --> 03:56:18,125 BE APPLIED IN THE DIFFERENT 6131 03:56:18,125 --> 03:56:18,626 PHASES OF PREGNANCY. 6132 03:56:18,626 --> 03:56:21,562 SO MAYBE THERE NEEDS TO BE SOME 6133 03:56:21,562 --> 03:56:22,730 MORE COMPONENT OF INDIVIDUALS 6134 03:56:22,730 --> 03:56:24,031 UNDERSTAND IN THE CLINICAL 6135 03:56:24,031 --> 03:56:28,169 SPECTRUM THAT THERE IS A ROLE TO 6136 03:56:28,169 --> 03:56:30,271 PLAY FOR THESE SMART TARGETED 6137 03:56:30,271 --> 03:56:31,205 STUDIES INSTEAD OF ALWAYS 6138 03:56:31,205 --> 03:56:33,074 THINKING THERE NEEDS TO BE 6139 03:56:33,074 --> 03:56:33,874 DEFINITIVE CLINICAL TRIALS TO 6140 03:56:33,874 --> 03:56:36,377 HELP US RESOLVE AND GET ANSWERS. 6141 03:56:36,377 --> 03:56:37,645 I WANTED TO SAY THANK YOU VERY 6142 03:56:37,645 --> 03:56:39,180 MUCH FOR MOVE NOTHING THAT 6143 03:56:39,180 --> 03:56:40,815 DIRECTION BUT PERHAPS THERE'S A 6144 03:56:40,815 --> 03:56:42,149 COMPONENT OVERLAY WE NEED TO 6145 03:56:42,149 --> 03:56:46,587 CONSIDER AS WELL. 6146 03:56:46,587 --> 03:56:49,690 >> THANK YOU CRISTAINA, I THINK 6147 03:56:49,690 --> 03:56:51,325 YOU MEANT THEME 5 NOT 4. 6148 03:56:51,325 --> 03:56:54,895 >> YES, THANK YOU NCAN WE GET TO 6149 03:56:54,895 --> 03:56:56,697 DR. AZER, BECAUSE SHE'S BEEN 6150 03:56:56,697 --> 03:56:58,332 PATIENTLY WAITING AND THEN 6151 03:56:58,332 --> 03:57:01,669 DR. NEAL PERRY AFTER THAT. 6152 03:57:01,669 --> 03:57:03,771 NTHANK YOU SO MUCH FOR THE 6153 03:57:03,771 --> 03:57:06,307 PRESENTATION, IT WILL REALLY 6154 03:57:06,307 --> 03:57:06,907 FANTASTIC. 6155 03:57:06,907 --> 03:57:07,942 CLEELLY A TREMENDOUS AMOUNT OF 6156 03:57:07,942 --> 03:57:09,910 WORK WENT INTO ALL OF THIS. 6157 03:57:09,910 --> 03:57:11,612 THERE ARE SO MANY THINGS THAT 6158 03:57:11,612 --> 03:57:14,615 ARE COVER THAT AT SOME POINT 6159 03:57:14,615 --> 03:57:16,117 WIEW WILL HAVE TO PRIORITIZE, 6160 03:57:16,117 --> 03:57:18,119 YOU CAN'T FUND ALL OF THAT, WE 6161 03:57:18,119 --> 03:57:19,320 WISH YOU COULD, SO THAT WILL BE 6162 03:57:19,320 --> 03:57:23,824 NEED TO BE PART OF THIS EFFORT, 6163 03:57:23,824 --> 03:57:25,292 I THINK. 6164 03:57:25,292 --> 03:57:26,227 MORE SPECIFIC POINTS, I THINK 6165 03:57:26,227 --> 03:57:31,665 THAT YOU DID A REALLY NICE JOB 6166 03:57:31,665 --> 03:57:32,833 LINKING SORT OF TALKING ABOUT 6167 03:57:32,833 --> 03:57:35,169 THE ECONOMIC AND SOCIAL 6168 03:57:35,169 --> 03:57:36,137 TETERMINANTS OF HEALTH. 6169 03:57:36,137 --> 03:57:38,172 I THINK IT'S ALSO VERY IMPORTANT 6170 03:57:38,172 --> 03:57:43,210 FOR THE NIH TO ALSO PROMOTE 6171 03:57:43,210 --> 03:57:44,445 RESEARCH LINKING MATERNAL AND 6172 03:57:44,445 --> 03:57:47,047 CHILD HEALTH WITH FUTURE 6173 03:57:47,047 --> 03:57:52,453 IMPORTANT ECONOMIC AND SOCIAL 6174 03:57:52,453 --> 03:57:52,720 OUTCOMES. 6175 03:57:52,720 --> 03:58:01,328 RIGHT IN HEALTH IS REALLY AN 6176 03:58:01,328 --> 03:58:03,297 INCREDIBLY IMPORTANT PREDICTER 6177 03:58:03,297 --> 03:58:04,465 OF ECONOMIC GROWTH AND SOMETHING 6178 03:58:04,465 --> 03:58:05,566 THAT ALL POLICY MAKERS CARE 6179 03:58:05,566 --> 03:58:06,634 ABOUT SO I THINK THAT SHOULD BE 6180 03:58:06,634 --> 03:58:10,070 PART OF WHAT THE NIH DOES WHICH 6181 03:58:10,070 --> 03:58:12,773 IS PROMOTE RESEARCH, MAKING MORE 6182 03:58:12,773 --> 03:58:15,476 CLEAR AND EXPLICIT THAT LINK 6183 03:58:15,476 --> 03:58:20,781 BECAUSE IT HELPS TO SORT OF 6184 03:58:20,781 --> 03:58:22,249 PROVIDE ADDITIONAL EVIDENCE FOR 6185 03:58:22,249 --> 03:58:25,019 WHY IT IS SO IMPORTANT FOR THE 6186 03:58:25,019 --> 03:58:26,554 NATION TO INVEST IN THE HELT OF 6187 03:58:26,554 --> 03:58:27,221 MOTHERS AND CHILDREN. 6188 03:58:27,221 --> 03:58:30,624 SO THAT'S JUST SORT OF A BIG 6189 03:58:30,624 --> 03:58:35,229 GENERAL POINT ABOUT THIS. 6190 03:58:35,229 --> 03:58:36,864 SORT OF RELATED TO THAT, THERE 6191 03:58:36,864 --> 03:58:39,266 WAS A MENTION OF DATA SCIENCE 6192 03:58:39,266 --> 03:58:40,467 TECHNIQUES, I WASN'T SURE WHAT 6193 03:58:40,467 --> 03:58:41,235 THAT MEANT. 6194 03:58:41,235 --> 03:58:42,536 THERE WAS REFERENCE NOW TO AI 6195 03:58:42,536 --> 03:58:43,971 BUT I GUESS MY QUESTION IS 6196 03:58:43,971 --> 03:58:49,076 WHETHER THAT ALSO INCLUDES 6197 03:58:49,076 --> 03:58:51,278 QUEPING NEW LARGE DATA SETS 6198 03:58:51,278 --> 03:58:56,784 WHICH ARE THE KINDS OF DATA SETS 6199 03:58:56,784 --> 03:58:57,851 AND DEVELOPED AROUND MACHINE 6200 03:58:57,851 --> 03:58:59,787 LEARNING AND OTHER THINGS ARE 6201 03:58:59,787 --> 03:59:01,422 MOST EFFECTIVE WITH THESE REALLY 6202 03:59:01,422 --> 03:59:02,389 LARGE DATA CELTS, I CAN'T KNOW 6203 03:59:02,389 --> 03:59:04,024 IF THAT WAS PART OF WHAT YOU 6204 03:59:04,024 --> 03:59:06,894 MEANT WHEN YOU WERE TALK DAILY 6205 03:59:06,894 --> 03:59:08,062 BASIS THEA SCIENCE TECHNIQUES 6206 03:59:08,062 --> 03:59:16,870 AND ANOTHER JUST KIND OF SMALLER 6207 03:59:16,870 --> 03:59:18,572 POINT, I WANT TO EMPHASIZE SOME 6208 03:59:18,572 --> 03:59:20,174 SORT OF LOW TECH INTERVENTIONS. 6209 03:59:20,174 --> 03:59:22,209 THERE'S A LOT OF LOW HANGING 6210 03:59:22,209 --> 03:59:22,943 FRUIT OUT THERE. 6211 03:59:22,943 --> 03:59:33,387 SO THERE A LOT OF EFFECTIVE 6212 03:59:33,387 --> 03:59:34,188 THERAPEUTICS FOR MOMS AND 6213 03:59:34,188 --> 03:59:35,289 CHILDREN THAT THEY'RE NOT 6214 03:59:35,289 --> 03:59:35,522 GETTING. 6215 03:59:35,522 --> 03:59:41,028 SO I THINK IN TERMS OF 6216 03:59:41,028 --> 03:59:41,996 INTERESTING FEEDBACK PROMOTING 6217 03:59:41,996 --> 03:59:43,564 MATERNAL AND CHILD HEALTH, YES 6218 03:59:43,564 --> 03:59:44,531 IT'S ABOUT DEVELOPING NEW TOOLS 6219 03:59:44,531 --> 03:59:46,500 AND WAYS OF TREATING THEM BUT 6220 03:59:46,500 --> 03:59:47,334 SOMETIMES WE HAVE EFFECTIVE 6221 03:59:47,334 --> 03:59:53,140 TREATMENT IT IS AND THERE'S JUST 6222 03:59:53,140 --> 03:59:56,343 LOTS OF FAMILIES, TENDING TO 6223 03:59:56,343 --> 03:59:57,645 MORE DISADVANTAGED FAMILY THAT 6224 03:59:57,645 --> 03:59:58,212 ARE RECEIVING THEM. 6225 03:59:58,212 --> 04:00:00,147 SO WORK IN THAT SPACE CAN ALSO 6226 04:00:00,147 --> 04:00:03,250 BE VERY EFFECTIVE AND IMPROVING 6227 04:00:03,250 --> 04:00:04,285 OVERALL CHILD HEALTH AND WELL 6228 04:00:04,285 --> 04:00:04,485 BEING. 6229 04:00:04,485 --> 04:00:05,686 I WILL LEAVE IT AT THAT. 6230 04:00:05,686 --> 04:00:10,891 I THOUGHT IT WAS GREAT. 6231 04:00:10,891 --> 04:00:11,125 MGREAT. 6232 04:00:11,125 --> 04:00:12,426 THANK YOU. 6233 04:00:12,426 --> 04:00:12,826 >> DR. PERRY. 6234 04:00:12,826 --> 04:00:14,228 >> THANK YOU FOR THAT 6235 04:00:14,228 --> 04:00:17,998 PRESENTATION, IT WAS VERY 6236 04:00:17,998 --> 04:00:19,633 COMPREHENSIVE AND REALLY QUITE 6237 04:00:19,633 --> 04:00:19,933 THOUGHTFUL. 6238 04:00:19,933 --> 04:00:27,074 I HAD A COUPLE COMMENTS, 1 THAT 6239 04:00:27,074 --> 04:00:28,475 WAS SIMILAR TO ANETWORK NA, BUT 6240 04:00:28,475 --> 04:00:30,911 IN THE CONTEXT OF FUTURE 6241 04:00:30,911 --> 04:00:32,546 FERTILITY HOW FUTURE SOCIAL 6242 04:00:32,546 --> 04:00:34,715 DETERMINANTS OF HEALTH MAY 6243 04:00:34,715 --> 04:00:35,582 AFFECT FUTURE FERTILITY AS 6244 04:00:35,582 --> 04:00:37,685 SOMETHING TO CONSIDER. 6245 04:00:37,685 --> 04:00:41,855 I WASN'T SURE WHERE YOUR GUIN 6246 04:00:41,855 --> 04:00:43,891 COALING FELL WITHIN THIS, 6247 04:00:43,891 --> 04:00:48,562 STRATEGY, IN PARTICULAR PELVIC 6248 04:00:48,562 --> 04:00:49,997 HELT AND YOU KNOW THAT'S AN 6249 04:00:49,997 --> 04:00:52,700 IMPORTANT PART OF WOMEN'S HEALTH 6250 04:00:52,700 --> 04:00:54,101 FWE THINK ABOUT THE QUALITY OF 6251 04:00:54,101 --> 04:00:55,836 CARE AND QUALITY OF LIFE AND 6252 04:00:55,836 --> 04:00:57,371 MODEL CITIZEN BI BILITY AND IT 6253 04:00:57,371 --> 04:01:02,976 WASN'T CLEAR TO ME WHERE, I 6254 04:01:02,976 --> 04:01:05,646 WOULD LIKE TO RECOMMEND WE ARE A 6255 04:01:05,646 --> 04:01:07,815 BIT BROADER WITH THE PAIN AND 6256 04:01:07,815 --> 04:01:09,650 PELVIC PAIN BECAUSE 1 THING THAT 6257 04:01:09,650 --> 04:01:12,286 IS ALSO REALLY UNDERSTUDIED IS 6258 04:01:12,286 --> 04:01:14,922 THAT IS SIGNIFICANT SOURCE FOR 6259 04:01:14,922 --> 04:01:18,325 THIS FUNCTION, LOSS OF WAGE AND 6260 04:01:18,325 --> 04:01:21,462 ALL THAT AND THAT'S NOT 6261 04:01:21,462 --> 04:01:22,730 NECESSARILY RELATED TO--IT'S NOT 6262 04:01:22,730 --> 04:01:26,934 RELATED TO FIBROIDS AND IT'S NOT 6263 04:01:26,934 --> 04:01:28,569 PARTICULARLY RELATED TO 6264 04:01:28,569 --> 04:01:30,037 ENDOMETRIOSIS, I WOULD WORRY 6265 04:01:30,037 --> 04:01:33,374 ABOUT BEING TOO PRESCRIPTIVE AND 6266 04:01:33,374 --> 04:01:34,308 FOCUSED ON ENDOMETRIOSIS SO THAT 6267 04:01:34,308 --> 04:01:37,644 WE LEFT OUT OTHER AREAS THAT ARE 6268 04:01:37,644 --> 04:01:40,581 ALSO UNDER STUDIES AND JUST, YOU 6269 04:01:40,581 --> 04:01:45,986 KNOW, JAM PACKED IN TERMS OF THE 6270 04:01:45,986 --> 04:01:47,154 MEDICAL IMPACT. 6271 04:01:47,154 --> 04:01:47,621 NRIGHT. 6272 04:01:47,621 --> 04:01:49,823 THOSE ARE GREAT FEEDBACK TO TAKE 6273 04:01:49,823 --> 04:01:51,759 BACK TO THE TEAM. 6274 04:01:51,759 --> 04:01:52,860 AS I MENTIONED WE'RE JUST 6275 04:01:52,860 --> 04:01:53,894 GETTING START WIDE THE 6276 04:01:53,894 --> 04:01:55,162 DEVELOPMENT OF THE 6277 04:01:55,162 --> 04:01:56,730 IMPLEMENTATION PLAN WHERE WE'RE 6278 04:01:56,730 --> 04:02:00,601 GOING TO SORT OF MORE 6279 04:02:00,601 --> 04:02:02,302 SPECIFICITY IN EXACTLY WHAT THE 6280 04:02:02,302 --> 04:02:08,442 INSTITUTINGS WILL DO TO ACHIEVE 6281 04:02:08,442 --> 04:02:09,109 THESE OBJECTIVES. 6282 04:02:09,109 --> 04:02:12,613 SO THANK YOU NTHIS IS CANDAS, 6283 04:02:12,613 --> 04:02:14,348 CAN I CHIME IN REAL QUICK BEFORE 6284 04:02:14,348 --> 04:02:16,016 I HAVE TO LEAVE, I WANT TO 6285 04:02:16,016 --> 04:02:17,484 RESPOND THIS IS ACTUALLY THE 6286 04:02:17,484 --> 04:02:20,020 FIRST TIME IN THIS REFRESH THAT 6287 04:02:20,020 --> 04:02:21,755 WE'VE BEEN ABLE TO--START MY 6288 04:02:21,755 --> 04:02:26,160 VIDEO THAT WE'VE BEEN ABLE TO 6289 04:02:26,160 --> 04:02:30,564 INCLUDE OUR PRIORITY OF PELVIC 6290 04:02:30,564 --> 04:02:32,699 FLOOR HEALTH SERIES POINTS 6291 04:02:32,699 --> 04:02:34,067 PELVIC FLOOR DISORDERS AND 6292 04:02:34,067 --> 04:02:36,036 NETWORK JUST BECAME START OF OUR 6293 04:02:36,036 --> 04:02:37,805 STRATEGIC PLAN FOR THIS REFRESH 6294 04:02:37,805 --> 04:02:39,206 O HIGHLIGHTING OUR EXISTING 6295 04:02:39,206 --> 04:02:39,907 PRIORITY THERE IS SOMETHING WE 6296 04:02:39,907 --> 04:02:41,842 WANT TO MAKE SURE THE COMMUNITY 6297 04:02:41,842 --> 04:02:42,976 KNOWS ABOUT, SO YOU'RE EXACTLY 6298 04:02:42,976 --> 04:02:43,177 RIGHT. 6299 04:02:43,177 --> 04:02:44,812 - IT ISA I PRIORITY FOR US AND 6300 04:02:44,812 --> 04:02:46,713 NOW IT IS LISTED IN THE 6301 04:02:46,713 --> 04:02:48,081 STRATEGIC PLAN, SO 1 OF OUR 6302 04:02:48,081 --> 04:02:50,150 OBLIGATIONS YECTIVES IN OUR 6303 04:02:50,150 --> 04:02:52,319 REFERENCE DOES REFERENCE THAT 6304 04:02:52,319 --> 04:02:54,922 PELVIC FLOOR DISORDERS AND 6305 04:02:54,922 --> 04:02:57,090 PELVIC FLOOR HEALTH IN GENERAL. 6306 04:02:57,090 --> 04:03:07,367 >> THANK YOU. 6307 04:03:08,836 --> 04:03:10,137 NTHANK YOU. 6308 04:03:10,137 --> 04:03:11,839 >> CAN I ASK'S QUESTION. 6309 04:03:11,839 --> 04:03:12,473 >> YES. 6310 04:03:12,473 --> 04:03:13,240 >> AS SOMEBODY MENTIONED, 6311 04:03:13,240 --> 04:03:14,308 THERE'S A LOT OF DIFFERENT 6312 04:03:14,308 --> 04:03:15,142 OPTIONINGS ON THE PLAN. 6313 04:03:15,142 --> 04:03:18,245 OUR GOALS ON THE PLAN WITH A LOT 6314 04:03:18,245 --> 04:03:19,613 OF SUBCOMPONENTS UNDER EACH 6315 04:03:19,613 --> 04:03:20,080 GOAL. 6316 04:03:20,080 --> 04:03:21,515 ARE YOU ENVISIONS YOU WILL HAVE 6317 04:03:21,515 --> 04:03:24,284 OUTCOME METRICS ON ETCH - OF THE 6318 04:03:24,284 --> 04:03:25,118 SUBDIVISIONS OF EACH OF THE 6319 04:03:25,118 --> 04:03:26,787 GOALS OR A SMALLER NUMBER OF 6320 04:03:26,787 --> 04:03:28,288 OUTCOME METRICS TO SEE HOW WELL 6321 04:03:28,288 --> 04:03:30,257 YOU'RE DOING ON THE PLAN. 6322 04:03:30,257 --> 04:03:38,699 >> WE'RE ESTABLISHED METRICS FOR 6323 04:03:38,699 --> 04:03:40,467 ALL THE ACTIVITIES AND AT THE 6324 04:03:40,467 --> 04:03:42,336 ACTIVITY LEVEL, THAT WAS DONE AS 6325 04:03:42,336 --> 04:03:43,070 THE PERFORMANCE ANALYSIS AND 6326 04:03:43,070 --> 04:03:44,705 SHARED WITH THE WORKING MEMBER 6327 04:03:44,705 --> 04:03:45,873 FROM THE FIRST 3 YEARS OF THE 6328 04:03:45,873 --> 04:03:47,174 PLAN NFOR THE NEW PLAN? 6329 04:03:47,174 --> 04:03:48,675 >> YEAH, WE WILL BE DOING THAT, 6330 04:03:48,675 --> 04:03:51,111 THAT'S PART OF THE 6331 04:03:51,111 --> 04:04:00,988 IMPLEMENTATION PLAN PROCESS. 6332 04:04:00,988 --> 04:04:01,788 YES. 6333 04:04:01,788 --> 04:04:03,223 >> OKAY, THANK YOU FOR YOUR 6334 04:04:03,223 --> 04:04:03,557 PRESENTATION. 6335 04:04:03,557 --> 04:04:09,263 IN TERMS OF PROMOTE BEING BRAIN 6336 04:04:09,263 --> 04:04:10,998 HEALTH AND BACKBONE LEARNING, 6337 04:04:10,998 --> 04:04:15,202 THAT EFFORT FROM NIH, IN TERMS 6338 04:04:15,202 --> 04:04:17,371 OF FOR EXAMPLE, THE 6339 04:04:17,371 --> 04:04:20,440 [INDISCERNIBLE] NOW, BUT THE 6340 04:04:20,440 --> 04:04:20,607 HAS 6341 04:04:20,607 --> 04:04:22,075 BEEN IN THE [INDISCERNIBLE] AND 6342 04:04:22,075 --> 04:04:26,013 IT'S BEEN A UNIQUE WAY TO BRING 6343 04:04:26,013 --> 04:04:33,420 THAT TO THE PEDIATRIC SITE TO 6344 04:04:33,420 --> 04:04:35,856 THE CHILDREN, NOT ONLY FOR THAT 6345 04:04:35,856 --> 04:04:38,025 BUT FOR SPECIFIC DEVELOPMENT, 6346 04:04:38,025 --> 04:04:39,192 MAYBE THROUGH A DIFFERENT LENS, 6347 04:04:39,192 --> 04:04:43,096 RIGHT IN BUT MAYBE WE CAN BE 6348 04:04:43,096 --> 04:04:44,464 MORE SPECIFIC ON THE OPPORTUNITY 6349 04:04:44,464 --> 04:04:54,942 OF THE ARCH AND THE OTHER IS 6350 04:05:23,971 --> 04:05:26,306 TERMS OF THE NEW TERM I HEARD IS 6351 04:05:26,306 --> 04:05:29,676 RESPONSIBLE AI, SO THAT WILL BE 6352 04:05:29,676 --> 04:05:30,644 CERTAINLY PART OF WHAT WEIGH 6353 04:05:30,644 --> 04:05:40,320 THINK ABOUT GOING BACK. 6354 04:05:40,320 --> 04:05:43,824 NYEAH, 1 AREA THAT MAYBE I 6355 04:05:43,824 --> 04:05:46,026 MISSED THAT I THOUGHT SHOULD BE 6356 04:05:46,026 --> 04:05:47,761 MENTIONED WAS GENE THERAPY. 6357 04:05:47,761 --> 04:05:50,330 I THINK THERAPEUTIC IS THE VERY 6358 04:05:50,330 --> 04:05:52,633 IMPORTANT AREA THAT WE NEED TO 6359 04:05:52,633 --> 04:05:52,899 INCLUDE. 6360 04:05:52,899 --> 04:05:54,267 CAN YOU HEAR ME. 6361 04:05:54,267 --> 04:05:56,103 >> SHE SAID GENE THERAPY. 6362 04:05:56,103 --> 04:05:58,171 >> OKAY, I COULD NOT HEAR YOU. 6363 04:05:58,171 --> 04:06:00,907 >> YEAH, YEAH. 6364 04:06:00,907 --> 04:06:06,747 >> I MEAN, I DON'T SEE HERE. 6365 04:06:06,747 --> 04:06:07,214 >> OKAY. 6366 04:06:07,214 --> 04:06:09,282 >> I THINK THAT'S A BIG AREA OF 6367 04:06:09,282 --> 04:06:11,852 GROWTH THAT WILL HAPPEN IN THE 6368 04:06:11,852 --> 04:06:12,185 COMING YEARS. 6369 04:06:12,185 --> 04:06:12,452 >> OKAY. 6370 04:06:12,452 --> 04:06:16,990 >> IT COULD BE BROADENED THOUGH 6371 04:06:16,990 --> 04:06:17,424 TO THERAPY. 6372 04:06:17,424 --> 04:06:20,694 >> YEAH, AND I THINK THAT NIH 6373 04:06:20,694 --> 04:06:23,730 AND INTRAMURAL COULD PLAY A BIG 6374 04:06:23,730 --> 04:06:27,701 ROLE AS WE'VE SEEN EARLIER THIS 6375 04:06:27,701 --> 04:06:28,101 MORNING. 6376 04:06:28,101 --> 04:06:30,804 BECAUSE WE HAVE THE RESOURCES TO 6377 04:06:30,804 --> 04:06:37,277 DEAL WITH ULTRA RARE DISEASES. 6378 04:06:37,277 --> 04:06:38,545 ANOTHER THING IS IF THE 6379 04:06:38,545 --> 04:06:41,848 ORGANIZATION OF THE NIH--IF 6380 04:06:41,848 --> 04:06:43,116 THERE'S GOING TO BE 6381 04:06:43,116 --> 04:06:47,521 REORGANIZATION OF THE NIH 6382 04:06:47,521 --> 04:06:48,989 INSTITUTES WHETHER OR NOT THERE 6383 04:06:48,989 --> 04:06:50,290 SHOULD BE SOMETHING SAID ABOUT 6384 04:06:50,290 --> 04:06:56,096 DISPARITY IN THESE CALLS AS 6385 04:06:56,096 --> 04:06:56,530 WELL. 6386 04:06:56,530 --> 04:06:58,532 WAS THERE AN OVERARCHING? 6387 04:06:58,532 --> 04:06:58,832 OKAY, OKAY? 6388 04:06:58,832 --> 04:07:03,737 AND ALSO I THINK THERE WAS SOME 6389 04:07:03,737 --> 04:07:05,806 MENTION ABOUT IDENTIFYING 6390 04:07:05,806 --> 04:07:08,508 FEATURES FOR HEALTHCARE DELIVERY 6391 04:07:08,508 --> 04:07:10,143 SOCKED WITH OUTCOMES AND I MEAN, 6392 04:07:10,143 --> 04:07:20,654 I THINK THERE'S ALSO PUSH FOR 6393 04:07:21,888 --> 04:07:22,355 OPPORTUNITY OUTREACH. 6394 04:07:22,355 --> 04:07:24,624 I'M SORRY CAN YOU HEAR ME NOW? 6395 04:07:24,624 --> 04:07:26,560 OKAY, I WASN'T CLOSE ENOUGH IN 6396 04:07:26,560 --> 04:07:28,261 TERMS OF TRYING TO DEVELOP 6397 04:07:28,261 --> 04:07:36,303 COMMUNITY OUTREACH. 6398 04:07:36,303 --> 04:07:37,604 FTHERE ARE NO MORE COMMENT, I 6399 04:07:37,604 --> 04:07:41,675 JUST WANT TO THANK YOU FOR YOUR 6400 04:07:41,675 --> 04:07:43,009 ATTENTION AND FEEDBACKOT DRAFT 6401 04:07:43,009 --> 04:07:48,582 PRIORITIES, WE WILL TAKE THOSE 6402 04:07:48,582 --> 04:07:50,050 FEEDBACK AND SHARE THEM AND PLAN 6403 04:07:50,050 --> 04:07:51,551 TO UPDATE THE PLAN GOING FORWARD 6404 04:07:51,551 --> 04:07:53,754 EMPLOY AS A REMINDER, IF YOU ARE 6405 04:07:53,754 --> 04:07:55,288 UNABLE TO SHARE FEEDBACK TODAY 6406 04:07:55,288 --> 04:08:00,026 OR HAVE ADDITIONAL FEEDBACK, YOU 6407 04:08:00,026 --> 04:08:01,328 WOULD AND YOU WOULD LIKE TO 6408 04:08:01,328 --> 04:08:02,596 SHARE PLEASE FEEL FREE TO 6409 04:08:02,596 --> 04:08:05,465 RESPOND TO THE RFI WHICH WILL 6410 04:08:05,465 --> 04:08:06,633 REMAIN OPEN ON SEPTEMBER 27th. 6411 04:08:06,633 --> 04:08:12,572 CAN I HAVE THE NEXT SLEED. 6412 04:08:12,572 --> 04:08:13,774 BEFORE WE CONCLUDE OUR 6413 04:08:13,774 --> 04:08:14,474 PRESENTATION, WE HAVE MANY 6414 04:08:14,474 --> 04:08:15,942 PEOPLE WE WOULD LIKE TO THANK 6415 04:08:15,942 --> 04:08:17,110 FOR THEIR EFFORTS IN THE 6416 04:08:17,110 --> 04:08:18,712 TRANSLATIONAL RESEARCH STIGIC 6417 04:08:18,712 --> 04:08:19,079 PLANLE REFLESH. 6418 04:08:19,079 --> 04:08:22,849 FIRST THANK FUR THE LYNCHING 6419 04:08:22,849 --> 04:08:23,784 SESSION FOR PARTICIPANTS WHO 6420 04:08:23,784 --> 04:08:25,619 TOOK AN HOUR AND A HALF OF THEIR 6421 04:08:25,619 --> 04:08:28,555 DAY TO PROVIDE US WITH HELPFUL 6422 04:08:28,555 --> 04:08:29,089 FEEDBACKOT PRIORITIES. 6423 04:08:29,089 --> 04:08:30,624 THEIR FEEDBACK WAS CAREFULLY 6424 04:08:30,624 --> 04:08:41,034 CONSIDERED BY SCIENTIFIC 6425 04:08:46,473 --> 04:08:47,140 RESEARCH WORKING GROUPS. 6426 04:08:47,140 --> 04:08:48,341 AND THANK THEM FOR GUIDING US 6427 04:08:48,341 --> 04:08:49,776 OVER THE LAST SEVERAL MONTHS 6428 04:08:49,776 --> 04:08:51,978 AND, NEXT SLIDE, AND THANK FOR 6429 04:08:51,978 --> 04:08:53,780 ALLOWING US TO SHARE OUR UPDATES 6430 04:08:53,780 --> 04:08:55,849 APPROXIMATE TODAY AND PROVIDING 6431 04:08:55,849 --> 04:08:57,050 FEEDBACK ON THIS PROCESS. 6432 04:08:57,050 --> 04:09:00,821 I WILL NOW PASS THE FLOOR TO 6433 04:09:00,821 --> 04:09:02,556 DR. BIANCHI, AND WHO WILL 6434 04:09:02,556 --> 04:09:06,626 FACILITATE OUR NEXT AGENDA ITEM. 6435 04:09:06,626 --> 04:09:12,465 >> THANK YOU FOR AN EXCELLENT 6436 04:09:12,465 --> 04:09:14,034 PRESENTATION AND ALL THOSE WHO 6437 04:09:14,034 --> 04:09:17,003 KRIEWBED THEIR TIME AND NICHD 6438 04:09:17,003 --> 04:09:19,406 MEMBERS, YOU SAW SO MANY OF THEM 6439 04:09:19,406 --> 04:09:21,775 AND THOSE LISTS INCLUDED BOTH 6440 04:09:21,775 --> 04:09:23,410 INTRAMURAL AND EXTRAMURAL AS 6441 04:09:23,410 --> 04:09:29,649 WELL AS ADMINISTRATIVE STAFF. 6442 04:09:29,649 --> 04:09:31,051 SO THERE'S BEEN A LOT OF INPUT 6443 04:09:31,051 --> 04:09:33,386 AND OF COURSE AS NOW THAT YOU 6444 04:09:33,386 --> 04:09:34,821 HAD A CHANCE TO WITH THE DRAFT 6445 04:09:34,821 --> 04:09:35,989 AND OBJECTIVE AND GOALS, YOU 6446 04:09:35,989 --> 04:09:38,625 HAVE A CHANCE TO THINK ABOUT IT, 6447 04:09:38,625 --> 04:09:41,161 PLEASE FEEL FREE TO WRITE MORE 6448 04:09:41,161 --> 04:09:42,095 AND ENCOURAGE YOUR COLLEAGUES TO 6449 04:09:42,095 --> 04:09:43,930 WEIGH IN AS WELL. 6450 04:09:43,930 --> 04:09:47,734 SO, NOW WE HAVE A BITTER SUITE 6451 04:09:47,734 --> 04:09:50,170 PART OF OUR COUNCIL MEMBER. 6452 04:09:50,170 --> 04:09:57,077 WE WILL HEAR FROM OUR RETIRING 6453 04:09:57,077 --> 04:09:58,979 MEMBERS AND LET ME JUST SAY THAT 6454 04:09:58,979 --> 04:10:03,650 WE ARE ENORMOUSLY GRATEFUL TO 6455 04:10:03,650 --> 04:10:04,751 ALL OF YOUR SERVICE YOU KNOW 6456 04:10:04,751 --> 04:10:06,720 WHAT YOU GIVE US IS PRICELESS, 6457 04:10:06,720 --> 04:10:08,455 YOU REALLY GIVE US YOUR 6458 04:10:08,455 --> 04:10:11,491 EXPERTISE, YOU DONATE YOUR TIME. 6459 04:10:11,491 --> 04:10:13,560 IT'S NOT EASY TO TRAVEL AND TAKE 6460 04:10:13,560 --> 04:10:16,730 TIME AWAY FROM YOUR DAY JOB AND 6461 04:10:16,730 --> 04:10:20,567 WE LISTENED TO YOU AND WE TRULY 6462 04:10:20,567 --> 04:10:21,935 APPRECIATE ALL OF YOUR COMMENTS. 6463 04:10:21,935 --> 04:10:28,041 SO WE'RE GOING TO START 6464 04:10:28,041 --> 04:10:28,775 VIRTUALLY SHARI, YOU WILL 6465 04:10:28,775 --> 04:10:31,144 RECEIVE IN THE MAIL A LOVELY 6466 04:10:31,144 --> 04:10:33,480 SUITABLE FOR FRAMING DOCUMENT 6467 04:10:33,480 --> 04:10:36,549 THAT FORTUNATELY I COULD NOT 6468 04:10:36,549 --> 04:10:38,251 FIND DR. TABAK, WHO SIGN THIS 6469 04:10:38,251 --> 04:10:41,688 IS, THIS IS AT SUCH A HIGH 6470 04:10:41,688 --> 04:10:44,090 LEVEL, IT GOES TO THE PRINCIPAL 6471 04:10:44,090 --> 04:10:45,926 DEPUTY DIRECTOR OF NIH BUT IF I 6472 04:10:45,926 --> 04:10:47,827 COULD SIGN IT, I CERTAINLY WOULD 6473 04:10:47,827 --> 04:10:49,129 TO THANK YOU. 6474 04:10:49,129 --> 04:10:52,899 SO YOU HAVE SLIGHTLY LESS THAN 5 6475 04:10:52,899 --> 04:10:55,602 MINUTES TO TELL US YOUR EXIT 6476 04:10:55,602 --> 04:10:56,236 COMMENTS. 6477 04:10:56,236 --> 04:10:58,171 >> WELL, I'M DPLAD, 5 MINUTES 6478 04:10:58,171 --> 04:11:00,273 FEELS LIKE A LUXURY, I FEEL TOO 6479 04:11:00,273 --> 04:11:01,875 YOUNG TO RETIRE BUT I WOULD LIKE 6480 04:11:01,875 --> 04:11:04,311 TO SAY THAT THOSE MOMENTS IN 6481 04:11:04,311 --> 04:11:05,345 YOUR LIFE WHERE YOU'RE IN THE 6482 04:11:05,345 --> 04:11:07,981 RIGHT PLACE AT THE RIGHT TIME 6483 04:11:07,981 --> 04:11:09,115 WITH THE RIGHT PEOPLE AND YOU 6484 04:11:09,115 --> 04:11:11,518 DON'T KNOW WHEN THOSE MOMENTS 6485 04:11:11,518 --> 04:11:11,851 HAPPEN. 6486 04:11:11,851 --> 04:11:15,388 THERE'S SORT OF AN X-FACTOR 6487 04:11:15,388 --> 04:11:17,424 SOMETHING THAT'S TRULY INAFFABLE 6488 04:11:17,424 --> 04:11:18,591 WHEN THE RIGHT TEAM COMES 6489 04:11:18,591 --> 04:11:19,926 TOGETHER AND I HAVE FELT THAT 6490 04:11:19,926 --> 04:11:20,961 WAY ON COUNCIL. 6491 04:11:20,961 --> 04:11:22,996 WE WERE EMERGING TOGETHER FROM 6492 04:11:22,996 --> 04:11:27,767 COVID, AND WE GOT TO SEE THAT 6493 04:11:27,767 --> 04:11:28,601 TRAJECTORY, THAT MOVEMENT FROM 6494 04:11:28,601 --> 04:11:30,136 FROM HOW TO HANDLE THINGS AND 6495 04:11:30,136 --> 04:11:31,471 MAKE GOOD DECISIONS IN DIFFERENT 6496 04:11:31,471 --> 04:11:31,871 CONTEXT TOGETHER. 6497 04:11:31,871 --> 04:11:34,207 I AM SO GRATEFUL FOR MY COHORT, 6498 04:11:34,207 --> 04:11:40,146 THERE ARE A LOT OF US THAT ARE 6499 04:11:40,146 --> 04:11:42,482 RETIRING TOGETHER AND I HOPE 6500 04:11:42,482 --> 04:11:43,316 QUEE HAVE REUNIONS BECAUSE THIS 6501 04:11:43,316 --> 04:11:44,918 IS A SPECIAL GROUP OF PEOPLE 6502 04:11:44,918 --> 04:11:47,087 I'VE BEEN HONORED TO SERVE WITH. 6503 04:11:47,087 --> 04:11:48,822 IT TOOK ME THE FIRST YEAR TO 6504 04:11:48,822 --> 04:11:50,056 UNDERSTAND WHAT SECOND REVIEW IS 6505 04:11:50,056 --> 04:11:52,892 BECAUSE I'M SO TRAINED TO THINK 6506 04:11:52,892 --> 04:11:54,294 ABOUT FIRST REVIEW AND ONCE THAT 6507 04:11:54,294 --> 04:11:56,730 CLICKS AND YOU REALIZE, HOW 6508 04:11:56,730 --> 04:11:59,199 INKRE TINSIBLELY SYSTEMATIC AND 6509 04:11:59,199 --> 04:12:02,369 THOUGHTFUL AND THOROUGH THIS 6510 04:12:02,369 --> 04:12:03,670 PROCESS IS, IT'S REALLY AN 6511 04:12:03,670 --> 04:12:08,375 INSPIRING THING TO BE PART OF C 6512 04:12:08,375 --> 04:12:10,844 BI AOOH NETWORK CHI, IS 6513 04:12:10,844 --> 04:12:12,912 INSPIRATIONAL TO US, I KNOW 6514 04:12:12,912 --> 04:12:15,215 YOU'RA A HUMBLE PERSON BUT IT 6515 04:12:15,215 --> 04:12:17,617 MAY BE HARD FOR YOU TO HEAR TOO 6516 04:12:17,617 --> 04:12:19,252 MANY ACCOLADES BUT YOUR STYLE OF 6517 04:12:19,252 --> 04:12:21,588 LEADERSHIP IS SO ENGAGING, IT'S 6518 04:12:21,588 --> 04:12:22,756 SO THOUGHTFUL, YOU'RE HOPE TO 6519 04:12:22,756 --> 04:12:25,191 IDEAS AND IN A WAY THAT A LOT OF 6520 04:12:25,191 --> 04:12:27,427 LEADERS AREN'T, AND IT'S REALLY 6521 04:12:27,427 --> 04:12:32,632 MADE NICHD BETTER FOR IT. 6522 04:12:32,632 --> 04:12:33,733 SO I APPRECIATE THAT IN ADDITION 6523 04:12:33,733 --> 04:12:36,036 TO THE VOICE OF THE PATIENT, YOU 6524 04:12:36,036 --> 04:12:41,307 GET THE VOICE OF THE COUNCIL 6525 04:12:41,307 --> 04:12:41,541 PERSON. 6526 04:12:41,541 --> 04:12:43,810 AND THE KEY THING IS 1 SCIENCE, 6527 04:12:43,810 --> 04:12:46,146 LEARNING THE LATEST AND GREATEST 6528 04:12:46,146 --> 04:12:47,614 SCIENCE, I TAKE NOTES, I WAS 6529 04:12:47,614 --> 04:12:49,449 JUST REVIEWING MOO I NOS BAH I 6530 04:12:49,449 --> 04:12:51,851 LEARN THINGS I WOULDN'T KNOW 6531 04:12:51,851 --> 04:12:56,356 OTHERWISE, I'M AN OBESITY 6532 04:12:56,356 --> 04:12:57,290 RESEARCHER LOOKS THROUGH 6533 04:12:57,290 --> 04:12:59,225 SCIENCE, I GET TO HEAR ABOUT 6534 04:12:59,225 --> 04:13:01,494 MUSK LO SKELETAL ISSUES AND THE 6535 04:13:01,494 --> 04:13:02,996 LATEST GENETICS BEHIND IT, SO 6536 04:13:02,996 --> 04:13:04,330 EXPABDING MY MIND PERSONALLY AS 6537 04:13:04,330 --> 04:13:08,635 WELL AS SECOND WHICH IS 6538 04:13:08,635 --> 04:13:09,702 UNDERSTANDING HOW WE CAN LEND 6539 04:13:09,702 --> 04:13:13,673 OUR VOICE TO HOPEFULLY 6540 04:13:13,673 --> 04:13:15,175 CONTRIBUTE TEA LARGER IMPACT 6541 04:13:15,175 --> 04:13:16,609 BECAUSE WHAT NICHD DOES IS 6542 04:13:16,609 --> 04:13:17,677 REALLY REMARKABLE AND TO BE ABLE 6543 04:13:17,677 --> 04:13:21,047 TO BE A PART OF IT, IS A TRUE 6544 04:13:21,047 --> 04:13:21,381 HONOR. 6545 04:13:21,381 --> 04:13:23,817 SO, AND LASTLY I WOULD LIKE TO 6546 04:13:23,817 --> 04:13:26,086 SAY THAT NADDITION TO SCIENCE 6547 04:13:26,086 --> 04:13:27,587 AND LEARNING, WE BUILT THIS 6548 04:13:27,587 --> 04:13:28,888 COMMUNITY TOGETHER, THAT REALLY 6549 04:13:28,888 --> 04:13:29,255 MATTERS. 6550 04:13:29,255 --> 04:13:30,723 IT CHANGES HOW I THINK AS A 6551 04:13:30,723 --> 04:13:31,925 SCIENTIST AS WELL AS HOW I THINK 6552 04:13:31,925 --> 04:13:35,495 AS A LEADER AND A CHAIR. 6553 04:13:35,495 --> 04:13:36,729 SO THROUGH NICHD THIS, IS THE 6554 04:13:36,729 --> 04:13:38,231 LAST PART OF MY COMMENT. 6555 04:13:38,231 --> 04:13:42,035 YOU SHOULDN'T HAVE TOLD ME I HAD 6556 04:13:42,035 --> 04:13:43,536 5 MINUTES, DIANA, IS THAT I HAD 6557 04:13:43,536 --> 04:13:46,372 A CHANCE TO MEET MULTIPLE 6558 04:13:46,372 --> 04:13:47,774 COUNCIL MEMBERS MANY OF WHOM 6559 04:13:47,774 --> 04:13:48,942 HAVE ALREADY GRADUATED AND 1 OF 6560 04:13:48,942 --> 04:13:51,644 THEM WAS DR. LUCKY JANE AND HE 6561 04:13:51,644 --> 04:13:53,513 HAS TOUT ME SOY MUCH ABOUT 6562 04:13:53,513 --> 04:13:54,714 LEADERSHIP THAT AS OF TODAY I 6563 04:13:54,714 --> 04:13:57,217 HAVE JUST ANNOUNCED THAT I'M 6564 04:13:57,217 --> 04:13:59,385 GOING TO SUCCEED HIM AS THE 6565 04:13:59,385 --> 04:14:00,653 PEDIATRICIAN AND CHIEF AND THE 6566 04:14:00,653 --> 04:14:03,123 CHAIR AT CHILDREN'S HOSPITAL OF 6567 04:14:03,123 --> 04:14:03,356 ATLANTA. 6568 04:14:03,356 --> 04:14:04,757 AND I DON'T THINK THAT WOULD 6569 04:14:04,757 --> 04:14:12,332 HAVE HAPPENED IF I HADN'T KNOWN 6570 04:14:12,332 --> 04:14:14,801 HIM THROUGH THE LENS OF SCIENCE, 6571 04:14:14,801 --> 04:14:15,602 COMRADELY AND COMMUNITY. 6572 04:14:15,602 --> 04:14:22,142 THANK YOU MANY TIMES OVER. 6573 04:14:22,142 --> 04:14:26,646 KD--SALLY ARK PLAWZ NTHANK IF 6574 04:14:26,646 --> 04:14:28,248 YOU FOR YOUR COMMENTS AND 6575 04:14:28,248 --> 04:14:29,215 CONGRATULATIONS ON YOUR NEW 6576 04:14:29,215 --> 04:14:30,316 POSITION. 6577 04:14:30,316 --> 04:14:39,159 SO NEXT IS DR. CHRISTINA 6578 04:14:39,159 --> 04:14:41,194 BUCCI-RECHTWEG, WE WERE SO BLOWN 6579 04:14:41,194 --> 04:14:42,862 AWAY BY HER EXPERTISE AND UNIQUE 6580 04:14:42,862 --> 04:14:43,696 PERSPECTIVE THAT WE WANTED TO 6581 04:14:43,696 --> 04:14:48,134 HAVE HER AS A COUNCIL MEMBER. 6582 04:14:48,134 --> 04:14:57,710 SO CHRISTINA I WILL GIVE YOU A 6583 04:14:57,710 --> 04:14:58,444 SUITABLE FOR FRAMING ALTHOUGH, 6584 04:14:58,444 --> 04:15:01,848 CAN YOU USE IT AS SOMETHING TO 6585 04:15:01,848 --> 04:15:02,749 WRITE ON, CERTIFICATE. 6586 04:15:02,749 --> 04:15:05,118 SO ONCE YOU'RE DONE, I WILL HAND 6587 04:15:05,118 --> 04:15:09,355 YOU YOUR SURTEFICATE. 6588 04:15:09,355 --> 04:15:09,856 I. 6589 04:15:09,856 --> 04:15:10,290 >> THANK YOU. 6590 04:15:10,290 --> 04:15:12,225 I LOVED RECEIVING THE CALL TO 6591 04:15:12,225 --> 04:15:13,426 SAY IS THIS SOMETHING YOU WOULD 6592 04:15:13,426 --> 04:15:14,727 BE INTERESTED IN AND SOMEBODY IN 6593 04:15:14,727 --> 04:15:17,363 THIS COMMITTEE WOULD BE A 6594 04:15:17,363 --> 04:15:18,331 PRIVATE SECTOR, EMPLOYEE FOR TOP 6595 04:15:18,331 --> 04:15:21,167 10 RESEARCH AND DEVELOPMENT, AND 6596 04:15:21,167 --> 04:15:22,635 WORK LIMITATION GLOBALLY, IT'S 6597 04:15:22,635 --> 04:15:24,437 BEEN REALLY AN IMPORTANT 6598 04:15:24,437 --> 04:15:26,806 EXPERIENCE TO HAVE, FRANKLY 6599 04:15:26,806 --> 04:15:29,242 BECAUSE WE CANNOT DO WHAT WE DO 6600 04:15:29,242 --> 04:15:39,786 WITHOUT THE INCREDIBLE PEOPLE IN 6601 04:15:41,020 --> 04:15:44,524 THE ROOM AND THE ABSOLUTELY 6602 04:15:44,524 --> 04:15:45,858 INCREDIBLE CLINICAL RESEARCHERS 6603 04:15:45,858 --> 04:15:46,726 OUT THERE. 6604 04:15:46,726 --> 04:15:47,894 SO WE ENTIRELY RELY ON 6605 04:15:47,894 --> 04:15:48,695 COLLABORATION TO BE SUCCESSFUL 6606 04:15:48,695 --> 04:15:57,971 IN THE WORK THAT WE DO. 6607 04:15:57,971 --> 04:16:01,841 AND SINCE MY AREA OF THERAPEUTIC 6608 04:16:01,841 --> 04:16:03,776 DEVELOPMENT, IT'S JUST BEEN MY 6609 04:16:03,776 --> 04:16:06,779 LUCK, AND THE PLAN TO BE BUDDIED 6610 04:16:06,779 --> 04:16:08,381 UP WITH DR. [INDISCERNIBLE] IN 6611 04:16:08,381 --> 04:16:11,351 THE BACK ROW, IT'S BEEN SUCH AN 6612 04:16:11,351 --> 04:16:12,652 INSPIRATION, WHAT DO YOU WITH 6613 04:16:12,652 --> 04:16:14,120 HOW LITTLE FUNDING HAVE YOU AND 6614 04:16:14,120 --> 04:16:21,361 HOW DRIVEN YOU AND YOUR PEOPLE 6615 04:16:21,361 --> 04:16:22,929 ARE IS SO INSPIRING, AND THE 6616 04:16:22,929 --> 04:16:24,964 THING I WANT TO DO IS BECAUSE 6617 04:16:24,964 --> 04:16:27,700 JERRY SAID THIS FROM EARLIER 6618 04:16:27,700 --> 04:16:30,703 TODAY, NIH IS AN AMAZINGLY 6619 04:16:30,703 --> 04:16:32,105 RESEARCH RESOURCE, SO, I WANT 6620 04:16:32,105 --> 04:16:39,545 EVERYONE IN THIS ROOM TO 6621 04:16:39,545 --> 04:16:41,080 UNDERSTAND THAT WHEN YOU TRAINED 6622 04:16:41,080 --> 04:16:42,448 SO DEFINITELY THE INDIVIDUALS 6623 04:16:42,448 --> 04:16:44,183 WHO 10 COME TO WORK WITH US 6624 04:16:44,183 --> 04:16:45,251 EITHER IN OUR NONCLINICAL 6625 04:16:45,251 --> 04:16:47,887 RESEARCH LABS OR IN OUR CLINICAL 6626 04:16:47,887 --> 04:16:53,159 AND OUR CLINICAL PORTION OF OUR 6627 04:16:53,159 --> 04:16:54,294 ORGANIZATIONS, WE CAN SEE THE 6628 04:16:54,294 --> 04:16:56,029 CARE AND THE ATTENTION THAT YOU 6629 04:16:56,029 --> 04:16:58,531 PUT INTO THEIR TRAINING, AND 6630 04:16:58,531 --> 04:16:59,899 LIKE I SAID, WE CAN'T DO 6631 04:16:59,899 --> 04:17:01,668 ANYTHING THAT WE DO WITHOUT YOUR 6632 04:17:01,668 --> 04:17:03,102 COLLABORATIONS, I THINK IF 6633 04:17:03,102 --> 04:17:05,505 THERE'S A 1 THING I WANT YOU TO 6634 04:17:05,505 --> 04:17:16,049 WALK AWAY WITH IS THAT THERE ARE 6635 04:17:19,218 --> 04:17:20,687 SORTS OF US THIS IS HOW WE 6636 04:17:20,687 --> 04:17:21,654 IMPROVE THE HEALTH OF THE NGZ, 6637 04:17:21,654 --> 04:17:23,456 THIS IS HOW WE IMPROVE THE 6638 04:17:23,456 --> 04:17:25,058 HEALTH OF THE GLOBE AND I JUST 6639 04:17:25,058 --> 04:17:26,726 WANT TO AGAIN GO BACK TO THAT 6640 04:17:26,726 --> 04:17:27,627 COMMENT FROM JERRY BECAUSE I 6641 04:17:27,627 --> 04:17:35,768 WORK FOR A GLOBAL DRUG 6642 04:17:35,768 --> 04:17:36,369 DEVELOPMENT COMPANY. 6643 04:17:36,369 --> 04:17:38,237 IT'S NOT JUST PEOPLE WHO LOOK AT 6644 04:17:38,237 --> 04:17:39,972 THE WORK AND THE RESEARCH AND 6645 04:17:39,972 --> 04:17:41,007 RESOURCE, WE HEAR FROM PEOPLE 6646 04:17:41,007 --> 04:17:44,110 ALL THE TIME ALL OVER THE GLOBE 6647 04:17:44,110 --> 04:17:45,611 HOW ENVIOUS THEY ARE OF THE 6648 04:17:45,611 --> 04:17:48,448 STRUCTURE WE HAVE HERE IN THE 6649 04:17:48,448 --> 04:17:49,882 UNITED STATES, SO, I SIT ON THE 6650 04:17:49,882 --> 04:17:51,517 POLICY SIDE OF MY ORGANIZATION, 6651 04:17:51,517 --> 04:17:53,586 I NEED YOU ALL TO KNOW YOU HAVE 6652 04:17:53,586 --> 04:17:54,787 A RESOURCE AND ME AND THE 6653 04:17:54,787 --> 04:17:55,955 ORGANIZATION I WORK WITH TO 6654 04:17:55,955 --> 04:17:58,491 INSURE THAT WE CONTINUE TO GET 6655 04:17:58,491 --> 04:17:59,659 YOU FUNDED, CONTINUE TO DO THE 6656 04:17:59,659 --> 04:18:02,729 THINGS YOU DO SO EXPERTISE AND 6657 04:18:02,729 --> 04:18:03,763 SO ADEPTLY. 6658 04:18:03,763 --> 04:18:05,865 IT'S ABSOLUTELY APPALLING TO ME 6659 04:18:05,865 --> 04:18:08,368 THAT THE NIH BBCA PROGRAM HAS 6660 04:18:08,368 --> 04:18:10,103 BEEN FLATLY FUNDED FOR 20 YEARS. 6661 04:18:10,103 --> 04:18:11,504 THIS CANNOT CONTINUE TO HAPPEN 6662 04:18:11,504 --> 04:18:13,039 THIS WAY EMPLOY WE NEED TO 6663 04:18:13,039 --> 04:18:14,774 INVEST IN CHILDREN, WE NEED TO 6664 04:18:14,774 --> 04:18:16,409 INVEST IN PREGNANT WOMEN, WOE 6665 04:18:16,409 --> 04:18:18,244 NEED TO INVEST IN LACTATING 6666 04:18:18,244 --> 04:18:21,514 WOMEN, THIS IS OUR FUTURE AND I 6667 04:18:21,514 --> 04:18:22,949 THINK THERE'S 1 THING I CAN TAKE 6668 04:18:22,949 --> 04:18:25,551 AWAY FROM HERE, THAT I SEE WITH 6669 04:18:25,551 --> 04:18:27,754 VERY WIDE EYES JUST HOW 6670 04:18:27,754 --> 04:18:29,422 INCREDIBLE THIS NETWORK IS, AND 6671 04:18:29,422 --> 04:18:30,022 CONGRATULATIONS TO YOU. 6672 04:18:30,022 --> 04:18:40,400 BECAUSE IT'S WITH YOUR 6673 04:18:43,136 --> 04:18:43,403 LEADERSHIP. 6674 04:18:43,403 --> 04:18:43,703 NTHANK YOU. 6675 04:18:43,703 --> 04:18:47,407 WE ARE SO PLESESSED TO HAVE AN 6676 04:18:47,407 --> 04:18:50,243 AMAZING TEAM BOTH INTRAMURAL, 6677 04:18:50,243 --> 04:19:00,720 EXTRAMURAL AND ADMIN STRAIOF 6678 04:19:04,257 --> 04:19:04,490 THIVE FOLKS. 6679 04:19:04,490 --> 04:19:04,857 [ APPLAUSE ] 6680 04:19:04,857 --> 04:19:08,928 >> NEXT PERSON IS KATHRYN LANG, 6681 04:19:08,928 --> 04:19:10,663 NTHANK YOU, I WILL BE BRIEF. 6682 04:19:10,663 --> 04:19:12,165 I AM THANK WILL FOR THE 6683 04:19:12,165 --> 04:19:14,333 OPPORTUNITY TO SERVE, I OFTEN 6684 04:19:14,333 --> 04:19:16,068 GET REFERRED TO BY THERESA CRUZ 6685 04:19:16,068 --> 04:19:17,470 AND HER TEAM, AND I AM 6686 04:19:17,470 --> 04:19:18,871 APPRECIATIVE OF THAT BUT THIS 1 6687 04:19:18,871 --> 04:19:20,440 IS THE BEST 1 SO FAR, THIS HAS 6688 04:19:20,440 --> 04:19:22,575 BEEN A REALLY VALUABLE 6689 04:19:22,575 --> 04:19:26,012 EXPERIENCE FOR SOMEONE WHO COMES 6690 04:19:26,012 --> 04:19:26,946 FROM THE REHABILITATION SPACE 6691 04:19:26,946 --> 04:19:28,481 AND WORKS WITH ADULTS WE HAVE 6692 04:19:28,481 --> 04:19:30,883 RESEARCH, AND IT FITS INTO NICHD 6693 04:19:30,883 --> 04:19:32,518 AND DEVELOP A NEW APPRECIATION 6694 04:19:32,518 --> 04:19:34,520 FOR SHARED VALUES AND SHARED 6695 04:19:34,520 --> 04:19:35,221 APPROACHES BETWEEN THESE 6696 04:19:35,221 --> 04:19:36,189 DIFFERENT AREAS OF SCIENCE. 6697 04:19:36,189 --> 04:19:39,158 THERE'S A LOT MORE SIMILARITIES 6698 04:19:39,158 --> 04:19:41,027 THAN DIFFERENCES, SO, WE--I FELT 6699 04:19:41,027 --> 04:19:43,129 VERY VALUED BY THE NICHD 6700 04:19:43,129 --> 04:19:47,366 LEADERSHIP AND I FEEL LIKE THIS 6701 04:19:47,366 --> 04:19:49,569 IS A LEADERSHIP THAT GENERALLY 6702 04:19:49,569 --> 04:19:50,536 VALUES OR LEADERSHIP, WE'RE NOT 6703 04:19:50,536 --> 04:19:52,839 HERE FOR SHOW, THAT'S BEEN 6704 04:19:52,839 --> 04:19:54,006 WONDERFUL AND I LEAVE THE 6705 04:19:54,006 --> 04:19:56,142 SERVICE I HAVE WITH YOU WITH 6706 04:19:56,142 --> 04:20:02,682 MAKING NEW FRIENDS, SO I ECHO 6707 04:20:02,682 --> 04:20:05,418 SHARI'S COMMENTS, SAD YOU'RE NOT 6708 04:20:05,418 --> 04:20:06,953 HERE, BUT SHARING A BETTER 6709 04:20:06,953 --> 04:20:08,187 PERSPECTIVE ON LIFE AND SCIENCE. 6710 04:20:08,187 --> 04:20:14,393 THANK YOU. 6711 04:20:14,393 --> 04:20:24,904 KD--SALLY ARK PLAWZ DR. NEAL- 6712 04:20:25,705 --> 04:20:26,072 PERRY. 6713 04:20:26,072 --> 04:20:28,608 NIT'S HARD FOLLOWING UP AFTER 6714 04:20:28,608 --> 04:20:29,408 THESE WONDERFUL COMMENTS OF 6715 04:20:29,408 --> 04:20:31,043 PEOPLE WHO SAID THINGS THAT 6716 04:20:31,043 --> 04:20:32,645 REALLY RESONATE WITH ME BUT I'M 6717 04:20:32,645 --> 04:20:40,319 GLAD I'M NOT THE LAST PERSON. 6718 04:20:40,319 --> 04:20:41,854 YOU KNOW IT HAS RULE BEEN AN 6719 04:20:41,854 --> 04:20:43,689 HONOR ON THIS PROCESS AND IT HAS 6720 04:20:43,689 --> 04:20:45,658 BEEN A LITTLE BIT LIKE THE 6721 04:20:45,658 --> 04:20:47,527 WIZARD OF OZ, YOU KNOW YOU'RE ON 6722 04:20:47,527 --> 04:20:48,594 THE YELLOW BRICK ROAD AND YOU'RE 6723 04:20:48,594 --> 04:20:50,229 TRYING TO GET THERE AND FIGURE 6724 04:20:50,229 --> 04:20:51,664 OUT THINGS AND ONCE YOU GET 6725 04:20:51,664 --> 04:20:56,002 THERE, WE HAVE, YOU KNOW THE OZ, 6726 04:20:56,002 --> 04:20:58,137 DIANA, AND WE LEARN ABOUT ALL 6727 04:20:58,137 --> 04:20:59,372 THE THINGS BEHIND THE CURTAIN 6728 04:20:59,372 --> 04:21:03,209 AND IT HAS TRULY BEEN A 6729 04:21:03,209 --> 04:21:04,443 REWARDING AND UPLIFTING 6730 04:21:04,443 --> 04:21:05,011 EXPERIENCE. 6731 04:21:05,011 --> 04:21:08,014 IT'S JUST BEEN AMAZING TO LEARN 6732 04:21:08,014 --> 04:21:09,715 ABOUT ALL THE RESEARCH AND TO BE 6733 04:21:09,715 --> 04:21:11,884 A PART OF REALLY MAKING A 6734 04:21:11,884 --> 04:21:13,085 DIFFERENCE AND I TRULY HAVE FELT 6735 04:21:13,085 --> 04:21:17,123 THAT WAY, THAT THE WORK THAT WE 6736 04:21:17,123 --> 04:21:20,059 DO MATTERS AND AS KATHRYN SAID, 6737 04:21:20,059 --> 04:21:21,494 FELT VALUED AND FELT HEARD 6738 04:21:21,494 --> 04:21:29,635 BECAUSE THAT'S ALSO REALLY, 6739 04:21:29,635 --> 04:21:30,036 REALLY IMPORTANT. 6740 04:21:30,036 --> 04:21:34,707 I WANT TO SAY THANK TO YOU 6741 04:21:34,707 --> 04:21:37,009 DIANA, REBECCA AND JOHAN, AND 6742 04:21:37,009 --> 04:21:39,211 MAKING THIS LOOK SIMPLE, AND 6743 04:21:39,211 --> 04:21:40,913 IT'S A SKILL, IT'S A TALENT. 6744 04:21:40,913 --> 04:21:42,782 BEING ABLE TO DO AND HAVING US 6745 04:21:42,782 --> 04:21:44,584 ALL FEEL LIKE WE'RE CONNECTED 6746 04:21:44,584 --> 04:21:46,552 AND WE'RE VALUED. 6747 04:21:46,552 --> 04:21:49,188 I DO HAVE 1 COMPLAINT AND IT'S 6748 04:21:49,188 --> 04:21:52,992 NOT YOUR FAULT, IT WAS COVID 6749 04:21:52,992 --> 04:21:54,193 BECAUSE I FELT LIKE COVID TOOK 6750 04:21:54,193 --> 04:21:58,531 ARK WAY FROM OUR EXPERIENCE OF 6751 04:21:58,531 --> 04:21:59,799 BEING TOGETHER AND WHILE ZOOM 6752 04:21:59,799 --> 04:22:00,967 WORKS IT IS NOTHING LIKE BEING 6753 04:22:00,967 --> 04:22:02,802 HERE IN PERSON AND HAVING THAT 6754 04:22:02,802 --> 04:22:05,972 OPPORTUNITY TO TALK TO EACH 1 OF 6755 04:22:05,972 --> 04:22:07,974 YOU ASK LEARN FROM YOU AND TO BE 6756 04:22:07,974 --> 04:22:08,441 ABLE TO SHARE. 6757 04:22:08,441 --> 04:22:11,043 SO THANK YOU FOR THE EXPERIENCE, 6758 04:22:11,043 --> 04:22:12,311 YOU KNOW I'M HAPPY TO HAVE BEEN 6759 04:22:12,311 --> 04:22:16,515 HERE AND WILL ALWAYS BE A FAN OF 6760 04:22:16,515 --> 04:22:17,984 THIS PROCESS, AND CAN REALLY 6761 04:22:17,984 --> 04:22:19,885 SPEAK OUTSIDE OF HERE LIKE 6762 04:22:19,885 --> 04:22:21,721 ACTUALLY IT'S QUITE FAIR, BUZZ 6763 04:22:21,721 --> 04:22:23,456 YOU KNOW THAT THERE ALSO THOSE 6764 04:22:23,456 --> 04:22:25,524 THOSE PEOPLE, NO IT'S NOT, 6765 04:22:25,524 --> 04:22:26,692 THERE'S REALLY A LOT OF THOUGHT 6766 04:22:26,692 --> 04:22:30,563 THAT GOES INTO IT SO THANK YOU 6767 04:22:30,563 --> 04:22:31,697 FOR THE OPPORTUNITY. 6768 04:22:31,697 --> 04:22:37,970 NTHANK YOU SO MUCH GENEVIEVE. 6769 04:22:37,970 --> 04:22:48,180 [ APPLAUSE ] 6770 04:22:54,687 --> 04:22:56,055 OKAY AND BEFORE WE GET TO DAVID 6771 04:22:56,055 --> 04:23:00,459 I WOULD LOVE TO GET A PICTURE 6772 04:23:00,459 --> 04:23:01,394 WITH THE RETIRING COUNCIL 6773 04:23:01,394 --> 04:23:05,231 MEMBERS SO THAT WE HAVE IT FOR 6774 04:23:05,231 --> 04:23:08,834 PERPETUITY BUT ALSO FOR 1 OF OUR 6775 04:23:08,834 --> 04:23:09,702 NEWS LETTERS. 6776 04:23:09,702 --> 04:23:13,572 >> WILL YOU PHOTO SHOP ME IN. 6777 04:23:13,572 --> 04:23:15,741 >> PHOTO SHOP. 6778 04:23:15,741 --> 04:23:17,043 DR. DAVID ROWITCH. 6779 04:23:17,043 --> 04:23:18,144 NTHANK YOU DIANA, SO I WOULD 6780 04:23:18,144 --> 04:23:20,446 LIKE TO ECHO A LOT OF COMMENTS 6781 04:23:20,446 --> 04:23:21,947 OF THE PREVIOUS COMMENTS, I 6782 04:23:21,947 --> 04:23:23,482 WOULD LIKE TO EXPRESS MY 6783 04:23:23,482 --> 04:23:24,817 APPRECIATION FIRST TO COLLEAGUES 6784 04:23:24,817 --> 04:23:26,318 ON THE PANEL BECAUSE IT'S A RARE 6785 04:23:26,318 --> 04:23:29,422 PLEASURE TO BE ON A PLULTY 6786 04:23:29,422 --> 04:23:31,023 DISCIPLINARY PANEL WHERE WE GET 6787 04:23:31,023 --> 04:23:32,358 TO DEBATE AND DISCUSS THE TOPICS 6788 04:23:32,358 --> 04:23:37,096 IN OUR FIELD AND I AGREEN CELLS 6789 04:23:37,096 --> 04:23:39,632 WITH YOU IMRKS ENEVIEVE, MORE 6790 04:23:39,632 --> 04:23:40,833 FACE TIME WOULD HAVE BEEN GREAT 6791 04:23:40,833 --> 04:23:42,702 BUT I VALUE THE TIME WE HAD WITH 6792 04:23:42,702 --> 04:23:43,769 THE COUNCIL MEMBERS AND LOOK 6793 04:23:43,769 --> 04:23:44,704 FORWARD TO CONTINUING THAT. 6794 04:23:44,704 --> 04:23:47,540 TO PROGRAM AND STAFF, ALSO SAID 6795 04:23:47,540 --> 04:23:48,507 BEFORE THESE MEETINGS ARE REALLY 6796 04:23:48,507 --> 04:23:52,111 FUN TO COME TO, THEY'RE WELL 6797 04:23:52,111 --> 04:23:54,280 ORGANIZED, WE HAVE INTERESTING 6798 04:23:54,280 --> 04:23:56,215 SCIENTIFIC PRESENTATIONS, THE 6799 04:23:56,215 --> 04:23:58,284 VOICE OF THE PATIENT REALLY 6800 04:23:58,284 --> 04:24:00,486 DRIVES HOME THE MESSAGE OF NICHD 6801 04:24:00,486 --> 04:24:03,122 AND I LEAVE FEELING ENERGIZED 6802 04:24:03,122 --> 04:24:05,191 AND ALSO WITH THE FUTURE 6803 04:24:05,191 --> 04:24:08,928 CONCEPTS THAT WILL BE ASKED TO 6804 04:24:08,928 --> 04:24:09,995 APPROVE, THEY SHOW THE 6805 04:24:09,995 --> 04:24:10,830 THOUGHTFUL LOOK FORWARD THE 6806 04:24:10,830 --> 04:24:13,099 FEATURE AND WHERE IT SHOULD ANY, 6807 04:24:13,099 --> 04:24:15,067 YOU BRING US RECOMMEND EGGS THAT 6808 04:24:15,067 --> 04:24:16,836 IT USUALLY JUST REQUIRES SIMPLE 6809 04:24:16,836 --> 04:24:17,203 [INDISCERNIBLE]. 6810 04:24:17,203 --> 04:24:19,238 SO I APPRECIATE THE WORK AND 6811 04:24:19,238 --> 04:24:20,306 PROGRAM AND STAFF, AND I GUESS 6812 04:24:20,306 --> 04:24:23,876 ALL OF THIS REQUIRES A CONDUCTOR 6813 04:24:23,876 --> 04:24:26,078 SO TO DIANA FOR YOUR LEADERSHIP 6814 04:24:26,078 --> 04:24:30,349 AT NICHD AND ALSO JUST EXCITING 6815 04:24:30,349 --> 04:24:32,351 TO SEE HOW THE INSTITUTE AND 6816 04:24:32,351 --> 04:24:33,152 DEVELOPING STRATEGY GOING 6817 04:24:33,152 --> 04:24:35,755 FORWARD AND REALLY BEING THE 6818 04:24:35,755 --> 04:24:36,922 CHAMPION FOR WOMEN AND 6819 04:24:36,922 --> 04:24:38,290 CHILDREN'S HEALTH AND YOU WILL 6820 04:24:38,290 --> 04:24:39,725 ASK SUCH AN IMPORTANT TOPIC AND 6821 04:24:39,725 --> 04:24:41,427 SHOW THE DETERMINE NATION AND 6822 04:24:41,427 --> 04:24:43,362 COMMITMENT TO THAT GOAL, WHICH 6823 04:24:43,362 --> 04:24:48,634 WILL BE ABLE TO SHARE IN THIS 6824 04:24:48,634 --> 04:24:49,068 ROOM. 6825 04:24:49,068 --> 04:24:50,770 ALSO, I GUESS I'M IMPRESSED WITH 6826 04:24:50,770 --> 04:24:52,238 YOUR SKILL SET. 6827 04:24:52,238 --> 04:24:54,306 KNOW THE SCIENCE, CELL FREE DNA 6828 04:24:54,306 --> 04:24:57,510 AND THEN ALSO A DOCTOR OF GREAT 6829 04:24:57,510 --> 04:24:59,245 BEDSIDE MANNER AS WE SAW WITH 6830 04:24:59,245 --> 04:25:02,948 NATALIE TODAY AND OF COURSE I'M 6831 04:25:02,948 --> 04:25:04,450 CHIEF TEAPPEDDING AT BRIGHAM 6832 04:25:04,450 --> 04:25:06,085 WOMEN'S HOSPITAL IN THE 6833 04:25:06,085 --> 04:25:08,120 NONATOLOGY AND I WAS FORTUNATE 6834 04:25:08,120 --> 04:25:10,389 TO HAVE HER AS MY CAREER MENTOR 6835 04:25:10,389 --> 04:25:11,957 AND SO IT'S BEEN GREAT TO 6836 04:25:11,957 --> 04:25:13,225 RECONNECT AND IT'S 1 OF THE 6837 04:25:13,225 --> 04:25:15,294 REASONS WHY I WILL MISS COMING 6838 04:25:15,294 --> 04:25:17,163 TO THE MEETINGS, I ALSO WANT TO 6839 04:25:17,163 --> 04:25:21,500 SAY IT'S BEEN A PRIVILEGE AND 6840 04:25:21,500 --> 04:25:24,103 I'M GRATEFUL FOR THE OPPORTUNITY 6841 04:25:24,103 --> 04:25:26,238 TO PARTICIPATE NTHANK YOU VERY 6842 04:25:26,238 --> 04:25:26,639 MUCH, DAVID. 6843 04:25:26,639 --> 04:25:36,849 [ APPLAUSE ] 6844 04:25:45,558 --> 04:25:46,859 >> I KNOW THAT PEOPLE SINGLED ME 6845 04:25:46,859 --> 04:25:49,161 OUT BUT THIS IS A TEAM GAME AND 6846 04:25:49,161 --> 04:25:51,597 I'M SO FORTUNATE TO BE SUPPORTED 6847 04:25:51,597 --> 04:25:56,135 BY AN INCREDIBLE LEADERSHIP 6848 04:25:56,135 --> 04:25:57,369 TEAM, SOME OF WHOM ARE HERE 6849 04:25:57,369 --> 04:25:59,872 TODAY IN THIS ROW, THE 6850 04:25:59,872 --> 04:26:02,174 EXTRAMURAL BRANCH CHIEFS THE 6851 04:26:02,174 --> 04:26:04,076 INTRAMURAL PROGRAM, THE 6852 04:26:04,076 --> 04:26:04,677 ADMINISTRATIVE MANAGEMENT 6853 04:26:04,677 --> 04:26:08,080 BRANCH, THE GRANTS MANAGEMENT 6854 04:26:08,080 --> 04:26:09,748 BRANCH, SCIENTIFIC REVIEW, I 6855 04:26:09,748 --> 04:26:11,617 MEAN IT IS AN ENORMOUS 6856 04:26:11,617 --> 04:26:13,118 ORGANIZATION AND YOU KNOW IF DO 6857 04:26:13,118 --> 04:26:16,655 MAKE IT LOOK EASY BUT THERE IS A 6858 04:26:16,655 --> 04:26:18,224 LOT OF WORK BEHIND THE SCENES IN 6859 04:26:18,224 --> 04:26:19,825 PARTICULAR FOR THE SEPTEMBER 6860 04:26:19,825 --> 04:26:21,894 COUNCIL BECAUSE THERE'S A SHORT 6861 04:26:21,894 --> 04:26:24,830 INTERVAL BETWEEN JUNE EXPW 6862 04:26:24,830 --> 04:26:26,866 SEPTEMBER, AND WE ALSO HAVE THE 6863 04:26:26,866 --> 04:26:28,267 RUSH TO THE END OF THE FISCAL 6864 04:26:28,267 --> 04:26:30,903 YEAR, SO WE'RE TRYING TO SPEND 6865 04:26:30,903 --> 04:26:31,837 ALL OF OUR APPROPRIATED MONEY, 6866 04:26:31,837 --> 04:26:35,474 AND GET IT OUT TO ALL OF YOU AND 6867 04:26:35,474 --> 04:26:37,376 THAT IS ALSO AN ENORMOUS JOB, SO 6868 04:26:37,376 --> 04:26:39,011 I WOULD LIKE TO HAVE A ROUND OF 6869 04:26:39,011 --> 04:26:42,281 ARK PLAWZ FOR JUST THE--APPLAUSE 6870 04:26:42,281 --> 04:26:46,552 FOR JUST THE INCREDIBLE NICHD 6871 04:26:46,552 --> 04:26:47,052 TEAM. 6872 04:26:47,052 --> 04:26:53,325 [ APPLAUSE ] 6873 04:26:53,325 --> 04:26:54,927 >> DIANA, I MEANT TO SAY THIS 6874 04:26:54,927 --> 04:26:56,562 WHEN I WAS GIVING MY COMMENTS 6875 04:26:56,562 --> 04:26:59,131 CAN I ADD TO THAT, TOO, JUST 1 6876 04:26:59,131 --> 04:27:00,733 SMALL THING IF YOU DON'T KNOW, I 6877 04:27:00,733 --> 04:27:02,368 KNOW IT'S A STRANGE CALL OUT BUT 6878 04:27:02,368 --> 04:27:04,303 TO THE ETHIC AND COMPLIANCE 6879 04:27:04,303 --> 04:27:06,038 FOLKS HERE, FOR THE LAST 4 6880 04:27:06,038 --> 04:27:08,207 YEARS, I HAVE GIVEN YOU SUCH 6881 04:27:08,207 --> 04:27:11,377 HEADACHES AND HEART ATTACKS AND 6882 04:27:11,377 --> 04:27:14,613 AND YOU ARE JUST ABSOLUTELY 6883 04:27:14,613 --> 04:27:16,248 INCREDIBLE AND PATIENT AND WHEN 6884 04:27:16,248 --> 04:27:17,416 YOU'RE DEALING WITH SOMEONE WHO 6885 04:27:17,416 --> 04:27:19,018 IS IN THE PRIVATE SECTOR IS HAS 6886 04:27:19,018 --> 04:27:21,487 A LOT OF THINGS CHANGING 6887 04:27:21,487 --> 04:27:22,421 CONSTANTLY, AND I KNOW THAT HAS 6888 04:27:22,421 --> 04:27:24,390 BEEN A HEADACHE AND YOU DESERVE 6889 04:27:24,390 --> 04:27:26,592 SO MANY KUDOS AND TO THE PEOPLE 6890 04:27:26,592 --> 04:27:27,826 WHO ORGANIZE THE MEETINGS LIKE 6891 04:27:27,826 --> 04:27:30,529 SHOULD SHE GOING TO GET CLEARED 6892 04:27:30,529 --> 04:27:30,863 ANYTIME, EVER. 6893 04:27:30,863 --> 04:27:32,464 THANK YOU VERY MUCH. 6894 04:27:32,464 --> 04:27:33,632 HOAF HOPEFULLY YOUR HEADACHES 6895 04:27:33,632 --> 04:27:34,667 ARE NOT GOWN. 6896 04:27:34,667 --> 04:27:35,301 >> YES, AN IMPORTANT POINT. 6897 04:27:35,301 --> 04:27:37,469 THERE ARE A NUMBER OF OFFICES 6898 04:27:37,469 --> 04:27:41,273 THAT WE'VE MENTIONED TODAY. 6899 04:27:41,273 --> 04:27:43,475 THE OFFICE OF HEALTH EQUITY FOR 6900 04:27:43,475 --> 04:27:46,512 EXAMPLE, OFFICE OF DATA SCIENCE, 6901 04:27:46,512 --> 04:27:47,513 SHARING, IT'S GOING TO BE HARD 6902 04:27:47,513 --> 04:27:49,148 TO GO THROUGH THE WHOLE LIST BUT 6903 04:27:49,148 --> 04:27:52,952 THE OFFICE OF LEGISLATION, 6904 04:27:52,952 --> 04:27:54,920 PUBLIC POLICY AND ETHICS, 6905 04:27:54,920 --> 04:27:57,456 COMMITTEE MANAGEMENT, IT'S AN, 6906 04:27:57,456 --> 04:28:00,793 NORMOUS ORGANIZATION, BUT 6907 04:28:00,793 --> 04:28:02,928 GENEVIEVE, TELL REFLECT BACK TO 6908 04:28:02,928 --> 04:28:05,230 SOMETHING THAT CHRIS SAID 6909 04:28:05,230 --> 04:28:10,602 EARLIER AND HE TALKED ABOUT 6910 04:28:10,602 --> 04:28:11,870 ENTHUSIASM AND I FELT THE 6911 04:28:11,870 --> 04:28:15,174 EPITIRE TIME THAT THAT'S A 6912 04:28:15,174 --> 04:28:15,741 REQUIREMENT FOR HIRE. 6913 04:28:15,741 --> 04:28:17,876 BECAUSE THAT'S WHAT YOU GET FROM 6914 04:28:17,876 --> 04:28:19,278 EVERYONE YOU INTERACT WITH, AND 6915 04:28:19,278 --> 04:28:22,781 IT'S HARD TO PROJECT THROUGH AN 6916 04:28:22,781 --> 04:28:24,516 E-MAIL BUT IT'S ACTUALLY 6917 04:28:24,516 --> 04:28:25,050 ACHIEVED. 6918 04:28:25,050 --> 04:28:31,156 SO I THINK THAT SPEAKS A LOT 6919 04:28:31,156 --> 04:28:32,024 ABOUT CULTURE AND WHAT YOU MODEL 6920 04:28:32,024 --> 04:28:38,764 IS MEN WHAT YOU IMET BACK. 6921 04:28:38,764 --> 04:28:40,366 I WANT TO SAY THANK YOU. 6922 04:28:40,366 --> 04:28:41,667 >> THANK YOU AND I'M SURE THE 6923 04:28:41,667 --> 04:28:43,202 SAME IS TRUE THERE YOUR 6924 04:28:43,202 --> 04:28:43,502 DEPARTMENT. 6925 04:28:43,502 --> 04:28:48,941 SO WE ARE MORE OR LESS ON TIME 6926 04:28:48,941 --> 04:28:50,676 AGAIN, AND SO, WE APPRECIATIVE 6927 04:28:50,676 --> 04:28:52,077 OF EVERYONE'S SERVICE ON THE 6928 04:28:52,077 --> 04:28:58,650 COUNCIL, IT'S BEEN ABSOLUTE JOY 6929 04:28:58,650 --> 04:29:00,152 HAVING YOU HERE. 6930 04:29:00,152 --> 04:29:02,021 I KNOW ALAN SAID TO ME WHEN I 6931 04:29:02,021 --> 04:29:05,591 RETIRED FROM COUNCIL AND I HAD 6932 04:29:05,591 --> 04:29:08,460 NO IDEA HOW PRESCIENT HIS WORDS 6933 04:29:08,460 --> 04:29:10,262 WOULD BE BUT HE SAID THANK YOU 6934 04:29:10,262 --> 04:29:11,663 FOR ALL YOU'VE DONE AND ALL 6935 04:29:11,663 --> 04:29:12,698 YOU'RE GOING TO DO. 6936 04:29:12,698 --> 04:29:14,433 AND LITTLE DID I KNOW WHAT THAT 6937 04:29:14,433 --> 04:29:15,968 WAS GOING TO MEAN BUT NOW WE DO 6938 04:29:15,968 --> 04:29:19,671 HAVE A BIT OF BUSINESS THAT WE 6939 04:29:19,671 --> 04:29:22,474 HAVE TO CONDUCT, SO WE HAVE OUR 6940 04:29:22,474 --> 04:29:23,609 CONCEPT CLEARANCINGS AND I'M 6941 04:29:23,609 --> 04:29:25,778 GOING TO TURN THE MICROPHONE 6942 04:29:25,778 --> 04:29:33,485 OVER TO DR. REBECCA RIZZULI, 6943 04:29:33,485 --> 04:29:34,753 NTHANK YOU VERY MUCH. 6944 04:29:34,753 --> 04:29:36,488 I WILL ASK STAFF IF THEY'RE 6945 04:29:36,488 --> 04:29:38,357 PRESENTING TO COME UP TO THE 6946 04:29:38,357 --> 04:29:40,559 LECTERN TO RESENT YOUR CONCEPTS. 6947 04:29:40,559 --> 04:29:42,928 SO THE FIRST--WE ARE PRESENTING 6948 04:29:42,928 --> 04:29:53,372 9 CONSENTS TODAY FOR YOUR 6949 04:29:53,572 --> 04:29:54,106 CONSIDERATION. 6950 04:29:54,106 --> 04:29:55,607 FOR EACH CONCEPT, THE STAFF WILL 6951 04:29:55,607 --> 04:29:57,342 RESENT THE CONCEPT AND THEN ASK 6952 04:29:57,342 --> 04:29:58,911 FOR FOR DISCUSSION AND AT THE 6953 04:29:58,911 --> 04:30:00,379 CONCLUSION OF THE DISCUSSION, WE 6954 04:30:00,379 --> 04:30:03,782 WILL ASK COUNCIL FOR CONCURRENCE 6955 04:30:03,782 --> 04:30:04,149 OR NOT. 6956 04:30:04,149 --> 04:30:05,951 FIRST WE'RE ANYTHING TO HEAR 6957 04:30:05,951 --> 04:30:09,254 FROM MIN LEE FROM THE DIVISION 6958 04:30:09,254 --> 04:30:12,057 OF POPULATION HEALTH RESEARCH, 6959 04:30:12,057 --> 04:30:21,300 DIPHR, PRESENTING THE BIOLOGICAL 6960 04:30:21,300 --> 04:30:22,401 TESTING FACILITY. 6961 04:30:22,401 --> 04:30:24,503 MIN IN. 6962 04:30:24,503 --> 04:30:24,937 >> GOOD AFTERNOON. 6963 04:30:24,937 --> 04:30:28,674 I HOPE EVERYONE CAN HEAR ME. 6964 04:30:28,674 --> 04:30:30,876 SO PROGRAM SEEKS COUNCIL APPROVE 6965 04:30:30,876 --> 04:30:35,514 FOR A RECOMPETE OF A INITIATIVE 6966 04:30:35,514 --> 04:30:37,015 BIOLOGICAL TESTING FACILITY. 6967 04:30:37,015 --> 04:30:38,550 THIS INITIATIVINGS SPANS BOTH 6968 04:30:38,550 --> 04:30:41,320 DIR AND DER IN RESEARCH AND 6969 04:30:41,320 --> 04:30:43,922 DEVELOPMENT OF SAFE AND 6970 04:30:43,922 --> 04:30:50,095 EFFECTIVE CONTRACEPTIVES IN FOR 6971 04:30:50,095 --> 04:30:55,801 WOMEN AND MEN. 6972 04:30:55,801 --> 04:30:57,769 THE BTF PROVIDES AN IMPORTANT 6973 04:30:57,769 --> 04:31:00,339 ROLE IN THE FACILITY PROD UBTS, 6974 04:31:00,339 --> 04:31:01,940 IT PROVIDES PRECLINICAL DATA 6975 04:31:01,940 --> 04:31:05,611 PACKAGE NECESSARY FOR FILING 6976 04:31:05,611 --> 04:31:06,145 NIND. 6977 04:31:06,145 --> 04:31:11,583 THE BTF STUDIES NEEDED AS PART 6978 04:31:11,583 --> 04:31:12,651 OF CRITICAL DATA PROVIDE 6979 04:31:12,651 --> 04:31:14,620 CRITICAL DATA FOR PHASE 1 AND 2 6980 04:31:14,620 --> 04:31:15,988 FOR CLINICAL STUDIES IN AN 6981 04:31:15,988 --> 04:31:16,755 APPROVED DRUG. 6982 04:31:16,755 --> 04:31:19,057 THIS FACILITY IS CRITICAL IN 6983 04:31:19,057 --> 04:31:22,294 MANUFACTURING THE PRODUCT 6984 04:31:22,294 --> 04:31:24,363 RELEASE, AND TAIBILITY TESTING 6985 04:31:24,363 --> 04:31:26,765 UNDER THE GMP PROTOCOL FOR 6986 04:31:26,765 --> 04:31:29,067 CLINICAL STUDIES PROVIED BY THE 6987 04:31:29,067 --> 04:31:30,502 CLINICAL TRIALS NETWORK, CCTN. 6988 04:31:30,502 --> 04:31:34,740 THIS CONCEPT CLEARANCE IS AN 6989 04:31:34,740 --> 04:31:36,108 ALIGNMENT WITH NICHD'S STRATEGIC 6990 04:31:36,108 --> 04:31:38,110 PLAN AND CONCEPT WITH 6991 04:31:38,110 --> 04:31:39,144 DEPRIVATIONMENT PROGRAMS 6992 04:31:39,144 --> 04:31:44,049 PRIORITY, AND THANK YOU. 6993 04:31:44,049 --> 04:31:45,450 ANY QUESTIONS? 6994 04:31:45,450 --> 04:31:45,751 COMPREHEND. 6995 04:31:45,751 --> 04:31:47,085 >> THANK YOU IF THERE ARE ANY 6996 04:31:47,085 --> 04:31:52,758 DISCUSSION OR COMMENTS ABOUT 6997 04:31:52,758 --> 04:31:53,759 THIS CONCEPT? 6998 04:31:53,759 --> 04:31:55,060 ALL RIGHT, SEEING AS THERE 6999 04:31:55,060 --> 04:31:58,964 AREN'T, CAN I HAVE A MEGZ FOR 7000 04:31:58,964 --> 04:31:59,631 APPROVAL? 7001 04:31:59,631 --> 04:32:03,168 >> I MOVE TO APPROVE. 7002 04:32:03,168 --> 04:32:05,337 >> DR. NEAL- PERRY, SECOND! 7003 04:32:05,337 --> 04:32:05,637 >> SECOND. 7004 04:32:05,637 --> 04:32:06,672 >> ALL RIGHT. 7005 04:32:06,672 --> 04:32:08,407 AND ALL IN FAVOR EITHER RAISE 7006 04:32:08,407 --> 04:32:10,509 YOUR HANDS IN THE ROOM OR IF YOU 7007 04:32:10,509 --> 04:32:21,053 CAN USE YOUR REACTION BUTTONS TO 7008 04:32:22,621 --> 04:32:23,822 VOTE ONLINE. 7009 04:32:23,822 --> 04:32:25,424 EXCEL EPT THAICHG YOU SO MUCH. 7010 04:32:25,424 --> 04:32:28,627 NEXT IS DR. TRAVIS KENT FROM THE 7011 04:32:28,627 --> 04:32:29,761 CONTRACEPTION RESEARCH BRANCH 7012 04:32:29,761 --> 04:32:32,064 WHO WILL PRESENT DEVELOPMENT OF 7013 04:32:32,064 --> 04:32:35,300 NOVEL OR IMPROVED INFERTILITY 7014 04:32:35,300 --> 04:32:35,667 TECHNOLOGIES. 7015 04:32:35,667 --> 04:32:38,937 >> THANK YOU REBECCA CAN 7016 04:32:38,937 --> 04:32:39,538 EVERYBODY HEAR ME? 7017 04:32:39,538 --> 04:32:42,407 I'M ACTUALLY FROM THE 7018 04:32:42,407 --> 04:32:43,008 PERFILLITY AND INFERTILITY 7019 04:32:43,008 --> 04:32:46,011 BRARCH SO THIS IS FOR THE FIB 7020 04:32:46,011 --> 04:32:46,345 BRANCH. 7021 04:32:46,345 --> 04:32:48,747 BUT GO AHEAD AND GET STARRED 7022 04:32:48,747 --> 04:32:51,183 PROGRAM SEEKS COUNCIL APPROVE 7023 04:32:51,183 --> 04:32:52,017 FOR INITIATIVE TITLED 7024 04:32:52,017 --> 04:32:54,853 DEVELOPMENT OF MOFLE OR IMPROVED 7025 04:32:54,853 --> 04:32:56,421 INFERTILITY TECHNOLOGIES. 7026 04:32:56,421 --> 04:32:58,223 IM PERFILLITY IMPACT15% OF ALL 7027 04:32:58,223 --> 04:32:59,958 COUPLES, ACCORDING TO THE CDC, 7028 04:32:59,958 --> 04:33:02,160 THE USE OF TECHNOLOGIES OR ART, 7029 04:33:02,160 --> 04:33:03,629 HAS DOUBLED OVER THE LAST 7030 04:33:03,629 --> 04:33:06,665 DECADE, BUT IT IS STILL 7031 04:33:06,665 --> 04:33:09,434 SIGNIFICANTLY BELOW DEMAND. 7032 04:33:09,434 --> 04:33:11,803 DESPITE THIS INCREASE THIS USAGE 7033 04:33:11,803 --> 04:33:15,574 ART STILL HAS A SUCCESS RATE OF 7034 04:33:15,574 --> 04:33:16,041 35%. 7035 04:33:16,041 --> 04:33:19,745 ADDITIONALLY ART IS 7036 04:33:19,745 --> 04:33:22,247 PROHIBITIVELY EXPENSIVE TO MANY 7037 04:33:22,247 --> 04:33:24,683 FAMILIES DEALING WITH 7038 04:33:24,683 --> 04:33:24,983 INFERTILITY. 7039 04:33:24,983 --> 04:33:26,952 FOR THIS, WE NEED NOW COSTS FOR 7040 04:33:26,952 --> 04:33:29,154 WOMEN AND MEN FOR ENFIRTILITY. 7041 04:33:29,154 --> 04:33:32,124 THE GOAL OF THIS INITIATIVE IS 7042 04:33:32,124 --> 04:33:33,325 TO ESTABLISH AN APPROACH FOCUSED 7043 04:33:33,325 --> 04:33:35,994 ON DEVELOPMENT AND IMPROVEMENT 7044 04:33:35,994 --> 04:33:37,062 DRUGS, PRODUCTS, DEVICES OR 7045 04:33:37,062 --> 04:33:38,163 CHANGE NOTHING CLINICAL PRACTICE 7046 04:33:38,163 --> 04:33:43,135 TO IMPROVE REPRODO YOU 7047 04:33:43,135 --> 04:33:44,936 RECOLLECTIVE OUTCOMES FOR THOSE 7048 04:33:44,936 --> 04:33:45,737 STRUGGLING WITH INFERTILITY. 7049 04:33:45,737 --> 04:33:47,706 THE USE OF THE MECHANISM WILL 7050 04:33:47,706 --> 04:33:49,641 GENERATE HIGH RISK, HIGH REWARD 7051 04:33:49,641 --> 04:33:50,976 PROGECS THAT UPON COMPLETION OF 7052 04:33:50,976 --> 04:33:52,577 THEIR MILESTONES WILL BE WELL 7053 04:33:52,577 --> 04:33:55,347 POSITIONED FOR FURTHER PRODUCT 7054 04:33:55,347 --> 04:33:56,915 DEVELOPMENT. 7055 04:33:56,915 --> 04:33:58,216 THIS PROPOSED CONCEPT ALINES 7056 04:33:58,216 --> 04:34:01,353 WITH 3 BRANCH PRIORITIES AND I 7057 04:34:01,353 --> 04:34:03,422 HOPE THAT AFTER DR. YEEP'S 7058 04:34:03,422 --> 04:34:05,324 PRESENTATION, IT WILL SEE IT 7059 04:34:05,324 --> 04:34:08,126 ALINES WELL WITH THE STRATEGIC 7060 04:34:08,126 --> 04:34:14,566 PLAN PROMOTING IMIEN OICOLOGGIC, 7061 04:34:14,566 --> 04:34:16,468 AND REPRODUCTIVE HEALTH. 7062 04:34:16,468 --> 04:34:17,402 GIVEN LOWERING INFERTILITY COSTS 7063 04:34:17,402 --> 04:34:20,772 AS A GOAL OF THIS INITIATIVE, WE 7064 04:34:20,772 --> 04:34:22,207 ANTICIPATE THE CROSS CUTTING 7065 04:34:22,207 --> 04:34:22,941 TEAMS OF HEALTH DISPARITY ANDS 7066 04:34:22,941 --> 04:34:24,343 WITH THAT I WILL BE HAPPY TO 7067 04:34:24,343 --> 04:34:31,483 FIELD ANY QUESTIONS YOU MIGHT 7068 04:34:31,483 --> 04:34:32,117 HAVE. 7069 04:34:32,117 --> 04:34:35,020 NQUESTIONS OR COMEBTS. 7070 04:34:35,020 --> 04:34:35,954 >> I HAVE? 7071 04:34:35,954 --> 04:34:36,288 >> GO AHEAD. 7072 04:34:36,288 --> 04:34:38,256 >> SO I JUST HAD A QUESTION 7073 04:34:38,256 --> 04:34:41,893 BECAUSE YOU TALK ABOUT IN THIS 7074 04:34:41,893 --> 04:34:45,197 ABOUT REALLOCATING EXPENSE FROM 7075 04:34:45,197 --> 04:34:46,998 3 OF THE [INDISCERNIBLE], HOW 7076 04:34:46,998 --> 04:34:49,267 MANY ARE THERE CURRENTLY? 7077 04:34:49,267 --> 04:34:51,703 THIS, THERE ARE 6 FUNDED SITES 7078 04:34:51,703 --> 04:34:53,438 WE'RE CONGRESSALLY MANDATED TO 7079 04:34:53,438 --> 04:34:56,641 HAVE 2 SITES FOCUSED ON 7080 04:34:56,641 --> 04:34:57,743 INFERTILITY. 7081 04:34:57,743 --> 04:34:59,478 >> SO THE NIC TREE SITES WILL GO 7082 04:34:59,478 --> 04:35:03,315 FROM 6 TO 3, SO YOU'RE CUTTING 7083 04:35:03,315 --> 04:35:03,582 BY 50%,. 7084 04:35:03,582 --> 04:35:09,388 >> YEAH, SO THE SHORT-TERM THE 7085 04:35:09,388 --> 04:35:11,390 GOAL IS TORY ALLOCATE THAT MONEY 7086 04:35:11,390 --> 04:35:12,190 TOWARD PRODUCT DEVELOPMENT. 7087 04:35:12,190 --> 04:35:17,763 THE NIC TREE WAS FOCUSED ON 7088 04:35:17,763 --> 04:35:18,997 TRANSLATIONAL RESEARCH BUT THOSE 7089 04:35:18,997 --> 04:35:21,400 HAVE FROM WHAT WE'VE SEEN, WELL 7090 04:35:21,400 --> 04:35:22,367 WHILE THEY'VE BEEN VERY 7091 04:35:22,367 --> 04:35:23,668 SUCCESSFUL IN A VARIETY OF 7092 04:35:23,668 --> 04:35:24,936 DIFFERENT METRICS AND I CAN ANY 7093 04:35:24,936 --> 04:35:27,773 INTO, THEY HAVEN'T LEGALLY 7094 04:35:27,773 --> 04:35:38,316 DEVELOPED CHANGES IN PRACTICE OR 7095 04:35:38,683 --> 04:35:40,118 TECHNOLOGIES AND TAKE THEM TO 7096 04:35:40,118 --> 04:35:41,787 PLAY PLACE WHERE THEY CAN 7097 04:35:41,787 --> 04:35:43,722 PREPARE BETTER PRODUCTS IF ARE A 7098 04:35:43,722 --> 04:35:45,590 LARGE TYPE OF--I HESITATE TO GO 7099 04:35:45,590 --> 04:35:47,626 TOO FAR INTO THE FUTURE IF 7100 04:35:47,626 --> 04:35:49,361 THINGS THAT HAVEN'T GONE THROUGH 7101 04:35:49,361 --> 04:35:52,664 OPERATIONAL PLANS AS OF YET, 7102 04:35:52,664 --> 04:35:54,633 BUT, THE PLAN IS FOR THIS TO BE 7103 04:35:54,633 --> 04:35:57,402 A 1 TIME BULLET FOR FUNDS, GET 7104 04:35:57,402 --> 04:35:58,470 PRODUCT DEVELOPMENT INTO A PLACE 7105 04:35:58,470 --> 04:36:00,972 WHERE IT CAN PROVE FORWARD AND 7106 04:36:00,972 --> 04:36:02,340 HOPEFULLY HAVE MORE SUCCESSFUL 7107 04:36:02,340 --> 04:36:03,475 PRODUCT DEVELOPMENT IN THE 7108 04:36:03,475 --> 04:36:03,708 FUTURE. 7109 04:36:03,708 --> 04:36:09,948 >> AND I GUESS IS THERE A MODEL 7110 04:36:09,948 --> 04:36:14,252 FOR THIS KIND OF SORT OF THE 7111 04:36:14,252 --> 04:36:14,953 CONTRACEPTIVE THINGS WE WERE 7112 04:36:14,953 --> 04:36:16,488 REVIEWING IS THERE A MODEL FOR 7113 04:36:16,488 --> 04:36:18,790 THE HIGH RISK, HIGH REWARD IN 7114 04:36:18,790 --> 04:36:20,525 TERMS OF PRODUCTIVITY BECAUSE 7115 04:36:20,525 --> 04:36:30,035 I'M A LITTLE CONCERNED WITH THIS 7116 04:36:30,035 --> 04:36:33,138 BEING SORT OF WITH THE DECREASE 7117 04:36:33,138 --> 04:36:34,873 OF THE REPRODUCTIVE MEDICINE 7118 04:36:34,873 --> 04:36:37,042 NETWORK, GIVEN NETWORKS ACROSS 7119 04:36:37,042 --> 04:36:39,110 THE NICH D AND NOW DECREASING 7120 04:36:39,110 --> 04:36:40,345 THE NICTREE AND I'M JUST A 7121 04:36:40,345 --> 04:36:43,949 LITTLE BIT CONCERNED ABOUT WHERE 7122 04:36:43,949 --> 04:36:45,517 OUR PIPELINES FOR THINGS GOING 7123 04:36:45,517 --> 04:36:46,418 TO COME FROM? 7124 04:36:46,418 --> 04:36:49,855 >> YEAH, SO, I THINK THIS--IRB 7125 04:36:49,855 --> 04:36:54,593 HOPE I MADE IT CLEAR THAT THIS 7126 04:36:54,593 --> 04:36:56,027 INVESTMENT IS TO REALLY IMPROVE 7127 04:36:56,027 --> 04:36:57,295 THAT PIPELINE AND MAKE IT MORE 7128 04:36:57,295 --> 04:36:58,830 ROBUST SO THAT WE HAVE A 7129 04:36:58,830 --> 04:37:00,432 PIPELINE THAT IS DIRECTLY GOING 7130 04:37:00,432 --> 04:37:03,735 INTO PRODUCT DEVELOPMENT SO 7131 04:37:03,735 --> 04:37:05,837 THINGS CAN GET TO THE MARKET AND 7132 04:37:05,837 --> 04:37:07,506 IMPROVE IT FOR PATIENTS OF THE 7133 04:37:07,506 --> 04:37:07,873 FUTURE. 7134 04:37:07,873 --> 04:37:08,907 THAT'S THE OVERARCHING GOAL. 7135 04:37:08,907 --> 04:37:11,009 AS FAR AS MODEL OF THINGS OF THE 7136 04:37:11,009 --> 04:37:13,078 FUTURE, I THINK YOU POINTED TO 7137 04:37:13,078 --> 04:37:15,413 IT, THE WAYS OF THE 7138 04:37:15,413 --> 04:37:16,681 CONTRACEPTIVE DEVELOPMENT 7139 04:37:16,681 --> 04:37:23,755 PROGRAM HAS UTILIZED THE PHASE 7140 04:37:23,755 --> 04:37:25,824 MECHANISM AS A WAY TORTHEM TO 7141 04:37:25,824 --> 04:37:27,225 GET THEM INTO THEIR COMPETITIVE 7142 04:37:27,225 --> 04:37:30,028 STATE FOR THE LODGERRER PROJECT, 7143 04:37:30,028 --> 04:37:31,763 THAT'S REALLY SORT OF A GOOD 7144 04:37:31,763 --> 04:37:33,164 MODEL FOR WHAT WE'RE LOOKING FOR 7145 04:37:33,164 --> 04:37:33,498 HERE. 7146 04:37:33,498 --> 04:37:35,133 I WOULD LIKE TO CALL ON DAN 7147 04:37:35,133 --> 04:37:37,235 JOHNSON THE HEAD OF THE FIB? 7148 04:37:37,235 --> 04:37:40,105 DID YOU WANT TO MAKE COMMENT IN. 7149 04:37:40,105 --> 04:37:41,806 >> I THINK TRAVIS STATE TODAY 7150 04:37:41,806 --> 04:37:43,241 PRETTY WELL, IN CONTRACEPTION, A 7151 04:37:43,241 --> 04:37:46,678 MOVE AWAY FROM OTHER MECHANISMS, 7152 04:37:46,678 --> 04:37:48,613 TOWARDS AN R61/R33 MECHANISM HAS 7153 04:37:48,613 --> 04:37:50,615 BEEN ENKRID EBLLY VALUABLE IN 7154 04:37:50,615 --> 04:37:52,584 PUTTING UP A PHASE MECHANISM 7155 04:37:52,584 --> 04:37:54,352 WHICH IS MILESTONE BASED WHICH 7156 04:37:54,352 --> 04:37:56,521 HAS REALLY DRIVEN A LOT OF 7157 04:37:56,521 --> 04:37:57,422 INNOVATION TOWARD THE DEVELOP 7158 04:37:57,422 --> 04:37:59,357 XMENT WHICH WHERE THE PROGRAM 7159 04:37:59,357 --> 04:38:06,464 OFFICER IN THIS CASE WANTS TO 7160 04:38:06,464 --> 04:38:06,865 TAKE THIS FIELD. 7161 04:38:06,865 --> 04:38:08,266 >> DO YOU HAVE A QUESTION. 7162 04:38:08,266 --> 04:38:12,737 >> I ECHO FROM THE SAME CONCERNS 7163 04:38:12,737 --> 04:38:16,241 AS DR. FEEDER BECAUSE IN EFFECT 7164 04:38:16,241 --> 04:38:18,443 YOUR CUTTING OFF OTHER AREAS OF 7165 04:38:18,443 --> 04:38:18,677 WERE. 7166 04:38:18,677 --> 04:38:19,744 I WILL GIVE AN EXAMPLE. 7167 04:38:19,744 --> 04:38:21,613 WHAT WE NOW UNDERSTAND ABOUT THE 7168 04:38:21,613 --> 04:38:23,582 HOT FLASH, ACTUALLY BEGAN WITH 7169 04:38:23,582 --> 04:38:24,149 THE NIC TREE. 7170 04:38:24,149 --> 04:38:29,220 AND SO I WOULD HAVE SOME 7171 04:38:29,220 --> 04:38:29,788 CONCERNS AS WELL. 7172 04:38:29,788 --> 04:38:31,656 THIS IS JUST A RECOMMENDATION, I 7173 04:38:31,656 --> 04:38:33,992 WOULD SAY IMPROVE FERTILITY 7174 04:38:33,992 --> 04:38:35,727 TECHNIQUES RATHER THAN 7175 04:38:35,727 --> 04:38:36,661 INFERTILITY TECHNIQUES, THAT'S A 7176 04:38:36,661 --> 04:38:38,530 SMALL THING BUT AN IMPORTANT 7177 04:38:38,530 --> 04:38:38,730 THING. 7178 04:38:38,730 --> 04:38:40,031 >> YOU'RE RIGHT. 7179 04:38:40,031 --> 04:38:42,601 YEAH, WELL STATED. 7180 04:38:42,601 --> 04:38:43,635 >> ALL RIGHT. 7181 04:38:43,635 --> 04:38:46,438 >> I KIND OFA WANT TO TALK 7182 04:38:46,438 --> 04:38:48,039 ABOUT--WITHOUT TAKING UP TOO 7183 04:38:48,039 --> 04:38:49,140 MUCH TIME, I REALIZE WE HAVE 7184 04:38:49,140 --> 04:38:51,543 THINGS TO DO HERE, BUT I'M 7185 04:38:51,543 --> 04:38:53,845 REALLY HOPING THIS ISN'T SEEN AS 7186 04:38:53,845 --> 04:38:56,448 TAKING A WAY FROM REPRODID DUKS, 7187 04:38:56,448 --> 04:38:59,317 THIS IS TAKING THE LIMITED POT 7188 04:38:59,317 --> 04:39:03,154 OF MONEY THAT WE HAVE YOU KNOW 7189 04:39:03,154 --> 04:39:06,358 FOR SET ASIDE MONEY, TO REALLY 7190 04:39:06,358 --> 04:39:07,092 IMPROVE PRODUCT DEVELOPMENT 7191 04:39:07,092 --> 04:39:10,395 WHICH IS AN AREA OF PERTILITY 7192 04:39:10,395 --> 04:39:11,863 AND INFERTILITY PORTFOLIO THAT 7193 04:39:11,863 --> 04:39:13,465 IS LOOKING. 7194 04:39:13,465 --> 04:39:18,703 OUR BASIC SCIENCE PORTFOLIO IS 7195 04:39:18,703 --> 04:39:20,639 ROBUST BUT THE PRODUCT 7196 04:39:20,639 --> 04:39:22,941 DEVELOPMENT SIDE OF THE 7197 04:39:22,941 --> 04:39:24,075 FERTILITY AND INFERTILITY BRANCH 7198 04:39:24,075 --> 04:39:25,543 IS SOMETHING WE FELT WE NEEDED 7199 04:39:25,543 --> 04:39:28,947 TO IMPROVE ON, AND SO THIS IS 7200 04:39:28,947 --> 04:39:29,147 WHAT-- 7201 04:39:29,147 --> 04:39:31,816 >> IS THIS WITH THE SBRT BECAUSE 7202 04:39:31,816 --> 04:39:33,118 OFTEN TIME ITS COSTS SO MUCH 7203 04:39:33,118 --> 04:39:34,953 MONEY TO DO THIS KIND OF WORK 7204 04:39:34,953 --> 04:39:36,755 THAT PEOPLE DON'T MAKE PROGRESS. 7205 04:39:36,755 --> 04:39:39,057 SO, JUST KIND OF UNDERSTANDING 7206 04:39:39,057 --> 04:39:39,424 THAT. 7207 04:39:39,424 --> 04:39:41,593 HELP US UNDERSTAND A LITTLE BIT 7208 04:39:41,593 --> 04:39:45,530 MORE ABOUT HOW OR WHAT YOU 7209 04:39:45,530 --> 04:39:51,536 ENVISION THESE PROJECTS WILL 7210 04:39:51,536 --> 04:39:51,903 LOOK LIKE? 7211 04:39:51,903 --> 04:39:55,940 >> YEAH, I MEAN SOMEBODY 7212 04:39:55,940 --> 04:39:57,342 MENTIONED UTILIZING AI AND 7213 04:39:57,342 --> 04:39:58,643 MACHINE LEARNING HELP IMPROVE 7214 04:39:58,643 --> 04:40:00,278 VARIOUS ASSPEBTS WITHIN THE ART 7215 04:40:00,278 --> 04:40:01,446 PIPELINE, THAT IS A PERFECT 7216 04:40:01,446 --> 04:40:03,381 EXAMPLE OF SOMETHING THAT I 7217 04:40:03,381 --> 04:40:05,917 THINK A LITTLE BIT MORE MONEY 7218 04:40:05,917 --> 04:40:06,985 AND SET ASIDE DEPARTMENT COULD 7219 04:40:06,985 --> 04:40:11,022 HELP AND THAT'S JUST 1 EXAMPLE, 7220 04:40:11,022 --> 04:40:16,194 BUT THERE'S PLENTY OF OTHER 7221 04:40:16,194 --> 04:40:20,265 AREAS WITHIN THE WHOLE PIPELINE, 7222 04:40:20,265 --> 04:40:21,766 CHOOSING DIFFERENT SPERM, 7223 04:40:21,766 --> 04:40:22,867 CHOOSING EGGS, ALL THESE AREAS 7224 04:40:22,867 --> 04:40:25,036 CAN HELP IN MAKING THINGS 7225 04:40:25,036 --> 04:40:27,338 CHEAPER FOR PATIENTS IN THE LONG 7226 04:40:27,338 --> 04:40:30,709 RUN AND FOR IMPROVING THE 7227 04:40:30,709 --> 04:40:31,276 PIPELINE OVER ALL. 7228 04:40:31,276 --> 04:40:35,980 >> IS THIS KIND OF A CROSS 7229 04:40:35,980 --> 04:40:38,183 FERTILIZATION WITH THIS AND IS, 7230 04:40:38,183 --> 04:40:41,586 BRT, I'VE BEEN ON THAT CHAIR OF 7231 04:40:41,586 --> 04:40:43,354 THE IS ITS ACTUALLY I CAN'T 7232 04:40:43,354 --> 04:40:45,223 THINK OF IT INITIALLY. 7233 04:40:45,223 --> 04:40:47,025 >> BECAUSE A LOT OF THE PIPELINE 7234 04:40:47,025 --> 04:40:49,427 PROD UBTS COMING FROM THERE. 7235 04:40:49,427 --> 04:40:51,563 >> I ASSUME YOU'RE TAWGING ABOUT 7236 04:40:51,563 --> 04:40:54,899 THE SBIRs AND THE STTRs. 7237 04:40:54,899 --> 04:40:55,333 >> YEAH. 7238 04:40:55,333 --> 04:40:56,534 >> WE'RE NOT PLANNING ON 7239 04:40:56,534 --> 04:40:57,535 UTILIZING THOSE PARTICULAR 7240 04:40:57,535 --> 04:40:58,269 MECHANISMS BUT SMALL BUSINESS 7241 04:40:58,269 --> 04:41:01,906 BUSINESS WOULD BE MORE THAN 7242 04:41:01,906 --> 04:41:03,541 WELCOME TO APPLY FOR AN 7243 04:41:03,541 --> 04:41:05,477 INITIATIVE SUCH AS THIS, 7244 04:41:05,477 --> 04:41:06,411 ACTUALLY SMALL BUSINESSES ARE 7245 04:41:06,411 --> 04:41:07,579 WELCOME TO APPLY FOR THIS AS 7246 04:41:07,579 --> 04:41:11,716 WELL, BUT WE PLAN ON UTILIZING A 7247 04:41:11,716 --> 04:41:14,552 PHASE MECHANISM, THE SBIR AND 7248 04:41:14,552 --> 04:41:17,856 STTR IS NOT A PHASE MECHANISM SO 7249 04:41:17,856 --> 04:41:19,791 WE'RE USING A PHASE MECHANISM SO 7250 04:41:19,791 --> 04:41:22,260 THERE IS A POTENTIAL STOPPING 7251 04:41:22,260 --> 04:41:25,897 POINT IN THE MIDDLE FOR THE 7252 04:41:25,897 --> 04:41:29,067 PROJECTS THAT HAVE NOT MET THE 7253 04:41:29,067 --> 04:41:29,334 MILESTONE. 7254 04:41:29,334 --> 04:41:30,935 >> LET ME JUST INTERJECT HERE, 7255 04:41:30,935 --> 04:41:32,937 WHEN YOU APPROVE A CONCEPT, 7256 04:41:32,937 --> 04:41:35,006 YOU'RE NOT APPROVING A CONCEPT, 7257 04:41:35,006 --> 04:41:36,574 THIS CONCEPT WILL BE IN 7258 04:41:36,574 --> 04:41:41,112 EXISTENCE FOR 5 YEARS, AND IT 7259 04:41:41,112 --> 04:41:47,318 DEFINES THE AREA OF SCIENCE FOR 7260 04:41:47,318 --> 04:41:48,720 WHICH COUNCIL ENCORS'RE DOFERSS 7261 04:41:48,720 --> 04:41:49,954 OUR PROPOSAL THAT THIS IS AN 7262 04:41:49,954 --> 04:41:52,724 AREA OF SCIENCE THAT MERITS 7263 04:41:52,724 --> 04:41:57,028 DEVELOPMENT AND SO ALTHOUGH THE 7264 04:41:57,028 --> 04:42:01,232 PLAN SAY PHASED AWARD IN THE 7265 04:42:01,232 --> 04:42:02,767 CONCEPT A PHASED AWARD COMES IN 7266 04:42:02,767 --> 04:42:05,737 MANY DIFFERENT KINDS OF FORMS, 7267 04:42:05,737 --> 04:42:07,972 YOU CAN HAVE IT IN THE CONTRACT, 7268 04:42:07,972 --> 04:42:10,275 YOU CAN HAVE IT IN AN SBIR, CAN 7269 04:42:10,275 --> 04:42:12,443 YOU HAVE IT IN A REGULAR GRANT. 7270 04:42:12,443 --> 04:42:14,279 THERE ARE MANY DIFFERENT WAYS TO 7271 04:42:14,279 --> 04:42:16,481 OPPOSE MILESTONES IN THE 7272 04:42:16,481 --> 04:42:19,617 COOPERATIVE AGREEMENT TO GUIDE A 7273 04:42:19,617 --> 04:42:22,453 PRODUCT DEVELOPMENT FOR EXAMPLE, 7274 04:42:22,453 --> 04:42:27,425 PROPOSAL DOWN IN A VERY TIGHTLY 7275 04:42:27,425 --> 04:42:28,827 OVERSEEN WAY, SO I DON'T THINK 7276 04:42:28,827 --> 04:42:35,500 WE NEED TO BE AS SPECIFIC AS 7277 04:42:35,500 --> 04:42:38,136 WHAT WE ARE GOING TO DO BUT TO 7278 04:42:38,136 --> 04:42:40,672 HEAR YOUR INPUT ABOUT WHATY 7279 04:42:40,672 --> 04:42:42,440 MIGHT DO TOWARDS A FURTHERING OF 7280 04:42:42,440 --> 04:42:43,208 THIS RESEARCH GOAL. 7281 04:42:43,208 --> 04:42:45,643 >> I GUESS IN SOME WAYS THAT WAS 7282 04:42:45,643 --> 04:42:50,181 KIND OF AINGS A--A LITTLE BIT T 7283 04:42:50,181 --> 04:42:51,282 MIGHT WE DO. 7284 04:42:51,282 --> 04:42:52,784 BECAUSE I'M CONCERN EXCLUDE I'M 7285 04:42:52,784 --> 04:42:53,985 SURE DOCTOR PETERS AND CONCERNED 7286 04:42:53,985 --> 04:42:55,486 KNOWING THERE HAVE BEEN STUDIES 7287 04:42:55,486 --> 04:42:59,791 USING AI TO TRY TO COLLECT 7288 04:42:59,791 --> 04:43:01,626 OOCYTES AND HOW THOSE STUDIES 7289 04:43:01,626 --> 04:43:04,262 HAVE GONE EXACTLY NOWHERE. 7290 04:43:04,262 --> 04:43:10,068 AND JUST, KNOWING HOW MUCH--HOW 7291 04:43:10,068 --> 04:43:11,169 FRAGILE THAT POPULATION IS AND 7292 04:43:11,169 --> 04:43:12,670 KNOWING THAT OFTEN TIMES THEY'RE 7293 04:43:12,670 --> 04:43:13,972 NOT WILLING TO ENGAGE IN SOME OF 7294 04:43:13,972 --> 04:43:16,140 THESE, WHAT WE MIGHT CONSIDER A 7295 04:43:16,140 --> 04:43:22,947 HIGH RISK STUDY, AND JUST THE 7296 04:43:22,947 --> 04:43:24,382 AMOUNT OF MONEY THAT'S NEEDED TO 7297 04:43:24,382 --> 04:43:25,783 DO SOMETHING LIKE THIS, AND THE 7298 04:43:25,783 --> 04:43:27,185 CONCERN, THE OTHER CONCERN IS 7299 04:43:27,185 --> 04:43:29,921 ACTUALLY THE FACT THAT MONEY IS 7300 04:43:29,921 --> 04:43:30,889 BEING REDIRECTED FROM SOME 7301 04:43:30,889 --> 04:43:32,891 PROGRAMS THAT ARE ACTUALLY 7302 04:43:32,891 --> 04:43:34,792 HELPED US MOVE FORWARD IN 7303 04:43:34,792 --> 04:43:36,194 WOMEN'S HEALTHCARE. 7304 04:43:36,194 --> 04:43:38,162 AND MAYBE NOT QUITE, IN THIS 7305 04:43:38,162 --> 04:43:40,632 AREA, BUT MAYBE SOME OF THAT IS 7306 04:43:40,632 --> 04:43:43,534 ALSO REDIRECTION AND IN TERMS OF 7307 04:43:43,534 --> 04:43:52,911 WHAT SOME OF THE GOALS ARE AND 7308 04:43:52,911 --> 04:43:53,311 DIRECTIONS. 7309 04:43:53,311 --> 04:43:54,545 >> YEAH, SO SPEAKING TO AI 7310 04:43:54,545 --> 04:43:57,949 SPECIFICALLY, I THINK THAT MIGHT 7311 04:43:57,949 --> 04:44:00,151 FALL UNDER THE PERVIEW OF MORE 7312 04:44:00,151 --> 04:44:01,386 BROADLY SPEAKING LIKE I SAID, 7313 04:44:01,386 --> 04:44:05,723 THE KNOLL --GOAL IS TO TRY TO GT 7314 04:44:05,723 --> 04:44:08,493 THESE CENTERS INTO MORE OF A 7315 04:44:08,493 --> 04:44:09,294 PRODUCT DEVELOPMENT DIRECTION. 7316 04:44:09,294 --> 04:44:10,795 LIKE I SAID, WE DON'T HAVE VERY 7317 04:44:10,795 --> 04:44:12,430 MUCH OF THAT GOING ON IN THE 7318 04:44:12,430 --> 04:44:14,599 BRANCH RIGHT NOW, AND SO, THAT'S 7319 04:44:14,599 --> 04:44:17,235 SORT OF THE GOAL IS TO TAKE OUR 7320 04:44:17,235 --> 04:44:18,937 LIMITED FUNDS AND TRY AND GROW 7321 04:44:18,937 --> 04:44:25,910 THAT PORTION OF THE BRANCH. 7322 04:44:25,910 --> 04:44:27,745 YOU'RE ABNORMALITIES SLIGHTLY 7323 04:44:27,745 --> 04:44:31,349 RIGHT, THE NIC TREE CENTERS HAVE 7324 04:44:31,349 --> 04:44:32,417 BEEN AMAZING AND WE HAVE METRICS 7325 04:44:32,417 --> 04:44:35,086 TO SHOW THAT BUT WE ONLY HAVE A 7326 04:44:35,086 --> 04:44:36,587 CERTAIN AMOUNT OF MONEY SET 7327 04:44:36,587 --> 04:44:42,093 ASIDE THAT WE CAN TRY AND USE 7328 04:44:42,093 --> 04:44:42,927 TO--WITHOUT IMPACTING 7329 04:44:42,927 --> 04:44:43,561 INVESTIGATOR INITIATIVE AWARDS 7330 04:44:43,561 --> 04:44:45,697 SO WE'RE TRYING TO TAKE OUR 7331 04:44:45,697 --> 04:44:49,867 LIMITED RESOURCES AND EXPLORE A 7332 04:44:49,867 --> 04:44:51,669 DIRECTION THAT FIB FEELS NEEDS 7333 04:44:51,669 --> 04:44:52,370 TO BE EXPLORED. 7334 04:44:52,370 --> 04:44:53,638 >> CAN I STEP IN FOR A SECOND 7335 04:44:53,638 --> 04:44:55,473 BECAUSE I WANT TO PUT A HIGH 7336 04:44:55,473 --> 04:44:57,308 LEVEL ON THIS, THAT THE FEELING 7337 04:44:57,308 --> 04:44:59,577 HERE IS NOT TO DAMAGE AND 7338 04:44:59,577 --> 04:45:00,445 EXISTING PROGRAM, IT'S TO 7339 04:45:00,445 --> 04:45:02,146 STRENGTHEN THE PROGRAMS THAT 7340 04:45:02,146 --> 04:45:04,315 REMAIN, AND WITH WHAT WE'RE 7341 04:45:04,315 --> 04:45:08,987 SEEING IN CONTRACEPTION THERE'S 7342 04:45:08,987 --> 04:45:12,156 NO DOUBT THAT WIDENING THE EARLY 7343 04:45:12,156 --> 04:45:13,257 PROCESS,A LOWING MORE 7344 04:45:13,257 --> 04:45:14,792 RESEARCHERS IN, LOOKING FOR 7345 04:45:14,792 --> 04:45:16,260 INNOVATION, CALLING FOR 7346 04:45:16,260 --> 04:45:17,428 INNOVATION HAS DRAMATICALLY 7347 04:45:17,428 --> 04:45:19,263 HELPED THE LATER STAGE PROGRAM 7348 04:45:19,263 --> 04:45:22,300 IN CONTRACEPTION WITH OUR 3 7349 04:45:22,300 --> 04:45:23,601 CENTERS, NO DOUBT ABOUT IT WE 7350 04:45:23,601 --> 04:45:26,037 SEE IT COMING DOWN THE LINE AND 7351 04:45:26,037 --> 04:45:27,405 AS DR. KENT'S FEELING THAT THIS 7352 04:45:27,405 --> 04:45:32,577 SAME TIME OF MECHANISM COULD 7353 04:45:32,577 --> 04:45:34,445 GREATLY ENHANCE THE LARGE NIC 7354 04:45:34,445 --> 04:45:37,048 TREE CENTERS, THAT'S THE KEY 7355 04:45:37,048 --> 04:45:38,683 THING, IT'S--AFTER 30 YEARS, OR 7356 04:45:38,683 --> 04:45:41,152 HOWEVER ALONG IT'S BEG YOUR 7357 04:45:41,152 --> 04:45:42,253 PARDON GOING, IT'S A CHANGE TO 7358 04:45:42,253 --> 04:45:45,223 TRY TO MAKE A LONG-TERM IMPROVED 7359 04:45:45,223 --> 04:45:54,665 IMPACT IN THE REMAINING 7360 04:45:54,665 --> 04:45:54,932 PROGRAMS. 7361 04:45:54,932 --> 04:45:56,034 ANY FURTHER QUESTIONS IN. 7362 04:45:56,034 --> 04:45:56,467 >> THANK YOU. 7363 04:45:56,467 --> 04:45:59,103 THANK YOU ALL FOR A REALLY 7364 04:45:59,103 --> 04:46:01,706 TERRIFIC CONVERSATION THAT I'M 7365 04:46:01,706 --> 04:46:06,010 SURE WILL CONTINUE. 7366 04:46:06,010 --> 04:46:07,645 NEXT WE HAVE--LET'S HAVE A 7367 04:46:07,645 --> 04:46:13,484 MOTION FOR APPROVAL. 7368 04:46:13,484 --> 04:46:16,454 >> I MAKE A MOTION TO APPROVE. 7369 04:46:16,454 --> 04:46:18,790 >> DR. LANG. 7370 04:46:18,790 --> 04:46:20,925 >> SECOND. 7371 04:46:20,925 --> 04:46:31,369 >> DR. BUC CI-RECHTWEG. 7372 04:46:33,471 --> 04:46:34,005 ANYONE OPPOSED? 7373 04:46:34,005 --> 04:46:34,605 THANK YOU VERY MUCH. 7374 04:46:34,605 --> 04:46:37,875 SO NEXT WE HAVE DR. DENISE RUSSO 7375 04:46:37,875 --> 04:46:39,777 FROM THE MATERNAL AND PEDIATRIC 7376 04:46:39,777 --> 04:46:40,912 INFECTIOUS DISEASE BRARVE WHO 7377 04:46:40,912 --> 04:46:44,248 WILL BE PRESENTING NICHD PROGRAM 7378 04:46:44,248 --> 04:46:54,792 PROJECT GRANTS FOR HIV RESEARCH. 7379 04:46:57,495 --> 04:46:58,529 NTHANK YOU. 7380 04:46:58,529 --> 04:47:00,698 PROGRAM CANNED COUNCIL APPROVAL 7381 04:47:00,698 --> 04:47:03,000 FOR RENEWAL OF THE PROGRAM 7382 04:47:03,000 --> 04:47:04,035 ENTITLED PROGRAMS FOR HIV 7383 04:47:04,035 --> 04:47:06,204 RESEARCH, WE WANT TO STRENGTHEN 7384 04:47:06,204 --> 04:47:07,138 EXISTING COLLABORATION ANDS 7385 04:47:07,138 --> 04:47:08,573 FOSTER NEW 1S AND SEVERAL 7386 04:47:08,573 --> 04:47:11,542 IMPORTANT AREAS OF NICHD FOCUS, 7387 04:47:11,542 --> 04:47:14,779 HIV RESEARCH, THAT WILL BENEFIT 7388 04:47:14,779 --> 04:47:16,714 FROM ENHANCED MULTIDISCIPLINARY 7389 04:47:16,714 --> 04:47:17,014 APPROACHES. 7390 04:47:17,014 --> 04:47:19,517 THE GOAL OF THIS INITIATIVE IS 7391 04:47:19,517 --> 04:47:21,619 TO ENCOURAGE COLLABORATION AND 7392 04:47:21,619 --> 04:47:23,121 STIMULATE COLLABORATORS FOR THE 7393 04:47:23,121 --> 04:47:25,890 COMBINATION OF SKILLS, IDEAS AND 7394 04:47:25,890 --> 04:47:28,593 RESOURCES, TO USE MULTIPROJECT 7395 04:47:28,593 --> 04:47:31,129 RESEARCH PROGRAMS, THAT ADDRESS 7396 04:47:31,129 --> 04:47:34,298 NICHD, HIV, SCIENTIFIC AREAS AS 7397 04:47:34,298 --> 04:47:36,567 THE CENTRAL RESEARCH FOCUS. 7398 04:47:36,567 --> 04:47:39,871 AND THROUGH SYNERGY AMONGST 7399 04:47:39,871 --> 04:47:41,372 PROJECTS, YEAR-OLD MORE ROBUST 7400 04:47:41,372 --> 04:47:42,673 OUTCOMES THAN WOULD BE EXPECT 7401 04:47:42,673 --> 04:47:45,676 FRIDAY A SINGLE STUDY FOR 7402 04:47:45,676 --> 04:47:48,646 MULTIPLE ISOLATED STUDIES. 7403 04:47:48,646 --> 04:47:50,681 WE INTEND TO ENCOURAGE PARTIC 7404 04:47:50,681 --> 04:47:52,850 PAITIONZ IN AN EARLY CAREER HIV 7405 04:47:52,850 --> 04:47:55,219 INVESTIGATORS, THOSE WHO HAVE 7406 04:47:55,219 --> 04:47:56,287 NOT TRADITIONALLY ENGAGE INDEED 7407 04:47:56,287 --> 04:47:58,556 HIV RESEARCH AND MORE 7408 04:47:58,556 --> 04:48:00,625 ESTABLISHED HIV RESEARCHERS, 7409 04:48:00,625 --> 04:48:01,559 WITH LEADERSHIPS BARELY 7410 04:48:01,559 --> 04:48:05,396 DRIEWBTED AMONG THE GROUP. 7411 04:48:05,396 --> 04:48:07,331 THIS INITIATIVE HAS THE 7412 04:48:07,331 --> 04:48:10,134 POTENTIAL TO ADDRESS ALL NICHD 7413 04:48:10,134 --> 04:48:11,135 TRANSLATIONAL RESEARCHY 7414 04:48:11,135 --> 04:48:12,003 STRATEGIC PLANNED THEMES AND 7415 04:48:12,003 --> 04:48:15,072 CROSS CUTTING AREAS AND IT WILL 7416 04:48:15,072 --> 04:48:17,141 ALSO ALINE WIDE NIH'S OFFICE OF 7417 04:48:17,141 --> 04:48:19,644 MATERNAL RESEARCH AND THE 7418 04:48:19,644 --> 04:48:21,379 MATERNAL INFECIOUS DISEASE 7419 04:48:21,379 --> 04:48:25,349 BRANCHES HIV/AIDS PRIORITY. 7420 04:48:25,349 --> 04:48:27,451 THANK YOU. 7421 04:48:27,451 --> 04:48:28,686 >> THANK YOU DENISE, QUESTIONS 7422 04:48:28,686 --> 04:48:29,086 OR COMMENTS. 7423 04:48:29,086 --> 04:48:31,389 >> I HAVE JUST HAVE 1 COMMENT. 7424 04:48:31,389 --> 04:48:35,092 >> DR. LANG NI WANT TO THANK YOU 7425 04:48:35,092 --> 04:48:37,295 AND THE SPEAK ARE FOR NUMBER 1 7426 04:48:37,295 --> 04:48:39,297 BY PROVIDING THE PRIOR RESULTS, 7427 04:48:39,297 --> 04:48:41,265 THAT WAS NOT THE CASE, WHEN I 7428 04:48:41,265 --> 04:48:42,533 FIRST STARTED ON COUNCIL AND 7429 04:48:42,533 --> 04:48:43,701 IT'S REALLY HELPFUL TO SEE HOW 7430 04:48:43,701 --> 04:48:45,736 WHEN YOU'RE TRYING TO RENEW 7431 04:48:45,736 --> 04:48:49,674 SOMETHING WHAT YOU'VE DONE 7432 04:48:49,674 --> 04:48:50,041 BEFORE. 7433 04:48:50,041 --> 04:48:58,516 >> THANK YOU DR. BARKIN. 7434 04:48:58,516 --> 04:48:59,417 OTHER QUESTIONS OR COMMENTS? 7435 04:48:59,417 --> 04:49:03,321 CAN I HAVE A MOTION TO APPROVE? 7436 04:49:03,321 --> 04:49:05,623 >> I MOVE TO APPROVE. 7437 04:49:05,623 --> 04:49:09,126 >> OKAY, DR. NEAL- PERRY, 7438 04:49:09,126 --> 04:49:14,532 DR. CEDARS SECOND, ALL IN FAVOR 7439 04:49:14,532 --> 04:49:16,200 PLEASE VOTE. 7440 04:49:16,200 --> 04:49:17,568 NDR. [INDISCERNIBLE] SAID TO 7441 04:49:17,568 --> 04:49:21,105 RAISE MY HAND FOR HER. 7442 04:49:21,105 --> 04:49:21,739 >> DR. PERRY IS AMBI DEXTRAN 7443 04:49:21,739 --> 04:49:24,809 SULFATE TROWSE, SO THE NEXT 7444 04:49:24,809 --> 04:49:27,011 CONCEPT IS DR. SONIA LEE, CHIEF 7445 04:49:27,011 --> 04:49:29,647 OF INFECT YOURCANDIDATES DISEASE 7446 04:49:29,647 --> 04:49:32,283 BRARVE PRESENTING NAVIGATING 7447 04:49:32,283 --> 04:49:34,485 PEDIATRIC ADULT HEALTHCARE: 7448 04:49:34,485 --> 04:49:35,353 LOST IN TRANSITION. 7449 04:49:35,353 --> 04:49:37,221 >> THANK YOU AND GOOD EARCH WITH 7450 04:49:37,221 --> 04:49:39,590 IMPROVED RATES OF SURVIVAL IN 7451 04:49:39,590 --> 04:49:42,426 CHILDHOOD ILLNESSES, INDIVIDUALS 7452 04:49:42,426 --> 04:49:46,897 ARE LIVING LONGER WITH 1 OR MORE 7453 04:49:46,897 --> 04:49:47,331 CHRONIC CONDITIONS. 7454 04:49:47,331 --> 04:49:50,301 TO MEET THE NEEDS FOR CHRONIC 7455 04:49:50,301 --> 04:49:52,336 CONDITIONS OR DEVELOPMENTAL 7456 04:49:52,336 --> 04:49:53,738 MENTAL DISABILITIES AS THEY 7457 04:49:53,738 --> 04:49:55,139 TRANSITION FROM PEDIATRIC TO 7458 04:49:55,139 --> 04:49:57,808 ADULT SEBT RICK SERVICES, 7459 04:49:57,808 --> 04:49:58,576 BARRIERS TO SUCCESSFUL 7460 04:49:58,576 --> 04:49:59,777 TRANSITION, METHOD AND IT IS 7461 04:49:59,777 --> 04:50:01,312 MEASURES FOR DEFINING HEALTHCARE 7462 04:50:01,312 --> 04:50:03,147 TRANSITION, AND THE 7463 04:50:03,147 --> 04:50:03,814 IDENTIFICATION OF 7464 04:50:03,814 --> 04:50:05,349 PROMULGATEITING PRACTICES AND 7465 04:50:05,349 --> 04:50:06,751 THEIR IMPLEMENTATION MUST BE 7466 04:50:06,751 --> 04:50:07,418 BETTER UNDERSTOOD. 7467 04:50:07,418 --> 04:50:09,654 THE ULTIMATE GOAL OF THIS 7468 04:50:09,654 --> 04:50:10,688 INITIATIVE IS TO IMPROVE CARE 7469 04:50:10,688 --> 04:50:13,124 QUALITY AND PATIENT AND FAMILY 7470 04:50:13,124 --> 04:50:15,693 OUTCOMES DURING AND AN 7471 04:50:15,693 --> 04:50:16,460 HEALTHCARE TRANSITION. 7472 04:50:16,460 --> 04:50:18,396 THIS PROPOSED INITIATIVES BUILT 7473 04:50:18,396 --> 04:50:19,330 UPON PEDIATRIC SCIENTIFIC 7474 04:50:19,330 --> 04:50:21,999 RESEARCH PRIORITIES THAT WERE 7475 04:50:21,999 --> 04:50:27,271 IDENTIFIED BY THE NIH PEDIATRIC 7476 04:50:27,271 --> 04:50:30,241 RESEARCH CONSORTIUM OR NPERK, 7477 04:50:30,241 --> 04:50:33,010 AND A NOTICE OF SPECIAL INTEREST 7478 04:50:33,010 --> 04:50:34,278 ON THIS INITIATIVE. 7479 04:50:34,278 --> 04:50:37,014 THE NOSI HAS EXPEER I. 7480 04:50:37,014 --> 04:50:39,083 NINE INSTITUTES CENTERS AND 7481 04:50:39,083 --> 04:50:40,017 OFFICES COLLABORATES ON THE 7482 04:50:40,017 --> 04:50:42,153 NOTICE OF SPECIAL INTEREST, WE 7483 04:50:42,153 --> 04:50:43,054 HAD MULTIPLE APPLICATIONS 7484 04:50:43,054 --> 04:50:45,489 RECEIVE COVERING A VARIETY OF 7485 04:50:45,489 --> 04:50:45,823 CONDITIONS. 7486 04:50:45,823 --> 04:50:47,658 THIS CURRENT INIT WHYATIVE 7487 04:50:47,658 --> 04:50:51,095 CONCEPT ALINES WITH THE NICHD 7488 04:50:51,095 --> 04:50:52,730 STRATEGIC PLAN TOW INFORM AND 7489 04:50:52,730 --> 04:50:59,503 IVPROVE ADOLESCENT HEGHT AND THE 7490 04:50:59,503 --> 04:51:00,004 TRANITION TO ADULTHOOD. 7491 04:51:00,004 --> 04:51:01,238 >> THANK YOU SO MUCH. 7492 04:51:01,238 --> 04:51:05,943 ARE THERE ANY QUESTIONS OR 7493 04:51:05,943 --> 04:51:10,681 COMMENTS? 7494 04:51:10,681 --> 04:51:11,048 DR. CEDARS? 7495 04:51:11,048 --> 04:51:12,917 >> SORRY YOU SPOKE A BIT FAST 7496 04:51:12,917 --> 04:51:14,719 FOR ME, I WAS TRYING TO FOLLOW 7497 04:51:14,719 --> 04:51:15,252 THE PROTOCOL. 7498 04:51:15,252 --> 04:51:21,292 SO THERE HAVE BEEN OTHER 7499 04:51:21,292 --> 04:51:30,768 PROGRAMS ALMOST LIKE A 7500 04:51:30,768 --> 04:51:31,769 ANDMINISTRATIVE PROCESS 7501 04:51:31,769 --> 04:51:33,771 DEVELOPMENT SO IT SOUNDS LIKE 7502 04:51:33,771 --> 04:51:35,339 YOU'VE HAD OTHER GRANTS 7503 04:51:35,339 --> 04:51:38,142 PROPOSALS THAT HAVE DONE SIMILAR 7504 04:51:38,142 --> 04:51:38,609 THINGS. 7505 04:51:38,609 --> 04:51:39,443 NTHAT IS CORRECT. 7506 04:51:39,443 --> 04:51:44,715 THIS HAS DEMONSTRATED THE 7507 04:51:44,715 --> 04:51:46,317 INITIATIVE OF HEALTHCARE 7508 04:51:46,317 --> 04:51:48,819 TRANSITION, THIS 1 FOCUSED ON 7509 04:51:48,819 --> 04:51:50,454 HIV/AIDS IN TRANSITION FOR 7510 04:51:50,454 --> 04:51:51,722 HEALTHCARE FROM PEDIATRICS OR 7511 04:51:51,722 --> 04:51:53,657 ADULT CENTERS, AND WE DECIDED 7512 04:51:53,657 --> 04:51:56,093 THAT THAT WAS QUITE SUCCESSFUL, 7513 04:51:56,093 --> 04:51:57,395 WE GOT SEVERAL APPLICATIONS THAT 7514 04:51:57,395 --> 04:51:58,696 WERE FUNDED THROUGH THAT AND 7515 04:51:58,696 --> 04:52:00,431 THEY DEMON TRAIT THAD THERE ARE 7516 04:52:00,431 --> 04:52:04,602 MODELS OF TRANSITION THAT ARE 7517 04:52:04,602 --> 04:52:05,236 APPLICABLE ACROSS OTHER 7518 04:52:05,236 --> 04:52:07,271 CONDITIONS AND THERE HAVE BEEN 7519 04:52:07,271 --> 04:52:08,072 OTHER EN--STRATEGIESITUTES 7520 04:52:08,072 --> 04:52:12,743 WITHIN NIH WHO HAVE ALSO HAD 7521 04:52:12,743 --> 04:52:13,244 TRANSITIONINNISHIAATIVE 7522 04:52:13,244 --> 04:52:14,111 DEVELOPMENT AS WELL AND WE ARE 7523 04:52:14,111 --> 04:52:17,181 TRYING TO GET EVERYBODY TO WORK 7524 04:52:17,181 --> 04:52:20,284 TOGETHER ACROSS NIH ON AN 7525 04:52:20,284 --> 04:52:21,352 INITIATIVE THAT WILL REALLY 7526 04:52:21,352 --> 04:52:25,122 BENEFIT FROM DIFFERENT 7527 04:52:25,122 --> 04:52:26,424 CONDITIONS AND DIFFERENT GUIDE 7528 04:52:26,424 --> 04:52:27,258 LINES DIFFERENT PRACTICES AND 7529 04:52:27,258 --> 04:52:29,293 REALLY THINK ABOUT WHAT ARE THE 7530 04:52:29,293 --> 04:52:30,528 CORE ELEMENTS OF HEALTHCARE 7531 04:52:30,528 --> 04:52:32,830 TRANSITION THAT CAN BE USED MORE 7532 04:52:32,830 --> 04:52:33,164 BROADLY. 7533 04:52:33,164 --> 04:52:35,433 >> YEAH, NO, I THINK THE NEED TO 7534 04:52:35,433 --> 04:52:36,867 DEVELOP THAT TRANSITION, LEADING 7535 04:52:36,867 --> 04:52:40,805 ON THE RECEIVING END FREQUENTLY, 7536 04:52:40,805 --> 04:52:43,441 OF CHILDREN, YOU HAVE CHRONIC 7537 04:52:43,441 --> 04:52:45,743 CONDITIONS, THEY BECOME TEEN 7538 04:52:45,743 --> 04:52:47,378 AGENTERS AND ASLESSENTS AND 7539 04:52:47,378 --> 04:52:48,112 TEENAGERS AND ADULLS THAT COME 7540 04:52:48,112 --> 04:52:50,281 TO HAVE A BETTER TRANSITION WILL 7541 04:52:50,281 --> 04:52:51,782 BE EXCELLENT, I THINK WASN'T 7542 04:52:51,782 --> 04:52:56,287 SURE AS A CONCEPT MODALITY HOW 7543 04:52:56,287 --> 04:52:57,588 WORKABLE, AND JUST KNOW IT HAS 7544 04:52:57,588 --> 04:53:07,431 BEEN SO THANK YOU FOR CLARIFYING 7545 04:53:07,431 --> 04:53:08,032 THAT. 7546 04:53:08,032 --> 04:53:08,332 >> SHERYL? 7547 04:53:08,332 --> 04:53:09,600 >> THANK YOU. 7548 04:53:09,600 --> 04:53:11,001 I AM WILDLY ENTHUSIASTIC ABOUT 7549 04:53:11,001 --> 04:53:13,737 THIS BECAUSE WE SEE THAT THE 7550 04:53:13,737 --> 04:53:17,107 PREVALENCE OF CHILDREN WHO SCR 7551 04:53:17,107 --> 04:53:17,675 CHRONIC COMPLEX CONKIGZS 7552 04:53:17,675 --> 04:53:18,642 INCREASING DEDRAMATIC LOAMACYY 7553 04:53:18,642 --> 04:53:21,378 SO DEPENDING WHERE YOU ARE, IT'S 7554 04:53:21,378 --> 04:53:23,714 10-20%, WE DEFINE IT AS 5 OR 7555 04:53:23,714 --> 04:53:25,983 MORE CONDITIONS IS WE HAVE 17% 7556 04:53:25,983 --> 04:53:28,319 OF KIDS WE SERVE THAT WOULD MEET 7557 04:53:28,319 --> 04:53:30,421 THAT CRITERIA AND IN THE NEXT 7558 04:53:30,421 --> 04:53:34,425 5-SERVE YEARS THAT'S EXPECTED TO 7559 04:53:34,425 --> 04:53:35,392 GO WAY UP. 7560 04:53:35,392 --> 04:53:37,061 SO I'M WILDLY SUPPORTIVE OF 7561 04:53:37,061 --> 04:53:37,261 THIS. 7562 04:53:37,261 --> 04:53:38,996 SO HERE'S MY COMMENT JUST FOR 7563 04:53:38,996 --> 04:53:41,065 YOU ALL TO CONSIDER, WE KNOW 1 7564 04:53:41,065 --> 04:53:42,700 OF THE CRITICAL THINGS THAT MAKE 7565 04:53:42,700 --> 04:53:44,235 ITS DIFFICULT TO TRANSITION IS 7566 04:53:44,235 --> 04:53:45,636 OUR POLICY, HEALTH POLICIES, AND 7567 04:53:45,636 --> 04:53:48,372 SO I WOULD JUST ENCOURAGE 7568 04:53:48,372 --> 04:53:51,775 PROGRAM TO CONSIDER INCLUDING A 7569 04:53:51,775 --> 04:53:53,010 HEALTH SERVICES RESEARCH 7570 04:53:53,010 --> 04:53:56,447 PERSPECTIVE ABOUT UNDERSTANDING 7571 04:53:56,447 --> 04:53:57,515 EITHER SOMETHING LIKE WHAT THAT 7572 04:53:57,515 --> 04:53:59,183 MIGHT MEAN IN AN ECONOMIC PAY 7573 04:53:59,183 --> 04:54:02,052 FOR OUR PAYORS TO SUPPORT THIS, 7574 04:54:02,052 --> 04:54:03,187 BECAUSE THAT CONTINUINGS TO BE 7575 04:54:03,187 --> 04:54:10,528 SO MUCH OF THE MAIN BARRIER. 7576 04:54:10,528 --> 04:54:11,095 THANK YOU. 7577 04:54:11,095 --> 04:54:16,867 >> ALL RIGHT, OTHER QUESTIONS OR 7578 04:54:16,867 --> 04:54:17,201 COMMENTS. 7579 04:54:17,201 --> 04:54:17,968 DR. LEE. 7580 04:54:17,968 --> 04:54:20,838 >> I JUST WANT TO MAKE COMMENT 7581 04:54:20,838 --> 04:54:24,174 BECAUSE AT HRSA WE HAVE AUTISM 7582 04:54:24,174 --> 04:54:25,776 TRANSLATIONAL FOCUS NETWORK AND 7583 04:54:25,776 --> 04:54:29,113 WE FOCUS ON AUTISM BUT WE DURING 7584 04:54:29,113 --> 04:54:29,980 DISCUSSIONS WE THOUGHT IT WOULD 7585 04:54:29,980 --> 04:54:33,250 BE GREAT TO HAVE IT FOR ALL 7586 04:54:33,250 --> 04:54:34,285 TRANSITION FOR CHILDREN, BECAUSE 7587 04:54:34,285 --> 04:54:36,587 THEY NEED IT SO NOT ONLY 7588 04:54:36,587 --> 04:54:38,989 HEALTHCARE SYSTEM, LIKE THE 7589 04:54:38,989 --> 04:54:39,723 AUTISM, AND ALSO 7590 04:54:39,723 --> 04:54:42,893 [INDISCERNIBLE], SO I THINK FOR 7591 04:54:42,893 --> 04:54:46,397 THIS, ESPECIALLY FOR THE 7592 04:54:46,397 --> 04:54:48,499 CHILDREN ADOLESCENCE WITH LOW 7593 04:54:48,499 --> 04:54:51,268 SOCIAL ECONOMIC STATUS YOU 7594 04:54:51,268 --> 04:54:52,903 PROBABLY NEED A MULTIFACTORIAL 7595 04:54:52,903 --> 04:55:00,077 APPROACH IN ADDITION TO THE 7596 04:55:00,077 --> 04:55:02,279 SECTOR. 7597 04:55:02,279 --> 04:55:02,646 >> THANK YOU. 7598 04:55:02,646 --> 04:55:04,949 >> ALL RIGHT F. THERE'S NO OTHER 7599 04:55:04,949 --> 04:55:05,683 DISCUSSION OR COMMENT, DO WE 7600 04:55:05,683 --> 04:55:11,155 HAVE A MOTION TO APPROVE? 7601 04:55:11,155 --> 04:55:20,197 >> SO MOVED. 7602 04:55:20,197 --> 04:55:21,065 >> CEDARS AND BIANCHI,. 7603 04:55:21,065 --> 04:55:24,101 >> ALL RIGHT, THANK YOU NOW WE 7604 04:55:24,101 --> 04:55:25,603 TURN TO KATHLEEN HUN 7605 04:55:25,603 --> 04:55:26,337 SECURITIZATION.ER WHO WILL 7606 04:55:26,337 --> 04:55:30,274 PRESENT NATURAL HISTORY OF 7607 04:55:30,274 --> 04:55:35,245 DISORDERS SCREENABLE AND NEW 7608 04:55:35,245 --> 04:55:36,246 BORN CARRIERS. 7609 04:55:36,246 --> 04:55:37,748 >> PROGRAM SEEKS COUNCIL APPROVE 7610 04:55:37,748 --> 04:55:40,184 WILL TO RENEW AN INITIATIVE OF 7611 04:55:40,184 --> 04:55:41,251 NATURAL HISTORY DISORDERS 7612 04:55:41,251 --> 04:55:42,953 SCREENABLE IN THE NEW BORN 7613 04:55:42,953 --> 04:55:43,854 PERIOD. 7614 04:55:43,854 --> 04:55:45,489 STATE PROGRAMS SCREEN NEARLY 7615 04:55:45,489 --> 04:55:46,757 4 MILLION NEWBORNS EACH YEAR TO 7616 04:55:46,757 --> 04:55:49,627 RIERKS DENTIFY THOSE AT RISK FOR 7617 04:55:49,627 --> 04:55:51,895 THE 64 CONGENITAL CONDITIONS FOR 7618 04:55:51,895 --> 04:55:53,430 THE RISK SCREENING PANEL. 7619 04:55:53,430 --> 04:55:55,633 ADDING A CONDITION TO THE RUSK 7620 04:55:55,633 --> 04:55:57,468 INVOLVES A RIGOROUS PROCESS 7621 04:55:57,468 --> 04:55:58,869 WHICH ENCLOUDS ASSESSMENT OF HOW 7622 04:55:58,869 --> 04:55:59,737 WELL TREATMENTS AND ARE 7623 04:55:59,737 --> 04:56:01,705 AVAILABLE HISTORY OF THE 7624 04:56:01,705 --> 04:56:02,740 CONDITION, HOWEVER IT'S 7625 04:56:02,740 --> 04:56:04,475 DIFFICULT TO RECEIVE NIH FUNDING 7626 04:56:04,475 --> 04:56:05,776 FOR NEVERL HISTORY STUDIES TO 7627 04:56:05,776 --> 04:56:07,344 SUPPORT THIS BASE AS THESE 7628 04:56:07,344 --> 04:56:09,680 STUDIES ARE OFTEN NOT HYPOTHESIS 7629 04:56:09,680 --> 04:56:10,147 KRIVEN. 7630 04:56:10,147 --> 04:56:11,081 NATURAL HISTORY STUDIES ARE 7631 04:56:11,081 --> 04:56:13,550 IMPORTANT FOR DEVELOPING 7632 04:56:13,550 --> 04:56:14,618 TARGETED AGE APPROACHERATE AND 7633 04:56:14,618 --> 04:56:15,886 STAGE RELEVANT TREATMENTS THAT 7634 04:56:15,886 --> 04:56:20,324 ARE CURRENTLY ARE ARE MAY BECOME 7635 04:56:20,324 --> 04:56:20,658 PART OF RISK. 7636 04:56:20,658 --> 04:56:22,393 SIGNIFICANTLY A PREVIOUS VERSION 7637 04:56:22,393 --> 04:56:25,863 OF THE PIR FOLLOW UP INFANTS AS 7638 04:56:25,863 --> 04:56:27,498 FINAL FOR SMA, LAYING GROWNTD 7639 04:56:27,498 --> 04:56:30,234 WORK FOR SMA TO THE RUSK IN 7640 04:56:30,234 --> 04:56:30,801 2018. 7641 04:56:30,801 --> 04:56:32,936 THIS CONCEPT ALINES WITH BOTH 7642 04:56:32,936 --> 04:56:35,673 THE NICHD STRATEGIC PLAN AND IDB 7643 04:56:35,673 --> 04:56:37,941 RESEARCH PRIORITIES AND SUPPORTS 7644 04:56:37,941 --> 04:56:39,710 THE HUNTER KELLY NEW PORT 7645 04:56:39,710 --> 04:56:47,685 SCREENING RESEARCH PROGRAM. 7646 04:56:47,685 --> 04:56:49,987 THANK YOU. 7647 04:56:49,987 --> 04:56:50,721 >> THANK YOU. 7648 04:56:50,721 --> 04:56:51,622 ANY QUESTIONS ABOUT THIS. 7649 04:56:51,622 --> 04:56:54,158 >> I THINK WE SAW TODAY THAT 7650 04:56:54,158 --> 04:56:56,527 UNDERSTANDING NATURAL HISTORY IS 7651 04:56:56,527 --> 04:56:57,728 AN INCREDIBLY IMPORTANT EFFORT. 7652 04:56:57,728 --> 04:57:06,303 SO I FULLY SUPPORT THIS. 7653 04:57:06,303 --> 04:57:07,838 NA COMMENT JUST BECAUSE OF THE 7654 04:57:07,838 --> 04:57:13,243 EMPHASIS ON THE INTELLECTUAL 7655 04:57:13,243 --> 04:57:14,611 DISABILITY IN GENES, IN OF THESE 7656 04:57:14,611 --> 04:57:18,549 WON'T SHOW UP IN CHILDREN, IT'S 7657 04:57:18,549 --> 04:57:21,251 IMPORTANT TO DELIVER THAT 7658 04:57:21,251 --> 04:57:22,086 INFORMATION TO THAT FAMILY EVEN 7659 04:57:22,086 --> 04:57:23,721 THOUGH THEY MAY HAVE A GENE OF 7660 04:57:23,721 --> 04:57:25,723 CONCERN, SO I THINK HIGHLIGHTING 7661 04:57:25,723 --> 04:57:26,990 THE IMPACT ON FAMILY ANDS BEING 7662 04:57:26,990 --> 04:57:30,294 SENSITIVE TO THE POTENTIAL DOWN 7663 04:57:30,294 --> 04:57:33,731 SIDE OF THE ENROLLMENT BASED ON 7664 04:57:33,731 --> 04:57:35,065 THE GENETIC ASCERTAINMENT TYPE. 7665 04:57:35,065 --> 04:57:41,004 I SHOULD MENTION DIANEA'S VIEWS 7666 04:57:41,004 --> 04:57:43,207 ON THAT, TOO. 7667 04:57:43,207 --> 04:57:43,574 >> THANK YOU. 7668 04:57:43,574 --> 04:57:45,209 >> I WANT TO ASK A QUESTION 7669 04:57:45,209 --> 04:57:46,944 BECAUSE IT'S LIMITED TO THE 7670 04:57:46,944 --> 04:57:49,747 CONDITIONS ON THE RUSK, SO I'M 7671 04:57:49,747 --> 04:57:52,616 NOT FAMILIAR ENOUGH WITH HOW 7672 04:57:52,616 --> 04:57:55,652 QUICKLY THOSE GET UPDATED. 7673 04:57:55,652 --> 04:57:58,422 SO, THIS SHOULD BE APPLICABLE TO 7674 04:57:58,422 --> 04:58:00,390 A BROADER SET OF CONDITIONS. 7675 04:58:00,390 --> 04:58:02,559 >> WELL JUST TO CLARIFY, THE 7676 04:58:02,559 --> 04:58:04,061 FUNDING STUDENT OPEN TO STUDY 7677 04:58:04,061 --> 04:58:05,229 CONDITIONS BOTH ON THE RISK AND 7678 04:58:05,229 --> 04:58:06,964 NOT ON THE RUSK. 7679 04:58:06,964 --> 04:58:08,632 SO CONDITIONS THAT ARE CURRENTLY 7680 04:58:08,632 --> 04:58:12,169 BEING KREENED FOR THAT MAY 1 BAY 7681 04:58:12,169 --> 04:58:20,911 BE SCREENED FOR. 7682 04:58:20,911 --> 04:58:23,547 >> ALL RIGHT, DO I HAVE A MOTION 7683 04:58:23,547 --> 04:58:27,417 TO APPROVE. 7684 04:58:27,417 --> 04:58:30,587 >> SO MOVED. 7685 04:58:30,587 --> 04:58:31,855 >> DR. VANNEDDER VIEFER, 7686 04:58:31,855 --> 04:58:36,326 DR. ROWITCH, ALL IN FAVOR? 7687 04:58:36,326 --> 04:58:41,064 OKAY, THE NEXT CONCEPT WILL BE 7688 04:58:41,064 --> 04:58:43,167 FROM DR. CINNAMON DIXON OF THE 7689 04:58:43,167 --> 04:58:46,436 PEDIATRIC TRAUM AND CRITICAL 7690 04:58:46,436 --> 04:58:48,372 ILLNESS BRANCH FOR RESEARCH ON 7691 04:58:48,372 --> 04:58:50,240 DROWNING PREVENTION. 7692 04:58:50,240 --> 04:58:50,607 CINNAMON? 7693 04:58:50,607 --> 04:58:52,743 >> CAN YOU HEAR ME OKAY? 7694 04:58:52,743 --> 04:58:53,710 >> GOOD AFTERNOON. 7695 04:58:53,710 --> 04:58:55,445 PROGRAM SEEKS COUNCIL APPROVAL 7696 04:58:55,445 --> 04:58:56,947 FOR AN INITIATIVE TITLED 7697 04:58:56,947 --> 04:58:58,649 RESEARCH ON DROWNING PREVENTION. 7698 04:58:58,649 --> 04:59:02,419 DROWNING IS A LEADING CAUSE OF 7699 04:59:02,419 --> 04:59:04,154 CHILD MORTALITY, AND A GRARRING 7700 04:59:04,154 --> 04:59:05,823 HEALTH EQUITY ISSUE WITH 7701 04:59:05,823 --> 04:59:07,691 SIGNIFICANTLY HIGHER RATES OF 7702 04:59:07,691 --> 04:59:10,194 DROWNING DEATH AND MORBIDITY 7703 04:59:10,194 --> 04:59:11,829 FOUND AMONG 1-4 YEAR-OLDS 7704 04:59:11,829 --> 04:59:12,996 ADOLESCENTS AND OTHER 7705 04:59:12,996 --> 04:59:13,363 POPULATIONS. 7706 04:59:13,363 --> 04:59:16,400 TWO YEARS AGO, THE NICHD LED THE 7707 04:59:16,400 --> 04:59:20,304 FIRST EVER NIH CALL FOR DROWNING 7708 04:59:20,304 --> 04:59:21,672 RESEARCH WHICH IGNITED AND 7709 04:59:21,672 --> 04:59:23,307 FUELED THIS SCIENTIFIC FIELD 7710 04:59:23,307 --> 04:59:25,008 RESULT NOTHING SIGNIFICANT 7711 04:59:25,008 --> 04:59:27,978 INCREASES AND APPLICATION 7712 04:59:27,978 --> 04:59:31,748 SUBMITTED AND AWARDED, THIS 7713 04:59:31,748 --> 04:59:32,749 CURRENT INITIATIVE CONTINUES 7714 04:59:32,749 --> 04:59:35,219 MOMENTUM AND FURTHER 7715 04:59:35,219 --> 04:59:36,353 STRENGTHENING THE NICHD'S FOCUS 7716 04:59:36,353 --> 04:59:38,188 AND FISCAL COMMITMENT TO 7717 04:59:38,188 --> 04:59:38,755 DROWNING SCIENCE. 7718 04:59:38,755 --> 04:59:40,591 IT WILL CALL FOR TRANSFORMATIVE 7719 04:59:40,591 --> 04:59:42,993 WERE TO ADDRESS DROWNING 7720 04:59:42,993 --> 04:59:44,261 DISPARITIES, CONTINUED DISCOVERY 7721 04:59:44,261 --> 04:59:46,763 OF EVIDENT BASED INTERVENTIONS 7722 04:59:46,763 --> 04:59:49,266 AND IMPLEMENTATION SCIENCE TO 7723 04:59:49,266 --> 04:59:51,168 OVERCOME PREVENTION GAPS, AND 7724 04:59:51,168 --> 04:59:52,202 INEQUITYINGS IN HARM. 7725 04:59:52,202 --> 04:59:55,305 THIS CONCEPT ALIGNED WITH THE 7726 04:59:55,305 --> 04:59:57,274 NICHD'S STRATEGIC PLAN THEME 4, 7727 04:59:57,274 --> 05:00:00,644 AND THE PEDIATRIC TRAUMA AND 7728 05:00:00,644 --> 05:00:01,311 CRITICAL ILLNESS BRANCH PRIORITY 7729 05:00:01,311 --> 05:00:03,313 TO ADDRESS THE LEADING CAUSES OF 7730 05:00:03,313 --> 05:00:08,051 TRAUMATIC INJURY IN CHILDREN. 7731 05:00:08,051 --> 05:00:09,620 THANK YOU. 7732 05:00:09,620 --> 05:00:17,361 >> THANK YOU, QUESTIONS OR 7733 05:00:17,361 --> 05:00:18,662 COMMENTS ABOUT THIS? 7734 05:00:18,662 --> 05:00:20,397 >> I SHOULD JUST HAD A QUICK 7735 05:00:20,397 --> 05:00:21,932 QUESTION ABOUT THERE BECAUSE 7736 05:00:21,932 --> 05:00:26,970 WHILE IN SOME STATES WE ACTUALLY 7737 05:00:26,970 --> 05:00:27,804 HAVE SOME GOOD INTERVENTIONS 7738 05:00:27,804 --> 05:00:30,240 THAT SEEM TO BE USEFUL, THE 1 7739 05:00:30,240 --> 05:00:31,875 ELEMENT OF DROWNING THAT HASN'T 7740 05:00:31,875 --> 05:00:33,377 SHIFTED AT ALL IS DROWNING IN 7741 05:00:33,377 --> 05:00:35,612 BATH TUB SYSTEM THAT INCLUDED IN 7742 05:00:35,612 --> 05:00:37,547 THIS PROPOSAL NALL TYPES OF 7743 05:00:37,547 --> 05:00:39,816 DROWNING WHETHER OPEN WATER, 7744 05:00:39,816 --> 05:00:42,052 POOLS, OR IN BATH TUBS ARE 7745 05:00:42,052 --> 05:00:42,319 INCLUDED. 7746 05:00:42,319 --> 05:00:44,354 AND THANK YOU FOR THE QUESTION, 7747 05:00:44,354 --> 05:00:49,927 IT'S A GREAT 1. 7748 05:00:49,927 --> 05:00:50,460 >> THANK YOU. 7749 05:00:50,460 --> 05:00:51,094 >> ALL RIGHT, THANK YOU VERY 7750 05:00:51,094 --> 05:00:51,295 MUCH. 7751 05:00:51,295 --> 05:00:54,665 DO I HAVE A MOTION TO APPROVE. 7752 05:00:54,665 --> 05:00:55,999 >> MOTION TO APPROVE. 7753 05:00:55,999 --> 05:00:57,701 DR. BANNER MAN. 7754 05:00:57,701 --> 05:01:07,377 >> DR. LANG. 7755 05:01:07,377 --> 05:01:08,412 >> ALL IN FAVOR? 7756 05:01:08,412 --> 05:01:10,580 OKAY, KEEP YOUR HANDS UP FOR A 7757 05:01:10,580 --> 05:01:10,847 MOMENT. 7758 05:01:10,847 --> 05:01:13,016 WOO WE'RE DOING THIS AS LOW TECH 7759 05:01:13,016 --> 05:01:13,317 AS POSSIBLE. 7760 05:01:13,317 --> 05:01:13,951 THANK YOU VERY MUCH. 7761 05:01:13,951 --> 05:01:16,486 AND NOW WE'LL HEAR FROM 7762 05:01:16,486 --> 05:01:18,822 DR. KAREN WEINER, THE ACTING 7763 05:01:18,822 --> 05:01:21,525 CHIEF OF THE PEDIATRIC GROWTH 7764 05:01:21,525 --> 05:01:23,927 AND NUTRITION BRANCH WITH CHILD 7765 05:01:23,927 --> 05:01:26,763 HEALTH RESEARCH CAREER TWEPMENT 7766 05:01:26,763 --> 05:01:29,599 AWARD K12 MENTORING FOR 7767 05:01:29,599 --> 05:01:31,301 PEDIATRICIAN SCIENTISTS. 7768 05:01:31,301 --> 05:01:32,970 >> THANK YOU REBEC APROGRAM 7769 05:01:32,970 --> 05:01:35,272 SEEKS COUNCIL APPROVAL TO 7770 05:01:35,272 --> 05:01:36,273 REISSUE INITIATIVE ENTITLED 7771 05:01:36,273 --> 05:01:37,341 CHILD HEALTH DEVELOPMENT CAREER 7772 05:01:37,341 --> 05:01:37,708 AWARD. 7773 05:01:37,708 --> 05:01:39,643 THE GOAL IS TO SUPPORT THE 7774 05:01:39,643 --> 05:01:42,179 TRAINING MENTORING AND CAREER 7775 05:01:42,179 --> 05:01:46,350 DEVELOPMENT OF PEDIATRICIANS WHO 7776 05:01:46,350 --> 05:01:47,751 HAVE RECENTLY COMPLETED 7777 05:01:47,751 --> 05:01:48,919 SUBSPECIALTY FELLOWSHIP TRAINING 7778 05:01:48,919 --> 05:01:50,854 AND COMMENCING CAREERS IN 7779 05:01:50,854 --> 05:01:51,488 RESEARCH. 7780 05:01:51,488 --> 05:01:52,389 THIS INITIATIVE ADDRESSES THE 7781 05:01:52,389 --> 05:01:54,691 ONGOING NEED TO SUPPORT THE 7782 05:01:54,691 --> 05:01:56,860 ACQUISITION OF TECHNICAL 7783 05:01:56,860 --> 05:01:58,762 RESEARCH SKILLS AND TO PROVIDE A 7784 05:01:58,762 --> 05:01:59,930 BRIDGE BETWEEN FORMAL RESEARCH 7785 05:01:59,930 --> 05:02:04,801 TRAINING AND THE RESEEP OF NIH 7786 05:02:04,801 --> 05:02:05,102 GRANTS. 7787 05:02:05,102 --> 05:02:06,470 APPLICANTS MUST PROPOSE A CAREER 7788 05:02:06,470 --> 05:02:07,637 DEVELOPMENT PROGRAM THAT WILL 7789 05:02:07,637 --> 05:02:10,474 MAXIMIZE THE USE OF THEIR 7790 05:02:10,474 --> 05:02:11,842 EDUCATIONAL RESOURCES WHERE THE 7791 05:02:11,842 --> 05:02:13,210 MENTORING AND PROFESSIONAL 7792 05:02:13,210 --> 05:02:17,047 DEVELOPMENT OF THEIR SCHOLARS. 7793 05:02:17,047 --> 05:02:18,782 MANY PAST SCHOL OARS FUNDED BY 7794 05:02:18,782 --> 05:02:20,817 THIS PROGRAM HAVE ADVANCED TO 7795 05:02:20,817 --> 05:02:22,285 THE HIGH ELF LEVELS OF THE 7796 05:02:22,285 --> 05:02:24,454 ACADEMIC LEADER AND HAVE BEEN 7797 05:02:24,454 --> 05:02:25,822 REMARKABLY SUCCESSFUL IN 7798 05:02:25,822 --> 05:02:26,656 SECURING FUNDING. 7799 05:02:26,656 --> 05:02:28,458 MAJORITY OF PAST SCHOLARS REMAIN 7800 05:02:28,458 --> 05:02:32,062 IN ACADEMICS AND HAVE DEDICATED 7801 05:02:32,062 --> 05:02:33,263 THEIR PROFESSIONAL LIVES TO 7802 05:02:33,263 --> 05:02:34,564 ADVANCING SCIENCE AND 7803 05:02:34,564 --> 05:02:37,100 DISCOVERING NEW THERAPIES FOR 7804 05:02:37,100 --> 05:02:42,339 CHILDHOOD ILLNESSES. 7805 05:02:42,339 --> 05:02:42,806 THANK YOU. 7806 05:02:42,806 --> 05:02:44,541 THANK YOU SO MUCH. 7807 05:02:44,541 --> 05:02:50,347 ARE THERE QUESTIONS OR COMEBTS 7808 05:02:50,347 --> 05:02:50,981 ABOUT THIS CONTENT? 7809 05:02:50,981 --> 05:02:59,122 IS THERE A MOTION TO APPROVE IN. 7810 05:02:59,122 --> 05:02:59,556 >> DR. MALDONADO. 7811 05:02:59,556 --> 05:03:00,023 >> SECOND. 7812 05:03:00,023 --> 05:03:07,330 >> DR. VABDER VIEFER, ALL IN 7813 05:03:07,330 --> 05:03:07,531 FAVOR? 7814 05:03:07,531 --> 05:03:11,268 >> NOKAY, THANK YOU VERY MUCH. 7815 05:03:11,268 --> 05:03:15,939 AND NOW DR. LEE ALAN FROM THE 7816 05:03:15,939 --> 05:03:17,507 CONTRACEPTIVE RESEARCH BRANCH, 7817 05:03:17,507 --> 05:03:20,444 WILL PRESENT EFFECTS OF 7818 05:03:20,444 --> 05:03:22,479 CONTRACEPTION AS TREATMENT FOR 7819 05:03:22,479 --> 05:03:25,082 GUIN OICOLOGGIC DISORDERS. 7820 05:03:25,082 --> 05:03:26,917 >> PROGRAM SEEKS COUNCIL 7821 05:03:26,917 --> 05:03:29,653 APPROVAL FOR INITIATIVE TITLED 7822 05:03:29,653 --> 05:03:31,021 EFFECTS OF CONTRACEPTION FOR 7823 05:03:31,021 --> 05:03:35,125 GUIN ON COG LOGIC DISORDERS, THE 7824 05:03:35,125 --> 05:03:37,661 ROUGHLY 100 MARKETS OF IS MOVED 7825 05:03:37,661 --> 05:03:40,397 BY PEOPLE OF CONTRACEPTION, 7826 05:03:40,397 --> 05:03:41,698 HOWEVER MANY HORMONAL 7827 05:03:41,698 --> 05:03:43,166 CONTRACEPTIONS ARE USED 7828 05:03:43,166 --> 05:03:47,504 LONG-TERM TO USE GUIN OICOLOGGIC 7829 05:03:47,504 --> 05:03:49,973 CONDITIONS SUCH AS POLYCYSTIC 7830 05:03:49,973 --> 05:03:51,208 INDROAM, ENDOMETRIOSIS AND 7831 05:03:51,208 --> 05:03:53,510 FIBROID WHICH EFFECT MILLIONS OF 7832 05:03:53,510 --> 05:03:54,678 U.S. WOMEN, THE COMMON THEME 7833 05:03:54,678 --> 05:03:59,616 ACROSS THESE IS THE LACK OF 7834 05:03:59,616 --> 05:04:01,818 SPECIFIC TREATMENT, THOUGH 7835 05:04:01,818 --> 05:04:03,053 HORMONAL CONTRACEPTS OF 7836 05:04:03,053 --> 05:04:05,188 TYPICALLY USED BI THERE'S DAT ON 7837 05:04:05,188 --> 05:04:07,023 THE REGIMEN, THE GOALS OF THIS 7838 05:04:07,023 --> 05:04:09,092 INITIATIVE ARE TO SUGGEST 7839 05:04:09,092 --> 05:04:11,294 TREATMENT GUIDELINES TO PATIENT 7840 05:04:11,294 --> 05:04:13,230 OUTCOMES AND SATISFACTION WHILE 7841 05:04:13,230 --> 05:04:15,398 GENERATING DATA TO DRIVE BEST 7842 05:04:15,398 --> 05:04:17,801 PRACTICES AS WELL AS ATTAIN 7843 05:04:17,801 --> 05:04:20,570 INSIGHT INTO DRIVERS OF 7844 05:04:20,570 --> 05:04:23,039 CONTRACEPTIVE CHOICE AND GUIN 7845 05:04:23,039 --> 05:04:28,111 ONICOLOGGIC CONCISIONS THIS, IS 7846 05:04:28,111 --> 05:04:29,279 NICHDTO NICHD ASPIRATIONAL 7847 05:04:29,279 --> 05:04:31,581 GOALS, CROSS CUTTING THAT WILL 7848 05:04:31,581 --> 05:04:34,417 HELP DISPARITY ANDS 1 OF THE 7849 05:04:34,417 --> 05:04:35,886 CONTRACEPTION RESEARCH BRANCHES 7850 05:04:35,886 --> 05:04:36,753 PROGRAMMATIC PRIORITIES. 7851 05:04:36,753 --> 05:04:38,054 THANK YOU. 7852 05:04:38,054 --> 05:04:40,123 NTHANK YOU VERY MUCH. 7853 05:04:40,123 --> 05:04:44,561 ANY COMMENTS OR DISCUSSION ABOUT 7854 05:04:44,561 --> 05:04:47,297 THIS INITIATIVE. 7855 05:04:47,297 --> 05:04:47,831 >> DR. CEDARS. 7856 05:04:47,831 --> 05:04:51,535 SO I AGREE COMPLETELY THERE ARE 7857 05:04:51,535 --> 05:04:53,737 LOTS OF CONDITIONS THAT 7858 05:04:53,737 --> 05:04:55,238 CONTRACEPTIVE PARTICULARLY 7859 05:04:55,238 --> 05:04:57,040 COMBINE HORMONAL CONTRACEPTIVE 7860 05:04:57,040 --> 05:04:58,742 ARE USED WHICH IS PARTICULARLY 7861 05:04:58,742 --> 05:05:00,710 IMPORTANT IN OUR CURRENT 7862 05:05:00,710 --> 05:05:03,780 ENVIRONMENT WHERE THEY WANT TO 7863 05:05:03,780 --> 05:05:04,915 STOP PRESCRIBING CONTRACEPTIVE 7864 05:05:04,915 --> 05:05:07,050 BECAUSE THEY ASSUME THEY'RE ALL 7865 05:05:07,050 --> 05:05:09,252 FOR CONTROL BUT I'M A LITTLE 7866 05:05:09,252 --> 05:05:17,494 CONCERNED OR MAYBE I JUST DON'T 7867 05:05:17,494 --> 05:05:19,429 UNDERSTAND WOULD BE THE--BECAUSE 7868 05:05:19,429 --> 05:05:21,965 THERE'S NO DATA OR LACK OF DATA 7869 05:05:21,965 --> 05:05:22,999 ON LONG-TERM MUTES SO IT WOULD 7870 05:05:22,999 --> 05:05:25,202 BE IN THE LONG-TERM COMPARATIVE 7871 05:05:25,202 --> 05:05:25,402 TRIAL. 7872 05:05:25,402 --> 05:05:26,870 I'M NOT TRYING TO MICROMANAGE 7873 05:05:26,870 --> 05:05:29,773 WHAT WOULD HAPPEN BUT I'M TRYING 7874 05:05:29,773 --> 05:05:31,074 TO UNDERSTAND WHAT THE GOAL IS 7875 05:05:31,074 --> 05:05:34,444 BECAUSE A LOT OF THESE ARE GOING 7876 05:05:34,444 --> 05:05:36,213 TO BE DRUG OFF THESE AND OFF, 7877 05:05:36,213 --> 05:05:41,451 TRYING TO THINK OF HOW YOU'RE 7878 05:05:41,451 --> 05:05:43,086 GOING TO WHAT YOU'RE GOING TO BE 7879 05:05:43,086 --> 05:05:44,588 LOOKING AT AND WHAT YOU'RE END 7880 05:05:44,588 --> 05:05:46,223 POINTS ARE IF YOU'RE REALLY 7881 05:05:46,223 --> 05:05:49,859 LOOKING AT WHAT THE LONG-TERM 7882 05:05:49,859 --> 05:05:50,427 EFFECT IS. 7883 05:05:50,427 --> 05:05:52,495 SO 2 OF THE PRIORITIES FOR 7884 05:05:52,495 --> 05:05:53,296 RESEARCH BRANCH ARE DISCIPLINE 7885 05:05:53,296 --> 05:05:55,632 AND ALSO THE LONG-TERM HEALTH 7886 05:05:55,632 --> 05:05:58,001 EFFECTS OF CONTRACEPTION, SO 7887 05:05:58,001 --> 05:05:59,669 THAT KIND OF BRIDGES BOTH OF 7888 05:05:59,669 --> 05:06:00,770 THOSE. 7889 05:06:00,770 --> 05:06:03,373 THE SCOPE OF THIS WOULD BE MORE 7890 05:06:03,373 --> 05:06:06,009 SHORT-TERM, IT WOULD BE SMALLER 7891 05:06:06,009 --> 05:06:10,013 SCALE, CLINICAL TRIALS COMPARING 7892 05:06:10,013 --> 05:06:11,615 PROJESTIN OR CONTINUOUS 7893 05:06:11,615 --> 05:06:12,549 HAVEERCEUS CYCLIC USE FOR SOME 7894 05:06:12,549 --> 05:06:17,454 OF THE SCOPE IDEAS FOR THIS BUT 7895 05:06:17,454 --> 05:06:19,055 THE HOPE IS THAT THIS WOULD 7896 05:06:19,055 --> 05:06:20,590 KICKOFF THE RESEARCH PROGRAM TO 7897 05:06:20,590 --> 05:06:23,226 APPLY TO MAYBE LONGER TERM 7898 05:06:23,226 --> 05:06:28,131 AWARDS OR LARGER AWARDS. 7899 05:06:28,131 --> 05:06:30,867 >> I MEAN I GUESS AS SOMEBODY 7900 05:06:30,867 --> 05:06:33,069 WHO STUDIES PC OS FOR INSTANCE, 7901 05:06:33,069 --> 05:06:35,772 I WOULD RATHER SORT OF 7902 05:06:35,772 --> 05:06:37,207 UNDERSTAND THE FAGHT O 7903 05:06:37,207 --> 05:06:40,043 PHYSIOLOGY OF THE DEC THAN 7904 05:06:40,043 --> 05:06:42,646 WHETHER TAKING A BIRTH CONTROL 7905 05:06:42,646 --> 05:06:44,447 PILE CONTINUOUSLY OR CYCLICALLY 7906 05:06:44,447 --> 05:06:47,017 IS THE BEST WAY TO DO IT UNLESS 7907 05:06:47,017 --> 05:06:52,589 I'M MISSING SOMETHING, IT JUST 7908 05:06:52,589 --> 05:06:54,090 DOESN'T SOUND QUITE LIKE A KIND 7909 05:06:54,090 --> 05:06:55,859 OF BIG ENOUGH QUESTION THAT I 7910 05:06:55,859 --> 05:07:00,730 WOULD EXPECT NIH TO BE ANSWERING 7911 05:07:00,730 --> 05:07:03,600 FOR AN ENDOMEET RIOSEIS 7912 05:07:03,600 --> 05:07:03,900 POPULATION. 7913 05:07:03,900 --> 05:07:08,872 >> I WILL CERTAINLY TAKE THAT IN 7914 05:07:08,872 --> 05:07:10,073 MIND WHEN WRITING UP 7915 05:07:10,073 --> 05:07:14,644 THE--WHATEVER COMES OUT OF THIS 7916 05:07:14,644 --> 05:07:14,944 INITIATIVE. 7917 05:07:14,944 --> 05:07:18,214 I SEE SOMEONE COMING TO THE MIC. 7918 05:07:18,214 --> 05:07:18,648 >> DR.? 7919 05:07:18,648 --> 05:07:20,350 >> YES, CAN I ASK ANOTHER 7920 05:07:20,350 --> 05:07:21,885 QUESTION RELATED TO THIS BECAUSE 7921 05:07:21,885 --> 05:07:25,322 THE GOALS OF THE INITIATIVE ARE 7922 05:07:25,322 --> 05:07:27,590 TO SUGGEST TREATMENT GUIDELINES 7923 05:07:27,590 --> 05:07:30,160 AND I WASN'T SURE IF THAT'S--IF 7924 05:07:30,160 --> 05:07:32,629 THAT'S THE IDEA TO GENERATE TO 7925 05:07:32,629 --> 05:07:34,998 DO RESEARCH TO GENERATE THE 7926 05:07:34,998 --> 05:07:36,766 EVIDENT TO SUPPORT THE 7927 05:07:36,766 --> 05:07:40,337 GUIDELINES OR, YEAH, OKAY, 7928 05:07:40,337 --> 05:07:43,740 BECAUSE MAKING THE GUIDELINES 7929 05:07:43,740 --> 05:07:48,011 ARE NOT NECESSARILY THE PRIMARY 7930 05:07:48,011 --> 05:07:48,278 RESEARCH. 7931 05:07:48,278 --> 05:07:49,879 CAN I STEP IN FOR A SECOND AND 7932 05:07:49,879 --> 05:07:51,147 SAY THAT SOME OF THE QUESTION 7933 05:07:51,147 --> 05:07:53,917 SYSTEM FOCUSED ON WHETHER IT'S A 7934 05:07:53,917 --> 05:07:55,518 FOCUS ON GYNECOLOGIC PAIN WHICH 7935 05:07:55,518 --> 05:07:56,519 HAS BECOME A STRONG AND 7936 05:07:56,519 --> 05:07:59,289 IMPORTANT PART OF THE FOCUS ALSO 7937 05:07:59,289 --> 05:08:00,523 OF THE GYNECOLOGIC HEALTH AND 7938 05:08:00,523 --> 05:08:02,592 DISEASE BRANCH SO THIS IS REALLY 7939 05:08:02,592 --> 05:08:04,561 MEANT AS AN INITIATIVE THAT 7940 05:08:04,561 --> 05:08:07,097 WOULD WORK BETWEEN THE 7941 05:08:07,097 --> 05:08:07,997 CONTRACEPTIVE RESEARCH BRANCH 7942 05:08:07,997 --> 05:08:10,633 AND FOCUS ON GUIN ONICOLOGGIC 7943 05:08:10,633 --> 05:08:17,407 PAIN AND MAKE SURE THAT WAS 7944 05:08:17,407 --> 05:08:17,741 THERE. 7945 05:08:17,741 --> 05:08:20,477 >> THAT WAS MISSED IN THE 7946 05:08:20,477 --> 05:08:21,311 DISKRIPGZ FOR AT LEAST FOR ME 7947 05:08:21,311 --> 05:08:22,846 AND I WAS TRYING TO UNDERSTAND 7948 05:08:22,846 --> 05:08:25,348 IF WE'RE TALKING ABOUT OFF 7949 05:08:25,348 --> 05:08:26,516 TARGET EFFECTS, USING 7950 05:08:26,516 --> 05:08:27,884 CONTRACEPTIVES TO TREAT 7951 05:08:27,884 --> 05:08:29,386 SOMETHING ELSE FOR SOMETHING 7952 05:08:29,386 --> 05:08:30,787 ELSE HAPPENING THAT WERE NOT 7953 05:08:30,787 --> 05:08:32,422 RECOGNIZED BUT IT WAS FOCUSED 7954 05:08:32,422 --> 05:08:37,327 AROUND PAIN WAS LOST ON THOSE. 7955 05:08:37,327 --> 05:08:40,830 >> YEAH, IT LOOKS LIKE IT'S MORE 7956 05:08:40,830 --> 05:08:42,866 GUIN OICOLOGGIC DISEASE 7957 05:08:42,866 --> 05:08:45,502 TREATMENTS USED OFFLABEL TO 7958 05:08:45,502 --> 05:08:46,870 TREAT GUIN OICOLOGGIC CONDITIONS 7959 05:08:46,870 --> 05:08:51,207 SUCH AS PC OS AND-- 7960 05:08:51,207 --> 05:08:52,008 >> FOCUS ON PAIN. 7961 05:08:52,008 --> 05:08:52,509 >> TREATMENT. 7962 05:08:52,509 --> 05:09:03,086 >> YEAH THAT'S NOT WHAT'S COMING 7963 05:09:04,988 --> 05:09:05,155 ACROSS. 7964 05:09:05,155 --> 05:09:07,123 >> I THINK IT WOULD BE IF YOU'RE 7965 05:09:07,123 --> 05:09:08,525 CORRECT, THE FOCUS WAS NOT IN 7966 05:09:08,525 --> 05:09:11,161 THE WRITE UP, BUT THOSE 7967 05:09:11,161 --> 05:09:12,562 OFFTARGET EFFECTS THAT YOU'RE 7968 05:09:12,562 --> 05:09:16,866 TALKING ABOUT, IT'S MORE THE 7969 05:09:16,866 --> 05:09:17,834 NONCONTRACEPTIVE RELATED 7970 05:09:17,834 --> 05:09:20,537 BENEFITS THAT 1 CAN OBTAIN FROM 7971 05:09:20,537 --> 05:09:22,238 CONTRACEPTS IS WHAT THIS WOULD 7972 05:09:22,238 --> 05:09:24,641 BE FOCUSED ON AND OPTIMIZING 7973 05:09:24,641 --> 05:09:26,509 THOSE FOR EXAMPLE, I THINK 7974 05:09:26,509 --> 05:09:29,078 SOMETIMES IT TAKES BETWEEN 3 AND 7975 05:09:29,078 --> 05:09:32,215 10 DIFFERENT ORAL CONTRACEPTIVE 7976 05:09:32,215 --> 05:09:35,051 PILLS TREATING ENDOMETRIOSIS FOR 7977 05:09:35,051 --> 05:09:37,720 FOLKS TO ACHIEVE THE EFFECTS THE 7978 05:09:37,720 --> 05:09:39,122 RESULTS THEY WOULD LIKE AND I 7979 05:09:39,122 --> 05:09:42,725 THINK 40% OF THE PATIENTS ARE 7980 05:09:42,725 --> 05:09:43,993 PRESCRIBED BETWEEN 3 AND 10 7981 05:09:43,993 --> 05:09:45,562 PILLS CROSS LINKING IT WOULD BE 7982 05:09:45,562 --> 05:09:49,232 POTENTIA WILY WAYS TO ACHIEVE 7983 05:09:49,232 --> 05:09:49,699 THAT. 7984 05:09:49,699 --> 05:09:50,867 --POTENTIALLY WAYS TO ACHIEVE 7985 05:09:50,867 --> 05:09:52,869 THAT, WHAT WORKS FOR THEM 7986 05:09:52,869 --> 05:09:53,102 FASTER. 7987 05:09:53,102 --> 05:09:56,372 >> YEAH, JUST, I WANTED TO ADD 7988 05:09:56,372 --> 05:09:59,609 AS SOMEONE WHO HAS DONE AND BEEN 7989 05:09:59,609 --> 05:10:00,310 INVOLVED WITH CLINICAL TRIALS, I 7990 05:10:00,310 --> 05:10:01,911 THINK IT'S IMPORTANT TO BE ABLE 7991 05:10:01,911 --> 05:10:08,651 TO DO, FOR LARGE CLINICAL TRIALS 7992 05:10:08,651 --> 05:10:10,386 AND ANSWER THESE FOR THE 7993 05:10:10,386 --> 05:10:12,655 PATHOPHYSIOLOGY, I THINK THAT 7994 05:10:12,655 --> 05:10:13,723 WOULD BE ECONOMY OF SCALE SO 7995 05:10:13,723 --> 05:10:23,066 THAT YOU COULD DO BOTH. 7996 05:10:23,066 --> 05:10:23,600 >> THANK YOU. 7997 05:10:23,600 --> 05:10:26,236 >> ALL RIGHT, ARE THERE ANY 7998 05:10:26,236 --> 05:10:27,303 OTHER QUESTIONS OR COMMENTS? 7999 05:10:27,303 --> 05:10:30,907 IF NOT IS THERE A MOTION TO 8000 05:10:30,907 --> 05:10:32,041 APPROVE? 8001 05:10:32,041 --> 05:10:35,311 >> MOTION TO APPROVE. 8002 05:10:35,311 --> 05:10:38,681 >> DR. BANNER MAN, SECOND? 8003 05:10:38,681 --> 05:10:46,489 >> DR. VANNEDDER VIEFER ALL IN 8004 05:10:46,489 --> 05:10:46,723 FAVOR? 8005 05:10:46,723 --> 05:10:48,825 >> I JUST THINK IT NEEDS TO BE 8006 05:10:48,825 --> 05:10:50,226 CLEARER IN TERMS WHAT HAVE IS 8007 05:10:50,226 --> 05:10:51,528 HERE, I WOULD NOT HAVE THOWF 8008 05:10:51,528 --> 05:10:53,696 PAIN WAS PART OF IT OR THAT 8009 05:10:53,696 --> 05:10:55,331 YOU'RE LOOKING OR MAYBE JUST 8010 05:10:55,331 --> 05:11:05,708 MORE CONCRETE, SAY, YOU KNOW 8011 05:11:05,708 --> 05:11:06,242 NONCONTRACEPTIVE BENEFITS. 8012 05:11:06,242 --> 05:11:09,212 ALL RIGHT SO WE HAVE THOSE 2 8013 05:11:09,212 --> 05:11:10,580 APPROVED ANYONE OPPOSED? 8014 05:11:10,580 --> 05:11:12,348 >> THIS IS SHARK RI, BARKIN, 8015 05:11:12,348 --> 05:11:15,518 WHAT I HEAR IS THAT THE CONCEPT 8016 05:11:15,518 --> 05:11:16,786 FROM THE CONVERSATION OF MY 8017 05:11:16,786 --> 05:11:18,054 COLLEAGUES WHO ARE EXPERTS IN IN 8018 05:11:18,054 --> 05:11:20,490 AREA IS THAT THE CONCEPT MIGHT 8019 05:11:20,490 --> 05:11:25,828 NEED A BIT MORE REVISION AND 8020 05:11:25,828 --> 05:11:26,996 WORD SMITHING BEFORE IT MIGHT BE 8021 05:11:26,996 --> 05:11:29,866 READY FOR A CALL FOR APPROVAL IS 8022 05:11:29,866 --> 05:11:31,935 THAT RIGHT DR. NEAL- PERRY? 8023 05:11:31,935 --> 05:11:35,204 WHAT WOULD YOU RECOMMEND HERE? 8024 05:11:35,204 --> 05:11:38,374 >> YEAH, I DO, I MADE 8025 05:11:38,374 --> 05:11:39,576 RECOMMENDATIONS IN TERMS 8026 05:11:39,576 --> 05:11:41,511 OF--MAKE SURE IT'S CLEAR BECAUSE 8027 05:11:41,511 --> 05:11:42,946 THE THINGS WE'RE KIND OF TALKING 8028 05:11:42,946 --> 05:11:43,880 ABOUT WHICH ARE IMPORTANT DID 8029 05:11:43,880 --> 05:11:47,150 NOT COME THROUGH WHEN I READ IT. 8030 05:11:47,150 --> 05:11:50,553 WELL AND I FOCUS ON PAIN IS 8031 05:11:50,553 --> 05:11:52,455 DIFFERENT THAN A FOCUS ON HOW 8032 05:11:52,455 --> 05:11:55,925 THE KONTY TECH ROUGH ATOM 8033 05:11:55,925 --> 05:11:57,827 CEPTIVE TREATS NONCONTRACEPTIVE 8034 05:11:57,827 --> 05:12:03,366 INDICATIONS. 8035 05:12:03,366 --> 05:12:05,301 SO, WHAT YOU'RE ASKING ARE 2 8036 05:12:05,301 --> 05:12:06,669 DIFFERENT THINGS SO IESM JUST 8037 05:12:06,669 --> 05:12:07,971 NOT CLEAR WHAT THEY'RE ASKING TO 8038 05:12:07,971 --> 05:12:09,472 LOOK AT SO IT'S HARD FOR ME TO 8039 05:12:09,472 --> 05:12:10,306 KNOW HOW TO VOTE. 8040 05:12:10,306 --> 05:12:11,841 >> IT COULD BE THAT PAIN IS 8041 05:12:11,841 --> 05:12:14,243 INCLUDED BUT THAT'S NOT CLEAR. 8042 05:12:14,243 --> 05:12:17,347 >> WELL YOU WOULD THINK--YOU USE 8043 05:12:17,347 --> 05:12:19,983 CONTRACEPTIVES TO TREAT PAIN IN 8044 05:12:19,983 --> 05:12:21,150 THE ENDOMEET RIOSEIS PATIENT BUT 8045 05:12:21,150 --> 05:12:22,785 THAT'S NOT WHY YOU'RE USING IT 8046 05:12:22,785 --> 05:12:25,622 FOR THE PC OS PATIENT, SO IF 8047 05:12:25,622 --> 05:12:26,556 THERE'S A BROAD--YEAH, I THINK 8048 05:12:26,556 --> 05:12:29,459 WE NEED TO HAVE A LITTLE 8049 05:12:29,459 --> 05:12:30,593 CLARIFYING LOOK. 8050 05:12:30,593 --> 05:12:32,762 >> LET'S DO THIS AGAIN IN 8051 05:12:32,762 --> 05:12:32,996 JANUARY. 8052 05:12:32,996 --> 05:12:34,697 >> AND LET'S GIVE A FULL 8053 05:12:34,697 --> 05:12:35,732 DISCUSSION AND WE'LL TAKE IT 8054 05:12:35,732 --> 05:12:36,566 FROM THERE. 8055 05:12:36,566 --> 05:12:41,170 >> I THINK THAT'S THE BEST 8056 05:12:41,170 --> 05:12:47,543 COURSE AT THIS POINT. 8057 05:12:47,543 --> 05:12:50,480 >> DOES THAT SOUND LIKE A 8058 05:12:50,480 --> 05:12:51,014 REASONABLE? 8059 05:12:51,014 --> 05:12:51,280 >> YES. 8060 05:12:51,280 --> 05:12:52,982 >> WHEN WE PUT THESE CONCEPTS 8061 05:12:52,982 --> 05:12:54,651 FORWARD, WE'RE ALL IN ON THEM SO 8062 05:12:54,651 --> 05:13:02,025 LET'S MAKE SURE THAT WE'RE ALL 8063 05:13:02,025 --> 05:13:02,191 IN. 8064 05:13:02,191 --> 05:13:03,292 >> ALL RIGHT, TO CLOSE THIS 8065 05:13:03,292 --> 05:13:04,994 PORTION OF THE MEETING DR. BRETT 8066 05:13:04,994 --> 05:13:07,063 MILLER WITH THE CHILD DEVELOP 8067 05:13:07,063 --> 05:13:07,897 EXPMENT BEHAVIOR BRANCH WILL 8068 05:13:07,897 --> 05:13:12,869 PRESENT THE FINAL CONCEPT ON 8069 05:13:12,869 --> 05:13:14,437 LEARNING DISABILITIES HUBS. 8070 05:13:14,437 --> 05:13:15,838 >> THANKS EVERYBODY PROGRAM 8071 05:13:15,838 --> 05:13:17,907 SEEKS COUNCIL APPROVAL FOR AN 8072 05:13:17,907 --> 05:13:20,610 INITIATIVE TITLED LEARNING AND 8073 05:13:20,610 --> 05:13:22,211 INNOVATION HUBS SO DESPITE 8074 05:13:22,211 --> 05:13:25,381 PROGRESS IN THE FIELD AND 8075 05:13:25,381 --> 05:13:29,852 UNDERSTANDING AND LEARNING 8076 05:13:29,852 --> 05:13:31,788 DISABILITIES IT NEEDS LONGER 8077 05:13:31,788 --> 05:13:32,789 STUDYING FOR BROADER INDIVIDUAL 8078 05:13:32,789 --> 05:13:35,158 OUTCOME FOR THOSE EXPERIENCING 8079 05:13:35,158 --> 05:13:37,660 POVERTY OR RESIDING IN LOW 8080 05:13:37,660 --> 05:13:39,562 SETTINGS, AND THOSE MARGINALIZED 8081 05:13:39,562 --> 05:13:40,530 GROUPS THAT SHOW PERFORMANCE 8082 05:13:40,530 --> 05:13:44,534 DIFFERENCES AND KEY LEARNING 8083 05:13:44,534 --> 05:13:49,706 DOMAINS, AND PROPOSE LDL HUBS 8084 05:13:49,706 --> 05:13:51,708 AND GARNERING UNDERREPRESENTED 8085 05:13:51,708 --> 05:13:52,909 TOPICS AND UNDER RESEARCH POP 8086 05:13:52,909 --> 05:13:56,713 EULOGIES AS WELL AS TRAINING 8087 05:13:56,713 --> 05:13:58,581 ANOTHER GENERATION OF SCHOLARS 8088 05:13:58,581 --> 05:14:03,052 OW HOW TO TACKLE THESE TIME GAP 8089 05:14:03,052 --> 05:14:04,921 IN A KEY COMMENT MANNER. 8090 05:14:04,921 --> 05:14:07,323 SO IN THIS CASE HOW CHILDREN 8091 05:14:07,323 --> 05:14:10,526 UTILIZE AI TO ADVANCE LEARNING 8092 05:14:10,526 --> 05:14:12,261 AND SOCIAL DEVELOPMENT AND THE 8093 05:14:12,261 --> 05:14:13,429 AFFORDANCES THAT THESE TOOLS CAN 8094 05:14:13,429 --> 05:14:14,831 OR SHOULD PROVIDE FOR THE 8095 05:14:14,831 --> 05:14:16,199 LEARNER PARTICULARLY THOSE WHO 8096 05:14:16,199 --> 05:14:18,434 STRUGGLE OR HAVE A SPECIFIC 8097 05:14:18,434 --> 05:14:18,868 LEARNING DISABILITY. 8098 05:14:18,868 --> 05:14:20,470 AND WITH THAT KNOWING THAT I'M 8099 05:14:20,470 --> 05:14:22,205 BETWEEN YOU AND DINNER, I WILL 8100 05:14:22,205 --> 05:14:28,044 TOP THERE. 8101 05:14:28,044 --> 05:14:29,979 THANK YOU. 8102 05:14:29,979 --> 05:14:30,379 >> THANK YOU. 8103 05:14:30,379 --> 05:14:33,516 COMMENTS OR QUESTIONS ON THIS 8104 05:14:33,516 --> 05:14:33,750 CONCEPT? 8105 05:14:33,750 --> 05:14:38,988 HEARING NONE, MOTION TO APPROVE. 8106 05:14:38,988 --> 05:14:40,189 >> SO MOVED. 8107 05:14:40,189 --> 05:14:40,790 >> DOCTOR IN. 8108 05:14:40,790 --> 05:14:48,364 >> C LANG, ALL IN FAVOR? 8109 05:14:48,364 --> 05:14:50,633 >> ALL RIGHT. 8110 05:14:50,633 --> 05:14:50,967 OKAY. 8111 05:14:50,967 --> 05:14:55,238 >> THANK YOU. 8112 05:14:55,238 --> 05:14:57,907 NTHANK YOU. 8113 05:14:57,907 --> 05:15:01,344 >> OKAY DR. BIANCHI, NTHANK YOU 8114 05:15:01,344 --> 05:15:02,411 DR. RIZZULI, THANK YOU COUNCIL 8115 05:15:02,411 --> 05:15:04,280 MEMBERS AND PRESENTING STAFF. 8116 05:15:04,280 --> 05:15:05,448 THIS CONCLUDES THE FIRST DAY OF 8117 05:15:05,448 --> 05:15:09,519 OUR 2 DAY NICH D ADVICERY 8118 05:15:09,519 --> 05:15:11,087 COUNCIL MEETING, I THANK YOU YOU 8119 05:15:11,087 --> 05:15:12,355 ALL FOR TEAPPEDDING AND LOOK 8120 05:15:12,355 --> 05:15:17,360 FORWARD TO SEEING EVERYONE AT 9 8121 05:15:17,360 --> 05:15:17,560 AM. 8122 05:15:17,560 --> 05:15:19,896 REMEMBER TODAY WE STARTED AT 8123 05:15:19,896 --> 05:15:26,502 9:30, TOMORROW WE START AT 9 AT 8124 05:15:26,502 --> 05:15:28,204 5710 B ROCKVILLE KRIEF, VERY 8125 05:15:28,204 --> 05:15:30,740 WHICH WEE WILL HEAR A VERY 8126 05:15:30,740 --> 05:15:33,676 IMPORTANT REPORT FROM A NEW 8127 05:15:33,676 --> 05:15:35,912 COUNCIL GROUP ON NECK ROUGH 8128 05:15:35,912 --> 05:15:37,880 ATOMITIZING ENTHUSIASMER O 8129 05:15:37,880 --> 05:15:40,783 COLITIS ON PREMATURE INFANTS. 8130 05:15:40,783 --> 05:15:42,718 AND THEN WE WILL START AGAIN IN 8131 05:15:42,718 --> 05:15:43,553 A DIFFERENT LOCATION, PLEASE 8132 05:15:43,553 --> 05:15:44,787 HAVE A GREAT EVENING EVERYONE 8133 05:15:44,787 --> 05:15:47,123 AND THANKS FOR THE RICH 8134 05:15:47,123 --> 05:15:47,423 DISCUSSION. 8135 05:15:47,423 --> 05:15:47,690 THANK YOU. 8136 05:15:47,690 --> 05:15:48,257 >> THANK YOU. 8137 05:15:48,257 --> 05:15:50,359 IN, HAVE A GOOD DINNER. 8138 05:15:50,359 --> 05:16:00,570 [ APPLAUSE ]