1 00:00:06,434 --> 00:00:07,402 >> I WOULD LIKE TO WELCOME 2 00:00:07,402 --> 00:00:08,937 EVERYBODY AND BEFORE WE START 3 00:00:08,937 --> 00:00:10,672 TODAY'S SESSION I JUST NEED TO 4 00:00:10,672 --> 00:00:12,941 REMIND EVERYBODY THAT THE 5 00:00:12,941 --> 00:00:16,311 OPENING SESSION WHICH IS THE 6 00:00:16,311 --> 00:00:18,313 DIRECTOR'S PRESENTATION FROM 7 00:00:18,313 --> 00:00:19,948 DR. RATHMELL IS VIDEO CAST LIVE 8 00:00:19,948 --> 00:00:22,083 TO THE PUBLIC SO MEMBERS OF THE 9 00:00:22,083 --> 00:00:24,219 PUBLIC WHO MAY WISH TO EXPRESS 10 00:00:24,219 --> 00:00:26,488 VIEWS REGARDING ANY ITEMS 11 00:00:26,488 --> 00:00:27,956 DISCUSSED DURING THIS MEETING 12 00:00:27,956 --> 00:00:32,427 MAY DO SO DID I WRITING THE 13 00:00:32,427 --> 00:00:33,428 EXECUTIVE SECRETARY WITHIN TEN 14 00:00:33,428 --> 00:00:35,797 DAYS OF THE MEETING. ANY 15 00:00:35,797 --> 00:00:38,533 WRITTEN STATEMENTS BY MEMBERS OF 16 00:00:38,533 --> 00:00:41,403 THE PUBLIC WILL RECEIVE CAREFUL 17 00:00:41,403 --> 00:00:43,672 CONSIDERATION. NOW I WOULD LIKE 18 00:00:43,672 --> 00:00:46,574 TO INVITE DR. RATHMELL TO GIVE 19 00:00:46,574 --> 00:00:47,175 HER PRESENTATION. 20 00:00:47,175 --> 00:00:49,077 >> ALL RIGHT. THANK YOU, IT'S 21 00:00:49,077 --> 00:00:50,111 GOOD TO SEE EVERYBODY AND 22 00:00:50,111 --> 00:00:53,415 WELCOME BACK FROM A HOLIDAY 23 00:00:53,415 --> 00:00:57,952 WEEK. SO WE CAN GO ON, ONTO THE 24 00:00:57,952 --> 00:01:03,625 NEXT SLIDE. OKAY, ACTUALLY, CAN 25 00:01:03,625 --> 00:01:05,360 I ASK A TECHNICAL QUESTION 26 00:01:05,360 --> 00:01:08,797 FIRST? WHAT I SEE IS THE SLIDE 27 00:01:08,797 --> 00:01:10,565 IS REALLY SMALL, IS THAT -- HOW 28 00:01:10,565 --> 00:01:11,866 IT LOOKS -- THAT'S MUCH BETTER 29 00:01:11,866 --> 00:01:14,703 BECAUSE EVEN I COULDN'T SEE IT. 30 00:01:14,703 --> 00:01:16,438 OKAY, SO I HAVE BEEN IN THE ROLE 31 00:01:16,438 --> 00:01:18,640 ABOUT SIX MONTHS, I'VE BEEN 32 00:01:18,640 --> 00:01:20,442 LISTENING AND LEARNING, I'VE HAD 33 00:01:20,442 --> 00:01:22,544 A REALLY GOOD TIME LEARNING 34 00:01:22,544 --> 00:01:24,579 SOMETHING NEW EVERYDAY. ABOUT 35 00:01:24,579 --> 00:01:26,281 EVERY HOUR. FEELING REALLY 36 00:01:26,281 --> 00:01:28,917 READY TO MOVE THE NEEDLE IN OUR 37 00:01:28,917 --> 00:01:30,452 WORK AND REALLY EXCITED ABOUT 38 00:01:30,452 --> 00:01:31,920 THE PROGRESS WE'RE MAKING. IT 39 00:01:31,920 --> 00:01:35,156 HAS BEEN ALSO A CHALLENGING SIX 40 00:01:35,156 --> 00:01:36,091 MONTHS PERIOD AS YOU ARE ALL 41 00:01:36,091 --> 00:01:39,394 VERY WELL AWARE. THE BUDGET IN 42 00:01:39,394 --> 00:01:40,295 PARTICULAR, WE'VE PUT THAT ON 43 00:01:40,295 --> 00:01:42,130 THE AGENDA AS ITEM NUMBER TWO IS 44 00:01:42,130 --> 00:01:44,766 LIKELY TO BE A CHALLENGE FOR THE 45 00:01:44,766 --> 00:01:46,201 FORESEEABLE YEAR AS WELL. BUT I 46 00:01:46,201 --> 00:01:48,403 WANT TO EMPHASIZE THAT WE ARE 47 00:01:48,403 --> 00:01:51,473 NOT SLOWING DOWN. WE, WHAT OUR 48 00:01:51,473 --> 00:01:52,807 BUDGET MEANS IS WE HAVE TO BE 49 00:01:52,807 --> 00:01:54,709 MORE CREATIVE IN HOW WE MOVE 50 00:01:54,709 --> 00:01:56,544 FORWARD. SO THIS GROUP IN 51 00:01:56,544 --> 00:01:59,681 PARTICULAR IS OUR PEER REVIEW OF 52 00:01:59,681 --> 00:02:01,750 OUR INTRAMURAL PROGRAM SO YOUR 53 00:02:01,750 --> 00:02:02,851 THOUGHTS ARE VERY, VERY VALUABLE 54 00:02:02,851 --> 00:02:06,121 TO US AND WE'LL HELP US GET 55 00:02:06,121 --> 00:02:07,422 THROUGH THIS PERIOD AND LEARN 56 00:02:07,422 --> 00:02:11,693 HOW WE DO THIS BEST. THIS IS AN 57 00:02:11,693 --> 00:02:12,794 EXCEPTIONAL PROGRAM. OUR GOAL 58 00:02:12,794 --> 00:02:14,262 IS TO CONTINUE TO BE EXCEPTIONAL 59 00:02:14,262 --> 00:02:16,398 AND TO CONTINUE TO REALLY PUSH 60 00:02:16,398 --> 00:02:18,533 THE NEEDLE AND SO THANK YOU FOR 61 00:02:18,533 --> 00:02:20,301 ALL OF YOUR WORK. TODAY'S 62 00:02:20,301 --> 00:02:21,336 TOPICS WE'LL TALK ABOUT RECENT 63 00:02:21,336 --> 00:02:25,407 NEWS AND UPDATES, DIVE INTO THE 64 00:02:25,407 --> 00:02:26,441 BUDGET ISSUES AND TALK ABOUT 65 00:02:26,441 --> 00:02:28,109 MORE RESEARCH AND PROGRAM 66 00:02:28,109 --> 00:02:29,110 HIGHLIGHTS ALTHOUGH YOU'LL HEAR 67 00:02:29,110 --> 00:02:32,580 A LOT MORE FROM THE LEADERS OF 68 00:02:32,580 --> 00:02:35,417 DCG AND CCR AND THEN HOPEFULLY 69 00:02:35,417 --> 00:02:38,286 WE HAVE SOME TIME FOR QUESTIONS. 70 00:02:38,286 --> 00:02:40,822 SO, NEXT SLIDE. SO, FIRST, I 71 00:02:40,822 --> 00:02:46,828 HAVE TO ACKNOWLEDGE THAT WE HAVE 72 00:02:46,828 --> 00:02:52,033 LARGE GROUP THAT ARE MOVING ON. 73 00:02:52,033 --> 00:02:52,934 THANK YOU FOR YOUR SERVICE. 74 00:02:52,934 --> 00:02:57,539 THANK YOU. WE ARE ONE OF THE 75 00:02:57,539 --> 00:03:06,114 CO-CHAIRS PAT, CHRIS AIKEN, 76 00:03:06,114 --> 00:03:14,923 ROBERT, CHRISTOPHER LIMA, I WANT 77 00:03:14,923 --> 00:03:16,658 TO THANK YOU ALL FOR YOUR 78 00:03:16,658 --> 00:03:18,960 SERVICE. I HOPE WE CAN ALL CLAP 79 00:03:18,960 --> 00:03:20,995 FOR EVERYBODY'S EFFORTS AND TIME 80 00:03:20,995 --> 00:03:22,831 SPENT. REALLY VALUABLE. YOU'LL 81 00:03:22,831 --> 00:03:25,266 SEE A FEW ASTERISKS ON THERE. 82 00:03:25,266 --> 00:03:27,135 THOSE ARE PEOPLE WE ASKED TO 83 00:03:27,135 --> 00:03:29,304 STAY ON AND CONTINUE FOR APPEAR 84 00:03:29,304 --> 00:03:32,607 EXTRA YEAR. SO THANK YOU TO 85 00:03:32,607 --> 00:03:37,812 EVERYBODY. NEXT SLIDE. OKAY, 86 00:03:37,812 --> 00:03:40,148 NEWS AND UPDATES. YOU CAN GO TO 87 00:03:40,148 --> 00:03:42,750 THE NEXT SLIDE. SO FIRST ON THE 88 00:03:42,750 --> 00:03:44,752 TOPIC OF PERSONNEL ON OUR 89 00:03:44,752 --> 00:03:47,589 BOARDS, AS YOU KNOW WE HAVE SIX 90 00:03:47,589 --> 00:03:49,390 BOARDS AND THEY PROVIDE 91 00:03:49,390 --> 00:03:52,527 DIFFERENT SERVICES TO ADVISE FOR 92 00:03:52,527 --> 00:03:53,995 DIFFERENT ASPECTS OF THE 93 00:03:53,995 --> 00:03:54,929 INSTITUTION BUT ONE THING THAT 94 00:03:54,929 --> 00:03:58,166 I'VE WANTED TO DO IS TO DO A 95 00:03:58,166 --> 00:04:00,668 LITTLE BIT MORE OF A DEEP DIVE 96 00:04:00,668 --> 00:04:01,736 ONBOARDING AS NEW BOARD MEMBERS 97 00:04:01,736 --> 00:04:03,371 COME ON SO I WANTED TO LET YOU 98 00:04:03,371 --> 00:04:06,307 KNOW THAT AS WE REPLACE BOARD 99 00:04:06,307 --> 00:04:07,976 MEMBERS AND FOR THE NEW CHAIR 100 00:04:07,976 --> 00:04:09,410 WE'LL BRING TOGETHER EVERYONE 101 00:04:09,410 --> 00:04:11,579 FROM ALL OF THE NEW BOARDS TO DO 102 00:04:11,579 --> 00:04:15,817 AN ORIENTATION TO GET AGAIN, A 103 00:04:15,817 --> 00:04:16,818 DEEP DIVE INTO WHAT THE WORK IS 104 00:04:16,818 --> 00:04:19,220 OF THE NCI. I THINK THAT WILL 105 00:04:19,220 --> 00:04:22,724 HELP TO HARMONIZE SOME OF THE 106 00:04:22,724 --> 00:04:24,859 BOARDS AS WELL AS LET NEW BOARD 107 00:04:24,859 --> 00:04:28,196 MEMBERS REALLY HIT THE GROUND 108 00:04:28,196 --> 00:04:30,565 RUNNING. BEYOND THE SPECIFIC 109 00:04:30,565 --> 00:04:31,165 ORIENTATION THAT THEY GET FOR 110 00:04:31,165 --> 00:04:32,567 THEIR BOARD. A FEW MORE DETAILS 111 00:04:32,567 --> 00:04:34,369 TO COME BUT YOU MAY HEAR ABOUT 112 00:04:34,369 --> 00:04:36,271 THIS AND I JUST WANTED TO LET 113 00:04:36,271 --> 00:04:39,440 YOU KNOW WHAT THAT WOULD BE. 114 00:04:39,440 --> 00:04:41,409 NEXT SLIDE. OKAY. WE HAVE SO 115 00:04:41,409 --> 00:04:45,146 MANY IMPRESSIVE THINGS TO BRAG 116 00:04:45,146 --> 00:04:46,814 ABOUT. I HAVE TO FOR SURE GIVE 117 00:04:46,814 --> 00:04:52,453 A SHOUT-OUT TO OUR NEW NATIONAL 118 00:04:52,453 --> 00:04:53,388 ACADEMY OF SCIENCE ELECTED 119 00:04:53,388 --> 00:04:56,724 MEMBERS, GEORGE AND SANDRA, WE 120 00:04:56,724 --> 00:04:58,526 CAN LOOK AT OTHER NATIONAL 121 00:04:58,526 --> 00:04:59,193 ACCOMPLISHMENTS AND AWARDS THAT 122 00:04:59,193 --> 00:05:03,665 ARE RECEIVED THE ACI HAS TWO NEW 123 00:05:03,665 --> 00:05:10,838 MEMBERS. JUNG-MIN LEE. 124 00:05:10,838 --> 00:05:12,707 CONGRATULATIONS TO THEM, JUST 125 00:05:12,707 --> 00:05:13,841 REPRESENTING SOME OF THE 126 00:05:13,841 --> 00:05:15,143 INCREDIBLE WORK OUR PEOPLE DO 127 00:05:15,143 --> 00:05:17,812 AND HOW HIGHLY IT'S RESPECTED 128 00:05:17,812 --> 00:05:21,616 OUTSIDE THE WALLS OF THE NCI. 129 00:05:21,616 --> 00:05:23,351 NEXT SLIDE. ANOTHER EXAMPLE OF 130 00:05:23,351 --> 00:05:26,788 THAT IS THE ACTIVITIES THAT WE 131 00:05:26,788 --> 00:05:30,758 PARTICIPATE IN WITH THE AACR AND 132 00:05:30,758 --> 00:05:32,193 ASCO. IT'S REALLY INSPIRATIONAL 133 00:05:32,193 --> 00:05:34,128 AS A NEW DIRECTOR TO GO TO THESE 134 00:05:34,128 --> 00:05:36,931 MEETINGS AND SEE HOW MUCH OF A 135 00:05:36,931 --> 00:05:40,134 FOOTPRINT THAT WE HAVE. ONE 136 00:05:40,134 --> 00:05:45,239 PICTURE OF NOT EVERYONE THAT WAS 137 00:05:45,239 --> 00:05:48,242 PRESENT THAT GROUP PHOTO WAS THE 138 00:05:48,242 --> 00:05:49,410 NCI PEOPLE THAT HAPPENED TO BE 139 00:05:49,410 --> 00:05:50,845 NEAR THE BOOTH AT THE TIME WE 140 00:05:50,845 --> 00:05:52,447 TOOK THE PHOTO BUT WE HAVE A LOT 141 00:05:52,447 --> 00:05:55,750 OF ENERGY, A LOT OF PASSION THAT 142 00:05:55,750 --> 00:05:58,119 GETS SHOWN THERE. YOU KNOW, 143 00:05:58,119 --> 00:05:59,887 EVERYTHING FROM TRAINEES TO 144 00:05:59,887 --> 00:06:00,688 PEOPLE WHO HAVE BEEN EXPERIENCED 145 00:06:00,688 --> 00:06:02,624 IN THESE MEETINGS FOR A LONG 146 00:06:02,624 --> 00:06:06,060 TIME. I THINK IT'S ALSO NOTABLE 147 00:06:06,060 --> 00:06:10,598 THE AWARDS THAT ARE INTRAMURAL 148 00:06:10,598 --> 00:06:12,500 PROGRAM PERSONNEL RECEIVED. 149 00:06:12,500 --> 00:06:14,235 STEVE ROSENBURG THIS YEAR 150 00:06:14,235 --> 00:06:16,104 RECEIVING A LIFETIME ACHIEVEMENT 151 00:06:16,104 --> 00:06:21,676 AWARD FOR CANCER RESEARCH AND IS 152 00:06:21,676 --> 00:06:23,211 A TEESH RECEIVING THE 153 00:06:23,211 --> 00:06:25,013 HUMANITARIAN AWARD. MY MESSAGES 154 00:06:25,013 --> 00:06:32,654 AT THESE TWO MEETINGS. I SPOKE 155 00:06:32,654 --> 00:06:37,258 ABOUT ERAS. A DIFFERENT WAY OF 156 00:06:37,258 --> 00:06:40,561 DOING RESEARCH THESE DAYS. 157 00:06:40,561 --> 00:06:44,265 TOPDOWN RESEARCH. A MORE MODERN 158 00:06:44,265 --> 00:06:45,066 PERIOD OF RESEARCH TO A PERIOD 159 00:06:45,066 --> 00:06:48,002 OF TIME THAT WE CALLED 360 IN A 160 00:06:48,002 --> 00:06:51,005 TALK. DEFINING COLLABORATION 161 00:06:51,005 --> 00:06:53,741 BETWEEN SILOS OF DIFFERENT TYPES 162 00:06:53,741 --> 00:06:55,610 OF RESEARCH AND DIFFERENT TYPES 163 00:06:55,610 --> 00:06:57,779 OF INPUTS. INCLUDING PATIENTS 164 00:06:57,779 --> 00:07:00,314 AND ADVOCATES, INCLUDING 165 00:07:00,314 --> 00:07:01,416 COMMUNITIES AND SOME OF OUR 166 00:07:01,416 --> 00:07:03,518 SHARED DECISION-MAKING. AND IT 167 00:07:03,518 --> 00:07:05,386 WAS A TOPIC THAT WAS VERY WELL 168 00:07:05,386 --> 00:07:10,358 RECEIVED AND I THINK TIMELY AND 169 00:07:10,358 --> 00:07:13,394 REALLY PUT SOME OF THOSE WHAT I 170 00:07:13,394 --> 00:07:16,330 CALLED IN THE SPACES IDEAS. 171 00:07:16,330 --> 00:07:18,466 MUCH MORE FRONT AND CENTER AND, 172 00:07:18,466 --> 00:07:20,868 AGAIN, WAS WELL-RECEIVED AND 173 00:07:20,868 --> 00:07:23,638 ASCO I FOCUSED MORE ON 174 00:07:23,638 --> 00:07:24,839 TRANSFORMING CLINICAL RESEARCH 175 00:07:24,839 --> 00:07:26,374 ABOUT BEING PROACTIVE AND TRYING 176 00:07:26,374 --> 00:07:29,410 TO CHANGE THE MODELS OF CLINICAL 177 00:07:29,410 --> 00:07:32,547 RESEARCH TO GET RESEARCH DONE 178 00:07:32,547 --> 00:07:34,382 FASTER, TO MOVE FORWARD AT A 179 00:07:34,382 --> 00:07:37,385 PACE THAT IS WHAT PEOPLE EXPECT 180 00:07:37,385 --> 00:07:41,389 TODAY GIVEN THE INCREDIBLE TOOLS 181 00:07:41,389 --> 00:07:43,191 THAT WE HAVE AVAILABLE. ABOUT 182 00:07:43,191 --> 00:07:45,159 BEING IMPATIENT FOR THAT KIND OF 183 00:07:45,159 --> 00:07:46,327 CHANGE AND BRINGING CLINICAL 184 00:07:46,327 --> 00:07:47,895 TRIALS TO COMMUNITIES. MUCH 185 00:07:47,895 --> 00:07:50,732 MORE BROADLY. AND ADDRESSING 186 00:07:50,732 --> 00:07:53,901 OTHER BOUTS IN THE PIPELINE FROM 187 00:07:53,901 --> 00:07:55,436 BASIC DISCOVERY TO CLINICAL 188 00:07:55,436 --> 00:07:56,938 RESEARCH. ALSO VERY 189 00:07:56,938 --> 00:07:58,439 WELL-RECEIVED AND HAS GENERATED 190 00:07:58,439 --> 00:08:00,174 SEVERAL REALLY INTERESTING 191 00:08:00,174 --> 00:08:02,677 FOLLOW UPS THAT I THINK WILL BE 192 00:08:02,677 --> 00:08:05,213 TRANSFORMATIVE TO BE HONEST. 193 00:08:05,213 --> 00:08:07,515 NEXT SLIDE. I THINK IT'S 194 00:08:07,515 --> 00:08:08,583 IMPORTANT THAT YOU WILL SEE WHEN 195 00:08:08,583 --> 00:08:10,852 YOU HEAR THE REPORTS FROM 196 00:08:10,852 --> 00:08:12,220 DIRECTORS TODAY, THAT WE HAVE 197 00:08:12,220 --> 00:08:16,824 HAD SOME TRANSITION IN CCR, 198 00:08:16,824 --> 00:08:20,294 THOMAS STEPPED DOWN TO FOCUS ON 199 00:08:20,294 --> 00:08:21,095 RESEARCH AFTER HAVING AN 200 00:08:21,095 --> 00:08:22,130 EFFECTIVE EIGHT YEARS OF 201 00:08:22,130 --> 00:08:25,399 LEADERSHIP OF THE CCR. WE'VE 202 00:08:25,399 --> 00:08:28,002 HAD SOME COACTING DIRECTORSHIP. 203 00:08:28,002 --> 00:08:32,874 WE'RE GOING WITH THE COMODEL 204 00:08:32,874 --> 00:08:37,378 BECAUSE CCR IS VERY LARGE. SO 205 00:08:37,378 --> 00:08:40,748 JAMES GULLY HAS BEEN ACT AING AS 206 00:08:40,748 --> 00:08:45,386 THE CO-CHAIR. AND GLENN HER LEE 207 00:08:45,386 --> 00:08:48,856 KNOW HAS STEPPED UP TO BE ON THE 208 00:08:48,856 --> 00:08:50,858 BASIC SIDE UNTIL HIS RETIREMENT 209 00:08:50,858 --> 00:08:52,794 LAST WEEK AND THAT BATON HAS 210 00:08:52,794 --> 00:08:55,830 BEEN PASSED ONTO CAROL. THERE 211 00:08:55,830 --> 00:08:57,632 IS AN ACTIVE SEARCH THAT WILL BE 212 00:08:57,632 --> 00:09:00,902 LAUNCHED IMMINENTLY AND I WILL 213 00:09:00,902 --> 00:09:02,737 STAY HERE AS LONG AS WE NEED TO 214 00:09:02,737 --> 00:09:05,973 BUT WE APPEAR TO BE HAVING A 215 00:09:05,973 --> 00:09:10,845 FIRE DRILL AND WE'RE NOT SLOWING 216 00:09:10,845 --> 00:09:12,814 DOWN IN THIS TRANSITION BUT IT'S 217 00:09:12,814 --> 00:09:14,282 A GOOD OPPORTUNITY WHERE WE'RE 218 00:09:14,282 --> 00:09:17,351 LOOKING AT LOTS OF THE THINGS 219 00:09:17,351 --> 00:09:27,895 THAT WE'RE DOING. NEXT SLIDE. 220 00:09:28,329 --> 00:09:29,330 OTHER LEADERSHIP TRANSITIONS 221 00:09:29,330 --> 00:09:30,364 THAT ARE IMPORTANT FOR THE 222 00:09:30,364 --> 00:09:33,968 FICTION OF THE PROGRAM. WEDOIN 223 00:09:33,968 --> 00:09:34,602 LEADERSHIP TRANSITIONS THAT ARE 224 00:09:34,602 --> 00:09:35,236 IMPORTANT FOR THE FICTION OF THE 225 00:09:35,236 --> 00:09:37,038 PROGRAM. WE ADDED A DEPUTY AND 226 00:09:37,038 --> 00:09:40,842 AND WAR REN KAY WHO HAS A LONG 227 00:09:40,842 --> 00:09:43,110 HISTORY WITH THE NCI AND WAS 228 00:09:43,110 --> 00:09:45,813 ADDED AT THE DEPUTY DIRECTOR FOR 229 00:09:45,813 --> 00:09:48,349 DATA SCIENCE AND STRATEGY SO HE 230 00:09:48,349 --> 00:09:49,483 WILL BE BRINGING INITIATIVES 231 00:09:49,483 --> 00:09:53,387 AROUND AI, DATA HARMONIZATION, 232 00:09:53,387 --> 00:09:57,391 COMMON DATA ELEMENTS, CODING 233 00:09:57,391 --> 00:09:59,927 ALGORITHMS. AND IT IS REALLY 234 00:09:59,927 --> 00:10:00,661 ONGOING AND IS EFFECTIVELY 235 00:10:00,661 --> 00:10:11,205 COORDINATED. (INAUDIBLE). JUST 236 00:10:16,744 --> 00:10:18,613 TO GIVE YOU SOME HIGHLIGHTS. SO 237 00:10:18,613 --> 00:10:20,314 WHY DO WE NEED A DEPUTY DIRECTOR 238 00:10:20,314 --> 00:10:24,151 FOR DATA SCIENCE IS BECAUSE WE 239 00:10:24,151 --> 00:10:26,721 HAVE MANY DIFFERENT ACTIVITIES 240 00:10:26,721 --> 00:10:28,890 THAT REALLY NEED COORDINATION 241 00:10:28,890 --> 00:10:33,828 ACROSS THESE SPACES BUT THERE'S, 242 00:10:33,828 --> 00:10:37,365 OH, NOT A REAL FIRE, JUST A 243 00:10:37,365 --> 00:10:42,603 TEST, GOOD. UM, I'VE NEVER HAD 244 00:10:42,603 --> 00:10:44,505 A FIRE ALARM IN THE MIDDLE OF 245 00:10:44,505 --> 00:10:47,341 GIVING A TALK BEFORE, SORRY. I 246 00:10:47,341 --> 00:10:49,911 JUST WANT TO SHOUT-OUT TO SOME 247 00:10:49,911 --> 00:10:51,312 REALLY EXCITING WORK THAT'S COME 248 00:10:51,312 --> 00:10:52,880 OUT OF THE INTRAMURAL PROGRAM 249 00:10:52,880 --> 00:10:54,982 AND MANY OF YOU PROBABLY SAW 250 00:10:54,982 --> 00:10:56,284 THIS BECAUSE THIS WAS 251 00:10:56,284 --> 00:10:58,319 HIGHLIGHTED IN ARTICLES OF 252 00:10:58,319 --> 00:11:00,254 NATURE CANCER WITH PRECISION 253 00:11:00,254 --> 00:11:02,123 MATCHING TOOLS THAT ARE AI 254 00:11:02,123 --> 00:11:03,591 ALGORITHMS FOR CANCER DRUGS THAT 255 00:11:03,591 --> 00:11:05,960 CAME FROM WORK IN OUR PROGRAMS 256 00:11:05,960 --> 00:11:09,030 AND OTHER MACHINE LEARNING 257 00:11:09,030 --> 00:11:11,799 MODELS TO LOOK AT THE SPATIAL 258 00:11:11,799 --> 00:11:13,901 ORIENTATION OF TUMORS AS WELL. 259 00:11:13,901 --> 00:11:16,604 SO THIS IS WORK AS YOU ALL KNOW 260 00:11:16,604 --> 00:11:18,706 THAT IS INFILTRATING EVERY PART 261 00:11:18,706 --> 00:11:20,841 OF WHAT WE DO AND BEING AT THE 262 00:11:20,841 --> 00:11:25,413 LEADING EDGE IS VERY FOR FOR 263 00:11:25,413 --> 00:11:28,582 US -- IMPORTANT FOR US AT THE 264 00:11:28,582 --> 00:11:29,183 NCI. 265 00:11:29,183 --> 00:11:31,686 WE ALSO BROUGHT ON AN ADDITIONAL 266 00:11:31,686 --> 00:11:33,421 SENIOR ADVISOR FOR CLINICAL 267 00:11:33,421 --> 00:11:36,524 RESEARCH DR. SHAUN WHO WILL HELP 268 00:11:36,524 --> 00:11:40,494 US WITH THIS CLINICAL RESEARCH 269 00:11:40,494 --> 00:11:41,395 TRANSFORMATION. WE WILL BE 270 00:11:41,395 --> 00:11:42,730 LEADING PART OF THIS MOVING 271 00:11:42,730 --> 00:11:44,198 THINGS FASTER, MOVING THINGS 272 00:11:44,198 --> 00:11:47,568 INTO THE HANDS OF PATIENTS MORE 273 00:11:47,568 --> 00:11:49,971 RAPIDLY BY ROLE MODELING HERE IN 274 00:11:49,971 --> 00:11:50,838 OUR CLINICAL CENTER AS WELL AS 275 00:11:50,838 --> 00:11:52,373 THE COLLABORATIONS THAT WE'RE 276 00:11:52,373 --> 00:11:54,842 ABLE TO DO OUTSIDE. HE'S 277 00:11:54,842 --> 00:11:58,913 WORKING ON LEADING MANY OF THOSE 278 00:11:58,913 --> 00:12:04,652 EFFORTS. NEXT SLIDE. WE DON'T 279 00:12:04,652 --> 00:12:08,856 HAVE TO DO BACK. ON THAT SLIDE 280 00:12:08,856 --> 00:12:11,192 I -- THANK YOU, WHICH OUTLINES A 281 00:12:11,192 --> 00:12:13,995 LITTLE BIT OF WHAT WE'RE 282 00:12:13,995 --> 00:12:15,329 THINKING. BUT I PUT THAT IN 283 00:12:15,329 --> 00:12:17,798 THERE MOSTLY TO MAKE A PLUG FOR 284 00:12:17,798 --> 00:12:20,301 THE CANCER CURRENTS. IT'S A 285 00:12:20,301 --> 00:12:23,304 REALLY USEFUL TOOL TO SEE WHAT'S 286 00:12:23,304 --> 00:12:25,373 GOING ON AT THE NCI AND WE TRY 287 00:12:25,373 --> 00:12:27,274 TO KEEP IT VERY UPDATED, VERY 288 00:12:27,274 --> 00:12:29,677 FRESH WITH SOME OF THE LATEST 289 00:12:29,677 --> 00:12:31,779 THOUGHTS COMING FROM INTRAMURAL 290 00:12:31,779 --> 00:12:33,414 AND EXTRAMURAL PROGRAMS. IF YOU 291 00:12:33,414 --> 00:12:36,050 DON'T SUBSCRIBE TO THE CANCER 292 00:12:36,050 --> 00:12:36,584 CURRENTS BLOG, I WOULD 293 00:12:36,584 --> 00:12:38,586 ABSOLUTELY ENCOURAGE YOU TO DO 294 00:12:38,586 --> 00:12:42,757 THAT. NEXT SLIDE. AND THEN, 295 00:12:42,757 --> 00:12:45,192 ALSO BUILDING LEADERSHIP IS 296 00:12:45,192 --> 00:12:46,427 BUILDING SOME OF THE 297 00:12:46,427 --> 00:12:47,928 INFRASTRUCTURE AND TEAMS AND OUR 298 00:12:47,928 --> 00:12:50,498 CENTER FOR CANCER HEALTH EQUITY 299 00:12:50,498 --> 00:12:54,068 HAS BEEN WORKING ON TRYING TO 300 00:12:54,068 --> 00:12:55,870 BUILD MORE DEPTH AND CAPACITY 301 00:12:55,870 --> 00:12:58,072 AND PART OF THAT HAS BEEN THE 302 00:12:58,072 --> 00:12:58,973 ANNOUNCEMENT OF A GROUP CALLED 303 00:12:58,973 --> 00:13:01,976 THE CANCER EQUITY GROUP LEADERS. 304 00:13:01,976 --> 00:13:03,477 YOU CAN SEE THE INDIVIDUALS IN 305 00:13:03,477 --> 00:13:04,578 THIS GROUP, MANY ON VARIOUS 306 00:13:04,578 --> 00:13:08,582 BOARDS OF THE NCI. BUT ARE 307 00:13:08,582 --> 00:13:11,552 LEADERS WHO HAVE BEEN VERY 308 00:13:11,552 --> 00:13:13,387 PROACTIVE IN DIVERSITY AND 309 00:13:13,387 --> 00:13:15,790 INCLUSION EFFORTS ACROSS OUR 310 00:13:15,790 --> 00:13:20,561 NATION. AND WE'RE LEAPI II IIN 311 00:13:20,561 --> 00:13:22,329 LEANING ON THEM TO HELP GUIDE 312 00:13:22,329 --> 00:13:23,697 OUR DECISION-MAKING AROUND THE 313 00:13:23,697 --> 00:13:26,233 WORKFORCE AND HOW WE ENGAGE OUR 314 00:13:26,233 --> 00:13:27,735 PUBLIC MUCH MORE EFFECTIVELY, 315 00:13:27,735 --> 00:13:30,237 PART OF THAT WORK HAS BEEN 316 00:13:30,237 --> 00:13:32,173 PUTTING TOGETHER THE FIRST EVER 317 00:13:32,173 --> 00:13:33,441 BLACK AND CANCER CONFERENCE HELD 318 00:13:33,441 --> 00:13:37,411 JUST A COUPLE WEEKS AGO. WAS 319 00:13:37,411 --> 00:13:39,713 PHENOMENALLY WELL-ATTENDED WITH 320 00:13:39,713 --> 00:13:41,382 GREAT DISCUSSIONS TO REALLY TALK 321 00:13:41,382 --> 00:13:42,850 ABOUT HOW WE HAVE A WORKFORCE OF 322 00:13:42,850 --> 00:13:44,385 THE FUTURE THAT REPRESENTS ALL 323 00:13:44,385 --> 00:13:46,887 OF THE PATIENTS THAT WE'RE 324 00:13:46,887 --> 00:13:48,756 SERVING. NEXT SLIDE. AND I 325 00:13:48,756 --> 00:13:51,125 ALREADY KIND OF GAVE IT AWAY. A 326 00:13:51,125 --> 00:13:52,960 LOT OF THIS EFFORT IS LEAD BY 327 00:13:52,960 --> 00:13:56,197 WHAT WE HAVE CALLED OUR CENTER 328 00:13:56,197 --> 00:13:57,965 REDUCED -- TO REDUCE CANCER 329 00:13:57,965 --> 00:14:04,738 HEALTH DISPARITY, CRCHD LED BY 330 00:14:04,738 --> 00:14:05,739 SONYA SPRINGFIELD AND HER GROUP 331 00:14:05,739 --> 00:14:07,942 RECOGNIZED THAT WE NEED A 332 00:14:07,942 --> 00:14:08,576 DIFFERENT NAME. WE'RE REALLY 333 00:14:08,576 --> 00:14:10,945 FOCUSING NOT ON JUST REDUCING 334 00:14:10,945 --> 00:14:15,783 HEALTH DISPARITIES BUT IMPR 335 00:14:15,783 --> 00:14:18,085 INIMPROVING HEALTH UP EQUITY FOR 336 00:14:18,085 --> 00:14:18,419 EVERYONE. 337 00:14:18,419 --> 00:14:24,792 AND THIS WILL WORK WITH THE 338 00:14:24,792 --> 00:14:27,761 CANCER HEALTH INEQUITY. THAT 339 00:14:27,761 --> 00:14:30,030 WAS OUR NEWS AND WE'LL MOVE ONTO 340 00:14:30,030 --> 00:14:31,165 BUDGET. THIS IS OUR BUDGET 341 00:14:31,165 --> 00:14:31,799 SITUATION. THIS IS THE TABLE 342 00:14:31,799 --> 00:14:34,602 THAT WE USED TO SHOW WHERE WE 343 00:14:34,602 --> 00:14:36,303 PUT OUR PROFESSIONAL BUDGET 344 00:14:36,303 --> 00:14:37,404 PROPOSAL. SO WE HAVE THE 345 00:14:37,404 --> 00:14:39,607 OPPORTUNITY TO SAY WHAT WE THINK 346 00:14:39,607 --> 00:14:40,541 IT WOULD COST TO DO THE WORK 347 00:14:40,541 --> 00:14:43,944 THAT WE WANT TO DO IN 2023. 348 00:14:43,944 --> 00:14:46,547 THAT PROFESSIONAL BUDGET WAS 7.7 349 00:14:46,547 --> 00:14:47,281 BILLION DOLLARS. OUR ACTUAL 350 00:14:47,281 --> 00:14:49,383 BUDGET INCLUDING THAT LAST YEAR 351 00:14:49,383 --> 00:14:52,887 OF FUNDING FOR THE MOON SHOT WAS 352 00:14:52,887 --> 00:14:55,756 7.3. SO IN FY24, WE EXPECTED 353 00:14:55,756 --> 00:14:57,591 THAT THINGS WOULD GET MORE 354 00:14:57,591 --> 00:14:59,493 EXPENSIVE. WE EXPECTED THAT 355 00:14:59,493 --> 00:15:01,395 COSTS WOULD RISE AND WE EXPECTED 356 00:15:01,395 --> 00:15:03,164 THAT THERE WAS WORK THAT WE 357 00:15:03,164 --> 00:15:04,965 WOULD WANT TO DO IN CLINICAL 358 00:15:04,965 --> 00:15:06,634 TRIALS, FOR EXAMPLE, THAT WOULD 359 00:15:06,634 --> 00:15:08,169 NOT BE COVERED UNDER OUR CURRENT 360 00:15:08,169 --> 00:15:10,938 BUDGET WE ESTIMATED A BUDGET OF 361 00:15:10,938 --> 00:15:14,475 9.9 BILLION DOLLARS AS YOU KNOW, 362 00:15:14,475 --> 00:15:16,410 THE CURIOUS ACT FUNDING EXPIRED, 363 00:15:16,410 --> 00:15:17,945 WE DID RECEIVE AN INCREASE IN 364 00:15:17,945 --> 00:15:21,115 OUR BASE OF 120 MILLION DOLLARS 365 00:15:21,115 --> 00:15:23,751 BUT THERE'S A NET DELTA OF 96 366 00:15:23,751 --> 00:15:25,386 MILLION DOLLARS. SO WE ARE 367 00:15:25,386 --> 00:15:27,922 FUNCTIONALLY OPERATING WITH LESS 368 00:15:27,922 --> 00:15:30,324 MONEY. THAN WE DID BEFORE EVEN 369 00:15:30,324 --> 00:15:32,760 THOUGH OUR BASE WENT UP. SO 370 00:15:32,760 --> 00:15:33,761 THIS HAS BEEN A HARD YEAR. SOME 371 00:15:33,761 --> 00:15:35,829 HAVE CALLED IT ONE OF THE 372 00:15:35,829 --> 00:15:37,731 HARDEST YEARS IN MORE THAN A 373 00:15:37,731 --> 00:15:39,833 DECADE. AND SO WE ARE DOING THE 374 00:15:39,833 --> 00:15:41,869 BEST THAT WE CAN. WE DID 375 00:15:41,869 --> 00:15:43,270 PRODUCE A PROFESSIONAL JUDGMENT 376 00:15:43,270 --> 00:15:50,411 BUDGET FOR FY 25 ESTIMATING 11 377 00:15:50,411 --> 00:15:51,912 BILLION DOLLARS. AND THE 378 00:15:51,912 --> 00:15:52,947 PRESIDENT KNOWS THAT AND HAS PUT 379 00:15:52,947 --> 00:15:55,182 TOGETHER THE PROPOSAL OF 9.2. 380 00:15:55,182 --> 00:15:57,351 WE WILL SEE WHERE THE BUDGET 381 00:15:57,351 --> 00:16:01,388 COMES OUT WITH THE DEBT CEILING 382 00:16:01,388 --> 00:16:04,959 DEAL, THE OVERALL BUDGET CAN'T 383 00:16:04,959 --> 00:16:06,760 INCREASE. THIS IS OVERALL, 384 00:16:06,760 --> 00:16:08,128 OVERALL AND IT IS UP LIKELY THAT 385 00:16:08,128 --> 00:16:09,930 WE WILL GET A LARGE INCREASE. 386 00:16:09,930 --> 00:16:12,900 BUT WE ARE TRYING TO BE VERY 387 00:16:12,900 --> 00:16:14,435 PROACTIVE IN TALKING TO MEMBERS 388 00:16:14,435 --> 00:16:17,104 OF CONGRESS, TALKING TO PEOPLE 389 00:16:17,104 --> 00:16:19,139 WHO WILL INVOLVED IN 390 00:16:19,139 --> 00:16:19,740 APPROPRIATIONS TO UNDERSTAND 391 00:16:19,740 --> 00:16:21,408 WHERE THE RETURN ON INVESTMENT 392 00:16:21,408 --> 00:16:23,210 COMES FROM, INVESTING IN CANCER 393 00:16:23,210 --> 00:16:25,646 RESEARCH. WHY WHAT WE DO IS SO 394 00:16:25,646 --> 00:16:27,815 IMPORTANT AND WHAT THE POTENTIAL 395 00:16:27,815 --> 00:16:34,655 IS. SO... NEXT SLIDE. WITH THE 396 00:16:34,655 --> 00:16:36,457 BUDGET THAT WE RECEIVED, SO 397 00:16:36,457 --> 00:16:38,726 SINCE I SAW YOU LAST WE DID GET 398 00:16:38,726 --> 00:16:41,595 OUR BUDGET AND WE ARE ABLE TO 399 00:16:41,595 --> 00:16:44,932 SET OUR FUNDING POLICY, WE HAD 400 00:16:44,932 --> 00:16:46,533 WORKED WITH AN INTERIM PAY LINE, 401 00:16:46,533 --> 00:16:48,068 THIS IS WHAT WE DO EVERY YEAR. 402 00:16:48,068 --> 00:16:49,937 WE START WITH AN INTERIM PAY 403 00:16:49,937 --> 00:16:51,672 LINE TRYING TO BE SOMEWHAT 404 00:16:51,672 --> 00:16:53,741 CONSERVATIVE ABOUT WHERE WE'RE 405 00:16:53,741 --> 00:16:56,210 PUTTING OUR -- HOW WE'RE FUNDING 406 00:16:56,210 --> 00:16:57,144 BECAUSE WE DON'T KNOW HOW MUCH 407 00:16:57,144 --> 00:16:59,013 MONEY WE'LL GET. WE DIDN'T GET 408 00:16:59,013 --> 00:17:01,115 OUR BUDGET UNTIL APRIL THIS 409 00:17:01,115 --> 00:17:02,316 YEAR. OUR INTERIM PAY LINE WAS 410 00:17:02,316 --> 00:17:04,018 SET AT NINE AND WE WERE ABLE TO 411 00:17:04,018 --> 00:17:08,022 MOVE THE FINAL PAY LINE TO 10%. 412 00:17:08,022 --> 00:17:09,390 OUR INTERIM PAY LINE FOR EARLY 413 00:17:09,390 --> 00:17:13,193 STAGE INVESTIGATORS WAS SET AT 414 00:17:13,193 --> 00:17:14,962 14%. WE HAVE OVER SEVERAL YEARS 415 00:17:14,962 --> 00:17:17,131 DONE A 5% HANDICAPPED FOR EARLY 416 00:17:17,131 --> 00:17:19,400 STAGE INVESTIGATORS: WE DECIDED 417 00:17:19,400 --> 00:17:22,970 INSTEAD TO KEEP IT AT 17%. 418 00:17:22,970 --> 00:17:26,006 I HAVE A SLIDE TO SHOW THAT TO 419 00:17:26,006 --> 00:17:27,875 SHOW THAT REAL INTENT. IN 420 00:17:27,875 --> 00:17:29,410 BRINGING MORE EARLY STAGE 421 00:17:29,410 --> 00:17:30,944 INVESTIGATORS UNTIL THE FOLD. 422 00:17:30,944 --> 00:17:32,746 THERE'S A LOT MORE ON THIS IN 423 00:17:32,746 --> 00:17:34,348 THE BOTTOM LINE BLOG WHICH I 424 00:17:34,348 --> 00:17:37,384 ALSO ENCOURAGE YOU TO LOOK AT 425 00:17:37,384 --> 00:17:41,755 EVERY YEAR. NEXT SLIDE. SO 426 00:17:41,755 --> 00:17:44,458 THIS IS WHAT I WAS REFERRING TO 427 00:17:44,458 --> 00:17:45,893 SHOWING OUR TRENDS IN TERMS OF 428 00:17:45,893 --> 00:17:49,096 PAY LINE. REMEMBER FUNDING RATE 429 00:17:49,096 --> 00:17:50,831 IS HIGHER BECAUSE THEY ARE A 430 00:17:50,831 --> 00:17:53,400 PHASE AND THERE ARE GRANTS THAT 431 00:17:53,400 --> 00:17:57,604 ARE PULLED UP. BUT, THE -- 432 00:17:57,604 --> 00:17:59,006 WITHOUT QUESTION, PEOPLE ARE 433 00:17:59,006 --> 00:18:04,144 FUNDED AT THE PAY LINE. AND THE 434 00:18:04,144 --> 00:18:06,513 PAY LINE FOR ESTABLISHED 435 00:18:06,513 --> 00:18:08,048 INVESTIGATORS HAS BEEN ROUGHLY 436 00:18:08,048 --> 00:18:10,351 10% OR AS YOU CAN SEE THE LAST 437 00:18:10,351 --> 00:18:12,553 TEN YEAR AVERAGE WE HAD GOTTEN 438 00:18:12,553 --> 00:18:14,421 UP TO 12 LAST YEAR BUT BRINGING 439 00:18:14,421 --> 00:18:18,592 IT BACK TO 10 WE'RE HOLDING 440 00:18:18,592 --> 00:18:20,294 PRETTY STEADY AT AN AVERAGE BUT 441 00:18:20,294 --> 00:18:22,429 EARLY STAGE INVESTIGATORS ARE 442 00:18:22,429 --> 00:18:24,131 DIFFERENT. THIS IS A TIME WHERE 443 00:18:24,131 --> 00:18:25,399 WE CANNOT AFFORD TO LOSE A 444 00:18:25,399 --> 00:18:27,601 GENERATION OF INVESTIGATORS. WE 445 00:18:27,601 --> 00:18:29,069 KNOW THEIR IDEAS ARE FRESH, WE 446 00:18:29,069 --> 00:18:32,139 KNOW THEY BRING ANY ENTHUSIASM 447 00:18:32,139 --> 00:18:34,174 AND ENERGY INTO FIELDS AND THAT 448 00:18:34,174 --> 00:18:35,843 THAT FIRST GRANT IS HARDER TO 449 00:18:35,843 --> 00:18:37,411 GET. SO FEEL THAT IT'S 450 00:18:37,411 --> 00:18:40,714 APPROPRIATE TO HAVE A HANDICAP 451 00:18:40,714 --> 00:18:44,184 OF SEVEN POINTS FOR THOSE EARLY 452 00:18:44,184 --> 00:18:46,520 STAGE INVESTIGATORS. WE ARE 453 00:18:46,520 --> 00:18:47,454 MAINTAINING THAT AS A MAIN 454 00:18:47,454 --> 00:18:48,222 PRIORITY. I DON'T HAVE THE 455 00:18:48,222 --> 00:18:50,391 SLIDE IN HERE BUT THIS ALSO HAS 456 00:18:50,391 --> 00:18:51,125 PROVEN TO BE AN IMPORTANT WAY 457 00:18:51,125 --> 00:18:55,562 THAT WE ADDRESS THE DIVERSITY 458 00:18:55,562 --> 00:18:56,397 ISSUES THAT WE HAVE AMONG OUR 459 00:18:56,397 --> 00:19:00,234 SCIENTIFIC WORKFORCE. WE KNOW 460 00:19:00,234 --> 00:19:01,468 THAT THE APPLICATIONS OF 461 00:19:01,468 --> 00:19:03,904 ESTABLISHED INVESTIGATORS ARE 462 00:19:03,904 --> 00:19:06,206 ABOUT 6% FROM UNDERREPRESENTED 463 00:19:06,206 --> 00:19:08,409 MINORITIES AND FUNDED AT ABOUT 464 00:19:08,409 --> 00:19:10,310 6% AS WELL BUT IT'S ABOUT DOUBLE 465 00:19:10,310 --> 00:19:11,712 THAT. WHEN WE LOOK AT THE EARLY 466 00:19:11,712 --> 00:19:16,984 STAGE INVESTIGATORS. AND SO THE 467 00:19:16,984 --> 00:19:19,253 POOL OF PEOPLE IS DIFFERENT IN 468 00:19:19,253 --> 00:19:21,355 THE EARLY STAGE VERSUS THE 469 00:19:21,355 --> 00:19:26,026 ESTABLISHED INVESTIGATOR GROUP. 470 00:19:26,026 --> 00:19:29,930 ALL RIGHT. NEXT SLIDE. JUST TO 471 00:19:29,930 --> 00:19:32,232 PUT IN PERSPECTIVE, FUNDING THAT 472 00:19:32,232 --> 00:19:35,002 WE PUT TO THE INTRAMURAL PROGRAM 473 00:19:35,002 --> 00:19:37,404 SO IN THE ORANGE THERE IS 474 00:19:37,404 --> 00:19:39,606 INTRAMURAL RESEARCH ABOUT 18% OF 475 00:19:39,606 --> 00:19:41,408 OUR OVERALL BUDGET GOES TO 476 00:19:41,408 --> 00:19:43,777 INTRAMURAL RESEARCH. TO PUT 477 00:19:43,777 --> 00:19:46,046 THAT IN SOME PERSPECTIVE ABOUT 478 00:19:46,046 --> 00:19:49,716 44% GOES TO THE RPG POOL BUT YOU 479 00:19:49,716 --> 00:19:52,619 CAN SEE 9% GOES TO AREA CENTERS. 480 00:19:52,619 --> 00:19:54,888 THAT'S CANCER CENTERS BUT OTHERS 481 00:19:54,888 --> 00:19:59,026 AS WELL. 8% GOES TO OTHER 482 00:19:59,026 --> 00:20:03,197 RESEARCH AND SO WE FUND THE VAST 483 00:20:03,197 --> 00:20:05,532 MAJORITY OF ALL OF OUR 484 00:20:05,532 --> 00:20:07,868 ALLOCATIONS GO TO RESEARCH AND 485 00:20:07,868 --> 00:20:10,103 TODAY WE'RE TALKING ABOUT THE 486 00:20:10,103 --> 00:20:12,339 INTRAMURAL PROGRAM SO IF YOU CAN 487 00:20:12,339 --> 00:20:13,440 CLICK FORWARD. SO WE'RE JUST 488 00:20:13,440 --> 00:20:16,276 GOING TO FOCUS ON THE INTRAMURAL 489 00:20:16,276 --> 00:20:20,214 PROGRAM FOR JUST A MINUTE. IT'S 490 00:20:20,214 --> 00:20:22,883 BEEN PRETTY STEADY AT ABOUT 18%. 491 00:20:22,883 --> 00:20:24,918 HAS CREPT UP OVER THE LAST 492 00:20:24,918 --> 00:20:28,522 SEVERAL YEARS. NOT 493 00:20:28,522 --> 00:20:31,158 SURPRISINGLY. THIS, WITH ALL 494 00:20:31,158 --> 00:20:33,393 THE INSTITUTIONS THAT YOU'RE AT 495 00:20:33,393 --> 00:20:36,296 I THINK WILL NOT BE UNHEARD OF 496 00:20:36,296 --> 00:20:38,932 TO ANYONE. THINGS HAVE GOTTEN 497 00:20:38,932 --> 00:20:41,001 MORE EXPENSIVE TO DO. RESEARCH 498 00:20:41,001 --> 00:20:43,971 COSTS MORE MONEY WE HAVE TO PAY 499 00:20:43,971 --> 00:20:46,340 COST OF LIVING INCREASES WHICH 500 00:20:46,340 --> 00:20:48,475 WE MADE SOME PRETTY SUBSTANTIAL 501 00:20:48,475 --> 00:20:50,477 IMPROVEMENTS THAT WERE VERY 502 00:20:50,477 --> 00:20:53,547 NECESSARY FOR FUNDING POSTDOCS 503 00:20:53,547 --> 00:21:02,256 AS WELL AS OTHER INVES T GUATY 504 00:21:02,256 --> 00:21:03,524 INVESTIGATORS AND THE NET EFFECT 505 00:21:03,524 --> 00:21:04,858 IS THAT COST MORE. 506 00:21:04,858 --> 00:21:06,860 I WILL LET YOU CLICK TO THE NEXT 507 00:21:06,860 --> 00:21:08,529 SLIDE. 508 00:21:08,529 --> 00:21:09,196 OR THE NEXT SLIDE, YEAH. 509 00:21:09,196 --> 00:21:10,964 IS JUST HOW THIS ALL BREAKS 510 00:21:10,964 --> 00:21:11,164 DOWN. 511 00:21:11,164 --> 00:21:13,400 SOME OF THE BIGGEST INCREASE HAS 512 00:21:13,400 --> 00:21:14,034 BEEN IN THE CLINICAL CENTER. 513 00:21:14,034 --> 00:21:19,339 THE CLINICAL CENTER HAS NOT BEEN 514 00:21:19,339 --> 00:21:22,276 IMMUNE TO THE INCREASED COST OF 515 00:21:22,276 --> 00:21:23,043 DELIVERING HEALTH CARE. THAT 516 00:21:23,043 --> 00:21:25,412 WE'RE SEEING ACROSS THE BOARD. 517 00:21:25,412 --> 00:21:29,383 AND SO THIS IS WHERE WE'RE 518 00:21:29,383 --> 00:21:32,252 REALLY NEEDING SOME OF YOUR 519 00:21:32,252 --> 00:21:34,588 HELP. WHEN OUR OVERALL BUDGET 520 00:21:34,588 --> 00:21:37,391 GOES DOWN, AS IT DID THIS YEAR, 521 00:21:37,391 --> 00:21:40,994 BUT OUR COSTS GO UP, WE ARE 522 00:21:40,994 --> 00:21:44,398 REALLY FORCED TO MAKE SOME 523 00:21:44,398 --> 00:21:45,599 PRETTY CHALLENGING DECISIONS. 524 00:21:45,599 --> 00:21:47,067 IT'S BEEN AN INTERESTING TO BE 525 00:21:47,067 --> 00:21:49,403 IN A POSITION LIKE THIS WHERE WE 526 00:21:49,403 --> 00:21:53,040 DON'T HAVE OTHER LEVERS. WE 527 00:21:53,040 --> 00:21:56,276 HAVE NO OTHER READY FUNDING 528 00:21:56,276 --> 00:21:59,012 STREAMS THAT WE CAN BRING IN TO 529 00:21:59,012 --> 00:22:02,950 OFFSET ONE FUNDING STREAM THAT 530 00:22:02,950 --> 00:22:07,120 GOES DOWN. SO OUR ABILITY HAS 531 00:22:07,120 --> 00:22:08,555 TO BE ABLE TO FLEX, TO 532 00:22:08,555 --> 00:22:10,457 ACCOMMODATE TO THE BUDGET THAT 533 00:22:10,457 --> 00:22:13,527 WE HAVE. IN AN ERA, WHERE WE 534 00:22:13,527 --> 00:22:14,828 ALSO NEED TO BE PAYING PEOPLE 535 00:22:14,828 --> 00:22:16,964 FOR THE WORK THAT THEY DO AND 536 00:22:16,964 --> 00:22:18,599 COMPENSATING THEM WELL AND DOING 537 00:22:18,599 --> 00:22:20,300 THE HIGHEST END RESEARCH THAT IS 538 00:22:20,300 --> 00:22:20,968 NECESSARY TO BE ABLE TO ANSWER 539 00:22:20,968 --> 00:22:25,405 THE QUESTIONS THAT WE'RE DOING. 540 00:22:25,405 --> 00:22:26,773 SO I DON'T THINK I HAVE TO TELL 541 00:22:26,773 --> 00:22:28,742 YOU MORE. I THINK YOU 542 00:22:28,742 --> 00:22:29,643 UNDERSTAND THE ISSUE THAT WE'RE 543 00:22:29,643 --> 00:22:35,315 ALL FACING. NEXT SLIDE. SO HOW 544 00:22:35,315 --> 00:22:37,784 ARE WE FACING THIS. I HAVE TWO 545 00:22:37,784 --> 00:22:40,320 SLIDES THAT KIND OF GIVE YOU A 546 00:22:40,320 --> 00:22:41,822 WHERE DO I GO TO WHEN I'M 547 00:22:41,822 --> 00:22:44,024 THINKING ABOUT THE CHALLENGES IN 548 00:22:44,024 --> 00:22:45,392 THE BUDGET. ONE IS THE NATIONAL 549 00:22:45,392 --> 00:22:47,561 CANCER PLAN. I TALKED A BIT 550 00:22:47,561 --> 00:22:49,029 ABOUT THIS IN OUR LAST MEETING. 551 00:22:49,029 --> 00:22:50,797 IT'S NOW JUST OVER A YEAR OLD 552 00:22:50,797 --> 00:22:54,067 AND WE CELEBRATED THAT 553 00:22:54,067 --> 00:22:55,636 ANNIVERSARY IN PART BY LOOKING 554 00:22:55,636 --> 00:22:59,506 HARD AT HOW THAT PLAN FITS 555 00:22:59,506 --> 00:23:01,408 TOGETHER. AND I AM FOUNDED TO 556 00:23:01,408 --> 00:23:03,076 BE THINKING ABOUT THE EIGHT 557 00:23:03,076 --> 00:23:05,012 GOALS IN TWO BUCKETS. THE 558 00:23:05,012 --> 00:23:06,580 HEALTH CENTRIC GOALS THAT 559 00:23:06,580 --> 00:23:09,383 ENCOMPASS THE ARC OF THE PATIENT 560 00:23:09,383 --> 00:23:10,684 EXPERIENCE. DETECTING THE 561 00:23:10,684 --> 00:23:13,387 CANCER EARLY, DEVELOPING 562 00:23:13,387 --> 00:23:14,888 EFFECTIVE THERAPEUTICS AND 563 00:23:14,888 --> 00:23:16,923 DELIVERING OPTIMAL CARE BUT 564 00:23:16,923 --> 00:23:19,026 HAVING ALL OF THOSE WHICH ARE 565 00:23:19,026 --> 00:23:22,896 REAL OUTPUTS AND WHERE WE CHANGE 566 00:23:22,896 --> 00:23:23,897 MORTALITY FOR CANCER FOR 567 00:23:23,897 --> 00:23:26,500 AMERICANS TO ELEVATE THAT WITH 568 00:23:26,500 --> 00:23:28,402 EMPOWERING GOALS THAT MAXIMIZE 569 00:23:28,402 --> 00:23:31,905 DATA UTILITY. LEAN IN ON AI. 570 00:23:31,905 --> 00:23:33,473 THAT'S WHY WE HAVE WARREN HERE 571 00:23:33,473 --> 00:23:36,710 IN HIS NEW ROLE. AND WE KNOW 572 00:23:36,710 --> 00:23:45,385 THAT WE CAN DO MORE WITH DATA, 573 00:23:45,385 --> 00:23:48,522 AND WORKING IN THAT SPACE. 574 00:23:48,522 --> 00:23:52,259 ELIMINATING INEQUITIES. THIS IS 575 00:23:52,259 --> 00:23:54,027 WHERE WE HAVE ROOM TO GROW. 576 00:23:54,027 --> 00:23:56,263 THIS IS WHERE WE REACH OTHER 577 00:23:56,263 --> 00:23:58,598 COMMUNITIES. OPTIMIZING THE 578 00:23:58,598 --> 00:24:02,803 WORKFORCE. WE KNOW THAT WE NEED 579 00:24:02,803 --> 00:24:05,005 A WELL-TRAINED AND EXCITED AND 580 00:24:05,005 --> 00:24:07,441 ENTHUSIASTIC WORKFORCE AND THAT 581 00:24:07,441 --> 00:24:08,742 THIS IS REALLY FUNDAMENTALLY AT 582 00:24:08,742 --> 00:24:11,011 OUR CORE. AND THEN FINALLY 583 00:24:11,011 --> 00:24:12,245 ENGAGING EVERY PERSON THAT THIS 584 00:24:12,245 --> 00:24:15,082 IS REALLY ENGAGING LITERALLY 585 00:24:15,082 --> 00:24:16,316 EVERY PERSON, EVERY PERSON HAS 586 00:24:16,316 --> 00:24:17,918 RISK FOR CANCER, EVERY PERSON 587 00:24:17,918 --> 00:24:18,919 NEEDS TO HAVE KNOWLEDGE OF 588 00:24:18,919 --> 00:24:22,989 CANCER AND THE WORK THAT WE'RE 589 00:24:22,989 --> 00:24:25,892 DOING. AND ENGAGING JUST VERY 590 00:24:25,892 --> 00:24:27,928 BROADLY ALL OF THIS IS IN A 591 00:24:27,928 --> 00:24:30,197 LANDSCAPE OF DISCOVERY SCIENCE. 592 00:24:30,197 --> 00:24:33,400 IT FITS INTO ALL THE GOALS. TO 593 00:24:33,400 --> 00:24:35,302 REDUCE CANCER MORTALITY. NEXT 594 00:24:35,302 --> 00:24:38,405 SLIDE. I ALSO LEAN INTO SOME 595 00:24:38,405 --> 00:24:40,707 VALUE STATEMENTS THAT FOR ME I 596 00:24:40,707 --> 00:24:42,609 FIND TO BE HELPFUL. TALENT 597 00:24:42,609 --> 00:24:43,710 DEVELOPMENT RIGHT THERE AT THE 598 00:24:43,710 --> 00:24:45,512 TOP. NOT SURPRISING BUT ALSO 599 00:24:45,512 --> 00:24:48,014 CREATIVITY AND INNOVATION. 600 00:24:48,014 --> 00:24:49,683 THAT'S WHAT BROUGHT US HERE AS 601 00:24:49,683 --> 00:24:50,584 SCIENTISTS, THAT'S WHERE WE CAN 602 00:24:50,584 --> 00:24:52,753 MAKE SOME OF OUR, YOU KNOW, SORT 603 00:24:52,753 --> 00:24:55,822 OF BIGGEST WINS, EMPOWERMENT, 604 00:24:55,822 --> 00:24:59,092 AND REALLY HELPING PEOPLE FEEL 605 00:24:59,092 --> 00:25:00,694 ABLE TO MAKE DECISIONS. AND 606 00:25:00,694 --> 00:25:04,164 THEN I HAD TO PUT A VALUE OF 607 00:25:04,164 --> 00:25:04,965 FISCAL RESPONSIBILITY GIVEN THE 608 00:25:04,965 --> 00:25:06,733 CLIMATE THAT WE'RE IN, THIS HAS 609 00:25:06,733 --> 00:25:08,301 TO BE A PART OF WHAT WE THINK 610 00:25:08,301 --> 00:25:13,406 ABOUT WHEN WE THINK ABOUT HOW WE 611 00:25:13,406 --> 00:25:15,675 DO THIS BUSINESS. NEXT SLIDE. 612 00:25:15,675 --> 00:25:17,744 ALL RIGHT, NOW MORE FUN STUFF. 613 00:25:17,744 --> 00:25:21,381 TALKING ABOUT SOME RESEARCH AND 614 00:25:21,381 --> 00:25:25,051 PROGRAM HIGHLIGHTS. SO YOU'LL 615 00:25:25,051 --> 00:25:26,787 HEAR AGAIN I THINK SOME MORE 616 00:25:26,787 --> 00:25:30,090 ABOUT THIS A LITTLE BIT LATER 617 00:25:30,090 --> 00:25:35,061 BUT SOME REALLY EXCITING THINGS 618 00:25:35,061 --> 00:25:37,864 ABOUT GENETIC VARIANCE OF THE 619 00:25:37,864 --> 00:25:39,399 CHROMOSOME ACTIVATION. I'M A 620 00:25:39,399 --> 00:25:41,635 KIDNEY CANCER RESEARCHER. I WAS 621 00:25:41,635 --> 00:25:45,405 EXCITED TO SEE THE ANY REGIONS 622 00:25:45,405 --> 00:25:47,674 ASSOCIATED WITH CANCER RISK ALSO 623 00:25:47,674 --> 00:25:51,878 THE DCEG INITIATIVES. WE HAVE A 624 00:25:51,878 --> 00:25:55,582 NEW SARCOMA LINE DATABASE LED BY 625 00:25:55,582 --> 00:25:59,019 CCR AND ANY BIOMATERIALS 626 00:25:59,019 --> 00:26:00,353 ENHANCING CANCER VACCINE EFFORT. 627 00:26:00,353 --> 00:26:04,391 AND MANY, MANY OTHER DISCOVERIES 628 00:26:04,391 --> 00:26:05,559 AND ADVANCES ARE COMING OUT OF 629 00:26:05,559 --> 00:26:11,298 ALL OF O OUR LABS. NEXT SLIDE. 630 00:26:11,298 --> 00:26:13,834 IN TERMS OF WHAT DOES IT MEAN 631 00:26:13,834 --> 00:26:15,902 WHEN I SAID I WANT TO TRANSFORM 632 00:26:15,902 --> 00:26:17,470 CLINICAL RESEARCH IN THIS NEW 633 00:26:17,470 --> 00:26:20,307 ERA. IT'S REALLY THINKING ABOUT 634 00:26:20,307 --> 00:26:21,408 THINGS LIKE DECENTRALIZED 635 00:26:21,408 --> 00:26:23,076 CLINICAL TRIAL DESIGNS. YOU 636 00:26:23,076 --> 00:26:24,811 KNOW, MANAGING PATIENTS AT A 637 00:26:24,811 --> 00:26:26,279 DISTANCE, THINGS THAT WE LEARNED 638 00:26:26,279 --> 00:26:29,082 TO DO IN THE PANDEMIC, THE 639 00:26:29,082 --> 00:26:30,884 VIRTUAL CLINICAL OFFICES IN 640 00:26:30,884 --> 00:26:33,353 PILOT PHASE BUT HAS BEEN VERY 641 00:26:33,353 --> 00:26:35,121 SUCCESSFUL. MANY GOOD LESSONS 642 00:26:35,121 --> 00:26:37,390 LEARNED BUT HOW WE CAN USE 643 00:26:37,390 --> 00:26:38,191 VIRTUAL INTERACTIONS TO STAFF 644 00:26:38,191 --> 00:26:39,993 THE CLINICAL RESEARCH WORK THAT 645 00:26:39,993 --> 00:26:45,398 WE DO. THE CLINICAL TRIALS 646 00:26:45,398 --> 00:26:48,368 INNOVATION UNIT IS REALLY 647 00:26:48,368 --> 00:26:49,970 FOCUSING ON THOSE TRIALS TO 648 00:26:49,970 --> 00:26:50,737 ADDRESS A SPECIFIC QUESTION. 649 00:26:50,737 --> 00:26:54,574 THE MATCH WAS A LANDMARK TRIAL 650 00:26:54,574 --> 00:26:57,110 TO SHOW HOW WE COULD MATCH 651 00:26:57,110 --> 00:27:00,247 PATIENTS ACROSS VERY DIFFERENT 652 00:27:00,247 --> 00:27:01,915 KINDS OF SPACES TO AVAILABLE 653 00:27:01,915 --> 00:27:04,584 DRUGS OF THE DAY. NOW THE 654 00:27:04,584 --> 00:27:08,088 AVAILABLE DRUGS ARE MUCH MORE 655 00:27:08,088 --> 00:27:10,323 SOPHISTICATED AND THINGS LIKE 656 00:27:10,323 --> 00:27:13,393 MILO MATCH WHICH IS NOW OPEN 657 00:27:13,393 --> 00:27:16,863 ALLOW A MORE CONTINUUM APPROACH 658 00:27:16,863 --> 00:27:18,765 TO HOW WE IDENTIFY THE RIGHT 659 00:27:18,765 --> 00:27:20,934 DRUG FOR THE RIGHT PATIENT 660 00:27:20,934 --> 00:27:22,869 IMMUNO MATCH, ALL ON THE 661 00:27:22,869 --> 00:27:24,704 HORIZON. ALSO WORKING MORE 662 00:27:24,704 --> 00:27:26,106 ACROSS THE CLINICAL RESEARCH 663 00:27:26,106 --> 00:27:27,240 SPACE AND I'LL JUST GIVE A PLUG 664 00:27:27,240 --> 00:27:30,277 TO AN AD HOC WORKING GROUP THAT 665 00:27:30,277 --> 00:27:31,544 WE'VE CHARGED. THAT WE WILL 666 00:27:31,544 --> 00:27:33,813 REPORT BACK TO THE BSA TO 667 00:27:33,813 --> 00:27:35,749 ENHANCE COMMUNITY RESEARCH AND 668 00:27:35,749 --> 00:27:37,317 QUALITY CARE. REALLY LOOKING AT 669 00:27:37,317 --> 00:27:38,485 WHERE WE CAN DO CAPACITY 670 00:27:38,485 --> 00:27:40,620 BUILDING IN COMMUNITIES SO THAT 671 00:27:40,620 --> 00:27:41,955 CLINICAL RESEARCH BECOMES NOT 672 00:27:41,955 --> 00:27:42,989 THE THING THAT YOU DO WHEN 673 00:27:42,989 --> 00:27:44,858 YOU'VE RUN OUT OF OPTIONS BUT 674 00:27:44,858 --> 00:27:46,192 CLINICAL RESEARCH IS PART OF 675 00:27:46,192 --> 00:27:48,061 YOUR CARE. AND IS PART OF THE 676 00:27:48,061 --> 00:27:49,796 BEST CARE THAT YOU RECEIVE WHEN 677 00:27:49,796 --> 00:27:53,099 YOU'RE UNDERGOING CARE FOR 678 00:27:53,099 --> 00:27:56,903 CANCER. NEXT SLIDE. I ALSO 679 00:27:56,903 --> 00:28:00,740 WANT TO POINT OUT THE CANCER 680 00:28:00,740 --> 00:28:01,875 CABINET SO THIS IS THE WHITE 681 00:28:01,875 --> 00:28:10,016 HOUSE INITIATIVE OF THE 682 00:28:10,016 --> 00:28:10,650 PRESIDENT'S CANCER PANEL. WE 683 00:28:10,650 --> 00:28:12,385 ARE IN THE WEEK OR I GUESS IT'S 684 00:28:12,385 --> 00:28:15,155 A TWO WEEK PERIOD OF OPENING THE 685 00:28:15,155 --> 00:28:18,558 CABINET UP TO COMMUNITY 686 00:28:18,558 --> 00:28:21,061 CONVERSATIONS. WE HAVE A 687 00:28:21,061 --> 00:28:21,828 CONVERSATION GOING ON ON 688 00:28:21,828 --> 00:28:23,096 WEDNESDAY BUT IS AN OPPORTUNITY 689 00:28:23,096 --> 00:28:25,398 TO RECEIVE INPUT ON WHAT'S 690 00:28:25,398 --> 00:28:27,167 NEEDED TO DELIVER ON THOSE MOON 691 00:28:27,167 --> 00:28:29,302 SHOT GOALS, REDUCING MORTALITY 692 00:28:29,302 --> 00:28:32,739 BY 50% BY 2047 AND IMPROVING THE 693 00:28:32,739 --> 00:28:35,108 EXPERIENCE OF PATIENTS AND THEIR 694 00:28:35,108 --> 00:28:37,377 FAMILIES WITH CANCER. SO LOOK 695 00:28:37,377 --> 00:28:39,279 OUT FOR MORE AND IF YOU WANT 696 00:28:39,279 --> 00:28:40,347 ANYMORE INFORMATION ON THAT JUST 697 00:28:40,347 --> 00:28:45,051 LET US KNOW. NEXT SLIDE. SO, 698 00:28:45,051 --> 00:28:47,220 THIS IS MY NEXT SLIDE, MY LAST 699 00:28:47,220 --> 00:28:49,389 SLIDE WHICH IS JUST WHAT DO I 700 00:28:49,389 --> 00:28:52,092 NEED FROM YOU? WE TALKED ABOUT 701 00:28:52,092 --> 00:28:55,128 THIS A LITTLE BIT LAST TIME BUT 702 00:28:55,128 --> 00:28:57,897 JUST TO HEAR FROM YOU ALL AS OUR 703 00:28:57,897 --> 00:29:01,167 PEER REVIEWERS OF, I'M LOOK FOR 704 00:29:01,167 --> 00:29:03,269 THE EXPECTATION IN INTRAMURAL 705 00:29:03,269 --> 00:29:05,305 RESEARCH TO BE AS I SAID AT THE 706 00:29:05,305 --> 00:29:08,108 BEGINNING, AT THE LEVEL OF 707 00:29:08,108 --> 00:29:09,843 EXCEPTIONAL. I TRIED TO THINK 708 00:29:09,843 --> 00:29:11,811 OF, YOU KNOW, SORT OF THE 709 00:29:11,811 --> 00:29:14,214 ANALOGY OF WHAT A LABORATORY OR 710 00:29:14,214 --> 00:29:16,149 A RESEARCH PROGRAM IS WHEN IT'S 711 00:29:16,149 --> 00:29:18,418 IN THE INTRAMURAL PROGRAM AND 712 00:29:18,418 --> 00:29:20,754 IT'S A LITTLE BIT LIKE, I 713 00:29:20,754 --> 00:29:23,089 USUALLY USE BASKETBALL ANALOGIES 714 00:29:23,089 --> 00:29:24,791 BUT I LIKE THE PREMIER LEAGUE 715 00:29:24,791 --> 00:29:28,228 SORT OF CONCEPT. THIS IS A 716 00:29:28,228 --> 00:29:30,296 PRIVILEGE TO BE ABLE TO BE IN A 717 00:29:30,296 --> 00:29:33,400 SPACE LIKE THIS, TO BE ABLE TO 718 00:29:33,400 --> 00:29:37,170 MOVE THE KINDS OF QUESTIONS THAT 719 00:29:37,170 --> 00:29:41,107 CAN REALLY HELP US MOVE THE 720 00:29:41,107 --> 00:29:45,111 NEEDLE ON CANCER SO THE 721 00:29:45,111 --> 00:29:45,712 EVALUATION CRITERIA ARE, YOU 722 00:29:45,712 --> 00:29:48,014 KNOW, EXCEPTIONALISM, I WANT YOU 723 00:29:48,014 --> 00:29:51,451 TO BE THINKING ABOUT HOW THE 724 00:29:51,451 --> 00:29:53,920 LABORATORY'S ORGANIZED. HOW IT 725 00:29:53,920 --> 00:29:55,655 FITS IN THE SCOMBRAFRMG HOW IT'S 726 00:29:55,655 --> 00:29:58,758 RELEVANT IN MODERN CANCER 727 00:29:58,758 --> 00:29:59,125 INVESTIGATION. 728 00:29:59,125 --> 00:30:01,394 EVERYTHING THAT HAPPENS IN THE 729 00:30:01,394 --> 00:30:02,395 PROGRAM HAS TO BE UNIQUE 730 00:30:02,395 --> 00:30:05,098 RESEARCH THAT SERVES THE NEEDS 731 00:30:05,098 --> 00:30:05,899 IN THE EFFORT AGAINST CANCER AND 732 00:30:05,899 --> 00:30:08,234 IS BEST DONE AT THE NCI OR 733 00:30:08,234 --> 00:30:10,503 THROUGH GOVERNMENT RESOURCES. 734 00:30:10,503 --> 00:30:12,072 THIS IS DIFFERENT FOR DIFFERENT 735 00:30:12,072 --> 00:30:14,140 PROGRAMS AND SO THERE'S NOT ONE 736 00:30:14,140 --> 00:30:16,876 COOKIE CUTTER BUT THIS IS THE 737 00:30:16,876 --> 00:30:20,346 KIND OF BAR THAT I'M LOOKING FOR 738 00:30:20,346 --> 00:30:22,649 YOU TO HELP SET. THE WORK HERE 739 00:30:22,649 --> 00:30:23,650 HAS TO BE ESSENTIAL TO THE 740 00:30:23,650 --> 00:30:27,587 MISSION OF THE NCI AND BY THAT 741 00:30:27,587 --> 00:30:30,190 NCI I MEAN THE NCI THAT IS 742 00:30:30,190 --> 00:30:32,292 AMERICAN CANCER RESEARCH IT HAS 743 00:30:32,292 --> 00:30:34,294 TO BE, YOU KNOW, ESSENTIAL WORK 744 00:30:34,294 --> 00:30:36,930 THAT WE NEED PEOPLE TO BE DOING 745 00:30:36,930 --> 00:30:38,865 HERE. I THINK WE NEED TO ASK 746 00:30:38,865 --> 00:30:40,400 OURSELVES, ARE WE DOING THE BEST 747 00:30:40,400 --> 00:30:45,405 OF THE BEST RESEARCH? WE'RE 748 00:30:45,405 --> 00:30:48,541 INVESTING, ALL THE MONEY THAT WE 749 00:30:48,541 --> 00:30:49,843 INVEST IN THE INTRAMURAL PROGRAM 750 00:30:49,843 --> 00:30:50,910 IS MONEY WELL SPENT BUT ARE WE 751 00:30:50,910 --> 00:30:53,546 SPENDING IT IN THE WAYS THAT WE 752 00:30:53,546 --> 00:30:58,918 NEED TO? AND DO WE NEED TO, YOU 753 00:30:58,918 --> 00:31:00,453 KNOW, THINK ABOUT WHAT THIS 754 00:31:00,453 --> 00:31:02,555 AMAZING RESOURCE IS TO THE 755 00:31:02,555 --> 00:31:04,290 AMERICAN PUBLIC? AND ARE WE 756 00:31:04,290 --> 00:31:05,325 ADVANCING KNOWLEDGE FOR CANCER 757 00:31:05,325 --> 00:31:08,027 AND USING IT TO REDUCE THE 758 00:31:08,027 --> 00:31:10,296 BURDEN OF CANCER? SO, I'M A 759 00:31:10,296 --> 00:31:13,600 BASIC SCIENTIST, I'M NOT SAYING 760 00:31:13,600 --> 00:31:19,372 THAT I DON'T VALUE TRULY BASIC 761 00:31:19,372 --> 00:31:21,674 WORK. I ABSOLUTELY DO. BUT IT 762 00:31:21,674 --> 00:31:23,810 ALL NEEDS TO FIT AND IT ALL 763 00:31:23,810 --> 00:31:26,613 NEEDS TO BE OF A CALIBER THAT WE 764 00:31:26,613 --> 00:31:29,115 SAY WITH PRIDE IS NCI RESEARCH. 765 00:31:29,115 --> 00:31:33,219 I COULDN'T BE PRIDER OF -- 766 00:31:33,219 --> 00:31:35,054 PROUDER OF THE PEOPLE THAT WE DO 767 00:31:35,054 --> 00:31:36,189 HAVE HERE I JUST WANT YOU TO 768 00:31:36,189 --> 00:31:38,358 THINK ABOUT THAT AS YOU HAVE 769 00:31:38,358 --> 00:31:38,758 YOUR DISCUSSIONS. 770 00:31:38,758 --> 00:31:40,160 AND THINK ABOUT THE CREATIVITY, 771 00:31:40,160 --> 00:31:42,695 THE RIGOR, THE INNOVATION, WHERE 772 00:31:42,695 --> 00:31:44,564 WE ARE, THE ADVICE THAT YOU 773 00:31:44,564 --> 00:31:45,865 PROVIDE IS INCREDIBLY VALUABLE 774 00:31:45,865 --> 00:31:49,002 TO OUR INVESTIGATORS AND TO OUR 775 00:31:49,002 --> 00:31:51,271 BRANCH CHIEFS. AND THEN THE 776 00:31:51,271 --> 00:31:53,106 FINAL IS THAT THIS IS PART OF A 777 00:31:53,106 --> 00:31:54,474 DIFFERENT PROCESS AS WELL WHICH 778 00:31:54,474 --> 00:31:56,876 IS HOW WE BUILD TRUST WITH THE 779 00:31:56,876 --> 00:31:57,944 AMERICAN PUBLIC. AND ADVANCE 780 00:31:57,944 --> 00:32:01,281 THE EXCITING DISCOVERIES IN THE 781 00:32:01,281 --> 00:32:02,916 REALM OF CANCER. SO WITH THAT, 782 00:32:02,916 --> 00:32:03,449 I WILL STOP AND TAKE ANY 783 00:32:03,449 --> 00:32:10,690 QUESTIONS. I'LL BE ABLE TO STAY 784 00:32:10,690 --> 00:32:12,759 ABOUT 11:30 AND I WILL BE BACK 785 00:32:12,759 --> 00:32:16,062 AGAIN TOMORROW AFTERNOON. 786 00:32:16,062 --> 00:32:18,965 >> ANY QUESTIONS FOR 787 00:32:18,965 --> 00:32:21,100 DR. RATHMELL? I CAN ONLY SEE A 788 00:32:21,100 --> 00:32:22,302 FEW SCREENS ON MINE -- SO I 789 00:32:22,302 --> 00:32:23,102 DON'T KNOW IF SOMEONE HAS RAISED 790 00:32:23,102 --> 00:32:33,646 THEIR HAND? OR MIGHT NEED HELP? 791 00:32:34,781 --> 00:32:37,984 YOU CAN PUT A QUESTION IN THE 792 00:32:37,984 --> 00:32:38,818 CHAT. 793 00:32:38,818 --> 00:32:41,120 >> I CAN ADDRESS THE GATES 794 00:32:41,120 --> 00:32:42,655 FOUNDATION FUNDING STREAMS. 795 00:32:42,655 --> 00:32:45,391 THAT IS AN ISSUE FOR US THAT OUR 796 00:32:45,391 --> 00:32:47,126 INVESTIGATORS THEY CAN APPLY FOR 797 00:32:47,126 --> 00:32:48,861 SOME OUTSIDE FUNDING. GATES IS 798 00:32:48,861 --> 00:32:51,464 ONE. DEPARTMENT OF DEFENSE IS 799 00:32:51,464 --> 00:32:52,031 ANOTHER. FOUNDATIONS THAT 800 00:32:52,031 --> 00:32:54,000 HAVE -- SOME FOUNDATIONS BUT NOT 801 00:32:54,000 --> 00:32:57,003 OTHERS BUT MOST FOUNDATIONS THAT 802 00:32:57,003 --> 00:33:00,873 ARE DISEASE FOCUSED SPECIFIC ARE 803 00:33:00,873 --> 00:33:01,674 OPPORTUNITIES. BUT THAT'S 804 00:33:01,674 --> 00:33:04,911 LIMITED THAT IS NOT -- DOESN'T 805 00:33:04,911 --> 00:33:07,180 COME CLOSE TO THE, YOU KNOW, 806 00:33:07,180 --> 00:33:08,114 WHAT WE SUPPORT IN THE 807 00:33:08,114 --> 00:33:14,387 EXTRAMURAL COMMUNITY. SO IT'S A 808 00:33:14,387 --> 00:33:14,988 REAL CHALLENGE IT'S AN 809 00:33:14,988 --> 00:33:18,458 OPPORTUNITY FOR SOME PEOPLE BUT 810 00:33:18,458 --> 00:33:26,933 NOT FOR THE MAJORITY 811 00:33:26,933 --> 00:33:28,935 >> OKAY, ANY OTHER QUESTIONS FOR 812 00:33:28,935 --> 00:33:31,504 DR. RATHMELL BEFORE WE MOVE ON? 813 00:33:31,504 --> 00:33:33,640 >> I GUESS I HAVE A BRIEF 814 00:33:33,640 --> 00:33:34,274 QUESTION. I DON'T KNOW WHAT'S 815 00:33:34,274 --> 00:33:36,175 THE POLICY OF THE NCI WHEN IT 816 00:33:36,175 --> 00:33:38,378 COMES TO INDUSTRY COLLABORATIONS 817 00:33:38,378 --> 00:33:40,613 BUT THAT'S OFTEN A WAY BY WHICH 818 00:33:40,613 --> 00:33:43,182 YOU CAN BRING REVENUE INTO THE 819 00:33:43,182 --> 00:33:48,621 SYSTEM THAT IS ACADEMIA IT'S 820 00:33:48,621 --> 00:33:51,324 USED MORE AND MORE TO INCREASE 821 00:33:51,324 --> 00:33:56,863 USE. IN A WORLD SENSE THERE'S 822 00:33:56,863 --> 00:33:58,931 ALSO INDUSTRY COLLABORATIONS 823 00:33:58,931 --> 00:33:59,932 THAT YOU ARE EXPLORING WITHIN 824 00:33:59,932 --> 00:34:00,667 THE INTRAMURAL PROGRAM. 825 00:34:00,667 --> 00:34:03,970 >> I WILL SPEAK TO THAT AND IF 826 00:34:03,970 --> 00:34:06,039 ANYBODY ELSE, STEVEN, JAMES, 827 00:34:06,039 --> 00:34:09,409 OTHERS WANT TO COMMENT. SO WE 828 00:34:09,409 --> 00:34:11,177 DO HAVE RELATIONSHIPS WITH 829 00:34:11,177 --> 00:34:12,478 INDUSTRY, FOR EXAMPLE, THAT 830 00:34:12,478 --> 00:34:15,815 PROVIDE DRUGS OFTEN FOR OUR 831 00:34:15,815 --> 00:34:19,185 CLINICAL TRIALS. AND CAN 832 00:34:19,185 --> 00:34:21,187 PROVIDE OTHER SOURCES OF SUPPORT 833 00:34:21,187 --> 00:34:22,689 BUT THERE ARE SOME BOUNDARIES 834 00:34:22,689 --> 00:34:25,124 THAT AS A GOVERNMENT AGENCY WE 835 00:34:25,124 --> 00:34:31,297 HAVE TO BE COGNIZANT OF. WE -- 836 00:34:31,297 --> 00:34:33,399 INTRAMURAL INVESTIGATORS ARE 837 00:34:33,399 --> 00:34:35,168 ENCOURAGED TO FILE INTEL LEK 838 00:34:35,168 --> 00:34:43,843 CHILD -- INTELLECTUAL PROPERTY 839 00:34:43,843 --> 00:34:47,180 AND THE HPV VACCINE IS AN 840 00:34:47,180 --> 00:34:49,115 EXAMPLE WE CAN SEE THIS FROM 841 00:34:49,115 --> 00:34:49,449 INVESTIGATORS. 842 00:34:49,449 --> 00:34:51,050 >> THIS IS STEVEN, WE DO HAVE 843 00:34:51,050 --> 00:34:55,488 MECHANISM WITH WHAT WE CALL 844 00:34:55,488 --> 00:34:56,989 FORMAL RELATIONSHIPS BETWEEN 845 00:34:56,989 --> 00:34:59,926 INTRAMURAL INVESTIGATORS IN 846 00:34:59,926 --> 00:35:01,427 INDUSTRY THAT I SEE BEV SMILING. 847 00:35:01,427 --> 00:35:03,396 IT HAS UPS AND DOWNS, SOMETIMES 848 00:35:03,396 --> 00:35:04,597 THEY'RE EASY. SOMETIMES THEY'RE 849 00:35:04,597 --> 00:35:06,499 NOT. BUT IT TAKES MONTHS TO 850 00:35:06,499 --> 00:35:08,167 CREATE THOSE, SO YOU HAVE TO BE 851 00:35:08,167 --> 00:35:17,977 THINKING OF LONG-TERM PROJECTS. 852 00:35:17,977 --> 00:35:19,078 YOU DON'T ESTABLISH IT IN SIX 853 00:35:19,078 --> 00:35:21,748 WEEKS BUT IN SIX MONTHS BUT 854 00:35:21,748 --> 00:35:23,182 THERE THERE ARE SHARED 855 00:35:23,182 --> 00:35:24,817 OPPORTUNITIES AND REVENUES AND 856 00:35:24,817 --> 00:35:25,752 CERTAINLY THERE ARE GRANTS AND 857 00:35:25,752 --> 00:35:28,221 THINGS THAT, YOU KNOW, THAT 858 00:35:28,221 --> 00:35:30,957 COMPANIES WITH COME TO THE 859 00:35:30,957 --> 00:35:33,426 FOUNDATION FOR NIH AND GIVE 860 00:35:33,426 --> 00:35:36,562 MONEY AS WELL AS WHEN DCG, I 861 00:35:36,562 --> 00:35:38,331 WILL TALK BRIEFLY, WE HAVE OUR 862 00:35:38,331 --> 00:35:42,101 BIG HPV VACCINE STUDIES AND CR 863 00:35:42,101 --> 00:35:45,138 UK GIVES MONEY TO US AS WELL AS 864 00:35:45,138 --> 00:35:46,873 THE GATES AND THESE COME IN AS 865 00:35:46,873 --> 00:35:48,741 LARGE JOINTLY FUNDED ACTIVITIES 866 00:35:48,741 --> 00:35:50,943 WHERE WE'RE REALLY RUNNING IT 867 00:35:50,943 --> 00:35:51,778 BUT THERE ARE MANY PEOPLE 868 00:35:51,778 --> 00:35:53,212 INTERNATIONALLY INVOLVED IN 869 00:35:53,212 --> 00:35:56,983 THESE STUDIES IN COSTA RICA, FOR 870 00:35:56,983 --> 00:35:57,250 INSTANCE. 871 00:35:57,250 --> 00:36:00,019 >> AS A BRIEF DISCUSSION POINT, 872 00:36:00,019 --> 00:36:02,121 HAVING BEEN IN THE BSC FOR NOW 873 00:36:02,121 --> 00:36:04,624 MAYBE A COUPLE YEARS I'M NOT 874 00:36:04,624 --> 00:36:07,260 SURE THAT WE COULD ALLOW 875 00:36:07,260 --> 00:36:17,236 EMPHASIS ON IP AND LICENSE IING 876 00:36:17,236 --> 00:36:24,877 INVEST INVESTING IN INDUSTRIES. 877 00:36:24,877 --> 00:36:25,978 >> ALTHOUGH I PISH BACK A LITTLE 878 00:36:25,978 --> 00:36:28,014 BIT. I HOPE YOU DON'T MIND. 879 00:36:28,014 --> 00:36:28,915 >> OF COURSE. 880 00:36:28,915 --> 00:36:32,652 >> WE WANT TO DO THE SCIENCE AND 881 00:36:32,652 --> 00:36:35,087 IF WE THINK OF THE IP IN FRONT 882 00:36:35,087 --> 00:36:37,056 OF THE SCIENCE THAT RETARDS THE 883 00:36:37,056 --> 00:36:38,791 SCIENCE. IT'S A TRADE-OFF AND 884 00:36:38,791 --> 00:36:40,793 IT'S MORE COMPLICATED WITH US 885 00:36:40,793 --> 00:36:43,830 WITH CRADAS IN THE LIKE TO SET 886 00:36:43,830 --> 00:36:45,164 THOSE IN PLACE. WHERE WE CAN 887 00:36:45,164 --> 00:36:48,301 TAKE ADVANTAGE OF IT WE WILL BUT 888 00:36:48,301 --> 00:36:50,102 IT'S, I THINK IT'S SAFE TO SAY 889 00:36:50,102 --> 00:36:51,904 IT'S NOT ALWAYS OUR FIRST 890 00:36:51,904 --> 00:36:53,272 THOUGHT OUT OF THE BOX, OKAY? 891 00:36:53,272 --> 00:36:56,042 >> I GUESS, I WOULD SAY THAT 892 00:36:56,042 --> 00:37:01,214 MY -- I AGREE WITH STEVEN THAT I 893 00:37:01,214 --> 00:37:05,251 DON'T WANT PEOPLE TO GET TOO FAR 894 00:37:05,251 --> 00:37:06,619 OUT BUT IT CAN BE SOMETHING 895 00:37:06,619 --> 00:37:09,121 THAT'S FORGOTTEN AND OVERLOOKED 896 00:37:09,121 --> 00:37:10,456 WHEN IT CAN BE REALLY VALUABLE 897 00:37:10,456 --> 00:37:12,158 FOR ALL THE PARTS OF THE 898 00:37:12,158 --> 00:37:14,126 MISSION. AND MAKE SURE THAT 899 00:37:14,126 --> 00:37:19,398 PEOPLE KNOW HOW AND WHEN AND -- 900 00:37:19,398 --> 00:37:21,400 WHEN IT'S A GOOD IDEA TO BE 901 00:37:21,400 --> 00:37:21,968 THINKING ABOUT THAT IS VERY 902 00:37:21,968 --> 00:37:24,470 VALUABLE. 903 00:37:24,470 --> 00:37:27,907 >> I THINK THE OTHER THING I 904 00:37:27,907 --> 00:37:31,577 WOULD ADD IS, YOU KNOW, WE 905 00:37:31,577 --> 00:37:32,445 OFTENTIMES ON THESE MEETINGS 906 00:37:32,445 --> 00:37:35,281 DON'T HAVE A LOT OF OPPORTUNITY 907 00:37:35,281 --> 00:37:38,184 TO DISCUSS SORT OF BIGGER 908 00:37:38,184 --> 00:37:39,452 PICTURE. WE TALK ABOUT EACH 909 00:37:39,452 --> 00:37:40,553 INDIVIDUAL LAB ONE BY ONE AND 910 00:37:40,553 --> 00:37:42,722 THE WORK THAT'S DONE THERE AND 911 00:37:42,722 --> 00:37:45,725 THE OVERSIGHT AND SO ON AND SO 912 00:37:45,725 --> 00:37:48,127 FORTH BUT WHETHER EACH PIECE OF 913 00:37:48,127 --> 00:37:52,064 THE PIE FITS IN IN A WAY THAT 914 00:37:52,064 --> 00:37:53,366 IS, YOU KNOW, NECESSARY AND 915 00:37:53,366 --> 00:37:55,701 CAN'T BE DONE ANYWHERE ELSE AND 916 00:37:55,701 --> 00:37:58,070 IS WHERE NCI IS THE RIGHT PLACE 917 00:37:58,070 --> 00:37:59,972 FOR THAT WORK TO BE DONE IS 918 00:37:59,972 --> 00:38:01,073 SOMETHING THAT WE DON'T OFTEN 919 00:38:01,073 --> 00:38:02,909 HAVE A LOT OF DISCUSSION ABOUT 920 00:38:02,909 --> 00:38:04,944 AND I'M NOT SURE HOW WE, YOU 921 00:38:04,944 --> 00:38:07,914 KNOW, GIVEN THE AGENDAS MAYBE WE 922 00:38:07,914 --> 00:38:11,250 JUST NEED THE BSE TO HAVE ONCE A 923 00:38:11,250 --> 00:38:14,921 YEAR EXTRA HOUR OR SOMETHING PUT 924 00:38:14,921 --> 00:38:17,056 IN THE SCHEDULE TO REALLY TALK 925 00:38:17,056 --> 00:38:21,394 ABOUT SOME OF THE BIGGER PICTURE 926 00:38:21,394 --> 00:38:24,664 THINGS. THAT'S WHAT I NOTICED 927 00:38:24,664 --> 00:38:26,299 IS SOMETHING THAT CAN BE 928 00:38:26,299 --> 00:38:26,599 IMPROVED. 929 00:38:26,599 --> 00:38:28,134 >> THAT'S REALLY GOOD FEEDBACK. 930 00:38:28,134 --> 00:38:30,570 >> ISN'T THAT BE PART OF THE 931 00:38:30,570 --> 00:38:33,005 REVIEW PROCESS IN EACH OF THE 932 00:38:33,005 --> 00:38:34,340 LABS AS WELL WHEN IT'S FRESH IN 933 00:38:34,340 --> 00:38:36,776 OUR MINDS AND YOU HAVE THE 934 00:38:36,776 --> 00:38:38,578 EXPERTS REVIEWING THOSE SPECIFIC 935 00:38:38,578 --> 00:38:40,079 LABS? CAN'T IT BE ONE OF THE 936 00:38:40,079 --> 00:38:41,080 REVIEW CRITERIA? 937 00:38:41,080 --> 00:38:44,116 >> NO, I THINK IT IS. WE OFTEN 938 00:38:44,116 --> 00:38:46,218 DO DISCUSS -- WE ABSOLUTELY 939 00:38:46,218 --> 00:38:46,485 DISCUSS -- 940 00:38:46,485 --> 00:38:48,321 >> I KNOW WE DO FOR THE 941 00:38:48,321 --> 00:38:48,588 CLINICAL. 942 00:38:48,588 --> 00:38:52,224 >> I THINK WHAT I'M THINKING 943 00:38:52,224 --> 00:38:54,393 MORE IS, AS A WHOLE IS -- ARE 944 00:38:54,393 --> 00:38:56,562 ALL THE LABS THAT WE SEE, LET'S 945 00:38:56,562 --> 00:38:59,231 SAY, IN HERE COVERING THE 946 00:38:59,231 --> 00:39:01,233 IMPORTANT OR -- SEVERAL YEARS, 947 00:39:01,233 --> 00:39:03,102 HOWEVER LONG IT TAKES TO GET 948 00:39:03,102 --> 00:39:06,906 THROUGH, ARE THEY COVERING ALL 949 00:39:06,906 --> 00:39:08,774 THAT SHOULD BE PRESENT AND IS 950 00:39:08,774 --> 00:39:09,942 ANYTHING MISSING THAT NEEDS TO 951 00:39:09,942 --> 00:39:13,212 BE DONE OR IS THERE REDUNDANCY? 952 00:39:13,212 --> 00:39:14,614 IS THERE -- YOU KNOW, SOMETHING 953 00:39:14,614 --> 00:39:17,249 THAT YOU CAN ONLY SEE WHEN YOU 954 00:39:17,249 --> 00:39:20,252 SEE THE WHOLE PICTURE. NOT THAT 955 00:39:20,252 --> 00:39:22,154 EACH INDIVIDUAL LAB DOESN'T GET 956 00:39:22,154 --> 00:39:26,058 EVALUATED THAT WAY, PAT, I AGREE 957 00:39:26,058 --> 00:39:27,526 WITH YOU. 958 00:39:27,526 --> 00:39:29,261 >> YEAH, I WOULD THINK THAT 959 00:39:29,261 --> 00:39:31,998 THAT'S IN SCOPE. ALTHOUGH I -- 960 00:39:31,998 --> 00:39:35,868 IT IS HARDER TO FIGURE OUT HOW 961 00:39:35,868 --> 00:39:39,171 TO BE CLEAR ON THAT. SO THAT'S 962 00:39:39,171 --> 00:39:40,506 SOMETHING WE SHOULD THINK ABOUT 963 00:39:40,506 --> 00:39:41,507 IF THERE'S A DIFFERENT TIME TO 964 00:39:41,507 --> 00:39:44,577 SET ASIDE TO HAVE CONVERSATIONS 965 00:39:44,577 --> 00:39:49,382 ABOUT THAT, ABOUT STRUCTURES. 966 00:39:49,382 --> 00:39:51,917 COOL. I THOUGHT I SAW A HAND GO 967 00:39:51,917 --> 00:39:53,119 UP ON THE -- 968 00:39:53,119 --> 00:39:54,420 >> I JUST WANTED TO PICK UP ON A 969 00:39:54,420 --> 00:39:56,188 POINT THAT LESLIE WAS ALSO 970 00:39:56,188 --> 00:39:58,591 SAYING AND I'VE BEEN ON THE BSE 971 00:39:58,591 --> 00:39:59,859 FOR ABOUT A YEAR AND THERE'S 972 00:39:59,859 --> 00:40:01,761 THIS NOTION THAT WE EVALUATE 973 00:40:01,761 --> 00:40:06,098 WHETHER THE RESEARCH CAN BE DONE 974 00:40:06,098 --> 00:40:11,303 OUTSIDE OF THE INTRAMIEURAL 975 00:40:11,303 --> 00:40:12,805 PROGRAM AND I ALWAYS HAD A 976 00:40:12,805 --> 00:40:14,674 DIFFICULT TIME WITH THIS 977 00:40:14,674 --> 00:40:16,175 CRITERIA. I'M NOT SURE WHAT 978 00:40:16,175 --> 00:40:17,810 THAT MEANS. I CAN THINK OF 979 00:40:17,810 --> 00:40:19,211 THINGS WHERE THERE'S UNIQUE 980 00:40:19,211 --> 00:40:21,447 DATASETS WITHIN THE PROGRAM OR 981 00:40:21,447 --> 00:40:25,217 UNIQUE CLINICAL COHORTS OR 982 00:40:25,217 --> 00:40:26,285 UNIQUE COLLABORATIONS. BUT I 983 00:40:26,285 --> 00:40:28,954 THINK SOME OF THE STUDIES YOU 984 00:40:28,954 --> 00:40:31,257 DECIDED WHICH ARE AMAZING 985 00:40:31,257 --> 00:40:32,458 SCIENCE ONE COULD ARGUE COULD BE 986 00:40:32,458 --> 00:40:34,126 DONE OUTSIDE THE PROGRAM I 987 00:40:34,126 --> 00:40:36,128 WONDER IF YOU HAD THOUGHTS ABOUT 988 00:40:36,128 --> 00:40:38,264 THIS, ESPECIALLY, YOU KNOW, AS 989 00:40:38,264 --> 00:40:40,733 THE BUDGET GETS TIGHTER. 990 00:40:40,733 --> 00:40:43,135 >> IT'S HARD. I WILL 991 00:40:43,135 --> 00:40:44,770 ACKNOWLEDGE THAT IT IS REALLY 992 00:40:44,770 --> 00:40:47,239 HARD. SOME THINGS HAVE EVOLVED 993 00:40:47,239 --> 00:40:49,775 AND REALLY COULD ONLY BE DONE 994 00:40:49,775 --> 00:40:51,377 HERE FOR SOME TIME BUT NOW SOME 995 00:40:51,377 --> 00:40:55,181 OTHER INSTITUTES HAVE GROWN 996 00:40:55,181 --> 00:40:57,383 CAPACITIES. AND, HOW WE FLEX 997 00:40:57,383 --> 00:40:58,718 WITH THAT IS WE'RE THE 998 00:40:58,718 --> 00:41:01,387 GOVERNMENT, SO FLEXING IS NOT 999 00:41:01,387 --> 00:41:03,622 ALWAYS OUR STRONGEST POINT. BUT 1000 00:41:03,622 --> 00:41:06,559 I THINK WE HAVE TO BE HONEST 1001 00:41:06,559 --> 00:41:08,060 ABOUT THAT AND TO THINK ABOUT 1002 00:41:08,060 --> 00:41:11,263 IT. I HAVE HESITATED SAYING, TO 1003 00:41:11,263 --> 00:41:17,069 THINK ABOUT IT LIKE THE HH 1004 00:41:17,069 --> 00:41:17,803 PRESSUHMI. 1005 00:41:17,803 --> 00:41:18,938 IT'S A LITTLE BIT LIKE THAT. 1006 00:41:18,938 --> 00:41:21,640 DOES THIS MEET THE INVESTIGATORS 1007 00:41:21,640 --> 00:41:23,976 COME ON AND COME OFF ACCORDING 1008 00:41:23,976 --> 00:41:26,412 TO THE NEED. I WOULD SAY THIS 1009 00:41:26,412 --> 00:41:32,818 IS VERY DIFFERENT BUT THE TYPE 1010 00:41:33,486 --> 00:41:34,954 OF, SORT OF THINKING PROCESS 1011 00:41:34,954 --> 00:41:35,521 AROUND IT. I WOULD SAY IS 1012 00:41:35,521 --> 00:41:39,658 SIMILAR. 1013 00:41:39,658 --> 00:41:41,694 >> GREAT. THAT'S HELPFUL. 1014 00:41:41,694 --> 00:41:44,797 >> WE HAVE RESEARCH THAT WE KNOW 1015 00:41:44,797 --> 00:41:47,299 IS NOT GOING TO MATERIALIZE FOR 1016 00:41:47,299 --> 00:41:48,934 10-15 YEARS AND THAT'S GREAT AND 1017 00:41:48,934 --> 00:41:49,869 SOMETHING THAT WE KNOW AND NEED 1018 00:41:49,869 --> 00:41:51,537 AND WANT. IT'S NOT ALWAYS LIKE 1019 00:41:51,537 --> 00:41:55,207 WHAT DID YOU DO YESTERDAY? BUT 1020 00:41:55,207 --> 00:41:56,942 THE -- IT'S A LITTLE BIT OF A 1021 00:41:56,942 --> 00:41:57,376 FINE WINE. 1022 00:41:57,376 --> 00:42:00,446 >> YEAH. EXACTLY. I THINK THE 1023 00:42:00,446 --> 00:42:04,850 TIME IS CERTAINLY SOMETHING THAT 1024 00:42:04,850 --> 00:42:08,854 ONE COULD MAKE AN ARGUMENT IS 1025 00:42:08,854 --> 00:42:09,388 HARD TO DO. 1026 00:42:09,388 --> 00:42:12,558 >> CAN I SAY SOMETHING HERE? I 1027 00:42:12,558 --> 00:42:14,927 THINK WE THINK OF IT AS HIGH 1028 00:42:14,927 --> 00:42:17,296 RISK HIGH REWARD AND I THINK 1029 00:42:17,296 --> 00:42:19,632 THAT IT'S MOSTLY THE MOST 1030 00:42:19,632 --> 00:42:22,668 IMPORTANT PART OF THAT IS THE 1031 00:42:22,668 --> 00:42:25,137 INCEPTION OF THE IDEA. YOU 1032 00:42:25,137 --> 00:42:27,439 KNOW, SO, YOU CAN HAVE AN IDEA 1033 00:42:27,439 --> 00:42:29,141 AND JUST HIT THE GROUND RUNNING. 1034 00:42:29,141 --> 00:42:31,610 YOU DON'T HAVE TO GET PERMISSION 1035 00:42:31,610 --> 00:42:34,413 TO DO IT. YOU CAN HAVE SOME 1036 00:42:34,413 --> 00:42:37,016 IDEAS THAT AREN'T VERY GRANT 1037 00:42:37,016 --> 00:42:38,117 FUNDABLE BUT THEY COULD BE VERY 1038 00:42:38,117 --> 00:42:40,019 GOOD IDEAS PARTICULARLY IF THEY 1039 00:42:40,019 --> 00:42:42,855 TAKE A LONG TIME OR IF YOU DON'T 1040 00:42:42,855 --> 00:42:45,124 HAVE PRELIMINARY DATA TO BACK UP 1041 00:42:45,124 --> 00:42:46,592 YOUR IDEA. THESE ARE NOT ALL 1042 00:42:46,592 --> 00:42:48,060 GOING TO BE HITS. YOU'RE NOT 1043 00:42:48,060 --> 00:42:51,063 GOING TO GET HOME RUNS TEN 1044 00:42:51,063 --> 00:42:53,065 TIMES. IF YOU HIT TWO HOME RUNS 1045 00:42:53,065 --> 00:42:55,034 AND YOU CAN HIT THE GROUND 1046 00:42:55,034 --> 00:42:57,536 RUNNING AND EVEN IF IT TAKES TEN 1047 00:42:57,536 --> 00:43:00,072 OR TEN YEARS OR MORE THESE ARE 1048 00:43:00,072 --> 00:43:00,739 VERY VALUABLE AND THAT'S HOW WE 1049 00:43:00,739 --> 00:43:10,649 SORT OF LOOK AT IT. 1050 00:43:10,649 --> 00:43:14,854 >> ANY FURTHER QUESTIONS FOR 1051 00:43:14,854 --> 00:43:15,588 DR. RATHMELL? 1052 00:43:15,588 --> 00:43:17,256 >> SINCE I'VE BEEN ON THREE 1053 00:43:17,256 --> 00:43:21,827 YEARS THERE'S BEEN AUGUST T -- 1054 00:43:21,827 --> 00:43:23,929 EIGHT ANY ACRONYMS OF 1055 00:43:23,929 --> 00:43:25,397 RESTRUCTURING GOING ON AND I 1056 00:43:25,397 --> 00:43:27,633 FEEL THAT WE, HERE IS OUR NEW 1057 00:43:27,633 --> 00:43:28,400 STRUCTURE, WE MOVE THIS PERSON 1058 00:43:28,400 --> 00:43:32,638 OVER HERE, WE PUT THE AI AND BIO 1059 00:43:32,638 --> 00:43:35,307 STATISTICS TOGETHER AND IT'S SO 1060 00:43:35,307 --> 00:43:38,210 UNCLEAR, BUILDING ON WHAT LESLIE 1061 00:43:38,210 --> 00:43:40,746 HAS SAID HOW MANY PEOPLE UTILIZE 1062 00:43:40,746 --> 00:43:42,081 THIS AND SO I THINK SOMETIMES I 1063 00:43:42,081 --> 00:43:43,315 ALSO -- THERE'S ALWAYS A LITTLE 1064 00:43:43,315 --> 00:43:44,917 BIT OF AN INTRODUCTION OF THIS 1065 00:43:44,917 --> 00:43:49,221 NEW RESTRUCTURE AND THIS NEW AC 1066 00:43:49,221 --> 00:43:57,062 ROW ACRONYM I HAVE TO LEARN. 1067 00:43:57,062 --> 00:43:58,731 WHAT ARE WE GOING TO BENCHMARK 1068 00:43:58,731 --> 00:43:59,999 FOR THIS NEW RESTRUCTURE AT THE 1069 00:43:59,999 --> 00:44:02,468 END OF TWO YEARS OR THREE YEARS. 1070 00:44:02,468 --> 00:44:05,371 SO TRYING TO GET THAT BIG 1071 00:44:05,371 --> 00:44:07,873 PICTURE THAT, YOU KNOW, LESLIE 1072 00:44:07,873 --> 00:44:09,008 WAS REALLY COMMENTING ON. 1073 00:44:09,008 --> 00:44:13,012 THAT'S THE PART I FEEL LIKE I 1074 00:44:13,012 --> 00:44:15,014 DON'T REALLY UNDERSTAND FOR THE 1075 00:44:15,014 --> 00:44:16,482 BENCHMARKS FOR THESE NEW 1076 00:44:16,482 --> 00:44:18,017 RESTRUCTURED GROUPS. 1077 00:44:18,017 --> 00:44:19,985 >> OKAY. THAT'S GREAT. I WOULD 1078 00:44:19,985 --> 00:44:21,420 ENCOURAGE YOU TO ASK WHAT 1079 00:44:21,420 --> 00:44:23,422 METRICS ARE GOING TO SHOW THAT 1080 00:44:23,422 --> 00:44:31,530 THIS IS WORKING. SO, GREAT 1081 00:44:31,530 --> 00:44:33,999 >> OKAY. IT'S PROBABLY TIME TO 1082 00:44:33,999 --> 00:44:37,436 MOVE ON. SO I JUST WANT TO 1083 00:44:37,436 --> 00:44:38,103 REMIND THE AUDIENCE THAT WE'RE 1084 00:44:38,103 --> 00:44:39,238 NOW GOING INTO A CLOSED SESSION 1085 00:44:39,238 --> 00:44:41,573 SO MEMBERS OF THE PUBLIC SHOULD 1086 00:44:41,573 --> 00:44:45,644 SIGN OFF. AND THEN WE'LL WAIT 1087 00:44:45,644 --> 00:44:49,415 FOR THE AV PEOPLE TO TELL US WE 1088 00:44:49,415 --> 00:44:52,952 ARE SAFE TO PROCEED. 1089 00:44:52,952 --> 00:44:54,086 >> TAKE ABOUT A FIVE MINUTE 1090 00:44:54,086 --> 00:45:04,430 BREAK, LESLIE? NO?