1 00:00:04,707 --> 00:00:07,042 WELCOME TO THE 93rd MEETING OF 2 00:00:07,042 --> 00:00:08,844 THE COUNCIL OF RESEARCH 3 00:00:08,844 --> 00:00:09,211 ADVOCATES. 4 00:00:09,211 --> 00:00:10,179 AS ALWAYS THANK YOU SO MUCH FOR 5 00:00:10,179 --> 00:00:13,616 BEING HERE AND TAKING THE TIME 6 00:00:13,616 --> 00:00:17,720 FROM WHAT I KNOW ARE BUSY DAYS. 7 00:00:17,720 --> 00:00:19,321 YOU GUYS ARE WEARING MANY HATS. 8 00:00:19,321 --> 00:00:23,392 IT'S ALWAYS SO GREAT TO BE IN 9 00:00:23,392 --> 00:00:23,826 PERSON. 10 00:00:23,826 --> 00:00:24,960 WE WORKED HARD TO SEE EVERYONE 11 00:00:24,960 --> 00:00:26,195 TODAY SO THANK YOU. 12 00:00:26,195 --> 00:00:31,066 I THINK WE HAVE A GREAT DAY 13 00:00:31,066 --> 00:00:36,071 AHEAD OF US AND JOINED BY 14 00:00:36,071 --> 00:00:38,407 DR. RATHMELL FOR UPDATES AND 15 00:00:38,407 --> 00:00:41,010 JOINED BY NCI'S NEW DEPUTY 16 00:00:41,010 --> 00:00:51,353 DIRECTOR DR. KIBBE. 17 00:00:56,125 --> 00:00:59,261 WE'LL HAVE UPDATES AND THEN THIS 18 00:00:59,261 --> 00:01:01,897 AFTERNOON TWO MORE SCIENTIFIC 19 00:01:01,897 --> 00:01:03,199 DISCUSSIONS WE'LL HAVE. 20 00:01:03,199 --> 00:01:07,603 WE'LL BE JOINED BY STAFF BY NIH 21 00:01:07,603 --> 00:01:10,873 TO HIGHLIGHT A NEW INITIATIVE 22 00:01:10,873 --> 00:01:13,909 THE NIH ADVANCING EQUITY AND 23 00:01:13,909 --> 00:01:16,445 HEALTH INITIATIVE. 24 00:01:16,445 --> 00:01:21,517 IT'S A LOT OF WORDS AND A 25 00:01:21,517 --> 00:01:32,027 NETWORK AND A PRESENTATION ON 26 00:01:34,096 --> 00:01:36,665 NCI'S PROGRAM. 27 00:01:36,665 --> 00:01:38,200 WE'LL HAVE CANCER RESEARCHERS. 28 00:01:38,200 --> 00:01:42,638 I'LL TURN IT OVER TO ANNIE TO 29 00:01:42,638 --> 00:01:43,906 GET US UNDERWAY. 30 00:01:43,906 --> 00:01:48,244 WE HAVE A YOUM MEMBERS AND 31 00:01:48,244 --> 00:01:54,250 INTRODUCING YOU IN A FEW MINUTES 32 00:01:54,250 --> 00:01:59,688 >> SO WELCOME EVERYBODY. 33 00:01:59,688 --> 00:02:06,262 I ECHO AMY'S EXCITEMENT. 34 00:02:06,262 --> 00:02:12,968 IT'S GREAT WHEN WE'RE IN PERSON 35 00:02:12,968 --> 00:02:14,837 AS COMMITTEE MEMBERS I WANT TO 36 00:02:14,837 --> 00:02:17,907 REMIND YOU MUST ABSENT YOURSELF 37 00:02:17,907 --> 00:02:19,775 DURING SPECIFIC DISCUSSIONS 38 00:02:19,775 --> 00:02:22,945 WILDFIRE YOU'RE PARTICIPATION ON 39 00:02:22,945 --> 00:02:24,280 A PRODUCT, PROGRAM OR OTHER 40 00:02:24,280 --> 00:02:25,547 MATTER WOULD CONSTITUTE A 41 00:02:25,547 --> 00:02:26,215 CONFLICT OF INTEREST OR CREATE 42 00:02:26,215 --> 00:02:28,884 THE APPEARANCE OF ONE. 43 00:02:28,884 --> 00:02:30,486 IT IS INCUMBENT UPON YOU TO 44 00:02:30,486 --> 00:02:31,520 ADVISE THE EXECUTIVE SECRETARY 45 00:02:31,520 --> 00:02:33,422 AND ABSTAIN FROM ANY 46 00:02:33,422 --> 00:02:34,089 PARTICIPATION AND DISCUSSION OR 47 00:02:34,089 --> 00:02:36,258 ACTION REGARDING THAT MATTER. 48 00:02:36,258 --> 00:02:39,728 IN LIGHT OF THE CURRENT POLICIES 49 00:02:39,728 --> 00:02:40,963 GOVERNING CONCEPT OF INTEREST 50 00:02:40,963 --> 00:02:43,599 BASED ON FINANCIAL HOLDINGS OF 51 00:02:43,599 --> 00:02:44,466 SPECIAL GOVERNMENT EMPLOYEES 52 00:02:44,466 --> 00:02:46,135 INCLUDING ALL MEMBERS OF THIS 53 00:02:46,135 --> 00:02:48,203 COMMITTEE WE MUST DEPEND ON YOU 54 00:02:48,203 --> 00:02:50,105 TO VOLUNTARILY ACCEPT YOURSELF 55 00:02:50,105 --> 00:02:51,907 DURING DISCUSSIONS ON MATTERS 56 00:02:51,907 --> 00:02:54,376 THAT CAN CONCEIVABLY IMPACT THE 57 00:02:54,376 --> 00:02:56,445 STATUS OF THOSE HOLDINGS. 58 00:02:56,445 --> 00:02:59,415 WE TRUST YOUR JUDGMENT IN THESE 59 00:02:59,415 --> 00:02:59,815 INSTANCES. 60 00:02:59,815 --> 00:03:06,588 BY LAW A QUORUM IS REQUIRED AND 61 00:03:06,588 --> 00:03:07,523 SIX MUST BE PRESENT TO VOICE 62 00:03:07,523 --> 00:03:08,691 THEIR VOTES. 63 00:03:08,691 --> 00:03:11,060 NEW MEMBERS NOT CURRENT MEMBERS 64 00:03:11,060 --> 00:03:12,828 OF ANOTHER NCI ADVISORY BOARD 65 00:03:12,828 --> 00:03:14,496 ARE NOT VOTING UNTIL THEY HAVE 66 00:03:14,496 --> 00:03:16,565 BEEN CLEARED BY THE NCI ETHICS 67 00:03:16,565 --> 00:03:23,939 PROCESS AND THE OFFICE OF HUMAN 68 00:03:23,939 --> 00:03:24,306 RESOURCES. 69 00:03:24,306 --> 00:03:27,009 MEMBERS OF THE PUBLIC WHO MAY 70 00:03:27,009 --> 00:03:29,244 WISH TO EXPRESS VIEWS DURING 71 00:03:29,244 --> 00:03:30,779 ITEMS DISCUSSED DURING THEY WILL 72 00:03:30,779 --> 00:03:35,284 MEETING MAY WRITE THE EXECUTIVE 73 00:03:35,284 --> 00:03:40,489 SECRETARY WITHIN 10 DAYS AND ANY 74 00:03:40,489 --> 00:03:41,724 WRITTEN COMMENTS WILL BE RECEIVE 75 00:03:41,724 --> 00:03:42,324 CAREFUL CONSIDERATION. 76 00:03:42,324 --> 00:03:43,926 I'M PLEASED WE'RE HERE IN PERSON 77 00:03:43,926 --> 00:03:48,263 AND IT'S MY PLEASURE TO WELCOME 78 00:03:48,263 --> 00:03:50,265 NEW MEMBERS AND I'LL ASK YOU TO 79 00:03:50,265 --> 00:03:52,468 PLEASE TAKE A FEW MOMENTS TO 80 00:03:52,468 --> 00:03:54,069 INTRODUCE YOURSELF. 81 00:03:54,069 --> 00:04:00,976 FIRST WE HAVE KATIE COLEMAN. 82 00:04:00,976 --> 00:04:06,315 I AM A PATIENT AND PATIENT 83 00:04:06,315 --> 00:04:13,689 ADVOCACY I HAVE RARE KIDNEY 84 00:04:13,689 --> 00:04:19,395 CANCER AND EACH I'M HONORED TO 85 00:04:19,395 --> 00:04:19,595 JOIN. 86 00:04:19,595 --> 00:04:25,834 >> WE HAVE AMANDA. 87 00:04:25,834 --> 00:04:31,974 >> I CO-FOUNDED A NONPROFIT AND 88 00:04:31,974 --> 00:04:34,910 WE'RE FOCUSSED LARGELY OR DATA 89 00:04:34,910 --> 00:04:40,482 SHARING AND INFRASTRUCTURE TO BE 90 00:04:40,482 --> 00:04:51,026 ABLE TO COLLABORATE AND WE LOOK 91 00:04:52,795 --> 00:04:58,167 AT CANCERS AND RARE DISEASES AND 92 00:04:58,167 --> 00:05:04,940 I CAME INTO THIS AREA. 93 00:05:04,940 --> 00:05:14,516 >> ONLINE WE HAVE ANDREE A 94 00:05:14,516 --> 00:05:17,553 >> I'M ANDREA HUTTON I'VE BEEN 95 00:05:17,553 --> 00:05:20,289 LIVING WITH METASTATIC BREAST 96 00:05:20,289 --> 00:05:20,856 CANCER SINCE 2009. 97 00:05:20,856 --> 00:05:25,694 AND IN WRITING A BOOK ON MY 98 00:05:25,694 --> 00:05:27,729 EXPERIENCE I BECAME AWARE AND 99 00:05:27,729 --> 00:05:29,698 INTERESTED IN ALL THE ADVOCACY 100 00:05:29,698 --> 00:05:30,232 OPPORTUNITIES. 101 00:05:30,232 --> 00:05:32,701 I'M A BOARD MEMBER WITH THE 102 00:05:32,701 --> 00:05:34,002 METASTATIC BREAST CANCER 103 00:05:34,002 --> 00:05:36,738 ALLIANCE AND HAVE BEEN DELIGHTED 104 00:05:36,738 --> 00:05:39,675 TO WORK WITH DOD AND DO OTHER 105 00:05:39,675 --> 00:05:40,976 RESEARCH GRANTS WITH THE 106 00:05:40,976 --> 00:05:44,146 PROJECTS AND EXCITED TO BE HERE 107 00:05:44,146 --> 00:05:46,281 THOUGH I'M NOT THERE I LOOK 108 00:05:46,281 --> 00:05:46,882 FORWARD TO MEETING YOU ALL AT 109 00:05:46,882 --> 00:05:49,618 ANOTHER TIME. 110 00:05:49,618 --> 00:05:53,455 >> WE'RE SO DELIGHTED YOU COULD 111 00:05:53,455 --> 00:05:55,057 JOIN VIRTUALLY AND LOOK FORWARD 112 00:05:55,057 --> 00:05:56,658 TO MEETING YOU IN PERSON NEXT 113 00:05:56,658 --> 00:05:56,959 TIME. 114 00:05:56,959 --> 00:05:58,861 THANK YOU FOR JOINING. 115 00:05:58,861 --> 00:06:02,431 >> AND I WILL BE NEXT UP IS OUR 116 00:06:02,431 --> 00:06:03,198 DIRECTOR'S UPDATE. 117 00:06:03,198 --> 00:06:07,569 BEFORE WE DO THAT I WANT TO 118 00:06:07,569 --> 00:06:09,638 REMIND YOU WHEN SPEAKING TURN ON 119 00:06:09,638 --> 00:06:11,540 YOUR MIKE AND BRING IT CLOSE TO 120 00:06:11,540 --> 00:06:14,343 YOU SO WE CAN HEAR YOU AND THE 121 00:06:14,343 --> 00:06:16,445 MINUTES CAN BE RECORDED IN THE 122 00:06:16,445 --> 00:06:19,481 PACKETS ARE THE BIOS FROM MANY 123 00:06:19,481 --> 00:06:19,748 SPEAKERS. 124 00:06:19,748 --> 00:06:22,985 WE'LL GET A CONDENSED FORM BUT 125 00:06:22,985 --> 00:06:24,386 ENCOURAGE YOU TO READ FURTHER ON 126 00:06:24,386 --> 00:06:25,621 THE GREAT SPEAKERS WE HAVE 127 00:06:25,621 --> 00:06:26,321 TODAY. 128 00:06:26,321 --> 00:06:26,922 WOW, WE'RE AHEAD OF SCHEDULE. 129 00:06:26,922 --> 00:06:30,425 THIS IS GREAT. 130 00:06:30,425 --> 00:06:33,829 SO NEXT UP I AM ALWAYS SO HAPPY 131 00:06:33,829 --> 00:06:36,331 TO HAVE DR. RATHMELL HERE TO 132 00:06:36,331 --> 00:06:40,369 GIVE US HER DIRECTOR'S UPDATE. 133 00:06:40,369 --> 00:06:44,373 AS YOU KNOW SHE HAS BEEN 134 00:06:44,373 --> 00:06:47,176 DIRECTOR OF NCI NINE MONTHS. 135 00:06:47,176 --> 00:06:51,213 IT'S LIKE THE BABY. 136 00:06:51,213 --> 00:06:52,748 SO A LOT HAS HAPPENED AND WE'RE 137 00:06:52,748 --> 00:06:59,121 VERY EXCITED ABOUT HOW TO ENGAGE 138 00:06:59,121 --> 00:07:09,665 ADVOCATES AND I'LL TURN IT OVER 139 00:07:12,134 --> 00:07:22,211 TO HER. 140 00:07:50,072 --> 00:07:51,173 >> GREAT. 141 00:07:51,173 --> 00:07:53,442 SO IT'S REALLY GOOD TO BE HERE 142 00:07:53,442 --> 00:08:00,916 AND I ECHO I'M GLAD TO DO THUS 143 00:08:00,916 --> 00:08:01,783 THIS IN PERSON. 144 00:08:01,783 --> 00:08:03,552 IT MEANS MORE TO HAVE THE FACE 145 00:08:03,552 --> 00:08:05,420 TO FACE INTERACTIONS AND LOOK 146 00:08:05,420 --> 00:08:07,489 FORWARD TO HEARING MORE ON THE 147 00:08:07,489 --> 00:08:11,660 TOPICS WE'LL RUN THROUGH TODAY. 148 00:08:11,660 --> 00:08:14,896 MY DIRECTOR'S REPORT WILL START 149 00:08:14,896 --> 00:08:20,936 WITH WHAT WE COVERED, THREE NEW 150 00:08:20,936 --> 00:08:23,872 MEMBERS AND I HEARD AMANDA'S 151 00:08:23,872 --> 00:08:25,841 WRITING A BOOK? 152 00:08:25,841 --> 00:08:27,542 NO, ANDREA. 153 00:08:27,542 --> 00:08:31,713 SO A PLUG FOR KATIE COLEMAN'S 154 00:08:31,713 --> 00:08:32,814 BOOK IS LAUNCHING -- COMING IN 155 00:08:32,814 --> 00:08:42,991 NOVEMBER. 156 00:08:44,960 --> 00:08:48,130 SO WELCOME WE REALLY VALUE YOUR 157 00:08:48,130 --> 00:08:49,598 VOICES AND APPRECIATE YOU'RE 158 00:08:49,598 --> 00:08:52,301 HERE SO I WOULD SAY TO NEW 159 00:08:52,301 --> 00:08:54,369 MEMBERS, DON'T HESITATE TO ASK 160 00:08:54,369 --> 00:08:55,504 QUESTIONS. 161 00:08:55,504 --> 00:09:00,309 EVERYTHING IS FAIR GAME. 162 00:09:00,309 --> 00:09:02,511 THERE ARE NO QUESTIONS THAT IF 163 00:09:02,511 --> 00:09:04,079 YOU'RE WONDERING, SOMEONE ELSE 164 00:09:04,079 --> 00:09:04,913 IS WONDERING TOO. 165 00:09:04,913 --> 00:09:13,588 ALL RIGHT. 166 00:09:13,588 --> 00:09:14,656 I CAN TALK MORE ABOUT THE NEW 167 00:09:14,656 --> 00:09:24,800 MEMBERS. 168 00:09:26,401 --> 00:09:27,836 KNOWN OF THE THING I KNOW HOW TO 169 00:09:27,836 --> 00:09:29,171 DO ARE MAKING IT GO. 170 00:09:29,171 --> 00:09:29,538 EXCEPT FOR THAT. 171 00:09:29,538 --> 00:09:35,243 OKAY. 172 00:09:35,243 --> 00:09:35,444 MAGIC. 173 00:09:35,444 --> 00:09:39,848 THIS IS THE OUTLINE OF THE TALK 174 00:09:39,848 --> 00:09:40,048 TODAY. 175 00:09:40,048 --> 00:09:42,150 WE JUST MET LAST SUMMER BUT 176 00:09:42,150 --> 00:09:44,453 THERE'S BEEN A LOT OF ACTIVITY. 177 00:09:44,453 --> 00:09:47,189 THE SUMMER WAS REALLY BUSY. 178 00:09:47,189 --> 00:09:48,790 I HAD RECENT NEWS AND UPDATES. 179 00:09:48,790 --> 00:09:50,625 WE LIKE TO TALK ABOUT BUDGET 180 00:09:50,625 --> 00:09:50,826 HERE. 181 00:09:50,826 --> 00:09:51,927 THAT'S ONE OF THE MAJOR TOPICS 182 00:09:51,927 --> 00:09:54,930 OF CONVERSATION IS WHERE WE'RE 183 00:09:54,930 --> 00:09:57,032 GOING WITH BUCKET AND I'M GOING 184 00:09:57,032 --> 00:10:01,603 TO TALK MOSTLY ABOUT THE BYPASS 185 00:10:01,603 --> 00:10:01,903 BUDGET. 186 00:10:01,903 --> 00:10:03,205 THE BUDGET WE GIVE TO THE 187 00:10:03,205 --> 00:10:04,940 PRESIDENT TO SAY WHAT IT IS WE 188 00:10:04,940 --> 00:10:06,375 NEED AS AN ORGANIZATION. 189 00:10:06,375 --> 00:10:07,642 WE'LL TALK ABOUT RESEARCH AND 190 00:10:07,642 --> 00:10:12,347 PROGRAM HIGHLIGHTS AND I WANT TO 191 00:10:12,347 --> 00:10:12,914 SAVE TIME FOR DISCUSSION. 192 00:10:12,914 --> 00:10:15,817 SO FIRST OF ALL, WHAT DID WE DO 193 00:10:15,817 --> 00:10:18,920 THIS SUMMER IN TERMS OF BUSY 194 00:10:18,920 --> 00:10:19,221 SUMMERTIME. 195 00:10:19,221 --> 00:10:20,922 THERE WAS A LOT OF DIFFERENT 196 00:10:20,922 --> 00:10:21,156 VISITS. 197 00:10:21,156 --> 00:10:22,991 AS YOU HEARD NINE MONTHS IN I'M 198 00:10:22,991 --> 00:10:27,229 STILL GETTING TO KNOW THE PLACE 199 00:10:27,229 --> 00:10:30,365 AND THE PLACE IS NOT BETHESDA 200 00:10:30,365 --> 00:10:31,833 AND SHADY GROVE BUT CANCER 201 00:10:31,833 --> 00:10:32,667 RESEARCH ALL OVER THE UNITED 202 00:10:32,667 --> 00:10:32,901 STATES. 203 00:10:32,901 --> 00:10:35,437 THERE WERE A FAIR NUMBER OF 204 00:10:35,437 --> 00:10:35,904 VISITS. 205 00:10:35,904 --> 00:10:37,572 I'M TRYING TO PRIORITIZE. 206 00:10:37,572 --> 00:10:39,374 ONE GETTING TO KNOW THE CANCER 207 00:10:39,374 --> 00:10:40,709 CENTER NETWORK, ALSO GETTING TO 208 00:10:40,709 --> 00:10:41,843 KNOW THE NEEDS OF DIFFERENT 209 00:10:41,843 --> 00:10:47,649 PARTS OF THE LANDSCAPE OF THE 210 00:10:47,649 --> 00:10:48,950 UNITED STATES AND PRIORITIZING 211 00:10:48,950 --> 00:10:50,452 INTERACTS WITH TRAINEES. 212 00:10:50,452 --> 00:10:53,221 TO ME THAT'S A VERY IMPORTANT 213 00:10:53,221 --> 00:10:57,692 PART AND ALSO OUR COMMUNITY 214 00:10:57,692 --> 00:11:00,328 ACCESS PROGRAM SO THE NCORP IS 215 00:11:00,328 --> 00:11:02,264 THE FLAGSHIP AND A NETWORK OF 216 00:11:02,264 --> 00:11:05,200 MANY COMMUNITY ONCOLOGY PROGRAMS 217 00:11:05,200 --> 00:11:08,670 THAT REACHES OVER 2,000 SITES TO 218 00:11:08,670 --> 00:11:09,237 TAKE CLINICAL TRIALS INTO 219 00:11:09,237 --> 00:11:10,071 COMMUNITY AREAS. 220 00:11:10,071 --> 00:11:12,007 SO I WENT TO KANSAS. 221 00:11:12,007 --> 00:11:16,378 I HAD AN AMAZING VISIT TO THE 222 00:11:16,378 --> 00:11:18,580 KANSAS CANCER CENTER AND SHOWN 223 00:11:18,580 --> 00:11:28,924 THE DIRECTOR ON THE LEFT AND THE 224 00:11:28,924 --> 00:11:32,561 GROUP DO INTENSIVE WORK AROUND 225 00:11:32,561 --> 00:11:34,763 DRUG DEVELOPMENT TO PATIENTS AND 226 00:11:34,763 --> 00:11:38,500 HAVE AN NCORP SITES IN THE 227 00:11:38,500 --> 00:11:39,267 MIDWEST. 228 00:11:39,267 --> 00:11:40,735 A FEDERATED SYSTEM THAT IS 229 00:11:40,735 --> 00:11:43,104 REMARKABLE AND VERY IMPRESSIVE. 230 00:11:43,104 --> 00:11:50,078 I ALSO VISITED AN NCORP SITE IN 231 00:11:50,078 --> 00:11:56,051 NEW YORK. 232 00:11:56,051 --> 00:11:57,452 COMPLETELY DIFFERENT OF ISSUES. 233 00:11:57,452 --> 00:12:02,791 THOUGH THE GEOGRAPHY IS SMALL. 234 00:12:02,791 --> 00:12:05,460 THIS WAS IN THE BRONX DEALING 235 00:12:05,460 --> 00:12:06,862 WITH DOZENS OF LANGUAGES. 236 00:12:06,862 --> 00:12:12,267 PEOPLE THAT HAVE COME FROM A 237 00:12:12,267 --> 00:12:15,804 DIFFERENT COUNTRY PEOPLE WITH 238 00:12:15,804 --> 00:12:18,006 DIFFERENT VALUES AND NORMS. 239 00:12:18,006 --> 00:12:19,274 THE HEALTH CARE SYSTEM IS 240 00:12:19,274 --> 00:12:19,975 COMPLICATED FOR EVERYBODY BUT 241 00:12:19,975 --> 00:12:20,609 UNDERSTAND IF YOU DON'T 242 00:12:20,609 --> 00:12:24,346 UNDERSTAND THE RULES AND 243 00:12:24,346 --> 00:12:24,779 LANGUAGE? 244 00:12:24,779 --> 00:12:26,781 THAT ADDED LEVEL OF COMPLICATION 245 00:12:26,781 --> 00:12:28,149 FACTORS INTO THE DECISIONS THEY 246 00:12:28,149 --> 00:12:30,352 MAKE AND YET THEY HAD A RECORD 247 00:12:30,352 --> 00:12:33,154 NUMBER OF CLINICAL TRIALS AND 248 00:12:33,154 --> 00:12:38,093 PILOTING LARGE NUMBER OF 249 00:12:38,093 --> 00:12:40,028 INNOVATION TO REACH THE PATIENTS 250 00:12:40,028 --> 00:12:40,529 THEY SERVE. 251 00:12:40,529 --> 00:12:43,632 AND MEETING TRAINEES. 252 00:12:43,632 --> 00:12:49,037 I DID THAT AT KANSAS I'LL PLUG 253 00:12:49,037 --> 00:12:51,439 COUNCIL ONE MORE SECOND. 254 00:12:51,439 --> 00:12:54,609 SENATOR MORAN INVITED US AND 255 00:12:54,609 --> 00:12:55,644 HIGHLIGHTED HOW MUCH OUR 256 00:12:55,644 --> 00:12:58,947 LEGISLATORS ARE REALLY INVESTED 257 00:12:58,947 --> 00:13:00,348 IN THE CANCER RESEARCH THAT 258 00:13:00,348 --> 00:13:03,518 HAPPENS IN THE UNITED STATES AND 259 00:13:03,518 --> 00:13:05,921 IN THEIR COMMUNITY WE INVITED 260 00:13:05,921 --> 00:13:08,423 HIM TO MEET WITH STUDENTS. 261 00:13:08,423 --> 00:13:12,394 I WANT TO SPEND AN UNSTRUCTURED 262 00:13:12,394 --> 00:13:16,031 HOUR WITH POSTDOCTORAL TRAINEES 263 00:13:16,031 --> 00:13:17,599 AND HE JOINED AND GOT TO HEAR 264 00:13:17,599 --> 00:13:18,833 WHAT THEIR ANXIETIES ARE AND 265 00:13:18,833 --> 00:13:21,903 WHAT THEY'RE EXCITED ABOUT AND 266 00:13:21,903 --> 00:13:25,840 THEIR RESEARCH. 267 00:13:25,840 --> 00:13:29,911 IT WAS INCREDIBLE. 268 00:13:29,911 --> 00:13:31,646 REALLY VALUABLE. 269 00:13:31,646 --> 00:13:35,216 I WENT TO THE UNIVERSITY OF 270 00:13:35,216 --> 00:13:36,918 CHICAGO AND THEIR CANCER CENTER 271 00:13:36,918 --> 00:13:38,453 SERVES THE SOUTH SIDE AND A 272 00:13:38,453 --> 00:13:40,922 DIFFERENT SET OF EXPERTISE. 273 00:13:40,922 --> 00:13:47,095 THEY INVITED ME FOR A TRAINING 274 00:13:47,095 --> 00:13:49,764 DAY AND HIGHLIGHTED TRAINING 275 00:13:49,764 --> 00:13:51,766 PROGRAMS AND WERE JOINED BY 276 00:13:51,766 --> 00:13:52,867 SENATOR DURBIN ALSO A MAJOR 277 00:13:52,867 --> 00:13:58,206 ADVOCATE AND I WILL SAY THAT THE 278 00:13:58,206 --> 00:13:59,674 KINDS OF INNOVATION HAPPENING IN 279 00:13:59,674 --> 00:14:00,909 TRAINING ARE AMAZING. 280 00:14:00,909 --> 00:14:03,612 I'M GOING TO HIGHLIGHT A PROGRAM 281 00:14:03,612 --> 00:14:08,016 NOT CURRENTLY FUNDED BY THE NCI. 282 00:14:08,016 --> 00:14:10,518 THEY'RE PARTNERS WITH LOCAL 283 00:14:10,518 --> 00:14:11,252 COMMUNITY COLLEGES RECOGNIZING 284 00:14:11,252 --> 00:14:14,856 THE WORKFORCE FOR CLINICAL 285 00:14:14,856 --> 00:14:16,524 TRIALS IS ACTUALLY WAY TOO 286 00:14:16,524 --> 00:14:16,725 SMALL. 287 00:14:16,725 --> 00:14:18,393 THIS IS A NATIONWIDE PROBLEM WE 288 00:14:18,393 --> 00:14:19,561 DON'T HAVE ENOUGH SKILLED 289 00:14:19,561 --> 00:14:24,399 INDIVIDUALS WHO WANT TO GO INTO 290 00:14:24,399 --> 00:14:26,301 THE WORK OF DOING CLINICAL 291 00:14:26,301 --> 00:14:26,935 TRIALS. 292 00:14:26,935 --> 00:14:31,039 PEOPLE WHO DO SCREENING, DATA 293 00:14:31,039 --> 00:14:31,940 COLLECTION, INFORMING PATIENTS 294 00:14:31,940 --> 00:14:36,177 ABOUT SIDE EFFECTS AND RISKS. 295 00:14:36,177 --> 00:14:40,915 THEY'RE PARTNER WITH PEOPLE 296 00:14:40,915 --> 00:14:45,387 GETTING ASSOCIATES DEGREES AND 297 00:14:45,387 --> 00:14:50,492 THEY WERE FANTASTIC. 298 00:14:50,492 --> 00:14:52,627 THESE KINDS OF HIGHLIGHTS SHOW 299 00:14:52,627 --> 00:14:53,828 WHAT'S GOING ON IN THE CANCER 300 00:14:53,828 --> 00:14:54,362 CENTER WORLD. 301 00:14:54,362 --> 00:14:56,698 IN ADDITION TO PROGRAMS WE 302 00:14:56,698 --> 00:14:58,900 SUPPORT AND FOR MIDDLE AND HIGH 303 00:14:58,900 --> 00:15:01,536 SCHOOL AND GRADUATE AND 304 00:15:01,536 --> 00:15:02,237 POSTDOCTORAL STUDENTS AND 305 00:15:02,237 --> 00:15:04,372 CLINICAL TRAINING. 306 00:15:04,372 --> 00:15:07,509 I WENT TO A NATIONAL CONFERENCE. 307 00:15:07,509 --> 00:15:09,978 PEOPLE PURSUING COMBINED DEGREES 308 00:15:09,978 --> 00:15:11,680 LIVING AT THE INTERSECTION 309 00:15:11,680 --> 00:15:15,984 BETWEEN BASIC SCIENCE AND 310 00:15:15,984 --> 00:15:16,918 CLINICAL MEDICINE HIGHLIGHT THE 311 00:15:16,918 --> 00:15:19,621 REAL POWER IN PUTTING THOSE 312 00:15:19,621 --> 00:15:23,425 THINGS TOGETHER AND THAT'S HOW 313 00:15:23,425 --> 00:15:26,227 WE GET THE TRANSLATION OF BASIC 314 00:15:26,227 --> 00:15:27,262 DISCOVERY AND MET STUDENTS WITH 315 00:15:27,262 --> 00:15:30,932 INDIANA AND FROM ALL OVER THE 316 00:15:30,932 --> 00:15:31,299 COUNTRY. 317 00:15:31,299 --> 00:15:34,269 REALLY ENER GETTIC AND EXCITED 318 00:15:34,269 --> 00:15:36,938 ABOUT THE FUTURE GOOD ENERGETIC 319 00:15:36,938 --> 00:15:39,407 AND CANCER RESEARCH IS WHERE 320 00:15:39,407 --> 00:15:41,743 THEY GO. 321 00:15:41,743 --> 00:15:46,715 I ALSO SPENT TIME GETTING TO 322 00:15:46,715 --> 00:15:48,116 KNOW OUR COLLABORATIONS. 323 00:15:48,116 --> 00:15:50,385 WE HAVE A COLLABORATION WITH THE 324 00:15:50,385 --> 00:15:50,685 W.H.O. 325 00:15:50,685 --> 00:15:56,624 THEY CAME DO RE-ESTABLISH THE 326 00:15:56,624 --> 00:15:58,960 CENTER AND MET WITH HOME TO AND 327 00:15:58,960 --> 00:16:00,428 OUR CENTER FOR GLOBAL HEALTH. 328 00:16:00,428 --> 00:16:02,831 WE ALSO WE'RE A PART OF THE 329 00:16:02,831 --> 00:16:03,031 QUAD. 330 00:16:03,031 --> 00:16:04,365 I DON'T KNOW IF YOU'RE FAMILIAR 331 00:16:04,365 --> 00:16:06,234 WITH THE QUAD INITIATIVE. 332 00:16:06,234 --> 00:16:08,670 THIS IS A COLLABORATION OF THE 333 00:16:08,670 --> 00:16:15,310 UNITED STATES, JAPAN, INDIA AND 334 00:16:15,310 --> 00:16:19,647 AUSTRALIA TO TAKE ON THE HARDEST 335 00:16:19,647 --> 00:16:20,281 PROBLEMS. 336 00:16:20,281 --> 00:16:22,951 CANCER FITS INTO THOSE PROBLEMS. 337 00:16:22,951 --> 00:16:24,919 THOSE ARE THEE COUNTRIES I'VE 338 00:16:24,919 --> 00:16:30,125 BEEN REALLY WORKING HARD TO 339 00:16:30,125 --> 00:16:32,360 DEVELOP THE RELATIONSHIP WITH WE 340 00:16:32,360 --> 00:16:34,729 MET WITH THE U.S. AMBASSADOR TO 341 00:16:34,729 --> 00:16:37,365 AUSTRALIA AND ALSO WITH THE 342 00:16:37,365 --> 00:16:44,072 AUSTRALIAN AMBASSADOR AND MY 343 00:16:44,072 --> 00:16:46,508 COUNTERPART WITH THE STRUCTURE 344 00:16:46,508 --> 00:16:48,777 IN AUSTRALIA AND THE PICTURE 345 00:16:48,777 --> 00:16:50,979 THERE ON THE RIGHT AND ALSO WITH 346 00:16:50,979 --> 00:16:51,446 JAPAN. 347 00:16:51,446 --> 00:16:54,649 THE PICTURE ON THE BOTTOM RIGHT 348 00:16:54,649 --> 00:16:55,617 IS WHEN THE NATIONAL CANCER 349 00:16:55,617 --> 00:16:57,485 CENTER MEMBERS WERE DOING A TOUR 350 00:16:57,485 --> 00:16:58,453 OF THE UNITED STATES AND VISITED 351 00:16:58,453 --> 00:17:00,421 WITH US AND WE GOT TO TALK ABOUT 352 00:17:00,421 --> 00:17:02,891 WHERE OUR PRIORITIES ARE. 353 00:17:02,891 --> 00:17:04,626 A LOT OF INTEREST IN CANCER 354 00:17:04,626 --> 00:17:08,730 GENOMICS TO SHARE EXPERTISE IN. 355 00:17:08,730 --> 00:17:15,270 THEN THEY INVITED ME TO THEIR 356 00:17:15,270 --> 00:17:16,905 AMBASSADOR AND BLEND MY 357 00:17:16,905 --> 00:17:17,238 INTERESTS. 358 00:17:17,238 --> 00:17:19,140 THEY HAVE AN ANNUAL EVENT TO 359 00:17:19,140 --> 00:17:23,211 BRING TRAINEES FROM JAPAN WHO 360 00:17:23,211 --> 00:17:25,847 ARE TRAINING IN BIO MEDICAL 361 00:17:25,847 --> 00:17:26,548 SCIENCE IN THE UNITED STATES 362 00:17:26,548 --> 00:17:28,449 TOGETHER TO TALK ABOUT THE 363 00:17:28,449 --> 00:17:30,451 ISSUES AND HOW THEY'RE 364 00:17:30,451 --> 00:17:30,885 SUPPORTED. 365 00:17:30,885 --> 00:17:35,156 THEY WERE ALL TOGETHER AT THE 366 00:17:35,156 --> 00:17:39,961 JAPANESE EMBASSY AND IT WAS A 367 00:17:39,961 --> 00:17:40,562 FANTASTIC MENTORSHIP 368 00:17:40,562 --> 00:17:40,862 INTERACTION. 369 00:17:40,862 --> 00:17:41,663 SO THAT IS WHAT I DID THIS 370 00:17:41,663 --> 00:17:47,035 SUMMER. 371 00:17:47,035 --> 00:17:48,870 'FEW OTHER THINGS INTERACTIONS 372 00:17:48,870 --> 00:17:50,171 WITH THE WHITE HOUSE HAVE BEEN 373 00:17:50,171 --> 00:17:50,438 BUSY. 374 00:17:50,438 --> 00:17:54,342 THE OFFICE OF MANAGEMENT AND 375 00:17:54,342 --> 00:17:55,677 BUDGET IS PEOPLE WHO WRITE THE 376 00:17:55,677 --> 00:17:57,378 BUDGET SO WE REALLY WANT TO HAVE 377 00:17:57,378 --> 00:17:59,981 A GOOD RELATIONSHIP AND GET TO 378 00:17:59,981 --> 00:18:00,682 KNOW THEM. 379 00:18:00,682 --> 00:18:03,618 WE GOT TO MEET WITH THEIR 380 00:18:03,618 --> 00:18:04,919 EXAMINERS WHEN THEY CAME TO THE 381 00:18:04,919 --> 00:18:08,256 NIH AND TALK ABOUT WHAT THE 382 00:18:08,256 --> 00:18:09,257 MOONSHOT PROJECTS WERE. 383 00:18:09,257 --> 00:18:10,625 THE INTEREST THERE WAS PIQUED SO 384 00:18:10,625 --> 00:18:14,229 WE BROUGHT THEM BACK LATER TO 385 00:18:14,229 --> 00:18:15,163 VISIT OUR FREDERICK NATIONAL LAB 386 00:18:15,163 --> 00:18:17,365 AND SEE THE AMAZING WORK 387 00:18:17,365 --> 00:18:19,701 HAPPENING THERE SO THEY HAVE A 388 00:18:19,701 --> 00:18:20,902 VISUAL ON ABOUT WHAT IT IS WE'RE 389 00:18:20,902 --> 00:18:21,502 DOING IN THE CANCER RESEARCH 390 00:18:21,502 --> 00:18:24,172 ARENA. 391 00:18:24,172 --> 00:18:25,807 WE ALSO WORK WITH HHS. 392 00:18:25,807 --> 00:18:28,776 SO WITH THE HHS SECRETARY AND 393 00:18:28,776 --> 00:18:30,879 WITH THE DEPUTY CIRCUMSTANCED. 394 00:18:30,879 --> 00:18:32,513 I MEET WITH HER TO UPDATE HER ON 395 00:18:32,513 --> 00:18:36,484 ALL THE S WE HAVE ONGOING AND 396 00:18:36,484 --> 00:18:39,120 BROUGHT UP AGAIN THE FREDERICK 397 00:18:39,120 --> 00:18:39,587 NATIONAL LABORATORY. 398 00:18:39,587 --> 00:18:42,290 SOMETHING WE SHOULD PROBABLY 399 00:18:42,290 --> 00:18:43,524 TALK A LITTLE BIT MORE AND MAKE 400 00:18:43,524 --> 00:18:45,760 SURE YOU'RE UP TO SPEED ON WITH 401 00:18:45,760 --> 00:18:48,463 THIS AMAZING FEDERALLY FUNDED 402 00:18:48,463 --> 00:18:54,102 RESEARCH CENTER CAN DO. 403 00:18:54,102 --> 00:18:56,337 WE BROUGHT HER IN AND DID A 404 00:18:56,337 --> 00:18:58,039 WHOLE OVERVIEW OF WHAT THE 405 00:18:58,039 --> 00:19:02,143 FREDERICK NATIONAL LABORATORIES 406 00:19:02,143 --> 00:19:06,347 CAN DO AS WELL SHOWCASING WHAT 407 00:19:06,347 --> 00:19:09,951 WE DO TAKING BASING SCIENCE 408 00:19:09,951 --> 00:19:11,552 DISCOVERY TO PATIENT CARE. 409 00:19:11,552 --> 00:19:15,223 IT WAS AN EYE OPENING EXPERIENCE 410 00:19:15,223 --> 00:19:16,925 AND TO ALLOW THOSE 411 00:19:16,925 --> 00:19:22,130 COMMUNICATIONS TO BE MORE CLEAR. 412 00:19:22,130 --> 00:19:27,769 I THINK I TOLD YOU WE WERE 413 00:19:27,769 --> 00:19:29,170 PLANNING AN ANNUAL RETREAT AND 414 00:19:29,170 --> 00:19:30,338 DECIDED TO MIX IT UP A LITTLE 415 00:19:30,338 --> 00:19:30,638 BIT. 416 00:19:30,638 --> 00:19:32,907 WE BROUGHT TOGETHER OUR SENIOR 417 00:19:32,907 --> 00:19:34,676 LEADERS AS WELL THE CHAIRS OF 418 00:19:34,676 --> 00:19:39,047 OUR BOARDS. 419 00:19:39,047 --> 00:19:40,748 SO ANNIE WAS THERE WITH A GOOD 420 00:19:40,748 --> 00:19:42,150 OPPORTUNITY TO THINK ABOUT WHERE 421 00:19:42,150 --> 00:19:44,919 CAN THE NCI WORK TOGETHER TO 422 00:19:44,919 --> 00:19:47,789 MOVE SOME THINGS FORWARD AND WE 423 00:19:47,789 --> 00:19:54,462 DID SOME PREPRE WORK AND SPENT 424 00:19:54,462 --> 00:19:56,931 TIME WRESTLING WITH THINGS THAT 425 00:19:56,931 --> 00:19:59,200 ARE ALREADY MOVING WELL VERSUS 426 00:19:59,200 --> 00:20:02,704 THINGS THAT REALLY NEED A PUSH 427 00:20:02,704 --> 00:20:03,838 BECAUSE WE CAN'T DO EVERYTHING 428 00:20:03,838 --> 00:20:06,374 BUT WE CAN DO SOME THINGS REALLY 429 00:20:06,374 --> 00:20:07,809 WELL IF WE'RE ALL COORDINATED. 430 00:20:07,809 --> 00:20:10,445 WE LANDED ON A BUNCH OF 431 00:20:10,445 --> 00:20:11,779 DIFFERENT TOPICS. 432 00:20:11,779 --> 00:20:14,215 I WILL SAY AT ONE POINT IN THE 433 00:20:14,215 --> 00:20:18,453 DAY, THE FOCUS WAS ENTIRELY ON 434 00:20:18,453 --> 00:20:19,620 REBUILDING TRUST AND 435 00:20:19,620 --> 00:20:20,288 COMMUNICATION AND REACHING OUT 436 00:20:20,288 --> 00:20:20,922 TO COMMUNITY. 437 00:20:20,922 --> 00:20:24,125 I HAVE A WORKING GROUP THAT IS 438 00:20:24,125 --> 00:20:27,362 TACKLING THAT RIGHT NOW SO WE 439 00:20:27,362 --> 00:20:30,732 CAN MOVE FORWARD ON WHAT IT IS 440 00:20:30,732 --> 00:20:35,636 THAT IS SOME OF THAT BAUER 441 00:20:35,636 --> 00:20:39,073 BARRIER AND HOW DO WE OVERCOME 442 00:20:39,073 --> 00:20:40,608 DISINFORMATION OR DISBELIEF IN 443 00:20:40,608 --> 00:20:42,243 WHAT SCIENCE DOES? 444 00:20:42,243 --> 00:20:44,345 IT'S HARD FOR US, I WILL SAY. 445 00:20:44,345 --> 00:20:46,114 PEOPLE GO INTO SCIENCE BECAUSE 446 00:20:46,114 --> 00:20:49,784 THAT'S OUR STRUCTURED TRUTH. 447 00:20:49,784 --> 00:20:50,685 WE SEARCH FOR TRUTH BY COMPARING 448 00:20:50,685 --> 00:20:55,123 KNOWN AND UNKNOWN AND MAKING 449 00:20:55,123 --> 00:20:58,793 THOSE KINDS OF INVESTMENTS. 450 00:20:58,793 --> 00:21:05,466 WHEN IT'S NOT BEEN BELIEVED THAT 451 00:21:05,466 --> 00:21:07,935 MAKES US WE'RE NOT COMMUNICATING 452 00:21:07,935 --> 00:21:08,202 WELL. 453 00:21:08,202 --> 00:21:09,971 WE'RE NOT EXPRESSING WHAT IT IS 454 00:21:09,971 --> 00:21:11,272 AND THE SCIENCE BRINGS TO THE 455 00:21:11,272 --> 00:21:13,441 TABLE AND WHERE IT HAS 456 00:21:13,441 --> 00:21:18,446 LIMITATIONS AND WHERE IT'S 457 00:21:18,446 --> 00:21:21,516 SOMETHING PEOPLE SHOULD 458 00:21:21,516 --> 00:21:22,450 UNDERSTAND. 459 00:21:22,450 --> 00:21:26,454 SORRY, THAT WAS AN INTERESTING 460 00:21:26,454 --> 00:21:27,221 DIVERGENCE IN THE DAY. 461 00:21:27,221 --> 00:21:28,923 I ALSO WANT TO PLUG HAVING 462 00:21:28,923 --> 00:21:33,928 ADVOCATES IN THE ROOM. 463 00:21:33,928 --> 00:21:40,435 WE HAD TWO ASKING US QUESTIONS 464 00:21:40,435 --> 00:21:42,470 AND HELPING GUIDE THE 465 00:21:42,470 --> 00:21:42,770 DISCUSSION. 466 00:21:42,770 --> 00:21:44,839 WE HAD A LOT OF TOPIC. 467 00:21:44,839 --> 00:21:46,641 I'LL HAVE MORE SPECIFIC 468 00:21:46,641 --> 00:21:49,544 ANNOUNCEMENTS LATER IN THE FALL 469 00:21:49,544 --> 00:21:52,313 ABOUT THINGS WE'RE DOING. 470 00:21:52,313 --> 00:21:53,648 EARLY ONSET CANCERS GOT A LOT OF 471 00:21:53,648 --> 00:21:58,019 ATTENTION AND IS A MAJOR AREA 472 00:21:58,019 --> 00:22:00,488 THAT IS ALSO BEING UNMET. 473 00:22:00,488 --> 00:22:02,557 THERE'S THINGS HAPPENING. 474 00:22:02,557 --> 00:22:03,458 THEY'RE HAPPENING IN ALL KINDS 475 00:22:03,458 --> 00:22:05,193 OF AREAS AND EVERYBODY'S WORKING 476 00:22:05,193 --> 00:22:07,662 ON THEIR OWN AND COULD WE BRING 477 00:22:07,662 --> 00:22:08,930 THEM A LITTLE BIT CLOSER 478 00:22:08,930 --> 00:22:10,798 TOGETHER AND ALSO IN AREAS OF 479 00:22:10,798 --> 00:22:13,267 OBESITY AND CANCER, IMMUNOLOGY, 480 00:22:13,267 --> 00:22:15,603 THE NEED FOR VACCINES FOR MORE 481 00:22:15,603 --> 00:22:19,173 CANCERS AND ARTIFICIAL 482 00:22:19,173 --> 00:22:19,507 INTELLIGENCE. 483 00:22:19,507 --> 00:22:22,176 ALL THESE TOPICS ROSE TO THE 484 00:22:22,176 --> 00:22:22,844 TOP. 485 00:22:22,844 --> 00:22:27,281 SO WE'LL BE KIND OF COALESCES 486 00:22:27,281 --> 00:22:31,018 SOME OF OUR BIGGER EFFORTS 487 00:22:31,018 --> 00:22:33,588 AROUND THESE AREAS. 488 00:22:33,588 --> 00:22:34,722 I WANT TO HIGHLIGHT SENIOR 489 00:22:34,722 --> 00:22:35,890 LEADERSHIP UPDATE. 490 00:22:35,890 --> 00:22:39,060 THE ONE MOST RELEVANT TO THIS 491 00:22:39,060 --> 00:22:41,095 GROUP IS PETER GARRETT. 492 00:22:41,095 --> 00:22:43,598 HE WAS JUST SWORN IN A COUPLE 493 00:22:43,598 --> 00:22:46,334 WEEKS AGO AS DIRECTOR FOR THE 494 00:22:46,334 --> 00:22:48,035 NEW CENTER FOR EXTERNAL AFFAIRS. 495 00:22:48,035 --> 00:22:50,805 THIS IS A RE-ORGANIZATION THAT 496 00:22:50,805 --> 00:22:52,907 STARTED UNDER DR. BERTAGNOLLI 497 00:22:52,907 --> 00:22:56,177 AND THE GOAL IS TO REALLY BRING 498 00:22:56,177 --> 00:22:58,980 TOGETHER ALL OF THE POWER WE 499 00:22:58,980 --> 00:23:00,414 HAVE AROUND ADVOCACY, 500 00:23:00,414 --> 00:23:04,619 COMMUNICATIONS AND MEDIA 501 00:23:04,619 --> 00:23:05,953 RELATIONS AND OUR WORK IN 502 00:23:05,953 --> 00:23:07,155 LEGISLATIVE BRANCHS. 503 00:23:07,155 --> 00:23:10,458 NOT AT ALL TO UPSET THE IDENTITY 504 00:23:10,458 --> 00:23:12,827 OR ECONOMY OF THE GROUPS BUT TO 505 00:23:12,827 --> 00:23:13,060 ELEVATE. 506 00:23:13,060 --> 00:23:15,196 SO HE WILL BE COMING AND MEETING 507 00:23:15,196 --> 00:23:18,199 WITH YOU IN THE FUTURE. 508 00:23:18,199 --> 00:23:20,368 WE WEREN'T SURE WHEN HE'D GET 509 00:23:20,368 --> 00:23:20,902 SWORN IN. 510 00:23:20,902 --> 00:23:23,271 IT SORT OF HAPPENS AND THEN YOU 511 00:23:23,271 --> 00:23:24,739 GET SWORN IN AND SO IT HAPPENED 512 00:23:24,739 --> 00:23:26,107 A COUPLE WEEKS AGO. 513 00:23:26,107 --> 00:23:28,609 I'M REALLY EXCITED ABOUT NOT 514 00:23:28,609 --> 00:23:30,912 HAVING AN ADVOCACY GROUP THAT 515 00:23:30,912 --> 00:23:32,313 KIND OF IS IN THE CORNER AND WE 516 00:23:32,313 --> 00:23:33,848 TAKE NOTES AND WORK WITH THAT 517 00:23:33,848 --> 00:23:36,918 BUT HAVING YOU ALL AT THE TABLE 518 00:23:36,918 --> 00:23:39,420 AND REALLY PUSHING ALONG WITH 519 00:23:39,420 --> 00:23:41,756 WHAT WE SAY IN OUR 520 00:23:41,756 --> 00:23:44,225 COMMUNICATIONS AND WHAT WE DO 521 00:23:44,225 --> 00:23:45,293 WITH OUR LEGISLATIVE GROUP AND 522 00:23:45,293 --> 00:23:49,397 THE PROACTIVE WORK THAT WE CAN 523 00:23:49,397 --> 00:23:50,998 ALL DO TOGETHER. 524 00:23:50,998 --> 00:23:56,938 THAT'S HIS NEW ROLE. 525 00:23:56,938 --> 00:23:59,640 AMBER LOWRY WAS OUR ACTING 526 00:23:59,640 --> 00:24:04,145 DEPUTY DIRECTOR FOR MANAGEMENT 527 00:24:04,145 --> 00:24:12,420 AND OFFICER. 528 00:24:12,420 --> 00:24:14,455 ALSO JUST SWORN IN A COUPLE 529 00:24:14,455 --> 00:24:16,290 WEEKS AGO. 530 00:24:16,290 --> 00:24:18,593 WE'RE EXCITED TO HAVE HER 531 00:24:18,593 --> 00:24:20,361 PERMANENTLY ON BOARD. 532 00:24:20,361 --> 00:24:25,933 WE HAVE A NEW DEPUTY FOR DATA 533 00:24:25,933 --> 00:24:26,534 SCIENCE AND STRATEGY. 534 00:24:26,534 --> 00:24:29,136 SO WARREN KIBBE WAS HERE FOR A 535 00:24:29,136 --> 00:24:30,738 LONG TIME BEFORE AS A DIRECTOR. 536 00:24:30,738 --> 00:24:32,907 HE WAS AN ACTING DEPUTY BEFORE 537 00:24:32,907 --> 00:24:36,911 HE WAS RECRUITED TO ACADEMIA AND 538 00:24:36,911 --> 00:24:39,080 SPENT ABOUT 10 YEARS AND BROUGHT 539 00:24:39,080 --> 00:24:41,148 HIM BACK TO A DEPUTY LEVEL ROLE 540 00:24:41,148 --> 00:24:44,218 AND YOU'LL HEAR FROM HIM TO HEAR 541 00:24:44,218 --> 00:24:45,186 WHERE DATA SCIENCE IS. 542 00:24:45,186 --> 00:24:48,489 I ALSO ENCOURAGE YOU TO ALWAYS 543 00:24:48,489 --> 00:24:50,825 FOLLOW OUR CANCER DATA SCIENCE 544 00:24:50,825 --> 00:24:54,061 PULSE LOG TO KNOW WHERE WE ARE. 545 00:24:54,061 --> 00:24:55,763 THERE'S SOMETHING NEW IN DATA 546 00:24:55,763 --> 00:24:57,531 SCIENCE LITERALLY EVERY DAY. 547 00:24:57,531 --> 00:24:59,900 I DON'T HAVE A MEETING SO IT 548 00:24:59,900 --> 00:25:02,436 DOESN'T SAY AND WHAT ABOUT A.I. 549 00:25:02,436 --> 00:25:06,007 AND WHERE CAN A.I. HELP US OR 550 00:25:06,007 --> 00:25:07,642 WHAT CAN WE DO WITH DIFFERENT 551 00:25:07,642 --> 00:25:08,075 SOURCES. 552 00:25:08,075 --> 00:25:09,944 HAVING SOMEBODY WHO KNOWS THE 553 00:25:09,944 --> 00:25:11,879 DATA SCIENCE WORLD AT THESE 554 00:25:11,879 --> 00:25:15,283 TABLES IS -- I CAN'T TELL YOU 555 00:25:15,283 --> 00:25:16,951 HOW GOOD IT'S BEEN THAT WARREN 556 00:25:16,951 --> 00:25:18,219 IS IN THE ROOM WITH US. 557 00:25:18,219 --> 00:25:19,754 LOOKING FORWARD TO HEARING FROM 558 00:25:19,754 --> 00:25:30,031 HIM LATER TODAY. 559 00:25:30,498 --> 00:25:32,900 FUN PART, BUDGET. 560 00:25:32,900 --> 00:25:36,937 THE ANNUAL PLAN JUST PUBLISHED 561 00:25:36,937 --> 00:25:39,407 LAST WEEK SO TOES FRESH AND OUT 562 00:25:39,407 --> 00:25:42,476 ON THE WEBSITE. 563 00:25:42,476 --> 00:25:44,178 I DO ENCOURAGE YOU AND TOOK 564 00:25:44,178 --> 00:25:46,380 EFFORT INTO HOW DO WE TELL THE 565 00:25:46,380 --> 00:25:48,282 WHITE HOUSE AND THE PUBLIC WHAT 566 00:25:48,282 --> 00:25:50,351 IT IS WE'RE DOING AND WHAT WE 567 00:25:50,351 --> 00:25:53,321 NEED TO BE ABLE TO BE SUCCESSFUL 568 00:25:53,321 --> 00:25:58,592 IN A VERY CONCISE FORMAT. 569 00:25:58,592 --> 00:26:00,328 I LOVE CONCISE OVER LONG BUT WE 570 00:26:00,328 --> 00:26:04,899 DO IT IN DIFFERENT WAYS. 571 00:26:04,899 --> 00:26:07,935 WE TELL STORIES AND HAVE TABLES 572 00:26:07,935 --> 00:26:09,036 AN DATA AND THEN ASUNE A SET OF 573 00:26:09,036 --> 00:26:16,911 PRIORITIES. 574 00:26:16,911 --> 00:26:18,012 THE STORIES HIGHLIGHT THE 575 00:26:18,012 --> 00:26:20,214 IMPORTANT INITIATIVES GOING ON. 576 00:26:20,214 --> 00:26:22,316 WE CAN TELL 1,000 DIFFERENT 577 00:26:22,316 --> 00:26:24,018 STORIES BUT THESE STORIES I 578 00:26:24,018 --> 00:26:30,658 THINK SPEAK TO WHAT IT IS WE'RE 579 00:26:30,658 --> 00:26:32,026 HERE TO DO. 580 00:26:32,026 --> 00:26:38,466 THE FIRST IS A STORY ABOUT A MAN 581 00:26:38,466 --> 00:26:42,236 NAME JUSTIN WHO HAD 582 00:26:42,236 --> 00:26:43,237 NON-HODGKIN'S LYMPHOMA AND CAME 583 00:26:43,237 --> 00:26:45,573 TO THE NCI TO RESOURCE A VERY 584 00:26:45,573 --> 00:26:46,841 NEW THERAPEUTIC REGIMENT AND 585 00:26:46,841 --> 00:26:52,213 THAT WAS THREE YEARS AGO. 586 00:26:52,213 --> 00:26:55,449 AND HE'S NOW DISEASE FREE AND 587 00:26:55,449 --> 00:26:56,617 WORKS IN THE WILDLIFE AREA AND 588 00:26:56,617 --> 00:26:59,019 IS A FORESTER AND THIS IS WHAT 589 00:26:59,019 --> 00:26:59,887 WE WANT. 590 00:26:59,887 --> 00:27:01,355 IT'S A SUCCESS STORY THAT WE'RE 591 00:27:01,355 --> 00:27:02,523 LOOKING FOR WHICH IS NOW 592 00:27:02,523 --> 00:27:04,925 LAUNCHED A BIGGER TRIAL. 593 00:27:04,925 --> 00:27:07,428 THIS CAN BE MORE AVAILABLE AND 594 00:27:07,428 --> 00:27:08,763 IN A WIDER VARIETY OF 595 00:27:08,763 --> 00:27:10,698 APPRECIATES SO WE KNOW WHO WILL 596 00:27:10,698 --> 00:27:13,701 RESPOND AND WHEN DO WE USE IT 597 00:27:13,701 --> 00:27:14,034 APPROPRIATELY. 598 00:27:14,034 --> 00:27:16,437 THIS IS THE BREAD AND BUTTER AND 599 00:27:16,437 --> 00:27:17,605 WHAT PEOPLE THINK OF WHEN THEY 600 00:27:17,605 --> 00:27:18,672 THINK OF CANCER RESEARCH. 601 00:27:18,672 --> 00:27:21,675 UNDERSTANDING THE BIOLOGY OF THE 602 00:27:21,675 --> 00:27:22,243 TUMOR, DEVELOPING A NOVEL 603 00:27:22,243 --> 00:27:23,544 THERAPEUTIC AND GIVING IT TO A 604 00:27:23,544 --> 00:27:24,945 PATIENT TO GET BETTER. 605 00:27:24,945 --> 00:27:25,279 DONE. 606 00:27:25,279 --> 00:27:29,450 WE DO A LOT OF OTHER THINGS DO 607 00:27:29,450 --> 00:27:30,351 -- TOO. 608 00:27:30,351 --> 00:27:31,652 WE WANTED TO HIGHLIGHT A 609 00:27:31,652 --> 00:27:31,886 TRAINEE. 610 00:27:31,886 --> 00:27:33,788 THERE'S A THOUSAND STORIES OF 611 00:27:33,788 --> 00:27:38,426 TRAINEES AND SUCCESSES AND THE 612 00:27:38,426 --> 00:27:40,027 WAY THE TRAINING THEY GET UP 613 00:27:40,027 --> 00:27:41,061 DIFFERENT WAYS. 614 00:27:41,061 --> 00:27:46,233 WE HIGHLIGHT A STORY OF AN IN 615 00:27:46,233 --> 00:27:48,302 OUR MOONSHOT SCHOLAR PROGRAM. 616 00:27:48,302 --> 00:27:52,306 SO THAT'S A WHITE HOUSE 617 00:27:52,306 --> 00:27:55,643 CO-FUNDED INITIATIVE TO BRING 618 00:27:55,643 --> 00:27:57,978 MORE PEOPLE FROM DIVERSE 619 00:27:57,978 --> 00:28:00,681 BACKGROUNDS INTO THE RESEARCH 620 00:28:00,681 --> 00:28:01,482 FUNDED POOLS. 621 00:28:01,482 --> 00:28:04,819 SHE HAS AN EXCITING STORY. 622 00:28:04,819 --> 00:28:06,754 SHE'S VERY SUCCESSFULLY TAKING 623 00:28:06,754 --> 00:28:10,124 HOW WE DO PRE CANCER TREATMENT 624 00:28:10,124 --> 00:28:12,927 IN RESEARCH SETTINGS AND IT'S A 625 00:28:12,927 --> 00:28:17,498 COMBINATION OF BIOLOGY ALONG 626 00:28:17,498 --> 00:28:20,901 WITH OUTREACH AND COMMUNITY 627 00:28:20,901 --> 00:28:21,302 ENGAGEMENT. 628 00:28:21,302 --> 00:28:23,771 A NICE PROJECT. 629 00:28:23,771 --> 00:28:28,309 SHE HIGHLIGHTS HOW THAT TRAINING 630 00:28:28,309 --> 00:28:29,477 HELPS MAKE HER MORE SUCCESSFUL 631 00:28:29,477 --> 00:28:30,478 IN HER SPACE. 632 00:28:30,478 --> 00:28:35,483 AND THEN WE WANTED TO DO GOOD 633 00:28:35,483 --> 00:28:35,783 SCIENCE. 634 00:28:35,783 --> 00:28:39,119 SCIENCE THAT HIGHLIGHTS THE 635 00:28:39,119 --> 00:28:39,820 TRANSLATIONAL IMPACT YOU CAN 636 00:28:39,820 --> 00:28:42,823 BRING TOGETHER AND TELL THE 637 00:28:42,823 --> 00:28:48,929 STORY ABOUT A NEW TOOL THAT 638 00:28:48,929 --> 00:28:52,633 ALLOWS A SURGEON TO TREAT TUMORS 639 00:28:52,633 --> 00:28:54,768 WITH LIGHT UNSURGERY. 640 00:28:54,768 --> 00:29:00,508 THE MORE WE CAN MAKE SURGEONS 641 00:29:00,508 --> 00:29:05,546 MORE CAPABLE OF DOING SURGERY, 642 00:29:05,546 --> 00:29:06,981 BETTER OUTCOMES FOR PATIENTS. 643 00:29:06,981 --> 00:29:08,482 IT'S BETTER SURGERIES AND BETTER 644 00:29:08,482 --> 00:29:10,317 UNDERSTANDING WHERE THE TUMORS 645 00:29:10,317 --> 00:29:11,852 ARE AT THE TIME THE SURGEONS ARE 646 00:29:11,852 --> 00:29:12,486 GOING IN. 647 00:29:12,486 --> 00:29:17,124 WE DON'T WANT THEM GOING IN 648 00:29:17,124 --> 00:29:17,358 BLIND. 649 00:29:17,358 --> 00:29:19,193 THIS IS LATE STAGE MEDICINE. 650 00:29:19,193 --> 00:29:20,361 TUMORS GLOW AND YOU CAN SEE IT 651 00:29:20,361 --> 00:29:25,366 SO REALLY EXCITING WORK. 652 00:29:25,366 --> 00:29:28,369 SO WHAT DOES IT TAKE TO DO THIS 653 00:29:28,369 --> 00:29:28,569 WORK? 654 00:29:28,569 --> 00:29:31,972 IT TAKES REAL MONEY. 655 00:29:31,972 --> 00:29:35,175 SO OUR CURRENT APPROPRIATION FOR 656 00:29:35,175 --> 00:29:37,378 FY24 WAS $7.2 BILLION WHICH 657 00:29:37,378 --> 00:29:38,812 SOUNDS LIKE A LOT OF MONEY. 658 00:29:38,812 --> 00:29:41,615 TO OUT IT IN PERSPECTIVE, I 659 00:29:41,615 --> 00:29:43,784 THINK THERE WERE FIVE BIO TECH 660 00:29:43,784 --> 00:29:47,488 COMPANIES THAT WERE BOUGHT FOR 661 00:29:47,488 --> 00:29:50,024 MORE THAN $7 BILLION LAST YEAR. 662 00:29:50,024 --> 00:29:51,692 WHEN YOU THINK ABOUT WE FUND ALL 663 00:29:51,692 --> 00:29:53,794 THE CANCER CENTERS, ALL THESE 664 00:29:53,794 --> 00:29:56,564 TRAINEES ALL AROUND THE COUNTRY, 665 00:29:56,564 --> 00:30:01,902 CLINICAL TRIALS IN OVER 2,000 666 00:30:01,902 --> 00:30:06,473 SITES, ALL OF OUR INTRAMURAL 667 00:30:06,473 --> 00:30:06,740 PROGRAMS. 668 00:30:06,740 --> 00:30:08,909 ALL THE INFRASTRUCTURE WORK AND 669 00:30:08,909 --> 00:30:12,479 WE DO THAT FOR $7 BILLION. 670 00:30:12,479 --> 00:30:13,714 IT'S THE BEST INVESTMENT THE 671 00:30:13,714 --> 00:30:15,115 GOVERNMENT MADE, 100%. 672 00:30:15,115 --> 00:30:18,285 IT GROWS OUR ECONOMY, IT CREATES 673 00:30:18,285 --> 00:30:18,919 A SKILLED WORKFORCE AND MAKES 674 00:30:18,919 --> 00:30:23,023 PEOPLE HEALTHY. 675 00:30:23,023 --> 00:30:25,626 IT'S A NO-BRAINER EXCEPT THEY 676 00:30:25,626 --> 00:30:27,828 KEEP WANTING TO GIVE US JUST A 677 00:30:27,828 --> 00:30:29,430 FEW MORE PENNIES EVERY YEAR. 678 00:30:29,430 --> 00:30:32,800 WE CAN'T DO IT FOR THE SAME 679 00:30:32,800 --> 00:30:33,634 AMOUNT. 680 00:30:33,634 --> 00:30:35,936 INFLATION INCREASES OUR COSTS. 681 00:30:35,936 --> 00:30:40,608 PEOPLE'S SALARIES GO UP. 682 00:30:40,608 --> 00:30:42,476 WE CAN'T DOING THE WORK WITHOUT 683 00:30:42,476 --> 00:30:44,178 A BIG INFUSION. 684 00:30:44,178 --> 00:30:48,816 IN NY25, PRESIDENT BIDEN 685 00:30:48,816 --> 00:30:56,156 PROPOSED A BUDGET OF ALMOST $9.3 686 00:30:56,156 --> 00:30:56,924 BILLION. 687 00:30:56,924 --> 00:31:03,097 OUR FY25 PROPOSED A FURTHER 688 00:31:03,097 --> 00:31:06,467 INCREASE OF $2.1 BILLION FOR A 689 00:31:06,467 --> 00:31:10,904 GRANT TOLD OF $11.5 BILLION 690 00:31:10,904 --> 00:31:11,605 ROUNDING UP. 691 00:31:11,605 --> 00:31:16,143 THAT IS WHAT WAS PUT IN LAST 692 00:31:16,143 --> 00:31:22,216 YEAR FOR THE YEAR STARTING 693 00:31:22,216 --> 00:31:23,217 OCTOBER 1. 694 00:31:23,217 --> 00:31:25,185 IT'S WE DON'T KNOW WHAT WE'RE 695 00:31:25,185 --> 00:31:28,088 DOING TO GET FOR FY25. 696 00:31:28,088 --> 00:31:30,290 YOU CAN WATCH THE NEWS AND TRY 697 00:31:30,290 --> 00:31:30,991 TO GUESS. 698 00:31:30,991 --> 00:31:33,861 I DON'T KNOW WHEN WE'LL KNOW. 699 00:31:33,861 --> 00:31:36,163 WE PROBABLY WON'T KNOW NEXT WEEK 700 00:31:36,163 --> 00:31:36,463 IS MY GUESS. 701 00:31:36,463 --> 00:31:39,299 SO WE'VE HAD TO SAY WHAT DO WE 702 00:31:39,299 --> 00:31:41,568 THINK WE'LL NEED FOR FY26? 703 00:31:41,568 --> 00:31:43,103 YOU CAN SEE THE GAP GETTING 704 00:31:43,103 --> 00:31:53,647 BIGGER AND BIGGER AND PUT IN 705 00:31:58,519 --> 00:32:02,756 $11,466 AND WE'RE DOING A LOT TO 706 00:32:02,756 --> 00:32:04,258 STREAMLINING, BEING EFFICIENT, 707 00:32:04,258 --> 00:32:09,229 RUNNING A BUSINESS THE WAY WE'D 708 00:32:09,229 --> 00:32:10,431 EXPECT BUT IT'S GOING TO BE DARN 709 00:32:10,431 --> 00:32:19,173 HARD TO DO ON 7.2. 710 00:32:19,173 --> 00:32:21,942 OUR REQUEST WAS FOR 11.46. 711 00:32:21,942 --> 00:32:23,177 WE'LL SEE WHAT HAPPENS. 712 00:32:23,177 --> 00:32:24,478 WHEN YOU TELL THE WORLD WHAT 713 00:32:24,478 --> 00:32:27,748 WOULD WE DO IF WE HAD MORE. 714 00:32:27,748 --> 00:32:30,984 SO FIRST SOME OF OUR PROJECTS 715 00:32:30,984 --> 00:32:34,521 LIVE ON SHOE STRINGS AND WE WANT 716 00:32:34,521 --> 00:32:36,256 TO DO CLINICAL TRIALS ON A 717 00:32:36,256 --> 00:32:37,791 BROADER PART OF THE COUNTRY AND 718 00:32:37,791 --> 00:32:41,161 WE HAVE STUDIES DO AND WE HAVE 719 00:32:41,161 --> 00:32:45,332 TO TACKLE THE EMERGENCE OF EARLY 720 00:32:45,332 --> 00:32:46,433 ONSET CANCER. 721 00:32:46,433 --> 00:32:47,935 THAT'S A NEW AREA. 722 00:32:47,935 --> 00:32:53,807 THIS IS CANCERS BETWEEN THE AGES 723 00:32:53,807 --> 00:32:59,780 OF 20 AND 50. 724 00:32:59,780 --> 00:33:02,549 WHAT DO WE DOUGH IN THE FOLLOW 725 00:33:02,549 --> 00:33:04,852 UP PERIOD WHEN SOMEONE GETS 726 00:33:04,852 --> 00:33:06,320 CANCERS IN THEIR 30s. 727 00:33:06,320 --> 00:33:08,655 IT AFFECT THE WHOLE BODY. 728 00:33:08,655 --> 00:33:12,760 HISTORICALLY THAT'S BEEN TOO 729 00:33:12,760 --> 00:33:12,960 HARD. 730 00:33:12,960 --> 00:33:15,295 YOU CAN ONLY STUDY THE CANCER 731 00:33:15,295 --> 00:33:17,531 CELLS OR IMMUNE CELLS OR BLOOD 732 00:33:17,531 --> 00:33:18,899 VESSELS THEY MAY BE TRACKING 733 00:33:18,899 --> 00:33:19,333 THROUGH. 734 00:33:19,333 --> 00:33:21,902 NOW WE HAVE THE ABILITY TO BE 735 00:33:21,902 --> 00:33:24,471 ABLE TO LOOK AT THEM ALL IN 736 00:33:24,471 --> 00:33:26,406 AGGREGATE AND UNDERSTAND HOW 737 00:33:26,406 --> 00:33:30,778 THINGS ARE AFFECTED BY THE 738 00:33:30,778 --> 00:33:36,483 NERVOUS SYSTEM AND DIGESTIVE 739 00:33:36,483 --> 00:33:42,489 SYSTEM AND BIOMEDICAL. 740 00:33:42,489 --> 00:33:52,966 AND WHAT CACHES AS THEY GET. 741 00:33:54,735 --> 00:33:56,703 AND WHAT HAPPENS IF PATIENTS 742 00:33:56,703 --> 00:33:57,738 CAN'T AFFORD TO GET THE THERAPY 743 00:33:57,738 --> 00:33:58,839 THEY NEED. 744 00:33:58,839 --> 00:34:01,642 THIS IS HEALTH POLICY WORK 745 00:34:01,642 --> 00:34:01,909 RESEARCH. 746 00:34:01,909 --> 00:34:04,945 WE STUDY AND ABOUT WHAT ARE THE 747 00:34:04,945 --> 00:34:06,980 S TO DRIVE FINANCIAL TOXICITY? 748 00:34:06,980 --> 00:34:08,749 WHERE ARE THERE OPPORTUNITIES 749 00:34:08,749 --> 00:34:14,755 THAT CAN ALLEVIATE AND BRING 750 00:34:14,755 --> 00:34:15,656 CANCER TREATMENTS IN WAYS THAT 751 00:34:15,656 --> 00:34:16,590 ARE AFFORDABLE TO A DIFFERENT 752 00:34:16,590 --> 00:34:18,492 GROUP OF PATIENTS. 753 00:34:18,492 --> 00:34:20,594 SO WE'RE INVESTING IN DOING THAT 754 00:34:20,594 --> 00:34:23,664 KIND OF RESEARCH SO IT CAN HELP 755 00:34:23,664 --> 00:34:24,464 INFORM POLICY. 756 00:34:24,464 --> 00:34:26,900 AND EXPANDING THE UTILITY OF 757 00:34:26,900 --> 00:34:28,468 CANCER TARGETING VACCINES. 758 00:34:28,468 --> 00:34:31,672 THIS IS ON THE LIST BECAUSE 759 00:34:31,672 --> 00:34:38,612 WE'VE SEEN WITH HPV WHAT WE CCA 760 00:34:38,612 --> 00:34:40,781 DO TO PREVENT AND ENHANCE 761 00:34:40,781 --> 00:34:41,381 IMMUNOTHERAPIES AND TREATING 762 00:34:41,381 --> 00:34:46,653 CANCERS. 763 00:34:46,653 --> 00:34:52,893 RIGHT NOW WE HAVE THERAPIES AND 764 00:34:52,893 --> 00:34:53,794 INFILTRATING LYMPHOCYTES AND THE 765 00:34:53,794 --> 00:34:54,494 NEXT WAVE WILL BE IN THE 766 00:34:54,494 --> 00:35:04,671 VACCINES. 767 00:35:10,043 --> 00:35:12,379 AND WE GOT $7.3 MILLION AND 768 00:35:12,379 --> 00:35:16,917 THERE WAS A CUT THIS YEAR TO 769 00:35:16,917 --> 00:35:17,451 7.2. 770 00:35:17,451 --> 00:35:18,819 READING THE NEWS IT'S AN 771 00:35:18,819 --> 00:35:20,053 INCREASE IN THE BASE $120 772 00:35:20,053 --> 00:35:21,421 MILLION INCREASE IN THE BASE BUT 773 00:35:21,421 --> 00:35:23,523 THE CARES ACT FUNDING THAT 774 00:35:23,523 --> 00:35:25,559 FUNDED THE MOONSHOT WENT DOWN BY 775 00:35:25,559 --> 00:35:27,327 MORE THAN THAT SO IT'S 776 00:35:27,327 --> 00:35:28,896 EFFECTIVELY A $96 MILLION 777 00:35:28,896 --> 00:35:30,030 DECREASE FOR OUR BUDGET SO 778 00:35:30,030 --> 00:35:31,164 THAT'S WHAT WE'RE WORKING WITH 779 00:35:31,164 --> 00:35:31,398 TODAY. 780 00:35:31,398 --> 00:35:37,571 YOU CAN SEE ON THE LEFT WHAT THE 781 00:35:37,571 --> 00:35:39,239 PROPOSED PROFESSIONAL JUDGMENT 782 00:35:39,239 --> 00:35:44,912 FOR BYPASS BUDGET NUMBERS ARE. 783 00:35:44,912 --> 00:35:52,185 IN FY23 WE GOT 7.9 AND THEN WE 784 00:35:52,185 --> 00:35:56,657 GOT 7.2 AND WE PROPOSED 11.4. 785 00:35:56,657 --> 00:36:00,127 THIS IS THE GAP I'M TALKING 786 00:36:00,127 --> 00:36:00,327 ABOUT. 787 00:36:00,327 --> 00:36:03,030 HERE'S WHERE WE ARE PROPOSING 788 00:36:03,030 --> 00:36:06,967 11.4 AND WAITING TO SEE WHAT 789 00:36:06,967 --> 00:36:08,835 HAPPENS FOR '25 AND '26. 790 00:36:08,835 --> 00:36:14,975 WITH THE MONEY WE HAVE WE HAVE 791 00:36:14,975 --> 00:36:16,910 THE ABILITY TO MAKE DECISIONS 792 00:36:16,910 --> 00:36:19,780 AND PRIORITIZE WHERE WE CAN'T 793 00:36:19,780 --> 00:36:20,814 FUND EVERYBODY. 794 00:36:20,814 --> 00:36:24,785 OUR PRIORITY IS EARLY STAGE 795 00:36:24,785 --> 00:36:26,019 INVESTIGATORS MAKING SURE WE'RE 796 00:36:26,019 --> 00:36:28,889 KEEPING THEM IN THE PIPELINE. 797 00:36:28,889 --> 00:36:36,463 THIS IS A FIVE-YEAR BUMP AND THE 798 00:36:36,463 --> 00:36:39,933 PAY LINE IS 10% OF GRANTS GET 799 00:36:39,933 --> 00:36:42,235 FUNDED THAT WOULD BE 16 800 00:36:42,235 --> 00:36:43,370 PERCENTILE IF YOU'RE AN EARLY 801 00:36:43,370 --> 00:36:44,204 STAGE INVESTIGATOR. 802 00:36:44,204 --> 00:36:48,475 LAST YEAR THE PAY LINE WAS 12% 803 00:36:48,475 --> 00:36:51,211 WITH A 17% BUMP. 804 00:36:51,211 --> 00:36:52,746 WE DECIDED WE DIDN'T WANT TO 805 00:36:52,746 --> 00:36:53,680 HURT THE EARLY STAGE 806 00:36:53,680 --> 00:36:56,917 INVESTIGATORS AND KEPT THEM AT 807 00:36:56,917 --> 00:36:58,585 17 THOUGH FOR ESTABLISHED 808 00:36:58,585 --> 00:37:03,090 INVESTIGATORS WE DROPPED IT TO 809 00:37:03,090 --> 00:37:03,357 10. 810 00:37:03,357 --> 00:37:05,459 TEN IS SORT OF AVERAGE SO I 811 00:37:05,459 --> 00:37:07,194 COULD SLEEP AT LEAST AT NIGHT 812 00:37:07,194 --> 00:37:08,462 AND SORT OF WHAT THEY MAY BE 813 00:37:08,462 --> 00:37:11,031 USED TO AND I WAS ONE OF THEM. 814 00:37:11,031 --> 00:37:13,300 10 IS HARD BUT IS A NUMBER YOU 815 00:37:13,300 --> 00:37:13,600 UNDERSTAND. 816 00:37:13,600 --> 00:37:20,540 9 AND 8 ARE NOT. 817 00:37:20,540 --> 00:37:22,743 PEOPLE DROP OUT AT 9 AND 8. 818 00:37:22,743 --> 00:37:24,444 FUNDING AT 17 FOR THE EARLY 819 00:37:24,444 --> 00:37:25,746 STAGE INVESTIGATORS WERE 820 00:37:25,746 --> 00:37:27,481 WELCOMING THEM AND GIVING THEM 821 00:37:27,481 --> 00:37:30,484 THE FIRST CHANCE. 822 00:37:30,484 --> 00:37:32,185 THE DOT WITH THE 19 WHICH COULD 823 00:37:32,185 --> 00:37:36,823 BE HIGHER, ANYWAY, NOT QUITE TO 824 00:37:36,823 --> 00:37:40,794 SCALE THERE SHOWS THE PAY LINE 825 00:37:40,794 --> 00:37:41,528 IT DOESN'T MATTER IF YOU'RE 826 00:37:41,528 --> 00:37:43,964 BETTER IT WILL BE FUNDED AND WE 827 00:37:43,964 --> 00:37:46,099 HAVE THE ABILITY TO PULL GRANTS 828 00:37:46,099 --> 00:37:48,468 AFTERWARDS THIS TIME OF YEAR 829 00:37:48,468 --> 00:37:52,072 MORE DOLLARS COME IN FROM GRANTS 830 00:37:52,072 --> 00:37:54,474 UNDER SPENT AND WE'RE PROJECTING 831 00:37:54,474 --> 00:37:59,279 TO 19% FOR THE EARLY STAGE 832 00:37:59,279 --> 00:37:59,813 INVESTIGATORS. 833 00:37:59,813 --> 00:38:00,781 I'M GLAD TO HAVE A NUMBER LIKE 834 00:38:00,781 --> 00:38:10,891 THAT. 835 00:38:14,561 --> 00:38:16,730 WE HAD A DEEP DIVE INTO OUR 836 00:38:16,730 --> 00:38:17,664 BUDGET WITH OUR FINANCIAL 837 00:38:17,664 --> 00:38:20,901 OFFICER AND THIS IS AVAILABLE 838 00:38:20,901 --> 00:38:24,504 ONLINE AND IT'S ENTERTAINING 839 00:38:24,504 --> 00:38:27,674 BUDGET AND REALLY INFORMATIVE. 840 00:38:27,674 --> 00:38:30,143 BUT ANYTIME YOU WANT TO LOOK WE 841 00:38:30,143 --> 00:38:30,744 WANT TO MAKE THE INFORMATION 842 00:38:30,744 --> 00:38:34,514 AVAILABLE. 843 00:38:34,514 --> 00:38:34,981 OKAY. 844 00:38:34,981 --> 00:38:37,784 I WANT TO SAY A COUPLE THINGS 845 00:38:37,784 --> 00:38:39,052 ABOUT THE NATIONAL CANCER PLAN 846 00:38:39,052 --> 00:38:42,355 WE TALKED ABOUT THIS BUT I'M 847 00:38:42,355 --> 00:38:42,989 CONSIDERING BRINGING THE 848 00:38:42,989 --> 00:38:44,691 NATIONAL CANCER PLAN BACK ON TOP 849 00:38:44,691 --> 00:38:47,994 OF EVERYONE'S MIND. 850 00:38:47,994 --> 00:38:50,664 WE USED A PLAN TO COORDINATE OUR 851 00:38:50,664 --> 00:38:54,401 EFFORTS ACROSS THE HEALTH CENTER 852 00:38:54,401 --> 00:38:56,369 GOALS, PREVENT CANCERS, DEVELOP 853 00:38:56,369 --> 00:38:57,671 EFFECTIVE THERAPIES AND DELIVER 854 00:38:57,671 --> 00:39:03,009 OPTIMAL CARE AND ACCELERATING 855 00:39:03,009 --> 00:39:06,480 THOSE, MAXIMIZING DATA UTILITY 856 00:39:06,480 --> 00:39:08,982 AND ELIMINATING INEQUITY AND 857 00:39:08,982 --> 00:39:12,185 CREATE WORKFORCE READY TO GO AND 858 00:39:12,185 --> 00:39:13,320 ENGAGING EVERY PERSON AND USING 859 00:39:13,320 --> 00:39:13,954 DISCOVERY SCIENCE TO FUEL THE 860 00:39:13,954 --> 00:39:16,456 WAY FORWARD. 861 00:39:16,456 --> 00:39:18,492 SO RIGHT NOW FOR THE NEXT THREE 862 00:39:18,492 --> 00:39:20,894 MONTHS SEPTEMBER, OCTOBER, 863 00:39:20,894 --> 00:39:22,229 NOVEMBER WE'RE HIGHLIGHTING ONE 864 00:39:22,229 --> 00:39:25,232 GOAL AND THE GOAL WE'RE 865 00:39:25,232 --> 00:39:28,034 OPTIMIZING IS I'D ENCOURAGE YOU 866 00:39:28,034 --> 00:39:32,906 TO LOOK AT THE SOCIAL MEDIA AND 867 00:39:32,906 --> 00:39:34,474 LINKEDIN AND LOOK AT EARLY STAGE 868 00:39:34,474 --> 00:39:35,375 INVESTIGATORS OR WORKFORCE 869 00:39:35,375 --> 00:39:41,148 DEVELOPMENT IS A FOCUS AREA FOR 870 00:39:41,148 --> 00:39:42,349 US. 871 00:39:42,349 --> 00:39:43,750 AND IT'S GOOD TIMES. 872 00:39:43,750 --> 00:39:45,919 WHAT WE DO TO PRIORITIZE THE 873 00:39:45,919 --> 00:39:47,921 WORKFORCE SO JUST A FEW 874 00:39:47,921 --> 00:39:48,188 EXAMPLES. 875 00:39:48,188 --> 00:39:52,826 WE JUST PUBLISHED A CANCER BLOG. 876 00:39:52,826 --> 00:39:55,495 I ENCOURAGE TO FOLLOW IT. 877 00:39:55,495 --> 00:39:58,532 IT'S UP TO DATE AND WELL DONE 878 00:39:58,532 --> 00:40:00,267 AND KIND OF HIGH LEVEL BUT GOOD 879 00:40:00,267 --> 00:40:02,536 FOR A BOARD TO KNOW ALL THE 880 00:40:02,536 --> 00:40:03,403 THINGS WE DO. 881 00:40:03,403 --> 00:40:08,909 THIS IS HIGHLIGHTING A UNIQUE 882 00:40:08,909 --> 00:40:19,352 GRANT PROGRAM CALLED THE R16 AND 883 00:40:19,352 --> 00:40:23,323 THEY'RE MORE UP AND COMING IN 884 00:40:23,323 --> 00:40:24,891 THEIR RESEARCH AND PROVIDE AN 885 00:40:24,891 --> 00:40:26,326 R01 FUNDING FOR INVESTIGATORS 886 00:40:26,326 --> 00:40:28,628 WITH THE STIPULATION PART OF 887 00:40:28,628 --> 00:40:30,297 THAT MONEY IS MEANT FOR TRAINING 888 00:40:30,297 --> 00:40:31,865 AND DEVELOP UNDERGRADUATES IN 889 00:40:31,865 --> 00:40:32,899 THE SCIENCE FIELD. 890 00:40:32,899 --> 00:40:43,443 SO WE HAD A RETREAT AND TO THE 891 00:40:44,311 --> 00:40:46,146 R15 INVESTIGATORS AND THE WORK 892 00:40:46,146 --> 00:40:47,347 THEY'RE DOING WITH 893 00:40:47,347 --> 00:40:51,551 UNDERGRADUATES IS FEN NOMMAL. 894 00:40:57,657 --> 00:41:08,134 PHENOMENAL AND SO WE TALKED TO 895 00:41:08,335 --> 00:41:10,904 OTHER GROUPS THAT MIGHT WANT TO 896 00:41:10,904 --> 00:41:12,939 SORT US AND THE AMERICAN CANCER 897 00:41:12,939 --> 00:41:15,108 SOCIETY STEPPED UP AND FUND A 898 00:41:15,108 --> 00:41:17,510 SIMILAR TYPE OF AWARD THROUGH 899 00:41:17,510 --> 00:41:19,279 OUR RO1 FOR EARLY CAREER 900 00:41:19,279 --> 00:41:20,614 INVESTIGATORS OFTEN THE SAME 901 00:41:20,614 --> 00:41:20,847 PEOPLE. 902 00:41:20,847 --> 00:41:27,053 WHEN I STARTED I HAD AN RO1 AND 903 00:41:27,053 --> 00:41:28,888 HCS AND PUT DOLLARS TO A 904 00:41:28,888 --> 00:41:31,057 CATALYST AWARD TO ADD MORE OF 905 00:41:31,057 --> 00:41:34,995 THEIR EARLY CAREER INVESTIGATORS 906 00:41:34,995 --> 00:41:36,396 INCLUDING INVESTIGATORS FROM THE 907 00:41:36,396 --> 00:41:40,900 PAY LINE FROM A COUPLE POINTS. 908 00:41:40,900 --> 00:41:44,204 SO WE'RE REALLY GRATEFUL AND I 909 00:41:44,204 --> 00:41:46,773 THINK THIS IS THE WHOLE CANCER 910 00:41:46,773 --> 00:41:47,340 RESEARCH SYSTEM. 911 00:41:47,340 --> 00:41:49,175 IT'S NOT JUST ABOUT NCI BUT 912 00:41:49,175 --> 00:41:50,010 GETTING PEOPLE IN THE WORKFORCE 913 00:41:50,010 --> 00:41:54,447 HOWEVER, THAT HAPPENS IS GOOD TO 914 00:41:54,447 --> 00:41:54,614 GO. 915 00:41:54,614 --> 00:41:55,649 ON THE WORKFORCE THE CANCER 916 00:41:55,649 --> 00:41:57,751 PANEL JUST LAST WEEK DID A 917 00:41:57,751 --> 00:42:00,487 PUBLIC MEETING ON WORKFORCE. 918 00:42:00,487 --> 00:42:02,956 SO WE'LL GET A REPORT ON THAT IN 919 00:42:02,956 --> 00:42:04,424 HOPEFULLY A COUPLE MONTHS. 920 00:42:04,424 --> 00:42:06,693 AND I THINK WELL APPENDED, OPEN 921 00:42:06,693 --> 00:42:07,761 TO THE PUBLIC. 922 00:42:07,761 --> 00:42:09,663 PEOPLE ARE REALLY INTERESTED IN 923 00:42:09,663 --> 00:42:14,067 HOW WE CONTINUE TO DEVELOP A 924 00:42:14,067 --> 00:42:15,602 WORKFORCE. 925 00:42:15,602 --> 00:42:16,369 ALL RIGHT. 926 00:42:16,369 --> 00:42:16,903 QUICK HIGHLIGHTS. 927 00:42:16,903 --> 00:42:18,271 IT'S GOOD TIMES ALL OVER THE 928 00:42:18,271 --> 00:42:20,473 PLACE WHEN WE HAVE TO PICK 929 00:42:20,473 --> 00:42:20,740 SCIENCE. 930 00:42:20,740 --> 00:42:23,076 WE PICK WHATEVER THIS IS THREE 931 00:42:23,076 --> 00:42:24,644 THINGS, FOUR THINGS THAT WE 932 00:42:24,644 --> 00:42:27,514 COULD PICK FROM 10,000 DIFFERENT 933 00:42:27,514 --> 00:42:28,815 COOL THINGS. 934 00:42:28,815 --> 00:42:31,518 I'LL POINT OUT THAT T CELL 935 00:42:31,518 --> 00:42:34,154 RECEPTOR THERAPY FOR GLAU KE QUO 936 00:42:34,154 --> 00:42:39,125 MA IS A REEL THING, FDA 937 00:42:39,125 --> 00:42:40,894 APPROVED, UNHEARD OF. 938 00:42:40,894 --> 00:42:43,463 THEY DIDN'T CHANGE FOR SARCOMA 939 00:42:43,463 --> 00:42:44,898 AND NOW THERE'S IMMUNOTHERAPIES 940 00:42:44,898 --> 00:42:49,469 TO DETECT IT. 941 00:42:49,469 --> 00:42:53,940 AND TREATMENT FOR ENDOMETRIAL 942 00:42:53,940 --> 00:42:56,843 CANCER AND REALIZED HOW LITTLE 943 00:42:56,843 --> 00:42:59,112 OUR PORTFOLIO WAS AND PUT A 944 00:42:59,112 --> 00:43:00,847 SUPPLEMENT OUT TO GET MORE 945 00:43:00,847 --> 00:43:03,717 PEOPLE STUDYING ENDOMETRIAL 946 00:43:03,717 --> 00:43:04,884 CANCER. 947 00:43:04,884 --> 00:43:06,986 WE THINK WHERE WE CAN GRAB ON 948 00:43:06,986 --> 00:43:08,888 AND SEEING THE IMMUNE CHECKPOINT 949 00:43:08,888 --> 00:43:11,191 INHIBITORS CAN HAVE ACTIVITY AND 950 00:43:11,191 --> 00:43:12,959 NEED TO NOW KNOW WHEN, WHY, 951 00:43:12,959 --> 00:43:17,997 WHERE, HOW AND HAVE SCIENTISTS 952 00:43:17,997 --> 00:43:19,466 DO THAT. 953 00:43:19,466 --> 00:43:23,002 THE KRAS IS AN ONCA GENE WE'VE 954 00:43:23,002 --> 00:43:24,504 BEEN PUSHING FOR INHIBITORS THAT 955 00:43:24,504 --> 00:43:28,308 TARGET MUTATION. 956 00:43:28,308 --> 00:43:28,675 REALLY AMAZING. 957 00:43:28,675 --> 00:43:30,777 AND THEN I THINK WHAT'S MOST 958 00:43:30,777 --> 00:43:32,912 EXCITING AND POPULATION SCIENCE 959 00:43:32,912 --> 00:43:36,383 SIDE IS LOOKING AT CANCER 960 00:43:36,383 --> 00:43:39,953 SCREENING AND THE BIG QUESTION 961 00:43:39,953 --> 00:43:42,622 IS IT'S VERY EXPENSIVE TO SCREEN 962 00:43:42,622 --> 00:43:45,692 PATIENTS FOR CANCER AND IS IT 963 00:43:45,692 --> 00:43:47,460 BENEFICIAL. 964 00:43:47,460 --> 00:43:49,329 EVERYONE WHO HAD CANCER CAUGHT 965 00:43:49,329 --> 00:43:52,432 EARLY WOULD SAY YES BUT ON A 966 00:43:52,432 --> 00:43:57,103 POPULATION WIDE BASIS IT MAKES 967 00:43:57,103 --> 00:43:59,205 SENSE ECONOMICALLY AND IT'S MUCH 968 00:43:59,205 --> 00:44:00,907 LESS THAN THE NUMBER THAN WE 969 00:44:00,907 --> 00:44:03,176 WOULD SPEND IN THREE YEARS OF 970 00:44:03,176 --> 00:44:04,043 CANCER TREATMENT. 971 00:44:04,043 --> 00:44:08,148 SO THE ANSWER IS EASY, ECONOMIC 972 00:44:08,148 --> 00:44:09,015 WIN CANCER SCREENING. 973 00:44:09,015 --> 00:44:10,316 SO IT'S A GOOD PAPER. 974 00:44:10,316 --> 00:44:13,520 URGE YOU TO TAKE A LOOK AT IT OR 975 00:44:13,520 --> 00:44:16,222 THERE'S A BLOG. 976 00:44:16,222 --> 00:44:18,858 SO I GUESS YOU GUYS WERE THE 977 00:44:18,858 --> 00:44:21,461 ONES WHO I SAID AT THE END HOW 978 00:44:21,461 --> 00:44:24,531 DO I MAKE SURE I'M GETTING WHAT 979 00:44:24,531 --> 00:44:27,467 I NEED FROM THE BOARD AND YOU 980 00:44:27,467 --> 00:44:28,835 SAID THERE'S DIFFERENT 981 00:44:28,835 --> 00:44:29,836 QUESTIONS. 982 00:44:29,836 --> 00:44:32,372 I'M DOING THIS WITH ALL MY 983 00:44:32,372 --> 00:44:32,906 BOARDS. 984 00:44:32,906 --> 00:44:36,509 IT'S BEEN INCREDIBLY EFFECTIVE. 985 00:44:36,509 --> 00:44:39,479 IN THE ARENA OF EARLY ONSET 986 00:44:39,479 --> 00:44:39,712 CANCER. 987 00:44:39,712 --> 00:44:42,449 I WOULD ASK WHAT ARE YOU HEARING 988 00:44:42,449 --> 00:44:43,450 IN THE COMMUNITY ARE THESE 989 00:44:43,450 --> 00:44:45,418 TRENDS, BEFORE DRIVERS AND 990 00:44:45,418 --> 00:44:46,052 EMERGING NEEDS? 991 00:44:46,052 --> 00:44:49,456 WHAT WOULD YOU LIKE TO SEE FROM 992 00:44:49,456 --> 00:44:50,857 US? 993 00:44:50,857 --> 00:44:54,194 WE WOULD LOVE TO KNOW AND WE'LL 994 00:44:54,194 --> 00:44:55,662 BE HEARING A LOT ABOUT 995 00:44:55,662 --> 00:44:56,362 ARTIFICIAL INTELLIGENCE IN A 996 00:44:56,362 --> 00:45:01,634 MINUTE AND THE STATE OF 997 00:45:01,634 --> 00:45:03,503 SCIENCE -- WHAT ELEMENTS OF DATA 998 00:45:03,503 --> 00:45:04,904 SCIENCE DO YOU THINK ARE RIPE 999 00:45:04,904 --> 00:45:06,206 FOR THE COMMUNITY. 1000 00:45:06,206 --> 00:45:07,373 BRING THE SCIENCE FICTIONE THING 1001 00:45:07,373 --> 00:45:10,043 FOR A.I. AND BRING IT SO PEOPLE 1002 00:45:10,043 --> 00:45:10,610 KNOW AND USE AND TRUST WHAT 1003 00:45:10,610 --> 00:45:15,181 WE'RE DOING. 1004 00:45:15,181 --> 00:45:16,015 AND THAT'S IT. 1005 00:45:16,015 --> 00:45:19,285 I'LL BE HAPPY TO TAKE QUESTIONS. 1006 00:45:19,285 --> 00:45:20,620 >> THANK YOU, DR. RATHMELL. 1007 00:45:20,620 --> 00:45:23,456 IT'S SO EXCITING TO HEAR HOW 1008 00:45:23,456 --> 00:45:27,727 MUCH YOU'VE BEEN GETTING OUT 1009 00:45:27,727 --> 00:45:30,163 THERE AND ALL THE DIFFERENT WAYS 1010 00:45:30,163 --> 00:45:30,964 AS WELL AS THE NEW DEVELOPMENT 1011 00:45:30,964 --> 00:45:33,366 THAT HAPPENED OVER THE SUMMER. 1012 00:45:33,366 --> 00:45:39,038 WE THINK IT'S A TIME FOR GOING 1013 00:45:39,038 --> 00:45:40,340 ON VACATION, AND WE'RE EXCITED 1014 00:45:40,340 --> 00:45:42,509 TO HEAR ALL THAT. 1015 00:45:42,509 --> 00:45:46,946 I JUST WANT TO POINT OUT ON THE 1016 00:45:46,946 --> 00:45:48,548 ENDOMETRIAL CANCER VACCINE I 1017 00:45:48,548 --> 00:45:52,952 BELIEVE SOME OF THOSE APPROACHES 1018 00:45:52,952 --> 00:45:56,823 CAME FROM A CLINICAL TRIAL 1019 00:45:56,823 --> 00:46:00,560 PLANNING MEETING AND IT'S JUST I 1020 00:46:00,560 --> 00:46:01,961 REVIEWED SOME. 1021 00:46:01,961 --> 00:46:04,664 IT'S SO EXCITING TO SEE IT TO 1022 00:46:04,664 --> 00:46:07,367 FROM GOING TO PEOPLE AND THEN 1023 00:46:07,367 --> 00:46:08,201 GETTING APPROVED. 1024 00:46:08,201 --> 00:46:10,436 SO HARD WORK OF PUSHING THINGS 1025 00:46:10,436 --> 00:46:12,472 THROUGH THE NCI. 1026 00:46:12,472 --> 00:46:17,243 ON YOUR -- COULD WE SEE THE 1027 00:46:17,243 --> 00:46:18,278 QUESTIONS AGAIN? 1028 00:46:18,278 --> 00:46:24,317 SO EARLY ONSET CANCER, I 1029 00:46:24,317 --> 00:46:28,922 UNDERSTAND WE HEARD A LOT ABOUT 1030 00:46:28,922 --> 00:46:31,090 AYA AND THEIR OUTCOMES ARE A 1031 00:46:31,090 --> 00:46:35,562 LITTLE BIT WORSE THAN ADULTS AND 1032 00:46:35,562 --> 00:46:36,062 PEDS. 1033 00:46:36,062 --> 00:46:38,498 HOW IS THE DEFINITION OF EARLY 1034 00:46:38,498 --> 00:46:42,835 ONSET CANCER DIFFERENT FROM AYA 1035 00:46:42,835 --> 00:46:46,539 AND IS THERE OPPORTUNITY TO 1036 00:46:46,539 --> 00:46:48,541 LEARN FROM THAT GROUP THAT'S 1037 00:46:48,541 --> 00:46:51,644 EMERGING LAST 10 YEARS OR SO 1038 00:46:51,644 --> 00:46:54,414 I'VE BEEN HEARING ABOUT IT. 1039 00:46:54,414 --> 00:46:56,449 IS THERE SXRANGS SO WE DON'T 1040 00:46:56,449 --> 00:46:58,051 HAVE TO REINVENT THE WHEEL? 1041 00:46:58,051 --> 00:47:00,320 >> THOSE ARE GREAT QUESTIONS. 1042 00:47:00,320 --> 00:47:02,422 AND I'LL START WITH THE 1043 00:47:02,422 --> 00:47:07,527 DEFINITION BECAUSE I'LL JUST SAY 1044 00:47:07,527 --> 00:47:09,362 AS WE'RE PUTTING THIS TOGETHER I 1045 00:47:09,362 --> 00:47:11,431 SAT DOWN WITH LEADERS AND TALKED 1046 00:47:11,431 --> 00:47:12,799 ABOUT THINGS AND THE NUMBER ONE 1047 00:47:12,799 --> 00:47:14,467 THING IS WE DON'T HAVE A GOOD 1048 00:47:14,467 --> 00:47:16,769 DEFINITION SO I HAVE A COMMITTEE 1049 00:47:16,769 --> 00:47:19,672 OUT THERE GIVING US A 1050 00:47:19,672 --> 00:47:19,973 DEFINITION. 1051 00:47:19,973 --> 00:47:20,940 HOPEFULLY IN A COUPLE WEEKS 1052 00:47:20,940 --> 00:47:22,442 WE'LL HAVE A DEFINITION OF WHERE 1053 00:47:22,442 --> 00:47:23,676 WE'RE PUTTING OUR RESOURCE. 1054 00:47:23,676 --> 00:47:24,911 IT DOESN'T MEAN IT'S DEFINITION 1055 00:47:24,911 --> 00:47:26,045 FOR THE CANCER. 1056 00:47:26,045 --> 00:47:28,348 IN MY WORKING MODEL THIS IS 1057 00:47:28,348 --> 00:47:29,215 DIFFERENT THAN WHAT WE 1058 00:47:29,215 --> 00:47:32,285 TRADITIONALLY CALL THE AYA 1059 00:47:32,285 --> 00:47:35,388 THOUGH THERE'S HUGE OVERLAP 1060 00:47:35,388 --> 00:47:35,588 THERE. 1061 00:47:35,588 --> 00:47:38,424 AYA KIND OF GREW OUT OF 1062 00:47:38,424 --> 00:47:40,893 PEDIATRICS AND OFTEN PEDIATRIC 1063 00:47:40,893 --> 00:47:48,568 TUMORS HAPPEN INTO ADULTHOOD. 1064 00:47:48,568 --> 00:47:52,905 THIS THE RECOGNITION WAS LATER 1065 00:47:52,905 --> 00:47:54,474 ADULT TUMORS SHOWING UP IN 1066 00:47:54,474 --> 00:47:55,108 PEOPLE. 1067 00:47:55,108 --> 00:47:59,712 THE CLASSIC IS COLORECTAL RISE 1068 00:47:59,712 --> 00:48:01,881 THE MEDIAN AGE FOR COLORECTAL 1069 00:48:01,881 --> 00:48:03,950 CANCER USED TO BE 60s AND IS 1070 00:48:03,950 --> 00:48:05,718 EDGING DOWN WITH NOTABLE PEOPLE 1071 00:48:05,718 --> 00:48:08,921 IN THEIR 40s AND EVEN 30s COMING 1072 00:48:08,921 --> 00:48:12,959 UP WITH COLORECTAL CANCER BUT 1073 00:48:12,959 --> 00:48:17,397 IT'S NOT JUST COLORECTAL CANCER. 1074 00:48:17,397 --> 00:48:20,433 SOME DATA SUGGESTS EARLY ONSET 1075 00:48:20,433 --> 00:48:22,268 BREAST CANCER IS RISING AT A 1076 00:48:22,268 --> 00:48:32,745 RATE THAT IS QUITE STRIKING AND 1077 00:48:32,745 --> 00:48:35,248 WHEN YOU HAVE A GOOD NUMBER 1078 00:48:35,248 --> 00:48:36,549 PERCENTAGE MORE THAT'S A REAL 1079 00:48:36,549 --> 00:48:37,850 NUMBER OF PEOPLE. 1080 00:48:37,850 --> 00:48:39,452 >> I'M GUESSING IT'S COLLECTED 1081 00:48:39,452 --> 00:48:41,621 FOR MUTATION CARRIERS AND PEOPLE 1082 00:48:41,621 --> 00:48:42,989 ALREADY AT HIGH RISK. 1083 00:48:42,989 --> 00:48:43,923 WE'RE SEEING PEOPLE NOT IN THE 1084 00:48:43,923 --> 00:48:48,561 POPULATION AND SOME OF THESE 1085 00:48:48,561 --> 00:48:52,665 CANCERS APPEAR TO BE MORE 1086 00:48:52,665 --> 00:48:53,299 AGGRES 1087 00:48:53,299 --> 00:48:53,599 AGGRESSIVE. 1088 00:48:53,599 --> 00:48:54,567 >> WE NEED ALL THESE PEOPLE 1089 00:48:54,567 --> 00:48:55,635 TALKING TOGETHER. 1090 00:48:55,635 --> 00:48:57,570 I THINK THERE'S SOME CANCERS 1091 00:48:57,570 --> 00:48:58,371 MORE AGGRESSIVE AND SOME LESS 1092 00:48:58,371 --> 00:49:00,373 AGGRESSIVE THAN THEIR 1093 00:49:00,373 --> 00:49:00,707 COUNTERPARTS. 1094 00:49:00,707 --> 00:49:03,276 SO WE NEED TO UNDERSTAND THAT. 1095 00:49:03,276 --> 00:49:05,611 I THINK WE NEED TO UNDERSTAND 1096 00:49:05,611 --> 00:49:07,180 THE MUTATION PROFILE HAPPENING 1097 00:49:07,180 --> 00:49:10,683 THE SAME OR HAPPENING EARLIER OR 1098 00:49:10,683 --> 00:49:12,185 DIFFERENT DRIVERS WITH DIFFERENT 1099 00:49:12,185 --> 00:49:12,552 EXPOSURES? 1100 00:49:12,552 --> 00:49:15,555 WE DON'T KNOW ANY OF THAT. 1101 00:49:15,555 --> 00:49:17,890 THERE'S HUGE BIOLOGY AND IF 1102 00:49:17,890 --> 00:49:19,659 CANCER IS LESS AGGRESSIVE WHEN 1103 00:49:19,659 --> 00:49:24,297 YOU GET IT AT 40 THAN 60 IS 1104 00:49:24,297 --> 00:49:25,498 STILL AN ISSUE. 1105 00:49:25,498 --> 00:49:26,733 THERE'S STILL REAL THINGS TO 1106 00:49:26,733 --> 00:49:28,935 STUDY ABOUT OUTCOME AND 1107 00:49:28,935 --> 00:49:32,805 SURVIVORSHIP ISSUES. 1108 00:49:32,805 --> 00:49:36,943 >> KATIE? 1109 00:49:36,943 --> 00:49:38,845 I'VE SEEN ABOUT SURVIVORSHIP AND 1110 00:49:38,845 --> 00:49:42,548 NAVIGATING THE DIFFERENT 1111 00:49:42,548 --> 00:49:44,884 RESOURCES AVAILABLE TO PATIENTS 1112 00:49:44,884 --> 00:49:46,185 AND AND A HALF FWATING WHILE ON 1113 00:49:46,185 --> 00:49:47,653 TREATMENT THERE'S DIFFERENT HURD 1114 00:49:47,653 --> 00:49:56,996 RALES AND NETWORKING AS WELL AS 1115 00:49:56,996 --> 00:49:59,265 SURVIVORSHIP AFTERWARDS AFTER 1116 00:49:59,265 --> 00:50:00,099 DIAGNOSIS. 1117 00:50:00,099 --> 00:50:01,200 THAT'S THE ONE PREVALENT THING 1118 00:50:01,200 --> 00:50:01,968 I'VE HEARD. 1119 00:50:01,968 --> 00:50:04,937 >> THAT'S A HUGE AREA OF UNMET 1120 00:50:04,937 --> 00:50:05,538 NEED. 1121 00:50:05,538 --> 00:50:09,842 WE DON'T REALLY KNOW ALL THE 1122 00:50:09,842 --> 00:50:11,511 RIGHT THINGS TO OFFER PEOPLE 1123 00:50:11,511 --> 00:50:12,779 ESPECIALLY BECAUSE IT'S BEEN NOT 1124 00:50:12,779 --> 00:50:17,817 PART OF THE ONCOLOGISTS SORT OF 1125 00:50:17,817 --> 00:50:18,050 WORRIES. 1126 00:50:18,050 --> 00:50:26,025 BUT IT NEED TO BE NOW. 1127 00:50:26,025 --> 00:50:30,229 AND EFFECTS ON FAMILIES AND 1128 00:50:30,229 --> 00:50:30,897 COMMUNITIES AND THERE'S A LOT WE 1129 00:50:30,897 --> 00:50:41,073 CAN LEARN. 1130 00:50:56,689 --> 00:51:02,929 >> THERE'S PATHOLOGY AND THE 1131 00:51:02,929 --> 00:51:07,533 ANALYSIS IS ACTUALLY NOW MORE 1132 00:51:07,533 --> 00:51:12,638 ACCURATE AND EFFECTIVE AND THE 1133 00:51:12,638 --> 00:51:15,942 REAL BENEFIT OF ARTIFICIAL IN 1134 00:51:15,942 --> 00:51:18,444 TELL AGAINST WILL COME WHEN IT'S 1135 00:51:18,444 --> 00:51:23,783 USED TO ANALYZE THE ENTIRE PODDY 1136 00:51:23,783 --> 00:51:24,917 OF INFORMATION ABOUT THE PATIENT 1137 00:51:24,917 --> 00:51:29,856 THAT'S THE BIOMARKERS, HISTORY, 1138 00:51:29,856 --> 00:51:32,992 COMORBID, GENETICS ETCETERA. 1139 00:51:32,992 --> 00:51:35,995 AND BE ABLE TO THEN DIRECT 1140 00:51:35,995 --> 00:51:39,031 TOWARD THE MOST OPTIMAL 1141 00:51:39,031 --> 00:51:40,933 TREATMENT OF MANY MANY 1142 00:51:40,933 --> 00:51:42,301 TREATMENTS AVAILABLE FOR THAT 1143 00:51:42,301 --> 00:51:44,937 PARTICULAR PATIENT AND TO DO 1144 00:51:44,937 --> 00:51:48,441 THAT THAT WILL REQUIRE MASSIVE 1145 00:51:48,441 --> 00:51:50,409 ANALYSIS AND COST HUNDREDS OF 1146 00:51:50,409 --> 00:51:52,945 THOUSANDS OF MILLIONS. 1147 00:51:52,945 --> 00:51:58,551 MY QUESTION I'M GETTING TO IS 1148 00:51:58,551 --> 00:51:59,585 ARE THEY COLLECTING THIS AND 1149 00:51:59,585 --> 00:52:05,091 HELPING TO PREPARE ANALYSIS AND 1150 00:52:05,091 --> 00:52:07,493 I'D LIKE TO HEAR WHERE YOU SEE 1151 00:52:07,493 --> 00:52:11,564 THAT GOING. 1152 00:52:11,564 --> 00:52:17,303 >> DEFINITELY. 1153 00:52:17,303 --> 00:52:19,138 TO ME THIS IS GOING TO BE THE 1154 00:52:19,138 --> 00:52:21,841 FUTURE OF REALLY PERSONALIZED 1155 00:52:21,841 --> 00:52:22,108 MEDICINE. 1156 00:52:22,108 --> 00:52:23,943 WHEN IT'S ALL OF YOUR 1157 00:52:23,943 --> 00:52:28,180 INFORMATION, BIOLOGICAL, 1158 00:52:28,180 --> 00:52:33,586 GENETIC, EVERYTHING GOING INTO 1159 00:52:33,586 --> 00:52:36,923 CREATING A PLAN. 1160 00:52:36,923 --> 00:52:40,159 THERE ARE ALREADY PIECES COMING 1161 00:52:40,159 --> 00:52:44,597 OUT SUMMER AND LATE SPRING THAT 1162 00:52:44,597 --> 00:52:46,732 TOOK THE INFORMATION AND A 1163 00:52:46,732 --> 00:52:47,333 PATIENT'S RECORD USING A.I. 1164 00:52:47,333 --> 00:52:49,802 TOOLS TO PREDICT WHO WOULD 1165 00:52:49,802 --> 00:52:52,939 RESPOND BETTER TO CHEMO OR 1166 00:52:52,939 --> 00:52:53,272 IMMUNOTHERAPY. 1167 00:52:53,272 --> 00:52:54,740 AND THAT WAS MUCH BETTER THAN 1168 00:52:54,740 --> 00:52:59,578 WHAT DOCTORS ARE ABLE TO DO. 1169 00:52:59,578 --> 00:53:01,047 WE'LL HAVE TO BE ABLE TO LET GO 1170 00:53:01,047 --> 00:53:03,616 AND TRUST WHEN THESE THINGS WORK 1171 00:53:03,616 --> 00:53:06,319 AND EVEN THESE COOL ALGORITHMS 1172 00:53:06,319 --> 00:53:07,453 AREN'T QUITE OUT THERE BUT 1173 00:53:07,453 --> 00:53:10,089 THEY'LL BE COMING VERY SOON. 1174 00:53:10,089 --> 00:53:12,558 IN TERMS OF THE PASSIVE AMOUNTS 1175 00:53:12,558 --> 00:53:17,163 OF DATA NEEDED. 1176 00:53:17,163 --> 00:53:19,231 WE'RE PULLING THE DATA INTO 1177 00:53:19,231 --> 00:53:22,368 THINGS LIKE DATA FABRICS AND 1178 00:53:22,368 --> 00:53:26,072 MULTIPLE TRIALS AND MULTIPLE 1179 00:53:26,072 --> 00:53:27,273 COMPONENTS COMING TOGETHER AND 1180 00:53:27,273 --> 00:53:29,275 TAKES MORE THAN WHAT MY MAC 1181 00:53:29,275 --> 00:53:30,810 LAPTOP CAN DO AND USE THE 1182 00:53:30,810 --> 00:53:32,778 DEPARTMENT OF ENERGY TO USE 1183 00:53:32,778 --> 00:53:33,579 THEIR SUPER COMPUTER. 1184 00:53:33,579 --> 00:53:35,748 WE HAVE A WHOLE PROJECT. 1185 00:53:35,748 --> 00:53:40,920 I WILL SAY THE MOONSHOT FUNDED 1186 00:53:40,920 --> 00:53:41,921 WE SCRAPED TOGETHER FOR THE 1187 00:53:41,921 --> 00:53:43,122 PROJECT THIS YEAR AND IT'S 1188 00:53:43,122 --> 00:53:45,558 EXPENSIVE AND HARD TO PAY FOR IN 1189 00:53:45,558 --> 00:53:47,259 THE CURRENT BUDGET SITUATION. 1190 00:53:47,259 --> 00:53:48,194 TO KEEP PAYING FOR IT SOMETHING 1191 00:53:48,194 --> 00:53:52,198 ELSE WILL HAVE TO GO AND WE HAVE 1192 00:53:52,198 --> 00:53:54,233 IT COVERED FOR '25 AND '26 BUT 1193 00:53:54,233 --> 00:53:55,568 WE NEED TO WORK WITH THE 1194 00:53:55,568 --> 00:53:57,503 DEPARTMENT OF ENERGY AND NEED TO 1195 00:53:57,503 --> 00:53:58,971 BE ABLE TO USE THAT SUPER 1196 00:53:58,971 --> 00:53:59,338 COMPUTING POWER. 1197 00:53:59,338 --> 00:54:02,308 AS WE LEARN HOW TO DO IT LIKE 1198 00:54:02,308 --> 00:54:03,509 EVERYTHING ELSE IT WILL 1199 00:54:03,509 --> 00:54:04,944 EVENTUALLY PEEL BACK THE THINGS 1200 00:54:04,944 --> 00:54:15,488 YOU CAN DO AT A NORMAL COMPUTER. 1201 00:54:16,989 --> 00:54:19,225 >> TO THE FIRST POINT OF EARLY 1202 00:54:19,225 --> 00:54:20,059 ONSET CANCERS IT GOES BACK TO 1203 00:54:20,059 --> 00:54:25,231 WHERE YOU STARTED IN THE SUMMER 1204 00:54:25,231 --> 00:54:29,235 ABOUT MISINFORMATION AND THIS 1205 00:54:29,235 --> 00:54:31,937 COULD BE THAT QUESTION BUT AS 1206 00:54:31,937 --> 00:54:36,542 ADVOCATES AND WE INTERACT AND WE 1207 00:54:36,542 --> 00:54:39,945 HAVE MEETINGS OR SYMPOSIA WHAT 1208 00:54:39,945 --> 00:54:42,548 FORCES ARE THERE TO BRING TO 1209 00:54:42,548 --> 00:54:47,153 BEAR TO EDUCATE AND HELP YOUNGER 1210 00:54:47,153 --> 00:54:50,189 PEOPLE WHO ARE NOT LOOKING TO 1211 00:54:50,189 --> 00:54:55,327 EXPLAIN WHAT'S HAPPENING AND 1212 00:54:55,327 --> 00:55:03,769 THEY MAY TURN AND HOW CAN WE BE 1213 00:55:03,769 --> 00:55:05,404 THE BEST ADVOCATES AND EXPLAIN 1214 00:55:05,404 --> 00:55:06,439 TO OUR COMMUNITIES. 1215 00:55:06,439 --> 00:55:08,741 >> THAT'S A GREAT QUESTION. 1216 00:55:08,741 --> 00:55:12,945 THAT'S ONE OF THE THINGS WE 1217 00:55:12,945 --> 00:55:16,816 REALIZE WAS A GAP. 1218 00:55:16,816 --> 00:55:18,684 THERE'S NOT A COMPREHENSIVE 1219 00:55:18,684 --> 00:55:19,919 GREAT RESOURCE. 1220 00:55:19,919 --> 00:55:20,886 WE'RE MAKING SURE OUR 1221 00:55:20,886 --> 00:55:23,155 INFORMATION IS COHESIVE AND TO 1222 00:55:23,155 --> 00:55:24,457 THE RIGHT PLACE BUT THAT'S JUST 1223 00:55:24,457 --> 00:55:25,691 OUR WEBSITE. 1224 00:55:25,691 --> 00:55:27,827 >> IT WOULD BE GREAT TO HAVE A 1225 00:55:27,827 --> 00:55:29,695 SPEAKER BUREAU TO COME AND TALK 1226 00:55:29,695 --> 00:55:32,331 TO US ABOUT WHAT WE COULD PUT IN 1227 00:55:32,331 --> 00:55:37,636 A REQUEST TO HAVE A SPEAKER TO 1228 00:55:37,636 --> 00:55:40,439 COME AND TALK ABOUT FIGHTING 1229 00:55:40,439 --> 00:55:42,041 DISINFORMATION. 1230 00:55:42,041 --> 00:55:46,946 THAT'S A GREAT QUESTION FOR 1231 00:55:46,946 --> 00:55:49,882 PIERRE WHEN HE COMES TO SPEAK TO 1232 00:55:49,882 --> 00:55:50,549 YOU. 1233 00:55:50,549 --> 00:55:52,618 PATS PART OF OUR INITIATIVE. 1234 00:55:52,618 --> 00:55:56,589 WE WANT TO MOVE BEYOND OUR 1235 00:55:56,589 --> 00:55:59,325 STATIC THINGS ARE AVAILABLE YOU 1236 00:55:59,325 --> 00:56:04,196 CAN FIND THEM AND THIS IS OFF 1237 00:56:04,196 --> 00:56:08,000 TOPIC BUT I HAVE AN EXTRA 1238 00:56:08,000 --> 00:56:09,635 TWITTER PAGE AND WE PUT A LOT OF 1239 00:56:09,635 --> 00:56:12,404 CONTENT OUT THERE AND THEY TOLD 1240 00:56:12,404 --> 00:56:16,308 ME I HAVE TO START DOING VIDEOS 1241 00:56:16,308 --> 00:56:17,877 WHICH I HATE SO MUCH BUT I'M 1242 00:56:17,877 --> 00:56:18,577 BETTER. 1243 00:56:18,577 --> 00:56:20,579 WHEN I PUT A VIDEO OUT THERE I 1244 00:56:20,579 --> 00:56:21,847 GET FIVE TIMES MORE ENGAGEMENT. 1245 00:56:21,847 --> 00:56:23,415 IT'S AMAZING. 1246 00:56:23,415 --> 00:56:24,450 SO WE'LL PROBABLY HAVE TO FIGURE 1247 00:56:24,450 --> 00:56:25,818 OUT HOW TO GET SOME OF THE 1248 00:56:25,818 --> 00:56:29,989 INFORMATION OUT THERE IN WAYS 1249 00:56:29,989 --> 00:56:31,190 PEOPLE DIGEST TODAY. 1250 00:56:31,190 --> 00:56:33,692 SOME VIDEO CONTENT AND -- 1251 00:56:33,692 --> 00:56:35,027 >> IF YOU DON'T THEY'LL GET 1252 00:56:35,027 --> 00:56:35,661 INFORMATION SOME PLACE ELSE. 1253 00:56:35,661 --> 00:56:43,135 >> YEAH. 1254 00:56:43,135 --> 00:56:49,842 >> I THINK NCI PUTS A LOT INTO 1255 00:56:49,842 --> 00:56:52,378 EXCHANGE OF INFORMATION AND IT'S 1256 00:56:52,378 --> 00:56:54,380 ABOUT PACKAGING THAT IN 1257 00:56:54,380 --> 00:56:55,681 DIFFERENT WAYS AND THE EXPERTISE 1258 00:56:55,681 --> 00:56:57,650 AND CONTENT IS THERE. 1259 00:56:57,650 --> 00:57:00,586 >> I AGREE 100% AND KNOW I'VE 1260 00:57:00,586 --> 00:57:02,721 BUGGED YOU ABOUT THIS FOR YEARS 1261 00:57:02,721 --> 00:57:04,924 AND YOU'VE RESPONDED EVERY TIME. 1262 00:57:04,924 --> 00:57:09,295 IT'S GREAT AND I CAN FIND THINGS 1263 00:57:09,295 --> 00:57:13,432 BUT IF YOU DIDN'T HAVE A 1264 00:57:13,432 --> 00:57:14,667 SPEAKER -- 1265 00:57:14,667 --> 00:57:18,904 >> WE'RE OPEN TO SUGGESTIONS AND 1266 00:57:18,904 --> 00:57:21,574 HEARING THE NEEDS. 1267 00:57:21,574 --> 00:57:24,443 >> AND A FOLLOW-UP TO WHAT VICKY 1268 00:57:24,443 --> 00:57:29,615 SAID BUT AMANDA AND THEN BOB TO 1269 00:57:29,615 --> 00:57:30,216 MAKE SURE TO GET EVERYONE WE 1270 00:57:30,216 --> 00:57:35,621 CAN. 1271 00:57:35,621 --> 00:57:38,891 >> I THINK YOU'RE SPOT ON IN 1272 00:57:38,891 --> 00:57:40,492 EXACTLY WHAT YOU JUST SAID. 1273 00:57:40,492 --> 00:57:41,927 YOU HAVE THE INFORMATION. 1274 00:57:41,927 --> 00:57:47,399 IT'S JUST A MATTER OF THE MEDIUM 1275 00:57:47,399 --> 00:57:49,835 AND I THINK THERE'S A CONNECTION 1276 00:57:49,835 --> 00:57:51,904 BETWEEN EARLY INVESTIGATORS 1277 00:57:51,904 --> 00:57:53,305 FOCUSSED ON COMMUNICATION AND 1278 00:57:53,305 --> 00:57:54,974 WHAT IS CLEARLY A HOT TOPIC 1279 00:57:54,974 --> 00:57:57,843 RIGHT NOW OF EARLY ONSET CANCER 1280 00:57:57,843 --> 00:58:01,614 I THINK IS LARGELY DRIVEN BY 1281 00:58:01,614 --> 00:58:03,849 COMMUNICATIVE PRESS AROUND THE 1282 00:58:03,849 --> 00:58:04,283 SUBJECT. 1283 00:58:04,283 --> 00:58:10,222 AND SO I WONDER IF THERE'S A 1284 00:58:10,222 --> 00:58:11,523 CONNECTING PIECE INVOLVING YOUNG 1285 00:58:11,523 --> 00:58:15,160 INVESTIGATORS THAT WOULD 1286 00:58:15,160 --> 00:58:16,328 IDENTIFY WITHIN THE COHORT TO 1287 00:58:16,328 --> 00:58:18,597 SPEAK TO ABLE-RELATED EARLY 1288 00:58:18,597 --> 00:58:23,369 ONSET CANCERS AND I THINK YOU'RE 1289 00:58:23,369 --> 00:58:27,306 SPOT ON IN SAYING AYS OUR 1290 00:58:27,306 --> 00:58:28,073 TRADITIONAL DEFINITION DOESN'T 1291 00:58:28,073 --> 00:58:30,609 FIT IN TALKING ABOUT ADULT 1292 00:58:30,609 --> 00:58:33,245 CANCERS NO LONGER BEING IN THE 1293 00:58:33,245 --> 00:58:35,914 OLDER ADULT COHORT OF 1294 00:58:35,914 --> 00:58:36,915 INDIVIDUALS. 1295 00:58:36,915 --> 00:58:38,384 OFFERING PERSPECTIVE AND I THINK 1296 00:58:38,384 --> 00:58:41,153 IT WOULD BE INCORRECT TO SAY OH, 1297 00:58:41,153 --> 00:58:47,459 THEY'LL GET IT FROM TIKTOK. 1298 00:58:47,459 --> 00:58:48,360 YOU DON'T THINK THAT'S THE 1299 00:58:48,360 --> 00:58:50,095 CORRECT APPROACH BECAUSE IT'S 1300 00:58:50,095 --> 00:58:54,633 REGARDED AS A TRUE SOURCE NOW 1301 00:58:54,633 --> 00:59:05,144 AND IT NEEDS TO BE ADDRESSED. 1302 00:59:11,917 --> 00:59:14,019 >> MORE OF A QUESTION OF WHAT 1303 00:59:14,019 --> 00:59:15,821 NCI IS DOING TO BE DATA READY 1304 00:59:15,821 --> 00:59:21,694 BUT MORE IMPORTANTLY I'VE BEEN 1305 00:59:21,694 --> 00:59:23,429 HEARING PUSHBACK ABOUT WHAT I 1306 00:59:23,429 --> 00:59:25,364 SEE A.I. BEING ABLE TO DO WHICH 1307 00:59:25,364 --> 00:59:28,133 IS COMING UP WITH IDEAS TO 1308 00:59:28,133 --> 00:59:28,334 STUDY. 1309 00:59:28,334 --> 00:59:30,669 WE HAVE DATA AMASSED ON PATIENTS 1310 00:59:30,669 --> 00:59:33,405 AND A.I. IS CAPABLE OF LETTING 1311 00:59:33,405 --> 00:59:34,940 THE CREAM RISE TO THE TOP AND 1312 00:59:34,940 --> 00:59:36,408 THESE ARE THE THINGS WE NEED TO 1313 00:59:36,408 --> 00:59:36,942 LOOK AT. 1314 00:59:36,942 --> 00:59:39,812 THIS IS A GENE WE'RE SEEING A 1315 00:59:39,812 --> 00:59:44,917 LOT OF ISSUES WITH OR WHATEVER. 1316 00:59:44,917 --> 00:59:46,552 AND TO THE PUSHBACK I'VE BEEN 1317 00:59:46,552 --> 00:59:49,188 HEARING IS THAT'S A BIASSED 1318 00:59:49,188 --> 00:59:50,122 STUDY. 1319 00:59:50,122 --> 00:59:52,224 LIKE THEY'RE ALMOST AFRAID TO 1320 00:59:52,224 --> 00:59:53,492 LET THE DATA LEAD AND THAT'S 1321 00:59:53,492 --> 00:59:55,527 CONCERN FOR ME AND WHY WE'RE 1322 00:59:55,527 --> 00:59:57,329 AMASSING THE DATA AND LET THE 1323 00:59:57,329 --> 00:59:58,964 DATA SHOW US WHERE WE SHOULD BE 1324 00:59:58,964 --> 01:00:00,165 GOING AND STUDYING. 1325 01:00:00,165 --> 01:00:06,605 INTERESTED IN YOUR THOUGHTS ON 1326 01:00:06,605 --> 01:00:14,113 THAT. 1327 01:00:14,113 --> 01:00:16,915 DO YOU TRUST THE A.I. HAS ALL 1328 01:00:16,915 --> 01:00:22,321 THE INFORMATION IT NEEDS AND NOT 1329 01:00:22,321 --> 01:00:26,058 AGGREGATING SOMETHING BUT NOT 1330 01:00:26,058 --> 01:00:28,394 INFLUENCED BY SOME COMPONENT I 1331 01:00:28,394 --> 01:00:30,629 CAN'T SEE AND TO ANSWER THE 1332 01:00:30,629 --> 01:00:31,497 QUESTION A LITTLE BIT MORE 1333 01:00:31,497 --> 01:00:36,935 CLEARLY I'M NOT A DATA 1334 01:00:36,935 --> 01:00:41,573 SCIENTIST. 1335 01:00:41,573 --> 01:00:44,910 I HAVE TO WONDER BUT THERE ARE 1336 01:00:44,910 --> 01:00:48,580 THINGS A.I. CAN DO THAT WE JUST 1337 01:00:48,580 --> 01:00:49,948 CAN'T THINK IN THAT DIMENSIONS 1338 01:00:49,948 --> 01:00:51,250 AT THE A GREAT TIME. 1339 01:00:51,250 --> 01:00:54,486 A GREAT EXAMPLE IS AROUND 1340 01:00:54,486 --> 01:00:56,922 RADIOLOGY AND USING A.I. TO 1341 01:00:56,922 --> 01:00:58,524 PREDICT WHAT'S GOING ON. 1342 01:00:58,524 --> 01:00:59,858 THERE'S THINGS THAT IT WILL PICK 1343 01:00:59,858 --> 01:01:01,293 UP THAT ARE WRONG AND WE HAVE TO 1344 01:01:01,293 --> 01:01:03,595 LEARN HOW TO KNOW WHAT IS WRONG. 1345 01:01:03,595 --> 01:01:10,369 AND WE HAVE TO RE-LEARN HOW TO 1346 01:01:10,369 --> 01:01:11,670 INTERACTION WITH THE MACHINE. 1347 01:01:11,670 --> 01:01:14,973 THE MACHINE CAN BE A TOOL TO SEE 1348 01:01:14,973 --> 01:01:18,911 WHAT WE CAN'T SEE AND THE 1349 01:01:18,911 --> 01:01:20,612 PATTERN WE'RE SEEING IS KICKING 1350 01:01:20,612 --> 01:01:22,314 UP DUST IN THE AREA. 1351 01:01:22,314 --> 01:01:22,881 IT'S A LEARNING PROCESS FOR 1352 01:01:22,881 --> 01:01:32,891 EVERYBODY. 1353 01:01:32,891 --> 01:01:34,960 >> IN TERMS OF BIG DATA AND 1354 01:01:34,960 --> 01:01:37,196 GOING BACK TO THE ANALOGY OF THE 1355 01:01:37,196 --> 01:01:40,666 WEATHER SERVICE AND WE HAVE A 1356 01:01:40,666 --> 01:01:42,000 NATIONAL WEATHER SERVICE WITH 1357 01:01:42,000 --> 01:01:45,571 DATA WE ALL TRUST. 1358 01:01:45,571 --> 01:01:51,810 THE CANCER DATA SEEMS SILE SILO. 1359 01:01:51,810 --> 01:01:53,345 IS THERE A WAY TO SHARE IT AND 1360 01:01:53,345 --> 01:01:54,646 COMPILE IT? 1361 01:01:54,646 --> 01:01:56,215 >> I'M WITH YOU. 1362 01:01:56,215 --> 01:01:59,551 PATIENT INFORMATION IS PRETTY 1363 01:01:59,551 --> 01:01:59,818 PROTECTED. 1364 01:01:59,818 --> 01:02:06,992 SOME IS MORE COMPLICATED. 1365 01:02:06,992 --> 01:02:08,660 FOR EXAMPLE LIKE OUR INCIDENTS 1366 01:02:08,660 --> 01:02:10,929 AND MORTALITY WHICH FEEDS INTO 1367 01:02:10,929 --> 01:02:12,931 THE CANCER FACTS AND FIGURES 1368 01:02:12,931 --> 01:02:17,436 EVERY YEAR IS A PRETTY RELIABLE 1369 01:02:17,436 --> 01:02:18,237 CENSUS OF WHAT'S GOING ON 1370 01:02:18,237 --> 01:02:20,439 GENERALLY AROUND THE COUNTRY. 1371 01:02:20,439 --> 01:02:23,609 THERE'S BEEN A CHALLENGE ABOUT 1372 01:02:23,609 --> 01:02:28,614 THREE YEARS FOLD WAY TOO SLOW. 1373 01:02:28,614 --> 01:02:30,649 WE'VE DROPPED IT DOWN AND KEEP 1374 01:02:30,649 --> 01:02:31,650 PUSHING IT. 1375 01:02:31,650 --> 01:02:32,584 IT WILL BE NEVER LIKE I HAVE 1376 01:02:32,584 --> 01:02:35,654 CANCER AND CAN SEE IT IN THE 1377 01:02:35,654 --> 01:02:37,055 DATABASE TOMORROW. 1378 01:02:37,055 --> 01:02:41,560 BUT TO MAKE IT REALISTIC IS VERY 1379 01:02:41,560 --> 01:02:44,930 MUCH ON THE HORIZON. 1380 01:02:44,930 --> 01:02:47,900 SOPHISTICATED VERSIONS ARE 1381 01:02:47,900 --> 01:02:49,568 ACCEPTABLE TO INVESTIGATORS BUT 1382 01:02:49,568 --> 01:02:50,602 THINGS PEOPLE CAN LOOK AT. 1383 01:02:50,602 --> 01:02:52,938 I AGREE, I FEEL LIKE CANCER IS 1384 01:02:52,938 --> 01:02:58,010 AT A PLACE WHERE HAVING THOSE 1385 01:02:58,010 --> 01:03:03,315 KINDS OF DATA FEEDS IT WOULD 1386 01:03:03,315 --> 01:03:05,751 HELP TO BE ABLE TO WHERE THEY'RE 1387 01:03:05,751 --> 01:03:08,053 CHANGING FASTER AND SLOWER AND 1388 01:03:08,053 --> 01:03:09,521 WHAT REAL RISKS ARE. 1389 01:03:09,521 --> 01:03:12,524 >> WE'RE AT TIME BUT WE'LL TAKE 1390 01:03:12,524 --> 01:03:14,693 ONE MORE QUESTION BECAUSE ANDREA 1391 01:03:14,693 --> 01:03:15,928 HAD HER HAND UP. 1392 01:03:15,928 --> 01:03:20,933 >> I APPRECIATE IT. 1393 01:03:20,933 --> 01:03:22,100 I'LL SPEAK QUICKLY. 1394 01:03:22,100 --> 01:03:24,002 ONE OF THE THINGS WE HAVE TO BE 1395 01:03:24,002 --> 01:03:27,806 CAREFUL OF IS THE INHERENT BIAS 1396 01:03:27,806 --> 01:03:30,776 WE CURRENTLY HAVE IN DIVERSITY 1397 01:03:30,776 --> 01:03:32,311 ISSUES. 1398 01:03:32,311 --> 01:03:32,911 LIKE ALL DATA INFORMATION, 1399 01:03:32,911 --> 01:03:36,348 GARBAGE IN, GARBAGE OUT. 1400 01:03:36,348 --> 01:03:39,351 WE WORRY ABOUT INCREASING THAT 1401 01:03:39,351 --> 01:03:42,688 ISSUE BY RELYING TOO HEAVILY ON 1402 01:03:42,688 --> 01:03:44,790 ESPECIALLY OLD INFORMATION AS WE 1403 01:03:44,790 --> 01:03:46,758 TRY ENGAGE FURTHER IN DIVERSE 1404 01:03:46,758 --> 01:03:47,059 COMMUNITIES. 1405 01:03:47,059 --> 01:03:48,627 I HAVE CONCERNS ABOUT THAT. 1406 01:03:48,627 --> 01:03:59,171 AND LIFESTYLE ISSUES INCLUDING 1407 01:04:00,205 --> 01:04:01,073 ALCOHOL HAVE ALWAYS BEEN A 1408 01:04:01,073 --> 01:04:04,743 QUESTION AND IT'S HARDER TO GET 1409 01:04:04,743 --> 01:04:05,277 DATA WHEN IT'S LIFESTYLE 1410 01:04:05,277 --> 01:04:12,618 INFLUENCES. 1411 01:04:12,618 --> 01:04:16,455 >> SO DATA SOURCES LIKE THE "ALL 1412 01:04:16,455 --> 01:04:17,723 OF US" PROGRAM IT'S AN PROGRAM 1413 01:04:17,723 --> 01:04:20,425 WE PARTNER WITH TAKING REAL 1414 01:04:20,425 --> 01:04:24,930 WORLD INFORMATION AND HOPEFULLY 1415 01:04:24,930 --> 01:04:26,365 HONESTLY SUPPLIES BECAUSE IT'S 1416 01:04:26,365 --> 01:04:28,634 PATIENT INPUT ON SOCIAL FACTORS 1417 01:04:28,634 --> 01:04:30,636 OR THINGS LIKE ALCOHOL INTAKE. 1418 01:04:30,636 --> 01:04:36,642 IT WILL BE A MILLION PEOPLE AND 1419 01:04:36,642 --> 01:04:39,611 IT IS GEOGRAPHICALLY AND 1420 01:04:39,611 --> 01:04:41,346 ETHNICALLY DIVERSE AND IT WILL 1421 01:04:41,346 --> 01:04:43,248 TAKE TIME BEFORE IT HAS THE 1422 01:04:43,248 --> 01:04:44,282 CANCER INFORMATION BECAUSE 1423 01:04:44,282 --> 01:04:46,685 CANCER HAS A LONGER LEAD TIME 1424 01:04:46,685 --> 01:04:48,020 THAN OTHER THINGS THEY STUDIED 1425 01:04:48,020 --> 01:04:52,924 BUT IT WILL BE ONE EXAMPLE OF A 1426 01:04:52,924 --> 01:04:56,928 GREAT RESOURCE FOR THAT. 1427 01:04:56,928 --> 01:05:02,901 SO I THINK OF THIS AS NO STONE 1428 01:05:02,901 --> 01:05:04,603 UNTURNED AND THE INFORMATION IS 1429 01:05:04,603 --> 01:05:06,772 BIASSED AND THE PATIENTS IN 1430 01:05:06,772 --> 01:05:08,173 THEM. 1431 01:05:08,173 --> 01:05:11,076 >> THANK YOU FOR THE AMAZING 1432 01:05:11,076 --> 01:05:12,577 DIALOGUE WITH DR. RATHMELL AND 1433 01:05:12,577 --> 01:05:14,079 THANK YOU FOR THIS BEAUTIFUL 1434 01:05:14,079 --> 01:05:14,846 COMPREHENSIVE REPORT ABOUT 1435 01:05:14,846 --> 01:05:16,915 WHAT'S GOING ON AND WHEN WE NEED 1436 01:05:16,915 --> 01:05:18,617 FOR THE FUTURE. 1437 01:05:18,617 --> 01:05:26,958 NEXT UP DR. KW KIBBE APOLOGIES R 1438 01:05:26,958 --> 01:05:27,726 GOING A LITTLE BIT OVER. 1439 01:05:27,726 --> 01:05:32,931 >> UME HERE, CAN YOU SEE ME? 1440 01:05:32,931 --> 01:05:36,635 >> IT'S GOOD TO SEE YOU. 1441 01:05:36,635 --> 01:05:41,606 DR. RATHMELL TALKED ABOUT YOUR 1442 01:05:41,606 --> 01:05:45,310 JOURNEY AND WELCOME AND WE'RE 1443 01:05:45,310 --> 01:05:47,512 EXCITED TO HEAR MORE. 1444 01:05:47,512 --> 01:05:52,617 WE'RE POISED TO HAVE DIALOGUE 1445 01:05:52,617 --> 01:05:59,257 AFTER YOUR PRESENTATION ON DATA. 1446 01:05:59,257 --> 01:06:01,727 >> IT'S A PLEASURE AND I WAS 1447 01:06:01,727 --> 01:06:02,527 LISTENING THROUGH THE EARLIER 1448 01:06:02,527 --> 01:06:04,463 SESSION AND I HEARD LOTS OF 1449 01:06:04,463 --> 01:06:06,665 GREAT QUESTIONS ON DATA SCIENCE. 1450 01:06:06,665 --> 01:06:08,233 I'LL ASK YOU TO BRING THIS UP TO 1451 01:06:08,233 --> 01:06:11,470 ME AGAIN AND HAPPY TO TRY TO 1452 01:06:11,470 --> 01:06:15,107 DIVE DEEPER ON THEM. 1453 01:06:15,107 --> 01:06:18,310 SO I'M JUST GOING TO GIVE A 1454 01:06:18,310 --> 01:06:19,144 BRIEF INTRODUCTION. 1455 01:06:19,144 --> 01:06:28,220 I WANT TO TALK ABOUT CCDI. 1456 01:06:28,220 --> 01:06:35,060 AND YOU THINK THOSE OF US ON THE 1457 01:06:35,060 --> 01:06:36,194 PHONE OR ZOOM ARE GETTING A 1458 01:06:36,194 --> 01:06:37,262 LITTLE BIT OF ECHO. 1459 01:06:37,262 --> 01:06:38,597 I DON'T KNOW IF YOU CAN REDUCE 1460 01:06:38,597 --> 01:06:40,565 THAT SO IF YOU NEED TO INTERRUPT 1461 01:06:40,565 --> 01:06:42,667 OR ASK A QUESTION, IF YOU RAISE 1462 01:06:42,667 --> 01:06:45,070 YOUR HANDS MAYBE I'LL BE ABLE TO 1463 01:06:45,070 --> 01:06:48,406 SEE THAT. 1464 01:06:48,406 --> 01:06:50,142 I'LL TALK ABOUT USING DATA AND 1465 01:06:50,142 --> 01:06:53,512 HOW WE'RE THINKING ABOUT THAT IN 1466 01:06:53,512 --> 01:06:54,913 GENERAL WITH CANCER RESEARCH. 1467 01:06:54,913 --> 01:06:56,782 TALK ABOUT A.I. WHICH SOUNDS 1468 01:06:56,782 --> 01:06:58,517 LIKE THERE'S A LOT OF INTEREST 1469 01:06:58,517 --> 01:06:58,784 IN. 1470 01:06:58,784 --> 01:06:59,351 AND THEN OPEN IT UP FOR FOR 1471 01:06:59,351 --> 01:07:03,855 STUGS. 1472 01:07:03,855 --> 01:07:04,923 -- DISCUSSION. 1473 01:07:04,923 --> 01:07:07,425 IT'S CREATE TO BE HERE. 1474 01:07:07,425 --> 01:07:08,927 JUST ABOUT MY ROLE AS 1475 01:07:08,927 --> 01:07:11,296 DR. RATHMELL MENTIONED I'M THE 1476 01:07:11,296 --> 01:07:12,631 INAUGURAL DEPUTY DIRECTOR FOR 1477 01:07:12,631 --> 01:07:13,865 DATA SCIENCE AND STRATEGY. 1478 01:07:13,865 --> 01:07:17,135 I STARTED BACK AT THE END OF 1479 01:07:17,135 --> 01:07:19,538 JUNE. 1480 01:07:19,538 --> 01:07:24,643 MY ROLE REALLY IS TO TRY TO 1481 01:07:24,643 --> 01:07:28,613 PROVIDE SOME LEADERSHIP AND 1482 01:07:28,613 --> 01:07:30,649 STRATEGIC DIRECTION FOR NCI IN 1483 01:07:30,649 --> 01:07:32,083 THINKING ABOUT DATA, DATA 1484 01:07:32,083 --> 01:07:39,691 SCIENCE AND NOW OF COURSE A.I. 1485 01:07:39,691 --> 01:07:41,960 THAT CAN'T BE OUT OF THE PICTURE 1486 01:07:41,960 --> 01:07:42,194 ANYMORE. 1487 01:07:42,194 --> 01:07:50,268 I'LL BE THINKING ABOUT HOW WE 1488 01:07:50,268 --> 01:07:52,737 IMPLEMENT A STRATEGIC PLAN FOR 1489 01:07:52,737 --> 01:07:55,407 DATA SCIENCE AND OUT OF THE 1490 01:07:55,407 --> 01:07:57,142 OFFICE OF DATA SCIENCE STRATEGY 1491 01:07:57,142 --> 01:08:02,881 BY DR. SUSAN GREGURICK. 1492 01:08:02,881 --> 01:08:07,452 THINK HOW WE EMBED OURSELVES 1493 01:08:07,452 --> 01:08:09,588 MORE ACROSS NIH AND DIGGING ALL 1494 01:08:09,588 --> 01:08:10,722 THE THINGS IN CANCER RESEARCH 1495 01:08:10,722 --> 01:08:14,659 THAT HAPPEN BOTH INSIDE NCI AND 1496 01:08:14,659 --> 01:08:15,460 OUTSIDE. 1497 01:08:15,460 --> 01:08:20,932 SO JUST TO TELL YOU A LITTLE BIT 1498 01:08:20,932 --> 01:08:28,506 ABOUT MYSELF, I WAS THE DIRECTOR 1499 01:08:28,506 --> 01:08:39,050 FOR BIO INFORMATICS AND 1500 01:08:39,050 --> 01:08:43,922 TECHNOLOGY FOR 2013 TO 2017 AND 1501 01:08:43,922 --> 01:08:45,523 THEN DEPUTY DIRECTOR AND THEN 1502 01:08:45,523 --> 01:08:48,627 MOVED TO DUKE AS THE CHIEF DATA 1503 01:08:48,627 --> 01:08:53,131 OFFICER FOR THE DUKE CANCER 1504 01:08:53,131 --> 01:08:56,167 INSTITUTE AND HAD AN OPPORTUNITY 1505 01:08:56,167 --> 01:08:58,603 TO WORK IN A LOT OF DIFFERENT 1506 01:08:58,603 --> 01:09:00,472 AREAS AND WITH A LOT OF 1507 01:09:00,472 --> 01:09:01,306 DIFFERENT PEOPLE INCLUDING 1508 01:09:01,306 --> 01:09:06,645 THINKING ABOUT HEALTH EQUITY AND 1509 01:09:06,645 --> 01:09:08,480 HOW INDIVIDUAL CANCER CENTERS 1510 01:09:08,480 --> 01:09:10,282 ARE TRYING TO IMPROVE HEALTH 1511 01:09:10,282 --> 01:09:12,651 EQUITY FOR CANCER PATIENTS AND 1512 01:09:12,651 --> 01:09:16,922 OF COURSE COME BACK NOW TO 1513 01:09:16,922 --> 01:09:20,825 KNICK. 1514 01:09:20,825 --> 01:09:23,061 I'LL TALK ABOUT CHILDHOOD CANCER 1515 01:09:23,061 --> 01:09:24,229 DATA INITIATIVE. 1516 01:09:24,229 --> 01:09:24,863 SOMETHING I'VE BEEN INVOLVED 1517 01:09:24,863 --> 01:09:26,097 WITH SINCE THE START. 1518 01:09:26,097 --> 01:09:28,900 I HAD THE PRIVILEGE TO BE ON THE 1519 01:09:28,900 --> 01:09:31,703 BSA WORKING GROUP THAT CREATED 1520 01:09:31,703 --> 01:09:38,410 THE REPORT THAT DEFINED WHAT 1521 01:09:38,410 --> 01:09:40,679 CCDI'S KEY GOALS WERE. 1522 01:09:40,679 --> 01:09:43,114 AND WHAT I WANT TO HIGHLIGHT 1523 01:09:43,114 --> 01:09:44,649 IT'S PEDIATRIC CANCER INTO 1524 01:09:44,649 --> 01:09:50,488 ADOLESCENCE AND YOUNG ADULTS AND 1525 01:09:50,488 --> 01:09:52,824 THE DIFFERENCE AS SAID AND EARLY 1526 01:09:52,824 --> 01:09:54,392 ONSET CANCERS IS THE CONCERN 1527 01:09:54,392 --> 01:09:56,828 WITH EARLY ONSET CANCERS IS IT 1528 01:09:56,828 --> 01:09:59,431 APPEARS TO BE MORE ADULT CANCERS 1529 01:09:59,431 --> 01:10:00,899 HAPPENING EARLIER VERSUS 1530 01:10:00,899 --> 01:10:01,499 PEDIATRIC CANCERS HAPPENING 1531 01:10:01,499 --> 01:10:06,604 LATER IN LIFE. 1532 01:10:06,604 --> 01:10:08,239 SO THERE'S AN OVERLAP BETWEEN 1533 01:10:08,239 --> 01:10:12,677 THE TWO AND CCDI IS INTERESTED 1534 01:10:12,677 --> 01:10:14,212 IN THE CHILDHOOD CANCER SIDE 1535 01:10:14,212 --> 01:10:18,083 INCLUDING ALL THE WAY UP TO AGE 1536 01:10:18,083 --> 01:10:21,486 39 MAKING SURE TO PROVIDE TOOLS 1537 01:10:21,486 --> 01:10:24,389 FOR YOUNG ADULTS WHO HAVE BEEN 1538 01:10:24,389 --> 01:10:25,323 DIAGNOSED WITH A PEDIATRIC 1539 01:10:25,323 --> 01:10:29,094 CANCER AND HOW THEY GET THE 1540 01:10:29,094 --> 01:10:32,931 RIGHT CARE. 1541 01:10:32,931 --> 01:10:35,400 THE IDEAS IS TO TRY TO LEARN 1542 01:10:35,400 --> 01:10:38,236 FROM EVERY SINGLE PATIENT THAT 1543 01:10:38,236 --> 01:10:40,438 HAS A PEDIATRIC CANCER AND I'LL 1544 01:10:40,438 --> 01:10:42,841 TALK ABOUT WHAT THAT MEANS IN A 1545 01:10:42,841 --> 01:10:46,111 LITTLE BIT ABOUT. 1546 01:10:46,111 --> 01:10:49,214 HAVE A NATIONAL STRATEGY FOR 1547 01:10:49,214 --> 01:10:50,548 MOLECULAR CHARACTERIZATION TO 1548 01:10:50,548 --> 01:10:51,850 INFORM DIAGNOSIS AND TREATMENT 1549 01:10:51,850 --> 01:10:57,155 AND TALK ABOUT NCI AND THE 1550 01:10:57,155 --> 01:10:59,958 STATISTICS WE'RE CURRENTLY AT 1551 01:10:59,958 --> 01:11:01,092 AND DEVELOP THE DATA PLATFORM 1552 01:11:01,092 --> 01:11:02,427 FOR A PLACE FOR ALL THESE 1553 01:11:02,427 --> 01:11:03,561 DIFFERENT KINDS OF DATA TO GO 1554 01:11:03,561 --> 01:11:05,764 AND I THINK THERE'S AN 1555 01:11:05,764 --> 01:11:08,199 OPPORTUNITY THERE TO THINK ABOUT 1556 01:11:08,199 --> 01:11:09,868 THAT DATA PLATFORM AS SOMETHING 1557 01:11:09,868 --> 01:11:16,775 WE CAN USE FOR ALL CANCER 1558 01:11:16,775 --> 01:11:18,643 PATIE 1559 01:11:18,643 --> 01:11:20,211 PATIENTS NOT JUST CHILDHOOD 1560 01:11:20,211 --> 01:11:21,546 CANCER PATIENTS AND YOUNG ADULTS 1561 01:11:21,546 --> 01:11:23,748 AND GET THE WHOLE CHILDHOOD 1562 01:11:23,748 --> 01:11:26,818 CANCER COMMUNITY AND RESEARCH 1563 01:11:26,818 --> 01:11:27,819 COMMUNITY WORKING TOGETHER IN 1564 01:11:27,819 --> 01:11:29,287 PERHAPS MORE DATA CENTRIC WAYS 1565 01:11:29,287 --> 01:11:35,627 THAN THEY ARE HAVE HISTORICALLY. 1566 01:11:35,627 --> 01:11:37,629 WITH THAT AS A BIT OF A 1567 01:11:37,629 --> 01:11:39,330 BACKGROUND WE'RE CURRENTLY IN 1568 01:11:39,330 --> 01:11:41,299 THE FIFTH YEAR FOR CCDI. 1569 01:11:41,299 --> 01:11:48,073 IT'S A 10-YEAR PROJECT. 1570 01:11:48,073 --> 01:11:54,279 WE HAVE A CHILD CANCER DATA 1571 01:11:54,279 --> 01:11:57,449 CATALOG WITH PEDIATRIC AND AYA 1572 01:11:57,449 --> 01:11:59,551 DATA SETS. 1573 01:11:59,551 --> 01:12:03,855 WE HAVE MORE THAN 4,000 PATIENTS 1574 01:12:03,855 --> 01:12:04,956 GET MOLECULARLY CHARACTERIZED. 1575 01:12:04,956 --> 01:12:08,927 I'LL TALK BRIEFLY ABOUT THAT AND 1576 01:12:08,927 --> 01:12:10,762 OF THOSE 4,000, ALMOST 3,000 1577 01:12:10,762 --> 01:12:15,567 PATIENTS THEIR DATA HAS BEEN 1578 01:12:15,567 --> 01:12:16,401 RELEASED PUBLICALLY. 1579 01:12:16,401 --> 01:12:19,070 SO THE REASON IT'S NOT ALL 4,000 1580 01:12:19,070 --> 01:12:20,905 IT TAKES A WHILE TO PROFESSOR IT 1581 01:12:20,905 --> 01:12:24,642 AND ANNOTATE AND RELEASE IT. 1582 01:12:24,642 --> 01:12:27,378 EVERYONE'S DATA WILL BE RELEASED 1583 01:12:27,378 --> 01:12:30,348 WHO GETS CHARACTERIZED THROUGH 1584 01:12:30,348 --> 01:12:34,986 THE INITIATIVE. 1585 01:12:34,986 --> 01:12:37,755 WE HAVE THIS MOLECULAR TARGETS 1586 01:12:37,755 --> 01:12:43,895 PLATFORM CALLED THE OPEN TARGETS 1587 01:12:43,895 --> 01:12:45,530 INITIATIVE THAT'S A GLOBAL 1588 01:12:45,530 --> 01:12:46,131 INITIATIVE. 1589 01:12:46,131 --> 01:12:49,267 THE POINT OF THE OPEN TARGETS 1590 01:12:49,267 --> 01:12:50,635 INITIATIVE IS TARGETS FOR 1591 01:12:50,635 --> 01:12:56,574 DIFFERENT KINDS OF MUTATIONS AND 1592 01:12:56,574 --> 01:12:58,009 ABNORMALITIES THAT HAPPEN IN 1593 01:12:58,009 --> 01:13:03,314 CANCER AND TRY TO BRING KNOWN 1594 01:13:03,314 --> 01:13:07,485 COMPOUNDS IN TO TARGET THE 1595 01:13:07,485 --> 01:13:08,019 SIGNATURES. 1596 01:13:08,019 --> 01:13:11,055 WE RELEASED THE MOLECULAR 1597 01:13:11,055 --> 01:13:12,490 TARGETS PLATFORM AND HAS IT 1598 01:13:12,490 --> 01:13:14,225 ALMOST 60,000 MOLECULAR TARGETS 1599 01:13:14,225 --> 01:13:16,661 AND WE THINK THAT'S GOING TO BE 1600 01:13:16,661 --> 01:13:19,364 IMPORTANT BECAUSE AS WE'RE 1601 01:13:19,364 --> 01:13:21,933 CHARACTERIZED MORE PATIENTS 1602 01:13:21,933 --> 01:13:23,935 WE'LL HAVE THE OPPORTUNITY WHEN 1603 01:13:23,935 --> 01:13:26,371 WE IDENTIFY A NEW MUTATIONAL 1604 01:13:26,371 --> 01:13:30,608 PROFILE TO SEE IF THERE A KNOWN 1605 01:13:30,608 --> 01:13:36,581 THERAPY, A KNOWN WAY TO TRY TO 1606 01:13:36,581 --> 01:13:37,182 INTERVENE IN THAT PARTICULAR 1607 01:13:37,182 --> 01:13:46,124 CANCER. 1608 01:13:46,124 --> 01:13:50,495 ALSO IMPORTANT AND RELATED TO 1609 01:13:50,495 --> 01:13:52,897 SERE IS OUR NATIONAL CANCER 1610 01:13:52,897 --> 01:13:54,566 REGISTRY EXPLORER. 1611 01:13:54,566 --> 01:14:05,109 IT HAS 1.7 MILLION CASES BETWEEN 1612 01:14:06,411 --> 01:14:07,779 1995 AND 2020. 1613 01:14:07,779 --> 01:14:09,914 AND REPRESENTS 70% OF ALL CASES 1614 01:14:09,914 --> 01:14:12,550 WE KNOW ABOUT IN THE COUNTRY ARE 1615 01:14:12,550 --> 01:14:13,384 AVAILABLE IN THE NATIONAL 1616 01:14:13,384 --> 01:14:23,461 CHILDHOOD CANCER REGISTRY. 1617 01:14:23,461 --> 01:14:24,896 WE THINK THEY'RE IMPORTANT AN 1618 01:14:24,896 --> 01:14:31,035 ONE WAY TO GET DATA AVAILABLE TO 1619 01:14:31,035 --> 01:14:33,838 RESEARCHERS TO THE CARE TEAMS 1620 01:14:33,838 --> 01:14:35,440 INVOLVED IN PROVIDING CARE TO 1621 01:14:35,440 --> 01:14:40,912 THESE CHILDREN AND YOUNG ADULTS. 1622 01:14:40,912 --> 01:14:46,084 AND THERE'S ALL KINDS OF 1623 01:14:46,084 --> 01:14:51,823 RESEARCHERS IN THESE AREAS TO 1624 01:14:51,823 --> 01:14:54,392 TALK ABOUT THE MOLECULAR 1625 01:14:54,392 --> 01:14:55,760 CHARACTERIZATION INITIATIVE, IT 1626 01:14:55,760 --> 01:14:59,230 IS THE DESIGN BEHIND IT IS THE 1627 01:14:59,230 --> 01:15:00,898 CONSISTENT SET OF DIAGNOSTICS. 1628 01:15:00,898 --> 01:15:02,233 WE THINK EVERY PATIENT SHOULD 1629 01:15:02,233 --> 01:15:05,837 GET ACCESS TO AND IDENTIFY THE 1630 01:15:05,837 --> 01:15:06,671 CANCERS WE THINK THOSE 1631 01:15:06,671 --> 01:15:12,210 DIAGNOSTICS WILL HAVE THE MOST 1632 01:15:12,210 --> 01:15:13,011 VALUE. 1633 01:15:13,011 --> 01:15:14,946 WE HAVE THE CAPABILITY OF GOING 1634 01:15:14,946 --> 01:15:19,117 UP TO 3,000 PATIENTS A YEAR 1635 01:15:19,117 --> 01:15:21,486 RUNNING THEM THROUGH THE 1636 01:15:21,486 --> 01:15:22,220 DIAGNOSTIC PIPELINE. 1637 01:15:22,220 --> 01:15:24,922 AND AGAIN WE THINK IT'S GOING TO 1638 01:15:24,922 --> 01:15:26,824 BE REALLY IMPORTANT AND WE'RE 1639 01:15:26,824 --> 01:15:29,027 BUILDING A CLINICALLY ANNOTATED 1640 01:15:29,027 --> 01:15:34,932 BIO BANK THAT WILL BE ACCESSIBLE 1641 01:15:34,932 --> 01:15:40,805 FOR RESEARCHERS IN THE FUTURE AS 1642 01:15:40,805 --> 01:15:42,640 OF THE BEGINNING OF SEPTEMBER WE 1643 01:15:42,640 --> 01:15:49,514 HAD OVER 3,000 NEWLY DIAGNOSED 1644 01:15:49,514 --> 01:15:50,515 CNS TUMORS. 1645 01:15:50,515 --> 01:15:53,985 THEY STARTED IN MARCH OF 2022. 1646 01:15:53,985 --> 01:15:58,423 THAT'S BEEN RAPIDLY ACCRUING FOR 1647 01:15:58,423 --> 01:16:00,925 THE PAST TWO AND A HALF YEARS. 1648 01:16:00,925 --> 01:16:03,695 WE ALSO HAVE ALMOST 1,000 1649 01:16:03,695 --> 01:16:04,529 PATIENTS WITH SOFT TISSUE 1650 01:16:04,529 --> 01:16:07,565 SARCOMA PART OF THIS. 1651 01:16:07,565 --> 01:16:11,903 WE STARTED LATER WITH RARE 1652 01:16:11,903 --> 01:16:12,637 TUMORS. 1653 01:16:12,637 --> 01:16:15,773 THEY'RE BY DEFINITION ULTRARARE 1654 01:16:15,773 --> 01:16:17,542 CANCERS AND WE HAD MORE THAN 400 1655 01:16:17,542 --> 01:16:18,943 OF THEM AND STARTING EARLIER 1656 01:16:18,943 --> 01:16:28,953 THIS YEAR WE OPENED UP THE 1657 01:16:28,953 --> 01:16:31,622 CHARACTERIZATION INITIATIVE TO 1658 01:16:31,622 --> 01:16:33,024 NEUROBLASTOMA PATIENTS AND HAVE 1659 01:16:33,024 --> 01:16:36,427 OVER 400 PATIENTS CARED FOR AND 1660 01:16:36,427 --> 01:16:39,897 EXPANDING TO DOING SARCOMAS AND 1661 01:16:39,897 --> 01:16:41,933 PLANNING ON ADDRESSING RELAPSE 1662 01:16:41,933 --> 01:16:42,166 TUMORS. 1663 01:16:42,166 --> 01:16:47,472 THESE ARE PATIENTS THAT ARE 1664 01:16:47,472 --> 01:16:49,774 ALREADY BEEN ON -- HAD A TUMOR 1665 01:16:49,774 --> 01:16:52,477 THAT WENT THROUGH MCI AND 1666 01:16:52,477 --> 01:16:55,279 THEY'LL HAVE RELAPSE AT SOME 1667 01:16:55,279 --> 01:16:56,781 POINT IN THE FUTURE AND WILL BE 1668 01:16:56,781 --> 01:16:57,448 CHARACTERIZING THEM AGAIN TO SEE 1669 01:16:57,448 --> 01:17:07,725 WHAT'S CHANGED. 1670 01:17:09,961 --> 01:17:16,901 MAKING PART OF THE INITIATIVE IS 1671 01:17:16,901 --> 01:17:21,839 IT'S IN A CLIA CERTIFIED 1672 01:17:21,839 --> 01:17:23,174 ENVIRONMENT AND IT CAN TO RIGHT 1673 01:17:23,174 --> 01:17:24,642 TO THE CLINIC AND BE USED IN 1674 01:17:24,642 --> 01:17:33,985 CLINICAL CARE. 1675 01:17:33,985 --> 01:17:35,787 DATA COMMONS WHERE THE DATA 1676 01:17:35,787 --> 01:17:39,991 COMING FROM NCI AND CCDI WILL BE 1677 01:17:39,991 --> 01:17:42,326 MADE AVAILABLE. 1678 01:17:42,326 --> 01:17:45,530 WE JUST HAD OUR THIRD RELEASE OF 1679 01:17:45,530 --> 01:17:46,164 THE DIFFERENT DATA SETS END OF 1680 01:17:46,164 --> 01:17:54,639 JULY. 1681 01:17:54,639 --> 01:17:56,240 WE'RE GOING TO TO BE DOING TWO 1682 01:17:56,240 --> 01:17:56,774 RELEASES A YEAR AND ALL 1683 01:17:56,774 --> 01:18:03,047 AVAILABLE PUBLICALLY. 1684 01:18:03,047 --> 01:18:04,282 THAT WAS A QUICK HIGHLIGHT AND 1685 01:18:04,282 --> 01:18:06,651 RUN THROUGH OF CCDI. 1686 01:18:06,651 --> 01:18:08,085 IF ANYONE HAS A QUESTION ABOUT 1687 01:18:08,085 --> 01:18:11,522 IT RIGHT NOW THAT I CAN ANSWER 1688 01:18:11,522 --> 01:18:15,193 EASILY I'M HAPPY TO DO THAT 1689 01:18:15,193 --> 01:18:16,093 OTHERWISE I'LL KEEP GOING AND 1690 01:18:16,093 --> 01:18:16,861 TALK ABOUT THE USE OF DATA IN 1691 01:18:16,861 --> 01:18:22,867 CANCER RESEARCH. 1692 01:18:22,867 --> 01:18:25,536 WE DEVELOPED THIS FOR CCDI. 1693 01:18:25,536 --> 01:18:27,772 IT'S NOT JUST ABOUT CHILDHOOD 1694 01:18:27,772 --> 01:18:29,740 CANCER BUT ABOUT EVERY CANCER. 1695 01:18:29,740 --> 01:18:30,708 UNDERSTANDING THE TOUCH POINTS 1696 01:18:30,708 --> 01:18:38,683 IN A PATIENT'S JOURNEY FROM 1697 01:18:38,683 --> 01:18:42,587 DIAGNOSIS TO CONFIRMATION 1698 01:18:42,587 --> 01:18:43,287 GETTING MOLECULAR 1699 01:18:43,287 --> 01:18:44,922 CHARACTERIZATION OCCURRING AND 1700 01:18:44,922 --> 01:18:55,399 SMALL MOLECULES, PROTEOMICS. 1701 01:18:56,934 --> 01:19:00,438 IMMUNOHISTO CHEMISTRY AND THE 1702 01:19:00,438 --> 01:19:05,676 OPTIMAL THERAPY FOR A PATIENT TO 1703 01:19:05,676 --> 01:19:15,786 GO IN. 1704 01:19:17,588 --> 01:19:24,428 YOU HAVE THE CANCER HOPEFULLY 1705 01:19:24,428 --> 01:19:24,962 ERADICATED AND FOLLOW-UP 1706 01:19:24,962 --> 01:19:32,103 LONGITUDELY -- LONGITUDINALLY 1707 01:19:32,103 --> 01:19:33,471 OVER TIME AND EACH IS A CHANCE 1708 01:19:33,471 --> 01:19:35,239 TO LEARN FROM THE DATA BEING 1709 01:19:35,239 --> 01:19:40,344 GENERATED IN ALL KINDS OF CANCER 1710 01:19:40,344 --> 01:19:49,186 S ACROSS THE AGE GROUPS AND A 1711 01:19:49,186 --> 01:19:51,589 WAY TO LEARN TO HAVE AN 1712 01:19:51,589 --> 01:19:57,828 OPPORTUNITY TO LEARN FROM OTHER 1713 01:19:57,828 --> 01:19:58,229 PATIENTS. 1714 01:19:58,229 --> 01:20:02,500 AND THERE'S SOURCES OF DATA. 1715 01:20:02,500 --> 01:20:08,205 MOLECULAR DATA INCLUDING GENOMIC 1716 01:20:08,205 --> 01:20:14,011 PATHOLOGY AND IMAGES AND 1717 01:20:14,011 --> 01:20:19,951 ULTRASOUNDS LAB DATA, THE 1718 01:20:19,951 --> 01:20:21,619 CLINICAL NOTES THAT SURROUND A 1719 01:20:21,619 --> 01:20:23,888 PATIENT AND THINGS NOW GETTING 1720 01:20:23,888 --> 01:20:25,790 INTO THE INTERNET OF THINGS AND 1721 01:20:25,790 --> 01:20:29,193 BEING ABLE TO DIRECTLY SENSOR 1722 01:20:29,193 --> 01:20:32,096 PEOPLE AND UNDERSTAND THEIR 1723 01:20:32,096 --> 01:20:34,231 JOURNEY MORE DIRECTLY. 1724 01:20:34,231 --> 01:20:35,633 WE SEE THESE ARE ALL 1725 01:20:35,633 --> 01:20:38,636 OPPORTUNITIES TO COLLECT A MUCH 1726 01:20:38,636 --> 01:20:41,505 RICHER VIEW OF INDIVIDUALS AND 1727 01:20:41,505 --> 01:20:43,074 THEREFORE A RICHER VIEW OF WHAT 1728 01:20:43,074 --> 01:20:53,317 CANCER MEANS. 1729 01:20:54,018 --> 01:20:56,921 THIS IS A SLIDE IN THE LAST 1730 01:20:56,921 --> 01:20:58,089 MEETING TALKING ABOUT A.I. 1731 01:20:58,089 --> 01:21:00,524 WE CAN APPLY A.I. TO ALL THESE 1732 01:21:00,524 --> 01:21:04,595 THINGS BUT IT'S REALLY 1733 01:21:04,595 --> 01:21:09,533 GENERATING HIGH QUALITY DATA AND 1734 01:21:09,533 --> 01:21:14,438 DATA THAT IS CAPTURED IN A WAY 1735 01:21:14,438 --> 01:21:18,509 FREE FROM BIAS EVERYTHING FROM 1736 01:21:18,509 --> 01:21:20,144 CANCER SCREENING AND DIAGNOSIS 1737 01:21:20,144 --> 01:21:22,113 THROUGH TO HEALTH CARE DELIVERY 1738 01:21:22,113 --> 01:21:23,114 AND SURVIVORSHIP AND ALL THE 1739 01:21:23,114 --> 01:21:30,121 DATA THAT GETS GENERATED IN 1740 01:21:30,121 --> 01:21:30,755 BASIC SCIENCE AND MECHANISTIC 1741 01:21:30,755 --> 01:21:36,661 STUDIES. 1742 01:21:36,661 --> 01:21:37,495 UME RUNNING A LITTLE BIT BEHIND 1743 01:21:37,495 --> 01:21:39,363 SO I'LL TRY TO RUN QUICKER. 1744 01:21:39,363 --> 01:21:40,898 ONE OF THESE I WANT TO HIGHLIGHT 1745 01:21:40,898 --> 01:21:43,067 AND THINKING ABOUT DATA SCIENCE 1746 01:21:43,067 --> 01:21:44,902 IS THE OPPORTUNITY TO DO 1747 01:21:44,902 --> 01:21:48,172 TRAINING AND SOME OF THAT IS 1748 01:21:48,172 --> 01:21:51,409 GEKT OUR DATA A.I. READY FOR 1749 01:21:51,409 --> 01:21:53,044 LOTS OF TALK ABOUT A.I. READY 1750 01:21:53,044 --> 01:21:53,678 AND HEARD MENTION OF IT THIS 1751 01:21:53,678 --> 01:21:55,212 MORNING. 1752 01:21:55,212 --> 01:22:00,651 TO ME IT'S REALLY AN OPPORTUNITY 1753 01:22:00,651 --> 01:22:03,387 TO UNDERSTAND QUALITY OF THE 1754 01:22:03,387 --> 01:22:04,522 DATA AND FIT FOR PURPOSE AND 1755 01:22:04,522 --> 01:22:06,290 WHAT IT'S FIT TO DO AND GET IT 1756 01:22:06,290 --> 01:22:11,996 IN THE RIGHT FORMAT TO REALLY 1757 01:22:11,996 --> 01:22:14,165 LEATHER OF LEARN FROM AN A.I. 1758 01:22:14,165 --> 01:22:16,233 PERSPECTIVE AND APPLY DIFFERENT 1759 01:22:16,233 --> 01:22:22,473 METHODOLOGIES NOT JUST A.I. 1760 01:22:22,473 --> 01:22:28,479 THERE'S AN OPPORTUNITY TO BRING 1761 01:22:28,479 --> 01:22:29,747 LOTS OF PEOPLE TO THE TRAINING 1762 01:22:29,747 --> 01:22:31,849 AND TRAIN SO THEY CAN BECOME 1763 01:22:31,849 --> 01:22:33,250 DATA SCIENTISTS. 1764 01:22:33,250 --> 01:22:34,585 JUST AS IMPORTANTLY, TRAINING 1765 01:22:34,585 --> 01:22:39,790 FOR CANCER RESEARCHERS IN 1766 01:22:39,790 --> 01:22:42,193 GENERAL AND INCLUDING CLINICIANS 1767 01:22:42,193 --> 01:22:44,929 TO LET THEM UNDER THE WHAT 1768 01:22:44,929 --> 01:22:47,465 POSSIBILITIES ARE AND HOW TO BE 1769 01:22:47,465 --> 01:22:50,101 A GOOD PARTNER WITH DATA 1770 01:22:50,101 --> 01:22:50,401 SCIENTISTS. 1771 01:22:50,401 --> 01:22:52,603 AND THE THIRD POINT WHICH IS 1772 01:22:52,603 --> 01:22:53,738 SOMETHING DR. RATHMELL 1773 01:22:53,738 --> 01:22:56,307 HIGHLIGHTED THE IMPORTANCE OF 1774 01:22:56,307 --> 01:22:58,309 HAVING A DIVERSE WORKFORCE IN 1775 01:22:58,309 --> 01:22:59,643 ALL ASPECTS OF WHAT WARE DOING 1776 01:22:59,643 --> 01:23:00,678 IN DATA SCIENCE AND CANCER 1777 01:23:00,678 --> 01:23:08,319 RESEARCH. 1778 01:23:08,319 --> 01:23:09,854 >> JUST TO TALK BRIEFLY ABOUT 1779 01:23:09,854 --> 01:23:11,088 A.I. PIECES. 1780 01:23:11,088 --> 01:23:14,725 WE HAVE ALL THIS NEW METHODOLOGY 1781 01:23:14,725 --> 01:23:20,231 AND MOST BEING DRIVEN IN 1782 01:23:20,231 --> 01:23:20,664 INDUSTRY. 1783 01:23:20,664 --> 01:23:22,633 IT'S IMPORTANT WE PARTNER TO 1784 01:23:22,633 --> 01:23:30,541 BRING IN THE GOOGLES AND MIC 1785 01:23:30,541 --> 01:23:31,442 MICROSOFTS INTO THESE PROBLEMS 1786 01:23:31,442 --> 01:23:40,151 AND DRIVE ALL THIS WITH DATA. 1787 01:23:40,151 --> 01:23:42,686 HOW DO WE TRANSFORM CARE AND 1788 01:23:42,686 --> 01:23:45,790 TRANSFORM UNDERSTANDING OF 1789 01:23:45,790 --> 01:23:46,123 CANCER? 1790 01:23:46,123 --> 01:23:50,427 AND A BRIEF HISTORY OF ART 1791 01:23:50,427 --> 01:23:51,762 OFFICIAL INTELLIGENCE IN THE 1792 01:23:51,762 --> 01:23:53,898 THOUGHT OF ARTIFICIAL 1793 01:23:53,898 --> 01:23:55,599 INTELLIGENCE AND WHAT IT IS GOES 1794 01:23:55,599 --> 01:24:00,671 BACK PROBABLY SINCE PEOPLE FIRST 1795 01:24:00,671 --> 01:24:03,440 HAD LANGUAGE I'LL GO BACK TO THE 1796 01:24:03,440 --> 01:24:05,209 1800 MATHEMATICIANS WERE FIRST 1797 01:24:05,209 --> 01:24:08,345 COMING UP WITH WAYS TO THINK 1798 01:24:08,345 --> 01:24:10,548 FROM A LOGIC STANDPOINT OF 1799 01:24:10,548 --> 01:24:11,549 REPRESENTING WHAT HUMAN THOUGHT 1800 01:24:11,549 --> 01:24:17,154 AND HUMAN DECISION MAKING WAS. 1801 01:24:17,154 --> 01:24:21,826 FAST FORWARD TO 1960s TO THE 1802 01:24:21,826 --> 01:24:27,131 BEGINNINGS OF MODERN COMPUTERS. 1803 01:24:27,131 --> 01:24:32,236 AND THERE AGAIN A REAL 1804 01:24:32,236 --> 01:24:33,771 THEORETICAL DRIVE TOWARDS 1805 01:24:33,771 --> 01:24:36,473 COGNITION AND ARTIFICIAL 1806 01:24:36,473 --> 01:24:37,041 INTELLIGENCE BUT COMPUTERS 1807 01:24:37,041 --> 01:24:39,310 WEREN'T POWERFUL INFORM. 1808 01:24:39,310 --> 01:24:44,582 WHEN WE WERE TRAINING IN THE 1809 01:24:44,582 --> 01:24:52,790 '80s, I HAD A CHANCE TO WORK 1810 01:24:52,790 --> 01:24:54,658 WITH SELF-ORGANIZING NAPS AND 1811 01:24:54,658 --> 01:24:55,726 EARLY VERSIONS OF NEURAL NETS 1812 01:24:55,726 --> 01:25:00,931 AND THEY WERE GREAT BUT THE 1813 01:25:00,931 --> 01:25:04,001 COMPUTING POWER WASN'T THERE TO 1814 01:25:04,001 --> 01:25:09,840 DO SOMETHING USEFUL WITH. 1815 01:25:09,840 --> 01:25:12,676 STARTING IN 2018 THERE WERE 1816 01:25:12,676 --> 01:25:13,143 REPRESENTATIONS FROM 1817 01:25:13,143 --> 01:25:15,079 TRANSFORMERS AND THIS SET THE 1818 01:25:15,079 --> 01:25:17,014 STAGE FOR A WHOLE NEW REVOLUTION 1819 01:25:17,014 --> 01:25:19,917 OF A.I. 1820 01:25:19,917 --> 01:25:21,352 AND THEN OF COURSE CHAT GPT WAS 1821 01:25:21,352 --> 01:25:27,057 JUST RELEASED TWO YEARS AGO. 1822 01:25:27,057 --> 01:25:28,926 AND ANOTHER TYPE OF A.I. MODEL 1823 01:25:28,926 --> 01:25:31,262 LARGE LANGUAGE MODELS ARE BEHIND 1824 01:25:31,262 --> 01:25:31,762 CHAT GPT. 1825 01:25:31,762 --> 01:25:38,903 SO THAT'S REALLY CHANGED THE 1826 01:25:38,903 --> 01:25:42,072 VIEW AND ACCESS TO THESE KIND OF 1827 01:25:42,072 --> 01:25:42,673 A.I. TOOLS. 1828 01:25:42,673 --> 01:25:44,808 SO I THINK IT'S REALLY IMPORTANT 1829 01:25:44,808 --> 01:25:49,480 WHEN WE'RE THINKING ABOUT A.I. 1830 01:25:49,480 --> 01:25:51,215 TO THERE'S SEVERAL THINGS WE 1831 01:25:51,215 --> 01:25:52,216 HAVE TO THINK ABOUT. 1832 01:25:52,216 --> 01:25:56,353 ONE IS HOW DO WE GET THE DATA TO 1833 01:25:56,353 --> 01:25:59,056 BE A.I. READY AND AN IMPORTANT 1834 01:25:59,056 --> 01:26:01,425 PART AND I THINK IT WAS 1835 01:26:01,425 --> 01:26:02,526 MENTIONED IT'S IMPORTANT TO 1836 01:26:02,526 --> 01:26:06,230 THINK ABOUT THE BIASES THAT ARE 1837 01:26:06,230 --> 01:26:10,234 PRESENT IN THE DATA MAKING SURE 1838 01:26:10,234 --> 01:26:11,302 WE CHARACTERIZE THAT AND 1839 01:26:11,302 --> 01:26:12,836 UNDERSTAND WHAT THE DATA ITSELF 1840 01:26:12,836 --> 01:26:22,413 IS GOOD FOR. 1841 01:26:22,413 --> 01:26:24,682 IT'S IMPORTANT IN USING THE A.I. 1842 01:26:24,682 --> 01:26:28,719 TOOLS UP A TRUSTWORTHY AND 1843 01:26:28,719 --> 01:26:33,657 ETHICAL WAY AND DRIVE THE WHOLE 1844 01:26:33,657 --> 01:26:35,693 ECO SYSTEM OF A.I. TO WOULD BE 1845 01:26:35,693 --> 01:26:36,927 ARE YOU ABOUT SOME OF THOSE. 1846 01:26:36,927 --> 01:26:39,863 IF WE HAVE TIME WE'LL TALK ABOUT 1847 01:26:39,863 --> 01:26:42,666 THE NEW STRAWBERRY MODEL COMING 1848 01:26:42,666 --> 01:26:45,002 OUT OF OPEN A.I. IN CHAT GPT. 1849 01:26:45,002 --> 01:26:46,770 AND AGAIN, THE DIVERSE WORKFORCE 1850 01:26:46,770 --> 01:26:46,971 PIECE. 1851 01:26:46,971 --> 01:26:48,672 WE THINK IT'S REALLY IMPORTANT 1852 01:26:48,672 --> 01:26:54,211 THAT EVERYBODY IS PART OF THIS 1853 01:26:54,211 --> 01:26:56,347 BECAUSE IF IT'S NOT WE'RE GOING 1854 01:26:56,347 --> 01:26:58,082 TO INTRODUCE A WHOLE SET OF 1855 01:26:58,082 --> 01:26:58,382 BIASES. 1856 01:26:58,382 --> 01:26:59,950 WITH THAT, THANK YOU AND I'D 1857 01:26:59,950 --> 01:27:05,422 LOVE TO TAKE YOUR QUESTIONS. 1858 01:27:05,422 --> 01:27:08,559 >> THANK YOU DR. KIBBE. 1859 01:27:08,559 --> 01:27:09,994 WE'RE GOING TO ALLOW OURSELVES 1860 01:27:09,994 --> 01:27:11,595 TO GO A TINY BIT OVER. 1861 01:27:11,595 --> 01:27:16,533 WE DON'T WANT TO GO TOO MUCH 1862 01:27:16,533 --> 01:27:18,168 INTO THE NEXT REPORT BUT WANT AN 1863 01:27:18,168 --> 01:27:19,169 OPPORTUNITY TO ENGAGE. 1864 01:27:19,169 --> 01:27:22,773 I HAVE A TWO-PART QUESTION. 1865 01:27:22,773 --> 01:27:27,277 THE FIRST PART IS HU DO YOU SEE 1866 01:27:27,277 --> 01:27:30,014 YOUR RESEARCH ADVOCATES ENGAGING 1867 01:27:30,014 --> 01:27:31,749 WITH THE WORKFORCE AND 1868 01:27:31,749 --> 01:27:32,883 DEVELOPMENT OF THE A.I. TOOLS 1869 01:27:32,883 --> 01:27:37,554 AND SECONDLY CAN WE JUST ASK THE 1870 01:27:37,554 --> 01:27:40,758 A.I. WHAT'S MISSING AND WOULD IT 1871 01:27:40,758 --> 01:27:46,163 TELL US HOW TO GET THAT? 1872 01:27:46,163 --> 01:27:50,801 >> FOR THE FIRST QUESTION I'M 1873 01:27:50,801 --> 01:27:53,504 NOT SURE WHAT THE RIGHT ROLE IS 1874 01:27:53,504 --> 01:27:58,108 FOR THE ADVOCATES OTHER THAN TO 1875 01:27:58,108 --> 01:28:00,411 GET YOU INVOLVED IN THE 1876 01:28:00,411 --> 01:28:04,915 CONVERSATIONS TO THE EXTENT 1877 01:28:04,915 --> 01:28:06,683 YOU'RE WILLING TO. 1878 01:28:06,683 --> 01:28:09,053 AS FAR AS ASKING WHAT'S MISSING, 1879 01:28:09,053 --> 01:28:13,757 THAT IS THE HARDEST THING TO DO 1880 01:28:13,757 --> 01:28:16,593 JUST LIKE FOR HUMAN BEINGS. 1881 01:28:16,593 --> 01:28:17,461 IT REQUIRES KNOWING WHAT'S 1882 01:28:17,461 --> 01:28:18,595 POSSIBLE AND UNDERSTANDING 1883 01:28:18,595 --> 01:28:20,798 WHAT'S POSSIBLE AND BEING ABLE 1884 01:28:20,798 --> 01:28:27,404 TO LOOK AT BLAZE BEEN DONE AND 1885 01:28:27,404 --> 01:28:27,905 THAT'S DIFFICULT. 1886 01:28:27,905 --> 01:28:31,308 MAYBE AN EASIER PART OF THAT 1887 01:28:31,308 --> 01:28:32,910 QUESTION IS LOOKING AT WHAT'S 1888 01:28:32,910 --> 01:28:39,249 ALREADY BEEN DONE AND WHERE ARE 1889 01:28:39,249 --> 01:28:44,755 THERE HOLES IN THE EXISTING WORK 1890 01:28:44,755 --> 01:28:46,890 TO COMPARE IT WITH OTHER AREAS 1891 01:28:46,890 --> 01:28:47,958 AND SAYING SHE'S SHOULD HAVE 1892 01:28:47,958 --> 01:28:52,896 HAPPENED BUT HAVEN'T. 1893 01:28:52,896 --> 01:28:56,800 A SIMPLE EXAMPLE IS ARE WE 1894 01:28:56,800 --> 01:28:58,168 GETTING GOOD DISTRIBUTION OF 1895 01:28:58,168 --> 01:29:00,170 RURAL VERSUS URBAN RACES AND 1896 01:29:00,170 --> 01:29:01,371 ETHNICITIES INTO CLINICAL 1897 01:29:01,371 --> 01:29:01,638 TRIALS? 1898 01:29:01,638 --> 01:29:04,208 WE DON'T NEED A.I. TO TELL US WE 1899 01:29:04,208 --> 01:29:14,718 STILL HAVE A WAY TO GO THERE. 1900 01:29:24,695 --> 01:29:25,963 AND THEY'VE DONE A GOOD JOB IN 1901 01:29:25,963 --> 01:29:28,866 ALL OF US AND ARE THERE THINGS 1902 01:29:28,866 --> 01:29:33,604 WE CAN LEARN. 1903 01:29:33,604 --> 01:29:34,972 THAT WAS RAY LONGER ANSWER THAN 1904 01:29:34,972 --> 01:29:35,906 I MEANT TO GIVE. 1905 01:29:35,906 --> 01:29:39,910 >> I'M READING A BOOK THAT 1906 01:29:39,910 --> 01:29:45,582 INCLUDES THE DEVELOPMENT OF GPT 1907 01:29:45,582 --> 01:29:48,685 4.0 RAND HEALTH CARE AND IT'S 1908 01:29:48,685 --> 01:29:58,795 WILD. 1909 01:30:02,633 --> 01:30:04,234 GO AHEAD KATIE. 1910 01:30:04,234 --> 01:30:06,136 ONE IS ON PATIENT ADVOCATES. 1911 01:30:06,136 --> 01:30:07,938 I'M A SOFTWARE ENGINEER AS WELL 1912 01:30:07,938 --> 01:30:13,544 AND CANCER SURVIVOR MYSELF. 1913 01:30:13,544 --> 01:30:16,013 ONE WAY IS TO VALIDATE THE 1914 01:30:16,013 --> 01:30:16,246 MODELS. 1915 01:30:16,246 --> 01:30:18,682 ONE THING IS CHECKING TO MAKE 1916 01:30:18,682 --> 01:30:21,785 SURE THAT IT APPEARS TO BE 1917 01:30:21,785 --> 01:30:24,688 CORRECT AND SO CHECKING WITH 1918 01:30:24,688 --> 01:30:25,989 PATIENT ADVOCATES TO CHECK WITH 1919 01:30:25,989 --> 01:30:27,391 THEIR COMMUNITIES WHEN YOU HAVE 1920 01:30:27,391 --> 01:30:29,726 DATA COMING OUT SAYING DOES THIS 1921 01:30:29,726 --> 01:30:32,029 FEEL LIKE IT'S MASK WHAT YOU'RE 1922 01:30:32,029 --> 01:30:33,664 SAYING AS A GUT CHECK? 1923 01:30:33,664 --> 01:30:35,132 IT'S IMPORTANT TO HAVE GUT 1924 01:30:35,132 --> 01:30:36,133 CHECKS AT ALL LEVELS. 1925 01:30:36,133 --> 01:30:38,635 KIND OF GOING ALONG WITH THAT 1926 01:30:38,635 --> 01:30:42,639 THE QUESTION I HAVE IS ABOUT 1927 01:30:42,639 --> 01:30:44,841 OPEN ACCESS TO DATA. 1928 01:30:44,841 --> 01:30:48,679 THERE'S A PRIVACY CONCERN TOO. 1929 01:30:48,679 --> 01:30:56,853 FULL OPEN ACCESS. 1930 01:30:56,853 --> 01:31:05,295 TO INVOLVE EVERYONE AND SOFTWARE 1931 01:31:05,295 --> 01:31:06,463 SCIENTISTS CAN PARTICIPATE IN 1932 01:31:06,463 --> 01:31:07,664 CREATING SOME OF THESE SOLUTIONS 1933 01:31:07,664 --> 01:31:08,899 BUT MAY NOT HAVE ACCESS TO THE 1934 01:31:08,899 --> 01:31:18,242 DATA CURRENTLY. 1935 01:31:18,242 --> 01:31:20,510 >> QUESTION -- 1936 01:31:22,613 --> 01:31:24,915 >> YES TO ALL OF THAT. 1937 01:31:24,915 --> 01:31:28,318 THINGS LIKE TCGA AND GENOMIC 1938 01:31:28,318 --> 01:31:30,854 DATA IS A GOOD EXAMPLE WHERE WE 1939 01:31:30,854 --> 01:31:35,259 DON'T MAKE THE RAW SEQUENCE 1940 01:31:35,259 --> 01:31:36,426 AVAILABLE WITHOUT HAVING DATA 1941 01:31:36,426 --> 01:31:38,528 ACCESS REQUEST BUT THE RESULTS 1942 01:31:38,528 --> 01:31:39,863 OF ALL THAT SO WHICH MUTATIONS 1943 01:31:39,863 --> 01:31:42,666 ARE PRESENT WE DO MAKE THAT 1944 01:31:42,666 --> 01:31:50,474 COMPLETELY OPEN. 1945 01:31:50,474 --> 01:31:51,475 THE PRIVACY CONCERNS ARE SMALL. 1946 01:31:51,475 --> 01:31:52,776 UNDERSTANDING THAT AND PUSHING 1947 01:31:52,776 --> 01:31:58,749 ON WHAT CAN WE MAKE AVAILABLE 1948 01:31:58,749 --> 01:31:59,716 THAT THERE AREN'T PRIVACY 1949 01:31:59,716 --> 01:32:02,386 CONCERNS AROUND IS REALLY 1950 01:32:02,386 --> 01:32:02,653 IMPORTANT. 1951 01:32:02,653 --> 01:32:06,490 I'LL POINT OUT AND I'VE HAD THE 1952 01:32:06,490 --> 01:32:08,392 OPPORTUNITY TO WORK WITH AMANDA 1953 01:32:08,392 --> 01:32:10,227 A LONG TIME AT THIS POINT AND 1954 01:32:10,227 --> 01:32:11,928 SHE'S BEEN AN OUTSPOKEN ADVOCATE 1955 01:32:11,928 --> 01:32:18,702 FOR HOW IMPORTANT DATA SHARING 1956 01:32:18,702 --> 01:32:27,878 IS AND I WOULD HAP HAPPILY TALK 1957 01:32:27,878 --> 01:32:30,814 ABOUT HOW DO WE ENCOURAGE MORE 1958 01:32:30,814 --> 01:32:33,050 DATA SHARING AND WHY IS IT 1959 01:32:33,050 --> 01:32:33,917 IMPORTANT. 1960 01:32:33,917 --> 01:32:34,885 IT'S INCREDIBLY IMPORTANT TO 1961 01:32:34,885 --> 01:32:36,420 GIVE DATA SHARING TO HAPPEN 1962 01:32:36,420 --> 01:32:37,988 BECAUSE PARTICULARLY IF IT'S 1963 01:32:37,988 --> 01:32:41,425 FUNDED EITHER BY FOUNDATIONS OR 1964 01:32:41,425 --> 01:32:43,694 BY PUBLIC DATA OR PUBLIC MONEY 1965 01:32:43,694 --> 01:32:45,362 RATHER IT DOES BELONG TO 1966 01:32:45,362 --> 01:32:45,696 EVERYONE. 1967 01:32:45,696 --> 01:32:47,964 AND IT NEEDS TO BE AS ACCESSIBLE 1968 01:32:47,964 --> 01:32:49,199 AS POSSIBLE AND THAT'S HOW WE 1969 01:32:49,199 --> 01:32:52,803 ACCELERATE SCIENCE. 1970 01:32:52,803 --> 01:32:54,104 >> SPEAKING OF AMANDA, WHY DON'T 1971 01:32:54,104 --> 01:33:03,313 YOU GO NEXT. 1972 01:33:03,313 --> 01:33:05,649 >> I'M CURIOUS AS WE'RE 1973 01:33:05,649 --> 01:33:07,084 DEVELOPING THE NEW INITIATIVES 1974 01:33:07,084 --> 01:33:11,788 NCDI AND CCDI IF THERE WILL BE 1975 01:33:11,788 --> 01:33:15,992 ANN OPPORTUNITY TO AGGREGATE 1976 01:33:15,992 --> 01:33:18,028 DATA ACROSS DISPARATE DISEASES 1977 01:33:18,028 --> 01:33:18,628 WE'RE TALKING ABOUT CANCER 1978 01:33:18,628 --> 01:33:20,430 RESEARCH BUT WE KNOW MUTATIONS 1979 01:33:20,430 --> 01:33:21,865 ARE HAPPENING IN OTHER DISEASES 1980 01:33:21,865 --> 01:33:24,301 AND RARE DISEASES. 1981 01:33:24,301 --> 01:33:27,204 WILL WE POSITION ITS IN A WAY TO 1982 01:33:27,204 --> 01:33:31,308 AGGREGATE THE DATA SET AND DO 1983 01:33:31,308 --> 01:33:32,075 MORE WITH THE ANALYSIS? 1984 01:33:32,075 --> 01:33:33,510 >> THAT'S A TIMELY QUESTION. 1985 01:33:33,510 --> 01:33:38,215 I WAS JUST TALKING WITH FOLKS AT 1986 01:33:38,215 --> 01:33:41,885 NCBI THE NATIONAL CENTER FOR BIO 1987 01:33:41,885 --> 01:33:42,619 TECHNOLOGY INFORMATION I THINK 1988 01:33:42,619 --> 01:33:51,428 IT'S AN OLD TITLE THERE. 1989 01:33:51,428 --> 01:33:53,463 THEY HOLD SHORT READS AND WORK 1990 01:33:53,463 --> 01:33:59,102 WITH THE NCI INSTITUTES THAT 1991 01:33:59,102 --> 01:34:02,172 COVER A LOT OF DISEASE. 1992 01:34:02,172 --> 01:34:04,040 AND ALLOW TO SHARE DATA WITH NCI 1993 01:34:04,040 --> 01:34:05,742 MORE EFFECTIVELY. 1994 01:34:05,742 --> 01:34:12,382 HOW DO WE BRING DIFFERENT VIEW 1995 01:34:12,382 --> 01:34:15,652 POINTS TOGETHER. 1996 01:34:15,652 --> 01:34:18,722 WE WANT TO FOCUS ON THE WHOLE 1997 01:34:18,722 --> 01:34:20,757 HUMAN AND WE'RE' COLLECTION OF 1998 01:34:20,757 --> 01:34:22,559 ORGAN SYSTEMS AND DIFFERENT 1999 01:34:22,559 --> 01:34:22,826 THINGS. 2000 01:34:22,826 --> 01:34:28,899 WE THINK THAT BEING ABLE TO 2001 01:34:28,899 --> 01:34:31,968 ACROSS THE WAY THE WAY DISEASE 2002 01:34:31,968 --> 01:34:34,070 GROUPS THINK OF THEIR DISEASE 2003 01:34:34,070 --> 01:34:35,038 WILL BE TRANSFORMATIVE FOR 2004 01:34:35,038 --> 01:34:35,672 EVERYBODY. 2005 01:34:35,672 --> 01:34:37,507 THAT GETS AT YOUR QUESTION ABOUT 2006 01:34:37,507 --> 01:34:44,915 HOW DO WE BUILD THE BIGGER VIEW 2007 01:34:44,915 --> 01:34:47,684 OF DATA TO USE A.I. TOOLS MORE 2008 01:34:47,684 --> 01:34:47,984 EFFECTIVELY. 2009 01:34:47,984 --> 01:34:50,220 THEY'RE TIED TOGETHER. 2010 01:34:50,220 --> 01:34:52,889 DID I ANSWER YOUR QUESTION? 2011 01:34:52,889 --> 01:34:53,990 >> KIND OF. 2012 01:34:53,990 --> 01:34:54,724 >> IT'S NICE IT'S BEING 2013 01:34:54,724 --> 01:35:04,901 DISCUSSED. 2014 01:35:08,538 --> 01:35:12,709 >> YOU DID AIN'T EXCELLENT JOB 2015 01:35:12,709 --> 01:35:14,211 OF DESCRIBING THE BIO MEDICAL 2016 01:35:14,211 --> 01:35:19,082 DATA THAT IS NECESSARY TO BE 2017 01:35:19,082 --> 01:35:21,985 COLLECTED FROM EACH PATIENT AND 2018 01:35:21,985 --> 01:35:22,853 TUMOR. 2019 01:35:22,853 --> 01:35:25,622 TUMORS WITHIN A PATIENT CAN BE 2020 01:35:25,622 --> 01:35:25,956 HETEROGENEOUS. 2021 01:35:25,956 --> 01:35:31,361 IN ORDER TO USE THAT TO DRIVE A 2022 01:35:31,361 --> 01:35:37,434 PRECISION ONCOLOGY FRAMEWORK WE 2023 01:35:37,434 --> 01:35:43,106 NEED TO ASSOCIATE THE DATA WITH 2024 01:35:43,106 --> 01:35:45,208 WITH TREATMENT AND OUTCOME AND 2025 01:35:45,208 --> 01:35:47,110 GENDER AND RACE AND 2026 01:35:47,110 --> 01:35:47,444 COMORBIDITIES. 2027 01:35:47,444 --> 01:35:51,648 THE MORE YOU DO THAT THE GREATER 2028 01:35:51,648 --> 01:35:54,718 THE OPPORTUNITY TO PERSONALLY 2029 01:35:54,718 --> 01:35:57,988 IDENTIFY THE PATIENT AND TO 2030 01:35:57,988 --> 01:35:59,656 VIOLENCE THE PRIVACY FRAMEWORK 2031 01:35:59,656 --> 01:36:00,891 YOU'VE DESCRIBED. 2032 01:36:00,891 --> 01:36:02,859 MY QUESTION IS HOW DO YOU 2033 01:36:02,859 --> 01:36:04,227 RECONCILE THE TENSION BETWEEN 2034 01:36:04,227 --> 01:36:06,029 MAINTAINING PRIVACY AND 2035 01:36:06,029 --> 01:36:07,931 ACCUMULATING THE DATA THAT'S 2036 01:36:07,931 --> 01:36:09,132 NECESSARY FOR PRECISION ONCOLOGY 2037 01:36:09,132 --> 01:36:16,339 DIRECTION. 2038 01:36:16,339 --> 01:36:18,708 >> FIRST, I AGREE WE NEED THE 2039 01:36:18,708 --> 01:36:19,843 DATA AVAILABLE TO MAKE THEM AS 2040 01:36:19,843 --> 01:36:28,451 USEFUL AS POSSIBLE. 2041 01:36:28,451 --> 01:36:31,121 IT'S IMPORTANT TO IDENTIFY 2042 01:36:31,121 --> 01:36:33,623 INDIVIDUALS IN A PROTECTED 2043 01:36:33,623 --> 01:36:35,759 ENVIRONMENT AND PEOPLE HAVE TO 2044 01:36:35,759 --> 01:36:37,761 AGREE TO THOSE PROTECTIONS AN 2045 01:36:37,761 --> 01:36:38,628 THAT AFWREEMENT. 2046 01:36:38,628 --> 01:36:40,897 I ALSO THINK IT'S REALLY 2047 01:36:40,897 --> 01:36:43,767 IMPORTANT WE MAKE SURE AS WE'RE 2048 01:36:43,767 --> 01:36:44,734 PULLING THE DATA TOGETHER 2049 01:36:44,734 --> 01:36:45,802 PATIENTS HAVE CONSENTED 2050 01:36:45,802 --> 01:36:56,012 APPROPRIATELY TO IT AND AGREE 2051 01:36:56,012 --> 01:36:58,114 THE USE OF THEIR DATA AND ALL 2052 01:36:58,114 --> 01:37:00,116 THOSE THINGS COME TOGETHER 2053 01:37:00,116 --> 01:37:02,686 UNIMPORTANT WAYS AS WE'RE 2054 01:37:02,686 --> 01:37:04,888 BUILDING OUT A DATA ECO SYSTEM 2055 01:37:04,888 --> 01:37:14,598 FOR CANCER. 2056 01:37:14,598 --> 01:37:18,668 >> THANK YOU SO MUCH. 2057 01:37:18,668 --> 01:37:19,069 NATHANIEL. 2058 01:37:19,069 --> 01:37:21,671 >> YOU HAD A COMMENT ON RURAL 2059 01:37:21,671 --> 01:37:24,708 PATIENTS AND I WANT TO HARKEN ON 2060 01:37:24,708 --> 01:37:27,043 THAT QUICKLY BECAUSE IT'S AN 2061 01:37:27,043 --> 01:37:30,547 IMPORTANT SUBSET OF THE 2062 01:37:30,547 --> 01:37:32,716 POPULATION TO KNOW IT 2063 01:37:32,716 --> 01:37:33,550 ENCOMPASSES THIS IN THE UNITED 2064 01:37:33,550 --> 01:37:36,453 STATES AND OFTEN TIMES THE 2065 01:37:36,453 --> 01:37:40,123 MECHANISMS THAT YOU MENTIONED 2066 01:37:40,123 --> 01:37:41,925 FOR GATHERING THE DATA ARE NOT 2067 01:37:41,925 --> 01:37:44,894 QUITE AS EQUALLY DISTRIBUTED TO 2068 01:37:44,894 --> 01:37:45,695 RURAL COMMUNITIES. 2069 01:37:45,695 --> 01:37:48,498 THEY OFTEN TIMES DON'T GET THE 2070 01:37:48,498 --> 01:37:50,467 OUTPUT NOR THE INPUT OF THE 2071 01:37:50,467 --> 01:37:50,667 DATA. 2072 01:37:50,667 --> 01:37:51,735 I THINK THERE'S SOME MORE 2073 01:37:51,735 --> 01:37:53,670 DILIGENCE TO BE DONE THERE AND I 2074 01:37:53,670 --> 01:37:56,406 JUST WANT TO SUPPORT YOUR VIEW 2075 01:37:56,406 --> 01:37:57,907 POINT THERE OF THINKING OF 2076 01:37:57,907 --> 01:37:58,742 INNOVATIVE WAYS IN WHICH TO 2077 01:37:58,742 --> 01:38:00,877 REACH THE COMMUNITIES FOR THAT 2078 01:38:00,877 --> 01:38:02,812 INPUT PIECE OF THINGS TO BETTER 2079 01:38:02,812 --> 01:38:04,881 INFORM THE DATA SETS. 2080 01:38:04,881 --> 01:38:06,049 THAT'S MY COMMENT. 2081 01:38:06,049 --> 01:38:07,317 LEADING INTO MY QUESTION WHICH 2082 01:38:07,317 --> 01:38:11,421 IS SOMEWHAT UNRELATED, I THINK 2083 01:38:11,421 --> 01:38:14,290 AS WE THINK ABOUT DATA AND A.I. 2084 01:38:14,290 --> 01:38:16,893 TOOLS AND KATIE BROUGHT UP A 2085 01:38:16,893 --> 01:38:18,728 GOOD PERSPECTIVE HOW TO INVOLVE 2086 01:38:18,728 --> 01:38:21,765 RESEARCH ADVOCATES, I CONTINUE 2087 01:38:21,765 --> 01:38:24,134 TO THINK ABOUT WHEN IS IT 2088 01:38:24,134 --> 01:38:28,405 APPROPRIATE TO HAVE THE HUMAN 2089 01:38:28,405 --> 01:38:30,707 ELEMENT OF CARE AND WHEN IS IT 2090 01:38:30,707 --> 01:38:33,743 APPROPRIATE TO HAVE A MORE DATA 2091 01:38:33,743 --> 01:38:36,246 BACKED OR SCIENCY TYPE 2092 01:38:36,246 --> 01:38:38,515 PERSPECTIVE ON THINGS. 2093 01:38:38,515 --> 01:38:39,582 THAT DELINEATION AS YOU THINK 2094 01:38:39,582 --> 01:38:45,055 ABOUT THIS ARE YOU THINKING WHEN 2095 01:38:45,055 --> 01:38:48,792 IS THE APPROPRIATE WAY AND TIME 2096 01:38:48,792 --> 01:38:50,493 TO APPLY DATA. 2097 01:38:50,493 --> 01:38:52,228 IS IT TALK TO THE A.I. AND 2098 01:38:52,228 --> 01:38:55,198 THEY'LL TELL YOU MORE ABOUT THE 2099 01:38:55,198 --> 01:38:56,666 CANCER DIAGNOSIS OR A.I. SPEAKS 2100 01:38:56,666 --> 01:38:58,435 TO THE POSITION TO HAVE A MORE 2101 01:38:58,435 --> 01:38:59,769 HUMAN ELEMENT. 2102 01:38:59,769 --> 01:39:02,505 I WANT YOUR PERSPECTIVES ON HOW 2103 01:39:02,505 --> 01:39:04,240 YOU'RE THINKING ABOUT 2104 01:39:04,240 --> 01:39:05,475 APPLICABILITY MUCH THE A.I. 2105 01:39:05,475 --> 01:39:08,712 TOOLS RATHER THAN REPLACING THE 2106 01:39:08,712 --> 01:39:08,978 CARE TEAM. 2107 01:39:08,978 --> 01:39:19,155 >> THANK YOU. 2108 01:39:19,155 --> 01:39:20,223 >> THANK YOU FOR SAYING THAT THE 2109 01:39:20,223 --> 01:39:21,758 A.I. CAPABILITIES ARE JUST TOOLS 2110 01:39:21,758 --> 01:39:25,328 AND REQUIRE PEOPLE TO USE THEM. 2111 01:39:25,328 --> 01:39:27,363 ONE OF THE PHRASES I DIDN'T 2112 01:39:27,363 --> 01:39:28,898 MENTION IS YOU NEED TO HAVE A 2113 01:39:28,898 --> 01:39:30,567 HUMAN IN THE LOOP. 2114 01:39:30,567 --> 01:39:35,638 THERE ALWAYS HAS TO BE SOMEBODY 2115 01:39:35,638 --> 01:39:39,175 THERE TO MAKE SURE THE A.I. 2116 01:39:39,175 --> 01:39:40,910 TOOL'S NOT GETTING OFF THE 2117 01:39:40,910 --> 01:39:45,982 RAILS, I WOULD SAY. 2118 01:39:45,982 --> 01:39:50,019 I THINK THE OPPORTUNITIES FOR 2119 01:39:50,019 --> 01:39:52,922 A.I. IN SEVERAL PLACES I FEEL 2120 01:39:52,922 --> 01:39:54,124 LESS PUTTING THEM INTO A PLACE 2121 01:39:54,124 --> 01:39:55,492 WHERE THEY CONVERSE WITH THE 2122 01:39:55,492 --> 01:39:59,362 CARE TEAM OR PATIENTS. 2123 01:39:59,362 --> 01:40:00,897 I THINK THE OPPORTUNITY THAT I 2124 01:40:00,897 --> 01:40:02,132 FEEL THE MOST COMFORTABLE WITH 2125 01:40:02,132 --> 01:40:08,471 RIGHT NOW IS HOW DO WE USE IT TO 2126 01:40:08,471 --> 01:40:09,139 IDENTIFY EITHER SIGNALS IN THE 2127 01:40:09,139 --> 01:40:12,742 DATA WE'RE GENERATING OR DO A 2128 01:40:12,742 --> 01:40:18,815 BETTER JOB OF ANALYZING AND 2129 01:40:18,815 --> 01:40:21,217 COMING UP WITH REALLY 2130 01:40:21,217 --> 01:40:23,019 DISCOVERIES FROM THE DATA WE'RE 2131 01:40:23,019 --> 01:40:23,319 GENERATING. 2132 01:40:23,319 --> 01:40:26,189 THERE I FEEL PRETTY COMFORTABLE 2133 01:40:26,189 --> 01:40:30,393 BUT WE CAN INCORPORATE THE TOOLS 2134 01:40:30,393 --> 01:40:32,896 BECAUSE THEY'RE FEEDING INTO 2135 01:40:32,896 --> 01:40:37,834 THIS EXISTING RESEARCH 2136 01:40:37,834 --> 01:40:38,101 FRAMEWORK. 2137 01:40:38,101 --> 01:40:42,438 BUT YOU'RE RIGHT, PEOPLE ARE 2138 01:40:42,438 --> 01:40:44,841 ASKING CHAT GPT AND FEEDING IT 2139 01:40:44,841 --> 01:40:47,544 THEIR RECORD AND SAYING HOW DO I 2140 01:40:47,544 --> 01:40:48,578 THINK ABOUT THIS. 2141 01:40:48,578 --> 01:40:52,916 I DON'T THINK THE TOOLS ARE 2142 01:40:52,916 --> 01:40:56,920 READY YET. 2143 01:40:56,920 --> 01:41:00,723 I'M NOT SURE HOW TO ANSWER THAT 2144 01:41:00,723 --> 01:41:04,594 QUESTION. 2145 01:41:04,594 --> 01:41:06,062 >> DR. KIBBE SO MUCH. 2146 01:41:06,062 --> 01:41:08,097 I CAN'T WAIT UNTIL WE GET CLOSER 2147 01:41:08,097 --> 01:41:09,899 AND SEEING WHAT ADVOCATES CAN DO 2148 01:41:09,899 --> 01:41:13,169 TO HELP THINGS GET READY AND 2149 01:41:13,169 --> 01:41:15,238 MAKE SURE THAT NOT ONLY THERE'S 2150 01:41:15,238 --> 01:41:16,806 HUMAN INVOLVEMENT AND PEOPLE 2151 01:41:16,806 --> 01:41:18,741 WITH LIVED EXPERIENCE ARE ALSO 2152 01:41:18,741 --> 01:41:20,743 IN THE MIX WHEN THINGS ARE BEING 2153 01:41:20,743 --> 01:41:21,010 DEVELOPED. 2154 01:41:21,010 --> 01:41:23,079 THANK YOU SO MUCH FOR SPENDING 2155 01:41:23,079 --> 01:41:26,082 TIME WITH US AND FOR THE GREAT 2156 01:41:26,082 --> 01:41:26,349 DIALOGUE. 2157 01:41:26,349 --> 01:41:28,551 >> YOU'RE WELCOME I HOPE NEXT 2158 01:41:28,551 --> 01:41:30,153 TIME I'LL BE IN THE ROOM WITH 2159 01:41:30,153 --> 01:41:30,353 YOU. 2160 01:41:30,353 --> 01:41:31,521 >> WE WOULD LOVE THAT SO MUCH. 2161 01:41:31,521 --> 01:41:34,824 LOOKING FORWARD TO IT. 2162 01:41:34,824 --> 01:41:37,026 NEXT UP WE HAVE MS. HOLLY 2163 01:41:37,026 --> 01:41:39,429 GIBBONS OUR DEPUTY DIRECTOR OF 2164 01:41:39,429 --> 01:41:42,398 THE NCI OFFICE OF GOVERNMENT AND 2165 01:41:42,398 --> 01:41:42,899 CONGRESSIONAL RELATIONS. 2166 01:41:42,899 --> 01:41:45,435 THANK YOU SO MUCH FOR HANGING 2167 01:41:45,435 --> 01:41:47,570 OUT WITH US AND YOUR PATIENCE 2168 01:41:47,570 --> 01:41:51,474 AND WE ARE ACTUALLY GOING TO NOT 2169 01:41:51,474 --> 01:41:55,044 TAKE OUR LUNCH BREAK UNTIL NOON 2170 01:41:55,044 --> 01:41:57,080 SO WE GOT FIVE EXTRA MINUTES. 2171 01:41:57,080 --> 01:42:04,888 THANK YOU SO MUCH. 2172 01:42:04,888 --> 01:42:12,729 >> 2173 01:42:12,729 --> 01:42:22,906 [NO AUDIO] 2174 01:42:43,526 --> 01:42:46,963 >> WE'RE SEEING RESOLUTION 2175 01:42:46,963 --> 01:42:47,964 PROPOSALS I'LL TALK MORE ABOUT 2176 01:42:47,964 --> 01:42:49,632 BUT NOT SURE WHEN THE FEDERAL 2177 01:42:49,632 --> 01:42:50,166 FUNDING WILL BE EXTENDED 2178 01:42:50,166 --> 01:43:00,310 THROUGH. 2179 01:43:08,318 --> 01:43:17,093 SO WE DON'T KNOW WHETHER BE A 2180 01:43:17,093 --> 01:43:19,395 CONTINUING RESOLUTION AND WANT 2181 01:43:19,395 --> 01:43:20,897 TO START WHERE WE ENDED UP FOR 2182 01:43:20,897 --> 01:43:22,598 THE PROPOSALS. 2183 01:43:22,598 --> 01:43:24,834 THE HOUSE STARTED WRITING THEIR 2184 01:43:24,834 --> 01:43:31,040 LEVELS TO ENACTED LEVELS BELOW 2185 01:43:31,040 --> 01:43:35,011 '24 AND SENATE ABOVE FY24 AND 2186 01:43:35,011 --> 01:43:38,214 THE HOUSE PROPOSED KEEPING NIH 2187 01:43:38,214 --> 01:43:38,414 FLAT. 2188 01:43:38,414 --> 01:43:42,585 YOU MIGHT WONDER WHY IS THE 2189 01:43:42,585 --> 01:43:43,386 HOUSE PROPOSING THE INCREASE FOR 2190 01:43:43,386 --> 01:43:46,923 NCI WHEN THE SENATE IS PROPOSING 2191 01:43:46,923 --> 01:43:48,658 A $266 INCREASE AND THAT'S 2192 01:43:48,658 --> 01:43:49,993 BECAUSE THERE'S PROPOSALS ON THE 2193 01:43:49,993 --> 01:43:54,764 HOUSE SIDE TO RESTRUCTURE NIH TO 2194 01:43:54,764 --> 01:43:59,469 COMBINE CERTAIN INSTITUTES AND 2195 01:43:59,469 --> 01:44:00,136 SHIFTING RESOURCES BETWEEN 2196 01:44:00,136 --> 01:44:00,536 INSTITUTES. 2197 01:44:00,536 --> 01:44:04,107 SO WITH DO NOT EXPECT TO SEE 2198 01:44:04,107 --> 01:44:07,643 $651 MILLION UNFORTUNATELY. 2199 01:44:07,643 --> 01:44:08,578 THERE ISN'T BIPARTISAN SUPPORT 2200 01:44:08,578 --> 01:44:12,715 FOR THAT APPROACH AND NOT A LOT 2201 01:44:12,715 --> 01:44:14,550 OF SUPPORT IN THE SENATE. 2202 01:44:14,550 --> 01:44:16,419 WE'RE GLAD TO SEE PROPOSED 2203 01:44:16,419 --> 01:44:18,221 INCREASES ON BOTH SIDES BUT 2204 01:44:18,221 --> 01:44:19,622 WE'LL HAVE TO SEE WHERE FINAL 2205 01:44:19,622 --> 01:44:20,556 NEGOTIATIONS LAND. 2206 01:44:20,556 --> 01:44:23,326 ON THE SENATE SIDE IT WAS A 2207 01:44:23,326 --> 01:44:25,928 BIPARTISAN PROPOSAL AND PASSED 2208 01:44:25,928 --> 01:44:28,931 25-3 WHEREAS THE HOUSE PROPOSAL 2209 01:44:28,931 --> 01:44:31,100 PASSED ALONG PARTY LINES. 2210 01:44:31,100 --> 01:44:35,772 THE GOOD NEWS IS THERE IS STILL 2211 01:44:35,772 --> 01:44:37,807 STRONG BIPARTISAN SUPPORT FOR 2212 01:44:37,807 --> 01:44:42,879 CANCER RESEARCH ACROSS THE 2213 01:44:42,879 --> 01:44:43,679 AISLE. 2214 01:44:43,679 --> 01:44:45,848 YOU SEE TOM COLE FROM OKLAHOMA 2215 01:44:45,848 --> 01:44:50,019 AND THE COMMITTEE CHAIR PATTY 2216 01:44:50,019 --> 01:44:57,293 MUR RAY WITH STRONG SUPPORT FOR 2217 01:44:57,293 --> 01:44:58,361 BIOMEDICAL RESEARCH. 2218 01:44:58,361 --> 01:44:59,228 STRONG SUPPORT AND GREAT 2219 01:44:59,228 --> 01:45:00,163 CONVERSATIONS ACROSS THE BOARD 2220 01:45:00,163 --> 01:45:03,232 WITH LEADERS OF OUR 2221 01:45:03,232 --> 01:45:03,566 SUBCOMMITTEES. 2222 01:45:03,566 --> 01:45:06,702 DR. RATHMELL HAS BEEN A GREAT 2223 01:45:06,702 --> 01:45:08,671 CHAMPION FOR INCREASED 2224 01:45:08,671 --> 01:45:16,045 INVESTMENT IN NCI AND MET WITH 2225 01:45:16,045 --> 01:45:20,716 RANKING MEMBERS OF THE FULL AND 2226 01:45:20,716 --> 01:45:22,985 SUBCOMMITTEE CONGRESS DELAURO 2227 01:45:22,985 --> 01:45:28,925 PICTURED THERE WITH DR 2228 01:45:28,925 --> 01:45:33,463 DR. BERTAGNOLLI AND ALL THESE 2229 01:45:33,463 --> 01:45:35,098 PEOPLE ARE INCREDIBLY SUPPORTIVE 2230 01:45:35,098 --> 01:45:35,531 OF NCI. 2231 01:45:35,531 --> 01:45:36,933 QUICK LOOK AT THE CALENDAR. 2232 01:45:36,933 --> 01:45:39,268 I ALWAYS LIKE IT SHARE THE 2233 01:45:39,268 --> 01:45:40,336 CALENDAR THERE'S A LOT GOING ON 2234 01:45:40,336 --> 01:45:42,572 IN THE NEXT FEW MONTHS. 2235 01:45:42,572 --> 01:45:43,439 FEDERAL FUNDING RUNS OUT 2236 01:45:43,439 --> 01:45:44,340 SEPTEMBER 30. 2237 01:45:44,340 --> 01:45:45,541 THERE'S ONLY SEVEN DAYS AFTER 2238 01:45:45,541 --> 01:45:48,077 TODAY WHERE BOTH THE HOUSE AND 2239 01:45:48,077 --> 01:45:50,079 SENATE ARE IN SESSION TO FIGURE 2240 01:45:50,079 --> 01:45:52,682 OUT THE FIRST CONTINUING 2241 01:45:52,682 --> 01:45:52,982 RESOLUTION. 2242 01:45:52,982 --> 01:45:53,983 OCTOBER LOOKS CLEAR PAUSE THE 2243 01:45:53,983 --> 01:45:57,453 HOUSE AND SENATE ARE ON RECESS 2244 01:45:57,453 --> 01:45:59,555 AHEAD OF THE ELECTION AND RETURN 2245 01:45:59,555 --> 01:46:01,157 TO SESSION NOVEMBER 12 FOR THE 2246 01:46:01,157 --> 01:46:02,425 LAME DUCK SESSION. 2247 01:46:02,425 --> 01:46:04,727 THAT SHORT PERIOD OF NOVEMBER 2248 01:46:04,727 --> 01:46:06,028 AND DECEMBER BEFORE THE NEW 2249 01:46:06,028 --> 01:46:08,931 CONGRESS IS SWORN IN. 2250 01:46:08,931 --> 01:46:15,004 ALSO IN JANUARY WE HAVE THE 2251 01:46:15,004 --> 01:46:16,506 EXPIRATION LOOMING JANUARY 2 AND 2252 01:46:16,506 --> 01:46:18,608 DEPENDING ON WHAT MEASURES THE 2253 01:46:18,608 --> 01:46:23,112 TREASURY IS ABLE TO TAKE IT MAY 2254 01:46:23,112 --> 01:46:24,747 SHIFT BUT A LOT OF ALIGNS WITH 2255 01:46:24,747 --> 01:46:26,415 EARLY SEPTEMBER AND JANUARY AND 2256 01:46:26,415 --> 01:46:28,951 PRESSURE ON CONGRESS TO FIGURE 2257 01:46:28,951 --> 01:46:34,123 OUT THE FUNDING AND DEBT LIMIT 2258 01:46:34,123 --> 01:46:34,390 EXTENSION. 2259 01:46:34,390 --> 01:46:38,427 SPEAKER JOHNSON IN THE HOUSE IS 2260 01:46:38,427 --> 01:46:40,296 BRINGING A CR THROUGH MARCH 2261 01:46:40,296 --> 01:46:42,064 TAKING THINGS INTO THE NEW 2262 01:46:42,064 --> 01:46:42,665 CONSIDERATION. 2263 01:46:42,665 --> 01:46:45,268 THE 119th CONGRESS. 2264 01:46:45,268 --> 01:46:48,004 HE IS PAIRING THAT WITH ANOTHER 2265 01:46:48,004 --> 01:46:52,942 BILL WHICH WOULD PROHIBIT NON 2266 01:46:52,942 --> 01:46:54,911 CITIZENS FROM VOTING ALREADY 2267 01:46:54,911 --> 01:46:55,244 ILLEGAL. 2268 01:46:55,244 --> 01:46:56,045 THERE'S ALREADY CONTROVERSY AND 2269 01:46:56,045 --> 01:46:57,813 OPPOSITION TO THE BILL AND IT'S 2270 01:46:57,813 --> 01:46:59,949 NOT EXPECTED TO PASS. 2271 01:46:59,949 --> 01:47:01,484 THAT WILL BE HAPPENING LATER 2272 01:47:01,484 --> 01:47:04,153 DATA AND THEN WE'LL SEE WHAT IS 2273 01:47:04,153 --> 01:47:04,921 THE NEXT POSITION. 2274 01:47:04,921 --> 01:47:08,257 WE HAVE SEEN REPORTING THAT THE 2275 01:47:08,257 --> 01:47:11,360 SENATE IS DEVELOPING A C.R. 2276 01:47:11,360 --> 01:47:12,929 PROPOSAL THROUGH MID DECEMBER. 2277 01:47:12,929 --> 01:47:16,065 TYPICALLY THESE FUNDING BILLS 2278 01:47:16,065 --> 01:47:17,633 ORIGINATE IN THE HOUSE BUT 2279 01:47:17,633 --> 01:47:19,869 EVERYONE IS GETTING IMPATIENT TO 2280 01:47:19,869 --> 01:47:21,003 FIGURE OUT FEDERAL FUNDING AND 2281 01:47:21,003 --> 01:47:25,775 MAY SEE THE SENATE MOVE NEXT. 2282 01:47:25,775 --> 01:47:27,743 QUICKLY ON THE ELECTION I'M SURE 2283 01:47:27,743 --> 01:47:29,912 YOU'VE BEEN READING YOUR OWN 2284 01:47:29,912 --> 01:47:30,179 REPORTING. 2285 01:47:30,179 --> 01:47:31,180 I WANTED TO HIGHLIGHT POTENTIAL 2286 01:47:31,180 --> 01:47:34,183 FOR CHANGE IN BOTH THE HOUSE AND 2287 01:47:34,183 --> 01:47:34,483 SENATE. 2288 01:47:34,483 --> 01:47:35,218 THERE HAVE BEEN A LOT OF 2289 01:47:35,218 --> 01:47:36,252 REQUIREMENTS AND I COVERED THAT 2290 01:47:36,252 --> 01:47:40,923 IN ONE OF OUR LAST MEETINGS. 2291 01:47:40,923 --> 01:47:42,858 WE SEE IN THE HOUSE THERE ARE 24 2292 01:47:42,858 --> 01:47:44,427 SEATS AND SO THE DEMOCRATS HAVE 2293 01:47:44,427 --> 01:47:46,596 AN OPPORTUNITY TO FLIP THE 2294 01:47:46,596 --> 01:47:51,767 HOUSE. 2295 01:47:51,767 --> 01:47:55,104 ON THE SENATE THERE'S 2296 01:47:55,104 --> 01:47:55,738 OPPORTUNITIES AND DON'T KNOW 2297 01:47:55,738 --> 01:47:57,306 WHERE THEY'LL LAND. 2298 01:47:57,306 --> 01:47:59,242 WE KNOW WE'LL HAVE A DIFFERENT 2299 01:47:59,242 --> 01:48:00,710 MAKE UP OF CONGRESS EITHER WAY 2300 01:48:00,710 --> 01:48:04,780 IN JANUARY BECAUSE OF ALL THE 2301 01:48:04,780 --> 01:48:05,081 RETIREMENTS. 2302 01:48:05,081 --> 01:48:07,283 SEVERAL CANCER CHAMPIONS HAVE 2303 01:48:07,283 --> 01:48:08,751 RETIRED AS WELL SO WE'RE ALL 2304 01:48:08,751 --> 01:48:09,285 INTERESTED TO SEE THE NEW 2305 01:48:09,285 --> 01:48:13,689 CONGRESS. 2306 01:48:13,689 --> 01:48:16,926 THESE ARE JUST A LOOK BACK AT 2307 01:48:16,926 --> 01:48:18,761 RECENT LAME DUCK SESSIONS AT 2308 01:48:18,761 --> 01:48:24,467 EACH ELECTION AND PRESIDENTIAL 2309 01:48:24,467 --> 01:48:25,635 ELECTION YEARS. 2310 01:48:25,635 --> 01:48:27,436 SPOILER ALERT THERE'S BEEN NO 2311 01:48:27,436 --> 01:48:29,472 PATTERNS AND DIFFERENT APPROACH 2312 01:48:29,472 --> 01:48:30,473 EVERY YEAR. 2313 01:48:30,473 --> 01:48:32,942 WE'RE HOPE UNTIL WE'LL SEE C.R. 2314 01:48:32,942 --> 01:48:34,577 THROUGH DECEMBER AND FINAL 2315 01:48:34,577 --> 01:48:39,982 FUNDING FOR FY25 TO MOVE AHEAD 2316 01:48:39,982 --> 01:48:43,519 FOR FY26 BUT NOT SURE HOW THINGS 2317 01:48:43,519 --> 01:48:44,920 WILL LAND. 2318 01:48:44,920 --> 01:48:47,790 UNFORTUNATELY SOME YEARS WE SAW 2319 01:48:47,790 --> 01:48:51,694 PARTIAL GOVERNMENT SHUTDOWN IN 2320 01:48:51,694 --> 01:48:52,261 2018. 2321 01:48:52,261 --> 01:48:54,630 NCI AND THE BILLS UNDER THE HHS 2322 01:48:54,630 --> 01:48:56,565 ACCOUNT WERE PAIRED WITH THE 2323 01:48:56,565 --> 01:48:58,768 DEPARTMENT OF DEFENSE AND THE 2324 01:48:58,768 --> 01:49:02,972 FIRST YEAR SINCE THE MID '90s WE 2325 01:49:02,972 --> 01:49:04,340 RECEIVED OUR APPROPRIATION ON 2326 01:49:04,340 --> 01:49:08,577 TIME AND THERE WAS A SHUTDOWN 2327 01:49:08,577 --> 01:49:09,245 FOR OTHER GOVERNMENT AGENCIES 2328 01:49:09,245 --> 01:49:11,881 AND THAT'S NOT WHAT WE WANT 2329 01:49:11,881 --> 01:49:18,654 EITHER AND WE DIDN'T RECEIVE A 2330 01:49:18,654 --> 01:49:20,122 FINAL BUDGET UNTIL PLAY AND 2331 01:49:20,122 --> 01:49:23,092 THAT'S DISRUPTIVE AND WE'LL BE 2332 01:49:23,092 --> 01:49:26,162 THAT CLOSELY. 2333 01:49:26,162 --> 01:49:28,564 OTHER LEGISLATIVE ACTIVITY. 2334 01:49:28,564 --> 01:49:29,865 THERE'S OTHER MUST PASS BILLS 2335 01:49:29,865 --> 01:49:32,234 BEFORE THE END OF DECEMBER. 2336 01:49:32,234 --> 01:49:34,937 OTHER AUTHORIZATIONS, OTHER 2337 01:49:34,937 --> 01:49:35,805 FUNDING EXPIRING SO THE NATIONAL 2338 01:49:35,805 --> 01:49:37,907 DEFENSE AUTHORIZATION, THE FARM 2339 01:49:37,907 --> 01:49:40,042 BILL AND OTHER MEASURES. 2340 01:49:40,042 --> 01:49:42,778 THERE ARE ALSO A LOT OF OTHER 2341 01:49:42,778 --> 01:49:44,280 LEGISLATIVE PROPOSALS NOT UP 2342 01:49:44,280 --> 01:49:45,681 AGAINST DEADLINES OF INTEREST. 2343 01:49:45,681 --> 01:49:47,950 HERE I'VE HIGHLIGHTED SEVERAL OF 2344 01:49:47,950 --> 01:49:50,019 INTEREST TO NCI AND THE 2345 01:49:50,019 --> 01:49:51,187 BIOMEDICAL RESEARCH COMMUNITY 2346 01:49:51,187 --> 01:49:52,288 BUT IT'S HARD TO TELL WHETHER 2347 01:49:52,288 --> 01:49:53,823 CONGRESS WILL HAVE THE TIME OR 2348 01:49:53,823 --> 01:49:57,460 THE ENERGY TO GET TO THINGS THAT 2349 01:49:57,460 --> 01:49:58,127 ARE PASSED. 2350 01:49:58,127 --> 01:49:59,595 I WILL HIGHLIGHT QUICKLY I THINK 2351 01:49:59,595 --> 01:50:01,330 I SHARED AN INTRODUCTION TO THIS 2352 01:50:01,330 --> 01:50:04,533 PROPOSAL AT OUR LAST MEETING BUT 2353 01:50:04,533 --> 01:50:06,135 WANTED TO BRING IT UP BECAUSE 2354 01:50:06,135 --> 01:50:08,537 PIECES WERE INCORPORATED IN THE 2355 01:50:08,537 --> 01:50:09,505 HOUSE APPROPRIATIONS PROPOSAL. 2356 01:50:09,505 --> 01:50:14,910 THIS IS FROM THE HOUSE ENERGY 2357 01:50:14,910 --> 01:50:18,748 AND COMMERCE COMMITTEE AND AGAIN 2358 01:50:18,748 --> 01:50:19,815 PROPOSING CHANGING AND REFORMS 2359 01:50:19,815 --> 01:50:23,586 TO NIH AND RESTRUCTURING. 2360 01:50:23,586 --> 01:50:25,955 HOWEVER, NCI WILL NOT BE 2361 01:50:25,955 --> 01:50:26,288 RESTRUCTURED. 2362 01:50:26,288 --> 01:50:28,391 THIS IS SLOW TO GET STRONG 2363 01:50:28,391 --> 01:50:30,626 SUPPORT IN THE SENATE AND SLOW 2364 01:50:30,626 --> 01:50:33,896 TO GET BIPARTISAN SUPPORT AND 2365 01:50:33,896 --> 01:50:35,197 WATCHING IT BUT SHE'S NOT 2366 01:50:35,197 --> 01:50:36,732 INTRODUCED THE STAND ALONE BILL. 2367 01:50:36,732 --> 01:50:41,337 ALSO WANTED TO MENTION THE 2368 01:50:41,337 --> 01:50:44,940 ENERGY AND COMMERCE COMMITTEE IS 2369 01:50:44,940 --> 01:50:48,778 MARKING UP 16 BILLS THAT ARE OF 2370 01:50:48,778 --> 01:50:50,479 INTEREST AND ONE ACT FOCUSES ON 2371 01:50:50,479 --> 01:50:53,215 FDA AND POTENTIAL NEW REGULATORY 2372 01:50:53,215 --> 01:50:54,884 AUTHORITY AROUND COMBINATION OF 2373 01:50:54,884 --> 01:50:57,553 TARGETED THERAPIES FOR CHILDHOOD 2374 01:50:57,553 --> 01:50:59,989 CANCER AS WELL AS THE TELEHEALTH 2375 01:50:59,989 --> 01:51:01,791 MODERNIZATION ACT WHICH FOCUSES 2376 01:51:01,791 --> 01:51:04,927 ON TELEHEALTH EXTENSIONS UNDER 2377 01:51:04,927 --> 01:51:06,762 MEDICARE. 2378 01:51:06,762 --> 01:51:08,931 RECENT CONGRESSIONAL ENGAGEMENT. 2379 01:51:08,931 --> 01:51:12,768 DR. RATHMELL IS PICTURED AT THE 2380 01:51:12,768 --> 01:51:15,271 NATIONAL BRAIN TUMOR SOCIETY 2381 01:51:15,271 --> 01:51:16,939 ANNUAL CONGRESSIONAL RECEPTION 2382 01:51:16,939 --> 01:51:22,778 FOR BLASTOMA AWARENESS AND 2383 01:51:22,778 --> 01:51:26,715 CONGRESSWOMAN WILD AND WILLIAMS 2384 01:51:26,715 --> 01:51:28,918 SPOKE ON THEIR EXPERIENCE AND 2385 01:51:28,918 --> 01:51:39,462 CONGRESS WOMAN WILD LOST HER MOM 2386 01:51:40,996 --> 01:51:43,866 TO BLASTOMA. 2387 01:51:43,866 --> 01:51:46,669 AND THERE WAS A VISIT AND WANTED 2388 01:51:46,669 --> 01:51:50,406 TO EMPHASIZE SENATOR MORAN AND 2389 01:51:50,406 --> 01:51:53,108 SENATOR DURBIN WERE TWO MEMBERS 2390 01:51:53,108 --> 01:51:55,211 OF OUR SENATE APPROPRIATIONS 2391 01:51:55,211 --> 01:51:56,946 SUBCOMMITTEE TWO HUGE CHAMPIONS 2392 01:51:56,946 --> 01:51:59,615 FOR NCI FOR CANCER RESEARCH FOR 2393 01:51:59,615 --> 01:52:01,851 BIOMEDICAL RESEARCH OVER ALL AND 2394 01:52:01,851 --> 01:52:03,719 GREAT OPPORTUNITIES TO ENGAGE 2395 01:52:03,719 --> 01:52:06,789 AND ALSO TO ENGAGE WITH THE 2396 01:52:06,789 --> 01:52:07,656 COMMUNITIES AT THEIR 2397 01:52:07,656 --> 01:52:08,924 INSTITUTIONS AND THAT'S A 2398 01:52:08,924 --> 01:52:12,328 PICTURE IN THE BOTTOM RIGHT 2399 01:52:12,328 --> 01:52:16,365 CORNER, DR. RATHMELL AND SENATOR 2400 01:52:16,365 --> 01:52:18,200 MORAN AND TRAINING WITH LOCAL 2401 01:52:18,200 --> 01:52:20,002 ADVOCATES AND IT WAS A GREAT 2402 01:52:20,002 --> 01:52:20,636 OPPORTUNITY TO HEAR EVERYONE'S 2403 01:52:20,636 --> 01:52:24,773 PERSPECTIVE. 2404 01:52:24,773 --> 01:52:27,710 MOST RECENTLY LAST FRIDAY 2405 01:52:27,710 --> 01:52:30,779 SENATOR JACK REED ANOTHER MEMBER 2406 01:52:30,779 --> 01:52:32,915 OF THE LABOR HHS COMMITTEE AND 2407 01:52:32,915 --> 01:52:34,316 THE SPONSOR OF THIS CANCER STAR 2408 01:52:34,316 --> 01:52:40,055 ACT MET WITH LEADERS OF OUR 2409 01:52:40,055 --> 01:52:43,659 PEDIATRIC ONCOLOGY BRANCH AND 2410 01:52:43,659 --> 01:52:44,927 PICTURED HERE WELCOME BACK THE 2411 01:52:44,927 --> 01:52:55,471 CHIEF OF THE ONCOLOGY BRANCH AND 2412 01:52:57,573 --> 01:52:59,275 THE CLINICAL DIRECTOR AND 2413 01:52:59,275 --> 01:53:01,510 TOMORROW THE CONGRESSIONAL 2414 01:53:01,510 --> 01:53:03,412 CHILDHOOD CANCER CAUCUS IS 2415 01:53:03,412 --> 01:53:06,782 HOSTING THEIR ANNUAL SUBMIT AND 2416 01:53:06,782 --> 01:53:11,320 HERE AN OPENING MESSAGE FROM 2417 01:53:11,320 --> 01:53:12,588 DR. RATHMELL I CAN'T MAKE THE 2418 01:53:12,588 --> 01:53:13,889 MEETING BUT WE'RE EXCITED TO 2419 01:53:13,889 --> 01:53:15,925 HAVE TWO NCI SUPPORTED 2420 01:53:15,925 --> 01:53:18,794 INVESTIGATORS AND LEADERS IN THE 2421 01:53:18,794 --> 01:53:24,800 FIELD DR. HAWKINS AND 2422 01:53:24,800 --> 01:53:27,603 DR. PARSONS WILL BOTH SPEAK AT 2423 01:53:27,603 --> 01:53:28,938 THE SUMMIT. 2424 01:53:28,938 --> 01:53:32,474 NEXT WEEK, TUESDAY, DR. KIBBE 2425 01:53:32,474 --> 01:53:34,810 WILL BE PART OF A CONGRESSIONAL 2426 01:53:34,810 --> 01:53:35,144 BRIEFING. 2427 01:53:35,144 --> 01:53:36,779 I WANTED TO END HERE WITH A 2428 01:53:36,779 --> 01:53:43,519 PIECE OF ARTWORK FROM THE BOOK 2429 01:53:43,519 --> 01:53:44,019 SWIM 2430 01:53:44,019 --> 01:53:44,253 SWIMMY. 2431 01:53:44,253 --> 01:53:45,688 IT'S A CHILDREN'S BOOK I DIDN'T 2432 01:53:45,688 --> 01:53:50,593 DISCOVER IT AS A CHILD BUT AT A 2433 01:53:50,593 --> 01:53:52,094 TRAINING AND HAS ALWAYS SPOKEN 2434 01:53:52,094 --> 01:53:53,529 TO ME ABOUT THE POWER OF 2435 01:53:53,529 --> 01:53:54,797 SWIMMING TOGETHER AND IN 2436 01:53:54,797 --> 01:54:00,769 RECOGNITION OF THE WORK YOU DO 2437 01:54:00,769 --> 01:54:07,910 AND THINK WE CAN BE POWERFUL IN 2438 01:54:07,910 --> 01:54:09,345 EXPRESSING THE URGENCY OF THE 2439 01:54:09,345 --> 01:54:10,412 WORK AND RETURN ON INVESTMENT 2440 01:54:10,412 --> 01:54:14,383 AND THANK YOU FOR ALL YOU DO AND 2441 01:54:14,383 --> 01:54:15,784 SWIMMY IS THE LITTLE BLACK FISH 2442 01:54:15,784 --> 01:54:19,355 AND THE LEADER OF THE SCHOOL. 2443 01:54:19,355 --> 01:54:22,057 SOMETIMES SWIMMY IS NCI, 2444 01:54:22,057 --> 01:54:23,058 SOMETIMES IT'S YOUR ORGANIZATION 2445 01:54:23,058 --> 01:54:24,927 OR YOU AS AN INDIVIDUAL ADVOCATE 2446 01:54:24,927 --> 01:54:26,261 AND ALL THOSE ARE INCREDIBLY 2447 01:54:26,261 --> 01:54:26,629 IMPORTANT ROLES. 2448 01:54:26,629 --> 01:54:29,264 WE LOOK FORWARD TO WORKING WITH 2449 01:54:29,264 --> 01:54:31,467 YOU IF YOU'RE PLANNING ANY 2450 01:54:31,467 --> 01:54:32,868 CONGRESSIONAL BRIEFING OR EVENTS 2451 01:54:32,868 --> 01:54:35,004 WHERE NCI CAN BE HELPFUL AND 2452 01:54:35,004 --> 01:54:36,772 WOULD LIKE A SUBJECT MATTER 2453 01:54:36,772 --> 01:54:38,574 EXPERT INVOLVED, REACH OUT, 2454 01:54:38,574 --> 01:54:41,710 WE'RE HAPPY TO HELP AND MY 2455 01:54:41,710 --> 01:54:42,778 CONTACT INFORMATION. 2456 01:54:42,778 --> 01:54:44,013 REACH OUT ANY TIME. 2457 01:54:44,013 --> 01:54:44,913 THANK YOU. 2458 01:54:44,913 --> 01:54:48,117 >> THANK YOU SO MUCH, HOLLY. 2459 01:54:48,117 --> 01:54:50,586 YOUR REPORTS ARE ALWAYS 2460 01:54:50,586 --> 01:54:52,721 COMPREHENSIVE, HOPEFUL AND 2461 01:54:52,721 --> 01:54:53,022 TERRIFYING. 2462 01:54:53,022 --> 01:54:54,556 WE APPRECIATE THE HARD WORK YOU 2463 01:54:54,556 --> 01:54:59,395 AND YOUR TEAM TO STAY ON TOP OF 2464 01:54:59,395 --> 01:55:00,195 EVERYTHING AND THANK YOU FOR 2465 01:55:00,195 --> 01:55:01,363 THAT INTRODUCTION TO SWIMMY. 2466 01:55:01,363 --> 01:55:03,098 I CAN'T WAIT TO GET MY HANDS ON 2467 01:55:03,098 --> 01:55:04,667 THE BOOK. 2468 01:55:04,667 --> 01:55:06,835 I HAD A QUESTION IF NO ONE ELSE 2469 01:55:06,835 --> 01:55:08,937 HAS A QUESTION ABOUT YOU 2470 01:55:08,937 --> 01:55:11,040 MENTIONED POSSIBLY SOME OF THE 2471 01:55:11,040 --> 01:55:12,775 LEGISLATION THAT MAY PASS IN THE 2472 01:55:12,775 --> 01:55:14,410 COMING MONTHS AND I'M CURIOUS 2473 01:55:14,410 --> 01:55:18,180 ABOUT THE DRUG SHORTAGES. 2474 01:55:18,180 --> 01:55:20,816 WE HEAR THAT SOME THINGS ARE 2475 01:55:20,816 --> 01:55:25,454 RESOLVED AND IT FEELS LIKE IT'S 2476 01:55:25,454 --> 01:55:31,827 AN ONGOING THREAT DO WE KNOW IF 2477 01:55:31,827 --> 01:55:33,829 ANY OF THE NCI TRIALS OR 2478 01:55:33,829 --> 01:55:36,799 RESEARCH HAVE BEEN IMPACTED BY 2479 01:55:36,799 --> 01:55:38,701 THE SHORTAGES? 2480 01:55:38,701 --> 01:55:43,772 PROBABLY NOT YOUR QUESTION. 2481 01:55:43,772 --> 01:55:47,843 >> I HAVE NOTE CHECKED RECENTLY. 2482 01:55:47,843 --> 01:55:49,111 AT CERTAIN POINTS IN TIME WE DID 2483 01:55:49,111 --> 01:55:53,348 RECEIVE SOME QUESTIONS ABOUT AND 2484 01:55:53,348 --> 01:55:56,952 NCI TRIALS AT THE CLINICAL 2485 01:55:56,952 --> 01:55:58,987 CENTER AND THE NETWORK HAD NOT 2486 01:55:58,987 --> 01:55:59,988 BEEN DIRECTLY EFFECTED. 2487 01:55:59,988 --> 01:56:01,924 SOME INSTITUTIONS HAD BEEN 2488 01:56:01,924 --> 01:56:03,959 HEARING FROM PATIENTS SO I DON'T 2489 01:56:03,959 --> 01:56:05,794 KNOW IF DR. RATHMELL HAS 2490 01:56:05,794 --> 01:56:06,729 ANYTHING ADDITIONAL IT SAY. 2491 01:56:06,729 --> 01:56:07,863 >> THAT'S CORRECT. 2492 01:56:07,863 --> 01:56:08,964 THIS IS AN ISSUE THAT KEEPS 2493 01:56:08,964 --> 01:56:15,904 COMING UP AND COMES UP IN ALL 2494 01:56:15,904 --> 01:56:17,873 DIFFERENT DRUGS AND HARD TO 2495 01:56:17,873 --> 01:56:18,173 ANTICIPATE. 2496 01:56:18,173 --> 01:56:20,642 I DON'T KNOW WE CAN POINT TO 2497 01:56:20,642 --> 01:56:24,747 SOMEONE WHO DIDN'T GET TREATMENT 2498 01:56:24,747 --> 01:56:27,416 AROUND CONTINGENCY PLANS OR 2499 01:56:27,416 --> 01:56:30,085 TRYING TO KEEP UP WITH WHERE 2500 01:56:30,085 --> 01:56:33,055 THINGS ARE GOING ON. 2501 01:56:33,055 --> 01:56:35,157 IT CONTINUES TO BE AREAL ISSUE. 2502 01:56:35,157 --> 01:56:36,792 >> THOSE ARE PROPOSALS WE EXPECT 2503 01:56:36,792 --> 01:56:39,061 TO SEE RE-INTRODUCED IN THE 2504 01:56:39,061 --> 01:56:40,929 CONGRESS IF THEY DON'T MOVE IN 2505 01:56:40,929 --> 01:56:47,569 THE NEXT COUPLE OF MONTHS. 2506 01:56:47,569 --> 01:56:51,140 >> I SEE HUNGRY FACES SO THANK 2507 01:56:51,140 --> 01:56:52,741 YOU AGAIN FOR ALWAYS COMING AND 2508 01:56:52,741 --> 01:56:53,342 INFORMING US. 2509 01:56:53,342 --> 01:56:55,410 WE APPRECIATE IT, HOLLY. 2510 01:56:55,410 --> 01:56:59,114 AND WITH THAT WE WILL TAKE A 2511 01:56:59,114 --> 01:56:59,948 BREAK FOR LUNCH. 2512 01:56:59,948 --> 01:57:04,920 DO YOU HAVE THE ANNOUNCEMENTS? 2513 01:57:04,920 --> 01:57:10,806 AND WE'LL RECONVENE AT 1:00. 2514 01:57:10,806 --> 01:57:13,542 >> I WOULD LIKE TO CALL THE 2515 01:57:13,542 --> 01:57:14,543 MEETING BACK TO ORDER AND THANK 2516 01:57:14,543 --> 01:57:18,046 YOU FOR RETURNING BACK ON TIME. 2517 01:57:18,046 --> 01:57:20,849 I'D LIKE TO WELCOME THE OF 2518 01:57:20,849 --> 01:57:23,118 OPERATIONS FOR THE NIH 2519 01:57:23,118 --> 01:57:24,386 COMMUNITIES ADVANCING RESEARCH 2520 01:57:24,386 --> 01:57:30,826 FOR HEALTH NETWORK, MS. AJAZI. 2521 01:57:30,826 --> 01:57:37,332 SHE JOINED IN 2004 AND WAS CHIEF 2522 01:57:37,332 --> 01:57:40,169 OPERATING OFFICER AND CHIEF 2523 01:57:40,169 --> 01:57:43,138 ADMINISTRATIVE OFFICER FOR THE 2524 01:57:43,138 --> 01:57:45,040 CLINICAL ALLIANCE AND WE LOOK 2525 01:57:45,040 --> 01:57:46,308 FORWARD TO YOUR PRESENTATION. 2526 01:57:46,308 --> 01:57:46,875 >> THANK YOU. 2527 01:57:46,875 --> 01:57:47,709 >> GOOD AFTERNOON. 2528 01:57:47,709 --> 01:57:55,651 THANK YOU FORE INVITING ME ON TE 2529 01:57:55,651 --> 01:57:56,151 INITIATIVE. 2530 01:57:56,151 --> 01:57:59,655 AS NETTED I'M THE OPERATIONS 2531 01:57:59,655 --> 01:58:01,323 DIRECTOR FOR THIS PROGRAM. 2532 01:58:01,323 --> 01:58:06,862 I ALSO WOULD LIKE TO NOTE AMY 2533 01:58:06,862 --> 01:58:11,667 PATTERSON IS ON THE ZOOM LINE. 2534 01:58:11,667 --> 01:58:21,910 AMY IS THERE. 2535 01:58:27,449 --> 01:58:31,119 THERE'S AMY. 2536 01:58:31,119 --> 01:58:36,358 SO IN TODAY'S TALK I'LL PROVIDER 2537 01:58:36,358 --> 01:58:38,293 AN OVERVIEW AND THE COMPONENTS 2538 01:58:38,293 --> 01:58:38,961 OF THE PROGRAM WE'RE PLANNING 2539 01:58:38,961 --> 01:58:43,165 AND THEN I AM LOOKING FORWARD TO 2540 01:58:43,165 --> 01:58:43,966 AN OPEN DISCUSSION WITH YOU AT 2541 01:58:43,966 --> 01:58:49,338 THE END OF MY TALK. 2542 01:58:49,338 --> 01:58:50,539 SO WHY CARE FOR HEALTH? 2543 01:58:50,539 --> 01:58:52,708 THE HEALTH OF THE 2544 01:58:52,708 --> 01:58:54,476 U.S. POPULATION IS DECLINING. 2545 01:58:54,476 --> 01:58:57,713 AND THIS DECLINE IS STEEPEST 2546 01:58:57,713 --> 01:59:01,350 AMONG THE UNDER SERVED AND UNDER 2547 01:59:01,350 --> 01:59:04,887 REPRESENTED POPULATIONS. 2548 01:59:04,887 --> 01:59:08,524 AND U.S. LIFE EXPECTANCY RANKS 2549 01:59:08,524 --> 01:59:11,126 LOW AMONG PEERS AS YOU'LL SEE 2550 01:59:11,126 --> 01:59:13,962 DEPICTED ON THE SLIDE HERE. 2551 01:59:13,962 --> 01:59:16,932 IT DROPS SIGNIFICANTLY BY 2.4 2552 01:59:16,932 --> 01:59:20,969 YEARS BETWEEN 2019 AND 2021 AND 2553 01:59:20,969 --> 01:59:25,374 THE INCREASES IN 2022 DOES NOT 2554 01:59:25,374 --> 01:59:30,045 MAKE UP FOR THE PANDEMIC LOSSES. 2555 01:59:30,045 --> 01:59:34,750 SO THIS PROGRAM LAUNCHED IN JUNE 2556 01:59:34,750 --> 01:59:38,220 OF 2024 ONE A $30 MILLION PILOT 2557 01:59:38,220 --> 01:59:40,556 TO TEST THE FEASIBILITY OF A 2558 01:59:40,556 --> 01:59:41,890 NATIONAL PRIMARY CARE RESEARCH 2559 01:59:41,890 --> 01:59:42,791 NETWORK. 2560 01:59:42,791 --> 01:59:45,727 AND I WILL NOTE THAT THE FIRST 2561 01:59:45,727 --> 01:59:51,133 SET OF AWARDS THAT WE WILL BE 2562 01:59:51,133 --> 01:59:54,202 PROVIDING FOR THE PROGRAM IS FOR 2563 01:59:54,202 --> 01:59:55,137 RESEARCH IN THE RURAL HEALTH 2564 01:59:55,137 --> 02:00:03,779 COMMUNITIES. 2565 02:00:03,779 --> 02:00:06,882 THIS SLIDE GOES OVER THE AIMS OF 2566 02:00:06,882 --> 02:00:09,051 THE PROGRAM WHICH INCLUDE THE 2567 02:00:09,051 --> 02:00:11,119 AIM TO INTEGRATE RESEARCH INTO 2568 02:00:11,119 --> 02:00:14,323 THE CLINICAL CARE ENVIRONMENTS. 2569 02:00:14,323 --> 02:00:16,191 WE WANT TO ENGENDER TRUST IN 2570 02:00:16,191 --> 02:00:18,327 SCIENCE BY ADDRESSING THE 2571 02:00:18,327 --> 02:00:20,228 COMMUNITY NEEDS, CONDUCT 2572 02:00:20,228 --> 02:00:21,663 RESEARCH ADDRESSING ISSUES 2573 02:00:21,663 --> 02:00:25,067 IMPORTANT TO DIVERSE 2574 02:00:25,067 --> 02:00:25,734 COMMUNITIES, PARTICULARLY THOSE 2575 02:00:25,734 --> 02:00:27,569 UNDER REPRESENTS BIO MEDICAL 2576 02:00:27,569 --> 02:00:30,339 RESEARCH AND TO REDUCE BURDEN ON 2577 02:00:30,339 --> 02:00:34,343 PROVIDERS USING INNOVATIVE DATA 2578 02:00:34,343 --> 02:00:36,612 COLLECTION METHODS, INCREASE 2579 02:00:36,612 --> 02:00:38,180 ADHERENCE OF EVIDENCE-BASED 2580 02:00:38,180 --> 02:00:39,781 CARE, IMPROVE EFFICIENCY OF CARE 2581 02:00:39,781 --> 02:00:43,051 DELIVERY AND LAST BUT NOT LEAST 2582 02:00:43,051 --> 02:00:44,486 TO ACHIEVE THE LONGITUDINAL 2583 02:00:44,486 --> 02:00:47,022 COLLECTION OF CLINICAL DATA TO 2584 02:00:47,022 --> 02:00:49,324 ADDRESS HEALTH ACROSS THE LIFE 2585 02:00:49,324 --> 02:00:55,330 SPAN. 2586 02:00:55,330 --> 02:00:58,967 SO IN ORDER TO ESTABLISH THIS 2587 02:00:58,967 --> 02:01:02,904 NIH NETWORK WE ARE GOING TO HAVE 2588 02:01:02,904 --> 02:01:05,207 A COORDINATED INFRASTRUCTURE FOR 2589 02:01:05,207 --> 02:01:06,508 INNOVATIVE RESEARCH INTO ROUTINE 2590 02:01:06,508 --> 02:01:08,210 CLINICAL CARE IN THE PRIMARY 2591 02:01:08,210 --> 02:01:12,514 CARE SETTING BY SUPPORTING 2592 02:01:12,514 --> 02:01:15,417 PRIMARY CARE BASED CLINICAL BASE 2593 02:01:15,417 --> 02:01:17,552 IN MISSION AREAS, PREVENTION AND 2594 02:01:17,552 --> 02:01:22,724 TREATMENT WITH A FOCUS ON HEALTH 2595 02:01:22,724 --> 02:01:23,358 EQUITY AND WHOLE PERSON HEALTH. 2596 02:01:23,358 --> 02:01:24,760 WE SEEK TO ESTABLISH A 2597 02:01:24,760 --> 02:01:28,897 FOUNDATION FOR SUSTAINED 2598 02:01:28,897 --> 02:01:29,665 ENGAGEMENT WITH COMMUNITIES 2599 02:01:29,665 --> 02:01:32,300 UNDER REPRESENTED IN RESEARCH 2600 02:01:32,300 --> 02:01:35,771 AND DO AIM TO ESTABLISH 2601 02:01:35,771 --> 02:01:39,141 INFRASTRUCTURE FOR IMPLEMENTING 2602 02:01:39,141 --> 02:01:41,977 INNOVATIVE STUDY DESIGNS 2603 02:01:41,977 --> 02:01:44,279 SUITABLE TO PRIMARY CARE STUDIES 2604 02:01:44,279 --> 02:01:48,383 AND ENHANCE DISSEMINATION AND 2605 02:01:48,383 --> 02:01:49,017 IMPLEMENTATION THEREBY ADVANCING 2606 02:01:49,017 --> 02:01:57,259 HEALTH EQUITY FOR ALL. 2607 02:01:57,259 --> 02:02:01,229 IN ADVANCE OF THE LAUNCH FOR 2608 02:02:01,229 --> 02:02:04,466 THIS PROGRAM AND ALSO TO INFORM 2609 02:02:04,466 --> 02:02:07,803 THE PLANNING, NIH DID HAVE 2610 02:02:07,803 --> 02:02:11,173 SEVERAL LISTENING SESSIONS ALONG 2611 02:02:11,173 --> 02:02:12,641 THE FOLLOWING THEMES INCLUDING 2612 02:02:12,641 --> 02:02:14,376 SUSTAINED ENGAGEMENT OF PATIENTS 2613 02:02:14,376 --> 02:02:16,344 AND COMMUNITY ORGANIZATIONS, 2614 02:02:16,344 --> 02:02:19,081 CLINICAL RESEARCH NETWORK 2615 02:02:19,081 --> 02:02:21,483 CAPABILITIES, THE NEEDS OF 2616 02:02:21,483 --> 02:02:22,217 PROVIDERS AND HEALTH CARE 2617 02:02:22,217 --> 02:02:23,351 SYSTEMS FOR RESEARCH PART 2618 02:02:23,351 --> 02:02:26,788 PASSION AND CLINICAL RESEARCH 2619 02:02:26,788 --> 02:02:30,826 INNOVATIONS TO REDUCE SITE AND 2620 02:02:30,826 --> 02:02:31,193 PROVIDER BURDEN. 2621 02:02:31,193 --> 02:02:34,463 SO WE DID CATEGORIZE AND 2622 02:02:34,463 --> 02:02:39,134 SUMMARIZE THE RESULTS OF THE 2623 02:02:39,134 --> 02:02:41,737 LISTENING SESSIONS INTO THREE 2624 02:02:41,737 --> 02:02:42,604 MAJOR CATEGORIES INCLUDING 2625 02:02:42,604 --> 02:02:43,171 BRIDGING GAPS AND BUILDING 2626 02:02:43,171 --> 02:02:47,109 CONNECTION. 2627 02:02:47,109 --> 02:02:49,311 I'M GOING TO HIGHLIGHT NOT GOING 2628 02:02:49,311 --> 02:02:51,113 TO GO THROUGH EVERY POINT ON THE 2629 02:02:51,113 --> 02:02:53,381 SLIDE BUT HIGHLIGHT A FEW 2630 02:02:53,381 --> 02:02:55,117 POINTS. 2631 02:02:55,117 --> 02:02:56,785 IN ORDER TO BUILD SUSTAINABILITY 2632 02:02:56,785 --> 02:02:58,320 AND EFFECTIVE PARTNERSHIP IT'S 2633 02:02:58,320 --> 02:03:01,223 IMPORTANT THE ENGAGEMENT IS 2634 02:03:01,223 --> 02:03:03,892 CONTINUOUS AND NOT EPISODIC AND 2635 02:03:03,892 --> 02:03:06,495 THAT WE DO MAINTAIN THESE 2636 02:03:06,495 --> 02:03:07,362 RELATIONSHIPS WITH THE LOCAL 2637 02:03:07,362 --> 02:03:12,134 COMMUNITY PARTNERS. 2638 02:03:12,134 --> 02:03:20,976 IT'S IMPORTANT TO DEVELOP AND 2639 02:03:20,976 --> 02:03:23,111 DEMONSTRATE WE ARE TRUST WORTHY 2640 02:03:23,111 --> 02:03:26,848 AND THAT INCLUDES CO-DEVELOPMENT 2641 02:03:26,848 --> 02:03:27,482 IN ORDER TO SHAPE THE RESEARCH 2642 02:03:27,482 --> 02:03:37,626 AGENDA. 2643 02:03:49,971 --> 02:03:51,540 AND NEED BETTER APPROACHES TO 2644 02:03:51,540 --> 02:03:55,277 UNDERSTAND THE DIVERSE NEEDS OF 2645 02:03:55,277 --> 02:03:55,710 COMMUNITIES. 2646 02:03:55,710 --> 02:03:57,512 IN TERMS OF PROVIDER NEEDS, WE 2647 02:03:57,512 --> 02:04:00,382 DO NEED TO ACCOUNT FOR THE NEEDS 2648 02:04:00,382 --> 02:04:04,820 OF THE PROVIDERS BY ALIGNING THE 2649 02:04:04,820 --> 02:04:06,121 PRACTICE NEEDS AND RESEARCH 2650 02:04:06,121 --> 02:04:06,822 STRUCTURES. 2651 02:04:06,822 --> 02:04:09,491 IT'S IMPORTANT TO CONSIDER THE 2652 02:04:09,491 --> 02:04:11,126 WORK LOAD OF HEALTH CARE 2653 02:04:11,126 --> 02:04:14,362 PROVIDERS ESPECIALLY IN THE 2654 02:04:14,362 --> 02:04:16,398 PRIMARY CARE SETTING WHERE THERE 2655 02:04:16,398 --> 02:04:22,971 IS NOT MUCH ROOM OR RESOURCES 2656 02:04:22,971 --> 02:04:23,371 FOR THE RESEARCH. 2657 02:04:23,371 --> 02:04:26,408 IT'S IMPORTANT TO REDUCE THEIR 2658 02:04:26,408 --> 02:04:30,045 BURDEN BY DEVELOPING INNOVATIVE 2659 02:04:30,045 --> 02:04:35,116 STUDY DESIGN AND TECHNOLOGY. 2660 02:04:35,116 --> 02:04:36,785 YOU'LL NOTE ONE POINT NOTED IS 2661 02:04:36,785 --> 02:04:44,359 HOW DO WE UTILIZE THE I IN THESE 2662 02:04:44,359 --> 02:04:47,128 DESIGNS, COMMON DATA MODELS AN 2663 02:04:47,128 --> 02:04:49,731 DATA TOKENS IN ORDER TO SIMPLIFY 2664 02:04:49,731 --> 02:04:51,032 THE RESEARCH PROCESS. 2665 02:04:51,032 --> 02:04:54,836 IT'S IMPORTANT TO CONSULT WITH 2666 02:04:54,836 --> 02:04:55,904 THE PROVIDERS TO INFORM HOW 2667 02:04:55,904 --> 02:04:57,038 TECHNOLOGY CAN BE INTEGRATED 2668 02:04:57,038 --> 02:05:04,446 INTO RESEARCH. 2669 02:05:04,446 --> 02:05:07,115 AND LAST BUT NOT LEAST WE ALL 2670 02:05:07,115 --> 02:05:10,318 KNOW THERE'S ALWAYS A NEED FOR 2671 02:05:10,318 --> 02:05:11,553 RESEARCH FUNDING AND IT'S 2672 02:05:11,553 --> 02:05:12,120 IMPORTANT TO BALANCE THE 2673 02:05:12,120 --> 02:05:13,421 FINANCIAL IMPLICATIONS OF 2674 02:05:13,421 --> 02:05:23,598 RESEARCH. 2675 02:05:26,134 --> 02:05:27,836 TO ADDRESS PATIENT 2676 02:05:27,836 --> 02:05:29,871 SUSTAINABILITY AND VALUE AND 2677 02:05:29,871 --> 02:05:31,306 EQUITABLY COMPENSATE THE 2678 02:05:31,306 --> 02:05:32,908 COMMUNITY AND INDIVIDUALS AND 2679 02:05:32,908 --> 02:05:35,110 COMMUNITIES PARTICIPATING IN OUR 2680 02:05:35,110 --> 02:05:37,112 RESEARCH. 2681 02:05:37,112 --> 02:05:39,881 ONE THING THAT I WANT TO NOTE 2682 02:05:39,881 --> 02:05:42,817 THROUGHOUT ALL OF THE LISTENING 2683 02:05:42,817 --> 02:05:46,621 SESSIONS IS THAT THE 2684 02:05:46,621 --> 02:05:47,289 PARTICIPANTS EMPHASIZE THE NEED 2685 02:05:47,289 --> 02:05:50,292 TO INCLUDE THEM IN THE DECISION 2686 02:05:50,292 --> 02:05:52,727 MAKING PROCESS, THE PROVIDERS, 2687 02:05:52,727 --> 02:05:53,895 PATIENTS AND COMMUNITIES AND 2688 02:05:53,895 --> 02:05:59,100 THAT IT WAS NOT ENOUGH FOR THEM 2689 02:05:59,100 --> 02:06:00,902 TO JUST BE ADVISORY. 2690 02:06:00,902 --> 02:06:11,346 SO I'M GOING TO BUILD THE 2691 02:06:24,726 --> 02:06:25,827 APPROACH OF BUILDING NETWORKS. 2692 02:06:25,827 --> 02:06:29,898 IN ORDER TO HAVE A QUICKER 2693 02:06:29,898 --> 02:06:31,099 LAUNCH WE ARE IN THE PROCESS OF 2694 02:06:31,099 --> 02:06:35,437 EXPANDING ENROLLMENT EFFORTS OF 2695 02:06:35,437 --> 02:06:37,038 EXISTING NIH STUDIES AND THEN 2696 02:06:37,038 --> 02:06:39,407 GOING TO TURN OUR ATTENTION TO 2697 02:06:39,407 --> 02:06:43,044 DEVELOP NEW STUDIES AS THE 2698 02:06:43,044 --> 02:06:43,645 INFRASTRUCTURE IS ESTABLISHED. 2699 02:06:43,645 --> 02:06:45,180 THIS INCLUDES PARTNERING WITH 2700 02:06:45,180 --> 02:06:50,051 EXISTING CLINICAL RESEARCH 2701 02:06:50,051 --> 02:06:58,960 NETWORKS AND RESOURCES AND WE 2702 02:06:58,960 --> 02:07:03,098 ARE ENGAGING THE NIH CENTERS AND 2703 02:07:03,098 --> 02:07:05,967 OFFICES AS WELL AS COMMUNITY 2704 02:07:05,967 --> 02:07:09,304 NETWORK PARTNERS AS A WAY TO 2705 02:07:09,304 --> 02:07:11,106 PRIORITIZE AND APPLY FOR THE 2706 02:07:11,106 --> 02:07:13,975 RESEARCH FOR THE WE'RE TO 2707 02:07:13,975 --> 02:07:14,209 CONDUCT. 2708 02:07:14,209 --> 02:07:16,344 THIS INCLUDES IMPLEMENTING STUDY 2709 02:07:16,344 --> 02:07:18,513 DESIGNS ACROSS THE LANDSCAPE OF 2710 02:07:18,513 --> 02:07:24,686 CLINICAL TRIAL INNOVATIONS TO 2711 02:07:24,686 --> 02:07:25,820 REEMPHASIZE THE POINT OF 2712 02:07:25,820 --> 02:07:26,821 MINIMIZING THE BURDEN ON 2713 02:07:26,821 --> 02:07:31,126 PATIENTS AND PROVIDERS. 2714 02:07:31,126 --> 02:07:32,727 THE COMPONENTS OF THIS 2715 02:07:32,727 --> 02:07:36,164 INFRASTRUCTURE INCLUDE EMBEDDED 2716 02:07:36,164 --> 02:07:39,134 IN THE INFRASTRUCTURE IS THE 2717 02:07:39,134 --> 02:07:44,639 COMMUNITY ENGAGEMENT ACTIVITIES 2718 02:07:44,639 --> 02:07:47,075 AS WELL AS THE INDUSTRY 2719 02:07:47,075 --> 02:07:48,810 PARTNERSHIPS WOULD BE PART OF 2720 02:07:48,810 --> 02:07:51,046 THIS AS WE MOVE ALONG. 2721 02:07:51,046 --> 02:07:55,250 AND THEN AS PART OF THE NIH WE 2722 02:07:55,250 --> 02:07:58,153 ARE GOING TO CENTRALIZE THE 2723 02:07:58,153 --> 02:07:58,953 CLINICAL AND OPERATION CENTER 2724 02:07:58,953 --> 02:08:03,058 WITHIN THE PROGRAM. 2725 02:08:03,058 --> 02:08:05,093 AND THIS INCLUDES ALSO PROVIDING 2726 02:08:05,093 --> 02:08:09,030 FOR THE INDEPENDENT REVIEW AND 2727 02:08:09,030 --> 02:08:10,265 MONITORING BOARDS. 2728 02:08:10,265 --> 02:08:14,569 ONE KEY TO THUS INFRASTRUCTURE 2729 02:08:14,569 --> 02:08:16,037 ARE THE NETWORK RESEARCH HUBS 2730 02:08:16,037 --> 02:08:17,639 THAT WILL CONDUCT THE RESEARCH 2731 02:08:17,639 --> 02:08:27,115 AT THE PRIMARY CARE SETTINGS. 2732 02:08:27,115 --> 02:08:31,786 THIS SLIDE INCLUDES ENTITIES 2733 02:08:31,786 --> 02:08:34,856 IDENTIFIED FOR SYNERGISTIC 2734 02:08:34,856 --> 02:08:35,256 PARTNERSHIPS. 2735 02:08:35,256 --> 02:08:38,093 OBVIOUSLY NOT ALL INCLUSIVE HERE 2736 02:08:38,093 --> 02:08:41,196 AND THAT INCLUDES PARTNERING 2737 02:08:41,196 --> 02:08:46,634 WITH FEDERAL AGENCIES, FQHCs AND 2738 02:08:46,634 --> 02:08:48,470 HCHs, PROFESSIONAL SOCIETIES AND 2739 02:08:48,470 --> 02:08:49,337 OUR NETWORKS AND INDUSTRY 2740 02:08:49,337 --> 02:08:59,247 PARTNERS. 2741 02:08:59,247 --> 02:09:03,118 SO, WE DID ISSUE A ROA OVER THE 2742 02:09:03,118 --> 02:09:06,354 SUMMER AND WE'RE ON THE VERGE OF 2743 02:09:06,354 --> 02:09:08,423 AWARDING A FEW. 2744 02:09:08,423 --> 02:09:11,593 SO THE PURPOSE OF THE ROLE WAS 2745 02:09:11,593 --> 02:09:12,494 FOR APPLICATIONS FOR 2746 02:09:12,494 --> 02:09:14,863 ORGANIZATIONS TO SERVE AS 2747 02:09:14,863 --> 02:09:17,265 NETWORK RESEARCH HUBS TO 2748 02:09:17,265 --> 02:09:18,900 ESTABLISH AN INFRASTRUCTURE TO 2749 02:09:18,900 --> 02:09:20,068 CONDUCT RESEARCH IN RURAL 2750 02:09:20,068 --> 02:09:25,106 PRIMARY CARE SETTINGS AS A 2751 02:09:25,106 --> 02:09:25,473 TWO-YEAR PILOT. 2752 02:09:25,473 --> 02:09:27,976 THESE HUBS NEEDED TO BE LOCATED 2753 02:09:27,976 --> 02:09:31,346 IN STATES WITH AT LEAST 25% OF 2754 02:09:31,346 --> 02:09:41,089 CENSUS DEFINED AS RURAL USING 2755 02:09:41,089 --> 02:09:41,289 CODES. 2756 02:09:41,289 --> 02:09:47,128 SO THE TIME LINE FOR THIS 2757 02:09:47,128 --> 02:09:53,234 INITIATIVE IS TO AS NOTED 2758 02:09:53,234 --> 02:09:55,136 EARLIER LAUNCH IN 2024 TO EXPAND 2759 02:09:55,136 --> 02:09:58,006 STUDIES TO INCREASE ENGAGEMENT 2760 02:09:58,006 --> 02:09:59,274 WITH UNDER REPRESENTED RURAL 2761 02:09:59,274 --> 02:10:04,345 POPULATIONS AND ENHANCE AACCRUAL 2762 02:10:07,182 --> 02:10:11,119 ACCRUAL AND ADMINISTRATION AND 2763 02:10:11,119 --> 02:10:13,321 IT'S ADMINISTERED BY THE NIH 2764 02:10:13,321 --> 02:10:14,889 ECONOMIST AND THE RESEARCH 2765 02:10:14,889 --> 02:10:18,159 OPPORTUNITY WAS ANNOUNCED IN MAY 2766 02:10:18,159 --> 02:10:25,600 AND WILL AWARD 5.4 AND 5.6 IN A 2767 02:10:25,600 --> 02:10:27,101 COUPLE WEEKS THE AWARDS WILL BE 2768 02:10:27,101 --> 02:10:28,536 OUT BY THEN. 2769 02:10:28,536 --> 02:10:33,074 IN 2025 AND BEYOND WE'RE GOING 2770 02:10:33,074 --> 02:10:35,543 TO LAUNCH ADDITIONAL STUDIES AND 2771 02:10:35,543 --> 02:10:37,312 ESTABLISH THE NETWORK 2772 02:10:37,312 --> 02:10:46,454 INFRASTRUCTURE. 2773 02:10:46,454 --> 02:10:49,023 AND HOPE TO RAMP UP FOR THE 2774 02:10:49,023 --> 02:10:50,091 FUNDING FOR THE PROGRAM WITH THE 2775 02:10:50,091 --> 02:10:51,125 EXPECTATION THE PILOT WILL BE 2776 02:10:51,125 --> 02:11:00,969 SUCCESSFUL. 2777 02:11:00,969 --> 02:11:03,705 AS A PHASED APPROACH OF OUR TIME 2778 02:11:03,705 --> 02:11:05,974 LINE WE'RE LAUNCHING THESE 2779 02:11:05,974 --> 02:11:08,309 NETWORK RESEARCH HUBS TO 2780 02:11:08,309 --> 02:11:11,112 PARTICIPATE IN EXISTING STUDIES 2781 02:11:11,112 --> 02:11:14,282 AND PLAN FOR NEW STUDIES 2782 02:11:14,282 --> 02:11:15,917 INTERVENTIONAL AND OBSERVATIONAL 2783 02:11:15,917 --> 02:11:19,854 AND THEN YEAR TWO WE'RE GOING TO 2784 02:11:19,854 --> 02:11:20,955 BUILD UP THE INFRASTRUCTURE WITH 2785 02:11:20,955 --> 02:11:23,858 AN EVALUATION POINT AT THE END 2786 02:11:23,858 --> 02:11:29,364 OF YEAR TWO. 2787 02:11:29,364 --> 02:11:31,766 AND THEN BEYOND WE DO NOTE WE DO 2788 02:11:31,766 --> 02:11:34,969 EXPECT TO EXPAND THE FOCUS 2789 02:11:34,969 --> 02:11:38,706 BEYOND RURAL COMMUNITIES IN 2790 02:11:38,706 --> 02:11:41,175 OTHER POPULATIONS AND SITUATIONS 2791 02:11:41,175 --> 02:11:43,378 WHERE WE HAVE UNDER SERVED AND 2792 02:11:43,378 --> 02:11:47,115 UNDER REPRESENTED POPULATIONS IN 2793 02:11:47,115 --> 02:11:48,082 CLINICAL RESEARCH. 2794 02:11:48,082 --> 02:11:49,317 EVEN MORE THAN WHAT'S DEPICTED 2795 02:11:49,317 --> 02:11:59,560 ON THE SLIDE. 2796 02:12:01,062 --> 02:12:03,498 THAT WAS THE PROGRAM OVERVIEW 2797 02:12:03,498 --> 02:12:05,767 AND OUR CURRENT STATUS. 2798 02:12:05,767 --> 02:12:07,502 I'D LIKE TO TURN A LITTLE BIT OF 2799 02:12:07,502 --> 02:12:09,904 ATTENTION BACK TO THE COMMUNITY 2800 02:12:09,904 --> 02:12:11,105 ENGAGEMENT COMPONENTS OF THE 2801 02:12:11,105 --> 02:12:13,341 PROGRAM. 2802 02:12:13,341 --> 02:12:16,077 I WANT TO NOTE THAT WE'RE EARLY 2803 02:12:16,077 --> 02:12:17,679 IN THE PLANNING. 2804 02:12:17,679 --> 02:12:22,583 IN FACT OUR FIRST COMMUNITY 2805 02:12:22,583 --> 02:12:23,685 ENGAGEMENT SPECIALIST MANAGER IS 2806 02:12:23,685 --> 02:12:26,521 ONLY STARTING IN THE NEXT FEW 2807 02:12:26,521 --> 02:12:30,658 WEEKS TO HELP US PLAN OUT OUR 2808 02:12:30,658 --> 02:12:32,226 COMMUNITY ENGAGEMENT COMPONENTS 2809 02:12:32,226 --> 02:12:35,096 FROM A CENTRALIZED STANDPOINT. 2810 02:12:35,096 --> 02:12:36,297 AND CARE FOR HEALTH. 2811 02:12:36,297 --> 02:12:39,701 AND THAT WILL INCLUDE OBVIOUSLY 2812 02:12:39,701 --> 02:12:41,836 LOCAL ENGAGEMENT THROUGH OUR 2813 02:12:41,836 --> 02:12:43,104 LOCAL RESEARCH HUBS. 2814 02:12:43,104 --> 02:12:48,276 WE'RE PLANNING FOR A COMMUNITY 2815 02:12:48,276 --> 02:12:51,112 ENGAGEMENT COMMUNITY THAT 2816 02:12:51,112 --> 02:12:52,914 INCLUDES PARTICIPATION AND 2817 02:12:52,914 --> 02:12:58,953 REALLY WE EXPECT THEM TO DO SOME 2818 02:12:58,953 --> 02:12:59,487 DRIVING FROM THE PATIENT 2819 02:12:59,487 --> 02:13:01,122 REPRESENTATIVES. 2820 02:13:01,122 --> 02:13:05,860 AND COMMUNITY REPRESENTATIVES, 2821 02:13:05,860 --> 02:13:06,327 SORRY. 2822 02:13:06,327 --> 02:13:09,464 AS PART OF OUR COORDINATION 2823 02:13:09,464 --> 02:13:12,900 EFFORTS WE EXPECT TO BE ABLE TO 2824 02:13:12,900 --> 02:13:16,904 PROVIDE WORKSHOPS, TOOL KITS 2825 02:13:16,904 --> 02:13:19,173 INCLUDING LEARNING AS PART OF 2826 02:13:19,173 --> 02:13:24,545 THESE COMPONENTS. 2827 02:13:24,545 --> 02:13:28,249 SO THAT BRINGS US TO DISCUSSION. 2828 02:13:28,249 --> 02:13:31,652 YOU'D LIKE TO OPEN IT UP FOR 2829 02:13:31,652 --> 02:13:34,689 QUESTIONS ON WHAT WAS PRESENTED 2830 02:13:34,689 --> 02:13:39,527 AND THEN AMY AND I WOULD LIKE TO 2831 02:13:39,527 --> 02:13:44,532 HEAR FROM YOU LESSONS LEARNED 2832 02:13:44,532 --> 02:13:48,703 FROM THE NCI COUNCIL ON ADVOCACY 2833 02:13:48,703 --> 02:13:52,273 EXPERIENCE AND SOME ADVICE HOW 2834 02:13:52,273 --> 02:13:53,741 TO PROMOTE EFFECTIVE STRATEGIES 2835 02:13:53,741 --> 02:13:56,978 TO THE PATIENT COMMUNITY AND HOW 2836 02:13:56,978 --> 02:13:58,312 TO INCORPORATE RESEARCH EFFICACY 2837 02:13:58,312 --> 02:13:59,881 AT THE RESEARCH NETWORK LEVEL. 2838 02:13:59,881 --> 02:14:06,387 SO THANK YOU. 2839 02:14:06,387 --> 02:14:07,789 >> THANK YOU SO MUCH FOR THIS 2840 02:14:07,789 --> 02:14:10,358 WONDERFUL PRESENTATION AND AMY 2841 02:14:10,358 --> 02:14:13,327 FOR BEING ONLINE. 2842 02:14:13,327 --> 02:14:16,597 IS THIS PRESENTATION FROM ASCO 2843 02:14:16,597 --> 02:14:19,100 WHERE YOU AND DR. BERTAGNOLLI 2844 02:14:19,100 --> 02:14:20,568 WERE ON STAGE? 2845 02:14:20,568 --> 02:14:20,768 OKAY. 2846 02:14:20,768 --> 02:14:23,037 THIS WAS EXCITING TO SEE 2847 02:14:23,037 --> 02:14:24,439 DR. RATHMELL AND DR. BERTAGNOLLI 2848 02:14:24,439 --> 02:14:27,108 ON STAGE TALKING ABOUT THIS AND 2849 02:14:27,108 --> 02:14:31,145 TO SEE HOW THINGS ARE COMING 2850 02:14:31,145 --> 02:14:34,282 TOGETHER AND JUST RESEARCH 2851 02:14:34,282 --> 02:14:35,116 HELPING EVERYBODY BEING ON 2852 02:14:35,116 --> 02:14:35,349 CANCER. 2853 02:14:35,349 --> 02:14:38,052 I KNOW MANY OF US HERE WITH OUR 2854 02:14:38,052 --> 02:14:44,025 FAMILY MEMBERS OR OURSELVES 2855 02:14:44,025 --> 02:14:50,631 THERE ARE ISSUES THAT ARE IN 2856 02:14:50,631 --> 02:14:51,399 NEED OF RESEARCH AND HEART 2857 02:14:51,399 --> 02:14:58,473 DISEASE AND SO MUCH OUT THERE 2858 02:14:58,473 --> 02:15:00,508 AND MAKING CLINICAL TRIALS AND 2859 02:15:00,508 --> 02:15:03,010 CONTRIBUTING TO RESEARCH MAKING 2860 02:15:03,010 --> 02:15:05,947 IT PART OF LIFE AND THE IMPACT 2861 02:15:05,947 --> 02:15:07,315 OF CANCER AND IF SOMEBODY HAS TO 2862 02:15:07,315 --> 02:15:08,549 DEAL WITH THAT RESEARCH IS PART 2863 02:15:08,549 --> 02:15:12,153 OF WHAT HAS TO HAP VPEN. 2864 02:15:12,153 --> 02:15:13,387 YOU MENTIONED THE COMMUNITY 2865 02:15:13,387 --> 02:15:15,089 ENGAGEMENT AND IT DOESN'T LOOK 2866 02:15:15,089 --> 02:15:17,492 AS THOUGH THERE HAVE BEEN 2867 02:15:17,492 --> 02:15:19,160 PATIENT OR COMMUNITY INPUT IN 2868 02:15:19,160 --> 02:15:21,128 PLANNING STAGES. 2869 02:15:21,128 --> 02:15:21,762 AND THAT YOU'RE GEARING UP FOR 2870 02:15:21,762 --> 02:15:24,765 THAT RIGHT NOW. 2871 02:15:24,765 --> 02:15:27,802 CAN WE GO BACK TO YOUR QUESTION 2872 02:15:27,802 --> 02:15:31,105 BECAUSE I WANT TO MAKE SURE WE 2873 02:15:31,105 --> 02:15:34,976 CAN DISCUSS THAT. 2874 02:15:34,976 --> 02:15:35,910 I'M WONDERING IF YOU'RE 2875 02:15:35,910 --> 02:15:36,911 LEVERAGING -- THE FIRST THING 2876 02:15:36,911 --> 02:15:40,381 THAT COME WILLS TO MIND IS THE 2877 02:15:40,381 --> 02:15:41,816 NCORP NETWORK AND CLINICAL 2878 02:15:41,816 --> 02:15:43,117 TRIALS OUT IN THE COMMUNITIES 2879 02:15:43,117 --> 02:15:44,986 AND CAN YOU LEVERAGE SOME OF THE 2880 02:15:44,986 --> 02:15:47,054 THINGS THAT HAVE BEEN LEARNED 2881 02:15:47,054 --> 02:15:52,960 AND ARE IN PLACE FROM HERE IN 2882 02:15:52,960 --> 02:15:54,829 REACHING COMMUNITIES UNDER 2883 02:15:54,829 --> 02:15:56,697 REPRESENTED AND GETTING PEOPLE 2884 02:15:56,697 --> 02:15:59,367 ENROLLED AND INTERESTED IN 2885 02:15:59,367 --> 02:16:03,237 CLINICAL TRIALS. 2886 02:16:03,237 --> 02:16:06,574 WELL, I DO COME FROM THE NCI EQ 2887 02:16:06,574 --> 02:16:12,079 SCRO SYSTEM, SHALL WE SAY. 2888 02:16:12,079 --> 02:16:19,820 -- ECO SYSTEM, SHALL WE SAY. 2889 02:16:19,820 --> 02:16:25,259 I DO VERY MUCHEN JOY WORKING 2890 02:16:25,259 --> 02:16:26,961 WITH THE NCORP FOLKS AND WOULD 2891 02:16:26,961 --> 02:16:32,433 BE HAPPY TO ENGAGE THEM IN 2892 02:16:32,433 --> 02:16:34,268 HELPING PLAN AND PROVIDE ADVICE 2893 02:16:34,268 --> 02:16:39,674 IN HOW TO DO THIS. 2894 02:16:39,674 --> 02:16:44,111 I KNOW ALSO AMY HAS BEEN WITH 2895 02:16:44,111 --> 02:16:46,914 NIH IN VARIOUS PROGRAMS AND ALSO 2896 02:16:46,914 --> 02:16:49,317 HAVE SOME EXPERIENCE IN THIS AND 2897 02:16:49,317 --> 02:16:52,186 HAVE SOME CONTEXT IN OTHER PARTS 2898 02:16:52,186 --> 02:16:58,225 OF THE NIH THAT WE HOPE TO 2899 02:16:58,225 --> 02:17:01,829 LEVERAGE SO SHORT ANSWER IS YES. 2900 02:17:01,829 --> 02:17:04,432 >> I WANT TO CHIME IN ON THIS A 2901 02:17:04,432 --> 02:17:04,999 LITTLE BIT TOO. 2902 02:17:04,999 --> 02:17:06,767 YOU MADE ONE POINT I WAS GOING 2903 02:17:06,767 --> 02:17:09,704 TO MAKE WHICH IS WE'RE REALLY 2904 02:17:09,704 --> 02:17:11,739 FORTUNATE TO HAVE A CANCER 2905 02:17:11,739 --> 02:17:13,908 PERSON IN THIS ROLE SO TRAINING 2906 02:17:13,908 --> 02:17:14,742 THE CANCER RESEARCH BACKWARDS 2907 02:17:14,742 --> 02:17:19,113 AND FORWARDS AND FOR ME THE 2908 02:17:19,113 --> 02:17:22,516 EXCITING THING ABOUT THIS IS 2909 02:17:22,516 --> 02:17:23,818 PREVENTION AND EARLY DETECTION 2910 02:17:23,818 --> 02:17:26,053 HAPPEN OUT IN PRIMARY CARE AND 2911 02:17:26,053 --> 02:17:28,255 THAT'S NOT BEEN A PART OF OUR 2912 02:17:28,255 --> 02:17:31,125 ECO SYSTEM AND IT SHOULD HAVE 2913 02:17:31,125 --> 02:17:31,726 BEEN. 2914 02:17:31,726 --> 02:17:33,828 NCORP WAS DESIGN TO HELP WITH 2915 02:17:33,828 --> 02:17:35,262 THIS BUT IT'S MEDICAL 2916 02:17:35,262 --> 02:17:37,331 ONCOLOGISTS BY AND LARGE. 2917 02:17:37,331 --> 02:17:41,469 BEING ABLE TO ENGAGE PRIMARY 2918 02:17:41,469 --> 02:17:43,104 CARE DOCTORS THERE WILL BE ALL 2919 02:17:43,104 --> 02:17:44,505 KINDS OF RESEARCH VALUABLE THERE 2920 02:17:44,505 --> 02:17:46,941 AND DOING GOOD PREVENTION AND 2921 02:17:46,941 --> 02:17:49,343 EARLY DETECTION WORK IT WILL BE 2922 02:17:49,343 --> 02:17:54,915 VERY EXCITING FOR US. 2923 02:17:54,915 --> 02:17:57,585 >> I WILL CONFESS THAT WAS PART 2924 02:17:57,585 --> 02:17:58,619 OF THE TRANSACTION IN THE 2925 02:17:58,619 --> 02:17:59,387 POSITION. 2926 02:17:59,387 --> 02:18:00,821 >> I WASN'T MESSENGER TO REACH 2927 02:18:00,821 --> 02:18:02,223 OUT AND LEVERAGING THE DOCTORS 2928 02:18:02,223 --> 02:18:07,094 LIKE THE PEOPLE WHO ARE DOING 2929 02:18:07,094 --> 02:18:11,098 THE CONSENTING AND PARTICIPATING 2930 02:18:11,098 --> 02:18:13,901 IN CLINICAL TRIALS AND HAVE 2931 02:18:13,901 --> 02:18:16,804 RELATIONSHIPS WITH THESE SITES 2932 02:18:16,804 --> 02:18:17,805 BECAUSE A LOT OF COMMUNITY 2933 02:18:17,805 --> 02:18:19,073 BUILDING GOES INTO THAT. 2934 02:18:19,073 --> 02:18:21,976 THAT WAS THE ASPECT I WAS 2935 02:18:21,976 --> 02:18:26,814 REFERRING TO AS FAR AS 2936 02:18:26,814 --> 02:18:37,224 LEVERAGING FOR THIS USE. 2937 02:18:42,530 --> 02:18:49,336 THE PRIMARY CARE DOCTORS DO 2938 02:18:49,336 --> 02:18:54,241 UNDERSTAND THEY'RE NOT 2939 02:18:54,241 --> 02:18:59,580 ADVOCATING BUT GOING TO DOCTORS 2940 02:18:59,580 --> 02:19:07,354 AND ASKING FOR MEASURES IN THE 2941 02:19:07,354 --> 02:19:11,125 NETWORKS AND IN THE A QUESTION 2942 02:19:11,125 --> 02:19:11,559 JUST AN AFFIRMATION. 2943 02:19:11,559 --> 02:19:13,761 >> THANK YOU. 2944 02:19:13,761 --> 02:19:19,100 >> I LOVE THE CONCEPT HERE. 2945 02:19:19,100 --> 02:19:21,469 MY QUESTION ACTUALLY IS I WORKED 2946 02:19:21,469 --> 02:19:25,372 WITH A COUPLE SITES IN A COUPLE 2947 02:19:25,372 --> 02:19:28,075 CIRCUMSTANCES TO TRY AND DO A 2948 02:19:28,075 --> 02:19:29,477 SIMILAR THING AND SAYING HOW CAN 2949 02:19:29,477 --> 02:19:34,115 WE GET RESEARCH IN THE PRIMARY 2950 02:19:34,115 --> 02:19:36,016 CARE AND PRACTICES IN CLINICS. 2951 02:19:36,016 --> 02:19:37,885 ONE THING I'M NOTICING THAT IS 2952 02:19:37,885 --> 02:19:42,223 MISSING THAT HASN'T BEEN 2953 02:19:42,223 --> 02:19:44,258 DISCUSSED AS A BARRIER IS HOW 2954 02:19:44,258 --> 02:19:46,227 PROVIDERS ARE COMPENSATED FOR 2955 02:19:46,227 --> 02:19:49,830 THEIR TIME IN ORDER TO DO THIS. 2956 02:19:49,830 --> 02:19:55,102 IT'S A CRITICAL PIECE OFTEN NOT 2957 02:19:55,102 --> 02:19:55,703 DISCUSSED. 2958 02:19:55,703 --> 02:19:58,572 IN THE CURRENT STRUCTURE WITH 2959 02:19:58,572 --> 02:19:59,507 FEE FOR SERVICE MEDICINE THERE'S 2960 02:19:59,507 --> 02:20:01,709 NO INCENTIVES TO DO CLINICAL 2961 02:20:01,709 --> 02:20:02,610 TRIALS OR RESEARCH. 2962 02:20:02,610 --> 02:20:08,015 WITHOUT THAT INCENTIVE OFTEN 2963 02:20:08,015 --> 02:20:11,118 TIMES IT'S JUST MORE WORK FOR 2964 02:20:11,118 --> 02:20:13,287 THE PHYSICIANS IN RURAL 2965 02:20:13,287 --> 02:20:15,222 COMMUNITIES ALREADY BURDENED TO 2966 02:20:15,222 --> 02:20:17,324 DO SO I'M WONDERING IF THERE'S A 2967 02:20:17,324 --> 02:20:18,359 COMPONENT TO MAYBE ADDRESS OR 2968 02:20:18,359 --> 02:20:23,097 BEGIN TO HAVE A CONVERSATION 2969 02:20:23,097 --> 02:20:30,738 WITH PROVIDERS ON HOW TO 2970 02:20:30,738 --> 02:20:31,372 APPROPRIATELY COMPENSATE THEM 2971 02:20:31,372 --> 02:20:36,677 FOR THE RIGHT AMOUNT OF TIME. 2972 02:20:36,677 --> 02:20:37,545 >> THAT'S PART OF THE 2973 02:20:37,545 --> 02:20:39,046 CONVERSATION AND WE ARE HAVING 2974 02:20:39,046 --> 02:20:42,917 NETWORK RESEARCH HUBS AWARDING 2975 02:20:42,917 --> 02:20:45,219 FUNDING TO IN ORDER TO 2976 02:20:45,219 --> 02:20:49,356 PARTICIPATE IN THE PROGRAM. 2977 02:20:49,356 --> 02:20:54,662 AND PART OF IT IS HOW DO WE 2978 02:20:54,662 --> 02:20:55,563 PROVIDE THE FINANCIAL RESOURCES 2979 02:20:55,563 --> 02:21:00,167 TO THE NETWORKS AND TO THESE 2980 02:21:00,167 --> 02:21:02,770 SITES THAT WILL COMPENSATE THEM 2981 02:21:02,770 --> 02:21:07,041 FOR THE WORK AND ACTUALLY ALSO 2982 02:21:07,041 --> 02:21:09,143 IN SOME OF OUR DESIGNS REDUCE 2983 02:21:09,143 --> 02:21:11,111 THE BURDEN SO THE BURDEN FOR 2984 02:21:11,111 --> 02:21:16,750 THEM TO CONDUCT RESEARCH IS NOT 2985 02:21:16,750 --> 02:21:17,084 SO HIGH. 2986 02:21:17,084 --> 02:21:20,487 >> AMY, DID YOU WANT TO COMMENT? 2987 02:21:20,487 --> 02:21:22,456 >> IT'S AN EXCELLENT POINT AND 2988 02:21:22,456 --> 02:21:31,098 IS A VERY DIFFICULT ONE TO 2989 02:21:31,098 --> 02:21:31,532 TACKING. 2990 02:21:31,532 --> 02:21:35,069 TRINI TOUCHED ON ADEQUATE 2991 02:21:35,069 --> 02:21:36,103 COMPENSATION AND PROVIDING 2992 02:21:36,103 --> 02:21:38,172 ADDITIONAL BOOTS ON THE GROUND 2993 02:21:38,172 --> 02:21:43,377 SUPPORT TO SOME OF THE 2994 02:21:43,377 --> 02:21:51,318 ADMINISTRATIVE TASKS PART AND 2995 02:21:51,318 --> 02:21:53,687 PARCEL OF RESEARCH AND THE 2996 02:21:53,687 --> 02:21:54,922 CLINICAL CARE TEAMS AND OTHERS 2997 02:21:54,922 --> 02:21:56,790 TO KEEP THEIR EYES ON THE 2998 02:21:56,790 --> 02:21:57,958 CLINICAL CARE DUTIES AND 2999 02:21:57,958 --> 02:21:59,727 MINIMIZING THE BURDEN OF DOING 3000 02:21:59,727 --> 02:22:03,030 THAT BY INNOVATIVE TRIAL 3001 02:22:03,030 --> 02:22:04,031 DESIGNS, LEVERAGING TECHNOLOGY 3002 02:22:04,031 --> 02:22:05,432 THAT'S WORKABLE WITHIN THE 3003 02:22:05,432 --> 02:22:11,105 CONTEXT OF THE PRIMARY CARE 3004 02:22:11,105 --> 02:22:13,340 SETTING AND MAKING THIS AS 3005 02:22:13,340 --> 02:22:14,408 STREAMLINED AND PRACTICAL AS 3006 02:22:14,408 --> 02:22:19,480 POSSIBLE AND THAT REQUIRES 3007 02:22:19,480 --> 02:22:23,117 WORKING WITH PROVIDERS TO 3008 02:22:23,117 --> 02:22:24,885 UNDERSTAND DAY TO DAY OPERATIONS 3009 02:22:24,885 --> 02:22:26,186 AND WORK FLOWS. 3010 02:22:26,186 --> 02:22:35,095 IT WILL BE A CRITICAL COMPONENT 3011 02:22:35,095 --> 02:22:38,532 AND THERE'S ONLY 24 HOURS IN A 3012 02:22:38,532 --> 02:22:42,469 DAY SO TIME FROM RESEARCH IS 3013 02:22:42,469 --> 02:22:43,938 AWAY FROM CARE DELIVERY AND 3014 02:22:43,938 --> 02:22:46,206 THAT'S A SOURCE OF REVENUE. 3015 02:22:46,206 --> 02:22:50,311 WE HAVE TO TAKE INTO ACCOUNT THE 3016 02:22:50,311 --> 02:22:51,612 COST OF PARTICIPATING IN 3017 02:22:51,612 --> 02:22:55,082 RESEARCH FROM THAT PERSPECTIVE. 3018 02:22:55,082 --> 02:22:56,850 SO THANKS FOR BRINGING IT UP. 3019 02:22:56,850 --> 02:22:59,086 I WANT TO ACKNOWLEDGE I THINK 3020 02:22:59,086 --> 02:23:00,788 IT'S A TOUGH NUT TO CRACK BUT 3021 02:23:00,788 --> 02:23:02,523 ONE WE HAVE TO CRACK. 3022 02:23:02,523 --> 02:23:05,192 WE'LL DO THAT IN PARTNERSHIP 3023 02:23:05,192 --> 02:23:07,094 WITH OUR RESEARCH NETWORK AND 3024 02:23:07,094 --> 02:23:10,631 PRACTICE COMMUNITIES AND WELCOME 3025 02:23:10,631 --> 02:23:13,334 YOUR THOUGHTS IN HOW TO GO ABOUT 3026 02:23:13,334 --> 02:23:14,134 THIS? 3027 02:23:14,134 --> 02:23:15,569 >> THANK YOU FOR THAT. 3028 02:23:15,569 --> 02:23:16,870 KATIE, DID YOU HAVE SOMETHING TO 3029 02:23:16,870 --> 02:23:17,137 ASK? 3030 02:23:17,137 --> 02:23:21,108 >> YEAH, JUST A QUESTION ALONG 3031 02:23:21,108 --> 02:23:24,078 THE SAME LINES OF FUNDING IS ONE 3032 02:23:24,078 --> 02:23:27,381 MECHANISM TO HELP ALLEVIATE SOME 3033 02:23:27,381 --> 02:23:30,684 ISSUES BUT I ALSO THINK AN 3034 02:23:30,684 --> 02:23:31,485 IMPORTANT KEY PART OF SUCCESS 3035 02:23:31,485 --> 02:23:36,190 MAY ALSO BE NETWORKING AND 3036 02:23:36,190 --> 02:23:38,058 SUPPORT AS PART OF THE RESEARCH 3037 02:23:38,058 --> 02:23:42,229 HUB DO THESE PRIMARY CARE 3038 02:23:42,229 --> 02:23:45,899 PHYSICIANS OR PEOPLE 3039 02:23:45,899 --> 02:23:47,001 PARTICIPATING HAVE ACCESS TO 3040 02:23:47,001 --> 02:23:48,602 THAT NETWORK OF SUPPORT TO 3041 02:23:48,602 --> 02:23:50,437 CONNECT WITH OTHER COMMUNITIES 3042 02:23:50,437 --> 02:23:51,105 PARTICIPATING IN THE SAME 3043 02:23:51,105 --> 02:23:52,406 PROGRAMS TO EXCHANGE IDEAS 3044 02:23:52,406 --> 02:23:55,109 BEYOND JUST HAVING THE FUNDING 3045 02:23:55,109 --> 02:24:05,185 SUPPORT? 3046 02:24:05,185 --> 02:24:07,121 >> THERE ARE PRIMARY CARE 3047 02:24:07,121 --> 02:24:08,822 RESEARCH ASSOCIATIONS AND THINGS 3048 02:24:08,822 --> 02:24:19,033 LIKE THAT THEY'RE CONNECTING 3049 02:24:19,033 --> 02:24:19,266 THROUGH. 3050 02:24:19,266 --> 02:24:21,902 >> IN BUILDING THE NETWORK OF 3051 02:24:21,902 --> 02:24:25,272 NETWORKS WE'RE TRYING TO HABE 3052 02:24:25,272 --> 02:24:26,807 ESTABLISH A VERY STRONG 3053 02:24:26,807 --> 02:24:28,275 FOUNDATION FOR A LEARNING 3054 02:24:28,275 --> 02:24:29,443 COMMUNITY THAT SUPPORTS ONE 3055 02:24:29,443 --> 02:24:32,379 ANOTHER AND SO VENE WITH THE 3056 02:24:32,379 --> 02:24:34,982 FIRST STUDIES THE NETWORKS THAT 3057 02:24:34,982 --> 02:24:38,685 WE'RE FUNDING NOT ALL THEIR 3058 02:24:38,685 --> 02:24:40,721 SITES WILL INITIALLY BE 3059 02:24:40,721 --> 02:24:42,456 PARTICIPATING IN THEIR STUDIES 3060 02:24:42,456 --> 02:24:45,025 BUT WORK WITH OTHER SITES TO 3061 02:24:45,025 --> 02:24:47,127 BRING THEM ON BOARD TO BUILD 3062 02:24:47,127 --> 02:24:48,162 CAPACITY LEARNING FROM ONE 3063 02:24:48,162 --> 02:24:53,801 ANOTHER WE'LL BE BRINGING THE 3064 02:24:53,801 --> 02:24:55,102 NETWORK RESEARCH HUBS TOGETHER 3065 02:24:55,102 --> 02:25:01,308 TO THEY'RE BEST PRACTICES AND 3066 02:25:01,308 --> 02:25:02,076 INNOVATIVE APPROACHES. 3067 02:25:02,076 --> 02:25:07,114 WE'RE VERY MUCH TRYING TO CREATE 3068 02:25:07,114 --> 02:25:13,020 A SUPPORTIVE COMMUNITY FOR THESE 3069 02:25:13,020 --> 02:25:13,620 PRACTI 3070 02:25:13,620 --> 02:25:13,887 PRACTICES. 3071 02:25:13,887 --> 02:25:16,090 >> YOU SHOULD BE VERY INSENSUAL 3072 02:25:16,090 --> 02:25:21,361 ABOUT THAT AND NOT JUST ASSUME 3073 02:25:21,361 --> 02:25:25,199 THEY'RE GOING TO NETWORK WITHIN 3074 02:25:25,199 --> 02:25:28,669 THEMSELVES AND CREATE A SPACE 3075 02:25:28,669 --> 02:25:32,506 AND IN THE MOUNTAIN WEST REGION 3076 02:25:32,506 --> 02:25:33,640 WE BROUGHT TOGETHER ASSOCIATIONS 3077 02:25:33,640 --> 02:25:38,679 OF FIVE DIFFERENT STATES. 3078 02:25:38,679 --> 02:25:39,780 LEARNING BETWEEN THEM WAS OF 3079 02:25:39,780 --> 02:25:41,815 GREAT VALUE. 3080 02:25:41,815 --> 02:25:47,888 YOU HAVE A CAPTIVE AUDIENCE WITH 3081 02:25:47,888 --> 02:25:49,289 FUND 3082 02:25:49,289 --> 02:25:50,958 FUNDING YOU HAVE THAT CARROT AND 3083 02:25:50,958 --> 02:25:52,426 FORCE THEM INTO THE NETWORKING 3084 02:25:52,426 --> 02:25:53,961 AND YOU'LL REAP THE BENEFITS IS 3085 02:25:53,961 --> 02:25:54,595 A GREAT COMMENT. 3086 02:25:54,595 --> 02:25:56,029 >> ONE THING WE'LL BE ASKING 3087 02:25:56,029 --> 02:26:01,768 THEM TO DO IS TO WORK TOGETHER 3088 02:26:01,768 --> 02:26:05,072 AND CREATE REPORTS THAT WILL BE 3089 02:26:05,072 --> 02:26:08,609 FOUNDATIONAL REPORTS THAT AS THE 3090 02:26:08,609 --> 02:26:12,880 NETWORK OF NETWORKS WILL BE 3091 02:26:12,880 --> 02:26:14,515 AUGMENTED BUT WILL BE SHARED 3092 02:26:14,515 --> 02:26:19,086 LESSONS LEARNED AND EXPERIENCES 3093 02:26:19,086 --> 02:26:20,087 IN ENGAGING COMMUNITY 3094 02:26:20,087 --> 02:26:25,225 ORGANIZATIONS AND PATIENTS AND 3095 02:26:25,225 --> 02:26:30,597 ANOTHER WILL BE A TOOL KIT FOR 3096 02:26:30,597 --> 02:26:33,267 CAPACITY, READINESS AND HOW CAN 3097 02:26:33,267 --> 02:26:34,434 PRACTICES OF PARTICIPATING 3098 02:26:34,434 --> 02:26:36,637 RESEARCH AND WORKING ON THAT 3099 02:26:36,637 --> 02:26:39,139 TOGETHER AND ALSO HAVING THEIR 3100 02:26:39,139 --> 02:26:40,774 OWN SORT OF CASE EXEMPLAR 3101 02:26:40,774 --> 02:26:45,779 SPECIFIC ADDITIONS TO THAT 3102 02:26:45,779 --> 02:26:49,349 REPORT IS VERY CON SPECIFIC. 3103 02:26:49,349 --> 02:26:55,088 OTHER IDEAS ABOUT HOW TO DO THIS 3104 02:26:55,088 --> 02:26:59,092 VERY INTENTIONALLY WILL BE 3105 02:26:59,092 --> 02:26:59,760 WELCOME. 3106 02:26:59,760 --> 02:27:01,228 >> IF THERE ARE NO FURTHER 3107 02:27:01,228 --> 02:27:03,230 QUESTIONS, TRINI AND AMY, THANK 3108 02:27:03,230 --> 02:27:06,533 YOU SO MUCH FOR COMING AND 3109 02:27:06,533 --> 02:27:13,307 TELLING US ABOUT THE EXCITING 3110 02:27:13,307 --> 02:27:14,241 GROUNDBREAKING ENDEAVOR AND 3111 02:27:14,241 --> 02:27:15,475 CAN'T CAN'T WAIT TO HEAR ABOUT 3112 02:27:15,475 --> 02:27:16,944 OUT WHEN IT'S OFF THE GROUND. 3113 02:27:16,944 --> 02:27:22,382 >> THANK YOU FOR HAVING US. 3114 02:27:22,382 --> 02:27:24,318 >> GREAT. 3115 02:27:24,318 --> 02:27:26,086 >> VERY HELPFUL. 3116 02:27:26,086 --> 02:27:28,288 >> NEXT WE'LL HEAR ABOUT THE 3117 02:27:28,288 --> 02:27:30,624 CANCER MOONSHOT SCHOLARS PROGRAM 3118 02:27:30,624 --> 02:27:31,892 AND INTRODUCE OUR THREE 3119 02:27:31,892 --> 02:27:34,394 PRESENTERS WE'LL HEAR FROM. 3120 02:27:34,394 --> 02:27:37,064 FIRST WE'LL HEAR FROM DR. BAILEY 3121 02:27:37,064 --> 02:27:39,099 THE BRANCH DIRECTOR WITH THE NCI 3122 02:27:39,099 --> 02:27:40,667 CENTER FOR CANCER HEALTH EQUITY 3123 02:27:40,667 --> 02:27:42,636 AND LATER WE'LL HEAR FROM TWO 3124 02:27:42,636 --> 02:27:48,242 CANCER MOONSHOT SCHOLARS. 3125 02:27:48,242 --> 02:27:52,012 DR. DANG AND DR. McLOUTH. 3126 02:27:52,012 --> 02:27:55,115 DR. BAILEY OVERSEES THE CANCER 3127 02:27:55,115 --> 02:27:59,086 MOONSHOT SCHOLARS PROGRAM AND 3128 02:27:59,086 --> 02:28:02,155 THE RO1 GRANT APPLICATIONS FOR 3129 02:28:02,155 --> 02:28:04,124 THE PORTFOLIO BY ENHANCING THE 3130 02:28:04,124 --> 02:28:05,726 NUMBER OF APPLICATIONS SUBMITTED 3131 02:28:05,726 --> 02:28:07,094 BY EARLY STAGE INVESTIGATORS 3132 02:28:07,094 --> 02:28:09,396 FROM DIVERSE BACKGROUNDS AND 3133 02:28:09,396 --> 02:28:11,498 WE'LL HEAR MORE ABOUT THE WORK 3134 02:28:11,498 --> 02:28:15,402 OF DR. DANG AND DR. McLOUTH 3135 02:28:15,402 --> 02:28:16,703 LATER IN THE PRESENTATION. 3136 02:28:16,703 --> 02:28:17,337 DR. BAILEY WE'RE EXCITED TO HEAR 3137 02:28:17,337 --> 02:28:24,678 FROM YOU. 3138 02:28:24,678 --> 02:28:26,179 >> THANK YOU FOR THE KIND 3139 02:28:26,179 --> 02:28:27,781 INTRODUCTION AND THE OPPORTUNITY 3140 02:28:27,781 --> 02:28:30,651 TO SHARE THE CANCER MOONSHOT 3141 02:28:30,651 --> 02:28:32,486 SCHOLARS PROGRAM WITH YOU TODAY. 3142 02:28:32,486 --> 02:28:35,088 BEFORE I BEGIN SPEAKING ABOUT 3143 02:28:35,088 --> 02:28:37,357 THE CANCER MOON SHOT SCHOLARS 3144 02:28:37,357 --> 02:28:42,596 PROGRAM I'D LIKE TO SAY A BIT OF 3145 02:28:42,596 --> 02:28:43,330 BACKGROUND INFORMATION ABOUT THE 3146 02:28:43,330 --> 02:28:48,902 NCI EQUITY AND INCLUSION PROGRAM 3147 02:28:48,902 --> 02:28:51,805 WE HAVE AT NCI. 3148 02:28:51,805 --> 02:28:53,640 THIS IS RESPONSIBLE FOR THE MOON 3149 02:28:53,640 --> 02:28:57,044 SHOT SCHOLARS PROGRAM AND THE 3150 02:28:57,044 --> 02:28:58,312 NCI EQUITY AND INCLUSION PROGRAM 3151 02:28:58,312 --> 02:29:04,451 IS COMMITTED TO ENDING 3152 02:29:04,451 --> 02:29:06,219 STRUCTURAL RACISM AND SUPPORTS 3153 02:29:06,219 --> 02:29:08,288 THE NIH OVER ALL INITIATIVE 3154 02:29:08,288 --> 02:29:09,890 CALLED UNITE YOU MAY BE FAMILIAR 3155 02:29:09,890 --> 02:29:10,090 WITH. 3156 02:29:10,090 --> 02:29:14,494 EQUITY AND INCLUSION ARE NOT 3157 02:29:14,494 --> 02:29:16,897 ISSUES THAT EXIST IN ISOLATION 3158 02:29:16,897 --> 02:29:20,300 AND TRULY DOES REQUIRE THE 3159 02:29:20,300 --> 02:29:20,867 ENGAGE. 3160 02:29:20,867 --> 02:29:23,503 OF THE ENTIRE ENTERPRISE TO 3161 02:29:23,503 --> 02:29:24,371 ADDRESS IT. 3162 02:29:24,371 --> 02:29:28,408 TREMENDOUS PROGRESS HAS BEEN 3163 02:29:28,408 --> 02:29:31,111 MADE TO RETALIATE AGAINST CANCER 3164 02:29:31,111 --> 02:29:33,447 THANKS TO DECADES OF INVESTMENT 3165 02:29:33,447 --> 02:29:35,382 UP CANCER RESEARCH HOWEVER, 3166 02:29:35,382 --> 02:29:38,552 THERE ARE GROUPS THAT BEAR 3167 02:29:38,552 --> 02:29:39,152 DISPROPORTIONATE BURDEN OF 3168 02:29:39,152 --> 02:29:43,156 CANCER IN COMPARISON WITH 3169 02:29:43,156 --> 02:29:43,390 OTHERS. 3170 02:29:43,390 --> 02:29:48,962 NCI IS COMMITTED TO ADDRESSING 3171 02:29:48,962 --> 02:29:51,798 INEQUITY AND BUILD AN INCLUSIVE 3172 02:29:51,798 --> 02:29:53,433 COMMUNITY AND INCREASE THE 3173 02:29:53,433 --> 02:29:54,534 DIVERSITY OF THE CANCER RESEARCH 3174 02:29:54,534 --> 02:29:54,968 WORKFORCE. 3175 02:29:54,968 --> 02:29:59,039 WE SEEK TO ADDRESS THE CANCER 3176 02:29:59,039 --> 02:29:59,673 DISPARITIES AND ADVANCE HEALTH 3177 02:29:59,673 --> 02:30:06,947 EQUITY. 3178 02:30:06,947 --> 02:30:09,349 WE HAVE A LEADERSHIP BODY CALLED 3179 02:30:09,349 --> 02:30:12,619 THE EQUITY COUNCIL THAT GOVERNS 3180 02:30:12,619 --> 02:30:17,624 AND ADVISES THE EIP. 3181 02:30:17,624 --> 02:30:20,127 EACH HAD A DIFFERENT GROUP. 3182 02:30:20,127 --> 02:30:21,461 THE FIRST IS ADDRESSING RESEARCH 3183 02:30:21,461 --> 02:30:23,096 ON CANCER HEALTH DISPARITIES AND 3184 02:30:23,096 --> 02:30:25,332 THE SECOND IS TO ENSURE 3185 02:30:25,332 --> 02:30:26,967 WORKFORCE DIVERSITY IN THE RO1 3186 02:30:26,967 --> 02:30:28,001 POOL SPECIFICALLY. 3187 02:30:28,001 --> 02:30:30,804 THE THIRD PROMOTES AN EQUITABLE 3188 02:30:30,804 --> 02:30:31,905 AND INCLUSIVE COMMUNITY 3189 02:30:31,905 --> 02:30:32,205 INTERNALLY. 3190 02:30:32,205 --> 02:30:35,442 THE FOURTH IS REALLY ABOUT DATA 3191 02:30:35,442 --> 02:30:35,976 ANALYTICS, TRACKING AND 3192 02:30:35,976 --> 02:30:37,811 EVALUATION OF THE ACTIVITIES OF 3193 02:30:37,811 --> 02:30:39,112 THE EIP. 3194 02:30:39,112 --> 02:30:42,149 AND THEN LASTLY COMMUNITY AND 3195 02:30:42,149 --> 02:30:43,350 COMMUNICATION OUTREACH AND 3196 02:30:43,350 --> 02:30:45,652 STRATEGIES FOR ALL OF OUR EQUITY 3197 02:30:45,652 --> 02:30:45,952 ACTIVITIES. 3198 02:30:45,952 --> 02:30:48,221 THE CO-CHAIRS ARE LISTED HERE 3199 02:30:48,221 --> 02:30:53,593 ALONG WITH THE MEMBERS OF THE 3200 02:30:53,593 --> 02:30:54,494 EQUITY COUNCIL. 3201 02:30:54,494 --> 02:30:56,029 I AM THE WORK GROUP CO-CHAIR FOR 3202 02:30:56,029 --> 02:30:59,966 WORK GROUP 2. 3203 02:30:59,966 --> 02:31:07,374 AND THE CANCER MOONSH SHOT 3204 02:31:07,374 --> 02:31:10,110 SCHOLARS PROGRAM WAS BORN FROM 3205 02:31:10,110 --> 02:31:14,080 THIS. 3206 02:31:14,080 --> 02:31:19,119 THE APPROACHES TO CANCER 3207 02:31:19,119 --> 02:31:21,621 RESEARCH FUNDS WAS TO DIVERSE 3208 02:31:21,621 --> 02:31:26,893 AND DIVERSIFY IN THE ONLY THE 3209 02:31:26,893 --> 02:31:29,095 THOUGHT BUT APPROACH AND AWARE 3210 02:31:29,095 --> 02:31:30,864 THE DIVERSE WORKFORCE IS 3211 02:31:30,864 --> 02:31:35,469 ESSENTIAL FOR COMPLEX HEALTH 3212 02:31:35,469 --> 02:31:36,603 CHALLENGES AND WE UNDERSTAND 3213 02:31:36,603 --> 02:31:37,337 MULTIDISCIPLINARY SCIENCE AND 3214 02:31:37,337 --> 02:31:39,105 THE ABILITY OF GENERATING 3215 02:31:39,105 --> 02:31:39,973 DIVERSE APPROACHES REALLY 3216 02:31:39,973 --> 02:31:40,540 SUPPORTS THE ADVANCEMENT OF 3217 02:31:40,540 --> 02:31:44,511 RESEARCH. 3218 02:31:44,511 --> 02:31:45,479 DESPITE CONTRIBUTIONS OF A 3219 02:31:45,479 --> 02:31:47,547 VARIETY OF PROGRAMS AT NIH AND 3220 02:31:47,547 --> 02:31:50,150 BEYOND, SEVERAL GROUPS STILL 3221 02:31:50,150 --> 02:31:50,884 REMAIN UNDER REPRESENTS IN THE 3222 02:31:50,884 --> 02:31:55,288 BIO MEDICAL AND BEHAVIORAL 3223 02:31:55,288 --> 02:31:58,124 SCIENCES. 3224 02:31:58,124 --> 02:32:01,761 SO THIS PROGRAM WAS DEVELOPED 3225 02:32:01,761 --> 02:32:06,266 ALSO AT THE SAME TIME THE CANCER 3226 02:32:06,266 --> 02:32:07,968 MOONSHOT 2.0 WAS SHARED WITH THE 3227 02:32:07,968 --> 02:32:08,502 PUBLIC. 3228 02:32:08,502 --> 02:32:09,836 THE GOAL WAS TO INSPIRE AND 3229 02:32:09,836 --> 02:32:11,438 SUPPORT THE NEXT GENERATION OF 3230 02:32:11,438 --> 02:32:13,340 DIVERSE, INNOVATE YOU HAVE 3231 02:32:13,340 --> 02:32:15,008 CANCER RESEARCHERS. 3232 02:32:15,008 --> 02:32:16,142 AND ALSO TO INCREASE THE 3233 02:32:16,142 --> 02:32:18,044 DIVERSITY OF CANCER RESEARCH AND 3234 02:32:18,044 --> 02:32:19,112 THE CANCER CARE WORKFORCE TO 3235 02:32:19,112 --> 02:32:21,014 BETTER RESEMBLE THE COMMUNITIES 3236 02:32:21,014 --> 02:32:23,083 WE SEEM TO SUPPORT. 3237 02:32:23,083 --> 02:32:27,087 THERE HAVE BEEN SEVERAL NOT ONLY 3238 02:32:27,087 --> 02:32:29,089 PUBLIC FORUMS AND PRESS RELEASES 3239 02:32:29,089 --> 02:32:30,957 AND MEDIA EVENTS THAT HIGHLIGHT 3240 02:32:30,957 --> 02:32:31,558 THE GOAL FOR THE CANCER MOON 3241 02:32:31,558 --> 02:32:38,365 SHOT. 3242 02:32:38,365 --> 02:32:40,767 AT THE SAME TIME THE NATIONAL 3243 02:32:40,767 --> 02:32:43,069 CANCER PLAN WAS LAUNCHED AT NCI 3244 02:32:43,069 --> 02:32:43,937 AND DRIVING INNOVATION AND 3245 02:32:43,937 --> 02:32:44,938 CANCER RESEARCH AND WITH THE 3246 02:32:44,938 --> 02:32:47,107 GOAL OF ENDING CANCER AS WE KNOW 3247 02:32:47,107 --> 02:32:48,642 IT. 3248 02:32:48,642 --> 02:32:53,813 THE SCHOLARS PROGRAM IS ALIGNED 3249 02:32:53,813 --> 02:32:55,582 WITH THE GOALS YOU SEE LISTED 3250 02:32:55,582 --> 02:32:55,916 HERE. 3251 02:32:55,916 --> 02:33:00,086 THE RFA SUPPORTS THE PRIORITIES 3252 02:33:00,086 --> 02:33:01,555 IDENTIFIED BY THE NATIONAL 3253 02:33:01,555 --> 02:33:04,958 CANCER PLAN AS WELL AS THE 3254 02:33:04,958 --> 02:33:07,027 CANCER MOONSHOT 2.0 EFFORT AND 3255 02:33:07,027 --> 02:33:08,528 TO PROMOTE THE SCIENTIFIC 3256 02:33:08,528 --> 02:33:10,297 ADVANCES IN CANCER RESEARCH BY 3257 02:33:10,297 --> 02:33:12,599 INCREASING THE DIVERSITY OF 3258 02:33:12,599 --> 02:33:14,367 THOUGHT AND PERSPECTIVE IN NCI'S 3259 02:33:14,367 --> 02:33:16,736 FUNDED PORTFOLIO AND TO SUPPORT 3260 02:33:16,736 --> 02:33:17,771 EARLY STAGE INVESTIGATORS OR 3261 02:33:17,771 --> 02:33:20,974 THOSE WHO HAVE YET TO ATTAIN 3262 02:33:20,974 --> 02:33:22,275 THEIR FIRST RO1. 3263 02:33:22,275 --> 02:33:24,010 WE ULTIMATELY WANT TO INCREASE 3264 02:33:24,010 --> 02:33:26,112 THE NUMBER OF RO1 INVESTIGATORS 3265 02:33:26,112 --> 02:33:31,084 FROM UNDER REPRESENTED GROUPS 3266 02:33:31,084 --> 02:33:34,421 THE CANCER RESEARCH. 3267 02:33:34,421 --> 02:33:36,823 THE RESEARCH SCOPE ALIGNS WITH 3268 02:33:36,823 --> 02:33:39,192 THE NCI MISSION AND YOU CAN SEE 3269 02:33:39,192 --> 02:33:42,062 IT'S QUITE BROAD. 3270 02:33:42,062 --> 02:33:43,430 IT ENCOMPASSES ALL AREA OF 3271 02:33:43,430 --> 02:33:45,398 CANCER RESEARCH INCLUDING 3272 02:33:45,398 --> 02:33:47,133 BIOLOGY, PREVENTION, DIAGNOSIS, 3273 02:33:47,133 --> 02:33:48,702 AND CONTROL. 3274 02:33:48,702 --> 02:33:51,137 IT ENCOMPASSES ALL RESEARCH 3275 02:33:51,137 --> 02:33:51,805 DISCIPLINES INCLUDING ALL THOSE 3276 02:33:51,805 --> 02:33:54,908 LISTED HERE AND THE SCOPE IS 3277 02:33:54,908 --> 02:33:59,179 SIMILAR TO THE PARENT RO1 WITH 3278 02:33:59,179 --> 02:34:00,614 THE RESEARCH PROPOSAL INTENDED 3279 02:34:00,614 --> 02:34:11,124 TO BE INVESTIGATOR INITIATED. 3280 02:34:17,864 --> 02:34:20,066 WE'RE PLEASED TO SHARE THE 3281 02:34:20,066 --> 02:34:21,468 SCHOLARS PROGRAM FROM 2023 AND 3282 02:34:21,468 --> 02:34:24,537 THE 11 GRANTEES ARE DEPICTED 3283 02:34:24,537 --> 02:34:24,804 HERE. 3284 02:34:24,804 --> 02:34:27,340 THE RESEARCH PROJECTS SPAN A 3285 02:34:27,340 --> 02:34:28,241 VARIETY OF INTERESTS. 3286 02:34:28,241 --> 02:34:29,943 THEY'RE ALL LISTED ON THE SLIDE 3287 02:34:29,943 --> 02:34:33,880 BUT THE OTHER THING TOO THAT'S 3288 02:34:33,880 --> 02:34:37,017 FANTASTIC IS THAT THERE ARE 3289 02:34:37,017 --> 02:34:41,121 APPROACHES SPAN THE ENTIRE 3290 02:34:41,121 --> 02:34:42,956 CANCER CONTINUUM. 3291 02:34:42,956 --> 02:34:45,225 THAT'S ALSO EXCITING. 3292 02:34:45,225 --> 02:34:46,426 CREDENTIALS FROM PHYSICIAN 3293 02:34:46,426 --> 02:34:49,295 SCIENTISTS TO A VARIETY OF 3294 02:34:49,295 --> 02:34:50,697 DISCIPLINES AND ALL VERY 3295 02:34:50,697 --> 02:34:52,065 EXCITING SCIENCES I'M SURE 3296 02:34:52,065 --> 02:34:54,234 YOU'LL HEAR IN MOMENTS. 3297 02:34:54,234 --> 02:34:57,270 THE 2024 AND 2025 COHORTS WILL 3298 02:34:57,270 --> 02:35:01,074 BE ANNOUNCED SOON. 3299 02:35:01,074 --> 02:35:06,212 THE RESULTS AND RECIPIENTS ARE 3300 02:35:06,212 --> 02:35:08,114 RELEASED WITH THE WHITE HOUSE SO 3301 02:35:08,114 --> 02:35:09,516 THERE'S COORDINATION BUT BE 3302 02:35:09,516 --> 02:35:13,920 ADVISED THEY'RE COMING SOON TO 3303 02:35:13,920 --> 02:35:18,058 COMMUNICATION PORTAL NEAR YOU. 3304 02:35:18,058 --> 02:35:20,326 LASTLY I'D LIKE TO END WITH 3305 02:35:20,326 --> 02:35:21,361 ACKNOWLEDGEMENT AND THANKS. 3306 02:35:21,361 --> 02:35:22,862 AN EFFORT LIKE THIS DOES NOT 3307 02:35:22,862 --> 02:35:25,031 BEGIN DE NOVO IN SUCH A SHORT 3308 02:35:25,031 --> 02:35:26,399 PERIOD OF TIME. 3309 02:35:26,399 --> 02:35:31,137 THIS IS AN EFFORT THAT'S BEEN 3310 02:35:31,137 --> 02:35:32,639 OVER 20 YEARS IN THE MAKING 3311 02:35:32,639 --> 02:35:34,474 WHILE I HAD THE OPPORTUNITY TO 3312 02:35:34,474 --> 02:35:37,410 GIVE IT VOICE IT'S BEEN FROM NCI 3313 02:35:37,410 --> 02:35:42,182 LEADERSHIP AND SPECIFICALLY 3314 02:35:42,182 --> 02:35:45,719 DR. SPRINGFIELD TO DIVERSIFY AND 3315 02:35:45,719 --> 02:35:47,120 SUSTAIN A WORKFORCE. 3316 02:35:47,120 --> 02:35:52,692 AGAIN, I'D LIKE TO THANK THE 3317 02:35:52,692 --> 02:35:54,561 TIMES SQUARE PROGRAM AND THEY 3318 02:35:54,561 --> 02:35:56,062 SUPPORT AND QUESTIONS AND THE 3319 02:35:56,062 --> 02:35:58,264 MANAGEMENT OF THE AWARDS AFTER 3320 02:35:58,264 --> 02:36:00,700 MADE AND THE TEAM. 3321 02:36:00,700 --> 02:36:04,838 THIS PROGRAM IS CO-LED BY MYSELF 3322 02:36:04,838 --> 02:36:07,140 AND DR. TIFFANY WALLACE JOINING 3323 02:36:07,140 --> 02:36:12,112 US TODAY AS WELL THE SUPPORT 3324 02:36:12,112 --> 02:36:14,614 TEAM AND OUR COLLABORATORS. 3325 02:36:14,614 --> 02:36:17,951 MY CO-CHAIR FOR WORK GROUP 2 AND 3326 02:36:17,951 --> 02:36:18,818 THOSE INSTRUMENTAL IN HELPING 3327 02:36:18,818 --> 02:36:19,519 WITH THE DATA. 3328 02:36:19,519 --> 02:36:25,391 WITH THAT I'M HAPPY TO TAKE ANY 3329 02:36:25,391 --> 02:36:29,629 QUESTIONS BEFORE DR. McLOUTH AND 3330 02:36:29,629 --> 02:36:30,630 DR. DANG PRESENT. 3331 02:36:30,630 --> 02:36:34,300 >> I THINK WE'RE READY TOHEAR 3332 02:36:34,300 --> 02:36:44,644 FROM YOUR SCHOLARS. 3333 02:36:46,012 --> 02:36:46,412 >> WONDERFUL. 3334 02:36:46,412 --> 02:36:48,414 >> I WANT TO MAKE SURE EVERYBODY 3335 02:36:48,414 --> 02:36:49,249 CAN HEAR ME. 3336 02:36:49,249 --> 02:36:50,583 >> WE CAN HEAR YOU. 3337 02:36:50,583 --> 02:36:51,985 >> IT'S A PLEASURE TO BE HERE 3338 02:36:51,985 --> 02:36:54,187 AND THANK YOU SO MUCH FOR 3339 02:36:54,187 --> 02:36:55,021 INVITING AND HAVING AND 3340 02:36:55,021 --> 02:36:56,089 LISTENING TO WHAT WE HAVE TO 3341 02:36:56,089 --> 02:37:02,162 OFFER IN TERMS OF OUR RESEARCH 3342 02:37:02,162 --> 02:37:03,897 AND PROGRAM. 3343 02:37:03,897 --> 02:37:07,200 A QUICK OUTLINE OF MY TALK. 3344 02:37:07,200 --> 02:37:09,135 A QUICK BACKGROUND OF ME AS A 3345 02:37:09,135 --> 02:37:12,672 P.I. IN LIVER CANCER AND THE 3346 02:37:12,672 --> 02:37:14,407 RESEARCH PROJECTS AND THE 3347 02:37:14,407 --> 02:37:15,475 FUNDING GRANT AS WELL AS THE 3348 02:37:15,475 --> 02:37:18,278 FUTURE PROGRAMS THAT WE'RE 3349 02:37:18,278 --> 02:37:19,379 THINKING ABOUT THAT'S GOING TO 3350 02:37:19,379 --> 02:37:22,682 BOUNCE OFFER THIS GRANT. 3351 02:37:22,682 --> 02:37:24,117 BOUNCE OFF THIS GRANT. 3352 02:37:24,117 --> 02:37:31,124 THIS IS A NICE MILESTONE IN 3353 02:37:31,124 --> 02:37:31,357 SUMMARY. 3354 02:37:31,357 --> 02:37:35,128 MY FAMILY MIGRATED IN 1988 TO 3355 02:37:35,128 --> 02:37:37,397 THE PHILIPPINES REFUGEE 3356 02:37:37,397 --> 02:37:42,635 PROCESSING CAMP FROM VIETNAM AND 3357 02:37:42,635 --> 02:37:45,071 A CHURCH SPONSORED OUR FAMILY 3358 02:37:45,071 --> 02:37:55,615 FROM GRAND RAPIDS, MICHIGAN AND 3359 02:37:57,217 --> 02:38:01,187 DURING 2001 AND 2000 I WAS 3360 02:38:01,187 --> 02:38:05,859 INTRODUCED TO CANCER RESEARCH 3361 02:38:05,859 --> 02:38:06,960 FROM THE VANNENDAL INSTITUTE AND 3362 02:38:06,960 --> 02:38:09,195 IT WAS THEN I APPRECIATED AND 3363 02:38:09,195 --> 02:38:10,263 UNDERSTAND RESEARCH WAS 3364 02:38:10,263 --> 02:38:13,066 SOMETHING YOU CAN DO AS A CAREER 3365 02:38:13,066 --> 02:38:19,405 OPPOSED TO SOMETHING OF A DREAM. 3366 02:38:19,405 --> 02:38:27,113 THEN I LEFT AND MAJORED IN BIO 3367 02:38:27,113 --> 02:38:29,282 INFORMATICS AND GRADUATED IN 3368 02:38:29,282 --> 02:38:31,417 2006 AND I WAS NOMINATED AND 3369 02:38:31,417 --> 02:38:32,352 BECAME A SEE CHANGE CANCER 3370 02:38:32,352 --> 02:38:33,453 RESEARCH FELLOW. 3371 02:38:33,453 --> 02:38:36,723 A PROGRAM ESTABLISHED BY FORMER 3372 02:38:36,723 --> 02:38:38,491 PRESIDENT GEORGE W. BUSH AND 3373 02:38:38,491 --> 02:38:42,095 FIRST LADY BARBARA BUSH TO 3374 02:38:42,095 --> 02:38:43,229 PROMOTE CANCER RESEARCH AS WELL 3375 02:38:43,229 --> 02:38:44,230 AS DECREASE CANCER BURDEN 3376 02:38:44,230 --> 02:38:54,407 WORLDWIDE. 3377 02:38:55,174 --> 02:38:58,578 I MET AND INTRODUCED TO THE 3378 02:38:58,578 --> 02:39:00,980 CONCEPT OF DOING RESEARCH IN A 3379 02:39:00,980 --> 02:39:05,952 Ph.D. PROGRAM. 3380 02:39:05,952 --> 02:39:10,023 I WENT THERE AND AND DID A 3381 02:39:10,023 --> 02:39:12,025 FELLOWSHIP AND USED MY BIO 3382 02:39:12,025 --> 02:39:13,092 INFORMATICS AND BENCH RESEARCH 3383 02:39:13,092 --> 02:39:19,132 BACKGROUND TO UNDERSTAND COLON 3384 02:39:19,132 --> 02:39:19,399 CANCER. 3385 02:39:19,399 --> 02:39:22,368 AND A POST-BAC FELLOW WAS THIS 3386 02:39:22,368 --> 02:39:23,970 AMAZING EXPERIENCE TO GET ALL 3387 02:39:23,970 --> 02:39:25,138 THESE GREAT PEOPLE WHO SHARED 3388 02:39:25,138 --> 02:39:25,705 THE SAME VISION. 3389 02:39:25,705 --> 02:39:27,140 IT WAS AMAZING. 3390 02:39:27,140 --> 02:39:35,348 THAT MADE ME WANT TO DO A Ph.D. 3391 02:39:35,348 --> 02:39:38,718 AND I WENT TO PENN STATE AND 3392 02:39:38,718 --> 02:39:43,756 THAT WAS ANOTHER EXPERIENCE 3393 02:39:43,756 --> 02:39:46,326 WHERE I SAW WHAT IT MEANS TO DO 3394 02:39:46,326 --> 02:39:47,627 RESEARCH AND THE IMPACT ON 3395 02:39:47,627 --> 02:39:49,162 PATIENT CARE AND WE HAD AN 3396 02:39:49,162 --> 02:39:50,430 OPPORTUNITY TO FOLLOW 3397 02:39:50,430 --> 02:39:51,631 ONCOLOGISTS AS WELL AS THE 3398 02:39:51,631 --> 02:39:59,973 MEDICAL ONCOLOGISTS TO SEE AND 3399 02:39:59,973 --> 02:40:03,042 CAME BACK TO THE NCI TO DO A 3400 02:40:03,042 --> 02:40:06,212 POSTDOC FELLOWSHIP IN THE 3401 02:40:06,212 --> 02:40:16,556 LABORATORY OF HUMAN 3402 02:40:16,823 --> 02:40:18,658 CARCINOGENESIS AND HE THOUGHT I 3403 02:40:18,658 --> 02:40:20,660 COULD RAN MY OWN LAB AND I 3404 02:40:20,660 --> 02:40:23,096 THOUGHT SO TOO AND I WORKED HARD 3405 02:40:23,096 --> 02:40:27,133 AND IN 2018 I LANDED A POSITION 3406 02:40:27,133 --> 02:40:29,135 AS A TENURE TRACK ASSISTANT 3407 02:40:29,135 --> 02:40:33,072 PROFESSOR IN THE DEPARTMENT OF 3408 02:40:33,072 --> 02:40:34,674 SURGERY AT THOMAS JEFFERSON. 3409 02:40:34,674 --> 02:40:37,477 AT THAT TIME COVID HIT AND OUR 3410 02:40:37,477 --> 02:40:41,514 LAB GOT DERAILED A LITTLE BIT 3411 02:40:41,514 --> 02:40:44,017 AND THAT'S OKAY AND WE LANDED 3412 02:40:44,017 --> 02:40:45,752 THE CANCER MOONSHOT AWARD AND 3413 02:40:45,752 --> 02:40:47,153 WORKING ON THAT PROJECT AND 3414 02:40:47,153 --> 02:40:49,422 HOPING TO MAKE PROGRESS. 3415 02:40:49,422 --> 02:40:59,098 LIVER CANCER OR SPECIFICALLY 3416 02:40:59,098 --> 02:41:01,434 HEPA 3417 02:41:01,434 --> 02:41:03,136 HEPATIC CARCINOMA MAKES UP ABOUT 3418 02:41:03,136 --> 02:41:13,579 90% OF ALL LIVER CANCERS. 3419 02:41:16,682 --> 02:41:17,383 IN THE UNITED STATES ABOUT 70% 3420 02:41:17,383 --> 02:41:22,522 OF ALL CASES ARE FOUND IN 3421 02:41:22,522 --> 02:41:24,157 SOUTHEAST ASIA BUT IN THE UNITED 3422 02:41:24,157 --> 02:41:26,125 STATES NOT AS COMMON THOUGH IT'S 3423 02:41:26,125 --> 02:41:27,326 INCREASING IN THE NEXT 10 YEARS 3424 02:41:27,326 --> 02:41:30,930 PROJECTED TO INCREASE BY 40% DUE 3425 02:41:30,930 --> 02:41:33,833 TO THE OBESITY EPIDEMIC. 3426 02:41:33,833 --> 02:41:35,501 AND LIVER CANCER OR HCC STARTS 3427 02:41:35,501 --> 02:41:40,073 WITH A NORMAL HEALTHY LIVER AND 3428 02:41:40,073 --> 02:41:45,344 UNDERLYING LIVER DISEASES OR 3429 02:41:45,344 --> 02:41:47,847 CAUSES OF LIVER DISEASE 3430 02:41:47,847 --> 02:41:49,449 INCLUDING FROM MOLD ON PEANUTS 3431 02:41:49,449 --> 02:41:51,551 OR ALCOHOL AND OBESITY THAT CAN 3432 02:41:51,551 --> 02:41:54,654 LEAD TO FATTY LIVER DISEASE AND 3433 02:41:54,654 --> 02:41:57,256 INFECTION CAN LEAD TO FATTY 3434 02:41:57,256 --> 02:42:01,427 LIVER OR HEPATITIS AND 3435 02:42:01,427 --> 02:42:01,828 CIRRHOSIS. 3436 02:42:01,828 --> 02:42:03,129 CIRRHOSIS IS END STAGE LIVER 3437 02:42:03,129 --> 02:42:05,698 FAILURE THAT CAN LEAD TO HCC. 3438 02:42:05,698 --> 02:42:11,137 WHAT'S OF NOTE IS THE MAJORITY 3439 02:42:11,137 --> 02:42:19,112 HAVE CIRRHOSIS OR NOT ALL THESE 3440 02:42:19,112 --> 02:42:20,480 PATIENTS GET THIS BUT IN FACT 3441 02:42:20,480 --> 02:42:21,981 DIE BEFORE THEY GET HCC. 3442 02:42:21,981 --> 02:42:26,185 BECAUSE OF THE ETIOLOGIES 3443 02:42:26,185 --> 02:42:30,923 ASSOCIATED IT'S A DIFFICULT 3444 02:42:30,923 --> 02:42:32,358 TREATMENT OF HCC. 3445 02:42:32,358 --> 02:42:42,668 IT'S HARD TO TARGET AND BECAUSE 3446 02:42:42,668 --> 02:42:44,704 AND A SMALL NUMBER ARE PRESENTED 3447 02:42:44,704 --> 02:42:44,937 EARLY. 3448 02:42:44,937 --> 02:42:48,841 THEY'RE MOSTLY CURATIVE. 3449 02:42:48,841 --> 02:42:55,114 THE MAJORITY ARE EITHER ADVANCED 3450 02:42:55,114 --> 02:43:01,420 STAGE OR TERMINAL TREATMENT. 3451 02:43:01,420 --> 02:43:03,122 IMMUNOTHERAPY SEEMS TO BE 3452 02:43:03,122 --> 02:43:13,299 BENEFI 3453 02:43:15,635 --> 02:43:18,104 BENEFICIAL AND PROTEINS AND THE 3454 02:43:18,104 --> 02:43:19,005 HYPOTHESIS IS THERE'S SMALL 3455 02:43:19,005 --> 02:43:21,607 THINGS THAT CAN OCCUR THAT WE 3456 02:43:21,607 --> 02:43:24,844 DON'T SEE OR OFTEN OBSERVE IN 3457 02:43:24,844 --> 02:43:26,279 THE VAST CHANGES OF CANCER 3458 02:43:26,279 --> 02:43:28,648 BIOLOGY BUT THEY CAN DRIVE THE 3459 02:43:28,648 --> 02:43:29,782 BIG CHANGES AND THAT'S HOW 3460 02:43:29,782 --> 02:43:30,983 CANCER CAN PROGRESS. 3461 02:43:30,983 --> 02:43:33,085 SO THE CANCER IN THE LAB IS HOW 3462 02:43:33,085 --> 02:43:34,720 DO WE IDENTIFY THE SMALL THINGS 3463 02:43:34,720 --> 02:43:37,223 OR CHANGES AND HOW DO WE TARGET 3464 02:43:37,223 --> 02:43:43,129 TO MAKE AN IMPACT IN DECREASING 3465 02:43:43,129 --> 02:43:43,462 TUMOR BURDEN. 3466 02:43:43,462 --> 02:43:46,666 AND WE SELECTED THIS GENE 3467 02:43:46,666 --> 02:43:47,867 NEGATIVE ELONGATION FACTOR E 3468 02:43:47,867 --> 02:43:50,403 THROUGH AN INTEGRATIVE ANALYSIS 3469 02:43:50,403 --> 02:43:55,141 LOOKING AT CHAIN COPY 3470 02:43:55,141 --> 02:44:05,418 ALTERATIONS IN mRNA IT MUST BE 3471 02:44:05,418 --> 02:44:07,420 IMPORTANT TO BE SELECTED AND 3472 02:44:07,420 --> 02:44:12,191 IT'S A FWEEN GENE THAT WAS SELE 3473 02:44:12,191 --> 02:44:14,193 AND SEEMED TO BE STATISTICALLY 3474 02:44:14,193 --> 02:44:14,460 IMPORTANT. 3475 02:44:14,460 --> 02:44:15,628 THERE'S A PROTEIN PART OF THE 3476 02:44:15,628 --> 02:44:17,430 COMPLEX OF DIFFERENT PROTEINS 3477 02:44:17,430 --> 02:44:19,665 THAT REGULATE TRANSCRIPTION SO 3478 02:44:19,665 --> 02:44:23,135 IT HELPS RNA GET TRANSCRIBED BUT 3479 02:44:23,135 --> 02:44:27,139 MOST IMPORTANTLY IT'S IMPORTANT 3480 02:44:27,139 --> 02:44:30,376 FOR PAUSING. 3481 02:44:30,376 --> 02:44:30,910 TRANSCRIPTION OCCURS BUT 3482 02:44:30,910 --> 02:44:32,845 SOMETIMES PAUSES AND ALLOWS THE 3483 02:44:32,845 --> 02:44:35,648 OPEN ACCESSIBLE CHROMATIN AND 3484 02:44:35,648 --> 02:44:37,416 ALLOWS STRESS OR STIMULI TO 3485 02:44:37,416 --> 02:44:38,718 RELEASE THE PAUSING AND HAVE AN 3486 02:44:38,718 --> 02:44:41,187 ACTIVE TRANSCRIPTION. 3487 02:44:41,187 --> 02:44:45,057 SO YOU'RE ABLE TO REACT FAST AND 3488 02:44:45,057 --> 02:44:47,326 TRAN SCRIBE THE GENES FAST TO 3489 02:44:47,326 --> 02:44:49,428 HAVE FAST AND EFFECTIVE RESPONSE 3490 02:44:49,428 --> 02:44:50,796 TO THE STRESS. 3491 02:44:50,796 --> 02:44:52,365 IN ADDITION THE PROTEINS IS 3492 02:44:52,365 --> 02:44:55,134 KNOWN TO BE IMPORTANT IN FORMING 3493 02:44:55,134 --> 02:44:59,171 THE COMPLEX TO UNDER GO LIPID 3494 02:44:59,171 --> 02:44:59,872 LIPID PHASE SEPARATION. 3495 02:44:59,872 --> 02:45:02,708 THIS IS A NEW CONCEPT THAT'S 3496 02:45:02,708 --> 02:45:06,679 BLOWN UP IN THE LAST FIVE, 10 3497 02:45:06,679 --> 02:45:08,681 YEARS AND LITTLE KNOWN IS CANCER 3498 02:45:08,681 --> 02:45:09,015 BIOLOGY FIELD. 3499 02:45:09,015 --> 02:45:12,218 A CONCEPT OF DIFFERENT PROTEINS 3500 02:45:12,218 --> 02:45:13,452 INTERACTING WITH EACH OTHER AS 3501 02:45:13,452 --> 02:45:17,590 WELL AS NUCLEIC ACIDS AND FORM 3502 02:45:17,590 --> 02:45:19,792 NICE ROUND ORGANELLES OR 3503 02:45:19,792 --> 02:45:20,326 CONDENSATES. 3504 02:45:20,326 --> 02:45:21,827 WHEN THEY'RE FORMED LIKE THIS 3505 02:45:21,827 --> 02:45:23,362 THEY CAN ESSENTIALLY HAVE 3506 02:45:23,362 --> 02:45:25,298 MULTIPLE DIFFERENT WAYS OF 3507 02:45:25,298 --> 02:45:27,133 REGULATING TRANSCRIPTION, 3508 02:45:27,133 --> 02:45:28,401 PROTEIN INTERACTIONS AND GENE 3509 02:45:28,401 --> 02:45:29,335 SIGNALLING PATHWAYS. 3510 02:45:29,335 --> 02:45:30,369 THAT CAN HAVE AN EFFECT ON 3511 02:45:30,369 --> 02:45:31,704 CANCER BIOLOGY. 3512 02:45:31,704 --> 02:45:35,708 SO IF YOU CAN THINK ABOUT IT 3513 02:45:35,708 --> 02:45:42,048 LIKE AN OIL DROPLET IN WATER IF 3514 02:45:42,048 --> 02:45:45,151 YOU SHAKE THE BOTTLE WITH OIL IT 3515 02:45:45,151 --> 02:45:47,586 WILL SEPARATE PUT OVER TIME WILL 3516 02:45:47,586 --> 02:45:49,422 COME BACK AND FORM DROPLETS 3517 02:45:49,422 --> 02:45:51,123 AGAIN AND SAME CONCEPT BUT 3518 02:45:51,123 --> 02:46:00,800 IMAGINE THAT IN A CELL. 3519 02:46:00,800 --> 02:46:04,937 AND IN THE LCI AND THE MAJORITY 3520 02:46:04,937 --> 02:46:07,840 HPV OR HEPATITIS B INDUCED HCC 3521 02:46:07,840 --> 02:46:10,409 IF YOU HAVE HIGH LEVELS OF THIS 3522 02:46:10,409 --> 02:46:14,714 PROTEIN OR GENE, EXCUSE ME, 3523 02:46:14,714 --> 02:46:17,883 YOU'RE MORE LIKELY TO HAVE A 3524 02:46:17,883 --> 02:46:20,986 POORER OUTCOME AND IN TERMS OF 3525 02:46:20,986 --> 02:46:23,823 RNA EXPRESSION DURING TUMOR 3526 02:46:23,823 --> 02:46:31,764 PROGRESSION OF HGC IN CIRRHOTIC 3527 02:46:31,764 --> 02:46:32,431 NODULES THERE'S INCREASED 3528 02:46:32,431 --> 02:46:33,299 EXPRESSION MUCH THE GENE. 3529 02:46:33,299 --> 02:46:35,701 WE THOUGHT IT WAS IMPORTANT IN 3530 02:46:35,701 --> 02:46:40,272 POTENTIALLY DRIVING HCC. 3531 02:46:40,272 --> 02:46:42,808 WE'VE SHOWN IS IN A CANCER CELL 3532 02:46:42,808 --> 02:46:44,910 PAPER IN 2017 WHEN WE KNOCK THE 3533 02:46:44,910 --> 02:46:47,980 GENE DOWN IN ANIMAL AS WELL AS 3534 02:46:47,980 --> 02:46:49,815 CELL MODELS WE SEE A SIGNIFICANT 3535 02:46:49,815 --> 02:46:58,391 DES DECREASE IN TUMOR BURDEN AND 3536 02:46:58,391 --> 02:47:00,760 WHERE MIK IS A GENE 3537 02:47:00,760 --> 02:47:03,129 OVEREXPRESSED IN HCC IN OVER 70% 3538 02:47:03,129 --> 02:47:03,429 OF CASES. 3539 02:47:03,429 --> 02:47:09,335 WE FOUND WHEN YOU HAVE AN MIC 3540 02:47:09,335 --> 02:47:14,840 ONLY GENE YOU FORM TUMORS BUT 3541 02:47:14,840 --> 02:47:16,642 WHEN YOU ADD THIS GENE IT 3542 02:47:16,642 --> 02:47:17,810 DOUBLES IT SO A HUGE IMPACT. 3543 02:47:17,810 --> 02:47:24,850 WHEN WE LOOK AT THE PATHWAYS WE 3544 02:47:24,850 --> 02:47:27,119 SEE IT'S ACTIVATED AND IF 3545 02:47:27,119 --> 02:47:28,654 PATIENTS HAVE THIS ACTIVE 3546 02:47:28,654 --> 02:47:30,890 SIGNALLING PATHWAY ARE THEY MORE 3547 02:47:30,890 --> 02:47:32,658 LIKELY TO DO WORSE. 3548 02:47:32,658 --> 02:47:34,827 ACROSS VARIOUS ETIOLOGIES AND 3549 02:47:34,827 --> 02:47:37,763 POPULATIONS IF YOU HAVE THE GENE 3550 02:47:37,763 --> 02:47:40,966 SIGNATURE OR ACTIVE MYC 3551 02:47:40,966 --> 02:47:42,601 SIGNALLING YOU'RE MORE LIKELY TO 3552 02:47:42,601 --> 02:47:44,603 HAVE A POORER OUTCOME AND IF YOU 3553 02:47:44,603 --> 02:47:47,339 HAVE THE SIGNALLING YOU'RE MORE 3554 02:47:47,339 --> 02:47:48,908 LIKELY TO HAVE AN INCREASE IN 3555 02:47:48,908 --> 02:47:51,577 TUMOR RECURRENCE. 3556 02:47:51,577 --> 02:47:52,878 FOR THE GRANT WE'RE ASKING 3557 02:47:52,878 --> 02:47:55,314 WHETHER THE PROTEIN IS IMPORTANT 3558 02:47:55,314 --> 02:47:56,582 IN THE OPERATION BECAUSE IT'S 3559 02:47:56,582 --> 02:47:59,118 CURRENTLY UNKNOWN AND WHETHER 3560 02:47:59,118 --> 02:48:00,920 THE SIGNALLING PATHWAY DRIVEN 3561 02:48:00,920 --> 02:48:03,789 THROUGH THE LIQUID-LIQUID SPACE 3562 02:48:03,789 --> 02:48:06,859 SEPARATION AND IF SO HOW. 3563 02:48:06,859 --> 02:48:10,296 WE COLLABORATED WITH A BIO 3564 02:48:10,296 --> 02:48:12,097 PHYSICAL CHEMIST AT BROWN 3565 02:48:12,097 --> 02:48:13,732 UNIVERSITY AND WE ASKED HIM 3566 02:48:13,732 --> 02:48:17,002 WHETHER THE PROTEIN CAN UNDER GO 3567 02:48:17,002 --> 02:48:20,072 LIQUID, LIQUID PHASE SEPARATION 3568 02:48:20,072 --> 02:48:23,175 AND THE LITMUS TEST IS ADDING 3569 02:48:23,175 --> 02:48:25,478 RNA AND LOOKING TO THE TEST TUBE 3570 02:48:25,478 --> 02:48:27,680 TO SEE IF THEY ADD THE DROP LETS 3571 02:48:27,680 --> 02:48:31,116 AND THEY WERE ABLE TO REPRODUCE 3572 02:48:31,116 --> 02:48:33,919 THIS AND WE FOUND WHEN YOU ADD 3573 02:48:33,919 --> 02:48:38,757 RNA THE PROTEIN ITSELF CONFORMS 3574 02:48:38,757 --> 02:48:44,063 THIS SEPARATED DROPLETS BUT WHEN 3575 02:48:44,063 --> 02:48:48,767 YOU CAN SEE A SIGNIFICANT 3576 02:48:48,767 --> 02:48:49,034 REDUCTION. 3577 02:48:49,034 --> 02:48:52,571 YOU HAVE MODELS TO TEST THIS IN 3578 02:48:52,571 --> 02:48:53,772 VITRO BUT ONE IMPORTANT DATA 3579 02:48:53,772 --> 02:48:56,308 POINTS I WANTED TO HIGHLIGHT WAS 3580 02:48:56,308 --> 02:48:58,043 THAT WHEN YOU KNOCK DOWN THE 3581 02:48:58,043 --> 02:49:00,145 PROTEIN YOU DON'T SEE THE TUMORS 3582 02:49:00,145 --> 02:49:00,412 FORM. 3583 02:49:00,412 --> 02:49:02,515 WHEN YOU RESCUE THE PROTEIN YOU 3584 02:49:02,515 --> 02:49:04,283 SEE THEY FORM TUMORS NICELY. 3585 02:49:04,283 --> 02:49:08,988 WHEN YOU INHIBIT TO FORM THE 3586 02:49:08,988 --> 02:49:10,789 DROPLETS HERE YOU SEE THE TUMORS 3587 02:49:10,789 --> 02:49:12,491 DO NOT FORM AS WELL. 3588 02:49:12,491 --> 02:49:14,960 CURRENTLY WHAT WE'RE DOING IS 3589 02:49:14,960 --> 02:49:17,296 TESTING AND DEFINING THE 3590 02:49:17,296 --> 02:49:19,031 MECHANISM OF HOW THIS WHOLE 3591 02:49:19,031 --> 02:49:20,566 PROCESS DRIVES CANCER BIOLOGY 3592 02:49:20,566 --> 02:49:22,001 AND REGULATES MIXED SIGNALLING. 3593 02:49:22,001 --> 02:49:24,203 AND OUR SECOND PART OF THE 3594 02:49:24,203 --> 02:49:27,773 PROJECT IS ASKING HOW WE CAN 3595 02:49:27,773 --> 02:49:29,341 UTILIZE THE THINGS WE'VE 3596 02:49:29,341 --> 02:49:30,876 DEVELOPED OR UNDERSTAND TO 3597 02:49:30,876 --> 02:49:31,844 IMPROVE CANCER BURDEN. 3598 02:49:31,844 --> 02:49:34,847 AND ONE OF THE THINGS WE WANTED 3599 02:49:34,847 --> 02:49:38,450 TO KNOW WAS WHETHER THERE WAS A 3600 02:49:38,450 --> 02:49:40,386 SOMATIC MUTATION DRIVING HIS 3601 02:49:40,386 --> 02:49:41,520 CANCER ASSOCIATED PHENOTYPE. 3602 02:49:41,520 --> 02:49:44,356 WE DID SOME SEQUENCING ON ABOUT 3603 02:49:44,356 --> 02:49:46,458 90 OR SO PATIENT SAMPLES AND 3604 02:49:46,458 --> 02:49:51,130 FOUND NOTHING BUT WHAT WE DID 3605 02:49:51,130 --> 02:49:55,067 FIND WAS THE SINGLE POLY 3606 02:49:55,067 --> 02:49:57,102 NUCLEOTIDE MORPHISM IN HCC 3607 02:49:57,102 --> 02:49:57,469 PATIENTS. 3608 02:49:57,469 --> 02:49:58,637 IF WE LOOK THE DATA WE FOUND 3609 02:49:58,637 --> 02:50:01,407 PATIENTS THAT HAVE THIS MUTATION 3610 02:50:01,407 --> 02:50:03,442 ACTUALLY DID BETTER. 3611 02:50:03,442 --> 02:50:04,910 THEY HAVE A BETTER AND TRENDED 3612 02:50:04,910 --> 02:50:11,116 BETTER IN TERMS OF OVER ALL 3613 02:50:11,116 --> 02:50:14,386 SURVIVAL. 3614 02:50:14,386 --> 02:50:22,661 THEY ARE HAVE A DETAILS OF THE 3615 02:50:22,661 --> 02:50:33,172 MUTATION AND 5% OF SOUTHEAST 3616 02:50:34,607 --> 02:50:45,284 ASIANS HAD THE MUTATIONS AND 3617 02:50:46,552 --> 02:50:49,088 WE'RE RECRUITING PATIENTS AND 3618 02:50:49,088 --> 02:50:52,625 ASIAN HCC PATIENTS WITH HIGH 3619 02:50:52,625 --> 02:50:55,928 RISK HCC TO DO A PROSPECTIVE 3620 02:50:55,928 --> 02:50:57,329 STUDY TO TEST OR DETERMINE 3621 02:50:57,329 --> 02:50:58,497 WHETHER THE PATIENTS WITH THE 3622 02:50:58,497 --> 02:50:59,732 SNIP FOLLOW THIS. 3623 02:50:59,732 --> 02:51:01,433 I HAVE A CLINICAL TRIALS IN DO 3624 02:51:01,433 --> 02:51:05,971 THAT RIGHT NOW. 3625 02:51:05,971 --> 02:51:08,507 WHY IS THIS MORE ASSOCIATED WITH 3626 02:51:08,507 --> 02:51:10,209 BETTER OUTCOMES? 3627 02:51:10,209 --> 02:51:11,477 WE THOUGHT MAYBE WHEN HAVE YOU 3628 02:51:11,477 --> 02:51:14,246 THE SNIP THERE'S A SPLICING 3629 02:51:14,246 --> 02:51:14,813 EVENT OCCURRING. 3630 02:51:14,813 --> 02:51:16,081 WE LOOKED AT THE RNA EXPRESSION 3631 02:51:16,081 --> 02:51:18,884 OF THE PATIENTS WE DID HAVE RNA 3632 02:51:18,884 --> 02:51:27,126 FOR AND FOUND IF PATIENTS HAD 3633 02:51:27,126 --> 02:51:31,230 THE SNIP WE WERE ABLE TO 3634 02:51:31,230 --> 02:51:34,700 IDENTIFY THAT THIS MUTATION HAD 3635 02:51:34,700 --> 02:51:37,403 DECREASED OF AND BECAUSE IT'S 3636 02:51:37,403 --> 02:51:40,339 BLOCKING SPLICING AND CAUSING 3637 02:51:40,339 --> 02:51:41,840 THIS AXON TO BE EXCLUDED. 3638 02:51:41,840 --> 02:51:46,879 YOU GET THE SECOND ISOFORM HERE. 3639 02:51:46,879 --> 02:51:48,847 SO OUR GRADUATE STUDENT IS 3640 02:51:48,847 --> 02:51:50,783 FIGURING OUT WHETHER IT'S 3641 02:51:50,783 --> 02:51:53,018 MEANINGFUL IN PRODUCING A 3642 02:51:53,018 --> 02:51:56,388 PROTEIN AND IF IT DOES IS IT 3643 02:51:56,388 --> 02:51:58,724 EXPRESSING THE WILD TYPE. 3644 02:51:58,724 --> 02:52:01,427 WHAT'S DRIVING THE AIM OR STUDY 3645 02:52:01,427 --> 02:52:03,195 IS WHETHER WE CAN IDENTIFY A 3646 02:52:03,195 --> 02:52:06,131 SPECIFIC TARGET OR THERAPY THAT 3647 02:52:06,131 --> 02:52:11,103 CAN PHENOTYPE OR PHENOCOPY THE 3648 02:52:11,103 --> 02:52:12,237 SNIP. 3649 02:52:12,237 --> 02:52:17,109 ONE WAY WAS USING THESE OLIGO 3650 02:52:17,109 --> 02:52:19,111 NUCLEOTIDES RNA SEQUENCES 25 3651 02:52:19,111 --> 02:52:29,655 LONG BINDING TO THE PRE mRNA AND 3652 02:52:31,924 --> 02:52:34,893 IT'S BEEN USED IN CLINICAL 3653 02:52:34,893 --> 02:52:38,530 TRIALS AND THEY'VE BEEN 3654 02:52:38,530 --> 02:52:39,798 ESTABLISHED IN CLINICAL TRIALS 3655 02:52:39,798 --> 02:52:43,001 FOR TREATMENTS OF DIFFERENT 3656 02:52:43,001 --> 02:52:48,574 DISEASES JUST NOT IN HCC. 3657 02:52:48,574 --> 02:52:53,479 WE CAN SHOW THE ASOs WORK AND 3658 02:52:53,479 --> 02:52:55,114 MAKE IT SKIP TRANSCRIPTION AND 3659 02:52:55,114 --> 02:52:57,983 THEN GENERATE THE SECOND 3660 02:52:57,983 --> 02:52:58,217 ISOFORM. 3661 02:52:58,217 --> 02:53:01,453 WE PUT THIS IN ACC CELL LINES 3662 02:53:01,453 --> 02:53:03,122 AND I'M ONLY SHOWING TWO HERE 3663 02:53:03,122 --> 02:53:07,025 AND CAN SEE THERE'S A 3664 02:53:07,025 --> 02:53:08,594 SIGNIFICANT REDUCTION IN CELL 3665 02:53:08,594 --> 02:53:08,827 GROWTH. 3666 02:53:08,827 --> 02:53:10,929 THIS WAS REALLY PROMISING AND 3667 02:53:10,929 --> 02:53:16,001 DID A PILOT PROJECT WHERE WE 3668 02:53:16,001 --> 02:53:21,940 INJECT TUMOR CELLS TO NON SNP 3669 02:53:21,940 --> 02:53:22,875 MICE AND TREAT THE ASO AND 3670 02:53:22,875 --> 02:53:25,077 WITHIN FOUR WEEKS POST INJECTION 3671 02:53:25,077 --> 02:53:26,345 WE WERE SEEING A SIGNIFICANT 3672 02:53:26,345 --> 02:53:30,249 DIFFERENCE BETWEEN THE MICE 3673 02:53:30,249 --> 02:53:32,851 TREATED WITH ASOs COMPARED TO 3674 02:53:32,851 --> 02:53:33,185 NON-TREATMENT. 3675 02:53:33,185 --> 02:53:37,389 THIS IS IN COLLABORATION WITH 3676 02:53:37,389 --> 02:53:39,992 THE DEPARTMENT OF RADIOLOGY AT 3677 02:53:39,992 --> 02:53:40,692 TJU. 3678 02:53:40,692 --> 02:53:43,128 WE WANTED TO FOCUS ON HOW TO 3679 02:53:43,128 --> 02:53:45,964 REALLY TARGET THE TUMOR BECAUSE 3680 02:53:45,964 --> 02:53:49,434 IT'S IMPORTANT IN TRANSCRIPTION. 3681 02:53:49,434 --> 02:53:53,539 IF YOU WERE TO DELIVER THIS, IT 3682 02:53:53,539 --> 02:53:57,576 WOULD PROBABLY GO WHERE EVER AND 3683 02:53:57,576 --> 02:54:01,246 WANTED TO LOOK AT THE MICRO 3684 02:54:01,246 --> 02:54:02,281 BUBBLES TO DIRECT THE DRUG TO 3685 02:54:02,281 --> 02:54:05,317 ONLY THE TUMORS. 3686 02:54:05,317 --> 02:54:07,019 AND THE GAS MICRO BUBBLES ARE 3687 02:54:07,019 --> 02:54:07,953 REALLY SMALL. 3688 02:54:07,953 --> 02:54:09,621 THEY'RE VERY POSITIVELY CHARGED 3689 02:54:09,621 --> 02:54:12,624 AND SO WE CAN LOAD OUR ASO 3690 02:54:12,624 --> 02:54:16,662 NEGATIVELY CHARGED ON THIS AND 3691 02:54:16,662 --> 02:54:18,263 ESSENTIALLY DELIVER IT INTO THE 3692 02:54:18,263 --> 02:54:18,463 LIVER. 3693 02:54:18,463 --> 02:54:24,303 YOU SEE THE TUMOR AND THE LIVER 3694 02:54:24,303 --> 02:54:30,576 AND THE WITH THE MICRO BUBBLES 3695 02:54:30,576 --> 02:54:33,111 WE GO MICRO INJECTION AND POP 3696 02:54:33,111 --> 02:54:36,148 THE BUBBLES AND SEE THE BUBBLES 3697 02:54:36,148 --> 02:54:37,449 BURSTING AND THEY'RE BROKEN HERE 3698 02:54:37,449 --> 02:54:43,121 WHERE THE TUMORS ARE. 3699 02:54:43,121 --> 02:54:44,790 THEN YOU HAVE A REFER FUSION AND 3700 02:54:44,790 --> 02:54:46,692 WE'LL HAVE MULTIPLE PULSIONS AND 3701 02:54:46,692 --> 02:54:53,665 EXPECT TO SEE THE ASOs GET 3702 02:54:53,665 --> 02:54:59,638 DELIVERED IN THE TUMOR REGIONS 3703 02:54:59,638 --> 02:55:04,076 AND WE'RE DOING STUDIES TO 3704 02:55:04,076 --> 02:55:09,147 UNDERSTAND HOW NELFE UNDER GOES 3705 02:55:09,147 --> 02:55:11,283 THIS SEPARATION AND DRIVES THE 3706 02:55:11,283 --> 02:55:13,418 CHROMATIN IN THE CANCER AND HOW 3707 02:55:13,418 --> 02:55:17,356 SNP CAN BE A TUMOR SUPPRESSIVE 3708 02:55:17,356 --> 02:55:20,893 TYPE AND LOOKING AT MODELS TO 3709 02:55:20,893 --> 02:55:23,295 TEST OUR ASOs TO LOOK FOR AN 3710 02:55:23,295 --> 02:55:24,963 IMPROVEMENT IN THERAPY. 3711 02:55:24,963 --> 02:55:32,037 WE HAVE A CLINICAL TRIAL OR ON 3712 02:55:32,037 --> 02:55:32,971 PANCREATIC CANCER. 3713 02:55:32,971 --> 02:55:34,706 WE'RE HOPING TO BE ABLE TO HOP 3714 02:55:34,706 --> 02:55:37,242 ON THAT BANDWAGON AND SEE IF IT 3715 02:55:37,242 --> 02:55:38,543 WILL MAKE A DIFFERENCE. 3716 02:55:38,543 --> 02:55:40,946 IT'S A LONG WAY BUT THERE'S A 3717 02:55:40,946 --> 02:55:41,613 PATH ALREADY FOR US. 3718 02:55:41,613 --> 02:55:43,448 IN ADDITION WE'RE WORKING WITH 3719 02:55:43,448 --> 02:55:47,119 OUR HTC GROUP HERE OUR TUMOR 3720 02:55:47,119 --> 02:55:49,454 BOARD AND I GO TO THOSE AND TALK 3721 02:55:49,454 --> 02:55:52,457 TO THE CLINICAL ONCOLOGISTS AS 3722 02:55:52,457 --> 02:56:00,465 WELL AS THE HEPATOLOGISTS TO SEE 3723 02:56:00,465 --> 02:56:01,934 IF THEY HAVE MUTATIONS AND THE 3724 02:56:01,934 --> 02:56:11,109 FUTURE IS CAN WE TARGET THESE IN 3725 02:56:11,109 --> 02:56:13,445 PANCREATIC CANCER AND THIS WORK 3726 02:56:13,445 --> 02:56:17,149 HAS STARTED BY A SMART GRADUATE 3727 02:56:17,149 --> 02:56:18,650 STUDENT AND HAVE PRELIMINARY 3728 02:56:18,650 --> 02:56:23,121 DATA AND WE'RE TRYING HARD TO 3729 02:56:23,121 --> 02:56:25,991 EXPAND THAT INTO MAKING THAT A 3730 02:56:25,991 --> 02:56:32,431 PRECLINICAL STUDY ON ORGANOIDS 3731 02:56:32,431 --> 02:56:33,432 IN PANCREATIC CANCER TO HELP THE 3732 02:56:33,432 --> 02:56:35,600 PATIENT BURDEN. 3733 02:56:35,600 --> 02:56:38,070 THE WORK ISN'T DONE ALONE. 3734 02:56:38,070 --> 02:56:41,907 THEY'RE BY OUR GRAD STUDENTS AND 3735 02:56:41,907 --> 02:56:42,908 TECHNICIANS AND POSTDOC FELLOWS 3736 02:56:42,908 --> 02:56:44,910 AND THOSE YOU SEE HERE. 3737 02:56:44,910 --> 02:56:46,945 AND OF COURSE OUR COLLABORATE 3738 02:56:46,945 --> 02:56:49,448 ERS AND IT'S NOT POSSIBLE WOULD 3739 02:56:49,448 --> 02:56:50,482 THE MOONSHOT AWARD. 3740 02:56:50,482 --> 02:56:52,184 AND WITH THAT I'LL TAKE ANY 3741 02:56:52,184 --> 02:56:52,784 QUESTIONS AND THANK YOU VERY 3742 02:56:52,784 --> 02:57:03,128 MUCH FOR YOUR TIME. 3743 02:57:14,072 --> 02:57:17,042 >> IN THE INTEREST OF TIME WE'RE 3744 02:57:17,042 --> 02:57:18,977 GOING TO HOLD QUESTIONS UNTIL 3745 02:57:18,977 --> 02:57:23,949 THE END TO MAKE SURE DR. YOUNG 3746 02:57:23,949 --> 02:57:25,384 HAS A CHANCE BECAUSE THEY'LL BE 3747 02:57:25,384 --> 02:57:27,119 COMING FROM THE WHITE HOUSE. 3748 02:57:27,119 --> 02:57:29,121 I INVITE DR. McLOUTH TO SHARE 3749 02:57:29,121 --> 02:57:33,592 AND IF WE CAN WRAP UP, SORRY TO 3750 02:57:33,592 --> 02:57:34,893 SAY BY ABOUT 2:20 WE'LL HAVE 3751 02:57:34,893 --> 02:57:37,029 TIME FOR A FEW QUESTIONS BEFORE 3752 02:57:37,029 --> 02:57:38,864 WE NEED TO MOVE ON. 3753 02:57:38,864 --> 02:57:42,167 THANK YOU SO MUCH. 3754 02:57:42,167 --> 02:57:49,541 >> I THINK I CAN GET US THERE. 3755 02:57:49,541 --> 02:57:52,077 I'M DR. McLOUTH AN ASSISTANT 3756 02:57:52,077 --> 02:57:53,211 PROFESSOR AT THE UNIVERSITY OF 3757 02:57:53,211 --> 02:57:56,481 KENTUCKY AND HAPPY TO SHARE MY 3758 02:57:56,481 --> 02:57:58,116 SCHOLAR'S PROGRAM. 3759 02:57:58,116 --> 02:58:04,856 I'M GOING TO SHARE ABOUT MY 3760 02:58:04,856 --> 02:58:06,558 PROFESSIONAL BACKGROUND AND TALK 3761 02:58:06,558 --> 02:58:10,662 ABOUT THE PROGRAM. 3762 02:58:10,662 --> 02:58:12,397 I'M A CLINICAL PSYCHOLOGIST BY 3763 02:58:12,397 --> 02:58:13,432 TRAINING AND DESIGNING AND 3764 02:58:13,432 --> 02:58:14,466 TESTING INTERVENTIONS FOR 3765 02:58:14,466 --> 02:58:15,700 PATIENTS AND FAMILIES AND 3766 02:58:15,700 --> 02:58:18,303 PROVIDERS TO TRY TO HELP 3767 02:58:18,303 --> 02:58:20,572 PATIENTS AND FAMILIES FROM THE 3768 02:58:20,572 --> 02:58:22,908 POINT OF DIAGNOSIS TO END OF 3769 02:58:22,908 --> 02:58:23,108 LIFE. 3770 02:58:23,108 --> 02:58:24,309 MY RESEARCH FALLS INTO THREE 3771 02:58:24,309 --> 02:58:24,543 BUCKETS. 3772 02:58:24,543 --> 02:58:28,713 THE FIRST IS SURVIVORSHIP AND 3773 02:58:28,713 --> 02:58:29,481 SUPPORTIVE ONCOLOGY. 3774 02:58:29,481 --> 02:58:31,149 THIS IS AN AREA WHERE I'M TRYING 3775 02:58:31,149 --> 02:58:32,384 TO UNDERSTAND HOW TO INTERVENE 3776 02:58:32,384 --> 02:58:33,852 ON QUALITY OF LIFE FOR PATIENTS 3777 02:58:33,852 --> 02:58:35,120 AND FAMILY MEMBERS. 3778 02:58:35,120 --> 02:58:38,723 THE SECOND IS ABOUT CANCER CARE 3779 02:58:38,723 --> 02:58:38,990 DELIVERY. 3780 02:58:38,990 --> 02:58:41,193 TRYING TO UNDERSTAND WHAT TO DO 3781 02:58:41,193 --> 02:58:43,328 TO IMPROVE CANCER CARE AND 3782 02:58:43,328 --> 02:58:44,029 LEVERAGE INFRASTRUCTURE TO TRY 3783 02:58:44,029 --> 02:58:49,434 TO IMPROVE PROFESCESSES FOR 3784 02:58:49,434 --> 02:58:50,936 PATIENTS AND FAMILIES AND 3785 02:58:50,936 --> 02:58:51,169 EQUITY. 3786 02:58:51,169 --> 02:58:54,840 AND IT'S ABOUT MAKING SURE 3787 02:58:54,840 --> 02:58:56,108 EVERYBODY RECEIVES THE HIGHEST 3788 02:58:56,108 --> 02:58:56,741 QUALITY CARE POSSIBLE AND 3789 02:58:56,741 --> 02:58:58,076 OUTCOME POSSIBLE. 3790 02:58:58,076 --> 02:59:01,146 I HAVE AN EMPHASIS ON ADVANCED 3791 02:59:01,146 --> 02:59:04,382 CANCERS AND RURAL COMMUNITIES. 3792 02:59:04,382 --> 02:59:08,320 THIS IS A PAPER PEOPLE ESTIMATED 3793 02:59:08,320 --> 02:59:10,555 OVER 600,000 PEOPLE IN THE U.S. 3794 02:59:10,555 --> 02:59:13,592 LIVING WITH THE DIAGNOSIS OF 3795 02:59:13,592 --> 02:59:15,760 ADVANCED LIVER CANCER WHETHER 3796 02:59:15,760 --> 02:59:19,097 NEW OR DISEASE THAT HAS 3797 02:59:19,097 --> 02:59:19,598 RECURRED. 3798 02:59:19,598 --> 02:59:23,468 UNFORTUNATELY, ADVANCED CANCER 3799 02:59:23,468 --> 02:59:24,569 DOES BEAR A DISPROPORTIONATE 3800 02:59:24,569 --> 02:59:25,137 BURDEN. 3801 02:59:25,137 --> 02:59:26,638 KENTUCKY IS A PREDOMINANTLY 3802 02:59:26,638 --> 02:59:31,443 RURAL STATE. 3803 02:59:31,443 --> 02:59:37,115 PART OF OUR STATE FALLS WITHIN 3804 02:59:37,115 --> 02:59:39,050 APPALACHIA AND THERE'S ADVANCED 3805 02:59:39,050 --> 02:59:39,951 RATES FOR LUNG CANCER. 3806 02:59:39,951 --> 02:59:43,788 TWICE WHAT WE SEE IN THE U.S. 3807 02:59:43,788 --> 02:59:46,825 PART OF THIS IS CERTAINLY DRIVEN 3808 02:59:46,825 --> 02:59:49,261 BY DISPARITIES IN TOBACCO AND 3809 02:59:49,261 --> 02:59:50,228 THERE'S OTHER FACTORS THAT DRIVE 3810 02:59:50,228 --> 02:59:52,430 OUTCOMES IN RURAL COMMUNITIES. 3811 02:59:52,430 --> 02:59:54,566 NCI HAS A NICE CANCER MAP STORY 3812 02:59:54,566 --> 02:59:59,104 RIGHT NOW ON RURAL AND URBAN 3813 02:59:59,104 --> 03:00:02,874 CANCER DISPARITY THAT SPEAK TO 3814 03:00:02,874 --> 03:00:05,577 WHAT RURAL COMMUNITIES FACE. 3815 03:00:05,577 --> 03:00:09,347 PART OF WHY I'M PASSION FLAT 3816 03:00:09,347 --> 03:00:15,020 FROM RURAL HEALTH I GREW UP ON A 3817 03:00:15,020 --> 03:00:19,124 SMALL WHEAT FARM IN KANSAS, 3818 03:00:19,124 --> 03:00:20,192 CALLED CUNNINGHAM. 3819 03:00:20,192 --> 03:00:23,828 AND MY FAMILY ARE STILL THERE 3820 03:00:23,828 --> 03:00:25,897 AND A LOT OF THE THINGS WE DEALT 3821 03:00:25,897 --> 03:00:27,899 WITH ARE THINGS THEY STILL 3822 03:00:27,899 --> 03:00:29,701 STRUGGLE WITH DRIVING OVER AN 3823 03:00:29,701 --> 03:00:32,938 HOUR FOR HEALTH CARE OR BEING 3824 03:00:32,938 --> 03:00:35,907 UNDER INSURED. 3825 03:00:35,907 --> 03:00:37,475 OUR COMMUNITY IS ALSO RESILIENT. 3826 03:00:37,475 --> 03:00:39,177 THAT'S PART OF WHY I'VE ALWAYS 3827 03:00:39,177 --> 03:00:41,179 BEEN INTERESTED IN UNDERSTANDING 3828 03:00:41,179 --> 03:00:45,984 PEOPLE'S STRENGTH AND HOW TO 3829 03:00:45,984 --> 03:00:47,886 LEVERAGE THEM AND HAVE BEEN 3830 03:00:47,886 --> 03:00:49,287 INTERESTED IN STUDYING HOPE. 3831 03:00:49,287 --> 03:00:51,656 HOPE IS A TRICKY CONSTRUCT TO 3832 03:00:51,656 --> 03:00:53,325 THINK ABOUT AND RESEARCH IT 3833 03:00:53,325 --> 03:00:54,593 BECAUSE WE USE IT IN OUR 3834 03:00:54,593 --> 03:00:56,361 EVERYDAY LANGUAGE AND MEANS SO 3835 03:00:56,361 --> 03:00:58,096 MANY THINGS TO SO MANY PEOPLE. 3836 03:00:58,096 --> 03:01:01,433 IF YOU THINK ABOUT WHEN WE NEED 3837 03:01:01,433 --> 03:01:07,105 HOPE WE NEED IT WHEN WE DON'T 3838 03:01:07,105 --> 03:01:10,342 KNOW AND HOPE FOR SOMETHING 3839 03:01:10,342 --> 03:01:12,510 POSITIVE IN THE FUTURE AND IT'S 3840 03:01:12,510 --> 03:01:15,113 THREATENED SOMEHOW AND HELPS 3841 03:01:15,113 --> 03:01:17,182 WITH OPTIMISM WITH A POSITIVE 3842 03:01:17,182 --> 03:01:18,683 EXPECTATION GOOD THINGS WILL 3843 03:01:18,683 --> 03:01:19,117 HAPPEN. 3844 03:01:19,117 --> 03:01:21,920 A REALLY ROBUST DEFINITION OF 3845 03:01:21,920 --> 03:01:25,156 HOPE YOU CAN STUDY IS RICK 3846 03:01:25,156 --> 03:01:25,924 SCHNEIDER'S DEFINITION WHERE 3847 03:01:25,924 --> 03:01:28,827 IT'S A POSITIVE MOTIVATIONAL 3848 03:01:28,827 --> 03:01:29,527 STATE PEOPLE EXPERIENCE WHEN 3849 03:01:29,527 --> 03:01:31,630 THEY HAVE GOALS AND HAVE THE 3850 03:01:31,630 --> 03:01:36,201 WILL TO WORK TOWARDS THOSE GOALS 3851 03:01:36,201 --> 03:01:37,869 AND PERCEIVE THEY HAVE DIFFERENT 3852 03:01:37,869 --> 03:01:39,137 WAYS TO WORK TOWARDS THOSE 3853 03:01:39,137 --> 03:01:39,471 GOALS. 3854 03:01:39,471 --> 03:01:42,207 WHY I'VE BEEN INTERESTED IN THE 3855 03:01:42,207 --> 03:01:45,176 IDEA OF HOPE IS THE IDEA OF 3856 03:01:45,176 --> 03:01:46,478 PATIENTS WITH ADVANCED DIAGNOSIS 3857 03:01:46,478 --> 03:01:49,447 WAS HELPING THEM THINK ABOUT THE 3858 03:01:49,447 --> 03:01:51,116 FUTURE THEY ARE CAN SEE THROUGH 3859 03:01:51,116 --> 03:01:55,387 THEIR DIAGNOSIS. 3860 03:01:55,387 --> 03:01:57,255 HOW CAN WE HELP THEM? 3861 03:01:57,255 --> 03:02:00,258 ONE THING I LEARNED WORKING WITH 3862 03:02:00,258 --> 03:02:01,459 PEOPLE GOING THROUGH THIS AS 3863 03:02:01,459 --> 03:02:04,863 WELL IS THAT AS YOU EXPERIENCE 3864 03:02:04,863 --> 03:02:06,665 SETBACKS AND CHALLENGES, 3865 03:02:06,665 --> 03:02:08,133 FUNCTIONAL AND PHYSICAL 3866 03:02:08,133 --> 03:02:09,301 LIMITATIONS IT'S EITHER A MATTER 3867 03:02:09,301 --> 03:02:17,842 OF FINDING A NEW WAY TO GO AFTER 3868 03:02:17,842 --> 03:02:20,979 WHAT YOU HAD AND I THINK ALL 3869 03:02:20,979 --> 03:02:22,847 THIS IS INTERESTING AND CURRENT 3870 03:02:22,847 --> 03:02:27,952 LANDSCAPE AND NOW I KNOW WE HAVE 3871 03:02:27,952 --> 03:02:32,724 PEOPLE LIVING LONGER AND PEOPLE 3872 03:02:32,724 --> 03:02:37,395 TRYING TO PURSUE A WORK LIFE AND 3873 03:02:37,395 --> 03:02:40,432 BALANCE THAT AND MANAGING CANCER 3874 03:02:40,432 --> 03:02:43,435 AND A LONGER DISEASE COURSE. 3875 03:02:43,435 --> 03:02:47,105 I'VE BEEN STUDYING HOPE SINCE 3876 03:02:47,105 --> 03:02:49,407 GRAD SCHOOL AND I DID A SURVEY 3877 03:02:49,407 --> 03:02:51,109 STUDY OF PATIENTS UNDERGOING 3878 03:02:51,109 --> 03:02:53,411 TREATMENTS FOR LUNG CANCER AND 3879 03:02:53,411 --> 03:02:56,815 IDENTIFIED HOPE PREDICTED BETTER 3880 03:02:56,815 --> 03:02:57,949 DAILY QUALITY LIFE OF SYMPTOMS 3881 03:02:57,949 --> 03:02:59,384 AND TREATMENT SIDE EFFECTS. 3882 03:02:59,384 --> 03:03:04,556 ON MY FELLOWSHIP I SURVEYED TO 3883 03:03:04,556 --> 03:03:07,125 UNDERSTAND WHAT TYPES OF GOALS 3884 03:03:07,125 --> 03:03:08,560 THEY WERE PURSUING AND WERE THEY 3885 03:03:08,560 --> 03:03:08,960 ARE INTERESTED IN 3886 03:03:08,960 --> 03:03:13,365 S INTERVENTIONS AND HELPED ME 3887 03:03:13,365 --> 03:03:14,232 DEVELOP THIS INTERVENTION CALLED 3888 03:03:14,232 --> 03:03:15,767 PATHWAYS AND WENT BACK TO 3889 03:03:15,767 --> 03:03:16,868 PATIENTS AND PROVIDERS AND 3890 03:03:16,868 --> 03:03:18,169 DEFINE THE INTERVENTION AND WHEN 3891 03:03:18,169 --> 03:03:23,108 I STARTED MY FACULTY POSITION I 3892 03:03:23,108 --> 03:03:26,277 RECEIVED A TWO-YEAR GRANT TO 3893 03:03:26,277 --> 03:03:29,147 PILE OAT THE INTERVENTION. 3894 03:03:29,147 --> 03:03:31,449 BASICALLY WE GAVE IT 40 PEOPLE 3895 03:03:31,449 --> 03:03:34,619 AND LOOKED AT WERE PATIENTS ABLE 3896 03:03:34,619 --> 03:03:37,021 TO DO IT AND DID WE SEE CHANGES 3897 03:03:37,021 --> 03:03:43,128 WE'D EXPECT IF WE'RE TARGETING 3898 03:03:43,128 --> 03:03:46,931 THEM THAT SERVED AS THE EMPHASIS 3899 03:03:46,931 --> 03:03:48,967 WHICH IS TESTING THIS FOR 3900 03:03:48,967 --> 03:03:55,106 TREATMENT FOR LUNG CANCER. 3901 03:03:55,106 --> 03:03:57,409 THE PATHWAY BRIEF AND DID THIS 3902 03:03:57,409 --> 03:04:05,350 TO TRY TO REDUCE BURD BURDEN. 3903 03:04:05,350 --> 03:04:06,117 THIS HAPPENS WHILE IT'S 3904 03:04:06,117 --> 03:04:07,485 DELIVERED BY A NURSE 3905 03:04:07,485 --> 03:04:08,319 PRACTITIONER OR NURSE AND THEY 3906 03:04:08,319 --> 03:04:12,390 SIT WITH PATIENTS AND GO THROUGH 3907 03:04:12,390 --> 03:04:13,825 EXERCISES WITH THEM TRYING 3908 03:04:13,825 --> 03:04:18,329 UNDERSTAND WHAT AREAS OF UNDER 3909 03:04:18,329 --> 03:04:19,464 -- YOU'RE LIFE ARE MOST 3910 03:04:19,464 --> 03:04:22,467 IMPORTANT AND GOALS AND WHAT ARE 3911 03:04:22,467 --> 03:04:23,101 POTENTIAL OBSTACLES AND HOW TO 3912 03:04:23,101 --> 03:04:25,737 ADDRESS THEM. 3913 03:04:25,737 --> 03:04:28,139 PART OF WHAT WE DO IS 3914 03:04:28,139 --> 03:04:28,606 FORECASTING. 3915 03:04:28,606 --> 03:04:30,708 LOOKING AHEAD TO THE FUTURE AND 3916 03:04:30,708 --> 03:04:32,110 WHAT THINGS MIGHT COME UP 3917 03:04:32,110 --> 03:04:34,245 RELATED TO YOUR DISEASE OR OTHER 3918 03:04:34,245 --> 03:04:37,182 BIG LIFE CHALLENGES YOU MIGHT 3919 03:04:37,182 --> 03:04:38,716 EXPERIENCE AND WHAT WOULD YOUR 3920 03:04:38,716 --> 03:04:40,084 PLAN BE IF THOSE LAND. 3921 03:04:40,084 --> 03:04:41,719 THIS IS ALL SUPPLEMENTED BY WHAT 3922 03:04:41,719 --> 03:04:44,322 WE CALL A TOOL KIT WHICH IS A 3923 03:04:44,322 --> 03:04:46,491 COMPILATION OF RESOURCES FROM 3924 03:04:46,491 --> 03:04:48,426 OUR PSYCHO ONCOLOGY PROGRAM 3925 03:04:48,426 --> 03:04:49,594 ABOUT LUNG CANCER SYMPTOM 3926 03:04:49,594 --> 03:04:53,932 MANAGEMENT, ADVANCED CARE 3927 03:04:53,932 --> 03:04:54,933 PLANNING, CAREGIVER STRESS, 3928 03:04:54,933 --> 03:04:56,401 FINANCIAL NAVIGATION AND LOCAL 3929 03:04:56,401 --> 03:04:57,469 RESOURCES AVAILABLE TO PEOPLE SO 3930 03:04:57,469 --> 03:05:01,072 AS THEY'RE WORKING ON THEIR 3931 03:05:01,072 --> 03:05:02,507 GOALS AND EXPERIENCE DIFFERENT 3932 03:05:02,507 --> 03:05:04,409 REFLECTION THEY HAVE DIFFERENT 3933 03:05:04,409 --> 03:05:06,711 RESOURCES TO LOOK TO. 3934 03:05:06,711 --> 03:05:08,079 MY MOON SHOT SCHOLARS GRANT WILL 3935 03:05:08,079 --> 03:05:09,514 ANSWER THREE QUESTIONS. 3936 03:05:09,514 --> 03:05:10,682 DOES THE INTERVENTION WORK. 3937 03:05:10,682 --> 03:05:12,550 THE PRIMARY OUTCOME WE'RE 3938 03:05:12,550 --> 03:05:15,119 INTERESTED IN IS REDUCTION IN 3939 03:05:15,119 --> 03:05:15,920 DEPRESSION SYMPTOMS. 3940 03:05:15,920 --> 03:05:17,288 THE OTHER TWO THINGS WE'RE 3941 03:05:17,288 --> 03:05:19,390 INTERESTED IN ARE REALLY 3942 03:05:19,390 --> 03:05:20,658 UNDERSTANDING WHY THIS 3943 03:05:20,658 --> 03:05:21,860 INTERVENTION WORKS. 3944 03:05:21,860 --> 03:05:23,862 I THINK THIS INTERVENTION, IF IT 3945 03:05:23,862 --> 03:05:27,098 DOES HAVE THE EFFECTS WE EXPECT 3946 03:05:27,098 --> 03:05:31,069 IT'S PARTLY BECAUSE HOW MUCH 3947 03:05:31,069 --> 03:05:32,203 CANCER FALLS IN THE WAY OF THEIR 3948 03:05:32,203 --> 03:05:33,471 GOALS AND HELPING PEOPLE AT 3949 03:05:33,471 --> 03:05:36,274 ADJUSTING THE GOALS AND PIVOTING 3950 03:05:36,274 --> 03:05:37,442 WHEN ROAD BLOCKS OCCUR. 3951 03:05:37,442 --> 03:05:39,611 THE FINAL AIM I HAVE IS ABOUT 3952 03:05:39,611 --> 03:05:39,844 EQUITY. 3953 03:05:39,844 --> 03:05:42,380 SO WE HAVE DONE A PRETTY POOR 3954 03:05:42,380 --> 03:05:44,516 JOB IN PSYCHOSOCIAL INTERVENTION 3955 03:05:44,516 --> 03:05:46,117 RESEARCH IN REACHING PEOPLE WHO 3956 03:05:46,117 --> 03:05:47,385 ARE OLDER WHO LIVE IN RURAL 3957 03:05:47,385 --> 03:05:48,586 AREAS WHO ARE MEN. 3958 03:05:48,586 --> 03:05:53,091 THEY ARE NOT MEN NOT PEOPLE 3959 03:05:53,091 --> 03:05:54,092 WE'RE OFTEN INCLUDING IN OUR 3960 03:05:54,092 --> 03:05:59,030 TRIALS AND THIS IS A POPULATION 3961 03:05:59,030 --> 03:06:00,131 VERY UNDER REPRESENTED AND 3962 03:06:00,131 --> 03:06:01,432 SEEING IF PEOPLE ARE WILL TO 3963 03:06:01,432 --> 03:06:03,101 PARTICIPATE AND BENEFIT FROM THE 3964 03:06:03,101 --> 03:06:05,570 INTERVENTION IN THE SUB GROUPS. 3965 03:06:05,570 --> 03:06:08,673 WE'RE RANDOMIZING 234 PEOPLE 3966 03:06:08,673 --> 03:06:10,942 WITHIN 12 WEEKS OF STARTING 3967 03:06:10,942 --> 03:06:12,043 TREATMENT FOR ADVANCED STAGE 3968 03:06:12,043 --> 03:06:13,978 LUNG CANCER FOR ENHANCED USUAL 3969 03:06:13,978 --> 03:06:16,681 CARE FOR MEET TO LOOK AT THE 3970 03:06:16,681 --> 03:06:18,616 TOOL KIT RESOURCE GUIDE OR THE 3971 03:06:18,616 --> 03:06:20,251 FULL PATHWAYS INTERVENTION. 3972 03:06:20,251 --> 03:06:21,119 WE'RE COLLECTING DATA BEFORE 3973 03:06:21,119 --> 03:06:25,323 THEY START THE INTERVENTION, 3974 03:06:25,323 --> 03:06:26,958 PART WAY THROUGH IT AND LOOKING 3975 03:06:26,958 --> 03:06:29,460 AT DURATION OF EFFECTS AND THEN 3976 03:06:29,460 --> 03:06:31,429 TO UNDERSTAND PEOPLE'S 3977 03:06:31,429 --> 03:06:32,797 EXPERIENCES, POTENTIAL 3978 03:06:32,797 --> 03:06:35,466 CHALLENGES WITH COMPLETING THE 3979 03:06:35,466 --> 03:06:36,467 INTERVENTION AND INTERVIEWING 3980 03:06:36,467 --> 03:06:38,770 PATIENT TO MAKE SURE PEOPLE'S 3981 03:06:38,770 --> 03:06:39,437 EXPERIENCES ARE POSITIVE ACROSS 3982 03:06:39,437 --> 03:06:42,273 DIFFERENT POPULATIONS. 3983 03:06:42,273 --> 03:06:44,475 THE GRANT WAS AWARDED AT THE END 3984 03:06:44,475 --> 03:06:45,677 OF JULY. 3985 03:06:45,677 --> 03:06:46,644 WE ENROLLED OUR FIRST PERSON AT 3986 03:06:46,644 --> 03:06:50,281 THE END OF NOVEMBER OF LAST 3987 03:06:50,281 --> 03:06:50,715 YEAR. 3988 03:06:50,715 --> 03:06:57,021 I WAS GETTING READY TO GO ON 3989 03:06:57,021 --> 03:06:58,923 MATERNITY LEAVE AND HAD AN 3990 03:06:58,923 --> 03:07:03,361 IMPORTANT WRAP UP AND WE 3991 03:07:03,361 --> 03:07:05,630 RANDOMIZED PEOPLE AND WE HAVE 3992 03:07:05,630 --> 03:07:07,432 76% OF THE PEOPLE WE APPROACH 3993 03:07:07,432 --> 03:07:09,801 SAY YES AND HAVE GOOD COMPLETION 3994 03:07:09,801 --> 03:07:10,401 RATES FOR OUR SURVEY DATA SO 3995 03:07:10,401 --> 03:07:13,438 FAR. 3996 03:07:13,438 --> 03:07:14,739 IN TERMS OF THE PROMISE OF THE 3997 03:07:14,739 --> 03:07:16,140 INTERVENTION IF THE INTERVENTION 3998 03:07:16,140 --> 03:07:18,042 DOES WORK, IT IS A REALLY BRIEF 3999 03:07:18,042 --> 03:07:18,376 INTERVENTION. 4000 03:07:18,376 --> 03:07:20,712 SO MOST OF OUR PSYCHOSOCIAL 4001 03:07:20,712 --> 03:07:22,146 INTERVENTIONS WE DEVELOPED FOR 4002 03:07:22,146 --> 03:07:24,649 PATIENTS ARE ABOUT SIX TO EIGHT 4003 03:07:24,649 --> 03:07:24,949 SESSIONS. 4004 03:07:24,949 --> 03:07:27,051 THEY'RE LIKE AN HOUR LONG, 4005 03:07:27,051 --> 03:07:29,320 YOU'RE MEETING WITH A CLINICAL 4006 03:07:29,320 --> 03:07:30,054 PSYCHOLOGIST DPIFT OR SOCIAL 4007 03:07:30,054 --> 03:07:30,955 WORKER. 4008 03:07:30,955 --> 03:07:32,890 THIS IS SOMETHING WE DESIGNED 4009 03:07:32,890 --> 03:07:33,658 INTENTIONALLY FOR DISSEMINATION 4010 03:07:33,658 --> 03:07:35,460 AND WANTED IT TO BE SOMETHING 4011 03:07:35,460 --> 03:07:38,096 THAT A PERSON WHO WASN'T 4012 03:07:38,096 --> 03:07:39,130 SPECIFICALLY TRAINED IN 4013 03:07:39,130 --> 03:07:40,031 SPECIALTY MENTAL HEALTH CAN 4014 03:07:40,031 --> 03:07:42,700 DELIVER AND NURSE PRACTITIONERS 4015 03:07:42,700 --> 03:07:43,901 WE THINK COULD INCREASE REACH 4016 03:07:43,901 --> 03:07:46,437 AND WE ALSO THINK THAT TESTING 4017 03:07:46,437 --> 03:07:50,441 IT AND OUR POPULATION WHICH IS 4018 03:07:50,441 --> 03:07:51,309 PREDOMINANTLY RURAL AND 4019 03:07:51,309 --> 03:07:52,677 EXPERIENCES PERSISTENT POVERTY 4020 03:07:52,677 --> 03:07:54,278 AND CHALLENGES FOR PEOPLE COMING 4021 03:07:54,278 --> 03:07:57,181 IN FOR TREATMENT AND IMPROVING 4022 03:07:57,181 --> 03:07:58,816 MENTAL HEALTH BUT THIS COULD 4023 03:07:58,816 --> 03:08:01,452 TRANSLATE WELL TO SUCCESS IN 4024 03:08:01,452 --> 03:08:03,121 OTHER POPULATIONS AS WELL. 4025 03:08:03,121 --> 03:08:05,757 AND FINALLY UNDERSTANDING WHY 4026 03:08:05,757 --> 03:08:07,125 THIS WORKS OR DOESN'T WITHIN 4027 03:08:07,125 --> 03:08:08,693 CERTAIN POPULATIONS WILL HELP US 4028 03:08:08,693 --> 03:08:10,261 KNOW WHAT WE CAN DO TO IMPROVE 4029 03:08:10,261 --> 03:08:13,398 IT TO MAKE SURE OVER HAS A 4030 03:08:13,398 --> 03:08:14,732 CHANCE TO BENEFIT FROM THIS TYPE 4031 03:08:14,732 --> 03:08:16,901 OF INTERVENTION. 4032 03:08:16,901 --> 03:08:20,471 IN TERMS OF FUTURE DIRECTIONS, I 4033 03:08:20,471 --> 03:08:21,773 RECENTLY SURVEYED 60 ADVANCED 4034 03:08:21,773 --> 03:08:23,574 CANCER CAREGIVERS. 4035 03:08:23,574 --> 03:08:26,778 NOT JUST BREAST, COLORECTAL, 4036 03:08:26,778 --> 03:08:30,148 HEAD AND NECK, MELANOMA, BRAIN 4037 03:08:30,148 --> 03:08:31,115 AND SURVEYED THEM TO UNDERSTAND 4038 03:08:31,115 --> 03:08:32,950 WHAT TYPES OF GOALS THEY WERE 4039 03:08:32,950 --> 03:08:37,021 PURSUING AND HOW TREATMENT WAS 4040 03:08:37,021 --> 03:08:37,889 IMPACTING THEIR GOALS. 4041 03:08:37,889 --> 03:08:40,525 WE HAD CAREGIVERS PURSUING GOALS 4042 03:08:40,525 --> 03:08:41,826 AND PERSONAL GOALS RELATED TO 4043 03:08:41,826 --> 03:08:44,462 THEIR SOCIAL RELATIONSHIPS AND 4044 03:08:44,462 --> 03:08:47,231 ROLES AND TRYING TO MAKE MAJOR 4045 03:08:47,231 --> 03:08:47,932 LIFE DECISIONS. 4046 03:08:47,932 --> 03:08:50,935 OVER 60% SAID THEIR LOVED ONE'S 4047 03:08:50,935 --> 03:08:52,537 CANCER TREATMENT WAS INTERFERING 4048 03:08:52,537 --> 03:08:54,338 WITH THEIR PROGRESS ON IMPORTANT 4049 03:08:54,338 --> 03:08:56,474 GOALS AND CAREGIVERS WERE 4050 03:08:56,474 --> 03:08:57,608 INTERESTED IN AN INTERVENTION TO 4051 03:08:57,608 --> 03:09:00,044 HELP SUPPORT THEM AND PURSUING 4052 03:09:00,044 --> 03:09:02,513 THESE TYPES OF GOALS AND THOUGHT 4053 03:09:02,513 --> 03:09:03,414 THEY WERE IMPORTANT THINGS TO 4054 03:09:03,414 --> 03:09:05,116 STAY ENGAGED WITH. 4055 03:09:05,116 --> 03:09:07,752 THIS DATA IS SERVING AS 4056 03:09:07,752 --> 03:09:10,688 BACKGROUND FOR AN INTERVENTION 4057 03:09:10,688 --> 03:09:13,524 ADAPTATION AND I AM HOPING TO 4058 03:09:13,524 --> 03:09:15,860 SUBMIT AT THE END OF OCTOBER. 4059 03:09:15,860 --> 03:09:19,097 WITH THAT I'M GOING TO STOP. 4060 03:09:19,097 --> 03:09:21,532 I WANTED TO SHARE SOME GOALS 4061 03:09:21,532 --> 03:09:23,067 PEOPLE HAVE SHARED WITH US 4062 03:09:23,067 --> 03:09:24,569 THEY'RE TRYING TO WORK ON. 4063 03:09:24,569 --> 03:09:25,937 YOU CAN SEE A MIX OF THINGS 4064 03:09:25,937 --> 03:09:26,871 IMPORTANT TO PEOPLE. 4065 03:09:26,871 --> 03:09:31,442 I LOVE I GET TO DO THIS 4066 03:09:31,442 --> 03:09:32,410 INTERVENTION. 4067 03:09:32,410 --> 03:09:34,812 I WANTED TO DEVELOP HOPE AND 4068 03:09:34,812 --> 03:09:36,481 INTERVENTION FOR PATIENTS SINCE 4069 03:09:36,481 --> 03:09:38,549 GRADUATE SCHOOL AND TO DO 4070 03:09:38,549 --> 03:09:41,285 SOMETHING THAT FEELS PATIENT 4071 03:09:41,285 --> 03:09:44,756 CENTERED IN THE CANCER MOONSHOT 4072 03:09:44,756 --> 03:09:48,426 PROGRAM ALONGSIDE FABULOUS BASIC 4073 03:09:48,426 --> 03:09:48,960 SCIENTISTS. 4074 03:09:48,960 --> 03:09:49,427 I'M GRATEFUL FOR THE 4075 03:09:49,427 --> 03:09:49,727 OPPORTUNITY. 4076 03:09:49,727 --> 03:09:55,099 THANK YOU. 4077 03:09:55,099 --> 03:09:56,300 >> THANK YOU FOR YOUR 4078 03:09:56,300 --> 03:10:01,172 PRESENTATION AND THIS REALLY 4079 03:10:01,172 --> 03:10:01,839 INSIGHTFUL WORK. 4080 03:10:01,839 --> 03:10:04,242 IT'S VERY THOUGHTFUL HOW YOU 4081 03:10:04,242 --> 03:10:05,209 DESIGNED THE INTERVENTION AS 4082 03:10:05,209 --> 03:10:07,111 WELL AS THE NEXT PHASE WITH THE 4083 03:10:07,111 --> 03:10:07,445 CAREGIVERS. 4084 03:10:07,445 --> 03:10:09,714 I THINK THE LAST SLIDE SHOWS HOW 4085 03:10:09,714 --> 03:10:12,817 WE KNOW EVERYONE'S CANCER IS 4086 03:10:12,817 --> 03:10:16,521 DIFFERENT BUT JUST REALIZING 4087 03:10:16,521 --> 03:10:17,922 DIFFERENT CANCER PATIENTS HAVE 4088 03:10:17,922 --> 03:10:18,589 DIFFERENT GOALS AND THEY'RE ALL 4089 03:10:18,589 --> 03:10:21,659 DIFFERENT AND WHAT THEY NEED. 4090 03:10:21,659 --> 03:10:23,728 THANK YOU SO MUCH AND HOW IT'S 4091 03:10:23,728 --> 03:10:26,164 RELATED TO DR. DANG'S WORK WHEN 4092 03:10:26,164 --> 03:10:27,799 SOMEBODY WITH AN ADVANCED CANCER 4093 03:10:27,799 --> 03:10:34,705 WHO NEEDS TO PLUG IN TO HOPE. 4094 03:10:34,705 --> 03:10:37,542 BRAVO CANCER MOONSHOT SCHOLAR 4095 03:10:37,542 --> 03:10:40,011 PROGRAM MANY FOR SUPPORTING 4096 03:10:40,011 --> 03:10:41,412 THESE WONDERFUL YOUNG 4097 03:10:41,412 --> 03:10:41,746 INVESTIGATORS. 4098 03:10:41,746 --> 03:10:43,748 DO WE HAVE QUESTIONS FROM THE 4099 03:10:43,748 --> 03:10:46,217 BOARD? 4100 03:10:46,217 --> 03:10:46,884 YES, MARTY. 4101 03:10:46,884 --> 03:10:52,023 >> A QUESTION FOR DR. McLOUTH. 4102 03:10:52,023 --> 03:10:54,859 AS A PATIENT AND PATIENT 4103 03:10:54,859 --> 03:10:56,527 ADVOCATE I REALLY APPRECIATE THE 4104 03:10:56,527 --> 03:10:58,462 PANEL WAY OF THE WORK YOU'RE 4105 03:10:58,462 --> 03:10:59,096 DOING. 4106 03:10:59,096 --> 03:11:02,567 IT HAS THE POTENTIAL TO HELP 4107 03:11:02,567 --> 03:11:05,970 PATIENTS AND CAREGIVERS IN HUGE 4108 03:11:05,970 --> 03:11:11,676 WAYS THAT IS UNDER SUPPORTED. 4109 03:11:11,676 --> 03:11:13,277 WE LIVE IN A HEALTH CARE FORMED 4110 03:11:13,277 --> 03:11:13,511 SOCIETY. 4111 03:11:13,511 --> 03:11:20,585 IF THE CANCER PATHWAYS 4112 03:11:20,585 --> 03:11:21,853 INTERVENTION PROVES TO BE 4113 03:11:21,853 --> 03:11:25,456 SOMETHING WE WANT TO STANDARDIZE 4114 03:11:25,456 --> 03:11:29,994 OR INSTITUTIONALIZE GIVE ME 4115 03:11:29,994 --> 03:11:31,963 THOUGHTS HOW IT MAY BE PAID FOR. 4116 03:11:31,963 --> 03:11:37,468 >> THANK YOU FOR THAT QUESTION. 4117 03:11:37,468 --> 03:11:40,671 IT'S A REALLY GOOD ONE. 4118 03:11:40,671 --> 03:11:42,840 ONE THING I'M GOING FOR THE 4119 03:11:42,840 --> 03:11:45,276 CAREGIVER WORK IS CONVENING THE 4120 03:11:45,276 --> 03:11:46,244 PARTNER GROUP AND PART OF THE 4121 03:11:46,244 --> 03:11:48,546 PEOPLE I'M INVOLVING IN THAT 4122 03:11:48,546 --> 03:11:50,681 GROUP ARE PAYERS AND POLICY 4123 03:11:50,681 --> 03:11:54,518 MAKERS BECAUSE THAT'S AN AREA I 4124 03:11:54,518 --> 03:11:55,519 DON'T UNDERSTAND AND I DO THINK 4125 03:11:55,519 --> 03:11:58,689 WE DESIGN IT TO WHERE IT COULD 4126 03:11:58,689 --> 03:12:01,025 BE BUILT WITH THE TYPES OF 4127 03:12:01,025 --> 03:12:01,659 PROVIDERS WE WERE DELIVERING 4128 03:12:01,659 --> 03:12:04,662 THROUGH BUT I ALSO THINK THERE'S 4129 03:12:04,662 --> 03:12:07,098 OPPORTUNITIES TO WEAVE HOPE INTO 4130 03:12:07,098 --> 03:12:10,368 OTHER INTERACTIONS IN THE HEALTH 4131 03:12:10,368 --> 03:12:12,336 CARE SYSTEM WHETHER THERE'S 4132 03:12:12,336 --> 03:12:16,874 TRAINING FOR ONCOLOGISTS OR 4133 03:12:16,874 --> 03:12:19,110 SEEING THEM AND I DO THINK 4134 03:12:19,110 --> 03:12:22,079 EXTENDING BUILDING PARTNERSHIPS 4135 03:12:22,079 --> 03:12:22,914 WITH PAYERS IS PROBABLY 4136 03:12:22,914 --> 03:12:27,118 SOMETHING I NEED TO INVEST IN. 4137 03:12:27,118 --> 03:12:31,122 I WOULD WELCOME IDEAS IN HOW TO 4138 03:12:31,122 --> 03:12:32,623 GET STARTED. 4139 03:12:32,623 --> 03:12:35,092 >> DO WE HAVE ANY OTHER 4140 03:12:35,092 --> 03:12:39,130 QUESTIONS FROM THE BOARD? 4141 03:12:39,130 --> 03:12:42,033 >> WITH THAT WE'RE PRACTICALLY 4142 03:12:42,033 --> 03:12:43,467 ON TIME. 4143 03:12:43,467 --> 03:12:44,235 THANK YOU SO VERY MUCH, 4144 03:12:44,235 --> 03:12:47,104 DR. BAILEY, DR. DANG AND 4145 03:12:47,104 --> 03:12:48,639 DR. McLOUTH FOR SPENDING TIME 4146 03:12:48,639 --> 03:12:50,875 WITH US AND LETTING US KNOW 4147 03:12:50,875 --> 03:12:53,811 ABOUT YOUR WORK AND DIVERSIFYING 4148 03:12:53,811 --> 03:12:54,779 THE WORKFORCE IT'S SO VERY 4149 03:12:54,779 --> 03:12:56,147 IMPORTANT AND WE'RE SO GRATEFUL 4150 03:12:56,147 --> 03:12:59,116 TO HAVE HEARD ABOUT YOUR VERY 4151 03:12:59,116 --> 03:13:00,151 IMPORTANT WORK. 4152 03:13:00,151 --> 03:13:01,485 THANK YOU VERY MUCH. 4153 03:13:01,485 --> 03:13:04,655 WITH THAT IT IS TIME FOR A VERY 4154 03:13:04,655 --> 03:13:06,190 QUICK BREAK. 4155 03:13:06,190 --> 03:13:09,527 SO WE HAVE JUST UNDER 10 MINUTES 4156 03:13:09,527 --> 03:13:14,031 WE'LL RECONVENE AT 2:30 A REAL 4157 03:13:14,031 --> 03:13:26,024 2:30. 4158 03:13:26,024 --> 03:13:27,259 >> WE'RE CALLING THE MEETING 4159 03:13:27,259 --> 03:13:31,930 BACK TO ORDER AND NEXT AN UPDATE 4160 03:13:31,930 --> 03:13:37,536 ON THE WHITE HOUSE SCIENCE AND 4161 03:13:37,536 --> 03:13:39,938 UPDATE DIRECTOR YOUNG AND WE'RE 4162 03:13:39,938 --> 03:13:41,740 EXCITED TO HEAR AN UPDATE ON 4163 03:13:41,740 --> 03:13:47,379 WHAT'S GOING ON WITH THE CANCER 4164 03:13:47,379 --> 03:13:49,548 MOONSHOT 2.0. 4165 03:13:49,548 --> 03:14:00,025 THANK YOU FOR BEING WITH US. 4166 03:14:03,161 --> 03:14:05,530 >> AMAZING. 4167 03:14:05,530 --> 03:14:08,233 I JOKE THOUGH I WORK FOR THE 4168 03:14:08,233 --> 03:14:10,001 WHITE HOUSE OF OFFICE OF SCIENCE 4169 03:14:10,001 --> 03:14:11,570 AND TECHNOLOGY IT'S ALWAYS 4170 03:14:11,570 --> 03:14:14,606 TECHNOLOGY THAT TRIPS US UP OVER 4171 03:14:14,606 --> 03:14:17,542 HERE AND IT'S A PRIVILEGE TO BE 4172 03:14:17,542 --> 03:14:20,745 ABLE TO BE HERE WITH YOU TODAY 4173 03:14:20,745 --> 03:14:23,114 AND TO PROVIDE AN UPDATE ON THE 4174 03:14:23,114 --> 03:14:25,450 CANCER MOONSHOT. 4175 03:14:25,450 --> 03:14:27,118 I KNOW MANY OF YOU HAVE 4176 03:14:27,118 --> 03:14:28,954 PARTICIPATED IN THIS AND I WAS 4177 03:14:28,954 --> 03:14:33,992 LOOKING AT THE FIRST SLIDE THAT 4178 03:14:33,992 --> 03:14:38,029 SAID THE 92nd CONVENING OF THIS 4179 03:14:38,029 --> 03:14:39,264 AND THANK YOU FOR YOUR EFFORTS 4180 03:14:39,264 --> 03:14:45,537 IN SUPPORTING NCI GOING FORWARD. 4181 03:14:45,537 --> 03:14:49,307 AS MANY KNOW, THE PRESIDENT 4182 03:14:49,307 --> 03:14:50,008 REIGNITED THE CANCER MOONSHOT IN 4183 03:14:50,008 --> 03:14:53,411 2022. 4184 03:14:53,411 --> 03:14:55,847 THIS IS ONE OF MY FAVORITE 4185 03:14:55,847 --> 03:14:56,681 QUOTES FROM HIM. 4186 03:14:56,681 --> 03:15:00,485 IT SAYS I COMMITTED TO THIS 4187 03:15:00,485 --> 03:15:03,822 FIGHT WHEN I WAS VICE PRESIDENT. 4188 03:15:03,822 --> 03:15:04,556 IT'S ONE OF THE REASONS WHY 4189 03:15:04,556 --> 03:15:07,192 QUITE FRANKLY I RAN FOR 4190 03:15:07,192 --> 03:15:08,226 PRESIDENT. 4191 03:15:08,226 --> 03:15:09,594 LET THERE BE NO OUT TO BE NOW 4192 03:15:09,594 --> 03:15:13,064 THAT I AM PRESIDENT, THIS IS A 4193 03:15:13,064 --> 03:15:14,099 PRESIDENTIAL WHITE HOUSE 4194 03:15:14,099 --> 03:15:15,133 PRIORITY, PERIOD. 4195 03:15:15,133 --> 03:15:18,670 AND A LITTLE BIT OF BACKGROUND 4196 03:15:18,670 --> 03:15:21,139 FROM ME I JOINED THE CANCER 4197 03:15:21,139 --> 03:15:25,277 MOONSHOT IN 2022 WHEN IT WAS 4198 03:15:25,277 --> 03:15:29,848 REIGNITED AND CAME FROM THE 4199 03:15:29,848 --> 03:15:33,051 NON-PROFIT THAT THEN FORMER VICE 4200 03:15:33,051 --> 03:15:37,088 PRESIDENT STARTED THE CANCER 4201 03:15:37,088 --> 03:15:38,990 MOONSHOT CARRYING THE WORK OF 4202 03:15:38,990 --> 03:15:43,528 THE FIRST MOONSHOT IN 2016. 4203 03:15:43,528 --> 03:15:46,431 AND THIS WORK HAS BEEN ONGOING 4204 03:15:46,431 --> 03:15:54,806 FOR MANY YEARS NOW. 4205 03:15:54,806 --> 03:16:01,313 WITH THIS CANCER MOONSHOT 4206 03:16:01,313 --> 03:16:04,182 REIGNITION CAME TWO GOALS AND 4207 03:16:04,182 --> 03:16:05,283 DOING IT WITH GOVERNMENT AGENCY 4208 03:16:05,283 --> 03:16:08,720 PARTNERS AND WITH ALL OF YOU AND 4209 03:16:08,720 --> 03:16:10,722 OF THE CANCER COMMUNITY 4210 03:16:10,722 --> 03:16:11,389 ALONGSIDE US. 4211 03:16:11,389 --> 03:16:14,426 THE TWO GOALS TO REFRESH YOUR 4212 03:16:14,426 --> 03:16:19,931 MEMORY IN CASE IT NEEDS 4213 03:16:19,931 --> 03:16:21,666 REFRESHING IS TO WHERE HE DEUCE 4214 03:16:21,666 --> 03:16:26,438 THE CANCER DEATH RATES IN THE 4215 03:16:26,438 --> 03:16:28,473 UNITED STATES BY 50% IN THE NEXT 4216 03:16:28,473 --> 03:16:29,541 25 YEARS. 4217 03:16:29,541 --> 03:16:33,545 WHEN THINK OF THAT IN TERMS OF 4218 03:16:33,545 --> 03:16:43,054 LIVES POSSIBLY SAVED IT'S ABOUT 4219 03:16:43,054 --> 03:16:46,124 A MILLION AND IMPROVING THE 4220 03:16:46,124 --> 03:16:47,025 EXPERIENCE OF PEOPLE LIVING 4221 03:16:47,025 --> 03:16:50,228 THROUGH AND SURVIVING CANCER AND 4222 03:16:50,228 --> 03:16:51,696 CAREGIVERS AND THOSE AFFECTED 4223 03:16:51,696 --> 03:16:54,933 ONCE ONE INDIVIDUAL RESOURCED A 4224 03:16:54,933 --> 03:16:58,370 CANCER DIAGNOSIS. 4225 03:16:58,370 --> 03:17:00,538 WE KNOW IT EFFECTS THE ENTIRE 4226 03:17:00,538 --> 03:17:01,539 FAMILY AND BEYOND TO END CANCER 4227 03:17:01,539 --> 03:17:11,783 AS WE KNOW IT. 4228 03:17:13,017 --> 03:17:14,786 THE CANCER MOONSHOT HAS FIVE 4229 03:17:14,786 --> 03:17:15,453 SPECIFIC PRIORITY ACTION AREAS. 4230 03:17:15,453 --> 03:17:20,859 THESE ARE THE AREAS THAT HELP US 4231 03:17:20,859 --> 03:17:24,596 DRIVE AND FOCUS THE WORK AT THE 4232 03:17:24,596 --> 03:17:26,998 FROM AGENCY LEVEL AND ALSO 4233 03:17:26,998 --> 03:17:27,932 BRINGING COMMUNITY PARTNERS 4234 03:17:27,932 --> 03:17:28,900 TOGETHER ALONGSIDE. 4235 03:17:28,900 --> 03:17:33,138 AND WHAT I'LL DO IS GO THROUGH 4236 03:17:33,138 --> 03:17:34,939 SOME OF THE MAJOR UPDATES ON 4237 03:17:34,939 --> 03:17:36,541 EACH OF THESE BUT RUN THROUGH 4238 03:17:36,541 --> 03:17:39,611 THESE QUICKLY RIGHT NOW. 4239 03:17:39,611 --> 03:17:43,448 THE FIRST IS TO EXPAND ACCESS TO 4240 03:17:43,448 --> 03:17:44,783 CANCER SCREENING. 4241 03:17:44,783 --> 03:17:46,451 THE SECOND IS TO UNDERSTAND AND 4242 03:17:46,451 --> 03:17:49,554 PREVENT TOXIC AND ENVIRONMENTAL 4243 03:17:49,554 --> 03:17:50,655 EXPOSURES. 4244 03:17:50,655 --> 03:17:53,825 THE THIRD IS TO PREVENT MORE 4245 03:17:53,825 --> 03:17:56,127 CANCERS BEFORE THEY START. 4246 03:17:56,127 --> 03:17:57,796 THE FOURTH IS TO DRIVE NEW 4247 03:17:57,796 --> 03:17:59,264 INNOVATION AND DELIVER THE 4248 03:17:59,264 --> 03:18:02,200 LATEST PROGRESS TO PATIENTS AND 4249 03:18:02,200 --> 03:18:04,602 COMMUNITIES AND THE FIFTH IS TO 4250 03:18:04,602 --> 03:18:08,139 SUPPORT AND CENTER PATIENTS AND 4251 03:18:08,139 --> 03:18:08,440 CAREGIVERS. 4252 03:18:08,440 --> 03:18:09,941 NOW, WHAT I WANT TO POINT OUT 4253 03:18:09,941 --> 03:18:13,445 HERE IS THIS IS A PRETTY 4254 03:18:13,445 --> 03:18:16,281 COMPREHENSIVE SET OF ACTION 4255 03:18:16,281 --> 03:18:18,416 AREAS AND ALSO IMPORTANTLY THE 4256 03:18:18,416 --> 03:18:19,918 ENVIRONMENTAL PART AND THE 4257 03:18:19,918 --> 03:18:22,720 CONVENTION PART I WOULD SAY ARE 4258 03:18:22,720 --> 03:18:27,058 TWO AREAS THAT HAVE REALLY COME 4259 03:18:27,058 --> 03:18:31,196 TO THE FOREFRONT FOR THE CANCER 4260 03:18:31,196 --> 03:18:36,201 MOONSHOT REIGNIT-IGNITION. 4261 03:18:36,201 --> 03:18:41,206 ON THE GOVERNMENT SIDE IT'S 4262 03:18:41,206 --> 03:18:51,883 REALLY IMPORTANT -- I THINK WE 4263 03:18:51,883 --> 03:18:55,720 NEEDED SLIDE NUMBER 6. 4264 03:18:55,720 --> 03:18:55,987 THANK YOU. 4265 03:18:55,987 --> 03:18:57,522 IT'S IMPORTANT TO EXECUTE OUR 4266 03:18:57,522 --> 03:18:59,557 WORK BY BRINGING ALL AGENCIES 4267 03:18:59,557 --> 03:19:00,625 ALONGSIDE US. 4268 03:19:00,625 --> 03:19:02,627 TO DO SO WE ENSURE WE ARE 4269 03:19:02,627 --> 03:19:05,129 STUDYING AT THE SAME TABLE, THAT 4270 03:19:05,129 --> 03:19:06,664 WE ARE UNDERSTANDING THE WORK 4271 03:19:06,664 --> 03:19:08,900 THAT HAS BEEN DONE, THAT IS 4272 03:19:08,900 --> 03:19:09,968 BEING UNDERTAKEN AND THAT WILL 4273 03:19:09,968 --> 03:19:11,603 BE DONE. 4274 03:19:11,603 --> 03:19:13,538 AND BY DOING THIS, BY BRINGING 4275 03:19:13,538 --> 03:19:16,975 THESE AGENCIES AND DEPARTMENTS 4276 03:19:16,975 --> 03:19:19,677 TOGETHER WE ARE ABLE TO MAKE 4277 03:19:19,677 --> 03:19:21,813 SURE THAT FOCUS IS CONTINUED AND 4278 03:19:21,813 --> 03:19:22,313 UNIFIED THROUGHOUT THE 4279 03:19:22,313 --> 03:19:30,722 GOVERNMENT ITSELF. 4280 03:19:30,722 --> 03:19:32,357 THE CANCER CABINET AN IDEA OF 4281 03:19:32,357 --> 03:19:37,829 THE PRESIDENT BRINGING PARTNERS 4282 03:19:37,829 --> 03:19:44,369 TOGETHER TO DO THIS WORK IS 4283 03:19:44,369 --> 03:19:46,671 COMPRISED OF OVER 20 AGENCIES IN 4284 03:19:46,671 --> 03:19:48,106 THE GOVERNMENT. 4285 03:19:48,106 --> 03:19:49,941 THOUGH WE HAVE THE NATIONAL 4286 03:19:49,941 --> 03:19:51,676 CANCER INSTITUTE AS A MAJOR 4287 03:19:51,676 --> 03:19:55,046 PLAYER AND PARTNER WITH US IN 4288 03:19:55,046 --> 03:19:56,915 THE CANCER MOONSHOT ALONG WITH 4289 03:19:56,915 --> 03:20:00,018 OTHER USUAL SUSPECTS LIKE THE 4290 03:20:00,018 --> 03:20:03,421 V.A., HHS, CDC, FDA, THERE'S 4291 03:20:03,421 --> 03:20:06,691 ALSO A NUMBER THAT ARE KIND OF 4292 03:20:06,691 --> 03:20:11,095 THE UNUSUAL SUSPECTS FOR EXAMPLE 4293 03:20:11,095 --> 03:20:12,897 NASA, DEPARTMENT OF ENERGY AND 4294 03:20:12,897 --> 03:20:14,065 OTHERS THAT SOMETIMES PEOPLE 4295 03:20:14,065 --> 03:20:15,133 DON'T ALWAYS ASSOCIATE CANCER 4296 03:20:15,133 --> 03:20:16,701 WITH WHEN YOU FIRST THINK ABOUT 4297 03:20:16,701 --> 03:20:16,868 IT. 4298 03:20:16,868 --> 03:20:18,937 THE REASON WHY WE DO THAT IS 4299 03:20:18,937 --> 03:20:21,539 BECAUSE EVERY AGENCY IS GOING TO 4300 03:20:21,539 --> 03:20:25,543 BRING WITH THEM THEIR OWN SET OF 4301 03:20:25,543 --> 03:20:27,745 TOOLS, RESOURCES AND IDEAS IN 4302 03:20:27,745 --> 03:20:29,547 ORDER TO HELP PROVIDER SOLUTIONS 4303 03:20:29,547 --> 03:20:33,952 FOR PATIENTS THAT WILL ALLOW US 4304 03:20:33,952 --> 03:20:36,788 TO CROSS FROM PREVENTION TO 4305 03:20:36,788 --> 03:20:37,221 SURVIVORSHIP. 4306 03:20:37,221 --> 03:20:39,958 THAT'S WHY IT'S CRITICAL WE HAVE 4307 03:20:39,958 --> 03:20:43,962 THIS VERY UNIFIED AND BROAD SET 4308 03:20:43,962 --> 03:20:44,395 OF PARTNERS IN THE 4309 03:20:44,395 --> 03:20:51,536 U.S. GOVERNMENT AGENCY. 4310 03:20:51,536 --> 03:20:53,104 TO GO TO WHAT YOU MENTIONED 4311 03:20:53,104 --> 03:20:54,305 BEFORE IN TERMS OF HIGHLIGHTS 4312 03:20:54,305 --> 03:20:57,542 AND ACHIEVEMENTS UNDER EACH 4313 03:20:57,542 --> 03:20:59,944 CATEGORIES NOTING THIS IS A 4314 03:20:59,944 --> 03:21:01,112 SNAPSHOT BUT NOT EVERYTHING WE 4315 03:21:01,112 --> 03:21:02,213 HAVE ACCOMPLISHED SO FAR AND 4316 03:21:02,213 --> 03:21:04,148 SOME OF THE BIGGEST PIECES YOU 4317 03:21:04,148 --> 03:21:05,683 MAY BE INTERESTED IN. 4318 03:21:05,683 --> 03:21:08,586 SO GOING BACK TO FIRST PRIORITY 4319 03:21:08,586 --> 03:21:09,821 ACTION, EXPANDING ACCESS TO 4320 03:21:09,821 --> 03:21:12,090 CANCER SCREENING. 4321 03:21:12,090 --> 03:21:13,424 OF COURSE WHEN THE CANCER 4322 03:21:13,424 --> 03:21:16,661 MOONSHOT WAS RE-IGNITED IN 2022 4323 03:21:16,661 --> 03:21:18,396 WE WERE COMING TO THE TAIL END 4324 03:21:18,396 --> 03:21:20,431 OF THE PANDEMIC OF US ALL BEING 4325 03:21:20,431 --> 03:21:23,034 AT HOME AND MOVING ABOUT $10 4326 03:21:23,034 --> 03:21:23,668 MILLION SCREENINGS DURING THAT 4327 03:21:23,668 --> 03:21:25,536 TIME. 4328 03:21:25,536 --> 03:21:28,373 SO IT WAS REALLY IMPERATIVE THIS 4329 03:21:28,373 --> 03:21:29,607 BECOME A MAJOR FOCUS AND PUSH AT 4330 03:21:29,607 --> 03:21:32,577 THE BEGINNING OF THE CANCER 4331 03:21:32,577 --> 03:21:32,844 MOONSHOT. 4332 03:21:32,844 --> 03:21:34,946 AND SO WE HAVE RESPONDED IN A 4333 03:21:34,946 --> 03:21:35,947 COUPLE OF WAYS THROUGHOUT THE 4334 03:21:35,947 --> 03:21:37,815 U.S. GOVERNMENT. 4335 03:21:37,815 --> 03:21:40,585 THE FIRST IS THROUGH A $1 4336 03:21:40,585 --> 03:21:44,322 MILLION COMMITMENT THROUGH THE 4337 03:21:44,322 --> 03:21:45,523 CDC TO EXPAND CANCER SCREENINGS 4338 03:21:45,523 --> 03:21:46,824 IN UNDER SERVED COMMUNITIES 4339 03:21:46,824 --> 03:21:47,625 THROUGHOUT THE UNITED STATES. 4340 03:21:47,625 --> 03:21:49,527 THE SECOND IS THE VETERANS 4341 03:21:49,527 --> 03:21:51,029 AFFAIRS HAVE EXPANDED LUNG 4342 03:21:51,029 --> 03:21:54,365 CANCER SCREENING AND AT HOME 4343 03:21:54,365 --> 03:21:56,134 COLORECTAL SCREENING FOR OVER $1 4344 03:21:56,134 --> 03:21:59,804 MILLION VETERANS. 4345 03:21:59,804 --> 03:22:01,506 THE THIRD IS NO-COST SCREENING 4346 03:22:01,506 --> 03:22:03,541 FOR TENS OF MILLIONS OF 4347 03:22:03,541 --> 03:22:07,345 AMERICANS FOR LUNG, COLORECTAL 4348 03:22:07,345 --> 03:22:08,046 AND BREAST CANCER. 4349 03:22:08,046 --> 03:22:12,583 WHAT WE'RE STARTING TO SEE IS 4350 03:22:12,583 --> 03:22:13,418 WE'RE STARTING TO SLOWLY CLOSE 4351 03:22:13,418 --> 03:22:14,519 THE GAP WHEN IT COMES TO 4352 03:22:14,519 --> 03:22:16,487 SCREENING AND SEE WHAT WE WERE 4353 03:22:16,487 --> 03:22:18,756 BEFORE THE PANDEMIC ITSELF AND 4354 03:22:18,756 --> 03:22:21,526 MAKE SURE SCREENINGS ARE MADE 4355 03:22:21,526 --> 03:22:22,794 ACCESSIBLE TO ALL AMERICANS NOT 4356 03:22:22,794 --> 03:22:29,133 JUST THE FEW AROUND THE COUNTRY. 4357 03:22:29,133 --> 03:22:30,268 UNDERSTANDING AND PREVENTING 4358 03:22:30,268 --> 03:22:33,404 TOXIC AND ENVIRONMENTAL 4359 03:22:33,404 --> 03:22:35,807 EXPOSURES IS ONE OF OUR MAJOR 4360 03:22:35,807 --> 03:22:37,175 PARTNERS IN THE WORK. 4361 03:22:37,175 --> 03:22:39,877 THIS FOCUSES ON PREVENTION AND 4362 03:22:39,877 --> 03:22:42,680 ENSURING ALL AMERICANS HAVE 4363 03:22:42,680 --> 03:22:44,348 ACCESS TO VERY A CLEAN 4364 03:22:44,348 --> 03:22:45,550 ENVIRONMENT WHICH IS SO 4365 03:22:45,550 --> 03:22:48,853 IMPORTANT FOR OUR OVER ALL 4366 03:22:48,853 --> 03:22:49,187 HEALTH. 4367 03:22:49,187 --> 03:22:53,191 A BIG ACHIEVEMENT IS A $3 4368 03:22:53,191 --> 03:22:55,827 BILLION INVESTMENT IN CLEANING 4369 03:22:55,827 --> 03:22:57,095 UP TOXIC SITES, CONTAMINATED 4370 03:22:57,095 --> 03:23:05,570 SITES AROUND THE UNITED STATES. 4371 03:23:05,570 --> 03:23:08,339 $20 BILLION TO CLEAN WATER AND 4372 03:23:08,339 --> 03:23:11,109 WE KNOW THERE'S BEEN A HUGE 4373 03:23:11,109 --> 03:23:16,814 ISSUE IN CLEAN WATER AND WE WANT 4374 03:23:16,814 --> 03:23:24,856 TO PROVIDE AMERICANS WITH CHEAP 4375 03:23:24,856 --> 03:23:34,165 WATER AND THE FIRST PFAS 4376 03:23:34,165 --> 03:23:35,600 STANDARDS AND START TO MAKE SURE 4377 03:23:35,600 --> 03:23:46,144 THOSE REGULATIONS ARE IN PLACE. 4378 03:23:50,848 --> 03:23:53,317 WE'VE BEEN MOSTLY FOCUSSED ON 4379 03:23:53,317 --> 03:23:57,555 SMOKING CESSATION. 4380 03:23:57,555 --> 03:24:01,459 IT CAUSES MANY LUNG CANCER 4381 03:24:01,459 --> 03:24:03,027 DEATHS AND A PRIORITY FOR THE 4382 03:24:03,027 --> 03:24:03,795 ADMINISTRATION AND FOR THE 4383 03:24:03,795 --> 03:24:05,563 MOONSHOT WE TACKLE THIS MAJOR 4384 03:24:05,563 --> 03:24:07,064 ISSUE. 4385 03:24:07,064 --> 03:24:09,967 SO A COUPLE OF THINGS TO 4386 03:24:09,967 --> 03:24:12,737 HIGHLIGHT IS THAT HHS HAS 4387 03:24:12,737 --> 03:24:15,873 INTRODUCED A FRAMEWORK 4388 03:24:15,873 --> 03:24:16,607 SPECIFIC 4389 03:24:16,607 --> 03:24:18,042 SPECIFICALLY FOCUSSED ON 4390 03:24:18,042 --> 03:24:22,747 ACCELERATING SMOKING CESSATION 4391 03:24:22,747 --> 03:24:25,650 FOR AMERICANS AND POPULATIONS 4392 03:24:25,650 --> 03:24:27,718 IMPACTED HEAVILY BY SMOKING. 4393 03:24:27,718 --> 03:24:30,454 AND THERE'S A COUPLE DIFFERENT 4394 03:24:30,454 --> 03:24:33,391 TYPE OF PREVENTION INITIATIVES 4395 03:24:33,391 --> 03:24:36,227 AS WELL. 4396 03:24:36,227 --> 03:24:39,697 FOR EXAMPLE THE USDA HAS 4397 03:24:39,697 --> 03:24:41,599 ACCELERATED RESEARCH ON 4398 03:24:41,599 --> 03:24:45,469 NUTRITION AND CHRONIC DISEASES 4399 03:24:45,469 --> 03:24:46,938 AND HOW TO PREVENT IT VERSUS 4400 03:24:46,938 --> 03:24:48,539 TREAT IT AND THAT LIFESTYLE 4401 03:24:48,539 --> 03:24:50,875 PIECE IS VERY IMPORTANT AND THE 4402 03:24:50,875 --> 03:24:52,510 NCI HAS PARTNERED WITH PUBLIC 4403 03:24:52,510 --> 03:25:02,653 AND PRIVATE ENTITIES TO LAUNCH A 4404 03:25:02,653 --> 03:25:05,323 CLINICAL TRIAL METHOD 4405 03:25:05,323 --> 03:25:06,858 COLLECTIONS TO IMPROVE 4406 03:25:06,858 --> 03:25:09,560 IDENTIFICATION OF AT RISK 4407 03:25:09,560 --> 03:25:10,695 POPULATION. 4408 03:25:10,695 --> 03:25:14,498 WE KNOW CERVICAL CANCER IS 4409 03:25:14,498 --> 03:25:18,202 PREVENTIBLE AND WE BELIEVE IS 4410 03:25:18,202 --> 03:25:19,804 IT'S IMPERATIVE WE COME TO GRIPS 4411 03:25:19,804 --> 03:25:22,874 WITH THE ABILITY TO SHARE THE 4412 03:25:22,874 --> 03:25:24,575 TOOLS AND RESOURCES WE ALREADY 4413 03:25:24,575 --> 03:25:26,777 HAVE TO PREVENT CERVICAL CANCER 4414 03:25:26,777 --> 03:25:27,445 AND THE HPV VACCINE BEING ONE OF 4415 03:25:27,445 --> 03:25:37,555 THEM. 4416 03:25:37,755 --> 03:25:39,690 SUPPORTING AND CENTERING 4417 03:25:39,690 --> 03:25:41,592 PATIENTS AND FAMILIES IS REALLY 4418 03:25:41,592 --> 03:25:45,830 AT THE CORE OF THE CANCER 4419 03:25:45,830 --> 03:25:48,032 MOONSHOT. 4420 03:25:48,032 --> 03:25:49,567 AND IT IS ALSO BECAUSE OF THE 4421 03:25:49,567 --> 03:25:53,070 LEADERSHIP WE'VE BEEN ABLE TO 4422 03:25:53,070 --> 03:25:54,005 REALLY ACCOMPLISH MUCH WHEN IT 4423 03:25:54,005 --> 03:25:56,274 COMES TO SUPPORTING PATIENTS 4424 03:25:56,274 --> 03:25:56,807 GOING FORWARD. 4425 03:25:56,807 --> 03:25:58,976 AND MOST OF THE WORK HAS BEEN 4426 03:25:58,976 --> 03:26:02,880 FOCUSSED ON PATIENT NAVIGATION. 4427 03:26:02,880 --> 03:26:04,982 RECENTLY WITHIN THE PAST FEW 4428 03:26:04,982 --> 03:26:06,217 MONTHS STARTING AT THE BEGINNING 4429 03:26:06,217 --> 03:26:08,719 OF THE YEAR, HARD TO BELIEVE 4430 03:26:08,719 --> 03:26:10,154 WE'RE IN SEPTEMBER ALREADY, THE 4431 03:26:10,154 --> 03:26:12,089 CANCER MOONSHOT WITH THE OFFICE 4432 03:26:12,089 --> 03:26:14,725 OF THE FIRST LADY HAS BEEN ABLE 4433 03:26:14,725 --> 03:26:17,161 TO SECURE MEDICARE COVERAGE FOR 4434 03:26:17,161 --> 03:26:19,363 CANCER PATIENT NAVIGATION 4435 03:26:19,363 --> 03:26:22,867 SERVICES WHICH NOW COVERS MORE 4436 03:26:22,867 --> 03:26:25,636 THAN 150 MILLION AMERICANS AND 4437 03:26:25,636 --> 03:26:27,838 PROCURED ABOUT 50 CANCER CENTERS 4438 03:26:27,838 --> 03:26:33,377 NOW PROVIDING THESE SERVICES. 4439 03:26:33,377 --> 03:26:35,379 WE KNOW WITHOUT A DOUBT PATIENT 4440 03:26:35,379 --> 03:26:36,580 NAVIGATION IMPROVES HEALTH 4441 03:26:36,580 --> 03:26:36,847 OUTCOMES. 4442 03:26:36,847 --> 03:26:38,683 THIS IS A CRITICAL PIECE OF THE 4443 03:26:38,683 --> 03:26:40,751 WORK WHEN WE THINK ABOUT THE 4444 03:26:40,751 --> 03:26:41,552 PILLAR OF SUPPORTING AND 4445 03:26:41,552 --> 03:26:43,120 CENTERING PATIENTS AND THEIR 4446 03:26:43,120 --> 03:26:43,387 FAMILIES. 4447 03:26:43,387 --> 03:26:48,392 THEN I WANTED TO HIGHLIGHT THE 4448 03:26:48,392 --> 03:26:51,529 PACT ACT PASSED MAYBE IN 2022. 4449 03:26:51,529 --> 03:26:53,898 THIS IS REALLY HISTORIC 4450 03:26:53,898 --> 03:26:55,533 LEGISLATION THAT IS PROVIDING 4451 03:26:55,533 --> 03:26:57,902 EXPANDED BENEFITS FOR VETERANS 4452 03:26:57,902 --> 03:27:02,239 THAT HAVE BEEN EXPOSED TO TOXIC 4453 03:27:02,239 --> 03:27:03,474 SUBSTANCES INCLUDING THOSE 4454 03:27:03,474 --> 03:27:07,611 FACING CANCER. 4455 03:27:07,611 --> 03:27:09,880 A VERY IMPORTANT COMMUNITY IN 4456 03:27:09,880 --> 03:27:12,683 MAKING SURE THE VETERANS RECEIVE 4457 03:27:12,683 --> 03:27:14,819 THE CARE THEY DESERVE TO RECEIVE 4458 03:27:14,819 --> 03:27:15,753 GIVEN THE SERVICE THEY HAVE 4459 03:27:15,753 --> 03:27:22,760 CONTRIBUTED TO THIS COUNTRY. 4460 03:27:22,760 --> 03:27:25,563 AND THEN OF COURSE GUIDING 4461 03:27:25,563 --> 03:27:25,863 INNOVATION. 4462 03:27:25,863 --> 03:27:32,370 SUCH AN IMPORTANT ROLE THE NCI 4463 03:27:32,370 --> 03:27:35,373 SPECIFICALLY PLAYED AND A 4464 03:27:35,373 --> 03:27:37,408 CRITICAL PARTNER OF OURS IN THE 4465 03:27:37,408 --> 03:27:38,943 CANCER MOONSHOT AND YOU HEARD 4466 03:27:38,943 --> 03:27:41,612 SOME OF THE SCHOLARS WHICH IS AN 4467 03:27:41,612 --> 03:27:43,581 AMAZING PROGRAM THAT HAS BEEN 4468 03:27:43,581 --> 03:27:47,885 HIGHLIGHTED TO CREATE THE NEXT 4469 03:27:47,885 --> 03:27:49,553 GENERATION OF INNOVATORS AS WELL 4470 03:27:49,553 --> 03:27:51,789 WITHIN THE CANCER RESEARCH WORLD 4471 03:27:51,789 --> 03:27:54,091 AND WE'VE BEEN SO THRILLED TO 4472 03:27:54,091 --> 03:27:55,593 SEE THIS PROGRAM COME TO LIFE. 4473 03:27:55,593 --> 03:27:57,995 AND THEN OF COURSE THE THIRD 4474 03:27:57,995 --> 03:28:00,965 WITHIN THE INNOVATION IS THE 4475 03:28:00,965 --> 03:28:03,768 LAUNCH OF THE NEWEST AGENCY 4476 03:28:03,768 --> 03:28:07,605 ARPA-H WHICH REALLY CAME 4477 03:28:07,605 --> 03:28:09,807 TOGETHER ON A VERY SECURED AND 4478 03:28:09,807 --> 03:28:11,776 BIPARTISAN WAY TO DELIVER THE 4479 03:28:11,776 --> 03:28:14,011 PRESIDENT'S VISION OF THE NEW 4480 03:28:14,011 --> 03:28:16,414 BIOMEDICAL RESEARCH FUNDING 4481 03:28:16,414 --> 03:28:16,647 AGENCY. 4482 03:28:16,647 --> 03:28:17,848 AND IT'S HAD AN INITIAL 4483 03:28:17,848 --> 03:28:20,785 INVESTMENT OF $4 BILLION TO 4484 03:28:20,785 --> 03:28:22,620 DRIVE BREAKTHROUGHS IB HEALTH 4485 03:28:22,620 --> 03:28:23,220 AND SPECIFICALLY FOR THAT IN 4486 03:28:23,220 --> 03:28:28,959 CANCER. 4487 03:28:28,959 --> 03:28:31,362 AND SEE PROGRAMS LAUNCHED BY 4488 03:28:31,362 --> 03:28:33,597 ARPA-H INCLUDING THOSE LOOKING 4489 03:28:33,597 --> 03:28:36,834 AT NEW mRNA VACCINES FOR CANCER 4490 03:28:36,834 --> 03:28:38,069 AND A.I. TOOLS FOR RARE CANCER 4491 03:28:38,069 --> 03:28:40,371 MUTATIONS AND RECENTLY A NEW 4492 03:28:40,371 --> 03:28:42,473 PRECISION CANCER SURGERY PROGRAM 4493 03:28:42,473 --> 03:28:45,142 THAT WAS LAUNCHED IN NEW ORLEANS 4494 03:28:45,142 --> 03:28:48,879 A COUPLE WEEKS AGO IN WHICH 4495 03:28:48,879 --> 03:28:51,982 ARPA-H HAS CURED ABOUT $150 4496 03:28:51,982 --> 03:28:56,253 MILLION GOING TOWARDS THAT. 4497 03:28:56,253 --> 03:28:59,390 OF COURSE THE WAY THE CANCER 4498 03:28:59,390 --> 03:29:00,624 MOONSHOT ENGAGES AND EXECUTE THE 4499 03:29:00,624 --> 03:29:02,560 WORK IS A CRITICAL PART OF HOW 4500 03:29:02,560 --> 03:29:03,627 WE THINK OF THE WORK. 4501 03:29:03,627 --> 03:29:09,533 WE HAVE TO ENGAGE WITH 4502 03:29:09,533 --> 03:29:13,704 COMMUNITIES FROM ALL ANGLES AND 4503 03:29:13,704 --> 03:29:15,306 CONSIDER ALL VOICES. 4504 03:29:15,306 --> 03:29:17,108 THE FIRST LADY HAS BEEN A HUGE 4505 03:29:17,108 --> 03:29:19,577 ADVOCATE IN THE WORK AND HELPED 4506 03:29:19,577 --> 03:29:21,378 STEWARD MUCH OF THE PATIENT 4507 03:29:21,378 --> 03:29:22,446 SUPPORT WORK GOING FORWARD. 4508 03:29:22,446 --> 03:29:24,515 OF COURSE WE ALSO HAVE A DIRECT 4509 03:29:24,515 --> 03:29:26,917 LINE TO THE CANCER MOONSHOT 4510 03:29:26,917 --> 03:29:30,087 WHERE ANYBODY DOESN'T MATTER WHO 4511 03:29:30,087 --> 03:29:31,856 YOU ARE WE'RE NOT A BLACK BOX. 4512 03:29:31,856 --> 03:29:34,458 YOU CAN REACH OUT AND PROVIDE 4513 03:29:34,458 --> 03:29:36,427 IDEAS FOR POLICIES OR PROJECT OR 4514 03:29:36,427 --> 03:29:37,828 COMMITMENTS GOING FORWARD. 4515 03:29:37,828 --> 03:29:39,730 WE ALSO PUT OUT MANY CALLS TO 4516 03:29:39,730 --> 03:29:42,032 ACTION AND THIS IS REALLY ONE OF 4517 03:29:42,032 --> 03:29:45,569 THE WAYS WE GALVANIZE THE PUBLIC 4518 03:29:45,569 --> 03:29:47,404 AND PRIVATE SECTOR TOGETHER 4519 03:29:47,404 --> 03:29:50,641 AROUND KEY PIECES AND IF YOU 4520 03:29:50,641 --> 03:29:52,643 VISIT OUR CANCER MOONSHOT 4521 03:29:52,643 --> 03:29:54,378 WEBSITE ON THE WHITE HOUSE 4522 03:29:54,378 --> 03:29:56,647 WEBSITE THERE'S A LIST OF 4523 03:29:56,647 --> 03:29:59,016 COMMITMENTS THAT ARE FACT SHEETS 4524 03:29:59,016 --> 03:30:02,887 THAT CONTAIN COMMITMENTS AROUND 4525 03:30:02,887 --> 03:30:03,988 A NUMBER OF DIFFERENT IMPORTANT 4526 03:30:03,988 --> 03:30:08,926 AREAS OF CANCER. 4527 03:30:08,926 --> 03:30:16,767 WE ALSO ENCOURAGE PUBLIC-PRIVATE 4528 03:30:16,767 --> 03:30:18,802 PARTNERSHIPS AND HAVE OVER 100 4529 03:30:18,802 --> 03:30:20,838 PLUS FEDERAL ACTIONS SPARK AND 4530 03:30:20,838 --> 03:30:22,406 OVER 200 NATIONAL COMMITMENTS 4531 03:30:22,406 --> 03:30:25,943 FROM BOTH THE PUBLIC AND PRIVATE 4532 03:30:25,943 --> 03:30:26,710 SECTORS. 4533 03:30:26,710 --> 03:30:32,082 SO REALLY ENCAPSULATING THE IDEA 4534 03:30:32,082 --> 03:30:34,652 OF IT CAN ONLY WORK IF WE'RE ALL 4535 03:30:34,652 --> 03:30:39,990 IN THIS TOGETHER. 4536 03:30:39,990 --> 03:30:42,927 I WANTED TO MENTION IS THAT A 4537 03:30:42,927 --> 03:30:45,129 BIG FOCUS OF THE CANCER MOONSHOT 4538 03:30:45,129 --> 03:30:47,064 IN THE LAST YEAR OR SO HAS BEEN 4539 03:30:47,064 --> 03:30:49,967 THIS QUESTION ABOUT HOW DO WE 4540 03:30:49,967 --> 03:30:53,571 TAKE THE CANCER MOONSHOT GLOBAL. 4541 03:30:53,571 --> 03:30:55,139 NOW, WE CERTAINLY BELIEVE THOUGH 4542 03:30:55,139 --> 03:30:57,741 THE CANCER MOONSHOT HAS 4543 03:30:57,741 --> 03:31:00,110 DOMESTICALLY BEEN A NATIONALLY 4544 03:31:00,110 --> 03:31:01,579 FOCUSSED PROGRAM WE BELIEVE 4545 03:31:01,579 --> 03:31:03,647 STRONGLY THE MISSION OF THE 4546 03:31:03,647 --> 03:31:04,949 CANCER MOONSHOT DESERVES TO BE 4547 03:31:04,949 --> 03:31:07,251 BEYOND OUR OWN BORDERS. 4548 03:31:07,251 --> 03:31:09,553 SO FOR THE PAST YEAR, YEAR AND A 4549 03:31:09,553 --> 03:31:11,622 HALF WE HAVE BEEN INTENTIONAL 4550 03:31:11,622 --> 03:31:17,194 ABOUT HOW WE START TO THINK 4551 03:31:17,194 --> 03:31:23,667 ABOUT ENGAGING WITH OTHER 4552 03:31:23,667 --> 03:31:25,569 COUNTRIES IN CANCER PROBLEMS. 4553 03:31:25,569 --> 03:31:31,342 WE'RE ALL IN THIS TOGETHER. 4554 03:31:31,342 --> 03:31:32,643 THAT'S TRUE BUT WE CANNOT 4555 03:31:32,643 --> 03:31:43,187 DELIVER ON THE PRESIDENT'S GOALS 4556 03:31:53,230 --> 03:31:58,302 DOING THIS AS WELL AND WHAT 4557 03:31:58,302 --> 03:32:06,443 BETTER AUDIENCE TO ANNOUNCE THIS 4558 03:32:06,443 --> 03:32:08,145 AND WE'LL BE ANNOUNCING A 4559 03:32:08,145 --> 03:32:11,515 MOONSHOT INITIATIVE TO BRING 4560 03:32:11,515 --> 03:32:14,752 TOGETHER THE UNITED STATES, 4561 03:32:14,752 --> 03:32:20,391 JAPAN AND INDIA AND COMBAT THIS 4562 03:32:20,391 --> 03:32:21,225 IN THE INDO-PACIFIC REGION AND 4563 03:32:21,225 --> 03:32:24,895 FOCUSSING ON THE PREVENTIBLE 4564 03:32:24,895 --> 03:32:26,563 CANCER THAT WE KNOW HAVE GLOBAL 4565 03:32:26,563 --> 03:32:27,531 ELIMINATION GOALS. 4566 03:32:27,531 --> 03:32:38,075 WE CAN THINK OF NO BETTER WAY OF 4567 03:32:39,109 --> 03:32:41,111 OVERCOME THE CHANCE OF CANCER. 4568 03:32:41,111 --> 03:32:47,518 WE ALSO HOSTED FOR THE FIRST 4569 03:32:47,518 --> 03:32:50,354 TIME FOR THE DIALOGUE HOSTED IN 4570 03:32:50,354 --> 03:32:55,059 NEW DELHI FOR A NEW BILATERAL 4571 03:32:55,059 --> 03:33:01,565 RELATIONSHIP BETWEEN THE TWO 4572 03:33:01,565 --> 03:33:09,573 COUNTR 4573 03:33:09,573 --> 03:33:17,281 COUNTRIES COMMITTED TO DRIVER 4574 03:33:17,281 --> 03:33:19,249 -- DRIVE RESEARCH AND THE WHITE 4575 03:33:19,249 --> 03:33:20,517 HOUSE HOSTED A WHITE HOUSE 4576 03:33:20,517 --> 03:33:21,552 AFRICA CARE FORUM. 4577 03:33:21,552 --> 03:33:25,289 WE BROUGHT IN A NUMBER OF 4578 03:33:25,289 --> 03:33:27,991 COUNTRIES AT THE MINISTERIAL 4579 03:33:27,991 --> 03:33:28,392 LEVEL. 4580 03:33:28,392 --> 03:33:30,627 WE TALK ABOUT HOW TO INCLUDE 4581 03:33:30,627 --> 03:33:33,997 CANCER AS A NON-COMMUNICABLE 4582 03:33:33,997 --> 03:33:35,666 DISEASE ALSO NEGLECTED IN HEALTH 4583 03:33:35,666 --> 03:33:37,201 PLANS IN THESE COUNTRIES. 4584 03:33:37,201 --> 03:33:40,471 HOW CAN WE HELP SUPPORT THESE 4585 03:33:40,471 --> 03:33:41,505 COUNTRIES INCLUDE CANCER AS PART 4586 03:33:41,505 --> 03:33:43,741 OF THEIR NATIONAL PLAN AND HAVE 4587 03:33:43,741 --> 03:33:45,976 SEEN GREAT WORK COME FROM THAT. 4588 03:33:45,976 --> 03:33:49,580 WE ALSO ANNOUNCED $100 MILLION 4589 03:33:49,580 --> 03:33:52,850 IN NEW COMMITMENTS FOR AFRICA AT 4590 03:33:52,850 --> 03:33:59,323 THAT EVENT AND THAT WAS SPARK 4591 03:33:59,323 --> 03:34:03,193 AND CATALYZED IN THE NATIONAL 4592 03:34:03,193 --> 03:34:08,866 SPACE AT THE MARGINS OF THE 4593 03:34:08,866 --> 03:34:09,800 AFRICAN AMERICAN LEADERS SUMMIT 4594 03:34:09,800 --> 03:34:12,770 AND THERE WAS ANNOUNCEMENT OF 4595 03:34:12,770 --> 03:34:15,839 $300 MILLION OF NEW COMMITMENTS 4596 03:34:15,839 --> 03:34:19,076 TO REDUCE THE BURDEN ON THE 4597 03:34:19,076 --> 03:34:29,553 CONTINENT OF AFRICA AS WELL. 4598 03:34:35,392 --> 03:34:36,460 I'LL TALK THROUGH THIS ONE. 4599 03:34:36,460 --> 03:34:39,797 I DON'T HAVE A SLIDE BUT I DID 4600 03:34:39,797 --> 03:34:44,168 WANT TO MENTION THE CANCER 4601 03:34:44,168 --> 03:34:47,237 MOONSHOT HAS ALSO -- WE KNOW 4602 03:34:47,237 --> 03:34:49,807 THIS IS CHILDHOOD CANCER 4603 03:34:49,807 --> 03:34:50,874 AWARENESS MONTH AND IT'S 4604 03:34:50,874 --> 03:34:53,243 IMPORTANT TO MAKE SURE TO 4605 03:34:53,243 --> 03:34:55,412 CONTINUALLY FOCUS ON CHILDHOOD 4606 03:34:55,412 --> 03:34:57,948 CANCER AND TYPICALLY IN THE PAST 4607 03:34:57,948 --> 03:35:00,684 WE HAVE HELD FORUMS TO BRING 4608 03:35:00,684 --> 03:35:02,686 COMMUNITIES TOGETHER. 4609 03:35:02,686 --> 03:35:08,192 THIS YEAR WE TOOK A DIFFERENT 4610 03:35:08,192 --> 03:35:10,427 APPROACH AND HAVE HOSTED 4611 03:35:10,427 --> 03:35:11,995 FOCUSSED ROUNDTABLES ON PRESSING 4612 03:35:11,995 --> 03:35:14,698 ISSUES SO WE CAN REALLY DRIVE 4613 03:35:14,698 --> 03:35:16,600 MISSIONS FORWARD TOGETHER IN A 4614 03:35:16,600 --> 03:35:17,301 SLIGHTLY DIFFERENT WAY. 4615 03:35:17,301 --> 03:35:20,103 I JUST WANTED TO HIGHLIGHT TWO 4616 03:35:20,103 --> 03:35:21,738 THINGS WE HAVE DONE FOR 4617 03:35:21,738 --> 03:35:23,273 CHILDHOOD CANCER AWARENESS 4618 03:35:23,273 --> 03:35:23,474 MONTH. 4619 03:35:23,474 --> 03:35:25,576 THE FIRST IS THE CANCER MOONSHOT 4620 03:35:25,576 --> 03:35:28,745 AND OSTP CONVENED LEADERS FROM 4621 03:35:28,745 --> 03:35:32,483 ACROSS THE GENERIC ONCOLOGY DRUG 4622 03:35:32,483 --> 03:35:33,550 SUPPLY CHAIN AND PATIENT 4623 03:35:33,550 --> 03:35:34,384 ADVOCATES AND HEALTH CARE 4624 03:35:34,384 --> 03:35:35,452 PROVIDERS TO HEAR DIRECTLY FROM 4625 03:35:35,452 --> 03:35:40,290 THOSE WORKING ON THE GROUND TO 4626 03:35:40,290 --> 03:35:42,826 RESOLVE SUPPLY CHAIN DISRUPTIONS 4627 03:35:42,826 --> 03:35:44,194 BECAUSE OF THE DRUG SHORTAGE 4628 03:35:44,194 --> 03:35:46,296 MANY CANCER PATIENTS ARE FACING 4629 03:35:46,296 --> 03:35:48,432 TO BE ABLE TO GET THE MEDICINES 4630 03:35:48,432 --> 03:35:54,505 TO THIS -- THESE PATIENTS AND 4631 03:35:54,505 --> 03:35:56,306 SOLUTIONS AROUND THAT AND 4632 03:35:56,306 --> 03:35:57,941 FOCUSSED ON PEDIATRIC CANCER. 4633 03:35:57,941 --> 03:36:01,178 AND THEN JUST TO FLAG TOMORROW 4634 03:36:01,178 --> 03:36:03,981 CANCER MOONSHOT IS HOSTING A 4635 03:36:03,981 --> 03:36:04,948 ROUNDTABLE ON STATE ADVOCACY FOR 4636 03:36:04,948 --> 03:36:08,919 CHILDHOOD CANCERS. 4637 03:36:08,919 --> 03:36:10,654 WE KNOW INCORPORATING PEDIATRIC 4638 03:36:10,654 --> 03:36:11,955 CANCER TO MEDICAID POLICIES AND 4639 03:36:11,955 --> 03:36:13,590 OTHER LEGISLATION IS REALLY 4640 03:36:13,590 --> 03:36:16,994 VITAL AND A MECHANISM THAT WE 4641 03:36:16,994 --> 03:36:19,730 CAN PUSH FORWARD TO SUPPORT 4642 03:36:19,730 --> 03:36:21,532 THOSE CHILDREN WHO ARE DIAGNOSED 4643 03:36:21,532 --> 03:36:23,534 WITH CANCER. 4644 03:36:23,534 --> 03:36:25,836 AND SO AT THIS ROUNDTABLE WE'LL 4645 03:36:25,836 --> 03:36:28,005 HAVE EXPERTS SUPPORT HOW 4646 03:36:28,005 --> 03:36:30,474 STATE-LEVEL ADVOCACY CAN ENSURE 4647 03:36:30,474 --> 03:36:31,542 STATE LED PROGRAMS WILL SUPPORT 4648 03:36:31,542 --> 03:36:33,911 CHILDREN AND FAMILIES IMPACTED 4649 03:36:33,911 --> 03:36:34,878 BY CANCER. 4650 03:36:34,878 --> 03:36:37,581 SO WE'RE GOING TO COVER THE 4651 03:36:37,581 --> 03:36:38,782 GAMUT ON POLICY RECOMMENDATIONS 4652 03:36:38,782 --> 03:36:41,552 AND FUNDING MECHANISMS AND THE 4653 03:36:41,552 --> 03:36:43,020 ROLES OF ADVOCACY IN SHAPING 4654 03:36:43,020 --> 03:36:44,621 LEGISLATION THAT SUPPORTS 4655 03:36:44,621 --> 03:36:48,358 COMPREHENSIVE CARE AND EQUITABLE 4656 03:36:48,358 --> 03:36:49,326 ACCESS FOR TREATMENT FOR 4657 03:36:49,326 --> 03:36:49,927 PEDIATRIC CANCER PATIENTS AND 4658 03:36:49,927 --> 03:36:51,361 THEIR FAMILIES. 4659 03:36:51,361 --> 03:36:54,998 AND I THINK MY LAST SLIDE WHICH 4660 03:36:54,998 --> 03:36:58,802 ARE PARTING WORDS AND THEN I'LL 4661 03:36:58,802 --> 03:37:02,806 LEAVE THE LAST FEW MINUTES FOR 4662 03:37:02,806 --> 03:37:03,073 QUESTIONS. 4663 03:37:03,073 --> 03:37:05,776 60 YEARS AGO WHEN PRESIDENT 4664 03:37:05,776 --> 03:37:07,778 KENNEDY SAID THAT AMERICA CHOSE 4665 03:37:07,778 --> 03:37:14,718 TO TWO TO THE MOON NOT BECAUSE 4666 03:37:14,718 --> 03:37:17,187 IT WAS EASY BUT BECAUSE IT WAS 4667 03:37:17,187 --> 03:37:19,957 HARD AND THE CHALLENGE IS ONE WE 4668 03:37:19,957 --> 03:37:21,692 WERE UNWILLING TO POSTPONE AND 4669 03:37:21,692 --> 03:37:25,062 PRESIDENT BIDEN MADE IT CLEAR 4670 03:37:25,062 --> 03:37:26,997 THIS IS THE NEXT MOONSHOT ENDING 4671 03:37:26,997 --> 03:37:29,967 CANCER AS WE KNOW IT AND TO THE 4672 03:37:29,967 --> 03:37:31,835 POINT EARLIER THAT IT IS 4673 03:37:31,835 --> 03:37:33,770 SOMETHING THAT WE CAN DO 4674 03:37:33,770 --> 03:37:43,947 TOGETHER. 4675 03:37:52,456 --> 03:37:53,957 AND WE'LL LOOK AT CONVENING THAT 4676 03:37:53,957 --> 03:37:56,627 WAS HAD AND ANY FORUMS THAT HAVE 4677 03:37:56,627 --> 03:37:58,562 BEEN RECORDED, THEY'RE ALL 4678 03:37:58,562 --> 03:38:04,001 AVAILABLE ON OUR CANCER MOONSHOT 4679 03:38:04,001 --> 03:38:11,408 WEBSITE A TON OF UPDATES ON 4680 03:38:11,408 --> 03:38:14,811 ACHIEVEMENTS WE'VE MADE IN THE 4681 03:38:14,811 --> 03:38:15,712 PAST YEAR OR SO. 4682 03:38:15,712 --> 03:38:17,047 E-MAIL ME IF YOU HAVE QUESTIONS 4683 03:38:17,047 --> 03:38:19,950 OR IDEAS OR PLEASE DO VISIT OUR 4684 03:38:19,950 --> 03:38:21,551 WEBSITE AS WELL IN CASE YOU'D 4685 03:38:21,551 --> 03:38:23,720 LIKE ANYMORE INFORMATION AND 4686 03:38:23,720 --> 03:38:26,023 WITH THAT I WILL COME TO AN END 4687 03:38:26,023 --> 03:38:36,433 AND TURN IT OVER TO YOU. 4688 03:38:43,674 --> 03:38:44,374 >> THANK YOU TO THE PRESIDENT 4689 03:38:44,374 --> 03:38:46,009 AND FIRST LADY FOR THEIR 4690 03:38:46,009 --> 03:38:47,010 CONTINUED ONGOING SUPPORT OF 4691 03:38:47,010 --> 03:38:53,517 CANCER RESEARCH AND PATIENTS AND 4692 03:38:53,517 --> 03:38:54,151 FAMILIES DEALING WITH CANCER. 4693 03:38:54,151 --> 03:38:55,952 THE COMMITMENT OF THE AGENCIES 4694 03:38:55,952 --> 03:38:58,689 AND RESOURCES TO THIS ENDEAVOR 4695 03:38:58,689 --> 03:39:01,892 IS SO HEARTWARMING TO KNOW IT'S 4696 03:39:01,892 --> 03:39:03,960 IMPORTANT TO THE PRESIDENT AND 4697 03:39:03,960 --> 03:39:07,464 HEARING SOME OF THE THINGS GOING 4698 03:39:07,464 --> 03:39:11,201 ON WE THINK CANCER RESEARCH -- I 4699 03:39:11,201 --> 03:39:13,537 PERSONALLY SPEAK FOR MYSELF, I 4700 03:39:13,537 --> 03:39:14,705 THINK CANCER RESEARCH SHOULD 4701 03:39:14,705 --> 03:39:18,809 HAVE NO BOUNDARIES AND THE 4702 03:39:18,809 --> 03:39:20,077 WORLDWIDE EFFORTS ARE 4703 03:39:20,077 --> 03:39:21,545 ENCOURAGING IN THINKING ABOUT 4704 03:39:21,545 --> 03:39:22,779 THE INNOVATION AND HEARING FROM 4705 03:39:22,779 --> 03:39:25,115 THE MOONSHOT SCHOLARS WAS A 4706 03:39:25,115 --> 03:39:26,783 TREAT AND SO INSPIRING. 4707 03:39:26,783 --> 03:39:28,885 AND I CAN'T WAIT TO HEAR MORE 4708 03:39:28,885 --> 03:39:33,256 ABOUT ARPA-H WHEN SOME OF THAT 4709 03:39:33,256 --> 03:39:36,359 WORK DOES MATURE. 4710 03:39:36,359 --> 03:39:38,428 I'LL SEE DOES ANYONE HAVE 4711 03:39:38,428 --> 03:39:39,596 QUESTIONS FOR DR. YOUNG? 4712 03:39:39,596 --> 03:39:41,031 >> THANK YOU FOR THE UPDATE. 4713 03:39:41,031 --> 03:39:42,666 REALLY EXCITING WORK. 4714 03:39:42,666 --> 03:39:45,702 I GUESS I HAD A QUESTION LOOKING 4715 03:39:45,702 --> 03:39:47,237 TO THE FUTURE I COMMEND 4716 03:39:47,237 --> 03:39:49,906 PRESIDENT BIDEN FOR THE WORK 4717 03:39:49,906 --> 03:39:51,441 THAT HE'S DONE IN CHAMPIONING 4718 03:39:51,441 --> 03:39:51,675 THIS. 4719 03:39:51,675 --> 03:39:55,011 AS WE LOOK AHEAD TO AN ELECTION 4720 03:39:55,011 --> 03:39:56,813 SEASON AND RECOGNIZING THE WHITE 4721 03:39:56,813 --> 03:40:00,951 HOUSE WILL LOOK DIFFERENT IN 4722 03:40:00,951 --> 03:40:02,152 SOME REGARD NEXT YEAR IN THE 4723 03:40:02,152 --> 03:40:03,220 SUCCESSION PLAN AND MOVING 4724 03:40:03,220 --> 03:40:06,690 FORWARD TO ACHIEVE THE GOAL BY 4725 03:40:06,690 --> 03:40:09,526 2047 OF THE 50% DECREASE 4726 03:40:09,526 --> 03:40:11,895 RECOGNIZING IT'S ONE OF THE 4727 03:40:11,895 --> 03:40:12,796 GREAT CHAMPIONS IS THE WHITE 4728 03:40:12,796 --> 03:40:12,996 HOUSE. 4729 03:40:12,996 --> 03:40:14,197 >> THANK YOU FOR THAT QUESTION. 4730 03:40:14,197 --> 03:40:17,634 I'M SURE THIS IS A QUESTION ON 4731 03:40:17,634 --> 03:40:19,469 EVERYBODY'S MIND. 4732 03:40:19,469 --> 03:40:22,005 I THINK ONE THING TO RECOGNIZE 4733 03:40:22,005 --> 03:40:24,908 IS THAT WE HAVE REALLY ENJOYED, 4734 03:40:24,908 --> 03:40:28,979 FOR LACK OF A BETTER WORD, 4735 03:40:28,979 --> 03:40:30,113 STRONG BIPARTISAN SUPPORT AROUND 4736 03:40:30,113 --> 03:40:33,183 CANCER FOR MANY MANY YEARS AND 4737 03:40:33,183 --> 03:40:35,218 WE DON'T SEE THAT NECESSARY 4738 03:40:35,218 --> 03:40:35,485 CHANGING. 4739 03:40:35,485 --> 03:40:37,621 IN TERMS OF WHAT WE HAVE DONE AT 4740 03:40:37,621 --> 03:40:39,990 THE CANCER MOONSHOT, THE IDEA OF 4741 03:40:39,990 --> 03:40:42,125 WORKING TOGETHER WITH OUR 4742 03:40:42,125 --> 03:40:44,594 AGENCIES AS WE HAVE IS TO BE 4743 03:40:44,594 --> 03:40:45,562 ABLE TO ENSURE THAT REGARDLESS 4744 03:40:45,562 --> 03:40:48,532 OF WHETHER OR NOT THE TEAM AT 4745 03:40:48,532 --> 03:40:51,168 THE WHITE HOUSE NO LONGER 4746 03:40:51,168 --> 03:40:52,602 EXISTS, THE WORK WILL CONTINUE 4747 03:40:52,602 --> 03:40:57,574 AND SO WE HAVE REALLY OVER THE 4748 03:40:57,574 --> 03:41:01,144 PAST FEW YEARS MADE A CONCERTED 4749 03:41:01,144 --> 03:41:04,314 EFFORT TO MAKE SURE THE GOALS 4750 03:41:04,314 --> 03:41:08,852 AND FUNDING LINES ARE THREADED 4751 03:41:08,852 --> 03:41:11,154 FOR MANY YEARS FROM THIS POINT 4752 03:41:11,154 --> 03:41:13,590 ON AND WORKED CLOSELY WITH 4753 03:41:13,590 --> 03:41:15,292 AGENCIES BECAUSE NOW 4754 03:41:15,292 --> 03:41:17,160 EVERYBODY -- THE TRAIN IS MOVING 4755 03:41:17,160 --> 03:41:21,131 AND IT WILL CONTINUE TO MOVE. 4756 03:41:21,131 --> 03:41:22,999 WE'RE EXCITED TO SEE WHAT 4757 03:41:22,999 --> 03:41:26,236 HAPPENS EVEN BEYOND THE 4758 03:41:26,236 --> 03:41:26,803 BIDEN-HARRIS ADMINISTRATION 4759 03:41:26,803 --> 03:41:29,806 BECAUSE WE THOUGH THE WORK WILL 4760 03:41:29,806 --> 03:41:31,842 CONTINUE GOING FORWARD AND IT 4761 03:41:31,842 --> 03:41:33,777 MAY NOT LOOK EXACTLY THE SAME. 4762 03:41:33,777 --> 03:41:38,381 AGAIN, I WISH I HAD A CRYSTAL 4763 03:41:38,381 --> 03:41:40,250 BALL TO SHOW YOU WHAT IT MIGHT 4764 03:41:40,250 --> 03:41:41,251 LOOK LIKE BUT THE WORK WILL 4765 03:41:41,251 --> 03:41:51,795 CONTINUE GOING FORWARD AS WELL. 4766 03:41:54,164 --> 03:41:55,665 >> DOES ANYONE ELSE HAVE 4767 03:41:55,665 --> 03:41:57,367 QUESTIONS OR COMMENTS? 4768 03:41:57,367 --> 03:41:59,836 I GUESS WE CAN'T WAIT TO HEAR 4769 03:41:59,836 --> 03:42:02,472 MORE TO SEE HOW THE WORK 4770 03:42:02,472 --> 03:42:05,342 CONTINUES AND WHATEVER WAY, 4771 03:42:05,342 --> 03:42:07,644 SHAPE OR FORM. 4772 03:42:07,644 --> 03:42:10,413 BIGGEST THANKS TO PRESIDENT JEAN 4773 03:42:10,413 --> 03:42:12,916 FROM THE FIRST CANCER MOONSHOT 4774 03:42:12,916 --> 03:42:14,150 TO WHERE WE ARE NOW AND PLANTING 4775 03:42:14,150 --> 03:42:16,186 THE SEED TO BRING US TO THE 4776 03:42:16,186 --> 03:42:16,419 FUTURE. 4777 03:42:16,419 --> 03:42:16,987 THANK YOU VERY MUCH. 4778 03:42:16,987 --> 03:42:18,755 >> THANK YOU TO ALL OF YOU 4779 03:42:18,755 --> 03:42:19,623 SITTING IN THE ROOM. 4780 03:42:19,623 --> 03:42:22,425 I SEE FAMILIAR FACES AND SO HI 4781 03:42:22,425 --> 03:42:23,960 TO ALL OF YOU. 4782 03:42:23,960 --> 03:42:25,929 BUT THANK YOU FOR YOUR 4783 03:42:25,929 --> 03:42:26,596 DEDICATION TO THIS CAUSE AS WELL 4784 03:42:26,596 --> 03:42:29,499 AND LOOKING FORWARD TO SEEING 4785 03:42:29,499 --> 03:42:30,934 WHAT COMES OUT OF THIS AS WELL. 4786 03:42:30,934 --> 03:42:37,540 THANK YOU FOR YOUR TIME TODAY. 4787 03:42:37,540 --> 03:42:47,050 6: 4788 03:42:47,050 --> 03:42:47,884 >> MOVING ON. 4789 03:42:47,884 --> 03:42:48,952 WE'RE ON TIME. 4790 03:42:48,952 --> 03:42:50,153 WE HAVE A COUPLE ITEMS OF 4791 03:42:50,153 --> 03:42:52,822 BUSINESS BEFORE WE CAN CONCLUDE 4792 03:42:52,822 --> 03:42:58,361 WE NEED TO MOVE ON APPROVAL FOR 4793 03:42:58,361 --> 03:43:00,864 THE LAST MEETING THE 92nd 4794 03:43:00,864 --> 03:43:02,299 MEETING SUMMARY AND YOU HAVE A 4795 03:43:02,299 --> 03:43:03,400 COPY IN YOUR FOLDERS. 4796 03:43:03,400 --> 03:43:04,734 I'D LIKE TO CALL FOR A MOTION TO 4797 03:43:04,734 --> 03:43:12,642 APPROVE THE MEETING SUMMARY. 4798 03:43:12,642 --> 03:43:15,612 ALL IN FAVOR? 4799 03:43:15,612 --> 03:43:16,012 ANY OPPOSED? 4800 03:43:16,012 --> 03:43:19,749 HEARING NONE OPPOSED WE CARRY 4801 03:43:19,749 --> 03:43:20,350 SLY. 4802 03:43:20,350 --> 03:43:21,985 AND THE NEXT THING WE NEED TO 4803 03:43:21,985 --> 03:43:24,821 VOTE FOR IS FOR OUR 2025 MEETING 4804 03:43:24,821 --> 03:43:25,522 DATES. 4805 03:43:25,522 --> 03:43:33,530 I BELIEVE WE HAVE A SLIDE. 4806 03:43:33,530 --> 03:43:37,500 HERE ARE THE MEETING DATES THAT 4807 03:43:37,500 --> 03:43:41,738 ARE SCHEDULED FOR NEXT YEAR, 4808 03:43:41,738 --> 03:43:52,282 TUESDAY MARCH 4, 2025, WEDNESDAY 4809 03:44:00,557 --> 03:44:04,728 JUNE 18, 2025 AND TUESDAY 4810 03:44:04,728 --> 03:44:07,364 SEPTEMBER 16, 2025. 4811 03:44:07,364 --> 03:44:07,964 THANK YOU VERY MUCH. 4812 03:44:07,964 --> 03:44:09,666 SO TO APPROVE THE MEETING DATES 4813 03:44:09,666 --> 03:44:13,069 PLEASE SAY AYE. 4814 03:44:13,069 --> 03:44:17,140 ANY OPPOSED? 4815 03:44:17,140 --> 03:44:17,774 AND HEARING NONE THESE WILL BE 4816 03:44:17,774 --> 03:44:21,277 NEXT DAY YEAR'S MEETING DATES. 4817 03:44:21,277 --> 03:44:23,813 SAVE THE DATES IN YOUR CALENDARS 4818 03:44:23,813 --> 03:44:25,548 AND INSTRUCTIONS WILL COME OUT 4819 03:44:25,548 --> 03:44:28,718 AS WE GET CLOSER. 4820 03:44:28,718 --> 03:44:33,556 ANY CONFLICTS YOU HAVE PLEASE 4821 03:44:33,556 --> 03:44:38,328 LET OAR KNOW RIGHT AWAY. 4822 03:44:38,328 --> 03:44:40,397 DO WE HAVE ANYTHING ELSE, AMY, 4823 03:44:40,397 --> 03:44:42,699 WE NEED TO HANDLE? 4824 03:44:42,699 --> 03:44:43,733 >> NO. 4825 03:44:43,733 --> 03:44:45,535 >> I'LL TURN IT BACK BUT IT'S A 4826 03:44:45,535 --> 03:44:49,506 TERRIFIC DISCUSSION ON A VARIETY 4827 03:44:49,506 --> 03:44:50,707 OF TOPICS TODAY. 4828 03:44:50,707 --> 03:44:52,475 ON PAPER IT LOOKS SHORT BUT I 4829 03:44:52,475 --> 03:44:53,943 ALWAYS FEEL LIKE WE COVER SO 4830 03:44:53,943 --> 03:44:56,579 MUCH AND BY THE TIME WE FINISH 4831 03:44:56,579 --> 03:44:59,549 IT FIELD LIKE WE'VE ACCOMPLISHED 4832 03:44:59,549 --> 03:45:00,016 A LOT. 4833 03:45:00,016 --> 03:45:02,719 IT'S A PLEASURE TO HAVE YOU AS 4834 03:45:02,719 --> 03:45:05,555 PARTNERS AND TALKING ABOUT THE 4835 03:45:05,555 --> 03:45:09,059 SCIENCE AND THE WORK IN OUR 4836 03:45:09,059 --> 03:45:09,526 PORTFOLIO. 4837 03:45:09,526 --> 03:45:11,628 YOU KNOW THE STAFF SITTING 4838 03:45:11,628 --> 03:45:13,530 AROUND IN THE ROOM THERE'S WORK 4839 03:45:13,530 --> 03:45:17,100 THAT GOES INTO THESE MEETINGS 4840 03:45:17,100 --> 03:45:18,301 WITH THE EXTERNAL COMMUNICATION 4841 03:45:18,301 --> 03:45:21,538 AND ADVOCATES AND I'M GRATEFUL 4842 03:45:21,538 --> 03:45:23,440 TO THEM AS WELL. 4843 03:45:23,440 --> 03:45:25,542 >> THANK YOU ALL FOR COMING AND 4844 03:45:25,542 --> 03:45:27,277 FOR ALL YOUR QUESTIONS AND FOR 4845 03:45:27,277 --> 03:45:28,912 ALL THE DEDICATION AND THE REAL 4846 03:45:28,912 --> 03:45:30,146 THOUGHT YOU PUT INTO EVERYTHING. 4847 03:45:30,146 --> 03:45:34,250 WE REALLY, REALLY APPRECIATE IT 4848 03:45:34,250 --> 03:45:36,786 AND MY FINAL REMINDER IS IT'S 4849 03:45:36,786 --> 03:45:38,822 NOT JUST THREE TIMES A YEAR 4850 03:45:38,822 --> 03:45:45,528 OPPORTUNITY FOR INTERACTION AND 4851 03:45:45,528 --> 03:45:47,931 PLEASE REACH ME ANY TIME AND WE 4852 03:45:47,931 --> 03:45:48,798 ALL TALK REGULARLY. 4853 03:45:48,798 --> 03:45:54,571 HAPPY TO HEAR FROM YOU AT ANY 4854 03:45:54,571 --> 03:45:57,507 TIME. 4855 03:45:57,507 --> 03:46:00,810 >> I WAS GOING TO THANK 4856 03:46:00,810 --> 03:46:03,680 DR. RATHMELL FOR HANGING OUT 4857 03:46:03,680 --> 03:46:05,348 WITH US BECAUSE SHE'S SETTING A 4858 03:46:05,348 --> 03:46:07,183 PRECEDENT AND BAR FOR FUTURE 4859 03:46:07,183 --> 03:46:07,750 DIRECTORS. 4860 03:46:07,750 --> 03:46:12,689 ALSO THANKING THE TEAM AMY 4861 03:46:12,689 --> 03:46:13,556 BENSON AS WELL AS THE SUPPORT 4862 03:46:13,556 --> 03:46:15,859 STAFF WHO HANDLED THE LOGISTICS 4863 03:46:15,859 --> 03:46:16,359 AND COORDINATION. 4864 03:46:16,359 --> 03:46:18,862 IT TAKES A VILLAGE TO GET THESE 4865 03:46:18,862 --> 03:46:21,531 MEETINGS TOGETHER AND I WANT TO 4866 03:46:21,531 --> 03:46:25,368 THANK YOU ALL FOR THE GREAT 4867 03:46:25,368 --> 03:46:27,770 DIALOGUE HAD AND THE TIME WE GET 4868 03:46:27,770 --> 03:46:28,872 TO SPEND TOGETHER WE LEARN EVERY 4869 03:46:28,872 --> 03:46:30,006 TIME WE'RE TOGETHER. 4870 03:46:30,006 --> 03:46:34,777 WITH THAT OUR MEETING IS 4871 03:46:34,777 --> 03:46:35,445 CONCLUDED AND SAFE TRAVELS HOME 4872 03:46:35,445 --> 03:46:37,514 EVERYONE. 4873 03:46:37,514 --> 03:46:37,580