1 00:04:00,373 --> 00:04:01,708 MY INTEREST IS CLINICAL RESEARCH. 2 00:04:01,708 --> 00:04:07,180 I AM FROM SAN FRANCISCO 3 00:04:07,180 --> 00:04:08,215 DISABILITY RIGHTS ADVOCATE AND A 4 00:04:08,215 --> 00:04:12,152 MEMBER OF THE AFFECTED COMMUNITY 5 00:04:12,152 --> 00:04:13,553 OF PEOPLE OF BLIND AND THE 6 00:04:13,553 --> 00:04:14,754 VISION. 7 00:04:14,754 --> 00:04:17,224 GOOD MORNING I'M THE 8 00:04:17,224 --> 00:04:20,460 EXECUTIVE SECRETARY FOR THE 9 00:04:20,460 --> 00:04:23,997 NATIONAL ADVISORY I COUNSEL ALSO 10 00:04:23,997 --> 00:04:26,533 FROM NEI AND SERVING AS THE 11 00:04:26,533 --> 00:04:30,003 ACTING DIRECTOR. 12 00:04:30,003 --> 00:04:30,937 I AM DELIGHTED TO SEE YOU ALL 13 00:04:30,937 --> 00:04:34,608 HERE TODAY. 14 00:04:34,608 --> 00:04:38,845 ON THE DIRECTOR AT JOHNS 15 00:04:38,845 --> 00:04:50,023 HOPKINS AND I HAVE AN INTEREST 16 00:04:50,023 --> 00:04:54,427 IN THE IMPACT OF THE INDIVIDUAL 17 00:04:54,427 --> 00:04:55,662 AND HOW THAT CAN BE MODIFIED 18 00:04:55,662 --> 00:04:56,596 BEHAVIORALLY. 19 00:04:56,596 --> 00:05:03,403 GOOD MORNING I AM VICTOR PEREZ. 20 00:05:03,403 --> 00:05:13,613 MY INTEREST. 21 00:05:15,081 --> 00:05:17,484 >> OHIO STATE UNIVERSITY COLLEGE 22 00:05:17,484 --> 00:05:21,021 OF OPTOMETRY AND WORKING WITH 23 00:05:21,021 --> 00:05:21,922 INFANTS AND CHILDREN. 24 00:05:21,922 --> 00:05:31,998 ........ 25 00:05:36,570 --> 00:05:37,070 >> THANK YOU TO ALL OF YOU. 26 00:05:37,070 --> 00:05:40,040 I REALIZE THAT THIS GAVEL IS 27 00:05:40,040 --> 00:05:40,440 BEHIND MY LAPTOP. 28 00:05:40,440 --> 00:05:44,344 I DID NOT SEE IT TECHNICALLY WE 29 00:05:44,344 --> 00:05:45,412 ARE NOT IN SESSION UNTIL IT IS 30 00:05:45,412 --> 00:05:50,650 US. 31 00:05:50,650 --> 00:05:51,251 THANK YOU TO ALL OF YOU IT IS 32 00:05:51,251 --> 00:05:56,623 GREAT TO HAVE YOU HERE. 33 00:05:56,623 --> 00:06:00,360 LET'S DISCUSS LOGISTICS AND BEST 34 00:06:00,360 --> 00:06:01,361 PRACTICES. 35 00:06:01,361 --> 00:06:06,199 >> AGAIN I REALLY AM GLAD TO 36 00:06:06,199 --> 00:06:09,836 HAVE YOU HERE HAVING THIS TODAY 37 00:06:09,836 --> 00:06:11,104 FROM WHAT WAS ORIGINALLY 38 00:06:11,104 --> 00:06:13,640 SCHEDULED. 39 00:06:13,640 --> 00:06:15,642 WELCOME IN ADDITION TO 40 00:06:15,642 --> 00:06:16,943 COUNCILMEMBERS I WANT TO EXTEND 41 00:06:16,943 --> 00:06:20,347 A WELCOME TO THE RESEARCH AND 42 00:06:20,347 --> 00:06:24,217 ADVOCACY COMMUNITY TO AN EI 43 00:06:24,217 --> 00:06:26,519 STAFF AND OUR COLLEAGUES FROM 44 00:06:26,519 --> 00:06:31,725 THE CENTER FOR SCIENTIFIC REVIEW 45 00:06:31,725 --> 00:06:32,325 AND MEMBERS OF THE PUBLIC WHO 46 00:06:32,325 --> 00:06:32,993 ARE WATCHING ON THE VIDEOCAST 47 00:06:32,993 --> 00:06:35,996 TODAY. 48 00:06:35,996 --> 00:06:37,030 THANKS TO COUNCILMEMBERS AND 49 00:06:37,030 --> 00:06:41,167 STAFF FOR CAREFUL PREPARATIONS 50 00:06:41,167 --> 00:06:44,804 AND YOUR PATIENCE AS WE NAVIGATE 51 00:06:44,804 --> 00:06:45,505 TRAVEL AND OTHER LOGISTICS I 52 00:06:45,505 --> 00:06:50,910 KNOW THAT CAN BE CHALLENGING. 53 00:06:50,910 --> 00:06:58,685 ALSO THANK YOU TO THE DOCTORS TO 54 00:06:58,685 --> 00:06:59,686 AGREEING TO EXTEND THEIR TERMS 55 00:06:59,686 --> 00:07:04,324 FOR FEBRUARY MEETING WE ARE 56 00:07:04,324 --> 00:07:04,891 WAITING FOR THIS LATE TO BE 57 00:07:04,891 --> 00:07:05,492 APPROVED FOR THE DEPARTMENT SO 58 00:07:05,492 --> 00:07:08,428 THANK YOU SO MUCH FOR THAT. 59 00:07:08,428 --> 00:07:09,229 SO WE WILL NOT SAY GOODBYE TO 60 00:07:09,229 --> 00:07:11,364 YOU TODAY. 61 00:07:11,364 --> 00:07:12,499 WE APPRECIATE THAT. 62 00:07:12,499 --> 00:07:20,807 AND THEN THANK YOU FOR 63 00:07:20,807 --> 00:07:23,143 COORDINATING THE TECHNICAL 64 00:07:23,143 --> 00:07:25,312 TRAVEL AND ON-SITE LOGISTICS 65 00:07:25,312 --> 00:07:27,113 THEY DID AN AMAZING AMOUNT OF 66 00:07:27,113 --> 00:07:33,687 WORK AND ALSO SEAN WHO MANAGES 67 00:07:33,687 --> 00:07:38,358 THE CONFERENCE ROOM WITH DAVE 68 00:07:38,358 --> 00:07:42,896 AND HIS STAFF THIS IS HOW IT IS 69 00:07:42,896 --> 00:07:47,934 VIDEOCAST. 70 00:07:47,934 --> 00:07:52,305 I AM TECHNOLOGICALLY CHALLENGED 71 00:07:52,305 --> 00:07:53,006 SO JUST A COUPLE OF REMINDERS 72 00:07:53,006 --> 00:07:55,675 FOR THE HYBRID MEETING. 73 00:07:55,675 --> 00:07:56,676 PLEASE IDENTIFY YOURSELF AND 74 00:07:56,676 --> 00:08:00,246 FULL NAME EACH TIME YOU SPEAK AS 75 00:08:00,246 --> 00:08:03,416 THERE ARE PEOPLE IN THE AUDIENCE 76 00:08:03,416 --> 00:08:06,286 WHO ARE VISUALLY IMPAIRED IF YOU 77 00:08:06,286 --> 00:08:07,253 ARE IN ZOOM PUT YOUR FULL NAME 78 00:08:07,253 --> 00:08:10,357 IN THE BOX SO WE CAN CAPTURE ALL 79 00:08:10,357 --> 00:08:13,059 OF THE PARTICIPANTS. 80 00:08:13,059 --> 00:08:15,428 IF YOU ARE ON ZOOM PLEASE HAVE 81 00:08:15,428 --> 00:08:18,131 THE VIDEOS OFF TO MAKE SURE YOU 82 00:08:18,131 --> 00:08:20,934 ARE UN-MUTED UNLESS SPEAKING IF 83 00:08:20,934 --> 00:08:25,071 YOU HAVE QUESTIONS YOU NEED TO 84 00:08:25,071 --> 00:08:30,043 TURN ON YOUR VIDEO AND INTRODUCE 85 00:08:30,043 --> 00:08:33,079 YOURSELF DO NOT USE THE CHAT BOX 86 00:08:33,079 --> 00:08:37,016 INSTEAD OF PEOPLE VIEWING CANNOT 87 00:08:37,016 --> 00:08:41,020 SEE THE COMMENTS THESE ARE 88 00:08:41,020 --> 00:08:42,789 PUBLIC MEETINGS OF THE NEED TO 89 00:08:42,789 --> 00:08:48,461 BE AVAILABLE TO ALL PARTICIPANTS 90 00:08:48,461 --> 00:08:49,062 IF YOU ARE IN THE ROOM PLEASE 91 00:08:49,062 --> 00:08:49,696 REMEMBER TO USE YOUR MICROPHONE 92 00:08:49,696 --> 00:08:50,196 EVERY TIME YOU SPEAK TO 93 00:08:50,196 --> 00:08:56,069 INTRODUCE YOURSELF BUT LOOK AT 94 00:08:56,069 --> 00:08:59,005 THE CAMERA AS OPPOSED TO THE 95 00:08:59,005 --> 00:08:59,239 SCREEN. 96 00:08:59,239 --> 00:09:00,607 DON'T DO IT I'M DOING. 97 00:09:00,607 --> 00:09:07,213 [LAUGHTER] 98 00:09:07,213 --> 00:09:08,481 THE OPEN SESSION IS BROADCAST 99 00:09:08,481 --> 00:09:14,154 LIVE AND ARCHIVED IF YOU ARE 100 00:09:14,154 --> 00:09:15,855 HERE IN PERSON REMEMBER TO SIGN 101 00:09:15,855 --> 00:09:23,129 IN. 102 00:09:23,129 --> 00:09:31,504 I AM REQUIRED FOR SPECIAL 103 00:09:31,504 --> 00:09:32,138 GOVERNMENT EMPLOYEES YOU MAY NOT 104 00:09:32,138 --> 00:09:32,639 ENGAGE IN ANY LOBBYING 105 00:09:32,639 --> 00:09:37,343 ACTIVITIES TODAY. 106 00:09:37,343 --> 00:09:37,844 DATES FOR FUTURE COUNCIL 107 00:09:37,844 --> 00:09:39,379 MEETINGS ARE LISTED ON OPEN 108 00:09:39,379 --> 00:09:40,413 SESSION AGENDA AND ON THE 109 00:09:40,413 --> 00:09:46,352 WEBSITE. 110 00:09:46,352 --> 00:09:48,822 SO I WILL STOP AND ASK IF THERE 111 00:09:48,822 --> 00:09:59,065 ANY QUESTIONS? 112 00:10:00,633 --> 00:10:01,167 THE MINUTES FROM THE JUNE 2023 113 00:10:01,167 --> 00:10:05,538 MEETING ARE AVAILABLE WHEN 114 00:10:05,538 --> 00:10:07,974 ANYBODY LIKE TO DISCUSS THOSE 115 00:10:07,974 --> 00:10:09,375 MINUTES? 116 00:10:09,375 --> 00:10:10,710 I KNOW YOU READ THEM 117 00:10:10,710 --> 00:10:13,847 THOROUGHLY. 118 00:10:13,847 --> 00:10:19,586 IF NOT A MOTION TO APPROVE? 119 00:10:19,586 --> 00:10:23,723 A SECOND? 120 00:10:23,723 --> 00:10:24,357 ALL THOSE IN FAVOR OF APPROVING 121 00:10:24,357 --> 00:10:27,861 THE JUNE MINUTES, PLEASE RAISE 122 00:10:27,861 --> 00:10:38,071 YOUR HAND.. 123 00:10:42,475 --> 00:10:52,952 IT IS A REAL PRIVILEGE FOR ME 124 00:10:46,813 --> 00:10:50,250 TO REPRESENT ALMOST 700 PEOPLE 125 00:10:50,250 --> 00:10:51,718 THAT WORK AT THE NATIONAL 126 00:10:51,718 --> 00:10:54,020 INSTITUTE TO GIVE THIS DIRECTORS 127 00:10:54,020 --> 00:10:54,254 REPORT. 128 00:10:54,254 --> 00:11:04,531 CAN YOU HEAR ME? 129 00:11:06,399 --> 00:11:06,966 ONE OF THE FIRST THINGS I ALWAYS 130 00:11:06,966 --> 00:11:08,835 DO WHEN THEY GIVE THESE TALKS IS 131 00:11:08,835 --> 00:11:10,136 MENTIONED WHAT WE TALK ABOUT 132 00:11:10,136 --> 00:11:14,841 HERE IS JUST THE TIP OF THE 133 00:11:14,841 --> 00:11:17,777 ICEBERG WITH BETHESDA AND WITH 134 00:11:17,777 --> 00:11:21,848 THIS CREW WAS DOING. 135 00:11:21,848 --> 00:11:22,949 WE HAVE BEEN TRYING TO USE 136 00:11:22,949 --> 00:11:24,984 SOCIAL MEDIA TO JUST COMMUNICATE 137 00:11:24,984 --> 00:11:29,489 WHAT WE ARE DOING. 138 00:11:29,489 --> 00:11:33,493 AND WE CONTINUE TO BE ACTIVE ON 139 00:11:33,493 --> 00:11:36,029 TWITTER AND THE SOCIAL MEDIA 140 00:11:36,029 --> 00:11:39,232 HANDLES AND WE HAVE BEEN MORE 141 00:11:39,232 --> 00:11:42,535 AND MORE ACTIVE IN GETTING US 142 00:11:42,535 --> 00:11:45,171 MORE ON LINKEDIN. 143 00:11:45,171 --> 00:11:45,738 BUT IF YOU'RE INTERESTED IN 144 00:11:45,738 --> 00:11:48,975 WHAT'S GOING ON IN BETHES 145 00:11:48,975 --> 00:11:49,542 BETHESDA, PLEASE CONSIDER 146 00:11:49,542 --> 00:11:55,949 FOLLOWING THOSE. 147 00:11:55,949 --> 00:11:56,583 I'M EXCITED TO TELL YOU WHAT IS 148 00:11:56,583 --> 00:11:59,552 GOING ON OVER THE PAST COUNCIL 149 00:11:59,552 --> 00:12:06,326 MEETING. 150 00:12:06,326 --> 00:12:06,893 AND WITH THE LEADERSHIP AND 151 00:12:06,893 --> 00:12:15,702 STAFF UPDATES. 152 00:12:15,702 --> 00:12:18,271 WE HAVE RECRUITED A NEW CLINICAL 153 00:12:18,271 --> 00:12:20,073 DIRECTOR. 154 00:12:20,073 --> 00:12:21,908 RICHARD IS SUPERB. 155 00:12:21,908 --> 00:12:29,682 A RESEARCHER SPECIALIST BY 156 00:12:29,682 --> 00:12:30,183 BACKGROUND. 157 00:12:30,183 --> 00:12:30,817 AND IT HAS NOT BEEN EASY TO GET 158 00:12:30,817 --> 00:12:33,953 SOMEONE FROM THE UK INTO THE 159 00:12:33,953 --> 00:12:37,624 GOVERNMENT HERE. 160 00:12:37,624 --> 00:12:38,625 BUT WE HOPE BY THE END OF THE 161 00:12:38,625 --> 00:12:42,762 CALENDAR YEAR HE WILL BE HERE 162 00:12:42,762 --> 00:12:43,396 AND WE ARE REALLY EXCITED ABOUT 163 00:12:43,396 --> 00:12:46,099 WHAT HE WILL BRING AND WILL BE A 164 00:12:46,099 --> 00:12:53,373 GREAT PARTNER. 165 00:12:53,373 --> 00:12:56,876 AND THE OTHER PERSON I WANT TO 166 00:12:56,876 --> 00:13:00,747 ANNOUNCE IS JESSICA RYAN THE NEW 167 00:13:00,747 --> 00:13:04,083 DEPUTY EXECUTIVE OFFICER HERE AT 168 00:13:04,083 --> 00:13:11,624 AN EI SO I'M EXCITED ABOUT BOTH. 169 00:13:11,624 --> 00:13:14,394 A COUPLE OF OTHER PEOPLE I WANT 170 00:13:14,394 --> 00:13:24,904 YOU TO KNOW ABOUT ED CAME TO US 171 00:13:24,904 --> 00:13:28,174 FROM PRINCETON DIRECTING 172 00:13:28,174 --> 00:13:33,613 NEUROSCIENCE TRAINING PROGRAM. 173 00:13:33,613 --> 00:13:39,085 TO RUN THE TRAINING PROGRAM. 174 00:13:39,085 --> 00:13:40,186 IT WITH THOSE NUMBER OF 175 00:13:40,186 --> 00:13:46,726 TRAINEES. 176 00:13:46,726 --> 00:13:57,036 AND ANOTHER PERSON HERE ALSO IS 177 00:13:57,036 --> 00:13:57,570 A NEW PROGRAM OFFICER WITH 178 00:13:57,570 --> 00:13:58,204 COLLABORATIVE RESEARCH WORK AND 179 00:13:58,204 --> 00:14:00,540 SHE CAME TO US AFTER WORK OVER 180 00:14:00,540 --> 00:14:06,245 10 YEARS IN THE FDA. 181 00:14:06,245 --> 00:14:11,084 SO WELCOME. 182 00:14:11,084 --> 00:14:16,389 I WANT TO GIVE A SHOUT OUT TO A 183 00:14:16,389 --> 00:14:18,825 PROGRAM OFFICER WHO RECENTLY 184 00:14:18,825 --> 00:14:20,727 RETIRED MANY OF YOU HAVE KNOWN 185 00:14:20,727 --> 00:14:25,231 ELLEN. 186 00:14:25,231 --> 00:14:29,702 MANY OF YOU KNOW LINDA FROM 187 00:14:29,702 --> 00:14:31,738 GRANTS MANAGEMENT EVERYBODY 188 00:14:31,738 --> 00:14:34,607 LOVES LINDA. 189 00:14:34,607 --> 00:14:38,911 AND SHE IS BACK WITH US SO WE 190 00:14:38,911 --> 00:14:42,482 ARE VERY HAPPY ABOUT THAT. 191 00:14:42,482 --> 00:14:45,251 ALSO ON THE EXTRAMURAL SIDE WE 192 00:14:45,251 --> 00:14:50,089 HAVE THE DIVISION SCIENCE 193 00:14:50,089 --> 00:14:54,327 PROGRAMS AND ACTIVITIES SO 194 00:14:54,327 --> 00:14:58,631 BASICALLY PROGRAM OFFICERS AND 195 00:14:58,631 --> 00:14:59,665 GREAT REVIEW AND 196 00:14:59,665 --> 00:15:03,069 ADMINISTRATION. 197 00:15:03,069 --> 00:15:05,671 AND WITH THE DIRECTOR OF THE 198 00:15:05,671 --> 00:15:09,675 DSP. 199 00:15:09,675 --> 00:15:12,044 MIKE PASSED AWAY IN A HORRIBLE 200 00:15:12,044 --> 00:15:12,445 BOATING ACCIDENT. 201 00:15:12,445 --> 00:15:18,117 AND SINCE THAT TIME KATHY 202 00:15:18,117 --> 00:15:22,054 ANDERSON HAS DONE AN AMAZING JOB 203 00:15:22,054 --> 00:15:24,490 WITH LEADERSHIP OF THE DSP 204 00:15:24,490 --> 00:15:28,094 DIVISION. 205 00:15:28,094 --> 00:15:29,862 WE ARE IN THE MIDST OF 206 00:15:29,862 --> 00:15:34,867 RECRUITING FOR A DIRECTOR. 207 00:15:34,867 --> 00:15:37,503 NOTHING TO ANNOUNCE RIGHT NOW 208 00:15:37,503 --> 00:15:48,047 BUT THAT IS UNDERWAY RIGHT NOW. 209 00:15:51,250 --> 00:15:51,784 SO THANK YOU FOR ALL THE WORK 210 00:15:51,784 --> 00:16:01,594 YOU HAVE BEEN DOING. 211 00:16:01,594 --> 00:16:02,061 IN TERMS OF AWARDS AND 212 00:16:02,061 --> 00:16:04,130 RECOGNITIONS OVER THE PAST FEW 213 00:16:04,130 --> 00:16:11,504 MONTHS WITHIN THE VISION 214 00:16:11,504 --> 00:16:16,042 COMMUNITY. 215 00:16:16,042 --> 00:16:26,586 GORDON RECEIVED THE FELLOW AWARD 216 00:16:26,886 --> 00:16:27,253 THE ASSOCIATION FOR 217 00:16:27,253 --> 00:16:27,920 PSYCHOLOGICAL SCIENCE AND GORDON 218 00:16:27,920 --> 00:16:28,487 IS SOMEONE WHO IS VERY WELL 219 00:16:28,487 --> 00:16:29,956 KNOWN AT THE UNIVERSITY OF 220 00:16:29,956 --> 00:16:36,462 MINNESOTA AND HAS BEEN THE 221 00:16:36,462 --> 00:16:37,864 DIRECTOR OF MINNESOTA-BASED 222 00:16:37,864 --> 00:16:42,969 RESEARCH AND WAS 1 OF THE 223 00:16:42,969 --> 00:16:46,539 FOUNDING CHARTER MEMBERS AND A 224 00:16:46,539 --> 00:16:47,940 LOT OF AWARDS OVER A 225 00:16:47,940 --> 00:16:53,679 DISTINGUISHED CAREER. 226 00:16:53,679 --> 00:16:56,315 AND FROM THE LIGHTHOUSE GUILD 227 00:16:56,315 --> 00:16:57,583 AND THE APPRENTICE METAL AWARD 1 228 00:16:57,583 --> 00:17:01,754 OF THE MOST PRESTIGIOUS FROM THE 229 00:17:01,754 --> 00:17:06,859 ACADEMY OF OPTOMETRY AND HE HAS 230 00:17:06,859 --> 00:17:09,662 UNIQUE PERSPECTIVE AS A VISUAL 231 00:17:09,662 --> 00:17:15,935 IMPAIRMENT AND TO MY MIND WAS 1 232 00:17:15,935 --> 00:17:16,469 OF THE FORMATIVE PEOPLE TO 233 00:17:16,469 --> 00:17:17,103 DEVELOP SCIENCE OF LOW-VISION SO 234 00:17:17,103 --> 00:17:18,871 CONGRATULATIONS. 235 00:17:18,871 --> 00:17:23,576 ON HHS, 1 OF THE PEOPLE WE HAVE 236 00:17:23,576 --> 00:17:26,112 BACK HERE IS MARIANNE REDFORD 237 00:17:26,112 --> 00:17:28,648 WHO RECEIVED A CAREER 238 00:17:28,648 --> 00:17:35,187 ACHIEVEMENT AWARD. 239 00:17:35,187 --> 00:17:42,228 CONGRATULATIONS. 240 00:17:42,228 --> 00:17:42,828 WE THOUGHT SHE RETIRED BUT NOW 241 00:17:42,828 --> 00:17:43,829 SHE IS BACK. 242 00:17:43,829 --> 00:17:52,505 [LAUGHTER] 243 00:17:52,505 --> 00:17:53,139 AND HAS DONE SOME BEAUTIFUL WORK 244 00:17:53,139 --> 00:17:57,043 IN TERMS OF TEAMBUILDING AND 245 00:17:57,043 --> 00:18:00,046 MULTIDISCIPLINARY. 246 00:18:00,046 --> 00:18:05,418 AND HER CAREER HAS SPANNED 247 00:18:05,418 --> 00:18:06,285 VISION, DENTAL, HIV, WOMEN'S 248 00:18:06,285 --> 00:18:07,653 HEALTH AND FROM PERSONAL 249 00:18:07,653 --> 00:18:10,656 PERSPECTIVE THE VERY FIRST 250 00:18:10,656 --> 00:18:17,229 CLINICAL TRIAL WAS THE ET ROP 251 00:18:17,229 --> 00:18:18,297 STUDY. 252 00:18:18,297 --> 00:18:19,332 I HAVE KNOWN HER FOR A LONG 253 00:18:19,332 --> 00:18:22,268 TIME. 254 00:18:22,268 --> 00:18:26,172 CONGRATULATIONS MARIANNE. 255 00:18:26,172 --> 00:18:33,212 SO NOW CYNTHIA IS IN THE RETINAL 256 00:18:33,212 --> 00:18:33,846 CELL AND MOLECULAR BIOLOGY WITH 257 00:18:33,846 --> 00:18:36,215 A 50 YEAR SERVICE AWARD. 258 00:18:36,215 --> 00:18:41,787 CONGRATULATIONS. 259 00:18:41,787 --> 00:18:49,462 THIS IS A BIG 1. 260 00:18:49,462 --> 00:18:50,096 A FEW WEEKS AGO IT WAS ANNOUNCED 261 00:18:50,096 --> 00:18:51,597 A GROUP OF PEOPLE FROM THE 262 00:18:51,597 --> 00:18:53,666 VISION COMMUNITY WHERE THE 263 00:18:53,666 --> 00:18:55,001 RECIPIENTS. 264 00:18:55,001 --> 00:18:56,102 I WOULD SAY THIS IS A 265 00:18:56,102 --> 00:18:57,870 GENERATIONAL AWARD AND THE 266 00:18:57,870 --> 00:19:03,409 REASON FOR THAT THE 267 00:19:03,409 --> 00:19:04,010 LASKER-DEBAKEY AWARD HAS BEEN 268 00:19:04,010 --> 00:19:07,413 GIVEN 75 YEARS AND THERE ARE 5 269 00:19:07,413 --> 00:19:08,247 VISION GROUPS THAT HAVE WON 270 00:19:08,247 --> 00:19:18,491 THIS. 271 00:19:18,491 --> 00:19:21,661 AND LITERARY GENERATIONS AGO. 272 00:19:21,661 --> 00:19:25,031 1 IS FOR VITAMIN A AND ALSO FOR 273 00:19:25,031 --> 00:19:30,136 CATARACT SURGERY. 274 00:19:30,136 --> 00:19:40,680 AND THEN NOW DAVID WONG FROM MIT 275 00:19:43,716 --> 00:19:44,283 TO DEVELOP OCT WHICH I WOULD SAY 276 00:19:44,283 --> 00:19:48,454 HAS REVOLUTIONIZED THE WAY WE 277 00:19:48,454 --> 00:19:51,891 TAKE CARE OF PATIENTS. 278 00:19:51,891 --> 00:19:55,961 IN FACT THE OTHER LASKER-DEBAKEY 279 00:19:55,961 --> 00:19:58,164 AWARD CAME FROM DEEP MIND FOR 280 00:19:58,164 --> 00:20:00,633 ALL FOR FOLD. 281 00:20:00,633 --> 00:20:03,869 BASICALLY THE COMPUTER ALGORITHM 282 00:20:03,869 --> 00:20:07,306 THAT PREDICTS THE STRUCTURE OF 283 00:20:07,306 --> 00:20:07,573 SEQUENCE. 284 00:20:07,573 --> 00:20:11,043 I THOUGHT THAT WAS FASCINATING 285 00:20:11,043 --> 00:20:11,610 BECAUSE THEY HAD 1 OF THEIR 286 00:20:11,610 --> 00:20:13,946 ORIGINAL COLLABORATIONS WITH THE 287 00:20:13,946 --> 00:20:17,416 VISION GROUP FROM THE UK. 288 00:20:17,416 --> 00:20:18,417 AND THEY HAVE DONE SOME 289 00:20:18,417 --> 00:20:21,220 BEAUTIFUL WORK WITH EYE CARE 290 00:20:21,220 --> 00:20:23,556 PERK I THOUGHT IT WAS VERY 291 00:20:23,556 --> 00:20:29,028 EXCITING HAVING A STRONG TIE TO 292 00:20:29,028 --> 00:20:36,302 THE VISION COMMUNITY. 293 00:20:36,302 --> 00:20:40,806 SO A REALLY BIG YEAR. 294 00:20:40,806 --> 00:20:43,309 CONGRATULATIONS TO DAVID, JIM 295 00:20:43,309 --> 00:20:48,647 AND ERIC. 296 00:20:48,647 --> 00:20:49,715 I WANT TO GIVE A SHOUT OUT TO 297 00:20:49,715 --> 00:20:52,084 SHEILA. 298 00:20:52,084 --> 00:20:59,959 THIS IS THE LEADERSHIP SCHOLARS 299 00:20:59,959 --> 00:21:08,567 PROGRAM NIAMS AND O R W H THEY 300 00:21:08,567 --> 00:21:09,168 PUT TOGETHER A PROGRAM 1 YEAR 301 00:21:09,168 --> 00:21:12,004 AGO BASICALLY FOR LEADERSHIP AND 302 00:21:12,004 --> 00:21:12,304 MENTORSHIP. 303 00:21:12,304 --> 00:21:14,907 SHEILA RECEIVED THIS AWARD FOR 304 00:21:14,907 --> 00:21:22,848 HER WORK FOR TREATMENT OF 305 00:21:22,848 --> 00:21:27,787 JUVENILE ARTHRITIS SO 306 00:21:27,787 --> 00:21:29,455 CONGRATULATIONS AND THE OTHER 307 00:21:29,455 --> 00:21:32,291 THING RECENTLY ANNOUNCED EARLIER 308 00:21:32,291 --> 00:21:34,660 THIS WEEK WAS NATIONAL ACADEMY 309 00:21:34,660 --> 00:21:38,898 OF MEDICINE. 310 00:21:38,898 --> 00:21:39,532 THIS WAS A BIG 1 THERE ARE A FEW 311 00:21:39,532 --> 00:21:44,770 PEOPLE FROM OUR COMMUNITY 1 WAS 312 00:21:44,770 --> 00:21:47,039 JUSTIN FROM JOHNS HOPKINS BUT 313 00:21:47,039 --> 00:21:51,510 HAS DONE WORK TO SPAN MORE THAN 314 00:21:51,510 --> 00:21:56,415 VISION AND IT IS INVOLVING DRUG 315 00:21:56,415 --> 00:21:57,950 DELIVERY TECHNOLOGIES SO HIS 316 00:21:57,950 --> 00:22:04,023 OFFICIAL CITATION RED FOR 317 00:22:04,023 --> 00:22:09,962 PIONEERING DISCOVERIES AND 318 00:22:09,962 --> 00:22:13,399 INVENTIONS OF TECHNOLOGIES 319 00:22:13,399 --> 00:22:15,935 ESPECIALLY THE OCULAR CENTRAL 320 00:22:15,935 --> 00:22:19,004 NERVOUS SYSTEM AND INTERNATIONAL 321 00:22:19,004 --> 00:22:21,140 LEADERSHIP AND EDUCATION AT THE 322 00:22:21,140 --> 00:22:26,712 INTERFACE AND WITH DRUG DELIVERY 323 00:22:26,712 --> 00:22:32,651 TECHNOLOGIES. 324 00:22:32,651 --> 00:22:35,988 SO WHO IS WELL KNOWN TO THIS 325 00:22:35,988 --> 00:22:44,296 COMMUNITY AND THE CITATION RED 326 00:22:44,296 --> 00:22:44,763 FOR HER LEADERSHIP TO 327 00:22:44,763 --> 00:22:45,364 INVESTIGATING CELL TYPES AND 328 00:22:45,364 --> 00:22:46,498 CONNECTIONS IN THE MAMMALIAN 329 00:22:46,498 --> 00:22:51,103 BRAIN GENERATING LARGE-SCALE 330 00:22:51,103 --> 00:22:51,604 DATA SETS TO ACCELERATE 331 00:22:51,604 --> 00:22:52,238 NEUROSCIENCE DISCOVERY BY 332 00:22:52,238 --> 00:22:53,572 CHARACTERIZING THE MORPHOLOGY 333 00:22:53,572 --> 00:22:59,078 AND PHYSIOLOGY, HER WORK HAS LED 334 00:22:59,078 --> 00:22:59,712 TO TRANSFORMATIVE UNDERSTANDING 335 00:22:59,712 --> 00:23:05,317 OF CELL TYPE DIVERSITY. 336 00:23:05,317 --> 00:23:07,853 >> THE OTHER PERSON WANT TO 337 00:23:07,853 --> 00:23:15,327 HIGHLIGHT IS ERIC. 338 00:23:15,327 --> 00:23:16,262 AND HAS DONE SOME BEAUTIFUL WORK 339 00:23:16,262 --> 00:23:18,764 WITH GENOMICS AND GETTING THAT 340 00:23:18,764 --> 00:23:22,901 OUT FOR CLINICAL CARE AND ALSO 341 00:23:22,901 --> 00:23:23,669 HAS BEEN INTERESTED IN DIVERSITY 342 00:23:23,669 --> 00:23:26,505 OF GENOMICS. 343 00:23:26,505 --> 00:23:28,641 BOTH IN TERMS OF SCIENCE AND 344 00:23:28,641 --> 00:23:30,209 WORKFORCE. 345 00:23:30,209 --> 00:23:32,177 CONGRATULATIONS. 346 00:23:32,177 --> 00:23:35,514 FROM A PERSONAL STANDPOINT, WHEN 347 00:23:35,514 --> 00:23:38,617 I WAS OFFERED THIS POSITION I 348 00:23:38,617 --> 00:23:41,220 HAD A 15 -YEAR-OLD WHO DID NOT 349 00:23:41,220 --> 00:23:45,024 LOVE THE IDEA OF MOVING 350 00:23:45,024 --> 00:23:45,624 CROSS-COUNTRY BUT ERIC CALLED 351 00:23:45,624 --> 00:23:46,258 AND OFFERED A ZOOM CALL WITH HIS 352 00:23:46,258 --> 00:23:47,993 KIDS AND MY KIDS. 353 00:23:47,993 --> 00:23:52,531 THAT WAS A TURNING POINT. 354 00:23:52,531 --> 00:23:53,532 THEY SEEMED LIKE SUCH A NICE 355 00:23:53,532 --> 00:23:58,837 FAMILY. 356 00:23:58,837 --> 00:23:59,438 I THOUGHT THERE IS THE SCIENCE 357 00:23:59,438 --> 00:24:01,106 AND THE STORIES BEHIND THAT. 358 00:24:01,106 --> 00:24:07,913 WE ALWAYS APPRECIATE THAT. 359 00:24:07,913 --> 00:24:10,783 SO BACK WHEN WE HAD 360 00:24:10,783 --> 00:24:11,350 KINDERGARTNERS THERE ALL OF 361 00:24:11,350 --> 00:24:14,053 THESE EXERCISES AND GIVE YOU A 362 00:24:14,053 --> 00:24:16,889 LIST OF NAMES AND CIRCLE THE 1 363 00:24:16,889 --> 00:24:17,356 THAT DOES NOT BELONG. 364 00:24:17,356 --> 00:24:21,260 THAT IS ME. 365 00:24:21,260 --> 00:24:26,498 IT HAS BEEN A BIG YEAR FOR THE 366 00:24:26,498 --> 00:24:27,099 VISION IT -- -- COMMUNITY FOR 367 00:24:27,099 --> 00:24:34,106 NATIONAL ACADEMIES. 368 00:24:34,106 --> 00:24:34,606 OVER HERE I JUST WANT TO 369 00:24:34,606 --> 00:24:37,843 HIGHLIGHT A FEW EXAMPLES OF 370 00:24:37,843 --> 00:24:38,444 SCIENCE THAT HAVE HAPPENED THE 371 00:24:38,444 --> 00:24:45,184 PAST FEW MONTHS 1 THAT HAS COME 372 00:24:45,184 --> 00:24:47,619 OUT OF THE INTRAMURAL PROGRAM 373 00:24:47,619 --> 00:24:53,625 AND THE LEAD INVESTIGATORS FROM 374 00:24:53,625 --> 00:24:56,061 THE RETINAL NEUROPHYSIOLOGY 375 00:24:56,061 --> 00:24:58,230 SECTION. 376 00:24:58,230 --> 00:25:03,035 THIS WAS A NEAT PIECE OF WORK SO 377 00:25:03,035 --> 00:25:09,007 THE TOPIC IS MICROGLIA THEY ARE 378 00:25:09,007 --> 00:25:13,379 IMMUNE CELLS IN THE CMS THEY ARE 379 00:25:13,379 --> 00:25:13,946 IN THE RETINA AND THOUGHT TO 380 00:25:13,946 --> 00:25:18,784 PLAY A CRITICAL ROLE AND 381 00:25:18,784 --> 00:25:21,820 OBVIOUSLY THEY HAVE BEEN 382 00:25:21,820 --> 00:25:25,057 IMPLICATED IN ALZHEIMER'S WITH 383 00:25:25,057 --> 00:25:30,963 THE NEURODEGENERATION AGENT SO 384 00:25:30,963 --> 00:25:31,530 WITH RETINAL MICROGLIA OVER 385 00:25:31,530 --> 00:25:32,664 ACTION HAS SHOWN TO BE 386 00:25:32,664 --> 00:25:34,833 BENEFICIAL TO TREAT RETINAL 387 00:25:34,833 --> 00:25:36,969 DISEASES. 388 00:25:36,969 --> 00:25:38,537 WHAT THE GROUP DID IS 389 00:25:38,537 --> 00:25:41,240 TRANSPLANTED HUMAN MICROGLIA 390 00:25:41,240 --> 00:25:43,275 WILL SALES AND 2 MOUSE RETINA. 391 00:25:43,275 --> 00:25:49,448 A VERY UNIQUE SET OF WORK IS 392 00:25:49,448 --> 00:25:51,784 THEIR POTENTIAL FOR MICROGLIA OH 393 00:25:51,784 --> 00:25:55,053 CELL REPLACEMENT? 394 00:25:55,053 --> 00:25:58,757 SO THEY DEVELOPED A PROTOCOL TO 395 00:25:58,757 --> 00:26:01,794 GENERATE HUMAN -INDUCED STEM 396 00:26:01,794 --> 00:26:04,963 CELL DERIVED. 397 00:26:04,963 --> 00:26:07,332 AND THEN DEMONSTRATED THEY COULD 398 00:26:07,332 --> 00:26:11,937 FUNCTION AND TRANSPLANTED THEM 399 00:26:11,937 --> 00:26:17,443 FROM ADULT MICE AND THEY WERE 400 00:26:17,443 --> 00:26:23,449 DEPRIVED FROM ENDOGENOUS 401 00:26:23,449 --> 00:26:24,016 MICROGLIA AND SHOW THAT THE 402 00:26:24,016 --> 00:26:27,086 CELLS CAN INTEGRATE SUCCESSFULLY 403 00:26:27,086 --> 00:26:27,553 INTO THE MOUSE RETINA. 404 00:26:27,553 --> 00:26:30,489 THE SIGNIFICANCE IS FOLLOWING 405 00:26:30,489 --> 00:26:35,427 THE INJURY THE TRANSPLANTED 406 00:26:35,427 --> 00:26:35,994 HUMAN MICROGLIA COULD 407 00:26:35,994 --> 00:26:43,769 DEMONSTRATE RESPONSES TYPICAL OF 408 00:26:43,769 --> 00:26:44,369 ENDOGENOUS MICROGLIA SO MAYBE 409 00:26:44,369 --> 00:26:44,970 THAT'S A MODEL FOR REPLACEMENT 410 00:26:44,970 --> 00:26:47,573 THERAPY. 411 00:26:47,573 --> 00:26:52,945 SO CONGRATULATIONS TO DO THIS 412 00:26:52,945 --> 00:26:58,851 WORK AND BOB FERRIS WAS ALSO 413 00:26:58,851 --> 00:27:04,890 INVOLVED IN THIS WORK. 414 00:27:04,890 --> 00:27:07,459 ANOTHER PIECE OF WORK I WANT TO 415 00:27:07,459 --> 00:27:14,233 HIGHLIGHT IS WORK THAT WAS DONE 416 00:27:14,233 --> 00:27:20,739 IN THE BOSTON MEDICAL SYSTEM. 417 00:27:20,739 --> 00:27:27,212 THE LEAD CLINICIAN SCIENTIST ON 418 00:27:27,212 --> 00:27:29,715 THIS BUT THE BACKGROUND IS THAT 419 00:27:29,715 --> 00:27:34,720 CORNEAL INJURIES LIKE CHEMICAL 420 00:27:34,720 --> 00:27:39,525 BURNS, CONTACT LENS INJURIES, IT 421 00:27:39,525 --> 00:27:42,094 IS OFTEN TOUGH TO DO OR 422 00:27:42,094 --> 00:27:46,865 IMPOSSIBLE TO DO BECAUSE OF STEM 423 00:27:46,865 --> 00:27:50,736 CELL DEFICIENCY. 424 00:27:50,736 --> 00:27:51,336 1 APPROACH THAT HAS BEEN TRIED 425 00:27:51,336 --> 00:27:56,508 IS TO TAKE STEM CELLS FROM THE 426 00:27:56,508 --> 00:27:57,142 OTHER I CAN TRANSPLANT THEM OVER 427 00:27:57,142 --> 00:27:58,377 INTO THE AFFECTED EYE. 428 00:27:58,377 --> 00:28:00,045 BUT YOU NEED A LOT OF STEM 429 00:28:00,045 --> 00:28:01,113 CELLS. 430 00:28:01,113 --> 00:28:03,882 SO WHAT THIS GROUP DID IS 431 00:28:03,882 --> 00:28:13,992 DEVELOPED A TECHNIQUE CALEC THEY 432 00:28:13,992 --> 00:28:14,560 REMOVE THE STEM CELLS ALMOST 433 00:28:14,560 --> 00:28:18,864 LIKE A BIOPSY AND EXPAND THEM 434 00:28:18,864 --> 00:28:20,365 AND GROW THEM ON THE MEMBRANE 435 00:28:20,365 --> 00:28:21,500 GRAFT AND HAVE DEVELOPED 436 00:28:21,500 --> 00:28:25,971 TECHNIQUES TO DO THAT ON A LARGE 437 00:28:25,971 --> 00:28:26,605 ENOUGH SCALE TO THEN TRANSPLANT 438 00:28:26,605 --> 00:28:30,309 TO THE AFFECTED EYE. 439 00:28:30,309 --> 00:28:30,943 AND WHAT THEY HAVE SHOWN IN THE 440 00:28:30,943 --> 00:28:34,913 PHASE I STUDY IS CALEC WAS SAFE 441 00:28:34,913 --> 00:28:40,385 AND WELL TOLERATED SO IT TURNS 442 00:28:40,385 --> 00:28:44,856 OUT 2 OF THE PATIENTS WERE ABLE 443 00:28:44,856 --> 00:28:46,258 TO UNDERGO SUCCESSFUL CORNEAL 444 00:28:46,258 --> 00:28:48,126 TRANSPORTATIONS AND 2 OF THEM 445 00:28:48,126 --> 00:28:51,163 GOT BETTER WITH THE 446 00:28:51,163 --> 00:28:59,137 TRANSPLANTATION. 447 00:28:59,137 --> 00:28:59,838 YOU WERE INVOLVED WITH THIS WAS 448 00:28:59,838 --> 00:29:05,911 ANYTHING ELSE YOU WOULD ADD? 449 00:29:05,911 --> 00:29:11,049 >> THERE IS A LOT TO ADD BUT IN 450 00:29:11,049 --> 00:29:14,953 GENERAL, THERE IS A WHOLE NEW 451 00:29:14,953 --> 00:29:18,523 WAVE OF DERIVING CELLS FOR CELL 452 00:29:18,523 --> 00:29:20,959 -BASED THERAPY WHETHER IN 453 00:29:20,959 --> 00:29:24,496 FREE-FORM OR HYDROGEL OR 454 00:29:24,496 --> 00:29:29,635 SCAFFOLDS WITHIN DIFFERENT 455 00:29:29,635 --> 00:29:30,135 COMPARTMENTS OF THE EYE. 456 00:29:30,135 --> 00:29:32,771 IT IS A NEW TECHNOLOGY FOR 457 00:29:32,771 --> 00:29:35,307 EXPANSION OF CELLS FROM THE 458 00:29:35,307 --> 00:29:38,377 HEALTHIER I TO THE LESS 459 00:29:38,377 --> 00:29:38,677 HEALTHIER I. 460 00:29:38,677 --> 00:29:44,449 AND THE NEXT STAGE DO EXPANDING 461 00:29:44,449 --> 00:29:48,787 IN VITRO FOR COMPLICATIONS SO 462 00:29:48,787 --> 00:29:51,690 THIS IS VERY EXCITING THERE WAS 463 00:29:51,690 --> 00:29:52,624 MORE ON THIS TECHNOLOGY THAT WE 464 00:29:52,624 --> 00:29:59,097 BEGAN THIS PROJECT IN 2006 AND 465 00:29:59,097 --> 00:30:01,967 THEN WITH WE COULD TAKE IT TO 466 00:30:01,967 --> 00:30:04,770 THE NEXT LEVEL. 467 00:30:04,770 --> 00:30:08,840 >> CONGRATULATIONS AND THERE WAS 468 00:30:08,840 --> 00:30:13,812 A MANUFACTURING TEAM HERE AT THE 469 00:30:13,812 --> 00:30:15,480 INSTITUTE WITH COLLABORATIVE 470 00:30:15,480 --> 00:30:16,682 WORK. 471 00:30:16,682 --> 00:30:19,651 GOT A FAIR AMOUNT OF PRESS THAT 472 00:30:19,651 --> 00:30:25,490 EYE LOVED READING ABOUT. 473 00:30:25,490 --> 00:30:28,827 SO LET ME MOVE ON. 474 00:30:28,827 --> 00:30:29,394 1 OF THE THINGS WE HAVE BEEN 475 00:30:29,394 --> 00:30:35,267 TRYING TO DO IS FOCUS ON OUR 476 00:30:35,267 --> 00:30:35,500 MISSION. 477 00:30:35,500 --> 00:30:36,068 YOU HAVE SEEN THIS A MILLION 478 00:30:36,068 --> 00:30:36,768 TIMES WITH SOME ITERATIONS IN 479 00:30:36,768 --> 00:30:40,005 THE PAST HEALTH US WITH THE 480 00:30:40,005 --> 00:30:42,441 MISSION STATEMENT SO OUR MISSION 481 00:30:42,441 --> 00:30:49,147 TO ELIMINATE VISION LOSS AND 482 00:30:49,147 --> 00:30:49,781 IMPROVE QUALITY OF LIFE THROUGH 483 00:30:49,781 --> 00:30:50,382 VISION RESEARCH AND THESE ARE 484 00:30:50,382 --> 00:30:55,120 THE FULL -- -- THE 4 BULLET 485 00:30:55,120 --> 00:30:55,353 POINTS. 486 00:30:55,353 --> 00:30:55,887 DRIVE INNOVATIVE RESEARCH. 487 00:30:55,887 --> 00:30:58,657 FOSTER COLLABORATION. 488 00:30:58,657 --> 00:31:04,296 RECRUIT, INSPIRE, AND TRAIN 489 00:31:04,296 --> 00:31:04,830 INDIVIDUALS TO EXPAND AND 490 00:31:04,830 --> 00:31:05,297 STRENGTHEN THE VISION 491 00:31:05,297 --> 00:31:05,564 WORKFORCE. 492 00:31:05,564 --> 00:31:09,568 EDUCATE HEALTHCARE PROVIDERS AND 493 00:31:09,568 --> 00:31:10,168 SCIENTISTS AND POLICYMAKERS IN 494 00:31:10,168 --> 00:31:12,204 PUBLIC ABOUT ADVANCES IN VISION 495 00:31:12,204 --> 00:31:13,538 RESEARCH. 496 00:31:13,538 --> 00:31:14,139 IN THAT SPIRIT FOR THE REST OF 497 00:31:14,139 --> 00:31:19,277 THIS TALK WILL TAKE DIFFERENT 498 00:31:19,277 --> 00:31:19,811 COMPONENTS OF THE 4 BULLET 499 00:31:19,811 --> 00:31:20,445 POINTS AND GIVE EXAMPLES OF WHAT 500 00:31:20,445 --> 00:31:29,821 IS HAPPENING OVER THE PAST FEW 501 00:31:29,821 --> 00:31:30,055 MONTHS. 502 00:31:30,055 --> 00:31:30,689 1 OF THESE IS FOSTER 503 00:31:30,689 --> 00:31:34,593 COLLABORATIONS. 504 00:31:34,593 --> 00:31:36,328 THESE EXAMPLES ARE NEUROSCIENCE 505 00:31:36,328 --> 00:31:40,799 AND REGENERATIVE MEDICINE. 506 00:31:40,799 --> 00:31:50,142 BUT A COUPLE YEARS AGO WE 507 00:31:50,142 --> 00:31:51,943 PUBLISHED A STRATEGIC PLAN. 508 00:31:51,943 --> 00:31:58,383 A FIVE-YEAR STRATEGIC PLAN. 509 00:31:58,383 --> 00:31:58,884 WE HAD GROUPS OF PEOPLE. 510 00:31:58,884 --> 00:31:59,518 MANY ARE SITTING IN THE BACK 511 00:31:59,518 --> 00:32:03,188 RIGHT NOW. 512 00:32:03,188 --> 00:32:07,959 TRULY A LARGE GROUP TO LOOK AT 513 00:32:07,959 --> 00:32:10,195 THESE TOPICS OF THE STRATEGIC 514 00:32:10,195 --> 00:32:10,962 PLAN TO FIGURE OUT WHICH WOULD 515 00:32:10,962 --> 00:32:15,066 RISE TO THE TOP TO TRY TO 516 00:32:15,066 --> 00:32:16,101 IMPLEMENT THROUGH TARGETED 517 00:32:16,101 --> 00:32:19,337 PROGRAMS. 518 00:32:19,337 --> 00:32:24,075 1 OF THE THING OUR GROUP BECAME 519 00:32:24,075 --> 00:32:27,012 INTERESTED IN WAS PLASTICITY. 520 00:32:27,012 --> 00:32:27,612 AND MARTHA HAS BECOME THE LEAD 521 00:32:27,612 --> 00:32:35,887 FOR THIS. 522 00:32:35,887 --> 00:32:36,488 WITH THE RATIONALE THERE IS A 523 00:32:36,488 --> 00:32:40,192 LOT OF SCIENCE THAT CAN BE DONE. 524 00:32:40,192 --> 00:32:40,792 AND THE SYSTEM IS A GREAT AREA 525 00:32:40,792 --> 00:32:44,229 FOR DOING THAT INNOVATIVE 526 00:32:44,229 --> 00:32:44,462 SCIENCE. 527 00:32:44,462 --> 00:32:48,366 SECOND THERE ARE DISEASES OVER 528 00:32:48,366 --> 00:32:51,803 PLASTICITY. 529 00:32:51,803 --> 00:32:55,373 TBI, LOSS OF VISION, STROKE,. 530 00:32:55,373 --> 00:32:58,276 SO WITH THAT WHAT WE HAVE 531 00:32:58,276 --> 00:33:08,753 STARTED WITH SO LEADING THIS 532 00:33:10,422 --> 00:33:11,723 THAT IS AN OPEN VIRTUAL MEETING 533 00:33:11,723 --> 00:33:12,991 JANUARY 2024 TO LOOK AT THE GAPS 534 00:33:12,991 --> 00:33:16,761 OF KNOWLEDGE. 535 00:33:16,761 --> 00:33:19,497 THIS IS A GREAT PROGRAM. 536 00:33:19,497 --> 00:33:23,935 I WAS ACTUALLY BLOWN AWAY. 537 00:33:23,935 --> 00:33:29,774 SO THERE ARE 4 TRACKS. 538 00:33:29,774 --> 00:33:31,243 1 IS QUARTER GOES CELLULAR 539 00:33:31,243 --> 00:33:39,351 MECHANISMS. 540 00:33:39,351 --> 00:33:39,985 SECOND IS LED BY CARNEGIE MELLON 541 00:33:39,985 --> 00:33:43,288 AND THEN SUB PARTICLE MECHAN 542 00:33:43,288 --> 00:33:43,588 MECHANISMS. 543 00:33:43,588 --> 00:33:54,065 AND THEN RETINAL REMODELING. 544 00:33:57,035 --> 00:33:57,435 SO THE SPEAKER LIST IS 545 00:33:57,435 --> 00:33:57,702 FABULOUS. 546 00:33:57,702 --> 00:34:04,776 SOME OF THE NAMES I REMEMBER 547 00:34:04,776 --> 00:34:14,586 SEEING ARE SURREAL GREAT 548 00:34:14,586 --> 00:34:15,086 SPEAKERS AND SCIENTISTS. 549 00:34:15,086 --> 00:34:15,687 THE QR CODE TAKES YOU TO MORE 550 00:34:15,687 --> 00:34:17,255 INFORMATION ABOUT THAT 551 00:34:17,255 --> 00:34:21,459 WORKSHOP. 552 00:34:21,459 --> 00:34:22,093 WE ARE REALLY LOOKING FORWARD TO 553 00:34:22,093 --> 00:34:26,498 WHAT THE NEXT STEPS WILL BE THAT 554 00:34:26,498 --> 00:34:26,898 COME OUT OF THIS. 555 00:34:26,898 --> 00:34:29,034 THE OTHER THING I WANT TO 556 00:34:29,034 --> 00:34:37,042 HIGHLIGHT THE BOB CARTER IS THE 557 00:34:37,042 --> 00:34:42,681 DEPUTY DIRECTOR SO THIS IS 558 00:34:42,681 --> 00:34:44,683 BASICALLY A WORKING GROUP OF 559 00:34:44,683 --> 00:34:46,985 REGENERATIVE MEDICINE. 560 00:34:46,985 --> 00:34:52,123 AND THE BACKGROUND HERE IS THIS 561 00:34:52,123 --> 00:35:01,666 PROJECT INNOVATION PROJECT 562 00:35:01,666 --> 00:35:02,701 INVOLVING FUNDING PROJECTS IN 563 00:35:02,701 --> 00:35:08,607 THIS AREA AND HAS HAD A COUPLE 564 00:35:08,607 --> 00:35:09,674 HIGH PROFILE PROJECTS IN THIS 565 00:35:09,674 --> 00:35:14,646 AREA. 566 00:35:14,646 --> 00:35:16,247 AND THE OTHER PIECE OF 567 00:35:16,247 --> 00:35:19,317 BACKGROUND ALL OF YOU HAVE KNOWN 568 00:35:19,317 --> 00:35:21,419 ABOUT IS A PUBLIC-PRIVATE 569 00:35:21,419 --> 00:35:23,888 PARTNERSHIP INVOLVING GENE 570 00:35:23,888 --> 00:35:27,759 THERAPY. 571 00:35:27,759 --> 00:35:32,931 AND THEN THAT WAS LED A LOT 572 00:35:32,931 --> 00:35:42,974 WITHOUT. 573 00:35:42,974 --> 00:35:44,542 SO GENE THERAPY HAS BEEN VERY 574 00:35:44,542 --> 00:35:47,579 SUCCESSFUL WITH CLINICAL TRIALS 575 00:35:47,579 --> 00:35:54,753 THAT WERE FUNDED IN 3 OF THOSE 576 00:35:54,753 --> 00:35:58,256 TRIALS WERE FOR EYE DISEASES. 577 00:35:58,256 --> 00:35:59,824 BUT THERE HAS BEEN SOME 578 00:35:59,824 --> 00:36:01,993 DISCUSSION ABOUT PUTTING 579 00:36:01,993 --> 00:36:04,729 TOGETHER THE EQUIVALENT PROJECT 580 00:36:04,729 --> 00:36:07,332 WITH ALL OF THE CELL -BASED 581 00:36:07,332 --> 00:36:07,966 THERAPIES AND THE RFI THAT WAS 582 00:36:07,966 --> 00:36:12,737 ON THE STREET IT CLOSED RECENTLY 583 00:36:12,737 --> 00:36:19,744 BUT THEY WERE BUT NOW THERE IS A 584 00:36:19,744 --> 00:36:25,683 WORKSHOP THE LEADS BEHIND THE 585 00:36:25,683 --> 00:36:28,153 GROUP AND IT'S COMING UP IN 586 00:36:28,153 --> 00:36:30,755 EARLY NOVEMBER DONE IN 587 00:36:30,755 --> 00:36:35,260 COLLABORATION WITH FDA AND THE 588 00:36:35,260 --> 00:36:35,860 FOUNDATION TO PUT TOGETHER THE 589 00:36:35,860 --> 00:36:40,832 PUBLIC PRIVATE PARTNERSHIPS. 590 00:36:40,832 --> 00:36:41,466 SO WE ARE REALLY EXCITED TO SEE 591 00:36:41,466 --> 00:36:46,037 WHERE THAT LEADS. 592 00:36:46,037 --> 00:36:49,074 IS THERE ANYTHING TO ADD? 593 00:36:49,074 --> 00:36:53,278 >> NOT A LOT WE CAN SAY. 594 00:36:53,278 --> 00:36:54,813 BUT THE WORKSHOP HAS 2 595 00:36:54,813 --> 00:36:59,284 COMPONENTS IN 1 IS TO SHOW THE 596 00:36:59,284 --> 00:37:00,285 SUCCESSES AND THE CHALLENGES 597 00:37:00,285 --> 00:37:04,456 INVESTIGATORS FACE TO HELP 598 00:37:04,456 --> 00:37:08,593 INFORM THE CAMP. 599 00:37:08,593 --> 00:37:17,802 AND THEN TO FOCUS ON 1 CELL TYPE 600 00:37:17,802 --> 00:37:18,303 AND THEN LOOKING AT THE 601 00:37:18,303 --> 00:37:18,970 DIFFERENT CELL TYPES AND WHAT WE 602 00:37:18,970 --> 00:37:24,142 WILL SUGGEST TO FOCUS ON. 603 00:37:24,142 --> 00:37:32,417 THERE IS A LOT MORE TO COME BUT 604 00:37:32,417 --> 00:37:33,017 IT IS PARTNERSHIP SO WE HAVE 605 00:37:33,017 --> 00:37:33,618 INDUSTRY PARTNERS AND PATIENT 606 00:37:33,618 --> 00:37:36,788 ADVOCACY GROUPS AND PEOPLE CAN 607 00:37:36,788 --> 00:37:47,065 CONTRIBUTE DOLLARS OR IN KIND. 608 00:37:47,065 --> 00:37:47,599 ON THE VISION COMMUNITY IS 609 00:37:47,599 --> 00:37:55,707 POISED TO DO WELL. 610 00:37:55,707 --> 00:38:06,117 AND THERE IS A PROGRAM. 611 00:38:09,454 --> 00:38:11,022 >> AND THEN TO INVOLVE THOSE 612 00:38:11,022 --> 00:38:16,060 DIAGNOSTICS AND WITH THE PROGRAM 613 00:38:16,060 --> 00:38:20,131 OFFICER WITH THOSE INITIATIVES. 614 00:38:20,131 --> 00:38:29,440 IT IS QUANTUM SENSING. 615 00:38:29,440 --> 00:38:30,508 BUT THERE WERE NOT THAT MANY 616 00:38:30,508 --> 00:38:33,878 INSTITUTES. 617 00:38:33,878 --> 00:38:38,683 SO IT WAS NCI AND US. 618 00:38:38,683 --> 00:38:39,784 SO THE BACKGROUND HERE IS THAT 619 00:38:39,784 --> 00:38:44,589 QUANTUM SENSORS WITH PH 620 00:38:44,589 --> 00:38:49,360 TEMPERATURE OR OPTICAL SIGNALS 621 00:38:49,360 --> 00:38:50,461 WITH MUCH LESS POWER AND SIZE 622 00:38:50,461 --> 00:38:52,630 THAN TRADITIONAL METHODS SO 623 00:38:52,630 --> 00:38:58,369 THAT'S A POTENTIAL FOR MORE 624 00:38:58,369 --> 00:38:59,437 EQUITABLE DATA COLLECTION AND 625 00:38:59,437 --> 00:39:02,740 PORTABLE DEVICES. 626 00:39:02,740 --> 00:39:04,342 THERE ARE SOME REAL WORLD 627 00:39:04,342 --> 00:39:10,582 APPLICATIONS SO WITH AN EI OUR 628 00:39:10,582 --> 00:39:14,519 FOCUS IN THIS SPACE IS NUMBER 1 629 00:39:14,519 --> 00:39:19,524 NOVEL QUANTUM IMAGING SYSTEMS TO 630 00:39:19,524 --> 00:39:21,960 IMPROVE DIAGNOSIS DETECTION OF 631 00:39:21,960 --> 00:39:23,661 DISEASES. 632 00:39:23,661 --> 00:39:27,665 AND SECOND IS QUANTUM COMPUTER 633 00:39:27,665 --> 00:39:30,935 ALGORITHMS THAT CAN IMPROVE 634 00:39:30,935 --> 00:39:31,736 DIAGNOSIS AND DETECTION OF 635 00:39:31,736 --> 00:39:36,374 DISEASE. 636 00:39:36,374 --> 00:39:38,977 THE OTHER THING I WANT TO 637 00:39:38,977 --> 00:39:40,378 HIGHLIGHT AND TONY HAS DONE A 638 00:39:40,378 --> 00:39:43,982 TON OF WORK ON IS BASICALLY 639 00:39:43,982 --> 00:39:45,717 PROGRAM TO SUPPORT TRANSITIONAL 640 00:39:45,717 --> 00:39:49,988 RESEARCH SO THE IDEA TO 641 00:39:49,988 --> 00:39:53,091 TRANSLATE LABORATORY RESEARCH 642 00:39:53,091 --> 00:39:56,761 INTO A THERAPEUTIC PROGRESS TO 643 00:39:56,761 --> 00:40:05,403 TREAT VISUAL DISORDERS SO THESE 644 00:40:05,403 --> 00:40:06,037 PRODUCTS CAN BE ON THE SPECTRUM 645 00:40:06,037 --> 00:40:10,208 OF BIOLOGICAL PRODUCTS OR 646 00:40:10,208 --> 00:40:10,775 PHARMACOLOGICAL PRODUCTS OR 647 00:40:10,775 --> 00:40:19,584 MEDICAL DEVICES OR A COMBINATION 648 00:40:19,584 --> 00:40:20,151 SO THIS IS A TWO-PART STAGE 649 00:40:20,151 --> 00:40:23,888 TOWARDS WERE THE FIRST 1 IS OUR 650 00:40:23,888 --> 00:40:31,296 61 MECHANISM. 651 00:40:31,296 --> 00:40:32,563 AND WITH 500,000-DOLLAR COST PER 652 00:40:32,563 --> 00:40:36,634 YEAR. 653 00:40:36,634 --> 00:40:37,735 MOVING INTO THE ARE 33 654 00:40:37,735 --> 00:40:44,142 MECHANISM. 655 00:40:44,142 --> 00:40:54,585 IT IS $1 MILLION PER YEAR. 656 00:40:58,523 --> 00:40:59,090 SO THAT SOMETHING WE ARE EXCITED 657 00:40:59,090 --> 00:40:59,691 ABOUT WITH TRANSITIONAL -- -- 658 00:40:59,691 --> 00:41:06,731 TRANSLATIONAL RESEARCH. 659 00:41:06,731 --> 00:41:07,298 ANOTHER AREA OF INNOVATION I 660 00:41:07,298 --> 00:41:07,865 WANT TO HIGHLIGHT IS HEALTH 661 00:41:07,865 --> 00:41:12,570 DISPARITIES RESEARCH. 662 00:41:12,570 --> 00:41:13,137 A PERSON IS LEADING A LOT OF 663 00:41:13,137 --> 00:41:18,976 THESE INITIATIVES. 664 00:41:18,976 --> 00:41:23,247 AND WITH THIS NIH WORK WITH 665 00:41:23,247 --> 00:41:24,282 HEALTH DISPARITIES CAUSED BY 666 00:41:24,282 --> 00:41:32,457 DISABILITIES. 667 00:41:32,457 --> 00:41:33,057 IT IS CALLED UNDERSTANDING AND 668 00:41:33,057 --> 00:41:40,164 MITIGATING HEALTH DISPARITIES 669 00:41:40,164 --> 00:41:40,698 EXPERIENCED BY PEOPLE WITH 670 00:41:40,698 --> 00:41:41,299 DISABILITIES CAUSED BY ABLE IS 671 00:41:41,299 --> 00:41:41,899 AM SO TO UNDERSTAND THE 672 00:41:41,899 --> 00:41:44,002 MECHANISMS ON ABLE IS AM WITH 673 00:41:44,002 --> 00:41:47,739 HEALTH OUTCOMES. 674 00:41:47,739 --> 00:41:49,240 AND THEN TO LOOK AT 675 00:41:49,240 --> 00:41:53,077 INTERVENTIONS AND THEN COMMUNITY 676 00:41:53,077 --> 00:41:56,614 LEVELS THE OTHER THING I WANT 677 00:41:56,614 --> 00:41:58,816 YOU TO MAKE SURE YOU ARE AWARE 678 00:41:58,816 --> 00:42:03,755 OF IS NIH IS A MISSION STATEMENT 679 00:42:03,755 --> 00:42:07,925 AND RIGHT NOW WE ARE DOING AT 680 00:42:07,925 --> 00:42:10,428 THE NIH LEVEL IS SEEKING PUBLIC 681 00:42:10,428 --> 00:42:12,063 COMMENT AND INITIATIVE TO REMOVE 682 00:42:12,063 --> 00:42:15,800 THE LANGUAGE TO REMOVE 683 00:42:15,800 --> 00:42:18,269 DISABILITY FROM THE MISSION 684 00:42:18,269 --> 00:42:28,813 STATEMENT SO ON THIS SLIDE THERE 685 00:42:31,315 --> 00:42:31,883 IS THE CURRENT MISSION AND BELOW 686 00:42:31,883 --> 00:42:36,921 THAT IS THE PROPOSED REVISION TO 687 00:42:36,921 --> 00:42:37,522 SEEK FUNDAMENTAL KNOWLEDGE OF 688 00:42:37,522 --> 00:42:40,625 THE NATURE OF BEHAVIOR AND THE 689 00:42:40,625 --> 00:42:41,592 APPLICATION OF THAT KNOWLEDGE TO 690 00:42:41,592 --> 00:42:44,295 ENHANCE HEALTH, LENGTHEN LIFE 691 00:42:44,295 --> 00:42:45,129 AND REDUCE ILLNESS AND 692 00:42:45,129 --> 00:42:49,834 DISABILITY. 693 00:42:49,834 --> 00:42:50,868 AND TO PROPOSE A CHANGE IN A FEW 694 00:42:50,868 --> 00:42:58,142 AREAS. 695 00:42:58,142 --> 00:42:59,277 AND THEN TO PREVENT AND REDUCE 696 00:42:59,277 --> 00:43:04,682 ILLNESS. 697 00:43:04,682 --> 00:43:09,253 SO I WANT TO PAUSE IF THERE ANY 698 00:43:09,253 --> 00:43:17,662 COMMENTS? 699 00:43:17,662 --> 00:43:18,863 >> FIRST OF ALL THANK YOU FOR 700 00:43:18,863 --> 00:43:20,965 RAISING IT AND ASKING FOR 701 00:43:20,965 --> 00:43:24,669 COMMENTS. 702 00:43:24,669 --> 00:43:25,303 SECOND YOU HAVE PUT YOUR FINGER 703 00:43:25,303 --> 00:43:30,908 ON THE POLLS THE NEXT GENERATION 704 00:43:30,908 --> 00:43:36,447 IN TERMS OF PEOPLE COMING INTO 705 00:43:36,447 --> 00:43:38,716 DISABILITIES BECAUSE WE ARE AT 706 00:43:38,716 --> 00:43:42,153 THE POINT WHERE WE UNDERSTAND 707 00:43:42,153 --> 00:43:44,322 AND RECOGNIZE THE BREADTH OF 708 00:43:44,322 --> 00:43:45,890 DIVERSITY THAT IS ENCOMPASSED 709 00:43:45,890 --> 00:43:51,062 UNDER THE TERM DISABILITY AND 710 00:43:51,062 --> 00:43:56,667 MANY THOSE DO NOT LOOK AT 711 00:43:56,667 --> 00:43:59,604 DISABILITY THE BACK OF MY CELL 712 00:43:59,604 --> 00:44:00,838 PHONE IS A PIECE OF ARTWORK 713 00:44:00,838 --> 00:44:05,076 CREATED BY A WOMAN OUT OF 714 00:44:05,076 --> 00:44:12,483 VANCOUVER IT IS A STICKER THAT 715 00:44:12,483 --> 00:44:13,050 SAYS DISABILITY IS NOT A BAD 716 00:44:13,050 --> 00:44:15,786 WORD SUGGEST TO ENGAGE IN THIS 717 00:44:15,786 --> 00:44:17,989 EXERCISE. 718 00:44:17,989 --> 00:44:19,557 THANK YOU HAVE HELPED TO ADVANCE 719 00:44:19,557 --> 00:44:22,793 THE CONCEPT THAT DISABILITY IS 720 00:44:22,793 --> 00:44:27,198 IN FACT NOT A BAD WORD AND THOSE 721 00:44:27,198 --> 00:44:31,569 THAT I IDENTIFY AS DISABLED IT 722 00:44:31,569 --> 00:44:35,239 IS NOT LESSER THAN. 723 00:44:35,239 --> 00:44:39,810 SO THANK YOU SO MUCH FOR THAT. 724 00:44:39,810 --> 00:44:41,345 >> THANK YOU FOR THAT 725 00:44:41,345 --> 00:44:45,683 PERSPECTIVE I HOPE YOU AND 726 00:44:45,683 --> 00:44:48,719 PEOPLE IN THE COMMUNITIES AND 727 00:44:48,719 --> 00:44:51,822 CONSIDER TO RESPONDING TO THIS 728 00:44:51,822 --> 00:45:01,899 RFI. 729 00:45:03,000 --> 00:45:07,939 >> LET ME MOVE ON. 730 00:45:07,939 --> 00:45:13,177 THIS NEXT SLIDE DEALS WITH 2 731 00:45:13,177 --> 00:45:23,521 PROGRAMS AND THE FIRST 1 IS T30 732 00:45:23,521 --> 00:45:24,555 2 PRE- DOCTORAL TRAINING PROGRAM 733 00:45:24,555 --> 00:45:31,162 CALLED ADVANCED AND IT AIMS TO 734 00:45:31,162 --> 00:45:33,898 TRAIN PRE- DOCTORAL STUDENTS 735 00:45:33,898 --> 00:45:35,800 FROM DIVERSE BACKGROUNDS TO 736 00:45:35,800 --> 00:45:38,336 CONDUCT HEALTH DISPARITIES IN 737 00:45:38,336 --> 00:45:39,971 HEALTH RESEARCH AND IMPLEMENT 738 00:45:39,971 --> 00:45:42,373 AND EVALUATE PREVENTATIVE 739 00:45:42,373 --> 00:45:52,883 INTERVENTIONS AND THE SECOND 740 00:45:52,883 --> 00:45:54,986 PROGRAM IS CALLED HEALTH AND 741 00:45:54,986 --> 00:45:57,021 HEALTH CARE DISPARITIES AMONG 742 00:45:57,021 --> 00:46:01,225 PEOPLE LIVING WITH DISABILITIES 743 00:46:01,225 --> 00:46:03,761 AND THE LEAD PROGRAM OFFICER ON 744 00:46:03,761 --> 00:46:08,165 THIS SO LET ME GIVE A LITTLE BIT 745 00:46:08,165 --> 00:46:11,268 OF BACKGROUND. 746 00:46:11,268 --> 00:46:19,877 RECENTLY YOU WILL RECALL A FEW 747 00:46:19,877 --> 00:46:22,079 MEN MONTHS AGO WE HELD A 748 00:46:22,079 --> 00:46:28,786 WORKSHOP WITH A GROUP OF OUR 749 00:46:28,786 --> 00:46:36,861 PROGRAM OFFICERS. 750 00:46:36,861 --> 00:46:37,428 TO RECENTLY DESIGNATE PEOPLE 751 00:46:37,428 --> 00:46:39,664 WITH DISABILITIES AS A 752 00:46:39,664 --> 00:46:41,098 POPULATION WITH HEALTH 753 00:46:41,098 --> 00:46:46,537 DISPARITIES AND WHO ARE THE 754 00:46:46,537 --> 00:46:49,640 OTHER GROUPS THEY ARE RACIAL 755 00:46:49,640 --> 00:46:54,412 MINORITIES PEOPLE WITH LOW 756 00:46:54,412 --> 00:46:58,215 SOCIOECONOMIC STATUS AND PEOPLE 757 00:46:58,215 --> 00:47:01,152 FROM RURAL PARTS OF THE COUNTRY 758 00:47:01,152 --> 00:47:10,328 AND GENDER MINORITIES. 759 00:47:10,328 --> 00:47:11,896 SO THE DECISION TO DO THIS WAS 760 00:47:11,896 --> 00:47:15,766 MADE IN CONSULTATION THE AGENCY 761 00:47:15,766 --> 00:47:17,501 FOR HEALTHCARE RESEARCH AND 762 00:47:17,501 --> 00:47:20,805 THERE WAS A REPORT TO THE 763 00:47:20,805 --> 00:47:24,909 ADVISORY COUNCIL THAT LED TO 764 00:47:24,909 --> 00:47:29,413 THIS DECISION. 765 00:47:29,413 --> 00:47:30,047 BUT THIS DESIGNATION WITH PEOPLE 766 00:47:30,047 --> 00:47:32,450 OF DISABILITIES AND POPULATION 767 00:47:32,450 --> 00:47:35,419 WITH HEALTH DISPARITIES IS 1 OF 768 00:47:35,419 --> 00:47:40,691 THE STEPS NH HAS TAKEN WITH THE 769 00:47:40,691 --> 00:47:45,262 ISSUES THAT YOU RAISED AND TO 770 00:47:45,262 --> 00:47:47,898 MAKE SURE THEY ARE REPRESENTED 771 00:47:47,898 --> 00:47:54,905 WITH NIH RESEARCH. 772 00:47:54,905 --> 00:47:55,473 SO AGAIN THAT RATIONAL IS TO 773 00:47:55,473 --> 00:47:57,475 ENCOURAGE RESEARCH THAT IS 774 00:47:57,475 --> 00:47:59,076 SPECIFIC TO HEALTH ISSUES AND 775 00:47:59,076 --> 00:48:03,047 THE UNMET NEEDS SO WITH THAT 776 00:48:03,047 --> 00:48:12,590 INTRODUCTION IT IS FOCUSED ON 777 00:48:12,590 --> 00:48:13,023 NOVEL AND INNOVATIVE 778 00:48:13,023 --> 00:48:15,760 APPLICATIONS AND INTERVENTIONS 779 00:48:15,760 --> 00:48:18,295 THAT ADDRESS THE INTERSECTING 780 00:48:18,295 --> 00:48:22,867 IMPACT OF RACE AND SOCIAL 781 00:48:22,867 --> 00:48:24,502 ECONOMIC STATUS AND HEALTH CARE 782 00:48:24,502 --> 00:48:31,142 ACCESS AND HEALTHCARE OUTCOMES. 783 00:48:31,142 --> 00:48:34,545 IF ANY OF YOU HAVE COMMENTS ARE 784 00:48:34,545 --> 00:48:37,548 THERE PROJECTS YOU ARE AWARE OF 785 00:48:37,548 --> 00:48:41,218 TO BENEFIT FROM THIS OPPORTU 786 00:48:41,218 --> 00:48:41,519 OPPORTUNITY? 787 00:48:41,519 --> 00:48:42,353 AND HOW DO WE ENCOURAGE 788 00:48:42,353 --> 00:48:43,888 POTENTIAL INVESTIGATORS WITHIN 789 00:48:43,888 --> 00:48:53,330 THE VISION COMMUNITY TO APPLY FOR A PROGRAM LIKE THIS? 790 00:48:53,330 --> 00:48:57,268 I HAVE MORE OF A QUESTION 791 00:48:57,268 --> 00:48:58,469 THEN AN ANSWER WHEN WERE THESE 792 00:48:58,469 --> 00:49:01,872 PROGRAMS ANNOUNCED? 793 00:49:01,872 --> 00:49:03,240 BECAUSE WHEN YOU HAVE SOMETHING 794 00:49:03,240 --> 00:49:08,412 THAT'S VERY NEW FROM THAT 795 00:49:08,412 --> 00:49:09,046 INVESTIGATOR INITIATED RESEARCH 796 00:49:09,046 --> 00:49:10,915 ANY TIME TO PLAN FOR IT SO IT 797 00:49:10,915 --> 00:49:13,184 MAY END UP HAPPENING IF YOU 798 00:49:13,184 --> 00:49:15,853 DON'T HAVE ENOUGH TIME TO PLAN 799 00:49:15,853 --> 00:49:20,624 WITH A NEW WAY OF THINKING THEN 800 00:49:20,624 --> 00:49:26,764 THE NH MAY FEEL COMPELLED TO 801 00:49:26,764 --> 00:49:28,466 GRANT APPLICATIONS THAT MAY NOT 802 00:49:28,466 --> 00:49:36,507 NORMALLY BE COMPETITIVE. 803 00:49:36,507 --> 00:49:37,107 >> YOU KNOW THE ANSWER TO WHEN 804 00:49:37,107 --> 00:49:43,247 THIS WAS ANNOUNCED? 805 00:49:43,247 --> 00:49:43,848 ACTUALLY IS ON MY DESKTOP I'VE 806 00:49:43,848 --> 00:49:45,950 BEEN MEANING TO POST TO 807 00:49:45,950 --> 00:49:46,817 SOMETHING TO SOCIAL MEDIA BUT I 808 00:49:46,817 --> 00:49:50,821 HAVE NOT GOTTEN AROUND TO IT Y 809 00:49:50,821 --> 00:49:50,988 YET. 810 00:49:50,988 --> 00:49:54,525 >> IT WAS RECENTLY PUBLISHED THE 811 00:49:54,525 --> 00:49:57,394 HEALTH AND HEALTH CARE 812 00:49:57,394 --> 00:50:07,838 DISPARITIES BUT IT WILL BE 813 00:50:12,309 --> 00:50:16,847 ACTIVE FOR 3 YEARS. 814 00:50:16,847 --> 00:50:17,381 THERE IS A LOT OF TIME AND 815 00:50:17,381 --> 00:50:19,450 OPPORTUNITIES TO DEVELOP 816 00:50:19,450 --> 00:50:21,218 PROJECTS TO GET THOSE 817 00:50:21,218 --> 00:50:31,762 COLLABORATIVE TEAM TOGETHER AND 818 00:50:33,330 --> 00:50:36,867 THE LAST WAS OCTOBER OF 2026 SO 819 00:50:36,867 --> 00:50:44,341 THAT HELPS WHEN YOU ARE 820 00:50:44,341 --> 00:50:53,484 PRESENTING IT IS NOT JUST THE 821 00:50:53,484 --> 00:50:57,821 DIAGNOSIS BUT THE EARLY 822 00:50:57,821 --> 00:51:03,761 DETECTION AND THAT COULD BE AN 823 00:51:03,761 --> 00:51:13,103 EARLY PREDICTOR AND THEY WANT TO 824 00:51:13,103 --> 00:51:17,741 TRY TO DO MORE IMAGING SO THE 825 00:51:17,741 --> 00:51:20,210 CIRCLE SOUL CLINIC HAS AN ACTIVE 826 00:51:20,210 --> 00:51:23,280 COMPONENT TO DEAL WITH DRUGS FOR 827 00:51:23,280 --> 00:51:29,219 PRAYING -- -- FOR PAIN. 828 00:51:29,219 --> 00:51:31,755 SO THEY CRACKDOWN ON HOW MUCH 829 00:51:31,755 --> 00:51:35,292 PAIN MEDICATION FOR PATIENTS AND 830 00:51:35,292 --> 00:51:37,795 WITH SICKLE-CELL YOU ARE THE 831 00:51:37,795 --> 00:51:42,833 EMERGENCY AND THEN 2 DAYS LATER 832 00:51:42,833 --> 00:51:49,073 YOU'RE BACK INTO ER. 833 00:51:49,073 --> 00:51:52,843 WITH ETHNICITY RACE AND I 834 00:51:52,843 --> 00:52:03,220 DISEASE COME TOGETHER. 835 00:52:06,623 --> 00:52:17,101 AND TO MAKE THAT AWARE OF THEM. 836 00:52:21,038 --> 00:52:22,072 >> AND JUST TO TAKE THAT FROM 837 00:52:22,072 --> 00:52:27,511 THE OPPOSITE TO TALK ABOUT A 838 00:52:27,511 --> 00:52:31,048 DESIGNATION. 839 00:52:31,048 --> 00:52:33,751 I HEARD IT FROM HIS LIPS IT WAS 840 00:52:33,751 --> 00:52:37,121 THE FIRST TIME I HEARD ABOUT IT 841 00:52:37,121 --> 00:52:38,655 CREATING TRAN TREMENDOUS 842 00:52:38,655 --> 00:52:44,328 EXCITEMENT WITH THE COMMUNITY 843 00:52:44,328 --> 00:52:45,529 ORGANIZATIONS WITH THE LACK OF 844 00:52:45,529 --> 00:52:50,868 AVAILABLE DATA AND QUALITY OF 845 00:52:50,868 --> 00:52:51,435 LIFE OF TREATMENT FOR PEOPLE 846 00:52:51,435 --> 00:52:57,074 WITH DISABILITIES BUT WE ENTERED 847 00:52:57,074 --> 00:52:59,610 AN AREA WITH RESPECT TO WOMEN'S 848 00:52:59,610 --> 00:53:01,845 RIGHTS NOW THERE ARE 21 STATES 849 00:53:01,845 --> 00:53:04,481 THAT THE AN ABORTION AND THAT 850 00:53:04,481 --> 00:53:14,992 IMPACTS MORE THAN 35 WOMEN IN 851 00:53:16,560 --> 00:53:24,968 REPRODUCTION IS IN AND 35 STATES 852 00:53:24,968 --> 00:53:30,774 AND NOW PRESUMED TO BE UNFIT TO 853 00:53:30,774 --> 00:53:31,642 PARENT WITH THE DISABILITIES OF 854 00:53:31,642 --> 00:53:34,078 THE POTENTIAL FOR COLLABORATION 855 00:53:34,078 --> 00:53:39,550 FOR THOSE ORGANIZATIONS THAT ARE 856 00:53:39,550 --> 00:53:40,017 SEEKING TO EXPLORE THE 857 00:53:40,017 --> 00:53:45,189 RAMIFICATIONS OF THE EXISTING 858 00:53:45,189 --> 00:53:50,394 SITUATION SEEMS TO BE TREMENDOUS 859 00:53:50,394 --> 00:53:52,329 AND THE PRESIDENT HAS SPOKEN SO 860 00:53:52,329 --> 00:54:00,904 POSITIVELY OF THE AS A DISPARITY 861 00:54:00,904 --> 00:54:06,110 THAT MEANS YOU CAPTURED THE 862 00:54:06,110 --> 00:54:14,618 NONSCIENTIFIC COMMUNITY SO HOW 863 00:54:14,618 --> 00:54:22,292 DO WE MATCH THE SCIENTIFIC? 864 00:54:22,292 --> 00:54:29,700 >> I DON'T HAVE AN ANSWER TO 865 00:54:29,700 --> 00:54:30,334 YOUR QUESTION I THINK THIS IS A 866 00:54:30,334 --> 00:54:30,634 GREAT IDEA. 867 00:54:30,634 --> 00:54:36,507 I WANT TO MAKE A COMMENT GOING 868 00:54:36,507 --> 00:54:37,774 BACK TO RACE AND ETHNICITY AND 869 00:54:37,774 --> 00:54:39,543 SOCIOECONOMIC STATUS IS THERE A 870 00:54:39,543 --> 00:54:45,482 WAY WE CAN COLLECT DATA FOR THE 871 00:54:45,482 --> 00:54:48,519 REQUIRED FORM THAT WE FILL OUT 872 00:54:48,519 --> 00:54:51,054 DOESN'T MENTION SOCIAL ECONOMIC 873 00:54:51,054 --> 00:54:57,928 STATUS OF HOW I WOULD MEASURE 874 00:54:57,928 --> 00:54:58,128 THAT. 875 00:54:58,128 --> 00:54:58,762 THESE ARE IMPORTANT THINGS WHEN 876 00:54:58,762 --> 00:55:01,832 IS IT APPROPRIATE TO GET THE 877 00:55:01,832 --> 00:55:04,067 DATA? 878 00:55:04,067 --> 00:55:05,102 IT SEEMS LIKE IT'S A BIGGER 879 00:55:05,102 --> 00:55:15,312 DISCUSSION. 880 00:55:21,919 --> 00:55:28,025 THERE IS A CALL FOR SOMETHING 881 00:55:28,025 --> 00:55:32,763 MORE CONVENTIONAL. 882 00:55:32,763 --> 00:55:36,266 WHO I HAVE BEEN EXPOSED TO TO 883 00:55:36,266 --> 00:55:38,869 REALLY IMPROVE ACCESS AND HEALTH 884 00:55:38,869 --> 00:55:45,042 OUTCOMES. 885 00:55:45,042 --> 00:55:45,576 AND IT WAS BACKGROUNDS AND 886 00:55:45,576 --> 00:55:50,714 NURSING OR SOCIAL WORK. 887 00:55:50,714 --> 00:55:54,084 AND SHE HAS HIGH FOCUS AND DOES 888 00:55:54,084 --> 00:55:57,521 INCREDIBLE WORK AND IMPROVING 889 00:55:57,521 --> 00:56:03,894 QUALITY OF LIFE. 890 00:56:03,894 --> 00:56:04,494 SO I THINK A LOT OF THIS WORK 891 00:56:04,494 --> 00:56:15,038 HAS TO BE DONE COLLABORATIVELY. 892 00:56:16,473 --> 00:56:18,842 OR THOSE A CERTAIN RACIAL GROUPS 893 00:56:18,842 --> 00:56:22,112 AND THEN MESHING THAT WITH THE 894 00:56:22,112 --> 00:56:26,016 INTERVENTION. 895 00:56:26,016 --> 00:56:27,618 AND THOSE THAT HAVE VISUAL 896 00:56:27,618 --> 00:56:32,055 DISABILITIES. 897 00:56:32,055 --> 00:56:33,090 IT HAS TO BE A COLLABORATIVE 898 00:56:33,090 --> 00:56:36,226 WORK. 899 00:56:36,226 --> 00:56:37,261 SO HOW DO YOU REACH OUT TO THOSE 900 00:56:37,261 --> 00:56:40,664 OTHER GROUPS I THINK THAT'S 901 00:56:40,664 --> 00:56:46,770 IMPORTANT. 902 00:56:46,770 --> 00:56:47,871 >> THANK YOU FOR THOSE 903 00:56:47,871 --> 00:56:55,545 COMMENTS. 904 00:56:55,545 --> 00:56:58,949 SO IN TERMS OF WHAT YOU SAID 905 00:56:58,949 --> 00:57:01,518 IT'S IMPORTANT TO REACH OUT TO 906 00:57:01,518 --> 00:57:05,122 PEOPLE. 907 00:57:05,122 --> 00:57:05,756 OTHERWISE WE ARE A TREE FALLING 908 00:57:05,756 --> 00:57:08,959 IN THE FOREST. 909 00:57:08,959 --> 00:57:09,593 OF PEOPLE WHO NEED TO KNOW ABOUT 910 00:57:09,593 --> 00:57:14,331 THIS DON'T KNOW ABOUT IT, THANK 911 00:57:14,331 --> 00:57:16,767 YOU FOR YOUR WORK TO SOCIALIZE 912 00:57:16,767 --> 00:57:19,303 THIS OBVIOUSLY WE TRY TO 913 00:57:19,303 --> 00:57:21,571 SOCIALIZE AS WELL. 914 00:57:21,571 --> 00:57:23,674 AND THE OTHER THING IN TERMS OF 915 00:57:23,674 --> 00:57:28,245 WHAT YOU SAID, THE WHOLE CONCEPT 916 00:57:28,245 --> 00:57:35,118 OF THE EYE TO THE BODY IT'S A 917 00:57:35,118 --> 00:57:38,388 GREAT SAYING BUT IT'S NEVER AS 918 00:57:38,388 --> 00:57:41,591 TRUE AS IT IS NOW BECAUSE OF 919 00:57:41,591 --> 00:57:46,530 TECHNOLOGIES AND IS INTERESTING 920 00:57:46,530 --> 00:57:51,335 THAT THERE IS REAL POTENTIAL NOW 921 00:57:51,335 --> 00:57:52,369 LIKE THERE HAS NEVER BEEN 922 00:57:52,369 --> 00:57:55,539 BEFORE. 923 00:57:55,539 --> 00:57:56,606 I THINK POTENTIALLY IT'S VERY 924 00:57:56,606 --> 00:58:00,344 EXCITING. 925 00:58:00,344 --> 00:58:06,883 >> 1 IDEA THAT POPPED UP TO 926 00:58:06,883 --> 00:58:14,524 SCHOOLS OF PUBLIC HEALTH THESE 927 00:58:14,524 --> 00:58:19,963 HAVE BEEN MUCH MORE INFLUENTIAL 928 00:58:19,963 --> 00:58:21,031 ALTHOUGH THERE ARE SCHOOL OF 929 00:58:21,031 --> 00:58:23,900 MEDICINE FACULTY LOOKING MORE 930 00:58:23,900 --> 00:58:27,971 THESE ISSUES FOR THE SCHOOLS OF 931 00:58:27,971 --> 00:58:38,448 PUBLIC HEALTH AND THAT IS A 932 00:58:40,217 --> 00:58:44,287 NATURAL CONSIST - - CONSTITU 933 00:58:44,287 --> 00:58:44,621 CONSTITUENCY. 934 00:58:44,621 --> 00:58:51,795 >> SO BACK TO FOSTERING 935 00:58:51,795 --> 00:58:52,429 COLLABORATIONS AND DATA SHARING 936 00:58:52,429 --> 00:58:56,066 IS 1 THING. 937 00:58:56,066 --> 00:58:56,666 I KNOW THAT WE HAVE DISCUSSED 938 00:58:56,666 --> 00:59:01,705 THIS AT LENGTH AND IN FACT WHEN 939 00:59:01,705 --> 00:59:09,012 WE'RE DONE DISCUSSING IT SO WHAT 940 00:59:09,012 --> 00:59:14,718 I TAKE FROM THIS IT IS A SOURCE 941 00:59:14,718 --> 00:59:16,053 OF A LITTLE BIT OF ANGST AND 942 00:59:16,053 --> 00:59:19,823 FRUSTRATION AND WE TOTALLY GET 943 00:59:19,823 --> 00:59:24,594 THAT AND THE WAY THAT I PUT IT 944 00:59:24,594 --> 00:59:26,763 TOGETHER IS THAT OUR DATA 945 00:59:26,763 --> 00:59:28,498 SHARING POLICY AND THE WHITE 946 00:59:28,498 --> 00:59:34,638 HOUSE GUIDANCE ARE STICKS AND I 947 00:59:34,638 --> 00:59:36,106 BELIEVE VERY FIRMLY THAT 948 00:59:36,106 --> 00:59:39,309 DEVELOPING CARROTS IN ADDITION 949 00:59:39,309 --> 00:59:41,845 IS 1 OF THE THINGS WE NEED TO 950 00:59:41,845 --> 00:59:47,050 MOVE THE FIELD FORWARD. 951 00:59:47,050 --> 00:59:48,552 WE GET THERE ARE LIMITED 952 00:59:48,552 --> 00:59:51,188 INCENTIVES TO SHARE THE 953 00:59:51,188 --> 00:59:54,191 WELL-DOCUMENTED DATA AND I WOULD 954 00:59:54,191 --> 00:59:56,860 ARGUE SOMETIMES INVESTIGATORS 955 00:59:56,860 --> 00:59:59,095 FIELD IS INCENTIVIZED TO SHARE 956 00:59:59,095 --> 01:00:04,000 WITH OTHERS. 957 01:00:04,000 --> 01:00:05,035 SO WE HAVE BEEN DISCUSSING THIS 958 01:00:05,035 --> 01:00:10,941 A LOT SO THE LEADS ON THIS AND 959 01:00:10,941 --> 01:00:13,844 THE GOAL IS TO DEVELOP AND 960 01:00:13,844 --> 01:00:22,986 VALIDATE QUANTITATIVE SHARING 961 01:00:22,986 --> 01:00:23,620 WHICH I DID NOT REALIZE IT IS AS 962 01:00:23,620 --> 01:00:24,921 NEW AS IT IS TO IDENTIFY AND 963 01:00:24,921 --> 01:00:29,125 REWARD EXEMPLAR DATA SHARERS 964 01:00:29,125 --> 01:00:31,728 DESIGNATE SHARED OR USED BY 965 01:00:31,728 --> 01:00:32,729 OTHERS? 966 01:00:32,729 --> 01:00:33,730 AND THIS IS A MECHANISM TO 967 01:00:33,730 --> 01:00:35,332 IDENTIFY AND SUSTAIN HIGH 968 01:00:35,332 --> 01:00:41,304 QUALITY DATA SETS SO THE GOAL IS 969 01:00:41,304 --> 01:00:51,581 TO CONDUCT A CHALLENGE AND THE 970 01:00:51,581 --> 01:00:53,149 PEOPLE WHO ARE REALLY WORKING TO 971 01:00:53,149 --> 01:00:55,385 COORDINATE THIS AND THE 972 01:00:55,385 --> 01:00:57,754 RATIONALE ESSENTIALLY IT IS A 973 01:00:57,754 --> 01:00:59,256 CARROT TO INCENTIVIZE 974 01:00:59,256 --> 01:01:05,595 SELF-DIRECTED CHANGE. 975 01:01:05,595 --> 01:01:08,131 AND WHO WOULD WE COLLABORATE 976 01:01:08,131 --> 01:01:15,672 WITH PUBLISHERS OR DATA INDEXERS 977 01:01:15,672 --> 01:01:19,876 AND I THINK THE CHANGES CREATING 978 01:01:19,876 --> 01:01:24,114 GOOD DATA SETS IS LEGITIMATE 979 01:01:24,114 --> 01:01:26,483 PRODUCT OF RESEARCH STUDIES AND 980 01:01:26,483 --> 01:01:32,589 NOT JUST A TAGALONG. 981 01:01:32,589 --> 01:01:33,189 THIS IS SOMETHING THAT CARRIE 982 01:01:33,189 --> 01:01:37,327 AND AMBER REALLY PUSHED TO LOWER 983 01:01:37,327 --> 01:01:40,530 THE BARRIER TO ENTRY FOR THOSE 984 01:01:40,530 --> 01:01:42,265 WHO DON'T NORMALLY APPLY FOR 985 01:01:42,265 --> 01:01:44,734 GRANTS TO APPLY FOR THE 986 01:01:44,734 --> 01:01:50,674 CHALLENGE COMPETITIONS. 987 01:01:50,674 --> 01:01:54,511 SO WE PRESENTED THIS TO SOME OF 988 01:01:54,511 --> 01:01:57,681 THE LEADERSHIP AND THEY TRIED TO 989 01:01:57,681 --> 01:02:00,216 GET US TO GET MORE PEOPLE 990 01:02:00,216 --> 01:02:01,351 INVOLVED. 991 01:02:01,351 --> 01:02:02,218 'S A RIGHT NOW THERE'S A GROUP 992 01:02:02,218 --> 01:02:08,491 OF PARTNERS WITH THE NATIONAL 993 01:02:08,491 --> 01:02:11,728 LIBRARY OF MEDICINE INITIATIVE 994 01:02:11,728 --> 01:02:18,034 AND OFFICE OF DATA SCIENCE AND 995 01:02:18,034 --> 01:02:18,668 OFFICE DIRECTOR AND CHILD HEALTH 996 01:02:18,668 --> 01:02:19,569 AND MENTAL HEALTH AND A FEW 997 01:02:19,569 --> 01:02:29,713 OTHERS. 998 01:02:34,784 --> 01:02:35,285 AND THROUGH THE INTER AGENCY 999 01:02:35,285 --> 01:02:45,629 AGREEMENT WITH NASA. 1000 01:02:59,175 --> 01:02:59,676 AND SO TO GO FROM LANDSCAPE 1001 01:02:59,676 --> 01:03:00,276 ANALYSIS TO LAUNCH THE ACTUAL 1002 01:03:00,276 --> 01:03:08,985 CHALLENGE. 1003 01:03:08,985 --> 01:03:09,586 AND THEN WE ARE SEEKING INPUT 1004 01:03:09,586 --> 01:03:18,161 ABOUT THIS. 1005 01:03:18,161 --> 01:03:20,764 >> I JUST WANT TO ENCOURAGE 1006 01:03:20,764 --> 01:03:29,239 ANYONE AND INTERVIEWING 1007 01:03:29,239 --> 01:03:29,873 DIFFERENT PARTIES AND THIS IS A 1008 01:03:29,873 --> 01:03:37,180 CHALLENGING TOPIC. 1009 01:03:37,180 --> 01:03:37,747 AND THOSE TO INCENTIVIZE AND 1010 01:03:37,747 --> 01:03:44,487 CREATE METRICS AROUND. 1011 01:03:44,487 --> 01:03:45,121 AND WITH THE INDEX POTENTIAL AND 1012 01:03:45,121 --> 01:03:55,665 WHERE WE MIGHT RUN INTO HURDLES 1013 01:03:58,601 --> 01:04:02,138 AND THEN PLEASE REACH OUT TO ME 1014 01:04:02,138 --> 01:04:08,011 AND I'M HAPPY TO PUT YOU IN 1015 01:04:08,011 --> 01:04:12,916 TOUCH. 1016 01:04:12,916 --> 01:04:18,388 >> WITH THE CEREBRAL VISUAL 1017 01:04:18,388 --> 01:04:20,690 IMPAIRMENT OR CVI WE HAVE BECOME 1018 01:04:20,690 --> 01:04:23,426 VERY INTERESTED IN THIS CAME OUT 1019 01:04:23,426 --> 01:04:25,795 WITH THE STRATEGIC PLANNING 1020 01:04:25,795 --> 01:04:29,999 PROCESS THAT THERE ARE SO MANY 1021 01:04:29,999 --> 01:04:32,135 UNANSWERED QUESTIONS IN THIS 1022 01:04:32,135 --> 01:04:41,244 AREA. 1023 01:04:41,244 --> 01:04:41,811 WHAT WE HAVE TALKED ABOUT IN 1024 01:04:41,811 --> 01:04:42,412 THIS GROUP CVI IS THE LEADING 1025 01:04:42,412 --> 01:04:47,517 CAUSE OF CHILD BLINDNESS IN THE 1026 01:04:47,517 --> 01:04:47,684 US. 1027 01:04:47,684 --> 01:04:48,084 A LOT OF UNKNOWNS. 1028 01:04:48,084 --> 01:04:52,689 HOW TO DIAGNOSE, CLASSIFY THAT 1029 01:04:52,689 --> 01:04:55,558 WE REALLY HAVE TO FIGURE OUT AS 1030 01:04:55,558 --> 01:04:57,894 A COMMUNITY. 1031 01:04:57,894 --> 01:05:03,800 THE PEOPLE INVOLVED TEND TO BE 1032 01:05:03,800 --> 01:05:04,400 PEDIATRICIANS, NEUROLOGIST AND 1033 01:05:04,400 --> 01:05:05,401 EYE DOCTORS. 1034 01:05:05,401 --> 01:05:07,537 OFTEN PATIENTS ARE BOUNCED BACK 1035 01:05:07,537 --> 01:05:12,275 AND FORTH BETWEEN THE GROUPS IT 1036 01:05:12,275 --> 01:05:12,909 IS THE EYE PROBLEM THAN THEY SAY 1037 01:05:12,909 --> 01:05:13,510 IT IS A BRAIN PROBLEM AND THEN 1038 01:05:13,510 --> 01:05:14,844 THEY GO BACK. 1039 01:05:14,844 --> 01:05:18,114 THIS HAPPENS ALL THE TIME. 1040 01:05:18,114 --> 01:05:25,588 SO IN THAT SPIRIT SO BASICALLY 1041 01:05:25,588 --> 01:05:28,158 WE ARE PLANNING A WORKSHOP WITH 1042 01:05:28,158 --> 01:05:31,494 THIS TOPIC COMING UP NEXT MONTH. 1043 01:05:31,494 --> 01:05:32,529 THIS IS TAKEN A YEAR AND A HALF 1044 01:05:32,529 --> 01:05:43,039 TO PLAN AND GET TO THE STAGE. 1045 01:05:47,243 --> 01:05:47,577 -- -- THIS STAGE. 1046 01:05:47,577 --> 01:05:48,111 AND THE COMMUNITY INVOLVES 1047 01:05:48,111 --> 01:05:48,845 PEOPLE FROM MULTIPLE 1048 01:05:48,845 --> 01:05:53,917 CONSTITUENCIES AND I CHD AND 1049 01:05:53,917 --> 01:05:58,521 CHILD HEALTH AND AND I NDS. 1050 01:05:58,521 --> 01:06:04,561 SO IN THAT SPIRIT DIFFERENT 1051 01:06:04,561 --> 01:06:07,497 PARTIES TAKE CARE OF THESE KIDS 1052 01:06:07,497 --> 01:06:08,164 SO THE COCHAIRS THEY ARE REALLY 1053 01:06:08,164 --> 01:06:13,636 GOOD ONES MELINDA AT USD 1054 01:06:13,636 --> 01:06:16,139 CHILDREN'S HOSPITAL LOS ANGELES 1055 01:06:16,139 --> 01:06:18,942 IS A PEDIATRIC OPHTHALMOLOGIST 1056 01:06:18,942 --> 01:06:29,485 DOING WORK AT THE INTERFACE AND 1057 01:06:36,226 --> 01:06:36,759 A VISION SCIENTIST AT HARVARD 1058 01:06:36,759 --> 01:06:37,227 WHO WAS OPTOMETRIST BY 1059 01:06:37,227 --> 01:06:37,827 BACKGROUND AND WHO RUNS A LAB 1060 01:06:37,827 --> 01:06:39,762 THAT STUDIES VISION 1061 01:06:39,762 --> 01:06:40,296 REHABILITATION AT HARVARD 1062 01:06:40,296 --> 01:06:44,467 MEDICAL SCHOOL SO BOTH PUT 1063 01:06:44,467 --> 01:06:49,072 TOGETHER A GREAT GROUP. 1064 01:06:49,072 --> 01:06:49,672 SO THE DESIGN OF THE WORKSHOP 1065 01:06:49,672 --> 01:06:54,777 AND THE GOAL IS TO MOVE TOWARD 1066 01:06:54,777 --> 01:07:01,885 BUILDING A REGISTRY FOR CVI AND 1067 01:07:01,885 --> 01:07:02,385 THEN TO CONTAIN DATA FOR 1068 01:07:02,385 --> 01:07:08,925 RETROSPECTIVE ANALYSIS. 1069 01:07:08,925 --> 01:07:09,993 SO A LOT OF QUESTIONS WHAT GOES 1070 01:07:09,993 --> 01:07:13,563 INTO THIS REGISTRY. 1071 01:07:13,563 --> 01:07:17,267 SO IT IS A 2 DAY WORKSHOP. 1072 01:07:17,267 --> 01:07:19,802 DAY NUMBER 1 IS IN PERSON CLOSED 1073 01:07:19,802 --> 01:07:22,405 MEETING BASICALLY THE PURPOSE IS 1074 01:07:22,405 --> 01:07:32,515 TO BUILD CONSENSUS. 1075 01:07:32,515 --> 01:07:38,655 BASED ON IDEOLOGY AND TO 1076 01:07:38,655 --> 01:07:42,859 DETERMINE WHAT ARE THE CRITERIA 1077 01:07:42,859 --> 01:07:43,426 DIAGNOSTICS AND METRICS AND 1078 01:07:43,426 --> 01:07:46,095 TESTING PARAMETERS NEEDING TO 1079 01:07:46,095 --> 01:07:51,434 REACH DEFINITIONS? 1080 01:07:51,434 --> 01:07:54,003 SO DAY TO IS TO TRY TO DEVELOP 1081 01:07:54,003 --> 01:07:55,638 PROTOCOL FOR CVI REGISTRY? 1082 01:07:55,638 --> 01:08:00,109 THAT IS THE IN-PERSON MEETING IN 1083 01:08:00,109 --> 01:08:02,879 BETHESDA THAT IS A WEBCAST. 1084 01:08:02,879 --> 01:08:09,719 HERE IS THE LIST OF INVITED 1085 01:08:09,719 --> 01:08:10,320 PARTICIPANTS DAY TO IS BIGGER 1086 01:08:10,320 --> 01:08:10,987 INCLUDING PEOPLE FROM DAY NUMBER 1087 01:08:10,987 --> 01:08:15,892 1 AND CVI, TEAC 1088 01:08:15,892 --> 01:08:17,360 CVI, TEACHERS, PEDIATRICIANS, OT 1089 01:08:17,360 --> 01:08:20,663 AND OCCUPATIONAL THERAPIST AND A 1090 01:08:20,663 --> 01:08:23,900 MULTIDISCIPLINARY GROUP. 1091 01:08:23,900 --> 01:08:24,934 SO THE GOAL ON THE SECOND DAY IS 1092 01:08:24,934 --> 01:08:30,473 TO DISCUSS CVI ELEMENTS AND 1093 01:08:30,473 --> 01:08:38,147 STANDARDS. 1094 01:08:38,147 --> 01:08:42,618 SO WE ARE TOTALLY WILLING TO 1095 01:08:42,618 --> 01:08:46,622 HELP AND THEY WILL BOTH BE 1096 01:08:46,622 --> 01:08:50,893 SPEAKING DURING THE NUMBER 2. 1097 01:08:50,893 --> 01:08:53,396 SO I WANTED TO MAKE YOU AWARE OF 1098 01:08:53,396 --> 01:08:54,764 THIS AND THE WORKSHOP COMING 1099 01:08:54,764 --> 01:08:55,732 UP. 1100 01:08:55,732 --> 01:08:58,334 THE OTHER THING I WANT TO 1101 01:08:58,334 --> 01:09:03,740 HIGHLIGHT IN THE SPIRIT OF 1102 01:09:03,740 --> 01:09:04,374 FOSTER COLLABORATION IS QUALITY 1103 01:09:04,374 --> 01:09:06,576 OF LIFE. 1104 01:09:06,576 --> 01:09:07,210 WE HOLD THE WORKSHOP A FEW WEEKS 1105 01:09:07,210 --> 01:09:12,248 AGO ON THIS THE PATIENT REPORTED 1106 01:09:12,248 --> 01:09:15,618 OUTCOMES AND QUESTIONNAIRES. 1107 01:09:15,618 --> 01:09:22,325 THE LEADS ON THAT, I KNOW THEY 1108 01:09:22,325 --> 01:09:22,859 DID A TON OF WORK ON THIS 1109 01:09:22,859 --> 01:09:24,961 BECAUSE THEY FLOODED MY INBOX 1110 01:09:24,961 --> 01:09:26,029 WITH A LOT OF E-MAILS ABOUT 1111 01:09:26,029 --> 01:09:27,663 THIS. 1112 01:09:27,663 --> 01:09:35,004 WHICH WAS FANTASTIC. 1113 01:09:35,004 --> 01:09:37,540 THE PREMISES WE HAVE THE MISSION 1114 01:09:37,540 --> 01:09:39,609 STATEMENT. 1115 01:09:39,609 --> 01:09:45,214 AND 1 OF THE CHALLENGES WE WANT 1116 01:09:45,214 --> 01:09:50,753 TO IMPROVE PEOPLE'S HEALTH AND 1117 01:09:50,753 --> 01:09:51,354 QUALITY OF LIFE THAT WE CANNOT 1118 01:09:51,354 --> 01:09:51,954 MEASURE VISION RELATED QUALITY 1119 01:09:51,954 --> 01:09:54,691 OF LIFE VERY WELL AND THEY'RE 1120 01:09:54,691 --> 01:09:55,391 NOT VERY GOOD INSTRUMENTS FOR 1121 01:09:55,391 --> 01:09:59,762 THIS. 1122 01:09:59,762 --> 01:10:00,396 SO THE INTENT OF THE WORKSHOP IS 1123 01:10:00,396 --> 01:10:00,997 TO HIGHLIGHT THE IMPORTANCE OF 1124 01:10:00,997 --> 01:10:04,467 PATIENT PERSPECTIVE AND PATIENT 1125 01:10:04,467 --> 01:10:07,036 REPORTED OUTCOMES AND ALSO 1126 01:10:07,036 --> 01:10:09,972 QUESTIONNAIRES FOR VISION 1127 01:10:09,972 --> 01:10:12,241 RELATED QUALITY OF LIFE AND 1128 01:10:12,241 --> 01:10:15,178 CLINICAL CARE. 1129 01:10:15,178 --> 01:10:18,347 AND WHO WAS INVOLVED WITH THIS? 1130 01:10:18,347 --> 01:10:26,389 WE TOGETHER WITH THE FDA WERE 1131 01:10:26,389 --> 01:10:26,923 COHOST AND CO- ORGANIZERS. 1132 01:10:26,923 --> 01:10:32,395 IN THE ORGANIZING COMMITTEE AND 1133 01:10:32,395 --> 01:10:33,463 HAS A LOT OF EXPERTISE IN THIS 1134 01:10:33,463 --> 01:10:42,171 AREA. 1135 01:10:42,171 --> 01:10:42,738 AND THE AMERICAN ACADEMY OF 1136 01:10:42,738 --> 01:10:43,372 OPHTHALMOLOGY WAS INVOLVED THEY 1137 01:10:43,372 --> 01:10:43,906 HAVE A LOT OF INTEREST TO 1138 01:10:43,906 --> 01:10:49,779 MEASURE QUALITY OF LIFE SO THE 1139 01:10:49,779 --> 01:10:50,313 GOAL OF THE WORKSHOP IS TO 1140 01:10:50,313 --> 01:10:56,285 IDENTIFY FUTURE STEPS WITH PRL 1141 01:10:56,285 --> 01:11:01,023 AND VFQ FOR OCULAR CONDITIONS 1142 01:11:01,023 --> 01:11:03,526 OVER THE PAST FEW YEARS I HAVE 1143 01:11:03,526 --> 01:11:04,627 GOTTEN A LOT OF COMMUNICATION 1144 01:11:04,627 --> 01:11:07,997 FROM GROUPS SOME OF THOSE DO 1145 01:11:07,997 --> 01:11:12,401 RARE DISEASES SOME DO COMMON 1146 01:11:12,401 --> 01:11:16,639 DISEASES BUT RARE MANIFESTA 1147 01:11:16,639 --> 01:11:17,006 MANIFESTATIONS. 1148 01:11:17,006 --> 01:11:18,775 AND THE COMMENT I HAVE ALWAYS 1149 01:11:18,775 --> 01:11:21,811 HEARD, CAN WE DEVELOP QUALITY 1150 01:11:21,811 --> 01:11:26,315 AND OUTCOME MEASURES AND ARE 1151 01:11:26,315 --> 01:11:26,816 SPECIFIC TO MY SCENARIO? 1152 01:11:26,816 --> 01:11:29,619 AND 1 OF THE CHALLENGES IS THAT 1153 01:11:29,619 --> 01:11:33,990 IT CAN TAKE LONGER TO VALIDATE 1154 01:11:33,990 --> 01:11:36,225 THE METRICS AND IT IS TO DO THE 1155 01:11:36,225 --> 01:11:37,126 RESEARCH. 1156 01:11:37,126 --> 01:11:42,331 I THINK IT WOULD BE AMAZING IF 1157 01:11:42,331 --> 01:11:44,200 PROBABLY TO GENERATE -- -- 1158 01:11:44,200 --> 01:11:48,571 GENERALIZE A VISION INSTRUMENT 1159 01:11:48,571 --> 01:11:49,138 WITH QUALITY OF LIFE WORKING 1160 01:11:49,138 --> 01:11:52,041 ACROSS DIFFERENT DISORDERS OR 1161 01:11:52,041 --> 01:11:54,477 PERHAPS THERE IS A MENU OF 1162 01:11:54,477 --> 01:12:00,483 PATIENT REPORTED OUTCOMES AND 1163 01:12:00,483 --> 01:12:10,259 THEN TO BE LINKED BUT WE WILL 1164 01:12:10,259 --> 01:12:10,893 SEE WHERE THIS LEADS FOR WE ARE 1165 01:12:10,893 --> 01:12:15,631 EXCITED ABOUT THAT. 1166 01:12:15,631 --> 01:12:16,699 AND WITH THE EXPERTISE IN THIS 1167 01:12:16,699 --> 01:12:20,102 AREA. 1168 01:12:20,102 --> 01:12:24,140 SO ASKING FOR YOUR COMMENTS WHAT 1169 01:12:24,140 --> 01:12:24,640 CHALLENGES DO YOU HAVE? 1170 01:12:24,640 --> 01:12:25,775 AND MANY OPEN IT UP FOR 1171 01:12:25,775 --> 01:12:35,985 DISCUSSION. 1172 01:12:36,919 --> 01:12:41,991 >> I THINK THIS IS A GREAT TOP 1173 01:12:41,991 --> 01:12:42,191 TOPIC. 1174 01:12:42,191 --> 01:12:42,792 I THINK 1 OF THE CHALLENGES IS 1175 01:12:42,792 --> 01:12:46,963 TO HAVE A CONSENSUS FROM WHAT 1176 01:12:46,963 --> 01:12:49,565 HAS BEEN TAKEN FROM OUR 1177 01:12:49,565 --> 01:12:55,438 PATIENTS. 1178 01:12:55,438 --> 01:12:56,038 AND THEN TO UNDERSTAND WHAT WE 1179 01:12:56,038 --> 01:13:03,613 ARE LOOKING FOR. 1180 01:13:03,613 --> 01:13:04,213 I CONGRATULATE YOU FOR WORKING 1181 01:13:04,213 --> 01:13:12,588 WITH THE FDA. 1182 01:13:12,588 --> 01:13:14,890 AND THEN ALSO WITH THE QUALITY 1183 01:13:14,890 --> 01:13:18,961 OF LIFE. 1184 01:13:18,961 --> 01:13:28,437 >> THANKS FOR PUTTING ON A GREAT 1185 01:13:28,437 --> 01:13:30,006 AND BRINGING IN A LOT OF 1186 01:13:30,006 --> 01:13:35,278 STAKEHOLDERS AND THE ACADEMIC 1187 01:13:35,278 --> 01:13:36,045 STAKEHOLDERS AND IT BROUGHT IN 1188 01:13:36,045 --> 01:13:40,349 THE SCIENTIST WHO GOT INTO THE 1189 01:13:40,349 --> 01:13:42,585 DEEP WEEDS OF QUALITY OF LIFE. 1190 01:13:42,585 --> 01:13:45,154 THERE WAS A LOT OF CHALLENGES TO 1191 01:13:45,154 --> 01:13:45,521 IT. 1192 01:13:45,521 --> 01:13:51,294 HOW DO EVEN SELECT WHICH 1 OR 1193 01:13:51,294 --> 01:13:54,563 HOW DO WE INTEGRATE THEM ALL? 1194 01:13:54,563 --> 01:13:57,967 AND THEN THE THINGS THAT HOLD IT 1195 01:13:57,967 --> 01:14:00,403 BACK LIKE REPRODUCIBILITY AND 1196 01:14:00,403 --> 01:14:02,638 ACCURACY OF THE ABILITY TO ADAPT 1197 01:14:02,638 --> 01:14:04,540 THEM. 1198 01:14:04,540 --> 01:14:08,144 OR HAVE POOR HEARING. 1199 01:14:08,144 --> 01:14:09,145 THERE IS A NUMBER OF 1200 01:14:09,145 --> 01:14:10,913 CHALLENGES. 1201 01:14:10,913 --> 01:14:14,350 I HOPE THE SUMMARY OF THIS 1202 01:14:14,350 --> 01:14:17,453 WORKSHOP WILL HOPEFULLY LEAD FOR 1203 01:14:17,453 --> 01:14:21,957 CALLS OF PROPOSALS TO MOVE THE 1204 01:14:21,957 --> 01:14:22,325 SCIENCE FORWARD. 1205 01:14:22,325 --> 01:14:24,160 I THINK IT WOULD BE TERRIFIC IF 1206 01:14:24,160 --> 01:14:27,730 THE FIELD COULD COALESCE AROUND 1207 01:14:27,730 --> 01:14:30,766 SOMETHING OF A COMPUTER-BASED 1208 01:14:30,766 --> 01:14:36,072 SYSTEM TO CHOOSE THE DOMAIN AND 1209 01:14:36,072 --> 01:14:36,605 ESSENTIALLY GAVE YOU THAT 1210 01:14:36,605 --> 01:14:39,575 QUALITY OF LIFE FOR WE HAVE A 1211 01:14:39,575 --> 01:14:48,517 WAYS TO GO BEFORE IT GETS THERE. 1212 01:14:48,517 --> 01:14:49,618 >> THIS AREA IS VERY 1213 01:14:49,618 --> 01:14:52,188 COMPLICATED. 1214 01:14:52,188 --> 01:14:56,125 AND 1 ASPECT BROUGHT UP DURING 1215 01:14:56,125 --> 01:14:57,593 THE CONFERENCE THAT IS IMPORTANT 1216 01:14:57,593 --> 01:15:01,430 IS TO SURVEY THE PATIENT WITH 1217 01:15:01,430 --> 01:15:02,398 RESPECT TO WHAT ARE YOU HAVING 1218 01:15:02,398 --> 01:15:06,869 DIFFICULTY WITH? 1219 01:15:06,869 --> 01:15:09,472 JUST ASKING A LAUNDRY LIST OF 1220 01:15:09,472 --> 01:15:11,240 THINGS CAN YOU DO THIS OR NOT DO 1221 01:15:11,240 --> 01:15:14,944 THIS DOES NOT CAPTURE A LOT OF 1222 01:15:14,944 --> 01:15:15,811 WHAT IS GOING ON FOR THE 1223 01:15:15,811 --> 01:15:19,648 PATIENT. 1224 01:15:19,648 --> 01:15:21,183 I WORD ENCOURAGE EMPHASIS ON 1225 01:15:21,183 --> 01:15:23,953 PERSONALIZING THROUGH 1226 01:15:23,953 --> 01:15:26,322 STANDARDIZED METHODS TO 1227 01:15:26,322 --> 01:15:33,996 PERSONALIZE FOR THE PATIENT. 1228 01:15:33,996 --> 01:15:38,434 >> A VERY IMPORTANT TOPIC. 1229 01:15:38,434 --> 01:15:41,003 I WANT TO SECOND THE COMMENTS IN 1230 01:15:41,003 --> 01:15:48,244 REGARD TO HOPEFULLY THE ABILITY 1231 01:15:48,244 --> 01:15:48,844 TO INFLUENCE THE FDA OBVIOUSLY 1232 01:15:48,844 --> 01:15:49,378 IS NOT THAT INTERESTED IN 1233 01:15:49,378 --> 01:15:52,148 QUALITY OF LIFE WITH 1234 01:15:52,148 --> 01:15:58,387 TRANSLATIONAL INVESTIGATIONS AND 1235 01:15:58,387 --> 01:15:58,788 PRIMARY INFLUENCE. 1236 01:15:58,788 --> 01:15:59,422 THERE ARE MANY EXAMPLES IN 1237 01:15:59,422 --> 01:16:02,958 OPHTHALMOLOGY YOU CAN HELP 1238 01:16:02,958 --> 01:16:05,661 PATIENTS HAVE BETTER QUALITY OF 1239 01:16:05,661 --> 01:16:07,830 VISION AND QUALITY OF LIFE IS 1240 01:16:07,830 --> 01:16:12,835 MEASURED WITH THOSE METRICS AND 1241 01:16:12,835 --> 01:16:20,743 VFQ THAT DO NOT IMPACT SO THAT 1242 01:16:20,743 --> 01:16:24,046 IS A SIGNIFICANT BARRIER FROM 1243 01:16:24,046 --> 01:16:30,920 THE LEVEL OF THE FDA. 1244 01:16:30,920 --> 01:16:31,487 >> THANK YOU TO ALL OF YOU. 1245 01:16:31,487 --> 01:16:40,696 ANY OTHER COMMENTS? 1246 01:16:40,696 --> 01:16:41,297 ANOTHER EXAMPLE OF QUALITY OF 1247 01:16:41,297 --> 01:16:46,001 LIFE INVOLVES A PROJECT THAT IS 1248 01:16:46,001 --> 01:16:46,368 BASED IN INDIA. 1249 01:16:46,368 --> 01:16:50,706 THE BACKGROUND IS A FEW MONTHS 1250 01:16:50,706 --> 01:16:53,809 AGO THERE WAS A CALL FROM HHS TO 1251 01:16:53,809 --> 01:16:57,847 IDENTIFY PROJECTS GLOBALLY THAT 1252 01:16:57,847 --> 01:16:58,414 COULD BE OF INTEREST FOR THE 1253 01:16:58,414 --> 01:17:03,786 SECRETARIES TEAM TO VISIT SO OUR 1254 01:17:03,786 --> 01:17:04,320 DIRECTOR OF INTERNATIONAL 1255 01:17:04,320 --> 01:17:05,888 PROGRAMS SUGGESTED NOMINATING 1256 01:17:05,888 --> 01:17:12,228 PROJECT PRAKASH. 1257 01:17:12,228 --> 01:17:12,528 NO RELATION. 1258 01:17:12,528 --> 01:17:20,336 WE DID THAT AND I GOT PICKED SO 1259 01:17:20,336 --> 01:17:20,936 NOW I'M OFF TO INDIA ON 8 DAYS 1260 01:17:20,936 --> 01:17:21,170 NOTICE. 1261 01:17:21,170 --> 01:17:22,938 IT'S NOT EASIER TO GET TO INDIA 1262 01:17:22,938 --> 01:17:25,207 ON 8 DAYS NOTICE WITH THE VISA 1263 01:17:25,207 --> 01:17:30,746 PROCESS BUT THE TEAM WAS AMAZ 1264 01:17:30,746 --> 01:17:30,980 AMAZING. 1265 01:17:30,980 --> 01:17:31,680 THEY WERE FRUSTRATED BUT IT 1266 01:17:31,680 --> 01:17:35,951 HAPPENED. 1267 01:17:35,951 --> 01:17:36,585 IT WAS AN AMAZING TRIP FOR ME TO 1268 01:17:36,585 --> 01:17:37,186 SEE WHAT WAS HAPPENING ON THE 1269 01:17:37,186 --> 01:17:39,421 GROUND LEVEL. 1270 01:17:39,421 --> 01:17:41,590 THEY DID COME AND VISIT. 1271 01:17:41,590 --> 01:17:52,134 BUT THE PEI - - THIS PROJECT HAS 1272 01:17:54,937 --> 01:17:56,405 BEEN ANY I FUNDED OVER 15 1273 01:17:56,405 --> 01:17:56,705 YEARS. 1274 01:17:56,705 --> 01:18:04,613 AND THE GOAL OF PLASTICITY OF 1275 01:18:04,613 --> 01:18:05,347 VISION LOSS FROM CATARACTS AND 1276 01:18:05,347 --> 01:18:10,886 OTHER DISEASES IT HAS BEEN FELT 1277 01:18:10,886 --> 01:18:12,154 FOR A LONG TIME THAT IF YOU HAVE 1278 01:18:12,154 --> 01:18:20,396 DEPRIVATION PAST AGE 7 AND 1279 01:18:20,396 --> 01:18:23,299 CATARACTS CANNOT HEAR MUCH 1280 01:18:23,299 --> 01:18:24,200 EARLIER THAN THE VISION LOSS IS 1281 01:18:24,200 --> 01:18:26,669 UNTREATABLE. 1282 01:18:26,669 --> 01:18:27,202 BUT THERE ARE THE CRITICAL 1283 01:18:27,202 --> 01:18:31,941 PERIODS OF DEVELOPMENT. 1284 01:18:31,941 --> 01:18:36,512 BUT THE DESIGN OF THIS PROJECT 1285 01:18:36,512 --> 01:18:41,917 IS BASED OUT OF THE EYE CHARITY 1286 01:18:41,917 --> 01:18:42,351 HOSPITAL AND THEY DO 1287 01:18:42,351 --> 01:18:45,220 INFRASTRUCTURE FOR VISION 1288 01:18:45,220 --> 01:18:45,821 SCREENING OFTEN IN RURAL AREAS 1289 01:18:45,821 --> 01:18:50,826 TO IDENTIFY KIDS WITH BLINDNESS 1290 01:18:50,826 --> 01:18:51,460 FROM CONGENITAL CATARACT, BRING 1291 01:18:51,460 --> 01:18:55,197 THEM IN TO DO THE SURGERY. 1292 01:18:55,197 --> 01:18:55,798 AND THEN FOR THE FAMILIES WHO 1293 01:18:55,798 --> 01:18:59,101 CONSENT TO BE FOLLOWED, THEY 1294 01:18:59,101 --> 01:19:05,007 FOLLOW THE VISUAL DEVELOPMENTS 1295 01:19:05,007 --> 01:19:05,341 AFTER SURGERY. 1296 01:19:05,341 --> 01:19:05,908 AND THEY HAVE LEARNED A LOT 1297 01:19:05,908 --> 01:19:11,847 INVOLVING PLASTICITY. 1298 01:19:11,847 --> 01:19:12,448 WHAT THEY FOUND IS THESE KIDS 1299 01:19:12,448 --> 01:19:13,048 DEMONSTRATE IMPROVEMENTS AFTER 1300 01:19:13,048 --> 01:19:14,383 CATARACT SURGERY. 1301 01:19:14,383 --> 01:19:17,486 NOT IN VISUAL ACUITY BUT FACE 1302 01:19:17,486 --> 01:19:20,723 PERCEPTION, BRIGHTNESS CONTRA 1303 01:19:20,723 --> 01:19:22,524 CONTRAST, SPATIAL AND TEMPORAL 1304 01:19:22,524 --> 01:19:24,827 CONTRAST SENSITIVITIES. 1305 01:19:24,827 --> 01:19:27,329 SOME OF THEM ARE GETTING JOBS 1306 01:19:27,329 --> 01:19:28,163 AFTER THIS. 1307 01:19:28,163 --> 01:19:33,869 AND THEY SHOWED THE PROGRAM 1308 01:19:33,869 --> 01:19:41,577 OFFICER AND KNOWS THE GROUP VERY 1309 01:19:41,577 --> 01:19:42,177 WELL GIVE ME A BUNCH OF PAPERS 1310 01:19:42,177 --> 01:19:46,615 ON THIS THAT SHOWED PLASTICITY 1311 01:19:46,615 --> 01:19:48,250 CHANGES AFTER CATARACT SURGERY 1312 01:19:48,250 --> 01:19:51,220 FOR WHITE MATTER. 1313 01:19:51,220 --> 01:19:54,657 AND IS GIVEN EVIDENCE TO MEASURE 1314 01:19:54,657 --> 01:19:59,161 HOW WE THINK OF CRITICAL PERI 1315 01:19:59,161 --> 01:19:59,395 PERIODS. 1316 01:19:59,395 --> 01:20:00,029 IN TERMS OF QUALITY OF LIFE THE 1317 01:20:00,029 --> 01:20:03,699 TAKE-HOME IS THAT TREATMENT WITH 1318 01:20:03,699 --> 01:20:04,333 SURGERY AND REHABILITATION AT A 1319 01:20:04,333 --> 01:20:05,234 LATER AGE CAN REALLY MAKE A 1320 01:20:05,234 --> 01:20:08,337 DIFFERENCE. 1321 01:20:08,337 --> 01:20:09,338 I THOUGHT THIS WAS INTERESTING 1322 01:20:09,338 --> 01:20:11,340 WORK AT THE INTERFACE OF VISUAL 1323 01:20:11,340 --> 01:20:16,045 AND NEUROSCIENCE AND HEALTH 1324 01:20:16,045 --> 01:20:23,986 DISPARITIES AND IT WAS EASY TO 1325 01:20:23,986 --> 01:20:27,189 SHOWCASE THAT IN THE SECRETARIES 1326 01:20:27,189 --> 01:20:31,360 OFFICE. 1327 01:20:31,360 --> 01:20:41,904 I ALSO WANT TO CALL ATTENTION A 1328 01:20:42,838 --> 01:20:53,315 CONCEPT PRIZE COMPETITION AT THE 1329 01:20:55,617 --> 01:21:00,989 PLANNING ACTIVITY IT IS 1330 01:21:00,989 --> 01:21:02,524 COMPLEMENT ANIMAL RESEARCH AND 1331 01:21:02,524 --> 01:21:06,028 EXPERIMENTATION SO LOOK AT THE 1332 01:21:06,028 --> 01:21:07,229 NEW APPROACH METHODOLOGIES. 1333 01:21:07,229 --> 01:21:11,266 IT COULD BE IN VITRO, AND 1334 01:21:11,266 --> 01:21:13,902 SILICONE OR INCOME ACCOUNT OR 1335 01:21:13,902 --> 01:21:17,639 SOME TYPE OF AI SYSTEM OR AN 1336 01:21:17,639 --> 01:21:23,812 ORGAN MODEL. 1337 01:21:23,812 --> 01:21:26,348 IT WOULD COMPLEMENT ANIMAL 1338 01:21:26,348 --> 01:21:30,552 MODELS TO BE A BETTER ANIMAL 1339 01:21:30,552 --> 01:21:31,153 RESEARCHER OR PERHAPS IN SOME 1340 01:21:31,153 --> 01:21:31,787 CASES REPLACE TRADITIONAL ANIMAL 1341 01:21:31,787 --> 01:21:34,656 MODELS. 1342 01:21:34,656 --> 01:21:40,162 BUT MARTHA IS HER LEAD ON THIS 1343 01:21:40,162 --> 01:21:40,729 ESPECIALLY NONHUMAN PRIMATE 1344 01:21:40,729 --> 01:21:42,564 RESEARCH. 1345 01:21:42,564 --> 01:21:47,169 BUT RIGHT NOW IS INFORMATION 1346 01:21:47,169 --> 01:21:50,139 GATHERING. 1347 01:21:50,139 --> 01:21:53,275 THIS HAS BEEN GOING ON FOR A 1348 01:21:53,275 --> 01:21:55,844 LITTLE WHILE. 1349 01:21:55,844 --> 01:21:59,548 BUT THERE IS A PREPUBLICATION 1350 01:21:59,548 --> 01:22:01,049 SITE THAT IS UP RIGHT NOW WITH 1351 01:22:01,049 --> 01:22:01,984 THE BASICS WE JUST TALKED 1352 01:22:01,984 --> 01:22:04,753 ABOUT. 1353 01:22:04,753 --> 01:22:06,288 THE CHALLENGE ANNOUNCEMENT WILL 1354 01:22:06,288 --> 01:22:08,690 COME OUT IN NOVEMBER 2023 AND IT 1355 01:22:08,690 --> 01:22:12,494 IS A QR CODE TAKING YOU FOR MORE 1356 01:22:12,494 --> 01:22:22,905 INFORMATION ABOUT THAT. 1357 01:22:23,438 --> 01:22:24,573 COMPLEMENT-ARIE FOR ANIMAL 1358 01:22:24,573 --> 01:22:26,642 MODELS. 1359 01:22:26,642 --> 01:22:28,210 SO THE NEXT FEW SLIDES ABOUT 1360 01:22:28,210 --> 01:22:31,480 RECRUITING AND INSPIRING AND 1361 01:22:31,480 --> 01:22:34,049 TRAINING TALENTED INDIVIDUALS. 1362 01:22:34,049 --> 01:22:42,357 SO THAT THE LAST COUNCIL MEETING 1363 01:22:42,357 --> 01:22:44,893 WAS STIMULATING ACCESS TO 1364 01:22:44,893 --> 01:22:46,061 RESEARCH AND RESIDENCY THANK YOU 1365 01:22:46,061 --> 01:22:52,034 FOR THIS -- -- ALL OF YOUR 1366 01:22:52,034 --> 01:22:52,301 COMMENTS. 1367 01:22:52,301 --> 01:22:55,470 WE OFFICIALLY SIGNED ON. 1368 01:22:55,470 --> 01:22:58,373 THE DEADLINE IS MARCH 2024. 1369 01:22:58,373 --> 01:23:03,212 SO THE GOAL OF THE PROGRAM IS TO 1370 01:23:03,212 --> 01:23:07,649 FACILITATE A PATH TO THE CAREERS 1371 01:23:07,649 --> 01:23:12,287 ALONG TRAINEES BY SUPPORTING 1372 01:23:12,287 --> 01:23:12,821 INSTITUTIONAL PROGRAMS AND 1373 01:23:12,821 --> 01:23:16,225 RESEARCH FOR RESIDENCY. 1374 01:23:16,225 --> 01:23:16,758 MR. FOR YOUR RESIDENCY IT 1375 01:23:16,758 --> 01:23:19,728 BECOMES A FIVE-YEAR RESEARCH 1376 01:23:19,728 --> 01:23:23,165 ORIENTED RESIDENCY PROGRAM. 1377 01:23:23,165 --> 01:23:29,137 SO FOR TRAINEES OPHTHALMOLOGY 1378 01:23:29,137 --> 01:23:33,275 AND VETERINARY TRAINEES THOSE 1379 01:23:33,275 --> 01:23:39,715 WHO ARE INTERESTED IN RESEAR 1380 01:23:39,715 --> 01:23:40,315 RESEARCH, AS PEOPLE ENTER THE 1381 01:23:40,315 --> 01:23:44,353 FIELD I AM HOPING TO MAKE SURE 1382 01:23:44,353 --> 01:23:44,987 THEY KNOW THE VISION OF FIELD IS 1383 01:23:44,987 --> 01:23:47,789 WHERE WE WANT CLINICIAN 1384 01:23:47,789 --> 01:23:49,825 SCIENTIST AND ARE WELCOMING TO 1385 01:23:49,825 --> 01:23:50,025 THAT. 1386 01:23:50,025 --> 01:23:53,795 I HOPE THIS MECHANISM IS A WAY 1387 01:23:53,795 --> 01:23:55,931 TO HELP DELIVER THAT MESSAGE TO 1388 01:23:55,931 --> 01:24:04,740 THE COMMUNITY. 1389 01:24:04,740 --> 01:24:09,678 THE OTHER THING I WANTED IS THE 1390 01:24:09,678 --> 01:24:12,915 ADMINISTRATIVE SUPPLEMENTS TO 1391 01:24:12,915 --> 01:24:13,916 PROMOTE DIVERSITY AND 1392 01:24:13,916 --> 01:24:21,123 HEALTH-RELATED RESEARCH. 1393 01:24:21,123 --> 01:24:25,427 THIS WAS A JOINT ON 1394 01:24:25,427 --> 01:24:29,064 ADMINISTRATIVE SUPPLEMENTS. 1395 01:24:29,064 --> 01:24:29,464 WHAT IS A TRAINEE? 1396 01:24:29,464 --> 01:24:33,101 IT COULD BE A HIGH SCHOOL 1397 01:24:33,101 --> 01:24:41,209 STUDENT AND POSTDOC RESEARCHER. 1398 01:24:41,209 --> 01:24:43,879 IF YOU COME FROM THE NIH DIVERSE 1399 01:24:43,879 --> 01:24:45,314 BACKGROUND SO WE HAVE BEEN 1400 01:24:45,314 --> 01:24:49,117 TRYING TO BUILD THE WORKFORCE. 1401 01:24:49,117 --> 01:24:53,121 ANOTHER EXAMPLE OF RECRUITING 1402 01:24:53,121 --> 01:24:54,990 TALENTED AND DIVERSE INDIVIDUALS 1403 01:24:54,990 --> 01:24:58,927 FOR 2 YEARS NOW, WE HAVE HAD A 1404 01:24:58,927 --> 01:25:02,597 VIDEO CONTEST CALLED EYE ON THE 1405 01:25:02,597 --> 01:25:03,532 FUTURE. 1406 01:25:03,532 --> 01:25:06,868 THE PURPOSE IS TO IDENTIFY HIGH 1407 01:25:06,868 --> 01:25:10,138 SCHOOL STUDENTS FROM AROUND THE 1408 01:25:10,138 --> 01:25:14,109 US AND GET THEM INTERESTED IN 1409 01:25:14,109 --> 01:25:15,677 SCIENCE, HEALTHCARE AND VISION 1410 01:25:15,677 --> 01:25:25,921 IN PARTICULAR. 1411 01:25:26,722 --> 01:25:29,257 THEY HAVE PUT A TON OF WORK INTO 1412 01:25:29,257 --> 01:25:31,626 THIS WHILE LEADING THIS. 1413 01:25:31,626 --> 01:25:32,227 THERE ARE 4 PICTURES TAKEN OF 1414 01:25:32,227 --> 01:25:36,598 HIGH SCHOOL STUDENTS WHO WERE AT 1415 01:25:36,598 --> 01:25:36,865 BETHESDA. 1416 01:25:36,865 --> 01:25:37,499 WE BRING THE WINNERS TO BETHESDA 1417 01:25:37,499 --> 01:25:39,935 FOR THE DAY. 1418 01:25:39,935 --> 01:25:40,535 IT IS A REALLY GOOD DAY WHERE 1419 01:25:40,535 --> 01:25:44,439 SOME OF IT IS SCIENCE. 1420 01:25:44,439 --> 01:25:49,011 THEY WILL DISSECT EYES FROM 1421 01:25:49,011 --> 01:25:50,078 ANIMALS AND SOME OF IT IS 1422 01:25:50,078 --> 01:25:52,614 NETWORKING WITH TRAINEES AND 1423 01:25:52,614 --> 01:25:57,285 SCIENTISTS AND CLINICIANS HERE 1424 01:25:57,285 --> 01:25:59,688 AT NIH AND T12 AND THE PICTURE 1425 01:25:59,688 --> 01:26:02,090 ON THE RIGHT IS THE ACTING 1426 01:26:02,090 --> 01:26:06,928 DIRECTOR WHO CAME TO THE PANEL 1427 01:26:06,928 --> 01:26:10,365 DISCUSSION OF EQUITY DIVERSITY 1428 01:26:10,365 --> 01:26:15,904 AND INCLUSION THAT NIH WE HAVE 1429 01:26:15,904 --> 01:26:22,210 HAD A LOT OF FUN WITH AND THEY 1430 01:26:22,210 --> 01:26:24,646 HAVE DONE A LOT OF WORK AND 1431 01:26:24,646 --> 01:26:27,149 THINGS LIKE THAT WE HOPE WILL 1432 01:26:27,149 --> 01:26:30,318 HELP BUILD A PIPELINE. 1433 01:26:30,318 --> 01:26:36,358 AND MY LAST SLIDE IS EDUCATING 1434 01:26:36,358 --> 01:26:36,858 ABOUT IS IN -- -- VISION 1435 01:26:36,858 --> 01:26:43,065 RESEARCH ADVANCES. 1436 01:26:43,065 --> 01:26:43,632 A FEW MONTHS AGO THERE WAS A 1437 01:26:43,632 --> 01:26:47,202 CALL FOR PROPOSALS FOR WHAT IS 1438 01:26:47,202 --> 01:26:48,203 CALLED AMERICAN POSSIBILITIES A 1439 01:26:48,203 --> 01:26:55,444 WHITE HOUSE DEMO DAY. 1440 01:26:55,444 --> 01:26:56,044 SO THEY WOULD SELECT PROJECTS 1441 01:26:56,044 --> 01:26:59,247 THAT SHOWCASED HOW RESEARCH AND 1442 01:26:59,247 --> 01:27:02,517 DEVELOPMENT ADVANCES AND 1443 01:27:02,517 --> 01:27:03,351 IMPROVES THE LIVES OF 1444 01:27:03,351 --> 01:27:04,386 AMERICANS. 1445 01:27:04,386 --> 01:27:06,788 SO THE TOPICS WERE NATIONAL 1446 01:27:06,788 --> 01:27:09,524 SECURITY AND INFORMATION 1447 01:27:09,524 --> 01:27:12,961 TECHNOLOGY AND AI AND INDUSTRIES 1448 01:27:12,961 --> 01:27:16,898 OF THE FUTURE AND HEALTH. 1449 01:27:16,898 --> 01:27:19,668 WHO WILL LISTEN TO THIS? 1450 01:27:19,668 --> 01:27:22,204 WHITE HOUSE STAFF CONGRESSIONAL 1451 01:27:22,204 --> 01:27:23,872 MEMBERS, ADMINISTRATION AND 1452 01:27:23,872 --> 01:27:25,974 INVITED MEMBERS OF THE 1453 01:27:25,974 --> 01:27:29,344 COMMUNITY. 1454 01:27:29,344 --> 01:27:30,412 SO WE SUBMITTED A PROJECT WITH 1455 01:27:30,412 --> 01:27:35,951 OCT. 1456 01:27:35,951 --> 01:27:36,118 WHO? 1457 01:27:36,118 --> 01:27:38,520 THE PEOPLE FROM THE CLINICAL 1458 01:27:38,520 --> 01:27:48,230 SIDE SO THIS PROJECT WAS PICKED 1459 01:27:48,230 --> 01:27:55,337 FOR OCT SO BASICALLY THERE WAS 1460 01:27:55,337 --> 01:27:55,904 SUPPOSED TO BE A TRIP ON THE 1461 01:27:55,904 --> 01:27:56,471 WHITE HOUSE LAWN BUT I THINK 1462 01:27:56,471 --> 01:27:57,205 THEY CHANGED IT BECAUSE IT IS 1463 01:27:57,205 --> 01:28:00,642 NOVEMBER AND MOVED IT INDOORS. 1464 01:28:00,642 --> 01:28:02,811 BUT REALLY THIS IS TRULY A 1465 01:28:02,811 --> 01:28:05,914 TECHNOLOGY THAT IS CHANGING OF 1466 01:28:05,914 --> 01:28:10,252 EYE CARE AND HEALTH CARE. 1467 01:28:10,252 --> 01:28:11,853 IT IS TIMELY THAT THIS 1468 01:28:11,853 --> 01:28:14,456 TECHNOLOGICAL THAT WE ARE 1469 01:28:14,456 --> 01:28:18,260 RECEIVING THE AWARD THIS YEAR SO 1470 01:28:18,260 --> 01:28:18,894 BASICALLY WE CAN SHOW THAT OFF A 1471 01:28:18,894 --> 01:28:20,095 LITTLE BIT. 1472 01:28:20,095 --> 01:28:30,438 EXCITED ABOUT THAT. 1473 01:28:30,939 --> 01:28:39,047 I WANT TO GIVE A BUDGET UPDATE. 1474 01:28:39,047 --> 01:28:46,021 KAREN IS OUR BUDGET OFFICER. 1475 01:28:46,021 --> 01:28:48,156 >> THANK YOU AND GOOD MORNING. 1476 01:28:48,156 --> 01:28:52,694 I AM THE BUDGET OFFICER IN 1477 01:28:52,694 --> 01:28:57,966 PLEASED TO BE HERE WITH YOU 1478 01:28:57,966 --> 01:28:58,567 TODAY TO GIVE A UPDATE I WILL 1479 01:28:58,567 --> 01:29:00,368 GIVE A RECAP ENDING LAST FISCAL 1480 01:29:00,368 --> 01:29:02,537 YEAR FROM SEPTEMBER 30th AND 1481 01:29:02,537 --> 01:29:03,305 SHARE THE BUDGET FOR THE CURRENT 1482 01:29:03,305 --> 01:29:10,579 FISCAL YEAR BEGINNING OCTOBER 1. 1483 01:29:10,579 --> 01:29:16,418 HERE WE HAVE ANY I ESTIMATED 1484 01:29:16,418 --> 01:29:18,753 SPENDING ACTIVITY FISCAL YEAR 1485 01:29:18,753 --> 01:29:18,954 2023. 1486 01:29:18,954 --> 01:29:24,226 THE BUDGET WAS 896.$1 MILLION 1487 01:29:24,226 --> 01:29:27,996 WHICH 32.$6 MILLION OR 1488 01:29:27,996 --> 01:29:30,832 3.8 PERCENT INCREASE OVER FISCAL 1489 01:29:30,832 --> 01:29:34,002 YEAR 2022. 1490 01:29:34,002 --> 01:29:36,605 ALTHOUGH FISCAL YEAR 23 HAS 1491 01:29:36,605 --> 01:29:38,506 CONCLUDED OFFICIAL TOTALS CANNOT 1492 01:29:38,506 --> 01:29:42,711 BE RELEASED UNTIL COLLECTED AND 1493 01:29:42,711 --> 01:29:45,247 THEN REPORTED TO HHS AND TO 1494 01:29:45,247 --> 01:29:49,985 CONGRESS. 1495 01:29:49,985 --> 01:29:50,585 THAT PROCESS WILL HAPPEN OVER 1496 01:29:50,585 --> 01:29:51,186 THE NEXT FEW WEEKS BUT WHAT IS 1497 01:29:51,186 --> 01:29:51,786 DISPLAYED HERE IS A GOOD 1498 01:29:51,786 --> 01:29:52,454 REPRESENTATION OF HOW WE ENDED 1499 01:29:52,454 --> 01:29:57,092 LAST YEAR. 1500 01:29:57,092 --> 01:29:57,726 THE PIE CHART TO THE LEFT SHOWS 1501 01:29:57,726 --> 01:30:06,434 THE PERCENTAGE OF THE FUNDING 1502 01:30:06,434 --> 01:30:07,068 SPENT WITH EACH MAJOR ACTIVITY. 1503 01:30:07,068 --> 01:30:07,669 THE RESEARCH PROJECT GRANTS AT 1504 01:30:07,669 --> 01:30:08,303 64 PERCENT WHICH IS THE LARGEST 1505 01:30:08,303 --> 01:30:11,206 PIECE OF THE BUDGET. 1506 01:30:11,206 --> 01:30:11,673 THE RESEARCH CENTER AT 1507 01:30:11,673 --> 01:30:11,940 3 PERCENT. 1508 01:30:11,940 --> 01:30:17,012 OTHER RESEARCH AT 9 PERCENT. 1509 01:30:17,012 --> 01:30:17,479 TRAINING AT 2 PERCENT. 1510 01:30:17,479 --> 01:30:17,979 RESEARCH AND DEVELOPMENT 1511 01:30:17,979 --> 01:30:23,118 CONTRACTS 5 PERCENT. 1512 01:30:23,118 --> 01:30:23,752 INTRAMURAL PROGRAMS 12 PERCENT. 1513 01:30:23,752 --> 01:30:27,255 RESEARCH SUPPORT 5 PERCENT. 1514 01:30:27,255 --> 01:30:28,290 THE BAR CHART SHOWS A HIGHER 1515 01:30:28,290 --> 01:30:33,795 LEVEL VIEW OF NEI SPENDING 1516 01:30:33,795 --> 01:30:34,729 DIVIDED INTO 3 MAJOR 1517 01:30:34,729 --> 01:30:36,765 CATEGORIES. 1518 01:30:36,765 --> 01:30:39,567 EXTRAMURAL RESEARCH AT 1519 01:30:39,567 --> 01:30:41,236 83 PERCENT. 1520 01:30:41,236 --> 01:30:43,738 INTRAMURAL RESEARCH AT 1521 01:30:43,738 --> 01:30:44,439 12 PERCENT. 1522 01:30:44,439 --> 01:30:50,045 RESEARCH SUPPORTED 5 PERCENT. 1523 01:30:50,045 --> 01:30:50,679 THESE FUNDING LEVELS ARE IN LINE 1524 01:30:50,679 --> 01:30:58,253 OF HISTORICAL TRENDS. 1525 01:30:58,253 --> 01:30:58,887 MOVING ON TO THE BUDGET CURRENT 1526 01:30:58,887 --> 01:31:03,658 FISCAL YEAR 24. 1527 01:31:03,658 --> 01:31:04,192 A COUPLE WEEKS AGO WE WERE 1528 01:31:04,192 --> 01:31:06,795 DANGEROUSLY CLOSE TO A SHUTDOWN 1529 01:31:06,795 --> 01:31:14,536 AVOIDED BY CONGRESS PASSING TO 1530 01:31:14,536 --> 01:31:15,170 ALLOW THE GOVERNMENT TO OPERATE 1531 01:31:15,170 --> 01:31:15,704 ON A CONTINUING RESOLUTION 1532 01:31:15,704 --> 01:31:17,706 GIVING CONGRESS ADDITIONAL TIME 1533 01:31:17,706 --> 01:31:18,740 TO RESOLVE APPROPRIATIONS. 1534 01:31:18,740 --> 01:31:25,046 THE CURRENT CR BEGAN OCTOBER FIRST 1535 01:31:25,046 --> 01:31:27,248 AND IS ENACTED THROUGH NOVEMBER 1536 01:31:27,248 --> 01:31:32,220 17 A TOTAL OF 48 DAYS. 1537 01:31:32,220 --> 01:31:36,491 ENACTED CR ASSUMES THE TOTAL OF 1538 01:31:36,491 --> 01:31:43,431 FUNDING OF $896 MILLION. 1539 01:31:43,431 --> 01:31:44,065 WHEN THE CR IS ENACTED WE DO NOT 1540 01:31:44,065 --> 01:31:44,699 RECEIVE THE FULL BUDGET FROM THE 1541 01:31:44,699 --> 01:31:49,371 FISCAL YEAR UNLESS IT IS PUT IN 1542 01:31:49,371 --> 01:31:51,172 PLACE. 1543 01:31:51,172 --> 01:31:55,610 SEARS CAN BE PUT IN PLACE FOR 1544 01:31:55,610 --> 01:31:56,244 HOURS, DAYS, WEEKS, MONTHS OR A 1545 01:31:56,244 --> 01:31:59,547 FULL FISCAL YEAR. 1546 01:31:59,547 --> 01:32:00,148 FUNDS ARE DIVIDED OUT MATCHING 1547 01:32:00,148 --> 01:32:06,454 THE NUMBER OF DAYS IN THE BILL 1548 01:32:06,454 --> 01:32:08,256 THE CURRENT CR THROUGH 1549 01:32:08,256 --> 01:32:10,458 NOVEMBER 17 FUNDS OPERATIONS FOR 1550 01:32:10,458 --> 01:32:10,692 48 DAYS. 1551 01:32:10,692 --> 01:32:21,136 IN THIS CASE THE MATHWORKS 1552 01:32:21,703 --> 01:32:22,437 $896 MILLION DIVIDED BY 365 DAYS 1553 01:32:22,437 --> 01:32:26,274 IS APPROXIMATELY $2.5 MILLION 1554 01:32:26,274 --> 01:32:32,113 PER DAY TIMES 40 DAYS IS 1555 01:32:32,113 --> 01:32:35,750 APPROXIMATELY $118 MILLION MADE 1556 01:32:35,750 --> 01:32:40,155 AVAILABLE TO MAINTAIN ALL T 12 1557 01:32:40,155 --> 01:32:40,755 OPERATIONS THROUGH NOVEMBER 17 1558 01:32:40,755 --> 01:32:47,462 AT WHICH POINT A NEW CR IS PUT 1559 01:32:47,462 --> 01:32:48,096 IN PLACE, RECEIVE APPROPRIATION 1560 01:32:48,096 --> 01:32:49,631 OR POTENTIALLY A SHUTDOWN WHICH 1561 01:32:49,631 --> 01:32:52,167 WE HOPE WILL BE AVOIDED. 1562 01:32:52,167 --> 01:32:57,071 FUNDS MADE AVAILABLE UNDER CR 1563 01:32:57,071 --> 01:32:58,606 AWARDS 1564 01:32:58,606 --> 01:33:03,011 GRANTS, CONTRACTS, INTRAMURAL 1565 01:33:03,011 --> 01:33:03,645 OPERATING EXPENSES AND SALARIES 1566 01:33:03,645 --> 01:33:08,383 AND BENEFITS AND MANDATORY COST 1567 01:33:08,383 --> 01:33:14,189 THAT IS FROM HAVING SECURITIES 1568 01:33:14,189 --> 01:33:18,159 SERVICES AND THE TRANSFER 1569 01:33:18,159 --> 01:33:21,930 SERVICES AND EDUCATION AND 1570 01:33:21,930 --> 01:33:26,234 CONTRACTING AND PROCUREMENT. 1571 01:33:26,234 --> 01:33:27,202 IT SERVICES AND EXTRAMARITAL 1572 01:33:27,202 --> 01:33:31,906 RESEARCH OVERSIGHT AND SYSTEM 1573 01:33:31,906 --> 01:33:34,809 SUPPORT TO THE PROGRAMS AND 1574 01:33:34,809 --> 01:33:35,376 OFFICES THAT DON'T ACTUALLY 1575 01:33:35,376 --> 01:33:37,312 RECEIVE APPROPRIATION FROM 1576 01:33:37,312 --> 01:33:41,549 CONGRESS OR FEE-FOR-SERVICE. 1577 01:33:41,549 --> 01:33:46,154 BECAUSE IT IS THE LARGEST 1578 01:33:46,154 --> 01:33:46,688 PORTION OF THE BUDGET WHEN 1579 01:33:46,688 --> 01:33:49,824 OPERATING UNDER THE CR THEY WILL 1580 01:33:49,824 --> 01:33:55,730 ISSUE GUIDANCE BUT EARLIER THIS 1581 01:33:55,730 --> 01:33:56,331 MONTH THE NOTICE WAS RELEASED 1582 01:33:56,331 --> 01:34:00,168 THAT GIVES NIH THE DISCRETION TO 1583 01:34:00,168 --> 01:34:06,074 REDUCE NONCOMPETING AWARDS FROM 1584 01:34:06,074 --> 01:34:06,608 THE MOST RECENT NOTICE OF 1585 01:34:06,608 --> 01:34:06,808 AWARD. 1586 01:34:06,808 --> 01:34:12,146 IT GIVES NIH FLEXIBILITY TO MAKE 1587 01:34:12,146 --> 01:34:12,780 ADJUSTMENTS THAT MATCH THE NEEDS 1588 01:34:12,780 --> 01:34:14,816 OF THEIR PORTFOLIOS. 1589 01:34:14,816 --> 01:34:15,316 IN THE PAST WE HAVE SEEN 1590 01:34:15,316 --> 01:34:18,186 GUIDANCE ALLOWING CUTS AT 1591 01:34:18,186 --> 01:34:20,755 10 PERCENT WHICH THEN HAS TO BE 1592 01:34:20,755 --> 01:34:21,656 RESTORED ONCE THE APPROPRIATION 1593 01:34:21,656 --> 01:34:30,665 IS ENACTED. 1594 01:34:30,665 --> 01:34:31,766 THE FINAL SLIDE AND IS A 1595 01:34:31,766 --> 01:34:36,004 SIDE-BY-SIDE COMPARISON OF NEI 1596 01:34:36,004 --> 01:34:45,613 2024 PRESIDENT BUDGET REQUEST. 1597 01:34:45,613 --> 01:34:51,119 BASED ON WHAT WE KNOW TODAY 1598 01:34:51,119 --> 01:34:51,719 PREDICTING A FLAT BUDGET FROM 1599 01:34:51,719 --> 01:34:52,320 LAST YEAR IS PROBABLY THE BEST 1600 01:34:52,320 --> 01:34:54,188 WE CAN EXPECT. 1601 01:34:54,188 --> 01:34:56,691 BUT A BUDGET CUT IS STILL 1602 01:34:56,691 --> 01:34:57,825 POSSIBLE. 1603 01:34:57,825 --> 01:34:59,360 IF CONGRESS DOES NOT SETTLE 1604 01:34:59,360 --> 01:35:03,231 APPROPRIATIONS AN ALTERNATIVE 1605 01:35:03,231 --> 01:35:05,833 OUTCOME COULD BE A FULL YEAR 1606 01:35:05,833 --> 01:35:07,335 CONTINUING RESOLUTION. 1607 01:35:07,335 --> 01:35:11,973 TO BE CLEAR A BUDGET WITH NO 1608 01:35:11,973 --> 01:35:12,874 INCREASE IS VIRTUALLY A CUT IN 1609 01:35:12,874 --> 01:35:16,811 FUNDING BECAUSE THE COST OF 1610 01:35:16,811 --> 01:35:17,946 DOING BUSINESS INCREASES EVERY 1611 01:35:17,946 --> 01:35:21,783 YEAR AND A MANDATORY COST 1612 01:35:21,783 --> 01:35:22,250 MENTIONED EARLIER WILL 1613 01:35:22,250 --> 01:35:22,517 INCREASE. 1614 01:35:22,517 --> 01:35:24,419 WITH THAT SAID WE ARE VERY 1615 01:35:24,419 --> 01:35:27,121 CONFIDENT IN OUR ABILITY TO 1616 01:35:27,121 --> 01:35:28,156 MANAGE WITHIN THE RESOURCES WE 1617 01:35:28,156 --> 01:35:33,027 WERE AFFORDED WITH THE 1618 01:35:33,027 --> 01:35:33,928 UNCERTAINTY THAT REMAINS IN 1619 01:35:33,928 --> 01:35:34,996 CONGRESS. 1620 01:35:34,996 --> 01:35:41,436 THE PROPOSED BUDGET PICTURE IS 1621 01:35:41,436 --> 01:35:41,703 DIFFERENT. 1622 01:35:41,703 --> 01:35:43,871 THE HOUSE BILL REDUCES THE TOTAL 1623 01:35:43,871 --> 01:35:48,543 BUDGET BY 3.$7 MILLION. 1624 01:35:48,543 --> 01:35:49,944 UNDER THIS SCENARIO THOSE 1625 01:35:49,944 --> 01:35:51,579 INSTITUTES ARE HELD FLAT THE 1626 01:35:51,579 --> 01:36:02,023 CUTS ARE TARGETED TO MANY 1627 01:36:08,463 --> 01:36:08,930 ORGANIZATIONS AND REDUCES 1628 01:36:08,930 --> 01:36:09,564 FUNDING BUT DOES NOT REPLACE IT 1629 01:36:09,564 --> 01:36:13,968 WITH NON- CARE MANY RESULTING IN 1630 01:36:13,968 --> 01:36:17,372 CANCER TOTAL. 1631 01:36:17,372 --> 01:36:23,311 THE CURE AND WITH 4.$8 BILLION 1632 01:36:23,311 --> 01:36:31,386 OVER A 10 YEAR PERIOD FISCAL 1633 01:36:31,386 --> 01:36:31,786 YEAR THROUGH 2026. 1634 01:36:31,786 --> 01:36:32,353 OVER THE LIFE OF THE PROGRAM 1635 01:36:32,353 --> 01:36:37,225 FUNDING HAS BEEN INCLUDED CANCER 1636 01:36:37,225 --> 01:36:38,159 MOONSHOT AND REGENERATIVE 1637 01:36:38,159 --> 01:36:38,826 MEDICINE. 1638 01:36:38,826 --> 01:36:43,998 THE HOUSE BILL PROPOSES TO BE 1639 01:36:43,998 --> 01:36:50,138 FUNDED AT $1 BILLION WITH FY 1640 01:36:50,138 --> 01:36:51,005 2023 LEVELS FOR LAST YEAR. 1641 01:36:51,005 --> 01:36:55,043 THE SENATE HOWEVER WITH THE 1642 01:36:55,043 --> 01:36:59,447 C.A.R.E.S. ACT FUNDING AND 1643 01:36:59,447 --> 01:37:02,917 PROPOSES 265 MILLION. 1644 01:37:02,917 --> 01:37:07,088 AND THAT FACTOR IMPACTING IF WE 1645 01:37:07,088 --> 01:37:07,522 RECEIVE A FULL YEAR 1646 01:37:07,522 --> 01:37:08,056 APPROPRIATION THERE IS NO 1647 01:37:08,056 --> 01:37:11,359 SPEAKER OF THE HOUSE. 1648 01:37:11,359 --> 01:37:12,927 IT SERVES A CRITICAL ROLE OF 1649 01:37:12,927 --> 01:37:17,565 NEGOTIATIONS WITH THE PRESIDENT 1650 01:37:17,565 --> 01:37:17,865 AND SENATE. 1651 01:37:17,865 --> 01:37:18,466 WITHOUT THAT ROLE PERMANENTLY 1652 01:37:18,466 --> 01:37:19,834 FILLED, CRITICAL PROCESS SUCH AS 1653 01:37:19,834 --> 01:37:21,803 FINALIZING APPROPRIATIONS AND 1654 01:37:21,803 --> 01:37:26,741 RESOLVING SUPPORT FOR OTHER 1655 01:37:26,741 --> 01:37:27,308 NATIONS SUCH AS UKRAINE AND 1656 01:37:27,308 --> 01:37:30,511 ISRAEL ARE DELAYED. 1657 01:37:30,511 --> 01:37:32,380 CURRENTLY WE ARE STILL ON 1658 01:37:32,380 --> 01:37:38,519 SHUTDOWN WATCH. 1659 01:37:38,519 --> 01:37:41,089 IF I HAD TO GUESS I WOULD SAY WE 1660 01:37:41,089 --> 01:37:44,025 WILL SEE AT LEAST 1 MORE 1661 01:37:44,025 --> 01:37:46,294 CONTINUING RESOLUTION BUT IT IS 1662 01:37:46,294 --> 01:37:48,663 HOW THE PROCESS PLAYS OUT. 1663 01:37:48,663 --> 01:37:57,572 SO TO WATCH IN CONGRESS. 1664 01:37:57,572 --> 01:37:59,173 SO THAT IS MY LAST SLIDE BUT I'M 1665 01:37:59,173 --> 01:38:09,517 HAPPY TO TAKE QUESTIONS. 1666 01:38:09,517 --> 01:38:10,017 >> THANK YOU VERY MUCH. 1667 01:38:10,017 --> 01:38:20,261 ANY QUESTIONS? 1668 01:38:22,597 --> 01:38:22,864 THINGS A LOT. 1669 01:38:22,864 --> 01:38:33,274 THERE IS A LOT GOING ON. 1670 01:38:34,842 --> 01:38:35,376 WE HAVE A FEW MINUTES DOES 1671 01:38:35,376 --> 01:38:38,045 ANYBODY HAVE COMMENTS OR 1672 01:38:38,045 --> 01:38:40,748 QUESTIONS IN THE LAST FEW 1673 01:38:40,748 --> 01:38:50,892 MINUTES? 1674 01:38:58,533 --> 01:39:07,675 SO NEXT IS A BREAK. 1675 01:39:07,675 --> 01:39:11,746 WE HAVE 15 MINUTES FOR A BREAK 1676 01:39:11,746 --> 01:39:12,346 PLEASE BE BACK HERE BY 1030 SO 1677 01:39:12,346 --> 01:39:15,450 WE CAN START THE NEXT SESSION ON TIME. 1678 01:39:15,450 --> 01:39:17,718 SOME HAVE TIME LIMITATIONS. 1679 01:39:17,718 --> 01:39:18,286 ENJOY YOUR BREAK. 1680 01:39:18,286 --> 01:39:28,996 1681 01:56:03,023 --> 01:56:13,467 STARTED MAKE YOUR WAY TO YOUR 1682 01:56:36,022 --> 01:56:37,057 SEATS. 1683 01:56:37,057 --> 01:56:38,058 WE WILL GO AHEAD AND GET 1684 01:56:38,058 --> 01:56:48,201 STARTED. 1685 01:57:06,553 --> 01:57:10,991 LET'S GET STARTED. 1686 01:57:10,991 --> 01:57:21,468 SO NOW WITH COLLABORATIONS. 1687 01:39:49,383 --> 01:39:49,951 WE WILL GO AHEAD AND GET STARTED 1688 01:39:49,951 --> 01:39:56,190 WITH THE NEXT SESSION. 1689 01:39:56,190 --> 01:39:57,225 AND THE TOPIC IS THAT WHAT WE 1690 01:39:57,225 --> 01:40:00,728 HAVE BEEN DISCUSSING ALMOST 2 1691 01:40:00,728 --> 01:40:03,431 YEARS NOW OF COLLABORATIONS 1692 01:40:03,431 --> 01:40:06,901 IDEAS BETWEEN AND EI AND THE ALL 1693 01:40:06,901 --> 01:40:14,108 OF US PROJECT. 1694 01:40:14,108 --> 01:40:24,652 BUT THAT IS AN AMAZING PROJECT. 1695 01:40:25,186 --> 01:40:27,688 AND WHAT WE HAVE BEEN EXCITED 1696 01:40:27,688 --> 01:40:33,961 ABOUT AND THE MEETINGS IN A 1697 01:40:33,961 --> 01:40:34,528 WORKSHOP HAVE -- -- RECENTLY 1698 01:40:34,528 --> 01:40:34,962 LEADING UP TO THIS. 1699 01:40:34,962 --> 01:40:35,596 THE PURPOSE OF THE SESSION IS TO 1700 01:40:35,596 --> 01:40:36,998 LET YOU KNOW WHAT HAS BEEN 1701 01:40:36,998 --> 01:40:46,674 HAPPENING ABOUT THIS. 1702 01:40:46,674 --> 01:40:47,308 EACH OF THE TALKS OR 15 MINUTES 1703 01:40:47,308 --> 01:40:47,942 WITH A FEW MINUTES OF DISCUSSION 1704 01:40:47,942 --> 01:40:58,152 AFTER THAT. 1705 01:41:00,121 --> 01:41:00,621 AND AFTER THAT IT LEAVES 30 1706 01:41:00,621 --> 01:41:01,355 MINUTES FOR DISCUSSION 1707 01:41:01,355 --> 01:41:07,995 AFTERWARDS. 1708 01:41:07,995 --> 01:41:08,629 SO WE REALLY WANT TO HEAR ALL OF 1709 01:41:08,629 --> 01:41:18,039 YOUR THOUGHTS AND FEEDBACK. 1710 01:41:18,039 --> 01:41:24,312 BUT IT'S NOT UP RIGHT NOW. 1711 01:41:24,312 --> 01:41:24,946 AND TO INTRODUCE THE 3 SPEAKERS 1712 01:41:24,946 --> 01:41:29,483 1 BY 1. 1713 01:41:29,483 --> 01:41:34,388 1 WAS THE CEO OF THE ALL OF US 1714 01:41:34,388 --> 01:41:34,956 PROJECT AND JOSH HAD AMAZING 1715 01:41:34,956 --> 01:41:44,265 ACADEMIC CAREER. 1716 01:41:44,265 --> 01:41:48,302 AND AT THE NIH A LITTLE OVER 3 1717 01:41:48,302 --> 01:41:54,408 YEARS. 1718 01:41:54,408 --> 01:41:55,042 AND TO TALK ABOUT THE ALL OF US 1719 01:41:55,042 --> 01:42:01,916 PROGRAM WITH THE OVERVIEW. 1720 01:42:01,916 --> 01:42:08,556 AND TO TALK ABOUT A WORKSHOP WE 1721 01:42:08,556 --> 01:42:09,023 HOPE TO LEAD FROM OUR 1722 01:42:09,023 --> 01:42:09,657 PERSPECTIVE WITH PEOPLE FROM ALL 1723 01:42:09,657 --> 01:42:10,925 OF US. 1724 01:42:10,925 --> 01:42:17,131 FROM THE BIOMEDICAL IMAGING AND 1725 01:42:17,131 --> 01:42:22,870 BIOMEDICAL - - AND THEN WE WILL 1726 01:42:22,870 --> 01:42:23,671 SPEAK ABOUT COMMON DATA MODELS 1727 01:42:23,671 --> 01:42:28,409 AND WORK WITH CARRIE AND SEVERAL 1728 01:42:28,409 --> 01:42:32,780 OTHERS INVOLVING DEVELOPING THAT 1729 01:42:32,780 --> 01:42:39,620 DATA MODEL AND STANDARDS SO THE 1730 01:42:39,620 --> 01:42:42,123 3 WILL GO 1 BY 1. 1731 01:42:42,123 --> 01:42:47,061 WELCOME. 1732 01:42:47,061 --> 01:42:54,969 >> IT IS A PLEASURE THANK YOU 1733 01:42:54,969 --> 01:43:02,143 FOR THE KIND INTRODUCTION WITH 1734 01:43:02,143 --> 01:43:02,710 THE WHOLE PROCESS LOOKING AT 1735 01:43:02,710 --> 01:43:04,645 THIS JOB RIGHT AFTER I HAD 1736 01:43:04,645 --> 01:43:07,548 JOINED AND I ENJOYED OUR 1737 01:43:07,548 --> 01:43:09,917 CONVERSATION AND WHAT WE SAW A 1738 01:43:09,917 --> 01:43:13,521 LOT OF POTENTIAL FOR IS WE ARE 1739 01:43:13,521 --> 01:43:15,656 EXCITED SO TALK ABOUT AN 1740 01:43:15,656 --> 01:43:22,730 OVERVIEW OF THE PROGRAM THEN WE 1741 01:43:22,730 --> 01:43:23,364 WILL TALK ABOUT THE WORKSHOPS I 1742 01:43:23,364 --> 01:43:23,998 WILL TEASE YOU WITH THAT AND LET 1743 01:43:23,998 --> 01:43:24,432 HER GO INTO DETAIL. 1744 01:43:24,432 --> 01:43:29,737 THIS WAS ENVISIONED PRESIDENT 1745 01:43:29,737 --> 01:43:32,273 OBAMA STATE OF THE UNION 2015 1746 01:43:32,273 --> 01:43:40,481 WORKSHOP PLANNING AND TO 1747 01:43:40,481 --> 01:43:41,082 ACCELERATE HEALTH RESEARCH AND 1748 01:43:41,082 --> 01:43:41,615 MEDICAL BREAKTHROUGHS AND 1749 01:43:41,615 --> 01:43:42,483 PREVENTION TREATMENT FOR ALL OF 1750 01:43:42,483 --> 01:43:44,185 US THOSE WERE CHOSEN 1751 01:43:44,185 --> 01:43:48,789 INTENTIONALLY TO REFLECT THE 1752 01:43:48,789 --> 01:43:49,557 DIVERSITY TO RECRUIT BROADLY 1753 01:43:49,557 --> 01:43:53,861 ACROSS THE UNITED STATES WITH AT 1754 01:43:53,861 --> 01:43:56,330 LEAST 1 MILLION PARTICIPANTS FOR 1755 01:43:56,330 --> 01:43:59,533 DECADES AND WE WANT TO TAKE THE 1756 01:43:59,533 --> 01:44:06,273 DATA SET AND TO PUT IT INTO HIS 1757 01:44:06,273 --> 01:44:08,476 HANDS AS MANY RESEARCHERS AS 1758 01:44:08,476 --> 01:44:15,082 POSSIBLE THAT ARE RELEVANT TO 1759 01:44:15,082 --> 01:44:15,716 THE BROAD POPULATIONS IN A SAFE 1760 01:44:15,716 --> 01:44:17,251 AND SECURE MANNER. 1761 01:44:17,251 --> 01:44:27,762 STARTING WITH NIH AND THEN TO 1762 01:44:30,931 --> 01:44:31,465 IMPROVE OR ACCELERATE RESEARCH 1763 01:44:31,465 --> 01:44:32,099 AND PROVIDE CERTAIN BENEFITS OF 1764 01:44:32,099 --> 01:44:35,302 SCALE AND ACCESSIBILITY TO 1765 01:44:35,302 --> 01:44:38,339 ESTABLISH CORE VALUES TALK ABOUT 1766 01:44:38,339 --> 01:44:41,041 TRANSPARENCY OR TRUSTOR DATA 1767 01:44:41,041 --> 01:44:49,083 AVAILABILITY TO FACILITATE THAT 1768 01:44:49,083 --> 01:44:50,217 LOOKING AT PARTICIPANTS FROM ALL 1769 01:44:50,217 --> 01:44:52,920 50 STATES AND TERRITORIES 1770 01:44:52,920 --> 01:44:57,424 INCLUDING DC YOU CAN SEE OUR 1771 01:44:57,424 --> 01:45:03,330 TOTALS LAUNCH NATIONALLY 2018. 1772 01:45:03,330 --> 01:45:06,033 PEOPLE PARTICIPATE IN DIFFERENT 1773 01:45:06,033 --> 01:45:10,971 WAYS YOU COULD NOT DONATE BIO 1774 01:45:10,971 --> 01:45:11,539 SPECIMEN WHEN WE STARTED AT 1775 01:45:11,539 --> 01:45:18,712 LEAST NOW YOU CAN GET A KIT WE 1776 01:45:18,712 --> 01:45:19,246 HAVE WAYS OF GIVING BLOOD. 1777 01:45:19,246 --> 01:45:19,813 THE PLACES THAT HAVE GREATER 1778 01:45:19,813 --> 01:45:20,447 REPRESENTATION IS LARGE ACADEMIC 1779 01:45:20,447 --> 01:45:22,583 OR OTHER HEALTHCARE SYSTEMS 1780 01:45:22,583 --> 01:45:27,154 RECRUITING. 1781 01:45:27,154 --> 01:45:27,621 AND OTHERS PART OF THE 1782 01:45:27,621 --> 01:45:31,025 RECRUITMENT EXERCISE YOU CAN SEE 1783 01:45:31,025 --> 01:45:32,293 500,000 HAVE COMPLETED THE 1784 01:45:32,293 --> 01:45:36,063 INITIAL SURVEYS NEVER AGREED TO 1785 01:45:36,063 --> 01:45:40,267 SHARE THE EHR. 1786 01:45:40,267 --> 01:45:45,439 POTENTIALLY FOCUSED ON DIVERSITY 1787 01:45:45,439 --> 01:45:46,040 AND DIFFERENT DOMAINS WITH THE 1788 01:45:46,040 --> 01:45:48,042 LITERATURE SURVEY OF HOW WE 1789 01:45:48,042 --> 01:45:54,315 DEFINE UNDERREPRESENTED 1790 01:45:54,315 --> 01:45:54,915 BIOMEDICAL RESEARCH AND THOSE 1791 01:45:54,915 --> 01:45:55,549 ARE THE CATEGORIES ON THE RIGHT 1792 01:45:55,549 --> 01:46:00,321 AND RACE AND ETHNICITY. 1793 01:46:00,321 --> 01:46:04,291 AND TARGETED OUR GOAL THAT 1794 01:46:04,291 --> 01:46:11,065 50 PERCENT OTHER THAN 1795 01:46:11,065 --> 01:46:11,632 NON-HISPANIC WHITE WE ARE A 1796 01:46:11,632 --> 01:46:12,199 LITTLE BIT OFF FROM WHERE WE 1797 01:46:12,199 --> 01:46:15,436 WANT TO GO BUT THAT WAS DURING 1798 01:46:15,436 --> 01:46:16,537 COVID THAT DROP DURING THOSE 1799 01:46:16,537 --> 01:46:23,777 TIMES. 1800 01:46:23,777 --> 01:46:25,346 AND THEN OTHER CATEGORIES OVER 1801 01:46:25,346 --> 01:46:26,347 80 PERCENT ARE PARTICIPANTS IN 1802 01:46:26,347 --> 01:46:31,218 AT LEAST 1 OF THESE DOMAINS. 1803 01:46:31,218 --> 01:46:33,721 IT IS ONGOING LONGITUDINAL 1804 01:46:33,721 --> 01:46:35,055 PROGRAMS. 1805 01:46:35,055 --> 01:46:40,661 WE LAUNCHED 1 OF THOSE AND THOSE 1806 01:46:40,661 --> 01:46:43,163 ARE PART OF THE CORE OR SURVEY 1807 01:46:43,163 --> 01:46:46,767 MODULES JUST A MODEL OF HOW WE 1808 01:46:46,767 --> 01:46:47,434 CAN EVOLVE THE RESOURCE OVER 1809 01:46:47,434 --> 01:46:51,538 TIME. 1810 01:46:51,538 --> 01:46:54,108 WE COLLECT THE SAME TYPES OF 1811 01:46:54,108 --> 01:46:57,111 DATA REGARDLESS OF WHO JOINS THE 1812 01:46:57,111 --> 01:46:57,778 PROGRAM WITH THE ELECTRONIC 1813 01:46:57,778 --> 01:47:01,115 HEALTH RECORDS AND WE RELEASE 1 1814 01:47:01,115 --> 01:47:04,918 NEW SURVEY A YEAR TO OUR 1815 01:47:04,918 --> 01:47:06,720 PARTICIPANTS WE DID A REPEATED 1816 01:47:06,720 --> 01:47:12,593 SURVEY DURING COVID WITH A CORE 1817 01:47:12,593 --> 01:47:13,527 SET OF PHYSICAL MEASURES IF YOU 1818 01:47:13,527 --> 01:47:19,033 COME IN PERSON WE COLLECT FOR 1819 01:47:19,033 --> 01:47:24,505 BLOOD AND PLASMA AND URINE AND 1820 01:47:24,505 --> 01:47:27,074 IF YOU WANT TO DONATE A BIO 1821 01:47:27,074 --> 01:47:29,977 SPECIMEN A SLIDE IS AVAILABLE WE 1822 01:47:29,977 --> 01:47:30,577 ALLOW PEOPLE TO PARTICIPATE IN 1823 01:47:30,577 --> 01:47:35,249 DIFFERENT WAYS NOT EVERYONE HAS 1824 01:47:35,249 --> 01:47:36,083 TO CONTRIBUTE OR SHARE EHR BUT 1825 01:47:36,083 --> 01:47:43,290 MOST DO A VAST MAJORITY DO. 1826 01:47:43,290 --> 01:47:43,891 PEOPLE CAN BRING THEIR OWN IF 1827 01:47:43,891 --> 01:47:44,525 THEY HAVE THE APPLE WATCH OR FIT 1828 01:47:44,525 --> 01:47:48,462 BIT. 1829 01:47:48,462 --> 01:47:52,333 AND ALSO WE HAVE 30000 FIT 1830 01:47:52,333 --> 01:47:59,606 BITS. 1831 01:47:59,606 --> 01:48:00,240 AND WE ARE GETTING READY TO GIVE 1832 01:48:00,240 --> 01:48:00,874 OUT ANOTHER 30000 OVER THE NEXT 1833 01:48:00,874 --> 01:48:05,546 YEAR. 1834 01:48:05,546 --> 01:48:07,114 SO THAT APPROACH SHOULD APPROACH 1835 01:48:07,114 --> 01:48:09,416 ABOUT 100,000 EITHER THEY OWN 1836 01:48:09,416 --> 01:48:15,089 THE FIT BIT OR THOSE THAT DONATE 1837 01:48:15,089 --> 01:48:16,156 THAT KIND OF INFORMATION SO 1838 01:48:16,156 --> 01:48:19,093 RETURNING VALUE IS A KEY PART OF 1839 01:48:19,093 --> 01:48:23,330 THE PROGRAM WE ASK PARTICIPANTS 1840 01:48:23,330 --> 01:48:26,934 WHY MIGHT YOU JOIN? 1841 01:48:26,934 --> 01:48:30,170 IN 17 CITIES WITH POTENTIAL 1842 01:48:30,170 --> 01:48:33,006 PARTICIPANTS AND TOP OF THE LIST 1843 01:48:33,006 --> 01:48:37,845 IS DIFFERENT FOR DIFFERENT 1844 01:48:37,845 --> 01:48:38,479 PEOPLE BUT IT WAS GENETIC HEALTH 1845 01:48:38,479 --> 01:48:39,113 INFORMATION BUT THERE ARE OTHER 1846 01:48:39,113 --> 01:48:42,383 KINDS OF THINGS IF THERE ARE 1847 01:48:42,383 --> 01:48:42,983 OTHER STUDIES BUT OVERALL THE 1848 01:48:42,983 --> 01:48:46,720 MOST IMPORTANT THING NO SURPRISE 1849 01:48:46,720 --> 01:48:48,122 IS ALTRUISM THE ABILITY TO MAKE 1850 01:48:48,122 --> 01:48:54,094 A DIFFERENCE. 1851 01:48:54,094 --> 01:48:54,661 SO WE WANT TO PROVIDE THOSE 1852 01:48:54,661 --> 01:48:55,662 STORIES AND PROVIDING THIS 1853 01:48:55,662 --> 01:48:59,600 INFORMATION IN SOME WAY SO I 1854 01:48:59,600 --> 01:49:01,869 WILL HIGHLIGHT ON THE GENETICS 1855 01:49:01,869 --> 01:49:03,971 PIECE THIS IS WHAT PARTICIPANTS 1856 01:49:03,971 --> 01:49:06,073 ARE MOST INTERESTED IN WITH THE 1857 01:49:06,073 --> 01:49:08,542 MOST INNOVATIVE PART OF THE 1858 01:49:08,542 --> 01:49:12,045 PROGRAM DOING WHOLE GENOME 1859 01:49:12,045 --> 01:49:15,649 SEQUENCES AND BASED ON THAT 1860 01:49:15,649 --> 01:49:17,017 DOING SOME ANCESTRY TRAITS 1861 01:49:17,017 --> 01:49:20,454 INFORMATION WHICH IS INTERESTING 1862 01:49:20,454 --> 01:49:25,058 INFORMATION THERE AND THE HEALTH 1863 01:49:25,058 --> 01:49:25,659 RELATED LAUNCH FROM LAST YEAR 1864 01:49:25,659 --> 01:49:29,596 INTO CATEGORIES. 1865 01:49:29,596 --> 01:49:30,631 THE 59 GENES THE SECONDARY 1866 01:49:30,631 --> 01:49:33,734 FINDINGS LIST THAT IS 2 OR 1867 01:49:33,734 --> 01:49:37,004 3 PERCENT OF THE POPULATION AND 1868 01:49:37,004 --> 01:49:40,841 HAVE A PATHOGENIC PERIOD IN 1 OF 1869 01:49:40,841 --> 01:49:48,882 THOSE 59 GENES AND HOW MANY 1870 01:49:48,882 --> 01:49:54,121 DON'T KNOW AND PHARMACOGENETICS 1871 01:49:54,121 --> 01:50:01,462 THERE ARE 7 GENES WITH THOSE 1872 01:50:01,462 --> 01:50:02,095 INTERACTIONS WE HAVE INFORMATION 1873 01:50:02,095 --> 01:50:06,066 ON WE ARE OVERSEEN WITH THE FDA 1874 01:50:06,066 --> 01:50:10,671 AND YOU CAN SEE 170,000 HAVE 1875 01:50:10,671 --> 01:50:12,973 RECEIVED THE RESULTS WE OFFER 1876 01:50:12,973 --> 01:50:16,510 THESE TO 5000 PEOPLE AND NOT 1877 01:50:16,510 --> 01:50:18,745 EVERYONE DECIDES THEY WANT TO 1878 01:50:18,745 --> 01:50:28,589 AND THAT IS FINE. 1879 01:50:28,589 --> 01:50:29,223 GENETIC COUNSELORS ARE AVAILABLE 1880 01:50:29,223 --> 01:50:29,790 TO ANYONE IN THE PROCESS OF 1881 01:50:29,790 --> 01:50:32,025 ENGLISH AND SPANISH AND 1882 01:50:32,025 --> 01:50:34,528 TRANSLATION SUPPORT OVER 200 1883 01:50:34,528 --> 01:50:36,897 LANGUAGES FOR ALL OF THE 1884 01:50:36,897 --> 01:50:40,801 POSITIVE RESULTS AND THEN HAVE 1885 01:50:40,801 --> 01:50:41,635 THE MEET WITH A GENETIC 1886 01:50:41,635 --> 01:50:44,104 COUNSELOR. 1887 01:50:44,104 --> 01:50:47,941 WE HAVE AMASSED LARGE DATA SET 1888 01:50:47,941 --> 01:50:49,076 AND NOW WE RELEASE 1 NEW DATA 1889 01:50:49,076 --> 01:50:56,850 SET PER YEAR AND THAT INCLUDES 1890 01:50:56,850 --> 01:50:57,484 413,000 AND THE NOTABLE THING IS 1891 01:50:57,484 --> 01:51:01,221 BRINGING THE GENOME SEQUENCE SET 1892 01:51:01,221 --> 01:51:03,624 AT 245,000 THE FIRST STRUCTURAL 1893 01:51:03,624 --> 01:51:07,427 VARIANT COST AS WELL. 1894 01:51:07,427 --> 01:51:08,462 FIT BIT DATA AND THIS JUST SHOWS 1895 01:51:08,462 --> 01:51:10,464 THE NEW HIGHLIGHTS WHAT WE 1896 01:51:10,464 --> 01:51:16,136 BROUGHT IN FOR RELEASE AND IF 1897 01:51:16,136 --> 01:51:16,737 YOU THINK OF THE DIVERSITY OF 1898 01:51:16,737 --> 01:51:20,073 THE DATA SET AND GENOME 1899 01:51:20,073 --> 01:51:23,844 SEQUENCING ASIDE. 1900 01:51:23,844 --> 01:51:24,478 AND TO OBSERVE THE VARIATION IN 1901 01:51:24,478 --> 01:51:30,918 A BILLION DIFFERENT LOCATIONS 1902 01:51:30,918 --> 01:51:35,422 AND ABOUT 2 THIRDS OF THOSE IF 1903 01:51:35,422 --> 01:51:35,956 YOU ARE FAMILIAR WITH THE 1904 01:51:35,956 --> 01:51:36,623 RESOURCE ESSENTIALLY THE MOST 1905 01:51:36,623 --> 01:51:39,159 COMMON RESOURCE TO SEE A VARIANT 1906 01:51:39,159 --> 01:51:43,764 OR NOT MOST OF THESE ARE FIRST 1907 01:51:43,764 --> 01:51:48,268 SEEN IN THE DATA SET. 1908 01:51:48,268 --> 01:51:52,439 AND 113 MILLION OF COURSE WE 1909 01:51:52,439 --> 01:51:55,042 HAVE PHENOTYPE DATA THAT WE 1910 01:51:55,042 --> 01:52:01,782 START TO DISENTANGLE THE IMPACT 1911 01:52:01,782 --> 01:52:02,349 OF THE GENETIC VARIATION AND 1912 01:52:02,349 --> 01:52:02,950 THAT'S 1 OF THE REAL POWERS OF 1913 01:52:02,950 --> 01:52:07,688 THE RESOURCE. 1914 01:52:07,688 --> 01:52:09,823 HIGHLIGHTING THE EHR DATA IT CAN 1915 01:52:09,823 --> 01:52:15,362 GO BACK IN TIME THAT THEY ARE 1916 01:52:15,362 --> 01:52:18,732 SHARING RECORDS BACK THROUGH 1917 01:52:18,732 --> 01:52:20,233 1980 FIT BIT DATA GOES BACK 1918 01:52:20,233 --> 01:52:25,639 THROUGH 2010 BUT THAT IS MORE 1919 01:52:25,639 --> 01:52:29,009 THAN 20000 PEOPLE WITH SHARED 1920 01:52:29,009 --> 01:52:31,078 PEDIATRIC RECORDS AND ALL THESE 1921 01:52:31,078 --> 01:52:35,616 EXTRA THINGS YOU GET WITH THAT 1922 01:52:35,616 --> 01:52:37,284 DATA. 1923 01:52:37,284 --> 01:52:38,318 WE'VE HAD MULTIPLE DATA TEARS I 1924 01:52:38,318 --> 01:52:41,188 ENCOURAGE EVERYONE TO HAVE A 1925 01:52:41,188 --> 01:52:43,590 PUBLIC DATA BROWSER WITH NO 1926 01:52:43,590 --> 01:52:46,627 LOGIN AND DIAGNOSE THE SURVEY 1927 01:52:46,627 --> 01:52:50,664 RESULTS YOU CAN'T DO MUCH CROSS 1928 01:52:50,664 --> 01:52:54,234 TABULATION BUT THERE IS A 1929 01:52:54,234 --> 01:52:56,336 REGISTERED TEAR AND CONTROL TEAR 1930 01:52:56,336 --> 01:53:01,541 WITH DATA ANALYSIS AND THEN THE 1931 01:53:01,541 --> 01:53:03,410 STUDIES WE WILL TALK ABOUT OUR 1932 01:53:03,410 --> 01:53:05,612 THOUGHTS BUILDING ON THE 1933 01:53:05,612 --> 01:53:10,417 RESOURCE THIS IS AN IDEA WHAT 1934 01:53:10,417 --> 01:53:15,789 THE DATA BROWSER LOOKS LIKE 1935 01:53:15,789 --> 01:53:16,323 GLAUCOMA APPEARS IN THESE 1936 01:53:16,323 --> 01:53:24,831 ELEMENTS ACROSS THE DATA SET SO 1937 01:53:24,831 --> 01:53:25,332 ALL OF YOUR CLOTHES ARE 1938 01:53:25,332 --> 01:53:30,370 AGGREGATED TO GATHER AND THEN 1939 01:53:30,370 --> 01:53:31,304 LOOK AT WHAT THOSE VOCABULARIES 1940 01:53:31,304 --> 01:53:34,608 LOOK LIGHT SO THE SAME THING. 1941 01:53:34,608 --> 01:53:39,980 I'M AN INTERNIST SO ALL OF THE 1942 01:53:39,980 --> 01:53:40,614 HYPOGLYCEMIC SO I CAN JUST TYPE 1943 01:53:40,614 --> 01:53:45,152 THAT IN AND GET ALL OF THE 1944 01:53:45,152 --> 01:53:46,119 STRENGTHS AND GENERICS 1945 01:53:46,119 --> 01:53:50,724 TOGETHER. 1946 01:53:50,724 --> 01:53:53,260 SO WHEN YOU LOOK AT THE 1947 01:53:53,260 --> 01:53:54,594 WORKBENCH YOU HAVE INDIVIDUAL 1948 01:53:54,594 --> 01:53:58,498 DATA ANALYSIS. 1949 01:53:58,498 --> 01:54:00,033 MEANING TO INDIVIDUAL 1950 01:54:00,033 --> 01:54:03,837 RESEARCHERS ONCE APPROVED CAN 1951 01:54:03,837 --> 01:54:04,671 CREATE NEW WORKSPACES ON THE 1952 01:54:04,671 --> 01:54:10,143 FLY. 1953 01:54:10,143 --> 01:54:12,713 AND WITH ALL OF THE DATA THAT IS 1954 01:54:12,713 --> 01:54:19,286 AVAILABLE SO ONCE YOU ARE 1955 01:54:19,286 --> 01:54:20,320 APPROVED YOU COME IN AND CREATE 1956 01:54:20,320 --> 01:54:23,390 YOUR PROJECT ON THE FLY IN THOSE 1957 01:54:23,390 --> 01:54:28,895 DESCRIPTIONS ARE MADE PUBLIC. 1958 01:54:28,895 --> 01:54:31,465 BECAUSE IT'S IN THE CLOUD WE CAN 1959 01:54:31,465 --> 01:54:34,701 AUDIT THAT WE ARE PROTECTING THE 1960 01:54:34,701 --> 01:54:35,502 PRIVACY AND SECURITY OF 1961 01:54:35,502 --> 01:54:43,143 PARTICIPANTS. 1962 01:54:43,143 --> 01:54:43,744 IT IS VERY BROAD BUT WE DON'T 1963 01:54:43,744 --> 01:54:45,946 WANT YOU TO STIGMATIZE. 1964 01:54:45,946 --> 01:54:53,854 IF IT IS THEN ASK US CURRENTLY 1965 01:54:53,854 --> 01:54:55,288 OPEN TO ACADEMIC HEALTHCARE AND 1966 01:54:55,288 --> 01:54:58,191 NOT-FOR-PROFIT WE HAVE STARTED 1967 01:54:58,191 --> 01:55:04,264 TO TAKE REQUEST INTERNATIONAL AS 1968 01:55:04,264 --> 01:55:04,464 WELL. 1969 01:55:04,464 --> 01:55:04,998 ONCE YOU COME IN THERE ARE 1970 01:55:04,998 --> 01:55:06,900 WEB-BASED TOOL BUT TO DO DATA 1971 01:55:06,900 --> 01:55:12,172 ANALYSIS RIGHT NOW WE HAVE 7000 1972 01:55:12,172 --> 01:55:15,409 RESEARCHERS 600 INSTITUTIONS WE 1973 01:55:15,409 --> 01:55:22,182 HAVE TRIED TO FOCUS ON DIVERSITY 1974 01:55:22,182 --> 01:55:28,922 WE HAVE 40 HBCUS USING IT AND 1975 01:55:28,922 --> 01:55:29,456 ALSO REACHING OUT TO OTHER 1976 01:55:29,456 --> 01:55:33,293 MINORITY INSTITUTIONS AND A 1977 01:55:33,293 --> 01:55:35,762 NUMBER OF DIFFERENT PROJECTS THE 1978 01:55:35,762 --> 01:55:38,565 PROCESS TO GET ON WITH A FEW 1979 01:55:38,565 --> 01:55:44,404 STEPS AND I ENCOURAGE ANYONE BUT 1980 01:55:44,404 --> 01:55:46,873 THE INSTITUTION HAS TO HAVE AN 1981 01:55:46,873 --> 01:55:49,142 AGREEMENT IF IT SIGNS A MASTER 1982 01:55:49,142 --> 01:55:54,047 AGREEMENT WHICH MOST DO THEN 1983 01:55:54,047 --> 01:55:56,283 THEY COME TO THE WEBSITE FOR THE 1984 01:55:56,283 --> 01:56:00,420 FIRST TIME USUALLY IT IS A 1985 01:56:00,420 --> 01:56:03,256 VALIDATION THAT WORKS FOR THE 1986 01:56:03,256 --> 01:56:06,393 INSTITUTION AND THEN THEY CAN DO 1987 01:56:06,393 --> 01:56:07,093 WORK GOING THROUGH THE TRAINING 1988 01:56:07,093 --> 01:56:10,297 MODULES. 1989 01:56:10,297 --> 01:56:16,570 THE PAPERS THAT ARE COMING OUT 1990 01:56:16,570 --> 01:56:19,105 IT TAKES A FEW YEARS AFTER DATA 1991 01:56:19,105 --> 01:56:20,874 RELEASE TO GET MOMENTUM. 1992 01:56:20,874 --> 01:56:26,079 THE FIRST PAPER PUBLISHED IS ON 1993 01:56:26,079 --> 01:56:28,515 EYE DISEASE AND I WILL SHOW YOU 1994 01:56:28,515 --> 01:56:34,020 THAT WITH THE RESEARCH GOING ON 1995 01:56:34,020 --> 01:56:39,159 LOOKING AT DIFFERENT CAUSES OR 1996 01:56:39,159 --> 01:56:42,629 THE CROSSTAB AND 1 OF THE HIGHER 1997 01:56:42,629 --> 01:56:50,770 IMPACT THINGS ON THE TOP LEFT A 1998 01:56:50,770 --> 01:56:52,372 LOT OF PEOPLE ARE USING FIT BIT 1999 01:56:52,372 --> 01:56:59,579 DATA. 2000 01:56:59,579 --> 01:57:00,213 NOT SURPRISINGLY PEOPLE WALK TO 2001 01:57:00,213 --> 01:57:00,780 LAST AFTER COVID AND SOME OF 2002 01:57:00,780 --> 01:57:06,586 THAT PERSISTED THAN BEFORE COV 2003 01:57:06,586 --> 01:57:06,786 COVID. 2004 01:57:06,786 --> 01:57:07,287 I GUESS WE CAN ENCOURAGE 2005 01:57:07,287 --> 01:57:14,494 OURSELVES TO WALK MORE. 2006 01:57:14,494 --> 01:57:15,128 AT THE BOTTOM JUST POINTING OUT 2007 01:57:15,128 --> 01:57:18,765 IF YOU LOOK AT THE SURVEY DATA 2008 01:57:18,765 --> 01:57:19,399 THAT PARTICIPANTS FILL OUT LOOKS 2009 01:57:19,399 --> 01:57:21,801 LIKE A NUMBER OF INDIVIDUALS WHO 2010 01:57:21,801 --> 01:57:26,940 HAVE EHR EVIDENCE WHICH MAY 2011 01:57:26,940 --> 01:57:28,074 INDICATE THEY MAY NOT KNOW THAT 2012 01:57:28,074 --> 01:57:35,415 THEY HAVE IT BUT IT IS A POINT 2013 01:57:35,415 --> 01:57:36,016 IN THE KIND OF WORK YOU CAN DO 2014 01:57:36,016 --> 01:57:38,218 IN THE PROCESS. 2015 01:57:38,218 --> 01:57:40,754 >> THIS IS THE FIRST PAPER TO MY 2016 01:57:40,754 --> 01:57:41,721 KNOWLEDGE PUBLISHED BY 2017 01:57:41,721 --> 01:57:45,225 INVESTIGATORS USING A RESOURCE. 2018 01:57:45,225 --> 01:57:54,200 1 OF THE EYE DISEASE AND THE EHR 2019 01:57:54,200 --> 01:57:57,404 AND SHOWS THE POWER TO HAVE 2020 01:57:57,404 --> 01:57:58,772 MULTISITE INFORMATION WITH THE 2021 01:57:58,772 --> 01:58:01,975 ALGORITHM IS SINGLE SITE THAN 2022 01:58:01,975 --> 01:58:07,681 THE PERFORMANCE IS VERY POOR 2023 01:58:07,681 --> 01:58:08,248 WHICH IS A RANDOM CHANCE BUT 2024 01:58:08,248 --> 01:58:12,519 TRAINED ON MULTISTATE DATA IT IS 2025 01:58:12,519 --> 01:58:17,290 VERY GOOD AND WAS SURGERY FOR 2026 01:58:17,290 --> 01:58:23,663 GLAUCOMA WITH THE EHR AND IT -- 2027 01:58:23,663 --> 01:58:24,064 -- AND PUT BASED. 2028 01:58:24,064 --> 01:58:26,232 ALSO I WILL TALK ABOUT ANCILLARY 2029 01:58:26,232 --> 01:58:27,667 STUDIES BUILDING THE BIG CORE 2030 01:58:27,667 --> 01:58:32,839 DATA PEOPLE CAN USE WITH THE EHR 2031 01:58:32,839 --> 01:58:33,907 SURVEY BUT THEN ANCILLARY 2032 01:58:33,907 --> 01:58:36,309 STUDIES BUILD ON THIS WE WANT 2033 01:58:36,309 --> 01:58:41,147 OUR PLATFORM ACROSS NIH WE HAVE 2034 01:58:41,147 --> 01:58:41,781 A FEW OF THESE GOING SO FAR WITH 2035 01:58:41,781 --> 01:58:44,918 THE SEROLOGY A STUDY WITH NCI 2036 01:58:44,918 --> 01:58:47,687 AND A QUANTITATIVE COGNITIVE 2037 01:58:47,687 --> 01:58:50,323 BEHAVIORAL TRADE MODELS AND THEN 2038 01:58:50,323 --> 01:58:54,694 FOR PRECISION HEALTH 10000 2039 01:58:54,694 --> 01:58:56,296 PEOPLE DEEP INVESTIGATION WITH 2040 01:58:56,296 --> 01:58:58,398 PARTNERSHIPS OF DIFFERENT 2041 01:58:58,398 --> 01:59:04,170 INSTITUTE CENTERS ACROSS NIH 2042 01:59:04,170 --> 01:59:05,505 WHICH WILL EVEN DO DOMICILE 2043 01:59:05,505 --> 01:59:09,376 FEEDING STUDIES THAT LAUNCHED 2044 01:59:09,376 --> 01:59:16,483 MARCH OR APRIL OF THIS YEAR. 2045 01:59:16,483 --> 01:59:17,584 SO NOW WE TALK ABOUT WHAT WE CAN 2046 01:59:17,584 --> 01:59:20,587 DO AT T12. 2047 01:59:20,587 --> 01:59:31,031 JUST 1 OR 2 QUESTIONS NOW? 2048 01:59:37,303 --> 01:59:38,805 >> THANK YOU THAT WAS 2049 01:59:38,805 --> 01:59:46,846 INTERESTING. 2050 01:59:46,846 --> 01:59:48,448 CAN YOU ENLIGHTEN US ON THE 2051 01:59:48,448 --> 01:59:51,951 NUTRITIONAL QUESTIONERS I ASSUME 2052 01:59:51,951 --> 01:59:54,621 FOR THE LAST PART YOU PRESENTED 2053 01:59:54,621 --> 01:59:58,591 THERE IS 25 OR 27 PERCENT OF THE 2054 01:59:58,591 --> 02:00:09,102 POPULATION THAT YOU STUDIED IT 2055 02:00:09,869 --> 02:00:10,403 SEEMS THEY ARE INDIGENT OR LOW 2056 02:00:10,403 --> 02:00:12,172 INCOME AND HOW YOU ARE CAPTURING 2057 02:00:12,172 --> 02:00:16,609 THAT ACTIVITY. 2058 02:00:16,609 --> 02:00:17,010 >> GREAT QUESTION. 2059 02:00:17,010 --> 02:00:24,017 AND PH IS A SUBSET. 2060 02:00:24,017 --> 02:00:25,085 IT IS BUILT OFF THE CORRECT 2061 02:00:25,085 --> 02:00:28,321 RECRUITMENT SITES AND 1 THAT 2062 02:00:28,321 --> 02:00:36,362 LAUNCHED AS PART OF NPH THEY ARE 2063 02:00:36,362 --> 02:00:37,697 THE ONLY ONES DEVELOPING A FOOD 2064 02:00:37,697 --> 02:00:43,203 QUESTIONNAIRE BUT RIGHT NOW THAT 2065 02:00:43,203 --> 02:00:45,672 IS AS THEY DEVELOP AND TEST WITH 2066 02:00:45,672 --> 02:00:49,209 A FREQUENCY ALSO USING A COUPLE 2067 02:00:49,209 --> 02:00:50,577 DIFFERENT TYPES OF 2068 02:00:50,577 --> 02:00:53,913 QUESTIONNAIRES AND THEN THE 2069 02:00:53,913 --> 02:00:57,317 SUBSET OF THE COHORT WILL ALSO 2070 02:00:57,317 --> 02:01:03,056 THEN FOR WHAT THEY USE AT HOME 2071 02:01:03,056 --> 02:01:04,657 WITH DIFFERENT SETS OF 2072 02:01:04,657 --> 02:01:10,363 BIOMARKERS AND THEN A SUBSET OF 2073 02:01:10,363 --> 02:01:15,435 THAT CLINICAL RESEARCH CENTER 2074 02:01:15,435 --> 02:01:16,903 WITH OTHER MEASURES TAKEN DURING 2075 02:01:16,903 --> 02:01:18,605 THOSE TIMES AND THERE WILL BE 2076 02:01:18,605 --> 02:01:24,777 MORE SURVEYS AS PART OF THOSE 2077 02:01:24,777 --> 02:01:26,045 BUT IT WILL BE MULTIMODAL AND 2078 02:01:26,045 --> 02:01:30,717 THE GOAL AS WE LOOK AT THE DATA 2079 02:01:30,717 --> 02:01:31,284 TO ADOPT SOMETHING LIKE THAT 2080 02:01:31,284 --> 02:01:39,893 WITHIN THE LARGER COHORT ALSO 2081 02:01:39,893 --> 02:01:40,493 WHAT DID YOU EAT FOR TAKING A 2082 02:01:40,493 --> 02:01:44,230 PICTURE OF IT. 2083 02:01:44,230 --> 02:01:46,199 WE HOPE THEY ACHIEVE SIMILAR -- 2084 02:01:46,199 --> 02:01:56,576 -- SIMILAR DIVERSITY. 2085 02:01:58,778 --> 02:02:02,081 >> SORRY FOR THE NAÏVE QUESTION 2086 02:02:02,081 --> 02:02:05,251 BUT WHAT DOES THAT FORMALLY MEAN 2087 02:02:05,251 --> 02:02:09,189 OF UNDERREPRESENT IS THERE A 2088 02:02:09,189 --> 02:02:13,826 PRECISE DELTA AND ABSOLUTE 2089 02:02:13,826 --> 02:02:14,661 NUMBER OR RELATIVE? 2090 02:02:14,661 --> 02:02:18,198 THE POPULATION AT LARGE OR 2091 02:02:18,198 --> 02:02:18,565 SOMETHING ELSE? 2092 02:02:18,565 --> 02:02:21,267 >> GREAT QUESTION. 2093 02:02:21,267 --> 02:02:22,835 FIRST OF ALL WE ARE NOT A 2094 02:02:22,835 --> 02:02:27,473 REPRESENTATIVE POPULATION WE ARE 2095 02:02:27,473 --> 02:02:28,408 OVERREPRESENTED IN MANY WAYS AND 2096 02:02:28,408 --> 02:02:33,179 WE DECIDED WE WOULD GO FOR 2097 02:02:33,179 --> 02:02:34,480 REPRESENTATION BUT CAPTURING 2098 02:02:34,480 --> 02:02:37,951 DIFFERENCES AND REALLY SEEK TO 2099 02:02:37,951 --> 02:02:39,185 OVER AND ROLL THE 2100 02:02:39,185 --> 02:02:42,322 UNDERREPRESENTED THE POPULATION 2101 02:02:42,322 --> 02:02:43,423 WITH BIOMEDICAL RESEARCH IT IS 2102 02:02:43,423 --> 02:02:46,359 THAT MEANING IN SOME CASES A 2103 02:02:46,359 --> 02:02:48,761 POPULATION MAY NOT BE 2104 02:02:48,761 --> 02:02:57,937 UNDERREPRESENTED AND A GREAT 2105 02:02:57,937 --> 02:02:58,538 EXAMPLE WE DON'T KNOW IF THEY 2106 02:02:58,538 --> 02:02:59,138 ARE UNDERREPRESENTED BECAUSE A 2107 02:02:59,138 --> 02:02:59,772 LOT OF TIMES THE RIGHT QUESTIONS 2108 02:02:59,772 --> 02:03:00,673 ARE NOT ASKED THEY MAY BE THERE 2109 02:03:00,673 --> 02:03:04,611 OR NOT ESSENTIALLY IT IS THE 2110 02:03:04,611 --> 02:03:12,318 SAME THING SO IT'S DIFFERENT AND 2111 02:03:12,318 --> 02:03:13,119 THE DIRECTIVE WE ARE NOT 2112 02:03:13,119 --> 02:03:17,223 FORMALLY DESIGNED ON THE HEALTH 2113 02:03:17,223 --> 02:03:18,157 DISPARITIES IF YOU THINK ABOUT 2114 02:03:18,157 --> 02:03:24,597 INCOME AND MANY OF THESE ARE 2115 02:03:24,597 --> 02:03:26,666 REPRESENTATIVE DISPARITIES 2116 02:03:26,666 --> 02:03:32,772 BEFORE THEY REALIZED IT SO OUR 2117 02:03:32,772 --> 02:03:35,575 BASIS IS WHAT COHORTS ARE OUT 2118 02:03:35,575 --> 02:03:39,078 THERE AND WHAT IS THE MAKEUP 2119 02:03:39,078 --> 02:03:41,681 GENETICS IS A GREAT EXAMPLE. 2120 02:03:41,681 --> 02:03:43,149 95 PERCENT ARE OF EUROPEAN 2121 02:03:43,149 --> 02:03:44,550 ANCESTRY. 2122 02:03:44,550 --> 02:03:49,055 SO WE NEED A LOT OF PEOPLE SO 2123 02:03:49,055 --> 02:03:49,555 THAT IS EASY THAT IS OUR 2124 02:03:49,555 --> 02:03:53,192 DEFINITION BASED ON WHAT IS OUT 2125 02:03:53,192 --> 02:03:53,726 THERE WITH OTHER COHORTS. 2126 02:03:53,726 --> 02:03:56,162 THERE IS A PAPER AND I CAN SEND 2127 02:03:56,162 --> 02:04:01,000 IT TO YOU IF YOU WOULD LIKE. 2128 02:04:01,000 --> 02:04:07,140 >> THANK YOU. 2129 02:04:07,140 --> 02:04:17,450 LET'S TRANSITION. 2130 02:04:34,200 --> 02:04:34,701 >> THANK YOU FOR HAVING ME. 2131 02:04:34,701 --> 02:04:36,769 I AM THE ASSOCIATE DIRECTOR OF 2132 02:04:36,769 --> 02:04:39,439 THE NEI DATA SCIENCE AND HEALTH 2133 02:04:39,439 --> 02:04:42,342 INFORMATICS COMING UP ON THE 2134 02:04:42,342 --> 02:04:45,545 THIRD YEAR ANNIVERSARY WE HAVE 2135 02:04:45,545 --> 02:04:48,014 GROWN QUITE A BIT IN TERMS OF 2136 02:04:48,014 --> 02:04:50,583 STAFF AND ACTIVITIES COVERING A 2137 02:04:50,583 --> 02:04:56,789 VARIETY OF THINGS SO THE OFFICE 2138 02:04:56,789 --> 02:04:59,158 COVERS A VARIETY OF ACTIVITIES 2139 02:04:59,158 --> 02:05:01,828 FOCUSED ON NOT ONLY DATA 2140 02:05:01,828 --> 02:05:02,428 MANAGEMENT AND SHARING BUT 2141 02:05:02,428 --> 02:05:05,998 PUBLIC HEALTH, PUBLIC EDUCATION 2142 02:05:05,998 --> 02:05:09,369 COMMUNITY BUILDING AND 2143 02:05:09,369 --> 02:05:10,370 INCREASING THE OPPORTUNITIES FOR 2144 02:05:10,370 --> 02:05:16,142 RESEARCH USE FOR REAL-WORLD 2145 02:05:16,142 --> 02:05:16,743 EVIDENCE BUILDING RESOURCES TO 2146 02:05:16,743 --> 02:05:18,311 ENSURE TECHNOLOGIES AND VISION 2147 02:05:18,311 --> 02:05:18,544 HEALTH. 2148 02:05:18,544 --> 02:05:23,950 THEN WE USE THE STRATEGIC PLAN 2149 02:05:23,950 --> 02:05:26,486 AS THOUGH WHOLE CHAPTER ON DATA 2150 02:05:26,486 --> 02:05:31,090 SCIENCE USING THAT AS A ROADMAP 2151 02:05:31,090 --> 02:05:31,457 FOR ACTIVITIES. 2152 02:05:31,457 --> 02:05:32,358 BUILDING OFF THE HIGH PROFILE 2153 02:05:32,358 --> 02:05:37,830 ADVANCEMENTS IN THE STRATEGIC 2154 02:05:37,830 --> 02:05:42,502 PLAN CHAPTER THAT STATES NEI 2155 02:05:42,502 --> 02:05:43,136 MUST INVEST IN RESOURCES TO STAY 2156 02:05:43,136 --> 02:05:46,038 IN THAT POSITION OF 2157 02:05:46,038 --> 02:05:48,808 ADVANCEMENTS. 2158 02:05:48,808 --> 02:05:56,449 WE ENGAGED IN THIS PROCESS TO 2159 02:05:56,449 --> 02:05:57,550 ADDRESS A SPECIFIC ITEM IN THE 2160 02:05:57,550 --> 02:06:07,226 CHAPTER THAT STATES NEI SHOULD 2161 02:06:07,226 --> 02:06:07,827 DEVELOP COHORT OF SUBJECT DATA 2162 02:06:07,827 --> 02:06:08,361 COUPLED TO CLINICAL VISION 2163 02:06:08,361 --> 02:06:09,662 INFORMATION AND GENOMICS AND BIO 2164 02:06:09,662 --> 02:06:13,266 SPECIMENS SUCH AS THE BIO BANK 2165 02:06:13,266 --> 02:06:18,604 OR THE PROGRAM. 2166 02:06:18,604 --> 02:06:19,105 WE ARE ALL AWARE OF THE 2167 02:06:19,105 --> 02:06:19,739 ADVANCEMENTS IN OCULAR IMAGING A 2168 02:06:19,739 --> 02:06:23,576 COMMON PART OF MODERN EYE CARE 2169 02:06:23,576 --> 02:06:26,345 AND THAT DATA ANALYSIS AND 2170 02:06:26,345 --> 02:06:29,715 TECHNOLOGY HAS ADVANCED TO ALLOW 2171 02:06:29,715 --> 02:06:32,952 ARTIFICIAL INTELLIGENCE AND DEEP 2172 02:06:32,952 --> 02:06:34,187 LEARNING METHODS TO BE APPLIED 2173 02:06:34,187 --> 02:06:36,322 FOR RESEARCH AND DEVELOPMENT 2174 02:06:36,322 --> 02:06:37,857 CLINICAL SUPPORT AND LAY THE 2175 02:06:37,857 --> 02:06:43,396 GROUNDWORK IN A NEW AREA OF 2176 02:06:43,396 --> 02:06:43,963 SCIENCE THE OFFICE HAVE BEEN 2177 02:06:43,963 --> 02:06:47,900 INVOLVED IN COMMUNITY BUILDING 2178 02:06:47,900 --> 02:06:50,403 AROUND OCULAR IMAGING AIM TO 2179 02:06:50,403 --> 02:06:52,472 INCREASE IMAGING STANDARDS AND 2180 02:06:52,472 --> 02:07:00,413 TO RECOGNIZE WE ARE AT A PLACE 2181 02:07:00,413 --> 02:07:00,980 AND TIME WHERE THERE WAS THE 2182 02:07:00,980 --> 02:07:01,614 ABILITY TO COMBINE THE ANALYSIS 2183 02:07:01,614 --> 02:07:03,349 OF RETINAL IMAGES WITH 2184 02:07:03,349 --> 02:07:06,185 BIOMEDICAL DATA INFORMATION TO 2185 02:07:06,185 --> 02:07:08,888 ENABLE A BROAD SCOPE OF RESEARCH 2186 02:07:08,888 --> 02:07:12,758 APPLICATIONS I WILL GO INTO 2187 02:07:12,758 --> 02:07:16,462 THESE FURTHER A LITTLE BIT WHEN 2188 02:07:16,462 --> 02:07:18,931 I DISCUSS THE OUTCOMES OF THE 2189 02:07:18,931 --> 02:07:21,501 WORKSHOP BUT JUST TO SAY THESE 2190 02:07:21,501 --> 02:07:23,736 CAN INCLUDE THINGS LIKE RISK 2191 02:07:23,736 --> 02:07:27,206 FACTORS VERSUS SYSTEMIC DISEASE 2192 02:07:27,206 --> 02:07:31,944 AND BIOMEDICAL CAUSES IN THE 2193 02:07:31,944 --> 02:07:32,445 DEVELOPMENT OF TOOLS FOR 2194 02:07:32,445 --> 02:07:33,079 IMPROVING EYE DISEASE PREVENTION 2195 02:07:33,079 --> 02:07:37,617 AND TREATMENT AND HOWEVER TO 2196 02:07:37,617 --> 02:07:40,820 DATE RESEARCH IS LARGELY LIMITED 2197 02:07:40,820 --> 02:07:42,622 WITH THE LACK OF PUBLICLY 2198 02:07:42,622 --> 02:07:47,493 AVAILABLE AGNOSTIC COHORTS IT IS 2199 02:07:47,493 --> 02:07:48,027 A SITUATION INCONSISTENTLY 2200 02:07:48,027 --> 02:07:56,035 APPLIED WITH DATA STANDARDS AND 2201 02:07:56,035 --> 02:07:56,669 THEN TO EXTRACT THOSE STANDARDS 2202 02:07:56,669 --> 02:07:57,169 IN THE TRANSPARENT WAY. 2203 02:07:57,169 --> 02:07:58,404 DATA QUALITY ISSUES AND GAPS 2204 02:07:58,404 --> 02:08:04,243 LINK TO CLINICAL DATA. 2205 02:08:04,243 --> 02:08:11,250 SO WE HELD A WORKSHOP APRIL 23 2206 02:08:11,250 --> 02:08:11,851 THIS IS IN COLLABORATION WITH 2207 02:08:11,851 --> 02:08:14,887 THE NATIONAL INSTITUTE 2208 02:08:14,887 --> 02:08:15,354 BIOMEDICAL IMAGING AND 2209 02:08:15,354 --> 02:08:17,323 BIOMEDICAL ENGINEERING AND ALL 2210 02:08:17,323 --> 02:08:23,429 THE RESEARCH PROGRAM WHICH JOSH 2211 02:08:23,429 --> 02:08:23,829 JUST HIGHLIGHTED. 2212 02:08:23,829 --> 02:08:24,430 WE HOSTED THE WORKSHOP TO GET 2213 02:08:24,430 --> 02:08:29,168 SPECIFIC INSIGHT FROM EXPERTS IN 2214 02:08:29,168 --> 02:08:29,769 THE FIELD TO MAKE SURE MAXIMUM 2215 02:08:29,769 --> 02:08:33,072 ENGAGEMENT TO CAPTURE THAT 2216 02:08:33,072 --> 02:08:33,906 GRANULAR DETAIL TO MAKE THIS A 2217 02:08:33,906 --> 02:08:36,342 SUCCESSFUL PROJECT TO BE HOLD IN 2218 02:08:36,342 --> 02:08:44,150 A CLOSED MANNER OF 60 FOLKS AND 2219 02:08:44,150 --> 02:08:45,651 WITH OPHTHALMOLOGY AND 2220 02:08:45,651 --> 02:08:50,022 DIAGNOSTICS AND THE PLATFORMS 2221 02:08:50,022 --> 02:08:52,558 PUBLIC HEALTH. 2222 02:08:52,558 --> 02:08:56,462 BIOMARKERS PRIVACY A DATA 2223 02:08:56,462 --> 02:08:58,497 SECURITY HEALTH DISPARITIES AND 2224 02:08:58,497 --> 02:09:02,201 DURING THE MEETING WE EXPLORED 2225 02:09:02,201 --> 02:09:09,809 THE CURRENT STATE OF SCIENCE AND 2226 02:09:09,809 --> 02:09:10,810 THEN WE TALK ABOUT DATA 2227 02:09:10,810 --> 02:09:12,945 ANALYTICS TOOLS NEEDED TO 2228 02:09:12,945 --> 02:09:16,449 ADVANCE THE FIELD AND THEN TO 2229 02:09:16,449 --> 02:09:24,256 HIGHLIGHT AGAIN AND TO HAVE 2230 02:09:24,256 --> 02:09:28,995 EXTENSIVE EXPERIENCE IN THE 2231 02:09:28,995 --> 02:09:29,528 FIRST PAPER FROM ALL OF US 2232 02:09:29,528 --> 02:09:32,431 RESEARCH PROGRAM SHE ANALYZED 2233 02:09:32,431 --> 02:09:34,333 HEALTH RECORDS AND PRIMARY 2234 02:09:34,333 --> 02:09:39,338 OPENING OF GLAUCOMA. 2235 02:09:39,338 --> 02:09:39,972 AND THE AI MODEL TO PREDICT THE 2236 02:09:39,972 --> 02:09:43,609 NEED FOR SURGERY AND FOUND THAT 2237 02:09:43,609 --> 02:09:47,413 THROUGH USING THOSE MODELS IT 2238 02:09:47,413 --> 02:09:48,948 WAS MORE EFFICIENT AND 2239 02:09:48,948 --> 02:09:52,084 PREDICTIVE THAN A SINGLE SOURCE 2240 02:09:52,084 --> 02:09:56,656 DATA SET IT WAS A PROOF OF 2241 02:09:56,656 --> 02:09:57,223 PRINCIPLE THAT IT COULD BE A 2242 02:09:57,223 --> 02:09:57,990 SIGNIFICANT RESOURCE FOR THE 2243 02:09:57,990 --> 02:09:59,725 VISION COMMUNITY. 2244 02:09:59,725 --> 02:10:10,202 AND OUR THINKING WAS AND THEN TO 2245 02:10:10,202 --> 02:10:18,477 HAVE A GREAT OPPORTUNITY AND 2246 02:10:18,477 --> 02:10:19,011 THEN TO MOVE FORWARD WITH 2247 02:10:19,011 --> 02:10:29,355 DISCUSSIONS HOW TO INCORPORATE. 2248 02:10:29,355 --> 02:10:39,865 AND THEN WITH VARYING OPINIONS 2249 02:10:40,766 --> 02:10:41,233 IN THERE WITH THAT OCULAR 2250 02:10:41,233 --> 02:10:42,234 IMAGING TO A SUBSET OF ALL 2251 02:10:42,234 --> 02:10:50,376 PARTICIPANTS AND THEN WITH THE 2252 02:10:50,376 --> 02:10:53,746 RECENT EXPLOSION OF AI AND 2253 02:10:53,746 --> 02:11:02,755 COMPUTER SCIENCE TECHNIQUES AND 2254 02:11:02,755 --> 02:11:11,363 THEN WE WILL TALK MORE. 2255 02:11:11,363 --> 02:11:11,997 AND THEN WITH THAT CONSENSUS AND 2256 02:11:11,997 --> 02:11:12,798 STANDARDIZATION WITH THE 2257 02:11:12,798 --> 02:11:21,741 CLINICAL RECORDS. 2258 02:11:21,741 --> 02:11:22,775 AND THEN USING THE SAME DATA 2259 02:11:22,775 --> 02:11:29,949 MODEL. 2260 02:11:29,949 --> 02:11:30,583 AND SO THAT WORK PLUS THE OCULAR 2261 02:11:30,583 --> 02:11:33,686 IMAGING WOULD BUILD A TOOL THAT 2262 02:11:33,686 --> 02:11:34,620 WE CAN USE MORE TO UNDERSTAND 2263 02:11:34,620 --> 02:11:43,395 OUTCOMES. 2264 02:11:43,395 --> 02:11:44,430 AND THEN TO POST WORKSHOP 2265 02:11:44,430 --> 02:11:54,607 SUMMARIES. 2266 02:11:56,509 --> 02:11:56,909 AND THE SUMMARY OF THE 2267 02:11:56,909 --> 02:12:01,413 DISCUSSIONS THERE IS A QR CODE 2268 02:12:01,413 --> 02:12:08,687 SINCE LAST WEEK AND WITH 2269 02:12:08,687 --> 02:12:10,422 DOWNLOADS AS OF YESTERDAY ANYONE 2270 02:12:10,422 --> 02:12:12,324 THAT IS INTERESTED WITH OCULAR 2271 02:12:12,324 --> 02:12:20,132 IMAGING AND RESEARCH. 2272 02:12:20,132 --> 02:12:20,766 AND I JUST WANT TO TAKE A MINUTE 2273 02:12:20,766 --> 02:12:21,333 WHILE PEOPLE ARE SCANNING TO 2274 02:12:21,333 --> 02:12:23,335 GIVE SPECIAL THANKS TO THE 2275 02:12:23,335 --> 02:12:24,236 PEOPLE WHO ORGANIZE THE 2276 02:12:24,236 --> 02:12:30,876 WORKSHOP. 2277 02:12:30,876 --> 02:12:41,320 THANK YOU FROM ALL OF US. 2278 02:12:42,621 --> 02:12:43,189 WE CANNOT HAVE DONE ANY OF THIS 2279 02:12:43,189 --> 02:12:51,797 WITHOUT THEM. 2280 02:12:51,797 --> 02:12:52,832 AND THEN THE CHIEF MEDICAL 2281 02:12:52,832 --> 02:12:59,371 SCIENTIFIC OFFICER SAYING THE 2282 02:12:59,371 --> 02:12:59,872 WORKSHOP OPERATE AT THE 2283 02:12:59,872 --> 02:13:00,906 INTERSECTION OF CLINICAL 2284 02:13:00,906 --> 02:13:02,908 THERAPEUTICS OCULAR DATA 2285 02:13:02,908 --> 02:13:13,352 POPULATION HEALTH SCIENCE. 2286 02:13:16,055 --> 02:13:16,589 AND WE DID TALK ABOUT RESEARCH 2287 02:13:16,589 --> 02:13:22,795 USE CASES. 2288 02:13:22,795 --> 02:13:25,364 AND THEN TO ADD THAT OCULAR 2289 02:13:25,364 --> 02:13:26,165 IMAGING AND SPECIFICALLY WE 2290 02:13:26,165 --> 02:13:32,404 TALKED ABOUT ADDING RETINAL 2291 02:13:32,404 --> 02:13:40,145 PHOTOS TO THE DATA SET. 2292 02:13:40,145 --> 02:13:41,647 AS DR. CHANG SAID THE WINDOW OF 2293 02:13:41,647 --> 02:13:44,683 THE SOUL AND OVERALL HEALTH SO 2294 02:13:44,683 --> 02:13:55,060 HIGH QUALITY IMAGING. 2295 02:13:55,761 --> 02:13:58,497 SO IF THAT COULD BE IN A 2296 02:13:58,497 --> 02:14:03,936 COST-EFFECTIVE WAY AND WITH 2297 02:14:03,936 --> 02:14:07,740 BIOMETRIC DATA AND GENOMIC DATA 2298 02:14:07,740 --> 02:14:08,774 FROM A VERY LARGE DIVERSE 2299 02:14:08,774 --> 02:14:18,217 DISEASE. 2300 02:14:18,217 --> 02:14:19,285 WITH DEGENERATIVE HEALTH AND 2301 02:14:19,285 --> 02:14:25,858 VASCULAR AGING. 2302 02:14:25,858 --> 02:14:30,396 AND THEN WITH AN EQUITY OF 2303 02:14:30,396 --> 02:14:38,037 HEALTH SERVICES AND RESOURCES. 2304 02:14:38,037 --> 02:14:39,071 SO BEING INFORMED BY THAT 2305 02:14:39,071 --> 02:14:43,275 WORKSHOP EXPERTS WE TOOK THAT 2306 02:14:43,275 --> 02:14:45,577 ESSENTIAL COMMUNITY INPUT AND 2307 02:14:45,577 --> 02:14:47,913 BEGAN WORKING ON PUTTING 2308 02:14:47,913 --> 02:14:49,315 TOGETHER AN ANCILLARY STUDY 2309 02:14:49,315 --> 02:14:52,451 PROPOSAL TO INTRODUCE OCULAR 2310 02:14:52,451 --> 02:15:01,560 IMAGING AND ANOTHER DATA TYPE 2311 02:15:01,560 --> 02:15:10,970 FOR RESEARCHERS. 2312 02:15:10,970 --> 02:15:17,710 AND LOOKING AT A PILOT STUDY 2313 02:15:17,710 --> 02:15:23,682 WITH THE 2 INSTRUMENTS. 2314 02:15:23,682 --> 02:15:27,353 HIGH QUALITY LOW COST EASY TO 2315 02:15:27,353 --> 02:15:31,557 USE DEVICES FOR THE EXISTING ALL 2316 02:15:31,557 --> 02:15:33,959 OF US LOCATIONS. 2317 02:15:33,959 --> 02:15:39,665 FROM THESE DEVICES TO EXTRACT 2318 02:15:39,665 --> 02:15:40,299 TABULAR DATA IN ADDITION TO THE 2319 02:15:40,299 --> 02:15:45,804 IMAGE FILE FORMATS AND THEN I 2320 02:15:45,804 --> 02:15:46,405 CAN BE FILTERED AND SORTED AND 2321 02:15:46,405 --> 02:15:47,039 JOINED WITH OTHER EXISTING DATA 2322 02:15:47,039 --> 02:15:53,946 SETS. 2323 02:15:53,946 --> 02:15:54,480 AND THEN TO LINK TO THOSE 2324 02:15:54,480 --> 02:16:02,521 DATATYPES AND THAT ADDITIONAL 2325 02:16:02,521 --> 02:16:03,088 DATA WE HOPE WILL LEAD TO A 2326 02:16:03,088 --> 02:16:03,622 SUFFICIENT COHORT OF HIGH 2327 02:16:03,622 --> 02:16:04,189 QUALITY IMAGES FROM DIVERSE 2328 02:16:04,189 --> 02:16:08,694 BACKGROUNDS WITH A SCIENTIFIC 2329 02:16:08,694 --> 02:16:09,294 HYPOTHESIS DRIVEN STUDIES THAT 2330 02:16:09,294 --> 02:16:14,566 WE ALLUDED TO. 2331 02:16:14,566 --> 02:16:15,167 NOT ONLY IN OCULAR HEALTH BUT 2332 02:16:15,167 --> 02:16:21,573 SYSTEMIC CONDITIONS. 2333 02:16:21,573 --> 02:16:23,108 SO THE 4 SITES HAVE YET TO BE 2334 02:16:23,108 --> 02:16:25,310 DETERMINED IT IS A PROPOSAL AT 2335 02:16:25,310 --> 02:16:30,282 THIS POINT AND HAS NOT GONE TO 2336 02:16:30,282 --> 02:16:35,087 EXECUTION. 2337 02:16:35,087 --> 02:16:35,687 SO A HUGE PART OF THE PROPOSAL 2338 02:16:35,687 --> 02:16:36,622 IS WHAT IS THE BENEFIT TO 2339 02:16:36,622 --> 02:16:40,225 PARTICIPANTS PRIDING THEMSELVES 2340 02:16:40,225 --> 02:16:43,328 OF PARTICIPANT ENGAGEMENT TO 2341 02:16:43,328 --> 02:16:47,466 MAKE SURE THAT WE ARE 2342 02:16:47,466 --> 02:16:50,536 RECOGNIZING THE VALUABLE 2343 02:16:50,536 --> 02:16:53,072 CONTRIBUTION AND THEIR VALUABLE 2344 02:16:53,072 --> 02:17:00,212 TIME SO OUR PROPOSAL IS TO 2345 02:17:00,212 --> 02:17:05,484 EVALUATE REFERRAL NEEDS AND 2346 02:17:05,484 --> 02:17:06,018 BUILD THAT OFF OF WHAT WE 2347 02:17:06,018 --> 02:17:14,293 LEARNED FROM THE PILOT PHASE. 2348 02:17:14,293 --> 02:17:14,860 LOOKING AT THE PILOT OF 500 2349 02:17:14,860 --> 02:17:25,404 PARTICIPANTS AND THEN THE IMAGES 2350 02:17:26,638 --> 02:17:27,039 TO SEE IF THERE IS ANY 2351 02:17:27,039 --> 02:17:27,673 DIFFERENCES IN THE LOCATIONS TO 2352 02:17:27,673 --> 02:17:28,407 OPTIMIZE THE PROTOCOL FOR 2353 02:17:28,407 --> 02:17:30,709 ACQUISITION TO MAKE SURE THOSE 2354 02:17:30,709 --> 02:17:32,444 AT DIFFERENT SITES ARE 2355 02:17:32,444 --> 02:17:34,947 COMPARABLE AND THERE'S NO SUBTLE 2356 02:17:34,947 --> 02:17:37,683 DIFFERENCES OR BIASES BASED ON 2357 02:17:37,683 --> 02:17:39,952 THE LOCATIONS WE SELECT. 2358 02:17:39,952 --> 02:17:45,924 WE HOPE AFTER THIS WE EXPAND 2359 02:17:45,924 --> 02:17:46,125 THIS. 2360 02:17:46,125 --> 02:17:50,129 JUST TO WRAP UP WITH THE 2361 02:17:50,129 --> 02:17:53,298 ANCILLARY STUDY PROCESS WE 2362 02:17:53,298 --> 02:17:58,904 SUBMITTED THE PROPOSAL OF THE 2363 02:17:58,904 --> 02:18:05,477 PILOT TO THE ALL OF US PROGRAM 2364 02:18:05,477 --> 02:18:10,082 JUST A FEW WEEKS BACK. 2365 02:18:10,082 --> 02:18:11,550 AS OF 2 DAYS AGO THAT IS TO THE 2366 02:18:11,550 --> 02:18:17,589 ALL OF US DIVISION AND WORKING 2367 02:18:17,589 --> 02:18:21,193 ON SCHEDULING A TIME FOR MORE 2368 02:18:21,193 --> 02:18:26,165 FEEDBACK FROM ALL OF US AND THE 2369 02:18:26,165 --> 02:18:31,603 BRAIN TRUST BEFORE IT IS 2370 02:18:31,603 --> 02:18:34,273 SUBMITTED FOR FINAL LEADERSHIP 2371 02:18:34,273 --> 02:18:35,941 APPROVAL AND THEN WE BEGIN TO 2372 02:18:35,941 --> 02:18:42,581 LAUNCH THE PROJECT SO WITH THAT 2373 02:18:42,581 --> 02:18:43,415 I WILL TAKE QUESTIONS AND I'M 2374 02:18:43,415 --> 02:18:46,351 INTERESTED IN THOUGHTS. 2375 02:18:46,351 --> 02:18:56,595 >> THANK YOU. 2376 02:18:57,396 --> 02:18:57,796 >> THANK YOU THAT WAS 2377 02:18:57,796 --> 02:18:58,096 INFORMATIVE. 2378 02:18:58,096 --> 02:18:59,932 YOU PROBABLY SET IT AND I MISSED 2379 02:18:59,932 --> 02:19:03,702 IT BUT WILL THE BLOOD SAMPLES BE 2380 02:19:03,702 --> 02:19:08,807 AVAILABLE TO INVESTIGATORS LIKE 2381 02:19:08,807 --> 02:19:11,410 WHERE YOU GO AND ASK FOR ACCESS 2382 02:19:11,410 --> 02:19:21,753 TO YOU HAVE AN IDEA? 2383 02:19:22,654 --> 02:19:23,088 IS THAT SOMETHING IN THE 2384 02:19:23,088 --> 02:19:23,322 VISION? 2385 02:19:23,322 --> 02:19:23,922 >> THIS WILL BECOME A PART OF 2386 02:19:23,922 --> 02:19:27,559 THE ALL OF US RESEARCH PROJECT 2387 02:19:27,559 --> 02:19:28,160 SO TO HAVE ACCESS THEY HAVE TO 2388 02:19:28,160 --> 02:19:30,896 HAVE THE RIGHT PERMISSION LEVELS 2389 02:19:30,896 --> 02:19:35,067 AND FEEL FREE TO INTERRUPT ME A 2390 02:19:35,067 --> 02:19:39,104 LINK THE DATA TO BIO SAMPLES. 2391 02:19:39,104 --> 02:19:39,738 >> WERE STUDYING -- -- STARTING 2392 02:19:39,738 --> 02:19:44,309 WITH PARTNERSHIPS AND EVENTUALLY 2393 02:19:44,309 --> 02:19:47,279 MOVING TO INDIVIDUAL RESEARCHERS 2394 02:19:47,279 --> 02:19:49,848 AND THAT IS SOMETIME IN THE 2395 02:19:49,848 --> 02:19:56,255 FUTURE WITH THESE KINDS OF 2396 02:19:56,255 --> 02:19:59,658 PROJECTS WITH A SET OF 2397 02:19:59,658 --> 02:20:05,097 BIOMARKERS THEY WANT TO LOOK FOR 2398 02:20:05,097 --> 02:20:05,731 AND THEN FEED THAT BACK TO WEST 2399 02:20:05,731 --> 02:20:08,166 AND IN THE PROCESS STARTING WITH 2400 02:20:08,166 --> 02:20:13,171 THE LARGE SCALE ONES AS WE BUILD 2401 02:20:13,171 --> 02:20:20,779 OUT THAT CAPABILITY. 2402 02:20:20,779 --> 02:20:21,813 >> THIS IS AN INCREDIBLE 2403 02:20:21,813 --> 02:20:28,520 RESOURCE. 2404 02:20:28,520 --> 02:20:31,056 SO NOW WITH AN ADVERTISING 2405 02:20:31,056 --> 02:20:41,600 CAMPAIGN THAT MANY PEOPLE IN THE 2406 02:20:44,536 --> 02:20:44,937 SCIENTIFIC COMMUNITY. 2407 02:20:44,937 --> 02:20:45,570 >> THAT'S AN IMPORTANT POINT WE 2408 02:20:45,570 --> 02:20:48,640 ARE SURE TO SPREAD THE WORD WELL 2409 02:20:48,640 --> 02:20:51,443 WE ARE HERE AND TALKING TO YOU 2410 02:20:51,443 --> 02:20:55,681 TO BOLSTER THAT AS WELL. 2411 02:20:55,681 --> 02:20:59,952 ALL OF US DOES A LOT OF 2412 02:20:59,952 --> 02:21:03,355 COMMUNICATING WITH THE PUBLIC. 2413 02:21:03,355 --> 02:21:08,927 WE ALSO HAVE THE NEI WEBSITE AND 2414 02:21:08,927 --> 02:21:10,595 COMMENTS I'M PRETTY SURE WE WILL 2415 02:21:10,595 --> 02:21:15,867 HIGHLIGHT A LOT OF THIS WORK 2416 02:21:15,867 --> 02:21:26,378 TOWARD THE ALL OF US PROJECT. 2417 02:21:29,948 --> 02:21:30,182 [INAUDIBLE] 2418 02:21:30,182 --> 02:21:33,018 >> THANK YOU FOR SHARING. 2419 02:21:33,018 --> 02:21:39,791 TO QUESTIONS. 2420 02:21:39,791 --> 02:21:43,895 ANY PLANS ARE YOU WORRIED YOU 2421 02:21:43,895 --> 02:21:48,200 TRY TO COLLECT TOO MANY TESTS AT 2422 02:21:48,200 --> 02:21:54,006 THERE'S NOT EVEN CONSENSUS? 2423 02:21:54,006 --> 02:21:55,040 AND DON'T KNOW WHAT TO DO WITH 2424 02:21:55,040 --> 02:21:55,207 IT? 2425 02:21:55,207 --> 02:21:58,477 >> I SHOULD HAVE KEYED IN ON 2426 02:21:58,477 --> 02:22:05,283 THAT. 2427 02:22:05,283 --> 02:22:05,884 SO IN OUR PROPOSAL THERE IS NO 2428 02:22:05,884 --> 02:22:06,485 INTERPRETATION NECESSARILY AT 2429 02:22:06,485 --> 02:22:11,590 THE STAGE WE WERE JUST 2430 02:22:11,590 --> 02:22:12,157 COLLECTING DATA SO RESEARCH 2431 02:22:12,157 --> 02:22:12,824 WOULD -- -- RESEARCHERS WOULD 2432 02:22:12,824 --> 02:22:15,160 HAVE ACCESS. 2433 02:22:15,160 --> 02:22:17,195 BUT AFTER WE LOOK AT THIS IS 2434 02:22:17,195 --> 02:22:22,968 THERE A WAY TO BUILD IN THE 2435 02:22:22,968 --> 02:22:25,303 REVIEW AND NOT INTERPRETATION TO 2436 02:22:25,303 --> 02:22:26,605 RECOGNIZE IT IS JUST FOR 2437 02:22:26,605 --> 02:22:29,374 RESEARCH USE AND IT IS NOT FDA 2438 02:22:29,374 --> 02:22:33,512 APPROVED. 2439 02:22:33,512 --> 02:22:35,981 CLEARLY FOR RESEARCH. 2440 02:22:35,981 --> 02:22:38,517 >> LET'S TAKE 1 MORE QUESTION. 2441 02:22:38,517 --> 02:22:45,424 PLEASE SAVE OTHER COMMENTS. 2442 02:22:45,424 --> 02:22:46,458 >> ARE THERE OTHER MEASURES THAT 2443 02:22:46,458 --> 02:22:52,631 ARE MADE DURING THE ASSESSMENT 2444 02:22:52,631 --> 02:22:53,198 ITSELF OR IS EVERYTHING EYE 2445 02:22:53,198 --> 02:22:53,799 RELATED OTHER THAN THE IMAGING 2446 02:22:53,799 --> 02:22:57,436 YOU ARE PROPOSING COMING FROM 2447 02:22:57,436 --> 02:22:57,803 MEDICAL RECORDS? 2448 02:22:57,803 --> 02:22:58,403 >> GOOD QUESTION WE ARE HOPING 2449 02:22:58,403 --> 02:23:05,310 TO CAPTURE STANDARDS OVER VISUAL 2450 02:23:05,310 --> 02:23:05,844 ACUITY AND WORK WITHIN THE 2451 02:23:05,844 --> 02:23:09,214 WORKFLOW OF THE EXISTING SITES 2452 02:23:09,214 --> 02:23:11,716 AND IT WOULD STILL HAVE AN 2453 02:23:11,716 --> 02:23:17,122 IMPACT MAY BE A DARKENED ROOM. 2454 02:23:17,122 --> 02:23:18,156 SO THOSE PIECES WOULD BE WORKED 2455 02:23:18,156 --> 02:23:20,826 OUT IN THE FURTHER ELEMENTS TO 2456 02:23:20,826 --> 02:23:21,827 FIGURE OUT HOW THIS FITS INTO 2457 02:23:21,827 --> 02:23:26,698 THE WORKFLOW SO PRIORITIZING 2458 02:23:26,698 --> 02:23:29,000 VISUAL ACUITY AND INTRAOCULAR 2459 02:23:29,000 --> 02:23:30,101 PRESSURE SO THOSE ARE PARTS OF 2460 02:23:30,101 --> 02:23:35,540 THIS PROJECT AS WELL. 2461 02:23:35,540 --> 02:23:36,107 WE DID THIS EVEN BEFORE THE 2462 02:23:36,107 --> 02:23:40,345 ANCILLARY STUDY PROCESS TO SEE 2463 02:23:40,345 --> 02:23:42,647 WHAT TYPE OF EYE MEASURES ARE 2464 02:23:42,647 --> 02:23:47,519 THERE IT IS PRETTY SPARSE WE ARE 2465 02:23:47,519 --> 02:23:49,955 HOPING IT IS A TWO-PRONGED 2466 02:23:49,955 --> 02:23:56,294 APPROACH. 2467 02:23:56,294 --> 02:23:58,797 >> SO IT SEEMS LIKE REFRACTIVE 2468 02:23:58,797 --> 02:24:03,635 ERROR IS ONCE EVERY 20 YEARS AND 2469 02:24:03,635 --> 02:24:08,940 WITH COUNTRIES LIKE CHINA AND 2470 02:24:08,940 --> 02:24:09,541 THE ASSESSMENTS THAT THEY HAVE 2471 02:24:09,541 --> 02:24:11,376 IN THE SURVEILLANCE THAT THEY 2472 02:24:11,376 --> 02:24:17,649 HAVE THE EFFECTS OF COVID AND 2473 02:24:17,649 --> 02:24:18,250 THE PREVALENCE OF CHANGING IN 2474 02:24:18,250 --> 02:24:21,520 THE ENVIRONMENT ARE BECOMING 2475 02:24:21,520 --> 02:24:25,223 VERY AWARE OF THE NATIONAL 2476 02:24:25,223 --> 02:24:28,226 ACADEMIES HOW SPARSE THE DATA 2477 02:24:28,226 --> 02:24:36,835 SETS ARE THAT WOULD BE A GOOD 2478 02:24:36,835 --> 02:24:37,469 ADJUNCT IN THAT IT OCCURS TO ME 2479 02:24:37,469 --> 02:24:38,069 THAT ARTIFICIAL INTELLIGENCE 2480 02:24:38,069 --> 02:24:42,874 MAKES A PRETTY GOOD ASSESSMENT 2481 02:24:42,874 --> 02:24:49,447 FROM THIS PHOTO AND THIS IS A 2482 02:24:49,447 --> 02:24:50,215 HIGH TECH WAY TO GET THAT 2483 02:24:50,215 --> 02:24:52,050 REFRACTIVE ERROR AND THERE ARE 2484 02:24:52,050 --> 02:24:54,886 WAYS THAT ARE SMART PHONE BASE 2485 02:24:54,886 --> 02:24:59,558 TO BE MORE WIDELY IMPLEMENTED. 2486 02:24:59,558 --> 02:25:02,427 >> LEADING UP REALLY WELL WE ARE 2487 02:25:02,427 --> 02:25:05,931 DOING OTHER THINGS TO GET MORE 2488 02:25:05,931 --> 02:25:09,167 OF THAT SURVEILLANCE INFORMATION 2489 02:25:09,167 --> 02:25:14,806 AND REAL-WORLD DATA. 2490 02:25:14,806 --> 02:25:15,307 >> THANK YOU VERY MUCH. 2491 02:25:15,307 --> 02:25:18,777 1 OF THE REASONS WE ARE 2492 02:25:18,777 --> 02:25:21,713 TRANSITIONING IS THE INCREDIBLE 2493 02:25:21,713 --> 02:25:24,015 RESOURCE FOR THE COMMUNITY AT 2494 02:25:24,015 --> 02:25:26,718 LARGE TO STUDY AND ANSWER SOME 2495 02:25:26,718 --> 02:25:27,352 OF THESE QUESTIONS AND WHAT THEY 2496 02:25:27,352 --> 02:25:36,428 LOOK LIKE. 2497 02:25:36,428 --> 02:25:36,995 AND IT FEELS LIKE APPLES AND 2498 02:25:36,995 --> 02:25:37,596 ORANGES AND WHAT CAN WE DO TO 2499 02:25:37,596 --> 02:25:42,033 MAKE IT APPLES TO APPLES? 2500 02:25:42,033 --> 02:25:45,237 >> THANK YOU FOR THE OPPORTUNITY 2501 02:25:45,237 --> 02:25:47,872 TO TALK ABOUT THE DATA MODELS 2502 02:25:47,872 --> 02:25:50,675 WHICH IS JUST ANOTHER WAY TO 2503 02:25:50,675 --> 02:25:57,282 STANDARDIZE THE DATA. 2504 02:25:57,282 --> 02:26:06,825 I AM THE FIRST DATA SCHOLAR AND 2505 02:26:06,825 --> 02:26:07,425 I THOUGHT I WOULD EXPLAIN MORE 2506 02:26:07,425 --> 02:26:08,026 WITH THE DATA SCHOLARS PROGRAM 2507 02:26:08,026 --> 02:26:08,193 IS. 2508 02:26:08,193 --> 02:26:13,832 STARTED BY THE STRATEGY IN 2020 2509 02:26:13,832 --> 02:26:19,638 AND TO PROMOTE THE WORKFORCE THE 2510 02:26:19,638 --> 02:26:20,772 BIOMEDICAL WORKFORCE SKILLED IN 2511 02:26:20,772 --> 02:26:30,015 DATA SCIENCE AND EACH INSTITUTE 2512 02:26:30,015 --> 02:26:30,615 OR CENTER CAN HAVE 1 NEW DATA 2513 02:26:30,615 --> 02:26:31,216 SCHOLAR PER YEAR AND EACH CAN 2514 02:26:31,216 --> 02:26:33,885 STAY BETWEEN 1 AND 2 YEARS 2515 02:26:33,885 --> 02:26:34,519 WORKING ON A PROJECT WITHIN THE 2516 02:26:34,519 --> 02:26:37,022 INSTITUTE AND THEY PARTICIPATE 2517 02:26:37,022 --> 02:26:41,259 IN THE NIH WORK GROUPS. 2518 02:26:41,259 --> 02:26:41,893 SO I'M TALKING ABOUT THE WORK I 2519 02:26:41,893 --> 02:26:46,031 HAVE BEEN DOING AS PART OF MY 2520 02:26:46,031 --> 02:26:47,032 PROJECT. 2521 02:26:47,032 --> 02:26:48,033 I AM JUST STARTING MY SECOND 2522 02:26:48,033 --> 02:26:58,143 YEAR. 2523 02:27:02,647 --> 02:27:03,214 BEFORE THIS AND AFTER THIS IS IN 2524 02:27:03,214 --> 02:27:03,615 OREGON WORKING IN 2525 02:27:03,615 --> 02:27:03,948 OPHTHALMOLOGY. 2526 02:27:03,948 --> 02:27:04,582 WE ALL KNOW WE HAVE BEEN HEARING 2527 02:27:04,582 --> 02:27:05,183 ABOUT THE IMPORTANCE OF LARGE 2528 02:27:05,183 --> 02:27:09,287 DIVERSE DATA SETS IF THAT IS IN 2529 02:27:09,287 --> 02:27:12,891 THE DATA GENERATION PROJECT OR 2530 02:27:12,891 --> 02:27:15,894 RETROSPECTIVE DATA WE ALREADY 2531 02:27:15,894 --> 02:27:19,364 COLLECTED, IT'S IMPORTANT THAT 2532 02:27:19,364 --> 02:27:19,864 WHATEVER WE USE REFLECTS 2533 02:27:19,864 --> 02:27:23,301 DIVERSITY OF THE PATIENTS BUT 2534 02:27:23,301 --> 02:27:27,806 ALSO OF PRACTICE PATTERNS ALL OF 2535 02:27:27,806 --> 02:27:28,306 THE DIFFERENT DATA TYPES 2536 02:27:28,306 --> 02:27:30,308 AVAILABLE AND THIS GIVES US A 2537 02:27:30,308 --> 02:27:38,316 SET FOR RESEARCH AND IMPORTANTLY 2538 02:27:38,316 --> 02:27:38,950 AND HOPEFULLY MINIMIZES THE BIAS 2539 02:27:38,950 --> 02:27:40,919 THAT MAY RESULT OF THE DATA SET 2540 02:27:40,919 --> 02:27:44,089 AND 1 OF THE KEYS TO THIS 2541 02:27:44,089 --> 02:27:46,324 DIVERSITY IS TO HAVE DATA COMING 2542 02:27:46,324 --> 02:27:48,460 IN FROM MULTIPLE LOCATIONS 2543 02:27:48,460 --> 02:27:50,562 ACROSS THE COUNTRY AND EVEN THE 2544 02:27:50,562 --> 02:27:55,433 WORLD. 2545 02:27:55,433 --> 02:27:55,934 BUT WITH RESPECT TO DATA 2546 02:27:55,934 --> 02:27:56,568 ORIGINATING WITH THE DHR IT IS 2547 02:27:56,568 --> 02:27:57,402 SIDELOAD. 2548 02:27:57,402 --> 02:28:00,772 NOT EVEN GOOD ENOUGH TO HAVE THE 2549 02:28:00,772 --> 02:28:03,508 SAME DHR DIFFERENT LOCATIONS TO 2550 02:28:03,508 --> 02:28:05,076 SPEAK TOGETHER BECAUSE THERE ARE 2551 02:28:05,076 --> 02:28:06,911 DIFFERENCES OF HOW THEY ARE 2552 02:28:06,911 --> 02:28:08,380 IMPLEMENTED. 2553 02:28:08,380 --> 02:28:09,748 WE NEED SOME DATA 2554 02:28:09,748 --> 02:28:13,451 STANDARDIZATION WHICH ANY OF YOU 2555 02:28:13,451 --> 02:28:14,085 HAVE DONE MULTI- SCIENCE STUDIES 2556 02:28:14,085 --> 02:28:16,254 KNOW THAT CAN TAKE QUITE A BIT 2557 02:28:16,254 --> 02:28:18,256 OF TIME. 2558 02:28:18,256 --> 02:28:19,391 IN TERMS OF BUILDING THE LARGE 2559 02:28:19,391 --> 02:28:28,633 DATA SETS WE HAVE 2 WAYS OF 2560 02:28:28,633 --> 02:28:29,267 DOING IT AND EACH HAS ADVANTAGES 2561 02:28:29,267 --> 02:28:29,667 AND DISADVANTAGES. 2562 02:28:29,667 --> 02:28:31,202 THE FIRST APPROACHES TO POOL 2563 02:28:31,202 --> 02:28:33,738 DATA AND THAT IS THE CLASSIC 2564 02:28:33,738 --> 02:28:37,208 MODEL WHERE THEY ARE 2565 02:28:37,208 --> 02:28:37,976 PROSPECTIVELY COLLECTING DATA OR 2566 02:28:37,976 --> 02:28:43,448 RETROSPECTIVE DATA TOGETHER AND 2567 02:28:43,448 --> 02:28:44,783 WE ARE FAMILIAR WITH THE 2568 02:28:44,783 --> 02:28:46,985 DIFFERENT EXAMPLES A RARE 2569 02:28:46,985 --> 02:28:50,722 DISEASE REGISTRY DATA SET 2570 02:28:50,722 --> 02:28:54,392 GENERATION PROJECTS AND IT HAS A 2571 02:28:54,392 --> 02:28:58,029 LOT OF STRINGS PULLING IN THE 2572 02:28:58,029 --> 02:29:02,567 LARGE AGGREGATED DATA. 2573 02:29:02,567 --> 02:29:03,101 SO FOR EXAMPLE IF YOU WANT 2574 02:29:03,101 --> 02:29:07,071 ACCESS TO ALL OF THIS DATA YOU 2575 02:29:07,071 --> 02:29:07,605 CAN DO ALL OF THE APPROVAL 2576 02:29:07,605 --> 02:29:15,213 PROCESS TO GET IT AND YOU 2577 02:29:15,213 --> 02:29:15,814 CONSIDER THE WORKBENCH AND DO 2578 02:29:15,814 --> 02:29:16,281 THE ANALYSIS YOURSELF. 2579 02:29:16,281 --> 02:29:17,782 THERE ARE SOME DISADVANTAGES 2580 02:29:17,782 --> 02:29:21,352 THAT IT CAN REQUIRE EXTENSIVE 2581 02:29:21,352 --> 02:29:22,520 LEGAL PRIVACY AND SECURITY 2582 02:29:22,520 --> 02:29:25,657 AGREEMENTS. 2583 02:29:25,657 --> 02:29:26,291 ESPECIALLY FOR CONTRIBUTING DATA 2584 02:29:26,291 --> 02:29:26,724 THROUGH REGISTRIES. 2585 02:29:26,724 --> 02:29:31,563 FOR THE IRISH REGISTRY AND FROM 2586 02:29:31,563 --> 02:29:37,869 MY OWN PERSPECTIVE IT TOOK YEARS 2587 02:29:37,869 --> 02:29:38,703 FOR US TO GO THROUGH ALL OF 2588 02:29:38,703 --> 02:29:40,939 THOSE HURDLES TO FREE UP THE 2589 02:29:40,939 --> 02:29:43,341 DATA. 2590 02:29:43,341 --> 02:29:45,777 AND LIKE ANY OTHER PROJECT 2591 02:29:45,777 --> 02:29:52,550 REQUIRES EFFORT AND WITH THAT 2592 02:29:52,550 --> 02:29:54,853 SCALABILITY AND IT TAKE SO MUCH 2593 02:29:54,853 --> 02:29:58,323 WORK TO GET EACH SITE 2594 02:29:58,323 --> 02:30:00,091 CONTRIBUTING AND ONCE YOU START 2595 02:30:00,091 --> 02:30:03,361 LOOKING AT THE STRUGGLES AND TO 2596 02:30:03,361 --> 02:30:06,698 GET COPIES OF THE DATA SET SOME 2597 02:30:06,698 --> 02:30:09,200 WAYS THAT'S JUST IMPOSSIBLE. 2598 02:30:09,200 --> 02:30:13,471 SO THE SECOND APPROACH IS 2599 02:30:13,471 --> 02:30:16,007 SOMEWHAT NEWER AND THE IDEA IS 2600 02:30:16,007 --> 02:30:17,075 EACH SITE KEEPS THEIR OWN DATA 2601 02:30:17,075 --> 02:30:18,910 AND MAYBE THINK HOW ON EARTH 2602 02:30:18,910 --> 02:30:22,180 DOES THIS WORK? 2603 02:30:22,180 --> 02:30:22,780 WHAT RESEARCHERS DO THERE IS A 2604 02:30:22,780 --> 02:30:28,119 LOT OF WORK AND TOOLS THAT ARE 2605 02:30:28,119 --> 02:30:28,720 BUILT TO ALLOW RESEARCHERS TO 2606 02:30:28,720 --> 02:30:31,923 SHARE THEIR COLD AND MODELS SO 2607 02:30:31,923 --> 02:30:32,657 THOSE ARE RUN AT EACH INDIVIDUAL 2608 02:30:32,657 --> 02:30:36,928 SITE SO THERE ARE SOME EXAMPLES 2609 02:30:36,928 --> 02:30:39,297 OF THIS TALK ABOUT THE 2610 02:30:39,297 --> 02:30:42,200 OBSERVATIONAL DATA HOW -- -- 2611 02:30:42,200 --> 02:30:45,770 DATA HEALTH SCIENCES AND THEIR 2612 02:30:45,770 --> 02:30:51,843 OTHER NETWORKS OUT THERE. 2613 02:30:51,843 --> 02:30:53,978 IT IS MUCH MORE SCALABLE AND 2614 02:30:53,978 --> 02:30:57,649 BECAUSE YOU DON'T SEND DATA 2615 02:30:57,649 --> 02:30:59,183 AROUND YOU CAN KEEP THE IMAGING 2616 02:30:59,183 --> 02:31:01,119 IN YOUR OWN LOCATION. 2617 02:31:01,119 --> 02:31:04,856 THAT ALSO HELPS TO MAKE MORE 2618 02:31:04,856 --> 02:31:07,358 DATA AVAILABLE. 2619 02:31:07,358 --> 02:31:08,459 IF YOU REALLY WANT TO HAVE 2620 02:31:08,459 --> 02:31:11,663 SYSTEMIC DATA WE DON'T HAVE TO 2621 02:31:11,663 --> 02:31:12,263 WORRY ABOUT TRYING TO PULL IT 2622 02:31:12,263 --> 02:31:16,401 ALL OUT AND SEND IT BUT WE CAN 2623 02:31:16,401 --> 02:31:17,302 JUST ACCESS IT. 2624 02:31:17,302 --> 02:31:19,237 ALSO AVOIDS THE DATA SHARING 2625 02:31:19,237 --> 02:31:24,409 AGREEMENTS THAT OTHERS REQUIRE. 2626 02:31:24,409 --> 02:31:26,678 OF COURSE IT REQUIRES A LOT OF 2627 02:31:26,678 --> 02:31:28,379 WORK. 2628 02:31:28,379 --> 02:31:35,753 'S AND NOT THE HARMONIZATION BUT 2629 02:31:35,753 --> 02:31:36,788 IF YOU RUN A STUDY YOU HAVE TO 2630 02:31:36,788 --> 02:31:41,092 HAVE PARTNERS SO IF YOU DO STEP 2631 02:31:41,092 --> 02:31:41,893 IN AND HELP RUN THOSE MODELS FOR 2632 02:31:41,893 --> 02:31:43,528 YOU. 2633 02:31:43,528 --> 02:31:46,164 HOWEVER WE ARE CONSIDERING TOOLS 2634 02:31:46,164 --> 02:31:47,165 THAT MAY HELP TO FACILITATE 2635 02:31:47,165 --> 02:31:53,137 THAT. 2636 02:31:53,137 --> 02:31:53,738 SO REGARDLESS OF YOUR APPROACH 2637 02:31:53,738 --> 02:31:55,573 CONTRIBUTING TO LARGE DATA SET 2638 02:31:55,573 --> 02:31:57,075 REQUIRES HAVING DATA 2639 02:31:57,075 --> 02:32:00,445 STANDARDIZATION SO TO USE A 2640 02:32:00,445 --> 02:32:06,184 COMMON DATA MODEL I AM TALKING 2641 02:32:06,184 --> 02:32:12,857 ABOUT OMOP THIS IS WHAT WE HAVE 2642 02:32:12,857 --> 02:32:16,694 BEEN TRYING TO BE THE DATA A 2643 02:32:16,694 --> 02:32:18,763 PART OF BECAUSE OFFICIALLY IT IS 2644 02:32:18,763 --> 02:32:22,800 NOT SO THAT ACRONYM REFERS TO A 2645 02:32:22,800 --> 02:32:27,338 PARTNERSHIP. 2646 02:32:27,338 --> 02:32:30,074 AND THEN TO WITH THE EFFECTS 2647 02:32:30,074 --> 02:32:40,351 BETWEEN THE FDA AND ACADEMIA. 2648 02:32:40,351 --> 02:32:40,918 MUNSON TO USE OBSERVATIONAL 2649 02:32:40,918 --> 02:32:41,886 HEALTH DATA TO DO MEDICAL 2650 02:32:41,886 --> 02:32:47,258 SURVEILLANCE AND WITH CLAIMS 2651 02:32:47,258 --> 02:32:51,996 DATA TO GET THAT STANDARDIZED. 2652 02:32:51,996 --> 02:32:57,135 THE LEGACY OF THE PROJECT IS THE 2653 02:32:57,135 --> 02:33:02,907 OMOP DATA MODEL IS JUST A 2654 02:33:02,907 --> 02:33:03,508 STANDARDIZED DATA SCALE OR HOW 2655 02:33:03,508 --> 02:33:08,880 YOU ORGANIZE YOUR DATA ALONG 2656 02:33:08,880 --> 02:33:09,514 WITH THE CONVENTIONS OF HOW THE 2657 02:33:09,514 --> 02:33:09,981 DATA GETS PUT INTO THE 2658 02:33:09,981 --> 02:33:14,519 DATABASE. 2659 02:33:14,519 --> 02:33:15,553 AND THIS OMOP MODEL THAT HAS 2660 02:33:15,553 --> 02:33:18,856 BECOME POPULAR WITH THE 2661 02:33:18,856 --> 02:33:19,457 INFRASTRUCTURE INVOLVED WITH A 2662 02:33:19,457 --> 02:33:26,130 LOT OF PROJECTS. 2663 02:33:26,130 --> 02:33:29,033 AND THEN TO THROW ANOTHER 2664 02:33:29,033 --> 02:33:38,409 ACRONYM IS IT IS OHDSI THAT IS 2665 02:33:38,409 --> 02:33:46,184 COMMITTED TO IMPROVING HEALTH BY 2666 02:33:46,184 --> 02:33:46,784 MAKING ALL OF THE HEALTH DATA 2667 02:33:46,784 --> 02:33:47,285 AVAILABLE THROUGH OMOP. 2668 02:33:47,285 --> 02:33:49,887 I KEEP HEARING THESE AMAZING 2669 02:33:49,887 --> 02:33:56,761 STATISTICS. 2670 02:33:56,761 --> 02:33:58,796 30 PERCENT OF ALL THE DATA THAT 2671 02:33:58,796 --> 02:34:03,201 IS AVAILABLE AND IT IS GROWING. 2672 02:34:03,201 --> 02:34:04,469 THAT IS WHAT THIS COMMUNITY IS 2673 02:34:04,469 --> 02:34:08,906 FOCUSED ON. 2674 02:34:08,906 --> 02:34:14,245 SO FOCUSING OVER THE LAST YEARS 2675 02:34:14,245 --> 02:34:16,414 TO BUILD A RICH SET OF TOOLS FOR 2676 02:34:16,414 --> 02:34:18,349 HOW YOU APPROPRIATELY USE THE 2677 02:34:18,349 --> 02:34:22,720 DATA IS NOT JUST ENOUGH TO SAY 2678 02:34:22,720 --> 02:34:23,788 BUT HOW DO WE DO THIS IN A WAY 2679 02:34:23,788 --> 02:34:28,159 TO STANDARDIZE THE USE TO 2680 02:34:28,159 --> 02:34:31,395 PRODUCE REPRODUCIBLE RESEARCH 2681 02:34:31,395 --> 02:34:33,931 AND SUPPORTING THOUSANDS OF 2682 02:34:33,931 --> 02:34:34,365 STUDIES THOUSANDS OF 2683 02:34:34,365 --> 02:34:38,603 COLLABORATIVES ACROSS THE WORLD 2684 02:34:38,603 --> 02:34:41,038 RESEARCHERS RE- -- -- USING THE 2685 02:34:41,038 --> 02:34:44,542 DATA. 2686 02:34:44,542 --> 02:34:49,580 AS AN EXAMPLE OF A PILOT STUDY 2687 02:34:49,580 --> 02:34:54,318 AND DID VERY RECENTLY USING THE 2688 02:34:54,318 --> 02:34:59,824 OHDSI NETWORK WITH THE RESEARCH 2689 02:34:59,824 --> 02:35:01,559 QUESTION WITH THE RISK 2690 02:35:01,559 --> 02:35:08,533 ASSOCIATED WITH INJECTIONS FOR 2691 02:35:08,533 --> 02:35:16,674 PATIENTS OF LYME DISEASE. 2692 02:35:16,674 --> 02:35:23,648 AND KNOWING BECAUSE 1 HAS A MUCH 2693 02:35:23,648 --> 02:35:26,050 SHORTER HALF-LIFE THAN A LOT OF 2694 02:35:26,050 --> 02:35:30,655 TIMES IT WAS 20 TIMES MORE 2695 02:35:30,655 --> 02:35:33,991 EXPENSIVE THAN THE OTHER AGENTS 2696 02:35:33,991 --> 02:35:34,559 BECAUSE THEY REALLY WANT TO 2697 02:35:34,559 --> 02:35:38,196 PROTECT THEIR PATIENTS SO THAT 2698 02:35:38,196 --> 02:35:42,033 HYPOTHESIS WAS WHEN SHE WAS 2699 02:35:42,033 --> 02:35:47,505 EXPECTING THE COMPARISONS TO 2700 02:35:47,505 --> 02:35:48,105 TAKE THESE 3 DIFFERENT AGENTS 2701 02:35:48,105 --> 02:35:48,739 THAT YOU WOULD SEE A LOWER RISK 2702 02:35:48,739 --> 02:35:52,443 OF KIDNEY FAILURE SO SHE DID 2703 02:35:52,443 --> 02:35:54,812 THIS STUDY OVER THE COURSE OF 9 2704 02:35:54,812 --> 02:35:57,114 WEEKS WITH 12 DIFFERENT DATA 2705 02:35:57,114 --> 02:36:00,651 SITES WHICH REPRESENTED 2706 02:36:00,651 --> 02:36:02,486 485 MILLION PATIENTS SO THIS IS 2707 02:36:02,486 --> 02:36:08,559 AN AMAZING AMOUNT OF PATIENCE 2708 02:36:08,559 --> 02:36:11,996 REPRESENTED IN 6.1 MILLION HAVE 2709 02:36:11,996 --> 02:36:14,198 BLINDING DISEASES AND THEN THEY 2710 02:36:14,198 --> 02:36:22,273 HAVE KIDNEY FAILURE OUTCOMES. 2711 02:36:22,273 --> 02:36:23,874 AND THERE IS A LITTLE BIT 2712 02:36:23,874 --> 02:36:26,143 INCREASE PROPORTION IN THIS 2713 02:36:26,143 --> 02:36:28,512 POPULATION OF KIDNEY FAILURE FOR 2714 02:36:28,512 --> 02:36:31,382 THESE PATIENTS HOWEVER WHEN SHE 2715 02:36:31,382 --> 02:36:33,651 LOOKED AT THE COMPARISON OF 2716 02:36:33,651 --> 02:36:36,821 THESE 3 DIFFERENT AGENTS THE 2717 02:36:36,821 --> 02:36:44,395 HAZARD RATIO WAS AROUND 1.0 SO 2718 02:36:44,395 --> 02:36:54,905 STILL TRYING TO FIGURE OUT BUT 2719 02:36:56,040 --> 02:36:56,574 IT DEMONSTRATES THE SPEED AND 2720 02:36:56,574 --> 02:36:57,141 SCALE OF CLINICAL RESEARCH 2721 02:36:57,141 --> 02:36:59,510 AVAILABLE THROUGH USING THE 2722 02:36:59,510 --> 02:37:06,550 POWER OF THE NETWORK DATA SETS. 2723 02:37:06,550 --> 02:37:11,289 THIS IS HOW I VISUALIZE IT 2724 02:37:11,289 --> 02:37:12,323 THROUGH OMOP FOCUSING ON THE 2725 02:37:12,323 --> 02:37:17,028 DATA AVAILABLE IN CLAIMS DATA 2726 02:37:17,028 --> 02:37:17,361 LIKE DIAGNOSIS 2727 02:37:17,361 --> 02:37:22,733 CODES, PRESCRIPTIONS. 2728 02:37:22,733 --> 02:37:23,367 AND THEN EXPANDED BEYOND THAT SO 2729 02:37:23,367 --> 02:37:26,737 THE HR DATA CAN BE AVAILABLE. 2730 02:37:26,737 --> 02:37:27,772 VITALS AND LABS INPATIENT 2731 02:37:27,772 --> 02:37:32,810 STAYS. 2732 02:37:32,810 --> 02:37:37,348 AND DATA RELATED TO WHAT YOU 2733 02:37:37,348 --> 02:37:44,255 ENTER INTO SO IT IS NOT 2734 02:37:44,255 --> 02:37:47,391 REPRESENTED WELL IN THE DATA SET 2735 02:37:47,391 --> 02:37:49,927 SO WE ARE LOOKING AT ADDING THAT 2736 02:37:49,927 --> 02:37:52,163 DATA THEN TO HAVE ANOTHER LAYER 2737 02:37:52,163 --> 02:37:55,266 THAT INTEGRATES AND EACH TIME 2738 02:37:55,266 --> 02:38:00,738 YOU EXPAND THE DATA AVAILABLE WE 2739 02:38:00,738 --> 02:38:02,940 ENABLE MUCH MORE DIVERSE 2740 02:38:02,940 --> 02:38:08,412 RESEARCH. 2741 02:38:08,412 --> 02:38:13,617 SO WITH THE DATA IMAGING. 2742 02:38:13,617 --> 02:38:15,486 AND ALLOWED A - - A LOT OF THAT 2743 02:38:15,486 --> 02:38:23,627 IS ENTERED AND THERE WAS A LOT 2744 02:38:23,627 --> 02:38:25,896 OF VARIABILITY OF HOW THIS IS 2745 02:38:25,896 --> 02:38:27,698 ENTERED IN SOME PREFER TO ENTER 2746 02:38:27,698 --> 02:38:37,475 ALL THE DATA AND THEN IMAGING 2747 02:38:37,475 --> 02:38:44,148 HAS ITS OWN STANDARD AND A LOT 2748 02:38:44,148 --> 02:38:45,016 OF THE SCANS ARE LARGE AND 2749 02:38:45,016 --> 02:38:51,555 DIFFICULT. 2750 02:38:51,555 --> 02:38:52,556 AND TO HEAR THAT APPROACH FROM 2751 02:38:52,556 --> 02:38:59,463 FEDERATED LEARNING AND WHAT YOU 2752 02:38:59,463 --> 02:39:00,965 ARE TRADING BETWEEN THE SITES 2753 02:39:00,965 --> 02:39:08,305 INSTEAD OF DATA WITH THE 2754 02:39:08,305 --> 02:39:12,176 INTERMEDIATE RESULTS TO UPDATE 2755 02:39:12,176 --> 02:39:17,047 THE MODELING KEEP GOING. 2756 02:39:17,047 --> 02:39:18,883 SO THE GROUP DOING ALL OF THE 2757 02:39:18,883 --> 02:39:24,555 WORK IS THE EYE CARE AND VISION 2758 02:39:24,555 --> 02:39:28,893 RESEARCH WORKGROUP AND A MULTI- 2759 02:39:28,893 --> 02:39:32,730 GROUP OF RESEARCHERS OF EYE 2760 02:39:32,730 --> 02:39:33,330 VISION RESEARCH WE OFFICIALLY 2761 02:39:33,330 --> 02:39:37,468 HAVE 120 MEMBERS. 2762 02:39:37,468 --> 02:39:40,004 40 OF THEM ARE ACTIVE AND THEY 2763 02:39:40,004 --> 02:39:42,072 REPRESENT MAJORITY OF CLINICIAN 2764 02:39:42,072 --> 02:39:49,947 SCIENTIST. 2765 02:39:49,947 --> 02:39:53,717 AND SO WORKING HARD WITH THAT 2766 02:39:53,717 --> 02:39:58,255 IMAGING. 2767 02:39:58,255 --> 02:39:58,756 AND FIGURING OUT WAYS TO 2768 02:39:58,756 --> 02:39:59,356 STANDARDIZE HOW THE DATA IS 2769 02:39:59,356 --> 02:40:09,467 USED. 2770 02:40:11,101 --> 02:40:13,571 SO WHAT ARE THE RULES AND THE 2771 02:40:13,571 --> 02:40:15,573 DIAGNOSIS? 2772 02:40:15,573 --> 02:40:19,810 AND USING ANY TYPE OF DATA TO 2773 02:40:19,810 --> 02:40:20,544 SPECIFY IF THEY HAVE THIS 2774 02:40:20,544 --> 02:40:30,688 DISEASE. 2775 02:40:32,456 --> 02:40:33,023 AND GETTING HIGH QUALITY IMAGING 2776 02:40:33,023 --> 02:40:33,657 INTO ALL OF US BUT ALSO TO BUILD 2777 02:40:33,657 --> 02:40:34,992 AND BECOME OF THE PARTISAN 2778 02:40:34,992 --> 02:40:45,536 NETWORK SO INITIALLY TO BUILD A 2779 02:40:46,237 --> 02:40:53,344 SMALL CORE OF DATA AND THE DREAM 2780 02:40:53,344 --> 02:40:53,911 COULD BE THE END TIRE OHDSI 2781 02:40:53,911 --> 02:40:54,478 NETWORK AND THAT WILL TAKE A 2782 02:40:54,478 --> 02:40:55,112 WHILE TO GET THERE SO DEVELOP A 2783 02:40:55,112 --> 02:40:59,583 SMALL GROUP TO HAVE THE DATA AND 2784 02:40:59,583 --> 02:41:02,219 IMAGING IN THEIR SITE THAT 2785 02:41:02,219 --> 02:41:04,788 COORDINATING CENTER WITH THE 2786 02:41:04,788 --> 02:41:08,325 RIGHT FORMAT AND THEN FACILITATE 2787 02:41:08,325 --> 02:41:10,227 THE STUDIES THAT IS THEM WITH 2788 02:41:10,227 --> 02:41:19,603 THE DATA. 2789 02:41:19,603 --> 02:41:23,274 AND WITH THAT ABILITY TO EXTEND 2790 02:41:23,274 --> 02:41:32,583 CLINICAL TRIALS. 2791 02:41:32,583 --> 02:41:36,654 SO THEY ARE TIME LIMITED AND THE 2792 02:41:36,654 --> 02:41:38,923 PATIENT'S STUDIED ARE NOT QUITE 2793 02:41:38,923 --> 02:41:41,892 AS BROAD AS THE ONES WE ARE 2794 02:41:41,892 --> 02:41:43,327 TREATING. 2795 02:41:43,327 --> 02:41:47,298 SO TO LOOK AT YEARS DOWN THE 2796 02:41:47,298 --> 02:41:50,768 LINE AND WHAT ARE THE OUTCOMES 2797 02:41:50,768 --> 02:41:56,340 OF THE PATIENT'S SO WE CAN LOOK 2798 02:41:56,340 --> 02:41:58,709 AT WHAT IS HAPPENING IN THE 2799 02:41:58,709 --> 02:42:01,045 COMMUNITY AND LOOKING AT THOSE 2800 02:42:01,045 --> 02:42:07,418 OUTCOMES AND ANOTHER VALUABLE 2801 02:42:07,418 --> 02:42:11,922 RESOURCE IS FOR VALIDATION THERE 2802 02:42:11,922 --> 02:42:12,423 IS A LOT OF RESEARCH AND 2803 02:42:12,423 --> 02:42:13,891 EXCITING THINGS BEING DONE BUT 2804 02:42:13,891 --> 02:42:21,632 VERY FEW OF THOSE MODELS SO 2805 02:42:21,632 --> 02:42:22,232 HAVING DATA AVAILABLE WOULD BE 2806 02:42:22,232 --> 02:42:22,866 POWERFUL FOR RESEARCHERS TO MOVE 2807 02:42:22,866 --> 02:42:26,203 THE FIELD ALONG. 2808 02:42:26,203 --> 02:42:28,005 AS I MENTIONED REAL-WORLD 2809 02:42:28,005 --> 02:42:32,376 OUTCOMES AS WELL AS DISEASE 2810 02:42:32,376 --> 02:42:35,646 STUDIES AND HAVING A LOT OF DATA 2811 02:42:35,646 --> 02:42:38,415 TO EXPAND THE NETWORK ENOUGH TO 2812 02:42:38,415 --> 02:42:43,954 STUDY HEALTHCARE ACCESS. 2813 02:42:43,954 --> 02:42:49,893 THE IMPACT IS PRETTY GREAT 2814 02:42:49,893 --> 02:42:50,527 HAVING THIS AVAILABLE TO DO MORE 2815 02:42:50,527 --> 02:42:56,233 STUDIES BEYOND CLINICAL TRIALS. 2816 02:42:56,233 --> 02:42:58,902 AND IMPROVING THE BIAS OF DATA 2817 02:42:58,902 --> 02:43:01,939 SETS. 2818 02:43:01,939 --> 02:43:02,940 BUT WHAT IS INTERESTING ABOUT 2819 02:43:02,940 --> 02:43:06,210 THIS IS IT IS A UNIQUE WAY TO 2820 02:43:06,210 --> 02:43:12,616 SUPPORT DATA SHARING. 2821 02:43:12,616 --> 02:43:13,884 YOU ARE GETTING THE GROUP TO 2822 02:43:13,884 --> 02:43:17,488 STANDARDIZE THE DATA UP FRONT. 2823 02:43:17,488 --> 02:43:22,593 SO AS THE INDIVIDUAL RESEARC 2824 02:43:22,593 --> 02:43:23,193 RESEARCHER, USING THE DATA YOU 2825 02:43:23,193 --> 02:43:24,928 NO LONGER HAVE THE BURDEN TO 2826 02:43:24,928 --> 02:43:28,532 FIGURE OUT HOW TO GET THE DATA 2827 02:43:28,532 --> 02:43:29,333 INTO THE FRAMEWORK OR WHERE DO I 2828 02:43:29,333 --> 02:43:32,169 PUT IT ALL YOU NEED TO WORRY 2829 02:43:32,169 --> 02:43:42,579 ABOUT IS THE PHENOTYPES. 2830 02:43:44,148 --> 02:43:44,715 WITH AN ENTIRELY DIFFERENT TALK 2831 02:43:44,715 --> 02:43:47,318 IS IMPROVING THE STANDARDIZATION 2832 02:43:47,318 --> 02:43:50,954 THAT REALLY HELPS CLINICAL CARE 2833 02:43:50,954 --> 02:43:55,059 AND MEASUREMENT. 2834 02:43:55,059 --> 02:43:56,427 SO IN SUMMARY WE NEED THESE 2835 02:43:56,427 --> 02:43:58,295 LARGE DATA SETS AND WE ARE 2836 02:43:58,295 --> 02:44:02,166 REALLY WORKING HARD IMPROVING 2837 02:44:02,166 --> 02:44:05,803 THE DATA AND IMAGING TO BE PART 2838 02:44:05,803 --> 02:44:09,506 OF PROJECTS FROM THE LARGE DATA 2839 02:44:09,506 --> 02:44:12,843 NETWORKS. 2840 02:44:12,843 --> 02:44:13,477 AND IT HELPS TO FACILITATE DATA 2841 02:44:13,477 --> 02:44:19,817 SHARING AND RESEARCH. 2842 02:44:19,817 --> 02:44:20,417 IF YOU HAVE QUESTIONS I WOULD 2843 02:44:20,417 --> 02:44:21,018 LOVE TO TRY TO ANSWER THEM FOR 2844 02:44:21,018 --> 02:44:21,185 YOU. 2845 02:44:21,185 --> 02:44:31,428 >> THANK YOU. 2846 02:44:35,499 --> 02:44:35,899 >> LET'S TAKE QUESTION 2847 02:44:35,899 --> 02:44:36,500 SPECIFICALLY FOR MICHELLE THEN 2848 02:44:36,500 --> 02:44:39,937 WE WILL OPEN UP. 2849 02:44:39,937 --> 02:44:40,537 >> THAT WAS NICE THEY CAN YOU 2850 02:44:40,537 --> 02:44:45,809 COMMENT HOW THE IRIS REGISTRY. 2851 02:44:45,809 --> 02:44:46,110 [INAUDIBLE] 2852 02:44:46,110 --> 02:44:46,710 >> GOOD QUESTION WE HAVE BEEN 2853 02:44:46,710 --> 02:44:50,414 TALKING WITH THEM AND WHAT WOULD 2854 02:44:50,414 --> 02:44:55,452 BE WONDERFUL IS IF THEY COULD 2855 02:44:55,452 --> 02:44:55,919 ACTUALLY IF THEY WERE 2856 02:44:55,919 --> 02:45:05,529 STANDARDIZE THE SAME WAY FROM 2857 02:45:05,529 --> 02:45:06,130 WHAT THEY ARE COLLECTING FROM 2858 02:45:06,130 --> 02:45:06,730 THE REGISTRY IS DIFFERENT FROM 2859 02:45:06,730 --> 02:45:08,932 THE OTHER DATA SETS WITH MAINLY 2860 02:45:08,932 --> 02:45:12,169 ACADEMIC MEDICAL CENTERS. 2861 02:45:12,169 --> 02:45:13,170 WE HAVE BEEN TALKING WITH 2862 02:45:13,170 --> 02:45:19,643 SEVERAL PEOPLE TO SEE HOW WE CAN 2863 02:45:19,643 --> 02:45:25,282 GET THAT TO BE A PART OF THIS. 2864 02:45:25,282 --> 02:45:29,686 >> VERY NICE AND VERY IMPORTANT 2865 02:45:29,686 --> 02:45:33,290 THIS WORK WILL HAVE TO BE 2866 02:45:33,290 --> 02:45:39,897 LONG-TERM AND THAT IS THE 2867 02:45:39,897 --> 02:45:44,334 CHALLENGE WHICH IS NOT THE 2868 02:45:44,334 --> 02:45:47,571 TYPICAL MODEL FOR ACADEMIC 2869 02:45:47,571 --> 02:45:50,107 RESEARCHERS AND ALSO FOR 2870 02:45:50,107 --> 02:45:52,075 INDUSTRY WHERE WE TRY TO 2871 02:45:52,075 --> 02:45:58,048 MONETIZE ACCESS TO DATA. 2872 02:45:58,048 --> 02:46:00,884 SO GIVEN ALL THAT IS THERE A 2873 02:46:00,884 --> 02:46:09,626 CENTRALIZED SUPERSTRUCTURE? 2874 02:46:09,626 --> 02:46:14,264 OR IS THIS ALL DONE IN DIFFERENT 2875 02:46:14,264 --> 02:46:21,138 WAYS BY DIFFERENT PEOPLE? 2876 02:46:21,138 --> 02:46:21,772 >> IT SUCH AN IMPORTANT QUESTION 2877 02:46:21,772 --> 02:46:22,406 AND THE ANSWER TO THAT IS ABOVE 2878 02:46:22,406 --> 02:46:23,040 MY PAY GRADE AS A DATA SCHOLAR. 2879 02:46:23,040 --> 02:46:24,341 LOVE TO SEE MORE RESOURCES FOR 2880 02:46:24,341 --> 02:46:25,642 THIS BUT I WOULD POINT TO A 2881 02:46:25,642 --> 02:46:28,912 WONDERFUL EXAMPLE OF THE 2882 02:46:28,912 --> 02:46:29,513 COMMUNITY ALREADY IN EXISTENCE 2883 02:46:29,513 --> 02:46:31,682 OVER A DECADE. 2884 02:46:31,682 --> 02:46:35,085 THEY HAVE LEVERAGED PARTNERSHIPS 2885 02:46:35,085 --> 02:46:39,756 AWAY SIGNIFICANT NUMBER OF THE 2886 02:46:39,756 --> 02:46:44,261 PEOPLE PUSHING THIS AHEAD. 2887 02:46:44,261 --> 02:46:48,999 SO THERE ARE SOME MODELS THAT WE 2888 02:46:48,999 --> 02:46:51,902 CAN FOLLOW AND IT GIVES ME HOPE 2889 02:46:51,902 --> 02:46:55,606 THAT WE ARE NOT STARTING FROM 2890 02:46:55,606 --> 02:46:56,507 SCRATCH BUILDING OFF OF THE 2891 02:46:56,507 --> 02:47:00,510 EXISTING THING. 2892 02:47:00,510 --> 02:47:01,979 I HOPE WE CAN MAKE THIS 2893 02:47:01,979 --> 02:47:04,548 SUSTAINABLE SO THAT IS ALL OF 2894 02:47:04,548 --> 02:47:12,856 OUR CONCERN AS WELL. 2895 02:47:12,856 --> 02:47:13,457 >> I HAVE BEEN INVOLVED IN THE 2896 02:47:13,457 --> 02:47:15,726 OHDSI COMMUNITY FOR MANY YEARS. 2897 02:47:15,726 --> 02:47:18,228 IT'S A LITTLE CHALLENGING PLACE 2898 02:47:18,228 --> 02:47:19,696 FOR NEI BECAUSE WE DON'T HAVE 2899 02:47:19,696 --> 02:47:22,065 THE DATA SET THAT WE CAN 2900 02:47:22,065 --> 02:47:26,270 CONTRIBUTE TO - - CONTRIBUTE. 2901 02:47:26,270 --> 02:47:32,009 BUT IT GOES TO SHOW WE CAN GIVE 2902 02:47:32,009 --> 02:47:36,914 A POSITION TO CONTINUE HER 2903 02:47:36,914 --> 02:47:39,416 THROUGH THE OFFICE THAT IS A 2904 02:47:39,416 --> 02:47:43,320 CORE AREA OF ACTIVITY SO EVEN 2905 02:47:43,320 --> 02:47:45,055 WHEN MICHELLE IS GONE WE WILL 2906 02:47:45,055 --> 02:47:47,157 FIGURE OUT WAYS TO SUPPORT THE 2907 02:47:47,157 --> 02:47:48,091 EFFORT. 2908 02:47:48,091 --> 02:47:51,061 THE ODYSSEY COMMUNITY IS AMAZING 2909 02:47:51,061 --> 02:47:54,197 AND THE WHOLE COMMUNITY 2910 02:47:54,197 --> 02:47:57,968 STRUGGLES. 2911 02:47:57,968 --> 02:47:58,535 BUT WE ARE BUILDING ON THE 2912 02:47:58,535 --> 02:48:02,172 SHOULDERS OF GIANTS AND WE WILL 2913 02:48:02,172 --> 02:48:07,144 CONTINUE TO KEEP THIS GOING. 2914 02:48:07,144 --> 02:48:10,714 >> MARIA GRANT. 2915 02:48:10,714 --> 02:48:11,214 FANTASTIC PRESENTATION. 2916 02:48:11,214 --> 02:48:14,017 THANK YOU. 2917 02:48:14,017 --> 02:48:17,154 THE MORE INFORMATION YOU HAVE 2918 02:48:17,154 --> 02:48:19,556 THE MORE MISINFORMATION YOU CAN 2919 02:48:19,556 --> 02:48:26,196 HAVE ESPECIALLY THE DIABETIC 2920 02:48:26,196 --> 02:48:32,569 MACULAR CODE BUT IT HAS REMAINED 2921 02:48:32,569 --> 02:48:33,103 THE SAME THAT THE PATIENT 2922 02:48:33,103 --> 02:48:35,238 RESOLVES AND GETS BETTER SOMEONE 2923 02:48:35,238 --> 02:48:37,674 WOULD LOVE TO USE THIS AS A 2924 02:48:37,674 --> 02:48:39,142 RESOURCE SO HOW DO YOU VALIDATE 2925 02:48:39,142 --> 02:48:42,212 THAT BUILDING CODE WITH A 2926 02:48:42,212 --> 02:48:43,814 CLINICAL EXAM? 2927 02:48:43,814 --> 02:48:48,752 IT'S NOT DATA THAT I WANT. 2928 02:48:48,752 --> 02:48:54,091 I WANT TO PATIENT SAMPLE THAT IS 2929 02:48:54,091 --> 02:48:54,458 RELIABLE. 2930 02:48:54,458 --> 02:48:59,930 I KNOW YOU UNDERSTAND THAT BUT 2931 02:48:59,930 --> 02:49:00,464 HOW WILL YOU ADDRESS THAT? 2932 02:49:00,464 --> 02:49:06,837 BECAUSE IT TAKES A LONG TIME. 2933 02:49:06,837 --> 02:49:09,539 SO WHO WAS DOING THAT KIND OF 2934 02:49:09,539 --> 02:49:09,740 WORK? 2935 02:49:09,740 --> 02:49:12,709 >> ME. 2936 02:49:12,709 --> 02:49:13,744 THERE ARE A FAIR NUMBER OF US 2937 02:49:13,744 --> 02:49:16,713 DOING THAT WORK. 2938 02:49:16,713 --> 02:49:17,247 EXACTLY YOU CANNOT RELY ON 2939 02:49:17,247 --> 02:49:19,950 BILLING CODES ALONE. 2940 02:49:19,950 --> 02:49:26,390 BECAUSE THEY ARE NOT ACCURATE. 2941 02:49:26,390 --> 02:49:27,391 SOMETIMES MISSING, NOT 2942 02:49:27,391 --> 02:49:30,360 OVERTIME. 2943 02:49:30,360 --> 02:49:34,164 OR CHOOSE DATA AND SOMETIMES 2944 02:49:34,164 --> 02:49:38,268 THOSE CODES ARE MISSING. 2945 02:49:38,268 --> 02:49:39,269 IS NOT NEEDED FOR 2946 02:49:39,269 --> 02:49:40,337 REIMBURSEMENT. 2947 02:49:40,337 --> 02:49:45,542 OUR ANSWER IS USING PROGRESS 2948 02:49:45,542 --> 02:49:51,748 NOTES AND IF WE CAN ADD MORE 2949 02:49:51,748 --> 02:49:53,050 ELEMENTS TO GET METADATA FROM 2950 02:49:53,050 --> 02:49:57,888 THE IMAGING WE WILL USE AS MUCH 2951 02:49:57,888 --> 02:49:58,388 AS WE CAN TO BUILD THESE 2952 02:49:58,388 --> 02:49:59,790 DIFFERENT PHENOTYPES SO WE DON'T 2953 02:49:59,790 --> 02:50:05,629 RELY JUST ON BILLING CODES. 2954 02:50:05,629 --> 02:50:08,832 BECAUSE IN A LOT OF CASES THEY 2955 02:50:08,832 --> 02:50:13,570 ARE NOT ACCURATE. 2956 02:50:13,570 --> 02:50:18,208 >> A GREAT EFFORT FROM JOHNS 2957 02:50:18,208 --> 02:50:20,844 HOPKINS. 2958 02:50:20,844 --> 02:50:24,614 OF HOW INDIVIDUAL INSTITUTIONAL 2959 02:50:24,614 --> 02:50:28,852 HANDLE THIS IN THE HETEROGEN 2960 02:50:28,852 --> 02:50:29,186 HETEROGENEITY? 2961 02:50:29,186 --> 02:50:30,053 I SUSPECT THERE IS A LOT OF 2962 02:50:30,053 --> 02:50:33,890 DIFFERENCES AND HOW PEOPLE WANT 2963 02:50:33,890 --> 02:50:34,491 DATA SHARED IN THE PERMISSION 2964 02:50:34,491 --> 02:50:37,094 THEY HAVE TO GIVE. 2965 02:50:37,094 --> 02:50:37,694 AND HOW THEY HANDLE DIFFERENT 2966 02:50:37,694 --> 02:50:42,199 TYPES OF DATA WHICH SOME 2967 02:50:42,199 --> 02:50:44,367 INSTITUTIONS CONSIDER TO BE 2968 02:50:44,367 --> 02:50:48,705 PRIVATE. 2969 02:50:48,705 --> 02:50:49,706 AND HAVE NETWORKS TO ACCESS 2970 02:50:49,706 --> 02:50:53,143 THAT. 2971 02:50:53,143 --> 02:50:56,880 BUT ARE YOU SEEING HETEROGEN 2972 02:50:56,880 --> 02:50:57,214 HETEROGENEITY? 2973 02:50:57,214 --> 02:50:59,082 IN OUR THOSE STANDARDS COMING 2974 02:50:59,082 --> 02:51:01,985 OUT SO OF DIFFERENT INSTITUTIONS 2975 02:51:01,985 --> 02:51:03,787 HANDLE THIS THE SAME WAY TO GET 2976 02:51:03,787 --> 02:51:04,855 DIFFERENT RESPONSES FROM 2977 02:51:04,855 --> 02:51:07,124 DIFFERENT PLACES? 2978 02:51:07,124 --> 02:51:15,365 >> SO FOR THAT STUDY, SOME OF 2979 02:51:15,365 --> 02:51:15,999 THE DATA SITES THAT WERE A PART 2980 02:51:15,999 --> 02:51:23,974 OF THAT WERE RELATIVELY NEW TO 2981 02:51:23,974 --> 02:51:24,341 THE OHDSI STUDY. 2982 02:51:24,341 --> 02:51:24,975 THERE WERE PROPOSALS THAT HAD TO 2983 02:51:24,975 --> 02:51:25,475 BE AMENDED AND APPROVED. 2984 02:51:25,475 --> 02:51:28,612 I HONESTLY DON'T KNOW THE 2985 02:51:28,612 --> 02:51:34,818 PROCESS TO GETTING INSTITUTIONS 2986 02:51:34,818 --> 02:51:38,622 TO CONVERGE ON 1 WAY TO DO IT 2987 02:51:38,622 --> 02:51:45,262 BUT WE DO HAVE INDIVIDUAL IRB. 2988 02:51:45,262 --> 02:51:45,795 THERE IS A LOT OF SHARING 2989 02:51:45,795 --> 02:51:46,530 BETWEEN THE DIFFERENT SITES TO 2990 02:51:46,530 --> 02:51:49,332 GET IT THROUGH. 2991 02:51:49,332 --> 02:51:49,966 MY UNDERSTANDING IS I DON'T KNOW 2992 02:51:49,966 --> 02:51:55,572 IF THERE ARE ANY SITES THAT DO 2993 02:51:55,572 --> 02:51:56,506 THIS OR USE THIS TYPE OF DATA 2994 02:51:56,506 --> 02:52:01,878 AND MY GUESS IS A HYBRID AND 2995 02:52:01,878 --> 02:52:04,915 THEN TO HAVE A SEPARATE IRB AND 2996 02:52:04,915 --> 02:52:06,983 THEN USE THAT. 2997 02:52:06,983 --> 02:52:11,254 BUT SINCE THE DATA IS NOT MOVING 2998 02:52:11,254 --> 02:52:16,960 TO ANOTHER SITE AND IT'S DONE 2999 02:52:16,960 --> 02:52:21,431 LOCALLY THEY CAN GO THROUGH IT 3000 02:52:21,431 --> 02:52:24,634 RELATIVELY QUICKLY. 3001 02:52:24,634 --> 02:52:28,171 >> LET ME OPEN THIS UP FOR MORE 3002 02:52:28,171 --> 02:52:34,778 SYNTHETIC DISCUSSION. 3003 02:52:34,778 --> 02:52:37,847 SO WITH NEI AND THE ANCILLARY 3004 02:52:37,847 --> 02:52:40,550 STUDY AND THE STANDARDS AND DATA 3005 02:52:40,550 --> 02:52:44,754 MODELS RELATING TO ALL OF US WE 3006 02:52:44,754 --> 02:52:45,722 WOULD LIKE TO PUT STANDARDIZE 3007 02:52:45,722 --> 02:52:51,828 EYE DATA COMMENTS AND QUESTIONS 3008 02:52:51,828 --> 02:52:52,729 FROM THE GROUP? 3009 02:52:52,729 --> 02:53:03,206 >> AS A MEMBER OF ALL OF US. 3010 02:53:06,142 --> 02:53:06,710 THERE ARE MANY PEOPLE THAT DON'T 3011 02:53:06,710 --> 02:53:15,085 HAVE ACCESS TO E-MAIL. 3012 02:53:15,085 --> 02:53:15,719 >> THE WAYS WE REACH OUT VERY A 3013 02:53:15,719 --> 02:53:21,057 LOT ACROSS THE COUNTRY. 3014 02:53:21,057 --> 02:53:22,259 WE HAVE 170 DIFFERENT COMMUNITY 3015 02:53:22,259 --> 02:53:26,429 ENGAGEMENT PARTNERS AND THEN ALL 3016 02:53:26,429 --> 02:53:36,873 SORTS OF DIFFERENT GROUPS. 3017 02:53:37,440 --> 02:53:42,712 NATIONAL ALLIANCE FOR HEALTH AND 3018 02:53:42,712 --> 02:53:45,348 THAT ENGAGES OLDER INDIVIDUALS 3019 02:53:45,348 --> 02:53:46,383 AND THERE ARE LOTS OF THESE 3020 02:53:46,383 --> 02:53:48,551 DIFFERENT GROUPS AND THEY DO 3021 02:53:48,551 --> 02:53:50,920 BAPTIST CONVENTIONS AND CHURCH 3022 02:53:50,920 --> 02:53:54,557 -BASED ENGAGEMENT SO THERE IS 3023 02:53:54,557 --> 02:53:58,128 LOTS OF DIFFERENT WAYS. 3024 02:53:58,128 --> 02:54:02,565 SON HAVE COMMUNITY CENTERS OR GO 3025 02:54:02,565 --> 02:54:04,567 THROUGH PROVIDERS AND THEN WE 3026 02:54:04,567 --> 02:54:08,438 HAVE MEDICAL CENTERS THAT ARE 3027 02:54:08,438 --> 02:54:08,872 FUNDED. 3028 02:54:08,872 --> 02:54:14,444 WE ALSO DO OUTREACH AND TALKING 3029 02:54:14,444 --> 02:54:16,780 TO OTHER PARTNERS IN THAT 3030 02:54:16,780 --> 02:54:22,185 PROCESS ALSO SNAIL MAIL. 3031 02:54:22,185 --> 02:54:27,590 BUT IT VARIES SO WE HAVE 3032 02:54:27,590 --> 02:54:32,028 HEALTHCARE PROVIDER OUTREACH 3033 02:54:32,028 --> 02:54:37,600 INCLUDING RADIO OR LOCAL TV AND 3034 02:54:37,600 --> 02:54:40,070 BUSES AND STUFF LIKE THAT IT 3035 02:54:40,070 --> 02:54:50,146 VARIES BY AREA. 3036 02:54:50,146 --> 02:54:50,580 THE BIGGEST THING IS 3037 02:54:50,580 --> 02:54:55,685 CONTRIBUTING AND WHAT WE TALK 3038 02:54:55,685 --> 02:54:56,653 ABOUT THE FUTURE OF RESOURCE 3039 02:54:56,653 --> 02:55:04,160 PLANT AT THE FUTURE OF RESEARCH 3040 02:55:04,160 --> 02:55:04,794 BUT THEN WE TRIED TO TURN VALUE 3041 02:55:04,794 --> 02:55:05,362 THROUGH GENOMIC RESULTS AND 3042 02:55:05,362 --> 02:55:11,301 OTHER TEST WE CAN COME UP WITH 3043 02:55:11,301 --> 02:55:12,369 SO THE CURRENT MENTAL HEALTH AND 3044 02:55:12,369 --> 02:55:15,238 WELL-BEING SURVEYS. 3045 02:55:15,238 --> 02:55:17,574 THOSE ARE JUST ENGAGING AND 3046 02:55:17,574 --> 02:55:17,741 FUN. 3047 02:55:17,741 --> 02:55:21,845 WITH THOSE GENOMICS PIECES. 3048 02:55:21,845 --> 02:55:26,182 THAT HAD A REAL HEALTH BENEFIT. 3049 02:55:26,182 --> 02:55:30,553 AND THERE ARE OTHER PLACES TO 3050 02:55:30,553 --> 02:55:36,593 HAVE MORE EXPLICIT VALUE. 3051 02:55:36,593 --> 02:55:37,127 >> I'M TALKING ABOUT AS A 3052 02:55:37,127 --> 02:55:45,735 LAYPERSON WHO HAS NO IDEA. 3053 02:55:45,735 --> 02:55:46,336 SO WHAT IS A LAYPERSON GETTING 3054 02:55:46,336 --> 02:55:46,603 OUT OF IT? 3055 02:55:46,603 --> 02:55:50,874 >> I THINK HOPEFULLY 3056 02:55:50,874 --> 02:55:51,374 CONTRIBUTING TOWARD THE 3057 02:55:51,374 --> 02:55:52,008 CONDITIONS OF THE DISEASES THEY 3058 02:55:52,008 --> 02:55:53,777 KNOW ABOUT TO SOME DEGREE. 3059 02:55:53,777 --> 02:55:56,012 BUT THE GENOMICS PIECE 3 PERCENT 3060 02:55:56,012 --> 02:56:00,784 HAVE A VARIANT THAT COULD CHANGE 3061 02:56:00,784 --> 02:56:01,284 THEIR HEALTH AND GENETIC 3062 02:56:01,284 --> 02:56:05,121 COUNSELING AND 96 PERCENT HAVE 3063 02:56:05,121 --> 02:56:07,557 TO BE EXPOSED TO MEDICATION OF 3064 02:56:07,557 --> 02:56:08,358 INTEREST. 3065 02:56:08,358 --> 02:56:09,259 THAT COULD HAVE A REAL HEALTH 3066 02:56:09,259 --> 02:56:11,694 BENEFIT. 3067 02:56:11,694 --> 02:56:18,668 IT VARIES BY PEOPLE. 3068 02:56:18,668 --> 02:56:19,836 WITH THE VALUE FOR YOU FOR 3069 02:56:19,836 --> 02:56:23,406 SOMEONE ELSE'S DIFFERENT. 3070 02:56:23,406 --> 02:56:24,007 AND WE JUST TRY TO THINK ABOUT 3071 02:56:24,007 --> 02:56:28,111 WHAT IS VALUABLE TO PEOPLE. 3072 02:56:28,111 --> 02:56:32,115 I GUESS I SHOULD BE ASKING 3073 02:56:32,115 --> 02:56:33,216 TURNING THIS INTO A QUESTION 3074 02:56:33,216 --> 02:56:34,851 WHAT WOULD BE MORE VALUABLE? 3075 02:56:34,851 --> 02:56:45,328 >> PERSONALLY I DON'T KNOW. 3076 02:56:47,030 --> 02:56:51,668 BUT WORKING IN THE CLINIC 3077 02:56:51,668 --> 02:56:52,268 HOSPITALS BUT I DON'T SEE ANY 3078 02:56:52,268 --> 02:56:58,808 SIGNS OF THIS. 3079 02:56:58,808 --> 02:56:59,309 >> CAN WE GIVE YOU SOME? 3080 02:56:59,309 --> 02:57:00,577 >> YES I WOULD LIKE SOME. 3081 02:57:00,577 --> 02:57:05,815 [LAUGHTER] 3082 02:57:05,815 --> 02:57:11,654 >> I WOULD REALLY LOVE YOUR 3083 02:57:11,654 --> 02:57:12,255 OPINIONS ON THE MULTI- CENTER 3084 02:57:12,255 --> 02:57:15,525 STUDY AND THE CRITERIA YOU WOULD 3085 02:57:15,525 --> 02:57:17,961 USE TO HAVE A GOOD 3086 02:57:17,961 --> 02:57:21,598 REPRESENTATION OF THE UNITED 3087 02:57:21,598 --> 02:57:25,902 STATES? 3088 02:57:25,902 --> 02:57:30,540 DO USE ACADEMIA OR SOCIAL 3089 02:57:30,540 --> 02:57:33,676 ECONOMICS IT'S IMPORTANT WHEN 3090 02:57:33,676 --> 02:57:37,714 YOU DO A MULTI- CENTERED STUDY 3091 02:57:37,714 --> 02:57:40,216 AND I HAVE NOT SEEN ANY REAL 3092 02:57:40,216 --> 02:57:42,619 CRITERIA FOR PEOPLE WHO HAVE 3093 02:57:42,619 --> 02:57:46,189 EXPERTISE IN THE AREA BUT IT'S 3094 02:57:46,189 --> 02:57:47,790 VERY DIFFERENT. 3095 02:57:47,790 --> 02:57:52,328 I AM CURIOUS ABOUT THE IDEAS YOU 3096 02:57:52,328 --> 02:58:02,739 HAD WITH REGARD TO THAT. 3097 02:58:03,540 --> 02:58:06,042 >> I THINK IT DEPENDS IT IS CASE 3098 02:58:06,042 --> 02:58:13,483 SPECIFIC SO IN THE PAST I STILL 3099 02:58:13,483 --> 02:58:16,719 NEED THE PROGRAM AND THAT WAS 3100 02:58:16,719 --> 02:58:21,024 VERY MUCH GRASSROOTS PARTICIPANT 3101 02:58:21,024 --> 02:58:23,026 DRIVEN BUT WE DID LOOK AT THE 3102 02:58:23,026 --> 02:58:26,029 SAME THINGS WE'RE ARE THE PEOPLE 3103 02:58:26,029 --> 02:58:27,630 COMING FROM? 3104 02:58:27,630 --> 02:58:31,734 OR HOW FAR THEY TRAVELED TO A 3105 02:58:31,734 --> 02:58:34,203 SITE TO HELP THEM ENROLL AND 3106 02:58:34,203 --> 02:58:38,441 THEN THE TYPICAL THINGS LIKE 3107 02:58:38,441 --> 02:58:42,946 RACE AND ETHNICITY. 3108 02:58:42,946 --> 02:58:47,784 AND FOR THE ODYSSEY THERE ARE A 3109 02:58:47,784 --> 02:58:51,321 LOT OF TOOLS THEY CREATED TO 3110 02:58:51,321 --> 02:58:52,388 LOOK AT EACH DATA SET AND IT IS 3111 02:58:52,388 --> 02:59:02,599 FIT FOR USE. 3112 02:59:03,299 --> 02:59:04,300 >> SO THOSE TEND TO BE SITE 3113 02:59:04,300 --> 02:59:05,101 SPECIFIC. 3114 02:59:05,101 --> 02:59:07,804 SO WHEN YOU SELECT THE PATIENTS 3115 02:59:07,804 --> 02:59:10,373 THAT WILL BE A PART OF THE STUDY 3116 02:59:10,373 --> 02:59:13,810 THEY USE A LOT OF ADVANCED 3117 02:59:13,810 --> 02:59:15,979 METHODOLOGIES SO YOU TRY TO 3118 02:59:15,979 --> 02:59:19,749 LIMIT THE DIFFERENT CONFOUNDING 3119 02:59:19,749 --> 02:59:20,617 FACTORS INFLUENCING YOUR 3120 02:59:20,617 --> 02:59:21,918 OUTCOME. 3121 02:59:21,918 --> 02:59:28,358 SO IT DOES DO THAT WITH EACH 3122 02:59:28,358 --> 02:59:29,425 DATABASE BUT THE QUESTION GOES 3123 02:59:29,425 --> 02:59:32,695 BEYOND THAT SO HOW DO WE HAVE 3124 02:59:32,695 --> 02:59:37,333 ENOUGH DIVERSITY IN THE FIRST 3125 02:59:37,333 --> 02:59:40,436 PLACE? 3126 02:59:40,436 --> 02:59:41,070 DO WE HAVE ENOUGH COVERAGE AND I 3127 02:59:41,070 --> 02:59:41,604 DON'T THINK WE HAVE ENOUGH 3128 02:59:41,604 --> 02:59:45,808 METRICS FOR THAT YET FROM WHAT I 3129 02:59:45,808 --> 02:59:47,210 HAVE SEEN HER THAT WE HAVE 3130 02:59:47,210 --> 02:59:52,215 CONSIDERED BUT THAT IS SOMETHING 3131 02:59:52,215 --> 02:59:58,788 WE WILL WANT TO CONSIDER 3132 02:59:58,788 --> 02:59:59,422 HOPEFULLY IF WE GET THIS STARTED 3133 02:59:59,422 --> 03:00:04,193 IN A STRATEGIC ABOUT SUPPORTING 3134 03:00:04,193 --> 03:00:05,595 THE SITES REPRESENTING DIFFERENT 3135 03:00:05,595 --> 03:00:13,002 POPULATIONS. 3136 03:00:13,002 --> 03:00:16,739 >> I ENJOYED HEARING ABOUT ALL 3137 03:00:16,739 --> 03:00:18,307 OF US. 3138 03:00:18,307 --> 03:00:22,345 IF I UNDERSTOOD YOU TARGETING 3139 03:00:22,345 --> 03:00:24,180 1 MILLION PARTICIPANTS. 3140 03:00:24,180 --> 03:00:28,484 THAT IS AMAZING. 3141 03:00:28,484 --> 03:00:29,118 OBVIOUSLY ARE DOING A GREAT JOB 3142 03:00:29,118 --> 03:00:33,056 AT RECRUITING. 3143 03:00:33,056 --> 03:00:34,357 AND THEN HOW YOU LOWER THE 3144 03:00:34,357 --> 03:00:36,826 BARRIERS TO PARTICIPATION ARE 3145 03:00:36,826 --> 03:00:41,264 YOU CAPTURING DATA ON HOW THIS 3146 03:00:41,264 --> 03:00:44,901 HAPPENS TO THOSE WHO SAY I WILL 3147 03:00:44,901 --> 03:00:48,337 NOT DO THIS BECAUSE XYZ? 3148 03:00:48,337 --> 03:00:52,842 >> IT'S A GREAT QUESTION. 3149 03:00:52,842 --> 03:00:54,043 IT IS HARD TO KNOW WHO DOESN'T 3150 03:00:54,043 --> 03:00:56,879 COME WHEN IT IS A GENERAL 3151 03:00:56,879 --> 03:00:57,113 APPEAL. 3152 03:00:57,113 --> 03:01:02,085 THIS IS JOSH. 3153 03:01:02,085 --> 03:01:06,122 WE DO KNOW DEPENDING WHERE THEY 3154 03:01:06,122 --> 03:01:08,691 ARE ON THE PATHWAY WHAT THEY 3155 03:01:08,691 --> 03:01:12,662 MIGHT DECIDE IT IS MULTIPLE 3156 03:01:12,662 --> 03:01:14,263 STEPS. 3157 03:01:14,263 --> 03:01:16,733 THE PERSON WHO DOES PRIMARY 3158 03:01:16,733 --> 03:01:19,969 CONSENT DOESN'T HAVE TO DECIDE 3159 03:01:19,969 --> 03:01:24,507 TO CHOOSE WHETHER OR NOT. 3160 03:01:24,507 --> 03:01:25,575 SO WE CAN LOOK AT THOSE PARTS OF 3161 03:01:25,575 --> 03:01:27,110 THE PATHWAY. 3162 03:01:27,110 --> 03:01:33,449 WE KNOW A LOT OF PEOPLE REPLY TO 3163 03:01:33,449 --> 03:01:34,016 AN E-MAIL THAN A HEALTHCARE 3164 03:01:34,016 --> 03:01:37,386 PROVIDER ORGANIZATION OR YOUR 3165 03:01:37,386 --> 03:01:37,987 DOCTORS TELLING YOU ABOUT IT. 3166 03:01:37,987 --> 03:01:41,324 THAT MAKES MORE SENSE. 3167 03:01:41,324 --> 03:01:41,891 I DO MY CVS E-MAILS WITHOUT 3168 03:01:41,891 --> 03:01:50,666 READING THEM. 3169 03:01:50,666 --> 03:01:51,267 SO WE DO TRY TO LEARN WHAT WE 3170 03:01:51,267 --> 03:01:56,839 CAN IN THE PROCESS AND TO LOWER 3171 03:01:56,839 --> 03:02:00,343 THE BAR AND ENSURE PEOPLE OF 3172 03:02:00,343 --> 03:02:01,177 WHAT WE ARE DOING TO PROTECT 3173 03:02:01,177 --> 03:02:04,247 THEIR DATA AND TO USE IT IN A 3174 03:02:04,247 --> 03:02:07,750 TRUSTWORTHY MANNER. 3175 03:02:07,750 --> 03:02:08,785 BUT WE ALSO UNDERSTAND WE HAVE 3176 03:02:08,785 --> 03:02:12,088 TO BE HONEST SO THE BIGGEST 3177 03:02:12,088 --> 03:02:13,556 CONCERN IS ABOUT PRIVACY AND 3178 03:02:13,556 --> 03:02:18,895 SECURITY OF DATA. 3179 03:02:18,895 --> 03:02:19,428 A LOT OF PEOPLE DON'T WANT 3180 03:02:19,428 --> 03:02:22,565 GENETIC RESULTS BACK MORE PEOPLE 3181 03:02:22,565 --> 03:02:27,770 WANT ANSWERS BECAUSE THEY DON'T 3182 03:02:27,770 --> 03:02:28,671 WANT TO KNOW. 3183 03:02:28,671 --> 03:02:30,606 THE FIELD WHAT THEIR HEALTH IS 3184 03:02:30,606 --> 03:02:38,848 AND THEY DON'T WANT TO. 3185 03:02:38,848 --> 03:02:39,482 AND THERE ARE INTERESTING PLACES 3186 03:02:39,482 --> 03:02:42,151 FOR US TO LEARN MORE. 3187 03:02:42,151 --> 03:02:45,254 >> A SECOND QUICK QUESTION WITH 3188 03:02:45,254 --> 03:02:47,023 ALL OF THESE PARTICIPANTS THERE 3189 03:02:47,023 --> 03:02:52,361 IS A GOOD OPPORTUNITY TO FLAG 3190 03:02:52,361 --> 03:02:54,964 NOT JUST GAPS THAT DON'T APPLY 3191 03:02:54,964 --> 03:02:58,568 TO THE SITUATION BUT EHR 3192 03:02:58,568 --> 03:02:58,835 MISTAKES. 3193 03:02:58,835 --> 03:03:02,138 YOU HAVE ALL OF THIS DATA. 3194 03:03:02,138 --> 03:03:04,640 SOME MISTAKES ARE CLEAR LIKE 3195 03:03:04,640 --> 03:03:05,908 OMISSIONS NUMBERS ARE CRAZY 3196 03:03:05,908 --> 03:03:08,177 COMPARED TO THE NORM. 3197 03:03:08,177 --> 03:03:15,117 IS A SOMETHING YOU ARE TOUTING 3198 03:03:15,117 --> 03:03:15,718 AS ANOTHER POTENTIAL BENEFIT? 3199 03:03:15,718 --> 03:03:16,319 IF YOU SIGN UP WITH US YOU CAN 3200 03:03:16,319 --> 03:03:17,320 FIND SOMETHING WRONG WITH YOUR 3201 03:03:17,320 --> 03:03:17,553 RECORD? 3202 03:03:17,553 --> 03:03:22,992 >> THE HMO MAY HAVE SOMETHING TO 3203 03:03:22,992 --> 03:03:25,895 SAY ABOUT THAT. 3204 03:03:25,895 --> 03:03:29,632 THERE IS A WORKING GROUP AND 3205 03:03:29,632 --> 03:03:34,203 BURIED IN THERE IS THE IDEA THIS 3206 03:03:34,203 --> 03:03:39,041 COULD POTENTIALLY BE A CASE AS 3207 03:03:39,041 --> 03:03:40,076 WE CAN TAKE THE EHR DATA WE HAVE 3208 03:03:40,076 --> 03:03:42,445 TO VISUALIZE TO GIVE AN 3209 03:03:42,445 --> 03:03:44,780 OPPORTUNITY TO PROVIDE 3210 03:03:44,780 --> 03:03:45,047 FEEDBACK. 3211 03:03:45,047 --> 03:03:49,151 IT CAN BE AS SIMPLE AS SHE 3212 03:03:49,151 --> 03:03:49,585 STOPPED MEDICATION. 3213 03:03:49,585 --> 03:03:52,889 DID SHE HAVE A SIDE EFFECT? 3214 03:03:52,889 --> 03:04:02,031 WORK COULD BE I NEVER HAD THIS. 3215 03:04:02,031 --> 03:04:02,665 AND THEN SEEING A SODIUM OF 2000 3216 03:04:02,665 --> 03:04:03,633 IS CATEGORIZED AS WHAT? 3217 03:04:03,633 --> 03:04:07,069 THAT IS WRONG. 3218 03:04:07,069 --> 03:04:11,474 AND SOME OF THE OMOP STUFF CAN 3219 03:04:11,474 --> 03:04:12,475 CATCH THOSE BUT THEN IT IS A 3220 03:04:12,475 --> 03:04:17,313 WRONG DIAGNOSIS THOSE ARE REAL 3221 03:04:17,313 --> 03:04:18,948 OPPORTUNITIES. 3222 03:04:18,948 --> 03:04:20,850 GREAT THOUGHTS WE DON'T HAVE 3223 03:04:20,850 --> 03:04:22,184 THEM YET BUT THAT'S A GREAT 3224 03:04:22,184 --> 03:04:22,985 OPPORTUNITY. 3225 03:04:22,985 --> 03:04:31,394 >> BANKS. 3226 03:04:31,394 --> 03:04:32,495 -- -- THINKS YOU ARE ABLE TO USE 3227 03:04:32,495 --> 03:04:36,098 HISTORICAL DATA AS WELL AS THE 3228 03:04:36,098 --> 03:04:36,732 DATA THAT YOU ARE COLLECTING IN 3229 03:04:36,732 --> 03:04:38,568 REAL TIME. 3230 03:04:38,568 --> 03:04:42,405 IS THERE ANY THOUGHT FROM THE 3231 03:04:42,405 --> 03:04:44,473 POPULATION -BASED STUDIES 3232 03:04:44,473 --> 03:04:48,978 COLLECTED OVER TIME TO BE A MORE 3233 03:04:48,978 --> 03:04:53,950 TARGETED POPULATION AND THAT 3234 03:04:53,950 --> 03:04:58,387 SOME OF THEM DO HAVE GENETIC 3235 03:04:58,387 --> 03:05:01,524 DATA AND OTHERS HAVE SAMPLES TO 3236 03:05:01,524 --> 03:05:01,791 BE TYPED? 3237 03:05:01,791 --> 03:05:04,627 IS THAT POSSIBLE? 3238 03:05:04,627 --> 03:05:10,099 >> IT IS POSSIBLE WE HAVE NOT 3239 03:05:10,099 --> 03:05:10,599 DONE IT YET WE HAD A FEW 3240 03:05:10,599 --> 03:05:12,301 DISCUSSIONS WITH RESEARCH 3241 03:05:12,301 --> 03:05:17,773 COHORTS FOR ALL OF US THAT ARE 3242 03:05:17,773 --> 03:05:20,676 LINKABLE OR CAN BE INCORPORATED. 3243 03:05:20,676 --> 03:05:29,618 BUT WE HAVE NOT DONE THAT YET 3244 03:05:29,618 --> 03:05:30,753 >> OTHER COMMENTS QUESTIONS? 3245 03:05:30,753 --> 03:05:34,390 >>> I JUST WANT TO GRATULATE 3246 03:05:34,390 --> 03:05:36,058 YOU, IT'S A 3247 03:05:36,058 --> 03:05:36,392 >> PROGRAM. 3248 03:05:36,392 --> 03:05:38,394 YOU GUYS ARE DOING A GREAT JOB 3249 03:05:38,394 --> 03:05:41,163 WITH THIS. 3250 03:05:41,163 --> 03:05:43,466 >> THANK YOU. 3251 03:05:43,466 --> 03:05:44,667 >> THANK YOU SO MUCH FOR 3252 03:05:44,667 --> 03:05:46,736 SHARING. 3253 03:05:46,736 --> 03:05:49,138 INCREDIBLE PROGRAM. 3254 03:05:49,138 --> 03:05:52,608 IT'S EXCITING THAT YOU'RE 3255 03:05:52,608 --> 03:05:53,409 CAPTURING THAT ONE TIME POINT 3256 03:05:53,409 --> 03:05:58,247 DATA AND YOU GET A SNAP 3257 03:05:58,247 --> 03:05:58,481 PICTURE. 3258 03:05:58,481 --> 03:06:02,251 BUT THAT'S IMPORTANT, DO YOU 3259 03:06:02,251 --> 03:06:06,022 HAVE A IDEA OF HOW MANY OF THE 3260 03:06:06,022 --> 03:06:07,390 SUBJECTS THAT IS IMAGE GOING. 3261 03:06:07,390 --> 03:06:10,159 THE DATA IS OBTAINED AT 3262 03:06:10,159 --> 03:06:10,626 DIFFERENT TIME POINTS? 3263 03:06:10,626 --> 03:06:12,995 IF NOT CAN YOU DO SOMETHING, I 3264 03:06:12,995 --> 03:06:14,163 KNOW IT'S NOT EASY. 3265 03:06:14,163 --> 03:06:15,931 TO HAVE THE SUBJECT COME BACK 3266 03:06:15,931 --> 03:06:16,432 AGAIN. 3267 03:06:16,432 --> 03:06:19,602 BUT YOU HAVE THE POTENTIAL TO 3268 03:06:19,602 --> 03:06:21,971 GET SOME DATA. 3269 03:06:21,971 --> 03:06:25,841 IS THAT POSSIBLE? 3270 03:06:25,841 --> 03:06:28,944 >>> YES, MAYBE I'LL START IT. 3271 03:06:28,944 --> 03:06:32,314 SO, A COUPLE THINGS, LODGE GA 3272 03:06:32,314 --> 03:06:34,183 TUNE NATIONTY IS IMPORTANT. 3273 03:06:34,183 --> 03:06:38,320 WE TO GET NEW DATA AND WE 3274 03:06:38,320 --> 03:06:40,289 COLLECT DATA, FROM THEIR EH 3275 03:06:40,289 --> 03:06:42,525 R.S AND WE ARE TALKING ABOUT A 3276 03:06:42,525 --> 03:06:44,960 FORMAL REASSESSMENT AS WELL. 3277 03:06:44,960 --> 03:06:48,564 WHICH WE'LL START IN 2024. 3278 03:06:48,564 --> 03:06:49,131 CARRY DO YOU WANT TO TALK 3279 03:06:49,131 --> 03:06:50,933 ABOUT THE EYE COMPONNEGLIGENTS 3280 03:06:50,933 --> 03:06:55,438 AND YOU MAY HAVE LOOKED AT THE 3281 03:06:55,438 --> 03:06:56,105 DATA. 3282 03:06:56,105 --> 03:06:58,941 >> SO, I HAVE LOOKED INTO THE 3283 03:06:58,941 --> 03:07:01,410 RESEARCHER WORKBENCH ON THE 3284 03:07:01,410 --> 03:07:05,848 OCCULAR DATA, AND LODGE GA 3285 03:07:05,848 --> 03:07:08,250 TUDE NALLLY, IT IS A LITTLE 3286 03:07:08,250 --> 03:07:09,819 SPARSE AND, THERE'S ACTUALLY 3287 03:07:09,819 --> 03:07:14,557 LIKE A HIGHER PROPORTION OF 3288 03:07:14,557 --> 03:07:17,593 FLAW COMMA OR DIAGNOSIS. 3289 03:07:17,593 --> 03:07:19,195 BUT, IT IS JUST SO SPARSE THAT 3290 03:07:19,195 --> 03:07:22,198 IT IS A LITTLE CHALLENGING TO 3291 03:07:22,198 --> 03:07:22,832 MAKE SOME BROAD STATEMENT BEST 3292 03:07:22,832 --> 03:07:26,635 THAT. BUT WITH THE OCCULAR 3293 03:07:26,635 --> 03:07:28,370 IMAGING, WE ARE HOPING. 3294 03:07:28,370 --> 03:07:29,772 WE'RE HAVING SOME DISCUSSION. 3295 03:07:29,772 --> 03:07:32,108 THERE'S THE PO DIG FOR 3296 03:07:32,108 --> 03:07:33,476 BUILDING THIS INTO 3297 03:07:33,476 --> 03:07:33,809 REASSESSMENTS. 3298 03:07:33,809 --> 03:07:38,247 AND THEN THAT COULD BE CAP 3299 03:07:38,247 --> 03:07:40,049 SHOOFERD AT SEVERAL TIME 3300 03:07:40,049 --> 03:07:40,983 POINTS. 3301 03:07:40,983 --> 03:07:42,051 AGAIN, WITH LIKE COUPLE LINK 3302 03:07:42,051 --> 03:07:44,153 THAT WITH TO THE OCCULAR 3303 03:07:44,153 --> 03:07:47,123 MEASURES COULD BE REALLY 3304 03:07:47,123 --> 03:07:49,425 POWERFUL DATA. 3305 03:07:49,425 --> 03:07:52,628 YES. 3306 03:07:52,628 --> 03:07:54,764 >> LET'S -- IT'S DON, HAVE YOU 3307 03:07:54,764 --> 03:07:57,333 ONE, BUT LET'S TAKE THAT AS 3308 03:07:57,333 --> 03:07:57,933 THE LAST COMMENT BECAUSE OF 3309 03:07:57,933 --> 03:07:58,367 THE TIME. 3310 03:07:58,367 --> 03:08:02,071 IF WE HAVE OTHER COMMENTS 3311 03:08:02,071 --> 03:08:04,573 LET'S SAVE THEM FOR THE VERY 3312 03:08:04,573 --> 03:08:04,740 END. 3313 03:08:04,740 --> 03:08:06,675 DON, LAST. 3314 03:08:06,675 --> 03:08:08,010 >> GREAT, THIS IS DON. 3315 03:08:08,010 --> 03:08:11,747 I JUST, WANTED HAD TO EXPRESS 3316 03:08:11,747 --> 03:08:13,482 A TREMENDOUS PRECIPITATION FOR 3317 03:08:13,482 --> 03:08:15,151 THE HUGE AMOUNT OF WORK THAT 3318 03:08:15,151 --> 03:08:18,487 YOU'RE ENGAGED IN AND LIKE 3319 03:08:18,487 --> 03:08:20,256 JAMES, I'M GRATITUDE OR 3320 03:08:20,256 --> 03:08:21,891 ENCOURAGED THAT RECRUITMENT IS 3321 03:08:21,891 --> 03:08:23,926 GOING WELL. 3322 03:08:23,926 --> 03:08:26,295 I THINK SUSPICION OF SCIENCE 3323 03:08:26,295 --> 03:08:27,696 OR WILLINGNESS TO PARTICIPATE 3324 03:08:27,696 --> 03:08:29,798 IN SCIENCE IS MORE DIFFICULT 3325 03:08:29,798 --> 03:08:30,733 NOW THAN IT WAS 20 YEARS AGO. 3326 03:08:30,733 --> 03:08:33,102 SO I'M VERY ENCOURAGED THAT 3327 03:08:33,102 --> 03:08:37,273 PEOPLE ARE WHICH WILL TO 3328 03:08:37,273 --> 03:08:38,007 PARTICIPATE. 3329 03:08:38,007 --> 03:08:40,142 THIS EFFORT REPRESENTS A 3330 03:08:40,142 --> 03:08:42,745 TREMENDOUS OPPORTUNITY FOR 3331 03:08:42,745 --> 03:08:45,247 SCIEN, WHAT WE CAN DERIVE FROM 3332 03:08:45,247 --> 03:08:47,149 BIG DATA AND I'M PREACH HATING 3333 03:08:47,149 --> 03:08:50,452 A TREMENDOUS OPPORTUNITY AND 3334 03:08:50,452 --> 03:08:52,321 RESPONSIBILITY TO BRING THIS 3335 03:08:52,321 --> 03:08:56,725 BACK TO PUBLIC TO LET THE 3336 03:08:56,725 --> 03:08:57,560 PUBLIC KNOW THAT PARTICIPATION 3337 03:08:57,560 --> 03:08:58,727 EQUALS THEN EQUALS AN 3338 03:08:58,727 --> 03:09:02,765 IMPROVEMENT IN THEIR OVERALL 3339 03:09:02,765 --> 03:09:07,903 HEALTH AND SORT OF A 3340 03:09:07,903 --> 03:09:09,271 CORRECTING THE PUBLIC 3341 03:09:09,271 --> 03:09:12,241 PERCEPTION, DUE TO PAST 3342 03:09:12,241 --> 03:09:14,843 INJUSTICES, THAT, PUBLIC 3343 03:09:14,843 --> 03:09:17,179 SCIENCE AND YOUR PUBLIC'S 3344 03:09:17,179 --> 03:09:17,746 PARTICLES IN SCIENCE CAN BE 3345 03:09:17,746 --> 03:09:21,450 FOR THEIR BENEFIT. 3346 03:09:21,450 --> 03:09:23,185 SEEMS LIKE A MILLION VOICES 3347 03:09:23,185 --> 03:09:28,457 WILL SPEAK VERY, VERY LOUDLY 3348 03:09:28,457 --> 03:09:30,192 THAT, AS PARTICIPATION IN 3349 03:09:30,192 --> 03:09:31,293 RESEARCH EQUALS A BETTER LIFE 3350 03:09:31,293 --> 03:09:33,829 AND INCREASING THE JUSTICE IN 3351 03:09:33,829 --> 03:09:34,897 THE WORLD. 3352 03:09:34,897 --> 03:09:37,366 >> THANK YOU VERY MUCH. 3353 03:09:37,366 --> 03:09:39,568 I WANT TO THANKS, WELL, THE 3354 03:09:39,568 --> 03:09:41,136 REASON THAT WE WENTED TO HAVE 3355 03:09:41,136 --> 03:09:44,039 THIS SYMPOSIUM IS A COUPLE, I 3356 03:09:44,039 --> 03:09:45,908 VIEW OUR JOB AS TO TRY TO DO 3357 03:09:45,908 --> 03:09:48,911 THINGS THAT BENEFIT THE ENTIRE 3358 03:09:48,911 --> 03:09:49,178 COMMUNITY. 3359 03:09:49,178 --> 03:09:51,080 ONE OF THEM IS PROVIDING DATA 3360 03:09:51,080 --> 03:09:53,148 IN THE HANDEST COMMUNITY AND I 3361 03:09:53,148 --> 03:09:55,251 DO THINK WE HAVE A VISION 3362 03:09:55,251 --> 03:09:55,517 COMMUNITY. 3363 03:09:55,517 --> 03:09:57,453 WE'RE EXCITED ABOUT THAT. 3364 03:09:57,453 --> 03:10:00,256 ONE THING, AND SO, MICHELLE IS 3365 03:10:00,256 --> 03:10:02,758 SOMEONE WHO'S PHD IS COMPUTER 3366 03:10:02,758 --> 03:10:05,894 SCIENCE AND, I THINK WE NEED 3367 03:10:05,894 --> 03:10:08,964 MORE PEOPLE LIKE MICHELLE, AND 3368 03:10:08,964 --> 03:10:10,699 THE OTHER THING, YOU HAD MADE 3369 03:10:10,699 --> 03:10:13,269 A COMMENT ABOUT PRIVACY AND 3370 03:10:13,269 --> 03:10:14,870 HOW DIFFERENT INSTITUTIONS 3371 03:10:14,870 --> 03:10:16,005 BEHAVE DIFFERENTLY AND I THINK 3372 03:10:16,005 --> 03:10:16,972 THAT'S A PROBLEM. 3373 03:10:16,972 --> 03:10:19,375 I THINK THAT WE ENTER A 3374 03:10:19,375 --> 03:10:20,242 LANDSCAPE WHERE WE'RE TRYING 3375 03:10:20,242 --> 03:10:22,945 TO FIGURE OUT THE RULES AND, 3376 03:10:22,945 --> 03:10:24,213 THE REASON PEOPLE HAVE 3377 03:10:24,213 --> 03:10:25,014 DIFFERENT VIEWS IS THERE'S NOT 3378 03:10:25,014 --> 03:10:28,817 AT OBVIOUS ANSWER. 3379 03:10:28,817 --> 03:10:30,119 EMILY, AND JOEL ARE LEADING A 3380 03:10:30,119 --> 03:10:30,686 WORK GROUP THAT'S TRYING TO 3381 03:10:30,686 --> 03:10:33,689 LOOK AT THIS, WITH RET NALL 3382 03:10:33,689 --> 03:10:35,791 IMAGE DATA. 3383 03:10:35,791 --> 03:10:38,027 IT TURNS OUT TO BE TOUGHER. 3384 03:10:38,027 --> 03:10:40,029 BUT WE'RE HOPING TO GET AND 3385 03:10:40,029 --> 03:10:41,263 AARON, TOGETHER WITH SOMEONE 3386 03:10:41,263 --> 03:10:44,033 AT VANDERBILT, THAT JOSH KNOWS 3387 03:10:44,033 --> 03:10:44,233 WELL. 3388 03:10:44,233 --> 03:10:47,603 BRAD ARE ON THE PROGRAM AND 3389 03:10:47,603 --> 03:10:48,904 THEY HAVE BEEN DEALING WITH 3390 03:10:48,904 --> 03:10:51,407 THIS ISSUE WITH RETINAL IMAGE 3391 03:10:51,407 --> 03:10:52,341 DATA AS WELL. 3392 03:10:52,341 --> 03:10:53,709 SO WE'RE HOPING OUT OF THAT IS 3393 03:10:53,709 --> 03:10:56,312 GOING TO COME SOME ISSUES THAT 3394 03:10:56,312 --> 03:10:59,415 WE HOPE CAN GIVE A LITTLE BIT 3395 03:10:59,415 --> 03:11:01,250 MORE STANDARD TODAYSATION, 3396 03:11:01,250 --> 03:11:03,118 ABOUT ISSUES THAT ARE TOUGH. 3397 03:11:03,118 --> 03:11:04,620 BUT JOSH, A BIG THANK YOU TO 3398 03:11:04,620 --> 03:11:11,460 ALL OF YOU FOR SPEAKING. 3399 03:11:11,460 --> 03:11:12,828 >> SO, CAN WE TURN TO YOU -- 3400 03:11:12,828 --> 03:11:13,262 >> YES. 3401 03:11:13,262 --> 03:11:15,664 >> THANK YOU VERY MUCH. 3402 03:11:15,664 --> 03:11:18,300 THAT WAS REALLY INFORMATIVE 3403 03:11:18,300 --> 03:11:20,602 AND WE MAKE THE SLIDES 3404 03:11:20,602 --> 03:11:21,470 AVAILABLE TO YOU AND WE CAN 3405 03:11:21,470 --> 03:11:24,540 FOLLOW-UP WITH A LEARN TO 3406 03:11:24,540 --> 03:11:25,341 WEBSITE AND WHATEVER OTHER 3407 03:11:25,341 --> 03:11:26,442 INFORMATION AND THANK YOU FOR 3408 03:11:26,442 --> 03:11:27,910 YOUR INTEREST IN THIS. 3409 03:11:27,910 --> 03:11:30,746 WE'RE GOING TO MOVE ONTO OUR 3410 03:11:30,746 --> 03:11:34,383 LAST ITEM, BEFORE LUNCH. 3411 03:11:34,383 --> 03:11:35,451 AND THAT'S CONCEPT 3412 03:11:35,451 --> 03:11:36,485 CLEARANCES. 3413 03:11:36,485 --> 03:11:38,454 TODAY WE HAVE TWO CONCEPT 3414 03:11:38,454 --> 03:11:40,322 CLEAR FINANCES TO PRESENT TO 3415 03:11:40,322 --> 03:11:41,223 YOU FOR YOUR CONSIDERATION AND 3416 03:11:41,223 --> 03:11:45,027 JUST A REMINDER WE PRESENT 3417 03:11:45,027 --> 03:11:46,028 THESE CONCEPTS TO YOU FOR 3418 03:11:46,028 --> 03:11:46,962 POTENTIAL FUNDING 3419 03:11:46,962 --> 03:11:48,297 OPPORTUNITIES, WE'RE THINK 3420 03:11:48,297 --> 03:11:50,032 GOING ABOUT DEVELOPING. 3421 03:11:50,032 --> 03:11:53,068 WE WANT TO GET YOUR FEEDBACK, 3422 03:11:53,068 --> 03:11:55,804 YOUR APPROVAL TO THINK ABOUT 3423 03:11:55,804 --> 03:11:57,940 DEVELOP GOING THESE MORE IF 3424 03:11:57,940 --> 03:12:00,042 YOU THINK THEY SHOULD BE 3425 03:12:00,042 --> 03:12:01,377 PRIORITIES AND WHETHER WE 3426 03:12:01,377 --> 03:12:03,245 DEVELOP THEM OR NOT DEPENDS ON 3427 03:12:03,245 --> 03:12:04,646 BUDGET AND THE YOUR INPUT. 3428 03:12:04,646 --> 03:12:07,983 SO I DIDN'T ASSIGN ANY 3429 03:12:07,983 --> 03:12:09,118 SPECIFIC DISCUSSIONS FOR EACH 3430 03:12:09,118 --> 03:12:11,387 OF THESE BECAUSE I WANT TO 3431 03:12:11,387 --> 03:12:13,155 ENCOURAGE EVERYONE TO PROVIDE 3432 03:12:13,155 --> 03:12:14,990 INPUT ON THEM. 3433 03:12:14,990 --> 03:12:18,427 WE HAVE ABOUT 15 MACHINES FOR 3434 03:12:18,427 --> 03:12:18,961 EACH. 3435 03:12:18,961 --> 03:12:20,796 SO FIVE MINUTES FOR 3436 03:12:20,796 --> 03:12:21,497 PRESENTATION AND TEN MINUTES 3437 03:12:21,497 --> 03:12:23,265 FOR DISCUSSION. THE FIRST 3438 03:12:23,265 --> 03:12:26,034 CONCEPT IS GOING TO BE 3439 03:12:26,034 --> 03:12:29,104 PRESENTED BY DOCTOR SHERIDAN, 3440 03:12:29,104 --> 03:12:31,407 WHO MANAGES THE LOW VISION. 3441 03:12:31,407 --> 03:12:33,575 SO GO AHEAD. 3442 03:12:33,575 --> 03:12:34,009 >> THANKS FOR THE 3443 03:12:34,009 --> 03:12:34,443 INTRODUCTION. 3444 03:12:34,443 --> 03:12:37,479 I REALLY APPRECIATE THE 3445 03:12:37,479 --> 03:12:39,581 OPPORTUNITY TO PRESENT THIS 3446 03:12:39,581 --> 03:12:42,451 CONCEPT FOR COUNCIL'S 3447 03:12:42,451 --> 03:12:42,985 CONSIDERATION TODAY. 3448 03:12:42,985 --> 03:12:46,455 SO THE OVERALL GOAL OF THIS 3449 03:12:46,455 --> 03:12:47,890 INITIATIVE THAT I'LL BE 3450 03:12:47,890 --> 03:12:52,294 SCRIBING IS TO STIMULATE 3451 03:12:52,294 --> 03:12:53,962 TRANSLATIONAL EFFORTS TO 3452 03:12:53,962 --> 03:12:56,031 DEVELOP ACCESSIBILITY TOOLS 3453 03:12:56,031 --> 03:12:57,232 FOR INDIVIDUALS WHO ARE LIVE 3454 03:12:57,232 --> 03:12:58,267 GOING WITH VISUAL IMPAIRMENT. 3455 03:12:58,267 --> 03:13:00,369 WHAT I HOPE TO CONVEY IS THAT 3456 03:13:00,369 --> 03:13:05,407 THESE ACTIVITIES, WILL SUPPORT 3457 03:13:05,407 --> 03:13:08,243 ADVANCING THE GENERAL EYE 3458 03:13:08,243 --> 03:13:09,845 MISSION BUT, ALSO, IN 3459 03:13:09,845 --> 03:13:13,182 PARTICULAR A DIRECTIVE IN NEI 3460 03:13:13,182 --> 03:13:15,584 STRATEGIC PLANS, EMERGENCIING 3461 03:13:15,584 --> 03:13:18,253 OPPORTUNITIES WHICH IS TO 3462 03:13:18,253 --> 03:13:21,690 DRIVE RESEARCH, TO EXPAND 3463 03:13:21,690 --> 03:13:22,858 OPPORTUNITY FOR PEOPLE WHO ARE 3464 03:13:22,858 --> 03:13:26,395 BLIND OR REQUIRE VISUAL 3465 03:13:26,395 --> 03:13:27,496 REHABILITATION. 3466 03:13:27,496 --> 03:13:32,000 SO THE RATIONALE IS FAIRLY 3467 03:13:32,000 --> 03:13:32,401 STRAIGHT-FORWARD. 3468 03:13:32,401 --> 03:13:33,869 THAT IS DESPITE REMARKABLE 3469 03:13:33,869 --> 03:13:34,937 MEDICAL ADVANCES THAT HAVE 3470 03:13:34,937 --> 03:13:37,606 BEEN MADE IN TREATS O GOING 3471 03:13:37,606 --> 03:13:42,377 AND PREVENTING BLINDNESS, AM 3472 03:13:42,377 --> 03:13:43,378 REMAIN INCURABLE. 3473 03:13:43,378 --> 03:13:45,747 AND THAT MEANS 7,000,000 3474 03:13:45,747 --> 03:13:51,019 PEOPLE IN AMERICA HAVE VISUAL 3475 03:13:51,019 --> 03:13:51,320 IMPAIRMENT. 3476 03:13:51,320 --> 03:13:52,454 THESE INDIVIDUALS HAVE A 3477 03:13:52,454 --> 03:13:53,689 NUMBER OF CHALLENGES, IN 3478 03:13:53,689 --> 03:13:56,592 PERFORMING ACTIVITIES OF DAILY 3479 03:13:56,592 --> 03:14:00,462 LIVING, ATTAINING ENGE, AND 3480 03:14:00,462 --> 03:14:02,164 ENGE OPPORTUNITIES ATTAIN 3481 03:14:02,164 --> 03:14:07,669 GOING EMPLOYMENT, AND 3482 03:14:07,669 --> 03:14:08,770 MAINTAINING BASIC GOOD 3483 03:14:08,770 --> 03:14:09,004 HEALTH. 3484 03:14:09,004 --> 03:14:13,542 NOW HISTORICALLY, 3485 03:14:13,542 --> 03:14:14,943 ACCESSIBILITY DESIGN HAS, 3486 03:14:14,943 --> 03:14:18,947 THOSE EFFORTS HAVE ADDRESSED 3487 03:14:18,947 --> 03:14:20,415 MEETING THESE CHALLENGES BY 3488 03:14:20,415 --> 03:14:21,250 DEVELOPING TOOLS THAT CAN 3489 03:14:21,250 --> 03:14:24,353 SUPPORT PRODUCTIVE AND QUALITY 3490 03:14:24,353 --> 03:14:26,922 OF LIFE FOR PEOPLE WHO ARE 3491 03:14:26,922 --> 03:14:30,626 EFFECTED BY VISUAL IMPAIRMENT. 3492 03:14:30,626 --> 03:14:31,727 BRAILLE, WHITE CONTAINS, 3493 03:14:31,727 --> 03:14:33,061 MAGNIFYING DEVICES. 3494 03:14:33,061 --> 03:14:36,732 THOSE ARE THE MOST ESTABLISHED 3495 03:14:36,732 --> 03:14:38,200 AND THAT'S KNOWN OF THESE 3496 03:14:38,200 --> 03:14:39,301 ACCESSIBILITY TOOLS. 3497 03:14:39,301 --> 03:14:41,270 BUT THERE ARE A NUMBER OF 3498 03:14:41,270 --> 03:14:44,740 TOOLS THAT DO EXIST AND ARE 3499 03:14:44,740 --> 03:14:45,040 WIDELY USED. 3500 03:14:45,040 --> 03:14:48,677 BUT WE SEE THIS PARTICULAR 3501 03:14:48,677 --> 03:14:52,080 POINT IN TIME, THERE IS A 3502 03:14:52,080 --> 03:14:54,182 UNIQUE OPPORTUNITY TO 3503 03:14:54,182 --> 03:14:56,952 TRANSFORM ACCESSIBLEBILITY 3504 03:14:56,952 --> 03:14:59,488 EFFORTS GIVEN THE RECENT RAPID 3505 03:14:59,488 --> 03:15:01,189 GROWTH AND INCREDIBLE INNOVATE 3506 03:15:01,189 --> 03:15:06,094 GOING IN NEW TECHNOLOGIES. 3507 03:15:06,094 --> 03:15:08,997 THIS SLIDE PRESENTS THREE 3508 03:15:08,997 --> 03:15:10,933 EXAMPLES ILLUSTRATING THE 3509 03:15:10,933 --> 03:15:14,336 INTEGRATION OF 3D PRINTED 3510 03:15:14,336 --> 03:15:17,539 TECHNOLOGY TOWARDS DEVELOPING 3511 03:15:17,539 --> 03:15:18,840 ACCESSIBILITY TOOLS FOR BLIND 3512 03:15:18,840 --> 03:15:20,609 INDIVIDUALS. 3513 03:15:20,609 --> 03:15:21,410 ON THIS SLIDE ON THE LEFT-SIDE 3514 03:15:21,410 --> 03:15:24,179 IS ADD PICTURE OF A WOMAN WHO 3515 03:15:24,179 --> 03:15:26,315 IS TOUCHING THE CONTOWERS 3516 03:15:26,315 --> 03:15:31,086 AFTER 3 DIMENSIONAL MAP OF A 3517 03:15:31,086 --> 03:15:33,789 FLOOR OF A UNIVERSITY BUILDING 3518 03:15:33,789 --> 03:15:34,156 ON CAMPUS. 3519 03:15:34,156 --> 03:15:38,827 SO, BEING ABLE TO GAIN THIS 3520 03:15:38,827 --> 03:15:42,731 TACTILE INFORMATION ALLOWS HER 3521 03:15:42,731 --> 03:15:45,267 TO PLAN A ROUTE TO HER 3522 03:15:45,267 --> 03:15:46,969 CLASSROOM THAT SHE CAN MAKE 3523 03:15:46,969 --> 03:15:48,403 BEFORE ARRIVING AT THE 3524 03:15:48,403 --> 03:15:48,670 BUILDING. 3525 03:15:48,670 --> 03:15:51,306 IN THE MIDDLE IS A PICTURE OF 3526 03:15:51,306 --> 03:15:54,409 A YOUNG CHEMISTRY STUDENT WHO 3527 03:15:54,409 --> 03:15:56,144 IS PLACING A SMALL STRUCTURE 3528 03:15:56,144 --> 03:15:58,313 OF A PROTEIN INTO HIS MOUTH 3529 03:15:58,313 --> 03:16:02,184 AND THEN CAN USE THE TACTILE 3530 03:16:02,184 --> 03:16:04,219 SENSITIVITY OF HIS TONGUE TO 3531 03:16:04,219 --> 03:16:08,857 VISUALIZE AND LEARN ABOUT THAT 3532 03:16:08,857 --> 03:16:10,892 COMPLEX STRUCTURE OF THAT 3533 03:16:10,892 --> 03:16:11,126 PROTEIN. 3534 03:16:11,126 --> 03:16:14,363 ON THE FAR RIGHT IS A PICTURE 3535 03:16:14,363 --> 03:16:15,197 OF A GENTLEMAN WHO IS 3536 03:16:15,197 --> 03:16:22,204 INTERACTING WITH A PROTOTYPE 3537 03:16:22,204 --> 03:16:25,274 TOUCHED BASE DEVICE THAT 3538 03:16:25,274 --> 03:16:27,075 MIMMICKS THE 3-DIMENSIONAL 3539 03:16:27,075 --> 03:16:29,845 OBJECT THAT HE HAS DESIGNED ON 3540 03:16:29,845 --> 03:16:31,413 THE COMPUTER. 3541 03:16:31,413 --> 03:16:34,983 AS A RESULT HE CAN ENGAGE IN A 3542 03:16:34,983 --> 03:16:36,418 BETTER DESIGN PROCESS AND PULL 3543 03:16:36,418 --> 03:16:40,722 UP BASICALLY A PRINT PREVIEW 3544 03:16:40,722 --> 03:16:42,324 BEFORE HE SENDS THE JOB TO 3545 03:16:42,324 --> 03:16:44,693 THAT 3D PRINTER. 3546 03:16:44,693 --> 03:16:48,597 SO THAT'S SAVING HIM TIME AND 3547 03:16:48,597 --> 03:16:48,830 EXPENSE. 3548 03:16:48,830 --> 03:16:50,065 BUT OF COURSE, THE 3549 03:16:50,065 --> 03:16:52,367 OPPORTUNITIES ARE NOT LIMITED 3550 03:16:52,367 --> 03:16:55,570 TO 3D PRINTING TECHNOLOGY, WE 3551 03:16:55,570 --> 03:16:57,372 WOULD ARGUE THAT OPPORTUNITIES 3552 03:16:57,372 --> 03:16:59,207 ARE RELATIVELY LIMITLESS. 3553 03:16:59,207 --> 03:17:02,210 SO JUST AS FEW EXAMPLES TO 3554 03:17:02,210 --> 03:17:04,012 CONSIDER, ADVANCES IN WEARABLE 3555 03:17:04,012 --> 03:17:07,282 SENSE GOING GOING TECHNOLOGIES 3556 03:17:07,282 --> 03:17:10,952 COULD BE APPLIED TO EXPAND 3557 03:17:10,952 --> 03:17:14,790 MOBILE APP SOLUTIONS FOR MORE 3558 03:17:14,790 --> 03:17:17,159 COMPLEX ENVINETMENTS. 3559 03:17:17,159 --> 03:17:20,295 ARTIFICIAL INTELLIGENCE 3560 03:17:20,295 --> 03:17:22,264 PROVIDES PROMISE. 3561 03:17:22,264 --> 03:17:23,732 MECHANICAL ENGINEERING 3562 03:17:23,732 --> 03:17:25,167 DEVELOPMENTS COULD BE USED TO 3563 03:17:25,167 --> 03:17:28,537 AUGMENT WEARABLE KEYBOARDS. 3564 03:17:28,537 --> 03:17:32,240 VIRTUAL REALITY SYSTEMS COULD 3565 03:17:32,240 --> 03:17:35,343 INCORPORATE MULTIPLE SIGNING, 3566 03:17:35,343 --> 03:17:38,580 AND, CONVEY VISUAL 3567 03:17:38,580 --> 03:17:38,880 INFORMATION. 3568 03:17:38,880 --> 03:17:39,481 AND MATERIAL SCIENCE RESEARCH 3569 03:17:39,481 --> 03:17:43,018 COULD BE DIRECTED TO DEVELOP 3570 03:17:43,018 --> 03:17:47,022 NEWCOME POSSIBLE SITS FOR 3571 03:17:47,022 --> 03:17:50,425 SMART REFRESHABLE BRAILLE 3572 03:17:50,425 --> 03:17:52,160 DEVICES. 3573 03:17:52,160 --> 03:17:54,563 SO, SIMPLY STATED WE SEE GREAT 3574 03:17:54,563 --> 03:17:55,997 POTENTIAL IN HARNESS GOING 3575 03:17:55,997 --> 03:17:59,167 ADVANCES IN TECHNOLOGY 3576 03:17:59,167 --> 03:18:02,003 DEVELOPMENT TO REALLY INNOVATE 3577 03:18:02,003 --> 03:18:04,106 ACCESSIBILITY TOOLS. 3578 03:18:04,106 --> 03:18:09,044 THERE ARE KEY ELEMENTS THAT WE 3579 03:18:09,044 --> 03:18:09,211 SEE. 3580 03:18:09,211 --> 03:18:12,347 FIRST, THE VERY IMPORTANT TO 3581 03:18:12,347 --> 03:18:14,216 ENGAGE FRANCE-DISCIPLINARY 3582 03:18:14,216 --> 03:18:14,483 EXPERTISE. 3583 03:18:14,483 --> 03:18:18,186 WE NEED THE TECHNOLOGY WIZARDS 3584 03:18:18,186 --> 03:18:21,423 ON THE RESEARCH TEAMS BUT ALSO 3585 03:18:21,423 --> 03:18:27,863 INCORPORATING OTHER EXPERTISE 3586 03:18:27,863 --> 03:18:28,864 SOUTHEASTER GO NOL MIX, SOCIAL 3587 03:18:28,864 --> 03:18:30,465 SCIENCE SKIS, REHABILITATION 3588 03:18:30,465 --> 03:18:30,699 SCIENCE. 3589 03:18:30,699 --> 03:18:34,336 ALL OF THOSE COULD PROVIDE A 3590 03:18:34,336 --> 03:18:38,840 MUCH MORE PRODUCTIVE DIALOGUE 3591 03:18:38,840 --> 03:18:41,076 ACROSS DEPARTMENTS, SCHOOLS 3592 03:18:41,076 --> 03:18:43,612 AND MINDSETS. 3593 03:18:43,612 --> 03:18:44,212 CERTAINLY MOST IMPORTANT WOULD 3594 03:18:44,212 --> 03:18:48,116 BE TO INCLUDE INDIVIDUALS WITH 3595 03:18:48,116 --> 03:18:49,751 LIVED EXPERIENCE BECAUSE THEY 3596 03:18:49,751 --> 03:18:52,120 CAN PROVIDE THE INFORMATION 3597 03:18:52,120 --> 03:18:55,524 ABOUT WHAT PARTICULAR TOOLS 3598 03:18:55,524 --> 03:18:57,292 WOULD BE IMPORTANT IN 3599 03:18:57,292 --> 03:18:59,895 ASSESSING IMPORTANT NEEDS. 3600 03:18:59,895 --> 03:19:01,797 PROJECTS SHOULD ALSO APPLY 3601 03:19:01,797 --> 03:19:04,332 USER CENTER DESIGN EARLY IN 3602 03:19:04,332 --> 03:19:04,733 TOOL DEVELOPMENT. 3603 03:19:04,733 --> 03:19:07,202 IN OTHER WORDS, DON'T RED TRO 3604 03:19:07,202 --> 03:19:10,438 FIT A TECHNOLOGY TO TRY TO 3605 03:19:10,438 --> 03:19:10,972 ADDRESS AN ISSUE. 3606 03:19:10,972 --> 03:19:15,577 BUT REALLY, THE PLANNING 3607 03:19:15,577 --> 03:19:17,546 SHOULD BE DRIVEN TO SERVE THE 3608 03:19:17,546 --> 03:19:22,184 GOALS AND NEEDS OF THE EVENUAL 3609 03:19:22,184 --> 03:19:22,384 USER. 3610 03:19:22,384 --> 03:19:25,153 TO REALLY MAXIMIZE THE IMPACT 3611 03:19:25,153 --> 03:19:28,990 OF THESE PROJECTS THEY SHOULD 3612 03:19:28,990 --> 03:19:30,926 ADDRESS REAL WORLD CHALLENGES, 3613 03:19:30,926 --> 03:19:33,328 AND ALSO SHOULD ESTABLISH 3614 03:19:33,328 --> 03:19:35,497 PLANS FOR FAST AND AFFORDABLE 3615 03:19:35,497 --> 03:19:35,831 DISSEMINATION. 3616 03:19:35,831 --> 03:19:39,501 SO WE REALLY WOULD WANT TO SEE 3617 03:19:39,501 --> 03:19:40,402 THESE TOOLS GETTING OUT INTO 3618 03:19:40,402 --> 03:19:42,270 THE COMMUNITY. 3619 03:19:42,270 --> 03:19:43,071 ADDRESSING REAL ISSUES IN THE 3620 03:19:43,071 --> 03:19:45,140 COMMUNITY AND NOT SIMPLY 3621 03:19:45,140 --> 03:19:48,276 PRESENTED AS A SCIENTIFIC 3622 03:19:48,276 --> 03:19:48,810 CONFERENCE. 3623 03:19:48,810 --> 03:19:50,879 ALTHOUGH THAT'S GOOD, TOO. 3624 03:19:50,879 --> 03:19:52,347 >> SO, THANK YOU, I REALLY 3625 03:19:52,347 --> 03:19:55,116 APPRECIATE YOUR ATTENTION. 3626 03:19:55,116 --> 03:19:57,586 I LOOK FORWARD TO COMMENTS AND 3627 03:19:57,586 --> 03:20:02,190 INSIGHTS FROM COUNSISM THANK 3628 03:20:02,190 --> 03:20:12,267 YOU. 3629 03:20:18,707 --> 03:20:20,075 >> AS PERSON WHO HAS BEEN A 3630 03:20:20,075 --> 03:20:21,543 JUNKY FOR ACCESSIBILITY 3631 03:20:21,543 --> 03:20:24,679 DEVICES FOR A REALLY LONG 3632 03:20:24,679 --> 03:20:26,181 TIME, BRAVO TO YOU FOR PAYING 3633 03:20:26,181 --> 03:20:27,983 ATTENTION TO THIS. 3634 03:20:27,983 --> 03:20:30,952 I HAVE TAKEN ADVANTAGE OF AT 3635 03:20:30,952 --> 03:20:33,221 LEAST FIVE OF THE THINGS THAT 3636 03:20:33,221 --> 03:20:34,523 YOU DESCRIBED. 3637 03:20:34,523 --> 03:20:37,492 I WANTED TO DRAW YOUR 3638 03:20:37,492 --> 03:20:38,293 ATTENTION TO FACT THAT THERE'S 3639 03:20:38,293 --> 03:20:41,396 LEGISLATION PENDING, CALLED 3640 03:20:41,396 --> 03:20:44,499 THE WEBSITE AND SOFTWARE 3641 03:20:44,499 --> 03:20:45,433 ACCESSIBILITY ACT THAT REALLY 3642 03:20:45,433 --> 03:20:51,072 DOES A DEEP DRIVER INTO THE 3643 03:20:51,072 --> 03:20:52,674 DESIGN SEGMENT OF THIS WHOLE 3644 03:20:52,674 --> 03:20:55,310 DIALOGUE THAT'S BEEN GOING ON 3645 03:20:55,310 --> 03:20:57,279 NOW AS MORE AND MORE 3646 03:20:57,279 --> 03:21:01,516 ACCESSIBILITY DEVICES ARE 3647 03:21:01,516 --> 03:21:04,586 KEYED TO INTERNET 3648 03:21:04,586 --> 03:21:05,921 COMMUNICATION. 3649 03:21:05,921 --> 03:21:07,489 ALSO, AS A ACKNOWLEDGEMENT 3650 03:21:07,489 --> 03:21:08,790 THAT WHILE BRAILLE IS 3651 03:21:08,790 --> 03:21:11,626 CERTAINLY STILL UTILITZED AND 3652 03:21:11,626 --> 03:21:13,762 TAUGHT IN SCHOOLS, THE 3653 03:21:13,762 --> 03:21:15,764 AUDITORY SYSTEMS AND 3654 03:21:15,764 --> 03:21:18,366 PROCESSING ARE MORE EASILY 3655 03:21:18,366 --> 03:21:21,670 MARRIED TO THE WORLD OF THE 3656 03:21:21,670 --> 03:21:23,271 WEB. 3657 03:21:23,271 --> 03:21:26,441 PROBABLY, THAN EVER BEFORE. 3658 03:21:26,441 --> 03:21:31,746 SO, LIKELY, ARE MORE AN ISSUE 3659 03:21:31,746 --> 03:21:33,148 OF INTEREST PARTICULARLY 3660 03:21:33,148 --> 03:21:35,850 PEOPLE WHO ARE NOT BORN BLIND 3661 03:21:35,850 --> 03:21:37,419 BUT GO BLIND OVER TIME BECAUSE 3662 03:21:37,419 --> 03:21:39,220 BRAILLE IS A DIFFICULT THING 3663 03:21:39,220 --> 03:21:40,288 TO LEARN. 3664 03:21:40,288 --> 03:21:41,056 BUT IN PARTICULAR I WANTED TO 3665 03:21:41,056 --> 03:21:43,358 GIVE YOU ONE EXAMPLE YOU TALK 3666 03:21:43,358 --> 03:21:45,660 ABOUT MAKING THIS ACCESSIBLE 3667 03:21:45,660 --> 03:21:46,528 TO PUBLIC. 3668 03:21:46,528 --> 03:21:48,830 AND ECONOMICALLY ACCESSIBLE AS 3669 03:21:48,830 --> 03:21:49,631 WELL. 3670 03:21:49,631 --> 03:21:53,468 I FOUND MYSELF A TOURIST IN 3671 03:21:53,468 --> 03:21:55,437 ITALY, AND WE ADD VARIETY OF 3672 03:21:55,437 --> 03:21:57,305 TOUR GUIDES. 3673 03:21:57,305 --> 03:22:00,275 ONE, WENT TO PUBLIC LIBRARY, 3674 03:22:00,275 --> 03:22:03,678 PRINTED OUT SOME TWO 3675 03:22:03,678 --> 03:22:05,914 DIMENSIONAL MAPS OF SOME OF 3676 03:22:05,914 --> 03:22:07,115 THE SITES THAT WE WERE GOING 3677 03:22:07,115 --> 03:22:12,120 TO VISIT AND TOOK THEM TO A 3D 3678 03:22:12,120 --> 03:22:13,355 PRINTER AND PRINTED TACTILE 3679 03:22:13,355 --> 03:22:15,023 MAPS. 3680 03:22:15,023 --> 03:22:16,624 IN ADDITION HE WENT TO THE 3681 03:22:16,624 --> 03:22:19,861 LITTLE TOURIST KIOSK AND 3682 03:22:19,861 --> 03:22:22,831 BOUGHT A COUPLE OF THE 3683 03:22:22,831 --> 03:22:24,933 MINSURES THAT PEOPLE ARE SOLD, 3684 03:22:24,933 --> 03:22:26,234 WHICH HE HANDED TO ME AT 3685 03:22:26,234 --> 03:22:28,703 CRITICAL MOMENTS, ALONG THE 3686 03:22:28,703 --> 03:22:30,472 TOURS THAT I HAD AN 3687 03:22:30,472 --> 03:22:33,174 UNDERSTANDING OF WHAT THE 3688 03:22:33,174 --> 03:22:33,708 BUILDING. 3689 03:22:33,708 --> 03:22:35,377 HE TOLD ME HE INVESTED 20 3690 03:22:35,377 --> 03:22:38,313 EUROS IN THE ENTIRE PROJECT. 3691 03:22:38,313 --> 03:22:39,914 NO ONE HAD ASKED HIM TO DO IT 3692 03:22:39,914 --> 03:22:42,417 AND HE HAD SIMPLY SAT DOWN AND 3693 03:22:42,417 --> 03:22:43,818 TRIED TO FIGURE OUT THE BEST 3694 03:22:43,818 --> 03:22:47,088 WAY TO HELP ME UNDERSTAND IT. 3695 03:22:47,088 --> 03:22:48,923 NEEDLESS TO SAY THAT IS ABOVE 3696 03:22:48,923 --> 03:22:50,658 AND BEYOND WHAT MOST PEOPLE 3697 03:22:50,658 --> 03:22:52,193 WOULD EVEN CONSIDER. 3698 03:22:52,193 --> 03:22:53,661 BUT IT TIES SO BEAUTIFULLY 3699 03:22:53,661 --> 03:22:57,132 INTO THE ASPECTS THAT YOU 3700 03:22:57,132 --> 03:22:58,433 PRESENTED ON THE SLIDES. 3701 03:22:58,433 --> 03:23:01,302 BUT THIS IS THE ART OF GETTING 3702 03:23:01,302 --> 03:23:04,172 BY AND SO, IN TERMS OF DEALING 3703 03:23:04,172 --> 03:23:05,673 WITH PEOPLE WITH LIVED 3704 03:23:05,673 --> 03:23:06,675 EXPERIENCES, WE HAVE ALL THE 3705 03:23:06,675 --> 03:23:10,078 NON-PROFIT ORGANIZATIONS THAT 3706 03:23:10,078 --> 03:23:12,747 I'M SURE WOULD BE EXTREMELY 3707 03:23:12,747 --> 03:23:13,848 WILLING TO PROVIDE INFORMATION 3708 03:23:13,848 --> 03:23:15,750 TO PEOPLE WHO WOULD BE WILLING 3709 03:23:15,750 --> 03:23:16,618 TO SHARE THOSE EXPERIENCES. 3710 03:23:16,618 --> 03:23:18,620 BUT I REALLY STRONGLY 3711 03:23:18,620 --> 03:23:20,989 ENCOURAGE YOU TO TAKE A LOOK 3712 03:23:20,989 --> 03:23:21,923 THAT PIECE OF LEGISLATION. 3713 03:23:21,923 --> 03:23:26,594 BECAUSE IT REALLY GOES A LONG 3714 03:23:26,594 --> 03:23:29,431 WAY FORWARDS SCRIBING WHERE WE 3715 03:23:29,431 --> 03:23:32,367 ARE RIGHT NOW. 3716 03:23:32,367 --> 03:23:32,667 BUT THANKS. 3717 03:23:32,667 --> 03:23:34,602 IT'S GREAT. 3718 03:23:34,602 --> 03:23:36,171 >> THAT IS COMERRY, THANKS TO 3719 03:23:36,171 --> 03:23:39,174 YOU, THAT'S WONDERFUL I NOTED 3720 03:23:39,174 --> 03:23:41,576 THE LEGISLATION AND I NOTED 3721 03:23:41,576 --> 03:23:42,377 THE EXPRESSING THE ART OF 3722 03:23:42,377 --> 03:23:42,944 GETTING BY. 3723 03:23:42,944 --> 03:23:45,814 THANK YOU. 3724 03:23:45,814 --> 03:23:47,215 >> WELL, MY FURRY FRIEND, 3725 03:23:47,215 --> 03:23:50,485 WOULD BE VERY BLEEP TO ENGAGE 3726 03:23:50,485 --> 03:23:52,353 IN THAT PROTEIN YOU KNOW, 3727 03:23:52,353 --> 03:23:52,987 IDENTIFICATION PROCESS 3728 03:23:52,987 --> 03:23:55,056 [LAUGHTER] 3729 03:23:55,056 --> 03:23:57,392 >> YOU DID NOTICE, THERE WAS A 3730 03:23:57,392 --> 03:23:59,427 TETHER ON IT. SO YOU DON'T 3731 03:23:59,427 --> 03:24:00,295 SWALLOW IT. 3732 03:24:00,295 --> 03:24:02,730 [LAUGHTER] 3733 03:24:02,730 --> 03:24:08,703 >> THANK YOU. 3734 03:24:08,703 --> 03:24:09,871 THANKS SO MUCH, AND THIS IS 3735 03:24:09,871 --> 03:24:13,074 REALLY THE KIND OF WORK I HAVE 3736 03:24:13,074 --> 03:24:14,909 BEEN DOING AND SHERIDAN HAS 3737 03:24:14,909 --> 03:24:15,276 BEEN SUPPORTIVE. 3738 03:24:15,276 --> 03:24:17,979 SO I'M DELIGHTED THAT YOU'RE 3739 03:24:17,979 --> 03:24:18,346 PRESENTING THIS. 3740 03:24:18,346 --> 03:24:22,584 JUST TO ADD A FEW THINGS. 3741 03:24:22,584 --> 03:24:25,720 ONE TERM THAT JENNY MENTIONED 3742 03:24:25,720 --> 03:24:27,722 WAS UNIVERSAL DESIGN. 3743 03:24:27,722 --> 03:24:30,625 IN THE PAST I THINK A LOT OF 3744 03:24:30,625 --> 03:24:33,228 WHAT WAS OFTEN TERMED ASSISTED 3745 03:24:33,228 --> 03:24:36,364 TECHNOLOGY AND I LIKE 3746 03:24:36,364 --> 03:24:37,132 ACCESSIBILITY TOOLS. 3747 03:24:37,132 --> 03:24:40,468 BUT I THINK A LOT OF 3748 03:24:40,468 --> 03:24:42,737 TECHNOLOGY WAS STIGMATIZED AND 3749 03:24:42,737 --> 03:24:45,406 VIEWED AS VERY SEPARATE. 3750 03:24:45,406 --> 03:24:46,574 IF YOU ARE BLIND YOU NEED 3751 03:24:46,574 --> 03:24:47,075 SOMETHING TACTILE. 3752 03:24:47,075 --> 03:24:50,211 LET'S BE OPEN TO UNIVERSAL 3753 03:24:50,211 --> 03:24:52,981 DESIGN PRINCIPALS, THAT'S SOME 3754 03:24:52,981 --> 03:24:54,482 BEAUTIFUL WORK THAT MY 3755 03:24:54,482 --> 03:24:56,184 COLLEAGUING STEVE IS DOING ON 3756 03:24:56,184 --> 03:24:59,387 MAKING TACTILE MAPS THAT ARE 3757 03:24:59,387 --> 03:24:59,754 ALSO BEAUTIFUL. 3758 03:24:59,754 --> 03:25:02,891 SO, I WOULD CHARACTERIZE THEM 3759 03:25:02,891 --> 03:25:04,926 AS TWO-AND-A-HALF 3760 03:25:04,926 --> 03:25:06,361 DIMENSIONAL. 3761 03:25:06,361 --> 03:25:08,730 VISUAL STUNNING, AND IT IS 3762 03:25:08,730 --> 03:25:09,230 HELPFUL. 3763 03:25:09,230 --> 03:25:12,000 AND TACTILE, SO, WHY NOT 3764 03:25:12,000 --> 03:25:13,501 COMBINE THAT. 3765 03:25:13,501 --> 03:25:14,369 I THINK IT'S IMPORTANT TO TRY 3766 03:25:14,369 --> 03:25:17,438 TO NORMALIZE THE AVAILABILITY 3767 03:25:17,438 --> 03:25:19,007 OF THIS, BECAUSE IN THE PAST 3768 03:25:19,007 --> 03:25:21,643 IT WAS CONSIDERED LIKE THIS 3769 03:25:21,643 --> 03:25:23,778 VERY UNUSUAL SORT OF MEASURE 3770 03:25:23,778 --> 03:25:24,279 OF LAST RESORT. 3771 03:25:24,279 --> 03:25:27,348 BUT THE PRINCIPAL OF UNIVERSAL 3772 03:25:27,348 --> 03:25:29,250 DESIGN MEANS IT'S GOOD FOR 3773 03:25:29,250 --> 03:25:29,584 EVERYBODY. 3774 03:25:29,584 --> 03:25:32,086 ALSO JUST AS A YES, YOU 3775 03:25:32,086 --> 03:25:34,255 MENTIONED OF COURSE, WANTING 3776 03:25:34,255 --> 03:25:36,391 TO INCLUDE INDIVIDUALS WITH 3777 03:25:36,391 --> 03:25:37,292 LIVED EXPERIENCE IN THE GRANTS 3778 03:25:37,292 --> 03:25:40,461 WHICH IS A NO-BRAINIER. 3779 03:25:40,461 --> 03:25:44,532 ARE THERE ANY MECHANISM THAT'S 3780 03:25:44,532 --> 03:25:46,301 MIGHT BE DEVICED TO 3781 03:25:46,301 --> 03:25:48,836 SPECIFICALLY INCENTIVIZE P.I.S 3782 03:25:48,836 --> 03:25:52,373 WITH DISABILITIES, TO ACTUALLY 3783 03:25:52,373 --> 03:25:52,574 APPLY? 3784 03:25:52,574 --> 03:25:55,410 THAT'S MY LAST COMMENT. 3785 03:25:55,410 --> 03:25:57,478 THANK YOU SO MUCH. 3786 03:25:57,478 --> 03:26:00,148 >> THANK YOU. 3787 03:26:00,148 --> 03:26:02,584 YES. THERE COULD BE. 3788 03:26:02,584 --> 03:26:05,320 CERTAINLY IF THERE WERE TO BE 3789 03:26:05,320 --> 03:26:07,322 WRITTEN UP WE COULD INDICATE 3790 03:26:07,322 --> 03:26:09,958 SUCH THINGS, IT WOULD BE VERY 3791 03:26:09,958 --> 03:26:10,225 IMPORTANT. 3792 03:26:10,225 --> 03:26:10,792 THANK YOU. 3793 03:26:10,792 --> 03:26:14,295 >> SO THIS IS PRETTY, SO I 3794 03:26:14,295 --> 03:26:16,397 THINK WHAT JENNY BROUGHT UP, 3795 03:26:16,397 --> 03:26:18,099 AND JAMES YOU ALLUDED TO, WHEN 3796 03:26:18,099 --> 03:26:21,369 YOU TALK ABOUT ACCESSIBILITY, 3797 03:26:21,369 --> 03:26:23,538 WE PUT THE ONUS ON THE 3798 03:26:23,538 --> 03:26:24,572 PERSON. 3799 03:26:24,572 --> 03:26:26,574 WHEREAS JENNY SPOKE ABOUT HOW 3800 03:26:26,574 --> 03:26:28,376 THE BUSINESS PROVIDER OR THE 3801 03:26:28,376 --> 03:26:30,078 PERSON YOU MIGHT INTERACT WITH 3802 03:26:30,078 --> 03:26:31,746 TO GET AT SERVICE IS ACTUALLY 3803 03:26:31,746 --> 03:26:32,080 PROVIDING IT. 3804 03:26:32,080 --> 03:26:35,350 I JUST WONDER WHETHER THERE'S 3805 03:26:35,350 --> 03:26:37,819 MORE WORK THAT NEEDS TO BE 3806 03:26:37,819 --> 03:26:39,988 DONE WHEN WE DO OUR WORK IT IS 3807 03:26:39,988 --> 03:26:41,656 NO THE INDIVIDUAL WHO IS THE 3808 03:26:41,656 --> 03:26:42,457 SUBJECT BUT IT'S THE 3809 03:26:42,457 --> 03:26:44,892 PROVIDERS, THE BUSINESSES, THE 3810 03:26:44,892 --> 03:26:45,793 HOSPITALS, THE PEOPLE WHO 3811 03:26:45,793 --> 03:26:46,694 PROVIDE ALL THOSE THINGS WITH 3812 03:26:46,694 --> 03:26:49,697 WHICH THEY NEED TO INTERACT. 3813 03:26:49,697 --> 03:26:51,766 AS MUCH AS WE WANT TO HELP THE 3814 03:26:51,766 --> 03:26:54,702 INDIVIDUAL, THE SYSTEM BASED 3815 03:26:54,702 --> 03:26:56,304 CHANGE, CAN HELP ALL THOSE 3816 03:26:56,304 --> 03:26:59,574 INDIVIDUALS PEOPLE WITH NORMAL 3817 03:26:59,574 --> 03:27:01,109 VISION WHO JUST FORGOT NAIR 3818 03:27:01,109 --> 03:27:01,342 GLASSES. 3819 03:27:01,342 --> 03:27:04,178 SO I THINK WE NEED TO BE NOT 3820 03:27:04,178 --> 03:27:06,014 ALWAYS PUTTING ALL THE BURDEN 3821 03:27:06,014 --> 03:27:09,150 ON THE PERSON WHO HAS THE 3822 03:27:09,150 --> 03:27:11,085 VISUAL IMPAIRMENT. 3823 03:27:11,085 --> 03:27:19,761 >> THANK YOU. 3824 03:27:19,761 --> 03:27:21,829 >> THIS IS DON. 3825 03:27:21,829 --> 03:27:25,967 AS PART OF AVAILABILITY, 3826 03:27:25,967 --> 03:27:27,635 STRUCK ME ONE MIGHT BE 3827 03:27:27,635 --> 03:27:29,070 ECONOMIC AS TECHNOLOGY BECOMES 3828 03:27:29,070 --> 03:27:33,007 MORE AND MORE SOPHISTICATED 3829 03:27:33,007 --> 03:27:36,911 MAKING IT WIDELY AVAILABLE TO 3830 03:27:36,911 --> 03:27:40,315 BUSINESSES TO INDIVIDUALS, 3831 03:27:40,315 --> 03:27:43,785 THAT THIS MIGHT BE A POTENTIAL 3832 03:27:43,785 --> 03:27:45,219 PROBLEM THAT CERTAIN PEOPLE 3833 03:27:45,219 --> 03:27:47,121 WHO COULD BENEFIT FROM THESE 3834 03:27:47,121 --> 03:27:48,389 TECHNOLOGIES WOULD BE PRICED 3835 03:27:48,389 --> 03:27:50,158 OUT OF THAT MARKET. 3836 03:27:50,158 --> 03:27:52,560 SO I'M WONDERING, IF 3837 03:27:52,560 --> 03:27:55,463 AVAILABILITY, AFFORDABILITY 3838 03:27:55,463 --> 03:27:57,165 MAKING SURE THAT WE'RE NOT 3839 03:27:57,165 --> 03:28:03,738 CREATING DISPARITIES, AS WE 3840 03:28:03,738 --> 03:28:08,009 GET MORE TECHNOLCAL 3841 03:28:08,009 --> 03:28:09,310 SOPHISTICATED. 3842 03:28:09,310 --> 03:28:11,579 >> THIS IS COMERRY, SO THANKS 3843 03:28:11,579 --> 03:28:13,715 FOR THAT. I AGREE. 3844 03:28:13,715 --> 03:28:15,483 I THINK A NICE EXAMPLE IS THE 3845 03:28:15,483 --> 03:28:20,121 3D PRINTING WHICH NOW IT IS 3846 03:28:20,121 --> 03:28:22,290 INEXPENSIVE COMPARED TO WHEN 3847 03:28:22,290 --> 03:28:24,158 IT WAS FIRST ROLLED OUT. 3848 03:28:24,158 --> 03:28:25,193 ONE WOULD HOPE THAT SOME OF 3849 03:28:25,193 --> 03:28:27,195 THESE TECHNOLOGIES AS THEY 3850 03:28:27,195 --> 03:28:30,431 BECOME MORE AVAILABLE, THE 3851 03:28:30,431 --> 03:28:31,499 PRICE POINT WOULD BE LESS 3852 03:28:31,499 --> 03:28:31,733 PAINFUL. 3853 03:28:31,733 --> 03:28:37,739 BUT I COMPLETELY AGREE. 3854 03:28:37,739 --> 03:28:42,577 >> CAN I JUST ADD ONE, MAYBE 3855 03:28:42,577 --> 03:28:44,379 THOUGHT, AND IN MY EXPERIENCE 3856 03:28:44,379 --> 03:28:49,984 A FEW OF THESE TECHNOLOGIES 3857 03:28:49,984 --> 03:28:51,586 REQUIRE AN INDIVIDUAL TO VISIT 3858 03:28:51,586 --> 03:28:55,123 A REHABILITATION OR LOW VISION 3859 03:28:55,123 --> 03:28:57,892 SPECIALIST AND THEY ARE VERY, 3860 03:28:57,892 --> 03:28:59,494 VERY FEW AND THERE'S A VERY 3861 03:28:59,494 --> 03:29:01,028 LONG WAIT. 3862 03:29:01,028 --> 03:29:02,363 SO I THINK I WOULD ENCOURAGE 3863 03:29:02,363 --> 03:29:05,099 TO THINK ABOUT WAYS TO BUILD 3864 03:29:05,099 --> 03:29:05,600 THAT CAPACITY. 3865 03:29:05,600 --> 03:29:08,770 BECAUSE IT DOESN'T NECESSARILY 3866 03:29:08,770 --> 03:29:10,471 ALWAYS HELP TO HAVE TOOLS IF 3867 03:29:10,471 --> 03:29:13,808 YOU CAN'T ACCESS THEM THROUGH 3868 03:29:13,808 --> 03:29:14,675 PROVIDERS AND TRAINED PEOPLE 3869 03:29:14,675 --> 03:29:17,345 WHO HELP YOU, CAN TRAIN AND 3870 03:29:17,345 --> 03:29:21,149 HELP YOU USE THOSE TO BEST OF 3871 03:29:21,149 --> 03:29:22,583 YOUR ABILITY. 3872 03:29:22,583 --> 03:29:24,085 >> THANK YOU. 3873 03:29:24,085 --> 03:29:24,652 THANKS EVERYONE. 3874 03:29:24,652 --> 03:29:26,854 I THINK WE NEED TO MOVE ON. 3875 03:29:26,854 --> 03:29:30,525 BUT IF YOU HAVE ADDITIONAL 3876 03:29:30,525 --> 03:29:31,592 THOUGHTS PLEASE FEEL FREE TO 3877 03:29:31,592 --> 03:29:33,428 SHARE THEM VIA EMAIL. 3878 03:29:33,428 --> 03:29:36,364 >> SO MAY I HAVE A MOTION NO 3879 03:29:36,364 --> 03:29:38,332 APPROVE THIS CONCEPT FOR 3880 03:29:38,332 --> 03:29:38,933 POTENTIAL DEVELOPMENT INTO A 3881 03:29:38,933 --> 03:29:42,570 FUTURE FUNDING OPPORTUNITY. 3882 03:29:42,570 --> 03:29:43,104 JAMES THANK YOU. 3883 03:29:43,104 --> 03:29:44,472 THANK YOU. 3884 03:29:44,472 --> 03:29:48,543 ALL IN FAVOR, IS THERE ANYONE 3885 03:29:48,543 --> 03:29:50,344 OPPOSED? 3886 03:29:50,344 --> 03:29:50,545 OKAY. 3887 03:29:50,545 --> 03:29:53,014 THE MOTION PASSES. 3888 03:29:53,014 --> 03:29:53,448 >> THANKS SO MUCH. 3889 03:29:53,448 --> 03:29:55,883 THAT WAS REALLY INTERESTING 3890 03:29:55,883 --> 03:29:59,220 AND GREAT DISCUSSION. SO THE 3891 03:29:59,220 --> 03:30:03,157 NEXT CONCEPT WE HAVE IS FOR A 3892 03:30:03,157 --> 03:30:07,328 RENEWAL OF THE NEI-INDIA 3893 03:30:07,328 --> 03:30:08,763 COLLABORATIVE RESEARCH 3894 03:30:08,763 --> 03:30:08,996 PROGRAM. 3895 03:30:08,996 --> 03:30:10,364 AND IT IS GOING TO BE PRESENT 3896 03:30:10,364 --> 03:30:14,202 BY CHARLES WRIGHT, A PROGRAM 3897 03:30:14,202 --> 03:30:16,637 OFFICER, AND BEFORE HE STARTS 3898 03:30:16,637 --> 03:30:19,907 I WANT TO THANK LISA, WHO HAS 3899 03:30:19,907 --> 03:30:21,309 MANAGED THIS PARTICULAR 3900 03:30:21,309 --> 03:30:22,577 PROGRAM FOR MANY YEARS AND HAS 3901 03:30:22,577 --> 03:30:27,782 REALLY DONE A LOT TO ENSURE A 3902 03:30:27,782 --> 03:30:28,449 SMOOTH TRANSITION. 3903 03:30:28,449 --> 03:30:31,185 SO WITH THAT, CHUCK. 3904 03:30:31,185 --> 03:30:33,154 >> THIS IS CHARLES WRIGHT. 3905 03:30:33,154 --> 03:30:34,722 I WOULD LIKE TO THANK COUNCIL 3906 03:30:34,722 --> 03:30:38,559 FOR THE OPPORTUNITY TO PRESENT 3907 03:30:38,559 --> 03:30:40,695 THIS CONCEPT CLEARANCE FOR THE 3908 03:30:40,695 --> 03:30:47,068 INDIA COLLABORATIVE PROGRAM. 3909 03:30:47,068 --> 03:30:47,969 SO, IN RECOGNITION OF THE 3910 03:30:47,969 --> 03:30:48,870 PUBLIC HEALTH CHALLENGES AND 3911 03:30:48,870 --> 03:30:51,172 THE GOAL FOR ENDING THE BURDEN 3912 03:30:51,172 --> 03:30:54,342 OF BLINDING DISEASE ON THE 3913 03:30:54,342 --> 03:30:57,245 CITIZENS IN U.S. AND INDIA, 3914 03:30:57,245 --> 03:30:58,446 GOVERNMENTS SIGNED A STATEMENT 3915 03:30:58,446 --> 03:31:04,085 OF INTENT IN 2005 TO ENCOURAGE 3916 03:31:04,085 --> 03:31:06,153 COLLABORATIONS. 3917 03:31:06,153 --> 03:31:10,658 THERE ARE MANY ADVANCETANC 3918 03:31:10,658 --> 03:31:13,294 ADVANCETANCE AND REASONS WHY A 3919 03:31:13,294 --> 03:31:15,463 COLLABORATION WOULD BE 3920 03:31:15,463 --> 03:31:15,730 VALUABLE. 3921 03:31:15,730 --> 03:31:21,168 FOR EXAMPLE, DIABETES, HAS 3922 03:31:21,168 --> 03:31:22,537 RISEN IN BOTH COUNTRIES IN THE 3923 03:31:22,537 --> 03:31:24,972 PAST 20 YEARS. 3924 03:31:24,972 --> 03:31:27,008 TYPE TWO DIABETES IS THE 3925 03:31:27,008 --> 03:31:29,744 PRIMARY RISK FACTOR. 3926 03:31:29,744 --> 03:31:31,245 CLIMATE CHANGE IS ALSO 3927 03:31:31,245 --> 03:31:33,147 IMPACTING BOTH OF OUR 3928 03:31:33,147 --> 03:31:35,116 COUNTRIES THE CHANGES IN 3929 03:31:35,116 --> 03:31:38,519 WEATHER PATTERNS, HAVE OFFERED 3930 03:31:38,519 --> 03:31:42,390 DISEASE FACTORS, TO TRANSMIT 3931 03:31:42,390 --> 03:31:44,959 DISEASES TO A GREATER PART OF 3932 03:31:44,959 --> 03:31:45,760 THE POPULATION AND THEY ARE 3933 03:31:45,760 --> 03:31:49,630 CARRYING DISEASES, AM CARRY 3934 03:31:49,630 --> 03:31:53,000 OCCULAR COMPLICATIONS. 3935 03:31:53,000 --> 03:31:54,702 ALSO AIR POLLUTION HAS BEEN 3936 03:31:54,702 --> 03:31:57,038 RELATED TO OCCULAR SYMPTOMS, 3937 03:31:57,038 --> 03:32:03,411 AND, CATEGORY RACKS. 3938 03:32:03,411 --> 03:32:08,716 THE COLLABORATION OFFER SOME 3939 03:32:08,716 --> 03:32:11,786 UNIQUE ADVANCETAGES, AM BRING 3940 03:32:11,786 --> 03:32:14,188 UNIQUE SKILL SETS AND 3941 03:32:14,188 --> 03:32:17,858 EXPERTISE, AND IN PARTICULAR 3942 03:32:17,858 --> 03:32:21,696 INDIA IS GOOD FOR BASIC 3943 03:32:21,696 --> 03:32:24,832 CLINICAL STUDIES. 3944 03:32:24,832 --> 03:32:26,601 HISTORICALLY SPEAKING, PATIENT 3945 03:32:26,601 --> 03:32:30,671 ENROLLMENT IS MUCH FASTER IN 3946 03:32:30,671 --> 03:32:32,740 INDIA AND CAN HAVE GREATER 3947 03:32:32,740 --> 03:32:35,376 NUMBER OF PEOPLE IN ROLLED IN 3948 03:32:35,376 --> 03:32:37,445 STUDIES AND FEWER OF THESE 3949 03:32:37,445 --> 03:32:38,779 PATIENTS HAVE BEEN LOSS TO 3950 03:32:38,779 --> 03:32:39,180 FOLLOW-UP. 3951 03:32:39,180 --> 03:32:43,351 SO IT'S A UNIQUE PATIENT 3952 03:32:43,351 --> 03:32:45,720 POPULATION THAT WE CAN WORK 3953 03:32:45,720 --> 03:32:45,920 WITH. 3954 03:32:45,920 --> 03:32:51,125 IN THE PAST THIS PROGRAM HAS 3955 03:32:51,125 --> 03:32:53,861 HAD A VERY BROAD SCOPE RANGING 3956 03:32:53,861 --> 03:32:55,863 FROM BASIC SCIENCE TO 3957 03:32:55,863 --> 03:32:57,064 TRANSLATIONAL SCIENCE. 3958 03:32:57,064 --> 03:32:58,366 AND WE'RE HOPING TO CONTINUE 3959 03:32:58,366 --> 03:33:00,201 THAT WITH THE RE-ISSUANCE 3960 03:33:00,201 --> 03:33:02,136 HERE. 3961 03:33:02,136 --> 03:33:04,472 THE RESEARCH PROGRAM FOCUSES 3962 03:33:04,472 --> 03:33:05,573 ON SIGNIFICANT PUBLIC HEALTH 3963 03:33:05,573 --> 03:33:08,576 TOPICS, INCLUDING AND THIS IS 3964 03:33:08,576 --> 03:33:10,244 BY NO MEANS A EXSAWSTIVE 3965 03:33:10,244 --> 03:33:11,345 LIST. 3966 03:33:11,345 --> 03:33:14,148 ASSESSING THE IMPACT OF 3967 03:33:14,148 --> 03:33:17,551 CLIMATE CHANGE RELATED, TO 3968 03:33:17,551 --> 03:33:18,786 OCCULAR DISEASE, DEVELOPING 3969 03:33:18,786 --> 03:33:22,423 AND TESTING STRATEGIES THAT 3970 03:33:22,423 --> 03:33:23,758 REDUCE CLIMATE CHANGE AND 3971 03:33:23,758 --> 03:33:27,728 IDENTIFYING COMMUNITIES AT 3972 03:33:27,728 --> 03:33:31,265 RISK FOR THESE SORTS OF 3973 03:33:31,265 --> 03:33:34,635 CLIMATE CHANGE RELATED IMPACTS 3974 03:33:34,635 --> 03:33:37,538 TO HELP IN THEIR MITIGATION. 3975 03:33:37,538 --> 03:33:41,809 STUDY GOING MECHANISM IN WHICH 3976 03:33:41,809 --> 03:33:45,346 POLLUTANTS CONATTRIBUTE TO EYE 3977 03:33:45,346 --> 03:33:47,248 DISEASE, AND I DEIFYING 3978 03:33:47,248 --> 03:33:50,584 JEANETTE PARTICULAR MARKERS 3979 03:33:50,584 --> 03:33:52,286 THAT PREDICT OR IMPACT RISK 3980 03:33:52,286 --> 03:33:55,956 AND RESPONSE TO INTERVENTIONS. 3981 03:33:55,956 --> 03:33:58,793 SINCE THIS PROGRAM WAS LAST 3982 03:33:58,793 --> 03:33:59,927 REISSUED, I WOULD LIKE TO 3983 03:33:59,927 --> 03:34:01,729 HIGHLIGHT TWO PROJECTS THAT 3984 03:34:01,729 --> 03:34:04,732 WERE FUNDED DURING THIS 3985 03:34:04,732 --> 03:34:05,466 PERIOD. 3986 03:34:05,466 --> 03:34:07,535 THE FIRST SHOWING IN THESE TWO 3987 03:34:07,535 --> 03:34:09,637 PROJECTS SHOW THE GAMUT OF THE 3988 03:34:09,637 --> 03:34:10,871 TIMES OF PROJECT THAT'S HAVE 3989 03:34:10,871 --> 03:34:12,406 BEEN FUNDED. 3990 03:34:12,406 --> 03:34:16,877 FIRST IS STRICTLY BASIC 3991 03:34:16,877 --> 03:34:17,111 SCIENCE. 3992 03:34:17,111 --> 03:34:20,981 IN THE U.S. AND INDIA, IN A 3993 03:34:20,981 --> 03:34:21,949 COLLABORATION THAT STARTED 3994 03:34:21,949 --> 03:34:25,286 BEFORE THEY APPLIED FOR 3995 03:34:25,286 --> 03:34:26,887 FUNDING UNDER THIS PROGRAM 3996 03:34:26,887 --> 03:34:30,925 WHERE THEY WERE USING EM TO 3997 03:34:30,925 --> 03:34:31,992 RESOLVE FRANCE SNAP PARTICULAR 3998 03:34:31,992 --> 03:34:34,061 PROTEIN COMPLEXES IN THE BRAIN 3999 03:34:34,061 --> 03:34:38,032 THAT HAVE BEEN ASSOCIATED WITH 4000 03:34:38,032 --> 03:34:38,432 INCOGNITION. 4001 03:34:38,432 --> 03:34:41,469 AND HERE, THE P.I.S ARE 4002 03:34:41,469 --> 03:34:43,637 CONTINUING THIS WORK BY USING 4003 03:34:43,637 --> 03:34:47,141 IT TO RESOLVE THE COMPLEX, AND 4004 03:34:47,141 --> 03:34:49,844 THAT HAVE BEEN IMPLICATED IN 4005 03:34:49,844 --> 03:34:52,646 NIGHT BLINDNESS, THE SECOND IS 4006 03:34:52,646 --> 03:34:55,483 MUCH MORE TRANSLATIONAL, 4007 03:34:55,483 --> 03:35:00,454 DOCTOR IN THE U.S. AND INDIA, 4008 03:35:00,454 --> 03:35:02,456 ARE WORKING ON RECRUITING 4009 03:35:02,456 --> 03:35:08,062 PATIENTS WITH MICRO OPEN THAT 4010 03:35:08,062 --> 03:35:09,730 WILL ME A TO SEQUENCE THEIR 4011 03:35:09,730 --> 03:35:12,867 ENTIRE GENOME, IN PARTICULAR, 4012 03:35:12,867 --> 03:35:15,369 THEY'RE INTERESTED IN VITAMIN 4013 03:35:15,369 --> 03:35:15,503 A. 4014 03:35:15,503 --> 03:35:19,039 ONCE VARIANCES, AND GENES HAVE 4015 03:35:19,039 --> 03:35:20,975 BEEN IDENTIFIED IN THESE 4016 03:35:20,975 --> 03:35:27,014 PATIENTS HE PLANS TO USE IT TO 4017 03:35:27,014 --> 03:35:29,183 DEVELOP ZEBRA FISH MODELS TO 4018 03:35:29,183 --> 03:35:32,553 STUDY HOW THESE VARIANTS MAY 4019 03:35:32,553 --> 03:35:33,487 IMPACT DEVELOPMENT. 4020 03:35:33,487 --> 03:35:34,388 AGAIN I WOULD LIKE TO THANKS 4021 03:35:34,388 --> 03:35:35,623 COUNCIL FOR THE OPPORTUNITY TO 4022 03:35:35,623 --> 03:35:37,591 PRESENT THIS AND I WOULD BE 4023 03:35:37,591 --> 03:35:38,726 WILLING TO TAKE ANY QUESTIONS 4024 03:35:38,726 --> 03:35:43,831 OR COMMENTS. 4025 03:35:43,831 --> 03:35:45,833 >> QUESTION, I ASSUME THIS IS 4026 03:35:45,833 --> 03:35:48,269 AN N I.H. WIDE PROGRAM, 4027 03:35:48,269 --> 03:35:48,502 CORRECT? 4028 03:35:48,502 --> 03:35:51,438 >>> THIS IS CHUCK, THIS IS 4029 03:35:51,438 --> 03:35:53,574 NEI. 4030 03:35:53,574 --> 03:35:54,842 >> OKAY. 4031 03:35:54,842 --> 03:35:57,178 HOW MANY CLIENTS HAVE BEEN 4032 03:35:57,178 --> 03:36:00,714 FUNDED THROUGH THIS PROGRAM SO 4033 03:36:00,714 --> 03:36:01,348 FAR. 4034 03:36:01,348 --> 03:36:03,717 >> PROGRAM SO FAR? 4035 03:36:03,717 --> 03:36:04,452 FOUR I BELIEVE. 4036 03:36:04,452 --> 03:36:06,554 >> SINCE 2005 4037 03:36:06,554 --> 03:36:09,390 >> YES. 4038 03:36:09,390 --> 03:36:12,893 >> THANKS. 4039 03:36:12,893 --> 03:36:14,195 >> AMONG, MAUREEN MCGWIRE, 4040 03:36:14,195 --> 03:36:15,596 AMONG THOSE FUNDED GRANTS, 4041 03:36:15,596 --> 03:36:19,466 WOULD THEY HAVE BEEN FUNDED IN 4042 03:36:19,466 --> 03:36:20,100 ANOTHER MECHANISM? 4043 03:36:20,100 --> 03:36:21,802 DO THEY NEED TO COME THROUGH 4044 03:36:21,802 --> 03:36:23,437 THIS PROGRAM IN ORDER FOR THEM 4045 03:36:23,437 --> 03:36:24,772 TO QUALIFY FOR FUNDING? 4046 03:36:24,772 --> 03:36:27,975 >>> SO, THEY DO NOT NEED TO 4047 03:36:27,975 --> 03:36:30,778 COME THROUGH THIS MECHANISM. 4048 03:36:30,778 --> 03:36:34,148 BUT THE ADVENTURE OF THIS 4049 03:36:34,148 --> 03:36:38,118 PROGRAM VERSUS TRYING TO JUST 4050 03:36:38,118 --> 03:36:38,686 USE A SUBCONTRACT IS WE CAN 4051 03:36:38,686 --> 03:36:43,891 ISSUE SUBCONTRACTS TO INDIA. 4052 03:36:43,891 --> 03:36:46,026 BUT, ON THE INDIA SIDE THEIR 4053 03:36:46,026 --> 03:36:47,194 EQUIP LENGTH OF STATE 4054 03:36:47,194 --> 03:36:49,897 DEPARTMENT, IT CAN TAKE 6-9 4055 03:36:49,897 --> 03:36:50,698 MONTHS OR LONGER. 4056 03:36:50,698 --> 03:36:53,000 SO THIS PROGRAM DOES NOT 4057 03:36:53,000 --> 03:36:54,235 INVOLVE DIRECT TRANSFER OF 4058 03:36:54,235 --> 03:36:57,037 FUNDS FROM THE U.S. TO INDIA. 4059 03:36:57,037 --> 03:36:58,539 SO ONCE THEY HAVE BEEN AWARDED 4060 03:36:58,539 --> 03:37:03,143 THEY CAN IMMEDIATELY START. 4061 03:37:03,143 --> 03:37:04,245 >> THANKS FOR SHARING. 4062 03:37:04,245 --> 03:37:06,113 CAN YOU WALK US THROUGH THE 4063 03:37:06,113 --> 03:37:09,650 PROCESS OF THE OFVEZ LOSING OF 4064 03:37:09,650 --> 03:37:10,484 THIS. 4065 03:37:10,484 --> 03:37:12,953 >> SURE, IN THE PAST WHAT HAS 4066 03:37:12,953 --> 03:37:15,222 HAPPENED IS AT THE SAME TIME, 4067 03:37:15,222 --> 03:37:17,858 THE U.S. BASED INVESTIGATORS 4068 03:37:17,858 --> 03:37:19,493 SUBMIT AN APPLICATION, AND 4069 03:37:19,493 --> 03:37:23,397 THEIR INDIAN COLLABORATOR 4070 03:37:23,397 --> 03:37:26,166 SUBMITS A APPLICATION TO THE 4071 03:37:26,166 --> 03:37:28,369 DI T., IN INDIA. 4072 03:37:28,369 --> 03:37:31,071 SO BOTH OF THOSE ARE 4073 03:37:31,071 --> 03:37:31,338 REVIEWED. 4074 03:37:31,338 --> 03:37:33,974 THE ONES, THE APPLICATIONS 4075 03:37:33,974 --> 03:37:36,744 THAT GET FAVORABLE FUNDING 4076 03:37:36,744 --> 03:37:38,779 RECOMMENDATIONS WE MEET TO 4077 03:37:38,779 --> 03:37:41,415 DISCUSS, NIH, OR NEI PROGRAM 4078 03:37:41,415 --> 03:37:44,318 OFFICERS AND OFFICIALS MEET 4079 03:37:44,318 --> 03:37:48,155 WITH OUR EQUIVVENTS IN INDIA 4080 03:37:48,155 --> 03:37:50,124 TO DISCUSS WHICH 4081 03:37:50,124 --> 03:37:50,691 APPLIAPPLICATIONS WE WOULD 4082 03:37:50,691 --> 03:37:50,925 SUPPORT. 4083 03:37:50,925 --> 03:37:54,461 >> DO YOU HAVE AN IDEA HOW 4084 03:37:54,461 --> 03:37:55,796 MANY GET FUNDED? 4085 03:37:55,796 --> 03:37:56,230 SORRY. 4086 03:37:56,230 --> 03:37:58,565 >> DO YOU HAVE AN IDEA HOW 4087 03:37:58,565 --> 03:38:02,670 MANY GET FUNDED? 4088 03:38:02,670 --> 03:38:05,906 >>> SO, AS I TOLD DOCTOR DANA 4089 03:38:05,906 --> 03:38:07,374 EARLIER, WE HAD FOUR 4090 03:38:07,374 --> 03:38:09,777 APPLICATIONS THAT HAVE BEEN 4091 03:38:09,777 --> 03:38:10,044 FINANCED. 4092 03:38:10,044 --> 03:38:11,645 >> HOW MANY APPLICATIONS WERE 4093 03:38:11,645 --> 03:38:11,912 SUBMITTED. 4094 03:38:11,912 --> 03:38:14,381 >> I THINK, I WOULD HAVE TO 4095 03:38:14,381 --> 03:38:15,316 CHECK THE NUMBERS AGAIN. 4096 03:38:15,316 --> 03:38:17,718 I CAN GET BACK TO YOU. 4097 03:38:17,718 --> 03:38:20,287 YOU BUT I THINK IT'S BEEN 17 4098 03:38:20,287 --> 03:38:26,327 OR 18. 4099 03:38:26,327 --> 03:38:28,095 >> SO, SEVERAL CLINICAL TRIALS 4100 03:38:28,095 --> 03:38:29,897 THAT HAVE USED INDIA AS ONE OF 4101 03:38:29,897 --> 03:38:32,366 THE SITES IS THERE A SPECIFIC 4102 03:38:32,366 --> 03:38:33,734 REASON THAT THEY WERE NOT 4103 03:38:33,734 --> 03:38:35,569 ALLOWED AS PART OF THIS. 4104 03:38:35,569 --> 03:38:40,441 >> SO, THE CLINICAL TRIALS, 4105 03:38:40,441 --> 03:38:42,509 WHEN THE PROGRAM WAS FIRST 4106 03:38:42,509 --> 03:38:43,477 CONCEIVED, CLINICAL TRIALS 4107 03:38:43,477 --> 03:38:47,014 WERE NOT ALLOWED AND LOOKING 4108 03:38:47,014 --> 03:38:49,850 THROUGH OUR DOCUMENTS WE'RE 4109 03:38:49,850 --> 03:38:50,851 TRYING TO SEE IF THERE'S 4110 03:38:50,851 --> 03:38:52,653 ANYTHING THAT WOULD PROHIBIT 4111 03:38:52,653 --> 03:38:53,020 IT. 4112 03:38:53,020 --> 03:38:55,656 BUT AT THIS POINT WE DON'T SEE 4113 03:38:55,656 --> 03:38:58,192 A STRONG REASON TO CHANGE THAT 4114 03:38:58,192 --> 03:39:00,094 UNLESS THERE'S A PRESSING 4115 03:39:00,094 --> 03:39:00,294 NEED. 4116 03:39:00,294 --> 03:39:04,798 >> DO YOU WANT TO -- YES, SO, 4117 03:39:04,798 --> 03:39:07,668 CLINICAL TRIALS ARE USUALLY 4118 03:39:07,668 --> 03:39:09,236 DOWN BY OUR MECHANISMS, AND 4119 03:39:09,236 --> 03:39:11,205 THIS IS AN "R" MECHANISM. 4120 03:39:11,205 --> 03:39:14,341 SO THAT'S WHY WE DIDN'T HAVE 4121 03:39:14,341 --> 03:39:17,044 ANY CLINICAL TRIALS ON THIS 4122 03:39:17,044 --> 03:39:19,213 PARTICULAR ONE. 4123 03:39:19,213 --> 03:39:23,183 IT IS MORE GENERAL BIOLOGICAL 4124 03:39:23,183 --> 03:39:24,018 STUDIES. 4125 03:39:24,018 --> 03:39:26,754 MINIMAL RISK POSSIBLE BUT IT 4126 03:39:26,754 --> 03:39:32,726 IS NOT TO DO REGULAR MULTI 4127 03:39:32,726 --> 03:39:34,028 SITE. 4128 03:39:34,028 --> 03:39:38,198 >> JUST, THIS IS CATHY, WE DO 4129 03:39:38,198 --> 03:39:39,433 OUR CLINICAL TRIALS 4130 03:39:39,433 --> 03:39:42,536 PORTFOLIOS, MANAGED, BY DON 4131 03:39:42,536 --> 03:39:44,905 AND JIMMY DO HAVE, THERE ARE A 4132 03:39:44,905 --> 03:39:46,673 NUMBER OF SITE THAT'S VERY ARE 4133 03:39:46,673 --> 03:39:48,375 IN INDIA. 4134 03:39:48,375 --> 03:39:52,479 WE DO IT A LITTLE DIFFERENT 4135 03:39:52,479 --> 03:39:52,646 WAY. 4136 03:39:52,646 --> 03:39:56,417 GIVES US MORE OVERSIGHT. 4137 03:39:56,417 --> 03:39:57,117 >> WHAT HAPPENS IF A GRANT 4138 03:39:57,117 --> 03:40:01,255 GETS FROM U.S., AND DOESN'T 4139 03:40:01,255 --> 03:40:03,924 GET FROM THE OTHER SIDE? 4140 03:40:03,924 --> 03:40:04,258 WHAT HAPPENS. 4141 03:40:04,258 --> 03:40:07,027 >> THIS IS ONE UNFORTUNATE 4142 03:40:07,027 --> 03:40:09,196 THINK THAT HAPPENS IS, THE 4143 03:40:09,196 --> 03:40:11,031 APPLICATION'S THE U.S. SIDE 4144 03:40:11,031 --> 03:40:13,167 WILL NOT BE FUNDED EVEN IF 4145 03:40:13,167 --> 03:40:18,205 THEY DO RECEIVE A FAVORABLE 4146 03:40:18,205 --> 03:40:22,910 SCORE. 4147 03:40:22,910 --> 03:40:24,378 >> MURRINE MCGWIRE, I'LL JUST 4148 03:40:24,378 --> 03:40:25,979 COMMENT THAT A NUMBER OF THE 4149 03:40:25,979 --> 03:40:29,049 ADVANTAGES THAT YOU LISTED, 4150 03:40:29,049 --> 03:40:31,485 FOR THIS TYPE OF COLLABORATION 4151 03:40:31,485 --> 03:40:35,055 ARE VERY DISTANT FROM THE 4152 03:40:35,055 --> 03:40:38,158 PROGRAMS THAT HAVE BEEN 4153 03:40:38,158 --> 03:40:38,392 FUNDED. 4154 03:40:38,392 --> 03:40:40,327 THESE WERE, YOU KNOW, THE TWO 4155 03:40:40,327 --> 03:40:44,531 FUNDED WERE BASIC SCIENCE AND 4156 03:40:44,531 --> 03:40:46,433 MANY OF THE ADVENTURE WERE 4157 03:40:46,433 --> 03:40:49,336 MORE OF A POPULATION MODEL, 4158 03:40:49,336 --> 03:40:52,873 WERE COMMON DISEASES AND THAT 4159 03:40:52,873 --> 03:40:55,109 SORT OF THING. 4160 03:40:55,109 --> 03:40:57,578 >> THIS IS DON, THE DOCUMENT 4161 03:40:57,578 --> 03:40:59,046 SAYS, BUT NOT LIMITED TO, BUT 4162 03:40:59,046 --> 03:41:03,984 MOST OF THE BULLET POINTS 4163 03:41:03,984 --> 03:41:06,053 INVOLVE ENVIRONMENTAL AND 4164 03:41:06,053 --> 03:41:09,056 POLLUTION AND CLIMATE CHANGE. 4165 03:41:09,056 --> 03:41:11,125 DO YOU ENVISION AN INCREASED 4166 03:41:11,125 --> 03:41:12,826 INTEREST OR USE OF THIS 4167 03:41:12,826 --> 03:41:14,661 MECHANISM WITH THOSE AS POINTS 4168 03:41:14,661 --> 03:41:17,531 OF EMPHASIS? 4169 03:41:17,531 --> 03:41:21,401 >>> SO, THERE HAS BEEN, THERE 4170 03:41:21,401 --> 03:41:24,338 WAS A SESSION ON GLOBAL HEALTH 4171 03:41:24,338 --> 03:41:26,206 THIS LAST TIME. 4172 03:41:26,206 --> 03:41:28,709 THAT -- IT APPEARED THAT THERE 4173 03:41:28,709 --> 03:41:29,309 WAS A SIGNIFICANT INTEREST IN 4174 03:41:29,309 --> 03:41:31,445 THE COMMUNITY TO MOVE IN THIS 4175 03:41:31,445 --> 03:41:31,712 DIRECTION. 4176 03:41:31,712 --> 03:41:33,547 THIS IS NOT, IT IS NOT TO SAY 4177 03:41:33,547 --> 03:41:35,983 THAT WE HAVE NOT ACCEPTED 4178 03:41:35,983 --> 03:41:39,553 APPLICATIONS IN THESE AREAS IN 4179 03:41:39,553 --> 03:41:41,421 THE PAST. 4180 03:41:41,421 --> 03:41:44,458 BUT, IT'S AN AREA WE'RE 4181 03:41:44,458 --> 03:41:50,097 LOOKING TO GROW INTO. 4182 03:41:50,097 --> 03:41:53,967 >> YES, I MEAN IT'S WORTH, 4183 03:41:53,967 --> 03:41:56,003 ASKING WHETHER YOU WANT TO PUT 4184 03:41:56,003 --> 03:41:57,070 IN PRAYER DISEASES AS A POINT 4185 03:41:57,070 --> 03:41:59,039 OF EMPHASIS AS WELL. 4186 03:41:59,039 --> 03:42:01,608 THAT'S ONE OF THE STUDIES THAT 4187 03:42:01,608 --> 03:42:02,509 YOU SHOWED AND THERE'S A LOT 4188 03:42:02,509 --> 03:42:06,780 OF PEOPLE IN INDIA AND THERE'S 4189 03:42:06,780 --> 03:42:07,714 COMMUNITIES. 4190 03:42:07,714 --> 03:42:08,949 SO, YOU CAN ANSWER SOME OF THE 4191 03:42:08,949 --> 03:42:10,617 QUESTIONS THAT YOU WOULD HAVE 4192 03:42:10,617 --> 03:42:11,685 A VERY DIFFICULT TIME 4193 03:42:11,685 --> 03:42:14,755 ANSWERING HERE BECAUSE OF 4194 03:42:14,755 --> 03:42:18,158 THOSE NUMBERS OF THOSE DISEASES. 4195 03:42:19,943 --> 03:42:25,649 WE'RE GOING TO 4196 03:42:25,649 --> 03:42:26,316 CONTINUE WITH OUR OPEN 4197 03:42:26,316 --> 03:42:26,550 SESSION. 4198 03:42:26,550 --> 03:42:29,586 WE HAVE A COUPLE OF MORE 4199 03:42:29,586 --> 03:42:33,524 PRESENTATIONS THAT WE WOULD LIKE TO SHARE WITH YOU. 4200 03:42:33,524 --> 03:42:40,497 SO THE FIRST ONE OF THE AFTERNOON IS GOING TO BE BY 4201 03:42:40,497 --> 03:42:45,669 NEERAJ AGARWAL WHO WITH ED 4202 03:42:45,669 --> 03:42:51,241 CLAYTON, MANAGES THE NEI TRAINING PORTFOLIO. 4203 03:42:51,241 --> 03:42:55,546 IT HAS EXPLODED. 4204 03:42:55,546 --> 03:42:57,448 NEERAJ AGARWAL IS GOING TO 4205 03:42:57,448 --> 03:43:03,087 PRESENT AN UPDATE ON THE NEI'S 4206 03:43:03,087 --> 03:43:04,188 PARTICIPATION IN THE LOAN 4207 03:43:04,188 --> 03:43:05,689 REPAYMENT PROGRAM. 4208 03:43:05,689 --> 03:43:06,090 SO NEERAJ AGARWAL. 4209 03:43:06,090 --> 03:43:07,291 >> THANK YOU. 4210 03:43:07,291 --> 03:43:04,549 GOOD AFTERNOON. 4211 03:43:04,549 --> 03:43:07,184 I HOPE YOU ALL HAD A GREAT LUNCH. 4212 03:43:07,184 --> 03:43:11,422 SO I'M HERE TO PRESENT THE 4213 03:43:11,422 --> 03:43:14,258 LOAN REPAYMENT REPORT FOR 4214 03:43:14,258 --> 03:43:15,660 FISCAL YEAR 2023 MUCH SO THIS 4215 03:43:15,660 --> 03:43:18,763 IS PRESENTATION DONE WITH 4216 03:43:18,763 --> 03:43:21,732 MYSELF AND ED CLAYTON, YOU MET 4217 03:43:21,732 --> 03:43:28,306 HIM IN THE MORNING EARLY. 4218 03:43:28,306 --> 03:43:35,446 WHAT HAPPENED? 4219 03:43:35,446 --> 03:43:36,280 NOT MOVING. 4220 03:43:36,280 --> 03:43:37,448 OH, IT WAS MOVING. 4221 03:43:37,448 --> 03:43:38,349 GREAT. 4222 03:43:38,349 --> 03:43:42,720 SO, WHAT IS THE PURPOSE OF 4223 03:43:42,720 --> 03:43:43,220 LOAN REPAYMENT PROGRAM. 4224 03:43:43,220 --> 03:43:47,325 IT IS TO ATTRACT HEALTH 4225 03:43:47,325 --> 03:43:48,392 PROFESSIONALS TO DO RESEARCH 4226 03:43:48,392 --> 03:43:51,228 AND HOW DO WE DO THAT? 4227 03:43:51,228 --> 03:43:53,731 WE PROMISE THEM IF YOU COME 4228 03:43:53,731 --> 03:43:56,801 AND DO 50% RESEARCH, YOU DO 4229 03:43:56,801 --> 03:43:59,370 RESEARCH WE WILL PAY YOUR 4230 03:43:59,370 --> 03:44:00,204 ENGEAL DEBT. 4231 03:44:00,204 --> 03:44:04,709 SO ONE OF THE QUALIFYING 4232 03:44:04,709 --> 03:44:06,043 LOANS, THE ENGEAL LOANS BACKED 4233 03:44:06,043 --> 03:44:10,114 BY THE U.S. GOVERNMENT AND 4234 03:44:10,114 --> 03:44:15,286 ENGEAL LOANS FROM U. U. 4235 03:44:15,286 --> 03:44:16,053 INSTITUTIONS SUCH AS BANK OF 4236 03:44:16,053 --> 03:44:17,555 AMERICA AND SO ON. 4237 03:44:17,555 --> 03:44:22,026 SO THE LOANS WHICH YOU HAVE, 4238 03:44:22,026 --> 03:44:23,527 THEY DON'T QUALIFY. 4239 03:44:23,527 --> 03:44:28,966 SO, WHAT IT DOES, THE 4240 03:44:28,966 --> 03:44:31,068 SPECIFICS, WE PAY UP TO 4241 03:44:31,068 --> 03:44:35,072 $50,000 DEBT PER-YEAR PLUS THE 4242 03:44:35,072 --> 03:44:36,941 ACCRUED IRS TAXES. 4243 03:44:36,941 --> 03:44:38,876 SO ONE HAS BEEN A U.S. CITIZEN 4244 03:44:38,876 --> 03:44:44,749 OR A U.S. PEAR IN NENT 4245 03:44:44,749 --> 03:44:45,016 RESIDENT. 4246 03:44:45,016 --> 03:44:47,551 IT'S NOT LIKE IF YOU HAVE 4247 03:44:47,551 --> 03:44:49,754 LOANS GOING ON, SOME OF THEM 4248 03:44:49,754 --> 03:44:52,723 HAVE BEEN FINANCED FIVE TIMES. 4249 03:44:52,723 --> 03:44:54,692 SO, IT IS A MENTORED PROGRAM. 4250 03:44:54,692 --> 03:44:59,096 SO YOU NEED TO HAVE A MENTOR 4251 03:44:59,096 --> 03:45:00,498 FOR UNDER WHICH YOU ARE GOING 4252 03:45:00,498 --> 03:45:04,502 TO BE PERFORMING THAT 4253 03:45:04,502 --> 03:45:04,769 RESEARCH. 4254 03:45:04,769 --> 03:45:06,704 THE SUPPORT IS NOT REQUIRED, 4255 03:45:06,704 --> 03:45:10,908 YOU DON'T HAVE TO HAVE AN "R" 4256 03:45:10,908 --> 03:45:14,912 21 OR K-2 3, SO YOU CAN JUST 4257 03:45:14,912 --> 03:45:16,881 APPLY FOR LOAN REPAYMENT 4258 03:45:16,881 --> 03:45:19,050 PROGRAM IF YOU COMMIT 50% TIME 4259 03:45:19,050 --> 03:45:19,917 TOWARDS RESEARCH. 4260 03:45:19,917 --> 03:45:23,354 IT'S AN ONLINE APPLICATION. 4261 03:45:23,354 --> 03:45:24,689 SMALL SIMPLE APPLICATION. 4262 03:45:24,689 --> 03:45:26,957 IT IS PEER REVIEWED AND THE 4263 03:45:26,957 --> 03:45:29,994 DEADLINE OF THIS APPLICATION 4264 03:45:29,994 --> 03:45:31,829 IS EVERY YEAR, FOR 4265 03:45:31,829 --> 03:45:32,229 NOVEMBER 15TH. 4266 03:45:32,229 --> 03:45:36,534 SO THIS YEAR THE DEADLINE IS 4267 03:45:36,534 --> 03:45:38,636 NOVEMBER 16TH. 4268 03:45:38,636 --> 03:45:40,838 NIH, RESEARCH PROGRAM PEOPLE 4269 03:45:40,838 --> 03:45:44,375 ARE ALSO ELIGIBLE TO APPLY AND 4270 03:45:44,375 --> 03:45:48,479 THE DEADLINE FOR THEM IS 4271 03:45:48,479 --> 03:45:53,718 JANUARY TO MARCH EVERY YEAR. 4272 03:45:53,718 --> 03:45:57,488 SO, THE TYPE OF, THE PROGRAMS 4273 03:45:57,488 --> 03:46:00,191 WE PARTICIPATED, AT NEI, WE 4274 03:46:00,191 --> 03:46:01,325 PARTICIPATE IN CLINICAL 4275 03:46:01,325 --> 03:46:06,297 RESEARCH, DIVERSITY, PEDIATRIC 4276 03:46:06,297 --> 03:46:07,798 RESEARCH, HEALTH DISPART 4277 03:46:07,798 --> 03:46:12,069 RIGHTY, AND EMERGING AREAS 4278 03:46:12,069 --> 03:46:13,904 CRITICAL TO HUMAN HEALTH. 4279 03:46:13,904 --> 03:46:16,207 SO, ONE OF THE NEWEST PROGRAMS 4280 03:46:16,207 --> 03:46:19,176 WE ADDED THIS YEAR IS 4281 03:46:19,176 --> 03:46:23,013 DIVERSITY L.34, SO IN THIS 4282 03:46:23,013 --> 03:46:25,583 CASE, ONE CAN APPLY THIS 4283 03:46:25,583 --> 03:46:28,152 PROGRAM IF YOU ARE BELONGING 4284 03:46:28,152 --> 03:46:30,621 TO AN UNDER REPRESENTED 4285 03:46:30,621 --> 03:46:34,125 MINORITY OR OTHER DIVERSE 4286 03:46:34,125 --> 03:46:34,325 GROUP. 4287 03:46:34,325 --> 03:46:38,028 SO THIS IS THE DATA, FOR 4288 03:46:38,028 --> 03:46:41,432 FISCAL YEAR 2023. 4289 03:46:41,432 --> 03:46:49,673 SO, OUR TOTAL, WHAT DO YOU 4290 03:46:49,673 --> 03:46:53,544 CALL -- WHAT YOU SEE HERE, 4291 03:46:53,544 --> 03:46:53,744 OKAY. 4292 03:46:53,744 --> 03:46:58,449 YES, IF YOU SEE HERE, IT WAS 4293 03:46:58,449 --> 03:46:58,616 62%. 4294 03:46:58,616 --> 03:47:03,220 WE RECEIVED 20 NEW AND 13 4295 03:47:03,220 --> 03:47:03,754 RENEW ALWAYS. 4296 03:47:03,754 --> 03:47:05,723 26 APPLICATIONS WERE INSTEAD 4297 03:47:05,723 --> 03:47:07,625 OF AND WE RENEWED THEM. 4298 03:47:07,625 --> 03:47:10,961 OUT OF 13, THOSE WHICH WERE 4299 03:47:10,961 --> 03:47:12,830 REPEAT APPLICATIONS. 4300 03:47:12,830 --> 03:47:16,333 WHEREAS WE SUPPORTED 6 OUT OF 4301 03:47:16,333 --> 03:47:18,235 13, THE NEW APPLICATIONS. 4302 03:47:18,235 --> 03:47:22,840 WHEREAS IF YOU SEE THE NIH 4303 03:47:22,840 --> 03:47:24,074 DATA IT WAS 69%. 4304 03:47:24,074 --> 03:47:29,647 SO THE SUCCESS RATE IS SIMILAR 4305 03:47:29,647 --> 03:47:31,081 TO NEI BUT IT IS LOWER THAN 4306 03:47:31,081 --> 03:47:33,684 THE PREVIOUS ROUNDS AND THE 4307 03:47:33,684 --> 03:47:35,286 REASON FOR THAT I WOULD LIKE 4308 03:47:35,286 --> 03:47:38,322 TO EXPLAIN IS THAT THE NEW 4309 03:47:38,322 --> 03:47:39,757 APPLICATION IN THE PAST THEY 4310 03:47:39,757 --> 03:47:43,761 USED TO ALLOW ME TO PICK UP 4311 03:47:43,761 --> 03:47:45,496 FOR TWO YEARS, SO I USED TO 4312 03:47:45,496 --> 03:47:47,131 FUND THEM FOR ONE YEAR AND ASK 4313 03:47:47,131 --> 03:47:49,200 THEM TO COME BACK AGAIN SO, I 4314 03:47:49,200 --> 03:47:51,802 WOULD BE ABLE TO SAVE SOME 4315 03:47:51,802 --> 03:47:53,737 MONEY AND PICK UP SOME OTHER 4316 03:47:53,737 --> 03:47:53,938 ONES. 4317 03:47:53,938 --> 03:47:56,507 SO THIS YEAR THEY DON'T ALLOW 4318 03:47:56,507 --> 03:47:56,874 US TO DO THAT. 4319 03:47:56,874 --> 03:47:59,310 IF IT IS NEW AND IF THEY ARE 4320 03:47:59,310 --> 03:48:00,644 ASKING FOR TWO YEARS, SO WE 4321 03:48:00,644 --> 03:48:02,546 HAVE TO PICK UP BOTH YEARS OF 4322 03:48:02,546 --> 03:48:06,083 FUND AND NEW APPLICATIONS THEY 4323 03:48:06,083 --> 03:48:06,817 USUALLY HAVE HIGH VALUE 4324 03:48:06,817 --> 03:48:09,954 ASSOCIATED WITH THEM. 4325 03:48:09,954 --> 03:48:11,088 SO THEIR LOANS COULD BE $200 4326 03:48:11,088 --> 03:48:11,922 OR MORE. 4327 03:48:11,922 --> 03:48:15,025 SO THAT'S HOW I WAS NOT ABLE 4328 03:48:15,025 --> 03:48:16,994 TO PICK UP A FEW MORE 4329 03:48:16,994 --> 03:48:19,897 APPLICATIONS IN OUR FUNDING 4330 03:48:19,897 --> 03:48:23,634 SUCCESS RATE WENT A LITTLE BIT 4331 03:48:23,634 --> 03:48:23,834 DOWN. 4332 03:48:23,834 --> 03:48:30,140 SO, THIS IS THE DATA A NAY SIS 4333 03:48:30,140 --> 03:48:31,442 BY DEGREE. 4334 03:48:31,442 --> 03:48:35,980 SO THIS SHOWS HERE, 29% OF 4335 03:48:35,980 --> 03:48:39,283 APPLICATIONS OF THE 26 -- I'M 4336 03:48:39,283 --> 03:48:43,153 SORRY THIS IS FOR 2008-2023, 4337 03:48:43,153 --> 03:48:45,856 SO IF YOU SEE THIS DATA YOU 4338 03:48:45,856 --> 03:48:51,495 HAVE 39% OF MDS AND 1 WERE MD 4339 03:48:51,495 --> 03:48:51,662 PHD. 4340 03:48:51,662 --> 03:48:56,200 THEY HAVE LESSER LOAN BECAUSE 4341 03:48:56,200 --> 03:49:00,237 THEIR MD ENGE IS A SUPPORTED 4342 03:49:00,237 --> 03:49:01,839 BY OTHER MEANS. 4343 03:49:01,839 --> 03:49:05,776 THE OTHERS WERE 9%, AND, 24%. 4344 03:49:05,776 --> 03:49:10,648 THE PHDS ALONE WERE 26%. SO 4345 03:49:10,648 --> 03:49:15,853 THIS IS THE BIG PAY DOWN WITH 4346 03:49:15,853 --> 03:49:20,724 THE DEGREES AND ONLY 1D V.M. 4347 03:49:20,724 --> 03:49:24,795 FUNDED FOR THE LOAN REPAYMENT 4348 03:49:24,795 --> 03:49:25,029 PROGRAM. 4349 03:49:25,029 --> 03:49:28,899 THIS IS TO DO SOME FURTHER 4350 03:49:28,899 --> 03:49:34,305 ANALYSIS FROM FISCAL YEAR 4351 03:49:34,305 --> 03:49:34,538 2013-32. 4352 03:49:34,538 --> 03:49:38,742 THE TOTAL 387 AND THE ALLOWED 4353 03:49:38,742 --> 03:49:40,978 APPLICATIONS FUNDED WERE 298. 4354 03:49:40,978 --> 03:49:43,247 SO 9 7% OF THE APPLICATIONS 4355 03:49:43,247 --> 03:49:45,683 HAVE BEEN FINANCED THE SUCCESS 4356 03:49:45,683 --> 03:49:49,119 RATE WAS 77%. 4357 03:49:49,119 --> 03:49:53,457 THE UNIQUE NUMBER IS 120. 4358 03:49:53,457 --> 03:49:57,928 AND THE TOTAL NUMBER OF THE 4359 03:49:57,928 --> 03:50:00,431 RECIPIENTS WHO APPLIED WERE 33 4360 03:50:00,431 --> 03:50:05,402 AND THE TOTAL NUMBER WAS 18 SO 4361 03:50:05,402 --> 03:50:09,907 55% OF THEM WERE SUCCESSFUL. 4362 03:50:09,907 --> 03:50:11,308 SO THIS NUMBER UNIQUE NUMBER 4363 03:50:11,308 --> 03:50:14,812 IS REPRESENTING BECAUSE 387, 4364 03:50:14,812 --> 03:50:19,183 AS I MENTIONED EARLIER, IF YOU 4365 03:50:19,183 --> 03:50:22,086 REMEMBER THAT THE THEY CAN 4366 03:50:22,086 --> 03:50:23,988 APPLY MULTIPLE TIMES. 4367 03:50:23,988 --> 03:50:25,589 SO ONE PERSON, APPLY THREE 4368 03:50:25,589 --> 03:50:29,860 TIMES SO I TOOK THAT NUMBER AS 4369 03:50:29,860 --> 03:50:30,327 ONE, NOT AS THREE. 4370 03:50:30,327 --> 03:50:34,198 SO THAT'S HOW IT WENT TO 120. 4371 03:50:34,198 --> 03:50:39,803 SO THANK YOU AND I WISH TO 4372 03:50:39,803 --> 03:50:42,506 THANK ED FOR HIS VERY NICE 4373 03:50:42,506 --> 03:50:43,307 ANALYSIS DATA WHICH I 4374 03:50:43,307 --> 03:50:45,309 PRESENTED HERE AND I 4375 03:50:45,309 --> 03:50:46,810 APPRECIATE AND I IF A SOME 4376 03:50:46,810 --> 03:50:50,314 QUESTIONS IF YOU HAVE THEM. 4377 03:50:50,314 --> 03:50:59,223 >> THANK YOU. 4378 03:50:59,223 --> 03:51:02,893 >> WE HAVE A FEW MACHINES FOR 4379 03:51:02,893 --> 03:51:03,327 QUESTIONS. 4380 03:51:03,327 --> 03:51:04,261 ANY QUESTIONS? 4381 03:51:04,261 --> 03:51:08,899 I'M SORRY TO PEOPLE A ZOOM. 4382 03:51:08,899 --> 03:51:10,601 THE SLIDES WERE NOT SHARED. 4383 03:51:10,601 --> 03:51:13,203 A LITTLE TECHNICAL GLITCH 4384 03:51:13,203 --> 03:51:13,404 THERE. 4385 03:51:13,404 --> 03:51:16,774 BUT HAPPY TO SEND THEM TO 4386 03:51:16,774 --> 03:51:19,710 ANYBODY WHO REQUESTS THEM. 4387 03:51:19,710 --> 03:51:20,444 >> THANK YOU SO MUCH. 4388 03:51:20,444 --> 03:51:22,713 MAYBE I MISSED IT. 4389 03:51:22,713 --> 03:51:27,618 >> THIS IS TOM GARDNER ON 4390 03:51:27,618 --> 03:51:28,352 ZOOM. 4391 03:51:28,352 --> 03:51:29,219 LATE TO SHOW. 4392 03:51:29,219 --> 03:51:30,287 DO YOU THINK THAT YOU'RE 4393 03:51:30,287 --> 03:51:33,457 GETTING IS APPLICATIONS AS YOU 4394 03:51:33,457 --> 03:51:33,657 LIKE? 4395 03:51:33,657 --> 03:51:35,959 DO YOU THINK IT IS UNDER 4396 03:51:35,959 --> 03:51:38,962 UTILITZED? 4397 03:51:38,962 --> 03:51:40,464 >>> THANK YOU, TOM. 4398 03:51:40,464 --> 03:51:41,698 THE NUMBER OF APPLICATIONS FOR 4399 03:51:41,698 --> 03:51:44,334 THE LAST FIVE YEARS OR SO WE 4400 03:51:44,334 --> 03:51:46,303 ARE RANGING AROUND 30 4401 03:51:46,303 --> 03:51:47,538 APPLICATIONS. 4402 03:51:47,538 --> 03:51:49,506 WE USED TO GET IN THE 40'S. 4403 03:51:49,506 --> 03:51:51,775 BUT THAT NUMBER HAS COME DOWN 4404 03:51:51,775 --> 03:51:52,176 FOR SOME REASONS. 4405 03:51:52,176 --> 03:51:54,578 ONE OF THE REASONS I WAS GIVEN 4406 03:51:54,578 --> 03:51:57,281 BY ONE OF THE COUNCILMEMBERS, 4407 03:51:57,281 --> 03:52:02,086 A COUPLE OF YEARS AGO WAS THAT 4408 03:52:02,086 --> 03:52:03,854 THEY ARE TRAINING -- THEY HAVE 4409 03:52:03,854 --> 03:52:07,791 BEEN SUPPORTED BY THE MEDICAL 4410 03:52:07,791 --> 03:52:08,725 SCHOOLS OR WHEN THEY ARE DOING 4411 03:52:08,725 --> 03:52:10,861 THEIR RESIDENCY SO THEY ARE 4412 03:52:10,861 --> 03:52:12,996 ABLE TO PICK UP THEIR LOANS. 4413 03:52:12,996 --> 03:52:13,797 SO I'M NOT SURE. 4414 03:52:13,797 --> 03:52:16,467 YOU MAY BE ABLE TO ANSWER THAT 4415 03:52:16,467 --> 03:52:17,768 IF YOU ARE DOING THAT AT THE 4416 03:52:17,768 --> 03:52:19,570 UNIVERSITY OF MICHIGAN. 4417 03:52:19,570 --> 03:52:22,339 BUT THE NUMBER IS CONSISTENT 4418 03:52:22,339 --> 03:52:24,775 NOW, WE'RE GETTING 30 4419 03:52:24,775 --> 03:52:27,878 APPLICATIONS. 4420 03:52:27,878 --> 03:52:29,213 >> YEA I DON'T HAVE ANY NEW 4421 03:52:29,213 --> 03:52:30,614 INSIGHTS EXCEPT THE PEOPLE WHO 4422 03:52:30,614 --> 03:52:32,950 I KNOW WHO HAVE BEEN 4423 03:52:32,950 --> 03:52:34,985 SUCCESSFUL HAVE FOUND IT VERY 4424 03:52:34,985 --> 03:52:38,021 HELPFUL AND IT'S NOT AT HIGH 4425 03:52:38,021 --> 03:52:38,188 BAR. 4426 03:52:38,188 --> 03:52:40,424 THANK YOU VERY MUCH FOR DOING 4427 03:52:40,424 --> 03:52:40,624 THAT. 4428 03:52:40,624 --> 03:52:41,291 >> THANK YOU. 4429 03:52:41,291 --> 03:52:49,099 IT'S REALLY A GREAT PROGRAM. 4430 03:52:49,099 --> 03:52:51,301 THANK SO MUCH FOR THAT. 4431 03:52:51,301 --> 03:52:53,637 DY MISS THIS OR DID I 4432 03:52:53,637 --> 03:52:54,204 MISUNDERSTANDING THAT YOU DO 4433 03:52:54,204 --> 03:52:57,141 NOT SUPPORT PEOPLE DOING 4434 03:52:57,141 --> 03:53:00,878 BASIC, YOU HAVE CLINICAL AND 4435 03:53:00,878 --> 03:53:04,181 DISPART RIGHTY, BUT BASIC? 4436 03:53:04,181 --> 03:53:05,983 >>> NO, WE DO SUPPORT BASIC 4437 03:53:05,983 --> 03:53:07,885 RESEARCH. 4438 03:53:07,885 --> 03:53:09,953 SO CLINICAL RESEARCH WILL 4439 03:53:09,953 --> 03:53:11,088 COMPRISE OF THAT AND ONE OF 4440 03:53:11,088 --> 03:53:15,359 THE STIPULATIONS IS THAT YOU 4441 03:53:15,359 --> 03:53:18,328 SHOULD BE USING SOME HUMAN 4442 03:53:18,328 --> 03:53:20,397 TISSUE, NOT HUMAN SUBJECTS. 4443 03:53:20,397 --> 03:53:24,034 THEN THAT FALLS INTO CLINICAL 4444 03:53:24,034 --> 03:53:24,301 CATEGORY. 4445 03:53:24,301 --> 03:53:26,770 AND PEDIATRIC RESEARCH HAS 4446 03:53:26,770 --> 03:53:28,605 EVERYTHING EXCEPT THAT YOU ARE 4447 03:53:28,605 --> 03:53:30,674 DEALING WITH SOME OF THE 4448 03:53:30,674 --> 03:53:37,047 DISEASES LIKE EARLY ON SET OF 4449 03:53:37,047 --> 03:53:38,348 GLAUCOMA AND DIABETES. 4450 03:53:38,348 --> 03:53:42,319 SO, AND THE HEALTH DISPART 4451 03:53:42,319 --> 03:53:45,822 RIGHTY, YOU KNOW, SO, 4452 03:53:45,822 --> 03:53:46,657 BASICALLY, RESEARCH IS A 4453 03:53:46,657 --> 03:53:50,894 LITTLE TRICKY ABOUT IT. 4454 03:53:50,894 --> 03:53:57,668 >> THANK YOU. 4455 03:53:57,668 --> 03:53:57,935 >> YES. 4456 03:53:57,935 --> 03:54:00,003 >>> DOES IT PAY UP TO FULL 4457 03:54:00,003 --> 03:54:01,605 AMOUNT OF SOME OF THESE LOANS 4458 03:54:01,605 --> 03:54:06,376 OR IS THERE ONLY A CERTAIN 4459 03:54:06,376 --> 03:54:06,843 PERCENTAGE 4460 03:54:06,843 --> 03:54:08,412 >>> NO, WE PAY THE FULL DEBT. 4461 03:54:08,412 --> 03:54:10,814 AND THAT INCLUDES 4462 03:54:10,814 --> 03:54:11,715 UNDERGRADUATE LOANS BY THE WAY 4463 03:54:11,715 --> 03:54:14,017 FOR YOUR ENGE. 4464 03:54:14,017 --> 03:54:17,554 SO AS I SAID, PEOPLE APPLY 4465 03:54:17,554 --> 03:54:18,889 MULTIPLE TIMES UNTIL THEIR 4466 03:54:18,889 --> 03:54:21,291 DEBT COMES TO BE ZERO. 4467 03:54:21,291 --> 03:54:23,060 AND I MET SOMEBODY LAST WEEK 4468 03:54:23,060 --> 03:54:23,694 AT STANFORD AND HE WAS 4469 03:54:23,694 --> 03:54:24,928 THANKING ME. 4470 03:54:24,928 --> 03:54:27,631 HE SAID, YOU WON'T SEE MY 4471 03:54:27,631 --> 03:54:28,899 APPLICATION ANY MORE OF THE 4472 03:54:28,899 --> 03:54:31,635 I'M DONE. 4473 03:54:31,635 --> 03:54:38,508 [LAUGHTER] 4474 03:54:38,508 --> 03:54:41,445 >> I WANT TO ECHO TOM'S 4475 03:54:41,445 --> 03:54:42,179 THOUGHT. 4476 03:54:42,179 --> 03:54:43,614 THANK YOU THIS, A GREAT, GREAT 4477 03:54:43,614 --> 03:54:43,847 PROGRAM. 4478 03:54:43,847 --> 03:54:47,651 IT REALLY HELPS OUR 4479 03:54:47,651 --> 03:54:49,653 SCIENTISTS, TO CONTINUE TO 4480 03:54:49,653 --> 03:54:50,487 STAY IN OUR FIELD AND 4481 03:54:50,487 --> 03:54:50,787 CONTRIBUTE. 4482 03:54:50,787 --> 03:54:52,756 I REALLY HOPE THEY COULDN'T TO 4483 03:54:52,756 --> 03:54:55,492 BE SUPPORTED. 4484 03:54:55,492 --> 03:55:05,769 >> THANK YOU. 4485 03:55:09,339 --> 03:55:13,710 >> THANK YOU. 4486 03:55:13,710 --> 03:55:17,147 I AM NOT SURE, OUR NEXT SPEAK 4487 03:55:17,147 --> 03:55:19,616 SER HERE YET. 4488 03:55:19,616 --> 03:55:21,752 SO, TALK AMONGST YOURSELVES 4489 03:55:21,752 --> 03:55:25,222 AND I'LL BE RIGHT BACK 4490 03:56:23,613 --> 03:56:34,057 SHE'LL BE WITH US MOMENTARILY. 4491 03:56:57,781 --> 03:56:59,983 >> SO WE DO HAVE NONI BYRNES 4492 03:56:59,983 --> 03:57:03,453 HERE AND I'LL INTRODUCE HER IN 4493 03:57:03,453 --> 03:57:13,630 A SECOND. 4494 03:57:57,741 --> 03:57:59,476 >> THANK YOU FOR JOINING US. 4495 03:57:59,476 --> 03:58:02,712 WE'RE AHEAD OF SCHEDULE RIGHT 4496 03:58:02,712 --> 03:58:04,181 NOW. 4497 03:58:04,181 --> 03:58:05,582 SO, IT'S, THIS IS A REAL 4498 03:58:05,582 --> 03:58:07,684 PLEASURE FOR US TO HAVE YOU 4499 03:58:07,684 --> 03:58:09,920 VISIT. 4500 03:58:09,920 --> 03:58:10,520 SO, LET ME INTRODUCE NONI 4501 03:58:10,520 --> 03:58:10,754 BYRNES. 4502 03:58:10,754 --> 03:58:14,157 SHE IS THE DIRECTOR OF THE 4503 03:58:14,157 --> 03:58:15,725 CENTER FOR SCIENTIFIC REVIEW. 4504 03:58:15,725 --> 03:58:15,992 CSR. 4505 03:58:15,992 --> 03:58:18,395 WHAT THEY DO IS THEY REVIEW 4506 03:58:18,395 --> 03:58:20,430 THE MAJORITY OF GRANTS THAT 4507 03:58:20,430 --> 03:58:22,466 ARE SUBMITTED TO NIH. 4508 03:58:22,466 --> 03:58:25,869 IT'S OVER 75% OF THE GRANTS 4509 03:58:25,869 --> 03:58:27,737 GET REVIEWED AT C. SR. 4510 03:58:27,737 --> 03:58:29,372 I'LL PAUSE HERE AND GIVE YOU A 4511 03:58:29,372 --> 03:58:29,840 CHANCE. 4512 03:58:29,840 --> 03:58:40,484 BECAUSE I DIDN'T REALIZE -- EDUN 4513 03:59:32,669 --> 03:59:37,173 >> THIS IS OUR THIRD. 4514 03:59:37,173 --> 03:59:38,942 YEA AND WAS IT'S, NO WE REALLY 4515 03:59:38,942 --> 03:59:45,749 LOVED HAVING THE GROUP IN 4516 03:59:45,749 --> 03:59:55,892 PERSON. 4517 04:00:48,745 --> 04:00:51,815 >> NONI BYRNES IS THE DIRECTOR 4518 04:00:51,815 --> 04:00:53,383 OF CENTER FOR SCIENTIFIC 4519 04:00:53,383 --> 04:00:53,617 REVIEW. 4520 04:00:53,617 --> 04:00:57,153 THEY REVIEW OVER 95% OF THE 4521 04:00:57,153 --> 04:00:59,823 GRANTS THAT ARE SUBMITTED TO 4522 04:00:59,823 --> 04:00:59,990 NIH. 4523 04:00:59,990 --> 04:01:01,558 THERE'S THIS SAYING THAT 4524 04:01:01,558 --> 04:01:03,126 NOTHING IS PERFECT. 4525 04:01:03,126 --> 04:01:05,595 BUT, ONE THING THAT I HAVE 4526 04:01:05,595 --> 04:01:08,732 BEEN TRULY PROUD OF IS THAT I 4527 04:01:08,732 --> 04:01:11,968 HEARD CSR AND THE GRANT REVIEW 4528 04:01:11,968 --> 04:01:14,504 PROCESS AM TIMES, REFERRED TO 4529 04:01:14,504 --> 04:01:16,439 AS THE GOLD STANDARD OF GRANT 4530 04:01:16,439 --> 04:01:18,174 REVIEW PROCESSES AROUND THE 4531 04:01:18,174 --> 04:01:18,375 WORLD. 4532 04:01:18,375 --> 04:01:19,876 AND ONE THING, ANOTHER THING 4533 04:01:19,876 --> 04:01:21,711 THAT I HAVE BEEN IMPRESSED IS 4534 04:01:21,711 --> 04:01:25,915 THAT NONI BYRNES AND HER CREW, 4535 04:01:25,915 --> 04:01:26,983 DESPITE THAT, THEY'RE ALWAYS 4536 04:01:26,983 --> 04:01:30,787 TRYING TO MAKE A GOOD PROCESS 4537 04:01:30,787 --> 04:01:31,354 BETTER. 4538 04:01:31,354 --> 04:01:33,723 SO, REALLY, JUST A LITTLE BIT 4539 04:01:33,723 --> 04:01:34,424 OF BACKGROUND ABOUT NONI 4540 04:01:34,424 --> 04:01:38,094 BYRNES IS THAT SHE'S A PHD IN 4541 04:01:38,094 --> 04:01:40,630 CHEMISTRY AND HAD WORKED IN 4542 04:01:40,630 --> 04:01:43,466 THE INDUSTRY AND HAS HAD A 4543 04:01:43,466 --> 04:01:46,403 LONG CAREER HERE AT CSR AND 4544 04:01:46,403 --> 04:01:48,471 HAS BEEN THE DIRECTOR HERE. 4545 04:01:48,471 --> 04:01:51,775 SHE'S GOING TO TALK ABOUT CSR 4546 04:01:51,775 --> 04:01:53,043 'S INITIATIVESES TO STRENGTHEN 4547 04:01:53,043 --> 04:01:54,711 PEER REVIEW AND GIVE AN 4548 04:01:54,711 --> 04:01:55,812 UPDATE. 4549 04:01:55,812 --> 04:02:01,751 SO NONI BYRNES, WELCOME. 4550 04:02:01,751 --> 04:02:03,086 >> GREAT. THANKS VERY MUCH 4551 04:02:03,086 --> 04:02:06,322 MIKE AND KATHLEEN, FOR THE 4552 04:02:06,322 --> 04:02:07,257 INVITATION. 4553 04:02:07,257 --> 04:02:16,733 SO, LET ME GET STARTED. 4554 04:02:16,733 --> 04:02:19,969 TRY THIS WAY. 4555 04:02:19,969 --> 04:02:23,339 >> YOU BE USE THE SPACE BAR. 4556 04:02:23,339 --> 04:02:26,810 >> SPACE IS NOT WORKING AND 4557 04:02:26,810 --> 04:02:36,720 DOWN IS NOT WORKING. 4558 04:02:36,720 --> 04:02:39,389 THANK YOU. 4559 04:02:39,389 --> 04:02:39,856 >> OKAY. 4560 04:02:39,856 --> 04:02:41,658 SO I'LL JUST GIVE A QUICK 4561 04:02:41,658 --> 04:02:42,559 OVERVIEW OF WHAT IT IS WE DO 4562 04:02:42,559 --> 04:02:45,762 AND THE SCOPE OF OPERATIONS 4563 04:02:45,762 --> 04:02:47,764 THAT WE HAVE. 4564 04:02:47,764 --> 04:02:49,099 OUR MISSION OF COURSE IS TO 4565 04:02:49,099 --> 04:02:51,201 VERY SINGULAR AND IDENTIFY THE 4566 04:02:51,201 --> 04:02:54,170 MOST PROMISING SCIENCE FOR NIH 4567 04:02:54,170 --> 04:02:54,871 SUPPORT. 4568 04:02:54,871 --> 04:02:59,209 WE DO THAT BY ENSURING THAT 4569 04:02:59,209 --> 04:03:02,178 NIH GRANT APPLICATIONS RECEIVE 4570 04:03:02,178 --> 04:03:05,248 TIMELY REVIEWS THAT ARE FREE 4571 04:03:05,248 --> 04:03:08,184 FROM INAPPROPRIATE 4572 04:03:08,184 --> 04:03:09,319 INFLUENCESES. 4573 04:03:09,319 --> 04:03:11,955 >> IN 2023 WE REVIEWED ABOUT 4574 04:03:11,955 --> 04:03:14,724 60,000 APPLICATIONS AND THAT'S 4575 04:03:14,724 --> 04:03:15,725 A LITTLE OVER THREE QUARTERS 4576 04:03:15,725 --> 04:03:17,894 OF ALL APPLICATIONS THAT WERE 4577 04:03:17,894 --> 04:03:20,830 SUBMITTED TO THE NIH. 4578 04:03:20,830 --> 04:03:23,032 A VAST MAJORITY ARE DONE BY 4579 04:03:23,032 --> 04:03:27,070 CSR AND SMALL BUSINESS, AND N. 4580 04:03:27,070 --> 04:03:28,638 R. STATE FELLOWSHIPS AND WE DO 4581 04:03:28,638 --> 04:03:31,875 THIS WITH THE ASSISTANCE OF 4582 04:03:31,875 --> 04:03:36,279 270 REVIEW OFFICERS, 19,000 4583 04:03:36,279 --> 04:03:38,681 REVIEWERS IN OVER 1200 4584 04:03:38,681 --> 04:03:41,417 MEETINGS EVERY YEAR. 4585 04:03:41,417 --> 04:03:44,721 SO, PEOPLE THINK OF C. -- CSR, 4586 04:03:44,721 --> 04:03:46,656 AND THEY THINK OF STANDING 4587 04:03:46,656 --> 04:03:47,056 GOING MECHANISMS. 4588 04:03:47,056 --> 04:03:48,358 WE DO THAT. 4589 04:03:48,358 --> 04:03:52,428 BUT WE ALSO DO A VERY LARGE 4590 04:03:52,428 --> 04:03:55,031 NUMBER OF SPECIAL EMPHASIS 4591 04:03:55,031 --> 04:03:56,332 PANELS. 4592 04:03:56,332 --> 04:03:58,368 BECAUSE WE'RE ASKED TO TAKE ON 4593 04:03:58,368 --> 04:03:59,769 THESE HIGH PROFILE REVIEWS. 4594 04:03:59,769 --> 04:04:02,739 LAST YEAR, THAT'S ARE JUST 4595 04:04:02,739 --> 04:04:03,506 SOME EXAMPLES. 4596 04:04:03,506 --> 04:04:07,410 BUT IN THE LAST FISCAL YEAR WE 4597 04:04:07,410 --> 04:04:08,745 HANDLED 161 SPECIAL 4598 04:04:08,745 --> 04:04:13,917 INITIATIVES FOR NIH. 4599 04:04:13,917 --> 04:04:18,087 SO SINCE 2019 WE'RE HAD THIS 4600 04:04:18,087 --> 04:04:19,289 FRAMEWORK THAT WE BASE ALL OF 4601 04:04:19,289 --> 04:04:21,724 OUR ACTIONS AND INITIATIVES 4602 04:04:21,724 --> 04:04:22,192 ON. 4603 04:04:22,192 --> 04:04:23,693 THE BROADER GOAL OF THIS 4604 04:04:23,693 --> 04:04:28,231 FRAMEWORK IS TO EPITOMIZE THE 4605 04:04:28,231 --> 04:04:29,699 PIER REVIEW PROCESS AND AIM 4606 04:04:29,699 --> 04:04:31,534 TOWARDS A HIGH QUALITY 4607 04:04:31,534 --> 04:04:32,202 OUTPUT. 4608 04:04:32,202 --> 04:04:37,774 IT'S IN THREE DOMAINS. 4609 04:04:37,774 --> 04:04:38,908 SO ONE IS STUDY SECONDS. 4610 04:04:38,908 --> 04:04:43,012 HOW ARE STUDY SECONDS 4611 04:04:43,012 --> 04:04:43,446 STRUCTURED. 4612 04:04:43,446 --> 04:04:46,282 AND, ARE THEY ADAPTING TO 4613 04:04:46,282 --> 04:04:48,351 EMERGING AREAS AND ARE THEY 4614 04:04:48,351 --> 04:04:49,319 LARGE ENOUGH TO BE 4615 04:04:49,319 --> 04:04:50,553 COMPETITIVE. 4616 04:04:50,553 --> 04:04:51,855 THAT MATTERS A LOT. 4617 04:04:51,855 --> 04:04:55,024 YOU COULD HAVE WEAK AREAS OF 4618 04:04:55,024 --> 04:04:57,327 SCIENCE, AND 10% STILL GETS 4619 04:04:57,327 --> 04:04:59,729 AWARDED OR STRONG AREAS OF 4620 04:04:59,729 --> 04:05:04,667 SCIENCE, ONLY 10% GETS 4621 04:05:04,667 --> 04:05:11,040 AWARDED. 4622 04:05:11,040 --> 04:05:14,744 >> EVEN IF YOU HAVE A 4623 04:05:14,744 --> 04:05:15,511 SCIENTIFIC ONE, THERE ARE 4624 04:05:15,511 --> 04:05:17,780 OTHER PARTS THAT IMPACT T ONE 4625 04:05:17,780 --> 04:05:20,617 IS THE ACTUAL TIST REVIEWERS. 4626 04:05:20,617 --> 04:05:22,819 NOW, WHO WE RECRUIT AND, HOW 4627 04:05:22,819 --> 04:05:24,320 BROAD IS THE POOL OF REVIEWERS 4628 04:05:24,320 --> 04:05:27,857 AND HOW WE ASSESS REVIEWERS. 4629 04:05:27,857 --> 04:05:30,894 SO THAT'S ANOTHER PART OF THE 4630 04:05:30,894 --> 04:05:33,229 DOMAIN THAT FOCUS' QUALITY OF 4631 04:05:33,229 --> 04:05:34,797 REVIEW. BUT THEN EVEN IF YOU 4632 04:05:34,797 --> 04:05:38,668 HAVE NICE STUDY SECTIONS AND 4633 04:05:38,668 --> 04:05:39,903 VERY STRONG REVIEWERS, THE 4634 04:05:39,903 --> 04:05:43,339 PART OF THE PROCESS THAT CAN 4635 04:05:43,339 --> 04:05:44,741 IMPACT THE OUTCOMES. 4636 04:05:44,741 --> 04:05:45,541 THAT IS YOU KNOW, WHETHER THE 4637 04:05:45,541 --> 04:05:48,544 PROCESS IS CONFIDENTIAL, 4638 04:05:48,544 --> 04:05:49,279 WHETHER PEOPLE FEEL FREE TO 4639 04:05:49,279 --> 04:05:53,750 SPEAK UP AND KNOW THAT IT'S 4640 04:05:53,750 --> 04:05:54,083 CONFIDENTIAL. 4641 04:05:54,083 --> 04:05:56,953 BIAS IN THE PROCESS ITSELF. 4642 04:05:56,953 --> 04:05:58,855 HOW WE'RE ASSIGNING 4643 04:05:58,855 --> 04:06:00,723 APPLICATIONS TO STUDY SECTIONS 4644 04:06:00,723 --> 04:06:02,091 AND HOW OUR CRITERIA AND 4645 04:06:02,091 --> 04:06:02,825 SCORING SYSTEM WORK. 4646 04:06:02,825 --> 04:06:07,330 ALL OF THOSE IMPACT THE OUTPUT 4647 04:06:07,330 --> 04:06:08,464 OF PEER REVIEW. 4648 04:06:08,464 --> 04:06:09,299 THIS FRAMEWORK IS ALSO BASED 4649 04:06:09,299 --> 04:06:11,634 ON A NUMBER OF OPERATING 4650 04:06:11,634 --> 04:06:13,503 PRINCIPLES AND I HOPE AS I GO 4651 04:06:13,503 --> 04:06:15,672 THROUGH THIS TALK YOU WILL SEE 4652 04:06:15,672 --> 04:06:17,273 WE'RE ATTEMPTING TO OPERATE 4653 04:06:17,273 --> 04:06:20,176 WITH THE HIGHEST LEVEL OF 4654 04:06:20,176 --> 04:06:21,411 TRANSPARENCY, WE'RE USING DATA 4655 04:06:21,411 --> 04:06:22,211 TO DRIVE OUR DECISIONS. 4656 04:06:22,211 --> 04:06:25,148 WE ENGAGE GOING WITH THE 4657 04:06:25,148 --> 04:06:28,952 COMMUNITY ALMOST IN EVERYTHING 4658 04:06:28,952 --> 04:06:29,419 WE DO. 4659 04:06:29,419 --> 04:06:30,620 BUT OF COURSE THE MOST 4660 04:06:30,620 --> 04:06:31,821 IMPORTANT PART IS THE PEOPLE 4661 04:06:31,821 --> 04:06:33,957 WHO ACTUALLY DO ALL OF THIS 4662 04:06:33,957 --> 04:06:35,124 WORK WHICH IS OUR STAFF. 4663 04:06:35,124 --> 04:06:38,494 SO WE HAVE INVESTED A LOT IN 4664 04:06:38,494 --> 04:06:39,028 DEVELOPING STAFF. 4665 04:06:39,028 --> 04:06:40,263 WE HAVE A NEW OFFICE THAT 4666 04:06:40,263 --> 04:06:45,735 FOCUSES ON STAFF DEVELOPMENT. 4667 04:06:45,735 --> 04:06:48,805 SO, I'M GOING, NOT GOING TO 4668 04:06:48,805 --> 04:06:52,108 TOUCH ON EVERYTHING THAT WE'RE 4669 04:06:52,108 --> 04:06:52,542 DOING. 4670 04:06:52,542 --> 04:06:55,144 BUT SEVERAL TOPICS. 4671 04:06:55,144 --> 04:06:57,246 ONE IS THE INQUIR PROCESS AND 4672 04:06:57,246 --> 04:06:58,514 THAT'S A STUDY SECTION 4673 04:06:58,514 --> 04:07:01,417 RESTRUCTURING PROCESS. 4674 04:07:01,417 --> 04:07:04,620 THE OTHER IS CHANGES TO REVIEW 4675 04:07:04,620 --> 04:07:06,122 CRAWFORD RESEARCH PROJECT 4676 04:07:06,122 --> 04:07:07,790 GRANTS AND ALSO TO FELLOWSHIP 4677 04:07:07,790 --> 04:07:12,095 APPLICATION REVIEWS. 4678 04:07:12,095 --> 04:07:12,562 AND THEN SOME OF OUR 4679 04:07:12,562 --> 04:07:14,731 INITIATIVES IN PROMOTING THE 4680 04:07:14,731 --> 04:07:17,700 FAIRNESS AND DIVERSIGUYING OUR 4681 04:07:17,700 --> 04:07:19,035 REVIEW COMMITTEES. 4682 04:07:19,035 --> 04:07:21,437 LET ME START WITH INQUIRE. 4683 04:07:21,437 --> 04:07:25,008 SO INQUIRE IS, WELL, IT IS 4684 04:07:25,008 --> 04:07:26,275 EVALUATING PANEL QUALITY AND 4685 04:07:26,275 --> 04:07:28,044 REVIEW. 4686 04:07:28,044 --> 04:07:29,245 SO, AS I LIKE TO SAY THIS IS 4687 04:07:29,245 --> 04:07:33,416 ONE OF THOSE NIH ACRONYMS THAT 4688 04:07:33,416 --> 04:07:34,250 IS RETROFITTED. 4689 04:07:34,250 --> 04:07:36,219 WE HAVE OUR OWN. 4690 04:07:36,219 --> 04:07:38,788 IT'S EVALUATE GOING PANEL 4691 04:07:38,788 --> 04:07:39,589 QUALITY AND REVIEW. 4692 04:07:39,589 --> 04:07:42,625 IT'S A SYSTEMATIC PROCESS 4693 04:07:42,625 --> 04:07:43,326 THAT'S MEANT TO BE CONTINUOUS 4694 04:07:43,326 --> 04:07:47,196 AND EVALUATE 20% OF THE STUDY 4695 04:07:47,196 --> 04:07:49,098 SECTIONS EVERY YEAR TO ENSURE 4696 04:07:49,098 --> 04:07:52,502 THAT THEY GET AT EXTERNAL LOOK 4697 04:07:52,502 --> 04:07:52,902 EVERY FIVE YEARS. 4698 04:07:52,902 --> 04:07:55,872 IT'S DONE IN TWO STAGES, SO 4699 04:07:55,872 --> 04:08:00,476 STAGE ONE INCLUDES AN EXTERNAL 4700 04:08:00,476 --> 04:08:01,010 EVALUATION PANEL. 4701 04:08:01,010 --> 04:08:02,311 HERE WE'RE LOOKING FOR BROAD 4702 04:08:02,311 --> 04:08:03,179 EXPERTS IN THE FIELD. 4703 04:08:03,179 --> 04:08:04,280 WE'RE TRYING TO AVOID PEOPLE 4704 04:08:04,280 --> 04:08:07,216 WHO HAVE A VESTED INTEREST IN 4705 04:08:07,216 --> 04:08:07,784 THE EXISTENCE OF ONE 4706 04:08:07,784 --> 04:08:09,018 COMMITTEE. 4707 04:08:09,018 --> 04:08:11,521 BECAUSE WE GET ADVOCACY. 4708 04:08:11,521 --> 04:08:15,425 SO WE TRY VERY HARD TO GET 4709 04:08:15,425 --> 04:08:19,395 BROAD INPUT. 4710 04:08:19,395 --> 04:08:21,531 WE PROVIDE THIS EXTERNAL PANEL 4711 04:08:21,531 --> 04:08:25,968 WITH A NUMBER OF DATA ITEMS. 4712 04:08:25,968 --> 04:08:27,603 PUBLICATION DATA FROM PRIOR 4713 04:08:27,603 --> 04:08:30,640 FUNDED GRANTS -- "S.I." 4714 04:08:30,640 --> 04:08:31,974 OUTCOME DATA. 4715 04:08:31,974 --> 04:08:33,976 AND THEN WE ALLOW THEM TO DO 4716 04:08:33,976 --> 04:08:34,410 ANYTHING THEY WANT. 4717 04:08:34,410 --> 04:08:36,312 THEY CAN RECOMMEND CHANGES. 4718 04:08:36,312 --> 04:08:38,114 THESE ARE STILL 4719 04:08:38,114 --> 04:08:39,615 RECOMMENDATIONS BUT THEY CAN 4720 04:08:39,615 --> 04:08:41,984 SUNSET STUDY SECTIONS AND MOVE 4721 04:08:41,984 --> 04:08:46,422 AREAS OR CREATE NEW ONES. 4722 04:08:46,422 --> 04:08:49,392 THIS IS FOLLOWED BY A PROCESS 4723 04:08:49,392 --> 04:08:50,026 EVALUATION PANEL. 4724 04:08:50,026 --> 04:08:52,028 HERE'S WHERE WE EVALUATE THE 4725 04:08:52,028 --> 04:08:54,730 FUNCTION OF THE STUDY 4726 04:08:54,730 --> 04:08:55,465 SECTION. 4727 04:08:55,465 --> 04:08:56,232 IT CAN BE NICELY STRUCTURED 4728 04:08:56,232 --> 04:08:59,102 BUT HOW WELL IT DOES, THE 4729 04:08:59,102 --> 04:09:00,937 QUALITY OF THE REVIEWERS, THE 4730 04:09:00,937 --> 04:09:03,206 STRENGTH OF THE DISCUSSIONS, 4731 04:09:03,206 --> 04:09:05,141 AND SCORING DATA, SO HERE, 4732 04:09:05,141 --> 04:09:08,778 THIS IS AN INTERNAL PANEL AND 4733 04:09:08,778 --> 04:09:13,015 I DON'T MEAN CSR, I MEAN NIH, 4734 04:09:13,015 --> 04:09:17,019 AND, AGAIN WE TRY TO NOT HAVE 4735 04:09:17,019 --> 04:09:18,121 INDIVIDUAL SROS OFFICERS WHO 4736 04:09:18,121 --> 04:09:19,922 MIGHT HAVE A VESTED INTEREST. 4737 04:09:19,922 --> 04:09:23,593 BUT A LEVEL OR TWO HIGHER 4738 04:09:23,593 --> 04:09:25,695 ADVISE US ON THIS. 4739 04:09:25,695 --> 04:09:28,664 WE PROVIDE THEM WITH DATA AND 4740 04:09:28,664 --> 04:09:31,267 ASK THEM TO PROVIDE US WITH 4741 04:09:31,267 --> 04:09:31,634 RECOMMENDATIONS. 4742 04:09:31,634 --> 04:09:33,069 THE WAY WE GET PROGRAM 4743 04:09:33,069 --> 04:09:35,538 FEEDBACK IS THROUGH SURVE 4744 04:09:35,538 --> 04:09:36,105 SURVEYS. 4745 04:09:36,105 --> 04:09:37,406 EVERY TIME IT GOES THROUGH 4746 04:09:37,406 --> 04:09:39,275 THIS PROCESS WE REACH OUT TO 4747 04:09:39,275 --> 04:09:41,811 PROGRAM OFFICERS AND GET THEIR 4748 04:09:41,811 --> 04:09:43,146 SURVEY DATA ON HOW THEY FEEL 4749 04:09:43,146 --> 04:09:45,014 THE EXPERTISE IS. 4750 04:09:45,014 --> 04:09:48,684 WE ALSO HAVE STUDY SECTION 4751 04:09:48,684 --> 04:09:50,286 SITE VISITS BY DISCONNECTED 4752 04:09:50,286 --> 04:09:53,723 PARTIES BECAUSE A LOT OCCURS 4753 04:09:53,723 --> 04:09:54,457 AT THE MEETING THAT CAN DRIVE 4754 04:09:54,457 --> 04:09:55,124 OUTCOMES. 4755 04:09:55,124 --> 04:09:57,393 SO WE HAVE PEOPLE WHO ARE NOT 4756 04:09:57,393 --> 04:10:00,596 IN THE LINE OF AUTHORITY OF 4757 04:10:00,596 --> 04:10:01,531 THE SRO, GO AND FILL OUT THE 4758 04:10:01,531 --> 04:10:04,800 FORM AND ALL OF THIS DATA GOES 4759 04:10:04,800 --> 04:10:06,636 TO SECONDARY PROCESS PANEL. 4760 04:10:06,636 --> 04:10:08,204 AND THEN THE FINAL STAGE IS 4761 04:10:08,204 --> 04:10:10,273 GOING IN FRONT OF THE ADVISORY 4762 04:10:10,273 --> 04:10:12,942 COUNCIL WHERE ALL OF THIS IS 4763 04:10:12,942 --> 04:10:14,177 PRESENTED AND THEY HAVE TO 4764 04:10:14,177 --> 04:10:15,878 APPROVE IT. 4765 04:10:15,878 --> 04:10:19,649 THE WHOLE PROCESS IS OVERSEEN 4766 04:10:19,649 --> 04:10:22,185 BOY OUR SCIENTIFIC DIRECTORS. 4767 04:10:22,185 --> 04:10:24,253 I WON'T GO THROUGH ALL OF 4768 04:10:24,253 --> 04:10:25,988 THIS, THERE'S A LOT OF STEPS 4769 04:10:25,988 --> 04:10:28,691 INVOLVED AFTER OUR COUNCIL 4770 04:10:28,691 --> 04:10:31,027 APPROVES THE CHANGES. 4771 04:10:31,027 --> 04:10:33,462 WE DO MOCK SORTS, TO MAKE SURE 4772 04:10:33,462 --> 04:10:35,031 THEY ARE VIABLE AND ENOUGH 4773 04:10:35,031 --> 04:10:37,934 APPLICATIONS GO IN THERE. 4774 04:10:37,934 --> 04:10:40,770 WE REFINE THE GUIDELINES, 4775 04:10:40,770 --> 04:10:41,771 OVERLAP STATEMENTS AND CLEAR 4776 04:10:41,771 --> 04:10:44,774 TO COMMUNITY AND TO OUR 4777 04:10:44,774 --> 04:10:44,974 STAFF. 4778 04:10:44,974 --> 04:10:47,910 AND THEN WE PUBLISH THOSE 4779 04:10:47,910 --> 04:10:51,013 GUIDELINES AND MOVE 4780 04:10:51,013 --> 04:10:52,949 EXPERTISE. 4781 04:10:52,949 --> 04:10:54,150 THAT ENTIRE PROCESS TAKES 4782 04:10:54,150 --> 04:10:57,220 REALLY ABOUT A YEAR-AND-A-HALF 4783 04:10:57,220 --> 04:10:58,721 FROM THE TIME THE FIRST 4784 04:10:58,721 --> 04:11:01,724 EXTERNAL PANEL MEETS TO WHEN 4785 04:11:01,724 --> 04:11:04,227 THE STUDY SECTIONS HOLDS THEIR 4786 04:11:04,227 --> 04:11:05,861 FIRST MEETINGS. 4787 04:11:05,861 --> 04:11:09,465 SO THUS FAR WE HAVE DONE 13 4788 04:11:09,465 --> 04:11:11,834 SCIENTIFIC CLUSTERS. 4789 04:11:11,834 --> 04:11:13,336 152 STUDY SECTIONS THAT ARE 4790 04:11:13,336 --> 04:11:15,238 EITHER COMPLETED OR IN 4791 04:11:15,238 --> 04:11:15,504 PROGRESS. 4792 04:11:15,504 --> 04:11:19,075 THESE ARE JUST THE BROADER 4793 04:11:19,075 --> 04:11:20,243 AREAS THAT WE'RE DOING. 4794 04:11:20,243 --> 04:11:23,346 THE ONES WITH SHADED ARE THE 4795 04:11:23,346 --> 04:11:25,381 ONES THAT ARE IN PROGRESS. 4796 04:11:25,381 --> 04:11:29,585 SO WHAT WE FOUND IS THAT DOING 4797 04:11:29,585 --> 04:11:32,822 THIS WAY ACTUALLY YIELDS QUITE 4798 04:11:32,822 --> 04:11:34,390 SUBSTANTIVE CHANGES. 4799 04:11:34,390 --> 04:11:36,859 PRIOR ITER RAISINGS, THAT WE 4800 04:11:36,859 --> 04:11:39,795 HAVE DONE HAVE NOT YIELDED A 4801 04:11:39,795 --> 04:11:42,431 LOT OF CHANGES, A LOT CAME 4802 04:11:42,431 --> 04:11:44,567 INTERNALLY, JUST REVIEW STAFF, 4803 04:11:44,567 --> 04:11:45,234 PROGRAM STAFF TALKING 4804 04:11:45,234 --> 04:11:45,501 TOGETHER. 4805 04:11:45,501 --> 04:11:47,036 THIS IS A WAY ARE TO THE 4806 04:11:47,036 --> 04:11:50,306 EXTERNAL COMMUNITY TO WEIGHING 4807 04:11:50,306 --> 04:11:52,742 IN AS TO WHERE THE SCIENCE IS 4808 04:11:52,742 --> 04:11:54,710 AND ADVICE US IT HAS RESULTED 4809 04:11:54,710 --> 04:11:58,114 IN ELIMINATION OF SMALLER 4810 04:11:58,114 --> 04:11:58,748 PANELS. 4811 04:11:58,748 --> 04:12:00,249 WE REFRESH GUIDELINES AND 4812 04:12:00,249 --> 04:12:02,785 CREATED HAD A LOT OF NEW STUDY 4813 04:12:02,785 --> 04:12:04,720 SECTIONS AND CREATED MORE 4814 04:12:04,720 --> 04:12:05,121 EMERGING SCIENCE. 4815 04:12:05,121 --> 04:12:08,557 SO JUST AS A QUICK EXAMPLE, 4816 04:12:08,557 --> 04:12:13,562 THERE WAS THIS GAP AREA IN 4817 04:12:13,562 --> 04:12:14,797 THERAPEUTICS, LATE STAGE DRUG 4818 04:12:14,797 --> 04:12:16,799 DISCOVERY WAS SEEN AS A GAP 4819 04:12:16,799 --> 04:12:17,867 AREA. 4820 04:12:17,867 --> 04:12:19,268 WE CREATED ADD STUDY SECTION 4821 04:12:19,268 --> 04:12:21,971 AND WITHIN AROUND, WE HAD 80 4822 04:12:21,971 --> 04:12:23,539 APPLICATION. 4823 04:12:23,539 --> 04:12:24,340 THERE'S A REAL NEED. 4824 04:12:24,340 --> 04:12:24,774 IT'S TOO BIG. 4825 04:12:24,774 --> 04:12:30,012 WE HAVE TO FIGURE IT OUT. 4826 04:12:30,012 --> 04:12:32,548 WE HAVE MIDDLE BETWEEN INQUIRE 4827 04:12:32,548 --> 04:12:34,250 THE FIVE-YEAR PERIOD 4828 04:12:34,250 --> 04:12:35,451 MANAGEMENT PROCESSES AND 4829 04:12:35,451 --> 04:12:38,788 EVALUATION THAT'S WE DO. 4830 04:12:38,788 --> 04:12:40,990 SOCIAL DETERMINANTS OF 4831 04:12:40,990 --> 04:12:41,223 HEALTH. 4832 04:12:41,223 --> 04:12:42,058 THERE WAS A LOT OF DISCUSSION 4833 04:12:42,058 --> 04:12:43,292 REGARDING IT. 4834 04:12:43,292 --> 04:12:44,727 AND THE THOUGHT WAS THAT 4835 04:12:44,727 --> 04:12:47,463 INSTEAD OF HAVING IT ALL IN 4836 04:12:47,463 --> 04:12:50,366 ONE STUDY SECTION, IT REALLY 4837 04:12:50,366 --> 04:12:53,102 EFFECTS AM DIFFERENT AREAS OF 4838 04:12:53,102 --> 04:12:53,936 SCIENCE AND COMMUNITIES. 4839 04:12:53,936 --> 04:12:54,437 SO THAT'S A EXAMPLE OF 4840 04:12:54,437 --> 04:12:57,106 SOMETHING WHERE THE GUIDELINES 4841 04:12:57,106 --> 04:12:59,342 HAVE BEEN INCORPORATED INTO 4842 04:12:59,342 --> 04:13:00,943 DIFFERENT AREAS. 4843 04:13:00,943 --> 04:13:04,947 MOBILE HEALTH TECHNOLOGY IS A 4844 04:13:04,947 --> 04:13:06,349 GROWTH AREA. 4845 04:13:06,349 --> 04:13:08,250 CANCER THERAPY WAS A GROWTH 4846 04:13:08,250 --> 04:13:09,318 AREA, WE HAVE TWO STUDY 4847 04:13:09,318 --> 04:13:11,454 SECTIONS AND WE HAVE A THIRD 4848 04:13:11,454 --> 04:13:13,556 ONE. 4849 04:13:13,556 --> 04:13:17,693 BECAUSE THERE WAS SUCH A NEED. 4850 04:13:17,693 --> 04:13:20,730 SO SWITCHING GEARS TO LOOKING 4851 04:13:20,730 --> 04:13:22,098 AT THE RESEARCH PROJECT GRANT 4852 04:13:22,098 --> 04:13:22,465 APPLICATIONS. 4853 04:13:22,465 --> 04:13:24,900 SO THIS IS PART OF THE PROCESS 4854 04:13:24,900 --> 04:13:25,468 CHANGES THAT WE'RE 4855 04:13:25,468 --> 04:13:27,269 APPROACHING. 4856 04:13:27,269 --> 04:13:28,838 SO AGAIN, OUR BROADER GOAL WAS 4857 04:13:28,838 --> 04:13:31,240 TO EPITOMIZE THE 4858 04:13:31,240 --> 04:13:33,542 IDENTIFICATION OF THE MOST 4859 04:13:33,542 --> 04:13:34,844 PROMISING RESEARCH, NO THE 4860 04:13:34,844 --> 04:13:37,980 MOST PROMISING PERSON OR 4861 04:13:37,980 --> 04:13:41,317 INSTITUTION BUT THE RESEARCH 4862 04:13:41,317 --> 04:13:41,917 PROJECT. 4863 04:13:41,917 --> 04:13:45,321 THAT'S WHAT THEY ARE, GRANTS. 4864 04:13:45,321 --> 04:13:47,156 SO A COUPLE WAYS THE FIRST 4865 04:13:47,156 --> 04:13:49,058 WAY, AND THIS IS ENTIRELY, WE 4866 04:13:49,058 --> 04:13:50,726 DID THIS IN CONJUNCTION WITH 4867 04:13:50,726 --> 04:13:55,097 THE COMMUNITY. 4868 04:13:55,097 --> 04:13:55,831 WAS THIS CONCERN ABOUT 4869 04:13:55,831 --> 04:13:58,534 ADMINISTRATIVE AND POLICY 4870 04:13:58,534 --> 04:13:59,201 COMPLIANCE ITEMS THAT HAVE 4871 04:13:59,201 --> 04:14:02,872 BEEN ADDED TO THE PEER O PEER 4872 04:14:02,872 --> 04:14:03,706 REVIEW. 4873 04:14:03,706 --> 04:14:04,206 WE BRING REALLY STRONG 4874 04:14:04,206 --> 04:14:07,343 SCIENTISTS IN AND WE GIVE THEM 4875 04:14:07,343 --> 04:14:07,977 THESE LITTLE CHECK BOXES THAT 4876 04:14:07,977 --> 04:14:10,112 THEY HAVE TO FILL OUT. 4877 04:14:10,112 --> 04:14:12,181 AND I HEARD A LOT OF 4878 04:14:12,181 --> 04:14:13,682 FRUSTRATION. 4879 04:14:13,682 --> 04:14:14,517 BUT OUR STAFF DID. 4880 04:14:14,517 --> 04:14:16,819 SO ONE OF THE MAJOR GOALS WAS 4881 04:14:16,819 --> 04:14:18,854 TO TAKE AWAY SOME OF THOSE 4882 04:14:18,854 --> 04:14:21,724 POLICY COMPLIANCE ITEMS, SO 4883 04:14:21,724 --> 04:14:22,825 THAT ALLOWS THE PEER REVIEWERS 4884 04:14:22,825 --> 04:14:27,863 TO FOCUS ON SCIENCE. 4885 04:14:27,863 --> 04:14:29,732 THE OTHER CONCERN IS THE ROLE 4886 04:14:29,732 --> 04:14:33,102 OF REPUTATIONAL BIAS IN PEER 4887 04:14:33,102 --> 04:14:35,905 REVIEW AND THAT COMES IN WITH 4888 04:14:35,905 --> 04:14:36,705 THE INVESTIGATOR AND 4889 04:14:36,705 --> 04:14:37,306 ENVIRONMENT. 4890 04:14:37,306 --> 04:14:39,809 IN TRYING TO MITIGATE THE 4891 04:14:39,809 --> 04:14:41,210 INFLUENCE OF THAT 4892 04:14:41,210 --> 04:14:43,946 INSTITUTIONAL OF PERSONAL 4893 04:14:43,946 --> 04:14:44,513 REPUTATION ON THE EVALUATION 4894 04:14:44,513 --> 04:14:50,085 OF THE PROJECT. 4895 04:14:50,085 --> 04:14:52,054 LET ME START WITH THE 4896 04:14:52,054 --> 04:14:53,055 BOTTOM-LINE OVERVIEW OF THE 4897 04:14:53,055 --> 04:14:53,689 CHANGES THAT ARE COMING UP AND 4898 04:14:53,689 --> 04:14:57,560 WE'LL BE ANNOUNCING THESE 4899 04:14:57,560 --> 04:14:59,728 LATER THIS MONTH. 4900 04:14:59,728 --> 04:15:03,732 SO FIRST OF ALL, THE CURRENT 4901 04:15:03,732 --> 04:15:05,734 FIVE REVIEW CRITERIA, 4902 04:15:05,734 --> 04:15:07,036 SIGNIFICANTS INNOVATION, 4903 04:15:07,036 --> 04:15:07,770 APPROACH, INVESTIGATOR AND 4904 04:15:07,770 --> 04:15:09,271 ENVIRONMENT ARE BEING 4905 04:15:09,271 --> 04:15:10,940 RESTRUCTURE SHOOFERD INTO 4906 04:15:10,940 --> 04:15:11,807 THREE FACTORS. 4907 04:15:11,807 --> 04:15:13,476 IF YOU THINK ABOUT IT, FACTOR 4908 04:15:13,476 --> 04:15:16,445 ONE IS, SHOULD IT BE DONE. 4909 04:15:16,445 --> 04:15:19,448 >> FACTOR TWO, CAN IT BE DONE 4910 04:15:19,448 --> 04:15:20,749 AND THREE, WILL IT BE DONE. 4911 04:15:20,749 --> 04:15:21,784 >> THE IMPORTANCE OF THE 4912 04:15:21,784 --> 04:15:22,051 RESEARCH. 4913 04:15:22,051 --> 04:15:24,520 ONE OF THE THINGS WE HEARD 4914 04:15:24,520 --> 04:15:25,488 FROM THE COMMUNITY IS THEY 4915 04:15:25,488 --> 04:15:27,189 WERE CONFUSED ABOUT 4916 04:15:27,189 --> 04:15:27,857 INNOVATION. 4917 04:15:27,857 --> 04:15:29,625 ANY WHO HAVE SERVED ON PANELS, 4918 04:15:29,625 --> 04:15:32,695 IS IT CONCEPTUAL? 4919 04:15:32,695 --> 04:15:32,995 TECHNICAL. 4920 04:15:32,995 --> 04:15:34,930 DOES IT MATTER? 4921 04:15:34,930 --> 04:15:39,235 DOES IT HAVE TO BE INNOVATIVE? 4922 04:15:39,235 --> 04:15:43,572 SO THIS ALLOWS THE REVIEWER TO 4923 04:15:43,572 --> 04:15:45,774 GIVE ONE SCORE AND WEIGHING 4924 04:15:45,774 --> 04:15:47,142 WHAT THEY THINK IS THE MOST 4925 04:15:47,142 --> 04:15:48,210 IMPORTANT DRIVER IN MAKING IT 4926 04:15:48,210 --> 04:15:48,644 ARE THE CLUE. 4927 04:15:48,644 --> 04:15:53,482 IT COULD BE NOT INNOVATIVE AND 4928 04:15:53,482 --> 04:15:55,851 STILL GET A GOOD SCORE. 4929 04:15:55,851 --> 04:15:58,153 >> RIGOROUS, IMPORTANCE, 4930 04:15:58,153 --> 04:16:00,623 FEASIBILITY ARE SCORED. 4931 04:16:00,623 --> 04:16:02,324 AND THEN THERE'S FACTOR THREE 4932 04:16:02,324 --> 04:16:02,825 WHICH HAS BEEN RENAMED 4933 04:16:02,825 --> 04:16:06,495 EXPERTISE AND RESOURCE THAT'S 4934 04:16:06,495 --> 04:16:08,130 WHAT WE'RE ASKING THEM TO 4935 04:16:08,130 --> 04:16:09,265 EVALUATE. 4936 04:16:09,265 --> 04:16:10,866 NOT THE PERSON OR HOW FAMOUS, 4937 04:16:10,866 --> 04:16:13,369 AND NOW THE INSTITUTION BUT IS 4938 04:16:13,369 --> 04:16:15,070 THE EXPERTISE THERE TO CARRY 4939 04:16:15,070 --> 04:16:20,109 OUT THE RESEARCH SUCCESSFULLY? 4940 04:16:20,109 --> 04:16:21,377 THAT ONE IS NOT SCORED. 4941 04:16:21,377 --> 04:16:23,112 SO ONE OF THE ISSUES WITH 4942 04:16:23,112 --> 04:16:28,484 SCORING IS THAT YOU GIVE NINE 4943 04:16:28,484 --> 04:16:30,619 BINS TO SOMEONE AND BIAS CAN 4944 04:16:30,619 --> 04:16:31,687 CREEP IN. 4945 04:16:31,687 --> 04:16:32,988 WE SAW IT HAPPEN. 4946 04:16:32,988 --> 04:16:36,425 BUT IF YOU ARE HARVARD, YOU'RE 4947 04:16:36,425 --> 04:16:39,161 A ONE. 4948 04:16:39,161 --> 04:16:41,764 IF YOU ARE FROM AN "H" B.C.U. 4949 04:16:41,764 --> 04:16:43,666 YOU HAVE EVERY RESOURCE YOU 4950 04:16:43,666 --> 04:16:45,267 MIGHT BE A THREE. 4951 04:16:45,267 --> 04:16:45,701 IT'S NOT BAD. 4952 04:16:45,701 --> 04:16:49,705 IT'S NOT AT ONE. 4953 04:16:49,705 --> 04:16:51,740 SIMILAR THINGS WITH 4954 04:16:51,740 --> 04:16:54,376 INVESTIGATOR, WELL-KNOWN 4955 04:16:54,376 --> 04:16:54,944 INVESTIGATOR VERSUS SOMEONE 4956 04:16:54,944 --> 04:16:56,011 WHO IS LESS KNOWN. 4957 04:16:56,011 --> 04:16:58,881 SO, HERE IT'S A BINARY CHOICE 4958 04:16:58,881 --> 04:17:00,749 WHICH IS EITHER THEY HAVE THE 4959 04:17:00,749 --> 04:17:02,651 EXPERTISE AND RESOURCES OR 4960 04:17:02,651 --> 04:17:03,319 THERE'S A GAP. 4961 04:17:03,319 --> 04:17:04,887 IF THERE'S A GAP WE WANT TO 4962 04:17:04,887 --> 04:17:06,622 KNOW WHAT IT IS. 4963 04:17:06,622 --> 04:17:09,892 SO THEY MUST PUT UP OR NOT. 4964 04:17:09,892 --> 04:17:10,859 THEY MUST WRITE OUT WHAT THE 4965 04:17:10,859 --> 04:17:11,827 GAP IS. 4966 04:17:11,827 --> 04:17:14,196 AND THAT SHOULD THEN EFFECT 4967 04:17:14,196 --> 04:17:15,931 OVERALL IMPACT SCORE. IF 4968 04:17:15,931 --> 04:17:18,867 THERE'S A PROBLEM IT SHOULD 4969 04:17:18,867 --> 04:17:20,302 AFFECT THE SCORE. 4970 04:17:20,302 --> 04:17:21,637 FOR ADDITIONAL CRITERIA, A 4971 04:17:21,637 --> 04:17:23,539 NUMBER OF THESE ADDITIONAL 4972 04:17:23,539 --> 04:17:26,275 CRITERIA ARE NOT INDIVIDUALLY 4973 04:17:26,275 --> 04:17:27,610 SCORED NOW. 4974 04:17:27,610 --> 04:17:28,911 THEY CAN EFFECT THE OVERALL 4975 04:17:28,911 --> 04:17:29,244 IMPACT SCORE. 4976 04:17:29,244 --> 04:17:31,880 MOST OF THIS IS NOT CHANGING, 4977 04:17:31,880 --> 04:17:33,983 WITH THE WITH THE EXCEPTION OF 4978 04:17:33,983 --> 04:17:34,883 THE CLINICAL TRIALS IN. 4979 04:17:34,883 --> 04:17:37,820 WE HAD ALL OF THESE ADDITIONAL 4980 04:17:37,820 --> 04:17:39,722 REVIEW CONSIDERATIONS WHICH 4981 04:17:39,722 --> 04:17:41,890 HAD NO BEARING ON THE OVERALL 4982 04:17:41,890 --> 04:17:42,091 MERIT. 4983 04:17:42,091 --> 04:17:44,660 THOSE ARE BEING REMOVED 4984 04:17:44,660 --> 04:17:46,729 BECAUSE WE DON'T NEED ALL OF 4985 04:17:46,729 --> 04:17:47,863 YOU TO TELL US ABOUT THAT. WE 4986 04:17:47,863 --> 04:17:52,234 CAN DO IT OURSELVES. 4987 04:17:52,234 --> 04:17:54,370 THE ONE CHANGE THAT WAS 4988 04:17:54,370 --> 04:17:55,537 RECOMMENDED AND THIS IS FOR 4989 04:17:55,537 --> 04:17:57,606 HUMAN SUBJECTS RESEARCH AND 4990 04:17:57,606 --> 04:17:59,274 CLINICAL TRIALS IS TO TAKE THE 4991 04:17:59,274 --> 04:18:02,077 INCLUSIONS AND PUT THEM IN 4992 04:18:02,077 --> 04:18:04,513 FACTOR TWO, BECAUSE THEY'RE AN 4993 04:18:04,513 --> 04:18:04,847 AFTERTHOUGHT. 4994 04:18:04,847 --> 04:18:06,148 WHEREAS REALLY HAVING 4995 04:18:06,148 --> 04:18:08,617 INCLUSIVE POPULATION IS 4996 04:18:08,617 --> 04:18:10,786 CRITICAL TO RIGOROF THE WORK 4997 04:18:10,786 --> 04:18:13,455 YOU'RE PROPOSING. 4998 04:18:13,455 --> 04:18:15,424 SO THAT REYES ITS PROFILE 4999 04:18:15,424 --> 04:18:18,560 EXPUTS IT UNDER THE SCORED 5000 04:18:18,560 --> 04:18:18,861 FACTOR TOO. 5001 04:18:18,861 --> 04:18:20,629 SO, JUST A LITTLE BIT ON THE 5002 04:18:20,629 --> 04:18:23,065 PROCESS, WE GOT AT TREMENDOUS 5003 04:18:23,065 --> 04:18:24,533 AMOUNT OF COMMUNITY INPUT. 5004 04:18:24,533 --> 04:18:28,971 WE STARTED IT WITH BLOGS AND 5005 04:18:28,971 --> 04:18:31,674 WHEN YOU ASK PEOPLE HOW SHOULD 5006 04:18:31,674 --> 04:18:33,409 WE CHANGE PEER REVIEWS? 5007 04:18:33,409 --> 04:18:35,411 EVERYONE HAS AN OPINION. 5008 04:18:35,411 --> 04:18:37,346 THEY WERE GOOD. THEY WERE 5009 04:18:37,346 --> 04:18:37,880 VERY THOUGHTFUL. 5010 04:18:37,880 --> 04:18:40,749 WE DID A CONTENT ANALYSIS. 5011 04:18:40,749 --> 04:18:43,385 WE ENGAGED WITH THE CAN TERNAL 5012 04:18:43,385 --> 04:18:44,653 COMMUNITY, NOT JUST THAT WAY 5013 04:18:44,653 --> 04:18:49,224 BUT ALSO FORMALLY, AND WE HAVE 5014 04:18:49,224 --> 04:18:52,795 TWO DIFFERENT WORKING GROUPS 5015 04:18:52,795 --> 04:18:54,630 THAT FOCUSED ON NONCLINICAL 5016 04:18:54,630 --> 04:18:56,165 TRIALS, 80%, AND CLINICAL 5017 04:18:56,165 --> 04:18:57,199 TRIALS. 5018 04:18:57,199 --> 04:19:00,269 WE PROVIDED THEM WITH OUR 5019 04:19:00,269 --> 04:19:01,503 REGULATORY GUARDRAILS. 5020 04:19:01,503 --> 04:19:04,440 WE MUST HAVE THE FIVE REVIEWS, 5021 04:19:04,440 --> 04:19:05,741 THAT COULD BE CHANGED BUT IT 5022 04:19:05,741 --> 04:19:08,010 NEEDS TO GO TO CONGRESS AND 5023 04:19:08,010 --> 04:19:09,912 NOBODY WANTSES TO DO IT. 5024 04:19:09,912 --> 04:19:13,348 BECAUSE THEN CONGRESS OPENS UP 5025 04:19:13,348 --> 04:19:14,116 EVERYTHING. 5026 04:19:14,116 --> 04:19:15,918 SO, BUT, THE GUARDRAILS ARE 5027 04:19:15,918 --> 04:19:18,620 JUST THAT. 5028 04:19:18,620 --> 04:19:19,788 USE THE FIVE CRITERIA HOW YOU 5029 04:19:19,788 --> 04:19:21,323 USE THEM IS UP TO AGENCY. 5030 04:19:21,323 --> 04:19:25,027 THAT'S WHAT THEY DID IN TUM IN 5031 04:19:25,027 --> 04:19:26,528 COMING UP WITH A FACTOR 5032 04:19:26,528 --> 04:19:26,929 SYSTEM. 5033 04:19:26,929 --> 04:19:29,765 AND THEN WE ADD FULL COUNCIL 5034 04:19:29,765 --> 04:19:31,800 APPROVAL AND THEN PUBLISHED 5035 04:19:31,800 --> 04:19:32,101 THE REPORT. 5036 04:19:32,101 --> 04:19:34,169 SO THAT ALL HAPPENED IN THE 5037 04:19:34,169 --> 04:19:35,137 MIDDLE OF THE PANDEMIC. 5038 04:19:35,137 --> 04:19:38,173 THIS WORKING GROUP WORKED VERY 5039 04:19:38,173 --> 04:19:40,509 HARD IN VIRTUAL MEETINGS, 5040 04:19:40,509 --> 04:19:42,978 WORKING THROUGH THIS AND IF A 5041 04:19:42,978 --> 04:19:43,312 TERRIFIC JOB. 5042 04:19:43,312 --> 04:19:47,316 IT THEN MOVED TO THE NIH WHERE 5043 04:19:47,316 --> 04:19:48,884 A HIGH LEVEL WORKING GROUP 5044 04:19:48,884 --> 04:19:51,019 SPENT TIME DOING MODIFICATIONS 5045 04:19:51,019 --> 04:19:53,889 AND MAKING THINGS MORE CLEAR 5046 04:19:53,889 --> 04:19:55,457 AND THEN THAT FRAMEWORK WAS 5047 04:19:55,457 --> 04:19:58,060 THEN APPROVED BY THE NIH 5048 04:19:58,060 --> 04:19:58,527 LEADERSHIP. 5049 04:19:58,527 --> 04:20:01,396 WE ALSO THEN, WHEN WE HAD IT 5050 04:20:01,396 --> 04:20:04,199 DEVELOPED, WE PUT IT OUT FOR 5051 04:20:04,199 --> 04:20:05,734 BROAD PUBLIC COMMENT THROUGH 5052 04:20:05,734 --> 04:20:10,472 AN "R" F.I., AND WE ACTUALLY 5053 04:20:10,472 --> 04:20:13,609 GOT MOSTLY SUPPORTIVE 5054 04:20:13,609 --> 04:20:13,876 RESPONSES. 5055 04:20:13,876 --> 04:20:16,612 THE REPORT IS POSTED NOW. 5056 04:20:16,612 --> 04:20:19,281 SO THIS IS GOING TO BE 5057 04:20:19,281 --> 04:20:21,817 IMPLEMENTED BEGINNING WITH 5058 04:20:21,817 --> 04:20:23,685 APPLICATIONS THAT ARE RECEIVED 5059 04:20:23,685 --> 04:20:26,822 IN JANUARY 2025 AND WILL BE 5060 04:20:26,822 --> 04:20:30,459 REVIEWED IN SUMMER 25 FOR 5061 04:20:30,459 --> 04:20:31,326 OCTOBER 25 FUNDING. 5062 04:20:31,326 --> 04:20:33,195 SO WHAT ARE THE NEXT STEPS? 5063 04:20:33,195 --> 04:20:36,465 WELL THE NEXT STEPS WE HAVE A 5064 04:20:36,465 --> 04:20:38,634 LOT TO DO BETWEEN NOW AND 5065 04:20:38,634 --> 04:20:38,934 JANUARY 25. 5066 04:20:38,934 --> 04:20:40,469 SEEMS LIKE A LONG TIME BUT IT 5067 04:20:40,469 --> 04:20:41,236 IS A LOT OF CHANGES. 5068 04:20:41,236 --> 04:20:45,741 WE HAVE TO HAVE SYSTEMS 5069 04:20:45,741 --> 04:20:48,811 CHANGES AND TRAINING, AND WE 5070 04:20:48,811 --> 04:20:49,011 HAVE. 5071 04:20:49,011 --> 04:20:51,747 THEY'RE GOING TO BE A GUIDE 5072 04:20:51,747 --> 04:20:55,350 NOTICE COMING OUT SOON, A 5073 04:20:55,350 --> 04:20:57,085 PUBLIC WEB FAR AND STAFF WEB 5074 04:20:57,085 --> 04:20:59,955 BEEN FAR AND THEN REFINE THE 5075 04:20:59,955 --> 04:21:00,989 APPLICATIONS AND CHANGE E.R.A. 5076 04:21:00,989 --> 04:21:03,025 SYSTEMS AND DO A LOT OF 5077 04:21:03,025 --> 04:21:06,762 SOCIALIZING OF THIS CHANGE TO 5078 04:21:06,762 --> 04:21:09,731 COMMUNITIES TO OUR REVIEWERS 5079 04:21:09,731 --> 04:21:11,800 AND OUR CHAIRS AND BRIAN, IS 5080 04:21:11,800 --> 04:21:14,203 THE CO-CHAIR OF THE 5081 04:21:14,203 --> 04:21:16,405 IMPLEMENTATION EXECUTIVE 5082 04:21:16,405 --> 04:21:17,072 COMMITTEE THAT IS HANDLING 5083 04:21:17,072 --> 04:21:20,008 THIS AND THERE'S A LOT WHICH 5084 04:21:20,008 --> 04:21:21,577 I'M SURE YOU'LL HEAR MUCH MORE 5085 04:21:21,577 --> 04:21:24,813 ABOUT OVER THE NEXT MONTH OR 5086 04:21:24,813 --> 04:21:24,980 TWO. 5087 04:21:24,980 --> 04:21:27,082 I WANT TO ACKNOWLEDGE OUR 5088 04:21:27,082 --> 04:21:28,417 WORKING GROUPS ON SIMPLIFYING 5089 04:21:28,417 --> 04:21:30,319 THE REVIEW. 5090 04:21:30,319 --> 04:21:32,421 THEY WORKED HARD THROUGH THE 5091 04:21:32,421 --> 04:21:35,357 PANDEMIC AND CAME UP WITH AN 5092 04:21:35,357 --> 04:21:38,493 EXCELLENT SET OF 5093 04:21:38,493 --> 04:21:39,494 RECOMMENDATIONS. 5094 04:21:39,494 --> 04:21:41,964 JUST SWITCHING GEARS TO 5095 04:21:41,964 --> 04:21:42,264 FELLOWSHIP. 5096 04:21:42,264 --> 04:21:44,733 SO AGAIN HERE THE BROADER GOAL 5097 04:21:44,733 --> 04:21:46,735 IS WE WANT TO MAKE SURE THAT 5098 04:21:46,735 --> 04:21:49,771 NIH PEER REVIEW IS IDENTIFYING 5099 04:21:49,771 --> 04:21:51,907 THE STRONGEST MOST PROMISING 5100 04:21:51,907 --> 04:21:53,742 RESEARCHERS OF THE NEXT 5101 04:21:53,742 --> 04:21:55,010 GENERATION. 5102 04:21:55,010 --> 04:21:56,612 SO OVER THE YEARS AGAIN WE 5103 04:21:56,612 --> 04:21:58,380 HEARD CONCERNS FROM THE 5104 04:21:58,380 --> 04:22:01,016 COMMUNITY SIMILAR TO R.O.1S 5105 04:22:01,016 --> 04:22:02,417 WHICH IS THE REPBUT TASTING 5106 04:22:02,417 --> 04:22:05,721 SEEMS TO IMPACT WHO GETS 5107 04:22:05,721 --> 04:22:09,725 THROUGH AND ALSO SENIORITY OF 5108 04:22:09,725 --> 04:22:15,097 THE SYSTEM. 5109 04:22:15,097 --> 04:22:16,999 SO WE ALSO FORMED A WORKING 5110 04:22:16,999 --> 04:22:18,600 GROUP FOR THIS AND THE WORKING 5111 04:22:18,600 --> 04:22:20,502 GROUP ASKED US FOR A LOT OF 5112 04:22:20,502 --> 04:22:21,603 DATA. 5113 04:22:21,603 --> 04:22:23,372 THEY SAID CAN YOU ANALYZE DATE 5114 04:22:23,372 --> 04:22:26,241 IF A AND SEND US SOME OF THIS 5115 04:22:26,241 --> 04:22:26,808 INFORMATION. 5116 04:22:26,808 --> 04:22:30,045 THE DATA CONFIRMED THOSE SORT 5117 04:22:30,045 --> 04:22:31,847 OF CONCERNS THAT WE HEARD 5118 04:22:31,847 --> 04:22:33,582 WHICH IS IT'S A SMALL NUMBER 5119 04:22:33,582 --> 04:22:37,152 OF APPLICATIONS THAT SUBMIT A 5120 04:22:37,152 --> 04:22:37,653 VAST MAJORITY OF THE 5121 04:22:37,653 --> 04:22:39,454 FELLOWSHIP APPLICATIONS. 5122 04:22:39,454 --> 04:22:41,623 THOSE THAT DO THAT, DO REALLY 5123 04:22:41,623 --> 04:22:43,692 MUCH BETTER IN REVIEW THAN 5124 04:22:43,692 --> 04:22:46,962 THOSE THAT JUST SUBMIT A FEW. 5125 04:22:46,962 --> 04:22:50,866 THEY'RE NOT USED TO 5126 04:22:50,866 --> 04:22:51,667 SUBMITTING. 5127 04:22:51,667 --> 04:22:55,070 THAT REVIEW OUTCOMES ARE 5128 04:22:55,070 --> 04:22:55,804 DIRECTLY RELATED TO THE RANK 5129 04:22:55,804 --> 04:22:56,772 OF THE SPONSOR. 5130 04:22:56,772 --> 04:22:59,041 SO I GAVE YOU THE 5131 04:22:59,041 --> 04:23:00,142 BOTTOM-LINE. 5132 04:23:00,142 --> 04:23:01,376 BUT LET ME SHOW YOU THE DATA 5133 04:23:01,376 --> 04:23:03,078 REALLY QUICKLY. 5134 04:23:03,078 --> 04:23:04,713 LET'S NOT GO THROUGH THE WHOLE 5135 04:23:04,713 --> 04:23:05,013 THING. 5136 04:23:05,013 --> 04:23:07,249 BUT LET'S LOOK AT THIS. 5137 04:23:07,249 --> 04:23:10,052 SO WE JUST LOOKED AT 6,000 5138 04:23:10,052 --> 04:23:13,922 APPLICATIONS IN THREE COUNCIL 5139 04:23:13,922 --> 04:23:14,156 ROUNDS. 5140 04:23:14,156 --> 04:23:15,991 15 INSTITUTIONS SUBMITTED 100 5141 04:23:15,991 --> 04:23:19,494 APPRAISALS COST ARE OR MORE 5142 04:23:19,494 --> 04:23:21,530 DURING THAT PERIOD. 5143 04:23:21,530 --> 04:23:24,433 106 SUBMITTED 1-2 5144 04:23:24,433 --> 04:23:25,133 APPLICATIONS. 5145 04:23:25,133 --> 04:23:26,535 AND EVERYTHING IN THE MIDDLE. 5146 04:23:26,535 --> 04:23:28,503 YOU CAN SEE THE SKEWED PICTURE 5147 04:23:28,503 --> 04:23:32,774 WE HAVE HERE. 5148 04:23:32,774 --> 04:23:35,377 SO THIS IS THE OUTCOME AND, OF 5149 04:23:35,377 --> 04:23:37,346 COURSE, AS EXPECTED THOSE THAT 5150 04:23:37,346 --> 04:23:40,882 SUBMIT A LOT OF APPLICATIONS 5151 04:23:40,882 --> 04:23:43,352 TEND TO HAVE HIGH IMPACT, AND 5152 04:23:43,352 --> 04:23:47,956 THOSE THAT SUBMIT FEW, HAVE 5153 04:23:47,956 --> 04:23:50,359 FEWER AND. 5154 04:23:50,359 --> 04:23:53,729 SO ACADEMICS, THIS IS A BUSY 5155 04:23:53,729 --> 04:23:54,229 SLIDE. 5156 04:23:54,229 --> 04:23:54,896 LOOK AT THE FIRST FOUR. 5157 04:23:54,896 --> 04:23:58,667 SO THIS IS THE ACADEMIC RANK 5158 04:23:58,667 --> 04:24:00,202 OF THE SPONSOR. 5159 04:24:00,202 --> 04:24:07,442 IF YOU ARE AN ASSIST TANS 5160 04:24:07,442 --> 04:24:08,744 PROFESSOR, 1515% THEY ARE NOT 5161 04:24:08,744 --> 04:24:10,512 SCORED, AND, FOR FULL 5162 04:24:10,512 --> 04:24:14,282 PROFESSORS IT'S 39.9 AND 39.1, 5163 04:24:14,282 --> 04:24:16,184 THE VAST MAJORITY COME FROM 5164 04:24:16,184 --> 04:24:17,386 FULL PROFESSORS AND THEY DON'T 5165 04:24:17,386 --> 04:24:21,089 DO WELL, THEY ARE LESS LIKELY 5166 04:24:21,089 --> 04:24:23,158 TO SUBMIT. 5167 04:24:23,158 --> 04:24:25,293 THERE'S THIS OTHER WE WERE 5168 04:24:25,293 --> 04:24:28,296 CURIOUS ABOUT THAT. 5169 04:24:28,296 --> 04:24:31,833 WE FOUND OUT THEY ARE DEANS 5170 04:24:31,833 --> 04:24:35,370 AND PREVIEWS, AND THEY ARE 5171 04:24:35,370 --> 04:24:39,307 SOMETHING MORE. 5172 04:24:39,307 --> 04:24:40,475 SO, TWO RECOMMENDATIONS THAT 5173 04:24:40,475 --> 04:24:42,644 CAME OUT OF THE WORKING UP 5174 04:24:42,644 --> 04:24:42,844 GROW. 5175 04:24:42,844 --> 04:24:45,013 ONE WAS TO CHANGE THE REVIEW 5176 04:24:45,013 --> 04:24:47,182 CRITERIA TO FOCUS THIS ON THE 5177 04:24:47,182 --> 04:24:49,951 ATTENTION OF THE EVERY 5178 04:24:49,951 --> 04:24:50,952 APPLICANT AND THE STRENGTH OF 5179 04:24:50,952 --> 04:24:52,054 THE SCIENCE AND THE PLAN. 5180 04:24:52,054 --> 04:24:53,989 ON THE LEFT YOU SEE THE 5181 04:24:53,989 --> 04:24:55,323 CURRENT REVIEW CRITERIA. 5182 04:24:55,323 --> 04:24:57,993 ON THE RIGHT YOU SEE THE 5183 04:24:57,993 --> 04:24:59,227 PROPOSED REVIEW CRITERIA. 5184 04:24:59,227 --> 04:25:01,630 THESE WILL UNDER GO SOME 5185 04:25:01,630 --> 04:25:03,131 CHANGE ON THE RIGHT BECAUSE 5186 04:25:03,131 --> 04:25:06,401 THE COMMITTEE IS WORKING 5187 04:25:06,401 --> 04:25:08,136 THROUGH SLIGHT REVISIONS TO 5188 04:25:08,136 --> 04:25:09,237 THE TITLES. 5189 04:25:09,237 --> 04:25:11,239 BUT, OVERALL THE GOAL HERE IS 5190 04:25:11,239 --> 04:25:14,609 TO ALLOW THE APPLICANT TO 5191 04:25:14,609 --> 04:25:18,513 PRESENT HIM OR HERSELF WITH A 5192 04:25:18,513 --> 04:25:20,649 VERY SPECIFIC TARGETED 5193 04:25:20,649 --> 04:25:22,784 TRAINING NEEDS AND HAVE THE 5194 04:25:22,784 --> 04:25:23,585 SCIENCE AND RESEARCH TRAINING 5195 04:25:23,585 --> 04:25:25,554 PLAN BE TARGETED FOR THAT 5196 04:25:25,554 --> 04:25:28,790 APPLICANT AND NOT HAVE IT BE A 5197 04:25:28,790 --> 04:25:31,593 FACTORY THAT WE SEE THAT'S 5198 04:25:31,593 --> 04:25:33,929 MUCH MORE LIKELY TO HAPPEN 5199 04:25:33,929 --> 04:25:35,697 WITH MORE SENIOR SPONSORS. 5200 04:25:35,697 --> 04:25:37,365 THE SECOND RECOMMENDATION IS 5201 04:25:37,365 --> 04:25:38,834 TO REVISE THE APPLICATION AND 5202 04:25:38,834 --> 04:25:41,670 THIS IS MORE TO MAP ONTO THE 5203 04:25:41,670 --> 04:25:43,038 REVIEW CRITERIA. 5204 04:25:43,038 --> 04:25:44,873 THERE'S NO CHANGE TO RESEARCH 5205 04:25:44,873 --> 04:25:45,974 CHANGING PLAN OR THE SCIENCE, 5206 04:25:45,974 --> 04:25:50,479 WE EXPECT A STRONG PROJECT. 5207 04:25:50,479 --> 04:25:52,380 TRAINING THE INDIVIDUAL, WE 5208 04:25:52,380 --> 04:25:55,584 WANT RESPONSIBLE CONDUCT OF 5209 04:25:55,584 --> 04:25:57,719 RESEARCH, NOTHING CHANGES 5210 04:25:57,719 --> 04:25:57,919 THERE. 5211 04:25:57,919 --> 04:25:59,688 WE -- BUT SOME OF THE SECTIONS 5212 04:25:59,688 --> 04:26:02,457 IN THE APPLICATI 5213 04:26:02,457 --> 04:26:03,892 APPLICATIONS, THE SPONSORS, 5214 04:26:03,892 --> 04:26:06,027 LETTERS OF SUPPORT HAVE BEEN 5215 04:26:06,027 --> 04:26:08,196 CHANGED TO ALIGN WITH THE NEW 5216 04:26:08,196 --> 04:26:11,166 REVIEW CRITERIA. 5217 04:26:11,166 --> 04:26:14,336 THE NEW CHANGE IS ELIMINATION 5218 04:26:14,336 --> 04:26:14,603 OF GRADES. 5219 04:26:14,603 --> 04:26:18,073 THIS WAS SUPPORTED BY THE 5220 04:26:18,073 --> 04:26:24,379 COMMUNITY, BY OUR COUNCIL AND 5221 04:26:24,379 --> 04:26:26,414 THAT IS BECAUSE UNDER GRADUATE 5222 04:26:26,414 --> 04:26:29,317 GRADES ARE NOT A GOOD 5223 04:26:29,317 --> 04:26:32,020 REFLECTION OF SUCCESS. 5224 04:26:32,020 --> 04:26:33,355 MORE OTHER IF YOU PUT GRADES 5225 04:26:33,355 --> 04:26:35,223 IN FRONT OF REVIEWERS, YOU PUT 5226 04:26:35,223 --> 04:26:37,592 A B-PLUS, AND A B, ONE IS 5227 04:26:37,592 --> 04:26:39,761 BETTER THAN THE OTHERS. 5228 04:26:39,761 --> 04:26:41,396 BUT IT'S VERY SILLY. 5229 04:26:41,396 --> 04:26:43,732 SO THIS IS REALLY TO FOCUS 5230 04:26:43,732 --> 04:26:47,102 REVIEWERS ON WHAT MATTERS TO 5231 04:26:47,102 --> 04:26:49,404 MAKE A GOOD STRONG SCIENTIST. 5232 04:26:49,404 --> 04:26:51,573 MUCH MORE TARGETED LETTERS OF 5233 04:26:51,573 --> 04:26:51,806 SUPPORT. 5234 04:26:51,806 --> 04:26:54,342 THERE'S A WHOLE LOT OF DETAIL 5235 04:26:54,342 --> 04:26:54,543 HERE. 5236 04:26:54,543 --> 04:26:57,112 THE REPORT IS PUBLISHED AND 5237 04:26:57,112 --> 04:26:59,080 THIS WILL GET ROLLED OUT, 5238 04:26:59,080 --> 04:27:01,516 HOPEFULLY LATER THIS YEAR BUT 5239 04:27:01,516 --> 04:27:01,716 SOON. 5240 04:27:01,716 --> 04:27:03,852 THAT ONE WENT THROUGH A 5241 04:27:03,852 --> 04:27:05,720 SIMILAR COMMUNITY INPUT 5242 04:27:05,720 --> 04:27:07,289 PROCESS WITH WORKING GROUPS 5243 04:27:07,289 --> 04:27:09,257 AND BLOGS AND DATA AND THE 5244 04:27:09,257 --> 04:27:11,693 FULL COUNCIL APPROVAL. 5245 04:27:11,693 --> 04:27:13,128 IN THIS CASE IT WAS VERY 5246 04:27:13,128 --> 04:27:13,895 LITTLE MODIFICATION BECAUSE 5247 04:27:13,895 --> 04:27:18,400 THE NIH LEADERSHIP TOOK THE 5248 04:27:18,400 --> 04:27:19,668 RECOMMENDATION QUESTIONS 5249 04:27:19,668 --> 04:27:20,068 IMPLEMINUTED THEM. 5250 04:27:20,068 --> 04:27:23,171 WE DID HAVE AN "R" F.I. 5251 04:27:23,171 --> 04:27:25,507 IT SAYS REPORT TO BE 5252 04:27:25,507 --> 04:27:27,309 PUBLISHED. 5253 04:27:27,309 --> 04:27:34,149 IT HAS BEEN PUBLISHED. 5254 04:27:34,149 --> 04:27:37,919 MAJORITY ARE SUPPORTIVE. 5255 04:27:37,919 --> 04:27:41,790 SO THIS IS A HOPE MORE THAN AN 5256 04:27:41,790 --> 04:27:42,624 ACTUAL IMPLEMENTATION DATE. 5257 04:27:42,624 --> 04:27:44,960 WE ARE HOPING THAT WE CAN DO 5258 04:27:44,960 --> 04:27:47,462 THIS FOR THE SAME TIME-FRAME, 5259 04:27:47,462 --> 04:27:48,630 BUT WE'RE NOT SURE YET. 5260 04:27:48,630 --> 04:27:52,267 IT WILL DEPEND ON HOW MUCH 5261 04:27:52,267 --> 04:27:53,835 MODIFICATION HAPPENS. 5262 04:27:53,835 --> 04:27:56,605 >> AGAIN I WANT TO THANK, JUST 5263 04:27:56,605 --> 04:27:59,207 THIS TERRIFIC GROUP OF 5264 04:27:59,207 --> 04:28:00,041 INVESTIGATORS, AT ALL 5265 04:28:00,041 --> 04:28:01,943 DIFFERENT STAGES AND NIH STAFF 5266 04:28:01,943 --> 04:28:02,911 WHO WERE INVOLVED IN DEVELOP 5267 04:28:02,911 --> 04:28:08,316 GOING THESE RECOMMENDATIONS. 5268 04:28:08,316 --> 04:28:10,652 SO, WHEN I'M ASKED TO COME AND 5269 04:28:10,652 --> 04:28:13,054 TALK TO COMPOUND SILLS, THE 5270 04:28:13,054 --> 04:28:15,123 INITIAL AND IS COMING AND TALK 5271 04:28:15,123 --> 04:28:18,260 ABOUT THE PIER REVIEW CHANGES, 5272 04:28:18,260 --> 04:28:18,727 THE CRITERIA CHANGES. 5273 04:28:18,727 --> 04:28:22,697 I NO LONGER JUST TAKE ON THOSE 5274 04:28:22,697 --> 04:28:23,765 ASSIGNMENTS, BECAUSE THEN THE 5275 04:28:23,765 --> 04:28:26,167 QUESTIONS ARE, WHAT ELSE ARE 5276 04:28:26,167 --> 04:28:26,935 YOU DOING? 5277 04:28:26,935 --> 04:28:30,438 THIS ISN'T GOING TO CHANGE. 5278 04:28:30,438 --> 04:28:31,606 JUST CHANGE THE CRITERIA IS 5279 04:28:31,606 --> 04:28:33,074 NOT GOING TO CHANGE FAIRNESS. 5280 04:28:33,074 --> 04:28:36,378 SO NOW I ONLY COME AND TALK 5281 04:28:36,378 --> 04:28:38,847 ABOUT THE WHOLE THING WITH THE 5282 04:28:38,847 --> 04:28:39,848 PIER REVIEW CRITERIA BEING 5283 04:28:39,848 --> 04:28:42,150 PART OF IT. SO WE HAVE A 5284 04:28:42,150 --> 04:28:44,085 NUMBER OF OTHER INITIATIVES TO 5285 04:28:44,085 --> 04:28:45,854 PROMOTE FAIRNESS AND REVIEW. 5286 04:28:45,854 --> 04:28:47,722 FIRST OF ALL, WE CONDUCT 5287 04:28:47,722 --> 04:28:49,324 ANNUAL SUMMER CHAIR 5288 04:28:49,324 --> 04:28:53,762 ORIENTATIONS FOR 90 INCOMING 5289 04:28:53,762 --> 04:28:55,196 CHAIRS AND NINE TO TEN SMALL 5290 04:28:55,196 --> 04:28:55,430 GROUPS. 5291 04:28:55,430 --> 04:29:00,035 THAT'S ABOUT HALF OF THE STUDY 5292 04:29:00,035 --> 04:29:02,137 SECTION CHAIRS AND SO NEW ONES 5293 04:29:02,137 --> 04:29:03,638 COME IN. 5294 04:29:03,638 --> 04:29:06,007 THERE IS A SAMPLE POSTED ON 5295 04:29:06,007 --> 04:29:07,642 OUR WEBSITE. 5296 04:29:07,642 --> 04:29:09,344 BUT IT TALKS ABOUT A 5297 04:29:09,344 --> 04:29:09,644 OVERVIEW. 5298 04:29:09,644 --> 04:29:14,916 BUT MOST OF IT IS A BASED 5299 04:29:14,916 --> 04:29:15,984 DISCUSSION AMONG THE CHAIRS. 5300 04:29:15,984 --> 04:29:18,853 WE MAKE SURE THAT WE EXPLAIN 5301 04:29:18,853 --> 04:29:19,821 TO CHAIRS AND TALK TO THEM 5302 04:29:19,821 --> 04:29:24,326 ABOUT THEIR INFLUENCE ON THE 5303 04:29:24,326 --> 04:29:24,959 ENTIRE STUDY SECTION AND THE 5304 04:29:24,959 --> 04:29:25,226 OUTCOMES. 5305 04:29:25,226 --> 04:29:28,997 HOW TO FOSTER A STRONG 5306 04:29:28,997 --> 04:29:32,467 POSITIVE STUDY SECTION 5307 04:29:32,467 --> 04:29:34,402 CULTURE. 5308 04:29:34,402 --> 04:29:38,340 IN ADDITION THE BIAS AWARENESS 5309 04:29:38,340 --> 04:29:41,176 TRAINING, WAS RELEASED IN 5310 04:29:41,176 --> 04:29:42,277 AUGUST TWO BUN. 5311 04:29:42,277 --> 04:29:45,914 >> THIS IS NOT IMPLICIT BIAS 5312 04:29:45,914 --> 04:29:48,350 TRAINING, WE ARE NOT INTENT ON 5313 04:29:48,350 --> 04:29:50,552 CHANGE HEARTS AND MINDS, FOUR 5314 04:29:50,552 --> 04:29:51,086 WEEKS BEFORE. 5315 04:29:51,086 --> 04:29:52,987 OUR GOAL IS TO PREVENT THE 5316 04:29:52,987 --> 04:29:57,325 BIASES THAT WE ALL KNOW EXIST 5317 04:29:57,325 --> 04:29:58,126 OUT IN THE COMMUNITY. 5318 04:29:58,126 --> 04:30:01,096 PEER REVIEW IS JUST A 5319 04:30:01,096 --> 04:30:02,097 MICROCOSM OF THE COMMUNITY. 5320 04:30:02,097 --> 04:30:04,199 19,000 OF OUR BESTFRIENDS. 5321 04:30:04,199 --> 04:30:07,202 BUT WE ALL HAVE THAT. 5322 04:30:07,202 --> 04:30:10,372 WE'RE TRYING TO PREVENT THE 5323 04:30:10,372 --> 04:30:13,408 BIASES THAT EXIST OR MITIGATE 5324 04:30:13,408 --> 04:30:13,775 THAT INFLUENCE. 5325 04:30:13,775 --> 04:30:16,811 SO THIS IS A VERY TARGETED 5326 04:30:16,811 --> 04:30:18,213 TRAINING RELATED TO PEER 5327 04:30:18,213 --> 04:30:18,980 REVIEW. 5328 04:30:18,980 --> 04:30:21,716 IT'S 30 MINUTES ALONG, SO FAR 5329 04:30:21,716 --> 04:30:26,121 MORE THAN 24,000 REVIEWERS 5330 04:30:26,121 --> 04:30:27,822 HAVE TAKEN THE TRAINING. 5331 04:30:27,822 --> 04:30:30,959 IT'S BEEN REALLY WELL RECEIVED 5332 04:30:30,959 --> 04:30:33,728 BY THE SCIENTIFIC COMMUNITY, 5333 04:30:33,728 --> 04:30:36,664 WE HAD POSITIVE RESPONSES FOR 5334 04:30:36,664 --> 04:30:39,401 REVIEWERS ABILITY TO IDENTIFY 5335 04:30:39,401 --> 04:30:39,601 BIAS. 5336 04:30:39,601 --> 04:30:45,707 AND WE ALSO HERE IT IN ACTUAL 5337 04:30:45,707 --> 04:30:47,709 STUDY SECTION MEETINGS WHERE 5338 04:30:47,709 --> 04:30:49,144 PEOPLE REFER TO TRAINING. 5339 04:30:49,144 --> 04:30:53,515 SO THAT IS GOOD. 5340 04:30:53,515 --> 04:30:56,317 SO, THE LEADERSHIP HAVE 5341 04:30:56,317 --> 04:30:58,586 REQUIRED THIS CSR TRAINING TO 5342 04:30:58,586 --> 04:31:05,527 BE MADE AVAILABLE TO ALL NIH, 5343 04:31:05,527 --> 04:31:07,462 WITH REGARD TOFFECT-MARCH 5344 04:31:07,462 --> 04:31:10,598 MEETINGS, SO WE'RE WORKING ON 5345 04:31:10,598 --> 04:31:13,435 MAKING THAT HAPPEN. 5346 04:31:13,435 --> 04:31:14,536 IN ADDITION REVIEW INTEGRITY 5347 04:31:14,536 --> 04:31:17,238 HAS A BIG EFFECT ON THE 5348 04:31:17,238 --> 04:31:18,306 OUTCOMES AND THE FAIRNESS OF 5349 04:31:18,306 --> 04:31:18,740 REVIEW. 5350 04:31:18,740 --> 04:31:22,043 YOU ONLY NEED SOMEONE TO 5351 04:31:22,043 --> 04:31:22,610 TAMPER WITH ONE APPLICATION 5352 04:31:22,610 --> 04:31:25,180 OUT OF 60 AND THAT AFEBRUARIS 5353 04:31:25,180 --> 04:31:25,547 EVERYTHING ELSE. 5354 04:31:25,547 --> 04:31:31,653 SO WE HAD A REVIEWER INTEGRITY 5355 04:31:31,653 --> 04:31:33,321 TRAINER MODULE, AND WE'RE 5356 04:31:33,321 --> 04:31:34,556 BETTER NOW. 5357 04:31:34,556 --> 04:31:35,957 SO WE PRODUCED A VERSION TWO. 5358 04:31:35,957 --> 04:31:38,927 WE DID THIS ALSO, BOTH WERE 5359 04:31:38,927 --> 04:31:40,695 DONE WITH THE EXTERNAL 5360 04:31:40,695 --> 04:31:43,264 COMMUNITY THROUGH OUR COUNCIL 5361 04:31:43,264 --> 04:31:43,665 WORKING GROUPS. 5362 04:31:43,665 --> 04:31:47,535 SO IN AN INTERACTIVE TRAINING 5363 04:31:47,535 --> 04:31:50,638 BASED ON THE REVIEWERS ROLE, 5364 04:31:50,638 --> 04:31:53,741 FOR CONFIDENTIALITY AT ALL 5365 04:31:53,741 --> 04:31:53,975 STAGES. 5366 04:31:53,975 --> 04:31:57,745 SO ONE OF THE THINGS WE HEARD, 5367 04:31:57,745 --> 04:31:59,113 IS THEY WANTED ACTUAL TOOLS ON 5368 04:31:59,113 --> 04:32:01,449 HOW TO DEAL WITH SITUATIONS 5369 04:32:01,449 --> 04:32:02,016 THAT ARISE. 5370 04:32:02,016 --> 04:32:04,519 WHEN YOU'RE OUT THERE AT AT 5371 04:32:04,519 --> 04:32:05,220 CONFERENCE EXSOMEONE SAYS, MY 5372 04:32:05,220 --> 04:32:06,221 APPLICATION IS UP. 5373 04:32:06,221 --> 04:32:08,957 I KNOW YOU'RE A REVIEWER, WHAT 5374 04:32:08,957 --> 04:32:11,125 DO YOU DO IN THE MOMENT? 5375 04:32:11,125 --> 04:32:13,795 IT'S IMPORTANT THAT WE NOT 5376 04:32:13,795 --> 04:32:15,330 JUST COOPERATE. 5377 04:32:15,330 --> 04:32:17,398 BECAUSE THAT AFFECTS THE 5378 04:32:17,398 --> 04:32:18,733 INTEGRITY OF THE ENTIRE 5379 04:32:18,733 --> 04:32:19,133 PROCESS. 5380 04:32:19,133 --> 04:32:21,135 SO THESE ARE BASED WITH INPUT 5381 04:32:21,135 --> 04:32:25,874 OF THE EXTERNAL COMMUNITY WITH 5382 04:32:25,874 --> 04:32:26,774 ACTUAL CASES. 5383 04:32:26,774 --> 04:32:29,744 MORE THAN 17,000 REVIEWERS 5384 04:32:29,744 --> 04:32:31,913 HAVE COMPLETED THIS TRAINING 5385 04:32:31,913 --> 04:32:33,748 SINCE ITS LAUNCH IN FALL OF 5386 04:32:33,748 --> 04:32:34,516 LAST YEAR. 5387 04:32:34,516 --> 04:32:36,084 THIS TOO IS GOING TO BE 5388 04:32:36,084 --> 04:32:38,052 REQUIRED OF ALL NIH REVIEWERS 5389 04:32:38,052 --> 04:32:43,892 STARTING WITH THE SAME CYCLE. 5390 04:32:43,892 --> 04:32:45,627 AND THEN WE KNOW THAT WITH 60, 5391 04:32:45,627 --> 04:32:48,296 000 APPLICATIONS AND 19,000 5392 04:32:48,296 --> 04:32:50,598 REVIEWERS IT'S NOT GOING TO BE 5393 04:32:50,598 --> 04:32:51,566 PERFECT. 5394 04:32:51,566 --> 04:32:53,034 1200 MEETINGS, IF WE DON'T 5395 04:32:53,034 --> 04:32:55,270 KNOW WHAT'S GOING ON, WE CAN'T 5396 04:32:55,270 --> 04:32:59,173 ADDRESS IT. SO WE ESTABLISHED 5397 04:32:59,173 --> 04:32:59,607 A DIRECT MECHANISM. 5398 04:32:59,607 --> 04:33:03,645 THIS IS OPEN TO ANYONE, 5399 04:33:03,645 --> 04:33:04,679 APPLICANTS, REVIEWERS AND, IF 5400 04:33:04,679 --> 04:33:06,881 YOU SEE SOMETHING HAPPENING, 5401 04:33:06,881 --> 04:33:09,384 REPORT IT. 5402 04:33:09,384 --> 04:33:09,851 BECAUSE WE INVESTIGATE 5403 04:33:09,851 --> 04:33:10,151 EVERYTHING. 5404 04:33:10,151 --> 04:33:11,619 THIS IS INCLUDED IN THE 5405 04:33:11,619 --> 04:33:15,557 SIGNATURE OF ALL 600 CSR 5406 04:33:15,557 --> 04:33:15,757 STAFF. 5407 04:33:15,757 --> 04:33:16,758 SO YOU CAN NEVER SAY I DON'T 5408 04:33:16,758 --> 04:33:17,692 KNOW HOW TO REPORT IT. 5409 04:33:17,692 --> 04:33:22,764 LOOK FOR AN EMAIL FROM 5410 04:33:22,764 --> 04:33:23,765 SOMEONE. 5411 04:33:23,765 --> 04:33:26,501 >> GABRIEL IS OUR ASSOCIATE 5412 04:33:26,501 --> 04:33:28,603 DIRECTOR AND HE, THE EMAIL 5413 04:33:28,603 --> 04:33:30,471 GOES TO HIM AND HE'S A DIRECT 5414 04:33:30,471 --> 04:33:31,406 REPORT TO ME. 5415 04:33:31,406 --> 04:33:37,946 HE AND THE SCIENTIFIC DIVISION 5416 04:33:37,946 --> 04:33:38,580 DIRECTOR INVOLVED INVESTIGATE 5417 04:33:38,580 --> 04:33:39,847 EVERY ALLEGATION. 5418 04:33:39,847 --> 04:33:41,316 ABOUT HALF OR LESS THAN HALF 5419 04:33:41,316 --> 04:33:43,952 OF THE REPORTS COME THROUGH 5420 04:33:43,952 --> 04:33:44,652 THIS MEANS, MORE THAN HALF 5421 04:33:44,652 --> 04:33:49,290 COME THROUGH THE SRO. HE IS 5422 04:33:49,290 --> 04:33:50,258 THEY ARE AWARE REQUEST THEY 5423 04:33:50,258 --> 04:33:52,460 SAY THIS DIDN'T GO WELL OR 5424 04:33:52,460 --> 04:33:53,761 SOMEONE HAS REPORTED TO THEM. 5425 04:33:53,761 --> 04:33:57,298 SO WE FOLLOW THE SAME PROCESS 5426 04:33:57,298 --> 04:34:00,668 WHICH IS WE INVESTIGATE IT 5427 04:34:00,668 --> 04:34:00,935 CAREFULLY. 5428 04:34:00,935 --> 04:34:02,971 IF WE AGREE THAT REVIEW WAS 5429 04:34:02,971 --> 04:34:05,974 FLAWED WE REVIEW THE 5430 04:34:05,974 --> 04:34:07,508 APPLICATION IN THE SAME 5431 04:34:07,508 --> 04:34:07,842 COUNCIL ROUND. 5432 04:34:07,842 --> 04:34:11,813 WE DON'T WANT TO DELAY THEIR 5433 04:34:11,813 --> 04:34:12,046 FUNDING. 5434 04:34:12,046 --> 04:34:13,881 IF WE DON'T AGREE WE GUIDE 5435 04:34:13,881 --> 04:34:15,350 THEM TO NIH PROGRAM OFFICER 5436 04:34:15,350 --> 04:34:18,319 AND THE PROCESS THAT YOU ARE 5437 04:34:18,319 --> 04:34:19,520 FAMILIAR WITH CONTINUES. 5438 04:34:19,520 --> 04:34:21,689 SO THIS LAST BIT WAS ADDED 5439 04:34:21,689 --> 04:34:23,124 JUST IN THE LAST YEAR. 5440 04:34:23,124 --> 04:34:25,893 IN AN ATTEMPT TO FOSTER 5441 04:34:25,893 --> 04:34:27,128 CULTURE CHANGE. 5442 04:34:27,128 --> 04:34:30,999 WHAT HAPPENS IS, IF WE FIND A 5443 04:34:30,999 --> 04:34:33,534 BIASED STATEMENT BY A REVIEWER 5444 04:34:33,534 --> 04:34:36,871 THAT LEADS TO A RE-REVIEW, WE 5445 04:34:36,871 --> 04:34:38,239 HAVE THE DIRECTOR CALL THE 5446 04:34:38,239 --> 04:34:39,841 REVIEW SCBER SAID YOU SAID 5447 04:34:39,841 --> 04:34:42,944 THIS, THIS LED TO A COMPLETE 5448 04:34:42,944 --> 04:34:43,611 REDO AND THEN WE LOOK AT THE 5449 04:34:43,611 --> 04:34:46,447 REACTION OF THE REVIEWER. 5450 04:34:46,447 --> 04:34:48,583 A VAST MAJORITY OF THE TIME 5451 04:34:48,583 --> 04:34:50,018 PEOPLE ARE CONTRITE. 5452 04:34:50,018 --> 04:34:51,319 I DIDN'T NOTICE. 5453 04:34:51,319 --> 04:34:54,055 I'LL DO BETTER NEXT TIME. 5454 04:34:54,055 --> 04:34:54,856 THAT'S FINE. 5455 04:34:54,856 --> 04:34:55,723 A SMALL MINORITY OF THE TIME 5456 04:34:55,723 --> 04:34:58,726 THEY SAY THAT'S NOT REALLY 5457 04:34:58,726 --> 04:34:58,960 BIASED. 5458 04:34:58,960 --> 04:35:01,229 WELL THAT'S INFORMATION FOR US 5459 04:35:01,229 --> 04:35:04,165 AND AS ALWAYS WE RETAIN THE 5460 04:35:04,165 --> 04:35:06,100 AUTHORITY AND THE DIS CRAIGS 5461 04:35:06,100 --> 04:35:10,138 WHO WE CLUES TO INVITE OR NOT 5462 04:35:10,138 --> 04:35:12,373 INVITATORY VIEW COMMITTEES. 5463 04:35:12,373 --> 04:35:15,209 AND THEN DIVERSIFYING OUR 5464 04:35:15,209 --> 04:35:16,210 REVIEW PANELS. 5465 04:35:16,210 --> 04:35:19,881 SO, THE BROADER GOAL IS TO 5466 04:35:19,881 --> 04:35:22,283 BROADEN THE POOL OF REVIEWERS 5467 04:35:22,283 --> 04:35:26,421 WHERE SR OATHS GO TO FIND 5468 04:35:26,421 --> 04:35:26,688 REVIEWERS. 5469 04:35:26,688 --> 04:35:29,590 THEY HAVE DATABASES BUT THEY 5470 04:35:29,590 --> 04:35:32,694 ONLY HAVE NIH INTERACTING 5471 04:35:32,694 --> 04:35:32,960 REVIEWERS. 5472 04:35:32,960 --> 04:35:36,164 THERE'S A LOT OUT THERE WITH 5473 04:35:36,164 --> 04:35:36,431 EXPERTISE. 5474 04:35:36,431 --> 04:35:40,068 SO THIS IS A REVIEWER FINDER 5475 04:35:40,068 --> 04:35:43,304 TOOL THAT CSR HAS CREATED 5476 04:35:43,304 --> 04:35:45,273 WHICH HAS MULTIPLE DATA 5477 04:35:45,273 --> 04:35:47,041 SOURCES. 5478 04:35:47,041 --> 04:35:48,276 EARLY CAREER AND, ANY 5479 04:35:48,276 --> 04:35:50,745 RECOMMENDATION AND WE HAVE 5480 04:35:50,745 --> 04:35:53,614 THIS CATEGORY CALLED FUNDED 5481 04:35:53,614 --> 04:35:55,983 AND UNDER UTILITZED AND IT'S 5482 04:35:55,983 --> 04:35:59,420 NOT THAT THEY'RE SAYING NO. 5483 04:35:59,420 --> 04:36:01,456 SOME HAVE NEVER BEEN ASKED. 5484 04:36:01,456 --> 04:36:04,125 WE WANT THE RADAR TO BE 5485 04:36:04,125 --> 04:36:04,959 BROADER. 5486 04:36:04,959 --> 04:36:06,561 AND OTHER AGENCY AND SOCIETIES 5487 04:36:06,561 --> 04:36:07,028 CAN RECOMMEND. 5488 04:36:07,028 --> 04:36:13,034 WE HAVE A SPECIAL PORTAL. 5489 04:36:13,034 --> 04:36:15,303 BUT A TOOL ISN'T GOING TO 5490 04:36:15,303 --> 04:36:16,971 SOLVE YOU KNOW, SORT OF THE 5491 04:36:16,971 --> 04:36:18,506 CULTURE ISSUE THAT WE ARE 5492 04:36:18,506 --> 04:36:21,709 LOOKING TO CHANGE INTERNALLY. 5493 04:36:21,709 --> 04:36:23,144 SO, THE FIRST PART THAT WE 5494 04:36:23,144 --> 04:36:25,480 HAVE DONE IS TO MAKE SURE THAT 5495 04:36:25,480 --> 04:36:26,848 WE EMPHASIZE HOW IMPORTANT IT 5496 04:36:26,848 --> 04:36:30,585 IS FOR THE AGENCY, NIH TO HEAR 5497 04:36:30,585 --> 04:36:33,187 DIVERSE PERSPECTIVES. 5498 04:36:33,187 --> 04:36:34,822 BECAUSE WE WANT PEER REVIEW TO 5499 04:36:34,822 --> 04:36:39,260 IDENTIFY THE MOST DISRUPTIVE 5500 04:36:39,260 --> 04:36:39,494 SCIENCE. 5501 04:36:39,494 --> 04:36:42,063 WE WANT A BROAD RANGE OF INPUT 5502 04:36:42,063 --> 04:36:44,766 COMING IN. 5503 04:36:44,766 --> 04:36:48,803 HOW WE DEFINE DIVERSITY IS 5504 04:36:48,803 --> 04:36:50,071 ALSO IMPORTANT. 5505 04:36:50,071 --> 04:36:52,440 GIO GRAPHIC IS PART OF OF IT 5506 04:36:52,440 --> 04:36:56,344 BUT IT'S ALSO SCIENTIFIC. 5507 04:36:56,344 --> 04:37:01,616 FOUR PEOPLE TRAINED THE SAME 5508 04:37:01,616 --> 04:37:04,051 LAB, YOU WILL GET DERIFT HAVE 5509 04:37:04,051 --> 04:37:05,086 ATISM WE WANT PEOPLE WITH A 5510 04:37:05,086 --> 04:37:07,288 LOT OF PEER REVIEW EXPERIENCE 5511 04:37:07,288 --> 04:37:09,690 AND PEOPLE WHO HAVE NEVER DONE 5512 04:37:09,690 --> 04:37:12,160 REVIEW BEFORE AND A LITTLE 5513 04:37:12,160 --> 04:37:12,326 BIT. 5514 04:37:12,326 --> 04:37:13,861 WE WANT A MIX. 5515 04:37:13,861 --> 04:37:17,698 LEARNING THAT BACK TO QUALITY 5516 04:37:17,698 --> 04:37:19,400 HAS BEEN EFFECTIVE FOR US. 5517 04:37:19,400 --> 04:37:20,301 WE'RE DOING OKAY. 5518 04:37:20,301 --> 04:37:26,073 WE HAVE ALWAYS DONE OKAY WITH 5519 04:37:26,073 --> 04:37:29,143 STANDING STUDY, MEMBERSHIP. 5520 04:37:29,143 --> 04:37:30,845 I SIGN OFF ON EVERY P 23407 5521 04:37:30,845 --> 04:37:34,916 MINI AND IT GOES TO NIH 5522 04:37:34,916 --> 04:37:35,183 DIRECTOR. 5523 04:37:35,183 --> 04:37:37,552 THAT'S ALWAYS HAD ENHANCED 5524 04:37:37,552 --> 04:37:40,188 DIVERSITY MUCH THAT WASN'T THE 5525 04:37:40,188 --> 04:37:42,223 CASE FOR THE SPECIAL PANELS. 5526 04:37:42,223 --> 04:37:44,392 THEY ARE QUICKLY ASSEMBLED AND 5527 04:37:44,392 --> 04:37:46,994 THEN, THERE'S A TIME 5528 04:37:46,994 --> 04:37:49,096 LIMITATION, PEOPLE TEND TO GO 5529 04:37:49,096 --> 04:37:50,598 TO THEIR FAVORITE NETWORKS AND 5530 04:37:50,598 --> 04:37:53,234 PEOPLE THEY KNOW, THE MENTAL 5531 04:37:53,234 --> 04:37:54,268 ROLE LOW DECKS. 5532 04:37:54,268 --> 04:37:55,203 AND WE ARE TRYING TO BREAK 5533 04:37:55,203 --> 04:37:56,037 AWAY FROM THAT. 5534 04:37:56,037 --> 04:38:00,908 SO WE RAISED COLLECTIVE 5535 04:38:00,908 --> 04:38:01,175 AWARENESS. 5536 04:38:01,175 --> 04:38:04,812 WE SHARE DATA A LOT ACROSS THE 5537 04:38:04,812 --> 04:38:05,046 CENTER. 5538 04:38:05,046 --> 04:38:07,215 THE TOOLS THAT I ALREADY 5539 04:38:07,215 --> 04:38:09,050 MENTIONED, ARE THE MOST 5540 04:38:09,050 --> 04:38:13,454 IMPORTANT HAVE BEEN SRO TO SRO 5541 04:38:13,454 --> 04:38:15,957 ENGAGEMENT AND STRATEGY 5542 04:38:15,957 --> 04:38:18,793 SHARING FOR BROADER RECRUIT 5543 04:38:18,793 --> 04:38:22,063 MENT PRACTICES. 5544 04:38:22,063 --> 04:38:27,335 SO, OKAY. 5545 04:38:27,335 --> 04:38:30,137 CSR CONTINUES TO INCREASE THE 5546 04:38:30,137 --> 04:38:31,239 DIVERSITY OFFICE REVIEWER 5547 04:38:31,239 --> 04:38:31,672 POOL. 5548 04:38:31,672 --> 04:38:34,375 LET'S START WITH WOMEN. 5549 04:38:34,375 --> 04:38:36,544 THE BLUE, THE DARK BLUE IS THE 5550 04:38:36,544 --> 04:38:39,947 NUMBER OF P.I.S THE PERCENTAGE 5551 04:38:39,947 --> 04:38:40,615 OF P.I. THAT ARE WOMEN. 5552 04:38:40,615 --> 04:38:45,920 YOU CAN SEE IT STARTS 5553 04:38:45,920 --> 04:38:46,921 OCTOBER 2019, AND GOES TO 5554 04:38:46,921 --> 04:38:48,623 2023. 5555 04:38:48,623 --> 04:38:49,724 SO THIS BLUE IS THE WOMEN 5556 04:38:49,724 --> 04:38:54,362 WHICH IS AROUND 35% AND IT'S 5557 04:38:54,362 --> 04:38:55,630 FAIRLY FLAT. 5558 04:38:55,630 --> 04:38:57,365 MEMBERS ARE UP TOP. 5559 04:38:57,365 --> 04:38:59,734 THEY'RE ALWAYS ENRICHED. 5560 04:38:59,734 --> 04:39:01,502 MORE WOMEN, IN MEMBERSHIP. 5561 04:39:01,502 --> 04:39:04,305 AND AROUND 45% INCREASE. 5562 04:39:04,305 --> 04:39:06,807 IF YOU LOOK AT THE SPECIAL 5563 04:39:06,807 --> 04:39:07,909 EMPHASIZE PANEL REVIEWERS, 5564 04:39:07,909 --> 04:39:11,612 WHEN WE STARTED MAKING OUR 5565 04:39:11,612 --> 04:39:14,348 INTERVENTIONS, IT CHANGED. 5566 04:39:14,348 --> 04:39:16,050 SROS CAME ONBOARD AND WERE 5567 04:39:16,050 --> 04:39:20,121 ABLE TO IDENTIFY MORE 5568 04:39:20,121 --> 04:39:21,289 QUALIFIED WOMEN. 5569 04:39:21,289 --> 04:39:23,157 UNDER-REPRESENTED MINORITY, 5570 04:39:23,157 --> 04:39:26,427 SO, THIS RED IS THE P.I.S WHO 5571 04:39:26,427 --> 04:39:28,996 ARE UNDER-REPRESENTED 5572 04:39:28,996 --> 04:39:29,864 MINORITIES. 5573 04:39:29,864 --> 04:39:33,034 IT IS REFLECTIVE OF NIH. 5574 04:39:33,034 --> 04:39:40,141 IT WENT FROM 8-9% OVER FOUR 5575 04:39:40,141 --> 04:39:43,010 YEARS. 5576 04:39:43,010 --> 04:39:46,347 ON TOP HERE IS MEMBERS, AGAIN, 5577 04:39:46,347 --> 04:39:48,950 MORE ENRICHED IN MEMBERS, MORE 5578 04:39:48,950 --> 04:39:50,518 UNDER-REPRESENTED MINORITIES 5579 04:39:50,518 --> 04:39:51,285 THAN WE SAW BEFORE. 5580 04:39:51,285 --> 04:39:55,823 WHEN YOU LOOK AT STEP 5581 04:39:55,823 --> 04:39:59,660 REVIEWERS, THAN THE BENCHMARK 5582 04:39:59,660 --> 04:40:00,728 UNTIL THE INFROM A VENTION, IT 5583 04:40:00,728 --> 04:40:03,164 TOOK LONGER. 5584 04:40:03,164 --> 04:40:04,532 BUT, AGAIN, THE NUMBER HAS 5585 04:40:04,532 --> 04:40:06,867 INCREASED ON STEPS. 5586 04:40:06,867 --> 04:40:09,437 AND THESE ARE LEARNED BECAUSE 5587 04:40:09,437 --> 04:40:12,840 AS PEOPLE TRY OUT AS A 5588 04:40:12,840 --> 04:40:13,874 REVIEWERS AND THEY'RE STRONG 5589 04:40:13,874 --> 04:40:17,778 THEY THEN GET NOMINATED FOR 5590 04:40:17,778 --> 04:40:18,079 MEMBERSHIP. 5591 04:40:18,079 --> 04:40:21,182 WE HAVE A LOT MORE. 5592 04:40:21,182 --> 04:40:23,985 YOU'RE WELCOME TO EXPLORE OUR 5593 04:40:23,985 --> 04:40:26,620 WEBSITE, AND A LOT MORE 5594 04:40:26,620 --> 04:40:27,555 DETAIL. 5595 04:40:27,555 --> 04:40:29,223 I INVITE YOU TO TAKE A LOOK. 5596 04:40:29,223 --> 04:40:31,792 I'M HAPPY TO DISCUSS AND 5597 04:40:31,792 --> 04:40:42,103 ANSWER QUESTIONS. 5598 04:40:44,438 --> 04:40:48,409 QUESTIONS FROM THE GROUP. 5599 04:40:48,409 --> 04:40:53,080 >> FIRST OF ALL, THANK YOU. 5600 04:40:53,080 --> 04:40:55,649 IT'S ALMOST AN IMPOSSIBLE TASK 5601 04:40:55,649 --> 04:40:56,550 I THINK THAT YOU HAVE. 5602 04:40:56,550 --> 04:40:58,352 IT IS GETTING MORE AND MORE 5603 04:40:58,352 --> 04:41:01,589 DIFFICULT I AGREE THAT WE ALL 5604 04:41:01,589 --> 04:41:04,058 SEE INTERNATIONALLY THE NIH 5605 04:41:04,058 --> 04:41:05,760 SYSTEM AS IMPERFECT AS IT 5606 04:41:05,760 --> 04:41:08,829 MIGHT BE STILL AS THE GOLD 5607 04:41:08,829 --> 04:41:09,096 STANDARD. 5608 04:41:09,096 --> 04:41:11,999 SO TO SEE THAT YOU'RE TRYING 5609 04:41:11,999 --> 04:41:15,269 TO IMPROVE IT IS VERY 5610 04:41:15,269 --> 04:41:15,569 REASSURING. 5611 04:41:15,569 --> 04:41:17,905 A COUPLE OF CONCERNS. 5612 04:41:17,905 --> 04:41:24,345 I THINK THAT IN OUR 5613 04:41:24,345 --> 04:41:27,648 MUTUATTEMPTS TO OPTIMIZE THIS, 5614 04:41:27,648 --> 04:41:31,452 BY NOT ONLY ASSURING FAIRNESS 5615 04:41:31,452 --> 04:41:33,788 AND PROCESS AND CONTENT AND 5616 04:41:33,788 --> 04:41:37,725 EQUITY AND DIVERSITY AND WE 5617 04:41:37,725 --> 04:41:41,629 KEEP PILING IT ON, WE MAY BE 5618 04:41:41,629 --> 04:41:45,800 UNABLE TO CONTROL SOME OF THE 5619 04:41:45,800 --> 04:41:47,068 MORE, AT THE IN CRITICAL 5620 04:41:47,068 --> 04:41:49,470 FACTORS WHICH, IN MY OPINION, 5621 04:41:49,470 --> 04:41:54,308 AS A LONGSTANDING 5622 04:41:54,308 --> 04:41:55,776 INVESTIGATOR, HAVE TO DO WITH 5623 04:41:55,776 --> 04:41:57,945 FAIRNESS PROCESS AND THE 5624 04:41:57,945 --> 04:42:00,748 CONTENT OF THE REVIEW. 5625 04:42:00,748 --> 04:42:03,184 WHICH GOES BACK TO DIAGRAM. 5626 04:42:03,184 --> 04:42:04,952 THE STUDY SECTION, THE 5627 04:42:04,952 --> 04:42:06,854 OPPOSITION OF THE STUDY 5628 04:42:06,854 --> 04:42:10,858 SECTION, THE EXPERTISE THAT 5629 04:42:10,858 --> 04:42:11,559 THEY TAKE, SIGNIFICANT OVERLAP 5630 04:42:11,559 --> 04:42:15,162 THERE AS WELL AS WITH PROCESS. 5631 04:42:15,162 --> 04:42:17,865 SO, IT TAKES ME TO MY COMMENT 5632 04:42:17,865 --> 04:42:20,801 WHICH I THINK REFLECTS A 5633 04:42:20,801 --> 04:42:25,005 CONCERN THAT I KNOW A LOT OF 5634 04:42:25,005 --> 04:42:25,906 MY COLLEAGUES SHARE. 5635 04:42:25,906 --> 04:42:28,476 AGAIN I HAVE LIVED THROUGH 5636 04:42:28,476 --> 04:42:32,313 THIS, OF THESE STUDY SECTIONS 5637 04:42:32,313 --> 04:42:35,516 TO DEAL WITH VISION SCIENCE IS 5638 04:42:35,516 --> 04:42:39,954 A LOT OF THE R.O.1S GO TO 5639 04:42:39,954 --> 04:42:41,255 THESE TWO STUDY SECTIONS ONE 5640 04:42:41,255 --> 04:42:41,789 AND TWO. 5641 04:42:41,789 --> 04:42:45,493 WHICH ARE DESIGNED TO BE, TO 5642 04:42:45,493 --> 04:42:47,394 COVER THE SAME. 5643 04:42:47,394 --> 04:42:50,131 SO WHEN YOU'RE DEALING WITH 5644 04:42:50,131 --> 04:42:53,968 25, 30 INDIVIDUALS IN A STUDY 5645 04:42:53,968 --> 04:42:56,137 SECTION, BOTH OF WHICH ARE 5646 04:42:56,137 --> 04:42:59,607 DESIGNED THE SAME WAY, THE 5647 04:42:59,607 --> 04:43:02,510 FOCUS GOES ON BREATH AS 5648 04:43:02,510 --> 04:43:05,479 OPPOSED TO DEPTH. 5649 04:43:05,479 --> 04:43:08,015 ON THE ONE HAND OUR SCIENCE IS 5650 04:43:08,015 --> 04:43:10,885 BECOMING MORE AND MORE 5651 04:43:10,885 --> 04:43:12,019 SPECIALIZED AND DEPTH IS VERY 5652 04:43:12,019 --> 04:43:13,020 ARE THE CLUE. 5653 04:43:13,020 --> 04:43:15,389 SO HAVING SERVED ON A VARIETY 5654 04:43:15,389 --> 04:43:17,725 OF THESE STUDY SECTIONS, I 5655 04:43:17,725 --> 04:43:22,730 HAVE, AS A REVIEWER, I HAVE 5656 04:43:22,730 --> 04:43:25,966 RECEIVED CONCERNS, BECAUSE I'M 5657 04:43:25,966 --> 04:43:29,837 AN IMMONOLOGUIST, I GAVE 5658 04:43:29,837 --> 04:43:33,207 GRANTS THAT ARE NOT 5659 04:43:33,207 --> 04:43:33,908 IMMUNOLOGY. 5660 04:43:33,908 --> 04:43:37,044 SIMILARLY PEOPLE WHO DABBLE IN 5661 04:43:37,044 --> 04:43:39,313 INFLAMMATION AND IT GETS 5662 04:43:39,313 --> 04:43:42,082 ASSIGNED VERY COMPLICATED 5663 04:43:42,082 --> 04:43:42,316 GRANTS. 5664 04:43:42,316 --> 04:43:44,485 THAT IS SOMETHING THAT I THINK 5665 04:43:44,485 --> 04:43:45,219 WE'RE DEALING WITH NOW MORE 5666 04:43:45,219 --> 04:43:47,855 THAN WE DID A COUPLE OF YEARS 5667 04:43:47,855 --> 04:43:49,957 AGO WHERE WE WENT THROUGH THIS 5668 04:43:49,957 --> 04:43:52,526 TRANSITION PHASE WHERE WE HAD 5669 04:43:52,526 --> 04:43:55,462 A STUDY SECTION THAT DEALT 5670 04:43:55,462 --> 04:43:58,065 WITH CORNEA AND GLAUCOMA, SO 5671 04:43:58,065 --> 04:44:00,000 THERE WAS A FAIR AMOUNT OF 5672 04:44:00,000 --> 04:44:03,504 DEPTH AND ANOTHER ONE, EARLY 5673 04:44:03,504 --> 04:44:08,576 BACK OF THE EYE. 5674 04:44:08,576 --> 04:44:13,380 THE RETINA, AND WHICH HAS THE 5675 04:44:13,380 --> 04:44:15,349 DEPTH IN IT. 5676 04:44:15,349 --> 04:44:19,420 BUT NOW, AGAIN, IT'S THINNER, 5677 04:44:19,420 --> 04:44:20,254 AND IT'S MORE SPREAD WIDE. 5678 04:44:20,254 --> 04:44:22,056 WHAT ABOUT THAT? 5679 04:44:22,056 --> 04:44:26,894 YOU SAY THAT YOU LOOK AT THE 5680 04:44:26,894 --> 04:44:27,194 COMPETITION. 5681 04:44:27,194 --> 04:44:28,762 IT'S NOT AS MUCH ABOUT 5682 04:44:28,762 --> 04:44:30,130 INDIVIDUALS INVOLVED. 5683 04:44:30,130 --> 04:44:31,031 THEY'RE ALL GOOD SCIENTISTS. 5684 04:44:31,031 --> 04:44:33,801 BUT WE ARE CONCERNED THEY MAY 5685 04:44:33,801 --> 04:44:36,804 NOT HAVE THE DEPTH THAT THEY 5686 04:44:36,804 --> 04:44:37,004 NEED. 5687 04:44:37,004 --> 04:44:40,941 >> THANKS FOR THAT QUESTION. 5688 04:44:40,941 --> 04:44:43,344 SO YES, START WITH THE LAST 5689 04:44:43,344 --> 04:44:43,544 POINT. 5690 04:44:43,544 --> 04:44:44,378 WE'RE NOT JUST LOOKING AT THE 5691 04:44:44,378 --> 04:44:45,980 INDIVIDUALS. 5692 04:44:45,980 --> 04:44:49,850 THE ENTIRE SLATE OF NOMINEES 5693 04:44:49,850 --> 04:44:50,884 IN CONJUNCTION WITH WHO IS 5694 04:44:50,884 --> 04:44:51,986 SERVING AND THE BALANCE OF 5695 04:44:51,986 --> 04:44:54,855 EXPERTISE AND HOW THAT ALIGNS 5696 04:44:54,855 --> 04:44:57,057 WITH THE SCIENCE AND THE 5697 04:44:57,057 --> 04:44:57,625 APPLICATIONS THAT ARE DONE. 5698 04:44:57,625 --> 04:45:01,395 VERY MUCH SOMETHING WE LOOK AT 5699 04:45:01,395 --> 04:45:04,431 FOR MEMBERSHIP. 5700 04:45:04,431 --> 04:45:08,168 SO, UNADEPT OF EXPERTISE IS IN 5701 04:45:08,168 --> 04:45:10,137 SOME WAYS SUBJECTIVE. 5702 04:45:10,137 --> 04:45:13,007 PART OF THIS IS, ONE OF THE 5703 04:45:13,007 --> 04:45:15,376 THINGS WE STRUGGLE WITH IS TOO 5704 04:45:15,376 --> 04:45:18,579 MUCH NARROW SPOT ON 5705 04:45:18,579 --> 04:45:18,846 EXPERTISE. 5706 04:45:18,846 --> 04:45:22,449 WE'RE NOT CHARGED WITH 5707 04:45:22,449 --> 04:45:24,218 REVIEWING JOURNAL ARTICLES. 5708 04:45:24,218 --> 04:45:27,554 THESE ARE FIVE YEAR BROAD PROG 5709 04:45:27,554 --> 04:45:28,455 JECTS. WE WANT THERE TO BE 5710 04:45:28,455 --> 04:45:31,592 SOME EXPERTISE. 5711 04:45:31,592 --> 04:45:34,795 WE WANT THE DEEPER EXPERTISE. 5712 04:45:34,795 --> 04:45:35,629 THEY DO A GOOD JOB OF 5713 04:45:35,629 --> 04:45:36,163 BALANCING THAT OUT. 5714 04:45:36,163 --> 04:45:40,267 IN TERMS OF WHAT ANALYSIS WE 5715 04:45:40,267 --> 04:45:43,370 HAVE DONE, WE HAVE AT ONE, AND 5716 04:45:43,370 --> 04:45:47,341 SEE WHAT THE OUTCOMES LOOK 5717 04:45:47,341 --> 04:45:47,541 LIKE. 5718 04:45:47,541 --> 04:45:49,376 WE CAN SHARE THAT AT A 5719 04:45:49,376 --> 04:45:50,244 DIFFERENT TIME. 5720 04:45:50,244 --> 04:45:52,212 AND I'LL SHARE THAT WITH MIKE 5721 04:45:52,212 --> 04:45:54,214 AND HIS STAFF SO THEY CAN LOOK 5722 04:45:54,214 --> 04:45:56,150 AT THE OUTCOMES AND SEE THAT 5723 04:45:56,150 --> 04:45:58,252 WE DON'T HAVE AS MANY 5724 04:45:58,252 --> 04:45:59,787 EXPERIENCE AS YOU MIGHT SEE, 5725 04:45:59,787 --> 04:46:02,990 GLOBALLY AS YOU LOOK AT IT, WE 5726 04:46:02,990 --> 04:46:04,625 HAVE LOOKED AT NOT JUST OF THE 5727 04:46:04,625 --> 04:46:06,293 NUMBER OF APPRAISALS KAS AND 5728 04:46:06,293 --> 04:46:10,564 NUMBER OF EXPERTS THE OUTCOMES 5729 04:46:10,564 --> 04:46:13,634 OF THE DIFFERENT SEGMENT 5730 04:46:13,634 --> 04:46:15,169 APPLICATIONS, THE SCORING BY 5731 04:46:15,169 --> 04:46:19,173 POSTERIOER ON ANTERI OR 5732 04:46:19,173 --> 04:46:21,709 SEGMENT, WHETHER THEY KILL 5733 04:46:21,709 --> 04:46:22,009 THEM. 5734 04:46:22,009 --> 04:46:22,943 THEY DON'T. 5735 04:46:22,943 --> 04:46:25,112 SOME OF THEM THAT ARE RATED 5736 04:46:25,112 --> 04:46:26,747 POORLY ARE RATED POORLY BY 5737 04:46:26,747 --> 04:46:27,014 EVERYONE. 5738 04:46:27,014 --> 04:46:29,683 SO I THINK IT'S HEALTHY TO 5739 04:46:29,683 --> 04:46:33,654 HAVE A PERSPECTIVE, ON EVERY 5740 04:46:33,654 --> 04:46:33,954 APPLICATION. 5741 04:46:33,954 --> 04:46:37,691 WHAT THAT LOOKS LIKE VARIES BY 5742 04:46:37,691 --> 04:46:39,159 FIELD AND BY STUDY SECTION AND 5743 04:46:39,159 --> 04:46:41,628 THAT'S WHERE THE SROS COME IN 5744 04:46:41,628 --> 04:46:47,034 TO TRY TO RECRUIT PEOPLE WHO 5745 04:46:47,034 --> 04:46:48,168 HAVE THE BREATH AND THE DEPTH 5746 04:46:48,168 --> 04:46:50,871 BUT WE CAN'T GET THE LEVEL OF 5747 04:46:50,871 --> 04:46:51,638 DEPTH THAT YOU'RE REFERRING TO 5748 04:46:51,638 --> 04:46:54,575 THAT YOU NEED FOR INTERNAL 5749 04:46:54,575 --> 04:46:56,643 ARTICLES. 5750 04:46:56,643 --> 04:46:58,078 >> MAYBE NOT SATISFACTORY BUT 5751 04:46:58,078 --> 04:47:05,152 THAT'S OUR BROADER GOAL. 5752 04:47:05,152 --> 04:47:13,560 >> WELL -- I GO MORE TO SORT 5753 04:47:13,560 --> 04:47:19,233 OF LIKE THE DETAILS OF THIS 5754 04:47:19,233 --> 04:47:20,768 STUDY SESSION AND MAKE 5755 04:47:20,768 --> 04:47:25,572 APPLICANTS VERY FRUSTRATED. 5756 04:47:25,572 --> 04:47:29,610 THEY HAVE A LOT TO DO WITH 5757 04:47:29,610 --> 04:47:29,810 THAT. 5758 04:47:29,810 --> 04:47:32,980 IT'S VERY FRUSTRATING, WHEN 5759 04:47:32,980 --> 04:47:40,120 THEY GET A SCORE GRANT THEY -- 5760 04:47:40,120 --> 04:47:45,492 THE COMMENTS OF THE REVIEWERS 5761 04:47:45,492 --> 04:47:48,195 ARE TOTALLY DESPAIR AND THIS 5762 04:47:48,195 --> 04:47:52,566 WAS THE BEST POINT OF THE 5763 04:47:52,566 --> 04:47:52,766 GRANT. 5764 04:47:52,766 --> 04:47:55,068 THIS KILLED THE GRANT. 5765 04:47:55,068 --> 04:47:57,671 ONE OF THE THINGS THAT IS NOT 5766 04:47:57,671 --> 04:48:00,174 DONE REALISTICALLY IS THAT 5767 04:48:00,174 --> 04:48:03,277 WHEN THERE'S A UNDER SCORE IS 5768 04:48:03,277 --> 04:48:06,513 THE REVIEWERS ARE SUPPOSED TO 5769 04:48:06,513 --> 04:48:09,583 TALK TO EACH OTHER ABOUT, TO 5770 04:48:09,583 --> 04:48:14,888 DISCUSS IF AND REAL 5771 04:48:14,888 --> 04:48:17,291 DISCREPANCIES, THAT DOESN'T 5772 04:48:17,291 --> 04:48:17,524 HAPPEN. 5773 04:48:17,524 --> 04:48:21,395 SO THAT'S ONE OF THE 5774 04:48:21,395 --> 04:48:22,996 FRUSTRATION THAT'S HAPPEN. 5775 04:48:22,996 --> 04:48:24,932 ANOTHER ONE IS LIKE AGAIN, THE 5776 04:48:24,932 --> 04:48:27,568 UNDERSCORE ONE, THEY DON'T 5777 04:48:27,568 --> 04:48:28,435 KNOW WHERE YOU ARE. 5778 04:48:28,435 --> 04:48:31,672 YOU DON'T KNOW IF YOU JUST 5779 04:48:31,672 --> 04:48:34,541 MISS IT BY ONE OR IF YOU ARE 5780 04:48:34,541 --> 04:48:38,846 AT THE BOTTOM OF THE LIST. 5781 04:48:38,846 --> 04:48:42,249 BECAUSE NEED SOME KIND OF 5782 04:48:42,249 --> 04:48:44,651 NUMBER OR SOMETHING, SOME KIND 5783 04:48:44,651 --> 04:48:46,620 EVER RANK FOR THE UNDERSCORE. 5784 04:48:46,620 --> 04:48:49,723 YOU DON'T KNOW IF YOU WERE AT 5785 04:48:49,723 --> 04:48:50,824 THE BOTTOM OR JUST BARELY MADE 5786 04:48:50,824 --> 04:48:50,991 IT. 5787 04:48:50,991 --> 04:48:55,963 BECAUSE WHEN YOU LOOK AT THE 5788 04:48:55,963 --> 04:48:57,931 INDIVIDUAL SCORES, SIGNIFICANT 5789 04:48:57,931 --> 04:49:01,935 AND ALL OF THAT, SOMETIMES 5790 04:49:01,935 --> 04:49:05,305 THERE IS NOT MUCH DIFFERENCE. 5791 04:49:05,305 --> 04:49:06,874 THAT'S ANOTHER THING. 5792 04:49:06,874 --> 04:49:09,710 ANOTHER SET OF PRACTICAL THING 5793 04:49:09,710 --> 04:49:10,577 IS THAT, YOU KNOW, AM STUDY 5794 04:49:10,577 --> 04:49:13,780 SECTIONS THEY DON'T HAVE 5795 04:49:13,780 --> 04:49:17,951 REALLY ENOUGH BODY OF STANDING 5796 04:49:17,951 --> 04:49:19,119 MEMBERS. 5797 04:49:19,119 --> 04:49:22,523 WHEN YOU SUBMIT YOUR GRANT IS 5798 04:49:22,523 --> 04:49:25,592 ANOTHER ONE AND, THINGS THAT, 5799 04:49:25,592 --> 04:49:26,126 BRINGING UP NEW THINGS. 5800 04:49:26,126 --> 04:49:29,696 SO YOU ADDRESS ALL THE THINGS, 5801 04:49:29,696 --> 04:49:30,764 THAT THE REVIEWERS FROM THE 5802 04:49:30,764 --> 04:49:34,701 FIRST ONE DID AND THEN YOU 5803 04:49:34,701 --> 04:49:35,969 FIND NEW THINGS THAT YOU 5804 04:49:35,969 --> 04:49:36,336 CANNOT ADDRESS. 5805 04:49:36,336 --> 04:49:40,774 SO, THOSE ARE THE KIND THE OF 5806 04:49:40,774 --> 04:49:42,309 DETAILS THAT MADE PEOPLE VERY 5807 04:49:42,309 --> 04:49:44,344 FRUSTRATED WITH THE RESULTS. 5808 04:49:44,344 --> 04:49:49,149 I REALLY LIKE ON THE REVIEWER 5809 04:49:49,149 --> 04:49:52,252 SIDE, THAT YOU INSERTED THE 5810 04:49:52,252 --> 04:49:52,819 EXPERTISE. 5811 04:49:52,819 --> 04:49:55,856 BECAUSE IN MY EXPERIENCE YOU 5812 04:49:55,856 --> 04:49:59,660 KNOW, YOU GET A NUMBER OF 5813 04:49:59,660 --> 04:50:01,228 GRANTS, THEY ARE BEAUTIFULLY 5814 04:50:01,228 --> 04:50:03,030 WRITTEN, LIKE THEY WERE 5815 04:50:03,030 --> 04:50:06,867 COPYING, FOR A PAPER AND THEN 5816 04:50:06,867 --> 04:50:09,303 YOU LOOK AT THE P.I., THEY 5817 04:50:09,303 --> 04:50:12,940 NEVER HAVE DONE IN THEIR 5818 04:50:12,940 --> 04:50:15,042 LIVES. 5819 04:50:15,042 --> 04:50:17,911 SO, THAT'S A GOOD POINT ON THE 5820 04:50:17,911 --> 04:50:22,482 CHANGES THAT THEY ARE COMING 5821 04:50:22,482 --> 04:50:24,651 BACK. 5822 04:50:24,651 --> 04:50:25,986 BUT THE OTHER ONES I WISH YOU 5823 04:50:25,986 --> 04:50:29,289 COULD ADDRESS. 5824 04:50:29,289 --> 04:50:31,291 >> SO THERE'S A NUMBER OF 5825 04:50:31,291 --> 04:50:35,996 POINTS I WANT TO MAKE SURE I 5826 04:50:35,996 --> 04:50:37,197 CAPTURED ALL OF THEM. 5827 04:50:37,197 --> 04:50:41,568 SO EXPERTISE I THINK WE AGREE 5828 04:50:41,568 --> 04:50:42,402 WITH ON THAT. 5829 04:50:42,402 --> 04:50:42,903 THAT'S IMPORTANT. 5830 04:50:42,903 --> 04:50:45,339 >> YOU TALKED ABOUT A. 1'S, 5831 04:50:45,339 --> 04:50:48,542 AND AMENDED APPLICATIONS, 5832 04:50:48,542 --> 04:50:49,509 COMING BACK. 5833 04:50:49,509 --> 04:50:52,446 >> THE FIRST ONES THAT THEY 5834 04:50:52,446 --> 04:50:53,880 ARE AN UNDER SCORE. 5835 04:50:53,880 --> 04:50:56,717 >> SO, LET'S TALK ABOUT 5836 04:50:56,717 --> 04:50:57,951 UNSCORED APPLICATION. 5837 04:50:57,951 --> 04:51:02,089 THE MORE WE SPEND TIME ON 5838 04:51:02,089 --> 04:51:03,790 THE -- IT'S NOT AN EXACT 5839 04:51:03,790 --> 04:51:04,024 SCIENCE. 5840 04:51:04,024 --> 04:51:07,194 SCORING WITH HUMAN BEINGS, 5841 04:51:07,194 --> 04:51:10,163 EVEN NINE BEENS IS HARD TO 5842 04:51:10,163 --> 04:51:10,330 DO. 5843 04:51:10,330 --> 04:51:12,366 WE SHOULD ACKNOWLEDGE THAT. 5844 04:51:12,366 --> 04:51:14,701 IT USED TO BE 1-5. 5845 04:51:14,701 --> 04:51:19,473 NOW IT'S 1-9 BEEN. 5846 04:51:19,473 --> 04:51:23,443 WHERE IT GETS RANKED. 5847 04:51:23,443 --> 04:51:26,279 BUT THAT DOESN'T MEAN THAT 5848 04:51:26,279 --> 04:51:27,948 THERE'S HUGE MEANING BETWEEN 5849 04:51:27,948 --> 04:51:31,518 YOU KNOW, A 16% AND A 17%. 5850 04:51:31,518 --> 04:51:31,818 THERE ISN'T. 5851 04:51:31,818 --> 04:51:34,855 THAT'S WHY THE CONTENT OF 5852 04:51:34,855 --> 04:51:35,555 SUMMARY STATEMENT IS SUPPOSED 5853 04:51:35,555 --> 04:51:39,026 TO BE THE THING THAT GUIDES 5854 04:51:39,026 --> 04:51:40,727 FUNDING DECISIONS IN THAT 5855 04:51:40,727 --> 04:51:40,927 CASE. 5856 04:51:40,927 --> 04:51:43,597 SO I THINK, IF YOU ARE VERY 5857 04:51:43,597 --> 04:51:44,431 CLOSE TO THE EDGE, THAT 5858 04:51:44,431 --> 04:51:46,566 CONTENT OF THE SUMMARY 5859 04:51:46,566 --> 04:51:47,300 STATEMENT SHOULD BE LOOKING 5860 04:51:47,300 --> 04:51:49,403 PRETTY GOOD. 5861 04:51:49,403 --> 04:51:50,604 AND WITH YOUR PROGRAM STAFF 5862 04:51:50,604 --> 04:51:52,005 THEY SHOULD BE HASN'T TO REACH 5863 04:51:52,005 --> 04:51:52,272 FOR THAT. 5864 04:51:52,272 --> 04:51:55,175 THERE'S A LOT OF DISCRETION 5865 04:51:55,175 --> 04:51:57,210 AVAILABLE AT THE I.C. LEVEL TO 5866 04:51:57,210 --> 04:51:59,112 BALANCE THEIR PRIORITIES TO 5867 04:51:59,112 --> 04:51:59,680 REACH AND MANY DO THAT. 5868 04:51:59,680 --> 04:52:02,449 SO IN THIS CASE I WOULD SAY 5869 04:52:02,449 --> 04:52:06,486 INSTEAD OF ADDING YET ANOTHER 5870 04:52:06,486 --> 04:52:09,956 SCORE, TO HAVE REVIEWERS RANK 5871 04:52:09,956 --> 04:52:12,259 IT, THE SUMMARY STATEMENT 5872 04:52:12,259 --> 04:52:13,960 CONTEND IS MOST VALUABLE. 5873 04:52:13,960 --> 04:52:16,163 >> BUT IF YOU ARE ON THE 5874 04:52:16,163 --> 04:52:16,763 RECEIVING PART, YOU RECEIVE IT 5875 04:52:16,763 --> 04:52:19,032 AND YOU DON'T HAVE ANY OTHER 5876 04:52:19,032 --> 04:52:19,466 IDEA WHAT HAPPENED. 5877 04:52:19,466 --> 04:52:21,735 >> THAT'S WHEN YOU HAVE A 5878 04:52:21,735 --> 04:52:22,536 DISCUSSION WITH YOUR PROGRAM 5879 04:52:22,536 --> 04:52:25,572 OFFICER TO SAY IS THIS CLOSE? 5880 04:52:25,572 --> 04:52:28,341 SHOULD I DO AN A ONE? 5881 04:52:28,341 --> 04:52:29,342 CAN YOU FUND THIS? 5882 04:52:29,342 --> 04:52:32,079 THERE'S AM WAYS TO GO ABOUT IT 5883 04:52:32,079 --> 04:52:34,314 THAT MIKE AND HIS STAFF CAN 5884 04:52:34,314 --> 04:52:34,648 TALK TO YOU. 5885 04:52:34,648 --> 04:52:41,588 >> I DIDN'T KNOW THAT. 5886 04:52:41,588 --> 04:52:43,724 HE CAN TELL YOU MORE OR LESS 5887 04:52:43,724 --> 04:52:44,357 WHAT YOU. 5888 04:52:44,357 --> 04:52:45,859 >> I DON'T KNOW IF THEY CAN 5889 04:52:45,859 --> 04:52:47,260 TELL YOU WHERE THEY RANK BUT 5890 04:52:47,260 --> 04:52:49,696 THEY CAN READ THE SUMMARY 5891 04:52:49,696 --> 04:52:50,263 STATEMENT AS YOU CAN AND SAY 5892 04:52:50,263 --> 04:52:53,233 THIS IS A VERY GOOD GRANT AND 5893 04:52:53,233 --> 04:52:54,768 IT'S PRETTY GOOD. 5894 04:52:54,768 --> 04:52:58,071 IF YOU FIX THIS, AND THIS 5895 04:52:58,071 --> 04:52:58,772 HOPEFULLY THAT'S HAPPENING 5896 04:52:58,772 --> 04:52:59,005 ALREADY. 5897 04:52:59,005 --> 04:53:02,409 SO THAT'S THE UNSCORED POINT. 5898 04:53:02,409 --> 04:53:03,477 I DON'T THINK ADDING MORE 5899 04:53:03,477 --> 04:53:05,912 SCORES, IS GOING TO LOOK LIKE 5900 04:53:05,912 --> 04:53:07,681 WE'RE ADDING VALUE BUT I DON'T 5901 04:53:07,681 --> 04:53:09,182 THINK WE ARE. 5902 04:53:09,182 --> 04:53:12,853 >> LOOK AT THE SUMMARY 5903 04:53:12,853 --> 04:53:13,120 STATEMENT. 5904 04:53:13,120 --> 04:53:13,720 >> AND THEN THE OTHER THING 5905 04:53:13,720 --> 04:53:15,589 YOU MENTIONED WAS THE 5906 04:53:15,589 --> 04:53:15,822 AMENDED. 5907 04:53:15,822 --> 04:53:19,559 >> THE REVIEWERS WHEN YOU 5908 04:53:19,559 --> 04:53:21,061 DON'T GET A STANDING MEMBER 5909 04:53:21,061 --> 04:53:24,898 AND YOU DO AN A ONE AND YOU 5910 04:53:24,898 --> 04:53:25,899 ADDRESSED EVERYTHING AND DID 5911 04:53:25,899 --> 04:53:29,469 IT AND HERE THEY COME. 5912 04:53:29,469 --> 04:53:32,405 >> SO THAT I COMPLETELY 5913 04:53:32,405 --> 04:53:34,141 UNDERSTAND HOW FRUSTRATING IT 5914 04:53:34,141 --> 04:53:34,307 IS. 5915 04:53:34,307 --> 04:53:36,910 IF IT WERE UP TO ME, THERE 5916 04:53:36,910 --> 04:53:38,411 WOULD BE NO A.1. 5917 04:53:38,411 --> 04:53:42,749 BECAUSE I THINK IT SETS UP AN 5918 04:53:42,749 --> 04:53:44,484 EXPECTATION, THE INTEREST OF 5919 04:53:44,484 --> 04:53:46,753 NIH IS TO IDENTIFY WHAT THE 5920 04:53:46,753 --> 04:53:49,689 IMPACT OF THAT PROPOSAL IS. 5921 04:53:49,689 --> 04:53:51,324 YOU GET THREE PEOPLE NOW AND 5922 04:53:51,324 --> 04:53:53,593 LATER, GOLD STANDARD OR NOT. 5923 04:53:53,593 --> 04:53:55,862 IT'S A PERSON BASED REVIEW. 5924 04:53:55,862 --> 04:53:58,265 THAT'S DIFFERENT FROM OTHER 5925 04:53:58,265 --> 04:54:01,134 PLACE THAT'S DO 5926 04:54:01,134 --> 04:54:01,468 COMPUTATIONAL. 5927 04:54:01,468 --> 04:54:03,136 IT'S NOT MACHINE BASED. 5928 04:54:03,136 --> 04:54:03,670 SO YOU ARE GOING TO HAVE 5929 04:54:03,670 --> 04:54:06,039 PEOPLE COMING IN WITH THEIR 5930 04:54:06,039 --> 04:54:06,773 OPINION. BUT THAT'S WHAT YOU 5931 04:54:06,773 --> 04:54:08,074 WANT, TOO. 5932 04:54:08,074 --> 04:54:10,877 YOU DO WANT PEER REVIEWERS 5933 04:54:10,877 --> 04:54:13,346 GIVING THEIR HONEST OPINION. 5934 04:54:13,346 --> 04:54:16,616 THE GOAL IS NOT TO MAKE THINGS 5935 04:54:16,616 --> 04:54:18,218 BETTER, I UNDERSTAND FROM THE 5936 04:54:18,218 --> 04:54:20,053 P.I. PERSPECTIVE THAT'S WHAT 5937 04:54:20,053 --> 04:54:22,155 THEY WANT. 5938 04:54:22,155 --> 04:54:23,323 >> BECAUSE YOU'RE GOING TO 5939 04:54:23,323 --> 04:54:25,292 MEET AGAIN. 5940 04:54:25,292 --> 04:54:27,694 >> MAYBE WE SHOULDN'T HAVE 5941 04:54:27,694 --> 04:54:28,595 A.1S. 5942 04:54:28,595 --> 04:54:29,863 >> MAYBE NOT. 5943 04:54:29,863 --> 04:54:32,465 I HAVE ONE MORE THINK THAT I, 5944 04:54:32,465 --> 04:54:33,500 YOU KNOW, THERE IS THIS 5945 04:54:33,500 --> 04:54:36,002 SCIENCE HAS CHANGED A LOT. 5946 04:54:36,002 --> 04:54:38,705 I MEAN FROM -- AND, BEFORE YOU 5947 04:54:38,705 --> 04:54:41,842 COULDN'T HAVE A GRANT THAT IT 5948 04:54:41,842 --> 04:54:47,480 GOES -- IF IT WAS NOT A HIGH 5949 04:54:47,480 --> 04:54:50,217 POT THOUGH SIS DRIVEN GRANT. 5950 04:54:50,217 --> 04:54:55,188 SO, YOU, SCIENCE IS NOT 5951 04:54:55,188 --> 04:54:55,856 HYPOTHTHOUGH SIS DRIVEN. 5952 04:54:55,856 --> 04:55:00,060 IT'S DATA AND UNDERSTANDING 5953 04:55:00,060 --> 04:55:01,795 DATA AND THEN YOU STILL GET 5954 04:55:01,795 --> 04:55:08,668 THOSE COMMENTS FROM THE 5955 04:55:08,668 --> 04:55:14,641 SUMMARY STATEMENTS AND THE 5956 04:55:14,641 --> 04:55:17,177 PROGRAM THAT THESE GRANTS ARE 5957 04:55:17,177 --> 04:55:19,179 NOT HIGH POT THOUGH SIS. 5958 04:55:19,179 --> 04:55:21,014 >> YOU SHOULDN'T GET THAT 5959 04:55:21,014 --> 04:55:21,681 COMMENT. 5960 04:55:21,681 --> 04:55:22,382 THAT'S FLAWED. 5961 04:55:22,382 --> 04:55:23,383 THAT SHOULD BE BROUGHT TO 5962 04:55:23,383 --> 04:55:24,484 SOMEONE'S ATTENTION 5963 04:55:24,484 --> 04:55:25,318 SOMEWHERE. 5964 04:55:25,318 --> 04:55:26,119 >> OKAY. 5965 04:55:26,119 --> 04:55:27,420 WELL. 5966 04:55:27,420 --> 04:55:31,358 >> BECAUSE WE HAVE -- 40 STUDY 5967 04:55:31,358 --> 04:55:33,159 SECTIONS THAT REVIEW JUST 5968 04:55:33,159 --> 04:55:33,960 TECHNOLOGY AND DATA SCIENCE 5969 04:55:33,960 --> 04:55:37,731 AND WE HAVE COME A LONG WAY 5970 04:55:37,731 --> 04:55:41,001 SINCE 1990. 5971 04:55:41,001 --> 04:55:43,403 NO, THAT THERE IN SRO 5972 04:55:43,403 --> 04:55:45,572 TRAINING, IT'S SOMETHING THAT 5973 04:55:45,572 --> 04:55:47,207 SLIPPED THROUGH THE CRACKS. 5974 04:55:47,207 --> 04:55:48,808 >> AND ANOTHER COMMENT, THAT 5975 04:55:48,808 --> 04:55:54,681 YOU GET A PERSON LIKE OH, THE 5976 04:55:54,681 --> 04:55:55,882 THREE SPECIFIC AMES, THEY ARE 5977 04:55:55,882 --> 04:55:58,752 TOTALLY INDEPENDENT. 5978 04:55:58,752 --> 04:56:04,391 AND THEN YOU GET THE OPPOSITE 5979 04:56:04,391 --> 04:56:05,592 COMING. 5980 04:56:05,592 --> 04:56:09,129 SO THOSE THINGS THEY NEED TO 5981 04:56:09,129 --> 04:56:12,465 BE UPDATED IN TERMS OF 5982 04:56:12,465 --> 04:56:14,668 COMMENTS. 5983 04:56:14,668 --> 04:56:15,902 >> RIGHT. 5984 04:56:15,902 --> 04:56:16,670 I AGREE WITH YOU. 5985 04:56:16,670 --> 04:56:19,205 >> THANKS VERY MUCH FOR MAKING 5986 04:56:19,205 --> 04:56:20,540 THOSE COMMENTS. 5987 04:56:20,540 --> 04:56:24,444 I SEE, SO, LET ME SEE IF 5988 04:56:24,444 --> 04:56:31,484 THERE'S OTHER QUESTIONS. 5989 04:56:31,484 --> 04:56:33,653 THANK YOU FOR COMING. 5990 04:56:33,653 --> 04:56:35,722 I HAVE TWO QUESTIONS, IF YOU 5991 04:56:35,722 --> 04:56:37,924 CAN, GIVE US A LITTLE BIT MORE 5992 04:56:37,924 --> 04:56:43,830 OF AN IDEA, THE DIVERSITY, 5993 04:56:43,830 --> 04:56:47,834 WITH NO EXPERIENCE, WHAT 5994 04:56:47,834 --> 04:56:48,268 PERCENT, AND SECOND? 5995 04:56:48,268 --> 04:56:52,539 BECAUSE YOU HAVE THE BREATH OF 5996 04:56:52,539 --> 04:56:57,077 ANOTHER CSR, WHAT ARE WE DOING 5997 04:56:57,077 --> 04:56:58,545 GOOD AT N.I. 5998 04:56:58,545 --> 04:56:59,913 >> I'M NOT GROWING TO TOUCH 5999 04:56:59,913 --> 04:57:02,615 THAT LAST ONE. 6000 04:57:02,615 --> 04:57:03,049 YOU'RE DOING GREAT. 6001 04:57:03,049 --> 04:57:05,685 >> HOW DO WE SORT OF 6002 04:57:05,685 --> 04:57:05,952 DETERMINE? 6003 04:57:05,952 --> 04:57:10,991 SO WE DON'T HAVE QUOTE IF AS 6004 04:57:10,991 --> 04:57:12,659 OR BENCHMARKS. 6005 04:57:12,659 --> 04:57:15,028 BEFORE THERE WAS FIVE YEARS 6006 04:57:15,028 --> 04:57:17,797 AGO THERE WAS THIS 6007 04:57:17,797 --> 04:57:19,866 REQUIREMENT, SO-CALLED THAT 6008 04:57:19,866 --> 04:57:21,601 70% OF MEMBERS SHOULD BE FULL 6009 04:57:21,601 --> 04:57:24,771 PROFESSORS AND THEN OF COURSE, 6010 04:57:24,771 --> 04:57:26,639 PEOPLE EXINTERPRET THAT MEANS 6011 04:57:26,639 --> 04:57:28,008 75% IS GOOD. 6012 04:57:28,008 --> 04:57:31,878 80% IS EXCELLENT AND 100%, 6013 04:57:31,878 --> 04:57:34,581 MEANS I'M THE BEST SRO. 6014 04:57:34,581 --> 04:57:37,350 AND WE STOPPED THAT AND WE 6015 04:57:37,350 --> 04:57:39,552 SAID RECRUIT MORE. 6016 04:57:39,552 --> 04:57:42,255 WE'RE ABOUT 45-45-10. 6017 04:57:42,255 --> 04:57:45,925 >> THAT'S A GOOD MIX. 6018 04:57:45,925 --> 04:57:51,431 BUT WE HAVEN'T PUT THAT OUT AS 6019 04:57:51,431 --> 04:57:53,433 BENCHMARKS. 6020 04:57:53,433 --> 04:57:59,406 >> I WAS GOING TO MENTION 6021 04:57:59,406 --> 04:58:02,008 THAT, WHAT CSR INSPIRED US TO 6022 04:58:02,008 --> 04:58:02,175 DO. 6023 04:58:02,175 --> 04:58:06,513 THEY HAVE A EARLY CAREER 6024 04:58:06,513 --> 04:58:10,583 REVIEWER PROGRAM WHICH IT 6025 04:58:10,583 --> 04:58:11,985 INSPIRED NEI TO DEVELOP ITS 6026 04:58:11,985 --> 04:58:15,922 OWN AND IT'S A WAY TO BRING IN 6027 04:58:15,922 --> 04:58:17,424 PEOPLE WHO ARE NOT, DON'T HAVE 6028 04:58:17,424 --> 04:58:21,661 A LOT OF EXPERIENCE GIVING 6029 04:58:21,661 --> 04:58:25,231 GRANTS, BUT IT CAN DIP THEIR 6030 04:58:25,231 --> 04:58:28,034 TOE INTO THE REVIEW PANELS AND 6031 04:58:28,034 --> 04:58:29,469 GET EXPERIENCE ON HOW REVIEW 6032 04:58:29,469 --> 04:58:29,903 WORKS. 6033 04:58:29,903 --> 04:58:33,273 THEY ACTUALLY WILL SERVE AS A 6034 04:58:33,273 --> 04:58:35,508 SECOND DAIRY VIEWER ON A PANEL 6035 04:58:35,508 --> 04:58:37,677 AND IT HELPS THEM DEVELOP 6036 04:58:37,677 --> 04:58:38,445 THEIR OWN GRANT WRITING 6037 04:58:38,445 --> 04:58:39,112 SKILLS. 6038 04:58:39,112 --> 04:58:40,580 WE COPIED THAT FROM YOU. 6039 04:58:40,580 --> 04:58:43,249 THANK YOU FOR THAT. 6040 04:58:43,249 --> 04:58:46,019 >> NEI I THINK THAT'S WHAT'S 6041 04:58:46,019 --> 04:58:47,353 GOING WELL. 6042 04:58:47,353 --> 04:58:49,589 IS THE LEADERSHIP AND OPENNESS 6043 04:58:49,589 --> 04:58:53,460 AND INNOVATION. 6044 04:58:53,460 --> 04:58:56,763 >> I JUST WANTED TO REALLY SAY 6045 04:58:56,763 --> 04:59:01,000 THAT IT'S REALLY GOOD THAT YOU 6046 04:59:01,000 --> 04:59:03,269 HAVE CHANGES, FOR RESEARCH 6047 04:59:03,269 --> 04:59:06,106 RATHER THAN INNOVATION. 6048 04:59:06,106 --> 04:59:07,006 THERE'S AM TIMES WITH GRANTS 6049 04:59:07,006 --> 04:59:12,846 WITH TECHNOLOGY, AND, BUT 6050 04:59:12,846 --> 04:59:13,346 THEY'RE VERY IMPORTANT. 6051 04:59:13,346 --> 04:59:16,516 I REALLY APPRECIATE YOU 6052 04:59:16,516 --> 04:59:17,851 FOCUSING ON THAT RATHER THAN 6053 04:59:17,851 --> 04:59:20,453 JUST INNOVATION. 6054 04:59:20,453 --> 04:59:23,723 SO THESE NEW CHANGES ARE 6055 04:59:23,723 --> 04:59:27,961 REALLY GOOD. 6056 04:59:27,961 --> 04:59:29,829 >> OTHER COMMANDS OR 6057 04:59:29,829 --> 04:59:30,096 QUESTIONS? 6058 04:59:30,096 --> 04:59:32,432 IF I CAN JUST MAKE ONE QUICK 6059 04:59:32,432 --> 04:59:32,799 FINAL QUESTION. 6060 04:59:32,799 --> 04:59:35,668 I HAVE GOTTEN A PIECE OF 6061 04:59:35,668 --> 04:59:38,171 FEEDBACK, LITERALLY THREE 6062 04:59:38,171 --> 04:59:41,841 TIMES, BY DIFFERENT PEOPLE, 6063 04:59:41,841 --> 04:59:43,042 JUST A MEETINGS. 6064 04:59:43,042 --> 04:59:45,645 THE RATIONALE GOES LIKE, THEY 6065 04:59:45,645 --> 04:59:46,246 WERE ALL COMMISSIONS. 6066 04:59:46,246 --> 04:59:48,848 THEY SAID WELL, THE NUMBER OF 6067 04:59:48,848 --> 04:59:51,751 CLINICIANS ON STUDY SECTIONS 6068 04:59:51,751 --> 04:59:53,820 HAS BEEN DECREASING OVER THE 6069 04:59:53,820 --> 04:59:57,924 YEARS, IN THEIR OBSERVATION. 6070 04:59:57,924 --> 05:00:00,860 WHAT THEY FELT WAS THEY HAD A 6071 05:00:00,860 --> 05:00:03,263 UNIQUE ROLE TO PLAY IN WHAT'S 6072 05:00:03,263 --> 05:00:04,464 NOW CATEGORY NUMBER ONE, 6073 05:00:04,464 --> 05:00:08,334 SHOULD THE STUDY BE DONE? 6074 05:00:08,334 --> 05:00:11,504 WHAT THEY TOLD ME, ALL THREE 6075 05:00:11,504 --> 05:00:15,341 OF THEM, WAS THAT THEY FELT 6076 05:00:15,341 --> 05:00:15,942 THAT THEIR EXPERTISE COULD BE 6077 05:00:15,942 --> 05:00:18,211 BETTER SERVED IN ADDRESSING 6078 05:00:18,211 --> 05:00:19,245 THAT FIRST ISSUE SHOULD THE 6079 05:00:19,245 --> 05:00:21,181 STUDY BE DONE? 6080 05:00:21,181 --> 05:00:23,483 IS IT IMPORTANT, RATHER THAN 6081 05:00:23,483 --> 05:00:25,418 THE DETAILS ABOUT CURRENTLY 6082 05:00:25,418 --> 05:00:26,853 USED TO CALL APPROACH. 6083 05:00:26,853 --> 05:00:30,490 SO WHAT THEY WONDERED COULD 6084 05:00:30,490 --> 05:00:32,091 THE CLINICIANS PLAY A ROLE IN 6085 05:00:32,091 --> 05:00:33,726 LOOKING AT THE SIGNIFICANCE OF 6086 05:00:33,726 --> 05:00:36,029 A BROADER NUMBER OF STUDIES 6087 05:00:36,029 --> 05:00:37,597 RATHER THAN A SMALLER NUMBER 6088 05:00:37,597 --> 05:00:40,166 OF STUDIES WHERE THEY READ 6089 05:00:40,166 --> 05:00:41,334 THROUGH EVERYTHING. 6090 05:00:41,334 --> 05:00:43,236 HAVE YOU HEARD THAT? 6091 05:00:43,236 --> 05:00:43,703 WHAT'S YOUR REACTION? 6092 05:00:43,703 --> 05:00:47,040 >>> SO I THINK JUST SORT OF 6093 05:00:47,040 --> 05:00:49,409 WHAT I WAS SAYING IS THAT 6094 05:00:49,409 --> 05:00:51,277 HAVING THAT, IF SOMEBODY IS 6095 05:00:51,277 --> 05:00:52,946 DEEP IN THE FIELD THEY EITHER 6096 05:00:52,946 --> 05:00:53,846 HATE HOR LOVE THE GRANT. 6097 05:00:53,846 --> 05:00:58,718 THAT'S WHAT WE SEE. 6098 05:00:58,718 --> 05:01:00,286 SO HAVING THE BROADER 6099 05:01:00,286 --> 05:01:01,254 PERSPECTIVE. 6100 05:01:01,254 --> 05:01:02,388 DO WE CARE IS REALLY 6101 05:01:02,388 --> 05:01:02,655 IMPORTANT. 6102 05:01:02,655 --> 05:01:06,359 THAT'S A INTERESTING IDEA AS 6103 05:01:06,359 --> 05:01:08,194 WE GET TO NEW FACTOR BASED 6104 05:01:08,194 --> 05:01:09,562 REVIEWS. 6105 05:01:09,562 --> 05:01:10,930 WE DO MONITOR THE 6106 05:01:10,930 --> 05:01:13,032 PARTICIPATION OF CLINICIANS ON 6107 05:01:13,032 --> 05:01:16,035 OUR COMMITTEES. 6108 05:01:16,035 --> 05:01:18,905 I HAVEN'T LOOKED AT THE I. 6109 05:01:18,905 --> 05:01:19,138 PANELS. 6110 05:01:19,138 --> 05:01:22,775 BUT WE DO HAVE SOCIETY 6111 05:01:22,775 --> 05:01:23,443 DATABASES. 6112 05:01:23,443 --> 05:01:24,811 SO, I WOULD ENCOURAGE YOU TO 6113 05:01:24,811 --> 05:01:28,815 LET SOCIETIES AND THOSE NASA 6114 05:01:28,815 --> 05:01:31,918 SPORT CLINICIANS SUBMIT 6115 05:01:31,918 --> 05:01:33,820 NAMES. 6116 05:01:33,820 --> 05:01:36,089 TARGETED TO DIFFERENT PANELS. 6117 05:01:36,089 --> 05:01:37,423 ANY FINAL COMMENTS. 6118 05:01:37,423 --> 05:01:40,326 >> INTERESTING THOUGHTS BUT I 6119 05:01:40,326 --> 05:01:40,960 THINK THAT WOULD WORK ONLY IF 6120 05:01:40,960 --> 05:01:43,730 YOU HAD A MINIMUM OF 6121 05:01:43,730 --> 05:01:45,131 CLINICIANS SCIENTISTS IN THE 6122 05:01:45,131 --> 05:01:45,598 ROOM. 6123 05:01:45,598 --> 05:01:50,136 SO IF YOU HAVE TWO, WHICH 6124 05:01:50,136 --> 05:01:51,337 OFTEN IS THE CASE, SOMETIMES 6125 05:01:51,337 --> 05:01:54,107 ONE, THEN YOU KNOW DEPENDING 6126 05:01:54,107 --> 05:01:58,478 ON THE EXPERIENCE, AND BIASES, 6127 05:01:58,478 --> 05:01:59,579 YOU CAN UNDERSTAND THE IMPACTS 6128 05:01:59,579 --> 05:02:01,948 OF THE PROPOSAL. 6129 05:02:01,948 --> 05:02:02,548 >> THERE'S HAT ON REASON TO 6130 05:02:02,548 --> 05:02:04,450 HAVE MORE THAN ONE OR TWO, IS 6131 05:02:04,450 --> 05:02:06,719 THAT YOU DON'T WANT THEM TO BE 6132 05:02:06,719 --> 05:02:09,289 OVERWHELMED OR DISMISSED BY 6133 05:02:09,289 --> 05:02:11,824 THE REST OF THE COMMITTEE. 6134 05:02:11,824 --> 05:02:13,826 BUT HERE'S THE PROBLEM WITH 6135 05:02:13,826 --> 05:02:14,427 AIM 3C. 6136 05:02:14,427 --> 05:02:17,230 IT'S IMPORTANT TO HAVE A 6137 05:02:17,230 --> 05:02:17,897 CRITICAL MASS. 6138 05:02:17,897 --> 05:02:18,131 I AGREE. 6139 05:02:18,131 --> 05:02:19,966 >> THANK YOU VERY MUCH FOR 6140 05:02:19,966 --> 05:02:20,333 COMING. 6141 05:02:20,333 --> 05:02:23,169 >> IT'S BEEN GREAT 6142 05:02:23,169 --> 05:02:31,577 >> THANK YOU 6143 05:02:31,577 --> 05:02:33,346 >> SO, MIKE CAMP CHANG 6144 05:02:33,346 --> 05:02:33,613 SPEAKING. 6145 05:02:33,613 --> 05:02:37,750 CAN I, RIGHT NOW, IN AGENDA 6146 05:02:37,750 --> 05:02:39,185 TEMPT IS OPEN DISCUSSION. 6147 05:02:39,185 --> 05:02:40,119 WE'VE TALKED ABOUT A LOT OF 6148 05:02:40,119 --> 05:02:42,088 THINGS HERE TODAY. 6149 05:02:42,088 --> 05:02:44,257 STARTING WITH DIRECTOR'S 6150 05:02:44,257 --> 05:02:45,692 REPORT, AND THEN ALL OF US 6151 05:02:45,692 --> 05:02:48,328 DATA SCIENCE, DATA STANDARDS 6152 05:02:48,328 --> 05:02:50,363 AND THEN PEER REVIEW AND OF 6153 05:02:50,363 --> 05:02:53,166 THOSE CONCEPT CLEARANCES. 6154 05:02:53,166 --> 05:02:56,002 IF ANY OF YOU HAVE COMMENTS OR 6155 05:02:56,002 --> 05:02:56,502 THINGS THAT YOU FELT YOU 6156 05:02:56,502 --> 05:02:59,372 DIDN'T HAVE TIME TO SAY 6157 05:02:59,372 --> 05:03:08,448 EARLIER, PLEASE SPEAK UP. 6158 05:03:08,448 --> 05:03:10,883 >> I WAS WONDERING IF IT 6159 05:03:10,883 --> 05:03:12,585 THERE'S AN OPPORTUNITY AT ANY 6160 05:03:12,585 --> 05:03:16,055 POINT TO SORT OF CENTRALIZE 6161 05:03:16,055 --> 05:03:17,890 I.R. B. SUBMISSIONS. 6162 05:03:17,890 --> 05:03:20,026 IT APPLIES TO WHAT WE 6163 05:03:20,026 --> 05:03:20,293 DISCUSSED. 6164 05:03:20,293 --> 05:03:30,803 BUT IF MY EXPERIENCE WE SPEND 6165 05:03:33,239 --> 05:03:35,808 A TREMENDOUS AMOUNT OF TIME TO 6166 05:03:35,808 --> 05:03:39,045 GET SIMPLE PROTOCOLS APPROVED 6167 05:03:39,045 --> 05:03:44,684 IF WE HAVE ONE -- THE MAIN 6168 05:03:44,684 --> 05:03:46,486 INSTITUTION IS, LET'S SAY -- 6169 05:03:46,486 --> 05:03:50,890 IT DOESN'T MATTER THE MAIN 6170 05:03:50,890 --> 05:03:51,457 INSTITUTION APPROVES IT AND 6171 05:03:51,457 --> 05:03:55,194 THEN THE OTHER SUPPLEMENTAL 6172 05:03:55,194 --> 05:03:55,795 INSTITUTIONS, THERE'S SO MUCH 6173 05:03:55,795 --> 05:03:57,663 BACK AND FORTH, AND NO ONE 6174 05:03:57,663 --> 05:03:59,766 KNOWS WHAT THEY ARE DOING. 6175 05:03:59,766 --> 05:04:02,201 BECAUSE THEY CAN'T UNDERSTAND 6176 05:04:02,201 --> 05:04:04,070 THE DIRECTIVES FROM ABOVE. 6177 05:04:04,070 --> 05:04:07,907 SO I JUST THINK, SOMETIMES 6178 05:04:07,907 --> 05:04:11,277 WE'RE INUNDATED WITH A LOT OF 6179 05:04:11,277 --> 05:04:12,545 STUFF THAT ISN'T IMPORTANT 6180 05:04:12,545 --> 05:04:13,646 GETTING THE SCIENCE DONE. 6181 05:04:13,646 --> 05:04:15,681 IT WAITS A LOT OF ENERGY. 6182 05:04:15,681 --> 05:04:16,716 I FEEL LIKE WE SHOULD TRY TO 6183 05:04:16,716 --> 05:04:20,219 MAKE IT BETTER SO WE HAVE MORE 6184 05:04:20,219 --> 05:04:21,754 CLINICAL RESEARCH INTO STUDIES 6185 05:04:21,754 --> 05:04:28,261 OR JUST NOT CLINICAL TRIALS, 6186 05:04:28,261 --> 05:04:30,363 BUT JUST -- IT JUST SEEMS LIKE 6187 05:04:30,363 --> 05:04:33,065 WE SHOULD, THE COMMUNITY TRY 6188 05:04:33,065 --> 05:04:37,770 TO MAKE THAT BETTER FOR 6189 05:04:37,770 --> 05:04:38,037 EVERYONE. 6190 05:04:38,037 --> 05:04:40,606 >> LET ME, I'M GOING TO PUNT 6191 05:04:40,606 --> 05:04:43,309 THIS QUESTION NO SOME PEOPLE 6192 05:04:43,309 --> 05:04:46,212 BEHIND ME. 6193 05:04:46,212 --> 05:04:48,915 LET ME SUGGEST THAT PERHAPS 6194 05:04:48,915 --> 05:04:51,517 DON ORR SOMEONE LIKE JIMMY 6195 05:04:51,517 --> 05:04:53,820 MIGHT -- WHAT I'M WONDERING, 6196 05:04:53,820 --> 05:04:59,125 SINGLE IRB, WAS. 6197 05:04:59,125 --> 05:05:01,661 [LAUGHTER] 6198 05:05:01,661 --> 05:05:04,831 >> SINGLE IRB SUBMISSION WAS 6199 05:05:04,831 --> 05:05:08,701 SOMETHING THAT WAS MEANT TO 6200 05:05:08,701 --> 05:05:09,802 ADDRESS. 6201 05:05:09,802 --> 05:05:10,269 >> IS THAT WORKING? 6202 05:05:10,269 --> 05:05:16,275 MAYBE YOU HAVE IT? 6203 05:05:16,275 --> 05:05:22,815 [INAUDIBLE] 6204 05:05:22,815 --> 05:05:27,653 HI, I THINK NIH IN CONCEPT 6205 05:05:27,653 --> 05:05:32,358 FEELS THAT SINGLE IRB 6206 05:05:32,358 --> 05:05:35,962 FRAMEWORK ISMENT FACILITATE 6207 05:05:35,962 --> 05:05:37,129 APPROVAL AND MY OWN 6208 05:05:37,129 --> 05:05:39,899 EXPERIENCE, AND MY COLLEAGUES, 6209 05:05:39,899 --> 05:05:41,534 CAN ECHO THAT STILL EVEN 6210 05:05:41,534 --> 05:05:44,770 THOUGH THERE IS A SINGLE IRB 6211 05:05:44,770 --> 05:05:46,839 OF RECORDS, INDIVIDUAL 6212 05:05:46,839 --> 05:05:47,607 INSTITUTIONS REQUIRE THEIR OWN 6213 05:05:47,607 --> 05:05:49,642 REVIEW AND APPROVAL. 6214 05:05:49,642 --> 05:05:51,944 THAT IS PROBLEMATIC. 6215 05:05:51,944 --> 05:05:52,845 BUT I THINK THOSE 6216 05:05:52,845 --> 05:05:54,180 INSTITUTIONAL ISSUES THAT NEED 6217 05:05:54,180 --> 05:05:58,651 TO BE DEALT WITH. 6218 05:05:58,651 --> 05:06:02,889 I DON'T KNOW HOW. 6219 05:06:02,889 --> 05:06:04,457 DON. 6220 05:06:04,457 --> 05:06:07,059 >> MARIA REYES A GREAT POINT, 6221 05:06:07,059 --> 05:06:07,860 BECAUSE INSTITUTIONS HAVEN'T 6222 05:06:07,860 --> 05:06:10,062 CAUGHT UP WITH THE IDEA. 6223 05:06:10,062 --> 05:06:13,199 THERE ARE VERY FEW GROUPS THAT 6224 05:06:13,199 --> 05:06:15,334 CAN PERFORM THE IRB REVIEW. 6225 05:06:15,334 --> 05:06:18,371 IT'S EXPENSIVE. 6226 05:06:18,371 --> 05:06:19,705 THE GRANT RESOURCES ARE GOING 6227 05:06:19,705 --> 05:06:22,408 MORE TO IRB THAN TO SCIENCE. 6228 05:06:22,408 --> 05:06:25,578 THE TIME OF THE INVESTIGATOR 6229 05:06:25,578 --> 05:06:26,712 IS GOING MORE TO RECEIVE 6230 05:06:26,712 --> 05:06:29,815 APPROVAL THAN TO SCIENCE 6231 05:06:29,815 --> 05:06:30,049 ITSELF. 6232 05:06:30,049 --> 05:06:32,218 IT CAN TURN INTO QUITE THE 6233 05:06:32,218 --> 05:06:32,451 BURDEN. 6234 05:06:32,451 --> 05:06:35,021 THANK YOU FOR RAISING A REALLY 6235 05:06:35,021 --> 05:06:36,222 IMPORTANT ISSUE. 6236 05:06:36,222 --> 05:06:38,758 >> THIS IS DON, I WANT TO ECHO 6237 05:06:38,758 --> 05:06:40,826 WHAT DON SAID. 6238 05:06:40,826 --> 05:06:44,263 THE COST HAS BECOME A HUGE 6239 05:06:44,263 --> 05:06:44,530 PROBLEM. 6240 05:06:44,530 --> 05:06:45,531 IT'S A DIRECT RATE AND EVERY 6241 05:06:45,531 --> 05:06:46,999 TIME, A LOT OF INSTITUTIONS 6242 05:06:46,999 --> 05:06:51,871 ARE GOING TO THESE SINGLE IRBS 6243 05:06:51,871 --> 05:06:52,405 AND EVERY TIME YOU HAVE A 6244 05:06:52,405 --> 05:06:54,340 LITTLE MODIFICATION THEY 6245 05:06:54,340 --> 05:06:54,774 CHARGE NOR IT. 6246 05:06:54,774 --> 05:06:57,643 YOU HAD SOMETHING, IT WENT 6247 05:06:57,643 --> 05:07:04,483 FROM $2,000 TO $6,000 OVER 6248 05:07:04,483 --> 05:07:04,717 $15,000. 6249 05:07:04,717 --> 05:07:09,288 THIS IS NOT A LARGE GRANT. 6250 05:07:09,288 --> 05:07:11,724 THEY ARE GOING TO GET IT 6251 05:07:11,724 --> 05:07:13,459 APPROVED RATHER THAN DOING THE 6252 05:07:13,459 --> 05:07:14,126 WORK. 6253 05:07:14,126 --> 05:07:15,661 >> I'M MAUREEN MCGWIRE, IT HAS 6254 05:07:15,661 --> 05:07:19,265 AN IMPACT ON THE STUDIES AND 6255 05:07:19,265 --> 05:07:22,935 THE STUDY DESIGN. 6256 05:07:22,935 --> 05:07:24,937 ONCE WE GET A CLINICAL TRIAL 6257 05:07:24,937 --> 05:07:28,174 THROUGH 45 IRBS THERE IS GREAT 6258 05:07:28,174 --> 05:07:31,110 RESISTANCE TO MAKE ANY CHANGE 6259 05:07:31,110 --> 05:07:31,777 WHATSOEVER, EASTERN IF IT IS 6260 05:07:31,777 --> 05:07:33,112 BETTER FOR THE PATIENTS AND 6261 05:07:33,112 --> 05:07:34,747 BETTER FOR THE TRIAL. 6262 05:07:34,747 --> 05:07:39,352 IT'S JUST WE CANNOT GO ON WITH 6263 05:07:39,352 --> 05:07:41,687 MORE DELAYS AND YOU KNOW, THIS 6264 05:07:41,687 --> 05:07:42,655 WILL COST SO MANY HOURS OF 6265 05:07:42,655 --> 05:07:43,956 TIME. 6266 05:07:43,956 --> 05:07:46,859 LET'S JUST EITHER NOT DO IT OR 6267 05:07:46,859 --> 05:07:48,461 WAIT UNTIL WE GET IT, AND DO 6268 05:07:48,461 --> 05:07:49,161 IT TOGETHER. 6269 05:07:49,161 --> 05:07:52,298 BUT IT IS NOT HELPING OUR 6270 05:07:52,298 --> 05:07:53,232 STUDIES MUCH. 6271 05:07:53,232 --> 05:07:54,967 >> THANK YOU FOR RAISING THOSE 6272 05:07:54,967 --> 05:08:00,706 POINTS AND KICKING THAT OFF. 6273 05:08:00,706 --> 05:08:11,017 OTHER COMMENTS? 6274 05:08:11,017 --> 05:08:14,253 OKAY WELL WE DON'T HAVE 6275 05:08:14,253 --> 05:08:14,654 ANYTHING -- SORRY. 6276 05:08:14,654 --> 05:08:19,225 I JUST HAD A QUICK QUESTION. 6277 05:08:19,225 --> 05:08:21,727 JUST, WE HEARD A LITTLE BIT 6278 05:08:21,727 --> 05:08:23,129 ABOUT THE. INDEX CHALLENGE 6279 05:08:23,129 --> 05:08:24,997 THIS MORNING. 6280 05:08:24,997 --> 05:08:25,665 I THOUGHT THAT WAS 6281 05:08:25,665 --> 05:08:25,965 INTERESTING. 6282 05:08:25,965 --> 05:08:29,335 SO, I'M JUST CURIOUS IN THE 6283 05:08:29,335 --> 05:08:32,538 CONTEXT OF THE H.-INDEX FOR 6284 05:08:32,538 --> 05:08:35,975 PUBLICATION, HAS TO PASS SOME 6285 05:08:35,975 --> 05:08:36,175 BAR. 6286 05:08:36,175 --> 05:08:38,277 IS THERE SOMETHING LIKE THAT 6287 05:08:38,277 --> 05:08:41,047 FOR THE.-INDEX. 6288 05:08:41,047 --> 05:08:44,517 IF I SAY I'M PUTTING UP SOME 6289 05:08:44,517 --> 05:08:45,584 DATA, NO ONE HAS REVIEWED THAT 6290 05:08:45,584 --> 05:08:49,321 IT IS SENSE ABLE OR SOMETHING 6291 05:08:49,321 --> 05:08:51,624 LIKE THAT. 6292 05:08:51,624 --> 05:08:52,825 WHAT KIND OF IDEAS ARE THERE 6293 05:08:52,825 --> 05:08:57,830 TO ENSURE QUALITY OF DATA? 6294 05:08:57,830 --> 05:09:00,499 >>> YEA THAT'S A VERY GOOD 6295 05:09:00,499 --> 05:09:00,766 QUESTION. 6296 05:09:00,766 --> 05:09:04,103 THIS IS KERRY, SO WE ARE JUST 6297 05:09:04,103 --> 05:09:05,771 GETTING STARTED LEADING THIS 6298 05:09:05,771 --> 05:09:07,506 EFFORT AND WE HAVE HEARD 6299 05:09:07,506 --> 05:09:09,575 THAT. 6300 05:09:09,575 --> 05:09:13,646 AT THIS MOMENT WE ARE REACHING 6301 05:09:13,646 --> 05:09:17,717 OUT TO A VERY BROAD SWATH OF 6302 05:09:17,717 --> 05:09:19,351 INDIVIDUALS AND WE HAVE HEARD 6303 05:09:19,351 --> 05:09:21,287 FROM SOME INDIVIDUALS THAT 6304 05:09:21,287 --> 05:09:22,755 THEY HAVE CREATED METRICS THAT 6305 05:09:22,755 --> 05:09:26,959 PULL IN COMPONENTS OF QUALITY 6306 05:09:26,959 --> 05:09:30,229 OR OTHER FACTORS THAT AREN'T 6307 05:09:30,229 --> 05:09:33,432 JUST LEARNED TO PUBLICATIONS. 6308 05:09:33,432 --> 05:09:35,735 LIKE THERE ARE SO MANY 6309 05:09:35,735 --> 05:09:36,302 APPROACHES. 6310 05:09:36,302 --> 05:09:37,303 WE'RE ONLY STARTING TO SCRATCH 6311 05:09:37,303 --> 05:09:39,505 THE SURFACE WITH OUR 6312 05:09:39,505 --> 05:09:41,707 INTERVIEWS MUCH IT IS 6313 05:09:41,707 --> 05:09:42,007 FASCINATING. 6314 05:09:42,007 --> 05:09:45,344 WE JUST HAD OUR FIRST SET OF 6315 05:09:45,344 --> 05:09:47,012 MEETINGS YESTERDAY AND WE ARE 6316 05:09:47,012 --> 05:09:48,280 HEARING THE SAME THINGS. 6317 05:09:48,280 --> 05:09:50,049 THERE WILL BE MORE TO COME. 6318 05:09:50,049 --> 05:09:53,119 WE WILL, WE ARE PLANNING TO DO 6319 05:09:53,119 --> 05:09:55,454 A WORKSHOP SO I THINK YOU'LL 6320 05:09:55,454 --> 05:09:56,222 BE INTERESTED IN PARTICIPATING 6321 05:09:56,222 --> 05:09:59,125 IN THAT AND WE'LL CIRCULATE 6322 05:09:59,125 --> 05:10:00,760 THAT BROADLY. 6323 05:10:00,760 --> 05:10:03,095 WE'RE AIMING FOR PROBABLY LATE 6324 05:10:03,095 --> 05:10:04,497 SUMMER, EARLY FALL FOR THAT 6325 05:10:04,497 --> 05:10:04,964 WORKSHOP. 6326 05:10:04,964 --> 05:10:08,033 SO STAY TUNED. 6327 05:10:08,033 --> 05:10:08,334 >> THANKS. 6328 05:10:08,334 --> 05:10:11,337 AS MICHAEL BUT THE IT, IT'S 6329 05:10:11,337 --> 05:10:13,372 THE ONLY CAR OTT THAT PEOPLE 6330 05:10:13,372 --> 05:10:15,241 HAVE HEARD IN DATA SHARING. 6331 05:10:15,241 --> 05:10:18,010 I THINK IT'S IMPORTANT. 6332 05:10:18,010 --> 05:10:19,078 >> WE'RE ALSO VERY CAUTIOUS WE 6333 05:10:19,078 --> 05:10:21,113 DON'T WANT TO CREATE 6334 05:10:21,113 --> 05:10:24,717 UNINTENDEDDED CONSEQUENCES OR 6335 05:10:24,717 --> 05:10:35,194 TRASH THINGS THAT ARE GOOD. 6336 05:10:38,731 --> 05:10:41,867 I DO WANT TO THANK OUR CSR, 6337 05:10:41,867 --> 05:10:45,938 AND NIH, AND I URGE YOU THAT 6338 05:10:45,938 --> 05:10:50,409 YOU KNOW, HOW WE CAN HELP YOU, 6339 05:10:50,409 --> 05:10:51,577 CONTINUE TO MOVE FORWARD AND 6340 05:10:51,577 --> 05:10:54,480 ANY SUGGESTIONS REACH OUT TO 6341 05:10:54,480 --> 05:11:01,654 US SO WE CAN HELP. 6342 05:11:01,654 --> 05:11:02,254 >> VICTOR THANKS FOR ASKING 6343 05:11:02,254 --> 05:11:03,689 ABOUT THAT. 6344 05:11:03,689 --> 05:11:05,724 I THINK ONE OF THE THEMES THAT 6345 05:11:05,724 --> 05:11:09,595 CAME UP WHEN WE TALKED EARLIER 6346 05:11:09,595 --> 05:11:13,432 IS THAT WE DON'T WANT WHAT 6347 05:11:13,432 --> 05:11:15,367 HAPPENS IN BETH THESE TODAY TO 6348 05:11:15,367 --> 05:11:15,701 STAY HERE. 6349 05:11:15,701 --> 05:11:18,270 IT HAS TO GET OUT IN THE REAL 6350 05:11:18,270 --> 05:11:18,470 WORLD. 6351 05:11:18,470 --> 05:11:22,241 WE TRY TO USE SOCIAL MEDIA AND 6352 05:11:22,241 --> 05:11:23,676 PRESS TO GET OUT THERE. 6353 05:11:23,676 --> 05:11:27,913 WE HAVE TONS OF EMAIL BLAST 6354 05:11:27,913 --> 05:11:30,783 THAT'S WE TRY TO PUT OUT. 6355 05:11:30,783 --> 05:11:31,684 BUT I DON'T WANT THE SITUATION 6356 05:11:31,684 --> 05:11:33,686 TO BE THE PEOPLE WHO READ THEM 6357 05:11:33,686 --> 05:11:35,821 ARE THE PEOPLE WHO READ THEM. 6358 05:11:35,821 --> 05:11:39,959 I DON'T WANT THE SAME GROUP OF 6359 05:11:39,959 --> 05:11:41,694 PEOPLE. 6360 05:11:41,694 --> 05:11:43,863 WHERE I'M MADING WITH THAT WE 6361 05:11:43,863 --> 05:11:47,366 VIEW ALL OF YOU AS ONE OF OUR 6362 05:11:47,366 --> 05:11:50,636 PRIMARY GATEWAYS TO THE 6363 05:11:50,636 --> 05:11:52,805 SO-CALLED REAL WORLD. 6364 05:11:52,805 --> 05:11:53,572 SO, WHATEVER YOU CAN DO, WE 6365 05:11:53,572 --> 05:11:57,209 TALKED ABOUT A FEW OF THESE 6366 05:11:57,209 --> 05:11:57,877 THINGS TODAY OVER LUNCH. 6367 05:11:57,877 --> 05:12:00,446 THAT'S ONE OF THE BIGGEST ASKS 6368 05:12:00,446 --> 05:12:01,680 THAT I WOULD HAVE TO TRY TO 6369 05:12:01,680 --> 05:12:04,617 TAKE WHAT WE'RE TALKING ABOUT 6370 05:12:04,617 --> 05:12:06,452 HERE AND REPRESENT TO 6371 05:12:06,452 --> 05:12:11,190 COMMUNITY ABOUT WHAT IS 6372 05:12:11,190 --> 05:12:12,157 HAPPENING. 6373 05:12:12,157 --> 05:12:15,127 WHAT ELSE WOULD YOU ADD TO 6374 05:12:15,127 --> 05:12:15,327 THIS? 6375 05:12:15,327 --> 05:12:21,901 I APPRECIATE YOUR QUESTION. 6376 05:12:21,901 --> 05:12:23,736 >> I DON'T HAVE ANYTHING 6377 05:12:23,736 --> 05:12:25,571 SPECIFIC TO ADD. 6378 05:12:25,571 --> 05:12:26,939 BUT I CAN'T EMPHASIZE WHAT 6379 05:12:26,939 --> 05:12:29,775 MIKE SAID MORE STRONGLY. 6380 05:12:29,775 --> 05:12:32,344 IF YOU'RE A CONDUIT TO 6381 05:12:32,344 --> 05:12:34,413 COMMUNITY, AND SO YOU HELPING 6382 05:12:34,413 --> 05:12:36,749 US GET THE MESSAGE OUT ABOUT 6383 05:12:36,749 --> 05:12:37,149 WHAT WE'RE DOING. 6384 05:12:37,149 --> 05:12:40,019 WHAT WE'RE TRYING TO DO, THAT 6385 05:12:40,019 --> 05:12:44,356 IS, YOU HAVE A REMARKABLE 6386 05:12:44,356 --> 05:12:45,424 CACHE INTO YOUR GROUPS AND WE 6387 05:12:45,424 --> 05:12:48,794 ASK YOU TO HELP US DO THOSE 6388 05:12:48,794 --> 05:12:50,930 ACTIVITIES. 6389 05:12:50,930 --> 05:12:51,830 >> YEA I DON'T HAVE ANYTHING 6390 05:12:51,830 --> 05:12:52,231 TO ADD EITHER. 6391 05:12:52,231 --> 05:12:55,534 ONE OF THE PURPOSES OF 6392 05:12:55,534 --> 05:12:57,703 INVITING PEOPLE FROM OTHER 6393 05:12:57,703 --> 05:13:00,039 INSTITUTES, WITHIN NIH IS TO 6394 05:13:00,039 --> 05:13:01,040 LET YOU KNOW WHAT'S GOING ON 6395 05:13:01,040 --> 05:13:01,473 THERE. 6396 05:13:01,473 --> 05:13:06,445 SO NOT JUST WHAT'S GOING ON AT 6397 05:13:06,445 --> 05:13:08,314 NEI OR HEARING REALLY COOL 6398 05:13:08,314 --> 05:13:10,649 PRESENTATIONS BUT JUST SO 6399 05:13:10,649 --> 05:13:12,217 YOU'RE AWARE AND -- SO YOU CAN 6400 05:13:12,217 --> 05:13:14,253 BRING IT BACK TO YOUR 6401 05:13:14,253 --> 05:13:14,520 COMMUNITY. 6402 05:13:14,520 --> 05:13:18,958 SO, REALLY WANTED YOU TO HEAR 6403 05:13:18,958 --> 05:13:20,459 ABOUT THIS SIMPLIFYING REVIEW 6404 05:13:20,459 --> 05:13:20,859 FRAMEWORK. 6405 05:13:20,859 --> 05:13:25,464 BECAUSE THAT'S A BIT OF A 6406 05:13:25,464 --> 05:13:25,664 SHIFT. 6407 05:13:25,664 --> 05:13:29,401 SO THAT'S JUST AN EXAMPLE. 6408 05:13:29,401 --> 05:13:31,303 BUT IF THERE ARE, SO WHATEVER 6409 05:13:31,303 --> 05:13:33,672 WE DO HERE WE WANT,000 SHARE. 6410 05:13:33,672 --> 05:13:35,207 BUT IF THERE ARE OTHER TOPICS 6411 05:13:35,207 --> 05:13:36,475 THAT YOU WANT TO HEAR ABOUT 6412 05:13:36,475 --> 05:13:38,143 AND YOU FEEL WOULD BE HELPFUL 6413 05:13:38,143 --> 05:13:41,647 TO YOU AND YOUR COMMUNITIES, 6414 05:13:41,647 --> 05:13:44,183 PLEASE ALWAYS JUST LET ME KNOW 6415 05:13:44,183 --> 05:13:48,687 AND WE'LL GET THOSE DONE. 6416 05:13:48,687 --> 05:13:51,924 >> THANKS. 6417 05:13:51,924 --> 05:13:54,026 >> ANY OTHER COMMENTS? 6418 05:13:54,026 --> 05:13:56,195 CATHY WOULD YOU LIKE TO. 6419 05:13:56,195 --> 05:14:01,333 >> YEA, WHERE ARE WE. 6420 05:14:01,333 --> 05:14:04,169 >> OKAY SO, WE'RE GOING TO 6421 05:14:04,169 --> 05:14:04,870 TAKE A BREAK. 6422 05:14:04,870 --> 05:14:07,740 WE ARE FIVE MINUTES AHEAD AND 6423 05:14:07,740 --> 05:14:09,742 WE'LL COME BACK FIVE MINUTES 6424 05:14:09,742 --> 05:14:13,979 EARLIER AND TAKE A BREAK. 6425 05:14:13,979 --> 05:14:17,483 WELL OFFICIALLY ADJOURN THE 6426 05:14:17,483 --> 05:14:21,053 OPEN SESSION AND WE'LL TAKE A 6427 05:14:21,053 --> 05:14:22,221 BREAK AND PEOPLE WHO ARE -- 6428 05:14:22,221 --> 05:14:23,722 WHO ARE GOING TO PARTICIPATE 6429 05:14:23,722 --> 05:14:25,791 IN THE CLOSED SESSION, IF YOU 6430 05:14:25,791 --> 05:14:27,326 ARE IN THE ROOM, PLEASE SIGN 6431 05:14:27,326 --> 05:14:30,529 IN AGAIN AND IF YOU ARE ON 6432 05:14:30,529 --> 05:14:33,132 ZOOM THERE'S A DIFFERENT ZOOM 6433 05:14:33,132 --> 05:14:34,800 LINK THAT YOU SHOULD HAVE 6434 05:14:34,800 --> 05:14:35,734 RECEIVED. 6435 05:14:35,734 --> 05:14:37,002 JUST THOSE TWO THINGS AND IF 6436 05:14:37,002 --> 05:14:39,705 ANYONE NEEDS A PARKING PASS, 6437 05:14:39,705 --> 05:14:40,239 LISA HAS PARKING PASSES. 6438 05:14:40,239 --> 05:14:42,508 THANK YOU ALL. 6439 05:14:42,508 --> 05:14:43,642 THAT WAS A WONDERFUL OPEN 6440 05:14:43,642 --> 05:14:43,876 SESSION. 6441 05:14:43,876 --> 05:14:45,377 I APPRECIATE ALL YOUR INPUT 6442 05:14:45,377 --> 05:14:48,480 AND WE'LL SEE YOU BACK HERE IN 6443 05:14:48,480 --> 05:14:49,148 15 MINUTES. 6444 05:14:49,148 --> 05:14:50,282 >> I REALLY APPRECIATE. 6445 05:14:50,282 --> 05:14:52,885 I JUST WANT TO SAY, I REALLY 6446 05:14:52,885 --> 05:14:54,820 APPRECIATE ALL OF YOUR 6447 05:14:54,820 --> 05:14:56,622 ENGAGEMENTS AND THE COMMENTS THAT YOU MADE. 6448 05:14:56,622 --> 05:15:06,622 SO I WILL BE HAPPY TO CLOSE THIS OPEN SESSION.